TANDA TERIMA PENERIMA TABLET TAMBAH DARAH

Kelas : X,XI,XII Puskesmas Delha

Sekolah : SMAN 1 Rote Barat Pemberian ke :

NIS Tanggal Lahir Umur Alamat RT RW

NO Nama Siswi (Thn) Nama Orang Tua
1 Agni Mariana Ndun 1839 2003-03-12 16 Oktofianus Ndun Della-baa 0 0
2 Ana Merianti Dethan 1789 2001-03-30 18 Obed Dethan FEDOK 10 4
3 Ananda Putri Grisela Bessie 1518 2000-09-29 18 Olis Oktovianus Bessie BA'A-NEMBERALA 5 2
4 Angela Vinolia Dethan 1859 2003-07-26 15 Robert Dethan Della-baa 5 3
5 Anggaraini Indah Lestari Sine 1786 2002-10-31 16 Martinus Sine OELOLOT 6 2
6 Anita Ndoy 1916 2001-08-26 17 Gotlif Ndoy Alm Nemberala-Bo'a 1 1
7 Apriana Ferderika Haninuna 1790 2002-04-18 16 Yunus P. Giri OELOLOT 10 4
8 Ayu Afliana Kay 1721 2002-05-20 16 Pace Kay Sedeoen 1 1
9 Cheery Jeany Deacembria Dethan 1860 2003-12-08 15 Eduard Dethan Della-baa 0 0
10 JLN. LINTAS BA''A -
Chessy Meyisse Killy 1961 2002-11-25 16 Welhelmus Killy NEMBERALA 3 2
11 Chesty Shilvia Hangge 1947 2003-06-28 15 Jonias Hangge Della-baa 0 0
12 Chintya Marcelina Saekoko 1949 2004-03-09 15 Asmawit Saekoko Della-baa 7 4
13 Cinta Mayati Mboro 1909 2002-03-24 17 Adrianus Mboro MANGGIS OELOLOT 1 1
14 Crista Susandri Ndun 1848 2002-03-22 17 Kristofel Ndun Della-baa 5 3
15 Damaris Boru 1811 2000-11-01 18 Yunus Boru Oehandi 4 2
16 Damaris Mbura 1940 2002-04-02 16 Anderias Mbura OEINE 15 7
17 Debora Narwastu Mbura 1821 2000-05-29 18 Arnolus Mbura DANOTUA 2 1
18 Deci E. Lenggu 1903 2001-12-13 17 Ridolf Lenggu AJAO METO 6 2
19 Delan Kay 1748 2002-12-01 16 Zadrak Abiron Kay Tuaneo 2 3
20 Delavita Aprilia Mengge 1724 2002-04-06 16 Yusuf Oktovianus Mengge Nemberala 2 1
21 Derci Djoh 1782 1999-12-07 19 Jeskiel Djoh MBUEAIN 6 3
22 Desi Damayati Bunda 1576 1998-12-30 20 Marten Luter Bunda OELOLOT 4 2
23 Desi Defri Ndolu 1945 2002-07-17 16 Petrus Ndolu Oeelo 0 0
24 Desi Hunam 1763 2002-12-23 16 Anton Hunam OENITAS 14 7
25 Desy Ermida Laning 1503 1998-12-12 20 Dominggus Laning Jalan Timur Raya 32 16
26 Dewi Suryanti Adu 1884 2002-12-31 16 Osias Adu OEBELA 8 4
27 Efrida Claudia Fanggi 1954 2002-12-22 16 Yosep Nikolas Fanggi Nemberala-Bo'a 1 1
28 Elda Nofida Haninuna 1950 2002-11-28 16 Yermias Haninuna MBUEAIN 8 4
29 Ena Yuninda Mbatu 1485 2000-08-19 18 Martinus Mbatu Sedeoen 7 3
30 Enanda Marsela Ello 1955 2002-03-09 17 Mathinus Ello Oeseli 20 10
31 Erlen Yohana Ballu 1723 2001-10-20 17 Welem Bastian Ballu Sedeoen 1 1
32 Erlin Yohana Bessie 1825 2002-06-05 16 David Bessie Tunggaoen 1 1
33 Erlinda Hendriyani Haninuna 1735 2002-01-22 17 Petrus Daniel Haninuna Sedeoen 1 1
34 Erna Erne Feoh 1597 2000-03-15 19 Alex Feoh BO'A 10 5
35 Erni Feoh 1534 1999-06-29 19 Bernabas Feoh NEMBERALA 10 5
36 Estin Afliana Ndun 1722 2001-07-09 17 Oktovianus Ndun Oefoe 10 5
37 Esty Florida Mbeo 1521 2001-10-06 17 Es Mbeo BA'A-NEMBERALA 11 5
38 Febi Antonia Mesah 1712 2003-02-19 16 Yusuf Mesah Sedeoen 1 2
39 Febriana Mole 1828 2002-02-27 17 Yakobis Mole LIDOR 32 16
40 Fedella Greny Susan Nggadas 1515 2001-08-26 17 Gerson Nggadas JALAN BO'A 3 3
41 Feren Kornelia Kay 1715 2002-02-17 17 Aris Orias Kay Tuaneo 9 3
42 Fince Serwinda Sulapah 1771 2001-09-27 17 Melkianus Joni Sulapah OEBELA 6 3
43 Fransina Ledoh 1708 2000-04-21 18 Oktafilus Ledoh Lutulae 12 6
44 Fransiska Kosat Ndun 1512 2000-07-15 18 Yandri Ndun JALAN BA'A-NEMBERA 3 2
45 Fransiska Sipora Mboroh 1499 2001-12-23 17 Jacobis Markus Mboroh NEMBERALA 4 2
46 Frida Febriana Marni Adu 1545 2000-02-03 19 Josep Jonatan Adu OEINE 31 16
47 Frinta Nalle 1487 2001-02-26 18 Joel Nalle OELOLOT 4 2
48 Gloria Theresa Weni 1837 2004-04-19 14 Yanses Weni della-baa 0 0
49 Grand Anthoneta Zaithun Bella 1835 2002-03-20 17 Hereth Otvianus Bella JLN LINTAS BAA - DEL 3 2
50 Grens Enjelia Bessie 1762 2002-12-10 16 Olis O. Bessie OENITAS 5 2
51 Gusci Anggreni Ndun 1850 2002-08-12 16 Simson S. M. Ndun TONGGA MBUEAIN 4 2
52 Hagar Hayatri Selly 1897 2001-08-04 17 Abraham Selly MODOSINAL 12 6
53 Hana Donggi 1941 2002-05-03 16 Ardianus Donggi OEBELA DUPEMOK 4 2
54 Helen Mirna Mayana Lomba 1537 2001-05-16 17 Jibrael Ibrahim Lomba NEMBERALA 6 3
55 Herlin Bolla 1799 2001-01-02 18 Yustinus Bolla Raekendo 16 8
56 Hilda Gardis Pasi 1809 2000-08-13 18 Yustianus Pasi Nemberala-Bo'a 1 1
57 Ike Helena Abrisa Lulu 1496 2002-04-17 16 Moses Lulu NEMBERALA 6 3
58 Inda Zanarany Ndoen 1933 2003-05-22 15 Charles Nikodemus Ndoen della-baa 0 0
59 Indawen Ariyani Laulela 1535 2001-04-11 17 Petrus Laulela NEMBERALA 1 1
60 Inggrit Marsela Welmince Lane 1873 2002-05-24 16 Abraham Lane Oebela 1 1
61 Iren Irawati Pandie 1914 2002-08-03 16 Alfonsus Pandie NEMBERALA OENITAS 4 2
62 Irvans Mbatu 1741 2002-02-19 17 Zadrak Mbatu OENITAS 11 5
63 Irwit Mariana Hangge 1477 2001-01-05 18 Jonias Hangge Nemberala 7 4
64 Jacinda Lunga Lado 1796 2003-12-27 15 Bora Lado OENITAS 5 2
65 Jacklin Aprilia Nggadas 1505 1999-04-30 19 Bastian Nggadas OENITAS 17 8
66 Jana Adriana Lae 1480 2000-01-02 18 Junus Lae Sedeoen 14 6
67 Julia Jubrina Dethan 1861 2002-07-07 16 Volkes D. Dethan MBUEIAN 6 3

68
Jun Ester Monika Mbuik 1870 2002-06-03 16 Yermias Mbuik LIDOR 27 14
69 Kayla Cornelya Richard Adoe 1921 2003-05-17 15 Jusuf Alfred Adoe JLN BA'A NEMBERALA 1 2
70 Kenny Rostiana Tamelan 1594 2001-01-20 18 Markus Thomson Tamelan NEMBERALA 1 1
71 Keren Chesia Sine 1864 2003-03-08 16 Thimotius Sine ADEK ANGGAIAMA 1 1
72 Krismariana Ardiana Juliana Ballu 1749 2003-04-11 15 Ferdi Ballu Tunggaoen 3 2
73 Lenci Mbau 1879 2001-12-10 17 Gerson Mbau DUPEMOK OEBELA 3 5
74 Lia Makdalena Sanda 1898 2002-01-14 17 Karel Yulius Sanda della-baa 0 0
75 Lian Yuliana Mesah 1745 2000-10-02 18 Jonas Mesah Loedik 2 2
76 Lili Rosiana Viktoria Nalle 1926 2002-03-22 17 Paulus Nalle RINALOLON 15 7
77 Lisda Feoh 1764 1999-05-16 19 Gotlif Feoh MBUEAIN 1 1
78 Lisna Fiktoria Heu 1543 2001-01-13 18 Hermaks Markus Heu NEMBERALA 6 3
79 Loisa Febrianti Killi 1586 2002-02-12 17 Meliaki Killi NEMBERALA 3 2
80 Mami Fiktoria Lifu 1788 2002-02-17 17 Mertinus Lifu OEINE 15 7
81 Mami Yuberta Killi 1847 2003-06-17 15 Meleaki Killi della-baa 0 0
82 Margarita Nalle 1511 2001-03-27 18 Nikson Nalle OELOLOT 10 4
83 Maria Iriyani Fando 1944 2001-06-16 17 Dominggus Fando Oebela 2 4
84 Maris Marlini Benggu 1820 2001-10-12 17 Melkianus Benggu Oenggaut 7 4
85 Marisa Hadana Ballu 1753 2002-09-09 16 Thomas Ballu Nemberala 7 4
86 Marithna Dethnu Sanbrig Kay 1810 2002-03-23 17 Soleman Kay Oelasin 1 1
87 Marleni Indra Mbatu 1887 2003-03-17 16 Meriana Nunuhitu Nemberala-Bo'a 1 1
88 Marlinda Yunita Mbaen 1805 2000-07-21 18 Abednego Mesak Mbaen Loedik 5 10
89 Marni Agnes Ndun 1851 2003-08-06 15 Marthinus Ndun Manuoen 3 2
90 Marni Farida Opo 1868 2002-03-05 17 Yohanis Opo FEDOK OELOLOT 8 4
91 Martin Wehelmince Bullu 1725 2003-03-02 16 Ayub Bullu Oenggaut 3 5
92 Melda Olfitriyanti Mbate 1579 1999-10-31 19 Nikolaus Mbate SEDEOEN 1 1
93 Melsi Marischa Kay 1718 2001-05-04 17 Apeles Kay sedeoen 1 1
94 Mepsi Paulina Feoh 1900 2001-11-18 17 Yarto Yakobis Feoh della-baa 0 0
95 Merci Nalle 1927 2002-05-02 16 Bernadus Nalle OELOLOT 1 1
96 Meri Sarlince Nalle 1780 2002-05-01 16 Melki Daniel Nalle SUIMOK 1 1
97 Meriana Elisabeth Hangge 1582 2001-07-18 17 Ibrahim Hangge OENGGAUT 5 3
98 Merlin Haninuna 1501 2001-04-04 17 Markus Haninuna OELOLOT 4 6
99 Mesri Yohana Mbatu 1889 2001-03-16 18 Matheos Mbatu MAAMBOTA MANGGI 9 4
100 Milda Salomi Boru 1794 2002-09-29 16 Yunus Boro OENITAS 5 2
101 Minrayati Adu 1886 2002-01-22 17 Yaret Zakharias Adu della-baa 0 0
102 Mira Lusitry Setty 1893 2003-02-24 16 Peter Oktavianus Setty Huruoe 16 8
103 Mirna Herlofina Dermawati Nalle 1928 2001-12-30 17 Daniel Nalle JLN. BAA NEMBERALA 13 1
104 Misde Lomba 1844 2003-04-13 15 Jibrael Ibrahim Lomba della-baa 0 0
105 Mutiara Erika Luttu 1937 2003-04-04 15 Mesker Luttu della-baa 5 3
106 Nadia Enggelita Nggadas 1911 2002-03-07 17 Mikael Nggadas NEMBERALA OENITAS 2 1
107 Nande Adrianti Bunda 1913 2002-04-25 16 Wehelmus Bunda NEMBERALA 3 2
108 Naomi Heu 1845 2003-05-26 15 Enos Heu della-baa 0 0
109 Nelci Regina Rondo 1755 1999-11-09 19 Yesua Mbura OENITAS 4 2
110 Nelci Welmince Lay 1772 2002-05-12 16 Ferdinan Lay OEBELA 8 4
111 Nenti Yuningsi Silvia Nggadas 1527 2001-10-05 17 Orias Nggadas BO'A 8 4
112 Neny Istiany Lifu 1931 2001-10-17 17 Ferdynan Lifu OENITAS MANGGIS 10 5
113 Ninarti Rohalia Ndun 1560 2000-11-29 18 Ayub Ndun SEDEOEN 3 3
114 Ningsi Fransiska Molle 1871 2003-09-24 15 Mes Dominggus Molle OEINE LIDOR 32 16
115 Nofita Herlodia Hangge 1726 1999-11-09 19 Ipson Hangge Oenggaut 5 3
116 Nova Elita Ndun 1906 2002-11-12 16 Yandrat L. Ndun Oeseli 20 10
117 Olivia Rosiyanti Saetban 1798 2002-10-20 16 Agustinus Saetban JLN. BAA NEMBERALA 2 2
118 Oma Agustini Halena Adu 1746 2000-08-17 18 Natanael Adu Sedeoen 5 5
119 Orinta Hacer Mesah 1934 2001-03-17 18 Alfred Frans Mesah della-baa 0 0
120 Oshintya Ardhia Dethan 1768 2002-03-20 17 Hanokh Dethan OELOLOT 5 2
121 Putri Berlian Sine 1866 2003-02-17 16 Marthinus Sine JLN BAA NEMBERALA 1 1
122 Putri Carla Anggreani Ndoko 1743 2002-01-05 17 Mihel A. Ndoko Nemberala 2 1
123 Putri Diesti Rosdiana Lenggu 1819 2003-10-23 15 Adrianus Lenggu Oenggaut 2 3
124 Putri Sania Ndun 1853 2003-02-12 16 Simon Hermanus Ndun della-baa 0 0
125 Raningsi Triksia B. Mesah 1781 2001-08-11 17 Bernadus Mesah OENITAS 12 6
126 Reina Ana Maria Tnunay 1583 2001-01-16 18 Israel Tnunay SEDEOEN 7 4
127 Rinal Marlinda Dakabessy 1572 2001-01-28 18 Joksan Daud Dakabessy OENITAS 15 7
128 Rinli Mboro 1544 2001-04-23 17 Abia Mboro MAAMBOTA 8 4
129 Rita Vivi Manu 1956 2003-05-25 15 Cornelis Manu Nggaelai 9 5
130 Rosa Emilia Pasi 1808 2001-08-17 17 Fransiskus Pasi Nemberala 4 2
131 Rosalia Ballu 1918 2002-02-18 17 Adrianus Ballu Nemberala-Bo'a 1 1
132 Rosdiana Mesah 1738 2001-05-17 17 Yakob Daniel Mesah Sedeoen 2 2
133 Rosiana Klaudia Mengge 1710 2001-01-18 18 Jublina Damaris Mengge Nemberala 2 1
134 Sandra Aprila Sanda 1728 2001-04-15 17 Ibrahim Sanda Sedeoen 1 1
135 Sarita Mbate 1840 2003-05-21 15 Yusak Frans Mbate della-baa 0 0
136 Sarmi Ayu Tatibun 1592 2000-09-30 18 Maksi Tatibun OENGGAUT 3 2
137 Sarmila Miranti Ndun 1854 2003-01-27 16 Yunias Ndun della-baa 0 0
138 Selvi Selvia Angelina Mbate 1842 2002-06-30 16 Habel Mbate della-baa 0 0
139 Semua Anugerah Hansela Neolaka 1717 2002-11-02 16 Donny Kisnor Neolaka Sedeoen 1 1
140 Seni Nofita Tasekeb 1802 1999-09-24 19 Mesakh Tasekeb Nemberala -Bo'a 1 1
141 Sepriana Boboy 1775 2002-09-05 16 Abner Boboy Ii OENITAS 4 2
142 Serlin Flistiyanti Bullu 1539 2001-05-10 17 Ayub Bullu OENGGAUT 5 3
143 Serni Rondo 1878 2000-09-27 18 Zem Z. Rondo della-baa 0 0
144 Sherfulita Julensy Ballu 1744 2002-06-22 16 Godlief Ballu Nemberala 2 1
145 Shinta Aplonia Haioe 1571 2000-11-10 18 Aprilus M. H. Haioe OEFOE 1 1
146 Since Welkis Sumba 1479 2001-03-08 18 Habel Yohanis Sumba Oenggaut 9 5
147 Sofia Ardawangsa Bahtera Menno 1952 2004-04-09 14 Untung Pria Setiawan OEBELA 7 4
148 Sofia Selly 1732 2002-09-16 16 Yeskiel Selly Sedeoen 1 1
149 Sonia Eunike Lodo 1481 2001-09-20 17 Gerson Lodo Oenitas 1 1
150 Sory Lenggu 1817 2001-02-03 18 Adrianus Lenggu Lenaoen 12 5
151 Sriyanti Nalle 1585 2000-01-23 19 Kristian Nalle SEDEOEN 1 1
152 Susan Boboy 1939 2003-02-19 16 Nikodemus Boboy FEDOK OELOLOT 8 4
153 Susi Marlini Martini Mabilaka 1517 2002-04-14 16 Hermanus Mabilaka BO'A 1 1
154 Tabita Sine 1506 2000-10-02 18 Metusalak Sine OELOLOT 9 4
155 Tesa Rosita Rondo 1766 2002-01-07 17 Junus Rondo OENITAS 7 3
156 Trivena Quentin Ballu 1919 2003-02-13 16 Gerson Arifin Ballu della-baa 0 0
157 Venti Orlita Laulela 1957 2002-10-10 16 Petrus Laulela Mbali 8 4
158 Viktoria Marsalina Feoh 1901 2001-11-23 17 Yakobis Feoh della-baa 4 2
159 Vivi Antoneta Pasole 1774 2002-02-09 17 Paulus Pasole OENITAS 2 1
160 Voni Maria Rondo 1536 2001-12-18 17 Anderias Rondo OENITAS 9 4
161 Wasti Yuldiana Mboro 1910 2003-02-14 16 Isak Mboro OENITAS MAAMBOTA 8 4
162 Welmince Mbura 1497 2000-11-03 18 Abed Mbura OENITAS 15 7
163 Welminda Susanti Mbatu 1892 2003-04-05 15 Dominggus Mbatu della-baa 0 0
164 Widi Astuti Lusi 1896 2001-08-29 17 Yusuf Lusi OEBATU 6 3
165 Winda Yulita Mooy 1482 2001-07-03 17 Salmun Risat Mooy Nemberala 7 4
166 Windi Welminda Fanggi 1504 2001-01-14 18 Agustinus Fanggi OEBELA 7 4
167 Yano Mariana Foeh 1509 2000-01-07 18 Gerson Feoh JL BA'A - NEMBERALA 5 3
168 Yanse Diana Lane 1872 2002-01-09 17 Marten Lane OEBELA 1 1
169 Yanse Feoh 1960 2000-04-11 18 Adam Feoh OELOLOT 3 2
170 Yanti Naomi Kotta 1930 2000-07-28 18 David Israel Kotta Oeseli 18 9
171 Yasri Putri Pricilia Ndun 1857 2003-07-17 15 Salmun Ndun Nemberala-Bo'a 4 2
172 Yensi Apriyani Laning 1869 2003-04-09 15 Benyamin Laning LIDOR 4 2
173 Yety Nourma Feoh 1902 2001-06-09 17 Otniel Feoh OENITAS MANGGIS 13 6
174 Yoli Enjelita Dethan 1863 2002-01-20 17 Anderias Dethan FEDOK OELOLOT 10 4
175 Yortan Sania Kay 1546 2001-08-11 17 Selfius Kay TUANEO 10 5
176 Yortin Elsa Nosa Ndoi 1751 2003-03-14 16 Paulus Ndoi Oenggaut 9 5
177 Yowanda Rosaly Ndun 1858 2003-03-10 16 Nikodemus Ndun della-baa 3 2
178 Yuflin Magdalena Seru 1590 2001-08-27 17 Yeskiel Nikodemus Seru OENGGAUT 9 5
179 Yul Meliana Lenggu 1547 2000-07-04 18 Semuel Lenggu OENGGAUT 5 3
180 Yultan Pah 1803 2001-07-17 17 Piter Pah Noisek 12 6
181 Yunita Dorfena Nani 1899 2002-06-25 16 Yohanis Nani Della-baa 3 2
182 Yunita Feoh 1709 2001-06-22 17 Yeheskiel Feoh OENITAS 10 5
183 Yunita Herfiana Feoh 1508 1998-01-14 21 Osias Feoh OELOLOT 7 3
184 Yunita Juliance Pandie 1787 2002-06-19 16 Fredik Pandie OELOLOT 10 4
185 Yunita Yanti Amelia Lenggu 1905 2002-01-05 17 Yohanis Lenggu OENITAS 4 2
Tanda Tangan