FORMULIR PEMANTAUAN PERTUMBUHAN BALITA DI POSYANDU

Provinsi : Sumatera Barat Nama Posyandu : Tunas Mekar II

Kabupaten/Kota : Pariaman Bulan : FEBRUARI
Puskesmas/Kecamatan : Air Santok/ Pariaman Timur Tahun : 2021
Desa/Kelurahan : Air Santok
NIK (Nomor Induk Anak Tanggal Berat No.
Bdn (bb) Tlp/
NO No Kartu Keluarga Nama Anak P/L Nama Ortu (Ayah) NIK Ayah
Lahir HP
Kependudukan) Ke Lahir (kg) Ortu
1 2 3 4 5 6 7 8 9 10 11
1 1377042312150005 1377044102160001 1 SYANDANA ZAHSY A 1-Feb-2016 P RIKO TARIANTO 130507047890001
2 1377041310150001 1377040503160001 1 ABDIEL RASYIQUL PRATAMA 5-Mar-2016 L 2.6 RAMADHONI SYOFNALDI 1377010805870002
3 1305032907100002 1305031303160002 2 AZZAM AZKA ALDRIC 13-Mar-2016 L ZULHAYADI 1305032309810002
4 1377011411075827 13603015904160003 3 RIHANA PUTRI ARDIYANI 19-Apr-2016 P ARDIANSYAH
5 1377040807140001 1377042804160001 2 ARKAN SAID MUHDAVIA 28-Apr-2016 L MUHARMAN 1377110801770006
6 137704170180001 1571115305160005 2 KHAISHA AZIZA 13-May-2016 P RISWALDI 1307130508830001
7 1377041012150002 1377041905160002 1 AZZAM MAULANA ZULFAR 19-May-2016 L ZULKIFLI 1377010711830001
8 1375015406160003 1 AZARINE FARZANA 14-Jun-2016 L PASAR LIANDA 1375010112860001
9 1377040201180004 1305065601610001 2 AKIFA FAIHA THUFAILA 16-Jun-2016 P 3.0 BUDI MAISAL PUTRA 1305062005800001
10 1377041011170002 1305061907160001 M. RAFA AZKA PUTRA 19-Jul-2016 L 3.2 ALINUR
11 137701090410008 1377011409160002 2 FAYAT AGUSTI 14-Sep-2016 L 3.5 AGUSTAMI 137701128790001
12 HANIN MIFTAHUL J 16-Sep-2016 P AZWAR NUR
13 1377041910160001 1377042109160001 1 KIZLAN AGHA ALFATIH 21-Sep-2016 L HERI SAPUTRA 1377012802880004
14 1377041310170001 1371060709160001 3 ZYO SEFTRI RUSMADIVA 7-Sep-2016 L 3.4 RUSWADI 1371030212610004
15 1377041803130002 1377046311160001 3 AMNA RAISHA AZ-ZAHRA 23-Nov-2016 P 2.8 SUHARMEN 1371032203760004
16 1377012402160001 1377014101170001 3 ALYA FAIRUZ 1-Jan-2017 P AZHABAL KHAIRI 1377012504750001
17 1377011411075795 1377040801170001 4 RABIL JURNAL AS-SHIDIQ 8-Jan-2017 L 3.0 YURNAL 1377011004720001
18 1377041310150001 1377046301170001 2 ARUMNI NASHA SYOFIALIN 23-Jan-2017 P 2.6 RAMADHONI SYOFNALDI 1377010805870002
19 137704050470001 2 ZIAD 5-Feb-2017 L 3.9 SYAMSUARDI 1306082118870002
20 1377042304190002 1377010603170001 3 HAFIZH MAHARDIKA 6-Mar-2017 L RIZKI DESMAWATI (IBU) 1377015612800001
21 1377012312090010 1377042203170001 MUHAMMAD RASYID ALFARISI 22-Mar-2017 L 4.0 IBRAHIM 1377010402760001
22 AL FAHIRA 20-Mar-2017 P
23 1377042403160002 1377040504170001 2 AQEEL HADAYA 5-Apr-2017 L RUSDI AHMAD 1315120602790001
24 13770411071300004 1377044405170001 3 MUTIARA SUCI E 4-May-2017 P FAKHRIADI 13015142202760001
25 2 BIMA SAKTI 13-May-2017 L 2.9 M. ALJUFRI 1301516240780001
26 RAYSA 17-May-2017 P
27 1377041409160006 1377044106170001 2 NAUFALYN AYUDIA Y 1-Jun-2017 L ZANDRA ADRIAN 1371061312860005
28 AYU DINA 2-Jun-2017 P ZANDRA A
29 1377041010160007 1377045407170002 2 ADZKIA ZALFA RIYADI 14-Jul-2017 P 3.0 RIKO MULYADI 1377032808870001
30 13770130031100004 NATHAN 16-Jul-2017 L 3.2 ALPEN H 137701140380003
31 1377042809160004 1377041708170001 2 KAWA PUDARMA 17-Aug-2017 L 3.1 DARMAYANTO 1377031203830001
32 1377042107140002 1377044209170001 2 NARA RIZKIYA ADHA 2-Sep-2017 P 4.2 NANANG 1305141110820001
33 1377040703140001 1377040509170001 2 RIBHI ADHA FIDELOVIA 5-Sep-2017 L 3.3 DEDI SUPRIADI 1305162407880001
34 1377041811100001 1377040709170001 3 HIDAYATULLAH ZINEDINE ZIDANE 7-Sep-2017 L HERWANTO 1377040809860001
35 1377041907170007 137704100917000 1 AQVAN ARKAN ARTANABIL 10-Sep-2017 L 3.1 AGUSMAWI 130503170888004
36 1377040509170004 1377044910170001 4 AFIFAH THALITA 9-Oct-2017 P 3.2 RIZALDI 1377040312870001
37 1377041210170002 1377041210170002 2 M. REYFAN WINALDI 14-Oct-2017 L 3.3 RONALDI 1377030301870002
38 1377032204130001 1377032110170004 2 ADITYA RIFKI HAMIZAN 21-Oct-2017 L HENDRI YANTO 1377012507830002
39 1377041906170002 1377040512170001 1 GIBRAN ALI OMERA 5-Dec-2017 L WAHYUDHI 1371072602880004
40 1306162610160001 1305142612170001 4 AZRIL 26-Dec-2017 L ZAHERMAN 1305140110740001
41 YUKIVA 5-Feb-2018 P 3.2 RUDI
42 1377012805120004 1377015503180001 2 SHAZIA SHABIRA SHANUM 15-Mar-2018 P REZAFRI BARDI 1377012104860007
43 1377011411075795 5 RAMEESA ALSAVA 5-Apr-2018 P 3.0 ROSI HENDRIK 1377011504790001
44 FATIMAH QAIRA 6-Apr-2018 P 3.2
45 1377041208140002 1377041306180002 2 SALMAN ASAD DHAIFULLAH 13-Jun-2018 L RICHO HARMOKO 1377030608840002
46 ARRASYID SHIDIQ 1-Aug-2018 L 3.0 RAHMAT H
47 137704140410001 2 KHAIZA 8-Aug-2018 P DONI MARTIN 1377042503780001
48 1377040603120009 1377045708180001 2 KHAZIMAH DESKIA AFIFAH 17-Aug-2018 P 3.4 SIDIK RIZKI NUR CAHYA 1377041910850001
49 13770425101000051 137704020918000 3 ILHAM HAMID 2-Sep-2018 L 2.7 BURMAWI 137704080177000
50 1377031411070175 5 RAHMI NURFAUZIA 2-Sep-2018 P 3.2 NURSAM 1377031909700001
51 1377010303100041 1377040810810001 1 FAIZ OKTORI D 8-Oct-2018 L 3.2 RADINSON 1377010203730001
52 1377042911170006 1377040311180001 1 GHANI PERMANA 3-Nov-2018 L 2.8 AGUSMAN 1305052006890001
53 1377040203120004 1377046211180001 4 ANINDITA KEISHA ZAHRA 22-Nov-2018 P 3.2 ROZI MARZANO 1377042008750001
54 1377042602180001 1377045411180001 1 AZKIYA ZEA NAFISHA 14-Nov-2018 P 3.1 MUHAMMAD NAFISUNNUHA 1305052107910002
55 1377042911180001 1377041302190002 1 MUHAMMAD RIZI ADAM 13-Feb-2019 L 4.7 AHMAD TARMIZI 1302050290002
56 1 YUSFINA KHAIRUNNISA 27-Mar-2019 P 2.8 HANIFIL IKRAR
 NIK (Nomor Induk Anak Tanggal Berat No.
Bdn (bb) Tlp/
NO No Kartu Keluarga Nama Anak P/L Nama Ortu (Ayah) NIK Ayah
Lahir HP
Kependudukan) Ke Lahir (kg) Ortu
57 1377040509170004 5 WILDAN KENZIE MUBARAK 27-May-2019 L 3.2 RIZALDI 1377040312870001
58 1377042509180003 1377040406190001 1 AHMAD ARIFARDI 4-Jun-2019 L 3.2 RIYALDI SYARIF 1377042802830001
59 1377042207190001 1377044807190001 1 ASIFAH AQILA ALIANDA 8-Jul-2019 P ALI SODIKIN 1377041007850001
60 1377021811090004 4 MUHAMMAD RIZIK 9-Jul-2019 L EDISON 1377022804770001
61 1377010401100012 3 HAZLAN ZAIDAN HIDAYAT 13-Jul-2019 L 3.4 ZALMIYADI 1377010110760005
62 1305070806120002 1377045908190001 2 AISYAH NAWATIQA 19-Aug-2019 P SYAFRIZAL 1305070609810001
63 HAIKAL PERNANDA 27-Aug-2019 L 3.7
64 FATAR AHMAD ARRAZI 21-Sep-2019 L
65 1377042403160002 1377042409190001 3 ZAHID RUKA SEPTIANO 24-Sep-2019 L RUSDI AHMAD 1315120602790001
66 AQUI KAREL 12-Nov-2020 L
67 1377040703140001 DIFA TRITAMA FIDALOFA 18-Nov-2019 P 3.8 DEDI SUPRIADI 1305162407880001
68 1377032204130001 1377046011190001 3 VANIA THALITA SYAFANA 20-Nov-2019 P HENDRI YANTO 1377012507830002
69 1377040611190003 1377041310190002 1 ZIO RENALDO IBRAHIM 13-Oct-2019 L ALIYUS 1305140206880001
70 1377041211190002 1377046512190001 1 SYARIFAH KHODIJAH 25-Dec-2019 P MUHAMMAD QADRI 1377040407850001
71 1377031601140006 1377045401200001 4 ANISA UFAIRAH 14-Jan-2020 P ROBI ARISON 13760202067900009
72 KAILA THALITA SAVIRA 3-Feb-2020 P 2,3 SYAFRIZAL
73 ADELIA MILKA 26-Feb-2020 P 3 HERMAN FIKRI
74 1377011411075795 5 ALDEVARO JURNAL ERDOGAN 2-Mar-2020 L YURNAL 1377011004720001
75 FELISYIA INESKA MARWA 2-Mar-2020 P
76 1377042708150006 137704540420001 2 AISHWATUL KAYLA 14-Apr-2020 P RAISMAN 1305061105900004
77 1377041003200001 1377046904200001 1 NADINI MIKHAYLA RAMADHANI 29-Apr-2020 P
78 YAZID ATNAN RAMADAN 6-May-2020 L 3 ARIF RAHMAN HAKIM
79 AQILLA HAYATUL MECCA 22-Jun-2020 P JAYA MARIES
80 2 KENZIO 15-Jul-2020 L 2.6 RONI ARDI
81 RAFINA SHAZIA HUMAIRAH 16-Aug-2020 P 3
82 YUZUKIO AINA AZME 16-Sep-2020 P
83 1377012312090010 4 IKHSAN RAHMAN AL AMIN 16-Oct-2020 L 3,7 IBRAHIM 1377010402760001
84 1 ADREANA NAURA SYAKILA 9-Oct-2020 P 3,5 FANDRI PRATAMA RAMADHAN
85 1 AISYAH KHAWLA DALSA P 2,8 AFDAL ZIKRA
86 4 MUHAMMAD HAIKAL 24-Nov-2020 L 3,1 BURMAWI 137704080177000
87 3 SHEYNA FALISA AMANDA 26-Dec-2020 P 2.1
88
89
PERTUMBUHAN BALITA DI POSYANDU

Tgl BB Pjng Bdn Cara Ukur ASI IMD Vit A Vit A

R R Pengu (kg)
/Tinggi 1=Telen- Ekslusif 1=Ya Feb Agust
Alamat
T W kuran Bdn tang 1= Ya 1=Ya 1=Ya
(cm) 2=Berdiri 2=Tdk 2=Tdk 2=Tdk 2=Tdk
12 13 14 15 16 17 2 19 20 21 22
Lambang 6/2/2021 14 2
Lambang 6/2/2021 13,7 2
Lambang 6/2/2021 16 102 2
Tb. Hilir 6/2/2021 15,3 2
Lambang 6/2/2021 17 112 2
Lambang 6/2/2021 13,1 2
Lambang 6/2/2021 15 2
Lambang 6/2/2021 13,1 2
Lambang 6/2/2021 13,1 2
Lambang 6/2/2021 2
Lambang 6/2/2021 13,5 2
Lambang 6/2/2021 12.7 93 2
Lambang 6/2/2021 13,4 2
Lambang 6/2/2021 13.3 2
Lambang 6/2/2021 15,7 2
Lambang 6/2/2021 13,1 2
Lambang 6/2/2021 10,2 93 2
Lambang 6/2/2021 11,3 2
Lambang 6/2/2021 16 2
Lambang 6/2/2021 14,1 2
Tb. Hilir 6/2/2021 15 102,5 2
Lambang 6/2/2021 13.6 2
Lambang 6/2/2021 13.3 2
Lambang 6/2/2021 12.3 2
Lambang 6/2/2021 17 2
Lambang 6/2/2021 16.9 2
Lambang 6/2/2021 15.4 1
Lambang 6/2/2021 15.9 1
Lambang 6/2/2021 17 1
Lambang 6/2/2021 14,9 1
Lambang 6/2/2021 15 1
Lambang 6/2/2021 10.5 1
Lambang 6/2/2021 14.3 75 1
Tb. Hilir 6/2/2021 14.6 1
Lambang 6/2/2021 13,9 1
Lambang 6/2/2021 14 94 1
Lambang 6/2/2021 11.8 89 1
Lambang 6/2/2021 12.2 1
Lambang 6/2/2021 12.3 1
Lambang 6/2/2021 12.3 1
Lambang 6/2/2021 11.2 1
Lambang 6/2/2021 11.5 1
Lambang 6/2/2021 13.2 99 1
Lambang 6/2/2021 13.4 1
Lambang 6/2/2021 11.3 93 1
Lambang 6/2/2021 11.2 1
Lambang 6/2/2021 12.2 1
Lambang 6/2/2021 12.2 1
Tb. Hilir 6/2/2021 12 89 1
Tb. Hilir 6/2/2021 11.3 1
Lambang 6/2/2021 11.7 1
Lambang 6/2/2021 12,1 90 1
Lambang 6/2/2021 11 1
Lambang 6/2/2021 11.8 87 1
Lambang 6/2/2021 10.5 78 1
Lambang 6/2/2021 10.3 85 1
 Tgl BB Pjng Bdn Cara Ukur ASI IMD Vit A Vit A
R R Pengu (kg) /Tinggi 1=Telen- Ekslusif 1=Ya Feb Agust
Alamat
T W kuran Bdn tang 1= Ya 1=Ya 1=Ya
(cm) 2=Berdiri 2=Tdk 2=Tdk 2=Tdk 2=Tdk
Lambang 6/2/2021 10 90 1
Tb. Hilir 6/2/2021 9.3 1
Lambang 6/2/2021 9.3 1
Lambang 6/2/2021 11.4 86 1
Tb. Hilir 6/2/2021 8.6 75 1
Lambang 6/2/2021 11.2 1
Lambang 6/2/2021 10 76 1
Tb. Hilir 6/2/2021 9.6 1
Lambang 6/2/2021 9.4 1
Lambang 6/2/2021 7.4 72
Lambang 6/2/2021 10 77 1
Lambang 6/2/2021 9.3 1
Lambang 6/2/2021 8.3 86 1
Lambang 6/2/2021 8.3 1
Lambang 6/2/2021 8.5 1
Lambang 6/2/2021 8.7 1
Lambang 6/2/2021 10 77 1
Lambang 6/2/2021 9.5 75 1
Lambang 6/2/2021 9.2 1
Lambang 6/2/2021 9.2 1
Tb. Hilir 6/2/2021 8.3 1
Tb. Hilir 6/2/2021 8.1 72.3 1
Lambang 6/2/2021 8.7 77 1
Lambang 6/2/2021 6,8 62 1
Lambang 6/2/2021 6 65 1
Lambang 6/2/2021 6.1 63 1
Tb. Hilir 6/2/2021 7 62.4 1
Tb. Hilir 6/2/2021 7.5 65 1
Lambang 6/2/2021 6.3 1
Tb. Hilir 6/2/2021 5 55 1
Tb. Hilir 6/2/2021 3.05 48.5 1