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Nik Kk Bumil Treb 2018
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Nik Kk Bumil Treb 2018
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Abu Habibi Al Fatih
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DATA SASARAN IBU HAMIL 2018 Provinsi
: Jawa Timur
Kau!a"#n$Ko"a
: Si"uon%o
Pus&#smas
No
NAMA P(S-ANDU
: Man'aran
N( KK
BB +K',
NIK +Nomor In%u& K#!#n%u%u&an, a"au N(. KTP
NAMA IBU
Nama Suami
NIK Suami
T#)! Suami
BB s##)um /ami)
ALAMAT L#n'&a!
RT
R*
TANAL LAHIR
Tan''a) !#n'u&uran s##)um /ami)
s#&aran'
(1)
(2 (2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(4)
(15)
(16)
1
Kutilang 1
3512092405180004
3512094612980001
Eva Puspitasari
A.Jaini
3512090107920147
085212553316
58
Tr!ungan "latan
2
3
26#12#1998
31#05#2018
58
68
2
Kutilang 1
3512091606080044
3512094401930001
"iti $ar%a&
"'pan Eni
085335366614
44
Tr!ungan "latan
3
2
04#01#1993
12#02#2018
44
55
3
Kutilang 2
3512091305120002
3512094401760001
"uniatin
"un't'
3512090106710002
082337013815
60
Tr!ungan "latan
2
2
04#01#1976
4*8*2018
58
63
4
Kutilang 2
3512114303980003
+ini ,iiastuti-
Ei
3512092503990001
085330230700
36
Tr!ungan "latan
2
2
03#03#1998
04#08#2016
36
42
5
Karang $alang
3512091704120001
3512096202950004
"'lati
/ai
351209011800003
085339464645
65
Karang $alang
1
1
22#02#1995
07#04#2018
65
71
6
Karang $alang
3512091606080096
3512096105930001
"iti ai&a
Ali Kasi&
3512090105910002
72
Karang $alang
1
1
21#05#1993
21#06#2018
72
80
7
Karang $alang
3512091606080085
3512094407980001
ai%atul Aia
"al&an Alarisi
081553470703
50
Karang $alang
1
1
04#07#1998
09#08#2018
50
52
8
Karang $alang
3512090810100001
3512095604920002
tali%a
/ari%ant'
085330777319
65
Karang $alang
1
1
16#04#1992
23#02#2018
65
75
3512091209850001
9
Karang $alang
3512091606080128
3512095511870002
$a%ulis
"aiul
3512092511870002
082385584290
44
Karang $alang
1
1
15#11#1987
02#08#2018
44
55
10
nraasi 1
3512092506120005
3512084409900003
"iti $asrur'
T'la- +i%ant'
3512092211870001
082323423249
60
Tr!ungan arat
2
6
04#09#1990
26#12#2017
60
73
11
nraasi 1
3512090611051225
3512095007950001
ulianingsi
ari
351202007790003
085257022511
44
Tr!ungan arat
2
6
10#07#1995
29#07#2018
44
48
12
nraasi 2
3512091101180002
1960121219890320003
+is-i%a
Kurniant'
3512099405910003
085336111913
53
Tr!ungan arat
2
5
11#01#2018
12#04#2018
53
57
13
nraasi 2
ita arasati
Ant'n .
3512092010940003
082338860712
52
Tr!ungan arat
1
5
03#05#2018
52
61
14
nraasi 2
3512090611050740
3512094803950001
"iti ati&a
Putut ,as-it'
3512092002850002
085204867266
64
Tr!ungan arat
1
5
18#03#1995
09#05#2018
64
70
15
$rpati
3512091101180003
3512095611970001
"iti Aria
s&ail ari
3512070905970000
085236581847
41.5
Tr!ungan Kraan
3
4
16#11#1997
12#03#2018
41.5
51
16
$rpati
3512090711050097
3512096007870001
sani%a
"a&iuin
3512091403780001
082334204449
63
Tr!ungan Kraan
2
4
20#07#1987
03#04#2018
63
75
17
$rpati
3512090711051027
3512094711770001
'vi "uara
"a&sul
3512091707750002
085330199068
57
Tr!ungan Kraan
2
3
07#11#1977
10#06#2018
57
65
18
$rpati
3512092812070027
3512094508930001
A%u ,ilastri
Ani-a E-'
082301706339
50
Tr!ungan Kraan
1
4
05#08#1993
09#07#2018
50
52
19
$rpati
3507171106130008
3512074505870006
ra r&aanti
'an Arin
081334290118
63
Tr!ungan Kraan
1
4
05#05#1987
23#06#2018
63
72
3507171506860004
TTD +Ta)#" Tama/ %ara/, 14-A5 24Ti%a&
Ji&a -A5 r! u"ir TTD %i%a!a"
PMT
TB +m,
LILA +3m,
K#/ami)an &#
(17)
(18)
(19)
(20)
(21)
143
28
1
1
60
141
24
2
1
90
150
27
3
1
40
156
21.5
1
1
90
152
25
2
1
60
154
32
2
1
70
145.5
27.3
1
1
30
156
28
2
1
90
KTRANAN P#m#ran K#
(22)
1
Sum#r "') !#m#rian PMT
(23)
(24)
8#4#2016
(25)
147
26.5
2
1
90
148
28
2
1
90
147
24
1
1
30
159
25
1
1
60
148.6
25.5
1
1
60
156.5
27.3
1
1
60
137.5
24.5
1
1
70
149
30
1
1
80
154.5
26.5
3
1
90
156
24.5
1
1
20
162
25
5
1
50
DATA SASARAN IBU HAMIL 2018 Provinsi
: Jawa Timur
Kau!a"#n$Ko"a
: Si"uon%o
Pus&#smas
No
NAMA P(S-ANDU
: Man'aran
N( KK
BB +K',
NIK +Nomor In%u& K#!#n%u%u&an, a"au N(. KTP
NAMA IBU
Nama Suami
NIK Suami
T#)! Suami
BB s##)um /ami)
ALAMAT L#n'&a!
RT
R*
TANAL LAHIR
Tan''a) !#n'u&uran s##)um /ami)
s#&aran'
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(4)
(15)
(16)
1
Kutilang 1
3512092405180004
3512094612980001
Eva Puspitasari
A.Jaini
3512090107920147
085212553316
58
Tr!ungan "latan
2
3
26#12#1998
31#05#2018
58
68
2
Kutilang 2
3512091305120002
3512094401760001
"uniatin
"un't'
3512090106710002
082337013815
60
Tr!ungan "latan
2
2
04#01#1976
4*8*2018
58
63
3
Kutilang 2
3512090611050268
3512094911980001
'vita "ari
$aari
3512100107960099
081358108019
71
Tr!ungan "latan
2
2
09#11#1998
25#09#2018
71
69
4
Karang $alang
3512091704120001
3512096202950004
"'lati
/ai
351209011800003
085339464645
65
Karang $alang
1
1
22#02#1995
07#04#2018
65
5
Karang $alang
3512091606080096
3512096105930001
"iti ai&a
Ali Kasi&
3512090105910002
72
Karang $alang
1
1
21#05#1993
21#06#2018
72
6
Karang $alang
3512091606080085
3512094407980001
ai%atul Aia
"al&an Alarisi
081553470703
50
Karang $alang
1
1
04#07#1998
09#08#2018
50
7
nraasi 1
3512090611051225
3512095007950001
ulianingsi
ari
351202007790003
085257022511
44
Tr!ungan arat
2
6
10#07#1995
29#07#2018
44
8
nraasi 2
3512091101180002
1960121219890320003
+is-i%a
Kurniant'
3512099405910003
085336111913
53
Tr!ungan arat
2
5
11#01#2018
12#04#2018
53
57
9
nraasi 2
ita arasati
Ant'n .
3512092010940003
082338860712
52
Tr!ungan arat
1
5
10
nraasi 2
3512090611050740
11
nraasi 2
12
3512094803950001
"iti ati&a
Putut ,as-it'
3512092002850002
085204867266
64
Tr!ungan arat
1
5
3512090611050864
3512096110000001
+us&ini
"is'n' Ai
3512090308960001
082232819662
65
Tr!ungan arat
2
$rpati
3512091101180003
3512095611970001
"iti Aria
s&ail ari
3512070905970000
085236581847
41.5
Tr!ungan Kraan
13
$rpati
3512090711050097
3512096007870001
sani%a
"a&iuin
3512091403780001
082334204449
63
14
$rpati
3512090711051027
3512094711770001
'vi "uara
"a&sul
3512091707750002
085330199068
15
$rpati
3512092812070027
3512094508930001
A%u ,ilastri
Ani-a E-'
16
$rpati
3507171106130008
3512074505870006
ra r&aanti
'an Arin
17
$rpati
3512144906980001
'via
:ainul Ariin
18
$rpati
3512086709850001
;vi ila&
u%a&in
3512093001180007
03#05#2018
52
18#03#1995
09#05#2018
64
5
21#10#2000
06#09#2018
65
3
4
16#11#1997
12#03#2018
41.5
Tr!ungan Kraan
2
4
20#07#1987
03#04#2018
63
57
Tr!ungan Kraan
2
3
07#11#1977
10#06#2018
57
082301706339
50
Tr!ungan Kraan
1
4
05#08#1993
09#07#2018
50
3507171506860004
081334290118
63
Tr!ungan Kraan
1
4
05#05#1987
23#06#2018
63
3512092506910001
082232123986
51
Tr!ungan Kraan
1
4
09#06#1998
05#09#2018
51
082331010314
51
Tr!ungan Kraan
2
3
27#09#1985
17#08#2018
51
72
48
TB +m,
LILA K#/ami)an &# +3m,
TTD +Ta)#" Tama/ %ara/, 14-A5 24Ti%a&
Ji&a -A5 r! u"ir TTD %i%a!a"
PMT
(17)
(18)
(19)
(20)
(21)
143
28
1
1
40
150
27
3
1
30
151
29
1
1
10
152
25
2
1
40
154
32
2
1
40
145.5
27.3
1
1
30
147
24
1
1
30
159
25
1
1
60
KTRANAN P#m#ran K#
(22)
Sum#r "') !#m#rian PMT
(23)
(24)
(25)
148.6
25.5
1
1
60
156.5
27.3
1
1
60
158.5
29
1
1
10
137.5
24.5
1
1
70
149
30
1
1
80
154.5
26.5
3
1
90
156
24.5
1
1
20
162
25
5
1
50
151
26
1
1
20
150
29
3
1
20
BB +K', TANAL LAHIR
(13)
Tan''a) !#n'u&uran s##)um /ami)
s#&aran'
(15) 61 74 42 80.5 48 56 73 67 70 70 46 49 49
(16) 67 74 48 86 54 60 84 71 78 75 50 58 57
(4)
7#1#1997 1#7#1984
2*Aug*2018
3#6#1994
19*$ar*2018
30*$ar*2018 15#10#1997
4*Jun*2018
27#04#1997
16*Jun*2018
1#7#1985
7*Apr*2018
28*11*1990
20*06*2018 21*08*2018 7#2#2018 7#17#2018 3#16#2018 4#24#2018
3#10#1993 5#7#1995 3#18#1987 6#15#2000 10#12#1992
TTD +Ta)#" K#/ami)an Tama/ TB +m, LILA +3m, &# %ara/, 14-A5 24Ti%a&
(17) 158 158 152 152 140 158 150.5 155 160 160 150 159 152
(18) 31 32.5 27 34 27 26 33 31 31.5 32.2 24 26 28
(19)
(20) 1 1 1 1 1 1 1 1 1 1 1 1 1
PMT Ji&a -A5 r! u"ir TTD %i%a!a"
(21) 100 20 70 120 40 50 90 30 30 90 90 100 90
P#m#ran K#
(22)
Sum#r "') PMT !#m#rian
(23)
(24)
BB +K', TANAL LAHIR
Tan''a) !#n'u&uran s##)um /ami)
s#&aran'
(13)
(4)
(15)
(16)
7#1#84
2*Aug*2018
14*$ar*1900
16*05*1997
18*"p*2018
21*!*1900
74 53 37
3#6#94
4*"p*2018
5*!*1900
19*$ar*2018
10*!*1900
30*$ar*2018
20*$ar*1900
15#10#1997
4*Jun*2018
16*!*1900
27#04#1997
16*Jun*2018
24*!*1900
1#7#1985
7*Apr*2018
13*$ar*1900
28*11*1990
20*06*2018 21*08*2018 25*6*2018 16*4*2018 7#2#2018 7#17#2018 9#24#2018 9#29#2018 3#16#2018 4#24#2018
3#7#1900 70 47 79 70 46 63 50 49 49
3#10#1993 8#3#1998 5#7#1995 3#18#1987 2#5#1996 7#14#1996 6#15#2000 10#12#1992
84 78 90 75 50 66 52.5 58 57
TTD +Ta)#" K#/ami)an Tama/ TB +m, LILA +3m, &# %ara/, 14-A5 24Ti%a&
(17) 158 158 157 146.8 152 152 140 158 150.5 155 160 155 152 160 150 160 153 159 152
(18) 31 32.5 28 20.5 27 34 27 26 33 31 31.5 24.5 34 32.2 24 29 26 26 28
(19)
(20) 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
PMT Ji&a -A5 r! u"ir TTD %i%a!a"
(21) 100 20 20 10 70 120 40 50 90 30 30 40 70 90 90 30 30 100 90
P#m#ran K#
(22)
Sum#r "') PMT !#m#rian
(23)
(24)
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