No Nama Anak No. Kartu Keluarga NIK (Nomor Induk Kepedudukan) Anak Ke

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No.

Kartu NIK (Nomor Anak


No Nama Anak
Keluarga Induk Kepedudukan) Ke

1271101305160005 1271100912130001 2 FACHRI ARSYI ARKARNA


1 1271100912130002 3 FATIR ARSYI ARKANA
1271140718150003 4 MUHAMMAD FARHAN
1271102903170004 12711061021420002 1 NADINE KHAIR RAZKY
2
1271106311150001 2 NADIA SUPRAPTO
3 1271100507100005 2 NADINDA RIZKY
4 1271101707170018 1 MAHDINI SILVI
5 1271101002150016 1271105505140004 1 GEOVANY FARA CANTIKA
1271102904150009 1271100409130003 1 MUHAMMAD MIRZA ATTARIQ
6
1271107009150002 2 FAYZA INARA SHAKI
7 1271102810150004 1271101207150002 1 RIVA AL FAHRIZI
8 1271102908170002 1371032307130002 1 HAZANIL RAMADHAN
9 1271100103180006 1271096708170005 1 JIHAN ALIFA RAHMAN
1271100406180013 1271101911130002 1 AHZA RISQY P.LUBIS
10 1271104409150002 2 AFFIYAH ANNISYA LBS
1271105309170002 3 AKIFAH NAYLA LUBIS
1271100312130006 1271100311130002 1 NABIL ILHAM ARROYAN
11
1271102602160001 2 NAUVAL IKHSANUL AIMAN
12 12711015008160005 127104109160001 1 YASMIN AZZAHRA
13 1271100203060028 5 AHMAD SYARIFUDDIN
14 1271102107040006 1 ALKA AZZAHRA
1271100310130005 1271106705130005 1 PUTRI RIHONEY IKBAL
BB
Tanggal Jenis Nama Orang No. Tlp/HP
Lahir NIK Ayah
Lahir Kelamin Tua(Ayah) Orang Tua
(KG)

12/9/2013 LK 2.5 YUDI HARTOYO 12711040205810005 -

12/9/2013 LK 2.3
10/7/2015 LK 2.8
7/21/2014 PR 3.0 SUPRAPTO
11/23/2015 PR 3.3
9/8/2015 PR 3 RIKI RIVKI NST 1271102503810003
11/28/2017 PR 3.3 KHAIRUL ARDI 1271100103770006
5/15/2014 PR 2.8 FAHRUL FAUZAN 1271189890003
9/4/2013 LK 3.0 HENGKI IRAWAN, ST 1271101103780002
9/30/2015 PR 3.2
7/12/2015 LK 3.5 RIOWELDI DAMANIK SH 1218020110860005
7/23/2013 LK 3.0 SUWARDI 1305081905780001
8/27/2017 PR 3.3 YUDI RAHMAN 1271100504910003
11/19/2013 LK 2.8 ENDA GUNAWAN LUBIS 1271180110860001
9/4/2015 PR 2.5
9/13/2017 PR 2.5
11/3/2013 LK 3.0 DEDI SANDRA 1207261505800010
2/26/2016 LK 3.2
9/1/2016 PR 3.0 IRWAN AL FANTA 1271102002890003
1/6/2018 LK 2.9 BENI ISKANDAR 1271100211730007
10/6/2016 PR 2.8 ERWIN SYAHPUTRA 1271101106950001
5/27/2013 PR 3.1 IQBAL SYAHPUTRA 1271102512720009
Alamat RT RW Tgl Pengukuran BB(Kg) TB (Cm)

Jl. Rahmadsyah 396 12 26 8/8/2018 17 101


16 98
12 87
Jl. Rahmadsyah 396 12 26 8/8/2018 17 100
15 86
Jl. Rahmadsyah No. 288 12 26 8/8/2018 16 97
Jl. Rahmadsyah no. 384 12 26 8/8/2018 8.6 6.8
Jl. Rahmadsyah Gg. Akip No. 20 12 26 8/8/2018 15 98
Jl. Rahmadsyah Gg. Maksum No. 48 12 26 8/8/2018 15 100
13 85
Jl. Rahmadsyah Gg. Maksum No. 400 C 12 26 8/8/2018 14 90
Jl. Rahmadsyah Gg.Raona No. 350 12 26 8/8/2018 20 106
Jl. Rahmadsyah Gg.Raona No. 8 12 26 8/8/2018 8.8 68
Jl. Rahmadsyah Gg.Raona No. 8 12 26 8/8/2018 20 106
13 92
8.6 67
Jl. Rahmadsyah Gg.Raona No. 8 12 26 8/8/2018 16 102
10 85
Jl. Rahmadsyah Gg.Raona No. 362 A 12 26 8/8/2018 14 87
Jl. Rahmadsyah Gg. Raona No. 56 12 26 8/8/2018 7 6.6
Jl. Rahmadsyah Gg. Raona No. 350 12 26 8/8/2018 10 78
Jl. Rahmadsyah Gg. Maksum No. 410 B 12 26 8/8/2018 20 103
Vit. A Vit. A
Cara Ukur ASI Ekslusif IMD
Februari Agustus
1-Terlentang 1- Ya 1- Ya
1-Ya 1-Ya
2-Berdiri 2- Tidak 2-Tidak
2-Tidak 2-Tidak
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
1 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
1 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
2 1 1 1 1
1 1 1 1 1
2 1 1 1 1
2 1 1 1 1

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