ABCDEFGHIJKLMNOPQRSTUVWXYZABACADAEAKAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBMBNBOBPBQBR
7
8
NoNamaJenis KelaminJenjangKelasNISNNIKTempat, Tgl LahirUsia (Ulang tahun terakhir)=usia 1 Agustus 2025AlamatNo. HPDisabilitasHasil Pemeriksaan FisikKesimpulanIMUNISASIIMUNISASI MRIMUNISASI DT
9
Resiko Gula Darah AnakResiko MalariaGejala Cemas RemajaKesehatan Reproduksi PutriKelayakan Tes KebugaranPerilaku Merokok Resiko HepatitisResiko TBPenyakit Kusta Anak SekolahPenyakit SkabiesGiziTekanan DarahTelingaMataGigiKebugaran (Kelas 4-6)
10
BB (kg)TB (cm)Indeks Massa Tubuh (kg/m2)IMT/U (SD)mmHgTajam PendengaranSerumenInfeksi (cairan)Mata LuarTajam PenglihatanPenggunaan KacamataWaktuKlasifikasi
11
PLYaTidakYa (1/2/3/4/5)Ya (1/2/3/4)Ya (1/2/3)Ya (1/2/3)Ya (1/2/3/4)Ya (1/2)Ya (1/2/3/4)Ya (1/2/3/4)YaTidakYaTidakDapat mengulang kata lebih dari 80% (minimal 4 dari 5)Tidak dapat mengulang kata lebih dari 80% (kurang dari 4 dari 5)YaTidakYaTidakMata sehatMata tidak sehat/julingNormal: Visus 6/6 - 6/12Gangguan Penglihatan (visus <6/12)YaTidakNormalKaries 1/2/3/4/5Baik sekali/ BaikCukupKurang/Kurang sekaliRujukTidak RujukImunisasi Yang di TerimaTanggal ImunisasiNo. BatchImunisasi Yang di TerimaTanggal ImunisasiNo. BatchImunisasi Yang di TerimaTanggal ImunisasiNo. Batch
12
1Aisyah Hafla Umaiza (KTP)SD1A31886440433276047112180001Depok, 31 Desember 20186 thn 7 bln Permata Green Cinere I Blok A0308128500222750020000vv18.711813.478/59vvvvvvv
13
2Ajosza Hita DifrayaSD1A31888626053603033112180002Jakarta, 31 Desember 20186 thn 7 bln Griya Pamulang Estate081740131200000000v125.6122110/57vvvvvv
14
3Alaric Abqary Fatih KhairSD1A31866676203174092611180006Depok, 26 November 20186 thn 8 bln
Green Lovina Cinere Blok Fc No.6 Gandul
08158546112500000000vv2912992/81vvvvvv
15
4Anjani PramuditaningrumSD1A31861377313174107012180002Jakarta, 30 Desember 20186 thn 7 bln Jl Lempuyang Iv081726461700000000vv25.612283/67vvvv6/18v
16
5
Anthea Aisyah Taaffeite Ansarullah
SD1A31945911953516164606190001Mojokerto, 06 Juni 20196 thn 1 bln Cinere Residence Blok I4 No 708128080798700000000vv2212115.089/80vvvv6/15vv
17
6Arkhananta WiradiputraSD1A31855459933174040410180004Jakarta, 04 Oktober 20186 thn 10 bln Telaga Golf Sawangan08131749199100000000vv25.612287/73vvvvvv
18
7
Ayumi Khansa Rizka Banafsha (KTP)
SD1A31820558613276036409180001Jakarta. 29 September 20186 thn 10 bln Perum Telaga Jambu I Sawangan08131415145100000001vv#DIV/0!97/63vvvvvvv
19
8Cintya Mafaza RamadhaniSD1A31986968093276046105190003Depok, 21 Mei 20196 thn 2 bln Murai I Blok C-2 No.16 Griya Cinere I08222511711700000000vv19.611714.3110/81vvvv6/15vv
20
9Danish Galendra PamungkasSD1A31889031793174092511180007Jakarta, 25 November 20186 thn 8 bln Villa Timbul Asri Gg. Asem08592181961200000000vv35.713220.599/68vvvvvvv
21
10Ghazi Aatreya RahmanSD1A31958366073276042208190003Depok, 22 Agustus 20195 thn 11 bln Jl. Pinang 2 No. 106.C08778269139300000000vv22.311516.999/81vvvvvvv
22
11Habibie Rafif AbqarySD1A31979980163174040507190004Depok. 5 Juli 20196 thn 2 bln
Laumar Residance 4, Kav.A3 Jagakarsa
08211261009600000000vv25.612291/60vvvvvv
23
12Kanaya Shanum AriandaSD1A31823205843174044507180002Jakarta, 05 Juli 20187 thn 0 bln
Pangkalan Jati Village Blok I No 2 Jl.H.Terin 1
08129753192000000000vv23.612315.691/85vvvvvvv
24
13Kevin Ekaputra IrsanSD1A31958543253174092005190005Jakarta, 20 Mei 20196 thn 2 bln
Mutiara Matoa Residence No. 2J Jl. Aselih Raya No. 85 Cipedak Jagakarsa Jakart
0811117068000000000vv22.612215.290/60vvvvvv2
25
14Keyshila Embun PratamaSD1A31946718893402125208190002Jakarta Selatan, 12 Agustus 20195 thn 11 bln
Perum Newland Matoa Jl. Raya Krukut No.25
08537779738700000000vv2913017.265/50vvvvvvv
26
15Lovey AyeshaSD1A31856325923174096909180006Jakarta, 29 September 20186 thn 10 bln
Kav Dki Blok J No 17 Cipedak Jagakarsa Jakarta Selatan
0811989007220000000vv32.412221.8106/62vvvv6/18v
27
16Muhammad Faris RizkiSD1A31919662643276090401190001Depok, 04 Januari 20196 thn 7 bln Jl. Lombok No. 14808122000010600000000vv18.611314.696/71vvvvvv5
28
17
Muhammad Rayhan Kareem Lubis
SD1A31904741593276011002190002Depok, 10 Februari 20196 thn 5 bln
Jl. Pramuka Raya, Kavling Pramuka No 12
081163941100000000v125.612289/76vvvvvv5
29
18Muhammad Zidny ElfahmiSD1A31831828233175042711180006Depok, 27 Nopember 20186 thn 8 bln
Grand Citayam blok A1 no 14 tajurhalang
085781353891#DIV/0!
30
19Nayla Azzahra JahjaSD1A31885032483174066412180004Jakarta, 24 Desember 20186 thn 7 bln Griya Cinere Hijau08132010113300000000v11911798/68vvvvvv
31
20Niskala Wastu KancanaSD1A31826393483578011009180002Jakarta, 10 September 20186 thn 10 bln Jalan Baru 1 No 1008137961494950000000vv2413014.2108/66vvvvvvv
32
21Nismara KinandariSD1A31988796093301205304190001Cilacap, 13 April 20196 thn 3 bln Jl. H. Muchtar08564335355500000000vv19.311414.979/57vvvvvv1
33
22Nuha Zivana HafizaSD1A31859699223674064207180003Depok, 02 Juli 20187 thn 1 bln
Perumahan Cinere Green Valley Blok B No.21
08139270344500030000vv2812617.6102/80vvvvvvv
34
23Precia Carys NaadhiraSD1A31963922311671055401190004Depok, 14 Januari 20196 thn 6 bln
Jalan Masjid Nurul Yaqin Ii No.78 B Rt5 Rw6 Kel. Tirtajaya Depok Jawa Barat
085267321190#DIV/0!
35
24Rasyada Amrina LestaluhuSD1A31969453523174095608190009Jakarta, 16 Agustus 20195 thn 11 bln
Jl. M. Kahfi 99 Asem Villa Timbul Asri No. 10 E
08129749444200000000vv25.612292/85vvvvvv
36
25Ratu Nashwa Kanaya AzzahraSD1A31815288583276094810180001Jakarta, 08 Oktober 20186 thn 9 bln
Citralake Sawangan Cluster Green Victoria
08129525259000000000vv2711919.1104/89vvvvvv3
37
26Rayna Ameera RamadhanisaSD1A31920938123671034701190002Tangerang, 07 Januari 20196 thn 6 bln Jl.Loncang Raya No.C11008963715211000000000vv25.612289/79vvvvvv
38
27Tatjana Senja SarasvatiSD1A31864471223276047112180005Jakarta, 31 Desember 20186 thn 7 bln Jl. Pinang Ii08121921917300000000vv19.811315.590/61vvvvvvv
39
28Valyandra Zara NafeezaSD1A31984340103276044705190001Depok, 07 Mei 20196 thn 2 bln Graha Cinere Jl. Tanah Lot Raya081310219856000000033.612421.989/66vvvv6/15v
40
29Aidan Mahardika Sidqi (KTP)SD1B31845949903673062208180001Bern Swiss, 28 Agustus 20186 thn 11 bln Puri Cinere Hijau Blok A3 No. 10811101173000000000vv20.211714.886/65vvvvvvv
41
30Aishana Zafiya EleameccaSD1B31844593763174096805180007Jakarta, 28 Mei 20187 thn 2 bln Palakali08128250135700000000vv2312215.590/60vvvvvvv
42
31Aldero Syadad RaisSD1B31908157923276091906190005Jakarta, 19 Juni 20196 thn 1 bln Jl. Madura Blok H/3308129329653000000000v125.612217.291/60vvvvvv
43
32Annisa Cataleya LovieSD1B31908445258271024805190002Tobelo, 08 Mei 20196 thn 2 bln Lr. Melati08573730891000000000vv24.711618.487/92vvvv6/24v1
44
33Arsakha Diandra AldebaranSD1B31899870153276041909180004Depok, 19 September 20186 thn 10 bln Jl. Kintamani Xi Blok O5/1208389665201600000000vv26.612417.391/67vvvvvv4
45
34Athaya Rava PramudyaSD1B31875307063174090207180006Depok, 02 Juli 20187 thn 1 bln Jl. Belimbing08211888188200000000vv27.612816.897/62vvv5
46
35Ayesha Maida QanitaSD1B31952471733276034403190004Tangerang Selatan, 04 Maret 20196 thn 5 bln
Jl. Sdn 03 Perumahan Rose Madaniyah No. G5
08573600368600000000vv2312315.285/90vvvvvvv
47
36Ayra GhaniaSD1B31794575843275025311170007Depok, 13 November 20177 thn 8 bln Jl. Tanjung No. 148. Blok B08121093157700000000vv2112413.796/68vvvvvv3
48
37Azfarezio Pramana YusufSD1B31869527053276091009180001
Tangerang Selatan, 10 September 2018
6 thn 10 bln Jl. Medan No. 11508128652920700000000vv2412714.9107/73vvvv6/15v
49
38BerlianSD1B31842615753174076410180002Depok, 24 Oktober 20186 thn 9 bln
Jl. Cilobak 5 Rt 02/Rw 01 Pangkalan Jati Cinere
08128524086200000000vv25.812716.089/63vvvv6/15v
50
39Clemira Kaysha AlfatihSD1B31873279993276096912180001Depok, 29 Desember 20186 thn 7 bln Griya Cinere Jl. Azalea Raya Blok 4908778835284500000000vv2311517.490/60vvvvvv1
51
40Dewangga Ardhi KusumaSD1B31919529893374121801190001Semarang, 18 Januari 20196 thn 6 bln Green Lovina Cinere08139008051000000000vv27.511620.487/76vvvvvvv
52
41Emran Daniyal CahyantoSD1B31900906153276041106190001Depok, 11 Juni 20196 thn 1 bln Cinere Delta Residence Blok D2608131883123800000000vv24.812316.495/67vvvvvv
53
42Gemintang Mashel TavishaSD1B31856527643174096609180008Depok, 26 September 20186 thn 10 bln Grand Mahakam Recidence Blok E808129314786400000000vv24.312216.392/60vvvvvvv
54
43Hakim AsyariSD1B31884209923276012202180003Jakarta, 22 Februari 20187 thn 5 bln Jl. Kutilang V No. 8808960742611500000000vv2713016.089/73vvvvvv2
55
44Izza Qanita ZulfikarSD1B31897354493374017108180002Bandung, 31 Agustus 20186 thn 11 bln Permata Green Cinere Blok F No. 1608531673562700000000vv2712916.287/83vvvvvvv
56
45Jadea Sahara AlzabilaSD1B31975116213674044204190004Tangerang Selatan, 02 April 20196 thn 4 bln Jl. Cakra Buana Blok T-260838907279700000000vv2212314.587/61vvvvvvv
57
46Kalila Audrya SharnaSD1B31951195213174094205190005Jakarta, 02 Mei 20196 thn 3 bln
Jl. Bukit Raya Blok B2/9 Perumahan Bukit Cirendeu
0811114917400000000vv22.612115.4124/103vvvvvvv
58
47Kania Anggiana PutriSD1B31845273983276044505180002Depok, 05 Mei 20187 thn 2 bln Jl. Cinere Parkview Timur Vi08128867055500000000vv37.313719.9111/75vvvvvv2
59
48Kayla Hanina NurhidayatSD1B31910346123674065201190002Depok, 12 Januari 20196 thn 6 bln Cinere Delta Residence08963570600800000000vv21.612114.8102/92vvvv6/15vv
60
49Khaira Adzkia PrimadiSD1B31849499773276095010180002Jakarta, 10 Oktober 20186 thn 9 bln Jl. Mentawai No. 28708131990005100000000vv2311019.0120/97vvvvvv
61
50Kyravashti Aluana FerissySD1B31945970463276096501190001Jakarta, 25 Januari 20196 thn 6 bln Komp. Mega Cinere Jl. Medan 141081891193750000000vv23.412215.7107/60vvvvvvv
62
51Nabila Abhisenna Putri HugengSD1B31936012603276065602190001Depok, 16 Februari 20196 thn 5 bln Curug Agung No. 2708128808517200000000vv20.711415.984/63vvvv6/15v1
63
52Nabyl Atharva HarrisSD1B31887211823276011110180003Depok, 11 Oktober 20186 thn 9 bln Perum Pancoran Mas Permai0811170266500000000vv21.311915.0139/104vvvv6/36v1
64
53Nuansa Gabina KeshwariSD1B31835182743174065312180003Depok, 13 Desember 20186 thn 7 bln Jl. Karang Mega Blok B4 No. 808129876522400000000vv3112519.896/67vvvvvvv
65
54Rasyad Hafiyyah Ayodya (KTP)SD1B31852052463271062012180002Jakarta Pusat, 20 Desember 20186 thn 7 bln Jl. Seram Blok H No. 32308788558878900000000vv25.212815.499/42vvvvvvv
66
55Razka Febrian Maulana BaharSD1B31919972303276090102190002Depok, 01 Februari 20196 thn 6 bln Jl. Buana Pesanggrahan I No.29 Bci08131671536900000000vv2813415.692/60vvvvvvv
67
56Savinna Zeline ChandraSD1B31971482583276116207190003Tangerang Selatan, 22 Juli 20196 thn 1 bln
Gardens cluster Amity, c26/41, Sawangan
08787601879100000000vv2011714.675/65vvvvvvv
68
57Abdillah Abqary RenukiSD131877914583276042210180002Jakarta, 22 Oktober 20186 thn 9 bln Perumahan Grand Matoa F.1108138088213000000000vv19.811914.089/60vvvvvvv
69
58Aisha Zenia ArisenoSD131962263263174084403190001Jakarta, 4 Maret 20196 thn 4 bln
Jl. batubelah I no 100 N Cipedak Jagakarsa
081181134600000000v126.812218.093/81vvvv by 1
70
59Aludra Shanum PratamaSD131923247963276094802190001Depok, 08 Februari 20196 thn 5 bln Jl. H. Mendik08211151555250000000vv4013322.6108/74vvvv6/24vv
71
60Anbiya Mikaila AlbaniSD131801782003276040607180001Depok, 06 Juli 20187 thn 0 bln Puri Gandul Asri. Cinere081318699050#DIV/0!
72
61Andi Faqih AbqariSD131860271223174020410180008Jakarta, 04 Oktober 20186 thn 10 bln Jl. Puncak Pesanggrahan 8/Oa57B08135598439900000000vv25.612616.1102/67vvvvvv
73
62Arbani Kahfi RinaldiSD131815700613674050705180001Jakarta, 07 Mei 20187 thn 2 bln Jl. Pahlawan No. 208121229288700000201vv22.211915.787/89vvvv6/15vv
74
63Arfan Evano SetiawanSD131807896593276062209180001Depok, 22 September 20186 thn 10 bln Perumahan Beji Permai, Blok H-1608121212977223.812814.5
75
64Ayra Prisha KiraniSD131935476353174095204190007Semarang, 12 April 20196 thn 3 bln Cinere Delta Residence08219990979700000000vv19.811515.089/73vvvvvvv
76
65Azura Pesona PutridityaSD131805971283276045810180003Depok, 18 Oktober 20186 thn 9 bln
Metropolitan Cinere Blok J No. 10 Guntur 011/014
08211354676800000000vv2911820.890/60vvvvvv
77
66Faizan Adzriel PratamaSD131978162003276041405190001Depok, 14 Mei 20196 thn 2 bln Jl. Kuta Raya Blok D60811950432100000000vv22.712414.8103/65vvvvvvv
78
67Haqqi Albirru IbrahimSD131961218443404130301190004Sleman, 03 Januari 20196 thn 7 bln Jl. Bogenvile No.6 Srimulyo I081166687800000000vv23.311816.7105/85vvvv6/24v
79
68Hulyah Tsabita KhasaniSD131953437293174095505190011Depok,, 15 Mei 20196 thn 2 bln Griya Pemuda Indah Jl, Pemuda 408129082354000000000vv23.412215.788/69vvvvvv1
80
69Kaia Mahindira AdrianiSD131810098803174094407180007Jakarta, 04 Juli 20187 thn 1 bln Cinere Residence Blok B6 No. 108138046370600000000vv2312814.087/73vvvv6/18v
81
70Karima Herni FakhiraSD131971395933276097003190002Jakarta, 30 Maret 20196 thn 4 bln
Admira Residence Jl. Sengon No. 18A A1
08123456711800000000vv24.512116.7103/81vvvvvv2
82
71Keanu Raffasya ArshaqSD131849210393276011805180008Jakarta, 18 Mei 20187 thn 2 bln Jl. Daya Guna 2 No. 9808211314040600000000vv4113422.893/81vvvv6/15v5
83
72Kenisha Amira RamaniaSD131843255783175025302180002Depok, 13 Februari 20187 thn 5 bln Town House Amanterra Cinangka08193820430500000000vv25.812416.8vvvvvv
84
73
Kumala Ayudia Prameswari (KTP)
SD131881624255271016808180004Kediri, 28 Agustus 20186 thn 11 bln
Natura Residence Cluster Summerland
08123934675020.411116.6
85
74Mariana Abelyn XavierraSD131894122573674016612180006
Tangerang Selatan, 26 Desember 2018
6 thn 7 bln Cinere Resort Apartemen08138354966900000000vv2212 30.098/67vvvv6/18v
86
75Nafeesha Shanum RamadhanivSD131938491263174045105190005Jakarta, 11 Mei 20196 thn 2 bln
Semanggi Hill Blok B No. 3 Jl. Dzakaria, Beji
08131133106920000000vv18.511613.783/56vvvvvv1
87
76Rahima Maryam PermataSD131969370443276045206190001Depok, 12 Juni 20196 thn 1 bln Jl. Tanah Lot Raya N4/170812849639500000000v v22.212015.494/70vvvvvv
88
77
Rajashaka Ibrahim Simanjuntak (KTP)
SD131917475943276091507190001Depok, 15 Juli 20196 thn 0 bln
Modern Hill Cluster Tranquility Blok F15 No 19
08129111201718.411513.9
89
78Rania Rizki Ariya PutriSD131921038403578235106190008Surabaya, 11 Juni 20196 thn 1 bln
Jl. Jambangan Indah Iii / 24 Surabaya
08132922173300000000vv20.712114.182/88vvvvvvv
90
79Rich Zander Arrafi AhnafSD131937113021871120907190002Bandar Lampung, 09 Juli 20196 thn 0 bln Jl. Haji Midi 2 No.4008137922157700000000vv25.612217.2100/72vvvv6/15v
91
80Riera Azmya LabibaSD131973121523173056304190003Jakarta, 23 April 20196 thn 3 bln Jl. Bukit Cinere Raya0812909823900000000vv18.811713.779/60vvvvvv
92
81Syahla Khalisa AzqiaraSD131864668633276094211180002Depok, 02 November 20186 thn 9 bln Jl. Cianjur No.541 Blok M0815877602700000000vv1711113.893/65vvvvvvv
93
82Teuku Idham AlarikSD131892473413174091106180011Jakarta, 11 Juni 20187 thn 1 bln Jl. Bumidaya IX0812414366863020020-vv20.511914.592/70vvvvvvv
94
83Xavier Alkhalifi PrimordianSD131820874923216080512180003Bekasi, 05 Desember 20186 thn 7 bln Matoa Hill A508121321590400000000vv17.511613.091/60vvvvvv2
95
84Al Fayra SwastikaSD131978645553276016802190004
Tangerang Selatan, 28 Februari 2019
6 thn 5 bln Puri Cinere Hijau0856825551900000000vv2412016.788/91vvvvvv
96
85Alma Hadiya RamanishaSD131963362363276045104190003Jakarta, 11 April 20196 thn 3 bln Jl. H. Riman08138671805900000100vv18.311613.6104/65vvvv6/15vv
97
86Amiera Felicia KurniyantoSD131840115593276034105180002Jakarta, 01 Mei 20187 thn 3 bln
Telaga Golf Sawangan Cluster Britain G3 No 11
812246318300000000vv36.412224.584/91vvvvvv
98
87Arsyi Alea ZailaniSD131921768593515066303190002Sidoarjo, 23 Maret 20196 thn 4 bln
Cinere delta residence Blok I 21 Pamulang
62811733020200000000vv24.611917.495/55vvvvvv2
99
88Attarsyah Ghani RamadhanSD131878622773174040506180002Depok, 05 Juni 20187 thn 1 bln Jl.Cilandak Kko08569403088000000000vv2011515.1104/68vvvvvv2
100
89Azzahra Almaira VonzaSD131826547603276095111180001Jakarta, 11 November 20186 thn 8 bln
Cinere Delta Residence Blok A29, Tangerang Selatan
081184078400000000v125.612289/64vvvvvv
101
90Barra Kaivan SudrajatSD131866914243174052608180001Jakarta, 26 Agustus 20186 thn 11 bln Merpati Iii B3/20 Griya Cinere08121612573900000000vv36.712722.890/60vvvvvv1
102
91Brisha Arraya KareenSD131949615253174095203190005Jakarta, 12 Maret 20196 thn 4 bln Jln.Swadaya Gudang Baru Ni.83A08132168060800000000vv22.611417.481/88vvvvvvv
103
92
Dhaka Alsaki Anargya Nusantara
SD131944304783276091908190001Depok, 19 Agustus 20195 thn 11 bln Jl. Pln Ry No. 1108515841158000000020vv21.812114.9117/87vvvvvvv
104
93Elfesya Zea DanisharaSD131984038313276045905190002Depok, 19 Mei 20196 thn 3 bln
Cinere Agung Residence Blok F 21, Kel. Meruyung
08126637189800000000vv24.312116.690/60vvvvvvv
105
94Giandra Svarga AhmadSD131899672733174062211180001Depok, 22 Nopember 20186 thn 8 bln
Jl. Taman Sari 1 RT. 003 RW. 003 No. 78, Kel. Lebak Bulus
08129727725100000000vv31.812321.097/83vvvv6/15v
106
95Khalifa Resnovae Nagari AhdaSD131937936613175021401190007Jakarta, 14 Januari 20196 thn 6 bln Jl. Lebak Bulus V No. F408128035453900000000vv25.61787/68vvvvvv