Lap.gizi Pkm Mt Suri September 2015

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    KABUPATEN : SAMBAS

    PUSKESMAS/ KECAMATAN : MATANG SURI

    BULAN/ TAHUN : SEPTEMBER

    JUMLAH POSYANDU YANG ADA DI WILAYAH KERJA PUSKESMAS

    JUMLAH POSYANDU YANG MELAPOR DI WILAYAH KERJA PUSKESMAS

    NO DESA

    L P L+P

    1 JAWAI LAUT 3 3

    0 - 5 bl 13 1! "#

    $- 11 bl 1! 13 "#

    1" - "3 bl "# "$ 53

    0-"3 bl 5! 53 10#

    "! - 5% bl &1 &3 1$!JUMLAH 135 136 271

    " JELU AIR " "

    0 - 5 bl 10 10 "0

    $- 11 bl 11 10 "1

    1" - "3 bl "" "0 !"

    0-"3 bl !3 !0 &3

    "! - 5% bl $5 $! 1"%

    JUMLAH 108 10 212

    3 MT'TERAP 3 3

    0 - 5 bl "$ "! 50

    $- 11 bl "$ "3 !%

    1" - "3 bl 5" !# %%

    0-"3 bl 10! %! 1%&

    "! - 5% bl 13" 113 "!5

    JUMLAH 236 207 3

    ! SABARAN 3 3

    0 - 5 bl 15 1! "%

    $- 11 bl 15 1! "%

    1" - "3 bl 30 "% 5%

    0-"3 bl $0 5# 11#

    "! - 5% bl %$ %5 1%1

    JUMLAH 156 152 308

    5 SARILABA A " "

    0 - 5 bl & # 15

    $- 11 bl & # 15

    1" - "3 bl 15 1! "%

    0-"3 bl 31 "& 5%

    "! - 5% bl !3 !" &5

    JUMLAH 7 70 1

    $ SARILABA B " "

    0 - 5 bl # $ 13

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    K,.$ P!'4,'"$' /'

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    0-"3 bl "& "$ 5!

    "! - 5% bl !0 3% #%

    JUMLAH 68 65 133

    # SEMPERIUK A " "

    0 - 5 bl 10 % 1%

    $- 11 bl % % 1&

    1" - "3 bl 1% 1# 3$

    0-"3 bl 3& 35 #3"! - 5% bl 5# 5$ 113

    JUMLAH 5 1 186

    & SEMPERIUK B " "

    0 - 5 bl 11 10 "1

    $- 11 bl 1" 11 "3

    1" - "3 bl "! "" !$

    0-"3 bl !# !3 %0

    "! - 5% bl #5 $# 1!"

    JUMLAH 122 110 232

    % SUAH API 1 1

    0 - 5 bl & # 15

    $- 11 bl # $ 131" - "3 bl 1! 1! "&

    0-"3 bl "% "# 5$

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    JUMLAH 71 66 137

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    0 - 5 bl 10& 101 "0%

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    BGM/D+BGM/D,100

    HERI JANUARDI7A'

    NIP' 1%#$0115 1%%503 1 001

    JUMLAH TOTALPUSKESMAS

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    J!"#$% (

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    $5 $! 1"% $5 $! 1"% 50 #$'%

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    30 "% 5% 30 "% 5% "# %0'0

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    156 152 308 156 152 308 118 7596

    & # 15 & # 15 $ #5'0

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    "& "$ 5! "& "$ 5! "! &5'#

    !0 3% #% !0 3% #% 35 '5

    68 65 133 68 65 133 5 8698

    10 % 1% 10 % 1% $ $0'0

    % % 1& % % 1& % 100'0

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    8'K(2

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    FORMULIR REKAPITULASI BADUTA DAN BA

    $) D"$) B!#$) ) /D J!"#$% BB N$4 /N

    P L+P L P

    11 #&'$ 1% #0'! 5 100'0 & &&'%

    13 100'0 "# 100'0 11 #&'$ 11 &!'$

    "" &!'$ !5 &!'% 1# #3'% "1 %5'5

    !$ &$'& %1 &5'0 33 #&'$ !0 %0'%

    5! $5'1 10% $$'5 3! $1'& 31 5#'!100 7395 200 7398 67 691 71 729

    & &0'0 1$ &0'0 # 100'0 5 #1'!

    10 100'0 "1 100'0 % &1'& % %0'0

    1% %5'0 3% %"'% 1# &5'0 1# &%'5

    3# %"'5 #$ %1'$ 33 &$'& 31 &$'1

    50 #&'1 100 ##'5 35 #0'0 3$ #"'0

    87 8397 176 8390 68 7793 67 779

    1& #5'0 3! $&'0 10 #1'! 11 $!'#

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    1 696 300 6797 70 69 70 96

    10 #1'! "" #5'% # $3'$ 5 50'0

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    5 #1'! 11 #3'3 ! &0'0 ! 100'0

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    "5 &%'3 51 &$'! "3 %"'0 "1 '5

    31 #3'& $$ ##'$ "3 $5'# 1% $1'3

    56 8090 117 8193 6 7697 0 7297

    5 &3'3 % $%'" ! 100'0 ! &0'0

    $ &5'# 13 %"'% $ &5'# $ 100'0

    13 100'0 "$ %$'3 10 #$'% 11 &!'$

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    "! %"'3 !& &&'% "0 &3'3 "1 '5

    3" &"'1 $# &!'& "3 $#'$ "1 $#'#

    56 8692 115 8695 3 791 2 769

    $ $$'# 1" $3'" 5 100'0 ! 100'0

    % 100'0 1& 100'0 % 100'0 & &&'%

    1! &"'! "% &0'$ 11 #&'$ 11 #&'$

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    5 #1'! 11 #3'3 5 100'0 " !0'0

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    #5 #!'3 1!& #0'& 51 &"'3 !# #0'1

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    3%% $$'# &1# $$'5 "$1 $"'% "!1 $0'%

    76 795 1532 792 518 679 500 6892

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    LITA YANG DI TIMBANG DI WILAYAH KERJA PUSKESMAS

    B A L I T A

    J!"#$% ($) *"$) $.! / B

    L+P L P L+P L P

    13 %"'% 3 " 5 0 0

    "" &1'5 0 0

    3& &!'! 0 0

    #3 &!'% 0 0 5 0 0

    $5 5%'$ 0 0138 7098 0 0 5 0 0

    1" &5'# 1 1 0 0

    1& &5'# 0 0 0 0

    3! '" 0 0 0 0

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    135 7796 1 1 0 0 0

    "1 $#'# " 1 0 0

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    10 79 3 0 3 2

    1" 5#'1 1 0 0 0

    "0 $%'0 0 0

    35 $#'3 0 0

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    &1 $3'& 0 0

    18 696 1 0 0 0 0

    & &&'% 1 1 0 0

    13 &$'# 0 0

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    !" $3'$ 0 0

    86 798 1 1 0 0 0

    & &&'% 0 0 0 0

    1" %"'3 0 0

    "1 &0'& 0 0

    J!"#$% Y$) B!#$)

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    !1 &5'! 0 0 0 0 0

    !! $#'# 1 1

    85 7592 0 0 0 1 1

    % 100'0 1 " 0 0

    1# %!'! 0 0 0 0

    "" #&'$ 0 0 1 0

    !& '3 1 " 0 1 0!# #1'" 0 0 0 1

    5 7895 1 2 0 1 1

    & $$'# 1 1 0 0

    1$ #$'" 0 0 0 0

    "3 $#'$ 0 0 1 1

    !# #0'1 1 1 0 1 1

    51 $!'$ 0 0 1 0

    8 6791 1 1 0 2 1

    # #0'0 1 0 0 0

    11 %1'# 0 0 0 0"1 &0'& 0 0 0 0

    3% &1'3 1 0 0 0 0

    55 &0'% 0 0 0 0

    8190 1 0 0 0 0

    %& 100'0 11 & 1% 0 0

    15$ 103'3 0 0 0 0 0

    "$" %$'# 0 0 0 3 "

    51$ %%'" 11 & 1% 3 "

    50" &3'% 0 0 0 3 3

    1018 191 11 8 1 6 5

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    L+P L P L+P L P

    0 5 % 1! 0 1

    0 1! 13 "# 3 "

    0 "3 "" !5 $ 1

    0 !" !! &$ % !

    0 55 5! 10% "1 "30 7 8 15 30 27

    0 # # 1! 0 "

    0 11 10 "1 " 1

    0 "0 1% 3% 3 "

    0 3& 3$ #! 5 5

    0 50 50 100 15 1!

    0 88 86 17 20 1

    0 1! 1# 31 ! $

    0 "5 "1 !$ 13 $

    3 !3 !1 &! "0 1%

    3 &" #% 1$1 3# 31

    " $% $" 131 !! !0

    5 151 11 22 81 71

    0 11 10 "1 ! 5

    0 15 1! "% 5 !

    0 "# "5 5" 10 #

    0 53 !% 10" 1% 1$

    0 $! $3 1"# "1 "5

    0 117 112 22 0 1

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    1" 13 "5 0 "

    0 "5 "! !% " 3

    35 31 $$ 1" 1"

    0 60 55 115 1 15

    ! 5 % 0 1

    # $ 13 1 0

    13 13 "$ 3 "

    L$#! T*$4 D$$)O

    D"$) #) #$#! *$) %$*. -$*$ #)) /D: ; DBO

    J!"#$% ($) *$4/

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    0 "! "! !& ! 3

    3! 31 $5 11 10

    0 58 55 113 15 13

    5 ! % 0 1

    % % 1& 0 1

    1! 1! "& 3 3

    0 "& "# 55 3 535 31 $$ & 11

    0 63 58 121 11 16

    $ $ 1" " "

    1" % "1 5 0

    1% 15 3! # !

    0 3# 30 $# 1! $

    3% !0 #% 15 13

    0 76 70 16 2 1

    5 5 10 0 3

    $ $ 1" 0 113 13 "$ 3 "

    0 "! "! !& 3 $

    0 3! 3! $& # #

    0 58 58 116 10 13

    0 $" $# %& 11 "1

    0 10# %5 151 30 1$

    5 1&! 1#5 "#1 55 !"

    5 353 33# 5"0 %$ #%

    $ !15 3%$ 5%& 15! 155

    11 768 733 1118 250 23

    M.). 67 S(2)(

    N)69 P4(.

    MA

    NIP' 1%&00#11 "00$0

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    J!"#$%

    L+P L P L+P L P

    1 #'1!"&5# 0 0 0 0 0 0

    5 1&'51&5" 0 0 0 0 0 0

    # 15'5555$ 0 0 0 0 0 1

    13 15'11$"& 0 0 0 0 0 1

    !! !0'3$$%# 0 0 0 0 0 "57 292308 0 0 0 0 0 3

    " 1!'"&5#1 0 0 0 0 0 0

    3 1!'"&5#1 0 0 0 0 0 0

    5 1"'&"051 1 1 0 0 0 0

    10 13'51351 1 1 0 0 0 0

    "% "% " " 0 0 0 0

    3 229138 3 3 0 0 0 0

    10 3"'"5&0$ 0 0 0 0 0 0

    1% !1'30!35 0 0 0 0 0 0

    3% !$'!"&5# " 3 0 0 0 1

    $& !"'"3$0" " 3 0 0 0 1

    &! $!'1""1! 1 1 0 0 0 0

    152 529058 3 0 0 0 1

    % !"'&5#1! 0 0 0 0 0 0

    % 31'03!!& 0 1 0 0 1 "

    1# 3"'$%"31 1 " 0 0 3 1

    35 3!'313#3 1 3 0 0 ! 3

    !$ 3$'""0!# 0 0 0 0 3 0

    81 3593712 1 3 0 0 7 3

    1 11'11111 0 0 0 0 0 0

    " 13'33333 0 0 0 0 0 0

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    2 259217 0 0 0 0 0 1

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    1 #'$%"30& 0 0 0 0 0 0

    5 1%'"30## 0 1 0 0 1 1

    $4 "$)$))($T

    J!"#$% ($) 2 4$# ,.!.! !.!*$4 )$4 "$)$))($ /2 T

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    # 1!'5&333 0 1 0 0 1 1

    "1 3"'30#$% 0 1 0 0 0 0

    28 297788 0 2 0 0 1 1

    1 11'11111 0 0 0 0

    1 5'55555$ 0 0 0 0

    $ "1'!"&5# 0 0 0 0

    & 1!'5!5!5 0 0 0 0 0 01% "&'#&& 0 0 0 0

    27 22931 0 0 0 0 0 0

    ! 33'33333 0 0 0 0

    5 "3'&0%5" 1 0 0 0

    11 3"'35"%! 0 0 0 0

    "0 "%'&50#5 1 0 0 0 0 0

    "& 35'!!30! 0 0 0 0

    8 3298767 1 0 0 0 0 0

    3 30 0 0 0 0

    1 &'333333 0 1 0 05 1%'"30## 0 1 0 0

    % 1&'#5 0 " 0 0 0 0

    1! "0'5&&"! 1 0 0 0

    23 198276 1 2 0 0 0 0

    3" 3"'$530$ 0 0 0 0 0 0

    !$ 30'!$35& 1 " 3 1'%&$#55 1 "

    %# 35'#%33$ ! & 1" !'!"&0!! ! 5

    1#5 33'$53&5 5 10 15 "'&&!$15 5 #

    30% 51'$#""! ! ! & 1'33##%3 3 "

    8 39216 1 23 2905725 8

    b(6 "015

    M.). S6

    RINI7A'M8'G

    " 01&

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    #$ BGM

    L+P ;

    0 0

    0 0

    1 "'""""""

    1 1'0%&%01

    " 1'&3!&$"3 195

    0 0

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    0 0

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    0 0

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    3 1'!&51!%

    % "'!$5#53

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    17 191066

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    P693? >!? >5? >$?+>5?/>3?@100 >#? >&?+>#?/>3?@100

    1 JELU AIR 47 44 "$ 55'3 &'51

    2 AWAI LAU 61 58 3& $"'3 7 11'!&3 TANG TER 111 106 $1 55'0 8 #'"1

    4 SUAH API 31 30 1$ 51'$ 3 %'$&

    5 ARILABA A 33 31 1$ !&'5 3 %'0%

    6 ARILABA B 30 29 1& $0'0 13'33

    7 EMPERIUK 41 39 "$ $3'! 6 1!'$3

    8 EMPERIUK 50 48 "0 !0'0 5 10'00

    9 SABARAN 66 63 !1 $"'1 13'$!

    J l . !#0 !!& "$" 55'# 10'!3

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    Jl.S..6.B.

    Kl.) Bl8.2.) ( 3 .2.

    bl. l.l

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    FORMULIR DISTRIBUSI TABLET F, PAD

    ; ; ; ;

    >%? >11? >1"? >1!?

    30 $3'& "% $1'# 6 1"'& 35 #!'5

    !5 #3'& 3% $3'% 8 13'1 !# ##'0$% $"'" $5 5&'$ 8 #'" #3 $5'&

    1% $1'3 "1 $#'# 2 $'5 "3 #!'"

    1% 5#'$ 1& 5!'5 3 %'1 "1 $3'$

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    50 #5'& !$ $%'# 5 #'$ 51 ##'3

    311 $$'" "%5 $"'& 5 %'$ 3!0 #"'3

    Kl.) Bl8.2.) ( 3 .2.

    bl.

    Kl.) Bl8.2.) ( 1 .2.

    bl. l.l

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    Kl.) Bl8.2.) ( 1 .2.

    bl.

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    >13?+>1"?/>3?@100

    >15?+>1!?/>3?@100

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    IBU HAMIL< KAPSUL =ITAMIN A PADA IBU NIFAS< IMD< DAN

    DI WILAYAH KERJA PUSKESMAS

    ; ; ; L P

    >1$? >1&? >"0? >"1? >""? >"3?

    "5 53'" 3 $'& "& $3'$ " 1

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    11 35'5 ! 13'3 15 50'0 " "

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    Kl.) B.8.2.) ). A

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    ASUS ANEMIA PADA IBU HAMIL

    Juml! "#$ %& IM' ( 1 )m *ul# &

    LP L P LP L P LP #

    +24, +25, >"$? +27, +28, +27, +28, +29,

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    2 Bl.Juml! "#$ %& IM' 1 )m *ul# &

    Juml! B"&&

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    S--u. G&/& Bum&l +KEK,

    # # # #

    +31, +32, +34, +35,

    1 " "00 $ 0 0

    " 1 50 & 0 03 3 100'0 & 0 0

    0 0 E66:51" " 0 0'0

    0 " E66:51" 3 0 0

    0 0 E66:51" 3 0 0

    0 0 E66:51" 5 0 0

    1 1 100 5 0 0

    0 " E66:51" 5 0 0

    # 11 15#'1 !& 0 0'0

    BBLR *ul#&

    BUMIL ANG'IPERIKSA

    HB

    Bum&l P#%&- A#m&+HB(11$,

    BUMIL ANG'IUKUR LILA

    +30,+29,+22,100

    +33,+32,+31,100

    +36,+35,+34,100

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    LAPORAN PERKEM

    NO NAMA BALITA TGL LAHIRNAMA O

    AYAH

    1 ILHAM 1# 10 "013 L MUSMULYADI

    " SUSANTI 1% $ "01! P EBI

    3 MELLISA 1% 5 "01! P NIFAMI

    ! NURMAWATI "! 10 "01! P ELY

    5 CLARA 1# 10 "013 P TITIN

    JENIS

    KELA

    MIN

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    ANGAN GIFI BURUK PUSKESMAS MATANG SURI TAHUN

    RTUALAMAT

    ANTROPOMETRI JUNI

    IBU BB/U BB/TB BB PB

    MUSLIHA SABARAN B64 SGT KURUS #'$ #$

    AFA SABARAN B64 SGT KURUS $ $%

    FINIM SABARAN B64 SGT KURUS $'3 $&

    IHSAM SUAH API B64 SGT KURUS 5'1 $5

    KALIANUS SARILABA B B64 SGT KURUS $'# #"

    M.). S6

    N)6)9

    M

    NIP' 1%&00

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    015

    JULI AGST SEPT

    BB PB BB PB BB PB

    #'$ ## #'$ #& #'5 #%

    $'! #0 $'% #1 # #3

    $'5 $% $'$ #0 $'% #1

    5'1 $$ 5'$ $# 5'$ $&

    # #3 #'! #! #'! #5

    7 S(2)(b(6 "015

    4(. M.). S6

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    P4(

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    35

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    ORMAT LAPORAN SIGIFI

    . / K(=..).: MATANG SURI

    KETERAGAN

    Jl. b .l . (8.2.)4. %0 ).bl() ).b. 8.6. >(3? 8 BULAN INI

    Ib . . (8.2.) 4.2l S? ..4 "! - 5% bl. 8.6 l.296. 2(b.. 29.8 2.8. BULAN INI

    Jl. >S? ..4 0 - 5% bl. 8.6 l.296. 2(b.. 29.8 2.8. BULAN INI

    Jl. >K? ..4 0 - "3 bl. (l4 KMS 8.6 l.296. 2(b.. 29.8 2.8. BULA

    Jl. >K? ..4 "! - 5% bl. (l4 KMS 8.6 l.296. 2(b.. 29.8 2.8. BUL

    Jl. >K? ..4 0 - 5% bl. (l4 KMS 8.6 l.296. 2(b.. 29.8 2.8. BULA

    Jl. >D? ..4 0 - "3 bl. 8)b. 2.8. BULAN INI

    Jl. >D? ..4 "! - 5% bl. 8)b. 2.8. BULAN INI

    Jl. >D? ..4 0 - 5% bl. 8)b. 2.8. BULAN INI

    Jl. >O? ..4 0 - 5% bl. 8)b. bl. TETAPI bl. l.l )8.4 8.).

    Jl. >B ? ..4 0 - 5% bl. . b.6 8)b. 2.8. bl.

    Jl. >D* ? ..4 0 - 5% bl. . 8)b. BULAN LALU 8. .86 2.8. BULAN INI

    Jl. >N? ..4 0 - 5% bl. . .4 b(6.) b.8.. 2.8. BULAN INI

    Jl. >T? ..4 0 - 5% bl. . )8.4 .4 b(6.) b.8.. 2.8. BULAN INI

    Jl. >"T? ..4 0 - 5% bl. . 8. 4.l )8.4 .4 b(6.) b.8.. 2.8. BULAN INI

    Jl. >BGM? ..4 0 - 5% bl. . b(6.8. 88.. .6 (6. 2.8. BULAN INI

    Jl. 4. b64 b.6 2.8. BULAN INI

    Jl. 4. b64 b.6 . 86..) 2.8. BULAN INI

    Jl. K. b64 LAMA . (.l 2.8. BULAN INI

    Jl. K. b64 BARU . (.l 2.8. BULAN INI

    Jl. K. b64 (.l 2.8. BULAN INI

    Jl. 4. b64 LAMA . . 86..) .2. BULAN INI

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    Jl. 4. b64 . BARU . . 86..) 8 BULAN INI

    Jl. 4. b64 . . 86..) 2.8. BULAN INI

    Jl. b. 4. 46. >KURUS : -3 BB/PB .2. -" BB/PB? 6 0 - 5 bl. 2.8.

    Jl. b. 4. 46. >KURUS : -3 BB/PB .2. -" BB/PB? 6 $ - 11bl. 2.8.

    Jl. ..4 4. 46. >KURUS : -3 BB/PB .2. -" BB/PB? 6 1" - "3 bl. 2.

    Jl. ..4 4. 46. >KURUS : -3 BB/PB .2. -" BB/PB? 6 $ - "3bl. 2.8Jl. ..4 4. 46. >KURUS : -3 BB/PB .2. -" BB/PB? 6 "! - 5% bl. 2.

    Jl. ..4 4. 46. >KURUS : -3 BB/PB .2. -" BB/PB? 6 $ - 5% bl. 2.8

    Jl. ..4 4. 46. >KURUS : -3 BB/PB .2. -" BB/PB? 6 0 - 5% bl. 2.8

    Jl. ..4 B.l). $ - "3 bl. . (8.2.) ).b6.'

    P(l.296 7

    M.67A'M8'G

    NIP' 1%&00#11 "00$0! " 01&

    Jl. b. 4. 46. >KURUS : -3 BB/PB .2. -" BB/PB? 6 $ - 11 bl. (BULAN INI

    Jl. ..4 4. 46. >KURUS : -3 BB/PB .2. -" BB/PB? 6 1" - "3 bl. (BULAN INI

    Jl. ..4 4. 46. >KURUS : -3 BB/PB .2. -" BB/PB? 6 $ - "3 bl. (

    BULAN INI

    Jl. ..4 4. 46. >KURUS : -3 BB/PB .2. -" BB/PB? 6 "! - 5% bl. BULAN INI

    Jl. ..4 4. 46. >KURUS : -3 BB/PB .2. -" BB/PB? 6 $ - 5% bl. (BULAN INI

    Jl. Ib H.l 649 K6. E(6 K69 >KEK? 8(. L4.6 L(. A). > LILA ? BULAN INI

    Jl. Ib H.l 649 K6. E(6 K69 >KEK? 8(. L4.6 L(. A). > LILA ? (8.2.) PMT 2.8. 8 BULAN INI

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    "015

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