Balita Dan Ibu Hamil Desa Ltt

DATA SASARAN BALITA DESA LUMBAN TONGATONGA Provinsi : Sumatera Utara Kabupaten/Kota : Tapanuli Utara Puskesmas : Siborongborong

No

NIK (Nomor Induk Kependudukan)

Anak Ke

1 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

1202096105120003

1 2 4 1 6 1 4 1 3 1 1 4 1 1 7 1 1 4 6 2 6 1 3 5 2 3 2 1 1 2 2 1

1202095206120001 1202090407120001 1202094509120002 1202091710120002 1202094301130002 1202092102130002 1202096801130003 1202094302130001 1202091102130001

1202092804130001 1202094605130001 1202092405130001 1202090907130001 1202092507130002 1202095108130001 1202090911130001

1202095501140001

Nama Anak Jesika Sipahutar Ucok Nababan Kesia Nababan Josua Simarmata Jesika Sitinjak Grasia Manalu Agnes Samosir Arjuna manalu Butet Sibagariang Labeia Nababan Butet Nababan Agung Nababan Adel Nababan Mika Nababan Olivia Pasaribu Iman Datubara Ucok Nababan Nadia Nababan Jubilate Pasaribu Ferdinan Nababan Butet Samosir Butet Sibagariang Tulus Nababan Rafael Sitohang Ucok Sipahutar Elsa Nababan Jonathan Nababan Raflesia Nababan Andre Simanungkalit Ucok Nababan Aniel Sopia Simarmata Ucok Lumbantoruan

Berat Jenis Tanggal Lahir Kelamin Badan Lahir (Kg) 5/25/2012 6/19/2012 6/12/2012 7/4/2012 7/6/2012 9/5/2012 10/7/2012 10/17/2012 12/3/2012 1/3/2013 1/9/2013 2/21/2013 1/28/2013 2/3/2013 2/11/2013 3/4/2013 3/15/2013 4/12/2013 4/21/2013 4/28/2013 5/3/2013 5/6/2013 5/24/2013 7/9/2013 7/25/2013 8/11/2013 9/6/2013 11/8/2013 12/25/2013 1/4/2014 1/15/2014 1/27/2014

Pr Lk Pr Lk Pr Pr Lk Pr Pr Pr Lk Pr Pr Pr Pr Lk Lk Pr Lk Lk Pr Pr Lk Lk Lk Pr Lk Pr Lk Lk Pr Lk

3.0 3.1 3.4 3.0 3.2 3.0 3.2 3.3 3.0 3.2 3.0 3.0 3.2 3.9 3.0 1.8 3.1 3.0 3.1 3.0 3.2 3.7 3.0 3.1 3.0 3.1 3.0 2.9 3.0 3.0 3.1 3.0

Nama Ayah Swardi Sipahutar Hengki Nababan Juliadi Nababan Sahat Simarmata Marojahan Sitinjak Judea Manalu Pitua Samosor Rommel Manalu Binhot Sibagariang Jumpa Nababan Binnaria Nababan Ronal Nababan Paber Nababan Jekson Nababan Tarigan Pasaribu Dohoman Batubara Henri Nababan Samson Nababan Tobok Pasaribu Elisadikin Nababan Lesman Samosir Eberson Sibagariang Maraudin Nababan Ranto Sitohang Swardi Sipahutar Andi Nababan Henri Jipen Nababan Jultan Nababan Dengki Simanungkalit Hengki Nababan Sahat Maruli Simarmata Muksin Lumbantoruan

NIK Orangtua 1202092102860002 1202090907820003 1202092706300002 1202092707710003 1202090711810004 1202091507720003 1202112501800001 1202092109820006 1202092310880002 1202090505770002 1202091608760006 1202092701800001 1202092912850001 1202091111690002

1202090506790003 1202092402770003 1201062004780004 2171030305720009 1202092709790002 1202091005780005 1202092102860002 1202090506790002 1202090105810001 1202090109860004

1202092705300002 1202090807870001

No. Tlp/HP Orangtua

Alamat Lumban Tobing Paranjoan Lumban Tobing Lumban Tobing Lumban Patik Paranjoan Lumban Tobing Lumban Tobing Paranjoan Lumban Siantar Lumban Tobing Lumban Siantar Paranjoan Paranjoan Lumban Pasaribu Paranjoan Lumban Tobing Lumban Siantar Lumban Pasaribu Lumban Tobing Lumban Tobing Hutaraja Lumban Tobing Lumban Tobing Lumban Tobing Lumban Tobing Lumban Tobing Lumban Siantar Lumban Siantar Paranjoan Lumban Tobing Lumban Tobing

Tanggal RT RW Pengukuran 3/8/2017 3/8/2017 4/12/2017 3/8/2017 4/12/2017 4/12/2017 3/8/2017 3/8/2017 4/12/2017 3/8/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 3/8/2017 4/12/2017 3/8/2017 3/8/2017 4/12/2017 4/12/2017 3/8/2017 4/12/2017 4/12/2017 4/12/2017 3/8/2017 4/12/2017 3/8/2017 3/8/2017 4/12/2017 4/12/2017

BB (Kg)

Cara Ukur TB 1=Telentang (cm) 2 = Berdiri

15.8 16 15 15 15 16 15 15 15.1 15 15 15 15 15 14.8 15.4 15 15 15.4 15 14.5 14.6 14.7 15 14.9 14.9 14.8 14.5 14.5 14 14.1 14.1

103 103 102 101 100 100 100 100 101 97 97 97 100 97 99 98 96 98 99 99 98 97 97 96 96 97 96 95 94 90 91 90

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

No 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


1202094806140001

1202091507140003 1202092907140002 1202091309140003 1202094710140002

1202091111140002

1202090107150001 1202094107150002 1202090807150001 1202095907150002 1202095408150001 1202091512150002

1202094102160001

1202095003160002

Anak Ke 2 3 2 2 2 6 4 2 2 5 3 4 8 1 2 6 1 2 4 5 2 2 1 1 2 2 2 3 6 3 7 3 4 2 1 1 2

Nama Anak Butet Manalu Butet Nababan Ucok Nababan Ucok Datubara Ucok Manalu Nathan Nababan Butet Nababan Eli Ezer Lumbantoruan Gesima Manalu Ucok Siburian Hiskia Pasaribu Rahel Nababan Suryana Nababan Rio Nababan Rindu Nababan Parel Nababan Ucok Nababan Butet Lumbantoruan Ricardo Nababan Rieka Nababan Ucok Nababan Butet Nababan Butet Manalu Ucok Nababan Jeysen Hutagalung Butet Nababan Ucok Nababan Trianggi Manalu Ucok Nababan Butet Nababan Butet Jalukhu Ucok Sipahutar Ucok Manalu Butet Manalu Ucok Nababan Butet Manalu Ucok Nababan

Jenis Tanggal Lahir Kelamin 3/27/2014 6/8/2014 6/18/2014 7/14/2014 7/15/2014 7/29/2014 9/8/2014 9/13/2014 10/7/2014 10/25/2014 10/26/2014 11/18/2014 11/21/2014 1/19/2015 2/23/2015 2/26/2015 5/30/2015 6/1/2015 7/1/2015 7/1/2015 7/8/2015 7/19/2015 8/14/2015 10/16/2015 12/15/2015 12/16/2015 1/16/2016 2/1/2016 2/3/2016 8/2/2016 3/5/2016 3/10/2016 3/7/2016 6/23/2016 7/9/2016 7/30/2016 8/13/2016

Pr Pr Lk Lk Lk Lk Pr Lk Pr Lk Lk Lk Pr Lk Pr Lk Lk Pr Lk Pr Lk Pr Pr Lk Lk Pr Lk Pr Lk Pr Pr Lk Lk Pr Lk Pr Lk

Berat Badan Lahir (Kg) 3.2 3.1 3.0 3.0 3.2 3.1 3.0 3.1 3.0 2.8 3.1 3.2 3.1 3.1 3.5 2.8 3.0 3.4 2.1 2.3 3.3 2.9 2.8 3.2 2.5 2.6 3.2 3.2 3.5 3.0 3.1 3.1 3.7 3.2 3.0 3.2 3.2

Nama Ayah Hotben Manalu Sudirman Nababan Pungka Nababan Dohoman Batubara Rommel Manalu Junior Nababan Humara Nababan Jungjungan Lumbantoruan Judea Manalu Ades Siburian Rganda Pasaribu Manat Nababan Lamhot Nababan Parulian Nababan Jumpa Nababan Henri Nababan Tomson Nababan Muksin Lumbantoruan Maraudin Nababan Maraudin Nababan Terdi Nababan Jultan Nababan Todi Manalu Rolespan Nababan Maruli Hutagalung Jekson Nababan Binnaria Nababan Judea Manalu Lamhot Nababan Hengki Nababan Setieli Jalukhu Swardi Sipahutar Hotben Manalu Paber Nababan Januari Manalu Dame Manalu Tomson Nababan

NIK Orangtua

1202093112800002 1202091708800007 1202112501800001 1202092901820001 1202090911780001 1202091403840001 1202090711810004 1202090906700001 1202091211770003 1202091009770003 1202091111701004 1202091008850008 1202092310880002 1202092502740001

1202092709790002 1202092709790002 3173072004820007 1202090109860004 1202092402900004 1202092003720004 1202092810760002 1202092912850001 1202090505770002 1202090711810004 1202091409730001 1202121407770002 1202092102860002 1202092701800001

No. Tlp/HP Orangtua

Alamat Paranjoan Paranjoan Paranjoan Paranjoan Lumban Tobing Lumban Patik Paranjoan Paranjoan Paranjoan Lumban Tobing Lumban Pasaribu Lumban Tobing Lumban Patik Lumban Tobing Lumban Siantar Paranjoan Paranjoan Lumban Tobing Lumban Tobing Lumban Tobing Lumban Tobing Lumban Siantar Paranjoan Lumban Tobing Lumban Tobing Paranjoan Lumban Tobing Paranjoan Lumban Tobing Paranjoan Lumban Tobing Lumban Tobing Paranjoan Paranjoan Paranjoan Lumban Patik Paranjoan

Tanggal RT RW Pengukuran 4/12/2017 4/12/2017 4/12/2017 4/12/2017 3/8/2017 3/8/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 3/8/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 3/8/2017 3/8/2017 4/12/2017 4/12/2017 4/12/2017 3/8/2017 4/12/2017 3/8/2017 3/8/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 3/8/2017 4/12/2017 3/8/2017 4/12/2017

BB (Kg) 14.5 13.1 13 13 13.4 13.3 11.2 11.2 11.2 13.6 13.5 13.1 12.6 12.5 12.7 12.6 11.9 11.8 10 10.2 10.1 10.1 10 9.8 10.8 10 10.1 20 10 8 9.2 9.4 9.2 8.7 8.6 8.6 8.2

Cara Ukur TB 1=Telentang (cm) 2 = Berdiri 92 86 86 85 85 85 92 91 92 86 87 86 85 84 85 85 81 80 77 76 76 75 74 75 76 76 76 75 75 63 72 73 73 68 67 68 65

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

No


70 1202095009160001 71 1202091409160003 72 73 74 75 76 77 78 79 80 81 82

Anak Ke 3 1 3 3 5 3 2 2 2 1 3 3 5

Nama Anak Butet Nababan Hesekiel Nababan Butet Nababan Butet Nababan Butet Sibagariang Butet Manalu Ucok Simanungkalit Butet Nababan Ucok Nababan Butet Nababan Ucok Sihombing Ucok Nababan Butet Nababan

Jenis Tanggal Lahir Kelamin 9/10/2016 9/14/2016 12/16/2016 1/27/2017 2/21/2017 2/24/2017 2/27/2017 2/27/2017 2/28/2017 3/2/2017 3/12/2017 4/2/2017 4/19/2017

Pr Lk Pr Pr Pr Pr Lk Pr Lk Pr Lk Lk Pr

Berat Badan Lahir (Kg) 3.3 3.4 3.2 2.9 3.0 3.0 2.8 2.9 3.6 3.1 3.2 3.0 3.2

Nama Ayah Sudirman Nababan Holong Nababan Henri Nababan Anggiat Nababan Binhot Sibagariang Rommel Manalu Dengki Simanungkalit Henri Nababan Rinto Hutasoit Herianto Nababan Jungjungan Sihombing Pungka Nababan Humara Nababan

NIK Orangtua 1202091103870002 1202091205860005 1202092110810005 1202042109820006 1202112501800001

1202092706860004 1202091708800007 1202091403840001

No. Tlp/HP Orangtua

Alamat Paranjoan Lumban Tobing Lumban Tobing Lumban Tobing Paranjoan Lumban Tobing Lumban Siantar Paranjoan Lumban Siantar Paranjoan Paranjoan Paranjoan Paranjoan

Tanggal RT RW Pengukuran 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 4/12/2017 5/1/2017 5/1/2017

BB (Kg) 6.8 6.5 5 4.2 3.5 3.5 3.9 3.8 4.2 3.6 3.7 3.5 3.5

Cara Ukur TB 1=Telentang (cm) 2 = Berdiri 62 62 58 54 50 52 53 53 58 51 52 51 50

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

Lumban Tongatonga,

BINA N. SIMANUNGKA

ASI Vitamin A Vitamin A IMD Buku Eksklusif Februari Agustus Ada 1=YA KIA 1=YA 1 = YA 2 2=Tidak 1=YA 1=YA 2=Tidak = 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

ASI A Vitamin A Ada Buku IMD Vitamin Eksklusif Februari Agustus KIA 1=YA 1 = YA 2 1=YA 1=YA 1=YA 2=Tidak = Tidak 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

-

ASI A Vitamin A Ada Buku IMD Vitamin Eksklusif Februari Agustus KIA 1=YA 1 = YA 2 1=YA 1=YA 1=YA 2=Tidak = Tidak 2=Tidak 2=Tidak 2=Tidak 1 1 1 1 1 1 1 1 1 1 1 1 1

an Tongatonga,

N. SIMANUNGKALIT

1 1 1 1 1 1 1 1 1 1 1 1 1

Mei 2017

1 -

-

DATA SASARAN IBU HAMIL DESA LUMBAN TONGATONGA Provinsi Kabupaten/Kota Puskesmas

No

NIK (Nomor Induk Kependudukan) atau No. KTP

: Sumatera Utara : Tapanuli Utara : Siborongborong

NAMA IBU

BB Sebelum Hamil

ALAMAT

RT

RW

TANGGAL LAHIR

TANGGAL PENGUKURAN

BB (Kg)

TB (cm) LILA (cm) KEHAMILAN TTD (Tambah Ke Darah) 1=Ya, 2=Tidak

3/8/2017

60

155

32

1

1

1

Risma Manurung

54 Kg

Lumban Patik

2 1202096911930003

Hermina Hutasoit

55 Kg

Lumban Tobing

11/9/1993

4/12/2017

60

153

27

2

1

3 1202045101900001

Meliriadi Siahaan

50 Kg

Lumban Siantar

1/11/1990

4/12/2017

53

155

27

3

1

4 1202106604900001

Riris Datubara

53 Kg

Lumban Siantar

4/21/1980

4/12/2017

60

155

29.5

3

1

5 1210024501900002

Murni Siahaan

1/6/1990

4/12/2017

55

157

28

1

1

6 3172046905860007

Anna Meida Siahaan

55 Kg

Lumban Tobing

5/29/1986

4/12/2017

62

154

29

2

1

7

Rumanti Tampubolon

54 Kg

Lumban Tobing

9/28/1985

4/12/2017

51

150

25

3

1

8 1202095311790002

Krida Sihombing

53 Kg

Lumban Pasaribu

11/13/1979

4/12/2017

65

154

33

3

1

9 1202095206850008

Darmawati Siahaan

52 Kg

Lumban Tobing

6/12/1985

3/8/2017

63

155

30

4

1

10

Hotmina Sihotang

31 Kg

Paranjoan

12/30/1990

4/12/2017

34

150

22

1

1

11 1202093107780001

Marisi Donda Lumbantoruan

48 Kg

Lumban Siantar

7/31/1978

4/12/2017

55

157

26

7

1

53,5 Kg Paranjoan

Lumban Tongatonga,

BINA N. SIMANUNGKALIT

Mei 2017

JIKA YA, Brp Butir TTD Didapat 60 30 30 60 30 60 60 90 90 30 60

Balita Dan Ibu Hamil Desa Ltt

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