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Blanko Posyandu Balita 2022

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HASIL LAPORAN EPPGBM

(APLIKASI PENCATATAN DAN PELAPORAN GIZI BERBASIS MASYARAKAT)


NAMA DESA : PURWOREJO
NAMA POSYANDU : KASIH IBU
TANGGAL : 2023
LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
1 HABIBI NUR A ROHAITA L 2019-08-14 1604191408190000 1604191402120005 1604194101920002
2 ARGA FEBRIAWAN TENTREM L 2018-01-01 1604190102180001 1604192002080043 1604194605800001
3 DIRLY ALFIANO HANIK AL F L 2018-04-12 1604191204180001 1604192511110001 1604195201900002
4 RAFARDHAN BAGUS.A NITA HARJANI L 2018-07-04 1604190407180000 1604191406110001 1604194404920001
5 TANIA RAHAYU GIYARTI P 2018-02-09 1604194902180001 1604191712080003 1604194608860002
6 RIFQI FATIHAN.A WINDA NINGSIH L 2019-12-24 1604192412190000 1604192009160001 3309034812969001
7 MICELLA AZZAHRA MARTINI P 2018-08-19 1604191908180000 1604192003090001 1604194610870003
8 MESYA HUMAIRA SUSI SARTIKA P 2020-07-25 1604196507200000 1604191103160001 1604196209950002
9 AMANDA SHAFIRA ARLINA S P 2019-09-29 1604196909190001 1604191007190002 1604106112990002
10 RISTA APRIANI FITRIANI P 2019-03-25 1604196503190002 1604191302190007 1604214302000001
11 OKKI SEPRIYANTO SEPTIANA L 2018-10-10 1604195010180001 1604192901190002 1604205209000002 √
12 VIFSA AFILIANDO YATEMI L 2019-02-04 1604190402190000 1604191109120001 1604194808900001
13 AMIN KHOIRONI SRI PRIHATIN L 2019-08-24 1604192408190000 1604191505170002 1604195708920001
14 NAFISHA MIKAYLA A SINTA JULIANTI P 2019-12-30 1604197012190001 1604190204130001 1604194507930002
15 FIRLI PUTRI GARINSI ROSLINDA P 2018-09-29 1604196909180000 1604192002080054 1604194101770002
SAKINAH
16 SALSABELLA AYU HANIFA ALMUNAROH P 2018-09-30 1604197009180000 1604190303150001 1604214405020001
17 ARKA PRATAMA FIRLI ARIANSIH L 2018-11-16 1604195611180000 1604192304190001 1604197004000002
18 AINUN GIVA FADELIA DIKA N P 2019-08-31 1604197108190002 1604190904200002 1604196006990001

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Lusi Suryani, Am. Keb


YATNO, S.E

NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA LINGKAR K BGM
EPALA
19 TAUFIQ QUROHMAN LALA PRIZA P 2019-08-07 1604194708190000 1604191412150002 1604194508980001
20 RIFKI RAMADAN YATINI L 2019-05-24 1604192405190002 1604192002140001 1604195204820001
21 KHOIRUL AZAM LENI NOPIYANTI L 2018-02-28 1604192802180001 1604191802140001 1604085507920001
22 DIKY PRATAMA ROHYATI L 2019-11-27 1604192711190001 1604191802200003 1604196811970001
23 DARSILA NIA APRIANI P 2021-01-25 1604195501210001 1604190209140002 1604194705940001
RAIZ ALMAN
24 FAKHRUDIM SITI RUMIAH L 2019-11-16 1604191611190001 1604190509190002 1605125803930002
AKSA RAIHAN
25 SYAPUTRA INTAN SURYANI L 2020-01-16 1604191601200001 1604192909150001 1611045508920003
26 DESTI RENATA AYI LIA PUTRI P 2019-11-16 1604195611190000 1604193105180001 1604194607970003
27 DAFFA ATALA AYU FIRNANDA L 2020-06-02 1604190306200001 1604192906200002 1604194409040001
28 RAIHAN AL QODRI FITRIANI L 2020-06-08 1604190806200001 1604192707100006 1604195603850002
29 PRILI DWI ANITA S NIA DANIATI P 2019-04-04 1604194404190001 1604191502120010 1604194507920001
30 M. AL FARIZKI SURATI L 2020-04-10 1604191004200002 1604192804200002 1604196904990001
31 SITI NUR KHASANAH SUMARNI P 2020-05-21 1604196105200000 1604191707080005 1604194504830001
32 APRILIA LESTARI P 2018-04-28 1604116804183827
CHABIBATUL
33 MARFUAH WIJIATI RAHAYU P 2020-09-14 1604195409200001 1604192903100001 1604195510890001
34 ADAM SATRIA TAMA RIRIN HARTANTI L 2020-08-22 1604192208200001 1604190109200001 1604197107990001
35 YASMIN NUR ANISA DIKA N P 2021-01-22 1604196201210000 1604190904200002 1604196006990001
HANAN FAQIH AL
36 FARENDRA SITI ROHYANI L 2021-01-27 1604192701210000 1604192002080087 1604195208870001
37  REFALDO PUTRA  KUSMALA D L 2019-04-27 1604112704198178
 RAFARTAR
38 FEBRIANSYAH  RATMI L 2019-02-15 1604111502196728

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

YATNO, S.E Lusi Suryani Am.Keb


LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
39  MIFTAHUL BIRRI ESTIKOMA L 2021-05-09 1604110905216195
40 NAZIA ALMAHIRA ROHARJANI P 2021-05-29 1604116905218643
 AQILA PUTRI RAMADAN
41 I  PIPIN KUSDINI P 2021-04-17 1604115704218849
42  DIMAS ABDULLAH SIAMI H L 2021-02-25 1604112502219288
43  KHOIRIL R SUNARTI L 2021-06-17 1604111706211324
44 YOSEF KRISTIANI ENI NURENI P 2021-08-17 1604115708218772
45 ANISA PRINA P 2020-11-26 1604116611206966
46 WAKHID IHSANUDIN EKA UNARI L 2023-03-03 1604110303229740
47 LUBIS WIJAYA JUMARMI L 2023-04-01 1604110104223009
48 DARA ALIANA SITI SHOLIKAH P 2019-08-25 1604116508196479
49 SHANUM AYESHA FIRDA AFINDA P 2019-09-24 1604116409199799
50 AISHWA R ANI MUSTIKA P 2023-04-03 1604114304224233
51 ZIDAN ALWI B WAHYU T L 2023-05-21 1604112105227986
52 AZKIYA NADIRA M RESTI CAHYATI p 2021-07-01 1604114107216005
53 ARIQ ATTALLAH DWI KURNIASIH L 2023-10-10 1604111010228431
54 NOPIS ABDUL HARIS FITRIYANI L 2023-10-25 1604112510223325
55 ARIQ ATTALLAH DWI KURNIASIH L 2023-10-10 1604111010228431
56 NOPIS ABDUL HARIS FITRIYANI L 2023-10-25 1604112510223325
57

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Lusi Suryani Am.Keb


YATNO, S.E

LINGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Lusi Suryani Am.Keb


YATNO, S.E

LINGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
M. MUFID RIYADI RATMINI L 2017-07-13 1604191307170001 1604190407080003 1604194405930004 5thn  - - - -
FATIMATUL -
KHOIRUN TUGIYANTI P 2016-07-28 1604196807160001 1604191502120006 1604194605880001 5 thn - - -
RISKI AKHSINA A SURATI L 2017-01-07 1604190701170000 1604192002080024 1604196211840008 5thn - - - -

SAFA NURJANAH WINDA NINGSIH P 2016-08-29 1604196908160001 1604192009160001 3309031812969001 5 thn - - - -

TOHARY SUMARTI L 2016-09-22 1604192209160001 1604191707080004 1604195207820005 5thn - - - -


ARSYILA ROMEESA -
F VERA DWI P P 2017-03-09 1604194903170001 1604192002120019 1604194802870002 5thn - - -
KHOIRUL ANAM WATINI L 2017-06-26 1604192506170001 1604192003090002 1604195204780002 5thn - - - -

M.SALSABILA SRI LESTARI P 2017-07-16 1604196607170001 1604191310090004 1604196008820001 5thn - - - -

OVIK AZIZAH RISMA P 2016-09-29 1604196909160001 1604192511100001 1604194805880001 5thn - - - -

REVA RAMADANI FITRI ANDRIANI P 2017-06-16 1604196606170001 1604190612320101 1604196602890003 5thn  - - - -

 ANDRI WIJAYA  DEWI SARTIKA L 2017-05-04  1604110405176203 5thn - - - -

FARRAH AGUSTIN SURHAYATI P 2017-08-17 1604195708170001 1604192002080096 1604194906760002  5thn - - - -

PUTRI AGUSTINA OLIS SETIAWATI P 2017-08-22 1604196208170000 1604190506190001 1604194410980001


ABDURRAHMAN S WIJIATI RAHAYU L 2017-08-27 1604192708170001 1604192903100001 1604195510890001
SLAMET RYADI SARTIKA L 2017-09-09 1604190909170001 1604192809110001 1604196707880002
NIZAM ABIZARD FIRDA AFINDA L 2017-10-15 1604111510178320  5thn - - - -

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Lusi Suryani Am.Keb


YATNO, S.E
HASIL LAPORAN EPPGBM
(APLIKASI PENCATATAN DAN PELAPORAN GIZI BERBASIS MASYARAKAT)

NAMA DESA : LUBUK SEKETI


NAMA POSYANDU : SAYANG IBU
TANGGAL : 2023
LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
1 M. RANDA HAWANI L 2018-05-03 1604190305180001 1604191602080115 1604194107790014
2 HIKMAH ELSI. D HILYAWATI P 2018-12-05 1604184512180001 1604191602080253 1604194107850014
3 NAZZA DIAN ALPARO DIANI P 2019-06-20 1604196006190001 1604191612080001 1604195609800014
4 ROSSA JENISA TINSI P 2019-01-02 1604194201190001 1604191702080011 1604195002800002
5 ZALFAH ZAFIRA ELMA ELDAWATI P 2018-09-20 1604192009180001 1604192090900002 1604195010850004
6 ALEX EDO PRASETYO FETI SURYANI L 2020-04-01 1604190104200000 1604190903120001 1604194101870007
7 BEBI AMOERA Q ANNISA P 2020-02-13 1604195322000001 1604191702080001 1604195605860002
8 ANDRA FAIZ S VINI ANTINI L 2018-01-18 1604191801180002 1604192303160001 1604196005930001
9 ADITIA ALSYAKBAN R LISI LISDAYANTI L 2019-05-16 1604191605190002 1604191212180002 1604195106000001
10 DWI JULIANTI NOVI SUSANTI P 2018-07-27 1604196707180000 1604191602080202 1604196310910001
11 M. JONATHAN AL NITA YUPITASARI L 2020-06-14 1604191406200000 1604191406200001 1604204205980001 √

12 AYERIN NUR H SUSI ARDILLA P 2018-01-26 1604196601180002 1604191910180001 1604195711000001


13 ADINDA MEYRISA RIKA MUTIARA P 2018-05-10 1604195005180002 1604191409170001 1604195508970002
14 M. SANDI YANSEN RIKA MUTIARA L 2021-02-19 1604191902210000 1604191409170001 1604195508970002
15 ANNISA ASTADINA DEKA YULIANI P 2018-07-25 1604196507180001 1604191011170002 1604195507970001
16 M AIJAZ ABRIZAM NUR EKA.A L 2021-01-24 1604192401210000 1604190506180001 1604106504970002

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Arpian Lusi Suryani Am.Keb

LINGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
17 DELEN KUSUMA KUSI LILIANI L 2019-09-27 1604192709190000 1604191412110001 1604191412110001
18 TOMI SAPUTRA SISMAYANI L 2018-11-15 1604191511180002 1604190512110007 1604194802900002
19 NAJWA SYAFITRI ARIANI P 2018-05-06 1604192605800001 1604190503100003 1604194407880003

20 M. HAFIS RAMADAN NINGSIH L 2019-05-27 1604192705190000 1604191211130001 1604196711890001
AHMAT ALINUAR
21 MUSASADAT ERISTA AMELYA L 2018-01-14 1604195401180001 1904192005090005 1604194707880001
22 MAURA AULIA PUTRI FITRI INDAH J P 2018-06-25 1604196506180001 1604191811150002 1604191811150002
23 AYESA AATIFAH NAFIISA RIZA RESNAWATI P 2020-05-07 1604194705200000 1604192905120001 1604192905120001
24 KIARA JULIA SAWALNA SEPTA MELDA Y P 2018-07-02 1604194207180001 1604191505190001 1604195209980003
25 ARSIE FIDHARA HERA LIANTI P 2020-01-12 1604191201200001 1604191405120001 1604164610980001
26 BELVA DEVARA SEPTI Y.P L 2020-01-14 1604201401200001 1604201102200001 1604204609010002
27 AREL PRATAMA ARISKA L 2021-04-21 1604192104210001 1604191802210001 1611044904020004
28 VIOLA PERMATA SARI YULIA EPRIANI P 2021-03-23 1604196303210002 1604192001210001 1604165512020003
29 SELLA ANGGUN NADIA NOPITASARI P 2021-05-25 1604192505210001
30 MEGI SAPUTRA MEGA WATI L 2021-04-26 1604112604213890
31 ANDES JULIANSYAH DESI L 2021-07-31 1604113107217171
32 NADIRA APRILIA DEVI PUSTIKA P 2021-11-15 1604115511216353
33 ALEX SAPUTRA  FITRI INDAH J L 2021-11-12 1604111211216701
34 GERRY ALFAHRI SELFI L 2023-04-05 1604110504226907

Mengetahui, PKM Wanaraya, 2023


KepalaDesa / sekretaris Petugas Kesehatan

Arpian Lusi Suryani Am.Keb

LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
35 SYAKIRA MELIA LUSI SURYANI P 2023-05-13 1604115305223258
36 KHALISA JUNIARTI TUTI ASMARA P 2023-06-04 1604114406225321
37 AMIRA PRILITA TITI SUDARTI P 2023-05-24 1604116405229245
38  RAY JHON KEN RIZA R.W L 2023-06-20 1604112006226860
39 QUEENZA ELENA BATARI WULANDARI P 2023-08-16 1604115608222687
40 SHADIL AKBAR SUMINEM L 2023-09-22 1604112209221819
41 CAHAYA PURNAMA SEMIPARTI P 2023-06-21 1604116106224584
42 NARA ARSYLA WILIANI P 2023-09-24 1604116409225665
43 DZAKIYA MELASARI P 2023-06-02 1604114206222016
RANTI FRANSISK
44 RASYAH PUTRA RAHESTA A L 2023-11-21 1604112111225769
WINTI RATNASA
45 RAYANZA RI L 2023-11-02 1604110211223855
46 ARKI ANDARA HERA LIANTI L 2023-11-29 1604112911228448
47
48
49
50
51
52
53

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Arpian Lusi Suryani Am.Keb

LINGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
TICKEL NANDES. R RIA ANGGRAINI L 2016-06-06 1604190606160001 1604191501160001 1604175408910002 5thn - - - -

NOVA APRILIA NOVI SUSANTI P 2016-04-17 1604195704160001 1604191602080202 1604196310910001 5thn - - - -

MUSANTO NITA SURYANI L 2017-06-25 1604192506170002 1604192712120001 1604174505910001 5thn - - - -


KESYAH PUTRI.R DEVI PUSTIKA P 2016-06-28 1604196806160001 1604191207110002 1604194803930002 5thn - - - -

MEILIYANTI NIRMASILPIYANI P 2016-05-17 1604195705160001 1604191602080284 1604194205850001 5thn - - - -

MARFEL SEFRY F MILLA SYARTIKA L 2016-11-10 1604198011160001 1604190702120004 1604197005890002 5thn - - - -

DESKA SAPUTRI TUTI ASMARA P 2016-12-27 1604196712160000 1604192603130002 1604194308900001  5thn - - - -

MEIKO SANDRES SULIS SETIAWATI L 2017-05-25 1604192505170001 1604191204180001 1604195711980001  5thn - - - -

ABDAL YUSMAN S EVI ISMITA L 2016-09-25 1604192509160001 1604191412110002 1604194205880004 5thn - - -


ALDI WIJAYA NINI YULIANI L 2017-03-29 1604192903170001 1604190505170001 1604190505170001  5thn - - -
M. YUSUF SAPUTRA ASDALINA L 2017-06-04 1604190406170001 1604190702120002 1604190702120002  5thn - - -
ARUM RAZITA  SUMIANA P 2017-07-26 1604116607172699 5thn - - -

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Arpian Lusi Suryani Am.Keb

HASIL LAPORAN EPPGBM


(APLIKASI PENCATATAN DAN PELAPORAN GIZI BERBASIS MASYARAKAT)
NAMA DESA : SUKARAMI
NAMA POSYANDU : GADING MAS
TANGGAL : 2023
Tanggal Lahi LINGKAR K BGM
NO Nama Balita Nama Ibu P/L r NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
1 KYARA VALBENSIA.G NITI NIRMALA P 2021-01-10 1604195001210000 1604191102080002 1604195506970002 √
2 ALMIRA EMI A P 2020-01-07 1604194701200000 1604191908150001 1671044908890011
3 GEZA NOVENDRA SISKA FITRIANI L 2019-11-13 1604191311190000 1604191804180001 1604194601000001
4 AZORA KHAIFA SEPTI P P 2020-01-10 1604191041200000 1604192511150004 1604204112900002
5 M.JUNATA TITI HARIATI L 2019-08-09 1604190908190000 1604191002080105 1604195806000001
6 M.GILAN DESI RATNA S L 2018-11-15 1604191511180001 1604190803180001 1611045705960004
7 DEVINA.A LENI M P 2021-01-01 1604194101210000 1604190908120001 1604194105860001
8 M. ABRIZAM KAMIL NOPSIA H L 2020-01-05 1604190501200001 1604192809110002 1604195511860001
9 ADELIA QIRANA HARTINI P 2019-08-14 1604195011190001 1604190201130002 1604186604850001
10 ALFIZH AZIZAN AINI L 2020-09-22 1604192209190001 1604190412190001 1604194712990002
11 ALVINO RAMADHAN LENSI HARIANI L 2019-05-16 1604191605190000 1604190309190004 1671034202890012
12  KENNAN ALMALIK DISTRI L 2020-0713 1604191307200000
13  VANEZA OKTAVIA EPI PUSTIKA P 2018-10-18 1604195810180001 1604191203180002 1604191610850001
14 REYNAN NILA SARI A L 2020-05-13 1604191305200000 1604190902080083 1604196604030001
15 FREA AZIZAH RISI MUNAINI P 2019-11-30 1604193011090003 1604190304140001 1604196007980001
16 FANI ADELIA PUTRI NESMALENA P 2020-04-18 1604195804200001 1604191302190003 1604196607920001
17 SIFANGI ICI APRIANTI P 2019-03-03 1604194303190002 1604196607920001 1604196607920001
18 AJLI ALHAFIS RIANI L 2018-02-22 1604192202180001 1604192311120001 1604195004900001

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Mahdi Lusi Suryani Am.Keb


LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
19 HAJA BUNGA SINTA G P 2018-06-01 1604194106180001 1604191908190001 1604164903000001
20 AIZA ADESRE TITI DEWANTI P 2021-02-28 1604196802210000 1604191202180002 1604196001880001
21 RAFAEL RAUNI MUKTIHA L 2017-12-01 1604110112175956
22  TRIAN ALFARIZI  LISA L 2018-11-01 1604110111189632
23  HAFIZA  LILI PUSPITA S P 2020-10-10 1604115010202864
24  IMESYA AIH  WIDDYA W P 2020-05-12 1604115205209825
25  REYNA S.R  SUSI HERAWATI P 2021-04-25 1604116504218057
26  AKHMAD RAYYEN  RENI SUSANTI L 2021-05-12 1604111205214440
27  RAHWA NURAZIZAH  VERANIKA P 2019-08-03 1604114308197782
28  PHANIA  NIS MALENA P 2020-04-18 1604115804206721
29 JENISAH DEVITASARI DEWI SEKAR A P 2018-12-12 1604195212180001 1604192112180001 1604194303910002
30 IQBAL ALDINAR FIRDA JUMIATI L 2021-07-05 1604110507211608
31 RAFIKA WULANDARI FIRDA JUMIATI P 2020-01-12 1604115201205673
32 FITRA RAMADANI FITRI DIANSAH L 2019-05-29 1604112905197372
33 SUCI RAHMADANI MARYANTI P 2021-05-10 1604115005215286 √
ABDURRAHMAN YUS
34 UF IIS SUGIARTI L 2017-12-26 1604112612175808
35 ALESHA ZAHRA YETI P 2019-07-15 1604115507195922
36 ALKARIM YUNI A L 2019-06-29 1604112906199442
37 ANGEL YEYEN P 2020-09-16 1604115609206253
38  MAHERA A SELDA A P 2018-09-25

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Mahdi Lusi Suryani Am.Keb

Tanggal Lahi LINGKAR K BGM


NO Nama Balita Nama Ibu P/L r NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
39  DELLEN JULI VALENTINO YANTI ARIANI L 2018-07-06 1604194607180001 1604190502180002 1604190607950002
 HABIBURAHMAN ALFARIZ
40 KI NIKI SUSANTI L 2021-05-20 1604112005211199
41 OZAR ATHARRAZKA  RIRIN APRIANA L 2021-10-22 1604192210210001 1604190902210001 1605106604990001
42  M. RAYYAN FAHRI  DEWI SARTIKA L 2021-10-08 1604110810215398
43  M. ZULFIKRI FAAREZA  LUSI JANUARTI L 2021-12-10 1604111012213256
44  DAIHAN SAPUTRA EDI PUSTIKA L 2023-01-01  1604110101225595
45 ALDI ANANDA RIZKI MARTIKA JULIA L 2023-02-15 1604111502228783
46 ZELINE ZAKEISHA MARWINA P 2023-04-07 1604114704224694
DESWITA ARISAN
47 AISWAH LAKSONO TI P 2023-04-23 1604116304227842
48 NADA FITRIANI P 2020-05-22 1604116205201107
49 M DAVIN ALVINO ROBANA L 2023-05-31 1604113105225017
50 NESA KHUMAIRAH NELLY p 2023-08-08 1604114808224602
51 LANA CAMILA DALKANI DESTA RIANA p 2023-08-05 1604114308228265
52 KANESA NOZAWA WINDA MARIA p 2023-05-26 1604116605221331
53 ERMANSA MARLENI L 2023-08-10 1604111008228927
NOVITA NOVA SA
54 M ALIF ALISON RI L 2020-02-18 1604111802203105
55
56
57
58

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Mahdi Lusi Suryani Am.Keb

LINGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
59
60
61
62
63
64
Mengetahui, PKM Wanaraya, 2023
Kepala Desa / sekretaris Petugas Kesehatan

Mahdi Lusi Suryani Am.Keb

LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
SYAQILA AMANDA FITRI YULIANI P 2016-08-25 1604196508160001 1604191002080082 1604194708870001 5thn - - - -

 MUHAMMAD ARSILE RILI SUSANTI L 2017-07-25 1604192507170001 1604192307130001 1604194106880001 5thn - - - -

 FITRIA RAMADANI DEWI SARTIKA P 2017-0618 1604195806170002 1604190902080112 1604195008830001 5thn - - - -

 AHMAD BILAL MARLENA L 2017-07-31 1604193107170001 1604190401080013 1604190309850002 5thn - - - -

SAFIRA APRIANI ICI APRIANTI P 2016-07-29 1604196507160001 1604196607920001 1604196607920001 5thn  -  - - -

M. RIFAI MARYANTI L 2016-09-16 1604191609160001 1604192305180001 0871085203900004 5thn - - - -

APRILIA NAURA HENI S P 2017-04-05 1604114504175237 5thn - - - -

 TELIS REFANDER RISA HASRI S L 2017-04-30 1604193004170001  1604190807100001 1604193004170001  5thn - - - -

MUHAMMAD FARIS DESTARIANA L 2017-09-04 1604110409176537  5thn - - - -

 DHANIL ROKILA L 2017-09-11  1604111109175824  5thn - - - -

 RAVAEL PRATAMA OKTA L 2017-09-19 1604111909171863  5thn - - - -


 AFIFAH FITIAH  CHIRLI P 2017-10-26 1604116610179063  5thn - - - -

 MIZEAL  MONA P 2017-10-29 1604112910178274  5thn - - - -

KEYZA SAGITARIUS LINSI P 2017-11-06 1604114611176494  5thn - - - -

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Mahdi Lusi Suryani Am.Keb

HASIL LAPORAN EPPGBM


(APLIKASI PENCATATAN DAN PELAPORAN GIZI BERBASIS MASYARAKAT)
NAMA DESA : MEKAR JAYA
NAMA POSYANDU : 019
TANGGAL : 2023
LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
1 REYHAN ARDIANSYAH RISA UMAMI L 2019-06-12 1604191206190001 1604191305150002 1604194107960026
2 SEKAR SYAKIRA RINA YULIANA P 2019-04-15 1611045504190001 1604190206200001 1611045212950001
3 NAFIZA BILQIS ANJANI SITI MARFUAH P 2018-12-16 1604195612180001 1604191901100005 1604196512870002
4 SITI NUR HAFIZAH NOVIANA N P 2019-11-09 1604194911190001 1604192905190001 1604197011990001
5 M. RAMADANU MARYATI L 2019-05-08 1604190805190002 1604191502080009 1604195504740001
6 INKA RAMADANI YAYUK E P 2020-05-22 1604196205200000 1604191502080101 1604195705870002
7 DAFFA JULIANSYAH RUSMALA L 2018-07-07 1604190707180000 1604191407150004 1603134810760004
8 STARLA AL LIANZA ICE T P 2018-11-25 1611046511180003
9  FEBRI ARDIANSYAH  PUSPA DEWI L 2019-10-22 1604112210193466
10  AHMAD FAUZAN  ISTIANA L 2018-05-24 1604112405182736
11  AULIA APRILIA SARI  YANI P 2019-04-21 1604116104196341
12  GIBRAN KELVINO  PUPUT L 2020-09-14 1604111409201030
13  ZAKI IRWANZAH  MAYNA L 2021-05-24 1604112405214483
14  AUREL CAHAYA S  SANTI P 2020-10-22 1604116210207694
15  SILKAN HAMIZAN Q  RISKA L 2020-12-30 1604113012205650
16 AIZA DAYYINAH DESI P 2021-07-04 1604114407212228
17 WAHYU SATIA D WULANDARI L 2019-01-27 1604112701193689
18 TASYA OKTAVIA RENI ANITA P 2020-06-18 1604115806204795

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Bambang Susanto Lusi Suryani Am.Keb

LUNGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
19 TRESYA NUR ARAFA ISTIANA P 2019-08-10 1604115008191185
20 ALVIN ARZALAN ISWATUN L 2020-11-03 1604110311201326
21 RESA CINTIA TARTILA P 2018-11-21 1604116111187729
22 M TAJRI SOPYAN RIANA L 2018-09-02 1604190209180001 1604191212140001 1604194502980001
23 M RAMADANI YATI L 2018-05-22 1604112205183388
24 STALIA ZAFIRA ICE TRISNAWATI P 2021-06-14 1604115406214202
25 M HAIKAL RAMADAN AYU L 2021-05-01 1604110105219992
26  KAUSAR HABIBA L 2018-07-01 1604110107208412 √
27  JELITA JASMIN HABIBA P 2018-06-29 1604116906187893
28  TEZZA ARAFI ELIS IDAWATI L 2018-01-09 1604190901180002  1604192803090001
29  SAKIRA ADIFA A RISKA P 2017-12-30 1604117012171187
30 ZHIA AKILA POPI P 2021-11-21 1604116111216894
31 ADIVA FADILA P 2023-08-09 1604114908221518
32 AZIKRA AMP ANDES L 2023-06-10 1604111006224015
33 KEY MARDITAQUEN MARNI P 2023-06-07 1604114706224040
34 ANGGITA JULIA ISTIANA P 2023-07-07 1604114707222681
35 NAFIZA DERA DEKA APRIANI P 2021-10-03 1604114310217008
36 ALIYA MEYDITA HOLIDA P 2023-05-26 1604116605228089
37 ALIVA GARWITA RANI P 2023-11-01 1604114111228355

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Bambang Susanto Lusi Suryani Am.Keb

LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
38 DIKA ROMANSAH ROSIKA L 2023-12-05 1604110512227954
39 SOLEH ARYA PRATAMA RIZALIYA L 2023-11-11 1604111111225421
Mengetahui, PKM Wanaraya, 2023
Kepala Desa / sekretaris Petugas Kesehatan

Bambang Susanto Lusi Suryani Am.Keb

LINGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
HAIDIL STIAWAN SURYANI L 2017-07-03 1604190307170001 1604191108110001 1604195309920001 5thn - - -
IZZAN AL FAWAZ SITI MARFUAH L 2017-01-09 1604190901170001 1604191901100005 1604196512870002 5thn - - -
WAYUNITA RAHMA D P 1604194107160001 5thn - - -
AZZIZAH SALSABILA ANA MUSTIKA R P 2017-08-14 1604115408179334 5thn - - -
 WIWIN ALISISA P NURMI P 2017-05-23 1604116305179676 5thn - - -
 FIKRI VIGO A SITI H L 2017-03-05 1604110503178254 5thn - - -
 ASLAN IPARIS R SANTI L 2021-11-06 1604110611211004  PINDAH
Mengetahui, PKM Wanaraya, 2023
Kepala Desa / sekretaris Petugas Kesehatan

Bambang Susanto Lusi Suryani Am.Keb


HASIL LAPORAN EPPGBM
(APLIKASI PENCATATAN DAN PELAPORAN GIZI BERBASIS MASYARAKAT)
NAMA DESA : WANARAYA
NAMA POSYANDU : DELIMA
TANGGAL : 2023
LINGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
1 AFIFA DWI FERNANDIA BUDIARTI P 2019-03-05 1604190503190001 1604191212180001 1604195702870001
2 DAFINA KALISTA PUTRI RIRIN NUR H P 2019-03-03 1604193303190001 1604192411110004 1604198111910002
3 WAFIZA KAYLA R WIWIK S P 2019-05-22 1604196205190001 1604191202080136 1604196705830001
4 M.NATHAN AL GIBRAN SEPRIYENI L 2019-05-21 1604192105190001 1604191107170001 1604194807740001
5 M. KHALID ARRASID DARMINI L 2019-05-24 1604192405190001 1604190511180001 1604196901990001
6 SHIDQIA KHAIRUNISA DEWI ASTUTI P 2019-01-03 1604196305190001 1604192609190002 1604196205960001
7 M. TITO A NINI SUPIANTI L 2019-05-23 1604191205190001 1604191907190002 1604195209990001
8 ALYANISSA FARZANA TRI NUR DIANA P 2019-05-12 1604194906190001 1604191610130002 3316124201940002
9 AZAHRA ALFIANINGSIH WIWIK K P 2019-06-09 1604195907190001 1604192305140001 1604197005890001
10 SHESILIA PUTRI YUAN YULIANTI P 2019-07-16 1604195607190001 1604191411130002 1604104506920008
11 AKIFA NAILA KRISTINA W P 2019-08-25 1604196508190001 1604190212190001 1604175803900001
12 BILAL GUSTI AL FACRI MIMI SUSANTI L 2019-08-12 1604191208190001 1604192611120001 1604194405930002
13 AYU MISNANRTI ARMA SARTIKA P 2019-08-14 1604195408190000 1604191302080081 1604194308010002
14 M.DEFFFIN EL FATIH SITI ROKOMAH L 2019-09-22 1604192209190000 1604191302080205 1604197012990001
15 CHELSY MONALICA WARYATUN P 2019-08-28 1604196808190001 1604192111090006 1604191705830003
16 HISYAM ABDULLAH CAHYANI K.D L 2019-11-24 1604192411190001 1604191610130001 1604195910930002
17 M. YUSUF ABDULLAH ADI ARUM N L 2019-11-30 1604193111190000 1604192505150002 1604194505860001

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Warsanto Lusi Suryani Am.Keb

LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
18 REYNAND ELVANO ROSPITA P L 2019-11-25 1604192511190002 1604192708150002 1604195402890002
19 M. ABDUL FATAH SUMIATI L 2019-07-11 1604191107190000 1604191402170002 1605185606030001
20 KHEYRA DINARA NIA YOLANDA 2019-02-20 1604196012190000 1604190204190003 1604184802970001
21 WULAN LESTARI WELI P 2020-03-06 1604194603200000 1604190410190004 1604195001990001
22 YUWAN WAHYONO WAHYUNI L 2018-01-29 1604192901180001 1604191005130001 1604195505910001
23 NENG JAHRA A AAN P 2018-01-21 1604196101180001 1604190406080001 1604194101860002
24 RAMADHANI KAREEN MELIANIS L 2020-05-14 1604191405200000 1604191005110001 1604195005860002
25 MENTARY ANDINI H. GUSTINI P 2018-01-01 1604194101180001 1604190702120008 1604195108890003
26 ALPINO PUTRA P SUPANTI L 2018-02-26 1604192602180002 1604190704190001 1672055912990001
27 RISKY ALDI SAPUTRA SITI DJAROT N. L 2018-03-12 1604191203180001 1604190606180001 1508165602890001
28 M. RIO YULIANA L 2018-03-13 1604191303180002 1604192108090002 1604194907880002
29 SALESHA PUTRI A. SITI NUR H P 2018-03-04 1604194403180002 1604192109160003 1604194708990002
CHINTA ANGELIA
30 MAHALINDA NGADISAH P 2018-04-30 1604197004180002 1604192702120001 1604195507810005
31 REHAN TRI RAMADN SUKIYEM L 2018-05-13 1604191305180001 1604191202080192 1604195706830001
32 M. NATANIZQIAN WIJI LESTARI L 2018-04-12 1604191204180002 1604191412160001 1604195612870001
33 M. RAIHAN NANI DWI D L 2018-05-05 1604190505180001 1604191302080016 1604196307860002
34 ALVIANO ADHI JAYA SRI WAHYU R. L 2018-06-08 1604190806180001 1604191303150003 1605125701970001
35 ALZENA AUFA NOOR CHAHYATI L 2018-06-20 1604196006180002 1604192805080002 1604195208770003
36 FATIMAH AZZAHRA SITI MAIMUNAH P 2018-07-16 1604191607180002 1604191610120002 1604195005900006
37 EGIK SAPUTRA SUNARTI L 2018-07-18 1604191807180001 1604191302080104 1604194107810016

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Warsanto Lusi Suryani Am.Keb

Tanggal Lahi LINGKAR K BGM


NO Nama Balita Nama Ibu P/L r NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
38 ANTONIUS NATAREZA BERLIANA L 2018-07-23 1604192307180001 1604191704120003 1604194607920003
39 MECHAILA RISQIA SUTIKAPRILINA L 2018-07-22 1604196207180021 1604190812100003 1604198804860001
40 CHAFIA JULIANI TUSIMAH L 2020-07-18 1604195807200000 1604191202080200 1604196109850001
41 AFDAL RISKI PRATAM NUR SAADAH L 2018-08-04 1604190408180001 1604191202080124 1604196701920001
42 PUTRI REZKY ADELIA SRI WAHYUNI P 2018-10-09 1604194910180001 1604190811160001 1604198410790001
43 NASYA PRASETYO RIA KARYATI L 2018-10-23 1604196310180002 1604190207180001 1604194509960002
44 DILAN KHAIRILANAM NARSIYAH L 2018-10-13 1604195310180001 1604192912110001 1604196008900001
45 AZZAM NURWAHID OKTA RIYANTI L 2018-10-20 1604192010180001 1604192501190001 1604194110970001
46 SADAM ALTNAF GIFARI JASTRI S L 2020-05-10 1604191005200000 1604190504100002 1604194212880001
47 MUHAMMAD HAIKAL CASMIYATI L 2018-11-02 1604190211180001 1604191112180003 1604195111010004
48 HAFISS ARKAN SALNA L 2018-12-16 1604191612180001 1604190712110001 1604194304940001
49 KINARA ALMEEKA TITIN P 2020-01-24 1604196401200000 1604191904160002 1808016807950003
50 DWI PRAYOGA ARYA NINGSIH L 2019-01-18 1604191801190001 1604190607110003 1604195002870002
51 ARKAN ZIO ALFARIZKY SUSILAWATI L 2019-01-25 1604192501190002 1604192802130002 1604194905960001
AZZAM RAFISQI AL-HAFI
52 S MARTINAH L 2020-08-14 1904191408200000 1604191102080112 1604196111870001
53 NEVANDA DINI A MARFUAH P 2020-08-23 1604196308200000 1604192109120001 1604196707890002 √
54 DANI ANDIKA S TARNI L 2020-04-02 1604190204200000 1604190207130002 1604194101880002
55 SEPTA DWI LESTARI LESDIAN P 2020-09-08 1604190809200000 1604190207130002 1707076104880001
M THUBAGUS AL
56 KHYNAN WIWIK.Y L 2020-10-27 1604192710200000 1604191112090001 1604194707920001
57 ANISA SALSABILA SUPANTI P 2020-10-26 1604196610200000 1604190704190001 1672055912990001
Mengetahui, PKM Wanaraya, 2023
Kepala Desa / sekretaris Petugas Kesehatan

Warsanto Lusi Suryani Am.Keb


LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
58 DESINTA WAHYU P 2020-12-05 1604194512200000 1604192505090014 1604190707870001
59 M. FAIZAN TIANI L 2020-11-10 1604191011200000 1604191911190001 1604197105000001
60 ABDILAH FATIR YULIANA L 2020-11-11 1604191111200000 1604191610120003 1605184710920002
61 AZKA FARIZA VITRI P 2018-07-02 1604194207180002 1604192801200002 1604195704960003
62 YUSUF ACE . A. S MELVITA.P.N L 2020-11-07 1604100711200003 1604102005200001 1702094406940001
63 ALFARIZI SEPRIANI L 2020-08-10 1106161008200002 1108162309200002 1222036003930007
ELZIO GIBRAN ASWAN
64 GGA PENTI HERNITASARI L 2020-11-30 1604193011200001 1604191911200001 1604194102000002
65 GAVIN MAULANA M LUTIANA Y L 2021-03-11 1604191103210001 1604191103200002 1604195007990001
66 DELVIN ARYA P MARYATI L 2021-03-17 1604111703212368 1604191506090003 1604195607840001
67 RIZKI PRATAMA LINA DIANA L 2021-02-08 1604190802210001 1604191507210002 1605206108020001
68 VELI CITA HELENA MARIA P 2020-03-07 1604114703208351 √
69 TAVISHA YESI P 2021-04-25 1604112504217564
70 M GIBRAN TUTUT L 2021-04-28 1604112804214882 1674035206960003
SANI FADIL RIZKIANSYA
71 H LUSINI L 2020-04-10 1604191004200001 1604190909110002 1604196002910002
72 ARDA ZHIAN AL RAFIF TIRA L 2021-05-21 1604112105215566
73 M FAQIH M SUPARNI L 2018-02-11 1604191102180001 1604190404160001 1604196208890001
74  JUNAR RIVANDO  SUTIEM L  2021-01-23  1604112301213080
75  ADELA ADRIANA  ERNIDA P  2021-05-14  1604115405216101
76  CAHAYA ULFA  TITIN P  2020-03-22 1604112203204632
 JASMIN PUTRI AZAHR
77 A  NUR P  2021-04-02  1604114204215132

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan
Warsanto Lusi Suryani Am.Keb

LINGKAR KE BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA PALA
78  M. SYAWAL ABIAN  LINA L  2020-06-06  1604111806209537
79  DIRGHAM BARA S  LISMA L  2021-02-20  1604112002212757 160419070920001  1604195205960003
80  IMAS HANIFA  FENI P  2021-03-26  1604116603218243
81  M AKTHTAR  AGELA L  2020-10-29  1604112910207696
82  SITI NUR QORIA  RINI P  2020-03-15  1604115503206667
GIRINDRA PUTRA SETYA
83 BUDI NURMIA L 2019-03-17 1604111703193414
84 TITO OKTARIANSYAH KARTINI L 2020-10-14 1604111410207629
85 MUTIA MECA SALSABILA NISFULAIH P 2020-05-23 1604116305208930
86 RAYYAN NGAFATUN L 1018-08-08 1604110808181322
87 JIHAN ALEYA M MURNI P 2020-10-07 1604114710207059
88 KAYLA HUMAYRAH LIZA WATI P 2020-08-26 1604116608201295 √
89 NATAN SEPRI L 2019-05-21 1604112105197434
90 SHEILA DWI FITRI P 2020-12-09 1604114912207090
91 AGUSTIN SEMI P 2020-08-27 1604116708202534
92  ARSYILA NUR S NURUL P 2021-03-26 1604116603216019
93  BAHIRA WENI P 2021-09-26 1604112609216094
94  AKSA RELY L 2021-06-26 1604112606211017
95  YURIKHA ALFATUNISA SUSILAWATI P 2021-10-26 1604117010215271
96  ZAHRA OKTAVIA SARIMANA p 2021-10-29 1604116910212946

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Warsanto Lusi Suryani Am.Keb


LINGKAR KE BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA PALA
97  SALSABILA NUR CAHYATI P  2018-06-20 1604116006185343
98  AQUEEZA IKE P 2021-09-10 1604114910217490
99 NAZIM ABDULAH TIOLAN L 2021-09-05 1604110509215374
100 ERIKA JULIANA P TIKA SUTRA P 2021-07-28 1604116807218503
101 FATIMAH AZZAHRA JULIANTI P 2021-01-11 1604115101212026
102 HAWA ALMAHYRA SITI P 2021-10-15 1604115510216215
103 NUR ASYFA UMI SALAMAH P 2021-08-17 1604195708210001 1604190704210001 1604196308000002
CINTA ANDARA PRAM
104 USHITA SITI MUAWANAH P 2021-09-17 1604195709210001 1604190812100008 1604196506910003
105 M KHENZI NATALIA L 2021-05-04 1604110405215328
106 AFIFA FITIYA MURIYANTI P 2021-06-14 1604115406219639
107 SHANUM DENIA A SITI NUR HIDAYAH P 2021-07-25 1604116507213279
108 MEYRA AFAHUNISA NINGHOLIS P 2021-06-12 1604115206216159
109  ZAHIRA KIRANIA ARI A P 2021-10-25 1604116510217626
110  MARVEL SANJAYA FITRIANA L 2021-08-26  1604112608214587
111  SHIVA  YUNI P 2019-05-08 1604114805198293
112  SYAFIRA SHALIN F FITRI P 2021-02-21  1604116102219732
 NAMIA LATIFA AZAHR
113 A FITRI P 2021-02-15  1604115505219204
114  FARHAN AL FAREZI PENTI L 2021-10-26  1604112610214282
115  HANAN DESI L 2019-12-18  1604111812194205
116 VALISTA AYU PERMATA RISKA P 2018-04-11 1604195104180001 1604193004180003 1604190101960002

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Warsanto Lusi Suryani Am.Keb


LINGKAR KE BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA PALA
117 AKMAL HAFIZ ASIH L 2019-07-14 1604111407195845
118 FERDI JULIANTO NING L 2020-07-22 1604112207203884
119 M HAFIZ FAUZI JAMIANTIK L 2023-01-25 1604112501224717
120 BILLAL DILA L 2023-01-23  1604112301222078
121 DINA NATHANIA SUMINI P 2023-01-16 1604115601225290
122 RAFA SAPUTRA LASMIATI L 2020-06-18 1604111806204334
123 ALFIANO NANDARIA L 2023-02-24 1604112402227315
TRI OKTAVIANA
124 ERZAN AFZAL FELOVIN S.R L 2021-12-13 1604111312215213 16710365510950009
125 ATHA ALGIFARI NINA L 2021-09--05 1604110509218020 √

126 DAFFA ELBAS M DELVI L 2021-09-22 1604112209211962


127 RAZQA MAUANA VITRI L 2021-08-26 1604112608219431
128 DIRA SAPUTRA WULANDRA P 2017-09-18 1604111809176411
129 MAIZA CANTYIA MARTINA P 2023-01-15 1604115501223845
130 AGHNIYA IFFAH DWI KARTINI P 2021-05-29 1604116905214459
131 AL BIRRU RIZKY ISTIQOMAH L 2020-01-18 1604111801203034
132 ARSYLA ZEVANA WURI P 2021-02-01 1604114102217053
133 ALFA ZOHRI NIA L 2023-06-11 1604111106225205
134 ADELIA NURLAILA LESTARI P 2021-01-01 1604114101218735

Mengetahui, PKM Wanaraya, 2023


Kepala Desa/Sekretaris Petugas Kesehatan

Warsanto Lusi Suryani Am.Keb


LINGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
DANESH
ARDIANSYAH
135 ANITA L 2021-07-11 1604111107216197
136 JULI FERDIANTO TRI WAHYUNI L 2018-07-13 1604191307180001 1604191901100007 1604195504830001
ARYA ALFIANO ALFAR
137 IZKI NANDARIA L 2023-02-24 1604116402224520 1604192107090002 1604195010000004
CYRANOURA BANAFS
138 YA SITI LESTARI P 2023-06-29 1604115908222064 1604190603080001 1604195204060002
139 DAHMA DELA P 2023-03-08 1604114803229836
140 HAIKAL RATNA L 2019-05-05 1604110505192911
RAIHANA KHOMAIRO
141 H NANIK DWI D P 2023-06-16 1604115606224201
142 RAJA AHMAD SELA L 2023-05-09 1604110905227665
143 ARSAKA HEKSA R YUNI L 2020-04-19 1604111904207421
144
145
146
147
148
149
150
151
152

Mengetahui, PKM Wanaraya, 2023


Kepala Desa/Sekretaris Petugas Kesehatan

Warsanto Lusi Suryani Am.Keb


LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Warsanto Lusi Suryani Am.Keb

LINGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
BERWIN AINU ROHMAN WARYATUN L 2017-10-11 1604191110170001 1604192111090006 1604191705830003 5thn - - -
ANKA ABIYU A APRINI L 2018-03-13 1604191303180001 1604191202080178 1604197004860001  MNGGL
TRIA NOBITA SARIKEM P 2017-11-17 1604115711179403 5thn - - -
KELVIN IKE L 2017-11-05 1604110511171262 5thn - - -
NABILA PUTRI NASYFA LESTIYANI P 2017-12-21 1604196112170001 1604191601180002 1604196701950001 5thn - - -
SIDIK DWI KURNIAWAN SITI WARSIAH L 2017-12-14 1604191412170001 1604191212080006 1604196307880002 5thn - - -

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Warsanto Lusi Suryani Am.Keb


LINGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
WIDYA RISMA NURIN L P 2016-04-18 1604195804160002 1604192911170002 1604195205910001 5thn - - -
AZZAHRA HORIZA
SATIFA NUR WIDAYATAI P 2016-04-13 1604195304160001 1604192806160001 1604194301900002 5thn - - -
MIKHAYLA AZRIYANI DESFAHARYANI P 2016-04-18 1604195804160001 1604190908190002 1604195812960001 5thn - - -
KHEYLA KHAIRUNISA MARTINAH P 2016-05-04 1604194405160001 1604191102080112 1604199111870000 5thn -   - -
RATU RINDU BULAN S. EKA SULASTRI P 2016-07-01 1604194107160002 1604190102080025 1604194509900001 5thn - -
ASIFA NUR RAMADANI SUPARNI P 2016-07-04 1604104407160001 1604100404160001 1604196208890001 5thn - - -
ALFURKON RIAN
RAMADANI NISPULLAILI L 2016-07-22 1604192206160001 1604192507160001 1604196108980001 5thn - - -
AULIA IZZATUN NISA WARTI P 2016-08-27 1604196708160001 1604191302080030 1604198004820002 5thn - - -
AFIKA ALZAHRA ANDRIANTO P 2017-07-13 1604195307170001 1604190902180001 1604192709910001 5thn - - -
FAIS SYAPUTRA LILISSURYANI L 2017-03-15 1604191503170001 1604190608090001 1604194605880001 5thn - - -
ALENSA PUTRI CAHAYA SUMARNI P 2017-08-09 1604194908170001 1604190412080001 1604198707790002 5thn - - -
ABID ASKHA AL MALIK SUSILAWATI L 2017-06-30 1604193006170001 1604192802130002 1604194905960001 5thn - - -
ADIBAH SAKILA SUKARTI P 2017-05-02 16041942502170001 1604191302080226 1604196312730001 5thn - - -
KEISHA YONESTA
ZAHRA NETISARTIKA P 2016-12-12 1604195212160001 1604191701170001 1611044101990013 5thn - - -
SHAHYLA YUKA O. TIRA YULIANA P 2016-10-21 1604196110160001 1604190901170002 1604194507980002 5thn - - -
TIARA AULIYA ANTI P P 2016-11-20 1604196011160001 1604191911100003 1604196404850002 5thn - - -
ALIKA NAYLA PUTRI MIMINKARMIATI P 2016-12-11 1604195112160002 1604191005130001 1604195606950001 5thn - - -

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Warsanto Lusi Suryani Am.Keb


LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
SITI NUR
ATANIA SALSABILA HIDAYAH P 2017-01-10 1604195001170001 1604191408170002 1604196502970001 5thn - - -
KHAIRATUL AZIZAH DWI HARYANI P 2017-01-22 3307016201170002 1604191112190001 3307016107920006 5thn - - -
NURUL KHAFIFAH KHAYATI P 2017-02-23 1604196302170001 1604191302080180 16041956011850001 5thn - - -
ALFATAH SONI ANJASWANI L 2017-02-23 1604192302170001 1604190110130003 1604197005850002 5thn - - -
ALFIN MUSTOPA TATIK JULIATI L 2017-02-12 1604191202170001 1604192711180001 1604194706880002 5thn - - -
MERIKA SALSABILA OKTA P 2017-03-07 1604194703170002 1604172407130002 1604175012960002 5thn - - -
NAFINZA RAHMADANI NOVI DARSAWATI L 2017-05-27 1604196705170001 1604191802090003 1604195911820001 5thn - - -
KHALIFATUL AULIYA LATIFA TUSSYIFA P 2017-05-14 1604195405170001 1604190104160001 3504084804830001 5thn - - -
NOPI KRISTIAWAT
DIPI CAHAYA P I P 2017-04-02 1604194204170001 1604191212140002 1604216909940002 5thn - - -
RIVAN RINI L 2016-10-01 5thn - - -
ZURIAH LISMA P 2017-07-24 1604116407177112 5thn - - -
DIRGA JULIANTI L 2017-08-16 1604111608176962 5thn - - -
RASEL JUARSIH L 2017-05-18 1604111805176520 5thn - - -
FAJAR MEGIS JAMILAH L 2017-09-02 1604194209170001 1604192806100001 1604196309850003 5thn - - -
PUTRA AKBAR WIJAYA SRI TUTIK H. L 2017-09-18 1604191809170001 1604191910030001 1604194503900002 5thn - - -
NAJWA TITIN P 2017-09-13 1604115309172341 5thn - - -
FAIZAL MAULANA A.P. YASTIYAH L 2017-10-31 1604193110170001 1604191206190001 3322024605870004 5thn - - -

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Warsanto Lusi Suryani Am.Keb

HASIL LAPORAN EPPGBM


(APLIKASI PENCATATAN DAN PELAPORAN GIZI BERBASIS MASYARAKAT)
NAMA DESA : PURNAMA SARI
NAMA POSYANDU : CEMPAKA
TANGGAL : 2023
LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
1 PatarsahalaP.S TITIN TRIANA L 2018-11-09 1604190911180001 1604192009180002 1611044204960005
2 MONICA YULIANSYAH TUTI NATALIYA P 2020-01-26 1604196601200001 1604192701200002 1604195412010001 √
3 FIRDAUS SERGIO.W.S YANTI L 2018-10-04 1604190410180001 1604190111110007 1604194305800003
4 AULIA RAMADONA OKMA WATI P 2019-05-28 1604196805190001 1604190801140006 1611044109910009
5 ADIFA DAANIA. K FIKA LATIFAH P 2020-04-11 1604195104200001 1604191912190001 1604096906000001
6 NISA SALSABELLA MEI KARTIKA.S P 2019-03-05 1604194503190001 1604191503190002 1604196905970002
7 M.RAYHAN ALFAIS VERONIKA.R L 2019-11-02 1604190211190001 1604191510190001 1604195209980002
8 NIRMALA SALSABILA HERLINA P 2019-03-19 1604195903190001 1604190711160004 1604196301940001
9 ADIBA CITRA .R SITI MARFUAH P 2019-05-12 1604195205190001 1604192305190001 1604196209990002
10 DEPA FRISKA.A DEWI KUSTIANA P 2019-04-11 1604195104190001 1604190305180003 1611044508970005
11 M.REFAN AFANDI ANI SARTIKA L 2019-01-09 1604190901190001 1604190608180001 1604194712020002
12 HAFIZAH NURUL.Q SOFIYA NURUL.S P 2020-04-28 1604196804200001 1604193009190001 1604194504990002
13 DAVIAN ANUGRAH AYU NINGTIAS L 2018-01-01 1604190101180001 1604191903180002 1604194201950001
14 ALIFA NAUFALYN.F CUCU K P 2019-11-02 1604194211190001 1604193009190003 1604195107970001
15 TRI CERLIANA RUSLIATI P 2020-07-19 1604195907200000 1604192801080011 1604106205800004
16 ATIFA RAFIAH SITI AISAH P 2020-11-21 1604196111200000 1604192506190001 1603155205860003
17 M.BAGAS RIFALDI NINA YULIATIN L 2020-10-14 1604191410200001 1604190203110004 1604195107890002
18 M.PUTRA RANDIKA.P SISWI RUWANTI L 2020-07-23 1604192307200001 1604190609190001 1604195911990001

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Erwin Lusi Suryani Am.Keb

LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA

19 NISA RAHAYU.S SUPRIHANI P 2019-08-31 1604197108190001 1604190810090002 1604194704810001
20 FARZANA SAFIRA NOVIA AGUSTIN P 2019-12-06 1604194612190000 1604191011200002 1604195908020001
21 LIDIA NATHASYA.S MASRIANA D.S P 2019-12-20 1604196012190001 1604190510150001 3209376609880001
22 LETICIA NATHALIA .S MASRIANA D.S P 2019-12-20 1604196012190002 1604190510150001 3209376609880001
23 NAIYRA AURELIA YAYU WININGSEH P 2019-06-19 1604195906190001 1604191111190001 1604194805960001

24 LIZA MERIANA INA LESTARI P 2020-06-15 1604195506200001 1604191212110005 1604195011850002
25 FAHRI DZAKIR .K NURUL HIDAYAH L 2019-09-18 1604191809190001 1604191511100005 1604196012920001
26 TERESIA HOTMAULI .S AGNES DESI.M P 2018-09-14 1604195409180001 1604192901140001 1502064311870001
27 QIARA HANUM.A ADE NOVANTRI P 2019-12-01 1604194112190001 1604192312190002 1604194712000001
28 DORRA SYAPUTRA NOVI LESTARI L 2018-12-31 1604193112180001 1604191402130001 1604195501950002
29 DZAKWAN AJI P NYAMIANTI L 2020-12-07 1604190712200001 1604192812200001 1604194805000001
30 ALYSA APRILIA.P WARTINI P 2019-04-05 1604194504190001 1604191706090005 1604196810860001
31 ARISYA FAKHRIYA .S TRI AGUSTINA P 2020-09-04 1604194409200001 1604192406190003 1604194508980003
32 ZEA SAFIRA TRI NURAINI P 2019-04-20 1604196004190001 1604190807080002 1604194812940002
33 ASYIFATUS SAADA SITI KHODIJAH P 2019-04-26 1604196804190001 1604190611120002 1604194105920001
34 PRIMA NITAMI .Z AMIRAWATI P 2017-09-06 1604194609170001 1604190707140002 1604194806910001
35 ARVIN DOULUS .L DESNA NATALIA L 2019-10-29 1811062910190002 1811060810180004 1811066112890001
36 AZKA NOVANSYAH ERPUJI AZIZAH L 2020-11-24 1604192411200001 3671021809170002 1604195611860001
37 FRANSISKUS REGAN A LUCIA S L 2019-10-12 1604191210190001 1604192801090002 1604194910790002
38 GRACE AURORA.C WENY PIRDA.S P 2020-06-14 1604195406200001 1604192611120002 1771014102920001

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Erwin Lusi Suryani Am.Keb

LINGKAR KE BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA PALA
39 HUMAIRA. R ENY . R P 2019-05-25 1604196505190001 1604192501080006 1871034408780001
40 KINANTY NUR. F NUR FITRIANA P 2020-03-08 1604194803200001 1604190909190001 1604196302950001
41  ALBY LUTHFI ALFACHRI KUSNIATI L 2018-06-18 1604191806180002  1604192310130001  1508061205860003
42 MUHAMMAD AL FAIS VENONIKA L 2019-11-02 1604110211197002
43 OLIVIA SUPRI P 2021-04-30 1604117004216701
ALEYA NAJWA PRIMANIN
44 GTIAS RENI K P 2021-06-21 1604196106210001 1604192910210001 1604195403990002
45 NAHLA INARA PUTRI DWITA SARI P 2021-01-13 1604115301212827 1604190907200001 1604195301210001
46 NAUFAL ILYAS T WINARSI L 2021-03-04 1604110403217045
47 ALISAH FAHRIA SANTOSO TRI AGUSTINA P 2020-09-04 1604114409209283
48 M. RAZIQ AR SALAAN RATI YULITA S L 2021-06-24 1604192406210001 1604190807210001 1611044609000001
49 AL HANIN ANIDIRA M.W AYU P 2019-11-03 1604194311190001 1604191102080135 1604194404900003
AISYAH HALWATUL ZAHR
50 A JUMIATI P 2021-03-23 1604196303210001 1604191604210001 1604196606860001
51 ZIFANA ALMAHIRA PONIATI P 2021-05-12 1604115205216155
52 BRIYAN RAMOS RATNA SARI L 2018-09-25 1604112509182473
53  MARIA OLIVIA KASIH  ASTER W P 2019-07-19 1604115907199538
54  VANESA OKTA F PURWANTI P 2019-03-05 4503196654
55  ARDIAN PARTOGI AVELINA   L 2019-09-10 1604111009198604
56  NAYA KIRANA  ANA SURYANTI   P  2021-09-04 1604114409211888
57  ZAINKEN ARTA WISON  DWI RAHAYU L 2021-03-29 1604192903210001 1604191506210001 1604196812960001
58 M LATIF ASMAWATI L 2021-06-23  1604112306217970

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Erwin Lusi Suryani Am.Keb

LINGKAR KE BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA PALA
59 YENZA SUWONO TUTI L 2020-12-08  1604110812201035
60 KURNIA IMAH P 2020-06-04 1604114406207214
61 ZAYINA A SUSIARIS P 2023-01-12 1604115201226325
62 M SHAHIB ASYAUQI SEPTRIANI L 2021-11-11 1604111111217440
63 KHAYLA ALMIRA M YUNIA P 2018-06-24 1604116406183565
64 ISMAIL ILATIF SANEM L 2021-11-23 1604112311216985
65 AHMAD ALFINO SEPTA L 2019-06-22 1604111208195114
66 AL ADAM ROMADON PUTRI L 2023-05-27 1604112705228952
67 GLEENZHIO RATNA L 2023-04-15 1604111504224014
68 GISELLE AURISTELA SARI P 2021-11-08 1604114811218745
69 M RASYID D H PURWANTI L 2023-03-03 1604110303223179
70 HANA ZHAFIRA A NYAMIATI P 2023-05-11 1604115105229230
71
72
73
74
75
76

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Erwin Lusi Suryani Am.Keb

LINGKAR KE BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA PALA
77
78
79
80
81
82
83
84
85
86
87
Mengetahui, PKM Wanaraya, 2023
Kepala Desa / sekretaris Petugas Kesehatan

Erwin Lusi Suryani Am.Keb

LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
ZULIA FARASYA FITRIYANA P 2016-07-08 1604194807160001 1604190801140007 1604195502890001 5thn - - -
AIRIN LEKAT CAHYA DENI ASMARA P 2017-01-11 1604195101170001 1604190408150004 1604194408880001 5thn - - -
ISMAIL PRATAMA MITA L 2016-05-02 1611040205160002 1604191706200001 1611044811950007 5thn - - -
FANI ALYA SAHIRA SATRIYANI P 2017-08-01 1604194108170001 1604190507110002 1604195012900001 5thn - - -
CERIS MUHAMADDAN EDI WIJAYANI L 2016-09-11 1604191109160001 1604192401170001 1604195708950001 5thn - - -
DAFFA EFRIANSYAH EPI FITRIANI P 2016-11-22 1604192211160002 1604190206090005 1604195006850001 5thn - - -
SYAKILA AYUDIA. A SUNDARI P 2017-07-17 1604195707170001 1604190303080001 1604195512870002 5thn - - -
NAURA ANNISA.P PONIATI P 2016-11-25 1604196611180001 1604191304170001 3504085001286004 5thn - - -
AL MAHIRA QIRANI WINARTI P 2017-07-21 1604196107170001 1604192106100008 1604196508890002 5thn - - -
HAFIDAH HAYATI NGATMI P 2017-05-26 1604196605170001 1604190406150001 1604196312860001 5thn - - -
ALOYSIUS TIRTA.P PALENTINA.S L 2016-03-13 1604191303160001 1604192904110002 1604196303900003 5thn - - -
M. MIFTAHUL.H SEPTIANI TRI. H L 2016-11-02 1604190211160001 1604190703170001 1503075109900003 5thn - - -
SITI AISYAH.S SUSILAWATI P 2017-01-01 1709014101170001 1604192509180002 1604194603750001 5thn - - -
AHMAD FADLI.H LISWANTI L 2016-07-10 1604191007160001 1604190112080001 1604194810880001 5thn - - -
M.ALFIN SITI SUPARMI L 2016-12-13 1604191312160001 1604191511100006 1604195910910001 5thn - - -
BUNGA ANGRAYNI MITA P 2017-12-22 1611046212170001 1604191706200001 1611044811950007 5thn - - -
MARGARETHA
NATALIA.S THERESIA.A P 2017-12-20 1604196012170002 1604192904110003 1604196708900001 5thn - - -

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Erwin Lusi Suryani Am.Keb

HASIL LAPORAN EPPGBM


(APLIKASI PENCATATAN DAN PELAPORAN GIZI BERBASIS MASYARAKAT)
NAMA DESA : BANDAR JAYA
NAMA POSYANDU : MELATI PUTIH
TANGGAL : 2023
LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
1 CHAIRIL RAFI ANWAR RINI L 2020-04-09 1604190904200001 1604192706110001 1604190904200001
1604192
2 VITA AGUSTIN TINA P 2018-08-29 1604196908180001 604110002 1604196908180001
3 ASKA DEFRIANI SITI P 2017-12-20 1604196012170001 1604192808090002 1604196012170001
4 MA ARIF TITIN S L 2019-05-11 1604191105190001 1604192008180001 1604191105190001
5 SAFINATUNNAJAH FITRI H P 2019-04-12 1604195204190001 1604191508080003 1604195204190001
6 MUHAMMAD ASKA TITIN L 2019-05-16 1604191605790001 1604191602080004 1604191605790001
7 SITI FATIMAH ROHJANAH P 2018-10-21 1604196110180001 1604191602080048 1604196110180001
8 BAGAS PRAWIRA KURNIATI L 2018-09-22 1604192209180001 1604191006140001 1604192209180001
9 SAFIRA PUTRI NABILA SITI MANISA P 2018-07-11 1604195107180001 1601190512110001 1604195107180001
10 VIVI ANDIRA YULIATI P 2018-12-28 1604196812180001 1604190106100001 1604196812180001
11 ADINDA RAHMA OVI SRI LESTARI P 2018-06-12 1604195206180001 1604192803180001 1604104950990006
12 AURA DZIKRI AMBAR P 2019-10-01 1604184110190002 1604193012190005 1604184305780001
13 ANANDA ZIDAN ZULAIKAH L 2019-06-23 1604192306190001 1604192007110001 1604195104770001
14 ALDA VERADITA NUR AINI P 2018-02-14 1604195402180001 1604191504100002 1604196407840002
15 FEBIOLA . N SUSANTI P 2019-02-19 1604195902190001 1604190510180002 1604196005970001
16 ANDRI SELDI S WAGIRAH L 2018-07-07 1604180707180001 1604192310180002 1604184811940001
17 VANESA VERANDA JASIYEM P 2019-06-05 1604194506190001 1604190308090003 1604194101750001

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Sudarno Lisma Dwirahayu, S.Tr.Keb


LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
18 NAYLA AZZAHRA HELEN DESI P 2018-04-16 1604195604180001 1604191312180001 1604194309000001
19 CALISTA AGUSTIN PUJI LESTARI P 2018-07-17 1604195707180001 1604192010110001 1604196905870001
20 BALQIS DUROTUL H YUNI RIYANTI P 2020-03-21 1604196103200001 1604191701140003 1604194606900001
21 REVAN ALFAHRI RATNAWATI L 2020-08-26 1604112608204295 1604190109100001 1604195007880002
22 SALSABILA NENEM K P 2020-04-18 1604195804200002 1604191902190005 1604195005830001
23 ADAM RAFI A LASMIATI L 2020-08-18 1604191808200001 1604191809120002 1604195010950004
MUHAMMAD NAU
24 FAL IIN SUGIARTI L 2021-06-14 1604111406218574 1604190901080003 1604194803820001
JUNIANTI SALSABIL
25 A AYU ASTUTI P 2021-06-18 1604195806210001 1604192805210001 1604195904040002
26  MUHAMMAD LUIS TERA L 2020-02-13 1604111302209671
27  DIMAS ADITYA REVA ANDIKA L 2018-03-05 1604190503180001 1604192401140003 1604171410950001
 ARKANAN BAGUS
28 A KURNIATI L 2021-07-05 1604196108110001 1604191006140001 1672016802920002
 KURNIA FILSA ALR
29 AISA ROHANA P 2020-06-11 1604195106200001 1604190911180001 1604194809010001
30  AQILA ZALFA LIA ARDANI P 2021-06-27 1604116706218547
31  ASRAF ATAQI R RUKINI L 2018-05-22 1604192205180002 1604192609140001 1402124202810001
32  AZRIEL RAFIQ S MULYANI L 2019-12-11 1604191112190001 1604191602080168 1604194107840017
33 SAYID MUBAROK SRI LESTARI L 2018-04-12 1604191204180003 1604192411110003 1604195408900001
34 MUHAMMAD RIFAI YULI S L 2021-05-06 1604190605210001 1604191602082019 1604194406870002
MUHAMMAD AKSA
35 F KIKI L 2020-08-28 1509012808200001 1509010511200001 1604195703990001
Mengetahui, PKM Wanaraya, 2023
Kepala Desa / sekretaris Petugas Kesehatan

Sudarno Lisma Dwirahayu, S.Tr.Keb

LINGKAR K BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA EPALA
36 EDWIN ANDRIEL HENDRI L 2018-10-30 1604193010180001 1604190904110001 1611044801860004
37 M SATRIA LENI W L 2018-08-30 1604193008180001 1604190811080002 1604196312820001
48 ALIFIA L YATI P 2018-07-27 1604196907180001 1604191712180002 1604194606900001
39 YUSUF ANUGRAH JANATUN L 2019-05-05 3171070605170003 1604191007200001 3171076205860008
40 MUHAMAD NAUFAL AYU DWI P L 2019-06-26 1604112606192710
41 MESYA DWI AULIA LUCY IS P P 2021-12-17 1604115712214809
42 HAIKAL LUTFI ALFAHRI SUPRIATIN L 2021-15-06 1604111506217518
43  RAZIT ADLI MARDANI SUWARSI L  2020-03-23 1604111504203783
44  ADZRIEL RAFIQ S MURTINIGSIH L 2021-03-15  1604111503218514
45  LISA APRIANI DESTI P 2019-03-31 1604117103195807
46  SAMUEL TAMA DEWI R L 2021-09-15 1604111509211272
47  NELSON PRAWIJAYA DEWI L 2023-11-17 1604111711219859
48  KEVIN ZHIO SAPUTRA LILIS T L 2023-02-16 1604111602223637
MUHAMMAD ARHAN NU
49 R SETIAWAN FERONIKA L 2023-05-15 1604111505224603
50 ABDILAH FATIR SUKAMTI L 2021-11-26 1604112611215988
51 ALYAH AZIRA PERTIWI NINING SAPUTRI P P 2021-11-08 1604114811214816
52 FARZAN ASYAM SODIK TITIK S L 2023-05-21 1604112105222267
53 ZELWA NUR A P
54 SAFIA NUR H SHINTA LARASATI P

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan

Sudarno Lisma Dwirahayu, S.Tr.Keb


LINGKAR KE BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA PALA
55 M HABIBI S MULYONO L
56 DIANA PUTRI TARYADI P
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
Mengetahui, PKM Wanaraya, 2023
Kepala Desa / sekretaris Petugas Kesehatan

Sudarno Lisma Dwirahayu, S.Tr.Keb

LINGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
NAURA ARSELIA R RIAN P 2016-06-15 1604195506160001 1604190103080003 1604195506160001 5thn - -  -
ELSANIA GINANTI SUSANTI P 2016-08-15 1604195508160001 1604191711080003 1604195508160001 5thn - -  -
ZULFAUL
PRIHATIN WARNINGSIH L 2016-04-09 1604190904160001 1604191402080019 1604190904160001 5thn - - -
RIZKYA NASHITA S IKA P 2016-01-21 1604192101060001 1604191504100006 1604192101060001 5thn - - -
AFIZA MUTIARA CASUMI P 2017-05-13 1604191305170001 1604190505080001 1604191305170001 5thn - - -
AQILA PUTRI
NABILA A. SHOLEHA P 2016-07-15 1604195507160001 1604191102160003 1604195507160001 5thn - - -
RASYIDHI
DAYATULLAH SAMINI L 2016-04-03 1604190304160001 1604192508080004 1604190304160001 5thn - - -
AUREL AGUSTIN RUMINAH P 2017-08-18 1604195808170001 1604194303920002 1604192801100002 5thn - - -
AINUN NISA BINTI P 2017-07-01 1604194107170003 1604192606140001 3314186405940001 5thn - - -
ALFANDI BRIFGI WADYANI L 2016-09-26 1604192607160001 1604191502100010 1604194107910013 5thn - - -
RAEHAN ALFARIZI YUMI RODIAH L 2016-05-19 1604191905160002 1604192708080004 1604196412870002 5thn - - -
META ALFIANA NUNUNG P 2017-01-03 1604196408170001 1604190301170001 1509046903830002 5thn - - -
HARIS SURYANI L 2017-04-12 1604191204170001 1604190810080003 1604195881000003 5thn - - -
QAILA S DWI LESTARI P 2017-07-06 1604194607170001 1604192107170003 1604195009970001 5thn - - -
 ADELIA AZZAHRA DESI RUSDIANA P 2016-08-28 1604196808160002 1604190910150001 3302106112920003 5thn - - -
NADHIFA MAY SH
INTA ROHANI P 2017-05-17 1604195705170001 1604191502080206 1604192504750001 5thn - - -
Mengetahui, PKM Wanaraya, 2023
Kepala Desa / sekretaris Petugas Kesehatan

Sudarno Lisma Dwirahayu, S.Tr.Keb


LINGKAR BGM
NO Nama Balita Nama Ibu P/L Tanggal Lahir NIK Anak NO KK NIK Orang Tua BB TB LILA KEPALA
INTAN SINDI FANI
A LINAWATI P 2017-08-10 1604196008170001 1604191202080211 1604190101800004 5thn - - -
ABIZAR RFARUQ ENDARWATI L 2017-04-24 1604192404170001 1604192308100002 1604192404170001 5thn - - -
ALBAR TUMIATI L 2017-04-16 1604191604170001 1604190412120001 3302114106850004 5thn - - - -

ANDRE JASIYEM L 2017-09-09 1604190909170002 1604190308090003 1604194101750001 5thn - - - -


M.JOY REIHAN -
ALVIANO SUSAN Y L 2017-09-16 1604191609170001 1604193107890001 1604194107300013 5thn - - -
KHOLIL DIRGA WATIYEM L 2017-08-17 1604191708170002 1604192207080002 1604191204720003 5thn - - - -

WAHYU KASIRAH L 2017-10-03 1604190310170001 1604196002080134 1604194308780001 5Thn - - - -

CITRA AZIZAH SISKASULISTYOWATI P 2017-12-15 1604195512170001 1604192408090002 1604195901900001 5Thn - - - -

REFAL FAHMI M EVA TULISTIANI L 2017-11-30 1604113011178652 1604192002200001 1604185208980002 5Thn - - - -

Mengetahui, PKM Wanaraya, 2023


Kepala Desa / sekretaris Petugas Kesehatan
Sudarno Lisma Dwirahayu, S.Tr.Keb

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