1.

Petugas Entri Data

REGISTER PELAYANAN KB R/I/KB/20
Lembar 1

V 2 3 4 5 6
NAMA FASKES/
7 3 0 1 0 1 1 Bulan : 2024
KIA PUSKESMAS BUKI 7 8 9 10 11 12
:
JARINGAN/JEJARING Kode Provinsi Kode No. Register Faskes No. Jaringan/
Kabupaten/ Jejaring Faskes
Kota

PESERTA KB JENIS TINDAKAN Kasus PENGGUNAAN

STATUS PESERTA KB (Kode)

SUMBER ALOKON
(Kode) (Kode) ASURANSI

PELAYANAN BERGERAK
ISTRI

INFORMED CONSENT

PASCA KEGUGURAN
PASCA PERSALINAN

KOMPLIKASI BERAT
PENCABUTAN DAN

BPJS KESEHATAN
NO.
NO. TANGGAL ALAMAT
HANDPHONE

PEMASANGAN

PENCABUTAN
NAMA SUAMI

KEGAGALAN
PEMBERIAN/
OPERATIF/
TANGGAL
NIK (NOMOR INDUK KEPENDUDUKAN) NAMA

LAINNYA

MANDIRI
LAHIR

TIDAK

APBN

APBD
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

1 28-Dec-2023 misbauddin 7 3 0 1 1 1 4 5 0 7 8 0 0 0 0 1 ratnawati 04-May-1978 baruia 3 1 0 0 3 1 0 0 1 0 0 1

2 28-Dec-2023 junaedi 7 3 0 1 0 4 4 1 0 6 8 7 0 0 0 1 sartika 06-Jan-1987 bontonumpa 3 0 0 0 4 1 0 0 1 0 0 1

WAHYU HINDRIANA
3 29-Dec-2023 MUH. ALFIAN RUSADI 7 3 0 1 1 1 4 6 0 9 9 6 0 0 0 1 06-Sep-1996 SILOLO 1 1 1 0 8 0 0 1 1 0 0 1
DEWI

4 02-Jan-2024 DARMIN 7 3 0 1 1 1 6 7 0 4 8 2 0 0 0 1 JAMILAWATI 27-Apr-1982 BAJEK 3 1 0 0 3 1 0 0 1 0 0 1

5 02-Jan-2024 DENSI 7 3 0 1 1 1 4 2 1 2 7 6 0 0 0 1 KASMAWATI 02-Dec-1976 BAJEK 3 0 0 0 4 1 0 0 1 0 0 1

6 04-Jan-2024 HENRIP 7 3 0 1 1 1 5 4 1 0 8 8 0 0 0 1 KARTINI 14-Oct-1988 DUSUN TENRO 3 1 0 0 3 1 0 0 1 0 0 1

7 04-Jan-2024 JAENUDDIN 7 3 0 1 1 1 5 0 1 0 8 0 0 0 0 1 DARLIAH 10-Oct-1980 BUMBUNGAN 3 1 0 0 3 1 0 0 1 0 0 1

8 01-Feb-2024 ARIZAL HR 7 3 0 1 0 4 4 9 0 6 8 2 0 0 0 1 JUHARTINI 09-Jun-1982 DUSUN SABURANGIA 081943441311 1 0 0 0 4 1 0 0 1 0 0 0

9 02-Feb-2024 SYAMSUDDIN 7 1 7 1 0 3 6 5 0 3 8 8 0 0 0 9 RAJA INTANG 25-Mar-1988 BALANG BUTUNG 082240052228 3 0 0 0 3 1 0 0 1 0 0 0

10 03-Feb-2024 OKI YAHYA 7 3 0 1 0 2 5 5 0 4 9 9 0 0 0 1 RISKA BINA 15-Apr-1999 RALAYYA 2 0 0 0 4 1 0 0 1 0 0 0

11 05-Feb-2024 SUARDI 7 3 0 9 0 1 5 5 0 5 9 4 0 0 0 5 ERMAYANTI 15-May-1994 BALANG BUTUNG 081524792513 1 1 1 0 8 1 0 0 1 0 0 0

12 05-Feb-2024 ANDI ASRUL 7 3 0 1 1 1 6 4 0 4 9 3 0 0 0 2 IRMAWATI 24-Sep-1993 BALANG BUTUNG 1 1 1 0 8 1 0 0 1 0 0 0

13 06-Feb-2024 ASDAR 7 3 0 1 1 1 4 9 0 9 9 2 0 0 0 2 KIKI IDASTUNDI 09-Sep-1999 RALLAYYA 3 1 0 0 3 1 0 0 1 0 0 0

14 12-Feb-2024 SUKARDI 7 3 0 1 1 1 4 4 0 4 9 1 0 0 0 2 HARNITA 04-Apr-1991 DUSUN TENRO 081526023787 3 1 0 0 3 1 0 0 1 0 0 0

BARUIA DUSUN TINGIMAE DESA BUK

15 13-Feb-2024 ANDI AGUS 7 3 0 1 0 3 5 2 0 9 7 9 0 0 0 1 NIRWANA 12-Sep-1979 3 0 0 0 3 1 0 0 1 0 0 0
KEC. BUKI

16 13-Feb-2024 ABDUL RASYID 7 3 0 1 1 1 4 6 0 7 8 3 0 0 0 1 HASBIANI 05-Jun-1983 NANGKALA 3 0 0 0 4 1 0 0 1 0 0 1

17 16-Feb-2024 ANDIKA 7 3 0 1 1 1 5 0 0 9 8 8 0 0 0 1 ASRIANI 10-Sep-1988 DUSUN SABURANGIA 3 1 0 0 3 1 0 0 1 0 0 0

18 20-Feb-2024 ARIF ANDI 7 3 0 1 0 4 6 2 0 2 9 6 0 0 0 1 FITRAYANTI 22-Feb-1996 DUSUN ALASA 085775611102 3 0 0 0 6 1 0 0 1 0 0 1

19 20-Feb-2024 RAHMAN 7 3 0 1 1 1 6 9 0 9 8 7 0 0 0 1 RISMAYANTI 29-Sep-1987 BONEAPARA 085823574875 1 1 1 0 3 1 0 0 1 0 0 0

20 20-Feb-2024 MUH. YASIN 7 3 0 1 1 1 4 1 0 1 8 5 0 0 0 2 HASLIANTI 01-Jan-1985 POJOK 3 1 0 0 3 1 0 0 1 0 0 0

21 20-Feb-2024 JUNARDI 7 3 0 1 1 1 5 7 0 7 8 3 0 0 0 1 SALMAWATI 07-Jul-1983 DUSUN KADEMPAK 3 0 0 0 4 1 0 0 1 0 0 1

22 20-Feb-2024 ASRIADI 7 3 0 1 1 1 6 3 0 4 0 1 0 0 0 1 NUR HAEDA 23-Apr-1981 KADEMPAK 3 0 0 0 4 1 0 0 1 0 0 1

23 20-Feb-2024 MULYADI 7 3 0 1 1 1 4 9 0 6 8 3 0 0 0 1 ISRAWATI 09-Jun-1983 KADEMPAK 3 0 0 0 4 1 0 0 1 0 0 1

BARUIA DUSUN TINGGIMAE DESA BUKI

24 21-Feb-2024 NUR ALIM 7 3 0 1 0 3 4 3 0 4 7 7 0 0 0 1 NUR NANINGSIH 03-Apr-1977 085756667486 3 0 0 0 4 1 0 0 1 0 0 1
KEC. BUKI

25 22-Feb-2024 SUKRAN HUSADA 3 3 1 6 0 9 7 1 0 7 0 5 0 0 0 2 SIRRIL HAYATI 31-Jul-2005 MAHARAYYA 089510044682 1 1 1 0 8 1 0 0 1 0 0 0

26 01-Mar-2024 BASO DAENG 7 3 0 1 1 1 5 0 0 5 8 7 0 0 0 1 NEJUWATI 10-May-1987 AMPANGAN 085657287384 3 0 0 0 3 1 0 0 1 0 0 0

27 01-Mar-2024 RESA ALFAISAL 7 3 0 2 0 6 6 3 0 1 0 2 0 0 0 4 NANI MARIANI 23-Jan-2002 DUSUN SABURANGIA 2 1 0 0 3 1 0 0 1 0 0 0

28 01-Mar-2024 IRFAN 7 3 0 1 1 1 6 1 0 4 0 6 0 0 0 1 APRIANA AULYA 21-Apr-2005 BUKI 2 1 0 0 8 1 0 0 1 0 0 0

TANABAU TIMUR
29 01-Mar-2024 AHAMUDDIN 7 3 0 1 0 4 5 9 0 5 7 2 0 0 0 1 ROSMIATI 19-May-1972 3 1 0 0 3 1 0 0 1 0 0 0

30 01-Mar-2024 NASARUDDIN 7 3 0 1 0 5 4 7 0 6 8 8 0 0 0 1 BUNGA INTANG 07-Jun-1988 DUSUN TENRO SELATAN 085823056771 1 1 1 0 3 1 0 0 1 0 0 0

31 02-Mar-2024 DENSI 7 3 0 1 1 1 4 2 1 2 7 6 0 0 0 1 KASMAWATI 02-Dec-1976 BAJEK 085299165986 3 0 0 0 4 1 0 0 1 0 0 0

32 04-Mar-2024 BOHARI 7 3 0 1 1 1 4 1 0 7 7 8 0 0 0 1 ROHANI 01-Jul-1970 LEMBANG 3 1 0 0 3 1 0 0 1 0 0 0

33 05-Mar-2024 AMIRUDDIN 7 3 0 1 0 5 4 3 0 5 9 2 0 0 0 1 HASNIATI 03-May-1992 ALASA 085777298299 3 1 0 0 3 1 0 0 1 0 0 0

34 09-Mar-2024 PATTA ARUNG 7 3 0 1 1 1 4 3 0 2 8 9 0 0 0 1 ERNA YATI 03-Feb-1989 BONTOBUKI 3 0 0 0 4 1 0 0 1 0 0 0

35 09-Mar-2024 ANDI SAFAR 7 3 0 1 1 1 4 2 0 5 7 9 0 0 0 1 SUDARMI 02-May-1979 DUSUN SABURANGIA 3 1 0 0 3 1 0 0 1 0 0 0

36 11-Mar-2024 IKHZAN RAFLI 7 3 0 1 0 4 6 5 0 5 9 5 0 0 0 2 CAHAYA UMRANA 25-May-1995 DUSUN BONTONUMPA 3 0 0 0 4 1 0 0 1 0 0 1

37 13-Mar-2024 MUHAMMAD ALWI,S.PD 7 3 7 1 0 2 6 8 0 5 7 8 0 0 0 1 HIMELDA HAMID 28-May-1978 DUSUN SABURANGIA 3 1 0 0 3 1 0 0 1 0 0 0

38 15-Mar-2024 MUH.ILHAM 7 3 0 1 0 4 6 2 0 1 0 3 0 0 0 1 RISKA AMELIA 22-Jan-2003 DUSUN ALASA 3 1 0 0 3 1 0 0 1 0 0 0

39 16-Mar-2024 MUH ILYAS 7 3 0 1 1 1 4 2 0 7 9 6 0 0 0 1 DIANA PANGESTUTI 02-Jul-1996 BONTOBUKI 3 1 0 0 3 1 0 0 1 0 0 0

40 16-Mar-2024 SHARUDDIN 7 3 0 1 0 3 4 4 0 1 9 5 0 0 0 1 EVIRIYANTI 04-Jan-1995 MAHARAIYA 081381484576 3 1 0 0 8 1 0 0 1 0 0 0

41 16-Mar-2024 H. NURDIN 7 3 0 1 0 3 8 4 0 4 9 0 0 0 0 1 FITRIANI 24-Apr-1990 POJOK 085871106371 3 0 0 0 4 1 0 0 1 0 0 1

42 16-Mar-2024 IRSAM 7 3 0 1 1 1 5 3 0 8 8 4 0 0 0 1 JUNITA 01-Aug-1984 TENRO 3 1 0 0 3 1 0 0 1 0 0 0

43 20-Mar-2024 SAHARUDDIN 7 3 0 1 1 1 5 9 0 9 8 3 0 0 0 1 FATMAWATI 19-Sep-1983 DUSUN SABURANGIA 085757742899 3 1 0 0 3 1 0 0 1 0 0 0

44 20-Mar-2024 ALIMUDDIN 7 3 0 1 1 1 5 4 0 3 8 1 0 0 0 1 NURMIATI 14-Mar-1981 DUSUN EMBAIYA DESA BUKI 2 1 0 0 8 1 0 0 1 0 0 0

45 25-Mar-2024 NUR HAMSAH 7 3 0 1 1 1 4 4 0 2 9 1 0 0 0 1 NITA 19-Apr-1989 TONGGONA 3 0 0 0 4 1 0 0 1 0 0 0

BARUIA DUSUN TINGGIMAE DESA BUKI

46 01-Apr-2024 NUR ALIM 7 3 0 1 0 3 4 3 0 4 7 7 0 0 0 1 NUR NANINGSIH 03-Apr-1977 085756667486 3 0 0 0 4 1 0 0 1 0 0 1
KEC. BUKI

47 01-Apr-2024 BAYU ERMAWAN 7 3 0 1 0 1 4 4 0 2 0 4 0 0 0 3 ANDI ROSALINDA 04-Feb-2004 BUKI 1 1 0 0 8 1 0 0 1 0 0 0

48 18-Apr-2024 ARSYAD 7 3 0 1 0 5 4 7 0 8 9 5 0 0 0 2 NUR HAYANA MAHMUD 07-Aug-1995 BONTOBUKI 2 1 0 0 8 1 0 0 1 0 0 0

49 18-Apr-2024 MUH RIDWAN 7 3 0 1 0 3 5 1 0 3 8 3 0 0 0 1 MARDIANA 11-Mar-1983 MAHARAIYA 3 0 0 0 4 1 0 0 1 0 0 1

BARUIA DUSUN TINGGIMAE DESA BUKI

50 18-Apr-2024 RUSDIANTO 7 3 7 1 0 3 6 0 0 5 8 6 0 0 1 2 SARDIANA 20-May-1986 085775471660 3 1 0 0 3 1 0 0 1 0 0 1
KEC. BUKI

51 18-Apr-2024 ARIF ANDI 7 3 0 1 0 4 6 2 0 2 9 6 0 0 0 1 FITRAYANTI 22-Feb-1996 DUSUN ALASA 085775611102 3 0 0 0 6 1 0 0 1 0 0 1

52 18-Apr-2024 ANDI ANSAR 7 3 0 1 0 4 5 3 1 0 8 0 0 0 0 1 IRNAWATI 13-Oct-1980 DUSUN TENRO SELATAN 081245146006 3 1 0 0 8 1 0 0 1 0 0 1

53 18-Apr-2024 NUR APRIYANTO 7 3 0 1 0 3 6 8 1 2 9 1 0 0 0 1 RAHMATIA 28-Dec-1991 POJOK 1 1 0 0 2 1 0 0 1 0 0 1

54 18-Apr-2024 ANDI ASING 7 3 0 1 0 3 6 4 1 2 7 8 0 0 0 1 NUR HAMSINA 24-Dec-1978 SILOLO 3 0 0 0 4 1 0 0 1 0 0 0

55 18-Apr-2024 DARMIN 7 3 0 1 1 1 6 7 0 4 8 2 0 0 0 1 JAMILAWATI 27-Apr-1982 BAJEK 3 1 0 0 3 1 0 0 1 0 0 1

56 18-Apr-2024 HAMSAH 7 3 0 1 1 1 4 4 0 2 9 1 0 0 0 1 NITA 04-Feb-0991 TONGGONA 3 0 0 0 4 1 0 0 1 0 0 1

57 18-Apr-2024 SUKRIADI 7 3 0 1 1 1 4 1 0 4 8 4 0 0 0 1 NUR WAHIDAH 10-Sep-1988 DUSUN SABURANGIA 3 0 0 0 4 1 0 0 1 0 0 1

58 19-Apr-2024 DENSI 7 3 0 1 1 1 4 2 1 2 7 6 0 0 0 1 KASMAWATI 02-Dec-1976 BAJEK 3 0 0 0 4 1 0 0 1 0 0 1

59 19-Apr-2024 ARFIN TAUFIK 7 3 0 1 0 4 6 2 0 1 9 2 0 0 0 1 FIRNAWATI 22-Jan-1992 DUSUN SABURANGIA 3 0 0 0 6 1 0 0 1 0 0 1

60 20-Apr-2024 JUPRIADI 7 3 0 1 1 1 5 1 1 2 9 0 0 0 0 1 RAHMI 11-Dec-1990 TANABAU 082395242658 1 1 0 0 8 1 0 0 1 0 0 1

61 22-Apr-2024 JUNAID 7 3 0 1 0 4 4 1 0 6 8 7 0 0 0 1 SARTINA 01-Jun-1987 DUSUN BONTONUMPA 3 0 0 0 4 1 0 0 1 0 0 1

62 22-Apr-2024 MARDIANTO 7 3 0 1 1 1 4 5 0 8 7 8 0 0 0 1 NUR HAYATI 05-Aug-1978 KADEMPAK 3 0 0 0 4 1 0 0 1 0 0 1

63 24-Apr-2024 AMIRUDDIN 7 3 0 1 0 5 4 3 0 5 9 2 0 0 0 1 HASNIATI 03-May-1992 ALASA 1 1 0 0 8 1 0 0 1 0 0 1

64 24-Apr-2024 NUR FAWZAN NUR, S.SO 7 3 0 1 1 1 6 4 0 8 0 0 0 0 0 1 ANJELI WATI 24-Aug-2000 DUSUN ALASA 1 1 0 0 8 1 0 0 1 0 0 1

65 01-May-2024 SYAMSUDDIN 7 1 7 1 0 3 6 5 0 3 8 8 0 0 0 9 RAJA INTANG 25-Mar-1988 BALANG BUTUNG 3 0 0 0 3 1 0 0 1 0 0 0

66 01-May-2024 NUR ALIM 7 3 0 1 0 3 4 3 0 4 7 7 0 0 0 1 NUR NANINGSIH 03-Apr-1977 BARUIA DUSUN TINGGIMAE DESA BUKI KEC. BUKI 085756667486 3 0 0 0 4 1 0 0 1 0 0 1

67 08-May-2024 ANDIKA 7 3 0 1 1 1 5 0 0 9 8 8 0 0 0 1 ASRIANI 10-Sep-1988 DUSUN SABURANGIA 3 0 0 0 3 1 0 0 1 0 0 1

68 08-May-2024 ANDI AGUS 7 3 0 1 0 3 5 2 0 9 7 9 0 0 0 1 NIRWANA 12-Sep-1979 BARUIA DUSUN TINGIMAE DESA BUK KEC. BUKI 3 0 0 0 3 1 0 0 1 0 0 1

69 08-May-2024 SUPRIADI 7 3 0 1 0 3 4 4 0 8 9 0 0 0 0 1 ANDRIANI 04-Aug-1990 TONGGONA 082292121093 3 1 0 0 8 1 0 0 1 0 0 1

70 08-May-2024 SAHRUL KHAIRI 7 3 7 1 1 0 6 0 0 6 8 8 0 0 0 9 NELLY HAMDANA 20-Jun-1988 BONTODATARA 085341484760 1 1 0 0 8 1 0 0 1 0 0 1

71 08-May-2024 HENRA 7 3 0 1 1 1 6 8 0 5 0 1 0 0 0 1 NADA SORAYA 28-May-2001 TENRO 085777597242 2 1 0 0 8 1 0 0 1 0 0 1

72 08-May-2024 ABD.ISRAK 7 3 0 1 1 1 5 4 0 2 9 2 0 0 0 2 NURHAYATI 14-Feb-1992 BONTOBUKI 3 1 0 0 8 1 0 0 1 0 0 1

73 11-May-2024 IKHZAN FATLI 7 3 0 1 0 4 6 5 0 5 9 5 0 0 0 2 CAHAYA UMRANA 25-May-1995 DUSUN BONTONUMPA 3 0 0 0 4 1 0 0 1 0 0 1

74 11-May-2024 ANDI GALLA 7 3 0 1 0 3 4 8 0 7 9 1 0 0 0 1 SUPIANI 05-Jul-1991 BONTOBUKI 3 0 0 0 6 1 0 0 1 0 0 1

75 13-May-2024 MUH JAFAR 7 3 0 1 1 1 4 5 0 2 8 6 0 0 0 1 LISRAYANA 05-Feb-1986 DUSUN TENRO 08577326785 3 0 0 0 6 1 0 0 1 0 0 1

76 04-Jun-2024 NUR ALIM 7 3 0 1 0 3 4 3 0 4 7 7 0 0 0 1 NUR NANINGSIH 03-Apr-1977 BARUIA 3 0 0 0 4 1 0 0 1 0 0 1

77 04-Jun-2024 IRFAN 7 3 0 1 1 1 5 5 0 6 8 6 0 0 0 1 RINING 15-Jun-1986 TANABAU TIMUR 1 0 0 0 6 1 0 0 1 0 0 1

78 04-Jun-2024 NIRWAN ARYADI SH 7 3 0 1 0 3 5 9 0 3 9 1 0 0 0 1 MAYKE MARSELINA 19-Mar-1991 MAHARAIYA 3 0 0 0 4 1 0 0 1 0 0 1

79 04-Jun-2024 MUH RIDWAN 7 3 0 1 0 3 5 1 0 3 8 3 0 0 0 1 MARDIANA 11-Mar-1983 MAHARAIYA 3 0 0 0 4 1 0 0 1 0 0 1

80 04-Jun-2024 PALINRUNGI 7 3 0 1 0 3 4 5 1 1 7 5 0 0 0 1 SUMIYATI 05-Nov-1975 BAHONA DUSUN EMBAIYA 3 0 0 0 4 1 0 0 1 0 0 1

81 04-Jun-2024 IRWANSYAH 7 3 0 1 1 1 5 0 1 2 7 7 0 0 0 2 ANDI ROSMAWATI 10-Dec-1977 MAHARAIYA 3 0 0 0 4 1 0 0 1 0 0 1

82 04-Jun-2024 SABRIR 7 3 0 1 1 1 4 7 0 7 0 5 0 0 0 1 YULIANA FASYA 07-Jul-2005 TENRO 3 0 0 0 3 1 0 0 1 0 0 1

83 04-Jun-2024 ANDI NUR ABIDIN 7 3 0 1 1 1 4 1 0 7 8 2 0 0 0 2 ANGRAENI SULTAN 01-Jul-1982 DUSUN EMBAIYA DESA BUKI 3 0 0 0 6 1 0 0 1 0 0 1

84 04-Jun-2024 USMAN 7 3 0 1 0 3 6 3 1 0 8 4 0 0 0 1 NUR WAHIDA ANUR 23-Oct-1984 MAHARAIYA 3 0 0 0 4 1 0 0 1 0 0 1

85 04-Jun-2024 BOHARI 7 3 0 1 1 1 4 1 0 7 7 8 0 0 0 1 ROHANI 01-Jul-1970 LEMBANG 3 0 0 0 4 1 0 0 1 0 0 1

86 04-Jun-2024 SUKRIADI 7 3 0 1 1 1 4 1 0 4 8 4 0 0 0 1 NUR WAHIDAH 10-Sep-1988 DUSUN SABURANGIA 3 0 0 0 4 1 0 0 1 0 0 1

87 04-Jun-2024 KAMIRUDDIN 7 3 0 1 1 1 6 9 0 8 8 3 0 0 0 1 SURIANI 29-Aug-1983 DUSUN TANABAU TIMUR 3 1 0 0 8 1 0 0 1 0 0 1

88 04-Jun-2024 ANDI MAPPATUTU 7 3 0 1 1 1 4 9 0 7 8 0 0 0 0 1 ASTUTI AKIB 09-Jul-1980 DUSUN EMBAIYA DESA BUKI 3 0 0 0 4 1 0 0 1 0 0 1

89 04-Jun-2024 FIKRI MARDIANSYAH 7 6 0 4 0 2 6 5 0 8 0 3 0 0 0 9 AGFIRAH DIVA SEFIRAH 25-Aug-2003 SELAMALAJU 2 0 0 0 6 1 0 0 1 0 0 1

90 04-Jun-2024 SAHRUL EFENDI 7 3 0 1 0 2 6 2 1 2 9 8 0 0 0 1 RISMAWATI 22-Dec-1998 KADEMPAK 081526800116 1 1 1 0 8 1 0 0 1 0 0 1

91 04-Jun-2024 MUH.AMIR 7 3 0 1 1 1 4 9 0 3 9 1 0 0 0 1 CICI FITRIANI 09-Mar-1991 DUSUN ALASA 3 1 0 0 8 1 0 0 1 0 0 1

92 04-Jun-2024 MULYADI 7 3 0 1 1 1 6 1 1 2 8 2 0 0 0 1 RATNAWATI 21-Dec-1982 LEBO 2 0 0 0 4 1 0 0 1 0 0 1

93 04-Jun-2024 MUHAMMAD FITRA 7 3 0 1 1 1 7 0 0 4 9 7 0 0 0 1 SARTIKA PUTRI 30-Apr-1997 DUSUN TENRO SELATAN 3 0 0 0 6 1 0 0 1 0 0 1

94 04-Jun-2024 RUSDI HAMZAH 7 3 0 1 0 3 6 5 0 3 8 8 0 0 0 1 ANDI BERLIAN 25-Mar-1988 DUSUN EMBAIYA DESA BUKI 3 0 0 0 4 1 0 0 1 0 0 1

95 04-Jun-2024 RESA ALFAISAL 7 3 0 2 0 6 6 3 0 1 0 2 0 0 0 4 NANI MARIANI 23-Jan-2002 DUSUN SABURANGIA 3 0 0 0 3 1 0 0 1 0 0 1

96 04-Jun-2024 IRSYAWAL 7 3 0 1 1 1 0 1 0 6 8 8 0 0 0 2 RAHMANIAR 21-Jun-1988 MAHARAIYA 3 0 0 0 4 1 0 0 1 0 0 1

97 04-Jun-2024 AHAMUDDIN 7 3 0 1 0 4 5 9 0 5 7 2 0 0 0 1 ROSMIATI 19-May-1972 TANABAU 3 0 0 0 3 1 0 0 1 0 0 1

98 04-Jun-2024 SABRIANSYAH 7 3 0 1 1 1 5 6 1 1 9 9 0 0 0 2 NUR ULFAYANI 16-Nov-1999 TALANG 1 1 0 0 7 1 0 0 1 0 0 1

99 04-Jun-2024 SUPRIADI 7 3 0 1 1 1 6 9 1 2 9 7 0 0 0 2 HARTINA 29-Dec-1997 BONTODATARA 085657230188 1 1 0 0 3 1 0 0 1 0 0 1

100 04-Jun-2024 DENSI 7 3 0 1 1 1 4 2 1 2 7 6 0 0 0 1 KASMAWATI 02-Dec-1976 BAJEK 3 0 0 0 4 1 0 0 1 0 0 1

101 04-Jun-2024 TAUFIK ISMAIL 7 3 0 1 0 3 4 6 1 0 9 4 0 0 0 2 IRMA DWI JAYANTI 06-Oct-1994 DUSUN EMBAIYA DESA BUKI 3 0 0 0 6 1 0 0 1 0 0 1

102 01-Jul-2024 RUSDIANTO 7 3 7 1 0 3 6 0 0 5 8 6 0 0 1 2 SARDIANA 20-May-1986 BUKI 3 0 0 0 3 1 0 0 1 0 0 0

103 06-Jul-2024 SAPPEWALI 7 3 0 1 0 4 4 7 0 4 8 6 0 0 0 2 ANDI HASNI 07-Apr-1986 MEKAR INDAH 3 1 0 0 3 1 0 0 1 0 0 0

104 06-Jul-2024 NUR ALIM 7 3 0 1 0 3 4 3 0 4 7 7 0 0 0 1 NUR NANINGSIH 03-Apr-1977 BUKI 3 0 0 0 4 1 0 0 1 0 0 0

105 08-Jul-2024 ILYAS 7 3 0 1 1 1 4 2 0 7 9 6 0 0 0 1 DIANA PANGESTUTI 02-Jul-1996 BONTOBUKI 2 0 0 0 4 1 0 0 1 0 0 0

106 08-Jul-2024 ANDI GALLAK 7 3 0 1 0 3 4 8 0 7 9 1 0 0 0 1 SUPIANI 05-Jul-1991 BONTOBUKI 3 0 0 0 6 1 0 0 1 0 0 0

107 11-Jul-2024 ANDI SAIFUL PATOBAKI 7 3 0 1 1 1 4 6 0 5 9 2 0 0 0 1 YUNI DARMIANTI 06-May-1992 BUKI 1 0 0 0 4 1 0 0 1 0 0 1

108 11-Jul-2024 JUNAID 7 3 0 1 0 4 4 1 0 6 8 7 0 0 0 1 SARTINA 01-Jun-1987 BUKI 3 0 0 0 4 1 0 0 1 0 0 0

109 12-Jul-2024 ABDUL LATIF 7 3 7 1 1 3 6 6 1 0 8 7 0 0 0 3 ANDI MULIANTI 26-Oct-1987 BUKI 3 1 0 0 7 1 0 0 1 0 0 0

110 12-Jul-2024 ABDURRAHMAN 7 3 0 1 1 1 4 3 0 5 7 8 0 0 0 1 KASMAWATI 03-May-1978 MEKAR INDAH 1 1 0 0 8 1 0 0 1 0 0 0

111 12-Jul-2024 DENRI MAKKA 7 3 0 1 1 1 4 7 0 6 8 7 0 0 0 3 SAMRIANI 07-Jun-1987 MEKAR INDAH 2 0 0 0 4 1 0 0 1 0 0 0

112 12-Jul-2024 SUKRIADI 7 3 0 1 1 1 4 1 0 4 8 4 0 0 0 1 NUR WAHIDAH 10-Sep-1988 MEKAR INDAH 3 0 0 0 4 1 0 0 1 0 0 1

113 17-Jul-2024 MUSALI 7 3 0 1 1 1 6 9 0 3 8 4 0 0 0 1 ERMAWATI 29-Mar-1984 KADEMPAK 3 0 0 0 4 1 0 0 1 0 0 1

114 17-Jul-2024 JUNARDI 7 3 0 1 1 1 5 7 0 7 8 3 0 0 0 1 SALMAWATI 07-Jul-1983 KOHALA 3 0 0 0 4 1 0 0 1 0 0 1

115 17-Jul-2024 MULYADI 7 3 0 1 1 1 4 9 0 6 8 3 0 0 0 1 ISRAWATI 09-Jun-1983 KOHALA 3 0 0 0 4 1 0 0 1 0 0 1

116 19-Jul-2024 ASRIADI 7 3 0 1 1 1 6 3 0 4 0 1 0 0 0 1 NUR HAEDA 23-Apr-1981 KOHALA 3 1 0 0 3 1 0 0 1 0 0 0

117 19-Jul-2024 BASRUDDIN 7 3 0 1 0 4 4 1 0 1 8 7 0 0 0 1 NUR AENI 01-Jan-1987 KOHALA 3 1 0 0 3 1 0 0 1 0 0 0

118 19-Jul-2024 MUH. JUNAID 7 3 0 1 1 1 5 1 0 3 8 8 0 0 0 1 SURIANI 20-Jun-1988 KOHALA 3 1 0 0 3 1 0 0 1 0 0 0

119 21-Jul-2024 RUSLAN 7 3 0 1 1 1 5 7 0 8 8 4 0 0 0 1 ASTATIK 17-Aug-1984 LALANG BATA 1 1 1 0 7 1 0 0 1 0 0 0

120 22-Jul-2024 H. NURDIN 7 3 0 1 0 3 8 4 0 4 9 0 0 0 0 1 FITRIANI 24-Apr-1990 LALANG BATA 3 0 0 0 4 1 0 0 1 0 0 1

121 23-Jul-2024 RANDI AMIN 7 3 0 1 1 1 5 4 0 1 0 0 0 0 0 3 SARNI 14-Jan-2000 BONTOLEMPANGAN 3 1 0 0 3 1 0 0 1 0 0 0

122 24-Jul-2024 ANDI ARDAS 7 3 0 1 1 1 4 7 1 0 9 0 0 0 0 1 HERLIANA 07-Sep-1990 BONTOLEMPANGAN 1 1 0 0 8 1 0 0 1 0 0 0

123 01-Aug-2024 ISWANTO 7 3 0 1 0 2 5 3 0 6 9 3 0 0 0 1 INDRI ANI 13-Jun-1993 BONTOLEMPANGAN 4 1 0 0 9 0 0 0 0 0 0 0

124 01-Aug-2024 ANDI AGUS 7 3 0 1 0 3 5 2 0 9 7 9 0 0 0 1 NIRWANA 12-Sep-1979 BUKI 085880704846 3 1 0 0 3 1 0 0 1 0 0 0

125 01-Aug-2024 ANDI FADLI 7 3 0 1 1 1 5 1 0 5 8 8 0 0 0 1 KURNIA 11-May-1988 BENTENG 085756965671 3 0 0 0 4 1 0 0 1 0 0 0

126 03-Aug-2024 ANDIKA 7 3 0 1 1 1 5 0 0 9 8 8 0 0 0 1 ASRIANI 10-Sep-1988 MEKAR INDAH 3 1 0 0 3 1 0 0 1 0 0 0

127 06-Aug-2024 NUR ALIM 7 3 0 1 0 3 4 3 0 4 7 7 0 0 0 1 NUR NANINGSIH 03-Apr-1977 BUKI 3 0 0 0 4 1 0 0 1 0 0 0

128 06-Aug-2024 PATTA ARUNG 7 3 0 1 1 1 4 3 0 2 8 9 0 0 0 1 ERNA YATI 03-Feb-1989 BONTOBUKI 082346343780 3 0 0 0 6 1 0 0 1 0 0 1

129 07-Aug-2024 TONIKA RAKARDO 7 3 0 1 1 1 6 2 0 7 8 7 0 0 0 1 ANDI RISVAWANI 25-Jul-1987 BUKI 085299196696 3 1 0 0 8 1 0 0 1 0 0 0

130 08-Aug-2024 FIKRI MARDIANSYAH 7 6 0 4 0 2 6 5 0 8 0 3 0 0 0 9 AGFIRAH DIVA SEFIRAH 25-Aug-2003 BUKI 081343671735 2 1 0 0 3 1 0 0 1 0 0 0

131 10-Aug-2024 JUNAID 7 3 0 1 0 4 4 1 0 6 8 7 0 0 0 1 SARTINA 01-Jun-1987 BUKI 3 0 0 0 4 1 0 0 1 0 0 0

132 10-Aug-2024 IKHZAN FATLI 7 3 0 1 0 4 6 5 0 5 9 5 0 0 0 2 CAHAYA UMRANA 25-May-1995 BUKI 3 0 0 0 4 1 0 0 1 0 0 0

133 10-Aug-2024 ANDI SAIFUL PATOBAKI 7 3 0 1 1 1 4 6 0 5 9 2 0 0 0 1 YUNI DARMIANTI 06-May-1992 BUKI 3 0 0 0 5 1 0 0 1 0 0 1

134 10-Aug-2024 ANRYADI 7 3 0 1 0 2 5 5 0 3 0 2 0 0 0 1 TIARA 15-Mar-2002 BUKI 1 0 0 0 4 1 0 0 1 0 0 1

135 13-Aug-2024 SYARIPUDDIN 7 3 0 1 1 1 6 1 1 0 9 1 0 0 0 1 SRI ASMIYANI 21-Oct-1991 LALANG BATA 3 0 0 0 6 1 0 0 1 0 0 1

136 02-Sep-2024 ANDI FADLI 7 3 0 1 1 1 5 1 0 5 8 8 0 0 0 1 KURNIA 11-May-1988 BENTENG 3 0 0 0 4 1 0 0 1 0 0 1

137 03-Sep-2024 SATTUANG 7 3 0 1 0 4 6 3 0 6 7 0 0 0 0 1 PATIALANG 23-Jun-1970 KAREBOSI 4 1 0 0 9 0 0 0 0 0 0 0

138 10-Sep-2024 ANDI GALLAK 7 3 0 1 0 3 4 8 0 7 9 1 0 0 0 1 SUPIANI 05-Jul-1991 BONTOBUKI 3 0 0 0 6 1 0 0 1 0 0 1

139 10-Sep-2024 MUHAMMAD ALWI,S.PD 7 3 7 1 0 2 6 8 0 5 7 8 0 0 0 1 HIMELDA HAMID 28-May-1978 MEKAR INDAH 3 1 0 0 3 1 0 0 1 0 0 1

140 10-Sep-2024 ARMAN WAHAB 7 3 0 1 1 1 5 9 1 2 9 4 0 0 0 2 RAJA INTANG 19-Dec-1994 BALANG BUTUNG 085656354492 1 1 0 0 7 1 0 0 1 0 0 0

141 10-Sep-2024 SAHARUDDIN 7 3 0 1 1 1 5 9 0 9 8 3 0 0 0 1 FATMAWATI 19-Sep-1983 MEKAR INDAH 3 1 0 0 3 1 0 0 1 0 0 1

142 10-Sep-2024 RESA ALFAISAL 7 3 0 2 0 6 6 3 0 1 0 2 0 0 0 4 NANI MARIANI 23-Jan-2002 MEKAR INDAH 3 0 0 0 3 1 0 0 1 0 0 1

143 10-Sep-2024 MUHAMMAD ILYAS 7 3 0 1 0 9 4 9 0 5 8 3 0 0 0 0 BASSE DAENG 09-May-1993 LALANG BATA 4 1 0 0 8 0 0 0 0 0 0 0

144 10-Sep-2024 MUH.ARFIN 7 3 0 1 1 1 4 3 0 9 9 0 0 0 0 1 HIJRAWATI 03-Sep-1990 MEKAR INDAH 3 1 0 0 7 1 0 0 1 0 0 1

145 10-Sep-2024 IZRAIL 8 1 0 7 0 1 6 2 0 9 9 0 0 0 0 3 ITA DINA ASTUTI 22-Sep-1990 BUKI TIMUR 1 1 0 0 3 1 0 0 1 0 0 1

146 10-Sep-2024 ANDI RUSDIN PRATAMA 7 3 0 1 1 1 4 6 1 0 7 9 0 0 0 1 ANDI MUNAWAR 06-Oct-1979 LALANG BATA 2 1 0 0 7 1 0 0 1 0 0 0

147 10-Sep-2024 NUR ALIM 7 3 0 1 0 3 4 3 0 4 7 7 0 0 0 1 NUR NANINGSIH 03-Apr-1977 BUKI 3 0 0 0 4 1 0 0 1 0 0 1

148 11-Sep-2024 IKHZAN FATLI 7 3 0 1 0 4 6 5 0 5 9 5 0 0 0 2 CAHAYA UMRANA 25-May-1995 BUKI 3 0 0 0 4 1 0 0 1 0 0 1

149 11-Sep-2024 JUNAID 7 3 0 1 0 4 4 1 0 6 8 7 0 0 0 1 SARTINA 01-Jun-1987 BUKI 3 0 0 0 4 1 0 0 1 0 0 1

150 17-Sep-2024 ANDI SAFAR 7 3 0 1 1 1 4 2 0 5 7 9 0 0 0 1 SUDARMI 02-May-1979 MEKAR INDAH 2 0 0 0 4 1 0 0 1 0 0 1

151 18-Sep-2024 DARMIN 7 3 0 1 1 1 6 7 0 4 8 2 0 0 0 1 JAMILAWATI 27-Apr-1982 BAJEK 3 1 0 0 3 1 0 0 1 0 0 1

152 18-Sep-2024 PATIR 7 3 2 2 0 1 4 1 0 7 8 8 0 3 2 8 NUR HAYATI 01-Jul-1988 KOHALA 3 0 0 0 3 1 0 0 1 0 0 1

153 18-Sep-2024 SUKRIADI 7 3 0 1 1 1 4 1 0 4 8 4 0 0 0 1 NUR WAHIDAH 10-Sep-1988 MEKAR INDAH 3 0 0 0 4 1 0 0 1 0 0 1

154 19-Sep-2024 MUSTAKIM 7 3 0 1 1 1 1 7 0 8 8 5 0 0 0 2 IKA MARDEKAWATI 17-Aug-1985 LALANG BATA 1 0 0 0 6 1 0 0 1 0 0 1

155 19-Sep-2024 MUH. RAMLI 7 3 0 1 1 1 5 0 1 1 8 4 0 0 0 1 HAMRIANA 10-Nov-1984 LALANG BATA 1 0 0 0 6 1 0 0 1 0 0 1

156 19-Sep-2024 RUSDI 7 3 0 1 1 1 6 5 0 5 7 8 0 0 0 1 NURSIHA 25-May-1978 LALANG BATA 3 0 0 0 6 1 0 0 1 0 0 1

157 05-Oct-2024 ARIF ANDI 7 3 0 1 0 4 6 2 0 2 9 6 0 0 0 1 FITRAYANTI 22-Feb-1996 MEKAR INDAH 085775611102 1 1 0 0 3 1 0 0 1 0 0 0

158 05-Oct-2024 PATTA MULUK 7 3 0 1 1 1 4 9 0 9 9 1 0 0 0 1 BASSEK IMANG 09-Sep-1991 BALANG BUTUNG 3 1 0 0 7 1 0 0 1 0 0 0

159 10-Oct-2024 BOHARI 7 3 0 1 1 1 4 1 0 7 7 8 0 0 0 1 ROHANI 01-Jul-1978 LEMBANG 3 0 0 0 4 1 0 0 1 0 0 1

160 11-Oct-2024 ANDI RAHMAD 7 3 0 1 1 1 4 8 0 6 9 1 0 0 0 1 BUNGA DAENG 08-Jun-1991 BALANG BUTUNG 3 0 0 0 3 1 0 0 1 0 0 0

161 12-Oct-2024 NUR ALIM 7 3 0 1 0 3 4 3 0 4 7 7 0 0 0 1 NUR NANINGSIH 03-Apr-1977 BUKI 3 0 0 0 4 1 0 0 1 0 0 0

162 15-Oct-2024 SYAMSUDDIN 7 1 7 1 0 3 6 5 0 3 8 8 0 0 0 9 RAJA INTANG 25-Mar-1988 BALANG BUTUNG 3 1 0 0 3 1 0 0 1 0 0 0

163 16-Oct-2024 ANDI SAFAR 7 3 0 1 1 1 4 2 0 5 7 9 0 0 0 1 SUDARMI 02-May-1979 MEKAR INDAH 3 0 0 0 4 1 0 0 1 0 0 1

164 19-Oct-2024 JUNARDI 7 3 0 1 1 1 5 7 0 7 8 3 0 0 0 1 SALMAWATI 07-Jul-1983 KOHALA 3 0 0 0 4 1 0 0 1 0 0 1

165 19-Oct-2024 SUKRIADI 7 3 0 1 1 1 4 1 0 4 8 4 0 0 0 1 NUR WAHIDAH 10-Sep-1988 MEKAR INDAH 3 0 0 0 4 1 0 0 1 0 0 0

166 19-Oct-2024 MULYADI 7 3 0 1 1 1 4 9 0 6 8 3 0 0 0 1 ISRAWATI 09-Jun-1983 KOHALA 3 0 0 0 4 1 0 0 1 0 0 1

167 19-Oct-2024 DENRI MAKKA 7 3 0 1 1 1 4 7 0 6 8 7 0 0 0 3 SAMRIANI 07-Jun-1987 MEKAR INDAH 3 0 0 0 4 1 0 0 1 0 0 0

168 23-Oct-2024 ANDIKA 7 3 0 1 1 1 5 0 0 9 8 8 0 0 0 1 ASRIANI 10-Sep-1988 MEKAR INDAH 3 0 0 0 4 1 0 0 1 0 0 0

169 23-Oct-2024 ANDI AGUS 7 3 0 1 0 3 5 2 0 9 7 9 0 0 0 1 NIRWANA 12-Sep-1979 BUKI 085880704846 3 1 0 0 3 1 0 0 1 0 0 0

170 29-Oct-2024 ASRIADI 7 3 0 1 0 3 6 3 0 3 9 9 0 0 0 1 YUNISARA 23-Mar-1999 BUKI 1 1 1 0 7 1 0 0 1 0 0 0

171 30-Oct-2024 ABDUL RAHMAN 7 3 0 1 0 4 5 0 0 6 8 2 0 0 0 1 KARLINA 10-Jun-1982 KOHALA 081543099414 1 0 0 0 4 1 0 0 1 0 0 0

172 30-Oct-2024 SYAMSUDDIN 7 3 0 1 1 1 5 0 1 0 9 2 0 0 0 1 ERNA SALDER,S.PD. 10-Oct-1992 BONTOLEMPANGAN 4 1 0 0 9 0 0 0 0 0 0 0

173 30-Oct-2024 ARHAM 7 3 0 1 1 1 4 3 0 3 0 4 0 0 0 1 KARMILA 03-Mar-2004 MEKAR INDAH 3 1 0 0 7 1 0 0 1 0 0 0

174 02-Nov-2024 MUH RIDWAN 7 3 0 1 0 3 5 1 0 3 8 3 0 0 0 1 MARDIANA 11-Mar-1983 BUKI 3 0 0 0 4 1 0 0 1 0 0 1

175 04-Nov-2024 ZAENAL 7 3 0 1 1 1 5 2 0 6 8 9 0 0 0 1 ZAMRIANA 12-Jun-1989 MEKAR INDAH 3 1 0 0 7 1 0 0 1 0 0 0

176 05-Nov-2024 RANDI AMIN 7 3 0 1 1 1 5 4 0 1 0 0 0 0 0 3 SARNI 14-Jan-2000 BONTOLEMPANGAN 3 1 0 0 3 1 0 0 1 0 0 0

177 05-Nov-2024 NURDIN 7 3 0 1 1 1 5 5 1 1 8 2 0 0 0 1 SAHRIANI 15-Nov-1982 LALANG BATA 3 1 0 0 9 1 0 0 1 0 0 0

178 09-Nov-2024 FIKRI MARDIANSYAH 7 6 0 4 0 2 6 5 0 8 0 3 0 0 0 9 AGFIRAH DIVA SEFIRAH 25-Aug-2003 BUKI 3 1 0 0 3 1 0 0 1 0 0 0

000000000000
179 09-Nov-2024 AGUS SALIM 7 3 0 1 0 3 7 0 0 8 9 5 0 0 0 1 ANDI RASNI 30-Aug-1995 KAREBOSI 3 0 0 0 6 1 0 0 1 0 0 0
0
180 09-Nov-2024 ILYAS 7 3 0 1 1 1 4 2 0 7 9 6 0 0 0 1 DIANA PANGESTUTI 02-Jul-1996 BONTOBUKI 3 0 0 0 4 1 0 0 1 0 0 1

181 11-Nov-2024 TAJUDDIN 7 3 0 1 0 4 5 2 0 8 9 7 0 0 0 1 JURNIATI 11-Jun-1997 BUKI TIMUR 3 1 0 0 7 1 0 0 1 0 0 0

182 11-Nov-2024 SALAHUDDIN 7 3 0 1 1 1 4 7 0 2 8 2 0 0 0 1 RAHMAWATI 07-Feb-1982 BAJEK 3 1 0 0 7 1 0 0 1 0 0 0

183 12-Nov-2024 ANDI ERWIN 7 3 0 1 1 1 4 9 1 2 8 9 0 0 0 1 IRMAYANI 09-Dec-1989 BARUIA 1 1 1 0 7 1 0 0 1 0 0 0

184 12-Nov-2024 ISRA MARZUKI 7 3 0 4 0 3 4 1 0 7 8 6 0 0 2 9 SARI 01-Jul-1986 BORONG BORONG 1 1 1 0 9 1 0 0 1 0 0 0

185 13-Nov-2024 NUR ALIM 7 3 0 1 0 3 4 3 0 4 7 7 0 0 0 1 NUR NANINGSIH 03-Apr-1977 BUKI 3 0 0 0 4 1 0 0 1 0 0 1

186 13-Nov-2024 AHMAD YANI 7 3 0 1 1 1 5 5 1 2 9 8 0 0 0 2 DENI MARIANA 15-Dec-1998 BONTOLEMPANGAN 1 1 1 0 7 1 0 0 1 0 0 0

187 14-Nov-2024 SUKRIADI 7 3 0 1 1 1 4 1 0 4 8 4 0 0 0 1 NUR WAHIDAH 10-Sep-1988 MEKAR INDAH 3 0 0 0 4 1 0 0 1 0 0 0

188 16-Nov-2024 HASBYM TABARA 7 3 0 5 0 7 6 2 0 5 8 9 0 0 0 1 AYU DEWI LESTARI 22-May-1989 PARAPPA 1 0 0 0 6 0 1 0 1 0 0 0

189 18-Nov-2024 ANDI SAFAR 7 3 0 1 1 1 4 2 0 5 7 9 0 0 0 1 SUDARMI 02-May-1979 MEKAR INDAH 3 0 0 0 4 1 0 0 1 0 0 0

190 19-Nov-2024 ABBAS 7 3 0 1 0 3 5 5 0 3 8 2 0 0 0 2 ANDI MUSTIKA 15-Mar-1982 BUKI 1 1 0 0 3 1 0 0 1 0 0 0

191 20-Nov-2024 ANDI AKIL 7 3 0 1 1 1 4 1 0 5 8 9 0 0 0 1 FITRIANI 01-May-1989 MEKAR INDAH 3 0 0 0 6 1 0 0 1 0 0 0

192 20-Nov-2024 ANDIKA 7 3 0 1 1 1 5 0 0 9 8 8 0 0 0 1 ASRIANI 10-Sep-1988 MEKAR INDAH 3 0 0 0 4 1 0 0 1 0 0 0

193 23-Nov-2024 SATTU LOLO 7 2 0 4 0 7 4 6 0 6 8 0 0 0 1 3 JUMRIATI 06-Jun-1980 LALANG BATA 3 1 0 0 3 1 0 0 1 0 0 0

194 23-Nov-2024 RISWANDI BASRUL 7 3 0 2 0 6 4 2 0 2 9 9 0 0 0 3 FILDA PRADILLAH 16-Nov-1999 BORONG BORONG 2 1 0 0 3 1 0 0 1 0 0 0

195 25-Nov-2024 SABRIANSYAH 7 3 0 1 1 1 5 6 1 1 9 9 0 0 0 2 NUR ULFAYANI 16-Nov-1999 BUKI TIMUR 4 1 0 0 8 0 0 0 0 0 0 0

196 05-Dec-2024 ANDI SARUHUNG 7 3 0 1 1 1 5 8 0 6 8 8 0 0 0 1 RAHMIATI 18-Jun-1988 BONTOLEMPANGAN 1 0 0 0 4 1 0 0 1 0 0 1

197 05-Dec-2024 BOHARI 7 3 0 1 1 1 4 1 0 7 7 8 0 0 0 1 ROHANI 01-Jul-1970 LEMBANG 3 0 0 0 4 1 0 0 1 0 0 1

198 05-Dec-2024 GILAN 7 3 0 1 1 1 6 5 0 2 0 2 0 0 0 1 LISDA YANTI 25-Feb-2002 TONGGONA 1 1 1 0 7 1 0 0 1 0 0 1

199 06-Dec-2024 MUHAMMAD ALWI,S.PD 7 3 7 1 0 2 6 8 0 5 7 8 0 0 0 1 HIMELDA HAMID 28-May-1978 MEKAR INDAH 3 1 0 0 3 1 0 0 1 0 0 1

200 06-Dec-2024 MUH. FAISAL 7 3 0 1 1 1 5 1 0 4 7 6 0 0 0 1 SITTI RUKAYA 11-Apr-1976 MEKAR INDAH 1 1 0 0 3 1 0 0 1 0 0 1

201 06-Dec-2024 SAHARUDDIN 7 3 0 1 1 1 5 9 0 9 8 3 0 0 0 1 FATMAWATI 19-Sep-1983 MEKAR INDAH 3 1 0 0 3 1 0 0 1 0 0 1

202 06-Dec-2024 RIZAL SAPUTRA 7 3 0 1 1 1 5 3 0 7 0 4 0 0 0 1 DEVI AYUANDIRA 13-Jul-2004 BONTONUMPA 1 1 1 0 7 1 0 0 1 0 0 1

203 07-Dec-2024 RESA ALFAISAL 7 3 0 2 0 6 6 3 0 1 0 2 0 0 0 4 NANI MARIANI 23-Jan-2002 MEKAR INDAH 3 1 0 0 3 1 0 0 1 0 0 1

204 09-Dec-2024 ILYAS 7 3 0 1 1 1 4 2 0 7 9 6 0 0 0 1 DIANA PANGESTUTI 02-Jul-1996 BONTOBUKI 3 0 0 0 4 1 0 0 1 0 0 1

205 09-Dec-2024 NUR ALIM 7 3 0 1 0 3 4 3 0 4 7 7 0 0 0 1 NUR NANINGSIH 03-Apr-1977 BUKI 3 0 0 0 4 1 0 0 1 0 0 1

206 09-Dec-2024 AGUS SALIM 7 3 0 1 0 3 7 0 0 8 9 5 0 0 0 1 ANDI RASNI 30-Aug-1995 KAREBOSI 3 0 0 0 6 1 0 0 1 0 0 1

207 09-Dec-2024 SUARDIMAN 7 4 0 8 0 1 6 8 0 7 9 5 0 0 0 2 HASMITA 28-Jul-1995 TONGGONA 082230641915 3 1 0 0 7 1 0 0 1 0 0 1

208 09-Dec-2024 MUH RIDWAN 7 3 0 1 0 3 5 1 0 3 8 3 0 0 0 1 MARDIANA 11-Mar-1983 BUKI 3 0 0 0 4 1 0 0 1 0 0 1

209 11-Dec-2024 MUSLIM 7 3 0 1 1 1 6 6 0 7 7 7 0 0 0 1 SANARIA 26-Jul-1977 MEKAR INDAH 1 0 0 0 6 1 0 0 1 0 0 1

210 11-Dec-2024 ABDUL RAHMAN.P 7 3 0 1 1 1 4 7 0 7 8 2 0 0 0 1 JULIATI 04-Jul-1982 MEKAR INDAH 1 0 0 0 4 1 0 0 1 0 0 1

211 11-Dec-2024 MUH. ASPA 7 3 0 1 0 3 4 6 0 2 9 0 0 0 0 1 FITRAYANTI 06-Feb-1990 MEKAR INDAH 1 0 0 0 4 1 0 0 1 0 0 1

212 11-Dec-2024 ANDI IRFAN,A.MA 7 3 0 1 1 1 6 8 0 8 9 6 0 0 0 1 RISKA PUSVITA SARI 28-Aug-1996 MEKAR INDAH 1 0 0 0 4 1 0 0 1 0 0 1

213 11-Dec-2024 SALAHUDDIN 7 3 0 1 0 3 4 5 0 9 9 7 0 0 0 1 DIAN ASMITA 05-Sep-1997 SILOLO 1 0 1 0 5 1 0 0 1 0 0 1

214 11-Dec-2024 SUDIRMAN 7 4 0 8 0 1 6 8 0 7 9 5 0 0 0 2 HASMITA 28-Jul-1995 TONGGONA 3 1 0 0 7 1 0 0 1 0 0 1

1) Keterangan Kode
STATUS PESERTA KB KODE JENIS ALOKON (Diisi Pada Jenis Tindakan dan Kasus)
1 : Peserta KB Baru 3 : Peserta KB Ulangan 1 : Suntikan 1 Bulanan 3 : Suntikan 3 Bulanan 5 : Pil Progestin 7 : Implan 1 Batang 9 : IUD 11 : Tubektomi
2 : Peserta KB Ganti 4 : Komplikasi 2 : Suntikan 3 Bulanan 4 : Pil Kombinasi 6 : Kondom 8 : Implan 2 Batang 10 : Vasektomi
2) SELAIN STATUS PESERTA KB, JENIS TINDAKAN DAN KASUS DIISI TANDA CENTANG (V)
Lamp.R/I/KB/20
LAMPIRAN R/I/KB/20 Lembar 7

1 2 3 4 5 6
KIA PUSKESMAS BUKI 7 3 0 1 0 1 1 Bulan :
7 8 9 10 11 V
2024
: Kode Provinsi Kode No. Register Faskes No. Jaringan/
Kabupaten/ Jejaring Faskes
Kota

RINGKASAN HASIL PELAYANAN KB

PESERTA KB BARU (PB) PESERTA KB ULANGAN PELAYANAN KASUS

PEMBERIAN INFORMED PB DAN KESERTAAN JKN PEMBERIAN INFORMED

NO. METODE KONTRASEPSI CONSENT CONSENT (Untuk
(Untuk PB) PB PASCA PB PASCA Peserta KB Ulangan)
GANTI CARA PELAYANAN ULANG PENCABUTAN KOMPLIKASI BERAT KEGAGALAN
PERSALINAN KEGUGURAN
PB JKN PB NON JKN TOTAL PB

1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 IMPLAN 1 1 0 1 1 0 0 0 0 0 0
2 SUNTIKAN 0 0 0 0 0 0 0 0 1 0 0
3 SUNTIKAN 0 0 0 0 0 0 1 0 1 0 0
4 SUNTIKAN 0 0 0 0 0 0 0 0 1 0 0
5 SUNTIKAN 0 0 0 0 0 0 1 0 1 0 0
6 IMPLAN 1 1 0 1 0 0 0 0 0 0 0
7 IUD 0 0 0 0 0 0 0 0 0 1 0
8 PIL 0 1 0 1 0 0 0 0 0 0 0
9 PIL 0 0 0 0 0 0 0 1 0 0 0
10 IMPLAN 1 1 0 1 1 0 0 0 0 0 0
11 PIL 0 0 0 0 0 0 0 0 1 0 0
12 PIL 0 0 0 0 0 0 0 0 1 0 0
13 PIL 0 0 0 0 0 0 0 0 1 0 0
14 PIL 0 0 0 0 0 0 0 0 1 0 0
15 PIL 0 0 0 0 0 0 0 0 1 0 0
16 PIL 0 0 0 0 0 0 0 0 1 0 0
17 PIL 0 0 0 0 0 0 0 0 1 0 0
18 PIL 0 0 0 0 0 0 0 0 1 0 0
19 PIL 0 0 0 0 0 0 0 0 1 0 0
20 PIL 0 0 0 0 0 0 0 0 1 0 0
21 IMPLAN 0 0 0 0 0 0 1 0 1 0 0
22 IMPLAN 0 0 0 0 0 0 1 0 1 0 0

JUMLAH 29 41 1 42 15 0 62 14 152 5 0 0

Selayar , 12-December-2024
Pimpinan Faskes KB/Jaringan/Jejaring*

NIP/NRP
* Coret yang tidak perlu