ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBMBNBOBP
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REGISTER KEGIATAN KESEHATAN ANAK USIA SEKOLAH DAN REMAJA
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NAMA SATUAN PENDIDIKAN
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KELAS
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KAB/KOTA
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PROVINSI:
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TAHUN AJARAN:
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NoNamaJenis KelaminJenjangKelasNISNNIKTempat Lahir Tgl LahirUsia (Ulang tahun terakhir)AlamatNo. HPDisabilitasHasil Pemeriksaan FisikKesimpulanIMUNISASICO ANALYZER
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GiziKimia DarahTekanan DarahTelingaMata SehatGigi (Jumlah Karies)Kebugaran (Kelas 4-6)
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BB (kg)TB (cm)Indeks Massa Tubuh (kg/m2)IMT/U (SD)Status GiziHasil Pemeriksaan mmHgKlasifikasiGangguan TelingaSerumen TelingaInfeksi (Cairan) TelingaMata SehatTajam PenglihatanPenggunaan KacamataWaktuKlasifikasi
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PLYaTidakGizi Buruk
< -3SD
Gizi Kurang
-3SD sampai < -2SD
Gizi Baik
-2SD sampai +1SD
Gizi Lebih
> +1SD sampai +2SD
Obesitas
> +2SD
GDSHBNormal: Sistolik dan diastolik < persentil 90Prahipertensi: Sistolik dan diastolik ≥ persentil 90 tetapi <persentil 95, atau 120/80 mmHg tetapi < persentil 95Hipertensi tingkat 1: Sistolik dan diastolik diantara persentil 95 dan persentil 95 +12 mmHg
atau 130/80 mmHg -138/89 mmHg
Hipertensi tingkat 2: Sistolik atau Diastolik ≥ persentil
95 + 12 mmHg atau ≥140/90 mmHg
KananKiriKananKiriKananKiriKananKiriMata Kanan 6/6-6/9Mata Kanan <6/9Mata Kiri 6/6-6/9Mata Kiri <6/9TidakYaNormalKariesBaik sekali/ BaikCukupKurang/Kurang sekaliRujukTidak RujukImunisasi Yang di TerimaTanggal ImunisasiNo. BatchHasil CO Analyzer
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1Alqanita Kaira SimbolonVSMP7
3276035904130002
Depok4/19/2013
GRAND MATOA E18 JL.KRUKUT RAYA RT.04/RW.05
v15243,2#VALUE!10014
102/65
TTTTTTTT6/7.56/9TT1
13
2Anindya MaheswariVSMP7
3174085302131005
Jakarta13 februari 2010
Jalan terusan tanjung blok BA no 6,cinere
v43,8145.0#VALUE!10014,1
123/89
TTTTTTYY6/96/9TT2
14
3Artesia Shafadewi LarasatiVSMP7
1920.01.02.013
31740Q4904131004
Jakarta Selatan4/9/2013
Perum Orchid Green Village Blok B-24, Jalan Palakali
v41146.019.2??
121/88
TTYYTTTT6/606/60TT1
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4Athallah Irza RahmansyahVSMP7127027187
3174072010121003
Jakarta20 Oktober 2012
Jl. Ketimun I/26 RT002/RW005
v47,6151,5#VALUE!10512,1
105/72
TTTTTTTTTT-
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5Azka Rajendra AdityaVSMP71335671303.17406E+15Jakarta24 Januari 2013
Jalan Balikpapan No.68 RT.1/RW.10 Cinere - Depok
v56,4164.0#VALUE!10514,1
111/73
TTTTTTTT6/96/7.5TT3
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6Callysta CherylVSMP7131357091
3174094801131002
Jakarta8 Januari 2013
Jl. H. Montong No.3 RT.010 RW.03
v52,8147,5#VALUE!9412
118/80
TTTTTTYY6/126/9YT2
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7Danishwara Abid Aqila WicaksonoVSMP7128138641
3174041612121001
Jakarta16 Desember 2012
Jl. Pelita Ujung Rt. 05/03 No. 9
v76,7157.0#VALUE!13113,6
125/89
TTYYTTYY6/156/12TT2
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8Davin Rashya ArdanaVSMP7-
3276061004120001
Depok4/10/2012
Botanical Puri Asri Blok D 17 Tanah Baru Beji Depok
v34,6?#VALUE!10511,2
115/70
TTTTTTYY6/7,56/7,5TT-
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9Dewi Raditya WidiartaputriVSMP7
1920 SD 049
3271066303130001
Bogor23 Maret 2013
Kavling UI Barat Jl. Jati Kencana Blok D12C
v54149,5#VALUE!10111,4
96/72
TTYTTTTT 6/156/15YT2
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10Haura Ramadhani AmirudinVSMP7
3174034408131003
Jakarta4 Agustus 2013
Jl Melati I Gg.H.Murtaba No.1Y RT.003/RW.01
v26,5136,5#VALUE!10313,9
108/88
TTYTTTYY6/7.56/7.5TT-
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11Indafika Nuralifa HannyVSMP7
19201039/0
3276095007130002
JAKARTA10 JULI 2013
JL RAYA GANDUL RT 038 RW 006 NO.52A
v44,1140,5#VALUE!8412,4
107/84
TTYYTTTT6/186/18TT2
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12Ivonne Rida ShaquillaVSMP7-
3174105001131001
Jakarta10 Januari 2013
Jl. Tridarma utama VI no.24, RT/RW 10/12,
v49,1147,59913,1
114/79
TTTTTTYYvvYT2
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13Kanza Nur AlifahVSMP7
1671087108120005
Palembang31 Agustus 2012
Jl. Sawo komplek Sawo Residence no. A3 Jagakarsa RT 3 RW 1
v59,5149,510810,2
114/79
TTTTTTYY6/7.56/9TY2
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14Khayranisa Fathia AzzahraVSMP7139523345
3578095403130003
Surabaya14 maret 2013
Perum Linclon II kav A no 6, jl lapangan bola, Masjid Daaruttaqwa, RT 4/RW 6
v37,7144,510612,3
96/73
TTTTTTYYvvYY1
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15Marsya Alanna HattatilanVSMP7
3276065011120003
Jakarta10 November 2012
Jl. KH Ahmad Dahlan No. 21E RT06/RW05
v341389411,8
98/74
TTTTTTYY6/66/6TY
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16Muhamad Kaarleyazka SjahranVSMP7
1920 SD 042
3714071201131003
Jakarta12 January 2013
Jln H Naman no 33 grogol sebrang limo depok RT.3/RW.6
v34,6147---TTTTTTTT6/7,56/9TT-
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17Muhammad Andito Mediansyah SVSMP73125056163
3174062209121003
Jakarta22 September 2012
Jalan Balsa no 34 Comp AL rt/rw 04/06
v5715910513,1
126/59
TTTTTTYY6/7,56/6TT
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18Raissa Alya WahidanVSMP7121493821
3510095011120003
Banyuwangi10 Nopember 2012
Jl Kelinci No.6F, RT.06 RW.06
v34,4148,59812
98/72
TTTTTTYYvvYY1
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19Syamira Ramadhania IshaqVSMP73135369998
3276094504130005
Jakarta5 April 2013
Jl. Pangkalan Jati II No 14-B RT 003/002
v33,8?10011
88/69
TTTTTTYY6/246/18TT1
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20Zhafira Mahlihah Az ZahraVSMP72861
3674044706130006
Jakarta7 Juni 2013
Cinere Delta Residence
v35,11479010,3
90/64
TTTTTTYY6/366/18TT1
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21Adara Aquena SakhiVSMP7136365432
3174095105131003
Depok11 Mei 2013
Jalan Talip Tridi No 103 Rt 004/009
v?14510812,2
109/74
TTTTTTTT6/186/24YT2
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22Aidan Calief Xaviero VSMP73121992207
3273270606120001
Bandung6 Juni 2012
Jalan pribadi1, gg mesjid nurul huda rt4 rw5 pangkalan jati baru, cinere, depok
v5815412012,8
110/79
TTTTTTYY6/96/36YY1
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23Alula Shabia Humairaa AliVSMP7
3276094307130003
Jakarta03 Juli 2013
Komplek bumi daya jl bumi daya 5 no 175 cinere 16514 cinere depok jawa barat
v?159,59613
131/81
TTTTTTYY6/7.56/9TT2
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Amelia Anne Yvonne Sastranagara
VSMP7137948019
3174044505131003
Jakarta05 Mei 2013
Rumah24 Town House, Jl. Jangkrik No. 24 Rt.6/Rw.5
v42,515211714
94/70
TTTTTTTTvvYT2
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25Aqilah Athiyah MaharaniVSMP7135848649
1671044905130003
Palembang9 mei 2013
Jl H. Raisan villa raisan no.47A RT.3/RW.1
v37,71519711,2
102/63
TTYTTTYY6/606/36YY2
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26Cataleya Kamadahayu AdikaraVSMP7v48155,59313,8
96/76
TTTTTTTT6/156/12YT3
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27Gibran Langit ParamartaVSMP7122497231
3174061112121001
Jakarta11 Desember 2012
Jl Cabe 4 No. 11A dekat perempatan gaplek
v37,214912111,8
93/51
TTTTTTYY6/96/7.5TT3
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28Hasan Arrazin DianVSMP7124927406
3276031506120003
Jakarta15 Juni 2012
Jalan cendana 1 blok B no B40
v631659313,5
149/74
TTTTTTYY6/66/6TY1
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29Khalisha Mutiara Zulfia PutriVSMP7123594419
3174095408121006
Jakarta14 Agustus 2012
Jl. Cemara Gg. H. Nata 2 No. 88D Rt. 003 Rw. 07
v40,1145,511114,7
104/81
TTYYTTTT6/7.56/7.5YT3
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30Lyra Ameera HarrizonVSMP7134130134
3174055606131001
Jakarta16 Juni 2013
Jl. Martapura No. 222 Blok M Mega Cinere RT 001/RW 010
v55,0144,59711,3
122/90
TTTTTTYY6/96/7.5TT2
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31Melody Aretha KasacimaVSMP7
3175046905131009
Jakarta29 Mei 2013
Perumahan Bukit Mampang Residence Blok A27
Jl. Rawa Kalong, Kel. Limo, Kec.Grogol, Depok
Jawa barat 16512
Indonesia
v38,215110011,5
90/61
TTYYTTTTvvTT2
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32Naima Xenubia WialdiVSMP7122765950
3175075109121007
Jakarta11 September 2012
D'cinere Residence no. A2. Jalan Bukit Cinere Raya. Cinere Depok. RT/RW 02/03
v37,81469811,4
106/77
TTTYTTTT6/126/15TT1
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33Panji Bagus Mandala SaktiVSMP7-
3174062905131007
Jakarta29 mei 2013
Jl mars 1 no 1 G villa Cinere mas RT 01/ RW 13
v49,215210711,2
108/80
TTTTTTYY6/96/12TY1
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34Raden Gwen Syareefa KamalVSMP7
3174095207131003
Jakarta12 Juli 2013
Jl RM Kahfi 1 Gg. Panjang no 97b RT .4 / RW.6
v77,71509610,4
107/71
TTTTTTYY6/126/15YT2
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35Rangga Dhya Bhumi ArfaVSMP7
3174023108111003
Klaten31 Agustus 2011
Jl M Zakaria Grand Depok Residence no 200A RT 09/RW 012
v66,516310415,2
137/66
TTYYTTTT6/96/9YT2
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36Revan Restu DamianVSMP7121071383
3305122905120002
Kebumen29 Mei 2012
Jl.Zona Langit No.15C RT.007/RW.05
v42,3155,59913,4
105/69
TTTTTTTT6/96/12TY2
49
37Shahraz Mauza NovelVSMP73132223688
3174066211131005
Bankstown22 November 2013
Jl. H. Ismail No 31A, RT 01/04
v5614110411,9
132/80
TTTTTTYY6/96/12YY2
50
38Shakila SalsabilaVSMP73133688534
1971066804130001
Pangkal Pinang28-Apr-13
Apartment Cinere bellevue suite tower b unit 0115
v
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39Siti NadyaVSMP73127835658
3276066609120002
Depok26 September 2012
Jln M Ali No 20 Rt 01/ Rw 04.
v?14110311
101/60
TTTTTTYY6/7.56/7.5TT1
52
40Yiska AkifahVSMP73124697905
3173075411121005
DEPOK14 November 2012
JALAN LEMBAYUNG TERUSAN NO 5C BLOK L MEGA CINERE
v44,2146,29512,5
122/90
TTTTTTYY6/7.56/7.5TY1
53
41Afftan Faeyza HardiyantoVSMP72319051
3276041508130001
Depok15 Agustus 2013
Jl. Arthayasa perum sawo griya kencana blok D-4 RT.004/RW 01
v36,7144,514512,2
112/63
TTTTTTYYvvTT2
54
42Amanda Syafira LubisVSMP7
3276094706130001
Depok7 Juni 2013
Jl Lestari No 44 RT 39 RW 07
v55,2148,511811,9
124/95
TTYTTTYY6/96/9YY2
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43Athiya Zahirah SetioVSMP7139681027
3173014601131009
Jakarta06 Januari 2013
Jl kemenyan no.6A Rt 007/Rw 003
v
56
44Chloe Ameera JacubVSMP73135127725
3174015806131007
Jakarta18 Juni 2013
Jl. H. Montong No. 36 B RT.10/ RW.03
v64,515811712,8
113/73
TTTTTTYY6/96/12YT1
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45Kaira TarishaVSMP7
3174106709131002
Jakarta27 September 2013
Gg. Pribadi no. 24 06/03 cinere pangkalan jati baru
v29,814110813,3
97/78
TTTTTTTT6/246/15YT0
58
46Kennard Aryasatya Aqila HBVSMP7
3276041005130002
Depok17 Mei 2013
Permata Green Cinere 1 blok d.19 jalan raya meruyung, limo depok 16515
v49155,511413,4
112/67
TTYYTTTT6/186/36Y--1
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47Khayla Batrisyia AzzaleaVSMP71.11E+22
3174085803131001
Depok13 Maret 2013
Cinere Loft, Jl. Sengon No.20 Rt01/08 cinere
v?15815312,6
106/67
TTYYTTTT6/96/15TT0
60
48Makesa Aldiagi MahdorVSMP7-
3174060609121005
Jakarta6 September 2012
Diamond Andara Residence no. F12
v52,316412215,4
116/73
TTTTTTYY6/126/9TT1
61
49Mayra Alisha HattatilanVSMP7
3276065011120002
Jakarta10 November 2012
Jl. KH Ahmad Dahlan No. 21E RT06 RW 05
v27,81429812,6
107/77
TTTTTTYY6/126/12TT1
62
50Muhamad Syahbani RahmanVSMP73136621201
3174092106131002
Jakarta21 Juni 2013
Jl. Benda 10 RT 003 RW 001
v53,716611612,4
111/64
TTYYTTYYvvTY2
63
51Mysha Malika RamadhaniellaVSMP7128526269
3278097007120003
Jakarta14 Juni 1986
Jl. Balikpapan No. 40 RT 05 / RW 10
v75,215915211,9
108/70
TTTTTTTT6/366/12YT2
64
52Naureen RayhanahVSMP73126319537
3174045710121004
Depok17 Oktober 2012
Galaxy Residence 1 kebagusan
Jl. Kebagusan dalam IV no.36, kavling D
v40,814411512
115/89
TTTTTTYY6/7.56/7.5TT0
65
53Nizar RifkiVSMP7129008146
3578122007120002
Surabaya20 Juli 2012
Green Andara Residence blok C4-08, RT.003/RW.001
v38,4152,511411,7
109/65
TTYTTTTTvvTT1
66
54Raditya Putra Pramudya VSMP73126840098
3276092410120001
Jakarta24 Oktober 2012
Jl h jeman 3 No.50A RT003/005
v42,215810411,9
113/67
TTTTTTYY6/96/9TT1
67
55Rayhan Farrel Aditya MalikVSMP73.17408E+15Bandung12 oktober 2012
Komplek mahakam residence IV jl sadar raya no 50 blok b1
v47,216011714,7
111/56
TTTTTTTT6/156/9YT2
68
56Rezita Devina HoeripVSMP73134117736
3174064302131001
Jakarta03 Februari 2013
Jl. Kelurahan No.7 Rt.03/Rw.10
v39,114013013,5
120/94
TTTTTTYY6/366/6TT1
69
57Sabrina Hafidzah ShanumVSMP7128144309
3172025506121005
Jakarta15 Juni 2012
Komplek PGRI No. 4 RT. 013 rw. 07
v40,115610812,3
106/90
TTYTTTTT6/15TT2
70
58Siti Zahira FalensaVSMP7139311588
1611045010130003
Lubuklinggau10 Oktober 2013
Jl. Dili No.12 Perumahan Mega Cinere Blok M RT.007/RW.010
v35,215811312,5
96/60
TTTTTTYY6/96/12YY2
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