ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBMBNBOBPBQBRBSBT
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NoNamaJenis KelaminJenjangKelasNISNNIKTempat Lahir Tgl LahirUsia (Ulang tahun terakhir)AlamatNo. HPDisabilitasHasil Pemeriksaan FisikKesimpulanIMUNISASIIMUNISASI MRIMUNISASI DT
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Resiko Gula Darah AnakResiko MalariaGejala Cemas RemajaKesehatan Reproduksi PutriKelayakan Tes KebugaranPerilaku Merokok Resiko HepatitisResiko TBPenyakit Kusta Anak SekolahPenyakit SkabiesRiwayat Imunisasi Rutin LengkapGiziTekanan DarahTelingaMataGigiKebugaran (Kelas 4-6)
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BB (kg)TB (cm)Indeks Massa Tubuh (kg/m2)IMT/U (SD)Status GizimmHgKlasifikasiTajam PendengaranSerumenInfeksi (cairan)Mata LuarTajam PenglihatanPenggunaan KacamataWaktuKlasifikasi
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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)YaTidakYaTidakGizi Buruk
< -3SD
Gizi Kurang
-3SD sampai < -2SD
Gizi Baik
-2SD sampai +1SD
Gizi Lebih
> +1SD sampai +2SD
Obesitas
> +2SD
Normal: 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
Dapat 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
1ABIZARD RAQILLA ALFARIZKYLSD3174062906180004BOGOR29/06/2018vvv3113816.28kurang90/70vvvvvvv
13
2AFIDA PARAMITAPSD3305217003190002KEBUMEN30/03/2019vvv2011714.6Kurang80/60vvvvvvv
14
3AHMAD SALMAN ALFARIZILSD3276091305180003JAKARTA13/05/2018vvv2312115.7Kurang86/70vvvvvvv
15
4AISYAH AYUDIA INARAPSD3276095808180002DEPOK18/08/2018vvv21.512214.4Kurang99/76vvvvvvv
16
5AISYAH AYUNINDYA INARAPSD3308216505180001MAGELANG25/05/2018vvv22.1511915.6Kurang79/53vvvvvvv
17
6ALAYYA DAMAYANTIPSD3276094703180001JAKARTA
07/03/2018
vvv34.413020.4Normal103/72vv vvvvv
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7ALFATH ZHAFI RAMADHANLSD3276091705180003DEPOK17/05/2018vvv30.312718.8Normal90/80vvvvvvv
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8ALINA ADAWIATUL RAHMAPSD3326024612180001PEKALONGAN06/12/2018vvv21.512314.2Kurang64/50vvvvvvv
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9ARKAN FADLI AZIZLSD3512031006180002SITUBONDO06/10/2018vvv21.212014.7Kurang90/80vvvvvvv
21
10AQIFA MAULIDINA HADIPSD3276094112180001DEPOK01/12/2018vv18.712112.8Kurang78/63vvvvvv2
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11ARRAZI FIRAZ KAWAKIBILSD3276040805180002
TANGERANG SELATAN
08/05/2018vvv19.412412.6Kurang90/80vvvvvvv
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12ARSYAD JUNIARKA RAMADHANLSDBREBES07/06/2018#DIV/0!
24
13ARSYILA PUTRI SHAIMAPSDBOGOR23/01/2019vvv26.513115.44199056Kurang103/65vvvvvv2
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14AVIRZA FIRMANSYAHLSDJAKARTA29/06/2016#DIV/0!
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15AZKAYRA SHEZAN ALMAHYRAPSD3174086812170001JAKARTA28/12/2017vvv22.712714.07402815Kurang112/78vvvvvvv
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16AZKIYA ANNISAPSDDEPOK
28/09/2018
vv24.412116.66552831Kurang90/80vvvvvvv
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17AZZAM NUR FAIZANLSD3301132806180001CILACAP28/06/2018vvv2812418.21019771Kurang86/64vvvvvv2
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18BANU LEUCALSD3276090406190001JAKARTA06/04/2019vv2412016.66666667Kurang87/80vvvvvv3
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19DANIRA YASYIFAPSDJAKARTA30/12/2017vvv2913017.15976331Kurang105/66vvvvvv1
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20FAQIH SYA'BAN RAHANDIKALSD3276093004180002DEPOK30/04/2018vvv2812617.6366843Kurang100/64vvvvvv3
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21GHAITSA HASNA ALITAPSD3276095408180001DEPOK14/08/2018vvv2412116.39232293Kurang98/78vvvvvv2
33
22ISNA AZKAYRA PUTRIPSD3276094709180003DEPOK
07/09/2018
vvv2613015.38461538Kurang90/60vvvvvvv
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23MUHAMAD RAMDAN RAMDHANILSD
KABUPATEN GARUT
29/06/2016vvv2112812.81738281Kurang89/70vvvvvv1
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24MUHAMMAD ALVEROLSDJAKARTA9/12/2018#DIV/0!
36
25MUHAMMAD SAKHALSDDEPOK29/09/2018vvv19.211714.02586018Kurang90/70vvvvvv1
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26NAFISAH SHIDQIATUL ARAFAHPSDJAKARTA07/06/2018vvv19.511714.24501425Kurang85/59vvvvvvv
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27NATTA ZIANDRU ROMEOLSD3174070308180002JAKARTA
03/08/2018
v3vv2412016.66666667Kurang122/93vvvvvv1
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28PRIMA PRATAMALSD3276091507180002
TANGERANG SELATAN
15/07/2018
v1vv22.712714.07402815Kurang100/64vvvvvv3
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29RAYYAN SYAUQILSD3276092711170004DEPOK27/11/2017vvv33.513119.52100693Normal104/82vvvvvvv
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30VERREN SHAQUILALSD3276091511170001JAKARTA
15/11/2017
vvv23.713014.02366864Kurang83/68vvvvvvv
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31ACHMAD AL RAZILSDJAKARTA7/31/2018#DIV/0!
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32ADANA NEELAM KHAIRUNNISAPSD3276096403180001DEPOK3/24/2018vvv23.612515.104Kurang95/74vvvvvvv
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33ADEEVA AFSHEENIA HENZIEPSD3305266707180002KEBUMEN7/27/2018vvv5012830.51757813Obesitas114/76vvvvvvv
45
34AFIZA HASNA FADILLAPSD3277034206180002CIMAHI6/2/2018vvv16.511412.69621422Kurang90/60vvvvvvv
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35AISYAH AYUDIA INARAPSD3502135204180001DEPOK4/12/2018vvv2112014.58333333Kurang110/66vvvvvv2
47
36ALBARRA RIZQULLAH HAMKALSD3276091408180001
TANGERANG SELATAN
8/14/2018vvv2112114.34328256Kurang94/62vvvvvvv
48
37ALKHALIFI YUSUF NURFATHILSDDEPOK3/23/2018vvv2112114.34328256Kurang90/80vvvvvv4
49
38ALZAM ARTANABIL CHANIAGOLSD1271091705180002MEDAN5/17/2018vvv17.511613.00535077Kurang83/60vvvvv5
50
39ARKANA SYAILENDRA UTAMALSDDEPOK3/10/2017vvv2312015.97222222Kurang90/80vvvvvv
51
40ARUMMY ARISHAPSDTEGAL8/9/2018#DIV/0!
52
41ASHAR ALFARIZKYLSD3174053005180006JAKARTA5/30/2018vvv2011814.3636886Kurang87/57vvvvvvv
53
42ASYKAA HUMAIRA AZZAHRAPSDDEPOK12/7/2017vvv17.211812.35277219Kurang96/51vvvvvvv
54
43Hanif Alfatih Zalia PutraLSD3174062202190003DEPOK2/22/2019vvv21.412214.37785542Kurang90/80vvvvvvv
55
44IRTIZA AZKA SANGSONGKOLSD3276091912180002DEPOK19/12/2018vvv24.511917.30103806Kurang107/42vvvvvv1
56
45KALA SHAREENPSD3276094403190003DEPOK04/03/2019vvv2012013.88888889Kurang90/80vvvvvvv
57
46KHEYRA KHANZA PITUAMUSPSD3276096703190001KUNINGAN3/27/2019vvv18.611913.13466563Kurang90/180vvvvvv2
58
47MUHAMMAD FADIL BUSTOMILSDJAKARTA25/01/2018vvv26.112815.93017578Kurang100/70vvvvvvv
59
48MUHAMMAD IZZA FADHILALSD1b3505160308190003NGANJUK03/08/2019vvv#DIV/0!82/64vvvvvv2
60
49MUHAMMAD KHAI SISWOATMODJOLSDDEPOK27/02/2018vvv26.513215.20890725Kurang100/60vvvvvvv
61
50MUHAMMAD RAJA SULAIMANLSD3671013009180006DEPOK30/09/2018vvv17.211612.7824019Kurang80/60vvvvvv5
62
51MOHAMMAD SHAKEEL AL FAEYZALSDJAKARTA15/10/2017#DIV/0!
63
52MUHAMMAD YATHA ARUNALSDJAKARTA13/09/2017#DIV/0!
64
53RAFASYA AURORAPSD1808075805190002WAY KANAN18/05/2019vvv16.811313.15686428Kurang79/67vvvvvv3
65
54RAID ARCANA MAUZABILLAHLSD3276090910180003JAKARTA9/1/2018vvv19.611614.56599287Kurang90/80vvvvvvv
66
55SALMA SOFIA APSDJAKARTA10/8/2018#DIV/0!
67
56SHANUM ALTHAFUNNISAPSD3326027009180004DEPOK30/09/2018vvv2512017.36111111Kurang90/80vvvvvvv
68
57TANYA AYUDIA INARAPSD3175046401190004JAKARTA24/01/2019vvv24.512715.19003038Kurang90/62vvvvvv
69
58TSABITA MEIJIPSDJAKARTA5/17/2019vvv24.312415.80385016Kurang90/60vvvvvvv
70
59WILYA YUMNA AL FATIHPSDJAKARTA08/11/2018
71
60ZEIN SULTHAN KURNIALSDSUMEDANG04/01/2019
72
61SHAKILA PUTRI ARIESTAPVVV2912418.86056191Normal90/80VVVVVVV
73
62UMAR HIDAYATL1171023012160001VVV26.512816.17431641Kurang99/78VVVVVVV
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