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NO NO KK NO. NIK NAMA KK

TANGG

L

1 13081325111300011308133108830001 AGUSTRIADI HENDRA 8/31/1983

2 1308135904880001 ITA

3 ALFI RAMADHAN 7/7/2014

4 13081319031200011308131708870001 KASIHAN 8/17/1987

5 1308135102920002 ELI

6 1308130707140001 ALFI RAMADHAN

7 13081301021200011308133112640002 KANCIA 12/31/1964

8 1308136110760002 ANIS

9 1308131908960001 IPEN 8/19/1996

10 1308135012900003 IRA

11 1308131501050002 ARI 1/15/2005

12 1308134707100002 PELA NASRILIANIS

13 ZAKI 9/27/2012

14 13081301040900061308130107430001 DT SARIPADO 7/1/1943

15 1308137112680001 SIIN

16 1308130107980001 IRIL 7/1/1998

17 13081307121100011308132303800001 SIZUL 3/23/1980

18 1308135106840001 RENI

19 1308131010040002 SIIT 10/10/2004

20 13081329041500021308131205470001 NA!ON 5/12/1947

21 1308134107510016 SI"US

22 13081311110900031308131011600001 MANSOR 11/10/1960

23 1308135509550001 SIDER

24 1308135705900001 EMI

25 1308136412990001 AHDA PUTRA 7/10/1997

26 1308131408970003 RAHMA DINA

27 1308134608010002 DINI

28 1308131808050003 M KAMIL 8/18/2005

29 1308131002090001 FERI 2/10/200930 13081326071300061308132308780003 S"AREL 8/23/1978

31 1308137112880004 "ATI

32 1308130309130001 HA!IL GIANDRA "USUF 9/3/2013

33 13081311110900021308130808560001 IDRIS 8/8/1956

34 1308135002720001 ISMA#ATI

35 1308131307920001 ZULHENDRI 7/13/1992

36 1308130608940001 ROMI SAPUTRA 8/6/1994

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37 1308130409970001 PANI ENDRA#AN 9/4/1997

38 1308131406990001 A!DUL RAFIT 6/14/1999

39 1308134707030001 ATISA AMELIA

40 13081306111400011308040604890002 DEKI HARIANTO 4/6/1989

41 1308136007900001 SRI NELPA #AH"UNI

42 1308136502150001 AMELIA #AH"UNI

43 13081328061000031308132008640001 SA#IR 8/20/196444 1308134805740003 IDAS

45 1308131510900001 RIKO 10/15/1990

46 1308130602960002 RIKA 2/6/1996

47 1308134704020003 NANDA LESTARI

48 1308130803080001 ALDO 3/8/2008

49 13081301121500011308130103930001 SEPRIA ARIKO 9/14/1993

50 1308135406940001 #IRDA RINA EKA PUTRI

JUMLAH 29

$UMLAH KK LAKI%LAKI PEREMPUAN

12 29 21

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3/6

DATA PENDUDUK KP. LAYU

L LAHIR

ALAMAT

KEPEMILIKAN KARTU

P NO JKS NO BPJS NO BPJSM

KP LA"U

4/19/1988 KP LA"U 0000279181776

KP LA"U

KP LA"U

2/11/1992 KP LA"U 0000279184421

7/7/2014 KP LA"U

KP LA"U 0000279178694

10/21/1976 KP LA"U 0000279178727

KP LA"U 0000279178986

12/10/1988 KP LA"U 0000279179403

KP LA"U 0000279179469

7/7/2010 KP LA"U 0000279180066

KP LA"U 0001330090615

KP LA"U 0000986923034/DT AN#AR 0001332243123

12/31/1968 KP LA"U 0000986923045

KP LA"U 0000986923056

KP LA"U 0001334292489

6/11/1984 KP LA"U 0001332389079

KP LA"U 0001332431831

KP LA"U

7/1/1951 KP LA"U 0000279180707

KP LA"U 0000279180786

9/15/1955 KP LA"U 0000279181001

5/17/1990 KP LA"U 0000279182114

KP LA"U 0000279182902

12/24/1999 KP LA"U 0000279182801

8/6/2001 KP LA"U 0000279183036

KP LA"U 0000279183262

KP LA"U 0000279183701KP LA"U 0000279704441

12/31/1988 KP LA"U 0000986923067

KP LA"U

KP LA"U

2/10/1972 KP LA"U

KP LA"U

KP LA"U

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KP LA"U

KP LA"U

7/7/2003 KP LA"U

KP LA"U

7/10/1990 KP LA"U

2/25/2015 KP LA"U

KP LA"U 00002796068575/8/1974 KP LA"U 0000279606903

KP LA"U 0000279607037

KP LA"U 0000279608501

4/7/2002 KP LA"U 0000279609366

KP LA"U 0000279609399

KP LA"U

6/14/1994 KP LA"U 0000279607138

21

TOTAL

50

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5/6

BAB

CTPS

WCSUNG

AI

Terpis!

Di"#r

Ter$%$%p

Ter"%

#

Ter&e'

'&

MATA AIR 1 1 1 TIDAK TIDAK

SUNTIK

MATA AIR 1 1 1 TIDAK TIDAK

SUNTIK

MATA AIR 1 1 1 TIDAK TIDAK

MATA AIR 1 1 1 TIDAK TIDAK

MATA AIR 1 1 1 TIDAK TIDAK

MATA AIR 1 1 1 TIDAK TIDAK

MATA AIR 1 1 1 TIDAK TIDAK

MATA AIR 1 1 1 TIDAK TIDAK

IMPLANT

MATA AIR 1 1 1 TIDAK TIDAK

KONTRASEPSIYANG DIPAKAI

SUMBERAIR BERSIH

Pe'&e()('S*p!

S(%r' AirLi*"!

BEBASASAP

ROKOK

Se*"r'

&'

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MATA AIR 1 1 1 TIDAK TIDAK

SUNTIK

MATA AIR 1 1 1 TIDAK TIDAK

11 1 1+ 11