Laporan Kia Th 2015

7/25/2019 Laporan Kia Th 2015

1/493

K1 100%K4 90%

Resti Nakes 100%

Resti Masy 100%

Persalinan Nakes 95%

KF lengkap 90%

Penanganan Komplikasi 100%

N1 90%N Lengkap 90%

NK 100%

Bayi Lengkap 80%

Balita Lengkap 80%


2/493

D! D"R P#"K$"M" KRM!!#

No Desa

"asaran

B&mil B#L'N B#F" 'B# R$"!' K(MPL (B"N$(N!#" B)'

L L R'"K P P R'"K L*P L*P R'"K L P1 Le+ak,ana 119 114 114 -4 -- 58 9 55 8 11. 1/ 55 5.

- Pelam&nan 149 14- 14- .0 .0 /. 11 9 10 14- -1 9

. Margasana 111 10 10 -- -0 55 8 5- 8 10/ 1 5- 49

4 Kramat,at& -01 19- 19- 40 .4 99 15 94 14 19. -9 94 89

5 Peaten 1/- 14 14 .4 .4 84 1. 80 1- 14 -5 80 /

anayasa 8 8- 8- 1/ 14 4- 40 8- 1- 40 .8

/ 2aratani --1 -11 -11 44 4. 108 1 10. 1 -11 .- 10. 98

8 "er3ang 1-8 1-. 1-. - 18 . 9 0 9 1-. 18 0 5/

9 !oyomerto 8- /8 /8 1 1. 40 .8 /8 1- .8 .

10 Pega3ingan 8/ 8. 8. 1/ 18 4. 40 8. 1- 41 .8

11 Pamengkang 105 100 100 -1 -8 51 8 49 8 100 1 49 4/

1- !onong /8 /5 /5 1 14 .8 . 5 /4 11 . .4

1. !erate 90 8 8 18 1/ 44 / 4- 8 1. 4- 40

14 !el&k !erate 45 4- 4- 10 / -- . -0 . 4- -1 -0

15 Margatani 149 14- 14- .0 -/ /. 11 9 10 14- -1 /0

18-. 1/40 1/40 .5 ..9 89. 1.4 84/ 1-/ 1/40 -1 850 80/

Kepala P&skesmas kramat,at& Pengelola K' Kramat,at& -015

Dr $nik #tma,ati B3 M&naa6 M3Ke+N'P 19//0404 -00/01 - 011 N'P 19/40/10 199.01 - 00-


3/493

7&mla6 Pen3&3&k

P#" 7&mla6 BalitaL P !otal L P !otal

1012 321 304 -5 3052 2900 5952 001 Lebakwana

1263 400 380 /80 3809 3619 7428 002 Pelamunan

946 300 285 585 2854 2712 5566 003 Margasana

1710 542 515 105/ 5159 4903 10062 004 Kramatwatu

1460 462 440 90- 4403 4187 8590 005 Pejaten

728 231 219 450 2199 2084 4283 006 Wanayasa

1878 594 566 110 5660 5388 11048 007 Harjatan

1091 345 328 /. 3289 3126 6415 008 !er"ang694 220 208 4-8 2094 1986 4080 009 #$y$mert$

741 235 222 45/ 2240 2116 4356 010 Pega"ngan

894 283 269 55- 2696 2561 5257 011 Pamengkang

659 209 198 40/ 1989 1886 3875 012 #$nj$ng

762 242 229 4/1 2301 2183 4484 013 #erate

376 119 113 -.- 1138 1075 2213 014 #eluk #erate

1268 401 382 /8. 3824 3636 7460 015 Margatan

1548- 4904 458 95- 46707 44362 91069


4/493

R$KP'!#L"' P" 'B# D' KB#P!$N "$RN

P#"K$"M" KRM!!#

B#LN 7N#R' -015

N( D$"

""RN K' K 'D$!$K"' R$"!' B#M'L

(L$2 NK$" (L$2 M")

B#M'L B#L'NBLN 'N' K#M BLN 'N' K#M BLN 'N' K#M BLN 'N' K#M

B" % B" % B" % B" % B" % B" % B" % B" %

1 Le+ak,ana 119 114 8 / 8 / 10 84 10 84 1 4- 1 4- 1 4- 1 4-

- Pelam&nan 149 14- 9 0 9 0 7 4/ / 4/ 7 -.. / -.. 1 .. 1 ..

. Margasana 111 10 13 11/ 1. 11/ 10 90 10 90 3 1. . 1. 1 45 1 45

4 Kramat,at& -01 19- 13 5 1. 5 11 55 11 55 4 100 4 100 4 100 4 100

5 Peaten 1/- 14 12 /0 1- /0 12 /0 1- /0 1 -9 1 -9 2 59 - 59

anayasa 8 8- 8 9. 8 9. 5 58 5 58 6 .5. .5. 2 118 - 118

/ 2aratani --1 -11 14 . 14 . 12 54 1- 54 3 8 . 8 2 45 - 45

8 "er3ang 1-8 1-. 3 -. . -. 2 1 - 1 1 .8 1 .8 1 .8 1 .8

9 !oyomerto 8- /8 9 110 9 110 4 49 4 49 4 -50 4 -50 1 . 1 .

10 Pega3ingan 8/ 8. 3 .4 . .4 6 9 9 1 59 1 59 0 00 0 00

11 Pamengkang 105 100 8 / 8 / 8 / 8 / 4 190 4 190 4 190 4 190

1- !onong /8 /5 4 51 4 51 5 4 5 4 0 00 0 00 0 00 0 00

1. !erate 90 8 6

/ / 0

00 0 00 2

111 - 111 1

5 1 514 !el&k !erate 45 4- 4 89 4 89 0 00 0 00 4 400 4 400 3 .00 . .00

15 Margatani 149 14- 5 .4 5 .4 2 1. - 1. 1 .. 1 .. 0 00 0 00

7&mla6 18-. 1/40 119 5 119 5 94 5- 94 5- 4- 115 4- 115 -. . -. .

Kepala P&skesmas kramat,at&

Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


5/493

R$KP'!#L"' P" 'B# D' KB#P!$N "$RN

P#"K$"M" KRM!!#

B#LN F$BR#R' -015

N( D$"

""RN K' K 'D$!$K"' R$"!' B#M'L

(L$2 NK$" (L$2 M")


B" % B" % B" % B" % B" % B" % B" % B" %

1 Le+ak,ana 119 114 12 101 -0 18 10 84 -0 18 3 1-5 4 1/ 1 4- - 8.

- Pelam&nan 149 14- 15 101 -4 11 9 0 1 10/ 4 1.. 11 ./ 2 / . 100

. Margasana 111 10 15 1.5 -8 -5- 8 /- 18 1- 6 -/. 9 409 3 1. 4 18-

4 Kramat,at& -01 19- 10 50 -. 114 9 45 -0 100 3 /5 / 1/5 2 50 150

5 Peaten 1/- 14 8 4/ -0 11 7 41 19 110 1 -9 - 59 1 -9 . 88

anayasa 8 8- 7 81 15 1/4 4 4/ 9 105 2 118 8 4/1 2 118 4 -.5

/ 2aratani --1 -11 15 8 -9 1.1 11 50 -. 104 4 91 / 159 2 45 4 91

8 "er3ang 1-8 1-. 4 .1 / 55 2 1 4 .1 0 00 1 .8 0 00 1 .8

9 !oyomerto 8- /8 5 1 14 1/1 3 ./ / 85 2 1-5 ./5 1 . - 1-5

10 Pega3ingan 8/ 8. 5 5/ 8 9- 9 10. 15 1/- 4 -.5 5 -94 2 118 - 118

11 Pamengkang 105 100 16

15- -4 --9 7

/ 15 14. 4

190 8 .81 4

190 8 .811- !onong /8 /5 7 90 11 141 1 1. // 2 1-5 - 1-5 1 . 1 .

1. !erate 90 8 7 /8 1. 144 6 / / 3 1/ 5 -/8 0 00 1 5

14 !el&k !erate 45 4- 5 111 9 -00 6 1.. 1.. 8 800 1- 1-00 4 400 / /00

15 Margatani 149 14- 10 / 15 101 1 0/ . -0 2 / . 100 0 00 0 00

7&mla6 18-. 1/40 141 // -0 14. 9. 51 18/ 10. 48 1.- 90 -4/ -5 8 48 1.-


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


6/493

R$KP'!#L"' P" 'B# D' KB#P!$N "$RN

P#"K$"M" KRM!!#

B#LN MR$! -015

N( D$"

""RN K' K 'D$!$K"' R$"!' B#M'L

(L$2 NK$" (L$2 M")


B" % B" % B" % B" % B" % B" % B" % B" %

1 Le+ak,ana 119 114 11 9- .1 -1 8 / -8 -.5 2 8. -50 0 00 - 8.

- Pelam&nan 149 14- 12 81 . -4- 13 8/ -9 195 6 -00 1/ 5/ 2 / 5 1/

. Margasana 111 10 11 99 .9 .51 10 90 -8 -5- 2 91 11 500 4 18- 8 .4

4 Kramat,at& -01 19- 15 /5 .8 189 9 45 -9 144 4 100 11 -/5 2 50 8 -00

5 Peaten 1/- 14 9 5- -9 19 10 58 -9 19 2 59 4 118 2 59 5 14/

anayasa 8 8- 7 81 -- -5 10 11 19 --1 1 59 9 5-9 1 59 5 -94

/ 2aratani --1 -11 20 90 49 --- 14 . ./ 1/ 4 91 11 -50 3 8 / 159

8 "er3ang 1-8 1-. 4 .1 11 8 3 -. / 55 1 .8 - // 1 .8 - //

9 !oyomerto 8- /8 11 1.4 -5 .05 5 1 1- 14 6 ./5 1- /50 1 . . 18810 Pega3ingan 8/ 8. 3 .4 11 1- 3 .4 18 -0/ 2 118 / 41- 1 59 . 1/

11 Pamengkang 105 100 2 19 - -48 7 / -- -10 3 14. 11 5-4 3 14. 11 5-4

1- !onong /8 /5 6 // 1/ -18 7 90 1. 1/ 3 188 5 .1. 1 . - 1-5

1. !erate 90 8 5 5 18 -00 10 111 1 1/8 3 1/ 8 444 7 .89 8 444

14 !el&k !erate 45 4- 3 / 1- -/ 3 / 9 -00 5 500 1/ 1/00 2 -00 9 900

15 Margatani 149 14- 8 54 -. 154 1 0/ 4 -/ 2 / 5 1/ 0 00 0 00

7&mla6 18-. 1/40 1-/ /0 .8/ -1- 11. - .00 15 4 1- 1. ./. .0 8- /8 -14


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


7/493

R$KP'!#L"' P" 'B# D' KB#P!$N "$RN

P#"K$"M" KRM!!#

B#LN PR'L -015

N( D$"

""RN K' K 'D$!$K"' R$"!' B#M'L

(L$2 NK$" (L$2 M")


B" % B" % B" % B" % B" % B" % B" % B" %

1 Le+ak,ana 119 114 8 / .9 .-8 12 101 40 .. 2 8. 8 ... 4 1/ -50

- Pelam&nan 149 14- 14 94 50 .. 6 40 .5 -.5 3 100 -0 / 0 00 5 1/

. Margasana 111 10 11 99 50 450 11 99 .9 .51 3 1. 14 . 3 1. 11 500

4 Kramat,at& -01 19- 22 109 0 -99 11 55 40 199 0 00 11 -/5 0 00 8 -00

5 Peaten 1/- 14 13 / 4- -44 19 110 48 -/9 2 59 1/ 3 88 8 -.5

anayasa 8 8- 7 81 -9 ../ 6 /0 -5 -91 7 41- 1 941 2 118 / 41-

/ 2aratani --1 -11 10

45 59 -/ 15

8 5- -.5 5

114 1 .4 1

-. 8 18-8 "er3ang 1-8 1-. 2 1 1. 10- 1 08 8 . 1 .8 . 115 0 00 - //

9 !oyomerto 8- /8 3 ./ -8 .41 8 98 -0 -44 3 188 15 9.8 1 . 4 -50

10 Pega3ingan 8/ 8. 9 10. -0 -.0 5 5/ -. -4 3 1/ 10 588 2 118 5 -94

11 Pamengkang 105 100 6 5/ .- .05 12 114 .4 .-4 3 14. 14 / 2 95 1. 19

1- !onong /8 /5 8 10. -5 .-1 4 51 1/ -18 3 188 8 500 1 . . 188

1. !erate 90 8 5 5 -. -5 1 11 1/ 189 2 111 10 55 2 111 10 55

14 !el&k !erate 45 4- 2 44 14 .11 5 111 14 .11 2 -00 19 1900 2 -00 11 1100

15 Margatani 149 14- 4 -/ -/ 181 2 1. 40 1 .. -00 0 00 0 00

7&mla6 18-. 1/40 1-4 8 511 -80 118 5 418 --9 40 110 1/ 48- -. . 101 -//



8/493

R$KP'!#L"' P" 'B# D' KB#P!$N "$RN

P#"K$"M" KRM!!#

B#LN M$' -015

N( D$"

""RN K' K 'D$!$K"' R$"!' B#M'L

(L$2 NK$" (L$2 M")


B" % B" % B" % B" % B" % B" % B" % B" %

1 Le+ak,ana 119 114 0 00 .9 .-8 0 00 40 .. 0 00 8 ... 0 00 -50

- Pelam&nan 149 14- 0 00 50 .. 0 00 .5 -.5 0 00 -0 / 0 00 5 1/

. Margasana 111 10 0 00 50 450 0 00 .9 .51 0 00 14 . 0 00 11 500

4 Kramat,at& -01 19- 0 00 0 -99 0 00 40 199 0 00 11 -/5 0 00 8 -00

5 Peaten 1/- 14 0 00 4- -44 0 00 48 -/9 0 00 1/ 0 00 8 -.5 anayasa 8 8- 0 00 -9 ../ 0 00 -5 -91 0 00 1 941 0 00 / 41-

/ 2aratani --1 -11 0 00 59 -/ 0 00 5- -.5 0 00 1 .4 0 00 8 18-

8 "er3ang 1-8 1-. 0 00 1. 10- 0 00 8 . 0 00 . 115 0 00 - //

9 !oyomerto 8- /8 0 00 -8 .41 0 00 -0 -44 0 00 15 9.8 0 00 4 -50

10 Pega3ingan 8/ 8. 0 00 -0 -.0 0 00 -. -4 0 00 10 588 0 00 5 -94

11 Pamengkang 105 100 0 00 .- .05 0 00 .4 .-4 0 00 14 / 0 00 1. 19

1- !onong /8 /5 0 00 -5 .-1 0 00 1/ -18 0 00 8 500 0 00 . 188

1. !erate 90 8 0 00 -. -5 0 00 1/ 189 0 00 10 55 0 00 10 55

14 !el&k !erate 45 4- 0 00 14 .11 0 00 14 .11 0 00 19 1900 0 00 11 1100

15 Margatani 149 14- 0 00 -/ 181 0 00 40 0 00 -00 0 00 0 00

7&mla6 18-. 1/40 0 00 511 -80 0 00 418 --9 0 00 1/ 48- 0 00 101 -//



9/493

N'P 19//0404 -00/01 - 011

R$KP'!#L"' P" 'B# D' KB#P!$N "$RN

P#"K$"M" KRM!!#B#LN 7#N' -015

N( D$"

""RN K' K 'D$!$K"' R$"!' B#M'L

(L$2 NK$" (L$2 M")


B" % B" % B" % B" % B" % B" % B" % B" %

1 Le+ak,ana 119 114 0 00 .9 .-8 0 00 40 .. 0 00 8 ... 0 00 -50

- Pelam&nan 149 14- 0 00 50 .. 0 00 .5 -.5 0 00 -0 / 0 00 5 1/

. Margasana 111 10 0 00 50 450 0 00 .9 .51 0 00 14 . 0 00 11 5004 Kramat,at& -01 19- 0 00 0 -99 0 00 40 199 0 00 11 -/5 0 00 8 -00

5 Peaten 1/- 14 0 00 4- -44 0 00 48 -/9 0 00 1/ 0 00 8 -.5

anayasa 8 8- 0 00 -9 ../ 0 00 -5 -91 0 00 1 941 0 00 / 41-

/ 2aratani --1 -11 0 00 59 -/ 0 00 5- -.5 0 00 1 .4 0 00 8 18-

8 "er3ang 1-8 1-. 0 00 1. 10- 0 00 8 . 0 00 . 115 0 00 - //

9 !oyomerto 8- /8 0 00 -8 .41 0 00 -0 -44 0 00 15 9.8 0 00 4 -50

10 Pega3ingan 8/ 8. 0 00 -0 -.0 0 00 -. -4 0 00 10 588 0 00 5 -94

11 Pamengkang 105 100 0 00 .- .05 0 00 .4 .-4 0 00 14 / 0 00 1. 19

1- !onong /8 /5 0 00 -5 .-1 0 00 1/ -18 0 00 8 500 0 00 . 188

1. !erate 90 8 0 00 -. -5 0 00 1/ 189 0 00 10 55 0 00 10 55

14 !el&k !erate 45 4- 0 00 14 .11 0 00 14 .11 0 00 19 1900 0 00 11 1100

15 Margatani 149 14- 0 00 -/ 181 0 00 40 0 00 -00 0 00 0 00

7&mla6 18-. 1/40 0 00 511 -80 0 00 418 --9 0 00 1/ 48- 0 00 101 -//


10/493

Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

R$KP'!#L"' P" 'B# D' KB#P!$N "$RN

P#"K$"M" KRM!!#

B#LN 7#L' -015

N( D$"

""RN K' K 'D$!$K"' R$"!' B#M'L

(L$2 NK$" (L$2 M")


B" % B" % B" % B" % B" % B" % B" % B" %

1 Le+ak,ana 119 114 0

00 .9 .-8 0

00 40 .. 0

00 8 ... 0

00 -50- Pelam&nan 149 14- 0 00 50 .. 0 00 .5 -.5 0 00 -0 / 0 00 5 1/

. Margasana 111 10 0 00 50 450 0 00 .9 .51 0 00 14 . 0 00 11 500

4 Kramat,at& -01 19- 0 00 0 -99 0 00 40 199 0 00 11 -/5 0 00 8 -00

5 Peaten 1/- 14 0 00 4- -44 0 00 48 -/9 0 00 1/ 0 00 8 -.5

anayasa 8 8- 0 00 -9 ../ 0 00 -5 -91 0 00 1 941 0 00 / 41-

/ 2aratani --1 -11 0 00 59 -/ 0 00 5- -.5 0 00 1 .4 0 00 8 18-

8 "er3ang 1-8 1-. 0 00 1. 10- 0 00 8 . 0 00 . 115 0 00 - //

9 !oyomerto 8- /8 0 00 -8 .41 0 00 -0 -44 0 00 15 9.8 0 00 4 -50

10 Pega3ingan 8/ 8. 0 00 -0 -.0 0 00 -. -4 0 00 10 588 0 00 5 -94

11 Pamengkang 105 100 0 00 .- .05 0 00 .4 .-4 0 00 14 / 0 00 1. 19

1- !onong /8 /5 0 00 -5 .-1 0 00 1/ -18 0 00 8 500 0 00 . 188

1. !erate 90 8 0 00 -. -5 0 00 1/ 189 0 00 10 55 0 00 10 55

14 !el&k !erate 45 4- 0 00 14 .11 0 00 14 .11 0 00 19 1900 0 00 11 1100

15 Margatani 149 14- 0 00 -/ 181 0 00 40 0 00 -00 0 00 0 00

7&mla6 18-. 1/40 0 00 511 -80 0 00 418 --9 0 00 1/ 48- 0 00 101 -//


11/493

Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

R$KP'!#L"' P" 'B# D' KB#P!$N "$RN

P#"K$"M" KRM!!#

B#LN ; #"!#" -015

N( D$"

""RN K' K 'D$!$K"' R$"!' B#M'L

(L$2 NK$" (L$2 M")


B" % B" % B" % B" % B" % B" % B" % B" %

1 Le+ak,ana 119 114 0 00 .9 .-8 0 00 40 .. 0 00 8 ... 0 00 -50

- Pelam&nan 149 14- 0 00 50 .. 0 00 .5 -.5 0 00 -0 / 0 00 5 1/

. Margasana 111 10 0 00 50 450 0 00 .9 .51 0 00 14 . 0 00 11 500

4 Kramat,at& -01 19- 0 00 0 -99 0 00 40 199 0 00 11 -/5 0 00 8 -00

5 Peaten 1/- 14 0 00 4- -44 0 00 48 -/9 0 00 1/ 0 00 8 -.5

anayasa 8 8- 0 00 -9 ../ 0 00 -5 -91 0 00 1 941 0 00 / 41-

/ 2aratani --1 -11 0 00 59 -/ 0 00 5- -.5 0 00 1 .4 0 00 8 18-

8 "er3ang 1-8 1-. 0 00 1. 10- 0 00 8 . 0 00 . 115 0 00 - //

9 !oyomerto 8- /8 0 00 -8 .41 0 00 -0 -44 0 00 15 9.8 0 00 4 -50

10 Pega3ingan 8/ 8. 0 00 -0 -.0 0 00 -. -4 0 00 10 588 0 00 5 -94

11 Pamengkang 105 100 0 00 .- .05 0 00 .4 .-4 0 00 14 / 0 00 1. 19

1- !onong /8 /5 0 00 -5 .-1 0 00 1/ -18 0 00 8 500 0 00 . 188

1. !erate 90 8 0 00 -. -5 0 00 1/ 189 0 00 10 55 0 00 10 55

14 ! l k ! t 45 4- 0 0 0 14 .1 1 0 0 0 14 .1 1 0 0 0 19 190 0 0 0 0 11 110


12/493


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

R$KP'!#L"' P" 'B# D' KB#P!$N "$RN

P#"K$"M" KRM!!#

B#LN "$P!$MB$R -015

N( D$"

""RN K' K 'D$!$K"' R$"!' B#M'L

(L$2 NK$" (L$2 M")


B" % B" % B" % B" % B" % B" % B" % B" %

1 Le+ak,ana 119 114 0 00 .9 .-8 0 00 40 .. 0 00 8 ... 0 00 -50

- Pelam&nan 149 14- 0 00 50 .. 0 00 .5 -.5 0 00 -0 / 0 00 5 1/

. Margasana 111 10 0 00 50 450 0 00 .9 .51 0 00 14 . 0 00 11 500

4 Kramat,at& -01 19- 0 00 0 -99 0 00 40 199 0 00 11 -/5 0 00 8 -00

5 Peaten 1/- 14 0 00 4- -44 0 00 48 -/9 0 00 1/ 0 00 8 -.5

anayasa 8 8- 0 00 -9 ../ 0 00 -5 -91 0 00 1 941 0 00 / 41-

/ 2aratani --1 -11 0 00 59 -/ 0 00 5- -.5 0 00 1 .4 0 00 8 18-

8 "er3ang 1-8 1-. 0 00 1. 10- 0 00 8 . 0 00 . 115 0 00 - //

9 !oyomerto 8- /8 0 00 -8 .41 0 00 -0 -44 0 00 15 9.8 0 00 4 -50

10 Pega3ingan 8/ 8. 0 00 -0 -.0 0 00 -. -4 0 00 10 588 0 00 5 -94

11 Pamengkang 105 100 0 00 .- .05 0 00 .4 .-4 0 00 14 / 0 00 1. 19

1- !onong /8 /5 0 00 -5 .-1 0 00 1/ -18 0 00 8 500 0 00 . 188


13/493

7&mla6 18-. 1/40 0 00 511 -80 0 00 418 --9 0 00 1/ 48- 0 00 101 -//


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

R$KP'!#L"' P" 'B# D' KB#P!$N "$RN

P#"K$"M" KRM!!#

B#LN (K!(B$R -015

N( D$"

""RN K' K 'D$!$K"' R$"!' B#M'L

(L$2 NK$" (L$2 M")


B" % B" % B" % B" % B" % B" % B" % B" %

1 Le+ak,ana 119 114 0 00 .9 .-8 0 00 40 .. 0 00 8 ... 0 00 -50

- Pelam&nan 149 14- 0 00 50 .. 0 00 .5 -.5 0 00 -0 / 0 00 5 1/

. Margasana 111 10 0 00 50 450 0 00 .9 .51 0 00 14 . 0 00 11 500

4 Kramat,at& -01 19- 0 00 0 -99 0 00 40 199 0 00 11 -/5 0 00 8 -00

5 Peaten 1/- 14 0 00 4- -44 0 00 48 -/9 0 00 1/ 0 00 8 -.5

anayasa 8 8- 0 00 -9 ../ 0 00 -5 -91 0 00 1 941 0 00 / 41-

/ 2aratani --1 -11 0 00 59 -/ 0 00 5- -.5 0 00 1 .4 0 00 8 18-

8 "er3ang 1-8 1-. 0 00 1. 10- 0 00 8 . 0 00 . 115 0 00 - //

9 !oyomerto 8- /8 0 00 -8 .41 0 00 -0 -44 0 00 15 9.8 0 00 4 -50

10 Pega3ingan 8/ 8. 0 00 -0 -.0 0 00 -. -4 0 00 10 588 0 00 5 -94


14/493

14 !el&k !erate 45 4- 0 00 14 .11 0 00 14 .11 0 00 19 1900 0 00 11 1100

15 Margatani 149 14- 0 00 -/ 181 0 00 40 0 00 -00 0 00 0 00

7&mla6 18-. 1/40 0 00 511 -80 0 00 418 --9 0 00 1/ 48- 0 00 101 -//


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

R$KP'!#L"' P" 'B# D' KB#P!$N "$RN

P#"K$"M" KRM!!#

B#LN N(P$MB$R -015

N( D$"

""RN K' K 'D$!$K"' R$"!' B#M'L

(L$2 NK$" (L$2 M")


B" % B" % B" % B" % B" % B" % B" % B" %

1 Le+ak,ana 119 114 0 00 .9 .-8 0 00 40 .. 0 00 8 ... 0 00 -50

- Pelam&nan 149 14- 0 00 50 .. 0 00 .5 -.5 0 00 -0 / 0 00 5 1/

. Margasana 111 10 0 00 50 450 0 00 .9 .51 0 00 14 . 0 00 11 500

4 Kramat,at& -01 19- 0 00 0 -99 0 00 40 199 0 00 11 -/5 0 00 8 -00

5 Peaten 1/- 14 0 00 4- -44 0 00 48 -/9 0 00 1/ 0 00 8 -.5

anayasa 8 8- 0 00 -9 ../ 0 00 -5 -91 0 00 1 941 0 00 / 41-

/ 2aratani --1 -11 0 00 59 -/ 0 00 5- -.5 0 00 1 .4 0 00 8 18-

8 "er3ang 1-8 1-. 0 00 1. 10- 0 00 8 . 0 00 . 115 0 00 - //


15/493

1- !onong /8 /5 0 00 -5 .-1 0 00 1/ -18 0 00 8 500 0 00 . 188

1. !erate 90 8 0 00 -. -5 0 00 1/ 189 0 00 10 55 0 00 10 55

14 !el&k !erate 45 4- 0 00 14 .11 0 00 14 .11 0 00 19 1900 0 00 11 1100

15 Margatani 149 14- 0 00 -/ 181 0 00 40 0 00 -00 0 00 0 00

7&mla6 18-. 1/40 0 00 511 -80 0 00 418 --9 / 19 18. 501 0 00 101 -//


Dr $nik #tma,atiN'P 19//0404 -00/01 - 011

R$KP'!#L"' P" 'B# D' KB#P!$N "$RN

P#"K$"M" KRM!!#

B#LN D$"$MB$R -015

N( D$"

""RN K' K 'D$!$K"' R$"!' B#M'L

(L$2 NK$" (L$2 M")


B" % B" % B" % B" % B" % B" % B" % B" %

1 Le+ak,ana 119 114 0 00 .9 .-8 0 00 40 ..


16/493

10 Pega3ingan 8/ 8. 0 00 -0 -.0 0 00 -. -4


17/493

N'F" : KF

K#M BLN 'N' K#M

B" % B" % B" %

/ 1 2 91 - 91

10 /0 4 1.. 4 1..

/ 1 50 1 50

15 /8 8 -.5 8 -.5

10 1 2 59 - 59

5 1 8 5/1 8 5/1

11 5- 3 /0 . /0

5 41 1 5 1 5

// 4 .08 4 .08

8 9 4 --- 4 ---

8 80 0 00 0 00

. 40 1 /1 1 /1

5 58 2 118 - 118

. /1 0 00 0 00

1- 85 3 111 . 111

115 4. 1-/ 4. 1-/

-015

+

1 - 00-

P$NNNN K(MPL'K"'(B"!$!R'K:PK


18/493

N'F" : KF

K#M BLN 'N' K#M

B" % B" % B" %

14 1-. 4 18- -/.

-0 141 4 1.. 8 -/

15 14- 6 .00 / .50

-/ 141 3 88 11 .-4

19 11 1 -9 . 88

11 1.4 4 -8 1- 85/

-- 104 4 9. / 1.

8 5 1 5 - 111

11 141 1 // 5 .85

10 1-0 8 444 1- /

1. 1.0 1 . 1 .

/ 9. 2 14. . -14

10 11 5 -94 / 41-

5 119 3 4-9 . 4-9

.0 -11 2 /4 5 185

--- 1-8 49 145 9- -/1

-015

+

1 - 00-

P$NNNN K(MPL'K"'(B"!$!R' : PK


19/493

N'F" : KF

K#M BLN 'N' K#M

B" % B" % B" %

- --8 4 18- 10 455

.0 -11 9 .00 1/ 5/

-9 -/4 2 100 9 450

4. --4 6 1/ 1/ 500

-8 1/1 3 88 1/

15 18. 2 14. 14 1000

.4 11 6 140 1. .0-

1. 10 1 5 . 1/

18 -.1 1 // 4-18 -1/ 4 --- 1 889

-. -.0 2 /1 . 10/

11 14/ 1 /1 4 -8

19 --1 0 00 / 41-

9 -14 3 4-9 85/

4- -9 2 /4 / -59

.58 -0 4 1. 1.8 40/

-015

+

1 - 00-



20/493

N'F" : KF

K#M BLN 'N' K#M

B" % B" % B" %

.5 .0/ 3 1. 1. 591

44 .10 4 1.. -1 /00

4. 40 3 150 1- 00

0 .1. 5 14/ -- 4/

40 -44 1 -9 / -0

-0 -44 9 4. -. 14.

5- -4 5 11 18 419

19 154 0 00 . 1/

-- -8- 0 00 4-

- .1. 3 1/ 19 105

- -0 3 10/ -14

1 -1. 1 /1 5 .5/

- .0- 3 1/ 10 588

14 ... 1 14. / 1000

5- . 1 ./ 8 -9

495 -84 4- 1-4 180 5.1

-015



21/493

N'F" : KF

K#M BLN 'N' K#M

B" % B" % B" %

.5 .0/ 0 00 1. 591

44 .10 0 00 -1 /00

4. 40 0 00 1- 00

0 .1. 0 00 -- 4/

40 -44 0

00 / -0-0 -44 0 00 -. 14.

5- -4 0 00 18 419

19 154 0 00 . 1/

-- -8- 0 00 4-

- .1. 0 00 19 105

- -0 0 00 -14

1 -1. 0 00 5 .5/

- .0- 0 00 10 588

14 ... 0 00 / 1000

5- . 0 00 8 -9

495 -84 0 00 180 5.1

-015



22/493

1 - 00-

N'F" : KF

K#M BLN 'N' K#M

B" % B" % B" %

.5 .0/ 0 00 1. 591

44 .10 0 00 -1 /00

4. 40 0 00 1- 00

0 .1. 0 00 -- 4/

40 -44 0 00 / -0

-0 -44 0 00 -. 14.

5- -4 0 00 18 419

19 154 0 00 . 1/

-- -8- 0 00 4-

- .1. 0 00 19 105

- -0 0 00 -14

1 -1. 0 00 5 .5/

- .0- 0 00 10 588

14 ... 0 00 / 1000

5- . 0 00 8 -9

495 -84 0 00 180 5.1

-015



23/493

+

1 - 00-

N'F" : KF

K#M BLN 'N' K#M

B" % B" % B" %

.5 .0/ 0 00 1. 591

44 .10 0 00 -1 /00

4. 40 0 00 1- 00

0 .1. 0 00 -- 4/

40 -44 0 00 / -0

-0 -44 0 00 -. 14.

5- -4 0 00 18 419

19 154 0 00 . 1/

-- -8- 0 00 4-

- .1. 0 00 19 105

- -0 0 00 -14

1 -1. 0 00 5 .5/

- .0- 0 00 10 588

14 ... 0 00 / 1000

5- . 0 00 8 -9

495 -84 0 00 180 5.1



24/493

+

1 - 00-

N'F" : KF

K#M BLN 'N' K#M

B" % B" % B" %

.5 .0/ 0 00 1. 591

44 .10 0 00 -1 /00

4. 40 0 00 1- 00

0 .1. 0 00 -- 4/

40 -44 0 00 / -0

-0 -44 0 00 -. 14.

5- -4 0 00 18 419

19 154 0 00 . 1/

-- -8- 0 00 4-

- .1. 0 00 19 105

- -0 0 00 -14

1 -1. 0 00 5 .5/

- .0- 0 00 10 588

P$NNNN K(MPL'K"'

(B"!$!R' : PK


25/493

-015

+

1 - 00-

N'F" : KF

K#M BLN 'N' K#M

B" % B" % B" %

.5 .0/ 0 00 1. 591

44 .10 0 00 -1 /00

4. 40 0 00 1- 00

0 .1. 0 00 -- 4/

40 -44 0 00 / -0-0 -44 0 00 -. 14.

5- -4 0 00 18 419

19 154 0 00 . 1/

-- -8- 0 00 4-

- .1. 0 00 19 105

- -0 0 00 -14

1 -1. 0 00 5 .5/



26/493

495 -84 0 00 180 5.1

-015

+

1 - 00-

N'F" : KF

K#M BLN 'N' K#M

B" % B" % B" %

.5 .0/ 0 00 1. 591

44 .10 0 00 -1 /00

4. 40 0 00 1- 000 .1. 0 00 -- 4/

40 -44 0 00 / -0

-0 -44 0 00 -. 14.

5- -4 0 00 18 419

19 154 0 00 . 1/

-- -8- 0 00 4-

- .1. 0 00 19 105



27/493

14 ... 0 00 / 1000

5- . 0 00 8 -9

495 -84 0 00 180 5.1

(K!(B$R

+

1 - 00-

N'F" : KF

K#M BLN 'N' K#M

B" % B" % B" %.5 .0/ 0 00 1. 591

44 .10 0 00 -1 /00

4. 40 0 00 1- 00

0 .1. 0 00 -- 4/

40 -44 0 00 / -0

-0 -44 0 00 -. 14.

5- -4 0 00 18 419



28/493

1 -1. 0 00 5 .5/

- .0- 0 00 10 588

14 ... 0 00 / 1000

5- . 0 00 8 -9

495 -84 0 00 180 5.1

-015

+ 1 - 00-

N'F" : KF

K#M BLN 'N' K#MB" % B" % B" %

.5 .0/ 0 00 1. 591

44 .10 0 00 -1 /00

4. 40 0 00 1- 00

0 .1. 0 00 -- 4/

40 -44 0 00 / -0

-0 -44 0 00 -. 14.



29/493

- .1. 0 00 19 105

- -0 0 00 -14

1 -1. 0 00 5 .5/

- .0- 0 00 10 588

14 ... 0

00 / 10005- . 0 00 8 -9

495 -84 0 00 180 5.1

-015

+

1 - 00-


30/493

R$KP'!#L"' P" B)'P#"K$"M" KRM!!#

B#LN 7N#R' -015

N( D$"

""RN N1 N L$NKP

N$(N!#" B)'BLN 'N' K#M BLN 'N'

L P L*P L P L*P L P L*P L

L R'"K P R'"K L P B" % B" % B" % B" % B" % B" % B" % B" % B" % B"

1 Le+ak,ana 58 9 55 8 55 5. 6 10. 2 . 8 /1 10.45 - . 8 /08 5 8 2 . / - 5

- Pelam&nan /. 11 9 10 9 7 9 7 101 14 99 / 9589 / 10 14 98 7 9 5 /- 1- 85 /

. Margasana 55 8 5- 8 5- 49 4 /. 1 19 5 4/ 4 /-/-/ 1 19 5 4/ 6 11 0 0 5 4 Kramat,at& 99 15 94 14 94 89 6 1 8 85 14 /. 00 8 85 14 /-5 6 1 8 85 14 /.

5 Peaten 84 1. 80 1- 80 / 6 /1 4 50 10 1 /14-9 4 5 10 1 5 5 . 10 1 5

anayasa 4- 40 40 .8 3 /1 2 50 5 1 . /14-9 - 5 5 1 3 /1 2 5 5 1 .

/ 2aratani 108 1 10. 1 10. 98 7 5 6 58 1. - / 4815 58 1. 1 5 4 6 58 11 5- 5

8 "er3ang . 9 0 9 0 5/ 2 .- 3 50 5 41 - .1/4 . 5 5 40/ 2 .- 3 5 5 41 -

9 !oyomerto 40 .8 .8 . 4 100 5 1.- 9 115 4 10 5 1. 9 115 2 5 4 11 // -

10 Pega3ingan 4. 40 41 .8 5 11 2 50 / 84 5 11-8 - 5 / 84. 5 1- 2 5 / 84 5

11 Pamengkang 51 8 49 8 49 4/ 2 .9 2 41 4 40 - .9-1 - 41 4 4 2 .9 2 41 4 4 -

1- !onong .8 . 5 . .4 3 /9 2 5 5 8 . /894/ - 5 5 / 3 /9 2 5 5 8 .1. !erate 44 / 4- 4- 40 3 8 3 /1 /0 . 818- . /1 98 3 8 3 /1 / .

14 !el&k !erate -- . -0 . -1 -0 2 91 1 50 . /1 - 90909 1 5 . /14 3 14 1 5 4 95 .

15 Margatani /. 11 9 10 /0 4 55 4 58 8 5 4 54/95 4 58 8 5. 4 55 4 58 8 5

7&mla6 89. 1.4 84/ 1-/ 850 80/ 4 504 5- .0 11 / 4 50.94 5- 1 11 / 1 8 49 58 110 . 5/


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


31/493

R$KP'!#L"' P" B)'

P#"K$"M" KRM!!#

B#LN F$BR#R' -015

N( D$"

""RN N1 N L$NKP




1 Le+ak,ana 58 9 55 8 55 5. 3 5- 1 18 4 .5 9 1551/ . 55 1- 10 6 10 1 18 / - 11

- Pelam&nan /. 11 9 10 9 7 9 4 58 11 // 14 191/8 11 1 -5 1/ 6 8- 2 -9 8 5 1.

. Margasana 55 8 5- 8 5- 49 8 145 4 // 1- 11- 1- -1818 5 9 1/ 159 6 11 2 .8 8 /5 1-

4 Kramat,at& 99 15 94 14 94 89 7 /1 5 5. 1- - 1. 1.1.1 1. 14 - 1.5 7 /1 5 5. 1- - 1.

5 Peaten 84 1. 80 1- 80 / 12 14. 3 .8 15 91 18 -14-9 / 88 -5 15- 5 4 5 9 55 10

anayasa 4- 40 40 .8 2 48 2 50 4 49 5 11905 4 10 9 11 2 48 2 5 4 49 5

/ 2aratani 108 1 10. 1 10. 98 7 5 0 00 / .. 14 1-9. 58 -0 948 7 5 4 .9 11 5- 1-8 "er3ang . 9 0 9 0 5/ 1 1 3 50 4 .. . 4/19 10 9 /.- 1 1 2 .. . -4 .

9 !oyomerto 40 .8 .8 . 5 1-5 0 00 5 4 9 --5 5 1. 14 1/9 5 1. 0 0 5 4 /

10 Pega3ingan 4. 40 41 .8 4 9. 1 -5 5 0 9 -09. . /5 1- 145 4 9. 1 -5 5 9

11 Pamengkang 51 8 49 8 49 4/ 5 98 5 10- 10 100 / 1./-5 / 14 14 14 5 98 5 10 10 10 /

1- !onong .8 . 5 . .4 4 105 3 8. / 95 / 184-1 5 14 1- 1- 4 11 3 8. / 95 /

1. !erate 44 / 4- 4- 40 3 8 0 00 . .5 1.. . /1 9 105 3 8 5 1- 8 9.

14 !el&k !erate -- . -0 . -1 -0 2 91 1 50 . /1 4 1818- - 10 14. 0 0 3 15 . /1 .

15 Margatani /. 11 9 10 /0 1 14 4 58 5 .5 5 849. 8 1- 1. 915 1 14 4 58 5 .5 1

7&mla6 89. 1.4 84/ 1-/ 850 80/ /1 559 . -1 10/ 1 1.5 10. 88 10 --. 1-8 - 9 4. 51 105 119


Dr $nik #tma,ati

L*PR'"K


32/493

R$KP'!#L"' P" B)'

P#"K$"M" KRM!!#

B#LN MR$! -015

N( D$"

""RN N1 N L$NKP

N$(N!#" B)' BLN 'N' K#M BLN 'N'L P L*P L P L*P L P L*P L


1 Le+ak,ana 58 9 55 8 55 5. 5 8 7 1-/ 1- 10 14 -41.8 10 18 -4 -1- 5 8 7 1. 1- 11 1

- Pelam&nan /. 11 9 10 9 9 1-. 7 101 1 11. -. .150/ 18 - 41 -89 7 9 5 /- 1- 85 -0

. Margasana 55 8 5- 8 5- 49 5 91 6 115 11 10. 1/ .0909 11 -1 -8 -- 6 11 7 1. 1. 1- 184 Kramat,at& 99 15 94 14 94 89 10 101 6 4 1 8. -. -.-.- 19 -0 4- -18 10 10 6 4 1 8. -.

5 Peaten 84 1. 80 1- 80 / 3 . 5 . 8 49 -1 -5 1- 15 .. -01 4 48 5 . 9 55 14

anayasa 4- 40 40 .8 3 /1 3 /5 /. 8 19048 / 18 15 18. 2 48 2 5 4 49 /

/ 2aratani 108 1 10. 1 10. 98 5 4 7 8 1- 5/ 19 1/59. 1. 1. .- 15- 5 4 7 8 1- 5/ 1/

8 "er3ang . 9 0 9 0 5/ 3 48 2 .. 5 41 95-.8 8 1. 14 114 3 48 2 .. 5 41

9 !oyomerto 40 .8 .8 . 6 150 2 5. 8 10. 15 ./5 / 18 -- -8- 6 15 2 5. 8 10 1.

10 Pega3ingan 4. 40 41 .8 4 9. 4 100 8 9 1. .0-.. / 18 -0 -41 4 9. 4 10 8 9 1.

11 Pamengkang 51 8 49 8 49 4/ 0 00 4 8- 4 40 / 1./-5 11 -- 18 18 0 0 4 8- 4 4 /

1- !onong .8 . 5 . .4 3 /9 2 5 5 8 10 -.1 / 19 1/ -. 1 - 2 5 . 41 81. !erate 44 / 4- 4- 40 2 45 1 -4 . .5 8 1818- 4 95 1- 14 2 45 1 -4 . .5 8

14 !el&k !erate -- . -0 . -1 -0 5 --/ 0 00 5 119 9 40909 - 10 11 -- 6 -/ 0 0 14 9

15 Margatani /. 11 9 10 /0 4 55 3 4. / 49 9 1-.-9 11 1 -0 141 4 55 3 4. / 49 5

7&mla6 89. 1.4 84/ 1-/ 850 80/ / 5-8 59 .4 1- /- -0- 1590 14/ 1/ .49 -01 5 /. 5/ / 1-- / 184

K l P k k

L*PR'"K


33/493

R$KP'!#L"' P" B)'P#"K$"M" KRM!!#

B#LN PR'L -015

N( D$"

""RN N1 N L$NKP




1 Le+ak,ana 58 9 55 8 55 5. 6 10. 5 91 11 9/ -0 .448. 15 -/ .5 .1 5 8 4 /. 9 8 -1

- Pelam&nan /. 11 9 10 9 8 110 10 145 18 1-/ .1 4-4 -8 41 59 415 8 11 7 10 15 11 -8

. Margasana 55 8 5- 8 5- 49 9 14 3 58 1- 11- - 4/-/. 14 -/ 40 ./4 10 18 4 // 14 1. -8

4 Kramat,at& 99 15 94 14 94 89 10 101 8 85 18 9. .. ..... -/ -9 0 .11 10 10 8 85 18 9. ..

5 Peaten 84 1. 80 1- 80 / 6 /1 7 88 1. /9 -/ .-14. 19 -4 4 -8 7 8. 5 . 1- /. -1

anayasa 4- 40 40 .8 9 -14 2 50 11 1.4 1/ 404/ 9 -. - .1/ 5 1- 0 0 5 1 1-

/ 2aratani 108 1 10. 1 10. 98 13 1-0 5 49 18 85 .- -9. 18 1/ 50 -./ 13 1- 5 49 18 85 .0

8 "er3ang . 9 0 9 0 5/ 3 48 3 50 49 9 14-8 11 18 -0 1. 3 48 3 5 49 99 !oyomerto 40 .8 .8 . 1 -5 2 5. . .8 1 40 9 -4 -5 .-1 4 10 0 0 4 51 1/

10 Pega3ingan 4. 40 41 .8 5 11 3 /5 8 9 18 418 10 -5 -8 ../ 5 1- 3 /5 8 9 18

11 Pamengkang 51 8 49 8 49 4/ 2 .9 8 1. 10 100 9 1/4/ 19 .9 -8 -8 2 .9 6 1- 8 8 9

1- !onong .8 . 5 . .4 1 - 3 8. 4 54 11 -894/ 10 -8 -1 -84 1 - 3 8. 4 54 9

1. !erate 44 / 4- 4- 40 0 00 5 119 5 58 8 1818- 9 -1 1/ 198 4 91 3 /1 / 81 1-

14 !el&k !erate -- . -0 . -1 -0 4 18- 1 50 5 119 1. 59091 . 15 1 .81 5 -. 1 5 14 14

15 Margatani /. 11 9 10 /0 3 41 6 8/ 9 . 1- 14.8 1/ -5 -9 -04 3 41 6 8/ 9 . 8

89. 1.4 84/ 1-/ 850 80/

L*PR

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34/493

N'P 19//0404 -00/01 - 011

R$KP'!#L"' P" B)'

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B#LN M$' -014

N( D$"

""RN N1 N L$NKP




1 Le+ak,ana 58 9 55 8 55 5. 0 00 0 00 0 00 -0 .448. 15 -/ .5 .1 0 0 0 0 0 0 -1

- Pelam&nan /. 11 9 10 9 0 00 0 00 0 00 .1 4-4 -8 41 59 415 0 0 0 0 0 0 -8

. Margasana 55 8 5- 8 5- 49 0 00 0 00 0 00 - 4/-/. 14 -/ 40 ./4 0 0 0 0 0 0 -8

4 Kramat,at& 99 15 94 14 94 89 0 00 0 00 0 00 .. ..... -/ -9 0 .11 0 0 0 0 0 0 ..5 Peaten 84 1. 80 1- 80 / 0 00 0 00 0 00 -/ .-14. 19 -4 4 -8 0 0 0 0 0 0 -1

anayasa 4- 40 40 .8 0 00 0 00 0 00 1/ 404/ 9 -. - .1/ 0 0 0 0 0 0 1-

/ 2aratani 108 1 10. 1 10. 98 0 00 0 00 0 00 .- -9. 18 1/ 50 -./ 0 0 0 0 0 0 .0

8 "er3ang . 9 0 9 0 5/ 0 00 0 00 0 00 9 14-8 11 18 -0 1. 0 0 0 0 0 0 9

9 !oyomerto 40 .8 .8 . 0 00 0 00 0 00 1 40 9 -4 -5 .-1 0 0 0 0 0 0 1/

10 Pega3ingan 4. 40 41 .8 0 00 0 00 0 00 18 418 10 -5 -8 ../ 0 0 0 0 0 0 18

11 Pamengkang 51 8 49 8 49 4/ 0 00 0 00 0 00 9 1/4/ 19 .9 -8 -8 0 0 0 0 0 0 9

1- ! .8 . 5 . .4 0 0 0 0 0 0 0 0 0 11 -8 94/ 10 -8 -1 -8 4 0 0 0 0 0 0 9

L*PR'"K


35/493

Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

R$KP'!#L"' P" B)'

P#"K$"M" KRM!!#B#LN 7#N' -014

N( D$"

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1 Le+ak,ana 58 9 55 8 55 5. 0 00 0 00 0 00 -0 .448. 15 -/ .5 .1 0 0 0 0 0 0 -1

- Pelam&nan /. 11 9 10 9 0 00 0 00 0 00 .1 4-4 -8 41 59 415 0 0 0 0 0 0 -8

. Margasana 55 8 5- 8 5- 49 0 00 0 00 0 00 - 4/-/. 14 -/ 40 ./4 0 0 0 0 0 0 -8

4 Kramat,at& 99 15 94 14 94 89 0 00 0 00 0 00 .. ..... -/ -9 0 .11 0 0 0 0 0 0 ..

5 Peaten 84 1. 80 1- 80 / 0 00 0 00 0 00 -/ .-14. 19 -4 4 -8 0 0 0 0 0 0 -1

anayasa 4- 40 40 .8 0 00 0 00 0 00 1/ 404/ 9 -. - .1/ 0 0 0 0 0 0 1-

/ 2aratani 108 1 10. 1 10. 98 0 00 0 00 0 00 .- -9. 18 1/ 50 -./ 0 0 0 0 0 0 .0

. 9 0 9 0 5/

L*PR'"

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36/493


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

R$KP'!#L"' P" B)'

P#"K$"M" KRM!!#

B#LN 7#L' -014

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1 Le+ak,ana 58 9 55 8 55 5. 0 00 0 00 0 00 -0 .448. 15 -/ .5 .1 0 0 0 0 0 0 -1

- Pelam&nan /. 11 9 10 9 0 00 0 00 0 00 .1 4-4 -8 41 59 415 0 0 0 0 0 0 -8

. Margasana 55 8 5- 8 5- 49 0 00 0 00 0 00 - 4/-/. 14 -/ 40 ./4 0 0 0 0 0 0 -8

4 Kramat,at& 99 15 94 14 94 89 0 0 0 0 0 0 0 0 0 .. .. ... -/ -9 0 .1 1 0 0 0 0 0 0 ..

L

*PR'"K


37/493

1. !erate 44 / 4- 4- 40 0 00 0 00 0 00 8 1818- 9 -1 1/ 198 0 0 0 0 0 0 1-

14 !el&k !erate -- . -0 . -1 -0 0 00 0 00 0 00 1. 59091 . 15 1 .81 0 0 0 0 0 0 14

15 Margatani /. 11 9 10 /0 0 00 0 00 0 00 1- 14.8 1/ -5 -9 -04 0 0 0 0 0 0 8

7&mla6 89. 1.4 84/ 1-/ 850 80/ 0 00 0 00 0 00 -8- --- -18 - 500 -8/ 0 0 0 0 0 0 -9


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

R$KP'!#L"' P" B)'

P#"K$"M" KRM!!#

B#LN #"!#" -014

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L*PR'"K


38/493

9 !oyomerto 40 .8 .8 . 0 00 0 00 0 00 1 40 9 -4 -5 .-1 0 0 0 0 0 0 1/

10 Pega3ingan 4. 40 41 .8 0 00 0 00 0 00 18 418 10 -5 -8 ../ 0 0 0 0 0 0 18

11 Pamengkang 51 8 49 8 49 4/ 0 00 0 00 0 00 9 1/4/ 19 .9 -8 -8 0 0 0 0 0 0 9

1- !onong .8 . 5 . .4 0 00 0 00 0 00 11 -894/ 10 -8 -1 -84 0 0 0 0 0 0 9

1. !erate 44 / 4- 4- 40 0 00 0 00 0 00 8 1818- 9 -1 1/ 198 0 0 0 0 0 0 1-

14 !el&k !erate -- . -0 . -1 -0 0 00 0 00 0 00 1. 59091 . 15 1 .81 0 0 0 0 0 0 14

15 Margatani /. 11 9 10 /0 0 00 0 00 0 00 1- 14.8 1/ -5 -9 -04 0 0 0 0 0 0 8

7&mla6 89. 1.4 84/ 1-/ 850 80/ 0 00 0 00 0 00 -8- --- -18 - 500 -8/ 0 0 0 0 0 0 -9


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

R$KP'!#L"' P" B)'

P#"K$"M" KRM!!#

B#LN "$P!$MB$R -014

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39/493


40/493

1 Le+ak,ana 58 9 55 8 55 5. 0 00 0 00 0 00 -0 .448. 15 -/ .5 .1 0 0 0 0 0 0 -1

- Pelam&nan /. 11 9 10 9 0 00 0 00 0 00 .1 4-4 -8 41 59 415 0 0 0 0 0 0 -8

. Margasana 55 8 5- 8 5- 49 0 00 0 00 0 00 - 4/-/. 14 -/ 40 ./4 0 0 0 0 0 0 -8

4 Kramat,at& 99 15 94 14 94 89 0 00 0 00 0 00 .. ..... -/ -9 0 .11 0 0 0 0 0 0 ..

5 Peaten 84 1. 80 1- 80 / 0 00 0 00 0 00 -/ .-14. 19 -4 4 -8 0 0 0 0 0 0 -1

anayasa 4- 40 40 .8 0 00 0 00 0 00 1/ 404/ 9 -. - .1/ 0 0 0 0 0 0 1-

/ 2aratani 108 1 10. 1 10. 98 0 00 0 00 0 00 .- -9. 18 1/ 50 -./ 0 0 0 0 0 0 .0

8 "er3ang . 9 0 9 0 5/ 0 00 0 00 0 00 9 14-8 11 18 -0 1. 0 0 0 0 0 0 9

9 !oyomerto 40 .8 .8 . 0 00 0 00 0 00 1 40 9 -4 -5 .-1 0 0 0 0 0 0 1/

10 Pega3ingan 4. 40 41 .8 0 00 0 00 0 00 18 418 10 -5 -8 ../ 0 0 0 0 0 0 18

11 Pamengkang 51 8 49 8 49 4/ 0 00 0 00 0 00 9 1/4/ 19 .9 -8 -8 0 0 0 0 0 0 9

1- !onong .8 . 5 . .4 0 00 0 00 0 00 11 -894/ 10 -8 -1 -84 0 0 0 0 0 0 9

1. !erate 44 / 4- 4- 40 0 00 0 00 0 00 8 1818- 9 -1 1/ 198 0 0 0 0 0 0 1-

14 !el&k !erate -- . -0 . -1 -0 0 00 0 00 0 00 1. 59091 . 15 1 .81 0 0 0 0 0 0 14

15 Margatani /. 11 9 10 /0 0 00 0 00 0 00 1- 14.8 1/ -5 -9 -04 0 0 0 0 0 0 8

7&mla6 89. 1.4 84/ 1-/ 850 80/ 0 00 0 00 0 00 -8- --- -18 - 500 -8/ 0 0 0 0 0 0 -9


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


41/493

N( D$"


1 Le+ak,ana 58 9 55 8 55 5. 0 00 0 00 0 00 -0 .448. 15 -/ .5 .1 0 0 0 0 0 0 -1

- Pelam&nan /. 11 9 10 9 0 00 0 00 0 00 .1 4-4 -8 41 59 415 0 0 0 0 0 0 -8

. Margasana 55 8 5- 8 5- 49 0 00 0 00 0 00 - 4/-/. 14 -/ 40 ./4 0 0 0 0 0 0 -8

4 Kramat,at& 99 15 94 14 94 89 0 00 0 00 0 00 .. ..... -/ -9 0 .11 0 0 0 0 0 0 ..

5 Peaten 84 1. 80 1- 80 / 0 00 0 00 0 00 -/ .-14. 19 -4 4 -8 0 0 0 0 0 0 -1

anayasa 4- 40 40 .8 0 00 0 00 0 00 1/ 404/ 9 -. - .1/ 0 0 0 0 0 0 1-/ 2aratani 108 1 10. 1 10. 98 0 00 0 00 0 00 .- -9. 18 1/ 50 -./ 0 0 0 0 0 0 .0

8 "er3ang . 9 0 9 0 5/ 0 00 0 00 0 00 9 14-8 11 18 -0 1. 0 0 0 0 0 0 9

9 !oyomerto 40 .8 .8 . 0 00 0 00 0 00 1 40 9 -4 -5 .-1 0 0 0 0 0 0 1/

10 Pega3ingan 4. 40 41 .8 0 00 0 00 0 00 18 418 10 -5 -8 ../ 0 0 0 0 0 0 18

11 Pamengkang 51 8 49 8 49 4/ 0 00 0 00 0 00 9 1/4/ 19 .9 -8 -8 0 0 0 0 0 0 9

1- !onong .8 . 5 . .4 0 00 0 00 0 00 11 -894/ 10 -8 -1 -84 0 0 0 0 0 0 9

1. !erate 44 / 4- 4- 40 0 00 0 00 0 00 8 1818- 9 -1 1/ 198 0 0 0 0 0 0 1-

14 !el&k !erate -- . -0 . -1 -0 0 00 0 00 0 00 1. 59091 . 15 1 .81 0 0 0 0 0 0 14

15 Margatani /. 11 9 10 /0 0

00 0

00 0 00 1- 14.8 1/ -5 -9 -04 0

0 0

0 0 0 87&mla6 89. 1.4 84/ 1-/ 850 80/ 0 00 0 00 0 00 -8- --- -18 - 500 -8/ 0 0 0 0 0 0 -9


Dr $nik #tma,atiN'P 19//0404 -00/01 - 011

L*

PR'"K


42/493

B#LN D$"$MB$R -014

N( D$"

""RN N1 N L$NKP




1 Le+ak,ana 58 9 55 8 55 5. 0 00 0 00 0 00 -0 .448. 15 -/ .5 .1 0 0 0 0 0 0 -1

- Pelam&nan /. 11 9 10 9 0 00 0 00 0 00 .1 4-4 -8 41 59 415 0 0 0 0 0 0 -8. Margasana 55 8 5- 8 5- 49 0 00 0 00 0 00 - 4/-/. 14 -/ 40 ./4 0 0 0 0 0 0 -8

4 Kramat,at& 99 15 94 14 94 89 0 00 0 00 0 00 .. ..... -/ -9 0 .11 0 0 0 0 0 0 ..

5 Peaten 84 1. 80 1- 80 / 0 00 0 00 0 00 -/ .-14. 19 -4 4 -8 0 0 0 0 0 0 -1

anayasa 4- 40 40 .8 0 00 0 00 0 00 1/ 404/ 9 -. - .1/ 0 0 0 0 0 0 1-

/ 2aratani 108 1 10. 1 10. 98 0 00 0 00 0 00 .- -9. 18 1/ 50 -./ 0 0 0 0 0 0 .0

8 "er3ang . 9 0 9 0 5/ 0 00 0 00 0 00 9 14-8 11 18 -0 1. 0 0 0 0 0 0 9

9 !oyomerto 40 .8 .8 . 0 00 0 00 0 00 1 40 9 -4 -5 .-1 0 0 0 0 0 0 1/

10 Pega3ingan 4. 40 41 .8 0 00 0 00 0 00 18 418 10 -5 -8 ../ 0 0 0 0 0 0 18

11 Pamengkang 51 8 49 8 49 4/ 0 00 0 00 0 00 9 1/4/ 19 .9 -8 -8 0 0 0 0 0 0 91- !onong .8 . 5 . .4 0 00 0 00 0 00 11 -894/ 10 -8 -1 -84 0 0 0 0 0 0 9

1. !erate 44 / 4- 4- 40 0 00 0 00 0 00 8 1818- 9 -1 1/ 198 0 0 0 0 0 0 1-

14 !el&k !erate -- . -0 . -1 -0 0 00 0 00 0 00 1. 59091 . 15 1 .81 0 0 0 0 0 0 14

15 Margatani /. 11 9 10 /0 0 00 0 00 0 00 1- 14.8 1/ -5 -9 -04 0 0 0 0 0 0 8

7&mla6 89. 1.4 84/ 1-/ 850 80/ 0 00 0 00 0 00 -8- --- -18 - 500 -8/ 0 0 0 0 0 0 -9


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

L*PR'"K


43/493

B#LN 7N#R' -014

B)' L$NKP

N( D$"

""RN BL'!BLN 'N' K#M BLN 'N'

P L*P L PL P L*P

L P

B" % B" % B" % B" % B" % B" % B"

3 5/ 5 004 - .. . 5/ 1 Le+ak,ana .-1 .04 -5 0 00 0 00 00

3 45 8 0059 5 /-4 . 45 - Pelam&nan 400 .80 /80 0 00 0 00 00

2 41 / 009 5 915 - 41 . Margasana .00 -85 585 0 00 0 00 009 10 19 0104 10 104 9 101 4 Kramat,at& 54- 515 105/ 0 00 0 00 00

15 -0 -5 01 10 1-5 15 19/ 5 Peaten 4- 440 90- 0 00 0 00 00

3 /9 5 004 - 5 . /9 anayasa -.1 -19 450 0 00 0 00 00

10 10 -1 0104 11 108 10 10- / 2aratani 594 5 110 0 00 0 00 00

3 5. 8 008 5 8... . 5. 8 "er3ang .45 .-8 /. 0 00 0 00 00

3 8. 5 008 - 5-. . 8. 9 !oyomerto --0 -08 4-8 0 00 0 00 00

1 - - 00-5 1 -4.9 1 - 10 Pega3ingan -.5 --- 45/ 0 00 0 00 00

2 4. 5 005- . 1-- - 4. 11 Pamengkang -8. -9 55- 0 00 0 00 00

3 88 10 014. / 1944 . 88 1- !onong -09 198 40/ 0 00 0 00 001 -5 / 0085 14-9 1 -5 1. !erate -4- --9 4/1 0 00 0 00 00

4 -0 / 01/1 . 14-9 4 -00 14 !el&k !erate 119 11. -.- 0 00 0 00 00

2 . 1. 009 11 15/1 - .0 15 Margatani 401 .8- /8. 0 00 0 00 00

4 /9 14/ 0089 8. 5.5 4 /9 7&mla6 4904 458 95- 0 00 0 00 00


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


44/493

B#LN F$BR#R' -014

B)' L$NKP

N( D$"


P L*P L P

L P L*P

L P

B" % B" % B" % B" % B" % B" % B"

3 5/ 005 5 9091 11. 1 Le+ak,ana .-1 .04 -5 0 00 0 00 00

3 45 1- 0089 14 -0-9 91 - Pelam&nan 400 .80 /80 0 00 0 00 00

4 8- 8 00/9 9 1/.1 1-- . Margasana .00 -85 585 0 00 0 00 00

10 11 18 0098 18 1915 19 -1. 4 Kramat,at& 54- 515 105/ 0 00 0 00 00

10 1. -- 0141 -- -/5 -5 .-9 5 Peaten 4- 440 90- 0 00 0 00 00

1 - - 00- . /5 4 105 anayasa -.1 -19 450 0 00 0 00 00

7 /1 1. 005 1/ 15 1/ 1/. / 2aratani 594 5 110 0 00 0 00 00

4 / / 00 8 1... / 1-. 8 "er3ang .45 .-8 /. 0 00 0 00 00

3 8. 0081 5 1.1 1/ 9 !oyomerto --0 -08 4-8 0 00 0 00 00

1 - . 00.8 . /.1/ - 5. 10 Pega3ingan -.5 --- 45/ 0 00 0 00 00

3 4 00. 1--4 5 10 11 Pamengkang -8. -9 55- 0 00 0 00 00

1 -9 5 00/1 11 .05 4 118 1- !onong -09 198 40/ 0 00 0 00 00

1 -5 5 001 10 -.81 - 50 1. !erate -4- --9 4/1 0 00 0 00 00

4 -0 4 0098 . 14-9 8 400 14 !el&k !erate 119 11. -.- 0 00 0 00 00

10 15 -. 019 -4 .4-9 1- 18- 15 Margatani 401 .8- /8. 0 00 0 00 00

5 81 140 0084 158 1-4 1-9 10 7&mla6 4904 458 95- 0 00 0 00 00



45/493

B#LN MR$! -014

B)' L$NKP

N( D$"

""RN BL'!

BLN 'N' K#M BLN 'N'P L*P L P

L P L*P

L P

B" % B" % B" % B" % B" % B" % B"

3 5/ 9 008. 11 -0 9 1/0 1 Le+ak,ana .-1 .04 -5 0 00 0 00 00

4 1 1. 009 -. .... 10 15- - Pelam&nan 400 .80 /80 0 00 0 00 00

1 - 5 005 1. -5 / 14. . Margasana .00 -85 585 0 00 0 00 00

7 /9 1 008/ -/ -8/- - -9- 4 Kramat,at& 54- 515 105/ 0 00 0 00 00

12 1 .1 0199 41 51-5 ./ 48/ 5 Peaten 4- 440 90- 0 00 0 00 00

6 1 1. 01/ 10 -5 10 -. anayasa -.1 -19 450 0 00 0 00 00

8 8- 14 00/ -. --.. -5 -55 / 2aratani 594 5 110 0 00 0 00 00

4 / / 00 11 18.. 11 19. 8 "er3ang .45 .-8 /. 0 00 0 00 00

6 1/ 10 01.5 9 -.8 1- ... 9 !oyomerto --0 -08 4-8 0 00 0 00 00

4 11 5 00. 4 9/5 158 10 Pega3ingan -.5 --- 45/ 0 00 0 00 00

3 4 5 005- 8 1.. 8 1/0 11 Pamengkang -8. -9 55- 0 00 0 00 00

1 -9 - 00-9 1- .... 5 14/ 1- !onong -09 198 40/ 0 00 0 00 00

5 1. / 0085 1- -85/ / 1/5 1. !erate -4- --9 4/1 0 00 0 00 00

4 -0 4 0098 . 14-9 1- 0 14 !el&k !erate 119 11. -.- 0 00 0 00 00

7 11 1- 0088 -9 414. 19 -88 15 Margatani 401 .8- /8. 0 00 0 00 00

/5 9. 15. 009- -. 18 -04 -5. 7&mla6 4904 458 95- 0 00 0 00 00



46/493

B#LN PR'L -014

B)' L$NKP

N( D$"


P L*P L P

L P L*P

L P

B" % B" % B" % B" % B" % B" % B"

1 19 5 4. 15 -/-/ 10 19 1 Le+ak,ana .-1 .04 -5 0 00 0 00 00

2 . - 1481 -. .... 1- 18 - Pelam&nan 400 .80 /80 0 00 0 00 00

4 8- 11 1089 -0 .84 11 -- . Margasana .00 -85 585 0 00 0 00 00

10 11 -1 1148 .8 404. . 40 4 Kramat,at& 54- 515 105/ 0 00 0 00 00

10 1. -1 1.4 5- 5 4/ - 5 Peaten 4- 440 90- 0 00 0 00 00

3 /9 /9- 1. .-5 1. .4 anayasa -.1 -19 450 0 00 0 00 00

12 1- .0 149. 41 .981 ./ .8 / 2aratani 594 5 110 0 00 0 00 00

4 / / 598. 14 -... 15 - 8 "er3ang .45 .-8 /. 0 00 0 00 00

6 1/ 9 1-1 1- .158 18 50 9 !oyomerto --0 -08 4-8 0 00 0 00 00

2 5. . ./9/ 5 1-- 8 -1 10 Pega3ingan -.5 --- 45/ 0 00 0 00 00

3 4 -5 11 --45 11 -. 11 Pamengkang -8. -9 55- 0 00 0 00 00

5 15 8 114. 15 41/ 10 -9 1- !onong -09 198 40/ 0 00 0 00 00

5 1. 10 1-- 1/ 4048 1- .0 1. !erate -4- --9 4/1 0 00 0 00 00

1 5 14. 8 .81 1. 5 14 !el&k !erate 119 11. -.- 0 00 0 00 00

1 15 4 -941 .- 45/1 -0 .0 15 Margatani 401 .8- /8. 0 00 0 00 00


47/493

N'P 19//0404 -00/01 - 011

B#LN M$' -014

B)' L$NKP

N( D$"


P L*P L P

L P L*P

L P

B" % B" % B" % B" % B" % B" % B"

0 0 0 0 15 -/-/ 10 19 1 Le+ak,ana .-1 .04 -5 0 00 0 00 00

0 0 0 0 -. .... 1- 18 - Pelam&nan 400 .80 /80 0 00 0 00 00

0 0 0 0 -0 .84 11 -- . Margasana .00 -85 585 0 00 0 00 00

0 0 0 0 .8 404. . 40 4 Kramat,at& 54- 515 105/ 0 00 0 00 00

0 0 0 0 5- 5 4/ - 5 Peaten 4- 440 90- 0 00 0 00 00

0 0 0 0 1. .-5 1. .4 anayasa -.1 -19 450 0 00 0 00 00

0 0 0 0 41 .981 ./ .8 / 2aratani 594 5 110 0 00 0 00 00

0 0 0 0 14 -... 15 - 8 "er3ang .45 .-8 /. 0 00 0 00 00

0 0 0 0 1- .158 18 50 9 !oyomerto --0 -08 4-8 0 00 0 00 00

0 0 0 0 5 1-- 8 -1 10 Pega3ingan -.5 --- 45/ 0 00 0 00 00

0 0 0 0 11 --45 11 -. 11 Pamengkang -8. -9 55- 0 00 0 00 00


48/493

Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

B#LN 7#N' -014

B)' L$NKP

N( D$"


P L*P L P

L P L*P

L P

B" % B" % B" % B" % B" % B" % B"

0 0 0 0 15 -/-/ 10 19 1 Le+ak,ana .-1 .04 -5 0 00 0 00 00

0 0 0 0 -. .... 1- 18 - Pelam&nan 400 .80 /80 0 00 0 00 00

0 0 0 0 -0 .84 11 -- . Margasana .00 -85 585 0 00 0 00 00

0 0 0 0 .8 404. . 40 4 Kramat,at& 54- 515 105/ 0 00 0 00 00

0 0 0 0 5- 5 4/ - 5 Peaten 4- 440 90- 0 00 0 00 00

0 0 0 0 1. .-5 1. .4 anayasa -.1 -19 450 0 00 0 00 00

0 0 0 0 41 .981 ./ .8 / 2aratani 594 5 110 0 00 0 00 00


49/493


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

B#LN 7#L' -014

B)' L$NKP

N( D$"


P L*P L P

L P L*P

L P L

B" % B" % B" % B" % B" % B" % B"

0 0 0 0 15 -/-/ 10 19 1 Le+ak,ana .-1 .04 -5 0 00 0 00 00

0 0 0 0 -. .... 1- 18 - Pelam&nan 400 .80 /80 0 00 0 00 00

0 0 0 0 -0 .84 11 -- . Margasana .00 -85 585 0 00 0 00 00


50/493

0 0 0 0 1/ 4048 1- .0 1. !erate -4- --9 4/1 0 00 0 00 00

0 0 0 0 8 .81 1. 5 14 !el&k !erate 119 11. -.- 0 00 0 00 00

0 0 0 0 .- 45/1 -0 .0 15 Margatani 401 .8- /8. 0 00 0 00 00

0 0 0 0 .1 -49 -/. ..8 7&mla6 4904 458 95- 0 00 0 00 00


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

B#LN #"!#" -014B)' L$NKP

N( D$"


P L*P L P

L P L*P

L P L

B" % B" % B" % B" % B" % B" % B"


51/493

0 0 0 0 1- .158 18 50 9 !oyomerto --0 -08 4-8 0 00 0 00 00

0 0 0 0 5 1-- 8 -1 10 Pega3ingan -.5 --- 45/ 0 00 0 00 00

0 0 0 0 11 --45 11 -. 11 Pamengkang -8. -9 55- 0 00 0 00 00

0 0 0 0 15 41/ 10 -9 1- !onong -09 198 40/ 0 00 0 00 00

0 0 0 0 1/ 4048 1- .0 1. !erate -4- --9 4/1 0 00 0 00 00

0 0 0 0 8 .81 1. 5 14 !el&k !erate 119 11. -.- 0 00 0 00 00

0 0 0 0 .- 45/1 -0 .0 15 Margatani 401 .8- /8. 0 00 0 00 00

0 0 0 0 .1 -49 -/. ..8 7&mla6 4904 458 95- 0 00 0 00 00


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

B#LN "$P!$MB$R -014

B)' L$NKP""RN BL'!

BLN 'N' K#M BLN 'N'

P L*P L P L P L


52/493

0 0 0 0 5- 5 4/ - 5 Peaten 4- 440 90- 0 00 0 00 00

0 0 0 0 1. .-5 1. .4 anayasa -.1 -19 450 0 00 0 00 00

0 0 0 0 41 .981 ./ .8 / 2aratani 594 5 110 0 00 0 00 00

0 0 0 0 14 -... 15 - 8 "er3ang .45 .-8 /. 0 00 0 00 00

0 0 0 0 1- .158 18 50 9 !oyomerto --0 -08 4-8 0 00 0 00 00

0 0 0 0 5 1-- 8 -1 10 Pega3ingan -.5 --- 45/ 0 00 0 00 00

0 0 0 0 11 --45 11 -. 11 Pamengkang -8. -9 55- 0 00 0 00 00

0 0 0 0 15 41/ 10 -9 1- !onong -09 198 40/ 0 00 0 00 00

0 0 0 0 1/ 4048 1- .0 1. !erate -4- --9 4/1 0 00 0 00 00

0 0 0 0 8 .81 1. 5 14 !el&k !erate 119 11. -.- 0 00 0 00 00

0 0 0 0 .- 45/1 -0 .0 15 Margatani 401 .8- /8. 0 00 0 00 00

0 0 0 0 .1 -49 -/. ..8 7&mla6 4904 458 95- 0 00 0 00 00


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

B#LN (K!(B$R -014


53/493

0 0 0 0 15 -/-/ 10 19 1 Le+ak,ana .-1 .04 -5 0 00 0 00 00

0 0 0 0 -. .... 1- 18 - Pelam&nan 400 .80 /80 0 00 0 00 00

0 0 0 0 -0 .84 11 -- . Margasana .00 -85 585 0 00 0 00 00

0 0 0 0 .8 404. . 40 4 Kramat,at& 54- 515 105/ 0 00 0 00 00

0 0 0 0 5- 5 4/ - 5 Peaten 4- 440 90- 0 00 0 00 00

0 0 0 0 1. .-5 1. .4 anayasa -.1 -19 450 0 00 0 00 00

0 0 0 0 41 .981 ./ .8 / 2aratani 594 5 110 0 00 0 00 00

0 0 0 0 14 -... 15 - 8 "er3ang .45 .-8 /. 0 00 0 00 00

0 0 0 0 1- .158 18 50 9 !oyomerto --0 -08 4-8 0 00 0 00 00

0 0 0 0 5 1-- 8 -1 10 Pega3ingan -.5 --- 45/ 0 00 0 00 00

0 0 0 0 11 --45 11 -. 11 Pamengkang -8. -9 55- 0 00 0 00 00

0 0 0 0 15 41/ 10 -9 1- !onong -09 198 40/ 0 00 0 00 00

0 0 0 0 1/ 4048 1- .0 1. !erate -4- --9 4/1 0 00 0 00 00

0 0 0 0 8 .81 1. 5 14 !el&k !erate 119 11. -.- 0 00 0 00 00

0 0 0 0 .- 45/1 -0 .0 15 Margatani 401 .8- /8. 0 00 0 00 00

0 0 0 0 .1 -49 -/. ..8 7&mla6 4904 458 95- 0 00 0 00 00


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


54/493

B" % B" % B" % B" %

N( D$"

L P L*PB" % B" % B"

0 0 0 0 15 -/-/ 10 19 1 Le+ak,ana .-1 .04 -5 0 00 0 00 00

0 0 0 0 -. .... 1- 18 - Pelam&nan 400 .80 /80 0 00 0 00 00

0 0 0 0 -0 .84 11 -- . Margasana .00 -85 585 0 00 0 00 00

0 0 0 0 .8 404. . 40 4 Kramat,at& 54- 515 105/ 0 00 0 00 00

0 0 0 0 5- 5 4/ - 5 Peaten 4- 440 90- 0 00 0 00 00

0 0 0 0 1. .-5 1. .4 anayasa -.1 -19 450 0 00 0 00 000 0 0 0 41 .981 ./ .8 / 2aratani 594 5 110 0 00 0 00 00

0 0 0 0 14 -... 15 - 8 "er3ang .45 .-8 /. 0 00 0 00 00

0 0 0 0 1- .158 18 50 9 !oyomerto --0 -08 4-8 0 00 0 00 00

0 0 0 0 5 1-- 8 -1 10 Pega3ingan -.5 --- 45/ 0 00 0 00 00

0 0 0 0 11 --45 11 -. 11 Pamengkang -8. -9 55- 0 00 0 00 00

0 0 0 0 15 41/ 10 -9 1- !onong -09 198 40/ 0 00 0 00 00

0 0 0 0 1/ 4048 1- .0 1. !erate -4- --9 4/1 0 00 0 00 00

0 0 0 0 8 .81 1. 5 14 !el&k !erate 119 11. -.- 0 00 0 00 00

0 0 0 0 .- 45/1 -0 .0 15 Margatani 401 .8- /8. 0 00 0 00 000 0 0 0 .1 -49 -/. .4 7&mla6 4904 458 95- 0 00 0 00 00


Dr $nik #tma,atiN'P 19//0404 -00/01 - 011


55/493

B#LN D$"$MB$R -014

B)' L$NKP

N( D$"


P L*P L P

L P L*P

L P

B" % B" % B" % B" % B" % B" % B"

0 0 0 0 15 -/-/ 10 19 1 Le+ak,ana .-1 .04 -5 0 00 0 00 00

0 0 0 0 -. .... 1- 18 - Pelam&nan 400 .80 /80 0 00 0 00 000 0 0 0 -0 .84 11 -- . Margasana .00 -85 585 0 00 0 00 00

0 0 0 0 .8 404. . 40 4 Kramat,at& 54- 515 105/ 0 00 0 00 00

0 0 0 0 5- 5 4/ - 5 Peaten 4- 440 90- 0 00 0 00 00

0 0 0 0 1. .-5 1. .4 anayasa -.1 -19 450 0 00 0 00 00

0 0 0 0 41 .981 ./ .8 / 2aratani 594 5 110 0 00 0 00 00

0 0 0 0 14 -... 15 - 8 "er3ang .45 .-8 /. 0 00 0 00 00

0 0 0 0 1- .158 18 50 9 !oyomerto --0 -08 4-8 0 00 0 00 00

0 0 0 0 5 1-- 8 -1 10 Pega3ingan -.5 --- 45/ 0 00 0 00 00

0 0 0 0 11 --45 11 -. 11 Pamengkang -8. -9 55- 0 00 0 00 000 0 0 0 15 41/ 10 -9 1- !onong -09 198 40/ 0 00 0 00 00

0 0 0 0 1/ 4048 1- .0 1. !erate -4- --9 4/1 0 00 0 00 00

0 0 0 0 8 .81 1. 5 14 !el&k !erate 119 11. -.- 0 00 0 00 00

0 0 0 0 .- 45/1 -0 .0 15 Margatani 401 .8- /8. 0 00 0 00 00

0 0 0 0 .1 -49 -/. ..8 7&mla6 4904 458 95- 0 00 0 00 00


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


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69/493

LP(RN B#LNN K$"$2!N 'B# B)' DN BL'!

P#"K$"M" KRM!!#

B#LN ; 7N#R' -015

N( 7$N'" P$L)NN K'

1 7&mla6 Pelayanan N= B&mil ,ilaya6 P&skesmas sel&r&6nya

- 7&mla6 Pelayanan N= B&mil +ar& K1 M&rni

. 7&mla6 Pelayanan N= B&mil +ar& K1 ti3ak M&rni

4 7&mla6 Pelayanan N= B&mil lama

5 7&mla6 Pelayanan N= B&mil K4

7&mla6 B&mil 3engan P4K >Bar&?

/ 7&mla6 B&mil 3engan +&k& K' >Bar&?

8 7&mla6 Komplikasi (+stetrik sel&r&6nya >B&mil B&lin 3an B&@as?

a 7&mla6 Resti:Komplikasi B&mil

Deteksi Resti B&mil ole6 Nakes

Deteksi Resti B&mil ole6 Masyarakat

+ 7&mla6 Resti:Komplikasi B&lin

A 7&mla6 Resti:Komplikasi B&@as

9 7&mla6 Komplikasi (+stetrik yang 3itangani sen3iri >B&mil B&lin 3an B&@as?10 7&mla6 Komplikasi (+stetrik yang 3ir&&k >B&mil B&lin 3an B&@as?

11 7&mla6 B&mil 3engan anemi >3iperiksa 2B?

1- 7&mla6 pelayanan a+ort&s >ke6amilan -0 mingg&? sel&r&6nya

1. 7&mla6 pelayanan '+& +ersalin sel&r&6nya

a 7&mla6 pelayanan '+& +ersalin +er3asarkan tempat

C Di r&ma6

C Di sarana Kese6atan >PKM Polin3es Poskes3es?C "arana Kese6atan ",asta

C Di R" : R" '

+ 7&mla6 pelayanan i+& +ersalin +er3asarkan penolong

C !enaga Kese6atan >m&rni?

C D&k&n

C Nakes kemitraan 3engan 3&k&n


70/493

a 7&mla6 +ayi la6ir 6i3&p

+ 7&mla6 +ayi la6ir mati

1/ 7&mla6 +ayi la6ir 6i3&p 3engan BBLR sel&r&6nya

a BBLR yang 3itangani

+ BBLR yang 3ir&&k ke R"

18 7&mla6 Pelayanan Neonat&s "el&r&6nya

a 7&mla6 KN1 >C48 am?

+ 7&mla6 KN- >.C/ 6ari

A 7&mla6 KN. >8C-8 6ari?

19 7&mla6 neonatal 3engan komplikasi sel&r&6nya

a 7&mla6 neonatal 3engan komplikasi yang 3itangani 3i 3esa ata& 3i PKM

+ 7&mla6 neonatal 3engan komplikasi yang 3ir&&k

-0 7&mla6 Pelayanan Bayi "el&r&6nya

a B- >-9 6r C - +ln?

+ B4 >. C 5 +ln?

A B8 > C 8 +ln?

3 Bayi Lengkap >9 C 11 +ln?

-1 7&mla6 Pelayanan Balita sel&r&6nya

a 7&mla6 k&n&ngan Balita +ar&+ 7&mla6 k&n&ngan Balita lengkap

Mengeta6&i Kepala P&skesmas

Dr $nik #tma,atiN'P 19//0404 -00/01 - 011


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9 7&mla6 Komplikasi (+stetrik yang 3itangani sen3iri >B&mil B&lin 3an B&@as?

10 7&mla6 Komplikasi (+stetrik yang 3ir&&k >B&mil B&lin 3an B&@as?





C Di r&ma6

C Di sarana Kese6atan >PKM Polin3es Poskes3es?

C "arana Kese6atan ",asta

C Di R" : R" '

+ 7&mla6 pelayanan i+& +ersalin +er3asarkan penolongC !enaga Kese6atan >m&rni?

C D&k&n


A 7&mla6 pelayanan '+& +ersalin +er3asarkan enis persalinan

C "pontan : normal

C 3engan tin3akan

3 7&mla6 pelayanan '+& +ersalin 3engan 'MD >'nisiasi Meny&s&i Dini?14 7&mla6 pelayan '+& Ni@as sel&r&6nya

a K&n&ngan ni@as 1 > am C . 6ari?

+ K&n&ngan ni@as - >8 C 14 6ari?

A K&n&ngan ni@as . : KF lengkap >. C 4- 6ari?

15 7&mla6 k&n&ngan B&teki sel&r&6nya

a B&teki +ar&


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a B- >-9 6r C - +ln?

+ B4 >. C 5 +ln?

A B8 > C 8 +ln?



a 7&mla6 k&n&ngan Balita +ar&

+ 7&mla6 k&n&ngan Balita lengkap


Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011

LP(RN B#LNN K$"$2!N 'B# B)' DN BL'!P#"K$"M" KRM!!#

B#LN ; MR$! -015

N( 7$N'" P$L)NN K'




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C Di r&ma6



C Di R" : R" '



C D&k&n



C "pontan : normal

C 3engan tin3akan

3 7&mla6 pelayanan '+& +ersalin 3engan 'MD >'nisiasi Meny&s&i Dini?

14 7&mla6 pelayan '+& Ni@as sel&r&6nya


+ K&n&ngan ni@as - >8 C 14 6ari?A K&n&ngan ni@as . : KF lengkap >. C 4- 6ari?


a B&teki +ar&

+ B&teki lama

1 7&mla6 +ayi la6ir sel&r&6nya

a 7&mla6 +ayi la6ir 6i3&p+ 7&mla6 +ayi la6ir mati







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Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


P#"K$"M" KRM!!#

B#LN ; PR'L -015

N( 7$N'" P$L)NN K'






7&mla6 B&mil 3engan P4K >Bar&?/ 7&mla6 B&mil 3engan +&k& K' >Bar&?







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C D&k&n



C "pontan : normal

C 3engan tin3akan







a B&teki +ar&+ B&teki lama





a BBLR yang 3itangani+ BBLR yang 3ir&&k ke R"






a 7&mla6 neonatal 3engan komplikasi yang 3itangani 3i 3esa ata& 3i PKM+ 7&mla6 neonatal 3engan komplikasi yang 3ir&&k


a B- >-9 6r C - +ln?

+ B4 >. C 5 +ln?

A B8 > C 8 +ln?



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P#"K$"M" KRM!!#

B#LN ; M$' -014

N( 7$N'" P$L)NN K'









a 7&mla6 Resti:Komplikasi B&milDeteksi Resti B&mil ole6 Nakes






11 7&mla6 B&mil 3engan anemi >3iperiksa 2B?1- 7&mla6 pelayanan a+ort&s >ke6amilan -0 mingg&? sel&r&6nya



C Di r&ma6




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a B&teki +ar&

+ B&teki lama








a 7&mla6 KN1 >C48 am?+ 7&mla6 KN- >.C/ 6ari






a B- >-9 6r C - +ln?+ B4 >. C 5 +ln?

A B8 > C 8 +ln?






Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


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+ 7&mla6 Resti:Komplikasi B&linA 7&mla6 Resti:Komplikasi B&@as






a 7&mla6 pelayanan '+& +ersalin +er3asarkan tempatC Di r&ma6



C Di R" : R" '



C D&k&nC Nakes kemitraan 3engan 3&k&n


C "pontan : normal

C 3engan tin3akan




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a B- >-9 6r C - +ln?

+ B4 >. C 5 +ln?

A B8 > C 8 +ln?

3 Bayi Lengkap >9 C 11 +ln?-1 7&mla6 Pelayanan Balita sel&r&6nya




Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


P#"K$"M" KRM!!#


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C Di r&ma6


C "arana Kese6atan ",astaC Di R" : R" '



C D&k&n



C "pontan : normalC 3engan tin3akan






15 7&mla6 k&n&ngan B&teki sel&r&6nyaa B&teki +ar&

+ B&teki lama





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A B8 > C 8 +ln?






Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


P#"K$"M" KRM!!#

B#LN ; #"!#" -014

N( 7$N'" P$L)NN K'

1 7&mla6 Pelayanan N= B&mil ,ilaya6 P&skesmas sel&r&6nya- 7&mla6 Pelayanan N= B&mil +ar& K1 M&rni







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C Di R" : R" '



C D&k&n



C "pontan : normal

C 3engan tin3akan


14 7&mla6 pelayan '+& Ni@as sel&r&6nyaa K&n&ngan ni@as 1 > am C . 6ari?




a B&teki +ar&

+ B&teki lama







18 7&mla6 Pelayanan Neonat&s "el&r&6nyaa 7&mla6 KN1 >C48 am?







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Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


P#"K$"M" KRM!!#B#LN ;"$P!$MB$R -014

N( 7$N'" P$L)NN K'




4 7&mla6 Pelayanan N= B&mil lama5 7&mla6 Pelayanan N= B&mil K4






Deteksi Resti B&mil ole6 Masyarakat+ 7&mla6 Resti:Komplikasi B&lin







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P#"K$"M" KRM!!#

B#LN ; (K!(B$R -014

N( 7$N'" P$L)NN K'







/ 7&mla6 B&mil 3engan +&k& K' >Bar&?8 7&mla6 Komplikasi (+stetrik sel&r&6nya >B&mil B&lin 3an B&@as?






9 7&mla6 Komplikasi (+stetrik yang 3itangani sen3iri >B&mil B&lin 3an B&@as?10 7&mla6 Komplikasi (+stetrik yang 3ir&&k >B&mil B&lin 3an B&@as?





C Di r&ma6

C Di sarana Kese6atan >PKM Polin3es Poskes3es?C "arana Kese6atan ",asta

C Di R" : R" '



C D&k&n



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+ 7&mla6 neonatal 3engan komplikasi yang 3ir&&k-0 7&mla6 Pelayanan Bayi "el&r&6nya

a B- >-9 6r C - +ln?

+ B4 >. C 5 +ln?

A B8 > C 8 +ln?



a 7&mla6 k&n&ngan Balita +ar&+ 7&mla6 k&n&ngan Balita lengkap


Dr $nik #tma,atiN'P 19//0404 -00/01 - 011


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1- 7&mla6 pelayanan a+ort&s >ke6amilan -0 mingg&? sel&r&6nya1. 7&mla6 pelayanan '+& +ersalin sel&r&6nya


C Di r&ma6



C Di R" : R" '

+ 7&mla6 pelayanan i+& +ersalin +er3asarkan penolongC !enaga Kese6atan >m&rni?

C D&k&n



C "pontan : normal

C 3engan tin3akan

3 7&mla6 pelayanan '+& +ersalin 3engan 'MD >'nisiasi Meny&s&i Dini?14 7&mla6 pelayan '+& Ni@as sel&r&6nya





a B&teki +ar&


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11 7 l 6 B il 3 i >3i ik 2B?


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C Di r&ma6



C Di R" : R" '



C D&k&n

C Nakes kemitraan 3engan 3&k&nA 7&mla6 pelayanan '+& +ersalin +er3asarkan enis persalinan

C "pontan : normal

C 3engan tin3akan




+ K&n&ngan ni@as - >8 C 14 6ari?A K&n&ngan ni@as . : KF lengkap >. C 4- 6ari?


a B&teki +ar&

+ B&teki lama










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Dr $nik #tma,ati

N'P 19//0404 -00/01 - 011


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Le+ak,ana Pelam&nan Margasana Kramat,at& Peaten anayasa 2ar

7#ML2 7#ML2 7#ML2 7#ML2 7#ML2 7#ML2 7#M

48 66 89 54 57 46 7

8 9 13 13 12 8 1

2 3 3 0 0 7 7

28 47 63 30 33 26 4

10 7 10 11 12 5 1

10 12 16 13 12 15 2

10 12 16 13 12 15 2

2 4 1 8 2 8

1 2 0 5 1 8

1 7 3 4 1 6

1 1 1 4 2 2

0 2 1 2 1 0

1 0 0 1 0 0

1 0 0 6 1 61 4 1 2 1 2

0 0 3 5 4 4

1 1 1 0 0 0

8 14 5 15 10 5 1

3 5 3 1 2 0

3 1 0 3 3 1

2 6 2 7 4 2 1

0 2 0 4 1 2

8 14 5 15 10 5 1

5 9 2 15 9 5 1

3 5 3 0 1 0

0 0 0 0 0 0

6 2 7 7 4 1 6 8 6 4 3 2 7


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6 2 7 7 4 1 6 8 6 4 3 2 7

0 0 0 0 0 0 1 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 2 0 0 0

0 0 0 0 0 0 0 0 0 2 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0

17 6 21 19 15 1 18 24 17 13 9 6 19

6 2 7 7 4 1 6 8 6 4 3 2 7

6 2 7 7 5 0 6 8 6 4 3 2 7

5 2 7 5 6 0 6 8 5 5 3 2 5

0 0 0 0 0 0 0 0 2 2 0 0 1

0 0 0 0 0 0 0 0 2 2 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 1

19 12 28 20 20 24 43 37 73 82 20 17 82

2 4 9 9 3 8 10 6 20 19 5 3 30

9 3 8 3 6 9 12 10 21 23 5 5 24

6 2 6 5 6 5 11 12 22 25 8 6 17

2 3 5 3 5 2 10 9 10 15 2 3 11

Pengelola K'

B3 M&naa6 M3Ke+

N'P 19/40/10 199.01 - 00-

16 18 17 10 11 10 1


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16 18 17 10 11 10 1

16 18 17 10 11 10 1

4 4 6 3 1 4

3 0 0 - 1 4

3 4 6 3 1 2

1 2 3 2 1 2

1 3 6 1 0 0

0 1 0 0 0 0

2 0 1 0 0 3

2 4 5 3 1 1

2 0 6 6 2 0

2 0 3 0 0 0

4 11 12 12 8 4 1

0

1 0 1 0 2 0

1 0 5 5 2 0

1 8 2 4 3 4 7

1 3 4 3 1 0

4 11 12 12 8 4 13 11 11 12 7 4 1

1 0 1 0 1 0

0 0 0 0 0 0

4 11 12 12 8 4 1

4 9 6 10 8 4 7

0 2 6 2 0 0

3 8 7 10 7 0

15 25 32 36 26 14 3

4 8 12 12 8 4 1

4 7 12 12 9 4 1

7 10 8 12 9 6 1

94 0 151 69 275 171 2

4 0 12 12 8 4 1

0 0 0 0 0 0 2 2 0 0 0 0 2


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0 0 0 0 0 0 2 2 0 0 0 0 2

0 0

Laporan Kia Th 2015

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