Pendataan Pus Wus Desa Betek

NIK SUAMI

06/05/1972 29/08/1964 01/01/1969 20/05/1975 22/07/1974 21/07/1966

351908060872000 4 351908081156000 1 351908030565000 1 351908051064000 1 351908290371000 2 351908101163000 1

NIK KK / No KK

NIK ISTRI

1 2 3 4 5 6

351908080905024 2 351908010197018 3 351908010197018 5 351908010197019 1 351908010197100 4 351908010197100 8

351908460572000 1 351908690864000 1 351908410169000 1 351908600575000 1 351908620774000 1 351908107660000 1

7

351908010198397 4 351908550970000 1 Aminin

15/09/1970 351908091163000 1 Sudarto

09/11/1963

8

351908010198772 8 351908420954000 2 Supart

02/09/1954 351908120852000 1 Kasirin

12/08/1952

9

351908010610022 2 351908420873000 2 Murniat

02/08/1973 351908271167000 1 Sudiro

27/11/1967

10 11 12 13

351908020305009 9 351908030315000 1 351908040107000 8 351908040909063 4

24/09/1980 14/12/1980 10/02/1973 08/06/1976

27/11/1976 16/06/1971 06/05/1972 07/02/1977

351908640980000 2 357703541280000 5 351908500273000 3 351908480676000 5

Nama

Tanggal Lahir

NO

Sumarni Eny Sukatmiarsih Mulyat Rohmi Purwat Djamitun

Sri Hartat Wahyu Sri Astut Hartni Sumini

351908271176000 1 351908160671000 1 351908060572000 4 351908070277000 2

Nama Satu Suprapto Sikin Trimo Zudianto Sudarno

Sidiq Suwantoro Tamiyo Pujianto Ismail

Tanggal Lahir 06/08/1972 08/11/1956 03/05/1965 05/10/1964 29/03/1971 10/11/1963

14 351908050313000 4 351908600389000 1 Supartningsih 15 351908060606018 1 351908590285000 3 Nova Eka Yunita

20/03/1989 351908130281000 1 Supriyanto 19/02/1985 351908150575000 1 Ebiet Eko Sutkno

13/02/1981 15/05/1975

16 351908060715000 2 350724700687000 6 Yuni Marginingsih

30/06/1987 350724100781000 5 Agus Purwanto

10/07/1981

17 351908100998117 9 351908690680000 1 Kartni 29/06/1980 351908100978000 1 Sutajab 18 351908101108046 9 351908540684000 1 Duwi Agustningrum23/08/1981 351908281075000 4 Pujianto

10/09/1978 28/10/1975

19 351908111109074 6 351908540684000 1 Juniatk 20 351908120302022 3 351908520772000 4 Yuliana Endang S 21 351908120514000 5 351908550170000 2 Sulisiyani

20/10/1984 28/06/1970

14/06/1984 351908201084000 4 Fatkurahman 12/07/1972 351908280670000 3 Supadi 15/01/1970

NIK Anak

Nama

JK

351908311200000 2 Alfin Sofyan Anwari 351908501094000 1 Elen Pramana Dina S

L P

351908670295000 1 Istrokah 351908481086000 1 Jesica Anggraini 351908561296000 2 Sri Tri Rahayu 351908140107000 1 Sri Dimas Bayu A 351908471208000 2 Sri Five Nurvahyani 351908511191000 2 Indah Novita 351908101210000 1 Desta Tridira Putra 351908281085000 1 Puguh Supriyadi 351908631291000 4 Dini Choirina 351908420412000 1 Dhanis Gea Putri A 351908230697000 2 Junaidi Bima P W 351908570603000 2 Nur Ajeng Prasetyo W 351908671205000 1 Nadia Tifara Sidiq 357703550709000 3 CCinta Ayu Rahmia P 351908610413000 1 Adna Agatha Fujian Y S 351908080402000 3 Ferry Nur Rokhim 351908620809000 2 Erlina Suci Amalia 351908470913000 1 Eiliya Azlin Septana 351908660110000 1 Atayana Khafidzah S 351908480214000 1 Az-zahra Khalifah S 350724490908000 6 Mutara Kusuma R 350724040511000 3 Mahesa Wira Kusuma 351908670301000 1 Nafiliyatuzzakiyah 351908221201000 2 Nursidik Alianto 351908570312000 1 Zizi Sayidina Alianto 351908490712000 1 Kamaliyatul Fauziyah A 351908200499000 2 Martnus Enddy A P 351908630995000 1 Lisa Septani Putri

P P P L P P L L P P L P P P P L P P P P P L P L P P L P

22 351908130206005 2 351908420674000 2 Sri Ponirah 23 351908140103001 0 351908600279000 2 Laminah 24 361908160112000 1 351908641078000 2 Dian Herawat 25 26 27 28 29 30

351908160408016 1 351908160408016 2 351908170914000 2 351908180106001 4 351908180897019 3 351908190208007 8

351908501082000 6 351908560378000 1 351908600191000 2 351908520583000 2 351908600568000 1 351908600875000 2

Sri Rahayu Mahmudah Sri Puji Astutk Nur Ani Salamah Laminem Warsini

31 32 33 34

351908210205003 6 351908211010042 3 351908220312000 2 351908230408017 3

351908620478000 3 351908710889000 2 351914490190000 2 351908700684001 2

Nur Lailiyah Iman Apua Ristyah Partni

35 351908520214000 1 351907461174000 1 Reni 36 37 38 39

351908250915000 1 351908260214000 1 351908260509029 7 351908270199023 2

351908530394000 1 351908620787000 1 351908470686000 1 351908651078000 2

Fitriana Samini Reni Sulistyana Listya Ariyant

40 41 42 43

351908270511268 1 351908270511289 0 351908280798118 3 351908291197019 4

351908480682000 1 351908590788000 2 351908700663001 9 351908550574000 1

Tatk Sulistyowat Hartni Supiyah Sri Wartni

44 351908140814000 3 351908581088000 1 Maria Oktavia

02/06/1974 351908060970000 2 Suparmin 20/02/1979 351908011074000 3 Warjuki 24/10/1978 351908200582000 1 Wahyudi Rahman

06/09/1970 351908580705000 1 01/10/1974 20/05/1982 351908200203000 2 351908180413000 2 10/10/1982 351908140182000 2 Hari Cahyono 14/01/1982 16/03/1978 351908291078000 4 Kicuk Aris Dianto 29/10/1978 351908451005000 1 20/01/1991 352106090889000 1 Adita Candra K 09/08/1989 351908240515000 2 12/05/1983 351908270968000 2 Suwardi 27/09/1968 351908520904000 1 20/05/1968 351908311265000 1 Kamto 31/12/1965 351908630804000 1 20/08/1975 351908091175000 1 Suprianto 09/11/1975 351908110998000 4 351908100408000 4 22/04/1978 351908070277000 1 Iskak 07/02/1977 31/08/1989 351908090289000 6 Eko Setyawan 09/02/1989 351908450310000 3 09/02/1990 351907150786000 2 Achmad Nasirudin 13/07/1986 351908070812000 1 30/06/1984 351908090973000 2 Bambang Budianto 09/09/1973 351908060100000 2 351908080608000 4 06/11/1974 351907111058000 1 Sudarpo 11/10/1958 351907201290000 4 351907651203000 1 13/03/1994 351908090395000 2 Akbar Sampurna A 09/03/1995 22/07/1987 351907050590000 1 Agus Rokhani 05/05/1990 351908270115000 1 07/06/1986 351908130873000 1 Suwito 13/08/1973 351908121008000 1 25/10/1978 351908090172000 1 Lasidi 09/01/1972 351908031298000 2 351908200904000 1 08/06/1982 351908040879000 2 Ibnu Biantoro 04/08/1979 351908311211000 1 19/07/1988 351908150485000 4 Didik Purnomo 15/04/1985 351908030511000 1 30/06/1963 351908300660001 6 Moh. Sholeh 30/06/1960 351908530993000 2 15/05/1974 351908050760000 1 Suwarno 05/07/1960 351908570290000 1 351908650398000 2 351908650398000 1 18/10/1988 352010160889000 2 Arianto 18/08/1989 351908211114000 1

Wanda Widya A

P

Muhammad Raka Y Muhammad Muslih F

L L

Arisma Putri R Khaizan Azka El Gibran Alif Wahyu N Nesya Dwi Agustna Anggi Septawan Aldo Nurcahyanto

P L L P L L

Zekina Setyaning Fildan Haidir Ramadhani Rizqianto Faris Fadrian Munirul Ichwan Muflichatul Karimah

P L L

Aditya Rafa Hamizan Faris Alfa Reza Eka Budi Prayoga Doni Gemilang S Ahmad Fauzan F B Arosyiid Abi P Mami Ulil Azizah Eli Ernawat Neni Herlina Nina Herlina Nufandi Zidha P

L L L L L L P P P P L

L P

Tanggal Lahir

Ket (kronis,Gakin)

Metode KB

31/12/2000 S 10/10/1994 Menopause S 27/02/1995 PIL 08/10/1996 S 16/12/1996 PIL 14/01/2007 07/12/2008 11/11/1991 PIL 10/12/2010 28/10/1985 Menopause 23/12/1991 Hamil 02/04/2012 23/06/1997 Suntk 17/06/2003 27/12/2005 15/07/2009 21/04/2013 MOW 08/04/2002 22/08/2009 07/09/2013 Suntk 26/01/2010 Suntk 08/02/2014 09/09/2008 Suntk 04/05/2011 27/03/2001 Tidak KB 22/12/2001 PIL 17/03/2012 09/07/2012 Tidak KB 20/04/1999 IUD 23/09/1995 Janda

-

18/07/2005 Suntk IUD 20/02/2003 Suntk 18/04/2013 Suntk 05/10/2005 Suntk 24/05/2015 Suntk 12/09/2004 Implant 23/08/2004 Suntk 11/09/1998 Suntk 10/04/2008 Suntk 05/03/2010 Implant 07/08/2012 Implant 06/02/2000 Suntk 08/06/2008 20/12/1990 Tidak KB 25/12/2003 Tidak KB 27/01/2015 Suntk 12/10/2008 Suntk 02/12/1998 Suntk 20/09/2004 31/12/2011 IUD 03/05/2011 Suntk 13/09/1993 Menopause 17/02/1990 Kondom 25/03/1998 25/03/1998 21/11/2014 Suntk

NO

NIK KK / No KK

NIK ISTRI

1

351908010197020 3 351908710769000 1 Chusmiyat

7/31/1969

351908080770000 1

2

351908010197021 1 351908630764000 1 Sajekt

7/23/1964

351908010755000 4

3 4 5

351908010198014 9 351908661263000 1 Warsini 351908010198015 1 351908630969000 1 Sumilah 351908010198160 9 351908700959000 1 Karyatun

12/26/1963 9/23/1969 9/30/1959

351908160864000 2 351908300649001 0

6 7 8 9 10 11 12 13 14

351908010198162 2 351908010198168 8 351908010198169 0 351908010198624 7 351908010198780 4 351908041208051 8 351908050509021 5 351908060206002 7 351908060214000 3

1/1/1969 12/31/1968 6/6/1969 6/4/1971 5/5/1973 11/5/1983 6/30/1975 1/3/1982 1/3/1985

351908020869000 1 351908161263000 1 351908300967000 1 351908031064000 1 351908131267000 1 351908101082000 4 351908301257000 3 351908011272000 2 351908290183000 1

15 16

351908070410013 3 351908541184000 3 dian ekawat 351908071005027 3 351908411276000 1 lilik suryani

11/14/1984 12/1/1976

351908190481000 2 351908160672000 3

17 18

351908110208005 5 351908541286000 1 dewi haryant 351908110609040 7 351908451285000 2 sit marfuah

12/14/1986 12/5/1985

351908020986000 3 351908130182000 2

19

351908110898015 2 351908550756000 1 rusmini

7/15/1956

351908050643000 1

20 21

351908120413000 1 351908411086000 2 Maria Magdalina 351908130612000 1 351908460864000 2 Aminah

10/1/1986 8/6/1964

317508310190000 2 351908051074000 1

22

351908140415000 3 351908410156000 1 lasmini

1/1/1956

23 24 25 26 27 28 29 30 31

351908140598760 2 351908141111000 1 351908150805021 3 351908150812000 2 351908170412000 1 351908150676000 1 351908191108049 0 351908210212000 2 351908220713000 5

7/6/1977 6/9/1985 7/31/1972 6/13/1989 6/23/1990 11/27/1983 11/10/1988 8/29/1991 2/20/1980

351908410969000 1 351908711268000 5 351908460669000 1 351908440671000 3 351908450573000 2 351908451183000 1 351908700675000 4 351908430182000 1 351907430185000 3

351908460777000 1 351908490685000 1 351908710772000 1 351908530689000 3 351908630690000 1 351908671183000 2 351908501188000 1 351908690891000 3 351908600280000 1

Nama

Pujiat Sulastri Yuni Tri Hastut Jamirah sriyatun tri astut patukah maryat wulan ika s

Sri Utami dewi indriyani Wara setyorinie Yuni ekawat Sit masruroh Sri Wahyuni Pujiatun Nurul Evi S Ferra Sri Hartni

Tanggal Lahir NIK SUAMI

351908090265000 1 351908180481000 1 351908090864000 2 351908211289000 1 351908030881000 1 351908150676000 1 351908200784000 3 351907150490000 1

32

351908231201004 5 351905581279000 1 Sulis Anjarwat

12/18/1979

351908190177000 1

33 34

351908280104003 6 351908420473000 3 Tuminah 351908280212000 1 351908460283000 1 Wartni

4/2/1973 2/6/1983

351908030169000 3 351908081177000 2

35

351908290898678 3 351908501070000 4 Marminem

10/10/1970

351908110169000 3

36 37

351908300197101 1 351908420856010 1 Ruth Suyatmi 351908301105032 3 351908480768000 1 Yuliani

8/2/1956 7/8/1968

Nama

Tanggal Lahir NIK Anak

Nama

JK

Tanggal Lahir

Sarji

7/8/1970

Panimun

7/1/1955

Salim Suparman

8/16/1964 6/30/1949

Tarjiono Paiman Bambang Siswanto Partman Maryanto warsito juari lugiantoro andhi kusuma

8/2/1969 12/16/1963 9/30/1967 10/3/1964 12/13/1967 10/10/1982 12/30/1957 12/1/1972 1/29/1983

35190812059703 2 351908290408000 1 351908550385000 1 351908090395000 1 351908610486000 1 351908130595000 1 351908010680000 1 351908010183000 2 351908430886000 1 351908030594000 2 351908651192000 1 351908110707000 1 351908490193000 1

Nur Cahyo Odi S Nur Rifan Ipuk Setyo Rahayu Fajar Bayu P Maria Maqdalina Yusuf Azizal Alim Heru Sugianto Purwanto Kusyant Jainal Tohirin Endah Setyo Rahyu Galah Awang K sit mutoharoh

L L P L P L L L P L P L p

5/12/1997 4/29/2008 3/15/1985 3/9/1995 4/21/1986 5/13/1995 6/1/1980 1/1/1983 8/3/1986 5/3/1994 11/25/1992 7/11/2007 1/9/1993

351908431007000 1 351908680701000 1 351908411215000 2 351908570413000 1 351908180714000 1

felliarta aurida indah ayuningtyas nikyesa khanza aqilla kenzo algazha

p p p p l

10/3/2007 7/28/2001 12/4/2015 4/17/2013 7/18/2014

suharto samidi

4/19/1981 6/16/1972

darwanto ari siswanto

9/2/1986 1/13/1982

Karmun

6/5/1943

Dimas Raga S Matori

1/31/1990 10/5/1974

351908050702000 1 351908180608000 1 351908670213000 1 351908250108000 1 351908010509000 1 351908200315000 1 351908460887000 1 351908170890000 1 351908211194000 1 351908651012000 2 351908640101000 3 351908500903000 4 351908500490000 1 351908300795000 1

devran abin k sabhara tegar lidia happy y jahfal habib p raditya nur z Nafis Fazil betty wulandari k choirul huda k Damanhuri k Indi malika A marya ulfa Sept nur bet indah tri rahayu Danang Wijanarko

l l p L L l L L L P P p p L

7/5/2002 6/18/2008 2/27/2013 1/25/2008 5/1/2009 3/20/2015 8/6/1987 8/17/1990 11/21/1994 10/25/2012 1/24/2001 9/10/2003 4/10/1990 7/30/1995

Pardo Tri Harno Budhi Hartojo hermanto Prasetyo andrianto Kusnendar Arga Ari Aji Bayu Segara

2/9/1965 4/18/1981 8/9/1964 12/21/1989 8/3/1981 6/15/1976 7/20/1984 4/15/1990

351908050315000 1 351908700313000 1 351908230312000 1 351908470710000 1 351908060912000 1 351908150312000 1 351908130512000 3

Erlangga raditya Anayra herka s Wisnu Raffi S Olivia Zahra Azzam Rizqullah Alip Ega Raditya Yodha Masaccio J

L P L L L L L

3/5/2015 3/30/2013 3/23/2012 7/7/2010 9/6/2012 3/15/2012 5/13/2012

Agustnus S

1/19/1977

Tohari Suprapto

1/3/1969 11/8/1977

Kajad

1/11/1969

351908130212000 2 351908500102000 1 351908210814000 1 351908210296000 1 351908510604000 2 351908691012000 1 351908290292000 4 351908510812000 1 351908680786000 1 351908310701000 4

Yoga Masaccio J Frista Arin M Satria Abiyasa Sulistyo Sejat Sheirlly A Deva Aulia A Yogik Iskandar Jelita Ramadana Galuh Tri Y Dika Yulianto

L P L L p P L p p L

5/13/2012 1/10/2002 8/21/2014 2/21/1996 6/11/2004 10/29/2012 2/29/1992 8/11/2012 7/28/1986 7/31/2001

Metode KB Suntk Menopause Menopause Menopause

Tidak KB Menopause Suntk suntk IUD pil suntk suntk suntk IUD

IUD Suntk Menopause

Suntk Menopause Menopause Suntk Suntk Suntk iud suntk IUD IUD Janda

Ket (kronis,Gakin)

tdk Kb suntk MOW Menopause janda

NO NIK KK / No KK

NIK ISTRI

Nama

Tanggal Lahir

NIK SUAMI

7/8/1973

351908130269000 1

1

351908010198119 6 351908480773000 1 Sumari

2

351908010198119 8

351908311255000 3

3 4 5 6 7

351908010198120 2 351908010198162 6 351908010198166 0 351908010198273 6 351908010198399 2

8/15/1962 6/30/1958 6/30/1953 2/1/1976

351908300634000 8 351908250760000 3 351908300650002 0 351908300653006 1 351908230777000 1

8 351908010198608 7 351908520566000 2 Kinem 9 351908010198608 9 351908600369000 1 Sumiat 10 351908010198726 8 351908700676001 8 Partni

5/12/1966 3/20/1969 6/30/1976

351908311259000 7 351908221267000 2 351908200369000 2

11 351908010198728 6 351908700639004 5 Atn 12 351908010198773 1 351908500177000 3 Nuryat 13 351908010199010 5 351908450376000 1 Sujiat

6/30/1939 1/10/1977 3/5/1976

351908030875000 1 351908100865000 5

14 15 16 17

5/23/1978 5/15/1959 3/20/1982 10/27/1979

351908050679010 0 351908180949000 1 351908200273000 1 351908131077000 1

18 351908051098120 1 351908411067000 1 Semi

10/1/1967

351908300657004 5

19 351908060607031 3 351908580767000 2 Musiani

7/18/1967

351908131167000 1

20 351908070915000 3 351908660290000 1 Arif Yuhana 21 351908090297021 0 351908700668000 1 Suyani

2/26/1990 6/30/1968

351908300960000 1

22 23 24 25

6/10/1983 351908090884000 3 10/25/1962 2/13/1989 351908090787000 1 6/30/1951 351908300625003 4

351908020806024 2 351908020898399 0 351908030807042 8 351908050608023 7

351908091208052 5 351908091298119 3 351908101012001 1 351908120798772 9

351908550862000 1 Kustni 351908700658002 1 Warikem 351908700653004 3 Poniyem 351908410276000 1 Sulamiyah

351908630578000 1 Endang Susilowat 351908550559000 1 Sumiatun 351908600382000 1 Lilis Nurchayatun 351908671079000 2 Sarminah

351908500683000 1 Parmi 351908651062000 1 Jikem 350624530289000 2 Novi Kusumadewi 351908700651003 6 Rajiah

26 351908140814000 2 351908550392000 1 Est Sulistani 27 351908141114000 1 351908580588000 1 Lailatul Mukaromah 28 351908150804028 1 351908511081000 1 Ida Purwat

3/15/1992 351908310391000 1 5/18/1988 350202120785000 1 10/11/1981 351908070578000 3

29 351908210513000 4 351908711082000 1 Erlyn Widyawat 30 351908210706022 0 351908530678000 3 Wasri 31 351908240407023 4 351908690375000 2 Retno Wardani

10/31/1982 351909140786000 2 6/13/1978 351908250481000 3 3/29/1975 351908201070000 3

32 351908241210003 6 351908501048000 1 Soeparmi 33 351908250110002 6 351908551186000 1 Dyah Sulistyowat

10/10/1948 11/15/1986 351908011084000 1

34 35 36 37 38 39 40 41 42 43

351908260314000 1 351908260698760 7 351908270511261 8 351908270511284 3 351908270911000 7 351908280410016 6 351908281003026 0 351908301109077 3 351908301109077 4 351908280198399 8

351908410989000 2 Dwi Siswat 351908701258000 3 Warni 351908510784000 1 Purmini 351908541087000 1 Ika Tri Rahayu 351908441065000 3 Siyem 351908591278000 1 Nur Wahyuningsih 351908581155000 1 Partni 351908480884000 3 Hayin Farida 351719480391000 2 Zuliana 351908481170000 1 Sutyem

9/1/1989 12/30/1958 7/11/1984 10/14/1987 10/4/1965 12/19/1978 11/18/1955 8/8/1984 3/8/1991 11/8/1970

351908080488000 2 351908110155000 1 351908060985000 2 351908150268000 1 351908201275000 1 351908120354000 1 351908151182000 1 351908280685000 4 351908300668000 9

Nama

Tanggal Lahir

NIK Anak

Nama

JK

Tanggal Lahir

Yasmidi

2/13/1969

Gumbreng

12/31/1955

351908430793000 1 351908640401000 1 351908230280000 1 351908630993000 1 351908580101000 1 351908700687000 3 351908660792000 1 351908430495000 1 351908120703000 3 351908150509000 1 351908690589000 2 351908021202000 1 351908620995000 1 351908200505000 2 351908700694000 4 351908511297000 1 351908630594000 1 351908530108000 4 351908100706000 1 351908630891000 1 351908660707000 1 351908110604000 3 351908680814000 1 351908490882000 1 351908571091000 1 351908610295000 2 351908100900000 2 351908150410000 2 351908501196000 1 351908290104000 1 351908491105000 1 351908710393000 1 351908511213000 1 351908311271000 1 351908690493000 1 351908230514000 2

Yest Marsela M Pupung Puspita Gunawan Wibisono Rumit Setyani Khomariyah Yuni Marginingsih Leni Sefi Herlinawat Sukent Bagus Zakaria Bayu Aji Saputra Juwika Setyaningsih Krisna Bayu P W Lusi Septaningrun Leo Prasetyawan Rosita Desi Murlinda Ayu S Erika Susant Friska Dewi N Firman Juliar Endah Purwat Khafria Wahyuningrum Rian Bagus C Ayumna Tabina A P Puji Astut Tri Nurhayat Elsita Lisnawat Dimas Yuda Pratama Aril Waskito Aji Eriana Sulistyani Edwin Sulistyanto Intan Permata Sari Ratna Indah Setyorini Chelsea Salsabilla A Harsono Sri Hartni Kenzo Mayvero D

P P L P P P P P L L P L P L P P P P L P P L P P P P L L P L P P P L P L

7/3/1993 4/24/2001 2/23/1980 9/23/1993 1/16/2000 6/30/1987 7/26/1992 4/3/1995 7/12/2003 5/15/2009 5/29/1989 12/2/2002 9/22/1995 5/20/2005 12/10/1993 12/11/1997 5/23/1994 1/13/2008 7/10/2006 8/23/1991 7/26/2007 6/11/2004 8/28/2014 8/9/1982 10/17/1991 2/21/1995 9/10/2000 4/15/2010 11/10/1996 1/29/2004 11/9/2005 3/31/1993 12/11/2013 12/31/1971 4/29/1993 5/23/2014

Nadia Wahyu W Tetuko Wahyu S Naufal Khairul A Yoga Wahyu Nur H Jerry Yusuf Ardya A Sella Marda Piscesa Ahmad Soefyan P S Rumiat Aditya bagus Pratama

P L L L L P L P L

7/29/2005 9/2/2014 6/8/2013 4/25/2004 10/18/1995 3/14/1997 18-03-1007 8/15/1977 9/11/2007

Sardji Sumardi Adi Suparno Madi Ahmad Yahmin

6/30/1927 7/25/1960 6/30/1950 6/30/1953 7/23/1977

Samirin Soewardi Marwan

12/31/1959 12/22/1967 3/20/1969

Suwarto Markam

8/3/1975 8/10/1965

Iswahyudi Salam Sukirin Hariyanto

6/5/1979 9/19/1949 2/20/1973 10/13/1977

Samirin

6/30/1957

Rohmat

11/13/1967

Edi Suryanto Muhammad Ismail Widiyantoro Taman Muhammad Riduan Sujarno Supriadi Teguh Purwanto Heru Prasetyo Priyono

Teguh Susanto

9/30/1960 8/9/1984 7/9/1987 6/30/1925

3/31/1991 10/27/1983 5/7/1978 351908680705000 1 351908020914000 1 7/14/1986 351908080613000 1 4/25/1981 351908650404000 1 10/20/1970 351908181095000 2 351908540397000 2 351908180307000 1 351908550877000 1 10/1/1984 351908110907000 2

Arik Priambodo Tamin Rely Anton P Sahar Rantok Salam Nanang Nurcahyo Heri Saputro Djono

4/8/1988 351908570314000 1 1/11/1955 351908490290000 2 351908670111000 1 9/6/1985 351908020411000 2 2/15/1968 351908440769000 2 12/20/1975 351908040702000 1 3/12/1954 351908580980000 1 11/15/1982 351908301207000 3 6/28/1985 351719260612000 1 6/30/1968 351908091190000 1 351908470197000 2 351908140903000 2

Mahira Hasna P Winart Keyla Rizka Zilvana Agha Bevan Reskianto Ines Har Anita Eko Wijayanto Nurul Rohmah Alvin Nur Musyaffa Farista Wahyu Pratama Nova Eko Verdyanto Dwi Wahyuni Syarifudin

P P P L P L P L L L P L

3/17/2014 2/9/1990 1/27/2011 4/2/2011 7/4/1996 7/4/2002 9/18/1980 12/30/2007 6/26/2012 11/9/1990 1/7/1997 9/14/2003

Ket Metode KB (kronis,Ga kin) Suntk

Menopause Menopause Menopause MOW Menopause Suntk IUD Menopause MOW Suntk Menopause Pil Suntk Menopause Suntk Janda Suntk Suntk Menopause Suntk Menopause Tidak KB Tidak KB Suntk Hamil Suntk MOW

Pindah

IUD Menopause Suntk Suntk Menopause Tidak KB Menopause Suntk Suntk Suntk

NIK SUAMI

16/01/1972 23/10/1972 30/06/1965 01/06/1963

351908061166000 1 351908160172000 1 351908311254000 2 351908300657001 1

NIK KK / No KK

NIK ISTRI

1 2 3 4

351908010198015 4 351908010198015 8 351908010198016 6 351908010198016 7

351908560172000 1 351908631072000 1 351908700665001 4 351908410663000 1

5 6 7

351908010198118 4 351908410570000 1 Misri 351908010198161 8 351908410569000 1 Wart 351908010198162 1 351908420365000 1 Wakirah

01/05/1970 351908020165000 1 01/05/1969 351908090163000 1 02/03/1965 351908301259000 3

8

351908010198397 3 351908470776000 3 Astutk

07/07/1976 351908100573000 1

9 10

351908010198607 9 351908410170000 3 Karminah 351908010198608 1 351908470477000 3 Kamini

01/01/1970 351908311264000 4 07/04/1977 351908020973000 2

11

351908010198760 4 351908711264000 8 Djami

31/12/1964 351908311257000 7

12

351908041103026 4 351908550177000 1 Sit Roliyah

15/01/1977 351908061274000 1

13 14 15 16

351908041109073 5 351908041213000 1 351908070414000 3 351908070998161 7

351908631186000 1 327605700668000 7 331006420486000 2 351908441268000 1

Suwart Lasmini Ninik Aryani Partni

23/11/1986 30/06/1968 02/04/1986 04/12/1968

351908160684001 0 351907300670000 9 351908010383000 1 351908250864000 2

17 18 19 20 21 23 25

351908071005027 0 351908080313000 2 351908090811000 9 351908091214000 2 351908100309012 4 351908131113000 1 351908180810034 7

351908610782000 1 351908490691000 2 351908460781000 1 320105600196000 7 351908561187000 1 351908700790000 1 351908551279000 1

Maryani Yuni Indarwat Winart Sit Rina Utama Sumarni Darsini

21/07/1982 09/06/1991 06/07/1981 20/01/1996 16/11/1987 30/07/1990 15/12/1979

351908110771010 0 351908120480000 4 351908171182000 2 351908060991000 1 351908111184000 1 352008311290000 1 351908140385000 3

26

351908180915000 1 351908430164000 2 Suryani

03/01/1964

27 28 29 30 32 33

351908190809060 4 351908210212001 6 351908290305006 2 351908290910038 3 351908300810035 7 351908310599025 4

08/03/1986 03/02/1987 13/03/1983 21/06/1982 16/09/1985 29/09/1978

351908480386000 1 351908430287000 1 351908530383000 1 351908610682000 3 351908560985000 1 351908690978000 2

Nama

Tanggal Lahir

NO

Nurhasanah Kasiyat Tarinem Sunart

Purwat Sulasri Sit Chomsiyah Supart Susilowat Wiwin Winarni

351908130978000 1 351908080685000 3 351908280873000 1 351908200380000 5 351908090582000 5 351908281172000 3

Nama Damis Suyono Wandi Wairin

Tanggal Lahir

NIK Anak

Nama

06/11/1966 16/01/1972 351908300892000 1 Ahmat Ari 31/12/1954 351908520100000 2 Kent Silvana 30/06/1957 351908261184000 1 Marmanto 351908151292000 1 Ana Ansori 351908490497000 1 Sit Munawaroh Samiran 02/01/1965 351908550395000 2 Sit Wahyuni Marnu 09/01/1963 351908221196000 1 Wahyu Kuncoro Saki 30/12/1959 351908230887000 2 Kusyanto 351908620896000 1 Kusmawat Cahyani 10/05/1973 351908470695000 1 Lisa Alfian M 351908580297000 2 Sarah Fitriani M 351908531007000 1 Gantari Gita C 351908250609000 1 Damar Adhi N Adi Kemis 31/12/1964 351908200197000 2 Kristan Wijanarko Hadi Wardono 02/09/1973 351908101297000 1 Miftahul Ramadhan 351908531000000 3 Dyah Ayu Safitri Parman 31/12/1957 351908021292000 1 Nyoto 351908670795000 3 Lasemi 351908180600000 4 Julianto 351908150103000 1 Januri Sunaryo 06/12/1974 351908140801000 1 Abdika Hanif A 351908060810000 1 Ikrar Riezqy Ikhtari Romadhon 16/06/1984 351908441009000 1 Keysha Candra A Yuni Supriyanto 30/06/1970 351908530714000 1 Akila Ramadani Daud Pramono 04/03/1983 351908170912000 1 Afandi Putra P Suntoro 25/08/1964 351908040792000 1 Kornelius TB 351908080301000 1 Deni Kurniawan Djahari 11/07/1971 351908600905000 1 Riyan Septyani Djono 12/04/1980 351908270514000 1 Fabian Rosull I Mahfud 17/11/1982 351908440911000 1 Izzatul Ulya Nur A Heru Purwanto 06/09/1991 351908610815000 2 Pina Adinda H Waluyo 11/11/1984 351908660109000 3 Putri Azhareena Dedy Nugroho 31/12/1990 351908310713000 2 Aditya Putra R Sugiono 13/03/1985 351908200709000 1 Prana Argian M 351908190114000 1 Prayoga Khoirul A 351908580987000 2 Arika Rosant W 351908501193000 3 Risna Ayu W Katemin 13/09/1978 351908140609000 1 Ridho Bagas S Alex Budiono 08/06/1985 351908500111000 1 Regina Amanda P A Minto 28/08/1973 Sunarto 20/03/1980 351908190712000 1 Arya Sentyaki Sugeng Haryanto 09/05/1982 Suparno 28/11/1972 351908480601000 2 Riska Anggi W

JK Tanggal Lahir Metode KB L P L L P P L L P P P P L L L P L P L L L L P P L L L P L P P P L L L P P L P L P

Tidak Kb 30/08/1992 Tidak Kb 12/01/2000 Menopause 26/11/1984 Menopause 15/12/1992 09/04/1997 15/03/1995 Tidak Kb 22/11/1996 PIL 23/08/1987 Suntk 22/08/1996 07/06/1995 MOW 18/02/1997 13/10/2007 25/06/2009 20/01/1997 Suntk 01/02/1997 Suntk 13/10/2000 02/12/1992 Menopause 27/07/1995 18/06/2000 15/01/2003 14/08/2001 IUD 06/08/2010 04/10/2009 Suntk 13/07/2014 MOW 17/09/2012 Suntk 04/07/1992 IUD 08/03/2001 20/09/2005 Suntk 27/05/2014 Suntk 04/09/2011 Hamil 27/08/2015 Suntk 26/01/2009 Suntk 31/07/2013 Suntk 20/07/2009 IUD 19/01/2014 18/09/1987 Menopause 10/11/1993 14/06/2009 Suntk 10/01/2011 Suntk Suntk 19/07/2012 Suntk Suntk 08/06/2001 Tidak KB

Ket (kronis,Ga kin)

NO NIK KK / No KK

NIK ISTRI

Nama

Tanggal Lahir

NIK SUAMI

1 2 3

351908010198163 3 351908530969000 1 Partni 351908010198163 4 351908570771000 1 Suryaningsih 351908010198164 0 351908410674000 1 Kart

13/09/1969 351908200564000 4 17/07/1971 351908121267000 1 01/06/1974 351908010665000 2

4

351908010198165 0 351908450175000 1 Suparmiasih

05/01/1975 351908030571000 2

5

351908010198165 6 351908700664003 0 Darsini

30/06/1964 351908040854000 1

6 7

351908010198165 7 351908511172000 1 Sujiat 351908010198169 5 351908550565000 1 Salbiah

11/11/1972 351908011264000 1 15/05/1965 351908240453000 2

8 9 10 11

351908010198728 5 351908020207003 7 351908020506014 3 351908020598169 1

05/11/1976 30/06/1977 23/04/1970 03/12/1974

12

351908040707035 9 351908621080000 2 Yeni P

22/10/1980 351908070979000 1

13

351908040815000 1 351908580784000 2 Supiyah

18/07/1984 351908080472000 1

14 15

351908050112000 4 351908640680000 1 Sutari 351908050498165 1 351908530475000 2 Ismiratun

24/06/1980 351908200170000 2 13/04/1975

16 17

351908050913000 1 351908590370000 2 Pani 351908060899015 4 351908410273000 2 Lestari

19/03/1970 351908160358000 2 02/01/1973 351908141276000 2

18

351908060905023 8 351908300404000 2 Mamik S

05/11/1982 351908200975010 0

19 20 21 22 23

351908070109000 5 351908470985000 2 Rumiatn

09/07/1985 351908061182000 2

351908081206035 2 351908570985000 1 Darmini 351908100112000 5 351908540688000 4 Sit Aminah 351908120503011 1 351908570875000 4 Eni Tugiart

17/09/1985 351908010176000 1 14/06/1988 351908140687000 1 17/08/1975 351908020266000 3

24

351908120798163 9 351908410663000 4 Warsi

06/01/1963 351908050754000 1

25 26 27 28 29

351908140514000 3 351908150513000 1 351908160212000 2 351908161202010 5 351908180198166 2

14/11/1990 16/12/1995 08/05/1981 06/12/1954 28/04/1962

351908510576000 4 Endang Istni 351908700677000 6 Sukari 351908630470000 2 Sri Yatun 351908520374000 3 Suminem

352004541190000 2 Deni Purwat 332213561295000 2 Catur K 351908450881000 2 Sant 351908520654000 4 Sudarmi 351908680462000 1 Sulistyani

351908300666001 7 351908301168000 1 351908100166000 3 351908311275000 5

351908200684000 2 351908110788000 1 351908160978000 1 351908120650000 3 351908061059000 1

30 31 32 33 34 35

351908181011000 3 351908190309013 9 351908250113000 4 351908260112001 6 351908261114000 1 351908270511288 6

351908540189000 1 Yant 351908630188000 1 Lanjar Ismiat 351908670493000 1 Wahyu Ningsih 351908410671000 1 Suliyat 351908680387000 1 Sumarmi 351908480972000 3 Sumarsih

14/01/1989 23/01/1988 27/04/1993 06/01/1971 28/03/1987 09/08/1972

351908060387000 1 351908130869000 2 351914030493000 2 351908240470000 3 351914100387000 1 351908240470000 4

36

351908281107000 2 351908650171000 1 Panikem

25/01/1971

37

351908290513000 1 351908570686000 1 Wika Paristri

17/06/1986 357302290987000 4

Nama Sumardi kusnanto Supoyo

Amat Suyut

Muryono Mulyadi Demes Tumiran Lasino Slamet Baskoro Sujito Kasno Supriyanto

Sukaji Suwito Joko Puguh W Kuswanto Supriono Exsanto Solikin Suparlan Purnomo Agung Nur C Slamet Purwanto Sukiman Suparlan

Tanggal Lahir

JK

Tanggal Lahir

20/05/1964 351908080791000 1 Margianto 12/12/1967 351908570490000 1 Fita Liana Sari 01/06/1965 351908101092000 1 Okta Ferdianto 351908440113000 2 Muta Anggraini 351908491214000 2 Vika Asanah 05/03/1971 351908530506000 3 Reina Lintang A 351908450612000 1 Dina Melinda S 08/04/1954 351908710784000 1 Yuliant 351908510887000 1 Winart 351908301090000 1 Didik Sugiarto 12/01/1964 351908471093000 1 Anis Setyo Wat 24/04/1953 351908220188000 1 Purwanto Ary N 351908570292000 1 Dewi Permatasari 30/06/1966 351908020293000 1 Peri 30/11/1968 351908450696000 1 Junita Titk S 01/10/1966 351908570701000 4 Alfina Widiawat 31/12/1975 351908210703000 2 Muhammad Reza 351908581108000 2 Fitri Fadhilah 09/07/1979 351908680507000 1 Luqfia Anisa N 351908280714000 1 Arizal Julyanto 04/08/1972 351908200306000 1 Riski Fiarmansyah 351908260715000 1 Arjuna Dwi A 20/01/1970 351908461093000 1 Diah Kumala S 351908050913000 1 Yogi Dwi Saputro 16/03/1958 351908581001000 2 Anita Pudji R 14/12/1976 351908410273000 2 Sofyan Nur K 351908190401000 1 Yusup Nur A 20/09/1975 351908300404000 2 Yahya Awalul M 351908200605000 1 Yazid Isnanu R 11/06/1982 351908570608000 2 Stefanny Aulia P

L L L P P P P P P L P L P L P P L P P L L L

08/07/1991 17/04/1990 10/10/1992 04/01/2013 09/12/2014 13/05/2006 06/05/2012 31/07/1984 08/11/1987 30/10/1990 10/07/1993 22/01/1988 17/02/1992 02/02/1993 06/05/1996 17/07/2001 21/07/2003 18/11/2008 28/05/2007 28/07/2014 20/03/2006 26/07/2015

P L P L L L L P

10/06/1993 11/12/1996 18/10/2001 02/03/1998 19/04/2001 30/04/2004 20/06/2005 17/06/2008

01/01/1976 351908021106000 1 Rendiana Dhiya F 14/06/1987 351908211211000 1 Fernando Desta S 02/02/1966 351908100392000 2 Wahyu Arianto 351908050502000 1 Yoko Akhiryanto 07/05/1954 351908221093000 1 Syaiudin 351908510102000 1 Iqlil Imroatul K 20/06/1984 07/11/1988 351908541013000 1 Salsabila Nur A 16/09/1978 351908120212000 1 Fendi Bagas 06/12/1950 351908651004000 1 Putri Lestari H 10/06/1959 351908640792000 1 Ninka Zelbi

L L L L L P

11/02/2006 21/12/2011 03/10/1992 05/05/2002 22/10/1993 01/11/2001

P L L P

14/10/2013 12/2/2012 25/10/2004 24/07/1992

NIK Anak

Nama

Metode KB Tidak KB Pil Blm KB

Kondom Menopause

Tidak KB Menopause Tidak KB Tidak KB Suntk Suntk Suntk Suntk Tidak KB Tidak KB Pil Pil Tidak KB Suntk Suntk Suntk Suntk MOW Tidak KB Suntk Suntk MOW MOW

Sarmuji Agus Sunaryo Irwansyah A Suryono Fendi Nuryanto Soegito

Kurniawan

03/06/1987 13/08/1969 04/03/1993 24/04/1970 03/10/1987 24/04/1970

351908061011000 2 Muhammad Naswan 351908680309000 1 Maya Anjelina 351908650513000 1 Adhara Lintang

351908530914000 2 351908021101000 3 351908501108000 3 351908161295000 3 351908550599000 2 351908170602000 2 29/09/1987 351908581215000 1

Auliya Sofiatunnisa Noval Firmansyah Nabillah Novaliliana Ali Ma'sum Dewi Safitri Agil Ali Putra Azzahra Nasyita A K

L P P P L P L P L P

10/06/2011 Suntk 28/03/2009 Suntk 25/05/2013 Suntk Tidak KB 13/09/2014 Suntk 11/02/2001 MOW 11/10/2008 16/12/1995 Tidak KB 15/05/1999 17/06/2002 18/12/2015 Suntk

Ket (kronis,Gakin)

Hypertensi

NO

NIK KK / No KK

NIK ISTRI

Nama

Tanggal Lahir

NIK SUAMI

Nama

1

351908010198013 6 351908550768000 4 Karminah

15/07/1968 351908151066000 4 Kasmokhan

2 3

351908010198013 7 351908100444000 1 Yatrun 351908010198014 4 351908700669000 3 Siyem

04/10/1944 30/06/1969 351908051271000 1 Parni

4 5

351908010198017 2 351908520869000 5 Suyat 351908010198118 2 351908450771000 4 Sutnah

08/12/1969 351908270565000 1 Klangsi 07/05/1972 351908170769000 4 Sujianto

6 7 8

351908010198272 7 351908460570000 1 Sit Umirowiyatun 351908010198273 3 351908411270000 1 Sumirah 351908010198397 7 351908711269000 4 Sri Utami

05/06/1970 351908051067000 1 Suparno 12/01/1970 351908300660002 4 Sikin 31/12/1969 351908060966000 2 Muh.Jainal A

9 351908010198398 0 351908670167000 1 Lamini 10 351908010198608 0 351908610776000 1 Atn Setyowat

27/01/1967 351908011262000 2 Sukir 21/07/1976 351908020374000 1 Eko Mudjianto

11 351908010199005 5 351908660873000 2 Patminingsih

26/08/1973 351908131069000 2 Sugeng Supardi

12 351908010709049 1 351908470484000 4 Yun Wahyuningsih 13 351908020207003 6 351908430477000 1 Lindri Safitri

04/07/1984 351908280177000 5 Hartoyo 04/03/1977 351908050775000 6 Sucipto

14 351908020711000 7 351908610589000 2 Sit Samsiyah 15 351908021009067 9 351908411281000 1 Sit Nurohmah 16 351908021014000 6 351908421050000 1 Sringatun

21/05/1989 351908190888000 1 Agus Sumarjoko 12/01/1981 351908101075000 6 Joko Sutrisno 10/02/1950

17 351908021209078 4 351908491185000 2 Anik Supriat 18 351908031005026 3 351908450769000 8 Umiyat 19 351908051108046 1 351908701274000 2 Lely Dyah P

11/09/1985 351908230184000 1 Fransiskus X E 07/05/1969 351908010766000 1 Warsito 30/12/1974 351908150975000 3 Saiful Muniri

Tanggal Lahir

NIK Anak

Nama

15/10/1966 351908430890000 1 Ismiana Mairoh 351908040795000 1 Ali Imron 351908470407000 2 Azza An Nushi 351908580787000 1 Atk Purwat 12/05/1971 351908690489000 1 Suprapt 351908580401000 1 Reni 27/05/1965 351908030807000 2 Tirta Anggoro P 17/07/1969 351908250394000 2 Bayu Fitranto 351908250394000 1 Taupan Fitranto 351908030407000 2 Yusuf Firmansyah 10/05/1967 351908420392000 2 Nunung Umi K 30/06/1960 09/06/1966 351908200988000 3 Zaenal Zahroni 351908280891000 1 Agus Widodo 12/01/1962 351908651197000 3 Eka Nur Khotjah 03/02/1974 351908420498000 1 Ektna Aprilia 351908600108000 1 Nabila Dwi C 351908280815000 1 Raffa Azkha P 13/10/1969 351908651296000 1 Dian Sugestningsih 351908490403000 2 Aprilia Sugiart 351908110514000 1 Ardi Priagono 28/01/1977 07/05/1975 351908170402000 3 Adi Cipta Kusuma 351908540413000 1 Ayla Aryushenka 19/08/1988 351908661111000 1 Devlina Pratwi 10/10/1975 351908010512000 1 Muhammad Dzaqi 351908561170000 1 Titk Purwatningsih 351908170473000 1 Agung Tri B 23/01/1984 351908190110000 2 Yohanes Krisna P S 07/01/1966 15/09/1975 351908571006000 1 Nana Fauzhiah R

JK

Tanggal Lahir

P L P P P P L L L L P

08/03/1990 07/04/1995 07/04/2007 18/07/1987 29/04/1989 18/04/2001 08/03/2007 25/03/1994 25/03/1994 04/03/2007 03/02/1992

L L P P P L P P L

20/09/1988 28/08/1991 25/11/1997 04/02/1998 20/10/2008 28/08/2015 25/12/1996 04/09/2003 05/11/2014

L P P L P L L

17/04/2002 14/04/2013 26/11/2011 05/01/2012 16/11/1970 17/04/1973 19/01/2010

P 17/10/2006

20 351908081204002 0 351908650277000 1 Suparmi

25/02/1977 351908300477000 1 Sutrisno

21 22 23 24 25

08/08/1973 20/11/1989 11/07/1979 19/03/1983

351908090505010 0 351908100214000 3 351908101115000 2 351908110509022 2

351908480873010 0 351908601189000 1 351915471179000 1 351908590383000 1

Windart Diyah Rochanis Fera Qonita Rifa'atn

351908010173000 1 Jono 352010240687000 1 Agus Triono 351908030183000 1 Toni Zainuri 351908251276000 1 Ali Mustofa

351908110512000 1 351908590684000 2 Siyamsih 26 351908120503011 5 351908500282000 2 Triana 27

19/06/1984 02/10/1982 351908020765000 1 Prasetyo Y

28 29 30 31 32 33 34 35 36

25/04/1976 20/05/1979 04/05/1981 16/04/1981 27/06/1980 23/12/1953 20/06/1978 01/06/1989 12/12/1968

351908131299013 0 351908140103000 9 351908150805021 2 351908160910036 7 351908170910037 0 351908171012000 2 351908190809060 3 351908200114000 1 351908200704019 6

351908650476000 1 351908600579000 1 351908450481000 2 351908560481000 1 351908670680000 2 351908631253000 1 351908600678000 1 351907460189000 1 351908521268000 2

Hari Murtni Suwari Jumiat Sugiat Munawaroh Parni Sumini Asmining Rusmiat

351908020874000 1 Agung Prasetyo 351908190271000 2 Triyono 351908290878010 0 Joko Mujianto 351908100579000 1 Partono 351908300576000 1 Restanu P 351908130376000 2 Sulistawan 351908230974000 1 Lasimun 351908150265000 2 Sumardi

37 351908221111000 3 351908500677000 1 Yatni 38 351908230212000 9 351908670780000 1 Dwi Purwant

06/10/1977 351908300680000 1 Heri Purwanto 27/07/1980 351908200978000 3 Much Hery A

39 351908230309014 6 351908530989000 1 Suliyat

13/09/1989 351908040487000 3 Rusmanto

40 351908230506016 3 351908670978000 2 Eni Nurnayat 41 351908231105003 7 351908511176000 1 Sumarni

27/09/1978 351908030571000 1 Wiyono 11/11/1976 351908060174000 1 Suparmun

42 351908270511265 4 351908540278000 4 Partni 43 351908270511285 4 351908520185000 2 Sofiah 44 351908280298608 2 351908520471000 4 Sit Umiat

14/02/1978 351908010578000 1 Sabar 01/12/1985 351908250584000 1 Edo Wardo 04/12/1971 351908120863000 2 Sukiman

351908491213000 1 Irma Fauzhiah D 30/04/1977 351908520698000 1 Anisa Kusnul K 351908160106000 1 Afif Krisna M 01/01/1973 351908090605000 2 Aril Dwi P 24/06/1987 351908640214000 1 Marisa Zahra Z 01/03/1983 25/12/1976 351908660311000 1 Airin Farahiya E 351908530514000 1 Nila Labibah L 351908110506000 1 Widi Putra F 07/02/1965 351908211002000 1 Anggit Pramuditya 351908020406000 1 Dewangga Aditya 351908670807000 1 Kynta Anggun S 08/02/1974 19/02/1971 29/08/1978 05/10/1979 351908620910000 1 Syifa Nur Isnaini 30/05/1976 351908620804000 1 Halisna Chumairoh 351908710184000 1 Warsini 13/03/1976 23/09/1974 351908200514000 1 Allvito Min Vanniko 15/02/1965 351908671195000 1 Sit Masyithoh 351908020198000 1 Ade Rachmat R 30/06/1980 351908290403000 7 Vergiawan Charel S 20/09/1978 351908641108000 2 Rifdatul Afifah S 351908060714000 1 Abdullah Nizar A 04/04/1987 351908590509000 1 Kanza Nabila F 351908020611000 1 Dimas Saputra 05/03/1971 351908470799000 1 Yulika Fidiyat K 01/06/1974 351908041105000 1 Ilham Rohmanudin 351908290314000 2 Ilyas Martno A 05/01/1978 351908450214000 2 Yeyen Allifah 25/05/1984 351908640111000 1 Dewi Putri Rahayu 12/01/1963 351908120305000 2 Syahrul Margianto

P P L L P

12/08/2013 06/12/1998 16/01/2006 06/09/2005 24/03/2014

P P L L L P

26/03/2011 13/05/2014 11/05/2006 21/10/2002 04/02/2006 27/06/2007

P 22/09/2010 P 22/08/2004 P 31/01/1984 L P L L P L P L P L L P P L

20/05/2014 27/11/1995 01/02/1998 29/04/2003 24/11/2008 07/06/2014 19/02/2009 06/02/2011 07/07/1999 11/04/2005 29/03/2014 02/05/2014 24/01/2011 03/12/2005

45 351908280706023 0 351908551281000 1 Lilis Sa'adah

15/12/1981

46 351908290512000 1 351908640704000 1 Martni

25/01/1983 351908311275000 2 Moch. Ali I

47 351908290998013 8 351908530977000 1 Tarmi 48 351908310112000 5 351908531089000 1 Rahayu 49 351908010198273 1 351908441176000 1 Rusmini

13/09/1977 351908110874000 1 Hariyanto 13/10/1989 351908060789000 2 Puspito S H 11/04/1976 351908270176000 1 Teguh Sumiyanto

50 315908251198397 8 351908650767000 3 Umiyat

25/07/1967 351908281164000 1 Ribut

351908280300000 2 Aqilla Adh'a F 351908070704000 2 Andi Dwi Laksono 31/12/1975 351908640704000 1 Imelda Risqi W 351908081208000 1 Mochamad Huda A 351908230711000 2 Mochamad Lutfi F 08/11/1974 07/06/1989 351908120412000 1 Faristyan Rezky A 27/01/1976 351908630800000 2 Deva Puspitasari 351908630800000 1 Devi Puspitasari 351908160502000 1 Akhi Ruzin 28/11/1964 351908230496000 1 Aji Bayu Pratama

L L P L L

28/03/2000 07/07/2004 24/07/2004 12/08/2008 23/07/2011

L P P L L

04/12/2012 23/08/2000 23/08/2000 16/05/2002 23/04/1996

Metode KB

Ket (kronis,Gakin)

MOW

Menopause Suntk Tidak KB MOW

Tidak KB Suntk Tidak KB Menopause Tidak KB

Tidak KB

Suntk MOW Suntk Suntk Menopause IUD Suntk IUD

TKW

PIL Suntk Suntk Tidak KB PIL Tidak KB Suntk

IUD Suntk Suntk IUD Tidak KB Menopause Suntk Suntk Suntk Suntk Suntk IUD Tidak KB MOW Tidak KB Suntk MOW

Janda

Tidak KB MOW

Suntk Suntk IUD

Menopause

NO

NIK KK / No KK

NIK ISTRI

Nama

Tanggal Lahir

NIK SUAMI

1

351908010100051 5 351908511258000 2 Saminem

2

351908010198166 9 351908700662001 9 Saliyem

3

351908010198609 1 351908601078000 1 Nurul Khotin

10/20/1978 351908030870000 1

4

351908010198625 2 351908630965000 1 Sit Maryam

9/23/1965 351908121256000 2

5

351908010198625 8 351908711256001 4 Samsiyah

6

3519088010198728 3 351908500268000 1 Sri Suryat

2/10/1968

7

351908020798274 2 351908700653005 6 Kabibah

6/30/1953

8

351908090115000 1 352215660685000 4 Dewi Suryant

6/26/1985 352215120580000 7

9 10

351908091110045 8 351908431275000 1 Imelda Wiwin 351908110314000 1 351908540675000 1 Sit Julaikah

12/3/1975 3519088310571000 1 6/14/1975

11

351908111104028 4 351908521077000 1 Gunart

12 13 14 15 16

351908150310010 3 351908161014000 2 351908161215000 3 351908180515000 1 351908180609044 7

17 18

351908200109003 4 351908701286000 1 Laelatul Masruroh 12/30/1986 351908220284000 1 351908210212001 2 351908570781010 0 Dewi Anita 7/17/1981 351908020371000 4

19

351908211004026 8 351908700879000 1 Tri Agustna

8/30/1979 351908190874000 3

20 21 22

351908211114000 3 351908570195000 1 Zuqni Qurotul U 351908220714000 3 351908460889000 1 Mamik Tri S 351908230308000 5 351908550176000 5 Nurul Munawaroh

1/17/1995 351908050989000 2 8/6/1989 351908110287000 2 1/15/1976 351908290766000 3

351908700488000 1 351908490580000 2 351908470292000 1 351908450692000 3 351908011007000 2

Eni Romalia Sutni Purwat Ari Saputri Anis Sunani

11/12/1958 6/30/1962 351908170860000 2

12/31/1956 351908311248000 6

6/5/1976 351908011269000 3 4/30/1988 5/9/1980 2/7/1993 6/5/1992 10/12/1982

351908160685000 3 351908170472000 2 351908161215000 3 351908091191000 1 351908160880000 1

23

351908230308000 6 351908640275000 1 Sit Munari

2/22/1975 351908151276000 1

24

351908230308000 7 351908440569000 3 Kasiyah

25 26 27

351908230308000 9 351908480763000 2 Samirah 351908240713000 2 351908500587000 1 Sit Masula 351908250110002 7 351908640278000 1 Martwi

7/8/1963 351908170560000 1 5/10/1987 351912210880000 1 2/24/1978 351908160375000 2

28

351908250512000 3 351908450772000 1 Lis Wahyuni

7/5/1972 351908030169000 2

29 30 31

351908251115000 6 180202690693000 3 Tri Surani 351908270511273 1 351908470582000 4 Pujiat 351908280207010 2 351908500482000 1 Susiana

6/29/1993 351908301092000 1 5/7/1982 351908240973000 3 4/10/1982 351908260282000 1

32

351908281014000 1 351908520184000 1 Zainatul Musriani

1/12/1984 351908130177000 2

33 34

351908290609048 0 351908550979000 1 Suryani 351908311204030 8 351908701268000 4 Sit Samsiyah

5/4/1969 351908251267000 3

9/15/1979 351908090781000 2 12/30/1968

Nama

Kemis Sumadi

Tanggal Lahir

8/17/1960 8/3/1970

Sardju

12/12/1956

Subianto

12/31/1948

Saiful Mahfud

5/12/1980

Djoko Setyono

5/31/1971

Tujiono Suratno Sunardi Roni Widodo Pungki Prayogo Moh. Adib R

Putut Ari Wibowo Safwan

Murjas

Choirul Fauzi Purnomo Said Imron Kholil

NIK Anak

Nama

351908190991000 1 Abdul Nur R 351908580893000 3 Uswatun Khasanah 351908440795000 1 Linda .P 351908060411000 2 Muhamad Aiman 351908590598000 3 Fadia Nur A 351908500705000 2 Suci Lutfianisa 351908481188000 3 Nuryani Rahmawat 351908490496000 2 Ajeng Putri M 351908690876000 2 Khoirul Mukhasanah 351908120580000 2 Saiful Mahfud 351908230494000 1 Setyama Fajar R 351908231089000 2 Eko Sudrajad 351908510396000 1 Siska Widowat 351908140300000 2 Totok Istono 351908420884000 1 Arniat 351908160803000 1 Defta Abrilian 352215070906000 1 Arya Bima S 352215441114000 2 Alisha Fay S

351908541197000 2 Lintank Dewi P 351908050702000 2 Gilar Wahyu H 351908210611000 1 Tegar Zulhan Nasuha 12/1/1969 351908480797000 2 Yuliana Wijayant 351908691103000 3 Nova Karisa Maharani 6/16/1985 351908040210000 2 Febrian Arda Saputra 4/17/1972 351908140702000 1 Aminudin 10/31/1992 11/9/1991 351908240715000 1 Fabbyan Juliandra A 8/16/1980 351908011007000 2 Muhammad Babassamasi 351908021112000 3 Muhammad Hilmi F 351908460614000 2 Tazkiyatul 'Abidah 2/22/1984 351908620309000 2 Bella Anaya Putri 3/2/1971 351908230400000 1 Andrian Maulana 351908131004000 1 Mujib Dwi Darmawan 351908070208000 3 Muhamad David F 351908030512000 3 Muhamad Rizal 8/19/1974 351908600904000 1 Natalia Intan N 351908170807000 1 Daffa Putri Dika W 351908070713000 1 Adam Bayu S 9/5/1989 2/11/1987 7/29/1966 351908250403000 3 Muhammad Ilham M 351908260913000 1 Raafi Ahmad Zam-Zam

JK Tanggal Lahir L L L L P P P P P L L L P L P L L P

19/09/1991 8/18/1993 7/4/1995 4/6/2011 5/19/1998 7/10/2005 11/8/1988 4/9/1996 8/29/1976 5/12/1980 4/23/1994 10/23/1989 3/11/1996 3/14/2000 8/2/1984 8/16/2003 9/7/2006 11/4/2014

P L L P P L L

8/18/1998 6/5/2002 6/21/2011 7/8/1997 11/29/2003 2/4/2010 7/14/2002

L L L P P L L L L P L L

7/24/2015 10/1/2007 11/2/2012 6/6/2014 3/22/2009 4/23/2000 10/13/2004 2/7/2008 5/3/2012 9/20/2004 8/17/2007 7/7/2013

L L

4/25/2003 9/26/2013

Marjuki

12/15/1976 351908560505000 1 Fauziah Mei Eka 351908040110000 3 Muhammad Ridho K Jaenuri 12/25/1967 351908100495000 2 Riyan Nurhidayat 351908540203000 1 Hanifa Febriani Kamdi 5/17/1960 351908610699000 1 Sit Nurqomariah Sutopo 8/21/1980 351908030713000 1 Hafizh Abdillah P Sukarno 3/16/1975 351908301203000 1 Yoga Prasetya Adi F 351908250110002 7 Enelis Vetriya K Taupiq Hidayat 1/3/1969 351908680202000 1 Farissa Fildza G 351908671109000 2 Gheisya Idhela Q Ridwan saifudin 10/30/1992 351908240715000 2 Naura Hassna Adeeva Moch Kusaini 9/24/1973 351908480404000 2 Intan Tarisa Maharani Supiyan 2/26/1982 351908411106000 1 Andien Novian M Z 351908420614000 1 Jihan Alfian Z Rosyid 1/13/1977 351908610106000 1 Taslikah Nur R 351908501014000 1 Faza Shofi Az-zahwa Mohamad Ridwan 7/9/1981 351908100408000 3 Muhammad Arif Z 351908430797000 4 Asfa Zakiya 351908140602000 1 Muhammad Bahrul

P L L P P L L P P P P P P P P P L P L

5/16/2005 1/4/2010 4/10/1995 2/14/2003 1/4/1997 7/3/2013 12/30/2003 1/11/2010 2/28/2002 11/27/2009 7/24/2015 4/8/2004 11/1/2006 6/12/2014 1/21/2006 10/10/2014 4/10/2008 7/3/1997 6/14/2002

Metode KB Menopause Menopause Implant Menopause Menopause

Menopause

Menopause Suntk Tidak KB Janda

Suntk PIL Suntk Suntk Suntk Suntk

Suntk Suntk

Suntk

Tidak KB Suntk MOW

Ket (kronis,Gakin)

PIL Suntk Menopause Suntk Implant

Suntk Suntk Suntk Hamil Suntk Janda

NO

NIK KK / No KK

NIK ISTRI

Nama

Tanggal Lahir

NIK SUAMI

1

351908010100051 0 351908610362000 2 Nyanem

21/03/1962 351908020651000 1

2

351908010198167 0 351908560970000 1 Wiwik Widart

16/09/1970 351908230858000 1

3 4 5

351908010198167 9 351908711263000 4 Sumiat 351908010984000 7 351908410658000 2 Sukesi 351908010198625 3 351908580660000 2 Srimini

31/12/1963 01/06/1958 351908311254000 5 18/08/1966 351908220466000 1

6

351908010199004 9 351908700645006 9 Tukinem

30/06/1945 351908131238000 1

7

351908010199021 7 351908701254000 4 Tuminem

30/12/1954

8

351908010199021 8 351908550968000 2 Sit Kusmiat

15/09/1968 351908271268000 1

9

351908010199050 9 351908711265001 2 Minarsih

31/12/1965 351908300662005 1

10

351908020309010 7 351908520776000 3 Part

07/12/1976 351908110779000 2

11 12

351908021014000 2 352204600891000 1 Porini 351908040110000 2 351908471087000 2 Iswant

20/06/1991 351908160784000 1 10/07/1987 351908081283000 4

13

351908050908038 4 351908580478000 2 Harini Al Fatmatul

18/04/1978 351908080672000 1

14

351908070105000 6 351908700777000 2 Sumiyat

30/07/1977 351908231275000 1

15 16 17 18

351908070198400 8 351908651285000 2 351908110609041 0 351908540382000 3 351908150310010 4 351908610986000 1 351908151199050 8 351908470555000 2

25/12/1985 14/03/1982 21/09/1986 05/07/1965

19 20 21

351908190799005 1 351908470574000 3 Sri Sumart 351908201112000 5 351908490984000 1 Catur Sept H 351908210104003 0 351908550267000 1 Nuraini

05/07/1971 351908150770000 1 09/09/1984 351908050483000 2 15/02/1967 351908150462000 1

22 23 24

351908210212001 5 351908430586000 1 Sit Marchammah 351908220814000 1 351908590286000 2 Wahyu Peni 351908230913000 1 351908610786000 2 Samsul Hidayah

05/03/1986 351908290681000 2 19/02/1966 340103190576000 1 21/07/1986 330121171183000 6

25

351908240407023 5 351908700784000 2 Dahlia Tri W

30/07/1984 351908030271000 1

Amsaroh Anjarwat Samatun Istkomah

350213279286000 1 351908250882000 4 351908280884000 1 351908100553000 1

26

351908240899046 3 351908420673000 1 Murtni

06/02/1973 351908040467000 2

27 28

351908241210002 2 351908411269000 2 Suyatmi 351908250504016 0 351908580873000 3 Nurjanah

12/01/1969 18/08/1973 351908150673000 4

29 30

351908250612000 7 351908440684000 2 Tant Sudaryant 351908251100051 3 351908680985000 2 Sri Murtatk

06/04/1984 351908100677000 2 28/09/1985 351908231276000 1

31 32 33 34

351908261112000 3 352003620692000 3 351908270511279 0 351908621080000 3 351908270711000 7 351908630785000 2 351908270912000 4 351908210605000 3

22/06/1992 22/10/1980 02/03/1980 03/03/1976

35 36

351908271112000 2 351908670708000 2 Nubina 351908300307019 0 351908641174000 2 Sri Mariyat

20/08/1987 351908061081000 3 24/11/1974 351908201264000 2

37

351908300598167 4 351908700660001 7 Watyah

30/06/1960 351908300655001 9

39

351908301014000 1 351909570789000 5 Nur Wahyudi

17/07/1989 351909060383000 2

40

351908311204030 9 351908580468000 2 Khomsatun

18/04/1968

41 41 42

351908311208054 9 351908480173000 2 Arminingsih 3519080101990250 351908640370000 2 Dwi Endang S 351908110609040 8 351908440480000 1 Yeni Retno W

01/08/1973 351908011270000 3 24/03/1970 351908160773000 2 04/04/1980 351908230680000 1

Khotm Wulatul Indah Sulistyowat Mira Tunusikah Robiyatun

351908240687000 1 351908101277000 5 351908030280000 1 351908100974000 2

Nama Sukiran

Hartono

Tanggal Lahir 02/06/1951

16/09/1970

Rusni Bagiyo Haryanto

31/12/1954 22/04/1966

Paring

13/12/1938

Nyoto

27/12/1968

M Ali Rohman

30/06/1962

Muslim Masduki

07/11/1979

Adi Purnomo Juwandono

16/07/1984 12/08/1983

Maksun Rifa'i

06/08/1972

Sugeng

23/12/1975

Abdul Majid Supriyadi Joko Sulistyo Achiyat

27/02/1986 25/08/1982 28/08/1984 05/10/1953

Sunarto Hari Cahyono Sukardiyono

15/07/1970 04/05/1983 15/04/1962

Supriyanto Kaswanto Nova Trilaksono

29/06/1981 19/05/1976 17/11/1983

Sutrisno

02/03/1971

NIK Anak 351908640888000 1 351908140491000 1 351908250593000 4 351908660695000 2 351908170394000 1 351908200902000 2 351908570491000 1 351908580996000 2 351908251194000 3 351908591196000 1 351908490469000 2 351908191178000 2 351908080589000 1 351908520697000 1 351908440497000 1 351908650805000 1 351908690889000 1 351908700395000 2 351908420903000 2 351908690105000 1 351908461114000 2 351908461209000 2 351908690814000 2 351908291100000 2 351908651103000 4 351908611003000 1 351908200706000 1 351908661114000 1 351908571103000 1 351908680810000 1 351908510776000 2 351908230404000 1 351908411207000 1 351908110313000 1 351908270191000 1 351908520895000 2 351908210699000 1 351908280901000 1 351908680907000 1 351908660813000 1 351908481211000 2 351908170214000 1 351908230804000 1

Nama Partni Andri Suwito Purwat Harun Effendy Azis Fhathurohman Fitri Noviant Markamah Dimas Mandala P Dea Sekar Melat Choyimah Ixsanudin Anang Faschurozi Tutk Puji L Fatmatul Zahroh Sofie Ari A Agustna Sartka D Ratna Tri W Zahra Dzaki Roofi'a Zulfaani Riszi P Herliana W Hanisma Tiara R Adinda Anggun D Kholil Mubasyir A Ni'matul Ida Iqlima Eni Oktaviani Agus Saputro Nathania Sheila N Eka Fitriani Cindy Cahaya R Bint Masruroh Ahmad Bagus B S Rehana Putri N Grananda Muhammad Nurdi Fajar P Gita Pratwi R Nurdi Agung P Nurdin Muchamad P Chika Al Zulfa Z Reisya Ainun S Fidaeska Tegar Yusuf Chan A W Trisna Ahmad A

L L P L L P P L P P L L P P P P P P P P P P L P P L P P P P L P L L P L L P P P L L

JK

Tanggal Lahir

P

24/08/1988 14/04/1991 25/05/1993 26/06/1995 17/03/1994 20/09/2002 17/04/1991 18/04/1996 25/11/1994 19/11/1996 09/04/1969 19/11/1978 08/05/1989 12/06/1997 04/04/1997 26/06/2003 29/08/1989 30/03/1995 09/02/2003 29/01/2005 11/06/2014 12/06/2009 29/08/2014 29/11/2000 25/11/2003 21/10/2003 20/07/2006 26/11/2014 17/11/2003 28/08/2010 07/11/1976 23/04/2004 12/01/2007 03/11/2013 27/01/1991 08/12/1995 21/06/1999 28/09/2001 28/09/2007 26/06/2013 12/08/2011 17/02/2014 23/08/2004

Sartam

Madari

Suwajib Sukimin Heriyanto Nur Rosid Winarto Darminto Anjar Nurfa'i Maidi Lanjar

Nur Wahyudi

Muhammad Kholik Tri Hartono Arifin

351908040507000 1 04/04/1967 351908560494000 1 351908250796000 2 351908680605000 1 351908110708000 1 351908230711000 1 351908240196000 1 15/06/1973 351908251097000 1 351908011299000 2 351908560906000 1 06/10/1977 351908170211000 1 23/12/1976 351908510808000 1 351908060314000 3 24/06/1987 351908440113000 1 12/10/1977 351908130603000 1 02/03/1980 351908041011000 1 09/10/1974 351908210605000 3 351908060309000 1 10/06/1981 351908670708000 2 20/12/1964 351908080398000 1 351908411010000 1 30/06/1955 351908471187000 1

Muhammad Faizhal E Maesaroh Miftakul Ulum Ayunda Navihdhah Muhammad Ragil P Muhammad Yunus Sigit Sulistyo Barotut Thoyibah Faridubaidillah Mua Fifatur R Agha Faza N Viviana Atka S Muhammas Ali F Aulia Nabila F Tito Christantory Muhammad Naufal A Abdi Prasetyo Irsyad Andra Z Melisa Gadis N Rahmad Riadi Sekar Dwi M Vita Safitri

L P L P L L L L L P L P L P L L L L P L P P

05/04/2007 16/04/1994 28/06/2005 28/06/2005 07/11/2008 23/07/2011 24/01/1996 25/10/2997 12/01/1999 16/09/2006 17/02/2011 08/11/2008 03/06/2014 01/04/2013 13/06/2003 10/04/2011 21/06/2005 03/06/2009 27/07/2008 03/08/1998 10/01/2010 11/07/1987

351908281011000 1 351908430414000 5 03/06/1983 351909290609000 1 351909601211000 3 351908251114000 1 351908130387000 1 351908050893000 1 351908551195000 1 351908110302000 2 12/01/1970 351908020295000 3 16/07/1973 351908600998000 1 23/06/1980 351908230309000 2

Wildan Haqqo A Annisa Izzatul L Aditya Wahyu P Citra Putri D C Adrian Noval P Saipul Anwar Fuat Hasim Sit Nurkasanah Lukman Murdani Ardiansyah Ekasari Debby R Dhiendra Ilham B

L P L P L L L P L L P L

28/10/2011 03/03/2014 29/06/2009 20/12/2011 25/11/2014 13/03/1987 08/05/1993 15/11/1995 11/03/2002 02/02/1995 20/09/1998 23/03/2009

Metode KB

Ket (kronis,Gakin)

Suntk Menopause Menopause Menopause Menopause Menopause Menopause Menopause

Suntk Tidak KB Menopause

Implant Menopause

Suntk PIL

Suntk

Jantung

Tidak KB

Hamil Suntk Suntk Tidak KB

Suntk Suntk

Suntk

Suntk Suntk

NO

NIK KK / No KK

NIK ISTRI

Nama

Tanggal Lahir

NIK SUAMI

1

351908010198609 3 351908581061000 2 Suyat

18/10/1961 351908050653000 1

2 3

351908010198761 3 351908131169000 2 Sunarmi 351908010198761 4 351908450568000 4 Sulami

12/31/1969 351908080466000 1 5/5/1968 351908170761000 1

4 5 6

351908010199025 5 351908500692000 2 Sit Nuraini 23/06/1971 351908241068000 1 351908010199057 1 351908610569000 2 Sit Fatmah 21/05/1969 351908110961000 2 351908020209004 9 351908430186000 1 Mar'atul Fikriyah 3/1/1966 351908100675000 2

7

351908020309010 8 351908570882000 2 Ita Noor Aini

17/08/1982 351908090284000 2

8 9 10 11 12 13 14

351908020608022 8 351908021013000 3 351908021111000 1 351908050413000 3 351908051010039 0 351908051114000 1 351908060608024 6

9/6/1980 29/09/1989 13/08/1976 20/08/1987 31/01/1988 22/05/1984 7/3/1980

351908490680000 1 Nurul Hidayat 351909690989000 4 Dwi Yuliana 351908530876000 1 Darwat 351909600887000 1 Suprihatn 351908710188000 2 Ade Munarwat 357703620584000 2 Ika Sundari 351908470380000 2 Utami

351908250382000 3 351908220283000 1 351908041074000 2 351908020585000 1 351908200787000 1 351908120370000 4

15 351908080998273 9 351908610867000 1 Siyami

21/08/1967 351908150859000 1

16 351908100498761 5 351908700653004 2 Sukart 17 351908101108046 7 351908680982000 3 Welas Asih

30/06/1953 351908150452000 2 28/09/1982 351908240472000 3

18 19 20 21 22

10/9/1979 27/10/1989 30/06/1959 1/10/1982 8/1/1977

351908110609040 9 351908110614000 4 351908110997102 1 351908121211000 6 351908130298609 5

351908500979000 2 Kholipah 351803671089000 1 Khoirul M N 351908700659002 4 Samiyen 351908411082000 1 Sit Masruroh 351908480177000 1 Ismiatun

351908131177000 1 351908080389000 1 351908151157000 1 351908280582000 4 351908300664002 4

23 351908140509024 4 351908521276000 1 Sri Kusnari

12/12/1976 351908041173000 1

24 351908140514000 2 351908540987000 1 Anik Nuraeni 25 351908140514000 4 351908140514000 4 Robiyah 26 351908140612000 7 351908550982000 2 Lutviyah I

14/09/1987 351004200580000 4 10/6/1974 351908300664001 4 15/09/1982

27 351908150904024 0 351908440474000 2 Samiat 28 351908160603014 3 351908511261000 1 Sasmiat

4/4/1974 351908170975000 2 11/12/1961 351908010457000 3

30 351908161215000 2 351908690581000 2 Winart

29/05/1981 351908020973000 3

31 351908190514000 1 351908190514000 1 Maratul R 32 351908190809060 5 351908430281000 5 Nuryant

33 34 35 36

351908191108049 1 351908211010042 2 351908220514000 1 351908231211001 0

14/04/1984 351910100879000 5 3/2/1981 351908030880000 2

351908430677000 1 Kusnul Khotmah 3/6/1977 351908060177000 1 351908650187000 2 Dwi Handayani 25/01/1987 351908031284000 1 351908711270000 3 Putkah 31/12/1970 351908510482000 2 Maslikah 11/4/1982 351908200176000 2

37 351908240112000 7 351908511186000 1 Noviana D 11/11/1986 351908120583000 1 38 351908240197102 3 351908660675000 1 Indun Muawiyah 26/06/1975 351908060870000 1 39 351908250498773 6 351908700369000 1 Indart

30/03/1969

40 351908270212000 5 351908681283000 2 Sit Khotjah

28/12/1983 351908080381000 1

41 351908270511266 4 351908490792000 1 Bidayatus Zharo 42 351908270511268 2 351908270511268 2 Mujiah

9/7/1990 351908211184000 1 3/6/1979 351908290968000 2

43 351908271014000 2 351907591185000 4 Alfiyani

19/11/1985 351907100576001 0

44 351908280313000 1 351908540883000 2 Abidah Nuryana

14/08/1983 351908240181000 2

45 351908280509032 2 351908710383000 1 Widayant 46 351908281107000 8 351908420371000 1 Sit Muaroh

31/03/1983 351908171280000 1 2/3/1971 351908220768000 1

Nama Agung Bahrudin

Suharianto Yayak Gunaris Slamet Riyadi Sukadi Nurohman Feri Sugiono Heru Cahyono Moch Klasin Umar Qodarul Muntaha Deni Wahyu Utomo Suparlan Radi Sunaryo Rochim Dwi Endro S Hawwin M Wakidjo Suyadi Subakir Ayis Gunaris Andik Dwi E Tohir

Habib Mahruf Jumadi

Abdul Fatah

Tanggal Lahir

NIK Anak

Nama

06/05/1953 351908650496000 1 Ana Nurlita 351908500898000 1 Putri Rahayu 351908251200000 2 Dari Norfajri 8/4/1966 351908121199000 2 Rifan Amirudin 17/07/1961 351908640794000 2 Sulistyaningrum 351908530596000 1 Nanik Sulistyani 24/10/1968 351908500692000 2 Ayu Nur A 11/9/1961 10/6/1975 35190827100800 1 Yazid Basthomi 351908470514000 1 Bilqis Fatmatuz Z 9/2/1984 351908510209000 3 Salsabita Asyifa Z 351908481213000 1 Khayla Lathifah Q 25/03/1982 351908490808000 2 Alifia Khoirunnisa 22/02/1983 351908190412000 2 Senatrya Widyatmika 4/10/1974 351908530298000 1 Fitri Noer L 2/5/1985 351908070913000 1 Nahim Minhajul Mufid 20/07/1987 357703540912000 1 Chundrike Dyah A 12/3/1970 351908111102000 1 Rehan Maulana 351908530708000 2 Zahra Hilda Yulia 15/08/1959 351908040888000 2 Yogik Hermato 351908450898000 1 Denik Ageng P 15/04/1952 351908550394000 1 Atk Restana 24/04/1972 351908100703000 3 Hamim Wafi A 351908541007000 2 NafisRiyadhul J 13/11/1977 351908161205000 2 Muhammad Yudha 8/3/1989 351908571014000 2 Zidna Khuliatal A 15/11/1957 351908650898000 1 Tutk Rahmawat 28/05/1982 351908280312000 3 Azka Athaya R 30/06/1964 351908070900000 4 Samsul Mu'arif 351908480102000 1 Alfi Salamah 4/11/1973 351908490799000 3 Ningtyas Gunaimanah 351908191203000 1 Haidar Rozaan A 20/05/1980 351908501213000 1 Faiza Alya D 30/06/1964 351908041109000 2 Alfino Yusuf 351908470511000 3 Alfina Lailatul 17/09/1975 351908110799000 1 Awalul Roziqqi 1/4/1957 351908650584000 3 Eli Ningsih 351908101087000 3 Jatmoko 351908081191000 3 Zaini 351908650503000 1 Risma Anggriani 2/9/1973 351908150702000 4 Muhammad Nailil F

JK

Tanggal Lahir

P P L L P P P

25/04/1996 10/8/1998 25/12/2000 13/11/1999 24/07/1994 13/05/1996 10/6/1992

L 27/10/2008 P 7/5/2014 P 11/2/2009 P 8/12/2013 P 9/8/2008 L 19/04/2012 P 13/02/1998 L 7/9/2013 P L P L P P L P L P P L L P P L P

14/09/2012 11/11/2002 13/07/2008 4/8/1988 5/8/1998 15/03/1994 10/7/2003 14/10/2007 16/12/2005 17/10/2014 25/08/1998 28/03/2012 7/9/2000 8/1/2002 9/7/1999 19/12/2003 10/12/2013

L 4/11/2009 P 7/5/2011 L 11/7/1999 P 25/05/1984 L 10/10/1987 L 8/11/1991 P 25/05/2003 L 15/07/2002

Joko Sugeng Anwarudin

Sapto Hari P Yogi Seiaji Winoto Wahyu Kusuma Budiono

Bararudin Suhardi Sunaryo Sumiran Mohammad S Edi Purwanto Sugiyatm

10/08.1979 351908510914000 1 Naura Almira 3/8/1980 351908020604000 2 Pratama Wahyu 351908200411000 2 Panji Fian 351908261112000 1 Afriza Rizky 6/1/1977 351908021108000 1 Faisal Ahmad 3/12/1984 351908660811000 1 Chania Putri 351908230399000 1 Ahmat Sanusi 20/01/1976 351908501103000 4 Fara Aulia A 351908080609000 4 Bagus Ilham 12/5/1983 6/8/1970 351908270297000 1 Awangku Muhammad 351908700654001 4 Fara Nur Arifa 351908160396000 1 Samsul Hadi 351908230900000 3 Amarudin 8/3/1981 351908020806000 1 Muhammad Aviecena 351908150113000 1 Muhammad Roji 21/11/1984 351908190211000 1 Zairyl Abdul R 29/09/1968 351908030606000 2 Syeh Muhammad G 351908580213000 1 Rani Alvum M 10/5/1976 351907251105000 2 Irfan Abdul L 351908480715000 1 Nabilla Himmatur 24/01/1981 351908150805000 1 Dhika Firmansyah 351908540209000 2 Varin Rizky M 17/12/1980 351908090708000 1 Muhammad Wahyu F 22/07/1968 351908541099000 2 Nur Halimah 351908550108000 1 Ririn Fiani

P L L L L L L P L

11/9/2014 2/6/2004 20/04/2011 26/11/2012 2/11/2008 26/08/2011 23/03/1999 10/11/2003 8/6/2009

L P L L L L L L P L P L P L P P

27/02/1997 24/01/2000 16/03/1996 23/09/2000 2/8/2006 15/01/2013 19/02/2011 3/6/2006 18/02/2013 25/11/2005 8/7/2015 15/08/2005 14/02/2009 9/7/2008 14/10/1999 15/01/2008

Metode KB Menopause

Tidak KB Tidak KB Suntk Suntk Suntk Suntk PIL Suntk Suntk PIL Suntk Menopause Suntk Suntk Suntk Menopause PIL PIL Suntk PIL Suntk PIL Menopause

Suntk

Ket (kronis,Gakin)

PIL Suntk

Tidak KB Suntk Tidak KB PIL IUD Tidak KB PIL Suntk Suntk Suntk Suntk Suntk Suntk Suntk