| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | ||||||||||||||||||||||||||
2 | FORM PELAPORAN KEMATIAN DATA VERVAL KADER POSYANDU | |||||||||||||||||||||||||
3 | Desa : Kemuningsari Kidul | |||||||||||||||||||||||||
4 | ||||||||||||||||||||||||||
5 | NO | NIK | NAMA LENGKAP | ALAMAT | TEMPAT DAN TANGGAL LAHIR | TEMPAT DAN TANGGAL MENINGGAL | NAMA PELAPOR | NIK PELAPOR | NAMA DAN NO HP KELUARGA YANG DAPAT DIHUBUNGI | |||||||||||||||||
6 | 1 | 2 | 3 | DUSUN | RT | RW | 4 | 5 | 6 | 7 | 8 | |||||||||||||||
7 | 1 | 3509166511400001 | SUKAMAH | DUSUN LECES | 1 | 5 | 4/2/1950 | 1/1/2021 | SITI AISYAH | 350916411090005 | 08385001518 | |||||||||||||||
8 | 2 | 3509165010640001 | NGATINA | DUSUN LECES | 1 | 5 | 10/6/1940 | 1/6/2000 | SITI AISYAH | 350916411090005 | 08385001518 | |||||||||||||||
9 | 3 | 3509160107630253 | SARYANI | DUSUN LECES | 1 | 5 | 10/7/1963 | 8/2/2021 | SITI AISYAH | 350916411090005 | 081259340329 | |||||||||||||||
10 | 4 | 3509161707000009 | ADI KURNIAWAN | DUSUN LECES | 1 | 5 | 17/05/2000 | 27/03/2025 | SITI AISYAH | 350916411090005 | 083837280763 | |||||||||||||||
11 | 5 | 3509160209500003 | SAIUN | DUSUN LECES | 1 | 5 | 2/9/1950 | 5/3/2022 | SITI AISYAH | 350916411090005 | 083854979111 | |||||||||||||||
12 | 6 | 3509160107450130 | SUPAAT | DUSUN LECES | 1 | 5 | 1/7/1945 | 2/4/2021 | SITI AISYAH | 350916411090005 | '085655509262 | |||||||||||||||
13 | 7 | 3509164501650001 | NUR UMI | DUSUN LECES | 1 | 5 | 5/1/1965 | 24/10/2011 | SITI AISYAH | 350916411090005 | 083198913390 | |||||||||||||||
14 | 8 | 3509160107610065 | MASWAR | DUSUN LECES | 1 | 5 | 1/7/1965 | 1/2/2015 | SITI AISYAH | 350916411090005 | 081259340329 | |||||||||||||||
15 | 9 | 3509160107460034 | TOHA | DUSUN LECES | 1 | 5 | 1/7/1974 | 12/8/2021 | SITI AISYAH | 350916411090005 | 085230996606 | |||||||||||||||
16 | 10 | 3509110107720326 | AHMAD BAJURI | DUSUN LECES | 2 | 5 | 1/7/1972 | 8/6/2022 | ENI AISYAH | 3509164408870002 | 082142013765 | |||||||||||||||
17 | 11 | 3509160107450134 | BANDI | DUSUN LECES | 2 | 5 | 1/7/1943 | 1/3/2021 | ENI AISYAH | 3509164408870002 | 085856207291 | |||||||||||||||
18 | 12 | 3509164107820316 | ANIS | DUSUN LECES | 2 | 5 | 1/7/1982 | 1/8/2019 | ENI AISYAH | 3509164408870002 | 085850063545 | |||||||||||||||
19 | 13 | 3509167112760004 | LASMINA | DUSUN LECES | 3 | 5 | 5/10/1976 | 5/10/2019 | AYU ZAHRO | 350916411090005 | 083826087198 | |||||||||||||||
20 | 14 | 3509165209670005 | SITI MARFU'AH | DUSUN LECES | 3 | 5 | 2/9/1967 | 4/6/2024 | AYU ZAHRO | 350916411090005 | 085336201725 | |||||||||||||||
21 | 15 | 3509165707660001 | LATIFA | DUSUN LECES | 4 | 5 | 7/7/1966 | 18/03/2022 | AYU ZAHRO | 350916411090005 | 083181387444 | |||||||||||||||
22 | 16 | 3509160604400001 | KARMAN | DUSUN LECES | 4 | 5 | 6/4/1995 | 1/3/2019 | AYU ZAHRO | 350916411090005 | 085101545472 | |||||||||||||||
23 | 17 | 3509160807650005 | SUTAJI | DUSUN LECES | 4 | 5 | 8/4/1965 | 3/11/2023 | AYU ZAHRO | 350916411090005 | 085257291953 | |||||||||||||||
24 | 18 | 3509162001540001 | WAHAP | DUSUN LECES | 4 | 5 | 20/01/1954 | 2/10/2021 | AYU ZAHRO | 350916411090005 | 085257291953 | |||||||||||||||
25 | 19 | 3509161203560004 | HOLEK | DUSUN LECES | 4 | 5 | 02/03/0156 | 6/7/2021 | AYU ZAHRO | 350916411090005 | 085235763838 | |||||||||||||||
26 | 20 | 3509164107400281 | MISNATUN | DUSUN LECES | 4 | 5 | 1/7/1949 | 10/3/2024 | AYU ZAHRO | 350916411090005 | 085257291953 | |||||||||||||||
27 | 21 | 3509164107650197 | MUNTI'AH | DUSUN LECES | 5 | 5 | 10/7/1965 | 10/5/2018 | AYU ZAHRO | 350916411090005 | 081243909926 | |||||||||||||||
28 | 22 | 3509164107700200 | AMINAH | DUSUN LECES | 5 | 5 | 10/7/1970 | 10/8/2019 | AYU ZAHRO | 350916411090005 | 082302462046 | |||||||||||||||
29 | 23 | 3509162707650002 | ABDUL KARIM | DUSUN LECES | 5 | 5 | 27/07/1976 | 7/4/2014 | AYU ZAHRO | 350916411090005 | 082334370813 | |||||||||||||||
30 | 24 | 3509166012520002 | MUTMAINAH | DUSUN LECES | 5 | 5 | 01/12/ | 14/03/2016 | AYU ZAHRO | 350916411090005 | 081907374257 | |||||||||||||||
31 | 25 | 3509162511410001 | SAGI | DUSUN LECES | 5 | 5 | 25/11/1941 | 7/3/2016 | AYU ZAHRO | 350916411090005 | 081907374257 | |||||||||||||||
32 | 26 | 3509164402500003 | SARIJA | DUSUN LECES | 5 | 5 | 4/2/1993 | 29/10/2002 | AYU ZAHRO | 350916411090005 | 082143909926 | |||||||||||||||
33 | 27 | 3509164107450389 | SALIHA | DUSUN LECES | 5 | 5 | 10/7/1950 | 5/2/2019 | AYU ZAHRO | 350916411090005 | 087754726141 | |||||||||||||||
34 | 28 | 3509166009670001 | BUNIDI | DUSUN LECES | 1 | 6 | 20/09/1967 | JEMBER,16/01/2017 | LAILATUS S | 3509164808920004 | 081231938692 | |||||||||||||||
35 | 29 | 3509161508630002 | MUSTAJIP | DUSUN LECES | 1 | 6 | 15/08/1963 | JEMBER,25/07/2016 | LAILATUS S | 3509164808920004 | 087846003701 | |||||||||||||||
36 | 30 | 3509166711650001 | BUNASRI | DUSUN LECES | 2 | 6 | 7/11/1965 | 4/10/2022 | AYU ZAHRO | 350916411090005 | 082264078438 | |||||||||||||||
37 | 31 | 3509160107430407 | MUHYAN | DUSUN LECES | 3 | 6 | 1/7/1947 | JEMBER,08/08/2016 | LAILATUS S | 3509164808920004 | 081231938692 | |||||||||||||||
38 | 32 | 3509165511470002 | SUTIMA | DUSUN LECES | 3 | 6 | 15/11/1947 | JEMBER,02/05/2018 | LAILATUS S | 3509164808920004 | 087844112113 | |||||||||||||||
39 | 33 | 3509166012560001 | SUMIATI | DUSUN LECES | 3 | 6 | 20/12/1956 | JEMBER,21/05/2026 | LAILATUS S | 3509164808920004 | 081231938692 | |||||||||||||||
40 | 34 | 3509164107550174 | MUSTI | DUSUN LECES | 3 | 6 | 1/7/1955 | JEMBER,11/05/2026 | LAILATUS S | 3509164808920004 | 087846003701 | |||||||||||||||
41 | 35 | 3509160203750003 | SUHERYANTO | DUSUN LECES | 4 | 6 | HIDUP | |||||||||||||||||||
42 | 36 | 3509160107550149 | ACHMAD | DUSUN LECES | 4 | 6 | HIDUP | |||||||||||||||||||
43 | 37 | 3509160107450124 | BUSAR | DUSUN LECES | 5 | 6 | 1/7/1945 | JEMBER,26/05/2018 | LAILATUS S | 3509164808920004 | 085230526143 | |||||||||||||||
44 | 38 | 3509161007540005 | JOYO | DUSUN LECES | 5 | 6 | 10/7/1954 | JEMBER,04/05/2019 | LAILATUS S | 3509164808920004 | 081231938692 | |||||||||||||||
45 | 39 | 3509162512410001 | SARPAN | DUSUN LECES | 5 | 6 | 25/12/1941 | JEMBER,06/04/2022 | LAILATUS S | 3509164808920004 | 087486003701 | |||||||||||||||
46 | 40 | 3509160405400002 | ACHMAD BADRUN | DUSUN LECES | 5 | 6 | 4/5/1940 | JEMBER,22/07/2020 | LAILATUS S | 3509164808920004 | 087844112113 | |||||||||||||||
47 | 41 | 3509165208450002 | MUNTI'AH | DUSUN LECES | 5 | 6 | 12/8/1945 | JEMBER,27/12/2022 | LAILATUS S | 3509164808920004 | 82234050279 | |||||||||||||||
48 | 42 | 3509160710650001 | AINUL YAQIN | DUSUN LECES | 5 | 6 | 7/10/1965 | JEMBER,26/04/2019 | LAILATUS S | 3509164808920004 | 82234050279 | |||||||||||||||
49 | 43 | 3509160107480248 | NURHOZIN | DUSUN DARUNGAN | 2 | 7 | HIDUP | |||||||||||||||||||
50 | 44 | 3509161909820002 | ARIS RUDI KUSWOYO | DUSUN DARUNGAN | 3 | 7 | 19/04/1982 | 18/01/2022 | FIDAYANTI | 3509164808870001 | 87750932877 | |||||||||||||||
51 | 45 | 3509164107550021 | SITI | DUSUN DARUNGAN | 3 | 7 | 1/7/1955 | 12/6/2023 | FIDAYANTI | 3509164808870001 | 85236119511 | |||||||||||||||
52 | 46 | 3509165503760002 | AMANI | DUSUN DARUNGAN | 3 | 7 | 15/03/1976 | 18/08/2025 | FIDAYANTI | 3509164808870001 | 81358813866 | |||||||||||||||
53 | 47 | 3509165204600001 | KUSTIYAH | DUSUN DARUNGAN | 3 | 7 | 12/4/1960 | 20/03/2022 | FIDAYANTI | 3509164808870001 | 8165433069 | |||||||||||||||
54 | 48 | 3509160107670034 | DULLAH SATIR | DUSUN DARUNGAN | 3 | 7 | 1/7/1967 | 28/03/2026 | FIDAYANTI | 3509164808870001 | 859171296887 | |||||||||||||||
55 | 49 | 3509164107670049 | ERNA SRIUTAMI | DUSUN DARUNGAN | 3 | 7 | 1/7/1967 | 6/8/2018 | FIDAYANTI | 3509164808870001 | 83114810620 | |||||||||||||||
56 | 50 | 3509161203630006 | WAGIMAN | DUSUN DARUNGAN | 3 | 7 | 12/3/1963 | 27/07/2025 | FIDAYANTI | 3509164808870001 | 83122015199 | |||||||||||||||
57 | 51 | 3509161708760009 | ABDUL BARI | DUSUN DARUNGAN | 3 | 7 | 17/08/1976 | 8/2/2020 | FIDAYANTI | 3509164808870001 | 85332847055 | |||||||||||||||
58 | 52 | 3509164107500367 | SUTRIYATI | DUSUN DARUNGAN | 3 | 7 | 1/7/1950 | 5/3/2021 | FIDAYANTI | 3509164808870001 | 85708219520 | |||||||||||||||
59 | 53 | 3509165003600002 | SUNARTI | DUSUN DARUNGAN | 4 | 7 | 10/3/1960 | 7/8/2024 | SITI MARDIYAH | 3509165204880004 | 81230480892 | |||||||||||||||
60 | 54 | 3509161908550001 | WAGIMAN | DUSUN DARUNGAN | 4 | 7 | 19/08/1955 | 18/03/2024 | SITI MARDIYAH | 3509165204880004 | 81230480892 | |||||||||||||||
61 | 55 | 3509162711500001 | SUNARTO | DUSUN DARUNGAN | 4 | 7 | 27/11/1950 | 6/3/2023 | SITI MARDIYAH | 3509165204880004 | 81230480892 | |||||||||||||||
62 | 56 | 3509164207860005 | WINARSIH | DUSUN DARUNGAN | 4 | 7 | 2/7/1986 | 20/08/2020 | SITI MARDIYAH | 3509165204880004 | 81230480892 | |||||||||||||||
63 | 57 | 3509161802540002 | MISKAN | DUSUN DARUNGAN | 5 | 7 | 18/02/1981 | 15/01/2015 | ||||||||||||||||||
64 | 58 | 3509164107780512 | SUPIYANI | DUSUN DARUNGAN | 5 | 7 | HIDUP | |||||||||||||||||||
65 | 59 | 3509165004650001 | ROHAMAH | DUSUN DARUNGAN | 5 | 7 | 10/4/1965 | 15/08/2023 | IIN INDRAYANI | 350916580580003 | 81230480892 | |||||||||||||||
66 | 60 | 3509163008580001 | TAJUWIT | DUSUN DARUNGAN | 5 | 7 | 30/08/1958 | 22/03/2026 | IIN INDRAYANI | 350916580580003 | 81230480892 | |||||||||||||||
67 | 61 | 3509165007630006 | YULVA | DUSUN DARUNGAN | 5 | 7 | 10/7/1963 | 7/8/2023 | IIN INDRAYANI | 350916580580003 | 81230480892 | |||||||||||||||
68 | 62 | 3509165012810003 | NURUL FAIDAH | DUSUN DARUNGAN | 5 | 7 | 20/02/1981 | 13/03/2025 | IIN INDRAYANI | 350916580580003 | 81230480892 | |||||||||||||||
69 | 63 | 3509164107620278 | MARWIYAH | DUSUN DARUNGAN | 6 | 7 | 10/7/1962 | 12/8/2024 | UMI MASRUROH | 3509166806930001 | 81230480892 | |||||||||||||||
70 | 64 | 3509160402500003 | SIAM | DUSUN DARUNGAN | 6 | 7 | 4/2/1950 | 9/7/2023 | UMI MASRUROH | 3509166806930001 | 81230480892 | |||||||||||||||
71 | 65 | 3509164805700002 | SUNARTUN | DUSUN DARUNGAN | 6 | 7 | 8/5/1970 | 28/11/2024 | UMI MASRUROH | 3509166806930001 | 81230480892 | |||||||||||||||
72 | 66 | 3509165504750002 | MAR'ATUS SHOLIHAH | DUSUN DARUNGAN | 6 | 7 | 15/04/1979 | 17/09/2023 | UMI MASRUROH | 3509166806930001 | 81230480892 | |||||||||||||||
73 | 67 | 3509165008580010 | RIATI | DUSUN DARUNGAN | 6 | 7 | 10/8/1958 | 10/1/2025 | UMI MASRUROH | 3509166806930001 | 81230480892 | |||||||||||||||
74 | 68 | 3509160107560166 | SOIM | DUSUN DARUNGAN | 7 | 7 | 1/7/1958 | 9/9/2020 | UMI MASRUROH | 3509166806930001 | 81230480892 | |||||||||||||||
75 | 69 | 3509164107500016 | SUMINAH | DUSUN DARUNGAN | 7 | 7 | 1/7/1950 | 23/02/2014 | UMI MASRUROH | 3509166806930001 | 81230480892 | |||||||||||||||
76 | 70 | 3509164107670041 | SANEM | DUSUN DARUNGAN | 7 | 7 | HIDUP | |||||||||||||||||||
77 | 71 | 3509160402500002 | KUSNAN | DUSUN DARUNGAN | 7 | 7 | HIDUP | |||||||||||||||||||
78 | 72 | 3509164107430055 | NISEM | DUSUN DARUNGAN | 7 | 7 | 1/7/1950 | 6/5/2022 | UMI MASRUROH | 3509166806930001 | 81230480892 | |||||||||||||||
79 | 73 | 3509160107500041 | MATKARIM | DUSUN DARUNGAN | 7 | 7 | 1/7/1950 | 20/06/2014 | UMI MASRUROH | 3509166806930001 | 81230480892 | |||||||||||||||
80 | 74 | 3509160201380001 | MU'ARIF | DUSUN DARUNGAN | 7 | 7 | HIDUP | |||||||||||||||||||
81 | 75 | 3509166204880001 | LESTARI NINGTIAS | DUSUN DARUNGAN | 7 | 7 | 22/04/1950 | 10/4/2016 | UMI MASRUROH | 3509166806930001 | 81230480892 | |||||||||||||||
82 | 76 | 3509165008460001 | MUNJARIAH | DUSUN DARUNGAN | 8 | 7 | 10/6/1945 | 5/11/2020 | UMI MASRUROH | 3509166806930001 | 85230996606 | |||||||||||||||
83 | 77 | 3509160405410001 | SURAJI | DUSUN DARUNGAN, JAWA TIMUR, JEMBER, JENGGAWAH, SRUNI | 8 | 7 | 4/5/1941 | 8/4/2018 | UMI MASRUROH | 3509166806930001 | 85230996606 | |||||||||||||||
84 | 78 | 3509164407470002 | MINTEN | DUSUN DARUNGAN | 8 | 7 | 4/7/1947 | 9/3/2000 | NURHAYATI | 5508800007'350916 | 85230996606 | |||||||||||||||
85 | 79 | 3509166012620001 | ZAINAB | DUSUN DARUNGAN | 8 | 7 | HIDUP | |||||||||||||||||||
86 | 80 | 3509165008640002 | RUWAIDAH | DUSUN DARUNGAN | 8 | 7 | 10/8/1964 | 10/5/2024 | NURHAYATI | 5508800007'350916 | 85230996606 | |||||||||||||||
87 | 81 | 3509164107540141 | RUKMIJATI | DUSUN DARUNGAN | 8 | 7 | 1/7/1950 | 11/7/2013 | NURHAYATI | 5508800007'350916 | 85230996606 | |||||||||||||||
88 | 82 | 3509160812400002 | SUPARMIN | DUSUN DARUNGAN | 8 | 7 | 8/12/1940 | 9/3/2022 | UMI MASRUROH | 3509166806930001 | 85230996606 | |||||||||||||||
89 | 83 | 3509164106400006 | DUMI | DUSUN DARUNGAN | 8 | 7 | HIDUP | |||||||||||||||||||
90 | 84 | 3509160103500006 | SUYONO | DUSUN DARUNGAN | 1 | 8 | HIDUP | |||||||||||||||||||
91 | 85 | 9171036112000001 | ELLYA INDANA LAZUULFA | DUSUN DARUNGAN | 1 | 8 | HIDUP | |||||||||||||||||||
92 | 86 | 3509160107400052 | WAISLAM | DUSUN DARUNGAN | 2 | 8 | HIDUP | |||||||||||||||||||
93 | 87 | 3509160107500085 | PONIRAN | DUSUN DARUNGAN | 2 | 8 | HIDUP | |||||||||||||||||||
94 | 88 | 3509164911420001 | SIAH | DUSUN DARUNGAN | 2 | 8 | HIDUP | |||||||||||||||||||
95 | 89 | 3509160408010004 | AHMAD MUZAMIL | DUSUN DARUNGAN | 3 | 8 | 1/6/2001 | 25/05/2012 | WIDAYATI | 3509164108770008 | 85738177304 | |||||||||||||||
96 | 90 | 3509160107560193 | SYAMSUL ARIFIN | DUSUN DARUNGAN | 3 | 8 | 1/7/1956 | 30/02/2021 | WIDAYATI | 3509164108770008 | 85738177304 | |||||||||||||||
97 | 91 | 3509164708780007 | PONI | DUSUN DARUNGAN | 3 | 8 | HIDUP | |||||||||||||||||||
98 | 92 | 3509164108400002 | SUMI`AH | DUSUN DARUNGAN | 3 | 8 | 1/4/1940 | 14/05/2018 | WIDAYATI | 3509164108770008 | 85738177304 | |||||||||||||||
99 | 93 | 3509166211430001 | KASMINAH | DUSUN DARUNGAN | 3 | 8 | 22/11/1942 | 9/3/2016 | WIDAYATI | 3509164108770008 | 85738177304 | |||||||||||||||
100 | 94 | 3509160302540002 | APIT | DUSUN DARUNGAN | 3 | 8 | 3/2/1954 | 8/4/2016 | WIDAYATI | 3509164108770008 | 85738177304 | |||||||||||||||