IMUNISASI SDIDTK GIZI

NIK nama orang tua

No Nama tanggal lahir
Bapak L/P umur

1 Nela oktaviani 19050169121703331 marwan P 10/4/2017 5.4

2 Azzahra 000 Joni Haris P 6/3/2018 4.7
3 leni florida 19050169121703331 saragih P 11/24/2016 6.2
4 kiki 19050169121703331 sayuti L 6/7/2017 5.7
5 wak ya P 5/2/1982 40.8
6 123.2
7 123.2
8 123.2
9 123.2
10 123.2
11 123.2
12 123.2
13 123.2
14 123.2
15 123.2
16 123.2
17 123.2
18 123.2
19 123.2
20 123.2
21 123.2
22 123.2
23 123.2
24 123.2
25 123.2
26 123.2
27 123.2
28 123.2
29 123.2
30 123.2
 DESA BERAT PANJANG NO. Hp orang tua
Alamat Lengkap
KELURAHAN LAHIR LAHIR

TANJUNG air samak

SUNGAI DAENG kebon nanas 085345676543
AIR BELO bandar dalam 085345676543
AIR BELO dusun 1 085345676543
TANJUNG L
SUNGAI DAENG P

SUNGAI BARU
BELO LAUT
AIR BELO
AIR LIMAU
AIR PUTIH
1

2
3
4
5
6
7
8
9
10
11
22
23
24
25
26
27
28
29
30
31
jan

feb
mar
apr
mei
jun
jul
agust
sep
okt
nop
 Data Dasar SDIDTK GIZI

NIK nama orang tua DESA

No Nama tanggal lahir
Bapak L/P KELURAHAN

1 Nela oktaviani 19050169121703331 marwan P 2/2/2019 TANJUNG

2 Azzahra 000 Joni Haris P 6/3/2018 SUNGAI DAEN
3 leni florida 19050169121703331 saragih P 11/24/2016 AIR BELO
4 kiki 19050169121703331 sayuti L 6/7/2017 AIR BELO
5 wak ya 0 0P 30073 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0
16 0 0 0 0 0 0
17 0 0 0 0 0 0
18 0 0 0 0 0 0
19 0 0 0 0 0 0
20 0 0 0 0 0 0
21 0 0 0 0 0 0
22 0 0 0 0 0 0
23 0 0 0 0 0 0
24 0 0 0 0 0 0
25 0 0 0 0 0 0
26 0 0 0 0 0 0
27 0 0 0 0 0 0
28 0 0 0 0 0 0
29 0 0 0 0 0 0
30 0 0 0 0 0 0
 hbo BCG P1
Alamat Lengkap
jdwl cak jdwl cak jdwl cak

air samak 2/9/2019 11 okt Monday, March 4, 2019 3/4/2019

kebon nanas 6/10/2018 18 jan Tuesday, July 3, 2018
bandar dalam 12/1/2016 18 jan ###
dusun 1 6/14/2017 14 feb Friday, July 7, 2017
0 5/9/1982 23 feb Tuesday, June 1, 1982
0 1/6/1900 14 mar Monday, January 29, 1900
0 1/6/1900 14 mar Monday, January 29, 1900
0 1/6/1900 14 apr Monday, January 29, 1900
0 1/6/1900 14 agust Monday, January 29, 1900
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 dpthbhib1 P2 dpthbhib2 P3 dpthbhib3
jdwl cak jdwl cak jdwl cak jdwl cak jdwl cak

4/3/2019 4/3/2019 5/3/2019 5/3/2019 6/2/2019

 P4 Campak
jdwl cak jdwl cak

6/2/2019 10/30/2019
TANJUNG L
SUNGAI DAENG P

SUNGAI BARU
BELO LAUT
AIR BELO
AIR LIMAU
AIR PUTIH
 1 jan

2 feb
3 mar
4 apr
5 mei
6 jun
7 jul
8 agust
9 sep
10 okt
11 nop
22
23
24
25
26
27
28
29
30
31
 IMUNISASI GIZI Data dasar

Nama NIK nama orang tua tanggal lahir UMUR

L/P

1 Nela oktaviani 19050169121703331 marwan P 10/4/2017

2 Azzahra 000 Joni Haris P 6/3/2018
3 leni florida 19050169121703331 saragih P 11/24/2016
4 kiki 19050169121703331 sayuti L 6/7/2017 44860.48493
5 wak ya 0 0P 5/2/1982
6 0 0 0 0 12/30/1899
7 0 0 0 0 12/30/1899
8 0 0 0 0 12/30/1899
9 0 0 0 0 12/30/1899
10 0 0 0 0 12/30/1899
11 0 0 0 0 12/30/1899
12 0 0 0 0 12/30/1899
13 0 0 0 0 12/30/1899
14 0 0 0 0 12/30/1899
15 0 0 0 0 12/30/1899
16 0 0 0 0 12/30/1899
17 0 0 0 0 12/30/1899
18 0 0 0 0 12/30/1899
19 0 0 0 0 12/30/1899
20 0 0 0 0 12/30/1899
21 0 0 0 0 12/30/1899
22 0 0 0 0 12/30/1899
23 0 0 0 0 12/30/1899
24 0 0 0 0 12/30/1899
25 0 0 0 0 12/30/1899
26 0 0 0 0 12/30/1899
27 0 0 0 0 12/30/1899
28 0 0 0 0 12/30/1899
29 0 0 0 0 12/30/1899
30 0 0 0 0 12/30/1899
Data dasar

JUMLAH HASIL DET

DESA STATUS GIZ

Alamat Lengkap TANGGAL MIKROCEPAL MAKROCEPAL

KUNJUNGAN
KURUS/
PENDEK/
KELURAHAN SANGAT
STUNTING
KURUS

TANJUNG air samak 3/23/2019

SUNGAI DAENG kebon nanas 3/1/2019
AIR BELO bandar dalam 2/3/2019
AIR BELO dusun 1 1/5/2019
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
JUMLAH HASIL DETEKSI DINI TUMBUH KEMBANG TINDAK LANJUT

STATUS GIZI
GANGGUA
GANGGUA M STIMU RUJUK LAIN-LAIN
N PRILAKU PENGLIHA LUS
SOSIALISA TAN
MOTORIK BICARA SI
KASAR BAHASA KEMANDI
RIAN
 1 jan

2 feb
3 mar
4 apr
5 mei
6 jun
7 jul
8 agust
9 sep
10 okt
11 nop
22
23
24
25
26
27
28
29
30
31
 IMUNISASI SDIDTK GIZI Data dasar

NIK nama orang tua UMUR

No Nama tanggal lahir
Bapak L/P

1 Nela oktaviani 19050169121703331 marwan P 10/4/2017 5.4

2 Azzahra L
3 leni florida L
4 kiki L
5 wak ya L
6 0 L
7 0 L
8 0 L
9 0 L
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
 DESA Tanggal Berat Tinggi Status Gizi
Alamat Lengkap BB/TB
KELURAHAN Pengukuran Badan Badan BB/U TB/U

TANJUNG air samak 3/12/2019 15 79 GIZI BAIK

 1 jan GIZI BURUK
GISI KURANG
2 feb GIZI BAIK
3 mar GIZI LEBIH
4 apr
5 mei
6 jun
7 jul
8 agust
9 sep
10 okt
11 nop
22
23
24
25
26
27
28
29
30
31