Provinsi Kabupaten/Kota Puskesmas Posyandu
: : : Atari Jaya : Bina a!u
No
No" Kartu Ke#uar$a
NIK &Nomor Induk Kependudukan'
Anak ke
T$# La%ir
1
7405122006140001
7405125706140001
Afrizqi Permata Putri
1
6/17/2014
P
3
2
740512140110026
7405124701150001
An!ini "#i Pra$#i
2
1/7/2015
P
3
7405120804100010
&i'qi( A'iya) *faira
2
4/4/2014
4
7405122608160002
7405122005160002
.ayan &i(ma Raman!a
1
5
7405122802120001
7405124811130001
Anita "zakira Aani
6
7405122408150003
7405120207150001
7
7405120503080223
8
7405123108180001
740512008180002
Nama Anak
Jenis BB La%ir Nama (ran$ Tua Ke#amin &k$' Aya%
NIK Aya%
Rizky Nur Fajryanto
74051228070001
2%8
Pur#anto
7471042104870001
P
2%6
A(e+ ,e$a-u!i
7405122303840001
5/20/2016
2%
Putu *riana
7405124605880004
2
11/8/2013
P
2%7
% aenuri
74051220070002
u)amma! ayka'
1
7/2/2015
3%2
,uryanto
7405121411870001
A+ri' A'ian!o
4
4/2/2017
2%8
,umarno
7405120107830034
740512180140002
A!am u'iqri
1
/18/2014
3
u)kiman
740512080830001
740512501180001
,)eza Ar(yi'a Raj#a
1
1/1/2018
P
2%5
oko ,o-o ,
7405121411870002
10
7405121611170003
A-ny Putra a)ar!ika
1
1/1/2016
2%8
"a(iman
7405182211880001
11
740514110120004
u)amma! "a#i' A'-a-
1
5/3/2015
3%2
ia)uzzaen
7405143012830002
12
7405120603080080
Rai(qy ,yarif aika'
4
1/2/2017
2%
Ratun
7405120506760001
13
740512180120087
,am(i "eano Anan!a
3
1/2/2015
2%6
&a)ru!in
7405121205750001
14
7405120811170003
Aza)ra A(ru'
1
10/30/2017
P
3
A(ru' Fauzan
740512130780001
15
740512281000162
Riza% ,
2
6/12/2016
2%7
Paiman
7405121404740002
16
7405120307130001
7405121603140001
,yarif i!ayatu''a)
1
3/16/2014
3%1
i('am 9e:u) .iyono
7405121602810001
17
7405120603080003
7405124501150001
9ifani Na!ya Azza)ra
2
1/5/2015
P
3%1
,amo
7405120107800068
18
740512210160002
7405120805160001
u)% Fa$r A' a(ykuri
2
5/8/2016
2%8
a(kur
7405120403860001
1
7405122812150002
74051260140001
Nuru' anna) A'Ra(iy!
1
/2/2014
P
3%3
.an!a ;ko u'ianto
7405123107860001
20
7405122310170002
740512007170001
Arif Ri(ki A!i$ya
1
7//2017
2%6
A:u( ,uyatno
740512020800001
21
740512170120015
740512620140001
a
1
/22/2014
P
2%
,a)i!in
7405121507740005
22
740512040308014
7405124112160001
Pri'i A!e'ia a)ra
2
12/1/2016
P
3%1
% arir% =
7405121010780002
23
7405120403080064
740512120140001
>u($ =etut Ra!it Pranata
3
/12/2014
2%7
>u($ Putu *+ek(a
7405120107710021
24
7405120403080035
7405124604120002
"ayu =oman: &intan: A+ri'ya
2
4/6/2014
P
3%3
!a &a:u( .ijaya
74051226070001
25
740512140150005
7405121305150001
>u($ a!e ")arma Putra
2
5/13/2015
3%1
>u($ a!e Aryana
7405123011880001
26
7405122601150002
7405124206140001
i($a "e#i a)arani
1
6/2/2014
P
2%8
a!e ,umarina
740512171200002
27
7405120811110004
7405126805170002
Aira ei(yara) Putri
2
5/28/2017
+
2%7
Putu A:u( en!ra#an
7405120208880001
28
7405121711140001
7405126210140001
>u($ Ayu "ea Pur#anin:(i)
1
10/22/2014
P
2%8
>u($ Putu >una#an
74051216010005
2
740512180120073
7405122504130001
u)% Rez)a A!itya
1
4/25/2014
3
Ak)ma! ,a-aru!in
740512050820003
7405120305150001
7405127010170001
30
7405120202160003
7405122605150004
,anto .a)yu!in
2
5/26/2015
2%5
.a#an Ru(#ana
7405121606720001
31
740512104180002
740512504180001
Na(yita A'yatu' aq
1
4/1/2018
P
2%7
inan Nuro)man
740512031110002
32
7405120401100001
7405120706160001
A)ma! >i-ran Rama!)ani
2
6/7/2016
3%1
a?ruf ,a)fu!in
740512040880001
33
740512040120012
7405124103170002
>u($ Ayu ,i(ta "e#i
2
3/1/2017
P
2%5
>u($ Putu ,u'i(tra aya 740512130820001
34
7405121207120002
740512102170001
"arma @u!i($ra
3
2/1/2017
2%
=a!ek ,uteja
7405121605830001
35
74051210120041
7405120510140001
Nyoman A:u( Ra!i$a @a(a
3
10/5/2014
2%7
Nyoman ar!ia(a
740512010840001
36
7405120503080305
7405122302140001
A)ma! Fauzi
2
2/23/2014
3
Nurn:a!iman
740512010780005
37
74051217012001
7405121710160001
Aan >iat(a) Nurfa'a)
1
10/17/2016
2%6
,'amet a!irin
74051216080001
38
7400512170120016
7405122601160001
u)amma! e'mi A'farizi
2
1/26/2016
2%8
Fan!i ,u(anto
740512110670002
3
740512180120163
7405126003140002
Ainun ,a'#a ,i!qiya)
1
3/20/2014
P
3%6
,u:en: .a)yono
7405120112780001
40
7405122710160001
7405122611160001
>i'an: Permana ,ak$
1
11/26/2016
2%6
,'amet Riya!i
740512020710001
41
740512103150002
7405127008150001
)a
1
8/30/2015
P
3
a$ .i-o#o ,;
7405120301810001
42
7405120602120002
740512005160001
A)ma! A'!iyan(a)
2
5//2016
2%8
A'ian(ya)
7405120201840001
43
7405122708130001
Naura en!rik
2
10/21/2015
3%2
en!rik ,i!ik
7405122808880001
44
7405122001160001
7405124305140001
akira 9)a'ita aky
2
5/3/2014
P
2%7
Rianto
7405120107860028
45
7405121505170001
740512030150001
A-!i''a) Aan a
3
/3/2015
2%6
uk)ajir &a!!u,%P!
7471041101730001
46
740512180120082
7405121101160001
=etut Arya "#i Ar$ka
4
1/11/2016
2%
=a!ek u($ka
740512170170001
47
740512160130002
7405124605170001
ey'a Fatu' A(ita
2
5/6/2017
P
2%7
oko Pur#anto
7405122607830001
48
7405122608160001
7405125507150001
Nu') Ayu &u!i u'ian$ni
1
7/15/2015
P
3%4
>e!e ;!i ,uria!nyana
7405121501850003
4
7405122208160002
7405123006150002
>u($ a!e Arya .e!anta
2
6/30/2015
2%5
>u($ Nyoman "arma% P 7405120108830004
50
740512281000153
7405121511140001
Rifan "#i &a(kara
2
11/15/2014
2%7
a!e &u!ia(a
7405121511140001
ATA SASARAN BALITA
2ara Buku 3kur KIA Nama Ibu
No" T#p (ran$ Tua
A#amat
Tan$$a# BB TB RT R) Pen$ukura &K$' &2' n
i r d r $ B n " a . t n # T " 6
6" 7a
Asi 4itam 4itam *ksk#u in A in A ID si+ 5ebru A$ust Bu#an ari us
Asi *ksk#usi+ &, - Bu#an'
B#n I B#n . B#n B#n 0 B#n 1 B#n -
6"7a 6"7a 6"7a 6"7a 6"7a 6"7a ." Tidak ."Tdk ."Tdk ."Tdk ."Tdk ."Tdk ."Tdk
6"7a
6"7a
6"7a
6"7a
."Tdk ."Tdk ."Tdk ."Tdk
,ya)rian$
"u(un
001
002
/23/2018
14%5
7
2
1
1
1
1
1
1
1
1
1
1
1
Nani Nur auna)
"u(un
001
002
/23/2018
13%7
4
2
1
1
1
1
2
2
2
2
1
1
1
Rukmini
9ri a$
016
006
/23/2018
14%8
8
2
1
1
1
2
2
2
2
2
1
1
1
u) ,a)rini
,um-er aya
002
002
/23/2018
14
5
2
1
1
1
1
1
1
1
1
1
1
1
ira e'en ,an$ana
"u(un ,ukamaju
013
006
/23/2018
16%3
101%2
2
2
1
1
2
2
2
2
2
2
1
1
,i$ Ba)yani
"u(un ,ukamaju
013
006
/23/2018
15
3
2
1
1
1
2
2
2
2
2
1
1
1
Nuriya)
"u(un ,ukamaju
013
006
/23/2018
10%5
7
1
1
1
1
1
1
1
1
1
1
1
1
ai'atun Naja)
,um-er aya
002
002
/23/2018
15
7
2
1
1
1
2
2
2
2
2
1
1
1
,i$ ,o'i)a)
,um-er aya
002
002
/23/2018
8
67
1
1
1
1
1
1
1
1
1
1
2
1
@e$ =urnia(i)
,um-er aya
011
005
/23/2018
13%5
8
2
1
1
1
1
2
2
2
2
1
1
1
A' Fiya)
"u(un
001
002
/23/2018
14
7
2
1
1
1
2
2
2
2
2
2
1
1
9unjia)
,um-er aya
010
004
/23/2018
12
80
1
1
1
1
1
1
2
2
2
1
1
1
unia)
,um-er aya
012
004
/23/2018
14%2
5
2
1
1
1
1
2
2
2
2
1
1
1
n!a) e(tari
"u(un ,ukamaju
006
003
/23/2018
12
70
1
1
1
1
1
1
1
1
1
1
2
1
amini
"u(un ,ukamaju
013
006
/23/2018
13
8
2
1
1
1
1
1
1
1
1
1
1
1
"e#i i!ayan$
,um-er aya
002
002
/23/2018
14%7
2
2
1
1
1
1
1
1
1
1
1
1
1
.i#in ,u)aryan$
,um-er aya
011
005
/23/2018
13%5
4
2
1
1
1
1
1
2
2
2
1
1
1
in!a#a$
,um-er aya
011
005
/23/2018
12%5
88%7
2
1
1
1
2
2
2
2
2
1
1
1
A:u($ni% ,
,um-er aya
002
002
/23/2018
14
5
2
1
1
1
1
1
2
2
2
1
1
1
eni Pri)ar$ni
,um-er aya
011
004
/23/2018
11
75
1
1
1
1
1
1
1
1
1
1
1
1
,i$ Amina)
,um-er aya
011
005
/23/2018
14%4
7
2
1
1
1
1
1
2
2
2
1
1
1
An!i rmayan$
9ri a$
016
006
/23/2018
12
85%7
1
1
1
1
1
1
1
1
1
1
1
1
ero a!e ,uriani
9ri a$
016
006
/23/2018
15%6
%5
2
2
1
1
1
1
2
2
2
1
1
1
>u($ a!e ,ri Ra)ayu
,um-er aya
005
002
/23/2018
14
4
2
1
1
1
1
1
1
1
1
1
1
1
>u($ Putu ,u'a(tri
,um-er aya
005
002
/23/2018
15
6
2
1
1
1
1
2
2
2
2
1
1
1
a!e ,u(ini'a#a$
,um-er aya
002
001
/23/2018
13%8
4
2
1
1
1
2
2
2
2
2
1
1
1
,i$ Nur'ae'a
,um-er aya
002
001
/23/2018
12
76
1
1
1
1
1
2
2
2
2
1
1
1
ero .ayan arian$
,um-er aya
002
001
/23/2018
15%2
7
2
1
1
1
1
1
2
2
2
1
1
1
u'iyan$
,um-er aya
012
005
/23/2018
14%8
6
2
1
1
1
1
2
2
2
2
2
1
1
Ri(em
,um-er aya
012
005
/23/2018
14%4
5%7
2
1
1
1
1
1
1
1
1
1
1
1
9u$ Paryani
,um-er aya
002
001
/23/2018
6%6
64
1
1
1
1
1
1
1
1
2
2
&in$ Nur A'ia
,um-er aya
002
001
/23/2018
12%2
88
2
1
1
1
1
1
1
1
1
1
1
1
>u($ Ayu a!e "e#i% ,
"u(un ,ukamaju
013
006
/23/2018
10%6
78
1
1
1
1
1
1
1
1
1
1
1
1
Putu ,u+e'niari
,um-er aya
001
001
/23/2018
11%7
80
1
1
1
1
1
2
2
2
2
1
1
1
u) ,u#ar$ni
,um-er aya
008
003
/23/2018
15%6
8
2
1
1
2
2
2
2
2
2
2
1
1
,ri @unin:(i)
,um-er aya
012
005
/23/2018
16%1
100%3
2
1
1
1
1
1
2
2
2
1
1
1
Ro('ina
,um-er aya
012
005
/23/2018
13%6
87
2
1
1
1
1
1
2
2
2
1
1
1
u(torika)
"u(un ,ukamaju
014
006
/23/2018
14
8
2
1
1
1
1
2
2
2
2
1
1
1
,i$ ,a'-ia)
"u(un ,ukamaju
014
006
/23/2018
15%2
7
2
1
1
1
1
1
2
2
2
1
1
1
9i$ An!ira
,um-er aya
005
002
/23/2018
13%5
86
2
1
1
1
1
1
1
1
1
1
1
1
,u(miya$
"u(un ,ukamaju
014
002
/23/2018
12%7
8
2
1
1
1
1
2
2
2
2
1
1
1
"e#i @a(mini
"u(un ,ukamaju
014
002
/23/2018
13%
88%6
2
1
1
1
1
1
1
1
1
1
1
1
9a$ Nur(a
,um-er aya
005
002
/23/2018
12%2
88
2
1
1
1
1
1
1
1
1
1
1
1
Ro(i!a)
"u(un ,ukamaju
014
002
/23/2018
14%1
5
2
1
1
1
2
2
2
2
2
1
1
1
ia(mi amu)a
,um-er aya
012
005
/23/2018
12%4
88%3
2
1
1
1
1
1
1
2
2
1
1
1
Nen:a) ,arinin:
,um-er aya
001
001
/23/2018
13%2
8
2
1
2
2
2
2
2
2
2
2
1
1
Nur a(ana)
,um-er aya
001
001
/23/2018
11%7
75
1
1
1
1
1
1
1
1
1
1
1
1
=oman: =aryani
,um-er aya
001
001
/23/2018
13
8%2
2
1
1
1
2
2
2
2
2
1
1
1
ero a!e ur$ni
,um-er aya
00
004
/23/2018
12%3
88%4
2
1
1
2
2
2
2
2
2
1
1
1
a!e ,utrayani
,um-er aya
008
003
/23/2018
14%6
6
2
1
1
1
1
1
1
1
1
1
1
1
Pemberian PT 3/ Ba#ita -819 Bu#an
Sumber PT Pember 6" Pusat ian Ke ." Daera% " Pusat Daera%
T$# Pember ian
