FORMAT PENDATAAN SASARAN PAUD DAN TK

Provinsi : Nama PAUD/TK

Kabupaten :
Puskesmas :
tanggal/bulan/tahun Pelaksanaan 1/15/2024
Jenis Kelamin
No. Nama Anak Tanggal Lahir Umur NIK ANAK
L P
1 M.Azril Ikhsan 8/4/2021 ✓ 3329090804210001
2 Najma Izzatut 3/4/2019 ✓ 3329094304490003
3 Nur Tasya Aulia 13-2-2022 ✓ 3329095312220012
4 Alula Farzana 1/10/2021 ✓ 332909201210003
5 Kanaya Amelia 7/2/2019 ✓ 3329090947129000
6 Adnan .S 16-7-2022 ✓ 332909160722004
7 M .Ziofan .A 6/7/2023 ✓ 3329090607230001
8 Rizky .R 14-4-2021 ✓ 3329091404210002
9 Feri .F 23-3-2023 ✓
10 Alteza .H 15-8-2021 ✓ 3328121508810002
11 Fattanan 15-1-2019 ✓ 3328125501190002
12 Alula Irfa 9/1/2021 ✓ 3329090210200007
13 Farez 7/6/2021 ✓ 3329091409150004
14 Refan 18-11-2021 ✓ 332909607220009
15 Erzan 21-10-2023 ✓
16 Aksan .M 28-10-2021 ✓ 3329092810210003
17 Naikal 14-3-2019 ✓ 3329091403190003
18 AIR LANGGA 3/11/2022 ✓ 3329090311220002
19 Azzi Fara 29-7-2022 ✓ 332909607220009
20 Ansan 24-7-2023 ✓
21 GHiska 17-9-2022 ✓ 3315165709220002
22 Sheza 21-3-2023 ✓ 3329096103230001
23 Anrga Luan 13-2-2019 ✓ 3329091302190001
24 Raya .Z 10/11/2021 ✓ 3329095005220003
25 Iyafitdzah 3/11/2021 ✓ 332909311210002
26 Fatimatul 4/3/2020 ✓ 3329094403200002
27 M. Giandra 14-10-2021 ✓ 3329091410210002
28 Adzikiya .N 24-8-2022 ✓ 3329096408220001
29 M.Ehzan 26-2-2020 ✓ 3329092607200013
30 M.Devin 11/3/2021 ✓ 33290971105210002
31 Cantika 2/7/2022 ✓
32 ARRIENDILA 26-10-2020 ✓ 3329092610200001
33 Jennaira 21-10-2022 ✓
34
35
36
37
38
39
40
D DAN TK
:

Nama Orang Tua Alamat

Moh . Ilham Iksan Nur Rt 02 / Rw 16

Salsa Rian Rt 02 / Rw 16
Imam Ghazali Rt 02 / Rw 16
Sapri Yanto Rokhanah Rt 03 / Rw 16
Saputro / Ely Rt 03 / Rw 16
Herman Wanl Ica Rt 03 / Rw 16
Sharoni Yuli Rt 03 / Rw 16
Supri Yandi April Rt 04 / Rw 16
Rt 04 / Rw 16
Teguh Alfina Fitri Rt 04 / Rw 16
Rt 04 / Rw 16
Romi / Devi Rt 04 / Rw 16
Hasan / Mike Rt 04 / Rw 16
Tazam / Dini Rt 04 / Rw 16
Rt 04 / Rw 16
Ridho / Listanti Rt 04 / Rw 16
Ferdinyah Tiaka Rt 04 / Rw 16
Rt 04 / Rw 16
Erwin / Nurisah Rt 04 / Rw 16
wetjono / solikha Rt 04 / Rw 16
Agus / janah Rt 04 / Rw 16
Tonah / Risna Rt 04 / Rw 16
Agus / Santi Rt 05 /Rw 16
Imam / Mela Rt 05 /Rw 16
Muslikiin / Antik Rt 05 /Rw 16
Riyandi / Ka Rt 05 /Rw 16
Elang / Santi Rt 05 /Rw 16
Samsudin / susyanti Rt 05 /Rw 16
Sidin / Ulya Rt 05 /Rw 16
Muh .Rokhman / KusnuRt 05 /Rw 16

Rt 05 /Rw 16
Nur Wahyu Juriyah Rt 01 /Rw 16
Elan / Rutmayanti Rt 01 /Rw 16