Import - Skrining Karang Tengah 19c

Puskesmas
Kode Puskesmas
Tahun
Kolom warna ungu wajib diisi
No NIK NAMA PESERTA SKRINING
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
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
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
BATAS DATA
DATA SK
TGL LAHIR JENIS KELAMIN TANGGAL SKRINING

DATA SKRINING SDQ FASKES
DATA INDIVIDU
ALAMAT SESUAI DOMISILI
PROVINSI KABUPATEN
FASKES
U
MAT SESUAI DOMISILI
KECAMATAN DESA / KELURAHAN PROVINSI
ALAMAT SESUAI KTP
KABUPATEN / KOTA KECAMATAN
INSTITUSI / SEKOLAH
DESA / KELURAHAN NAMA INSTITUSI

TITUSI / SEKOLAH
SKOR KESULITA
ALAMAT NOMOR HANDPHONE E
SDQ
SKOR KESULITAN SKOR KEKUATAN
C H P PRO
Puskesmas PUSKESMAS KARANG TENGAH
Kode Puskesmas 1033504
Tahun 2023
Kolom warna ungu wajib diisi
No NIK NAMA PESERTA SKRINING
1
3671125009650004 Warnih
2 3671124807990002 Laras Herliyani

3
3671122705800003 Wulung Widoyoko
4 3671132006780004 Roni Hendrawan

5
3671124610990002 Rahima Sonia
6 3671124304730002 Mailisna
7 Nurfidianti
3671120310050006
Ristia Hidayati
8 5206074111900001
9
3671065012870008 Muhidin
10 3671122703790004 Dewi Sartika

11
3671125508820003 Burhanudin
12 3671120107840015 Suryanah
13
3603225406970001 Sutinah
14 3671126306800002 Yasnimar
15 Valentino Kairupan
3671125001130002
Mufli Afrizal Ritonga
16 3671127003650002
17
3671122809790001 Chikmatul Imania
18 3671122304840002 Maryati
19
3173015204840002 Nurullita
20 3671125201690006 Taufik Hidayatulloh

21
3671124203910002 Leni Sapuroh
22 3671122001180003 Purwati
23 Khaira Putrimayses
3671120107780025
Marsinah
24 3671125512660001
25
3172055207060001 Reni Dwi Winanti
26 3173080110151010 Watem
27
3671122205100003 Ade Novita
28 3671126808770002 Nidaul Hasanah

29
3174086806830004 Emih
30 3671125903140002 Nunung
31 Siti Humaeroh B. Syamsuri
3671126908170003
Ires Romansyah
32 3305245203810002
33
3671126510680007 Farel Fathurrahman
34 3671125608110001 Melani Anggraeni

35
3671126307680003 Pipit Nur Hidayah
36 3671125109130001 Wardatun Jamilah

37
3671125303790003 Dewi Triani
38 3671126807630001 Sarinah
39 Kapandi
3671124606650003
Leni Marlina
40 3671125109620002
41
3671122607160001 Husna Wati
42 3328184110110002 Muhammad Januarsyah

43
3671124204730002 Listiani Setianingsih
44 1707011402940002 Subariyah
45
3173052210970006 Muhamad Nurul Ikhwan
46 3671126705030004 Muhamad Zaini

47 Nurfitrianti
3314066604950003
Nani Komalasari
48 3327075812040003
49
3671124211060002 Siti Maemunah
50 3671121810160005 Yuqie Ruauw
51
3671124407130008 Ria Ermala Dewi
52 3671126107960002 Eky Alamsyah

53
3671124110130002 Riska Amanah
54 3202066610860003 Andri Margianto

55 Wahyuni Fitria Amanda
3671124808730011
Usnah
56 3328120202790004
57
3671125010790010 Nurlela
58 3671121602170001 Chikmatul Imania

59
1702174507660001 Munajih
60 3671121301950001 Sumiati
61
3374065010830001 Nawang Driyatun
62 3374060510150004 Wahyu Rati Ningsih

63 Zilmaisa
3671126706710005
Finkqy Ramadhany
64 3671124408110002
65
3671122803810003 Aldo Kenjiro Jovialdi
66 3671120512690005 Ahmad Zarkasi

67
3671124608810001 Pancaningrum
68 3671125004120001 Sudrajat
69
3671124804160004 Leny Marlina
70 3671126208810005 Suliyati
71 Holifah
3276107105030001
Neneng Aisah
72 3671134707880007
73
3671065509760006 Eliyas Bin Kampleng
74 3671122701920002 Jamaludin
75
3671124106890005 Zeky Yudha Pratama
76 3671124404040001 Leni Sapuroh

77
3173050612910002 Ratnawati
78 3671126301020001 Kamila Triana Martiadini

79 Sunarti
3671126705680001
Casmono
80 3671124810770001
81
3173015204840002 Husna
82 3671122207150001 Sumaryani
83
3671120308680001 Yanti
84 3671060403070002 Maria
85
3671125909830006 Wahyudi
86 3671125508690004 Febria
87 Komarudin
3174104301880001
Marlia
88 3671124105650002
89
3671126501980004 Marfuah
90 3671120111980006 Lamhot Sihombing

91
3327075812040003 Dwi Suryani
92 3671121105630002 Mochamad Mirza

93
3671122206160002 Yuyu Rukmanah
94 3671124107800024 Inan Salsinah

95 Watini
3671112703830001
Siti Nur Asiah
96 3173035907780002
97
3671126304670001 Ida Nurhidayati
98 3671126707840004 Eva Septiani

99
3671125505780003 Munawaroh
100 3603154504880005 Muhammad Arif Rahmanda

101
3602152012760002 Firmansyah
102 3671122604790006 Dwi Astuti

103 Witri Widawati
3671125512660001
Rommy Ramadhani
104 3671066606880006
105
3671125409030002 Jumiah
106 3671124906800006 Sayati

107
3329021005650007 Masenah
108 3671126104720002 Eldora Rouly
109
3671124912720001 Laila Miranti
110 3671125505120005 Dadang

111 Cundrawati
3203166502790003
Nunung Safitri
112 3671124208100005
113 Pahrul Roji
3671120903050005
Hari Iskandar
114 3671126210770002
115
3671127012160001 Mitasari
116 3671121709780005 Slamet Djoko Setiono

117
3671120107160006 Sriatun
118 3671124102750003 Revi Aryanti

119
3671122709110001 Ahmad Andika Akbar
120 3671120903740002 Nurul Aini

121 Aji Dwi Yuliani
3671122807120003
Farah Fadillah
122 3671125506650004
123
3671125301070006 Fera Rizana Wati
124 3671124705880002 Rohayati

125
3671120909630001 Syarifudin
126 1373014801970001 Iis

127
3276051601880008 Parjiyem
128 3671124512760006 Samino

129 Laila Amalia
3671124705700008
Wiwit Yunita
130 3671125207650004
131
3671121010140006 Mohamad Fachrijal
132 3671126602870001 Sri Astuti

133
3671126309930001 Diah Novita
134 3671124901100004 Nurullita

135
3671124509830002 Andi Risiandi
136 3173074712150002 Marlia

137 Sulimathudin
3671125701050002
Rahmat Hidayat
138 3671125509820002
139
3671125407160002 Nurkiyah
140 3312194112080002 Mulyadi

141
3671126905040002 Budi Mulyadi
142 3671124706090005 Atikah

143
3209180710090009 Suyani
144 3671121401020003 Andi Purnomo

145 Dewi Maryana
3671122302870004
Imam Febrian Ak
146 3671126408890001
147
3671121909150006 Nur Novia Sari
148 3671124205920002 Desi Rahmawatiningsih

149
3671121511030001 Nurdayani
150 3603135811820005 Sri Wahyuni

151
3671125505700008 Kusrowiyah
152 3671124505750013 Dahlia Suciyanti

153 Taswen
3175095810170009
Tati Wijanti
154 3671124108740006
155
3173075007860009 Dewi Budi Triyani
156 3173072105081001 Abdul Munir

157
3671122012690003 Erri Rohanty
158 3671126612163000 Sri Bambang Waluyo

159
3671125104750002 Masil
160 3671062705820002 Arni

161 Fida Cerika
3671121108850003
Oom Komariah
162 3671125805850004
163
3671121806660002 Ella Masuroh
164 3326087010950002 Siswanto

165
3671125304940002 Ameliyana
166 3671120604080007 Hilan Rahmaniar
167
3671120904010003 Jodi Setiawan Ramadhan
168 3671126106750005 Suhaimah

169 Hasan
3208216808910002
Jarti Purwani
170 3671124905040002
171
1806115705890001 Omsiah
172 3671124310700002 Abdul Rohmat

173
3671122911870003 Drs. Ihutan Parlindungan Sihotang
Eliyah
174 3671116712090006
175 Alfan Makmun
3671125108820005
176 3671121403070001 Slamet Djoko Setiono

177
3671126208750003 Ida Nurhidayati
178 3671121405640005 Pipit Nur Hidayah

179
3671126503990001 Nur Alam
180 3671120708050006 Komisah

181
3671126305840008 Fanny Untung
Alaena Saroya
182 3671122408820006
183 Nurcholifah
3671125808630005
184 3671126102150003 Zaenah

185
3671125511930001 Wastaka
186 3671124203910002 Neneng Surowati

187
3671122206160002 Nurhaeni
188 3671122502730001 Ade Kurnia Santoso

189
3671125007150005 Enih
Yusuf Hartama Raas
190 3671125506650004
191 Erminawati
3671120308780004
Indah Purbasari
192 3671121805960006
193
3671126412140002 Ratna Andikawati
194 3671127011120004 Alvito Achmad Ridho

195
3173054711650009 Adisti Rahmat Priadi
Hansen Yohanes
196 3671121711840002
197 Zita Ansorina
3326150311730001
198 3671124105650005 Mardianah

199
3671124604800003 Munayah
200 3671120412920004 Ayu Dwi Lestari

201
3671127006060002 Siti Wafiroh
202 1807116202980001 Dianah Aviyanah

203
3671121902820001 Aliyah
Siti Komariah
204 3173024310960001
205 Rohani
3201384312950002
206 3671125403840002 Suyati

207
3310224507790002 Valentino Kairupan
208 3671126412660002 M. Wibisono Setyawan

209
3173015312900006 Nasad
210 3302045101680002 Ari Riseliawan

211
3671124305750005 Murati
Yohana Siti Rohayati
212 3173065807890016
213 Bahroin, S.Kom.
3329170503090002
214 3671120107700027 Lutfiana

215
3671127008640002 Besti Irawati Sagian
216 3671123005650002 Susanti

217
3671121710690002 Dahlia
Tasni
218 3174042208121009
219 Sulimathudin
3173055509690002
220 3674026602840004 Esty Pangestuty

221
3671124706830008 Nurhasanah
222 3671124312060002 Lulu Nurmania

223
3671124405680004 Umar Hadi
224 3671125907050003 Komisah
225
3671122805840001 Dinda Afriany
Adam Maulana
226 3278056903870003
227 Tihamah
3278024406960005
228 3376042903100004 Saruji

229
3278050902960002 Mariah
230 3671126101140004 Rosiah

231
3671125109130001 Cyntya Damayanti
Engkus Setiawan
232 3671123003160003
233 Samsidar
3671125705790003
234 3671122006740004 Sari Novia

235
3172024501710019 Nanih
236 3671125503770005 Andini Wulandari

237
3671124505120001 Shendy Pratama
238 3671120509750005 Irah

239
3671121411670001 Muhamad Hamim Zazuly
Hartini
240 3671126210680003
241 Wariatun
3671131412930003
242 3671121806660002 Ipan Ripaih

243
3671126309930001 Nani Wahyuni Agustina
244 3314066604950003 Muslim

245
3671123005670002 Sudarti
246 3315175011830001 Sutrisyawati

247
3671122712830001 Epoh Supardi
Damiyati
248 3329035809910003
249 Nursery Hasibuan Se
1702171604130001
250 3671126103740005 Sumi

251
3671125203630001 Suhaimi Hasanah
252 3671121405680003 Rustam

253
3671120512140001 Nurjanah
Neneng Asriyah
254 3171075910780002
255 Siti Musarofah B Umarrudin
3671125704720004
256 3671120212650002 Pendi Setiawan

257
3671126511760002 Saprudin
258 3671125010110003 Amarul Marifan

259
1054120710010000 Muhammad Irfan Maulidi
260 3671125004120001 Suryati

261
3671124110130002 Choirrullah
Erhinanda
262 3671120705140002
263 Mia Novita
3671124105650007
264 3671126908060006 I Komang Anom Saputra

265
3671126704870005 Virginia Rabbany
266 3671124404660001 Indah Dewanti

267
3671126404060003 Muhammad Almer Septaviory
Luis Setya Budiawan
268 3671122008030001
269 Ferawati Ngantung
3671124706030006
270 3173072511870001 Nariah Saputri

271
3173076807840001 Siti Nuraidah
272 3671125906780001 Suarti

273
3671125608650001 Widodo
274 3328136306990003 Waginah

275
3671122909160001 Sunardi
Reski Agnes
276 3671126012880001
277 Supriatin
3671126809160002
278 3671120804100001 Fatimah

279
3671126709000003 Lamhot Sihombing
280 3671120506170003 Rifai Alwi

281
3671124507720005 Mulyati
Rido Firdaus
282 3671125106830003
283 Ansori Hafni Fadillah
3671124208170001
284 3671125402690001 Yasan

285
3671124804730003 Sutaningsih
286 3671122809790001 Samuel Fernando Manurung

287
3671122503750003 Aliyah
288 3671126208070001 Anengsih

289
3671122303630002 Novi Windasari
Sapitri
290 3671120110980004
291 Destriyana
3671127007760001
292 3671125609680004 Ponco Budarto

293
3671121008150001 Erni Ernawati
294 3671122003040006 Nani Komalasari Dewi

295
3671120808810007 Santi Sardi
T. Torsa Batubara
296 3671124405840004
297 Ningsih Mutirahayu
3671126505780004
298 3671125206080003 Teten Rustendi

299
3671124606830002 Junaidi.
300 3671126505750001 Kasiyatun

301
3671124502820004 Leny Marlina
302 3671120308780004 Sudi Rohati

303
3671125405840007 Nanih
Lela
304 3671126305150002
305 Zafiroh Aqidah
3671124712760001
306 3671124505030001 Anas Ubaidilah

307
3671121706630001 Betty Tampubolon
308 3671125811160004 Nia Yunita

309
3315175011830001 Herpina Hasiholan Siahaan
Ruminna Mastaria Pardede
310 3671121711150004
311 Asroh Lailah
3671126204880006
312 3671120310030005 Kasiawati

313
3671125105660001 Adam Safta Khairi
314 3671121312660001 Rusmiyati

315
3173085504650003 Sukatma
316 3671123110110003 Nisrina Nur Bahirah

317
3671124512690005 Ina Marlina
Tuti Saminah
318 3301182206040001
319 Aisah
3671125901030003
320 3671121610730004 Pipit Nur Hidayah

321
3671126008660001 Erica Anindya Utomo
322 3671125107070004 Saodah

323
3671126909880001 Ria Kurniasih
Yeni Andriyani
324 3671124209630001
325 Delyana Utari
3671127005930001
326 3671122112930003 Anita

327
3671124101660002 Dwi Setiyowati
328 3671122205970003 Nurbaiti

329
3671124806880004 Rifqi Reza Vahlepi
330 3671124812730004 Mariyamah

331
3671120710810001 Rumiyati
Roni Hendrawan
332 3671124608900001
333 Dahliah
3173050111840010
334 3315105207720014 Tariyah

335
3671120903170002 Mardiah
336 3671126608780002 Nur Laylah

337
3671126110050001 Puti Koesjia Ningrum
Fajarina
338 3671120512110025
339 Masim
3671126710070004
340 3671125311150005 Siti Rahmah Yuliani
341
3671122904630002 Tuti Nurhayati
342 3173041802131001 Heny Setiawati

343
3671120412670003 Sutin
344 3671126808710002 Ponirah

345
3671125203750003 Tedy Subhan
Mia Alpina Umysalmah
346 3671126004920006
347 Titi Sundari
3671122706170002
348 3671122107620003 Sri Agustini

349
3671123011040002 Iros Rosmiati
350 3671126101870002 Jaya

351
3671126504870003 Santoso
Leni Nuraini
352 3671121707120003
353 Nahdah Ghinaa Bari' Nanda Azirsie
3173084306860012
354 3201110211930001 Lusi Indayani

355
3671052605750001 Laila
356 3303163007010001 Yusuf Setiawan

357
3671122109920003 Maryanih
358 3207205903770001 Ari Indriawan

359
3671122006870006 Tn . Nurdin
Kika Veriny
360 3604154702950001
361 Imam Arivin
3671125611770006
362 3671122904920001 Dahlia Suciyanti

363
3671126610160001 Fera Rizana Wati
364 3671124305030004 Muhamad Al Zufri

365
3671125505760001 Asmin
Sinah
366 3671110707890002
367 Istianah
3174072512930004
368 3671126502810002 Yusrizal

369
3671126703050004 Dinda Anggraini
370 3671066307980003 Lamhot Sihombing

371
3671064705670003 Tasmirah
372 3671125507770005 Ardinta Tiara Arfin

373
3303160808750006 Supriyanto
Tuti Harningsih
374 3671124405660002
375 Firliana Anjani
3671121005760003
376 3671126611150005 Warnipah

377
3671120108920006 Epoh Supardi
378 3671126606660003 Mochammad Harun

379
3671126511760001 Nita Ria Gea
Radika Arianto Ramadan
380 3671120909630001
381 Casmono
3671120107910004
382 3208064705850009 Harnita

383
3671122702840001 Sumarno
384 3671121606070005 Dian Nova Ekawati

385
3671122111780003 Syarifudin
386 3671120310810003 Naimah

387
3671124108640001 Atikah Nurjannah
Maryanto
388 3216062502060019
389 Muhammad Sierun
3671120803150001
390 3671122810830003 Yulih

391
3671124502640003 Robiah Al Adawiyah
392 3671120503130001 Yogi Yanto

393
3671124702700003 Muhammad Khadafi
Rina Irma Yunita
394 3671125211890005
395 Budi Muhammad Salim
3671126301710002
396 3174056612890011 Holil

397
3671120103750002 Dendi Harry Gaya
398 3301082907860004 Muhamad Agustavian
399
3671124510700005 Rini Karini
400 3173016603750007 Azam Abdil Majid

401
3671125210750002 Euis Faridhotun Sakinah
Sartika Permata Achmad
402 3671124306100002
403 Habibah Tiara Achmad
3671126606780004
404 3671121805870005 Sadiah

405
3671120108720002 Rosdiana
406 3671125312750002 Stia Bodro Sasi

407
3173035907780002 Ajat Supriadi
Hendra Yasmara,St
408 3671125801170002
409 Fadly Febrian
3671121906090001
410 3671124907870005 Kendri Asih

411
3671125606100008 Chusnul Chotimah
412 3671124209630001 Jurni

413
3671121011120003 Ruminingsih
414 3671126106170005 Emilda Wilza

415
3671125103740003 Mulia Yusuf
Riyanto
416 3173055404001001
417 Mulyanih
3671112206130012
418 3671120603800010 Theresia Astati Noverita

419
3671126506660002 Veronica Br. Butar
420 3671116411870001 Agus Priatna

421
3671125302750003 Bernadeta
Mariah
422 3671122206130005
423 M Solehudin
3671125902180001
424 3276025410820018 Hadijah, S.Pd

425
3671126504860002 Hariyanto
426 3275015406120001 Aliyah

427
3671127009770002 Ridah
428 3671122405960001 Yasnimar

429
3671125808660004 Damiyati
Fajarina
430 3671126704170004
431 Yuyu Rukmanah
3671122905630003
432 3674025409010004 Aisah

433
3674031302150010 Samino
434 3671126205660005 Aprila Arnani

435
3671124505700008 Sugi Budiono
Titing Restiningsih
436 3671126208710002
437 Mariah
3314066604950003
438 3671125011030005 Tauhid

439
3671125001710002 Nurhayati
440 3671122007160006 Adam Maulana

441
3671120212100006 Mursanah
442 3671125009780006 Amri Wahid

443
3208135709950003 Renah
Sri Sayekti
444 3671127006150005
445 Wan Kamsulisa Harlina
3671125107900005
446 3671124711750001 Naimah

447
3374015811740002 Limah
448 3671121612120005 Niyah

449
3671126405900001 Isnan Ningsih
Amalia
450 3671124607070002
451 Cita Sukanda
3671121304000003
452 3671124709740004 Nova Eliza Soedarmo

453
3671126909710002 Indah Fitri Dwi
454 3671121806130001 Ista Yunani

455
3671132006780004 Nurul Hasanah
456 3671125504850004 Syamsudin
457
3328187110790003 Siti Maymunah
Ela Nurlaela
458 3671124105830002
459 Siti Khodijah
3671125002820009
Mardiah
460 3216065302900009
461 Nimah
3175074512770007
462 3671122503700001 Muhammad Rifqy Auliansyah

463
3671125207780010 Nyami
464 3671126711140003 Nurhalimah

465
3671126408860006 Gusliyenti
466 3671125201060006 Ngabiyantoro

467
3671114503690001 Nurdiani Azizah
Mohamad Zaimhar
468 3671125805760005
469 Dinda Anggraini
3671124708660006
Sriheryanti
470 3671122710730002
471 Fumi Sutanto
3671126711120003
472 3671126308100002 Rusdi Afriyansyah

473
3173064201910008 Mamat
474 3671126210150004 Neiti

475
3671125808800006 Ahmad Suhanda Wijaya
476 3671125208160001 Tri Saksono

477
3671066108890002 Adisti Rahmat Priadi
Temu Priati
478 3671125204660003
479 Amirul Mu'Minin
3376040510100000
Pipit Nur Hidayah
480 3671127110040004
481 Annisa Rizki Nugroho
3671121802700001
Endang Suyanti
482 3671126501130001
483 Sentiana Tambun
3671121210970001
484 3671124805970001 Nawiyah

485
3671121210160004 Wastaka
486 3672025107990001 M. Donnie Romansyah

487
3672025105710002 Nur Fadillah
488 3671125507710006 Muhamad Prastiyo

489
3671120203980004 Eka Fatria
Siti Lawati
490 3671124711700002
491 Maryanti
3671120509760003
Abdul Malik
492 3171082802710005
493 Dini Nur Khasanah
3674054807810006
494 3174052304850013 Ayu Ariztiani

495
3173015312900006 Endang Asmiatun
496 1806115705890001 Suwarti

497
3276091603820001 Sugiyarti
498 3173082103650005 Marsupi

499
3671125707810011 Zeky Yudha Pratama
Dean Dayank Savanna
500 3671121412150001
BATAS DATA
DATA SK
TANGGAL
TGL LAHIR JENIS KELAMIN
SKRINING
10/09/1965 P 15/02/2023
08/07/1999 P 15/02/2023
27/05/1980 L 15/02/2023
20/06/1978 15/02/2023
L
06/10/1999 P 15/02/2023
03/04/1973
P 15/02/2023
03/10/2005
L 15/02/2023
01/11/1990 P 15/02/2023
10/12/1987 P 15/02/2023
27/03/1979 L 15/02/2023
15/08/1982 P 15/02/2023
01/01/1982 15/02/2023
L
14/06/1997 P 15/02/2023
23/06/1980
P 15/02/2023
10/01/2013
P 15/02/2023
30/03/1965 P 16/02/2023
28/09/1979 L 16/02/2023
23/04/1984 L 16/02/2023
12/04/1984 P 16/02/2023
12/01/1969 16/02/2023
P
02/03/1991 P 16/02/2023
20/01/2018
L 16/02/2023
01/07/1978
L 16/02/2023
15/12/1966 P 16/02/2023
12/07/2006 L 16/02/2023
01/10/2015 L 16/02/2023
22/05/2010 L 16/02/2023
28/08/1977 16/02/2023
P
28/06/1983 P 16/02/2023
19/03/2014
P 16/02/2023
29/08/2017
P 16/02/2023
12/03/1981 P 16/02/2023
25/10/1968 P 16/02/2023
16/08/2011 P 16/02/2023
23/07/1968 P 16/02/2023
11/09/2013 16/02/2023
P
13/03/1979 P 16/02/2023
28/07/1963
P 16/02/2023
06/06/1965
P 16/02/2023
07/10/1963 P 16/02/2023
26/07/2016 L 16/02/2023
01/10/2011 P 16/02/2023
02/04/1973 P 16/02/2023
14/02/1994 16/02/2023
L
22/10/1997 L 16/02/2023
27/05/2003
P 16/02/2023
26/04/1995
P 16/02/2023
18/12/2004 P 16/02/2023
02/11/2006 P 16/02/2023
18/10/2016 L 16/02/2023
04/07/2013 P 16/02/2023
21/07/1996 16/02/2023
P
01/10/2013 P 16/02/2023
26/10/1986
P 16/02/2023
08/08/1973
P 16/02/2023
02/02/1979 L 16/02/2023
10/10/1979 P 16/02/2023
16/02/2017 L 16/02/2023
05/07/1966 P 16/02/2023
13/01/1995 16/02/2023
L
10/10/1983 P 16/02/2023
05/10/2015
P 16/02/2023
27/06/1971
P 16/02/2023
04/08/2011 P 16/02/2023
28/03/1981 L 16/02/2023
05/12/1969 L 16/02/2023
06/08/1981 P 16/02/2023
10/04/2012 16/02/2023
P
08/04/2016 P 16/02/2023
22/08/1981
P 16/02/2023
31/05/2003
P 16/02/2023
07/07/1988 P 16/02/2023
15/09/1976 P 16/02/2023
27/01/1992 L 16/02/2023
01/06/1989 L 16/02/2023
04/04/2004 16/02/2023
P
06/12/1991 L 16/02/2023
23/01/2002
P 17/02/2023
27/05/1968
P 17/02/2023
08/09/1977 P 17/02/2023
12/04/1984 P 17/02/2023
22/07/2015 L 17/02/2023
03/08/1968 L 17/02/2023
04/03/2007 17/02/2023
L
19/09/1983 P 17/02/2023
15/08/1969
P 17/02/2023
03/01/1988
P 17/02/2023
01/05/1965 P 17/02/2023
25/01/1998 P 17/02/2023
01/11/1998 L 17/02/2023
18/12/2004 P 17/02/2023
11/05/1963 17/02/2023
L
22/06/2016 L 17/02/2023
01/07/1980
P 17/02/2023
27/03/1983
L 17/02/2023
19/07/1978 P 17/02/2023
23/03/1967 P 17/02/2023
27/07/1984 P 17/02/2023
15/05/1978 P 17/02/2023
05/04/1988 17/02/2023
L
20/12/1976 L 17/02/2023
26/04/1979
L 17/02/2023
15/12/1966
P 17/02/2023
26/06/1988 P 17/02/2023
14/09/2003 P 17/02/2023
09/06/1980 P 17/02/2023
10/05/1965 L 17/02/2023
21/04/1972 17/02/2023
P
09/12/1972 P 17/02/2023
15/05/2012
P 17/02/2023
25/02/1979
P 17/02/2023
02/08/2010 P 17/02/2023
09/03/2005
L 17/02/2023
22/10/1977 P 17/02/2023
30/12/2016 P 17/02/2023
17/09/1978 L 17/02/2023
01/07/2016 L 17/02/2023
01/02/1975 17/02/2023
P
27/09/2011 L 17/02/2023
12/05/1976
L 17/02/2023
28/07/2012
L 17/02/2023
15/06/1965 P 17/02/2023
13/01/2007 P 17/02/2023
25/11/1980 P 17/02/2023
09/09/1963 L 17/02/2023
08/01/1997 17/02/2023
P
16/01/1988 L 17/02/2023
05/12/1976
P 17/02/2023
07/05/1970
P 17/02/2023
12/07/1965 P 17/02/2023
10/10/2014 L 17/02/2023
26/02/1987 P 17/02/2023
23/09/1993 P 17/02/2023
09/01/2010 17/02/2023
P
05/09/1983 P 17/02/2023
07/12/2015
P 17/02/2023
17/01/2005
P 17/02/2023
16/09/1982 P 17/02/2023
14/07/2016 P 17/02/2023
01/12/2008 P 17/02/2023
29/05/2004 P 17/02/2023
07/06/2009 17/02/2023
P
07/10/2009 L 17/02/2023
14/01/2002
L 17/02/2023
23/02/1987
L 17/02/2023
24/08/1989 P 17/02/2023
19/09/2015 L 17/02/2023
02/05/1992 P 17/02/2023
15/11/2003 L 17/02/2023
18/11/1982 17/02/2023
P
15/05/1970 P 17/02/2023
05/05/1975
P 17/02/2023
18/10/2017
P 17/02/2023
01/08/1974 P 17/02/2023
10/07/1986 P 17/02/2023
21/05/2008 L 17/02/2023
20/12/1969 L 17/02/2023
12/12/1963 17/02/2023
P
11/04/1975 P 17/02/2023
13/11/1982
L 17/02/2023
11/08/1985
L 17/02/2023
10/05/1985 P 17/02/2023
18/06/1966 L 27/02/2023
30/10/1995 L 20/02/2023
13/04/1994 P 20/02/2023
06/04/2009 20/02/2023
L
09/04/2001 L 20/02/2023
21/06/1975
P 20/02/2023
28/08/1992
P 20/02/2023
09/05/2003 P 20/02/2023
17/05/1989 20/02/2023
P
03/10/1970 P 20/02/2023
29/11/1987
L 20/02/2023
27/12/2009
P 20/02/2023
11/08/1982 P 20/02/2023
14/03/2007 L 20/02/2023
22/08/1975 P 20/02/2023
14/05/1964 L 20/02/2023
25/03/1999 20/02/2023
P
07/08/2005 L 20/02/2023
23/05/1984
P 20/02/2023
24/08/1982
L 20/02/2023
18/08/1963 P 20/02/2023
21/02/2015 P 20/02/2023
15/11/1993 P 20/02/2023
02/03/1991 P 20/02/2023
22/06/2016 20/02/2023
L
25/02/1973 L 20/02/2023
10/07/2015
P 20/02/2023
15/06/1965
P 20/02/2023
03/08/1978 L 20/02/2023
18/05/1996 L 20/02/2023
24/12/2014 20/02/2023
P
30/11/2012 P 20/02/2023
07/11/1965
P 20/02/2023
17/11/1984
L 20/02/2023
03/11/1973 L 20/02/2023
01/05/1965 P 20/02/2023
06/04/1980 P 20/02/2023
04/12/1992 L 20/02/2023
30/06/2006 20/02/2023
P
22/02/1998 P 20/02/2023
19/02/1982
L 20/02/2023
03/10/1996
P 20/02/2023
03/12/1995 P 20/02/2023
16/04/1984 P 20/02/2023
05/07/1979 P 20/02/2023
24/12/1966 P 20/02/2023
13/12/1990 20/02/2023
P
11/01/1968 P 20/02/2023
03/05/1975
P 20/02/2023
18/07/1989
P 20/02/2023
05/03/2009 L 20/02/2023
01/04/1971 L 20/02/2023
30/08/1964 20/02/2023
P
30/05/1965 L 20/02/2023
17/10/1969
L 20/02/2023
22/08/2012
L 20/02/2023
15/09/1969 P 20/02/2023
26/02/1984 P 20/02/2023
07/06/1983 P 20/02/2023
03/12/2006 P 20/02/2023
04/05/1968 20/02/2023
P
19/07/2005 P 20/02/2023
28/05/1984
L 20/02/2023
29/03/1987
P 20/02/2023
04/06/1996 P 20/02/2023
29/03/2010 L 20/02/2023
09/02/1996 20/02/2023
L
21/01/2014 P 20/02/2023
11/09/2013
P 20/02/2023
30/03/2016
L 20/02/2023
17/05/1979 P 20/02/2023
20/06/1974 L 20/02/2023
05/01/1971 P 20/02/2023
15/03/1977 P 20/02/2023
05/05/2012 20/02/2023
P
05/09/1975 L 20/02/2023
14/11/1967
L 20/02/2023
22/10/1968
P 20/02/2023
14/12/1993 L 20/02/2023
18/06/1966 L 20/02/2023
23/09/1993 P 20/02/2023
26/04/1995 P 20/02/2023
31/05/1967 20/02/2023
L
10/11/1983 P 20/02/2023
27/12/1983
L 20/02/2023
18/09/1991
P 20/02/2023
16/04/2013 L 20/02/2023
21/03/1974 P 20/02/2023
12/03/1963 20/02/2023
P
14/05/1968 L 20/02/2023
05/12/2014
L 20/02/2023
19/10/1978
P 20/02/2023
17/04/1972 P 20/02/2023
02/12/1965 L 20/02/2023
25/11/1976 P 20/02/2023
10/10/2011 P 20/02/2023
07/10/2000 20/02/2023
L
10/04/2012 P 20/02/2023
01/10/2013
P 20/02/2023
15/03/2016
L 20/02/2023
01/05/1965 P 20/02/2023
29/08/2006 P 20/02/2023
27/04/1987 20/02/2023
P
04/04/1966 P 20/02/2023
24/04/2006
P 20/02/2023
20/08/2003
L 20/02/2023
07/06/2003 P 20/02/2023
25/11/1987 L 20/02/2023
28/07/1984 P 20/02/2023
19/11/1978 P 20/02/2023
16/08/1965 20/02/2023
P
23/06/1999 P 20/02/2023
29/09/2016
L 20/02/2023
22/12/1988
P 20/02/2023
28/09/2016 P 20/02/2023
08/04/2010 L 20/02/2023
27/09/2000 20/02/2023
P
07/11/2017 P 20/02/2023
05/07/1972
P 20/02/2023
11/03/1983
P 20/02/2023
02/08/2017 P 20/02/2023
14/02/1969 P 21/02/2023
08/04/1973 P 21/02/2023
28/09/1979 L 21/02/2023
25/03/1975 21/02/2023
L
22/08/2007 P 21/02/2023
23/03/1963
L 21/02/2023
01/10/1998
L 21/02/2023
30/07/1976 P 21/02/2023
16/09/1968 P 21/02/2023
10/08/2015 21/02/2023
L
20/03/2004 L 21/02/2023
08/08/1981
L 21/02/2023
04/05/1984
P 21/02/2023
25/05/1978 P 21/02/2023
12/06/2008 P 21/02/2023
06/06/1983 P 21/02/2023
25/05/1975 P 21/02/2023
05/02/1982 21/02/2023
P
03/08/1978 L 21/02/2023
14/05/1984
P 21/02/2023
23/05/2015
P 21/02/2023
07/12/1976 P 21/02/2023
05/05/2003 P 21/02/2023
17/06/1963 21/02/2023
L
18/11/2016 P 21/02/2023
10/11/1983
P 21/02/2023
17/11/2015
L 21/02/2023
22/04/1988 P 21/02/2023
03/10/2003 L 21/02/2023
11/05/1966 P 21/02/2023
13/12/1966 L 21/02/2023
15/04/1965 21/02/2023
P
31/10/2011 L 21/02/2023
05/12/1969
P 21/02/2023
22/06/2004
L 21/02/2023
19/01/2003 P 21/02/2023
16/10/1973 L 21/02/2023
20/08/1966 21/02/2023
P
11/07/2007 P 21/02/2023
29/09/1988
P 21/02/2023
02/09/1963
P 21/02/2023
30/05/1993 P 21/02/2023
21/12/1993 L 21/02/2023
01/01/1966 P 21/02/2023
22/05/1997 L 21/02/2023
08/06/1988 21/02/2023
P
08/12/1973 P 21/02/2023
07/10/1981
L 21/02/2023
06/08/1990
P 21/02/2023
01/11/1984 L 21/02/2023
12/07/1972 P 21/02/2023
09/03/2017 21/02/2023
P
26/08/1978 P 21/02/2023
21/10/2005
P 21/02/2023
26/09/2015
L 21/02/2023
27/10/2007 P 21/02/2023
13/11/2015 P 21/02/2023
29/04/1963 L 21/02/2023
16/02/2013 L 21/02/2023
04/12/1967 21/02/2023
L
28/08/1971 P 21/02/2023
12/03/1975
P 21/02/2023
20/04/1992
P 21/02/2023
27/06/2017 L 21/02/2023
21/07/1963 L 21/02/2023
30/11/2004 21/02/2023
L
21/01/1987 P 21/02/2023
25/04/1982
P 21/02/2023
17/07/2012
L 21/02/2023
03/06/1986 P 21/02/2023
02/11/1993 L 21/02/2023
15/01/1974 L 21/02/2023
30/07/2001 L 21/02/2023
21/09/1992 21/02/2023
L
19/03/1977 P 21/02/2023
20/06/1987
L 21/02/2023
07/02/1995
P 21/02/2023
16/11/1977 P 21/02/2023
29/04/1992 L 21/02/2023
26/10/2016 21/02/2023
P
03/05/2003 P 21/02/2023
15/05/1976
P 21/02/2023
07/09/1989
L 21/02/2023
25/12/1993 L 22/02/2023
25/02/1981 P 22/02/2023
27/03/2005 P 22/02/2023
23/07/1998 P 22/02/2023
07/05/1967 22/02/2023
P
15/07/1977 P 22/02/2023
08/08/1975
L 22/02/2023
04/05/1966
P 22/02/2023
11/11/1976 L 22/02/2023
26/11/2015 P 22/02/2023
01/08/1992 22/02/2023
L
26/03/1966 P 22/02/2023
25/11/1976
P 22/02/2023
09/09/1963
L 22/02/2023
01/07/1991 L 22/02/2023
07/05/1985 P 22/02/2023
27/02/1984 L 22/02/2023
16/06/2007 L 22/02/2023
21/11/1978 22/02/2023
L
03/10/1981 L 22/02/2023
01/08/1964
P 22/02/2023
25/02/2006
L 22/02/2023
08/03/2015 L 22/02/2023
28/10/1983 L 22/02/2023
05/02/1964 22/02/2023
P
05/03/2013 L 22/02/2023
07/02/1970
P 22/02/2023
12/11/1989
P 22/02/2023
23/01/1971 P 22/02/2023
26/12/1989 P 22/02/2023
01/04/1975 L 22/02/2023
08/11/1993 P 22/02/2023
05/10/1970 22/02/2023
P
26/03/1975 P 22/02/2023
12/10/1975
P 22/02/2023
03/06/2010
P 22/02/2023
26/06/1978 P 22/02/2023
18/05/1987 L 22/02/2023
01/08/1972 22/02/2023
L
13/12/1975 P 22/02/2023
19/07/1978
P 22/02/2023
18/01/2017
P 22/02/2023
19/06/2008 L 22/02/2023
09/07/1987 P 22/02/2023
16/06/2010 P 22/02/2023
02/09/1963 P 22/02/2023
10/11/2012 22/02/2023
L
21/06/2017 P 22/02/2023
11/03/1974
P 22/02/2023
14/04/2000
P 22/02/2023
22/06/2013 L 22/02/2023
06/03/1980 L 22/02/2023
25/06/1966 22/02/2023
P
24/11/1987 P 22/02/2023
13/02/1975
P 22/02/2023
22/06/2013
L 22/02/2023
19/02/2018 P 22/02/2023
14/10/1981 P 22/02/2023
25/04/1986 P 22/02/2023
14/06/2012 P 22/02/2023
30/09/1977 22/02/2023
P
24/05/1996 L 22/02/2023
18/08/1966
P 22/02/2023
27/04/2017
P 22/02/2023
29/05/1963 L 22/02/2023
14/09/2001 P 22/02/2023
13/05/2016 22/02/2023
L
22/05/1966 P 22/02/2023
19/05/1970
P 22/02/2023
22/08/1971
P 22/02/2023
26/04/1995 P 22/02/2023
10/11/2003 P 22/02/2023
10/01/1971 P 22/02/2023
20/07/2016 L 22/02/2023
02/12/2010 22/02/2023
L
10/09/1978 P 22/02/2023
17/09/1995
P 22/02/2023
30/06/2015
P 22/02/2023
11/07/1990 P 22/02/2023
07/11/1975 P 22/02/2023
18/11/1974 22/02/2023
P
16/12/2012 L 22/02/2023
24/05/1990
P 22/02/2023
06/07/2007
P 22/02/2023
13/04/2000 L 22/02/2023
07/11/1974 P 22/02/2023
29/09/1971 P 22/02/2023
18/06/2013 L 22/02/2023
20/06/1978 22/02/2023
L
06/07/1984 P 22/02/2023
31/10/1979
P 22/02/2023
01/05/1983
P 22/02/2023
10/02/1982 P 22/02/2023
13/02/1990
P 22/02/2023
05/12/1977 P 22/02/2023
25/03/1970 L 22/02/2023
12/07/1978 P 22/02/2023
27/11/2014 P 22/02/2023
24/08/1986 22/02/2023
P
12/01/2006 P 22/02/2023
05/03/1969
P 22/02/2023
18/05/1976
P 22/02/2023
07/08/1966 P 22/02/2023
27/10/1973
L 22/02/2023
17/11/2012 P 22/02/2023
23/08/2010 P 22/02/2023
02/01/1991 P 22/02/2023
22/10/2015 P 22/02/2023
18/08/1980 22/02/2023
P
12/08/2016 P 22/02/2023
21/08/1989
P 22/02/2023
12/04/1966
P 22/02/2023
10/09/2016 P 22/02/2023
31/10/2004
P 22/02/2023
18/02/1970 L 22/02/2023
25/01/2013
P 22/02/2023
12/10/1997 L 22/02/2023
08/05/1997 P 22/02/2023
12/10/2016 L 22/02/2023
11/07/1999 P 22/02/2023
11/05/1971 22/02/2023
P
15/07/1971 P 22/02/2023
02/03/1998
L 22/02/2023
07/11/1970
P 22/02/2023
05/09/1976 L 23/02/2023
28/02/1971
L 23/02/2023
08/07/1981 P 23/02/2023
23/04/1985 L 23/02/2023
13/12/1990 P 23/02/2023
17/05/1989 P 23/02/2023
16/03/1982 23/02/2023
L
21/03/1965 L 23/02/2023
17/07/1981
P 23/02/2023
14/12/2015
L 23/02/2023
DATA SKRINING SRQ 20 FASKES
DATA INDIVIDU
ALAMAT SESUAI DOMISILI
PROVINSI KABUPATEN
Banten KOTA TANGERANG


















FASKES
U
MAT SESUAI DOMISILI
KECAMATAN DESA / KELURAHAN PROPINSI
KARANG TENGAH KARANG TENGAH Banten


















ALAMAT SESUAI KTP
KABUPATEN / KOTA KECAMATAN
KOTA TANGERANG KARANG TENGAH


















INSTITUSI
DESA / KELURAHAN NAMA INSTITUSI
KARANG TENGAH PUSKESMAS KARANG TENGAH


















INSTITUSI
SRQ
ALAMAT NOMOR HANDPHONE HASIL SKORING

8
KARANG TENGAH 081211170755

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Puskesmas

Kolom warna ungu wajib diisi

No NIK NAMA PESERTA SKRINING

TGL LAHIR JENIS KELAMIN TANGGAL SKRINING

DESA / KELURAHAN NAMA INSTITUSI

Kolom warna ungu wajib diisi

No NIK NAMA PESERTA SKRINING

2 3671124807990002 Laras Herliyani

4 3671132006780004 Roni Hendrawan

10 3671122703790004 Dewi Sartika

20 3671125201690006 Taufik Hidayatulloh

28 3671126808770002 Nidaul Hasanah

34 3671125608110001 Melani Anggraeni

36 3671125109130001 Wardatun Jamilah

42 3328184110110002 Muhammad Januarsyah

46 3671126705030004 Muhamad Zaini

52 3671126107960002 Eky Alamsyah

54 3202066610860003 Andri Margianto

58 3671121602170001 Chikmatul Imania

62 3374060510150004 Wahyu Rati Ningsih

66 3671120512690005 Ahmad Zarkasi

76 3671124404040001 Leni Sapuroh

78 3671126301020001 Kamila Triana Martiadini

90 3671120111980006 Lamhot Sihombing

92 3671121105630002 Mochamad Mirza

94 3671124107800024 Inan Salsinah

98 3671126707840004 Eva Septiani

100 3603154504880005 Muhammad Arif Rahmanda

102 3671122604790006 Dwi Astuti

106 3671124906800006 Sayati

110 3671125505120005 Dadang

116 3671121709780005 Slamet Djoko Setiono

118 3671124102750003 Revi Aryanti

120 3671120903740002 Nurul Aini

124 3671124705880002 Rohayati

126 1373014801970001 Iis

128 3671124512760006 Samino

132 3671126602870001 Sri Astuti

134 3671124901100004 Nurullita

136 3173074712150002 Marlia

140 3312194112080002 Mulyadi

142 3671124706090005 Atikah

144 3671121401020003 Andi Purnomo

148 3671124205920002 Desi Rahmawatiningsih

150 3603135811820005 Sri Wahyuni

152 3671124505750013 Dahlia Suciyanti

156 3173072105081001 Abdul Munir

158 3671126612163000 Sri Bambang Waluyo

160 3671062705820002 Arni

164 3326087010950002 Siswanto

168 3671126106750005 Suhaimah

172 3671124310700002 Abdul Rohmat

176 3671121403070001 Slamet Djoko Setiono

178 3671121405640005 Pipit Nur Hidayah

180 3671120708050006 Komisah

184 3671126102150003 Zaenah

186 3671124203910002 Neneng Surowati

188 3671122502730001 Ade Kurnia Santoso