ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBK
8
NoNamaJenis KelaminJenjangKelasNISNNIKTempat Lahir Tgl LahirUsia (Ulang tahun terakhir)AlamatNo. HPDisabilitasHasil Pemeriksaan FisikKesimpulanIMUNISASI MRIMUNISASI DT
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Faktor Resiko Gula Darah AnakResiko MalariaGejala Depresi AnakRiwayat Imunisasi Rutin Anak SekolahResiko HepatitisFaktor Resiko TBPenyakit Kusta Anak SekolahPenyakit SkabiesGiziTekanan DarahTelingaMataJumlah Gigi Karies
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BB (kg)TB (cm)Indeks Massa Tubuh (kg/m2)IMT/U (SD)Status GizimmHgKlasifikasiTajam PendengaranSerumenInfeksi (cairan)Mata Juling / Pupil PutihTajam PenglihatanPenggunaan Kacamata
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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
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1Alesha Kaifiya HermawanPSD/MII (SATU)-3674055508200006Jakarta15 Agustus 20206JL. LOBAK RT 04/06 PONDOK CABE ILIR0895331123442vv00v00vv16,8108,791/62vvvvvvv
21 Agustus 2026
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2Alesha Rizqi AzzahraPSD/MII (SATU)-3307105301200002Jakarta13 Januari 20207JL. SENGON RT 02/08 CINERE081294244095
14
3Alesha Zahra AmeliaPSD/MII (SATU)-3276096206190001Depok22 Juni 20197KOMPLEK BPC NO. 2 BLOK C GANDUL085939617855vv00v00vv27123,8109/74vvvvvv>321 Austus20260125N173A
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4Gibran Estu NareswaraLSD/MII (SATU)-3276092907190003Jakarta29 Juli 20197JL. PLN RAYA GG MUSOLLA I GANDUL085697433371vv00v00vv18,4113,796/71vvvvvv3
21 Agustus 2026
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5Hafizh Ramadhan AlfarizqiLSD/MII (SATU)-3278021505190001Depok15 Mei 20197JL. CINERE RAYA, GG BERSAMA NO. 12A CINERE082295022039vv00v00vv21,3117,7106/67vvvvvvv
21 Agustus 2026
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6Hurya Palestinez ZaidyPSD/MII (SATU)-3276096508190001Jakarta25 Agustus 20197JL. H. MUHAJIR RT 03/04 NO. 73 CINERE085726832410
18
7Muhammad Akhtar Ar RasyidLSD/MII (SATU)3276091207190002Depok12 Juli 20197JL. PERSATUAN CINERE 081297998729vv00v00vv17,311199/56vvvvvvv
21 Agustus 2026
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8Muhammad Daffa AbdullahLSD/MII (SATU)-3174061106190012Jakarta11 Juni 20197JL. BUKIT CINERE NO. 21 CINERE085891333865vv00v00vv16,3114,490/60vvvvvv>3
21 Agustus 2026
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9Mehrunisa Adifa HabibiPSD/MII (SATU)-3174065308190003jakarta13 Agustus 20196JL. CILOBAK RAYA PANGKALAN JATI08568646514vv00v00vv27127.8109/72vvvvvv>3
21 Agustus 2026
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10Mikhayla Adeeva KhairPSD/MII (SATU)-3276094411190004Depok04 November 20197JL. SAWO 2, GANDUL085774902377
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11Moulay Goldiano HasanLSD/MII (SATU)-3276090508100002Jakarta05 Agustus 20197Cinere estate jl. cendana 1 Blok B no.8085883627929vv00v00vv37,3130121/108vvvvvvv
21 Agustus 2026
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12Muhammad FatihLSD/MII (SATU)-3175032201190008Jakarta22 Januari 20197Jalan Persahabatan Griya Sahabat Bo.27A085778518077
24
13Nabila Zevanna PurwantoPSD/MII (SATU)-3276095608190002Depok16 Agustus 20196.11Jalan Persatuan, Cinere081398975349vv02v00vv17,7114,390/52vvvvvvv
21 Agustus 2026
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14Nadhira BalqisPSD/MII (SATU)-3175055504190003Jakarta15 April 20197.3Jalan H.Rosyid No.48087884475609
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15Nayla Azkia FahraniPSD/MII (SATU)-3276096007190003
Tangerang Selatan
20 Juli 20197Jalan H.Rosyid No.24082128611134vv00v00vv21,6120,290/60vvvvvv2
21 Agustus 2026
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16Alesha Rizqi AzzahraPSD/MII (SATU)-3174094811190009Jakarta08 November 20197Ciganjur , Jakarta Selatan08964645988vv00v00vv19,2112,583/45vvvvvv3
21 Agustus 2026
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17Shafiyah AbidPSD/MII (SATU)-3276094404200002Jakarta04 April 20206
Perum Mega Cinere, Jalan Labu Siam Blok.L Cinere
082233454007vv00v00vv19,6114,299/68vvvvvvv
21 Agustus 2026
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18Zayyan Altaff DarreenLSD/MII (SATU)-3276091603190001DEPOK16 MARET 20197,5JL. CENDANA NO. 3 RT 04/04 CINERE085719642336vv00v00vv22,2118,788/57vvvvvvv
21 Agustus 2026
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19Zivanna Almaira ShanumPSD/MII (SATU)-3276094402190001Depok04 Februari 20197.5Jalan Persatuan No.11 C , Cinere085659564922vv00v00vv26,7123,490/60vvvvvvv
21 Agustus 2026
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20Binar Fitria MahardikaPSD/MII (SATU)-3517095508190001DEPOK15 AGUSTUS 20197BOUGENVILLE RESIDENCE B2 CINERE081806813165vv00v00vv18,8117,490/80vvvvvv1
21 Agustus 2026
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21Firaz Al HananLSD/MII (SATU)-3276090403190002Depok04 Maret 20197
Jalan Andara dalam Gg.Sawo Pangkalan Jati baru
08954002929918vv00v00vv21,5116,494/75vvvvvv1
21 Agustus 2026
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22Adnan Dhafir ZulchairLSD/MII (SATU)-3276041812190001Depok17 Desember 20196.7Jalan H.Midi II No.26 A Limo, Depok08979733599vv00v00vv18,6109,7100/64vvvvvv>3
21 Agustus 2026
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23Kenzie Rafka AlghaisanLSD/MII (SATU)-3276090403190003Jakarta04 Maret 20197.5Jalan Erha Gg.Pribadi No.48B081806463853
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24Nuraini Assyifa PutriPSD/MII (SATU)-3276094210190003Jakarta02 Oktober 20196.10Jalan Persahabatan No.25 Cinere085921177429vv00v00vv23,7116,993/72vvvvvvv
21 Agustus 2026
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25Muhammad Atharrazka AdhyasfaLSD/MII (SATU)-3276043007190002Jakarta30 Juli 20167
Jalan limo raya Gg.Mushola Mudamawatul islam No. 68
081380717288vv00v01vv31,8125,599/78vvvvvvv
21 Agustus 2026
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26Azkar Alfatih HidayatLSD/MII (SATU)-3276090203190001Depok02 Maret 20197Jalan PLN Raya Gg.Musholla No.56C085714745930
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27Muhammad Kenzie AlfarezelLSD/MII (SATU)3180882906317407291218001Jakarta29 DESEMER 20196,5JL. H. JOAN I RT 24/05 GANDUL
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28Maryam Aghnia AzzahraPSD/MII (SATU)32076598943276094207200002Depok02 Juli 20206.1Jalan Persatuan Gg.H.Naidih083873636601vv00v00vv19,1114,993/61vvvvvvv21Agustus 20260125N173A
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29Aisyah Naziya Al BukhoriPSD/MII (SATU)-3276014503200001Depok05 Maret 20206Jalan PLN Gg.Musholla 2 Cinere-Gandul087788634888vv00v00vv20,7111,5108/74vvvvvvv
21 Agustus 2026
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30Mauza Abqary Lentera ArdanisLSD/MII (SATU)-3276091804190002Jakarta18 April 20197Jalan PLN Gandul, Gg.Mushola 1082298875100vv00v00vv23,5126,291/58vvvvvvv
21 Agustus 2026
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31Adila Rifka MuazzamaPSD/MII (SATU)319997006763674066608190002TANGSEL26 AGUSTUS 20197JL. TALAS II NO. 41 PONDOK CABE ILIR087886615657vv00v00vv20,2116,793/50vvvvvv1
21 Agustus 2026
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32Muhammad Fariz ArrafiLSD/MII (SATU)3194646895327609099190001Depok09 September 20196.10Jalan masjid 1 no.14085811392412vv00v00vv32,8119,9100/90vvvvvvv21 Agustus20260125N173A
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33Shanum Maryam ChandraPSD/MII (SATU)31904261753174066910190005Jakarta29 Oktober 20196.9Jalan Lestari No.45 Gandul Cinere08999673255vv00v00vv22,3119,582/63vvvvvvv21 Agustus20260125N173A
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34Muhammad Khairu Miftahil ArzaaqLSD/MII (SATU)31976766063276093012190001DEPOK30 DESEMBER 20196.7JL. PERSATUAN RT 03/03 CINERE085172477980
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35Alcheo Syahm Rend AtmokoLSD/MII (SATU)32078513283312080704200002Sragen07,April 20206.3Jalan Masjid Al Akhyar Gg.Mushola Nurul Iman08128188123vv00v0vv16,3114,590/60vvvvvvv
21 Agustus 2026
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36Devano Bagas SLSD/MII (SATU)-3276094210190003Jakarta Selatan12 Januari 20206.6Jalan Bukit Cinere 1 Gg.H.Soka085891198224vv00v00vv19,6115,898/69vvvvvvv
21 Agustus 2026
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37Jayvand Ramadhani Hardian DLSD/MII (SATU)317105095200002jakarta08 Mei 20206.3Jalan kebon sirih85716373020vv00v00vv20,2119,860/46vvvvvv>3
21 Agustus 2026
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38Abdul Fattah Al-KarimLSD/MII (SATU)-3174063012180002JAKARTA30 DESEMBER 20187JL. MARGASATWA NO. 37 PONDOK LABU
50
39Syafiq Adzkari AnnurLSD/MII (SATU)-3174071601200004JAKARTA16 JANUARI 20206CINERE RESIDENCE, MERUYUNG DEPOK085693251879vv21v01vv24,1121,794/69vvvvvvv
21 Agustus 2026
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40Shania Maulida AurelianyPSD/MII (SATU)327609410190001JAKARTA3 OKTOBER 20197JL.PERSATUAN CINERE
52
41Sastra Synastryutama SukarsonoLSD/MII (SATU)31960191253674060110190005Jakarta01 Oktober 20196.1
Komplek lereng indah, Jalan Sindoro Blok C, pondok cabe udik
081297288842vv00v00vv21,7117,2107/80vvvvvvv
21 Agustus 2026
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42Gavin Zayn Alvaro
3174082212190005
SD/MII (SATU)3199465756Jakarta22 Desember 20196.5Jalan H.Misan 2 No.18C Gandul085697544480vv00v00vv40,6128/86vvvvvv1
21 Agustus 2026
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43Ayesha Sofia DinaraPSD/MII (SATU)Jakarta27 MEI 20197JL. CILOBAK II RT 04/01 NO. 141 PANGK. JATIvv00v00vv16,4115,398/68vvvvvv>3
21 Agustus 2026
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44Sabira Afida MiskiPSD/MII (SATU)-327609635190002DEPOK23 MEI 20197KOMPLEK BPK BLOK D GANDUL081311262128vv00v00vv23,9126,398/70vvvvvvv
21 Agustus 2026
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45Zayyan AthayaLSD/MII (SATU)-3174060309190001Jakarta03 September 20196.10Jalan Persahabatan No.52 Cinere085811200494
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46Muhammad Sakhy Syafi'LSD/MII (SATU)31928517573276090710190002Depok07 Oktober 20196.9Jalan H.jaeran No.7 Cinere085894556407
58
47Darchelle Banafsha WidifPSD/MII (SATU)31959704173174105411190001Jakarta14 November 20196.8Jalan Persahabatan Cinere No.20A085158093622
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48Ghaisan Attaya PutraLSD/MII (SATU)31916220673276091110190001DEPOK11 OKTOBER 2019JL. MUNDU RT 04/08 CINERE085813049356vv00v00vv18,8117,898/72vvvvvv1
21 Agustus 2026
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49Alesha Rizqi AzzahraPSD/MII (SATU)-3276095801200002Jakarta18 Februari 20206.7Jalan jati murni No.70 Pangkalan jati08568260454vv00v00vv22116,994/64vvvvvvv21 Agustus20260125N173A
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50Revanina Aghnia PrayaPSD/MII (SATU)31946501373276014911190003Kudus9 November 20196.7Apartemen Cinere Resort, Gandul081227765227v00v00vv29,2111,188/63vvvvvvv
21 Agustus 2026
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51Abdul Hafizh RamadhanLSD/MII (SATU)31928804893303181805190001Purbalingga18 Mei 20197Jalan tomat no.119 Blok A Cinere087877757700vv00v01vv19,7114,895/59vvvvvv1
63
52Anindya Keysa RahayuPSD/MII (SATU)32092533533674055203200005Depok12 Maret 20206Jalan Madrasah No.89B Gandul, Conere085813091311vv00v00vv14,5108,693/46vvvvvvv21 Agustus20260125N173A
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