ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBM
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REGISTER KEGIATAN KESEHATAN ANAK USIA SEKOLAH DAN REMAJA
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NAMA SATUAN PENDIDIKAN
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KELAS
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KAB/KOTA
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PROVINSI:
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TAHUN AJARAN:
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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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YaTidakYaTidakYa (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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1ZEA ALMAIRA NOEGROHOP13174054301200004Jakarta3/1/2020JL.Tanah Kusir No.2089669521609VV00V00VV18120104/711111111
13
2
Chantya Rayya Nurhafizho (NIK TIDAK VALID)
P13175084808190014Ngawi6/8/20197
JL MADURA UJUNG RT 11/09
81225249955VV00V00VV25125111/871111111
14
3Khadeejah Ayesha MeidinaP13173055204190006Jakarta12/4/20197
JL MADRASAH PLN GANDUL
85748395919VV00V00VV2312189/681111111mr
14/08/2026
0125N174B
15
4Ayunda Lulu MaknunaP13276095302200001Jakarta 13/02/2020JL ANGGREK086363664820VV00V00VV28128110/70VVVVVVVmr
14/08/2026
0125N174BDT
20/10/2026
400623
16
5Aisyah Malika Febriyantip13276044702200001
Tanggerang
2020-07-02Jl H Midi81517993994VV00V00VV2412290/601111113mr
14/08/2026
0125N174BDT
20/10/2026
400623
17
6Daffa Sutan AzrilL13276045412200001Depok 25/10/2019 Jl Galuh rt 005/006881011745748VV00V00VV2112290/601111113mr
14/08/2026
0125N174B
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7Aruna MaulidaP13674064412180012Tangsel4/12/20187
JL LAPANGAN BOLA PERUM LINCOLN
85767807848VV00V00VV20120102/671111111mr
14/08/2026
0125N174B
19
8Ratu Allesha HidayatP13276046608190003Depok26/08/20197
JL GALUR KRUKUT KP UTAN
83890944222VV00V00VV1912095/631111112mr
14/08/2026
0125N174B
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9Kinara Nafasya JP13276096706190001Jakarta27/06/2019
JL MELUR PANGKALAN JATI
85222208010VV00V00VV2112296/601111112
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10Nasha InaraP13276096412190001Depok24/12/2019
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11Qiandra Sheeza Putri SarbiniP13276094602200002Jakarta2020-06-026
jl Madura Ujung rt 002 rw 11
83806711007VV00V00VV2112290/601111111mr
14/08/2026
0125N174BDT
20/10/2026
400623
23
12Khalisa Anindya PutriP13206224603190005
Tasikmalaya
2019-03-077Jl. H. Riwan Bawah No.12385721503121DT
20/10/2026
400623
24
13Aisyah Nur AilahP13276016304200005Depok23/04/2026Jl Limo Raya no 3588213993132VV00V00VV211221111111mr
14/08/2026
0125N174BDT
20/10/2026
400623
25
14Kamila AnantariP13276016503200003Depok25/03/20206KAVLING PELITA81905678082VV00V00VV2812890/60VVVVVVVmr
14/08/2026
0125N174B
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15Miqdad Al BarraqL13209170210190001
Kuningan
2019-02-10Blok Darip89669876922
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16Kenzo Radhytsa GunawanL13276091908190003Depok19/08/20197Jl. Bali Ujung No.25 A85795158433
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17Shofiyah Wamira AlaydrusP13175076308190005Jakarta23/08/20197JL H MENDIK RT 2085892782094VV00V00VV1811890/601111113
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18Zea Almaira NoegrohoP1
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19Aisyah Livia DjuanP13326085511190001Depok15/11/20196JL MATALIH HTR RT 02/0685884872637VV00VV00VV2112490/60111111>3MR
14/08/2026
0125N174BDT
20/10/2026
400623
31
20Jovanka Adera GunawanP13674064703200002
Tangerang
2020-07-036jl h jaim rt 01/rw048997119640VV00V00VV19118115/731111111mr
14/08/2026
0125N174BDT
20/10/2026
400623
32
21Raisya Aqila LavaniP13276045606190001Depok16/06/2019Jl Kuta Raya Blok 0581282005524VV00V00VV18120123/721111111mr
14/08/2026
0125N174BDT
20/10/2026
400623
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22Muhammad Dzuhairi Arshaq KamilL13276040908190003Depok 2019-09-08jl Pinang II No 72 Limo81212290808VV00V00VV2112290/601111112mr
14/08/2026
0125N174B
34
23Aira Lalita Kaip13276045101200002Tangsel2020-11-01Komplek PLN P2B NO.56DT
20/10/2026
400623
35
24Fatih Indras RamadhanL13174042605190009Depok26/05/2019JL CINERE RAYA NO 6085691879318VV00V00VV1811892/60111111MR
14/08/2026
0125N174BDT
20/10/2026
400623
36
25Gendis Humaira Salsabilap13404077101200001
Tanggerang
31/01/2020Jl Cabe V Grenhouse D681234560116VV00V00VV1811790/601111111mr
14/08/2026
0125N174BDT
20/10/2026
400623
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26Muhammad Azraqi AlfarabiL1327609160819002Jakarta18/08/20197
Jl Enggano No 5 Rt 01/Rw 11
89660579090VV00V100VV17118100/701111111mr
14/08/2026
0125N174BDT
20/10/2026
400623
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27Kirana Anindita ZhafiraP13276095603190003Depok16/03/20197JL H SAABUN NO 188992498866VV00V000VV2312290/60VVVVVV>3MR
14/08/2026
0125N174B
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28Haneena Tsaniya BatsnaP13174066210190001Depok 22/10/2019GREEN NATURE CINERE81285378511VV00V00VV1811886/6311111>3
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29Ai'zzah Nailul MagfifirohP13525145905190001Gresik19/05/20197Jl. Pondok Cabe III88225898790
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30Ananda SakhaP13276050212190010Depok 02/12/2019WISMA ALI082211383960VV00V000VV2812890/60VVVVVVVmr
14/08/2026
0125N174BDT
20/10/2026
400623
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31Al Raskha Sabda AlamL11371063101200002Padang01/01/20206Jl Bhakti 1 No 5385263856435VV00V00VV1810579/591111111mr
14/08/2026
0125N174B
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32Rasyid Al Malik RL13276092510190002Depok25/10/20196Jl. Persatuan No. 51 C85710890633VV00V00VV22122117/951111112mr
14/08/2026
0125N174BDT
20/10/2026
400623
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33Khalisa Anandya PutriP13206224603190005
Tasikmalaya
06/03/20197Jl Haji Rinan Bawah mo 12385721503121VV00V00VV1811890/601111111mr
14/08/2026
0125N174BDT
20/10/2026
400623
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34KENNAN BARRA RAID ASADELL13276092404200001Jakarta24/04/2020JL CINERE RAYA089686666176VV00V000VV2712990/60VVVVVVVmr
14/08/2026
0125N174BDT
20/10/2026
400623
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