DATA VITAMIN A 2022

Provinsi : Banten

Kabupaten / Kota : Tangerang

Puskesmas : Kutabumi

Posyandu : Mawar 22

Ketua Kader Posyandu / No. HP

Jenis Kelamin L/P : Eny Setiyaningsih / 0853133749388

Anak Tanggal No. Kartu Keluarga

No. Nik Anak Nama Anak
Ke Lahir (KK)

1 2 2017-10-03 L 3603120401080042 3603120310170010 Raskha Irhap Nabil

2 2 2017-10-20 L 3603123110110078 3603122010170001 Dion Sius Edward Tato
3 1 2019-03-11 L Alfaro Gabriel
4 3 2019-05-16 P 3671083101160001 3671085605190008 Merisa
5 3 2019-10-12 P 3603120401080042 3603125210190004 Ralin Janisa Putri
6 3 2020-03-25 P 3603120408080060 Khaira Talita Zuhda
7 2 2020-04-21 P 3603122608150031 Rayhan Aprilio
8 3 2020-05-02 L 3603121504110017 Muhammad Haydar Huein
9 3 2020-07-02 P 3603120307080075 Ayana Aulia Rasya
10 3 2020-12-23 L 3671082204210009 3671082312200003 Muhammad Arga Hasanda
11 3 2021-09-02 P 3603121404110018 3603122308150001 Atya Humairah
12 1 2018-05-14 L Rakha Shakil M
13 1 2018-06-11 L 3603122903180011 3603121106180000 Jimmy Gevariel Songkilawang
14 2 2019-08-25 P 3310052603130001 3310056508190002 Anezka Riana Shafir
15 3 2019-12-03 L 3603121509110042 3603120312190004 Paris Aska Wibisono
16 5 2021-02-03 L 3603122604110034 Iqbal Alfahrizi
17 1 2021-05-07 L 3603121301210011 3603120705210001 Keenan Saquel Atharizz
1
18 2021-06-13 L 3171011211200003 37171011306210001 Abdul Hanif Alfatih
19 3 2018-01-01 L 3603122604110046 3603120101180001 Azril Rahandika A
2
20 2018-02-04 P 36033120811070086 3603124402180005 Eva Febriyanti
21 3 2018-02-26 P 3173042001093568 3173046602180004 Kania Andini
22 2 2018-04-27 L Pandawa
23 2 2018-12-01 P Anindya
24 1 2019-03-10 L 3603122707180011 M Alan R Akbar
25 3 2019-05-11 P 3603121105120032 3603125105190003 Aira Izzatun Nisa
26 3 2019-06-16 P 3173025606190004 3173025601900004 Alicia Nur Hariska
27 3 2019-06-20 P 3603120811070086 3603122006190001 Emir Muhamad Alkawaris
28 2 2019-06-21 P 3671022309140032 3671026106190001 Naureen Syareefa Putri
29 1 2019-08-27 L 3603122308080015 Gibran
30 1 2019-12-27 P 3603121707070036 Nafisha Shakaila.Q
31 2020-02-01 p Rafka Abiyu Ardan
32 1 2021-09-21 P Syifa Nur Aini
33 1 P Reva
34 1 2017-08-16 L 1807181608170001 1807181608170001 M Abdul Qodir
35 2 2017-09-06 P Hanna Setyo Utami
36 2018-04-04 P Amika
37 2 2019-04-23 P Khansa
38 2019-12-01 L Devano Rayyan
39 2020-04-11 L M.Abrisan
40 3 2020-04-15 P Andera Salsabela
41 1 2020-09-14 P Dinda
42 2 2021-05-21 L Rifranda
43 1 2021-09-17 P Claudya
2
44 2017-11-29 L 3603201404155014 3603206911170003 Sinan Aghayu
45 3 2018-03-16 P 3671081501090047 3671085603180002 Arssy Inda Mahftun R
2
46 2018-04-24 P 3671081607130023 3671086404180002 Mikhayla Afrilia Jasmine
47 2 2018-06-10 L 3671010207140007 3671011006180003 Izdan Barra Azami
1
48 2019-01-10 L 3603682911170029 M Nathan
49 2 2019-01-11 P 6710809100900533 3671085101190003 Dhisya Anindita Salsabila
1
50 2019-04-06 L 3671091903100003 3671090604190004 Rihan Holid.S
51 2019-05-09 P 3175012211131010 Fania Rizdy Humaira
3
52 2019-07-16 L 3603121404110021 3603121607190001 Maulana Ahmad Alby Ahsanudin
2
53 2019-09-11 L 3603121505150032 Gibran Habibi
54 1 2019-09-12 L 3603121503190006 3603121209190002 Habibie Khairan Nizam
55 1 2019-09-17 L 3603121003170034 3603121709190001 Muzaffer Attaufiq
2
56 2019-10-24 L 3603121911190021 3603122410190002 Satria Aji Nugroho
2
57 2020-01-17 P 3603122908160012 3603125701200002 Tias Kahiyang
2
58 2020-05-06 L 3603120301190010 3603120605200005 Chandra
4
59 2020-07-04 L 36031211106032 3603120407200006 Ardhi Wira Kusuma
60 1 2020-10-30 P Almeera Naha Adji
2
61 2021-01-01 L 3172011202097946 37172010701210002 Ghifari Reno Al Faqih
3
62 2021-05-29 L 3603120601140019 Aryadillah Al Saki
 Ada
Berat Tinggi Buku
badan badan KIA/
Nama Ayah Nama Ibu NIK Ayah/Ibu
1=YA 2=Tidak

lahir lahir KMS

(Kg) (Cm) 1=Ya
2= Tidak
IMD

3.0 1 1 Ending Nanik Haryani 3603120502790005

1 1 Madetus Tato Febi Hendri Lesmana 3603121505750010
1 1 Ucok Mulatua Elza Sagala 3671081611850002
1 1 Suryadi Nurhayati 3671081708780006
3.0 1 1 Ending Nanik Haryani 3603120502790005
2.9 1 1 Sugiyono Fitrihandayani 3608121309740003
2.7 1 1 Deli Rupawan Khanifah 1604083012850001
3.0 1 1 Abdul Husein Masruroh 3603121004800014
1 1 Kadaryanto Ipuk Murwnti 3603121805760010
1 1 Hadi Martono Ratna Rahayu 3603192811860002
1 1 Deni Mukisin Nur Aisyah N 3603120810840005
1 1 Riski Hari Wibowo Resti Wijayanti
1 1 Joandry Fiber S Martina Tuyu 3276041309830001
1 1 Tri Widodo Ekky Veramasari 3310051201900004
1 1 Heri Setiono Indarti Wahyuningtias 3603120509830008
1 1 Warsono Warti 3603120705790011
1 1 Ridwan Nur Kholid Fifiningrum 3306080810970006
1
1 Abul Ajis Tiara Vebry Aulia 3171012807950003
3.2 1 1 Sunarto Partini 3603121704750010
1
1 Karyono Tarniem 3603120803850010
2.4 1 1 Nurdin Helmi Wahyuningsih 3173041505770003
1 1 Suhadi Nina
1 1 Suwanto
1 1 Anang Mardiyanto 1802232903960003
1 1 Towo Aprianto Enok Untasih 3603121901740007
1 1 H.Ikbal Cahaya 3173022009800007
1 1 Karyono Tarniyem 3603120803850010
 1 1 Sulistiyono Kamsiatun 3671020405920009
1 1 Akhdi Bahtiar Risnawati 3603122607800003
1 1 Endang Haryono Wahyu Dwi Astuti 3603121510820003
1 1 Sugeng Nor Hunanini
1 1 Wel Ayu

2 1 Saipul Toyib Yulina Sawitri 180718201092002

2 1 Ronggo Setyo Rismawati
1 Fitri
1 1 Latif Dian
1 1 Nurul
1 1 Bambang Iis
1 1 Yasri Sartini
1 0 0
1 1 P.Bambang Iis
1 1 Marif Nur Wiji
1
1 Fanni Fattah Putri pramudya 3604052805890003
1 1 Suwardiyono Ayu .P 3671081111820008
1
1 Rangga Nuasa Putra Thesya Fitri 3671081409890003
3.7 1 1 Mehdi Nurul Azami Yuli Hertiyana 3671018603860006
1
1 Isrum Destiayani 3671022705890007
1 1 Nanang Widodo Lani Kurniasih 3671081209800007
1
1 Danang Nasriyatun 3301003160490001
1 1 Fachrizal Yulianti 3175012305890004
1
1 Kadima Asanusin Rohaeni 3603121906830008
1
1 Amrizal Saufy Rahmawati 3674052901800004
1 1 Rusiyadi Soraidah Soleha 3172012709840008
1 1 Taufik Hidayat Nurhayati 3671062509870002
1
1 Suryono Fitri Anita 3506091004840002
1
1 Kuswanto Hesti 3603121402840015
1
1 Andre Dewi 3328102806870002
1
1 Ali M Supriyanti 3671081606770013
1 1 M .Dodi Novi
1
1 Sunoto Sri Retno Ningsih 3172010510830008
1
1 Fajar Hamsah Mutakin Sina Destiyana 3603270706880005
 Berat Tinggi
No.Telp LILA
NIK Ayah/Ibu Alamat RT RW Tgl Ukur badan badan LK
Ayah/ Ibu (Cm)
(Kg) (Cm)

3603125010790020 085777615979 CA.5 No.30 01 22 16-Feb-22 16 111 51 17

3603124402870001 085945989444 CA.1 No.46 01 22 16-Feb-22
3671046208920001 081296624077 CA.5 No.06 01 22 16-Feb-22
3671985105740005 081382414983 CA.1 No.39 01 22 16-Feb-22 15 110 48 16
3603125010790020 085777615979 CA.5 No.30 01 22 16-Feb-22 13 97 98 16
3603125906810000 081294205830 CA.1 No.19 01 22 16-Feb-22
3603122305130008 081285936160 CA.5 No.34 01 22 16-Feb-22
3603124401780009 08159754523 CA.1 No.05 01 22 16-Feb-22
3603124706800006 081288315323 CA.5 No.36 01 22 16-Feb-22 10 86 46 18
3671085306900003 0838068459627 CA.5 No.38 01 22 16-Feb-22
3603124505840010 081286767494 CA.1 No.01 01 22 16-Feb-22
CA.2 02 22 16-Feb-22
3671056195870010 CA.2 No.27 02 22 16-Feb-22
3310056512900002 CA.4 No.08 02 22 16-Feb-22
3603125709830012 081314836508 CA.2 No.33 02 22 16-Feb-22
3603126208810006 CA.2 No.19 02 22 16-Feb-22
3603124507970001 081546420447 CA.4 No.30 02 22 16-Feb-22 7.3 69 43 45

3603125702960004 085714363546 02 22 16-Feb-22 7.5 67 44 16

3603124302780008 CA.4 No.05 03 22 16-Feb-22 15 110 53 17

3603125508830003 CA.7 No.42 03 22 16-Feb-22

3173045005750020 CA.4 No.09 03 22 16-Feb-22
03 22 16-Feb-22
03 22 16-Feb-22
3603125402950019 CA.4 No.07 03 22 16-Feb-22
3603124505740019 CA.4 No.33 03 22 16-Feb-22 15 99 50 19
3173025106850008 CA.4 No.19 03 22 16-Feb-22
3603125508830003 CA.7 No.42 03 22 16-Feb-22
3306114102920001 CA.7 No.21 03 22 16-Feb-22 15 98 47 19
1807015202920003 085768868636 CA.7 No.36 03 22 16-Feb-22
3603127103790002 08521055349 CA.7 No.48 03 22 16-Feb-22
03 22 16-Feb-22
03 22 16-Feb-22
03 22 16-Feb-22
1807034109930001 04 22 16-Feb-22
04 22 16-Feb-22
04 22 16-Feb-22
04 22 16-Feb-22 11 97 49 16
085546298348 04 22 16-Feb-22 11 93 50 15
04 22 16-Feb-22 13 85 0 -
04 22 16-Feb-22
04 22 16-Feb-22 9 76 47 15
04 22 16-Feb-22 10 71 46 19
04 22 16-Feb-22

3603207007890001 CA.11 No.24 05 22 16-Feb-22

3671085503890003 05 22 16-Feb-22

3671084109880002 CA.05 No.27 05 22 16-Feb-22

3671014407910001 05 22 16-Feb-22 18 113 50 19

1604075812940002 CA.12 No.09 05 22 16-Feb-22

3671055112830001 05 22 16-Feb-22 15 103 48 17

3328024110389003 CA.12 No.09 05 22 16-Feb-22

3203176505900004 05 22 16-Feb-22

3603125006850009 CA.05 No.21 05 22 16-Feb-22 12 95 50 16

1207246406880004 CA.11 No.06 05 22 16-Feb-22 16 103 49 20

3603124508850003 CA05 No.03 05 22 16-Feb-22
3603125812930005 CA05 No.01 05 22 16-Feb-22

3671086205860002 081382012363 CA.12 No.07 05 22 16-Feb-22

3603124201840014 CA.11 No.11 05 22 16-Feb-22 12 91 48 16

3671086501880003 08546445864 CA.11 No.30 05 22 16-Feb-22 10 0 67 14

3671087605810008 CA.11 No.12 05 22 16-Feb-22 10 88 47 16

05 22 16-Feb-22

3328175403950008 05 22 16-Feb-22 9.3 79 48 17

3603126112910001 081316642150 CA.05 No.17 05 22 16-Feb-22

 Vitamin A ,1=Ya 2=Tidak
Cara Ukur 1 = Terlenta

1=YA 2=Tidak
ASI EKSKLUSIF
2 = Berdiri

2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
1 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
1 1 1
1 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
1 1 1

2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
1 1 1
1 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1

2 1 1
2 1 1
2 1 1
2 1 1

2 1 1

2 1 1

2 1 1
2 1 1
2 1 1

1 1 1
 FOR
Kecamatan : Pasar Kemis
Desa/ Kel : Kutabumi
Posyandu :

Gravida
No. Nama Ibu Hamil NIK NO HP

7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
 FORMULIR PENCATATAN PEMANTAUAN IBU HAMIL DI POSYAND
: Pasar Kemis
: Kutabumi

Berat Badan Ada

Tanggal Lahir / umur Awal hamil/ Buku KIA Nama Suami NIK Suami
1=ya
Trimester 1 2=tidak
AUAN IBU HAMIL DI POSYANDU
Tanggal Posyandu :
Nama Kader :
No Hp Kader :

LILA Kadar Hb
Alamat RT RW Tanggal Hari Pertama BB TB (Hemoglo
Haid Terakhir (HPHT) (Kg) (Cm)
(Cm) bin)
 Tablet Tambah Darah
(Fe)

Golongan USIA Jumlah Jumlah

darah KEHAMILAN Yang Yang
diterima diminum