Hasil Kegiatan Skrining Dan Imunisasi TT Wus Di Posyandu: Format 1

Format 1
HASIL KEGIATAN SKRINING DAN IMUNISASI TT WUS DI POSYANDU

POSYANDU : APEL 1 PUSKESMAS : JENGGAWAH
DESA / KELURAHAN : JENGGAWAH TAHUN : 2010
STATUS T AWAL (SAAT HASIL VAKSINASI TT
TGL TGL KUNJ PENDATAAN / DATANG
NO NAMA WUS NAMA ORTU / SUAMI PERTAMA KALI) WUS NON HAMIL WUS HAMIL
LAHIR WUS
NON HAMIL HAMIL T-1 T-2 T-3 T-4 T5 T-1 T-2 T-3 T-4 T5
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Toya Imam Syafi'i 1970 08/11/09 T5
2 Aretatik Abd Jalal 1963 08/03/10 T4 08/03/10
3 Manisa Busia 1978 08/11/09 T4 06/06/11
4 Wagia Busia 1981 08/11/09 T4 06/06/11
5 Sana Sahrawi 1973 08/11/09 T5
6 Lilis Budiman 1966 08/03/10 T4 08/03/10
7 Indri Prastica Hafid 1989 08/03/10 T4 08/03/10
8 Hamima 1985 08/11/09 T3 06/06/11
9 Santi Slamet 1970 08/03/10 T4 08/03/10
10 Mailia Firda Slamet / Sani 1995 08/11/09 T2
11 Suwarni Basri 1979 08/03/10 T4 08/03/10
12 Nurhasani Misra / P Agus 1967 08/03/10 T4 08/03/10
13 Sofia Amin 1983 08/11/09 T4 06/06/11
14 Upa / B Sum Asmadi 1960 08/11/09 T5
15 Miswati Hasim 1985 08/03/10 T4 08/03/10
16 Nasiha Seniwi 1966 08/11/09 T5
17 Musdalifah Muktasam 1974 08/03/10 T4 08/03/10
18 Nurida Kosim 1982 08/03/10 T4 08/03/10
19 St Zaenab Edi Sugianto 1988 08/03/10 T3 08/03/10 06/06/11
20 Lutfiyah M.Fadli 1981 08/11/09 T5
21 Saadah Mursid 1984 08/03/10 T4 08/03/10
22 Juriya Abdul Amin 1960 08/11/09 T5
23 Analia Abdul Amin / Juriya 1992 08/11/09 T2 06/06/11
24 Suharti Kusno 1968 08/11/09 T4
25 Haziratul Fh Hartono / Iin 1996 08/11/09 T2
26 Iin Haryati Hartono 1978 08/11/09 T5
27 Asroriyah Samhaji 1967 08/03/10 T4 08/03/10
28 Nasia M.Zainullah 1971 08/03/10 T4 08/03/10
29 Qurrotul A'yun M.Zainullah 1992 08/11/09 T2
30 Bawon Sugiarti Misli Haryanto 1969 08/03/10 T4 08/03/10
31 Khoirul Ummah Abd Wahed 1982 08/03/10 T4 08/03/10
32 Farida Busari 1989 08/03/10 T2 08/03/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 Solehati Busari 1992 08/11/09 T2
34 Sarofa Mulyadi 1983 08/03/10 T4 08/03/10
35 Eva Holili 1987 08/03/10 T4 08/03/10
36 Roidatul Jannah M Tosan 1970 08/11/09 T5
37 Umi Yulia Rahmat Nurhatem 1973 08/03/10 T4 08/03/10
38 Amina Ismail 1962 08/03/10 T4 08/03/10
39 Mulyasin Wahed 1961 08/11/09 T5
40 Khotija Wahed / Mulyasin 1992 08/11/09 T2
41 Juhairia 1977 08/11/09 T4 06/06/11
42 Eni Muzammil H 1979 08/03/10 T4 08/03/10
43 Suriya Saejah 1965 08/11/09 T5
44 Tutik Sakjan / Suriya 1982 08/11/09 T2 06/06/11
45 St Munawaroh Hudori 1977 08/11/09 T4 06/06/11 06/06/11
46 Khusnul H Nuril 1989 08/03/10 T4 08/03/10
47 Rahmawati Muina 1981 08/11/09 T5
48 Junaida Bukhori 1967 08/03/10 T4 08/03/10
49 Rifatus Soleha Zainal 1984 08/03/10 T4 08/03/10
50 Fitria Faroid 1986 08/11/09 T4 06/06/11
51 Sumiyati Samsudin / Sari'a 1976 08/11/09 T3
52 Khotija Samsudin / Sari'a 1995 08/11/09 T2
53 Sumina Sulhan 1966 08/03/10 T4 08/03/10
54 Hanifah Sulhan / Sumini 1992 08/11/09 T2
55 Roheni Dulgeni 1968 08/11/09 T5
56 Fitriatul Laili Dulgeni / Roheni 1989 08/11/09 T2
57 Suila Hondriyanto 1974 08/03/10 T4 08/03/10
58 Suryati Jatem 1965 08/03/10 T4 08/03/10
59 Anisah Jatem / Suryati 1992 08/11/09 T3 06/06/11
60 Kusmalia sumarwiyono 1955 08/11/09 T5
61 Yuning Sumarwiyono / Kusmalia 1987 08/11/09 T2
62 Khotija Sawal 1964 08/11/09 T5
63 Fita Sawal / Khotija 1997 08/11/09 T2
64 Lutfiyah Zaini 1973 08/11/09 T5
65 Wulidah Zaini / Lutfiyah 1995 08/11/09 T2
66 Dian Ika W Hari 1989 08/03/10 T4 08/03/10
67 Halima Dulal 1965 08/11/09 T5
68 Cipnorani Slamet Riadi 1967 08/11/09 T5
69 Lutfiyah Slamet Riadi / Cip 1990 08/11/09 T2
70 Julailiya Abd Muchid 1978 08/03/10 T4 08/03/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 Sa'adah Ridwan 1975 08/11/09 T5
72 Isrifatul F Bambang H 1975 08/03/10 T4 08/03/10
73 Fadilah Bambang / Fadilah 1990 08/11/09 T2 06/06/11 08/03/10
74 Holipa Musa 1964 08/03/10 T4 08/03/10
75 Hamidah Ruba'i 1980 08/11/09 T5
76 Cholifatur R Icsan 1970 08/11/09 T5
77 Riskiah Icsan / Cholifatur 1994 08/11/09 T2
78 Nurmala 1997 08/11/09 T2
79 Holifatin Nurholis 1963 08/11/09 T5
80 Mutmaina Mahfud 1982 08/03/10 T4 08/03/10
81 Titin Agus 1975 08/11/09 T5
82 Nita Nuryadi / Hayati 1988 08/11/09 T2
83 Hayati Nuryadi 1962 08/11/09 T5
84 Elok Nurhasanah 1997 08/11/09 T2
85 Ayu Ahyak / Susyati 1989 08/11/09 T2 06/06/11
86 Susyati Ahyak 1960 08/11/09 T5
87 Muzayyadah 1990 08/11/09 T2
88 Ika 1990 08/03/10 T2 08/03/10
89 Jaelani 1985 08/11/09 T4 06/06/11
90 Tumina 1965 08/11/09 T5
91 Mila Heru 1985 08/03/10 T4 08/03/10
92 Yuliati 1976 08/11/09 T5
93 Nurhayati Arif 1989 08/11/09 T5
94 Suciati 1996 08/11/09 T2
95 Sunanik Ishak 1975 08/11/09 T5
96 1972 08/11/09 T5
97 Umi Kulsum 1979 08/11/09 T2
98 Titin Fuad 1988 08/03/10 T4 08/03/10
99 Alfia Bukadi 1972 08/11/09 T5
100 Kusnia Abd Rohim / Sri 1990 08/11/09 T2
101 Sri Wahyuni Abd Rohim / Sri 1967 08/11/09 T5
102 Solehati Abd / Sri 1984 08/11/09 T4
103 Tania 1991 08/11/09 T2
104 Fitria Fauzi 1982 08/11/09 T5
105 Kiptiyah Junaidi 1981 08/11/09 T4
106 Supyani Holili 1973 08/11/09 T5
107 Lilik FAuzi 1980 08/03/10 T4 05/05/10
108 Suryati Hafud 1972 08/11/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 Marhom Tuki 1973 08/11/09 T5
110 Misna Mutadi 1967 08/11/09 T5
111 Fatima Buhori 1967 08/03/10 T4 08/03/10
112 Nanik Jono 1963 08/11/09 T5
113 Nisa 1973 08/11/09 T2 06/06/11
114 Halima Haermanto 1974 08/03/10 T4 08/03/10
115 Satin Fathur R 1983 08/11/09 T4 06/06/11
116 Sofiatur R Farid 1981 08/03/10 T4 08/03/10
117 Fida Rusdi 1978 08/11/09 T4 06/06/11
118 Munipa Tuki 1964 08/11/09 T5
119 Suma Suhudi 1972 08/11/09 T5
120 Fatmawati Mustofa 1986 08/03/10 T4 08/03/10
121 Hotija Ali 1963 08/03/10 T4 08/03/10
122 suhartini Kusno 1964 08/11/09 T4
123 faik darmaji 1963 08/11/09 T5
124 Ida Fajar 1963 08/11/09 T5
125 yuni Supyadi 1987 08/11/09 T3 06/06/11
126 farida Sirat 1966 08/03/10 T4 08/03/10
127 Sahami 1975 08/11/09 T4 06/06/11
128 Sumiati Muhari 1964 08/11/09 T4 06/06/11
129 Habibah Fendi 1987 08/11/09 T4 06/06/11
130 Istianah 1983 08/11/09 T4 06/06/11
131 Iin Hartono 1979 08/11/09 T5
132 Iya Misran 1969 08/11/09 T5
133 Juriya Dulamn 1966 08/11/09 T5
134 eni Sugik 1982 08/03/10 T4 08/03/10
135 Tatik Sijab 1970 08/11/09 T5
136 Toya Eko 1970 08/03/10 T4 08/03/10
137 Dewi Jefri 1987 08/11/09 T4 06/06/11
138 Azizah Lip 1976 08/11/09 T5
139 Marwati Nurhasanah 1983 08/11/09 T4 08/03/10
140 Masriah Buyamin 1971 08/11/09 T5
141 Maryani satori 1976 08/11/09 T5
142 Yuni Misbah 1983 08/11/09 T3 06/06/11
143 Isnaini jaelani 1980 08/11/09 T4 08/03/10
144 Solehati Hasyim 1983 08/11/09 T4 08/03/10
145 setyowati Mahmud 1980 08/11/09 T4 08/03/10
146 Husnul Hotimah Muklis 1982 08/11/09 T4 08/03/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
147 Halimatus Sa'diyah Suyit 1988 05/05/11 T2 06/06/11
148 Halimah
149 Siti Komaria Buhari 18/06/05 05/01/15 T3 05/01/15 05/01/15
149 JUMLAH T0 0 0 0 0 5 5 15 0 0 0 0 0
T1 0 0
T2 28 1 PEMAKAIAN LOGISTIK ……………., ………………….20….
T3 6 1 VAKSIN Pelaksana Imunisasi/bidan,
T4 63 1 ADS 0,5 ML 25
Penjelasan : T5 47 1 SAFETY BOX
Kolom 5 : isilah tgl, bulan dan tahun saat kedatangan atau kunjungan WUS ke petugas kesehatan / sarana kesehatan
Kolom 6-7 : Isilah status TT WUS sesuai hasil pendataan (wawancara), misalnya : T0, T1, T2, T3, T4, T5 (………………………………….. )
Kolom 8-12 : isilah tgl, bulan dan tahun vaksinasi TT saat ini, khusus untuk WUS yang sedang tidak
NIP :
hamil
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Rofikah Supriyadi 1987 06/04/10 T4 06/04/10
2 Uun Arif 1981 06/04/10 T4 06/04/10
3 Hotijah Nuril 1989 06/04/10 T4 06/04/10
4 Sahami Muhtar 1980 06/04/10 T4 06/04/10
5 Nasifah Budianto 1983 06/04/10 T4 06/04/10
6 Aryati Hasan 1970 06/04/10 T4 06/04/10
7 Dewi Haryanto 1969 06/04/10 T4 06/04/10
8 Sumiati Sa'id 1971 06/04/10 T4 06/04/10
9 Irnawati Razek 1972 06/04/10 T4 06/04/10
10 Mentik Nitro 1972 06/04/10 T4 06/04/10
11 Hosiyah Anton 1972 06/04/10 T4 06/04/10
12 Fadilah Asis 1978 06/04/10 T4 06/04/10
13 Neni Junaidi 1989 06/04/10 T4 06/04/10
14 Maimunah Durahman 1971 06/04/10 T4 06/04/10
15 Mujiati Eko 1990 06/04/10 T4 06/04/10
16 Sofia Puryadi 1990 06/04/10 T4 06/04/10
17 Holifah Mukus 1989 06/04/10 T4 06/04/10
18 Laili Wahed 1989 09/11/09 T5
19 Kusni Narto 1970 06/04/10 T4 06/04/10
20 Aris Senot 1989 06/04/10 T4 06/04/10
21 Dewi Budi 1991 06/04/10 T4 06/04/10
22 Hatimun Sukur 1983 06/04/10 T4 06/04/10
23 Juhariyah Sayyidi 1990 06/04/10 T4 06/04/10
24 Fara Amsori 1982 06/04/10 T4 06/04/10
25 Kiptiyah Satun 1980 06/04/10 T4 06/04/10
26 Yuliatun Saeri 1982 09/11/09 T5
27 Islahur Hanifi 1990 06/04/10 T4 06/04/10
28 Mariya Ahmad 1969 06/04/10 T4 06/04/10
29 Murtiani Bungkus 1979 09/11/09 T5
30 Uswatun hasan Ali Asan 1969 09/11/09 T5
31 Alfia Sulhan 1973 06/04/10 T4 06/04/10
32 Imroati Uston 1979 09/11/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 Suryati Sugihartono 1969 09/11/09 T5
34 Yunita Tofik 1985 06/04/10 T4 06/04/10
35 Nurazizah Senal 1990 06/04/10 T4 06/04/10
36 Tumyati Juriyanto 1971 06/04/10 T4 06/04/10
37 Hamida Robe'i 1981 06/04/10 T4 06/04/10
38 Aisah Sutrisno 1970 06/04/10 T4 06/04/10
39 Nur Imama Muhtar 1970 06/04/10 T4 06/04/10
40 Musuhatin Saefol 1971 06/04/10 T4 06/04/10
41 Eka kurnia Agus Heridiyanto 1975 09/11/09 T5
42 Ally Suthaidi 1981 06/04/10 T4 06/04/10
43 Wiwik Roro Molyono 1975 06/04/10 T4 06/04/10
44 Eni Wulandari Molyono 1995 09/11/09 T5
45 Irsiyah Basori 1975 06/04/10 T4 06/04/10
46 Senab Ainur 1977 06/04/10 T4 06/04/10
47 Rofiah Safari 1972 09/11/09 T5
48 Atim Safari 1993 09/11/09 T2
49 Supiatiningsih Salam 1988 06/04/10 T4 06/04/10
50 Busia Sundari 1975 06/04/10 T4 06/04/10
51 Yuliatin Sundari 1992 09/11/09 T2
52 Tumiati Supriadi 1982 06/04/10 T4 06/04/10
53 Ellyatun Yusuf 1989 06/04/10 T4 06/04/10
54 sulika Jonaidi 1990 06/04/10 T4 06/04/10
55 Sulastri Senol 1978 09/11/09 T4 07/06/11
56 jumaiya Latif 1969 09/11/09 T5
57 Wakik Arifin 1982 09/11/09 T4 07/06/11
58 Juleha Musleh 1969 06/04/10 T4 06/04/10
59 Vella Joko 1985 09/11/09 T2 07/06/11
60 Wiwin Joko 1982 09/11/09 T5
61 Kustia Jumat 1979 06/04/10 T4 06/04/10
62 Marwah Jesuli 1969 11/11/09 T5
63 Marwati Asmuni 1983 11/11/09 T4 07/06/11
64 Junaida Tohet 1971 06/04/10 T4 06/04/10
65 Komariah Aput 1967 06/04/10 T4 06/04/10
66 Wida Rudi 1987 11/11/09 T3 07/06/11
67 Amiatul Habibi 1985 11/11/09 T4 07/06/11
68 Asri Samhaji 1961 11/11/09 T5
69 Siti Ainur Ansori 1978 06/04/10 T4 06/04/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
70 Jannah Imam 1981 11/11/09 T4 07/06/11
71 Riski Ansori 1993 11/11/09 T2
72 Sahma Sukarman 1966 11/11/09 T5
73 Winarti Agus 1986 06/04/10 T4 06/04/10
74 Rika Romli 1992 06/04/10 T3 06/04/10 07/06/11
75 Romla Sabar 1964 11/11/09 T5
76 Solehati Aman 1983 06/04/10 T4 06/04/10
77 Sadi Dulhafi 1961 06/04/10 T4 06/04/10
78 Siti Ainur Dulhafi 1986 11/11/09 T2
79 Honiati Dulhafi 1988 11/11/09 T2
80 Solehati Putro 1968 06/04/10 T4 06/04/10
81 Hotijah Suhermanto 1983 11/11/09 T4 07/06/11
82 Mahmuda Poniman 1976 11/11/09 T5
83 Susyati Munib 1969 06/04/10 T4 06/04/10
84 Marbiya Mulyono 1973 06/04/10 T4 06/04/10
85 Indah Agus 1973 06/04/10 T4 06/04/10
86 Juli Puguh 1989 11/11/09 T2 07/06/11
87 Atik Putro 1993 11/11/09 T2
88 Amalia munib 1984 11/11/09 T2
89 Siti Nur Holifa Molyono 1995 11/11/09 T2
90 Misni Heri 1973 06/04/10 T4 06/04/10
91 Ika Nuraini Heri 1989 11/11/09 T2 07/06/11
92 eka Dm Heri 1994 11/11/09 T2 07/06/11
93 supiati saidullah 1963 06/04/10 T4 06/04/10
94 watini Mustain 1979 06/04/10 T4 06/04/10
95 Sadjarotul ana T sutrisno 1993 11/11/09 T2 07/06/11
96 St. zaenab Hoirul 1988 06/04/10 T4 06/04/10
97 Sumiati Kusnadi 1970 06/04/10 T4 06/04/10
98 Suswati senidin 1969 11/11/09 T5
99 Ourwati senidin 1973 11/11/09 T4 07/06/11
100 Nurhasanah Poniman 1983 06/04/10 T4 06/04/10
101 Masanah Bonaji 1961 11/11/09 T5
102 firia Bonaji 1984 06/04/10 T4 06/04/10
103 Vivin Bonaji 1984 06/04/10 T4 06/04/10
104 Kusida Juwardi 1979 06/04/10 T4 06/04/10
105 Lutfiah Ahc. Suryadi 1985 06/04/10 T4 06/04/10
106 tumiati Jurianto 1967 06/04/10 T4 06/04/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
107 Yuni wulandari Jurianto 1993 11/11/09 T2
108 sulistyani Kardi 1974 06/04/10 T4 06/04/10
109 Ervin Lindiyati hol 1992 11/11/09 T2
110 Indah Alim Heri 1971 06/04/10 T4 06/04/10
111 ayu Alim Heri 1993 11/11/09 T2 07/06/11
112 Hasunah sukardi 1965 06/04/10 T4 06/04/10
113 Musrifah Ningrat 1974 06/04/10 T4 06/04/10
114 Dahriya dulgeni 1970 11/11/09 T4 07/06/11
115 Ririn Nurahmad 1979 11/11/09 T5
116 Nnuk slamet 1979 11/11/09 T4 07/06/11
117 Jamila sudarman 1962 11/11/09 T5
118 Rupiati salim 1977 06/04/10 T4 06/04/10
119 st. Nurjannah salim 1994 06/04/10 T2 06/04/10 07/06/11
120 Napsiatun sugiono 1982 06/04/10 T4 06/04/10
121 Sri Puji L saiful Islam 1972 06/04/10 T4 06/04/10
122 Puri ayu L saiful Islam 1973 11/11/09 T2
123 Zali Yatul M sugianto 1993 11/11/09 T2
124 sutik mahfud 1983 11/11/09 T4
125 harabia sundari 1967 11/11/09 T5
126 yanti toyan 1976 06/04/10 T4 06/04/10
127 toyani toko 1969 06/04/10 T4 06/04/10
128 Nining saiful Rizal 1987 11/11/09 07/06/11
129 Fafifah tohaman 1984 11/11/09 T3 07/06/11
130 Hamidah tohaman 1996 06/04/10 T4 06/04/10
131 tika sutrisno 1971 06/04/10 T4 06/04/10
132 tika sutrisno 1990 11/11/09 T2
133 Maizina sutrisno 1977 06/04/10 T4 06/04/10
134 mardiya Hafid 1960 06/04/10 T4 06/04/10
135 marsina Atip 1963 06/04/10 T4 06/04/10
136 Sumiati Hafed 1980 06/04/10 T4 06/04/10
137 Novi Hafed 1994 11/11/09 T2 07/06/11
138 Holipa Kusno 1969 06/04/10 T4 06/04/10
139 sholehati ali 1969 06/04/10 T4 06/04/10
140 windi jamal 1983 06/04/10 T4 06/04/10
141 Fitriya suwari 1990 06/04/10 T2 06/04/10 07/06/11
142 1964 06/04/10 T4 06/04/10
143 Amsana sahroni 1984 06/04/10 T4 06/04/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
144 Kusni Marto 1972 06/04/10 T4 06/04/10
145 Amsani takrip 1960 06/04/10 T4 06/04/10
146 1960 11/11/09 T5
147 Halima suraji 1973 06/04/10 T4 06/04/10
148 Widyawati suraji 1990 06/04/10 T2 06/04/10 07/06/11
149 sa*adah Ahmad 1966 06/04/10 T4 06/04/10
150 warda jaelani 1979 06/04/10 T4 06/04/10
151 Eka suraji 1970 06/04/10 T3 06/04/10 07/06/11
152 Matiatus sholehah saidullah 1992 12/11/09 T2 07/06/11
153 Handrik jaelani 1949 12/11/09 T2
154 soleh 1960 06/04/10 T4 06/04/10
155 siti soleh 1993 12/11/09 T2
156 1967 06/04/10 T4 06/04/10
157 Murti Mahod 1962 12/11/09 T5
158 Mutik Musfar 1979 12/11/09 T5
159 Evi marhaban 1983 06/04/10 T4 06/04/10
160 hosniyah Seniman 1965 06/04/10 T4 06/04/10
161 ana Maqfiroh Ahmad 1992 12/11/09 T2 07/06/11
162 Holipa Ahmad 1996 06/04/10 T4 06/04/10
163 Ro*ik 1993 12/11/09 T2
164 hayani Im 1983 06/04/10 T4 06/04/10
165 Fatima 1967 12/11/09 T5
166 sarbiya Mufher 1974 12/11/09 T3 07/06/11
167 hayati penno 1978 06/04/10 T4 06/04/10
168 Novi artika suri penno 1994 12/11/09 T2
169 Masida Muhammad 1977 06/04/10 T4 06/04/10
170 faik Muhammad 1992 12/11/09 T2
171 Fadilah Mu*in 1989 06/04/10 T3 06/04/10 07/06/11
172 Musyyedah Mulyono 1979 06/04/10 T4 06/04/10
173 Hj. Muawanah H. Holek 1973 12/11/09 T5
174 Saliha Mastuki 1962 06/04/10 T4 06/04/10
175 Yayuk Mat tamin 1983 06/04/10 T4 06/04/10
176 Manisa Rahem 1982 06/04/10 T3 06/04/10 07/06/11
177 tumyati saderi 1979 06/04/10 T4 06/04/10
178 Farida andik 1985 06/04/10 T4 06/04/10
179 Hayati Solihin 1970 12/11/09 T5
180 Hasanah Dulhari 1984 12/11/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
181 Suryana Nasir 1966 06/04/10 T4 06/04/10
182 Misna Mukit 1965 12/11/09 T5
183 Tatik Rasid 1973 06/04/10 T4 06/04/10
184 Halima mat Karim 1975 12/11/09 T4 07/06/11
185 Maimunah Nur 1994 12/11/09 T2 07/06/11
186 Wulan Ardins 1981 12/11/09
187 Hj. Rahayu H. Mansyuri 1962 06/04/10 T4 06/04/10
188 suswati P. puput 1971 06/04/10 T4 06/04/10
189 Miswati ri 1971 12/11/09 T5
190 Asmaul Husna saroni 1990 12/11/09 07/06/11
191 erli Mihtar 1984 12/11/09 T3 07/06/11
192 Nurhayati solikin 1971 12/11/09 T5
193 Farida Andik 1985 06/04/10 T3 06/04/10
194 tatik rasid 1974 12/11/09 T4 07/06/11
195 Dasita Muklis 1977 12/11/09
196 Manisa Rahem 1985 06/04/10 T4 06/04/10
197 tumyati sadeli 1978 12/11/09 T5
198 Nurhasanah Dulhari 1983 06/04/10 T4 06/04/10
199 Mu*awanah Holik 1973 12/11/09 T5
200 Fatima P. Im 1963 06/04/10 T4 06/04/10
201 hayati Peno 1977 12/11/09 T5
202 Sarbi*a Muther 1973 06/04/10 T4 06/04/10
203 Musniah Mul 1970 12/11/09
204 Masida Muhamad 1970 12/11/09 07/06/11
205 Nurfadila Mu*im 1991 06/04/10 T3 06/04/10 07/06/11
206 Holifah Ahmad 1969 12/11/09 T5
207 Husnul Hotimah a. Seniman 1959 06/04/10 T4 06/04/10
208 Muntik Musfar 1973 06/04/10 T4 06/04/10
209 Evi Marhaban 1984 12/11/09 T5
210 waeni fadik 1965 12/11/09 T5
211 anita Fadhillah 1990 06/04/10 T3 06/04/10 07/06/11
212 warda jaelani 1981 06/04/10 T4 06/04/10
213 wakik Dulkarim 1968 12/11/09 T5
214 Murti Mohot 1962 06/04/10 T4 06/04/10
215 Halimah Suraji 1976 06/04/10 T4 06/04/10
216 wiwit 1992 06/04/10 T3 06/04/10 07/06/11
217 Solehati ali 1968 06/04/10 T4 06/04/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
218 windi Jamal 1987 06/04/10 T3 06/04/10 07/06/11 07/06/11
219 Fa*ik 1993 06/04/10 T3 06/04/10
220 Misno Mukid 1969 06/04/10 T4 06/04/10
221 Mutik 1994 12/11/09 T2 07/06/11
222 Evi Heri T2 07/06/11
223 Eva Sofiana Wawan Andika 1995 07/01/15 T3 07/01/15 08/04/15
224 Fathul Laili A.Wahid Kusnadi 1985 07/01/15 T3 07/01/15 08/04/15
224 JUMLAH T0 0 0 0 0 10 12 19 0 0 0 0 1
T1 0 0
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
T4 131 0 ADS 0,5 ML 42
NIP :
hamil
Format 1
TGL TGL KUNJ PENDATAAN / DATANG PERTAMA
NO NAMA WUS NAMA ORTU / SUAMI KALI) WUS NON HAMIL WUS HAMIL
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Ngatemi M. arifin 1965 10/03/10 T4 10/03/10
2 Mulyani ahroji 1971 10/03/10 T4 10/03/10
3 astutik Zaenal arifin 1978 10/03/10 T4 10/03/10
4 Halima Kusnadi 1973 10/11/09 T5
5 da Abdurahman 1965 10/03/10 T4 10/03/10
6 Yunika Andriani sarep maulana 1975 10/03/10 T4 10/03/10
7 Miswati ahmad ponimin 1976 10/03/10 T4 10/03/10
8 Bebun saiful Bahri 1965 10/03/10 T4 10/03/10
9 siska wulandari saiful Bahri 1990 10/03/10 T3 10/03/10 08/06/11
10 soni Moch. Zainul 1971 10/03/10 T4 10/03/10
11 Vivin andriani totok Sugianto 1991 10/03/10 T4 10/03/10
12 Misnari abdurahman 1966 10/03/10 T4 10/03/10
13 Rahmawati Imam Hidayat 1979 10/03/10 T4 10/03/10
14 marlik Mursid 1975 10/11/09 T5
15 Titin Ningsih Kholek 1980 10/03/10 T4 10/03/10
16 Sieh samsul 1982 10/03/10 T4 10/03/10
17 susyati Nudin 1971 10/03/10 T4 10/03/10
18 yuliatin Nudin 1990 10/03/10 T3 10/03/10 08/06/11
19 Iya Noto 1979 10/03/10 T4 10/03/10
20 Kusyati 1978 10/03/10 T2 10/03/10 08/06/11
21 Juariyah Rosidi 1980 10/03/10 T4 10/03/10
22 Nur Holipah wiyanto 1978 10/03/10 T4 10/03/10
23 Hasanah sumarwi 1982 10/03/10 T4 10/03/10
24 Ning Faridatul 1983 10/03/10 T2 10/03/10 08/06/11
25 Sundari Basir Efendi 1972 10/03/10 T4 10/03/10
26 Nisa supardi 1969 10/03/10 T4 10/03/10
27 Kusyati Idris 1987 10/03/10 T4 10/03/10
28 sumiati Ersad 1975 10/03/10 T4 10/03/10
29 dewi ratnawati M. Afanul karim 1982 10/03/10 T4 10/03/10
30 Umi laili DRS Asmuri 1969 10/03/10 T3 10/03/10
31 riski Amalia Andre rudianto 1988 10/03/10 T3 08/06/11 10/03/10
32 Laili Maryatul Hadi Purwanto 1990 10/03/10 T3 08/06/11 10/03/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 Samrotin 1973 10/03/10 T4 10/03/10
34 Nur lailatun Samrotin 1992 10/03/10 T3 10/03/10
35 Kusni 1967 10/03/10 T4 10/03/10
36 Hosnia syamsul 1979 10/03/10 T4 10/03/10
37 ana sofiana Rigno wijaya 1989 10/03/10 T4 10/03/10
38 Maimunah hartono 1979 10/03/10 T4 10/03/10
39 Kholizeh abd. Aziz 1979 10/03/10 T4 10/03/10
40 Buna wiwik sofyantoro 1970 10/03/10 T4 10/03/10
41 1976 10/11/09 T5
42 Jamila suja*i 1975 10/03/10 T4 10/03/10
43 sunarti Ach. Ali 1970 10/03/10 T4 10/03/10
44 sita Samin 1968 10/11/09 T4 08/06/11
45 siti Nurhalimah Azes 1987 10/03/10 T4 10/03/10
46 Sumarlin Yanto 1968 10/03/10 T4 10/03/10
47 Dian Indah p Yanto 1985 10/11/09 T4
48 Halima Nurrul 1983 10/03/10 T4 10/03/10
49 Tri Utami H Nur rohim 1985 10/03/10 T4 10/03/10
50 subaidah Supriyono 1972 10/11/09 T5
51 sriwi Hotijah Heri Khusairi 1974 10/03/10 T4 10/03/10
52 Suparapti Wagiyo 1969 10/03/10 T4 10/03/10
53 Misnari Kabul 1970 10/03/10 T4 10/03/10
54 Halima M. Awi 1978 10/11/09 T5
55 Tiani suryono 1983 10/03/10 T4 10/03/10
56 Misyati Agus setiono 1973 10/03/10 T4 10/03/10
57 Yeni Fitriana M. Helmi 1987 10/11/09 T5
58 Islamiah M. Imron 1983 10/11/09 T3 08/06/11
59 windi 1991 10/03/10 T4 10/03/10
60 rokayati Kholik 1983 10/11/09 T4 08/06/11
61 Qurotul aini sukirman 1975 10/03/10 T4 10/03/10
62 rofika rois 1989 10/03/10 T3 10/03/10
63 ririn H Agus Wahudi 1986 10/03/10 T4 10/03/10
64 sumiati Moch. Rokib 1970 10/03/10 T4 10/03/10
65 Rita diana sari hadi S 1968 10/03/10 T4 10/03/10
66 Ani S A. Sungkono 1982 10/03/10 T4 10/03/10
67 Margareta Dandik 1983 10/03/10 T4 10/03/10
68 solfa T sabar efendi 1960 10/11/09 T5
69 Husnul hotimah Moch. Shaleh 1991 10/03/10 T3 10/03/10 08/06/11
70 Farida Eko Puji P 1979 10/03/10 T4 10/03/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 Holipa Hannan 1969 10/11/09 T5
72 Emilda Junaedi 1981 10/03/10 T4 10/03/10
73 Dian agustin Catur 1987 10/11/09 T4
74 Mudawamah Rahmadi 1984 10/11/09 T5
75 Evi Jakub 1985 10/11/09 T4
76 B. sia asmin 1968 10/03/10 T4 10/03/10
77 Siti Asia Abd. Sayek 1968 10/03/10 T4 10/03/10
78 1968 10/11/09 T5
79 Elisa Jumardin 1987 10/03/10 T3 10/03/10
80 hartini Sakri 1975 10/03/10 T4 10/03/10
81 Subiah Yunita rahmad taufik 1985 10/03/10 T3 10/03/10
82 Siti Ana A Mursid 1989 10/03/10 T3 10/03/10
83 alfiana Haderi 1974 10/03/10 T4 10/03/10
84 Sasminingsih Mulyadi 1981 10/03/10 T4 10/03/10
85 Hobratus hasanah Misradi 1977 10/03/10 T4 10/03/10
86 yuliatin Moch. Samhadi 1967 10/03/10 T4 10/03/10
87 st fadiatul. H Yusni Kholili 1985 10/03/10 T4 10/03/10
88 Asmiatun Naumar 1976 10/03/10 T4 10/03/10
89 Umi Vimda Sugiono 1967 10/03/10 T4 10/03/10
90 wulan andadari Sugiono 1987 10/03/10 T3 10/03/10 08/06/11
91 maryana Jatem 1968 10/03/10 T4 10/03/10
92 Novita Nusi 1992 10/11/09 T2 08/06/11
93 rahmawati edi Kusnadi 1981 10/03/10 T4 10/03/10
94 Bunaya Miskawi 1972 10/03/10 T4 10/03/10
95 Mujiati supriyono 1967 10/03/10 T4 10/03/10
96 hlifatul Jannah Kusnadi 1984 10/03/10 T4 10/03/10
97 Iin Mutmainah Moc Yasin 1980 10/03/10 T4 10/03/10
98 Islamiah Yusuf Isrofi 1983 10/03/10 T4 10/03/10
99 suti ernawati Miskawi 1973 10/03/10 T4 10/03/10
100 Yanik M. waston 1968 10/03/10 T4 10/03/10
101 ayuk M. waston 1990 10/11/09 T3 08/06/11
102 Ngatining baidowi 1968 10/03/10 T4 10/03/10
103 jumaiya hermanto 1974 10/03/10 T4 10/03/10
104 Ita andari Imam Santoso 1989 10/03/10 T4 10/03/10
105 Wiji Sri Lestari Hendra Irawan 1990 10/03/10 T4 10/03/10
106 winta Triani Ny. Diran 1975 10/11/09 T4
107 Ratna Kusnadi 1986 10/03/10 T3 10/03/10 08/06/11
108 dwi Mulyani sukarmi 1982 10/11/09 T3
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 Lis setyowati sukarmi 1980 10/11/09 T2 08/06/11
110 Busani Misrum 1977 10/03/10 T4 10/03/10
111 murni winarti Ismail 1977 10/03/10 T4 10/03/10
112 Jumaina Sukandar 1976 10/03/10 T4 10/03/10
113 anisah Bunawi 1987 10/03/10 T4 10/03/10
114 sukaryama budi Hartono 1981 10/03/10 T4 10/03/10
116 ika sri utami holili 1983 10/03/10 T4 10/03/10
117 Hermiyati Kosnadi 1975 10/03/10 T4 10/03/10
118 dwi Astutik abd. Wafi 1982 10/03/10 T4 10/03/10
119 sari suwandi 1967 10/03/10 T4 10/03/10
120 siti Masita abd. Rahman 1967 10/03/10 T4 10/03/10
121 siti muarifa Abd. Halim sidik 1978 10/03/10 T4 10/03/10
122 Hosima Misnadin 1975 10/03/10 T4 10/03/10
123 rusiya Bustanil arifin 1978 10/11/09 T5
124 Rika rubi Aryan M. Ipin Fadilla 1982 10/11/09 T5
125 titik sunarti M. sidiq 1967 10/11/09 T5
126 Maryati Miski 1986 10/03/10 T4 10/03/10
127 sri Hartini M. Permadi 1978 10/03/10 T4 10/03/10
128 Awi Yuliana Andika setiawan 1988 10/03/10 T4 10/03/10
129 Misnati Satrawi 1978 10/11/09 T5
130 busani Mistrom 1976 10/11/09 T5
131 Nafiatul sarifa Adi Boma 1989 10/03/10 T4 10/03/10
132 rina wati agel meifa 1986 10/11/09 T4 08/06/11
133 surya Hosen samita 1969 10/11/09 T5
134 evi rahayu Tayib 1971 10/03/10 T4 10/03/10
135 Nurdiana Ananda 1980 10/03/10 T4 10/03/10
136 anis Sodiq 1978 10/03/10 T4 10/03/10
137 Romla Buhari 1978 10/03/10 T4 10/03/10
138 hotijah salipan 1975 10/03/10 T4 10/03/10
139 tri Lestari Samsul arifin 1992 10/11/09 T3
140 Lulut Diyah ayu P 1990 10/11/09 T3
141 Resti M. sodiq 1992 10/11/09 T3 08/06/11
142 ria wiwin 1993 10/11/09 T3
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
141 JUMLAH T0 0 0 0 0 2 7 8 0 0 0 0 0
T1 0 0
T4 98 3 ADS 0,5 ML 17
NIP :
hamil
Format 1
LAHIR WUS
NON HAMIL HAMIL T-1 T-2 T-3 T-4 T5 T-1 T-2 T-3 T-4
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Rukiyah dodik s 1956 08/04/10 T3 08/04/10 13/06/11
2 Ervina E dodik s 1984 08/04/10 T3 08/04/10 13/06/11
3 Nursila dodik s 1991 08/11/09 T4 08/04/10
4 nasuk Anang 1982 08/04/10 T4 08/04/10
5 Solehati Muslikin 1977 08/11/09 T5
6 Hidayah Muslikin 1995 08/04/10 T2 08/04/10
7 Buyami abdl aziz 1963 08/04/10 T3 08/04/10
8 manisa Miskawi 1972 08/11/09 T3
9 Siti mariyam M. ah shodikin 1969 08/11/09 T3
10 Fitri ika ayu M. ah shodikin 1984 08/04/10 T2 08/04/10 13/06/11
11 Dwi ayu M. ah shodikin 1989 08/04/10 T2 08/04/10
12 Husnul Hotimah sutomo 1969 08/04/10 T3 08/04/10 13/06/11
13 hariyati sutomo 1993 08/04/10 T4 08/04/10
14 Misnati Hasim 1982 08/04/10 T4 08/04/10
15 entik Setyowati siswo Raharjo 1972 08/04/10 T4 08/04/10
16 Fitria Munasik 1974 12/11/09 T3 13/06/11
17 Dian Novita Muhamad. Antawirya 1983 12/11/09 T3
18 Purwati wawan. 1973 08/04/10 T4 08/04/10
19 Dwi Yuni H wawan.W 1979 12/11/09 T3
20 Kumala R.D Heru sujono 1983 08/04/10 T4 08/04/10
21 Rifa ifadah Nur zaeni 1983 08/04/10 T4 08/04/10
22 winartin Syafiudin 1972 12/11/09 T2
23 Holifatul M. Sukin 1976 08/04/10 T4 08/04/10
24 Husnul Hotimah sukardi 1960 08/04/10 T4 08/04/10
25 solehati Muhtar 1968 12/11/09 T5
26 Nurlaila Muhtar 1973 08/04/10 T4 08/04/10
27 suparmi 1967 08/04/10 T4 08/04/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
28 Kustianingsih solihin 1983 12/11/09 T5
29 umi Kulsum Gumer 1967 08/04/10 T4 08/04/10
30 umi Kulsum Hosen 1967 10/11/09 T5
31 dina anelayani Hikmatullah 1981 08/04/10 T4 08/04/10
32 Siti Rohani R. arofa 1961 08/04/10 T4 08/04/10
33 Siti Arofa R. arofa 1982 08/04/10 T4 08/04/10
34 Surina Bonadin 1965 08/04/10 T4 08/04/10
35 Firia ningsih Bunadin 1986 08/04/10 T3 08/04/10 13/06/11
36 Sumawati Salamun 1970 08/04/10 T4 08/04/10
37 Yuyun safttri agus E hariyanto 1987 10/11/09 T3 13/06/11
38 Kustianingsih Suwarsono 1974 08/04/10 T4 08/04/10
39 rianti Hersamsu 1978 08/04/10 T4 08/04/10
40 Lastri herman 1976 08/04/10 T4 08/04/10
41 selfira Atika Imam B 1990 10/11/09 T3 13/06/11
42 Fatul Zanah Alif Z 1965 08/04/10 T4 08/04/10
43 renawati Gimin. S 1965 08/04/10 T4 08/04/10
44 Fara Indah M. arip Asb. 1977 12/11/09 T5
45 Siti Maimunah Rahmatullah Sp. 1969 12/11/09 T5
46 Rexsi Arpenti Rahmatullah Sp. 1992 08/04/10 T3 08/04/10
47 Nindati Samsul 1976 08/04/10 T4 08/04/10
48 Amilyatun Moh Taufik 1971 12/11/09 T5
49 Sumiati Ahmad Yusuf 1970 12/11/09 T5
50 holifatur Rosida urip Mujiono 1980 08/04/10 T4 08/04/10
51 siti Jubaidah Mulyadi 1970 08/04/10 T4 08/04/10
52 Hakiki Ningsih Mulyadi 1985 12/11/09 T5
53 Sumarsih Dofir 1962 12/11/09 T4
54 Muzaimah hasanudin 1976 12/11/09 T5
55 Fitria ceria hasanudin 1987 08/04/10 T3 08/04/10 13/06/11
56 Siti Fatimah Suyono suganda 1976 08/04/10 T4 08/04/10
57 Santi Maimuna M. masakin 1991 12/11/09 T3 13/06/11
58 Siti Munawaroh Abdim Muklis 1978 12/11/09 T5
59 Aminah Abd. Muni 1970 12/11/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
60 Tin Fadillah Nawawi 1978 12/11/09 T5
61 yatik Saeful bahri 1970 12/11/09 T5
62 jamilah Saryan 1960 12/11/09 T4 13/06/11
63 Satrumi Abd. Hari 1978 12/11/09 T4
64 Sumi zainudin 1960 12/11/09 T5
65 Ika Nuraini Budi Siswanto 1980 12/11/09 T5
66 Siska Dwi Socra 1989 12/11/09 T4 13/06/11
67 ana Susana Ahmad Ihwan 1979 12/11/09 T5
68 kristin S ashari 1979 12/11/09 T5
69 Nurul islamiah Zaenal arifin 1971 12/11/09 T5
70 Supiatun Su*eb 1968 12/11/09 T4
71 Ana Sofiana Saiful Bahri 1979 12/11/09 T5
72 Nina Agustina Saiful Bahri 1995 12/11/09 T3 13/06/11
73 ullaifatul taufik 1982 12/11/09 T5
74 Saifah Muhlis 1962 12/11/09 T5
75 Lailatul M Harsawa 1967 12/11/09 T4
76 Kuspiati Sukari 1960 12/11/09 T5
77 Elliya M. Imron 1982 12/11/09 T5
78 Siti Anisa Heru Subagio 1982 12/11/09 T5
79 Intan Yuliani M. Imron 1991 08/04/10 T3 08/04/10
80 Holifah Suyatno 1971 12/11/09 T4
81 Hariani Hoirul wahid 1969 12/11/09 T5
82 Herlina dikin diken 1965 12/11/09 T5
83 Dina Ajeng dikin diken 1995 08/04/10 T4 08/04/10
84 Mulyanti Yoyok Haryono 1963 12/11/09 T5
85 Nining Wijayanti Yoyok Haryono 1983 08/04/10 T4 08/04/10
86 Istiqomah Kustadi 1977 08/04/10 T3 08/04/10 13/06/11
87 Isnanik Kustadi 1980 08/04/10 T3 08/04/10 13/06/11
88 rofit Susiati sigit Purnomo 1989 12/11/09 T4
89 Sunarti sigit Purnomo 1973 09/11/09 T5
90 hafifah Kamaludin 1962 09/11/09 T5
91 Vivin Yuliana Nanag Kosim 1977 08/04/10 T3 08/04/10 13/06/11
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
92 Intan yulia N Dede 1983 08/04/10 T4 08/04/10
93 fatimah ach. Sahid 1974 09/11/09 T5
94 hikmatul s ach. Sahid 1995 08/04/10 T2 08/04/10
95 Marsiah Sumartono 1962 09/11/09 T5
96 Latifah Bambang H 1980 09/11/09 T5
97 Desiana Saeful s 1980 09/11/09 T5
98 Holisah Jahari 1966 09/11/09 T5
99 andini H. sari Amrotus 1989 09/11/09 T5
100 Evi Nuraida s Masduki rohmad 1979 09/11/09 T5
101 Emi Agustin Masduki rohmad 1991 08/04/10 T2 08/04/10 13/06/11
102 Siti Aisah sodik Mahmud 1980 09/11/09 T4
103 asiyeh supandiyono 1960 09/11/09 T5
104 Fariha Tohirin 1992 11/11/09 T3 13/06/11
105 cici Kurniasih romli Efendi 1977 08/04/10 T4 08/04/10
106 Erni Paiman 1985 11/11/09 T3
107 suciati Ningsih Fathan Karim 1970 11/11/09 T5
108 siti Jamaati abdl. Hamid 1975 11/11/09 T5
109 rusmiati suraji Wahyono 1975 08/04/10 T4 08/04/10
110 Ibtiya suyono 1961 08/04/10 T4 08/04/10
111 siti Zaenap Saeful Bahri 1965 11/11/09 T5
112 Zuhrotul M Saeful Bahri 1988 08/04/10 T3 08/04/10
113 qonik Jaqin Saeful Bahri 1993 08/04/10 T3 08/04/10 13/06/11
114 sih rumiani Heri Catur 1977 08/04/10 T4 08/04/10
115 Yuliana Asan 1984 08/04/10 T4 08/04/10
116 Insulis Patoni 1964 11/11/09 T5
117 Feni Gatot Sutikno 1987 11/11/09 T5
118 Hipiyah Budiarto 1975 11/11/09 T5
119 Siti Rohani P. Maryam 1980 10/11/09 T4
120 Misnaya Munawar 1964 10/11/09 T4 13/06/11
121 Anis Lailatul Munawar 1992 08/04/10 T3 08/04/10
122 samsiyati Holil Firdaus 1962 10/11/09 T4 13/06/11
123 astutik syamsul A 1965 10/11/09 T4 13/06/11
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
124 riski Maulita syamsul A 1991 08/04/10 T4 08/04/10
125 Sri raya yuni Sofyan Hadi 1981 10/11/09 T4
126 Siti Mahuda saiful Bahri 1982 10/11/09 T5
127 Jumaati H. Pondi 1976 10/11/09 T5
128 Ita diaswati Basaman 1978 10/11/09 T4
129 Femi widiawati Basaman 1982 08/04/10 T4 08/04/10
130 Solehati Mistari 1975 10/11/09 T4
131 Nuraini Mistari 1978 08/04/10 T3 08/04/10
132 lia anggraeni 1989 08/04/10 T4 08/04/10
133 Elok rohana Imam Buhari 1968 10/11/09 T5
134 Saidah Sutanla 1986 08/11/09 T4
135 Aminah 1987 08/11/09 T3
136 Muryani 1994 08/11/09 T3 13/06/11
137 Mulyati 1977 08/11/09 T3 13/06/11
138 Rini Novianti 1991 08/11/09 T3
139 Halima Nisman 1970 08/11/09 T4
140 Ratna Indrawati 1986 08/04/10 T3 08/04/10
141 Mina 1987 08/04/10 T3 08/04/10
142 Heni susanti Joni Sutanto 1969 08/11/09 T4
143 Merlani 1981 08/11/09 T4
144 Alifin Misfir 1996 08/11/09 T4
145 Nur Imama 1971 08/04/10 T3 08/04/10
146 St. Maimuna 1986 08/11/09 T4
147 Mutmainah 1978 08/04/10 T3 08/04/10
148 St. Khoridatul M. ridwan 1982 08/11/09 T4
149 St. Ponirah Holili 1974 08/04/10 T4 08/04/10
150 Lilis Irma Esasti Hoki Wibowo 1968 08/04/10 T4 08/04/10
151 St. Khotijah Sutrisno 1963 08/04/10 T4 08/04/10
152 Suyati Gunawan Wibisono 1975 08/04/10 T4 08/04/10
153 Lina Indrawati Darmawan Putra U. 1983 08/11/09 T3 13/06/11
154 Indri Nanidiasih Yopi Sugiarto 1969 08/04/10 T3 08/04/10 13/06/11
155 Surina Tohet 1969 08/04/10 T4 08/04/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
156 Dewi Anam 1978 08/04/10 T4 08/04/10
157 Sherly Anam 1992 08/04/10 T2 08/04/10
158 Maryamah Imam Sujoko 1969 08/04/10 T4 08/04/10
159 Danil Prastika Imam Sujoko 1995 08/04/10 T2 08/04/10 13/06/11
160 St. Muamalah Taufik Alamsyah 1985 08/04/10 T4 08/04/10
161 St. Aisyah Togiman 1970 08/04/10 T2 08/04/10 13/06/11
162 St. Juhairiyah M. Afya Rahmadi 1973 08/04/10 T4 08/04/10
163 St. Khoiriyah Supardi 1981 08/04/10 T4 08/04/10
164 Holipah Moh Tojir 1981 08/04/10 T4 08/04/10
165 Mu*inah gimin 1985 08/04/10 T4 08/04/10
166 Jamilah Madhaji 1986 08/04/10 T4 08/04/10
167 Misrohati 1979 08/04/10 T4 08/04/10
168 Ila Suswita Bunawi 1980 08/04/10 T4 08/04/10
169 Senima amin Sunarto 1971 08/04/10 T4 08/04/10
170 Rofikoh amin Sunarto 1992 08/04/10 T2 08/04/10
171 Misnari Kusnadi 1978 10/11/09 T5
172 sarupah Seniran 1975 10/11/09 T5
173 Nining andriani Seniran 1992 08/04/10 T2 08/04/10 13/06/11
174 Saima Djunaedi 1970 10/11/09 T5
175 Meta Aulida Djunaedi 1991 08/04/10 T2 08/04/10 13/06/11
176 paena Busro 1975 10/11/09 T5
177 sri Lestari Jumari 1975 08/04/10 T4 08/04/10
178 Babun Juhri 1960 08/04/10 T3 08/04/10
179 Samsiah Munir 1977 08/04/10 T4 08/04/10
180 sugiarti supriyanto 1985 08/04/10 T4 08/04/10
181 titik Basuki 1984 11/11/09 T5
182 satik wahyuni Slamet riyadi 1973 11/11/09 T5
183 Nur Susanti Slamet riyadi 1989 11/11/09 T3
184 windi aprilia Slamet riyadi 1995 08/04/10 T2 08/04/10
185 sani Hasanah Junaedi 1981 08/04/10 T2 08/04/10 13/06/11
186 susi Herliyanti bambang triyanto 1976 11/11/09 T4 08/04/10
187 Siti graheni Budi prasetyo 1969 11/11/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
188 Dyan Ayutyas P Budi prasetyo 1990 11/11/09 T3 13/06/11
189 Umi Hanik salam riyadi 1973 08/04/10 T3 08/04/10
190 Ida Slamet 1977 11/11/09 T4
191 Haniyah A. zaeni 1969 11/11/09 T4 08/04/10
192 Rifa*atul A. zaeni 1991 11/11/09 T3 13/06/11
193 Indahyani Edi susanto 1996 08/04/10 T3 08/04/10
194 Widiastutik suparto 1983 13/11/09 T5
195 Ayu Nur Faidah suparto 1980 08/04/10 T3 08/04/10
196 Ika Sri handayani Khoirul Anam 1974 13/11/09 T5
197 Indah agustin Harsono 1985 13/11/09 T5
198 Ayuk Agustin shodik 1988 08/04/10 T4 08/04/10
199 Misnati Maryono 1973 08/04/10 T4 08/04/10
200 Haniye Paito 1968 08/04/10 T4 08/04/10
201 rusvi Diastutik wagimun 1969 13/11/09 T5
202 Vivin kurniawati wagimun 1989 08/04/10 T4 08/04/10
203 Nanik Isnaini Sumadi 1975 08/04/10 T4 08/04/10
204 wardatul Jannah Sasiandi 1995 13/11/09 T5
205 Tumakninah Rohim 1974 08/04/10 T4 08/04/10
206 sri sugiani susanto 1983 08/04/10 T4 08/04/10
207 Busina Saman 1963 13/11/09 T5
208 Wagini Saman 1989 08/04/10 T4 08/04/10
209 TITIN Lusiana Kawiyase 1985 08/04/10 T4 08/04/10
210 Misnati Abdulah 1988 08/04/10 T4 08/04/10
211 st. Asiyah Rofik 1977 08/04/10 T4 08/04/10
212 Sugiartik Budi 1968 08/04/10 T3 09/04/10 13/06/11
213 Uur 1990 08/11/09 T4
214 Musdalifah Miunir 1975 08/11/09 T4 13/06/11
215 su,ila Jalil 1967 08/04/10 T4 08/04/10
216 Aminah Zaenuri 1965 08/04/10 T4 08/04/10
217 Aminah Fauzi 1970 08/04/10 T4 08/04/10
218 sujina Fathur rohman 1980 08/04/10 T4 08/04/10
219 Nunik Yusuf 1965 08/04/10 T4 08/04/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
220 agustin Yono 1993 08/11/09 T3 13/06/11
221 sifak Rahmat 1988 08/04/10 T3 08/04/10 13/06/11
222 Ninig Hadi 1983 08/11/09 T3 13/06/11
223 TITIN Purnomo 1982 08/04/10 T4 08/04/10
224 Indah Edi 1979 08/11/09 T5
225 homimah 1975 08/04/10 T4 08/04/10
226 Lifa Yoyon 1982 08/11/09 T5
227 Istiana Marzuki 1980 08/11/09 T5
228 Fitria Fauzi 1974 08/11/09 T5
229 Fina parman 1970 08/11/09 T5
230 sakdiyah Zamhari 1966 08/11/09 T5
231 Ika Zamhari 1970 08/04/10 T4 08/04/10
232 tija 1985 08/04/10 T4 08/04/10
233 waro 1975 08/04/10 T4 08/04/10
234 Ponima Suryanto 1975 08/11/09 T5
235 Anisatul sugito 1981 08/11/09 T5
236 Irin Makruf 1980 08/11/09 T5
237 linda 1970 08/04/10 T4 08/04/10
238 Badriyah Holil 1972 08/11/09 T5
239 Ristiawan supriyadi 1962 08/04/10 T4 08/04/10
240 Dewi istiyani Munep 1971 08/04/10 T4 08/04/10
241 Saputri wulandari Gunawan 1989 08/11/09 T4 13/06/11
242 Nur fadilla Busri 1977 08/04/10 T4 08/04/10
243 Marhama Faridawan 1978 08/04/10 T4 08/04/10
244 asifa haris 1973 08/11/09 T5
245 sri wahyuni Rakib 1972 08/04/10 T4 08/04/10
246 Emi sri wahyuni Ulum 1984 08/04/10 T4 08/04/10
247 Mayrani sri wahyuni 1996 08/04/10 T4 08/04/10
248 hanifah Hadi sutrisno 1969 08/11/09 T5
249 Fina andriana Faruq 1986 08/11/09 T4 13/06/11
250 aurotul aini 1994 08/04/10 T3 08/04/10
251 Nurul fadilla 1966 08/11/09 T4 08/04/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
252 Husnul Hotimah Miftahul 1988 08/11/09 T4 08/04/10
253 Hiotija Muslimin 1984 08/11/09 T4 13/06/11
254 Kismania Ach. Zaelani 1971 08/11/09 T4 08/04/10
255 Nur Imama ach. Toha 1979 08/11/09 T4 08/04/10
256 Ernawati Saeful 1976 08/11/09 T4 08/04/10
257 rosida 1980 08/11/09 T4 08/04/10
258 Ponima sahriyanto 1976 08/11/09 T4 08/04/10
259 sumiati sasmsuri 1975 08/11/09 T5
260 ririn sugeng 1977 08/11/09 T5
261 Lasmini Raat 1969 08/11/09 T4 08/04/10
262 Jumani samsul 1966 08/11/09 T5
263 Loh swesti 1980 08/11/09 T4 08/04/10
264 sundari sumari 1970 08/11/09 T5
265 eli Candra pramono 1977 08/11/09 T4 08/04/10
266 Emi Agustin M. Dimyati 1977 08/11/09 T4 08/04/10
267 WulanSuci Hamid 1986 08/11/09 T4 08/04/10
268 Indayani hariyanto 1973 08/11/09 T4 08/04/10
269 Muawanah Holili 08/11/09
270 verawati qodar 1981 08/11/09
271 Elok M. Gofur 1994 10/10/13 T3 10/02/14
272 Suyinah Fathur rohman 1980 10/09/13 T4 11/02/14
273 Wati Anggraini Abd. Bari 1993 03/11/13 T3 10/02/14
274 Uswatun Hasanah Andik Nurwahyudi T3 12/01/15 11/03/15
274 JUMLAH T0 0 0 0 0 0 20 21 0 0 0 0
T1 0 0
T4 130 0 ADS 0,5 ML 41
NIP :
hamil
Format 1
T5
17
T5
17
T5
17
T5
17
T5
17
T5
17
T5
17
T5
17
T5
17
0
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Homimah Muslih Thaha 1969 12/06/10 T4 12/06/10
2 Naeli Muslih Thaha 1993 06/11/09 T2 14/06/11
3 Tutik Jubair 1977 12/06/10 T4 12/06/10
4 Soleha sukirin 1978 12/06/10 T4 12/06/10
5 Tunik Suprayitno 1971 12/06/10 T4 12/06/10
6 Hopsah A. Syakir 1980 12/06/10 T4 12/06/10
7 Ketut Surti Wage 1967 12/06/10 T4 12/06/10
8 Nanik Wage 1990 12/06/10 T2 12/06/10
9 Nurhayati tinggal 1978 12/06/10 T4 12/06/10
10 Heriya Ikshan 1974 12/06/10 T4 12/06/10
11 Subaida Sueb 1977 12/06/10 T4 12/06/10
12 sami Sueb 1969 12/06/10 T4 12/06/10
13 sulis Sueb 1990 12/06/10 T2 12/06/10
14 Layli H Nurohman 1981 12/06/10 T4 12/06/10
15 Tumina pardi 1970 12/06/10 T4 12/06/10
16 Asmiyati Dino 1968 12/06/10 T4 12/06/10
17 Fidiya Dino 1989 12/06/10 T2 12/06/10
18 Kusyati Syafiudin 1973 12/06/10 T3 12/06/10 14/06/11
19 maryama Misnan 1972 12/06/10 T4 12/06/10
20 Marse M. hasin 1977 12/06/10 T4 12/06/10
21 mustakidah Mahsun 1967 12/06/10 T4 12/06/10
22 warda Mahsun 1987 12/06/10 T3 12/06/10
23 magfirah Mahsun 1980 06/11/09 T4
24 siti Aisyah Fathullah 1977 06/11/09 T5
25 Lia Fathullah 1986 12/06/10 T4 12/06/10
26 Latifah Badri 1968 12/06/10 T4 12/06/10
27 Ifad Badri 1996 06/11/09 T2
28 Hawani Pujiono 1972 12/06/10 T4 12/06/10
29 isrojiah Pujiono 1991 12/06/10 T3 12/06/10 14/06/11
30 Ani R Hasan 1975 12/06/10 T4 12/06/10
31 Misyati Bebun 1980 12/06/10 T4 12/06/10
32 toyani Abd. Rohim 1970 06/11/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 ana Abd. Rohim 1987 12/06/10 T4 12/06/10
34 Wani Abd. Rohim 1988 12/06/10 T4 12/06/10
35 Juhairiyah Agus 1985 06/11/09 T5
36 sumiyati Mijan 1968 12/06/10 T4 12/06/10
37 supiyati Awi 1970 06/11/09 T5
38 Im Awi 1996 12/06/10 T2 12/06/10
39 Astutik saman 1990 06/11/09 T3 14/06/11
40 Riyasih Bayu 1972 06/11/09 T5
41 sulis A. Mu*in 1975 06/11/09 T5
42 Ikrimah A. Mu*in 1995 12/06/10 T2 12/06/10
43 Munjalin Kholil 1983 06/11/09 T5
44 Kholifah Samsul 1976 06/11/09 T5
45 susanti Tuki 1965 06/11/09 T3 14/06/11
46 Warda tuki 1993 06/11/09 T2 14/06/11
47 eva Tuki 1987 06/11/09 T5
48 Poniman marsam 1967 06/11/09 T5
49 Laili marsam 1980 12/06/10 T4 12/06/10
50 tutik Agus 1986 06/11/09 T5
51 Hasanah sadi 1971 12/06/10 T4 12/06/10
52 Iin Sadi 1991 12/06/10 T3 12/06/10
53 Aminah Slamet 1973 06/11/09 T5
54 Nadiyah Slamet 1995 12/06/10 T3 12/06/10
55 Kusyani Widodo 1976 12/06/10 T4 12/06/10
56 Romlah Mi*an 1972 06/11/09 T5
57 Busani Agus 1970 06/11/09 T5
58 As maryadi 1985 06/11/09 T5
59 Indah Emil 1980 12/06/10 T4 12/06/10
60 sulastri Suryaman 1980 12/06/10 T4 12/06/10
61 Busima Dolla 1976 12/06/10 T4 12/06/10
62 Yuli Dolla 1996 12/06/10 T2 12/06/10 14/06/11
63 Asmawati Tori 1982 12/06/10 T4 12/06/10
64 Marra Dadang 1969 06/11/09 T5
65 Fatimah saiful 1977 06/11/09 T5
66 Hos bayu 1983 06/11/09 T5
67 Karti Men 1971 12/06/10 T4 12/06/10
68 Dewi Men 1994 12/06/10 T2 12/06/10 14/06/11
69 Nira Mu*is 1983 12/06/10 T4 12/06/10
70 Novi Mu*is 1998 12/06/10 T2 12/06/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 Hayuk Suyitno 1982 12/06/10 T4 12/06/10
72 Holip Bayu 1985 12/06/10 T4 12/06/10
73 zunaidah Latif 1986 12/06/10 T3 12/06/10 14/06/11
74 Mus Solehan 1974 12/06/10 T4 12/06/10
75 Eka Solehan 1991 12/06/10 T2 12/06/10
76 Anik Kabul 1973 12/06/10 T4 12/06/10
77 Sumarni Suyono 1977 12/06/10 T4 12/06/10
78 Asmira Paidi 1978 06/11/09 T5
79 Fatimah Junaedi 1986 06/11/09 T5
80 Sriyati wahid 1983 12/06/10 T4 12/06/10
81 Nur suhar 1979 06/11/09 T4 14/06/11
82 Firda suhar 1997 12/06/10 T2 12/06/10
83 Yuli 1974 12/06/10 T4 12/06/10
84 Asama Johan 1972 12/06/10 T4 12/06/10
85 Nurgidin Slamet 1964 06/11/09 T5
86 Siba Anton 1975 12/06/10 T4 12/06/10
87 Ana Anton 1991 12/06/10 T3 12/06/10
88 sumiyati Asmo 1972 12/06/10 T4 12/06/10
89 Luluk Asmo 1983 12/06/10 T4 12/06/10
90 Lika Maslan 1965 06/11/09 T3 14/06/11
91 sundari Puji 1977 06/11/09 T5
92 Misnayu Masdi 1976 12/06/10 T4 12/06/10
93 tutik alo 1972 06/11/09 T5
94 Daini sunari 1968 12/06/10 T4 12/06/10
95 ema Niben 1973 12/06/10 T4 12/06/10
96 riska Niben 1994 06/11/09 T2
97 Halimah Dian 1977 12/06/10 T4 12/06/10
98 ririn Agus 1976 12/06/10 T4 12/06/10
99 Lis bayu 1974 12/06/10 T4 12/06/10
100 Ros Badriyan 1973 12/06/10 T4 12/06/10
101 Acun Niman 1969 06/11/09 T2 14/06/11
102 Jum Paijan 1968 12/06/10 T4 12/06/10
103 Farida Madun 1969 12/06/10 T4 12/06/10
104 Fifi Madun 1991 12/06/10 T2 12/06/10
105 riska Madun 1993 12/06/10 T2 12/06/10
106 Heria Rudi 1984 06/11/09 T5
107 Hamima No 1981 06/11/09 T5
108 Maimuna Gatot 1978 12/06/10 T4 12/06/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 sana Ced 1971 06/11/09 T5
110 narti 1974 06/11/09 T5
111 Hatimah supri 1967 12/06/10 T4 12/06/10
112 is Sapi* 1977 06/11/09 T5
113 Nina Eko 1980 06/11/09 T5
114 sumarni Budi 1977 12/06/10 T4 12/06/10
115 Deva saiful 1984 06/11/09 T4
116 sulastri Roni 1983 06/11/09 T5
117 Nani Roni 1974 06/11/09 T5
118 Neng Harun 1970 06/11/09 T5
119 Misyati Agus 1984 12/06/10 T3 12/06/10 14/06/11
120 Halimah Bayu 1977 06/11/09 T5
121 ROS Nola 1964 07/11/09 T5
122 Ami Bobun 1974 07/11/09 T5
123 Fara Dola 1979 07/11/09 T5
124 Fatimah rani 1981 07/11/09 T5
125 Quratul sukiman 1984 07/11/09 T5
126 suryani Mustahal 1986 07/11/09 T4 14/06/11
127 Nurhasanah samin 1987 07/11/09 T4
128 supiati tanto 1971 07/11/09 T5
129 Agustina ridho S 1986 07/11/09 T4
130 zaenap Gatot 1985 12/06/10 T3 12/06/10 14/06/11
131 umi Kulsum ahmad 1988 12/06/10 T3 12/06/10
132 ernawati Yatmin 1982 07/11/09 T5
133 Miftakhul Arief 1967 07/11/09 T5
134 Hariyati subroto 1972 07/11/09 T5
135 tutik Edi 1983 12/06/10 T4 12/06/10
136 Cicin Edi 1998 07/11/09 T2 14/06/11
137 rani 1979 07/11/09 T5
138 ervin Faiq 1983 12/06/10 T4 12/06/10
139 Rusmini 1986 12/06/10 T4 12/06/10
140 sumiati 1985 12/06/10 T4 12/06/10
141 sup Paidi 1975 07/11/09 T5
142 Enda hollah 1976 07/11/09 T5
143 pon dullah 1973 07/11/09 T5
144 Naning Agus 1973 07/11/09 T5
145 sutinah Sutiman 1964 07/11/09 T5
146 sutina Sutiman 1995 07/11/09 T2
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
147 zuhrotun Hendi 1973 12/06/10 T4 12/06/10
148 Sabrina Hendi 1993 07/11/09 T2 14/06/11
149 Mistiana Yatno 1979 07/11/09 T5
150 Lis Ponman 1983 12/06/10 T4 12/06/10
151 Marijum Durahman 1959 07/11/09 14/06/11
152 Febli Durahman 1995 07/11/09 T2
153 Eva Durahman 1991 07/11/09 T2
154 Umiyati Subari 1968 07/11/09 T5
155 Yanti Subari 1982 12/06/10 T4 12/06/10
156 Parti Senal 1971 07/11/09 T5
157 Yeni Senal 1991 12/06/10 T2 12/06/10
158 Fitri Misnali 1984 07/11/09 T4
159 Maria ansori 1976 07/11/09 T5
160 mila ansori 1995 07/11/09 T2
161 Kusyati ansori 1991 12/06/10 T2 12/06/10
162 Susyati tohari 1969 07/11/09 T5
163 sugianti bagus 1965 07/11/09 T5
164 maimunah Somad 1972 07/11/09 T5
165 Umi M. Zaeni 1991 12/06/10 T2 12/06/10 14/06/11
166 Harsini sugianto 1982 07/11/09 T4
167 enda alip 1975 07/11/09 T5
168 Yanti Juli 1984 07/11/09 T4
169 arofah Herianto 1990 12/06/10 T3 12/06/10
170 Endang Puji abd. Munir 1987 12/06/10 T4 12/06/10
171 Ifa M. Zaeni 1990 12/06/10 T3 12/06/10 14/06/11
172 Sumarni Hartono 1988 12/06/10 T4 12/06/10
173 Nurhayati fauzi 1985 12/06/10 T4 12/06/10
174 anik holili 1990 12/06/10 T3 12/06/10
175 sutini durasit 1986 07/11/09 T4
176 sumarni suryono 1988 12/06/10 T4 12/06/10
177 sulis edy 1984 07/11/09 T4
178 Megawati Farid Cahyadi 1996 07/11/09 T2
179 Lisa Farid Cahyadi 1983 07/11/09 T4
180 Melina Farid Cahyadi 1982 07/11/09 T4
181 Valentine Farid Cahyadi w 1993 07/11/09 T2
182 indianti Iwan wijaya 1995 07/11/09 T3
183 martina Iwan wijaya 1988 07/11/09 T4
184 erni Iwan wijaya 1989 07/11/09 T4
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
185 Melina Iwan wijaya 1996 07/11/09 T2
186 Ika wati Hifda 1988 12/06/10 T4 12/06/10
187 Iin Jubaidah Cacuk suroyo 1963 12/06/10 T4 12/06/10
188 Dina anju 1987 12/06/10 T4 12/06/10
189 Kusnanik I Ketut Orti 1962 07/11/09
190 Kusyami Bunyamin 1970 07/11/09 T5
191 su*aibatul iqbal 1968 07/11/09 T5
192 Nadyah iqbal 1996 07/11/09 T2 14/06/11
193 Jetem Mahat 1983 12/06/10 T4 12/06/10
194 rohani Juhari 1969 07/11/09 T5
195 Is Juhari 1990 12/06/10 T4 12/06/10
196 Wiwin abdullah 1980 07/11/09 T5
197 saminem urip 1975 07/11/09 T5
198 siti khotijah Abd. Wafi 1987 12/06/10 T4 12/06/10
199 Nima sutomo 1959 07/11/09
200 Mafruroh saiful Badri 1962 07/11/09 T5
201 Nining didik 1971 07/11/09 T5
202 Tisa Sutrisno 1965 07/11/09 T5
203 sariah sutaman 1966 12/06/10 T4 12/06/10
204 Nurhayati sutaman 1991 07/11/09 T2
205 riska sutaman 1994 07/11/09 T2
206 Masitun Maksum 1974 07/11/09 T5
207 Navialita Maksum 1992 07/11/09 T2
208 siti Fatimah Naim 1969 07/11/09 T5
209 sulikah tohaman 1960 07/11/09 T2 14/06/11
210 Maulidiyah suyitno 1983 12/06/10 T4 12/06/10
211 Nur Hafifah Nuria 1969 12/06/10 T4 12/06/10
212 Nuryati satrio 1975 12/06/10 T4 12/06/10
213 Rafika abdullah 1965 12/06/10 T4 12/06/10
214 Bura Newi 1963 12/06/10 T4 12/06/10
215 busadi Ismaji 1972 08/11/09 T5
216 Aminah Buyamin 1977 12/06/10 T4 12/06/10
217 Maisaroh arosyid 1987 12/06/10 T3 12/06/10 14/06/11
218 Nur zaidah wajdi 1981 08/11/09 T5
219 Seniti sunarto 1975 08/11/09 T5
220 tija suwardi 1973 08/11/09 T5
221 Fitriya Misnari 1982 12/06/10 T4 12/06/10
222 Suhriya Holik 1973 08/11/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
223 wiji Heriyanto 1984 12/06/10 T4 12/06/10
224 misnaya Sunarto 1972 08/11/09 T5
225 sutik Jalil 1967 12/06/10 T4 12/06/10
226 Nanik Hariyanto 1974 08/11/09 T5
227 tuminik hadist 1979 12/06/10 T4 12/06/10
228 sadi sanito 1983 08/11/09 T5
229 suryani suniman 1959 08/11/09
230 wiwin sunadi 1986 12/06/10 T4 12/06/10
231 Sulastri asep 1976 08/11/09 T5
232 roul asep 1993 08/11/09 T2
233 Hotifah Kuswandik 1969 08/11/09 T5
234 eli Kuswandik 1990 08/11/09 T3
235 sumaidah musahwi 1965 08/11/09 T5
236 Aminah maskud 1962 08/11/09
237 Maimunah sahuri 1976 12/06/10 T4 12/06/10
238 Maria Imam rusdiono 1963 08/11/09
239 Ningsih sudariyanto 1981 12/06/10 T4 12/06/10
240 St. Mariyam suryanto 1967 12/06/10 T4 12/06/10
241 SUMIATI suparman 1977 12/06/10 T4 12/06/10
242 Kustiyah sutikno 1964 12/06/10 T4 12/06/10
243 Hajar suwati Untung 1981 12/06/10 T4 12/06/10
244 Nur Hidayah M. Ikram 1969 12/06/10 T4 12/06/10
245 Mimin Pariyono 1962 08/11/09
246 Euis Pariyono 1993 12/06/10 T2 12/06/10
247 titik Nuliana M. Imran 1976 08/11/09 T5
248 Purwati sahari 1960 08/11/09
249 Eem A. Choiri 1973 08/11/09 T5
250 Ana A. Choiri 1991 12/06/10 T2 12/06/10
251 Holifah Baudi sukar 1965 12/06/10 T4 12/06/10
252 Jumaiyah Ghofur 1970 08/11/09 T5
253 senni faesol 1978 12/06/10 T4 12/06/10
254 Farida Yanto W 1980 08/11/09 T5
255 Misya Hanafi 1983 08/11/09 T5
256 Astiningsih sundari 1968 08/11/09 T5
257 sugiati Didik 1963 08/11/09
258 subayah Uwi 1970 08/11/09 T5
259 Bida afitri fani Nor R 1988 12/06/10 T4 12/06/10
260 sumiati safiudin 1986 08/11/09 T4 14/06/11
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
261 sana abdl. Aziz 1966 12/06/10 T4 12/06/10
262 Yesitri w Immullah 1981 08/11/09 T5
263 st. Maisaroh abdl. Halim 1976 12/06/10 T4 12/06/10
264 Holiah sumardi 1960 08/11/09
265 Ngatini senidin 1975 12/06/10 T4 12/06/10
266 sulistyowati edi p 1982 08/11/09 T5
267 Hamimah Hartono 1979 12/06/10 T4 12/06/10
268 holifah suyono 1979 08/11/09 T5
269 reni Dwi a suheri 1979 08/11/09 T5
270 tika abdl Rosid 1975 08/11/09 T5
271 st. Hotifah Imam Hambali 1981 08/11/09 T5
272 Lika Busari 1972 08/11/09 T5
273 sumariyanti sale 1973 08/11/09 T5
274 Kasiyati slamet riyadi 1972 08/11/09 T5
275 bungkos Misli 1977 08/11/09 T5
276 halimah Budiyantoro 1975 08/11/09 T5
277 Maena Niman 1968 12/06/10 T4 12/06/10
278 sulis Niman 1988 12/06/10 T2 12/06/10
279 fitri Niman 1992 12/06/10 T2 12/06/10
280 Ningsih tatang 1982 12/06/10 T4 12/06/10
281 Musrifah Budianto 1986 12/06/10 T4 12/06/10
282 sumiyati sugiono 1977 08/11/09 T5
283 supiyati a. Zaeni 1971 08/11/09 T5
284 septiya a. Zaeni 1996 08/11/09 T2
285 sumarni Suryono 1972 08/11/09 T5
286 Hana rofina Kamariyah 1988 08/11/09 T4
287 Nurul Isnani samsul Arifin 1975 08/11/09 T5
288 st. Maisaroh Faruq Mustofa 1984 12/06/10 T4 12/06/10
289 st. Fatimah saiful 1973 08/11/09 T5
290 ardini N A. Hairullah 1984 12/06/10 T4 12/06/10
291 Miftahul R Ariful F 1983 08/11/09 T4
292 st. fatimah saiful 1973 08/11/09 T5
293 Fi*atin sugianto 1969 12/06/10 T4 12/06/10
294 st. Fatinah saiful 1973 08/11/09 T3 14/06/11
295 Miftahul R ariful 1983 12/06/10 T4 12/06/10
296 st. fatimah zaenal R 1980 08/11/09 T5
297 st. sofiah suryanto 1987 08/11/09 T4
298 Winda suryono 1985 12/06/10 T4 12/06/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
299 Nurhasanah Kurnianto 1975 08/11/09 T5
300 lilik Harnani Baydowi 1986 12/06/10 T4 12/06/10
301 Zaenab saleh 1979 12/06/10 T4 12/06/10
302 Samah yanto 1973 12/06/10 T4 12/06/10
303 Rohmah tullah saiful bahri 1981 08/11/09 T5
304 Ninik Musayaroh Saiful bahri 1995 08/11/09 T2
305 Yuli sarip 1984 12/06/10 T3 12/06/10 14/06/11
306 sumarni sarip 1988 08/11/09 T3
307 Murtiah Mulyono 1965 08/11/09 T5
308 Indriyati Mulyono 1983 12/06/10 T4 12/06/10
309 Siti Maryam Suryanto 1967 08/11/09 T5
310 Indrayani suryanto 1980 12/06/10 T4 12/06/10
311 Kustinah satar 1955 08/11/09
312 Haryatiningsih satar 1970 08/11/09 T5
313 fardiyanik Mustajen 1957 08/11/09
314 Dedinda Velly A Mustajen 1996 12/06/10 T2 12/06/10
315 Misna Amsori samin 1965 08/11/09 T5
316 siti Hotija Amsori samin 1987 12/06/10 T4 12/06/10
317 Nur Haima Amsori samin 1991 12/06/10 T3 12/06/10
318 Lita Senidin T2 14/06/11
319 Ratna Wati Kabul T2 14/06/11
320 Iga Kusnadi T2 14/06/11
321 Fitri Sueb T2 14/06/11
322 Ria Misli T2 14/06/11
323 Ervin Faik 1984 07/09/13 T4 11/02/14
324 Fatimatus M.Rudi 1996 20/08/13 T3 11/02/14
325 St.Nurhasanah Robi 1989 12/11/13 T4 11/02/14
325 JUMLAH T0 0 0 0 0 12 7 11 0 0 0 0 0
T1 0 0
T4 130 4 ADS 0,5 ML 30
NIP :
hamil
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Siti Aisyah Nurahman 1976 13/03/10 T4 13/03/10
2 Meilani Jamhuri 1981 13/03/10 T4 13/03/10
3 Alfiah Holili 1989 13/03/10 T3 13/03/10
4 naning Kusnadi 1983 13/03/10 T4 13/03/10
5 Mardiyah Rahman 1961 13/03/10 T4 13/03/10
6 nanik Ningsih M. Toib 1964 13/03/10 T4 13/03/10
7 St. Multaviah A. Satar 1985 10/11/09 T2 15/06/11
8 Istanti rosita Satar 1980 13/03/10 T2 13/03/10 15/06/11
9 Holifah 1970 10/11/09 T4
10 Emi Ari Kusrini Nisab 1974 13/03/10 T2 13/03/10 15/06/11
11 Imroatul Husna A. zaelani 1982 13/03/10 T4 13/03/10
12 Mulyana Misran s 1965 13/03/10 T4 13/03/10
13 Ernawati Samsul 1987 13/03/10 T4 13/03/10
14 Suryati M. Yasir 1965 13/03/10 T4 13/03/10
15 nunung Abdullah 1972 13/03/10 T4 13/03/10
16 Muhemi Samidin 1965 13/03/10 T4 13/03/10
17 Santi Atika satirin 1989 13/03/10 T2 13/03/10
18 Siti Urifah Sanito 1968 13/03/10 T4 13/03/10
19 Fitriya A. R Enok 1987 13/03/10 T4 13/03/10
20 Sripa Lukman Hakim 1969 13/03/10 T4 13/03/10
21 Lutfiyah Sor 1985 13/03/10 T4 13/03/10
22 Sutami Kurdiyanto 1983 13/03/10 T4 13/03/10
23 Musama Irham M 1965 13/03/10 T4 13/03/10
24 Hindun Rahmawati Irham 1990 13/03/10 T2 13/03/10 15/06/11
25 Istianatul M Achmad 1983 13/03/10 T4 13/03/10
26 Nurbawon achyar 1972 13/03/10 T4 13/03/10
27 Nanik Murdiati S. Bambang 1976 13/03/10 T4 13/03/10
28 Lece Pujitia M yosi wibisono 1976 13/03/10 T4 13/03/10
29 Noti widiastuti 1976 10/11/09 T5
30 Suleha Bambang 1986 10/11/09 T5
31 Liana Tendean B. Raharjo 1979 10/11/09 T4
32 gin Aminah Nur ahsin 1970 10/11/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 harsini P sugianto 1982 13/03/10 T4 13/03/10
34 Sherly K Ronald. C 1982 10/11/09 T5
35 Dewi Rahayu M. Abdillah 1960 10/11/09 T2 15/06/11
36 Nyoni warti Rudiyanto 1965 10/11/09 T5
37 Nurhayati Apondi 1967 10/11/09 T5
38 Eka Linawati Mustopfa 1986 10/11/09 T4 15/06/11
39 suginah M. Nurhoji 1983 13/03/10 T4 13/03/10
40 Nur Holidah Jumariyanto 1983 10/11/09 T5
41 Islanut rodiyah Jumariyanto 1991 10/11/09 T4
42 Misriati Hosnadi 1983 13/03/10 T4 13/03/10
43 Vivin indrayani ripin 1984 13/03/10 T2 13/03/10
44 vit dewi candra Jainuri 1988 13/03/10 T2 13/03/10 15/06/11
45 eli Yuli S Jayadi W 1969 13/03/10 T4 13/03/10
46 Sri atun Sunarto 1961 13/03/10 T4 13/03/10
47 Nur Fitriya ali Murtado 1978 13/03/10 T4 13/03/10
48 Nurul sunaifah Jatim Mulyadi 1978 13/03/10 T4 13/03/10
49 Alviatul Jannah M Syahrul 1991 13/03/10 T3 13/03/10 15/06/11
50 sulis suhartono 1979 10/11/09 T5
51 Ponisa Jamal 1969 13/03/10 T4 13/03/10
52 siti Musni 1961 13/03/10 T4 13/03/10
53 Nurhidayah Jaenuri 1989 13/03/10 T2 13/03/10
54 Hj. Husniyah H. Hamdi Cholil 1962 13/03/10 T4 13/03/10
55 Ifa Ilmiyah Nurul 1984 13/03/10 T4 13/03/10
56 esti handayani Mubasir 1964 13/03/10 T4 13/03/10
57 pratiwi Suparto 1990 13/03/10 T2 13/03/10 15/06/11
58 Nurhayati Suparto 1985 13/03/10 T2 13/03/10
59 Yamnah Kaspur 1967 13/03/10 T4 13/03/10
60 hamidah sudarno 1973 13/03/10 T4 13/03/10
61 Sujiati Musleh 1960 10/11/09 T4 15/06/11
62 Lia Latifah Musleh 1987 13/03/10 T2 13/03/10
63 Titik hammam 1983 13/03/10 T4 13/03/10
64 Holifah 1968 10/11/09 T4 15/06/11
65 siti Nurjannah Rusman 1990 13/03/10 T4 13/03/10
66 Maliyah Mahfud 1972 13/03/10 T4 13/03/10
67 dewi anggraeni Dani Umbara 1981 13/03/10 T4 13/03/10
68 Mariani sadikin Doni wiramas 1967 13/03/10 T4 13/03/10
69 Dwi eka yanti suyono 1981 13/03/10 T3 13/03/10 15/06/11
70 Miftahul afidah slamet 1991 10/11/09 T2 15/06/11
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 wiwin Handayani wawan 1988 13/03/10 T3 13/03/10
72 Indra A Anton W 1978 13/03/10 T4 13/03/10
73 siti Hotimah zaenuri 1970 13/03/10 T4 13/03/10
74 Lia anggraeni Heri setiawan 1989 13/03/10 T4 13/03/10
75 Hikmah Riza suraji 1983 10/11/09 T5
76 Husnul Lailiyah Suraji 1990 13/03/10 T2 13/03/10 15/06/11
77 sani B Topo Suryadi 1965 13/03/10 T4 13/03/10
78 Liswati solly Yusdi 1965 13/03/10 T4 13/03/10
79 anita Anggraeni Yusup 1984 13/03/10 T3 13/03/10
80 Mistianah Taufik 1977 13/03/10 T4 13/03/10
81 Linda rianti teddy W 1971 14/11/09 T4 15/06/11
82 Yoeanita Nur R Dandi 1976 13/03/10 T4 13/03/10
83 sumiyati Sohe 1965 14/11/09 T5
84 Lulul Homimah wagimin 1961 13/03/10 T4 13/03/10
85 Zuniar wagimin 1989 13/03/10 T2 13/03/10
86 sudartik HY soeripto 1965 13/03/10 T4 13/03/10
87 Yuli Tri wulandari A. Alfan 1979 13/03/10 T4 13/03/10
88 Veranita K.W Bambang 1979 14/11/09 T4 15/06/11
89 Barkah Fauzi 1963 13/03/10 T4 13/03/10
90 sumi subagio 1967 13/03/10 T4 13/03/10
91 Irawati sucipto 1966 13/03/10 T4 13/03/10
92 Ika sulistyawati Salam 1985 13/03/10 T2 13/03/10 15/06/11
93 Mamik Srikanti Mulyadi 1983 13/03/10 T4 13/03/10
94 Holifah suprayitno 1971 13/03/10 T4 13/03/10
95 Heriya rudi hartono 1984 13/03/10 T3 13/03/10 15/06/11
96 asmani Liangki 1965 13/03/10 T4 13/03/10
97 suyani 1985 14/11/09 T3 15/06/11
98 Binga ariyani wawan 1983 13/03/10 T3 13/03/10
99 rohima Nur adim 1969 13/03/10 T4 13/03/10
100 sumiati Junaidi 1960 13/03/10 T4 13/03/10
101 Subaidah niman 1968 13/03/10 T4 13/03/10
102 latifatul S niman 1991 14/11/09 T2 15/06/11
103 Nurul Laili sundari 1988 13/03/10 T3 13/03/10 15/06/11
104 sri wahyuningsih Mulyono 1972 14/11/09 T5
105 suhartini Yong siswoyo 1960 13/03/10 T3 13/03/10
106 Sri yatmini 1969 13/03/10 T4 13/03/10
107 Wahyuningsih wawan 1989 13/03/10 T3 13/03/10 15/06/11
108 supriyatiningsih kacung 1971 13/03/10 T4 13/03/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 siti Hotijah abdurahman 1972 13/03/10 T4 13/03/10
110 painem sulaiman 1965 14/11/09 T2 15/06/11
111 Nasima abd. Muntolib 1965 14/11/09 T2 15/06/11
112 Faridatul H Miski 1981 13/03/10 T4 13/03/10
113 Nanik a. Hidayat 1975 13/03/10 T4 13/03/10
114 Farida arista Mulyadi 1982 13/03/10 T4 13/03/10
115 Anis Edi wijaksono 1982 13/03/10 T4 13/03/10
116 nur fadillah Darno 1977 13/03/10 T4 13/03/10
117 Nur Laili A. Goni 1979 13/03/10 T4 13/03/10
118 Tata Ijus S subakri 1982 14/11/09 T2
119 Siti Suliha suyono 1969 13/03/10 T4 13/03/10
120 Safak Nuraeni Sunaryo 1973 13/03/10 T4 13/03/10
121 Nur Indahyani Hidayat s 1984 13/03/10 T4 13/03/10
122 Handayani witrisno 1953 13/03/10 T4 13/03/10
123 wawik R Mustakim 1974 13/03/10 T4 13/03/10
124 Ani Rudi 1979 13/03/10 T4 13/03/10
125 Nanik Yamin 1975 13/03/10 T4 13/03/10
126 Fiikih Kartika Putri Suprayitno 1992 T2 15/06/11
126 JUMLAH T0 0 0 0 0 7 8 10 0 0 0 0 0
T1 0 0
T4 80 3 ADS 0,5 ML 25
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
NIP :
hamil
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Nur aini zaenuri 1982 17/03/10 T4 17/03/10
2 Emilia Muzakki 1982 17/03/10 T4 17/03/10
3 Rokmalia Muzakki 1975 17/03/10 T4 17/03/10
4 Nurhasanah Pardi 1973 17/03/10 T4 17/03/10
5 siti Komariyah Pardi 1986 17/03/10 T3 17/03/10 20/06/11
6 robiatul zaenuri 1990 17/03/10 T2 17/03/10
7 Rifati M zaenuri 1989 17/03/10 T2 17/03/10
8 Riba Indriana zaenuri 1986 17/03/10 T3 17/03/10 20/06/11
9 Mujiati Holek/Satimin 1975 17/03/10 T4 17/03/10
10 Sa*adah sarifullah 1982 17/03/10 T4 17/03/10
11 nurhasanah Jumari 1978 17/03/10 T4 17/03/10
12 Fadillah Muallim 1973 17/03/10 T3 17/03/10 20/06/11
13 Kasyati Misjo 1970 17/03/10 T3 17/03/10 20/06/11
14 Nanik 1970 17/03/10 T3 17/03/10 20/06/11
15 sofiyatun Mistrum 1970 17/03/10 T4 17/03/10
16 ririn Indah wati Nmuryanto 1975 17/03/10 T4 17/03/10
17 Ida Yana sunar 1987 17/03/10 T4 17/03/10
18 sriyantik sunar 1978 17/03/10 T4 17/03/10
19 Ruhma wati Kusyono 1974 17/03/10 T4 17/03/10
20 Suyatmina maryanto 1969 17/03/10 T4 17/03/10
21 Junaida Pardi 1975 17/03/10 T4 17/03/10
22 sun to 1970 17/03/10 T4 17/03/10
23 susi Rosidi 1976 17/03/10 T4 17/03/10
24 Kushasanah Rosidi 1980 17/03/10 T4 17/03/10
25 Hasanah Abd Aziz T3 20/06/11
25 JUMLAH T0 0 0 0 0 0 0 5 0 0 0 1 0
T1 0 0
T4 15 2 ADS 0,5 ML 6
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
NIP :
hamil
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Pipin Hadayani Nur Holek 1978 22/10/09 T4 20/06/11
2 Endang Suciati Sugiono 1970 17/06/10 T4 17/06/10
3 Kusmiati Ponaji 1970 22/10/09 T4 20/06/11
4 Mona Holili 1989 17/06/10 T4 17/06/10
5 Susiati Senaryo 1981 17/06/10 T4 17/06/10
6 Novita Putri W Yon 1990 17/06/10 T3 17/06/10 20/06/11
7 Indayani Jinten 1971 22/10/09 T3
8 Anik Umi Kulsum Supriono 1990 22/10/09 T4
9 Rofikoh Muhyi 1972 22/10/09 T4
10 Sariyem Suparji 1960 22/10/09 T5
11 Faikhotul H Moh Jupri 1980 22/10/09 T5
12 Jumiyah Suhanto 1971 22/10/09 T5
13 Sely Aprilia Moh Rifai 1993 22/10/09 T3 20/06/11
14 Sumiati Kani 1985 17/06/10 T4 17/06/10
15 Siti Halimah Supenur ( Ortu ) 1991 22/10/09 T3
16 Smarni Poniran 1972 22/10/09 T5
17 Siti Sumiati N Rohman 1992 17/06/10 T4 17/06/10
18 Misnah Matali 1965 22/10/09 T3 20/06/11
19 Leginah Mardianto 1970 17/06/10 T3 17/06/10
20 Yuyuk Mardianto ( Ortu ) 1995 22/10/09
21 Yuyun Mardianto ( Ortu ) 1991 22/10/09 T2
22 Jumini Suyono 1962 22/10/09 T3 20/06/11
23 Busiyah Tumiran 1968 22/10/09 T5
24 Muliati Yusuf Efendi 1987 22/10/09 T4
25 Subaidah Buang Pribadi 1976 22/10/09 T5
26 Anggraeni Buang Pribadi ( Ortu ) 1992 22/10/09 T2
27 Sunarseh Tohari 1981 22/10/09 T5
28 Kasminah Wakidi 1973 22/10/09 T5
29 Rista Wakidi ( Ortu ) 1995 22/10/09 T2
30 Sunariyah Buamin 1977 22/10/09 T5
31 Sulis Surono 1986 23/10/09 T4 20/06/11
32 Rina Su'ud 1980 17/06/10 T4 17/06/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 Wuliati Manar ( Ortu ) 1977 23/10/09 T5
34 Asmi Agus Salem 1962 23/10/09 T3
35 Sumi Marjuki 1979 23/10/09 T5
36 Fatimah Legiran 1980 17/06/10 T4 17/06/10
37 Sri Handayani Suyoto 1979 23/10/09 T5
38 Rusmini Muzaki 1980 17/06/10 T4 17/06/10
39 Satupa Ramli 1970 23/10/09 T5
40 Mistiyah Ponaji 1960 23/10/09 T5
41 Nining W Imron 1989 23/10/09 T4 20/06/11
42 Sari Misnoto 1970 23/10/09 T5
43 Novita Sari V Misnoto ( Ortu ) 1996 17/06/10 T2 17/06/10
44 Surati Sukadi 1961 23/10/09 T4
45 Amanah Mulyono 1984 17/06/10 T4 17/06/10
46 Yatini Buden 1965 23/10/09 T5
47 Sunama Saejo 1964 23/10/09 T5
48 Ikawati Suwarno 1991 17/06/10 T4 17/06/10
49 Sulasmi Siah ( Ortu ) 1980 23/10/09 T3 20/06/11
50 Suciati Suroso 1965 23/10/09 T5
51 Iswati Joko Lelano 1973 23/10/09 T5
52 Yuli Pustikasari Rudi P 1985 17/06/10 T4 17/06/10
53 Lisyaning Ridwan 1972 17/06/10 T4 17/06/10
54 Lailatul Badriyah Ridwan ( Ortu ) 1991 23/10/09 T3 20/06/11
55 Siti Azizah Roni 1979 23/10/09 T5
56 Susyati Busak 1979 17/06/10 T4 17/06/10
57 Siti Hamidah Mistari 1977 17/06/10 T4 17/06/10
58 Muktiyah Sugiyanto 1982 23/10/09 T4
59 Iawarni Kamidi 1968 23/10/09 T5
60 Tri Kurniawati Kamidi ( Ortu ) 1996 17/06/10 T2 17/06/10
61 Anik Fitria N Supriadi 1986 17/06/10 T3 17/06/10 20/06/11
62 Suhartini Hardi 1970 17/06/10 T4 17/06/10
63 Wahyuda Hardi ( Ortu ) 1990 23/10/09 T3
64 Hamdia Hardi ( Ortu ) 1996 23/10/09 T3
65 Suratemi Ningsih Sutamad 1963 23/10/09 T5
66 Ulfi Fatimah Sujinah ( Cucu ) 1994 23/10/09 T3
67 Maisaroh Burhan 1963 23/10/09 T5
68 Siti Komariah Sugito 1983 17/06/10 T4 17/06/10
69 Yuliatin Rusdi.M 1970 23/10/09 T5
70 Hopiyah Sukariadi 1970 23/10/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 Suparmi Roub 1966 23/10/09 T5
72 St Azizah Karsono 1977 17/06/10 T4 17/06/10
73 Wiwin Karyani Samin ( Ortu ) 1985 23/10/09 T3 20/06/11
74 St Hasanah Sutrisno 1970 23/10/09 T5
75 Mistahul H Santoso 1977 23/10/09 T5
76 Kustinah Sunarto 1964 17/06/10 T4 17/06/10
77 Sri Utami Martono 1962 17/06/10 T4 17/06/10
78 Martini Fathur Rohman 1979 24/10/09 T5
79 Isnaini Malek 1978 24/10/09 T5
80 Mujianah Paimin 1965 24/10/09 T5
81 Subakiyah Tasrip 1973 24/10/09 T5
82 Iin Supriatin Musdar 1984 17/06/10 T4 17/06/10
83 Nima Slamet 1964 24/10/09 T5
84 Ila Riani Wage ( Ortu ) 1993 24/10/09 T5
85 Sariani Mustadi 1965 24/10/09 T5
86 Mustinah Mustadi ( Ortu ) 1983 24/10/09 T5
87 Hermi Suyitno Hadi 1974 24/10/09 T5
88 Nurjanah Hartono 1970 24/10/09 T5
89 Hotimah Riyanto 1979 24/10/09 T5
90 Siti Aisah Safi'I 1988 24/10/09 T5
91 Surati Sunari 1970 22/10/09 T5
92 Yuniarti Sunari ( Ortu ) 1995 22/10/09 T2
93 Ngatemi Karli 1970 22/10/09 T5
94 Buni Men 1975 22/10/09 T5
95 Tatik 1988 22/10/09 T2 20/06/11
96 Fitri Men ( Ortu ) 1993 22/10/09 T2 20/06/11
97 Sriani Maskuri 1974 22/10/09 T5
98 Anis Purwoto 1963 22/10/09 T5
99 Hartatik M.Tajudin 1975 22/10/09 T5
100 Tuminah Soleh 1960 22/10/09 T5
101 Sutiyem Surahmad 1965 22/10/09 T5
102 Sugima Slamin 1988 17/06/10 T4 17/06/10
103 Asmani Suhep 1970 22/10/09 T5
104 Marsia Masum 1970 22/10/09 T5
105 Sukarti Gimin 1955 22/10/09
106 Supriyatun Sugeng 22/10/09
107 Maisaroh 1968 22/10/09 T5
108 Rini Juhalia 1990 22/10/09 T2
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 Sulastri 1954 22/10/09 T1
110 Susiati Dul Najib 1982 17/06/10 T4 17/06/10
111 Haitin Saidi 1960 22/10/09
112 Jami Suliman 1953 22/10/09
113 Supriyadi 1970 17/06/10 T4 17/06/10
114 Alfiah Suparto 1973 22/10/09 T5
115 Jasmi Nidin 1957 22/10/09
116 Susila Priyo Sudarso 1969 22/10/09 T5
117 Sukarsih Sumarto 1957 22/10/09
118 Selami Muatab 1953 22/10/09
119 Siswati Suraji 1970 22/10/09 T5
120 Siska Budi Utami Suraji 1996 22/10/09 T3 20/06/11
121 Kusiati Kusnan 1985 17/06/10 T4 17/06/10
122 Yuliani Masyudan 1973 17/06/10 T4 17/06/10
123 Soni Bambang 1986 22/10/09 T4 20/06/11
124 Endang M Yusuf 1986 17/06/10 T4 17/06/10
125 Yatim Bunar 1967 22/10/09 T5
126 Heni Nur Arifah 1992 17/06/10 T2 17/06/10
127 Poniyem Usman 1974 22/10/09 T5
128 Winda Wati Usman 1993 17/06/10 T2 17/06/10 20/06/11
129 Lasmi Suwoto 1973 22/10/09 T5
130 Lia Imamaulia Suwoto 1998 22/10/09 T2
131 Sami Kasim 1967 22/10/09 T5
132 Buami Lutfiatur 1984 17/06/10 T4 17/06/10
133 Sutia Samin ( Ortu ) 1973 22/10/09 T5
134 Nur Handayani Wardiono 1990 22/10/09 T2
135 Sunaini Wardiono 1994 22/10/09 T2
136 Susiati Paimin 1973 17/06/10 T4 17/06/10
137 Holisah Paimin 1994 22/10/09 T2
138 Yatima Kardi 1967 22/10/09 T5
139 Doria Sucip 1968 22/10/09 T5
140 St.Aminah Admad Mustain 1986 22/10/09 T4
141 Holip Suberi 1983 22/10/09 T4
142 St.Naisa Ahmad Basoni 1978 22/10/09 T5
143 Riski Fatihatul M Ahmad Basoni 1996 22/10/09 T2
144 Sri Agustin Saturi 1978 22/10/09 T5
145 Rifatul Munawaroh Saturi 1995 22/10/09 T2
146 Yuni Wulandari Erfan Yuni A 1991 17/06/10 T3 17/06/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
147 Komsatun Buhari 1980 22/10/09 T4
148 Ika Tri Pangestuning T Setyo Wahyudi Sp 1983 22/10/09 T4
149 Solehati Ahmad Buhasim 1985 22/10/09 T4
150 St.Holipah Wardoyo Mulyo 1984 22/10/09 T4
151 Supratun 1973 22/10/09 T5
152 St.Nurjiati Moh.Haderi 1992 22/10/09 T3
153 Painem Ponidi 1973 22/10/09 T5
154 Atim Firguyunita Edi Sugianto 1990 22/10/09 T3
155 Muryani Gimin 1980 22/10/09 T4 20/06/11
156 1978 22/10/09 T5
157 St.Holipah Sanudin 1981 22/10/09 T5
158 Supiati Begiman 1965 22/10/09 T5
159 Manisa Imam Basri 1974 22/10/09 T5
160 Soleha Bunali 1968 22/10/09 T5
161 Rikse Bunali 1990 22/10/09 T4
162 Sudarmiasih Jumali 1980 17/06/10 T4 17/06/10
163 St.Rokayah Ngasri 1985 22/10/09 T5
164 Sumarti Suhar 1968 22/10/09 T5
165 Sutinah Jayus 1967 17/06/10 T4 17/06/10
166 Alfiatul Rofiah Saeho 1983 17/06/10 T4 17/06/10
167 Masriya Neman Bintoro 1976 22/10/09 T5
168 Romsiah Ahmad 1976 22/10/09 T5
169 Rastiwi Pujayanti Ahmad 1991 22/10/09 T4
170 Makrufah Hidayat Santoso 1973 17/06/10 T4 17/06/10
171 Hofifatul Umah Hidayat Santoso 1990 22/10/09 T4
172 Tri Andi Paminta Fransiska Erik 1985 22/10/09 T4 20/06/11
173 St.Musayyanihi Muhtar 1991 22/10/09 T4
174 Endang Sulihartatik Hardianto 1978 17/06/10 T4 17/06/10
175 Maisaroh Ahmad 1973 17/06/10 T4 17/06/10
176 Nur Azizah Ahmad 1989 22/10/09 T5
177 Yunisia Nurdzairina Lutfi Bungsuh Saputra 1982 17/06/10 T4 17/06/10
178 Tutik Dadang 1976 22/10/09 T5
179 Erwinda Begiman 1983 22/10/09 T4 20/06/11
180 Heni Kusmawati Purwanto 1973 17/06/10 T4 17/06/10
181 Purwati Saat 1982 22/10/09 T3
182 Nina Indriani Saat 1990 22/10/09 T2
183 Misyati Parmn 1970 22/10/09 T4 20/06/11
184 Ririn Agus 1983 22/10/09 T4
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
185 Wiwik Sartka Maryadi 1989 17/06/10 T4 17/06/10
186 Munasri Toha 1973 22/10/09 T5
187 Genia Toha 1996 22/10/09 T2
188 Ulid Sarmin 1985 22/10/09 T2
189 Subaidah Sarmin 1989 22/10/09 T2
190 Sit Saiful 1978 22/10/09 T5
191 Kiptiyah Slamet 1978 17/06/10 T4 17/06/10
192 Amyati Ponimin 1983 22/10/09 T5
193 Rahayu Ekawati Roni Wahyudi 1977 22/10/09 T5
194 Lilik Parlita Raju 1965 22/10/09 T5
195 Sriati Ahmad Basori 1982 17/06/10 T3 17/06/10
196 Mariam Jumin 1994 22/10/09 T2 20/06/11
197 Sani Slamet 1968 22/10/09 T5
198 Ponijem Basori 1971 22/10/09 T5
199 Mega Wartini Heri Mistar 1980 22/10/09 T4
200 Rohani Saleh 1960 22/10/09
201 Isnawati Ahmad Suyono 1988 22/10/09 T5
202 Kiptiyah Ahmad Saeho 1971 17/06/10 T4 17/06/10
203 Farida Ahmad Saeho 1973 22/10/09 T5
204 Anita Eko Kurnia Ahmad Saeho 1980 22/10/09 T2
205 Musfikoh Winarso 1969 22/10/09 T5
206 Junaidah Sajar 1973 22/10/09 T5
207 Misnah Holil 1970 22/10/09 T5
208 St.Holida Holil 1986 22/10/09 T2
209 Nurul Holil 1972 22/10/09 T5
210 Hasanah Siswanto 1972 17/06/10 T3 17/06/10 20/06/11
211 Suwita Mandasari Ismail 1992 22/10/09 T4
212 Yunaningsih Busari 1982 17/06/10 T4 17/06/10
213 Misnati Sutikno 1978 22/10/09 T5
214 Siti Romlah Abd.Karim 1966 22/10/09 T5
215 Bahrotin Edy Santoso 1971 22/10/09 T5
216 Rusmiati Hafid 1972 22/10/09 T5
217 Toyi Batul Munawaroh Hafid 1996 22/10/09 T2 20/06/11
218 Siti Hotimah 1964 22/10/09 T5
219 Anita 1980 22/10/09 T4 20/06/11
220 Musdolifah Romli 1984 22/10/09 T5
221 Sunarti Romli 1986 17/06/10 T3 17/06/10
222 Soleha Samhadi 1967 22/10/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
223 Faikotul Hikmah 1986 22/10/09 T3
224 Dina Puspasari 1995 22/10/09 T3
225 Siti Romlah Alwi 1966 22/10/09 T5
226 Ika Jaelani 17/06/10 T4 17/06/10
227 Salehatul Janah 22/10/09 T4
228 Reva Holip M 22/10/09 T3
229 Juriyah 22/10/09 T5
230 Lutfianingsih 22/10/09 T5
231 Almutamima 17/06/10 T4 17/06/10
232 Siti Marfu'ah 22/10/09 T5
233 Wardatul Hasanah 22/10/09 T2
234 Uswatun 22/10/09 T4
235 Muhlishotin 22/10/09 T5
236 Wartiningsih Imam Junaidi 22/10/09 T5
237 Umihanik Farij Alwi 17/06/10 T3 17/06/10
238 Nursiyatin Imam Baihaki 22/10/09 T5
239 Nur Umamah A Imam Baihaki 22/10/09 T2
240 Endang Rudi Haryono 17/06/10 T3 17/06/10
241 Ngatiyem Abd.Aziz 1965 22/11/09 T5
242 Siti Hotimah Abd.Aziz 1988 22/11/09 T2
243 St.Muarifah Abd.Aziz 1991 22/11/09 T2
244 Wahyuni 1977 22/11/09 T5
245 Sutik Nur Hasan 1965 22/11/09 T5
246 Ida Sri Wahyuningsih Nur Hasan 1997 22/11/09 T2
247 Sri Wahyuningsih Sanhaji 1977 22/11/09 T5
248 Anita Sabila H Sonhaji 1994 22/11/09 T2
249 Mina Su 1968 22/11/09 T3
250 Mustina Jumai 1978 22/11/09 T5
251 Eli Puspita Samin 1983 22/11/09 T2
252 Iin Rusdi 1988 17/06/10 T4 17/06/10
253 Susiana Puguh Wijanarko 1969 22/11/09 T5
254 St.Fatimah Suyetno 1983 22/11/09 T4 20/06/11
255 Maleha Soleh 1968 22/11/09 T5
256 Fitri Soleh 1993 22/11/09 T2
257 Titin Iwan 1984 22/11/09 T4
258 Subaidah Sofyan adi Sucipto 1972 22/11/09 T5
259 Ima Sofiana Sofyan 1992 22/11/09 T2
260 St.Zaenab Sutrisno 1982 22/11/09 T4
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
261 As tutik Samsul Arifin 1979 22/11/09 T4
262 Heni Holil 1981 22/11/09 T5
263 Warsini Karyono 1973 22/11/09 T5
264 Winda Herawati Karyono 1995 22/11/09 T2
265 Kusnaini Kader 1976 22/11/09 T5
266 Homsatun Miakaden 1991 22/11/09 T2
267 Halimatus Sakdiya Rohmad 1969 22/11/09 T2
268 Hanifa Rohmad 1993 22/11/09 T2
269 Tukini Sajiono 1974 22/11/09 T5
270 Anis Ariman 1977 22/11/09 T5
271 Kustinah Abdur Rohid 1976 24/10/09 T5
272 Juwariyah Sofyan 1967 24/10/09 T5
273 Wahyu Ningsih Sofyan 1995 24/10/09 T2
274 Muslimah Taufikurrohman 1984 17/06/10 T4 17/06/10
275 St.Aminah Saihullah 1973 24/10/09 T5
276 Saniti Samsuri 1968 24/10/09 T5
277 Sutia Yahya 1965 24/10/09 T5
278 St.Rukmiati Yahya 1995 24/10/09 T2
279 St.Rowiyah Jarno 1973 17/06/10 T4 17/06/10
280 Ririn Sulastri Supriyanto 1986 24/10/09 T4
281 Mutmaina Mahmudin 1977 17/06/10 T4 17/06/10
282 Hotimah Musli 1989 24/10/09 T5
283 Juriya Fathor 1985 17/06/10 T3 17/06/10
284 Saminah Slamet 1968 24/10/09 T5
285 Misnaya Mustkim 1979 24/10/09 T5
286 Paena Budi Cahyono 1965 22/11/09 T5
287 Halima Dasono 1983 22/11/09 T5
288 Sahati Misdi 1985 22/11/09 T5
289 Suparno Sahani 1987 22/11/09 T3 20/06/11
290 Ifati Rohmat 1985 22/11/09 T5
291 Nanif Muslima Salamin 1989 22/11/09 T4
292 Asma Mustakim 1975 22/11/09 T5
293 Evi Fatmawati Mustakim 1996 22/11/09 T2
294 Masirah Ngatemin 1982 22/11/09 T4
295 Suila Sainullah 1980 22/11/09 T5
296 Tutik Miski 1990 22/11/09 T2 20/06/11
297 Ida Saturi 1977 22/11/09 T3 20/06/11
298 Sriani Panji Iwayan Dani 1980 22/11/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
299 Susiati Moh.Sali 1969 17/06/10 T4 17/06/10
300 Saripa Sugiyanto 1986 22/11/09 T4
301 Sariyah Solihin 1973 22/11/09 T5
302 Marsini Poniman 1967 22/11/09 T5
303 St.Rohema Poniman 1994 22/11/09 T2
304 St.Mujiana Sugianto 1983 17/06/10 T4 17/06/10
305 Kamilia Ismail 1969 22/11/09 T5
306 Rokaya Moh.Holili R 1977 22/11/09 T5
307 St.Malini Sarmin 1976 17/06/10 T4 17/06/10
308 Sumiyati Nito 1984 22/11/09 T5
309 Alfiah Naiman 1984 22/11/09 T5
310 Muina Muh Alim 1977 22/11/09 T5
311 Subatin Nadi 1970 22/11/09 T5
312 Nani Nadi 1992 22/11/09 T2
313 Asmina Sunito 1967 22/11/09 T5
314 Juriyah Sunito 1990 22/11/09 T2
315 Arbaiya Sunito 1995 22/11/09 T2
316 Manisa Samsuri 1966 22/11/09 T5
317 Sutrini Misran 1984 22/11/09 T4
318 Wining M Hanafi 1986 22/11/09 T5
319 Buni Jupri 1965 22/11/09 T5
320 Soleha Jupri 1995 22/11/09 T2
321 Misiyah Rusdi 1976 22/11/09 T5
322 St.Maryama Rusdi 1992 22/11/09 T2
323 Mistiya Ach.Busari 1968 22/11/09 T5
324 St.Nur Hanifah Ach.Busari 1990 22/11/09 T2
325 Sunariyati Simon 1969 22/11/09 T4
326 Samsia Simon 1995 22/11/09 T2 20/06/11
327 Diana Natib 1997 22/11/09 T2 20/06/11
328 Samina Suarno 1965 22/11/09 T3
329 Sulastri Suarno 1990 22/11/09 T2
330 Suillah Burawi 1972 22/11/09 T5
331 St.Hamida Burawi 1995 22/11/09 T2
332 Umi Siatun Hayat 1989 17/06/10 T4 17/06/10
333 Mina Sagiman 1964 22/11/09 T5
334 Zehroh Sihmet Riyadi 1990 22/11/09 T3 20/06/11
335 Istiana Ahmadi 1984 22/11/09 T4
336 Astini Urip Ahmad Roto 1984 22/11/09 T4
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
337 Manisa Arjo 1965 22/11/09 T3
338 Ida Sarijo 1980 22/11/09 T4
339 Sahati Matrosi 1977 22/11/09 T5
340 Silviati Matrosi 1995 22/11/09 T2 20/06/11
341 Tolak Monir 1976 22/11/09 T5
342 Samia Marisan 1961 17/06/10 T3 17/06/10
343 St.Fatimah Muhamad 1984 22/11/09 T4 20/06/11
344 St.Halifa Marto 1970 22/11/09 T5
345 Ewit Marto 1994 22/11/09 T2
346 Bunama Suraji 1966 22/11/09 T5
347 Musripah Abdulsalam 1968 22/11/09 T5
348 St.Komariyah Abdul Basid 1982 22/11/09 T4
349 Samina Samin 1973 22/11/09 T5
350 Yuliati Jumari 1980 17/06/10 T2 17/06/10
351 Titik Jumari 1991 17/06/10 T2 17/06/10
352 Kotimah Yatim 1980 22/11/09 T5
353 Wagina Sunarto 1978 22/11/09 T5
354 St.Holipah Paing 1973 22/11/09 T5
355 Saniti Sukar 1972 22/11/09 T5
356 St.Hanifah Rudi 1992 22/11/09 T2
357 Nasiatul Munawaroh Sutono 1986 22/11/09 T4 20/06/11
358 Sari'ah Matasan 1965 22/11/09 T5
359 Ririn.Puspitasari Muatib 1987 22/11/09 T4
360 Mania Ahmad Muklis 1989 22/11/09 T4
361 Nasiha Saman Hudi 1975 22/11/09 T5
362 Puput Setyowati Saman Hudi 1997 17/06/10 T2 17/06/10
363 Ima Toyyib 1992 22/11/09 T4
364 Musliha Sarmanto 1972 22/11/09 T3
365 St.Irwanti Sarmanto 1992 22/11/09 T2
366 St.Aminah Raimo 1975 17/06/10 T4 17/06/10
367 Nurul Hikmatul Raimo 1995 22/11/09 T2
368 Jumaati Wahed 1973 22/11/09 T5
369 Tutik Wahed 1989 22/11/09 T2 20/06/11
370 Eli Wahed 1993 22/11/09 T2
371 Sofiatun Abd.Basir 1969 22/11/09 T4 20/06/11
372 Eliya Sofiana Abd.Basir 1993 22/11/09 T2 20/06/11
373 Minanti Sutejo 1965 22/11/09 T3
374 Hakima Mistono 1971 22/11/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
375 Ita Pujiastutik Mistono 1996 22/11/09 T2
376 Yani Tohed 1989 22/11/09 T4
377 Begimah Sudianto 1973 22/11/09 T5
378 Sumarmi Abd.Mu'in 1979 22/11/09 T5
379 Indah Ningtyas Abd.Mu'in 1996 22/11/09 T2
380 Ngatini Rokip 1987 22/11/09 T5
381 Tomina Herul 1985 22/11/09 T5
382 Holifa Abd.Hafidz 1971 22/11/09 T5
383 Vivi N Abd.Mofidz 1994 22/11/09 T2
384 Sutinah Suyitno 1969 17/06/10 T3 17/06/10
385 Mahmi Suparno 1969 17/06/10 T3 17/06/10
386 Nurhayati Sutrisno 1970 22/11/09 T5
387 Fitrotul Jamil Suprianto 1978 22/11/09 T5
388 St Mardiyah Jasuli 1970 22/11/09 T5
389 St.Asiyah Lasno 1967 22/11/09 T5
390 Sutri Anik Juki 1982 22/11/09 T5
391 Marfuk Lasno 1971 22/11/09 T5
392 St.Fatilah Juki 1976 22/11/09 T5
393 St.Rohmatun Supardi 1973 22/11/09 T5
394 Suana Suherman 22/11/09 T5
395 St.Holila 1986 17/06/10 T4 17/06/10
396 Riski Ayu 1992 22/11/09 T2
397 Amsyiah Tukinem 1978 22/11/09 T5
398 St.Muslikah Anwari 1976 22/11/09 T5
399 Kustiyem Kusnan 1983 22/11/09 T5
400 Waginem Moh.Solihin 1980 22/11/09 T5
401 Hartatik Saeri 1973 22/11/09 T5
402 Juhariah 1975 22/11/09 T5
403 Maisaroh Bukari 1971 22/11/09 T5
404 Sri Rahayu Satem 1979 22/11/09 T3
405 Ngatirah Kusiban 1973 22/11/09 T5
406 St Munawaroh Sakdiyah 1988 22/11/09 T5
407 Samia Ah Ali Sodikin 1975 17/06/10 T4 17/06/10
408 St Solehati Amam Hanafi 1987 22/11/09 T5
409 Umi Hanik Misri / Anak 1983 17/06/10 T2 17/06/10
410 St Nuraini Misri / Anak 1994 22/11/09 T2
411 Edi Purwanto 22/11/09
412 Nurul Pujiastutik 22/11/09
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
413 St Khotijah Kliwon Sudarman 1974 22/11/09 T5
414 Nurhayati St Maryam / Anak 1992 22/11/09 T2
415 HArtatik Moh Muhtar 1977 22/11/09 T5
416 Holilatul Munawaroh Moh Muhtar / Anak 1995 22/11/09 T2
417 Yuliatin Seniman 1978 22/11/09 T5
418 St Holisah Imam Syafi'I 1987 22/11/09 T5
419 Hani Sumandri 1982 22/11/09 T5
420 Dahriya Mursidi 1975 22/11/09 T5
421 Linda Sari Mursidi / Anak 1993 22/11/09 T2
422 Sumiati Rudi Mangsur 1987 17/06/10 T4 17/06/10
423 St Subaeda Brahem 1990 22/11/09 T3
424 Hosaima Saifudin 1980 22/11/09 T3
425 Mulyati Supono 1978 22/11/09 T5
426 Wahyuda Romly 1987 22/11/09 T4 20/06/11
427 Subariyah Hafit 1965 22/11/09 T5
428 St ur Kumala Hafit / Anak 1983 22/11/09 T3
429 Noerasia Soepaeri 1969 22/11/09 T5
430 Sumiatun Moh Yasin 1980 22/11/09 T4
431 St Holifah Junaidi 1986 22/11/09 T5
432 Aminah Sag Moh Saheri Ik 1970 17/06/10 T4 17/06/10
433 Sumiati M.Ali Usman M 22/11/09
434 Alfiah Moden 1973 22/11/09 T5
435 Istikomah Moden / Anak 1993 22/11/09 T2 20/06/11
436 Patimah Nyaiman 1973 22/11/09 T5
437 Maimunah Dolal 1968 22/11/09 T5
438 Sulmila Abdula 1983 22/11/09 T4 20/06/11
439 Hlipah Jaelani 1983 22/11/09 T4 20/06/11
440 Halimah Heri 1973 22/11/09 T4
441 Erna 1986 22/11/09 T5
442 Nipa Misraw 1978 22/11/09 T5
443 Iin Rusdi 1988 17/06/10 T3 17/06/10 20/06/11
444 Nasia Husnul Kotimah Mujiono 1973 22/11/09 T5
445 Yeni Mujiono / Anak 1991 17/06/10 T2 17/06/10
446 Novi Mujiono / Anak 1997 22/11/09 T2
447 Asmi Asno 1971 22/11/09 T5
448 Buyati Asno / Anak 1969 22/11/09 T5
449 Niswati Ahmat 1982 22/11/09 T5
450 Sayati Slamet 1978 17/06/10 T3 17/06/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
451 St Daryati B Niwe / Anak 1995 22/11/09 T2
452 Ngasiem Toari 1973 22/11/09 T5
453 Murati Toari /Anak 1991 22/11/09 T2
454 Sumirah Tosen 1965 22/11/09 T5
455 Hartini Mulyono 1976 22/11/09 T5
456 Rani Mulyono / Anak 1996 22/11/09 T2
457 Satumi Niman 1967 22/11/09 T5
458 St Holisah Dul Aziz 22/11/09 T5
459 Liha Saryo 1968 22/11/09 T5
460 Holipah Sarjo / Anak 1992 22/11/09 T2
461 Tumiyati 1977 22/11/09 T5
462 Jumaiyah Ari 1968 22/11/09 T5
463 Soleha Parjo 22/11/09
464 Nana Bunar 1983 22/11/09 T4
465 Juariyah Sodik 1976 22/11/09 T5
466 Ika Sodik / Anak 1987 22/11/09 T2
467 Neneng 1996 22/11/09 T2
468 Samilah Ali 1981 22/11/09 T4
469 Lia Ali / Ank 1993 22/11/09 T2
470 Nanik Paimin 1979 22/11/09 T5
471 Wiwit Wijiati Samsul Arifin 1976 22/11/09 T5
472 Nasriah Sutris 1980 17/06/10 T4 17/06/10
473 Rodiyah Sutris / Anak 1992 22/11/09 T2 20/06/11
474 Jumaati Moh Rohim 1975 22/11/09 T5
475 St Mahtuna M.Rohim / Anak 1996 22/11/09 T2
476 Mulyani Ali Taufik 1989 17/06/10 T4 17/06/10
477 Supiyati Buri 1970 22/11/09 T5
478 Faridatul Buri / Anak 1997 22/11/09 T2
479 Junaidah Sajar 1973 22/11/09 T5
479 JUMLAH T0 0 0 0 0 12 11 21 0 0 0 0 0
T1 1 0
T4 113 2 ADS 0,5 ML 44
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
NIP :
hamil
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Sumarti Arisuwandi 25/09/65 15/11/10
2 Kusmiatiningsih Sukiman 12/09/68 15/11/10 T5
3 Misripah Sa'i Farid 01/03/64 15/11/10 T4
4 Riatun Nawir 20/04/77 21/06/10 T4 21/06/10
5 Umi Hidayat Sugiantoro 06/12/85 21/06/10 T4 21/06/10
6 Luluk Wahyono 07/12/85 21/06/10 T4 21/06/10
7 Dina R. Sudi 26/06/86 21/06/10 T4 21/06/10
8 Riska Dofir 02/12/86 21/06/10 T4 21/06/10
9 Holisa Junaidi 09/09/85 15/11/10 T4
10 Kasiati Juari 20/03/85 21/06/10 T4 21/06/10
11 Asti Ponidi 29/06/78 15/11/10 T4
12 Siti S. Samsul 03/11/85 21/06/10 T4 21/06/10
13 Elis Paijo 07/12/87 15/11/10 T4
14 Wigiati Abdul Rofi 15/09/87 15/11/10 T4
15 Fadila Heri 17/07/87 15/11/10 T4
16 Winarsih Khoirul 26/10/86 21/06/10 T4 21/06/10
17 Fitria A. Jaeni 01/01/84 21/06/10 T4 21/06/10
18 Fitria Aziz 09/07/85 21/06/10 T4 21/06/10
19 Kusiati Kusnan 10/02/75 15/11/10 T5
20 Yuliasih Heri 10/02/80 15/11/10 T5
21 Indah C. Arisuwandi 10/10/92 15/11/10 T2 20/07/11
22 Jumiati Ahmad 11/04/78 15/11/10 T5
23 Sofia Edi 17/06/85 21/06/10 T4 21/06/10
24 Holifa Tonari 07/07/68 15/11/10 T5
25 Tutik Sofyan 06/01/83 15/11/10 T5
26 Suariyah Dardiri 14/01/75 15/11/10 T5
27 Irma Urip 04/10/88 21/06/10 T4 21/06/10
28 Susiati Agus 08/12/79 15/11/10 T5
29 Sri Yuni Edi 22/11/79 15/11/10 T5
30 Ita Sunaryo 13/06/88 21/06/10 T4 21/06/10
31 Lilis Sofia Nanang W. 03/07/84 21/06/10 T4
32 Insiyah Rusdiyanto 13/10/83 15/11/10 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 Khotijah M. Arifin 19/06/82 15/11/10 T5
34 Wakik Jupri 11/12/78 15/11/10 T5
35 Hindun Supriyanto 06/01/75 15/11/10 T5
36 Paijah Munabi 01/07/63 15/11/10 T5
37 Juwariyah Rudik 02/05/82 21/06/10 T4 21/06/10
38 Maimunawaroh Wagiono 20/06/91 21/06/10 T4 21/06/10
39 Aini Fitriyah Nur Ali 15/06/85 15/11/10 T4
40 Misnati Abdullah 08/12/80 15/11/10 T5
41 Novi Budi 20/03/82 21/06/10 T4 21/06/10
42 Muryati Suradi 12/07/65 15/11/10 T5
43 Misyati Sunairi 10/08/80 15/11/10 T5
44 Umiasih 18/01/74 15/11/10 T2
45 Ngatemi Dollah 21/09/67 15/11/10 T3 20/07/11
46 Suryani Saryanto 19/08/86 21/06/10 T4 21/06/10
47 Fatimah Agus 07/02/86 21/06/10 T4 21/06/10
48 Sarikah Salam 05/11/76 15/11/10 T5
49 Indayati Agus 13/05/82 15/11/10 T4 20/07/11
50 Butik Ponidi 15/05/81 15/11/10 T4
51 Ririn Purwanto 04/03/81 15/11/10 T4
52 Supiyah Supai 05/06/65 21/06/10 T4 21/06/10
53 Wiwik Supriyanto 25/04/78 21/06/10 T4 21/06/10
54 Yuliatin Ahmadi 25/09/79 15/11/10 T5
55 Suyati Sunarto 20/08/73 21/06/10 T4 21/06/10
56 Siska Didik 10/06/81 21/06/10 T4 21/06/10
57 Serli Didik 08/05/93 15/11/10 T2
58 Anggi Sa'i Farid 31/05/93 15/11/10 T2
59 Maryati Suryadi 10/08/79 15/11/10 T4
60 Samsiah Hariyono 04/06/82 15/11/10 T5
61 Mai Bario 06/08/65 21/06/10 T4 21/06/10
62 Asmawati Samsul 04/05/81 21/06/10 T4 21/06/10
63 Sugiartik M. Tohir 16/07/75 15/11/10 T5
64 Fatimah Fathan 14/07/83 21/06/10 T4 21/06/10
65 Fatimah Bunari 16/07/75 21/06/10 T4 21/06/10
66 Lutfia Suprowi 19/11/85 21/06/10 T4 21/06/10
67 Farida Ahyar 11/06/79 15/11/10 T4
68 Sumadah Pandi 03/10/70 15/11/10 T5
69 Wartik Suroso 09/02/78 15/11/10 T5
70 Yuriyatin Asis 06/03/83 15/11/10 T4
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 Juwariyah Supriadi 15/11/10 T4
72 Farida Adim 15/03/79 15/11/10 T5
73 Ningsih Bibit 08/11/92 21/06/10 T4 21/06/10
74 Yanti Riyadin 25/08/82 15/11/10 T5
75 Novi Asroh 06/07/84 21/06/10 T4 21/06/10
76 Wagik JUpri 11/12/78 21/06/10 T4 21/06/10
77 Hotimah Slamet 24/10/72 15/11/10 T5
78 Tumini Mursid 15/06/83 15/11/10 T4
79 Muryati Supandi 07/07/78 15/11/10 T5
80 Mariah Buhan 19/04/69 15/11/10 T4
81 Sunarti Suyitno 18/10/79 15/11/10 T3 20/07/11
82 Hosiah Marto 19/11/81 15/11/10 T4 20/07/11
83 Suliana Saeful 11/08/87 21/06/10 T4 21/06/10
84 Holipah Suwarno 12/08/75 21/06/10 T4 21/06/10
85 santi Muji 27/09/78 21/06/10 T4 21/06/10
86 Asmawati Dulafi 13/09/73 21/06/10 T4 21/06/10
87 Supiyah Sawir 08/07/73 21/06/10 T4 21/06/10
88 Sumiati A. Felani 07/02/89 15/11/10 T4 20/07/11
89 Saropah Ahmad B. 10/07/70 21/06/10 T4 21/06/10
90 Yuli Ponidi 18/12/70 15/11/10 T5
91 Hartatik hartono 22/12/82 21/06/10 T4 21/06/10
92 Sumarmi 12/07/66 21/06/10 T3 21/06/10 20/07/11
93 Sriyani Jumari 04/07/73 21/06/10 T4 21/06/10
94 Nining Silihin 04/02/81 15/11/10 T5
95 Suminten Hamid 07/06/72 21/06/10 T4 21/06/10
96 Ponati Suyitno 01/07/65 15/11/10 T4
97 Lilik Sundari Soleh 16/05/76 15/11/10 T4 20/07/11
98 Rohmawati Sugianto 28/10/89 21/06/10 T4 21/06/10
99 Enik Tobat 09/09/87 15/11/10 T4 20/07/11
100 Nuraini Tunut 07/06/80 21/06/10 T4 21/06/10
101 Sutik Solihin 27/07/82 15/11/10 T4 20/07/11
102 Ipuk Anjarsari Suyitno 05/04/89 15/11/10 T4 20/07/11
103 Sulastri Soleman 17/02/83 15/11/10 T5
104 Purwati Ahmad 07/04/82 15/11/10 T4 20/07/11
105 Poniyem Durahman 20/07/72 21/06/10 T4 21/06/10
106 Waginah Rais 19/10/74 16/11/09 T5
107 Fitriyah Sidik 07/07/82 16/11/09 T4
108 Rukmiati Suwadi 27/07/63 21/06/10 T3 21/06/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 Fatimah Rudik 16/07/86 16/11/09 T4
110 Siti Jahro 16/06/73 16/11/09 T5
111 Maniah Sagiman 21/10/60 16/11/09
112 Suci Suparto 15/04/63 21/06/10 T4 21/06/10
113 Ninik Ahmad B. 01/07/78 21/06/10 T4 21/06/10
114 Utami Nur 16/07/85 16/11/09 T4
115 Wagiyem Samin 03/06/62 16/11/09
116 Samiatun Yudi 13/06/90 21/06/10 T4 21/06/10
117 Sri Wahyuni Lehan 27/07/82 16/11/09 T4
118 Kiptiyah Kumpol 05/10/60 16/11/09 T5
119 Jumaiyah Suwaji 12/08/75 21/06/10 T4 21/06/10
120 HJ. Sumiati H. Suwandi 08/04/63 16/11/09 T5
121 Anisah Poniman 15/03/79 16/11/09 T4 20/07/11
122 Sri Hamidah Lamyono 12/05/75 21/06/10 T4 21/06/10
123 Supiyah Bilal 07/05/63 16/11/09 T3 20/07/11
124 Meta 10/05/83 16/11/09 T3
125 Holipah Ali 06/08/79 16/11/09 T4
126 Misri Nabi 10/11/82 21/06/10 T2 21/06/10 20/07/11
127 Siti Mualim 22/10/67 16/11/09 T2 20/07/11
128 Urip Mantono 06/03/63 16/11/09 T5
129 Siti S. Saifudin 06/12/64 16/11/09 T5
130 Fela Saifudin 02/07/91 16/11/09 T2
131 Maisaroh Abd. Bahri 05/12/62 21/06/10 T2 21/06/10
132 Asiah Sukadi 17/11/64 21/06/10 T4 21/06/10
133 Nurimamah Marton 11/07/80 21/06/10 T4 21/06/10
134 Hotijah Yusuf 21/04/84 16/11/09 T4
135 Parilah Asro 18/09/65 21/06/10 T4 21/06/10
136 Sumiati Arip 09/04/86 17/11/09 T2
137 Muntama Supandi 07/12/66 21/06/10 T4 21/06/10
138 Marida Senidin 18/12/76 21/06/10 T4 21/06/10
139 Hovi Senidin 10/06/94 17/11/09 T2
140 Surip Buhari 19/11/60 17/11/09
141 Kiki Buhari 13/12/94 17/11/09 T2
142 Martini Arip 15/05/80 21/06/10 T4 21/06/10
143 sumiati Sianto 28/02/77 21/06/10 T4 21/06/10
144 Insiah Jaini 12/03/77 21/06/10 T4 21/06/10
145 Musidah Miskan 01/07/68 17/11/09 T5
146 Lasminem Saniman 01/07/60 21/06/10 T2 21/06/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
147 Suwarni Saniman 23/05/91 17/11/09 T2
148 Yayuk Erwin 17/09/80 17/11/09 T4
149 Titik Suroso 18/05/83 21/06/10 T4 21/06/10
150 Nanik Sukiman 14/02/75 17/11/09 T5
151 Suwarni Suramin 21/02/67 21/06/10 T4 21/06/10
152 Lutfiah Bambang 18/02/79 21/06/10 T4 21/06/10
153 Endang A. Jarwidi 17/11/09 T5
154 Ratna A.Jarwidi 04/06/92 21/06/10 T2 21/06/10
155 Sunari Sarodin 03/06/74 17/11/09 T2 20/07/11
156 Suminah Mujiono 09/11/65 17/11/09 T5
157 Maryani Sabar 08/12/70 17/11/09 T5
158 Siti Halimah Mistari 01/05/75 17/11/09 T4 20/07/11
159 Paenem Endin 01/08/74 17/11/09 T5
160 Fatimah Suradi 01/07/72 17/11/09 T5
161 Salma Ini 14/07/84 17/11/09 T4
162 Sumini Asman 04/08/70 17/11/09 T4 20/07/11
163 Mujayanah Heriyanto 17/04/82 17/11/09 T5
164 Musiana mustamal 07/12/65 17/11/09 T2 20/07/11
165 Jamilah Ahmadi 12/05/70 21/06/10 T4 21/06/10
166 Sawati Sudi 15/06/78 17/11/09 T5
167 Tatik Misyadi 06/06/80 21/06/10 T4 21/06/10
168 Hayati Liwon 30/10/72 17/11/09 T5
169 Insiyah Usman 08/06/65 17/11/09 T4
170 Sumilah Sugeng 10/06/60 17/11/09 T5
171 Sunartik Solehudin 22/08/69 17/11/09 T5
172 Susiati Latif 08/02/73 21/06/10 T4 21/06/10
173 Arwati Seniman 16/04/64 17/11/09 T5
174 Intan Seniman 10/11/97 17/11/09 T2
175 Wulan Seniman 11/09/89 17/11/09 T2
176 Komariyah Jamroni 12/05/66 17/11/09 T5
177 Nurhayati Mustalim 01/07/70 17/11/09 T4 20/07/11
178 Amrati] Mastuki 01/07/76 17/11/09 T5
179 Hasima Hairudin 17/06/88 21/06/10 T3 21/06/10
180 Baitiyah Ahmad 01/07/64 17/11/09 T5
181 Halimah Supi'i 01/07/65 17/11/09 T5
182 Sani Asmad 25/04/66 17/11/09 T5
183 Farida M. Pandi 28/03/85 17/11/09 T4
184 Widiyati Jumai 20/06/79 17/11/09 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
185 Yati Ahmad 11/05/89 17/11/09 T3 20/07/11
186 Paenem Sidik 11/07/60 17/11/09
187 Buami Samsuri 10/06/75 21/06/10 T4 21/06/10
188 Supi Ahmad 18/01/63 17/11/09 T5
189 Sri Gayati Saman 06/07/65 17/11/09 T5
190 Hermi Sutrisno 13/05/69 21/06/10 T4 21/06/10
191 Khotijah Abd. Wafi 23/12/65 17/11/09 T5
192 Sukariyah Junaidi 05/05/65 17/11/09 T5
193 Rukmiati Ribut 20/01/68 17/11/09 T5
194 Ika Ribut 10/06/92 17/11/09 T2
195 Siti Hasanah Dasuki 12/01/81 17/11/09 T4
196 Ayu 17/11/09 T2
197 Kiptiyah Sunarto 09/01/95 17/11/09 T2
198 Rani Suwarno 15/09/91 17/11/09 T2
199 Solehatin Basir 11/12/94 17/11/09 T2
200 Wulan Misdin 15/06/99 17/11/09 T2
201 Uun Jafar 18/08/81 17/11/09 T2 20/07/11
202 Yuyun Sidik 23/10/83 17/11/09 T2
203 Zaenab Astawi 10/07/68 17/11/09 T2
204 Samsiyah Asan 22/12/60 17/11/09
205 Rahma Astawi 06/06/86 17/11/09 T2 20/07/11
206 Sani Tosan 16/07/60 17/11/09
207 Siti Asiah Dul Mukti 13/10/82 17/11/09 T5
208 Lutfia Asan 13/06/95 17/11/09 T2
209 Sulastri Suwandi 22/04/77 17/11/09 T5
210 Surami Dullah 10/06/62 17/11/09 T4 20/07/11
211 Sarina 11/10/60 17/11/09 T4 20/07/11
212 Marsida 10/05/65 17/11/09 T3
213 Siti Muntiyah M. Basori 03/01/80 17/11/09 T4
214 Dina Ponisan 12/11/90 17/11/09 T2
215 Sumiatun Ponisan 16/06/66 17/11/09 T5
216 Misri Suwarno 07/08/64 17/11/09 T5
217 Marbiyah Munaji 23/05/75 17/11/09 T5
218 Eni Eko 24/12/83 21/06/10 T4 21/06/10
219 Bunami Giman 01/09/60 21/06/10 T4 21/06/10
220 Bunasri Suparmo 04/07/65 17/11/09 T5
221 Nanik Agus 02/05/91 17/11/09 T2
222 Maisaroh Suyitno 12/06/93 17/11/09 T2
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
223 Diana Sucipto 16/03/94 17/11/09 T2
224 Widiana H. Suwandi 06/01/83 21/06/10 T3 21/06/10
225 Hikmah samsul 23/07/98 17/11/09 T2 20/07/11 20/07/11
226 Suprihatin Tukiman 02/05/78 17/11/09 T2 20/07/11
227 Fitri Tukiman 08/04/94 17/11/09 T2
228 Suminah Misman 01/07/65 21/06/10 T4 21/06/10
229 Ponisah Ponimin 09/08/78 21/06/10 T4 21/06/10
230 Lasminem Sudarji 21/04/60 21/06/10 T4 21/06/10
231 Maryam Amir 07/07/64 17/11/09 T5
232 Solehatin Awinoto 12/09/66 21/06/10 T4 21/06/10
233 Hotonis Makrup 21/03/68 21/06/10 T3 21/06/10
234 Ngatemi Busar 02/07/66 21/06/10 T4 21/06/10
235 Ida Asar 10/07/73 17/11/09 T2
236 Siti Maimunah 17/11/09 T2
237 Sunaibeh Samsudin 12/04/72 17/11/09 T5
238 Aisah Ridwan 23/01/83 17/11/09 T4
239 Siti Misno 23/11/83 17/11/09 T5
240 Atim Mahput 01/03/60 17/11/09 T5
241 Sugiarsih 11/02/75 17/11/09 T3 20/07/11
242 Aminah Mabin 15/04/76 17/11/09 T2 20/07/11
243 Holipah Soleman 11/08/72 17/11/09 T5
244 Murtini Wasiran 06/12/67 17/11/09 T5
245 Sumiati Hak 10/06/85 17/11/09 T2
246 Sakdiyah Hak 01/08/60 17/11/09 T5
247 Martini Tahe 26/03/78 17/11/09 T4
248 Hanati Basir 01/07/78 17/11/09 T3 20/07/11
249 Sutrini Satu 01/08/59 17/11/09 T5
250 Dewi Sutoyo 17/11/09 T4 20/07/11
251 Titis K. Edi Hariyanto 28/07/84 17/11/09 T5
252 Farmati Wisno 21/06/10 T4 21/06/10
253 Hujaimah Rofik 15/10/85 21/06/10 T4 21/06/10
254 Kurniati Wisnu 19/07/81 21/06/10 T4 21/06/10
255 Erti Jafar 21/06/10 T4 21/06/10
256 Elok agustin Suparmo 05/07/96 17/11/09 T2
257 Yeni Suparmo 10/06/97 17/11/09 T2
258 Irma Martono 12/05/97 17/11/09 T2
259 Indah sari Ningrum Mahmud 13/08/96 17/11/09 T2
260 Ida Suparto 15/04/92 17/11/09 T2
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
261 Ritin Mistari 17/03/95 17/11/09 T2
262 Isnatul Suradi 10/05/97 17/11/09 T2
263 Selvi H. Suwandi 18/06/97 17/11/09 T2
264 Kristanti Suwaji 16/03/98 17/11/09 T2
265 Rofik Jahro 13/06/91 17/11/09 T2 20/07/11
266 Imroatul Durahman 11/02/97 17/11/09 T2
267 Viqi Pandi 18/09/91 17/11/09 T2
268 Ika Ponidi 08/07/97 17/11/09 T2
269 Dewi Sagiman 08/05/97 17/11/09 T2
270 Wilda Awi Noto 10/08/97 17/11/09 T2
271 Hur Halima Zaenal 12/12/92 T2 20/07/11
272 Kurniati Wisnu 12/10/82 T2 20/07/11
273 Tatik Nurhadi 14/06/88 T2 20/07/11
274 Holilatul Rohma Agus Milwanto 06/06/90 T2 20/07/11
275 Ita Sunaryo T2 20/07/11
276 Bunasri Hendrik 15/09/94 T2 20/07/11
277 Supriyati Mualim 15/06/05 T2 20/07/11
278 Fatimah Agus T2 20/07/11
279 Sumiati Buanto 15/09/88 T2 20/07/11
280 Rina Saeful 19 th 17/12/13 T4 18/02/14
281 Holisatul Joko 22 th 17/12/13 T4 18/02/14
282 Ida Wardatul Imron 17 th 19/11/13 T4 18/02/14
283 Supriatin Hotip 35 th 19/11/13 T4 18/02/14
284 Eva Nanang 26 th 01/10/13 T4 18/02/14
285 Umi Fadilah Hidayat S. 26 th 18/07/13 T4 18/02/14
285 JUMLAH T0 0 0 0 0 19 7 17 0 0 0 0 0
T1 0 0
T4 119 7 ADS 0,5 ML 43
NIP :
hamil
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Windiyanti M.Abdus Soleh 10/12/86 05/04/10 T5
2 Fardian Ariani M.Abdus Soleh 21/09/95 05/04/10 T2
3 Karti Nanang Kosim 04/07/76 05/04/10 T2
4 Dwi Yuniarsih Antok 19/06/82 05/04/10 T5
5 Sriwati Hariyanto 14/07/73 05/04/10 T5
6 Rizky Sadami Hariyanto 17/11/91 05/04/10 T2 05/04/10
7 Rumiyati Slamet 14/04/75 05/04/10 T5
8 Sugiarti Warto 09/04/69 05/04/10 T5
9 Sri W Sugianto 18/08/79 05/04/10 T4 05/04/10
10 Sariani Misnawar 07/02/67 05/04/10 T2
11 Yuyun Azis 23/03/86 05/04/10 T3 05/04/10
12 Sulistyowati Agus 01/01/81 05/04/10 T5
13 Solehah Sarto 02/09/78 05/04/10 T2
14 Sahana Joyo 13/04/83 05/04/10 T4
15 Asmi Tunggak 03/08/67 05/04/10 T2
16 Dian Tunggak 10/01/96 05/04/10 T2
17 Lasmi Untung Guntar 03/08/70 05/04/10 T5
18 Ani Untung Guntar 18/08/91 05/04/10 T2
19 Wiji Lestari Yoyok 14/03/71 05/04/10 T4
20 Sri Hartatik Guarmin 02/08/72 05/04/10 T3 06/06/11
21 Sukartini Sariono 28/03/68 05/04/10 T4 05/04/10
22 Aning K Sariono 04/04/94 05/04/10 T2 05/04/10
23 Melinda 13/03/95 05/04/10 T2
24 Henik Sutrisno 05/05/80 05/04/10 T3 05/04/10
25 Yuliani Taufik 12/08/85 05/04/10 T3 05/04/10
26 Eni Habib 10/09/80 05/04/10 T4 06/06/11
27 Nuraini Jarno 14/03/68 05/04/10 T5
28 Enggar Jarno 09/04/88 05/04/10 T2
29 Iis Azis 14/07/84 05/04/10 T4 06/06/11
30 Sarmi Sariadi 11/07/66 05/04/10 T5
31 Nova Sariadi 09/11/92 05/04/10 T2
32 Saodah Nyono 06/06/68 05/04/10 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 Fera Nyono 02/12/95 05/04/10 T2
34 Ratna Suyitno 27/08/92 05/04/10 T2
35 Markinem Gampang 06/02/64 05/04/10 T5
36 Eva Sodir 15/07/96 05/04/10 T2
37 Ika Wido Sumbono 12/08/85 05/04/10 T3 05/04/10
38 Dewi Budiarto 29/09/75 05/04/10 T4 05/04/10
39 Rasminah Budiono 29/12/65 05/04/10 T5
40 Agnes Anang Zaini 10/06/81 05/04/10 T3 05/04/10
41 Sri Utami Purwadi 05/01/71 05/04/10 T4 05/04/10
42 Tatik Suryadi 08/05/73 05/04/10 T4 05/04/10
43 Elis Suryadi 02/05/93 05/04/10 T2 05/04/10
44 Sumarmi 24/09/65 05/04/10 T5
45 Nana 28/08/93 05/04/10 T2 05/04/10
46 Rofi Rudy 17/04/86 05/04/10 T3 05/04/10
47 Siti M Bambang 01/06/72 05/04/10 T4 05/04/10
48 Diah Bambang 11/01/93 05/04/10 T2
49 Ernawati Nanang 19/05/71 05/04/10 T4 05/04/10
50 Yuyuk Resmi Hafid 23/03/67 05/04/10 T4 05/04/10
51 Nining Hafid 20/01/94 05/04/10 T2
52 Ayu 03/11/86 05/04/10 T3
53 Kirtinah Munir 17/08/71 05/04/10 T5
54 Musaropah Kademo 25/05/60 05/04/10 T5
55 Ida Nuraini Agus 05/11/77 05/04/10 T5
56 Sugiarti Adi 15/04/85 05/04/10 T3 06/06/11
57 Sri Rejeki Dodik 03/04/83 05/04/10 T3 05/04/10
58 Ratna Sri S Sugito 15/08/71 05/04/10 T5
59 Dian Sugito 05/08/92 05/04/10 T2
60 Khusnul Hotimah Sugeng Purnomo 20/06/74 05/04/10 T5
61 Eva Budi Hermanto 1981 05/04/10 T4 06/06/11
62 Juwarti 1969 05/04/10 T5
63 Binti H Asmad 1994 05/04/10 T2
64 Homsiah Imam Nawawi 1979 05/04/10 T4 05/04/10
65 Siti Rubiah Utomo 1971 05/04/10 T4 05/04/10
66 Ernawati Dono 1985 05/04/10 T4
67 Ngatemi Sarno 1975 05/04/10 T5
68 Rina Suwonoto 1976 05/04/10 T4
69 Muslihati Yatno 1977 05/04/10 T4
70 Juariyah Sucipto 1980 05/04/10 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 Dartik 1973 05/04/10 T5
72 Irmawati Supriyadi 1985 05/04/10 T5
73 Boirah Warso 1969 05/04/10 T4 05/04/10
74 Fadilah Wariadi 1969 05/04/10 T5
75 Umi Bejan 1971 05/04/10 T5
76 Sulasmi Karyono 1976 05/04/10 T5
77 Solehati Wiji 1980 05/04/10 T4 05/04/10
78 Mulyani Wiwin 1972 05/04/10 T4 06/06/11
79 Lilik Surahman 1978 05/04/10 T5
80 Dewi Surad 1969 05/04/10 T4 06/06/11
81 Sriani Warto 1984 05/04/10 T5
82 Lamini Agus 1973 05/04/10 T3 05/04/10
83 Musaropah Saiful 1990 05/04/10 T5
84 Uswatun H Yahmo 1969 05/04/10 T2
85 Poniah Dulali 1992 05/04/10 T5
86 Holifah Edy 1995 05/04/10 T4
87 Siti Rohmana Husen 1981 05/04/10 T2
88 Darmi 1986 05/04/10 T5
89 Natemi Surip 1980 05/04/10 T5
90 Waki Edy 1964 05/04/10 T5
91 Sumarni Paimin 1980 05/04/10 T5
92 Endang Suharsono 1978 05/04/10 T4 06/06/11
93 Supani Adi 1969 05/04/10 T5
94 Husnul Buang 1971 05/04/10 T5
95 Sireng Joko 1969 05/04/10 T5
96 Wulan Joko 1990 05/04/10 T4
97 Yatemi Purwanto 1966 05/04/10 T5
98 Yanti Hariyanto 1988 05/04/10 T3 05/04/10
99 Aprilia Firman 1985 05/04/10 T4
100 Novi Suwartono 1988 05/04/10 T2 06/06/11
101 Sukarti 1985 05/04/10 T5
102 Sukarsih Samin 1991 05/04/10 T5
103 Wati Samin 1976 05/04/10 T2
104 Mega Samin 1971 05/04/10 T2
105 Sukarni Jumadi 1990 05/04/10 T5
106 Diah Jumadi 1989 05/04/10 T2
107 Dina 1994 05/04/10 T2
108 Tiah Misran 1979 05/04/10 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 Sriani Suwoto 1963 05/04/10 T5
110 Nurhalimah Wiyono 1983 05/04/10 T4 05/04/10
111 St.Nuraini Didik 1987 05/04/10 T3 05/04/10
112 St.Nursamsiah Basuki 1967 05/04/10 T5
113 Sriyati Sueb 1965 05/04/10 T5
114 Hema Sueb 1990 05/04/10 T2
115 Sifa Arifin 1987 05/04/10 T3 05/04/10
116 Sutini Sukarsin 1960 05/04/10 T5
117 Luluk Sumarwi 1986 05/04/10 T3 05/04/10 06/06/11
118 Kustini Andi 1982 05/04/10 T3 05/04/10 06/06/11
119 Yuliana Karmo 1986 05/04/10 T2 05/04/10
120 Husnul Karmo 1990 05/04/10 T2 05/04/10
121 Wahyu Abilowo 1986 05/04/10 T2 05/04/10
122 Wahyuni Abilowo 1990 05/04/10 T2
123 Febderika Romli 1978 05/04/10 T4
124 Supiyati Turnyan 1967 05/04/10 T3 06/06/11
125 Wiwik Wagito 1982 05/04/10 T3 06/06/11
126 Juniwati Sulis Kristanto 1970 05/04/10 T4
127 Sundari Sukardi 1973 05/04/10 T3 06/06/11
128 Andriani Imam 1988 05/04/10 T3 06/06/11
129 Sugiyati Herul 1982 05/04/10 T4 06/06/11
130 Saroyem Sogol 1974 05/04/10 T4
131 Ngatminah Sutrisno 1968 05/04/10 T5
132 Muinem Sunoko 1963 05/04/10 T5
133 Mujayanah Sunoko 1989 05/04/10 T2
134 Tuminem Wasiaji 1965 05/04/10 T5
135 Erna Wijiono 1981 05/04/10 T4
136 Tutik Warsianto 1980 05/04/10 T5
137 dariyah 1963 05/04/10 T5
138 Sri Wahyuni Suharmoko 1988 05/04/10 T4 06/06/11
139 Sipan Misnawar 1968 05/04/10 T5
140 Farista Misnawar 1989 05/04/10 T4
141 Eva Jarwoko 1988 05/04/10 T4
142 Andayani Johan 1974 05/04/10 T5
143 Nanik Jaeman 1961 05/04/10 T5
144 Darti Damiran 1965 05/04/10 T5
145 Midayati Damiran 1986 05/04/10 T4
146 Fitriasih Damiran 1994 05/04/10 T2
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
147 Buyati Suwarno 1978 05/04/10 T5
148 St.Nurasise Suwarno 1993 05/04/10 T2
149 Ninuk Wulandari Abd.Karim 1985 05/04/10 T4 06/06/11
150 Suwarni Taseri 1967 05/04/10 T5
151 Tutik Suhartono 1981 05/04/10 T5
152 Yuinem Taufik 1973 05/04/10 T5
153 Sibah Sugiyono 1965 05/04/10 T5
154 Paseh Mardai 1965 05/04/10 T5
155 Anis Mardai 1993 05/04/10 T2
156 Mujiati 1964 05/04/10 T5
157 Yuli 1984 05/04/10 T3 06/06/11
158 Mainem Mustofa 1962 05/04/10 T5
159 Sunarti Sariono 1978 05/04/10 T5
160 Desy Irawati Agus Malin 1978 05/04/10 T5
161 Lilik Buadri 1984 05/04/10 T4 06/06/11
162 Hoirun Nisa Gatot 1973 05/04/10 T5
163 Linda Anang 1984 05/04/10 T5
164 Ida Joyo Jumadi 1980 05/04/10 T4 06/06/11
165 Darmi Setu Hidayat 1974 05/04/10 T5
166 Warsih Ngatiyo 1970 05/04/10 T5
167 Lusiana Fatoni 1975 05/04/10 T5
168 Sutianah Abusiri 1970 05/04/10 T5
169 Lian Fitriana Abusiri 1970 05/04/10 T2
170 Utami Abd.Muin 1971 05/04/10 T5
171 Rusiyati Poniran 1968 05/04/10 T5
172 Aminah A.Kadin 1972 05/04/10 T5
173 Holifah A.Kadin 1995 05/04/10 T2 06/06/11
174 Nafikah Poniran 1965 05/04/10 T5
175 Titin Edy 1990 05/04/10 T4
176 Suliswati Surono 1986 05/04/10 T4 06/06/11
177 Suryani Dasmiran 1966 05/04/10 T2 06/06/11
178 Titis Supardi 1988 05/04/10 T4 06/06/11
179 Juariyah Sutikno 1968 05/04/10 T5
180 Sunarti Juarman 1973 05/04/10 T5
181 Reny Juarman 1993 05/04/10 T2
182 Sri Lestari Solihin 1972 05/04/10 T3 06/06/11
183 Mamik Yudi 1984 05/04/10 T5
184 Ani Yanto 1984 05/04/10 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
185 Sri Wahyuni Zulkarnaen 1978 05/04/10 T5
186 Diah Rinata Andi 1989 05/04/10 T4 06/06/11
187 Sarpiyah Asmo 1968 05/04/10 T5
188 Budi Hartini Priyo 1967 05/04/10 T5
189 Supatmi Suparlin 1961 05/04/10 T5
190 Yulistina Priyo 1990 05/04/10 T2
191 Buani 1974 05/04/10 T4
192 Nanik 1989 05/04/10 T2 06/06/11
193 Ida 1994 05/04/10 T2
194 Panirah Sulamin 1978 05/04/10 T5
195 Endah Sayekti Saroji 1977 05/04/10 T4
196 Imroatul Hasanah Eko Suhariyono 1974 05/04/10 T5
197 Sri Wahyuni Wagiran 1990 05/04/10 T3 06/06/11
198 Julaika Wagiran 1991 05/04/10 T4
199 Yayuk Miseri 1983 05/04/10 T5
200 Riyem Samidi 1961 05/04/10 T5
201 Misililah Dirman 1972 05/04/10 T5
202 Umiatun Logianto 1987 05/04/10 T4 06/06/11
203 Cicik 1964 05/04/10 T5
204 Dian Andriani Rosyid 1984 05/04/10 T4
205 Yeni 1995 05/04/10 T2
206 Weni 1986 05/04/10 T2
207 Suyi Suhartono 1968 05/04/10 T5
208 Sumiyati Sutrisno 1969 05/04/10 T5
209 Reni Sutrisno 1993 05/04/10 T2
210 Jumani Katiyo 1978 05/04/10 T5
211 Sulastri Nasikin 1977 05/04/10 T5
212 Lilik Suhariyati 1968 05/04/10 T5
213 Lucky Ayu 1994 05/04/10 T2
214 Susilowati Agus 1970 05/04/10 T5
215 Anik Miswan 1973 05/04/10 T5
216 Murtini Iswantoro 1978 05/04/10 T5
217 Semi Jono 1965 05/04/10 T5
218 Sumilah Gunadi 1984 05/04/10 T5
219 Hanik Hartono 1988 05/04/10 T3 06/06/11
220 Romlah Yoyon 1985 05/04/10 T2
221 Lisa Jono 1995 05/04/10 T2
222 Hotijah Ngatiman 1974 05/04/10 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
223 Mariyati Sugiono 1972 05/04/10 T5
224 Rasmiati Sunarwadi 1972 05/04/10 T5
225 Sumarsih 1983 05/04/10 T2 06/06/11
226 Denis 1990 05/04/10 T2
227 Riska 1995 05/04/10 T2
228 Uriantini Taufik 1970 05/04/10 T5
229 Septi Fika Hadi Purnomo 1990 05/04/10 T4
230 Musiyah Abd.Goni 1973 05/04/10 T5
231 Fitriah Abd.Goni 1990 05/04/10 T3 06/06/11
232 Astutik Komari 1984 05/04/10 T5
233 Supiah Tukiman 1967 05/04/10 T5
234 Fathul Maulida Rofiq 1986 05/04/10 T3 06/06/11
235 Asiyah 1972 05/04/10 T5
236 Fatimah Mahmud 1972 05/04/10 T5
237 St.Maisaroh Mahmud 1990 05/04/10 T3
238 Rohani Muhidi 1976 05/04/10 T5
239 Sunarti Lukman 1973 05/04/10 T5
240 Narmi Budi 1978 05/04/10 T4
241 Komariyah Priyanto 1965 05/04/10 T5
242 Suniti Sohep 1978 05/04/10 T4 06/06/11
243 Salfi 1990 05/04/10 T2
244 Sumrati Wahid 1972 05/04/10 T5
245 Fitri Wahid 1990 05/04/10 T2
246 Samsiah Paidi 1968 05/04/10 T5
247 Ani Sugiyono 1985 05/04/10 T4
248 Kasinem Subur 1965 05/04/10 T5
249 Wasiatur Rohmi A.Furqon 1986 05/04/10 T2
250 Nabsiyah Sanusi 1969 05/04/10 T5
251 Hotim Mulyadi 1983 05/04/10 T4
252 Suswati Poniran 1974 05/04/10 T5
253 Nia Poniran 1990 05/04/10 T2
254 Ponijem Biso 1965 05/04/10 T2 06/06/11
255 Santuni Saiful 1981 05/04/10 T4
256 Suamah Anwar Sanusi 1972 05/04/10 T5
257 Dewi Saiful 1989 05/04/10 T3
258 Paini Samui 1966 05/04/10 T5
259 Dewi Sugeng 1988 05/04/10 T4
260 Pipin Samui 1992 05/04/10 T2
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
261 Tutik Basuki 1982 05/04/10 T5
262 Asiyah Rohmad 1980 05/04/10 T5
263 Anita Slmaet 1977 05/04/10 T5
264 Siti Mudawamah Sabar 1963 05/04/10 T5
265 Mujiati Abd.Rosyid 1987 05/04/10 T4
266 Siami Yasir 1980 05/04/10 T5
267 Martiah Zahrowi 1979 05/04/10 T5
268 Baniah Bukari 1975 05/04/10 T5
269 Emi Wahyu Hariyanto 1986 05/04/10 T3 06/06/11
270 Djibah 1994 05/04/10 T2
271 Ida 1995 05/04/10 T2
272 Toilah Susianto 1982 05/04/10 T5
273 Munifah Mulyadi 1969 05/04/10 T5
274 Utami Wasis 1975 05/04/10 T5
275 Kiptiyah Juari 1968 05/04/10 T5
276 Elin Misyanto 1977 05/04/10 T4
277 Sukarni Komarudin 1986 05/04/10 T4
278 Suamah Sugiyono 1962 05/04/10 T5
279 Muawanah Abd.Rozak 1974 05/04/10 T5
280 Megawati Abd.Rozak 1995 05/04/10 T2
281 Siti Aisyah 1990 05/04/10 T2
282 Bibit Holek 1987 05/04/10 T5
283 Ernawati Dono 1986 05/04/10 T4
284 Yanti Hariyanto 1987 05/04/10 T4 06/06/11
285 Intan Gatot 1994 05/04/10 T2
286 Simah 1974 05/04/10 T5
287 Suhartatik Darman 1973 05/04/10 T5
288 Aprilia Firman 1985 05/04/10 T5
289 Bibit Saidi 1977 05/04/10 T5
290 Ngatemi Sarno 38 th 01/08/13 T4 06/01/14
290 JUMLAH T0 0 0 0 0 6 14 18 0 0 0 0 0
T1 0 0
T4 58 3 ADS 0,5 ML 38
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
NIP :
hamil
Format 1
STATUS T AWAL (SAAT PENDATAAN / HASIL VAKSINASI TT
TGL TGL KUNJ DATANG PERTAMA KALI)
NO NAMA WUS NAMA ORTU / SUAMI WUS NON HAMIL WUS HAMIL
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Suti*ah Grimah 1951 T5
2 Supiyanti Beni 1985 T3
3 Heni suryanto 1984 T4
4 Suryani Slamet 1976 T4
5 Poniyem wagimin 1956 T5
6 zuhro Yusuf 1965 06/04/10 T4 06/04/10
7 Nanik Suwandi 1977 T5
8 Murni supriyono 1978 T4
9 Elin Salim 1979 06/04/10 T4 06/04/10
10 Hotijah Rowi 1984 06/04/10 T4 06/04/10
11 Satumah samanhudi 1959 T5
12 Samsiah Taufik 1983 06/04/10 T3 06/04/10
13 titin Suharto Bambang Nur I 1965 T5
14 Yayuk Karyono 1974 T4
15 Yeni Karyono 1995 T2
16 Sunarmi Sarjudiyanto 1958 T5
17 aris Yulianti Nanang 1976 T4
18 Dian novitasari Dwi 1981 T4
19 Purnami wardoyo 1968 T5
20 Atiya wardoyo 1989 T2
21 Sumariati ashari 1966 T4
22 Eni Ariningtyas Sugeng Priyana 1984
23 suharmini wahyu widodo 1970 T5
24 dita Meirina w wahyu widodo 1992 T2
25 Ani Agus 1970 T5
26 sus solihin 1980 T4
27 saminah Wage 1955 T5
28 Subaidah nur ali 1977 06/04/10 T3 06/04/10 07/06/11
29 supreh 1964 T5
30 Sri Nurhudi 1981 T4
31 Mutmainah Paidi 1974 T3
32 ika Paidi 1997 T2
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
33 sa*diye Bakir 1960 T3
34 Heni Muhammad 1957 T5
35 Indah Muhammad 1992 T2
36 rini Muhammad 1993 T2
37 sani anwari 1978 T4
38 Muriyah Nurhudin 1982 06/04/10 T3 06/04/10
39 asiyah amsul 1981 T3
40 sriwati Legino 1976 06/04/10 T3 06/04/10 07/06/11
41 Lilis Sugito 1982 T3 07/06/11
42 Erika edi 1984 06/04/10 T3 06/04/10
43 Kartini 1965 T4
44 mariyem samiudin 1970 T5
45 Umi 1971 T3
46 Siti qoyimah Rodi 1983 06/04/10 T3 06/04/10
47 Nurul sa*id 1980 06/04/10 T4 06/04/10
48 Endang 1960 T2
49 sri rahayu Suto 1962 T2
50 Erma budi 1976 T3
51 Lastri Agus 1975 T3
52 sugik Yanto 1976 T2
53 Ristanti Yanto 1995 T2
54 karniti Muryadi 1977 T5
55 Tumirah supar 1959 T2
56 Nurul supangat 1963 T5
57 Lilis suryani Katmiran 1974 T5
58 Linda Muhyadi 1986 06/04/10 T3 06/04/10
59 war dikin 1970 T5
60 Nur A*an 1989 06/04/10 T3 06/04/10
61 Yat Misal 1971 T4
62 Adah supangat 1991 T2
63 Suprehatin Buamar 1973 T4
64 silvia Buamar 1996 T2
65 Poniyem suwoko 1972 T4
66 Sumarti Kaseri 1972 T4
67 Ovi kase4 1995 T2
68 ponijem Hanaki 1963 06/04/10 T4 06/04/10
69 Dwi Agustini Hanaki 1984 06/04/10 T2 06/04/10
70 Musinten sabu 1959 T4
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
71 astutik Misdi 1963 T4
72 Yuli Misdi 1983 T3
73 yunia sutikno 1980 06/04/10 T3 06/04/10
74 santi wafa 1987 06/04/10 T3 06/04/10
75 Jumasi aswa 1972 06/04/10 T4 06/04/10
76 Dwi Jalal 1990 06/04/10 T3 06/04/10
77 Nining anang 1973 T5
78 siti Nursiah A suwadi 1964 06/04/10 T4 06/04/10
79 Ayu ari 1988 06/04/10 T2 06/04/10
80 siti fatimah Muasik 1968 T5
81 Fifit Mu*asik 1995 T3
82 sumiati Kadir 1972 T5
83 Kartini sucip 1964 T5
84 Kasri sohib 1963 T5
85 Kunti sohib 1992 06/04/10 T2 06/04/10
86 Yudi sugeng A 1965 06/04/10 T4 06/04/10
87 sari Adi 1987 T3
88 dwi Aprilia Susilo 1986 T2
89 Melinda Susilo 1990 06/04/10 T2 06/04/10
90 kanti Suasono 1967 T5
91 Desi Suasono 1993 T2
92 Ika Siti Romela ahmad Rahmanto 1975 06/04/10 T4 06/04/10
93 Robiyani Supono 1970 06/04/10 T4 06/04/10
94 Musrifah Ketut 1970 06/04/10 T4 06/04/10
95 Niken Ketut 1992 T2
96 Ninik Heri 1975 T4
97 murtini Bagio 1965 06/04/10 T4 06/04/10
98 Desi Bagio 1991 06/04/10 T2 06/04/10
99 Juniwati gianto 1971 06/04/10 T4 06/04/10
100 Viki/Dwi Ariani gianto 1997 T2 07/06/11
101 Iswadi 1962 T4
102 Runik eko 1980 06/04/10 T2 06/04/10 07/06/11
103 Holifah Buhari 1970 T4
104 Niken amir 1992 07/06/11
105 cikrak Dulgani 1959 06/04/10 T4 06/04/10
106 Alfiyah parto 1973 06/04/10 T4 06/04/10
107 Faizah M arif 1980 06/04/10 T3 06/04/10
108 Siti Lirah 1962 06/04/10 T4 06/04/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
109 Ana Lirah 1985 06/04/10 T2 06/04/10
110 Umi 1983 06/04/10 T2 06/04/10
111 Nining Andik 1992 T3
112 erni sugeng 1980 T5
113 Indar setiani Rahmad Basuki 1966 T5
114 Rani Rahmad B 1992 T2
115 Aisyah Rahmad B 1994 T2
116 Endang W agus P 1982 06/04/10 T4 06/04/10
117 Juariyah gianto 1979 06/04/10 T4 06/04/10
118 maryati Misnawar 1984 06/04/10 T3 06/04/10 07/06/11
119 Lisa Ribut 1989 06/04/10 T3 06/04/10
120 Kristin Jujuk 1984 06/04/10 T3 06/04/10
121 kasemi supardi 1957 T5
122 Seni Jumat 1965 T4
123 Eyi S Edi satrio 1980 06/04/10 T4 06/04/10
124 suharti Aziz 1960 T5
125 Mujiati Legimin 1966 T5
126 Almaida Hari Mulyono 1984 06/04/10 T3 06/04/10
127 Sri Umi subur 1979 06/04/10 T4 06/04/10
128 Yuni R andre 1987 T3 07/06/11
129 sariyah supeno 1970 T4
130 sarpini tuki 1972 06/04/10 T4 06/04/10
131 Lusi 1984 T4
132 Sarinah Misnan 1962 T5
133 Rohanna 1971 T5
134 suhartik Nawawi 1976 06/04/10 T4 06/04/10
135 andri Nawawi 1995 T2
136 Kemi Sentot 1970 06/04/10 T4 06/04/10
137 Riyem Sugito 1967 T5
137 JUMLAH T0 0 0 0 0 1 4 3 0 0 0 0
T1 0 0
T4 46 0 ADS 0,5 ML 8
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Kolom 8-12 : isilah tgl, bulan dan tahun vaksinasi TT saat ini, khusus untuk WUS yang sedang tidak hamil NIP :
Format 1
T5
17
T5
17
T5
17
T5
17
0
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Rakik Nawawi 1984 08/03/10 T4 08/03/10
2 Zaena samin 1974 T4
3 Slama dul 1966 T4
4 Maryati samsul 1983 T4
5 Mustainah Sadi 1981 08/03/10 T3 08/03/10
6 Huzainiyah Ahmadi 1981 T4
7 Sitina ahmad s 1971 T4
8 Rokaya Moyo 1969 T4
9 Hosiyah sariman 1974 T4
10 Salima Saha 1981 T3
11 Hj. Komariyah wardiono 1967 T5
12 Hotipah sahri 1981 08/03/10 T2 08/03/10
13 Umi Kulsum Muzamil 1984 08/03/10 T4 08/03/10
14 Murtasia muklis 1966 08/03/10 T4 08/03/10
15 supiati Yeri 1978 08/03/10 T4 08/03/10
16 Misni Masdar 1981 08/03/10 T4 08/03/10
17 Faik Munaji 1978 T4
18 Asmi Nito 1968 T5
19 Maryam suwanto 1968 T5
20 Naini Munir 1981 08/03/10 T4 08/03/10
21 Isnaini Jani 1984 T4
22 Paena suwardi 1966 T5
23 Yakina wagiman 1976 T4
24 saripa samad 1982 T3
25 ati Toha 1964 T4
26 Nikma 1983 T3
27 Ripati Hadi 1974 T5
28 Saropa Sarjono 1984 08/03/10 T3 08/03/10
29 Luluk zeki 1986 08/03/10 T3 08/03/10
30 Noviana Ubaidillah 1979 T5
31 Lilik Komariyah Munir 1967 08/03/10 T3 08/03/10 21/06/11
32 Muawanah salim 1971 08/03/10 T3 08/03/10 21/06/11
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 wahyuningsih samsul 1971 08/03/10 T4 08/03/10
34 aminah Jeli 1971 T5
35 wiwik Maskuri 1984 08/03/10 T4 08/03/10
36 Alfiya Naim 1986 08/03/10 T2 08/03/10
37 Halifah rohim 1985 08/03/10 T2 08/03/10
38 wakina Jumali 1966 T5
39 Naima karno 1968 T5
40 Misnaya su 1966 T5
41 Maisaroh Dul bari 1964 T5
42 solehati bahrowi 1976 08/03/10 T3 08/03/10
43 Suniati artawi 1966 08/03/10 T3 08/03/10
44 sahati saiful 1988 08/03/10 T3 08/03/10 21/06/11
45 tona tohet 1976 T4
46 Misnati Nidin 1966 08/03/10 T2 08/03/10
47 tumin tomin 1966 T5
48 maryani amin 1972 T5
49 paena pai 1976 T4
50 Busina Hasan 1968 T5
51 asmina Berden 1964 T5
52 sahati Ismail 1974 08/03/10 T4 08/03/10
53 Juariya Buri 1971 T5
54 Buyat Mukit 1964 T4
55 supyati zaini 1988 08/03/10 T3 08/03/10
56 Mulyani Hasim 1984 08/03/10 T2 08/03/10
57 Hosiyah Mis 1986 T3
58 subaida tuki 1978 08/03/10 T3 08/03/10
59 tima sairi 1971 T5
60 susiati Fathola 1971 T4 21/06/11
61 fifin Yanto 1989 08/03/10 T2 08/03/10 21/06/11
62 sana agus 1982 T4
63 Ida sarjono 1984 T3
64 sauda samsul 1978 08/03/10 T4 08/03/10
65 Maisaroh dulla 1977 T4
66 Mastini Musle 1982 T3
67 Sami Nito 1966 T5
68 sakdiyah jamaludin 1969 08/03/10 T4 08/03/10
69 Sauda sidik 1986 T3
70 Aisa wikram 1968 T5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 Maisaroh Rabik 1976 T5
72 solehati Jatim 1981 08/03/10 T3 08/03/10
73 Musripah Misnal 1989 08/03/10 T3 08/03/10
74 Nia sadi 1964 T5
75 Misnaya sujono 1964 08/03/10 T3 08/03/10
76 Sumiati asmadi 1987 T4
77 rohma samsul 1979 08/03/10 T2 08/03/10
78 Tiari Hosen 1976 T4
79 romla 1971 T5
80 sami Jamaludin 1983 T4
81 Misni wahid 1978 08/03/10 T2 08/03/10
82 Musaiyana Kamaludin 1985 T3
83 solehati Fauzi 1985 08/03/10 T1 08/03/10
84 Juariyah ahmadi 1974 T5
85 siti Jasuli 1974 T3
86 sunariyah Adim 1971 08/03/10 T3 08/03/10
87 tona solehudin 1970 T5
88 Ripati Armo 1966 08/03/10 T2 08/03/10
89 Kusniati Mahmudin 1974 T4
90 sarifa Mahmud 1968 08/03/10 T3 08/03/10
91 Tatik Nyono 1968
92 yana Misnadin 1984
93 siti fatima Rudi 1991 08/03/10 T2 08/03/10
94 Miayati Tahal 1964
95 Masna Lesti Asmani 1967
96 Yuli amir 1985 08/03/10 T3 08/03/10
97 wati dul baqi 1971 08/03/10 T3 08/03/10
98 wati 1991
99 Mu*awanah 1989
100 supiyati Heriyanto 1990 08/03/10 T3 08/03/10
101 Misnaya Jumaidin 1964
102 Siti Robiyah Toha 1976
103 Sundari sayuti 1988 08/03/10 T3 08/03/10
104 Fariro Basir 1966
105 turina salim 1976
106 ponisri Yanto 1976
107 Halima erni sinal 1978
108 Misri seniman 1966
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 Alfia 1987
110 Musimah Poniman 1980
111 Unaidah romli 1978 08/03/10 T3 08/03/10
112 Fitri asmadi 1984
113 siti B. Mail 1971
114 Endang rohim 1971 08/03/10 T4 08/03/10
115 Hanafi Hanafi 1980
116 tutik Marsat 1973 08/03/10 T4 08/03/10
117 tomina suja*i 1966
118 sunarti agus 1971
119 Juriya Artawi 1974
120 turiya Pahing 1973
121 Febti Handoko 1980 08/03/10 T4 08/03/10
122 anis Pandi 1979 08/03/10 T3 08/03/10
123 Endang Tuki 1976 08/03/10 T4 08/03/10
124 Sumiati busadin 1971
125 romla Untung 1964
126 saropa marjuki 1971
127 supiyati Mulyadi 1982
128 Isa subaidi 1976
129 Bunandi dulhalim 1966
130 Komariyah samsudin 1971
131 endoriya Mahfud 1966
132 Purwati Kusno 1978
133 Rip Adem 1971
134 Lastri sukarwi 1982 08/03/10 T4 08/03/10
135 wati bukori 1976
136 Ifa 1980
137 inin 1971
138 Misnaya Alim 1978 08/03/10 T3 08/03/10
139 Sutiya Holil 1971
140 Hosiyah 1976
141 wirastutik 1966 08/03/10 T4 08/03/10
142 Maryam wasit 1982 08/03/10 T3 08/03/10
143 asmi Farul 1964
144 Samsina Jenah 1971
145 ponira Kus 1964
146 Kusniati Darmawan 1981 08/03/10 T4 08/03/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
147 Lutfiati ansori 1991 08/03/10 T3 08/03/10
148 Isnaini samsuri 1979 08/03/10 T3 08/03/10
149 sunarsih Jalil 1973
150 Tia samad 1976
151 halimatus amin 1991
152 Sri wahuni sahri 1985
153 Yuli Yana Nurul 1984
154 Wiji Lestari Jani 1985
155 Supiyati tohet 1981
156 saliwangi Jaenuri 1974 08/03/10 T3 08/03/10
157 Yusi Jaelani 1989 08/03/10 T2 08/03/10
158 Aan Holek 1987 08/03/10 T3 08/03/10
159 siti Yana samsuri 1984
160 Salima sukardi 1979
161 sumina pardi 1966
162 Hosniati subagio 1986
163 sri wahyuni Edi 1981 08/03/10 T4 08/03/10
164 sri Rahayu Nardi 1971 08/03/10 T4 08/03/10
165 Hindun Sugiono 1967
166 Rodiya Edi 1981 08/03/10 T4 08/03/10
167 rofika sugiono 1993
168 siti 1971
169 Sulis sugik 1991 08/03/10 T3 08/03/10
170 sinur kusno 1971
171 Husnul After 1971
172 Maulidiya hamim 1984 08/03/10 T2 08/03/10
173 saropa Misbah 1967
174 Ainin Dulgani 1968
175 Farid arif 1986
176 Musdolifah said 1973
177 Holis 1975
178 Yuli 1979
179 Elok 1974
180 aman 1979
181 Hosniati Mamat 1984
182 ririn Toher 1981
183 Rokaya 1984 08/03/10 T2 08/03/10
184 siti Hasanah 1986
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
185 Tumyati 1983
186 Halima 1981
187 Yuliana 1978
188 tatik safi*i 1987 08/03/10 T2 08/03/10
189 Nipa Rasit 1968
190 Yuyun Hendi 1997 16/07/13 T3 08/01/14
191 Yanti Diki 1995 09/09/13 T3 08/01/14
192 Ana Sofiati Ahmadin 1997 01/08/13 T3 08/01/14
192 JUMLAH T0 0 0 0 0 0 1 4 0 0 0 0 0
T1 1 0
T4 42 0 ADS 0,5 ML 5
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
NIP :
hamil
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Rohani Hartono 1970 30/10/09 T5
2 Fatimah samsuri 1965 30/10/09 T3
3 Dewi Fatimah Arip 1977 30/10/09 T4
4 Saliha 1960 30/10/09 T3
5 sulaiya bahri 1961 30/10/09 T3
6 Maimunah zainul Azis 1975 30/10/09 T3 09/06/11
7 Dewi utaminingtiyas sunarwi 1996 30/10/09 T3
8 suma indriani suyono 1971 30/10/09 T5
9 sundari Basuni 1975 30/10/09 T4
10 Rohimah abd. Kadir 1970 30/10/09 T4
11 Maisaro abdulah 1978 30/10/09 T4
12 maryama suhartono 1977 30/10/09 T4
13 Maria M. Cholil 1968 30/10/09 T5
14 Saliha Busani 1967 30/10/09 T3
15 suwarni salam 1970 30/10/09 T3
16 Solehati amsuri 1975 09/03/10 T4 09/03/10
17 alfiah saenal 1986 09/03/10 T3 09/03/10 09/06/11
18 Buama saini 1986 09/03/10 T3 09/03/10
19 Solehati suliyak 1977 30/10/09 T3
20 Suparmi paeng 1968 09/03/10 T4 09/03/10
21 sofyati Selamet 1987 09/03/10 T3 09/03/10
22 Fita Nurhasanah paeng 1994 09/03/10 T2 09/03/10
23 Paeni asmin 1968 30/10/09 T5
24 wartini Rumo 1965 09/03/10 T4 09/03/10
25 Reka Yunita Rumo 1996 30/10/09 T2
26 Busia A. Hafidi 1971 30/10/09 T5
27 Hatijah Samsul. A 1965 30/10/09 T3
28 Susyani Samsul. A 1987 30/10/09 T3
29 St. Hofifah Samsul. A 1993 30/10/09 T3
30 Muslimah Dofir 1970 09/03/10 T4 09/03/10
31 Busima Syarani 1965 30/10/09
32 St. Cholifah Nasiman 1962 30/10/09 T4
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 susiati Nasiman 1986 30/10/09 T3
34 St. Rahayu Sadi 1974 30/10/09 T5
35 Rofiqo Nurfitasari Sadi 1992 30/10/09 T3
36 st. Musrifah Samsuri 1983 30/10/09 T5
37 Yuliatus Z.R M. Bazzar ( Alm ) 1992 30/10/09 T3
38 Mudhholifah Sadi 1966 30/10/09 T3
39 Jamila Mistari 1971 30/10/09 T5
40 St. Mariyam marjuki 1979 30/10/09 T3
41 Dewi anggi Y Marjuki 1982 30/10/09 T3
42 marfuah Muniran 1981 30/10/09 T4 09/06/11
43 Holifah kasim 1972 30/10/09 T4
44 Ita Setyorini supriyadi 1988 30/10/09 T4
45 Dewi Utama F supriyadi 1994 30/10/09 T3
46 Nurul Hamzah 1985 09/03/10 T3 09/03/10
47 Rukniyati Jumali 1965 30/10/09 T5
48 st. Choilik Mastuki 1969 09/03/10 T2 09/03/10 09/06/11
49 st Murni hosen 1964 30/10/09 T5
50 solehati hosen 1990 09/03/10 T3 09/03/10
51 Mahlisa Hasanudin 1986 09/03/10 T3 09/03/10 09/06/11
52 Ida susanti Jariyanto 1977 30/10/09 T5
53 satini Sahri 1963 30/10/09 T5
54 Holilah sualis 1981 30/10/09 T4
55 Kristianti saeful 1984 09/03/10 T4 09/03/10
56 Chusnul H ahmad Nurul 1980 30/10/09 T3 09/06/11
57 turiati abd. Halim 1966 30/10/09 T4
58 Fifa Fatima abd. Halim 1985 30/10/09 T3
59 hasanah sahali 1961 30/10/09 T3
60 Modholifah sahali 1986 30/10/09 T3
61 Misnaya saiman 1968 30/10/09 T4
62 Muslihati Junaidi 1991 30/10/09 T3 09/06/11
63 diana Holida Mundir 1976 09/03/10 T4 09/03/10
64 ufa Miundir 1995 30/10/09 T3
65 sarti*a Rokib saeful 1972 30/10/09 T4
66 Lasiya suja*i 1963 30/10/09 T5
67 St. Mailisa suja*i 1987 30/10/09 T3
68 Sumiati suja*i 1993 30/10/09 T2
69 yayuk Faima suja*i 1996 30/10/09 T2
70 Maryama suja*i 1988 30/10/09 T3
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 misnati supriyono 1984 30/10/09 T5
72 wiwid Widayanti zaenal A 1975 30/10/09 T4
73 Istiqoma Yeyen 1988 30/10/09 T3
74 Ila Hayumah habib 1990 30/10/09 T3
75 sutik. Miftahudin 1975 30/10/09 T4 09/06/11
76 SYAIBATUL m Marsi*in 1972 30/10/09 T4
77 Vivin Hosimah eko 1985 30/10/09 T3 09/06/11
78 Umsia Nurholis 1974 09/03/10 T3 09/03/10 09/06/11
79 Elok Nurholis 1993 09/03/10 T2 09/03/10
80 Rina Nurholis 1995 30/10/09 T2 09/06/11
81 st. romlah Astofik 1966 30/10/09 T4
82 Suryatun Hisyam 1964 30/10/09 T5
83 Camelia suseno 1988 09/03/10 T3 09/03/10 09/06/11
84 Saropa Haliq 1979 09/03/10 T3 09/03/10 09/06/11
85 suaria sunarto 1980 30/10/09 T3
86 Linda Handayani sunarto 1996 30/10/09 T2
87 toyani rasid 1963 30/10/09 T5
88 sa*uda P. Tasya 1989 09/03/10 T3 09/03/10 09/06/11
89 Rini Asiya Wahyudi 1970 30/10/09 T4
90 Balkis Wahyudi 1996 30/10/09 T2
91 Erwin Ayu Siska safid ahmad 1969 09/03/10 T4 09/03/10
92 Lutfiana P.N safid ahmad 1990 09/03/10 T2 09/03/10 09/06/11
93 Evana Andriani safid ahmad 1992 30/10/09 T2
94 titin H.Z M. ali Mansyur 1978 09/03/10 T3 09/03/10 09/06/11
95 Dianwati S Imam B 1968 09/03/10 T4 09/03/10
96 Fitria imami Imam B 1986 30/10/09 T2
97 zofindri I.A Imam B 1998 30/10/09 T2
98 Isnaini tabi*in 1980 30/10/09 T4
99 Fadila Heru K 1973 09/03/10 T4 09/03/10
100 Yuliatin Ribut 1990 30/10/09 T2 09/06/11
101 Handayani sutrisno 1988 09/03/10 T3 09/03/10
102 Mursida Ridwan 1981 30/10/09 T3
103 sutina Edi 1968 30/10/09 T5
104 st. Naimah Bunari 1978 30/10/09 T4
105 Satuni dulhalim 1980 30/10/09 T3
106 ST. Maimunah Dul halim 1996 30/10/09 T2
107 Rokayah sukandar 1968 30/10/09 T5
108 Fitria imami Hartono 1993 30/10/09 T3
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 satuni Abd. Azis 1980 30/10/09 T4
110 suyati mastuki 1998 30/10/09 T2
111 St. Yaqini Yusuf Efendi 1976 09/03/10 T3 09/03/10
112 Subaitul M Yusuf Efendi 1992 30/10/09 T2
113 Rohani Jetem 1986 30/10/09 T3
114 Rosidah nasihan 1969 30/10/09 T4
115 st. Hotimah nasihan 1991 30/10/09 T2
115 JUMLAH T0 0 0 0 0 2 6 9 0 0 0 0 0
T1 0 0
T4 31 0 ADS 0,5 ML 17
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
NIP :
hamil
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Minarsih Tarsim 1960 11/10/09 T5
2 Marem Ridin 1972 11/10/09 T5
3 Mariani zaenudin 1970 11/10/09 T5
4 tumini Gunawan 1973 11/10/09
5 ayati Misdin 1967 11/10/09
6 Jumadiya 1987 11/10/09
7 suwarni Paeng 1967 10/03/10 T3 10/03/10
8 Nurhasanah Dhowi 1978 10/03/10 T3 10/03/10
9 Khusnul Hotimah abd. Holis 1970 11/10/09
10 Umi Kulsum Imam Ma*ruf 1974 10/03/10 T2 10/03/10
11 Juhairiyah senima sanari 1965 10/03/10 T2 10/03/10
12 Sawati seniri 1972 10/03/10 T2 10/03/10
13 habibah sidik 1966 10/03/10 T3 10/03/10
14 Sutinah Jumad 1965 10/03/10 T3 10/03/10
15 Yuyud Hilmiyah 1984 11/10/09 T3
16 Munawaroh miskan 1966 10/03/10 T3 10/03/10
17 St. Mahmudah abd. Muntholib 1977 10/03/10 T3 10/03/10 13/06/11
18 Rodiyah Tauhid 1971 01/11/09
19 saenab Edi 1960 01/11/09
20 Toyani Nadin 1980 10/03/10 T4 10/03/10
21 Suci atiqoh abdulrohman 1985 10/03/10 T3 10/03/10 13/06/11
22 St.Dewi Maslihah M. Sururudin 1967 10/03/10 T4 10/03/10
23 St. Mubarokah Kholid Muhdor 1965 10/03/10 T4 10/03/10
24 asiyah Mustopa 1965 10/03/10 T4 10/03/10
25 Robiyah sumari 1965 01/11/09
26 Murtini asrori 1965 10/03/10 T4 10/03/10
27 Mu*awanah A. Fauzi 1969 10/03/10 T4 10/03/10
28 Maimunah Mahsus 1971 10/03/10 T4 10/03/10
29 Hamidah paidi 1981 10/03/10 T2 10/03/10
30 Mubarokah Nurwahid 1975 10/03/10 T4 10/03/10
31 St. Nurhasanah Mujiono 1967 10/03/10 T4 10/03/10
32 sita Sage 1974 11/11/09
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 sundari Edi 1990 11/11/09
34 Rumsia sodik 1979 11/11/09
35 Eni Nuraini Fauzi 1990 10/03/10 T3 10/03/10
36 Riyana 11/11/09
37 Nuriyanah 1983 11/11/09
38 qurotul Aini Ibnu 1991 10/03/10 T2 10/03/10 13/06/11
39 Husnul H 1986 10/03/10 T2 10/03/10
40 Widianingsih Junaedi 1981 11/11/09
41 suswati Mutarisman 1975 10/03/10 T3 10/03/10
42 turiya Judin 1975 11/11/09
43 st. Fatimah Muhamad 1966 10/03/10 T4 10/03/10
44 St. Kholifah hasan basri 1990 10/03/10 T3 10/03/10 13/06/11
45 Dewi Kamsuti Muh darwi 1965 10/03/10 T4 10/03/10
46 Indrawati M. darwi 1990 10/03/10 T4 10/03/10
47 sunarti Aspar 1965 11/11/09
48 sabuma senidin 1967 11/11/09
49 st. asiyah 1990 11/11/09
50 Juma8ati Yakit suyanto 1969 11/11/09
51 riska Yakit suyanto 1991 10/03/10 T2 10/03/10
52 endang Nanang 1983 10/03/10 T3 10/03/10
53 Asih wigati 1969 11/11/09
54 nadiya Suwandi 1961 10/03/10 T4 10/03/10
55 St. Kholifah suhardi 1981 10/03/10 T2 10/03/10 13/06/11
56 toyani solehudin 1960 10/03/10 T4 10/03/10
57 Lasmi Sura 1970 11/11/09
58 Sol Hayati sahit 1991 10/03/10 T2 10/03/10
59 Jatima supardi 1960 10/03/10 T3 10/03/10
60 umi Kulsum taufik 1984 11/11/09
61 Yana rianti Kus Manidin 1978 11/11/09
62 suparmi 1973 10/03/10 T4 10/03/10
63 Pipin 1989 10/03/10 T3 10/03/10
64 sri fatimah 1966 10/03/10 T4 10/03/10
65 Khotimah sugianto 1977 10/03/10 T3 10/03/10
66 Khoiriyah Basuni 1973 11/11/09
67 Maisaroh ridwan 1985 10/03/10 T3 10/03/10
68 suryani suryanto 1969 10/03/10 T4 10/03/10
69 Asminah Jasuli 1966 11/11/09
70 rukmiyati seniman 1960 10/03/10 T4 10/03/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 Juwariyah asro 1966 10/03/10 T3 10/03/10
72 zubaidah Misnadin 1960 10/03/10 T4 10/03/10
73 Nurdiana sodik 1982 11/11/09
74 sumiati Ahmadi 1983 11/11/09
75 Anis Yoyok 1980 10/03/10 T3 10/03/10
76 Kunthi Umar 1975 10/03/10 T3 10/03/10
77 Fa*ik taufik 1983 10/03/10 T4 10/03/10
78 Ba*diah sunarwi 1960 11/11/09
79 Maisun zalib 1979 10/03/10 T4 10/03/10
80 st. Azizah syaifur 1982 10/03/10 T4 10/03/10
81 Darmi saribin 1960 11/11/09
82 sugiani 1990 10/03/10 T2 10/03/10
83 Ismiati Sugianto 1972 11/11/09
84 rofiatus sa*adah 1992 10/03/10 T2 10/03/10
85 St. Mujayanah 1963 10/03/10 T3 10/03/10
86 Hanik Azis 1981 11/11/09 T4 13/06/11
87 syamsiyah basuni 1978 11/11/09 T4 13/06/11
88 Hindun suharto 1964 10/03/10 T4 10/03/10
89 Misna alimo 1960 10/03/10 T3 10/03/10
90 senima sahrawi 1969 10/03/10 T4 10/03/10
91 solehati Haliq 1980 10/03/10 T3 10/03/10
92 Yayah 1987 10/03/10 T2 10/03/10
93 Yaya Kiptiyah Agus Prayono 1974 10/03/10 T3 10/03/10
94 Mu*alidah 1990 10/03/10 T2 10/03/10
95 Asmawati 1991 11/11/09
96 Rukiyah syarifudin 1962 10/03/10 T3 10/03/10
97 Maimunah supardi 1979 11/11/09
98 Musdholifah wamin 1972 10/03/10 T3 10/03/10
99 yatima Asmin 1966 11/11/09
100 Fadhilah Fathor 1980 10/03/10 T4 10/03/10
101 rusmina Misnadin 1960 11/11/09
102 st. Khusnul Hotimah Imam Hanafi 1977 10/03/10 T4 10/03/10
103 toriya Khosim 1975 10/03/10 T4 10/03/10
104 sainab 1972 11/11/09
105 Erwin Ayu Sistin M. zaeni 1990 10/03/10 T2 10/03/10
106 Misnati M. Mahfud 1973 10/03/10 T4 10/03/10
107 tumini Rosid 1971 11/11/09
108 susmiyati Jalil 1981 10/03/10 T3 10/03/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 Kholib sodiq 1984 11/11/09
110 Mus Sawal 11/11/09
111 Rosida Mahfud 11/11/09 T4 13/06/11
112 st. Jubaidah sahri 1987 10/03/10 T4 10/03/10
113 Elya seri 1978 10/03/10 T3 10/03/10
114 suyati Mislan 1970 11/11/09
115 Masita Sage 1970 10/03/10 T4 10/03/10
116 Burjani Buser 1966 11/11/09
117 Wawhyu Andriyani Sariman 1987 10/03/10 T3 10/03/10
118 Muslimah 1978 11/11/09
119 suyana asmari 1983 10/03/10 T4 10/03/10
120 Asriya Misden 1963 11/11/09
121 maisaroh taufik 11/11/09 T3 13/06/11
122 suwarni M. Nur 1983 11/11/09
123 Imroniati Fathor 1985 11/11/09 T4 13/06/11
124 tunsuyati surtani 1970 11/11/09
125 Ponisah ripan 1965 11/11/09
126 sulasih surahman 1975 11/11/09 T4 13/06/11
127 Nuriyah 1986 10/03/10 T2 10/03/10
128 Hakimah Seniman 1977 11/11/09
129 Fatimah Buniman 1973 11/11/09
130 Yuyun taufik 1984 10/03/10 T4 10/03/10
131 sutijum Imam safi*i 1989 10/03/10 T3 10/03/10
132 susilo Buser 1969 11/11/09
133 Yayuk Mujiono 1985 10/03/10 T2 10/03/10
134 eli safitri M. zaenudin 1985 10/03/10 T2 10/03/10
135 Yuliani Supardi 1986 10/03/10 T4 10/03/10
136 Mamik Samsuri 1985 10/03/10 T4 10/03/10
137 sri wahyuni slamet R 1976 11/11/09
138 Maina Hartono 1986 11/11/09
139 Beisa Jumali 1963 11/11/09
140 rahma 1963 11/11/09
141 tatik Misto 1969 11/11/09
142 Sumiati Arimin 1976 11/11/09
143 Istianah Luki 1995 14/08/13 T3 11/01/14
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
143 JUMLAH T0 0 0 0 0 0 3 8 0 0 0 0 0
T1 0 0
T4 39 0 ADS 0,5 ML 11
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
NIP :
hamil
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Suryatiningsih Miswan 11/02/10 T4 11/02/10
2 Murhati Sujari 11/02/10 T4 11/02/10
3 Ngatini Rojikan 11/02/10 T4 11/02/10
4 Alpiah Rojikan 11/02/10 T2 11/02/10 12/05/11
5 bi*ah sarman 11/02/10 T4 11/02/10
6 waginem supardi 11/02/10 T4 11/02/10
7 Yulis supardi 15/03/10 T2 15/03/10 14/06/11
8 Dami Mujar 11/02/10 T4 11/02/10
9 sukarsih Kusno 13/02/10 T3 13/02/10
10 suparti 13/02/10 T4 13/02/10
11 Nanik R yudi 11/02/10 T4 11/02/10
12 Dita Suparti 19/02/10 T2 19/02/10 14/06/11
13 Asri saiful 19/02/10 T4 19/02/10
14 mahmudah Mulyono 11/02/10 T4 11/02/10
15 Satik supeno 19/02/10 T2 19/02/10 14/06/11
16 Tutik Saiful 11/02/10 T4 11/02/10
17 Dian sugito 20/02/10 T3 20/02/10
18 Sunarmi Rudi 20/02/10 T4 20/02/10
19 wati sunami/Rudi 20/02/10 T2 20/02/10
20 Endang Abdullah 11/02/10 T4 11/02/10
21 Dewi Muntamah supar 11/02/10 T4 11/02/10
22 Pami Sarbini 20/02/10 T4 20/02/10
23 Damah toyib 11/02/10 T4 11/02/10
24 sami Mahpur 11/02/10 T4 11/02/10
25 Iin Zaenal 11/02/10 T3 11/02/10 15/06/11
26 Maratus rudi Dwi C 11/02/10 T3 11/02/10 14/06/11
27 Lutfiah Jaenul 11/02/10 T3 11/02/10 12/05/11
28 supiatun bejo 15/02/10 T3 15/02/10
29 siti Lestari Ismail 23/02/10 T3 23/02/10 14/06/11
30 sutinem Yani 23/02/10 T4 23/02/10
31 Yefi Sutinem/Yani 23/02/10 T2 23/02/10
32 Darsi Yitno 23/02/10 T4 23/02/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 Nariati sukarso 11/02/10 T4 11/02/10
34 iis Hariati/Sukarso 11/02/10 T2 11/02/10
35 Ulfa Istianah Mustofa 11/02/10 T4 11/02/10
36 Umi dimiati 11/02/10 T3 11/02/10 12/05/11
37 Umrotul said 11/02/10 T3 11/02/10
38 sri sumarlin Hadi Subagio 11/02/10 T3 11/02/10 14/06/11
39 wati Supono 11/02/10 T4 11/02/10
40 Uswatun Untung 11/02/10 T3 11/02/10
41 Siti Rohani Yanto 11/02/10 T2 11/02/10
42 Fera supiati Budiono 23/02/10 T4 23/02/10
43 Gemah setiono 23/02/10 T4 23/02/10
44 Siti Aminah Iit/Kaiden 11/02/10 T4 11/02/10
45 Ifa Siti aminah/Iit 11/02/10 T2 11/02/10
46 Sundari Durahmaan 11/02/10 T4 11/02/10
47 supriatin Sukri 25/02/10 T4 25/02/10
48 Ida Talkah 25/02/10 T4 25/02/10
49 Marfuah Budiono 25/02/10 T4 25/02/10
50 Udah Supar 25/02/10 T2 25/02/10
51 rita Makruf 24/02/10 T3 24/02/10 14/06/11
52 Miskiyah Sadimen 23/02/10 T4 23/02/10
53 Kotim Mardi 23/02/10 T3 23/02/10 12/05/11
54 Bibit Tukijo 23/02/10 T3 23/02/10 14/06/11
55 Asmiatun Atem 24/02/10 T4 24/02/10
56 Surtinem Sukeri 24/02/10 T4 24/02/10
57 waginem Suhadak 22/02/10 T2 22/02/10 15/06/11
58 Warni Misdi 22/02/10 T4 22/02/10
59 Sumilah Sairin 25/02/10 T4 25/02/10
60 Markamah Dowo 11/02/10 T4 11/02/10
61 Rokimah Muntoha 11/02/10 T4 11/02/10
62 wakijah Giatno 20/02/10 T4 20/02/10
63 Sumarmi Jumali 19/02/10 T4 19/02/10
64 Khotimah Sakur 11/02/10 T4 11/02/10
65 Siti Fendi 11/02/10 T3 11/02/10
66 Uswatul H. Mistari 11/02/10 T3 11/02/10 14/06/11
67 Darmi Ahmad 20/02/10 T3 20/02/10
68 Siti Khotimah Saroji 11/02/10 T3 11/02/10 14/06/11
69 Rokati Mustakim 11/02/10 T4 11/02/10
70 Ani Junaidi 19/02/10 T3 19/02/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 Yahmi Sutrisno 11/02/10 T4 11/02/10
72 Mukini Sariadi 11/02/10 T4 11/02/10
73 Erna Slamet 11/02/10 T3 11/02/10 14/06/11
74 Diah Eko 11/02/10 T3 11/02/10 14/06/11
75 Sriani Maksum 19/02/10 T4 19/02/10
76 Sugini 19/02/10 T2 19/02/10
77 Ma'I Budiono 20/02/10 T3 20/02/10 14/06/11
78 Solikah Asrofi 11/02/10 T3 11/02/10 14/06/11
79 Yayuk Nyono 11/02/10 T2 11/02/10 14/06/11
80 Sarofa 22/02/10 T3 22/02/10
81 Rumiyati Asngadi 11/02/10 T4 11/02/10
82 Iis Ustadi 11/02/10 T2 11/02/10 14/06/11
83 Aan Farida RM. Sahendra 11/02/10 T3 11/02/10 14/06/11
84 Siti Rubiyatun Sutrisno 11/02/10 T4 11/02/10
85 Sriyatun Jauri 11/02/10 T4 11/02/10
86 Jumaati Isomudin 11/02/10 T4 11/02/10
87 Lusi Kadar 19/02/10 T4 19/02/10
88 Purwati Saeran 11/02/10 T4 11/02/10
89 Yanti Saeran/purwadi 11/02/10 T2 11/02/10
90 Halim Aan 11/02/10 T3 11/02/10 14/06/11
91 Misnah Suliman 11/02/10 T4 11/02/10
92 Hanim misnah 11/02/10 T2 11/02/10
93 Lufi Jaeni 11/02/10 T3 11/02/10
94 Rifatul 11/02/10 T2 11/02/10
95 Wahyuningsih Ribut 11/02/10 T4 11/02/10
96 Sugiani Suraji 11/02/10 T4 11/02/10
97 Sulasmi Jumarianto 11/02/10 T4 11/02/10
98 Rusmini Toha 11/02/10 T4 11/02/10
99 Dian Abdullah 22/02/10 T3 22/02/10
100 Warsih Rais 11/02/10 T3 11/02/10
101 Rina Supiyah/Yusuf 22/02/10 T2 22/02/10
102 Sukarsih Suyanto 11/02/10 T4 11/02/10
103 Misriati Dardo 11/02/10 T4 11/02/10
104 Toyib Mudor 11/02/10 T4 11/02/10
105 Mariamah Abuari 11/02/10 T3 11/02/10
106 Nurhayati Riyanto 19/02/10 T4 19/02/10
107 Sulamah Suprio 22/02/10 T4 22/02/10
108 Subaini Jumadin 11/02/10 T4 11/02/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 Umi Salala Ponaji 22/02/10 T4 22/02/10
110 Miftahul Edi 11/02/10 T3 11/02/10 14/06/11
111 Sukantik Marsani 11/02/10 T4 11/02/10
112 Asiah Wawan 11/02/10 T3 11/02/10 14/06/11
113 Marpuah Sugiono 11/02/10 T3 11/02/10 14/06/11
114 Andriani Hendrianto 11/02/10 T3 11/02/10 14/06/11
115 Masruroh Saepan 22/02/10 T2 22/02/10 14/06/11
116 Ninik Sugianto 11/02/10 T4 11/02/10
117 Mahmudah Paeman 11/02/10 T3 11/02/10 14/06/11
118 Siti Maisaroh Surtrisno 11/02/10 T3 11/02/10 14/06/11
119 Suyani Suradi 22/02/10 T3 22/02/10 14/06/11
120 Ninik Kholik 22/02/10 T3 22/02/10
121 Tatik Holil 11/02/10 T4 11/02/10
122 Ika dwi Nurkholik 11/02/10 T3 11/02/10 14/06/11
123 Priyatin Rianto 11/02/10 T4 11/02/10
124 jumaati Sugiarto 11/02/10 T4 11/02/10
125 muini Wagiman 11/02/10 T4 11/02/10
126 Sulis Wadi 22/02/10 T3 22/02/10
127 Dwi Rahayu Harianto 11/02/10 T3 11/02/10 14/06/11
128 Hamida Ponimin 11/02/10 T4 11/02/10
129 Ani Hartono 11/02/10 T4 11/02/10
130 Novi Ani/Hartono 22/02/10 T2 22/02/10
131 Hartini Kamijan 11/02/10 T4 11/02/10
132 Supini Wakidi 11/02/10 T4 11/02/10
133 Yeni 11/02/10 T2 11/02/10 14/06/11
134 Husnul 11/02/10 T2 11/02/10
135 Siti Fatimah Sutono 11/02/10 T4 11/02/10
136 Siti Aminah Supeni 11/02/10 T4 11/02/10
137 Buriah Sales 11/02/10 T2 11/02/10 14/06/11
138 Tumini Slamet 11/02/10 T4 11/02/10
139 Temi Imam Safi'i 11/02/10 T4 11/02/10
140 Umi salamah Edi 22/01/10 T3 22/01/10
141 Siti Kalimah Sutimin 11/02/10 T4 11/02/10
142 Ita Misdi 11/02/10 T4 11/02/10
143 Aprianti Mat 11/02/10 T4 11/02/10
144 Kolipah 11/02/10 T4 11/02/10
145 Dariah Sawit 22/02/10 T2 22/02/10
146 Muinah Bariono 11/02/10 T4 11/02/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
147 Erna Babang 11/02/10 T4 11/02/10
148 Ririn Samsuri 11/02/10 T4 11/02/10
149 Khomariah Asmuri 22/02/10 T3 22/02/10 14/06/11
150 Risnawati Matrais 22/02/10 T4 22/02/10
151 Sani 11/02/10 T4 11/02/10
152 Rubiyatin holil 11/02/10 T3 11/02/10 14/06/11
153 Siti Halimah Samhadi 11/02/10 T4 11/02/10
154 Paijem 22/02/10 T3 22/02/10
155 Eni Wittatari M. Soleh 11/02/10 T3 11/02/10 14/06/11
156 Mistir Soher 22/02/10 T3 22/02/10
157 Nur Aini Marlan 11/02/10 T4 11/02/10
158 Mila Ngali 11/02/10 T3 11/02/10 14/06/11
159 Yuyun Wahyuni Fadlan 11/02/10 T3 11/02/10 14/06/11
160 Susiati Toha 11/02/10 T4 11/02/10
161 Minun Anwar 22/02/10 T3 22/02/10
162 Dinik Susiati 22/02/10 T2 22/02/10
163 Tutik Mad 22/02/10 T3 22/02/10 14/06/11
164 Yayuk Sumari 11/02/10 T4 11/02/10
165 Sunanik mashudi 11/02/10 T4 11/02/10
166 Tutut Saipul 11/02/10 T4 11/02/10
167 Susi Dian 11/02/10 T3 11/02/10 14/06/11
168 Nita sari Soleh 10/02/10 T3 10/02/10
169 Iis Ervan 11/02/10 T4 11/02/10
170 Nila F. D. A A. Rinto 11/02/10 T3 11/02/10
171 Endang Erni Yulianingsih 22/02/10 T2 22/02/10 14/06/11
172 Erni Yulianingsih Irfan 22/02/10 T4 22/02/10
173 Siti Hosifa M. Irawan 11/02/10 T3 11/02/10
174 Lusiyun Yusuf Nawawi 11/02/10 T3 11/02/10
175 Samsiah Paeman 11/02/10 T4 11/02/10
176 Hofidotus Saadah Siti Halimah 20/02/10 T2 20/02/10
177 nunung Imron 11/02/10 T3 11/02/10
178 Sofi Yusuf T2 14/06/11
179 Laila Sutono T2 14/06/11
179 Jumasih Subandriyo 36 th 10/12/2013 T4 2/12/2014
Nurul Istiqomah Sutaji 18 th 10/9/2013 T3 2/12/2014
JUMLAH T0 0 0 0 0 2 10 30 0 0 0 1 3
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Penjelasan : T1 0 0
T4 93 0 ADS 0,5 ML 46
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Ririn Agus 11/03/10 T3 11/03/10 15/06/11
2 Ros Poniman 11/03/10 T4 11/03/10
3 Saini Suwito 11/03/10 T4 11/03/10
4 Idayati P. Usman 11/03/10 T4 11/03/10
5 Bibit Nidan 14/11/09 T5
6 Saro Imam 14/11/09 T5
7 Rina Jayus 11/03/10 T4 11/03/10
8 Sriwahyuni Arifin 11/03/10 T3 11/03/10 15/06/11
9 Mualifah Mukrip 11/03/10 T2 11/03/10
10 Nila Sari Jayus 14/11/09 T2
11 Kasem Sumeneng 14/11/09 T4 15/06/11
12 Mus Oon 14/11/09 T4 15/06/11
13 Ayu Mis 14/11/09 T2 15/06/11
14 Sundari Suryadi 14/11/09 T5
15 Maya Suryadi/Sundari 14/11/09 T2
16 Purwati Rohim 11/03/10 T3 11/03/10 15/06/11
17 Puput Purwanto 12/11/09 T2
18 Patimah Agus 11/03/10 T4 11/03/10
19 Sumarmi manunggal 11/03/10 T2 11/03/10 15/06/11
20 Wiwik Mukti 12/11/09 T5
21 Wike Mukti/Wiwik 12/11/09 T2
22 Farida Komari 12/11/09 T5
23 Iis Farida 12/11/09 T3
24 Siti Matrawi 11/03/10 T3 11/03/10 15/06/11
25 Sumirah Juremi 12/11/09 T3
26 Mega Sumirah 12/11/09 T2
27 Wahyuningsih Samsuri 12/11/09 T2
28 Indri Basuki 12/11/09 T5
29 Tuni Jo 12/11/09 T4 15/06/11
30 Hayati Marsuki 12/11/09 T4 15/06/11
31 Panti Mbahra 12/11/09 T3
32 Yah Mokram (Alm) 12/11/09 T3 15/06/11
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 Juminem Supiyanto 12/11/09 T3
34 Erna Wijaya 11/03/10 T3 11/03/10
35 Jumini ahmad 11/03/10 T4 11/03/10
36 Rini Abu Saif 11/03/10 T3 11/03/10 15/06/11
37 Maryani Markam 12/11/09 T3
38 Sri H. Heri S. 11/03/10 T4 11/03/10
39 Retno P. Supriyanto 11/03/10 T4 11/03/10
40 Menik Maryono 11/03/10 T4 11/03/10
41 Guntiyani Seger 12/11/09 T3 15/06/11
42 Kosipah Pairin 12/11/09 T4 15/06/11
43 Siti M. Golok 11/03/10 T4 11/03/10
44 Supiati Samsuri 11/03/10 T4 11/03/10
45 Reni Komari 12/11/09 T2
46 Sutinem Poniman 11/03/10 T2 11/03/10 15/06/11
47 Yuyuk No 13/11/09 T3
48 Sarinem Harsono 13/11/09 T3
49 Martiah peno 13/11/09 T3 15/06/11
50 Susi Sutikno 11/03/10 T4 11/03/10
51 Mutikah Wadi 11/03/10 T4 11/03/10
52 Subaini Samsuri 13/11/09 T3 15/06/11
53 Yah Nanjang 13/11/09 T3 15/06/11
54 Kiptiyah Rohman 13/11/09 T3 15/06/11
55 Siti S. Bahri 11/03/10 T3 11/03/10 15/06/11
56 Suci Juarmin 13/11/09 T4
57 Umi Juarmin 13/11/09 T4
58 Fatimah Poniran 13/11/09 T3 15/06/11
59 Ayu Poniran 13/11/09 T2 15/06/11
60 Intan Pandi 11/03/10 T4 11/03/10
61 Siti Agus 11/03/10 T3 11/03/10 15/06/11
62 Yah Tawi 13/11/09 T3 15/06/11
63 Nur Holil 11/03/10 T4 11/03/10
64 Ririn Anang 13/11/09 T4 15/06/11
65 Wardah Abdul 13/11/09 T4 15/06/11
66 Lutfiah Junaidi 11/03/10 T3 11/03/10 15/06/11
67 Fai' Kandar 11/03/10 T4 11/03/10
68 Sofi Faiq 13/11/09 T2 15/06/11
69 Alif Fatah 11/03/10 T3 11/03/10 15/06/11
70 Supi Tofa 11/03/10 T4 11/03/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 Ui Amir 13/11/09 T3 15/06/11
72 Lia Ul/Amir 13/11/09 T2 15/06/11
73 Umi Ratib 13/11/09 T3 15/06/11
74 Hanik Islahudin 11/03/10 T4 11/03/10
75 Luluk Muanaf 13/11/09 T3
76 Endang Faisol 13/11/09 T3
77 Elok Bonadi 11/03/10 T4 11/03/10
78 Ririn Ribut 13/11/09 T3 15/06/11
79 Iin Zaenal 13/11/09 T4 15/06/11
80 Nip Seger 13/11/09 T3 15/06/11
81 Kotim Aziz 11/03/10 T4 11/03/10
82 Ira Riyadi 11/03/10 T4 11/03/10
83 Barokah Retno 11/03/10 T3 11/03/10 15/06/11
84 Rini Mansur 11/03/10 T2 11/03/10 15/06/11
85 Ika Rosid 11/03/10 T3 11/03/10 15/06/11
86 Lilik Saepul 13/11/09 T3 15/06/11
87 Dipah Imam 13/11/09 T3
88 Siti Paedi 13/11/09 T3
89 Fida Paedi 13/11/09 T2
90 Ngaenah Matkeri 13/11/09 T3
91 Dian Didik 11/03/10 T3 11/03/10 15/06/11
92 Nur Hayati Yoyok 11/03/10 T3 11/03/10 15/06/11
93 Mus Ribut 14/11/09 T3 15/06/11
94 Yuyun Eko 11/03/10 T3 11/03/10
95 Umi Herman 11/03/10 T3 11/03/10
96 Alfiah Gatot 14/11/09 T3 15/06/11
97 Mufid Hariyanto 11/03/10 T3 11/03/10
98 Nita Rokanah 14/11/09 T2
99 Suswati Sunoto 11/03/10 T4 11/03/10
100 Imroah Paedi 14/11/09 T3 15/06/11
101 Sunaini Tamyes 11/03/10 T3 11/03/10 15/06/11
102 Mahmudatin Bambang 14/11/09 T3 15/06/11
103 Indah Bambang 14/11/09 T2
104 Intan Bambang 14/11/09 T2
105 Marmi Supardi 14/11/09 T2
106 Anik Kunaini Rosid 11/03/10 T4 11/03/10
107 Mamik Rohim 11/03/10 T3 11/03/10 15/06/11
108 Suminah Daem T3 15/06/11
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 Saropah Tukirin 11/03/10 T4 11/03/10
110 Sukarsih Suparto T3 15/06/11
111 Devi Basofi T2
112 Denis Supanti T2 15/06/11
113 Sayem Giso T3 15/06/11
114 Wiwin Sudarto 11/03/10 T3 11/03/10
115 Nur Aini Salam T2 15/06/11
116 Enik Abdus T2
117 Maratul Tofa 11/03/10 T3 11/03/10 15/06/11
118 Muntamah Mujamil T3 15/06/11
119 Alfiah T4 15/06/11
120 Umi Rotip T3
121 Tutik Koming T2
122 Har Paedi T2 15/06/11
123 Sri Budi 11/03/10 T4 11/03/10
124 Hariyati Suwito 11/03/10 T4 11/03/10
125 Marni Tomari T4 15/06/11
126 Yanti Asmad T4
127 Turiyah Wiji T3 15/06/11
128 Tatik Misno 11/03/10 T3 11/03/10 15/06/11
129 Junaida Tohari 11/03/10 T4 11/03/10
130 Sutri Asbun T3 15/06/11
131 Kuswati Asis 11/03/10 T3 11/03/10 15/06/11
132 Endang Jamal T2
133 Kolip Rohmad 11/03/10 T4 11/03/10
134 Nur Endang Munir 11/03/10 T4 11/03/10
135 Maisaroh Rosid 11/03/10 T4 11/03/10
136 Karim Mahtum T2
137 Hamidah Ngatemo 11/03/10 T4 11/03/10
138 Marni Musleh 11/03/10 T4 11/03/10
139 Suryani Heri T3
140 Luluk Heri/Luluk 11/03/10 T4 11/03/10
141 Fifin Ponirah T2 15/06/11
142 Sumiati Totok T2
143 Purwati Okee 11/03/10 T4 11/03/10
144 Dian Ngatemin 11/03/10 T3 11/03/10 15/06/11
145 Misnati Ngatemin/Misnati T3
146 Denik Darto T2 15/06/11
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
147 Didin Bibit 11/03/10 T3 11/03/10 15/06/11
148 Fifin Surip 11/03/10 T4 11/03/10
149 Ike Mulyono
150 Tumpuk Sukarmi T4 15/06/11
151 Sulasih Tukijo 11/03/10 T4 11/03/10
152 Hamami Tamam 11/03/10 T4 11/03/10
153 Muntamah Samo T3 15/06/11
154 Erna Yoyok T4 15/06/11
155 Dewi Badori 11/03/10 T3 11/03/10
156 Nur Supri 11/03/10 T2 11/03/10
157 Handayani Garbu 11/03/10 T4 11/03/10
158 Kiptiyah Gufron 11/03/10 T4 11/03/10
159 Andriyani Darmadi 11/03/10 T3 11/03/10 11/05/11
160 Sumiati Dulbahri T4 15/06/11
161 Diah T2
162 Supiyani Jumari T4 15/06/11
163 Kiki Jumari/Supiyani T3
164 Sri Sodir 11/03/10 T4 11/03/10
165 Yusi Prasetiyo T3 15/06/11
166 Suganti Jali T4 15/06/11
167 Warti Mudi T3 15/06/11
168 Rini Kusnan 11/03/10 T4 11/03/10
169 Sripah Sugeng 11/03/10 T4 11/03/10
170 Hanik Hariyanto T4 15/06/11
171 Manisah Basori 11/03/10 T4 11/03/10
172 Devi Manisah/Basori T2
173 Diana Manisah/Basori T2
174 Patimah Yasin 11/03/10 T4 11/03/10
175 Supiyati Nalim T3 15/06/11
176 Sumilah Sumarto T3 15/06/11
177 Lilik Abdul 11/03/10 T4 11/03/10
178 Supiyati Riadi T3
179 Sri Wahyuni Ali Murtado 11/03/10 T4 11/03/10
180 Umi Farida Harsono T4
181 Yeni Supriyadi T4
182 Martini Nisam T4
183 Ika yulia Nisam/Martini T2
184 Mariyah Muri T4 15/06/11
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
185 Yuli yati Erwin T4 15/06/11
186 Lastri Parto T4
187 Surip Mulyadi T4 15/06/11
188 Titik Sugiyanto 11/03/10 T4 11/03/10
189 Sripit] Sucipto 11/03/10 T4 11/03/10
190 Wiji Sucipno T4 15/06/11
191 Misinah Jalikun T3
192 Ernawati Budiharto 11/03/10 T4 11/03/10
193 Nurhayati Jimun T3 15/06/11
194 Lita Jimun/Nur T2 15/06/11
195 Siti Masruro Sugrito T4 15/06/11
196 Muriyati Darno T4 15/06/11
197 Sri Wahyuni Dimo/Bibit T2
198 Bibit Rahayu Dimo T3 15/06/11
199 Sarah Guntoro 11/03/10 T4 11/03/10
200 Iis T2 15/06/11
201 Amah Asan T3
202 Jatin T2
203 Tesi Andik T4 15/06/11
204 Linda Slamet 11/03/10 T2 11/03/10
205 Sumarmi Faruk 11/03/10 T4 11/03/11
205 JUMLAH T0 0 0 0 0 10 33 44 0 0 1 0 1
T1 0 0
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
T4 80 1 ADS 0,5 ML 89
NIP :
hamil
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Supainten Kusnan 20/03/10 T4 20/03/10
2 Misiyam Hadi Ismanto 20/03/10 T4 20/03/10
3 Misriaten Ahmad Suriadi 20/03/10 T4 20/03/10
4 Misnati Juari T4 16/06/11
5 Holip Mansur T3
6 Risnawati Wawan T3
7 Suliati Toyono T3 16/06/11
8 Sami Muji T4 16/06/11
9 Sriaten Sutrisno T4 16/06/11
10 Waginem Supriadi T4 16/06/11
11 Hartik T2
12 Riani T2
13 Jarwati Slamet T4 16/06/11
14 Andrik Paeman 20/03/10 T2 20/03/10
15 Fitri T2 16/06/11
16 Murtini Subani
17 Paenah Paimin T4
18 Sunami Legimin T4
19 Jumani Paeran T4
20 Erni T2 16/06/11
21 Sarnimah Jumari 15/03/10 T4 15/03/10
22 Rotun Mulawi 15/03/10 T4 15/03/10
23 Jubaidah Sukedi T4
24 Munah Kusno T3 16/06/11
25 Wiji Slamet T3
26 Leha Saat T3
27 Mutmainah Matbisri T3 16/06/11
28 Yuyun Sugeng T3 16/06/11
29 Ririn Mastuki 15/03/10 T4 15/03/10
30 Tutik Suwono 15/03/10 T4 15/03/10
31 Siti Fatimah Subandrio T4
32 Paramita T2
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 Siti Rokmana Sucipto 15/03/10 T4 15/03/10
34 Buani Tohet T4 16/06/11
35 Sanati Gimen T3
36 Sumintah Suwondo T3
37 Sumarni Susanto 15/03/10 T3 15/03/10
38 Jasirah T3
39 Siti Mol T4 16/06/11
40 Homsatun Holek T2 16/06/11
41 Supri Imam T3
42 Sumirah Suhan T3
43 Farid Junaedi T4
44 Yanti Sanip T4 16/06/11
45 Menik Ponijan T3
46 Kasiani Sasminto T4 16/06/11
47 Suliah T3
48 Misriatin Suto T3
49 Supriatin T2
50 Wiwik Basori T3
51 Jamil Jalal T4 16/06/11
52 Kasanah Karjono T4
53 Adik Suci T2 16/06/11
54 Ani Tugiman T4
55 Sofiah sodek T4 16/06/11
56 Lasimah Sukimin T4
57 Purwati Suwadi 20/03/10 T4 20/03/10
58 Parmi Yanto 20/03/10 T4 20/03/10
59 Suyani Sugiono T4 16/06/11
60 Ana Paedi 20/03/10 T4 20/03/10
61 Juminem Halim 12/11/09 T4 16/06/11
62 Yuyun Bambang T4 16/06/11
63 Laminah Jasmin T3 16/06/11
64 Irawati T3
65 Muinah Jumari T4
66 Ponisah Herman 20/03/10 T3 20/03/10
67 Waginem Saman T3
68 Liginem Sunali T3
69 Posiyah Tukijo T4
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
70 Jamiton Legiman T3
71 Tunisah Muslem T3
72 Sri Juani Bajuri T4
73 Utami Suraji T4
74 Miswati Naden T3
75 Misnati Sukron T4
76 Suriani Nimin T3
77 Nafiah Solehan T4 16/06/11
78 Ulfa T2 16/06/11
79 Patimah Asmar T4
80 Yati T2
81 Sutini Toeran T4 16/06/11
82 Poniyem Ngatiman T3
83 Misiyem Miyoso T3
84 Misinah Noramin T3
85 Rofikoh Mansor T4
86 Suparmi Ponemi
87 Liyanah Poniran T4
88 Wiji Slamet T3
89 Sutiyem Holili T4 16/06/11
90 Iin Paeman T4
91 Nurhayati Supar T3
92 Siti Suntoro T4
93 Lilik Didik T4 16/06/11
94 Ani Tono T3 16/06/11
95 Sofiyah Hadi 20/03/10 T3 20/03/10 16/06/11
96 Munifah M. Nur Ali 20/03/10 T3 20/03/10
97 Satini Sukadi T4
98 Hartik Suyanto T4
99 Sutiyam Markun T4
100 Iis T2 16/06/11
101 Yuliatin T2 16/06/11
102 Poniyah Imam T3 16/06/11
103 Suprih T4
104 Suparmi Sabar T4
105 Yuyun Joko T4
106 Toyibah H. Muarip T4
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
107 Lailatul T4 16/06/11
108 Nur Habiba Soleh 20/03/10 T4 20/03/10
109 Jumiasih T4
110 Poniyem Suhartono 20/03/10 T4 20/03/10
111 Susiana Paing T4
112 Legina Parji T4
113 Ika T2
114 Roifah T3
115 Sum Asmawi 20/03/10 T3 20/03/10
116 Sri Boyong Marsam 20/03/10 T4 20/03/10
117 Ana Marso T3
118 Rofikoh T3
119 Jasirah T4
120 Tinem T4
121 Burati T4
122 Iis T3 16/06/11
123 Sugiarti Asmar 30 th 19/11/13 T4 13/02/14
123 JUMLAH T0 0 0 0 0 7 7 20 0 0 0 1 0
T1 0 0
T4 65 1 ADS 0,5 ML 35
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
NIP :
hamil
Format 1
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Suyati Misdi 09/07/75 15/03/10 T4 15/03/10
2 Liana Junita Sari 10/06/93 T2
3 Maruya Imam 21/06/70 T5
4 Murni Abdullah 28/10/81 T4
5 Suswati Wasis 15/03/10 T4 15/03/10
6 Tika Agustin M. Halil 09/08/88 15/03/10 T3 15/03/10 20/06/11
7 Beta Septiana 13/09/92 T2
8 Suryani Misyono 05/01/89 15/03/10 T3 15/03/10 20/06/11
9 Anik Bahrudin 26/05/86 15/03/10 T3 20/06/11 15/03/10
10 Ninuk Sriastutik Kusnadi 28/04/83 T4 20/06/11
11 Suratemi Durahman T5
12 Ratih Abd. Rohim 04/05/71 T5
13 Sumartini 22/10/78 T3
14 Yayuk Ambarwati Imam Muklis 05/05/85 15/03/10 T3 15/03/10 20/06/11
15 Iis Idayani Muhammad 23/11/82 T4 20/06/11
16 Misinem maum 07/02/65 T4
17 Andri Lufitasari Sukit 27/07/85 T2
18 Ira Cahaya Sari 07/05/92 T2
19 Wagiati Wasis 03/04/82 T3 20/06/11
20 Supiati Hamid 01/07/78 T4 20/06/11
21 Diah Safitri 27/12/95 T2
22 Batriah Salam 05/06/96 T2
23 Ponijah Tukijo 10/07/64 T5
24 Ika Yuliana 07/06/93 T2 20/06/11
25 Mariani Edi Purwanto 11/11/82 15/03/10 T4 15/03/10
26 Ida Astutik Tohadi 20/04/68 15/03/10 T4 15/03/10
27 Maryati Hermanto 28/02/76 T4 20/06/11
28 Hotimah Martali 01/07/63 T4
29 Luluk Cacuk 25/09/86 T3 20/06/11
30 Ida 14/04/92 T3 20/06/11
31 Patemi Suparno 01/01/72 T4 20/06/11
32 Nanik S. Agus A. 02/12/81 T4 20/06/11
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
33 Sulastri Sueb 14/03/72 T4 20/06/11
34 Ponirah Seniman 03/02/61 T5
35 Maniti Sukardi 05/03/68 T4 20/06/11
36 Yuke Saidi 09/09/88 15/03/10 T3 15/03/10
37 hJuharia Edi 06/08/76 15/03/10 T4 15/03/10
38 Rinawati 14/10/91 15/03/10 T2 15/03/10 20/06/11
39 Ika Suliati 10/10/92 T2 20/06/11
40 Pipin A. Slamet 17/07/81 T4 20/06/11
41 Nurhatik Sugiarto 01/02/73 T5
42 Devisto 23/05/94 T2
43 Tumyati Jamaludin 29/01/66 T4 20/06/11
44 S. Holimah Zaenal 26/02/87 T3 20/06/11
45 Eni Wagisri Sukardi 01/05/68 T5
46 Asmaul Husnah Mulyono 01/01/88 15/03/10 T3 15/03/10 20/06/11
47 Iis S. Arifin 22/09/85 T4 20/06/11
48 Iin H. Saiful 13/03/82 T4 20/06/11
49 Timyati Jaelani 20/09/76 T3 20/06/11
50 Hati Woko 11/12/78 T4
51 Yatin Suyono 15/01/74 T4
52 Saropah Riyanto 06/08/68 T5
53 Holifah Dian 11/02/90 T4 20/06/11
54 S. Mutmainah Santono 09/01/75 T4 20/06/11
55 Salami Kusnan 16/03/70 T4 20/06/11
56 Susilawati Kardi 06/06/94 T4
57 Arbaeno Misdi 01/07/81 T3
58 Rismawati 06/02/82 T3 20/06/11
59 Nur Kholisah Nanang 08/05/81 T4
60 Misri H. Ahmad 25/08/77 T4
61 Rumyati Suryono 22/01/73 T5
62 Suswati Susianto 07/08/75 T5
63 Poniyah Kahar 13/04/68 T5
64 Jumaliatin Subaeri 13/05/73 T4 20/06/11
65 Luluk Sarkawi 05/07/81 T4 20/06/11
66 Asnima Mursid 13/07/74 T4 20/06/11
67 Suwarni Matadi 21/01/82 T4 20/06/11
68 Sukina Sulaiman 07/08/65 T5
69 Muryani Yudi 10/11/83 15/03/10 T4 15/03/10
70 Endang Suparmin 04/12/81 15/03/10 T3 15/03/10 20/06/11
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
71 Sofi Zaenal 14/08/92 T3 20/06/11
72 Tri Sujina Muraipin 03/06/63 15/03/10 T4 15/03/10
73 Asmina Wadi 05/05/71 T4 20/06/11
74 Miswati Maulan 19/07/71 15/03/10 T4 15/03/10
75 S. Khoiriyah Basir 11/06/73 15/03/10 T4 15/03/10
76 Dwi L. Slamet 15/06/85 15/03/10 T3 15/03/10 20/06/11
77 Riski L. Eko 01/01/86 15/03/10 T3 15/03/10 20/06/11
78 D. Ayu L. 08/07/88 T2
79 Sulihati Muhammad 01/07/62 T5
80 Titin 12/12/82 T2
81 Yufi 13/06/89 T2
82 Ida Sugik 16/12/79 T4 20/06/11
83 Rahma Suyitno 01/07/69 T5
84 Supiyatun Munaji 11/03/66 T3
85 Ida F. 14/03/94 T2
86 Nurul H. Edi 14/03/81 T3
87 Mutmainah Arifin 26/06/78 15/03/10 T4 15/03/10
88 Jumaatun Ismail 12/06/73 15/03/10 T4 15/03/10
89 Risti Mulyono 01/11/90 T2
90 Nasiatiningsih Sahri 02/08/77 T4 20/06/11
91 Susilowati Paidi 03/06/82 T4
92 Sri W. Saiful 05/03/79 T3
93 Pitriyah Agus 13/12/82 T3
94 Tatik Ngaderi 29/12/64 T4 20/06/11
95 Tirani To Asir 12/03/63 T4
96 Rina S. 11/10/89 T2
97 Tukinem Subari 01/07/75 15/03/10 T4 15/03/10
98 Burani Mahmud 03/07/71 15/03/10 T4 15/03/10
99 Lilik P. Sudarmo 06/10/69 15/03/10 T4 15/03/10
100 Maimunatun 12/04/70 T4
101 Oom Jali 17/07/90 T2 20/06/11
102 Supiyani 03/05/82 T3
103 Kusyani 01/07/73 T4 20/06/11
104 Suparmi 23/07/60 T4
105 Santinah Samsuri 08/05/65 T4
106 Sumiati Sudar 09/08/76 15/03/10 T4 15/03/10
107 Poniyem Sihab 01/05/80 T4 20/06/11
108 Tri Sulistyorini A. Zaini 01/10/81 15/03/10 T4 15/03/10
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
109 Aan Sugiarti M. Hartawan 14/06/83 15/03/10 T3 15/03/10 20/06/11
110 Menik Yasman 07/09/65 15/03/10 T4 15/03/10
111 Lasmi Ach. Bahri T4 20/06/11
112 Miftahul Rohmah Solihin 03/12/88 T3 20/06/11
113 Ida Wakiah Fathur Rohman 12/12/86 T4 20/06/11
114 Faikoturrohmah Hendra Irawan 14/07/87 T3
115 Sri Wagiyati Hariyadi 04/06/72 T4 20/06/11
116 Yulis Kurniati Junaedi 02/02/85 T3
117 S. Sunarsih Abidi Somad 15/03/72 T4 20/06/11
118 Vina 13/03/90 T2
119 Ponik liliani Sugianto 06/02/82 15/03/10 T4 15/03/10
120 Anggita M. 14/11/95 T2
121 Suparmi Suryadi 01/07/73 T4 20/06/11
122 Fifin A. Suryadi 27/08/89 T2 20/06/11
123 Sri Nur H. Suryadi 18/08/85 T2 20/06/11
124 Sri Nurhamida M. Holil 11/11/69 T4
125 Siti Saropah M. Aryo 03/09/79 T4 20/06/11
126 Ira Cahaya Sari Sumardi 01/03/73
127 Nanik Jamal 08/06/83 T3 20/06/11
128 Juhariyah M. Hafid 18/12/81 T4 20/06/11
129 Mukiyem Sugeng 04/02/73 T4 20/06/11
130 Sisilia Yudi 03/03/74
131 Eva Arik 24/07/86 T3 20/06/11
132 Lina Untung 12/05/75 T4 20/06/11
133 Yulis Kurniati Lasiman 13/06/79 T4 20/06/11
134 Wiwik Hartono 25/01/83 T4 20/06/11
Yuke Saidi 1995 19/08/13 T4 20/01/14
Dwi Rohmawati Noval 1995 18/11/13 T3 20/01/14
Yola Legiwati Hendra 1995 18/11/13 T4 20/01/14
Umi Masruro Widi 1984 05/09/13 T3 04/02/14
Nevirda Abdullah 1998 17/02/14 T3 20/01/14
134 JUMLAH T0 0 0 0 0 5 11 45 0 0 0 0 0
T1 0 0
T4 68 2 ADS 0,5 ML 61
LAHIR WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
NIP :
hamil
HASIL KEGIATAN SKRINING DAN IMUNISASI TT
POSYANDU :
DESA / KELURAHAN :
STATUS T AWAL (SAAT
NO NAMA WUS NAMA ORTU / SUAMI PERTAMA KALI)
LAHIR WUS
NON HAMIL HAMIL
1 2 3 4 5 6 7
0 JUMLAH T0 0 0
T1 0 0
T2 0 0
T3 0 0
T4 0 0
Penjelasan : T5 0 0
Kolom 6-7 : Isilah status TT WUS sesuai hasil pendataan (wawancara), misalnya : T0, T1, T2, T3, T4, T5
hamil
Kolom 13-17 : isilah tgl, bulan dan tahun vaksinasi TT saat ini, khusus untuk WUS yang sedang hamil
Format 1
DAN IMUNISASI TT WUS DI POSYANDU
PUSKESMAS :
TAHUN : 2010
HASIL VAKSINASI TT
WUS NON HAMIL WUS HAMIL
T-1 T-2 T-3 T-4 T5 T-1 T-2 T-3 T-4 T5
8 9 10 11 12 13 14 15 16 17
0 0 0 0 0 0 0 0 0 0
PEMAKAIAN LOGISTIK ……………., ………………….20….
VAKSIN Pelaksana Imunisasi/bidan,
ADS 0,5 ML 0
SAFETY BOX
(………………………………….. )
NIP :
HASIL KEGIATAN SKRINING DAN IMUNISASI TT
POSYANDU :
DESA / KELURAHAN :
STATUS T AWAL (SAAT
NO NAMA WUS NAMA ORTU / SUAMI PERTAMA KALI)
LAHIR WUS
NON HAMIL HAMIL
1 2 3 4 5 6 7
0 JUMLAH T0 0 0
T1 0 0
T2 0 0
T3 0 0
T4 0 0
Penjelasan : T5 0 0
Kolom 6-7 : Isilah status TT WUS sesuai hasil pendataan (wawancara), misalnya : T0, T1, T2, T3, T4, T5
hamil
Kolom 13-17 : isilah tgl, bulan dan tahun vaksinasi TT saat ini, khusus untuk WUS yang sedang hamil
Format 1
DAN IMUNISASI TT WUS DI POSYANDU
PUSKESMAS :
TAHUN : 2010
HASIL VAKSINASI TT
WUS NON HAMIL WUS HAMIL
T-1 T-2 T-3 T-4 T5 T-1 T-2 T-3 T-4 T5
8 9 10 11 12 13 14 15 16 17
0 0 0 0 0 0 0 0 0 0
PEMAKAIAN LOGISTIK ……………., ………………….20….
VAKSIN Pelaksana Imunisasi/bidan,
ADS 0,5 ML 0
SAFETY BOX
(………………………………….. )
NIP :
HASIL KEGIATAN SKRINING DAN IMUNISASI TT WUS PER POSYAN
DESA/KELURAHAN :
PUSKESMAS :
STATUS T AWAL (SAAT PENDATAAN atau SAAT PERTAMA KALI DATANG) HASIL KEGIATAN
JML JML
NO POSYANDU NON HAMIL HAMIL
WUS BUMIL T5 NON HAMIL
T2 plus Bumil
T-0 T-1 T-2 T-3 T-4 T5 T-0 T-1 T-2 T-3 T-4 T5
ABS % ABS % T-1 T-2 T-3 T-4
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
1 Apel 1 149 4 0 0 28 6 63 47 0 0 1 1 1 1 4 100.0 48 32.2 0 0 5 5
2 Apel 2 224 2 0 0 33 14 131 38 0 0 0 2 0 0 2 100.0 38 17.0 0 0 10 12
3 Apel 3 141 5 0 0 4 18 98 16 0 0 0 2 3 0 5 100.0 16 11.3 0 0 2 7
4 Apel 4 274 3 0 0 14 48 130 74 0 0 0 1 0 2 3 100.0 76 27.7 0 0 0 20
5 Apel 5 325 5 0 0 47 23 130 108 0 0 0 1 4 0 5 100.0 108 33.2 0 0 12 7
6 Apel 6 126 3 0 0 21 11 80 11 0 0 0 0 3 0 3 100.0 11 8.7 0 0 7 8
7 Apel 7 25 2 0 0 2 6 15 0 0 0 0 0 2 0 2 100.0 0 0.0 0 0 0 0
8 Apel 8 479 3 0 1 86 45 113 218 0 0 0 1 2 0 3 100.0 218 45.5 0 0 12 11
9 Apel 9 285 10 0 0 64 13 119 72 0 0 0 0 7 3 10 100.0 75 26.3 0 0 19 7
10 Apel 10 290 4 0 0 64 29 58 135 0 0 0 0 3 1 4 100.0 136 46.9 0 0 6 14
11 Apel 11 137 0 0 0 29 29 42 31 0 0 0 0 0 0 0 #DIV/0! 31 22.6 0 0 1 4
12 Apel 12 192 3 0 1 14 37 42 24 0 0 0 3 0 0 3 100.0 24 12.5 0 0 0 1
13 Apel 13 115 0 0 0 18 47 31 18 0 0 0 0 0 0 0 #DIV/0! 18 15.7 0 0 2 6
14 Apel 14 143 1 0 0 17 30 39 3 0 0 0 1 0 0 1 100.0 3 2.1 0 0 0 3
15 Apel 15 179 0 0 0 29 57 93 0 0 0 0 0 0 0 0 #DIV/0! 0 0.0 0 0 2 10
16 Apel 16 205 2 0 0 41 75 80 6 0 0 0 1 1 0 2 100.0 6 2.9 0 0 10 33
17 Apel 17 123 3 0 0 14 39 65 0 0 0 0 2 1 0 3 100.0 0 0.0 0 0 7 7
18 Apel 18 134 6 0 0 21 28 68 14 0 0 0 4 2 0 6 100.0 14 10.4 0 0 5 11
19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! 0 #DIV/0! 0 0 0 0
20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! 0 #DIV/0! 0 0 0 0
DESA 3546 56 0 2 546 555 1397 815 0 0 1 19 29 7 56 100.0 822 23.2 0 0 100 166
Penjelasan :
Kolom 5-10 : isilah hasil penjumlahan dari format 1(kolom 6) Kolom 21-25 : isilah hasil penjumlahan format 1, yaitu hsl kegiatan imun TT khusus WUS tdk hamil
Kolom 11-16 : isilah hasil penjumlahan dari format 1(kolom 7) Kolom 26-30 : isilah hasil penjumlahan format 1, yaitu hsl kegiatan imun TT khusus WUS yang hamil
Kolom 17 : jumlahkan status T2, T3, T4, T5 khusus WUS hamil Kolom 31 : jumlahkan kolom 27 s/d 30 ditambah kolom 17
Kolom 18 : kolom 17 dibagi kolom 4 dikalikan 100 Kolom 32 : kolom 31 dibagi kolom 4 dikalikan 100
Kolom 19 : jumlahkan kolom 5 + kolom 16 Kolom 33 : jumlahkan kolom 19 + kolom 25 + kolom 30
Kolom 20 : kolom 19 dibagi kolom 3 kali 100 Kolom 34 : kolom 33 dibagi kolom 3 dikalikan 100
kolom 38 : Jumlahkan kolom 21s/d 30 dibagi 35
Format 2
DAN IMUNISASI TT WUS PER POSYANDU
KABUPATEN/KOTA : JEMBER
BULAN / TAHUN : 2010
JUMLAH LOGISTIK
HASIL KEGIATAN IMUNISASI TT STATUS T WUS SAMPAI JML DIGUNAKAN
DENGAN BULAN INI SUNTI IP
KAN BL VAKS SAFE VAKSIN
NON HAMIL HAMIL
T2 plus Bumil T5 INI ADS TY
IN
T5 T-1 T-2 T-3 T-4 T5 KUM % KUM % BOX
25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
15 0 0 0 0 0 4 100.0 63 42.3 25 0 25 0 #DIV/0!
19 0 0 0 0 1 2 100.0 58 25.9 42 0 42 0 #DIV/0!
8 0 0 0 0 0 5 100.0 24 17.0 17 0 17 0 #DIV/0!
21 0 0 0 0 0 3 100.0 97 35.4 41 0 41 0 #DIV/0!
11 0 0 0 0 0 5 100.0 119 36.6 30 0 30 0 #DIV/0!
10 0 0 0 0 0 3 100.0 21 16.7 25 0 25 0 #DIV/0!
5 0 0 0 1 0 2 100.0 5 20.0 6 0 6 0 #DIV/0!
21 0 0 0 0 0 3 100.0 239 49.9 44 0 44 0 #DIV/0!
17 0 0 0 0 0 10 100.0 92 32.3 43 0 43 0 #DIV/0!
18 0 0 0 0 0 4 100.0 154 53.1 38 0 38 0 #DIV/0!
3 0 0 0 0 0 0 #DIV/0! 34 24.8 8 0 8 0 #DIV/0!
4 0 0 0 0 0 3 100.0 28 14.6 5 0 5 0 #DIV/0!
9 0 0 0 0 0 0 #DIV/0! 27 23.5 17 0 17 0 #DIV/0!
8 0 0 0 0 0 1 100.0 11 7.7 11 0 11 0 #DIV/0!
30 0 0 0 1 3 0 #DIV/0! 33 18.4 46 0 46 0 #DIV/0!
44 0 0 1 0 1 2 100.0 51 24.9 89 0 89 0 #DIV/0!
20 0 0 0 1 0 3 100.0 20 16.3 35 0 35 0 #DIV/0!
45 0 0 0 0 0 6 100.0 59 44.0 61 0 61 0 #DIV/0!
0 0 0 0 0 0 0 #DIV/0! 0 #DIV/0! - 0 0 0 #DIV/0!
0 0 0 0 0 0 0 #DIV/0! 0 #DIV/0! - 0 0 0 #DIV/0!
308 0 0 1 3 5 56 100.0 1135 32.0 583 0 583 0 #DIV/0!
……………., ………………….20…
Pelaksana Imunisasi/bidan,
(………………………………….. )
NIP :

Hasil Kegiatan Skrining Dan Imunisasi TT Wus Di Posyandu: Format 1

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