2=Non Gakin

No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
1 IRAYA SAFITRO P HATMADI
2 LUSI MAWARNI P MULYASIP
3 ELENA P NURYADI
4 RADIL L MULDAN
5 NELY YUWANSIH P PARWADI
6 ZIFARA ANISA P YULIADII
7 MUNDING IRWAN L NUSIADI
8 MAEDI YUSUF L HATMALIF
9 ASIPA DWI P P RATJINON
10 SISKA DWI A P YUDI
11 ANZAR RAMADAN L IKHSAN
12 SILKA KAISYA P P UCI ARMIADI
13 HAWA STEFANI O P SURYADII
14 M. KHOIRRUL ANAM L NURUL IBAT
15 MAULIDA FITRIA K P R.KERTA B
16 RADIT DWI MARTA L SIRNATI
17 ROBY YALDI P L ARDI NATA
18 OLIVIA WULAN D P RISNADI
19 RAHMA LATIFA P RUMADI
20 RAGIL BISMA L JULIADI
21 LEONAL TANAKA L RUSDI
22 NAISYA AULIA R P SUWARIO
23 AZKA FAEZA G L SUPRIADI
24 AZIS ALFA REZI L IRANA
25 ADREAN FAESAL L IRA KUSUMA
26 LIANA SALSA BILA P MERCANEM
27 RINJA RISKI L SAPTONO
28 RISKA SILVIA P ASTRATII
29 FADIR ISRAQ L ZAENUDINA
30 WINDA FELISA P WAHYUDI
31 AFIFA FATIYA P TUDI MAYANA
32 ADISTTA L RUMASIP
33 M. DZAKWAN L GUENADI
34 NABIL FIRMAN HADI L NARIASIP
35 DIKI PRADANA L SUKARDI
36 REZA GENJIO L UPUN
37 PUSPIITA NAURUN P USMAN
38 RIZKI MAULANA L JUMALIP
39 RENA P MULIADI
40 RAKA ZIQRI AKBAR L CARWANDI
41 FIKA YULIANTIKA P TONI
42 BANLI DZAKWAN L SUGASIP
43 DIDING ARWAN L MAEDI SP.d
44 RINDA ADIZAH P JIDASIF
45 M. PIRNADA A L M. RIFA'I
46 JIBRAN MAULANA L JIWANOM
47 PIAN IRWANDI L ISMARAWADI
48 TEGUH SASTRA W L MISNAYU
49 RIZA APRILIA P SUHRIF
50 ADRIAN PRATAMA L

52 DIANA P 5/14/2010 INDRASIP/DIRANEP

53 MIKA P 5/10/2010 RISTANEM/AYUNIM
54 SEPDIANTO L 7/10/2010 RIADI/MIRANTEN
55 WANDIKA L 5/11/2010 MAEDI/SIRJANIM
56 AGUSWANDI L 8/10/2010 RISTANEM/ SUNIATI
57 SUCI REMAYANI P 8/12/2010 PILIASIP/JIMANIM
58 R.RANU OKA PATRA L 9/30/2010 R. BANGRAS/NUTRIANIM
59 SARDI L 10/16/2010 SAPARI/LISANEP
60 D. DIA RAHMAWATI P 5/17/2011 L. SUPARWADI/D.PITRIANI
61 FITRIANI P 10/20/2010 SITRALIP/ARSINTEN
62 MIKA AYUNIKA P 3/3/2011 UDIN/LUSASIH
63 GUNTUR L 5/25/2011 SUMANOM/ASNGEN
64 MISTANEM L 11/10/2011 SUKARDI/SIRSANEP
65 ARI KURNIAWAN L 4/3/2011 NURSADI /D.PININGEN
66 NAORA HUMAEROH P 20/05/2 NURADI/RATIH
67 BAJANG MAULANA L 7/6/2011 MARZUKI/RATNUSIH
68 ERNIATI P 9/10/2011 CANDIALIP/RATSANEM
69 RIKIYANDI L 5/27/2011 RUDIONO/RIANAH
70 HENGKI L 5/24/2011 SINGASIP/LASANIM
71 HUSNA FARIZA P 9/21/2011 JUMANEM/ANISAH
72 HERIANDIKA L 3/27/2012 NUTRIADI/KARNIATI
73 YOPIANA L 2/3/2012 JANDRANOM/NEPSANIM
74 YOGA L 11/2/2012 RUTANEM/ARSANEP
75 YANA MINASTRI P 9/30/2012 NURIASIP/MULIANI
76 RONAL L 7/3/2012 SUTRADI/NICANEP
77 RENDIKA L 11/14/2012 NAWADI/SARINEP
78 PUTRI AMBULANI P 9/20/2012 SAIRAN/MASENIATI
79 NIMIKA PURI P 12/13/2012 ASMAWADI/MANDRIANI
80 MEINIKA P 10/05/2012 RINASIP/NURSANIM
81 GALANG YUDI DARMA L 5/30/2012 EDI SWANDI ARSADRA/YULIANI
 82 EFGAN RAMDANI L 8/9/2012 ITRASIM/MASITAH
83 ALGADINATA L 2/25/2012 PITASIP/RIANTI
84 AULIA TIA MAULINDA P 9/1/2013 MAYADI/AYUNEP
85 ARJUNA HENDRIK L 6/6/2013 JUMANEM/SINANGEN
86 DANITA P 7/18/2013 RINASIP/MINANGEN
87 HERMAN L 5/22/2013 JUMASIP/SAPMINEP
88 JASTIN L 6/12/2013 RIADI/KARNIATI
89 LIANI P 4/23/2013 HATMADI/NARISIP
90 M. ZAL ALGI PARI L 6/19/2013 HUSNUL/HADI
91 RUMI ANTIKA TIRA P 3/10/2013 REBASIP/MURNIANI
92 SAHDI L 10/28/2013 RIMADI/SARI
93 SOTIPA ALIA P 12/29/2013 NEGASIP/BUNGADIA
94 MAE LISTARI P 5/23/2013 SARDI/LASANEP
95 WATI P 12/22/2013 ISWANDI/SITI ARTINI
96 YULNI BAYANI P 1/23/2013 RIWATI/SAPNI
97 ZAHRAENI P 5/29/2013 HAMDAN/SARINI
98 JELITA JULIANTI P 5/9/2014 JASMAN /RAPIAH
99 LISTINA P 8/16/2014 SRIANTO/SUMINGEN
100 M.FAHRI AZHAR L 21/06/20 KERTASIH/JUNAENI
101 NAERA ALPAENA LACITA P 10/9/2014 RIASIP/JUNIATI
102 PITA RAHNIATI P 2/24/2014 NURSATIM/SAPTIANIM
103 PUTRI AZRA ANISA P 11/30/2014 ASTANEM/MAENI
104 RIMA OKTAVIA P 10/21/2014 MAWARI/RINAWATI
105 SUTRIAWINI P 8/5/2014 R.GITA KUSUMA/RISANTEN
106 SEEHAN SHATILA AL-AMIN P 10/3/2014 DEDI IRAWAN/MULIA HARTINI
107 TUNA PATMALA P 9/29/2014 RITAMAN/MISNEP
108 NOPI ASTUTI P 11/23/2014 NURMADI//SARTINI
109 ZIELDA CERIA AYU P 12/15/2014 AWAN/DEWI
110 MURNI HABIBA TUL LAELA P 11/13/2014 SAPMONO/ROHANA
111 IGA HARDANI L 2/28/2014 IKRAM/MULIANA
112 TRI AYU BUANA P 3/23/2015 MARZUKI/RATNUSIH
113 RIANEP P 3/23/2015 MERSANOM/SUTRINEP
114 JUNIASTRI P 6/7/2015

115 R.ARIS L 3/11/2010 R.NYAKRA/ARIAN

116 FERDIAN ARJUNAA L 6/26/2010 MARZOAN/MAHNUN
117 ARINI P ABDUL AZIZ/MAEMANAH
118 ANISA F P 10/2/2010 DEDI ILHAM/MISNAWATI
119 NADIRA P 11/12/2010 BAHARUDIN/DIAN PURWANTI
200 RADIT PRATAMA L 12/10/2010 SEME/SEMBAH
201 PUTRI ADELIA P 1/26/2011 SUDARMAN/KARTINI
202 VIKI DANANG P L 12/18/2011 ZULKIFLI/YUNITA
203 ARI SETIAWAN L 3/8/2011 FADLI/SUCIARAH
204 DINA MAESAROH P 4/12/2011 MAHSUN/KAMARIAH
205 ERLINA P 5/11/2011 HASAN/SUMIATI
206 ATIYA HUSAL SABILA P 5/9/2011 USTD.WAHAB/ROHANI
207 LUKMAN HAKIM L 5/9/2011 RAMDAN/HERNAWATI
208 M.ALFATIH P 6/10/2011 KASMAN/MASITAH
209 DEA GIAN CANDRA P 6/15/2011 SANCANDRA/NURJANAH
210 SALEHUDIN L 11/23/2011 H.JUNAIDI/HAMDIAH
211 IRAYU ANJARWATI P 1/13/2012 HAM/ROHIMIN
212 M.KHOIRIL AZZAM L 1/14/2012 DRH.SARUDI/RONI A
213 MAHARANI D.C P 3/5/2012 MAHIDIN/SRI YUNIARTI
214 LIZA APRIANI L 4/9/2012 USMAN/SUARNI
215 RISA IZI .A P 11/04/2012 R.EDI KUSUMA/ZOHRUL AENI
216 ARYA A.S L 6/26/2012 A.TINA/I.TINA
217 R.FADIL.M L 6/15/2012 R.BUDI/D.ANJA
218 M.RAYYAN AL-F L 6/26/2012 LUKMAN/ELI
219 R.DEDEN A.W L 11/26/2012 R.AGUS.K/APRIANA
220 AZRIL IRWANDI L 12/26/2012 WAWANDI/KHOLINI
221 LISA ANASTASYA P 1/6/2012 INDRASI/NISANEP
222 SYAFANA P 10/17/2013 RAHMAN/HAFIFAH
223 RISKI BAITURRAHMAN L 12/21/2013 RAHMAN.M/KAMARIAH
224 ISTIQOMAH P 4/10/2013 M.TAHIIR/SAHRUNI
225 HARIANDITO L 10/2/2013 SENALAM/SAFIANI
226 MAWANDI L SAHNUN/SUMARNI
227 ALDIAN RISKI M L 6/2/2013 ALWAN SUADI/RIANAH
228 M. TEGAR.A.P L 05/17/201 ASRI/SUCIKA ARMIANI
229 REVAN L 6/24/2013 M. HUSNUL/OKIANA ZAEN
230 AKHIRA P 8/7/2013 SAHNAN/SELEMAH
231 M.AQILA A.H L 1/2/2014 ASHFFYZEE.H/KARNIASIH
232 HAIKAL L 1/13/2013 L. KERTIADI/RATNISA
233 FADIL AKBAR L 3/29/2014 VIKI ILHAM/MUSNAWATI
234 UWAIS QORNI NEDIR L 8/23/2014 SARTONO/HURNIATI
235 DWI IRA K P 3/29/2014 ZULKIFLI/YUNITA
236 DEO GIAH CHANDRA L 5/27/2014 SANCANDRA/LASINEP
237 KHAILA INNARA L P 6/28/2014 ASRI/SUCIKA ARMIANI
238 ARFAN ADAM L 7/9/2014 YASMAN/NURHAYATI
239 RESTI RAHAYU P 8/18/2014 SARAH/HURIAH
 TGL
Alamat Posyandu Desa PENIMBA Umur BB B Vit A
NGAN

BATU MENJANGKONG ANYAR

 DASAN GRISAK

NUTRIANIM

DI/D.PITRIANI

M/NEPSANIM

MANDRIANI

ARSADRA/YULIANI
MA/RISANTEN
N/MULIA HARTINI

MAEMANAH
MISNAWATI
DIAN PURWANTI
/NURJANAH

MA/ZOHRUL AENI

OKIANA ZAEN

/KARNIASIH

MUSNAWATI
 ASI
KBM

Pengurangan
N/T
2T
O

Tidak Hadir

Batas BGM
BGM/Tdk

L
0-5
 S K

0-5 6-11 12-23 24-59 0-5 6-11

P L P L P L P L P L
 K D

6-11 12-23 24-59 0-5 6-11 12-23

P L P L P L P L P L
D N

12-23 24-59 0-5 6-11 12-23 24-59

P L P L P L P L P L
 T

24-59 0-5 6-11 12-23 24-59 0-5

P L P L P L P L P L
 O B

0-5 6-11 12-23 24-59 0-5 6-11

P L P L P L P L P L
 B TIDAK HADIR

6-11 12-23 24-59 0-5 6-11 12-23

P L P L P L P L P L
K HADIR 2T

12-23 24-59 0-5 6-11 12-23 24-59

P L P L P L P L P L
 BGM Bayi ASI E

24-59 0-5 6-11 12-23 24-59 0-5 bln

P L P L P L P L P L
Bayi ASI E Bayi Tidak ASI E

0-5 bln 0-5 bln

P L P
P
 HASIL PENIMBANGAN BALITA DI P

Nama Posyandu : DSN LENDANG

Alamat

2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A

M/B

1 DELATA RINI ASTUTI P 1/24/2011 SAPRIADI JOHENI 10.9

2 M, THORIK JANUAR ASSANY L 11/20/2011 MUZANI/APLAHATIN 16.7

3 ZAADI AZKA AZPIAN L 2/12/2011 SOPAN / AAN 16.7

4 DANI IRAWAN L 31/6/2011 SAPRIADI/ NURAINI 15.7

5 ROFI HUZAIMI L 5/22/2011 NAZAMUDIN / BADRAN 14.4

6 YUNI AFRIANI P 6/9/2011 HERUNI/MARYANI 15.3

7 M, Q, HATTAN ARRAZI L 6/10/2011 SUHARJAN / RUSNIATI 14.6

8 M, RUSANDI L 8/3/2011 MULUDIN/SE'AH 11

9 SYARIF L 9/8/2011 AZWAN / MARIANIM 13.7

10 HAIKAL FARIZI L 8/19/2011 JOHAIDI/MARYANI 13.7

11 HUMAIRO L 5/3/2011 SABIHIN/INI 14.2

12 HERA YULIA PUTRI P 7/1/2011 HERMAN/TARA ADELIA 14.7

13 HIDAYATUL AINI P 9/29/2011 MUHARDI/SARNI 15

14 ANGGITA NILAM CAHAYA P 10/15/2011 ANDI MALAYA/HUSNL ATUN 12.8

15 M, RA'IS ARHAM L 11/20/2011 BADRAN/NIKMAH 14.5

16 MAR'AINI P 10/9/2011 NASRUDIN / ATUN 14.1

17 DANIL AL HASYIM L 10/6/2011 MAWARDI/SUPAENI 14.8

18 SYAHRIANI P 10/10/2011 ARSYAD/BENTOL/KARNI 12.3

19 ACINTA P 1/27/2011 MUZAKI/DESI 13.7

20 M, ILYAS L 12/24/2011 AHMAT/JUNI MARYANI 13.5

21 ZUKYAN AKBAR L 12/14/2011 ANDI/YANTI 11

22 M, ZAMHARIR UNDREAN L 1/1/2012 SADRI/SAHUNI 13.4

 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A

M/B

23 AINUN NISA P 11/9/2011 KAMARUDIN / MAHRUNI 10.1

24 MIATUL HUSNA P 1/5/2015 MAHDAN / AHYANI 14

25 MILA RAHMAWATI P 12/27/2011 SAPARUDIN/ MIS 10.7

26 NITA ANDRIANI P 1/21/2012 MUSTAAN / ARTIANIM 14.5

27 ANDIKA ALFIRZA L 1/4/2012 PADLI/ ISNAINI 15.5

28 ABDL, RAHMAN JAELANI L 1/18/2012 14.7

29 MAULIDA P 2/9/2012 A, HOL/ HERANAH 12

30 APRILIA RAHMAWATI P 4/15/2011 ANTO/WINI 13

31 ABDL, GANI L 4/18/2012 SABHIN/INI 13.2

32 SOPIATUL HIKMAL P 5/19/2012 NIHMALUDIN/UYUN 11.2

33 EMI SETIAWAN L 6/22/2012 / MAL 13.4

34 SAYARANI P 6/6/2012 SUHAERI/KALSUM 11.1

35 M, KHOLIKATUL ROZIK L 7/15/2012 ANTO / ENDANG 12.7

36 HANIFA P 7/30/2012 AWALUDIN/ I, AEN 11.2

37 LAILA CAHAYA FITRI P 9/4/2012 SABRAN / INI 12.3

38 M, SAMSUL HADI L 10/2/2012 ROHADI/ HUR 13.5

39 AHMAD FADIL L 10/5/2012 11.5

40 PUTRI AUDATUL ADAWIYAH P 11/2/2012 H, UDIN/ NURINAH 12.3

41 ZULFA BAQIATUS SOLIHA P ADI/ JULYANI 13.4

42 M, FAZRI L AWALUDIN/ SUMI 11.9

43 HAFIZ AL RASID L MUZAKI / ZURMI 13.2

44 HAIKAL WARISMAN L 12/25/2013 ABDL, MANAN/ WARNIATI 12.5

45 ARI ZARKASI L 10/11/2011 PINDAH

46 ABDL, RAHMAN BAYANI L JUHAIRI/JUMINI 13.2

47 NAZWA MAULIDA P 1/21/2013 9.1

48 NURUL WAHYU UTAMI P 1/11/2013 11.2

 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A

M/B

49 IRSAN ALBAYANI L 1/31/2013 11.9

50 INDUN SYAHRIM P 3/4/2013 SAHNAN MAJDI/ JARSIAH HAYATI 11.8

51 LUTPIA IN NUFUS P 3/27/2013 MUNAWARNI / NIPA 13.7

52 ZIYAN SABIL L 3/27/2013 IJDAN/SAEMI 19.5

53 IRNA HUMAIRO P 4/7/2013 SUPARDI/OYANI 11.1

54 DINO MAULANA L 4/8/2013 AMAT/ATEN 12.8

55 ATIKA ZAHRA RAFITA P 2/25/2013 12

56 MAYADATUL ULFA P 6/11/2013 MARDEN/TAHRE 10.2

57 M, MASHUDA RAMDANI L 7/9/2013 MAS'UD 10.7

58 ALESA AZKAILA AZ ZAHRA P 7/31/2013 AGUS/YANTI 11.5

59 OLIVIA P 10/4/2013 ISWANDI/ERNA 10.7

60 M, EVAN ROBIAN ILHAM L 12/20/2013 AMRULOH/MULIANAH 10.5

61 ABUL RAHMAN L 12/17/2013 HERUNI/MARYANI 13.8

62 WILMAN HADI L 12/6/2013 MURDAN/SAHMIN 10.1

63 DEFANIA ASRI MAULIDA P 1/9/2014 ASRO UDIN/SRI SAPTINI 9.5

64 NADILA P 11/18/2013 SUAEDI/MUJRAAH 10.7

65 YUMNA HIEFANI P HIPDI/SUSI 8.7

66 ALDI PRATAMA L 3/11/2014 TASARUDIN / DEWI 9.2

67 FAIDA ANAILA P 4/22/2014 FAHMI/SARWANI 8

68 ADEL SULISTIANA P 4/22/2014 SUHIRMAN / YULIANA 9.2

69 NANDA APRIANI P 4/20/2014 MUNAWIR/ APRIANI 10.8

70 YASIN MAULANA L 5/7/2014 PADLI / MAEMANAH 8.5

71 AQILA ZAHRATUNIDA P 5/19/2014 BURHAN/ RIMA 8.5

72 AISYAH PUTRI P 5/20/2014 JOHANSYAH / SAR 8.4

73 SAFITRI P 5/25/2014 ROHADI/NURAYATI 11.2

74 ZAHRA APRILIA P 4/1/2013 RIANHIFZAN/NANI 9.7

 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A

M/B

75 YUSI RAMDANI L 6/28/2014 MAULUDIN / HUSNIAH 8

76 ARMAN MAULANA L 7/16/2014 MUZAKIR/ INDAH 9.6

77 M, MAULANA AKBAR L 8/26/2014 ASBULOH/MINIATI 7.6

M, KHIAR GAISAN ALTANIS L 8/4/2014 SUHARJAN / RUSNIATI 9.6

FADIL MUBAROK L 6/17/2014 IRWANDI/MURTINI 11.5

RISMAWATI P 9/4/2014 MUAYAN /MURTINI 7.1

1 DINDA AYU PRATIWI P 9/28/2014 MIRWANDI/RENI 6.7

2 M, ADITYA PRATAMA L ANDI/TIA 8.5

3 RWGINA NOVIANTI P 11/16/2014 ANTO / WINISARI 7.8

4 ASBIAN MAWAWI L 11/8/2014 ANTO / ENDANG 10

5 DIAN HARDIANTI P 12/31/2014 SADRI/ SAHUNI 6

6 ZIDNA ILMAN FAHMA L 12/20/2014 MULIADI / HERNAWATI 7.5

7 GEMA FAUZAN ARPIANDA L 12/5/2014 M, TARPU/ LINDA 8

8 IZIAD NABIL ALFAYAD L 12/17/2014 AGUS SUMAWAN/ JULIANI 10.1

9 LATIFA NURAISAH P 12/19/2014 RUSNI/JANAH 7.4

10 DENI HARMIZAN L 1/31/2015 MUJEMAL/HERANAH 8.4

11 KHODIJAH IMRATUL LATIFA P 1/22/2015 SUHARDI/MAENAH 7.9

12 ABDL LATIF L 1/6/2015 ABD MANAN/SIFAIYAH 9.2

13 SULIS TIARI P 2/2/2015 JUWAINI/NURHATI 8.1

14 AULIATUL JANNAH P 1/5/2015 SAIPUL / SAPIATI 9.5

15 WAIS AL QORNI L 2/19/2015 BAKRI/SOKRAH 9.6

16 HIDAYATUZSABILA P 3/15/2015 MAPNI/RUMIAH 8.4

17 TITIN RAHMAWATI P 4/1/2015 AMAM/ROHAN 6.6

18 NURUL HIDAYATI P 4/29/2015 JUMADIL/NANIK 7.1

19 M, ARIFIN ILHAM L 4/15/2015 MUSLIHIN/SUBURIAH 8.2

20 HANI RAMADANI 6/29/2015 JONIADI/HARIANI 6.1

 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A

M/B

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46
 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A

M/B

47

48

49

50

51

52

53
 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A

M/B
N BALITA DI POSYANDU

BB TIAP BULAN

MAR APR MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MAR APR MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MAR APR MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MAR APR MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MAR APR MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MAR APR MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MAR APR MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
P
 HASIL PENIMBANGAN BALITA DI POSYA

Nama Posyandu :
Alamat

2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B

1 MONDING IRAWAN L 3/16/2011 NUSIADI

2 MAEDI YUSUP L 5/13/2011 HATMALIP

3 ASIPA DWI P P 6/16/2011 RATJINON

4 SISIKA DWI A P 6/29/2011 YUDI

5 ANZAR RAMADAN L 8/16/2011 IKHSAN

6 SILKA KAISYA P P 8/18/2011 UCI ARMIADI

7 HAWA STEFANIO P 9/23/2011 SURYADI

8 M, KHOIRUL ANAM L 8/12/2011 NURUL IBAD

9 MAULIDA FITRIA K P 6/2/2012 R KERTA BAUNA

10 RADIT DWI MARTA L 3/23/2012 SIRNATI

11 ROBY YALDI L 3/18/2012 ARDI NATA

12 OLIVIA ULAN DARI P 3/27/2012 RISNADI

13 RAHMA LATIFA P 12/4/2012 RUMADI

14 RAGIL BISMA L 5/21/2012 JULIADI

15 LEONAL TANAKA L 5/24/2012 RUSDI

16 NAISYA AULIA P 9/27/2012 SWARIO

17 AZKA FAEZA G L 8/9/2012 SUPRIADI

18 AZIS ALPA REZI L 8/22/2012 IRANA

19 ADREAN FAESAL L 12/22/2012 IRA KUSUMA

20 LIANA SALSABILA P 3/24/2013 MERCANEM

21 RINJA RISKI L 3/20/2013 SAPTONO

22 RISKA SILVIA P 5/28/2013 ASTRATI

 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B

23 FADIR ISRAK L 5/6/2013 ZAENUDIN

24 WINDA FELISA P 7/6/2013 WAHYUDI

25 AFIFA FATIA P 5/8/2013 TUDI MAYANA

26 ADISTA L 7/22/2013 RUMASIP

27 M, ZAKWAN L 8/26/2013 GUENADI

28 NABIL FIRMAN HADI L 9/27/2013 NARIASIP

29 DIKI PRADANA L 11/10/2013 SUKARDI

30 REZA GENJIO L 11/19/2013 UPUN

31 PUSPITA NAURUN P 12/11/2013 USMAN

32 RIZKI MAULANA L 2/2/2013 JUMALIP

33 RENA L 12/3/2014 MULIADI

34 RAKA ZIKRI AKBAR L 4/26/2014 CARWANDI

35 FIKA YULIANTIKA P 1/6/2014 TONI

36 BANU ZAKWAN L 9/6/2014 SUGASIP

37 DIDING ARWAN L 7/30/2014 MAEDI, Spd

38 RINDA ADIZAH P 4/10/2014 JIDASIP

39 M, PIRNADA L 2/17/2015 M RIFA'I

40 JIBRAN MAULANA L 1/13/2015 JIWANOM

41 PIAN IRWANDI L 3/24/2015 ISMARAWADI

42 TEGUH SASTRA L 4/17/2015 MISNAYU

43 RIZA APRILIA P 4/24/2015 SUHRIF

44 ADRIAN PRATAMA L 6/13/2015

45 NAZWA SANTOSO L 10/14/2013 MAKMUR SANTOSO

46 INDRAENI P 1/9/2015 RUMELANDI

47 JETI MARISA L 8/11/2015 TEDI AMIARI

48 DITA MARYANTI P 9/18/2015 MISTADI

 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B

49 JONI JAENUL L 6/12/2013

50 NINA RAMDANI P 8/1/2013 MUSTIADI

51 HLPANDI L 10/26/2015 MELANDI

52 MAULANA MAHARDIKA L 6/15/2015 ADI SASDIANA

53

54

55

56

57

58

59

60

61

62

63

64

65

66

67

68

69

70

71

72

73

74
 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B

75

76

77

10

11

12

13

14

15

16

17

18

19

20
 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46
 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B
 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B
N BALITA DI POSYANDU

BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
P
 HASIL PENIMBANGAN BALITA DI POSYA

Nama Posyandu :
Alamat : DSN GERISAK

2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B

1 D, DIA RAHMAWATI P 5/17/2011 L SUPARWADI/D, PITRIANI 14

2 MIKA AYUNIKA P 3/3/2011 UDIN / LUSASIH 14.5

3 GUNTUR L 5/25/2011 SUMANOM/ASINGEN 14.5

4 MISTANEM L 11/10/2011 SUKARDI/SIRSANEP 13.5

5 ARI KURNIAWAN L 4/3/2011 NURSADI/ D PININGEN 14.2

6 NAORA HUMAEROH P 5/20/2011 NURADI/RARIH 14.4

7 BAJANG MAULANA L 7/6/2011 MARZUKI/ RATNUSIH 15

8 ERNIATI P 9/10/2011 CANDIALIP/RATSANEM 12.5

9 RIKIYANDI L 5/27/2011 RUDIONO/RIANAH 15.1

10 HENGKI L 5/24/2011 SINGASIP/LASANIM 15.3

11 HUSNA FARIZA L 9/21/2011 JUMANEM/ANISAH 12.5

12 HERIANDIKA L 3/27/2012 NUTRIADI / KARNIATI 12

13 YOPIANA L 2/3/2012 JANDRANOM / NEPSANIM 11.2

14 YOGA L 11/2/2012 RUTANEM / ARSANEP 12

15 YANA MINASTRI P 9/30/2012 NURIASIP / MULIANI 13

16 RONAL L 7/3/2012 SUTRADI/NICANEP 13.5

17 RENDIKA L 11/14/2012 NAWADI/SARINEP 11

18 PUTRI AMBULANI P 9/20/2012 SAIRAN /MASENAH 11

19 NIMIKA PURI P 12/13/2012 ASMAWADI/MANDRIANI 14.5

20 MEINIKA P 5/10/2012 RINASIP/NURSANIM 11.5

21 GALANG YUDI DARMA L 5/30/2012 EDI SWANDI /

22
 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48
 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64

65

66

67

68

69

70

71

72

73

74
 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

100
 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B

101

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125

126
 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B

127

128

129

130

131

132

133

134

135

136

137

138

139

140

141

142

143

144

145
 2=Non
Gakin
No Nama Balita L/P Tgl Lahir Nama Orang tua

1=Gakin
JAN PEB VIT A MAR APR

M/B
AN BALITA DI POSYANDU

BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 BB TIAP BULAN

MEI JUN JULI AGS VIT A SEP OKT NOV DES KET

M/B
 P

3/8/2016 57

3/8/2016 60

3/8/2016 57

3/8/2016 51

3/8/2016 59

3/8/2016 57

3/8/2016 56

3/8/2016 53

3/8/2016 57

3/8/2016 57

3/8/2016 53

3/8/2016 47

3/8/2016 49

3/8/2016 40

3/8/2016 41

3/8/2016 44

3/8/2016 39

3/8/2016 41

3/8/2016 38

3/8/2016 45

3/8/2016 45
 FORMULIR PENDATAAN SASARAN BALITA ( 0-59 BULAN) PIN POLIO TAHUN 2016

DESA : Anyar
PUSKESMAS : Bayan
KAB/KOTA : Lombok Utara

UMUR
NO NAMA ANAK L/P NAMA ORANG TUA ALAMAT
(BLN)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
HUN 2016

KET