BALITA GIZI BURUK
PUSKESMAS KECAMATAN CISAYONG TAHUN 2013
Puskesmas : Cisayong
Bulan
: JANUARI
2013
|
NO
|
NAMA BALITA
|
JK
|
NAMA ORANG
TUA
|
SOSEK ORTU
|
ALAMAT
|
TANGGAL LAHIR
|
UMUR
(Balita)
|
DATA ANTROPOMETRI AWAL
|
DATA ANTROPOMETRI
Bulan Ini
|
STATUS GIZI
|
|||||||
|
GAKIN
|
NON GAKIN
|
BB
|
TB
|
BB
|
TB
|
BB/U
|
BB/TB
|
||||||||||
|
1
|
Yusup M
|
L
|
Juju.J /Ahmad
|
ü
|
|
Desa Sukajadi Kp. Lengkong sari
RT02 Rw 05
|
13-11-2011
|
13 Bulan
|
7.4
|
75.8
|
7.4
|
|
|
ü
|
|||
|
2
|
Dewi Sartika
|
P
|
Emay / Dadan
|
ü
|
|
Desa Sukajadi Kp. Sukamahi Rt 03 Rw 02
|
12 -07 -2010
|
29 Bulan
|
7.1
|
73
|
8.1
|
|
ü
|
|
|||
|
4
|
Toni
|
L
|
Hidayat/Tini
|
ü
|
|
Desa: Jatihurip Kp. Sindang raja
|
20-11-2010
|
25 Bulan
|
5
|
54.8
|
8.3
|
|
|
ü
|
|||
|
5
|
Sakira
|
L
|
Rukmini
|
|
ü
|
Desa:Santanamekar kp.Citeupus
|
23-11-2011
|
13 bulan
|
5.7
|
|
7.3
|
|
ü
|
|
|||
|
6
|
Anjani
|
P
|
Rahmat
|
|
ü
Ѵ
|
Desa Santanmekar Kp.Palasari
|
18 -6-2010
|
27 Bulan
|
6.7
|
64
|
8.3
|
|
|
ü
|
|||
|
7
|
Salwa
|
P
|
Oyon/ Enok
|
ü
|
|
Desa Cisayong Rt.02 /Rw 02
|
5 -9- 2011
|
17 Bulan
|
3.2
|
55.3
|
4.6
|
|
|
ü
|
|||
|
8
|
Cici
|
P
|
Dede/Soleh
|
ü
|
|
Desa Sukasetia Kp.Raksajaya Rt.06/Rw.2
|
12-10-2010
|
26 Bulan
|
5.4
|
65.9
|
7.5
|
|
|
ü
|
|||
|
9
|
Alin
|
P
|
Jamilah/Asep
|
ü
|
|
Desa Nusawangi Kp.SangkaliRt.06/Rw.01
|
8- 11 – 2011
|
10 Bulan
|
2.5
|
51
|
7.8
|
|
|
ü
|
|||
|
10
|
Risa
|
P
|
Ny.Titin/Heri
|
ü
|
|
Desa.Sukasukur Kp.Munjul Rt.15/Rw.02
|
8 – 8 – 2011
|
16 Bulan
|
6.7
|
66.9
|
7.4
|
|
ü
|
|
|||
|
11
|
Delviana
|
P
|
Ny.Nina/Dede
|
ü
|
|
Desa.Kerenceng Kp.Kerenceng
|
26 -10 -2011
|
15 bulan
|
6.3
|
69.3
|
7.5
|
|
ü
|
|
|||
|
12
|
Alby
|
L
|
Ny.cucu/Herlan
|
ü
|
|
Desa Nusawangi Kp.Cinusa
|
27-10-2011
|
15 Bulan
|
6.6
|
72
|
7.5
|
|
|
ü
|
|||
|
Mengetahui,
|
|
|
Cisayong ,
Maret 2013
|
||||||||||||||
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Kepala UPTD Puskesmas
Kecamatan Cisayong
|
|
|
Tenaga Pelaksana Gizi
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