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LAPORAN HASIL PEMANTAUAN GnOTA STUNTING
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IDENTITASPEMANTAUAN
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MEIKETERANGAN (diisi bahan pangan yg diberikan, sembuh/lulus, keterangan lainnya)JUNIKETERANGAN (diisi bahan pangan yg diberikan, sembuh/lulus, keterangan lainnya)JULIKETERANGAN (diisi bahan pangan yg diberikan, sembuh/lulus, keterangan lainnya)AGUSTUSKETERANGAN (diisi bahan pangan yg diberikan, sembuh/lulus, keterangan lainnya)SEPTEMBERKETERANGAN (diisi bahan pangan yg diberikan, sembuh/lulus, keterangan lainnya)OKTOBERKETERANGAN (diisi bahan pangan yg diberikan, sembuh/lulus, keterangan lainnya)
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KUNJUNGAN 1 (TGL : 19 Mei 2026)KUNJUNGAN 2 (TGL : )KUNJUNGAN 1 (TGL : 1 - 13 Juni 2026)KUNJUNGAN 2 (TGL : 15 - 30 Juni 2026 )KUNJUNGAN 1 (TGL : 1 - 18 Juli )KUNJUNGAN 2 (TGL : 20 - 31 Juli)KUNJUNGAN 1 (TGL : ............)KUNJUNGAN 2 (TGL : ...........)KUNJUNGAN 1 (TGL : ............)KUNJUNGAN 2 (TGL : ...........)KUNJUNGAN 1 (TGL : ............)KUNJUNGAN 2 (TGL : ...........)
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NoNIKNamaTanggal PengukuranBeratTinggiCara UkurBB (kg)TB (cm)LIKA (cm)LILA (cm)BB (kg)TB (cm)LIKA (cm)LILA (cm)BB (kg)TB (cm)LIKA (cm)LILA (cm)BB (kg)TB (cm)LIKA (cm)LILA (cm)BB (kg)TB (cm)LIKA (cm)LILA (cm)BB (kg)TB (cm)LIKA (cm)LILA (cm)BB (kg)TB (cm)LIKA (cm)LILA (cm)BB (kg)TB (cm)LIKA (cm)LILA (cm)BB (kg)TB (cm)LIKA (cm)LILA (cm)BB (kg)TB (cm)LIKA (cm)LILA (cm)BB (kg)TB (cm)LIKA (cm)LILA (cm)BB (kg)TB (cm)LIKA (cm)LILA (cm)
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135132**********Kaif Sarfaraz Air Adzandy5/5/202613.187.5Berdiri13,5898 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
13,69051LULUS10 butir telur ayam
(minggu 1 tgl 2-6-26)
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235740**********Ukkasyah Sultan Pratama5/5/202612.587Berdiri12,7888 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
Ke Sby12,688,1471710 butir telur ayam
(minggu 1 tgl 2-6-26)
600 gr telur puyuh
(minggu 2 tgl 23-6-26)
13,688,64712,6
(sakit selama 6 hari)
88,54715,310 butir telur bebek (minggu 1 tgl 7-7-26)
1/2 kg telur puyuh + 1/2 kg ikan lele marinasi
(minggu 2 tgl 21-7-26)
12,989471610 butir telur ayam + buah jeruk 1/2 kg
(minggu 1 tgl 4-8-26)
1 kg filet ikan kakap + 1 paket buah mix
(minggu 2 tgl 20-8-26)
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335740**********ZIYAD HUSSAIN RAMADHANSYAH5/5/202613.287.7Berdiri948 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
17,795,55218,295,5521810 butir telur ayam
(minggu 1 tgl 2-6-26)
600 gr telur puyuh
(minggu 2 tgl 23-6-26)
5219LULUS10 butir telur bebek (minggu 1 tgl 7-7-26)
1/2 kg telur puyuh + 1/2 kg ikan lele marinasi
(minggu 2 tgl 21-7-26)
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435740**********MUHAMMAD IZQIYAN FAEYZA5/5/202611.390Berdiri10,185,48 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
sakit (muntaber opname di pkm ketapang)10,885,5461610 butir telur ayam
(minggu 1 tgl 2-6-26)
600 gr telur puyuh
(minggu 2 tgl 23-6-26)
10,6864712,1
(5x makan 2x BAB)
87,646,51510 butir telur bebek (minggu 1 tgl 7-7-26)
1/2 kg telur puyuh + 1/2 kg ikan lele marinasi
(minggu 2 tgl 21-7-26)
11,287,5471510 butir telur ayam + buah jeruk 1/2 kg
(minggu 1 tgl 4-8-26)
1 kg fillet ikan kakap + 1 paket buah mix
(minggu 2 tgl 20-8-26)
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535740**********LINGGA MALIK AL THARIQ5/5/20267.768Terlentang8,6758 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
sakit (diare, bapilnas periksa di pkm jorongan)8,976471410 butir telur ayam
(minggu 1 tgl 2-6-26)
600 gr telur puyuh
(minggu 2 tgl 23-6-26)
9,1764714,346,51510 butir telur bebek (minggu 1 tgl 7-7-26)
1/2 kg telur puyuh + 1/2 kg ikan lele marinasi (minggu 2 tgl 21-7-26)
9,577,5471510 butir telur ayam + buah jeruk 1/2 kg
(minggu 1 tgl 4-8-26)
1 kg fillet ikan kakap + 1 paket buah mix
(minggu 2 tgl 20-8-26)
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6NUR AZKIABalita tambahan dengan status gizi kurang12,385,24812,285,1461510 butir telur ayam
(minggu 1 tgl 2-6-26)
600 gr telur puyuh
(minggu 2 tgl 23-6-26)
12,385,1491612,586461610 butir telur bebek (minggu 1 tgl 7-7-26)
1/2 kg telur puyuh + 1/2 kg ikan lele marinasi
(minggu 2 tgl 21-7-26)
12,78546,51610 butir telur ayam + buah jeruk 1/2 kg
(minggu 1 tgl 4-8-26)
1 kg fillet ikan kakap + 1 paket buah mix
(minggu 2 tgl 20-8-26)
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735740**********ARFAAS HAYFANZA5/5/20261389Berdiri13,2918 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
139110 butir telur ayam
(minggu 1 tgl 15-6-26)
10 butir telur ayam + 1 pcs mentega
(minggu 2 tgl 22-6-26 )
13,693,15013,792,8501 pak nugget olahan
(minggu 1 tgl 16-7-26)
10 telur ayam + 1 pcs mentega)
(minggu 2 tgl 30-7-26)
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835740**********MUHAMMAD DARWIS AL AYYUBI5/5/202612.390Berdiri11,792,38 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
12,39310 butir telur ayam
(minggu 1 tgl 15-6-26)
10 butir telur ayam + 1 pcs mentega
(minggu 2 tgl 22-6-26 )
12,292,64813,51293,748,51 pak nugget olahan
(minggu 1 tgl 16-7-26)
10 telur ayam + 1 pcs mentega)
(minggu 2 tgl 30-7-26)
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935740**********SITI NUR FAIZAH5/5/202611.986.5Berdiri1288,58 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
12,487,310 butir telur ayam
(minggu 1 tgl 15-6-26)
10 butir telur ayam + 1 pcs mentega
(minggu 2 tgl 22-6-26 )
13,389,14912,689,1491 pak nugget olahan
(minggu 1 tgl 16-7-26)
10 telur ayam + 1 pcs mentega)
(minggu 2 tgl 30-7-26)
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1035740**********NUHA KHAIRA ZEA5/5/202612.385.5Berdiri13,886,58 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
13,68810 butir telur ayam
(minggu 1 tgl 15-6-26)
10 butir telur ayam + 1 pcs mentega
(minggu 2 tgl 22-6-26 )
13,689,848,51490,6491 pak nugget olahan
(minggu 1 tgl 16-7-26)
10 telur ayam + 1 pcs mentega)
(minggu 2 tgl 30-7-26)
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1135740**********NAURA AFRA OKTAVIAN5/5/202610.285Berdiri9,8888 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
9,88510 butir telur ayam
(minggu 1 tgl 15-6-26)
10 butir telur ayam + 1 pcs mentega
(minggu 2 tgl 22-6-26 )
1085,5479,786,547,51 pak nugget olahan
(minggu 1 tgl 16-7-26)
10 telur ayam + 1 pcs mentega)
(minggu 2 tgl 30-7-26)
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1235740**********MAURIN DWI AURORA5/5/202613.491Berdiri14928 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
14,392,510 butir telur ayam
(minggu 1 tgl 15-6-26)
10 butir telur ayam + 1 pcs mentega
(minggu 2 tgl 22-6-26 )
14,392,54914,392,5491 pak nugget olahan
(minggu 1 tgl 16-7-26)
10 telur ayam + 1 pcs mentega)
(minggu 2 tgl 30-7-26)
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1335741**********MUHAMMAD GANENDRA KEENAN ALBIRU5/5/202616.494.5Berdiri14,7928 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
14,497,71/2 kg telur ayam
(minggu 1 tgl 2-6-26)
1 kg telur puyuh
(minggu 2 tgl)
1 pak chicken katsu + 1 pcs susu uht plain
(minggu 1 tgl )
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1435740**********AHMAD ARIL ABSOR5/19/20269.875.5Terlentang8 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
10,19771/2 kg telur ayam
(minggu 1 tgl 2-6-26)
1 kg telur puyuh
(minggu 2 tgl)
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1535740**********MUHAMMAD AINUL RISKI5/19/20264.2960.5Terlentang8 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
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1635740**********AZRIL RAFIF AL5/19/202611.389Berdiri8 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
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1735740**********NAYRA PUTRIADI5/3/202613.182.1Berdiri12,8938 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 20-5-26)
13,28947,513,59047,51 pak nugget olahan + 1 pak susu uht
(minggu 1 tgl 3-6-26)
1 pak chicken katsu + 1 pak susu uht
(minggu 2 tgl 24-6-26)
13,159047,510 butir telur ayam + 1 pak susu uht plain (minggu 1 tgl 8-7-26)
1 kg telur puyuh + 4 pak susu uht plain 200 ml
(minggu 2 tgl 22-7-26)
14,190481 pak Cordonbleu (rolade ayam) + 1 pak sayur sop
(minggu 1 tgl 5-8-26)
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35740**********SYAHIL KEANUN PUTRA5/3/20261189.9Berdiri
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1835740**********MUHAMMAD FAHMI5/12/202611.185Berdiri10,985,7518 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 20-5-26)
11,185,311,387,5481 pak nugget olahan + 1 pak susu uht
(minggu 1 tgl 3-6-26)
1 pak chicken katsu + 1 pak susu uht
(minggu 2 tgl 24-6-26)
11,486,449,510 butir telur ayam + 1 pak susu uht plain (minggu 1 tgl 8-7-26)
1 kg telur puyuh + 4 pak susu uht plain 200 ml
(minggu 2 tgl 22-7-26)
11,88850161 pak Cordonbleu (rolade ayam) + 1 pak sayur sop
(minggu 1 tgl 5-8-26)
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1935740**********MUHAMMAD ARSYA ALFARIZKI5/12/20267.873Terlentang7,873458 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 20-5-26)
7,574Tidak hadir pemantauan1 pak nugget olahan + 1 pak susu uht
(minggu 1 tgl 3-6-26)
1 pak chicken katsu + 1 pak susu uht
(minggu 2 tgl 24-6-26)
7,672,34310 butir telur ayam + 1 pak susu uht plain (minggu 1 tgl 8-7-26)
1 kg telur puyuh + 4 pak susu uht plain 200 ml
(minggu 2 tgl 22-7-26)
7,973,545141 pak Cordonbleu (rolade ayam) + 1 pak sayur sop
(minggu 1 tgl 5-8-26)
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20MUHAMMAD RAYYAN10,892,2508 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 20-5-26)
11,292,5LULUS 1 pak nugget olahan + 1 pak susu uht
(minggu 1 tgl 3-6-26)
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35740**********OKTARIANSYAH ZILHAIR SAPUTRA5/12/20268.975Terlentang
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2135740**********SHAKEEL FAAZ ALMUMTAZ5/12/2026668.8Terlentang6,17141,38 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 20-5-26)
DROP OUT DIKARENAKAN TIDAK BISA PEMBERIAN MAKAN SECARA ORAL (PENYAKIT PENYERTA, MENGGUNAKAN SONDE)
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2235740**********M. ATHAR5/12/202610.579.5Berdiri10,183,2478 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 20-5-26)
9,98610,380,4471 pak nugget olahan + 1 pak susu uht
(minggu 1 tgl 3-6-26)
1 pak chicken katsu + 1 pak susu uht
(minggu 2 tgl 24-6-26)
10,4814710 butir telur ayam + 1 pak susu uht plain (minggu 1 tgl 8-7-26)
1 kg telur puyuh + 4 pak susu uht plain 200 ml
(minggu 2 tgl 22-7-26)
10,983,715,5471 pak Cordonbleu (rolade ayam) + 1 pak sayur sop
(minggu 1 tgl 5-8-26)
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35740**********NAURA FEYZA AULIA5/12/20261390Berdiri
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2335740**********MUHAMMAD DANAN FAUZI5/21/202611.287Berdiri11,588,511,781,4498 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
(minggu 2 tgl 26-5-26)
10 butir telur ayam + 2 pak susu uht
(minggu 1)
1/2 kg telur puyuh + 2 pak susu uht
(minggu 2)
1/2 kg telur ayam + 1 pak susu uht + 1 buah jeruk dan leci
(minggu 1)
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24HARUN AL RASYID12,797,54812,697,547,88 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
(minggu 2 tgl 26-5-26)
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2535740**********AMMAR HAFIZH RAMADAN5/21/20269.281Terlentang980,2980,4478 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
(minggu 2 tgl 26-5-26)
10 butir telur ayam + 2 pak susu uht
(minggu 1)
1/2 kg telur puyuh + 2 pak susu uht
(minggu 2)
10 butir telur ayam + 1 pak susu uht
(minggu 1 tgl 28-7-26)
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2635740**********IRTAFAUR ROHMATUN NISA5/21/202611.58411,685468 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
11,486,44610 butir telur ayam + 2 pak susu uht
(minggu 1)
1/2 kg telur puyuh + 2 pak susu uht
(minggu 2)
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2735740**********SANUM NUR RISKI5/21/20268.4175Terlentang8,3788 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
8,46784710 butir telur ayam + 2 pak susu uht
(minggu 1)
1/2 kg telur puyuh + 2 pak susu uht
(minggu 2)
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2835740**********MUHAMMAD GIBRAN MAULANA5/11/202612.292.6Berdiri12,292,1498 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
10 butir telur ayam + 1 pcs margarin
(minggu 1 tgl 3-6-26)
11,8931/2 kg telur puyuh + 1 pcs margarin forvita + 1 pcs biskuit regal
(minggu 1 tgl 2-7-26)
1 kg telur ayam + 1 pcs margarin forvita + 10 bks kecil biskuit regal + 6 bh siomay ayam
(minggu 2 tgl 15-7-26)
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2935740**********CANTIKA ELMIRA5/11/202612.589.9Berdiri11,991,18 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
10 butir telur ayam + 1 pcs margarin
(minggu 1 tgl 3-6-26)
91,212,791,21/2 kg telur puyuh + 1 pcs margarin forvita + 1 pcs biskuit regal
(minggu 1 tgl 2-7-26)
1 kg telur ayam + 1 pcs margarin forvita + 10 bks kecil biskuit regal + 6 bh siomay ayam
(minggu 2 tgl 15-7-26)
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3035740**********MUHAMMAD ALIF ARDIYANSYAH5/11/202611.788Berdiri11,788478 butir telur ayam + 2 pcs susu uht plain
(minggu 1 tgl 19-5-26)
10 butir telur ayam + 1 pcs margarin
(minggu 1 tgl 3-6-26)
12,2891/2 kg telur puyuh + 1 pcs margarin forvita + 1 pcs biskuit regal
(minggu 1 tgl 2-7-26)
1 kg telur ayam + 1 pcs margarin forvita + 10 bks kecil biskuit regal + 6 bh siomay ayam
(minggu 2 tgl 15-7-26)
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