DATA SASARAN BALITA

PROVINSI : JAWA BARAT

KABUPATEN : CIANJUR
PUSKESMAS : RAWAT INAP SINDANGBARANG
DESA : MUARACIKADU
ASI
CARA EKSKLUS IMD VITAMIN A VITAMIN A ADA BUKU
UKUR FEBRUARI AGUSTUS KIA
IF
JENIS
KELAMIN
BERAT
NIK (NOMOR INDUK ANAK TANGGAL NO TLP TANGGAL PB 1=
NO NAMA ANAK BADAN NAMA AYAH NIK AYAH ALAMAT RT RW
KEPENDUDUKAN KE LAHIR ORANG TUA PENGUKURAN BB (KG (CM) TELENTA 1 = YA 1 = YA 1 = YA 1 = YA 1 = YA
LAHIR
NG

2= 2= 2=
L P TIDAK TIDAK 2 = TIDAK 2 = TIDAK 2 = TIDAK
BERDIRI

1 Rizki Pratama H 23-10-2012 L 3200 Dendi Ciose 2 4 5/7/2017 14,9 95 2 1 1 1 1 1

2 Raisa Adelia S 11-10-2012 P 2600 Iding Ciose 2 4 5/7/2017 15,7 94.9 2 1 1 1 1 1
3 Anjas 15-11-2012 L 3300 Empun Ciose 2 4 5/7/2017 15,3 96 2 1 1 1 1 1
4 Ilham Abdul Hadi 22-11-2012 L 3200 Jejen Batu Datar 3 4 5/7/2017 14,5 95.4 2 1 1 1 1 1
5 Gandes Regina Putri 12-12-2012 P 3600 Hayun Ciose 2 4 5/7/2017 14,6 94.9 2 1 2 1 1 1
6 Aline Safa Sugilar 17-12-2012 P 3100 Hikmat Ciose 2 4 5/7/2017 17,3 96.7 2 1 1 1 1 1
7 Arman Fauzi 22-12-2012 L 3000 Asep Ciose 2 4 5/7/2017 15,6 98 2 1 1 1 1 1
8 Ananda Nugraha 30-12-2012 L 3000 Irfan Ciose 2 4 5/7/2017 17,4 97 2 1 1 1 1 1
9 Dina Ananda Putri 10-12-2012 P 2200 Aris Ciose 2 4 5/7/2017 15 97.9 2 1 1 1 1 1
10 Nawaf Dhiandra R 01-01-2013 L 4000 Danda Cikawung 4 4 5/7/2017 21,5 88.3 2 1 2 1 1 1
11 M. Jamil 04-01-2013 L 3600 Jahidin Ciose 2 4 5/7/2017 13,9 94.1 2 1 2 1 1 1
12 Fikri 07-01-2013 L 3000 Empid Ciose 2 4 5/7/2017 12,6 95 2 1 1 1 1 1
13 Ameliawat 27-01-2013 P 2900 Sukayat Batu Datar 3 4 5/7/2017 15,6 95 2 1 1 1 1 1
14 Juwita Gustana 01-02-2013 P 3100 Ugus Cikaroya 1 4 5/7/2017 14 94 2 1 1 1 1 1
15 Rendi 04-02-2013 L 3400 Jenal Ciose 2 4 5/7/2017 14,6 93.3 2 1 2 1 1 1
16 Sit Raisah 27-02-2013 P 3300 Dayat Cikaroya 1 4 5/7/2017 15,5 94 2 1 1 1 1 1
17 Sit Wardah 03-03-2013 P 2800 Asep Ciose 2 4 5/7/2017 13,8 92.7 2 1 1 1 1 1
18 Adita 11-03-2013 L 2500 Janih Ciose 2 4 5/7/2017 14,6 92 2 1 2 1 1 1
19 Tegar Maulana 06-05-2013 L 3000 Aang Ciose 2 4 5/7/2017 12,5 94 2 1 1 1 1 1
20 Muhamad Zaki 25-06-2013 L 3500 Mahmud Ciose 2 4 5/7/2017 13,7 92.1 2 1 2 1 1 1
21 Rizal Fauzi Ramdani 10-07-2013 L 3100 Asep Ciose 2 4 5/7/2017 14,9 91 2 1 1 1 1 1
22 Laura Adist 01-08-2013 P 3000 Anwar Cikawung 4 4 5/7/2017 13,7 93 2 1 1 1 1 1
23 Muhamad Alfi Alfath 25-08-2013 L 3000 Hasan Sukaluyu 5 4 5/7/2017 13,9 90 2 1 1 1 1 1
24 Nabila Azahra 05-09-2013 P 3000 Kosasih Cikaroya 1 4 5/7/2017 12,5 91 2 1 1 1 1 1
25 Reni Oktoviani 28-10-2013 P 3200 Agen Ciose 2 4 5/7/2017 15,2 90.1 2 2 2 1 2 1
26 Asant Permata Sari 07-11-2013 P 2600 Ohim Sikluk 6 4 5/7/2017 12,9 88 2 1 1 1 1 1
27 Nurul Asifa M 22-11-2013 P 3300 Yusuf Sikluk 6 4 5/7/2017 13,5 89 2 1 2 1 1 1
28 Silvia 14-12-2013 P 3200 Mimi Ciose 2 4 5/7/2017 13,5 88.7 2 1 1 1 1 1
29 Raehan 28-12-2013 L 3600 Janga Cinungku 8 4 5/7/2017 12,8 86 2 1 1 1 1 1
30 Muhamad Ibrahim 06-01-2014 L 3100 Eni Cikaroya 1 4 5/7/2017 13,6 86 2 2 2 1 2 1
31 Hani Handayani 17-01-2014 P 3000 Nanan Cikaroya 1 4 5/7/2017 13,7 87.5 2 1 1 1 1 1
32 Saliman 25-01-2014 P 3000 Hanudin Batu Datar 3 4 5/7/2017 14,6 86 2 1 1 1 1 1
33 Fitri Rahmawat 23-02-2014 P 3400 Andi Wates 7 4 5/7/2017 13,6 87.2 2 1 1 1 1 1
34 Salsabila 04-04-2014 P 3700 Jumyat Sikluk 6 4 5/7/2017 17,9 88 2 1 1 1 1 1
35 Rifki 19-04-2014 L 3800 Hilman Batu Datar 3 4 5/7/2017 13 87 2 1 1 1 1 1

36 Alejandro Giovani N. W 21-04-2014 L 3300 M Roger Sukaluyu 5 4 5/7/2017 13,8 85 2 1 1 1 1 1

37 Riyan 01-05-2014 L 3100 Heri Wates 7 4 5/7/2017 15,7 84.2 2 1 1 1 1 1

38 Reli Rahayu 19-05-2014 P 3000 Asep Sukaluyu 5 4 5/7/2017 12,8 82 2 1 1 1 1 1
39 Maulid Abdul Rahman 25-05-2014 L 3200 Pian Batu Datar 3 4 5/7/2017 13,7 85 2 1 2 1 1 1
40 Ramjani 27-05-2014 L 3300 Ateng Sikluk 6 4 5/7/2017 13,5 84.3 2 1 1 1 1 1
41 Bambang 07-06-2014 L 3200 Inda Cikawung 4 4 5/7/2017 12,6 84 2 1 1 1 1 1
42 Ashila Gita Putri 14-06-2014 P 2300 Andi Batu Datar 3 4 5/7/2017 13,9 83.9 2 1 1 1 1 1
43 Diaz Hafizh 18-06-2014 L 3300 Nandi Ciose 2 4 5/7/2017 13 86 2 1 1 1 1 1
44 M. Aziz Akbar 19-06-2014 L 3500 Ikmal Sukaluyu 5 4 5/7/2017 12 86 2 1 1 1 1 1
45 Ikbal 25-06-2014 L 4100 Lasmana Batu Datar 3 4 5/7/2017 11,4 85.3 2 1 2 1 1 1
46 Abdul Kodir Jaelani 12-07-2014 L 3700 Yuliat Batu Datar 3 4 5/7/2017 10,6 83.2 2 2 2 1 2 1
47 Elisa 15-07-2014 P 3100 Parman Cikawung 4 4 5/7/2017 11 82 2 1 1 1 1 1
48 Irnawat 18-07-2014 P 3200 Upan Batu Datar 3 4 5/7/2017 11 81.9 2 1 1 1 1 1
49 Muhamad Ramdani 24-07-2014 L 2600 Itep Ciose 2 4 5/7/2017 12 83 2 1 1 1 1 1
50 Angga Saputra 29-07-2014 L 3100 Cecep Batu Datar 3 4 5/7/2017 11,7 82 2 1 1 1 1 1
51 Muhamad Aksa 01-08-2014 L 3100 Ahmad Ciose 2 4 5/7/2017 9,6 83.1 2 1 2 1 1 1
52 Miptahurohmat 08-08-2014 L 3400 Unus Cikaroya 1 4 5/7/2017 99 82.9 2 1 1 1 1 1
53 Tira 11-08-2014 P 2800 Baban Ciose 2 4 5/7/2017 10,1 83 2 1 1 1 1 1
54 Resa Lisnawat 25-08-2014 P 3200 Disto Batu Datar 3 4 5/7/2017 11 82 2 2 2 1 2 1
55 Firli Agustn 30-08-2014 P 3000 Kusmawan Cikawung 4 4 5/7/2017 10,9 82.5 2 1 1 1 1 1
56 Saepul Fahri 27-09-2014 L 3000 Wahidin Cikaroya 1 4 5/7/2017 10,3 82 2 1 1 1 1 1
57 M. Riyadul Mualim 01-10-2014 L 3000 Samsul Cikaroya 1 4 5/7/2017 9,5 83 2 1 2 1 1 1
58 Alwi Al Hikmat 08-11-2014 L 3200 Dede Batu Datar 3 4 5/7/2017 10,3 81.4 2 1 1 1 1 1
59 Abdul Rizal 14-11-2014 L 3400 Hendi Cikaroya 1 4 5/7/2017 9,6 80.7 2 1 1 1 1 1
60 Riski Maulana 23-11-2014 L 3100 Sopian Batu Datar 3 4 5/7/2017 11,1 80 2 1 2 1 1 1
61 Rahmawat 30-11-2014 P 2700 Nuryadin Batu Datar 3 4 5/7/2017 10 79.9 2 1 1 1 1 1
62 Supiyandi 02-12-2014 L 2500 Sandri Ciose 2 4 5/7/2017 10,2 80 2 1 1 1 1 1
63 Pitri Nurmaulida 05-12-2014 P 3100 Asep Sikluk 6 4 5/7/2017 9,7 78.5 2 1 1 1 1 1
64 Muhamad Fauzan 16-12-2014 L 3200 Edang Ciose 2 4 5/7/2017 11 79 2 1 1 1 1 1
65 Zahra Maulida S 24-12-2014 P 2600 Herman Sikluk 6 4 5/7/2017 9,9 78 2 1 2 1 1 1
66 Dea Ananda 25-12-2014 P 3300 Deri Cikawung 4 4 5/7/2017 11 80.2 2 1 1 1 1 1
67 Saza Maulida 30-12-2014 P 3200 Agus Ciose 2 4 5/7/2017 10,4 79 2 1 1 1 1 1
68 Rehan 03-01-2015 L 3600 Haris Batu Datar 3 4 5/7/2017 9,1 77.6 2 1 1 1 1 1
69 Nuri Maulida 08-01-2015 P 3100 Kusnadi Cikawung 4 4 5/7/2017 9,6 76 2 1 1 1 1 1
70 Serli Rahmawat 10-02-2015 P 3000 Rohmah Wates 7 4 5/7/2017 10 76.4 2 1 1 1 1 1
71 Kirana 26-02-2015 P 3000 Musadad Wates 7 4 5/7/2017 9,6 75.3 2 1 1 1 1 1
72 Muhamad Nur Fikri 27-02-2015 L 3200 Arifin Cikaroya 1 4 5/7/2017 10,6 77 2 1 1 1 1 1
73 Irma Febriant 28-02-2015 P 3300 Ede Cikawung 4 4 5/7/2017 10 76.6 2 1 1 1 1 1
74 Ahmad Maulana 31-03-2015 L 3400 Mulyadi Batu Datar 3 4 5/7/2017 9,7 75 2 1 1 1 1 1
75 M. Rif'at Hasan Sadili 14-04-2015 L 4100 Dikdik Cikaroya 1 4 5/7/2017 12,2 77 2 1 2 1 1 1
76 Laila Nuraeni 24-05-2015 P 3700 Epul Batu Datar 3 4 5/7/2017 8,3 73 2 1 1 1 1 1
77 Rifki Ardiansyah 30-05-2015 L 2700 Awan Sikluk 6 4 5/7/2017 13 77.2 2 1 1 1 1 1

78 Sit Khumaira Awaliyah 15-06-2015 P 2900 Sudir Batu Datar 3 4 5/7/2017 7,3 73 2 1 1 1 1 1

79 Kirana 16-06-2015 P 3100 Cecep Cikawung 4 4 5/7/2017 10 72 2 1 1 1 1 1

80 Asna 17-06-2015 P 3200 Aji Cikawung 4 4 5/7/2017 8 73 2 1 1 1 1 1
81 Yunita Saputri 21-06-2015 P 3000 Asep Sukaluyu 5 4 5/7/2017 11 72 2 1 1 1 1 1
82 Khaerunisa 06-07-2015 P 3400 Hermawan Cikaroya 1 4 5/7/2017 9,4 71.8 2 1 1 1 1 1
83 Sipa Nursyami 24-07-2015 P 3300 Elan Cikaroya 1 4 5/7/2017 9 70.9 2 1 2 1 1 1
84 Muhamad Rizal 25-08-2015 L 3200 Zenal Cinungku 8 4 5/7/2017 7 72.4 2 1 1 1 1 1

85 Muhamad Riva Guntara 13-08-2015 L 3400 Riki Cikaroya 1 4 5/7/2017 9,4 73 2 1 1 1 1 1

86 Muhamad Rizal 25-08-2015 L 2800 Zenal Cinungku 8 4 5/7/2017 8,3 72 2 1 1 1 1 1
87 Naura Alfina Hidayah 08-10-2015 P 3300 Abdulah Cikaroya 1 4 5/7/2017 6,9 69 2 1 1 1 1 1
88 Nurul Elifia 24-10-2015 P 3100 Lilis Ciose 2 4 5/7/2017 8,5 67 2 1 1 1 1 1
89 Sakira 12-11-2015 P 3000 Dudin Ciose 2 4 5/7/2017 8,3 68 2 1 1 1 1 1
90 Cantka Ali Aska Putri 04-12-2015 P 3400 Ali Ciose 2 4 5/7/2017 7,5 66 2 1 1 1 1 1
91 Zihan Alika Pebriani 22-02-2016 P 3300 Heri Sikluk 6 4 5/7/2017 7,7 63 1 1 1 2 2 1
92 Revalina Putri 25-02-2016 P 3100 Dedeh Cinungku 8 4 5/7/2017 8 62 1 1 2 2 2 1
93 Muhamad Haikal 26-02-2016 L 3300 Tini Sukaluyu 5 4 5/7/2017 7,3 64 1 1 1 2 2 1
94 Herdiansyah 03-03-2016 L 3200 Tini Sukaluyu 5 4 5/7/2017 8,9 62 1 1 1 2 2 1
95 Muhamad Rafli 13-03-2016 L 3200 Nuraeni Ciose 2 4 5/7/2017 9 63.7 1 1 2 2 2 1
96 Hanun Nurbaet 29-03-2016 P 3600 Rohaetn Ciose 2 4 5/7/2017 7,6 62 1 1 1 2 2 1
97 M. Rizki Adriansyah 31-03-2016 L 3100 Yayan Batu Datar 3 4 5/7/2017 7,6 63.2 1 1 1 2 2 1
98 Aisyah Aila Farisa 06-04-2016 P 3000 Devi Ciose 2 4 5/7/2017 7,2 60.7 1 1 2 2 2 1
99 Dania Ana Putri 08-04-2016 P 3000 Wardianto Cikaroya 1 4 5/7/2017 9 61 1 1 1 2 2 1
100 M. Rizki Maulana 21-04-2016 L 2900 Enur Cikaroya 1 4 5/7/2017 9 62.2 1 1 1 2 2 1
101 Adila Putri 22-04-2016 P 3000 Ridwan Cinungku 8 4 5/7/2017 9 58.4 1 1 1 2 2 1
102 Adita 22-05-2012 P 3100 Yamin Bantaka 2 2 5/3/2017 15 100 2 1 1 1 1 1
103 Mulyadi 23-05-2012 L 3700 Jahid Bantaka 2 2 5/3/2017 14 98 2 1 1 1 1 1
104 Depi Yupia Kris 26-05-2012 P 4000 Budi Bantaka 2 2 5/3/2017 13,9 97.9 2 1 2 1 1 1
105 Zika Azkia 03-06-2012 P 4200 Adan Bantaka 2 2 5/3/2017 13 99 2 1 1 1 1 1
106 Muhamad Padlan 27-07-2012 L 2900 Maman Bantaka 2 2 5/3/2017 14 100 2 1 1 1 1 1
107 Hikmal 27-07-2012 L 3100 Ade Bantaka 2 2 5/3/2017 13,7 102 2 1 1 1 1 1
108 Dendi 14-08-2012 L 3600 Hendi Bantaka 2 2 5/3/2017 13 91 2 1 2 1 1 1
109 Hendi Pratama 15-08-2012 L 3100 Kakar Bantaka 2 2 5/3/2017 14 98.7 2 1 1 1 1 1
110 Dika Saputra 21-08-2012 L 3500 Manan Bantaka 2 2 5/3/2017 13,9 96 2 1 1 1 1 1
111 Najwa Salsabila 08-09-2012 P 2800 Latpah Bantaka 2 2 5/3/2017 11,5 90 2 1 2 1 1 1
112 Nadila Naysila 24-09-2012 P 3200 Miptah Bantaka 2 2 5/3/2017 14 97 2 2 2 2 2 1
113 Ripal 22-11-2012 P 2600 Henri Bantaka 2 2 5/3/2017 16,1 100 2 1 1 1 1 1
114 Cinta 08-12-2012 P 3300 Mulyadi Bantaka 2 2 5/3/2017 13,3 100 2 1 1 1 1 1
115 Sit Hanan Alfathah 26-12-2012 P 3200 Abas Bantaka 2 2 5/3/2017 14 100.3 2 1 1 1 1 1
116 Maria Ulfa 31-01-2013 P 3600 Jemi Bantaka 2 2 5/3/2017 13 96 2 1 1 1 1 1
117 Dizan Given Dzildzian 21-02-2013 L 3100 Supardi Pasir Tihuk 6 2 5/3/2017 12,9 98 2 1 1 1 1 1
118 Holil 10-06-2013 L 3000 Herman Bantaka 2 2 5/3/2017 11,5 100.1 2 1 1 1 1 1
119 Muhamad Denis Putra 13-06-2013 L 3000 Cep Sandi Bantaka 2 2 5/3/2017 13,5 100.2 2 1 1 1 1 1
120 Husain Alhabsi 26-07-2013 L 3200 Ikmal Bantaka 2 2 5/3/2017 12 95.8 2 1 1 1 1 1
121 Yusril 21-12-2013 L 3400 Ruhyan Bantaka 2 2 5/3/2017 11,2 90.9 2 1 1 1 1 1
122 Nabila 29-04-2014 P 3000 Ahmad Bantaka 2 2 5/3/2017 12,1 100.2 2 1 1 1 1 1
123 Piyona 28-08-2014 P 2900 Ihin Bantaka 2 2 5/3/2017 11,8 100.1 2 1 2 1 1 1
124 Azam 08-09-2014 L 2600 Wili Bantaka 2 2 5/3/2017 9,3 70.2 2 1 1 1 1 1
125 Rena 01-10-2014 P 3100 Irwan Bantaka 2 2 5/3/2017 10,5 90.6 2 1 1 1 1 1
126 Rani 01-10-2014 P 3300 Irwan Bantaka 2 2 5/3/2017 9,5 90.7 2 1 1 1 1 1
127 Abdul Husna 06-10-2014 L 3100 Mustakin Bantaka 2 2 5/3/2017 9,4 90 2 1 1 1 1 1
128 Regina 17-11-2014 P 3000 Solehudin Bantaka 2 2 5/3/2017 9,7 90.8 2 1 1 1 1 1
129 Abil Abdulah 23-12-2014 L 3100 Muslihin Bantaka 2 2 5/3/2017 10 80 2 1 2 1 1 1
130 Azka 05-04-2015 L 3400 Anwar Bantaka 2 2 5/3/2017 10 70.4 2 1 1 1 1 1
131 Aenun 29-04-2015 P 3200 Jajang Bantaka 2 2 5/3/2017 11 90.5 2 1 2 1 1 1
132 Rohimah 10-07-2015 P 3100 Hendri Pasir Tihuk 6 2 5/3/2017 10 78 2 1 1 1 1 1
133 Alia 18-07-2015 P 3000 Parid Bantaka 2 2 5/3/2017 11,7 90.9 2 1 1 1 1 1
134 Sit Nurhasanah 08-08-2015 P 3300 Salim Pasir Tihuk 6 2 5/3/2017 10,5 75 2 1 1 1 1 1
135 Dafa Mubarok 24-10-2015 L 3300 Suhandi Bantaka 2 2 5/3/2017 10,6 90.8 2 1 1 1 1 1
136 Sinsin Lula Daeni 02-11-2015 P 3200 Sunan Bantaka 2 2 5/3/2017 11 90.8 2 1 1 1 1 1
137 Lutfi 15-11-2015 L 3600 Nano Bantaka 2 2 5/3/2017 10,9 80.7 2 2 2 1 1 1
138 Iklim 29-11-2015 L 3100 Mus Bantaka 2 2 5/3/2017 10,3 70.4 2 1 1 2 2 1
139 Sakila Aulia 22-03-2016 P 3000 Encep Bantaka 2 2 5/3/2017 11 60 1 1 1 2 2 1
140 Muhamad Rajib 09-04-2016 L 3000 Toyib Bantaka 2 2 5/3/2017 10,5 60.5 1 1 1 2 2 1
141 Zaelani 29-05-2012 L 3200 Opan Batuseuneu 4 1 5/7/2017 15 96.5 2 1 1
142 M. Sahilan Faozi 01-09-2012 L 4000 Zaenudin Pamoyanan 5 1 5/7/2017 13 94.5 2 1 1 1 1 1
143 Rizki Elang Mulyani 13-11-2012 L 2900 Emul Mekarsari 6 1 5/7/2017 12,5 93.5 2 1 2 1 1 1
144 Fatmawat 28-11-2012 P 3800 Jaya Batuseuneu 4 1 5/7/2017 13 93 2 1 1 1 1 1
145 Aisah 06-01-2013 P 3300 Abdulah Batuseuneu 4 1 5/7/2017 12 88 2 1 2 1 1 1
146 Sifa Alisa 15-02-2013 P 3100 Ahmad Pamoyanan 5 1 5/7/2017 12 87 2 1 1 1 1 1
147 Hanif Nazura Yust 16-02-2013 L 3200 Usman Batuseuneu 4 1 5/7/2017 12 90 2 1 2 1 1 1
148 M. Rais Nugraha 20-02-2013 L 3000 Ajat Pamoyanan 5 1 5/7/2017 14 96 2 1 1 1 1 1
149 M. Mu'min Amar Amir 17-03-2013 L 2800 Saduloh Batuseuneu 4 1 5/7/2017 11,9 91.5 2 1 2 1 1 1
150 Fitri Munjiah 03-04-2013 P 3400 Supardi Batuseuneu 4 1 5/7/2017 11,5 90 2 1 1 1 1 1
151 Ayu Intan Azahra 16-04-2013 P 3300 Saepudin Pamoyanan 5 1 5/7/2017 11,5 90 2 1 2 1 1 1
152 Diki Muhamad Saepul 02-05-2013 L 3000 Idin Batuseuneu 4 1 5/7/2017 12 89 2 1 1 1 1 1
153 M. Yusuf Fadilah 06-05-2013 L 3400 Sudirman Pamoyanan 5 1 5/7/2017 12 89 2 1 1 1 1 1

154 Nadiya Intan Wulandari 07-05-2013 P 2900 Supriatna Batuseuneu 4 1 5/7/2017 11,5 89.5 2 1 1 1 1 1

155 Sit Nursaadah 12-05-2013 P 2600 Rusliandi Pamoyanan 5 1 5/7/2017 11,5 89.5 2 1 2 1 1 1
156 Muhaemin 03-06-2013 L 3300 Saep Pamoyanan 5 1 5/7/2017 13 98 2 2 1 1 1 1
157 Mila Karmila 28-06-2013 P 3200 Mustopa Batuseuneu 4 1 5/7/2017 16 89 2 1 1 1 1 1
158 M. Marlan 08-07-2013 L 3600 Emak Mekarsari 6 1 5/7/2017 16 89.5 2 1 2 1 1 1
159 Sit Nuralifah 13-07-2013 P 3100 Agus Pamoyanan 5 1 5/7/2017 11 88 2 1 1 1 1 1
160 Sri Erlina 24-07-2013 P 3000 Didis Mekarsari 6 1 5/7/2017 17 99.5 2 1 1 1 1 1
161 Alif Arizki 24-07-2013 L 3000 Ajud Pamoyanan 5 1 5/7/2017 11,5 89.5 2 1 1 1 1 1
162 Naisila 15-08-2013 P 3300 Dedi Batuseuneu 4 1 5/7/2017 11 90 2 1 1 1 1 1
163 M. Abdul Sodik 02-10-2013 L 3100 Ma'mur Batuseuneu 4 1 5/7/2017 14 93 2 1 1 1 1 1
164 M. Sultan Al Khusaeri 19-11-2013 L 3200 Idin Pamoyanan 5 1 5/7/2017 10 89 2 1 2 1 1 1
165 Akila Natasya 17-12-2013 P 3000 Iwa Pamoyanan 5 1 5/7/2017 11,5 89 2 2 1 1 1 1
166 Budiman Yunus 17-02-2014 L 2800 Durahman Pamoyanan 5 1 5/7/2017 16 85 2 1 2 1 1 1
167 M. Jibril Yusup 30-03-2014 L 3400 Uzum Pamoyanan 5 1 5/7/2017 12 85 2 1 1 1 1 1
168 Abdul Mualip 11-04-2014 L 3300 Yeyen Batuseuneu 4 1 5/7/2017 10,7 84 2 1 1 1 1 1
169 Rapi Musadad 13-04-2014 P 3000 Anwar Mekarsari 6 1 5/7/2017 10,5 86 2 1 1 1 1 1
170 Siva Aulia Zahra 18-06-2014 P 2300 Beni Batuseuneu 4 1 5/7/2017 12 79 2 1 1 1 1 1
171 Dela 20-03-2015 P 3200 Tatang Batuseuneu 4 1 5/7/2017 9 78 2 1 1 1 1 1
172 Seni 21-04-2015 P 2600 Rusman Pamoyanan 5 1 5/7/2017 7 65 2 1 1 1 1 1
173 Riska Alia Putri 29-02-2016 P 3300 Adud Pamoyanan 5 1 5/7/2017 7 61.5 1 1 1 2 2 1
174 Adeefa Myesha 15-04-2016 P 3200 Irwan Pamoyanan 5 1 5/7/2017 5 58 1 1 1 2 2 1
175 Indi Yuliani 07-06-2012 P Wakih Cisuba 2 1 5/7/2017 15 105 2 1 1 1 1 1
176 Alia Rania 08-06-2012 P 3200 Apep Cisuba 2 1 5/7/2017 13,3 93 2 1 1 1 1 1
177 Muhamad Faris 21-07-2012 L 2600 Ise Cisuba 2 1 5/7/2017 13,1 93.5 2 1 1 1 1 1
178 Bayu Bhagaskara 29-07-2012 L 3300 Agus Cisuba 2 1 5/7/2017 12 96 2 1 1 1 1 1
179 Ira Indriani 24-08-2012 P 3200 Kusnadi Cisuba 2 1 5/7/2017 12,6 98 2 1 2 1 1 1
180 Muhamad Asharul Aris 24-09-2012 L 3600 Saman Pasir Angin 4 1 5/7/2017 13 97 2 1 1 1 1 1
181 Resa Enjel Lusiana 08-01-2013 P 3100 Saepuloh Pasir Angin 4 1 5/7/2017 12,8 97.6 2 2 2 1 1 1
182 Lestari 24-04-2013 P 3000 Aman Pasir Angin 4 1 5/7/2017 13,2 95 2 1 1 1 1 1
183 Reza Rumayadi 01-05-2013 L 3000 Nandang Sukamaju 3 1 5/7/2017 12 90.5 2 1 1 1 1 1
184 Sit Nuraulia 08-05-2013 P 3000 Misbah Pasir Angin 4 1 5/7/2017 12 92 2 1 1 1 1 1
185 Mira Al Zahira 13-05-2013 P 3400 Sumarli Sukamaju 3 1 5/7/2017 16 90.9 2 1 1 1 1 1
186 Ulfa Fauziah 15-05-2013 P 2900 Ma'mur Cisuba 2 1 5/7/2017 11 85 2 1 1 1 1 1
187 Ratna Juwita 24-05-2013 P 2600 Rahma Loajajar 1 1 5/7/2017 13,2 90 2 1 2 1 1 1
188 Sit Fatmah 31-05-2013 P 3300 Saptudin Pasir Angin 4 1 5/7/2017 13,7 93 2 1 1 1 1 1
189 Muhamad Alawi 02-08-2013 L 3200 Rustam Cisuba 2 1 5/7/2017 13 89 2 1 1 1 1 1
190 Salma Nabila 16-09-2013 P 3600 Komar Loajajar 1 1 5/7/2017 16 89 2 1 1 1 1 1
191 Zuhaeri Nurman 21-02-2014 L 3100 Iwan Loajajar 1 1 5/7/2017 9,1 79 2 1 1 1 1 1
192 Najwa Sri Rahayu 14-03-2014 P 3000 Abdul Cisuba 2 1 5/7/2017 11 88 2 1 2 1 1 1
193 Et 16-05-2014 P 3000 Tatang Sukamaju 3 1 5/7/2017 9 78 2 1 1 1 1 1
194 Rina 23-05-2014 P 2600 Padin Cisuba 2 1 5/7/2017 8,3 69 2 1 2 1 1 1
195 Rani 23-05-2014 P 3300 Padin Cisuba 2 1 5/7/2017 10,5 70 2 2 1 1 1 1
196 Raisa 13-06-2014 P 3200 Dayat Sukamaju 3 1 5/7/2017 15 87 2 1 1 1 1 1
197 Amelia Puspasari 08-08-2014 P 3600 Hardi Cisuba 2 1 5/7/2017 7 68 2 1 1 1 1 1
198 Abdul Wahab 28-08-2014 L 3100 Sapen Sukamaju 3 1 5/7/2017 13,1 80 2 1 1 1 1 1
199 M. Luki Adita 11-09-2014 L 3000 Endang Pasir Angin 4 1 5/7/2017 12,9 83 2 1 1 1 1 1
200 Sri Wulandari 13-09-2014 P 3000 Hadria Loajajar 1 1 5/7/2017 10 76 2 1 2 1 1 1
201 Sit Nur Alifah 20-09-2014 P 3000 Rohman Loajajar 1 1 5/7/2017 10,5 70 2 1 1 1 1 1
202 Muhamad Raysa 23-10-2014 L 3400 Hasan Cisuba 2 1 5/7/2017 10,3 82 2 1 2 1 1 1
203 Sahdan 29-10-2014 L 2900 Adid Cisuba 2 1 5/7/2017 10,2 80.5 2 2 1 1 1 1
204 Sit Azizah 01-11-2014 P 2600 Uus Pasir Angin 4 1 5/7/2017 12 82 2 1 1 1 1 1
205 Muhamad Atebi 02-11-2014 L 3300 Jahid Sukamaju 3 1 5/7/2017 10 78 2 1 1 1 1 1
206 Rafiq 03-11-2014 L 3200 Asep Cisuba 2 1 5/7/2017 9 80 2 1 2 1 1 1
207 Laela Nurhasanah 05-11-2014 P 3600 Dadam Loajajar 1 1 5/7/2017 13 77 2 1 1 1 1 1
208 Widia 08-11-2014 P 3100 Iden Cisuba 2 1 5/7/2017 9,5 79 2 1 1 1 1 1

209 Muhamad Dias Pebriansah 05-02-2015 L 3000 Bana Cisuba 2 1 5/7/2017 12,2 80.2 2 1 2 1 1 1

210 Muhamad Ruri Alparisi 25-02-2015 L 3000 Salam Cisuba 2 1 5/7/2017 8,6 77 2 1 1 1 1 1

211 Muhamad Ergan Dewantara 03-03-2015 L 4000 Cepi Sukamaju 3 1 5/7/2017 12,5 76 2 1 1 1 1 1

212 Nindi Amelia 13-05-2015 P 3300 Misri Sukamaju 3 1 5/7/2017 9 70 2 1 1 1 1 1

213 Wafik Aliza 20-06-2015 P 3200 Suhendi Sukamaju 3 1 5/7/2017 9,5 75 2 1 1 1 1 1
214 Alesa Putri Ramadan 11-07-2015 P 2600 Durahlan Sukamaju 3 1 5/7/2017 9 65 2 1 1 1 1 1
215 Muhamad Mu'min 16-07-2015 L 3300 Beri Cisuba 2 1 5/7/2017 9 73 2 1 1 1 1 1
216 Yosep Ardiansah 05-08-2015 L 3200 Sadi Sukamaju 3 1 5/7/2017 7,9 75 2 1 1 1 1 1
217 Arifin 13-08-2015 L 3600 Sarifudin Pasir Angin 4 1 5/7/2017 9 76 2 1 1 1 1 1
218 Aila Anggraeni 23-08-2015 P 3100 Suryani Sukamaju 3 1 5/7/2017 10,1 62 2 1 2 1 1 1
219 Hoiri Sania 06-09-2015 P 3000 Herman Loajajar 1 1 5/7/2017 9 70 2 1 1 1 1 1
220 Sit Pipih 07-09-2015 P 3000 Asep Cikananga 1 1 5/7/2017 9,5 72 2 1 1 1 1 1
221 Sri Wulandari 13-09-2015 P 3300 Hadria Loajajar 1 1 5/7/2017 10 76 2 1 1 1 1 1
222 Layinahtu Zain 06-12-2015 P 3200 Atep Sukamaju 3 1 5/7/2017 8,5 64 2 1 2 1 1 1
223 Repandi 20-12-2015 L 3600 Zaka Cisuba 2 1 5/7/2017 6,7 68.5 2 1 1 1 1 1
224 Nendi Cahya Wianto 12/21/2015 L 3100 Rian Cisuba 2 1 5/7/2017 7,1 67 2 2 1 1 1 1
225 Hanfiani Fazila 25-01-2015 P 3300 Richi Loajajar 1 1 5/7/2017 10,3 74 2 1 1 1 1 1
226 Lina Alesya S 10-02-2016 P 3200 Sulaeman Cikananga 1 1 5/7/2017 7 63 1 1 1 2 2 1
227 Nur Aisyah 24-03-2016 P 3600 Sarip Cikananga 1 1 5/7/2017 6,7 63.9 1 1 1 2 2 1
228 Chika Nurlatfah 23-05-2012 P 3100 Ramdan Cijulang 3 1 5/7/2017 16 102 2 1 1 1 1 1
229 Nanda Raihan 27-05-2012 L 3300 Aceng Cijulang 3 1 5/7/2017 13,5 97 2 1 1 1 1 1

230 Azqia Qatrunada Salsabila 30-05-2012 L 4000 Ali Cijulang 3 1 5/7/2017 13 95 2 1 1 1 1 1

231 Muta Ramadani 10-08-2012 P 2700 Udas Cijulang 3 1 5/7/2017 12 83 2 1 1 1 1 1

232 Rifka Agustna 12-08-2012 P 3200 Gunawan Poreang 3 2 5/7/2017 13,2 97 2 1 1 1 1 1
233 Nabila Rika Septani 02-09-2012 P 2600 Ridwan Poreang 3 2 5/7/2017 12,7 96.3 2 1 2 1 1 1
234 Zelda 23-09-2012 L 3300 Rinto Cijulang 3 1 5/7/2017 13 94.5 2 1 1 1 1 1
235 Muhamad Ali Muiz 27-09-2012 L 3200 Odang Poreang 3 2 5/7/2017 14 96 2 1 2 1 1 1
236 Almira Syihab 15-10-2012 P 3600 Ihab Cijulang 3 1 5/7/2017 13,5 94.5 2 1 1 1 1 1
237 Alfi Muhamad Afdal 12-11-2012 L 3100 Tatang Poreang 3 2 5/7/2017 14 92 2 1 1 1 1 1

238 Muhamad Akbar Maulid 27-01-2013 L 3000 Iwan Cijulang 3 1 5/7/2017 14 87 2 1 1 1 1 1

239 Zaki 14-04-2013 L 3000 Denda Cijulang 3 1 5/7/2017 15 103 2 1 1 1 1 1

240 Sit Nazwa Nurhalifa 25-04-2013 P 3400 Topik Poreang 3 2 5/7/2017 11,2 88 2 1 1 1 1 1
241 Sit Nuroh Alfiah 13-05-2013 P 2900 Dimi Poreang 3 2 5/7/2017 19,2 88 2 1 1 1 1 1
242 Saqil Taofiq 27-05-2013 L 2600 Yurahman Poreang 3 2 5/7/2017 14 93 2 1 1 1 1 1
243 Rizki R 26-07-2013 L 3300 Ruslih Poreang 3 2 5/7/2017 13,5 90 2 1 1 1 1 1
244 Reza 19-09-2013 L 3200 Agus Poreang 3 2 5/7/2017 13,8 91 2 2 1 1 1 1
245 Terisa Oktaviani 20-10-2013 P 3600 Sopiandi Cijulang 3 1 5/7/2017 11 86.5 2 1 1 1 1 1
246 Padlan 22-10-2013 L 3100 Cepi Cijulang 3 1 5/7/2017 15 87 2 1 1 1 1 1
247 Sri Ai Gustni 11-11-2013 P 3000 Agus Poreang 3 2 5/7/2017 12 90 2 2 1 1 1 1
248 Al Farisi 07-11-2013 L 3400 Atan Cijulang 3 1 5/7/2017 13,4 92.1 2 1 2 1 1 1
249 Vellisia Sofana Putri 16-03-2014 P 2900 Duan Cijulang 3 1 5/7/2017 12 89 2 1 1 1 1 1

250 Muhamad Samsul Falah 21-03-2014 L 2600 Jenal Cijulang 3 1 5/7/2017 13,9 87 2 1 1 1 1 1

251 Muhamad Rehan 30-03-2014 L 3300 Sambas Cijulang 3 1 5/7/2017 12,6 86 2 1 2 1 1 1

252 Sahril Airul Anan 20-05-2014 L 3200 Ihin Cijulang 3 1 5/7/2017 11,7 90 2 1 1 1 1 1
253 Sarah 24-06-2014 P 3600 Dede Cijulang 3 1 5/7/2017 10,9 82 2 1 1 1 1 1
254 Farhan Al Amudi 30-06-2014 L 3100 Dodi Cijulang 3 1 5/7/2017 12,5 83 2 1 1 1 1 1

255 Azzahra Komala Mustopa 24-07-2014 P 3000 Arip Cijulang 3 1 5/7/2017 11 83 2 1 1 1 1 1

256 Zahra Salsabila 30-07-2014 P 3600 Hari Cijulang 3 1 5/7/2017 10 86 2 1 1 1 1 1

257 Risma 17-10-2014 P 3100 Junaedi Cijulang 3 1 5/7/2017 11 80 2 1 1 1 1 1
258 Hana 02-11-2014 P 3000 Jamili Cijulang 3 1 5/7/2017 12 85 2 1 1 1 1 1
259 Nurul Halizah 15-01-2015 P 3000 Alex Cijulang 3 1 5/7/2017 8 7.4 2 1 2 1 1 1
260 Muhamad Fauzan 10-03-2015 L 4000 Bakin Cijulang 3 1 5/7/2017 11 80 2 1 1 1 1 1
261 Muhamad Raihan 20-03-2015 L 2700 Galih Cijulang 3 1 5/7/2017 11,8 82 2 1 1 1 1 1
262 Rindi Adelia 24-06-2015 P 3200 Junaedi Cijulang 3 1 5/7/2017 9 79 2 1 1 1 1 1
263 Yandi 15-08-2015 L 2600 Aam Cijulang 3 1 5/7/2017 9,3 70 2 1 2 1 1 1
264 Dirga Maulana S 21-08-2015 L 3300 Endang Cijulang 3 1 5/7/2017 7,5 63 2 1 1 1 1 1
265 Muhamad Azhar 22-08-2015 L 3200 Muslim Cijulang 3 1 5/7/2017 8 80 2 2 1 1 1 1
266 Muhamad Dinar 02-10-2015 L 3200 Yadin Cijulang 3 1 5/7/2017 10,5 82 2 1 1 1 1 1
267 Sultan Maulana 09-10-2015 L 3600 Oding Cijulang 3 1 5/7/2017 9,5 80 2 1 1 1 1 1
268 Ahmad Nurohman 22-10-2015 L 3100 Suherman Cijulang 3 1 5/7/2017 7,9 66 2 1 1 1 1 1
269 Salsa Nabila 05-01-2016 P 3000 Supiandi Cijulang 3 1 5/7/2017 8,5 73 1 1 1 2 2 1
270 Delisa Alfatunisa 10-01-2016 P 3000 Epen Cijulang 3 1 5/7/2017 8,2 74 1 1 1 2 2 1
271 Galih Fitri 21-01-2016 L 2700 Ruslan D. Panjang 3 2 5/7/2017 7,8 66 1 1 1 2 2 1
272 Sit Anjani 17-05-2012 P 3000 Arif Bojong Gede 1 2 5/6/2017 13,7 97 2 1 1 1 1 1
273 Alia Maulid Putri 25-06-2012 P 3300 Suherman Cibentang 4 2 5/6/2017 14 98 2 1 2 1 1 1
274 Naura 16-10-2012 P 3200 Dadan/Dini Cibentang 4 2 5/6/2017 13,7 95.7 2 1 1 1 1 1
275 Sit Saadah 17-01-2013 P 3200 Abdul Aziz Bojong Gede 1 2 5/6/2017 11 91 2 1 1 1 1 1
276 Neng Rahma Febriant 19-02-2013 P 3600 Juhdi Bojong Gede 1 2 5/6/2017 12,5 95 2 1 1 1 1 1
277 Muhamad Fabian 23-02-2013 L 2900 suhendi Bojong Gede 1 2 5/6/2017 12,5 102 2 2 1 1 1 1
278 Shopia Nurul Kolbi 24-02-2013 P 3200 Asep Bojong Gede 1 2 5/6/2017 13 95 2 1 1 1 1 1
279 Naoval Azril Maulana 17-03-2013 L 2600 Salim Cibentang 4 2 5/6/2017 12,9 93 2 1 1 1 1 1
280 Muhamad Rijik 22-03-2013 L 3300 Lukman Bojong Gede 1 2 5/6/2017 12,5 97 2 1 1 1 1 1
281 Ripki 10-04-2013 L 3200 Jejen Bojong Gede 1 2 5/6/2017 15,5 89 2 1 1 1 1 1
282 Muhamad Fajar 09-05-2013 L 3600 Ujang Bojong Gede 1 2 5/6/2017 11 89 2 1 2 1 1 1
283 Fazma Nadira Sandrian 30-09-2013 P 3100 Andrianto Cibentang 4 2 5/6/2017 11 87 2 1 2 1 1 1
284 Sahdinan 07-10-2013 L 3000 Nurzani Cibentang 4 2 5/6/2017 12,3 90 2 1 1 1 1 1
285 Wulan 17-10-2013 P 3000 Asep Bojong Gede 1 2 5/6/2017 11,5 94 2 1 2 1 1 1
286 Ahmad Zaenal 20-12-2013 L 3600 Sarbini Cibentang 4 2 5/6/2017 11 88 2 1 1 1 1 1
287 Nazril 24-12-2013 L 3100 Agus Bojong Gede 1 2 5/6/2017 12 93 2 1 1 1 1 1
288 Ahsan 01-01-2014 L 3000 Hendar Bojong Gede 1 2 5/6/2017 11,7 89.7 2 1 1 1 1 1
289 Muhamad Farhan 29-01-2014 L 3000 Muhlison Bojong Gede 1 2 5/6/2017 12,5 97 2 1 1 1 1 1
290 Ahmad 30-01-2014 L 2600 Tajudin Bojong Gede 1 2 5/6/2017 11,2 98 2 1 1 1 1 1
291 Ajkal 12-02-2014 L 3300 Nana Cibentang 4 2 5/6/2017 11 96.6 2 1 1 1 1 1
292 Muhamad Alpi 01-07-2014 L 3200 Jumali Bojong Gede 1 2 5/6/2017 10,8 93 2 1 1 1 1 1
293 M. Azi Firmansyah 03-10-2014 L 3600 Yusup Bojong Gede 1 2 5/6/2017 9 84 2 1 2 1 1 1
294 Hasan 11-10-2014 L 3100 Hendar Bojong Gede 1 2 5/6/2017 10 91 2 1 1 1 1 1
295 Raya 24-11-2014 L P 3400 Engkus Cibentang 4 2 5/6/2017 11,3 89.8 2 1 1 1 1 1
296 Sit Aisah 18-12-2014 P 4000 Engkus Cibentang 4 2 5/6/2017 9,6 88 2 1 2 1 1 1
297 Alda Maulida 13-01-2015 P 3200 Dede Bojong Gede 1 2 5/6/2017 9 77 2 2 2 1 1 1
298 Asifa Putri Nurohmah 18-02-2015 P 2600 Jaki Bojong Gede 1 2 5/6/2017 11,3 75 2 1 1 1 1 1
299 Fadli 14-03-2015 L 3300 Abdul Cibentang 4 2 5/6/2017 8,9 86 2 1 1 1 1 1

300 Ratu Syakila Ananda Ilyas 22-04-2015 P 3200 Ilyas Bojong Gede 1 2 5/6/2017 8,3 76 2 1 1 1 1 1

301 Julian Firmansyah 25-07-2015 L 3600 Wandi Cibentang 4 2 5/6/2017 12,4 71 2 1 1 1 1 1

302 M. Faizal Hamzah 09-08-2015 L 3100 Maesaroh Cibentang 4 2 5/6/2017 9,6 76.6 2 1 1 1 1 1
303 Topik Hidayat 12-11-2015 L 3000 Ahmad Bojong Gede 1 2 5/6/2017 8,8 77 2 1 1 1 1 1
304 Khalifa Putri 03-01-2016 P 3000 Lukman Bojong Gede 1 2 5/6/2017 7,7 65 1 1 1 2 2 1
305 Wandi Rizki T 23-04-2016 L 3000 Eman Bojong Gede 1 2 5/6/2017 6 63.3 1 1 1 2 2 1
306 Adelia 15-06-2012 P 2500 Asep Cisitu 2 1 5/4/2017 16 113 2 1 1 1 1 1
307 Khalisa Azmi 26-06-2012 P 4100 Abdul Muaracikadu 1 1 5/4/2017 14,5 100 2 1 1 1 1 1
308 Mizwal Agustani 23-08-2012 L 3800 Junjun Muaracikadu 1 1 5/4/2017 15,8 99.5 2 1 2 1 1 1
309 Dian Mulyani 01-10-2012 P 700 Asep Cikomeng 6 1 5/4/2017 9 87 2 1 1 1 1 1
310 Naraya 26-10-2012 P 3200 Iyep Cisitu 2 1 5/4/2017 12 101 2 1 1 1 1 1
311 Muhamad Kelvin 06-11-2012 L 3600 Rudi Cisitu 2 1 5/4/2017 12,5 86.7 2 1 1 1 1 1
312 Rafka Azka 10-11-2012 L 3100 Ridwan Muaracikadu 1 1 5/4/2017 14 89 2 2 1 1 1 1
313 Dewi Lestari 20-11-2012 P 3000 Dede Cisitu 2 1 5/4/2017 14,7 99 2 1 1 1 1 1
314 Virginia Sulistant 08-12-2012 P 3000 Bunyamin Cisitu 2 1 5/4/2017 22 120 2 1 1 1 1 1

315 Mutara Purnama Hanjani 07-01-2013 P 3300 Purnama Cisitu 2 1 5/4/2017 13 114 2 1 1 1 1 1

316 Rendi Lesmana 28-02-2013 L 3200 Usman Cipait 5 2 5/4/2017 15 115 2 1 2 1 1 1

317 Zahra Amira 23-04-2013 P 2600 Beni Muaracikadu 1 1 5/4/2017 14,5 100 2 1 1 1 1 1
318 Rendi Setawan 09-05-2013 L 3300 Endang Cikomeng 6 1 5/4/2017 14 97 2 1 1 1 1 1
319 Naura Agustna 17-08-2013 P 3200 Heri Cisitu 2 1 5/4/2017 15 105 2 1 2 1 1 1
320 Ahmad Sopian 24-08-2013 L 3600 Unas Cisitu 2 1 5/4/2017 13 106 2 1 1 1 1 1
321 Sit Ainun 22-10-2013 P 3100 Komar Cisitu 2 1 5/4/2017 13 99 2 1 1 1 1 1
322 Rafa Maulana 30-10-2013 L 3000 Engkus Cisitu 2 1 5/4/2017 12 94 2 1 2 1 1 1
323 Muhamad Ridwan 13-03-2014 L 3000 Ents Cisitu 2 1 5/4/2017 10,3 89 2 1 1 1 1 1
324 Muhamad Wisnu 24-03-2014 L 2600 Hidayat Cipait 5 2 5/4/2017 9,8 80 2 1 2 1 1 1
325 Sindi Aulia Putri 29-03-2014 P 3300 Dadan Muaracikadu 1 1 5/4/2017 11,3 82 2 1 1 1 1 1
326 Azzahra Nurfadilah 30-04-2014 P 3200 Dedi Muaracikadu 1 1 5/4/2017 9,7 83 2 1 1 1 1 1
327 Zaki Asri Sahruloh 20-05-2014 L 3200 Yayat Cisitu 2 1 5/4/2017 9,7 78.3 2 1 1 1 1 1
328 Yurike Apriant 16-06-2014 P 3600 Dayat Cikomeng 6 1 5/4/2017 10,3 85 2 2 2 1 1 1

329 Mujib Irawan Abdurahman 26-06-2014 L 3100 Heri Cikomeng 6 1 5/4/2017 13 86 2 1 1 1 1 1

330 Arip Abduloh 02-07-2014 L 3000 Saepuloh Cisitu 2 1 5/4/2017 10,2 80 2 1 1 1 1 1

331 Delisa Putri 11-07-2014 P 3000 Dendi Muaracikadu 1 1 5/4/2017 9,5 81.7 2 1 1 1 1 1

332 Muhamad Dafa Albiyah 18-09-2014 L 2700 Dedi Muaracikadu 1 1 5/4/2017 12,5 82 2 1 2 1 1 1

333 Aulia Rahayu 23-12-2014 P 3300 Muhidin Cisitu 2 1 5/4/2017 8,4 78.2 2 1 1 1 1 1
334 Sahrila Mumtazah 30-12-2014 P 2600 Aceng Muaracikadu 1 1 5/4/2017 7,9 77 2 1 1 1 1 1
335 Zakia Frista Akila 28-01-2015 P 3400 Dedi Muaracikadu 1 1 5/4/2017 7,9 70.2 2 1 1 1 1 1
336 Dwi Anggia 30-01-2015 P 3200 Enang Muaracikadu 1 1 5/4/2017 9,5 74 2 1 1 1 1 1
337 Khafiza Khoirunisa 02-05-2015 P 2600 Usman Cisitu 2 1 5/4/2017 9,5 74 2 1 2 1 1 1
338 Nurul Fitriani 27-06-2015 P 3300 Soleh Muaracikadu 1 1 5/4/2017 8,3 72.9 2 1 2 1 1 1
339 Muhamad Faisal 03-09-2015 L 3200 Obay Cikomeng 6 1 5/4/2017 12,8 70 2 1 1 1 1 1
340 Regina 17-09-2015 P 3600 Jana Muaracikadu 1 1 5/4/2017 8,9 69.6 2 1 1 1 1 1
341 Widia Humaira Zidni 20-09-2015 P 3100 Rudi Cisitu 2 1 5/4/2017 9,3 70 2 1 2 1 1 1
342 Jastan 15-11-2015 L 3000 Budi Muaracikadu 1 1 5/4/2017 8,8 67 2 1 1 1 1 1
343 Mondi Maulid Akbar 08-01-2016 L 3000 Yayang Muaracikadu 1 1 5/4/2017 7,3 65 2 2 1 2 2 1
344 Mesya 10-01-2016 P 3000 Mardian Muaracikadu 1 1 5/4/2017 7,6 67 2 1 1 2 2 1
345 Fara Sachy Felicia 03-02-2016 P 3600 Hidman Muaracikadu 1 1 5/4/2017 7,7 64 1 1 1 2 2 1
346 M. Hamdan Adikri 22-02-2016 L 3100 Munawar Muaracikadu 1 1 5/4/2017 8 69 1 1 1 2 2 1
347 Adiba Gunawan 01-03-2016 L 3000 Denda Muaracikadu 1 1 5/4/2017 7,3 64 1 1 1 2 2 1
348 Mutya Pertama J 07-03-2016 P 3000 Didi Muaracikadu 1 1 5/4/2017 7,8 63 1 1 2 2 2 1
349 Nadia Azzahra 21-03-2016 P 2600 Nangnang Cisitu 2 1 5/4/2017 7,4 60 1 1 1 2 2 1
350 Aulia Rahmawat 01-04-2016 P 3300 Ririn Cisitu 2 1 5/4/2017 7,8 58 1 1 2 2 2 1
351 Muhamad Shaka 13-04-2016 L 3200 Hilmal Muaracikadu 1 1 5/4/2017 6,1 60 1 1 1 2 2 1
 DATA SASARAN IBU HAMIL
Provinsi : Jawa Barat
Kabupaten : Cianjur
Puskesmas : Rawat Inap Sindangbarang
Desa : Muaracikadu

TTD
(Tablet Jika Ya,
NIK (Nomor Induk BB Tambah
Tanggal Berapa
NO Kependudukan) Nama Ibu Sebelum Alamat RT RW Tanggal Lahir BB (Kg) TB (cm) LILA (cm) Kehamilan Ke Darah)
Pengukuran Butir TTD
atau No. KTP Hamil
Didapat

1 = Ya
2 = Tidak
1 Siti 48 Cisitu 02 01 5/4/2017 52 152 24 3 1
2 Amelia 52 Muaracikadu 01 01 5/4/2017 56 149 30 1 2
3 Sri Mulyani 48 Cipait 05 02 5/4/2017 53 155 26 2 3
4 Deudeum 50 Muaracikadu 01 01 5/4/2017 56 158 27 1 4
5 Dela 54 Cijulang 03 01 5/5/2017 59 149 23.6 3 5
6 Aidah 52 Cijulang 03 01 5/5/2017 57 160 28 2 6
7 Suminar 56 Cijulang 03 01 5/5/2017 62 153 25 2 7
8 Rahma 49 Cijulang 03 01 5/5/2017 55 150 24.6 1 8
9 Siti Rosipah 48 Cijulang 03 01 5/5/2017 54 152 26.7 2 9
10 Asifa 52 Cijulang 03 01 5/5/2017 56 162 28 2 10
11 Ai Hayati 45 Cijulang 03 01 5/5/2017 49 155 24.8 1 11
12 Yeni 56 Cijulang 03 01 5/5/2017 61 146 28.9 3 12
13 Reni 50 Cijulang 03 01 5/5/2017 55 149 30 1 13
14 Tia 47 Cijulang 03 01 5/5/2017 53 160 31.9 1 14
15 In-in 48 Cijulang 03 01 5/5/2017 51 153 26 2 15
16 Dina 45 Cibentang 04 02 5/6/2017 49 155 25.7 2 16
17 Susi 52 Cibentang 04 02 5/6/2017 56 158 27 1 17
18 Yuyun 55 Cibentang 04 02 5/6/2017 59 149 27.8 3 18
19 Mulyasih 57 Bojong Gede 01 02 5/6/2017 62 150 26.7 2 19
20 Tina 62 Cibentang 04 02 5/6/2017 67 150 27.6 3 20
21 Maspupah 63 Bantaka 02 02 5/3/2017 67 150 27 2 21
22 Jumanah 59 Batuseuneu 04 01 5/7/2017 65 152 26.8 4 22
23 Anis 54 Batuseuneu 05 01 5/7/2017 58 147 23.9 2 23
24 Aam 62 Batuseuneu 06 01 5/7/2017 66 158 27 2 24
25 Haer 57 Pamoyanan 05 01 5/7/2017 67 149 26.8 3 25
26 Dede Sopiah 48 Batuseuneu 04 01 5/7/2017 53 160 27 1 26
27 Evi 59 Pamukiman 06 01 5/7/2017 64 149 25.5 2 27
28 Nuraliyah 64 Pamoyanan 05 01 5/7/2017 69 160 30 2 28
29 Yeni 60 Ciose 02 04 5/1/2017 63 153 27 2 29
30 Yopi 56 Sukaluyu 05 04 5/1/2017 60 149 23.6 2 30
31 Sariningsih 48 Batu Datar 03 04 5/1/2017 53 149 28 2 31
32 Saidah 59 Sukaluyu 05 04 5/1/2017 63 154 25 3 32
33 Tuti 54 Cinungku 08 04 5/1/2017 57 150 24.6 3 33
34 Nurhayati 50 Ciose 02 04 5/1/2017 55 153 26.7 3 34
35 Detih 49 Ciose 02 04 5/1/2017 54 155 28 1 35
36 Siti 54 Cikaroya 01 04 5/1/2017 58 162 26.8 1 36
37 Dedeh 55 Cikaroya 01 04 5/1/2017 59 155 24.9 1 37
38 Yusan 52 Wates 07 04 5/1/2017 58 158 23.9 2 38
39 Eros 56 Cikaroya 01 04 5/1/2017 58 149 27 2 39
40 Wati 61 Sukaluyu 05 04 5/1/2017 65 160 26.8 3 40
41 Satriah 54 Sukaluyu 05 04 5/1/2017 58 160 27 3 41
42 Ratih 46 Batu Datar 03 04 5/1/2017 49 152 25.5 2 42
43 Taryanah 60 Cikawung 04 04 5/1/2017 64 147 30 4 43
44 Siti Sarah 49 Batu Datar 03 04 5/1/2017 53 158 28 2 44
45 Rista 47 Loajajar 01 03 5/2/2017 50 149 29.3 1 45
46 Tuti 50 Sukamaju 03 03 5/2/2017 54 152 27 3 46
47 Anisah 55 Pasir Angin 04 03 5/2/2017 58 155 23.6 1 47
48 Lupi 47 Loajajar 01 03 5/2/2017 50 158 28 2 48
49 Puji 45 Pasir Panjak 05 03 5/2/2017 49 149 25 1 49
50 Rohimah 52 Loajajar 01 03 5/2/2017 55 158 24.6 3 50
51 Fenti 55 Sukamaju 03 03 5/2/2017 58 149 26 2 51
52 Heni 53 Poreang 03 02 5/6/2017 57 160 25.8 3 52
53 Geugeu 50 Poreang 03 02 5/6/2017 54 155 24.2 1 53
54 Rahmawati 49 Poreang 03 02 5/6/2017 52 149 30.1 1 54
55 Poimah 50 Poreang 03 02 5/6/2017 53 155 27.4 2 55
56 Rika 48 Poreang 03 02 5/6/2017 52 150 23.9 1 56