DATA JAMKESDA PUSKESMAS AMPALU TAHUN 2015

NO

NAMA

JK

TANGGAL LAHIR

NIK

ALAMAT

1 ARIPIN
2 RAYO
3 BAIYAR
4 ABU BAKAR
5 AGUSWANDI

LK
PR
PR
LK
LK

10/13/1979 1305051310790000
6/30/1942 1305057006420040
10/9/1955 1305054910550000
12/1/1979 1305050511510000
8/17/1976 1305051708760000

6 ENI SUSANTI

PR

12/11/1978 13050555112780000 KP. DAMA

VII KOTO SEI. SARIK

PR
LK
LK
LK
LK
PR
PR
LK
LK
LK
PR
PR
LK
PR
PR
LK
LK
PR
PR
PR
LK
PR

1/22/2001 1305056201010000
6/4/2003 1305050406030000
9/8/2006 1305050809060000
1/28/2012 1305052801120000
1/1/1949 1305050101490000
2/18/1961 1305055802690000
4/20/1994 1305056004940000
4/19/1953 1305051904530000
9/2/1984 1305050209840000
7/27/1993 1305052707930000
12/31/1956 1305067112560000
1/1/1980 1305054101800000
4/1/1982 1305050104820000
10/11/1991 1305055110910000
6/2/1953 1305054206530000
1/21/1969 1305052101690000
1/20/1947 1305052001470000
3/14/1983 1305055403830000
6/30/1952 1305057006520030
6/6/1969 1305054006690000
2/12/1999 1305051202990000
9/18/2001 1305055609010000

VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII

7 VINA SANTIKA
8 ILFAL SAPUTRA
9 ZANDRA FEBDIANSYAH
10 M. HAFIZ
11 BUDUR
12 MALANI
13 WIDIA RAHAYU
14 SYAHRIL
15 ANTONI MARDIANSYAH
16 KHAIRUL PUAD
17 ROSMANIDAR
18 JANEWAR
19 SYAMRIAL
20 TIARA
21 SAMSIDARNIS
22 YANUAR EFENDI
23 SD. AMAR
24 RENO ROSMITA
25 YUSLAINI
26 RAPITA
27 ALFRINANDO
28 NURHALIZA

CIMPAGO
CIMPAGO
CIMPAGO
TOBOH
KP. DAMA

KECAMATAN

KP. DAMA
KP. DAMA
KP. DAMA
KP. DAMA
KP. DAMA
KP. DAMA
KP. DAMA
TJ. BALIK
TJ. BALIK
TJ. BALIK
TJ. BALIK
TJ. BALIK
TJ. BALIK
TJ. BALIK
KAMPANI
KAMPANI
KAMPANI
KAMPANI
KAMPANI
SIMPANG
SIMPANG
SIMPANG

VII
VII
VII
VII
VII

KOTO
KOTO
KOTO
KOTO
KOTO

KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO

SEI.
SEI.
SEI.
SEI.
SEI.

SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.

SARIK
SARIK
SARIK
SARIK
SARIK

SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK

29 DAYANG
30 SUHERNI

LK
PR

31 SHAHRUDIN

LK

32 ZULMIATI

1/23/1966 1305052301660000
4/10/1968 1305055004680000

SIMPANG
SIMPANG

VII KOTO SEI. SARIK

12/12/1965

1305051212650000 SIMPANG

VII KOTO SEI. SARIK

PR

5/10/1974

1305055005740000 SIMPANG

VII KOTO SEI. SARIK

33 RAHEL RAHMANSAH

LK

10/9/2007

1305050910070000 SIMPANG

VII KOTO SEI. SARIK

34 NURDIN

LK

6/17/1950

1305051706500000 SIMPANG

VII KOTO SEI. SARIK

35 DAREMI

PR

6/12/1954

1305055206540000 SIMPANG

VII KOTO SEI. SARIK

36 ANGGI MARTIAS

LK

3/1/1990

1305050103980000 SIMPANG

VII KOTO SEI. SARIK

37 TEDI JANUARDI

LK

1/12/2000

1305051201000000 SIMPANG

VII KOTO SEI. SARIK

38 JONALIS

LK

1/21/1964

1305052101640000 SILANGKUNG

VII KOTO SEI. SARIK

39 ARMAWATI

PR

5/20/1970

130505600570001 SILANGKUNG

VII KOTO SEI. SARIK

40 ARI YUSNETI

PR

4/4/1980

1305054404800000 APAR

VII KOTO SEI. SARIK

41 ABDUL MUIN

LK

11/7/1943

1305050711430000 KP. TANGAH

VII KOTO SEI. SARIK

42 ACI SUNALIK

LK

7/10/1992

135054710920001 KP. TANGAH

VII KOTO SEI. SARIK

43 ADNATULEMIA

PR

12/23/2005

1305050312050000 KP. TANGAH

VII KOTO SEI. SARIK

38 ANDREAS WILLANO

LK

6/9/2003

13050506030001 KP. TANGAH

VII KOTO SEI. SARIK

39 ANWAR BUJANG

LK

7/25/1965

1305052507550000 KP. TANGAH

VII KOTO SEI. SARIK

40 AWIS KARNI

LK

9/9/1972

1305090720002 KP. TANGAH

VII KOTO SEI. SARIK

41 TIRASUN

PR

7/10/1949

1305055607490000 KP. TANGAH

VII KOTO SEI. SARIK

42 YARNI PONDOK

PR

8/19/1950

1305055908500000 KP. TANGAH

VII KOTO SEI. SARIK

43 ZAINAB

PR

5/4/1949

1305054504490000 KP. TANGAH

VII KOTO SEI. SARIK

44 NAJIN

LK

6/5/1960

1305050506600000 SIKILIR

VII KOTO SEI. SARIK

45 ASNI

PR

3/10/1972

1305055003720000 SIKILIR

VII KOTO SEI. SARIK

46 ENDRI USMANANDA

LK

11/16/1995

1305051611950000 SIKILIR

VII KOTO SEI. SARIK

47 RATNA

PR

4/12/1969

1305055204690000 SIKILIR

VII KOTO SEI. SARIK

48 ALIMUNIR

LK

8/15/1950 13050505085000000 SIKILIR

VII KOTO SEI. SARIK

49 AGUSRIAL. S

LK

8/7/1981

1305050708810000 SIKILIR

VII KOTO SEI. SARIK

50 JUARNI

PR

2/14/1985

1305055402850000 SIKILIR

VII KOTO SEI. SARIK

51 ANISA JULIANTI

PR

7/11/2009

1305055107090000 SIKILIR

VII KOTO SEI. SARIK

52 RISKY FEBRIAN

LK

1/8/2013

130505081130002 SIKILIR

VII KOTO SEI. SARIK

53 SAMSIDAR

PR

9/30/1960

130505700600022 GUGUK

VII KOTO SEI. SARIK

54 SAHRUL

LK

12/13/1950

1305051312500000 GUGUK

VII KOTO SEI. SARIK

55 ROSMAWAR

PR

9/2/1959

1305054209590000 GUGUK

VII KOTO SEI. SARIK

56 ARIF RAHMAT

LK

4/18/1990

1305121804900000 GUGUK

VII KOTO SEI. SARIK

57 RIFDAYANI

PR

8/23/1994

1305056308940000 GUGUK

VII KOTO SEI. SARIK

58 M.ARYA HAKIM

PR

9/14/2014

1305051409140000 GUGUK

VII KOTO SEI. SARIK

59 RAWANI

PR

5/2/1946

1305054205460000 GUGUK

VII KOTO SEI. SARIK

60 NURJALI

PR

7/18/1956

1305055807560000 GUGUK

VII KOTO SEI. SARIK

61 BAKHTIAR

LK

4/13/1974

1305051304740000 GUGUK

VII KOTO SEI. SARIK

62 LENI ARMARETA

PR

3/1/1977

1305054103770000 GUGUK

63 BIMA RIVALDO

LK

5/15/2001

1305051505010000 GUGUK

VII KOTO SEI. SARIK

64 M.FAREL IBRAHIM

LK

4/9/2011

130505100411003 GUGUK

VII KOTO SEI. SARIK

65 ERMAN

LK

66 ERNAPITA

PR

67 NURLELI

PR

3/6/1961

1305054603610000 PL. JUHA

VII KOTO SEI. SARIK

68 RINA CLAYUNIS

PR

3/24/1986

1305056403860000 PL. JUHA

VII KOTO SEI. SARIK

69 ROSTAM NODI

LK

8/8/1978

1305050808780000 PL. JUHA

VII KOTO SEI. SARIK

70 SALINAR

PR

1/7/1953

1305054701530000 PL. JUHA

VII KOTO SEI. SARIK

71 NOVI ARNI

PR

11/22/2012

1305056211120000 KT. TABANG

VII KOTO SEI. SARIK

72 ADRIANI
73 CEK ELOK
74 RAMAINI
75 ANDRE YANTO
76 M.FAJRI
77 WULAN PRATAMA
78 SAFRIANTO

PR
PR
PR
LK
LK
PR
LK

4/24/1987 1305056405870000
6/30/1960 1305057006600050
5/30/1979 1305057005790000
10/14/2005 1305051410050000
9/9/2013 1305050909130000
3/15/2009 1305055503090000
10/19/1964 1305051910640000

79 ALI BAKAR

LK

12/30/1984 13050530012840000 LANSANO

VII KOTO SEI. SARIK

80 ADATMAN AKBAR
81 M.DANIEL
82 AWALIUS
83 BAINAN
84 ERMAWATI
85 SATRIO HIDAYAT
86 HIDAYATUL PUTRI
87 SHAIDATUL FAUZIAH
88 DESMIATI
89 SYAFRIJON
90 ADITYAWARMAN
91 ALI AKBAR
92 ALI HAR

LK
LK
LK
PR
PR
LK
PR
PR
PR
LK
LK
LK
LK

1/1/1973 1306060101730000
10/11/2008 1305051110090000
4/11/1991 1305051104910000
9/8/1959 1305054809590000
12/19/1969 1305055912690000
5/10/2008 1305051005080000
11/12/1998 1305055211980000
6/12/2001 1305055206010000
12/10/1978 1305065012790000
10/14/1968 1305051410680000
2/7/1998 1305050702980000
11/11/1965 1305051111650000
6/30/1952 1305053006520010

VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII

93 ANDI MULYA

LK

KT. TABANG
KT. TABANG
KT. TABANG
KT. TABANG
KT. TABANG
KT. TABANG
LANSANO

LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO

VII
VII
VII
VII
VII
VII
VII

KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO

KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO

SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.

SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.

SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK

SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK

94 ANDRIANTO
95 ANDRIKO
96 ANDRO
97 ANTI QETHYA
98 ARIS FAISAL
99 ARMAN
100 ASMAWATI
101 ASNIMAR
102 BADRUL EFENDI
103 BISMI M.RAZIK
104 DASMON EFENDI
105 DAWARNI
106 DENYOK
107 DESMAWATI
108 ELI MAWARNI
109 ERNAWATI
110 MEYLITA RAHMI
111 NAZARUDIN
112 NURLIS
113 NURMALI
114 RABAIYAH
115 RADIAHUL JANAH
116 RAMU AKMAL
117 RAMUNA
118 REZI FERDIANSYAH
119 RISHADARUL R.RAFIF
120 SAWIRMAN
121 SESTI NAUZILIERNI
122 SUARDI

LK
LK
LK
PR
LK
LK
PR
PR
LK
LK
LK
PR
LK
PR
PR
PR
PR
LK
LK
PR
PR
PR
LK
PR
LK
LK
LK
PR
LK

4/21/1989 1305052104890000
2/14/1987 1305051402870000
11/2/1993 1305050211930000
5/21/1995 1305056105950000
8/5/2007 1305050808070000
8/12/1997 1305051208970000
6/5/1966 1305054506660000
3/10/1987 1305055003870000
7/19/2000 1305051907000000
6/4/2003 1305050406030000
7/16/1982 1305050607820000
6/27/1957 130556706570001
12/3/1935 1305050312350000
9/6/1975 1305054609750000
5/21/1974 1305056105740000
7/12/1970 1305055207700000
5/1/2009 1305054105090000
7/25/1958 1305052507580000
4/5/1965 1305054504650000
6/30/1955 1305057006550020
6/30/1942 1305057006420040
4/2/2003 1305054204030000
10/20/1953 1305052010530000
8/3/1960 1305054308600000
6/4/2001 1305050406010000
9/18/2008 1305051809080000
12/31/1964 1305053112640000
6/26/1993 1305056606930000
1/12/1970 1305051201700000

LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO

VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII
VII

KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO
KOTO

SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.
SEI.

SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK
SARIK

123 SURYA EFENDI

LK

5/2/2004 1305050205040000

LANSANO

VII KOTO SEI. SARIK

124 SYAFRIZAL

LK

10/5/1962 1305050510620000

LANSANO

VII KOTO SEI. SARIK

125 SYAMSIDAR
126 TIARA
127 TOMI SAPUTRA
128 WENNY DEYSA M.S
129 YUDA SYAHPUTRA
130 YULIAR

PR
PR
LK
PR
LK
PR

131 YUSMANISAR

312 ZAINAL ARIFIN

7/16/1938 1305055607380000
7/1/2011 1305050107110000
4/17/2006 1305051704060000
12/6/2012 1305054612120000
6/6/2001 1305050606010000
12/8/1961 1305054812610000

LANSANO
LANSANO
LANSANO
LANSANO
LANSANO
LANSANO

VII
VII
VII
VII
VII
VII

KOTO
KOTO
KOTO
KOTO
KOTO
KOTO

SEI.
SEI.
SEI.
SEI.
SEI.
SEI.

SARIK
SARIK
SARIK
SARIK
SARIK
SARIK

PR

LANSANO

VII KOTO SEI. SARIK

LK

LANSANO

VII KOTO SEI. SARIK