| 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 | |
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1 | ||||||||||||||||||||||||||
2 | FORM PELAPORAN KEMATIAN DATA VERVAL KADER POSYANDU | |||||||||||||||||||||||||
3 | Desa : Jatisari | |||||||||||||||||||||||||
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 | 3509161804930007 | Muh arifin | Jember 18- 04-1993 | Jember 20 Maret 2026 | Wirda Sirfani | 3509164908000004 | Kader 082244333794 | ||||||||||||||||||
8 | 2 | 3509160107420011 | Haderi | Jember, 01- 07-1942 | Jember, 2 april 2026 | Siti minatun | 3509165608780002 | 82334735975 | ||||||||||||||||||
9 | 3 | 3509163112500005 | Sunarto | Jember, 31- 12-1950 | Jember, 1-11- 2021 | Farida uma'iyah | 3509164410910001 | 082335925814 (kader) | ||||||||||||||||||
10 | 4 | 3509164107480051 | Manisa | Jember, 01- 07-1948 | Jember, 19-9- 2025 | Farida uma'iyah | 3509164410910001 | 81228652168 | ||||||||||||||||||
11 | 5 | 3509160505750016 | Mulyono | Jember,05-05-1975 | Jatisari Jenggawah Jember,07-09- 2023 | Rifatus sunanah | 3509165108940001 | 0831-1912-0741 | ||||||||||||||||||
12 | 6 | 3509160107400051 | Misdin | Jember,01-07-1940 | Jatisari Jenggawah Jember,02-14- 2010 | Rifatus sunanah | 3509165108940001 | #ERROR! | ||||||||||||||||||
13 | 7 | 3509161408510001 | Asmin | Dusun krajan 14 08 1951 | Dusun krajan 28 06 2021 | Nurul hanafiyah rokiki | 3509164203930006 | Nurul hanafiyah rokiki 082146709145 | ||||||||||||||||||
14 | 8 | 3509165607350002 | Burani | Jember, 19- 07-1935 | Jember, 6 rasol 2019 | Sih mirah | 3509165508640001 | 85230096945 | ||||||||||||||||||
15 | 9 | 350916000000000 | Burati | Jember, 01- 07-1948 | Jember, 17-12- 2019 | Farida uma'iyah | 3509164410910001 | 85189305645 | ||||||||||||||||||
16 | 10 | 3509160107570036 | Ali shalehudin | Jember 01-07 -1957 | Jatisari 27-2 2025 | Maemunah | 3509160000000000 | Maemunah 085726162482 | ||||||||||||||||||
17 | 11 | 3509164107420227 | Buyami | Jember, 01- 07-1942 | Jember, 7 Syawal 2015 | Sih mirah | 3509165508640001 | 82331797828 | ||||||||||||||||||
18 | 12 | 3509160502690005 | Cahyono | Jember 15- 07-1969 | Jember, 05 Syawal 2021 | Sih mirah | 3509165508640001 | 8213774052 | ||||||||||||||||||
19 | 13 | 3509164107640004 | Murti | Jember, 1 Juli 1964 | Madinah, 1 Januari 2025 | Fatmawati | 3509170000000000 | 81252465996 | ||||||||||||||||||
20 | 14 | 3509161505610003 | Ersat p suyit | Jember 15 Mei 1961 | Jember 1 Agustus 2019 | Fatmawati | 3509170000000000 | 081252465996 (kader) | ||||||||||||||||||
21 | 15 | 3509164107530574 | Buna | Jember, 01- 07-1953 | Jember, 20-04- 2022 | Romlah | 3509134106920003 | 8133352928 | ||||||||||||||||||
22 | 16 | 3509165010760001 | SiTi HASANAH | JEMBER 10- 10-1976 | JEMBER 20-4- 2026 | ENY FARIDA | 3509164308800001 | 81554153471 | ||||||||||||||||||
23 | 17 | 3509160107740007 | Misnawi | Jember, 16- 10-1973 | Jember, 20-01- 2023 | Ayu Silvia | 3509166012000002 | 85847510429 | ||||||||||||||||||
24 | 18 | 3509160107480051 | ALI WAFA | JEMBER 01- 07-1948 | JEMBER 15- 01-2026 | ENY FARIDA | 3509164308800001 | 81249757115 | ||||||||||||||||||
25 | 19 | 3509160107740007 | Salamin | Jember 01- 07-1974 | Jember 17- 02- 2021 | Rofi'ah | 3509164107780036 | 081252465996(kader) | ||||||||||||||||||
26 | 20 | 3509160107650372 | AKWI | JEMBER 01- 07-1965 | JEMBER 01- 07-2021 | ENY FARIDA | 3509164308800001 | 8155145717 | ||||||||||||||||||
27 | 21 | 3509164107460183 | Buma | Jember 01- 07-1946 | Jember 03-04- 2020 | Nufita Anggraini | 3509164701930006 | 82142540073 | ||||||||||||||||||
28 | 22 | 3509160107730034 | NISAB | JEMBER 01- 07-1973 | JEMBER 01- 05-2014 | ENY FARIDA | 3509164308800001 | 8155145717 | ||||||||||||||||||
29 | 23 | 3509160608430001 | Pai | Jember 06- 08-43 | Jember 23-05- 2021 | Nufita Anggraini | 3509164701930006 | 82142540073 | ||||||||||||||||||
30 | 24 | 3509161507800008 | Abdul Jali | Jember 15- 07-1980 | Jember 20-04- 2025 | Hoiriyah | 3609164201650002 | 85812760974 | ||||||||||||||||||
31 | 25 | 3509160107540024 | Raiman | Jember, 01- 07-1954 | Jember, 05-08- 2017 | ELFIYATIN A 73 | 3509164107750056 | 85235073526 | ||||||||||||||||||
32 | 26 | 3509163012530001 | Pakman | 30- 12- 1953 | Jatisari | Masiya | 3509165110600001 | Arwati 085731397946 | ||||||||||||||||||
33 | 27 | 3509165806630002 | TURINA | Jember, 08- 06-1963 | Jember, 07-02- 2019 | ELFIYATIN | 3509164107750056 | 85235073526 | ||||||||||||||||||
34 | 28 | 3509160107660211 | SADIN | Jember, 01- 07-1966 | Jember, 09-04- 2010 | ELFIYATIN | 3509164107750056 | 87760855146 | ||||||||||||||||||
35 | 29 | 3509161810750001 | MOCH. PAING PURNOMO | Jember, 18- 10-1975 | Jember, 02-01- 2026 | ELFIYATIN | 3509164107750056 | 082338852480 (kader) | ||||||||||||||||||
36 | 30 | 3509161702450001 | MUNJIAT | JEMBER 17- 02-1945 | JEMBER 02- 11-2020 | ENDANG RAHAYU | 3509164107630667 | 81232286198 | ||||||||||||||||||
37 | 31 | 3509164107550028 | SULASTRI | JEMBER 01- 07-55 | JEMBER 28-2- 2021 | ENDANG RAHAYU | 3509164107630667 | 81232286198 | ||||||||||||||||||
38 | 32 | 3509164107870016 | MARYAH | JEMBER 01- 07-1987 | JEMBER 20- 04-2024 | ENDANG RAHAYU | 3509164107630667 | 81232286198 | ||||||||||||||||||
39 | 33 | 3509160107550295 | SENIMAN | JEMBER 01- 07-1955 | JEMBER 31- 08-2025 | ENDANG RAHAYU | 3509164107630667 | 85701910375 | ||||||||||||||||||
40 | 34 | 3509161103770001 | Abd halim | Jember, 11- 03-1977 | Jatisari,25 Juni 2025 | Supatmi | 3509164704760001 | Nila amelia 085335346567 | ||||||||||||||||||
41 | 35 | 350916000000000 | Hairi | Jember 10 - 07-2067 | Jatisari 10-06- 2021 | Ludfiah | 3509136604860003 | 82110048764 | ||||||||||||||||||
42 | 36 | 3509160107380002 | MATRAJI | 1 July 1938 | Jember 19-12- 2014 | Marhunik | 3509165004710001 | 82332925538 | ||||||||||||||||||
43 | 37 | 3509164107400291 | NINIK | 1 July 1940 | Jatisari 25 | Ismatul Munawaroh | 3509165610930001 | 85737534423 | ||||||||||||||||||
44 | 38 | 3509164107460002 | SUPIAH HJ | Jember,01-07-1946 | Jatisari, 06-06- 2021 | Supatmi | 3509164704760001 | Sufinah,082220372873 | ||||||||||||||||||
45 | 39 | 3509161308890001 | M RESKY INDRIYANTO | Jember 13- 08-1989 | Jember 17-07- 2024 | MARHUNIK | 3509165004710001 | 85236802361 | ||||||||||||||||||
46 | 40 | 3509160000000000 | Buamin | Jember 01- 07- 1955 | Jember 11 - 11 -2024 | Siti maysaroh | 3509164501990006 | Siti maysaroh 08133045162 | ||||||||||||||||||
47 | 41 | 3509160107550285 | Pairin | Jember 01- 07-1955 | Jember 22-02- 2026 | Puni irawati | 3509185312900001 | Khomariyah | ||||||||||||||||||
48 | 42 | 3509160107440006 | JEMBER, 01/07/1944 | JEMBER, 25/06/2025 | ARINA IRMA FATMIARTI | 3509165401920003 | 85332600092 | |||||||||||||||||||
49 | 43 | 3509160409710002 | AH ALI | JEMBER, 04/09/1971 | JEMBER, 30/01/2026 | ARINA IRMA FATMIARTI | 3509165401920003 | 82139949522 | ||||||||||||||||||
50 | 44 | 3509163112460001 | AHMAD HAZIN | JEMBER, 31- 12-1946 | RUMAH, 13-01- 2020 | BUNAMI | 3509165212510001 | 82141441783 | ||||||||||||||||||
51 | 45 | 3509161309050128 | Sajak | Jember 01- 07-1966 | Jember 01-07- 2025 | Evin Handayani | 3509165601860003 | 082232973130 (kader) | ||||||||||||||||||
52 | 46 | 3509167112550002 | NURANTI | JEMBER, 31- 12-1955 | JEMBER, 21- 05-2019 | SUTIKNO | 3509160201600005 | 82213245980 | ||||||||||||||||||
53 | 47 | 3509167112550005 | Samsiyah | Jember 15 Agustus 2024 | 22 September 2012 | Sih mirah | 35091655098640001 | 08213774052. Sih mirah | ||||||||||||||||||
54 | 48 | 3509160102650002 | SAIFUR ROHMAN | JEMBER, 01- 02-1965 | JATISARI, 20- 03-2003 | MUTMAINAH | 3509166009730001 | 82213245980 | ||||||||||||||||||
55 | 49 | 3509164301720003 | SUNARTIK | JEMBER, 03- 01-1972 | JATISARI, 05- 10-2020 | LUKMAN HAKIM | 3509161010920008 | 82330750825 | ||||||||||||||||||
56 | 50 | 3509160306660004 | RIFIN | JEMBER, 03- 06-1966 | JATISARI, 18- 03-2018 | RIMA | 3509160000000000 | 82213245980 | ||||||||||||||||||
57 | 51 | 3509163112500004 | ANGWARI | JEMBER, 31- 12-1950 | JATISARI, 09- 04-2023 | SILVI TAUBAH NASUHA | 3509165106980002 | 85706138156 | ||||||||||||||||||
58 | 52 | 3509164107480029 | Lima | Jember,01-07-48 | Jatisari Jenggawah Jember,05-12-2018 | Rifatussunanah | 3509165108940001 | 81336426126 | ||||||||||||||||||
59 | 53 | 3509164705750005 | Sumiati | Jember,07-05-75 | Jatisari Jenggawah Jember,06-05-2017 | Siti Aminah | 3509164107800006 | 81336426126 | ||||||||||||||||||
60 | 54 | 3509166009700001 | Ninten | Jember,20-09-70 | Jatisari Jenggawah Jember,12-08-2018 | Siti Aminah | 3509164107800006 | 81336426126 | ||||||||||||||||||
61 | 55 | 3509161303540001 | ABD SYUKUR | Jember,13-03-54 | RS BINA SEHAT 18 | HIKMAH | 3509164301880004 | 85236348554 | ||||||||||||||||||
62 | 56 | 3509164107560219 | Siti Sarifah | Jember,01-07-56 | Jatisari Jenggawah Jember,12-05-2019 | Siti Aminah | 3509164107800006 | #ERROR! | ||||||||||||||||||
63 | 57 | 3509165709350002 | TUMI | Jember,07-09-35 | Jatisari 18 | Ismatul Munawaroh | 3509165610930001 | 85236348554 | ||||||||||||||||||
64 | 58 | 3509164107420121 | Nami | Jember,01-07-42 | Jatisari Jenggawah Jember,04-02-2010 | Kiptiyah | 3509166010830014 | 81336426126 | ||||||||||||||||||
65 | 59 | 3509164107650094 | Hamamik | Jember,01-07-65 | Jatisari Jenggawah Jember,06-09-2021 | Kiptiyah | 3509166010830014 | 81336426126 | ||||||||||||||||||
66 | 60 | 3509160406660001 | Muslikhin | Jember 04- 06-1966 | Jember 12-08- 2021 | Puji irawati | 3509185312900001 | Komariyah +6011- 37585025 | ||||||||||||||||||
67 | 61 | 3509165302600002 | SUTIHA | Jember,03-02-60 | Surabaya 20 | SITI HAMINA | 3509164709830001 | 85232108925 | ||||||||||||||||||
68 | 62 | 3509160107600036 | Hasim | Jember,01-07-60 | Jatisari Jenggawah Jember,09-09- 2025 | Kiptiyah | 3509166010830014 | 81336426126 | ||||||||||||||||||
69 | 63 | 3509160107420056 | Siti Fatimah | Jember,01-07-42 | Jatisari Jenggawah | Kuni fitratul .H | 3509166906950001 | 81336426126 | ||||||||||||||||||
70 | 64 | Jember,09-06-2010 | ||||||||||||||||||||||||
71 | 65 | 3509164107420122 | Aspi | Jember,01-07-42 | Jatisari Jenggawah Jember,09-12-2009 | Kuni fitratul .H | 3509166906950001 | 81336426126 | ||||||||||||||||||
72 | 66 | 3509164608500002 | MANIS | 6 August 1950 | Jatisari 16 | Muslisah | 3509165507670005 | 85735727497 | ||||||||||||||||||
73 | 67 | 3509165212480001 | Iya | Jember,12-12-48 | Jatisari Jenggawah Jember,30-12- 2009 | Kuni fitratul.H | 6509166906950001 | 81336426126 | ||||||||||||||||||
74 | 68 | 3509160201600014 | KAPRAWI H.ABDUL MALIK | 2 January 1960 | Jatisari 27 | Ismatul Munawaroh | 3509165610930001 | 082229516220(no hp kader) | ||||||||||||||||||
75 | 69 | 3509162907430001 | Adar sawati | Jember 29- 07-1943 | Jember | Maulidiya | 3509165509920004 | 82140355810 | ||||||||||||||||||
76 | 70 | 3509160804400002 | Takwan | Jember 08- 04-1940 | Jatisari 04-06- 2025 | Siti syariah muhfarida | 3509164711900005 | 0812 1744 1038 | ||||||||||||||||||
77 | 71 | 3509164905550001 | Rasi'a | 9 May 1955 | RS jember klinik 11 mei 2025 | Ani Wijayanti | 3509115301920005 | 82264193184 | ||||||||||||||||||
78 | 72 | 509161109059230 | BESRI | Jember 01- 07-1971 | Di rumah 18 febtuari | RUSYATUL Qoyyimah | 3509161809120013 | Gak ada | ||||||||||||||||||
79 | 73 | 3509160107600461 | Sugri | 1 July 1960 | dirumah rt 3 rw3 24 Desember 2023 | Ani Wijayanti | 3509115301920005 | 82228155473 | ||||||||||||||||||
80 | 74 | 3509160804400002 | Takwan | Jember 08- 04-1940 | Jatisari 04-06- 2025 | Siti syariah muhfarida | 3509164711900005 | 81217441038 | ||||||||||||||||||
81 | 75 | 3509160907420001 | DULAHMAR | JEMBER | Jatisari 16 | Hikmah | 3509164301880004 | 082229516220(no hp kader) | ||||||||||||||||||
82 | 76 | 3509160607500005 | Moch Misdan | Jember, 16 - 06 - 1975 | Jember, 23 -5- 2022 | Titik Hariyati Ningsih | 3509164107830031 | Fauziyah Nuril Azizah 085859282566 | ||||||||||||||||||
83 | 77 | 3509160607500005 | Mualim | Jember, 2 - 1- 1964 | Jember, 10 juli 2022 | Titik Hariyati Ningsih | 3509164107830031 | Kader 082245363680 | ||||||||||||||||||
84 | 78 | 3509167103750001 | SURYATI | Jember,01-03-75 | Jatisari 06 | Siti hamina | 3509164709830001 | 085859282516(no hp kader) | ||||||||||||||||||
85 | 79 | 35091600000000 | Asmin Ismail | jember 01-10- 1940 | Jatisari rt 6 rw 1 10 januari 2021 | Ani Wijayanti | 3509115301920005 | 85335384812 | ||||||||||||||||||
86 | 80 | 3509160107670242 | TOHA | Jember,01-07-1967 | Jatisari 03 | RINA FADILAH | 3509165208930006 | 085232108925(no hp kader) | ||||||||||||||||||
87 | 81 | 3509160304760007 | Muklis | Jember, 03- 04-1976 | Jember, 28-04- 2023 | Musrifatul hasanah | 3509176609950001 | 85141020542 | ||||||||||||||||||
88 | 82 | 3509160107630553 | ABDUR ROHMAN | 1 July 1963 | Jatisari 26 | Muslisah | 3509165507670005 | 85735727497 | ||||||||||||||||||
89 | 83 | 3509160107790006 | Moh Yasin | Jember,01-07-1979 | Jatisari 27 | RINA FADILAH | 3509165208930006 | 85232108925 | ||||||||||||||||||
90 | 84 | 3509165203630001 | Miswati | Jember,02-03-1963 | Jatisari 30 | Ismatul Munawaroh | 3509165610930001 | 82229516220 | ||||||||||||||||||
91 | 85 | 3509165203630001 | MISWATI | Jember,02-03-1963 | Jatisari 30 | Ismatul Munawaroh | 350917000000000 | 85221516220 | ||||||||||||||||||
92 | 86 | 3509160707600005 | Taselim | jember, 07- 07-1960 | jember, 2023 | siti julailatul hasanah | 35089166307920003 | 85706572014 | ||||||||||||||||||
93 | 87 | 3509161711930001 | Reno Ardiansyah | Jember,17-11-1993 | jember, 2025 | siti julailatul hasanah | 3509166307920003 | 85706572014 | ||||||||||||||||||
94 | 88 | 3509160107690022 | Tomin | Jember 10 BLN 07 1969 | Jember | Ita handayani | 3509166310890004 | 85646847265 | ||||||||||||||||||
95 | 89 | 3509162611850001 | Tofik | Jember 26/11/1985 | Jember 14/10/2018 | Honifah | 3509166302830002 | 82143089172 | ||||||||||||||||||
96 | 90 | 3509160407450002 | Cung | jember 04-07- 1945 | Rumah 05-10- 2016 | Desi sulistyawati | 3509166912980001 | 85196911480 | ||||||||||||||||||
97 | 91 | 3509160510790001 | Sunari | Jember 05- 10-1979 | Jember 05-04- 2017 | Maulidiya | 3509165509920004 | 082331919245( kader) | ||||||||||||||||||
98 | 92 | 3509164107550344 | Rakya | Jember 10 BLN 07 1955 | Jember | Ita handayani | 3509166310890004 | 82333458836 | ||||||||||||||||||
99 | 93 | 3509160107670242 | Toha | Jember 01- 07-1967 | RS.SOEBANDI 23-12-2015 | DESI SULISTYAWATI | 3509166912980001 | #ERROR! | ||||||||||||||||||
100 | 94 | 3509161901500001 | Rakwi | Jember 19- 01-1955 | Jember 10-09- 2013 | Honifa | 3509166302830002 | 081380538865(kader) | ||||||||||||||||||