ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBMBNBOBP
8
NoNamaJenis KelaminJenjangKelasNISNNIKTempat Lahir Tgl LahirUsia (Ulang tahun terakhir)AlamatNo. HPDisabilitasHasil Pemeriksaan FisikKesimpulanIMUNISASICO ANALYZER
9
GiziKimia DarahTekanan DarahTelingaMata SehatGigi (Jumlah Karies)Kebugaran (Kelas 4-6)
10
BB (kg)TB (cm)Indeks Massa Tubuh (kg/m2)IMT/U (SD)Status GiziHasil Pemeriksaan mmHgKlasifikasiGangguan TelingaSerumen TelingaInfeksi (Cairan) TelingaMata SehatTajam PenglihatanPenggunaan KacamataWaktuKlasifikasi
11
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
12
1Ahmad Aisy NaldoLSMP71198124042171030307110003Kisaran3/6/2011Jalan Bukit Tinggi 006/010 Cinere Depok8126512010168.8148.431.210112,3
106/81
TTTTTTTTYYYY0
13
2Calissa Medina PutriPSMP731243508793276095912120002Jakarta19/12/2012Jl Ibnu armah permata Andara residence no a28588379381643.9155.018.38910,6
124/81
TTYYTTTTYYYY1
14
3Al Sakti NugrohoLSMP71178363243276062007110004Depok20/07/2011Jl. Musholla At-Taqwa No.100, Kota Depok8128180553149.7157.020.29114,8
129/78
TTTTTTTTYYYY1
15
4Ayska Khairina HidayatPSMP71215896333276095012120001Jakarta10/12/2012Jalan Gandul Raya RT 039 RW 0078564004054046149.020.711411,3
118/73
TTYYTTTTYYYY1
16
5Azalea RafifaPSMP731392238813174094704131010Jakarta7/4/2013Jl. Pinding No.51 Rt.2 Rw.18577918177042147.519.39312,7
118/75
TTTTTTTTYYYY1
17
6Belinda Andriani KhairunnisaPSMP71299372203276094709120001DEPOK7/9/2012Cluster Cinere Modern Blok A1 no 4 RT 006 RW 001 Jl Wahid Khasim limo812108537731.4144.515.010311,3
121/88
TTYYTTTTYYYY1
18
7Dzamar Farras NursyamsiLSMP71387482993174051001131007Jakarta10/1/2013Komp PLN Gandul Gardu Lama No. 12 Rt 12/Rw 03. Kec Cinere Kel Gandul8787565578978.2159.230.910010.1
110/65
TTTTTTYYYYYY1
19
8Fatih Khairi HutasuhutLSMP71248863643174060809121002Jakarta8/9/2012Jl. Cilandak Dalam No. 1 RT 03/013, Cilandak Barat, Cilandak, Jakarta Selatan8211057766165.2159.025.88512.1
121/80
TTYYTTYYYYYY1
20
9Hiro Putra KrisnawanLSMP731376547233174060708131002Jakarta7/8/2013Pondok Labu Indah No.B2, RT 01/RW 03, Pondok Labu, Jakarta Selatan812811885038.9143.518.98510.3
95/68
TTTTTTYYYYYY1
21
10Jovano Ananda PramudyaLSMP731477722873174042001141011Jakarta
20/01/2014
Jl.musolah 1 no.56b rt11/05 Gandul8212404220548.6150.021.610410,4
109/61
TTYYTTTYYYY1
22
11Kaffa Febrian RisetyaLSMP731331952883276042602130002Depok26/02/2013Jl Galur RT 03 / RW 0681286336299#DIV/0!
23
12Kayla Athaya RibePktpSMP71359598493276064504130003Jakarta05/04/2013Jln kelurahan, 003/002, pangkalan jati8151755127243.215218.79110,2
99/68
TTTTTTTTYYYY1
24
13Khania Aisyah VinoarthPSMP71285056113276046910120004Jakarta29/10/2012
GRIYA TAMAN TIGA PUTRA BLOK E nmr 18 RT 004 RW 004 MERUYUNG LIMO DEPOK
8139877398857.615524.09111
122/82
TTTTTTYYYYY1
25
14Kiyandra Bintari SaputraPSMP71225343853171056510121002Jakarta25/12/2012Cinere valley view Jl pinang 2 no.33 RT04/15 limo depok787660131335.7153.515.29312.5
114/83
TTTTTTTTTTTTTTY1
26
15Muhamad Ibrahim ElfikyktpLSMP71224858763276091006120004Depok10/08/2012Diamond andara residence. Jl. Kirai.8569721976839.815217.210010.5
94/60
TTTTTTTTYTYTYYT0
27
16Nabil Putra Bayu AjiLSMP71293208273174031311121003Jakarta13/11/2012Jl. H. Terima Rt 003 Rw 003 No. 35B, Depok81866312030.114214.99610,4
91/58
TTYTTTTTYYYY2
28
17Naznin Raina MukhlisPSMP731396010093276090203130001Jakarta02/03/2013Jln Raya Gandul Gg Cikura No. 44 Rt 007/08 Gandul Cinere Depok8829893769055.6172.618.7988,8
115/96
TTTTTTTTYYYY
29
18Rafif Azka RahmazaLSMP731381086503276091101130001Jakarta11/01/2013Perumahan Cinere View Residence, Jl. Rawa Jati RT. 001 RW.004, Kota Depok856828709650.5149.522.69811.1
121/73
TTTTTTYYYYYY2
30
19Rayya Halwa AliyahPSMP71226605043174066612121001Jakarta26/12/2012Jl Pondok Labu I rt 05/07 No 2B8787599255745.515718.510512,4
94/69
TTTTTTYYYYYY1
31
20Yaser Ridwansyah RamadhanLSMP731235213213174090608121012Jakarta06/08/2012jl. brigif V rt012/006 ciganjur, jagakarsa, jakarta selatan8123603026540.6156.516.69811.1
120/80
TTTTTTTTYYYY1
32
21Almira Jehannara SaidPSMP731385178933174086608131005Depok26/08/2013The Bougenville Residence no A5 Jl. mushola At Taqwa rt 08 rw 08 gandul8581085525535.7145.117.09810.1
105/75
TTTTTTTTYYYY
33
22Ana Jarenka Murry SitepuPSMP731272567443173084106121009Jakarta01/06/2012Jalan Caringin II Kampung Kebon Kopi RT.03/RW.06, No. 33, Pengasinan897958715662.8151.527.4839
119/70
TTTTTTTTYYYY2
34
23Arkananta Oetama RamadhaniLSMP71211574933276092811120001Bandung28/11/2012Jl, Kupang No. 689 Blok M, Komplek Mega Cinere81110243849.6169.417.310210,12
35
24Arrayyan Kamilah KareemPSMP731283209063175046012121006Jakarta20/12/2012Komplek BPK V gandul8578125190843.115817.39510.3
105/77
TTTTTTYYYYTTYTY1
36
25Batari Arum Putri DeraPSMP731338571743174056502131008Tangerang selatan25/02/2013Jln pondok cabe ilir IV Rt 002 Rw 003 No 29 Gang kemangi,. Kota tangerang selatan856734781238.9148.817.610710,8
92/66
TTTYTTTTYYYY1
37
26Bilal Achmad WibisonoLSMP71366529403276092002130001Jakarta20/02/2013Komplek BPK V Blok H No 1, Gandul, Cinere, Depok, Jawa Barat812993733583165.230.413012.5
110/70
TTTTTTYYYYYY1
38
27Calissa Medina PutriPSMP731211746993275026108120003Jakarta21/08/2012Jl. Pare no 85 cinere8128393000541.514719.211011.6
112/80
TTTTTTTTYYYY1
39
28Danish Abiyyu RazqaLSMP71236767943174063107121004JAKARTA31/07/2012Jl Pulo Panjang No.27D cinere8131651658270.615828.311212.1
115/69
TTTTTTYYYYYY1
40
29Dhanu Ganapatih DjatisamudraLSMP71299192693174062010121006Jakarta22/10/2012Jl. Margasatwa Raya Komplek Pondok Labu Indah kav A1 RT 001/03 Jakarta Selatan8128813096837.1145.417.510513,8
113/73
TTYTTTTTYYYY2
41
30Emirsyah SatarLSMP731285536703171051606121004Depok16/06/2012Perum.Vila Mutiara Cinere Blok B2/25,Rt.01/11,Grogol,Limo,Depok8193312700770.316625.510213
139/74
TTTTTTYYYYYY1
42
31Geza Mikbad SafarazLSMP731385653233174042105131002JAKARTA21/05/2013Jalan Cipedak V RT07 RW09 NO. 100 JAKARTA SELATAN85778719878#DIV/0!
43
32Ibrahim Futhuurrizqi CiscoLSMP71328274923276040905130002Depok09/05/2013Jl.Kelud No. 3 Blok J,RT 11 RW 14, limo817634874260.814031.010611.8
105/76
TTYYTTTTYYYY2
44
33Jovaro Ananda PramudyaLSMP731420204933174042001141010Jakarta
20/01/2014
Jl.musolah 1 no.56b rt11/05 Gandul8212404220551.215022.810710,3
112/68
TTTTTTTTYYYY1
45
34Kalila Gadisya AzzahraPSMP731213824623174065711121007Jakarta17/11/2012Jl. Pangkalan jati 2 no.27C rt.05 rw.028786510831039.2151.317.110311,2
110/70
TTTTTTYYYYYY1
46
35Kimberly Alexandria JagodzinskiPSMP71312557873276046904130001Jakarta
29/04/2013
Jl.hm.nur No.54, Rt 05/02, Krukut, Limo, Depok 165128581324489958.615624.1909,8
136/98
TTTTTTTTYYYY1
47
36Malaeka Farah Syifa WijanarkoPSMP731367728973276097006130001Depok30/06/2013Jl. Ismaya I No. 30 Rt. 003 Rw. 007 Cinere - Depok8180837750084.516232.29210,5
119/90
TTTTTTYYYYYY1
48
37Muhammad Faeyza Sakha SuryanataLSMP731245671143276042912120001Jakarta29/12/2012Perum Bukit Nirvana Blok B9, Grogol, Limo, Depok8571022833047.9168.516.910413,3
124/75
TTYTTTTTYYYY1
49
38Nadhra QueenaraPSMP731228422913276095508120001Depok15/08/2012Jl. Masjid Al Akhyar No. 508129444417646.316217.68110,9
86/54
TTTTTTTTYYYY1
50
39Nisrina Adzkiya RinjaniPSMP731378555463276064804130002Depok08/04/2013Gang Rait RT 06/10 tanah baru817018441938.514817.69312,4
98/60
TTYYTTTTYYYY1
51
40Restu Bumi Athaya PratistoLSMP71275632113276092605120001Jakarta26/05/2013Ibnu armah 1 no 381280399737#DIV/0!
52
41Zelva Andrea PermataPSMP731151638043216065807110011Bekasi18/07/2011Jalan menteng wadas gg 38212145309942.915019.110411,9
99/83
TTYTTTTTYYYY
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