k3 Bu Lusi Lanjut

7/25/2019 k3 Bu Lusi Lanjut

1/80

TAHUN 2015

DESA KALIBARU MANIS BARUREJO RT 01 RW 05

NO NAMA KK

1 DOFIR 1 1 1 1

2 AHU ZAIRI 1 1 1 0

3 ILYAS 1 1 1 1

4 JONI S 1 1 1 1

5 ALVIAN AZIZ 0 1 1 0

MOH! SAID 0 1 1 1

" WIGA 1 1 1 1# ALI AKBAR 0 1 1 1

$ BISRI 0 1 1 1

10 RUDI 0 1 1 1

11 FIKI 0 1 1 1

12 YUDI 1 1 1 1

13 MARYADI 0 1 1 0

14 SELAMAN 0 1 1 0

15 IRWANTO 0 1 1 1

1

1"1#

1$

20

JUMLAH

TAHUN 2015


NO NAMA KK

1 FATHOR ROHMAN 0 0 0 0

2 MOH! ROMLI 0 0 0 0

3 MOH! MUSLEH 1 0 0 04 SUPRIYADI 1 1 1 1

5 FERNANDO HADI 1 1 1 0

P%&'()*+(+,)%-

N(.%'

ASIE.'.)'*

P%+*(+(+ B(*A+(.

B()*6(

I+*'('*7(8(.

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P%&'()*+(+,)%-

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2/80

PAIMAN 1 1 1 0

" ASMIN 1 1 1 0

# ASMU9I AMIN 1 1 1 1

$ NUR HASAN 1 0 1 0

10 M! BASHOR AL 1 1 1 0

11

12

13

14

15

1

1"

1#

1$

20

JUMLAH

TAHUN 2015


NO NAMA KK

1 MUNALI FATAH 0 0 1 1

2 SUNARDI 0 0 1 0

3 ROFI9I 0 0 1 1

4 YEMADI YANTO 0 0 1 1

5 ABDUR ROHMAN 0 0 1 1

MOH! SIAMTO 0 0 1 1

" BUDIYONO 0 1 1 1

# SAMSUL ARIFIN 1 1 1$

10

11

12

13

14

15

1

1"

1#1$

20

P%&'()*+(+,)%-

N(.%'

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B()*6(

I+*'('*7(8(.

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3/80

JUMLAH

TAHUN 2015


NO NAMA KK

1 HAFID 1 0 1 1

2 BAMBANG 1 0 1 1

3 IRWAN 1 1 1 14 MOH! SUDIK 0 0 0 0

5 SUKRON 1 1 1 1

M! SAMSUL ARIFIN 1 0 1 1

" YUWONO 1 1 1 1

# BUDI N 1 1 1 1

$ ASRUL 1 0 1 1

10 A! PARIMAN 1 0 1 1

11 NUR KHOLIS SALIM 1 1 1

12

1314

15

1

1"

1#

1$

20

JUMLAH

TAHUN 2015

DESA KALIBARU MANIS BARUREJO RT 02 / RW 01

NO NAMA KK

1 ADAM

P%&'()*+(+,)%-

N(.%'

ASIE.'.)'*

P%+*(+(+ B(*A+(.

B()*6(

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P%&'()*+(+,)%-

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B()*6(

I+*'('*7(8(.

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4/80

2 MIKO 1 0 1 1

3 IRWAN 1 0 1 1

4 DEDI 1 0 1 1

5 AJIYANTO 1 0 1 1

ARIS 1 0 1 1

" SYAIFUL 1 0 1 1

# SELAMET 1 0 1 1

$ ZAINUDIN 1 0 1 1

10 A!ROHIM 1 0 1 1

11

12

13

14

15

1

1"

1#

1$

20

JUMLAH

TAHUN 2015DESA KALIBARU MANIS BARUREJO RT 01 RW 01

NO NAMA KK

1 :ATUR 1 0 1 1

2 MULYADI 1 0 1 1

3 IWAN 1 0 1 1

4 SRI 1 0 1 15 SWARSO 1 0 1 1

PONARI 1 0 1 1

" EKO 1 0 1 1

# YAHYA 1 1 1 1

$ RIAN 1 0 1 1

10 BUDI H 1 0 1 1

11

12

13

1415

1

P%&'()*+(+,)%-

N(.%'

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5/80

1"

1#

1$

20

JUMLAH

TAHUN 2015

DESA KALIBARU MANIS BARUREJO RT 01 RW 0$

NO NAMA KK

1 RONI 1 0 1

2 ZAINUL ABIDIN 1 0 1 1

3 KUSWADI 1 0 1 1

4 SUROSO 1 0 1

5 HARYONO 1 0 1 1

SANTO SUJARNO 1 0 1 1

" YANTO 1 0 1 1

#

$10

11

12

13

14

15

1

1"

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1$20

JUMLAH

TAHUN 2015


P%&'()*+(+,)%-

N(.%'

ASI

E.'.)'*

P%+*(+(+ B(*A+(.

B()*6(

I+*'('*7(8(.

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6/80

NO NAMA KK

1 BUDIYONO 1 0 1 1

2 YOYON EDI S 1 0 1 1

3 BUDIYANTO 1 0 1 1

4 SUGENG WINARNO 1 1 1 1

5 BUDIONO 1 0 1 1

WIDA YUSUF DWI 1 1 1 1

" BUDI 1 1 1 1

#

$

10

11

12

13

14

15

1

1"

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20

JUMLAH

TAHUN 2015

DESA KALIBARU MANIS BARUREJO RT

NO NAMA KK

1

2

3

4

5

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#

$10

11

P%&'()*+(+,)%-

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7/80

12

13

14

15

1

1"

1#

1$

20

JUMLAH


8/80

REKAP HASIL SMD K3/PHBSTINGKAT RUKUN TETANGGA/DASA WISMA

INDIKATOR PERILAKU SEHAT

PSN

1 1 1 1 1 1 1

1 1 0 1 1 1 0

1 1 1 1 1 1 1

1 1 1 1 1 1 0

1 1 1 1 1 1 1

1 1 1 1 1 1 1

1 1 1 1 1 1 11 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 1

1 1 1 1 1 1 1

1 1 1 1 1 1 1

1 1 1 1 1 1 1

1 1 1 1 1 1 1

1 1 1 1 1 1 0



PSN

1 1 1 1 1 0 1

1 1 0 1 1 1 0

1 1 1 1 1 1 01 1 1 1 1 0 0

1 1 1 1 1 0 0

:U:I 6(+(+;%+(+ (*&%&'*- ;(+

'(+

M%++(.(+ A*&B%&'*-

M%++(.(+ J((+

S%-(6

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A.6*


9/80

1 1 1 1 1 0 1

1 1 1 1 1 0 1

1 1 1 1 1 0 0

1 1 1 1 1 1 1

1 1 1 1 1 0 1



PSN

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

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:U:I 6(+(+

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'(+

M%++(.(+ A*&B%&'*-

M%++(.(+ J((+

S%-(6

M(.(+'(& ;(+

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A.6*


10/80

REKAP HASIL SMD K3/PHBS

TINGKAT RUKUN TETANGGA/DASA WISMA


PSN

1 1 1 1 1 1 1

1 1 1 1 1 1 0

1 1 1 1 1 1 01 1 1 1 1 1 1

1 1 0 1 1 1 1

1 1 1 1 1 1 0

1 1 1 1 1 1 1

1 1 0 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 1



PSN

1 1 1 1 1 1 1

:U:I 6(+(+;%+(+ (*&%&'*- ;(+

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M%++(.(+ A*&B%&'*-

M%++(.(+ J((+

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11/80

1 1 0 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 1

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0



PSN

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 11 1 0 1 1 1 0

1 1 0 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 1

:U:I 6(+(+;%+(+ (*&%&'*- ;(+

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M%++(.(+ J((+

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12/80



PSN

1 1 1 1 1 1 0

1 1 0 1 1 1 0

1 1 0 1 1 1 0

1 1 1 1 1 1 0

1 1 0 1 1 1 0

1 1 0 1 1 1 0

1 1 1 1 1 1 0



:U:I 6(+(+;%+(+ (*&

%&'*- ;(+'(+

M%++(.(+ A*&

B%&'*-

M%++(.(+ J((+

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13/80

PSN

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 0

1 1 1 1 1 1 1

1 1 1 1 1 1 0



PSN

:U:I 6(+(+;%+(+ (*&%&'*- ;(+

'(+

M%++(.(+ A*&B%&'*-

M%++(.(+ J((+

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14/80


15/80

KLASIFIKASI

S.,&

1 12

0 #

0 11

0 10

1 10

0 10

1 120 $

0 $

1 11

1 11

1 12

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KLASIFIKASI

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T*;(.%&,.,.;()(&(-

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16/80

1 10

1 10

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17/80

KLASIFIKASI

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18/80

0 #

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KLASIFIKASI

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19/80

KLASIFIKASI

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20/80

S.,&

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0 $

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21/80


22/80

REKAP HASIL SMD KTINGKAT RUKUN

TAHUN 2015


NO NAMA KK

KONDISI FISIK BANGUNAN RUMAH

L(+6(* J%+;%)( SPAL

1 DOFIR 1 1 1 1 1

2 AHU ZAIRI 1 1 1 1 1

3 ILYAS 1 1 1 1 1

4 JONI S 1 1 0 0 0

5 ALVIAN AZIZ 1 1 1 1 0

MOH! SAID 1 1 1 1 0

" WIGA 0 1 0 1 0

# ALI AKBAR 1 1 1 1 0$ BISRI 1 1 1 1 0

10 RUDI 1 1 1 1 0

11 FIKI 1 1 1 1 0

12 YUDI 0 1 0 1 0

13 MARYADI 1 1 1 1 0

14 SELAMAN 1 1 1 1 0

15 IRWANTO 1 1 1 1 0

1 1

1"

1#1$

20

JUMLAH


TAHUN 2015


NO NAMA KK


L(+6(* J%+;%)( SPAL

1 FATHOR ROHMAN 1 1 0 1 0

2 MOH! ROMLI 1 1 0 1 0

3 MOH! MUSLEH 1 1 0 1 0

4 SUPRIYADI 1 1 0 1 0

5 FERNANDO HADI 1 1 0 1 0 PAIMAN 1 1 0 1 0

" ASMIN 1 1 0 1 0

K%8(;(6(+

K%%&'*-(+ &(-

K%8(;(6(+

K%%&'*-(+ &(-


23/80

# ASMU9I AMIN 1 1 0 1 0

$ NUR HASAN 1 1 0 1 0

10 M! BASHOR AL 1 1 0 1 0

11

12

13

14

15

1

1"

1#

1$

20

JUMLAH


TAHUN 2015


NO NAMA KK


L(+6(* J%+;%)( SPAL

1 MUNALI FATAH 1 1 0 1 02 SUNARDI 1 1 0 1 0

3 ROFI9I 1 1 0 1 0

4 YEMADI YANTO 1 1 0 1 0

5 ABDUR ROHMAN 1 1 0 1 0

MOH! SIAMTO 1 1 0 1 0

" BUDIYONO 1 1 1 1 0

# SAMSUL ARIFIN 1 1 1 1 0

$

10

1112

13

14

15

1

1"

1#

1$

20

JUMLAH

K%8(;(6(+

K%%&'*-(+ &(-


24/80


TAHUN 2015


NO NAMA KK


L(+6(* J%+;%)( SPAL

1 HAFID 1 1 1 1 1

2 BAMBANG 0 1 1 1 1

3 IRWAN 1 1 1 1 1

4 MOH! SUDIK 1 1 1 1 1

5 SUKRON 0 1 1 1 1

M! SAMSUL ARIFIN 1 1 1 1 1

" YUWONO 1 1 1 1 1# BUDI N 0 1 1 1 1

$ ASRUL 1 1 1 1 1

10 A! PARIMAN 1 1 1 1 1

11 NUR KHOLIS SALIM 1 1 1 1 1

12

13

14

15

1

1"1#

1$

20

JUMLAH


TAHUN 2015


NO NAMA KK


L(+6(* J%+;%)( SPAL

1 ADAM 0 0 1 1 1

2 MIKO 1 1 1 1 1

3 IRWAN 1 0 1 1 1

4 DEDI 1 0 1 1 15 AJIYANTO 1 1 1 1 1

ARIS 1 1 1 1 1

K%8(;(6(+

K%%&'*-(+ &(-

K%8(;(6(+

K%%&'*-(+ &(-


25/80

" SYAIFUL 1 1 1 1 1

# SELAMET 1 1 1 1 1

$ ZAINUDIN 1 1 1 1 1

10 A!ROHIM 1 1 1 1 1

11

12

13

14

15

1

1"

1#

1$

20

JUMLAH


TAHUN 2015


NO NAMA KK


L(+6(* J%+;%)( SPAL

1 :ATUR 1 1 1 1 1

2 MULYADI 1 1 1 1 1

3 IWAN 1 1 1 1 1

4 SRI 1 1 1 1 1

5 SWARSO 1 1 1 1 1

PONARI 1 1 1 1 1

" EKO 1 1 1 1 1

# YAHYA 1 1 1 1 1

$ RIAN 1 1 1 1 1

10 BUDI H 1 1 1 1 111

12

13

14

15

1

1"

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1$

20

JUMLAH

K%8(;(6(+

K%%&'*-(+ &(-


26/80


TAHUN 2015


NO NAMA KK


L(+6(* J%+;%)( SPAL

1 RONI 1 1 1 1 1

2 ZAINUL ABIDIN 1 1 1 1 1

3 KUSWADI 1 1 1 1 1

4 SUROSO 1 1 1 1 1

5 HARYONO 1 1 1 1 1

SANTO SUJARNO 1 1 1 1 1" YANTO 1 1 1 1 1

#

$

10

11

12

13

14

15

11"

1#

1$

20

JUMLAH


TAHUN 2015


NO NAMA KK


L(+6(* J%+;%)( SPAL

1 BUDIYONO 1 1 1 1 1

2 YOYON EDI S 1 1 1 1 1

3 BUDIYANTO 1 1 1 1 14 SUGENG WINARNO 1 1 1 1 1

5 BUDIONO 1 1 1 1 1

K%8(;(6(+

K%%&'*-(+ &(-

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27/80

WIDA YUSUF DWI 1 1 1 1 1

" BUDI 1 1 1 1 1

#

$

10

11

12

13

14

15

1

1"

1#

1$

20

JUMLAH


TAHUN 2015


NO NAMA KK


L(+6(* J%+;%)( SPAL

1 1 1 1 1 1

2 1 1 1 1 1

3 1 1 1 1 1

4 1 1 1 1 1

5 1 1 1 1 1

1 1 1 1 1

" 1 1 1 1 1

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$ 1 1 1 1 110 1 1 1 1 1

11 1 1 1 1 1

12 1 1 1 1 1

13 1 1 1 1 1

14 1 1 1 1 1

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K%8(;(6(+

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28/80


29/80

/KESEHATAN LINGKUNGANTETANGGA/DASA WISMA

PEMBUANGAN TINJA SARANA AIR BE

JSP JSSP S-(&*+ OD PDAM SUMUR

1 0 0 0 0 1 1 0

1 0 0 0 0 1 1 0

1 0 0 0 0 1 1 0

1 0 1 0 0 0 1 0

1 0 1 0 0 0 1 0

1 0 1 0 0 0 1 1

1 0 1 0 0 0 1 0

1 1 0 1 0 0 1 11 1 0 1 0 0 1 1

1 1 1 1 1 0 1 0

1 0 0 0 1 0 1 0

1 0 1 0 0 0 1 0

1 0 1 0 0 0 1 1

1 0 1 0 0 0 1 0

1 0 1 0 0 0 1 0




1 0 0 0 1 0 0 1

1 0 0 0 1 0 0 1

1 0 0 0 1 0 0 1

1 0 0 0 1 0 0 1

1 0 0 0 1 0 0 11 0 0 0 1 0 0 1

1 0 0 0 1 0 0 1

PEMBUANGANSAMPAH

T%8(6'(8(-/D

*(.(&

S%(&(+ 6%8(6

PEMBUANGANSAMPAH

T%8(6'(8(-/D

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30/80

1 0 0 0 1 0 0 1

1 0 0 0 1 0 0 1

1 0 0 0 1 0 0 1




1 0 0 0 0 1 0 11 0 0 1 0 0 0 1

1 0 0 1 0 0 0 1

1 0 0 1 0 0 0 1

1 0 0 1 0 0 0 1

1 0 0 1 0 0 0 1

1 0 1 0 0 0 0 1

1 0 0 0 1 0 0 1

PEMBUANGANSAMPAH

T%8(6'(8(-/D

*(.(&

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31/80




1 0 1 0 0 0 0 0

1 0 1 0 0 0 0 1

1 0 0 0 1 0 0 0

1 0 0 0 1 0 0 0

1 0 0 0 0 1 0 0

1 0 1 0 0 0 0 0

1 0 0 0 0 1 0 01 0 0 0 0 1 0 0

1 0 0 0 1 0 0 0

1 0 0 0 1 0 0 0

1 0 1 0 0 0 0 0




1 0 0 0 1 0 0 0

1 0 0 0 1 0 0 0

1 0 1 0 0 0 0 0

1 0 1 0 0 0 0 01 0 1 0 0 0 0 0

1 0 1 0 0 0 0 0

PEMBUANGAN

SAMPAHT%8(6

'(8(-/D*(.(&

S%(&(+ 6%8(6

PEMBUANGANSAMPAH

T%8(6'(8(-/D

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32/80

1 0 1 0 0 0 0 0

1 0 0 0 1 0 0 0

1 0 1 0 0 0 0 0

1 0 0 0 0 1 0 0




1 0 1 0 0 0 0 0

1 0 0 0 0 1 0 0

1 0 0 0 1 0 0 0

1 0 0 0 1 0 0 0

1 0 0 0 0 1 0 0

1 0 0 0 0 1 0 0

1 0 0 0 0 1 0 0

1 0 0 0 1 0 0 0

1 0 0 0 1 0 0 0

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PEMBUANGANSAMPAH

T%8(6'(8(-/D

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33/80




1 0 0 0 1 0 0 1

1 0 0 0 1 0 0 1

1 0 0 0 1 0 0 1

1 0 0 0 1 0 0 1

1 0 1 0 0 0 0 1

1 0 0 0 1 0 0 11 0 1 0 0 0 0 0




1 0 0 0 1 0 0 0

1 0 0 0 1 0 0 0

1 0 0 0 1 0 0 01 0 1 0 0 0 0 0

1 0 1 0 0 0 0 0

PEMBUANGANSAMPAH

T%8(6'(8(-/D

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PEMBUANGANSAMPAH

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34/80

1 0 1 0 1 0 0 0

1 0 1 0 0 0 0 0




1 1

1 1

1 1

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1 1

1 1

1 1

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1 1

1 1

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PEMBUANGANSAMPAH

T%8(6

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35/80


36/80

RSIH

HIPPAM

0

0

0

0

0

0

0

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0

0

0

0

0

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RSIH

HIPPAM

0

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37/80

0

0

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HIPPAM

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38/80

RSIH

HIPPAM

1

1

1

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1

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11

1

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RSIH

HIPPAM

1

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39/80

1

1

1

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RSIH

HIPPAM

1

1

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40/80

RSIH

HIPPAM

0

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0

01

RSIH

HIPPAM

1

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11

1


41/80

1

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HIPPAM


42/80


43/80

REKAP HASIL SMD K3/KADARZI,P4K IBU HTINGKAT RUKUN TETANGGA/D

TAHUN 2015


NO NAMA KK

KADARZI

1 DOFIR 1 1 1 1 1

2 AHU ZAIRI 1 1 1 1 1

3 ILYAS 1 1 1 1 1

4 JONI S 1 1 1 1 1

5 ALVIAN AZIZ 1 1 1 1 1

MOH! SAID 1 1 1 1 1

" WIGA 1 1 1 1 1# ALI AKBAR 1 1 1 1 1

$ BISRI 1 1 1 1 1

10 RUDI 1 1 1 1 1

11 FIKI 1 1 1 1 1

12 YUDI 1 1 1 1 1

13 MARYADI 1 1 1 1 1

14 SELAMAN 1 1 1 1

15 IRWANTO 1 1 1 1 1

1

1"1#

1$

20

JUMLAH


TAHUN 2015


NO NAMA KK

KADARZI

1 FATHOR ROHMAN 1 0 1 1 1

2 MOH! ROMLI 1 1 0 1 1

3 MOH! MUSLEH 1 1 1 1 14 SUPRIYADI 1 1 1 1 1

5 FERNANDO HADI 1 1 1 1 1

T*(+BB '7&6%&(6&

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44/80

PAIMAN 1 1 1 1 1

" ASMIN 1 1 1 1 1

# ASMU9I AMIN 1 1 1 1 1

$ NUR HASAN 1 1 1 1 1

10 M! BASHOR AL 1 1 1 1 1

11

12

13

14

15

1

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20

JUMLAH


TAHUN 2015


NO NAMA KK

KADARZI

1 MUNALI FATAH 1 1 1 1 1

2 SUNARDI 1 0 1 1 1

3 ROFI9I 1 1 1 1 1

4 YEMADI YANTO 0 1 1 1 1

5 ABDUR ROHMAN 0 1 1 1 1

MOH! SIAMTO 1 1 1 1 1

" BUDIYONO 1 1 1 1 1

# SAMSUL ARIFIN 1 1 1 1 1$

10

11

12

13

14

15

1

1"

1#1$

20

T*(+BB '7&6%&(6&

B%&* ASI8; B(*

M(.(+%&(+%.(

&((

G+(.(+

(&(%&,;*

M*+S8)%%+

G*=*


45/80

JUMLAH

REKAP HASIL SMD K3/KADARZI,P4K IBU H

TINGKAT RUKUN TETANGGA/DTAHUN 2015


NO NAMA KK

KADARZI

1 HAFID 1 1 1 1 1

2 BAMBANG 1 1 1 1 1

3 IRWAN 1 1 1 1 14 MOH! SUDIK 1 0 1 1 1

5 SUKRON 1 1 1 1 1

M! SAMSUL ARIFIN 1 1 1 1 1

" YUWONO 1 1 1 1 1

# BUDI N 1 1 1 1 1

$ ASRUL 1 1 1 1 1

10 A! PARIMAN 1 0 1 1 1

11 NUR KHOLIS SALIM 1 1 1 1 1

12

1314

15

1

1"

1#

1$

20

JUMLAH


TAHUN 2015


NO NAMA KK

KADARZI

1 ADAM 1 0 1 1 1

T*(+BB '7&6%&(6&

B%&* ASI8; B(*

M(.(+%&(+%.(

&((

G+(.(+(&(

%&,;*

M*+S8)%%+

G*=*

T*(+BB '7&

6%&(6&

B%&* ASI8; B(*

M(.(+%&(+%.(

&((

G+(.(+(&(

%&,;*

M*+S8)%%+

G*=*


46/80

2 MIKO 1 0 1 1 1

3 IRWAN 1 0 1 1 1

4 DEDI 1 0 1 1 1

5 AJIYANTO 1 0 1 1 1

ARIS 1 1 1 1 1

" SYAIFUL 1 1 1 1 1

# SELAMET 1 1 1 1 1

$ ZAINUDIN 1 0 1 1 1

10 A!ROHIM 1 1 1 1 1

11

12

13

14

15

1

1"

1#

1$

20

JUMLAH


TAHUN 2015DESA KALIBARU MANIS BARUREJO RT

NO NAMA KK

KADARZI

1 :ATUR 1 0 1 1 1

2 MULYADI 1 0 1 1 1

3 IWAN 1 0 1 1 1

4 SRI 1 0 1 1 15 SWARSO 1 0 1 1 1

PONARI 1 0 1 1 1

" EKO 1 0 1 1 1

# YAHYA 1 1 1 1 1

$ RIAN 1 0 1 1 1

10 BUDI H 1 0 1 1 1

11

12

13

1415

1

T*(+BB '7&6%&(6&

B%&* ASI8; B(*

M(.(+%&(+%.(

&((

G+(.(+(&(

%&,;*

M*+S8)%%+

G*=*


47/80

1"

1#

1$

20

JUMLAH


TAHUN 2015


NO NAMA KK

KADARZI

1 RONI 1 0 1 1 1

2 ZAINUL ABIDIN 1 0 1 1 1

3 KUSWADI 1 0 1 1 1

4 SUROSO 1 0 1 1 1

5 HARYONO 1 0 1 1 1

SANTO SUJARNO 1 0 1 1 1

" YANTO 1 0 1 1 1

#

$10

11

12

13

14

15

1

1"

1#

1$20

JUMLAH


TAHUN 2015


KADARZI

T*(+BB '7&

6%&(6&

B%&* ASI

8; B(*

M(.(+%&(+%.(

&((

G+(.(+(&(

%&,;*

M*+S8)%%+

G*=*


48/80

NO NAMA KK

1 BUDIYONO 1 1 1 1 1

2 YOYON EDI S 1 1 1 1 1

3 BUDIYANTO 1 1 1 1 1

4 SUGENG WINARNO 1 1 1 1 1

5 BUDIONO 1 1 1 1 1

WIDA YUSUF DWI 1 1 1 1 1

" BUDI 1 1 1 1 1

#

$

10

11

12

13

14

15

1

1"

1#

1$

20

JUMLAH


TAHUN 2015


NO NAMA KK

KADARZI

1 1 1

2 1 1

3 1 1

4 1 1

5 1 1

1 1

" 1 1

# 1 1

$ 1 110 1 1

11 1 1

T*(+BB '7&6%&(6&

B%&* ASI8; B(*

M(.(+%&(+%.(

&((

G+(.(+(&(

%&,;*

M*+S8)%%+

G*=*

T*(+BB '7&6%&(6&

B%&* ASI

8; B(*

M(.(+%&(+%.(

&((

G+(.(+(&(

%&,;*

M*+S8)%%+

G*=*


49/80

12 1 1

13 1 1

14

15 1 1

1 1 1

1" 1 1

1# 1 1

1$ 1 1

20 1 1

JUMLAH


50/80

MIL,PUS (AKSEPTOR AKTIF )SA WISMA

IBU HAMIL PUS

D(',)*+ T()*+ METODE KB

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 PIL

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 PIL

0 0 0 0 PIL0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK


IBU HAMIL PUS


0 0 0 0 PIL

0 0 0 0 PIL

0 0 0 0 SUNTIK 0 0 0 0 SUNTIK

0 0 0 0 IMPLAN

Y(+;*6(+;(*>'6*.%&?

G,),+(+;(&(-

Y(+;*6(+;(*>'6*.%&?

G,),+(+;(&(-


51/80

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 PIL

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK


IBU HAMIL PUS


0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 PIL

0 0 0 0 PIL

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 PIL

0 0 0 0 SUNTIK

Y(+;*6(+;(*>'6*.%&?

G,),+(+;(&(-


52/80

MIL,PUS (AKSEPTOR AKTIF )

SA WISMA

IBU HAMIL PUS


0 0 0 0 SUNTIK

O O O O SUNTIK

0 0 0 0 SUNTIK 1 1 1 1

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 PIL

0 0 0 0 SUNTIK


IBU HAMIL PUS


0 0 0 0

Y(+;*6(+;(*>'6*.%&?

G,),+(+;(&(-

Y(+;*6(+;(*

>'6*.%&?

G,),+(+;(&(-


53/80

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 MOW

0 0 0 0 PIL

0 0 0 0 PIL

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 PIL


IBU HAMIL PUS


0 0 0 0 PIL

0 0 0 0 PIL

1 1 1 1

0 0 0 00 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 PIL

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

Y(+;*6(+;(*>'6*.%&?

G,),+(+;(&(-


54/80


IBU HAMIL PUS


0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 PIL

0 0 0 0 SUNTIK


IBU HAMIL PUS

Y(+;*6(+;(*

>'6*.%&?

G,),+(+

;(&(-


55/80


0 0 0 0 SUNTIK

0 0 0 0

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK

0 0 0 0 SUNTIK


IBU HAMIL PUS


SUNTIK

SUNTIK

SUNTIK

SUNTIK

SUNTIK

SUNTIK

SUNTIK

SUNTIK

SUNTIKSUNTIK

SUNTIK

Y(+;*6(+;(*>'6*.%&?

G,),+(+;(&(-

Y(+;*6(+;(*>'6*.%&?

G,),+(+

;(&(-


56/80

SUNTIK

SUNTIK

PIL

SUNTIK

SUNTIK

SUNTIK

PIL

PIL


57/80

REKAPITUTING

GAMBARAN DEMOGRAFI

DESA KALIBARU MANIS@DUSUN BARUREJO@RT

NO NAMA KK

UMU

1 2

1 DOFIR

2 AHU ZAIRI

3 ILYAS

4 JONI S

5 ALVIAN AZIZ MOH! SAID

" WIGA

# ALI AKBAR

$ BISRI

10RUDI

11FIKI

12YUDI

13 MARYADI

14SELAMAN

15 IRWANTO1

1"

1#

1$

20

JUMLAH

REKAPITUTING

GAMBARAN DEMOGRAFI


NO NAMA KK

UMU

1 2

1 FATHOR ROHMAN

2 MOH! ROMLI

JENIS

KELAMIN

00?

14TH

5$TH

1014TH

151$TH

2024TH

252$TH

3034TH

JENISKELAMIN

00?

14TH

5$TH

1014TH

151$TH

2024TH

252$TH

3034TH


58/80

3 MOH! MUSLEH

4 SUPRIYADI

5 FERNANDO HADI

PAIMAN

" ASMIN

# ASMU9I AMIN

$ NUR HASAN

10 M! BASHOR AL

11

12

13

14

15

1

1"

1#

1$

20

JUMLAH

REKAPITUTING

GAMBARAN DEMOGRAFI


NO NAMA KK

UMU

1 2

1 MUNALI FATAH

2 SUNARDI

3 ROFI9I

4 YEMADI YANTO

5 ABDUR ROHMAN

MOH! SIAMTO

" BUDIYONO

# SAMSUL ARIFIN

$

10

11

12

13

14

15

1

JENISKELAMIN

00?

14TH

5$TH

1014TH

151$TH

2024TH

252$TH

3034TH


59/80

1"

1#

1$

20

JUMLAH

REKAPITUTING

GAMBARAN DEMOGRAFI


NO NAMA KK

UMU

1 2

1 HAFID

2 BAMBANG

3 IRWAN

4 MOH! SUDIK

5 SUKRON

M! SAMSUL ARIFIN

" YUWONO

# BUDI N$ ASRUL

10 A! PARIMAN

11 NUR KHOLIS SALIM

12

13

14

15

1

1"

1#

1$

20

JUMLAH

REKAPITUTING

GAMBARAN DEMOGRAFIDESA KALIBARU MANIS@DUSUN BARUREJO@RT

UMU

JENISKELAMIN

00?

14TH 5$TH

10

14TH

15

1$TH

20

24TH

25

2$TH

30

34TH

JENISKELAMIN


60/80

NO NAMA KK 1 2

1 ADAM

2 MIKO

3 IRWAN

4 DEDI

5 AJIYANTO

ANIS

" SYAIFUL

# SELAMET

$ ZAINUDIN

10A!ROHIM

11

12

13

14

15

1

1"

1#

1$

20

JUMLAH

REKAPITUTING

GAMBARAN DEMOGRAFI


NO NAMA KK

UMU

1 2

1 :ATUR

2 MULYADI

3 IWAN

4SRI

5 SWARSO

PONARI

" EKO

# YAHYA

$ RIAN

00?

14TH

5$TH

1014TH

151$TH

2024TH

252$TH

3034TH

JENISKELAMIN

00?

14TH

5$TH

1014TH

151$TH

2024TH

252$TH

3034TH


61/80

10BUDI H

11

12

13

14

15

1

1"

1#

1$

20

JUMLAH

REKAPITU

TING

GAMBARAN DEMOGRAFI


NO NAMA KK

UMU

1 2

1 RONI2 ZAINUL ABIDIN

3 KUSWADI

4 SUROSO

5 HARYONO

SANTO SUJARNO

"

#

$

10

11

12

13

14

15

1

1"

1#

1$

20

JUMLAH

JENISKELAMIN

00?

14TH

5$TH

1014TH

151$TH

2024TH

252$TH

3034TH


62/80

REKAPITUTING

GAMBARAN DEMOGRAFI


NO NAMA KK

UMU

1 2

1 BUDIYONO

2 YOYON EDI S

3 BUDIYANTO

4 SUGENG WINARNO

5 BUDIONO WIDA YUSUF DWI

" BUDI

#

$

10

11

12

13

14

151

1"

1#

1$

20

JUMLAH

REKAPITUTING

GAMBARAN DEMOGRAFI


NO NAMA KK

UMU

1 2

1

2

JENIS

KELAMIN

00?

14TH

5$TH

1014TH

151$TH

2024TH

252$TH

3034TH

JENISKELAMIN

00?

14TH

5$TH

1014TH

151$TH

2024TH

252$TH

3034TH


63/80

3

4

5

"

#

$

10

11

12

13

14

15

1

1"

1#

1$

20

JUMLAH

REKAPITUTING

GAMBARAN DEMOGRAFI


NO NAMA KK

UMU

1 2

1

2

3

4

5

"

#

$

10

11

12

13

14

15

1

JENISKELAMIN

00?

14TH

5$TH

1014TH

151$TH

2024TH

252$TH

3034TH


64/80

1"

1#

1$

20

JUMLAH


65/80

ASI KARTU KESEHATAN KELUARGA/K3AT DASA WISMA / RUKUN TETANGGA

HUB!DGN KK PEKERJAAN P

1 2 3 4 5 " # $ 1 2 3 4 5 " # 1 2



1 2 3 4 5 " # $ 1 2 3 4 5 " # 1 2

353$TH

4044TH

454$TH

5054TH

555$TH

04TH

>5

TH

353$TH

4044TH

454$TH

5054TH

555$TH

04TH

>5

TH


66/80



1 2 3 4 5 " # $ 1 2 3 4 5 " # 1 2353$TH

4044TH

454$TH

5054TH

555$TH

04TH

>5

TH


67/80



1 2 3 4 5 " # $ 1 2 3 4 5 " # 1 2



35

3$TH

40

44TH

45

4$TH

50

54TH

55

5$TH

0

4TH

>

5TH


68/80

1 2 3 4 5 " # $ 1 2 3 4 5 " # 1 2



1 2 3 4 5 " # $ 1 2 3 4 5 " # 1 2

353$TH

4044TH

454$TH

5054TH

555$TH

04TH

>5

TH

353$TH

4044TH

454$TH

5054TH

555$TH

04TH

>5

TH


69/80

ASI KARTU KESEHATAN KELUARGA/K3

AT DASA WISMA / RUKUN TETANGGA


1 2 3 4 5 " # $ 1 2 3 4 5 " # 1 2353$TH

4044TH

454$TH

5054TH

555$TH

04TH

>5

TH


70/80



1 2 3 4 5 " # $ 1 2 3 4 5 " # 1 2



1 2 3 4 5 " # $ 1 2 3 4 5 " # 1 2

353$TH

4044TH

454$TH

5054TH

555$TH

04TH

>5

TH

353$TH

4044TH

454$TH

5054TH

555$TH

04TH

>5

TH


71/80



1 2 3 4 5 " # $ 1 2 3 4 5 " # 1 2353$TH

4044TH

454$TH

5054TH

555$TH

04TH

>5

TH


72/80


73/80

NDIDIKAN

3 4 5 " 0 1

R81@000@000

R81@500@000

R8500@000

R81@000@000

R81@500@000R81@000@000

R82@000@000

R81@000@000

R81@200@000

R81@300@000

R81@000@000

R81@000@000

R81@500@000

NDIDIKAN

3 4 5 " 0 1

R81@000@000

R81@500@000

PENGHASILANSEBULAN

R8!C

GAKIN/NON GAKIN

PENGHASILANSEBULAN

R8!C

GAKIN/NON GAKIN


74/80

R8500@000

R81@000@000

R81@500@000

R81@000@000

R82@000@000

R81@000@000

R81@200@000

R81@300@000

R81@000@000

R81@000@000

R81@500@000

NDIDIKAN

3 4 5 " 0 1

R81@000@000

R81@500@000

R8500@000

R81@000@000

R81@500@000

R81@000@000

R82@000@000

R81@000@000

R81@200@000

R81@300@000

R81@000@000

R81@000@000

R81@500@000

PENGHASILANSEBULAN

R8!C

GAKIN/NON GAKIN


75/80

NDIDIKAN

3 4 5 " 0 1

R81@000@000

R81@500@000

R8500@000

R81@000@000

R81@500@000

R81@000@000

R82@000@000

R81@000@000R81@200@000

R81@300@000

R81@000@000

R81@000@000

R81@500@000

NDIDIKAN

PENGHASILANSEBULAN

R8!C

GAKIN/NON GAKIN

GAKIN/NON GAKIN


76/80

3 4 5 " 0 1

R81@000@000

R81@500@000

R8500@000

R81@000@000

R81@500@000

R81@000@000

R82@000@000

R81@000@000

R81@200@000

R81@300@000

R81@000@000

R81@000@000

R81@500@000

NDIDIKAN

3 4 5 " 0 1

R81@000@000

R81@500@000

R8500@000

R81@000@000

R81@500@000

R81@000@000

R82@000@000

R81@000@000

R81@200@000

PENGHASILANSEBULAN

R8!C

PENGHASILANSEBULAN

R8!C

GAKIN/NON GAKIN


77/80

R81@300@000

R81@000@000

R81@000@000

R81@500@000

NDIDIKAN

3 4 5 " 0 1

R81@000@000R81@500@000

R8500@000

R81@000@000

R81@500@000

R81@000@000

R82@000@000

R81@000@000

R81@200@000

R81@300@000

R81@000@000

R81@000@000

R81@500@000

PENGHASILANSEBULAN

R8!C

GAKIN/NON GAKIN


78/80

NDIDIKAN

3 4 5 " 0 1

R81@000@000

R81@500@000

R8500@000

R81@000@000

R81@500@000R81@000@000

R82@000@000

R81@000@000

R81@200@000

R81@300@000

R81@000@000

R81@000@000

R81@500@000

NDIDIKAN

3 4 5 " 0 1

R81@000@000

R81@500@000

PENGHASILANSEBULAN

R8!C

GAKIN/NON GAKIN

PENGHASILANSEBULAN

R8!C

GAKIN/NON GAKIN


79/80

R8500@000

R81@000@000

R81@500@000

R81@000@000

R82@000@000

R81@000@000

R81@200@000

R81@300@000

R81@000@000

R81@000@000

R81@500@000

NDIDIKAN

3 4 5 " 0 1

R81@000@000

R81@500@000

R8500@000

R81@000@000

R81@500@000

R81@000@000

R82@000@000

R81@000@000

R81@200@000

R81@300@000

R81@000@000

R81@000@000

R81@500@000

PENGHASILANSEBULAN

R8!C

GAKIN/NON GAKIN


80/80

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