Posyandu 19

Form REGESTER PENCATATAN OPERASI TIMBANG
DI TINGKAT DESA / POSYANDU

BULAN FEBRUARI TAHUN 2013
(R1/OPT/2013)
1. Propinsi : Jawa Timur
2. Kabupaten : Banyuwangi
3. Kec/Puskesmas : Siliragung
4. Desa/Kelurahan : SILIRAGUNG
5. Nama Posyandu : ANGGREK
6. Jml Balita yang ada : 32
7. Jml Balita ditimbang : 32
8. Tanggal Penimbangan : 7 FEBRUARI 2013
HASIL VERIFIKASI BALITA 2T/BGM
HASIL PENIMBANGAN
TANDA-TANDA STATUS GIZI (BB/TB-PB)
Jenis Kelamin (l/P)
STATUS GIZI KLINIS KRS

2T BGM KURUS NORMAL GEMUK
Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
No Nama Balita Tanggal Lahir Nama Orang Tua BB (Kg) TB/PB (Cm)
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
1 EFENDI L 22/05/08 BOIMAN/ PAINI 13 47 V 103
2 ALENA P 12/2/2008 P0NIASIH 13,5 60 V 1O5
3 OKTAVIA P 29/10/08 MARSATUN 16,5 52 V 101
4 NABILA PUTRI P 14/9/08 HENDRA/INDAH 16 53 V 102
5 SILVI QORINA P 23/10/08 KIPTIYAH 15 52 V 100
6 DENIS SAPUTRA L 26/10/09 P0NISRI/ADI 23 40 V 101
7 RISKI DENIS L 24/12/09 DWI WELAS/SUJI 9,2 38 V 95
8 M.AKBAR L 13/3/10 PAINTEN/MAHFUD 10 35 V 84
9 RIYAN L 17/6/10 DIDIN 12,1 32 V 86
10 BIMA L 29/5/10 YAYUK/SUMARI 11,5 33 V 90
11 FERDIANSYAH L 13/8/10 KARIYANI/BANDI 11 30 V 92
12 LILA P 23/3/10 LILIK/JEMADI 13,9 35 V 92
13 ARIS P L 18/4/10 BOINEM 14,1 34 V 91
14 FARICHA RATNA P 15/6/10 TUTIK/WAWAN 11,5 32 V 88
15 M.ARFIAN L 20/11/10 EKA 12,6 27 V 90
16 DIEGO L 4/8/2010 WIDIAWATI 13 30 V 86
17 SHERIL P 24/2/10 LISNA/EKO 11,6 35 V 83
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

(BB/U) SEKALI ASI
Umur (Bulan)
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
18 MIA ARMELIA P 6/3/2011 YUNI/SUKIMAN 9,5 23 V 73
19 RENGGA L 30/1/11 ERNI/AGUS 14,9 24 V 89
20 M.RIZAL L 6/6/2011 WIWIT/SANTOSO 8,5 20 V V 75
21 FIRDAUS L 26/9/11 LATIP 9,8 16 V 73
22 FANESA PUTRI P 13/10/11 RIRIN/NARTO 10 15 V 71
23 M.AQIL AKMAL L 12/12/2011 WARNI/EPONG 8,8 14 V 69
24 FADILAH L 20/4/12 PUJI/PAIDI 8,9 10 V 71
25 M.DEKO L 24/5/12 PAINI/PAIMIN 84 8 V 68
26 ADELIA P 8/9/2012 ISTA/BAMBANG 8,6 5 V 67
27 EVICA SIVILA P 3/5/2012 RUSWANTI 7,5 9 V 68
28 ELSA ELDIANSA P 18/5/12 SUBIYAH/SLAMET 6,2 9 V 62
29 NURIN P 16/8/12 PAINTEN/MAHFUD 6 6 V 59
30 IZZA L 19/7/12 IIS ARISKA 96 7 V 62
31 M.RADITIA L 23/1/12 TITIN 8,6 12 V 68
32 MELDITA P 25/6/12 RENI/PUR 11 8 V 76
Jumlah Anak Menurut Kategori Status Gizi

Keterangan : - Beri tanda √ pada kolom 8 s/d 18 dan 20 s/d 27
- Untuk kolom 6 s/d 19 hanya 1 desimal
BULAN FEBRUARI 2013
(R1/OPT/2013)
4. Desa/Kelurahan :
5. Nama Posyandu : PLAMBOYAN
6. Jml Balita yang ada 46
7. Jml Balita ditimbang 46
8. Tanggal Penimbangan 7 FEBRUARI 2013
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
1 YONANDA P 23/8/08 HENI/BASKORO 14,2 54 V 1O1
2 NAILA P 28/9/08 ERNI/MUHAJIR 14,8 53 V 100
3 DEHAN L 18/2/09 DEWI/MUHAIMIN 13 48 V 99
4 KHOIROTUS P 12/12/2009 KOTIK 13 38 V 93
5 REA SAGITA P 11/8/2009 NANIK 13,5 42 V 95
6 MEY SELA P 3/5/2009 PUR 13,5 45 V 95
7 NASWA P 4/1/2009 IMAMAH/IMRON 14 49 V 96
8 ASIFA P 21/3/O9 WAGINAH/PAIDI 14,2 47 V 97
9 ZENI P 22/6/10 RIRIN 12,5 32 V 82
10 ANGGUN P 24/4/10 ARI 12 31 V 81
11 REHAN L 30/8/10 ST HALIMAH 8,6 29 V V V 79
12 M,WINZA L 12/12/2010 ARIF 9,5 26 V 80
13 PUTRI AYU P 29/6/10 TUTUT 12 31 V 81
14 HAVIDATUL P 21/12/11 ENI 10,6 26 V 8,5
15 TAUFIKUL L 12/1/2011 NURHAYATI 12 25 V 86
16 SAVARO P 28/1/11 ANDINI 8,7 24 V V 75
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
17 SALSA GALUH P 1/3/2011 1SNIATI/MUHA 11,6 23 V 88
18 MAVAQIRI L 28/3/11 LATIP/HUDA 11,5 21 V 87
19 MEYSYA AGUSTIN P 4/5/2011 RIRIN 9,7 21 V 88
20 KESYA BUDI P 15/6/11 SRINGATIN 9,6 20 V 77
21 RESKI KURNIAWAN L 30/8/11 MARSINI 9 17 V 76
22 GALANG L 30/8/11 SRIWAHYUNI 9,6 17 V 79
23 MIFTAVIA P 16/9/11 PITA/FARUK 10,6 17 V V 76
24 M.WILDAN L 3/9/2011 BINTI 10,2 17 V 76
25 DION PRATAMA L 3/9/2011 AYUK 8,4 14 V 73
26 M.NIAM L 11/10/2011 MINATUL 10,3 16 V 75
27 SEPTIA AYU P 21/9/11 MUNTAMAH 10 16 V 75
28 M.FATIR L 7/5/2011 YATIAH/PAIMIN 11,6 21 V 79
29 RISKI BAGUS L 9/8/2011 TRI SUCI 9,9 18 V 79
30 M. RIDO RISKI L 11/9/2012 INDAH /M.SAIFUL 6 5 V 65
31 ELLIN P 26/7/12 SANI,AH 7,1 6 V 69
32 M.TOHA L 10/1/2012 MUNAWAROH 9,6 13 V 76
33 AHMAT YUSUP P 27/2/12 NURHAYATI 10,5 11 V 75
34 MARPIN L 14/3/12 DWI SRI/EKO 10,7 11 V 76
35 FAHRU QOIS L 27/3/12 ST USWATUN 8,4 10 V V 75
36 ABD AZIS L 29/3/12 NUR,AZIJAH 7,5 10 V 75
37 GALIH DIA UDIN L 4/4/2012 ISNIATI 8,7 10 V 71
38 AFIKA P 7/5/2012 SRI WAHYUNI 6,9 9 V 76
39 DELISA P 5/5/2012 AYUK 6,8 9 V V 70

HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
40 MAY SHILA L 19/5/12 LIAILA/MUNDIR 8,1 9 V 69
41 ABD FAHRI L 30/6/12 EKE/SUCIP 9,2 7 V V 72
42 M.ABIYASA L 14/6/12 ERMA/HANDOKO 8 8 V V 69
43 NADINIA P 29/6/12 YULI 8,6 8 V 66
44 M.RISKI RAMADAN L 28/7/12 KATIYAH 9,1 6 V 68
45 ILZAM .P L 14/8/12 PURWATI 7,5 6 V 69
46 FADLAN L 15/8/12 RIRIN/JAKRIM 7,2 6 V 68
(R1/OPT/2013)
4. Desa/Kelurahan :
5. Nama Posyandu : DEWI SARTIKA
6. Jml Balita yang ada :
7. Jml Balita ditimbang :
8. Tanggal Penimbangan :
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
1 ASTANINGRUM P 15/11/08 SUNARTI/AGUNG 13,6 52 V 99
2 FAYILLA P 2/7/2008 SULASIH 14 55 V 100
3 ALVIAN L 15/4/08 YATIK/SUGENG 16 58 V 102
4 BULAN P 28/11/08 WATI/SUTRIS 19,5 49 V 102
5 KALIKA P 26/5/08 NURUL/EKO 14 57 V 105
6 GERALDIN P 13/7/08 ANI/SAIRIN 16,4 54 V 103
7 NOVANDA L 22/11/08 SUMIN/SOPYAN 12,5 51 V 91
8 BINTANG L 10/10/2008 MURAH/SABAR 14,5 52 V 93
9 ADITYA L 6/3/2008 NABILLA 16 59 V 104
10 SEREN L 21/3/08 RENI 15,3 58 V 103
11 NAYA L 3/4/2008 YUDI 15,5 58 V 103
12 AMELIA P 9/8/2008 YASIK/SANU 15 54 V 102
13 FERDI L 13/7/08 ERNA 15,3 54 V 101
14 A.RISKI L 11/7/2008 ROHANA 15 54 V 102
15 MAFUROH L 10/10/2009 WIDIA/SUKIDI 15 40 V 100
16 RANGGA L 14/10/09 INDRA 14,5 40 V 99
17 SALLSA BILLA P 11/8/2009 SIANAH/PUR 14,2 42 V 92
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
18 FEMY P 9/5/2009 YULI/BAMBANG 11,1 35 V 89
19 M.VIKO L 2/3/2009 NURIADI/EKO 11,5 47 V 89
20 VINDI P 28/5/09 SANI/MISTINO 12,8 44 V 92
21 TONI L 3/11/2009 LALA/KAMAL 13,5 40 V 90
22 JESIKA P 1/6/2009 EDI/ELI 16,5 44 V 99
23 DINUS SARAH L 4/10/2009 ALFA/SOLIKIN 13 40 V 92
24 DAMAR L 16/10/09 YULI/YUSUP 14,5 40 V 93
25 USMA P 10/10/2009 TATIK/SAPAAT 13,5 40 V 93
26 YUDIANTO L 7/1/2009 RIRIN/SIGIT 14,5 49 V 95
27 RAHMAT L 8/3/2009 USMIATI 14 47 V 95
28 RADIP L 1/4/2009 NURMA/SULIH 14,5 46 V 93
29 RISTA P 3/7/2009 TIWI/CECEP 13,7 43 V 94
30 HILMI L 4/8/2009 LILIK/IPUL 14 42 V V 96
31 AIRA P 7/8/2009 TIARA 13,5 42 V 93
32 DEBI L 14/12/09 DIYA/DIDIK 13,2 38 V 88
33 NURCAHYO L 24/1/010 NUR/ISTIKOMAH 13,5 36 V 90
34 VOVITA P 25/11/10 MARIA/MSIJO 12,7 26 V 89
35 SILVIA ARUM P 20/10/10 SRI/HADI 12,5 27 V 89
36 AHMAD REHA L 12/12/2010 YUANITA/SAIRIN 7,8 26 V V 100
37 KAILA P 22/10/10 ANA/SURYA 11,5 27 V 90
38 RERE L 30/10/10 LUSI/KUKUH 11 27 V 91
39 JIVERA P 27/10/10 RETTI/SETYO 11,5 27 V 92
40 SAHWA NUR P 26/9/10 WIJI/RIANI 12 28 V 92
(R1/OPT/2013)
4. Desa/Kelurahan :
5. Nama Posyandu CUT,NYADIN
8. Tanggal Penimbangan 7 FEBRUARI2013
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
No Nama Balita Tanggal Lahir SS BB (Kg) TB/PB (Cm)
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
1 DESTA L 21/12/09 TRI 13,5 48 V 96
2 KHALIK EMRIS L 24/4/09 ST AMINAH 15,9 44 V 99
3 FEBIA P 8/2/2009 ARIANTO 15,2 46 V 100
4 ZIVA L 12/12/2009 USWATUN 12,6 38 V 90
5 REVIKA P 21/12/09 HENI/SLAMET 12 38 V 85
6 FITRIA P 24/9/09 YULI/ASKOL 12,5 40 V 87
7 VANESSA P 23/12/O9 SRI/MARSONO 13,9 37 V 96
8 NADIN P 14/6/09 DEWI/JAENI 12,9 32 V 95
9 DENSEL L 30/10/09 USSI 16 38 V 103
10 IMEL P 19/11/09 SAMITUN 16,3 39 V 102
11 DEWI NABILA P 15/1/09 SURIPAH/SANTO 13 48 V 96
12 HAFIF L 27/9/09 FIFIN 15 40 V 100
13 HESTI L 4/4/2009 AMIN/SUTIYEM 14,5 46 V 99
14 ADINDA P 12/2/2009 WIJI/SATRIA 13,7 48 V 96
15 NOVA P 11/4/2010 SADAR/SUGENG 12,5 34 V 94
16 RIMBI RANTA P 28/2/10 YANTI /ERIK 12,6 35 V 95
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
17 DEREN L 25/4/10 DEVINTA/DANI 16 33 V 96
18 VIKA P 1/3/2010 SETYANI 13,6 34 V 93
19 DAFFA L 26/7/10 NANIK 10,7 19 V 86
20 PUTRI WULANDARI P 6/7/2010 SRI/WARNOTO 13 32 V 86
21 VIOLIN P 21/5/10 AYUP 12 33 V 86
22 ROBIKA L 15/12/10 NINIK/AFANDI 11,8 26 V 89
23 SAKHY L 9/10/2010 KATIYAH 11,5 28 V 87
24 NAURA L 16/8/10 SUTIYANI 12 30 V 98
25 KAILA PUTRI P 6/6/2011 SRI LESTARI 8,3 20 V 78
26 ATIKA P 29/9/11 PUJI 9,6 16 V 77
27 ALMIRA P 10/3/2011 ST AMINAH 10,3 23 V 80
28 FAILA SINTI ROSA P 28/6/11 MISNADI/SRI 10,4 19 V 82
29 PRAMUDIA FAIS L 2/8/2011 DEWI/CATUR 10,5 18 V 73
30 AHMATWINARYO L 26/5/11 RIBUT 11,1 20 V 81
31 FRANSISKUS L 24/1/11 THERE/PETRUS 11,6 25 V 86
32 CIKA P 16/10/11 KHOTIJAH 9,6 17 V 77
33 DEO ERLANGGA L 22/2/12 KATIYAH 10 12 V
34 ALIVIA DIAZ P 24/2/12 FITRIA 7,2 11 V 69
35 SAKHY L 20/3/12 MARIA/IMRON 9,8 11 V 71
36 ALISYA DEWI P 6/3/2012 SUPIYATI/BB 9,8 11 V 72
37 MUSFARISCA P 3/4/2012 RESTI/DIAN 7,8 10 V 68
38 GISEL P 28/4/12 SRIUTAMI/BUDI 7,8 9 V V 66
39 NURLINDASARI P 6/6/2012 SURIPAH/SANTO 9 8 V V 70

HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
No Nama Balita Tanggal Lahir S BB (Kg) TB/PB (Cm)
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
40 FALEN P 10/2/2012 ARI 7,5 12 V V 72
41 DEWIK P 9/1/2012 KRISTIN 8,1 13 V 69
42 AURELIA P 5/5/2012 LULUT 9,1 9 V 73
43 ENO JENOA L 29/6/12 IIS/REDI 8 8 V 69
44 ERTANZILLA L 15/5/12 JULI/ARIS 7,7 9 V 71
45 GALIH L 12/12/2012 WATI 5,6 2 V 58
(R1/OPT/2013)
4. Desa/Kelurahan :
8. Tanggal Penimbangan ; 7 FEBRUARI 2013
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
1 ADITYA L 6/3/2008 NABILLA 15,3 59 V V 102
2 SEREN P 21/3/08 RENI 15 58 V 103
3 NAYA P 3/4/2008 YUDI 14,5 58 V 103
4 KALIKA P 26/508 NURUL/EKO 14 57 V 105
5 ALVIAN L 15/4/08 YATIK/SUGENG 16 58 V 103
6 BULAN P 28/11/08 WATI/SUTRIS 19,5 49 V V 102
7 GERALDIN P 13/7/08 ANI/SAIRIN 16,4 54 V V 90
8 NOVANDA L 22/11/08 SUMINAH/SOPYAN 12,5 51 V V 91
9 BINTANG L 10/10/2008 MURAH/SABAR 14,5 52 V 93
10 AMALIA P 9/8/2008 SONU/YASIK 15 54 V 91
11 FERDI L 13/7/08 ERNA 15,4 55 V 92
12 A.RIZKI L 11/7/2008 ST ROHANA 15,5 54 V 92
13 MAFUROH P 10/10/2009 WIDIA/SUKIDI 15 40 V 100
14 RANGGA L 14/10/09 INDRA/SUWARNI 14,5 40 V S 99
15 SALSA BELLA P 11/8/2009 SIANAH/PUR 14,2 42 V 92
16 FEMY P 9/5/2009 YULI/BAMBANG 11,1 35 V 89
17 M.VIKO L 2/3/2009 ST.AMINAH 11,4 47 V 89
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
18 VINDI P 28/5/09 SANI/MISTINO 12,8 44 V 92
19 TONI L 3/11/2009 LALA/KAMAL 13,5 40 V 90
20 JESIKA P 1/6/2009 ELI/EDI 16,5 44 V 99
21 DINUS L 4/10/2009 ALFA/SOLIKIN 13 40 V 92
22 DAMAR L 16/10/09 YULI/YUSUP 14,5 40 V 93
23 USMA P 10/10/2009 TATIK/SAPAAT 13,5 40 V 93
24 YUDIANTO L 7/1/2009 RIRIN/SIGIT 14,5 49 V 95
25 RAHMAT L 8/3/2009 USMIATI 14 47 V 95
26 RADIP L 1/4/2009 NURMA/SULIH 14,5 46 V 93
27 RISTA L 3/7/2009 TIWI/CECEP 13,7 43 V 94
28 HILMI L 4/9/2009 LILIK/IPUL 14 42 V 96
29 AIRA P 7/8/2009 TIARA 13,5 42 V 90
30 DEBI L 14/12/09 DIYA/DIDIK 13,2 38 V 88
31 NURCAHYO L 24/1/10 NUR/ISTIKOMAH 13 36 V 90
32 NOVITA L 25/11/10 MARIA/MESIJO 12,7 26 V 86
33 SELVIA ARUM P 20/10/10 SRI/HADI 12,9 28 V 89
34 AHMAD REHA L 12/12/2010 YUANITA/SAIRIN 7,8 26 V V 91
35 KHAILA L 22/10/10 ANA/SURYA 11,5 27 V 90
36 RERE L 30/10/10 LUSI/KUKUH 11 27 V 91
37 JIVERA L 27/10/10 RETTY/SETYO 11,5 27 V 91
38 SAHFA NUR P 26/9/10 WIJI/RIANI 12 28 V 92
39 M.ARWA L 26/3/10 NIHA 13,5 34 V 92
40 AMELIA P 24/3/10 TATIK/EDO 13 34 V 92

HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
41 RAHMAWATI P 24/4/10 EKA/PUGUH 12,5 33 V 90
42 SASA P 22/6/10 NINA/DEDI 12 31 V 85
43 EFAN L 3/2/2010 IPONG/DWI 13 36 V 90
44 ALFA L 8/9/2010 FITRIA 12 29 V 82
45 PUTRA DUTA L 26/9/10 PAINTEN/ANIM 12,3 28 V 83
46 NASWA AULIA P 28/10/10 CATUR/AGUS 12 27 V 83
47 OLIVIA P 15/8/10 PUTRI 13 30 V 81
48 JOVITA P 4/7/2010 PURWATI 10,5 31 V 85
49 FEMI P 9/3/2010 YULI/BAMBANG 11,8 35 V 90
50 SEAN L 4/9/2011 INE/NANANG 10 17 V 77
51 RADIT L 24/7/11 ST.PONIMAH 12 18 V 80
52 FERONIKA P 12/2/2011 HANIK 8,1 24 V 86
53 DAUT BEKTI L 21/2/12 SANTI/GIGIH 9,7 11 V 78
54 TANSILLA P 23/3/12 ST AMINAH/EDI 9,5 10 V 79
55 WISTARA L 8/2/2012 DESTRI/AHMAD 9 12 V 80
56 APRILIA EKA P 11/4/2012 INDAH/HUDA 7,6 10 V 75
57 BRILIAN L 2/4/2012 7,5 10 V 75
58 VAFA L 21/7/12 EKO 7,8 6 V 68
59 AHMAD FEBRIAN L 19/2/12 NUR TRI 10 10 V 74
60 ALVINA P 5/7/2012 7,5 7 V 66
61 FEROS L SUGENG 6,2 V 60
62 DENIS L 17/7/12 7,5 6 V 66
63 RISKI K L 21/9/12 7,8 5 V 67

(R1/OPT/2013)
4. Desa/Kelurahan :
5. Nama Posyandu :JATI WALUYO
8. Tanggal Penimbangan : 02 FEBRUARI 2013
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
TAMPAK KURUS
SIF
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
1 pingkan P 10/18/2008 tri cahyo 16 51 v 102
2 aditia L 12/23/2008 lastri / pur 15.5 49 v 102
3 ria P 2/12/2008 reni / win 14.8 60 v 104
4 Nancy P 9/22/2009 dwi / yudi 15.2 40 v 100
5 m. Raka L 11/1/2009 ima / agus 13.8 38 v 99
6 kalion L 1/27/2010 yuyun 12.9 37 v 89
7 caca P 5/30/2010 eka / edi 13 33 v v 87
8 zenfi L 6/2/2010 ani / gianto 13.2 30 v 88
9 a. Faisol L 10/10/2010 jami / suyono 12 28 v v 84
10 desika P 12/15/2010 budi / herni 10.5 26 v 79
11 Pandu L 7/7/2010 kartika / wanto 13.4 31 v 89
12 fenata P 2/2/2010 sumi / tollo 14 36 v 83
13 anisa b P 2/25/2011 tatik / rudi 10.3 23 v v 81
14 gradis P 5/6/2011 st / penoin 9.7 22 v v 76
15 yesli P 7/7/2011 slamet / inun 12.7 19 v 82
16 noval l 12/31/2012 santi/roni 4.7 2 v 53

HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
REGESTER PENCATATAN OPERASI TIMBANG

(R1/OPT/2013)
BULAN AGUSTUS TAHUN 2013
(R1/OPT/2013)
4. Desa/Kelurahan : SILIRAGUNG
5. Nama Posyandu : ANGGREK
8. Tanggal Penimbangan 1 AGUSTUS 2013
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
1 EFENDI L 22/05/08 BOIMAN/ PAINI TK
2 ALENA P 12/2/2008 P0NIASIH TK
3 OKTAVIA P 29/10/08 MARSATUN 16,7 57 V 105
4 NABILA PUTRI P 14/9/08 HENDRA/INDAH 16,3 59 V 105
5 SILVI QORINA P 23/10/08 KIPTIYAH 15,0 58 V 103
6 DENIS SAPUTRA L 26/10/09 P0NISRI/ADI 1,3 46 V 102
7 RISKI DENIS L 24/12/09 DWI WELAS/SUJI 9,5 44 V 97
8 M.AKBAR L 13/3/10 BALI 11,0 41 V 92
9 RIYAN L 17/6/10 DIDIN 12,2 38 V 88
10 BIMA L 29/5/10 YAYUK/SUMARI 11,7 39 V 92
11 FERDIANSYAH L 13/8/10 KARIYANI 11,3 36 V 93
12 LILA P 23/3/10 LILIK/JEMADI I14,2 41 V 94
13 ARIS P L 18/4/10 BOINEM 14,2 40 V 93
14 FARICHA RATNA P 15/6/10 TUTIK/WAWAN 11,0 38 V 90
15 M.ARFIAN L 20/11/10 EKA 13,0 33 V 91
16 DIEGO L 4/8/2010 WIDIAWATI 13,3 36 V 88
17 SHERIL P 24/2/10 LISNA/EKO 12,5 41 V 86
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

(BB/U) SEKALI ASI
Umur (Bulan)
ESKLU
No Nama Balita Nama Orang Tua BB (Kg) SIF
TAMPAK KURUS
Tanggal Lahir TB/PB (Cm)
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
18 MIA ARMELIA P 6/3/2011 YUNI/SUKIMAN 10,3 30 V 81
19 RENGGA L 30/1/11 ERNI/AGUS 15,0 30 V 90
20 M.RIZAL L 6/6/2011 WIWIT/SANTOSO 9,1 26 V 78
21 FIRDAUS L 26/9/11 LATIP 10,5 22 V 75
22 FANESA PUTRI P 13/10/11 RIRIN/NARTO 11,2 22 V 83
23 M.AQIL AKMAL L 12/12/2011 WARNI/EPONG 9,1 19 V 79
24 FADILAH L 20/4/12 PUJI/PAIDI 8,9 16 V 72
25 M.DEKO L 24/5/12 PAINI/PAIMIN 9,2 14 V 70
26 ADELIA P 8/9/2012 ISTA/BAMBANG 9,0 13 V 73
27 EVICA SIVILA P 3/5/2012 RUSWANTI 8,5 15 V 70
28 ELSA ELDIANSA P 18/5/12 SUBIYAH/SLAMET 7,3 15 V 70
29 NURIN P 16/8/12 PAINTEN/MAHFUD 7,1 13 V 71
30 IZZA L 19/7/12 IIS ARISKA 10,9 13 V 79
31 M.RADITIA L 23/1/12 TITIN 8,8 18 V 88
32 MELDITA P 25/6/12 RENI/PUR 11,3 14 V 78
33 M.DANIS ENSU L 4/7/2012 NANI/EKO BUDI 10,4 13 V 74
34 ADWIN/ROBERTA L 21/11/12 WIN/TAUFIK 9,7 9 V 72
35 TIARA P 14/8/12 SUNTIAH 8,2 12 V 72
36 M.WAFA L 10/2/2013 RATEMI/MASKUR 9,5 6 V 69
37 AFIKA RATMA P 18/2/13 TUTIK/WAWAN 7,0 6 V 57
38 M.ROSY L 19/2/13 JENJEM 7,1 6 V 57
39 JERDEN JEVA L 15/3/13 MIFTA/FINDO 8,0 5 V 56
BULAN AGUSTUS 2013
(R1/OPT/2013)
4. Desa/Kelurahan :
5. Nama Posyandu : PLAMBOYAN
8. Tanggal Penimbangan 20 AGUSTUS 2013
HASIL PENIMBANGAN
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
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
1 YONANDA P 23/8/08 HENI/BASKORO SUSEL V
2 NAILA P 28/9/08 ERNI/MUHAJIR 10'5 59 V 102
3 DEHAN L 18/2/09 DEWI/MUHAIMIN 13'5 54 V 102
4 KHOIROTUS P 12/12/2009 KOTIK 13'5 44 V 100
5 REA SAGITA P 11/8/2009 NANIK 14 48 V 100
6 MEY SELA P 3/5/2009 PUR 13'7 41 V 98
7 NASWA P 4/1/2009 IMAMAH/IMRON 14'5 55 V 99
8 ASIFA P 21/3/O9 WAGINAH/PAIDI 13'5 53 V 91
9 ZENI P 22/6/10 RIRIN 13 38 V 86
10 ANGGUN P 24/4/10 ARI 12'5 37 V 85
11 REHAN L 30/8/10 ST HALIMAH 8'7 35 V V V 80
12 M,WINZA L 12/12/2010 ARIF 10 32 V 83
13 PUTRI AYU P 29/6/10 TUTUT 12'5 37 V 85
14 HAVIDATUL P 21/12/11 ENI 11'1 32 V 86
15 OLIVINA MULYASARI P 27/1/11 YATIAH/PAIMIN 11,5 31 88
16 TAUFIKUL L 12/1/2011 NURHAYATI 12'6 31 V 89
SAVARO P 28/1/11 ANDINI 9'2 30 V 80
HASIL PENIMBANGAN
No
Jenis Kelamin (l/P)

Umur (Bulan)
(BB/U) SEKALI ASI
ESKLU
Nama Balita Tanggal Lahir Nama Orang Tua BB (Kg) TB/PB (Cm)
SIF
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
1
17 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
18 SALSA GALUH P 1/3/2011 1SNIATI/MUHA 12'4 29 V 89
19 ALBERT M. GIBRAN L 25/3/11 YULIANI/MOHADI 12,6 29 88
20 MAVAQIRI L 28/3/11 LATIP/HUDA 12 27 V 89
21 MEYSYA AGUSTIN P 4/5/2011 RIRIN 10'3 27 V 89
22 FERIN P 8/8/2011 LULUK/MALIK 12,2 24 85
23 KESYA BUDI P 15/6/11 SRINGATIN 11 26 V 83
24 RESKI KURNIAWAN L 30/8/11 MARSINI 10 23 V 79
25 GALANG L 30/8/11 SRIWAHYUNI 10'9 23 V 84
26 MIFTAVIA P 16/9/11 PITA/FARUK 11'6 23 V 79
27 M.WILDAN L 3/9/2011 BINTI 11'1 23 V 80
28 DION PRATAMA L 3/9/2011 AYUK 10.1 23 V 79
29 M.NIAM L 11/10/2011 MINATUL 11'2 22 V 83
30 SEPTIA AYU P 21/9/11 MUNTAMAH 10'5 22 V 77
31 M.FATIR L 7/5/2011 YATIAH/PAIMIN 12'6 27 V 84
32 RISKI BAGUS L 9/8/2011 TRI SUCI 11'1 24 V 83
33 M. RIDO RISKI L 11/9/2012 INDAH /M.SAIFUL 8'2 11 V 73
34 ELLIN P 26/7/12 SANI,AH 8'5 13 V 71
35 M.TOHA L 10/1/2012 MUNAWAROH 10'6 17 V 82
36 AHMAT YUSUP P 27/2/12 NURHAYATI 10'4 17 V 76
37 MARPIN L 14/3/12 DWI SRI/EKO 9'4 16 V 77
38 FAHRU QOIS L 27/3/12 ST USWATUN 8'5 16 V 77
39 ABD AZIS L 29/3/12 NUR,AZIJAH 10'1 16 V 77
Jumlah Anak Menurut Kategori
GALIH Status
DIA UDIN
Gizi L 4/4/2012 ISNIATI 9 16 V 75
Keter AFIKA P 7/5/2012 SRI WAHYUNI 9'7 15 V 78
DELISA P 5/5/2012 AYUK 7'5 15 V V 74
No
Jenis Kelamin (l/P)

HASIL PENIMBANGAN
Umur (Bulan)
TAMPAK KURUS
Nama Balita Tanggal Lahir Nama Orang Tua BB (Kg) 2T BGM TB/PB (Cm) SEKALI KURUS NORMAL GEMUK
1 (BB/U) ASI
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
40 ESKLU
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
41 SIF
42 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
43 MAY SHILA L 19/5/12 LIAILA/MUNDIR 87 15 V 73
44 ABD FAHRI L 30/6/12 EKE/SUCIP 9'6 14 V 77
45 M.ABIYASA L 14/6/12 ERMA/HANDOKO 9'5 14 V 75
46 NADINIA P 29/6/12 YULI 10'2 14 V 71
47 M.RISKI RAMADAN L 28/7/12 KATIYAH 10'3 13 V 77
48 ILZAM .P L 14/8/12 PURWATI 8'9 12 V 72
49 FADLAN L 15/8/12 RIRIN/JAKRIM 9'2 12 V 73
50 ELSI P 5/1/2013 HARTINI/DIDIK 7'4 5 V 64
51 ELSA P 5/1/2013 HARTINI/DIDIK 7'4 5 V 69
52 ALVIAN RISKI L 9/1/2013 IDA 8'2 7 V 61
53 SENDI GIOVANI L 13/3/13 LINDA/RIANTO 6'5 5 V 62
54 ALVENO L 11/2/2013 ARIATI/WIWIT 10 6 V 61
55 AINUN FASRINA P 10/3/2013 MISNATIN/TOHARI 6'5 5 V 64
56 FARHAN HARDI L 20/4/13 ASMAUL 7'6 4 V 65
57 M.ALI HIKAM L 7/7/2013 HIKMAH/SODIK 3'4 1 V 58
58 ALIYA P 18/6/13 ST MUN/ALI 4'4 2 V 52
59 DARDA WAFI L 4/6/2013 LATIP/HUDA 6 2 V 55
60 M'ANGGA UMAR L 3/7/2013 NOVITA 4 1 V 50
61 FAIZZATUL ISMA P 22/7/13 FITRIA/ KAMDI 5 1 55
62 FHITO SYAHPUTRA L 15/8/13 ANI /SUPRI 4,5 1 52
Form 1

1. Pr DI TINGKAT DESA / POSYANDU
2. Ka BULAN AGUSTUS TAHUN 2013
3. Ke (R1/OPT/2013)
4. Desa/Kelurahan : Jawa Timur
5. Nama Posyandu : Banyuwangi
6. Jml Balita yang ada : Siliragung
8. Tanggal Penimbangan : DEWI SARTIKA
:
:
:
No
Jenis Kelamin (l/P)

HASIL PENIMBANGAN
Umur (Bulan)
TAMPAK KURUS
Nama Balita Nama Orang Tua BB (Kg) 2T BGM TB/PB (Cm) SEKALI KURUS NORMAL GEMUK
1 Tanggal Lahir (BB/U) ASI
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
1 ESKLU
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
2 SIF
3 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
4 ASTANINGRUM P 15/11/08 SUNARTI/AGUNG
5 FAYILLA P 2/7/2008 SULASIH
6 ALVIAN L 15/4/08 YATIK/SUGENG
7 BULAN P 28/11/08 WATI/SUTRIS
8 KALIKA P 26/5/08 NURUL/EKO
9 GERALDIN P 13/7/08 ANI/SAIRIN
10 NOVANDA L 22/11/08 SUMIN/SOPYAN
11 BINTANG L 10/10/2008 MURAH/SABAR
12 ADITYA L 6/3/2008 NABILLA
13 SEREN L 21/3/08 RENI
14 NAYA L 3/4/2008 YUDI
15 AMELIA P 9/8/2008 YASIK/SANU
16 FERDI L 13/7/08 ERNA
17 A.RISKI L 11/7/2008 ROHANA
MAFUROH L 10/10/2009 WIDIA/SUKIDI
RANGGA L 14/10/09 INDRA
SALLSA BILLA P 11/8/2009 SIANAH/PUR
No
Jenis Kelamin (l/P)

HASIL PENIMBANGAN
Umur (Bulan)
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
18 ESKLU
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
19 SIF
20 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
21 FEMY P 9/5/2009 YULI/BAMBANG
22 M.VIKO L 2/3/2009 NURIADI/EKO
23 VINDI P 28/5/09 SANI/MISTINO
24 TONI L 3/11/2009 LALA/KAMAL
25 JESIKA P 1/6/2009 EDI/ELI
26 DINUS SARAH L 4/10/2009 ALFA/SOLIKIN
27 DAMAR L 16/10/09 YULI/YUSUP
28 USMA P 10/10/2009 TATIK/SAPAAT
29 YUDIANTO L 7/1/2009 RIRIN/SIGIT
30 RAHMAT L 8/3/2009 USMIATI
31 RADIP L 1/4/2009 NURMA/SULIH
32 RISTA P 3/7/2009 TIWI/CECEP
33 HILMI L 4/8/2009 LILIK/IPUL
34 AIRA P 7/8/2009 TIARA
35 DEBI L 14/12/09 DIYA/DIDIK
36 NURCAHYO L 24/1/010 NUR/ISTIKOMAH
37 VOVITA P 25/11/10 MARIA/MSIJO
38 SILVIA ARUM P 20/10/10 SRI/HADI
39 AHMAD REHA L 12/12/2010 YUANITA/SAIRIN
40 KAILA P 22/10/10 ANA/SURYA
RERE L 30/10/10 LUSI/KUKUH
Form JIVERA P 27/10/10 RETTI/SETYO
SAHWA NUR P 26/9/10 WIJI/RIANI

1. Pr DI TINGKAT DESA / POSYANDU
2. Ka BULAN AGUSTUS TAHUN 2013
3. Ke (R1/OPT/2013)
4. Desa/Kelurahan : Jawa Timur
5. Nama Posyandu : Banyuwangi
6. Jml Balita yang ada : Siliragung
8. Tanggal Penimbangan CUT,NYADIN
53
52
1 AGUSTUS 2013
No
Jenis Kelamin (l/P)

HASIL PENIMBANGAN
Umur (Bulan)
TAMPAK KURUS
Nama Balita SS BB (Kg) 2T BGM TB/PB (Cm) SEKALI KURUS NORMAL GEMUK
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
1 ESKLU
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
2 SIF
3 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
4 DESTA L 21/12/09 TRI 14,0 44 V 102
5 KHALIK EMRIS L 24/4/09 ST AMINAH 14,5 52 V 100
6 FEBIA P 8/2/2009 ARIANTO 14,6 54 V 100
7 ZIVA L 12/12/2009 USWATUN 13,1 43 V 90
8 REVIKA P 21/12/09 HENI/SLAMET 12,3 44 V 91
9 FITRIA P 24/9/09 YULI/ASKOL 13,0 46 V 90
10 VANESSA P 23/12/O9 SRI/MARSONO 14,5 44 V 99
11 NADIN P 14/6/09 DEWI/JAENI 14.2 38 v 100
12 DENSEL L 30/10/09 USSI 16.1 45 v 103
13 IMEL P 19/11/09 SAMITUN 16,0, 45 v 103
14 DEWI NABILA P 15/1/09 SURIPAH/SANTO 14.1 54 v 101
15 HAFIF L 27/9/09 FIFIN 15.5 46 v 102
16 HESTI L 4/4/2009 AMIN/SUTIYEM 13.5 52 v 99
ADINDA P 12/2/2009 WIJI/SATRIA 13.5 53 v 99
NOVA P 11/4/2010 SADAR/SUGENG 12.2 41 v 96
RIMBI RANTA P 28/2/10 YANTI /ERIK 13.7 41 v 96
No
Jenis Kelamin (l/P)

HASIL PENIMBANGAN
Umur (Bulan)
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
ESKLU
BURUK
17
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
18 SIF
19 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
20 DEREN L 25/4/10 DEVINTA/DANI 16.3 39 v 98
21 VIKA P 1/3/2010 SETYANI kaltim
22 DAFFA L 26/7/10 NANIK 12.6 25 v 92
23 PUTRI WULANDARI P 6/7/2010 SRI/WARNOTO 13.2 38 v 90
24 VIOLIN P 21/5/10 AYUP 12.3 39 v 89
25 ROBIKA L 15/12/10 NINIK/AFANDI 13 32 v 90
26 SAKHY L 9/10/2010 MARIA/IMRON10,5 10.5 17 v 75
27 NAURA L 16/8/10 SUTIYANI 15.5 24 v 95
28 KAILA PUTRI P 6/6/2011 SRI LESTARI 10.5 26 v 78
29 ATIKA P 29/9/11 PUJI 9.5 23 v 81
30 ALMIRA P 10/3/2011 ST AMINAH 10.5 29 v 84
31 DIKA L 27/4/11 ANIK/GUSNADA 12 27 82
32 SAFIRA NAJWA P 14/6/11 MARATUS/ANDI 14,5 26 88
33 FAILA SINTI ROSA P 28/6/11 MISNADI/SRI 12 26 v 87
34 PRAMUDIA FAIS L 8/2/2011 DEWI/CATUR 11.2 24 v 76
35 AHMATWINARYO L 26/5/11 RIBUT 12.4 27 v 83
36 FRANSISKUS L 24/1/11 THERE/PETRUS 12.2 32 v 90
CIKA Status Gizi P 16/10/11 KHOTIJAH 9.5 25 v 81
Keter ALIVIA DIAZ P 24/2/12 FITRIA 8 17 v 71
ALISYA DEWI P 6/3/2012 SUPIYATI/BB 10.6 17 V 77
MUSFARISCA P 3/4/2012 RESTI/DIAN 8.6 16 V 71
NURLINDASARI P 6/6/2012 SURIPAH/SANTO 10.1 14 V 71
No
Jenis Kelamin (l/P)

HASIL PENIMBANGAN
1 TANDA-TANDA STATUS GIZI (BB/TB-PB)
Umur (Bulan)
40 STATUS GIZI KLINIS KRS
TAMPAK KURUS
Nama Balita Tanggal Lahir S BB (Kg) 2T BGM TB/PB (Cm) KURUS NORMAL GEMUK
41 (BB/U) SEKALI ASI
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
42 ESKLU
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
43 SIF
44 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
45 FALEN P 10/2/2012 ARI 8.5 18 V 72
46 DEWIK P 9/1/2012 KRISTIN 9.1 19 V 75
47 AURELIA P 5/5/2012 LULUT 9.6 15 V 76
48 ENO JENOA L 29/6/12 IIS/REDI 9.3 14 V 71
49 ERTANZILLA L 15/5/12 JULI/ARIS 9.3 15 V 75
50 GALIH L 12/12/2012 WATI 10.1 8 V 71
51 DEO ERRLANGGA L 12/2/2012 KATIYAH 11 19 V 84
53 ALVA RISKI L 27/11/2011 YAYAK 11.3 21 V 81
54 QIANO L 31/10/2012 SUTIK/NING 9.5 10 V 69
55 GAILAN L 5/2/2013 NURUL 8.3 6 V 68
56 GISEL P 18/1/2013 NITA/RONI 6.4 7 V 61
57 KENSEN L 16/4/2013 TUTUT/EDO 6.5 4 V 64
58 JULIO ANDREAN L 13/7/2013 KIKI/WEMPY 4.7 1 V 55
59 ALISYA SAFITRI P 6/8/2013 BAITUL/ANDI
60 ZULFAN L 10/10/2013 MARATUS/ANDI
Form 1
1. Propinsi
2. Ka REGESTER PENCATATAN OPERASI TIMBANG
3. Ke DI TINGKAT DESA / POSYANDU
4. De BULAN AGUSTUS TAHUN 2013
5. Na (R1/OPT/2013)
6. Jml Balita yang ada : Jawa Timur
7. Jml Balita ditimbang : Banyuwangi
8. Tanggal Penimbangan : Siliragung
:
: DEWI SARTIKA
:
No
:
Jenis Kelamin (l/P) HASIL VERIFIKASI BALITA 2T/BGM

HASIL PENIMBANGAN
Umur (Bulan)
TAMPAK KURUS
Nama Balita Tanggal Lahir Nama Orang Tua BB (Kg) 2T BGM TB/PB (Cm) KURUS NORMAL GEMUK
2 (BB/U) SEKALI ASI
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
3 ESKLU
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
4 SIF
5 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
6 ADITYA L 6/3/2008 NABILLA TK
7 SEREN P 21/3/08 RENI TK
8 NAYA P 3/4/2008 YUDI TK
9 KALIKA P 26/508 NURUL/EKO TK
10 ALVIAN L 15/4/08 YATIK/SUGENG TK
11 BULAN P 28/11/08 WATI/SUTRIS 19.8 55 v
12 GERALDIN P 13/7/08 ANI/SAIRIN 17 54 V
13 NOVANDA L 22/11/08 SUMINAH/SOPYAN 13 57 V
14 BINTANG L 10/10/2008 MURAH/SABAR 14.7 58 V
15 AMALIA P 9/8/2008 SONU/YASIK 15.1 60 V
16 FERDI L 13/7/08 ERNA 15.5 59 V
17 A.RIZKI L 11/7/2008 ST ROHANA 15.7 60 V
MAFUROH P 10/10/2009 WIDIA/SUKIDI 15.3 46 V
RANGGA L 14/10/09 INDRA/SUWARNI 14.7 46 V
SALSA BELLA P 11/8/2009 SIANAH/PUR 14.5 48 V
No
FEMY P 9/5/2009 YULI/BAMBANG 11.5 41 V
M.VIKO L 2/3/2009 ST.AMINAH 11.3 53 V
Jenis Kelamin (l/P)

HASIL PENIMBANGAN
Umur (Bulan)
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
20 ESKLU
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
21 SIF
22 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
23 VINDI P 28/5/09 SANI/MISTINO 13 50 V 94
24 TONI L 3/11/2009 LALA/KAMAL 13.3 46 V 92
25 JESIKA P 1/6/2009 ELI/EDI 18.1 50 V 107
26 DINUS L 4/10/2009 ALFA/SOLIKIN 13.2 46 V 94
27 DAMAR L 16/10/09 YULI/YUSUP 14.7 46 V 95
28 USMA P 10/10/2009 TATIK/SAPAAT 14.5 46 V 95
29 YUDIANTO L 7/1/2009 RIRIN/SIGIT 14.7 55 V 96
30 RAHMAT L 8/3/2009 USMIATI 14.5 53 V 96
31 RADIP L 1/4/2009 NURMA/SULIH 14.7 53 V 95
32 RISTA L 3/7/2009 TIWI/CECEP 14.2 46 V 95
33 HILMI L 4/9/2009 LILIK/IPUL 13.1 48 V 97
34 AIRA P 7/8/2009 TIARA 13.6 48 V 93
35 DEBI L 14/12/09 DIYA/DIDIK 13.5 44 V 90
36 NURCAHYO L 24/1/10 NUR/ISTIKOMAH 13.3 42 V 92
37 NOVITA L 25/11/10 MARIA/MESIJO 13.3 32 V 88
38 SELVIA ARUM P 20/10/10 SRI/HADI 13.1 34 V 90
39 AHMAD REHA L 12/12/2010 YUANITA/SAIRIN 10.5 32 V 89
40 KHAILA L 22/10/10 ANA/SURYA 12.2 33 V 91
RERE Status Gizi L 30/10/10 LUSI/KUKUH 11.7 33 V 92
Keter JIVERA L 27/10/10 RETTY/SETYO 12.1 33 V 92
SAHFA NUR P 26/9/10 WIJI/RIANI 12.3 34 V 93
M.ARWA L 26/3/10 NIHA 14.1 40 V 93
AMELIA P 24/3/10 TATIK/EDO 13.4 40 V 93
No
Jenis Kelamin (l/P)

HASIL PENIMBANGAN
Umur (Bulan)
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
43 ESKLU
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
44 SIF
45 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
46 RAHMAWATI P 24/4/10 EKA/PUGUH 12.6 39 V 92
47 SASA P 6/22/2010 NINA/DEDI 12.3 37 V 88
48 EFAN L 3/2/2010 IPONG/DWI 13.4 42 V 92
49 ALFA L 8/9/2010 FITRIA 12.3 35 V 85
50 PUTRA DUTA L 26/9/10 PAINTEN/ANIM 11.5 34 V 86
51 NASWA AULIA P 28/10/10 CATUR/AGUS 12.4 33 V 86
52 OLIVIA P 15/8/10 PUTRI 13.2 36 V 85
53 JOVITA P 4/7/2010 PURWATI 11.5 37 V 87
54 FEMI P 9/3/2010 YULI/BAMBANG 12.3 41 V 91
55 SEAN L 4/9/2011 INE/NANANG 10.5 23 V 78
56 RADIT L 24/7/11 ST.PONIMAH 12.5 25 V 83
57 FERONIKA P 12/2/2011 HANIK 9.2 30 V 87
58 DAUT BEKTI L 21/2/12 SANTI/GIGIH 10.1 17 V 80
59 TANSILLA P 23/3/12 ST AMINAH/EDI 9.5 16 V 81
60 WISTARA L 8/2/2012 DESTRI/AHMAD 10.1 18 V 82
61 APRILIA EKA P 11/4/2012 INDAH/HUDA 9,5 16 v 80
62 BRILIAN L 2/4/2012 97 16 v 81
63 VAFA L 21/7/12 EKO 8,8 13 v 70
64 AHMAD FEBRIAN L 19/2/12 NUR TRI 10,5 16 v 76
65 ALVINA P 5/7/2012 8,1 13 v 77
66 FEROS L 7/11/2012 SUGENG 9 8,3 v 64y
67 DENIS L 17/7/12 YULI/BAMBANG 9,1 13 v 77
68 RISKI K L 21/9/12 SRI UTAMI 8,2 11 V 69
69 NURUL AINI P 27/2/12 SURASMI 8,8 18 V 81
70 SIANG P 20/11/12 DIAN/HANA 7,7 8 V 72
71 GABRIEL L 17/12/11 9,7 20 V 80
IBRAHIM L 8/4/2012 FITRIA/ZAINUDIN 9,0 16 V 82
TIARA P 21/1/12 MESRIANAH 9,2 19 V 82
USWATUN P 1/6/2012 NORMA/ 10,1 14 V 78
M.HARIRI L 11/5/2013 SITI/KHOIRUL 6,4 3 V 55
NIZAM L 1/1/2013 ENIK/SISWATI 8,7 7 V 68
64
Form 1
1. Propinsi
2. Ka REGESTER PENCATATAN OPERASI TIMBANG
3. Ke DI TINGKAT DESA / POSYANDU
4. De BULAN AGUSTUS TAHUN 2013
5. Na (R1/OPT/2013)
6. Jml Balita yang ada : Jawa Timur
7. Jml Balita ditimbang : Banyuwangi
8. Tanggal Penimbangan : Siliragung
:
:JATI WALUYO
: 21
No
: 21
28 AGUSTS 2013
Jenis Kelamin (l/P) HASIL VERIFIKASI BALITA 2T/BGM
HASIL PENIMBANGAN
Umur (Bulan)
TAMPAK KURUS
2 (BB/U) SEKALI ASI
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
3 ESKLU
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
4 SIF
5 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
6 pingkan P 10/18/2008 tri cahyo 17,3 57 V 105
7 aditia L 12/23/2008 lastri / pur 16,9 56 V 105
8 ria P 2/12/2008 reni / win 15,0 56 V 105
9 Nancy P 9/22/2009 dwi / yudi 15,3 47 V 102
10 m. Raka L 11/1/2009 ima / agus 14,0 44 V 101
11 kalion L 1/27/2010 yuyun 14,3 43 V 102
12 caca P 5/30/2010 eka / edi 13,2 39 V 93
13 zenfi L 6/2/2010 ani / gianto 13,5 38 V 92
14 a. Faisol L 10/10/2010 jami / suyono 12,8 34 V 90
15 desika P 12/15/2010 budi / herni 12,2 32 V 84
16 Pandu L 7/7/2010 kartika / wanto 14,3 37 V 92
17 fenata P 2/2/2010 sumi / tollo 14,2 42 V 90
anisa b P 2/25/2011 tatik / rudi 11,5 29 V 86
gradis P 5/6/2011 st / penoin 11,4 27 V 78
yesli P 7/7/2011 slamet / inun 13,5 25 V 90
No
noval l 12/31/2012 santi/roni 7,1 8 V 64
LUNA P 26/6/13 WIWIN/ 4,7 2 V 58
Jenis Kelamin (l/P)

HASIL PENIMBANGAN
Umur (Bulan)
TAMPAK KURUS
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
NON GAKIN
MAR-KWAS
KURANG
20 ESKLU
BURUK
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
GAKIN
KWAS
LEBIH
BAIK
MAR
21 SIF
22 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
BAGAS KARA L 10/7/2013 YAMINI/UNTUNG 5,1 1 V 56
CIKO P 19/6/13 WIWIT/AYONG 6,3 2 V 58
CAHAYA P 14/7/13 LILIK/CHOIRUDIN 5 1 V 54
ANDARBENI L 15/7/13 TUTUS/WITO 5,8 1 V 59
AJI PAMUNGKAS L 28/2/13 NURJANAH/EKO 8,5 6 V 64

GESTER PENCATATAN OPERASI TIMBANG
(R1/OPT/2013)

4. Desa/Kelurahan : SILIRAGUNG 4/2
8. Tanggal Penimbangan :
DPT/HB 1 & POLIO 2
DPT/HB 2 & POLIO 3
DPT/HB 3 & POLIO 4

Umur (Bulan) Januari
CAMPAK BOOSTER
Jenis Kelamin (l/P)
BCG &POLIO 1
SEPTEMBER
NOVEMBER
DESEMBER
FEBRUARI
OKTOBER
AGUSTUS
JANUARI
CAMPAK
MARET
APRIL
JUNI
JULI
MEI
No Nama Balita Tanggal Lahir Nama Orang Tua
PENTA
IPV
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
1 M.RIFQI A. L 30/01/2014 ALI SADIKHIN 60
2 WASHIF YASKUR L 1/8/2014 HAMDANI/NURUL 60
3 SIRLEN ARINA P 1/3/2014 TITIS/INDRO 59
4 ALISA P 3/10/2014 BOWO/NOVITA 57
5 AZKA MUHAMMAD L 25/03/2014 ANA/SURYADI 58
6 SALSABILA NADHIFA P 5/11/2014 KARTIKA/HENDRA 56
7 RASYA FADILLA L 5/13/2014 ETRI/WAHYUDI 56
8 HAFIS EDI L 5/12/2014 EDI S 56
9 HAFNA P 5/18/2014 LILIK/SAIFUL 56
10 SYAFIQ .R L 6/30/2014 SUGENG 55
11 M.ASRAF L 8/19/2014 TATIK/SAFAAT 53
12 NOAH ABY L 9/30/2014 DIAN/SURYA 52
13 BRYAN L 9/11/2014 ANING/NURKHASANAH 52
14 RADIKA TRI LAKSANA L 10/23/2014 IMRON/SRI UTAMI 51
15 DIRGAM NADIF L 18/04/2015 DAYU/HARI 45
16 DECHA DAVENTA P 4/4/2015 AYU SILMI/WAHYU 45
17 AINUR RAMADHAN L 4/13/2015 SUNARTI/AGUNG 45
DPT/HB 1 & POLIO 2
DPT/HB 2 & POLIO 3
DPT/HB 3 & POLIO 4
CAMPAK BOOSTER
Jenis Kelamin (l/P)
BCG &POLIO 1
SEPTEMBER
Umur (Bulan)
NOVEMBER
DESEMBER
FEBRUARI
OKTOBER
AGUSTUS
JANUARI
CAMPAK
MARET
APRIL
JUNI
JULI
MEI
PENTA
IPV
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
18 AMELIA JOCELIN W P 25/6/2015 EKO W/FRICILIA 43
19 SITI IAN RIZA P 7/23/2015 HASYIM/INDAH 42
20 ZIFANCA SABRINA P 8/20/2015 ERIK/TIARA 41
21 KHUMAIRA PUTRI P 9/10/2015 YULI/INDRI 40
22 FARANISA VINKA P 9/30/2015 EKO 40
23 ALI HASAN L 9/8/2015 KOMARUDIN/LALA 41
24 ALBY AL FHAZI B L 10/12/2015 DEVIT/ZAHROTUN 40
25 OLINDA AZAHRA P 10/21/2015 SRINUN/MASKUR 39
26 KEANA AHLAM P 10/12/2015 AH.BADAWI/DESTRIANA 39
27 M.DIKA S L 12/1/2015 SULIS/MU 37
28 BINTANG KHOIRUNISA P 12/3/2015 MAHENRA/NURI 37
29 ICANKA URBANING P 2/1/2016 HERI S/VITA 35
30 ABDIEL JUSTIN L 3/29/2016 PURWO W/NOVITA 35
31 CLARISSA FELICIA P 1/5/2016 TRI UMARSONO/SRI PUR 32
32 QUEENZIA KHUMAIRA P 29/6/2016 BERGAS/TRILINAWATI 31
33 AFLAH ZAYDAN S L 6/3/2016 SOLIKIN/ALFA YUHANA 31
34 VIRNANDO RAMADANI L 7/4/2016 SANI 30
35 NAYA AGISTA P 8/27/2016 MESJIANTO/HANI 29
36 BULAN NADA R P 8/28/2016 EKO/ANGGI 29
37 JIDAN AZRIL M L 9/28/2016 IDI S/ SEMIATI 28
38 JOSEPHINE P 10/5/2016 YOGA TIRTA/YESSY 27
39 ARKA RIZKY P L 11/21/2016 BAYU/HOLIFATUN 26
40 KAREL HARDIYAN L 12/3/2016 CANDRA F /YULI K 25
41 YAFIF RAIHAN M L 12/21/2016 WINDI / YULI 25
42 ARUNA SACHI K P 1/28/2017 ERIK/NURUL 24
43 KHEYLINA VANESSYA P 21/2/2017 EKO/SITI LULUK 23
44 KENZIE ANDHANU L 3/17/2017 TAUFIK/AGUSTN DWI 22
DPT/HB 1 & POLIO 2
DPT/HB 2 & POLIO 3
DPT/HB 3 & POLIO 4
CAMPAK BOOSTER
Jenis Kelamin (l/P)
BCG &POLIO 1
SEPTEMBER
Umur (Bulan)
NOVEMBER
DESEMBER
FEBRUARI
OKTOBER
AGUSTUS
JANUARI
CAMPAK
MARET
APRIL
JUNI
JULI
MEI
PENTA
IPV
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
45 JUNI JERIKO L 3/15/2017 RUDIYANTO/DWI 22
46 ADI FAJAR DINATA L 3/21/2017 PRIYONO/LARAS 22
47 NAFLA P 7/4/2017 MANSUR/YUNI 21
48 FEYZA P 11/4/2017 RIZKI/WILDA 21
49 ADHIYASTA L 4/14/2017 M ANWAR/ULIK 21
50 ABID EFRIL P L 4/24/2017 YOGI/MUSIRAH 21
51 KENZA L 5/11/2017 EFRIAN/MAYA 20
52 ALVARO GIAN L 12/6/2017 ANING 19
53 OLIVIA BELLVANIA W P 17/7/2017 EKO W/FRICILIA 18
54 NARENDRA REDO O L 10/12/2017 SUGENG/YATIK 15
55 CARINA HAFIZAH M P 10/28/2017 SURYADI/ANA 15
56 GIBRAN ABRISAM L 26/5/2018 8
57 M. MAHIR O L 5/10/2018 MULYADI/IFRIDATUL 3
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
DATA POSYANDU ANGGREK
NDU ANGGREK

Posyandu 19

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Posyandu 19

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Form REGESTER PENCATATAN OPERASI TIMBANG

DI TINGKAT DESA / POSYANDU

STATUS GIZI KLINIS KRS

Jenis Kelamin (l/P)

Jumlah Anak Menurut Kategori Status Gizi

STATUS GIZI KLINIS KRS

Jenis Kelamin (l/P)

HASIL VERIFIKASI BALITA 2T/BGM

Jenis Kelamin (l/P)

STATUS GIZI KLINIS KRS

Jenis Kelamin (l/P)

STATUS GIZI KLINIS KRS

Jenis Kelamin (l/P)

HASIL VERIFIKASI BALITA 2T/BGM

Jenis Kelamin (l/P)

STATUS GIZI KLINIS KRS

Jenis Kelamin (l/P)

HASIL VERIFIKASI BALITA 2T/BGM

Jenis Kelamin (l/P)

Form REGESTER PENCATATAN OPERASI TIMBANG

STATUS GIZI KLINIS KRS

HASIL VERIFIKASI BALITA 2T/BGM

Jenis Kelamin (l/P)

REGESTER PENCATATAN OPERASI TIMBANG

Jenis Kelamin (l/P)

Jenis Kelamin (l/P)

Jenis Kelamin (l/P)

Jenis Kelamin (l/P)

Jenis Kelamin (l/P)

REGESTER PENCATATAN OPERASI TIMBANG

Jenis Kelamin (l/P)

Jenis Kelamin (l/P)

REGESTER PENCATATAN OPERASI TIMBANG

Jenis Kelamin (l/P)

Jenis Kelamin (l/P)

HASIL VERIFIKASI BALITA 2T/BGM

Jenis Kelamin (l/P)

Jenis Kelamin (l/P) HASIL VERIFIKASI BALITA 2T/BGM

Jenis Kelamin (l/P)

HASIL VERIFIKASI BALITA 2T/BGM

Jenis Kelamin (l/P)

Jenis Kelamin (l/P)

Jumlah Anak Menurut Kategori Status Gizi

1. Propinsi : Jawa Timur

DPT/HB 1 & POLIO 2

DPT/HB 2 & POLIO 3

DPT/HB 3 & POLIO 4

DPT/HB 2 & POLIO 3

DPT/HB 3 & POLIO 4

DPT/HB 2 & POLIO 3

DPT/HB 3 & POLIO 4

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