NO REG.

KOHORT TGL NO KK NIK IBU/ SUAMI

001/RT/VIII/20 09/01/2000 7411010604150005 7401024901000001

001/RT/IX/20 16/01/2000 7411011808200001 7504015631003001

7401025033010001
002/RT/IX/20 14/05/1990 7411012302190003 3526165405900008
3526161912840002
001/RT/X/20 02/08/2000 7411011104190001 7308194208800001
7401020801930001
002/RT/X/20 26/01/1990 7401020104080039 7401024511790001

003/RT/X/20

001/RT/XI/20 24/04/1995 7411012107170001 7401026404950001

7401021603850002
001/RT/I/21 15/06/1997 7411011711200003 7401025506970002
7401092212920002
002/RT/I/21 17/02/1996 7472080211180003 8109045701980002
3525163101960001
 NAMA IBU/SUAMI BB Awal TB Awal HPHT HB GOLDA Riwayat KB
NY. OZA NURHALIZA 45 155 27/04/2020 -
TN. HAMDARIS
NY. YUYUN 52 152 13/07/2020 A -
TN. KUSTOMO
NY. ST. ZAENAB 55 150 07/06/2020 B SUNTIK
TN. SAMSUDDIN B
NY. RASMA 51 150 24/07/2020 B SUNTIK
TN. HENDRA
NY. FITRIA 57 150 05/07/2020 PIL
TN. ASRI
NY. TIKA DIAN P. 62 157 06/08/2020 -
TN. SAIFUL UMAR
NY. FERDAYANTI 57 152 04/08/2020 A SUNTIK
TN. SYAMJURI ALAM
NY. ST. NURHALIZA 45 158 10/08/2020 -
TN. SUNARDI AB
NY. YENI SRIWATI 70 156 21/11/2020 10,1 -
TN. ABD. SALAM
Riwayat Penyakit Riwayat Alergi BUKU KIA NO HP NO JKN
MAAG - √ 082335099233 0001941072311

- - √ 085314997604 0002828717954

HIPERTENSI - √ 082219209422 0002055908125

- - √ 082132743735 0000935399182

- - √

- - √ 081230591371

- - √ 081342132202 0002271300221

- - √ 082345652341 -

- - √ 085213709498 -
PENDIDIKAN PEKERJAAN G P A ALAMAT TGL UKUR BB TB LILA
SMA IRT G I P0 A0 18/01/2021 155
SMA WIRASWASTA
SMA IRT GI P0 A0 I 18/01/2021 60 152 24.3
SMK WIRASWASTA
SMA IRT GIII P11 A0 IV 18/01/2021 65 150 28
SMA WIRASWASTA
SMP IRT GIII P11 A0 18/01/2021 59 150 22
SMP WIRASWASTA
SMA IRT GII P0 AI 18/01/2021 66 150 26.5
SMA WIRASWASTA
IRT GI P0 A0 18/01/2021 70 157 26.6
WIRASWASTA
SMA IRT GII PI A0 18/01/2021 63 152 26
SI HONORER
SMA IRT GI P0 A0 18/01/2021 50 158 23
SMA WIRASWASTA
SMA IRT GII PI A0 18/01/2021 73 156 25
SD WIRASWASTA
TTD
Y