NOANAK KETGL LAHIR JK NO KK NIK NAMA ANAK BB TB KIA

1 2 11/26/2017 L 1806032904110000 1806032611170000 Gabriel Mauliddan syahputra 10.1 s Ya

2 2 1/28/2018 L 1806031412100030 1806032801180000 Bagus Prasetiawan 8.3 72 Ya
3 1 1/13/2018 L 1806030205180000 1806031301180000 Aftar Pratama 9.3 75 Ya
4 3 1/25/2015 L 1806030204081030 1806032501150000 Azzam Latif 14 99 Ya
5 2 9/27/2017 L 1806030810100150 1806032709170000 Egi Maulana Fikri 8.7 75 Ya
6 2 7/3/2018 L 1806031004130000 1806030704140000 Bintang aidil 9.3 74 Ya
7 2 2/23/2015 L 18060132806100000 1806032302150000 Sergio Aliando P. 16 95 Ya
8 3 12/16/2016 L 18060304091200000 1806031612160000 M. Rizki 92 79 Ya
9 2 7/1/2015 P 1806031202090010 1806031612150000 Aisyah Putri Dewi 12.7 97 Ya
11 2 1/17/2015 L 1806032806100010 1806031701150000 Hamdalah Virza R. 15 97 Ya
12 2 1/23/2015 L 1806032301140000 M. Farhan Abdilah 12.4 102 Ya
13 2 5/16/2015 P 1806031211100040 1806035605150000 Keysa Putri Andinis 11.2 93 Ya
14 2 6/2/2018 P Rihasna Dzakia 7.2 72 Ya
15 2 10/28/2015 P 1806031312110000 1806036810150000 Putri Hana Nova 13 94.5 Ya
16 3 1/17/2016 L 1806031701160000 Akbar Yogi Kesukmah 11 93 Ya
17 2 3/25/2015 P 1806031211100010 Alifah Istiqomah 13.6 102 Ya
18 1 10/1/2015 P 1806030804150000 1806034110150000 Akifanaya Syauqia 14 96 Ya
19 1 11/8/2017 L M. Wildan 9 75 Ya
20 1 10/31/2017 L 1806032407170000 1806033110170000 M. Akbar Habibi 10.6 83 Ya
21 2 8/22/2017 L 1806031804180000 1806032208170000 M. Gusnur 11.5 82 Ya
22 1 9/16/2016 L 1806033009150000 1806031604160000 M. Aydin Azka 14 93.5 Ya
2 3/4/2017 P 180603300510001 1806034403170000 Khania Putri 11 82.5
23 Ya
24 1 1/25/2015 L 180603200111004 1806032501150000 Miftahul Hamdi 13 93 Ya
25 2 5/10/2017 L 1806031107180000 1806031005170000 Gibran ahnaf jinan 10 83 Ya

3 11/17/2015 L 1806032904110000 1806031711150000 M. Reza Prasetiyo 10 91

27 Ya
28 2 1/12/2016 L 1806032011150000 1806031201160000 Aditya Azka Haidar 11 90 Ya
29 1 4/27/2018 L 1806031202180000 1806032704180000 M. Rafan Arsenio 9.5 75 Ya
30 2 6/19/2016 L 1806031412100110 1806031904170000 Steivano Arnoldi 12 92 Ya
31 5 6/19/2016 P 1806030204081000 1806035906160000 Nazwa Nur Ramadhani 9.8 83 Ya
2 7/4/2016 L 180603280110005 1806030407160000 Fajar Ramadhan 13 91
32 Ya
33 1 12/20/2015 L 1806031812150000 1806032012150000 M. Alfan Asyraf 12 91 Ya
34 1 7/14/2016 L 1806031406160000 Iqbal pratama 13 94.5 Ya
35 2 3/15/2017 P 180603100616002 1806035503170000 Aisyah Afiqah 98.4 80 Ya
36 2 8/12/2015 L 1806031711090010 1806031208150000 Affan Zaidan 14 98 Ya
37 1 11/9/2015 P 1806031908150000 1806034911150000 Qafiyya Alena 11.2 91 Ya
38 1 3/22/2017 P 1806030712160000 1806036203170000 Anasya Almaira 82 77 Ya
39 2 3/20/2018 P 1806030808110000 Athaya 58 61 Ya
40 2 12/15/2015 P 1806031308120000 1806035512150000 Siti Fatimah 14.2 92 Ya
41 1 11/25/2017 P 1806030102160000 1806036511170000 Annisa zalfa qirani 10.4 86 Ya
 2 7/16/2018 L 1806032801110000 1806031607180000 Refan ade nugraha 7.5 71
42 Ya
43 2 7/8/2015 P 1806031004120000 1806034807160000 Tania Salsabilah 11 82 ya
44 1 11/26/2017 L 1806032912150000 Fajar Maulana 82 69 Ya
45 1 3/8/2018 L 1806031206130000 1806030803180000 Ghibran arya pratama 8.3 74 Ya
46 2 1/4/2017 P 1806032507170000 1806034401160000 Nadia Azahra 15 93 Ya
47 1 9/10/2017 L M. Iqmal Safiq 8.8 75 Ya
48 1 3/3/2015 P 1806034303150000 Naisya Putri Zafira 14 99 Ya
49 2 5/29/2018 L Arkan Said Ramadan 6.6 59 Ya
50 8/14/2016 L Galih Saputra 10.3 84 Ya
51 2 9/14/2016 L 1806031001110190 1806031409160000 Fadilah Akbar 9.5 83 Ya
52 6/25/2018 L Rasya 7.2 69 Ya
53 4 8/11/2017 L 1806031405180000 1806031108170000 M. Alfaqih 9 77 Ya
54 1 4/3/2016 L 180603090810003 1806030304160000 Ananta Arsya Pratama 13 95 Ya
55 2 12/6/2015 P 1806032308100000 1806034612150000 Assyfa Bilqis Rosyana 14 100 Ya
56 2 8/7/2018 L 180603071010002 1806030708180000 Daffa Alfarizy Hibatulloh 7.2 68 Ya
57 2 12/17/2015 P 1806031209090000 1806035712150000 Aqila Cahya Inara 11 91 Ya
58 4 1/30/2016 L 1806031901100010 1806033001160000 Danang Febrihanzah 12.5 95.5 Ya
59 1 9/1/2015 P 1806031211100020 Thalita Salsabila 10.3 95 Ya
60 2 3/21/2018 L M. Al Gozali 75 62 Ya
61 1 4/26/2018 L M. Redi Syaputra 8.1 75 Ya
62 2 5/28/2015 P Fadilah karimatun nisa 13.5 94 Ya
63 3 2/8/2015 P Nirmala Saufa 10 89 Ya
64 1 3/28/2015 L Jidan 12 98 Ya
65 1 4/4/2017 P Jihan safira 9 82 Ya
66 2 1/25/2015 L 1806030409150000 1806032501160000 Haikal Al falah prasetiyo 12 96 Ya
67 2 12/31/2017 P 1806031412100040 1806034101180000 Adiba Humaira shareen 88 71 Ya
68 1 7/25/2016 L Raka Al varo morata 16 96 Ya
69 2 5/7/2016 P 1806033012090010 1806034705160000 kayla meisya rafanda 12 90 Ya
70 5 12/4/2017 P 1806031505090010 1806034412170000 Lusi Elmarya Sialagan 7.5 72 Ya
71 1 1/5/2015 L Azka Aufan Prodikta 15 89 Ya
72 1 12/19/2018 L Raffa alfarizi aditama 3.5 53 Ya
73 4 12/5/2018 p Nur fadilah 4 53 Ya
74 1 1/29/2019 P ADEEVA LUTFI.W 4.7 55 Ya
75 1 20/12/2018 L BRYAN 5.8 54 Ya
76 2 1/3/2019 P Alisia novalia putri 4.6 54 Ya
77 1 2/21/2019 P Arnelika putri febrina 3.1 53 Ya
78 5 3/8/2019 P Assifa salsabila 3.1 50 Ya
79 1 6/10/2017 L FAREL 10.3 83 Ya
80 3 1/16/2017 P KIA 11 87 Ya
81 1 6/11/2017 P ALEA SYAKIRA .R 13.5 85 Ya
82 3 10/16/2015 P NAYLA NADA ZAFIRA Ya
83 2 8/13/2015 L M. ADITIA 16 s Ya
84 5 6/12/2018 L M.alfarizki khairan .s Ya
 IMD NAMA ORTU NIK ORTU NO HP ORTU ALAMAT RT RW
ya Sobirin 1806030206840000 DADIREJO 4 4

ya Paino 1806030702770000 DADIREJO 2 2

ya Irwansyah 1806031106900010 DADIREJO 1 1

ya Tabrani 1806030606790000 DADIREJO 1 1

Ya Tohari 1806032101860000 DADIREJO 4 4

ya Tri W. 1806031102810000 DADIREJO 1 1

ya Dediyono 1806031006820000 DADIREJO 3 3

ya Mujiyanto 1806032001680000 DADIREJO 3 3

ya Budi Prayitno 1806032702820000 DADIREJO 4 4

ya Suroto 1806031110770000 DADIREJO 2 2

ya Nganglang 1806032507710000 DADIREJO 2 2

ya Prahono 1806032612810000 DADIREJO 2 2

ya Prio Triwibowo 1806031301760000 DADIREJO 2 2

ya Paryono 1806032203840000 DADIREJO 2 2

ya Yogi F. 1806031502820000 DADIREJO 1 1

ya Robani 1806032507790000 DADIREJO 4 4

ya Feri Sandria 1806120802860000 DADIREJO 3 3

ya Jumali 1806031203870000 DADIREJO 4 4

ya A. Kahanafi 1806032508870000 DADIREJO

ya Ngatiyono 1806121812780000 DADIREJO 4 4

ya Rohiman 1806032107880000 DADIREJO 4 4

Evan Dinata 1806030512870s003 DADIREJO 4 4

ya
ya Rohim 1806031407660000 DADIREJO 4 4

ya Otong supriadi 1804090811840000 DADIREJO 3 3

Bambang Prastiyo 18060310041750000 DADIREJO 4 4

ya
ya Abdul Kholik 3204121211780000 DADIREJO 3 3

ya Riyan S. 1806032704180000 DADIREJO 2 2

ya M. Ambri 1806030502830000 DADIREJO 3 3

ya Sarifudin 1806031412720000 DADIREJO 1 1

Bambang
1806030312840000 DADIREJO 3 3
ya ryantono
ya Soffan 1806032808850000 DADIREJO 4 4

ya Nasri 1806031310890000 DADIREJO 3 3

ya Andi S. 1806030204860000 DADIREJO 3 3

ya Subardi 1806030612770000 DADIREJO 1 1

ya Willy Nanda 1806030602870000 DADIREJO 3 3

ya jimmy S. 1806010406920000 DADIREJO 1 1

ya A. Husniyanto 180603140580007 DADIREJO 3 3

ya Saefudin 1806030707870000 DADIREJO 3 3

ya Novianto 1806034501980000 DADIREJO 1 1

 Budinata riyanto 1806032112860000 DADIREJO 1 1
ya
ya Mukhtar 1806030204740000 DADIREJO 2 2

Ya Setiyanto 1806030606750000 DADIREJO 4 4

Ya Yudi lismanto 1806031101890000 DADIREJO 1 1

Ya Sokip 180603110690005 DADIREJO 2 2

Ya Nuriman DADIREJO 3 3

Ya M. Sahlan 1806031701890000 DADIREJO 3 3

Ya Yulianto DADIREJO 4 4

Ya Bejo Laksono 1806031507770000 DADIREJO 3 3

Ya Bambang S. 1806031204770000 DADIREJO 2 2

Ya M.irvan DADIREJO 1 1

Ya Yulian Ardi 1806030906810000 DADIREJO 2 2

Ya Yudi Riyanto 1806032205860000 DADIREJO 2 2

Ya Guritno 1806031302800000 DADIREJO 2 2

Ya Ngadino 1806030803750000 DADIREJO 2 2

Ya masroh 1806031709810000 DADIREJO 2 2

Ya Suhandana 1806031707660000 DADIREJO 2 2

Ya Kasino 1806032102600000 DADIREJO 2 2

Ya Ginanjar DADIREJO 3 3

Ya Sodri DADIREJO 4 4

Ya Basirun DADIREJO 4 4

Ya Kusnadi DADIREJO 3 3

Ya Kamsin DADIREJO 3 3

Ya Farid DADIREJO
Ya Widodo 1871130209840000 DADIREJO 1 1

Ya Sahrudin 1806030606760000 DADIREJO 1 1

Ya Rudiyanto DADIREJO 3 3

Ya Eko Patoni 1806032504860000 DADIREJO 3 3

Ya Harno DADIREJO 1 1

Ya Carles DADIREJO 2 2
Ya SUROTO DADIREJO 3 3
Ya mujahidin DADIREJO 1 1
Ya ANDI DADIREJO 1 1

Ya TRI SETIO DADIREJO 1 1

Ya RASANI DADIREJO 2 2

Ya SEPRA DADIREJO 1 1

Ya MADDASAN DADIREJO 1 1

Ya TEGUH DADIREJO 3 3

Ya SUMIARNO DADIREJO 2 2

Ya BAYU DADIREJO 1 1

Ya SUGIONO DADIREJO 3 3

Ya TRI WIBOWO DADIREJO 2 2

Ya ENDI.M DADIREJO 1 1
 FORMULIR PEMANTAUAN BALITA
Provinsi : Lampung Nama Posyandu : Mekar Sari

Kabupaten / Kota : Tanggamus Bulan :

Puskesmas / Kecamatan : Wonosobo Tahun : 2019

Desa / Kelurahan : Dadirejo

VIT. A
NIK ( Nomor Cara Ukur: Asi Exlusif : IMD : Februari :
Anak Jenis BB Tgl BB PB/TB 1.Terlentang
No No Kartu Keluarga Induk Nama Anak Tanggal Lahir Kelamin Lahir Nama Ayah NIK Alamat RT RW 1. Ya 1. Ya 1.
Kependudukan ) ke
Pengukukran (Kg) (cm) 2. Berdiri 2. Tidak 2. Tidak Ya
2.
Tidak

-1 -2 -3 -4 -5 -6 -7 -8 -9 -10 -11 -12 -13 -14 -15 -16 -17 -18 -19 -20

Gabriel Mauliddan
1 1806032904110000 1806032611170000 2 11/26/2017 L 3300 Sobirin 1806030206840000 Dadirejo 4 4 9/19/2018 96 72 2 1 2 1
syahputra

2 1806031412100030 1806032801180000 2 Bagus Prasetiawan 1/28/2018 L 3100 Paino 1806030702770000 Dadirejo 2 2 9/19/2018 74 65.5 2 2 2 1

3 1806030205180000 1806031301180000 1 Aftar Pratama 1/13/2018 L 3000 Irwansyah 1806031106900010 Dadirejo 1 1 9/19/2018 85 70 2 1 2 1

4 1806030204081030 1806032501150000 3 Azzam Latif 1/25/2015 L 3100 Tabrani 1806030606790000 Dadirejo 1 1 9/19/2018 13 97 2 1 1 1

5 1806030810100150 1806032709170000 2 Egi Maulana Fikri 9/27/2017 L 3100 Tohari 1806032101860000 Dadirejo 4 4 9/19/2018 85 72 2 1 2 1

6 1806031004130000 1806030704140000 2 Bintang aidil 7/3/2018 L 3200 Tri W. 1806031102810000 Dadirejo 1 1 9/19/2018 48 52 1 1 1 2

7 18060132806100000 1806032302150000 2 Sergio Aliando P. 2/23/2018 L 3000 Dediyono 1806031006820000 Dadirejo 3 3 9/19/2018 14 97 2 1 1 1

8 18060304091200000 1806031612160000 3 M. Rizki 12/16/2016 L 3400 Mujiyanto 1806032001680000 Dadirejo 3 3 9/19/2018 86 76 2 1 1 1

9 1806031202090010 1806031612150000 2 Aisyah Putri Dewi 7/1/2015 P 3200 Budi Prayitno 1806032702820000 Dadirejo 4 4 9/19/2018 10 95 2 1 1 1

10 1806032806100010 1806031701150000 2 Hamdalah Virza R. 1/17/2015 L 3000 Suroto 1806031110770000 Dadirejo 2 2 9/19/2018 13 94 2 1 1 1

11 1806032301140000 2 M. Farhan Abdilah 1/23/2015 L 3400 Nganglang 1806032507710000 Dadirejo 2 2 9/19/2018 12.4 102 2 1 1 1

12 1806031211100040 1806035605150000 2 Keysa Putri Andinis 5/16/2015 P 3000 Prahono 1806032612810000 Dadirejo 2 2 9/19/2018 10.2 92 2 1 1 1

13 2 Rihasna Dzakia 6/2/2018 P 3100 Prio Triwibowo 1806031301760000 Dadirejo 2 2 9/19/2018 5.8 53 1 1 2 2

14 1806031312110000 1806036810150000 2 Putri Hana Nova 10/28/2015 P 3200 Paryono 1806032203840000 Dadirejo 2 2 9/19/2018 12 91 2 1 1 1

15 1806031701160000 3 Akbar Yogi Kesukmah 1/17/2016 L 3400 Yogi F. 1806031502820000 Dadirejo 1 1 9/19/2018 11 93 2 1 1 1

16 1806031211100010 2 Alifah Istiqomah 3/25/2015 P 3200 Robani 1806032507790000 Dadirejo 4 4 9/19/2018 13.6 102 2 1 1 1

17 1806030804150000 1806034110150000 1 Akifanaya Syauqia 10/1/2015 P 3300 Feri Sandria 1806120802860000 Dadirejo 3 3 9/19/2018 14 96 2 1 1 1
18 1 M. Wildan 11/8/2017 L 3000 Jumali 1806031203870000 Dadirejo 4 9/19/2018 83 66 2 1 2 1

19 1806032407170000 1806033110170000 1 M. Akbar Habibi 10/31/2017 L 3100 A. Kahanafi 1806032508870000 Dadirejo 2 9/19/2018 82 74 2 1 1 2

20 1806031804180000 1806032208170000 2 M. Gusnur 8/22/2017 L 2900 Ngatiyono 1806121812780000 Dadirejo 4 4 9/19/2018 10 73 2 1 1 1

21 1806033009150000 1806031604160000 1 M. Aydin Azka 9/16/2016 L 3000 Rohiman 1806032107880000 Dadirejo 4 4 9/19/2018 13 90 2 1 1 1

22 180603300510001 1806034403170000 2 Khania Putri 3/4/2017 P 3100 Evan Dinata 1806030512870s003 Dadirejo 4 4 9/19/2018 92 81 2 1 1 1

23 180603200111004 1806032501150000 1 Miftahul Hamdi 1/25/2015 L 3100 Rohim 1806031407660000 Dadirejo 4 4 9/19/2018 13 93 2 1 1 1

24 1806031107180000 1806031005170000 2 Gibran ahnaf jinan 5/10/2017 L 3200 Otong supriadi 1804090811840000 Dadirejo 3 3 9/19/2018 9.4 77 2 1 1 1

25 1806030805180000 1806032309140000 1 Ganjar Arya 9/23/2014 L 3100 Joko Dadirejo 3 3 9/19/2018 13 107 2 1 1 1

26 1806032904110000 1806031711150000 3 M. Reza Prasetiyo 11/17/2015 L 3000 Bambang Prastiyo 18060310041750000 Dadirejo 4 4 9/19/2018 10 91 2 1 1 1

27 1806032011150000 1806031201160000 2 Aditya Azka Haidar 1/12/2016 L 3000 Abdul Kholik 3204121211780000 Dadirejo 3 3 9/19/2018 11 90 2 1 1 1

28 1806031202180000 1806032704180000 1 M. Rafan Arsenio 4/27/2018 L 3100 Riyan S. 1806032704180000 Dadirejo 2 2 9/19/2018 82 66 1 1 1 2

29 1806031412100110 1806031904170000 2 Steivano Arnoldi 6/19/2016 L 3300 M. Ambri 1806030502830000 Dadirejo 3 3 9/19/2018 10 75 2 1 1 1

30 1806030204081000 1806035906160000 5 Nazwa Nur Ramadhani 6/19/2016 P 3000 Sarifudin 1806031412720000 Dadirejo 1 1 9/19/2018 8.6 80 2 1 1 1

Bambang
31 180603280110005 1806030407160000 2 Fajar Ramadhan 7/4/2016 L 3300 1806030312840000 Dadirejo 3 3 9/19/2018 12 83 2 1 1 1
ryantono
32 1806031812150000 1806032012150000 1 M. Alfan Asyraf 12/20/2015 L 3100 Soffan 1806032808850000 Dadirejo 4 4 9/19/2018 10 97 2 1 1 1

33 1806031406160000 1 Iqbal pratama 7/14/2016 L 3300 Nasri 1806031310890000 Dadirejo 3 3 9/19/2018 9 85 2 1 1 1

34 180603100616002 1806035503170000 2 Aisyah Afiqah 3/15/2017 P 3000 Andi S. 1806030204860000 Dadirejo 3 3 9/19/2018 85 76 2 1 1 1

35 1806031711090010 1806031208150000 2 Affan Zaidan 8/12/2015 L 3100 Subardi 1806030612770000 Dadirejo 1 1 9/19/2018 13.6 90 2 1 1 1

36 1806031908150000 1806034911150000 1 Qafiyya Alena 11/9/2015 P 2800 Willy Nanda 1806030602870000 Dadirejo 3 3 9/19/2018 10 89 2 1 1 1

37 1806030712160000 1806036203170000 1 Anasya Alnaira 3/22/2017 P 3000 jimmy S. 1806010406920000 Dadirejo 1 1 9/19/2018 78 73 2 1 1 1

38 1806030808110000 2 Athaya 3/20/2018 P 3000 A. Husniyanto 180603140580007 Dadirejo 3 3 9/19/2018 58 61 1 1 1 2

39 1806031308120000 1806035512150000 2 Siti Fatimah 12/15/2015 P 3200 Saefudin 1806030707870000 Dadirejo 3 3 9/19/2018 14.2 92 2 1 1 1

40 1806030102160000 1806036511170000 1 Annisa zalfa qirani 11/25/2017 P 2500 Novianto 1806034501980000 Dadirejo 1 1 9/19/2018 82 73 2 1 1 2

41 1806032801110000 1806031607180000 2 Refan ade nugraha 7/16/2018 L 3100 Budinata riyanto 1806032112860000 Dadirejo 1 1 9/19/2018 5 51 1 1 1 1

42 1806031004120000 1806034807160000 2 Tania Salsabilah 7/8/2015 P 2800 Mukhtar 1806030204740000 Dadirejo 2 2 9/19/2018 10 82 2 1 1 1

43 1806032912150000 1 Fajar Maulana 11/26/2017 L 3000 Setiyanto 1806030606750000 Dadirejo 4 4 9/19/2018 82 69 2 1 1 2

44 1806031206130000 1806030803180000 1 Ghibran arya pratama 3/8/2018 L 29000 Yudi lismanto 1806031101890000 Dadirejo 1 1 9/19/2018 69 62 1 1 1 1

45 1806032507170000 1806034401160000 2 Nadia Azahra 1/4/2017 P 32000 Sokip 180603110690005 Dadirejo 2 2 9/19/2018 11.3 85 2 1 1 2
46 1 M. Iqmal Safiq 9/10/2017 L 3000 Nuriman Dadirejo 3 3 9/19/2018 75 69 2 1 1 1

47 1806034303150000 1 Naisya Putri Zafira 3/3/2015 P 2900 M. Sahlan 1806031701890000 Dadirejo 3 3 9/19/2018 16 97.5 2 1 1 2

48 2 Arkan Said Ramadan 5/29/2018 L 3200 Yulianto Dadirejo 4 4 9/19/2018 6.6 59 2 1 1 1

49 Galih Saputra 8/14/2016 L 3100 Bejo Laksono 1806031507770000 Dadirejo 3 3 9/19/2018 10.5 79.5 2 1 1 1

50 1806031001110190 1806031409160000 2 Fadilah Akbar 9/14/2016 L 3000 Bambang S. 1806031204770000 Dadirejo 2 2 9/19/2018 91 79 2 1 1 2

51 Rasya 6/25/2018 L 3200 M.irvan Dadirejo 1 9/19/2018 5 55 2 1 1 2

52 1806031405180000 1806031108170000 4 M. Alfaqih 8/11/2017 L 3100 Yulian Ardi 1806030906810000 Dadirejo 2 2 9/19/2018 72 69 2 1 1 1

53 180603090810003 1806030304160000 1 Ananta Arsya Pratama 4/3/2016 L 3200 Yudi Riyanto 1806032205860000 Dadirejo 2 2 9/19/2018 11 93 2 1 1 1

54 1806032308100000 1806034612150000 2 Assyfa Bilqis Rosyana 12/6/2015 P 3000 Guritno 1806031302800000 Dadirejo 2 2 9/19/2018 13 93 2 1 1 1

55 180603071010002 1806030708180000 2 Daffa Alfarizy Hibatulloh 8/7/2018 L 3200 Ngadino 1806030803750000 Dadirejo 2 2 9/19/2018 3.9 50 1 1 1 2

56 1806031209090000 1806035712150000 2 Aqila Cahya Inara 12/17/2015 P 3100 masroh 1806031709810000 Dadirejo 2 2 9/19/2018 11 91 2 2 1 1

57 1806031901100010 1806033001160000 4 Danang Febrihanzah 1/30/2016 L 3100 Suhandana 1806031707660000 Dadirejo 2 2 9/19/2018 12.5 93 2 2 1 1

58 1806031211100020 1 Thalita Salsabila 9/1/2015 P 3200 Kasino 1806032102600000 Dadirejo 2 2 9/19/2018 10.3 95 2 2 1 1

59 2 M. Al Gozali 3/21/2018 L 3100 Ginanjar Dadirejo 3 3 9/19/2018 75 62 2 1 1 1

60 1 M. Redi Syaputra 4/26/2018 L 2900 Sodri Dadirejo 4 4 9/19/2018 6.9 61 1 2 1 2

61 2 Fadilah karimatun nisa 5/28/2015 P 3000 Basirun Dadirejo 4 4 9/19/2018 13.5 94 2 1 1 1

62 3 Nirmala Saufa 2/8/2015 P 3300 Kusnadi Dadirejo 3 3 9/19/2018 10 89 2 2 1 1

63 1 Jidan 3/28/2015 L 3200 Kamsin Dadirejo 3 3 9/19/2018 12 98 2 1 1 1

64 1 Jihan safira 4/4/2017 P 2800 Farid Dadirejo 9/19/2018 8.8 74 2 1 1 1

65 1806030409150000 1806032501160000 2 Haikal Al falah prasetiyo 1/25/2015 L 3000 Widodo 1871130209840000 Dadirejo 1 1 9/19/2018 12 96 2 1 1 1

66 1806031412100040 1806034101180000 2 Adiba Humaira shareen 12/31/2017 P 3000 Sahrudin 1806030606760000 Dadirejo 1 1 9/19/2018 82 67 2 1 1 1

67 1 Raka Al varo morata 7/25/2016 L 3100 Rudiyanto Dadirejo 3 3 9/19/2018 14.5 90 2 1 1 1

68 1806033012090010 1806034705160000 2 kayla meisya rafanda 5/7/2016 P 3000 Eko Patoni 1806032504860000 Dadirejo 3 3 9/19/2018 10 84 2 1 1 1

69 1806031505090010 1806034412170000 5 Lusi Elmarya Sialagan 12/4/2017 P 3300 Harno Dadirejo 1 1 9/19/2018 7 73 1 1 1 2

70 1 Azka Aufan Prodikta 1/5/2015 L 3300 Carles Dadirejo 2 2 9/19/2018 15 89 2 2 1 1

71 1 Raffa alfarizi aditama 12/19/2018 L 2500 SUROTO Dadirejo 3 3 2/12/2019 3.5 53 1 1 1 2

72 4 Nur fadilah 12/5/2018 p 2300 mujahidin dadirejo 1 1 3/13/2019 4 53 1 2 1 2

73 1 ADEEVA LUTFI.W 1/29/2019 P 3000 ANDI Dadirejo 1 1 3/13/2019 4.7

74 1 BRYAN 20/12/2018 L 3200 TRI SETIO Dadirejo 1 1 3/13/2019 5.8

75 2 Alisia novalia putri 1/3/2019 P 3000 RASANI dadirejo 2 2 3/13/2019 4.6

76 1 Arnelika putri febrina 2/21/2019 P 2700 SEPRA Dadirejo 1 1 3/13/2019 3.1

77 5 By ny winarti 3/8/2019 P 3000 MADDASAN Dadirejo 1 1 3/13/2019 3.1

78 1 FAREL 6/10/2017 L 2900 TEGUH Dadirejo 3 3 3/13/2019 9.8 75 2

79 3 KIA 1/16/2017 P 3100 SUMIARNO Dadirejo 2 2 3/13/2019 11 86 2

80 1 ALEA SYAKIRA .R 6/11/2017 P 3000 BAYU Dadirejo 1 1 3/13/2019 13.5 85

81 3 NAYLA NADA ZAFIRA 10/16/2015 P 2900 SUGIONO Dadirejo 3 3 3/13/2019

82 2 M. ADITIA 8/13/2015 L 3100 TRI WIBOWO Dadirejo 2 2

83 5 M.alfarizki khairan .s 6/12/2018 L 3000 ENDI.M Dadirejo 1 1

VIT. A

Agustus : Kepemilik
1. an Buku
Ya KIA
2.
Tidak

-21 -22

1 ya

1 ya

1 ya

1 ya

1 ya

2 ya

1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

2 ya

1 ya

1 ya

1 ya

1 ya
1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

2 ya

1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

2 ya

1 ya

1 ya

2 ya

1 ya

1 ya

1 ya

1 ya
1 ya

1 ya

2 ya

1 ya

1 ya

2 ya

1 ya

1 ya

1 ya

2 ya

1 ya

1 ya

1 ya

1 ya

2 ya

1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

1 ya

2 ya

1 ya
 FORMULIR PEM
Provinsi : Lampung
Kabupaten / Kota : Tanggamus
Puskesmas / Kecamatan wonosobo
Desa / Kelurahan : Dadirejo

No Kartu Keluarga NIK ( Nomor Induk Jenis

No Anak ke Nama AnakTanggal Lahir Kelamin BB Lahir Nama Ayah
Kependudukan )

-1 -2 -3 -4 -5 -6 -7 -8 -9

Gabriel
1 1806032904110000 1806032611170000 2 Mauliddan 11/26/2017 L 3300 Sobirin
syahputra
Bagus
2 1806031412100030 1806032801180000 2 1/28/2018 L 3100 Paino
Prasetiawan
Aftar
3 1806030205180000 1806031301180000 1 1/13/2018 L 3000 Irwansyah
Pratama

4 1806030204081030 1806032501150000 3 Azzam Latif 1/25/2015 L 3100 Tabrani

Egi Maulana
5 1806030810100150 1806032709170000 2 9/27/2017 L 3100 Tohari
Fikri

6 1806031004130000 1806030704140000 2 Bintang aidil 7/3/2018 L 3200 Tri W.

Sergio
7 18060132806100000 1806032302150000 2 2/23/2018 L 3000 Dediyono
Aliando P.
8 18060304091200000 1806031612160000 3 M. Rizki 12/16/2016 L 3400 Mujiyanto
Aisyah Putri
9 1806031202090010 1806031612150000 2 7/1/2015 P 3200 Budi Prayitno
Dewi
Hamdalah
10 1806032806100010 1806031701150000 2 1/17/2015 L 3000 Suroto
Virza R.
M. Farhan
11 1806032301140000 2 1/23/2015 L 3400 Nganglang
Abdilah
Keysa Putri
12 1806031211100040 1806035605150000 2 5/16/2015 P 3000 Prahono
Andinis
Rihasna Prio
13 2 6/2/2018 P 3100
Dzakia Triwibowo
Putri Hana
14 1806031312110000 1806036810150000 2 10/28/2015 P 3200 Paryono
Nova
Akbar Yogi
15 1806031701160000 3 1/17/2016 L 3400 Yogi F.
Kesukmah
Alifah
16 1806031211100010 2 3/25/2015 P 3200 Robani
Istiqomah
Akifanaya
17 1806030804150000 1806034110150000 1 10/1/2015 P 3300 Feri Sandria
Syauqia
18 1 M. Wildan 11/8/2017 L 3000 Jumali
M. Akbar
19 1806032407170000 1806033110170000 1 10/31/2017 L 3100 A. Kahanafi
Habibi
20 1806031804180000 1806032208170000 2 M. Gusnur 8/22/2017 L 2900 Ngatiyono
M. Aydin
21 1806033009150000 1806031604160000 1 9/16/2016 L 3000 Rohiman
Azka

22 180603300510001 1806034403170000 2 Khania Putri 3/4/2017 P 3100 Evan Dinata

Miftahul
23 180603200111004 1806032501150000 1 1/25/2015 L 3100 Rohim
Hamdi
 Gibran ahnaf Otong
24 1806031107180000 1806031005170000 2 5/10/2017 L 3200
jinan supriadi
25 1806030805180000 1806032309140000 1 Ganjar Arya 9/23/2014 L 3100 Joko
M. Reza Bambang
26 1806032904110000 1806031711150000 3 11/17/2015 L 3000
Prasetiyo Prastiyo
Aditya Azka
27 1806032011150000 1806031201160000 2 1/12/2016 L 3000 Abdul Kholik
Haidar
M. Rafan
28 1806031202180000 1806032704180000 1 4/27/2018 L 3100 Riyan S.
Arsenio
Steivano
29 1806031412100110 1806031904170000 2 6/19/2016 L 3300 M. Ambri
Arnoldi
Nazwa Nur
30 1806030204081000 1806035906160000 5 6/19/2016 P 3000 Sarifudin
Ramadhani
Fajar Bambang
31 180603280110005 1806030407160000 2 7/4/2016 L 3300
Ramadhan ryantono
M. Alfan
32 1806031812150000 1806032012150000 1 12/20/2015 L 3100 Soffan
Asyraf

33 1806031406160000 1 Iqbal pratama 7/14/2016 L 3300 Nasri

Aisyah
34 180603100616002 1806035503170000 2 3/15/2017 P 3000 Andi S.
Afiqah

35 1806031711090010 1806031208150000 2 Affan Zaidan 8/12/2015 L 3100 Subardi

Qafiyya
36 1806031908150000 1806034911150000 1 11/9/2015 P 2800 Willy Nanda
Alena
Anasya
37 1806030712160000 1806036203170000 1 3/22/2017 P 3000 jimmy S.
Alnaira
A.
38 1806030808110000 2 Athaya 3/20/2018 P 3000
Husniyanto
39 1806031308120000 1806035512150000 2 Siti Fatimah 12/15/2015 P 3200 Saefudin
Annisa zalfa
40 1806030102160000 1806036511170000 1 11/25/2017 P 2500 Novianto
qirani
Refan ade Budinata
41 1806032801110000 1806031607180000 2 7/16/2018 L 3100
nugraha riyanto
Tania
42 1806031004120000 1806034807160000 2 7/8/2015 P 2800 Mukhtar
Salsabilah
Fajar
43 1806032912150000 1 11/26/2017 L 3000 Setiyanto
Maulana

Ghibran arya
44 1806031206130000 1806030803180000 1 3/8/2018 L 29000 Yudi lismanto
pratama

45 1806032507170000 1806034401160000 2 Nadia Azahra 1/4/2017 P 32000 Sokip

M. Iqmal
46 1 9/10/2017 L 3000 Nuriman
Safiq
Naisya Putri
47 1806034303150000 1 3/3/2015 P 2900 M. Sahlan
Zafira
Arkan Said
48 2 5/29/2018 L 3200 Yulianto
Ramadan

49 Galih Saputra 8/14/2016 L 3100 Bejo Laksono

Fadilah
50 1806031001110190 1806031409160000 2 9/14/2016 L 3000 Bambang S.
Akbar
51 Rasya 6/25/2018 L 3200 M.irvan
52 1806031405180000 1806031108170000 4 M. Alfaqih 8/11/2017 L 3100 Yulian Ardi

Ananta Arsya
53 180603090810003 1806030304160000 1 4/3/2016 L 3200 Yudi Riyanto
Pratama
 Assyfa Bilqis
54 1806032308100000 1806034612150000 2 12/6/2015 P 3000 Guritno
Rosyana

Daffa
55 180603071010002 1806030708180000 2 Alfarizy 8/7/2018 L 3200 Ngadino
Hibatulloh
Aqila Cahya
56 1806031209090000 1806035712150000 2 12/17/2015 P 3100 masroh
Inara
Danang
57 1806031901100010 1806033001160000 4 1/30/2016 L 3100 Suhandana
Febrihanzah
Thalita
58 1806031211100020 1 9/1/2015 P 3200 Kasino
Salsabila

59 2 M. Al Gozali 3/21/2018 L 3100 Ginanjar

M. Redi
60 1 4/26/2018 L 2900 Sodri
Syaputra
Fadilah
61 2 karimatun 5/28/2015 P 3000 Basirun
nisa
Nirmala
62 3 2/8/2015 P 3300 Kusnadi
Saufa
63 1 Jidan 3/28/2015 L 3200 Kamsin
64 1 Jihan safira 4/4/2017 P 2800 Farid
Haikal Al
65 1806030409150000 1806032501160000 2 falah 1/25/2015 L 3000 Widodo
prasetiyo

Adiba
66 1806031412100040 1806034101180000 2 Humaira 12/31/2017 P 3000 Sahrudin
shareen
Raka Al varo
67 1 7/25/2016 L 3100 Rudiyanto
morata

kayla meisya
68 1806033012090010 1806034705160000 2 5/7/2016 P 3000 Eko Patoni
rafanda

Lusi Elmarya
69 1806031505090010 1806034412170000 5 12/4/2017 P 3300 Harno
Sialagan

Azka Aufan
70 1 1/5/2015 L 3300 Carles
Prodikta
71 1 Raffa alfariz 12/19/2018 L 2500 SUROTO
72 4 Nur fadilah 12/5/2018 p 2300 mujahidin
73 1 Adeeva lutfi 1/29/2019 P 3000 ANDI
74 1 Bryan 20/12/2018 L 3200 TRI SETIO
75 2 Alisia novalia 1/3/2019 P 3000 RASANI
76 1 Arnelika putri 2/21/2019 P 2700 SEPRA
77 5 By ny winarti 3/8/2019 P 3000 MADDASAN
78 1 FAREL 6/10/2017 L 2900 TEGUH
79 3 KIA 1/16/2017 P 3100 SUMIARNO
80 1 ALEA SYAKIR 6/11/2017 P 3000 BAYU
81 3 NAYLA NADA10/16/2015 P 2900 SUGIONO
82 2 M. ADITIA 8/13/2015 L 3100 TRI WIBOWO
83 5 M.alfarizki kha 6/12/2018 L 3000 ENDI.M
FORMULIR PEMANTAUAN BALITA
Nama Posyandu : Mekar Sari
Bulan :
Tahun 2019

Cara Ukur:
PB/TB Asi Exlusif : IMD : 1.
Tgl
NIK Alamat RT RW BB (Kg) 1.Terlentan 1. Ya Ya 2.
Pengukukran (cm) g 2. 2. Tidak Tidak
Berdiri

-10 -11 -12 -13 -14 -15 -16 -17 -18 -19

1806030206840000 Dadirejo 4 4 9/19/2018 96 72 2 1 2

1806030702770000 Dadirejo 2 2 9/19/2018 74 65.5 2 2 2

1806031106900010 Dadirejo 1 1 9/19/2018 85 70 2 1 2

1806030606790000 Dadirejo 1 1 9/19/2018 13 97 2 1 1

1806032101860000 Dadirejo 4 4 9/19/2018 85 72 2 1 2

1806031102810000 Dadirejo 1 1 9/19/2018 48 52 1 1 1

1806031006820000 Dadirejo 3 3 9/19/2018 14 97 2 1 1

1806032001680000 Dadirejo 3 3 9/19/2018 86 76 2 1 1

1806032702820000 Dadirejo 4 4 9/19/2018 10 95 2 1 1

1806031110770000 Dadirejo 2 2 9/19/2018 13 94 2 1 1

1806032507710000 Dadirejo 2 2 9/19/2018 12.4 102 2 1 1

1806032612810000 Dadirejo 2 2 9/19/2018 10.2 92 2 1 1

1806031301760000 Dadirejo 2 2 9/19/2018 5.8 53 1 1 2

1806032203840000 Dadirejo 2 2 9/19/2018 12 91 2 1 1

1806031502820000 Dadirejo 1 1 9/19/2018 11 93 2 1 1

1806032507790000 Dadirejo 4 4 9/19/2018 13.6 102 2 1 1

1806120802860000 Dadirejo 3 3 9/19/2018 14 96 2 1 1

1806031203870000 Dadirejo 4 9/19/2018 83 66 2 1 2

1806032508870000 Dadirejo 2 9/19/2018 82 74 2 1 1

1806121812780000 Dadirejo 4 4 9/19/2018 10 73 2 1 1

1806032107880000 Dadirejo 4 4 9/19/2018 13 90 2 1 1

1806030512870s003 Dadirejo 4 4 9/19/2018 92 81 2 1 1

1806031407660000 Dadirejo 4 4 9/19/2018 13 93 2 1 1

1804090811840000 Dadirejo 3 3 9/19/2018 9.4 77 2 1 1

Dadirejo 3 3 9/19/2018 13 107 2 1 1

18060310041750000 Dadirejo 4 4 9/19/2018 10 91 2 1 1

3204121211780000 Dadirejo 3 3 9/19/2018 11 90 2 1 1

1806032704180000 Dadirejo 2 2 9/19/2018 82 66 1 1 1

1806030502830000 Dadirejo 3 3 9/19/2018 10 75 2 1 1

1806031412720000 Dadirejo 1 1 9/19/2018 8.6 80 2 1 1

1806030312840000 Dadirejo 3 3 9/19/2018 12 83 2 1 1

1806032808850000 Dadirejo 4 4 9/19/2018 10 97 2 1 1

1806031310890000 Dadirejo 3 3 9/19/2018 9 85 2 1 1

1806030204860000 Dadirejo 3 3 9/19/2018 85 76 2 1 1

1806030612770000 Dadirejo 1 1 9/19/2018 13.6 90 2 1 1

1806030602870000 Dadirejo 3 3 9/19/2018 10 89 2 1 1

1806010406920000 Dadirejo 1 1 9/19/2018 78 73 2 1 1

180603140580007 Dadirejo 3 3 9/19/2018 58 61 1 1 1

1806030707870000 Dadirejo 3 3 9/19/2018 14.2 92 2 1 1

1806034501980000 Dadirejo 1 1 9/19/2018 82 73 2 1 1

1806032112860000 Dadirejo 1 1 9/19/2018 5 51 1 1 1

1806030204740000 Dadirejo 2 2 9/19/2018 10 82 2 1 1

1806030606750000 Dadirejo 4 4 9/19/2018 82 69 2 1 1

1806031101890000 Dadirejo 1 1 9/19/2018 69 62 1 1 1

180603110690005 Dadirejo 2 2 9/19/2018 11.3 85 2 1 1

Dadirejo 3 3 9/19/2018 75 69 2 1 1

1806031701890000 Dadirejo 3 3 9/19/2018 16 97.5 2 1 1

Dadirejo 4 4 9/19/2018 6.6 59 2 1 1

1806031507770000 Dadirejo 3 3 9/19/2018 10.5 79.5 2 1 1

1806031204770000 Dadirejo 2 2 9/19/2018 91 79 2 1 1

Dadirejo 1 9/19/2018 5 55 2 1 1
1806030906810000 Dadirejo 2 2 9/19/2018 72 69 2 1 1

1806032205860000 Dadirejo 2 2 9/19/2018 11 93 2 1 1

 1806031302800000 Dadirejo 2 2 9/19/2018 13 93 2 1 1

1806030803750000 Dadirejo 2 2 9/19/2018 3.9 50 1 1 1

1806031709810000 Dadirejo 2 2 9/19/2018 11 91 2 2 1

1806031707660000 Dadirejo 2 2 9/19/2018 12.5 93 2 2 1

1806032102600000 Dadirejo 2 2 9/19/2018 10.3 95 2 2 1

Dadirejo 3 3 9/19/2018 75 62 2 1 1

Dadirejo 4 4 9/19/2018 6.9 61 1 2 1

Dadirejo 4 4 9/19/2018 13.5 94 2 1 1

Dadirejo 3 3 9/19/2018 10 89 2 2 1

Dadirejo 3 3 9/19/2018 12 98 2 1 1
Dadirejo 9/19/2018 8.8 74 2 1 1

1871130209840000 Dadirejo 1 1 9/19/2018 12 96 2 1 1

1806030606760000 Dadirejo 1 1 9/19/2018 82 67 2 1 1

Dadirejo 3 3 9/19/2018 14.5 90 2 1 1

1806032504860000 Dadirejo 3 3 9/19/2018 10 84 2 1 1

Dadirejo 1 1 9/19/2018 7 73 1 1 1

Dadirejo 2 2 9/19/2018 15 89 2 2 1

Dadirejo 3 3 2/12/2019 3.5 53 1 1 1

dadirejo 1 1 3/13/2019 4 53 1 2 1
Dadirejo 1 1 3/13/2019 4.7
Dadirejo 1 1 3/13/2019 5.8
dadirejo 2 2 3/13/2019 4.6
Dadirejo 1 1 3/13/2019 3.1
MADDASAN Dadirejo 1 1 3/13/2019 3.1
Dadirejo 3 3 3/13/2019 9.8 75 2
Dadirejo 2 2 3/13/2019 11 86 2
Dadirejo 1 1 3/13/2019 13.5 85
Dadirejo 3 3 3/13/2019
TRI WIBOWO Dadirejo 2 2
Dadirejo 1 1
VIT. A VIT. A
Februari : Agustus :
1. 1. Kepemilikan
Buku KIA
Ya Ya
2. Tidak 2. Tidak

-20 -21 -22

1 1 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

2 2 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

2 2 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

2 1 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya
1 1 ya

1 1 ya

1 1 ya

1 1 ya

2 2 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

2 2 ya

1 1 ya

2 1 ya

1 2 ya

1 1 ya

2 1 ya

1 1 ya

2 1 ya

1 1 ya

2 1 ya

1 2 ya

1 1 ya

2 1 ya

2 2 ya
1 1 ya

1 1 ya
1 1 ya

2 2 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

2 2 ya

1 1 ya

1 1 ya

1 1 ya
1 1 ya

1 1 ya

1 1 ya

1 1 ya

1 1 ya

2 2 ya

1 1 ya

2
2
No anak_ke TGL LAHIR JK NO KK NIK NAMA ANAK
1 11/26/2017 1806032904110000 1806032611170000 Gabriel Mauliddan syahputra

2 1/28/2018 1806031412100030 1806032801180000 Bagus Prasetiawan

3 1/13/2018 1806030205180000 1806031301180000 Aftar Pratama

4 1/25/2015 1806030204081030 1806032501150000 Azzam Latif

5 9/27/2017 1806030810100150 1806032709170000 Egi Maulana Fikri

6 7/3/2018 1806031004130000 1806030704140000 Bintang aidil

7 2/23/2018 18060132806100000 1806032302150000 Sergio Aliando P.

8 12/16/2016 18060304091200000 1806031612160000 M. Rizki

9 7/1/2015 1806031202090010 1806031612150000 Aisyah Putri Dewi

1/17/2015 1806032806100010 1806031701150000 Hamdalah Virza R.
1/23/2015 1806032301140000 M. Farhan Abdilah
5/16/2015 1806031211100040 1806035605150000 Keysa Putri Andinis
6/2/2018 Rihasna Dzakia
10/28/2015 1806031312110000 1806036810150000 Putri Hana Nova
1/17/2016 1806031701160000 Akbar Yogi Kesukmah
3/25/2015 1806031211100010 Alifah Istiqomah
10/1/2015 1806030804150000 1806034110150000 Akifanaya Syauqia
11/8/2017 M. Wildan
10/31/2017 1806032407170000 1806033110170000 M. Akbar Habibi
8/22/2017 1806031804180000 1806032208170000 M. Gusnur
9/16/2016 1806033009150000 1806031604160000 M. Aydin Azka
3/4/2017 180603300510001 1806034403170000 Khania Putri
1/25/2015 180603200111004 1806032501150000 Miftahul Hamdi
5/10/2017 1806031107180000 1806031005170000 Gibran ahnaf jinan
9/23/2014 1806030805180000 1806032309140000 Ganjar Arya
11/17/2015 1806032904110000 1806031711150000 M. Reza Prasetiyo
1/12/2016 1806032011150000 1806031201160000 Aditya Azka Haidar
4/27/2018 1806031202180000 1806032704180000 M. Rafan Arsenio
6/19/2016 1806031412100110 1806031904170000 Steivano Arnoldi
6/19/2016 1806030204081000 1806035906160000 Nazwa Nur Ramadhani
7/4/2016 180603280110005 1806030407160000 Fajar Ramadhan
12/20/2015 1806031812150000 1806032012150000 M. Alfan Asyraf
7/14/2016 1806031406160000 Iqbal pratama
3/15/2017 180603100616002 1806035503170000 Aisyah Afiqah
8/12/2015 1806031711090010 1806031208150000 Affan Zaidan
11/9/2015 1806031908150000 1806034911150000 Qafiyya Alena
3/22/2017 1806030712160000 1806036203170000 Anasya Alnaira
3/20/2018 1806030808110000 Athaya
12/15/2015 1806031308120000 1806035512150000 Siti Fatimah
11/25/2017 1806030102160000 1806036511170000 Annisa zalfa qirani
7/16/2018 1806032801110000 1806031607180000 Refan ade nugraha
 7/8/2015 1806031004120000 1806034807160000 Tania Salsabilah
11/26/2017 1806032912150000 Fajar Maulana
3/8/2018 1806031206130000 1806030803180000 Ghibran arya pratama
1/4/2017 1806032507170000 1806034401160000 Nadia Azahra
9/10/2017 M. Iqmal Safiq
3/3/2015 1806034303150000 Naisya Putri Zafira
5/29/2018 Arkan Said Ramadan
8/14/2016 Galih Saputra
9/14/2016 1806031001110190 1806031409160000 Fadilah Akbar
6/25/2018 Rasya
8/11/2017 1806031405180000 1806031108170000 M. Alfaqih
4/3/2016 180603090810003 1806030304160000 Ananta Arsya Pratama
12/6/2015 1806032308100000 1806034612150000 Assyfa Bilqis Rosyana
8/7/2018 180603071010002 1806030708180000 Daffa Alfarizy Hibatulloh
12/17/2015 1806031209090000 1806035712150000 Aqila Cahya Inara
1/30/2016 1806031901100010 1806033001160000 Danang Febrihanzah
9/1/2015 1806031211100020 Thalita Salsabila
3/21/2018 M. Al Gozali
4/26/2018 M. Redi Syaputra
5/28/2015 Fadilah karimatun nisa
2/8/2015 Nirmala Saufa
3/28/2015 Jidan
4/4/2017 Jihan safira
1/25/2015 1806030409150000 1806032501160000 Haikal Al falah prasetiyo
12/31/2017 1806031412100040 1806034101180000 Adiba Humaira shareen
7/25/2016 Raka Al varo morata
5/7/2016 1806033012090010 1806034705160000 kayla meisya rafanda
12/4/2017 1806031505090010 1806034412170000 Lusi Elmarya Sialagan
1/5/2015 Azka Aufan Prodikta
12/19/2018 Raffa alfarizi aditama
12/5/2018 Nur fadilah
1/29/2019 ADEEVA LUTFI.W
20/12/2018 BRYAN
1/3/2019 Alisia novalia putri
2/21/2019 Arnelika putri febrina
3/8/2019 By ny winarti
6/10/2017 FAREL
1/16/2017 KIA
6/11/2017 ALEA SYAKIRA .R
10/16/2015 NAYLA NADA ZAFIRA
8/13/2015 M. ADITIA
6/12/2018 M.alfarizki khairan .s
BB TB KIA IMD NAMA ORTU NIK ORTU NO HP ORTU ALAMAT
Ya ya Sobirin 1806030206840000 DADIREJO
Ya ya Paino 1806030702770000 DADIREJO
Ya ya Irwansyah 1806031106900010 DADIREJO
Ya ya Tabrani 1806030606790000 DADIREJO
Ya Ya Tohari 1806032101860000 DADIREJO
Ya ya Tri W. 1806031102810000 DADIREJO
Ya ya Dediyono 1806031006820000 DADIREJO
Ya ya Mujiyanto 1806032001680000 DADIREJO
Ya ya Budi Prayitno 1806032702820000 DADIREJO
Ya ya Suroto 1806031110770000 DADIREJO
Ya ya Nganglang 1806032507710000 DADIREJO
Ya tidak Prahono 1806032612810000 DADIREJO
Ya ya Prio Triwibowo 1806031301760000 DADIREJO
Ya ya Paryono 1806032203840000 DADIREJO
Ya ya Yogi F. 1806031502820000 DADIREJO
Ya ya Robani 1806032507790000 DADIREJO
Ya ya Feri Sandria 1806120802860000 DADIREJO
Ya ya Jumali 1806031203870000 DADIREJO
Ya ya A. Kahanafi 1806032508870000 DADIREJO
Ya ya Ngatiyono 1806121812780000 DADIREJO
Ya ya Rohiman 1806032107880000 DADIREJO
Ya ya Evan Dinata 1806030512870s003 DADIREJO
Ya ya Rohim 1806031407660000 DADIREJO
Ya ya Otong supriadi 1804090811840000 DADIREJO
Ya ya Joko DADIREJO
Ya ya Bambang Prastiyo 18060310041750000 DADIREJO
Ya ya Abdul Kholik 3204121211780000 DADIREJO
Ya ya Riyan S. 1806032704180000 DADIREJO
Ya ya M. Ambri 1806030502830000 DADIREJO
Ya ya Sarifudin 1806031412720000 DADIREJO
Ya ya Bambang ryantono 1806030312840000 DADIREJO
Ya ya Soffan 1806032808850000 DADIREJO
Ya ya Nasri 1806031310890000 DADIREJO
Ya ya Andi S. 1806030204860000 DADIREJO
Ya ya Subardi 1806030612770000 DADIREJO
Ya ya Willy Nanda 1806030602870000 DADIREJO
Ya ya jimmy S. 1806010406920000 DADIREJO
Ya ya A. Husniyanto 180603140580007 DADIREJO
Ya ya Saefudin 1806030707870000 DADIREJO
Ya ya Novianto 1806034501980000 DADIREJO
Ya ya Budinata riyanto 1806032112860000 DADIREJO
ya ya Mukhtar 1806030204740000 DADIREJO
Setiyanto 1806030606750000 DADIREJO
Yudi lismanto 1806031101890000 DADIREJO
Sokip 180603110690005 DADIREJO
Nuriman DADIREJO
M. Sahlan 1806031701890000 DADIREJO
Yulianto DADIREJO
Bejo Laksono 1806031507770000 DADIREJO
Bambang S. 1806031204770000 DADIREJO
M.irvan DADIREJO
Yulian Ardi 1806030906810000 DADIREJO
Yudi Riyanto 1806032205860000 DADIREJO
Guritno 1806031302800000 DADIREJO
Ngadino 1806030803750000 DADIREJO
masroh 1806031709810000 DADIREJO
Suhandana 1806031707660000 DADIREJO
Kasino 1806032102600000 DADIREJO
Ginanjar DADIREJO
Sodri DADIREJO
Basirun DADIREJO
Kusnadi DADIREJO
Kamsin DADIREJO
Farid DADIREJO
Widodo 1871130209840000 DADIREJO
Sahrudin 1806030606760000 DADIREJO
Rudiyanto DADIREJO
Eko Patoni 1806032504860000 DADIREJO
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