ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBE
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REGISTER KEGIATAN KESEHATAN ANAK USIA SEKOLAH DAN REMAJA
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NAMA SATUAN PENDIDIKAN
: SMA Tadika Pertiwi
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KELAS
: X
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KAB/KOTA
: Kota Depok
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PROVINSI
: Jawa Barat
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TAHUN AJARAN:
: 2025/2026
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NoNamaJenis KelaminJenjangKelasNISNNIKTempat Lahir Tgl LahirUsia (Ulang tahun terakhir)AlamatNo. HPDisabilitasHasil Pemeriksaan FisikKesimpulanCO ANALYZER
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GiziKimia DarahTekanan DarahTelingaMata SehatGigi (Jumlah Karies)
10
BB (kg)TB (cm)Indeks Massa Tubuh (kg/m2)IMT/U (SD)Status GiziHasil Pemeriksaan mmHgKlasifikasiGangguan TelingaSerumen TelingaInfeksi (Cairan) TelingaMata SehatTajam PenglihatanPenggunaan Kacamata
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PLYaTidakGizi Buruk
< -3SD
Gizi Kurang
-3SD sampai < -2SD
Gizi Baik
-2SD sampai +1SD
Gizi Lebih
> +1SD sampai +2SD
Obesitas
> +2SD
GDSHBNormal: 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
KananKiriKananKiriKananKiriKananKiriMata Kanan 6/6-6/9Mata Kanan <6/9Mata Kiri 6/6-6/9Mata Kiri <6/9TidakYaNormalKariesRujukTidak RujukHasil CO Analyzer
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1Abigeil Arimbi LukitaSMAX-1
3276047008090003
Jakarta
30 Agustus 2009
16 th 2 bulan
Apt. Cinere Resort Lt.K12. Jl. Gandul
08781474129449.9159.019.7B9112.993/64------6/126/7.5-Ya
13
2Aldi AldiansyahSMAX-13099872333
3207151311090004
Ciamis11/13/200915th 11 Bulan
Jl.H.Jaeran RT.003 RW.001. Cinere
08577693127649.3166.017.9B9699/61---6/246/24YA
14
3Andrey Michael DelpadaSMAX-1
3276041312820003
Depok4/22/201015th 4bln
Jl.Damai Raya No.69 RT.005 RW.011. Limo
08821087284655173.018.4B100114/69----6/366/24-Ya
15
4Aulia RahmaSMAX-10102889380
1303094107100004
Sijunjung1 Juli 201015th 4bln
Jl.Cilobak Raya Ujung No.65 RT.002 RW.001. Pangkalan Jati Baru. Cinere
08231655860149.6163.518.6B9211.3117/84------6/66/6-Tidak
16
5Cinta Meilya SudiranSMAX-10097672465
1812034505100007
Keranji Bekasi Barat5 Mei 201015th 5bln
jl.komanmuin No.12A RT.004 RW.005. kel :limo. kec :limo
08191889239142.5146.519.8B9094/66------6/96/7.5-Ya
17
6Dea Kinara Nilam SariSMAX-10099314333
3174046701091005
Jakarta
27 Januari 2009
16th 10bln
Komplek Marinir Rumah Flat.No 212 RT.004. RW.005 kel. Cilandak timur Kec.Pasar Minggu Kab.Dki Jakarta Kode pos 12560
08387048531137147.517.0B9415.1105/59------6/366/24Tidak
18
7Delvin Fabian RadityoSMAX-10088405010
3174092807080005
Jakarta28 Juli 200817th 3bln
Perumahan Royal Matoa. Jl.Krukut Blok.3 RT.003 RW.004. Limo
08585880738036
68.2171.023.3B94128/65-----6/7.56/9-YA
19
8Fardah RamadaniSMAX-10096190847
3174047108091008
Jakarta8/31/200916th 3bln
Jl.Masjid Al Mujahidin No 45 RT.001 RW.006 Kel: Meruyung Kec : Limo Kota Depok Provinsi Jawa Barat Kode Pos 16532
08821075289948.6150.021.6B9912.6119/83----6/66.75-Tidak
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9Firly Arasiy HidayatSMAX-10094980250Depok9/15/200916th 1bln
Jl.Pulo Panjang Cinere No.6 RT.002 RW.008. Cinere
08518358574638157.515.3K108131/66--6/7.56/9-Tidak
21
10
Muhammad Rayi Rizki Mahdiyan
SMAX-100981219323276091708090002bogor 8/17/200916th 2blnkomplek bpk v gandul jl.Raya Gandul no.D14 RT.31 RW.04 Kel : gandul kec : cinere kab/kota : kota depok prov : Jawa Barat kode pos : 1651208211253409042158.016.8B98126/84----6/246/12-YA
22
11Muna Azila MatondangSMAX-130976617633276096508090001Jakarta8/25/200916th 3blnJL. ANDARA. No. 25. RT.003 RW.002. Kel : Pangkalan Jati. Kec : Cinere. Kab : Depok. Prov : Jawa Barat. Kode Pos : 1651308535922264355153.023.5B8912.7116/75------6/96/12-Tidak
23
12Naufal HamdawiSMAX-1Jakarta26 Marer 201015th 7blnJl.Ceri 1 RT.002 RW.006. Limo085682053855016119.3B1111344/84--------6/7.56/9-Tidak
24
13NIkma MaqdisaSMAX-130626892043173075011061004Depok11/10/200915th 11blnJalan lembayung terusan nomor 5C Blok L Mega Cinere. kecamatan Cinere Kelurahan Cinere. Kota Depok. Provinsi Jawa Barat dan kode pos 165140815137347494414820.1B101108/75---6/126/18-TIDAK
25
14Ozora Aganta WardanaSMAX-1Jakarta9/1/200916th 9blnJl.Matha Dinata089538654797151.717616.7B102115/76------6/606/18-Tidak
26
15Rifki Baim SaputraSMAX-1Banjarnegara31 Oktober 200816th 11blnJl.Teratai No.17 RT.08129862750665158.525.9B113138/81-----6.756/9-Ya
27
16Stefania Martins DokarmoSMAX-11718020015304030909090002DEROK.NTT9/9/200916th 2blnJln haji Musa No 69A RT.02 RW.11 Kel : Meruyung Kec : limo kota : Depok PROV : Jawa barat kode pos :1653208129058264542156.517.1B7911.788/62-----6/606/18-Tidak
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17
TEUKU FARREL HIKMAH RIFAD GHANIZAR HABBERT
SMAX-100914999773276092501090001JAKARTA 1/25/200916th 9blnPERUM GRIYA SARANA HUSADA. RT.025 RW.005. KEL.GANDUL. KEC.CINERE. KOTA DEPOK. PROV.JABAR. 16512.0895328064584#DIV/0!
29
18Yoanita Imanuel PutriSMAX-100949466203175015812091002Jakarta12/18/200915th 10blnCluster Sierra Azalea No SA 2 Jl. Cabe V. Pd. Cabe Ilir. Kec. Pamulang. Kota Tangerang Selatan. Banten 154180857-1146-26355315621.8B11313120/91--------6/156/12-YA
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19Zico Fazio HermansyahSMAX-100873579593202471907090002Sukabumi 7/19/200916th 4blnJl. Swadaya No.77 RT.008 RW.002 Kel : Limo Kec : Limo Kab/kota : Kota Depok Prov : Jawa Barat Kode Pos : 1653108965659346560.317120.6B9899/75-------6/246/24Tidak
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20AffanjibranSMAX-2Jakarta11/11/20108211494300267.517621.8B8813.8124/83-------6/96/7.5-Tidak
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21Alhafizh WildanSMAX-2Jakarta5/5/201015
Jl. Pulo Panjang RT2/RW8. Cinere
8571916425553.716320.2B105128/75-----6/96/9-Tidak
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22Arga DermawanSMAX-2Jakarta27/10/0915jl. galur no 3 RT/05 RW/0689570465885548173.515.9K92107/83------6/66/7.5-Tidak
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23Azzahra Nurull MariyamSMAX-2Depok12/2/200915
Jl. pendowo V Blok B RT/03 RW/16
838652244207015927.7B109131/100--------6/96/9-YA
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24Brian Obed Hasiholan ManikSMAX-2Jakarta20/10/1015jl. Villa Mutiara Cinere Blok H18517548474053.716420.0B9976/57--------6/7.56/7.5-Tidak
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25Bunga AuliaSMAX-2Jakarta10/9/201015jl melati RT/03 RW.01. Gandul89533664750252.616120.3B8912.3115/80------6/7.56/9-Tidak
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26Chandra OloanSMAX-2Depok9/7/200916JL pendowo No 3. RT/4 RW/985198675778#DIV/0!
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27Davina Putri IswandariSMAX-2Jakarta13/04/0916JL. Musholla Annur. Krukut. LImo8588845391335.7148.516.2K10212.5113/98------6/96/36YA
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28Evan Maliq Ibrahim GhaniSMAX-2105884419Jakarta4/6/201015JL. PLN RAYA .Gandul8788518018380.2175.526.0B103148/81------6/7.56/7.5-YA
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29Febriansyah SMAX-2Depok1/2/201015
Jl. bukit tambora RT/02 RW/05. LIMO
8571646166474.415929.4L101106/82----6/96/9-Tidak
41
30Friska Nabilla Andika PutriSMAX-2Jakarta17/03/1015Jl. Raya krukut. Limo8554514618339.7151.517.3B9195/75------6/7.56/7.5-YA
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31Keisha Ling Micheila YasinSMAX-2Jakarta16/11/0915
Jl. Gandul No 6 RT22/RW06. Cinere
8571912456442.314719.6B9712109/90--------6/186/9Tidak
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32Krisna Batara SaktiSMAX-2Depok22/10/0817Jl. Rajawali . Limo81514687261#DIV/0!
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33Lubna Azizatun NofaSMAX-2Jakarta1/10/200916Jl. meruyung RT1/RW28193412761857.4148.526.0B128118/77--------6/7.56/9-Tidak
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34Muhammad Zaki KhalidSMAX-2Depok24/06/1015Jl. kampung sasak . limo89532362636443.516516.0K10296/66-----6/126/12-Tidak
46
35Oinike HalawaSMAX-2Depok8/7/200916
Jl. Raya Grogol no 123 RT07/RW01. LIMO
8592117881182.4157.533.2L9112.5117/78----6/156/18-Tidak
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36Qeysa Maysa MalihaSMAX-2Jakarta5/12/200915Jl. Hj Muhasan 1 . Meruyung857678070664615319.7B9513.8100/67--------6/246/24YA
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37Raihan Alfatih SMA X-2Tegal11/11/200915
Jl. Delima Ujung No 15 RT1/RW5. Cinere
857241010524316615.6K132104/78------6/7.56/7.5-YA
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38Shezhillia EvayaniSMAX-2Jakarta4/2/201015Jl. Pintu Air 3. Gandul88101084801054.415223.5B9012.7129/93------6/186/18Tidak
50
39Shouji SatriadanaSMAX-2Jakarta19/11/0915th 11bln
Jl. Cinere Raya .GG mundo RT4/RW/8
8581471854048.2167.817.1B108115/78------6/66/7.5-YA
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40Yeremia Seh BastaSMAX-296434028
3276092010090003
Tangerang20/10/0916Jl. Komplek BPK V .Gandul8577097915781.416330.6L123122/79------6/246/9Tidak
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41TOTAL 3 TDK MASUK
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42TOTAL 37 SISWA
54
43
55
44
56
45
57
46
58
47
59
48
60
49
61
50
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100