DATA SASARAN BALITA FORMAT Eppgbm

Provinsi :
Kabupaten/Kota :
Puskesmas :
Desa : :

JENIS Berat Cara Ukur ASI

No No KK NIK (Nomor Induk ANAK NAMA ANAK TANGGAL KELAMI Badan Nama Orang tua NIK Orang Tua No Tlp/HP Orang ALAMAT RT RW Tanggal BB TB Eksklusif
Kependudukan Anak ) KE LAHIR Lahir Tua pengukuran (Kg) (Cm) 1=Telentang 1=YA,
N (Kg) 2=Berdiri 2=Tidak

1. 3318051803130004 3318055611130002 1 Jami'atul.M 11/15/2013 P 2.9 Lilik S 3318051708900007 082325252399 Triguno 4 1 10/10/2018 14. 100 2 1

2. 3318050912070496 3318054301140001 2 Nada Fajria 1/3/2014 P 3 Lasno 3318051605800006 082325252399 Triguno 5 1 15 102 2 1

3. 3318050609130003 3318055901140001 1 Nabila Q 1/19/2014 P 2.8 Maskuri 3318050612890002 082223867608 Triguno 3 1 13.5 99 2 1

4. 3318051307050851 3318054302140001 2 Fatimatus.Z 2/3/2014 P 3 Kadar 3318050503620002 082325252399 Triguno 4 1 15 100 2 1

5. 3318052407090040 3318062203140001 2 Fatih Alfaro 3/22/2014 L 3.2 Jasmani 3318050908700003 082225255096 Triguno 6 1 15 97 2 1

6. 3318051309070020 3318055304140001 2 Nur Asifa K 4/13/2014 P 3 A. Suroso 3318050609820001 085326051723 Triguno 2 1 12 91 2 1

7. 3318052401080008 3318056604140002 2 Zahira A 4/26/2014 P 3.4 Marsudi 3318051908790006 082311120483 Triguno 7 1 15 100 2 1

8. 3318041006140001 3318042605140003 2 Raditya W.p 5/26/2014 L 3 Nur W 3318052408890001 082325252399 Triguno 4 1 20 104 2 1

9. 3318051811060007 1 Karina Sifa 5/18/2014 P 3 Lusi 3318054212930014 082217618437 Triguno 1 1 14 98 2 1

10. 3318051309140006 3318056204140002 2 Ulfa Auliya 4/22/2014 P 3 Sunyarto 3318041003850001 082325252399 Triguno 7 1 13 97 2 1

11. 3318040808140002 3318058706140002 1 Marwah Fika 6/17/2014 P 2.6 Sunarto 3318040705690001 081228554281 Triguno 7 1 10.5 91 2 1

12. 331805071110006 3318056002140001 1 Cantika 2/20/2014 P 3 Sundoyo 3318081211850001 082136744881 Triguno 4 1 20 105 2 1

13. 3318050912070017 33180569-05140001 2 Hafiza 6/29/2014 P 3.1 Nur W 3318052009830001 082136744881 Triguno 3 1 14 97 2 1

14. 3318050912070269 3318057006140001 2 Talita Hazna 6/30/2014 P 3.2 Sutomo 3318052602820002 085326051723 Triguno 3 1 16 103 2 1

15. 3318051309140003 3318051306140001 1 Naban Akbar 8/12/2014 L 3.2 Heri P 3318051404820004 081228554281 Triguno 7 1 25 106 2 1

16. 3318051010140002 3318054308140001 1 Isna Wusatun 9/3/2014 P 3 Arif 3318051203830005 082325252399 Triguno 3 1 14 98 2 1

17. 3318052904080016 3318050510140001 2 Dhea Sarafana 10/25/2014 P 3.3 Purwanto 3318053006780003 082325252399 Triguno 4 1 13.5 98 2 1

18. 3318050310070018 3318056910140001 2 Oktavia h 10/29/2014 P 3.5 Supriyanto 3318051812760001 082136520399 Triguno 6 1 13.5 90 2 1

19. 3318051012140004 3318050212140001 1 Adyatama D 12/2/2014 L 3.2 Diya Godel '3318051605880001 082325252399 Triguno 4 1 102 86 2 1

20. 3318051709150006 3318052701150002 2 Moh Arda 1/27/2015 L 2.5 Supono 3318052808860002 082325252399 Triguno 5 1 10 85 2 1

21. 3318052110110008 3318050801150001 1 Dafid Arka 1/2/2015 L 1.8 Bambang 3318050806760010 085326051723 Triguno 2 1 10 84 2 1

22. 3318052706080023 3318054304150001 2 Zifara 4/3/2015 P 3.3 Damuri 3318050803740003 081228554281 Triguno 6 1 13.1 88 2 1

23. 3318052610110001 3318051004150001 2 M.Maulana 4/10/2015 L 2.1 Jayadi 3318051611810006 081390157240 Triguno 2 1 10.3 88 2 1

24. 3318050710080034 3318051505150002 2 Ival Faeza 5/15/2015 L 3.3 Supagi 3318050705760005 081215002543 Triguno 5 1 14 90 2 1

25. 3318051512070010 3318051506150001 3 Ahmad Azam 6/15/2015 L 3 Warman 3318050508680003 081390157240 Triguno 1 1 11.6 86 2 1

26. 3318052501080007 3318050107150002 2 M.Yusa alhabzi 7/1/2015 L 3.3 Pursetyo 3318050702780004 085287062396 Triguno 1 1 13.5 92 2 1

27. 3318052403110003 3318058509150001 2 Kholifatul H 9/25/2015 P 3.5 Nur Sa'id 3318051611810005 08532541399 Triguno 7 1 13.2 86 2 1

28. 3318053012110002 3318050310150002 2 M.Fawas 10/3/2015 L 3.2 Kusmiran 3318051011780003 085225092287 Triguno 1 1 13 87 2 1

29. 3318051607080084 3318054710150001 2 Renata A 10/7/2015 P 2.9 Umbaryanto 3318053012760005 082329048149 Triguno 6 1 10/10/2018 11.9 85 2 1
30. 3318080910120001 3318081610150001 2 Sultan Akbar 10/16/2015 L 3 Supriyadi 3318080900860021 082324958719 Triguno 3 1 12 86 2 1

31. 3318052403110004 3318052711150001 2 Rohmad Nur 11/27/2015 L 3.6 Jasmin 3318051511700004 081918747129 Triguno 7 1 11.5 83 2 1

32. 3318051512070364 3318052911150002 2 Azzyan Sulton 11/28/2015 L 2.9 Sumagi 3318052606740001 085330110640 Triguno 2 1 11 85 2 1

33. 3318051004150002 3318200703140001 2 Ahmad Saryono 3/7/2014 L 3 Rustam 3318201805700004 082331850774 Triguno 2 1 22 103 2 1

34. 3318052408150002 3318057001160001 1 Nabila Zahra 1/30/2016 P 2.6 Bambang 3318040511950001 087831265670 Triguno 1 1 9.3 85 2 1

35. 3318052502160003 3318051402160002 1 Arkana Ivander 2/14/2016 L 3.9 Anton.W 3318052101950002 082136744881 Triguno 6 2 9 86 2 1

36. 3318052905090002 3318050403160003 2 Ganeza A 3/4/2016 L 3.3 Sugiono 3318050507790006 082329715714 Triguno 3 1 10.6 82 2 1

37. 3318051301160001 3318051405160001 1 Glaga 5/14/2016 L 2.8 Candra 3318052005890001 081325056223 Triguno 6 1 10.5 82 2 1

38. 3318051801160003 3318051905160001 1 Abdul Aziz 5/19/2016 L 3.3 M.Sholikin 3318055607860005 081228554281 Triguno 7 1 9.2 84 2 1

39. 3318050901160003 3318057005160001 1 Aqila Misysa 5/30/2016 P 3.2 Nurchamid 3318051812880003 081327376969 Triguno 5 1 9 82 2 1

40. 3318051907110003 3318056606160001 1 Hafiza R 6/26/2016 P 3.1 Suwardi 3318052011780004 081325958794 Triguno 3 1 8.5 79 2 1

41. 3318052207160002 3318050907160001 1 Ardisyah Carka 7/9/2016 L 3.4 Fredi 3318050402930003 081325958794 Triguno 3 1 10.5 85 2 1

42. 3318050912070648 3318055107160001 3 Rohmadotul N 7/11/2016 P 3.3 Suyitno 3318052508800003 081325958794 Triguno 5 1 10 80 2 1

43. 3318051507080022 3318050709160002 2 Mafaza P 9/7/2016 L 3.5 Siswanto 3318050705780005 081228554281 Triguno 7 1 12.3 87.5 2 1

44. 3318052109150005 3318051011160002 1 David Kuncoro 11/10/2016 L 2.4 Arif 3318050305930005 082223867608 Triguno 1 1 10.7 90 2 1

45. 3318051001110004 3318056412160001 2 Radya K 12/24/2016 P 3 Sunardi 3318050109820002 085225246945 Triguno 3 1 10 77 2 1

46. 3318050509120007 3318051603160002 2 Zidan 3/16/2016 L 3 Anzid 3318052205860008 081327376969 Triguno 3 1 12.8 88 2 1

47. 3318052211160003 3318056701170001 1 Bilqis A 1/27/2017 P 3.5 Kriswanto 3318050308880001 082352203056 Triguno 6 1 11 80 2 1

48. 3318050812070389 3318051602170002 2 Briyan Calvin 2/16/2017 L 2.9 Bambang 3318052301790003 082136744881 Triguno 4 1 11 89 2 1

49. 3318053110070018 3318056703170001 2 Alfinda Cahaya 3/27/2017 P 2.6 Sujatminto 3318050103800001 082136744881 Triguno 4 1 8 77 2 1

50. '3318051808100003 3318055304170002 2 Shakaela Z 4/13/2017 P 2.8 Karyadi 3318051412830001 082331850774 Triguno 1 1 8.5 77 2 1

51. 3318051803130004 3318054905170001 2 Naira Sakila 5/9/2017 P 2.6 Sujatminto '3318051708900007 082325252399 Triguno 4 1 10 77 2 1

52. 3318040407170001 3318044406170002 1 Ais Faizus 6/4/2017 P 3 Margono 3318042803910003 087831567029 Triguno 7 1 11.5 76 2 1

53. 3318050209170002 3318053007170001 1 Nayaka 7/30/2017 L 3.3 Elys prima 3318020602870001 082137151617 Triguno 6 1 9.8 80 2 1

54. 3318053107150002 3318050608150002 1 Abiyasa satria 8/6/2015 L 3.1 Mashar 3320041008850004 085320046823 Triguno 6 1 12.6 90 2 1

55. 3318053107150002 3318051204180001 2 Abhinaya 4/12/2018 L 3 Mashar 3320041008850004 085320046823 Triguno 6 1 6.5 66 2 1

56. 3318051307050791 3318050805170002 2 Koko M 5/12/2017 L 3 Warsito 3318051703660001 081325958794 Triguno 3 1 10.1 82 2 1

57. 3318051510150005 3318050907170002 1 Azka Maulana 7/9/2017 L 3 Aris Y 3318051808930003 081325958794 Triguno 3 1 9.1 80 2 1

58. 3318050309160002 3318051910170003 1 Ahmad Devano 10/19/2017 L 2.9 Joni S 3318052706910001 082136409686 Triguno 4 1 9.3 71 1 1

59. 3318050308090002 3318057110170001 2 Bilqis Najwa I 10/31/2017 p 3.4 Sutrisno 3318051410790001 082217618437 Triguno 4 1 10/10/2018 7.9 68 1 1

60. 3318050401110002 3318050411170001 2 M irsyad M 11/4/2017 L 3.3 suwardi 3318090501780004 082217618437 Triguno 3 1 9.2 72 1 1

61. 3318050108090005 3318054712170002 2 Farrania Yubi Q 12/7/2017 P 3 Warsono 3318050110720002 085227539771 Triguno 3 1 9.2 68 1 1

62. 3318052807160001 3318054812170001 3 Uffaira 12/8/2017 P 3.2 Parno 3318081504770023 081223963077 Triguno 6 1 8.8 65 1 1

63. 3318050107090010 3318051312170001 2 Dirga 12/13/2017 L 3.3 Agus S 3318051205860009 082217618437 Triguno 1 1 8.2 70 1 1

64. 3318091104170005 3318052201180001 1 M.Syahiful 1/22/2018 L 2.4 A. Kamsidin 3318091711940004 082241811699 Triguno 3 1 7 66 1 1

65. 3318052003180004 3318051503180001 1 Kevindra 3/15/2018 L 3.3 Eko P 3318041911890001 082399319589 Triguno 4 1 7.2 64 1 1

66. 3318050812070008 3318055203180001 2 Chika Kanza 3/12/2018 P 2.8 Nur kholis 3318050409830002 085326545907 Triguno 3 1 5.9 59 1 1

67. 3318050712070196 3318052405180001 1 Azril R 5/24/2018 L 3 Dini A 3318054508990003 082227248247 Triguno 7 1 7 60 1 1

68. 3318052508180004 3318055208180002 1 Alesya A 8/12/2018 P 3 Kusno 3318051007920003 087833699715 Triguno 4 1 4.5 54 1 1

69. 3318052205080017 3318051608180002 3 M.Athar A 8/16/2018 L 3.5 Sukarman 3318050503800003 082221662980 Triguno 6 1 4.3 55 1 1

70. 3318050107130007 3318050901160001 2 Andra Dwi 1/9/2016 L 3 Suhartanto 3318051212840006 082243462170 Triguno 2 1 10 83 2 1

71. 3318051307160001 3318044512140003 1 Zivara sanum 11/5/2014 p 3 Noor r 3318051608870003 081318939385 Triguno 3 1 13 90 2 1

72. 3318051307160001 3318050703170001 2 Shafwan 3/7/2017 L 2.9 Noor r 3318051608870003 081318939385 Triguno 3 1 10 80 2 1

73. 3318050303180002 3318052409160002 1 Kevin Rafindra 9/24/2018 L 2.8 Partono 3318050109920004 082231971713 Triguno 3 1 4.1 55 1 1

74. 3318053101880002 3318054510180001 2 Cantika 10/5/2018 P 3.7 Suyatno 3318051108830003 081285913719 Triguno 3 1 4 52 1 1

75. 3318052010180002 3318050910180001 2 Alvino 10/9/2018 L 3.25 Artika W 3318055602880009 081225689565 Triguno 6 1 4 51 1 1

76. 3318050210140002 3318052411140002 1 Alliando 11/24/2014 L 3.5 Sulisno 3318052410900001 081390157240 Triguno 2 1 14 91.5 2 1

77. '3604151104180001 1802045905150003 1 Mikaila 5/19/2015 P 3 Dwi Arina 1802045508880010 082227248247 Triguno 7 1 13.8 94 2 1

78. '3318052807090012 3318051711130003 3 Ahmad Fadli 11/19/2013 L 3 Suyanto 3318050308710001 082399325923 Triguno 3 2 10/8/2018 14 99 2 1

79. 3318053009100003 3318054612130001 1 Destiara 12/6/2013 P 3 Haryono 3318050407820013 081327240161 Triguno 9 2 14 97 2 1

80. 3318051407070007 3318054912130001 2 Isna Faza 12/9/2013 P 2.9 Suparno 3318050307740007 082399325923 Triguno 2 2 14 100 2 1

81. 3318050305120004 3318053001140002 2 M.Thohir 1/30/2014 L 3 Kumadi 3318056507850002 081325057278 Triguno 8 2 15 93 2 1

82. 3318052007170003 3318053003140001 1 Rif'an 3/30/2014 L 3 Nur rofiah 3318054111920006 081327240161 Triguno 8 2 14 96 2 1

83. 3318052904140002 3318056504140001 1 Naily S.Agust 4/25/2014 P 3.2 Agus 3318051208900001 082399325923 Triguno 8 2 15 98 2 1

84. 3318051112070163 3318052202140002 2 Rizki Ali F 2/22/2014 L 3 Suyatman 3318050206640002 081327240161 Triguno 7 2 14 96 2 1

85. 3318090111130002 3318090202140001 1 Vano Alfatul 2/2/2014 L 3 Marjuki 3318092403850002 082399325923 Triguno 7 2 12 94 2 1

86. 3318050606080012 3318052105140008 2 Azka Hanif 5/20/2014 L 3.2 Samsul Hadi 3318051507800004 081325057278 Triguno 2 2 15 103 2 1

87. 3318051501090019 3318051805140003 1 Saiful M 5/15/2014 L 2.8 Muhdi 3318051007730004 082399325923 Triguno 5 2 15 103 2 1

88. 3318052505110011 3318051509140003 3 M.Mustofa 9/15/2014 L 2.9 Damin 3318051002760006 081325057278 Triguno 8 2 15 100 2 1

89. 3318053011100052 3318051610140003 2 A.Hafidurroh 9/15/2014 L 3 Suryanto 3318050210850004 081327240161 Triguno 8 2 15 99 2 1

90. 3318050812140001 3318055311140004 1 Niken Prita 11/13/2014 P 3.1 Supriyanto 3318050404880004 087831671291 Triguno 9 2 13 88 2 1

91. 3318052706140001 3318052911140001 1 M.Affan A 11/29/2014 L 3 Suwandi 3318051609840002 082220597677 Triguno 2 2 14 90 2 1

92. 3318050812090001 3318053112140001 2 Abid Aqila 31-121-14 L 3.2 Slamet P 3318052705850001 082220597677 Triguno 3 2 14 90 2 1

93. 3318052009140001 3318050701150001 1 Arhinza A 1/7/2015 L 3.1 Agustian 3318050204840003 085321627093 Triguno 6 2 13 95 2 1

94. 3318050604160001 3318054506150005 1 Maura F 2/5/2015 P 3 Guntur 3318101411940002 082220597677 Triguno 3 2 13 96 2 1

95. 3318051808110002 3318055703150001 1 Khoirotun N 3/17/2015 P 3 Susilo 3318050709800008 087831671291 Triguno 9 2 13 95 2 1

96. 3318052007160002 3175064906151010 1 Airilin Beivania 6/9/2015 P 3 Arif N 3318052202900002 087831671291 Triguno 9 2 15 95 2 1

97. 3318050701150002 3318050306150001 1 M.Dzikra A 6/3/2015 L 3 Fikri M 3318042305890001 081275366857 Triguno 8 2 13 95 2 1

98. 3318050107150001 3318055106150003 1 Najwa Q 6/10/2015 P 3.2 Salamun 3318051207940001 087831671291 Triguno 9 2 13.5 97 2 1

99. 3318051108150007 3318050407150001 1 Ahmad A'la 7/4/2015 L 2.8 Mas'ud 3318112007840001 085201896569 Triguno 1 2 13 97 2 1

100 3318052405080004 3318050308150001 2 Kenza Dirgo 8/2/2015 L 3.5 Anang 3318052704770001 082324472474 Triguno 1 2 12 94 2 1

101 3318052004150004 3318050508150001 1 M.Daris T 8/4/2015 L 3 Abdul Faqih 3318051304870001 082220597677 Triguno 3 2 12.5 95 2 1

102 3318050409150002 3318056808150001 2 Sunti Asyatul 8/29/2015 P 2.5 Sutiah 3318050409150002 082220599677 Triguno 2 2 10 85 2 1

103 3318053004090008 3318053008150001 2 M.Duhron 9/29/2015 L 2.9 Parjono 3318050902630002 085842211943 Triguno 8 2 12 91 2 1

104 3318052306110001 3318056708150001 2 Nadieva A 11/27/2015 P 3.4 Didik 3318051410860001 081225085678 Triguno 9 2 15 91 2 1

105 3318050711070023 3318056512150001 2 Keyzia Reysha 12/25/2015 P 2.8 Zaenudin 3318052110780001 087831567019 Triguno 2 2 10 88 2 1
106 3318101307090050 33180101601160002 1 Al kalifi Z 1/16/2016 L 3 Sumarno 3318102008730005 082220597677 Triguno 7 2 11.2 92 2 1

107 3318053008080002 3318052101160002 2 M.Arul S 1/21/2016 L 3 AliMahmudi 3318051001790003 087733836986 Triguno 4 2 13 98 2 1

108 3318051311070018 3318052802160002 2 M.Zulmi 2/28/2016 L 1.5 Jumadi 3318051202820002 087733836986 Triguno 2 2 10/8/2018 13 90 2 2

109 3318051112070098 3318056103160001 2 Ahmad Wijayanto 3/21/2016 L 3.1 Pardi 3318050706770003 082325965139 Triguno 7 2 13 91 2 1

110 3318052705080002 3318054304160002 2 Devia Aliya 4/3/2016 P 3.5 Slamet 3318050307670004 082324572639 Triguno 4 2 13 92 2 1

111 3318050204120001 3318051304160002 2 M.Royan 4/13/2016 L 3.7 Jamari 3318050504850006 082399325923 Triguno 9 2 12 91 2 1

112 3318050710150005 3318051904160002 1 Narendra G 4/19/2016 L 2.5 Edi S 3318053107890002 082325721572 Triguno 1 2 12 90 2 1

113 3318051003090014 3318052004160002 2 M.Fadian A 4/20/2016 L 3.3 Zaenuddin 3318051004870005 082399325923 Triguno 6 2 12 90 2 1

114 3318050904080007 3318051306160002 3 Hamzah R 6/13/2016 L 2.5 Jaswadi 3318050809720001 082399325923 Triguno 9 2 11.5 90 2 1

115 3318051207052132 3318056709160002 2 Zidni Ilma 9/26/2016 P 3 M.Nur S 3318051709800002 082325721572 Triguno 1 2 10 85 2 1

116 3318051110100004 3318053310160001 2 M.Albi M 10/23/2016 L 3.5 Joko B 3318051503850003 082324572639 Triguno 1 2 12 86 2 1

117 3318052605100003 3318056710160001 1 Salsabila A 10/27/2016 P 2.5 Sa'di 3318052207800001 082279651305 Triguno 2 2 10 78 2 1

118 3318052705080017 3318052011160001 2 Darel Setyo n 11/19/2016 L 3.5 Sutrisno 3318051502670004 082220597677 Triguno 4 2 11 83 2 1

119 3318053010090003 3318054412160001 2 Intan Putri M 12/4/2016 P 3.2 Welas 3318050812760001 082220597677 Triguno 3 2 10 81 2 1

120 3318052112160001 3318052112160001 1 M.Fatihudin 12/21/2016 L 2.9 A.Muhid 3318050101870002 085249675721 Triguno 5 2 11 84 2 1

121 3318051503110006 3318056612160001 1 Adita Hawa.M 12/26/2016 P 2.9 Mukti 3318050304800008 085325618155 Triguno 5 2 9 80 2 1

122 3318051503110005 3318055602170001 2 Vania Nata 2/15/2017 P 3.4 Aris Eko 3318050508830008 082325721572 Triguno 1 2 10.8 81 2 1

123 3318051312120005 3318051303170001 2 Alvis Sakti 3/13/2017 L 2.5 Sugito 3318051005690004 08522554161 Triguno 3 2 9.5 70 2 1

124 3318053110160005 3318052403170001 1 Angkasa A.P 3/24/2017 L 3.1 Purwadi 3318131206850003 085325618155 Triguno 8 2 8.8 80 2 1

125 3318050909130002 3318056803170003 1 St.Erlita R 3/27/2017 P 2.85 Tejo 3318052809820002 082325721572 Triguno 1 2 13.8 84 2 1

126 3318051108150007 3318050204170001 2 Ahmad Sahil 4/2/2017 L 3.4 M.Mashud 3318112007840001 085201896569 Triguno 1 2 10 77 2 1

127 3318051909160007 3318055604170001 2 Nukha Z Wafa 4/15/2017 P 2.9 Bambang 3318051207810003 085228022614 Triguno 1 2 10 75 2 1

128 3318051605080001 3318056304170001 3 Putri Kayyisa 4/23/2017 P 2.8 Romli 3318051002720007 082324651972 Triguno 3 2 8.8 76 2 1

129 3318052607110001 3318052404170002 1 Moh.Abdullah 4/23/2017 L 2.9 Gunaji 3318057007940004 081215115419 Triguno 9 2 12 81 2 1

130 3318052909160009 3318051005170001 1 Abbas Rizal 5/10/2017 L 3 Teguh W 3318052002930002 082225020137 Triguno 9 2 10 80 2 1

131 3318051305170002 3318056405170001 1 Aisyah A 6/24/2017 P 3.1 Giyanto 3318051507830003 085325618155 Triguno 8 2 10 75 2 1

132 3318050812160002 3318053105170002 1 M.Arsya 5/31/2017 L 3.2 Kasnuri 3316141008860008 081386505837 Triguno 8 2 10 80 2 1

133 3318051510110003 3318054106170002 2 Sahida 6/1/2017 P 3.3 Surodo 3318060402850002 085249675721 Triguno 5 2 8.9 77 2 1

134 3318053005150002 3318054308170001 1 Azkiya Nur 8/3/2017 P 2.9 Susilo 3318050504830001 082220597677 Triguno 4 2 8 76 2 1

135 3318051008110005 3318055206170001 2 Maryam U 8/12/2017 P 3 Ali Mursid 3318052008880005 087831422955 Triguno 9 2 8 77 1 1

136 3318050901170001 3318055706170002 1 Fathina A 6/17/2017 P 3.1 Kusmanto 3318050405880002 081238796881 Triguno 4 2 8 75 1 1

3318052503170001 3318050308170001 1 Atha Hafidzh 8/3/2017 L 2.5 Joko S 3318051008910003 082225931807 Triguno 4 2 9 76 1 1

3318052904130002 3318050511170002 3 M.Harir Ustman 11/5/2017 L 3 Ali Sa'di 3318050709760001 081325057278 Triguno 3 2 10/8/2018 7.5 68 1 1

3318052804140005 3318052310170001 2 Ahmad Malik 10/23/2017 L 2.7 Supiyo 3318053010830001 081325057278 Triguno 3 2 7 66 1 1

3318051411150001 3318051411170001 2 Mikho arfi 11/14/2017 L 3.4 Parsih 3318056006850003 081325057278 Triguno 9 2 8 65 1 1

3318051012070133 3318055201180001 3 Ainun Qolbi J 1/12/2018 P 3.5 A Ma'mun 3318051510720002 081390837339 Triguno 5 2 8 75 1 1

3318041212090002 3318055401180001 2 Ainiya hilyatul 1/14/2018 p 3.3 Mulyono 3318053011820002 082138918231 Triguno 2 2 12 76 1 1

3318051012070617 3318058801180001 3 Farikhatul Ibriza 1/28/2018 P 2.8 Sururi 3318050706670002 085229021341 Triguno 5 2 8 67 1 1
3318051012070507 3318055602180002 1 Febriyana qinara 2/16/2018 P 3.5 Alkan Nur a 3318090609950002 082323336786 Triguno 6 2 8 68 1 1

3318051801160001 3318055203180002 3 Gisela 3/12/2018 P 3 Supriyanto 3318050206830004 081325057278 Triguno 8 2 7 65 1 1

3318051112070046 3318051103180003 1 Fahrul Khoirul 3/11/2018 L 2.4 Yatini 3318055412840001 081325057278 Triguno 7 2 6.5 63 1 1

3318050612080003 3318050207180003 2 Abdullah Rafif 7/2/2018 L 3.5 Lazimun 3318052101790002 081294264188 Triguno 8 2 6.3 60 1 1

3318051304150004 3318056807150001 1 Nikeisha 7/28/2015 P 3 Wawang 3318052211850003 085326254778 Triguno 1 2 12 86 2 1

3318042102170006 3318041805140001 1 Ahmad Hafizdh 5/18/2014 L 3 Anik T 3318054901910003 081325057278 Triguno 3 2 15 99 2 1

3318052609070019 3318052311130001 2 M.Ulinnuha 11/23/2013 L 2.9 Sujono 3318052007750001 082134069477 Triguno 2 3 10/6/2018 15 101 2 1

3318051001140001 3318054101140001 1 Talita R 1/1/2014 P 3.2 Suryani 3318050507850009 082134069477 Triguno 2 3 18 110 2 1

3318051609130007 3318056402140001 1 SerilMufarriha 2/24/2014 p 3.3 A.Nursaid 3318052207870003 081326072585 Triguno 1 3 13 101 2 1

3318053007100001 3318054605140001 2 Duratun Izatun 5/6/2014 P 3.1 Supriyadi 3318050405770004 085326901156 Triguno 2 3 14 101 2 1

3318051107070010 3318055410140001 1 Rasya dzakia 10/14/2014 P 3 Agus T 3318050804800004 082134069477 Triguno 1 3 15 110 2 1

3318050508080003 3318054904150001 2 Karisma A 4/9/2015 P 3 Purnomo 3318051004800006 082136379587 Triguno 1 3 15 99 2 1

3318051412070179 3318055902150001 3 Mikailiya 2/19/2015 P 3.4 Supawi 3318051202740012 082136379587 Triguno 2 3 15 95 2 1

3318051309140005 3318052603150003 1 M.Fadil p 3/26/2015 L 3.9 Wasis 3318051911890001 082247508976 Triguno 2 3 14 95 2 1

3318051702150004 3318050205150001 1 M.Nur Alif 5/2/2015 L 3.7 Suryanto 3318051404870005 082138945451 Triguno 2 3 14 96 2 1

3318051204160001 3318050605150001 4 Alkaisar Afrian 5/6/2015 L 3.5 Dian 3318105011820010 082138945451 Triguno 1 3 19 102 2 1

3318053010090005 3318050207150001 2 M.Wildan 7/1/2015 L 3.2 Sudarman 3318050703810008 082136379587 Triguno 1 3 15.5 95 2 1

3318052709160002 3318052105160001 1 Ucica Nicolas 11/25/2015 L 3.4 Edi 3318050510930001 082136379587 Triguno 1 3 10 87 2 1

3318050201160003 3318051211120001 2 Heni Maysaroh 11/12/2015 P 2.9 Sururi 3318052100885001 082138945451 Triguno 2 3 11 84 2 1

3318051108090014 3318050403160002 2 M.Faza Khairul 3/4/2016 L 3.3 Sudarwi 3318052903830004 082133475850 Triguno 1 3 13 98 2 1

3318050807080030 3318051801170001 3 Abqori Nurihsani 1/18/2017 L 3.3 Sumanang 3318051504810005 082136379587 Triguno 1 3 10 78 2 1

3318051204110002 3318056403170002 2 aizatinnurkamala 3/24/2017 P 3.2 Subaidi 3318050210820005 085225880279 Triguno 1 3 10 78 2 1

3318051808090004 3318056604170001 3 Nazia Zahia A 4/26/2017 P 2.9 Sugiyanto 3318052012780003 082134069477 Triguno 1 3 9.5 78 2 1

3318050706100006 3318050505170001 3 Dimas 5/5/2017 L 4 Supardi 3318051505700005 082138945451 Triguno 1 3 10 77 2 1

3318050310160003 3318053101180001 1 Hanenda Afzar 1/31/2018 L 3.4 M.Arif 3318050409910002 082138945451 Triguno 1 3 10 77 1 1

3318052309160008 3318051604170001 1 M.Jafran 4/16/2017 L 3.2 Nur Sholikin 3318050711910001 082324573396 Triguno 1 3 10 78 2 1

3318050210062106 3318050709170001 2 Giovano Niel 9/7/2017 L 3.6 Dian U 3318050701860003 081283134013 Triguno 2 3 9.4 72 1 1
IMD Vitamin A Vitamin A
1=YA, Februari Agustus
1=YA, 1=YA,
2=Tidak 2=Tidak 2=Tidak

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1
 DATA SASARAN BALITA FORMAT Eppgbm

Provinsi :
Kabupaten/Kota :
Puskesmas :
Desa : :

JENIS Berat Cara Ukur ASI

No No KK NIK (Nomor Induk ANAK NAMA ANAK TANGGAL LAHIR KELAMI Badan Nama Orang tua NIK Orang Tua No Tlp/HP Orang ALAMAT RT RW Tanggal BB TB Eksklusif
Kependudukan Anak ) KE Lahir Tua pengukuran (Kg) (Cm) 1=Telentang 1=YA,
N (Kg) 2=Berdiri 2=Tidak

1. 3318052906180005 3318056206180003 2 Afika Nabilatun Yumna 22-Jun-2018 P 3 Anwar Tomo W 331808054900062 082331858574 Pelemgede 1 1 9/20/2018 5.5 52 1 1

2. Umi Kholifah 3318166703850013

3. 3318050507110002 3318057010170001 2 Nafisha Fairus S 30-Oct-2017 P 3.5 Abdul Hasyim 3318050207820003 Pelemgede 2 1 9 72 2 1

4. Lia Handayani 3318054802910008

5. 3318051107140002 3318051010170001 2 Haikal Fathan Santoso 10-Oct-2017 L 3 Joko Mukti Santoso 3318050502870002 Pelemgede 1 1 8.5 75 2 1

6. Sri Puji 3318055202870002

7. 3318050301090004 3318056509170002 3 Berlian Kasuma Ratu W 25-9-217 P 3 Sumadi 3318051009770006 Pelemgede 1 1 8.6 70 2 1

8. Eka Wahyuni 3318055302890006

9. 3318052811070113 3318051508170001 2 Ardhian Harimukti B 15-Aug-2017 L 2 Masduki 3318050311770001 Pelemgede 1 1 9.1 76 2 2

10. Suharti 3318055406820004

11. 3318052811070243 3318051007170004 2 Arfan Khalif Juliansya 10-Jul-2017 L 3 Priyadi 3318051804770001 Pelemgede 2 1 8 70 2 1
12. Sari Widya Astuti 3318055401840001

13. 3318052503080014 3318052904170003 2 Muhammad Arkana A 29-Apr-2017 L 3.2 Supriyadi 3318052408820002 pelemgede 1 1 10 80 2 1
14. Sumiati 3318044205900002
15. 3318092208110001 3318055501170002 3 Anggun Naimatus S 1/15/2017 p 2.8 Muhammad Daenuri3318080906830042 pelemgede 2 1 11 80 2 1
16. Yuliningsih 3318056907850002
17. 3318052807160002 3318052007160001 1 Ahmad Chandra M 7/20/2016 l 3 Khamim 3318052909880005 pelemgede 2 1 11 81 2 1
18. Tiah Munfaatun 3318055710950001
19. 3318050503150002 3318056702150001 3 Asyla Naila Alifah 2/27/2015 P 3 Jani 0 pelemgede 2 1 12.5 82 2 1
20. Jarmi 33180580057700001
21. 3318050609070007 3318051010180002 2 Alif Syakhel Alfarizqi 10/10/2018 L 3 Jamsari 3318053009700001 pelemgede 1 1 4 49 2 1
22. Sri Temok 3318056503830002
23. 3318054307140001 1 Nagita Wiji S 7/3/2014 P 1.8 Joko Mukti Santoso 3318050502870002 Pelemgede 2 1 13 94 1 2
24. Sri Puji 3318055202870002
25. 3318080609170004 3318056601180003 1 Mikhayla Azzahra Putri 1/26/2018 p 3 Agus Supriyanto 3318050611910001 pelemgede 1 1 7 71 2 1
26. Endah Safitri 3318155712970002
27. 3318050905080007 3318051708170001 2 Muhammad Yusuf M 8/17/2017 l 3 Supaat 33108051104820004 pelemgede 1 1 9 80 2 1
28. Sulistyaningsih 3318056301840001
29. 3318051001140002 3318050104150002 1 Muhammad Naufal B 4/1/2015 L 3.5 Ahmad Dahlan 33108051908870002 pelemgede 1 1 15 92 2 1
30. Jumilah 3318055209880003
31. 3318052305140003 3318050804140001 1 Muhammad Izza M 4/8/2014 L 3 Kusnanto 3318050406870003 pelemgede 1 1 14 95 2 1
32. Iskhotimah 3318095110850002
33. 3318052711070572 33108055807150001 1 Cherrylian Qwinta 7/18/2015 p 3 Kusminar 33108050301860004 pelemgede 1 1 13 88 2 1
34. Siti Mutmainah 33108055102940004
35. 3310805203120001 33108050609170001 2 Ahmad Syafiqul A 9/6/2017 L Tohari 3318051604820004 pelemgede 2 1 9 74 2 1
36. Marita W 33108057003850004
37. 331805051090003 3318052303150002 2 Kevin Ardian R 3/23/2015 L Sarman 3318051606770005 pelemgede 1 1 13 94 2 1
38. Sudarwati 3318055610840003
39. 33108051107080007 3318051306140001 2 Supono 6/13/2014 L Tarno 33108050107700049 pelemgede 2 1 14 94 2 1
40. Suniti 3318054506810010
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
77.
78.
79.
80.
81.
82.
83.
84.
85.
86.
87.
88.
89.
90.
91.
92.
93.
94.
95.
96.
97.
98.
99.
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
IMD Vitamin A Vitamin A
1=YA, Februari Agustus
1=YA, 1=YA,
2=Tidak 2=Tidak 2=Tidak

1 2 2

1 2 1

1 2 1

1 2 1

2 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

2 2 1

2 1 1

1 2 1

1 1 1

1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1 1
 DATA SASARAN BALITA FORMAT Eppgbm

Provinsi :
Kabupaten/Kota :
Puskesmas :
Desa : :

JENIS Berat Cara Ukur ASI

No No KK NIK (Nomor Induk ANAK NAMA ANAK TANGGAL KELAMI Badan Nama Orang tua NIK Orang Tua No Tlp/HP Orang ALAMAT RT RW Tanggal BB TB Eksklusif
Kependudukan Anak ) KE LAHIR Lahir Tua pengukuran (Kg) (Cm) 1=Telentang 1=YA,
N (Kg) 2=Berdiri 2=Tidak
10 87
1. 33180502 10060020 33180548 03160001 2 Zia Syakila Azkadina 3/8/2016 P 2.7 kg Widiana-Sutomo 33180512 11770003 081 225 586 272 Kr. Wotan 1 1 12/10/2018 2 1
kg cm
33180503 11080008 33180516 04160002 2 M. Gibran Syabil 16/4/2016 L 2.5 kg S.Wahyuni-M.Rupadi 33180515 03840007 081 225 586 272 Kr. Wotan 1 1 12/10/2018
11 90 2 1
2. kg cm
15 105
3. 33180506 06140001 33180512 07140001 1 Abidzar Al Ghifari Rama 12/7/2014 L 2.8 kg Yuliati-Suprapto 15090318 06810001 081 225 586 272 Kr. Wotan 1 1 12/10/2018 2 1
kg cm
14 100
4. 33180510 12070591 33180569 12140001 2 Ummi Maisyaroh 29/12/2014 P 2.6 kg Tuminah-Mungkono 33180501 07720025 081 225 586 272 Kr. Wotan 1 1 12/10/2018 2 1
kg cm
11 90
5. 33180510 12070668 33180524 03160001 2 M.Sodikhul Hamim 24/3/2016 L 2.7 kg Rumini-Rebo 33180501 07640073 081 225 586 272 Kr. Wotan 1 1 12/10/2018
kg cm 2 1
13 95
6. 33180512 11150001 33180531 10150001 1 M.Abid Rajendra 31/10/2015 L 2.5 kg Ratna W.-M.Dovid 33181606 09910001 081 225 586 272 Kr. Wotan 1 1 12/10/2018 2 1
kg cm
75
7. 33180521 09160005 33180558 01170001 1 Neisha Olivia Maheswari 18/1/2017 P 2.7 kg Khasanah-Surono 33180530 04960002 081 225 586 272 Kr. Wotan 1 1 12/10/2018 8 kg 2 1
cm
16 110
8. 33180523 05090006 33180554 11130003 2 Sahra Novita Syaharani 14/11/2013 P 2.8 kg Siti R-Nurhadi M. 33180528 03820002 081 225 586 272 Kr. Wotan 1 1 12/10/2018
kg cm 2 1
13 95
9. 33180530 01070005 33180525 07150001 2 M.Hafiz Al Farizi 25/7/2015 L 2.5 kg S.Khomsah-Sakiyanto 33180521 05760002 081 225 586 272 Kr. Wotan 1 1 12/10/2018 2 1
kg cm
2.7 kg Putri M.-M.Ulin Cahyono 75
10. 33180515 09160002 33180561 09170001 1 Khoirun Nisa Minnhatun Nihaya 21/9/2017 P 33180524 09930002 081 225 586 272 Kr. Wotan 1 1 12/10/2018 8 kg 2 1
Awwali cm
13 95
11. 33180502 05090003 33180528 10150002 2 Hisyam Saputra 28/10/2015 L 2.7 kg Sumiyati-Sahruman 33180503 07770004 081 225 586 272 Kr. Wotan 2 1 12/10/2018 2 1
kg cm
13 95
12. 33180522 09100010 33180521 01150001 2 Wafrie Banu Akmal 21/1/2015 L 3 kg Wahyuni-Maskan 33180524 09820002 081 225 586 272 Kr. Wotan 2 1 12/10/2018 2 1
kg cm
13 95
13. 33180528 09150006 33180517 01150001 1 M.Abid Aqila P. 17/1/2015 L 2.7 kg Yuli A.-Mardiansyah 33180549 07910002 081 225 586 272 Kr. Wotan 2 1 12/10/2018 2 1
kg cm
2.7 kg Susi Widian R.-Rokhmat
75
14. 33180514 06170003 33180548 06170001 1 Aqisya Nada Azzalea 8/6/2017 P 33180510 08900004 081 225 586 272 Kr. Wotan 2 1 12/10/2018 8 kg 2 1
Naim cm
55
15. 33180512 10110003 33180558 08180001 2 Almira Azzahra 18/8/2018 P 2.5 kg Zulaikah-A.Tholib 33180513 11820003 081 225 586 272 Kr. Wotan 2 1 12/10/2018 4 kg 1 1
cm
75
16. 33180523 03170002 33180554 03170001 1 Shakila Almaira Kheisha 14/3/2017 P 2.7 kg P.Sholikah-Sahal Mahfud 33180510 08960001 081 225 586 272 Kr. Wotan 2 1 12/10/2018 8 kg 2 1
cm
12 90
17. 33180528 10080014 33180518 02170001 1 Nizam lionel Asfar 18/2/2017 L 2.7 kg Vera N.F.-M.Irham 33180501 10950002 081 225 586 272 Kr. Wotan 2 1 12/10/2018 2 1
kg cm
33180503 03090004 33180528 09160002 2 M.Alby Luthfi Al F. 28/9/2016 L 3 kg Kasyanti-Lasman 33180524 06810001 081 225 586 272 Kr. Wotan 3 1 12/10/2018
11 90 2 1
18. kg cm
15 105
19. 33180506 11070005 33180519 01140002 4 M.Dzaka Al Farizi 19/1/2014 L 2.6 kg Sumini-Supadi 33180505 08650004 081 225 586 272 Kr. Wotan 3 1 12/10/2018 2 1
kg cm
15 105
20. 33180506 11070005 33180519 01140003 5 M.Dzaky Al Farizi 19/1/2014 L 2.7 kg Sumini-Supadi 33180505 08650004 081 225 586 272 Kr. Wotan 3 1 12/10/2018 2 1
kg cm
33180507 05080030 33180531 05140001 2 Dwipa Handaya 31/5/2014 L 3.1 kg Sri Utami-Suradi 33180520 04830002 081 225 586 272 Kr. Wotan 3 1 12/10/2018
15 105 2 1
21. kg cm
14 100
22. 33180507 12130008 33180567 05140002 1 Askana Sakhi 27/5/2014 P 2.5 kg Suciati-Irfan A. 33190327 05870002 081 225 586 272 Kr. Wotan 3 1 12/10/2018 2 1
kg cm
10 85
23. 33180510 09110009 33180553 08160001 2 Nuzula Ayudia Inara 13/8/2016 P 2.8 kg Samini-Sarjo 33180530 06720004 081 225 586 272 Kr. Wotan 3 1 12/10/2018 2 1
kg cm
75
24. 33180512 12080005 33180554 0417001 2 Rafania Zharifa 14/4/2017 P 2.7 kg Jarwati-Suwardi 33180520 05760005 081 225 586 272 Kr. Wotan 3 1 12/10/2018 8 kg cm 2 1
13 95
25. 33180514 11080004 33180520 05150002 2 Nicholas Saputra 20/5/2015 L 2.6 kg Siswati-Muryono 33180509 06720006 081 225 586 272 Kr. Wotan 3 1 12/10/2018 2 1
kg cm
13 95
26. 33180518 08150001 33180511 08150001 1 M.Riza Fahlevy 11/8/2015 L 3.2 kg Nora V.-M.Fathur R. 33180623 10920004 081 225 586 272 Kr. Wotan 3 1 12/10/2018 2 1
kg cm
13 95
27. 33180519 01170003 33180420 04150003 1 A.Faris Alhafizh 20/4/2015 L 2.8 kg Tri Yunia W-Saifur R 33180521 07900002 081 225 586 272 Kr. Wotan 3 1 12/10/2018
kg cm 2 1
14 100
28. 33180523 10090003 33180555 07140001 2 Kiandra Nirmala P. 15/7/2014 P 2.5 kg Suyati L-Suyono 33180512 10740008 081 225 586 272 Kr. Wotan 3 1 12/10/2018 2 1
kg cm
12 90
29. 33180527 10140002 33180541 07150003 1 Ari Husna Lutfika 1/7/2015 P 2.6 kg S.Rohayati-Sutikno 33180521 04840001 081 225 586 272 Kr. Wotan 3 1 12/10/2018 2 1
kg cm
 11 90
30. 33180530 08100006 33180521 09160002 2 M.Sendy Prabowo 21/9/2016 L 2.7 kg Ita A.-Sutrisno 33180525 07820002 081 225 586 272 Kr. Wotan 3 1 12/10/2018 2 1
kg cm
33180531 05070005 33180562 09140004 2 Bilqis Sirril Wafa 22/9/2014 P 3.2 kg S.Kholifah-Tamin 33180505 04740005 081 225 586 272 Kr. Wotan 3 1 12/10/2018
14 100 2 1
31. kg cm
6.5 70
32. 33180513 02080019 33180516 02180003 4 Bayu Aji Samudro 16/2/2018 L 2.6 kg Harmi-Kariman 33180516 08790004 081 225 586 272 Kr. Wotan 3 1 12/10/2018 1 1
kg cm
12 90
33. 33180524 12140002 33180567 04150001 1 Zafira Elysia Putri 27/4/2015 P 2.7 kg Aulia K.-Sudarmawan 33180420 12910002 081 225 586 272 Kr. Wotan 3 1 12/10/2018 2 1
kg cm
12 90
34. 33180505 11070002 331805 69 10150002 4 Fortuna Asyifa N.L 29/10/2015 P 2.8 kg Nur Yanti-Nur Hasim 33180511 08770001 081 225 586 272 Kr. Wotan 4 1 12/10/2018
kg cm 2 1
12 90
35. 33180509 12070437 33180547 05150002 2 Nadira Zahrotul K. 7/5/2015 P 2.7 kg Srini-Lasman 33180507 02750004 081 225 586 272 Kr. Wotan 4 1 12/10/2018 2 1
kg cm
11 90
36. 33180518 01110001 33180517 02160002 2 Afiq Muhammad 17/2/2016 L 2.5 kg Lia Y.M-Nur Cholis 33180302 02860001 081 225 586 272 Kr. Wotan 4 1 12/10/2018 2 1
kg cm
12 90
37. 33180528 12150006 33180521 11150002 1 Alisha Azkhia S. 21/11/2015 P 2.7 kg Susi N.-A.Ali Syafi'i 33180523 04950005 081 225 586 272 Kr. Wotan 4 1 12/10/2018
kg cm 2 1
75
38. 33180502 09170004 33180569 12170001 1 Athiya Mufidatul Arifah 29/12/2017 P 4 kg Risa Rosita-Nur Kayadi 33180510 07850003 081 225 586 272 Kr. Wotan 4 1 12/10/2018 8 kg 2 1
cm
Asnawati-Suhendri 53
33180507 06180009 33180552 08180001 2 Zahabiya Azalea Khaliqa 12/8/2018 P 2.8 kg
Aripin
32020523 06860001 081 225 586 272 Kr. Wotan 4 1 12/10/2018 4 kg cm 1 1
39.
15 105
40. 33180504 03130011 33180510 04140001 1 A.Rhehan Aprilio 10/4/2014 L 3.3 kg Maryatun-M.Suyanto 33180913 08880001 081 225 586 272 Kr. Wotan 1 2 15/10/2018 2 1
kg cm
14 100
41. 33180505 05140004 331805 70 06140002 1 Salwa Bilqis A. 60/6/2014 P 2.8 kg Windarsi-Paryanto 33180510 04870002 081 225 586 272 Kr. Wotan 1 2 15/10/2018 2 1
kg cm
75
42. 33180506 02120003 33180550 03170001 1 Syafa Nur Khorimah 10/3/2017 P 2.6 kg Suntarini-M.Kunarto 33181026 11850009 081 225 586 272 Kr. Wotan 1 2 15/10/2018 8 kg 2 1
cm
11 90
43. 33180507 08100001 33180528 04160001 2 Galiendra Arya Petra 28/4/2016 L 3 kg Painik-Sutikno 33180526 08860003 081 225 586 272 Kr. Wotan 1 2 15/10/2018 2 1
kg cm
13 95
44. 33180509 06150002 33180506 08150001 1 Dirga Arfadinata A. 6/8/2015 L 4 kg Sri Widia-Tedi S. 33180530 05920002 081 225 586 272 Kr. Wotan 1 2 15/10/2018 2 1
kg cm
33180510 09070031 33180560 06140001 2 Lufdhatul Sita Puji L. 20/6/2014 P 2.8 kg Endang P.-Sujo 33180502 02800001 081 225 586 272 Kr. Wotan 1 2 15/10/2018
14 100 2 1
45. kg cm
Sri Wahyuni-Lena Puji 12 90
46. 33180511 08150001 33180562 11150003 1 Clara Antono P. 22/11/2015 P 2.6 kg 21710308 12859007 081 225 586 272 Kr. Wotan 1 2 15/10/2018 2 1
A. kg cm
13 95
47. 33180513 03090009 33180505 11150001 2 Umarul Fuadi M. 5/11/2015 L 2.6 kg Nur Alimah-Kadar 33180501 01750005 081 225 586 272 Kr. Wotan 1 2 15/10/2018 2 1
kg cm
33180515 12070493 33180567 08130001 2 Ayu Kartika Candra 27/8/2013 P 3 kg Ambiyah-Temon 33180507 07720012 081 225 586 272 Kr. Wotan 1 2 15/10/2018
16 110 2 1
48. kg cm
10 85
49. 33180515 12090006 33180568 08160001 1 Dikenzy Anastasya A. 28/8/2016 P 2.7 kg Suharti-Sutamat 33180507 08810004 081 225 586 272 Kr. Wotan 1 2 15/10/2018 2 1
kg cm
S.Zulaikah- 16 110
50. 33180522 07130001 33180570 09130001 1 Naura Khasna Khamalah 30/9/2013 P 2.5 kg 33180524 06890001 081 225 586 272 Kr. Wotan 1 2 15/10/2018 2 1
Muhammadun kg cm
33180526 06080045 33180545 05150001 2 Nizwa Lailatul Janah 5/5/2015 P 3.1 kg Sri Utami-Sunardi 33180508 08770004 081 225 586 272 Kr. Wotan 1 2 15/10/2018
12 90 2 1
51. kg cm
13 95
52. 33180531 07090013 33180528 03150001 4 M.Nurul Huda 28/3/2015 L 3.3 kg Kartinah-Suparlan 33180524 04660002 081 225 586 272 Kr. Wotan 1 2 15/10/2018 2 1
kg cm
13 95
53. 33180502 10060085 33180528 01150001 2 M.Rizky Prananda 28/1/2015 L 2.7 kg Sri Wahyuni-Darman 33180521 05780002 081 225 586 272 Kr. Wotan 2 2 15/10/2018 2 1
kg cm
12 90
54. 33180503 05120003 33180546 07150003 2 Nadira Bunga R. 6/7/2015 P 2.8 kg Diah A.-Frengky E. 33180507 05730008 081 225 586 272 Kr. Wotan 2 2 15/10/2018
kg cm 2 1
13 95
55. 33180508 07150005 33180512 09150001 1 Ilham Fathul Nur A. 12/9/2015 L 2.6 kg Suzana-Supriyanto 33180517 12880002 081 225 586 272 Kr. Wotan 2 2 15/10/2018 2 1
kg cm
14 100
56. 33180516 12140005 33180544 12140004 1 Annisa Latifatul Z. 4/12/2014 P 2.5 kg Etia-Joko S. 33180508 11920001 081 225 586 272 Kr. Wotan 2 2 15/10/2018 2 1
kg cm
14 100
57. 33180526 06080022 33180542 09140001 2 Salsabila Setia Cinta K. 2/9/2014 P 3.1 kg Ekawati-Purhadi 33180505 05770005 081 225 586 272 Kr. Wotan 2 2 15/10/2018
kg cm 2 1
75
58. 33180520 07170004 33180513 07170001 1 Nayla Putri Ayudia S. 13/7/2017 P 2.6 kg Novia R.-A.Fathoni K. 33180526 09940004 081 225 586 272 Kr. Wotan 2 2 15/10/2018 8 kg 2 1
cm
12 90
59. 33180516 07080055 33180523 12170001 3 Tri Azka Cahyo Nugroho 23/12/2017 L 3.3 kg Jumini-Bejo 33180502 05730004 081 225 586 272 Kr. Wotan 2 2 15/10/2018 2 1
kg cm
Suntari-Sholiqul 4.8 55
60. 33180516 05180001 33180547 07180001 1 Alesha Adzkiya Inara 7/7/2018 P 3 kg 33180423 07920001 081 225 586 272 Kr. Wotan 2 2 15/10/2018 1 1
Musroni kg cm
13 95
61. 33180531 12080001 33180519 05150003 3 M.Rizky Tri Prastya 19/5/2015 L 2.9 kg Marpiah-Sumari 33180506 09790009 081 225 586 272 Kr. Wotan 2 2 15/10/2018 2 1
kg cm
75
62. 33180526 08150004 33180569 03170001 1 Aerilyn Bellvania K. 29/3/2017 P 3.3 kg Widu Yana K-Slamet P. 33180510 04890002 081 225 586 272 Kr. Wotan 2 2 15/10/2018 8 kg 2 1
cm
10 85
63. 33180502 07080016 33180565 04160002 2 Ferlita Salzabilla A. 25/4/2016 P 2.7 kg Sulas-Su'ir 33180501 07740119 081 225 586 272 Kr. Wotan 3 2 15/10/2018 2 1
kg cm
11 90
64. 33180502 07140003 33180530 12160001 3 A.Syafiq Akbar 30/12/2016 L 2.8 kg Suparni-A.Kusnun 33180421 07750001 081 225 586 272 Kr. Wotan 3 2 15/10/2018 2 1
kg cm
12 90
65. 33180505 08150006 33180504 04170001 1 Roland Melky A. 4/4/2017 L 2.6 kg Wulan N-Mat Ronji 33180507 10890001 081 225 586 272 Kr. Wotan 3 2 15/10/2018 2 1
kg cm
10 85
66. 33180509 05150002 33180549 05150001 1 Chelsea Nafia K. 9/5/2015 P 3.3 kg Amiatun-Jumanto 33180523 07890002 081 225 586 272 Kr. Wotan 3 2 15/10/2018 2 1
kg cm
 10 85
67. 33180512 11150002 33180547 07160002 2 Adara Fredella U. 7/7/2016 P 2.8 kg Devi N-Novendra T. 33180527 11910006 081 225 586 272 Kr. Wotan 3 2 15/10/2018 2 1
kg cm
33180513 05150001 33180552 04150001 1 Alivia Wilda S. 12/4/2015 P 2.6 kg M.Dian-Joko S. 33180514 04890007 081 225 586 272 Kr. Wotan 3 2 15/10/2018
12 90 2 1
68. kg cm
14 100
69. 33180514 10080028 33180565 01140001 2 Erda Maulidya A. 25/1/2014 P 2.5 kg Eni L-Umbarno 33180507 05750005 081 225 586 272 Kr. Wotan 3 2 15/10/2018 2 1
kg cm
10 85
70. 33180515 12070261 33180541 09160001 1 Ziedna Nafisa 1/9/2016 P 3.1 kg Kusmiati-Legiyo 33180508 08770002 081 225 586 272 Kr. Wotan 3 2 15/10/2018 2 1
kg cm
11 90
71. 33180522 03160006 33180512 02160001 1 Alvino Rezvansyah 12/2/2016 L 3.3 kg Diah Ayu R-Puji 33161422 11900001 081 225 586 272 Kr. Wotan 3 2 15/10/2018
kg cm 2 1
11 90
72. 33180524 02090010 33180512 09160001 2 Abby Afnan Purnama 12/9/2016 L 2.7 kg Nimatul J-Karjono 33180511 01820008 081 225 586 272 Kr. Wotan 3 2 15/10/2018 2 1
kg cm
12 90
73. 33180527 07150006 33180543 07150001 1 Azzri Faiha Abqoriyah 3/7/2015 P 2.5 kg Anita-Wawan A. 33180503 09920001 081 225 586 272 Kr. Wotan 3 2 15/10/2018 2 1
kg cm
13 95
74. 33180528 05150007 33180525 04150003 1 M.Farel Andinata 25/4/2015 L 3 kg Fera S.-Puji S. 33180505 07930006 081 225 586 272 Kr. Wotan 3 2 15/10/2018
kg cm 2 1
55
75. 33180515 12070426 33180541 05180002 2 Rika Hilya Mufidah 1/5/2018 P 3.1 kg Purwati-Saroji 33180505 04790003 081 225 586 272 Kr. Wotan 3 2 15/10/2018 5 kg 1 1
cm
Dipayanti-Aris 75
76. 33180524 07170001 33180542 07170002 1 Arsyila Romeesa Farzana 2/7/2017 P 3.3 kg 33180507 02920003 081 225 586 272 Kr. Wotan 3 2 15/10/2018 8 kg 2 1
Priantoro cm
8.5 78
77. 33180522 05090003 33180552 08170001 2 Ainun Nur Khoirunnisa 12/6/2017 P 4 kg Rubiatun-Saman 33180506 04850001 081 225 586 272 Kr. Wotan 3 2 15/10/2018
kg cm 2 1
80
78. 33180511 12070688 33180517 04170001 2 M.Ibrahim Alfath 17/4/2017 L 2.9 kg Sulasmi-Sunardi 33180518 04800004 081 225 586 272 Kr. Wotan 4 2 15/10/2018 9 kg 2 1
cm
13 95
79. 33180502 10060116 33180515 04150001 2 A.Dicky Aldiano 15/4/2015 L 3.3 kg Titik Eka D-Kadar 33180509 11780001 081 225 586 272 Kr. Wotan 4 2 15/10/2018 2 1
kg cm
11 90
80. 33180504 02160001 33180528 03160002 1 Dzaki Afkarian 28/3/2016 L 2.7 kg Rini Risna-Didik K. 33180516 06850014 081 225 586 272 Kr. Wotan 4 2 15/10/2018 2 1
kg cm
75
81. 33180507 09110001 33180549 04170002 2 Naufalyn Fayyola N. 9/4/2017 P 2.5 kg Lisnawati-Sahli 33180407 12820001 081 225 586 272 Kr. Wotan 4 2 15/10/2018 8 kg 2 1
cm
14 100
82. 33180509 08120001 33180564 09140001 1 Syarifa Nazilatul I. 24/9/2014 P 3.1 kg Fitrotun N-Ngatemin 33180501 07840022 081 225 586 272 Kr. Wotan 4 2 15/10/2018 2 1
kg cm
13 95
83. 33180511 01140003 33180505 03150002 1 Kevin Arya Dhika P. 5/3/2015 L 3.3 kg Rinawati-Sanusi 33180921 08850001 081 225 586 272 Kr. Wotan 4 2 15/10/2018 2 1
kg cm
10 85
84. 33180515 12070392 33180565 12160001 22 Maulidiya Deswita P. 25/12/2016 P 2.7 kg Evi L-Suparyono 33180515 10820011 081 225 586 272 Kr. Wotan 4 2 15/10/2018 2 1
kg cm
12 90
85. 33180515 12070466 33180542 11150001 1 Nadia Prillyana 2/11/2015 P 2.8 kg Sri Puryani-Suyoto 33180527 11760001 081 225 586 272 Kr. Wotan 4 2 15/10/2018 2 1
kg cm
10 85
86. 33180518 05090001 33180548 12160001 2 Najwa Maulida 8/12/2016 P 2.6 kg Hidayatul K.-Lasturi 33180507 11840001 081 225 586 272 Kr. Wotan 4 2 15/10/2018 2 1
kg cm
33180521 10080008 33180545 04140002 2 Chavali Adrien K. 5/4/2014 P 2.6 kg Tatik Y.-Yani 33180508 08780002 081 225 586 272 Kr. Wotan 4 2 15/10/2018
14 100 2 1
87. kg cm
14 100
88. 33180524 11140001 33180553 11140002 1 Naura Zahrotul K. 13/11/2014 P 2.6 kg S.Yuliana-A.Sholkan 33180517 05860002 081 225 586 272 Kr. Wotan 4 2 15/10/2018 2 1
kg cm
15 105
89. 33180526 05090004 33180525 05140002 1 A.Abdul Rozak 25/5/2014 L 2.8 kg S.Sulastri-Eko S. 33180526 05090004 081 225 586 272 Kr. Wotan 4 2 15/10/2018 2 1
kg cm
33180528 01090006 33180515 04140003 2 Alfian Billy Aprilleo 15/4/2014 L 3.3 kg Suminah-Sunawi 33180507 10790001 081 225 586 272 Kr. Wotan 4 2 15/10/2018
15 105 2 1
90. kg cm
11 90
91. 33180510 04070011 33180512 03160001 2 Baroza Al Ghozi 12/3/2016 L 2.7 kg Suwanisih-Supriyanro 33180512 01740006 081 225 586 272 Kr. Wotan 5 2 15/10/2018 2 1
kg cm
15 105
92. 33180513 02080016 33180512 07140002 3 Aska Tresenda E. 12/7/2014 L 3.3 kg Endah H-Sutrisno 33180503 04640002 081 225 586 272 Kr. Wotan 5 2 15/10/2018 2 1
kg cm
10 85
93. 33180514 10100006 33180559 09160001 2 Fauzia Rania I. 19/9/2016 P 2.7 kg Anik I.-Eko P. 33180523 04830004 081 225 586 272 Kr. Wotan 5 2 15/10/2018
kg cm 2 1
75
94. 33180524 10150003 33180562 08170001 1 Almahyra Shakayla Riyadita 22/8/2017 P 3.3 kg Hartatik-Awang Riyadi 33180504 04910001 081 225 586 272 Kr. Wotan 5 2 15/10/2018 8 kg 2 1
cm
6.5 60
95. 33180506 10080031 33180564 06180002 2 Alisya Hilyatul Izza 24/6/2018 P 4 kg S.Hamdanah-Abdolah 33180518 06740003 081 225 586 272 Kr. Wotan 5 2 15/10/2018 1 1
kg cm
Yuni Astuti-Ardhi 55
96. 33180515 09090006 33180565 05180001 2 Evril Lea Ramadani 25/5/2018 P 2.9 kg
Budhiana
33180519 01880002 081 225 586 272 Kr. Wotan 5 2 15/10/2018 5 kg cm 1 1
Sri Wahyuni-Agus 53
97. 33180528 09110002 33180504 09180002 2 Fariel Wasiqul Umam 4/9/2018 L 3.3 kg 33180505 04800004 081 225 586 272 Kr. Wotan 5 2 15/10/2018 4 kg 1 1
Lamanto cm
6.3 68
98. 33180524 07170002 33180515 02180001 1 Alfiandra Kenzo Alvaro 15/2/2018 L 2.7 kg Nurul F.-Eksan Duwi K. 33180503 09950002 081 225 586 272 Kr. Wotan 5 2 15/10/2018 1 1
kg cm
6.5 70
99. 33180515 07130006 33180528 02180001 3 Indra Saputra 28/2/2018 L 3.3 kg Sulasmini-Heri Suyitno 33180510 11840012 081 225 586 272 Kr. Wotan 5 2 15/10/2018 1 1
kg cm
Nur Hayati-Ivan 13 95
100 33180512 07140002 33180531 01150001 1 Bustan El Raihan Mahfuzh 31/1/2015 L 2.7 kg 33180506 06880010 081 225 586 272 Kr. Wotan 5 2 15/10/2018 2 1
Santoso kg cm
10 85
101 33180524 10140005 33180565 11160001 1 Queenara Azalea L. 25/11/2016 P 2.8 kg Daryanti-Susilo K. 33180512 09910002 081 225 586 272 Kr. Wotan 5 2 15/10/2018 2 1
kg cm
55
102 33180529 03180002 33180567 06180002 Amira Elsa Rianta 27/6/2018 P 2.9 kg Indah R.-Riyanto 33180510 06930005 081 225 586 272 Kr. Wotan 5 2 15/10/2018 5 kg 1 1
cm
11 90
103 33180504 0516007 33180529 04160001 1 Ghibran Arkana A. 29/4/2016 L 2.6 kg S.Sopi'atin-Sutrisno 33180518 04910004 081 225 586 272 Kr. Wotan 6 2 15/10/2018 2 1
kg cm
17 115
104 33180506 02140004 33180522 12130003 1 M.Fairas Dani F. 22/12/2013 L 3.3 kg S.Roikah-Mustain 33180504 01890002 081 225 586 272 Kr. Wotan 6 2 15/10/2018 2 1
kg cm
 11 90
105 33180511 12070646 33180509 03160001 2 Himmi Arka Firmansyah 9/3/2016 L 2.5 kg Puji Rahayu-Suparno 33180502 04740004 081 225 586 272 Kr. Wotan 6 2 15/10/2018 2 1
kg cm
33180513 06160003 33180508 09160002 1 Dirga Septa Manggara 28/9/2016 L 3.1 kg Nenita S.-A.Sulkan 33180505 04880006 081 225 586 272 Kr. Wotan 6 2 15/10/2018
11 90 2 1
106 kg cm
10 85
107 33180515 09150001 33180550 05160001 1 Icha Meilena A. 10/5/2016 P 3.3 kg Sugiyati-Tri Badi 33180515 10840002 081 225 586 272 Kr. Wotan 6 2 15/10/2018 2 1
kg cm
10 85
108 33180525 04160003 33180515 04160001 1 Desta Lubis Prawito 15/4/2016 L 2.7 kg Dita H.-M.Prawito 33180513 09890001 081 225 586 272 Kr. Wotan 6 2 15/10/2018 2 1
kg cm
Noor Afiana-Mashadi 10 85
109 33180527 09160011 33180544 1160001 1 Elmeisya Belvania P. 4/11/2016 P 2.8 kg
Y.
33180528 07960003 081 225 586 272 Kr. Wotan 6 2 15/10/2018
kg cm 2 1
55
110 33180505 05090005 33180514 06180001 2 Abdul Qoyum Rohman 14/6/2018 L 3.3 kg Umbarmi-Sudarman 33180502 11760004 081 225 586 272 Kr. Wotan 6 2 15/10/2018 5 kg 1 1
cm
4.5 53
111 33180506 01180004 33180512 07180002 1 Al-Huda Widjaya Pratama 12/7/2018 L 2.7 kg Ika Aryanti-M.Agus 33181110 08950005 081 225 586 272 Kr. Wotan 6 2 15/10/2018 1 1
kg cm
Umi Zahiroh-Slamet 6.5 70
112 33180528 04140004 33180508 02180001 1 Ahmad Rifa'I Rizky Mubarok 8/2/2018 L 2.8 kg
Mulyadi
33180517 04870002 081 225 586 272 Kr. Wotan 6 2 15/10/2018
kg cm 1 1
16 110
113 33180503 07130002 33180551 08130001 1 Siti Ainun Lutfiyah 11/8/2013 P 2.6 kg S.Mutmainah-Sukarno 33180501 11890002 081 225 586 272 Kr. Wotan 7 2 15/10/2018 2 1
kg cm
13 95
114 33180506 10100002 33180523 03150001 2 Hanung Khairul A. 23/3/2015 L 3.3 kg Alifil K.-Joko R. 33180521 12820004 081 225 586 272 Kr. Wotan 7 2 15/10/2018 2 1
kg cm
15 105
115 33180509 12070449 33180506 04140003 2 Kenzo Arya Praditya 6/4/2014 L 2.8 kg Sri Wahyuni-Kunarto 33180520 06790003 081 225 586 272 Kr. Wotan 7 2 15/10/2018
kg cm 2 1
Fitriana E.- 10 85
116 33180521 04160001 33180552 04160002 1 Mikayla Bellvania A. 12/4/2016 P 2.5 kg 33180507 02870003 081 225 586 272 Kr. Wotan 7 2 15/10/2018 2 1
Kartubiyanto kg cm
13 95
117 33180522 06150005 33180531 08150001 1 M.Rafa Azkha M. 31/8/2015 L 3.1 kg S.Harnaning-Rudi W. 33180516 09930001 081 225 586 272 Kr. Wotan 7 2 15/10/2018 2 1
kg cm
11 90
118 33180522 08160002 33180510 12160001 1 Gibran Ghaisan Al F. 10/12/2016 L 3.3 kg Oki Nurfitri-Heru P. 33180522 01890002 081 225 586 272 Kr. Wotan 7 2 15/10/2018 2 1
kg cm
15 105
119 33180523 09140002 33180531 0714003 1 M.Abryzzam N. 31/7/2014 L 2.8 kg Indah A.-Kesit Eko N. 64720601 01800044 081 225 586 272 Kr. Wotan 7 2 15/10/2018 2 1
kg cm
15 105
120 33180526 03140001 33180523 03140001 1 Muqtafa Taqy D.A. 23/3/2014 L 3.3 kg Diana R.-Zainal A. 33181116 11880001 081 225 586 272 Kr. Wotan 7 2 15/10/2018 2 1
kg cm
13 95
121 33180524 10150002 33180528 07150002 2 Reehan Alviansyah 28/7/2015 L 2.7 kg Umi Latifah-Riyadi 33180524 11790004 081 225 586 272 Kr. Wotan 7 2 15/10/2018 2 1
kg cm
80
122 33180527 02170001 33180514 02170001 1 Yaqdhan Rakha A. 14/2/2017 L 3.3 kg Niki Andi A.-Wahyu P. 33180502 01890001 081 225 586 272 Kr. Wotan 7 2 15/10/2018 9 kg 2 1
cm
60
123 33180508 01090003 33180513 04180001 2 Bryan Saputra 13/4/2018 L 2.7 kg Rukayati-Sutrisno 33180529 05810002 081 225 586 272 Kr. Wotan 7 2 15/10/2018 6 kg 1 1
cm
5.8 58
124 33180523 06100004 33180561 04180002 2 Arsyila Apriliasari 21/4/2018 P 2.8 kg Susi R.-Jamsari 33180518 10850002 081 225 586 272 Kr. Wotan 7 2 15/10/2018 1 1
kg cm
33180526 07070002 33180556 06170001 2 Mikayla Ramadhani 2/4/2017 P 2.5 kg Marsi-Haryono 33180508 10750002 081 225 586 272 Kr. Wotan 7 2 15/10/2018 8 kg 75 2 1
125 cm
11 90
126 33180510 12070273 33180529 07170002 2 A.Khairul Azzam 29/7/2017 L 3.1 kg Maryani-Manto 33180520 11790001 081 225 586 272 Kr. Wotan 7 2 15/10/2018 2 1
kg cm
16 110
127 33180502 04130004 33180558 02130001 1 Kaylla Putri Febriani 18/2/2013 P 2.7 kg Widi Astuti-Supriyadi 33180547 02930001 081 225 586 272 Kr. Wotan 8 2 15/10/2018 2 1
kg cm
33180507 07080040 33180531 12130001 2 Adam Asroul H. 31/12/2013 L 2.8 kg Dewi Susi L.-Soleh 33180512 03790010 081 225 586 272 Kr. Wotan 8 2 15/10/2018
17 115 2 1
128 kg cm
15 105
129 33180513 09120002 33180506 04140002 1 Sofyan Khoirul A. 6/4/2014 L 2.5 kg S.Puryanti-Saryono 33180507 11860002 081 225 586 272 Kr. Wotan 8 2 15/10/2018 2 1
kg cm
11 90
130 33180514 12070512 33180559 11160001 4 Rafiqa Muthii A. 19/11/2016 P 3.1 kg S.Maryati-Muhsinun 33180505 05740011 081 225 586 272 Kr. Wotan 8 2 15/10/2018 2 1
kg cm
12 90
131 33180514 12070701 33180556 01150001 2 Aurelia Nadira P.A 16/1/2015 P 3.3 kg Sri Namsih-Zaenal A. 33180512 03830007 081 225 586 272 Kr. Wotan 8 2 15/10/2018
kg cm 2 1
13 95
132 33180514 12070703 33180526 05150001 3 A.Khafid Nashrulloh 26/5/2015 L 2.8 kg Haryati-Sulasmin 33180502 11780003 081 225 586 272 Kr. Wotan 8 2 15/10/2018 2 1
kg cm
13 95
133 33180516 06150003 33180510 06150001 1 M.Arsent Al Gibran 10/6/2015 L 3.3 kg Dewi S.-Joko S. 33180520 10860002 081 225 586 272 Kr. Wotan 8 2 15/10/2018 2 1
kg cm
14 100
134 33180518 07140008 33180544 12140003 1 Tsurayya Kamila 4/12/2014 P 2.7 kg Siti Soleha-Susanto 33180402 08880002 081 225 586 272 Kr. Wotan 8 2 15/10/2018
kg cm 2 1
14 100
135 33180521 01080001 33180560 05140002 3 Mir'a Shafia Anggraini 20/5/2014 P 2.7 kg Rina Wati-Agus H. 33180515 08810005 081 225 586 272 Kr. Wotan 8 2 15/10/2018 2 1
kg cm
14 100
136 33180527 08130004 33180541 10140001 1 Salwa Nailil Muna 1/10/2014 P 2.6 kg Hanik H.S-M.Riyadi 33180417 04860002 081 225 586 272 Kr. Wotan 8 2 15/10/2018 2 1
kg cm
S.Suharyati-M.Joko 11 90
33180528 02070005 33180530 01160001 2 Ba'is Al Giri 30/1/2016 L 2.8 kg 33180520 12820005 081 225 586 272 Kr. Wotan 8 2 15/10/2018 2 1
Mahsun kg cm
12 90
33182105 02090011 33180549 01150003 2 Keisha Azzahra S. 9/1/2015 P 3.3 kg Rokhayatun-Agus W. 33182125 07870002 081 225 586 272 Kr. Wotan 8 2 15/10/2018 2 1
kg cm
75
33180513 09120002 33180530 10170001 2 Ahimsa Ardhani 30/10/2017 P 2.7 kg Sri Puryanti-Saryono 33180507 11860002 081 225 586 272 Kr. Wotan 8 2 15/10/2018 8 kg 2 1
cm
5.5 55
33180511 08160005 33180516 05180001 1 Rafif Nazril Al Faeyza 16/5/2018 L 2.8 kg Rosa R.-Didik P. 33180517 11940002 081 225 586 272 Kr. Wotan 8 2 15/10/2018 1 1
kg cm
75
33180514 12070373 33180545 11170002 4 Margareta Novia Sari 5/11/2017 P 2.5 kg Karsinah-Saman 33180518 09710002 081 225 586 272 Kr. Wotan 8 2 15/10/2018 8 kg 2 1
cm
12 90
33180502 01160001 33180549 01160001 1 Velivia Faranisa F. 9/1/2016 P 3.1 kg Kristiyaningsih-Sugito 33180515 06840009 081 225 586 272 Kr. Wotan 9 2 15/10/2018 2 1
kg cm
 15 105
33180503 06130001 33180517 10140003 1 Verdian Wahyu O. 17/10/2014 L 2.8 kg Sri Wahyuni-Teguh P. 33180557 06840002 081 225 586 272 Kr. Wotan 9 2 15/10/2018 2 1
kg cm
33180507 10080010 33180529 12140002 2 Akbar Bayu Samudra 29/12/2014 L 2.6 kg Jamiatun-Sunarwi 33180501 07800043 081 225 586 272 Kr. Wotan 9 2 15/10/2018
15 105 2 1
kg cm
14 100
33180513 08070006 33180552 07140001 2 Vadin Asifa Juliatif 12/7/2014 P 2.6 kg Surati-Sugiyono 33180528 04800001 081 225 586 272 Kr. Wotan 9 2 15/10/2018 2 1
kg cm
10 85
33180526 01130005 33180558 04160002 2 Adelia Shakila A. 18/4/2016 P 2.8 kg Eko Mardyo-Didik S. 33180519 10840001 081 225 586 272 Kr. Wotan 9 2 15/10/2018 2 1
kg cm
Roesherlinaw- 6.5 68
33180529 03070007 33180550 03180001 3 Kahiyang Kantinavya 10/3/2018 P 3 kg
Wartono
33180508 09760002 081 225 586 272 Kr. Wotan 9 2 15/10/2018
kg cm 1 1
Sulistiyaningsih- 11 90
33180525 05180003 33180501 06170001 2 M.Ramadhan Al Fatih 1/6/2017 L 2.9 kg 33180506 09820006 081 225 586 272 Kr. Wotan 9 2 15/10/2018 2 1
Sukardi kg cm
11 90
33180531 08160006 33180525 11160001 1 Vino Faris Ardines 25/11/2016 L 2.5 kg Widiyawati-Hendro S. 33180509 09900005 081 225 586 272 Kr. Wotan 9 2 15/10/2018 2 1
kg cm
11 90
33180517 09100003 33180505 04170001 2 M.Azam Al Aulyan 5/4/2017 L 2.6 kg Wasini-Sudardi 33180505 10750004 081 225 586 272 Kr. Wotan 9 2 15/10/2018
kg cm 2 1
11 90
33180501 07160002 33180513 05160001 1 Alvino Azril Huda 13/5/2016 L 3.3 kg Rusmiati-Partono 33180504 05810004 081 225 586 272 Kr. Wotan 1 3 9/10/2018 2 1
kg cm
S.Handayani-Bambang 14 100
33180503 01110017 33180561 11140002 1 Aqilla Dinda V. 21/11/2014 P 3.3 kg 33180507 01800006 081 225 586 272 Kr. Wotan 1 3 9/10/2018 2 1
P. kg cm
15 105
33180506 11130005 33180505 03140001 1 M.Suluh Hadi P. 5/3/2014 L 2.7 kg Puji L-Edy S. 33180416 09920002 081 225 586 272 Kr. Wotan 1 3 9/10/2018 kg cm 2 1
14 100
33180508 10100003 33180567 05140001 2 Zivalisya Fabrila P. 27/5/2014 P 2.8 kg Tutik S-Hadi Utomo 33180516 12850002 081 225 586 272 Kr. Wotan 1 3 9/10/2018 2 1
kg cm
10 85
33180512 07053077 33180551 04160001 2 Assyifa Salsabila 11/4/2016 P 2.5 kg Sri Utami-Munawi 33180509 01780001 081 225 586 272 Kr. Wotan 1 3 9/10/2018 2 1
kg cm
11 90
33180513 08110003 33180507 02160002 2 Aditya Febrian A. 7/2/2016 L 3.1 kg Suryati-Meno 33180507 05690003 081 225 586 272 Kr. Wotan 1 3 9/10/2018 2 1
kg cm
12 90
33180523 06080001 33180551 04150001 2 Dina Shalama Putri 11/4/2015 P 2.7 kg Sarmi-Sarbin 33180511 02830013 081 225 586 272 Kr. Wotan 1 3 9/10/2018 2 1
kg cm
65
33180502 10060207 33180558 01180005 3 Rengganis Mutiara Werdani 18/1/2018 P 2.8 kg Kusmiati-Paing 33180527 12820001 081 225 586 272 Kr. Wotan 1 3 9/10/2018 7 kg 1 1
cm
12 95
33180530 05150009 33180545 08150001 1 Azizah Yoza Mandasari 5/6/2015 P 2.5 kg Umiyati-Abdul Aziz 33180514 06880003 081 225 586 272 Kr. Wotan 1 3 9/10/2018 2 1
kg cm
14 100
33180503 01110016 33180542 11140001 1 Novita Putri Mukti Sura 2/11/2014 P 3.1 kg Narsi-Zaenal Fatah 33181124 11860001 081 225 586 272 Kr. Wotan 1 3 9/10/2018 2 1
kg cm
11 90
33180506 10160004 33180527 09160001 1 M.Adam Al Aflah 27/9/2016 L 3.3 kg S.Khotijah-Suyono 33180566 07990001 081 225 586 272 Kr. Wotan 2 3 9/10/2018 2 1
kg cm
13 95
33180507 01170007 33180527 12150001 1 Viko Pradana P. 27/12/2015 L 2.8 kg Ika Y-Toni Abdul A. 33180505 10900002 081 225 586 272 Kr. Wotan 2 3 9/10/2018 2 1
kg cm
33180508 08160001 33180545 03170001 1 Tamanah Aulia L. 5/3/2017 P 3.3 kg N.Solikah-A.Yasid 33170725 09900001 081 225 586 272 Kr. Wotan 2 3 9/10/2018 8 kg 75 2 1
cm
15 105
33180514 03140002 33180525 01140002 1 Bagus Candra D. 25/1/2014 L 2.7 kg Candra D.-Agus S. 33180912 03920002 081 225 586 272 Kr. Wotan 2 3 9/10/2018 2 1
kg cm
11 90
33180517 04120001 33180517 10160003 2 Rafardhan Fahri Akbar 17/10/2016 L 2.7 kg Rohimah-A.Rojad 33180511 06890005 081 225 586 272 Kr. Wotan 2 3 9/10/2018 2 1
kg cm
33180517 10130002 33180528 10160001 2 Najmu Tsaqib 28/10/2016 L 2.6 kg Umi Nor H.-A.Fauzi 33180510 10900006 081 225 586 272 Kr. Wotan 2 3 9/10/2018 11 90 2 1
kg cm
14 100
33180517 10130002 33180547 03140001 1 Inayah Kamilah 7/3/2014 P 2.8 kg Umi Nor H.-A.Fauzi 33180510 10900006 081 225 586 272 Kr. Wotan 2 3 9/10/2018 2 1
kg cm
11 90
33180522 12160004 33180517 01160002 1 Dikta Pratama A. 17/1/2016 L 3.3 kg Susinta-Didik S. 33180512 06930003 081 225 586 272 Kr. Wotan 2 3 9/10/2018 2 1
kg cm
Resstu Goesti Inggar Ina Puji L.-Ribut 65
33180513 09170002 33180525 04180001 1 Prayudha 25/4/2018 L 2.9 kg Budiyanto 33180509 09910005 081 225 586 272 Kr. Wotan 2 3 9/10/2018 6 kg cm 1 1
Elsa Manora-Maimun 8.4 75
33180527 04170003 33180525 06170001 1 Alby Maisa 25/6/2017 L 2.8 kg 33180517 09970002 081 225 586 272 Kr. Wotan 2 3 9/10/2018 2 1
Efendi kg cm
N.Hidayah-Mas Alamil 10 85
33180504 05160001 33180565 04160001 1 Bening Maitra T. 25/4/2016 P 3.3 kg 35242501 09900001 081 225 586 272 Kr. Wotan 3 3 9/10/2018 2 1
H. kg cm
10 85
33180507 03090003 33180541 10160001 1 Gabriel Affanda 1/10/2016 L 2.7 kg Herdiani A.-Suprapto 33180506 09820007 081 225 586 272 Kr. Wotan 3 3 9/10/2018 kg cm 2 1
11 90
33180510 10160004 33180569 09160001 1 Dea Ariana Anggreani 29/9/2016 P 2.8 kg Novi Y.-Riyanto 33180515 03860002 081 225 586 272 Kr. Wotan 3 3 9/10/2018 2 1
kg cm
11 90
33180522 01160003 33180518 06160001 2 M.Ferdhinand Al 18/6/2016 L 2.5 kg Tutik W.-Mulyono 35051017 03740001 081 225 586 272 Kr. Wotan 3 3 9/10/2018 2 1
kg cm
12 90
33180525 03080017 33180562 04150003 2 Hapsari Masayu A. 22/4/2015 P 3.1 kg Karlin-Purnomo 33180513 07690001 081 225 586 272 Kr. Wotan 3 3 9/10/2018 2 1
kg cm
12 95
33180505 04100006 33180551 08150002 2 Hanum Hanania 11/6/2015 P 2.8 kg Luluk Erfana-Sumari 33180515 07800010 081 225 586 272 Kr. Wotan 3 3 9/10/2018 2 1
kg cm
Sukartini-Edi 75
33180503 01090008 33180555 09170003 2 Jihan Septia Khairani 15/9/2017 P 2.5 kg 33180503 06800005 081 225 586 272 Kr. Wotan 3 3 9/10/2018 8 kg 2 1
Sudarwanto cm
8.2 75
33180506 10080016 33180521 04170001 3 Faeyza Ataya Naufal 21/4/2017 L 3.1 kg Nur Asih-Dulhadi 33180528 05760001 081 225 586 272 Kr. Wotan 3 3 9/10/2018 2 1
kg cm
10 85
33180525 08090001 33180550 11160002 2 Atiqah Rafida Ali 10/11/2016 P 3.1 kg Srinah-Ali Mashudi 33180513 08800007 081 225 586 272 Kr. Wotan 3 3 9/10/2018 2 1
kg cm
10 85
33180508 08080012 33180510 02160002 2 Najwa Mu'alifah 10/2/2016 P 3.3 kg Sulastri-Sutomo 33180514 04760004 081 225 586 272 Kr. Wotan 4 3 9/10/2018 2 1
kg cm
 15 105
33180513 10080013 33180512 04140001 2 M.Arif Aditya P. 12/4/2014 L 2.8 kg Warsini-Wagito 33180515 05730002 081 225 586 272 Kr. Wotan 4 3 9/10/2018 2 1
kg cm
33180513 12070623 33180513 05150001 2 M.Danis Faddli S. 13/5/2015 L 3.3 kg Saryati-Suyono 33180505 07760001 081 225 586 272 Kr. Wotan 4 3 9/10/2018 13 95 2 1
kg cm
10 85
33180517 04100001 33180566 06160002 2 Luthfia Talita Zahra 26/6/2016 P 2.7 kg Rusmini-Haryanto 33180515 06820005 081 225 586 272 Kr. Wotan 4 3 9/10/2018 2 1
kg cm
13 95
33180520 05150005 33180523 04150001 1 Maulana Bachtiar G. 23/4/2015 L 2.7 kg Eka S.-Supriyanto 33180528 04930002 081 225 586 272 Kr. Wotan 4 3 9/10/2018 2 1
kg cm
75
33180524 03170001 33180547 02170003 1 Reyta Carisa Putri 7/2/2017 P 2.8 kg Fitri H-Sucipto 33180508 05880001 081 225 586 272 Kr. Wotan 4 3 9/10/2018 8 kg cm 2 1
10 85
33180524 04130002 33180543 06160001 1 Aisha Syifa Aalinarrohman 3/6/2016 P 2.6 kg Fitri S.-Warman 33180522 06800002 081 225 586 272 Kr. Wotan 4 3 9/10/2018 2 1
kg cm
12 90
33180525 07140002 33180553 02150001 1 Mariyam Khoirotun N. 13/2/2015 P 2.6 kg Wahyu M.-Sudiyono 33161418 03790001 081 225 586 272 Kr. Wotan 4 3 9/10/2018 2 1
kg cm
80
33180528 08080009 33180527 03170002 2 Arka Pradipta Al F. 27/3/2017 L 2.8 kg Tutik I.-Suprapto 33180510 02820002 081 225 586 272 Kr. Wotan 4 3 9/10/2018 9 kg cm 2 1
15 105
33180521 01150002 33180507 07140004 2 Farit Raffi Rahmat D. 7/7/2014 L 2.7 kg Siti Musriah 33180867 06860001 081 225 586 272 Kr. Wotan 5 3 9/10/2018 2 1
kg cm
15 105
33180526 09160005 33180525 09170001 1 Fahreyza Nazrul Amri 25/9/2017 L 2.6 kg Fatonah-Saiful Amri 33180509 11890004 081 225 586 272 Kr. Wotan 5 3 9/10/2018 2 1
kg cm
12 90
33180503 07150003 33180566 03050006 3 Salsabila Qotrun Nada 26/3/2015 P 2.8 kg Kumarti 33180551 10770008 081 225 586 272 Kr. Wotan 6 3 9/10/2018 kg cm 2 1
12 90
33180505 08150007 33180561 07150002 1 Adzkia Safira Nur R. 21/7/2015 P 2.6 kg Basmi-Sapawi 33180560 04890006 081 225 586 272 Kr. Wotan 6 3 9/10/2018 2 1
kg cm
13 95
33180515 04150002 33180501 04150003 1 M.Restu Al Fatih 1/4/2015 L 2.6 kg Sri Puji W.-Usep 36042705 05890006 081 225 586 272 Kr. Wotan 6 3 9/10/2018 2 1
kg cm
15 105
33180515 10120007 33180504 01170002 1 Labib Fahrojik 4/1/2017 L 2.8 kg Jasmi-Sarmidi 33180516 06650004 081 225 586 272 Kr. Wotan 6 3 9/10/2018 2 1
kg cm
15 105
33180516 08070013 33180511 07140001 2 Muhammad Julianto 11/7/2014 L 3.1 kg Sukarti-Suparwi 33180545 08730001 081 225 586 272 Kr. Wotan 6 3 9/10/2018 2 1
kg cm
13 95
33180520 08090001 33180527 05150001 2 Bayu Hartanto Irsyat 27/5/2015 L 3.1 kg Sukarti-Palal 33180510 10740007 081 225 586 272 Kr. Wotan 6 3 9/10/2018 2 1
kg cm
75
33180522 01110001 33180565 03170003 2 Tiffani Milka Anzani 25/3/2017 P 2.7 kg Jami-Suliyadi 33180517 08800007 081 225 586 272 Kr. Wotan 6 3 9/10/2018 8 kg 2 1
cm
4.5 55
33180502 08180005 33180517 08180001 1 Rasya Arfabian Merdika 17/8/2018 L 3.1 kg Eka F.Y.-Siswanta 33151002 11810002 081 225 586 272 Kr. Wotan 6 3 9/10/2018 1 1
kg cm
Nawang U.P-Edi 15 105
33180526 08110002 33180515 06170002 2 Amirul Hadi Ar Rasyid 15/6/2017 L 2.7 kg 33180510 02830003 081 225 586 272 Kr. Wotan 6 3 9/10/2018 2 1
Suhartono kg cm
16 110
33180531 10130003 33180507 12130002 1 Dirga Hafidz Ar Rafiq 7/12/2013 L 3.1 kg S.Mujiaroh-Masoni 33161409 04900002 081 225 586 272 Kr. Wotan 6 3 9/10/2018 2 1
kg cm
33180506 09180003 33180569 08180001 2 Aisya Almira Salsabila 29/8/2018 P 3.3 kg Tutik Ning K.-Hendro 15021013 09770001 081 225 586 272 Kr. Wotan 6 3 9/10/2018 4.5 55 1 1
kg cm
11 90
33180508 08080017 33180513 03160001 2 A.Affan Nur Said 13/3/2016 L 2.7 kg Isnawati-Karyono 33180505 03800004 081 225 586 272 Kr. Wotan 7 3 9/10/2018 2 1
kg cm
11 90
33180509 07150001 33180504 04160001 2 Syahrul Nur Khoiril 4/4/2016 L 3.1 kg Jumiah-Ngadiman 33180521 09820003 081 225 586 272 Kr. Wotan 7 3 9/10/2018 2 1
kg cm
33180513 01170001 33180527 03170001 1 M.Albie Fyldan A. 27/3/2017 L 2.7 kg Sri Wahyuni-Rudi U. 33161424 06880001 081 225 586 272 Kr. Wotan 7 3 9/10/2018 9 kg 80 2 1
cm
15 105
33180520 08130007 33180504 11140002 2 Pandu Satria Wijaya 4/11/2014 L 3.3 kg Titin S.-Suprianto 33180506 06800008 081 225 586 272 Kr. Wotan 7 3 9/10/2018 2 1
kg cm
13 95
33180522 05080001 33180506 08150002 2 Gibran Briyan Pradipta 6/8/2015 L 2.8 kg S.Kristiana-Wartoyo 33180512 07800002 081 225 586 272 Kr. Wotan 7 3 9/10/2018 2 1
kg cm
11 90
33180526 08130004 33180525 12160001 2 Nazril Rafasya A. 25/12/2016 L 3.3 kg Sutrisni-Sungkono 33180512 05810009 081 225 586 272 Kr. Wotan 7 3 9/10/2018 kg cm 2 1
13 95
33180527 10080003 33180525 04150001 2 M.Halim Alzian H. 25/4/2015 L 2.7 kg S.Ambarwati-Sanusi 33180518 02780001 081 225 586 272 Kr. Wotan 7 3 9/10/2018 2 1
kg cm
10 85
33180529 08090008 33180548 10160001 2 Yut Fidriya Oktiani 5/10/2016 P 3.3 kg Sripah-Suprianto 33180511 08700002 081 225 586 272 Kr. Wotan 7 3 9/10/2018 2 1
kg cm
75
33181012 05170006 33181022 05170001 1 M.Ramadani Nur Aji S. 22/5/2017 L 2.7 kg Juniati-Rudi Pujoanto 33180517 03840002 081 225 586 272 Kr. Wotan 7 3 9/10/2018 8 kg 2 1
cm
14 100
33180515 08090015 33180560 12140001 2 Devika Salsabila 20/12/2014 P 2.8 kg Sumarsih-Salimin 33180527 07710003 081 225 586 272 Kr. Wotan 7 3 9/10/2018 kg cm 2 1

70
33180505 05110007 33180525 02180002 2 Ilyas Fakhrul Muazzam 25/2/2018 L 2.6 kg Purwati-Joko Suroso 33180509 05830009 081 225 586 272 Kr. Wotan 7 3 9/10/2018 7 kg cm 1 1

14 100
33180505 03100001 33180566 09140002 2 Naila Salwa Muazara 26/9/2014 P 2.6 kg Sularmi-Minanto 33180505 09780003 081 225 586 272 Kr. Wotan 7 3 9/10/2018 kg cm 2 1

14 100
33180530 09130005 33180529 07140001 1 M.Abid Al Fatih 28/7/2014 L 2.8 kg Dewi S.-A.Malik 33180505 07890006 081 225 586 272 Kr. Wotan 7 3 9/10/2018 kg cm 2 1
 12 90
33180505 05080042 33180527 03150001 1 Huda Nugroho 27/3/2015 L 2.7 kg Ramijah-Subawi 33180505 10720005 081 225 586 272 Kr. Wotan 7 3 9/10/2018 2 1
kg cm
15 105
33180530 09130005 33180529 07140001 1 M.Abdi Al Fatih 29/7/2014 L 2.7 kg Dewi S.-Abdul Malik 33180505 07890006 081 225 586 272 Kr. Wotan 7 3 9/10/2018 2 1
kg cm
75
33180512 12070536 33180567 04170002 2 Rachel Azkia Putri Whilona 27/4/2017 P 2.9 kg Nur Solikah-Wartono 33180503 04740005 081 225 586 272 Kr. Wotan 8 3 9/10/2018 8 kg 2 1
cm
75
33180515 02100006 33180551 04170001 1 Farhana Robbiyatul M. 11/4/2017 P 2.8 kg Winarsih-Yatman 33180512 03760003 081 225 586 272 Kr. Wotan 8 3 9/10/2018 8 kg 2 1
cm
13 95
33180517 07130001 33180504 10150001 2 Rakha Najwan Al Khalifi 4/10/2015 L 2.5 kg Sriyatun-Jumari 33180515 09820005 081 225 586 272 Kr. Wotan 1 4 7/10/2018 2 1
kg cm
12 90
33180519 11130005 33180563 04150002 1 Madina Lintang M. 23/4/2015 P 3.1 kg Karmini-M.Rukadi 33181626 01870004 081 225 586 272 Kr. Wotan 1 4 7/10/2018 2 1
kg cm
15 105
33180523 08100007 33180504 04140001 1 M.Hafidzzada 4/4/2014 L 2.8 kg Wiwit J-Agus Priyono 33180508 09830003 081 225 586 272 Kr. Wotan 1 4 7/10/2018 2 1
kg cm
5.5 65
33180509 11170002 33180503 06180002 1 Reinand Chairul Abrisam 13/6/2018 L 3 kg Darmi K.-A.Rinanto 33180514 04900002 081 225 586 272 Kr. Wotan 1 4 7/10/2018 1 1
kg cm
11 90
33180515 12070622 33180503 04160001 4 Ahmad Nurrozaq 3/4/2016 L 3.3 kg Sri Wahyuni-Sujono 33180524 06680001 081 225 586 272 Kr. Wotan 2 4 7/10/2018 2 1
kg cm
Siti Khoirun-Agus 14 100
33180517 07120005 33180562 04140001 1 Velma Tatiana Alisha 22/4/2014 P 2.7 kg 33180517 02900007 081 225 586 272 Kr. Wotan 2 4 7/10/2018 2 1
Witoyo kg cm
15 105
33180522 09100011 33180526 12140001 2 Nadhif Shafwan M. 26/12/2014 L 2.7 kg Dwi Septi H-Purwanto 33180506 05830007 081 225 586 272 Kr. Wotan 2 4 7/10/2018 2 1
kg cm
15 105
33180527 06130005 33180502 01140001 1 Cahya Anggara Widodo 2/1/2014 L 2.6 kg Partini-Wartono 33180504 02870006 081 225 586 272 Kr. Wotan 2 4 7/10/2018 kg cm 2 1

13 95
33180531 03110009 33180514 08150001 2 Fachri Agustian 14/8/2015 L 2.8 kg S.Nurjannah-A.Kholif 33180504 03910007 081 225 586 272 Kr. Wotan 2 4 7/10/2018 kg cm 2 1

75
33180523 11090002 33180565 09170001 2 Fikria Salwa Nafsia 25/9/2017 P 2.9 kg Umiyatun-M.Alim 33180507 02800001 081 225 586 272 Kr. Wotan 2 4 7/10/2018 8 kg cm 2 1

12 90
33180506 02150004 33180556 01150002 1 Nusaibah Nur Rahmah 16/1/2015 P 3.3 kg Sumiatun-Suyekno 33180519 07860001 081 225 586 272 Kr. Wotan 3 4 7/10/2018 kg cm 2 1

10 85
33180516 04080022 33180545 11160001 2 Ashalina Yumna Naladhip 5/11/2016 P 3.3 kg Uswatun K.-Sutikjo 33180516 06850011 081 225 586 272 Kr. Wotan 3 4 7/10/2018 2 1
kg cm
14 100
33180525 04120005 33180553 11140001 2 Navya Putri Nirmala 13/11/2014 P 2.7 kg Miratun N.-Sundoyo 33180508 05880002 081 225 586 272 Kr. Wotan 3 4 7/10/2018 2 1
kg cm
14 100
33180517 04140004 33180567 02140002 3 Luluk Asfiyah 27/2/2014 P 3 kg Sinta-Rusono 33180512 04760006 081 225 586 272 Kr. Wotan 3 4 7/10/2018 2 1
kg cm
16 110
33180515 10120001 33180509 09130002 1 A.Amirul Mu'minin 9/9/2013 L 2.9 kg S.Sugiarti-Wagito 33180517 01880002 081 225 586 272 Kr. Wotan 3 4 7/10/2018 2 1
kg cm
Nurus F.-Teguh 15 105
33180501 04140004 33180513 03140002 1 M.Krisna Al Lathif 13/3/2014 L 2.8 kg 33180526 10900001 081 225 586 272 Kr. Wotan 4 4 7/10/2018 2 1
Aribowo kg cm
13 95
33180502 12100022 33180517 03150001 2 Asiid Fadllan Munir 17/3/2015 L 2.5 kg S.Muslikah-Fadlan 33180511 02790006 081 225 586 272 Kr. Wotan 4 4 7/10/2018 2 1
kg cm
75
33180515 08170003 33180551 03180001 2 Lyla Maidana Anindya 11/3/2018 P 2.8 kg Ratna M.-Kasturi 33180507 07830006 081 225 586 272 Kr. Wotan 4 4 7/10/2018 6 kg 1 1
cm
15 105
33180503 12130006 33180501 01140001 1 Nizam Ismar Rafi Zuhaqi 1/1/2014 L 2.6 kg Fitria E.-Daman 33180509 09850006 081 225 586 272 Kr. Wotan 4 4 7/10/2018 2 1
kg cm
11 90
33180503 12130006 33180520 11160002 2 Nova Nur Asyarif 20/11/2016 L 2.8 kg Fitria E.-Daman 33180509 09850006 081 225 586 272 Kr. Wotan 4 4 7/10/2018 2 1
kg cm
11 90
33180504 03080007 33180526 04160001 2 M.Ananda Rasyiqul Abid 26/4/2016 L 3.1 kg Suntari-Sumadi 33180501 07830127 081 225 586 272 Kr. Wotan 4 4 7/10/2018 2 1
kg cm
 12 90
33180504 03080014 33180556 03150001 2 Nada Faiqotul Muna 16/3/2015 P 3.1 kg Nanik F.-Sutrisno 33180513 06780005 081 225 586 272 Kr. Wotan 4 4 7/10/2018 2 1
kg cm
13 95
33180510 08090010 33180503 09150002 2 M.Lutfi Al Mu'iz 3/9/2015 L 3.3 kg Suyati-Sugiyono 33180512 06760003 081 225 586 272 Kr. Wotan 4 4 7/10/2018 2 1
kg cm
12 90
33180521 01080011 33180560 06150002 2 Faatin Luthfiyyah 20/6/2015 P 2.8 kg S.Mutrikah-Subekan 33180517 06780003 081 225 586 272 Kr. Wotan 4 4 7/10/2018 2 1
kg cm
14 100
33180530 06140002 33180562 09140001 1 Airin Maulia Alhusna 22/9/2014 P 3.3 kg Widiyanti-Winarto 33180550 10940001 081 225 586 272 Kr. Wotan 4 4 7/10/2018 2 1
kg cm
16 110
33180504 02110003 33180502 11130001 2 A.Ariq Fadhil Ar Rouf 2/11/2013 L 3 kg Ambarwati-Suwoto 33180510 05770007 081 225 586 272 Kr. Wotan 4 4 7/10/2018 2 1
kg cm
65
33180504 03080009 33180561 02180001 2 Ashila Alya Shilkha 21/2/2018 P 2.5 kg Sulistiyani-Suparman 33180505 04840003 081 225 586 272 Kr. Wotan 4 4 7/10/2018 6 kg 1 1
cm
3.7 60
33180518 09180002 33180504 09180003 1 Satria Adystia Purnama 4/9/2018 L 3.5 kg Nurmafita F.-Agus P. 33180502 079620001 081 225 586 272 Kr. Wotan 4 4 7/10/2018 1 1
kg cm
14 100
33180502 12140003 33180542 11140002 1 Griselda Askiya Wijayanti 2/11/2014 P 2.7 kg Eka M.-Wahyu S. 33180527 07900005 081 225 586 272 Kr. Wotan 5 4 7/10/2018 2 1
kg cm
15 105
33180516 04080021 33180519 11140004 3 M.Hammam Jalaludin 19/11/2014 L 2.5 kg Yuli Indah R-Haryanto 33180503 10780002 081 225 586 272 Kr. Wotan 5 4 7/10/2018 2 1
kg cm
12 90
33180521 05080004 33180554 08150001 3 Olyvia Natasya Azara 14/8/2015 P 2.6 kg Dwi Lusiani-Tunggal 33180526 06710004 081 225 586 272 Kr. Wotan 5 4 7/10/2018 2 1
kg cm
Nur Hidayah- 70
33180510 05110006 33180542 02180001 2 Afiza Ghania 2/2/2018 P 3 kg 33180512 03840006 081 225 586 272 Kr. Wotan 5 4 7/10/2018 6 kg 1 1
Kusmanto cm
13 95
33180505 12150001 33180520 09150002 1 M.Ari Setiawan 20/9/2015 L 2.8 kg Ayu Puji A.-Kasturi 33180505 02870001 081 225 586 272 Kr. Wotan 6 4 7/10/2018 kg cm 2 1

11 90
33180513 09140001 33180526 02160001 1 Gibran Attala Alfatih 26/2/2016 L 3.1 kg 33180423 02850002 081 225 586 272 Kr. Wotan 6 4 7/10/2018 kg cm 2 1
Nike Ardina-Haryanto
10 85
33180521 01170001 33180570 12160002 1 Chayra Fayola Nadhifa 30/12/2016 P 3.3 kg 33180501 10910003 081 225 586 272 Kr. Wotan 6 4 7/10/2018 kg cm 2 1
S.Nurhayati-Sutrisno
14 100
33180531 12140001 32131111 04860001 1 Jelita Permata Putri 5/4/2014 P 2.7 kg 33180511 04860003 081 225 586 272 Kr. Wotan 6 4 7/10/2018 kg cm 2 1
D.Ranika-Suparman

33180413 04170004 33180559 02170001 1 Khayla Aisyah Azzahra 19/2/2017 P 2.9 kg Sulimah-Agus 33180427 08960001 081 225 586 272 Godo 2 3 7/10/2018 8.5 kg75 cm 2 1
Supriyanto

33181023 09110010 33181007 03180001 2 Ezza Kafael Abrisam Putra 7/3/2018 L 3.2 kg 33181023 03850015 081 225 586 272 Winong 12 3 7/10/2018 6.5 kg68 cm 1 1
Eni P.-Imam Setuawan

33151015 03100007 33151019 03180005 2 Raffasya Nazril Dwi Maulana 19/3/2018 L 3.4 kg 33151028 04860002 081 225 586 272 Tanjungrejo 5 1 7/10/2018 6.7 kg68 cm 1 1
Nuryanti-Joko Waluyo
IMD Vitamin A Vitamin A
1=YA, Februari Agustus
1=YA, 1=YA,
2=Tidak 2=Tidak 2=Tidak

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 2 2

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 2 2
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 2 2
1 2 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 2 1

1 1 1

1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 2 2

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 2 2

1 1 1

1 1 1

1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 2 1

1 2 2

1 1 1

1 1 1

1 1 1

1 2 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 2 2

1 2 2
 DATA SASARAN BALITA FORMAT Eppgbm

Provinsi :
Kabupaten/Kota :
Puskesmas :
Desa : :

JENIS Berat Cara Ukur ASI

No No KK NIK (Nomor Induk ANAK NAMA ANAK TANGGAL KELAMI Badan Nama Orang tua NIK Orang Tua No Tlp/HP Orang ALAMAT RT RW Tanggal BB TB Eksklusif
Kependudukan Anak ) KE LAHIR Lahir Tua pengukuran (Kg) (Cm) 1=Telentang 1=YA,
N (Kg) 2=Berdiri 2=Tidak

1. 3318053107130001 3318054103140001 1 KHEISA AZAKIA Z 01/03/2014 P 2,8 KHOLIL ABDUL A 3318052704950001 085326867080 LUMBUNGMAS 11 1 16/10/2018 14.2 100 2 1

2. 3318053108130007 3318051302140001 1 FEBRIAN WAHYU P 13/02/2014 L 3 SUKANDAR 3318052802760002 085326867080 LUMBUNGMAS 8 1 16/10/2018 13.5 98 2 1

3. 3318051412070121 3318056603140008 2 CHAIRA AURELIA A 26/03/2014 P 3,2 SIMON CAHYONO 3318051503800009 085326867080 LUMBUNGMAS 2 1 16/10/2018 14.7 99 2 1

4. 3318051203090019 3318054406140002 2 SYAFA NUR LAILA 04/06/2014 P 3,2 GUNAWI 3318051403710002 085326867080 LUMBUNGMAS 3 1 16/10/2018 15 101 2 1

5. 3318051710130005 3318051307140001 1 DANIS SALMA DANA S 13/07/2014 L 3,3 DARTO 3318050806770004 085326867080 LUMBUNGMAS 1 1 16/10/2018 15.1 98 2 1

6. 3318051912080028 3318054506140001 3 VITA BUNGA LESTARI 05/06/2014 P 2,5 NGATONO 3318051810780005 085326867080 LUMBUNGMAS 2 1 16/10/2018 15.2 87 2 1

7. 3318051203090013 3318051807140002 2 MUHAMMAD ULIN NIAM 18/07/2014 L 3,2 SUPARWI 3318051804730005 085326867080 LUMBUNGMAS 8 1 16/10/2018 15 100 2 1

8. 3318051312070449 3318057107140002 2 FITRIA KUMALA DEWI 28/07/2014 P 3 LEGIMAN 3318051404700004 085326867080 LUMBUNGMAS 8 1 16/10/2018 13 99 2 1

9. 3318050104140003 3318056407140001 1 CLARA FITRI FEBRIANTI 23/07/2014 P 3 YANTO 3318052507800002 085326867080 LUMBUNGMAS 9 1 16/10/2018 15 107 2 1

10. 3318051309130002 3318050105140002 1 KEANDRA RAFA A 01/05/2014 L 3,2 BUDI HARIYANTO 3318051802850012 085326867080 LUMBUNGMAS 5 1 16/10/2018 14.5 105 2 1

11. 3318052501160002 3315101610140002 1 AHMAD IQBAL PRATAMA 02/01/2014 L 3 NURHADI 3318053007940002 085326867080 LUMBUNGMAS 9 1 16/10/2018 13 98 2 1

12. 3318051204140002 3318054609140001 1 DZAKIRA TALITA QOTRUNNADA 06/09/2014 P 3,3 BUDI APRIANTO 3318051304820001 085326867080 LUMBUNGMAS 4 1 16/10/2018 14 95 2 1

13. 3318050207140001 3318051309140002 3 FATIH AHMAD MAHFUD 10/09/2014 L 3,8 SUDIRMAN 3318051102890001 085326867080 LUMBUNGMAS 8 1 16/10/2018 14.5 96 2 1

14. 3318051611130002 3318054602150001 2 AFINDA AL QUMAIROH 06/02/2015 P 3 SUSANA 3318064708920001 085326867080 LUMBUNGMAS 4 1 16/10/2018 15 97 2 1

15. 3318053105080015 3318054102150001 1 AULIA SOFIIZZATUNNISA 01/02/2015 P 3 SARI MUSTIKA 3318054709930003 085326867080 LUMBUNGMAS 6 1 16/10/2018 14 99 2 1

16. 3318050503150006 3318056502150001 1 SALFA AFIYA QOIRUNNISA 25/02/2015 P 3,3 SYAIFUDIN ZUHRI 3318052507930001 085326867080 LUMBUNGMAS 6 1 16/10/2018 14 95 2 1

17. 3318050709130005 3318055005150001 1 AVIA QAIREEN SALSABILA 10/05/2015 P 3,2 SUGIYONO 3318050608870002 085326867080 LUMBUNGMAS 7 1 16/10/2018 13.5 95 2 1

18. 3318052704160002 - 2 BACHITAH AISYA BELLA 23/04/2015 P 3 CIPTONO 3318051705820003 085326867080 LUMBUNGMAS 6 1 16/10/2018 13.7 94 2 1

19. 3318053009130002 - 1 ELISA AULIA RAMADHANI 04/07/2015 P 3 SUWIKNYO 3318050303930003 085326867080 LUMBUNGMAS 12 1 16/10/2018 13 90 2 1

20. 3318050106130002 3318054208150001 1 MIKAYLA TESSA A 02/08/2015 P 3 SUWARDI 3318052604770001 085326867080 LUMBUNGMAS 8 1 16/10/2018 10.5 82 2 2

21. 3318050905080004 3318057012150001 2 KAILA ANANDA VILONA 30/12/2015 P 2,8 RASMIN 3318051307830001 085326867080 LUMBUNGMAS 11 1 16/10/2018 12.2 90 2 1

22. 3318052109150004 3318050301160003 1 DHAFI FAIRUZ AR RAFFA 03/01/2016 L 3 ERGA CAHYONO 3318100302910001 085326867080 LUMBUNGMAS 10 1 16/10/2018 12.4 90 2 1

23. 3318050812150005 3318055302160001 1 RANI NISTITA NINGSEH 14/02/2016 P 3 NUR KAMDI 3318051510920005 085326867080 LUMBUNGMAS 5 1 16/10/2018 13 85 2 1

24. 3318051211130001 3318055608150001 1 KIRANA ANDRESTA M 18/08/2015 P 3,1 NABILA 3318055311980002 085326867080 LUMBUNGMAS 4 1 16/10/2018 12.5 84 2 1

25. 3318051305090012 3318052208150001 2 MUHAMMAD AINUN NAJIB 22/09/2015 L 3 KASIYAN 3318052103760002 085326867080 LUMBUNGMAS 7 1 16/10/2018 13.4 87 2 1

26. 3318051208090013 3318051606160002 3 LEVANO WAHYU RAMADHANI 10/06/2016 L 3,8 YANTO 3318050802820006 085326867080 LUMBUNGMAS 10 1 16/10/2018 12.3 87 2 1

27. 3318053005160002 3318054707160001 1 RAYA SYAQILA S 07/07/2016 P 3 DIKI TRI C 3318051407970003 085326867080 LUMBUNGMAS 9 1 16/10/2018 12 85 2 1

28. 3318051108150003 3318054108160002 1 AFNA AFIDATUL I 01/08/2016 P 3 SUNOTO 3318052806850006 085326867080 LUMBUNGMAS 8 1 16/10/2018 9.8 80 2 1

29. 3318051409090009 3318055808160001 2 AQILA MEDINAH S 18/08/2016 P 3,2 KUKUH WIDODO 3318052005830004 085326867080 LUMBUNGMAS 5 1 16/10/2018 13.2 100 2 1
30. - - 2 ADIBA CAHAYA ALMIRA 01/09/2016 L 2,8 SUKASNO 3318051010870003 085326867080 LUMBUNGMAS 1 1 16/10/2018 9.3 80 2 1

31. 3318050609140003 3318056908160001 3 AZZAHRA RALINIA PUTRI 29/08/2016 P 3,2 HARTONO 3318050201820005 085326867080 LUMBUNGMAS 2 1 16/10/2018 11.4 92 2 1

32. 3318050910080018 3318050301170001 2 BAYU FAJAR NUGROHO 03/01/2017 L 3,3 JUMADI 3318051603790009 085326867080 LUMBUNGMAS 11 1 16/10/2018 11.5 87 2 1

33. 3318053105080016 3318052912160001 2 MARIO WAFI LELONO 29/12/2016 L 3,2 SUYANTO 331805210180002 085225247851 LUMBUNGMAS 12 1 16/10/2018 11.3 90 2 1

34. 3318051401160003 3318055501170001 1 ZAHIRA ALECIA S 15/01/2017 P 3,4 ARIF 3318050909930003 082313969670 LUMBUNGMAS 5 1 16/10/2018 10.5 82 2 1

35. 3318051104160002 3318054803170001 1 MUTIARA ELOK KAMILA 08/03/2017 P 2.5 SUYATNO 3318121002770004 082242681880 LUMBUNGMAS 4 1 16/10/2018 10 80 2 1

36. 3318050307150001 3318055703170001 1 BULAN ADELIA 17/3/2017 P 2.5 NUR KOLIS 3318122207880002 082225342446 LUMBUNGMAS 7 1 16/10/2018 9.5 74 2 1

37. 3318052805150001 - 1 DEWI VIA AGUSTIN 03/05/2017 P 1.9 AGUS S 3318052301950002 085326867080 LUMBUNGMAS 1 1 16/10/2018 9.3 77 2 1

38. 3318051101170002 3318055405170001 1 SOFIYYAH N 14/05/2017 P 3 WARSIDI 3318050606850004 082174889230 LUMBUNGMAS 3 1 16/10/2018 10 73 2 1

39. 3318051208090007 3318055304170001 1 ZAKIYAH APRILIA 13/04/2017 P 2.5 M SUBANDI 331614809890002 085326867080 LUMBUNGMAS 11 1 16/10/2018 9 73 2 1

40. 3318051012080014 3318051106170002 1 NAUVAL NAVITO RAMADHAN 11/06/2017 L 2.7 SULINA 3318056204000001 085321825138 LUMBUNGMAS 1 1 16/10/2018 9.1 80 2 1

41. 3318051408090011 3318050205170001 2 EVAN BAYU PAMUNGKAS 02/05/2017 L 3.8 SUTARTO 3318051502820001 085268837993 LUMBUNGMAS 7 1 16/10/2018 9.7 76 2 1

42. 3318051308090030 3318052705170001 2 MEYCEL RAMDAN ALFARIZI 07/05/2017 L 2.7 KARSITO 3318052507820004 082220498103 LUMBUNGMAS 12 1 16/10/2018 8.5 77 2 1

43. 3318052501170004 3318056107170002 1 NELA ADELIA PUTRI 21/07/2017 P 2.9 EKO H 3318050704940002 085290860614 LUMBUNGMAS 12 1 16/10/2018 8.5 69 2 1

44. - - 1 FIRGA WAHYU ADE KURNIAWAN 8/24/2017 L 3 SUPRAPTO 3318052002980003 085210361451 LUMBUNGMAS 4 1 16/10/2018 10.5 77 2 1

45. 3318050709110006 3318051809170001 2 ENJI TEGAR SAPUTRA 9/18/2017 L 3 PANDI 3318051106820009 082216446685 LUMBUNGMAS 10 1 16/10/2018 8.6 73 2 1

46. 3318050709160005 3318050711170002 1 NIZAL KENZIE ALVARENDRA 11/7/2017 L 3 LISDIYANTO 3316140806930006 085225247849 LUMBUNGMAS 3 1 16/10/2018 8.6 70 1 1

47. 3318052201100002 3318056611170002 2 ZOYA NAZIRA ALFIANA 11/26/2017 P 2.7 PARMIN 3318050803830001 081252742391 LUMBUNGMAS 1 1 16/10/2018 8.5 72 1 1

48. 3318050807150003 3318057112170001 3 LEON KENZO ANGGARA 12/31/2017 L 2 SUMARNO 3318051610710002 085225599568 LUMBUNGMAS 3 1 16/10/2018 7.7 70 1 1

49. - - 2 PADELA AULIA ALFATUNISA 1/30/2018 P 3 SUPARWI - 085226201870 LUMBUNGMAS 1 1 16/10/2018 7.6 68 1 1

50. 3318052709080006 3318050405180001 3 RENDIFA EKO S 5/4/2018 L 2.9 SUKISNO 3318051206840013 085227851947 LUMBUNGMAS 1 1 16/10/2018 7 60 1 1

51. 3318053110170002 3318056504180001 1 VIRZHA IZATUL N 4/24/2018 P 3 MURI 3318141609880002 085325012601 LUMBUNGMAS 3 1 16/10/2018 6.5 62 1 1

52. 3318052806110002 3318055005180001 2 SALWA AININDA 5/10/2018 P 3.1 TARMAN 3318050412810005 082315935481 LUMBUNGMAS 7 1 16/10/2018 7.2 60 1 1

53. 3318050106160002 - 1 ZEELKA ZEEVANYA 5/12/2018 P 3 TEGUH 3318053001860002 085326867080 LUMBUNGMAS 6 1 16/10/2018 7,5 62 1 2

54. 3318051409090009 - 3 SHAVEEA DARA M 9/18/2018 P 3 KUKUH WIDODO 3318052005830004 085326531640 LUMBUNGMAS 5 1 16/10/2018 3 50 1 1

55. 3318052506090010 - 2 NAFISA F 10/9/2018 P 2.9 SURATMAN 3318051503800013 085226143917 LUMBUNGMAS 8 1 16/10/2018 3 50 1 1

56. 3318052309160013 3318056912130001 LATHIFA DZAKIRA A 29/12/2013 P 3,2 SUNOTO 3316142403880003 085226195358 LUMBUNGMAS 7 2 16/10/2018 16 104 2 1

57. 3318053107130003 3318052602140001 1 DIO ACHMAD P 26/02/2014 L 3 WARTONO 3318050509840001 085290199550 LUMBUNGMAS 1 2 16/10/2018 15.5 105 2 1

58. 3318050312130004 3318051606140001 1 ALFIAN RIZQIE MUTHA 16/06/2014 L 3,3 ROHMAD EKO S 3318051406870001 085226195358 LUMBUNGMAS 8 2 16/10/2018 15 100 2 1

59. 3318051107051152 3318058107140002 2 SHOLIKATUN NAF'AN 21/07/2014 P 3 MUHADI 331805150770001 085226195358 LUMBUNGMAS 3 2 16/10/2018 15.5 100 2 1

60. 3318052710140006 3318051402140001 1 AKIF NIZAR MUZAKKA 07/02/2014 L 3 RISTI 3318056310870001 085226195358 LUMBUNGMAS 4 2 16/10/2018 15.5 102 2 1

61. 3318051308090014 3318052510140001 2 BISWA WIRWANDHOH 25/10/2014 L 3,4 MUNANDAR 3318051504800012 085226195358 LUMBUNGMAS 9 2 16/10/2018 14.3 96 2 1

62. 3318052908140003 3318054111140001 1 HUSNIA FADILA 01/11/2014 P 3 KASWI 3318050507830001 085226195358 LUMBUNGMAS 1 2 16/10/2018 14 95 2 1

63. 3318052704150001 3318054604150004 1 APRILIA NIAWATI 06/04/2015 P 2,5 SLAMET 3321071912830005 085226195358 LUMBUNGMAS 1 2 16/10/2018 13.5 92 2 1

64. 3318051311130003 3318050203150001 1 ABDEE NAGARA SUTRISNO P 02/03/2015 L 3,2 RIKO J 3318052306880007 085226195358 LUMBUNGMAS 6 2 16/10/2018 14 92 2 1

65. 3318051305150004 3318051205150002 1 MUHAMMAD DAFA IBNU HAFIZD 12/05/2015 L 3,3 YUDI SISWANTO 3318052208930002 085226195358 LUMBUNGMAS 10 2 16/10/2018 13.4 95 2 1

66. 3318051407080060 3318050507150002 2 MUHAMMAD FARHAN R 05/07/2015 L 3 KASTAWI 3318053001740000 085226195358 LUMBUNGMAS 7 2 16/10/2018 11.5 90 2 1

67. 3318052207150005 3318055509150001 1 SILFA NUR ASMARA 15/09/2015 P 2,8 SUYATNO 3318051410850002 085226195358 LUMBUNGMAS 7 2 16/10/2018 11.4 90 2 1
68. 3318051404150002 3318051109150001 2 RAFI MUHAMMAD 11/09/2015 L 3,2 DIDIK EKO S 3318050703840001 085226195358 LUMBUNGMAS 3 2 16/10/2018 11.2 90 2 1

69. 3318051203090020 3318055211150001 3 HALIMATUS SA'DIYAH 12/09/2015 P 3,3 ACHMAD MUSONEF 3318051007800003 085226195358 LUMBUNGMAS 5 2 16/10/2018 11.5 92 2 1

70. 3318050307150002 3318051412150002 1 MUHAMMAD ADELIO YUDA P 14/12/2015 L 3,6 HADI S 3318050306940001 085226195358 LUMBUNGMAS 5 2 16/10/2018 11 87 2 1

71. 3318051811150002 3318055601160002 1 EURICHA SELFIANA ULA 16/01/2016 P 2,8 ERIYANTO 3318050309870001 085226195358 LUMBUNGMAS 9 2 16/10/2018 11 85 2 1

72. 3318051108090034 3318052302160001 2 AHMAD AL ROZAKI M 23/02/2016 L 3 SISWO 3318051606840006 085226195358 LUMBUNGMAS 7 2 16/10/2018 10.5 83 2 1

73. 3318053112150001 3318051903160001 2 IRFAN SYABIL K 19/03/2016 L 3 SUNARSO 3316141307860001 085226195358 LUMBUNGMAS 7 2 16/10/2018 10.5 84 2 1

74. 3318051003160005 3318056003160001 1 MIWA ANGGA PRATIWI 20/03/2016 P 3,2 BAMBANG 3315132705860004 085226195358 LUMBUNGMAS 2 2 16/10/2018 10.4 85 2 1

75. 3318052504160001 3318051806160002 1 FADLAN ARKAN M 10/06/2016 L 3,3 MAHFUD 3318172407910001 085226195358 LUMBUNGMAS 6 2 16/10/2018 11 86 2 1

76. 3318051108090030 3318050508160001 2 AHMAD DEVANO R 05/08/2016 L 3,2 SUYONO 3318051002800005 085226195358 LUMBUNGMAS 1 2 16/10/2018 10.5 87 2 1

77. 3318050905160002 3318052007160002 1 TOMI SLAMET ADITYA PUTRA 20/07/2016 L 3,4 SUWARTO 3318051705850009 085226195358 LUMBUNGMAS 7 2 16/10/2018 10.2 87 2 1

78. 3318050809150003 3318050908160001 1 MUHAMMAD WILDAN SURYA H 09/08/2016 L 3,2 EDI S 9201071002840006 085226195358 LUMBUNGMAS 4 2 16/10/2018 10.2 85 2 1

79. 3318053005160003 3318055608160001 1 SHAKILA ZAHROTUSSIFA 16/08/2016 P 2,8 SUNOTO 3317091107750003 085226195358 LUMBUNGMAS 8 2 16/10/2018 10.1 84 2 1

80. 3318051912120004 3318052612160001 2 REYSAKA GHIBRAN S 26/12/2016 L 3,3 MULYADI 3318051012920005 082136439992 LUMBUNGMAS 10 2 16/10/2018 10.3 82 2 1

81. 3318051410080030 3318050601170004 2 RIFKI MAULANA 06/01/2017 L 3,1 DAMIRI 3318051606780003 081314971962 LUMBUNGMAS 2 2 16/10/2018 10 90 2 1

82. 3318051409090008 3318050704170001 3 MAHENDRA DANADYAKSA 06/04/2017 L 3.2 ENDRO 3318052512830006 085385813998 LUMBUNGMAS 8 2 16/10/2018 9 95 2 1

83. 3318051107050880 3318051803170001 2 LEVIN DWI N 17/03/2017 L 2.6 SUGENG 3318051401710001 085292137472 LUMBUNGMAS 8 2 16/10/2018 9.9 87 2 1

84. 3318052105100003 3318055105170001 2 QUEENITA AISHA P 11/05/2017 P 2.9 SUPRAYIKNO 3318052809870002 081326161054 LUMBUNGMAS 1 2 16/10/2018 9 77 2 1

85. 3318051702160006 - 2 AHMAD SHIDIQIN D 22/07/2017 L 2.8 PARJAN 3318051001800002 085226195358 LUMBUNGMAS 4 2 16/10/2018 11 75 2 1

86. 3318050905160003 3318054207170001 1 SILVIA QUINTA A 02/07/2017 P 3 DWI HADI S 3318051706890005 082335440044 LUMBUNGMAS 6 2 16/10/2018 8.5 77 2 1

87. 3318051310090006 3318056009170001 2 WIDYA KARTIKA SARI 20/09/2017 P 3 DAMIRI 3318051209830007 085290812762 LUMBUNGMAS 8 2 16/10/2018 9 76 2 1

88. 3318052804100002 3318056112170002 2 RENATA NAFIATUL HUSNA 21/12/2017 P 2.7 KASTURI 3318051403850006 085201078228 LUMBUNGMAS 10 2 16/10/2018 7.5 68 1 1

89. 3318051108090031 3318056001180001 1 NAFIATUN NAFISAH 20/01/2018 P 2.7 MUGIONO 3318050612800002 085226195358 LUMBUNGMAS 1 2 16/10/2018 7 60 1 1

90. 3318051208090006 3318050902180002 2 MUHAMMAD FILDAN F 09/02/2018 L 3 IRA MAYASARI 3318054506830024 085226195358 LUMBUNGMAS 3 2 16/10/2018 7 65 1 1

91. 3318100704100004 3318101103180003 2 FIRDAN ALKHALIFI 11/03/2018 L 3.2 DWI S 3318102402890007 085226195358 LUMBUNGMAS 5 2 16/10/2018 8 67 1 1

92. 3318052312100002 3318056303180001 2 NABILATUS SAUQIYAH 23/03/2018 P 3 SUNTARI 3318050312830003 085226114419 LUMBUNGMAS 7 2 16/10/2018 7 61 1 1

93. 3318050912080001 3318051205180002 2 EVANO ZINAN ABIWARA 11/05/2018 L 3 ULIN NUHA 3318051812770000 085226195358 LUMBUNGMAS 10 2 16/10/2018 7.2 60 1 1

94. 3318051807090037 3318054207180001 2 ISKI NUR KHOLIFAH 02/07/2018 P 3 NUR EFENDI 3318050301820002 082338764413 LUMBUNGMAS 3 2 16/10/2018 5.5 60 1 1

95. 3318050712070545 3318050109180001 2 FA'A SEPTIAN BRAJA M 01/09/2018 L 3.3 WIDARTO 3318050503840004 082324891954 LUMBUNGMAS 7 2 16/10/2018 4 56 1 1

96. 3318053107130003 3318051608180001 2 ADNAN PANDU WIJAYA 16/08/2018 L 3.3 WARTONO 3318050509840001 085290199550 LUMBUNGMAS 1 2 16/10/2018 5 58 1 1

97. 3318050905160003 - 2 YUSVINA QUINTA LATUFA 10/10/2018 P 3 DWI HADI S 3318051706890005 082335440044 LUMBUNGMAS 6 2 16/10/2018 3 50 1 1

98. 3318051008090002 3318055301140001 2 HUSNA MAULIDA 12/01/2014 P 3,3 MUNARI 3318052708740004 085292963157 LUMBUNGMAS 3 3 10/2/2018 15 100 2 1

99. - - 1 VERELLA C 03/05/2014 P 3 AHMAD YUDI - 085292963157 LUMBUNGMAS 4 3 10/2/2018 15.4 103 2 1

100 3318050912070092 3318051205140004 2 ISLAH ALMANAN 12/05/2014 L 3,3 AGUNG M 331805056830003 085292963157 LUMBUNGMAS 3 3 10/2/2018 15.5 101 2 1

101 3318052207140001 3318052906140001 1 ALIF RAMADHAN 29/06/2014 L 3 SUPARMAN 3318051001790006 085292963157 LUMBUNGMAS 6 3 10/2/2018 15 98 2 1

102 3318050206140004 3318051007140002 1 MUHAMMAD HABIBI RIZKI R 09/07/2014 L 3,2 SUKIJAN 3318050702930002 085292963157 LUMBUNGMAS 5 3 10/2/2018 14.3 95 2 1

103 3318050408140006 3318051809140001 1 DHAVIQI STIVENA 18/09/2014 L 3 SARDI SISWANTO 3318050311880001 085292963157 LUMBUNGMAS 5 3 10/2/2018 15 96 2 1

104 3318050510090001 3318055710140001 2 SILVI NUR CAHYANTI 17/10/2014 P 3,4 GIYONO 3318050808790003 085292963157 LUMBUNGMAS 1 3 10/2/2018 14.2 95 2 1

105 3318051305150008 3318054512140001 1 NAFISAH NAJWA N 05/12/2014 P 3,3 RIKA SANJAYA 3318051102860005 085292963157 LUMBUNGMAS 3 3 10/2/2018 14.5 88 2 1
106 3318050703150001 3318050212140002 1 AZAM ZAKI H 02/12/2014 L 3 MASTUKIN 3318051706900001 085292963157 LUMBUNGMAS 6 3 10/2/2018 14 90 2 1

107 3318051112070744 3318052112140001 2 AHSAN FAHAD IBRAHIM 21/12/2014 L 3 SUKIJAN 3318050206770005 085292963157 LUMBUNGMAS 2 3 10/2/2018 14 95 2 1

108 3318051004150001 3318118712140001 1 AFIFAH HIMATUL M 27/12/2014 P 2,7 BUDIYONO 3318111206870010 085292963157 LUMBUNGMAS 3 3 10/2/2018 14.2 96 2 1

109 3318052708090023 3318057003150001 2 UPIK MIRZA ISNAINI 30/03/2015 P 2,8 SUYANTO 3318051407780005 085292963157 LUMBUNGMAS 5 3 10/2/2018 13.2 90 2 1

110 3318050210150004 3318056011150002 1 AVIKA KEISYA F 20/11/2015 P 2,7 SUKARYONO 3318052512910002 085292963157 LUMBUNGMAS 6 3 10/2/2018 9.4 90 2 1

111 3318051709080002 3318054601160001 2 NURI MAULIDA K 06/01/2016 P 3,2 SUPRIHANTO 3318051608830005 085292963157 LUMBUNGMAS 6 3 10/2/2018 13 89 2 1

112 3318050912070241 3318050502160001 2 AHMAD HAFIZH S 05/02/2016 L 3,3 SOLEKAN 3318051209800001 085292963157 LUMBUNGMAS 3 3 10/2/2018 12.5 90 2 1

113 3318050210150003 3318055503160003 1 INAYA SHAKILA A 10/03/2016 P 3,3 JOKO SUSILO 3318050405920003 085292963157 LUMBUNGMAS 5 3 10/2/2018 11.5 89 2 1

114 3318050804080012 3318051004160001 2 FEREL ARDIKA P 10/04/2016 L 3,4 MURYONO 3318052701840003 085292963157 LUMBUNGMAS 5 3 10/2/2018 11.5 88 2 1

115 3318052708090017 3318051104160001 2 IQBAL RENDY M 11/04/2016 L 3,3 PARYADI 3318050304830004 085292963157 LUMBUNGMAS 5 3 10/2/2018 10.5 87 2 1

116 3318052808130002 3318050305160001 2 ASYROF AL HARIZ M 03/05/2016 L 3,3 ROSIKAN 3321100502810004 085292963157 LUMBUNGMAS 3 3 10/2/2018 10.5 89 2 1

117 3318052708090005 3318055907160001 2 SIFA NAELA PUTRI 19/07/2016 P 2,7 LASMIN 3318050508780003 085292963157 LUMBUNGMAS 5 3 10/2/2018 10.3 87 2 1

118 3318050808160003 3318054910160003 2 RAISSA RENATA O 09/10/2016 P 3,2 SUWARNO 3318051910790003 085325306007 LUMBUNGMAS 5 3 10/2/2018 10.4 84 2 1

119 3318052708090021 3318051012160002 2 ADAM NOVEL A 10/12/2016 L 2,5 SUPRIYANTO 3318052108780005 085292963157 LUMBUNGMAS 5 3 10/2/2018 10.5 85 2 1

120 3318050940080019 3318057001170001 2 KHAYLA AGIL M 30/01/2017 P 3,2 GUNADI 3318050807780004 081226275414 LUMBUNGMAS 4 3 10/2/2018 11 87 2 1

121 3318052304080003 3318055201170001 2 SYAFAQOH RIHADATUL A 12/01/2017 P 3,6 LASENO 3318052311830003 085325566152 LUMBUNGMAS 5 3 10/2/2018 11.3 84 2 1

122 3318051309160003 3318056604170002 1 AZKA DINA KAYRA F 26/04/2017 P 2.5 SUHUDI 3318051608920003 085225864900 LUMBUNGMAS 1 3 10/2/2018 11 80 2 1

123 3318052406140003 - 1 DENI SETIAWAN 7/7/2017 L 3 HANJINNI 3318056806790002 085292963157 LUMBUNGMAS 6 3 10/2/2018 9.5 75 2 1

124 3318051407080056 3318054301180001 2 NOVA DWI PERMATASARI 1/2/2018 P 3.2 SUGIYONO 3318050307760002 085256526612 LUMBUNGMAS 4 3 10/2/2018 8 68 1 1

125 3318052501180007 3318050501180001 1 AFRIZAL AZRIL PRATAMA 1/5/2018 L 3 SAMSUL H 3318050809930002 085292963157 LUMBUNGMAS 2 3 10/2/2018 8 69 1 1

126 3318052708090032 3318056501180001 2 LAYLI AZALIA LUTFIAH 1/24/2018 P 3 AGUS S 3318051903820004 085223893883 LUMBUNGMAS 2 3 10/2/2018 8 69 1 1

127
128
129
130
131
132
133
134
135
136
IMD Vitamin A Vitamin A
1=YA, Februari Agustus
1=YA, 1=YA,
2=Tidak 2=Tidak 2=Tidak

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 2 1

1 2 1

1 2 1

1 2 1

1 2 1

1 2 2

1 2 2

1 2 2

1 2 2

1 2 2

1 2 2

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 2 1

1 2 1

1 2 1

1 2 1

1 2 2

1 2 2

1 2 2

1 2 2

1 2 2

1 2 2

1 2 2

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 2 1

1 2 1

1 2 1
 DATA SASARAN BALITA FORMAT Eppgbm

Provinsi :
Kabupaten/Kota :
Puskesmas :
Desa : :

JENIS Berat
No No KK NIK (Nomor Induk ANAK NAMA ANAK TANGGAL KELAMI Badan Nama Orang tua NIK Orang Tua No Tlp/HP Orang ALAMAT RT RW Tanggal BB TB
Kependudukan Anak ) KE LAHIR Lahir Tua pengukuran (Kg) (Cm)
N (Kg)

1. 3318051404090003 3318055811130001 2 Aqila jihan sidqia 11/18/2013 p 3.2 parjono/lasmini 3318051804740001/3318056504820004 85225861839 Bodeh 2 1 10/11/2018 16.5 102
2. 3318050812070360 3318052702140001 2 M.Agung sukoco 2/27/2014 L 3.4 Abdul sodiq/sutiyem 3318051207750002/3318056008780003 85225861839 Bodeh 2 1 15 98
3. 3318050912070275 331805192140001 2 Ahmad naufal 2/19/2014 L 3.2 nur khasan/farida nurul 3318050812740003/3318055503810003 85225861839 Bodeh 1 1 14 100
4. 3318051710080009 3318052904140002 2 Khanza bilqis 4/29/2014 p 3 mashudi/mutmainah 3318052512770003/3318056611770002 85225861839 Bodeh 5 1 14.6 100
5. 3318050801130006 3318056404140002 2 Naila azza 4/24/2014 p 3.5 legiman/waginah 3318042207690001/3318046208820001 85225861839 Bodeh 1 1 17 101
6. 3318051806130003 3318052104140001 1 Ahmad miftahul 21-4-1014 L 3.5 M.Ma'ruf/ita ulfatul 3318050204830002/3318055102880006 85225861839 Bodeh 3 1 16 104
7. 3318051004140003 3318055205140002 1 Athalia indriyani 5/12/2014 p 3.2 ngusnanta/weni dia isnin 3318050701910001/3318046509920001 85225861839 Bodeh 3 1 14.8 99
8. 3318051012070359 3318050205140002 2 Faizal fahmi 5/2/2014 L 3.6 Supadi/sri indah 3318052208760001/3318054812820001 85225861839 Bodeh 3 1 17 100
9. 3318052407130002 3318051005140004 1 M.Fandi alamsyah 5/10/2014 L 3.6 M.Alim/marnelis 3318050508870003/3318047004880003 85225861839 Bodeh 3 1 16.4 101
10. 3318050911100002 3318052005140001 1 Ahnaf abdillah 5/20/2014 L 2.9 Ubaidillah/kholifatul abi 3318051008840001/3318054102900003 85225590109 Bodeh 4 1 14 96
11. 3318050812070296 3318052006140003 2 zidna inayatal 6/20/2014 p 3.8 ahmad asfii/tri windarti 3318051812820001/3318055503890002 85225861839 Bodeh 2 1 14 106
12. 3318050409140002 3318056208140001 1 Aisha fairuz 8/22/2014 p 2.9 abdul muis/endang sri 3318050901830001/3318054302930004 82221460839 Bodeh 2 1 14.2 104
13. 3318050812070336 3318056209140002 2 Kayyiza ilma 9/22/2014 p 3.5 M.muhadi/siti mustiah 3318051204780004/3318054108840003 85225861839 Bodeh 2 1 14.3 105
14. 3318051510080030 3318050808140001 2 Yafi faiq 8/8/2014 L 3.2 Suluri/sunawati 3318050201780002/3318054504830004 85225861839 Bodeh 3 1 13.9 104
15. 3318050202100004 3318050511140001 2 M.Khoozin al irsyad 11/5/2014 L 2.6 M.Rukin/sri darti 3318050111810004/3318055002820010 82136520474 Bodeh 1 1 14 103
16. 3318050912070125 3318052512140002 2 Adam abdul hakim 12/25/2014 L 3.9 Karsidin/siti murni 3318050605770003/331805546820002 85225861839 Bodeh 1 1 15.2 105
17. 3318051302150001 3318055103150001 1 Talita anisa 3/11/2015 p 2.5 Tisno/rahayu sulistianings3318050510810002/1671047001930012 82221460839 Bodeh 1 1 11.4 92
18. 3318053110140003 3318051102150001 1 Ahmad arsya 2/11/2015 L 3.2 A,Sobirin/zumrotunnafia 3317072812860001/3318056110940001 85225861839 Bodeh 3 1 13 94
19. 3318052011130002 3318051902150001 1 Arjuna cahaya 2/19/2015 L 3.5 Purnomo/ika susanti 3318051210800002/3318054103930005 85225861839 Bodeh 5 1 15 95
20. 3318052701170001 3318054707140002 1 zahra aulia 7/7/2014 p 3 mustajab/nur hayati 3318052504860004/1221064502790001 85225861839 Bodeh 4 1 13.1 94
21. 3318051207056981 3318054404150001 1 Afran naila 4/4/2015 p 3.4 Sumijan/sumini 3318050607790001/3318055306850004 85225861839 Bodeh 1 1 15.3 94
22. 3318051501150001 3318052003150004 2 Abraruz arrafiz 3/20/2015 L 3.2 Joko siswanto/nanik puji 3318053010800001/3318054904850002 85225861839 Bodeh 3 1 15 93
23. 3318042901150004 3318046104150002 1 Adlina marinda putri 5/14/2015 p 3 abu amar/nor indah 3318041704890004/3318054511860003 85225861839 Bodeh 3 1 15.2 95
24. 3318053005150003 3318051405150001 1 Abraham narendra 5/14/2015 L 3.8 Moh Sukarno/yayuk 3318050802820004/3318056111950003 85225861839 Bodeh 4 1 16 94
25. 3318050607150002 3318053005150001 1 Fasha wada 5/30/2015 L 2.6 Mustaqin/ria alfiana 33180509890004/3318056004950001 82136520474 Bodeh 4 1 13.5 94
26. 3318052408150004 3318056807150002 1 Atika zahra 7/28/2015 p 2.6 abdullah malik/maftukah 3318051207910001/3318055005930001 85225861839 Bodeh 1 1 13 93
27. 3318050212070372 3318051405160002 3 Aji sejati 5/14/2015 L 3 Janawi/rika rustiana 3318050504770001/3318057004820001 85225861839 Bodeh 5 1 14.2 94
28. 1 M.Fazal muttakun 8/10/2015 L 2.5 abdul aziz/dani lestari 85225861839 Bodeh 4 1 14.5 94
29. 3318051403070004 3318052808150002 2 Daffa agustin 8/28/2015 L 2.7 Puji listari/siti nafisatun 3318051008820004/3318054402840002 85225861839 Bodeh 4 1 16.5 95
30. 3318052006080014 3318055009150002 2 Yumna azkia 9/10/2015 p 3.1 moh solikin/siti romelah 3318050210820003/331805603850004 85225865056 Bodeh 2 1 13 92
31. 1 Keisha orlin andini 8/5/2015 p 2 Samsul hadi/martini 85225861839 Bodeh 3 1 13.4 93
32. 3318051607090002 3318052510150001 2 Johan dwi wijaya 10/25/2015 L 3 Sarmin/sulastri 3318051402710004/3318054504800005 85225861839 Bodeh 1 1 12 92
33. 3318052611120006 3318054111150001 1 Farikha haslinatul 11/1/2015 p 3.1 Sutahar/dewi nurrani 3318050607930007/3318056810950001 85225861839 Bodeh 5 1 13 93
34. 3318050908070003 3318052111150001 2 M.Hafizz assauqi 11/21/2015 L 2.8 Suradi/siti marfudah 3318051610780001/3318056010870004 85225861839 Bodeh 4 1 13.2 94
35. 1 M.Bahrun mufid 11/8/2015 L 3 Ali mahmudi 85225861839 Bodeh 3 1 13.5 94
36. 3318052701170001 3318054812150001 2 Marwa anisa 12/8/2015 p 3.1 Mustajab/nur hayati 3318052504860004/1221064502790001 85225861839 Bodeh 4 1 13.2 94
37. 2 Alisha khaira 1/13/2016 p 3.1 Karyana/siti 85225861839 Bodeh 3 1 13.6 95
38. 1 Ahmad bagus 2/14/2016 L 2.8 Jamroni/vitalia 85225861839 Bodeh 3 1 13.5 95
39. 3318052810070024 3318050104160003 2 Ahmad shofaul qolbi 4/1/2016 L 2.8 Rusdi/sri rohmawati 3318050609790005/3318055004850001 82221460839 Bodeh 4 1 15 92
40. 3318052411080001 3318055203160001 2 Reva batrissia 3/12/2016 L 3.2 Suwaji/masrini 3318050402750004/3318055310820003 85225861839 Bodeh 5 1 14 90
41. 3318051711070002 3318055404160001 2 Wijayanti 4/14/2016 p 3.1 sukarmanto/yati 85225861839 Bodeh 5 1 10 81
42. 3318051611150001 3318055603160001 1 Marissa nahda 3/16/2016 p 3 solikin/sutini 3318021012900001/3318056007880004 85225861839 Bodeh 4 1 11 85
43. 3318052608090010 3318054905160002 2 Hilda revalina 5/9/2016 p 3 M.Suyuti/malina fitri arti 3318051503850010/3318054210890002 85225861839 Bodeh 4 1 11.5 86
44. 3318051005080011 3318052005160001 2 Azzam qolbi 5/20/2016 L 3.8 zainal arifin/nujumun 3318050110760002/3318056003800003 85225861839 Bodeh 4 1 14 90
45. 3318052505160001 3318051505160001 1 M.Zakky fatkhudin 5/15/2016 L 3.4 Maryanto/dwi kumaya 3318030310890001/3318054303970003 85225861839 Bodeh 1 1 13 89
46. 3318051012070205 3318057003160001 2 Nur syakila 3/30/2016 p 2.7 Suud samsul/kunarti 3318050507740009/3318056907810011 85225861839 Bodeh 3 1 13 88
47. 3318053011150001 3318050806160001 2 Ahmad riffat 6/8/2016 L 2.9 Kusnan/nur kholifah 3318051009800003/3318055012840003 85225861839 Bodeh 4 1 10.6 82
48. 3318050211150001 3318055106160001 2 Khanza alzena 6/11/2016 p 3.5 sukidi/sri lestari 3172042404791003/3172046404880016 85225861839 Bodeh 5 1 11 82
49. 3318051501090016 3318055808160002 2 Nadhifa miftahur 8/18/2016 p 3 abu mansyur/sri hidayati 3318051303800002/3318056708860002 81393092967 Bodeh 4 1 11 82
50. 3318051207058275 3318050409160001 2 M.Gibran salim 9/4/2016 L 3.3 Imron/sucihati 3318051206800001/3318056504840001 81393092967 Bodeh 1 1 11 83
51. 3318052312150003 3318052309160001 1 Arvino ghifari 9/23/2016 L 3.5 Gunarto/denis larasati 3318050412840001/3318055812950002 85225861839 Bodeh 3 1 10 79
52. 2 Carissa balqis 9/9/2016 p 3.3 M.Iqbal/nanda 85225861839 Bodeh 1 1 9.9 83
53. 3318051201130002 3318054611160003 2 Hafiza khaira 11/6/2016 p 3.8 edy susilo/novita lestari 3318051204800004/3318044611900002 81393092967 Bodeh 1 1 9.8 83
54. 1 Maulida azkiatul muna 12/25/2016 p 3 misbahul munir/nani 85225861839 Bodeh 3 1 9.5 82
55. 3318050212070370 3318050401170003 2 M.Reza ferdiyansyah 1/4/2017 L 3.5 Wagino/nur aizah 3318050205770002/3318056003800001 85225861839 Bodeh 5 1 11.1 82
56. 3318051107070001 3318056502170001 2 Al hilyatut tazkiyyah 2/25/2017 p 3.2 M.Sholeh/nihayatul 3318050406730003/3318056006820003 85225861839 Bodeh 2 1 12 83
57. 3318050305100003 3318054203170001 2 Fatin nadhiroh 3/2/2017 p 2.6 habiburrahman/umi z 3318050506800004/3318055006890001 85325240347 Bodeh 5 1 11.9 82
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71. 3318050711140004 3318051604140002 1 Ardanish narendra 4/17/2014 L 3.6 Arif rahman/elly irmawati3318051611800001/3404074405870004 85225861839 Bodeh 5 2 15 100
72. 1 Erdika bayu 4/6/2014 L 3.2 Sukardi/erna 85225861839 Bodeh 1 2 16 100
73. 3318052402140006 3318052104140002 1 M.Dzaky almair 4/21/2014 L 2.9 Mujahit/siti muawanah 3318051004870004/3522096901910004 85225861839 Bodeh 1 2 15.5 99
74. 1 Nayla ziyadatul 5/16/2014 p 3.4 kasturi/endang 85225861839 Bodeh 1 2 15.9 99
75. 2 M.Fawaiq somad 12/9/2014 L 4 Darnoto/wafirotul 85225861839 Bodeh 4 2 16.2 101
76. 3318052704110002 3318056603140001 1 Dwi lestari 3/26/2014 p 3 wahib/siti badriyah 3318050401780002/3318054605890002 85225861839 Bodeh 2 2 15 100
77. 3318051203180006 3318054306140003 1 Arina maulida 6/3/2014 p 3 Aan kunaefi/inayatul mu 3318041411850001/3318055507930003 87831380793 Bodeh 3 2 14.9 99
78. 2 M.Khoirun azam 7/7/2014 L 2.9 santoso/mustaidah 85225861839 Bodeh 4 2 14 99
79. 3318050710150004 3318050708140001 1 M.Roziqul anam 8/7/2014 L 3.4 Muhlisin/liftika anis 3318050205830009/3318054512940004 85225861839 Bodeh 5 2 13.5 98
80. 1 Zuvycha ramadhani 7/10/2014 p 2.5 ja'far/indah maya 85225861839 Bodeh 1 2 14.9 99
81. 3318053010080005 3318058703150002 2 Marwa safitri 3/27/2015 p 2.2 sapri/supriantiningsih 3318051303790002/3318055903800004 82324363584 Bodeh 4 2 14.8 98
82. 3318050704150003 3318056703150001 1 Latisha aquina 3/27/2015 p 3.5 umar yakub/ulin nikmatul331805270890004/3318055708940003 85215674925 Bodeh 3 2 14 100
83. 3318051508150001 3318051204150001 1 Ahmad rafli naim 2/15/2015 L 3.2 Abdul naim/nika larasati 3318051012870002/3318055201930002 81214757147 Bodeh 4 2 14.6 100
84. 3318042009140002 3318042106150001 1 M.Wasni al hakam 6/21/2015 L 3.7 samsul hadi/siti zulaikah 3318041010880007/3318055007920007 81275304675 Bodeh 3 2 14.2 99
85. 3318053107130002 3318054407150003 1 Hifdziah asila aziza 7/4/2015 p 3.6 maslikin/martiam 3318051801870002/3318054308940008 85293713365 Bodeh 3 2 14 98
86. 3318052903170002 3318052303170001 1 Yaqdhan rakha 7/23/2015 L 3.7 saryani/ismawati 3318051205760005/3318054605860003 85225753372 Bodeh 4 2 13.7 97
87. 3318052712080008 3318054307150002 2 Lumatunnuzulirrahma 7/3/2015 p 3.6 suwandi/titik handayani 3318051302750003/3318055101790002 81373164157 Bodeh 4 2 13 99
88. 3318050710150004 3318052809150001 1 Rafa kamalun niam 9/28/2015 L 3.5 Muhlisin/liftika anis 3318050205830009/3318054512940004 85225861839 Bodeh 5 2 11.9 88
89. 3318051607080048 3318055001160002 2 Akifa naila maulida 1/10/2016 p 3.5 Ismanto/zubaidah 3318051011760004/3318055402800004 81273461031 Bodeh 5 2 11.4 88
90. 3318053001160004 3318050103160001 1 Hizqil al fariz 3/1/2016 L 3.1 Prawoto/nur rohmi 3318052109840001/3318056806960004 85225861839 Bodeh 5 2 10.6 86
91. 3318051112150001 3318056206160001 1 Akleema zea shafana 6/22/2016 p 3 M.Sholeh/lia fatmawati 3318051609820001/3318055801970003 85225861839 Bodeh 1 2 11.4 85
92. 3318112704090003 3318115407160001 2 Rosiana fauzia 7/14/2016 p 2.8 M.Muniron/suparti 3318110404820004/3318116008890002 81225740664 Bodeh 4 2 9.2 77
93. 3318052912150001 3318053108160001 1 Hilmi al ghazali 8/31/2016 L 2.6 Heri suyikno/siti syifayat 3318051702900005/3318055609920005 85225861839 Bodeh 2 2 9.9 78
94. 3318052402140006 3318052608160002 2 M.Zazuli ishaq 8/26/2016 L 3.9 Mujahit/siti muawanah 3318051004870004/3522096901910004 85225861839 Bodeh 1 2 10 78
95. 3318050806160004 3318054311160001 2 Nur khayatun nisa 11/3/2016 p 2.7 M.Muhdlori/sri lestari 3318051205860004/3318046207930002 85225861839 Bodeh 5 2 8.5 80
96. 3318050902160003 3318056110160001 1 Anasya aqila 10/21/2016 p 3.2 M.Nur aziz/ivmaya novita3318050902900002/3318056309940002 82323721339 Bodeh 3 2 11.5 85
97. 3318051808070016 3318054604170001 3 Aisyah alfatunnisa 4/6/2017 p 2.8 suwardi/nikmatul jannah 3318050606770005/3318056410830001 85325338510 Bodeh 1 2 7.7 70
98. 3318050311150001 3318056603170001 1 Lidia nur atika 3/26/2017 p 3 M.Masnsur/siti noviatin 3318051007930001/3318056603170001 82313115078 Bodeh 5 2 9.7 75
99. 3318050403130009 3318053103170001 2 Arta nabil 3/31/2017 L 3.7 sholihul munir/paryatun 3318050908860006/3318056010880008 82325174725 Bodeh 3 2 9.8 80
100 3318051301140004 3318055104170002 2 Amira ainun 4/11/2017 p 3.2 Abu nawar/wasiatul khus 3318050510820008/3318056504870002 85225861839 Bodeh 2 2 9 78
101 3318051012070072 3318055406170001 2 wafda ainindya 6/14/2017 p 3.4 parso/rohmatul ummah 3318051007750004/3318056508850001 85225861839 Bodeh 3 1 10.5 75
102 3318051512060010 3318050706160004 2 M.Nafis 6/7/2017 L 3.4 Zaini/riha rohim 3318050206760004/3318055010820006 85225151373 Bodeh 3 2 11.7 74
103 3318051005130001 3318052504170001 2 Alvin naransyah 4/25/2017 L 3.2 Iwan widianto/novia 3318080604890001/3318055511910001 85225861839 Bodeh 1 1 12 75
104 3318051502100007 3318054706170001 2 Bella luna 6/7/2017 p 3.3 agus syukron/ninik isyaro 3318051508840003/3318056110850001 85225861839 Bodeh 3 1 10 75
105 3 Dimas saputra 6/13/2017 L 2.8 sukarmanto/yati 85225861839 Bodeh 5 1 9 75
106 3318050111160001 3318050707170001 1 Miftahurrohman 7/7/2017 L 2.3 Sucipto/libasuttaqwa 3318051003750002/3318026205930003 85225861839 Bodeh 2 1 9 75
107 33180509100004 3318052406170001 2 Gibran ahmad 6/24/2017 L 3.6 M.Luthfi/suyanti 3318051304860002/3318054403910001 85225861839 Bodeh 3 1 10.6 76
108 3318050103110001 3318052906170001 2 Abizar raka 6/29/2017 L 3.1 Abdul kharis/sri rejeki 3318051612820002/3318056404870003 82221460839 Bodeh 1 1 9.6 77
109 3318051903140002 3318055007170001 2 Adila nisa ardani 7/10/2017 P 3.2 Ali arifin/emi mardiyantin3318040407780002/3318054602900006 85225861839 Bodeh 5 1 9.5 76
110 3318052411070032 3318057107140001 2 irdina fitri hafizah 7/31/2014 p 3 M.Abdul halim/puji astuti3318052808780002/3318056002820008 85225861839 Bodeh 2 1 16.4 102
111 3318041301140008 3318042408170001 2 nadira indrayana 8/24/2017 p 3.2 sudi/siti sholihah 3318041908780004/3318055907880001 85225861839 Bodeh 3 1 8.4 73
112 3318052408150004 3318055409170002 2 hana destia ningrum 9/14/2017 p 2.7 abdullah malik/maftukah 3318051207910001/3318055005930001 85225861839 Bodeh 1 1 8.7 74
113 9171031305130006 9171035311170001 2 fatmawati iriana senja 11/13/2017 p 3.5 jasmani/susana wijayanti 3318052701850003/3318054111900003 85225861839 Bodeh 3 1 7.8 71
114 1 alifia farzana navisha 12/18/2017 p 3.3 syafaat/wantini 85225861839 Bodeh 3 1 7 69
115 3318052708070012 3318056210160001 2 putri oktovianingtiyas 10/22/2016 p 2.8 suparjo rostam/yatmi 3318052211700001/33180547047550001 85225861839 Bodeh 3 1 8 74
116 3318050709160003 3318051202180001 1 ahmad egy pratama 2/12/2018 L 3.2 Abdul sutomo/nur ayuni 3318051901910004/3318056906970002 85225861839 Bodeh 1 1 11.3 69
117 3318052004130003 3318050703180001 2 abdul muhyi 3/7/2018 L 2.7 Anisatul/m.syamsuri 3318052609770003/3318054608890003 85225861839 Bodeh 1 1 7.1 69
118 3318052812170002 3318056003180001 2 aulia az-zahra 3/20/2018 p 3.1 masrikin/gimah 3318010605830006/3318056302740001 85225861839 Bodeh 2 1 7.6 64
119 3318052701180001 3318050304180001 1 M.naufal abqory 4/3/2018 L 3 Ahmad sudadik/siti nur 3318051008860006/3316066504930003 85225861839 Bodeh 2 1 7.8 65
120 3318051505830004 3318057105180003 2 naura khadijah 5/31/2018 p 2.6 edy susanto/dwi sulistya 3318051505830004/3318054503880015 85225861839 Bodeh 4 1 6 59
121 3318051302160001 3318057105180001 2 adiba mikaila r 5/31/2018 p 2.9 rochmad/hidayatun nasii 3318052706820006/3318055603870003 85225861839 Bodeh 5 1 6 58
122 3318052211170001 3318050704180001 1 athafariz sukma dani 4/7/2018 L 3.5 dwi susilo/puji agustina 3318052102900001/3318054701930002 85225861839 Bodeh 3 1 9 59
123 3318050912070085 3318052806180001 2 ahmad rizky prasetyo 6/28/2018 L 3 Sutio budi harjo/rufiah 3318050207780003/3318054803840001 85225861839 Bodeh 1 1 5.5 56
124 2 ahmad joyo wiyanto 7/24/2018 L 3.1 suparwiyanto/kholifatul 85225861839 Bodeh 3 1 5.7 54
125 3318050812170002 3318050906430001 2 elji fathir al ahza aziz 10/7/2017 L 3 syukron aziz/septiani 3318052005830001/3323035509840003 85225861839 Bodeh 2 1 8.8 73
126 3318052706160001 3318054909160001 1 luthifa nur mustaqim 9/9/2016 p 3 mustakim/ana sulistiawat3318051208860003/3314085001890002 85225861839 Bodeh 3 1 11 83
127 3318052911110009 3318051208170001 2 nabil abi aqsa 8/12/2017 L 3 suwaji/suraya 3318052507850002/3318054310900004 85225861839 Bodeh 5 2 10 74
128 3318050403130010 3318055012170001 2 khaira navisha aseeqa 12/10/2017 p 3 moh rois/heni ratnawati 3318052603860001/3318106410910004 85225861839 Bodeh 3 2 10.2 74
129 3318051006100003 3318050712170001 2 abdul karim 12/7/2017 L 3 Abdul manaf/cholifatul 3318050504870002/3318056308910003 85225861839 Bodeh 2 2 9.4 72
130 3318052908080003 3318053012170001 3 zayyn al maliqy 12/30/2017 L 2.2 parwi/siti juhariyah 3318051505790002/3318056909890002 85225861839 Bodeh 2 2 7.9 72
131 3318050104090009 3318050601180001 2 M.alfarezel rasya azril 1/6/2018 L 2.9 wagiman/sariyem 3318050507820004/3318054505850016 82225861839 Bodeh 4 2 8.5 73
132 2 gani alayubi 4/26/2018 L 3 gani hanurawanto/nurul 85225861839 Bodeh 5 2 8.7 66
133 3318051611110002 3318051005180001 2 hafsya nafis farzana 5/10/2018 L 3 muslikun/titik sri rahayu 3318051003890002/3318054903920001 85225861839 Bodeh 1 2 8 65
134 3318050711140004 3318050410170003 2 ardeka virendra 10/4/2017 L 3.4 arief rahman/elly irmawat3318051611800001/3404074405870004 85225861839 Bodeh 5 2 10 75
135 3318050212070309 3318050903160002 2 zavier giatsya labrain 3/9/2016 L 3 sugiyanto/nurul habibah 3318052403830001/3318056707860001 85225861839 Bodeh 5 1 11.2 90
136 3318051210150003 3318052204160002 1 hidayat khairul huda 4/22/2016 L 3 sukarmin/atik setyorini 3318050302840001/3318056703920002 85225861839 Bodeh 1 1 11 89
 Cara Ukur ASI IMD Vitamin A Vitamin A
1=Telentang Eksklusif 1=YA, Februari Agustus
1=YA, 1=YA, 1=YA,
2=Berdiri 2=Tidak 2=Tidak 2=Tidak 2=Tidak

2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
 1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 2 1
1 1 1 2 1
2 1 1 1 1
1 1 1 2 1
1 1 1 2 2
1 1 1 2 2
1 1 1 2 2
1 1 1 2 2
1 1 1 2 2
1 1 1 2 2
1 1 1 2 2
1 1 1 2 2
1 1 1 2 1
2 1 1 1 1
1 1 1 1 1
1 1 1 2 1
1 1 1 2 1
1 1 1 2 1
1 1 1 2 1
1 1 1 2 2
1 1 1 2 2
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
 DATA SASARAN BALITA FORMAT Eppgbm

Provinsi :
Kabupaten/Kota :
Puskesmas :
Desa : :

JENIS Berat Cara Ukur ASI

No No KK NIK (Nomor Induk ANAK NAMA ANAK TANGGAL KELAMI Badan Nama Orang tua NIK Orang Tua No Tlp/HP Orang ALAMAT RT RW Tanggal BB TB Eksklusif
Kependudukan Anak ) KE LAHIR Lahir Tua pengukuran (Kg) (Cm) 1=Telentang 1=YA,
N (Kg) 2=Berdiri 2=Tidak

1. 3318051302080008 3318050207160001 2 M.HERIS AL RASID 2-Jul-2016 L 3.8 NYAMIN 3318050903750000 085385829774 JETAK 1 1 11 SEPTM 201 13.2 110 2 1

2. 3318051912120003 3318052708150001 1 AL MUZAQI 4-Aug-2015 L 2.9 M.NURSAID 3318052406900002 085385829774 JETAK 1 1 11 SEPTM 201 11.0 108 2 1

3. 3318051807140007 331805620315001 1 KAILLA NADLILARROHLI 22-Mar-2015 P 3.1 M. NYANTONO 3318050103870001 085385829774 JETAK 1 1 11 SEPTM 201 10.6 90 2 1

4. 3318051012150004 3318054906140001 1 NAJWA NABILA SHOFA 6-Sep-2014 P 3.4 MUSTOFA 331821160776003 085385829774 JETAK 1 1 11 SEPTM 201 14.2 112 2 1

5. 3318050308110004 3318050308140001 1 DIRGA BINTANG P 8-Mar-2014 L 2.9 M.SUYUDI 3318052907860001 085385803785 JETAK 1 1 11 SEPTM 201 19 99 2 1

6. 3318053008070028 3318056411160001 2 HUMAERA ZAHRA ANJANI 24-Nov-2016 P 3.2 SUJAI 3318051702760001 085385829774 JETAK 1 1 11 SEPTM 201 9.1 87 2 1

7. 33180501010002 3318051804180001 2 M.WILDAN RISKY 18-Apr-2018 L 3.1 M. LAHURI 3318052802830002 085385829774 JETAK 1 1 11 SEPTM 201 7.9 63 1 1

8. 3318050508120005 3318054511140001 1 SISKA AULIYA .R 5-Nov-2014 P 2.8 TITIS SAIFUR .R 3318040101860010 085385829774 JETAK 2 1 11 SEPTM 201 12.2 95 2 1
9. 3318051410080018 3318055204170002 2 MUTIARA APRILIATUS S 12-Apr-2017 P 2.6 HERU PURNOMO 3318050707720015 085385829774 JETAK 2 1 11 SEPTM 201 8.3 70 2 1

10. 3318052210070016 3318050607180001 1 FAVIAN ARIFAN SYARIF 6-Jul-2018 L 2.8 ARIF KUSNANDAR 3318052911930001 0853858297774 JETAK 2 1 11 SEPTM 201 6.0 57 1 1

11. 3318052411150006 3318052205160002 1 AHMAD DAFA.P 22-05-2016 L 1.8 JOKO SULISTYO 3318055108940005 085385829774 JETAK 2 1 11 SEPTM 201 11.6 91 2 1
12. 3318051010090011 3318054303170002 2 GITHA SHAKILA FINA 3-Mar-2017 P 3.8 SAROJI 3318051201770002 085385829774 JETAK 2 1 11 SEPTM 201 13.3 81 2 1

13. 331805191207004 3318050809130001 2 ELANG ARYA E 8-Sep-2013 L 3.3 SUNOTO 3318051101820007 085385829774 JETAK 2 1 11 SEPTM 201 14.0 99 2 1
14. 3318052405130000 3318052005130003 1 HENDRI EKO .P 20-Sep-2013 L 2.9 M.SUNTONO 33158052906860002 085385829774 JETAK 2 1 11 SEPTM 201 20 109 2 1
15. 331805240613004 3318052907130002 1 YUSUF ANDRIAN .P 29-Sep-2013 L 3.1 DRI HARTANTO 3318052703910007 085385829774 JETAK 2 1 11 SEPTM 201 18 107 2 1
16. 3318050602120006 3318056911150002 2 ANINDYA NAIZILLA .S 28-Nov-2015 P 2.9 SUHARMANTO 3318053007840010 085385829774 JETAK 3 1 11 SEPTM 201 9.4 83 2 1

17. 3318051207058591 3318052911130003 2 DWI SUKMA N 29-Nov-2013 L 3.2 SUNARTO 3318052403740001 085385829774 JETAK 3 1 11 SEPTM 201 19 108 2 1
18. 3318051207058607 3318054509130001 2 RARA CANTIKA ARDILA 5-Sep-2013 P 3.4 AH.SHOLEKHAN 3318050304820002 085385829774 JETAK 3 1 11 SEPTM 201 14 96 2 1
19. 3318051212070343 3318051802130001 3 M. RIKI FEBRIAN 18-Aug-2013 L 3.3 NYONO 331801306670002 085385829774 JETAK 3 1 11 SEPTM 201 16.6 113 2 1

20. 3318051804150001 3318056212140001 1 ASYFA ZAHROYUL .A 22-Dec-2014 P 2.8 SAMIYONO 3318110109870003 085385829774 JETAK 3 1 11 SEPTM 201 13.2 93 2 1
21. 331805103140002 3318056807140002 1 ERISKA ADHELIA .F 28-Jul-2014 P 2.9 AHMAD SOLEH 3318051609850003 085385829774 JETAK 3 1 11 SEPTM 201 12.5 94 2 1
22. 3318052711100001 3318050608130001 2 IZAZ AKBAR .R 6-Aug-2013 L 3.5 SUTONO 33318050510780002 085385829774 JETAK 3 1 11 SEPTM 201 13.4 103 2 1
23. 3318051007140001 3318051607140001 1 M.AKHTAR RYAN .N 7-Jun-2014 L 2.8 LAYLI DIMYATI 3319062007870008 085385829774 JETAK 3 1 11 SEPTM 201 16.0 100 2 1
24. 3318051212070343 3318051711160001 4 SALSA AULIA P 7-Nov-2016 P 2.7 NYONO 331801306670002 085385829774 JETAK 3 1 11 SEPTM 201 7.5 67 2 1
25. 3318052704100004 3318056511100003 2 PUTRI MARATUS .S 11/22/2016 P 3.1 SUNTI 3318051804860001 085385829774 JETAK 3 1 11 SEPTM 20 7.6 72 2 1
26. 3318052911110013 3318050508170002 2 M.KUSUMAYUDA .A 8/5/2017 L 3.3 LASGIYANTO 3318080908890002 085385829774 JETAK 3 1 11 SEPTM 20 9.7 73 2 1
27. 3318052605110010 3318052607170002 2 SHAQILA ANGGI .AL M 7/26/2017 P 3.5 MOCH.HAFID .H 3318051111840003 085385829774 JETAK 3 1 11 SEPTM 20 8.9 62 2 1
28. 331801308070004 3318051307170002 3 SYAUQILMUHIBBI .A 7/13/2017 L 3.0 SUNARDI 085385829774 JETAK 3 1 11 SEPTM 20 9.3 67 2 1
29. 3318050501090018 3318057118160001 2 ALFINA NURUL .S 8/31/2016 P 3.4 ROCHMAD 3318052309820004 085385829774 JETAK 4 1 11 SEPTM 20 10.2 78 2 1
30. 3318050810070013 3318052001160001 4 M.ALI MA'SUM 1/20/2016 L 3.3 SANUSI 3318053005760001 085385829774 JETAK 4 1 11 SEPTM 20 10.6 78 2 1
31. 3318050901080004 3318055204160001 2 ELLA AFIDA SARI 4/12/2016 P 2.9 SUDIYONO 3318052809760001 085385829774 JETAK 4 1 11 SEPTM 20 10.7 86 2 1
32. 3318051112070041 3318052311140001 2 SYALHUDDIN ABDUL.A 11/25/2014 L 3.2 SUGIYANTO 3318050807760004 085385829774 JETAK 4 1 11 SEPTM 20 12.0 93 2 1
33. 3318051112070060 3318052006130002 2 M.IKHSAN AL FATIH 6/20/2013 L 3.4 SUDARSONO 3318051405740006 085385829774 JETAK 4 1 11 SEPTM 20 14.0 99 2 1
34. 3318050111130002 3318050605160001 1 RAYHAN SAKHA .A 5/6/2016 L 2.8 M. NURHAMID 3318051906890003 085385829774 JETAK 4 1 11 SEPTM 20 13.2 100 2 1
35. 3318051406130003 3318054507130001 1 NAILA KHOLILATUL .U 8/5/2013 P 3.0 M, ABDUL AZIZ 3318051801890001 085385829774 JETAK 4 1 11 SEPTM 2014.0 99 2 1
36. 3318051406130003 3318051604160001 2 M.AZRIL ALFARIZI 4/16/2016 L 3.4 M.ABDUL AZIZ 3318051801890001 085385829774 JETAK 4 1 11 SEPTM 20 11.7 96 2 1
37. 3318051406130003 3318050210180001 3 M.DANIEL ATHA .R 10/2/2018 L 3.4 M.ABDUL AZIZ 3318051801890001 085385829774 JETAK 4 1 11 SEPTM 20 3.4 50 1 1
38. 3318052302310002 3318054108130004 1 ARIANA 8/1/2013 P 1.8 ANISA INDAH S 3318055606920002 085385829774 JETAK 4 1 11 SEPTM 20 16.0 109 2 1
39. 3318052302310002 3318054108130005 1 ARIANI 8/1/2013 P 1.9 ANISA INDAH S 3318055606920002 085385829774 JETAK 4 1 11 SEPTM 20 16.5 110 2 1
40. 3318052809130001 331805081240001 1 RASYA RADITYA .P 12/8/2014 L 2.7 TARMIN 3318052002900001 08585829774 JETAK 4 1 11 SEPTM 20 12.0 79 2 1
41. 3318052812120004 3318050508130001 1 AJUNDA FEBRIAN N 8/5/2013 L 2.9 JUMAEDI 3318051303850003 085385829774 JETAK 4 1 11 SEPTM 20 15.5 109 2 1
42. 3318051810160000 3318052005170002 1 ARKA RIFKY SETIAWAN 5/20/2017 L 2.5 TEGUH TANU.S 331809797930002 085385829774 JETAK 4 1 11 SEPTM 20 10.5 86 2 1
43. 3318161901110005 3318051707170002 2 M. ABDUL MALIK 7/3/2017 L 2.8 SUMARYONO 331861901890005 085385829774 JETAK 4 1 11 SEPTM 20 9.8 84 2 1
44. 3318050508120001 3318056808180001 2 SALSA AZZAHIRA .P 8/28/2018 P 3.4 ABDUL AIFI 3318052008820003 085385829774 JETAK 4 1 11 SEPTM 20 4.0 51 1 1
45. 3318050609080003 3318053008130001 2 AHMAD SYAFIQ .D 8/29/2013 L 3.2 SUPARYO 3318051603740001 085385829774 JETAK 5 1 11 SEPTM 20 17.5 110 2 1
46. 3318050910120002 3318051206130001 1 M.RIF'AN SYAIFUL .M 12/12/2013 L 2.9 ABDUL AZIZ 331851408900001 085385829774 JETAK 5 1 11 SEPTM 20 16.5 111 2 1
47. 3318053103150003 3318045809140002 2 AQILA SYAFIYAHTUZ.Z 9/18/2014 P 3.1 ROMLI 331804060820003 085385829774 JETAK 5 1 11 SEPTM 20 14.2 97 2 1
48. 3318050901170002 3318055312160000 1 CHAYRA SHINJU .E .H 12/13/2016 P 3.0 EKO HARMONO 3318051011870008 085385829774 JETAK 5 1 11 SEPTM 20 8.2 78 2 1
49. 3318051112070012 3318051405170001 2 AHMAD BAGAS M 5/14/2017 L 3.8 SUSANTO 3318052003760002 085385829774 JETAK 5 1 11 SEPTM 20 10.2 83 2 1
50. 331805101160012 3318051506170001 1 M. GIBRAN AINUN N 6/15/2017 L 4.2 IMAM NAIM 9171032412890000 085385829774 JETAK 5 1 11 SEPTM 20 9.7 74 2 1
51. 331805110108003 3318050603160001 2 MUNIB ARKANA .B 6/3/2016 L 3.3 MURAWI 3318051200700004 085385829774 JETAK 3 1 11 SEPTM 20 14 89 2 1
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
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106
107
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IMD Vitamin A Vitamin A
1=YA, Februari Agustus
1=YA, 1=YA,
2=Tidak 2=Tidak 2=Tidak

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 1 1
1 1 1
1 2 2
2 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 DATA SASARAN BALITA FORMAT Eppgbm

Provinsi : JAWA TENGAH

Kabupaten/Kota : PATI
Puskesmas : PUCAKWANGI 1
Desa : KEPOHKENCONO

JENIS Berat Cara Ukur ASI

No No KK NIK (Nomor Induk ANAK NAMA ANAK TANGGAL KELAMI Badan Nama Orang tua NIK Orang Tua No Tlp/HP Orang ALAMAT RT RW Tanggal BB TB Eksklusif
Kependudukan Anak ) KE LAHIR Lahir Tua pengukuran (Kg) (Cm) 1=Telentang 1=YA,
N (Kg) 2=Berdiri 2=Tidak

1 3318050102080001 3318056712130002 2 HANUM 27/12/2013 P 3000 SUPAAT 3318051807850002 MOJOAGUNG 2 1 22-10-18 23 - - YA

2 3318051406110001 3318050606140001 1 M. DIMAS P 6/6/2014 L 3100 MULYADI 3318051708800002 MOJOAGUNG 2 1 22-10-18 10 - - YA

3 3318050808180002 3318054710140001 1 DANIS O 7/10/2014 P 2900 NURINDRA P. 3318112708910001 MOJOAGUNG 3 1 22-10-18 10 - - YA

4 3318052611070043 3318051202150001 2 RAKA DM 3/2/2016 L 3400 RAKITO 3318051611780002 MOJOAGUNG 3 1 22-10-18 17 - - YA

5 3318052611070366 3318056109150001 2 SEPTIANA 21/9/2015 P 3400 SUPRIYADI 3318050805770001 MOJOAGUNG 1 1 22-10-18 8 - - YA

6 3318051612140002 3318051607150001 1 DANADYAKSA 16/7/2015 L 3500 ARIYADI 3373031503900001 MOJOAGUNG 1 1 22-10-18 9 - - YA

7 3318052011080008 3318058009150001 2 HIDAYATUS 20/9/2015 P 3300 MARWOTO 3318051603750003 MOJOAGUNG 3 1 22-10-18 10,5 - - YA

8 3318051707080016 3318050810150001 2 AHSAFATUR 8/10/2015 L 3700 SUDARLAN 3318050506770010 MOJOAGUNG 3 1 22-10-18 10,4 - - YA

9 3318051508080006 3318052102160001 2 FAQIH 21/2/2016 L 3000 TOHAR 3318051409770002 MOJOAGUNG 1 1 22-10-18 9 - - YA

10 3318052611070139 3318055903160001 2 MARISSA 19/3/2016 P 2700 YASIR 331805250700002 MOJOAGUNG 1 1 22-10-18 10 - - YA

11 3318050604170001 3318054904170001 1 VINO APRILIAN W 9/4/2017 L 3200 IRWANTO MOJOAGUNG 3 1 22-10-18 - - YA

12 3318050604110002 3318054306170002 2 AISYAH AYUDYA I 3/6/2017 P 3200 SUKAWI 331805221810004 MOJOAGUNG 1 1 22-10-18 - - YA

13 3318052007090017 3318051407170001 3 FALDY L F 14/7/2017 L 3400 JATMIKO 3318050912730002 MOJOAGUNG 3 1 22-10-18 - - YA

14 3318051206170001 3318051009170002 1 HILKIA E P 10/9/2017 L 3000 ANDRE 3327091206910005 MOJOAGUNG 1 1 22-10-18 - - YA

15 3318052611070210 3318056507160001 2 ADELA F 25/07/2016 P 2900 KARYOSO 3318051006700001 MOJOAGUNG 1 1 22-10-18 YA

16 3318051610170004 3318054709170001 1 AQILA A.M. 07/09/2017 P 3000 MUH. ISHYA M 3318050511990003 MOJOAGUNG 1 1 22-10-18 YA

17 ARSYA R.M. MOJOAGUNG 22-10-18

18 3318050907090003 3318052703180001 2 ANANDA REZA 27-03-2018 L 3800 AHMAD SHOLEH 3318052703180001 MOJOAGUNG 1 1 22-10-18 YA

19 3318051902110001 3318051805180001 2 MUSTAWA 18-05-2018 L 3000 SUSILO WAHYUDI 3318051610830002 MOJOAGUNG 22-10-18 YA

20 3318052108130002 3318055711130001 1 DAHLIA S 17/11/2013 P 3300 SISWANTO 3318052009840003 MOJOAGUNG 1 2 20-10-18 11,6 87 2 YA

21 3318050108130004 3318056502140001 1 SILVIA NINDYA S 25/2/2014 P 3600 SUHARNO 3318052209860002 MOJOAGUNG 4 1 20-10-18 14,4 90 2 YA

22 3318051209130010 3318052704140001 1 REYHAN 27/4/2014 L 3100 ALI M. 3318052707890005 MOJOAGUNG 1 2 20-10-18 14,9 95 2 YA

23 3318053004140003 3318055604140002 1 KHALISA N A 16/4/2014 P 3100 SUYANTO 331815070880001 MOJOAGUNG 2 2 20-10-18 10,2 83 2 YA

24 3318052912120004 3318052806140001 1 RAFIF 27/6/2014 L 2600 SAWIN 3318051108680003 MOJOAGUNG 4 2 20-10-18 10,5 84 2 YA

25 3318050308070012 3318056403160001 2 RIZAL 2/10/2014 L 3300 HARYANTO 3318052307800001 MOJOAGUNG 3 2 20-10-18 - - - YA

26 3318051309130005 3318051710140002 1 HANIF A 17/10/2014 L 3300 SUKAHAR 3318051811820003 MOJOAGUNG 4 2 20-10-18 10,9 82 2 YA

27 3318050809140001 3318052502150001 1 LABIB N 25/2/2015 L 2800 FAJRI 3318060804910001 MOJOAGUNG 5 2 20-10-18 8,1 73 2 YA

28 3318052603140002 3318054801150001 1 ZANUAVERA L 8/1/2015 P 3200 DARMONO 3318050805920003 MOJOAGUNG 3 2 20-10-18 12,6 86 2 YA

29 3318052006080017 3318056904150001 2 AINI 29/4/2015 P 2900 KASMANTO 3318052201810003 MOJOAGUNG 1 2 20-10-18 10,2 74 2 YA
30 3318050810070017 3318053008150001 2 RAFINDRA 30/8/2015 L 2900 WARDOYO 3318053007750001 MOJOAGUNG 3 2 20-10-18 10,2 78 2 YA

31 SAKILA K 24/3/2016 P 3300 HARYANTO MOJOAGUNG 3 2 20-10-18 - - - YA

32 3318050309150003 3318054704160001 2 KHANZA LY 7/4/2016 P 3200 BUDIARTO 3524141405840001 MOJOAGUNG 5 2 20-10-18 11,4 71 2 YA

33 3318052603140003 3318052104160002 1 M. FARREL 21/4/2016 L 3300 SUPRIYANTO 3318050306860006 MOJOAGUNG 5 2 20-10-18 10,4 71 1 YA

34 3318052405110004 3318054905160001 2 REVALINA OW 9/5/2016 P 3300 WAGIMAN 3318052702820004 MOJOAGUNG 5 2 20-10-18 10 67 1 YA

35 3318051902160004 3318050308160002 1 M. ARIEL A. 3/8/2016 L 3400 YENI K. 3318050806920008 MOJOAGUNG 5 2 20-10-18 8,6 84 1 YA

36 3318051202090002 3318052211160001 2 DAMAR BAYU A. 22/11/2016 L 3000 SUBUR 3318050610870002 MOJOAGUNG 5 2 20-10-18 - - - YA

37 3318052611070322 3318056112160002 2 KAYLA RIFA 21/12/2016 P 3300 SUKARDI 3318050604760001 MOJOAGUNG 2 2 20-10-18 5,5 50 1 YA

38 3318051106110002 3318054405170001 2 VIO LINGLING V 4/5/2017 P 3600 YUSTIFA 3318050810800006 MOJOAGUNG 3 2 20-10-18 1 YA

39 3318052611070338 3318054505170001 2 VIANA DEWI L 5/5/2017 P 3100 SUGIANTO 3318050405790008 MOJOAGUNG 3 2 20-10-18 1 YA

40 3318050601110015 3318051406170001 2 M. NAUFAL N A 13/6/2017 P 3400 DARJI 3318051302800014 MOJOAGUNG 1 2 20-10-18 1 YA

41 3318053007170004 3318055107170001 1 KHOLIFATUN 11-07-2017 P 3000 MUH. SHOBIRIN 331805261940004 MOJOAGUNG 2 2 20-10-18 1 YA

42 3318050908070012 3318051107170001 2 M. AZKA R. 11-07-2018 L 2900 JASMIN 3318050311790001 MOJOAGUNG 1 2 20-10-18 1 YA

43 3318051405080007 3318056609170001 2 ALISA 26-09-2017 P 3000 KASAN MUSAWA 3318050101790002 MOJOAGUNG 2 2 20-10-18 1 YA

44 3318050402080005 3318052512170001 2 M. ARKA A. 25-12-2017 L 3000 AGUS SUPRIYANTO 3318051808810004 MOJOAGUNG 1 2 20-10-18 1 YA

45 3318052809160009 3318055212170001 1 NADIRA 12-12-2017 P 2900 SANTOSO 331805154890004 MOJOAGUNG 4 2 20-10-18 1 YA

46 3318052603140003 3318055001180002 2 SAQUEENA 10-1-2018 P 3000 SUPRIYANTO 3318050306860006 MOJOAGUNG 5 2 20-10-18 10,4 71 1 YA

47 3318050909170002 3318055403180001 1 ESHA 14-03-2018 P 2900 AGUS WIJAYANTI 3318051508890002 MOJOAGUNG 1 2 20-10-18 1 YA

48 3318050705070001 3318056604180001 2 SHILVIA E. 26-04-2018 P 3000 SUPARNO 331805810790002 MOJOAGUNG 2 2 20-10-18 1 YA

49 3318051309130005 3318050207180004 2 HISYAM 02-07-2018 L 2900 SUKAHAR 3318051811820003 MOJOAGUNG 4 2 20-10-18 1 YA

50 3316140408170002 3316140508170002 1 HAFIZ 05-0802017 L 3000 EKO SUTRISNO 3318050907910006 MOJOAGUNG 4 2 20-10-18 1 YA

51 3318050502130003 3318052207180002 2 M. FAHRIZA 22-7-2018 L 3100 SUYADI 3318051005770004 MOJOAGUNG 4 2 20-10-18 1 YA

52 3318052809160010 3318051109180001 1 IMAM DANIYAH 11-9-2018 L 2800 EKUWAN 3318054210930001 MOJOAGUNG 2 2 20-10-18 1 YA

53 3315113010130002 3315111811130001 1 MAHER LA 18/11/2013 L 3000 SISWOYO 3318052306860002 MOJOAGUNG 2 3 19-10-18 15 94 1 YA

54 3318051012140001 3318051810140003 1 M. SOLAFUL NAIM 18/10/2014 L 3200 AH. KARSONO 3318050702880006 MOJOAGUNG 1 3 19-10-18 12 86 1 YA

55 3318052611070235 3318054302150002 2 FAHROTUL MIRZA 3/2/2015 P 3600 MAD.SOLEH 3318050605750003 MOJOAGUNG 1 3 19-10-18 11 85 1 YA

56 3318052311110003 3318050409150001 2 FAJAR 4/9/2015 L 4300 TARWADI 331805121860005 MOJOAGUNG 2 3 19-10-18 10,2 76 1 YA

57 3318051707090003 3318055803160002 2 ADISTIA M. 18/3/2016 P 2800 NURMIYADI 3318053003810001 MOJOAGUNG 1 3 19-10-18 7,5 71 1 YA

58 3318050609100006 3318050508140001 2 BAHRUL 5-8-2014 L 2900 SOKIP 3318051108740003 MOJOAGUNG 1 3 19-10-18 1 YA

59 3318050609100006 3318053110170002 3 MUHTARUL 31-10-2017 L 3000 SOKIP 3318051108740003 MOJOAGUNG 1 3 19-10-18 1 YA

60 3318052009160002 3318051811170002 1 A. FAIZ 18-11-2017 L 2700 MUGIYONO 3318052107790002 MOJOAGUNG 2 2 19-10-18 1 YA

61 3318052007180001 3318054707180002 1 SHAHLA K.N. 7-7-2018 P 2800 AHMAD SUHUDI 331805110880003 MOJOAGUNG 1 1 19-10-18 1 YA

62 3318050410170004 3318052408180001 1 M.ILHAM S. 24-8-2018 L 2700 M.ALIZUHDI 3318052408180001 MOJOAGUNG 1 3 19-10-18 1 YA

63 3318051502120002 3318054303160001 2 FERIESKA 03-03-2016 P 3000 MOH. SHOLKAN 3318050707880003 MOJOAGUNG 2 3 19-10-18 1 YA

64 3318050604150004 3318052811130001 2 ANWAR 28/11/2013 L 2900 SUPARMI 331805430770001 MOJOAGUNG 3 4 19-10-18 14 94 1 YA

65 3318050801080009 3318051903140003 2 DIMAS NH 19/3/2014 L 2600 PURNOMO 3318050409750003 MOJOAGUNG 2 4 19-10-18 13,5 91 1 YA

66 3318050810070005 3318056310140001 2 OKTAVIA N 24/10/2014 P 3500 SUNTONO 3318050106820001 MOJOAGUNG 3 4 19-10-18 11,5 86 1 YA

67 3318050412130001 3318054901150002 1 ALTHAFUNISA 9/1/2015 P 2900 MARYANTO 3318083004880021 MOJOAGUNG 3 4 19-10-18 11 86 1 YA

68 3318052912120001 3318055201150001 2 AIDA DWS 1/12/2015 P 2200 SARKAM 3318051203740013 MOJOAGUNG 1 4 19-10-18 11 87 1 YA

69 3318051907090010 3318054604150002 1 NILNA R 04/6/2015 P 3100 PARIMAN 3318050704740003 MOJOAGUNG 2 4 19-10-18 11,5 74 1 YA

70 3318051408130003 3318055708150001 1 RAFITHA 07/2/2015 P 3300 SISWANTO 3318052805850003 MOJOAGUNG 1 4 19-10-18 10,2 73 1 YA

71 3318050407070004 3318054207150001 2 KHAISA 07/2/2015 P 2900 PARIYO 3318051801670003 MOJOAGUNG 1 4 19-10-18 11,7 75 1 YA

72 3318041606150003 3318042207150001 1 BAGAS A 22/7/2015 L 2650 SAHID 3318040508870004 MOJOAGUNG 2 4 19-10-18 11 78 1 YA

73 3318050902160005 3318053001160003 1 RIDWAN A 19/1/2016 L 3000 SUBIYANTO 3316140310750004 MOJOAGUNG 3 4 19-10-18 8,5 71 1 YA

74 3318051108090009 3318050304170001 2 EGA HERLINO 3/4/2017 L 3600 SUHARGO 3318052609810004 MOJOAGUNG 2 4 19-10-18 1 YA

75 3318051604080004 3318056907170001 1 JHUWILONA AN 29/7/2017 P 3300 SARJU 3318051108810001 MOJOAGUNG 2 4 19-10-18 1 YA

76 3318052712100001 3318056908170002 2 RAISA 28/8/2017 P 3300 SUWIGNYO 3318051806820003 MOJOAGUNG 3 4 19-10-18 1 YA

77 3318050205120007 3318052001180001 2 FAJAR 1/20/2018 L 3000 DWI ISMINDAR 3318050302830002 MOJOAGUNG 3 4 19-10-18 1 YA

78 3318051001110022 3318055903180001 2 DWINDA 3/19/2018 P 3200 SUPRAYIKNO 3318051207820005 MOJOAGUNG 2 4 19-10-18 1 YA

79 3318051202140002 3318050205180001 2 M. DIKA 5/2/2018 L 3300 WAKIJAN 3318050504850011 MOJOAGUNG 2 4 19-10-18 1 YA

80 3318050811170002 3318051906180001 1 IVAN A 6/19/2018 L 3200 JOKO SUPONO 3318052305840003 MOJOAGUNG 1 4 19-10-18 1 YA

81 3318051209170004 3318050305180001 1 SHAHUM 3-5-2018 L 3300 SUWANTO 3318050903900002 MOJOAGUNG 2 4 19-10-18 1 YA

IMD Vitamin A Vitamin A
1=YA, Februari Agustus
1=YA, 1=YA,
2=Tidak 2=Tidak 2=Tidak

1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
2 YA YA
2 YA YA
1 YA YA
2 YA YA
2 YA YA
1 YA YA
2 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA

1 YA YA

1 YA YA

1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
2 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
2 YA YA
2 YA YA
1 YA YA
1 YA YA
2 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
2 YA YA
2 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
1 YA YA
2 YA YA
1 YA YA
1 YA YA
1 YA YA
2 YA YA
1 YA YA
1 YA YA
1 YA YA
2 YA YA
1 YA YA

1 YA YA
1 YA YA

1 YA YA
1 YA YA

1 YA YA
1 YA YA

1 YA YA
1 YA YA
 DATA SASARAN BALITA FORMAT Eppgbm

Provinsi :
Kabupaten/Kota :
Puskesmas :
Desa : :

JENIS Berat Cara Ukur ASI

No No KK NIK (Nomor Induk ANAK NAMA ANAK TANGGAL KELAMI Badan Nama Orang tua NIK Orang Tua No Tlp/HP Orang ALAMAT RT RW Tanggal BB TB Eksklusif
Kependudukan Anak ) KE LAHIR Lahir Tua pengukuran (Kg) (Cm) 1=Telentang 1=YA,
N (Kg) 2=Berdiri 2=Tidak

1. 3318052508110004 3318052408140001 2 A. LATIF 24-8-14 L 3.1 DESTI 3318046212860002 KEPOHKENCONO 3 5 11-10-18 20.5 104 2 1

2. 3318053107070019 3318055407140001 2 PUTRI ILMA 14-7-14 P 2.8 MANISIH 3318054107710033 KEPOHKENCONO 2 5 11-10-18 13.4 99 2 1

3. 3318051802150001 3318051001150001 1 ALWA T. 10-1-15 L 2.8 ALFIN 3318056511940001 KEPOHKENCONO 3 5 11-10-18 15.2 98 2 1

4. 3318052711070002 3318056907150002 1 SRI RASKY 29-7-15 P 1.1 ENDANG S. 3318054912850002 KEPOHKENCONO 3 5 11-10-18 11.9 90 2 2

5. 3318052711070002 3318056907150003 1 SRI LESTARI 29-7-15 P 1.2 ENDANG S. 3318054912850002 KEPOHKENCONO 3 5 11-10-18 12.9 93 2 2

6. 3318051308150002 3318056307150001 1 QOTRUNADA 23-7-15 P 3.2 RUMIYATI 3318054203940003 KEPOHKENCONO 3 5 11-10-18 11.1 79 2 1

7. 3318051903160003 3318054403160003 1 GISYEL F. 4-3-16 P 3.3 NURDEVI 3318054501930003 KEPOHKENCONO 1 5 11-10-18 13 86 2 1

8. 3318050705160004 3318051804160001 1 M. ADITIA 18-4-16 L 2.8 PRIYATI 3318054810940001 KEPOHKENCONO 1 5 11-10-18 11 82 2 2

9. 3318050406130005 3318054804160001 2 YUMNA 8-9-16 P 2.6 LIA L. 3320165012930001 KEPOHKENCONO 3 5 11-10-18 10.2 79 2 1

10. 3318051308090008 3318056110160002 2 WAHYU E. 21-10-16 P 3.6 SRI P. 3318055108820001 KEPOHKENCONO 1 5 11-10-18 11 80 2 1

11. 3318053008160001 3318055901170002 2 ALISA K. 19-1-17 P 3.2 TUTIK 3318066506960001 KEPOHKENCONO 1 5 11-10-18 10.6 78 2 1

12. 3318052710070002 3318051904170001 2 ARDIVA 19-4-17 L 3.0 SUPARNI 3318055406780001 KEPOHKENCONO 1 5 11-10-18 10.3 77 2 1

13. 3318052210100006 3318056504170001 2 BIANCA 25-4-17 P 3.3 MAMIK 3318055312890001 KEPOHKENCONO 2 5 11-10-18 10 75 2 1

14. 3318051105150006 3318057006150001 1 SALSABILA 30-6-15 P 3.2 NINIK 3318054704830009 KEPOHKENCONO 3 5 11-10-18 12.9 81 2 1

15. 3318051105150006 3318051105170002 2 M.SAKHI 11-5-17 L 2.6 NINIK 3318054704830009 KEPOHKENCONO 3 5 11-10-18 11.9 78 2 1

16. 3318052309170002 3318055708170002 1 CIKA D. 17-8-17 P 3.0 NUR MAULIN 3318056106000002 KEPOHKENCONO 2 5 11-10-18 10 76 2 2

17. 3318050510170001 3318052609170001 1 BRAMUKTI 26-9-17 L 2.8 PRIYANI 3318056602930009 KEPOHKENCONO 1 5 11-10-18 9.9 76 2 1

18. 3318051710170002 3318055010170002 1 INES R. 10-10-17 P 2.9 INDARWATI 3318056104990003 KEPOHKENCONO 2 5 11-10-18 9.5 77 2 1

19. 3318051502160002 3318052610170001 2 SALMAN W. 26-10-17 L 3.1 SUKAYATI 3318054508890004 KEPOHKENCONO 2 5 11-10-18 8 78 2 1

20. 3318051908100001 3318056311170001 2 KHUSNA 23-11-17 P 3.0 SRI MULYANI 3318053707860004 KEPOHKENCONO 1 5 11-10-18 8 72 2 1

21. 3318052607120001 3318054201180003 2 BILQIS F. 2-1-18 P 3.2 KHALIMATUS S. 3318054311850001 KEPOHKENCONO 3 5 11-10-18 8.3 69 1 1

22. 3318051509170002 3318054301180002 1 VANIA A. 3-1-18 P 3.3 SITI SRI 3318056308970001 KEPOHKENCONO 3 5 11-10-18 8.4 68 1 1

23. 3318051104180002 3318056803180001 1 NABILA 28-3-18 P 2.8 SITI M. 3318055508960001 KEPOHKENCONO 3 5 11-10-18 7.7 65 1 1

24. 3318050612080027 3318056412130001 2 AMRINA 24-12-13 P 2,9 UMI K 3318056706770001 KEPOHKENCONO 1 6 13-10-18 13.5 91 2 1

25. 3318051412070198 3318052203140003 1 M. ZAKY 22-3-14 L 3,1 SITI Z. 3318054208760005 KEPOHKENCONO 2 6 13-10-18 18 109 2 1

26. 3318052803140001 3318051903140002 2 M. ZIDAN 19-3-14 L 3,5 LIPAH 3318054306840003 KEPOHKENCONO 2 6 13-10-18 14.2 100 2 2

27. 3318051607130002 3318055704140002 1 LUTFIA P. 21-4-14 P 3,4 IIS A. 3318058805930002 KEPOHKENCONO 1 6 13-10-18 15 94 2 1

28. 3318050204140004 3318052105140005 1 AHMAD R. 21-5-14 L 3,3 ALIFIL 3318048108820003 KEPOHKENCONO 2 6 13-10-18 13 94 2 1

29. 3318050408080003 3318054708140001 2 NAILI S. 7-8-14 P 3,3 SITI S. 3318055103780003 KEPOHKENCONO 1 6 13-10-18 11.1 93 2 1
30. 3318050312130002 3318056508140002 1 ANISA K. 25-8-14 P 3,0 DINI S. 3318045310920001 KEPOHKENCONO 1 6 13-10-18 16 100 2 1

31. 3318053004150001 3318051519150002 1 A. FARIEL 15-10-15 L 3,3 TRI U. 3322074309910002 KEPOHKENCONO 1 6 13-10-18 13.2 91 2 1

32. 3318050707080032 3318051207160001 2 M. HAFID 12-7-16 L 3,0 HARTINI 3318054911840002 KEPOHKENCONO 2 6 13-10-18 9.3 82 2 2

33. 3318052310130004 3318054612160001 2 CHARISA G. 6-12-16 P 3,0 INA W. 3318055701920004 KEPOHKENCONO 1 6 13-10-18 9.2 76 2 1

34. 3318051406130001 3318054112160001 2 ALDIVA M. 1-12-16 P 3,5 WIWIK H. 3318055406900003 KEPOHKENCONO 1 6 13-10-18 9.9 79 2 1

35. 3318051506100004 3318051104170003 2 AZAM M. 11-4-17 L 3,2 NISWATI 3318044406900005 KEPOHKENCONO 1 6 13-10-18 10.1 76 2 1

36. 3318051004070001 3318055302180002 2 PUTRI A. 13-2-18 P 2,7 SULASTRI 3318054503830003 KEPOHKENCONO 1 6 13-10-18 6.5 64 1 2

37. 3318052806160001 3318051406160001 1 ANANDA RIO 14-6-16 L 3,3 IDA W. 3318055409920002 KEPOHKENCONO 2 6 13-10-18 12.5 86 2 2

38. 3318052806160001 3318051402180001 2 LEONEL A. 14-2-18 L 3,4 IDA W. 3318055409920002 KEPOHKENCONO 2 6 13-10-18 8.2 68 1 1

39. 3318053105080004 3318052603180001 2 M. ALVIN 26-3-18 L 2,9 LAILI M. 3318055710880003 KEPOHKENCONO 2 6 13-10-18 7.8 65 1 1

40. 3318051910130001 3318055404180002 2 DARA A. 14-4-18 L 2,8 SRI U. 3318044803880005 KEPOHKENCONO 2 6 13-10-18 7.5 65 1 1

41. 3318052601180001 3318055204180002 1 ALFI N. 16-4-18 P 2,6 SITI A. 3318096608950003 KEPOHKENCONO 1 6 13-10-18 7.3 64 1 1

42. 3318050401110037 3318056904180001 2 MEGA W. 29-4-18 P 2,7 SITI Q. 3318054308890002 KEPOHKENCONO 1 6 13-10-18 7 64 1 1

43. 3318051810160003 3318051504180001 1 ARKHA A. 15-4-18 L 3,4 LILIS S. 3318054810990012 KEPOHKENCONO 1 6 13-10-18 8.2 63 1 1

44. 3318050408080014 3318056706180001 2 NASYA A. 27-6-18 P 3,1 SUWARNI 3318055708870003 KEPOHKENCONO 1 6 13-10-18 6.5 58 1 1

45. 3318051512070552 3318054807180001 1 BUNGA L. 8-7-18 P 2,4 KASWIATI 3318054903670002 KEPOHKENCONO 1 6 13-10-18 6 55 1 1

46. 3318050907150002 3318051109180002 2 M. ILHAM 11-9-18 L 2,7 TITIK A. 3318114701900001 KEPOHKENCONO 2 6 13-10-18 4.7 52 1 1

47. 3318051307090008 3318051309180001 2 M. NADHIR 13-9-18 L 2,8 NARMIATI 3318055801840004 KEPOHKENCONO 1 6 13-10-18 4.5 51 1 1

48. 3318052702100008 3318055601140001 2 AZA KHOIRUNISA 10-1-14 P 3,2 PARTINI 3318054110740001 KEPOHKENCONO 2 3 17-10-18 15,1 103 2 2

49. 3318052905070002 3318051001140001 2 ZAKYA IBRAHIM 10-1-14 L 3,8 HARWATI 3318054905880007 KEPOHKENCONO 5 3 17-10-18 14,5 99 2 1
50. 3318050811080005 3318052003140002 2 M. RIZKY S. 20-3-14 L 2,7 SITI SOLIHAH 3318054406740003 KEPOHKENCONO 2 3 17-10-18 15 100 2 1
51. 3318051803140003 3318050303140001 1 DZAKY FELIK 3-3-14 L 3,2 ANIS F 3318054801950003 KEPOHKENCONO 4 3 17-10-18 17 107 2 2

52. 3318052903110002 3318055503140001 2 ALLY F. 13-3-14 P 3,0 ISNAINI 3318058508790003 KEPOHKENCONO 2 3 17-10-18 13,4 101 2 1
53. 3318050207130001 3318051604140001 1 VICKY P. 16-4-14 L 2,6 ENDANG 3318054407940001 KEPOHKENCONO 3 3 17-10-18 11 87 2 2
54. 3318050207130001 3318050404160003 2 VICO C. 4-4-16 L 2,8 ENDANG 3318054407940001 KEPOHKENCONO 3 3 17-10-18 10 78 2 2
55. 3318050207130003 3318052304140001 1 ALDO S. 23-4-14 L 3,1 LISTIA NINGSIH 3318052304140001 KEPOHKENCONO 1 3 17-10-18 15,1 103 2 1

56. 3318050309140001 3318058008140003 1 TALITA D. 20-8-14 P 3,5 DARTI 3318055106970003 KEPOHKENCONO 5 3 17-10-18 11,3 97 2 1
57. 3318052012100008 3318050408140001 2 RISKY A. 4-5-14 L 3,5 CATUR 3318057004840003 KEPOHKENCONO 4 3 17-10-18 13,8 95 2 1
58. 3318050103160001 3318051607140003 1 FAJAR C. 21-4-14 L 2,9 MASRIPAH 3318054604800005 KEPOHKENCONO 1 3 17-10-18 15 100 2 1

59. 3318052111130003 3318056411140001 1 RAYANA A. 24-11-14 P 3,0 TITIK 3318055711920001 KEPOHKENCONO 2 3 17-10-18 13,2 97 2 1
60. 3318052006080021 3318055804150001 2 ALFIYAH 18-4-15 P 2,6 ASIYAHTUN 3318055406840007 KEPOHKENCONO 2 3 17-10-18 12 100 2 2

61. 3318052210080008 3318056806150003 2 ADELIA F. 28-6-15 P 2,8 NUR WIYAH 3318054708780010 KEPOHKENCONO 2 3 17-10-18 12,3 90 2 1
62. 3318050711140001 3318050807150005 1 KHOIRUL A. 8-7-15 L 2,9 SRI LESTARI 3318055212920001 KEPOHKENCONO 1 3 17-10-18 14 96 2 1
63. 3318052105100005 3318056710150005 2 ALEEA B. 27-10-15 P 3,5 SRI Y 3318054707870003 KEPOHKENCONO 1 3 17-10-18 13,3 89 2 1
64. 3318051304120003 3318057110150001 2 ADILA D. 31-10-15 P 3,1 ASMA IYAH 3318057103780001 KEPOHKENCONO 4 3 17-10-18 12,3 91 2 2
65. 3318052210100004 3318052710150001 2 AHMAD F. 27-10-15 L 2,9 SITI A 3318055011870015 KEPOHKENCONO 1 3 17-10-18 12,6 92 2 1
66. 3318051703150002 3318050512150001 1 A. FARID 5-12-15 L 3,1 ANIS A 3318055802970001 KEPOHKENCONO 5 3 17-10-18 13 95 2 1
67. 3318051910150004 3318054402160001 1 CLARA K. 4-2-16 P 3,0 ANIS M 3318055308930001 KEPOHKENCONO 2 3 17-10-18 12,2 87 2 1
68. 3318050701090009 3318056502160001 2 ASKA S. 25-2-16 P 3,5 NUR HIDAYAH 3318056705890009 KEPOHKENCONO 4 3 17-10-18 13,1 92 2 1
69. 3318050212150003 3318051503160004 1 SAFIR D. 15-3-16 L 2,8 INDIARTI 3318056203970003 KEPOHKENCONO 3 3 17-10-18 11,4 89 2 2
70. 3318052711070315 3318056103160002 3 ANDIEN A. 21-3-16 P 3,3 LENI M 3318056108790001 KEPOHKENCONO 2 3 17-10-18 11,8 88 2 1
71. 3318052005160002 3318050204160004 1 NAUFAL J. 2-4-16 L 2,9 IRA W 3318054810980001 KEPOHKENCONO 5 3 17-10-18 11,7 87 2 1
72. 3318052910070013 3318054405160003 1 KIRANA M. 4-5-16 P 3,2 ENDANG 3318055309930006 KEPOHKENCONO 5 3 17-10-18 12 80 2 1
73. 3318050612080014 3318057005160003 3 ARYA B. 30-5-16 P 3,5 SUWARTI 3318055508770003 KEPOHKENCONO 5 3 17-10-18 12,2 84 2 1
74. 3318052308100005 3318050607160002 2 ALI FITRI 21-7-16 L 3,3 ENY 3318055403800003 KEPOHKENCONO 4 3 17-10-18 11,2 83 2 1
75. 3318052804090016 3318056212160001 2 NAILA S.I. 22-12-16 P 3,1 YARMI 3318055206810010 KEPOHKENCONO 3 3 17-10-18 9,7 76 2 1
76. 3318051207160008 3318050101170002 1 RAFFA N. 1-1-17 L 3,3 EKA N 3318055302950008 KEPOHKENCONO 4 3 17-10-18 12,7 88 2 2
77. 3318051901090006 3318056104170001 2 FITRI A. 21-4-17 P 3,2 KARMISIH 3318055105810001 KEPOHKENCONO 4 3 17-10-18 11 82 2 1
78. 3318052910080013 3318052202170002 2 ALBY F. 22-2-17 L 3,8 DONI A 3318054708800007 KEPOHKENCONO 4 3 17-10-18 11,2 80 2 1
79. 3318051211090004 3318050708170001 2 ALGHOZALI 7-8-17 L 3,2 DWI N 3318056008840004 KEPOHKENCONO 1 3 17-10-18 9,6 75 2 1
80. 3318050306170001 3318051705170002 1 BRIYAN R. 17-5-17 L 3,4 LINDA L 3318056103940004 KEPOHKENCONO 4 3 17-10-18 9,3 76 2 1
81. 3318052710070023 3318056006170002 2 ARSYLA R. 20-6-17 P 2,6 RASMIATUN 3318054801820001 KEPOHKENCONO 3 3 17-10-18 9 75 2 1
82. 3318100408090130 3318056007170002 2 ALIFA Z. 20-7-17 P 3,0 ZUMROTUS S. 3318056308880004 KEPOHKENCONO 4 3 17-10-18 8,2 72 2 2
83. 3318052207160001 3318055707170001 1 KHANZA A. 17-7-17 P 3,2 RIRIN 3318055602960001 KEPOHKENCONO 2 3 17-10-18 9 74 2 1
84. 3318052611070343 3318051109170002 2 FAHREZA 11-9-17 L 3,0 LASMI 3318054107900038 KEPOHKENCONO 4 3 17-10-18 9,1 74 2 1
85. 3318050211170005 3318056309170002 1 SYAKHILA 23-9-17 P 2,8 DEVI A 3318056605970002 KEPOHKENCONO 4 3 17-10-18 8,9 72 2 2
86. 3318052809090004 3318052811170001 1 M. KHARUL 28-11-17 L 2,5 SITI A 3318056703990002 KEPOHKENCONO 1 3 17-10-18 9,1 70 1 1
87. 3318052603080017 3318050912170002 2 ROI HARDIAN 8-12-17 L 2,6 SUTRISNI 3318055204760002 KEPOHKENCONO 5 3 17-10-18 8,3 69 1 2
88. 3318050105120004 3318050902180001 2 FAHIM Z. 9-2-18 L 3,2 SULISTIYANINGSIH 3318055908910001 KEPOHKENCONO 4 3 17-10-18 9 69 1 1
89. 3318051107070007 3318055403180002 2 FITRI A. 14-3-18 P 2,5 ENDANG 3318055507810003 KEPOHKENCONO 4 3 17-10-18 7,9 64 1 1
90. 3318052711070470 3318054304180002 2 ANINDITA 3-4-18 P 2,5 PURWATI 3318056812820003 KEPOHKENCONO 1 3 17-10-18 7,7 65 1 1
91. 3318050807080011 3318052204180003 2 ARVAN 22-4-18 L 2,7 MARMIAH 3318054505840002 KEPOHKENCONO 2 3 17-10-18 7,5 63 1 1
92. 3318051110170001 3318054404180002 1 ULFATUN 4-4-18 P 3,8 KHURIZATUL 3315155411940005 KEPOHKENCONO 1 3 17-10-18 8,1 64 1 1
93. 3318052711070242 3318050505180002 3 M.QIVASIMUL M. 5-5-18 L 3,2 PATMI 3318054602750002 KEPOHKENCONO 2 3 17-10-18 7,8 65 1 1
94. 3318051208170002 3318055807180002 1 OSHE K. 18-7-18 P 2,8 NILA P 3318054308940004 KEPOHKENCONO 4 3 17-10-18 6,6 55 1 1
95. 3318052501180004 3318050408180001 1 M. AGUSTINO 4-8-18 L 3,3 UMI M 3318096501960001 KEPOHKENCONO 3 3 17-10-18 6,5 53 1 1
96. 3318052210110012 3318055209180001 2 NAWAL S. 12-9-18 P 3,5 TITIK L 3318055510820003 KEPOHKENCONO 3 3 17-10-18 4,5 50 1 1
97. 3318051904100005 3318051012150001 2 FAHMI M. 10-10-15 L 2,9 PARINAH 3318054708800008 KEPOHKENCONO 3 3 17-10-18 12,2 89 1 1
98. 3318050508080010 3318057011130001 3 AYUNITA AZAHRA 30-11-13 P 3.2 SRIHATI 3318054902760001 KEPOHKENCONO 3 4 15-10-18 12.4 99 2 1

99. 3318051412130003 3318054902140001 2 ANINDIYA 9-2-14 P 3.1 NURGO MARIYATI 3318055604820001 KEPOHKENCONO 1 4 15-10-18 15.8 105 2 1

100 3318052803140006 3318055202140001 1 AYU ARTITA OLIFIA 11-2-14 P 2.8 ZUMAEROH 3318054212930018 KEPOHKENCONO 3 4 15-10-18 2.1 100 2 1

101 3318051205140001 3318051704140001 1 FIRLAN A. 17-4-14 L 3.2 IKA TITIK 3313155307890002 KEPOHKENCONO 3 4 15-10-18 14 103 2 1

102 1 AMRINA 26-6-14 P 3.1 KEPOHKENCONO 4 15-10-18

103 3318050104160003 3318050709140003 1 SEPTIAN R. 6-9-14 L 3.2 SULIANI 3318055511880002 KEPOHKENCONO 1 4 15-10-18 13.9 91 2 1

104 KAILA OLIFIA 23-11-14 P 3.1 KEPOHKENCONO 4 15-10-18

105 3318051907110007 3318050312140002 2 DIA FACHRI 3-12-14 L 3.2 RIRIN 3318055304960007 KEPOHKENCONO 1 4 15-10-18 2 1
106 3318052700900002 3318054912140001 2 NELA LIANCA 4-12-14 P 2.9 SITI MAEMUNAH 3318055001830005 KEPOHKENCONO 2 4 15-10-18 15.6 89 2 1

107 1 ADIB ZAENAL 22-9-15 L 3.4 KEPOHKENCONO 4 15-10-18

108 3318051805150004 3318055711150001 1 NAIRA AZAHRA 18-11-15 P 2.9 MUYASAROH 3320124209940003 KEPOHKENCONO 2 4 15-10-18 13 98 2 2

109 3318052812160003 3318050602160002 2 OWEN 6-2-16 L 3.4 ISTIANA 3318050403920003 KEPOHKENCONO 2 4 15-10-18 11.5 90 2 1

110 3318053108150001 3318052802160001 1 DANIS 28-2-16 L 3.6 SULISTYOWATI 3318046006870002 KEPOHKENCONO 3 4 15-10-18 10.6 89 2 2

111 3318052206150003 3318050403160001 1 IVAN N. 4-3-16 L 3.5 SITI M. 3318054104980001 KEPOHKENCONO 3 4 15-10-18 17.5 94 2 2

112 3318052010160004 3318055504170002 1 ICA A. 15-4-17 P 3.0 AMBARWATI 3318055001970003 KEPOHKENCONO 3 4 15-10-18 8.6 74 2 1

113 3318051905150001 3318052905160001 1 ASLAN A. 29-5-16 L 3.3 SRI U. 3318055202950005 KEPOHKENCONO 2 4 15-10-18 12.2 84 2 1

114 3318050509150003 3318054106150001 1 ADIBA S. 1-6-16 P 3.0 FATIMAH TUZAHRO 3318054611940001 KEPOHKENCONO 3 4 15-10-18 11.8 85 2 1

115 3318052611070403 3318056112160001 2 HAFIZA K. 21-12-16 L 2.8 SHOLIKATI 3318054802870005 KEPOHKENCONO 3 4 15-10-18 8.7 79 2 1

116 3318050608090003 3318054208170002 2 KHUMAERA 2-3-17 P 3.1 SRI W. 3318055105870003 KEPOHKENCONO 3 4 15-10-18 9.6 77 2 1

117 3318051412130003 3318051901180001 2 ARYA D.J. 19-1-18 L 3.1 NURGOMARIYATI 3318055604820001 KEPOHKENCONO 1 4 15-10-18 7.9 70 2 1

118 3318051611150002 3318055701180001 2 NILAM A. 17-1-18 P 2.9 ENDANG 3318046612930004 KEPOHKENCONO 3 4 15-10-18 7.9 65 1 2

119 3318052911070803 3318051003180001 2 M. RIDWAN 10-3-18 L 2.8 SULASTRI 3318044209880002 KEPOHKENCONO 1 4 15-10-18 8.3 66 1 1

120 3318051909160002 3318055503180003 1 REVALINA 15-3-18 P 3.1 SITI F. 3318056408960004 KEPOHKENCONO 1 4 15-10-18 7.8 64 1 1

121 3318052707170003 3318052204180002 1 ALFAREZEL 22-4-18 L 2.8 LILIS S. 3318054107970009 KEPOHKENCONO 3 4 15-10-18 7.6 63 1 1

122 3318050403160002 3318055806160002 1 ALISA K. 18-6-16 P 3.1 LINDA 3318056604960001 KEPOHKENCONO 1 4 15-10-18 10.8 82 2 1

123 3318050209160006 3318054209170004 2 NINDI A. 2-9-17 P 3.4 SITI A. 3318045503860006 KEPOHKENCONO 1 4 15-10-18 89 73 2 1

124 3318051506130002 3318050604140004 1 DAVINO 6-4-14 L 3,5 SITI NURCOLIS 3318054703920007 KEPOHKENCONO 1 2 22-10-18 14,2 99 2 1

125 3318053004140001 3318054305140002 1 SINTIYA A. 3-5-14 P 2,8 ERNAWATI 3318055805910002 KEPOHKENCONO 1 2 22-10-18 15,1 100 2 2

126 3318051707140001 3318050607140002 1 AZHURA N. 5-7-14 L 3,0 NITA F 3318054802910004 KEPOHKENCONO 2 2 22-10-18 14 97 2 2

127 3318050103080007 3318055702150001 2 SALMA A.D. 11-2-15 P 3,3 SULASTRI 3318056607820001 KEPOHKENCONO 1 2 22-10-18 16 98 2 1

128 3318051512070148 3318058404150001 2 VENI K.S. 24-4-15 P 3,5 KARTINI 3318055602840004 KEPOHKENCONO 1 2 22-10-18 14,2 90 2 1

129 3318052006150002 3318056405150001 1 NADIA S.R. 24-5-15 P 2,4 SISWATI 3318056510940001 KEPOHKENCONO 3 2 22-10-18 13,4 93 2 2

130 3318052108150002 3318050609150002 1 WINDRA A. 25-9-15 L 2,8 NOVI 3318045111920004 KEPOHKENCONO 3 2 22-10-18 12 90 2 1

131 3318052001150006 3318056904150001 1 QUINZA A. 29-4-16 L 2,8 RUTIK 3318054712940001 KEPOHKENCONO 1 2 22-10-18 10,2 79 2 1

132 331805150415006 3318052708160001 1 KENZO A. 27-8-16 L 3,0 FITRI H 3318047003930007 KEPOHKENCONO 1 2 22-10-18 11,1 83 2 2

133 3318051506080025 3318052608160001 2 M. L. ALHAFID 26-8-16 L 3,3 SUSILOWATI 3318052608160001 KEPOHKENCONO 2 2 22-10-18 9,9 80 2 1

134 3318051112100003 3318056609160001 3 NAHLA 26-9-16 L 3,5 ENI S 3318054303860007 KEPOHKENCONO 2 2 22-10-18 11,2 84 2 1

135 3318051512070050 3318051009160001 2 FADIL A 10-9-16 L 3,0 MBARTI 3318055010800009 KEPOHKENCONO 1 2 22-10-18 10,5 84 2 1

136 3318052411160001 3318055412160001 1 ARSILA 14-12-16 P 2,9 YULIANA 3318057007970002 KEPOHKENCONO 1 2 22-10-18 9,5 80 2 1

137 3318050411100007 3318055812160002 2 SYAFAATUN 18-12-16 P 2,1 EVI H 3318056305890003 KEPOHKENCONO 1 2 22-10-18 8,1 75 2 2

138 3318051412070462 3318055112160001 2 NINDIYA 11-12-16 P 2,8 MASRINI 3318054302780004 KEPOHKENCONO 2 2 22-10-18 10,6 81 2 1

139 3318051602110006 3318056202170002 1 ADZKIYA 22-2-17 P 2,7 ENDANG 3318054105890003 KEPOHKENCONO 3 2 22-10-18 9,4 75 2 2

140 3318052606100002 3318050702170001 2 AL ZAMIR 7-2-17 L 3,0 SRI HARYANTI 3318046608870001 KEPOHKENCONO 2 2 22-10-18 10,3 77 2 1

141 3318051007170003 3318052606170001 1 A. ZINO 26-6-17 L 2,3 SUJINAH 3318054505920010 KEPOHKENCONO 1 2 22-10-18 9 73 2 2

142 3318050907080034 3318051103170001 2 M. KHOIRUL 11-3-17 L 3,3 ENDANG S. 3318055009890002 KEPOHKENCONO 3 2 22-10-18 10,5 80 2 1

143 3318051306170002 3318050605170002 1 SENDI P. 6-6-17 L 2,6 ENDANG Y 3318056106970001 KEPOHKENCONO 1 2 22-10-18 9,2 77 2 1
144 3318052609160004 3318055807170001 1 AQILA N 18-7-17 P 3,1 RISKA 3318015508930004 KEPOHKENCONO 2 2 22-10-18 7,4 7,2 2 1

145 3318050401110031 3318055205170001 2 ALRIN A. 12-5-17 P 3,4 SARPI 3318055202840003 KEPOHKENCONO 1 2 22-10-18 10,5 75 2 1

146 3318050401110033 3318051307170002 2 M. ARSEN 13-7-17 L 2,8 SRININGSIH 3318054602850004 KEPOHKENCONO 1 2 22-10-18 9,2 73 2 1

147 3318053010150001 3318056710170004 1 ADIRA C. 27-10-17 P 3,1 PUJI A 3318045510940002 KEPOHKENCONO 2 2 22-10-18 7,9 66 1 1

148 3318051301100008 3318055210170001 2 ARFIKA 12-10-17 P 3,0 IRMA M 3318056112870002 KEPOHKENCONO 2 2 22-10-18 83 78 1 1

149 3318050309180006 3318055501180001 1 MITA AYU 15-1-18 P 2,9 SUTARMI 3318054806930001 KEPOHKENCONO 1 2 22-10-18 73 65 1 1

150 3318052703180003 3318050303180001 1 M. ARDANI F. 3-3-18 L 3,4 ARIS K 3318056507980002 KEPOHKENCONO 2 2 22-10-18 7,9 66 1 1

151 3318052903110003 3318055703180001 2 NATASYA 17-3-18 P 2,6 YASMI 3318054207800002 KEPOHKENCONO 3 2 22-10-18 7,6 64 1 1

152 3318050612080021, 3318056705180002 2 ANINDITA 27-5-18 P 3,5 NARSIH 3318056611800002 KEPOHKENCONO 2 2 22-10-18 7,7 62 1 1

153 33180515120700106 3318053005180001 2 M. ILHAM 30-5-18 L 2,3 ENDANG S. 3318056203840002 KEPOHKENCONO 3 2 22-10-18 5,5 57 1 2

154 3318051409180001 3318050709180001 1 ALKA 7-9-18 L 3,0 RICA 3318056212960003 KEPOHKENCONO 1 2 22-10-18 5,2 53 1 1

155 3318043010040005 3318055509180002 2 EARLITA 15-9-18 P 2,8 SITI M 3318045711840002 KEPOHKENCONO 3 2 22-10-18 4,0 51 1 1

156 3318051709070003 3318054202140001 2 AYUNDA A 2-2-14 P 2.8 MUNASIH 3318055810750003 KEPOHKENCONO 4 1 23-10-18 25 110 2 1

157 3318052803140002 3318056003140001 AZAHWA AINUN M 20-3-14 P 3.3 AMINAH 3318055210920004 KEPOHKENCONO 4 1 23-10-18 14.1 97 2 1

158 3318052104140004 3318052803140001 1 FAREZA RISKY 29-3-14 L 2.6 SULAMINI 3318054904920004 KEPOHKENCONO 4 1 23-10-18 16.4 100 2 2

159 3318052208070011 3318058704140001 2 AVIVA NUR 26-4-14 P 3.4 KLASMI 3318055505760001 KEPOHKENCONO 2 1 23-10-18 13 93 2 1

160 3318051208110003 3318052106140001 2 NEJI P 21-6-14 L 3.8 DEWI K 3318108201870001 KEPOHKENCONO 4 1 23-10-18 22 110 2 1

161 3318081710130008 3318054808140003 1 KHANZA MYEISHA 8-5-14 P 2.0 APRILIA 3318085604840001 KEPOHKENCONO 4 1 23-10-18 11.9 93 2 2

162 3318081710130008 3318084805140004 1 KHANZA MEYISHI 8-5-14 P 2.1 APRILIA 3318085604840001 KEPOHKENCONO 4 1 23-10-18 12.2 95 2 2

163 3318052312100020 3318050707140005 1 ALI RIDHO 7-7-14 L 2.8 ASPIATUN 3318055109820003 KEPOHKENCONO 4 1 23-10-18 13 105 2 2

164 3318051806140001 3318055508140001 1 RINJANI 24-8-14 P 3.4 SHOFI'AH 3318055204840007 KEPOHKENCONO 6 1 23-10-18 18 100 2 1

165 3318051501150002 3318050201150003 1 RAFFI A 2-1-15 L 3.5 IMRON 3318051802830001 KEPOHKENCONO 5 1 23-10-18 13 93 2 1

166 ATIKA F 27-12-14 P 2.8 SUCI KEPOHKENCONO 1 23-10-18

167 3318052905130008 3318052602150001 1 ERWIN W 26-2-15 L 3.6 LESTARI 3318055611950001 KEPOHKENCONO 1 1 23-10-18 14 96 2 1

168 3318052506070005 3318054203150002 2 FADILA A 2-3-15 P 3.6 SUGIARTI 3318055012780004 KEPOHKENCONO 4 1 23-10-18 17 109 2 1

169 3318052303090016 3318055203150002 2 ANINTA 12-3-15 P 2.8 WIWIK P. 3318054707890006 KEPOHKENCONO 7 1 23-10-18 12.5 89 2 1

170 CALISTA 6-5-15 P 4.0 KEPOHKENCONO 1 23-10-18

171 3318051609130004 3318055305150002 1 ALENSIA R 13-5-15 P 2.8 RENA A. 3318034105950003 KEPOHKENCONO 2 1 23-10-18 12.7 88 2 2

172 3318052201160002 3318051605150001 2 SATRIA A 16-5-15 L 3.3 JUMINAH 3318054101820004 KEPOHKENCONO 7 1 23-10-18 14 94 2 1

173 3318052801100007 3318050608150001 1 M. MUFID 6-6-15 L 3.8 INERALWATI 3318055808880008 KEPOHKENCONO 8 1 23-10-18 15 98 2 1

174 ASKA M 19-6-15 L 3.5 KEPOHKENCONO 1 23-10-18 2

175 M. ERLANGGA 7-7-15 L 3.2 KEPOHKENCONO 1 23-10-18

176 3318052801100008 3318056806150001 2 SALSABILA 28-6-15 P 3.5 VERA A 3318056008800002 KEPOHKENCONO 7 1 22-10-18 14 91 2 1

177 3318052006150001 3318054908150001 1 SITI MUT MAINAH 9-8-15 P 2.8 MARTINI 3318056904840002 KEPOHKENCONO 2 1 22-10-18 12.5 86 2 1

178 3318051002070188 3318055212150001 2 UMI SALMA 12-2-15 P 3.1 RUSMIATI 3318055206780005 KEPOHKENCONO 4 1 22-10-18 10.2 80 2 2

179 LAQUITA KEPOHKENCONO 1 22-10-18

180 SIFA FREDELA KEPOHKENCONO 1 22-10-18

181 ABRAN ARUSID KEPOHKENCONO 1 22-10-18

182 3318050707100003 3318052603150001 3 CATUR 26-3-15 L 3.5 SAYEKTI 3318054801770002 KEPOHKENCONO 3 1 22-10-18 15.1 89 2 1

183 3318052411150003 3318051511150001 1 ASKA NUR ALAZIK 15-11-15 L 2.6 PAREKA S. 3318055202990006 KEPOHKENCONO 2 1 22-10-18 13.2 91 2 2

184 FARELIAN ZONAS KEPOHKENCONO 1 22-10-18

185 3318050112070200 3318051603160001 2 RANGGA U 16-3-16 L 3.6 SUYATI 3318055208850009 KEPOHKENCONO 6 1 22-10-18 12 84 2 1

186 SASKY A KEPOHKENCONO 1 22-10-18

187 3318053012140001 3318055401160001 1 AMIRA 14-1-16 P 3.0 SANTI 3318045502960003 KEPOHKENCONO 1 1 22-10-18 11.9 80 2 1

188 3318050103160002 3318052202160001 1 GIBRAN A 22-2-16 L 3.4 YULIKAH 3318055803960002 KEPOHKENCONO 6 1 22-10-18 11.2 83 2 1

189 3318053011070651 3318052912150001 2 YOQI M. 29-12-15 L 3.2 RASMIYATI 3318055111790008 KEPOHKENCONO 4 1 22-10-18 10.2 82 2 1

190 3318052803090001 3318052203160001 2 ALTRISTA 22-3-16 L 3.9 HANIK 3318055202910007 KEPOHKENCONO 7 1 22-10-18 11 83 2 1

191 3318053107080030 3318055004160002 2 AMALUNA S 10-4-16 P 3.1 ANIS M 3318055807850002 KEPOHKENCONO 6 1 22-10-18 10.9 78 2 1

192 3318050402160007 3318052305160001 1 M.IHTIANTO 23-6-16 L 3.5 SUSI L 3318056206940010 KEPOHKENCONO 2 1 22-10-18 10.2 79 2 2

193 3318050702110003 3318054606150001 2 ZAKYA Q 6-6-16 P 3.0 RINAWATI 3318056312870005 KEPOHKENCONO 4 1 22-10-18 12 83 2 1

194 3318051808160006 3318052506160003 2 FELICIA JOYO 25-6-16 P 3.1 ENI S 3318055506910005 KEPOHKENCONO 4 1 22-10-18 11.4 83 2 2

195 3318060604160002 3318052606150001 1 OZYL R 28-6-18 L 3.3 LIA SAFITRI 3318054504950001 KEPOHKENCONO 2 1 22-10-18 11 82 2 1

196 3318051511130002 3318051607160001 1 M. HILAL 16-7-16 L 3.5 SUMIAH 3318056202970003 KEPOHKENCONO 4 1 23-10-18 11 82 2 2

197 3318052710070009 3318050807160001 3 SINDI RAYA S 8-7-16 P 3.4 JAMBEYANI 3318054804880008 KEPOHKENCONO 7 1 23-10-18 11.2 83 2 2

198 3318050806160009 3318055809160002 1 PUJI L 18-9-16 P 2.6 PANIYEM 3318054107850106 KEPOHKENCONO 2 1 23-10-18 10 75 2 1

199 3318050705160005 3318055908160003 2 GLADIS 19-8-16 P 2.8 MARYATI 3318054107870051 KEPOHKENCONO 6 1 23-10-18 11 82 2 1

200 3318052710070008 3318050209160001 3 FICO S 2-9-16 L 3.2 SRI W. 3318054607790002 KEPOHKENCONO 3 1 23-10-18 11.2 81 2 2

201 3318050805080008 3318052109160001 2 PONCO A 21-9-16 L 3.3 PARTINI 3318055202850010 KEPOHKENCONO 6 1 23-10-18 11.4 82 2 1

202 3318051309160006 3318050910160001 1 M. ZIDAN 8-10-16 L 3.1 EKA N 3318056907940003 KEPOHKENCONO 4 1 23-10-18 13.5 90 2 1

203 3318052411070016 3318050210160001 2 KARIM F 2-10-16 L 3.0 RUKAYATI 3318054305850001 KEPOHKENCONO 5 1 23-10-18 12 86 2 1

204 3318051106160001 3318050712160001 1 M. HAIKAL 7-12-16 P 2.9 DUKOTUL 3318055812950001 KEPOHKENCONO 3 1 23-10-18 11.3 89 2 1

205 3318051010130001 3318055701170001 2 ANISA M 17-1-17 P 3.1 SITI Z. 3318044404880003 KEPOHKENCONO 3 1 23-10-18 10.4 77 2 1

206 3318051010160007 3318050803170001 1 FERNANDO 8-3-17 L 3.1 TRISNA WATI D 3318054202970002 KEPOHKENCONO 2 1 23-10-18 10.3 76 2 1

207 3318052409070024 3318055503170002 2 ALLENA P 25-3-17 P 2.8 SUWARNI 3318055107770002 KEPOHKENCONO 4 1 23-10-18 9.4 74 2 1

208 3318057302160003 3318055103170001 1 ALIRAHMA 11-3-17 P 2.8 SITI R 3318057101960003 KEPOHKENCONO 4 1 23-10-18 9.4 74 2 2

209 3318052803140002 3318055704170002 2 ANO NIDA 17-4-17 P 3.3 SITI A 3318055210920002 KEPOHKENCONO 1 1 23-10-18 9.7 74 2 1

210 3318050809160006 3318052903170001 1 BERIL A 29-3-17 L 3.2 IKARUL 3318055308960001 KEPOHKENCONO 4 1 23-10-18 11.3 90 2 1

211 3318051712150003 3318051104170001 1 ARYA N 11-4-17 L 3.5 DEWI I 3318045509960003 KEPOHKENCONO 8 1 23-10-18 10 72 2 1

212 3318052710070007 3318056804170001 2 KHANSA H 28-4-17 P 3.3 ENDANG 3318055808840001 KEPOHKENCONO 7 1 23-10-18 10.1 74 2 2

213 3318050703130005 3318052005170003 2 ZADIT T. 20-5-17 L 3.4 ULIN N 3318055012920001 KEPOHKENCONO 5 1 23-10-18 9.1 75 2 1

214 3318051907090008 3318051106170001 2 PANJI S. 11-6-17 L 2.9 RINAWATI 3318054701850002 KEPOHKENCONO 4 1 23-10-18 9.5 73 2 1

215 3318052312100014 3318056308170002 2 ITSNA A. 23-8-17 P 3.0 SULISTYOWATI 3318056507910003 KEPOHKENCONO 4 1 23-10-18 9.0 70 2 1

216 3318052105110003 3318055707170002 2 ISNAYA K 17-7-17 P 3.0 SITI F. 3318054502890004 KEPOHKENCONO 4 1 23-10-18 10 71 2 1

217 3318051611100006 3318051109170001 2 DANANG 11-9-17 L 3.1 RAMINTEN 3318055204820002 KEPOHKENCONO 4 1 23-10-18 8.8 77 2 1

218 3318050306120005 3318050111170004 2 ANDRA 10-11-17 L 3.2 ENDANG 3318056501890004 KEPOHKENCONO 4 1 23-10-18 8 72 1 1

219 3318051208170003 3318056311170002 1 ARLISTA D 23-11-17 P 3.1 MARYAM 3318057103010005 KEPOHKENCONO 7 1 23-10-18 8.4 69 1 2
220 3318050608080004 3318050312170001 2 NARENDRA 3-12-17 L 3.1 NUR INDAYAH 3318054504810002 KEPOHKENCONO 6 1 23-10-18 8.5 71 1 1

221 3318051703090002 3318056312170001 3 ALICE 23-12-17 P 2.3 PENI P 3318054202820001 KEPOHKENCONO 5 1 23-10-18 8.1 64 1 2

222 3318051703090002 3318052312170002 3 ALANCE 23-12-17 L 2.3 PENI P 3318054202820001 KEPOHKENCONO 5 1 23-10-18 8.5 67 1 2

223 3318052006150001 3318050101180001 2 AHMAD S. 7-1-18 L 3.0 MARTINI 3318056904840002 KEPOHKENCONO 2 1 23-10-18 7.6 63 1 1

224 3318053011070119 3318054201180001 3 NAURA A. 2-1-18 P 2.8 NGATINI 3318057105810003 KEPOHKENCONO 4 1 23-10-18 7.6 62 1 2

225 3318052712100005 3318052511170001 2 FAISHAL 25-11-17 L 3.8 DWI W 3318055402890005 KEPOHKENCONO 3 1 23-10-18 8.7 69 1 1

226 3318051507170002 3318056003180002 1 SHERINA H 20-3-18 P 2.9 DYAH J 3318045907950002 KEPOHKENCONO 3 1 23-10-18 8.0 65 1 1

227 3318051303170003 3318051005170002 1 GAVIN A 10-5-17 L 2.6 YOLA 3318046908990003 KEPOHKENCONO 4 1 23-10-18 8.6 74 2 1

228 3318052804180002 3318054509180001 1 CEMPAKA G 5-9-18 P 2.4 CHINTYA 3318054704980002 KEPOHKENCONO 7 1 23-10-18 4.1 53 1 1

229 3318051107170002 3318055709180001 2 HAIBAH 17-9-18 P 2.2 SRI W. 3318055509860013 KEPOHKENCONO 4 1 23-10-18 3.7 50 1 1
IMD Vitamin A Vitamin A
1=YA, Februari Agustus
1=YA, 1=YA,
2=Tidak 2=Tidak 2=Tidak

1 1 1
1 1 1
1 1 1
2 1 1
2 1 1
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
1 1 1
1 0 0
1 1 1
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0

1 1 1
1 1 1
1 1 1
2 1 1
1 1 1
2 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
2 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 1 1
1 1 1
1 1 1
2 1 1

1 1 1

1 1 1
1 1 1

2 1 1
1 1 1
2 1 1
2 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 0 0
2 0 0
1 0 0
1 0 0
1 0 0
1 1 1
1 1 1
1 1 1
2 1 1
2 1 1
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
1 0 0
2 0 0
1 0 0
1 0 0
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
2 1 1
2 1 1
2 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
2 1 1

1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
1 1 1
2 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 0 0
1 0 0
2 0 0
1 0 0
2 0 0
2 0 0
1 0 0
2 0 0
1 0 0
1 0 0
1 1 1
1 0 0
1 0 0
 DATA SASARAN BALITA FORMAT Eppgbm

Provinsi : JAWA TENGAH

Kabupaten/Kota : PATI
Puskesmas : PUCAKWANGI 1
Desa : WATESHAJI

JENIS Berat Cara Ukur ASI IMD

No No KK NIK (Nomor Induk ANAK NAMA ANAK TANGGAL KELAMI Badan Nama Orang tua NIK Orang Tua No Tlp/HP Orang ALAMAT RT RW Tanggal BB TB Eksklusif
Kependudukan Anak ) KE LAHIR Lahir Tua pengukuran (Kg) (Cm) 1=Telentang 1=YA, 1=YA,
N (Kg) 2=Berdiri 2=Tidak 2=Tidak

1. 3318051309070036 3318054208160001 2 KRESYA 2-8-16 P 2800 SUTAMTO 3318051305780001 085326257766 WATESHAJI 3 1 16-10-18 3 100 2 1 1

2. 3318051309160002 3318053108160002 1 ZIDAN 1-8-16 L 3000 WAHYU 3318052709970001 WATESHAJI 5 1 16-10-18 5 100 2 1 1

3. 3318050608160001 3318054810160002 1 ABEL 8-10-16 P 3100 LEGIYO 3316141606940003 WATESHAJI 1 1 16-10-18 1 100 2 1 1

4. 3318051312100007 3318050110160002 2 PADITYA AZAM 1-10-16 L 3000 SUPRASTIO 3318052501820002 085228934663 WATESHAJI 1 1 16-10-18 1 100 2 1 1

5. 3318050110070019 3318055309160001 2 NAFI'AH 13-9-16 P 2800 SUHADI 3318051105810001 085228678163 WATESHAJI 3 1 16-10-18 3 100 2 1 1

6. 3318050702170001 3318055101170001 1 ROSYA QUINA 18-8-16 P 3000 TOTOK 3318051804700001 085325083643 WATESHAJI 1 1 16-10-18 1 100 2 1 1

7. 3318050111120003 3318054502170001 3 DILA 5-2-16 P 3000 PARIJAN 3318051007830007 WATESHAJI 2 1 16-10-18 2 100 2 1 1

8. 3318051007150006 3318055008160003 3 RASYA 18-8-16 L 3100 SUROTO 3316141902820004 085326307780 WATESHAJI 1 1 16-10-18 1 100 2 1 1

9. 3318050111120003 3318052006140001 2 KHOIRUL MUKTOR 11-6-14 L 3200 PARJAN 3318051007830007 WATESHAJI 2 1 16-10-18 2 100 2 1 1

10. 3318051901170001 3318054604170002 1 ATIKHA ZILBIA 6-4-17 P 2400 AHMAD YULIANTO 3316141207890005 08221612671 WATESHAJI 4 1 16-10-18 4 100 2 1 1

11. 3318051601140005 3318050704140001 1 M. FAIZ 18-4-14 L 2800 AHMAD DAHLAN 3316141102890008 082375589220 WATESHAJI 5 1 16-10-18 5 100 2 1 1

12. 3318051010140003 3318051209150002 1 BRIAN ADI P. 20-9-15 L 2800 SUKADI 3318050505880005 085326307780 WATESHAJI 1 1 16-10-18 1 100 2 1 1

13. 3318052008070014 3318051904140002 2 FRISKI RAFI AIVINO 10-4-14 L 2600 SUBOWO 3318050304780001 085264928149 WATESHAJI 1 1 16-10-18 1 100 2 1 1

14. 3318051108080001 3318050706170002 2 RAFA 7-6-17 L 3500 PUJI MUSTOPO 3318052006820004 085328352778 WATESHAJI 2 1 16-10-18 2 100 2 1 1

15. 3318051509170001 3318054209170003 1 AUDI 2-9-17 P 3000 DIDIK 3316141202930003 WATESHAJI 2 1 16-10-18 9 60 1 1 1

16. 3318050210060506 3318055508170001 2 IUTFIANA ABILA 15-8-17 P 3000 PUJI RASMANTO 3318050902770003 082314930739 WATESHAJI 2 1 16-10-18 14 50 1 1 1

17. 3318052812070008 3318054612170001 3 ARAFA AULIA 6-12-17 P 3100 RAKIMIN 3318050504760003 082231229959 WATESHAJI 2 1 16-10-18 7.5 58 1 1 1

18. 3318050908080009 3318055112170001 2 GAVINDA 11-12-17 P 3200 PRIYONO 3318051603810002 085290620022 WATESHAJI 2 1 16-10-18 8 58 1 1 1

19. 3318052503150001 3318055311170001 1 ROBIATUN 16-10-17 P 2900 LIPUR EKA A. 3316141006880001 082326282741 WATESHAJI 4 1 16-10-18 7.5 59 1 1 1

20. 3318052407080039 3318051711170001 2 M. ALIL 11-1-18 L 3500 SUPAR 3318050512750003 085376055601 WATESHAJI 4 1 16-10-18 8.1 58 1 1 1

21. 3318051309070023 3318052611130001 2 KAYANA RISKI 12-12-13 L 2500 SUTORO 3318053007770001 082335733013 WATESHAJI 3 1 16-10-18 15 107 2 1 1

22. 3318053101130004 3318064602140001 1 FEBRINA 18-2-14 P 3000 NUR SOLIKIN 3318052903870001 082325972659 WATESHAJI 4 1 16-10-18 14 105 2 1 1

23. 3318050302140001 3318056401140001 1 FRIS ULA 1-2-14 P 3000 HARSONO 3318054048900004 WATESHAJI 1 1 16-10-18 15 104 2 1 1

24. 3318051204100004 3318052709140001 1 ASKA LUTFI 27-9-14 L 3100 MUNTAROH 3318051101790001 0895387492385 WATESHAJI 3 1 16-10-18 14 85 2 1 1

25. 3318050701140001 3318052206140001 1 M. RIFKI 22-7-14 L 2800 HARYANTO 3318050812790006 082322781619 WATESHAJI 5 1 16-10-18 14 97 2 1 1

26. 3318051206140001 3318053105140002 1 ABIL 16-6-14 L 3200 SUPADI 3318055059500001 085201896085 WATESHAJI 4 1 16-10-18 14 102 2 1 1

27. 3318052506120006 3318051807140001 1 YOVANKA 2-8-14 L 3000 BUDIONO 3318052101880001 085290212927 WATESHAJI 4 1 16-10-18 15 102 2 1 1

28. 3318052402140007 3318055104140001 1 KHOIRUL HALIMAH 2-5-14 P 2800 SUGIYANTO 3318051904840001 085347651969 WATESHAJI 5 1 16-10-18 15 99 2 1 1

29. 3318051108140012 3318054109140003 1 NAJWA 18-9-14 P 2900 SUWITO 3316140505900002 085113386524 WATESHAJI 3 1 16-10-18 14 86 2 1 1
30. 3318051302130001 3318053001150001 1 BINTANG 28-1-15 L 3000 MANDOYO 3318051405720002 WATESHAJI 1 1 16-10-18 14 85 2 1 1

31. 3318051710180003 3318055803150001 1 LEDI CINTIA 18-3-15 P 3100 ALI IMRON 3318052210810004 081350234622 WATESHAJI 1 1 16-10-18 13 83 2 1 1

32. 3318050607090018 3318056105150001 2 ANINDITA KHELSA 28-5-15 P 3500 SUPARJO 3318050205620002 085326504063 WATESHAJI 3 1 16-10-18 13 82 2 1 1

33. 3318051408150004 3318054608150001 1 MEYSHA 6-8-15 P 2900 WAHYU EKO 3316141304920002 082325599388 WATESHAJI 3 1 16-10-18 13 83 2 1 1

34. 3318051209120002 3318050912150001 1 FADILAH R. 9-12-15 L 2500 WARIMAN 3318051308760001 WATESHAJI 2 1 16-10-18 10 78 2 1 1

35. 3318053110130002 3318051412150001 1 HIIDAN ABINAYA 14-12-15 L 3000 ALIMUS TOPA 3316140202900003 082324748715 WATESHAJI 1 1 16-10-18 11 78 2 1 1

36. 3316140102160003 3316144401160001 1 SIHA 4-1-16 P 2900 DIDIK RIYANTO 3316141007920007 WATESHAJI 2 1 16-10-18 10 79 2 1 1

37. 3318110411150001 3318115412150003 2 SILDA 14-12-15 P 3100 RUKANI 3318110711820005 WATESHAJI 1 1 16-10-18 10 81 2 1 1

38. 3318050204180002 3321085402160002 1 AQILA 14-2-16 P 2800 ABDUL GONI 3318052309920001 081215363397 WATESHAJI 3 1 16-10-18 10 90 2 1 1

39. 3318050509110002 3318056209160001 3 FIRDA 13-9-16 P 3000 SUHARTONO 3318051603610005 082328554349 WATESHAJI 5 1 16-10-18 13 84. 2 1 1

40. 3318050302160002 3318052701160001 1 ARZIK 27-1-16 L 2900 MUHADI 3318052911910002 082378418011 WATESHAJI 1 1 16-10-18 12.5 90 2 1 1

41. 3318052502080007 3318051603180003 3 ALPARO 16-3-18 L 3000 MULYANTO 3318052004770001 WATESHAJI 1 1 16-10-18 7.5 56 1 1 1

42. 3318051309070032 3318052604180002 3 FERDI 25-4-18 L 3400 MARIAN 3318050604700002 WATESHAJI 2 1 16-10-18 7.6 56 1 1 1

43. 3318050201180005 3318050606180001 1 WILDAN 5-6-18 L 3000 AAN KOIR UM M. 3318052001970001 082225320686 WATESHAJI 4 1 16-10-18 6 55 1 1 1

44. 3 SAFFA 9-6-18 P 2900 HARTOYO 085325120738 WATESHAJI 4 1 16-10-18 5.7 55 1 1 1

45. 3318053008130002 3318057105180002 1 ABESKA 30-5-18 P 3200 EDI PURNOMO 3318051704920007 085325083643 WATESHAJI 1 1 16-10-18 6.6 54 1 1 1

46. 1 M. HAIKAL 22-6-14 L 2800 WATESHAJI 2 2 18-10-18 16 90 2 1 1

47. 3318051707140003 2 ADIMAS B. 7-7-14 L 3000 WATESHAJI 2 2 18-10-18 15 89 2 1 1

48. 3318052302140001 2 AHMAD DIKI 23-2-14 L 3000 WATESHAJI 2 2 18-10-18 13 89 2 1 1

49. 3318050909160009 3318055312170002 1 FEBRINA 13-12-17 P 2800 TEMON 3318051810920003 WATESHAJI 2 2 18-10-18 6.5 58 1 1 1

50. 3318051801180003 3318055304180001 1 NABIVA BINTANG 6-4-18 P 2400 KISNO 3318051707870005 081226143673 WATESHAJI 2 2 18-10-18 8 56 1 1 1

51. 1 CINDI AULIA 15-3-18 P 3000 WATESHAJI 2 2 18-10-18 5.8 55 1 1 1

52. 3318052710160001 3318052305180001 1 KREZA ALFARO 23-5-18 L 3000 ADI PURNOMO 3318050107890028 082313770905 WATESHAJI 2 2 18-10-18 5.5 53 1 1 1

53. 3318050208180001 3318051006180001 1 REVITO ADI 12-6-18 L 3000 LASDI 3318052310930002 08235817008028 WATESHAJI 2 2 18-10-18 4 52 1 1 1

54. 3318051403150001 3318056802150002 1 ADIBAH SIVAYATAI 28-2-14 P 2800 EDI UTOMO 3516122003890002 WATESHAJI 1 2 16-10-18 12.5 88 2 1 1

55. 3318051210140001 1 MAULANA FENDI 14-10-14 L 2900 NOVA LISTANTO 3521112010910005 WATESHAJI 1 2 16-10-18 13 90 2 1 1

56. 3318051210110006 3318056806160002 1 LUTFI RENA 28-6-15 P 3100 SRI YONO 3318051608840005 WATESHAJI 1 2 16-10-18 12 86 2 1 1

57. 3318051806070027 3318055105150001 2 AZKIA MARIAM UIVA 11-5-15 P 2500 LASMAN 3318050903700002 WATESHAJI 1 2 16-10-18 0.5 86 2 1 1

58. 3318052005130001 3318050309160007 1 ARIP NUR REVAN 3-9-16 L 2000 WAHONO 3318051209810001 WATESHAJI 1 2 16-10-18 11.5 89 2 1 1

59. 3318051207050952 3318050310160001 3 SAIFUL 3-10-16 L 3500 WARSITO WATESHAJI 1 2 16-10-18 9.9 80 2 1 1

60. 3318050304170002 3318051203170001 1 BINTANG CAHAYA P 12-3-17 L 3000 AGUNG S. 3316142403920006 082387741269 WATESHAJI 1 2 16-10-18 9.4 76 2 1 1

61. 3318052501160001 3318062807160001 1 ARTA 28-3-16 L 2600 SUKAWI 3318052112860001 WATESHAJI 1 2 16-10-18 11 86 2 1 1

62. 3318052003170001 3318055709170001 1 KASIH YULIA SARI 17-9-17 P 2700 SUYOTO 3318050611820006 WATESHAJI 1 2 16-10-18 7.5 60 1 1 1

63. 3318051707120002 3318054512170004 3 KEYTA PUTRI 4-12-17 P 2300 TEGENG 3318050603700010 WATESHAJI 1 2 16-10-18 7.5 60 1 1 1

64. 3318051102130004 3318051709170001 1 A. KAFI M. 27-9-17 L 3000 SUGIYANTO 3318051012860001 WATESHAJI 1 2 16-10-18 8 60 1 1 1

65. 3318052509070020 3318056502180001 1 AZAHRA 25-2-18 P 3200 SAMSIKIN 3318052707840002 WATESHAJI 1 2 16-10-18 8 55 1 1 1

66. 3318050410170002 3318051002180001 1 M. SOBIRIN 11-2-18 L 2400 ANGGA 3316141505940004 WATESHAJI 1 2 16-10-18 6 55 1 1 1

67. 3318050210130003 3318050904180001 1 GHAISAN LABAY ARTANABIL 9-4-18 L 3200 DONI SETIAWAN 3316142208930001 085235375959 WATESHAJI 1 2 16-10-18 9.5 56 1 1 1
Vitamin A Vitamin A
Februari Agustus
1=YA, 1=YA,
2=Tidak 2=Tidak

1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
0 1
0 1
0 1
0 1
0 1
0 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
0 0
0 0
0 0
0 0
0 0
1 1
1 1
1 1
1 1
0 0
0 0
0 0
0 0
0 0
1 1
1 1
1 1
1 1
1 1
1 1
1 1
0 1
0 1
0 1
0 1
1 0
0 0
 DATA SASARAN BALITA FORMAT Eppgbm

Provinsi : JAWA TENGAH

Kabupaten/Kota : PATI
Puskesmas : PUCAKWANGI 1
Desa : SITIMULYO

JENIS Berat Cara Ukur ASI

No No KK NIK (Nomor Induk ANAK NAMA ANAK TANGGAL KELAMI Badan Nama Orang tua NIK Orang Tua No Tlp/HP Orang ALAMAT RT RW Tanggal BB TB Eksklusif
Kependudukan Anak ) KE LAHIR Lahir Tua pengukuran (Kg) (Cm) 1=Telentang 1=YA,
N (Kg) 2=Berdiri 2=Tidak

1. 9171051803100019 9171051706140002 3 FAIZA WIRATAMA 17-6-17 L ANDRI WAHYU / AISYAH 9171051605830004 SITIMULYO 3 1 19-10-18 14.1 80 2

2. 3318052508150002 3318052406150002 1 RENDY ADITYA 24-6-15 L NUR ROHMAN / MUMAINAH SITIMULYO 3 1 19-10-18 12.5 86 2

3. 3320092909140005 3320094203150001 1 ATINA MALAISALAM 1-3-15 P MINTONO/ANITA 3320090405790018 SITIMULYO 1 1 19-10-18 10.1 85 2

4. 331805020290001 3318050606160002 2 ABDUL KHAMIL 6-6-16 L KUSMANTO/SUPARTINI 3318051503790002 SITIMULYO 1 1 19-10-18 9 77 2

5. 3318055206160001 3318055206160001 2 TIARA AYU R 12-6-16 P SUPARMIN/SUIS MAMIK 3318051312820001 SITIMULYO 1 1 19-10-18 9.7 81 2

6. 3318053103110001 3318051501170001 2 FAHRUL RAFAEL 15-1-17 L EDY SUPENO/SRI 3318051304790001 SITIMULYO 2 1 19-10-18 9.5 76 2

7. 3318051310080017 3318055405170002 2 DINDA APRILIA S 13-4-17 P SARMI/SUPAT 3318054505830011 SITIMULYO 2 1 19-10-18 8.5 70 2

8. 3318051110100009 3318051605170001 2 ALVIN ANDRA A 16-5-17 L WATI/JUMADI 3318050709790013 SITIMULYO 1 1 19-10-18 11.3 80 2

9. 3318050112160002 3318051406170002 1 ARFA AZKA R 14-6-17 L MINDA DIAN HENGLI N 3318050607910001 082372675251 SITIMULYO 3 1 19-10-18 8.7 67 2

10. 3318051911130002 3318054407170001 3 MOHAMAD SYARID 3-7-17 L MUNARSIH 3318054107790118 SITIMULYO 1 1 19-10-18 10.3 71 2

11. 3318050112160001 3318056708170001 1 LAILA KARIMATUN 27-8-17 P TITIS S/LAMUNA 331805012860001 SITIMULYO 3 1 19-10-18 7.9 71 2

12. 3318051512140002 3318056309170001 2 SURATI INDRA P 23-9-17 P YATI/WINARTO 3318051607800004 SITIMULYO 3 1 19-10-18 8 55 2 1

13. 3318050110160001 3318052701180001 1 BILAL AR ROSYID 27-1-18 L PIPIN Y/SUPARMAN 3318050810910002 SITIMULYO 3 2 15-10-18 8 61 2 1

14. 3318052009170001 3318056901180002 2 ANDREANITA F 29-1-18 P SITI FALAFI'AH/MUSLAN 3318026002840002 SITIMULYO 1 2 15-10-18 7 60 1 1

15. 331805241110001 3318054304180003 2 ASNA DWI FARA D 3-4-18 P ENDIK S/SLAMET R 3318071308800006 SITIMULYO 1 2 15-10-18 6 56 1

16. 3318051112070234 3318052511170002 2 AHMAD REO N 25-11-17 L JAMIATUN/KARYONO 3318055010860001 SITIMULYO 1 7 13-10-18 8.5 1

17. 3318050605100004 3318054212170001 2 ANGTU SULYA ROHMATUL J 1-12-17 P TISWATI/RASEMIN 3318050106810005 SITIMULYO 2 7 13-10-18 6.5 1

18. 3318051801180008 3318051703180004 1 MUHAMMAD RAFKHA Z 17-3-18 L ISNAWATI/SUTIKNO 331805120390001 SITIMULYO 1 7 13-10-18 7.8 1

19. 3318050102180004 3318054606180001 1 ALENA SAFITRI 6-6-18 P SULASTRI/KUSWANTO 3318112408860005 SITIMULYO 1 7 13-10-18 5.8 1

20. 331805206160001 3318050706160001 2 MUHAMAD MARIKA PUTRA 7-6-16 L KASIH/SUMARI 3318051508830002 SITIMULYO 2 7 13-10-18 10.7 2

21. 3318052911080008 3318055908180001 2 RAISYA NAVAZA 19-8-18 P SULASIH/RASMIN 3318050505750013 SITIMULYO 3 2 15-10-18 4.8 1 1

22. 3318050202120004 3318051005850009 1 AGILA SILVIA YUMNA 25-1-14 P SULASMI/SUNARDI 3318051005850009 SITIMULYO 2 2 15-10-18 13.5 2

23. 3318051309070044 3318056901140001 1 JASIKA KAYLA P 29-1-14 P SUNITI/JASMANI 3318050305810002 SITIMULYO 2 2 15-10-18 12.9 2

24. 3318052811070498 3318052203140002 2 AHMAD AGUS P 22-3-14 L LAMISIH/LASJAN 3318052803850001 SITIMULYO 1 2 15-10-18 12.5 2

25. 3318052710140003 3318055610140001 1 BINTANG CRISTIYANTI 15-10-14 P SUKRISINA/SUHARYANTO 3318051812830002 SITIMULYO 3 2 15-10-18 13 2

26. 3318052507140003 3318050201150001 1 ABI NAZWA AZIZI 2-1-15 L ROF'AH/SUMIJAN 3316141405910003 SITIMULYO 1 2 15-10-18 14 2

27. 3318052507140003 3318050201150002 2 ABAS YUBNA A 2-1-15 L ROF'AH/SUMIJAN 331614140830002 SITIMULYO 1 2 15-10-18 14.8 2

28. 3318052907130003 3318050204150001 1 KENZIE YUDISTIRA 2-4-15 L TITIK NUR/TEGUH 3318050901910003 SITIMULYO 2 2 15-10-18 12.1 2

29. 3318050807140005 3318054902140003 1 NAJWA LULU'UL 9-2-14 P SITI KOMARIYAH/DIDIK KARSONO 3318052003900002 SITIMULYO 2 2 15-10-18 13.1 2
30. 3318050411140002 3318050301160006 1 SATRIA ROSYIQUL 2-1-16 L SUPRAPTI/SRI W 3318051204900001 SITIMULYO 3 1 15-10-18 10.6 2

31. 3318052411070003 3318054701160002 2 ARA AZKI K 7-1-16 P TRINI/NGATISNO 3318051909780002 SITIMULYO 1 2 15-10-18 10.1 2

32. 3318051110160003 3318051301160003 2 ABDUL KARIM WAFI 13-1-16 L MARTINI/SUNARTO 3318054602880002 SITIMULYO 1 2 15-10-18 10.7 2

33. 3318051006130013 3318055609140001 1 INTAN NUR ROHMAH 16-9-14 P SUTRI ATUN/SARMIDI 3318051611890001 SITIMULYO 3 2 15-10-18 11.5 2

34. 3318052608150005 3318054506160001 1 TONIA ALIFA HIBATILLAH 5-6-16 P SITI MUNIPAH/ALI AHMADI 3318020911860001 SITIMULYO 2 2 15-10-18 14 2

35. 3318051603160001 3318052506160002 1 RAFLI HAFIZ M 25-6-16 L SITI JUMIRAH/RUNADI 3318051302830002 SITIMULYO 3 2 15-10-18 10 2

36. 3318050807140001 3318053008160001 2 ADNAN SYAFI A 30-8-16 L SITI KOMARIYAH/DIDIK KARSONO 3318052003900002 SITIMULYO 2 2 15-10-18 10.6 2

37. 3318051307160007 3318052410160001 1 FABIAN RADITYA 24-10-16 L RUBAIS KUMAIYAH/DWI SUSANTO 3318050107910049 SITIMULYO 1 2 15-10-18 9.3 2

38. 3318052006160003 3318055111160001 1 AZKA PUTRA P 11-11-16 L AFNITA F./SUGIN 3318051205850005 SITIMULYO 2 2 15-10-18 9 2

39. 3318052711070578 3318054402170001 2 ELYCANDRA N 4-2-17 P PURWATI/SUNTORO 3318051703870004 SITIMULYO 2 2 15-10-18 9 2

40. 3318052106070017 3318053108150002 2 AHMAD AMMAR ZAHY 31-8-15 L UMI KHORIYAH/BAMBANG 3318050450810003 SITIMULYO 2 3 17-9-18 12.2 90 2

41. 3318050207100008 3318052311150002 2 AHMAD FATKHUL F 23-11-15 L SRIHARMUNIK/SUNGATMIN 3318051603830003 SITIMULYO 2 3 17-9-18 11.8 86 2

42. 3318050211080001 3318052611150001 2 ANAS BAHRUDIN NUR 26-11-15 L ENDANG/SUMARLAN 3318051607790008 085290491085 SITIMULYO 1 3 17-9-18 10.5 86 2

43. 3318052209150001 3318054701160003 1 KHONAYA ARISTYA N 7-1-16 P IDA YULIANTI/SABAN 3318050203850008 SITIMULYO 2 3 17-9-18 10.3 80 2

44. 3318051702160001 3318056404150002 1 SALSABILA AVIA S 24-4-16 P SITI YULIANA/SUKARDIYANTO 3318051504900004 SITIMULYO 2 3 17-9-18 10.4 84 2

45. 3318062112100004 3318064105170002 2 ZAHWA ANAIBU IZZI 1-5-17 P ENI ISMAWATI/SUDIR 3318061104840007 085329080568 SITIMULYO 1 3 17-9-18 9 73 2

46. 3318050810090007 3318054109170002 2 GHINA SALVINA M 1-9-17 P PRIHATIN/TOTOK 3318054109170002 085257762380 SITIMULYO 1 3 17-9-18 9.5 71 2

47. 3318052104080007 3318051210170001 2 KHOLIDI AINUN I 12-10-17 L KASMI/JUMARI 3318051504760001 SITIMULYO 2 3 17-9-18 8.2 67 2

48. 3318052509170001 3318055012170003 1 VIONA ANNA YATUL 9-12-17 P RITA HARTINI/AHMAD 3318050702950002 081276419553 SITIMULYO 2 3 17-9-18 8.5 67 2 1

49. 3318051906070017 3318052412170001 2 ARFAN ARDANI D 24-12-17 L RUMIYATI/SUTRISNO 3318050609800003 085325968043 SITIMULYO 1 3 17-9-18 9 73 2 1

50. 3318051608070010 3318051002180003 2 ALFIN ZIDAN A 10-1-18 L WARSITI/SUNARLAN 3318051601740001 085292966454 SITIMULYO 2 3 17-9-18 7.7 63 1 1

51. 3318051706110003 3318056005180001 2 KUN ZIYYA HULWA 20-5-18 P TARIYEM/SULAR 3318051109840001 082223292478 SITIMULYO 2 3 17-9-18 6.3 60 1 1

52. 3318050110110004 3318054101140002 1 NAILA SALBIRA 1-1-14 P SULASMI/WARSIDI 3318051507910002 SITIMULYO 4 4 5/9/2018 14.9 94 2

53. 3318051803100001 3318051802140002 2 AHMAD RIFQI NUR ILMI 18-2-14 L SUKINAH/SUPARMIN 3318051002720008 SITIMULYO 4 4 5/9/2018 13 93 2

54. 3318052911110012 3318052705140001 1 MOHAMAD EZA R 27-5-14 L DAMINI/SARKO 3318051606830005 085244099630 SITIMULYO 3 4 5/9/2018 16.5 104 2

55. 3318050809110005 3318051606140003 1 MOHAMAD FAIZ S. W 16-6-14 L JUMIYANTI/SAMPURNO 3318050512860003 SITIMULYO 6 4 5/9/2018 14 99 2

56. 3318053103120001 3318051811140001 1 MUHAMAD AKIF SAID 18-11-14 L WIWIK/SUNAWI 3318062911850001 SITIMULYO 3 4 5/9/2018 14.5 94 2

57. 3318050706080002 3318051601140002 2 AHMAD KHOIRUL ANAM 16-1-15 L KARNITI/SUNARI 3318050903760006 SITIMULYO 3 4 5/9/2018 12 88 2

58. 3318050605830004 3318050602150002 1 ARKAN SYAIKUL M 6-2-15 L SRI KARYANTI/KARMUDI 3318050605830004 08523738855 SITIMULYO 3 4 5/9/2018 13.3 89 2

59. 3318052008090014 3318057007150001 3 FANI AULIA HIDAYAH 6-2-15 P RISA NOPITA/BEJO 3318050204820002 SITIMULYO 6 4 5/9/2018 12.5 87 2

60. 3318052304150001 3318056609150001 1 SEPTIANI KARI MATUN N 26-9-15 P SITI ASRUROH/SULATUN 3318051001790004 08233328079 SITIMULYO 5 4 5/9/2018 11.3 87 2

61. 3318050807150007 3318050710150001 1 MOHAMAD TAMA A 7-10-15 L SRI MURYATI/SRI KISMARAN 3318050208810002 085290275138 SITIMULYO 3 4 5/9/2018 11.3 87 2

62. 3318052610150002 3318055810150002 1 NELIFA JIRISMILKY N 18-10-15 P PUJI ASTUTI/ARIS 3316142112920001 SITIMULYO 1 4 5/9/2018 13 90 2

63. 3318050112160003 3318055811150001 1 KHOLIFIA HANAN ADI S 18-11-15 P RISTIANA/BUDI 3310202710910001 085287670732 SITIMULYO 4 4 5/9/2018 12.3 90 2

64. 3318050806150002 3318050712150001 1 HANADA ABRIZAM G 7-12-15 L SITI MASLUROH/HANDOKO 3318051108900002 SITIMULYO 3 4 5/9/2018 12 88 2

65. 3318052110140001 3318051901160001 1 LUDFI ASKA PRATAMA 19-1-16 L YAYUK/BUDI S. NUR 3318051812910002 SITIMULYO 4 4 5/9/2018 19.6 94 2

66. 3318050505140002 3318051302160001 1 KENZIE KOYRO F 7-2-16 L ERMA KARYANTI/RUSDIYANTO 3318051705850007 082225276700 SITIMULYO 5 4 5/9/2018 13.5 89 2

67. 3318052108150003 3318050204160003 1 MOHAMMAD KELVIN Z.M 2-4-16 L LUSMI HARTANTI/M.SUDI LESTARI 3318052807900002 08225255804 SITIMULYO 3 4 5/9/2018 11.6 83 2
68. 3318050104160001 3318051404160001 1 ARZENIO GIBRAN AL K 14-4-16 L WOTO/SULASTRI 3318051803830003 SITIMULYO 3 4 5/9/2018 12.4 85 2

69. 3318052310140005 3318055604160001 2 SITI NUR S 16-4-16 P SULASIH/MULYADI 3316140805830002 SITIMULYO 1 4 5/10/2018 11.3 80 2

70. 3318050308090012 3318052404160001 2 ARSYAD RAKA S 23-4-16 L SUYATI/PARJO 3318051707780006 SITIMULYO 6 4 5/9/2018 11 83 2

71. 3318050112160003 3318050412160001 2 MUHAMMAD HANIF 4-10-16 L RISTIANA/BUDI S. 3310202710910001 085287670732 SITIMULYO 4 4 5/9/2018 13 85 2

72. 3318051601170004 3318054612160001 1 KIASATINA SIFFA R 9-12-16 P KUNIK P./SUMARDI 3316141303900002 SITIMULYO 6 4 5/9/2018 10.3 73 2

73. 3318050810160001 3318055812170001 1 SASKIA WIDIA PUTRI 18-12-16 P PASINAH/ADI DONI 3323061310940002 SITIMULYO 3 4 5/9/2018 8.9 79 2

74. 3301052706160005 3318056605160001 2 MANDA FRITSYA I. S. 26-5-16 P WIWIT TEGUH/KATIK IDA 3301051108820003 SITIMULYO 4 4 5/9/2018 13 86 2

75. 3318050701170003 3318052202170001 1 MUHAMMAD ADITAMA E. 22-2-17 L CICIK/SIGIT 3318051412940005 SITIMULYO 4 4 5/9/2018 10.3 74 2

76. 3318052805110007 3318052603170001 2 DWI SYAIFUL BAHTIAR 26-3-17 L SUMIATI/SISWO 3318082705860001 SITIMULYO 6 4 5/9/2018 8.9 73 2

77. 3318052702080001 3318050505170002 1 DARIS AGENG A. 4-5-17 L SUKISWATI/SUDARMONO 3318055105960002 SITIMULYO 1 4 5/9/2018 8.8 68 2

78. 3318053011070187 3318054705170002 2 RIDHA SHAFIRA S. 7-5-17 P LESTARI/RUSDIYANTO 3318051409850002 SITIMULYO 2 4 5/9/2018 8.8 69 1

79. 3318051406170002 3318052905170001 2 ALFIANDO DWI PURWA R. 29-5-17 L HALI RUANTIKO/PURWADI 3316141110890004 SITIMULYO 1 4 5/9/2018 9.5 62 2

80. 3318051107050381 3318052705180001 2 RAFARDHAN UBAIDILLAH P 27-5-18 L PORIS HERAWATI/PURWANTO 3318052009770001 SITIMULYO 4 4 5/9/2018 7.2 60 1 1

81. 3318050805180001 3318057007180001 1 ZEINA ASSYIFA MACCA 30-7-18 P ANIK SUSANTI/ALI MUTAKIN 3318052805870003 085326214383 SITIMULYO 2 4 5/10/2018 5.9 51 2 1

82. 3318051412070169 3318052606180002 2 MUHAMMAD RAFFA SYA A. 26-6-18 L GUNAWAN/SULARTI 3318052006830003 SITIMULYO 1 4 5/10/2018 8 55 2 1

83. 3318052502140002 3318055002140001 1 DIANA NURIYATUL JANA 17-2-14 P SUWARI/SARMIN 3318052502140002 SITIMULYO 1 5 8/10/2018 12.4 94 2

84. 3318052402140001 3318055402140001 1 AURA FEBY TRSKA N. 14-2-14 P IDA/EKO SUTRISNO 3318052408820001 SITIMULYO 3 5 8/10/2018 12.2 95 2

85. 3318053112110003 3318055107140001 1 GEISYA JULIA R. 11-7-14 P RINAWATI/JUDI 3318051209880003 SITIMULYO 3 5 8/10/2018 13.4 93 2

86. 3318051309140004 3318055207140003 1 KIANDRA AULIA RAMADANI 12-7-14 P CICIK PUJIASIH/SLAMET 3318052201900006 SITIMULYO 3 5 8/10/2018 10.4 88 2

87. 3318052105150003 3318054611150001 1 AIRIS NATASYA 6-11-15 P RUSMINI/SUJOKO 3318050705900001 SITIMULYO 2 5 8/10/2018 10.7 86 2

88. 3318052302080019 3318056312150001 1 RAHMA ILMI NAFIA 23-12-15 P WARSITI/SUHERMAN 3318051301580002 SITIMULYO 3 5 8/10/2018 9.8 83 2

89. 3318050203160002 3318050702160001 1 ARJUNA RADITYA FIRZA 7-2-16 L SITI SHOLIKATI/SUGENG 3316142506910004 SITIMULYO 1 5 8/10/2018 12.9 87 2

90. 3318053001160001 3318056804160001 1 AFIQA AYUNDA QANITA 29-4-16 P RINANTI/KASMURI 3318050603860002 SITIMULYO 1 5 8/10/2018 11.3 84 2

91. 3318052207150002 3318051505170001 1 ARDHAN REYHAN M. 15-5-17 L SULATMI/TARSAN 3316162305690002 SITIMULYO 3 5 8/10/2018 10.6 76 2

92. 3318051712090004 3318051712090004 2 ALVINO SATRIA KURNIAWAN 6-3-18 L KASRI PRIHATINI/LEGIMAN 3318050605750006 081330710904 SITIMULYO 2 5 8/10/2018 7.4 61 1 1

93. 3318051710110001 3318050202150001 2 KHANUR ALIYA 2-2-15 P ITA PURNAMASRI/SUGENG P 3318051809810006 SITIMULYO 2 6 13-10-18 12.5 89 2

94. 3318052506130008 3318052305150002 1 ABRAHAM ALEXY 20-5-15 L GHANIK ATUN JONI/MASTURI 3318050811800003 SITIMULYO 2 6 13-10-18 11.2 86 2

95. 3318051207080016 3318056108150001 2 DEWI NUR VINA A. 21-8-15 P JASMI/SUPARMAN 3318052907680002 SITIMULYO 3 6 13-10-18 12.1 89 2

96. 3318052803160007 3318054610160001 1 SHERINA MOZA 6-10-16 P AMBARWATI/DIDIK P 3316141511930002 SITIMULYO 3 6 13-10-18 11.2 75 2

97. 3318051411140004 3318055410160001 3 NAILA NIKMATUS SA'ADAH 14-10-16 P SARIMAH/JOKO S 3316142204810005 SITIMULYO 2 6 13-10-18 9 75 2

98. 3318051009160008 3318050811160002 3 AHMAD SETYO WIBOWO 8-11-16 L SUSANTI/KARYONO 3316140304760007 SITIMULYO 2 6 13-10-18 10.8 79 2

99. 3318053006150002 3318056005170001 1 AGISTHOMA ZAKIA NUR R. 20-5-17 P JUMAMIK/AGUS 3318051311890002 SITIMULYO 1 6 13-10-18 6.9 71 2

100 3318051704170002 3318056607170001 1 RAFIKA FATIM ATUZ VAROH 25-7-17 P WATINI/DARYANTO 3316143101870003 SITIMULYO 2 6 13-10-18 6.7 64 2

101 3318050108170005 3318050603180001 1 ALVIN RAKA ADITAMA 6-3-18 L TARMIATI/SUMADI 3318050107860064 SITIMULYO 3 6 13-10-18 7.8 63 1 1

102 3318051104180001 3318055905180002 1 MEYLIKA REVALINA L.R. 19-5-18 P IKA NOVITASARI/MUR ELI 3318061204890006 SITIMULYO 1 6 13-10-18 6 58 1 1

103 3318051806070013 3318050808180002 3 MUHAMMAD HKHOIRUL IBAD 8-8-18 L SUMARTI/SUPADI 3318051502720006 SITIMULYO 3 6 13-10-18 5.4 51 1 2

104 3318051609100004 3318050801140001 2 AHMAD ALEX KURNIAWAN 8-1-14 ; SUPRIYATUN/SUGIYANTO 3318051005850008 SITIMULYO 1 7 13-10-18 15.5 86 2

105 3318050703100003 3318055412130001 2 CHAIRUNNISA SALSABILA P. 14-12-13 P NARSINAH/NGASMAN 3318052404760003 SITIMULYO 1 7 13-10-18 15.2 98 2
106 3318050208130004 3318054202140002 1 ZAHRA NATASYA Q. 2-2-14 P ANIS/AGUS 3318050606900001 SITIMULYO 2 7 13-10-18 12.5 95 2

107 3318051605130006 331805680410001 2 APRILIA USWATUN K. 28-4-14 P KARMINI/RUKIN 3318052701820002 SITIMULYO 1 7 13-10-18 11.9 91 2

108 3318052012140003 3318052211140002 1 MUHAMMAD ARYA 22-11-14 L ENDANG/SUNARDI SITIMULYO 1 7 13-10-18 13.5 94 2

109 3318051304150002 3318056908150003 1 CHAIRA FAYOLLA 29-8-15 P ANIK RINDI/MUTISNO 3316142606940001 SITIMULYO 1 13-10-18 13.1 89 2

110 3318051505130003 3318050610150001 1 MUHAMMAD AL FARIL BAYU 6-10-15 L SITI YULIANA/KASMURI 3318050405870005 SITIMULYO 1 7 13-10-18 13.5 87 2

111 3318050209150002 3318052701160002 1 MUHAMMAD ILHAM H. 27-1-16 L SUWARTI/WASIS 3316141101900003 SITIMULYO 1 7 13-10-18 11 87 2

112 3318052803140004 3318050704160002 1 MUHAMMAD BAHRUR M. 6-4-16 L DIANA SISKA/LASIDIN 3318052307910006 SITIMULYO 1 7 13-10-18 11.5 86 2

113 3318052807090014 3318050804160001 2 KAFFI AL AZZAM 8-4-16 L SUWARI/KASNADI 3318050508780002 SITIMULYO 2 7 13-10-18 10.9 81 2

114 3318081204070007 3318057108160002 2 SARI HAWAMUL K. 31-8-16 P SUSANTI/ 3318086305750041 SITIMULYO 1 7 13-10-18 10.7 86 2

115 3318051804180004 3318052302160003 1 MUHAMMAD ZAKKI 23-2-16 L SUPRIYANTI/SUTRISNO 3318050606900009 SITIMULYO 2 7 13-10-18 13 94 2

116 3318050304170004 3318054106170001 1 NIHAYATUL HUSNA 1-6-17 P ANIS NUR K/SAMIKUN 3316140709870004 SITIMULYO 2 7 13-10-18 7.5 70 2

117 3318051711070007 3318055209170003 1 ARSYILLA SEPTIANA PUTRI 12-9-17 P PUJIASIH/YOYOK SITIMULYO 1 7 13-10-18 7.9 63 2 1

118 3318052709160003 3318050110170001 1 MUHAMMAD AHMAD R. M. 1-10-17 L SISKA MUKTIANI/SUPARMIN 3318054704990005 SITIMULYO 1 7 13-10-18 9.5 87 2 1

119 3318051112070637 3318052006140002 2 MUHAMMAD KELVIN V. 20-6-14 L RASNO/SUMIATI 3318055306890004 SITIMULYO 1 7 13-10-18 16.5 101 2

120 3318050405070002 3318053001150003 3 NIKOLAS SAPUTRA 1-2-15 L SUKARNO/SRI MURYATI 3318050708810001 SITIMULYO 2 1 19-10-18 12.2 90 2
IMD Vitamin A Vitamin A
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 DATA SASARAN IBU HAMIL

Provinsi :
Kabupaten/Kota :
Puskesmas :

TTD
NIK (Nomor Induk (Tablet Jika YA,
Kependudukan) BB sebelum TANGGAL Tanggal BB TB LILA Kehamilan Tambah brp butir
No atau NAMA IBU hamil ALAMAT RT RW LAHIR pengukuran (Kg) (Cm) (cm) ke darah) TTD
NO. KTP 1=YA, didapat
2=Tidak
 DATA SASARAN BALITA FORMAT Eppgbm

Provinsi :
Kabupaten/Kota :
Puskesmas :
Desa : :

JENIS Berat Cara Ukur ASI

No No KK NIK (Nomor Induk ANAK NAMA ANAK TANGGAL KELAMI Badan Nama Orang tua NIK Orang Tua No Tlp/HP Orang ALAMAT RT RW Tanggal BB TB Eksklusif
Kependudukan Anak ) KE LAHIR Lahir Tua pengukuran (Kg) (Cm) 1=Telentang 1=YA,
N (Kg) 2=Berdiri 2=Tidak

1. 3318052309160012 3318056309180001 1 arsilazia azzahra 23/09/18 P 2.6 SUKAMTO 081225067868 TANJUNGSEKAR 4 2 10/10/2018 4 49 1 1

2. 3318050309080021 3318064308180001 2 DEVITA ZAINA KHOIRIN NISWAH 13/08/18 P 3.3 SULURI 3318051208770006 081225067868 TANJUNGSEKAR 1 2 5.1 51 1 2

3. 3318051903180002 3318056206180002 1 NAURA IRDINA ZAHRA 22/04/18 P 3.3 A.TAFRIKAN 3318050106890002 081225067868 TANJUNGSEKAR 2 2 6.9 1 2

4. 3318050407080001 3318050404180001 3 HAIKAL MUZHAFFAR 04/04/18 L 3.4 SELAMET R 3318050409740002 081225067868 TANJUNGSEKAR 3 2 7 1 1

5. 3318050409090008 3318055801180002 2 ELSA SALSABILA ALHUSNA 18/01/18 P 2.7 SUNARTO 3318052910790003 081225067868 TANJUNGSEKAR 2 2 7.3 67 1 1

6. 33180508041000008 3318054602180002 2 ANNIDA 06/02/18 P 3.6 SUTARYONO 3318051209770002 081225067868 TANJUNGSEKAR 1 2 13 76 1 1

7. 3318051212070396 3318052102180003 2 MOH IQBAL ALQHOFARI 21/02/18 L 3.3 MATTAWI 3318051009740001 081225067868 TANJUNGSEKAR 1 2 6.6 70 1 1

8. 3318053110070006 3318050612170001 3 M.ABHIVAN DESTIYAN 06/12/17 L 4 SUPRIYANTO 3318052007760002 081225067868 TANJUNGSEKAR 3 2 9.5 7.2 1 1
9. 3318050404110004 3318056909170001 2 LISDA SETYIA 24/11/17 P 3.3 JAMARI 3318051501840003 081225067868 TANJUNGSEKAR 4 2 9.4 7.7 1 1

10. 3318052110160002 3318051507170001 1 AMIRUL ASRAF 15/10/17 L 3.3 ABDUL ROHMAN 3318051205850009 081225067868 TANJUNGSEKAR 4 2 10/10/2018 9.3 70 2 1

11. 3318050706170002 3318055706170001 1 FANADIROTUN MUYSAROH 17/06/18 P 3 PARNO 3318092702920001 081225067868 TANJUNGSEKAR 4 2 9 70 2 1
12. 3318052604080019 3318054206170002 2 ADIBA SYAKILA KAMADANI 02/06/17 P 3.4 PARIJAN 3318050204780002 081225067868 TANJUNGSEKAR 2 2 10.6 71 2 1

13. 3318052120700013 3318054805170001 2 MUSYA LINTANG K 08/05/17 P 3 GIONO 3318050705780006 081225067868 TANJUNGSEKAR 2 2 9.1 70 2 1
14. 3318051108160003 3318052502170002 1 MOH RIHAN ANDRIANO 25/02/17 L 5.5 AMRIYAHYA 3318057008870003 081225067868 TANJUNGSEKAR 3 2 11 77 2 1
15. 3318051711070009 3318052701170001 2 HARAS DENIS KHOIRUL 27/01/17 L 3.4 ROHMAD 3318050412770001 081225067868 TANJUNGSEKAR 3 2 10.5 75 2 1
16. 3318052310080002 3318056811160001 2 BENING RESTU AJENG 28/11/16 P 2.4 TEGUH 3318050604840005 081225067868 TANJUNGSEKAR 2 2 12 75 2 1
17. 3318050112100052 3318052209160001 2 GIBRAN ALFARO 22/09/16 L 3.5 LASMAN 3318052607760003 081225067868 TANJUNGSEKAR 3 2 11.7 76 2 1
18. 3318052805160003 3318051509160001 1 NOVAL ARFINZA CETTA 15/09/16 L 2.9 ARIF HARYANTO 3318052311880001 081225067868 TANJUNGSEKAR 2 2 10.6 76 2 1
19. 3318051507080027 3318054705160001 2 ANGGISYA PUTRI A 07/05/16 P 3 WARDI 3318051012780004 081225067868 TANJUNGSEKAR 2 2 10.7 77 2 1
20. 3318050608150002 3318050405160002 1 MOH AFFAN RUFASYA 04/05/16 L 3.1 ISLAHULHUDA 3318050209840004 081225067868 TANJUNGSEKAR 3 2 10.5 78 2 1
21. 3318052112150002 3318050704160003 1 ARVINA LUTFIAN P 17/04/16 L 3.2 EKOWANTO SUSILO 3318052605900004 081225067868 TANJUNGSEKAR 3 2 11 80 2 1
22. 3318051407170001 3318056612160002 1 ADIVA ALIFA HUZZAHRO 26/12/15 P 3 NGASIMIN 3318022804800001 081225067868 TANJUNGSEKAR 2 2 10.7 77 2 1
23. 3318051907130002 3318054406160001 2 ZAMAYUS MANIA 04/06/16 P 3.1 YUSMANI 3318050310840004 081225067868 TANJUNGSEKAR 2 2 10.6 76 2 1
24. 3318051509850003 3318050507150003 2 MOH DAVIN VIDELLIO 05/07/15 L 3.3 DOPEN 3318050901090001 081225067868 TANJUNGSEKAR 4 2 12.1 81 2 1
25. 3318051007150008 3318052105150003 1 ANTONI AZKA PRATAMA 21/05/15 L 2.6 TEDDY 3318052305980004 081225067868 TANJUNGSEKAR 3 2 10.6 82 2 1
26. 3318051212070454 3318054103150002 1 ASKIA SAMHA SAUFA 01/03/15 P 2.9 NURSABHAN 33180514018600002 081225067868 TANJUNGSEKAR 2 2 13.2 58 2 1
27. 3318052504140007 3318051104140002 1 SATRIA CANDRA 11/04/14 L 3.3 MANSYUR 3318050209870002 081225067868 TANJUNGSEKAR 4 2 13 84 2 1
28. 3318052001090005 3318055508140001 2 EVA DWI AGUSTINA 15/03/14 P 3.6 ASHARI 3318050404760007 081225067868 TANJUNGSEKAR 4 2 14 89 2 1
29. 3318051212070493 33180550304140001 3 CANDRA ADI S 04/02/14 L 3.2 MATTOHAR 3318050812700001 081225067868 TANJUNGSEKAR 2 2 14 90 2 1
30. 3318050509160001 3318054712130001 1 ALFIANA BATRISA 07/12/13 P 1.2 SUWITO 3318050305780003 081225067868 TANJUNGSEKAR 4 2 13 88 2 1
31. 3318050605100007 3318056210140001 2 MERRISA RIKA OKTAVINATA 02/10/14 P 3.4 RUDI KUSANDRA 3318052108870003 081225067868 TANJUNGSEKAR 4 2 15 91 2 1
32. 3318052302170002 3318054602180003 2 NANDITA KEYSA A 06/02/18 P 3.1 SAFII 3318151105870003 081225067868 TANJUNGSEKAR 3 3 10/15/2018 7.3 64 1 1
33. 3318051901110035 3318051911170001 2 M. REYHAN ILHAM 18/11/17 L 3.3 TRIMO 3318050211740002 081225067868 TANJUNGSEKAR 1 3 8.9 65 1 1
34. 3318053110110009 3318050601180002 2 M.ARFAN MAULANA 06/01/18 L 3 SUNARTO 3318050101860015 081225067868 TANJUNGSEKAR 3 3 8 66 1 1
35. 3318053011070668 3318050810170001 2 M.ARKA FAIZA 08/10/17 L 3.2 MUHADI 3318051607730005 081225067868 TANJUNGSEKAR 2 3 9.8 69 1 1
36. 3318051107170005 3318050709170002 1 RIHAN BANYU SAMUDRA 07/0917 L 3.2 SETIAWAN 3318192101890004 081225067868 TANJUNGSEKAR 3 3 8.9 70 1 2
37. 3318050903150001 3318052206170001 1 GILANG 22/06/17 L 3 SULYONO 3318050601860001 081225067868 TANJUNGSEKAR 1 1 10 73 1 1
38. 3318051702160005 3318052008170001 1 ARKA PRAMUDYA 20/08/17 L 3.1 SAIFUL SULUN 3318051312900003 081225067868 TANJUNGSEKAR 3 3 10.2 71 1 1
39. 3318050801080017 3318051404170001 3 MOH ZAFRAN A 14/04/17 L 3.2 EDI SISWANTO 3318051809710003 081225067868 TANJUNGSEKAR 2 3 10.3 72 1 1
40. 3318051308140002 3318052703170003 2 ARSHAKA RANJI ALDEN 27/03/17 L 3 A.MUNIR 3327061207900009 081225067868 TANJUNGSEKAR 1 3 10.5 73 1 1
41. 3318050703160003 3318054103170001 1 AYNAYA FATIYATUR R 01/03/17 P 3.2 NURCHOLIS 3318051603870001 081225067868 TANJUNGSEKAR 3 3 10.6 74 2 1
42. 3318050209160008 3318054202170001 1 AURELIA NAURA ZAFARANI 24/02/17 P 3.3 MOH.SUHELI 3318051304900002 081225067868 TANJUNGSEKAR 2 3 11 75 2 1
43. 3318053011070808 3318056510160001 2 FAZURA RAHMA 25/10/16 P 3.1 SUKAR 3318052506780001 081225067868 TANJUNGSEKAR 2 3 10.6 75 2 1
44. 3318052108150004 3318050710160001 1 MOH ASRAF ZAHIRUL 07/10/16 L 3 EKO SUSILO 3318050210890002 081225067868 TANJUNGSEKAR 3 3 10.5 76 2 1
45. 3318051506100007 33180559081600 2 RAYSA AZZAHRA 19/08/16 P 2.7 SUTRISNO 33180505108200005 081225067868 TANJUNGSEKAR 3 3 11 76 2 1
46. 3318052010070014 3318050307160001 2 MOH BILAL 03/07/16 L 3.2 SUGIYO 3318050908770003 081225067868 TANJUNGSEKAR 2 3 11 77 2 1
47. 3318052104120003 3318052704160001 2 FATTAN MASRUR 27/04/16 L 3.4 SUTIK 3318051807830004 081225067868 TANJUNGSEKAR 2 3 11.5 79 2 1
48. 3318051007130004 3318051704160001 1 RIZKI ASKA ADITIYA 17/04/16 L 3.6 ZULAELAH 3318051806850016 081225067868 TANJUNGSEKAR 3 3 12 79 2 1
49. 3318053011070277 3318051009150001 2 A. FANDIL 10/09/15 L 3.2 SUKIRNO 3318050307790004 081225067868 TANJUNGSEKAR 1 3 12.2 81 2 1
50. 3318052401150001 3318050108150001 2 MOH IRSYATULIBAD 01/08/15 L 3.2 KISWANTO 3318011010880005 081225067868 TANJUNGSEKAR 1 3 11.5 82 2 1
51. 3318052707150003 3318050707150001 1 ARSAL AZNI 09/07/15 L 2.9 BAYU 331805101012930006 081225067868 TANJUNGSEKAR 3 3 11.7 83 2 1
52. 3318052503080033 3318054607150002 2 AFIFAH ILMA A 06/07/15 P 3 SURAJI 3318051402750001 081225067868 TANJUNGSEKAR 3 3 12 85 2 1
53. 3318052611070020 3318056705150001 3 NAIRA SALSABILA 27/05/15 P 2.8 JASWADI 3318050404730001 081225067868 TANJUNGSEKAR 1 3 13 87 2 1
54. 3318053004150003 3318052204150001 1 M.ZIDAN ARKAN 22/04/15 L 3.1 ZUMROTUL S 3318056908880007 081225067868 TANJUNGSEKAR 1 3 13.5 88 2 1
55. 3318051308140002 3318056807140001 1 AYRAYA R 03/08/14 P 3 A.MUNIR 3327061907900009 081225067868 TANJUNGSEKAR 1 3 14 90 2 1
56. 3318052406090008 3318052804190003 2 DIPTA NAZRIL 28/04/14 L 3.1 KARSIDI 3318051807800003 081225067868 TANJUNGSEKAR 3 3 13 89 2 1
57. 3318050402140002 3318054202170001 1 ASKIARA SESA 12/12/13 P 3.2 KASMANI 3316141405850003 081225067868 TANJUNGSEKAR 2 3 14 93 2 1
58. 3318050811940001 3318053103150001 A.LUQMAN NUR HUDA 31/03/15 L 3 SIHABUL HUDA 3318052606150003 081225067868 TANJUNGSEKAR 1 3 14 94 2 1
59. 3318052811130002 331805054607550004 MUH. ALRAFA EZA 03/01/16 L 3.1 KAMTA 3318052704850002 081225067868 TANJUNGSEKAR 2 3 14 93 2 1
60. 33180520091600004 2 26/10/18 P 3.1 ISWATUN H 3318053009790003 081225067868 TANJUNGSEKAR 1 1 10/10/2018 6.6 53 1
61. 3318052001090001 3 CETA MUKTI 15/06/18 L 3.3 RUSMIYATI 3318052804680003 085292774238 TANJUNGSEKAR 3 1 6.6 53 1 1
62. 3318052909120001 3318050806180001 2 RICO RAHARDIAN 08/06/18 L 2.6 SUMIATI 3318052806860001 081225067868 TANJUNGSEKAR 1 1 7 53 1 1
63. 3318052812120003 2 HAIKAL ARIF 04/05/18 L 4 SULASTRI 3318052604860002 081225067868 TANJUNGSEKAR 2 1 7.7 55 1 1
64. 3318051104090002 3318054404180001 2 CARISSA VANIA 04/04/18 P 2.6 ERNA HERNAWATI 3318055604880004 081225067868 TANJUNGSEKAR 3 1 7 56 1 1
65. 3318050412170004 3318055104180001 2 NUR ASSYFA 11/04/18 P 3.3 NUR HANDAYANI 3310064809870003 081225067868 TANJUNGSEKAR 3 1 7.3 56 1 1
66. 3318051610170001 3318056702180001 1 INGGRIS ZASKIA 27/02/18 P 2.2 SUMINAH 085382795981 TANJUNGSEKAR 3 1 7 61 1 1
67. 3318052611140001 3318050903180001 1 MUH FAIZ AL ARHAM 09/03/18 L 3.2 SELAMET R 3318051506840014 081225067868 TANJUNGSEKAR 3 1 8.5 56 1 1
68. 3318051202110003 3318050911170001 2 MUH.ALWI 09/11/17 L 3.2 SUYAT 3318052806840001 081225067868 TANJUNGSEKAR 1 1 8.7 64 1 1
69. 3318053011150003 3318050907170001 1 NAZRIL GEOVANI 09/07/17 L 2.6 WARIH ONGKO W 3318052807910002 081225067868 TANJUNGSEKAR 2 1 8.8 69 2 1
70. 3318050307170003 3318055908950002 1 NABILA HASNA 04/06/17 P 2.4 KASWANTO 3318052408880003 081225067868 TANJUNGSEKAR 1 1 9.5 70 2 2
71. 3318052605110003 331805170118000 2 AL AQSHA 17/01/18 L 3.3 MOH.CAHYO 3318052905820003 081225067868 TANJUNGSEKAR 1 1 9 70 2
72. 3318053006080007 3318054106170003 2 MADRIKAH SAKENA 01/06/17 P 3 SURI 3318050908740004 081225067868 TANJUNGSEKAR 2 1 9.1 71 1 1
73. 3318050701090006 3318050705170001 1 MOH ZAKI PRABOWO 07/05/17 L 3.3 SUKAWI 3318050902730003 081225067868 TANJUNGSEKAR 3 1 9.6 72 1 1
74. 3318052309160008 3318051604170001 1 MOH.ZAFRANZAKI AZIZI 16/04/17 L 3.2 NUR SHOLIKIN 3318050711910001 081225067868 TANJUNGSEKAR 1 1 9.5 72 1 1
75. 3318052712100014 3318051104170002 2 ELVAN ADITAMA 11/04/17 L 3.6 SUGIONO 3318050301870001 081225067868 TANJUNGSEKAR 3 1 9.7 73 1 1
76. 3318051312070067 1 HESTY ANASTASYA 04/02/17 P 3 SUWAWI 3318050102810002 081225067868 TANJUNGSEKAR 3 1 10 79 2 1
77. 1 ERGITA SURYA 10/11/16 P 3 DARNI 081225067868 TANJUNGSEKAR 3 1 10.5 73 2 1
78. 3318052010070035 3318051105160001 2 MOH.WILDAN 11/05/16 L 3.3 SUHADI 3318052210800001 081225067868 TANJUNGSEKAR 2 1 11 75 2 1
79. 3318050504160001 3318052803160001 1 MOH ZARIP PRADIPTA 28/04/16 L 3.2 RISTIYONO 3318052803160001 081225067868 TANJUNGSEKAR 2 1 11 75 2 1
80. 3318051106080028 3318056302160002 2 PRISANTI DWI AMALIA 18/02/16 P 3 SUPRIYADI 3318053108770003 081225067868 TANJUNGSEKAR 2 1 10/10/2018 11,5 75 2 1
81. 3318050211100001 3318050102160001 2 MOH ELZAKA YAHYA 01/02/16 L 3.6 MOH. YAHYA 3318051703830002 081225067868 TANJUNGSEKAR 3 1 14 78 2 1
82. 3318051202090004 3318052909150001 2 MOH LUTFI HARUN 29/11/15 L 3.2 DARSI 3318056512840003 081225067868 TANJUNGSEKAR 1 1 12 77 2 1
83. 3318051803140001 3318055507150001 1 SAFIRA PUJI 15/07/15 P 3 PRIYADI 3318050906810001 081225067868 TANJUNGSEKAR 3 1 13.2 76 2 1
84. 3318051312070273 3318051407150001 2 FIDELLIN ABDORI 04/07/15 L 3.5 RIBUT WAHYUDI 3318052105830011 081225067868 TANJUNGSEKAR 3 1 13 78 2 1
85. 3318052704070005 3318056506150001 2 NAJWA MIKAELA 25/06/15 P 3.1 SUNARTO 3318050607790005 081225067868 TANJUNGSEKAR 3 1 13 81 2 1
86. 3318051910150002 3318044205150002 1 LINTANG KENCANA 02/05/15 P 2.8 PURWATI 3318044505850003 081225067868 TANJUNGSEKAR 3 1 14 85 2 1
87. 3318051109130001 3318056803150001 2 NADIRA FADIRATUN 28/03/15 P 3.1 SUTOPO 3318051901790003 081225067868 TANJUNGSEKAR 3 1 15 88 2 1
88. 3318052304150003 3318051003150001 1 IBRAHIM SATRIA 10/03/15 L 3.2 ANDRIYANI 3318056811870001 081225067868 TANJUNGSEKAR 1 1 14.7 89 2 1
89. 3318050403080017 3318056802150001 3 ZAHWA DEWINA 28/02/15 P 3.5 SOLEH 3318056802150001 081225067868 TANJUNGSEKAR 3 1 13.8 87 2 1
90. 3318052712110001 3318051301150001 2 A.RAJID ALGHOZALI 03/01/15 L 3.3 TRISA YULIANTI 3318056407870009 081225067868 TANJUNGSEKAR 3 1 13 86 2 1
91. 3318050111120001 33180506011500002 2 LEVAN AHNAF 06/01/15 L 3.2 SIGIT AGUS 3318120208820007 081225067868 TANJUNGSEKAR 2 1 13.3 88 2 1
92. 3318053012130001 3318052312140001 1 MOH. REZA SALMAN 23/12/14 L 3.4 MITOHA 3315093108860002 081225067868 TANJUNGSEKAR 2 1 14.5 89 2 1
93. 3318052801140004 3318051911140001 1 DAVIN 01/12/14 L 3.3 DHIKA AGUS 3318051108860001 081225067868 TANJUNGSEKAR 2 1 12.5 86 2 1
94. 3318050410140002 3318056310140002 1 GEA PRISA 22/10/14 P 2.8 WAWAN WAHYUDI 3318051202930004 081225067868 TANJUNGSEKAR 2 1 13 90 2 1
95. 3318052411140004 3318051411140002 1 FARHAN SAADAN 14/11/14 L 2.5 HERNA DESYA 3318055512950002 081225067868 TANJUNGSEKAR 1 1 13.4 87 2 1
96. 3318052411140004 3318051411140001 1 FARID JAUHLAN 14/11/14 L 2.6 HERNA DESYA 3318055512950002 081225067868 TANJUNGSEKAR 1 1 13.5 86 2 1
97. 3318051507140001 3318056107140001 1 TIARA EKA 20/07/14 P 3.1 HADI PRAYITNO 3318062703900001 081225067868 TANJUNGSEKAR 2 1 14 90 2 1
98. 331851312070013 3318054406140001 3 PRIHANAYA KANAYA 04/06/14 P 3.6 EKO MINTORO 3318051312770002 081225067868 TANJUNGSEKAR 3 1 10/10/2018 14 86 2
99. 3318051312070143 3318055406140002 2 LILIANA NURUL 20/07/14 P 3 SARU 3318051303790001 081225067868 TANJUNGSEKAR 2 1 13 85 2
100 3318052911070588 3318054307140002 2 AQILA NURUL 03/07/14 P 3.3 SUKIJAN 3318050312790001 081225067868 TANJUNGSEKAR 2 1 13.5 90 2
101 3318052001090001 2 BIMA PRASTYA 16/04/14 L 3.1 NGATMIN 3318052804680003 081225067868 TANJUNGSEKAR 3 1 14 91 2
102 3318052402160004 3318050204140001 1 RIZKI DWI 02/04/14 L 3.2 SUMARLAN 3318052608770001 081225067868 TANJUNGSEKAR 3 1 13.5 90 2
103 3318052909120001 3318050907130001 1 ARYA PUTRA 09/04/14 L 3.3 SUSILO 3318052806860001 081225067868 TANJUNGSEKAR 1 1 13.6 91 2
104 3318050608090001 3318055402150001 2 HAFIZA KAELA 14/02/15 P 3 NURSALAM 3318051508810007 081225067868 TANJUNGSEKAR 3 1 14 90 2
105 3318050808070018 3318055803140001 2 FARIDA ANISA SAFIA 18/03/14 P 3.1 FARICHAH 3317046007880003 081225067868 TANJUNGSEKAR 1 1 13.6 91 2
106 3318050712150006 3318050809180001 1 DEWA ARMANSYAH 08/09/18 L 3.2 SUGIANTI 3318054202920003 081225067868 TANJUNGSEKAR 1 4 10/15/2018 6.1 60 1 1
107 3317133108180001 3317130107180005 1 RAFA 081225067868 TANJUNGSEKAR 1 1
108 3318051903150001 3318055204180002 1 ARSILLA FATIMAH 12/04/18 L 2.6 A.MASUD 3318050105850001 081225067868 TANJUNGSEKAR 3 4 6.8 64 1 2
109 331805081210004 3318054505180001 4 RAFANIA AZRINA 05/05/18 P 3.1 SUBAWI 3318050812100004 081225067868 TANJUNGSEKAR 2 4 7 65 1 1
110 3318052403180002 3318050201180004 2 OZIL SAPUTRA 24/03/18 L 3.3 GUNARDI 331810031601870001 081225067868 TANJUNGSEKAR 2 4 6.9 61 1 1
111 3318052707100004 3318051103150001 2 M.DANNIS ARYA 11/03/18 L 4 PARDI 3318051403770002 081225067868 TANJUNGSEKAR 2 4 8.1 70 1 1
112 3318051103170001 3318052908170002 1 M.AZKA ALGHOZALI 29/08/17 L 3.2 NURRUDDIN 3318042202910002 081225067868 TANJUNGSEKAR 1 4 9 7.9 1 1
113 3318051408080013 3318055312170001 2 INAYA KHAIRUL WILDA 13/12/17 P 2.5 JARWI 3318054706780003 081225067868 TANJUNGSEKAR 1 4 6.6 80 1 1
114 3318052301130005 3318054512130002 1 ANNISA IRDINA 05/12/13 P 3 A. SALAM 3318050308850004 081225067868 TANJUNGSEKAR 2 4 14 92 2 1
115 331805270070170 3318050109150003 2 M.ZAINUL ARIFIN 01/09/15 L 2.8 MUCHROMIN 3318051401710002 081225067868 TANJUNGSEKAR 1 4 11 78 2 1
116 3318052805150005 3318051707150001 3 MO. RIZIQ 17/07/15 L 3.2 SUTOMO 3318051306890011 081225067868 TANJUNGSEKAR 1 4 13.5 89 2 1
117 3318050212150001 3318056105160001 1 SAFALUNA SHAREEN 21/05/15 P 2.8 MOH.SUHELI 3318052006900003 081225067868 TANJUNGSEKAR 2 4 12.5 75 2 1
118 3318050308170001 3318052210170001 1 MOH YOGA OKTAVIAN 22/10/17 L 3.5 SUNTAWI 3318052604850001 081225067868 TANJUNGSEKAR 2 4 10.5 73 1 1
119 3318050508090019 3318050712170003 3 HAIKAL ABIZARD A 07/12/17 L 4 ADI SUKOYO 3318052111810002 081225067868 TANJUNGSEKAR 2 4 6.5 65 1 2
120 3318051408130001 3318054704140001 1 JAWHARA NABBILA 07/04/14 P 3.1 HALIMI 3318051708810011 081225067868 TANJUNGSEKAR 2 4 13 90 2 1
121 3318052112130002 3318055403140001 1 KAELA MARCELA 14/03/14 P 3 PRASTYO 3315181409880001 081225067868 TANJUNGSEKAR 2 4 14.5 91 2 1
122 3318052506120001 3318054602180001 2 BILQIS ALSILA 06/02/18 P 3.6 M.KHOIRUL ANAM 3318050503920001 081225067868 TANJUNGSEKAR 2 4 8.6 68 1 1
123 3318052803140005 3318056705140003 1 QUENSA MEYKA SARI 27/05/14 P 2.8 A.JALIL 3318050908880001 081225067868 TANJUNGSEKAR 2 4 13.5 89 2 1
124 331805281170556 3318056303160001 3 SHAVIRA MEISHA 23/03/16 P 3.1 SUKARNO 3318050705780002 081225067868 TANJUNGSEKAR 2 4 11 89 2 2
125 3318053110090004 33180559909170002 2 ANNASYA 19/09/17 P 3.3 NUR KHOLIQ 3318055011780001 081225067868 TANJUNGSEKAR 2 4 8.5 72 1 2
126 3318050708070017 3318050204160001 2 M.RAFI BAKIR 02/04/16 L 3.1 SUNARDI 3318051509820009 081225067868 TANJUNGSEKAR 3 4 11 89 2 1
127 3318050406090005 331805012130002 4 M.ARIF AKBAR 30/12/13 L 2.9 JUARTO 3318050102630003 081225067868 TANJUNGSEKAR 3 4 14 93 2 1
128 3318050711160002 3318055610160001 1 NURSYFA MUZDALIFAH 16/10/16 P 3 SUPARDI 3318052006820006 081225067868 TANJUNGSEKAR 3 4 11.5 88 2 2
129 3318050712070555 3318050507150001 2 M.ALEXI FIRDAUS 05/07/15 L 3.2 ROMLAN 3318050606700004 081225067868 TANJUNGSEKAR 3 4 13.5 90 2 1
130 3318050712070734 3318050205140001 2 M.TAUFIDAR ROHMAD 02/05/14 L 3.3 HARBI YANTO 3318050106740001 081225067868 TANJUNGSEKAR 3 4 14 92 2 1
131 3318051308070024 3318055705140002 2 IMA ISNATUS SA'ADAH 17/05/14 P 2.9 ISWAN 3318052701770001 081225067868 TANJUNGSEKAR 3 4 13.5 91 2 1
132 3318051609170001 3318057008170001 1 ALENA ATIA KASAFANI 03/08/17 P 3.6 KARJANI 3318050505850008 081225067868 TANJUNGSEKAR 3 4 10 89 1 1
133 3318052105160001 3318051510160001 1 MOH.ADRIAN P 15/10/16 L 3 ULIN NIAM 9171030604920007 081225067868 TANJUNGSEKAR 3 4 10.5 88 2 1
134 3318052401150002 3318054310150001 2 ALIKA NAILA PUTRI 03/10/15 P 3.6 SUYADI 3318062408920001 081225067868 TANJUNGSEKAR 3 4 13 90 2 1
135 3318052703170005 3318051105170001 1 MOH ARVINO ARKAN 11/05/17 L 3 M.TAMRIN 3318052408870005 081225067868 TANJUNGSEKAR 3 4 12.5 87 1 1
136 3318050311160003 3318051810160001 1 MOH. ALWI ZULFIKAR 18/10/16 L 3.3 MUKLISIN 3318051809900002 081225067868 TANJUNGSEKAR 4 4 11.5 87 2 1
3318052306150003 3318050308150002 1 M.NUR FADIN 03/08/15 L 3.6 KASMO 3318050607820003 081225067868 TANJUNGSEKAR 4 4 14 95 2 1
3318052704100006 3318051812150001 2 A.RIZAL NUR REINDRA 18/12/15 L 3.4 NURCHOLIS 3318051206870003 081225067868 TANJUNGSEKAR 4 4 13 89 2 1
3318050505170001 3318051811170001 1 DEVANO WAHYU 18/11/17 L 3 RIRIK WARSITO 3318041412910002 081225067868 TANJUNGSEKAR 1 4 10.5 78 1 1
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