ABCDEFGHIJKLMNOPQRSTUVWXYZAAACADAEAFALAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBMBN
8
NoNamaJenis KelaminJenjangKELAS NISNNIKTempat Lahir Tgl LahirUsia (Ulang tahun terakhir)Alamat No. HPDisabilitasHasil Pemeriksaan FisikKesimpulanIMUNISASI
9
Resiko Gula Darah AnakResiko MalariaGejala Cemas RemajaKesehatan Reproduksi PutriKelayakan Tes KebugaranPerilaku Merokok Resiko HepatitisResiko TBPenyakit Kusta Anak SekolahPenyakit SkabiesGiziTekanan DarahTelingaMataGigiKebugaran (Kelas 4-6)
10
BB (kg)TB (cm)Indeks Massa Tubuh (kg/m2)IMT/U (SD)mmHgTajam PendengaranSerumenInfeksi (cairan)Mata LuarTajam PenglihatanPenggunaan KacamataWaktuKlasifikasi
11
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)YaTidakYaTidakDapat 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. Batch
12
1ADZRIL RAFIF ALFAREZIL2A31864767683276092510180001
Jakarta2018-10-25Jl.Andara Gg.Masjidv00000000vv2512416.2591051
13
2AISAH ZELINE ZAKEISHAP2A3191738331
3276094303190003
Jakarta2019-03-03Jl.H. Terin
81287247513v00000000vv2012013.8888888992/67vvvv6/15v1DT04/11/202604600726
14
3ALIN APRILIAP2A31847099523328055504180001TEGAL2018-04-15KRAMAT NO. 95v00000000vv3812026.3888888991/61vvvv6/6vvDT04/11/202604600726
15
4AMET ASKAL2A3189416823
3209291704180004
CIREBON2018-10-17Dusun Iv00000000vv2010518.1405895796/53vvvv6/12v4DT04/11/202604600726
16
5ANASSYA KAYLA AURISKAP2A31854054673327106911180001Pemalang2018-11-29
Jl.Andarav00000000vv2212015.2777777895/60vvvv6/9v4DT04/11/202604600726
17
6AQILA RAFANIA SHABIQAP2A3189375664
3276094302180001
DEPOK2018-02-03
JL. AL-HIDAYAH
85693194880v00000000vv2212015.2777777870/60vvvv6/9vvDT04/11/202604600726
18
7ARSA EKA PRASETYAL2A31826678943301181502180001CILACAP2/15/2018
Jl. H. Terin 1 No. 38 Kec. Cinere
81314130713v20001200vv5912537.7691/61vvvv6/12v2DT04/11/202604600726
19
8ATHAFARIZ IRSYAD PRATAMAL2A3184971720
3276092106180001
JAKARTA2018-06-21
JL. ANDARA
v00000000vv#DIV/0!DT04/11/202604600726
20
9AVA NADHIRA RACHMADINAP2A31857090723276096501180001DEPOK25-01-2018Jl.Ibnu Armah 3
81585444716v00000000vv3212520.48122/77vvvvvv2
21
10DAFA SAPUTRAL2A31823610681801071112180002
Bandar Dalam2018-12-11
Way Galih
87833549598v00000000vv2312514.7291/61vvvvvv4DT04/11/202604600726
22
11DAMARA KHANSA NURJAYAP2A3184897896
3276094911180001
Depok2018-11-09
Jl.Andarav00000000vv2212115.0262960296/60vvvv6/6v5DT04/11/202604600726
23
12ELMA HANIPAHP2A31832561301308146507180001Sei Raya2018-07-25
JALAN ANDARA DALAM
85719816190v00000000vv2012612.59763165106/72vvvvvvDT04/11/202604600726
24
13ILKAY ADYA ZULKARNAENL2A31809557813329071707180001BREBES2018-07-17
JALAN JERUK RT 9 RW 2 TEMBELANG Desa/Kel. Tembelang
v00000000vv3212321.15143103124/85vvvv6/12v>5DT04/11/202604600726
25
14JESLYN MISHALL ALFARIZALP2A3187183957
3276094106180001
DEPOK2018-06-01
JL. CILOBAK V NO 38
v00000000vv3612423.41311134102/84vvvv6/12v5DT04/11/202604600726
26
15KHALISA SYAFIRAP2A3180600109
3174056410180006
DEPOK24-10-18
JL. RAWA KOPI 1 NO. 160
89637885784v00000000vv1811912.7109667482/64vvvvvv>5DT04/11/202604600726
27
16MUHAMAD IKHSANL2A3185451433
3276090504180003
JAKARTA2018-04-05
JL. KRAMAT NO.985176822331v00000000vv2112513.44111/77vvvvvDT04/11/202604600726
28
17MUHAMMAD ARFAN SYAFIQL2A3187072509
3327082701180008
Jakarta2018-01-27
Jalan Kramat Bawah87781161778v00000000vv2413014.2011834373/62vvvv6/9vvDT04/11/202604600726
29
18MUHAMMAD HAIDAR RAFFAL2A3190427012
3215091701190002KARAWANG2019-01-17
DUSUN PISANGSAMBOv00000000vv1811912.7109667490/60vvvv6/12v5
30
19MUHAMMAD SORA NOMURAL2A31886858713276052106180005DEPOK2018-06-21
GDC CLUSTER ACACIA BLOK A NO 18
v00000000vv#DIV/0!
31
20MUHAMMAD YUSUF ADYWINATAL2A31862067823276091803180001JAKARTA
2018-03-18
JL H JEMAN
v00000000vv#DIV/0!DT04/11/202604600726
32
21NABILA NURYANAP2A31851434243276095503180002Depok 2018-03-15
JL. ANDARA GG PRIBADI I NO 64
85719339279v00000000vv2712517.28115/77vvvvvv
33
22RAFIFATU RIFDA RAMADHANIP2A3184476322
3212164406180001
Indramayu 2018-06-04
Jl Andara Gang Masjidv00000000vv2012013.8888888996/77vvvv6/9v>5
34
23RANDY ADITYA ISMAILL2A3183196813
3276090311180001JAKARTA 2018-11-03
JL. ANDARA DLM GG MASJID NO.46
85810540986v00000000vv3412820.75195313101/65vvvv6/12vvDT04/11/202604600726
35
24RANTIKA SARI DEWIP2A3199824163
3305187004190001Kebumen
2019-04-30
DK. Depok
v00000000vv#DIV/0!DT04/11/202604600726
36
25SAHRUL SAHBANIL2A3185929115
3276090105180004
JAKARTA2018-05-01
JALAN AL BAROKAH NO.20A rt 7 rw1 Pangkalan Jati Baru Kec. Cinere
v00000000vv2512416.2591051102/76vvvv6/24v3
37
26SEGARA BANYU BENINGL2A31799199333174035911170003JAKARTA2017-11-19
Jl. Bangka XI-C No. 70, Pela Mampang, Kec. Mampang Prapatan
81400327298v00000000vv1511910.5924722893/88vvvv6/18vv
38
27SELINA HASYA ARSYP2A3187750906
3276094106180003
JAKARTA2018-06-01
JL ANDARA GG. MASJID, Cinere
81289105552v30000000vv2412315.8635732790/60vvvv6/9vvDT04/11/202604600726
39
28SHAKILA AZ ZAHRAP2A3183145501
3276094804180003
JAKARTA
2018-04-08
JL H TERIN I NO 40 B
v00000000vv2710524.48979592103/84vvvv6/15v1DT04/11/202604600726
40
29SILVIA MISHA SHAFANAPL2A3186518181
3329024409180002
BREBES04-09-2018JL. RAWAKOPI
088154448090
v00000000vv2712916.2249864890/60vvvv6/12v
41
30YUMNA ALISHBA NAZAFARINP2A3183543976
3276094810180002
DEPOK
2018-10-08
JL. AL HIDAYAH
v00000000vv3012918.0277627590/60vvvv6/6vvDT04/11/202604600726
42
31ZEEVA DEANDRA SANTOSOPP2A3182215933
3276097012180004
Jakarta2018-12-30Jl.H. Terin, Cinere81286435989v01003000vv1711014.0495867890/60vvvv6/9v2
43
32ADIRAJADA YUDHISTIRAL2B3187023500
3329132402180002
Brebes2018-02-24
Tegongan RT2, RW 2 , Tegongan Kec. Tanjung
v00000000vv171001797/61vvvv6/9vvDT04/11/202604600726
44
33AISYAH AYUDIA INARAP2B31879184373276095512180002
Brebes2018-12-15
JL MASJID AL-AKHYAR
v00000000vv2012512.892/75vvvv6/12vvDT04/11/202604600726
45
34ALFIANO RISKY PRATAMAL2B3187918437
3174071204180005
Jakarta2018-04-12
Jl. H. Naim III Cipete Utara Kec. Kebayoran Baru
v00000000vv1910517.2335600995/65vvvv9/7v5DT04/11/202604600726
46
35AMELIA DEVINA PUTRIP2B3186098031
3276095504180002
Depok
15/04/2018jl h bara rt07/04v00000000vv3310529.93197279105/78vvvv6/7.5v1DT04/11/202604600726
47
36ANINDYA MILEA RAMADHANIP2B3184180802
3276097105180004
Jakarta2018-05-31Jl. Andara Gang Masjid89663624432v00000000vv2110818.0041152388/64vvvv6/6v2DT04/11/202604600726
48
37ARKHANA DEVANO WIJAYAL2B3184180802
3276041808180002
Depok2018-08-18
Jl.Kramat II No.20 RT.005 RW.001
v00000000vv2711022.31404959100/70vvvv6/36v2DT04/11/202604600726
49
38ARSYA AHMAD DEFAL2B3189795750
1805200806180003
Agung Dalam
2018-06-08
Jl. H. Terin 5
v00000000vv#DIV/0!DT04/11/202604600726
50
39ASILAH NUR BAITIP2B3181949887
3276094312180001
Depok2018-12-03
jl.masjid Al Akhyar no 61.rt30/02, Gandul Kec. Cinere
85778207454v00300000vv2810525.396825490/60vvvv6/12vvDT04/11/202604600726
51
40ASSYIFAP2B3181949887
3174076301180008
JAKARTA2018-01-23
JL BIJAKSANA II, Gandul, Cinere
v00000000vv2210519.95464853112/79vv6/12v2DT04/11/202604600726
52
41ATHALLAH FAGHRI SAHREZAL2B31832562713212160601190001
BEKASI2019-01-06
Blok D Rambatan Wetan
v00000000vv#DIV/0!
53
42ATHAYA SHAFIA SAKHIP2B3183919418
3276095908180001
DEPOK2018-08-19
Jalan Haji Adih No.15, Cinere
895367935287v00000000vv2912119.8073902195/60vvvv6/9v2DT04/11/202604600726
54
43BALQIS DURRATUL HIKMAHL2B3183919418
3175094907180005
Jakarta2018-07-09
Jl. Perum PWI Jaya Blok A.8/03 Cilebut Barat Kec. Sukaraja
v00000000vv2511020.6611570293/52vvvv6/9vvDT04/11/202604600726
55
44DANIA DEWI NOVIANTIL2B31844735373303185711170001
JAKARTA SELATAN
2017-11-17
Jl. Aselih
v00000000vv2210519.95464853101/72vvvv6/7,5vv4DT04/11/202604600726
56
45DHELISHA PUTRI SYAUKIAP2B31980769203208325609180001
Kuningan
2018-09-16
Dusun Kliwon
v00000000vv#DIV/0!DT04/11/202604600726
57
46
FACHRUL ACHMARULLAH AL GHAZALI
L2B32011991153674061309190011Tangerang selatan2019-09-13
Jl. H.Rean Desa/Kel. Benda Baru Kec. Pamulang
v00000000vv161001696/70vvvv6/7.5vv
58
47INARA IZZATUNNISAP2B3188026723
3276095007180001
Depok2018-07-10
Jl. H. Jeman IV RT.03 RW.05 Pangkalan Jati Baru
v00000000vv#DIV/0!DT04/11/202604600726
59
48JOSUA GEBRIL ALEXANDER TENISL2B31881678125309060109180001BAJAWA2018-09-01
Jl. Ibnu Armah 3 No. 51 A
81232191149v00000000vv2810525.396825496/61vvv6/9v1DT04/11/202604600726
60
49KEINAN ARCHILLA SUBAGYOP2B3183205506
3174045002180006
Jakarta2018-02-10
Jl.Kramat RT 7 RW 1 Cilandak Timur Kec. Pasar Minggu
v00000000vv2011016.5289256290/65vvvv6/9vvDT04/11/202604600726
61
50LINTANG PINARING WIDIL2B31832055063276095903180001Depok2018-03-19Jl. Al Hidayah87877291765v00000000vv1811214.349489896/72vvvv6/18vvDT04/11/202604600726
62
51MUHAMAD UMAR CHOLIDL2B3185233226
3276092206180002
DEPOK
2018-06-22
JL. ANDARA DALAM GG ALBAROKAH
v00000000vv#DIV/0!DT04/11/202604600726
63
52MUHAMMAD FAIZAR RAMADANL2B3185233226
3276090706180001
Tangerang Selatan2018-06-07
Jl. H. Jeman RT 3 RW 5 Pangkalan Jati Baru Kec. Cinere
85819348151v00000000vv3110528.11791383120/90vvvv6/36v>5DT04/11/202604600726
64
53MUHAMMAD RAIHAN ISKANDARL2B3186670958
3276091003180002
Depok2018-03-10Jl.Andara Dalam No.485781847756v00000000vv2811820.1091640396/65vvv6/18vvDT04/11/202604600726
65
54MUHAMMAD SULTAN NAWAWIL2B3188878924
3327082904180009
Pemalang
2018-04-29
Danasari
v00000000vv2310520.861678103/74vvv6/12v1DT04/11/202604600726
66
55NADHEERA LASHIRA ADNANL2B3188878924
3276091003180002
Depok2018-03-10Jl.Andara Dalam No.485781847756v00000000vv2310520.861678111/72vvvv6/7.5v2
67
56RANIA SALSABILA RAMADANIP2B31807238743301134506180002
CILACAP2018-06-058878842411v00010000vv3010527.21088435101/80VVVV6/24V5
68
57RUQAYA DWI RAMADHANIL2B3180723874
3276095106180001
Depok2018-06-11
Jl.Sungai
v00000000vv3411525.7088846996/62vvvv6/15v3DT04/11/202604600726
69
58SHAFFIYA AHMADP2B3173260487
3276095111170002
JAKARTA
2017-11-11
JL ANDARA GG PRIBADI I
v00000000vv1810516.3265306190/60vvv6/6v1
70
59SHAKILA RUMAISAP2B31777171183205154705180002
GARUT
2018-05-07
Kp. Pasir Batu
v00000000vv2710524.48979592103/80vvvv6/15v1DT04/11/202604600726
71
60SYAFFIRA AHMADP2B31886598513276095111170001
JAKARTA
" "2017-11-11
" "JL ANDARA GG PRIBADI I
"
2017-11-11
JL ANDARA GG PRIBADI I
v00000000vv2010518.1405895797/70vvvv6/36v2DT04/11/202604600726
72
61ZAFRAN FAEYZA NIRWANL2B3188659851
3276091409180002
JAKARTA
2018-09-14
JL PINTU AIR II NO. 40
v00000000vv#DIV/0!
73
62M. RIZKYL2B3178734526
3206110704170001
Tasikmalaya2017-04-07Jl. pangkalanjativ00000000vv3010527.21088435102/85vvvv6/9v1DT04/11/202604600726
74
63Muhammad Al ZaidanL2B31735555263174091509170015KP. KEKUPU2017-09-15DT04/11/202604600726
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