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FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN

BULAN : FEBRUARI 2021


Desa : Kotaraja
Dusun : Kedondong
Posyandu : Mandilaga 2

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur (bln) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 1
2/12/2016 L 5203042510180007 5203041202160001 M.Khairil Ridwan Raohon
2 2
3/5/2016 P 5203041407110018 5203044503160002 Bq.Hifziatul Ulya Nurul H/L.Kusmayadi
3 2
4/8/2016 L 5203042906160001 5203040804160001 L.Agung Gde Sakti Wardatul/L.Herman
4 1
16-05-2016 L 5203042407130006 5203041605160003 L.M.Fatih Algifari Zuriyatun/L.M.Yahya
5 2
20-05-2016 L 5203040808110006 5203042005160001 M.Muslih Muzaki Raohon/Muhsan
6
5/26/2016 P 5203042312190001 5203040660516001 Bq.Hamda Medina Nahaya Rohaeniah/L.Hamdan 5203041508800001
7 3
18-09-2016 P 5203041509110060 520304510160004 Auliana Putri Nurhasanah/Hamdan
8 3
22-09-2016 L 5203040910072726 5203042209160001 M.Rajid Zaenul F Zaitun/Sarfan
9 2
19-10-2016 P 5203040705110024 5203045010160004 Bq.Tiara Zahsiji Isniwati/L.Amrullah
10 1
19-10-2016 L 5203042506150003 5203041910160001 M.Khairul Hafizi Bq.Sumarni
11 1
3/10/2017 L 5203040609160001 5203041003170001 Zaenul Ihsan Endang Susanti
12 2
11-03--2017 P 5203041006160000 Bq.Amira Salma 3 Muslihan
13 1
17-04-2017 L 5203040601170004 5203041604170001 Elgibran Fakhri Azzam 2.8 Bq.Erma
14 3
17-04-2017 P 5203042708120001 5203045704170001 Bq.Zilfiyatul Hasanah 3,5 Bq.Sumiati/L.Fathurahman
15 1
4/19/2017 P 520304181010004 5203044905170004 Nadia Ramdani Muluiani
16 3
19-04-2017 P 520304150611008 5203046004170001 Bq.Wafa Azianti mumtaz 2.6 Nurul Hikmah
17 2
19-05-2017 L 520240501150062 M.Ilyas Syakban 2.6 Safaatuzzuhra
18 2
21-07-2017 P 5203041808160004 5203046107170001 Naila Fitri Aulia 3 Suminah/Haerudin
19 1
25-07-2017 P 520304101114003 5203040507170001 Bq.Safira Laela Fitri 3 Fitrianti
20 2
28-07-2017 L 5203041812120003 L.M.Mauza Muttaqi 3.6 Bq.fifin/L.M.Zaenudin
21 2
8/8/2017 L 5203042309120020 5203040808170001 L.M.Kurnia 2.9 Bq.Asmawati
22 3
21-08-2017 P 5203041810110007 5203046108170001 Yasmin Arsyla Hanafi 3.5 Esti Rahayu/Hanafi
23 1
10/11/2017 L 5203041509170002 5200304110170002 L.M.Husnul Wathoni 4.2 Bq.Hawanah
24 2
30-10-2017 L 5203040705110030 520304310170001 L.Fathan Habib Maulana 3.5 Zuriyatun/L.Purnawirawan
25 1
11/6/2017 P 5203041506150028 5203044612170002 Naura Amanada 3.1 Diana/Sudarman
26 3
15-11-2017 L 5203041712120020 5203041511170002 Irwan Prabumi 3.8 Muslihan/Marwan
27 1
20-11-2017 P 5203041710170000 520304611170005 Bq.Mala Ruhia Bq.Solatiah/L.Wirahadi
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur (bln) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28 6
20-11-2017 P 5203041103100001 5203046011170006 Fadheela Aulia Rasyidah 4 Faoziah/M.Yani
29 1
13-12-2017 L 5203040610140003 5203041312170001 L.M.Hadian Zawil Ansori 2.8 Eka Sri H/Samsul
30 3
16-12-2017 P 5203042607130002 5203045612180003 Salma Salsabila 3.2 Hasanah/Nurdam
31 3
17-12-2017 P 5203041503160007 5203045612170003 Nuriah Alsafari 3.5 Hurniati/Amrullah
32 4
24-12-2017 L 5203040610140000 5203042412170003 L.M.Revan Maulana Bq.Muhaini/L.Junaedi
33 4
2/22/2018 L 5203042005110020 5203042202180004 M.Yusron Rabbani/Robi 2.6 Ridoah/Su'ud
34 1
3/7/2018 P 5203040312140029 5203044703180002 Bq.Devi Wulandari 2.8 Bq. Nurfianti/L.Dedi
35 1
6/2/2018 L L.Algifari 2 Mulianah
36 3
31-07-2018 L 5203043009120020 5203043107180001 Putrawan Zaenap/junep 5203040805880003
37 2
17-08-2018 L 5203041904110032 5203041708180003 L.M.Faraz Raufa Merdeka 3.9 Bq.Neni/L.Rahmad
38 3
21-08-2018 L 5203042507110037 5203042108180002 M.Emil Arafa 2.6 Hindun/Jupriadi 5203040107890286
39 1 24-08-2018 L 5203040202180003 5203042408180001 M.Abdurro'id Abyan Disa/Samsul Hadi
40 2 29-08-2018 L 5203047112900270 5203042908180001 L.Bintang Fajar Rinjani 3.5 Idhan Wati/L.Hirwan
41 2 17-09-2018 L 5203042407130006 L.M.Rafasya Zabdan 2.5 Zuryaton/L.M.Yahya
42 1 10/10/2018 P 520304160818003 5203045010180001 Ilma Soliha 3.6 Suarni/M.Kodri
43 1 10/20/2018 L M.Haerul Hafizi Adeng Candra/Hamdan
44 1 10/23/2018 L 5203041909180007 5203042310180002 Arif Kurniawan 2 Kurniati/Subki
45 2 10/30/2018 L L.Albi Muzoffar 3.7 Julia/L.Faizin
46 1 10/31/2018 L 520304060180006 L.M.Ali Fikri Resiana/L.Hamdani
47 1 11/7/2018 L 5203043003160003 M.Defin Pratama 2.9 Fitriani/Deni 5203043112950084
48 1 12/3/2018 P 5203041902180001 5203044312180001 Siti Rahmatul Hulwa 3.6 Siti Rahayu/Roni 5203043112950084
49 2 12/16/2018 P
5203042309129930 5203045612180002 Bq.Silva Nazia 2.7
Lina Rosdiana/L.Hendra

50 3 12/20/2018 P 5203041812120003 Bq.Yumna Alfatunnisa 4


Bq.Fifin/L.Zaenudin

51 2 12/28/2018 L 5203042407170007 L.M.Nur Alfian Saril 3


Suryati/L.Saifullah

52 3 1/1/2019 L 5203042906160001 L.Rizki Wahid Aljadidi 4.3 Wardatul M/L.Herman


53 1 1/20/2019 P 52030411-7180004 5203046001190002 Rohayati 3.3
Husnul H/Rofi'i

54 2 2/9/2019 L 5203040310110009 5203040902190001 L.M.Fauzaturrahman 3,4 Rabiatun A/L.Subhan


55 3 2/17/2019 P 5203042112160002 Nazila Febriana Putri 2.8
Aminah/Muslihin

56 1 2/17/2019 L 5203040210180002 L.Febrian Aslan 3.8


Fatmala Ningsih

57 2 5/6/2019 P 5203040703120030 Seila Zarina Fathin 3.2 Purniawati/Sukri


58 1 5/12/2019 P 5203041103190003 Bq. Intan Humaero 3.3
Maesarah/L.Jansari

59 3 5/15/2019 P 5203042607120020 5203045505190001 Bq.Nuril Ramdani 3.5 Bq.Rusmiati/L.Jansari


60 7/9/2019 L M.Adifta Ansari 3 Hindi
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur (bln) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61 7/27/2019 P Bq. Nuril Vinoza 3.5 Bq.Siti Hartina


62 9/11/2019 L M.Ramzi Ilham 3.2 Nuriah/Kamhar
63 9/23/2019 L Ahmad Musairil 4 Nikmah/Muyasir
64 10/6/2019 P Syarifah ardiani 3.1 Bq.Yuni/Zulkarnaen
65 11/1/2019 P Nadia Mauli 3.3 Ita ariani/Hairul Pajri
66 11/16/2019 L L.Tantowi Jauhari 3 Rahmiati/L.Hairul
67 12/16/2019 L M.Zaldi Ahyan Ansori 3.3 Bq.Yulia/Salman
68 12/30/2019 L L.M.Subaeli 3 Nurhayati/L.M.Azhar
69 12/31/2019 P Bq.Alena Zaskia 3.8 Husfawarni/L.Agus
70 1/30/2020 L 5203042811170006 L.Dafa Alfandi 3 Mariun/L.Supardan 520304010782063
71 2/21/2020 P Bq.Nadin Febriana 3 Faridah/Rudi
72 3/14/2020 L M.Khalifatu Rahman 3.5 Bq.Erma/Hasan Basri
73 5/12/2020 L L.Gibran Naufal 3 Kurniati/L.Haeruman
74 Isma Nadiatul Maryanti
75 7/3/2020 L Adam Malik 3.3 Bq.Muliani
76 7/10/2020 L L.M.Hafizturrahman 3.4 Rumini/L.Darmawan
77 8/18/2020 L M.Hafizi 3.7 Miftahul Jannah
78 8/27/2020 L L.Zaidan Makaria 3.3 Julia/L.Faizin
79 9/10/2020 P Bq.Kaysa Isma F 3.1 Kusmita Ayu
80 10/17/2020 P Bq. Yasmin Nursafia 2.6 Rani/L.Aminullah
81 10/18/2020 P Nadia Maulida 2.7 Artika/Samsul
82 10/26/2020 L L.Arka Pratama 3.3 Ernawati/L.Sukarni
83 11/26/2020 L Ayhafaris Rackyf 3.5 Faoziah/M.Yani
84 12/6/2020 L M.Fathul Yusril 3.8 Dwi Sri/Jumadil
85

86

87

88
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Tanggluk
Posyandu : Batas Kota

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 1 1/26/2016 P 5203041503140008 5203040601160001 Mira Sari 3.6 Hrndriana 5203045102940002


2 1 2/2/2016 L 5203041301150004 5203040202160002 Robi'ul Haeril Raehan '5203054504870004
3 1 24-02-2016 P 5203042212140068 5203046402160003 Tiara Riskiana Nurjanah/Nasudin 5203043112790318
4 2 2/14/2016 P 5203042609130030 5203045402160002 Mizatul Zairo 3.4 Muhajirin 5203044107850838
5 1 2/24/2016 P 5203043001170001 52030402160002 Zilvana Alezia 4 Bq.Lia 5203046212980001
6 4 3/22/2016 L 5203041010071429 5203042203160003 Gian Putra 2.1 Makyah 5203046212980001
7 1 4/25/2016 P 5203041608170001 5203046504160002 Bq.Nayla Azzahra Nuraeni/L.Haerudin 5203043112860348
8 2 5/6/2016 P 520304260913002 5203044603160001 Bq.Haerunnisa 3.5 Yulianti 5203045209880001
9 1 5/25/2016 L 5203042001150006 L.Arfan Arrafi 2.8 Bq.Milawati 520304550597007
10 1 6/24/2016 P 5203040108160008 520304640610002 Liana Safitri Sahirin 5203042107980001
11 2 7/16/2016 P 5203041506110030 '5203045607160004 Tiara Anggun 2.8 Nuraeni/Hamdan 5203042812750004
12 1 8/14/2016 P 5203041704180001 5203045408160002 Aqila Fariza Mufia 3 Rosiyal Aini 5203037112990059
13 1 10/8/2016 L 5203040202150036 5203070810160001 Abdurahman Farih Hermini/Husen '5203043112750443
14 2 10/25/2016 L 5203042311170002 5203072410160001 Afdal Gilang Nurul Hidayati 5203075102940006
15 1 P 5203041301120033 5203041411160004 Ahwa 5203043112500186
16 1 L 5203040812140058 5203040212170004 M.Galuh 5203043112900419
17 2 P 5203040403150014 5203045512170001 Sulistiana Bq.Sarifsh/Zuhdi 5203043112760343
18 2 11/3/2016 P 5203040905170002 5203044306160003 Naira/Zaniya Naviza 3.5 Raohon/Zaenal 52030401075850825
19 1 11/17/2016 L Rezky Wahid Abd.Madjid 3.2 Ayunah/Jayadi
20 1 1/24/2017 L 5203041706160002 5203042401170003 L.Muh.Akbar 3.7 Tari/L.Samsul Hakim 5203044502920001
21 2 2/15/2017 L 5203041001170002 520304150470002 L.Danil A F Sumiati/L.Roswadi 5203043112850316
22 1 3/9/2017 L 5203040910072975 5203040903170001 Ali Azohri Abadi 2.9 Rafiaton 5203044107960473
23 3 3/15/2017 P 5203041903130058 5203045503170001 Bq.Arsyla Romaaesa F Bq.Nurul Aini 5203045202790002
24 1 5/7/2017 L 5203040901170001 5203040705170002 Aidil Dirga Aranta 3.6 Iftihan/Jumadil 5203040107880425
25 2 7/12/2017 L 5203040501150043 5203041207170002 L.M.Rayyan Attala 3.2 Hj.Bq.Lukyah/H.L.Hamda 5203041211830004
26 2 7/31/2017 P 5203040311110014 5203047107170001 Julia Askira 2.5 Maesun/Nurhat 52030431122740137
27 2 8/13/2017 L 5203041119120019 5203040308170002 Abdul Salam 3.5 Raohon/Muhasip 5203040107760513
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28 1 9/1/2017 P Nurhayati 3.3 Rohadi/Hizwan


29 1 9/18/2017 P 5203041506160001 5203044809170001 Bq.Hidayatul Ulya 3.1 Ernawati/L.Haryono 5203042205860001
30 1 10/11/2017 L L.Faristio Asgar 4 Bq.Masnin/L.Saparwadi
31 1 10/26/2017 L 5203042307140002 5203042610170003 Rino Saputra 3.5 Murniati/Harianto 5203043112940240
32 2 10/27/2017 L 5203040402150007 5203042710170001 L.Aditya Purwanto Bq.Martini/L.Rodi 5203040303880003
33 1 11/5/2017 P Nurul Hayatul 3.4 Hamidah/Anwir
34 3 12/5/2017 L M.Yusuf Hambali Parni/Slamet
35 3 12/17/2017 L Habib Eka Hadaya 3.3 Rafiah/Junaedi
36 1 27-03-2018 P 52030421105130003 5203046703180002 Rismatul Hafisa 3.4 Nuraeni/Akmaludin 5203042308850002
37 3 18-04-2018 P Agira Fashil 3 Rika Fitriani/Sumaedi 5203044107960473
38 3 5/14/2018 L 52030401240014 5203041405180004 Hafid Hadori 3.5 Faizah/Samsul 5203040101820015
39 3 5/15/2018 P Dara Azzahra 3.2 Marlina/Saprin
40 3 24-05-2018 L 5203040203150003 5203042305180001 M.Iqbal Ramadhan 3.6 Marlina/Saprin 5203042509800002

41
1 25-05-2018 P 5203040712170003 5203046505180001 Latifa Kamilatunnisa Masniah/Ahmad yani

42
2 15-07-2018 P Abiba Syakila Bq.Meliwati/Mastur

43
2 8/2/2018 L L.M.Alfatih 3.1 Raehan/Slamet 5203043112850481

44
2 19-09-2018 L M.Ahlil Gibran 3 sehan/L.Rosyadi 5203043112750411

45
1 26-10-2018 P Qanita Azkayra Rahma 3.1 Susilawati/M.Roni 520304093980002

46
1 11/1/2018 L M.Halilurrahman 3.1 Miftahul J/Rosmidi

47
1 11/8/2018 P 5203040404110021 5203040811180001 Afifa Nahda Rafanda 2.7 1103172707840001

48
3 11/10/2018 P 5203042112110188 5203045011180001 Aisyah Silmi Afika 3.3 Saumi/Hasanudin 5203043112800283

49
2 15-11-2018 P Alya Indah Ayunindia 2.8 Sumiati/Suaedi

50
1 12/5/2018 L 5203041012180008 5203040512180001 Danis Akbar 2.9 Rosalna/Hasanudin 5203040107930581

51
1 15-12-2018 L 5203122704150010 5203121512180004 M.Arfi Al Latifi 4.1 Reni Septiana/Habib 5203121512960006

52
2 22-12-2018 L Kholid Faizul Nawali 3.8 Qurratul Amni/Suaedi

53 2 1/2/2019 L Ardani Riski Fanaki 3 Hakiah/Mustafa

54 1 1/19/2019 L L.M.Khalif Alkwarizmi 3.5 Nurlia Sari/L.Sabirin

55 1 1/23/2019 L 5203041312160003 5203042301190002 L.Andrian Akbar 2.8 Mahrim/L.Rudianto 5203040107920612

56 1 2/2/2019 L 5203041711150012 5203040202190001 M.Fauzan Akbar 2.6 Aulia/Sandi 5203042404950002

57 1 2/28/2019 L M.Azril Irawan 3.3 Sufiyatni/Fauzi Irawan

58 1 4/1/2019 L 5203041812180007 5203040104190003 Raditya Sabin Maulana 3.3 Sutya Mawarni/Rodianto 5203046710910003

59 1 4/28/2019 P Adila 3.6 Ernawati/Faozan

60 3 5/8/2019 L Rafli Ahmad Ramdani 3.1 Johanah/Suherman


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61 2 5/12/2019 P Riska Suryana Putri 2.6 Nurhasanah/Rifki

62 2 6/11/2019 P 5203042004110038 5203045106190001 Riyaniatul 3.7 Eni Ferawati/Sapran 5203043112870108

63 1 6/28/2019 L 5203042005190002 5203042806190001 Albi Saputra 5203040107950246

64 2 7/11/2019 P Bq.Qiara Dwi Prameswari 2.4 Elisah Apriani/L.Roni

65 1 7/26/2019 P 5203041906190001 5203046607190002 Arum Nuansa Putri 3.5 Susanti/Hajrul 5203041309950003

66 3 8/27/2019 P Safina Rahmawati 3.3 Nurmawati/Sarbini

67 1 9/10/2019 L Azam Aulian 2.9 Bq.Zohriah/Suhaemi

68 2 12-0-9-2019 P 5203040407130003 5203045209190001 Zara Fadhila 1.9 Sudiana/Hasanudin 5203043112850387

69 2 10/7/2019 L L.Ginan Abdurrozak 3.5 Juniarti/L.Harmoko

70 1 10/8/2019 P Mezian Azzahra 3 Maemunah/Sahrul E

71 1 11/12/2019 P Aqila Misa Safana 4.5 Faizah/Supardi

72 1 12/17/2019 P Bq.Olinda Sari 2.4 Yulita Sari/L.Rosmidi

73 3 12/21/2019 P Abdul Wahid Jaelani Sakdiah/Sadli

74 1 1/14/2020 P Vanesa 3.3 Muliani/Haeril

75 1 1/17/2020 L L.M.Afta 3.7 Nur'aeni

76 2 2/4/2020 P Bq. Rania Sheza 3.7 Endang/L.Edi

77 2/18/2020 L M.Arga Saputra 3.3 Rubakyah/Fadli

78 2 4/16/2020 P Nur Anansa Aina 3.5 Suryati/Abd.Rahim

79 2 4/23/2020 P Alma Safitri 3 Nurhayati/Sumaedi

80 3 4/25/2020 p Reva Nadhira R 2.8 Rusmini/Jumaah

81 1 6/1/2020 L Abi Putra 3.6 Hilwani/Suhirman

82 2 7/11/2020 L L.Abdul Gani 3 Huriah/L.Putra

83 1 7/18/2020 L M.Nabil Arkan 3.9 Muliana/Julianto

84 7/21/2020 P Caira Gayatri Lutfana 2.5 Eni Mulyana/Pamala

85 1 7/31/2020 P Dinda Ariskiya 2.5 Dwi/Iskandar

86 1 8/5/2020 P Bq.Azkayra Yasna 3.4 Asiah/L.Iqbal

87 8/21/2020 L M.Abdul Rosyid 3.3 Haeri/Abdul Aziz

88 1 9/7/2020 L M.Yusuf Iswandi 2.5 Jumaenu/Junaedi

89 10/9/2020 L L.Satria Saputra 2.8 Aisyah/L.Abdullah

90 2 10/15/2020 L L.M.Abidzar 3.5 Sartini/L.Isyadi


91 3 12/6/2020 P Indah Pertiwi 2.4 Aisyah/Jupenin
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Dayan Peken
Posyandu : Armawa

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 1 1/8/2016 P 520304210150002 5203044801160003 Bq.Anindia Suraya 3.5 Titik Nurhidayati/L.Suand5203048101050005


2 3 20-01-2016 P 5203041510070680 5203046001160003 Bq.Gadis Fina Syfa 3.2 Mastini/L.Rusdi 5203040107690277
3 1 2/2/2016 L 5203040606150002 5203040202160001 L.Fahri Febrian 3 Hidayatus S/L.A. Yani 5203040107870949
4 3 3/10/2016 P 5203041210070091 5203045003160001 Bq.Qudrotunnada 3.2 Bq.Nurhasanah/L.Munaki5203041203040004
5 2 27-03-2016 P 5203041109120001 5203042703160005 Nanda Tabrani Sanjaya 3.7 Sa'adah/Suhaedi 5203042212720001
6 2 31-03-2016 P Bq.Raisya Bq.Nana/L.Dwi
7 3 4/2/2016 P 5203041010110014 5203044204160005 Bq.Atika Inara 2.8 Bq.Faoziah/L.Muda'ah 5203040107500550
8 2 4/3/2016 L 5203041010072871 5203040704160003 L.Razik Almandaru 3.7 Hamzatun/L.Zulkarnain 5203042109810003
9 1 4/7/2016 P Denisa 2 Bq.Ida Rustin/Deni
10 1 4/9/2016 P 5203041506150015 5203044904160002 Bq.Alya Dewina Maryam 3 Yusri Aini/L.Supandi 5203043112830162
11 1 30-04-2016 P 5203041412150007 5203047004160005 Srife Riska Al-qadri 3.1 Ninin Eka R/Ye' Faisal 5203040107890844
12 2 25-06-2016 P 5203040110100002 5203046506150002 Bq.Annisa Dwi Rumintan 3.5 Nurul Aini/L.Roni 5203040309830001
13 2 7/1/2016 L 5203040212150002 5203040107160001 L.M.Akbar Maulana 2.9 Siti.Nurmazah 5203041505880001
14 2 7/5/2016 L L.Abdul Khalik Drajat 3 Bq.Erna/H.L.Darmat
15 1 7/9/2016 L L.Nuna Andanu 2.8 Wiwin/L.Jiwa
16 3 17-07-2016 L 5203042207100007 5203041707160001 L.Rafa Alif Naufal 4.4 Bq.Juniarti/L.Abd.Rahim 5203042005650001
17 1 13-08-2016 P 520304101007224 Bq.Fatihani Asyifa 3.9 Faridah/L.Anwar 5203040107550115
18 3 9/6/2016 L 5203042012110103 5203042401770001 L.Alfandi Rifki 3.8 Bq.Nurhaeni/L.Ishak 5203042401770001
19
18-09-2016 L 5203041010072936 5203041805160002 M.Alvi Azali Maeni/Ismayadi 5203042601850001
20 1 10/1/2016 P 5203040712150002 5203044110160001 Bq.Alifa Ayudia 3.6 Bq.Muslihatun/L.Awan 520304211182002
21 2 12/10/2016 P 520304081110007 5203045012160001 Bq.Destia Nurmaelina 2.9 Bq.Erni Susilawati/L.Putra5203043112840188
22 3 30-12-2016 P 5203043110130012 5203047012160002 Bq.Ririn Ayuningsih 3.2 Surniati/L.Suryadi 5203040107760111
23 4 23-01-2017 P 5203040601120041 5203046301170004 Ramita Rosdiana Putri 3.3 Rianah/Rosiadi 5203043112750228
24 3 13-04-2017 P 5203042012110078 52030453004170003 Bq.Bening Sekar Arum 3.2 Bq.Tuti/L.Beni 5203040409790001
25 3 15-04-2017 L 5203041307100031 5203041504170002 L.Rasya M Attala 3.3 Bq.Ratmini/L.M.Tahir 5203040207740001
26 1 5/8/2017 P Elisa Delafani Wardani Srife Raodah
27 2 29-05-2017 L 5203042203170004 L.Zulfan Dwi Nanda 3.2 Ida/L.Muksin 5203040712790002
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28 2 6/7/2017 P 5203042303100020 Bq.Sheza Naila Ramadhani 3.8 Irma Suryani/L.Ervan 5203042812790002


29 3 16-06-2017 L 5203042404120013 Rizki Ramadhika 3.5 Hariani/L.Ridwan 5203043112750303
30 3 7/2/2017 P 52030417091200015 5203044207170002 Anzi Hatima 3 Suryani/Sugiman 5203091908770001
31 3 31-07-2017 P 52030423021100012 52030471070003 Bq.winarsih Putri Darmawan 2.8 Bq.Suhartini/L.Darmawan5203041707760004
32 2 20-08-2017 P 5203041005100017 Haerani Safa 3 Raodah /L.Suherman 5203093112840041
33 2 17-09-2017 P 520301010072898 5203045609170003 Bq.Herli Salida Salma 3.3 Herlinawati/L.Suherman 5203045609170003
34 3 19-09-2017 L 5203042802110031 5203041909170001 L.M.Zarkasyi Alhazani 3.3 Bq.St.Faridah/L.Rusdi 5203042008800002
35 3 29-09-2017 P 5203041210070087 5203046909170003 Adelia Fanisa Azmi 3.5 Hariati/Mustafa 5203040107790348
36
10/15/2017 L 5203040502140033 5203041510770003 L.M.Faqih 3.3 L.Rosmidi/Haeriah 5203041011760003
37
19-10-2017 L L.Muh.Arga Azzikra 3.3 Bq.Sari
38
3 11/1/2017 P 5203041010070689 Bq.Kayla P.Humaera 3.2 Ade Irma R/L.Abd.Majid 5203043112820241
39
2 1/12/2018 P 5203042709120015 5203045901180002 Bq.Arzila Zaida Rahma 3.4 Bq.Hindun/L.M.Said 5203040107756214
40
2 22-01-2018 P 5203041512110086 5203046201180001 Srife Aisya Sifa Alina 3.5 Yeni/Yek Arifin 5203040311800002

41 2 26-02-2018 P 5203042803110033 5203046602180001 Bq.Ferial Qistin 3.2 Lia Marlia/L.Yendra 5203040101830008

42 2 19-02-2018 P 5203042912110164 5203045902180003 Bq.Alika Rafifa Nauha 3.3 Bq.Husnaena/L.Antadi 5203043112880177

43 3 25-02-2018 P 5203042404130001 5203046502180001 Bq.Hera Widiyasa 3 Hultiah/L.Haeruman 5203042107850001

44 2 3/12/2018 P 5203040601120012 5203045203180001 Bq.Hafiza dwi Martin 3.5 Rahili/L.Andi 5203041802920005

45 2 30-03-2018 P 5203041109140017 Bq.Tias Kurnia Putri 2.8 Titi Kurnia/L.Abdillah 5203040107780374

46 2 14-04-2018 L 5203041805100019 5203041404180001 L.M.Adib Putra Haya Laeli Hidayati/L.Mursalim520304230383001

47 4/26/2018 L Azilal Sabani Sazaki 2.6 Mimi F/Suparlan

48 2 17-05-2018 P 5203041607160002 5203045705180002 Bq.Adiba Azzahra 3.3 Zamira/L.Muhsan 5203041507950062

49 3 17-06-2018 P 5203042103120006 5203045706180003 Bq. Imbi Humaera 2.8 Sukini/samsul Hakim 52030411708720002

50 3 18-07-2018 P 520304151120002 Bq.Arzila Farzana 2.5 Ida/L.M.Amin 5203040106820004

51 20-07-2018 P 5203042004100014 5203046007180001 Hasna Diana 2.9 Rusmiati/Rizan Hadi 5203043112830020

52 22-07-2018 L Eska Maulana Siban 3 Eka Fitriani/M.Sapi'i

53 4 8/6/2018 P 5203041307100031 Bq.Aira 2.8 Bq.Ratmini/L.M Tahir 5203040207740001

54 9/9/2018 L 5203042912110113 5203040909180003 L.M.fatan 3.7 Bq. Dini/L.Erwin 5203041412770006

55 22-10-2018 L 5203042807100016 5203042210180001 L.Adam Hasan 3.5 Nurul Aini/L.Hasanudin 5203043112820054

56 11/11/2018 L 5203040710120095 L.Ahmad azam Nurwahid 3 Suharti/L.Juaeni 5203043112710168

57 11/27/2018 L M.Adi Hidayat S 3.3 Sukini/Mulyadi 5203040107820444

58 12/3/2018 L 5203041009140005 5203040312180001 Ahmad Defin 3.3 Rabiatun A/Samsul Hadi 5203040107820444

59 1 12/9/2018 P 5203041505180011 5203044912180002 Bq.Syaqila Sabrina 2.6 Bq.Riza/L.Bayang 523041704960002

60 12/25/2018 L 5203042111180004 L.M.Aswar Arbani 3.6 Hefianti/L.Iswandi 5203043012940005


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61 1/11/2019 P Bq.Ifa Astila Rahma 2.8 Nurhasiah/L.Usman

62 2/26/2019 P Arsyla Arumi 2.2 Hadijatul Husni/Rizal

63 2/13/2019 L 5203042903190001 5203041302190003 M.Haeril 1.9 Eli Agustina/Ahmadi 5203040107830183

64 2/13/2019 L 5203042903190001 5203041302190002 M.Haerul 1.9 Eli Agustina/Ahmadi 5203040107830183

65 3/14/2019 P Bq.Jazia Kinasih 2.9 Zulkaidah/L.Dede

66 3/22/2019 P Bq.Azura dena Aulia 2.8 Yulia Wardana/L.Wisnu

67 3/27/2019 P bq.Anjar Sari 2.6 L.Agustino/Citra

68 5/2/2019 P Safira Kanza Azahra 3.1 Bq.Elga/Gufran

69 5/3/2019 L L.Afif Abqori 3 Lina Sofiana/L.Wirantanus

70 5/7/2019 P 5203040601120014 Bq. Almeta Ramania 2.9 Bq.Suharni/L.Sumaedi 5203041502800004

71 5/23/2019 P 5203041010072586 Bq.Nadila Abriani Putri 3.8 Bq.Eka/L.Sabarudin 520304101270003

72 6/10/2019 L 5203042507110007 L.Yafi Fawwazaida Zaman 3.1 Dwi Wahyuni/L.Soni 5203042102780002

73 7/3/2019 L L.Bije Wirasentane 3.5 Bq.Ira/L.Efendi

74 7/5/2019 L M.Iqbalussadiki 3.1 Safwa Dewi/Rosidi

75 7/24/2019 P Bq. Marwah Marhamah/L.Hartadi

76 8/24/2019 L 5203041808150002 M.Nadim Yafi Azhari 2.9 Bq.Sari/Feri Fadli

77 9/7/2019 L L.Maulana Hizbullah 3.8 Siti Hartini/L.Hafifudin

78 9/12/2019 L L.Haidar Ali 3.2 Kartini/L.Andri

79 11/4/2019 L Rafa Muttaqi Hafiz 2.8 Bq.Siti Aminah/Pandi

80 11/6/2019 P Bq. Adelina Fatina Zahrah 3.3 L.Hartadi

81 11/8/2019 L 5203041011120231 L.M.R.A Habibi 3.4 Bq.Hartini/L.Alimudin 5203040107780375

82 11/10/2019 L 5203042301190006 Kenza Brendan Ibrahim 4.4 Bq.Miranda/Dodi 5204082905930001

83 11/12/2019 L L.M.Zyan Rambu R 3 Bq.Nurul Aini/L.saparwadi

84 11/16/2019 P 5203040803190002 Bq. Nima Maulida 3.3 Novi Apriani/L.Mustajib 5271012712870004

85 12/5/2019 P Bq.Najwa Qiara Amri 3.8 Bq.Ririn/L.Amrullah

86 12/16/2019 P 5203042407190000 Raina Destriani 2.9 Bq.Rita Y/Yusron 5203043112850230

87 12/19/2019 P Rika Widyasari 3.7 idah/Mahli

88 12/20/2019 L Alif Hindrayan Indra wardini/M.yani

89 2/13/2020 L L.Saga 2.5 Seruni/L.Galih

90 2/19/2020 L Aji Almalik 3.2 Bq.sri Wahyuni/Suparlan

91 3/12/2020 p Hanna Humaera 3.1 Elga/Gufran

92 4/20/2020 L L.Sabah Mulyo Aljati Sumiaton/L.Muharni

93 6/17/2020 L L.Danur Wenda Atmaja 3.5 Titik/L.Suwandi


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

94 6/21/2020 L L.Adam Rizki Isnaini 4.2 L.Isnaini/Diah

95 2 7/29/2020 P Bq.Fidelia Putri 2.6 Bq.Hajar aswad/L.wanen

96 2 8/13/2020 L Alfarizi Zahroni 2.9 Elima/Zahrin

97 1 8/20/2020 L L.Raji Alfarizi 3.4 Bq.Diana/L.Fadli

98 3 9/3/2020 L L.Gibran Aulian S 2.9 Bq.Husnaina/L.Artadi

99 1 9/21/2020 P Asiya Humaera 3.2 Rini Putri/Anggi

100 2 10/14/2020 L L.M.Aryan Ibrahim 3 Siti Nurmasyah/L.Masturiadi

101 3 10/16/2020 P Bq.Alya Marina 3 Marwah/Hartadi

102 1 11/27/2020 L Muh.Adi Hidayat S Sukini/Mulyadi

103

104

105

106

107

108

109

110

111

112
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Tibu Karang
Posyandu : Meranggi

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1
17-01-2016 P Naomi Zaskia Nurhasanah/Hamdani
2
19-01-2016 P 5203042706110008 5203045901160002 Maulida Rapi'ah/Adnin 5203046404740008
3
25-01-2016 L 5203042704110030 M.Salim Satir Reni/H.Dandi 5203046407880003
4
3/11/2016 P 5203052910140009 5203055103160002 Adelinda Rizkia A Fatimatuzza'rah/Warno 5203046210880001
5
24-03-2016 L M.Teguh Arzaki Erti Muliana/L.Muslim
6
3/28/2016 P Hena Yulianti nanda Yulianti/M.Safii
7
27-04-2016 P 5203041103170003 5203046704160001 Gina Safwatul Inayah Nurul Hidayati/Taufik 5203044310930004
8
16-06-2016 L 5203041306110013 Wira Althafurrahman Hilmiati/Samsul Mariadi
9
20-07-2016 L 5203041205100007 Ahmad Juan Alfarizi Nurul Hikmah/Suhaemi
10
8/6/2016 P 5203040609110041 Adzana Azahra Alfatun Fatmawati/M.Zainal Iman
11
9/1/2016 L Haris Maulana Ernawati/Muhlis
12
9/2/2016 L 5203040404120025 5203044209160001 Hafizatul Yusron Wahyu H/M.Imran 5203044128800002
13
24-11-2016 L 5203041205140004 5203042411160002 Didan Mu'inur Raja Eva Liana/Ahmad Yani 5203044704930005
14
30-01-2017 P 5203040509180003 5203047001170001 Azkayra Yasna Malika Bq.Nurul Aini/Sukri 5202127112810055
15
16-02-2017 P 5203041106110013 5203045602170001 Elzha Wanna Febian Novianti/Ruswandi 5203045111930001
16
16-02-2017 L 5203041310160002 5203041602170004 Mu'ammar Alhoddid Raehanun/Sabrullah 5203017112880132
17
4/12/2017 P 5203041506110024 5203045104170004 Isratul Husna Masrin/Saparwadi 5203047112840098
18
5/12/2017 L Adam Syarif Aditia Halimatusakdiah/Zakaria
19
21-07-2017 P 5203041506110011 5203046107170002 Nayla Amani Haerani/Abdul Hanan 5203044107790610
20
8/10/2017 L 5203041603170004 5203041008170001 M.Zaki Maulana Yuliana/Saparwadi 5203045307980001
21
8/10/2017 P 5203040702150002 5203045008170004 Roisya Indah Agustin Ayuni/Ramli 5203044211910003
22
29-11-2017 L 5203042610180002 5203042810170002 M.Aldion Nursehan/Dedi 5203054702800002
23
11/3/2017 P Qodratunnada Nurminah/Faozi
24
24-11-2017 L 5203042306150007 5203042411170002 Akma Nabhan Zailan Desilsa/Zaenudin 5203046012900002
25
24-12-2017 L 5203041810100006 5203042412170001 Rifki Zainussulhi Sulhiah/Zaenal Abidin 5203046007750001
26
15-01-2018 P 5203110509170003 5203115501180002 Bq.Isyana Arsya Arifin Leni Y/L.Muis 5203045707810004
27
20-01-2018 P 5203041306110014 5203046001190004 Bq.Nadia Khairunnisa Suaedah/L.Naharudin 5203046404840003
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28
22-02-2018 P 5203041202110012 5203046202180001 Sinta Akhira Masnin/Saharudin 5203047112780078
29
26-03-2018 P 5203042811140008 Kirana Rajwa Halimah/Harmaen 5203044203840001
30
26-04-2018 P 5203041101180001 5203046604180002 Ziana Syakila Qanita Fitri Muliana/Hafizin 5203047112950133
31
5/21/2018 P 5203042402200002 5203046105180003 Afifa Nahda 1.3 Riska Muliana/Agus 5203044107990564
32
30-05-3018 P Sirratu Ramdhania Qurratul Aini/Abd.Azis
33
15-06-2018 L 5203042706110009 5203041506180001 Aidil Mahyawadi Maeni/Hadrin 5203047112850171
34
7/2/2018 L Ferdiansyah Hilmiati/Zulkarnaen
35
23-07-2018 L 5203040509180003 5203042307180002 Azzam Khalif Rahmat Nurul Aini/Sukri 5202127112810055
36
8/6/2017 P 52030411807180002 5203044608180002 Rasyidatussalihah Yuliana/Abdul Ra'uf 5203044907990003
37
27-08-2018 L 5203041604180007 M.Arfan Riadi Haryadi/M.Suaedi 5203046710980005
38
10/6/2018 L Fathian Zidan Alfarezi Wiwin/Suandi
39
19-10-2018 P 5203040404120006 Fauza Dwi Rinjani Iza/Deni 5203045011920003
40
25-10-2018 P 5203041506110014 5203046510180003 Hifziatul Qudsiah Sriani/Arifullah 5203045003910001
41
14-11-2018 L 5203042709130009 5203041411180001 L.M.Aidil Alfarizi Isnimawati/L.Herman 5203114107860167
42
12/18/2018 P 5203041709180003 5203045812180001 Aleena Leila Rahman 3.2 Laeli DH/Taufikurrahman5203117112930065
43
1/8/2019 P 5203042102190007 5203040801190002 Fazia Nadhifa 3.5 Wartin/Faozan 5203045304930003
44
1/13/2019 P 5203041311190001 5203046301190002 Aulia Rosalina 2.8 Rosma/Rosiadi 5203045201950007
45
1/15/2019 P 520304141210015 Nirmala Putri Cantika 2.4 Heni/Abdillah 5203042010810002
46
1/19/2019 L 5203041506110013 5203041901190003 Sofian Sauri 3.1 Faridah/Abd.Manaf 5203044212840002
47
1/26/2019 P 5203042809180003 Atika Rosida 3.4 Rosita/Suhaeli 5203115404000001
48
2/18/2019 P 5203041506110007 5203045802190003 Fadila Mumtaza 3.2 Wasila/Supriadi 5203047112840097
49
2/23/2019 L M.Zian Khalif Alfa Rizki 3 Lia Murdani/M.Zaenudin
50
3/20/2019 P 5203041503190005 5203046003190002 Kiran Ariela Fatiha 2.2 Siti Laelawati/Usman 5203044411990003
51
3/29/2019 L M.Yususf Gibran 2.8 Siti Asuro'/Khaerurrozikin
52
4/16/2019 P Mazyatuzzahra 3.3 Uswatun H/Muhsinin
53
5/5/2019 P 5203041306110011 Waziadatun 2.7 Muni'ah/Hamdan 5203045006810003
54
6/4/2019 P 5203042706110001 Arsya Magfirah 3.8 Sarifah/Majidi 520304712720091
55
6/6/2019 L 5203041512110036 Alfatih Dhafir 3 Fathurrahman 5203054708000006
56
6/24/2020 P 5203042906180005 5203046406190000 Putri Alia Safika 3.5 Ilmiati/Amrullah 5203044605940001
57
7/22/2019 L 5203042504190003 5203042207190001 M.Malik Afkar 3.2 nanda Yulianti/M.Safii 5203044506980007
58
7/28/2019 P Muslihatun 3.3 Hidayatul/Abd.Gofur
59
8/6/2019 L Atharazka ahmad 3.1 Niswatun/Farhan
60
8/17/2019 L 5203040207190004 M.Ramzi 3.9 Bq.Hayati/M.hidayatul 5203035406900001
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61
9/1/2019 L M.Arkan Hamizan 3.2 Aprianti/Awan
62
9/2/2019 L 5203040809140015 5203040209190001 M.Alka illa Rabbi 2.6 Husnani/M.Subhi 5203115201900001
63
9/2/2019 L 5203040809140015 5203040209190002 M.Alki Illa Rabbi 2.5 Husnani/M.Subhi 5203115201900001
64
10/13/2019 L 5203041506110021 5203041310190001 M.Husnul jihadi 3 Sulhiah 5203045509840002
65
12/11/2019 L 5203041807190006 M.Raga Akbar 2.9 Yoya/Amrullah 5203044605940001
66
12/13/2019 P 5203040201190006 Hanna Syahida 2.8 Mardiana/Hasbi 5203046305940003
67
12/14/2019 p 520304121190006 Azizan al ayubi 2.8 Bq.Nurhayati 520304608900003
68
1/9/2020 P Yaomi Zoya Zania 3 Sulastri/Zainudin
69
2/9/2020 P Hanna Humaira Sumaini/Nurudin
70
2/12/2020 L M.Haikal Azani 3,2 Hidayati/Zaelani
71 1 2/20/2020 P Arsyla Harmoni 3.4 Yustri/Noviya
72
2/22/2020 L M.Azhar Alfarizi 3.3 Hifziah/Saifullah
73
3/5/2020 L Sultan Alif Sanju 2.6 Rabiatun/Amrullah
74
3/11/2020 P Raehan Azarin 2.8 Adeniah/Fajri
75
4/28/2020 L M.Hifzul Wathoni 3.3 Maryani/Sukirman
76 2 6/17/2020 P Azmiatul Haala 2,8 Rauhun/Harmaen
77 3 7/4/2020 L M.Nazirudin Fahmi 3.8 Yuliana/M.Ali
78
7/11/2020 P Yulia Marta Hilal Anisa 2.8 Mahsan/M.Erwin
79
8/15/2020 P Salwa Aisha Azzahra Fitri/Budianto
80
9/13/2020 L M.Asyraf Wajihan Tarmizi/Nihayah
81
9/14/2020 P Diandra Zerina Laeli/Taufik
82
9/18/2020 P Bi izzi Kintan 3.5 Zul Khaerul/Bq.Inggit
83
9/23/2020 P Alesha Putri Cantika Heni/Abdillah
84
10/14/2020 L L.M.Alfarizi Akbar Rahmawati/L.Fauzi
85
11/2/2020 L Abizar Nizama Wati/Firmansyah
86
11/15/2020 P Aisyah Nurul Haq Widia/Ishak
87

88
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Otak Desa 1
Posyandu : Dewa Ruci 1

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 1 2/4/2016 L 5203041201160005 5203040402160001 M.Badrika Ali Athari Murti Sulastri/Ari Supian 52030409890001
2 2 3/4/2016 L 5203041806110015 5203040304160005 M.Farhanul Abdi Bq.Wahyulina/Faozan 5203045012850002
3 3 25-05-2016 P 5203041602150020 520304650660003 Bq.Kanita Salsabila Mulianah/L.Supiandi 5203047105790003
4 1 7/10/2016 P 5203041706170001 5203045007160002 Azika Rahma Zaenap/Zumaeli 5203047112950009
5 1 25-08-2016 P 5203032403170003 5203036508160001 Arsyla Luizena R Muasanah/Nova Rahma
6 2 10/12/2016 L Alif Alfarizki Dewi Ratnasari/Lotim K
7 2 11/4/2016 P 5203040412140051 5203044411160002 Dinda Zahra azani Astuti/Muhlisin 5203042808840005
8 1 11/17/2016 L Haikal Elniati/Zulkarnaen
9 3 13-12-2016 L 5203040604110042 5203041312160001 M.Ummarul Faruq Nurul Aini/M.Yasin 5203040302760001
10 2 27-12-2016 L M.Faizan Abqori El Rafif Kamariah/Haeruman
11 2 2/20/2017 P 5204180303140001 5204186002170002 Mufidah Harti Ningrum Hilmiati/Hardani 5204182804910003
12 2 21-02-2017 L 5203041704130001 520304102170002 M.Febian Alfarizi Indriani/Yusfani Riza 5203044106870002
13 1 27-02-2017 L 5203041110130002 5203042702170001 M.Arsyad Ridho Walidaen Bulan Rima Melati 5203045805990005
14 1 3/6/2017 P 5203041503170001 5203044603170001 Bq.Safira Rabbah Susilawati/L.Samsudin 5203041708870004
15 2 19-03-2017 L 5203042307140003 5203041903170002 M.Raga Alfatih Bq.Fatre/Zaeni 5203046606820005
16 1 4/10/2017 P 5203041511110049 5203044904170002 Najwa Naila Risa Ningsih/Suparman 520304403890003
17 4 18-04-2017 P 5203042106110017 Bq.Salsabila Bq.Endang/L.Ruslan 5203044107660140
18 1 26-04-2017 L 5203042703110001 Azka Alfarel Dea Ardianti/Jupriadi 5203042604170002
19 2 16-06-2017 L 5203042002190007 5203041606170006 Imam Hulaefi Irmayani/Amrullah 5203040305890003
20 2 7/5/2017 P 5203040710120096 Mikaela Putri Bq.Nunik/Yanto 5203046510940004
21 3 7/7/2017 P 520304091120015 Masniwatul Amni Raohon/H.M.Zakaria 5203043112810194
22 1 8/12/2107 L 5203040210120003 5203042707170001 M.Aidil Ayubi Zuhratul/M.Zakaria 5203042206870001
23 1 29-08-2017 P 5203041807170004 Kaira Alisya Idawati/Zainal Abidin 520304250380001
24 1 9/26/2017 P 5203041408170002 5203046609170003 Hania Sakira Sriwati/Sumaedi 5203044506970003
25 1 15-10-2017 L 5203041308140007 5203041510170001 M.Fauzaturrahman Sumiaton/Purnawadi 5203043006880002
26 1 21-11-2017 L 5203042107170005 5203042111170002 Adam Atha Hakki Bq.Viona/Zulhakim 5203116202940001
27 1 12/8/2107 L 5203040311110021 5203040812170004 M.Rian Rizki Anti/Sabri 5203044107890713
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28 1 13-02-2018 L Gian Ahmad Azami Hasnawati/Ahmad Yani


29 3 4/29/2018 L 5204180303140001 Tri Syabani Hilmiati/Hardiani 5204182804910003
30 3 15-05-2018 P 5203041010072100 52030405305180003 Bq.Humusyifa Sabila Fitriah/L.Sudarman 5203040107750217
31 1 19-05-2018 L 5203041204180004 5203041905180001 M.Erdogan Al-Abiyu Fitria Dewi/Multazam 5203040101910221
32 2 19-05-2018 L Haeril Yawan Hidayati/Sumaedi
33 1 30-05-2018 P 520304200380007 5203047005180001 Naura suryani/Anwar 5203046301900001
34 2 6/9/2018 L 5203041601180004 M.Iqbal Ramadhan Rohani/Rosidi 5204266503910001
35 2 18-06-2018 L 5203042901130004 5203041806190001 M.Abdul Rahman Sapiah/Sahabudin 5203042709740003
36 1 19-06-2018 P Bq.Azelia Ibtihal/L.Joni
37 3 22-06-2018 L 5203040709100008 M.Fatih Alfarizki Winda R/Irwanro 5203044505890001
38 1 7/4/2018 L 5203042507170001 M.Hafiz Qudsi St.Aminah/Junaedi 5203047112970056
39 3 7/7/2018 L 5230304300713000 M.Samir Fatir Al-Zikra Rahmawati/Amril 52030471120202609
40 2 7/12/2018 L 5203042406110001 5203041207180001 Farid Hasyim Ahmadi Hadria S/Heri Ahmadi 5203040708870003
41 2 21-07-2018 P 5203032803110029 5203046107180002 Afifah Niswani Ernawati/Abdullah 5203041512860002
42 1 22-07-2018 L 5203040902180007 5203042207180004 M.Zaka Fatahillah A Nurazizah/M.Kadri 5203034203000003
43 4 31-08-2018 L 5203041406160003 5203043108180001 L.Arfan Hidayatullah Bq.Ayu/L.M.Yasin 5203037112870014
44 3 13-09-2018 P 5203040802110009 5203044709180004 Rosdiana Bq.Murniati/Rosidi 5203043112720096
45 1 17-09-2018 L 5203040202150029 5203041789180001 Gilang Saputral Yuliati/Zaenul 5203040303920005
46 2 24-09-2018 L 5203032403170003 5203032408180002 M.Kevin Alfarizki R Muasnah/Nova Rahman 5203032910880001
47 3 26-09-2018 L 5203041102110007 52303042609180004 M.Gibran Al-Khalifi Halimah/Suhaemi 5203041107790003
48 10/9/2018 L M.Fahrul Rozif Rosiana/M.Mutajip
49 1 10/18/2018 L Arsalan Yazid Abusi Maesun/Muhajirin
50 1 12/1/2018 P 5203040210180008 5203044112180001 Humaeroh Syauqiil Qolbi Herna Sudiana/Azaenul 5203040107910596
51 3 2/6/2019 L 5203042409140004 M.Farhan Zannuris Johariah/Afrainansyah 5203047112790266
52 4 3/17/2019 P 5203041812100049 5203045703190001 Asya Nurshafa Suhartini/Safari 5203047112810043
53 3 4/28/2019 L 5203042802110014 Diaz Madani Ermawati/Saifullah 5203046502800001
54 1 5/9/2019 P 5203041212150003 Bq.Aqila Ramdani Jumaeni/L.Fathurahman 5203041604970001
55 3 5/29/2019 L 5203040210120006 Algazali Sri Sofiana/ 5203045506870005
56 3 8/4/2019 P 5203041704130003 5203044408190001 Mentari fani Agista Indriani/Yusfani Riza 5203044106870002
57 1 9/12/2019 P 5203040411190001 5203045209190002 Iqromatul Aulia Bq.Liana/Maliki 5203041209960004
58 1 9/26/2019 L M.Nasrul Fathillah Novitasari/Minhajjul
59 1 9/29/2019 P Aisyah Ayla Farisa Titin Rahmayanti/Sufendi
60 2 10/4/2019 L 5203032707120024 M.Safarul Iman Miftahul H/Jupriadi 5203033112840270
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61 1 11/13/2019 L 5203040909190004 5203041311190001 Rafka Assyafiq Yonafia/Muhlisin 5203040902920003


62 1 12/8/2019 P Zara Maika Mardiati/Zanuri
63 4 2/27/2020 P Royyani Azzahra Rosmayadi/Supriani
64 2 3/24/2020 P Siti Humaero Elmiati/Zulkarnaen
65 1 25-03--2020 P Atina Haerani Royani/Hermanto
66 1 3/26/2020 P Almahyra Z.A M.Amin/Eni P
67 2 4/22/2020 L M.Azril Alfatih 3 Nurul Imtihan/M.Ilham
68 2 6/6/2020 P Safira Nayara Wati/Ramzi
69 1 6/23/2020 L M.Rafan Al Ihsan 3.3 Silvia andriani/Mahsan
70 1 10-0-9-2020 L M.Firaz Zaidan 3.7 Hernawati/Saifullah
71

72

73

74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Jabon
Posyandu : Berkarya

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1
2/1/2106 P 5203042002100001 5203044201160002 Nadifa Ayu Qanita 3 Ramdan/Sapi'i 5203043112470002
2
2/3/2016 P Bq.Kaila Putri Sakina Suryati/L.Samsul Hadi
3
14-02-2016 P 5203040409120004 520304031600001 Nazilatul Febriana 2.7 Maeni/Ruslan 5203040107680505
4
4/6/2016 P 5203041904110033 5203044504160001 Bq.Fayola Apriana 3.3 Nur Fitriani/L.Fadli 5203041512780003
5 1 4/10/2016 P 520304200500008 5203045004160002 Alfina Rizki 3.1 Muliana/Sahnam 520304010783065
6 1 14-06-2016 L 5203011205160005 520311140612002 M.Rajasa Attaya 3.8 Sofia Marlangen/Abdurro5203110107940371
7 3 23-06-2016 L 5203040208110034 520304236180001 Musyafa'Yazid Razka 2.5 Sumiati/Haerul Nasri 5203040306810001
8 1 13-06-2016 L M.Agam Pradipta Ailen 4 Hifziatul Ro'yi/Pani Sopian
9 2 7/2/2016 P 5203041010070696 Bq.Alika Musbaitila 3 Hilmiana Hifzul Hadi 5203043112830117
10 2 7/5/2016 L 5203041401130040 5203041407050005 L.Hilal 2.8 Marhaman/L.Opan 5203042202830005
11 3 17-07-2016 P 520304200500779 5203045701160002 Sasa Saila Juli 3.2 Hudusiah/Maksum 5203041205830002
12 2 20-07-2016 L 5203040710120088 5203046007160001 Maesi Farzu Sakiki 3.2 Idawati/Farihin 5203040107971008
13 1 31-07-2016 L 5203041408120010 5203043107160002 L.Arsil Palambani 2.7 Bq.Beti/L.Junaedi 5203040208840003
14
8/5/2016 L Rizki Abnu Agustin 3.5 Asmawati/Anwar
15 1 30-08-2016 P 5203040708170003 5203044308160002 Kirana Wahyu Nindia 3.3 Ayu asriwati/M.Wahyudi 5203042312890001
16
31-08-2016 L 5203040202110049 M.Akbar Alfarizi 3.8 Raehanun 5203042812770001
17 2 16-09-2016 P 520304190412007 Siti Raya Rabbani Nurul Aini/M.Azmi 520304312860006
18 2 10/12/2016 P 5203042005000661 Arzila Safitri Jumaini 5203041512860006
19 2 14-10-2016 P 5203043001120025 5203045410160002 Bq.Indah Bq.Sabar 5203040504870003
20 1 21-10-2016 L 5203040408160006 5203042109160001 L.Alfan Yazid Ria Astuti 5203041711900002
21 1 28-12-2016 L 5203040309160003 L.Pandu Hartawan Bq.Kariana 5203040107810450
22 1 24-03-2017 L 5203041103140014 5203042403170002 Ridho Alfian Reni Astina 5203040809920001
23 3 4/10/2017 P 5203042007100005 Bq.Raisya Apriliana Raohon/L.M.Said 5203041606790001
24 1 30-04-2017 L 5203042602190009 5203043002170002 L.M.Nabil Wirabakti Endang F/L.Puguh Wira B5203041705890002
25 2 24-05-2017 P 520304200500669 5203046405170002 Alisia Adelia Putri Dian Puspitasari/Sabri 5203042512800008
26 1 6/7/2017 L M.Yususf Al -Ausy Cany Hairunnisa/Rosmidi
27 1 28-06-2017 L 5203041906170001 5203042806170003 L.Ahmad Kalid Arfa Yuli sari/L.Budi Putranom5203042801870002
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28 1 31-07-2017 L 5203041808150001 5203043107170001 Algian Pratama Wirahadi 5203040311910003


29 3 8/8/2017 P Bq.Fahima Layali Hindun/L.Saprudin
30 4 19-08-2017 P 5203041903120041 5203045908170003 Ulfa Merun 5203043112750204
31
22-09-2017 P Anindia Adena Bq.Sakdiah
32
22-09-2017 P Anindita Adelia Bq.Sakdiah
33 1 14-10-2017 P Bq.Rara Almayra Bq.Rista/L.Roni
34 1 25-10-2017 L 5203040609150002 5203042610170007 M.Iyoga Bq.Isnawati/Ahmad Yani 5203043112850432
35 1 29-10-2017 L L.Abdurahman Ahda Ausy Bq.Mariani/L.Husnul Huda
36 2 12/3/2017 L 5203041010072927 5203040312170001 L.Arsya Restu Nurul Azmi 5203040107800982
37
14-12-2017 L 520304200500738 5203041412170001 M.Rade Albino Maulana Harmawati 5203041503860002
38 3 18-12-2017 P 5203042904100007 5203045812170001 Bq.Naila Akhira Bq.Qurratul Aini 5203021020372001
39 1 18-12-2017 L Ibnu Hazam Suhaemi Robiatun
40 3 1/5/2018 P 5203041010071394 5203044501180001 Bq.Azarine Putri Asnadila Hj.Bq.Isnawati 5203040507770001
41 1 1/5/2018 L 5203051304180009 5203050601180003 L.M.Rafka Algifari Riana 5203050112890007
42 1 1/6/2018 L 5203042602180002 5203040701180001 Abdrizam Pratama Adriyanti 5203041408870001
43 2 1/3/2018 P 5203041910100006 5203044105180001 Bq.Arsyla Maura 3 Bq.Haeriah 5203041206750002
44 3 28-03-2018 L 5203042012110062 L.Refan Rafanda 3.6 Bq.Indra Kusneti 5203041103750001
45 2 4/6/2018 P 5203040606120001 5203044604180001 Ayunda 3.3 Martini 503043112760213
46 3 2/24/2018 L Yazid Hj.Marni
47 1 26-04-2018 L 5203040611170006 5203042604180002 Khaerul Rozi 2.9 Suniati 520304060490004
48 2 30-06-2018 L 520304200500694 Rafa Adifa Maulana 3 Julianti/Su'aedi 5203041007050003
49 2 15-07-2018 L 520304200500915 5203041507180001 M.Ilham 3.5 Yuliana
50 3 9/2/2018 P 520304101007004 520304429180004 Bq.Imraatul Hadijah 2.5 Bq.Rahmawati/H.L.Irsyad5203043112750201
51 2 9/9/2018 L 5203041506110025 5203040909180002 M.Zayyan Zawan 3.6 Khaerudin 5203042607850002
52 2 10/1/2018 P 5203040606120005 5203044110180001 Azalia 3.4 Dewi Fatmawati 5203040107800016
53 2 10/2/2018 L 520304200500671 5203044210180001 Ibra Arzani 2.8 Solihan 5203040107831293
54 2 10/4/2018 L M.Abali Nazir 2.6 Bq.Hajar
55 1 10/11/2018 P 5203040604180004 Bq.Senjanur 3 Hikmah 5203040310950003
56 4 29-10-2018 P 520304200500779 5203042909180002 Azima 3.3 Hudusiah 5203041205830002
57 3 10/21/2018 P 5203041910100009 Bq. Ainun Sany 2.9 Bq.Mariani/L.Safi'i 5203043112780083
58 1 11/3/2018 P 5203041803190012 Bq.Putri Layli 3 Yulastri 5203041010970002
59 1 11/6/2018 P 5203040604180003 5203044611180001 Bq.Asyifaunnajah 3 Ayu Ardiana/L.Ardian 5203041704910002
60 3 11/23/2018 P Anindita Deva Maulidya 3.5 Sofia Ratna/Suherman
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61 2 12/7/2018 L 520304250058078 5203040812180001 M.Emir Faris Maulana 2.8 Riadah/Zulkarnaen 5203040811850001


62 3 12/13/2018 L 5203040910072627 5203041412180001 Zamzami Akbar 3.6 Zuriatun/Zohdi 5203040107780583
63 1 1/21/2019 L 5203041910180001 520304270190001 M.Rozal 3.2 Hoderiah/Anwar 5203041201880006
64 2 3/1/2019 P Bq.Syaza Mafaza 2.5 Bq.Lina/L.Rulyadi
65 3 3/13/2019 P 520304200500690 Nida Aulia Fathin 3.5 Raehanun 5203040107790556
66 1 3/23/2019 P 5203041904180003 5203046303190001 Bq.Adeera Izzarunniza 3.1 Hilmi/L.Romi 5203040209920002
67
4/26/2019 L Aditya Irfanul Addin 2.8 Mawarni/Muliadi
68 3 5/3/2019 P 52030420050075 Afifah 3 Maemunah/Jupri 5203044308810003
69 3 5/3/2019 L 520304200500685 Dika Arsya 3.5 Sulhiah 5203040505770002
70 3 5/26/2019 P 5203042037500886 5203046205190002 Naura 2.4 Fatimah 5203043112750138
71 4 5/24/2019 L 5203040211180003 5203042405190001 M.Zaki Alfatih 3.5 Muliana/Suhirman 5203113112850095
72 2 5/28/2019 P 520304200500681 5203046805190001 Kanaya Azura Meirisa 3.8 Ririn Agustina/Hariandi 5203043112920348
73
6/2/2019 P 5203042810120021 Denada Fitri Zahrani 3.3 Mulnawati/Sumaedi 5203042006880003
74 1 6/24/2019 P Malika Sarah Qur'ani 3 Bq.Zentia/Arif Hardiman
75 2 6/25/2019 p 520304200500907 Azuratul Hasna 3.4 Handayani/Sahirun 5203040107850798
76
7/8/2019 P Suhudul Minati 2.8 Sopianti/Hilmi Kholif
77
7/31/2019 L Raeki Zaidan 3.3 Raini Linawati/M.Andi
78
L L.Adzan aditya Bq.suharni
79 1 6/23/2019 P Bq.Alesa Bq.Melinda/L.Gagar
80 1 10/16/2019 P Putri Susrini/Andi
81
10/21/2019 P Talita Ulfa 3 Miftahul
82 2 11/5/2019 L 52030420500927 M.Rafka Maulana Azra 3.8 Rukaiyah 5203043112680378
83 2 11/5/2019 L L.Raka Bq.Rismita
84 1 11/2/2019 P Nadia Mulya 3.4 Insawati
85 4 11/27/2019 P Andien Rania 3.2 etika
86 3 11/30/2019 L M.Bahtiar 3.3 Hudusiah
87 3 12/17/2019 L L.Ahmad 3.1 Zohriah
88 2 1/14/2020 p Najma Anisa 3.1 Cani Khairunisa
89 4 2/4/2020 L M.Haliqi Abian 3.1 Lilik
90
2/1/2020 L L.Adib 3.1 Husen/Sujiah
91
2/17/2020 P Adiba Faridah
92
4/24/2020 P Zila Aprilia 3.5 Hendrayani/Safrudin
93
6/18/2020 L L.Galih 2.8 Masnun/Zaenudin
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

94
6/30/2020 P Dinda Amalia 2'4 Nurhayati/Sukri
95 1 L L.Ghaza Naya 3.3 Mega/L.Gigir
96
7/24/2020 L M.Faroq Azam 3.1 Nurasiah/Suhaemi
97
8/14/2020 L M.Azka Naufal 3.5 Zaeton/Rodiawan
98 3 9/10/2020 P Bq.Numa Rayna 3.8 Martini/L.Heriadi
99
11/14/2020 L Azama 2.6 Susanti/Juzri
100
11/14/2020 L Azami 2.3 Susanti/Juzri
101

102

103

104

105

106

107
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Dasan Petung
Posyandu : Rejeng

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1
2/20/2016 P Hasna Mufida Zulfa 2.8 Mariana/Umar Said
2
3/10/2016 P 5203040711120085 5203045003160003 Eva Iskarima Nuraini/Subki 5203042007860004
3
3/19/2016 P 5203042007110022 5203045903160002 Rara Meriska Martini/Zakaria 5203046305950002
4
3/19/2016 L 5203041310140010 5203041903160004 M.Juan Akbar Wasni/Jumadil 5203042008880005
5 1 5/7/2016 P Meisya Fatina Azzahra 2.7 Rusmayan/Zaebi Rahman
6
6/4/2016 L 5203041601170005 5203040406160002 Lingga Sahibul Faradji Candrawati/Amrullah 5203043112890108
7
6/12/2016 P 5203041502120047 5203045206160001 Wahidatun Saomi Nurhayati/Muhibudin 5203043112700313
9
6/12/2016 P Bq.Moza Dwi Ramdani Yusnika/L.Hardianto
10
6/29/2016 P Bq.Aldira Putri Salima Bq.Eka/L.Agussalim
11
7/8/2016 L Radin Hawari Mahfuz Raohon/Taufikurrahman
12
7/9/2016 L M.Julian Syabil Kartini/Sabli

7/20/2016 P 5203040103110033 5203046007160003 Siti Hayyila Adzani 3.3 Bq.Apriliana/Wildan 5203041011860005


13
7/31/2016 L 5203042206110022 5203043107160001 M.Ardi Maulana Suriani/Fadli 5203043112780172
14
8/13/2016 P B.Minggari Kurniawan Bq.Lilik A./L.Danal
15
9/3/2016 P 5203041304110009 5203044309160001 Bq.Rabiatul Adawiyah Murniati/L.Hardin 520304311277011
16
9/8/2016 L 5203040203150002 5203040809160005 M.Dafa Rabbani 3 Maesun.Farihin 5203040107880705
17
10/2/2016 P 5203041604110003 St.Rahmatussalihah Haeriah/Sukirman 5203040107660453
18
10/3/2016 P 5203042306160002 5203044310160001 Eka Sugianti 2.6 Asmawati/M.Ali 5203047112850219
19
10/8/2016 L M.Alfian Abidillah Sumarni/M.Amin
20
10/12/2016 L Bintang Atta Rahman Lia Z/Arif Rahman
21
10/24/2016 P 5203042801150033 5203046410160002 Naziratunniza pipin Sopiana/Asbullah 5203043112900110
22
10/24/2016 P 5203042801150033 5203046410160003 Navizatunniza pipin Sopiana/Asbullah 5203043112900110
23
11/3/2016 L 5203042804110033 5203040311160001 M.Irwandi Sumenah/M.Nur 5203047112880089
24
11/26/2016 L 5203042007110024 5203042611160001 M.Afkar Firdaus Nurul Hikmah/M.Fajri 5203043112850201
25
11/29/2016 P 5203040809160004 5203046911160001 Naila Muazarah Ulfa Sartuti/Junaedi 5203040107830402
26
12/14/2016 L 520304071120057 5203041412160002 Sabarudin Maulidi Aisah Saparudin 5203043112560725
27
1/2/2017 P 5203041610100015 5203044201170002 Nurul Egiska Suriati/Ishak 5203043112750093
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28
1/3/2017 L 5203041810140005 5203040301170001 L.Yuyu Tampanan Bq.Erna/L.Arya T 5203041209820001
29
1/5/2017 P Dara Soleha Hj.Nurhasanah/H.Sama'an
30
1/17/2017 P 5203041110072726 5203041701170001 Hindiasi 3.5 Heniah/Supriadi 5203042902840002
31
2/6/2017 P Latifatuzzahra Nurmla
32
2/26/2017 L 5203042804110015 5203042602170001 M.Azril Rafasya Nurhayati/Mahsup 5203043112850161
33
3/11/2017 L 5203042604120005 5203041103170001 Devin Adya Akbar 4.2 Bq.Sumiati/Aminullah 5203043112760209
34
3/17/2017 L 5203040103110008 5203041703170001 M.Rafa Andika Saputra Masnun/Anwar 5203040107750611
35
4/5/2017 L 5203040707110019 M.Baim Ema Yunita/Suparlan 5203040107790186
36
4/29/2017 L M.Alfarazi Yuliana/Roni Kurniawan
37
4/30/2017 P 5203051112140007 5203057004170001 Afiati Ajwa 3.5 Nurul Hidayati/Saprudin 5203044806940002
38
6/26/2017 L M.Izul Firdin Nurul Aini/Junaedi
39
7/24/2017 P 5203041706140004 5203046407170001 Laila Bening Sidqiya 2.9 Daratul Laela/Jamaludin 5203046809830001
40
8/5/2017 L 5203040707110034 5203040409170002 M.Ismail Fikri 3.5 Nurhidayati/Zainul Fikri 5203040107790571
41
8/26/2017 L Ahmad Nizam Hilmi A Fitriah/Saiful
42
10/10/2017 L Reski Ipendi Rohani/Supar
43
10/28/2017 P Mutia Ayu Pupu Kamariah/Zamroni 5203045412010002
44
11/2/2017 P 5203042207170010 5203044211170001 Fatimatuzzahra St.Mulia 5203045412010002
45
11/21/2017 L 5203040507170003 5203042111170003 Azwar Habibi 3.4 Jumawati 5203043112910077
46
L Baehaki Sahrul Azam Mariani
47
11/26/2017 L 520304021160006 5203042611170001 M.Azora Azwardi Tri Handayani 520304450493003
48
1/11/2018 P Zohratul Aini Harmawati/Suhaemi
49
1/24/2018 L M.Albi Alrosyid Muliana/Rosmiadi
50
2/26/2018 L M.Alfi Alfatih Maidah/Faturrahman
51
2/27/2018 P Naora Yunita Yuliana/Hendri
52
3/2/2018 L Rofid Gazali Kartini/Sabli
53
3/23/2018 L 5203040501150082 5203045406150001 Azam Kholid Akbar 3.8 Ida Royani/Safrudin 5203045111960005
54
3/29/2018 P Mikratul Bilqis Raehanun/Asbullah
55
4/3/2018 P Nadira Aprina Raehan/Mad'un
56
4/4/2018 P Amelita Keisya Aminah/Sarmidi
57
4/17/2018 L 5203041502120008 5203041704180001 A.Zikrullah Arza Suaeni/Saepul 5203042510860004
58
4/23/2018 P Bq.Azura Afriliani Yuliani/Dedi Sabakti
59
4/23/2018 P 5203041510180004 5203046304180002 Naera Aprilia Yuzaeni/Samsul Hadi 5203043112930054
60
4/29/2018 P 5203041003100014 5203046904180002 Azratul Rataza Suhaeni/Asbullah 5203040203830001
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61
4/30/2018 L 5203040509170001 5203043004180001 A.Alif Fatih Sa'bani 3.1 Maemunah/Khaerul W 5203042903920003
62
5/4/2018 L 5203050412140028 M.Dki Ardiansyah 2.6 Istiarini/M.Sofian 520305111960001
63
5/25/2018 L L.M.Alka Ibnu Ashabil Laeli M/L.Wikrama
64
5/24/2018 P Nur Azizah Aisyah/Saeni
65
6/14/2018 P 5203042810120051 Areta Kanza Zaina Fatmawati/Alfan Humaya5203040107871020
66
6/23/2018 P 5203041811140016 Alika Naila Putri Asmawati/Antoni 5203041209800002
67
7/26/2018 L 5203042206110025 M.Rayyan Alfarizi Nuraini/Saprun 5203043112780173
68
7/26/2018 L 5203041408100017 M.Azis Sumiati/Asrianto 52030428070003
69
8/13/2018 P 5203042004110010 Elisa Yuanda Hulliah/Jumawal 5203043112820141
70
8/23/2018 L M.Riki Siru Rabbani Septianingsih/M.Ridwan
71
8/23/2018 P Wafina Bilizati Rabbina Julia/Irsan Hadi
72
8/29/2018 P Arista Adinda Zahrani Maeli/Suhaemi
73
9/20/2018 L 5203041812120007 Naoval Najid Rohaniah/Rosiadi 5203042310820001
74
9/30/2018 P 5203042804110004 Andriana Fadila Suriah/Abidillah 5203043112800180
75
9/30/2018 P 5203041604180006 Keisya Agea Putri Mulyana/Edi Raga Putra 5203041208910002
76
8/21/2018 L Restu Nizam Hakiki Rsmini/Multazam
77
11/6/2018 P 5203041709120005 5203044611180001 Azkia Altafunnisa Nurhayati/Hasan Basri
78
11/13/2018 P Salsabila aura Zaskia 3.3 Hidayani/Ruli Hidayat
79
11/29/2018 P Alya Maulida 2.8 Uyasni/Suaedi
80
12/2/2018 P Felisya Inez Gianina 2.8 Surya Citra U/Suhaemi
81
12/4/2018 L M.Fauzaturrahman 2.8 Wardatul J/Hamdani
82
12/10/2018 L Dafa Ibnu Hafiz 2.7 neni Rosida/Solihin
83
12/12/2018 P Desmita Putri 3.3 Aminah/Hidayat
84
12/26/2018 P Lana Zukrufa Faradisa 3.8 Ernawati/Junaedi
85
2/9/2019 P Nada Isna Syafani 3.3 Nurdiana/Isnaini
86
3/8/2019 L Harza Milan Adiatma 3.4 Mahmun/Rudi Hartono
87
3/14/2019 P Afika Kaira Defi 2.5 Mulidi/Nurhasbaen 5203043112820288
88
3/23/2019 P Aina Husna Hafiza 3.3 Sri Zahratun/Nurdin
89
4/25/2019 L M.Azril Riadi 3 Jumaeni/M.Sabri
90
5/24/2019 P Amera Nazafa Hanania 2.8 Erni Agustin/Abd.Hanan
91
5/26/2019 P Nawala Aurora Rahman 3.2 Niswatun H/Haerul R
92
6/3/2019 P Nujro Aftida Salsabila 4.5 Suliana/Zakaria
93
6/6/2019 L Beril Alian Mubarok 3.2 Martini/Marsoan
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

94
6/20/2019 P Azizatul Azzahra 4.3 Siti Bahagia/Ishak
95
7/7/2019 L Ridwannulbayyan 2.8 Hindun/Suoardan
96
8/13/2019 L L.M.Azam Naruna Kurniawan 1.8 Bq.lilik A/L.Danal
97
8/13/2019 L L.M.Azzim Naruna Kurniawan 2 Bq.lilik A/L.Danal
98
9/9/2019 L M.Khaerul Azam Qadafi 3.8 Ratna Hayani/Haerul Raziki
99
10/9/2019 L M.Abizar Rahman 3.1 Nurjannah/Junaedi
100
10/20/2019 P Bunga Syafa Sasila 2.3 Islamiah/Ramdani
101
11/18/2019 L Rafka Akbar 3.7 Maidah/Faturrahman
102
11/18/2019 P Hifziatul Maulda 3 Maemunah/Khaerul W
103 2
11/18/2019 P Hifziatul Maulida 3 Memunah/Haerul W
104 2
1/2/2020 P Indana Zulfa 3 Yuliana/Roni
105 1
1/10/2020 P Laili Nurul Hidayati 2.7 Mardiana/Suryadi
107 3
1/24/2020 L M.Holis Al Farizi 3.8 Fitria/Tanwir
108 1
1/30/2020 P Alena Maesyarah 3 Mursal/Husnul
109 1
2/7/2020 L Alkana 2.7 Bq.Finawati/Hamdani
110 1 2/24/2020 P Afiza Gania Efendi 3.3 Fatmawati/Jati Efendi
111 1 3/30/2020 L L.Daffa 3.2 Latifatul
112 4 4/6/2020 P Cahaya Aprilia 4.1 Kamariah/Ahmad Zamroni
113 3 4/12/2020 P Puspa Mega 3.1 Sumiati/Abdurrahman
114 2 4/17/2020 L Urfan Yahya 2.9 Rahman/Safrin
115
1 4/24/2020 P Aprilianti Nesya Ramdani 3.3 Susanti/Dani Alwatan
116
5/15/2020 L Abizar Rayyan Aufa 3.8 Bq.Eka/Iwan
117 3 5/19/2020 L L.Ismail Al Iraki Zahaq 3.3 Laili/L.Danus
118 4 5/23/2020 L L.Ahmad Fajar Aska Ramdani 3.5 Bq.Ita/L.Zulkifli
119 2 5/27/2020 L Abrizam Ayasi Umran 3 Sumiati/Abdul Holik
120
L M.Rafazkha Surya
121
7/5/2020 L 5203040707110014 M.Araska 3.4 Ema Yunita/Suparlan 5203040107790186
122
7/14/2020 P Lily Zafira Al Ayubi 3.7 Sofiatun H/Beni
123
7/19/2020 P 5203041011120214 Haerun Niswa 2.4 Faoziah/Ramli 5203047112860218
124
7/28/2020 L M.Multazin 2.2 Lilik Sofiana/Usman
125
7/29/2020 L Arafa Giyatsa Alwandi 3.5 Sri Wahyuni/M.Iwa
126
8/25/2020 L Adib Faozan 2.9 Faoziah/Hadlan
127
8/28/2020 L Azril Rafif Alfarezi 3 Raudatul/Sabrun
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

128
9/12/2020 P Alya Sakina Rahma 3 Septia/M.Ali
129
9/12/2020 L M.Aiman 3.7 Suryati/Suparman
130
10/13/2020 P Helda Oktafiani 2.8 Sri Rahayu/M.Zaeni
131
10/27/2020 P Hafizha Ulfa Nafiza 3.2 Eka Martina/Muslihin
132
10/28/2020 P Maulidya Carisa 2.7 Bq.Susi/Haerurrahman
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Dalem Lauq
Posyandu : Saparwadi

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 2 2/10/2016 L 5203010501100013 5203045002160001 L.Latiful Ihwan 3.7 Bq.Hudusiah 5203046812850001


2 1 24-03-2016 L 5203041907160005 520304240300014 L.M.Hadin Furqonnazil 3 Bq.Zohriah/L.Suhardi 5203041512840005
3 1 4/6/2016 L 5204201709120003 Rido Iman Tiar 2.8 Sriwati/Muharjo 5204201509860002
4
17-05-2016 P Bq.Humaera 3 L.Mahsup
5 3 30-05-2016 L 5203041406110036 5203043005160003 L.M.Azka 4.5 L.Saparwadi 5203043112750189
6 2 21-07-2016 L 5203040101820011 5203042107160002 M.Felix Manurji 3.3 Bq.Ika/Iwan 5203040101820011
7 3 8/10/2016 P 520304310710003 5203042107160002 Bq.Almira Rizki Prajabati 3.8 Bq.Zakrah/L.Sohdi 5203045312870003
8 1 21-08-2016 P 5203042704160000 5203046108160003 Nadia Azzahra 3.2 Pahiyatul/Dedi 5203046108160003
9 2 30-09-2016 P 5203040905120004 5203047009160001 Akila Silmi Nafiza 3 Ana/Apang 5203044902930001
10 3 23-10-2016 L 5203041304110007 5203042310160002 M.Hairil Fatihin 3.5 Suryani/Afifudin 5203044107830522
11 1 26-10-2016 L 5203043010130024 5203042610160001 L.Arta Arifandi 4 Bq.Nurlaela/L.Iman Haidi 5203044909000006
12 3 27-11-2016 P 5203040809150015 5203046102160002 Rahmawati 2.8 Muliana/Rahmat 5203045212820007
13 1 2/7/2017 L 5203042709160001 5203040702170002 L.M.Jivan 3 Nurul Wahidah/L.Arif 520304010860004
14 2 13-02-2017 L 5203042410110009 5203041302170002 L.Rambe Atmaja 3.8 Juhaeriah/L.Rame 5203040707770004
15 3 18-02-2017 P 5203041311100038 5203045802170002 Bq.Anita Najwa Putri 3 Bq.Wani 5203044107821289
16 2 24-02-2017 L 5203042212150008 5203042402170001 Fatman Rozi 3 Bq.Raohon 5203044107801325
17 1 28-04-2017 L 5203040808160005 5203042804170001 L.M.Nanada Wirandika 3.5 Bq.Mardiana/L.Sandi 5203036603920001
18 2 5/3/2017 P Adiba Syakila Humaera 2.9 Bq.Dini/Iwan
19 3 5/20/2017 P 5203041606110026 5203046004170005 Salina Yumna 2.4 Bq.ayunah/ 5203046409880102
20 2 19-06-2017 L L.Imama Saudri 3.5 Bq.Maryani/L.Sofyan
21 2 19-06-2017 L 5203042302110018 5203041906170004 L.Muzakir 2.8 Lilik/L.Sukarman 520304311271064
22 1 23-06-2017 L 5203041603170003 5203042306170004 L.M.Ezra Gaziran 3.3 Bq.Ulan/L.Winang 5203040503900004
23 1 24-06-2017 L 5203041102170002 520304240670001 L.Ahmad Maulana 2.5 Nur Dwi/L.Jamaludin 5203025112930002
24 1 27-07-2017 P 5203040103170007 5203045707170001 Bq.Nuna 3.1 Bq.Zulmi 520304505970001
25 1 14-09-2017 L 5203040107150009 5203041409170001 L.Seftian Bayu Irawan 3.1 Muslihaton 5203046908960004
26 2 28-09-2017 L 5203041606110022 Alzaidan Alzaki 3.5 Bq.Rabiul Yana/L Saiful B 5203094705910004
27 5 10/8/2017 P 5203041010072961 5203044810170001 Bq.Aqila 3.2 Bq.Neli/L.Abdurahim 5203043112730122
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28 1 26-10-2017 P 5203042108170003 5203046610170001 Inara Varisa 3.5 Bq.Desfi/Hamdani 5203046112980003


29 3 11/4/2017 L 5203042206110031 5203040411170001 Asrofi Maulana 2.7 Wardatun/Samsudin 5203047112800215
30 1 20-11-2017 P 5203042207170008 5203046011170003 Bq.Rahmatul Awwalin 3.5 Bq.Tira/L.Bagus 5203044505930005
31 2 11/12/2017 P 5203042202120002 5203045112170001 Bq.Cahayu Maulidia 2.7 Nurhayati 5203045904900001
32 1 12/4/2017 P 5203040909170002 5203044412170002 Bq. Maulida Alesha Zahira 4.2 Sri Suhartini/L.Sagir 5203046007940003
33 1 14-01-2018 L 5203041603100007 5203041401180001 M.Sauki Gaisan 2.7 Muslihatun/Sopian Hadi 5203046305920002

2/12/2018 L M.Faqif 2.5 Bq. Raohon


34 1 3/2/2018 P Bq.Nelsa Alula Rahma 2.6 Hendriani/L.Lanang Z
35 2 3/6/2018 P 5203043105160018 5203044603180004 Fadilah Ariqha Saqhi 3.1 Nuirhayati/Sabrun 5203044706910002
36 1 3/8/2018 P 5203042510170002 5203044803180001 Bq.Mira Rafania Azkadima 2.1 Bq.Oki/L.Buya 5203044803180001
37 3 23-03-2018 L 5203041307100027 5203042303180001 L. ihsan Azani 3.3 Siti Aminah/L.Damirun 520304512800001
38 3 14-04-2018 P 5203040204190009 5203041404180004 Bq.Afreen Rifaya 3 Bq.Tutik R/L.M.Ihwan 5203045201790003
39 2 24-04-2018 L 5203042708190006 5203042109180003 L.M.Faizan Azani 3.4 Husnul Laeli/L.Suhaemi 5203044107901016
40 4 28-04-2018 L 5203040609110007 M.Hafiz Ramdani 3.7 Bq.Muslihaton/L.Mungga5203043112830297
41 3 5/5/2018 L 520304101073736 5203040505180002 L.Rahmani Aditya 2 Hikmah/L.Imran 5203040107850288
42 4 5/5/2018 P 520304101073736 5203044505180003 Bq. Puspa Anindya 2 Hikmah/L.Imran 5203040107850288
43 2 6/22/2018 P 5203041404110002 5203046206180003 Nafila Husna Safitri 2.5 Bq.Ernawati/M.Zaenur 5203040202890005
44 1 7/6/2018 P Vanesa 2.2 Bq.Virgia/Iwan
45 3 20-08-2018 P 5203040803110015 5203046008180002 Bq. Darmata Asiah 3.2 Bq.Iliati/L.Mansyur 5203047112840103
46 3 25-08-2018 P Bq. Jati Wangi Siti Halimah/H.L.Ishak
47 1 8/9/2018 P Bq. Nabila Aziza 2,9 Mafaz/L.Faozan
48 1 8/20/2018 P 5203040102190006 5203044505910004 Winduri Nirmala 3 Bq.Nuraeni/Rosmala 5203044512870001
50 2 11/10/2018 L 5203040608140005 5203041110180003 L.M.Ardani 2.2 Bq.Sofiati/L.Gina 5203042608830002
51 2 11/10/2018 L 5203040608140005 5203041110180004 L.M.Argian Satya 1.9 Bq.Sofiati/L.Gina 5203042608830001
52 1 11/11/2108 L L.Hanif 3.1 Hidayanti/L.Irwan
53 1 12/4/2018 L L.Azima Maulidan Bq.Sabariah/Suhardi
54
12/12/2018 L M.Faqih 2.5 Bq.Raohon/Husen
55 2 12/27/2018 P 5203042709160001 Bq.Jihan 3 Nurul Wahidah/L.Arif R 520304010860004
56 3 12/31/2018 P 5203041606110007 5203047112180001 Bq.Nilam Cahya Angguni 3.2 Bq.Nurul Aini/L.Irfan R 5203041209820004
57 1 1/2/2019 L 5203040810180004 5203040201190001 M.Firza Mayadi 3.3 Wirdiatun/Yusmayadi 520304020280001
58 2 1/21/2019 L L.Faraz Hasyim 4 Sakdiah/L.Asim Katamsi
59
2/11/2019 L M.Roni 3 Raehan
60 2 2/13/2019 P Bq.Yumna Salsabila 3.2 Nurul Aini/L.Rosyadi
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61 1 2/22/2019 L 5203040612120020 5203042202190002 L.M.Dilan Alfarizki 3.5 Diana Sari/L.Awaludin 5203043112900245


62 1 3/3/2019 L 5203040811180001 5203040303190005 L.M.Rayyan Cahyadi Pratama 3.7 Bq.Rusmayanti/L.Isnawan520304670400000
63 3 4/28/2019 L L.Faraz Raufa 3.7 Bq.Zuriatu Raini/L.M.Tahir
64 2 4/9/2019 L L.Arfan Miyas 3.5 Bq.Sultiah
65 2 5/3/3019 L 5203042106190001 5203040305190002 M.Heru Orazi 2.6 Husnul Hotimah/Herman5203047111940121
66 3 5/21/2019 P 5203042011150010 5203046105190002 Bq.Aula Ramdani 3.3 Nurul Hidyanti/L.Karyadi 5203044107840272
67 1 6/5/2019 P 5203092303180002 5203044506190004 Bq.Aysa Fitri Irawan 3.2 Titik Hardiani/L.Dendes 5203044107960353
68 1 7/5/2019 L 5203041701190003 5203040507190004 L.M.Viral Alfarizki 3.5 Bq.Ega/L.Dani 5203034110980002
69
7/5/2019 P Bq.Ayuanda Azila 3.4 Rusniati/L.Wahyudi
70
7/13/2019 L L.Adam Rizki 3.7 Nurul
71 3 7/14/2019 L 5203042606110045 5203041507190001 L.M.Gaiza Harsa 3.1 Ba.Martini/L.Sudarma 5203040311800001
72 2 7/25/2019 L 5203042004110013 5203042507190001 Azril Malik 3.3 Suwartik/Sabri 5203047112900097
73 1 8/7/2019 P Raudatul Mauliza 3.3 Mahesa/Ridwan
74 2 8/23/2019 L M.Azizul Rasyid 3.4 Salmuah/M.Yahya
75 1 9/20/2019 P Bq.Arumi Nasya Razita 2.8 Linda M/L.Rodi Evan
76 1 9/20/2019 P Amanda Khumaera 2.5 Bq.Eva Indriana/Wildan
77 3 9/21/2019 p Bq.Marwah Fuji Kurnia 3.9 Bq.Suparti/L.Kurnia
78 2 10/3/2019 L L.Niki Putra Malik 3.1 Widia W/L.Ade Cipta
79 1 10/10/2019 P Dalena Faiqa Nurhasanah/Riadi
80
1/11/2020 L L.Soleh Hambali 3.5 L.Sopian
81
1/15/2020 L L.Abizar Jabar 3.7 Bq.Hapsah
82
1/19/2020 P Ega Almaningsih 3.3 Eka Julianti
83
2/11/2020 P Bq.Akila Suci Febrina Oktavia Rini/Saefullah
84
2/27/2020 P Bq.Qoriqtul Fatiha 3.5 Bq.Zakrah/L.Sohdiman
85
3/20/2020 L M.Daffa Akram 3 Nurul Istiani/Irwadi
86
3/31/2020 P Bq.Rosana 3.2 Susianti
87
4/11/2020 P Amelia Syakbani 3 Halimah/Abitullah
88
4/26/2020 L L.Ibrahim 3.4 Indrayana
89
7/3/2020 P Salawa Ananda Bq. Maryana
90
7/9/2020 L L.M.Aksa Andiwa 2.1 Ema Ewisa/L.Nazri
91
7/9/2020 L L.M.Wiar Ansana 1 Ema Ewisa/L.Nazri
92
7/11/2020 P Bq.Karina Rahma 3.4 Sahmini/L.Suryadi
93
7/21/2020 P Bq.Ahza Rumaisa 3 Sofiana/L.Amin
94
9/7/2020 P Fatimah 3.5 Marzuki
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Marang Utara
Posyandu : Mandilaga 1

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1
28-01-2016 P Annisa Aulia Zahra Rohayatun/Faozan
2
2/5/2016 P Bq.Humaerah Nurul Hidayatul/L.Suherman
3
2/10/2016 P Bq.Aliza Febriani Sulhiah/L.Suparlan
4
2/10/2016 P Bq.Alza Febriani Sulhiah/L.Suparlan
5
2/10/2016 P Wirda Putri Lestari St.Adnia/Hariadi
6
3/6/2016 P Delisa Gallerys Suarni/Haerul Hafiz
7
4/3/2016 L Yazid Aidil Fahma Hijriatul F/Yusuf
8
4/6/2016 P Alia Apriani Dewi Leni/Samsul Hadi
9
17-05-2016 P Bq.Salsabila Fatin Nurhidayati/L.Haeruman
10
17-05-2016 L L.M.Hadian Putradi Nurhidayati/L.Haeruman
11
25-05-2016 L Elmi Hidatyatullah Maulida/Edi
12
6/4/2016 L Refaldi Maulana Nurul Hikmah/Musliadi
13
22-06-2016 P Sarifati Husada Rumlan/Budiman
14
6/23/2016 P Aqila Zahratul Azima Fatmawati/Haerul Azmi
15
15-07-2016 L Diaz Maulana Muliana
16
8/10/2016 P Viona Putri Hidayat Bq.Lin/Roni Hidayat
17
8/10/2016 P Nurul Sabrina Atik/Salikin
18
9/3/2016 P Aisyah Ayudia Inara Soletiah/Mulham
19
9/9/2016 L M.Adam Arofa Bq.Salhon/Sadli
20
19-09-2016 P Bq.Aura Medina B.Julaeha/L.Zaenuri
21
14-10-2016 L M.Naufal Hamzan Suarni/Naturi
22
12/1/2016 P Bq.Muliana Olivia Sumiati/L.Mujirin
23
21-12-2016 P Bq.Latifatul Hazniah St Rahmi/l.Abdurahim
24
1/1/2017 P Fahira Azzahra Yeni Juliani/Budiman
25
22-01-2017 L Hazril Niza Mauza Halimah
26
30-01-2017 L Rasya Mutaqhi Azian Hidayati/M.Azhan
27
2/7/2017 P Dinari Saputri Rohini/Sabrun
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28
5/2/2017 L Apandi Surya Putra Leni Samsuliana/Hadi
29
6/2/2017 L M.Rian Ramdani Suanti Purnama/Sukri
30
17-06-2017 L L.Binar Majuan St.Aminah/L.Junaedi
31
29-06-2017 L L.Andra Prajasa Anizan/L.Tomi
32
13-07-2017 L L.Barat Novi Aulia
33
31-10-2017 P Bq.Maula Hj.Rohmiati/H.L.Suharto
34
12/10/2017 P Bq.Arenta Sapinatunnaja Bq.Puspati R/L.Putra
35
12/8/2017 L Alfatan Ahmad Fatmawati/Ridwan
36
15-01-2018 L Nisam Arsyad Nikmatu akrah
37
23-01-2018 L Galen Elfantio Khaeri Hurul'in/M.Ariful Haeri
38
2/2/2018 P Naila Adiba Shesa Bq.Nurul M/Rosi
39
2/6/2018 L M.Rian Ramdani Suanti Purnama/Sukri
40
15-03-2018 L L.Reynand Algifari Solatiah/L.Mursidi
41
27-04-2018 P Bq.Hana Humaera Miftahul Aen/L.M.Junaedi
42
5/6/2018 P Fani Ashar Asisah Hermawati/M.Ali
43
5/9/2018 P Bq.Meliza Marhamah/Ridwan
44
6/5/2018 L L.M.Rifendi Parihun/L.I rahim
45
7/9/2018 L M.Adam Masyur Sumiaton/Kamharudin
46
14-07-2018 L L.Algifari Ramdan Muliana/L.Suherman
47
18-07-2018 L L.Erwin Efendi Bq.Ihsan/L.M.Ali
48
20-07-2018 P Aina Putri Zafira Yuliana/Salman
49
21-07-2018 P Bq.Silmi Ayu Kinata Bq.Laelatul H/L.Humaedi
50
8/11/2018 P Kayra Putri Akmal Tari/Suud Akmal
51
16-08-2018 P Naura Dewina Maryam Fitriah / Rusni
52
24-08-2018 L L.M.Hafifaturrahman Bq.Lerin/L.Hendri
53
8/9/2018 P Bq. Tisya Septya Nora Esi Apriliana/L.Junaedi
54
9/11/2018 L L.M.A I ar Algifari Helmi/Juaeni Siswandi
55
18-09-2018 P Raudatussalma Istiqomah/Sahrudin
56
18-09-2018 P Raudatussalmi Istiqomah/Sahrudin
57
23-09-2018 P Alika Putri A ahra Hermawati/Jauhari
58
18-10-2018 P Asila Octaviana Bq.Puspa/l.Putra
59
10/28/2018 P Bq.Utami Maulidia Trisna Bq.Mulijan/L.Gilang
60
10/30/2018 L L.Alby Muzaffar Julia/L.M.Faizin
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61
11/11/2018 L M.Ali Akbar Fitriah/H.Abdullah
62
11/24/2018 L Zaenudin Wathan Bq.Fatmawati
63
12/5/2018 P Nasya Fanabela Siska/Zaenul Majdi
64
12/25/2018 P Tiara Nafiatun Azizah Solatiah/Mulham
65
12/28/2018 P Aulia Izatun Nisa Nurul hayati/Aprianti
66
1/17/2019 L Alif Nauval Pratama Anita Wulandari/Herman
67
1/21/2019 P Ayumi Zahra Elmiaton/Saprullah
68
3/13/2019 P Kholiqa Zaebafitri Susilawati
69
4/1/2019 P Sofia Hanum Sri Wahyuningsih/Hizbul
70
5/13/2019 L L.Tilar Kurniati/L.jaya Ruslan
71
8/11/2019 L M.Nadil Akbar 3 Bq.Zona/M.Taufan
72
9/1/2019 L L.M.Devan Adrianto 3 Novita adriani
73
9/9/2019 P Bq. Natasha 3.1 Tari/L.Fail
74
9/27/2019 L Dirga Rifanu 3.7 Bq.Ernawati/Zulkifli
75
10/2/2019 L L.M.Rafki Naswara 3.6 Raehanah
76
10/4/2019 P Bq.Zahira Octaviani 3.9 Bq.Endang/L.Ahmad
77
11/12/2019 P Bq.Aida 3.8 Solatiah/L.Mursidi
78
11/25/2019 L M.Arta Nabil Maulana 3 Herni/Juaini Siswandi
79
12/22/2019 L M.Zaka 3.8 Suharniawati/Maksum
80
1/28/2020 L Sadipo Ibnu Najwa 3.3 Neti/Sawaludin
81
6 2/3/2020 P Bq.Wangi Anjani 3 Bq.Hidayah
82
2/26/2020 P Bq.Tias Febriani 2 Bq.Anggi
83
4/14/2020 P Umna Mikaila Syifa 3.1 Dewi/Idris
84
3 4/14/2020 L L.M.Zaenul Rahman 2.9 Sukmawati/L.Bagus
85
2 5/5/2020 P Bq.Ayudia Inara 3 L.Hamdi/Bq.Ernawati
86
5/5/2020 P Riani Mutia Zahra 3.5 Aisyah
87
1 5/19/2020 P Bq.Azzahra Aqila R 3 Sarifa Y
88
09-07--2020 P Arsya Malik Amrullah 3.6 Bq.Nurul Hidyanti
89
7/20/2020 P Anindita Yusfa 3 Windi Yulia
90
8/15/2020 L L.El Kurniawan 3.5 Bq.Marlina
91
9/26/2020 P Dwi Aruna Elvina 3.1 Bq.Lin/Roni Hidayat
92
10/17/2020 P Areta Zayha 3.3 Tari
93
11/4/2020 L Bq. Maulida Ulandari 4 Kartini
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Lingkok Marang
Posyandu : Pancor Indah 1

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 31-02-2016 P Bq.Alisa Januarti Bq.Raehan/L.M.Ali

2 2/4/2016 P Bq.Kayla Bening Arista Rosdiana/L.Ismail

3 14-02-2016 L L.Kukuh Abiyan Nendana Rohani/L.Yan

4 14-02-2016 L L.Fatih Alfaridi Ida/L.Priawan

5 18-04-2016 L M.Zainul Irfan Nur'aini/Faozan

6 6/3/2016 L L.M.Bilal Tajudin Bq.Erni/L.Deni

7 25-06-2016 P Fatia Ramdani Ika/Supriadi

8 20-07-2016 P 520304211120030 5203046007160002 Saskia Aulia Farhin/Salman

9 8/6/2016 L M.Fathul Akbar Sri Mulyati/Jumawal

10 15-08-2016 L Azam Zulhilmi Rohanah /Rusnan

11 8/9/2016 L Natan Darka Abdul Goni Suriah/Saefullah

12 9/9/2016 P Bq.Alya Safira Bq.Rika/L.Zulkarnaen

13 20-09-2016 P Naila Saputri Mardiatun/Rames

14 13-10-2016 P Bq.Mentari Putri MR Ria/ L.Diki

15 25-10-2016 P Bq.Gantari Rizkia Putri Bq.Indrayani/L.M.Seidi

16 11/4/2016 P Ayudia Inara Erni Suryani/Lukman

17 15-11-2016 P Ziadatun Himilya Bq.Masnin/Ishah

18 18-11-2016 P Irma Norma Safitri Fitriah/Sahirudin

19 18-11-2016 P Azmayana Zohiba Rusmini/Sapoan

20 28-11-2016 L 5203042608130024 5203042811160004 M.Hairil Azam Nurul aini/Hifzan 5203043112890289

21 1/7/2017 L L.M.Fajar I rahim Lilik/L.Samsul

22 29-01-2017 L M.Alfan Firdaus Evi Kusdianti/Badri

23 15-02-2017 P 5203040811120021 5203045502170005 Riski Mutiara Ihsani Ema/M.Hirsan 5203040107820294

24 3/4/2017 L Azka Maulana Maknah/Rosmiadi

25 5/1/2017 L Ahmad Abiatman Hayati/Abdul Hayyi

26 5/6/2017 P Ulfa Syarifa Salsabila Sa'un/Zohri

27 13-05-2017 L 5203042008150013 5203041305170001 M.Andra Alfarizi Ida Seniwati/Aminullah 5203040107860692


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28 20-05-2017 L L.M.Faiz Yusron Bq.Johaeriah/L.Sukron

29 26-05-2017 P Adelia Fitri Kartini/Rosiadi

30 28-05-2017 P Ana Laili Ramdani Hayani/M.Yandi

31 6/1/2017 L 5203042306150009 5203040106170002 M.Rosyid Ramdhani Izatun Solehah/Ridwan 5203043112880044

32 P Kaysa Zahra Asmiati/Suherman

33 17-07-2017 L Rahmat Hidayat Nuraeni/Zubaedi

34 14-08-2017 L Diki Aditra Rahman Imran/Abdurahman

35 23-08-2017 L L.Sunan Algifari Andri hadini/L.Junaedi

36 9/4/2017 P Fatiha Arsyifa Sabila Muslihatun/Junaedi

37 10/4/2017 L Alfan Alhafizi Herniati/Suhaedi

38 19-10-2017 P 5203041509160005 5203045910170002 Alifa Hasfari Lasmi Humairi/Safri 5203040107910487

39 21-10-2017 L M.Alfandi Rosanti/Nasrullah

40 11/10/2017 P Aurelya Sahira Lia Yuliana/Sahirudin

41 12/6/2017 L Mizwar Annas Maemunah/Fathurahman

42 17-12-2017 L Ye'Alwi Faizal Muliana/Ye'Faisal

43 19-12-2017 L M.Algazali Pratama Mukminah/Harun

44 14-01-2018 P Alya Sakira Zanita Ida Ariani/Hairunnas

45 29-01-2018 P Yulia Aerinnisa Mu'ani/Zulkarnaen

46 23-01-2018 L 5203041805160001 5203042201180003 M.Khaliqin Rabiatul A/M.Fajri 5203040107880164

47 3/4/2018 L Elmi Ansauri Rohmini/Hasan Basri

48 3/9/2018 P Hafiza Nazira Hikmah/Nasrullah

49 14-03-2018 P Aulia Izatunnisa Eva/Sukardiman

50 22-04-2018 P Zahwa Aprilia Haeriah/Warsito

51 5/6/2018 P Ernawati Sumarni/Haerudin

52 5/7/2018 L 5203040207120007 5203042705180002 L.Satria Wardana Rabiatul A/L.Yusriadi 5203041703820004

53 16-05-2018 L M.Ihsan Ihwan Bq.Nisfar Aeni/Hamdan

54 15-06-2018 P Raya Fitriani Linda/M.Sukri

55 7/4/2018 L L.Abidzar Fajar Assidik Minarti Istiarini/L.Supiandi

56 7/8/2018 P Nabila Hasna Namira Hamidah/Zaenal

57 30-07-2018 L M.Danis Raehanun/Samsul Hadi

58 9/6/2018 L 5203040212100012 5203040609180002 M.Maulana Arbany St.Halimatus S/Samsul 5203043112790077

59 13-09-2018 P Risa Hasna Azzahra Annisa Firdaus/Haryono

60 13-10-2018 P Izatul Azami Dewi Susanti/Rusni


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61 28-10-2018 L M.Dilan Alfarizi Bq.Suharni/Sukri

62 10/24/2018 P 5203040111120003 520304641`0180001 Aqila Octavia Yeni Erdiana/Saburudin 5203040107870296

63 12/24/2018 L 5203042808140001 5203042412180001 M.Alfatih Rayyan Miniah/Hairil Anwar 5203042711880003

64 12/26/2018 P Bq.Nadifa Azzahra Bq.Suriatne/L.Hamdan

65 2/12/2019 L Nizam Alfandi Kusuma Sukmawati/Samsuil Hadi

66 3/1/2019 L L. Albi Lutfi Eli Wardani/L.Agus

67 3/25/2019 P 5203041711150010 5203046503190001 Ziya Aisya Salma Lilik Kartini/Salman 5203041207950002

68 3/29/2019 L L.Maula Rafan Nia Novia/L.Agung

69 4/26/2019 L M.Gara Bq.Nurul Aini/M.Yani

70 5/2/2019 P Ulfatul Aida Raehan/Herman

71 5/19/2019 P 5203042303150020 5203046405190003 Qiana Azzahra Nur Istiharah/Rohadi 5203042107880001

72 5/24/2019 P Meidina Rahma Magfira Fatimah/M.Hariandi

73 -06-2019 L L.M.Difa Ikrom Bq.Padmi/L.Asmawadi

74 6/13/2019 P Zahra Irawati Susilawati/M.Fihirudin

75 6/21/2019 P 5203040609160008 5203046106190002 Kayla Risma Putri Halimah/Muliadi 5203050107840076

76 7/3/2019 L Ahmad Dafin Aulian Murniati/Hamzan Wadi

77 -07-2019 L M.Azril Alfarizi Rodiah/Juniati

78 8/3/2019 L 5203040710120012 5203040308190003 M.Lindu Aji Hakiah/Saifudin 5203043112750335

79 8/14/2019 P Intan Nuraini Masnin/hadi Putra

80 8/17/2019 P 5203040204110025 5203045708190004 Niza Ayu Agustina Nurhasanah/Wahyudi 5203043112790109

81 1 9/4/2019 L Faizul Ali Akbar 2.9 Julaeha/M.Ali

82 9/16/2019 P Naura Adelia S.H Radatul/Joni Hamdani

83 11/16/2019 P Nada Maolida 3.3 Yuliana/Samsul Hadi

84 1 1/11/2020 P Adira Yasna Umayza 3.5 Farhu Hasani/Haerul

85 1 1/12/2020 L Dafa Refanda 2.5 Rabiatul A/Suryadi

86 1 1/21/2020 L L.Rayyan Azka Maulana 2.8 Suroatin/L.Perdian

87 1 2/20/2020 L Daffa Akhtar Wijaya 2.9 Husnul H/Amirullah

88 3 2/22/2020 P Bq.Nupus Akila Zahra 3 Seperiah/L.Supardi

89 3 2/22/2020 L Hardi Putra Wadi 3.1 Marsiani/Saprudin

90 1 2/28/2020 P Rahma Humaira 3 Aminah/Fathurrahman

91 3 3/2/2020 P Zahira Natsya 3 Evi Kusdianti

92 2 4/27/2020 P Kalisa Ramdhani Putri 3.1 Rohani/Sabri

93 3 5/13/2020 P Sarifa Aliya Mufita J 2.6 Maesarah/Ye' Jafar


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

94 1 5/18/2020 L L.Faizan Jazid Abkari 2.3 Bq.Sukroni/L.M.Rosiandi

95 2 6/8/2020 P Gifri Anina Safitri 3.3 Fitriah/Sahirudin

96 1 6/8/2020 P Siti Asriati 2.8 Sulistiani/M.Azan

97 25-062020 P Bq.Meliani Putri 2.6 Bq.Martini/L.A.Yani

98 6/25/2020 L M.Banu Akbar 3.6 Martini/Supardan

99 8/8/2020 P Aiswa Nabila 3.3 Anisa Firdaus/Haryono

100 8/20/2020 L M.Fadhil Arsyad 4.5 Sa'un/Zohri

101 8/23/2020 L L.Atta Alfarizi 3.5 Sahmi/L.Husaeni

102 9/15/2020 P Bq.anisa Intan Humaera 3.1 Rosdiana/L.Ismail

103 9/30/2020 P Syakira Amelia 2.8 Fitriani/suparlan

104 10/13/2020 L M.Bima Ibrahim 3.4 Jumakyah/Yusron

105 10/30/2020 L M.Raufa Akbar 3.7 Nur'aeni/M.Fauzi

106 11/8/2020 L L.M.Rayyan Gantar 3.3 B.Ika W/l.Zulkarnaen

107

108

109

110

111

112

113

114

115

116

117

118

119

120
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Kebon Dalem
Posyandu : Pancor Indah 2

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 2/16/2016 P afifa Dahlia Bq.Sofi /khairul

2 3 26-02-2016 P 5203041810140003 5203046602160004 Indana Zulfa Subhan Yani/Zulfikri 5203043112760311

3 6 31-03-2016 P 5203040910072470 5203047003160004 Nur Afifa Nahda Murniati/M.Saleh 5203040107720295

4 2 23-04-2016 L 5203043110140014 5203042304460001 Hafiz Arrosid Juliana/Edi Kurniawan 520304190486002

5 2 29-04-2016 L 5203042912110120 5203042904160003 M.Faizal Hadi Huriah/Samsul Hadi 5203041912820003

6 2 5/6/2016 L 5203041401150009 5203040605160004 Yazid Ramzi Mahrun/Muhsan 5203041406560002

7 1 20-05-2016 P 5203041904160005 5203046005160004 Naya Nazifa Sofiya Sofia Rani/Yan Abidillah 5203040202930001

8 1 26-05-2016 L 520304282110067 5203042602160002 Adit Supratama Bq.Nur'asiah/Suparman 5203040107800368

9 3 6/4/2016 P 5203042410110027 5203044406160001 Bq.Zurryatun Toyyibah Saiyah/L.Sukarme 5203040107800326

10 3 6/5/2016 P Imraatun Nurhalimah 5203040107800326

11 2 6/8/2016 L 5203041310120026 5203044806160004 Gibran Maulana Qurratul Aini/m.Efendi 5203042103860002

12 1 6/12/2016 L 5203042305160004 5203041206160004 Dana Asrorunnaji Bq.Yuliana/Fahrudin 5203040107830133

13 3 13-06-2016 L 5203044107850795 Rian Hafiz Mariah/Mahsun

14 2 15-07-2016 L 5203041209130010 5203041507160008 M.Fauzaturrahman Mahyuni/Suaedi 5203043112850397

15 2 17-07-2016 L 5203040309120035 52303041807160003 M.Fathurrizki Paesah/Mursal 5203040107670337

16 2 21-08-2016 P 5203042304160087 5203046108160002 Bq.Indah Putri Darmayanti Bq.Ramdiati/L.Darmawan5203041212700010

17 4 26-08-2016 P 5203041101120033 5203046608160002 Nurhafika Ainun Nasiha Nurhayati/M.Yusuf 5203043112740169

18 2 26-10-2016 P 5203041010070950 5203046610160004 Mia Herlina Jumaeni/Suparlan 5203040107820358

19 2 12/1/2016 L 5203071712120015 5203070112160002 Putra Nababan Hayati/Alman 5203072809860005

20 2 1/9/2017 L 5203041609140010 52303040901180001 L.Attaya Rizan St Raodah/L.Wirsan 5203042707890009

21 3 16-01-2017 P 5203040112140010 Alita Azkiawati Nurul Aini/Sarifudin 5203041111180001

22 1 2/2/2017 P 5203042802170002 5203044202170001 Bq.Andea Rania Orlin Lina Karnayanti/L.Sofian 5203042309930002

23 2 14-02-2017 L 5203041911160004 5203041407170001 L.Adenune Sute Bq.Hijriatul H/L.Saparwad5203043112800513

24 1 2/5/2017 P 5203042609170003 5203044502170003 Niadatul Riani Hafizah/M.Yani 5203043005940001

25 1 15-02-2017 L 5203042911160002 5203041502170001 M.Naezar Bakri/Walid Bq.Kartini/Sulman 503042606850004

26 2 18-03-2017 L 5203040002110004 L.M.Alfiad Bq.Johani/L.Husni 5203041209730003

27 1 20-03-2017 P 5203040407150014 5203046003170002 Rini Anggraini Nia Restiana/M.Rifa'i 5203043112950146


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28 3 4/5/2017 P 6409012008070079 Apriliana Sabariah/Ridwan 5409010207740004

29 3 20-04-2017 P 5203041606110026 5203046054170005 Bq.Azalina Yumna Bq.Maemunah/L.Yusuf 5203043112840145

30 2 24-04-2017 L 5203041008110030 5203042404170001 Radika Firman Adiansyah Bq.Sartini/Nuriadi 5203043012840013

31 1 6/8/2017 L 5203110908120002 5203110806170002 M.Faiz Azril Azizah/Fahmi 5203112812880003

32 1 6/12/2017 P 5203042406150014 Azkayra Rasna Malika Nurhasanah/Wildan 5203042105910003

33 2 15-06-2017 L 5203042612120009 5203041506170001 M.Barka Ramdani Sumiati/Mustakim 5203043112870054

34 3 26-06-2017 L 5203041011120106 5203042606170002 Ahmad Hambali Muslihan/Sulaeman 5203043112820324

35 2 19-07-0217 L 5203041212110044 5203041907170001 Andika Saputyra Rukaiyah/Ysriadi 5203040406850003

36 3 16-08-2017 L 5203042111120011 5203042510130002 M.Haikal Saputra Rukaiyah/Ridwan 5203041205760006

37 1 31-08-2017 P 5203043012140018 Misdalifah Faizah/Tala'ah 5203043112950119

38 1 9/7/2017 L Ahmad Qorilah 1.6 Masnun/Sumaedi

39 2 25-09-2017 L 5203040911120029 5203052509170001 Ahmad Atma Ardia Daim/Fuadi 5203042104800002

40 2 13-11-2017 L 5203040512110005 5203041311170001 M.Rafi'ul Ilmi Salmiati/Suaedi 5203043012800013

41 1 27-11-2017 P 5203042809170003 5203046711170001 Aisya Rzkia Mandalika Harismayati/Ahmad Tant 5203041008880004

42 1 12/6/2017 P 52030419017170003 5203044612170005 Husniatul waridah Fitriani/M.Nasrullah 5230304054580001

43 1 19-01-2018 P 5203040412140024 5203044403180001 Elwayatul Azma Fitriani/M.Azwar 5203041204850005

44 1 13-03-2018 P 5203032709170002 Adelita Samira Ita Rosmayanai/Samsul H5203040107910178

45 3 17-03-2018 P Nafiza Arlin Nurmalina/Heriadi

46 2 20-04-2018 L L.M.Akbar Alzabani Marini/L.Rodi

47 29-04-2018 L 5204141701120006 M.Haqul Ihsan Rosmita/Anwar 5204140303860001

48 3 30-04-2018 P 5203040607110009 Siti Alya Rahmalida Idawati/Ridwan 5203043112770315

49 2 5/6/2018 P 5203042011140010 Adifa Fauza Fia/muhtaz 5203040107890216

50 2 5/21/2018 P 5203041405240003 5203042105180001 Rizki Akbar Hidayatullah Eli Fatmawati/Abdullah 5203043112890038

51 1 16-07-2018 p 5203042305150005 5203045607180002 Nashiha Latifatussadida Sri Dewi/Mulyadi 5203042809860001

52 2 8/1/2018 L 5203041907100045 503040108180003 Ahmad Azka Maulana Husnul H/Sukarwan 5203042905850002

53 3 30-08-2018 P Aina Talita Alwi Rusmiaton/H.Alwi

54 3 9/6/2018 P 5203040910072693 5203044609180002 Amilatul Izza/Yunita Hamdiah/Nursalam 5203040107780150

55 1 19-09-2018 L 5203043007180003 5203041909180001 Abi Fathurrahman Riani S/Suhaeli 5203043112970093

56 1 20-09-2018 L 5203042209170001 5203042009180002 L.Danis Saefani Bq.Diani/L.Abdurahim 5203043112900239

57 2 22-10-2018 L 5203040906150008 5203042210180002 Ahmad Ahza Danisa Suhartini/Jumadil 5203040209870004

58 3 18-11-2018 L 5203042712110004 5203041711180002 M.Arya Bakti Mizwah/Suparman 5203043112800286

59 1 14-12-2018 L 5203041408180003 M.Rizki Akbar Sul'aeni/Mahsup 5203043112910250

60 1/18/2019 L M.Khairil Azam Nurhalimah/Nadin


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61 1/29/2019 L M.Ardana Abi Putra Bq.Nahalani/M.Roni

62 4 3/16/2019 P 5203042709100031 Siti Adibah Nailal Husna Husnullah/Sukri 5203043112770058

63 1 3/30/2019 L 5203040911180001 L.M.Abian Sibawaihi 3.5 Bq.Indi F/L.azhar 5203041104940001

64 2 4/22/2019 P 5203040108120028 Ulfiatul Hudus 3.1 Rusmini/Husni 5203043112870201

65 5/15/2019 P L.Rafiski Nurul

66 3 5/31/2019 P 5203041307110006 Raisya Ramadhani 3.2 Rohainiah/Tamrin 5203043101650001

67 6/9/2019 P Sofia Putri Meidina 3.6 Munawarah/Ridwan

68 6/13/2019 P 5203041012180004 Vania Keysia 3 Masniwati/Hamzan Wadi5203043112910155

69 1 8/5/2019 P Rizkia Hifziatul Husna 3 Romi Ismiwati/Ismail

70 8/15/2019 P Kanza Safaati 3.7 Hj.Rabiatun A/H.Abd.Sabar

71 2 9/10/2019 L 5203041612110114 Andral Wajid 1.6 Bq.Anggraini/Haeri 5203043112870197

72 2 9/10/2019 L 5203041612110114 Andrian 1.5 Bq.Anggraini/Haeri 5203043112870197

73 2 9/21/2019 L 5203043112100020 5203042109190001 M.Azani 3.1 Sindun/Adnan 5203040107810577

74 10/1/2019 L M.Irsyadul Ibad 2.6 Kasrul Aini/Suryadi Ahmad

75 2 10/2/2019 L 520304161211011 M.Albi Alfarizi 2.9 Sumiati/Salman 5203040107860147

76 2 10/14/2019 L 520304280411002 M.Alfarezi Fillah 3.1 Sabariah/Rosmidi 5203043112870256

77 3 11/13/2019 P 5203042507110020 Siti Maulida 3.3 Sujiati/Hamdan 5203040101810012

78 3 11/12/2019 P 5203043110140014 5203045211190001 Zahra maulida 3 Juliana/Edi Kurniawan 520304190486002

79 2 11/26/2019 P 5203040110100020 5203046611190001 Melistia azki 3 Muliah/Maliki 5203042905830001

80 1 12/17/2019 L L.Kevin Sahreza 2.9 Novika Sari

81 2 1/24/2020 L Ahmad Aufar Al-Fareza 2.5 Huralin/Suaeb

82 1/24/2020 L M.Rafa Saputra 3.5 Gina R/Herman

83 2/11/2020 P Aisya Alifa Kamila 3 Hismu Sahri/Ayu G

84 2/24/2020 L L.Amiri Gulfan Qoddafi 3.2 St.Raodah/L.Wirsan

85 3/26/2020 L L.M.Nabil Sya'bani 3.4 Bq.Hidmaeni/L.Zaenal

86 4/2/2020 P Bq.Salma Rizki Amadia 3.2 Hatiah/L.Rosdi

85 1 4/3/2020 L M.Azka Al-Fatih 3.4 Nurul Hidayati/Hamdani

86 4/17/2020 L Alfian Hidayat 2.2 Suryani/Masri

87 5/21/2020 L L.Andra Maulana H.Rohini

88 1 5/29/2020 L M.Elzam Sakirin 3 Rina Sasmiati/Muliadi

89 2 6/2/2020 L Algifari 3.1 Raehan/Zohdi

90 2 6/11/2020 P Bq.Jihan 3.1 Laelan Haeri/H.Ahyar

91 3 6/22/2020 P Hasna Hafizatul Hamida 3.5 Sobahiah/Mulham Hadi


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

92 7/26/2020 P Izzatul Maula 2.8 Huswatun H/Suparman

93 8/17/2020 L Agung Ferdian 3'5 Nurhasanah

94 8/28/2020 L M.Gazali 3 Ria Aprilia/Zohri

95 10/16/2020 L L.M.Okta Rizkiansyah 2.7 Hijriani/L.Hamdan

96
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Marang selatan 1
Posyandu : Trengganu

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 2/12/2016 L M.Yazid Alfaqih 3.5 Bq.Zuriati/Abdurrakib

2 18-03-2016 L 5203040112110047 5203041802160003 L.Alfian Jihadi 3 Supriati/Sohdi 5203040107680442

3 18-04-2016 L Halid Naufal Inawati/Muliadi

4 28-04-2016 P 5203041905150007 5203045201150002 Diana Nirmala Aprilia 3 Nurhasanah/Sumaedi 5203041504950006

5 5/2/2016 L M.Salim 3.5 Akmal/Juliaton

6 24-05-2016 L 5203040501110009 5203042405150004 Halil Wasita Gaisan 3.1 Suriati/Samsul Haeri 5203041207820002

7 31-05-2016 L 5203041287160003 5203043105160001 Habib Lutfi 3.4 Sri Handayani/Mustajip 5203046604970001

8 31-08-2016 L 5203041209110017 5203043108160001 M.Abdul Faqih 2.5 Hajini/Supriadi 520304711279011

9 9/7/2016 P 5203040204120024 5203044704760001 Septya Ayla Verisha 4 Nurhasanah/Humaedi 52030431129800310

10 9/9/2016 L 5203041608160006 5203040909160004 Ramzi Rifki Hamizan 2.8 Hamdiah/Mawardi 5203040107890226

11 15-09-2016 P 5203041506150004 5203045509160003 Andini Yusuf Nurazmi/Hasan Basri 5203041208830002

12 9/16/2016 P 5201140402190002 5201145509160002 M.Alifatussanjaya 3.5 Rahil/Anwar 5201141605760001

13 26-10-2016 P 5203040402140001 5203046610160002 Zahratul Khudusiah 2.5 Johari/Rohaeni 520304905890002

14 17-11-2016 L 5203041010070772 5203041711160003 M.Alifatussanjaya 3.5 Rahil/Anwar 5203047112910090

15 18-12-2016 P 5203040910073481 5203045812160001 Zahratul Maulida 3 Supriadi/Zakrah 5203040107800327

16 1/2/2017 L 5203042708130001 5203040201170003 Ersan Fareza Juandi Joniadi/Iskandar 5203041001880005

17 27-03-2017 P 5203042407120008 5203046703170004 Alsi Salsabila Azma 3 Faridah/Juaeni 5203041207880008

18 20-04-2017 P 5203041203120018 5203046004170002 Dania Luifiah Ylham 3.2 Bq.Irma /L.Ilham 5203040606820003

19 22-04-2017 P 5203040910072367 5203046204170004 Zilviatul Hasanah 3.1 Haerani 5203044107870280

20 5/4/2017 L 5203041607190001 5203044054170004 M.Alfatih Saputra 3.8 Hamidah/M.Watoni 5203041079400319

21 5/7/2017 L 520304010410007 5203040705170003 M.Hasbi Putra Almalik 3.6 Juhaeriah/Ishak 5203012108860004

22 7/1/2017 L Ridwan Ali 3.4 Maherun/Zulkifli

23 15-07-2017 L Azka Arta Nabil 4 Rohani/Zaenal Abidin

24 7/13/2017 P 5203040908110010 5203045307170001 Zaskia Faoziah 3.4 Sri Mawati/Samsul anwar5203042810860001

25 8/24/2017 L 5203040603180001 5203042408170001 M.Abin Attala Ihsan 4 Husnul H/Sumaedi 5203042003820001

26 28-08-2017 L 5203042504170003 5203042808170005 M.Hasan Jafar 2.7 Rabiatul A/Muhajirin 5203040306900003

27 15-09-2017 L 5203040304100001 5203041509170001 Fathul Razak 3.1 Nurhidayati/Sukri 5203040103890001


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28 30-10-2017 L Afif Maulana Khalif 3.8 Marlina/Arjuna

29 13-11-2017 L 5203042211110022 5203041211170001 Arkan Rifki Suhaer 2.8 Haeriah / Marsoan 5203043112700159

30 17-11-2017 L 520304710120043 5203041711170001 M.Dafa Karim Ansori 3 Faoziah/Abdul Mu'id 520304107820256

31 26-11-2017 P 5203043107170001 5203046611170001 Alula Maryam 3.5 Lisratul Aini/Hasan Basri 5203040905890002

32 30-11-2017 L 5203042309170002 5203043011170001 M.Maulana 2.8 Sulis susilawati/L.Mustaji 5203040301910001

33 29-11-2017 L 52030429319140010 5203042911170061 Ahmad Sakir Abdul Basit 3 Islahul Ummah/H.Sukri 5271014103910001

34 12/2/2017 L 5203041109120014 5203040212170002 M.Aska 3.5 Sukmariati/Isnaeni 5203042303780002

35 1/1/2018 L 5203041102130040 5203041101180003 L.M.Enggar Rizki 2.8 Faoziah/L.M.Firman 5203046109090003

36 26-01-2018 P 5203040905120007 5203046601180001 Suwenda Tanti Ananda 3.5 Nuraeni/Hanapi 5203040207710100

37 11-02-0218 P Qalesya Firli Irawan 3.4 Erni/Deli Irawan

38 19-02-2018 L 5203041010073985 5203041002180001 M.Aditya Antoni 2.6 Mahyuni/Nasrullah 5203040107770519

39 3/9/2018 L Nazibul Hizbi 2.7 St Hairunnikmah/Turmuzi

40 4/4/2018 P Assyifa Azahira 2.6 Dini Febriani/Marzuki

41 23-04-2018 L 5203041904180004 5203042304180002 M.Sya'hba Deva Sasmita 2.1 Bq. Hidayatul/Arya S 5203041007890002

42 5/6/2018 L Faqih Subakti 3.5 Jehan Ernawati/Subhan

43 5/11/2018 P Agisna Ahada 3.2 Nurhanag/Muslihin

44 14-05-2018 P 5203441203180004 5203045405180001 Damara Almaida 3.7 Ratna F/Mursalim

45 21-05-2018 L 5203040905150001 5203041912110002 Arfano Abizar 4 Rina Rusdiana/Dedi 5203040107880259

46 6/4/2018 L 5203040812110080 5203040406180002 M.Hanif Ramadhani 3.7 Bq.Mutia/Husni 5203041009820004

47 27-06-2018 P 5203040910072362 5203046706180001 Siti Rohmiati Sugiani 3 Seftiana/Ahmad Zaeni 5203040107830115

48 7/3/2018 P 5203041605180002 5203049078500014 Sintya Rizki Azalia 2.9 Mar'atul Aini/M.Fiqri 5203040107850211

49 15-07-2018 P 5203042211180005 520304550780001 Khalisa Fairuza 3.2 Rohmi/Herizoan 5203045919000011

50 30-07-2018 L 5203041008170009 5203045002180001 Rafasya ahmad Maulana 3.3 Husnul H/Abd.Kholiq 52030430709870001

51 8/3/2018 P 5203110610071543 5203011440880001 Asma Aulia 2 Rehanun/Fikri 5203113112790009

52 8/12/2018 P 5203043006110003 5203452081800003 Syakira Humaera Yasna 2.3 Jumiati/Sapril 5203042308840001

53 19-08-2018 P 520304225180003 Dewi Ayu Anjani 3.2 Ayu Aprianti/Surya 520304011290004

54 9/6/2018 P Inara Ulfia Azzahra 2.7 Huzaema/Samsul Hadi

55 9/2/2018 L 5203041010073049 5203040209180001 Ahmad Rafasya Maulana 2.2 St Nurhasanah/Suparman5203040507850011

56 8/3/2018 P 5203042511150002 5203044309180004 Sripe Aqila Azzahra 3 Supiah/Badrin 5203054107840847

57 17-09-2018 P Bq.Naila Rania aulia 3.1 Husnul H/Zenudin

58 11/4/2018 P Amanda Rafania Arsyifa 3.7 Nurul Hidayati/F.Gianto

59 12/1/2018 L 5203041311170003 5203040112180001 M.Rayan Rizkian Zaki 3 Nuraini/Irwan 5203041707790001

60 12/16/2018 L 5203042804140002 520304161280001 Riski Dwi Argio 3.5 Sofiana/Hajrullah 5203042307850001


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61 12/19/2018 L Arsyad Algifari 2.6 Fatmawati

62 1/1/2019 P 5203040608140001 5203044101190001 Aluna Humaeroh 2.7 Bq.Muliana/Humaedi 5203040107810438

63 1/13/2019 L 5204081203180005 52030408130190001 M.Abizar 3.4 Nurul Fitriani/M.Ibnu Faiz3519140103930001

64 3/2/2019 L 5203040907110011 5203040203190002 L.M.Nizam Malik 3.4 Yuni Safitri/L.Malik 5203041906890001

65 3/3/2019 L 5203040208180002 5203040303190003 M.Ubaidillah Rahman 3.5 Ema Susiani/Haerul Azam5203040601880006

66 3/12/2019 P 5203041110070534 5203045203190002 Zahra Firda Nismawati 3.8 Halimah/Usman 5203040102780001

67 4/4/2019 P 5203042509140010 520304404190002 Sukma Zumratul aulia 3 Islahul Ummah/H.Sukri 5203042606860001

68 4/21/2019 P 5203040412140010 5203046104190002 Bq.Kanza Inara Harianto 3 Faridah/L.Harianto 5203043112810267

69 4/21/2019 L 5203040305120002 5203042104190002 L.Ahmad Ayaza Aditya 3.7 Hintilawati/L.Heri Supriad5203045605930002

70 5/5/2019 P 5203042112120012 5203044506190002 Widia Ramadani 3.9 Nurhayati/Heri Sumitro 5203041504740002

71 7/5/2019 P Tasya Silviana Nurhayati/Sopianudin

72 7/11/2019 P 5203110903180003 Firi Raiz Heni/Edi

73 7/8/2019 P Sidkia Orlin 3.1 Suhini/Muliadi

74 7/12/2019 L Azwar Rizkan 3.7 Asris/Yusron Hadi

75 9/5/2019 P Bq.Qurniatun 3 Sulis S/L.Mustajib

76 2 11/5/2019 L M.Alfa Rizal 3 Rusli/Bq.Sukmawati

77 12/10/2019 P Anisa Rahma 3.4 Nurlina/Sapril

78 12/13/2019 P Alesha Zahra Huswatun/Irwan

79 2 2/22/2020 L M.Azhar Al Farizi 3.3 Hifzi/Saifullah

80 2 3/24/2020 L Alganata Muksin 3.2 Hidayatul Rohmi

81 2 4/6/2020 P Rahmatul Aulia 2.5 Bq.Haerai/Setia H

82 2 4/22/2020 P Cici Aprilia 2.9 Yanti/Husni

83 1 4/25/2020 L L.Umar Alfaruk 3.6 L.Iqbal/Yulia Wardani

84 2 5/6/2020 P Bq.Anisa Dwi Ramdani 2.6 Zuriati/L.Agus Satriawan

85 1 5/20/2020 P Aisya Arumi 3 Nurgina/Faizin

86 4 6/1/2020 P Kaulan Karima 2.1 Bq.Suriati/Abdul Rakib

87 1 6/8/2020 L Algifari Ihsan 3 Hajrini/Ihsan

88 4 7/3/2020 L Abdullah 2.8 Juliaton/akmal

89 5 7/3/2020 L Abdillah 2 Juliaton/akmal

90 2 7/14/2020 P Hazia Adinda Yusuf 2.7 Nurazmi/Basri

91 1 7/16/2020 L M.Farwiz Haqib Amir 3 Haerani/Zarkasyi

92 3 8/8/2020 L Keenan Ghaisan 3 Musnilawati/Ilham

93 2 8/23/2020 L M.Fadil Alfarizki 4.8 Tutik Sri Andri/Zaenul


FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Marang selatan 2
Posyandu : Dinasty

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 2/1/2016 P Nadira Rafana 3 Maeni/Hamidin

2 2/3/2016 P Bq.Sasmita Julia Nurhidayati/L.Zulkarnain

3 19-03-2016 P Fatiaturrahmah Kapsul Jannah/Husnan

4 27-3--2016 L 5203041409150004 5203042703160002 Ahmad Faizal 3.3 Meli/M.Abdi 5203043112890194

5 30-03-2016 P Bq.Amelda Ersa Nadifa 3.2 Ernawati/L.Hariadi

6 4/1/2016 L M.Askan Akbar 3.9 Hariati/Husni

7 30-05-2016 L L.M.Faezatu Rahman 3.3 Bq.Nanik/L.Satria

8 6/12/2016 L L.M.Arsi Risman Hakim 3 Nurhasanah/L.Jupri

9 7/1/2016 P Nani Juliana Azhari 25 Solatoah/Idrus

10 7/12/2016 P Raisha Aqila Putri Nurhayati/Munahar

11 25-07-2016 P Huswatun Soleha 2.5 Miftahul Jannah/Yusri

12 26-07-2016 P Bq.Nurangi Alesha Zahia Titi Nurul J/L.Nasri

13 18-08-2016 L M.Faiz Nabhani 4.5 Rohani/Samsul Rizal

14 18-08-2016 L M.Nizar Bakri 3.1 Nurul Aini/Rozikin

15 30-08-2016 P Zaskia Aulia 3.5 Bq.Husnaini/Subki

16 8/7/2016 L L.Zaki Irfanuladdin 3.3 Halimatus S/L.Hairul

17 9/2/2016 L M.Faizatur Rahman 2.5 Halimah/Ismail

18 22-09-2016 P Nafisa Dwi Jayanti 3.9 Nurul Laeli/Hasan Jayadi

19 Bq.Elis Hasna Magfira 3.2 sri ismiani/L.Azis

20 25-09-2016 P Sabira 3.2 Dewi Nurilah/Roni

21 26-09-2016 L L.Abiyu Fairuz Bq.St Nurlaila/H.L.Tohir

22 27-09-2016 L L.M.Isnan Rawandi Muliana/L.Maezuki

23 28-10-2016 L L.Afdal Pradipta Amzari 4 Ica/L.Febriano

24 12/3/2016 L M.Raziq Al Asegaf 3.5 Haziatun/Muslihin

25 13-12-2016 P Bq.Maulida Rizkita 3.5 Devi Sri W/L.Kadri

26 28-12-2106 L M.Akbar Pratama 3 Juwita/Yusri Hafiz

27 29-12-2016 P Maulidia Fahrani 3 Widiawati/Fahmi


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28 2/1/2017 L Ersan Fareza Juandi Husnul Hatimah/Joniadi 5203041504860001

29 16-02-2017 P Ferlita Sifa Diah/Wildan

30 21-03-2017 P Siti Zahra 2.8 Masitah/Aq.Sahun

31 16-03-2017 L 5203041808140025 M.Faqih 4 Hizaifia Rizmi/M.Daniel F 5203041212720008

32 4/1/2017 P Bq. Hifzul Maulidah Hamdani/L.Ibrahim

33 23-04-2017 L M.Fauzaturrahman Zarwatul

34 26-05-2017 L 5203041110070840 5203042605170003 Uwais Altarawi 3.8 Muliana /Anhar

35 6/3/2017 L M.Azis Taqiyyan Rayuli/M.Junaedi

36 28-06-2017 P Adifa Kanza Azzahra Mariani/Munawir

37 13-07-2017 P Zakia Faoziah Srimawati/Samsul Anwar

38 26-09-2017 P Alia Zulaika Muslika/Hasan

39 31-10-2017 L L.M.Adyatma Prasetyo Pahriah/L.Faozan

40 18-11-2017 L M.Ridho Arrasyid Nurhasanah/Kudri

41 20-11-2017 P Maulidiana 4.1 Husniati/Mahlil

42 29-12-2017 L Abdurrahman 3.4 Raehanah/Sajidi

43 1/2/2018 L M.Zaki Abkari Hamka 3 Rodiani/M.Rofi'i

44 1/10/2018 L M.Abdul Yazid 2 Bq.Ayu S/Samsul hadi

45 1/11/2018 L L.M.Kurtubi 3.6 Bq.Adiantini/L.Murdani

46 2/2/2018 L L.Robi Febriansyah 3.2 Faoziah/L.Ramli

47 2/3/2018 P Natsya Febriani Aulia Mastini/Saefullah

48 18-02-2018 P Rosita Najwa Putri Halimatus S/Salman

49 3/1/2018 L L.M.Jagad Algifari 3.5 Siti Aminah/Khirul Rasid

50 3/2/2018 L M.Arsalan Abbasy Haeriah/Jumawal

51 3/8/2018 L M.Ihsanul Ihwan Bq.Aulian/H.Barry

52 3/10/2018 P Shofia Aqila 3.7 Elistiana/Suharliansyah

53 15-03-2018 P Arneza Khairani 1.3 Bq.Muliantini/Herdi

54 7/7/2018 P Bq.Juliani Saputri Rahman 3 Haniah/L.Abd.Azis

55 18-07-2018 P Kayla Rizki azzahra Bq.Budiana/Azhar

56 22-07-2018 L M.Nabil Alim 2.8 Bq.Masnin/Fathurrahman520304151280003

57 25-07-2018 L M.Rizal Hadi 2.6 Nurmayanti/Humaedi

58 24-08-2018 P Lindatul Iftihal 2.8 Imtihan/M.Ilham

59 22-09-2018 P 5203041212130003 5203046209180002 Bq.Afiqa Sabrina 3.7 Juliana/L.Edi B

60 24-09-2018 L M.Fathillah 4 Bq.sumiati/Zaenudin


Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61 27-09-2018 L L.M.Fathillah Bahtiar 3.9 Bq.Suciati/L.Tohri

62 11/6/2018 L M.Khalis Amrullah 2.7 Bq.Nurul H/M.Nazmi

63 12/2/2018 P Keisha Azzahra 2.9 Nanada Hani J/Deni M

64 1/21/2019 P Rianatul Amri 3 Isniah /Rosmayadi

65 2/8/2019 L Ghaza Alfadia Abkhari 3.8 Ami Juniarti/Jaori amnan

66 2/20/2019 P Khesa Amni Febrina 3.3 Masniwati Amrullah

67 3/23/2019 L L.Gantar Nur Maulana 4 Sultiawati/L.Yusuf

68 3/22/2019 P salsa Amilatun Nafiza 3.5 Mahnim/Arifin

69 4/16/2019 L M.Syabani Syamalam 2.9 Anisa/M.Ishak 5203043112890194

70 6/5/2019 P Lailatul Ayudia Inara 2.5 Bq.Sri Astuti/Juaeni

71 6/13/2019 L Aditya Rifki Hamizan 3 Bq.Maryam/Fajri

72 7/1/2019 L 5203041409150004 5203040106190001 M.Hasyim Athari 3.2 Meli Mardiana/M.Abd.Bakki

73 7/17/2019 P Rizki Cantika Putri 3 Isnaini/Hamzanwadi

74 8/2/2019 P Bq. Aira Kyanra 3.5 Siti Hadijah/L.M.Hendra

75 9/14/2019 P Najwa 3.9 Bq.Fitriah/Sahir

76 9/22/2019 P Bq.Aretha Kanza 3.2 Suryawati/L.Putra Wandi

77 10/10/2019 L M.Arfino Yahya 3.2 Rauhun F/M.Zakaria

78 11/5/2019 P Bq.Mutiara Jameela Sanjaya 3.7 Yeni Agustina/L.Galung

79 11/6/2019 P Bq.Maulida Isma Assifa 2.8 Fatmawati/L.M.Ismail

80 11/28/2019 L Fazil Al-Kahfi 3.4 Bq.sinta/Suhaibul Kahfi

81 12/7/2019 L M.Fathillah 3.5 Kusmayadi/Ida Zubaidah

82 12/24/2019 P Bq.Brigita Paula Zahra 2.9 Rabiatul A/L.Gunawan

83 3 1/19/2020 L M.Ali Ibrahim 3.7 Masitah/H.Sahun

84 2/26/2020 L 5203042910190001 5203042602200002 L.Dafa Alfarizi L.Ansori/Rokyal Aini

85 5/16/2020 P Alena Putri Ramadani 2.3 Bq.Muliana/Awaludin

86 6/2/2020 P Afreen Faza El Nahda 2.8 Muliana/Heri Kuswanto

87 6/11/2020 P Ainia Najwa Afifah 3 Nadiatun/Hizbul Watoni

88 6/16/2020 P Bq.Dara Arsila 4.3 Wahidatul Aini/L.Iskandar

89 6/26/2020 P Bq.Afiza Gania Zahra 3.5 Hariani/L.Kamar

90 8/26/2020 P Agata Naura Putri 3.5 Yuliana/Muktar Tamimi

91 9/1/2020 p Kiana Aisyah Azura 1.9 Johairiah/Ahmad fauzan

92 11/5/2020 L L.M.Nizam Alfaridi 3.2 Halimatusadiah/L.Kairul Faridi

93
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kotaraja
Dusun : Otak Desa 2
Posyandu : Dewa Ruci 2

Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 3/4/2016 L L.Rizki Ade Putra Maemanah/L.Iskandar


2 4/11/2016 L Abian Rajendra Rahmi/Saifullah
3 16-04-2016 P Abidatul Ulfa Sabariah/Abidillah
4 5/2/2016 P Meisya Dwi Ariska Melda Anggraini/Iskandar
5 8/10/2016 L Ahmad Azami Susriani/Junaidi
6 7/7/2016 P Alya Safitri Maryana/M.Zohdi
7 7/8/2016 P Adira Salsabila
8 21-07-2016 P Bq.Maizatul Abror Ro'yan/H.Mujahidul
9 9/6/2016 P St.Hadijah Ailul H Hj.Nurhayati/H.Tabrani
10 14-11-2016 L M.Zaenul Watoni Sahruni/Andriawan
11 24-01-2017 L L.M.Akbar Hakim Dwi Endang/L.Samsul H
12 30-01-2017 P Azkia Suhati/Idris
13 2/2/2017 P Sakila Aulia Putri Eli
14 2/5/2017 L M.Zaki Maulana Hisbiatussalihah/Muliadi
15 2/12/2107 L Ahmad Fatir Gufron Zaenap
16 3/10/2017 P Gina Sara Nurhayati/Subaedi
17 21-03-2017 P Alika Andriani Putri Putri/Adriansyah
18 21-03-2017 P Alisa Andriani Putri Putri/Adriansyah
19 5/6/2017 L L.Ammar Surya Alrumi Bq.Meida/L.Dane
20 16-05-2017 P Sabila Sumiaton/Kamhar
21 17-05-2017 L Khaerul azam Indah/Hairurozi
22 6/30/2017 L M.Salim Rahmatullah Mustasidah/Nurul Mujahidin
23 7/10/2017 L Abdul Barir Asror Hernawati
24 7/10/2017 L M.Tantowi Jauhari Isnawati/Abdul Kadir
25 8/12/2107 L M.Amir Rizandi Murniati/Mutawalli
26 26-08-2017 P Elsa Dewi Saputri Minatul Lael/Suparman
27 24-09-2017 P Qonita Zuhratun/H.Ridwan
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

28 11/10/2017 P Keen Ayu Myeisha Zahsy Meida P/Edward Kenedy


29 20-11-2017 L M.Zaki Akbar Maemaunah/Suhaemi
30 15-01-2018 L Aditama Elfan Sahreza Ayu Anita/M.Amrullah
31 16-01-2018 L Ahmad Rosid Ihsani St.Hajar/Irsan Wadi
32 14-02-2018 L M.Arrasyid Maryam/Irwan
33 3/4/2018 P Katibatul Azwa Rsidatunniza/Zulhakki
34 3/4/2018 L M.Haerul Ihsan Husniati/Jumaah
35 27-04-2018 L Rafasya Putra Faoziah/Doni
36 5/1/2018 L M.Rafatan Isbandi Suryasni/Sanapiah
37 5/12/2018 P Halwa Haerani luluil Maknun/Abd.Hanan
38 31-05-2018 P Alya Humaeroh Eliana/Ali Fadli
39 6/2/2018 L M.Albi Al-harit Raudatul A/M.Rosidi
40 6/10/2018 L junaedi Rahman Pratama ernawati/Juaeni
41 10/6/2018 L L.Rifki Aulia Saputra Bq.Sukarti/L.Saprudin
42 11/20/2018 L M.Ridho Rabbani Hamidah/H.Hudri
43 12/1/2018 P Humaeroh Syauqiil Qolbi Herna Sudiana/Azaenul
44 12/23/2018 L M.Zayyan Ahmad 3.5 Bq.juliana/Ridwan
45 1/2/2019 L M.Nailul 2.8 Nurul Aini/Naswan
46 1/28/2019 P Keysha Nadifa Azzahra Handayani/Harmaen
47 4/9/2019 P Sufi Aprianti Masitah/Mahsun Setiabudi
48 6/8/2019 P Zara Zia Junita Kartini/Supardi
49 6/28/2019 L M.Iqbal Maulana Makyah/Idris
50 10/19/2019 L Qawaidul Mujahid Mariani/Rosidi
51 10/22/2019 L M.Robin hafid Hadori Fatmawati/Meidinaam
52 1 11/6/2019 L L.Abdi Negarawan 3.7 Bq.Wiwin /L.Irwan
53 1 12/17/2019 L Kaffa Khalifa Alwahid 3 Husnul H/Abd.Wahid
54 1 1/21/2020 P Jamilatul Ulla 2.7 Nurazizah/Iswandi Idris
55 1 2/25/2020 L M.Nazil Akbar 2.9 Lilik Anggraini/Zulkifli
56 2 4/2/2020 p Bq.Aulia Izatunnisa 3.3 Bq.Fatimah/L.M.Fadli
57 1 4/14/2020 L L.M.Sahibul Mujahidin 2.8 Farhasini/L.Edi

58 2 5/5/2020 L M.Rafasya 3 Ema Irawati/Fahmi

59 1 6/6/2020 P Bq.Arfha Khoinurrahman 3.7 Novita Bela/L.Muhammad


60 2 6/24/2020 L M.Kianu Alfatih 3.5 Harni/M.Rizal
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

61 2 7/26/2020 L L.Nabil Ahmadi 3.3 Dewi Yulasmi/L.Yusri Ahmad


62 1 8/9/2020 L M.Alfatih 3.6 Bq.Fatimah/Fatoni

63 1 9/11/2020 L M.Daffa Irawan Bq.Tira F/Irawan

64

65
Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu Umur BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Loyok
Dusun : Dasan Reban
Posyandu : Mekar Sari 1

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 16-01-2016 L M. Fahrudin Ali Sofiah/Dedi Hambau


2 13-04-2016 L Gibran Al faro Aisah/Muhibin
3 5/3/2016 L Ahmad Fariduddin Arsyad Rusmini/Agus
4 6/5/2016 P Salsabila Humairo Suarti/Sahirun
5 21-06-2016 P Nurul Magfiroh Ramdani Niawati/Abdul Halil
6 25-08-2016 L Ahmad Azzam Arsapit Suriati/M. Samsul Hakim
7 29-08-2016 P Fita Ajeng Agustina Hartini/Nahir
8 9/11/2016 P Azzalia Salsabila Sahmin/Umar
9 18-10-2016 P Wifa Oktapian Suriatun/Wildan
10 24-10-2016 P Adiba Maysa Atmarini Husniwati/Subki
11 28-02-2017 P Yumna Latifatul Husna Eni Supianti/Heri
12 3/4/2017 p Quensa Arsyila Masarayani/Azwar
13 27-03-2017 P Salwa Zahira Salmah/Afifudiun
14 4/9/2017 Alita Syafa Arsyila Suparman/Ema
15 29-04-2017 L Ahmad Rizkal Ariqin Halim St Salmah/Kardi
16 5/9/2017 P Adeva Afsin Meisya Azmi/Suhaemi
17 14-06-2017 P Nahrul Hayat Kasmiawati/Mursa'it
18 22-07-2017 P Laura Yuliana Lilik Supianti/Wahyu
19 9/10/2017 P Faera Ameska Zaena Sulistiani/Zainal Abidin
20 10/4/2017 L Ridho Pratama 3 St.Hadijah/Sudirman
21 10/26/2017 L Rizky Aditya S Saiful

22 11/21/2017 P Anindita Keisha Z 2.5 Sulniawati/Purnawadi

23 31-12-2017 P Kanzia Silmi St.Fatimah/Samsul Islam


24 15-01-2018 L M.Isnaen Hilma Susilawati/M.Juaeni

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

25 22-05-2018 L Arsyi Afthar St. Ramadhani/Edi Isman


26 25-05-2018 L Viona Dwi Ramdhan Masniawati/Husaen
27 6/20/2018 L Arsya Bayanaka A Tari/Abd.hadi
28 7/1/2018 P Julida Asmini/M.Haerul
29 23-07-2018 L M.Reza Anggara Nurhayati/M.Rizal
30 9/9/2018 P Iftina Assyabiya Emi/M.Badri
31 15-09-2018 L Arfan Dzakir Abdullah Azmi/Suhaemi
32 19-10-2018 L Al-Bara Thufeil Lidya Widiantari/Muhyani
33 21-10-2018 L Azril Rahardika Alfaizi Eka Pertiwi/M.Ahsan S
34 12/25/2018 P Faeca Arfa Rasikin Kamarul Azani/Eti S

35 1/4/2019 P Aluna Nadira Az-zahra A.Ilhamdi/Dewi p

36 2/16/2019 L Dilan Fadli Salman/Aisyah

37 3/4/2019 P Bidarin Nur Arifatul Azuro Aminullah/Zinnuraini


38 3/13/2019 P Shrama Zivana Zaen Mahfuzin/Winda R

39 3/22/2019 P Mazida Rifka Arsyila Buidan/Zuriatul

40 4/20/2019 L Akmar Nadif R 2 St.Hadijah/Zakaria

41 5/1/2019 L Raffa Sya'bani Sabil Ahmad/Mauliya

42 6/4/2019 P Ratifa Samrin Samwil/Rinawariana

43 6/4/2019 P Latifa Samrin Samwil/Rinawariana

44 9/23/2019 P Hanindia Murfaiha M.Iral A./Maesya H

45 11/8/2019 L Rafka Widiantam 3 Yuliana/Saswendi

46 11/10/2019 L Raizil Dirgantara 3.5 Zulhjjah/Hartono

47 12/13/2019 P Adelia Saputri BQ Eli/Saprudin

48 2/7/2020 P M.Sakir Hidayatullah 3 Erlina/M.Nurul Waton


49 2/28/2020 L M.Erfan Dwi A 3.6 Maulinda/Herman
50 2/29/2020 P Raihani 3.2 In Andayani/Hafizin

51 3/2/2020 L M.Haikal Maulana 3.2 St.Fatimah/Milhamzi


52 3/13/2020 P Hana Mafidaul H 3.5 Eni/Heri Samsul R

53 5/13/2020 P Maisa Hidayati 2.5 St.herlina/Topik

54 7/13/2020 L M.Rafqi Alfarzel 3.3 Herlina/Samsul Waton

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Loyok
Dusun : Lelufi
Posyandu : Bunga Mawar

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 1/12/2016 L M. Aska Pratama Samsul Hadi/Sahurun

2 28-01-2016 P Mukaromatul Ardiana Anti/Khairul

3 2/4/2016 P Cintya Rizky Azzalia Indrian/Septia Rahayu

4 2/9/2016 L Aryan Mahesa Murtini/Hardi

5 2/10/2016 P Bq. Mutia Nabila Bq. Farhu

6 3/2/2016 L Fatan Safi'adul Fadil Sasiani/Fahrur Hadi

7 15-04-2016 P Khaerunnisa Rosmisalati

8 5/10/2016 P Aisha Azzahra Parham

9 16-07-2016 L L. Alby Arsyaqul Lail L. Yuhyil Lail/Bq. Lina F

10 27-07-2016 L Zammani Murtini/Zaenuddin

11 18-07-2016 P Shawida Alawiya Putri Masniwati/Suardi

12 17-09-2016 P Alyssa Tiswatun/Andi Muliana

13 9/6/2016 P Anelfi Ririn Zulfiani Huriani/Jamiludin

14 9/7/2016 P Bisifa Bihusni Husnun Nahdiah/Hasbi

15 16-10-2016 L M. Oki Wirawan Rohini/Jafarudin

16 1/6/2017 P Dania Citra Junaidi/Nurlaili

17 2/2/2017 L Sukron Azhari Suriani/Musanif

18 3/4/2017 L Gilang Alfarizi Novianti/azizudin

19 3/13/2017 L M.Fazri Alfarizi M.Sukri/Zohariah


20 15-03-2017 L M.Sahrul Adian Sumae/Fathurahman

21 17-03-2017 P Syilvi Nuraisyah Nursani/Herman

22 4/9/2017 P Alita Syafa Arsyila Faraeni/Supardi

23 4/13/2017 P Anggun Aprilia Meisi Rusianti/Hardi

24 26-04-2017 P Dafia Izatunnisa Haeriah/M.Tanwir

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

25 6/3/2017 L Hamdan Syakirin Jumakyah

26 6/7/2017 L M.Zidan Husniatun/Muhammad

27 25-07-2017 P Azzahra Alfatunnisa Sumiati/Satrianom

28 8/6/2017 L M.Sofyan Sahri Saopi/Hamdani

29 8/9/2017 L Arsya Adyatma Kudusiah/Saharudin

30 9/5/2017 P Nazhifa Qothrunnada Niswatin

31 20-10-2017 L M.Fikri Saonah/Sudarwi

32 29-10-2017 L Faiz Arbani Harni/Musmuliadi

33 11/7/2017 L Dafa Sanjaya Sunardi/Mustika Ayu

34 25-01-2018 L Arsyabil Qattan Bq.Heruni/Saharudin

35 1/17/2018 P Bq.Nindi Wahyu Sari Bq.Sri Wahyuni/L.Sahibun

36 L Davin Suhamdi Suhaeni/Hamdan

37 18-02-2018 L M.Firdian Rafasya Nurfaizah

38 2/3/2018 L L.Naoval Bq.Murtini

39 18-03-2018 L Arsya Adiatma Yuliaton/M.Zamzami

40 19-03-2018 P Naora Mikaila Haezmi Sasnita/Abdul Aziz

41 19-03-2018 P Naorin Fatisha Haezmi Sasnita/Abdul Aziz

42 3/26/2018 P Anggun Khusnul Hotimah Asmayati/Samsul

43 4/7/2018 L Adam Anugrah Rohoatun a/M.Wildan

44 4/8/2018 L L.Rifki Hamizan Bq.Rohayati

45 26-04-2018 P Calista Aprilia Herna/Sahabudin

46 4/20/2018 P Risa Ayu Ningtias M.Yunus/Rubakyah

47 5/9/2018 L Abimayu Prasetya Iwan/Irna


48 6/10/2018 L M.Asri Ramdani Husnul Khotimah /M.Amin

49 7/10/2018 L Zian Alfa Hamiati/Zaenudin

50 18-07-2018 L M.Azka Ariadi Saparwadi

51 26-08-2018 P Hidayatul Husna Sa'iyah

52 24-09-2018 P Laona Zahira Fatihin/Wahab

53 26-09-2018 L Hifzul Hafiz St.Rasidah/Sumardi

54 7/10/2018 L M. Rifki Nia Dianti/Khaerul

55 7/10/2018 L M. Rido Nia Dianti/Khaerul

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

56 29-10-2018 L L.M.Iqbal Hariri Bq.Nur/L.Samaan

57 30-10-2018 L M.Rizwan Mayuni/M.Yunus

58 11/6/2018 L Abdul Hadi Nurmala/Saiful

59 1/1/2019 L Raka Aldairo Samsul R./Elahi

60 3/1/2019 P Bq. Maya Nopianti/Hadi

61 3/12/2019 L M. Devin Alwi Assegap M.Hamdan/Eka S

62 3/16/2019 L Sultan Fatihillah Murtiadi/Aminah

63 7/22/2019 P Alipa Marwan/Jumaila

64 7/25/2019 P Elsa Diana Putri Sukur/Asmawati

65 8/2/2019 L Warsa Dwi Sabira Bq. Haeruni/Sabarudin

66 9/11/2019 P Yuhi Pilmanda Awaludin/Kusmiwati

67 9/12/2019 P Ismiantari Dahman/Ernawati

68 12/2/2019 P Aira Talita Destiana Saodik/Isnaini

69 / /2016 L M.Rayyan

70 3/12/2018 L M. Reza Febrian Nurhafizin

71 /09/2018 L M. Arfa Irawan Irwan/Hartini

72 12/25/2019 p Baiq Refika a l. Ridwan/reni

73 1/21/2020 L M. Faqih Zahfrain khairi mitmayani

74 2/24/2020 L L.Ardian wardana Salmah/L.Hairul Wardi

75 3/7/2020 P Nabilatunisa 3.8 Suparma/Rohani


76 5/7/2020 L Haerul Anam suparhmdi/silmiwati

77 5/11/2020 L Azi Bami Dallah 3.2 St.Aminah/Kaddir

78 6/8/2020 P Salsabila Nagita P Mashudi/Jumnah

79 6/16/2020 P Anansya Andrena

80 6/18/2020 L Aryan Junardi 3.8 Sakyah/Wirjayadihasani

81 6/19/2020 P Nurul Hafiza Hikmah Saprudin/Nurma

82 7/11/2020 P Alika Naela Amelya

83 2 7/13/2020 P Julyana Syafa

84 P Haera Hazila

85 P Zapra Zakira

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

86 1 9/30/2020 L Agif Vizi Septian 3 Maulidi/Saopi

87 3 10/23/2020 L M.Ikbal Al Qahfi 2.9 Haerul wadi/Herawati

88 1 11/28/2020 P Nazifa Kaira 3.6 Azmi/Insan


FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Loyok
Dusun : Wengkang
Posyandu :

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 1/5/2016 L Rifki Zikri Zainudin

2 30-01-2016 P Januarta Utami St. Halimah/M. Filihar

3 24-01-2016 P Adila Nisa Ardani Maryatun


4 27-03-2016 P Sakila Al-Zahrina Nurhasanah/M.Syarifudin

5 4/8/2016 P Ella Mutia Sari Rohariyanti/Saharuddin

6 23-04-2016 L Aditia Heriatman Yeni Yuliani/Agus Hariadi


7 26-07-2016 P Talifa Aulia Zahra Murniati/Muhammad

8 24-07-2016 P Asifa Alena Putri Hulmiati/Maas

9 8/5/2016 L Gamdi Rahman Muliani/Mashurahman


10 20-08-2016 P Ida Kirana Sulihan/Hasanah

11 30-08-2016 L M. Albi Habibi Sulmiaton


12 24-10-2016 P Laela Salsabila Halimah/Muhammad
13 11/9/2016 L Noval Dika Pratama Sumaeni/Masturiadi

14 1/2/2017 L M.Rian Gozali Heni Suniati/Musanif

15 13-01-2017 P Windi Andriana Rakmah/Wirjan


16 16-01-2017 L M.Ziadil Algifari Zinnuraini/Mahidin

17 31-01-2017 L Faqih Ali Rabbbani Sulwarni/Rahmat

18 1/11/2017 L M.Toriqotul Alfan Sultiah/Fathurahman


19 2/10/2017 L Agung Wira Sakti Awaludin/Ani

20 2/12/2017 P Agita Putri Ega Angga/Enisulastih

21 27-02-2017 L M.Abkari Agam Mardatilah/Sahnan


22 4/5/2017 L M.Alvin Alfarij Sahnan/Dani

23 19-07-2017 L Rafif Naova Harith Ida Irma/Putra Jayadi

24 28-07-2017 P Dian Juliana Lia Susilawati/Sunardi

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

25 8/3/2017 L Azyyan Nawadi St Raehan/Supardi

26 25-08-2017 L Ahmada Zein Hendrawati/Zaenudin

27 27-08-2017 P Nadira Almaira Ruka'iyah/Zulhariadi


28 28-08-2017 L M.Alfatih Rohayatun/Jumahur

29 18-10-2017 P Aflya Malikah Sapoan/Marhamah

30 29-10-2017 L M.Hazril Fahmi Roh/Mahrif


31 12/10/2017 P Destiana Aqila Yulia Susanti/Ahmad Yani

32 22-12-2017 L Hirzam Yadi Rumnah/Aidil Bin Saleh

33 27-12-2017 L M.Alan Satriasa Huriaton/Hasanudin


34 16-02-2018 L Jua Elwadi St.Asna/Mulyawan

35 4/25/2018 P Shantya Aprilia siti aminah/apipudin

36 7/16/2018 L M.Pradifta Arfabian Fitri M./M. Askom Ali


37 8/5/2018 P Komala Dewi Gempita Rohima/M.Ishak

38 17-08-2018 P Dila Aulia Farasya Liana Rozi/M.Abd.Salam

39 31-08-2018 P Atiqah Zahra Ratifa Fitriani/Abdul Hanan


40 9/26/2018 L L.M.Anwar L.Hadri/Masniwati

41 30-09-2018 L Egi Putra Arfandi Eva Susi A/M.Suandi P

42 11/17/2018 L Egi Alifatullah Supandi/Rezi maela


43 11/27/2018 L M. Rafino Imami Irka Suharjo/Wulandari

44 12/27/2018 L M. Istajib Lana Mawardi/St. Aminah

45 1/29/2019 P Oliviatul Nisa Suparwadi/Usmayana

46 2/13/2019 P Tika Zahwa Nadira Saldi/Pitalla Sesa

47 2/20/2019 L M. Rafan Sakhaliq Busirin/Rihana

48 3/23/2019 L M. Habib Maulana Ahmad/Johariah

49 3/27/2019 P Azwa Sima Safira Murnan/Warni

50 4/1/2019 L M. Zidan Al-Fatih Sukardi/Muslihan

51 4/15/2019 L Gibran Apri Yuda P Ari P/Wahyu

52 8/17/2019 L Agus Dirhan Sudirman/ Raehan

53 8/18/2019 P Asyifa Aura Zaskia Abd. Kadir/Huroziatur

54 8/25/2019 L M. Alli Fikri Hurhayoni

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

55 8/25/2019 P Alika naila putri sulaiman/tari mulyadita

56 10/8/2019 P Ipe Khodijah Sopiani Mahnun/Ian

57 11/13/2019 L Yuda Saputra Suhaini/Suhirman

58 12/17/2019 P Faza Yumna Azkiya 4.2 Fauzan/Haeroni

59 12/30/2019 L Akha alfarizki 3 inda/heri

60 1/9/2020 L M. Arsya Maulana faridah/azima

61 2/26/2020 P Dalia solehatunnisa khaerul anwar/yulastri

62 4/28/2020 P Salmiatun hidayah Musanip/st.rauhun

63 6/19/2020 P Kayla Cantika M.tafikurrahman/Yeni.S

64 7/18/2020 L M.Sadam El Fatih Faizah/Sosandra

65 9/20/2020 P Elyska Septiara Bilqis Masrun/Mahdep

66
67
68

69
70

71

72
73

74

75
76

77

78
79

80

81

82

83
84

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Loyok
Dusun : Ajan
Posyandu :

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 20-02-2016 L Zahidil Azka Lukiana/Musanif

2 22-02-2016 P Yuhanis Hafiza Isniyartini/Hafiz

3 3/12/2016 P Maida Yusfina Sodah/Suhae


4 30-03-2016 L Fiki Ardian Huriyah/Abdul Rahman

5 25-04-2016 L Rafa Azka Nurul/Muhidin


6 5/7/2016 P Naela Sakila S Linda Umami/Eka
7 18-05-2016 L M. Hudari Sumiati/Wildan

8 6/10/2016 P Afifa Nahdar Afanda Bq. Erni/H. Jamaludin

9 7/11/2016 L Arkam Naufal Elwani/Husna


10 8/1/2016 P Ayu Fitriani Sohriah/Mustar

11 8/3/2016 P Septia Gustina Hartini/Abdurahim

12 23-08-2016 L Toriq Abdul Aziz Haeri/Ajis


13 29-08-2016 L M. Arzaki Sulkiah/Nasrun

14 13-09-2016 P Sindi Aulia Nurumin/Kamaludin

15 19-09-2016 L Alby Lutfi Fahri Ayuni/Afifudin


16 10/10/2016 P Bq Nadia Safana L.Agus/Herlinawati

17 24-10-2016 P Firjina Zahra Nurfaizah

18 12/8/2016 L Abdul Karim Zamani Hj.Sulhiah/H.Saharudin


19 1/4/2017 L Abqori Royan Aeniah/Harun

20 24-01-2017 L M.Hadit Lutfi huriah/Tepi

21 13-03-2017 L Anggina Salsabila Suhaenu/Marwin


22 15-03-2017 P Sayyidati Novalina/M.Rosisdi

23 17-03-2017 L Evan Maulana Halimah/Jumadil

24 4/3/2017 P Ayunda Apriliani Raohon/Mahyun

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

25 4/10/2017 P Pania Intan H.Mahmud

26 25-04-2017 L L.Azka Abizar Rahini/L.Basar

27 13-05-2017 L M.Araska Latif Sri Handayani/Hulmayadi


28 30-05-2017 L M.Arga Ihwana Novianti/Iwan

29 6/3/2017 L Faesal Jahyadi Rohaniah/Faozan

30 6/10/2017 L M.Syamil Muntaza Ilham Ilham/Haerul Bariah


31 16-06-2017 P Alula Farzana Ayunindya Yuliawati/Hamzani

32 16-06-2017 P Kanza Naela Hafiz Bq.Nurhayati/Busaeri

33 7/7/2017 P Shafira Anis Marsela/Dedi


34 13-07-2017 L M.Ragib Muallamah Solatoah/Mustafa

35 27-07-2017 L M.Najiburahman Rusni Raehanun/Husniawan

36 8/1/2017 P Arista adinda Zahrani Reni/M.Hidayatullah


37 13-08-2017 P Nahda Halifa Z Nurhasanah

38 13-08-2017 L M.Iqrom Mahini/Suaedi

39 10/12/2017 L M.Zakaria Ansori Lemah/Jamal


40 19-10-2017 L Zulkifli Hasan Mariani/Lukmanul

41 15-11-2017 L Adrian Efendi Riawati

42 24-12-2017 L Habib Pratama Robiatul A/Farijin


43 24-02-2018 P Renita Hidayatul Hikmah Rini Muliana/Rendi

44 24-02-2018 P Shely Hafsari Masni Ahyar

45 14-03-2018 P Tisya Kalisa P Astuti


46 31-03-2018 P Ainnaya Fatiaturrohmi Rohani/Hulaeni

47 4/9/2018 P Aisyah Ayudia Inara Rohan/Toyib

48 4/9/2018 L M.Riskul Habib Miftahul Jannah


49 14-04-2018 P Inara Aprilia Putri Riska Apriliani/Ramli

50 5/6/2018 L Adif Ansori Aeniah/Saharudin

51 5/6/2018 L Qonita Isman Taqya Zohriah/Busaeri


52 16-05-2018 L Adrian Saputra Apriani/Alimudin

53 17-06-2018 L Fathul Hakiki Hamdiah/Mashur

54 7/10/2018 L M.Zulfan Walid Mahnur/M.Yunus

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

55 19-07-2018 P Yuliani Sahruni/Bahrun

56 8/3/2018 P Nadifa Nurlayli St.Hamidah/Gafur

57 9/7/2018 L M.Gufran Lola Lindawati/M.Amin


58 17-09-2018 P Azwa Raina Hdayati/Musanip

59 21-09-2018 L Alta farel Lina Muniati/Amrullah

60 21-09-2018 L M.Hafif Hizam Arkan Iza Rukmana/Ramli


61 23-09-2018 P Alya Rumaisha Bq.Ayu Susrini/Alwi
62 30-10-2018 P Nayla Husna Rohmayana/Sunardi

63 11/4/2018 L M.Faris Alfatih Bq.Elisa/Isnaeni


64 11/30/2018 L M. Khaerunnizam Hafiz/Masni

65 12/16/2018 P Aluna Mikaila Imran Imron/Rohimatul Aulia

66 1/4/2019 L Habil Aizat Adi M/Rohani


67 1/13/2019 L Randi Sandiwara Winova Mahsat/Musti

68 2/4/2019 P Ayuandira Bq. Wirgahayu/ilhamidi

69 2/21/2019 L M. Alazhari Suhurudin/Aprida


70 3/5/2019 L M. Azril Rafif Yuliana

71 3/19/2019 L M. Azril Jihadi Burhanudin/Suriyati

72 3/24/2019 P Wardaty Najihan Rasyid M.Rosidi/Nova lina K


73 3/28/2019 L M. Yusron Hafizin Suaedi/Muslihan

74 4/17/2019 L M. Rayan Mursal Yusraeni/Sri Mulyani

75 5/14/2019 L Farjana Ariyan Azizan Budianto/Hartini


76 6/12/2019 L M. Amir Salim Watoni/Erma Juniarti

77 6/30/2019 P Medina Keysila Suaedi/Ida Royani

78 7/24/2019 P Husnul Khotimah Rasikin/Halimah


79 8/2/2019 P M. Naja Islami Hulia

80 8/7/2019 P Yumna Hanifa Rian H./ Fitri Handayani

81 9/6/2019 P Salwa Alfiasta Hayyan/Nurul Hikmah


82 9/17/2019 L M. Yusuf Alfarabi Ida Fitria/Mahsup

83 9/18/2019 P Adifa A. Putri Humaidi/Hidayatin

84 10/22/2019 P Uzama Qurratul Aeni Huljunaidi/Susilawati

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

85 11/11/2019 L L. Naufal Zuhdi bq.Eli Muhartini

86 12/24/2019 P Suci azika indriani Sri andriani/Ruslan

87 2/6/2020 P Aqila Fitriah/Suhir


88 2/25/2020 L M. Asyhraf Alwi Ayu Susrini

89 3/7/2020 L M. Afnan Fauzan Ayuni/Afifudin


90 3/7/2020 P Ayuna Afifa Ayuni/Afifudin
91 3/22/2020 P Anaya Mahda Ana Mariana

92 4/15/2020 L M.Arkan Irawan 3.5 Usniwati

93 4/29/2020 L Raga Ramdani Sariyah


94 6/6/2020 P Asdania Sumantri

95 6/21/2020 L M. Amzani Marni wati

96 6/24/2020 L Ahmad Habibi 3 St.Hidayati

97 6/30/2020 L Fatih Firdaus 3.5 Misroyani/Ogi

98 7/11/2020 P Bq.Khairun Nisa 3.1 Bq.Kusniatun/Adi

99 7/12/2020 P Rania Rafika 3.1 Supiani

100 7/13/2020 L M.Agam Abdillah 3.5 Bq.Erna Nazira

101 7/28/2020 L Wizma Yufaza 3.3 Asmiana/Ismiandi

102 7/29/2020 L Dafa Juliardi 3 Ismiwati/Muhmad

103 7/29/2020 L M.Ilham Hamdiah/Juaeni

104 8/9/2020 P Ulfa Azura 2.3 Maryuni/Sahir

105 8/21/2020 L Abdul Rosyid 3.3 Haeri/Abdl.Aziz

106 9/4/2020 L Asgar Abdillah 3 Bq.Wirgahayu

107 9/13/2020 L Firza Alfarizi Umi Kalsum

108 9/18/2020 P Adila Azzahra 2.6 Huraeni/Andi

109

110

111

112

113

114

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Loyok
Dusun : Loyok Barat
Posyandu :
Umur Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 1/6/2016 P 5203041612110077 5203044607160003 Vina Aulia Nurhasanah/Bahri 5203043112700271

2 28-01-2016 L 5203040912140036 5203042801160002 L. Gantar Geant Volra Olivia/L. Sandi 5203041210910006

3 4/9/2016 L 5203042612120012 5203040904160002 M. Adam Faiz Al Arqan Hardiana/Supriadi 5203040107871036

4 30-04-2016 P Gina Rizkian Suriah/Mahsun

5 6/4/2016 P 5203042106110010 5203044406160002 Alesa Zahira Muliati/M. Habib 5203041505770001

6 17-06-2016 P 5203040501150088 520304570610002 Bq. Karunia Ramdani Nurul Aini/L. Suhirman 5203040107860687

7 21-06-2016 L L. Piraz Ataya Mulia Nely/L. Mulyadi 5203045402860004

8 25-06-2016 P 5203041609100023 5203046506160002 Azka Zaina Aqila Nurliana/Zainal Ahiq 5203041704860003

9 24-07-2016 P 5203041011120118 5203046407160001 Nadira Azahra Nurus' Saadah/Sayuti 5203041507770002

10 27-07-2016 P 5203041206140001 5203046707160001 Sahida Ramdani Rokyatul Aeni/Hamdani 5203042304890001

11 14-08-2016 L 5203041011120108 5203041408160002' M. Zulfahmi Marni/Jafar 5203043112700394

12 25-08-2016 L 5203041409150006 5203040508160002 L. M. Aqil Afandi Yuliani/L. Hasyim 5203041411900002

13 10/1/2016 P 5203040703150006 5203040110160002 M. Abdul Hakim Raehatun/ M. Lazim 5203040107780710

14 10/11/2016 L 5203040402160004 5203045110160001 Bq. Tiara Aisya F. Mila/L. Junaidi 5203041005860003

15 L 52030711023130006 5203072704170002 Daris Alfan Safiula Bq.Sunan 5203071572860004

16 24-10-2016 P 5203042012110128 5203046410160007 Anina Oktavia Hajariah/Muliadi 5203043112800328

17 11/6/2016 P 5203040601150025 5203044611160001 Adya Radiah/Nanang Adidi 5203041708750002

18 11/11/2016 L 5203043112110044 5203041111160003 M. Ainurrahmah Raehan/Nursamat 5203043112630115

19 16-11-2016 L 5203040909860009 5203041611160002 Gigih Giat Rahmatullah Hariani/Busaeri 5203040909860009

20 30-11-2016 P 52030411011200032 5203047011160001 Hanifa Adelia Herwani/Suaedi 5203041608780001

21 14-12-2016 P 5203041601120007 5203045412160002 Bq.Maulidia Azzahra Fatimatuzzahrah/L.Subakti 52030408100860002

22 21-12-2016 L 5203040209220008 5203042112160002 L.Galza Alsyana Fitri/Rosidi 5203041607800001

23 1/8/2017 L 520304042110003 5203040801170002 L.M.Yugistra Anton Bq.Suaedah/L.Iskandar 520304040780005

24 21-01-2017 L Saiful Bahri Nuraini/Samsul

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

25 26-01-2017 P 5203046601170001 5203046801170001 Bq.Ambar Cahya Andjani Bq.Hadiawati/L.Usman 5203040902730002


26 2/4/2017 P 5203051210120092 5203054410170002 Suci Mahesa Mahisub 5203050107760079

27 2/8/2017 P 5203042112110056 5203044802170002 Fadila Naurin Husna Bq.Novita/Abdullah 5203040107030559

28 14-03-2017 P 520304200310020 5203045402180006 Hanin Hanan Nia Isnawati/Anwar 5203041912800009

29 17-03-2017 P 5203042602140007 5203045703170004 Assifaurrohmi Wati/Afif 5203040107790713

30 21-03-2017 L 5203041209110012 5203042103170001 M.Faqih Maulana Rohani/Mawardi 5203041808710004

31 21-03-2017 P 5203040404110018 5203044103170001 Adifa Fauza Sriwati/Naharudin 5203040107790549

32 P 5203042805150001 Miratussoleha Nurhayati/Zaenul 5203043112900416

33 L 5203040207140022 5203041305170003 Rosman Algazali Rosdiana/Lukman 5203043012860007

34 4/12/2017 L 5203040409120007 5203041204170002 Erwin Ardani Putra Haerani/Cahyo 5203043005820002

35 4/12/2017 P 5203042101170004 5203045104170003 Hanifa Nafia Almaera Nurhasanah/Saprudin 5203043112880163

36 27-04-2017 L 5203041511110040 5203042704170001 L.Ilfan Maryam/L.Japran 5203040107600822

37 5/8/2017 L 5203042105120041 5203040605170001 Alif Darma Aditya Sar/Dar 5203041010770007

38 5/11/2017 L 5203041811110001 520304105170001 L.Alun Pradisya Bq.Fitri/L.Lukman 5203042011730001

39 24-05-2017 P 520304180810004 5203046403170002 Bq.Faizatul Imtihan Bq.Santi 5203040107750539

40 29-06-2017 L 5203041507110022 5203042806170002 Tarendra Ghifari Bariah/Umar 5203040107700872

41 29-06-2017 L 52030426021990003 5203042906170003 M.Arjuna Rizzik Ambia Erni/Arul 5203042810870001

42 7/4/2017 L '520304071120013 L.Dawuh Satra Bq.Yanti/L.Zulkarnain 5203041107790007

43 9/9/2017 P 5203040509110062 5203044909170001 Vindi Lili Hufaera Siti Raehani/Nurfaizin 5203042808740004

44 20-09-2017 P 5203040810070115 5203046009170001 Bq.Adiba Rafania Bq.Dewi/L.Bawadiman 5203042112820282

45 20-09-2017 P 5203040910072043 5203046009170002 Humaero' Misrah 5203044107840169

46 10/10/2017 L 5203040209120045 5203041110170001 L.Lanang Wikan Sulastri/L.Samirin 5203091201800008

47 19-10-2017 L 5203042510110022 5203041910170001 M.Risahidul Rokib Rosdiana/Sukri 5203043112780209

48 10/19/2017 L L. Azril Pauzan Arsya Afis/Endang 5203042308980001

49 1/8/2018 P 5203043011110015 Bq.Alima Tanti Zaheera Bq.Handayani/L.Karyadi 5203042202820004

50 23-02-2018 P 5203040605100023 5203046102180003 Bq.Naorin Almaira Rahmi Jalilah/L.Hilman 5203040202800002

51 3/7/2018 L 5203042502190001 5203040703180002 Riyad Mahres Amri Akbar Rian Ardiana/Didi Hazmi 5203040607950002'

52 5/7/2018 P 5203042105110050 5203044505180002 Indah Ayu Seftiani Salmiah/Basri 5203041105820004

53 17-05-2018 L 5203042206110009 Zidan Marjan Bumaro Isnawati/Marjan 5203043112790130

54 30-05-2018 P 5203042802110004 Bq.Erlin Maryani/L.Suryadi 5203044509780001

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu BB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

55 6/4/2018 L 5203041610140014 5203040406180001 Qiyas Abdurahim Rohmiati/Saparullah 5203043112910331

56 7/7/2018 P 520304406110012 520304470780002 Tyara Aulia Putri Misnawati/Ruslan 5203040107700816

57 30-07-2018 L 5203040910070336 L.M.Ilham Hadi L.Suaedi/Raehanun 5203040107750095

58 8/8/2018 P 5203040809160002 Bq. Hafizatul Imtihan L.Bahrudin/Bq.Sati Nurul P 5203041212840003

59 16-08-2018 P 5203042307100014 5203045608180002 Bq.Qeysa Izzara Humaera St.Raohon/L.Humaedi 5203042205710002

60 9/2/2018 P 52030401907180003 5203044209130001 Bq.Yasmina Zaida Rahmani Himmatul Huda/L.Asrorudin 5203041311880002

61 23-09-2018 L 5203040918070078 5203042309180001 L.Nabil Azfar Bq.Asmiati/L.Sirojudin 5203040107780091

62 13-10-2018 P 5203042510130010 5203045310100001 Zalfa Alesha Humaira Wuri/Sulaeman 5203040107840483

63 11/21/2018 P 5203041107180002 Annasya Shazfa Shareen Tamrin/Lara Reza Aliani 5203043112840269

64 12/3/2018 P Nafara Natilatur Rinjani Nurul Watoni/Salmiah

65 12/5/2018 L 5203040209160002 L. M.Rezvan Huda L. M. Subki/Siti Kartina 5203041608940008

66 12/14/2018 L 5203040711160001 L. Radea Artanabil L. Herdi/Bq. Yaumul Husni 5203040804910002

67 12/28/2018 L 5203041804110019 M. Sofyan Maulana Ismail/Marniati 5203041162900004

68 1/6/2019 L 5203042801110062 5203040601190002 L. Ghaisan Adam Argani L.Mas'ud/Bq.Husnul Khatimah 5203042501840002

69 1/17/2019 L 5203041505180010 5203041701190002 L. Faraz Raufa Al Hadi L. Jaelani/Bq. Suhartini 6473043112780052

70 3/8/2019 P 5203042212110196 Khayla Ayundia Humaiza Bandio/Monalisa 5203040106910004

71 4/9/2019 L 5203040102120025 M. Ari Sandi Sadli/Bariah 5203040102120025

72 4/18/2019 L 5203040111160009 5203041804190001 L.M. Adam Malik L. Banuh Harli/Bq. Fitriana 5203042202950004

73 4/19/2019 p 5203040501150086 Dara Aprilia Nisa S.Bahri/Hersan Dewi Aprilia 5203040107900649

74 5/16/2019 L 5203040810070112 5203041605190011 L. Dafa Prazana L. Awaludin/Marhamah 5203040212690003

75 5/21/2019 P 5203042012180002 5203046104190001 Bq. Khaira Wulandari L. Hasrul Kar/Haerun Saleha 5203041112960003

76 6/21/2019 L Alfa Al Habib Supardi/Nurhaliza

77 7/9/2019 P Bq. Inaya Huaida H.Lindar/Rohaeni

78 7/27/2019 P 5203042901160002 5203046707190002 Bq. Ariana Ayummi L.Ryan Jauhari/Bq. Laymi 52030461019000001

79 8/6/2019 L 5203042803120009 M. Akbar Maulana Agus Riadi/Bq. Ro'yal Aeni 52030431129000243

80 8/8/2019 P 5203041812180011 5203044809190001 Alnayra Safiya Adzani Suparman/Indriani 5203041610910004

81 8/8/2019 L 5203040906110025 L. M. Al Faqihin L.Abdul Hafiz/Eli Ernawati 5203040107771104

82 9/4/2019 L 5203040209130003 5203040409190001 Ihsan Afandi Nansor/Durda Lindawati 5203041402850001

83 9/13/2019 L 5203040703120047 5203044309190001 Baharudin Yusuf Hairi Mursidin/Karyani 5203040101900008

84 10/15/2029 P 5203042510110022 Rizka Sofiana Rosdiana/Sukriadi 5203043112780209


Umur Status Gizi Vitamin A
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

85 11/23/2019 P 5203041709120020 Bq. Zahratul Aini L. Suparman/Sulilah 5203040107771026

86 12/25/2019 L 5203042308190007 L. Nabil Haidar Algifari Nurul Aini 5203043010980000

87 12/28/2019 P 5203040207140008 Naima Zita Alwa Rofiah/Ridwan 5203041207800007

88 1/9/2020 P Nezila Aulia Puteri Nisatul/Abdurahim 5203200107730313

89 1/29/2020 L 5203040301130006 M. ILHAM kailani Fadnah/Rizki 5203041302880003

90 2/8/2020 P 5203042703100001 Bq.Arisa Kirana L.Rosi 5203042505820002

91 2/20/2020 L 5203040707150005 Ahmad Faqih Salmah 5203040210790002

92 2/21/2020 L 5203040710120019 5203042102200001 L. Hafizi Rahman Muliatun 5203043112700372

93 3/19/2020 L 5203041612110077 M. Nabil Rafizki Nurhasanah/Bahri 5203043112700271

94 4/15/2020 P 5203041909180008 Bq. Ridha Hafiza A Dina Wahida/L.Adwan 5203042407950001

95 4/16/2020 L 5203042810190013 5203041604200001 M. Algifari Maria Ulfa/Samsul 5203041508870003

96 4/23/2020 P 5203041612100042 Elvina Meisya A Fitriana/Marzuki 5203043112820091

97 4/29/2020 P 5203041011120131 Nelsi Ramadani Hultiah/Jalaludin 5203043101770006

98 5/5/2020 P 5203042704160002 Bq. Tia Aleni 2.5 Yanti/L.Awaludin 5203040107870207

99 5/17/2020 L Muh.Arta Nabil 2.6 Johaeriah/Suparlan 5203040107720215

100 5/29/2020 L Azril Zaidan Alfarizki 3.5 Sapriadi/Wini 5203040107940550

101 6/23/2020 L 5203040910070159 L.M.Yazid Al fatih 3.9 Nurul aini/L.Rahiman

102 7/9/2020 P 5203041710140004 Laela hafiza 2.5 Suryati/Saprudin 5203043112790329

103 7/17/2020 L 5203041202200003 Dafa Gibran Al Tafi 3.2 Nuraini/Dani Muzani 5203070208950005

104 7/19/2020 L Daniyal Assyauqi 3 Karyawati/Jumawal

105 8/6/2020 P Nadira Humairaturrizki 3.2 Wiwin Aprianti/Mastur

106 L L.M.Attaraihan Hafiz

107 8/18/2020 P Amelia Agustina 4 Herwani/Suaedi

108 10/7/2020 P Bq.Nadira Kamila 3 Bq.Nisfi/L.Muhlis

109 9/14/2020 L Ibrahim Ahmad 1.9 Bq.Wiwin/Rudo Ronal

110 9/18/2020 L Abdullah Agam Abqari 2.7 Bq.Suri/Dedi Santana

111 9/23/2020 P Bq.Adelia Zaesya Nuha 3.3 Astuti Fahriani/L.Jalal

112 10/6/2020 L M.Gibran Al Bissidi 3.2 Bq.Nurhidayati/Zul

113 11/2/2020 L M.Al Qatan Saputra 3.8 Mariana/M.Saprin


114 11/9/2020 L L.M.Hafiz Al Gazali 3'5 Bq.Faoziah/L.Junaedi

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

115 11/10/2020 L M.Novian Rezqiano Latif 3'3 Bq. Andri A / Nopiandi

116

117

118

119

120

121

122
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Loyok
Dusun : Loyok Timur
Posyandu :

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 1/23/2016 L Rafa Azka Putra Kamarudin/Huriatun

2 2/8/2016 L Arka Febrian Rohani/Mahesa


3 14-02-2016 L L. Danis Asyari Zohari/L. Suparlan

4 5/4/2016 P Afika Royani Bq.Marlina/Amrullah


5 5/6/2016 L L.M. Fauzan Azima L.Junaidi/Sa'erah

6 5/8/2016 L Lianji Hadi Muhli/Saleha


7 27-05-2016 L L. Zaidan Naufal Afkar Emi Isnaini/L. Junaidi

8 6/12/2016 L M. Alif Alfarizi Eka Yanti/Iskandar


9 6/2/2016 P Hafizatul Ilmi Hanizom/M. Junaidi

10 6/10/2016 P Nabila Hairiah/Supriadi


11 6/10/2016 L Nizam Ramdani Bq. Hamdiah/Aq.Isun

12 7/28/2016 L Abdee Rasyid Ahsan Agus/Zamsiah


13 8/7/2016 L Ariq Rifid Alfatih Muslihudin/Nurulm Jannah

14 8/20/2016 P Najwa Khaira Wilda Supardi/Asmiati


15 8/21/2016 L Alfan Abdilah Padli/Darmi

16 9/6/2016 L Yusuf Dahayar Dika Kamarudin/Rohani


17 13-09-2016 L M. Izzul Asyqa Sulhaeni/Sahnanda

18 10/7/2016 L Fatih Yudistira Muliatun


19 10/16/2016 P Oktaviona Mukarromah Suriatun
20 11/19/2016 L M.Azka Alpiansyah Rusli/Endang Sri
21 2/11/2107 L Febian Rezky Raycandra Bad'ul Amalina/Saiful Hadi

22 2/11/2017 P Navara Alesha Al Idrus Syeh Rizal/Bq.Eva Rosdiana


23 2/24/2017 P Raisa Putri Halwa H.Samsul/Sri Wahyuni

24 2/27/2017 P Annisa Ardani Tabi'in/Joharni

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

25 5/21/2017 P Bq.Alifa Azahra Rus

26 25-06-2017 L L.Nauza Arka Ismail Aton/L.Ismail


27 P Bq. Afra Cantika L.Takdir/Ana

28 7/7/2017 P Bq. Yuna Arindia Sabri/Huswatun Hasanah


29 7/15/2017 P Risma Aulia Abdurrahim/Sumarni

30 7/11/2017 L L.Azka Rafasya Hasmia/L.Hendra W


31 8/1/2017 P Aqila Salsabila Abdurrahim/Sumarni

32 8/3/2017 P Ainaya Rahma M.Khaisan/Suriati


33 8/6/2017 L L.Ahmad Raefal Akbar M.Khairi/Handayani

34 16-09-2017 P Komala Dini Nurul Aisyah


35 10/5/2017 L M.Ikhsan Alakrom

36 10/7/2017 L Abizar Musafa Hamudin/Seperiah


37 26-10-2017 L L.M.Arbani Wandana L.Nasrun

38 27-11-2017 L L.M. Fathan Tsani Wiwin Yuliawati/L.Zahrial


39 12/2/2017 L Fikry Harzan Russel Nursalam/Yul

40 12/3/2107 L L.Ginanjar Hariady Anggun Rizkia/L.Buntara


41 12/5/2017 L M. Jibril Rahman Toni Abdi/Uswatun H

42 1/19/2018 L Juanda Dini Hari Abdul Hamid/Yuliani


43 1/20/2018 L M. Arbani Yaziz Akbar Suparman/Nur'aeni

44 1/23/2018 Nazofa Aulia Subki/Salmiah


45 2/7/2018 P Aqila Cahya Fadila Suaedah/Sukriadi

46 3/15/2018 Adila Najwa Darmayani Darmawan/Kurniawati


47 4/9/2018 L M. Rozikin Muhali/Mukarromah
48 4/11/2018 P Bq.Syafa Humaero Hernawati/L.Ahmad Yani
49 4/24/2018 L Imam Alfarizi Wardiah

50 4/30/2018 P Nisa'ul Assifa Sayuti/Zaitun


51 5/1/2018 L Zaenul Abdi Syakbani Dewi Wulandari/Asfi

52 5/14/2018 L M. Asril Umam Yurahman/Huriah


53 14-05-2018 L L.M.Ali Syakbani Muzayyanah/L.samsul Lutfi

54 5/19/2018 L M. Zikri Ilham Subuh/Bq.Sarah

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

55 7/13/2018 L M.Izwan Maulana Munawarah/Gufron

56 9/11/2018 P Alika Naila Putri Sapri/Hartini


57 19-11-2018 P Afriza Novia Armani Nurhasanah/Sulaeman

58 11/28/2018 L L. Hujjatul Islam L.Harmaen/Bq.Lina Mastari


59 12/28/2018 P Desti Alifa Azkia Supardi/Haeriah

60 12/31/2018 L Faeza Haziq Alfarizi Mawardi/Bq. Saleha

61 1/5/2019 P Nauza Alta Rizkia Sabarudin/Herlina

62 1/18/2019 P Awina Syakira Mutmainah Akim/Bq. Sumarni

63 2/9/2019 P Rizka Febrianti M. Busairi/Rahmi

64 2/16/2019 L M. Irsyadul Ibad Syamsul Lutfi/Nurjanah

65 2/21/2019 P Arsyla Romessa Parzana Saipul Hadi/Nuraini

66 2/23/2019 L Alif Gibran Maulawi Abdul Latif/Suhartini

67 2/23/2019 P Bq. Ayunda Mani L.Suryadi/bq. Suhartini

68 3/18/2019 L M. Sultan Ardafa Supriadi/Hilbariah

69 3/21/2019 P Merlin Safitri Saepul Hadi/Indah Komala

70 3/29/2019 P Irsa Nurdiana Nurul Ihsan/Vina Mardiana

71 8/30/2019 P Bq. Hadriatul Husna L.Budiman Sani/Istiharah

72 4/12/2019 P Naura Azzahra M.Jumhari/Himmatun Nahdiah

73 4/12/2019 L M.Nathan Izkian Suaedi/Eni Marlia

74 4/18/2019 P Tanisya Putri N Indra Jaka/Tina Salviana

75 5/23/2019 L L. Putra Malik Ramadhan L.Suherman/Suhartini


76 5/25/2019 L L.M. Afgan Arbani L. Japarudin/Bq. Idawati

77 6/18/2019 P Naura Rizkia Imran/Sumiati

78 7/5/2019 L L. Atma Rasya Al-Arkhan L.Supardi/Bq. Yuliani

79 7/25/2019 P Bq. Ayana Nasiha L. Sahri/Bq. Miftahun

80 8/16/2019 L L. Gino Sanya Rawindra L. Patoni/Maesarah

81 9/1/2019 P Dinda Aisyah Azhari Lukman/Fatimah

82 9/29/2019 P Nurul Salsabila Salul hiyah/ Saefudin

83 11/24/2019 L M. Rifzy Ansyar Basusilawati /Sahrul Abidin

84 9/29/2019 P Nurul Salsabila Salul hiyah/ Saefudin

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

85 11/5/2019 L Gibran Maulana Bq.ida Prianti/ Nurdin

86 1/12/2019 L M.Razka Rabbani halimardani/Elis

87 12/19/2020 P Nur Efiana Hesti Nurhidayana/junihadi

88 12/20/2019 P Bq.Saluna Rizki Bq.Rauhun/L.Sukarni

89 10/5/2017 L M.Ikhsan Alakrom

90 P Nafazatul Aini

91 1/23/2020 L Alfatih Msaffa Eka Patriana/Harianto

92 1/11/2020 L L.nune Anugrah BQ.Novi/L.Sopiandi

93 2/25/2020 L M.Nazil Akbar Zulkifli

94 2/4/2020 L Alif Hafiz Rohani/Hafiz

95 3/12/2020 L M. Abizar Azkara Lina/M.muliadi

96 3/10/2020 L Haikal Athan Gazawan Zaenul Riadi/Emi. H

97 4/16/2020 L L.M.Amirul yasin Bq.Asniwati/L.Muaidi

98 5/2/2020 L L.Ardiaz Wirayuda Bq.Ril idadah/L. Ruslan

99 5/8/2020 P Hafiza Ramdan Ida Laeli/Suherman

100 6/22/2020 L M.Akbar Rahmatullah Dewi wulandari/Sulhadi

101 6/3/2020 L Naufal Driabiu imratulsoleha/M.Saleh

102 6/3/2020 P Aisyha Maula Iskandar

103
104
105

106
107

108
109

110
111

112
113

114

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Loyok
Dusun : Dasan Tereng
Posyandu :

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 1/8/2016 L Asril Akbar Muhrin/Maruni

2 4/4/2016 L Umam Assani Samsul/Parihun

3 4/12/2016 P Tara Apriani Sumaeni/M.Imran

4 4/30/2016 L Rayyan Apriandi Andi/Bq. Siti Maemunah

5 - - 2016 L Faqih Zanuri

6 5/1/2016 L M. Zyandru Ghizan Akbar Hendri S. /Bq. Johariah

7 6/14/2016 L M. Raffasya Arkana Al F. Suaidi/Suarni Wati

8 7/28/2016 P Alena Haerani Suriah/Junaidi

9 8/13/2016 P Azira Emi Lestari Rohaeni/Dedi Sukanto

10 8/21/2016 P Elzati Kamarudin/Muliati

11 10/6/2016 L Gumilang Abdul Kholil Khaerul/Saupi Wulandari


12 12/5/2016 P Selti Hurdiyanti Huriati/Sahabudin

13 1/2/2017 P Nurrodiana Nurhan/Mahsup

14 1/20/2017 P Erdita Paradiba Rosmiayu/Hakimin

15 13-04-2017 L Sapril Bq.Riska/Rahmat

16 4/25/2017 P Latifa Raisa Azzani Masitah/Yakub

17 5/1/2017 P Meisya Amelia Yuliana/Sayuti

18 5/2/2017 P Bq.Meisya Chaerunnisa Fatmawati/L.Ikhsandi

19 5/6/2017 L Rifki Hamizan Mahini/Mahrip

20 6/16/2017 L Dzikra Ma'rifatullah Sumiati/Saefullah

21 7/1/2017 P Mikha Aulia Muhsan/Parni

22 7/18/2017 L Zulkarnaen Zohratul/Sanip

23 8/28/2017 L Wira Hadian Arfa Abqori Bq.Novia H/Suaedi

24 8/16/2017 P Anisa Agustina Sorah/M.Samsul

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

25 1/31/2018 P Erista Safana Dewi Sri Hendrayani/M.Sidik

26 02/2018 P Lidya Hajar

27 4/12/2018 P Alifa Ayudia Inara Eni Septiana/M.Suaedi

28 5/4/2018 L Arfan Putra Syakbani Rinasih/Saparwadi

29 7/24/2018 L Julian Wardana Nurzoni/Muhidin

30 9/8/2018 P Dzakiana Haerunnisa Hidyatul Fitri/Sahrudin

31 22-08-2018 P Syafira Nanda Adha Raehan/Sabirin

32 9/4/2018 P Septi Karniati Isti Karnia/Sahabudin

33 23-09-2018 L M.Alfariz Rosyidi Maya Sefti Apsari/Mansur

34 29-10-2018 P Nafiza Azzahra Ridaah/Hamdan

35 12/22/2018 L Ogi Irwanda Muhir/Munisah

36 2/22/2019 L Akasya Arian Jayadi Herman J/Maemunah

37 3/29/2019 P Sepria Humaedi Sapriadi/Sumaeni

38 4/3/2019 L Rahman Alyusufi Sahabudin/Huriati

39 4/9/2019 L Zulkarnain Hasum Budiati/Hasum


40 5/1/2019 P Aeni Talita Zahra Sabar/Nurul

41 6/7/2019 L Jul Aswandi Musmuliadi/Mariam

42 10/25/2019 p Azkia Nur Asyifa M. Sapri/Yusril Suhaemi

43 11/5/2019 P Kholisa Syafa Arsyla Arwani/Saparwadi

44 12/6/2019 P Amira Destiani 3 Rohani/Musa

45 2/20/2020 P Dania Nuriati/Hamzan Wadi

46 3/17/2020 L Sultan Fatih 3.2 Wahiyatun/Anggaria

47 4/24/2020 L Atha Faris Ramadhan 3.1 Mulianti/Nasrun

48 6/21/2020 L M.Alfatih 2.5 Nasip/Mainun

49 11/6/2020 L Hasbi Asratullah 3.9 Hj.Maryam/Basri

50 11/25/2020 P Qinara Nur Annisa 1.9 Nurul Hidayati/Jumawadi

51

52

53

54

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Loyok
Dusun : Mangkling
Posyandu :

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 2/20/2016 L M. Febrian Ansori Sri Handayani/Suparman

2 3/20/2016 L M. Amrozi Azani Mahsip/Ning

3 4/22/2016 L M. Afdal Riski Maulana Idi/Hultiah

4 4/15/2016 P Siti Hidayati Sabri/Misnun

5 10/18/2016 P Wili Hana Salsabila Muslihan/Zaenudin

6 12/22/2016 P Halipa Maulida

7 2/21/2017 P Adiba Sakila Atmarini Agus/Rini


8 2/23/2017 L Andrian Zaki Alfarizi Saparwadi/Mahisun

9 6/15/2017 P Ziadatul Ulya Rabiatul Adawiyah/Ramli

10 6/28/2017 P Arista Salsabila Putri Zulkarnaen/Nurlaeli

11 10/12/2017 P Ama Naura Kalila Nasrin/Hadropita

12 5/12/2017 L Zikri Akbar Hamiz Nurul Hidayati/Herman

13 22-03-2018 L Albi Hairil Habibi Sri ernawati/Habib

14 14-05-2018 L Ghinan Aulia Basiran Selemah/Sahirudin

15 8/18/2018 P Alia Maora Agus Sapriandi/Lilik

16 14-10-2018 P Naura Attila Nurhayati/Bambang

17 3/3/2019 L M. Irzadul Najib Salman/Raehani

18 L Riski Aditya Salmah

19 4/14/2019 L Azka Azam Alfatih

20 4/25/2019 L Izwan Hasbi Ibrahim/Surniati

21 6/24/2019 P Aulia Harizatul B Junaedi/Huljanah

22 7/13/2019 P Dina Safira Ruslan/Salmah

23 8/3/2019 L Syid Zakir Hadidi Agustiawan/Ana

24 8/8/2019 L Rafa Ematul Adha Ruslan/Oktavianti

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

25 10/27/2019 L Danu Arta Dwi Randa Deni/Linda

26 11/12/2019 L M. Zikri Algi Istiani/Herianto

27 11/20/2019 L Aditya Rahmat Susilawati/Saharudin

28 12/10/2019 L M.Faqih Alghifari Fitriani/M.Suaedi

29 12/19/2019 P Kiara Hasna Amelia

30 3/17/2020 L Haerul Rozikin

31 4/13/2020 P Cahaya Sabrina Ifang/Rohani

32 5/9/2020 L M.Alfandi Arsha.R Andi/Saopi

33 6/11/2020 L Devin Andrea Diandra/Desy

34 6/11/2020 L M.Fatillah M.Yani/Juliani

35 8/8/2020 L M.Bilal Alfarizi Yuliandri/Azlina


36 8/21/2020 P Nara Atila Marwin/Rohani

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Loyok
Dusun : Dasan Paok 2
Posyandu :

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

1 24-01-2016 P Adelia Khaira Wilda Mahdan/Muliana


2 26-02-106 P Ardani Sakina Murasri/Hamdani
3 14-03-2016 P Zia Akifa Naila Rohini/Tanwir
4 4/12/2016 L M. Arkan Al Hafizi Mawardi/Hafizah
5 19-07-2016 P Salwa Fazira Hamid Hifziah/Hamid
6 8/9/2016 L M. Adyasta Sabtian Sri/Agus
7 25-03-2017 P Elviana Amrin/Mirhan
8 4/9/2017 L Ihsan Maulana Argani Haerun Wardiah/M.Irwan
9 4/9/2017 p Almunawira Siuarni/jumahir
10 29-04-2017 L M.Faidil M.Fauzi
11 18-07-2017 P Helmi Aulia Juliana Mawarni/Hermanto
12 9/10/2017 P Nanda Naela Husnan/Haerati
13 30-10-2017 P Okta Ika Safitri Fit/Saprin
14 11/10/2017 P Oliska Noviantika Ika/Adi
15 1/7/2018 L Rendi Piyar Razak Redawati/Suryadi
16 15-01-2018 L Faruq Munaatar Mizi Rusni/Musanif
17 19-01-2018 L Alwi Asegaf Nurhidayati/Zamroni
18 14-03-2018 L M.Maulana Zikri Sinta Damayanti/Ahmad
19 4/7/2018 P Nuraeni Asila Nurhaeni/Ainudin
20 5/12/2018 L Anugrah Arba Hamid Hifziah/Abdul Hamid
21 29-05-2018 L Revandra Maula Arbani Bq.Haerani/M.Safri
22 6/1/2018 P Aqila Ramadhani Sahmin/Mansur
23 6/2/2018 L M.Zaki Ramdhani Nabiatun/M.Badrun
24 16-06-2018 L Sya Al Bukhori Yulunda Sari/M.Yahya

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

25 18-06-2018 L Nurul Faizin Sahnan/Musnaeni


26 14-10-2018 L L.Haerul Atma Novia/L.Zulkarnaen
27 11/4/2018 L M.Alvin Saputra Kartini/Heri Suryawan
28 2/27/2019 P Dinara Wafa Afiza Afzaeni/Lia Armila

29 3/8/2019 P Nabila Kirana Pahrrozi Fahrurrozi/Riski E. A

30 8/31/2019 P Aulia Azkaera Lestari Dahmanudin/Ayu lestari

31 5/8/2019 L M. Haekal Arpani Hafifudin/Rubakiyah


32 5/8/2019 L M.Azril Rafif Alfarizi Yuliana/Supawan

33 6/30/2019 P Medina Keysila Ida Royani/Suaedi

34 9/26/2019 L Sultan Nendra Kam Hariati/Husnawadi

35 7/12/2019 P Hasna Humaeroh Saepullah/Sariah

36 9/1/2019 L Afeef Haris Anansyah Ilhamsah/Istiana

37 9/20/2019 L A.Rialdi Sunan Saputra Sunardi Efendi/Suci F

38 9/24/2019 L M. Dafin Sebtian Ramli Ahmat/Nurhayati

39 10/23/2019 P Nopa Oktavia Putri Rubaiyah/Ahyar Rosidi

40 12/4/2019 P Hesti Maulidia 3.3 Heriawan/Rosida

41 12/19/2019 L Divasa Kahya Hafza 4.2 Uswatun H/Abit

42 1/6/2020 L Azlan Zaedan Mutaqin Herman/Liayani

43 1/23/2020 P Vina Wandari 3.5 Novi/Sukandar

44 2/24/2020 P Azizah Rahmatika Rahayu/Abdurrahman

45 3/4/2020 P Nur Asyifa Istaharah/Suparman

46 3/18/2020 L Alvino Al Farizi Muliana/Mahdan

47 3/28/2020 P Adeva Maura Putri Bq.Hardianti/Fahrudin

48 4/7/2020 P Nadia Azzahra Rahmi H/Saparudin

49 4/15/2020 P Alina Mikaila Akmal Sumarni/Harmaen A

50 5/3/2020 P Meisya Alia Humaira St.Ilwani M/Yasin

51 6/9/2020 P Bq.Keysa Kanaya Azahra Solatiah/L.Abdurrahman

52 6/29/2020 L Attaya Nurlaksono Nurul Hayati/

53 7/2/2020 L Alfaqi Syeikhit Hacandra Naiz Karlina/Samsul Candra

54 7/25/2020 P Qyura Azzahra Fahrurrozi Riski Eva/Fahrurozi

Umur Status Gizi Vitamin A


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
KE LAHIR KELUARGA BBL BB/U TB/U BB/TB Biru Merah

55 8/24/2020 P Nirmala Keysa Adelia Nurhidayati/Zamroni

56 9/7/2020 P Bq.Maria Afifa Mumtaza Ria Prihatini/L.Mahsup

57 9/19/2020 L Abimana Labda Ramli Uli Narsih/Ahmad Ramli

58 10/3/2020 P Adila Zahra Humaira Maenah/Jamaludin

59 10/8/2020 P Mahira Kanza Kamila Silvia Muharni/Yusi Ahmadi


60 11/10/2020 L Muhammad Refdian Nuraeni/Yanto

61
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Gelora
Dusun : Dasan Tinggi
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 2 8/1/2016 P Hafizatun Maulida Rabiatun/M.Isnaini 5203041910770002


2 2 4/2/2016 L 5203042511110006 5203040402160002 Riski wahyudi Mukminah/Suhadi
3 1 17/2/2016 L 5203042111160007 5203041702160004 M.Rafa Elhalad Lilin Irmawan/wildan
4 3 25/02/2016 L 5203042504110026 5203042502180001 Yusuf Jumakiah/Supardi
5 2 27/02/2016 P St. Soleha Hadijah/M.Ali
6 2 9/3/2016 P Yusi Alifia Rahmadani Rosidah/Zaenal
7 3 1/4/2016 L Rafa Afriansyah Raodah/Sahrudin
8 2 31/05/2016 L Udara fatan Sugana M.Amin/Bq.Susi
9 2 16/06/2016 L Dea Randa K Nanang/Bq.Windi
10 1 3/7/2016 L M.Arkan Dahlan Rani/Dahlan
11 1 12/8/2016 L L.M.Khaerul Huda L.Rosidi/Sumaini
12 4 16/08/2016 P Bq.Rihawana L.Mawardi/Nurhasanah
13 3 27/08/2016 L M.Aenul Ihsan Zulkarnaen/Rukaiyah
14 2 28/08/2016 L L.Ahzanul hilal L.Hapipi/Sri wahyuliani 5203043112750169
15 2 29/08/2016 L 5203040705110037 5203046908160002 Helmi Santika Lukman/Maenah
16 2 31/08/2016 P Ghaziya Hafiza Hendru p/Susianti
17 2 26/09/2016 L Rizal Mahali R Herman/Rusnah
18 3 5/10/2016 L Dafa Alfigari Johaeriah/Sumaedi
19 2 13/10/2016 P Bq. Esti Sopiana L.Wildan/St Zulmi
20 1 23/11/2016 L Samsul Hadi Rakbiyah/Sakir 5203040107730343
21 3 5/12/2016 P 5203042712100029 5203044512160001 Nadiratul Isnaeni Ridwan/Sakdiah
22 12/12/2016 P Azura bayatunnufus H.Sopan/Bq.Rohani
23 1 23/12/2016 L L.Dande Aruna L.Toniman/Bq.Eka

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

24 1 27/12/2016 L 5203041701190005 5203042712160003 M.Farisi Maulidi Bq.Isratni/Zatbawi 5203040107801024


25 1 25/01/2017 L M.Rifki Imami Mahsuf/Hilmiati
26 2 8/3/2016 P Tiara Aisyah Hulnaen/Weni Safarani 5203040107910198
27 3 20/04/2017 P 5203041011110033 5203046004170003 Alilatul Bariza Suratmi/M.yadi 5203041610680001
28 3 26/04/2017 L Hafif hariadi Murniati/Kamhar
29 1 19/05/2017 L 520304231110033 5203401905170000 Taufik Hidayat Ismayana/Zulkarnaen
30 1 21/7/2016 P 5203040212150003 5203406107169514 Aira Marsya Naira Asnin/Nawawi
31 3 5/7/2017 P 520304111111004 5203044507170001 Yuliatul Adewati Maliki/Haerani 5203040107840619
32 3 7/8/2017 L M.Iqbal Adabi Suprin Hartin/Ma'rifudi
33 1 23/09/2017 P Alfian Rahman Saelah/Safrudin
34 1 27/09/2017 L M.Angga Pratama Mariani/Imam Kholid
35 1 20/11/2017 P 5203040411110027 5203046011170002 Anggun Nabila Hernawati/Saat
36 4 26/11/2017 P Afzin Diana/Iwan 6401030703830003
37 3 26/12/2017 P Azizah Huriaton
38 2 17/01/2018 P Arsyila Qurratul H Ernawati 5203041468770002
39 2 19/01/2018 L L.Arjanu Safara Miftahul J/L.Arya
40 2 13/02/2018 P 5203042211170001 5203045302180001 Azwa Armadina M.Juaini/Muliani 5203043112580115
41 4 22/02/2018 P Dea Aprilia Fatmah
42 2 13/03/2018 P 5203040509110059 5203045303180001 Naura Syuhada Hartini/Muhlis
43 2 21/04/2018 L M.Faqih Hairil Rahman Hilmiati/Mahsup
51 2 26/4/2018 L M.Isqan Suadi Bq.Ratna/Drs.Suadi
52 2 5/5/2018 L M.Arsya Syakbani Ernawati/Zaeni
53 1/5/2018 L 5203041011110004 5203400105180000 Azka Syaraful Masnin/Saifudin 5203040408687000
55 1 3/5/2018 L Khaerul Huda Rauhul H/M.Ribhan
57 1 4/6/2018 L M.Ramdhani Akbar Suryani
58 2 21/06/2018 L L.Alfan Haerani/L.Suparman
59 2 21/06/2018 L L.Alfin Haerani/L.Suparman
60 3 3/7/2018 P M.Rifan Ghazali 2,8 Nur
61 2 4/7/2018 P 5203041311120019 5203400407180000 Nafizatul Ulma Faridah/Salman

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

62 1 5/7/2018 L M.Irza Ardani Eli Ernawati/Asri


63 2 12/7/2018 P Nafaza Fatiannur Bq.Nurhayati/Hendri
64 2 29/07/2018 L Bayu indrawan Raehan/Zulkarnain
65 4 3/8/2018 L L.M.Mikraju S Bq.Hidayani
67 1 7/8/2018 P 5203041405130001 5203400708186592 Selasih Gempita Husnul H/Mustamin
68 1 20/9/2018 L M.Rasyid Jaelani Sarwani/H.Radin
69 1 1/9/2018 L 5203042209140015 5203400109180000 Gempar Maulana Erna Sulistiana/M.Efendi
72 2 28/09/2018 P Sahira Ayuni Nurhasanah/Khaerudin 5203042710870002
74 1 18/10/2018 P 5203040809170002 5203045810180002 Olivia Amanda Rohani/Hamdani
75 1 19/11/2018 L L.Aryadi Aska Huriah
76 4/12/2018 L Azam Asiqol 3,6 Fatimah/Mustamin
77 28/12/2018 P Laela Sahira 2,2 Huriah/Suhaedi
78 1 28/12/2018 p Alea Zakira 2,5 Huriah/Suhaedi
79 2 12/1/2019 L Arka Khaerul Suana/Haeruman
80 3 14/01/2019 L M.Faiq Muntazir Muslihan
81 2 7/2/2019 L Dafa bnu Hafiz 3,5 Kamila Sofi/Mustalib
82 2 25/02/2019 L Nino Dwi Prayoga 2,7 Nia
83 2 13/04/2019 P Bq. Tsania Anzani 3 Erni/L.Sukarno
88 4 3/5/2019 P Lizatin Nubuwwah 3 Zaenab/Suhaeli
90 3 11/5/2019 P Bq. Anasya Ardiana 2,9 Bq.Yeni/L.Hendrawan
91 1 12/5/2019 P Rahima Ramdhani 2,9 Hariana/Muliadi
93 3 9/6/2019 L M.Arta Nabil Nauza 3 Mawardi/Radiah
94 1 25/8/2019 P Mila Hadziana 3.2 Sumiani/M.Idris
96 2 6/4/2019 P Arsyila Yusfina 4,4 Endang Safitri/Saparudin
97 2 8/8/2019 L M.Raska El Rumi 2,3 Sumiati/Abdul Gofur
98 2 9/9/2019 L M.Sayyid Umar Halim 2,9 Bq.Yuni/Sunardi
99 1 26/10/2019 L L.M.Ashab Rizki 3,2 Rabiatul/L.Rakib
100 1 10/26/2019 L L.Hibban Ali Afdal 3.4 Nihayatun Nufus/L.Hibban

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

101 3 11/20/2019 L L. Zaenul haq 3.5 l.Hasan Mas'ad


102 1 11/26/2019 P Kamila Yasmin A 3,8 Nurjaanah/M.azis
104 1 17/11/2019 L M.Faiz 4.2 Holiana/Saipul
105 2 2/1/2020 P Azkaira Novian 3.4 Novita/Yani
106 2/12/2020 p Hafuzatul Aulia
107 1 /3/2020 L Faturrahman Nurhaliza/Junaidi
108 2 4/3/2020 L M.Fariz Akbar Sriwati/Muslihin
109 2 4/21/2020 L Nahla Dhaena Humaera 2.8 Ely Suryani/Zulyadaen
110 2 5/5/2020 P Adelia Nurhayati/Saparudin
111 3 6/22/2020 P Zina Putri 2.7 Khusnul Khotimah
112 3 6/5/2020 P Tika Azkia 2.7 Nurul Hidayah/Suparman
113 1 7/17/2020 L A.Dirga Nafis 3.7 Suaeb/Juliani
114 2 7/18/2020 L M.Dika Anugrah 2.7 Kartika Dewi/M.Suaibi
115 1 7/19/2020 L M.Hafiz 2.9 Ayub/Zumaini
116 1 7/8/2020 L Revansyah Dirgantara 2.1 Edi Jayadi/Rosa
117 7/11/2020 P Bq.Hana 4.2 Resta Febrianti/L.Husniadi
118 2 9/29/2020 P Nadira Wardatul.S Marlina/Abdullah
119 4 11/15/2020 P Hipna Maulida 3.8 Nurjannah/Muhammad
120
121
122
123
124
125
126
127
128

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Gelora
Dusun : Dasan Telaga
Posyandu :
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 3 17/1/2016 P 5203042611120001 5203045701160003 Putri Amira handayani Ridwan/Sulhiyah


2 29/1/2016 P Amelia Putri zahra Hilmiah 5203053112820827
3 1 15/2/2016 P Sherin Halifatunnisa Rini/Zaeni 5203041203840008
4 2 8/3/2016 P Tiara Aisyah Hulnaen/Weni Safarani
5 2 29/4/2016 L Kholiqul khaer Sulhijjah/Safarwadi 5203042102870001
6 3 29/4/2016 L M.Nurul Ihsan Nurhayati/Harianto
7 1 30/4/2016 L 5203042908170001 5203043004160008 M.Haras Naufal H. Nurhayah/Marsaid
8 1 12/6/2016 P Rika Sabrina Sabri/Nurhasanah
9 3 6/6/2016 P Bq. Roqiatul Isnaini L.Udin/Bq.Hasmiati
10 2 10/7/2016 P 5203041612110042 5203045007160003 Nabila safitri Martini/yusron 5203071811870009
11 1 15/7/2016 L M.Baiturrosyid Nurul Ain/Rajiman 520304012940003
12 2 16/7/2016 P 5203041402150010 5203046507160003 Aisya Ayudia Inara Uswatun Hasanah/Zohriadi
13 3 25/7/2016 P Ayunda Syakila Halimatussakdiah/Lukman 5203040206960006
14 3 27/08/2016 L M.Aenul Ihsan Zulkarnaen/Rukaiyah
15 3 12/8/2016 P Humaero' Khaerunnisa Subakti Irpan/Rabiatun A
16 1 19/08/2016 P 5203051706150003 5203405908168023 Salwa Naura Zakia Nurhasanah/Wahab 5203040107721316
17 2 19/09/2017 P Ayudia Keisha 3,3 Aminah/Supardi
18 2 6/10/2016 P 5203041301150006 5203044610160001 Alia Aziza Saprudin/bq. Hatiah
19 1 12/11/2016 L M.Eza Algazali Nuraini/Musairi
20 1 27/12/2016 L 5203041701190005 5203042712160003 M.Farisi Maulidi Bq.Isratni/Zatbawi
21 1 23/1/2017 P Bq.Alus Riskia Assyari L.Irwan/Bq.Windi
22 20/4/2017 P Dinda Syakila Putri Yusron/Nurmayani
23 3 23/5/2017 L Riskayanti Haeran/Hamalah

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

24 2 29/05/2017 P Napisa Aulia Rahmini/Suhaemi


25 1 21/6/2017 P Fatimatuzzahro Saepul/Udusiah
26 1 15/11/2017 L Teguh Diwansya Bq.Evi/L.Yusril Wardani
27 1 22/11/2017 L Halil Noviandi Wardani/Fikri
28 2 3/12/2017 L M.Laki Anisa/M.yusuf

29 2 1/1/2018 L 5203042907190004 5203070101180001 M.Fatih Rizki Anita/A.Saokan


30 11/1/2018 L 5203041111170004 5203401101185733 M.Rizal Pratama Nuraini/Lukmanul H
31 27/2/108 L L. Hasta Lingga L. Wira Darma/Hidayatunnur
32 4 23/03/2018 P Alya Rohani/Asir
33 1 18/4/2018 L 5203041607140020 5203041804180002 Revan Maulina Eka Oviana/Indrayadi
34 1 8/6/2018 P Nazipa Rahma Nuraini/Rizal Aryadi
35 2 6/7/2018 P Zea Fazia Nuha Husnayani/Hairul Fiqri
36 5 17/07/2018 L M.Rizal Kurniawan Rohani/Rosidi
37 1 17/10/2018 L M.Reno Alfariq Ririn/wendi Rohandi
38 2 3/1/2019 P Dania Meisyahrani Jumakyah
39 2 14/02/2019 P Fazia Nabila 3 Embun Rosdiana/Hendik
40 3 18/02/2019 L Febri Maulana 3,5 Raodah/A.Amin
41 2 1/4/2019 L Habib Sulthon Hj.Nurhasanah/Wahab

42 3 9/6/2019 L M.Arta Nabil Nauza 3 Mawardi/Radiah

43 1 25/8/2019 P Mila Hadziana 3.2 Sumiani/M.Idris

44 1 16/10/2019 P Alifa Syakila Ayuna 3.1 Yunita/M.Faizal

45 2 21/11/2019 P Nurul Jihan 3.4 Nurhayati/Harianto


46 1 11/27/2019 L Arkan alwi asgar Apriana/M.ali asgar
47 2 12/30/2019 L zaidan salim 2.1 Hadijah/zulkarnaen

48 2 12/30/2019 L Zaidan ali 2.5 Hadijah/zulkarnaen

49 12/12/2020 p Hafuzatul Aulia

50 1 1/23/2020 L Alifat Albayani 3.2 Nurni/Sumardi


51 1 1/30/2020 P Ersi Angggraini 3.4 Erni/Rosiban

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

52 1 1/12/2020 L M.Akbar Rizwan 3 Nurhayati/Marsoan


53 4 1/14/2020 P Kaliza Putri 2.8 Hirwani/Samsul
54 3 2/4/2020 P Anima Putri 2.6 Nurul Aini/Rojiman
55 2 2/24/2020 L Inka Dwi Febriano Mahyudin/Haeroti

56 2 2/8/2020 P Alesa Zahra Sahruddin

57 3 2/7/2020 L Adam Nawal Rohanah/Jumadil 5203040107890724


58 1 3/2/2020 L Fatan Khairullah Sabrullah

59 2 4/29/2020 P Anindita Kesyia Raehan/Saeful


60 1 4/12/2020 P Jauza Inara Arrasy Rosianto

61 1 4/29/2020 P Asmakilatunnisa Zulkarnaen/Bq.Sumarni

62 2 5/26/2020 L M.Alfansori Yusril/Hindun


63 2 6/11/2020 P Zildania Ilfahira 3 Harianto/Nurhidayah
64 3 6/22/2020 P Zina Putri 2.7 Khusnul Khotimah
65 2 6/27/2020 L M.Gilang Aditia Saefudin/St.Raehanun
66 3 8/15/2020 L Nizar Asrori 3.5 Devi Aprilia/Tantowi
67 1 8/13/2020 L Ibnu Ali Gaihan 3.4 Sri Wahida/Adam
68 3 9/1/2020 L M.Rahman Fadil 3 Anita/A.Saokani
69 1 10/26/2019 L L.Hibban Ali Afdal 3.4 Nihayatun Nufus/L.Hibban
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Gelora
Dusun : Telaga Daya
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 3 16/6/2016 L 5203041504110011 5203042906160001 M.Ramdani 3.5 A.Tohri/Umrah Aeni 5203043112840434


2 1 3/8/2016 P 5203040601150032 5203044803160008 Zalva Nakia 3.5 Sri hardiyanti/Sanwadi
3 2 11/8/2016 P Dina Abiddarahma 2.8 Rahmawati/Ridwan 5203043112870547
4 2 22/10/2016 L 5203042212100017 5203042210160001 Faturrahman 3.5 Johani/Muhlis 5203041405920005
5 1 P Inara Ulfatul Wafika Bq. Ayu Lestari/Rosidi 5203044511970003
6 5 11/3/2017 L M Yusuf Jumakyah/Nurudin
7 3 9/7/2017 L M.Feri Alfian 3 Huriah/Maksum
8 3 27/7/2017 P Nadira Qurratul Aini 4.5 Nurul Aeni/Rusni 5203040107850965
9 2 8/9/2017 L Rido Rahman 3.5 Rohana/Hasbi
10 4 12/10/2017 L M.Rizki Oktara 3.5 Suhartini/Kurnaen 5203043111287084
11 1 30/10/2017 L M.Saiyidul Majdi 2.7 Sopoatun Aini/M.Ishaq
12 1 14/12/2017 L M.Fayyad Azizi 2.7 Aulidia/Abdul Aziz 5203040107760358
13 2 4/1/2018 P Aprilia Faira 2.8 Sumiaton/Amrullah 5203041503890001
14 1 7/3/2018 P Kamila Farha Abida 3 Miftahul J/Suherman
15 1 27/1/2018 P 5203040107660407 5203406701180000 Putri Aulia Anjali 4 Nurhidayati/Sakirin 5203043112790186
16 3/6/2018 P Qurratul Ayuni 3.5 Candri/Haeruman 520304119740003
17 1 18/8/2018 P Naya Anggraeni 3.2 Muslihan 5207041304900001
18 1 22/8/2018 L 5203046109170002 5203042208180001 M.Ikromi Akbar 3.5 Muslihan/Nadrin
19 29/9/2018 P Nurul Hidayah 3.2 Haeriah/Saeful
20 3 9/10/2018 L M.Pahrur Rozip 3.5 Rosiana/M.Muntazip
21 1 14/11/2018 P Ulfa Rahma 2.8 Hidayati/Ihsan
22 2 20/12/2018 P M.Abdul Razak 2.7 Nurhayati/Ahyar Rosidi
23 1 9/4/2019 P Onjud Nadiva Azahra 2.7 Ayuni/M.Aminullah
24 2 20/4/2019 P 5203041710130017 5203046004190001 Hidayatul Husna 3.2 St. Harni/Ainudin

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

25 5 13/6/2019 L Riski Saputra 2.3 Muliana/Solihin


26 2 25/6/2019 P Anis Hapsatulaini 3.5 Nurul Aeni/Adl.Hanan
27 1 10/7/2019 L 520304131280003 5203401007197584 M.Irsyadul Faizi 3 Amal Saleh/Anis Nayani
28 3 21/8/2019 P Elvina Suciatul 2.9 Suci/Samsul H
29 3 23/8/2019 L Alabi 3 Umin/Suaidi
30 2 4/9/2019 L M.Abid Akbar 2.5 Nur'aini/Sur
31 2 L Ajis Maulana Irawan/Mariana
32 2 15/10/2019 L M.Faozan 3.8 Haerani/Zaemudin
33 4 9/25/2019 P Naura septiana 3.7 Maemunah/udin
34 2 1/18/2020 P Alfia Mariska 2.8 Usman/Mardiana
35 1 1/31/2020 L Arsya Maulana 3 Sabariah/Rusdi
36 2 1/16/2020 P Sakila Amelia 3.8 Sabrun/Rubaiyah
37 3 3/5/2020 P Naura Sifaul 3.8 Sabri/Nursaadah
38 3 3/16/2020 P Sepina Kaisya 2.8 Sarbini/Halimah
39 2 7/10/2020 L Hafiz Ziadi 3 Sopiatul Aini/M.Ishaq
40 2 9/2/2020 P Septia Lestari 2.9 Istiharah/Safrudin
41 2 9/20/2020 L M.Rafi Akbar 3 Muslihan/Hadrin
42 1 10/18/2020 P Bq.Mita Cahyana 3,2/50 L.Muhsan/Ana Husniati
43

44
45

46
47

48
49

50
51

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Gelora
Dusun : Serengat
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 1 29/10/2016 L 5203042212110633 5203402705164888 Rhipki Devin Farita Rini/Dayat 5203040107890842


2 2 15/01/2017 L M.Efriangga Putra Uji 5203040207740110
3 2 25/02/2017 L 5203040309150001 5203045706144085 Febi Regina Putri Pathul/Fatimah 5203040207740221
4 1 23/09/2017 P 5203043107170004 5203045706144633 Afifa Johara Romansya Sahrum/Joharni
5 2 1/10/2017 P 5203042202190009 5203405001171178 Latifatul Isma Asmini/Ilman 5203040107721059
6 2 9/11/2017 L M.Amrullah Muslihan/Sobirin
7 1 L Angga Saputra Usi Damayanti/Padli 5203040207740117
8 2 13/02/2018 L 5203040512150006 5203041302180001 Aldi Saputra Ani/Andi
9 2 27/02/2018 P Bq.Arum Febriani Nur'aini/L.Ratgenaadi
10 3 28/02/2018 P 5203040309150001 5203046802180001 Gaby Regista Fatimah/Fathul
11 1 4/5/2018 P Bq.Kamila Ilma Eva/L.Nurge Dani
12 2 7/5/2018 L 520304170211019 5203400507180000 Virza Juanzadani 3.3 St.Rohani/Sahdan
13 1 26/05/2018 P 5203040106110005 5203045706144624 Dilara Zikra Zulfiaton 3 Eni Fitria/Irwandi
14 2 1/6/2018 P Bq.Sabrina Suhanti/Jupri
15 2 8/6/2018 P 5203042112110100 5203044608180001 Adhwa Azzahra Atun/L.Marwi 5203041605790002
16 2 25/08/2018 P 5203042112110105 5203046508180003 Serlin Adela Joli Fitriah/marjunip
17 1 14/12/2018 P 5203040612170002 5203045412180001 Cahaya Audi 2.9 Hijjul Mabrur
18 2 17/3/2019 L M.Gigih Saputra 3 Laela/Andi
19 2 29/3/2019 P Alfa Alya 3 Laila.S/M. Yusuf
20 2 5/6/2019 L Ahmad Al-Farizki 3 Hartini/Sapawardi
21 2 9/6/2019 P Khaera Azkia 3 Suherman/Juma'yah 5203402208179565
22 1 23/8/2019 P Adela Agustina 2.8 M.Ramdani/Sulastina 520304080610001
23 4 30/8/2019 P Marisa Zabida Aulia 3.5 Raehan 5203041012700221
24 1 8/23/2019 p Adelia Agustina 2.8 M.Ramdani/Sulastina 5203042808850001

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

25 4 8/30/2019 P Marisa Zabida Aulia 3.5 Raehan 520304041280001


26 2 8/6/2019 L L.M.Alhabibie

27 1 1/28/2020 P Aiswa Sabila R 3 Suharni/L.Fendi 5203041012700227


28 3 2/28/2020 L Wafa Maulana 1.9 Irnawati/Hirman
29 4 2/28/2020 L Wafi Maulana 2.2 Irawati/Hirman 5203040207740220
30 2 5/2/2020 P Adila Azwa Kirana 2.8 Muslihatun/Hamzanwadi 5203040207740221
31 1 5/18/2020 P M.Davinci Huannur 3.5 Ahyar Rosidi/husnul khotimah 5203040511920001
32 2 4/6/62020 P Arsyila Yunanda 2.7 Ema Sopianti/Heri
33 4 6/22/2020 P Suci Apriliani 3 Murtiah/Nasrun
34 4 6/22/2020 P Suci Apriliani 3 Murtiah/Nasrun
35 1 6/14/2020 L M.Atalaric P 3.5 49 Bq.Intan/Rizal Mahendra

36 1 8/13/2020 P Nayla Agisna 3.5 Sunardi/Anita Safitri


37 1 8/18/2020 P Hulyatul Alma 3.5 50 Irma/Nila Windasari

38 3 9/21/2020 P Serina Zepana 3.5 50 Murdiana/L.Akmaludin

39 2 9/12/2020 P Natasya Saqwina 2.9 48 Mustikaini/L.Hasan

40 1 10/18/2020 P Kalisa Agnia M 3.2 50 Dedi Saputra/Rina

41 3 10/10/2020 P Bq.Zahra Nurhaqqi 2.3 48 Imran/Johriah

42 2 11/19/2020 L M.Holiq Akbar 3.1 48 M.Suhirman/Muanah

43
44
45
46
47
48
49
50
51

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Gelora
Dusun : Rungkang 1
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 1 22/03/2016 P 5203042105140006 5203402203160000 Aura Suci Haeriah/Jodi Sapari


2 2 6/3/2016 L 5203041009140520 5203406406158420 Izil Asgap Elmiati/Rusdi 5203041703890001
3 2 28/6/2016 P 5203041912110114 5203406406158221 Viera Alfareza Linda/Her 5203040207740111
4 1 17/6/2016 L Abi Gibran Bq. Linda /Dulhan 5203041012700225
5 3 30/6/2016 L 5203042010100007 5203403006160000 Fierza Ramdani Mukmin/Sadli
6 2 26/7/2016 P Azira Nurianaya Nurhasanah/Sa'id
7 3 15/8/2016 L 5203041009140440 5203400312187792 M.Abditya Rahman Nurul Aini/Khairudin 5203040107700923
8 1 9/9/2016 L Ahmad Arifin Saminah/Abd.Mutalib 5203031110820001
9 4 26/9/2016 P Syakila Misya Rustamaji/her
10 1 25/10/2016 L 5203041911160006 5203402510160000 Okta Hari Angga Saputra Fauzan/Nindi
11 13/11/2016 P Al Zakiya Zohratul Heru Januari/ Sri Astuti
12 2 31/1/2017 P Pira Lusiana Jalaludin/Kurnia
13 3 23/2/2017 P Febrin Arsila H.Muhsan/HJ.Mahsan
14 9/3/2017 L M.Anmar Hamid 2.9 Marnim/Rudianto
15 2 18/3/2017 L 520304240510006 5203406406158777 Rayan Dwi Abianu Eli Sunarti/Sunarno
16 1 26/4/2017 P Kinara Qurani Nyoman Budiarta/Novi
17 3 26/6/2017 L Aidil Malik Rukiza/Erma
18 1 4/7/2017 P Yumna Fariha Royani/H.Sahrudin
19 1 7/8/2017 L Arsa Zian Alfarizi Samsul Hadi/Sri Purnawati
20 1 15/8/2017 P Nada Aufa Az-Zahra Suprianto/Pebriana Lestari
21 2 22/8/2017 L 5203041409100028 5203402208179508 Naufal Azril Halqi Nurmayana/Musanif
22 1 26/8/2017 P 520304810180006 5203048608170201 Akifa Nayla M.Wildan/Sopiatul
23 1 15/9/2017 P 5203042508110225 5203406406158228 Nirina Zaufa Yuhanis Suhaidi yusuf/Eis
24 1 11/10/2017 P 5203040211170004 5203045110170001 Arumi Nasa Razita Ermahadi/Mahrani

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

25 2 25/10/2017 L 5203041404140004 5203402301168227 Amanul Wahisan Sosiawandi/Asmayani


26 2 19/11/2017 L M.Gibran Alfi Nurhidamayanti/Imsan
27 1 24/12/2017 P 5203040902170006 5203046201180021 Azira Nur Afni Antini Larasati/Sapta W
28 25/12/2017 L Akbar Maulana Mahnim/Sapri
29 2 19/2/2018 P 5203040902170116 5203406406158218 Shaqila Husna Afiqa Fitriani/Sukardiman
30 2 19/2/2018 P 5203040902170221 5203406406158552 Shakira Husna Afiqa Fitriani/Sukardiman
31 1 15/3/2018 L 5203040404190004 520304100780007 Azam Kholid Putra Nunik/Noviandi
32 5/10/2018 L M.Aliandra Rahili/Kurnaen
33 2 15/5/2018 L Alif Azzikri Laili Fitrian/Hendri
34 1 25/5/2018 P Elsa Hermayana Ena Diana/Sawaludin
35 2 25/8/2018 P 5203040902170119 5203046201180228 Aina Zahratul Ismi Nahdatain/Imran
36 2 9/9/2018 L Zion Arfan Fahreza Ilmi Fitriani/M.Saleh
37 2 25/9/2018 L Adam Yazid Sulastri Ningsih/Hasbi
38 1 5/10/2018 L Jio Iman M Misnah/Juniadi
39 1 28/10/2018 P 5203043010180001 520301680180001 Yasmin Okta Almahyra Helmi Riani/Agus S
40 1 11/12/2018 L 5203040902170116 5203044104170882 M.Zaid Hasqi Saskia/Hasibuan
41 2 26/12/2018 L 5203041912110117 5203400305194005 M.Yusron Nursiaga Nurhasanah/Irawan
42 2 29/12/2018 L Habib Arif Billah Dewi Sukawati/Fathul A
43 2 1/25/2019 L Sandiaga Aldi Rahman Linda/Dulhan
44 2 16/2/2019 L 520304281211006 52030416021902 M.Faizan Hartini/Udin
45 3 5/4/2019 L 5203041411170005 5203040504190001 Imam Ghazali 3 Herliana/Iwan Darmawan
46 1 8/4/2019 P Noya MeiZahra 3 Nurjanah/M.Yondi H
47 1 19/4/2019 L M.Kholil Sya'bani 3 Selvia/Mawardi
48 21/4/2019 L Elfatan Rabbani 2.9 Yuni Sistia/Edi Kurniawan
49 2 22/4/2019 P Nuralipa Alindrari 2.9 Isnawati/M.Ramli
50 2 24/4/2019 P Ayuna Harumi 3.5 Bq.Sumarni/Ahd Jaelani
51 1 22/7/2019 P Annasya Assyifa P 3.3 Fatimah/Saffar
52 2 13/8/2019 L Habib Rijuan Sani 3.8 Muliana/Suparman

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

53 4 14/8/2019 L Saka Arya Perwira 4.2 Ati/Sahab


54 1 19/8/2019 L Ahmad Rafki Zamhuda 3.6 Muliani/Mashulnawadi
55 2 18/9/2019 L M.Nizam Arzani 3.2 Dani Warni/Muhsin
56 9/10/2019 L Farel Aldi Kirata 3.3 Juniarara/Agus
57 2 11/10/2019 L Rama Rahasya 3.3 Hamdan/Rahmawati
58 2 11/10/2019 P Marsya Azana 3.4 Salimah/Marsoin
59 2 21/10/2019 P Lanika Zoya Arima 3.2 Wahyuni/Marloi
60 1 1/13/2020 P Zeevana Riko sepiah/Abd.Hamid
61 2 2/8/2020 p Zoya Evanzia K 3.4 Eva/Ovan
62 1 2/2/2020 P Ninis Febria 2.8 Sri/Pajri
63 1 2/18/2020 L Rayyan M 3.1 Wiwik/Wildan
64 2 3/9/2020 L Kenzie Irawan 3.1 Yeni/Deden
65 2 3/9/2020 L Kenzi Irawan 3.1 Yeni/Deden
66 1 3/30/2020 L Alfin Rafiski 1.6 Wendi/Husniati
67 3 4/21/2020 P Nela Aprilia 3 Nurhayati/Fadli
68 1 6/3/2020 P Assya Sholeha 3.5 Eva K/Safudin
69 2 6/11/2020 P Kansa Kalila 2.9 Hilmiati/Saprudin
70 1 7/4/2020 P Sabiyan Hidayatul 2.6 Rohmatul/Hadiyan
71 2 7/31/2020 P M.Revan Muzani 3 48 Muliati/M.Husnayadi

72 2 7/22/2020 L Dion Juliantara 3.6 Haeriah/Dodi Safari


73 2 8/13/2020 P Irtia IsyiatulIsmi 3.2 Haryati/Irwan
74 2 10/13/2020 L Ahmad Abi Wakas 3.2 48 Hulfawati/Abdul Agus

75 3 10/11/2020 L Fatan Wafiq 3.6 Heri Martadi/Nurhayati


76 3 10/28/2020 L M.Bilal Abqary 3.5 Farida/Dedi
77 1 11/19/2020 L Naela Fitri Antika 2.8 45 Insan wadi/Febiantika

78
79
80

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Gelora
Dusun : Rungkang 2
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 2 28/6/2016 P Aniza Zula'ini Rohani 5203040904770001


2 1 5/8/2016 P Hana Safitri Hamdiah/Kamaludin 5203041007810005
3 2 20/8/2016 P Intan Melisa Jamiah/Sahlan 5203043112750133
4 3 25/9/2016 L 5203041312110002 5203401910196053 M.Faezar Rizki Eni/Sum 5203040107900821
5 2 5/10/2016 L Shaka Trinanda Riad/Icha 5203041007810003
6 1 21/10/2016 P Intan Muliana Ramiah/Usman
7 2 24/10/2016 L L.Atala Rifaul L.Harmaen/Susianti 5203040207830004
8 1 24/10/2016 L Deni Arka Anggara Dian/Eni 5203042205440002
9 6/12/2016 P Nila Cahaya Maulida Saparudin/Martini 5203040107750737
10 2 3/1/2017 P Alenda Mega/Wirman
11 5 29/1/2017 L M.Januardi Akbar Junaedi/Raehan 5203200705970002
12 1 3/2/2017 P 5203042406118004 5203404302173084 Asinta Elifsa Anti/Wira 5203041007810008
13 4 15/2/2017 P Syakila Assaila R Maknah/Khaeril 5203053112890071
14 1 12/3/2017 P Nadira Awalia Nurusila Awaludin/Nurhasanah 5203041007810440
15 1 24/3/2017 L 5203041808160002 5203401910199969 M.Alfino Linda/Zakir
16 3 14/4/2017 L Khairun Nizam Alfarizi Mahani/Undah
17 1 15/4/2017 P 5203040103170006 5203045504170003 Nurul Siti Aminah Ismayani/Adnan
18 1 22/4/2017 P Sifa Aprilia Suhada Saep/Isah 5203041104780005
19 2 3/6/2017 P Laura Ramdani Muktar/Ira 5203041203840002
20 2 23/6/2017 L M.Abdul Hafis Johariah/Jayadi
21 5/7/2017 P Rara Herlina Tania Hermanto/Eli
22 1 12/7/2017 L Azra Noval Alfarizi Sandi/Umratul
23 3 26/7/2017 P Khalifa Makaila El Karwijaya/Yuli Amni
24 3 1/8/2017 L M.Izul Haq Sri/Udin

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

25 1 10/8/2017 P Hesti Qomah Zakiah/Sudirman


26 3 17/08/2017 P Bilqis Merdeka Putri Suharti/Mastur
27 2 17/08/2017 P 5203042412110034 5203406406158447 Azima Andiendita Saiful/Marhamah
28 3 19/9/2017 P 5203040912110033 5203402301168775 Ardina Najwa Rakmah/Subki
29 2 3/10/2017 P 5203042912110021 5203406406158229 Syaralin Safania Hil/Ahmad
30 2 26/10/2017 L 5203043112100006 5203042610170005 M.Habib Islam Haerun/Isnaen
31 1 10/12/2017 L Wahyu Maulia A Mazidan/Wahyudi
32 3 8/2/2018 P 5203041405180228 5203406406158339 Naura Febriana Yeni Astuti/Sudir
33 2 15/2/2018 L M.Satya Ma'rifatullah ini/Yudi
34 1 3/3/2018 L 5203040902170228 5203406406158559 Alfaraz Akma Fadil Sulastri/samsul
35 2 12/3/2018 P Kanaya Sabyan Cahya Wati/Yar
36 4 14/3/2018 L Ilyas Jumakyah/Ham
37 2 28/3/2018 P Safinatul Najwa Sakrah/Mustakim
38 1 4/19/2018 L M.Izamril Ali Amrullah/Iswatun aini
39 1 5/5/2018 P Rara Arana Erna Susanti/Abd.Manan
40 1 24/6/2018 P Tiara Lestari Sudirman/Junita
41 1 29/6/2018 L 5203042908170005 5203402301168226 M.Sandi Mahindriyana/Beni
42 1 9/7/2018 L Ali Sahroni Sahimri/Suhaeman
43 1 11/8/2018 L 5203040902170229 5203044104170265 Teguh Agustiawan Sofi/Johadi
44 2 6/9/2018 P Syabia Farhana Raehan/Andi
45 2 28/9/2018 P 5203040705110028 5203406406158117 Diva Aurelia Her/Gafur
46 2 2/10/2018 P 5203041405180257 5203400305194003 Wanda Kamila Putri Linda/Darwan
47 2 19/10/2018 L 520302250510003 5203046201180226 Gibran Al Hafiz Dewi/Miftah Zaini
48 1 24/10/2018 L 5203042410160001 5203402407180000 Deni Arka Eni/Adrdian
49 2 12/12/2018 L 5203041801160001 5203406406158178 M.Rifki Pratama Hartini/Wildan
50 1 14/12/2018 L Vito Haziqri Rosmayasari/Toni
51 1 11/1/2019 P Sulastri Andriani Solatiah/Subandri

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

52 1 13/2/2019 L Fathir wahid Al-bara 3.5 Sri Rahmatun/Samsul


53 3 15/2/2019 L M.Randi Adipati Yahya 3.9 Fauziah/Nursamad
54 4 15/2/2019 P Hesta Aisyatu Zahra 3 Yanti/Hendi Junaidi
55 1/3/2019 P Azqiya Solatun N 3.1 Nurul Hidayah/M.Wenri
56 1 10/3/2019 P Adelia Zahra 3 As/Harun
57 2 11/3/2019 L Malik Atha 2.5 Mahsun/Hawanah
58 2 1/4/2019 L M.Alfarizi 3.2 Linda/Zakir
59 1 7/5/2019 L M.Alfatih 3 Sahnan/Sri Sulastri
60 2 15/5/2019 L Erza Ramadan Sarifah/Muhlis
61 1 7/21/2019 P Alifa shakila Husna Husniati/Alwi
62 6/8/2019 L M.Gilang Al Rasyid Rusmini/Saparwadi
63 3 15/8/2019 L M.Zio Alfarizi Hamdan/Haeruni
64 2 3/9/2019 L M.Bilal Abdillah Ismayani/Adnan
65 1 16/9/2019 P Swenda Nazita Rahma 3.5 Eva Lusiana/Juliana
66 2 27/9/2019 P Arsya Ayunda 3.2 Malasari/Herman
67 2 20/10/2019 L Sakti Amarta 2.6 Tiara
68 2 30/10/2019 L Imam Ahmad Athos 3.8 Aprida/Adb.Alkhis
69 3 14/11/2019 P Zanuba Iklil 3.2 Imratul Islah
70 2 11/30/2019 L Andrian Dimas 3.7 Kernisari/Heri Wardiono
71 2 11/2/2019 P Kinandia 3.2 Subadiono/Hasmi
72 1 1/10/2020 P M.Akil Alafgani Fani/M.Khairul
73 2 1/20/2020 P Adeva Kalisa Sriani/Nasrun
74 2 1/17/2020 P Bq.Khalisa Q 3 Endang/Zaenal
75 3 1/18/2020 L Holil Fazia 3.5 Irnawati/Alfarizi
76 3 3/19/2020 L Ahmad Hifzil Nurhayati/Afifudin
77 2 4/14/2020 L M.Ziad Ardian St.Sahroni/Andi
78 2 5/9/2020 P Inaya 2.9 Mutia
79 1 6/9/2020 L Rafa Zulkarnaen 2.9 Bq.Anita/Muliadi

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

80 1 6/9/2020 P Bq.Zaina Yasmina 4 Dika/Niki


81 2 6/23/2020 L Hazanal Halqi 3.3 Sagap/Lukluunnisa
82 3 7/19/2020 L Ahmad Fikri Maulana Maemanah/Sabirin
83 3 7/31/2020 P Alifa Nuradha 3.5 50 Samudin/Aminah
84 1 10/7/2020 P Elnara Shezan 4.1 50 Reni/Agung
85 3 9/14/2020 L Haerul Nizam 3.9 Haerul/Isnain
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Gelora
Dusun : Elong Lawuq
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL
1 2 19/4/2016 L 5203042701110014 5203401904168316 Wazidan Marta Rusman/Zaenab
2 2 3/6/2016 P 5203041009140116 5203400305194007 Suriani Isnawati/Ahmad Ishak 5203041901880001
3 2 3/6/2016 L 5203041405180446 5203046201180770 Saeful Hidayat Isnawati/Ahmad Ishak
4 1 17/6/2016 L 5203042501160003 5203401706161968 Arzaher Ramdan Yusron/Eni Sulastri 5203042204820002
5 2 12/11/2016 P 5203041405180990 5203400312187663 Alika Andina P Apriandi/Sriningsih 5203130404860009
6 1 15/1/2017 L M.Alif Januari Iban Sopian/Raudatul
7 1 8/2/2017 P 5203042609160001 5203044802170001 Faradiba Harumnika Z Etika Muliani/ Hardi 5203047112960073
8 3 26/3/2017 P 5203042101170003 5203046603170008 Nirmala Amelinda S Jamaludin/Marniwati 520304121283006
9 3 17/5/2017 L 5203042312110018 5203401705173303 Dafa Ibnu Hafiz Narudin/Sakdah 5203040102290458
10 1 1/6/2017 P Amberli Haifa Nuha Khairul Imam/Sri Saptini
11 2 16/7/2017 P 5203202508160007 5203205607170001 Musfika Sahrani Rina Mulyati/Mustawan
12 2 26/7/2017 P 5203044290319022 5203404912185007 Almira Zahratul Nafisa Yuli K/Irawadi
13 1 27/7/2017 P 5203051010118000 5203406707177149 Oryza Belvania Dedi/Widia 5203045909180001
14 3 19/12/2017 L 5203041405180009 5203405101198660 Rahmat Yusuf Rabi'ah/Murti Ali
15 1 2/2/2018 P Eriana Etis M.Cahyani Suci/Sinar Duana
16 13/10/2018 L Alby Sazzad Kurniawan Dedi/Widia
17 3 11/2/2018 P Desta Alfatihary Endang/M.Salim
18 3 8/1/2019 P 5203042712110054 5203404912185006 Yasmin Nur Izzati Yuliana/Aminullah
19 3 19/1/2019 L 5203041006100013 5203405101198007 Magas Irfan Arif Siti Hajar/Salehudin
20 2 20/6/2019 L Armian Difaalhailaj Sapar Wadi/Hartini
21 1 15/11/209 L Alifan Gaisan Ewik Setiawati/Wahid
22 1 1/23/2020 L Gefino Afzal H Fina/Andri
23

24

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Gelora
Dusun : Tibu Lilih
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 3 19/1/2016 P Indi Nurizati 3.5 Huriati/Hasanudin


2 1 4/4/2016 P 5203041911150003 5203044404160001 Syahla Zafina Rain 2 M.Zunurain/Khaerunnisa
3 2 12/4/2016 L M.Tarmizi 3.2 Sutiani
4 2 13/5/2016 P 5203131909770004 5203131606166001 Rania Bazila Jumaah/Rohani
5 1 17/6/2016 L 520313190770004 5203131606160005 M.Yazid Yasri/Azwar Halkin
6 4 9/8/2016 L M.Imam Imron Hafizin 3 Saharudin/Mahisun 5203042310790001
7 1 6/9/2016 L 5203400609163000 5203400609163135 M.Nabil Mehendra Hendi Zul/Harlina
8 2 17/1/2017 P 5203042106110023 5203045701170003 Sofiyatunnufus Masturiadi/Dewi Wartini
9 1 11/4/2017 P 5203042810120002 5203045104170003 Najwa Salsabila 3.2 Asiah/H.Awaludin
10 3 18/5/2017 P Herlina Rosida 3 Nurhayati/Khairul 5203040707760479
11 2 1/11/2017 L Khaeron Ni'am 3.3 Jumaiyah
12 2 17/5/2018 P Nurdiana Yumna A Nur'asmah/Iwan 5203046308450002
13 3 19/9/2018 P 5203041912130016 5203045909180001 Zahwa Aqila 3.4 Sofiana/amin 5203041503080011
14 1 28/12/2018 P Yasmi Nur Zahra 3.5 Sri Muliana/Sudirman
15 1 13/2/2019 L Abizar Muttaqin Juliani/Samsul
16 2 14/10/2019 P Sabrina Almaraen 3.1 Haerunnisa/M.Zinnurraen
17 1 12/28/2019 P Nana Mariati 3.2 Ismaun/Ratnawati
18 2 1/21/2020 L Imron Hadi 3.4 Hizbun Nazri/Neni
19 1 5/14/2020 L Ahmad Zakir Mubarok M.Fauzan/St.Saleha
20 2 8/12/2020 L Gibran Agustino Saputra 3.1 Abdul Gani/Kasmiatun
21 3 9/3/2020 L M.Naufal Ubaidillah Jumaah/Rohani
22

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Gelora
Dusun : Sepolong
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 2 21/04/2016 L M.Yani Akbar Herman/Maryam


2 1 30/04/2016 L Ahmad Gilang Anwar Ikbal/Bq.Rauhin 5203040311800330
3 2 6/6/2016 L M.Sahrur Ramdani Sukarnawati/Jumrah 5203040207740300
4 1 11/6/2016 L M.Nara Ramdani Sorofiyana/Saprudin
5 1 5/7/2016 L Aidil Maulana Hamidatul Asmi
6 2 24/8/2016 L 523040910070248 5203043091007024 A.Danu Fikri Nurhayani/Muhrif
7 1 22/9/2016 P Azmya H.N Raudah/Zaenal 5203040207740304
8 2 20/10/2016 L Abdul Yazid Wiwin/Sudirman 5203040207740330
9 1 1/11/2016 L M. Azzami Syauqi Izbi Wadi/Mastiah 5203044504160003
10 1 5/11/2016 P 5203042412110015 5203044511160001 Alqiya Noviarahma Badrin/Mahyuni 5203040207740440
11 3 15/11/2016 L M.Husyanul W Nurhasanah/Muh
12 2 11/12/2016 L 5203042608110000 5203041112160001 L.M.Dimas L.Suhardi/Bq.Rahmini
13 3 8/1/2017 L 5203041203155001 520304081170001 M.Diaz Saputra Samsul Hadi/Rohani 5203041012700550
14 1 25/1/2017 P Azzura Zahratul Atika Nurasmat/Raudatul 5203041902780041
15 1 26/1/2017 P Tasya Al Qur'atunnisa Firman Yadi/Bq.Sudi
16 1 29/1/2017 L Dino Ahza Malik Husniati/Marzuki
17 2 7/2/2017 L M.Kholik Akbar Nasrin/Maemunah
18 3 5/3/2017 L Zahidan Syarif St. Himayatul/Hasan Basri
19 2 19/4/2017 L M.Arka Ibrahim/Nurhasanah
20 2 3/6/2017 P Akifatul Naila M.Alwi/Nurianah
21 3 17/6/2017 P Nurhayati Harmaen/Raehan
22 1 30/6/2017 P Nurhidayanti Kidir/Rahmi 5203040107860556
23 1 2/7/2017 P B.Zian Darin Ida Kurniadi/L.Zian Iqbal
24 1 11/7/2017 P Yizwainayati Abdul hayi/suni

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

25 1 4/8/2017 P Bq.Afifatul M L.Irsyad/Hidayati


26 1 9/8/2017 P Tirta Wirayuda Dina K/Lian Waisa 5203020107801019
27 3 20/9/2017 L M.Ilham Nurhayati/Sadli
28 2 17/10/2017 L 5203042506110021 5203041710170001 M.Samir Nasir Aeni
29 3 25/10/2017 P Alqila Fizah Surian/Suaedi 5203400607185996
30 1 6/11/2017 L M.Nabil Azani Indrayani/Agus
31 2 9/11/2017 P Nailatul Azqiya Rabiatul A/Zaenudin
32 1 14/11/2017 L M.Najril Maulana St.Badriah/Herman J
33 1 14/12/2017 L Ahmad Syaikho Aruan Sri Maryanti/Japran
34 4 1/1/2018 P Handayani Maemunah/Hadrin
35 1 5/1/2018 P Shifa Sifahul Husna Bq.Johriah/Subardan
36 2 9/1/2018 P Bq.Riskianatul Husna Bq.Hidayatul H/L.Husnaeni
37 2 5/2/2018 L Alby Lutfhi Rahmani Rohani/H.Sirotul J
38 2 5/3/2018 P Mariatul Azkia Yarni Wati/Yasin
39 3 16/6/2018 P Laudy Sinta Bilqisti Kartini/H.Ruslan
40 2 22/6/2018 L Yusron Zaidan Ernawati/Umar Hadi
41 1 25/6/2018 P Aina Talita Zahra Jumati/Nasrullah
42 1 16/8/2018 L L.M.Azam Al Ausy Indayani/L.Abdul Kudus
43 2 13/9/2018 P Fania Hildayatul Yulianti/Gazali
44 4 26/9/2018 L 5203042611100003 5203042609180003 Sihu Hasbi Nafiz St.Saleha/Suparlan
45 1 16/10/2018 L M.Rafatan maulana Eva Juni/Hartadi
46 1 20/10/2018 L M.Rahandika Alfariq Juliani/Mahendra
47 1 23/10/2018 L M.Zian Asikin Ernawati/M.Fathur Asriadi
48 4 7/11/2018 P Siti Mutmainnah 2.2 Nurhayati/Suhaemi
49 4 7/11/2018 L 5203042609170001 5203112010180007 Fathul Mubin 2.6 Nurhayati/Suhaemi
50 3 8/11/2018 P 5203041505180004 5203112010180006 Zahra Ulya Juhaeriah/muhnam
51 2 22/11/2018 L 5203040712120033 5203041211180002 Firza Indrawan

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

52 2 28/11/2018 L L.Saputra Maulana Haikal Puriyah/L.Zaenul


53 3 21/11/2018 L Al Farezal Haerudi/Hendriwati
54 2 3/12/2018 L L. Kelvin Aditia L. Sudirman/Ritmah
55 2 22/12/2018 L M. Rival Maulana L. Haerudin/Paridah
56 2 1/1/2019 L Yazid Arju Rahmatullah Supardi/Sriwati
57 3 8/1/2019 L L. Pangeran Maulana Amri 3.3 L.Nasrullah/Bq. Widya
58 2 9/1/2019 P 5203040409120064 5203044901190002 Renita Handayani 3 Roni Ahmad
59 2 2/2/2019 P Ainaya Fatia Turrahma 3.5 Nasrudin/Raehan
60 2 18/03/2019 L M. Azka Irham 3.5 Mustarep/Hikmah
61 2 24/03/2019 L Nizam Al Farizki 3.2 Srswandi/Nuraini
62 1 24/03/2019 P 5203042106180001 5203046403190002 Aiza Khalisa 3.4 Fahrizaen/Diana Astuti
63 3 31/03/2019 L M. Fikri 3.5 Masud Efendi/Aeniah
64 2 22/4/2019 L Chandra Muzafar 2.8 Asanasari/Wardatu
65 3 22/4/2019 P Bq.Inara Putri Erliani 3.2 Yuliana/L.Suherman
66 27/4/2019 L M.Alfan Sayadi 3 Sigit Ariadi/Hulianti
67 2 4/5/2019 P Hilia Norfaizah 3.2 Hulaidi/Murniati
68 2 12/5/2019 P Adiba Akila A 3.1 M.Ahyar/Salmiah
69 1 14/5/2019 P Sofiyah 3.1 M.Juaini/St.Fatimah
70 2 25/5/2019 L Abib Maulana Saputra 3.1 Sultan Mulia/Rohani
71 1 6/18/2019 p Aizatul Khumaero Irham Zamwadi
72 1 8/6/2019 P Apqia Fitriani Zulkifli/Hariiani susanti
73 2 13/6/2019 L M.Faruq Akbar 3
74 3 17/6/2019 L Ahmad Nur Syahid 3.5 Abd. Aziz/Murniati
75 3 26/6/2019 L M.Arkan Khafadi 4 Paizah
76 1 23/7/2019 P Wanda Apuani 3.2 Ridwan/Mulianti
77 2 6/9/2019 L Muzaki Hasan 3.7
78 2 3/11/2019 L L.M.Fatir Hidayat Jaelani 3 L.M.Nurul Isnaen
79 3 13/11/2019 P Maulida 3.5 Sohni/Sumarjan 5203040311800330

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

80 2 14/11/2019 P Zahra 3.5 H.Firman/Bq.Sudihikma 5203040207740300


81 2 12/2/2019 P Nazila sania Dazi 3 Haerurrozi/Bq.Muliani
82 1 1/8/2020 p Asyifatul Hanifa 3 Faoziah
83 5 2/16/2020 L Yeza Alga 3.4 Khairul M/St.Hajar
84 1 3/1/2020 P Bq.Taskia 3.4 L.Saiful /Zamratul 5203040207740304
85 2 4/2/2020 P Hiptiatun Inti 3 Nurhasanah/M.Zaqih 5203040207740330
86 2 4/17/2020 P Mahra Husni Kamila 3.2 Suparlan/Johariah 5203044504160003
87 3 5/30/2020 L Ardila Arbani Irham 3.4 Khairul/Kurnia 5203040207740440
88 1 5/2/2020 P Auren Maecantika 2.6 Solatiah
89 2 6/1/2020 P M.Gian Isro 3.8 Wahidah/Wahidi
90 2 6/24/2020 L Aqila Fitria.Z 3 5203041012700550
91 1 6/20/2020 L Ardilan Arbani Ilham 3.1 Khairul watoni/Kurnia 5203041902780041
92 1 7/4/2020 P Alisia Andriani 2.5 Yulianti/Erwin/Ardian
93 7/18/2020 P Sabila asadina 3.5 Saprin/Nurhidayati
94 3 10/12/2020 P Fatiatun Imtihan 3.4 Maemun/Mahdi
95 2 11/14/2020 P Saida Arlin Emilia 2.5 Hamdan/Rosmania
96 4 11/11/2020 P Rabiatun Ilma 3.8 Fauzan/Raohon
97
98
99
100
101
102
103
104
105
106
107

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Gelora
Dusun : Gerami
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 11/1/2016 L M.Amirul Zani/M Holid St.Raehan 5203042801920001


2 19/1/2016 L 5203041405180998 5203406406158000 Ahmad Fathul Bari Fajri/Rulhidayani 5203041407410001
3 19/1/2016 L 5203041009140550 5203406406158355 Gian Asrul Munawardi/Hartini
4 23/1/2016 L Zalfa Zahira Martini/Maksum
5 30/1/2016 L Iskandar Aditya Septiani/Samsul 5203043112830143
6 2/2/2016 P Insan Aulia Rusmini/Kurniadi
7 21/2/2016 L 5203041405180440 5203402301168643 Abdul Hakim Muanah/Salim
8 3/4/2016 L 5203041405180660 5203402301168004 M.Asril Syaifullah Nurjannah/Safrin 520304111070005
9 5/4/2016 P 5203041407110010 5203044504160003 Aprielda Madila Zakirin/Sulhariah
10 2 8/4/2016 L 5203041009140667 5203402301168005 Abian Nandani Martini/Awaludin
11 1 19/4/2016 L M.Azwari Rudi /St. Rohmayani 5203040602810001
12 3 8/5/2016 P Rismala Hayati Marwan/Hilmiati
13 1 16/5/2016 P 5203041405180550 5203406406158668 Nurlia Fitriani Lili Hartanto/Yuliani
14 2 28/5/2016 P 5203041402130023 5203406805160002 Rimatussolehah Fauziah/Ridwan
15 1 19/6/2016 P Aqila Ramdani Supardi/Nurhayati 5203041012830001
16 1 28/6/2016 L L.Edi Nafatra Sumaidi/Sri Asmawati 5203400607185385
17 6/7/2016 P Rayatul Fitriani Bq.Muliani/Hasan M 5203040808880006
18 2 9/7/2016 L M.Fiqri Haekal Habsatun/Amrullah
19 3 11/7/2016 P Fariza Askana Kurniati/H.Harmaen
20 1 29/7/2016 P Bq. Gadis Bq.Ekayati/L.Suharli 5203041505870004
21 1 29/7/2016 L L.Naufal Aeka Ismiyani/L.Agus H
22 2 7/8/2016 P 5203042412110018 5203044707160006 Wilda Khaerunnisa Fauzan/Hilmiati 5203040105810001
23 29/8/2016 L L.Azka Aditya L.Sukarme/Nirma S
24 18/8/2016 L L.M.Furqon Ny.Hernawati/L.Masrur 5203040107760464

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

25 1 5/10/2016 P Nuroktavia Raehanun/Asna 5203041501970001


26 1 27/10/2016 P 5203041901960003 5203046710160006 Riksa Asiratul Fathi Sumiati/Syukron
27 1 24/10/2016 P Hibatul Oktaviani Suriatun/Suparman
28 2 1/11/2016 L Ahmad Bayaul Ahadim Patri/Isah
29 3 4/12/2016 P 5203400607185993 5203404412163495 Naura A.F.N Sajirin/St.Solat
30 2 16/2/2017 P Nabila Salsabila Sulaeman/Nuraini 5203400607185384
31 3 22/2/2017 L M.Hijran Riadi Busaeri/Hilmiani 5203042500278001
32 1 23/2/2017 L Sarif Hidayatullah Hildayati/Saeful 5203042211120003
33 23/3/2017 P Inda Rahmadita Haerudin/Bq.Kurniawati 5203040107910624
34 2 17/4/2017 L L.Baim zidan Alfa Bq.Yuyun Indrawati 5203043112870129
35 2 22/4/2017 L L.M.Nizam L.Suparman/Maeni
36 1 28/4/2017 P 5203041710160009 5203046804170005 Bq.Tiara Zahra Bq. Nuraini/Dindasari
37 1 21/4/2017 L 5203041911160002 5203400205176119 Sulaiman Dianah Samsul Hadi/Kurratul A
38 1 2/5/2017 L L.Ahmad Alfiyah H L.Sarbini/Lasmiwati
39 1 20/5/2017 L L.M.Azka Sakbani L.Ihsan/Hildayah
40 1 15/7/2017 P Minawari Sarifah Mukti/Bq.Mila
41 26/7/2017 P Shafana Mufia Sihab Ovan Sihab/Ririn Yul
42 2 9/7/2017 P 5203041511110020 5203044360917001 Zatna Hijratul Ain M.Yusuf/Rahmah
43 2 16/9/2017 L M.Arkan Maulana Hadrin/Hidayati
44 3 20/10/2017 P Salma Rizki Aditya Zulkiyah/Supardi
45 2 7/12/2017 L 520304191211014 5203040712170008 M.Iwang Maulana Marlina/Hairudin
46 5 9/12/2017 L L.M.Khaidir Fikri Mardiana/L.M.Saleh
47 3 29/12/2017 L L.M.Ziyat Rizki Anjayadi Sri Selviana /L.Subki
48 3 19/2/2018 P 5204041912110016 5203405902183862 Ziadatul Rohmi Istiqomah/Suhaeli
49 3 11/3/2018 L M.Azka Elfariq Hayati/Zulwadi
50 17/3/2018 P Elma Seftiani Mariana/Busaeri
51 1 3/22/2018 P Sakila Huria Bq.Huswatun H/Zainul Irfan

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

52 2 20/3/2018 L 5203042107110061 5203042003180001 M.Zaenul Aen Sumiati/Aswer


53 1 29/3/2018 L 5203400607185000 5203402903184363 L.Raffan Alfarizki Bq.Rista/L.Zul
54 1 30/3/2018 P 5203040204160006 5203407003189623 Bq.Adiba Hendrawan Ismi/L.Hendra
55 3 7/4//2018 L Deni Aryadi Solatiah/Hadis
56 3 11/4/2018 P Bq.Aprilya syifa 3.6 Sumi/L.Padlun
57 1 14/4/2018 P 5203041711160003 5203045404180002 Qinanti Apri Annisa Warni/Naharudin
58 15/4/2018 P Bq.Naura Rania 2.7 Aulina Yuliastari/L.Rizal
59 1 25/4/2018 L 5203040103180004 5203042804118002 Haerul Amri Linda Swarni/Jaswari
60 4/5/2018 L L.Arkan Pratama Utami/L.Roni
61 2 18/5/2018 P 5203042112110214 5204045805180002 Adiba Syakila Suriani/Yusuf
62 1 1/6/2018 P 5203041910150011 520344106180003 Syakila Putri Diana Desi Diana/Iwan Habibil
63 1 8/6/2018 P Nurma Faza Ramdhani Kasratun/M.Nur
64 1 9/6/2018 P Ramania Aisyah Sumiati/Muhammad
65 2 20/6/2018 P Khalimatul Sa'adah Faoziah/Ma'at
66 3 27/6/2018 L L.Rizal Sanjana 4.5 Hamidah/H.L.Sukri
67 2 5/7/2018 L 5203042211120003 5203400607185383 L.A.Julian Hasbi 3.7 Mariani/L.Junaedi
68 3 22/8/2018 P 5203042211120007 5203046308180005 Bq.Aidil Faiha Husna Bq.Faoziah/L.M.Tahir
69 1 30/8/2018 L 5203042211120009 5203401710194411 M.Alkan Almadani Suryani/Harmaen
70 1 29/9/2018 L 5203042502190009 5203042909180003 L.M.Faizal Asmiati/L.Anto
71 1 9/10/2018 L 5203041603180004 5203400910189922 M.Fathul Khair 22 Mutmainnah/Agus
72 20 17/10/2018 L M.Zainul Ikrom 3.3 Ria Susilawati/Zaenudin
73 2 28/10/2018 L Gibran Maulana Rohaniah/Samuel
74 3 13/11/2018 P Bq.Clara Maulida Yanti Warni/L.Sahrudin
75 2 30/12/2018 L Humair Marlina/Ronul Azima
76 1 3/1/2019 L M.Irsat Fakih Isnawati/M.Sayuti
77 1 25/1/2019 P Anisa Askadina Soleha Muhlisin/Nahdiyan
78 4/2/2019 L Hazrin Febriyan Abdulloh/Mifhtaul
79 2/12/2019 P Naula Mazaya 3 Alyan/Intan

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

80 1 19/2/2019 P Suci Manda Aini Hamdan/Masni


81 4 6/3/2019 P Dewi Ahsanul Fahima 2.9 Sulkiyah/Supardi
82 1 13/3/2019 P Rismala Taliya 3 Ramdani/Eka Ratna
83 2 24/3/2019 P Sifaul Nazila 3.2 Raehan/M.Yunus
84 9/4/2019 L L.Arfan 3.5 Bq.Sultiyah
85 29/4/2019 P Bq.Atalia Tunisa 2.6 Rosita Sari/L.Dedi Satriawan
86 1/5/2019 L Alfian Riski Sakbani 3.5 Suriatun Soleha/Suparman
87 1 30/5/2019 L M.Faizal Rabbani Kamhar/Ida Wati
88 3 24/6/2019 P Arsy Cahya Q 3.6 St.Husniati
89 9/8/2019 L L.Adwin Prayoga 3.3 Windriati/L.Suryani
90 1 7/10/2019 P Bintang Saskiara 2.5 Ahyar Rosidi/Salkah
91 2 12/10/2019 P Adila Ardani 3.1 Eli Marlina
92 1 Bq.Aulia aqustina Subaedah
93 2 12/10/2019 L M.Haeril Akbar 3 Haeriani/Asan
94 2 12/6/2019 P Bq.Sri Mulyana 3.5 LL. Yahya /Ida
95 3 12/30/2019 L L.Gede Wira Santana 3.6 Bq.Yuyun/L.Alus
96 3 11/19/2019 L M.Sahrur Faizin 3.3 Saini/Hidayati
97 3 1/6/2020 L M.Bagas Saputra 2.7 St.Hajar/M.Nur
98 2 1/14/2020 L M.Yusril Baihaqi 3.4 Vera/Hendri
99 1 10/14/2020 L Azka Husen 3.2 51 Angga/Muslihan

100 1 2/20/2020 L Rizki Febrian Maulana 3.3 Mahsun


101 5 2/22/2020 P Siti Widiawati 4 Hilda/Saeful
102 2/4/2020 P Windi Febianti 3.6 Martini/Awaludin
103 1 3/8/2020 P Asila Marwani 2.9 Mar/Lukman
104 3/11/2020 P Nanda Azzahra Mahsun/Ridwan
105 1 4/1/2020 L M.Alfarizi 4 Ika/Mahmud
106 1 4/26/2020 L Rayyan Azka 3.3 Nia/Zainal
107 5/21/2020 P Silviana Wulandari 1.8 Zubaidah/Mahyun
108 1 5/12/2020 P Rena Atasa Afifi 3.3 50 Nia /Zainal

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

109 2 6/2/2020 P Bq.Nabila Hasna 3.8 Ida/L.Mahsup


110 2 6/18/2020 P Meta Hana Mikaila 3.7 50 Sri Hartati/Haeruman

111 3 7/5/2020 L M.Syarif Asrori 2.6 Dini/Asgep


112 2 8/27/2020 P Nina Malika 3.7 Nurjannah/Supriadi
113 1 8/2/2020 L L.Iqbal Farabi 3.7 Irwandi/Intan Juniarti
114 1 10/1/2020 P Najia 3 50 Hilmiani/Busairi

115 3 10/16/2020 P Indah Septia 2.9 50 Subaidah/Muliadi

116 5 11/18/2020 L L.Mujahidul Rohman 2.8 48 L.Kamaludin/Bq.Haeriah

117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
N A DAN PEKAN PENIMBANGAN
N : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

N A DAN PEKAN PENIMBANGAN


N : FEBRUARI 2021
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
N A DAN PEKAN PENIMBANGAN
N : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
N A DAN PEKAN PENIMBANGAN
N : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

N A DAN PEKAN PENIMBANGAN


N : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Tanggal Posyandu BB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

N A DAN PEKAN PENIMBANGAN


N : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

N A DAN PEKAN PENIMBANGAN


N : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
N A DAN PEKAN PENIMBANGAN
N : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
N A DAN PEKAN PENIMBANGAN
N : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu BB LILA
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
N A DAN PEKAN PENIMBANGAN
N : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Tanggal Posyandu BB LILA
BB/U TB/U BB/TB Biru Merah
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Otak Bangket
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

1 22/02/2016 L 5203040608120020 Aditya Saputra Halimah/Mahrif

2 24/03/2016 P 520304002140002 Romi Herlina Jurjani/Maesarah

3 11/04/2016 L 5203041008100011 L. M. Arka Putra Al Hadi L.Putradi/Hadijah

4 13/05/2016 L 5203042310120029 M.Salman Hafiz Nuraini/Mahsun

5 12/06/2016 P 5203041806110023 Lina Asanti Erni/Haerudin Muksin

6 17/06/2016 L 5203042409071783 M.Hafiz Suarne/Kasne

7 25/07/2016 P 5203041510120037 Talita Hasna Humairo Mangsur/Yuliani

8 26/07/2016 P 5203042201160004 Kurratul Aini Rusli/Satriani

9 21/09/2016 P 5203041409110028 Zakira Talita Zahra Runaini/Badrun

10 23/09/2016 P 5203042705100010 Nisa Aulia Ma'ad Adnan/Saodah

11 05/10/2016 P 5203043005110022 Asiya Arifa Azzahra Nasrun/Suryani

12 05/12/2016 P 5203040601110034 Arsila Maulida Rohaeni/Amrullah

13 06/02/2017 L 5203041601160005 M.Alby Parjana Said Syam Yuniarti/Samsul

14 17/03/2017 P 5203041201170001 Kaisya Azzahra Sri Wardani/Agus Supendi

15 23/03/2017 L M.Ikhwan Murna Yuliana/Munawar

16 23/04/2017 L 5203040810140009 M.Alka Riski Akbar Suhaedi/Zaenab

17 27/05/2017 L 5203041402110039 Muhammad Zikril Holik Marsiyah/badrun

18 16/06/2017 P 5203040509120011 Ghania Lail Yuneni/Indirwan

19 18/06/2017 P Faira Dzikra Sumiati/Hendra

20 30/06/3017 L 5203041112150009 M.Sultan Asrofi Yuliani/Rudianto

21 30/06/2017 L 5203042812120005 Wildan Jaelani Munawarah/Sahiri

22 28 /07/2017 P 5203041503190002 Azura Isyamil Sa'i/Amelia Ulandari

23 16/08/2017 P Alifa Agustina Bq.Hindayani/Munakim

24 31/08/2017 L 520304120710025 Nabil Abqari Fawazy Raonah/Bahrudin

25 01/09/2017 P 5203040804170002 Siti Aulia Ro'yan Ernawati/Fahrurozi

26 15/09/2017 L 5203042206180005 Amrul Yahya Ema/Arfandi

27 12/12/2017 P 5203043107150002 Baiq Alula Fariza Maryam L.Zaenul/Farihin

28 06/01/2018 L 5203041014140016 M. Irwan Habi Hindri Hasanah/Beni Hariadi

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

29 13/01/2018 L 5203041411110003 Zulfikri Huriah/Muhsan

30 07/02/2018 L 5203040709120010 Muhammad Izzil Islam Eva Susanti/Safriyanto

31 04/03/2018 P 5203042909170002 Nida Ofia Azzahra Uhel Jayadi/Zohratul Aini

32 06/03/2018 P 5203042106100019 Dinda Arista Azzahrani Seriani/Husnul Hadi

33 10/03/2018 L 5203040208170001 M.Farid Erlangga Antoni/Ulandari

34 23/05/2018 P 5203041401190008 Dinda Asyifaturrahma Marhamah/Muhammad Nasib

35 15/06/2018 L 5203041401190008 Arkan Maulana Ilham Syabrul Jamil/Riahul Jannah

36 23/07/2018 L 5203042701110001 M.Raffasya Junaidi/Khususiah

37 12/09/2018 L 5203042002140002 Andi Harianto Maesarah/Jurjani


38 21/10/2018 L 5203041010120035 M. Haedar Abdullah Asegaf Mukminah/Mahrim

39 22/10/2018 P Naura Khaliqa Lubna Windi Khariani/Zulkarnaen

40 28/10/2018 P Zalita Oktavia Anjani Rosdi/Indi Khaerani

41 12/11/2018 L 5203042302110034 Ahmad Jamil Ahkam Supli/Jayadi

42 04/12/2018 P 5203041006150015 Ribyu Lihawa Zaletha Dina Hartutiq/Ahmad Logan

43 28/12/2018 L 5203042708130006 Ilham Ali Yusuf Wahyudiati/Saefudin

44 06/01/2019 L Ferdian Anugrah Antoni/Hajrah

45 24/01/2019 P Nur Saqinah Azura Muliani/Musanip

46 07/02/2019 P 5203040711170008 Najwa Ahda Sabila Saripah/Jumawal

47 14/03/2019 L Riski Saputra Hurianah/Nasri

48 02/05/2019 L Ahmad Azwar Ripaldi Miftahul Haeri/Sumaedi

49 12/05/2019 P 5203040312180002 Adeva Shakila Azzahra 2.3 Suhaeli/Herlina Y

50 05/06/2019 P 5203042110120027 Yulia Safitri Suriani/Juaeni

51 08/06/2019 P 5203043112140010 Saskia Anindita Asniwati/Samsul Hadi

52 11/07/2019 P 5203042204190002 Akifa Naila Faradisa Destia Ayu Lestari/Tafsir

53 16/07/2019 L 5203041907120002 M. Habib Bussolihin Yusrizal/Istiharah

54 24/08/2019 L Abd. Rasyid 3.2 Abd. Razak/Lina

55 17/09/2019 L 5203041408190002 M. Gazi Alpian Gipari 3.1 Reka Kumalasari/Abd. Haris

56 01/10/2019 P 5203042409071932 Humaera 3.5 Ahmad/Juriani

57 20/10/2019 P Liani 3.7 Ismaniah/Muhlas

58 10/11/2019 L Muhammad Hafizan 3.4 Al'aini/Padli

59 20/11/2019 L Dapa Wardana 3.8 Diani Aspari/Rustan

60 14/12/2019 P Alya Anggriani 3.1 Rosania/Hendra

61 01/01/2020 P Noura Fariha Royya 3.2 Vivi Asmiati/Long Firdaus

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

62 09/01/2020 L Muhammad Vildan Sahuni/Mahyudin

63 28/01/2020 L Aqsa Adinara Rauhun/Sofian Hadi

64 28/02/2020 L Febrian Attaqi Parhiah/Saraidi

65 18/03/2020 P Bunga Sakina Azkaira 4 Ertinawati/Multazam

66 04/04/2020 L Athallah Azka Maulana 3.3 Rohani/Suriadi

67 09/04/2020 P Royatul Humaira 2.6 Rinawati/Suhaemi

68 10/04/2020 P Azkaira Yasna Malaeka 3.2 Ayunita/Kurnaen

69 19/05/2020 P Siti Lailatin Najwa Ramadania Lilik Suryani/Ma'ad Adnan

70 04/06/2020 P Alwa Isyamil Mila Amaelia Ulandari/Syar'i

71 01/07/2020 L M. Haof Malik 3.6 Jumawati/Saenul Hadi

72 05/07/2020 P Hadika Najmia Syahida 2.8 Eka Susanti/Humaidi

73 31/07/2020 L M. Mafaza Ibrahim 3.7 Hasne Paizah/Abdul Manan

74 05/08/2020 P Dinda Abnia Bahira 3.9 Hidayati/Hamdan

75 19/09/2020 P Zania Septia Anjani 3.9 Indi H./Rosdi

76 08/10/2020 P Hafiza Gania Humairo 3.4 Zulfia/Iro Hadi

77 13/10/2020 P Qonita Aishwa Humairo 3.6 Nila Rosita/Sepjadan

78 21/10/2020 L Muhammad Faizan Yaza Abqar 3 Nur'aeni/Asriadi

79

80

81

82
83

84

85

86

87

88

89

90

91

92

93

94

95

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Sompang
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

1 13/01/2016 L Khairul Mizan Hikmah

2 04/04/2016 P 520304140316001 Zahima Alfatihani Muslimah

3 12/05/2016 P 5203040301120037 Nur Aira Bela Mawar Mastini

4 14/05/2016 P 5203041110120040 Kholija Tiara Nurul Aeni

5 16/05/2016 L M. Dava Zulman Zurhidayati

6 30/06/2016 L 5203042111150009 M. Huzamen Alfarizi Sarifah Miati

7 17/07/2016 L 5203042112110071 Samsul Watoni Fauzun

8 07/08/2016 P Siti Zakia Marwati Ismaeni

9 03/12/2016 L 5203041810120003 Riski Ridho Wathoni Nuraini/Zulkarnain

10 11/12/2016 P 5203041410120037 Maulida Fatiaturrahma Hj.Marhamah/H.Burhanudin

11 20/02/2017 L Sandi Alfarizi Indri

12 24/02/2017 P 5203040612110077 Adila Rafa Fatina Usniati

13 09/03/2017 L 5203040407150017 Irqi Putra Rinjani Riniwati

14 04/04/2017 P 5203042209071097 Adifa Arsyila Adni Hartini

15 21/07/2017 P 5203041102150007 Azka Hanifa Siti Hajar

16 26/07/2017 P Tikatul Aini Husnul Khotimah

17 17/08/2017 L 5203042209070723 M. Zulwaton Hamalah

18 27/08/2017 L 5203041201150006 Ahmad Rafa Azkanizam Hilmiani

19 06/09/2017 L 5203040609110021 Azril Ramdani Rosita

20 17/09/2017 L M.Rian Wahyuda Nora Ria

21 01/11/2017 P 5203043009100030 Nopi Setiana Dewi Rusdi/Rahayu

22 02/12/2017 L M.Iqbal Azzaki Imran/Rahmawati

23 20/12/2017 L 5203040801180002 M.Azizan Hadi Suriadi/Nurazizah

24 21/01/2018 L 5203041109130014 M.Sultan Al - Hadi Sri budi/Heri

25 19/02/2018 L 5203041410120041 M.Fathul Hilal Hurniati/Husaen

26 22/02/2018 L 5203042207170005 Syafiq Rasyid Rabiatul/Junaedi

27 28/02/2018 L 5203043012130019 Ara fathirul Yasin Soletiah/Abdullah

28 27/03/2018 P 5203041503110027 Bq.Wanda Izzadi B.Urni/L.Suhaemi


ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

29 04/05/2018 P 5203040902180006 Sasmita Wulandari Miftahul Khaer

30 29/05/2018 P 5203042803120026 Ega Lestari Lukman/Suhartini

31 04/07/2018 L 5203041902180006 Zaril Gifari Susilawati/Amranah

32 17/07/2018 L 5203040311110024 L. Alfis Padil Sumiati/L.Ramli

33 18/08/2018 L 5203041412110016 Ahmad Warid Ilmi Bahriah/Mursal

34 02/09/2018 L M.Hilman Zohri Zohrita/Mulhim

35 18/10/2018 L M.Ali Najhis Surus Uswatun/Hirman

36 06/12/2018 L 5203041510190004 L. M. Kholik Arohman Bq. Urpi S/L. Muslihin

37 12/01/2019 P 520304091180003 Bq. Dinda Arum Siti Nurjanah/L. Khairul Ihsan

38 31/01/2019 P Bq. Dinara Disa Sadah/L. Marsadi

39 01/03/2019 L 5203042112110063 Revaldi Saputra Sapriatul Wahidah/Supardi

40 03/03/2019 P 5203042309100045 Ilda Ardani Paisahdin/Muhammad Nuh

41 07/04/2019 L 5203041510190009 M. Akbar Al-Faqih Suniati/Irham

42 14/06/2019 L 5203043105160009 M. Sandi Fatra Purnama Nurhidayah/Rodianto

43 29/06/2019 L 5203041612110009 M. Elvin Ramdani Paidah/Faozan

44 13/07/2019 P 5203042204130006 Anisa Radiana S Ernawati/Rusdin

45 16/07/2019 L A. Rayan Al-Farezi Rusmini/Mawardi

46 16/07/2019 P Khayla Atmarani Khaerunnisa/Sukirwan

47 01/09/2019 L 5203041107110018 M. Alif Hafiz Midroyani/Ramli

48 14/09/2019 L 5203042008130022 Ahmad Yazid Arpan Supardi/Bq. Faridah

49 14/10/2019 P Aulia Safitri 4 Sumiati/Muhsan

50 12/11/2019 P Denisa Maulida Riyatul Jannah/Saroji

51 23/11/2019 L M. Naufal Azani Yunita/Zaini

52 24/11/2019 P Mauliza Fitriani Nurini/Sopian Hadi

53 29/12/2019 P Ria Nurjannah B. Riska A/Ardi

54 11/01/2020 P Shintiya Widiawati Hj. Maryamah

55 14/01/2020 P 5203040607110015 Wirda Syafa'atul Mawaddah 3.3 Misa'ah/Saprudin

56 24/01/2020 L M. Azwar Azizul 2.8 Sumiati

57 25/01/2020 P Almira Nailal H. 2.6 Mardiani/Nurudin

58 19/02/2020 P Nadiya 3 Sumarni

59 07/03/2020 P Safana Al Mahira Julaeli/Jayadi

60 16/03/2020 P Shafira Aida A Paridah/Iswandi

61 04/04/2020 P Adiba Nailal H. Martini/Sukran

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

62 18/04/2020 L Atta Aflahul Ahmad Murniati/Suriadi

63 25/04/2020 L Azriel El Baihakki Muzaffar Nurul Hikmah/Kazuaini S

64 24/05/2020 P Naella Syafitri Sumarni/Selamet

65 23/07/2020 L Muhammad Rosyid Maulana Patimah/Husni

66 02/08/2020 L Muhammad Abid Pranaja Rohiani/Su'aedi

67 03/08/2020 L Nabil Khaerullah Mustiana/Abdullah

68 26/08/2020 P Zahro Limatun N. Zuhroni/Hamriadi

69 29/08/2020 P Alfiya Syakira Rena Wati/Mursal


70 04/09/2020 P Nadira Zahira Fa'idah/Abdul Aziz

71 13/09/2020 L Dafa Azril Bq. Sopiatun W/Suhandi

72

73

74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Lendang Penyonggok 2
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

1 01/03/2016 P Siti Zahra Amelia Suhairi/Fathul Jannah

2 07/04/2016 P Amira Hasna Asipudin/Mariani

3 14/05/2016 P Adiba Sakina Y Maryun/Nurhayati

4 14/05/2016 P Adiba Saliha Y Maryun/Nurhayati

5 15/05/2016 P Atika Zahra Ratida Haerudin/Rohyati

6 14/07/2016 P Anindita Qeisya Hartoni/Purnawati

7 07/08/2016 L Ahmad Fikri Hasani Munarif/Sumiati

8 23/10/2016 L M.Azikri Faozi Uni Karyai/Faozan

9 02/11/2016 P Rabiatul Adawiyah Paridah/Mahsan

10 15/12/2016 L M.Hayinul Imam Asiyah/Mislan

11 22/02/2017 P Azra Febria Saupa Fitriani/Mahsar

12 30/03/2017 P Anggun Febriani Hendri Mulianti/Sukarni

13 13/04/2017 P Izzatun Isro Rohani/Martin

14 22/06/2017 P Laelatun Najwa Sumarwi/Munhar

15 05/07/2017 L M. Repan Adrian S Saparudin


16 02/08/2017 L Paesal Sahudin/Masni

17 20/08/2017 P Wina Silfiana Sar'iyah/Ayun

18 22/08/2017 L Ipan Hakiki Murniati/apipudin

19 31/08/2017 P Naura Indah Lestari Linda Ismayanti/Awaludin

20 17/09/2017 L Syabil Ahmad Alwan J/Sahrul

21 10/11/2017 P Alia Novardiana Sunardi/Yuliana

22 27/11/2017 L M.Yusuf Al Farizi Pauzan/Roniati

23 24/12/2017 L Khaerul Azam Ependi/Sopiana

24 01/01/2018 P Akifa Nidaul Qaila Herman/Sulaeni

25 29/01/2018 P Tari Rosdiana Rosmanji/Parhin

26 18/03/2018 P Adila Nisa Ardani Mariani

27 15/04/2018 P Wafa Arsila Sumaedi/Surianti

28 15/06/2018 P Khumairo Ayudia Ariandi/Fitri Diana S

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

29 12/07/2018 P Hana Wardatul Hamedan/Nurjannah

30 17/07/2018 P Zidna Riskia Nasri/Rohinem

31 03/10/2018 L Egi Maulana Junaidi/Diana

32 15/11/2018 L Ibrai Ghazia Al - Fatih Sujadi/Irmawati

33 30/03/2019 L Angga Rizki Raudatul j/Taupik

34 10/04/2019 P Zafika Aprila Rosilawati/Haeruzzaman

35 10/07/2019 P Royatul Jannah Sahurun/Lukmanul Hakim

36 18/07/2019 P Ertia Naziha Irnawati/Suhaeli

37 05/08/2019 L M. Azrul Azwandi Martiadi/Nurul

38 14/08/2019 P Elis Atmarini Martini/M. Nasri

39 31/08/2019 P Masroatul Adiba 3 Marhamah/Masmuliadi

40 12/11/2019 L M. Faiz Daffa Hidayati/Rohayadi

41 09/05/2020 L Muhammad Rafka Arsa Fatoni 3.1 Purnawati/Hartoni

42 07/07/2020 L M. Rizki 2.7 Rohiati/M. Fauzan

43 24/07/2020 P Safani Yuliana

44 10/09/2020 L M. Hous Abrar Hari Pitriani/Saprudin

45 14/09/2020 L Fahri Pajar Asmawati/Hirsan

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60
61

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Lendang Penyonggok 1
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

1 08/01/2016 P 5203042410140014 Nadya Maula S Nurul Aeni/Nasri

2 19/05/2016 P Khuslia Wilida Sa'yan/Suaidi

3 02/06/2016 L 5203042212110035 Hasraful Anam Suhaini/Imun

4 10/08/2016 L 52030417111400351 M. Agus Muliyono Najmi/Embun

5 09/10/2016 P Nirmala Amalia Patriah/Hizbul W

6 14/11/2016 L Suhada Ahmad Hamdatul/Husnan

7 20/12/2016 P Bunga Nurul Imtihan Rohmawati/Nasrullah

8 28/12/2016 L Nadam Ajwan Fitriah/Hirman

9 23/01/2017 P Eliza Nurhayati/Hap

10 02/03/2017 L 5203040812110073 M.Rasyid Ilham Mirhan/Suaedi

11 10/03/2017 P 5203040206160002 Zahira Rafani Hil/Haerul Fahmi

12 16/03/2017 L 5203040707170007 Ovan Hariadi Ida Laeli/M.Hariadi

13 03/05/2017 P 5203040311160001 Atika Aulia Surianti/Hum

14 03/05/2017 P 5203040311160001 Alifa Aulia Surianti/Hum

15 26/05/2017 L 5203040202150038 Hafiz - Alfaqih Johaeri/Elhawani

16 21/07/2017 P Aulia Putri Agus Pian/Maesarah

17 30/10/2017 L Alfi Adiriski Nuraeni/M.Rizki

18 08/12/2017 P 5203042404100009 Maulidia Kanza Arsudin/Nurhayati

19 01/02/2018 L 5203040407170004 Albiansyah Najmul/Ermiwiryani

20 15/02/2018 P 5203040306150002 Anggina Putri Eri Handaya/Fathillah

21 29/03/2018 L 5203042310170001 M.Ahza Al-Fatih Junaidi/Rubaiyah

22 17/08/2018 P Azila Salsabilla 2.7 Ema/Romi

23 14/10/2018 L M.Muzamil Nur/Muhardi

24 13/12/2018 P Wilda Aqila Wildan/Halimah

25 10/04/2019 P 5202091402120006 Dinda Ibna Pasya Ulpiani

26 12/04/2019 P 5203042801140010 Hesti Aprilia Abdul Hadi/Nurul

27 20/04/2019 P Almayada Yana A Sopian Hadi/Indrawadi

28 20/05/2019 L Danu Anggara P Ilham/Huswatun

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

29 03/08/2019 L 520304301410104 M. Arya Saputra Riatul Hasanah/Mawardi

30 10/08/2019 P Anisa Azahra Sari Astuti/Hirman

31 17/08/2019 P Alvita Talia Husna Henika Ikromi/Humaedi

32 03/10/2019 L Mizani Maulana Rabiah/Masitah

33 27/10/2019 P Rima Oktavia Muna'ah

34 01/11/2019 P Mutia Azzahra Yulia/Subandi

35 02/11/2019 P 5203041511180001 Anggi Novita Sumarni/Muhlas


36 11/11/2019 P Nadila Sapitriani Jumadil/Ita Miliani

37 23/11/2019 L M. Faezal

38 08/01/2020 L M. Tafaul Abiyan Widia Wati/Paedil

39 29/02/2020 P Maezurra Pelicia Iin Saona/Nurudin

40 11/03/2020 L M. Syrojul Munir Pathoni Pelita Yatna/M. Pathoni

41 21/06/2020 L Rifqi Andrianto Ernasari/Multazam

42 15/08/2020 P Medina Humaera Mahnun/Marzuki

43 18/09/2020 P Patimatuzzahro Dwi Ulpa/Sukriadi

44

45
46

47
48

49
50

51
52

53
54

55
56

57
58

59
60

61

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Dasan Penyonggok
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

1 12/02/2016 P 5203043004110007 Gita Ariani Raohon/Wirajat

2 12/03/2016 L 5203042607120009 L.Arya Darma Dian Lestari/M.Taufik

3 23/03/2016 P 5203040402150008 Amalina Martsya Khairunisa Nurhalimah/Hajri

4 13/04/2016 P 5203040503150003 Adifa Yasna Eliwati/Anwar

5 03/06/2016 P 5203042603120036 Sulistia Andayani Maryani

6 07/06/2016 L 520304100920055 Rafa Algani Mulianah

7 12/07/2016 P 520304912100016 Bq.Vanesa Bq. Susanti

8 29/07/2016 P 5203042606150003 Fatin Juliana Hendrawati

9 03/08/2016 L 5203042701120009 Bagus setiawan Sarpini

10 12/08/2016 P 5203040703160003 Nabila Azzahra Hartini

11 12/09/2016 P 5203042102120051 Ayudia Bilqis Bq. Hartini

12 02/10/2016 P 5203041508160007 Bq. Inka Nesta Putri Sustina

13 27/10/2016 P 5203042106160005 Bq. Amara Napisa Medina Hawanah

14 09/11/2016 P 5203042409071615 Bq. Ayla Fariza Bq. Sakrah


15 18/11/2016 L 5203040811100009 M.Firman Ali Jibril Marhamah/Aq.Ramli

16 22/11/2016 P Bq. Mutiara Bq.Raihanun

17 30/12/2016 L 5203042511130011 Abizar Algifari Malhatun/Kurdim

18 16/01/2017 P 5203042008150007 Kinanti Nurfatia Martini/M. Yunus

19 18/01/2017 L L.Faqih Sueya Januari Bq.Surdini/L.Fajri

20 26/01/2017 L 5203040703120039 Rafasya Alfariq Husnul H/Nasrun

21 19/02/2017 L 5203042212110123 L.M.Tohir Arrasid Bq.Faridah/L.Supardan

22 26/03/2017 L Farel At-Taris Bq.Liana/

23 27/03/2017 L L.Riziq Al Ayubi Bq.Yuli/L.Juaini

24 14/04/2017 P 5203041112140032 Bq.Kaila Azzahra Bq.Maridah/L.Suhaeli

25 29/04/2017 P 5203043108120038 Rara Aisa Putri Rohani/L.Munir

26 04/06/2017 P 5203040208100019 Vania Fauziah NR Muliana/Nurdin

27 30/06/3017 L 5203041704170001 Arya Fatih Jiwanta Bq.Aan Andini/Satriadi

28 13/08/2017 L Rangga Gustian H Rosdamayanti/

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

29 04/10/2017 L 5203042012110044 L.Azka Wirakse Indra/L.Ihsan

30 24/11/2017 L 5203041512110058 L.Alfan Rafisqi L.Adi/Bq Mawati

31 06/02/2018 P 5203042102120051 Nuansa Bening Suharti/Awaludin

32 16/02/2018 P 5203040601180005 Pelisa Feliana Antiwiq

33 23/04/2018 L 5203042901110032 L.M.Satya Wirah M Ruka'yah/Wildan

34 18/05/2018 L Hanan Sam'an Yadi Rahmawati

35 23/06/2018 L 5203040305110001 Huzlan Sri Sudiarti

36 03/09/2018 P Bq.Deanda Puri Indah Bq.Melisanti/Pahruma

37 29/09/2018 P 5203040507120020 Salwa Assifa Lia Safitri/Abdullah

38 30/09/2018 L 5203040804130007 Elvan Ardiansyah Nasria/L.Yunus

39 10/11/2018 L L. M. Faris L.Saparwadi/Bq. Masnin

40 01/12/2018 L L. Maulana Mega Elmi/Lalu Muhsan

41 18/12/2018 L 5203040703120039 Ruta Alfarik Husnul/Nasrun

42 31/03/2019 L 5203042310120040 L. M. Saputra 2.6 Hurniati/L. Harmawazi

43 03/06/2019 L 5203040103110073 L. Fikri Satria Wangse 2.8 BQ. Nirwana/L. Supriadi

44 17/08/2019 P 5203040309120027 Salsabila Nadifa Indonesia Bq Sariah/L. Pawaid

45 15/10/2019 P 5203041009190005 Raudatul Jannah 3 Sifaiyah/Samsul Hadi

46 19/10/2019 P Rani Oktafiani Junaedi/Bq. Maryam

47 19/10/2019 P Rana Oktafiana 3.3 Junaedi/Bq. Maryam

48 11/02/2020 P Baiq Nadia Pebrina 2.9 Lalu Hamzan/Suminah

49 22/04/2020 P Baiq Aisyah Syabian 2.5 Baiq Muliantin/Lalu Adnal

50 22/05/2020 L Lalu Muhammad Artanabil Ma 2.5 Baiq Arlina Novianti/Lalu Beni Azhar

51 25/07/2020 L 5203041902200005 M. Rafael Halim 3.1 Murniatun/Suhailim

52 30/07/2020 P Baiq Sajadiah 1.4 Baiq Rohaini/Lalu Salman

53 04/09/2020 L 5203042203120006 Nandu Malik Firdaus 2.8 Titin/Masran

54 06/09/2020 P Afifah Kamilatunisa 3.2 Nurhayati/Ajip

55 10/09/2020 P Alesa Fitri A. 3 Neri Yuliana/Rodi

56 14/09/2020 L M. Dafa Saputra 3.5 Eliwati/Anwar

57

58

59
60

61

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Lekong Pituk 1
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

1 15/01/2016 L 5203041208140011 M. Arkan Hapid Al M Maesun/Irwanto

2 24/02/2016 L 5203040211150004 Syafiq Hal Hadi Bin S Suryati/Mashal Hadi

3 25/02/2016 P Mezzaluna Azmya Fauzi Maldiat Johannah/Ahmad Fauzi

4 12/03/2016 P 5203040902150013 Azqia Putri Suandi Aryani/Suandi

5 22/04/2016 P Laeli Isro Barokatullah Zuhratul Aeni/Mawardi

6 23/05/2016 L 5203042801150037 M. Azid Wabib Ali Linda/Haerul

7 22/09/2016 P 5203041910150007 Madina Hajaratul Q Neni Hardiana/Sawaludin

8 28/11/2016 L 5203042004110002 Alfin Faiz Mu'azam Indriwati/Sutrisno

9 29/11/2016 L 5203040502180003 Azmi farid Husniati/Jumadil Hadi

10 02/12/2016 P Maulida Zaelina R Tina Sastina/Zainul

11 01/01/2017 P 5203042510160001 Tesa Aolianti Anwani Sukini/Irwandi

12 10/02/2017 P 5203040202110019 Aisya Andari Nurhayati/Rico

13 24/02/2017 P Sukma Aulia Safitri Fitriani/Sumaedi

14 02/03/2017 P 5203042201110025 Keysa Adiba Fitri Santi/Muhsan

15 04/04/2017 P 5203041109130026 Hilya Asysyfa Parihin/Hamidi

16 12/04/2017 L 5203042609120013 Bilal Al Ashari Budiwati/Hasbullah

17 17/04/2017 L L.Roby Arta Nugraha Sabaraiah/L.Sukardi

18 01/06/2017 P Azkayra Fatima Bq.Ega/Dedy Pramadi

19 08/06/2017 P 520302110160001 Kirana Humairo Rahma Zohriah/Habiburahman

20 07/07/2017 L 520304112140031 M.Irzan Kurniawati/Suparlan

21 01/08/2017 L Saka Buana Septi/Anto

22 05/08/2017 L 5203040509110003 M.Agus Saputra Ulnawati/Aminullah

23 09/08/2017 P 5203041205110017 Yumna Faiha Mardiana/Sanwani

24 13/08/2017 P 5203042202170003 Bq.Areta Kudsi/L.Supratman

25 22/08/2017 L 5203043010170007 Bivo Mariq Wibowo Sunantri/Ari

26 26/08/2017 L 5203041707170002 Ade Ataya Arfa Khaerina LJ/Dinul

27 25/11/2017 L 520304100817003 Nazil Abqari Muallimah/Saprudin Imran

28 29/11/2017 P 5203041305110030 Syafa Naturraiddah Ra'atul Aini/Surete

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

29 06/12/2017 P 5203042608170005 Aisya Fatima Azzahra Murtini/Ahmad Saparwadi

30 10/01/2018 L 5203042209070194 Ahmad Satria guna Suarni/Sahidan

31 11/01/2018 L 5203042206110043 Haidar Aqlan Martini/Muhtarullah

32 21/04/2018 L 5203042409071110 Zarik Abdillah Murni/Zainul Arifin

33 02/05/2018 L 5203041711140003 Aditia Rifki Hamizan Hayani/Agus

34 15/05/2018 P 5203041902180005 Khayla Rizkia Hijriawati/Juendi

35 17/06/2018 L 5203142011140004 Yusril Khaeri Rusmiati/M. Hussairi


36 22/06/2018 P Ayra Miftahul Jannah/Iswanto

37 26/06/2018 P Filda Aulia Sriayu Hidayah

38 05/08/2018 P 520304230715005 Natasya dewi Salsabila Juita dewi/Zohriadi

39 12/08/2018 P Fiorenza Khaliqa Fauzi Maldiat Johannah/Ahmad Fauzi

40 25/08/2018 P 5203040612110028 Qayla Silmi Afiqa Fatmawati/Sudarli

41 13/10/2018 P 5203042509070374 Livimia Assaufi Sulmiati/Aminullah

42 12/11/2018 P Daneen Zaina Dewi

43 16/11/2018 L 5203043012110056 Iman Aby Rinjani Rinawati/Paeni

44 12/12/2018 P 5203042903100014 Asma' Salsabila Hernawati/Hamdan

45 01/01/2019 L Ziljausan Tari Farida W/Riadussolihin

46 19/03/2019 L 5203042410110017 M. Suandi Saputre Bq. Sarniwati/Suandi

47 23/03/2019 P 5203042909110029 Putri Aisya Matra Rajifa Erna Suryani/Iswan

48 08/04/2019 L M. Ali Ibrahim Hamdiani/A. Hariri

49 02/05/2019 L A. Uwais Al-Utaybi Lia Andini/Riad Agus R

50 18/05/2019 p Zea Almayra Fauzan Kasmiati/Ahmad Fauzan

51 14/07/2019 P Aisyah Erina Rosita Rina Wati/Ahyar Rosidi

52 04/08/2019 L 5203040202120004 Galen Assyakir Hilmiati/Zakirin

53 19/08/2019 P 5203040402130015 Dilfa Barqi Abbasi Bunga Mailantika/Septian Jauha

54 07/11/2019 P Mualimah Rozalina Bq. Dinawati/Haerul Abdi

55 12/11/2019 L M. Aklan Azizul H. Aprilianti/Samsul Riadi

56 17/11/2019 P Khanza Alfathanis Sabariah/Harman

57 30/12/2019 L Virzha Pratama M. Noor Sumirnawati/Teguh Handika P.

58 25/02/2020 P Hasnah Inayah Hakiyah/Zaini Zam

59 03/03/2020 L M. Azka Pratama Elmiwati/M. Nur

60 13/03/2020 L Muhammad Nur Ilham Raodah/Suhaidi

61 08/06/2020 L M. Ghazali Ibrahim Kuratul Aeni/Badri

62 12/06/2020 P Alisa Halmahyra Sahnum Husnul Hatimah/Sri Jayanto

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

63 17/06/2020 L Muhammad Toru Putra Suandi Aryani/Suandi

64 21/06/2020 L Messir Abibi Asnawati/Eril Wandi

65 06/07/2020 L Iqbal Wafi Hidayatullah Bq. Fatimah/Munawar Hadi

66 06/07/2020 P Geisha Permatasari Kusuma Hartini/Maad Adnan

67 01/08/2020 L Mohammad Alfatih Lia Andini/Riad Agus R

68 30/08/2020 P Azzahra Alfatunnisa Siti Khadijah/Sumaedi

69 03/11/2020 P Fatimah Azzahra Dini Harlianti/Sugian

70 03/11/2020 L M. Attaya Lu'lu'il Maknum

71 26/11/2020 P Bq. Dalia Karimatunnisa Hastiti/Lalu Kartanom

72

73

74

75

76

77

78

79

80

81
82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Lekong Pituk 2
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

1 23/01/2016 P Astami Sasi Kirana Sulfitriani/Saepudin

2 29/02/2016 L L. Hasta Febriawan Bq. Iwang/L. Haerul Budi

3 14/03/2016 L 5203041305160001 Abdullah Fatan Fayyad Sakrah/Sabri

4 22/03/2016 P Bq. Anggun Nayowa H Haerul Fahriah/L. Junep

5 06/04/2016 L 5203041210120021 Otma Al Faris Nurul Aeni/Alex

6 25/04/2016 P Bq.Anindita Zahra Murtini/L. Sujadi

7 02/05/2016 L L. Azka Prasraya L. Masdi/Sarti

8 08/05/2016 P Savira Puji Cahyani Jumaedi/Mariana

9 24/05/2016 L Sazwan Firman Hadi Audy/M. Saleh

10 07/06/2016 L 5203042010120032 Egi Fahri Romdan Rabiun/Nasrullah

11 25/06/2016 P Bq Rina Inara Fatia R L. Sujiad/Bq Suarti

12 30/08/2016 L Akbar Azril Maolana Suandi/Farihin

13 24/10/2016 L 5203040808160008 M. Reza Al Rizwan Hindun/Jumadil

14 18/01/2017 P Bq.Elena DP Bq.Masitah/L.Rohadi

15 12/02/2017 P Bq.Citra Amalia Sumaeni/L.Suparman

16 16/03/2017 L Raziq Hanan Liana/Suherlan

17 29/03/2017 P Adila Nisa Azzahra Widia Sari/Slamet Riadi

18 29/03/2017 L 5203042010120032 M.Faiz Rojabi Bq.Seftiana/Munadi

19 11/05/2017 P Bq.Alifa Rahma Bq.Suci Hati/L.Ruslan

20 24/05/2017 P Zuhriatul Solehah Raehanun/sumaedi

21 25/06/2017 L Wahyu R Indriwati/Hasanudin

22 30/06/2017 L M. Fendi Muhammad Ali/Ika

23 24/07/2017 P Syarifah Alesa Zahra Mahsan/Abah Agus

24 29/08/2017 P 5203040310110008 Siti Maria Ulfa Sumiati/Sar'aedi

25 01/09/2017 P Bq.Hafiza Khaera Lubna Bq.Subaedah/L.Pajrun

26 21/11/2017 L Dafa azka Putra Audi/M.Saleh


27 06/12/2017 P Afika Alzia Milan Sapitri/Samsul Ryadi

28 19/12/2017 P Erin Desiya Balqis Bq.Jumakyah/Kurnaen

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

29 07/01/2018 P Samsha Alusa Machel Bq. Ratnianingsih/Wahyu Sugeri

30 23/02/2018 P 5203040306170004 Queena Adzkia Musti Bq. Hulwatun Ro'i/Rino

31 24/03/2018 P Nauren Alishba Anwar Mawarni/Khairil Anwar

32 30/03/2018 L M. Rido Al-Ibkar Irawati/Ibrahim

33 24/04/2018 L Paola Syban Fazli Paoziah/Suparlan

34 25/04/2018 L Unais Rija Al Basfar Wira Anggraeni/Rizal H

35 07/05/2018 P Fara Maysa Hermawan Farhiyah/Zulya Hermawan

36 17/05/2018 P Alisa Wardani Tuti Irawati/Roni

37 23/05/2018 P Syarifa Helwa Alkadrie Yek Parisman/Rina

38 31/05/2018 P Dwi Candra Kasasih Agus/Rohana

39 04/06/2018 P Arsila Seza Azzahra Hatiah/Roy bawa

40 09/06/2018 P Syifa A Salina Sahabiballah Hamdiah/Saiful

41 17/06/2018 L L.Rasyid Alfatah Mariatun/L.Nasrudin

42 18/06/2018 L Nazril Naufal Fahreza Raehullina/Sukardi

43 23/07/2018 L Azril Haikal Falih Rukayah/Sarbini

44 21/08/2018 L Restu Nizam Haqiqi Rusniati/Multazam

45 12/12/2018 L 5203041706190005 M. Zaidan Algifari Baiq Martini/wahyu Algifari

46 14/12/2018 L M Riyadul Jinan Hikmah/Muslihin

47 04/02/2019 L L. M. Yuza F 2.9 Bq. Juniarti/L. Ruzaman

48 01/03/2019 P Husnia Rani Azahra Suriati/M. Yakub

49 12/03/2019 P Sabrina Hilia Arifin Maraini/Zainul Arifin

50 19/03/2019 L Zhabdan Jhustin Bq. Salihun/M. Hendri

51 19/03/2019 P Azkeyra Hasna 3 Mauizatun Hasanah/Saputra

52 25/03/2019 P Bq. Alya Diana Ubaidiyah 2.7 Bq. Yuliana/L. Sukarwadi

53 25/04/2019 L Arfian Anan Zikri 3.9 Hamidah/Ramli

54 27/04/2019 P 5203042504190009 Putri Aprilianti A 3 Bq. Sinta/Abd. Aziz

55 13/05/2019 L Alvino Daffa Ramadan 3 Bq. Sri Wahyuni/Via Livianto

56 14/06/2019 P Bq. Rifa Raina Anggika 3.5 Bq. Hartini/L. Rusmiadi

57 16/08/2019 P Bq.Balqis Ufaira 3 L. Aqi Marjan/B q Hera Susiani

58 03/09/2019 P Bq. Lutfana Adya 2.8 Bq. Sumiati/L. Sumungguh

59 20/09/2019 P Bq. Aina Aisyah 3.2 LL. Padli/Hasmayati

60 30/10/2019 L M. Zyan Malik Irawan 2.2 Suaeni/Irwan Hadi

61 31/10/2019 P Mulida Saputri 2.8 Murtini/L. Sabli

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

62 17/12/2019 P Arsyalina Wulandari 2.9 Sumarwi/Rudi

63 29/12/2019 L Arbi Ferdian Suhaemi/Zaeton

64 01/01/2020 P Aisyah Mufida Ar M. Ihwan Arrozi/Nur Syariah

65 02/01/2020 P Alpaira Maesarah M. Sahur/Sahne

66 23/01/2020 P Baiq Arika Fatina LL.M. Rasyid/Siti Mulianti

67 12/02/2020 L M. Yuda Dirgantara Septini/Rifki Dirgantara


68 15/03/2020 L Aryan Ziqri Zaerani Ahmad Haerani/Sapran

69 18/03/2020 L Alqi Ammar Firdaus Ita Safitri/Samsul Riadi

70 21/03/2020 L Muhammad Jalaluddin Khanan Baiq Ratnianingsih/Wahyu Sugeri

71 24/03/2020 P Inaya Mutia Bq. Amiwati/Irpan

72 18/05/2020 L Muzaffar Alfaro Baiq Rusmiani/Saprudin

73 13/06/2020 L Muhammad Azka Maulana Solihan/Sumaedi

74 06/08/2020 L Lalu Raziq Hafizan Bq. Herni/LL. Yunus

75 15/09/2020 P Safania Azkadina widia Heliana/Dodi stiawan

76 18/09/2020 P Saila Alesha Irsyad Yuldi Astuti/Irno

77 24/09/2020 L 5203041706190005 Gibran Afarizi Erni Pusparini/Hidayat

78 22/10/2020 L M. Alfaqih M Yulia K/Makmun

79 23/11/2020 P Baiq Gia Aura Putri 2.9 Bq. Iwang/L. Haerul Budi

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Keselet
Posyandu :

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

1 7/15/2016 p Nazila Wani Riani/Andila

2 19/08/2016 L Qoriul Hafzi Sumarwi/Abdullah

3 18/11/2016 P Maryam Mahdalena Novi/Zulkarnaen

4 22/11/2016 L Izharul Haq Nurzeni/Suhaedi

5 03/04/2017 P Nabila Adiana Mispaah/Mawarni

6 11/04/2017 L Zikro Marifatum Elmiati/Fahmi

7 4/11/2017 L M. Rizwan Suarniatun/Mishak

8 07/07/2017 L M.Khaerul Azam Mirhan/Narwan

9 12/09/2017 P Ro'yatunnisa Haminudin/Arunia

10 17/09/2017 L Ariman Diana/solihin

11 17/01/2018 P Melisa Mukhlis/Zuhiratun

12 25/01/2018 P Wani Irawati Solihan/Nas

13 02/03/2018 P Ramia Putri Bahrudin/Hakiah


14 07/06/2018 L Irfan Ramdani Amirullah/Fatmawati

15 29/06/2018 P Yulita Fitri Siti Soleha/Basri

16 13/09/2018 L Septiawan al gazali Sahmiati/Supardi

17 02/11/2018 L Abdul Gani Abdul Hanan/Ismiatun

18 24/11/2018 P Adinda Tahyatul Azani Susanti/Subadi

19 10/01/2019 P Hiliatul Najwa Mizwati/Mursal

20 07/03/2019 P Mila Sari Iswatun/Murni

21 3/24/2019 P Robbatun Nafizah Yuni karyani/Abdullah

22 26/03/2019 L Delvin Winanto Laela/Mawanto

23 13/04/2019 L Fatih Maulana Ayu/Najmul

24 27/04/2019 P Apriliawati Elnawati

25 22/08/2019 P Mila Ayuni Mariani/Saharudin

26 10/10/2019 L Dafa Sadik Rohaeni/Serejudin

27 08/11/2019 L Maulidi Hamzah Hamzun/Mu'minah

28 11/10/2019 P Zahira Maulida Haeriah/sahnan

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH
KE LAHIR KELUARGA BBL

29 1/26/2020 P Leni juita Indra Iswati/Hasanudin

30 10/06/2020 L Oliq Sugiandi Paridah/Mursal

31 17/06/2020 P Wafa Shanum Azkadina Huriatul Aini/Saipullah

32 08/09/2020 L M. Kholilurrohman Arunia/Naminuddin


ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

5203042202160002

5203046403160002

5203041403160002

5203041305160002

5203045206160004

5203041606160001

5203046507160001

520304619160002

5203046309160003

5203044510160001

5203044512160002

520304062170003

5203045703170001

5203042304170003

5203042705170002

5203045606170005

5203043006170001

5203046707170002

5203043107170002

5203044109170005

5203045509170003

5203040601480003

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

5203041301180001

5203040702180001

5203044603180001

5203041003180002

5203046308180003

520304150610003

5203042307180003

5203040912180001
5203041112180001

5203044702190001

5203045205190001

5203044506190003

5203045107190002

5203041607190002

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

5203044304160001

5203045205160001

5203045405160001

5203043005160001

5203041607160001

5203040412160002

5203045112160001

5203046402170002

5203040903170002

5203044404170003

5203046107170003

5203041206170003

5203042078170002

5203040906170001

5203044111170001

5203042212170002

5203042101180001

5203041902180001

5203040107390075

5203042802180002

5203046703180003
Umur Status Gizi Vitamin A
NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

5203044405180001

23046905180002

5203040407180002

5203041707180003

5203045808180002

5203040612180002

5203045201190002

5203040103190002

5203044303190002

5203040204190001

5203041405190001

5203042905190001

5203045037190001

5203040109190003

5203041409190001

5203045401200001

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

5203044801160006

5203040206160004

5203040708160001

5203040204170002

5203045003170002

5203041603170003

5203042605150001

5203044812170002

5203041012180001

520304550218001

5203042903180005

5203045204190001

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

5203045202160001

520304630316001

5203045304160003

5203044306160002

5203044107671222

5203045505080003

5203046907160003

5203040308160001

5203045208160001

5203045209160003

5203044210160001

5203046710160002

5203044911160002
5203041811160008

5203043012160001

5203045601170001

5203042601170001

5203041902170001

5203045404170001

5203046904170001

5203044406170001

5203041308170002

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

5203044410170001

5203042611170003

5203044602180001

5203042204180002

5203046909180001

5203041812180002

5203043103190001

5203043103190001

5203045708190003

Baiq Arlina Novianti/Lalu Beni Azhar

5203042507200002

5203040409200001
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

5203041501160001

5203042402160002

Maldiat Johannah/Ahmad Fauzi

5203045203160001

5203042305160001

5203046209160003

5203042811160002

5203042911160002

5203044101170003

5203045002170002

520304203170002

5203044404170002

520304260912000

5203054806170002

5203040707170001

5203040508170001

5203044908170001

5203045308170001

523042208170002

5203042608170001

5203042509170003

5203046911170003

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

5203044612170006

5203041001180003

5203041101180002

5203042104180004

5203040205180001

5203045505180001

5203141706180001
5203044508180002

Maldiat Johannah/Ahmad Fauzi

5203044508180002

5203045310180002

5203041611180002

5203045212180001

5203041404140001

520304630319005

520304030819001

5203041908190001

Sumirnawati/Teguh Handika P.

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

5203041403160001

5203040604160001

5203040807160003

5203042410160003

5203042903170001

5203046908170001
Umur Status Gizi Vitamin A
NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Bq. Ratnianingsih/Wahyu Sugeri

5203046302180001

5203041009180002

5203047604190001

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Baiq Ratnianingsih/Wahyu Sugeri

5203041009180002

ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
NIK AYAH/IBU Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Kembang Sri
Posyandu :

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

1 3/8/2016 Hidayatul Humaira Harni/sahne


P
2 30-04-2016 Azura Aprilia Ika/Zulkarnaen
P
3 7/7/2016 Muhammad Ali Patriah/Rian
L
4 17-07-2016 Haikal Afandi Fatmawati/Junaidi
L
5 8/1/2016 M.Rizki Nendra/Amrullah
L
6 8/3/2016 M.Agus Sopianto Suraini/Sa'diah
L
7 9/4/2016 M.Fadil Muhani/Supardi
L
8 28-09-2016 Fitriani Rumisan/Murne
P
9 28-09-2016 Rabiatul Ananda Murtini/Dirwanto
P
10 24-11-2016 Hilwan Saputra Hasanah/Maludin
L
11 20-12-2016 Devina Amelia Meliana/Munahit
P
12 23-12-2016 M.Wira Maulana Usnawati/Wildan
L
13 2/8/2017 Anisa Safira Lasmini/Sapriadi
P
14 5/10/2017 Muzzani Rina Wartini/Irwan
L
15 5/11/2017 Meidia Jayanti Hayati/Hapri
P
16 5/30/2017 Dinari Saputra Saputra/Dini M
L
18 8/1/2017 Murahadi Hadijah/A.Minaseki
L
19 9/9/2017 Azril Rafiski Nurul Aini/Mulyadi
L
20 2/4/2018 Muliandini Muliana/Andika
P
21 23-02-2018 Irfan Saputra Muannah/Mahni
L
22 4/8/2018 Sapinna Apriana Lasmini/Sapriadi
P
23 24-04-2018 Zaki Apriliana Sunati/Mulyadi
L
24 5/5/2018 Syafira Aini Putri Suarni/Sahirin
P
25 31-05-2018 Rian Juniarta
L
26 6/4/4018 Lara Istiana Risnawati/Ibrahim
P
27 31-06-2018 Devi Lestia Misnawani/Yadi
P
28 7/19/2018 M.Wahyudi Ilham Sahurun/Siti Rini
L
29 26-07-2018 M.Algifari Murniani/Hendri
L

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

30 14-08-2018 Aditya Tirta Mahyuni/Sapriadi


L
31 9/9/2018 Syasa Tiara Septiana Maesarah/Samsul
P
32 23-09-2018 Tiara Putri Rahnun/Slamet R
P
33 29-09-2018 M.Fazil Hilyati/Musanip
L
34 11/29/2018 M. Yusri Sabli/Rohani
L
35 1/4/2019 Adrian Akbar M.Yudi/Purlinawati
L
36 1/5/2019 Nurauni Azahra Jumahar/Ayuni
P
37 1/17/2019 Gani Alfareza Aditya Nasri/Muliana
L
38 1/18/2019 Rama Saputra Sahirin/Sopiana
L
39 1/24/2019 Dafa Alfian Mulyadi/Suati
L
40 2/26/2019 Feby Aulia Mastrum/Muslihan
P
41 3/23/2019 Rio Andra Kusuma Sahurun/Ida H
L
42 4/6/2019 Abdullah Abid Ali Alazam M.Ali/Quraeni
L
43 5/3/2019 M. Maliki Wardani Mawardi/Rukayah
L
44 5/15/2019 M. Rafiski Muliadi/Nurulain
L
45 5/31/2019 Yana Mahdar/Rauhun
P
46 8/13/2019 Raidatul/Hafizah Holidi/Neni M
P
47 8/14/2019 Yudi Maksun/Sunaini
L
48 11/6/2019 Maulidi Sukran/marhamah
L
49 11/27/2019 M.maliki Hadiwanto/hilawati
L
50 1/15/2020 Linda ayuliana Marjun/huziana
P
51 1/25/2020 Milatul ulia Ridwan/raodah
P
52 2/6/2020 Lia Listiana Maryam/Sahimin
P
53 2/25/2020 M.david arrosid Rosmayadi/ayuni
L
54 3/5/2020 Fazira Sahnan/murtini
P
55 4/7/2020 M.alhafiz Adi susanto/sriani
L
56 5/19/2020 Ganwadi Gapri/Sehram
L
57 6/3/2020 M.Rama Argani Yuliana/Oripipandi
L
58 8/1/2020 Andani Hadnan/Nuraeni
P
59 8/25/2020 Reyhan Uzair Mulyadi/Riskirawati
L

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

60 9/9/2020 Rosidi Sumaeni/Ishak


L
61 9/12/2020 Azka Septian Saptini/Ihlas
L
62 10/14/2020 Asmaul Husna Husnul Wahidah/Mishul
P
63 11/27/2020 Habibul Ihsan Pathurahman/Rina M
L
64

65

66

67

68

69

70

71

72

73

74

75

76

77

78

79

80

81
82

83

84

85

86

87

88

89

90

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Lingkung Daya
Posyandu :

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

1 23-01-2016 P Azka Silvi Aory Maemanah

2 2/8/2016 P Radwi Fami Nara Miswani

3 2/10/2016 P Nafila Azzohri Azani Neni Wantiwi

4 26-02-2016 P Izzana Haminah

5 23-02-2016 L M. Faezal Azmi Siska Wati

6 25-03-2016 L M. Ripaldi Nurhayani

7 24-04-2016 L Asroul Yusna Hamalah

8 29-05-2016 L Hairil Andika Hairunnisa/Subandi

9 6/6/2016 L M. Alpairik Iq. Hakiah

10 17-06-2016 L Azri Baiturrahman Raodah/Naharudin

11 7/3/2016 L Rafqa Nur'aeni/Ahmad Y

12 7/4/2016 P Fitriana Fani/Ruhul

13 16-07-2016 P Latifa Ihtiari Memi/Zaeni

14 23-09-2016 P Luthfia Qutrunnada Sri Hartini

15 10/10/2016 L M. Fatih Karim Siti Maesarah

16 14-10-2016 P Hupratinnira/Sasmilayani Mariani

17 27-11-2016 P Waridatul Akma Suharni/Sumaedi

18 15-12-2016 P Adifa Maulida Hafsah/Slamet

19 20-12-2016 P Uriyadatul Abiba Jamalah/Saparudin

20 4/17/2017 L Alfian Husnawati

21 7/7/2017 P Azzayina Aura Husnada Husri/Imran

22 15-07-2017 P Sakira Almaisyara Hani'ah/Fuaddi

23 10/2/2017 L M.Alimatul Ihsan Hatini/Suparman

24 13-10-2017 P Khaeruna Nuraeni/Haerudin

25 20-10-2017 P Nesa Adelia Nurhayati /Suaedi

26 12/6/2017 P Penia Rahmatul Aini Mulyani/Fendi

27 15-12-2017 L M.Refaldi Arfarizi Asriani/Hariadi

28 22-12-2017 P Lilistiana Riskia Sukakyah/Sabli

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA
ANAK NO. KARTU
NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

29 16-02-2018 L M.Fauzil Husriatun Hsanah

30 21-02-2018 P Nadia Nazipa Ros/Roni

31 22-02-2018 L Kholik Ahsani Maemunah/Ihsan

32 28-04-2018 L Agung Arya Putra Nurfaizah

33 31-08-2018 P Afta Anjalika Hj.Mariani/H.Badrun

34 -09-2018 L Aidan Tyo Eti hartika/Wahyudi

35 17-09-2018 P Nandin Akila Putri

36 10/10/2018 P Elin Dwi Lestari Tutik

37 31-10-2018 L M.Aozid Alhusyani Maemanah/Sur'aeni

38 21-11-2018 P Sarifa Maulidia

39 11/27/2018 L Saad Masiah

40 12/20/2018 P Haura Kamila Huriah

41 1/19/2019 L Alvinul Hafiz

42 1/27/2019 P Milda humaira

43 3/5/2019 P Raidatul Asyia Susniawati

44 3/30/2019 L Angga Riski Alpito Raodatul H/Taufik

45 7/9/2019 P Azizah

46 9/23/2019 L Gilang Pratama Siska/Firman

47 10/7/2019 P Sadila Maesaroh Mirhan/Ahmad yani

48 11/4/2019 P Liba Almusyahira Aliyah/Muatiah

49 11/6/2019 L Maulidi Sukran/Marhamah

50 11/27/2019 L M.Maliki Hadiwanto/Hilmawati

51 1/15/2020 P Linda Ayu Liana Marjun/Huliana

52 1/5/2020 L Samsul Wahid Ita Aprila/Rusmawadi

53 2/10/2020 P Khairin Isna Rahma Usi Muliani/Zaenul

54 3/20/2020 L M.Alyafiq Anhari Tia Kholiza/Musa

55 3/26/2020 L M.Hayatul Islam Rika Rahmanwati

56 4/21/2020 P Aprilia Putri Aminah/Sawaludin

57 8/15/2020 P Safira Riani/Misnan

58 31/11/20201 P Yunina Zayna 2.5 Marina/Zaynul Aripin

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Tetebatu 1
Posyandu :

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

1 1/4/2016 L M.Dane Hidayatullah Yayan/Ririn

2 3/8/2016 P Nis Naiza Nasrudin/Sahyun

3 28-03-2016 L M.Enggi Pratama Andre/Nurul Aeni

4 25-03-2016 P Laela Sakina Abd. Hamid/Isnawati

5 4/9/2016 L M.Habibullah Sukaedi/Rabiatul A

6 16-04-2016 L M.Rasid AlFatir Muhnal/Wilasih

7 14-04-2016 L M.Alfiyan Riyadi Slamet Riyadi/Erni dani


8 5/5/2016 P Maya Melisa Wandi Iswandi/Tulus Anisa

9 20-05-2016 L M.Afnan Firdaus Hatimah/sufirman

10 25-06-2016 P Layila Assyfa Samsul/Kusumawati

11 7/8/2016 P Nurdiana Uhel Abadi/Nana

12 7/12/2016 L Al - Khaifi zikri Junaedi/Aminah

13 8/6/2016 L M.Agus Alfarizi Suhaedi/Santri

14 8/9/2016 L M.Enggi Pratama Kurniawan/Hadijah

15 24-09-2016 P Airatul Azzahra Ahyar Rosidi/Sumiati

16 13-11-2016 P Mariani Asyah Ika Patra/Jayadi

17 18-11-2016 L M.Afdal Irsyadi Sus/Suryatna Wadi

18 18-11-2016 L Dafa Noval Karisma Royanti/Saiful

19 1/1/2017 L M.Nazam Aljafaz Mulianah/Mahrup

20 1/12/2017 L Gizan Mahendra Maemunah/Heriadi

21 17-01-2017 L Yek Aozan Martini/Yek Badrus

22 1/22/2017 P Srikandi Dewi Bunga/Saefudin

23 31-01-2017 L M.Rosykul Abid Nurul Hidayah/Marwan

24 4/12/2017 P Faizatul Hudusiah/Marwan

25 15-04-2017 L Atma Juniati/Ratnadi

26 24-04-2017 L Hazad Sangkarinja Nurul Aini/Hendra

28 18-05-2017 P Bilqis Meilida Suriati/Sahnan

29 24-05-2017 P Attaya alhafiza Suryatni/Abd.Muis

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

30 31-05-2017 L M.Toriq Harrazi Husnul H/Sukardi

31 26-06-2017 L M.Khalid Mukti Badriah/Zulkarnaen

32 27-07-2017 L Zulkarnaen Misnun/Suaedi

33 31-07-2017 P Mia Anantasya Mariani/Fahrurozi

34 14-08-2017 L Abyzar Nazril Sri Rahayu/Supriyadi

35 22-09-2017 P Naila Rahmani Nur'aeni/A.Yani

36 25-09-2017 P Ziana Haerunnisa Yuni/Harianato

37 10/7/2017 P Shiha Salma Zikriana Isnawati/Suparman

38 14-11-2017 L M.Zaska Shadiq A Sari/Zulkarnaen

39 12/18/2017 L Fandi Drma Bakti Raodah/Zuhri

40 23-12-2017 P Durratul Fazia Atun/Abdurrahman

41 1/8/2018 L Gio Ali Zalpan Tiara/Hartadi

42 1/10/2018 L M.Arkhan Alfaris Rismawati/Farizal

43 1/11/2018 L Tegar Habil Bisma Suriati/Si'ah

44 2/7/2018 L Reyhan Ihsan Azhari Hiarini/Rian

45 21-02-2018 P Alia Dewina Maryam Sumiati/Selamet

46 3/1/2018 L M.Fahrurozi Sumarwi/Yanto

47 17-03-2018 L L.Gantar Fatih Istiani/L.Hamdan

48 19-03-2018 L Keyza Pembayun A Maknah/Gunanto

49 23-03-2018 P Natasya Usna Sapira Husnul H/Saprin

50 26-03-2018 L M.Anggara Algufron Eliana/Gufron

51 4/5/2018 L Aggrata Razan Nurul/wildan

52 5/9/2018 P Zara fatima Aulia Raohon/Zaenul Fahmi


53 5/29/2018 L L. M. Fardan Bq hadijah/L. Alwan

54 7/23/2018 P Qiana Lia Inggit

55 24-07-2018 L M.Rizqi Baihaqi Yanah/Riadussolihin

56 9/4/2018 L M.Lindu Aji Linawati/Jumadil

57 9/13/2018 L Adam Arifki Yuliati/Nasrullah

58 19-09-2018 P Gempita Salma Aisya Sehatun/Saharudin

59 10/5/2018 P Elda Oktabia Susanti/Sapri

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

60 10/8/2018 L M.Adam Rohani/Husen

61 11/29/2018 L Ghani Yazid Khairi Abd.Samad/Hidayatul

62 12/9/2018 L Rahmat Al Gozali Sahmi/Maeni

63 1/15/2019 L M. Wafi Hidayatullah Fikri A/B. Husnul Laeli

64 1/24/2019 P Maila Sakila Muhni/Eliana

65 3/5/2019 P Azka Medina Muhajar/Muliani

66 3/18/2019 L Azka Maulana Dian H/Suriadi

67 4/6/2019 L L. M. Tafan Aidin M L. Mudzakir

68 4/7/2019 L M. Al Irsyad Adli Padullah/Suriani

69 4/30/2019 P Pania Kesa Aprilia Hadi/Su'aebah

70 7/4/2019 L M. Rafif Alfarezi Sadri/Luna

71 7/26/2019 P Hadia Hanipa Yasa Yayan/Ririn

72 10/2/2019 L L.M. Taufiqurahman L.Suparlan/Yamah

73 10/10/2019 P Salsabila Halifa Mahnun/Mahdiati

74 10/10/2019 L M. Rafani Ripaldi/Yani

75 10/12/2019 L M. Giat Sudin Abdul F Leni/M. Rusli

76 11/3/2019 p Azila Hadijah/Junaedi

77 11/16/2019 L Zulfan Azhar Maemunah/Mahdi

78 12/29/2019 L M.Azfer Farel S Bq. Hilmiana/Sahmi

79 1/17/2020 L M.Elira Syakir Alfatih Khairayyarah/El

80 3/14/2020 L M.Imam Tohir Eni Martini/Nurudin

81 3/26/2020 P Ainaya Nuha Zarina Suhaedi/Rini

82 3/29/2020 P Alifa Zuliatunnisa Zulkarnaen/Husriani

3/30/2020 L Paizul Wahyu Muslim/Nuraini

83 4/2/2020 P Zafita Mauritiana Sarihin/Umar

84 4/4/2020 P Nayla Putri Hakim Nurul Hariati/Badrin

85 5/11/2020 P Zarmina Alesha Fatiah/Sukri

86 5/29/2020 P Alma Gina Fitria Muliana/Surya Bakti

87 6/14/2020 L M.Haziq Maulana Mariani/Supriadi

88 7/21/2020 P Kanita Zahratunnisa 3 Linda/Sugianto

89 8/1/2020 P Riska Amelia 3.3 Muatiah/Nurmini

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

90 9/27/2020 P Azarin Yusria Fahima 3.2 Muminah/Yusron


91 10/5/2020 L Arkan Najatul Khairi 2.8 Marjanatul/Sopian

92 10/10/2020 L Rifki Pranoto 3.4 Baiti/Abd.Karim

93 10/15/2020 L Atta Hafiz Al Farizi 4 Sepudin/Yuliana

94

95

96

97

98

99

100

101

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Lingkung Lauq 1
Posyandu :

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

1 15-01-2016 L M.Hilman Yahya Iksan/Zulkaida

2 1/12/2016 L Ilham Saputra Paturrahman/rihin

3 14-02-2016 L Anugrah Al Akbar Nurhatiah/Saeful

4 24-02-2016 P Tiara Rizkiana Nasrudin/Nurjannah

5 3/12/2016 L Nizam Sastiawan Zaenal/Halimah

6 15-03-2016 L M.Syatwan Anhawani Lukman/Nurhayati

7 21-04-2016 P Nasoya Eko Saputra/Yuliana

8 5/11/2016 P Rara Maesura Rakmah/Supandri

9 7/10/2016 P Sintia Rizki Hali/Sayuti

10 23-08-2016 P Adila Safitri Fatriah/Riadi


11 9/2/2016 L M.Rafka Ida Fitriawati/Haermaen

12 11/5/2016 P Zahratun Naura Elnawati/Idham Holid

13 26-11-2016 P Dea Alisa Putri Suarni/M.Ali

14 27-01-2017 P Alesya Novalin Nuraeni/Rizal Munawir

15 13-02-2017 L Riski Febriansyah Hiusniati/muhlas

16 17-02-2017 P Syakila Yura Azzahra Yuneni/Abdurrozid

17 16-03-2017 P Safatya Fadila Fatimah/Saifullah

18 19-03-2017 L M.Arzaki Huliani/Sukri

19 20-03-2017 L Satria Azani Satriah/Junaedi

20 28-03-2017 P Asya Nadin Azhari Azira/Jamhari

21 31-03-2017 P Mifta Aulia Raya Haerani/Yasriadi

22 13-03-2017 L M.Fatih Elhadi Muhibbah/Ronia

23 4/7/2017 L Aril Maulana Nurhayati/Ihsan

24 4/8/2017 P Aisha Ayunda F Wardatul/Heri Abadi

25 4/8/2017 L Akil Alfarizki Rakhmatullah/Khairul

26 19-04-2017 P Maelani Suci Laelatul Hasanah/Mahmud

27 29-04-2017 P Vania Azzahra Sri Wahyuni/Pajri

28 29-05-2017 L Arfan Halif Johani/Mawardi

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

29 6/2/2017 L Mauza Ramdan Salmi/Tanilurrahman

30 14-06-2017 P Rahma Adni Yatira Fathawali/Doni S

31 27-06-2017 L M.Fachri Syawal Yuniati/Yusro

32 9/5/2017 L Aliq Saputra Lia/Samsudin

33 16-10-2017 P Siti Rohana Rahmini/Suhaeli

34 10/21/2017 L M.Aqil Abkari Sukarniwati/Fadlan

35 30-11-2017 P Azra Alfatunnisa Rakyal Ain/Haryono

36 30-11-2017 P Amel Maulida Putri Mila Arzani/Rusman

37 16-12-2017 P Asyifa Tanzil Suryani/Maksum

38 18-01-2018 L Janwar Alfian Hair Mahsuni/Sukarni

39 22-01-2018 P Sabila Yasara Hamidah/Mahsun

40 23-01-2018 P Arzila Ulfatunniza Indra/Junaedi

41 2/9/2018 L M.Zubaer Algoni Sakyan/Harkoni

42 23-03-2018 P Ayinaya Fathiaturrahma Rohani/Suhanto

43 5/8/2018 L M. Fahrul Haeri Suherman/Susanti

44 25-05-2018 L M.Fahmi Azhim Buhaira Haerani/Hasbullah

45 16-06-2018 L Raesan Almalik Sri/Her

46 6/23/2018 L Zaki Aziz Marimin/Suarini

47 19-06-2018 P Zivana Aolia Putri Fitriani/Hilwadi

48 14-08-2018 L M.Faiz Ibrahim Widya/Suhirman

49 13-09-2018 P Annadi Azira Azizah Ika /Abdul Azis

50 10/11/2018 P Sifa Anindita Marwan/Halimah

51 11/4/2018 P Alifa Zafiratunnisa Zuhratul Aini/M.Roniadi

52 12/19/2018 P Cantika Queen Sheza Handika S/Yuliana

53 12/24/2018 P Kayysa Haura Solihin/Nuraini

54 3/12/2019 L M. Pahri Al apgani Umar/Yuli Septiana


55 5/21/2019 P Nina Malikal Fathi Doni/Fatmawati

56 5/24/2019 P Naela Ramdani Sahrun/Rumesah

57 6/6/2019 P Zakira Aftani Hisbullah/Srimuliati

58 7/23/2019 L Zian Annaziro Sehebudin/Mahinun

59 7/30/2019 L Rendra Alvaro Robi/Elsa

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

60 8/27/2019 P Inaya Atif Azzahra Faizin A/Fitriani

61 9/6/2019 P Khalifa Ayu Nanda Sanusi/Haeratun

62 9/25/2019 P Afifa Fatima M Faozan/Martini

63 9/27/2019 P Aika Aisya Rahma Tohri/Endang

64 9/29/2019 P Dinda Septiara Ahyar Rosidi/Sahyan

65 11/1/2019 L M. Jaan Fais Junaidi/Sulrani

66 11/23/2019 P Maulidia Aisyah Halimah/Maliki

67 11/28/2019 P Bq. Haura Qurratunnazila L.Umar/Sari Anindini

68 1/7/2020 L M.Affan Haidar Anisa/ Efendi

69 1 2/1/2020 Sobyan Nur Ilmi Nuraini


P

70 2/26/2020 L L.Firas Abdillah L.Rofikar/Hayani

71 2 3/20/2020 Gifara Waiz Al Jya Rojito/Wiya


L

72 4/29/2020 P Asifatunnisa Yuniawati/Sahmi

73 4 5/3/2020 Hofiatin Arlina Mahsin/Sumayatun


P

74 6/7/2020 P Zulia Melisa Soleha Meisa/Zal

75 3 6/18/2020 L L.Abdul Hakim 3.8 Halawiyah/L.Abd.Muaz

76 3 7/1/2020 P Nanda Faza Aini 3 Nuraini/Ishak

77 7/16/2020 L Azka Dilan Al-Farizi 3.4 Jumadi/St.Hajar

78 2 7/23/2020 P Bq.Anasya Humaira Z 3.3 L.Didit Indra/Eva W

79 7/24/2020 P Safani Yuliana 2.7 Iliani/Safarudin

80 1 10/5/2020 L M.Arfadillah 3.5 Hiliani/Agus

81 2 11/4/2020 P Zakia Maulida 2.7 Murtini/Siswadi

82

83

84

85

86

87

88

89

90
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Orong Gerisak 2
Posyandu :

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

1 5/4/2016 L M.Rifki A.Mis/Sumiati

2 19-05-2016 L Aleska Azka Apriliamanda/Supriadi

3 25-05-2016 P Elsa Pelisa Helmiati/Sapri

4 27-07-2016 P Echa Cahyani Munisah/A.Dian

5 8/5/2015 L M.Amrullah Halimah/Runadi

6 9/1/2016 L Abdul Hayyi Ida Permana/Suriali

7 9/4/2016 P Raihul Liana I.Dian/Sumade

8 9/7/2016 L Arfan Maulana Arizki Mulianti/Suraen

9 25-09-2016 L Kamal Amrullah HJ.Kerdi/Sahnim

10 23-09-2016 L Imran Abidin Mahlan/Rabiatun

11 10/3/2016 P Patinia Pathurahman/Suriani

12 10/10/2016 P Winda Ramatullah Suep/Husmiati

13 31-10-2016 L Isnan Habib Iq.Hana/Aq.Hana

14 03-11-/2016 L Arfandi Iq.Sarwin/Aq.sarwin

15 11/7/2016 L Nofal Alfikri Sahyun/Seneng

16 11/13/2016 P Mariani Aziah Eka Patra/Jayadi

17 25-11-2016 L M.Irwandi Aulia Warni/Iwan Dahlan

18 25-11-2016 L M.Royani Murtini/Muslim

19 12/8/2016 P Zakia Maulida Haeril Anwar/Fauzan

20 25-12-2016 L M.Andi Ali Ririn/Maryono

21 17-01-2017 L Yek Faozan Martini/Yek badrus

22 2/3/2017 P Zilpi Febria Sulmiati/Herman

23 3/12/2017 P Alifa Leli/Herman Jayadi

24 4/2/2017 L Muhsan Haerani/Muhajar

25 17-04-2017 L A.Dikta Maulana Iq.Jaswadi/Aq.Jaswadi

26 15-06-2017 P Embun Iq.Munadi/Aq.Haeriah

27 7/10/2017 P Adina Fitriani Hernawati/Sumaedi

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

28 8/4/2017 L Muh.Asta Arrahman Suliani/Mahsun

29 9/16/2017 L M. Agus Ardianto Mandra/Nuraini

30 17-09-2017 L M.Arian Jayadi Heliana/Sujayadi

31 11/5/2017 P Azizah Sahnim/H.A.Muttakin

32 23-11-2017 L M.Rifqi Muliati/jumadil

33 29-11-2017 P Novi Armaliza Levi/Suparman

34 1/8/2018 P Alda Winata Andriani/Naswi

35 22-02-2018 L M.Haziril Ihwan Haeruni/Zohdi

36 2/3/2018 P Hayatul Mardiani Linda Yuliana/Suriandi

37 13-04-2018 L M.Saputra Zulmiati/muhadi


38 8/1/2018 L Faiz Rizki Menah/Sukardi

39 8/8/2018 P Liolan Kaira Azila/Gempini Yuliastri/L.Sunar Hadi

40 15-08-2018 L M.Habib Arrasyid Rina Aprilia/Wiradandi

41 9/30/2018 P Feby Gia Kalistha Azwari/Latulatiah

42 11/18/2018 L Rafikul Akbar Ridwan/Maeni

43 2/15/2019 P Hurul Aini Merianti/Mahyudin

44 3/26/2019 Abdul Malik Julastri/Marzuki


L

45 4/16/2019 L
M. Hafizi Mariun/Murtisah

46 4/25/2019 L
M. Azril Riadi M. Sabri/Jumaeni

47 4/27/2019 P
Putri Apriliantin Azizah Abdul Aziz/Bq. Sinta M

48 7/4/2019 L Algazali Arsya/Riani

49 7/20/2019 L M. Sauqi Alazizi Satria/Hurmini

50 7/24/2019 L M. Fathurahman Sahmal/Hariatun

51 8/2/2019 L L. Wijaya Iliyyin M. Amin/Isnawati

52 9/3/2019 L Azzam Septian Maulana Sukrin/Evi

53 9/17/2019 L Natan Ferdiansyah Tanwir/Suriati

54 10/1/2019 P Nada Devina Amelia Sukarman/Tutik M

55 11/15/2019 L M.Mirta Algifari Huriati/Ali

56 11/21/2019 L Rifki Febrian Abdurahim/Febrilina

57 12/6/2019 p Nahda Ayumna Paeniah/Rusne

58 12/20/2019 L Aidin Al Hanan Pajri/Yatni

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

59 1/28/2020 L M.Izzan Hatiah/Zohri

60 2/4/2020 L M.Azril Febriandi Bayani/M.Azaki

61 2/5/2020 L Bilal Al Furkon Nursaman/Nurhayati

62 2/28/2020 P Aina Medina Subarli/Mahinun

63 6/23/2020 P Azura M.Padli/Emaliana

64 7/20/2020 L M.Danil Hasadi 3.5 Mahini/Arinah

65 10/2/2020 P Mariana 2.5 Maryani/Makrup

66

67

68

69

70

71

72

73

74

75

76

77

78

79

80

81
82

83

84

85

86

87

88

89

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Orong Gerisak 1
Posyandu :

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

1 1 1/8/2016 M.Hafiz Muhajar/Murtini


L
2 2 28-01-2016 L.Januan Efendi L.Surni/Saminah
L
3 1 26-01-2016 Nurlaeli Safitri Safrin/Sahlan
P
4 2 2/11/2016 Ulul Azmi Sulianti/Rodi
L
5 2 3/8/2016 M.Ali Attauhid Sahtum/Zainul
L
6 5 18-03-2016 Nasila Imelda Sahram/Sahnun
P
7 1 5/11/2016 Adrian Pradita Ambari Yuliana/Japri
L
8 2 17-05-2016 M.Aktar Aliansyah Imrianti/Sahri
L
9 1 18-06-2016 Arka Hasandi Ismawati/Andi
L
10 4 7/3/2016 M.Alif Ramadan Suriati/Sardi
L
11 2 29-07-2016 Juli Nurlaeli Hardi/Husniati
P
12 3 26-08-2016 Patih Alzaki Pradita Rumisah/Rusni
L
13 2 16-09-2016 Zulfita yulia Huriah/Yandi
P
14 2 19-09-2016 Ayu Hartini Mahini/Muzhar
P
15 3 19-11-2016 Bq.Ainaya Fatiaturrahman Rusmaeni/L.Maryun
P
16 2 12/7/2016 Hafiza Johaeriah/Sapri
L
17 2 23-12-2016 L.Reski Destiawan Mahini/Suparlan
L
18 2 12/25/2016 Selamet Raodah/Sawal
L
19 2 19-01-2017 Ahzabil Faqih Saliah/Rubakyah
L
20 6 2/5/2017 Fania Febriana Anemah/Sahibudin
P
21 2 23-02-2017 Haerul Azam Sukini/Nursanip
L
22 2 23-02-2017 Abd.Haerul Azam Suryati/Haerul
L
23 4/15/2017 Sakila Nurmasah/Sumiati
P
24 1 28-04-2017 M.Habibul Hasan Mar'atussolehah/Hirsan W
L
25 3 17-05-2017 M.Faizan Sumarni/Sumarlin
L
26 2 30-05-2017 Dinari Saputra Dini Muliani/Sapri
L
27 4 13-06-2017 M.Salman Albukhari Husniati/M.Ali
L
28 1 26-08-2017 M.Agus Andrianto Nurul Aini/Andra Irawan
L

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA
29 1 29-08-2017 Adia Natania Aminah/Muliadi
P
30 1 19-08-2017 M.Gerpan Maulana Liana/Agip Burrahman
L
31 1 9/6/2017 Yuna Ega Putri Rita /Yogi
P
32 1 9/12/2017 Anuarrahman
L
33 2 13-09-2017 Zaki Afkani Saknah/Humaidi
L
34 2 14-09-2017 Alifa Maulina Muliani/Helman
P
35 1 21-09-2017 M.Abdi Abizar Indrawati/Bahrudin
L
36 3 10/5/2017 M.Ilham Mariah/Makbul
L
37 3 11/4/2017 Rendi Hidayatullah Hulmiani/Saleh
L
38 2 12/1/2017 Ahmad Haeri Haoroah/Rianto
L
39 6 12/5/2017 Siti Maulida Maenah/Kacan
P
40 3 1/6/2018 Hafiza Safwatul Aina Riskawati/Sumaedi
P
41 1 2/3/2018 Naila Riskia Nuraini/Buhari
P
42 2 23-02-2018 M.Alfaqih Husniatul H/Maludin
L
43 1 25-02-2018 Salsabila Riskawati/Sumaedi
P
44 2 3/12/2018 M.Abi Hafizurahim Suryana/Wildan
L
45 2 13-03-2018 M.Hafizam Jumakyah/Jayadi
L
46 3 29-03-2018 M.Arfan Abdul hafiz Riana/Muhamin
L
47 1 5/2/2018 Galang Idawati/Samsul Hadi
L
48 8/5/2018 Fathul haeri Susanti/Suherman
L
49 2 23-06-2018 L.Ezi Zulhakim Nur'aeni/L.Malwi
L
50 23-06-2018 Zaki Aziz Suar/Marwin
L
51 2 26-06-2018 M.Ilham Alfarizi Rohani/Supardi
L
52 13-08-2018 Nida Ankhopia Yuliana/Rusni
P
53 1 16-08-2018 M.Akabar Maulana Nurlaeli H/Suhaemi
L
54 9/12/2018 Abdul Gani Khairi Faizah/Suhaeli
L
55 17-09-2018 M.Fatir Rizkullah Patriani/Mursal
L
56 25-09-2018 Azka Edyan Rizkiyana Yanti R/Suhaidi
P
57 29-09-2018 Imam Algifari Deviana/Munawir
L
58 11/7/2018 M. Juan Maulana Junaidi/Yuliana
L
59 11/12/2018 L
M. Izwar Syaihan Iswandi/Bq. Aeniyah

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

60 1 11/22/2018 P
Ulvia Wiya Sarbini/Hastiniati

61 12/5/2018 P
Bq. Fania Humaeroh L.Suparlan/Sulaeni

62 12/8/2018 L L.Ozora Ahyar L.Ahyar R/Etik Komala

63 1 12/10/2018 L M. Faiz Riadi Husawadi/Widiastuti

64 12/21/2018 P Asma Aulia Sahwan/Murtini

65 12/22/2018 M. Yazid Puaddi/Murtiani


L
66 1/17/2019 P Salwa Junita Jumaedi/Maemunah

67 1 1/21/2019 P Afifa Nahda Rafanda Sukri/Husnatul Aeni


68 1/24/2019 P Ulia Afifah Musipudin/Mariani
69 1/27/2019 L L. Arya Saputra L.Arifin/Mastiara
70 3/4/2019 P Najamatussaadah Hirsan/Maraatussaliha
71 19/03/2019 P Widya Ulfani Wildan/Muliani
72 21/03/2019 P Naura Afifa Suhandi/Bq.Herlina
73 1 3/27/2019 P Nerisa Azzahra Agus W/Zohratul Aeni
74 5/10/2019 P Meiza Ufaira Anwar/Bq.Nunik
75 6/23/2019 L M. Nizam Napisil/Yuliana
76 7/20/2019 P Atsa Humaera Mudaah/Seniwati
77 2 8/6/2019 P Alesa Talita Suhandi/Isni
78 1 8/30/2019 P Kaisya Aziza Ilmahyadi/Mila Rosa
79 9/5/2019 P Atika Mia Amisa Sawaludin/Murniati
80 9/15/2019 P Dinda Rista Lidya Fathul Hadi/Muliana
81 28/09/2019 P Anisa Zahwa Agib Burrahman/Riana
82 10/3/2019 P Najma Hafiza Abd.Muis/Bq.Sukayati
83 10/3/2019 P Nurlalia Nabila Mahsun/Aisah
84 2 10/26/2019 L L. Zidan Aroyan L.Safarwadi/Sri Ayu A
85 11/1/2019 L M.Khatibullah Pajri/Mariana
86 11/10/2019 P Laura Aliska Alinah/Hariani
87 11/25/2019 L Zhiad Asyatiq Nia/Andi
88 11/29/2019 P Bq.Elvia Saputri L.Saderi/Huliah
89 12/1/2019 P Aulia Rahmawati Andriani/Fauzan
90 12/13/2019 P Wanda Qimanatussakina Liawan/Farini
91 2 2/3/2020 P Hanifa Eoyana Feb Yanti/Suhaedi

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

92 2/9/2020 P Alea Sesa Halmiwati/Makrifat


93 3/13/2020 P Bq.Fitri Azizah Nurul Hidayah
94 3/14/2020 L Abizan Maulana Malini/Candra
95 3/29/2020 P Alifa Zuliatunnisa Yusriani/Zulkarnain
96 4/9/2020 L Azam Adullah Asmiwati
97 4/28/2020 L M.Rafasya Fendi/Johanah
98 1 5/15/2020 L M.Habibullah Hariawan/Sri Ayu
99 1 5/29/2020 P Aisya Hapidatuzzahra Irfan Jayadi/Maryanti
100 1 6/7/2020 P Bq.Laelatul Ayudia I L.Oki Hadip/Irma
101 6/24/2020 L M.Dzaka A Sulistia/Didik Abdul
102 7/15/2020 P Syerli Anggrai 3.8 Uswatun Hasanah/Iwan Fauzi
103 7/16/2020 L Bagas Sabanawinata 3 Marwin/Dita
104 7/19/2020 L M.Imam Fadli 3 Bq.Yuliani/M.Rizal
105 7/20/2020 L M.Rizky Bilal 2.8 Isnawati/Iwan Fauzi
106 7/25/2020 L L.Ibrahim Daud L.Hamyan Wadi/Bq.Nida
107 7/27/2020 L Rizky Fahmi 2.5 Hulmiati/M.Saleh
108 8/7/2020 L Rafka Ardiansyah 3 Ika Lestari/Suhardi
109 8/23/2020 P Bq.Nawa Nadhifa 3.8 Nurfaizah/L.Sudirman
110 10/6/2020 L L.M. Alfa Rizki 3.2 Yuliani/L.Mursal
111 10/13/2020 P Zahira Oktavia 3.1 Lilian/Ubaidillah
112 10/16/2020 L M.Arya Pratama 2.9 Wena/Imran
113 10/21/2020 L M.Mizan 2.8 Huniatul/Maludin
114 10/26/2020 L M.Maulidi 2.7 Virayani/Hulaili
115 11/3/2020 P Stepani 3.2 Mulaini/Hirwann
116
117

118

119

120

121

122

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Tetebatu 2
Posyandu :

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

1 1/8/2016 P Serli Dwi arlina Supriadi/Linawati

2 15-01-2016 L M. Nabil Najih Saepul/Yeni

3 1/6/2016 P Aizatul Nabila Marzuki/Ita Safitri

4 1 31-01-2016
L M.Azizul Jalali Muliana/Adnan

5 3 1/11/2016 M. Azka Alfaizi Si'ah/Paenah


L

6 19-03-2016 L Arya Junata Asmayadi/Juhaeriah

7 4 4/4/2016 Devi Wulandari Ruslan/Muhani


P

8 4/9/2016 P Nurul Laelatul Hikmah Sahini/Susianti

9 4/10/2016 P Rina Maria Andini Padli/ Hakiah

10 16-04-2016 L Maulana Malik Adi/Nurhayani

11 5/6/2016 P Bq.MarizaFirrizki L.Sudirman/Bq.Rafiah

12 7/4/2016 P Aila Olivia Juliana Sahdan/Sahirun

13 2 7/12/2016 Andini Fatira Padli/Suarni


P

14 2 21-07-2016 M.Faizin Arifin/Kariawati


L

15 26-08-2016 L Mahmudin Ali Hasanudin/Sahri

16 2 21-10-2016 M.Najil Furqon Hartika/Musanip


L

17 17-11-2016 L Novian Ardea Elmi/Hirzan

18 1/5/2017 L Alfa Hidayat Mahnep/Marwan

19 1 1/6/2017 M.Fikri Hasim Hidayati/Sumaedi


L

20 1 23-01-2017 Hayati Zikro Hidayah/Yek Badrun


P

21 1 25-01-2017 Wulan Syaqinah Muliana/Suparman


P

22 2 21-02-2017 M.Rifki Usmioati/Darwin


L

23 25-02-107 P Anisa Hermawati Misnah/Muslim

24 3 30-04-2017 Alika Fatina Hartini/Ariadi


P

25 1 22-05-2017 M.Deni Saputra Hakiah/Ramli


L

26 6/2/2017 L M.Barja Ramdani Nurmayanti/Suhaeli

27 2 26-06-2017 Zakira Maulia Masturi/Samad


L

28 7/1/2017 P Nazia Safa Luna Dian/Herman

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

29 7/4/2017 L Laksana Ariyan Tama Dewi/Rido

30 22-07-2017 L M.Gibran Al-Ghifari Sumarni/Hartadi


31 2 19-10-2017 Adila Sakina Yuliana/Adnan
P

32 2 25-10-2017 Wilan Hartalip Rina/Ruslan


L

33 3 12/11/2017 M.Haerul Azam Sumarni/Simah


L

34 2 21-01-2018 Dania Sofia Zahrani Nurhayati/Suryadi


P

35 30-01-2018 L Azka Maulana Ertinawati/Sukran

36 3/19/2018 P Keysa Pembayun Gunanto/Maknah

37 14-04-2018 L M.Adeen Wafiq Reni L/Hidayat

38 6/9/2018 P Risma Aulia Halimah/Nasri

39 1 6/12/2018 M.Azril Ramdhani Suriani/Sukarni


L

40 7/11/2018 P Aina Talita Zahrada Maemunah/Junaedi

41 3 22-07-2018 Gadis Mikaya Irana Rina/Irwan


P

42 23-07-2018 P Qiana Talita Zaila Liana/Zainul Arifin

43 9/3/2018 L M.Habiba Ar Rasyid Rina/Sabarudin

44 9/4/2018 P Ayu Rizki Pania Nurhidayati/Nasri

45 2 24-09-2018 Yek Habib Raziq Martini/Yek badrun


L

46 10/5/2018 P Nadira Oktania Kurnia Sari/Suhaemi

47 12/16/2018 P Nisa Mafaza Kamaludin/Marlwa

48 2 12/25/2018 M. Warizin Hadi Maat Adnan/Kartini


L

49 2/4/2019 P Alika Naila Putri Suriani/Sudri

50 1 4/19/2019 Nadia Parhana Nana Mardiana/Hilmi


P

51 1 5/8/2019 Al Mar'atul Mukminah Juaeni/Haeruni


P

52 3 5/24/2019 M.Hafiz Sahmi/Siti hajar


L

53 6/3/2019 L Atharrizki Zaidan P Baruna Y. P/Sri Hardini

54 6/8/2019 P Saskia Anida Nindita Samsul/Asmiwati

55 10/12/2019 L M. Fathan Maulana Rahil Bariyah/Suhaidi

56 10/21/2019 L M. Habil Al Azam Sopian/Tarisa

57 11/5/2019 L M. Yazid Maulana Mahsun/Sumaini

58 1/7/2020 L M.Al Fatih M Eva

59 1/16/2020 L Saputra Jamin Ahmad Hadnin/Nurhayati

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

60 1/19/2020 P Hawa Anisa Jannah Maya/Suhaili

61 1/23/2020 P Ayu Andini Suhaimi/Ria

62 1/28/2020 L M.Alfarizi Aisyabri Suriatun

63 2/11/2020 L M.Yuga Wirabakti Fandi/Sriwahyu

64 3/6/2020 L Gibran Abdul Syakur Mahni/Edi

65 3/12/2020 L L.Anja Ahmad Ghazali Bq.Nafsah

66 4/22/2020 P Rohimah Sahlim/Sapri

67 5/6/2020 P Alita Meisya Sukini

68 6/3/2020 P Syakila Az-zahra Yeni/Saiful

69 9/3/2020 L M.Habibi Ar-Rasyid 2.8 Rina/Sabarudin

70 9/28/2020 L Rafid Fariq Asyror 3.4

71 10/9/2020 L Abdul Malik Azka 3.5 Nurul Fitri

72
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Kembang Sri 2
Posyandu :

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

1 2/5/2016 Julia Hindri Nadira Hadijah/Mawardi


P
2 17-04-2016 M.Rafa Iq.Hendri/Aq. Hendri
L
3 5/1/2016 Rifki Amirzan Hamdan/Jemal
L
4 20-05-2016 Rifaldi Rumini/Jupardi
L
5 7/20/2016 Devi ratnasari Masiah/munanto
P
6 21-07-2016 Sopia Humaira Yanti/Jayadi
P
7 25-07-2016 Adelia Haliani/Sahebudin
P
8 29-07-2016 Satia Ifaldi Hafalah/Satarudin
L
9 30-07-2016 Anggi Safitri Risnawati/Mawardi
P
10 13-08-2016 Muhammad Fauzi Hajariah/Sukur
L
11 24-09-2016 Aira Septiana Iq.Ishaq/Aq. Ishaq
P
12 10/11/2016 Alminatul Nasira Indrawini/Muhamin
P
13 7/5/2017 M.rifal adrian Sumayati/sapardi
L
14 3/24/2017 Naufal Afkar Rohani/Fadli
L
15 4/10/2017 M.Wandri Rehanah/Nahar
L
16 27-04-2017 Rafika Rahman Nurhasanah/Nasrun
L
17 5/11/2017 Diva marwana Hidayati/Junaedi
P
18 24-05-2017 Revi Mei Junita Hernawati/Junaedi
P
19 14-06-2017 Adibatul Naila Usnawati/Muhlis
p
20 7/5/2017 M.Refal Adrian Sumayati/sapardi
L
21 25-07-2017 M.Aji Zaka Mu'ayanah/Suhani
L
22 29-08-2017 Ayuna Marisa Linawati/Marni
P
23 14-09-2017 Denis Ilham Reni/Idham
L
24 22-11-2017 Maulidiana Muliana/M.Zainul
P
25 12/26/2017 Maulidia Maryanti/Huliadi
P
26 1/9/2018 M.Jayadi Martini/Sabli
L
27 25-01-2018 Nayla Mydina Hulaedi/Sri Sopiana
P
28 2/10/2018 Wira Wijaya Mukminah/Sar
L

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

29 3/6/2018 Joana Husniati/Riadi


P
30 31-03-2018 Naviatul Jannah Riani/Nasriadi
P
31 4/6/2018 M.Izam Rohmi
L
32 5/12/2018 Salsabila Sri Hartini/Halidi
P
33 6/10/2018 Angga Lopadira Haerani/Mawardi
L
34 25-06-2018 Susanti Rusmiati/Ifan
P
35 8/1/2018 M.Haerul Alfin Hasnawati/Amrullah
L
36 25-09-2018 Ahmad Baim Putra Nurjanah/Mawardi
L
37 22-10-2018 Hafifah Sahilun/Mashur
P
38 16-11-2018 Alindya Hafatulliza Asriatun/Irwadi
P
39 12/11/2018 Adelia Azahra Muslihan/Suhermi
P
40 1/5/2019 Ari Saputra Rohimin/Hayati
L
41 1/12/2019 M. Alfian Midrun/Mianati
L
42 1/22/2019 Zahratunisa Sahrun/Mariatun
P
43 2/2/2019 Haerunabil Sukarni/Misna
L
44 2/12/2019 Yuliana Husnati/riadi
P
45 2/19/2019 Husnul Aira Muntaha/Sustanti
P
46 3/16/2019 Halifa Suparman/Hadijah
P
47 4/4/2019 Nia Aprilita Marhin/Martini
P
48 4/9/2019 Zuratul Nisa Aq.Nur/Rumini
P
49 4/15/2019 Hafizurrahman Husnudin/Sahini
L
50 4/30/2019 Ayuna Aprilia Husni/Maemunah
P
51 5/31/2019 Iana Raohon/muhdar
52 8/12/2019 Jiwa Saputra Junaedi/Haerunisa
L
53 8/24/2019 Aina Sara Misnadi/Seriani
P
54 10/2/2019 Imratul mutaqia Sumiati/junaidi
P
55 12/5/2019 M.waliwal faqih Rukaiyah/masrin
L
56 12/30/2019 Halifatun nisa Khairulismi/man
P
57 1/15/2020 M.Putra Sahelmi/Isnawati
L
58 1/21/2020 Abdurrahman Saminah/Sukarni
L
59 1/23/2020 Ulfa Aliya Hadijah/Sahar
P

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

60 2/12/2020 Yuliana Husniati/Riadi


P
61 3/7/2020 Adiba Azahra A.Yani/Rabiatul.A
P
62 3/23/2020 Sofian Sahimun/Nehar
L
63 4/6/2020 Aruna Sakira Mianah
P
64 4/20/2020 Hafia S Sahri/Husnudin
L
65 4/22/2020 Daffa Alwafi Isma/Tanwir
L
66 6/14/2020 Radiana S Pariati
P
67 8/16/2020 Rendra P Hidayanti/Wahid
L
68 9/16/2020 Aqila Elpiana Supaeni/Sahne
P
69 10/5/2020 Adipa Yasna Hairuni/Heri Jayadi
P
70 Amelia
P
71 M.Lais Fattah
L
72

73

74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Lingkung Lauq 2
Posyandu :

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

1 21-02-2016 L Gibran Febriansyah Nurul Aeni/Kamran

2 19-03-2016 L M .Juan Akbar Jumadil/Masni

3 25-03-2016 P Bilqis Permata Naira Iskandar/Hulistiarini

4 6/5/2016 L Roizali Azhar Halimah/Azharudin

5 23-08-2016 L M.Amril Juniani/Ahyar Rosidi

6 22-01-2017 L M.Alfian Ema Susana/Samsul Hadi

7 2/7/2017 L M.Zaki Nuraini/Sumaidi

8 15-02-2017 L Julian Maula Sahiliani/Haryadi

9 3/10/2017 L Ilham Arifin Ida Ayu/Suhandi

10 4/1/2017 P Aprilia Lestari Riani/Suparman

11 4/3/2017 P Rania Paradila Parhanun/Saifullah

12 18-04-2017 L Busyairil Ihsan Faridah/Sukriandi

13 26-06-2017 L M.Dodi Hildiatullah Sahnim/Sanoar

14 25-08-2017 P Sayu Ana Putri/Ayuna P Mahyun/Tanwir


15 30-09-2017 L Pandu Alfatih Eli/Atharudin

16 10/10/2017 P Ummu Laelatul K Matriana/Haerul A

17 18-10-2017 P Nazwa Miftahurrizki Rohani/Ahyadil

18 22-11-2017 L Malik Rasyid Muanah/Rosidi

19 19-01-2018 L M.Juandi Akbar Haeruni/Lis Suhaedi

20 2/12/2018 P Talia Sofia Fitria/Fathurrozi

21 17-02-2018 L Azka Maulana Haerul Yani/Suhandi

22 20-04-2018 L M.Andra Aprian Indriani/Japarudin

23 6/21/2018 P Audi Maesa Salia Putri Yeni/Yuri Fariadi

24 13-08--2018 P Lufia Zahrani Aminah/Munasif

25 14-08-2018 P Gempita Tri Agustin Suryani/Saprudin

26 8/15/2018 L Waki Algani Sasyodi/Wiwin

27 15-08-2018 P Akila Kori Anjwa Jumaeni/Amrullah

28 10/3/2018 L Suhaeri Mahini/Pajri

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

29 10/8/2018 P Adinda Nada Azzahra Fatmawati/Suhaemi

30 11/25/2018 L M. Aryan Fizi Taqwa Mulyadi/Ilyani

31 1/5/2019 P Nuraeni Azahra Jumahar/Yuni

32 1/30/2019 L M. Alfarizi Yanto/Muriani

33 2/3/2019 P Indah Mufia Rizal W/Susilawati

34 4/8/2019 P Zilla Aprilia Rinto H/Rusmini

35 5/5/2019 P Laidatul Azura Suherman/Sujani

36 7/29/2019 P Nurul Anisa Edi Yusuf/Rohani

37 8/13/2019 L Zakari Zikrullah Rini Antika

38 8/30/2019 L Ziyadul Irsyad Sarjan H/Nirawati

39 10/1/2019 P Arwa Qalesa H.Irfan/Hamtini

40 12/27/2019 L Nadip Pradipata 3.7 Safari

41 2/1/2020 L Gilang Alfarizki

42 2/3/2020 P Halwatul Aini Bq.Jumaini/Rusli

43 4/30/2020 P Rasti Mas'ut/Sartini

44 7/1/2020 L M.Azwar 2.7 Aripin/Zulhiah

45 9/21/2020 P Rayna Haerul Insan/Pebi

46 10/7/2020 L M.Arsyad 3.3 Efendi/Istina

47

48

49

50

51

52

53

54

55

56

57

58
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Tetebatu
Dusun : Lingkung Daya baru
Posyandu :

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

1 1 2/22/2016 P 5203041506170002 5203042202160001 Purna Firmansyah 3 Senisah/Alwan 5203040701940006

2 1 21-03-2016 P 5203041512150003 5203046103160001 Haera Ihwa 3.1 Sulasul/Herman 5203040102840001

3 1 19-06-2016 L 5203042105160002 5203049051600001 Riptal Ariadi Ariati/Mawadi 5203043112870285

4 2 7/9/2016 P 5203040509120024 5203044907160004 Weni Wandari 3.8 Suarni/Sabli 5203043112850315

5 4 8/10/2016 P 5203042209071374 5203045008160004 Aida Elsa Salsabila 3.5 Hadaniah/Sadli 5203041107750003

6 2 9/1/2016 P 5203040712110029 5203044109160002 Desiwati 3.7 Helmi 5203044505990006

7 27-10-2016 L M.Izwan Hadi Hiliati

8 11/5/2016 P Zahratun Nawra Elnawati

9 3 11/10/2016 L 5203041512400025 5203041011160002 Rifki 3.3 Maemunah 5203043112840380

10 20-12-2016 P Talita Nailha Putri Handayani/Hendri

11 2 2/4/2017 P 5203042212110172 5203044402170002 Dinda Olivia 3.2 Hidayatun/Sahmi 5203044107810552

12 4 08-902-2017 P Silvia 3.5 Sahtum Aulia/Basri

13 31-03-2017 P Mauri Husnul Hatimah/Aton

14 31-03-2017 L Aska Maulana Fadil Lista Liana/Hendri

15 3 17-05-2017 P 5203042112110053 5203045605170003 Azifatul Hafiza 2.8 Mariani/Mujitahid 5203041312790003

16 2 7/2/2017 L 5203040808110002 5203040207170001 Maulana Malik Ibrahim 2.4 Liawati/Royani 5203040107801001

17 2 20-08-2017 L M.Arsyad Elzhwari Laili/Sarwadi

18 4 28-08-2017 P 5203041911120030 5203046408170001 Dini Widiautul Aini 3.3 Muliati/Sahlan 5203040606760005

19 3 10/12/2017 P 5203042901110007 5203045210170001 Humaira Azizah 3.2 Sakiah/Sukirman 5203043112820114

20 1 22-10-2017 L 5203040501150011 5203042210170001 M.Ezan 2.7 Parini/Junaedi 5203043112790326

21 2 23-10-2017 P Safaratul Aini 3 Maenah/Rosidi

22 11/1/2017 L Azril Naufal Hardayanti/Zaenal A

23 12/8/2017 L M.Rian Riski Yanti/Sabri

24 1 1/9/2018 P 5203042511140001 5203044901180001 Mikaila Selvina 2.7 Adnriana/Yulbasri 5203044701960005

25 1 2/10/2018 P 5203041212110051 5203045002180001 Awanda Azzahra 2.8 Hatiah/Nasriadi 5203044901960001

26 3 24-03-2018 P 5203042209071704 503046403180001 Jyen Ain 3.8 Nurasiah/Munahir 5203043112810180

27 29-03-2018 L M.Raijabul Ihsan Iq.Pajri/Aq.Mashur

28 2 26-04-2018 L 5203041410120016 5203042604180001 M.Sa'ban Alwi 3.7 Mu'atiah 5203043112880023

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

29 1 6/1/2018 P 5203051106190005 5203054107180005 Adiba Syakila Atma 2.7 Sisma Aini 5203051103970006

30 7/29/2018 P Zara Ayunindia Yuni H/Arpah

31 1 15-07-2018 5203040801190008 5203046308180004 Amelda Saputri 3.3 Apriliana/Busairi 5203043112970118


P

32 2 8/9/2018 5203040103160003 5203040809180001 M. Rifki 2.9 Elmiana 5203043112840426


L

33 2 18-08-2018 52030427121101000 5203041808180001 Habib Albyad 2.7 Parhidayah 5203040107750730


L

34 18-08-2018 P Gempaturrahmah Sahtum Aulia/Abbas

35 2 22-08-2018 5203041212110048 5203046208180001 Damia Aidatul Widara 3.2 Antika/Wildan 5203043112870159


P

36 17-09-2018 P Nandin Akila Putri


37 18-09-2018 L M.Tabi'in Anah/Pajri

38 3 27-09-2018 5203041609110018 5203046709180001 Nurhilani 3 Ida/Adi 5203041912160003


P

39 2 -09-2018 5203040501160001 5203042109180002 Saiban Ali Ulya 3.3 Hidayani/Mayadi 52030401028200011


L

40 9/30/2018 P Baby Giya Alista Watul/Azwari

41 3 11/10/2018 52030403051600011 5203040811180002 Slamet Riadi Masnin/Sukardi 5203040107721370


L

42 2 11/20/2018 5203040509110011 5203042011180001 M. Maulana Lutfi 3.2 Hapri/Mariani 5203043112780198


L

43 1 12/2/2018 5203042610150001 52030212180002 Taopik Hidayat 2.8 Riani/Heriadi 5203041207860006


L

44 12/13/2018 L M. Reza Harianti/Abd. Gafur

45 5 1/4/2019 5203041408170008 5203040501190003 Yazid Hairi 4.2 Yuni H/Arpah 5203043112630204


L

46 1 1/9/2019 5203041608180002 5203040901190004 Dilan Warizqira 3.6 Mirawati Rizal Fahmi 5203040410970004
L

47 3/5/2019 P Andira Ade Winawati/Rozianto

48 4/1/2019 P Lidia Rahma Rahmawati/Sabli

49 1 4/4/2019 5203041105150008 5203040404180005 M. Rafa Azka 3.1 Hamdiani/Hilmin 5203043112950130


L

50 3 6/4/2019 5203040502100005 5203040406190001 M. Fatan Ramdana 3.5 Uswatun/Musa 5203041104780004


L

51 2 /07/2019 5203043112110049 5203041906190002 M. Rido 2.6 Anwar/Sulhiah 5203040212850001


L

52 1 /07/2019 5203042007160001 M. Cendikiawan Alfarizi 3.5 Suhaeli 5203043112910102


L

53 2 7/3/2019 5203040606150005 5203044307190001 Julia Jati Pusara 3.5 Muslihin/M.amin 5203047112930176


P

54 2 3/13/2020 Amira Rizki 2.3 Rubakyah/Amir


P

55 4/23/2020 P Nadia 2.9 Hatini/Munadi

56 1 4/25/2020 M.Gazawan Ramdani 2.3 Liza Juliana/Samsul


L

57 1 5/25/2020 Sania 3 Misnawati/Sabarudin


P

58 6/4/2020 P Nabil Sakina 3.3 Hulaeni

59 6/8/2020 P Dina Almaira 2.9 Isnawati/Hiliati

ANAK NO. KARTU


NO TANGGAL LAHIR JK NIK BALITA NAMA ANAK PBL/ BBL IMD NAMA IBU/AYAH NIK AYAH/IBU
KE KELUARGA

60 7/2/2020 L Abi Putra 3.3 Hindria/Sapriadi

61 7/9/2020 L Galuti Arum Rahayu 3 Andriana/Suriadi

62 7/11/2020 P Bq.Hana Wardatul Jannah 4.2 Resta F/L.Purniadi

63 7/28/2020 L Muhammad Latif 3.3 Hartini/Sukurudin

64 3 10/21/2020 P Karunia Birrul Jannah 2.8 Hizbullah/Hidayatul

65 1 11/10/2020 L M.Arsadi Akbar 3.1 Linawati/Muliadi


ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu BB LILA
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
ORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Jeruk Manis
Dusun : Gawah Buak
Posyandu : Durian Indah

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 1 15/1/2016 L 5203031611170063 5203042703160795 Faozan Alfarizi 3 Mukminah 5203040107860422


2 1 18/2/2016 P 5203041810100050 5203405002165783 Neli Elia Iswana 3 Iswandi 5203050107760077
3 2 31/3/2016 L 5203040605110010 5203403103164488 M.Khaeril Rizki 3.1 Suhaeni/Kamaludin 5203043112740099
4 2 23/3/2016 P 5203041812100522 5203042703160788 Novita Safitri 2 Supianti/Mahsup 5203040503850001
5 2 23/3/2016 P Novita Saputri Supianti/Mahsup
6 2 11/4/2016 P 5203041305100025 5203045104160003 Tasya Widya 2 Sahimun/Zaenudin 5203044107310666
7 2 28/5/2016 P 5203041812100622 5203042703160866 Sabila Putriani 2.6 Yamah/Mulham 5203040107860523
8 3 5/5/2016 P 5203040203120042 5203404505162568 Assyifa azzahra 3 Murniati 520304701280007
9 1 29/6/2016 L 5203041504110011 5203042906160001 M.Ramdani 3.2 Mawanah 5203044107870926
10 1 22/6/2016 P 5203040407150009 5203406206160000 Latifatul Laeli 3 Sari/Haerullah 5203040107790736
11 1 3/8/2016 L 5203040812140053 5203400308160003 M.Wahyudi 3 Yuliana/Sumaedi 5203040107900974
12 1 5/8/2016 L M.Riski 3 Khodariah/Nasarudin
13 2 6/8/2016 P 5203040209100002 5203404608160000 Ainun Salwa 2.9 Isyanti/Marhaen 5203042712780002
14 1 6/9/2016 L 5203040205110002 5203400609163583 M.Aji Saputra 3.4 Rohanah 5203044709870003
15 2 25/9/2016 P 5203040910120030 5203046509160001 Gita Andini 3 Maemunah/Sukarni 5203040107801148
16 2 26/9/2016 P Zalsabila 3.1 Sri Martini Acun
17 27/9/2016 P Lovina Putri 2.9 Marlina
18 1 3/10/2016 P 5203042406150006 5203404310162651 Zawita Oktalira 3.2 Lina Wati/Deni Saputra 5203043112890059
19 3 22/10/206 P 5203040210100029 5203046218160003 Adiba Humaira 3 Hulmiati/Saat 5203040303750002
20 1 21/11/2016 L 5203042207150014 5203042111160003 Noval Abiyan 3.1 Muzakkir/Siti Hadijah 5203043112940218
21 2 29/12/2016 L 5203041511140017 5203042512160003 M.Arrobi 3 Hariawanti 5203042912160003
22 2 13/1/2017 L M.Wendi Saputra 3 Marhan/Zaenal
23 3 20/3/2017 P Bela Anggraeni 2.9 Husnawati/Khaerudin
24 2 28/3/2017 L Khaeril Ihsan Hadi 2.8 Sumiati/Sukardi
25 4 19/3/2017 L M.Ruha Arfiansyah 3.2 Saodah/Ma'run
26 1 20/5/2017 L 5203040802170007 5203402005170008 M.Faizin 3 Muliani/Saawandi 5203047105970002

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

27 1 13/6/2017 P 5203041908150010 5203405306170010 Alia Dewina 3 Raudatul J/Husaini 5203040107210525


28 2 10/11/2017 L 5203041802170002 5203405011174873 Giat Dinata 3.2 Parhiatun/Harfan Aswandi 5203050107760079
29 1 3/2/2018 L 5203041301150030; 5203400302180007 Firlan Imam 2.9 Bq.Infas/Nasarudin 5203041404940008
30 1 16/3/2018 L 5203041410160001 5203401603180001 L.Abinaya K 3 Kusumawati 5203045103770001
31 3/23/2018 L Mizan Ramdani Yulpida
32 1 12/4/2018 L Noval Adrian 3.4 Desi
33 1 13/4/2018 L Alfin Abi Putra 3.1 Karlina/Wildan
34 1 22/5/2018 P Fadiya Adinda 3 Nuriani/Ependi
35 1 16/6/2018 L M.Aedil Muntasir 3.2 Hartini/Suratman
36 3 24/7/2018 L Fathian Zidan 3 Elmi/Dedi Kurniawan
37 1 27/8/2018 L M.Abkar Syamil 3 Samiun/Azizah
38 2 12/9/2018 P 52030424121101004 5203405205180004 Halmanur Ananza Auna 2.7 Rita/Rosmidi 5203043112830163
39 22/2/1019 L 5203033101130008 5203402202195644 Dilan Pebriana 3.3 Zohriah/Mursadi 5203050107760078
40 2 10/3/2019 P Naura Hasna Hafizah 3.1 Siti Aminah
41 25/4/2019 P 5203041310120029 5203406504193925 Vaiza Afrilia 3.4 Haeruni/Sukardi 5203050107760078
42 26/5/2019 L 5203040112150019 5203402605191706 Abid Maulana 3.1 Marhamah/Sudirman 5203040107880137
43 29/6/2019 P Nisa Alipatuzzahra 3.3 Muliani
44 16/9/2019 L M.Wisnu Ahyar Rosidi/Wiwik
45 6/10/2019 P Aisyah Humaira 1.9 Jumadil/Sahni
46 9/10/2019 L Irsyad Mekka Evano Asrullah/Ida
47 28/10/2019 P Kaisya Nadira Salgi 2.9 Amrullah/Rohani
48 12/1/2019 P Naura Afifa 2.8 Fitriani
49 12/16/2019 P Bq. Lira Thirza Hermawan 3.5 Wina Aulia
50 2 1/11/2020 P Ayu Andini Yulpida
51 3/1/2020 P Cela Nadira 3.4 Rohani/Amrullah
52 2 3/26/2020 L M. Khaerul Mizan 2.7 Yuliana
53 3/30/2020 L Arya Ardinata 14:24
54 3/31/2020 L M. Abdullah 3.3 Hamallah/Saprudin
55 4/6/2020 L Rafa Aska Putra 2.8 Hidayah/L.Joni
56 5/7/2020 P Yusrinamisa Nurul Hidayah
57 3 6/8/2020 P Laeli Talita Husni 4.1 Jaoriah/Nasipudin
58 2 6/14/2020 L Abdiki Hidayatullah 3.6 Fika Mala/Saraedi

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

59 4 6/23/2020 L M. Quratullah 2.1 Nurhasanah/Suparli


60 2 6/23/2020 L Zea Fhatir Saputra 3.4 Lina wati/ Doni.S
61 2 8/16/2020 P Azzahra Ulfa 3 Irnawatni/Supardi
62 2 07/09/202 P Rezkiano Dirga Putra 3.2 Meri/Harullah
63 2 10/27/2020 P Siti Annisa 3.4 Asmiati/Badran
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Jeruk Manis
Dusun : Barang Panas
Posyandu : Barokah

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 3 8/4/2016 L 5203040602150024 5203044280410003 Adi Putra Hakiah/Ariadi 5203040107780740


2 8/5/2016 L M.Solihin Saparwadi/Johaeriah
3 1 19/12/2016 L 5203042409070117 5203041912160001 Fahril Hafizan Hamaiyah/Lukman 5203040107830535
4 1 10/1/2017 P Widia Pauliza Sukardi/Mahsun
5 2 9/6/2017 P Dina Firliana M.Fatoni/Rohaeni
6 1 9/6/2017 L M.Alfarizi Ramdhani L.Ramli/Misri
7 2 21/6/2017 L Alif Hafizurrahman L.Nasrullah/Marini
8 1 21/6/2017 P Lidia yasdila Rodiah/Herlina
9 1 25/6/2017 L 5203041301150032 5203402506176934 M.Alif Majdi Mahrudin 5203043110740001
10 1 17/7/2017 L Rafardan Akbar Auliana/Burhan
11 1 6/8/2017 P 5203041311160001 5203044608170001 Amara Azka Dina Sumaini/Wardi 5203043112920038
12 2 6/8/2017 L 5203040708170007 5203040608180001 Bastian Dwi Fitrianti 5203044509020002
13 1 12/8/2017 P 5203042001170004 5203405208172471 Alika NP Bq.Winda/ 5203044107970236
14 2 3/9/2017 L 5203042901110080 5203040309170001 M.Patan Alfarizi Suriani/Supriadi 5203040107850643
15 1 9/9/2017 P 5203040812140030 5203044909170003 Suci Haeruna Septi Sarisuhul aini 5203045411000002
16 2 30/9/2017 L 5203040808140001 5203043009170003 Dimas Maulana Sumaini/Hasnun 5203040107890919
17 2 5/11/2017 L M.Nizam Arrasyid Saepudin/Mahini
18 1 2/12/2017 P 5203042805150008 5203404212172749 Natania Fahriza M Susmila/Humaeni 5203045112980003
19 2 23/3/2018 L Azka Fadila Kartini/Hasan
20 2 17/3/2018 L 5203041612110084 5203401703184890 Adam Aji Ismiati/Nasrun 5203042812710002
21 1 26/4/2018 P Salsilatil Aspania Zuroturrohman/Anwar
22 2 10/5/2018 P 5203072301130017 5203075005180002 Alifa Aura Ramadani Fahriani/Nur Muhammad '5203071607850005
23 1 11/6/2018 P 5203041009180008 5203044611180002 Nabila Farzana Halimatussa'diyah/wira 5203041207960002
24 1 17/8/2018 L M.Reza Dirgantara Murniati/Rosnadi
25 1 29/8/2018 P Fakhira Salwa N Fatriah/Sawal
26 1 3/9/2018 P Eliza Nazatara Nurjannah/Haeli
27 1 15/9/2018 P Dinda Rista Lidia Muliana/Fathul Hadi

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

28 2 11/10/2018 L 5203041209110043 5203041110180001 Rizki Al-farrobi Yunsari/Kamaludin 5203045204860003


29 1 10/2/2019 L Arka Humam Zada Leni Marlina/Sabrun
30 8/5/2019 L 5203042409070367 5203040805190002 Ahmad Zian R 3.2 Huriati/Mauludin 5203040107710039
31 26/6/2019 P Nurdiana Elviati Nasrun/Reni Patriani
32 1 22/7/2019 L Sorshan Agam Attaki Sri Ardiani/Baehaki
33 1 7/9/2019 P Nadira Septiana Afandi/Linawati
34 2 11/9/2019 P Aisyah Ayudia Afiqa 2.6 Yuni Sriani/Badrun
35 3 15/9/2019 P Riska Septiana 3.1 Nurhasanah/Saprudin
36 3 29/9/2019 P Selvira Intan Abadi 3.5 Neni Yuliana/Lukman Abadi
37 2 24/10/2019 L M.Alfatih Alfarezqi 2.1 Mardiana/Marwan
38 2 12/11/2019 L M.Abid Ali 4 Saodah/Sahlan
39 2 12/2/2019 P Eva Yuliana 3.9 huliani/salman
40 1 8/7/2020 P Aisya Ayudia Inara 2.7 Tia Lestari
41 2 9/17/2020 P Namira Azkia Z 3.1 Sukran/Hamdiah
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Jeruk Manis
Dusun : Kebon Baru
Posyandu : Seroja

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 2 7/4/2016 P Olin Rizkia Novi/Muhalil


2 1 4/7/016 P Balqis Bahira Zulfa Rihul
3 2 5/8/2016 P 5203044211015000 5203044508160001 Agustina Andriani Sohriah/Sukardi 5203404304190048
4 1 7/8/2016 P 5103049303140408 5203400708163027 Elvira Sahrani Reni/Sahini 5203404304190409
5 2 16/9/2016 L Umar Algazali Suhaeli/Juma'yah
6 3 1/10/2016 L Raga Rama Saputra Ida Royani/Sanusi
7 1 18/10/2016 P Elsa Humaira Elen/Usman Jayadi
8 1 20/12/2016 L 520340710130023 5203402012160000 Habib Hidayatullah Zaenudin/Nurul Aeni 5203040107800057
9 2 28/3/2017 P 5203049303140121 5203406803171986 Alta Panisa Hamdiah/Rusban 5203404304194001
10 1 3/5/2017 L M.Tamzidan Gazali Sukardi/Heniana
11 2 26/6/2017 L 5203049303140035 5203402606175883 M.Rizki Ramdani Rinto/Raenah 5203404304190040
12 2 6/10/2017 L 5103049303140000 5203400610173764 Hasbi Alfi Maulana Paridah/Sahwan 5203404304195001
13 1 9/10/2017 L 5203049303140060 5203400910175084 Yuda Okta Pratama Tina Wardana/Ependi 5203404304190060
14 1 14/10/2017 L 5103049303140006 5203401410176166 M.Zaki Darmawan Hj.Rohmiati/Apipudin 5203404304190007
15 1 19/1/2018 P 5203041508140008 5203045901180003 Rini Sabriani Mariani/Saprudin 5203043112850483
16 2 15/2/2018 L 5203040304140007 520340150270000 Haidir Ali Suriati/Busairi 5203041207770011
17 1 17/2/2018 L Ridho Pebrian Narsi/Ernawati
18 2 13/3/2018 L 5203042206110022 5203403107168830 M.Ardi Maulana Kartini/Supardi 5203043112780172
19 1 12/5/2018 P Azifa Nurmala Doni/Nurhayati
20 1 24/5/2018 P Amelita Eliana Wulan/Roli
21 1 27/6/2018 P 5203051210120098 5203406707186017 Hani Mutia Azzahra Haerul/Karniati 5203050107760070
22 2 18/8/12018 L Agung Agustian Usman/Mahsan
23 2 8/9/2018 P Naza Hanindia Nasri/Zohriah
24 2 10/9/2018 P Afida Ayunda Zulfa Irmayani/Zulfahmi
25 2 24/12/2018 P Faneza Quratun Nanang Wahyudi
26 2 19/2/2019 P 5103049303140009 5203405902199429 Latifa Aulia F 3.7 Sahnun/Zaenal 5203404304190000
27 2 14/3/2019 P Humaera Kasih Ansory/Haeriah

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

28 1 3/4/2019 P 5203404304196254 5203404304196234 Fiona Adelia 3.6 Rusnadi/Alfia Rosalina 5203404304190008


29 2 10/4/2019 P 5103049303140001 520304500415003 Qatratul Nada Aprilia 2.8 Hilman Jaohari/Riawati 5203042003860003
30 2 20/5/2019 P 5203043012410066 5203046005150001 Fania Ramdani 2.5 Najmudin/Ismiati 5203040107850786
31 2 22/5/2019 L Muhammad Ramdani 2.7 Muhpid/Sahidun
32 4 6/6/2019 L 5203400606100004 5203400606199876 Galuh Zeyn Akbar 2.4 Mustaam/Sahman 5203400606199505
33 3 26/6/2019 P Aula Amelia 3.6 Linawati
34 1 4/7/2019 P 5203040610150005 5203044407190001 Aqila Naura Wardani 3.1 Ani Fitriani 5203043112950151
35 2 8/8/2019 P Hafizatul Maura 2.7 Mis'ah/Subuh
36 2 8/25/2019 P Fanisa Istari 3 Nurul Aini/Markin
37 2 17/9/2019 P Hawadia Amalia 2.8 Hamza/Eliati
38 1 11/17/2019 L M. Aiman Tsaqib Ripa'ah
39 1 1/24/2020 L Dzuu Hazhzhin Arkaan Mislatul Hasanah
40 2 1/15/2020 L Thoriq Al Qodri Jumiati
41 1 1/23/2020 L M.Azka S
42 1 2/9/2020 P Astari Febriana Samsul
43 2 3/2/2020 L Zinedin Zidan Fatoni
44 2 3/2/2020 P Zulaeka Azahra Hamdiah
45 3 4/7/2020 L M. Akbar Sidik M. Fadil
46 4 4/9/2020 P Faizatul Husna Ernawati
47 3 7/11/2020 P Asyifa Qolbi 3.2 Jumakyah/Suhaeli
48 2 7/20/2020 L Khaeril Alfarizi 2.7 Almiani
49 1 8/14/2020 L Zaki Agam Putra 3.5 Elinawati/Risman Jaya
50 8/27/2020 L Egil Hidayatullah Hurnawati/Fadlun
51 9/17/2020 P Intan Nurfaiza 2.8 Nurhasanah/Abdullah
52 9/21/2020 L M.Dzaki Septiandi 3.1 Suandi/Rohanah
53 9/24/2020 L Dava Maulana R 3.4 Novi/Halil
54 1 9/30/2020 P Qanita Anis F 3.6 Sudiana/Saefudin
55 11/1/2020 L M.Yadika 3.3 Jayadi/Tika
56 11/21/2020 P Naura Fazia 2.7 Dian/Fahrudin
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Jeruk Manis
Dusun : Tanggek Mayung
Posyandu : Tibu Bunter

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 1 14/4/2016 P 5203041004150002 5203045404160001 Ainaya Fathya Riani/Sumaedi


2 1 26/9/2016 P 5203042201150043 5203046609160002 Nabila Saputri Muliana/Sukardi
3 4 11/1/2016 L Fahrul Rosyid Iq.Ida/Mursidi
4 2 5/8/2017 L Faqih Khairi Rahman Iq.Riani/Maryun
5 2 23/8/2017 L 5203042301130030 5203406308170000 Sofia Dini Kur'aeni/A.Mahini 5203040107630381

6 1 18/10/2017 P 5203042604140002 5203401810170000 Jiwa Firdaus Haerudin/Suriani 5203040107910606

7 1 11/2/2018 P Silvi Rahmatul A Sahnawati/Junaidi


8 2 8/7/2018 P 5203043011110066 5203400807183593 Hatma Mulhaifa Sumaeni/Muliadi 5203406607197466

9 2 19/7/2018 L M.Abdul Latif Muliani/Saprudin


10 1 26/10/2018 L Hengki Saputra Sania/Fajrun
11 2 18/11/2018 L 5203402104193122 5203405811184462 Suhaeli Suriah/Nurzan Jayadi 5203040910770008
12 1 20/11/2018 P Khalisa Ayu Sahira 2.6 Ismi/Isnawadi
13 2 9/1/2019 L 5203400901193795 M.Iqbal Maulana Yulindrasari/Ahd.Jayadi 5203402607191022
14 1 28/1/2019 P 5203041004150002 Aiza Hilya Putri Hulia/Zohrianto 5203043112920400
15 1 20/3/2019 L 5203040112150012 M.Rifki Azhari 2.6 Riyalah/Fajri 5203040107910677
16 1 10/4/2019 P 5203405004198115 Anesa Tiara Faisal/Idayati 5203044107950049
17 21/9/2019 P Asyifa Rahmatul Zaki 2.7 Sahuri/Muslihin

18 1 11/19/2019 P Indira Mayasari 3.7 Indrawati/Mursidi


19 3 5/6/2020 L Rifanza Al tatih 2.8 Sulsiah/Sukri
20 3 6/24/2020 P 5203042409120024 5203046406200001 Era Fazira 2.6 M.Nur/Kamariah 5203040303840005
21 2 8/5/2020 L Muhammad Haikal 3.3 Sanil
22 4 9/23/2020 P Mutia Annajah 3.3 Sukardi/Ruminah
23 1 9/26/2020 P Umaila Hafizaturrahma 3.7 Suprianto/Novi Auliana
24 2 10/6/2020 L M.Azil Fiqri 3 Aziz/Irmawati

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL
IR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
IR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
IR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
IR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kembang Kuning
Dusun : Benteng Daya
Posyandu : Mawar kuning

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 3 9/7/2016 L 5203042409070782 5203040709160001 M. Azka 3 Sapii/Iq. Yul 5203044107750054

2 2 10/23/2016 L 5203042412110086 5203042310160005 Abdul Fatah 3.2 Heriah/Sumaedi 5203041012820009

3 1 4/28/2017 P 5203041810100055 5203046804170004 Aprilia Putri 3 Hasna/Samsul 5203042409880001

4 3 5/5/2017 L 5203042409070593 5203044505170003 Aidin Nazaparin 3 Majdi/Rohani 5203041112730001

5 2 8/28/2017 L 5203040608150014 5203042808170003 Shakil Arief Rahmadi 3 Arifin/Saodatul Jannah 5203041112820001

6 1 9/18/2017 L 5203042407120553 5203041809170001 M.Azis Arrozid 3.3 Munajib/Zulkhotimah 5203043112920257

7 1 9/1/2018 P 52030403040305101 5203045209180001 Muliani 1.2 Nurul Aeni 5203040107790484

8 2 7/3/2018 L 5203041207140018 5203040307180002 M.Malikun Nizam 3.2 Mariadi/Maya 5203042912880003

9 7/25/2018 p Parin Adeva Indri/Parurozi

10 2 /08/2018 p Samila Sarafina Yuliana/Ali Asgar

11 1 10/3/2018 P 520304298618003 5203044310180002 Khaira Putri Hasri 3 Hasri/Hatika 5203043112880313

12 1 12/16/2018 L M.Alwi Maulana 2.9 Malwi/Surya

13 8/21/2019 L 5203042004180001 520304210819001 L.Aji Bagus Irma/L.Karno 5203041511900006

14 9/22/2019 L Moh.Abi Yomi Parida

15 11/19/2019 P 5203042206150015 Siti Aisyah Pahriah/Mahrip 5203040107780732

16 10/19/2019 L Dama Rizki Afali Sarita/Ali

17 10/19/2019 L Dami Rido Afali Sarita/Ali

18 4/10/2020 P Aima Aprilia 3 Yuliana/Subani


19 5/1/2020 L M.Aufa Azzazia 2.8 Juhana/M.Yusup
20
21
22
23
24
25
26
27

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Kembang Kuning
Dusun : Kembang Kuning
Posyandu : Melati

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

2 2/2/2016 P 5203042409070067 5203044202160002 Nuro Afia Sa'rah/Mahrup 5203040107710421


3 4/10/2016 P 5203041512100049 5203041004160002 Keysha Putri Aprilia Marhanah/Mas'ud 5203040407800003
4 12/7/2016 P 5203040912140000 5203045111160004 Yuna Safitri Suparlan/Muawadah 5203042912850001
5 2/20/2017 L M.Hafiz Rizki L.Jalaludin/Anti
6 3/25/2017 L M.Diwa Alfatih Muliadi/Mawani
7 5/18/2018 p Putri Arsila Romesa 3.1 Siti Sar'iah/Rosmayadi
8 8/27/2018 P 5203040708100026 5203046708180002 Riani Agustina Nuraeni/Safi'i 5203043112750056
9 9/8/2018 P Husna Talita Fatma Sismawati/Wilmana
10 1/19/2019 L Maulana Yusuf M.Saleh/Asroyani

11 2/14/2019 P Ayesha Hana Aswa Bq.Rehani

12 10/2/2019 L M.Nanda Restu Nasri/Aminah

13 10/13/2019 P 5203041501200002 5203045310190002 Gea Arumi Syakila 3.5 Yunisara/Abd.Habir 5203043112920252


14 1/15/2020 L 5203042606190003 M.Zulhilmi 3 Susmawati 5203041011950004
15 1/31/2020 L 5203042911100012 5203042110820001 M.Akil Afzal 2.9 Junaidi/Warni
16 3/12/2020 P Nadya Alyssa A 2.6 Umah/Saprul
17 4/17/2020 P Naura Atika A 2.9 Sahul Janah
18 5/5/2020 L M.Ramadan H 2.6 Nurul Hikmah
19 5/16/2020 L M.Zidan Algifari 2.7 Maesarah/Sapri
20 6/2/2020 P Jinan Amelia Desi 2.6 Sopiana Desi/Farni
21 4/4/2020 L M.Aiman 3.3 Suriati
22 9/15/2020 L M.Sabidil Akbar 3.3 Uswatun Hasanah
23
24
25
26
27
28

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Kembang Kuning
Dusun : Sindro
Posyandu : Sindro

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 1 3/4/2016 L Alfan Ardiansyah Bq.Rusmiati/Sumaedi

2 2 5/24/2016 L 520304231110011 5203042405160001 Muhammad Yoga Hayanti/Ismail 5203040107760340


3 1 8/30/2016 L Adzka Alfarizqi Huswatun H/Rusdani

4 3 9/25/2016 L 5203040208110010 5203042500100001 Abdurrahman Hafizi 3.2 Nurhayati/Muhrim 5203043112750212


5 1 9/11/2016 P Hasna Hanum 2.7 Aminah/Marwan

6 1 10/5/2016 L Reza Oktarian 3.2 Indrayani/Muliani

7 2 3/15/2017 P Ririn Anggraini 3.4 Nasrun/Nuraeni

8 2 4/26/2017 L M.Arta Nabil 3.4 Elisah/Ridwan

9 2 6/9/2017 L 5203040508150009 5203040906170002 M.Lutfi 1.5 Bq.Huriah/Sabli 5203040107780733


10 1 7/9/2017 L Samsul Hadi 3.5 Saopi/Saat

11 2 8/12/2017 L Abdurosid Abd.Kadir/Aeni

12 2 11/19/2017 P Nurul Noviana Aisyah 3.1 Aries Susanto

13 1 3/22/2018 P Bunga Malaika Kardika 3 Bq.Nirmala/Junaedi

14 1 7/5/2018 L Kinandra Arsyaka 2.9 Bq.Yulinda/Alwan Ari

15 2 8/11/2018 L M.Arya 3.4 Masiah/Suasdi

16 10/20/2018 P Faneza

17 1 3/13/2019 P Askaira 3.1 Dinda/Robi

18 2 4/2/2019 L Abdurrazak Hamdah/rohani

19 4/15/2019 P Asyifa Putri Sahnim

20 7/10/2019 P Ulfiatul Mutmainah Kodesiah/Rosmayadi


21 10/14/2019 L Rizwan Rina Muwarni

22 1 2/5/2020 L Mizan Abi Y miftahul/suhaili

23 1 2/25/2020 L M.Mirza 2.9 mira safitri/zaenudin

24 1 3/1/2020 L Devin Az-Fatih Bq.Wiwin/Fendi

25 1 3/31/2020 P Alea Marziah Indriani/Muslihin


26 3 4/13/2020 P Sabrina Ayu S 2.1 Hilmiati
27 1 4/27/2020 P Rizka Aulia Maemunah/Roni

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

28 2 7/15/2020 L Fawas Nadim 3 Nia/Zulkarnaen


29 P Nawara Zakia Wina Rahim

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Kembang Kuning
Dusun : Benteng
Posyandu : Cempaka

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL
ANAK TANGGAL NO. KARTU PBL/
NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 1 1/13/2016 L 5203040204130005 5203041301160001 Rendi Pratama Lehayani/Hapdi 5203040107871049


2 2 1/22/2016 P 5203042409070882 5203046201160002 Eni Purnama sari Masnun/Saprudin 5203040107690045
3 2 2/22/2016 P 5203042412110079 5203046702160001 Bq.Yolla Febriana Husnul/L.Suparlan 5203043108830005
4 1 9/6/2016 L 5203040609160004 Xhaka Bq.Yuliana/Iswan
5 3 10/20/2016 P 5203041111110034 5203046010160001 Bq.Tiara Oktaviani Suriah/L.Suparni 5203041012780005
6 3 2/1/2017 P Bq.Nean Cantika H.L Sujian/Bq.Puspa
7 2 2/23/2017 P Febriana Ma'Rifat/Bq. Suriani
8 2 3/17/2017 P 5203045703170005 Selfia Yanti/Yanti
9 2 4/6/2017 L 5203040604170002 Amzani Murni/Adi
10 1 6/5/2017 L 5203041211150003 5203040506170001 Arzil Hidayaturrahman Laela/Faturrahman 5203043112920335
11 2 6/7/2017 L 5203041808100033 Ahmad Zohri Hartini/Harianto 5203043012890001
12 1 8/20/2017 L Zulkhaer Sulhiyah/Haeruman
13 2 9/27/2017 P 5203046209170001 Citra Septiani Indrawati/Saefullah
14 2 1/6/2018 L 5203042709110025 5203040601180002 M.Herozi Wijaya Rohani /Herdi Wijaya 520304010786051
15 2 4/4/2018 P 5203044404180002 Adena Azalia Rini/Subki
16 2 11/29/2018 L 5203042911180003 Habib Maulidi Ali Mahrup/Rianti

17 1 4/5/2019 L 5203040504190002 M.Muazam Ikrom Nasehat/Lia Apriliana

18 1 4/22/2019 L 5203042204190002 Hilman Fatir Suaeb/Nurhayati

19 1 4/22/2019 P 5203046204190004 Hikmah Fatin Suaeb/Nurhayati

20 2 7/17/2019 L 5203042109100020 5203041707190002 Alvino Dafa Muafak Slamet Riadi/Maraeni 5203041707780003


21 2 /7/2019 L 5203043007190001 L.Ragil Yusuf L.Azhar/Jaoriah 5203043112780248
22 2 9/2/2019 P Olivia Safitri Haldiani/Saparwadi

23 2 12/23/2019 L 5203042608190005 M. Dzaki Anggara P Ridwan/Susilawati

24 1 4/30/2020 P Bq. Mehdia 3.7 L.Sukri/Bq.Linasari


25 2 5/4/2020 P Nina Mikaila 2.8 Sugianto/Masniati
26 1 5/15/2020 L L.Zilan Kamal 3.4 L.Irwan/Fani
27 8/31/2020 P Husniati 3.2 Nurman/Nonalisa

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

28 9/23/2020 P Elisa Fitri 2.8 Rusman/Riatun


29 10/26/2020 L M.Adam Maulana 3.3 Hendia/Imran
FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN
BULAN : FEBRUARI 2021
Desa : Kembang Kuning
Dusun : Gubuk Baru
Posyandu : Taman Rinjani

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 1 2/25/2016 P Sania Nilawati 3.5 Supardi/Sumiati

2 1 3/3/2016 P 5203042806110001 5203044303160001 Zaida Salima 2.6 Pajri/Endang 5203040107730375


3 1 6/13/2016 P 5203041102150013 5203045306160002 Zakia Hairunnisa 3 Zaeni/Fiknawati 5203047112950164
4 1 7/29/2016 L 5203040506150002 5203042906160003 Rahmat Said Zubir 3 Aq. Kadi/Sumarni 5203041110680002
5 2 8/31/2016 L 5203042105100030 5203040310816895 Haerul Nizam 3.1 Suparlan/Sahnun 5203043112840042
6 4 10/14/2016 P 5203042409070695 5203045410160001 Maiza 3 Maemunah/Saeni 5203047112850204
7 3 1/8/2017 L 5203041701130017 5203040801170003 Bajang Ahza Najuan 3.1 Bq.Ika /Aq.Ika 5203043112800423
8 2 4/10/2017 P 5203042012110068 5203045004170002 Jannatul Makwa 2.9 Masran/Husniati 5203043112870164
9 1 4/28/2017 P 5203046804170001 Aprilia Putri 3 Hasna/Samsul 520114610289003
10 1 5/16/2017 L 5203042701110023 5203041605170001 M.Alfan Hanuari 3.4 Rodi/Haerani 5203042202850001
11 2 9/4/2017 L 5203042305110001 5203040409170003 Zulhajji Afriansyah 3.2 Makrif/Raehan 5203042209780002
12 1 9/30/2017 L 5203042409070152 5203043009170001 M.Aska Ridoan 3 Salim/Minah 5203040107830027
13 3 11/25/2017 L 5203040312110006 5203042510170001 Abizar Altan Muttaqi 3 Padli/Istiharah 5203041212750002
14 1 1/12/2018 L 5203041811140012 5203041202180001 Ghazi Ghandi Algifari 3.1 Suhandi/Johani 5203043112830346
15 2 2/12/2018 L 52030415091124 5203041202180002 M.Rafa Azka Putra 2.7 Sriyani/Sukardi 5203043112800242
16 1 3/11/2018 L 5203051703120005 5203051103180004 Maga Evan Kahza 3 Wira/Hj.Nur 5203055202880004
17 3 4/6/2018 P 5203042812110050 5203042703160534 Hafizah Humairo 2.6 Iq.Hif/Aq.Hif 5203040107771164
18 2 5/13/2018 P 5203040410120007 5203042703160344 Salsabila Meika Farin 3.4 Salmiah/Saprin 5203040107810499
19 2 6/5/2018 P 5203041312110013 5203404506183949 Sakila Ramdani 3 Hadijah/Slamet 5203043112770174
20 2 7/17/2018 P 5203041904100001 5203401707184527 Sasabila 3.2 Hadijah/Surniadi 5203040405860001
21 2 8/11/2018 P 5203040501150028 5203045108180003 Sasmita gempita 3 Marzuki/ihsanita 5203040707840018
22 2 1/12/2019 P 5203042408110046 5203045201190001 Nyswa latifa 3.1 L.salamudin/rohani 520304150180002
23 1 2/15/2019 P 5203040110180002 5203045502190003 Hurul aini meyudia 2.6 Mahyudin/merianti 5203044604970003
24 3 2/20/2019 P 5203042803180002 Azima 3 Hasannudin/murdiatun 5203045203890002
25 2 2/26/2019 L 5203040410120008 M.saka arkhan 3.3 Muhajar/isnawati 5203044808830004
26 2 5/18/2019 P 5203040706100011 5203045805190001 Nurul aira azzahra 2.9 Herman/mahini 5203044510910001
27 2 2/22/2019 L 5203040509140005 Suryanala 3.1 Hikmah/andi 520304530271003

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

28 4 6/10/2019 L 5203040401120085 L.Galuh rizki 3 L.daah/jumakyah 520304400107780865

29 1 7/7/2019 L 5203052509180007 5203050707190002 Zainul faroq abqori 3 Eva/rera andesma 5203054505950012


30 3 12/1/2019 L 5203042710120052 M.zainul husni 3.3 Musni/maryun 5203044107801443
31 2 4/5/2020 L Al Gazali Rahman Faoziah

32 3 5/30/2020 L Al Halifi Zikri Fiknawati

33 2 7/16/2020 L Aydin Alhanan 3 Sahinim

34 2 8/7/2020 L Angga Wijaya 3.5 Sumakyah/Jan

35 3 9/2/2020 P Najwa Rahmaulyda 3.5 Husniati/Musran

36 1 9/11/2020 L M.Asrules Sunny 3.4 Susanti/Musanip

37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59

FORMULIR VITAMIN A DAN PEKAN PENIMBANGAN


BULAN : FEBRUARI 2021
Desa : Kembang Kuning
Dusun : Kembang Mekar
Posyandu : Kembang Mekar

ANAK TANGGAL NO. KARTU PBL/


NO JK NIK BALITA NAMA ANAK IMD NAMA IBU/AYAH NIK AYAH/IBU
KE LAHIR KELUARGA BBL

1 2 3/7/2016 L 5203042409070067 5203040703316003 Abdul Fatih Alhalani 3.2 Sur'aeni 5203043112790214


2 1 7/18/2016 L 5203031512140069 5203031807160002 L.M.Nur Laduni 3 Suriati/L.Kholiq 5203030705790005
3 3 10/2/2016 L 5203042403070038 5203040210160001 Syobil Hairi 3 Hasanah 5203040107620065
4 2 1/24/2017 P 5203040809110035 5203046401170003 Bq. Aryani Aziza 2.8 L.Ahmad/Juliani 5203041010830004
5 1 12/27/2017 L M.Alfan Saori 3 Kamariah/Hasbullah
6 4 4/4/2018 L Rizki Narendra.S 3.1 Sukardi/Sukarni
7 3 7/7/2018 L Moh.Arham Azka 3 Maryam/Aq.Hilmiati
8 1 1/19/2019 L Habib Alfi Saputra 2.8 Sunardi/Bq.Putri
9 1 2/16/2019 P Janatul Nadia 3.1 L.Haerudin
10 2 2/25/2019 L Haerul Alwan 3.2 Sapoan/Hisnu Khotima
11 1 3/21/2019 L Gigih Irwan Maulana 3.2 Irwan/Susilawati
12 1 4/17/2019 L Moh.Hafiz Malui Ranafatmi/Malini
13 2 4/21/2019 L Moh.Fatan Alfakih 2.7 Munawir/Hindun
14 3 4/30/2019 P Aysa Alfakmala 3.1 Burhanudin
15 3 6/21/2019 L Endrian Erik 2 Bq.Martini/Yudi
16 3 6/21/2019 P Nadira Iza 2.5 Bq.Martini/Yudi
17 1 14/12/2019 L M.Akbar Alfatih 3.5
18 3 18/12/2019 L M.Hari Alfallah 4.3 indriawati/M.Watoni
19 3 18/03/2020 L M.Hizam Atha 2.8 Khamariah/Nasbullah
20 4 8/8/2020 L M.Muzakki 3 Hayani/Nupa Riadi
21 5 8/30/2020 L Ahmad Rizki Alfatih 2.8 Surni/Senun
22 2 11/18/2020 P Hawa Syaquena A 2.8 Debi Sartika/Suharno
23
24
25
26
27
PENIMBANGAN
21

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

PENIMBANGAN
21

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
PENIMBANGAN
21

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

PENIMBANGAN
21

Umur Status Gizi Vitamin A


Tanggal Posyandu BB LILA
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
PENIMBANGAN
21

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah
Umur Status Gizi Vitamin A
Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

PENIMBANGAN
21

Umur Status Gizi Vitamin A


Tanggal Posyandu (bln ) BB TB/PB LILA
BB/U TB/U BB/TB Biru Merah

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