ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBK
8
NoNamaJenis KelaminJenjangKelasNISNNIKTempat Lahir Tgl LahirUsia (Ulang tahun terakhir)AlamatNo. HPDisabilitasHasil Pemeriksaan FisikKesimpulanIMUNISASI MRIMUNISASI DT
9
Faktor Resiko Gula Darah AnakResiko MalariaGejala Depresi AnakRiwayat Imunisasi Rutin Anak SekolahResiko HepatitisFaktor Resiko TBPenyakit Kusta Anak SekolahPenyakit SkabiesGiziTekanan DarahTelingaMataJumlah Gigi Karies
10
BB (kg)TB (cm)Indeks Massa Tubuh (kg/m2)IMT/U (SD)Status GizimmHgKlasifikasiTajam PendengaranSerumenInfeksi (cairan)Mata Juling / Pupil PutihTajam PenglihatanPenggunaan Kacamata
11
PLYaTidakYaTidakYa (1/2/3/4)Ya (1/2/3)YaTidakYa (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
NormalCuriga GangguanTidak AdaAdaTidak AdaAdaNormalCurigaNormalCuriga GangguanTidakYaTidak AdaKaries (1/2/3/>3)RujukTidak RujukImunisasi Yang di TerimaTanggal ImunisasiNo. BatchImunisasi Yang di TerimaTanggal ImunisasiNo. Batch
12
1ADINDA RENATA SETIOADIP1367403506190003JAKARTA13 JUNI 201911111
90/70
VVVVVVVV
13
2AFIZAH KHAIRINA LATHIFAHP13192279561KEBUMEN9-Sep-1911111
86/57
VVVVVVVV18/082026
0125N174B
14
3AHMAD GIBRAN KHALFANIL13195094158JAKARTA05 OKTOBER 20191111120115
116/90
VVVVVVVV18/082026
0125N174B
15
4AISH HILYAH AZURAP1JAKARTA01 OKTOBER 2019
16
5AISHA ZIVANA MARWAHP1JAKARTA10 OKTOBER 2019
17
6ALVIANNE RIZQIAP13200103512JAKARTA14 MARET 20201111121125
108/64
VVVVVVVV18/082026
0125N174B
18
7ARROYYAN RAFEEQ ALMALAYIKAL1JAKARTA29 OKTOBER 20191111120115
97/70
VVVVVVVV18/082026
0125N174B
19
8ASYARA PUTRI SABRINAP1
TANGERANG
26 JULI 20191111125125
98/66
VVVVVVVV18/082026
0125N174B
20
9DWI PRADIPTA ATHALLAH YUSUFL1KEBUMEN20-Nov-201111120
97/73
VVVVVV2V18/082026
0125N174B
21
10FAEYZA AL AZMI YANSYAHL1JAKARTA13 JULI 201911111
98/84
VVVVVVVV
22
11FATIMAH ELMIRA AZZAHRAP1BOGOR17 MARET 20191111120116
83/60
VVVVVV2V
23
12GHANI IRWAN ALFARIZIL1JAKARTA30 AGUSTUS 20191111126130
109/71
VVVVVV1V18/082026
0125N174B
24
13HANINDIYA PUTRI MUBAROKP13195125228DEPOK11 MEI 201911111
90/80
VVVVVVVV18/082026
0125N174B
25
14MUHAMMAD AKMALL111111
95/67
VVVVVVVV18/082026
0125N174B
26
15MUHAMMAD AL RAZKAL1BOGOR26 AGUSTUS 20201111120115
97/70
VVVVVVVV18/082026
0125N174B
27
16MUHAMMAD RAYYAN HAFIDZL1JAKARTA27 DESEMBER 2019
28
17NAIRA IDZATUNNISAP1JAKARTA18 JULI 20191111120115
97/70
VVVVVVVV18/082026
0125N174B
29
18NEILSON PUTRA ANGGRIANL1
KARAWANG
28/09/20191111125126
86/72
VVVVVVVV18/082026
0125N174B
30
19NUSAYBAH HIDAYAHP1
ACEH BESAR
02 DESEMBER 201811111
84/60
VVVVVVVV
31
20RAFA FAUZAN KAMILL1JAKARTA14.11.2019
32
21RATU AURA PUTRI DALIMUNTHEP1JAKARTA25.04.20201111140
98/74
VVVVVVVV
18/8/20226
0125N174B
33
22SHEZA YUMNA BANAFSHAP1JAKARTA15 OKTOBER 20191111120120
92/76
VVVVVV2V18/082026
0125N174B
34
23SHOVIE HASNA AMEERAP13174064210190003JAKARTA02 OKTOBER 201911111
76/56
VVVVVVVV18/082026
0125N174B
35
24SYAIRA PUTRI ANATASYAP1DEPOK02 OKTOBER 201911111
80/62
VVVVVV1V18/082026
0125N174B
36
25ABDUL JABBAR DEVANANTAL13190566826JAKARTA09 OKTOBER 201911111
97/82
VVVVVV2V
37
26AIZA ALFATHUNNISAP1DEPOK18-Sep-191111119116
92/58
VVVVVV2V18/082026
0125N174B
38
27
ALDEVARO RASYDAN ASSHIDDIQI ALFARUQ
L13196976285JAKARTA31 DESEMBER 2019
081314444391
1111141130
90/80
VVVVVVVV18/082026
0125N174B
39
28ALIFA SETIANA NAUFALYNP1JAKARTA19 DESEMBER 20191111117110
84/64
VVVVVV2V18/082026
0125N174B
40
29ARASYA ADITYA HAVAL13192065537JAKARTA26-Apr-191111121
90/80
VVVVVVVV18/082026
0125N174B
41
30ATHAR IBRAHIM HIDAYATL1JAKARTA06 OKTOBER 201908578036983011111
104/68
VVVVVVVV
42
31AZQIARA ALEIA RAHMAHP1KEBUMEN23 DESEMBER 20191111119119
97/70
VVVVVV2V18/082026
0125N174B
43
32KEANU HAMIZAN RAFISQY ADITYAL1DEPOK08 AGUSTUS 20191111130
90/59
VVVVVVVV18/082026
0125N174B
44
33KHADIJAH TANFAJIRUL HIDAYAHP13174095209190005DEPOK12/09/201911111
95/65
VVVVVV>3V
45
34KHIRANI HANA RAFANIAP13193026207JAKARTA01 MEI 2019
081219243546
11111
100/63
VVVVVV3V18/082026
0125N174B
46
35MOCHAMAD ALDIANO FIKRIL131943290233276092807190001JAKARTA28 JULI 2019
085946254491
11111
89/71
VVVVVVVV
47
36MUHAMAD YUSUF FAUZIL1JAKARTA26 AGUSTUS 20191111119115
85/72
VVVVVVV>3V18/082026
0125N174B
48
37MUHAMMAD HASAN AT SAANIIL13192745689JAKARTA26-Nov-19
087773837394
1111122120
112/68
VVVVVVVV18/082026
0125N174B
49
38MUHAMMAD IKRAM ALKATARL131933153071111120115
97/70
VVVVVVVV18/082026
0125N174B
50
39MUHAMMAD KSATRIA LANGITL13207561749DEPOK03 MEI 20200821227100501111119112
90/59
VVVVVV1V18/082026
0125N174B
51
40NASYWA FALGUNIP13197913700CIREBON04 JULI 2019
087728950676
11111
110/80
VVVVVV3V18/082026
0125N174B
52
41NAYLA SALSABILLAHP1JAKARTA13 JUNI 20191111120115
97/70
VVVVVVVV18/082026
0125N174B
53
42
NURKHALIZA AZZAHRA PUTRI LUBIS
P1DEPOK29 DEESEMBER 20191111120115
97/70
VVVVVVVV18/082026
0125N174B
54
43QINTARA AZ ZAHRAP131909375093276075510190003JAKARTA15 OKTOBER 20190813154233951111135
95/57
VVVVVVVV
55
44RAYANA ADARA RUSLYP13195790339JAKARTA18 JUNI 20190813985428121111117
94/77
VVVVVVVV18/082026
0125N174B
56
45RISA JULIYANTIP1BANDUNG25 MARET0813815811471111120115
97/70
VVVVVVVV18/082026
0125N174B
57
46SA'DUNA FAUZANAP1JAKARTA7-Nov-191111125118
85/72
VVVVVV1V18/082026
0125N174B
58
47SHAKEEL ASHRAF NURIZKYL1JAKARTA20 JUNI 2019
082246469324
11111
97/70
VVVVVV1V18/082026
0125N174B
59
48SYAKILA AISYAH PUTRIP1JAKARTA16 JULI 20191111120115
98/86
VVVVVVVV18/082026
0125N174B
60
49ADHITTAMA TIYANO SYAHREZAL13403022303190001JAKARTA23 MARET 20191111132126
86/73
VVVVVVVV18/082026
0125N174B
61
50ADREENA NASHA SHAQEENAP1JAKARTA21-Apr-19
62
51ALINA FAIHA BAHRIANIP1JAKARTA5-Sep-19
63
52ALMAHYRA RANIA SHANUMP1
PEKALONGAN
26-Sep-191111120112
95/66
VVVVVVVV18/082026
0125N174B
64
53ALYSA MAULIDAP13326601611190001
PEKALONGAN
26-Nov-1911111
98/69
VVVVVV>3V18/082026
0125N174B
65
54ANINDITA SALWAP1
PURBALINGGA
01 AGUSTUS 2019
66
55AZALEA ZAREENA FIBRIANTP13209144871
GUNUNGKIDUL
17-Apr-201111117110
97/70
VVVVVV>3V
67
56AZLAN ZAYDAN HIDAYATL13194956471CILACAP12 DESEMBER 20191111118115
97/70
VVVVVV3V18/082026
0125N174B
68
57INNAYAH FARIZA AZZAHRAP1DEPOK19 MARET 20201111125120
105/72
VVVVVVVV18/082026
0125N174B
69
58JENNIE HUNAFA PINTOP1JAKARTA23 DESEMBER 20191111122
89/63
VVVVVV3V18/082026
0125N174B
70
59JESSLYN ANUM PARVEENP1JAKARTA25-Sep-191111118115
90/80
VVVVVVVV18/082026
0125N174B
71
60KHANZA NUR SALSABILAP1CIANJUR28 FEBRUARI 2020
72
61MEIRZA YAHYA PERMANAL1JAKARTA18-Nov-170813186776391111119121
94/59
VVVVVV3V18/082026
0125N174B
73
62MUHAMAD ALVIN SAPUTRAL1DEPOK23 JULI 20191111136133
105/72
VVVVVVVV18/082026
0125N174B
74
63MUHAMMAD ALFI AR RISKYL13276090208190002JAKARTA02 AGUSTUS 20191111121
90/80
VVVVVVVV18/082026
0125N174B
75
64MUHAMMAD RUZAIN ARDANIL1JAKARTA26 JANUARI 2020
083877498274
1111128121
114/63
VVVVVVVV18/082026
0125N174B
76
65NAIRA AZ-ZAHRAP1TEGAL30 AGUSTUS 201911111
89/57
VVVVVV2V18/082026
0125N174B
77
66QALESYA SHAREEN ELSHANUMP1JAKARTA03 JULI 20191111116116
91/59
VVVVVVVV18/082026
0125N174B
78
67RACHEL AMAIRA ALFATHUNNISAP13193951023KALIREJO21 JULI 2019
79
68RIZA ABDULLAH LUBISL1JAKARTA24 OKTOBER 201911111
69/58
VVVVVVVV18/082026
0125N174B
80
69SATRIA BANU ARRASYIDL1JAKARTA20 AGUSTUS 20191111120115
97/70
VVVVVVVV18/082026
0125N174B
81
70SENNARA ALEA PRATAMAP13199116885JAKARTA22 DESEMBER 20191111120121
106/67
VVVVVVVV18/082026
0125N174B
82
71SYAFTA RIZQI ALGHIFARIL1DEPOK12-Apr-19
83
72WARIDATUL KHUSNA ISKHAKP1KEBUMEN09 DESEMBER 201911111
122/98
VVVVVVVV18/082026
0125N174B
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107