8/16/2019 Formulir Pemantauan Kesehatan Balita d Posy.
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HASIL KEGIATAN PEMANTAUAN KESEHATAN BALITA
DI POSYANDU KENANGA
WILAYAH PUSKESMAS KAYU TANGI
TANGGAL :
N0 NamaUmur /
BB TBStatus
LKAGerak Gerak
Tg a!"r G"#" kasar Haus$ Na"a Na%sa &/&/'0$(
$0
' )e"* +ua," (/&/'0$' $-
( M.Nur S!" '/'-/'0$( $'.'
- A.Ma"k $0/$/'0$( $0
1 Am"ra! 2a!ma! $'/'$/'0$- .1
3 Naura! $$//'0$( $0.1
S4"5a $0/3/'0$( '$
6 A.2"5k" S4am" 1/'$/'0$( $(
& Na"a Nurs4"5a 6/$1/'0$1 -.1
$0 2"ska Naua /($/'0$$ $$$$ A,"7a Nur S4"5a $0/'$/'0$1 (.
$' Au"a 2ama,!a* /$6/'0$- 6
$( Na,"a Nr.S 3/$$/'0$' &.-
$- )"!a* A#a!ra 6/$/'0$- $$.1
$1 A.+ak"! $$/'3/'0$$ $(
$3 A!ma, $$/$6/'0$1 (.6
$ A*8ee -/''/'0$1 3.3
$6 Na7"a A##a!ra 6/$/'0$-
$& S4a!r" Mu7arak /($/'0$$
'0 M.A7"#ar.A -//'0$(
'$ M.I!sa* &/$$/'0$(
'' +"tr"a 2ama,!a* /$3/'0$-
'( Am"ra 2a!ma! $'/'$/'0$-
'- +a!r" $/'$/'0$$
'1 Ha"matus Sa9,"a! -/$/'0$(
'3 Na#a Na7"a 6/(0/'0$0
' A"5 2a!ma! 1/(/'0$(
'6 M.Ham", U $$/'0/'0$-
'& Yasm"* $$/$-/'0$$
(0 Mu5t" (/$$/'0$1
($ 2a5ka 6/$$/'0$0
(' A.2"#k4 A -/$0/'0$1
((
(-
(1
(3
(
(6
(&
(&
-0-$
-'
-(
--
-1
-3
-
-6
-&
101$
