ABCDEFGHIJKLMNOPQRSAAABACAHAIAJAKALAMANAOAPAQARASATAUAVAWBDBEBFBGBHBIBJBKBLBMBNBOBPBQBR
7
TAHUN AJARAN:
8
NoNamaJenis KelaminJenjangKelasNISNNIKTempat Lahir Tgl LahirUsia (Ulang tahun terakhir)AlamatNo. HPDisabilitasHasil Pemeriksaan FisikIMUNISASICO ANALYZER
9
GiziKimia DarahTekanan DarahTelingaMata SehatGigi (Jumlah Karies)
10
BB (kg)TB (cm)Hasil Pemeriksaan mmHgGangguan TelingaSerumen TelingaInfeksi (Cairan) TelingaMata SehatTajam PenglihatanPenggunaan Kacamata
11
PLYaTidakIMTSTATUS GIZIGDSHBKananKiriKananKiriKananKiriKananKiriMata Kanan 6/6-6/9Mata Kanan <6/9Mata Kiri 6/6-6/9Mata Kiri <6/9TidakYaNormalKariesImunisasi Yang di TerimaTanggal ImunisasiNo. BatchHasil CO Analyzer
12
1Adela Nandita KusumaP73125736699
03674056707120005
Jakarta
27/07/2012
13Jl. Pangkalan Jati II Gg. Aryav42.7145.020.3B10011.7
124/80
vvvvvv
13
2Afifah Azmi NuraliyahP7
3276094401130002
Jakarta1/4/201312Jl. H. Jaeman Cilobak 4 Rt. 03/02 No. 85v43.2153.018.5B9912.3100/70tdktdktdktdktdktdkyayavvtdkyatdk
14
3Afifah SeptianiP73123109892
3276096409120002
Jakarta
24/09/2012
11
Jl. Madrasah 2 Rt. 05/02 Pangkalan Jati. Cinere. Depok
v52.5150.523.2B10312.5110/80vvvvvv
15
4Afiifah SaputriP73125369850
3276095409120001
Jakarta14/09/201312Jl. Al-Hidayah Rt. 4/2 No. 38 Pj. Baruv60.1153.525.5L10412.6
117/102
vvvvvv
16
5Afika FebriyaniP73132830043
3328026802130002
Tegal28/02/2013Jl. Madrasah Rt. 04/05 No. 117 Pangkalan Jativ54.7153.323.3B9612.7123/84vvvvvv
17
6Afka Azzam SyauqiL73120180956
3276091510120003
Jakarta17/10/2012Jl. H. Bara 2 Rt. 04/04 No. 1v38.9155.016.2B12013
128/84
vvvvvv
18
7Ahmad Fariz MaulanaL73129250389
3276092109120001
Jakarta21/09/2012Jl. Rawakopi 2 Rt. 07/07 No. 32v41.3157.016.8B14912.194/68vvvvvvvv
19
8Ahmad Maulana IbrahimL720252026112
3276093103120001
Kuningan31/03/2012Jl. Jati Mulya Rt. 6v54.9168.119.4B11014.7134/78vvvvvv2
20
9Ainun NisaP72025202601
3327077009130003
Pemalang30/09/2013
Jl. Madrasah Rt. 04/06 Pangkalan Jati. Cinere. Depok
v40.1156.016.5B9612.992/78vvvvvv
21
10Aira Ayu VigunaP7123474695
3276095912120001
Jakarta19/12/2012Jl. H. Limun No. 10v54.6141.027.5L11911.3118/99vvvvvv
22
11Aldy Fairul ChandraL73125830506
6401043108110003
Jakarta31/08/2011Jl. Pangkalan Jati. Jati Suma Rt. 2/2. PJ Cinerev51.3164.519.0B15413.6104/73tdktdkyayatdktdkyayavvtdkyatdk
23
12Ananda FebriyantiP73122624799
3276095502120003
Jakarta15/02/2012Jl. Pangkalan Jati Gg. Manggav#DIV/0!
24
13Andini PutriP73121502855
1471096804120003
Jakarta
28/04/2012
Jl. Madrasah 3 Rt. 3v50.415421.3B11812.9117/81tdktdktdktdktdktdkyayavvtdkyatdk
25
14Ani AprianiP73126148613
3305184604120002
Tangerang Selatan
04/06/2012Jl. SD Inpress RT. 02/05 No. 33Av36.915116.2B11113.5120/70tdktdktdktdktdktdkyayavvtdkyatdk
26
15Anisa MaharaniP73125118117
3276095804120005
Majalengka
18/04/2012
Jl. Ibnu Arma 1 Rt. 06/04 No. 132v50.4149.622.5B9412.7
104/72
vvvvvvv
27
16AnjaniP7125415141
3209277012120002
Cirebon20/12/2012Jl. Rawa Kopi Rt. 06/07 Pangkalan Jativ30.9147.614.2K12810.490/60tdktdktdkyatdktdkyayavvtdkya2
28
17Arraya Danesh HendriansyahP73127055660
3174036808121003
Jakarta08/12/2012
Jl. Bukit Raya Selatan Blok C 2C No. 25 Modern Hill. Pondok Cabe
v47.515819.0B12513.2109/73vvvvvv
29
18Arvian Arya SaputraL73134379586
3501071004130001
Pacitan04/10/2013Jl. Masjid Daruttaqwa Rt. 6/7 Limov27.113315.3B10912.291/62vvvvvvv
30
19Arza Fernado TorresL72025202656
3276091407120003
Jakarta
14/07/2012
Jl. Sejahtera No. 17A Rt. 30/02 Gandul. Cinerev40.7153.517.3B12513.2101/62vvvvvvvv
31
20Ayunda Cahya NdaruP73122599294
3276096806120001
Jakarta
28/06/2012
Jl. Madrasah 3 Rt. 05/02 No. 86 Pangkalan Jativ43.2154.518.1B13212.6125/66vvvvv2
32
21Aziva Chairul NilzaP73128411849
3312215802120001
Wonogiri18/12/2012Jl. Bijaksana I Gandulv46.3146.221.7B12.313.5107/79vvvvvv
33
22Cahaya Juwita DinariyahP73136439095
3174095705131002
Jakarta17/05/2013
Jl. Gang Damai Rt. 01/06 Pangkalan Jati. Cinere. Depok
v#DIV/0!
34
23Cahaya KinantyP73125745034
3276097112120002
Jakarta31/12/2012Jl. Cilobak 4v50.6150.222.4B1119.3110/63tdktdktdktdktdktdkyayavvtdkyatdk
35
24Cahaya Putri RamadhaniaP73135128234327609420430002Depok01/02/2013Jl. Rawakopi 2 Rt. 07/07 No. 32v44.315019.7B9710.2123/50vvvvvvv
36
25Cahyaning Nova QolbyP720252026740Pemalang11/03/2012Jl. Pintu Air 3 No. 62v4414421.2B10912.698/70tdktdktdktdktdktdkyayavvtdkya3
37
26Daffa Agus Tiyan PratamaL7126335302
3301062008120003
Cilacap
20/08/2012
Jl. Naidih Rt. 01/04 Cinerev28.8134.415.9B10710.5
104/77
tdktdkyayatdktdkyayavvtdkyatdk2
38
27Daffa Rizqi Al FarelL7138028037
3276092202130003
Jakarta22/02/2013Jl. Madrasah Rt/ 04/06 Pangkalan Jativ39.2149.517.5B12513.191/54tdktdktdkYAtdktdkyayavVtdkyatdk2
39
28Dave FerrellL73107430902187102300510005Jakarta30/05/2010Jl. Masjid Al Akhyar No. 75v44.216616.0B9312.3114/79vvvvvvvv
40
29Dimas Nur SaputraL72025202665
3276092011110003
Depok20/11/2012Jl. Madrasah Rt. 04/06 Pangkalan Jativ#DIV/0!
41
30Dina MeilinaP7134742616
1806125605130001
Tanggamus
16/05/2013Jl. Rawakopi I Rt. 2/4v48.414921.8B10511.8128/82vvvvvv
42
31Dinda Hanna AnggrainiP73122299723
3276096408120002
Jakarta
24/08/2012
Jl. Masjid Al-Akhyar Rt. 29/02 No. 144A Gandulv68.515927.1L8712.4124/85vvvvvvvv
43
32Dion SetyawanL73116438437
3312052412110001
Wonogiri24/12/2011
Jl. CILOBAK RAYA. RT.005 RW. 007 No. 135. Kelurahan: PANGKALAN JATI Kecamatan:CINERE
v62.9163.423.6B10612.5111/72vvvvvvv
44
33Elma AzariaP73123804090
3174055211121004
Jakarta11/12/2012Jl. Jati Murniv65.2162.524.7B10513.1110/70vvvvv2
45
34Fasya Syahdan GhifariL720252026440Jakarta21/12/2012Jl. Pangkalan Jati 2 Gg. Jambu Rt. 02/02 No. 28v28.3138.414.8K10211.4102/77vvvvvv
46
35Felicia ElvarettaP73121078489
3327066112120001
Pemalang21/12/2012Jl. H. Saleh Rt. 07/07 Pangkalan Jativ36.4153.315.5B13512106/60vvvvvv
47
36Fiki Restu SanjayaL73129318121
3205111309120001
Tasikmalaya
13/09/2012
Kp. Tanjungsari Rt. 02/06 Bojonggambir. Tasikmalaya
v39.6146.518.5B13312.5126/63tdktdktdktdktdktdkyayavvtdkyatdk2
48
37Fitriana SalsabilaP7127757946
1806025504120002
Lampung15/04/2012Jl. Naidih Rt. 01/04 No. 344 Cinerev40.8147.518.8B9512.7118/64vvvvvv
49
38Fritzie Amar Al AbbasyL73130958674
3276090702130004
Jakarta02/07/2013Jl. Pangkalan Jati II No. 107 Rt. 03/02v#DIV/0!
50
39Haura RianiP73132804993
3276094401130003
Jakarta01/04/2013Jl. Jemanv47.7152.320.6B9712.8110/77vvvvv2
51
40Helga SyakiraP73121107055
3276096511120001
Bandung25/11/2012Jl. Swadaya No. 6 Rt. 07/07 Pangkalan Jativ#DIV/0!vvvvvv2
52
41Hisyam Iqbal HauzanL73132997939
3303020803130003
Jakarta03/08/2013Jl. Jati Mulya Rt. 01/06 No. 6 Pangkalan Jativ33.4150.814.7B10013.383/64TDKtdkyayatdktdkyayavvvv2
53
42Iffah AiniP73128873545
3329064305120002
Brebes05/03/2012Jl. Rawa Kopi I Rt. 02/004v69.9156.528.5L10714.4118/86vvvvvv
54
43Ihsan SeptiansyahL720252026340Kebumen09/08/2012Jl. Inpres Rt. 04/05 Cinerev95.3161.536.5L193129/73
55
44Irpani Pathun NajaL73120364770
3276090508120003
Jakarta08/05/2012Jl. Andara Gg. Masjid Rt. 8/2 No. 102v42.1141.421.1B12112.9114/69tdktdktdkyatdktdkyayavvtdkyatdk2
56
45Jefri PrasetiyaL73124744657
3276091806120001
Jakarta18/07/2012Jl. Al-Hidayah Rt. 4/2 No. 126 Pj. Baruv77.5168.527.3L11216.2156/89vvvvvvv2
57
46Khaira Nashita HP73122625310
3276094809120003
Jakarta09/08/2012Jl. H. Adih 3 Rt. 03/04v51.9152.322.4B9811.1114/75vvvvvvv
58
47Khalila AriyaningtyasP7123783220
3210196111120001
11/12/2012
Dusun Jahalaksana Rt. 01/02. Palasah. Majalengka. Jawa Barat
v44150.519.4B15213111/89vvvvv1
59
48
Khoirunisa Cahaya Ramadhani
P73128378272
3276096107120002
Jakarta21/07/2012Jl. Cilobak 4 Rt. 05/07 No. 54 Pangkalan Jativ51.2155.121.3B11311.3106/77vvvvvvv3
60
49Kimi Malika AzalenkaP73129911125
3276094510120001
Jakarta10/05/2012Jl. Cilobak II Gg. Istiqomah No. 116v40.4148.718.3B9213114/83vvvvvvv
61
50Luthfia Syaifa NakhlaP73134727018
3173054604131006
Jakarta04/06/2013Jl. Masjid Al-Akhyar Rt. 09/02 Gandulv40.9153.217.4B11410.8110/67vvvvvvv
62
51M. Rezky Al-AbimL73123727549
3276091904120002
Jakarta
19/04/2012
Jl. H. Jeman Rt. 03/05 No .100v39.6151.617.2B10013.1tdktdkyayatdktdkyayavvtdkyatdk
63
52M. Robiul AwalL73124303592
3174062501121008
Jakarta30/11/2012Jl. H. Saleh 2 Rt. 03/07v41.8159.516.4B9813.5125/75vvvvvvvv
64
53Maramy Niswa DzakiahP73137950272
3276097001130001
Jakarta30/01/2013Jl. Cilobak 4 Rt. 05/07 No. 32 Pangkalan Jativ#DIV/0!
65
54Maulana WirasanaL7124175537
3276091310120004
Jakarta13/10/2012Jl. Cilobak IV Rt. 04/07 Pangkalan Jativ50.815321.7B13414.9143/70vvvvvvv
66
55Mayang Zaskia Pebriani PutriP7136193725
3203236202130001
Cianjur22/02/2013Jl. Bijaksana Rt. 10/2v53.1160.520.6B10811.7122/80vvvvvvvv
67
56Merry Maya WatiP73128118486
3325075003120001
Jakarta03/10/2012v#DIV/0!
68
57Mikhayla Hamsy Al ZharifaP73130139663
3174056501131009
Jakarta25/01/2013Jl. Masjid Andara Dalam Rt. 04/01 No. 43v37.6156.515.4B1021292/66vvvvvv
69
58Mohammad HabibieL73115194139
3276090508110003
Depok08/05/2011Jl. Ibnu Arma 1 Rt. 01/04 No. 106v40.1158.416.0B10510.994/63vvvvvv
70
59Muhamad I'fa WaibqouhaL7123504801
3328062808120001
Tegal
28/08/2012
Jl. Madrasah3. RT.04 RW. 02 No.86 Kelurahan: Pangkalan Jati Kecamatan: Cinere Kota: Depok
v40.7155.316.9B11512.299/81vvvvv3
71
60
Muhammad Alif Oktarian Prandez
L7121568386
3301241311120003
Bandung Barat
13/10/2012Jl. Markisa Ujung No. 8 Cinere. Depokv50.1164.618.5B11616.8110/77tdktdkyatdktdktdkyayavvtdkyatdk
72
61Muhammad AssidiqL73127498510
3174072003121002
Jakarta20/03/2012Jl. Pintu Air 3 Rt. 09/02 Gandulv38.2153.816.1B12613.1120/72tdktdkyayatdktdkyayavvtdkyatdk2
73
62Muhammad Deniz FarshadL7125348507
3276090907120005
Payakumbuh
07/09/2012Jl. Cilobak Raya Rt. 02/07 No. 7 Pangkalan Jativ32.3147.214.9K11413.9109/67vvvvvvv22
74
63Muhammad Fatih RahlilL73122608252
3276092102120001
Jakarta21/02/2012Jl. Rawakopi 2 Rt. 07/07 No. 21v29142.514.3K10513.292/68vvvvvvvv2
75
64Muhammad Ihcan AbiyuL71234567890
3276092803120004
Jakarta28/03/2012Jl. Jati Indah 2 Terusan RT. 05/06 Pangkalan Jativ41.6156.617.0B13612.9109/57tdktdkyayatdktdkyayavvtdkyatdk2
76
65Muhammad Raffa KurniawanL73127492466
3276090610120002
Jakarta10/06/2012Jl. Madrasah Rt. 05/06 Pangkalan Jativ42.615817.1B9412.1vvvvvvv1
77
66Muhammad Rayyan SuudiL7131028866
3174062101131003
Jakarta21/01/2013Jl. Rangu IV Rt. 06 Pangkalan Jati. Cinerev37.8153.616.0B10712.498/64vvvvvv
78
67Muhammad WaliL73124060085
3276091805120006
Jakarta18/05/2012Jl. Madrasah Rt. 04/06 Pangkalan Jativ3915915.4B9912.3119/83tdktdktdktdktdktdkyayavvtdkyatdk
79
68Naura Azfa TsabitaP73127359731
3276095805120002
Jakarta18/05/2012
Jl. Madrasah RT.05 RW. 06 No.16 Kelurahan: Pangkalan Jati Kecamatan: Cinere Kota: Depok
v51.9154.321.8B1038110/69yayatdktdktdktdkyayavvtdkyaya
80
69Naura Nur AindahP73136202497
3302075201130001
Banyumas01/12/2013Jl. H. Saleh 2 Rt. 03/07v56.115124.6B10010.9108/79vvvvvv2
81
70Nayra ZalindaP7125543222
3276095706120001
Jakarta17/06/2012Jl. Kramat No. 10Av41.6153.517.7B10913.3106/81vvvvv3
82
71Nayyara Aila ArishandyP7129602934
3208234801120001
Kuningan01/08/2012
Jl. Masjid Al-Akhyar Gg. H. Biih Rt. 08/08 No. 64 Gandul
v34.2150.215.2B10912100/68vvvvvv
83
72Nazma Nuris AqillahP7129041620
3276096408120001
Jakarta
24/08/2012
Jl.v80.916629.4L9613116/78vvvvvv1
84
73Nazril RamadhanL73126254092
3209233107120001
Cirebon31/07/2012Jl. Pribadi III Rt. 04/04 Pangkalan Jati Baruv40.1152.717.2B10511116/73tdktdktdktdktdktdkyayavvtdkyatdk
85
74Nuralika PuteriP73123889975
3276095104120001
Jakarta04/11/2012Jl. Swadaya No. 4 Rt. 07/07v55.9156.422.9B10814.3122/90vvvvvv
86
75Putra PratamaL73125545769
3276091203130001
Jakarta03/12/2013Jl. Madrasah Rt. 04/06 Pangkalan Jativ42.4154.517.8B1611397/63vvvvvvvv2
87
76Rafa Andrea Hafidz IbniL73134610434
3315041202130001
Grobogan02/12/2013Jl. Kramat Pangkalan Jati Rt. 01/01v32.2147.314.8B14514.4103/75vvvvvvv1
88
77Rafa RadityaL73124417345
3171083108121005
Jakarta31/08/2012Jl. Yayasan Rt. 08/08 Gandul Cinerev#DIV/0!
89
78Rafasya Arka Putra EffendiL73124502784
3276091305120003
Medan13/05/2012Jl. Cilobak IVv#DIV/0!
90
79
Rafelo Aditya Pratama Widodo
L72025202603
3315042202130003
Grobogan22/02/2013
Jl. Madrasah RT.05 RW. 06 No.C3 Kelurahan: Pangkalan Jati Kecamatan: Cinere Kota: Depok
v#DIV/0!
91
80Raffa Ardiyanto SaputraL73128154295
3674032405110003
Jakarta
24/05/2012
Jl. Sejahtera No. 17B Rt. 30/02 Gandul. Cinerev50.9163.819.0B11314107/69vvvvvvv
92
81Rahma RahmadaniP73122309674
3301086007120002
Cilacap
20/07/2012
Jl. RS. Fatmawati No. 36A Rt. 08/04 Cilandak Barat. Cilandak
v41.315716.8B10612.895/65vvvvvv
93
82Raihana Latifa AmirahP720252026130Jakarta25/06/2013Jl. Pangkalan Jati 2 Rt. 02/06 Pangkalan Jativ58.2152.225.1B10612.1vvvvvvv
tidak bisa diinput
94
83Raka Maulana YusufL7129251438
3276091710120001
Jakarta17/10/2012
Jl. Pangkalan Jati Rt. 02/02 No. 30 Pangkalan Jati
v57.2154.623.9B10014.5117/74vvvvvvvv
95
84
Rakha Ramadhan Abdi Waluyo
L73121886432
3174060708121001
Jakarta08/07/2012Jl. Persatuan Rt. 06/06 No. 18 Cilobak Baratv39.9151.317.4B102131101/63vvvvvvv
96
85Ramello Roid SebastianL7127101967
3276020907120006
Jakarta07/09/2012Jl. Cilobak 3v37.4135.320.4B1091290/65vvvvv2
97
86Resya AfizhaP73120523410
3276096210120001
Jakarta22/10/2012Jl. Raya Pangkalan Jati 1 Rt. 01/07v#DIV/0!
98
87Rifka AulianiP73110714799
3276095305110001
Depok13/05/2011Jl. Andara Dalam Gg. Pribadi 1 No. 70v44.114620.7B12810.7112/82vvvvvv
99
88Rindi Tribuana SariP73129526598
3315044301120004
Jakarta01/03/2012Jl. H. Limun No. 12 Pangkalan Jativ50.215321.4B9212.2125/83vvvvvvv
100
89Rizki Ahmad MaolanaL7119985102
3276091901110001
Jakarta19/01/2011-v#DIV/0!
101
90Robiatul AdawiahP73127316365
3276094207120001
Jakarta07/02/2012Jl. Rawa Kopi Rt. 06/07 Pangkalan Jativ60.514728.0L10314.7101/76vvvvvvvv
102
91Safira Rahma Nur'aliaP73125977628
3276094109120001
Depok09/01/2012Jl. Andara Dalam Gg. Pribadi 1v71.616028.0L9610.1110/71vvvv
103
92Salsabila Aulia OktafianiP7126367964
3276095410120002
Jakarta14/10/2012Jl. Madrasah Rt. 03/02v3715315.8B10312.1101/63vvvvvv
104
93Septyana Boru SidabutarP731256108170Cilacap
14/09/2012
Jl. Al Hidayah Rt. 004/002 Pangkalan Jati Baruv35.914916.2B9512.9130/70vvvvvvv
tidak bisa diinput
105
94Shazrina Az-ZahraP73127984164
3211167006120001
Sumedang30/06/2012Jl. Pangkalan Jati 2 Rt. 02/06 Pangkalan Jativ64.915925.7B13012.3122/85vvvvvv
106
95Sofiatul NafsiyahP7129306942
3507304203120001
Malang03/02/2012
Jl. H. Bara Gg. H. Jiman Rt. 03/05 No. 37A Pangkalan Jati Baru
v67.1152.528.9L12412.4128/88tdktdktdktdktdktdkyayavvtdkyaya