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REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAA

NAMA SEKOLAH : SMPN 193 JAKARTA TAHUN : 2019


KELAS: 8 DAN 9
Jenis kelamin Tinggi Berat Tekanan Dugaan Dugaan Penilaian Status Gizi
Kebersihan Diri Gigi dan Mulut
Jenis Dis Bdn Bdn darah Kln Masalah Imunis Gigi dan Gusi
No Nama TB/U
abilitas asi Resiko Ramb Rongga
IMT (stunti Kulit Kuku
L P (cm) (kg) (mmHg) Jantung Paru Anemia ut Mulut Karies
ng)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

1 ADISHA KHANSA RIVANA 3175014702060002 Kelas 8A P 153 46N T T L T S S TS S Y


2 Aila Julita Farras 3171034407060007 p 150 59N T T L T S S S S Y
3 AKMAL NABIL ARDIANSAH 3174042011050003 L 157 50 N T T L T S S S S T
4 ALFRIDA GISTIRA DAMAYANTI 3175060302099109 p 156 63 N T T L T S S S S T
5 ANA HASLINDA 3175032764239642 P 160 48 N T T L T S S S S T
6 BERLIANA NUR PUTRI AYUNI 3172045804040003 p 159 43 N T T L T S S S S T
7 Danindra Nusa Pratama 3216021706060007 L 177 43 N T T L T S TS TS S T
8 DESVITA UTTU FEBRIEN 3172545020610001 P 150 52 N T T L T S S S S T
9 FAKHRI FAHREZI 3175071708060013 L 165 73 N T T L T S S S S Y
10 Farrel Ardian Yasin 3171041711050004 L 172 51 N T T L T S S S S T
11 FIRLIYAL ZALFADYA ALLYANI 3172046901060001 P 156 43 N T T L T S S S S T
12 GANESHA ALFIANSYAH HENDARTA 3175060707050011 L 170 48 N T T L T S S S S T
13 Gheanadya Ciara Keisha 3674055211060005 P 157 62 N T T L T S S S S T
14 HAIKAL ARIFIANSYAH 3175062101093536 L 159 71.4 N T T L T S S TS S Y
15 HELWAH 3175064806050006 P 152 52 N T T L T S S S S Y
16 HILYA JANNATIE MAULADYA 3175067004060006 P 152 40 N T T L T S S S S T
17 MIA MAHARANI SIMATUPANG 3175066405050002 P 157 60 N T T L T S TS S S Y
18 MUHAMAD ARFAN ZILDAN KOSWARA 3276021801060009 L 163 46.4 N T T L T S S S S Y
19 MUHAMMAD AZHIQNA AZKIA 3175060304060018 L 161 56 N T T L T S S S S T
20 MUHAMMAD RIFKY RAMDHANSYAH 3172022409600004 L 152 34 N T T L T S S S S Y
21 Muhammad Zaki Ananda Putra Essa 3172022211050003 L 158 60 N T T L T S S S S Y
22 MUTIA HAURAA ATHAAYA 3275066412050007 P 152 47 N T T L T S S S S T
23 NASYILA MALENDRA 3175060803111068 P 155 40 N T T L T S S S S Y
24 NICKY ADITYA DIAN PRASETYO 3175060203060012 L 161 51 N T T L T S S S S T
25 NOVI SULISTIAWATI 3175066411051003 P 155 60 N T T L T S S S S Y
26 NUR KHALIZA NOVIANTI 3175066703051002 P 146 54 N T T L T S S TS S T
27 PRISCILLIA LAURA MONICA 3172030301190043 P 176 91 N T T L T S S S S T
28 RAHMAH ALIYAH 3175064510050004 P N T T L T S S S S T
29 REVAKAYLA RESIVA LEMBO 3175065904050014 P 166 54 N T T L T S S S S T
30 ROHMATUN KARIMAH 3175064104060014 P 161 63 N T T L T S S TS S T
31 RUIZHI ELGIN SANTOSO 3172041807060010 L 153 49 N T T L T S S TS S Y
32 SOFI HAPSARI PUTRI 3175016202061001 P 158 60 N T T L T S S TS S Y
33 SYAHNAZ SALSABILA 3175064807050003 P 156 68 N T T L T S S TS S T
34 SYIFA AURELIA 3175065705060003 P 155 58 N T T L T S S TS S T
35 Tatia Mairani 3275035605060003 P 160 41 N T T L T S S TS S T
36 Zhafira Maulidia 3171035305050007 P 161 67.5 N T T L T S S TS S Y
37 ADELIA RIZKY DWI FERNANDA 3175082364896236 Kelas 8B P 155 48 N T T L T s s S S Y
38 ADHIATMAJA SAPUTRA 3171030111050006 L 163 50 N T T L T s s S S T
39 ALYA AZZAHIRA 3171107571106000 P 148 42 N T T L T s s S S T
40 ANDI SAPTO NUGROHO 3172051503051001 L 172 53 N T T L T s s S S T
41 ANGGITA ALFIANI PUTRI 3175056205060003 P 159 47 N T T L T s S TS S T
42 APRILLYA PUTRI RIYANI 3175065704060008 P 168 47 N T T L T s s S S T
43 ARDI CHRISTANTO SAMOSIR 3175061306110104 L 157 40 N T T L T s s S S T
44 AYU FATMAWATI 3175026210050003 P 162 54.9 N T T L T s s TS S T
45 BETHA RO RAFFIELLA MANALU 3275035103600008 P 158 57 N T T L T s s S S T
46 BOY JEREMIA NICODEMUS 3175062602060004 L 166 55 N T T L T s s S S T
47 DANIELO SIREGAR 3175060207061001 L 170 78 N T T L T s TS TS S T
48 DELLA SIMA SIHOMBING 3175062401097094 P 154 40 N T T L T s s TS S T
49 DERRA ALDADINI TUJAPRILSI SIHITE 3173054704060001 P 161 54 N T T L T s s TS S T
50 Diana Carolin 3175064107060011 P 164 60 N T T L T s s S S T
51 EVAN BUNGARAN CHRISTOFER HUTAPEA 3175060605060014 L 162 44 N T T L T s s S S T
52 FAJAR RAMADHAN 3175060310050003 L 171 47 N T T L T s s S S T
53 GERALD EFRAIM PANGAPUL RAJAGUKGUK 3175060606061007 L 165 56 N T T L T s TS S S T
54 KEYNE DIAN AILSA 3175064808060008 P 159 34 N T T L T s s S S T
55 KHOIRUNISA FITRI 0954036407050027 P 162 53 N T T L T s s S S Y
56 LAURA AMELIA KARO 3172034904060007 P 164 47 N T T L T s s S S T
57 LUKY APRIAN 3175060804060012 L 164 46 N T T L T s s S S T
58 MARCELLA JOCELLYN OPPIER 3275086203050009 P 159 46 N T T L T s s TS S T
59 MARIO HASIHOLAN ARITONANG 3175060312050004 L 168 44 N T T L T s s TS S T
60 MUHAMMAD JERRICHO 3172042206060015 L 161 41 N T T L T s s S S T
61 NAFILAH ARSYA 3275065006060003 P 161 44 N T T L T s s S S T
62 NAJWA PUTRI KHAIRUNNISA 3175064512050002 P 165 79 N T T L T s s TS S T
63 NANDANA PRIMA FADHIL 3175060302091016 L 172 47 N T T L T s s S S T
64 NEISYA SYAFARINA 3175066003061002 P 163 56 N T T L T s s TS S T
65 NI NYOMAN TRI DEVI SUCI NIRMALA 3275066702060002 P 163 41 N T T L T s s TS S T
66 Rama Dewantara 3275037060600012 L 166 46 N T T L T s s TS S T
67 RANIA FAUZIYAH SOLEMAN 3171046702060001 P 151 38.9 N T T L T s s TS S T
68 Richelle Ayudhia Putri 3175061404100032 P 161 45 N T T L T s s S S T
69 SALSABILA SYIFA DZUBYAN 3175065411060001 P 160 53 N T T L T s s S S T
70 SASKIA MEIRINDA 3175066305050015 P 162 51 N T T L T s s S S T
71 YEMIMA FHYLO SHOFYA SILITONGA 3175016409061003 P 157 49 N T T L T s s S S T
72 YUNITA PASARIBU 3175065806050017 P 162 80 N T T L T s s TS S T
73 ABRAHAM ADI PANGESTU HAHOLONGAN 3175061008060003 Kelas 8C L 175 79.5 N T T L T S S S S T
74 ALANDRIAN SURYA TANRA L 171 51.7 N T T L T S S TS S T
75 ALYNDA NATASYA PUTRI ARDIANTO 3172211120050003 P 157 65.8 N T T L T S S S S T
76 ALYSA KIRAN DRIYANTI 3216025812060000 P 157 56.4 N T T L T S S S S Y
77 Andrea Juliani Nurjaman 3171025907060004 P 154 53.3 N T T L T S S TS S Y
78 Artini Ondeng Hutabarat 3175064807051002 P 153 39.9 N T T L T S S S S T
79 DAFFA AQIL ATHALLAH 3172042208060001 L 161 50.7 N T T L T S S TS S T
80 DANIEL JONATHAN SEBASTIAN PARDEDE 3175060408060009 L 168 42.9 N T T L T S S S S T
81 Ezra Manuel Damongilala 3172040511050005 L 172 89.4 N T T L T S S S S T
82 FAIZUN NOVA RIANSYAH 3175061611050001 L 163 65.2 N T T L T S S S S T
83 FEBYANA NUR ATIKA 3175064102060001 P 154 41 N T T L T S S TS S T
84 FELICIA AUDREY KUSUMA LINDI 3172064204060004 P 165 50.8 N T T L T S TS S S T
85 GIDEON MIRACLE SIHOMBING 3175063110051001 L 173 64.3 N T T L T S S S S T
86 GLADYS CICILIA SIGAR 3175066608051001 P 159 65.4 N T T L T S S S S Y
87 INDAH RAHMA SAHARI 3175064606050002 P 157 68.8 N T T L T S TS S S T
88 JASMINE DIAZ 9530160120501271 P 154 39.3 N T T L T S S TS S Y
89 Jomai Risen Simanjuntak 3175060910060017 L 170 58.8 N T T L T S S S S T
90 Katherine Damaris Milagroce 3175060802180015 P 166 56 N T T L T S S S S T
91 LANNY DWI AGUSTIN SUPRIATNO 0954036608060128 P 157 55.5 N T T L T S S S S T
92 LUPITA SASKIA 3175066704061004 P 156 44.6 N T T L T S S TS S Y
93 MAYA ALYANA 3175065803050001 P 156 41.5 N T T L T S S S S Y
94 MICHELLE MUTIARA ANGELLIE 3175066301061004 P 159 44.9 N T T L T S S TS S T
95 MONA NATALIA CHRISTINA 3216016112050001 P 149 38.7 N T T L T S S S S Y
96 MUHAMMAD FAQIH AR-RAHMAN 3216020301060006 L 175 58.8 N T T L T S S S S T
97 MUHAMMAD RAKAN ALBAHY 3275003100805000 L 166 46 N T T L T S S S S Y
98 NADIA MEIRIL 3175065605060013 P 156 57.3 N T T L T S S S S T
99 NAILA DISTI ZULAIDA 3175090721376216 P 157 43.4 N T T L T S S S S Y
100 NATASYA AURELIA AZZAHRA 3212307005060001 P 154 39.7

101 RAISYA NUR AFI 3175064201061003 P 157 49.5 N T T L T S S TS S T


102 SUCIPTO NAGARIA SEMBIRING 3172061708060005 L 158 71.4 N T T L T S S TS S T
103 THEO JESEN NAFTALI SIRAIT 3175062801060015 L 171 81.2 N T T L T S S S S T
104 Vivian Daniella Mapandiy 3172025001060010 P 158 72.9 N T T L T S S TS S T
105 WESLEY ZEPANYA SITOMPUL 3275036604060008 L 164 45.9 N T T L T S S S S T
106 Zafira Saskia Ramadhani 3275065709060007 P 163 45.7 N T T L T S S S S T
107 ZAKKY ANWAR MAKARIM 3175061702061002 L 149 31.9 N T T L T S S S S T
108 ZHAFIRA DWI RAHMA 3171036203060001 P 153 41.4 N T T L T S S S S Y
109 ABELIA DANA AQUILA 3175064507050003 Kelas 8D P 158 66.2 N T T L T S S S S Y
110 ABIMANYU HAFIZH AL FAKHRI 3175060107060010 L 155 32 N T T L T S S S S Y
111 ADITYA RACHMAT MAULANA 3175062304061004 L 155 48.2 N T T L T S S TS S T
112 AIN NUR ROFIAH 3175066701060002 P 146 35.8 N T T L T S S TS S Y
113 ALINI FAMELIA 3175075311050006 P 161 42.5 N T T L T S S S S Y
114 AMANDA HASNA SALSABILA 3175065104060007 P 159 44.2 N T T L T S S S S Y
115 ANDI LUTFIAH 3175065905061004 P 157 42 N T T L T S S S S T
116 ANINDHITA KEYZIA NUGROHO 3172044209061004 P 163 46 N T T L T S S TS S T
117 AULIA MAHARANI WIJAYA 3175024204060003 P 160 64 N T T L T S S TS S T
118 BAYU DIRA SETIADJI 3175100311061002 L 176 102.2 N T T L T S S S S T
119 CHELSEA JULIANTI ATMAJA WASIAT 3172046607050003 P 158 61.3 N T T L T S S TS S T
120 DINI AMALIA ZAHRAH 3175064103051002 P 162 51 N T T L T S S TS S Y
121 FAJAR RAIHAN HANAFI 3171051603060003 L 148 40 N T T L T S S TS S Y
122 FAQIH SRI SHEVA WICAKSONO 3172042006060008 L 171 56.9 N T T L T S TS S S T
123 GHANI ABRAR PAHREVI 3175061103060001 L 168 70.9 N T T L T S S S S T
124 Hasna Andhini 3175026707060004 P 155 35.4 N T T L T S S S S T
125 Jovan Aulia Dwi Putera 3216012704060004 L 173 99.8 N T T L T S S S S T
126 KHALISHA FAYZA PRILLIADHYA 3175066804060010 P 156 46 N T T L T S S TS S T
127 KHANSA NADHIR CARRISSA 0954035707060017 P 171 63 N T T L T S S TS S Y
128 MALIK IBRAHIM KUADY 3172022908050002 L 171 70.8 N T T L T S S TS S T
129 MARSHA FATHIKA AMALIA 2175066300705100 P 156 48.3 N T T L T S S S S T
130 Mohamad Putra Imanudin 3175061905051002 L 163 73.7 N T T L T S S S S T
131 MUHAMAD RIZKI UMANDA 3175062204050007 L 163 48.4 N T T L T S S TS S Y
132 NABILA FADLILATUZULFA 3175065203060002 P 164 87.2 N T T L T S S TS S T
133 NAJWA CHAYARA FIRDY 3175062401092519 P 156 53.2 N T T L T S S TS S T
134 NAURA APRODHITE YUSNI 3175075002060005 P 157 59.5 N T T L T S S S S T
135 PASHA AVATAR ARDAN 3275082303040005 L 146 34.3 N T T L T S S TS S T
136 RAHMAD NAWAWI SAPUTRA 3175021371932698 L 163 47.3 N T T L T S S S S Y
137 SATRIA RAKA HERLAMBANG 3175062102061004 L 163 61.6 N T T L T S S S S T
138 SHAFA NABILA ANDRIANA 3175065001061004 P 160 43.5 N T T L T S S S S T
139 SYAHLA FATYAN SALSABILA 3175064807060013 P 158 39.9 N T T L T S S S S T
140 SYIFAA AWULIA 3175066603060006 P 158 37.6 N T T L T S S S S T
141 TARISKA RAMADANI 3175065110050005 P 159 61.4 N T T L T S S S S T
142 TASYA DWI LESTARI 3175066809050003 P 160 46.2 N T T L T S S S S T
143 VAHD VUAD VALAHIN 3175061006080006 L 158 56.7 N T T L T S S TS S T
144 YUNI MALIA WULANDARI 3175066106051005 P 158 53.5 N T T L T S S TS S T
145 ADAM MUSTAFA DZIKRI 3175060602060009 Kelas 8E L 167 55 N T T L T S S Y S T
146 AFNISA PURJI RINJANI 3175064302060000 P 156 37 N T T L T S S Y S T
147 Alfianah 3175064606060008 P 159 47.3 N T T L T S S T S T
148 ALYA ADRIANA MAHMUD 3175066812050006 P 158 39.5 N T T L T S S T S T
149 AM SYAHLUL AMNI 3175062101096708 L 156 42.6 N T T L T S S T S T
150 ANINDYA KAYLA NUGROHO 3172044209061005 P 163 41.8 N T T L T S S T S T
151 Brenda Helena Paruntu 3175045310050003 P 155 37.3 N T T L T S S T S T
152 Chalisa Nabila Afrizal 3172042201097245 P 163 42.3 N T T L T S S T S T
153 CHELSEA AUFFA CAHYA PRIHATIN 3172046506060004 P 146 37 N T T L T S S T S T
154 DIAH AYU LESTARI 3175065409050001 P 163 49.9 N T T L T S S T S T
155 ELISA PERMATA SUNDAY LOMBU 3172041701094739 P 156 45.5 N T T L T S S T S T
156 ERSA SAPUTRO 3175063001050004 L 170 65.3 N T T L T S S T S T
157 GEORGIA SABRINA MARETTI SETIA LUMBAN GAOL 3175064705060012 p 162 70.4 N T T L T S S Y S T
158 Gerhard Steven Sinaga 1207211005070003 L 145 46.5 N T T L T S S T S T
159 GHILRANDY ADAM HARIMURTI 3175062507050013 L 174 50.6 N T T L T S S T S T
160 Gresia Oktavianti NAinggolan 3175064710051008 P 153 33.7 N T T L T S S T S Y
161 HARI BERNARDO 3175063001094003 L 167 50 N T T L T S S T S T
162 Kayla Prisqilla Delofa 3175060501090526 P 164 53.3 N T T L T S S T S T
163 MARCO ALESSANDRO MARESCA 3175061810060017 L 168 50.6 N T T L T S S T S T
164 MITZAL AQILA ELFIANO 3175020908060001 L 170 59.7 N T T L T S S Y S T
165 MUHAMMAD ARIEL ALFIANSYAH 3175060608050005 L 168 47.8 N T T L T S S Y S Y
166 MUHAMMAD RAKA BISMA RASENDRIYA 3518010805050001 L 167 50 N T T L T S S T S T
167 MUTIARA AULIA AGUSTIANI 3175065707050004 P 151 49.3 N T T L T S S T S T
168 NADINE CANTIKA PUTRI 3175064406060014 P 159 44.6 N T T L T S S T S T
169 NAJMA ZAYYANA RANYA 3175067105061004 P 161 46.3 N T T L T S S T S T
170 NAYLA ZAHRA BASYALWI 3172044204060003 P 159 53.6 N T T L T S S T S T
171 NICHOLAS EFENDI SAPUTRA 3171022401061001 L 149 35.4 N T T L T S S Y S T
172 OKTAFIA SIMBOLON 3175600520050000 P 162 57.7 N T T L T S S T S T
173 Paulus Layana Pradipta 9510531070500171 L 161 44.4 N T T L T S S T S T
174 RATU ANDARA 3175062908160059 P 160 44.4 N T T L T S S T S T
175 RICHARD ALIMIN 3175062910050009 L 156 63.3 N T T L T S S T S T
176 RIZKI NUR FAWAZNI 3175065203050008 P 162 91 N T T L T S S T S T
177 SHAFWAH HAZEL AZZIIZAH 3171036007050008 P 152 57.8 N T T L T S S T S T
178 TRESYA JOHANA SIAHAAN 0954036107030132 P 156 62.7 N T T L T S S T S T
179 VERCHYLIE BIANQA EFRATA RESTIADI 3275027105060004 P 157 53.3 N T T L T S S T S T
180 WILFRED SIHOMBING 3173032811060003 L 166 46.6 N T T L T S S Y S T
181 ABIZAR GHIFFARI NADHYT WINATA 3175060412050001 Kelas 8F L 156 43.8 N T T L T S S S S T
182 ADINDA AISYAH WELLIANI 3175066203060007 P 156 46.4 N T T L T S S S S T
183 ALMALIA AL ZAHRA 3175064410050008 P 165 56.9 N T T L T S S S S T
184 ALYA SALSABILLA PUTRI HAPSARI 3175064704061004 P 167 53.6 N T T L T S S S S T
185 ANISA SYAFITRI 3175066003060006 P 156 52.4

186 Asikin 3175061912110055 L 157 54.3 N T T L T S TS S S T


187 AURORA FERVITA 3172025511050001 P 156 51.5 N T T L T S S S S T
188 CHERYL NAILAH TUBAGUS 3175066607060008 P 151 42.3 N T T L T S S S S T
189 CLARISSA ATHAILLAH NOVIA PUTRI 3175064205060018 P 156 50.6 N T T L T S S S S T
190 DAFFA EL GIBRANI 3275062611060006 L 162 60 N T T L T S S S S T
191 DELIA SEFTIANI ZUBIR 3175064309060013 P 157 42.9 N T T L T S S S S T
192 Dwi Nur Aini 3171035301060004 P 156 51.2 N T T L T S S S S T
193 ERLANGGA PRAYOGA PUTRA 3175010605060000 L 162 48.9 N T T L T S S S S T
194 FIRMAN SYAPUTRA EFFENDI 3175061202060005 L 174 63.5 N T T L T S S S S Y
195 HARRI SAPUTRA 3175060802180015 L 151 29.3 N T T L T S S S S Y
196 KAYLA DINAR PUTERI 3171054309051001 P 154 48.2 N T T L T S S S S T
197 LAELIA NAJWA NURFAJRIA 3175066512050009 P 163 66.4 N T T L T S S S S T
198 LIFIA AVI AULIANA 3175032874289364 P 156 48.9 N T T L T S S S S T
199 LIYAH LESTARY 3175066501060002 P 165 51.9 N T T L T S S S S T
200 MELLA ARTIKAH RINGKIH 3175065205050006 P 157 48.3 N T T L T S S TS S Y
201 MU'TAZ AL GHANIY 3175060202096045 L 177 139.2 N T T L T S S S S T
202 MUHAMAD DWIKY HERMAWAN PRIAMBODO 3275062703060004 L 160 40.2 N T T L T S S S S T
203 MUHAMMAD ZEN AL BUKHORI 3175060303050004 L 162 32.3 N T T L T S TS S S Y
204 NADIA FATMA RATU ADELIA 3172046904050008 P 157 53 N T T L T S S S S T
205 Nadselindra Prathalla Putra 3175061210050016 L 163 38.8 N T T L T S S S S T
206 NAGATA WIRAPUTRA 3175022301093434 L 155 52.2 N T T L T S S S S T
207 NAILA VIRGINANDA PURNAMASARI 3175060302093261 P 162 55.9 N T T L T S S TS S Y
208 NAJMI SANIYAH PUTRI RINALDI 3172046706060012 P 161 38.3 N T T L T S S S S T
209 NAUFAL RAEHAAN 3216081811050001 L 161 48.2 N T T L T S S S S T
210 NAZWA SURYA MELATI 3175024212050004 P 159 39.2 N T T L T S S S S T
211 RIZKY ICHWAN NUGRAHA 3175061212111008 L 160 40.3 N T T L T S S S S Y
212 SALWA KAMILAH 3172046208060005 P 150 39.8 N T T L T S S S S Y
213 SILVIANA AGUSTIN 3175064908051002 P 160 40.8 N T T L T S S S S Y
214 SYALWA ZAHIRA JUNAIDI 3175064310050017 P 167 51.3 N T T L T S S S S T
215 THASYA AMANDA 3327135307050003 P 154 43 N T T L T S S S S Y
216 Vanisa Ramadhani 3175065810060003 P 153 33.7 N T T L T S S S S T
217 ABDUL RA'UF AZQILA NUGRAHA 3175060509050006 Kelas 8G L 167 65.5 N T T L T S S TS S T
218 ADELIA RARAPUTRI TAPANGAN 3175064503060012 P 149 30 N T T L T S S S S T
219 AHMAD FACHRI ANDREANY 3175060402090251 L 174 91.9 N T T L T S S TS S Y
220 AISHA RIFDATUSSUADAH 3175065003061001 P 164 42.9 N T T L T S S TS S T
221 ALYA NABILA ZAHRA 3175066705060002 P 158 44.5 N T T L T S S S S T
222 ARETHA ATHALLAH DEVI 3171085412060003 P 157 57.3 N T T L T S S TS S Y
223 AZZAM ANSHORY 3275061109060002 L 153 31.6 N T T L T S S S S T
224 CHANDRA ADE PUTRA 3175061409051006 L 171 75.9 N T T L T S S S S T
225 CHASNA FAUZIYYAH AMIR 3175064703050009 P 149 65 N T T L T S S S S T
226 EVAN WIJAYA RAMADHAN 3275030610050009 L 186 55.9 N T T L T S S S S T
227 Faldisa Amelia Azahra 3175064705060019 P 160 52.6 N T T L T S S TS S T
228 GADING MUQSITHU RAHMATULLAH 3172041104060000 L 144 34.2 N T T L T S S S S T
229 GEOVANY RIZKY ARDIANA PUTRA 3175060506060002 L 165 50.4 N T T L T S S S S Y
230 GHINA SITO LISANDA 3175065006060008 P 152 53.9 N T T L T S S S S T
231 GIFTA MOOIRA PRASHARNISSA 3171035905060006 P 156 36.6 N T T L T S S S S T
232 Hartini Utami 3175064101050002 P 160 47.9 N T T L T S S S S T
233 IKHLASUL MU'MININ 3172031809060003 L 170 55.5 N T T L T S S S S T
234 indah permata sari 3175064904051008 P 161 37.3 N T T L T S S S S Y
235 Ivanka Freisha Aurelly (PINDAH SEKOLAH) P
236 MAHARDIKA AURIN ADRIANA 3273236703060009 P 154 56.2 N T T L T S S TS S Y
237 MAKHSHUSH BIL IZZI 3175061206061003 L 169 40.8 N T T L T S S S S T
238 MUHAMMAD ARDELL RAMADHAN 3175061410051002 L 166 62.8 N T T L T S S S S T
239 NABIHA ALISA IRAWAN 3175025206060002 P 160 50.9 N T T L T S S S S T
240 NADA FITRIA BERLIANA 3172044510050003 P 158 50.5 N T T L T S S S S T
241 NASYA MEIDITA 3175066405051003 P 164 51.7 N T T L T S S TS S T
242 NAZWA CHAIRUNNISA 3171036809050006 P 163 52.2 N T T L T S S S S T
243 NURUL KAMILAH 3175065506050011 P 154 56.3 N T T L T S S S S T
244 OKTAVIA SAVITRI 3175067010051006 P 156 56.4 N T T L T S S TS S Y
245 PIJAR NURIA SUFI 3216014603060007 P 156 37.9 N T T L T S S S S T
246 Raakan Aulia Akhmad 3175021506061003 L 161 72.3 N T T L T S S S S T
247 Rafie Tri Erian Mahadika 3175061501061003 L 167 47.3 N T T L T S S S S T
248 SHAFA ATHAILLAH 3172025512040008 P 154 55.7 N T T L T S S TS S T
249 SHANDY IBRAHIM NASUTION 3216012609060005 L 180 65

250 SUCI NURUL HIDAYATI 3175061702100108 P 157 77.4 N T T L T S S TS S T


251 Syifa Puspita Saraswati Sardi 3175024907060003 P 151 35.7 N T T L T S S S S T
252 ZAHRA MUFIDA 3175065410060015 P 159 51

253 ADINDA MAYSYAFANI IKAS 3275026705060003 Kelas 8H P 163 72.3 N T T L T S S S S T


254 ALIFAH NAILAL HUSNA 3175067105061001 P 160 64 N T T L T S TS S S T
255 AN NISAA NUR KAYLA 3175066305060002 P 162 55.4 N T T L T S S S S T
256 ANANDA NUR FIRDAUSI 3175064301060003 P 162 58.6 N T T L T S S S S T
257 ANGGARA KURNIA RAMDHANA 3175062905060015 L 157 49.5 N T T L T S S S S T
258 ARYA MAXY PACIAN 3175060608061004 L 156 36.2 N T T L T S S S S T
259 BIMA CAHYO NUGROHO 3171081702060001 L 170 64.8 N T T L T S S S S T
260 CANDERRO RAIHAN AFFERO 3275061003060004 L 163 77.2 N T T L T S S TS S T
261 DAAFFA AGUSFRYANSYAH 3175061807160017 L 161 32.6 N T T L T S S S S T
262 DINARA AZWA UMARI 3175065306050002 P 159 58.9 N T T L T S S S S T
263 FADHIL AKMAL 3275061508050004 L 176 56.9 N T T L T S S S S T
264 FAYZA AULIA 0954036301060111 P 163 68.3 N T T L T S TS TS S T
265 ITA RAFITRI 3175065504050008 P 157 45.3 N T T L T S S TS S Y
266 JIHAN CAESARIA MEITAWATI 3175067005051001 P 160 47.2 N T T L T S S TS S T
267 Kayla Avisanindya Daneswari 3172024410060002 P 158 56 N T T L T S S S S T
268 Maryam Khoirunnisa Sisilia 3175065006060008 P 156 42.6 N T T L T S S S S T
269 Moch Ezzy Pramono 3175063007060005 L 164 49 N T T L T S TS S S T
270 Muhammad Arya Sastra Putra 3275030812050007 L 153 36.6 N T T L T S S S S T
271 MUHAMMAD RAFLI SYAHPUTRA 3172042703060005 L 174 93.2 N T T L T S S S S T
272 MUHAMMAD RASYA HIBRIZI 3175061209060009 L 157 58.6 N T T L T S S TS S T
273 MUHAMMAD RHAFIK 3175060901051002 L 161 40.6 N T T L T S S S S Y
274 MUHAMMAD ZAKY MAULANA 3175061404060012 L 164 60.7 N T T L T S S S S T
275 NAURA ZHAFARINA 3275062505070366 P 167 54.2 N T T L T S S S S T
276 NOVELIA PUTRI BUDI 3175066911050002 P 156 46.5 N T T L T S S S S T
277 PANJI FAJAR PERDANA 3175042705060009 L 168 45.6 N T T L T S S S S T
278 RIZMA KHAIRUNNISA 3175065612050003 P 163 50.4 N T T L T S S S S T
279 Sandy Garda Pramudya 3172031004060011 L 175 62.7 N T T L T S S S S T
280 SEPTIA ANDINI 3175062401099127 P 150 36.4 N T T L T S S S S T
281 SHABRINA ABYANI IFTIKHOOR 3175065408061008 P 157 43 N T T L T S S S S T
282 SHAFA AULIA HAMIDIYAH 3175065502060003 P 157 47.4 N T T L T S S S S T
283 SHEVA SULISTIARI 3175066909051003 P 159 51 N T T L T S S S S T
284 SHINTA RAMADHANI SURBAKTI 3175065410051005 P 161 67 N T T L T S S S S T
285 SUCI BERLIN RAMADANI 3175074610050015 P 152 39.9 N T T L T S S S S T
286 VIANA ASOKA WIRDA 0951047108060129 P 152 41.2 N T T L T S S TS S Y
287 YONITA PUTRI ASSYIFA JULIFORSA 3175014903041001 P 151 42.5 N T T L T S S S S T
288 Zia Fatihah Gandi 2171115505069004 P 152 54 N T T L T S S S S T
289 Adinda Nurul Aulia 3175065501050003 Kelas 9A P 150 49.7 N T T L T S S S S T

290 AISYAH SALSABILA 3175065912040005 P 152 47.5 N T T L T S S S S T

291 AL FATHIA KHOIRIDINA 3175067007040008 P 162 68.1 N T T L T S S S S Y

292 ANANDA AYU LESTARI 3175060202098407 P 158 46.7 N T T L T S S S S T

293 ANNISA SALWA AZZAHRA 3172044807050007 P 158 50.7 N T T L T S S S S T

294 AYU SEPTIANINGSIH 3175065109041001 P 144 46.8 N T T L T S S S S T

295 AYYUBI HANIFAN WIBISONO 3216012103050008 L 171 53.3 N T T L T S S S S T

296 CAHYO BAYU SAMIAJI 3175060802040004 L 162 43.5 N T T L T S S S S T

297 Challista Nayla Sembiring 3216024908050002 P 163 63.2 N T T L T S S TS S Y

298 DENY ALFIANO SOLEHAN 3175060212040020 L 174 51.2 N T T L T S S TS S T

299 DIVA ANGELIA PUTRI 3172036801050005 P 158 44.2 N T T L T S S S S T

300 fadhila anindya ramadhani 3175066010040018 P 151 51.1 N T T L T S S TS S T

301 FIRDAUS 3175062201092346 L 172 72.2 N T T L T S S S S T

302 HAFSA ZUHRALATIFA AFTHONY 3175025508051001 P 157 53.6 N T T L T S S S S Y

303 Hanna Aisyah 3175067006040005 P 160 44.1 N T T L T S S S S T

304 IRFAN MAULANA 3175021401099561 L 176 85.7 N T T L T S S S S T

305 JAKA SATRIA NUR ALIPH 3175062009040001 L 175 54 N T T L T S S S S T

306 KEISHA AURELIA 3172025307040003 P 156 65.1 N T T L T S S S S T

307 KHAERUN NISA 3326195903050001 P 161 59.7 N T T L T S S S S T

308 KOSAZI ARI HANDANI 3175018296122432 L 170 41.3 N T T L T S S TS S Y

309 LAYYA IZZATI KAMILA 3175066312040012 P 160 54.8 N T T L T S S TS S T

310 MELVA FIRDHIAN NABILLAH 3175066912040009 P 170 49.4 N T T L T S S S S T

311 MOCHAMMAD ZULHAN RUSDY 3175060404040025 L 164 45.6 N T T L T S S S S Y

312 Muhammad Dwi Septiyanto 3175062109040002 L 158 42.7 N T T L T S S S S Y

313 MUHAMMAD DZIDAN AZAHRA 3175061710040016 L 168 55.3 N T T L T S S TS S Y

314 NINDYA KHOERONI SAFITRI 3175065207040004 P 158 58 N T T L T S S TS S T

315 NUSAIBAH HUSNA SALSABILA 3175066402041002 P 166 71.6 N T T L T S S S S T

316 PUPUT ARIYANTI 3175065405040003 P 161 50.5 N T T L T S S S S T

317 RAYA RAIHAN DEWANDRA PUTRA 3175060505040025 L 170 51.2 N T T L T S S S S Y

318 RINA MAULIDYA 3175066504050001 P 164 45.2 N T T L T S S S S T


319 RISKA WIDYANINGTYAS 3172034608040005 P 147 38.7 N T T L T S S S S T

320 SITI AULIYA PUTRI 3175064112031001 P 155 38.2 N T T L T S S S S T

321 SONY HERMAWAN 3175061106040009 L 166 50.4 N T T L T S S TS S T

322 VANIA WIDYADANA ZAHIDA 3175065412060004 P 154 45 N T T L T S S S S T

323 YUDHISTIRA TRI PAMUNGKAS 3276062611040008 L 170 46 N T T L T S S S S T

324 ZHERLINDA PUTRI SUHERLAN 3175065905050007 P 156 47.6 N T T L T S S TS S T

325 ACE MULYADI RIZQULLAH 3175060607040015 Kelas 9B L 178 76.5 N T T L T S S S S T

326 ADI SETIAJI 0954032812040117 L 163 43.8 N T T L T S S S S T

327 ADINDA DESFIANI 3175066212041001 P 155 39.3 N T T L T S TS S S T

328 Adiska Diandara Fasha 3171035809040004 P 157 47.2

329 AHMAD MUZAKKY 3172043004040003 L 163 53

330 AMALIA SARI RAMADHANI 3216016410040002 P 158 48 N T T L T S S S S T

331 ANYA SABRINA NARULITA 3175067108040001 P 160 37.2 N T T L T S S S S T

332 ARYAND GYMNASTIAR 3174101705050001 L 173 43.2 N T T L T S S S S Y

333 AURA MAWADDAH 3175066111040002 P 163 54.2 N T T L T S S S S T

334 BINTANG MAHARANI 3275064205050005 P 164 57.2 N T T L T S S S S Y

335 DESTIANI NUR SALSABILLA 3175064812041001 P 157 68.8 N T T L T S S TS S T

336 DIKA ADNAR DARMAWAN 3175060112040005 L 180 76.4 N T T L T S S S S T

337 DWIKI RAHAYU 3275067101050004 P 164 53.8 N T T L T S S S S T

338 EKA PRASETYO 3172041510041002 L 166 43.2 N T T L T S TS TS S Y

339 FIRYAL SHIFA AKBAR 3175064208040002 P 164 74 N T T L T S S S S T

340 HAFIDZAH IHSANI SYIFAMAHFUDZAH 3175064105050010 P 167 49.8 N T T L T S S S S Y

341 KASYFURRAHMAN FATHAN 3175062606050005 L 171 85.7 N T T L T S TS S S T

342 KORLENIA SAFITRI 3175065611040006 P 155 65 N T T L T S S S S Y

343 MELANI ROHMALIA 3175062904050002 P 164 57.2 N T T L T S S TS S T

344 MEYTA ARIYANTI 3175065505050010 P 160 50.9 N T T L T S S TS S Y

345 MONICA DWI LAURA 3175061811100023 P 166 48.6 N T T L T S TS S S Y

346 MUHAMAD FARREL SADIDUL KUWA 0954033112040117 L 165 64.8 N T T L T S S S S T

347 NAJZWA ZENITHA 3175060302098784 P 155 50.3 N T T L T S S S S Y

348 NESSA FADIA SARI 3172046206040003 P 158 51 N T T L T S S TS S T

349 NOVIA RAHMAWATI 3172041105120005 P 165 64 N T T L T S S S S Y

350 PUTRI VINA RAHMATUSYIFA 3175064403050017 P 155 51.3 N T T L T S S TS S Y

351 RAGIL PRABOWO 3175061010040012 L 184 75.5 N T T L T S S S S T


352 RETNO DEWI KINASIH 3176066204060002 P 158 53.9 N T T L T S S S S Y

353 RIFKI FATAHILLAH 3172032410040007 L 175 40.3 N T T L T S S S S T

354 RIZKA ADINDA FITRIA 3175062401091216 P 152 64.2 N T T L T S S S S T

355 RIZKY PRATAMA 3175062807040003 L 168 47.3 N T T L T S TS TS S Y

356 SAUQI SALMAN SETIAWAN 3175062405040002 L 159 43.2 N T T L T S S S S T

357 SYAEDANI ZULKAISI 3173073001050008 L 172 40.4 N T T L T S TS TS S Y

358 SYIFA ALIA MAHARANI 3175062401097197 P 153 53.8 N T T L T S S S S T

359 UMI AHYATUL KARIMAH 3175065907040010 P 157 60.3 N T T L T S S S S Y

360 ZHAFIRA AZZAHRA 3175066007040015 P 161 51.4

361 ADINDA TRI SEPTYAWATI 3175065709040004 Kelas 9C P 167 76.4 N T T L T S S S S T


362 Agustin Shella Fransiska 3175064308050007 P 165 52.7 N T T L T S S TS S T
363 ALYA NAFISA ZULFIANTI 3175026307040001 p 156 52.8 N T T L T S S S S T
364 AMELIA RETA PURBA 3172046206050003 P 160 50.9 N T T L T S S S S T
365 ANASTASYA PUTRI BUNGSU 3175065303050015 P 154 42.7 N T T L T S S S S T
366 Asyer Natanael Nainggolan 3175061412041003 L 180 107.3 N T T L T S S TS S T
367 BAMBANG ARI PURNOMO 3175060312040003 L 174 49.5 N T T L T S S TS S Y
368 DAVA ALFARABI 3175062204100079 L 173 62.9 N T T L T S S TS S T
369 DIAN HAMZAH RIYANTO 3175061004050015 L 167 55 N T T L T S S TS S T
370 FATYA EMILIA 3175065309050012 P 156 41.4 N T T L T S S S S T
371 FIKRI AVIORA SAMUDERA 3175062304050001 L 163 49.5 N T T L T S S S S Y
372 George Martua Siahaan 3175062801094729 L 180 126.7 N T T L T S S S S T
373 GHAZLINA DARIN SUPARNO PUTRI 3216016201060005 P 158 44 N T T L T S S S S T
374 GITA KEZIA SIBARANI 3175065508051003 P 158 49.6 N T T L T S S TS S Y
375 GRACE HILARY SITUMORANG 3275036903050005 P 157 55.5 N T T L T S S S S T
376 I Made Surya Dharmawan 3216010112040005 L 169 52.8

377 Imanuel Prince Matthew T 3175061011040004 L 175 66.2 N T T L T S S S S T


378 INDRI OXTAVIANI 3175066310031001 P 154 53.6 N T T L T S S S S T
379 INTAN NURWAFA 3175065511040004 P 178 64.6 N T T L T S S S S T
380 JULIO IMMANUEL NAINGGOLAN 3175021907050001 L 163 44.8 N T T L T S S TS S T
381 Ken Bima Satria Gandasasmita 3216090601060003 L 170 80 N T T L T S S S S T
382 MARCYA MAGDALENA DAMERIA SIAGIAN 3175065407051001 P 155 56.9 N T T L T S S TS S T
383 Marshella 3172024203041003 P 164 68 N T T L T S S S S T
384 MARWAN IKSAN GULTOM 3175062005040006 L 162 67.5 N T T L T S S TS S T
385 MUHAMMAD ZIDAN MUZAKI 9540309120400271 L 175 70 N T T L T S S TS S T
386 NATHANIA ARDELIA 9540305008050113 P 160 47.5 N T T L T S S TS S T
387 Nihel Hanna Aqila 3175066507051001 P 159 58.1 N T T L T S S S S T
388 OLIVIA SEPTIANA CAROLINA 3175064409040001 P 152 45.7 N T T L T S S TS S T
389 RAHEL JASMIN 3175644040405100 P 165 52.5 N T T L T S S S S T
390 REGITA PUTRI CAHYA 3175065605051005 P 162 83.2 N T T L T S S TS S Y
391 SABRINA LIVIANA 3175065206050009 P 162 64.8 N T T L T S S TS S T
392 SHERLY AMANDA AGUSTINA SITORUS 0954035708040063 P 156 44 N T T L T S S TS S T
393 Sindbad Bali Mahatma Trisyani 3175060110040009 L 169 47.5 N T T L T S S S S Y
394 TIUR CAHYA SELAWIYAH 3175064401050012 P 160 92.9 N T T L T S S TS S T
395 VALENTINA NUR FEBRIANTI 3175065402050016 P 163 46.2 N T T L T S S TS S T
396 YASINTYA SURYA ASRI 3172046703050002 P 164 53.4 N T T L T S S TS S T
397 Aliel Syahqira 3175061708041004 Kelas 9D L 156 46 N T T L T S S S S Y
398 AMANDA EDIES SAPUTRI 3172036912040006 P 151 36 N T T L T S S S S Y
399 Amelia Geovania 3175045405050005 P 163 48 N T T L T S S TS S T
400 APRILIA LESTARI 3175065904050006 P 160 54 N T T L T S S TS S T
401 AURA GITA HAPSARI 0951047007040130 P 165 51 N T T L T S S S S T
402 AZZAHRA YUSRINA SABILA 3175064606050003 P 162 57 N T T L T S S S S T
403 CHAERUL SYAMSA 3175061902050002 L 175 130 N T T L T S S TS S T
404 DINI YETRI EFENDI 3175066507041002 P 161 46

405 DIVA ANDINI 3175085911040002 P 151 48 N T T L T S S S S T


406 Elsa Simanjuntak 3172046004050010 P 154 51 N T T L T S S S S T
407 ERYCKA SYLVI 3175065010040007 P 166 82 N T T L T S S S S T
408 FORTIUS LEONARD GERSANG TARIGAN 3175060608051005 L 167 43 N T T L T S S S S Y
409 Fulvian Prima Benedicta 3175060508040014 L 174 92 N T T L T S S TS S T
410 George Richie Matthew 3171040612041001 L 175 93 N T T L T S S S S T
411 GLADWIN DAVE KRISTANTO 3175061312050006 L 177 71 N T T L T S S S S T
412 ILHAM FADILLAH 3275060102050002 L 156 34 N T T L T S S S S T
413 ISTA HASANAH HILYATUN 3175064210040015 P 160 52 N T T L T S S TS S T
414 JEOCELYN GABRIELLE 3172057003050004 P 158 45 N T T L T S S S S T
415 JESSICA VALERI NATHANIELA 3175065604050009 P 162 65 N T T L T S S S S Y
416 JOSUA LIMBONG 3175060905040008 L 161 45 N T T L T S S S S T
417 Karina Nur Ariani 6171056504050013 P 157 53 N T T L T S S S S T
418 KRISTIN HALAHO 3175064302051003 P 160 51 N T T L T S S S S T
419 M. RAKHA SYAHPUTRA 3175061803100049 L 164 44 N T T L T S S TS S Y
420 MOHAMMAD RASYID FAUD 3175062005050020 L 171 52 N T T L T S S S S T
421 MUHAMMAD ALFAREL WICAKSONO 3175060202099949 L 174 84 N T T L T S S TS S T
422 MUHAMMAD HAFIZ PASHA 3175062004050003 L 183 95 N T T L T S S TS S T
423 NADIA PEBRIYANTI MANALU 3175064702050002 P 164 44 N T T L T S S S S Y
424 NAYLA AAMIRA BACHTIAR 3175066903060002 P 156 50 N T T L T S S S S Y
425 NUR ALIYAA PUTRI KHALILA 3275115303050005 P 167 71 N T T L T S S S S T
426 NUR HALIZAH SALEH 3172045903040010 P 161 43 N T T L T S S S S Y
427 Raja Maleakhi 3275067050050003 L 200 72 N T T L T S S TS S Y
428 REDIVA ANANDA PUTRI 3175067107040001 P 158 54 N T T L T S S S S T
429 SABINA AZZAHRA 3175066806050019 P 156 46 N T T L T S S S S T
430 SANTOS PERDANA SETIAWAN 3172042410780002 L 178 50 N T T L T S S S S Y
431 SHELAMITA SINTIA ZEN 3175065103041005 P 163 57 N T T L T S S S S Y
432 WIDYA KALISTA SIHOMBING 3173034803050001 P 156 34 N T T L T S S S S T
433 ANDIKA HARYMURTI SYAPUTRA 3175011611040001 Kelas 9E L 167 69.8 N T T L T S S TS S T
434 Angel Pintauli Rosita 3175025304051001 P 163 49 N T T L T S S S S T
435 ARUM WIDYAWATI 3172036903050003 P 161 44 N T T L T S S S S T
436 BHELVA BATHARI BACHTIAR 3175076245728757 P 152 46.4 N T T L T S S TS S Y
437 BRYAN DWI PRASETYO 3175062208040003 L 169 50.4 N T T L T S TS TS S Y
438 ELSHADAY CHRISTIAN PRIBADI 3217103254050001 L 162 64.4 N T T L T S S TS S T
439 FADHIL ALFARIZI 3175062402050010 L 176 50 N T T L T S TS S S T
440 FARAH ANNISA MAHMUD 3175066111040010 P 154 44.5 N T T L T S S S S T
441 FARSYA FAKHIRA 3175064902050006 P 155 41.4 N T T L T S S S S T
442 FICRI HIDAYAT 3175060405020006 L 176 64.7 N T T L T S S S S T
443 Gerraldo Tito Afra 3275060207050004 L 164 47 N T T L T S S S S T
444 HELENA JESICA PANGGABEAN 0954036711040220 P 170 58 N T T L T S S S S Y
445 I MADE ADITYA PARAMARTHA 3175062803050004 L 169 55.7

446 INTAN HENDRIOS 3175064301050007 P 157 41.6 N T T L T S TS S S Y


447 JOSUA ARYZON SIMATUPANG 3175062109050003 L 160 51 N T T L T S S TS S Y
448 KAREN ENIKE BEE 3175064408040011 P 154 42.9 N T T L T S S TS S T
449 KARITAS CHYKA JEANETTA 3175067006050013 P 161 41.4 N T T L T S S TS S T
450 LORENSA CHRISTINA PANJAITAN 3175064401060003 P 160 55.6 N T T L T S S S S Y
451 MARSHABELLA FAIZA IRSYANDA 3175065503050007 P 152 44.7 N T T L T S S S S T
452 MICHAELA MEILANI PARDEDE 3372055708020011 P 168 62.5 N T T L T S TS S S T
453 MOAMAR DHIKA MAHARRIZKY 3175060408041002 L 167 43.9 N T T L T S S TS S T
454 MUHAMMAD IFTAH RIZQI 3175061809041008 L 176 51 N T T L T S S TS S T
455 NAILAH NUR AYNA FADILLAH 3175065609051001 P 170 47.4 N T T L T S S S S Y
456 NANDA CLARISSA 3175064803051002 P 167 56.5 N T T L T S S TS S Y
457 NAOMI 3175025201050003 P 157 48 N T T L T S S S S Y
458 NASYA AGENG REZKIANY BUATAN 3175066305051001 P 158 42.2 N T T L T S S S S Y
459 PUTRI DZAKIRA SHOLEHAH 3518116204040005 P 144 31.7 N T T L T S S TS S Y
460 Rakha Prayoga 3216020307060017 L 156 53.3 N T T L T S S TS S T
461 Rasya Amalya Putri Purwanto 3275065603060001 P 153 46.9 N T T L T S S S S T
462 RIDWAN RIVALDO APRILLIO 3175060904050009 L 160 59.7 N T T L T S S TS S Y
463 SARAH NUR INTAN 3175065407040006 P 158 41.7 N T T L T S S S S Y
464 SAVINA MARCHANTI 3171087003050001 P 166 49.8 N T T L T S S S S T
465 SHAIRA SUKMAPUTRI ARIEF 3175067108050002 P 150 39.1 N T T L T S S TS S T
466 SILVITA SUSIHANA PURWANINGTYAS 3175065705050012 P 160 60.2 N T T L T S S S S Y
467 THERESIA MAUREEN AMALIA 3175066405051007 P 161 54.4 N T T L T S S TS S T
468 TICHAL LASIA DEWY 3175064706040017 P 159 45.6 N T T L T S S S S Y
469 ADELIA FATHANISA 3172016103030006 Kelas 9F P 156 39.4 N T T L T S S S S T
470 AHMAD KEVIN KURNIA 3517112010040002 L 170 76.9 N T T L T S S S S Y
471 AISYAH FADHILAH PUTRI 3175066612041004 P 154 61.4 N T T L T S S S S T
472 ALLYSA SYIFA RAMADHANI RIZAL 3175066909051002 P 159 48.9 N T T L T S S S S T
473 ANISA SEFIRA DESWANA 3172044509040006 P 156 47.6 N T T L T S S S S T
474 ANNISA NURUL AZIZAH 3175023864926482 P 165 44.5 N T T L T S S S S T
475 ARTIKA NUR HAKIM 3175066507050003 P 164 81.7 N T T L T S S S S T
476 BERLIANA ALFI RAMADHANI 3175066310051001 P 157 56.8 N T T L T S S S S T
477 BUNGAH MUSTIKA 3175065301050004 P 154 40 N T T L T S S S S T
478 DANICA FAZILLA UMRI NASUTION 3175065007051005 P 154 46.2 N T T L T S S TS S T
479 DEVA NABILA WINDASARI 3175065804041001 P 163 47 N T T L T S S TS S Y
480 FADHIA CHOIRUN NISA 3175065605050005 P 159 40 N T T L T S S TS S T
481 Fauziah Rahmadiah 3275065211040006 P 158 51.8 N T T L T S S TS S T
482 IRFAN ABDURRAHMAN 3175062608051005 L 163 40.8 N T T L T S S TS S Y
483 JIBRAL ALDY RAMADHAN 3175060111041004 L 172 51.2 N T T L T S TS S S T
484 KHALISHAH NABILAH PUTRI 3216017112040002 P 156 42.2 N T T L T S TS S S T
485 LINTANG SELYKA PUTRI 3175065610041007 P 154 39.3 N T T L T S S TS S T
486 LIVIA PEBRIANI 3175064603050008 P 161 43.7 N T T L T S S S S T
487 MARSYA AURELIA SYAHKIRA 3175066003050008 P 154 48.8 N T T L T S S S S T
488 MOHAMMAD DZAKI TRIHASTANTO 3275061809040007 L 169 72.2 N T T L T S TS S S T
489 MUHAMAD FAHRUL RIZQY RAMADHANY 3175062206050002 L 170 80 N T T L T S S S S T
490 MUHAMAD SULTHON HANIF WIBOWO 3172031501092001 L 169 58.2 N T T L T S S TS S T
491 MUHAMMAD NAUFAL SYAHRIAL 3175061309051001 L 171 71.2 N T T L T S S S S T
492 MUHAMMAD SUTAN CAESARINOVE 3175061811040006 L 164 62.2 N T T L T S TS S S T
493 NABILLA SAFITRI 3175066011400111 P 160 45.2 N T T L T S S S S Y
494 NADYA RIZKIANA PUTRI 3175066408040012 P 159 41.4 N T T L T S S TS S T
495 NAUFAL RAJWA RABBANI 3175061511040004 L 168 59.9 N T T L T S S TS S Y
496 OKTAVIA SRI HANDAYANI 3175065810040001 P 156 51.9 N T T L T S S TS S T
497 RIDYA SYABITA 3175066201051001 P 159 57.5 N T T L T S S TS S T
498 RIKO AGUSTIAN NAPITUPULU 3175062308040009 L 200 114.9 N T T L T S S S S Y
499 RISKY FIRMANSYAH 3175060501050011 L 166 87.3 N T T L T S S S S Y
500 RIZKI AMANDHA AULIA 3175065308040020 P 159 67.8 N T T L T S S S S T
501 SAFFANA URFA SETIAWAN 3175076102050002 P 153 43.8 N T T L T S S S S T
502 SATRIO 3175060703050011 L 167 66.2 N T T L T S S S S T
503 Siti Fauziah 3175061805040001 P 152 43.2 N T T L T S S TS S T
504 SOERYO AJIE 3175061604051006 L 168 48.7 N T T L T S S S S Y
505 ADELA NUR SHADRINA 3275065603050009 Kelas 9G P 156 44.2 N T T L T S S TS S T

506 AKBAR SYIHABUDDIN 3172042909040006 L 176 57.3

507 ALIFIA RACHMA PUTRI 3175066304050005 P 164 58.2 N T T L T S S TS S T

508 ALIYAH KHAIRUNNISA 1671116611050002 P 163 95.5 N T T L T S S S S T

509 ALVINA DAMAYANTI 3175065802050010 P 160 47.7 N T T L T S S S S T

510 ARYA RENDY 3175060209040011 L 157 464 N T T L T S S TS S T

511 AUDRI RIZKITA YANUAR 3175064301050009 P 156 54.2 N T T L T S S TS S T

512 DAVA ADZKIYA PUTRI 3175065909041003 P 163 64.8 N T T L T S S S S Y

513 DENA NOVITA HERAWATI 3275065112040003 P 64 50 N T T L T S S S S T

514 DHINI ALIA PUTRI 3175065505050001 P 156 54.8 N T T L T S S S S T

515 DINDA MAULIDYA SARASWATI 3175065306050009 P 155 53.2 N T T L T S S TS S Y

516 HAIKAL HIRA HABIBILLAH 3175062806041001 L 169 86 N T T L T S S TS S T


517 ILHAM YUSUF NARENDRA 3175061301050008 L 179 60.9

518 INDRI LESTARI 3175065009040012 P 159 50 N T T L T S S S S T

519 KAFITA DESTA AZZAHRA 3175065406041001 P 174 96.6 N T T L T S S S S T

520 KAKA FAJRI RIRAMSYAH 3172042001050006 L 169 46.9 N T T L T S S S S T

521 LUNA KAYLA BALQIS 3171036504051002 P 156 46

522 MARSHA AULIA 3175012938109730 P 156 43.2 N T T L T S S S S T

523 MUHAMMAD HILDAN HAKIKI 3175062606051001 L 167 50.2 N T T L T S S S S T

524 MUHAMMAD RIZAL MAULANA 3172040105040009 L 169 72

525 MUHAMMAD RIZKY BRILIAN 3175063005050014 L 170 41.5 N T T L T S S S S T

526 MUHAMMAD SHEVA RAMADHAN 3175060111040009 L 167 48.9 N T T L T S S S S T

527 MUHAMMAD SYAIFUDIN 3175061304051005 L 164 37.6

528 Nadia Aulanur Kartikasari 3276055112040001 P 146 42.2 N T T L T S S TS S T

529 NASYWA HANDA FITRIAYA 3175065511040009 P 157 44.7 N T T L T S S S S Y

530 NISFATUL MUSTIKA 3175060202095903 P 164 81.7 N T T L T S S S S T

531 PUTRI NAIYA AZALIA KENNEDY 3175072501121063 P 153 54.9 N T T L T S S S S T

532 RAFI ANDANA 3172041608050011 L 164 55.2 N T T L T S S S S Y

533 REKA AULIA TANIA ASZAHRA 3175064302051001 P 164 47.4 N T T L T S TS TS S T

534 RIKO DENARYA PUTRA CAHYO PURNOMO W.S 3175061212031001 L 167 49.8

535 SABILATUNAJAH HASAN 3175066906030009 P 155 44 N T T L T S TS TS S T

536 SALSA BILLA NURAINI 3175061009141047 P 169 51.3 N T T L T S S TS S T

537 SARAH MEUTHYA ZAHWA 3175066501050001 P 157 56.6

538 SATRIA CHANDRA DHARMAPUTRA 3275062207050003 L 186 116.6 N T T L T S S S S T

539 SITI NAZMAH AFIFAH 3175065203040010 P 150 41 N T T L T S S S S Y

540 YUNI EKA PURWANINGSIH 3175065906040002 P 168 59.5 N T T L T S S S S Y

541 AGUS LESMANA 3208232408040001 Kelas 9H L 178 55.2 N T T L T S S S S T

542 ANASTASYA ARGIYANTI 3175064612040018 P 156 30.2 N T T L T S S TS S Y

543 ARIS FADILAH 3175070711040007 L 174 57.3 N T T L T S S TS S T

544 CANTIK SRIKANDI NUR ILAVI 3216012508880001 P 158 45.3 N T T L T S S TS S T

545 DELAROSA SAVITA DEWI 3175066112040012 P 167 76.7 N T T L T S S S S Y

546 DIAN KHAIRUNNISSA 3175025102041001 P 157 51.4 N T T L T S S S S T

547 DIMAS WAHYU HIBATILLAH 3175062310131031 L 172 63 N T T L T S S S S T

548 DINDA AULIA HAKIM 3175064106051009 P 162 77.4 N T T L T S S S S Y

549 FIONA TRIANANDRA 3175066708040007 P 157 43.8 N T T L T S S TS S T


550 FITROTUNNADA SALSABILAH 3175066211040002 P 161 38.2 N T T L T S S S S Y

551 INAYAH AZ ZUKHRUF 3175066412040015 P 157 51 N T T L T S S TS S Y

552 KALYA ALMAHSA PUTRI 3175066009050001 P 153 45.4 N T T L T S S S S Y

553 Lareina Razita Darlene 3175064202050009 P 150 46.9 N T T L T S S S S T

554 METI DWI ASTUTI 3175064110040014 P 160 63.1 N T T L T S S S S Y

555 MUHAMMAD AFRANSYAH FAJAR 3175060904050003 L 162 50.2 N T T L T S S TS S T

556 MUHAMMAD DEVA RAMDANI 3175060111040001 L 170 54.3 N T T L T S S TS S Y

557 MUHAMMAD RIZKY 3175060201050007 L 173 56.2 N T T L T S S TS S T

558 MUHHAMAD FAHMI KHASAN 3175062608041003 L 177 66.5 N T T L T S S TS S T

559 NANDA AL-KHAASYI' 3175022405050008 L 171 47.7 N T T L T S S S S T

560 NAUVAL AL GHIFARI 3175062408041001 L 172 54 N T T L T S S TS S Y

561 NAYLA NANDHITA NURIL HADI 3175066104050013 P 162 47.8 N T T L T S S TS S T

562 OCTRYA RAMADHANI 3175066710040013 P 167 52.8 N T T L T S S TS S T

563 PUTRI ROSIPAH 3175065108040016 P 163 45 N T T L T S S S S T

564 RAEHSYA AIDHA UTARI 3175066001051005 P 163 56.9 N T T L T S S TS S T

565 RAIHAN TAUFIQUR RAHMAN 3172021210040003 L 171 53.7 N T T L T S S TS S Y

566 RIDHO DAFFA AMRULLOH 3175061307040009 L 161 46.2 N T T L T S S S S Y

567 RIDHO GILANG RAMADHAN 3175060910040011 L 169 48.2 N T T L T S S TS S T

568 RIFAH AISYAH 3175066508040009 P 156 51.4 N T T L T S S TS S Y

569 ROBBIANSYAH ADAM KUSUMA 3175060806040001 L 170 60.4 N T T L T S S TS S T

570 SARA HARINI 3175061609041002 P 155 41.5 N T T L T S S S S T

571 SHAFA AQEELA RAMADHANI SYAHRIL 3175064611041001 P 167 64.9 N T T L T S S TS S Y

572 SHELLYNA AULIA 3275064205050003 P 166 50.3 N T T L T S S TS S T

573 SHINTA DIVA AULIA 3175060202097624 P 163 55.5 N T T L T S S S S T

574 WIDAYANTI 3303045004050002 P 154 38.3 N T T L T S S TS S T

575 XANIA KHOIRUN NADA SALSABILA 3175066906040014 P 161 43.7 N T T L T S S S S Y

576 ZIYYAD FATIH HAMZAH 3172043004050009 L 168 52.3 N T T L T S S S S T

576 JUMLAH SISWA N S S S T


L 212 558 530 353 558 420
P 364 TS TS Y
28 169 137
dst
Netra: N T T L: KS : TS T: S: S: S: S: T:

Rungu: Hipo Y Y TL : K: S Y: TS : TS : TS : TS : Y:
Rungu
Wicara: Hiper N:

Grahita: G:

Daksa: O:

Autisme:

Ganda:

ADHD:
N KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH

Tindak Lanjt Pemberia pemberia Kepemilik


Gigi dan Mulut Mata / Penglihatan Telinga / Pendengaran
Risiko Ganggu Gangguan Mental Emosional Modalitas Belajar
Pengguna n TTD n Obat an bk
berhub dg an Kes. Dominasi Kebugaran
Gigi dan Gusi Ganggua
Buta
Warna
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Masalah Infeksi n Peng
lihatan
(SMP/
Infeksi Seru men Pen
dengaran
hidup duksi
E C H P Pr Audio Visual
Kines
Bantu
n Gr/ort Rjk kesehata
lainnya SMA) tetik Pskesmas n
20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44
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T T KM T T Y T T T N N N N N T Y T Oki T B T

T T N T T T T T T N N N N N Y T T Oki T B T

T T N T T Y T T T N N N N N T Y T Oki T B T

T T N T T T T T T N N N N N T T Y Oki T B T

T T N T T Y T T T N N N N N Y T T Oki T B T

T T N T T T T T T N N N N N T T Y Oki T B T

T T N Y T Y T T T N N N N N Y T T Oki T B T

T T N T T T T T T N N N N N Y T T Oki T B T

T T KM T T T T T T N N N N N T Y T Oki T B T

T T N T T T T T T N N N N N Y T T Oki T B T

T T N T T Y T T T N N N N N T Y T Oki T B T

T T KM Y T T T T T N N N N N Y T T Oki T B T

T T N T T T T T T N N N N N Y T T Oki T B T

T T N T T Y T T T N N N N N Y Y T Oki T B T

T T N T T T T T T N N N N N T Y T Oki T B T

T T KM T T Y T T T N N N N N T Y T Oki T B T

T T N T T T T T T N N N N N T Y T Oki T B T

T T N T T T T T T N N N N N T Y T Oki T B T

T T N T T Y T T T N N N N N T Y T Oki T B T

T T N T T Y T T T N N N N N Y T T Oki T B T

T T N T T T T T T N N N N N T T Y Oki T B T

T T N T T T T T T N N N N N T Y T Oki T B T

T T N T T Y T T T N N N N N T Y T Oki T B T

T T N T T T T T T T T T Oki
558 558 355 548 522 355 523 556 558 272 333 492 558
Y KM Y Y Y Y Y Y Y T
0 172 10 0 202 0 2 285 223 65
T: T: N: T: T: T: T: T: T: N N N N N T: T: T: OKi: T: BS: T:

Y: Y: KR : Y: OM : Y: Y: Y: Y: B B B B B Y: Y: Y: OKa: Y: B: Y:

LV : OE : AB AB AB AB AB Kika: S:

B: K:

KM : KS:
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn
abilitas
(cm)

1 ADISHA KHANSA RIVANA 3175014702060002 P N 153

2 Aila Julita Farras 3171034407060007 p N 150

3 AKMAL NABIL ARDIANSAH 3174042011050003 L N 157

4 ALFRIDA GISTIRA DAMAYANTI 3175060302099109 p N 156

5 ANA HASLINDA 3175032764239642 P N 160

6 BERLIANA NUR PUTRI AYUNI 3172045804040003 p N 159

7 Danindra Nusa Pratama 3216021706060007 L N 177

8 DESVITA UTTU FEBRIEN 3172545020610001 P N 150

9 FAKHRI FAHREZI 3175071708060013 L N 165

10 Farrel Ardian Yasin 3171041711050004 L N 172

11 FIRLIYAL ZALFADYA ALLYANI 3172046901060001 P N 156

12 GANESHA ALFIANSYAH HENDARTA 3175060707050011 L N 170

13 Gheanadya Ciara Keisha 3674055211060005 P N 157

14 HAIKAL ARIFIANSYAH 3175062101093536 L N 159

15 HELWAH 3175064806050006 P N 152

16 HILYA JANNATIE MAULADYA 3175067004060006 P N 152

17 MIA MAHARANI SIMATUPANG 3175066405050002 P N 157

18 MUHAMAD ARFAN ZILDAN KOSWARA 3276021801060009 L N 163

19 MUHAMMAD AZHIQNA AZKIA 3175060304060018 L N 161

20 MUHAMMAD RIFKY RAMDHANSYAH 3172022409600004 L N 152

21 Muhammad Zaki Ananda Putra Essa 3172022211050003 L N 158

22 MUTIA HAURAA ATHAAYA 3275066412050007 P N 152

23 NASYILA MALENDRA 3175060803111068 P N 155

24 NICKY ADITYA DIAN PRASETYO 3175060203060012 L N 161

25 NOVI SULISTIAWATI 3175066411051003 P N 155

26 NUR KHALIZA NOVIANTI 3175066703051002 P N 146

27 PRISCILLIA LAURA MONICA 3172030301190043 P N 176

28 RAHMAH ALIYAH 3175064510050004 P N


29 REVAKAYLA RESIVA LEMBO 3175065904050014 P N 166

30 ROHMATUN KARIMAH 3175064104060014 P N 161

31 RUIZHI ELGIN SANTOSO 3172041807060010 L N 153

32 SOFI HAPSARI PUTRI 3175016202061001 P N 158

33 SYAHNAZ SALSABILA 3175064807050003 P N 156

34 SYIFA AURELIA 3175065705060003 P N 155

35 Tatia Mairani 3275035605060003 P N 160

36 Zhafira Maulidia 3171035305050007 P N 161


TOTAL L Netra:

P Rungu:
Rungu
Wicara:

Grahita:

Daksa:

Autisme:

Ganda:

ADHD:
K DI SEKOLAH

Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit
(kg) (mmHg) Jantung Paru (stunting)

46 N T T L T S S
59 N T T L T S S
50 N T T L T S S
63 N T T L T S S
48 N T T L T S S
43 N T T L T S S
43 N T T L T S TS
52 N T T L T S S
73 N T T L T S S
51 N T T L T S S
43 N T T L T S S
48 N T T L T S S
62 N T T L T S S
71.4 N T T L T S S
52 N T T L T S S
40 N T T L T S S
60 N T T L T S TS
46.4 N T T L T S S
56 N T T L T S S
34 N T T L T S S
60 N T T L T S S
47 N T T L T S S
40 N T T L T S S
51 N T T L T S S
60 N T T L T S S
54 N T T L T S S
91 N T T L T S S
N T T L T S S
54 N T T L T S S
63 N T T L T S S
49 N T T L T S S
60 N T T L T S S
68 N T T L T S S
58 N T T L T S S
41 N T T L T S S
67.5 N T T L T S S
N T T L: KS : TS T: S: S:

Hipo Y Y TL : K: S Y: TS : TS :

Hiper N:

G:

O:
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna Gangguan
Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

TS S Y T T KM T T T T
S S Y T T KM T T T T
S S T T T N T T Y T
S S T T T N T T T T
S S T T T N T T Y T
S S T T T N T T Y T
TS S T T T KM T T T T
S S T T T N T T Y T
S S Y T T KM T T Y T
S S T T T N T T Y T
S S T T T N T T Y T
S S T T T KM T T T T
S S T T T N T T T T
TS S Y T T N T T T T
S S Y T T N T T T T
S S T T T N T T T T
S S Y T T N T T T T
S S Y T T N T T T T
S S T T T N T T T T
S S Y T T N T T T T
S S Y T T N T T T T
S S T T T N T T T T
S S Y T T KM T T T T
S S T T T N Y T T T
S S Y T T KM T T T T
TS S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
TS S T T T N T T T T
TS S Y T T N T T Y T
TS S Y T T KM T T T T
TS S T T T KM T T Y T
TS S T T T N T T Y T
TS S T T T N T T Y T
TS S Y T T N T T Y T
S: S: T: T: T: N: T: T: T: T:

TS : TS : Y: Y: Y: KR : Y: OM : Y: Y:

LV : OE :

B:

KM :
Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
dg gaya hidup
duksi
E C H P Pr Audio Visual Kines tetik

T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N T T Y
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T T Y
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N T T Y
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T T Y
T: T: N N N N N T: T: T:

Y: Y: B B B B B Y: Y: Y:

AB AB AB AB AB
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani

Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
OKi: T: BS: T:

OKa: Y: B: Y:

Kika: S:

K:

KS:
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:

No Nama NIK Jns Klm (L/P)


Jenis Dis
abilitas

1 ADELIA RIZKY DWI FERNANDA 3175082364896236 P N


2 ADHIATMAJA SAPUTRA 3171030111050006 L N
3 ALYA AZZAHIRA 3171107571106000 P N
4 ANDI SAPTO NUGROHO 3172051503051001 L N
5 ANGGITA ALFIANI PUTRI 3175056205060003 P N
6 APRILLYA PUTRI RIYANI 3175065704060008 P N
7 ARDI CHRISTANTO SAMOSIR 3175061306110104 L N
8 AYU FATMAWATI 3175026210050003 P N
9 BETHA RO RAFFIELLA MANALU 3275035103600008 P N
10 BOY JEREMIA NICODEMUS 3175062602060004 L N
11 DANIELO SIREGAR 3175060207061001 L N
12 DELLA SIMA SIHOMBING 3175062401097094 P N
13 DERRA ALDADINI TUJAPRILSI SIHITE 3173054704060001 P N
14 Diana Carolin 3175064107060011 P N
15 EVAN BUNGARAN CHRISTOFER HUTAPEA 3175060605060014 L N
16 FAJAR RAMADHAN 3175060310050003 L N
17 GERALD EFRAIM PANGAPUL RAJAGUKGUK 3175060606061007 L N
18 KEYNE DIAN AILSA 3175064808060008 P N
19 KHOIRUNISA FITRI 0954036407050027 P N
20 LAURA AMELIA KARO 3172034904060007 P N
21 LUKY APRIAN 3175060804060012 L N
22 MARCELLA JOCELLYN OPPIER 3275086203050009 P N
23 MARIO HASIHOLAN ARITONANG 3175060312050004 L N
24 MUHAMMAD JERRICHO 3172042206060015 L N
25 NAFILAH ARSYA 3275065006060003 P N
26 NAJWA PUTRI KHAIRUNNISA 3175064512050002 P N
27 NANDANA PRIMA FADHIL 3175060302091016 L N
28 NEISYA SYAFARINA 3175066003061002 P N
29 NI NYOMAN TRI DEVI SUCI NIRMALA 3275066702060002 P N
30 Rama Dewantara 3275037060600012 L N
31 RANIA FAUZIYAH SOLEMAN 3171046702060001 P N
32 Richelle Ayudhia Putri 3175061404100032 P N
33 SALSABILA SYIFA DZUBYAN 3175065411060001 P N
34 SASKIA MEIRINDA 3175066305050015 P N
35 YEMIMA FHYLO SHOFYA SILITONGA 3175016409061003 P N
36 YUNITA PASARIBU 3175065806050017 P N
DIDIK DI SEKOLAH

Tinggi Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut
(cm) (kg) (mmHg) Jantung Paru (stunting)

155 48 N T T L T s
163 50 N T T L T s
148 42 N T T L T s
172 53 N T T L T s
159 47 N T T L T s
168 47 N T T L T s
157 40 N T T L T s
162 54.9 N T T L T s
158 57 N T T L T s
166 55 N T T L T s
170 78 N T T L T s
154 40 N T T L T s
161 54 N T T L T s
164 60 N T T L T s
162 44 N T T L T s
171 47 N T T L T s
165 56 N T T L T s
159 34 N T T L T s
162 53 N T T L T s
164 47 N T T L T s
164 46 N T T L T s
159 46 N T T L T s
168 44 N T T L T s
161 41 N T T L T s
161 44 N T T L T s
165 79 N T T L T s
172 47 N T T L T s
163 56 N T T L T s
163 41 N T T L T s
166 46 N T T L T s
151 38.9 N T T L T s
161 45 N T T L T s
160 53 N T T L T s
162 51 N T T L T s
157 49 N T T L T s
162 80 N T T L T s
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna
Kulit Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA)
lainnya

s S S Y T T N T T T
s S S T T T N T T Y
s S S T T T KM T T T
s S S T T T N T T T
S TS S T T T N T T Y
s S S T T T N T T T
s S S T T T N T T Y
s TS S T T T N T T T
s S S T T T N T T T
s S S T T T KM T T T
TS TS S T T T N T T T
s TS S T T T N T T T
s TS S T T T N T T Y
s S S T T T KM T T Y
s S S T T T N T T T
s S S T T T KM T T Y
TS S S T T T N T T T
s S S T T T KM T T T
s S S Y T T N T T T
s S S T T T KM T T T
s S S T T T N T T T
s TS S T T T N T T T
s TS S T T T N T T T
s S S T T T N T T T
s S S T T T N T T T
s TS S T T T KM T T Y
s S S T T T N T T T
s TS S T T T KM T T Y
s TS S T T T KM T T T
s TS S T T T KM T T Y
s TS S T T T N T T Y
s S S T T T KM T T T
s S S T T T KM T T T
s S S T T T KM T T T
s S S T T T N T T T
s TS S T T T KM T T Y
linga / Pendengaran Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
Gangguan dg gaya hidup
duksi
Pen dengaran E C H P Pr Audio Visual

T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
Modalitas Belajar
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani
Kines tetik

T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
REKAPITUREKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLA
NAMA SEKNAMA SEKOLAH :
KELAS:

No No Nama NIK Jns Klm (L/P)


Jenis Dis
abilitas

73 1 ABRAHAM ADI PANGESTU HAHOLONGAN 3175061008060003 L N


74 2 ALANDRIAN SURYA TANRA L N
75 3 ALYNDA NATASYA PUTRI ARDIANTO 3172211120050003 P N
76 4 ALYSA KIRAN DRIYANTI 3216025812060000 P N
77 5 Andrea Juliani Nurjaman 3171025907060004 P N
78 6 Artini Ondeng Hutabarat 3175064807051002 P N
79 7 DAFFA AQIL ATHALLAH 3172042208060001 L N
80 8 DANIEL JONATHAN SEBASTIAN PARDEDE 3175060408060009 L N
81 9 Ezra Manuel Damongilala 3172040511050005 L N
82 10 FAIZUN NOVA RIANSYAH 3175061611050001 L N
83 11 FEBYANA NUR ATIKA 3175064102060001 P N
84 12 FELICIA AUDREY KUSUMA LINDI 3172064204060004 P N
85 13 GIDEON MIRACLE SIHOMBING 3175063110051001 L N
86 14 GLADYS CICILIA SIGAR 3175066608051001 P N
87 15 INDAH RAHMA SAHARI 3175064606050002 P N
88 16 JASMINE DIAZ 9530160120501271 P N
89 17 Jomai Risen Simanjuntak 3175060910060017 L N
90 18 Katherine Damaris Milagroce 3175060802180015 P N
91 19 LANNY DWI AGUSTIN SUPRIATNO 0954036608060128 P N
92 20 LUPITA SASKIA 3175066704061004 P N
93 21 MAYA ALYANA 3175065803050001 P N
94 22 MICHELLE MUTIARA ANGELLIE 3175066301061004 P N
95 23 MONA NATALIA CHRISTINA 3216016112050001 P N
96 24 MUHAMMAD FAQIH AR-RAHMAN 3216020301060006 L N
97 25 MUHAMMAD RAKAN ALBAHY 3275003100805000 L N
98 26 NADIA MEIRIL 3175065605060013 P N
99 27 NAILA DISTI ZULAIDA 3175090721376216 P N
100 28 NATASYA AURELIA AZZAHRA 3212307005060001 P N
101 29 RAISYA NUR AFI 3175064201061003 P N
102 30 SUCIPTO NAGARIA SEMBIRING 3172061708060005 L N
103 31 THEO JESEN NAFTALI SIRAIT 3175062801060015 L N
104 32 Vivian Daniella Mapandiy 3172025001060010 P N
105 33 WESLEY ZEPANYA SITOMPUL 3275036604060008 L N
106 34 Zafira Saskia Ramadhani 3275065709060007 P N
107 35 ZAKKY ANWAR MAKARIM 3175061702061002 L N
108 36 ZHAFIRA DWI RAHMA 3171036203060001 P N
SERTA DIDIK DI SEKOLAH

Tinggi Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut
(cm) (kg) (mmHg) Jantung Paru (stunting)

175 79.5 N T T L T S
171 51.7 N T T L T S
157 65.8 N T T L T S
157 56.4 N T T L T S
154 53.3 N T T L T S
153 39.9 N T T L T S
161 50.7 N T T L T S
168 42.9 N T T L T S
172 89.4 N T T L T S
163 65.2 N T T L T S
154 41 N T T L T S
165 50.8 N T T L T S
173 64.3 N T T L T S
159 65.4 N T T L T S
157 68.8 N T T L T S
154 39.3 N T T L T S
170 58.8 N T T L T S
166 56 N T T L T S
157 55.5 N T T L T S
156 44.6 N T T L T S
156 41.5 N T T L T S
159 44.9 N T T L T S
149 38.7 N T T L T S
175 58.8 N T T L T S
166 46 N T T L T S
156 57.3 N T T L T S
157 43.4 N T T L T S
154 39.7

157 49.5 N T T L T S
158 71.4 N T T L T S
171 81.2 N T T L T S
158 72.9 N T T L T S
164 45.9 N T T L T S
163 45.7 N T T L T S
149 31.9 N T T L T S
153 41.4 N T T L T S
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna
Kulit Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA)
lainnya

S S S T T T N T T T
S TS S T T T N T T Y
S S S T T T N T T T
S S S Y T T N T T Y
S TS S Y T T N T T T
S S S T T T KM T T Y
S TS S T T T N T T Y
S S S T T T N T T T
S S S T T T KM T T Y
S S S T T T N T T T
S TS S T T T N T T T
TS S S T T T N T T T
S S S T T T KM T T Y
S S S Y T T KM T T T
TS S S T T T KM T T T
S TS S Y T T N T T Y
S S S T T T KM T T T
S S S T T T N T T Y
S S S T T T N T T Y
S TS S Y T T N T T Y
S S S Y T T KM T T T
S TS S T T T N T T T
S S S Y T T N T T Y
S S S T T T KM T T T
S S S Y T T N T T Y
S S S T T T N T T T
S S S Y T T N T T Y

S TS S T T T KM T T Y
S TS S T T T KM T T T
S S S T T T KM T T Y
S TS S T T T N T T Y
S S S T T T N T T Y
S S S T T T N T T Y
S S S T T T N T T T
S S S Y T T N T T Y
linga / Pendengaran Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
Gangguan dg gaya hidup
duksi
Pen dengaran E C H P Pr Audio Visual

T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T

T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
Modalitas Belajar
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani
Kines tetik

T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T

T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn
abilitas
(cm)

1 ABELIA DANA AQUILA 3175064507050003 P N 158

2 ABIMANYU HAFIZH AL FAKHRI 3175060107060010 L N 155

3 ADITYA RACHMAT MAULANA 3175062304061004 L N 155

4 AIN NUR ROFIAH 3175066701060002 P N 146

5 ALINI FAMELIA 3175075311050006 P N 161

6 AMANDA HASNA SALSABILA 3175065104060007 P N 159

7 ANDI LUTFIAH 3175065905061004 P N 157

8 ANINDHITA KEYZIA NUGROHO 3172044209061004 P N 163

9 AULIA MAHARANI WIJAYA 3175024204060003 P N 160

10 BAYU DIRA SETIADJI 3175100311061002 L N 176

11 CHELSEA JULIANTI ATMAJA WASIAT 3172046607050003 P N 158

12 DINI AMALIA ZAHRAH 3175064103051002 P N 162

13 FAJAR RAIHAN HANAFI 3171051603060003 L N 148

14 FAQIH SRI SHEVA WICAKSONO 3172042006060008 L N 171

15 GHANI ABRAR PAHREVI 3175061103060001 L N 168

16 Hasna Andhini 3175026707060004 P N 155

17 Jovan Aulia Dwi Putera 3216012704060004 L N 173

18 KHALISHA FAYZA PRILLIADHYA 3175066804060010 P N 156

19 KHANSA NADHIR CARRISSA 0954035707060017 P N 171

20 MALIK IBRAHIM KUADY 3172022908050002 L N 171

21 MARSHA FATHIKA AMALIA 2175066300705100 P N 156

22 Mohamad Putra Imanudin 3175061905051002 L N 163

23 MUHAMAD RIZKI UMANDA 3175062204050007 L N 163

24 NABILA FADLILATUZULFA 3175065203060002 P N 164

25 NAJWA CHAYARA FIRDY 3175062401092519 P N 156

26 NAURA APRODHITE YUSNI 3175075002060005 P N 157

27 PASHA AVATAR ARDAN 3275082303040005 L N 146

28 RAHMAD NAWAWI SAPUTRA 3175021371932698 L N 163

29 SATRIA RAKA HERLAMBANG 3175062102061004 L N 163

30 SHAFA NABILA ANDRIANA 3175065001061004 P N 160

31 SYAHLA FATYAN SALSABILA 3175064807060013 P N 158

32 SYIFAA AWULIA 3175066603060006 P N 158

33 TARISKA RAMADANI 3175065110050005 P N 159

34 TASYA DWI LESTARI 3175066809050003 P N 160

35 VAHD VUAD VALAHIN 3175061006080006 L N 158

36 YUNI MALIA WULANDARI 3175066106051005 P N 158


DIDIK DI SEKOLAH

Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit
(kg) (mmHg) Jantung Paru (stunting)

66.2 N T T L T S S
32 N T T L T S S
48.2 N T T L T S S
35.8 N T T L T S S
42.5 N T T L T S S
44.2 N T T L T S S
42 N T T L T S S
46 N T T L T S S
64 N T T L T S S
102.2 N T T L T S S
61.3 N T T L T S S
51 N T T L T S S
40 N T T L T S S
56.9 N T T L T S TS
70.9 N T T L T S S
35.4 N T T L T S S
99.8 N T T L T S S
46 N T T L T S S
63 N T T L T S S
70.8 N T T L T S S
48.3 N T T L T S S
73.7 N T T L T S S
48.4 N T T L T S S
87.2 N T T L T S S
53.2 N T T L T S S
59.5 N T T L T S S
34.3 N T T L T S S
47.3 N T T L T S S
61.6 N T T L T S S
43.5 N T T L T S S
39.9 N T T L T S S
37.6 N T T L T S S
61.4 N T T L T S S
46.2 N T T L T S S
56.7 N T T L T S S
53.5 N T T L T S S
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna Gangguan
Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

S S Y T T N T T Y T
S S Y T T KM T T Y T
TS S T T T N T T Y T
TS S Y T T N T T T T
S S Y T T N T T T T
S S Y T T N T T T T
S S T T T N T T Y T
TS S T T T KM T T T T
TS S T T T KM T T Y T
S S T T T N T T T T
TS S T T T N T T Y T
TS S Y T T N T T T T
TS S Y T T N T T T T
S S T T T N T T Y T
S S T T T N T T T T
S S T T T N T T Y T
S S T T T N T T Y T
TS S T T T N T T T T
TS S Y T T KM T T T T
TS S T T T N T T Y T
S S T T T N T T T T
S S T T T N T T Y T
TS S Y T T N T T Y T
TS S T T T N T T Y T
TS S T T T N T T T T
S S T T T N T T Y T
TS S T T T N T T Y T
S S Y T T KM T T Y T
S S T T T KM T T T T
S S T T T KM T T T T
S S T T T KM T T T T
S S T T T N T T T T
S S T T T KM T T Y T
S S T T T N T T T T
TS S T T T N T T Y T
TS S T T T N T T Y T
Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
dg gaya hidup
duksi
E C H P Pr Audio Visual Kines tetik

T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N Y Y T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N Y Y T
T T N N N N N Y Y T
T T N N N N N T Y T
T T N N N N N Y Y T
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani

Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:

No Nama NIK Jns Klm (L/P)


Jenis Dis
abilitas

1 ADAM MUSTAFA DZIKRI 3175060602060009 L N


2 AFNISA PURJI RINJANI 3175064302060000 P N
3 Alfianah 3175064606060008 P N
4 ALYA ADRIANA MAHMUD 3175066812050006 P N
5 AM SYAHLUL AMNI 3175062101096708 L N
6 ANINDYA KAYLA NUGROHO 3172044209061005 P N
7 Brenda Helena Paruntu 3175045310050003 P N
8 Chalisa Nabila Afrizal 3172042201097245 P N
9 CHELSEA AUFFA CAHYA PRIHATIN 3172046506060004 P N
10 DIAH AYU LESTARI 3175065409050001 P N
11 ELISA PERMATA SUNDAY LOMBU 3172041701094739 P N
12 ERSA SAPUTRO 3175063001050004 L N
13 GEORGIA SABRINA MARETTI SETIA LUMBAN GAOL 3175064705060012 P N
14 Gerhard Steven Sinaga 1207211005070003 L N
15 GHILRANDY ADAM HARIMURTI 3175062507050013 L N
16 Gresia Oktavianti NAinggolan 3175064710051008 P N
17 HARI BERNARDO 3175063001094003 L N
18 Kayla Prisqilla Delofa 3175060501090526 P N
19 MARCO ALESSANDRO MARESCA 3175061810060017 L N
20 MITZAL AQILA ELFIANO 3175020908060001 L N
21 MUHAMMAD ARIEL ALFIANSYAH 3175060608050005 L N
22 MUHAMMAD RAKA BISMA RASENDRIYA 3518010805050001 L N
23 MUTIARA AULIA AGUSTIANI 3175065707050004 P N
24 NADINE CANTIKA PUTRI 3175064406060014 P N
25 NAJMA ZAYYANA RANYA 3175067105061004 P N
26 NAYLA ZAHRA BASYALWI 3172044204060003 P N
27 NICHOLAS EFENDI SAPUTRA 3171022401061001 L N
28 OKTAFIA SIMBOLON 3175600520050000 P N
29 Paulus Layana Pradipta 9510531070500171 L N
30 RATU ANDARA 3175062908160059 P N
31 RICHARD ALIMIN 3175062910050009 L N
32 RIZKI NUR FAWAZNI 3175065203050008 P N
33 SHAFWAH HAZEL AZZIIZAH 3171036007050008 P N
34 TRESYA JOHANA SIAHAAN 0954036107030132 P N
35 VERCHYLIE BIANQA EFRATA RESTIADI 3275027105060004 P N
36 WILFRED SIHOMBING 3173032811060003 L N
IK DI SEKOLAH

Tinggi Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut
(cm) (kg) (mmHg) Jantung Paru (stunting)

167 55 N T T L T S
156 37 N T T L T S
159 47.3 N T T L T S
158 39.5 N T T L T S
156 42.6 N T T L T S
163 41.8 N T T L T S
155 37.3 N T T L T S
163 42.3 N T T L T S
146 37 N T T L T S
163 49.9 N T T L T S
156 45.5 N T T L T S
170 65.3 N T T L T S
162 70.4 N T T L T S
145 46.5 N T T L T S
174 50.6 N T T L T S
153 33.7 N T T L T S
167 50 N T T L T S
164 53.3 N T T L T S
168 50.6 N T T L T S
170 59.7 N T T L T S
168 47.8 N T T L T S
167 50 N T T L T S
151 49.3 N T T L T S
159 44.6 N T T L T S
161 46.3 N T T L T S
159 53.6 N T T L T S
149 35.4 N T T L T S
162 57.7 N T T L T S
161 44.4 N T T L T S
160 44.4 N T T L T S
156 63.3 N T T L T S
162 91 N T T L T S
152 57.8 N T T L T S
156 62.7 N T T L T S
157 53.3 N T T L T S
166 46.6 N T T L T S
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna
Kulit Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA)
lainnya

S Y S T T T T T T T
S Y S T T T T T T T
S T S T T T T T T Y
S T S T T T T T T T
S T S T T T T T T T
S T S T T T KM T T T
S T S T T T KM T T Y
S T S T T T KM T T T
S T S T T T T T T T
S T S T T T T T T Y
S T S T T T KM T T T
S T S T T T T Y T T
S Y S T T T T T T T
S T S T T T T T T T
S T S T T T T T T Y
S T S Y T T T T T T
S T S T T T T Y T Y
S T S T T T T T T T
S T S T T T T T T T
S Y S T T T T T T T
S Y S Y T T KM T T Y
S T S T T T T T T T
S T S T T T T T T T
S T S T T T T T T Y
S T S T T T T T T Y
S T S T T T KM T T Y
S Y S T T T T T T Y
S T S T T T T T T Y
S T S T T T T T T T
S T S T T T T T T T
S T S T T T T T T T
S T S T T T T T T T
S T S T T T T T T T
S T S T T T T T T T
S T S T T T T T T T
S Y S T T T T T T Y
linga / Pendengaran Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
Gangguan dg gaya hidup
duksi
Pen dengaran E C H P Pr Audio Visual

T T T N N N N N T T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T T
T T T N N N N N Y T
T T T N N N N N T T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T T
T T T N N N N N T T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
Modalitas Belajar
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani
Kines tetik

Y Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
Y Oki T B T
T Oki T B T
Y Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
Y Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
Y Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
Y Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:

No Nama NIK Jns Klm (L/P)


Jenis Dis
abilitas

1 ABIZAR GHIFFARI NADHYT WINATA 3175060412050001 L N


2 ADINDA AISYAH WELLIANI 3175066203060007 P N
3 ALMALIA AL ZAHRA 3175064410050008 P N
4 ALYA SALSABILLA PUTRI HAPSARI 3175064704061004 P N
5 ANISA SYAFITRI 3175066003060006
6 Asikin 3175061912110055 L N
7 AURORA FERVITA 3172025511050001 P N
8 CHERYL NAILAH TUBAGUS 3175066607060008 P N
9 CLARISSA ATHAILLAH NOVIA PUTRI 3175064205060018 P N
10 DAFFA EL GIBRANI 3275062611060006 L N
11 DELIA SEFTIANI ZUBIR 3175064309060013 P N
12 Dwi Nur Aini 3171035301060004 P N
13 ERLANGGA PRAYOGA PUTRA 3175010605060000 L N
14 FIRMAN SYAPUTRA EFFENDI 3175061202060005 L N
15 HARRI SAPUTRA 3175060802180015 L N
16 KAYLA DINAR PUTERI 3171054309051001 P N
17 LAELIA NAJWA NURFAJRIA 3175066512050009 P N
18 LIFIA AVI AULIANA 3175032874289364 P N
19 LIYAH LESTARY 3175066501060002 P N
20 MELLA ARTIKAH RINGKIH 3175065205050006 P N
21 MU'TAZ AL GHANIY 3175060202096045 L N
22 MUHAMAD DWIKY HERMAWAN PRIAMBODO 3275062703060004 L N
23 MUHAMMAD ZEN AL BUKHORI 3175060303050004 L N
24 NADIA FATMA RATU ADELIA 3172046904050008 P N
25 Nadselindra Prathalla Putra 3175061210050016 L N
26 NAGATA WIRAPUTRA 3175022301093434 L N
27 NAILA VIRGINANDA PURNAMASARI 3175060302093261 P N
28 NAJMI SANIYAH PUTRI RINALDI 3172046706060012 P N
29 NAUFAL RAEHAAN 3216081811050001 L N
30 NAZWA SURYA MELATI 3175024212050004 P N
31 RIZKY ICHWAN NUGRAHA 3175061212111008 L N
32 SALWA KAMILAH 3172046208060005 P N
33 SILVIANA AGUSTIN 3175064908051002 P N
34 SYALWA ZAHIRA JUNAIDI 3175064310050017 P N
35 THASYA AMANDA 3327135307050003 P N
36 Vanisa Ramadhani 3175065810060003 P N
TA DIDIK DI SEKOLAH

Tinggi Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut
(cm) (kg) (mmHg) Jantung Paru (stunting)

156 43.8 N T T L T S
156 46.4 N T T L T S
165 56.9 N T T L T S
167 53.6 N T T L T S

157 54.3 N T T L T S
156 51.5 N T T L T S
151 42.3 N T T L T S
156 50.6 N T T L T S
162 60 N T T L T S
157 42.9 N T T L T S
156 51.2 N T T L T S
162 48.9 N T T L T S
174 63.5 N T T L T S
151 29.3 N T T L T S
154 48.2 N T T L T S
163 66.4 N T T L T S
156 48.9 N T T L T S
165 51.9 N T T L T S
157 48.3 N T T L T S
177 139.2 N T T L T S
160 40.2 N T T L T S
162 32.3 N T T L T S
157 53 N T T L T S
163 38.8 N T T L T S
155 52.2 N T T L T S
162 55.9 N T T L T S
161 38.3 N T T L T S
161 48.2 N T T L T S
159 39.2 N T T L T S
160 40.3 N T T L T S
150 39.8 N T T L T S
160 40.8 N T T L T S
167 51.3 N T T L T S
154 43 N T T L T S
153 33.7 N T T L T S
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna
Kulit Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA)
lainnya

S S S T T T KM T T T
S S S T T T KM T T Y
S S S T T T N T T Y
S S S T T T N T T Y

TS S S T T T N T T T
S S S T T T N T T T
S S S T T T KM T T T
S S S T T T KM T T T
S S S T T T N T T Y
S S S T T T KM T T T
S S S T T T KM T T Y
S S S T T T N T T Y
S S S Y T T N T T Y
S S S Y T T N T T T
S S S T T T KM T T Y
S S S T T T KM T T Y
S S S T T T N T T T
S S S T T T N T T Y
S TS S Y T T N T T Y
S S S T T T N T T T
S S S T T T N T T T
TS S S Y T T N T T Y
S S S T T T N T T T
S S S T T T KM T T Y
S S S T T T N T T T
S TS S Y T T KM T T T
S S S T T T N T T Y
S S S T T T N T T Y
S S S T T T KM T T T
S S S Y T T N T T Y
S S S Y T T KM T T T
S S S Y T T N T T T
S S S T T T N T T Y
S S S Y T T N T T T
S S S T T T KM T T T
linga / Pendengaran Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
Gangguan dg gaya hidup
duksi
Pen dengaran E C H P Pr Audio Visual

T T T N N N N N T T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y

T T T N N N N N T Y
T T T N N N N N T T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T T
T T T N N N N N T T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T T
T T T N N N N N T T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
Modalitas Belajar
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani
Kines tetik

Y Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T

T Oki T B T
Y Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
Y Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
Y Oki T B T
Y Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
Y Oki T B T
Y Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
T Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn
abilitas
(cm)

1 ABDUL RA'UF AZQILA NUGRAHA 3175060509050006 L N 167

2 ADELIA RARAPUTRI TAPANGAN 3175064503060012 P N 149

3 AHMAD FACHRI ANDREANY 3175060402090251 L N 174

4 AISHA RIFDATUSSUADAH 3175065003061001 P N 164

5 ALYA NABILA ZAHRA 3175066705060002 P N 158

6 ARETHA ATHALLAH DEVI 3171085412060003 P N 157

7 AZZAM ANSHORY 3275061109060002 L N 153

8 CHANDRA ADE PUTRA 3175061409051006 L N 171

9 CHASNA FAUZIYYAH AMIR 3175064703050009 P N 149

10 EVAN WIJAYA RAMADHAN 3275030610050009 L N 186

11 Faldisa Amelia Azahra 3175064705060019 P N 160

12 GADING MUQSITHU RAHMATULLAH 3172041104060000 L N 144

13 GEOVANY RIZKY ARDIANA PUTRA 3175060506060002 L N 165

14 GHINA SITO LISANDA 3175065006060008 P N 152

15 GIFTA MOOIRA PRASHARNISSA 3171035905060006 P N 156

16 Hartini Utami 3175064101050002 P N 160

17 IKHLASUL MU'MININ 3172031809060003 L N 170

18 indah permata sari 3175064904051008 P N 161

19 MAHARDIKA AURIN ADRIANA 3273236703060009


20 MAKHSHUSH BIL IZZI 3175061206061003 L N 169

21 MUHAMMAD ARDELL RAMADHAN 3175061410051002 L N 166

22 NABIHA ALISA IRAWAN 3175025206060002 P N 160

23 NADA FITRIA BERLIANA 3172044510050003 P N 158

24 NASYA MEIDITA 3175066405051003 P N 164

25 NAZWA CHAIRUNNISA 3171036809050006 P N 163

26 NURUL KAMILAH 3175065506050011 P N 154

27 OKTAVIA SAVITRI 3175067010051006 P N 156

28 PIJAR NURIA SUFI 3216014603060007 P N 156

29 Raakan Aulia Akhmad 3175021506061003 L N 161

30 Rafie Tri Erian Mahadika 3175061501061003 L N 167

31 SHAFA ATHAILLAH 3172025512040008 P N 154

32 SHANDY IBRAHIM NASUTION 3216012609060005 L N 180

33 SUCI NURUL HIDAYATI 3175061702100108


34 Syifa Puspita Saraswati Sardi 3175024907060003 P N 151

35 ZAHRA MUFIDA 3175065410060015 P N 159


DIDIK DI SEKOLAH

Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit
(kg) (mmHg) Jantung Paru (stunting)

65.5 N T T L T S S
30 N T T L T S S
91.9 N T T L T S S
42.9 N T T L T S S
44.5 N T T L T S S
57.3 N T T L T S S
31.6 N T T L T S S
75.9 N T T L T S S
65 N T T L T S S
55.9 N T T L T S S
52.6 N T T L T S S
34.2 N T T L T S S
50.4 N T T L T S S
53.9 N T T L T S S
36.6 N T T L T S S
47.9 N T T L T S S
55.5 N T T L T S S
37.3 N T T L T S S

40.8 N T T L T S S
62.8 N T T L T S S
50.9 N T T L T S S
50.5 N T T L T S S
51.7 N T T L T S S
52.2 N T T L T S S
56.3 N T T L T S S
56.4 N T T L T S S
37.9 N T T L T S S
72.3 N T T L T S S
47.3 N T T L T S S
55.7 N T T L T S S
65 N T T L T S S

35.7 N T T L T S S
51 N T T L T S S
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna Gangguan
Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

TS S T T T N Y T Y T
S S T T T N T T Y T
TS S Y T T N T T Y T
TS S T T T N T T Y T
S S T T T N T T Y T
TS S Y T T N T T Y T
S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T Y T
S S T T T N T T Y T
TS S T T T N T T Y T
S S T T T N T T T T
S S Y T T KM T T T T
S S T T T N T T T T
S S T T T N T T Y T
S S T T T N T T T T
S S T T T N T T T T
S S Y T T N T T T T

TS S Y T T N T T T T
S S T T T KM T T T T
S S T T T N T T Y T
S S T T T N T T Y T
S S T T T KM T T T T
TS S T T T KM T T Y T
S S T T T KM T T T T
S S T T T KM T T Y T
TS S Y T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
TS S T T T N T T Y T

TS S T T T KM T T Y T
S S T T T N T T T T
Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
dg gaya hidup
duksi
E C H P Pr Audio Visual Kines tetik

T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T T Y
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y Y
T T N N N N N Y T T

T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T T Y

T T N N N N N T Y T
T T N N N N N Y T
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani

Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T

Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T

Oki T B T
Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn
abilitas
(cm)

1 ADINDA MAYSYAFANI IKAS 3275026705060003 P N


2 ALIFAH NAILAL HUSNA 3175067105061001 P N
3 AN NISAA NUR KAYLA 3175066305060002 P N
4 ANANDA NUR FIRDAUSI 3175064301060003 P N
5 ANGGARA KURNIA RAMDHANA 3175062905060015 L N
6 ARYA MAXY PACIAN 3175060608061004 L N
7 BIMA CAHYO NUGROHO 3171081702060001 L N
8 CANDERRO RAIHAN AFFERO 3275061003060004 L N
9 DAAFFA AGUSFRYANSYAH 3175061807160017 L N
10 DINARA AZWA UMARI 3175065306050002 P N
11 FADHIL AKMAL 3275061508050004 L N
12 FAYZA AULIA 0954036301060111 P N
13 ITA RAFITRI 3175065504050008 P N
14 JIHAN CAESARIA MEITAWATI 3175067005051001 P N
15 Kayla Avisanindya Daneswari 3172024410060002 P N
16 Maryam Khoirunnisa Sisilia 3175065006060008 P N
17 Moch Ezzy Pramono 3175063007060005 L N
18 Muhammad Arya Sastra Putra 3275030812050007 L N
19 MUHAMMAD RAFLI SYAHPUTRA 3172042703060005 L N
20 MUHAMMAD RASYA HIBRIZI 3175061209060009 L N
21 MUHAMMAD RHAFIK 3175060901051002 L N
22 MUHAMMAD ZAKY MAULANA 3175061404060012 L N
23 NAURA ZHAFARINA 3275062505070366 P N
24 NOVELIA PUTRI BUDI 3175066911050002 P N
25 PANJI FAJAR PERDANA 3175042705060009 L N
26 RIZMA KHAIRUNNISA 3175065612050003 P N
27 Sandy Garda Pramudya 3172031004060011 L N
28 SEPTIA ANDINI 3175062401099127 P N
29 SHABRINA ABYANI IFTIKHOOR 3175065408061008 P N
30 SHAFA AULIA HAMIDIYAH 3175065502060003 P N
31 SHEVA SULISTIARI 3175066909051003 P N
32 SHINTA RAMADHANI SURBAKTI 3175065410051005 P N
33 SUCI BERLIN RAMADANI 3175074610050015 P N
34 VIANA ASOKA WIRDA 0951047108060129 P N
35 YONITA PUTRI ASSYIFA JULIFORSA 3175014903041001 P N
36 Zia Fatihah Gandi 2171115505069004 P N
TA DIDIK DI SEKOLAH

Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit
(kg) (mmHg) Jantung Paru (stunting)

N T T L T S S
N T T L T S TS
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S TS
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S TS
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna Gangguan
Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

S S T T T N T T T T
S S T T T N T T T T
S S T T T KM T T T T
S S T T T KM T T T T
S S T T T KM T T Y T
S S T T T N T T Y T
S S T T T KM T T Y T
TS S T T T N T T Y T
S S T T T N T T T T
S S T T T N T T T T
S S T T T KM Y T T T
TS S T T T N T T Y T
TS S Y T T N T T T T
TS S T T T KM T T Y T
S S T T T T T T Y T
S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
TS S T T T N T T T T
S S Y T T N T T Y T
S S T T T N T T T T
S S T T T N T T T T
S S T T T KM T T T T
S S T T T N T T Y T
S S T T T N T T T T
S S T T T N T T Y T
S S T T T N T T H T
S S T T T KM T T T T
S S T T T N T T T T
S S T T T KM T T T T
S S T T T N T T T T
S S T T T N T T T T
TS S Y T T N T T T T
S S T T T N T T T T
S S T T T KM T T Y T
Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
dg gaya hidup
duksi
E C H P Pr Audio Visual Kines tetik

T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T T Y
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y T
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani

Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn
abilitas
(cm)

1 Adinda Nurul Aulia 3175065501050003 P N 150

2 AISYAH SALSABILA 3175065912040005 P N 152

3 AL FATHIA KHOIRIDINA 3175067007040008 P N 162

4 ANANDA AYU LESTARI 3175060202098407 P N 158

5 ANNISA SALWA AZZAHRA 3172044807050007 P N 158

6 AYU SEPTIANINGSIH 3175065109041001 P N 144

7 AYYUBI HANIFAN WIBISONO 3216012103050008 L N 171

8 CAHYO BAYU SAMIAJI 3175060802040004 L N 162

9 Challista Nayla Sembiring 3216024908050002 P N 163

10 DENY ALFIANO SOLEHAN 3175060212040020 L N 174

11 DIVA ANGELIA PUTRI 3172036801050005 P N 158

12 fadhila anindya ramadhani 3175066010040018 P N 151

13 FIRDAUS 3175062201092346 L N 172

14 HAFSA ZUHRALATIFA AFTHONY 3175025508051001 P N 157

15 Hanna Aisyah 3175067006040005 P N 160

16 IRFAN MAULANA 3175021401099561 L N 176

17 JAKA SATRIA NUR ALIPH 3175062009040001 L N 175

18 KEISHA AURELIA 3172025307040003 P N 156

19 KHAERUN NISA 3326195903050001 P N 161

20 KOSAZI ARI HANDANI 3175018296122432 L N 170

21 LAYYA IZZATI KAMILA 3175066312040012 P N 160

22 MELVA FIRDHIAN NABILLAH 3175066912040009 P N 170

23 MOCHAMMAD ZULHAN RUSDY 3175060404040025 L N 164

24 Muhammad Dwi Septiyanto 3175062109040002 L N 158

25 MUHAMMAD DZIDAN AZAHRA 3175061710040016 L N 168

26 NINDYA KHOERONI SAFITRI 3175065207040004 P N 158

27 NUSAIBAH HUSNA SALSABILA 3175066402041002 P N 166

28 PUPUT ARIYANTI 3175065405040003 P N 161

29 RAYA RAIHAN DEWANDRA PUTRA 3175060505040025 L N 170

30 RINA MAULIDYA 3175066504050001 P N 164

31 RISKA WIDYANINGTYAS 3172034608040005 P N 147

32 SITI AULIYA PUTRI 3175064112031001 P N 155

33 SONY HERMAWAN 3175061106040009 L N 166

34 VANIA WIDYADANA ZAHIDA 3175065412060004 P N 154

35 YUDHISTIRA TRI PAMUNGKAS 3276062611040008 L N 170

36 ZHERLINDA PUTRI SUHERLAN 3175065905050007 P N 156


TA DIDIK DI SEKOLAH

Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit
(kg) (mmHg) Jantung Paru (stunting)

49.7 N T T L T S S
47.5 N T T L T S S
68.1 N T T L T S S
46.7 N T T L T S S
50.7 N T T L T S S
46.8 N T T L T S S
53.3 N T T L T S S
43.5 N T T L T S S
63.2 N T T L T S S
51.2 N T T L T S S
44.2 N T T L T S S
51.1 N T T L T S S
72.2 N T T L T S S
53.6 N T T L T S S
44.1 N T T L T S S
85.7 N T T L T S S
54 N T T L T S S
65.1 N T T L T S S
59.7 N T T L T S S
41.3 N T T L T S S

54.8 N T T L T S S

49.4 N T T L T S S

45.6 N T T L T S S

42.7 N T T L T S S

55.3 N T T L T S S

58 N T T L T S S

71.6 N T T L T S S

50.5 N T T L T S S

51.2 N T T L T S S

45.2 N T T L T S S

38.7 N T T L T S S

38.2 N T T L T S S

50.4 N T T L T S S

45 N T T L T S S

46 N T T L T S S

47.6 N T T L T S S
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna Gangguan
Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

S S T T T KM T T T T

S S T T T KM T T Y T

S S Y T T N T T T T

S S T T T N T T T T

S S T T T KM T T Y T

S S T T T N T T T T

S S T T T N T T T T

S S T T T N T T Y T

TS S Y T T N T T T T

TS S T T T N T T Y T

S S T T T N T T T T

TS S T T T N T T Y T

S S T T T N T T Y T

S S Y T T KM T T T T

S S T T T KM T T T T

S S T T T N T T T T

S S T T T N T T T T

S S T T T N T T Y T

S S T T T N T T Y T

TS S Y T T N T T T T

TS S T T T KM T T Y T

S S T T T KM T T T T

S S Y T T N T T Y T

S S Y T T N T T T T

TS S Y T T N T T T T

TS S T T T N T T T T

S S T T T KM T T Y T

S S T T T N T T Y T

S S Y T T KM T T T T

S S T T T N T T T T

S S T T T N T T T T

S S T T T KM T T Y T

TS S T T T N T T Y T

S S T T T N T T T T

S S T T T N T T Y T

TS S T T T KM T T Y T
Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
dg gaya hidup
duksi
E C H P Pr Audio Visual Kines tetik

T T N N N N N T Y T

T T N N N N N T Y T

T T N N N N N Y T T

T T N N N N N Y Y T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N T T Y

T T N N N N N Y T T

T T N N N N N T Y T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N T Y T

T T N N N N N Y T T

T T N N N N N Y Y T

T T N N N N N Y Y T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N T Y T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N T Y T

T T N N N N N Y T T

T T N N N N N T Y T

T T N N N N N T Y T

T T N N N N N T Y T

T T N N N N N T Y T

T T N N N N N Y T T
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:

No Nama NIK Jns Klm (L/P)


Jenis Dis
abilitas

1 ACE MULYADI RIZQULLAH 3175060607040015 L N


2 ADI SETIAJI 0954032812040117 L N
3 ADINDA DESFIANI 3175066212041001 P N
4 Adiska Diandara Fasha 3171035809040004 P N
5 AHMAD MUZAKKY 3172043004040003 L N
6 AMALIA SARI RAMADHANI 3216016410040002 P N
7 ANYA SABRINA NARULITA 3175067108040001 P N
8 ARYAND GYMNASTIAR 3174101705050001 L N
9 AURA MAWADDAH 3175066111040002 P N
10 BINTANG MAHARANI 3275064205050005 P N
11 DESTIANI NUR SALSABILLA 3175064812041001 P N
12 DIKA ADNAR DARMAWAN 3175060112040005 L N
13 DWIKI RAHAYU 3275067101050004 P N
14 EKA PRASETYO 3172041510041002 L N
15 FIRYAL SHIFA AKBAR 3175064208040002 P N
16 HAFIDZAH IHSANI SYIFAMAHFUDZAH 3175064105050010 P N
17 KASYFURRAHMAN FATHAN 3175062606050005 L N
18 KORLENIA SAFITRI 3175065611040006 P N
19 MELANI ROHMALIA 3175062904050002 P N
20 MEYTA ARIYANTI 3175065505050010 P N
21 MONICA DWI LAURA 3175061811100023 P N
22 MUHAMAD FARREL SADIDUL KUWA 0954033112040117 L N
23 NAJZWA ZENITHA 3175060302098784 P N
24 NESSA FADIA SARI 3172046206040003 P N
25 NOVIA RAHMAWATI 3172041105120005 P N
26 PUTRI VINA RAHMATUSYIFA 3175064403050017 P N
27 RAGIL PRABOWO 3175061010040012 L N
28 RETNO DEWI KINASIH 3176066204060002 P N
29 RIFKI FATAHILLAH 3172032410040007 L N
30 RIZKA ADINDA FITRIA 3175062401091216 P N
31 RIZKY PRATAMA 3175062807040003 L N
32 SAUQI SALMAN SETIAWAN 3175062405040002 L N
33 SYAEDANI ZULKAISI 3173073001050008 L N
34 SYIFA ALIA MAHARANI 3175062401097197 P N
35 UMI AHYATUL KARIMAH 3175065907040010 P N
36 ZHAFIRA AZZAHRA 3175066007040015 P N
A DIDIK DI SEKOLAH

Tinggi Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut
(cm) (kg) (mmHg) Jantung Paru (stunting)

178 76.5 N T T L T S

163 43.8 N T T L T S

155 39.3 N T T L T S

157 47.2

163 53

158 48 N T T L T S

160 37.2 N T T L T S

173 43.2 N T T L T S

163 54.2 N T T L T S

164 57.2 N T T L T S

157 68.8 N T T L T S

180 76.4 N T T L T S

164 53.8 N T T L T S

166 43.2 N T T L T S

164 74 N T T L T S

167 49.8 N T T L T S

171 85.7 N T T L T S

155 65 N T T L T S

164 57.2 N T T L T S

160 50.9 N T T L T S

166 48.6 N T T L T S

165 64.8 N T T L T S

155 50.3 N T T L T S

158 51 N T T L T S

165 64 N T T L T S

155 51.3 N T T L T S

184 75.5 N T T L T S

158 53.9 N T T L T S

175 40.3 N T T L T S

152 64.2 N T T L T S

168 47.3 N T T L T S

159 43.2 N T T L T S

172 40.4 N T T L T S

153 53.8 N T T L T S

157 60.3 N T T L T S

161 51.4
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna
Kulit Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA)
lainnya

S S S T T T N T T T

S S S T T T N T T T

TS S S T T T KM T T Y

S S S T T T N T T T

S S S T T T N T T T

S S S Y T T N T T T

S S S T T T KM T T Y

S S S Y T T KM T T T

S TS S T T T KM T T T

S S S T T T N T T Y

S S S T T T KM T T Y

TS TS S Y T T N T T T

S S S T T T N T T Y

S S S Y T T N T T T

TS S S T T T N T T T

S S S Y T T KM T T T

S TS S T T T N T T T

S TS S Y T T N T T T

TS S S Y T T KM T T Y

S S S T T T KM T T T

S S S Y T T KM T T T

S TS S T T T N T T T

S S S Y T T KM T T Y

S TS S Y T T N T T Y

S S S T T T N T T T

S S S Y T T KM T T Y

S S S T T T N T T Y

S S S T T T N T T T

TS TS S Y T T N T T T

S S S T T T N T T T

TS TS S Y T T KM T T Y

S S S T T T N T T T

S S S Y T T N T T Y
linga / Pendengaran Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
Gangguan dg gaya hidup
duksi
Pen dengaran E C H P Pr Audio Visual

T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T

T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y Y
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N T Y
T T T N N N N N T Y
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
T T T N N N N N Y T
Modalitas Belajar
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani
Kines tetik

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

Y Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

Y Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T

T Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn
abilitas
(cm)

1 ADINDA TRI SEPTYAWATI 3175065709040004 P N 167

2 Agustin Shella Fransiska 3175064308050007 P N 165

3 ALYA NAFISA ZULFIANTI 3175026307040001 p N 156

4 AMELIA RETA PURBA 3172046206050003 P N 160

5 ANASTASYA PUTRI BUNGSU 3175065303050015 P N 154

6 Asyer Natanael Nainggolan 3175061412041003 L N 180

7 BAMBANG ARI PURNOMO 3175060312040003 L N 174

8 DAVA ALFARABI 3175062204100079 L N 173

9 DIAN HAMZAH RIYANTO 3175061004050015 L N 167

10 FATYA EMILIA 3175065309050012 P N 156

11 FIKRI AVIORA SAMUDERA 3175062304050001 L N 163

12 George Martua Siahaan 3175062801094729 L N 180

13 GHAZLINA DARIN SUPARNO PUTRI 3216016201060005 P N 158

14 GITA KEZIA SIBARANI 3175065508051003 P N 158

15 GRACE HILARY SITUMORANG 3275036903050005 P N 157

16 I Made Surya Dharmawan 3216010112040005 L N 169

17 Imanuel Prince Matthew T 3175061011040004 L N 175

18 INDRI OXTAVIANI 3175066310031001 P N 154

19 INTAN NURWAFA 3175065511040004 P N 178

20 JULIO IMMANUEL NAINGGOLAN 3175021907050001 L N 163

21 Ken Bima Satria Gandasasmita 3216090601060003 L N 170

22 MARCYA MAGDALENA DAMERIA SIAGI3175065407051001 P N 155

23 Marshella 3172024203041003 P N 164

24 MARWAN IKSAN GULTOM 3175062005040006 L N 162

25 MUHAMMAD ZIDAN MUZAKI 9540309120400271 L N 175

26 NATHANIA ARDELIA 9540305008050113 P N 160

27 Nihel Hanna Aqila 3175066507051001 P N 159

28 OLIVIA SEPTIANA CAROLINA 3175064409040001 P N 152

29 RAHEL JASMIN 3175644040405100 P N 165

30 REGITA PUTRI CAHYA 3175065605051005 P N 162

31 SABRINA LIVIANA 3175065206050009 P N 162

32 SHERLY AMANDA AGUSTINA SITORUS 0954035708040063 P N 156

33 Sindbad Bali Mahatma Trisyani 3175060110040009 L N 169

34 TIUR CAHYA SELAWIYAH 3175064401050012 P N 160

35 VALENTINA NUR FEBRIANTI 3175065402050016 P N 163

36 YASINTYA SURYA ASRI 3172046703050002 P N 164


DIDIK DI SEKOLAH

Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit
(kg) (mmHg) Jantung Paru (stunting)

76.4 N T T L T S S
52.7 N T T L T S S
52.8 N T T L T S S
50.9 N T T L T S S
42.7 N T T L T S S
107.3 N T T L T S S
49.5 N T T L T S S
62.9 N T T L T S S
55 N T T L T S S
41.4 N T T L T S S
49.5 N T T L T S S
126.7 N T T L T S S
44 N T T L T S S
49.6 N T T L T S S
55.5 N T T L T S S
52.8

66.2 N T T L T S S
53.6 N T T L T S S
64.6 N T T L T S S
44.8 N T T L T S S
80 N T T L T S S
56.9 N T T L T S S
68 N T T L T S S
67.5 N T T L T S S
70 N T T L T S S
47.5 N T T L T S S
58.1 N T T L T S S
45.7 N T T L T S S
52.5 N T T L T S S
83.2 N T T L T S S
64.8 N T T L T S S
44 N T T L T S S
47.5 N T T L T S S
92.9 N T T L T S S
46.2 N T T L T S S
53.4 N T T L T S S
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna Gangguan
Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

S S T T T N T T T T
TS S T T T KM T T T T
S S T T T KM T T T T
S S T T T KM T T T T
S S T T T N T T T T
TS S T T T N T T T T
TS S Y T T N T T Y T
TS S T T T N T T T T
TS S T T T N T T T T
S S T T T N T T T T
S S Y T T N T T Y T
S S T T T N T T T T
S S T T T KM T T T T
TS S Y T T N T T Y T
S S T T T KM T T T T

S S T T T KM T T T T
S S T T T N T T T T
S S T T T KM T T T T
TS S T T T KM T T T T
S S T T T KM T T T T
TS S T T T KM T T T T
S S T T T KM T T T T
TS S T T T N T T T T
TS S T T T N T T T T
TS S T T T KM T T T T
S S T T T KM T T T T
TS S T T T N T T T T
S S T T T KM T T T T
TS S Y T T N T T Y T
TS S T T T KM T T T T
TS S T T T N T T T T
S S Y T T KM T T Y T
TS S T T T N T T T T
TS S T T T N T T T T
TS S T T T KM T T T T
Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
dg gaya hidup
duksi
E C H P Pr Audio Visual Kines tetik

T T N N N N N T Y T
T T N N N N N Y T T
Y T N N N N N Y T T
T T N N N N N Y Y T
T T N N N N N Y T T
T T N N N N N Y T T
Y T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y Y T

T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N Y Y T
T T N N N N N Y T T
T T N N N N N Y T T
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani

Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T

Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn
abilitas
(cm)

1 Aliel Syahqira 3175061708041004 L N 156

2 AMANDA EDIES SAPUTRI 3172036912040006 P N 151

3 Amelia Geovania 3175045405050005 P N 163

4 APRILIA LESTARI 3175065904050006 P N 160

5 AURA GITA HAPSARI 0951047007040130 P N 165

6 AZZAHRA YUSRINA SABILA 3175064606050003 P N 162

7 CHAERUL SYAMSA 3175061902050002 L N 175

8 DINI YETRI EFENDI 3175066507041002 P N 161

9 DIVA ANDINI 3175085911040002 P N 151

10 Elsa Simanjuntak 3172046004050010 P N 154

11 ERYCKA SYLVI 3175065010040007 P N 166

12 FORTIUS LEONARD GERSANG TARIGAN 3175060608051005 L N 167

13 Fulvian Prima Benedicta 3175060508040014 L N 174

14 George Richie Matthew 3171040612041001 L N 175

15 GLADWIN DAVE KRISTANTO 3175061312050006 L N 177

16 ILHAM FADILLAH 3275060102050002 L N 156

17 ISTA HASANAH HILYATUN 3175064210040015 P N 160

18 JEOCELYN GABRIELLE 3172057003050004 P N 158

19 JESSICA VALERI NATHANIELA 3175065604050009 P N 162

20 JOSUA LIMBONG 3175060905040008 L N 161

21 Karina Nur Ariani 6171056504050013 P N 157

22 KRISTIN HALAHO 3175064302051003 P N 160

23 M. RAKHA SYAHPUTRA 3175061803100049 L N 164

24 MOHAMMAD RASYID FAUD 3175062005050020 L N 171

25 MUHAMMAD ALFAREL WICAKSONO 3175060202099949 L N 174

26 MUHAMMAD HAFIZ PASHA 3175062004050003 L N 183

27 NADIA PEBRIYANTI MANALU 3175064702050002 P N 164

28 NAYLA AAMIRA BACHTIAR 3175066903060002 P N 156

29 NUR ALIYAA PUTRI KHALILA 3275115303050005 P N 167

30 NUR HALIZAH SALEH 3172045903040010 P N 161

31 Raja Maleakhi 3275067050050003 L N 200

32 REDIVA ANANDA PUTRI 3175067107040001 P N 158

33 SABINA AZZAHRA 3175066806050019 P N 156

34 SANTOS PERDANA SETIAWAN 3172042410780002 L N 178

35 SHELAMITA SINTIA ZEN 3175065103041005 P N 163

36 WIDYA KALISTA SIHOMBING 3173034803050001 P N 156


A DIDIK DI SEKOLAH

Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit
(kg) (mmHg) Jantung Paru (stunting)

46 N T T L T S S
36 N T T L T S S
48 N T T L T S S
54 N T T L T S S
51 N T T L T S S
57 N T T L T S S
130 N T T L T S S
46

48 N T T L T S S
51 N T T L T S S
82 N T T L T S S
43 N T T L T S S
92 N T T L T S S
93 N T T L T S S
71 N T T L T S S
34 N T T L T S S
52 N T T L T S S
45 N T T L T S S
65 N T T L T S S
45 N T T L T S S
53 N T T L T S S
51 N T T L T S S
44 N T T L T S S
52 N T T L T S S
84 N T T L T S S
95 N T T L T S S
44 N T T L T S S
50 N T T L T S S
71 N T T L T S S
43 N T T L T S S
72 N T T L T S S
54 N T T L T S S
46 N T T L T S S
50 N T T L T S S
57 N T T L T S S
34 N T T L T S S
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna Gangguan
Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

S S Y T T N T T Y T
S S Y T T KM T T T T
TS S T T T N T T Y T
TS S T T T N T T T T
S S T T T N T T T T
S S T T T KM T T Y T
TS S T T T KM T T Y T

S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
S S Y T T N Y T T T
TS S T T T N T T T T
S S T T T N T T Y T
S S T T T N T T Y T
S S T T T KM T T Y T
TS S T T T N T T T T
S S T T T KM T T T T
S S Y T T N T T Y T
S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
TS S Y T T KM T T Y T
S S T T T N T T T T
TS S T T T N Y T Y T
TS S T T T KM T T T T
S S Y T T KM T T T T
S S Y T T N T T T T
S S T T T KM T T T T
S S Y T T N T T Y T
TS S Y T T KM T T T T
S S T T T KM T T T T
S S T T T N T T T T
S S Y T T N T T Y T
S S Y T T N T T Y T
S S T T T N T T Y T
Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
dg gaya hidup
duksi
E C H P Pr Audio Visual Kines tetik

T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T T Y

T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N T T Y
T T N N N N N T T Y
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani

Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T

Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn
abilitas
(cm)

1 ANDIKA HARYMURTI SYAPUTRA 3175011611040001 L L 167

2 Angel Pintauli Rosita 3175025304051001 P 163

3 ARUM WIDYAWATI 3172036903050003 P 161

4 BHELVA BATHARI BACHTIAR 3175076245728757 P 152

5 BRYAN DWI PRASETYO 3175062208040003 L L 169

6 ELSHADAY CHRISTIAN PRIBADI 3217103254050001 L L 162

7 FADHIL ALFARIZI 3175062402050010 L L 176

8 FARAH ANNISA MAHMUD 3175066111040010 P 154

9 FARSYA FAKHIRA 3175064902050006 P 155

10 FICRI HIDAYAT 3175060405020006 L L 176

11 Gerraldo Tito Afra 3275060207050004 L L 164

12 HELENA JESICA PANGGABEAN 0954036711040220 P 170

13 I MADE ADITYA PARAMARTHA 3175062803050004 L L 169

14 INTAN HENDRIOS 3175064301050007 P 157

15 JOSUA ARYZON SIMATUPANG 3175062109050003 L L 160

16 KAREN ENIKE BEE 3175064408040011 P 154

17 KARITAS CHYKA JEANETTA 3175067006050013 P 161

18 LORENSA CHRISTINA PANJAITAN 3175064401060003 P 160

19 MARSHABELLA FAIZA IRSYANDA 3175065503050007 P 152

20 MICHAELA MEILANI PARDEDE 3372055708020011 P 168

21 MOAMAR DHIKA MAHARRIZKY 3175060408041002 L L 167

22 MUHAMMAD IFTAH RIZQI 3175061809041008 L L 176

23 NAILAH NUR AYNA FADILLAH 3175065609051001 P 170

24 NANDA CLARISSA 3175064803051002 P 167

25 NAOMI 3175025201050003 P 157

26 NASYA AGENG REZKIANY BUATAN 3175066305051001 P 158

27 PUTRI DZAKIRA SHOLEHAH 3518116204040005 P 144

28 Rakha Prayoga 3216020307060017 L L 156

29 Rasya Amalya Putri Purwanto 3275065603060001 P 153

30 RIDWAN RIVALDO APRILLIO 3175060904050009 L L 160

31 SARAH NUR INTAN 3175065407040006 P 158

32 SAVINA MARCHANTI 3171087003050001 P 166

33 SHAIRA SUKMAPUTRI ARIEF 3175067108050002 P 150

34 SILVITA SUSIHANA PURWANINGTYAS 3175065705050012 P 160

35 THERESIA MAUREEN AMALIA 3175066405051007 P 161

36 TICHAL LASIA DEWY 3175064706040017 P 159


IDIK DI SEKOLAH

Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit
(kg) (mmHg) Jantung Paru (stunting)

69.8 N T T L T S S
49 N T T L T S S
44 N T T L T S S
46.4 N T T L T S S
50.4 N T T L T S TS
64.4 N T T L T S S
50 N T T L T S TS
44.5 N T T L T S S
41.4 N T T L T S S
64.7 N T T L T S S
47 N T T L T S S
58 N T T L T S S
55.7

41.6 N T T L T S TS
51 N T T L T S S
42.9 N T T L T S S
41.4 N T T L T S S
55.6 N T T L T S S
44.7 N T T L T S S
62.5 N T T L T S TS
43.9 N T T L T S S
51 N T T L T S S
47.4 N T T L T S S
56.5 N T T L T S S
48 N T T L T S S
42.2 N T T L T S S
31.7 N T T L T S S
53.3 N T T L T S S
46.9 N T T L T S S
59.7 N T T L T S S
41.7 N T T L T S S
49.8 N T T L T S S
39.1 N T T L T S S
60.2 N T T L T S S
54.4 N T T L T S S
45.6 N T T L T S S
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna Gangguan
Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

TS S T T T N T T T N
S S T T T N T T T N
S S T T T N T T T N
TS S Y T T KM T T Y N
TS S Y T T N T T Y N
TS S T T T N T T T N
S S T T T N T T Y N
S S T T T N T T T N
S S T T T N T T T N
S S T T T N T T Y N
S S T T T N T T Y N
S S Y T T KM T T T N

S S Y T T KM T T Y N
TS S Y T T N T T Y N
TS S T T T KM T T Y N
TS S T T T N T T T N
S S Y T T KM T T Y N
S S T T T KM T T T N
S S T T T KM T T T N
TS S T T T KM T T T N
TS S T T T N Y T T N
S S Y T T KM T T T N
TS S Y T T KM T T T N
S S Y T T N T T T N
S S Y T T N T T T N
TS S Y T T N T T T N
TS S T T T N T T T N
S S T T T KM T T Y N
TS S Y T T KM T T T N
S S Y T T N T T T N
S S T T T N T T T N
TS S T T T KM T T T N
S S Y T T KM T T Y N
TS S T T T N T T T N
S S Y T T N T T T N
Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
dg gaya hidup
duksi
E C H P Pr Audio Visual Kines tetik

T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T T Y
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T

T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani

Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T

Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn
abilitas
(cm)

1 ADELIA FATHANISA 3172016103030006 P N 156

2 AHMAD KEVIN KURNIA 3517112010040002 L N 170

3 AISYAH FADHILAH PUTRI 3175066612041004 P N 154

4 ALLYSA SYIFA RAMADHANI RIZAL 3175066909051002 P N 159

5 ANISA SEFIRA DESWANA 3172044509040006 P N 156

6 ANNISA NURUL AZIZAH 3175023864926482 P N 165

7 ARTIKA NUR HAKIM 3175066507050003 P N 164

8 BERLIANA ALFI RAMADHANI 3175066310051001 P N 157

9 BUNGAH MUSTIKA 3175065301050004 P N 154

10 DANICA FAZILLA UMRI NASUTION 3175065007051005 P N 154

11 DEVA NABILA WINDASARI 3175065804041001 P N 163

12 FADHIA CHOIRUN NISA 3175065605050005 P N 159

13 Fauziah Rahmadiah 3275065211040006 P N 158

14 IRFAN ABDURRAHMAN 3175062608051005 L N 163

15 JIBRAL ALDY RAMADHAN 3175060111041004 L N 172

16 KHALISHAH NABILAH PUTRI 3216017112040002 P N 156

17 LINTANG SELYKA PUTRI 3175065610041007 P N 154

18 LIVIA PEBRIANI 3175064603050008 P N 161

19 MARSYA AURELIA SYAHKIRA 3175066003050008 P N 154

20 MOHAMMAD DZAKI TRIHASTANTO 3275061809040007 L N 169

21 MUHAMAD FAHRUL RIZQY RAMADHAN3175062206050002 L N 170

22 MUHAMAD SULTHON HANIF WIBOWO 3172031501092001 L N 169

23 MUHAMMAD NAUFAL SYAHRIAL 3175061309051001 L N 171

24 MUHAMMAD SUTAN CAESARINOVE 3175061811040006 L N 164

25 NABILLA SAFITRI 3175066011400111 P N 160

26 NADYA RIZKIANA PUTRI 3175066408040012 P N 159

27 NAUFAL RAJWA RABBANI 3175061511040004 L N 168

28 OKTAVIA SRI HANDAYANI 3175065810040001 P N 156

29 RIDYA SYABITA 3175066201051001 P N 159

30 RIKO AGUSTIAN NAPITUPULU 3175062308040009 L N 200

31 RISKY FIRMANSYAH 3175060501050011 L N 166

32 RIZKI AMANDHA AULIA 3175065308040020 P N 159

33 SAFFANA URFA SETIAWAN 3175076102050002 P N 153

34 SATRIO 3175060703050011 L N 167

35 Siti Fauziah 3175061805040001 P N 152

36 SOERYO AJIE 3175061604051006 L N 168


A DIDIK DI SEKOLAH

Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit
(kg) (mmHg) Jantung Paru (stunting)

39.4 N T T L T S S
76.9 N T T L T S S
61.4 N T T L T S S
48.9 N T T L T S S
47.6 N T T L T S S
44.5 N T T L T S S
81.7 N T T L T S S
56.8 N T T L T S S
40 N T T L T S S
46.2 N T T L T S S
47 N T T L T S S
40 N T T L T S S
51.8 N T T L T S S
40.8 N T T L T S S
51.2 N T T L T S TS
42.2 N T T L T S TS
39.3 N T T L T S S
43.7 N T T L T S S
48.8 N T T L T S S
72.2 N T T L T S TS
80 N T T L T S S
58.2 N T T L T S S
71.2 N T T L T S S
62.2 N T T L T S TS
45.2 N T T L T S S
41.4 N T T L T S S
59.9 N T T L T S S
51.9 N T T L T S S
57.5 N T T L T S S
114.9 N T T L T S S
87.3 N T T L T S S
67.8 N T T L T S S
43.8 N T T L T S S
66.2 N T T L T S S
43.2 N T T L T S S
48.7 N T T L T S S
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna Gangguan
Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

S S T T T KM T T T T
S S Y T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
S S T T T KM T T Y T
S S T T T N T T T T
TS S T T T KM T T T T
TS S Y T T N T T T T
TS S T T T N T T T T
TS S T T T N T T T T
TS S Y T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
TS S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T Y T
S S T T T N T T T T
TS S T T T N T T T T
S S T T T KM T T T T
S S T T T KM T T Y T
S S Y T T N T T T T
TS S T T T KM T T T T
TS S Y T T N T T T T
TS S T T T N T T T T
TS S T T T N T T T T
S S Y T T N T T T T
S S Y T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
TS S T T T KM T T T T
S S Y T T N T T T T
Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
dg gaya hidup
duksi
E C H P Pr Audio Visual Kines tetik

T T N N N N N T Y T
T T N N N N N T T Y
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y T T
T T N N N N N Y T T
T T N N N N N T Y T
T T N N N N N T Y T
T T N N N N N Y Y T
T T N N N N N T Y T
T T N N N N N Y T T
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani

Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn
abilitas
(cm)

1 ADELA NUR SHADRINA 3275065603050009 P N 156

2 AKBAR SYIHABUDDIN 3172042909040006 L


3 ALIFIA RACHMA PUTRI 3175066304050005 P N 164

4 ALIYAH KHAIRUNNISA 1671116611050002 P N 163

5 ALVINA DAMAYANTI 3175065802050010 P N 160

6 ARYA RENDY 3175060209040011 L N 157

7 AUDRI RIZKITA YANUAR 3175064301050009 P N 156

8 DAVA ADZKIYA PUTRI 3175065909041003 P N 163

9 DENA NOVITA HERAWATI 3275065112040003 P N 64

10 DHINI ALIA PUTRI 3175065505050001 P N 156

11 DINDA MAULIDYA SARASWATI3175065306050009 P N 155

12 HAIKAL HIRA HABIBILLAH 3175062806041001 L N 169

13 ILHAM YUSUF NARENDRA 3175061301050008 L


14 INDRI LESTARI 3175065009040012 P N 159

15 KAFITA DESTA AZZAHRA 3175065406041001 P N 174

16 KAKA FAJRI RIRAMSYAH 3172042001050006 L N 169

17 LUNA KAYLA BALQIS 3171036504051002 P


18 MARSHA AULIA 3175012938109730 P N 156

19 MUHAMMAD HILDAN HAKIKI 3175062606051001 L N 167

20 MUHAMMAD RIZAL MAULANA3172040105040009 L


21 MUHAMMAD RIZKY BRILIAN 3175063005050014 L N 170

22 MUHAMMAD SHEVA RAMADH3175060111040009 L N 167

23 MUHAMMAD SYAIFUDIN 3175061304051005 L


24 Nadia Aulanur Kartikasari 3276055112040001 P N 146

25 NASYWA HANDA FITRIAYA 3175065511040009 P N 157

26 NISFATUL MUSTIKA 3175060202095903 P N 164

27 PUTRI NAIYA AZALIA KENNEDY3175072501121063 P N 153

28 RAFI ANDANA 3172041608050011 L N 164

29 REKA AULIA TANIA ASZAHRA 3175064302051001 P N 164

30 RIKO DENARYA PUTRA CAHYO3175061212031001 L


31 SABILATUNAJAH HASAN 3175066906030009 P N 155

32 SALSA BILLA NURAINI 3175061009141047 P N 169

33 SARAH MEUTHYA ZAHWA 3175066501050001 P


34 SATRIA CHANDRA DHARMAPU3275062207050003 L N 186

35 SITI NAZMAH AFIFAH 3175065203040010 P N 150

36 YUNI EKA PURWANINGSIH 3175065906040002 P N 168


A DIDIK DI SEKOLAH

Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit
(kg) (mmHg) Jantung Paru (stunting)

44.2 N T T L T S S

58.2 N T T L T S S

95.5 N T T L T S S

47.7 N T T L T S S

464 N T T L T S S

54.2 N T T L T S S

64.8 N T T L T S S

50 N T T L T S S

54.8 N T T L T S S

53.2 N T T L T S S

86 N T T L T S S

50 N T T L T S S

96.6 N T T L T S S

46.9 N T T L T S S

43.2 N T T L T S S

50.2 N T T L T S S

41.5 N T T L T S S

48.9 N T T L T S S

42.2 N T T L T S S

44.7 N T T L T S S

81.7 N T T L T S S

54.9 N T T L T S S

55.2 N T T L T S S

47.4 N T T L T S TS

44 N T T L T S TS

51.3 N T T L T S S

116.6 N T T L T S S

41 N T T L T S S

59.5 N T T L T S S
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna Gangguan
Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

TS S T T T KM T T T T

TS S T T T KM T T Y T

S S T T T KM T T T T

S S T T T N T T T T

TS S T T T N T T Y T

TS S T T T KM T T Y T

S S Y T T KM T T T T

S S T T T N T T T T

S S T T T KM T T Y T

TS S Y T T N T T T T

TS S T T T N T T Y T

S S T T T N T T T T

S S T T T KM T T T T

S S T T T N T T Y T

S S T T T N T T T T

S S T T T N T T Y T

S S T T T N T T T T

S S T T T KM T T Y T

TS S T T T KM T T Y T

S S Y T T KM T T T T

S S T T T KM T T T T

S S T T T N T T T T

S S Y T T N T T T T

TS S T T T N T T T T

TS S T T T N T T T T

TS S T T T N T T T T

S S T T T N T T Y T

S S Y T T KM T T T T

S S Y T T N T T Y T
Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
dg gaya hidup
duksi
E C H P Pr Audio Visual Kines tetik

T T N N N N N T T Y

T T N N N N N Y T T

T T N N N N N T Y T

T T N N N N N T T Y

T T N N N N N T Y T

T T N N N N N T Y T

T T N N N N N T Y T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N T T Y

T T N N N N N T Y T

T T N N N N N Y T T

T T N N N N N T T Y

T T N N N N N T Y T

T T N N N N N Y T T

T T N N N N N T Y T

T T N N N N N T T Y

T T N N N N N T T Y

T T N N N N N T Y T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N Y T T

T T N N N N N T Y T

T T N N N N N T Y T

T T N N N N N T Y T

T T N N N N N Y T T

T T N N N N N T T Y

T T N N N N N T T Y

T T N N N N N Y T T
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T

Oki T B T
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi Berat

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn Bdn
abilitas
(cm) (kg)

1 AGUS LESMANA 3208232408040001 L N 178 55.2

2 ANASTASYA ARGIYANTI 3175064612040018 P N 156 30.2

3 ARIS FADILAH 3175070711040007 L N 174 57.3

4 CANTIK SRIKANDI NUR ILAVI 3216012508880001 P N 158 45.3

5 DELAROSA SAVITA DEWI 3175066112040012 P N 167 76.7

6 DIAN KHAIRUNNISSA 3175025102041001 P N 157 51.4

7 DIMAS WAHYU HIBATILLAH 3175062310131031 L N 172 63

8 DINDA AULIA HAKIM 3175064106051009 P N 162 77.4

9 FIONA TRIANANDRA 3175066708040007 P N 157 43.8

10 FITROTUNNADA SALSABILAH 3175066211040002 P N 161 38.2

11 INAYAH AZ ZUKHRUF 3175066412040015 P N 157 51

12 KALYA ALMAHSA PUTRI 3175066009050001 P N 153 45.4

13 Lareina Razita Darlene 3175064202050009 P N 150 46.9

14 METI DWI ASTUTI 3175064110040014 P N 160 63.1

15 MUHAMMAD AFRANSYAH FAJAR3175060904050003 L N 162 50.2

16 MUHAMMAD DEVA RAMDANI 3175060111040001 L N 170 54.3

17 MUHAMMAD RIZKY 3175060201050007 L N 173 56.2

18 MUHHAMAD FAHMI KHASAN 3175062608041003 L N 177 66.5

19 NANDA AL-KHAASYI' 3175022405050008 L N 171 47.7

20 NAUVAL AL GHIFARI 3175062408041001 L N 172 54

21 NAYLA NANDHITA NURIL HADI 3175066104050013 P N 162 47.8

22 OCTRYA RAMADHANI 3175066710040013 P N 167 52.8

23 PUTRI ROSIPAH 3175065108040016 P N 163 45

24 RAEHSYA AIDHA UTARI 3175066001051005 P N 163 56.9

25 RAIHAN TAUFIQUR RAHMAN 3172021210040003 L N 171 53.7

26 RIDHO DAFFA AMRULLOH 3175061307040009 L N 161 46.2

27 RIDHO GILANG RAMADHAN 3175060910040011 L N 169 48.2

28 RIFAH AISYAH 3175066508040009 P N 156 51.4

29 ROBBIANSYAH ADAM KUSUMA 3175060806040001 L N 170 60.4

30 SARA HARINI 3175061609041002 P N 155 41.5

31 SHAFA AQEELA RAMADHANI SYA3175064611041001 P N 167 64.9

32 SHELLYNA AULIA 3275064205050003 P N 166 50.3

33 SHINTA DIVA AULIA 3175060202097624 P N 163 55.5

34 WIDAYANTI 3303045004050002 P N 154 38.3

35 XANIA KHOIRUN NADA SALSABIL3175066906040014 P N 161 43.7

36 ZIYYAD FATIH HAMZAH 3172043004050009 L N 168 52.3


DIDIK DI SEKOLAH
TAHUN :

Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit Kuku
(mmHg) Jantung Paru (stunting)

N T T L T S S S

N T T L T S S TS

N T T L T S S TS

N T T L T S S TS

N T T L T S S S

N T T L T S S S

N T T L T S S S

N T T L T S S S

N T T L T S S TS

N T T L T S S S

N T T L T S S TS

N T T L T S S S

N T T L T S S S

N T T L T S S S

N T T L T S S TS

N T T L T S S TS

N T T L T S S TS

N T T L T S S TS

N T T L T S S S

N T T L T S S TS

N T T L T S S TS

N T T L T S S TS

N T T L T S S S

N T T L T S S TS

N T T L T S S TS

N T T L T S S S

N T T L T S S TS

N T T L T S S TS

N T T L T S S TS

N T T L T S S S

N T T L T S S TS

N T T L T S S TS

N T T L T S S S

N T T L T S S TS

N T T L T S S S

N T T L T S S S
TAHUN :

Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi Risiko berhub


Gangguan Buta Warna Gangguan dg gaya hidup
Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

S T T T N T T T T T

S Y T T KM T T Y T T

S T T T N T T T T T

S T T T N T T T T T

S Y T T N T T T T T

S T T T N T T T T T

S T T T KM T T T T T

S Y T T KM T T T T T

S T T T N T T T T T

S Y T T N T T T T T

S Y T T KM T T T T T

S Y T T N T T Y T T

S T T T KM T T Y T T

S Y T T KM T T Y T T

S T T T N T T T T T

S Y T T N T T Y T T

S T T T N T T T T T

S T T T N T T Y T T

S T T T N T T T T T

S Y T T N Y T Y T T

S T T T N T T T T T

S T T T KM T T T T T

S T T T N T T T T T

S T T T N T T Y T T

S Y T T KM Y T T T T

S Y T T N T T T T T

S T T T N T T Y T T

S Y T T N T T T T T

S T T T KM T T Y T T

S T T T N T T T T T

S Y T T N T T T T T

S T T T N T T Y T T

S T T T N T T Y T T

S T T T N T T T T T

S Y T T N T T T T T

S T T T N T T Y T T
Gangguan Mental Emosional Modalitas Belajar
Gangguan
Kes. Repro Dominasi otak
duksi
E C H P Pr Audio Visual Kines tetik

T N N N N N Y T T Oki

T N N N N N T T Y Oki

T N N N N N Y T T Oki

T N N N N N Y T T Oki

T N N N N N Y T T Oki

T N N N N N T Y T Oki

T N N N N N Y T T Oki

T N N N N N T T Y Oki

T N N N N N T Y T Oki

T N N N N N T T Y Oki

T N N N N N T Y T Oki

T N N N N N T Y T Oki

T N N N N N Y T T Oki

T N N N N N T Y T Oki

T N N N N N Y T T Oki

T N N N N N T Y T Oki

T N N N N N T T Y Oki

T N N N N N Y T T Oki

T N N N N N T T Y Oki

T N N N N N Y T T Oki

T N N N N N Y T T Oki

T N N N N N T Y T Oki

T N N N N N Y T T Oki

T N N N N N T Y T Oki

T N N N N N Y T T Oki

T N N N N N Y T T Oki

T N N N N N Y Y T Oki

T N N N N N T Y T Oki

T N N N N N T Y T Oki

T N N N N N T Y T Oki

T N N N N N T Y T Oki

T N N N N N T Y T Oki

T N N N N N Y T T Oki

T N N N N N T T Y Oki

T N N N N N T Y T Oki

T N N N N N T Y T Oki
Penggunaan Kebugaran
Dirujuk
Alat Bantu Jasmani

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T

T B T
Tinggi tinggi badan Berat Penilaian Status Gizi Tinggi tinggi badan Berat Penilaian Status Gizi

Bdn (m) TB2 Bdn 8.A Bdn (m) TB2 Bdn 8.C
IMT IMT
(cm) (kg) SMPN 193 (cm) (kg)

153 1.53 2.3409 46 19.6505617498 175 1.75 3.0625 79.5 25.959183673


150 1.5 2.25 59 26.2222222222 171 1.71 2.9241 51.7 17.680653876
157 1.57 2.4649 50 20.284798572 157 1.57 2.4649 65.8 26.694794921
156 1.56 2.4336 63 25.8875739645 157 1.57 2.4649 56.4 22.881252789
160 1.6 2.56 48 18.75 154 1.54 2.3716 53.3 22.474278968
159 1.59 2.5281 43 17.0088208536 153 1.53 2.3409 39.9 17.044726387
177 1.77 3.1329 43 13.7253024354 161 1.61 2.5921 50.7 19.559430578
150 1.5 2.25 52 23.1111111111 168 1.68 2.8224 42.9 15.199829932
165 1.65 2.7225 73 26.81359045 172 1.72 2.9584 89.4 30.219037317
172 1.72 2.9584 51 17.2390481341 163 1.63 2.6569 65.2 24.539877301
156 1.56 2.4336 43 17.6692965155 154 1.54 2.3716 41 17.287906898
170 1.7 2.89 48 16.6089965398 165 1.65 2.7225 50.8 18.659320478
157 1.57 2.4649 62 25.1531502292 173 1.73 2.9929 64.3 21.484179224
159 1.59 2.5281 71.4 28.2425536965 159 1.59 2.5281 65.4 25.869229856
152 1.52 2.3104 52 22.5069252078 157 1.57 2.4649 68.8 27.911882835
152 1.52 2.3104 40 17.3130193906 154 1.54 2.3716 39.3 16.571091246
157 1.57 2.4649 60 24.3417582863 170 1.7 2.89 58.8 20.346020761
163 1.63 2.6569 46.4 17.4639617599 166 1.66 2.7556 56 20.322252867
161 1.61 2.5921 56 21.6041047799 157 1.57 2.4649 55.5 22.516126415
152 1.52 2.3104 34 14.716066482 156 1.56 2.4336 44.6 18.326758711
158 1.58 2.4964 60 24.0346098382 156 1.56 2.4336 41.5 17.052925707
152 1.52 2.3104 47 20.3427977839 159 1.59 2.5281 44.9 17.760373403
155 1.55 2.4025 40 16.6493236212 149 1.49 2.2201 38.7 17.431647223
161 1.61 2.5921 51 19.6751668531 175 1.75 3.0625 58.8 19.2

155 1.55 2.4025 60 24.9739854318 166 1.66 2.7556 46 16.693279141

146 1.46 2.1316 54 25.33308313 156 1.56 2.4336 57.3 23.545364892

176 1.76 3.0976 91 29.3775826446 157 1.57 2.4649 43.4 17.60720516

166 1.66 2.7556 54 19.5964581216 157 1.57 2.4649 49.5 20.081950586

161 1.61 2.5921 63 24.3046178774 158 1.58 2.4964 71.4 28.601185707

153 1.53 2.3409 49 20.9321201247 171 1.71 2.9241 81.2 27.769228139

158 1.58 2.4964 60 24.0346098382 158 1.58 2.4964 72.9 29.202050953

156 1.56 2.4336 68 27.9421433268 164 1.64 2.6896 45.9 17.065734682

155 1.55 2.4025 58 24.1415192508 163 1.63 2.6569 45.7 17.20049682

160 1.6 2.56 41 16.015625 149 1.49 2.2201 31.9 14.36872213

161 1.61 2.5921 67.5 26.0406620115 153 1.53 2.3409 41.4 17.685505575
0 #DIV/0! 0 #DIV/0!

155 1.55 2.4025 48 19.9791883455 8.B 158 1.58 2.4964 66.2 26.518186188 8.D

163 1.63 2.6569 50 18.8189243103 155 1.55 2.4025 32 13.319458897

148 1.48 2.1904 42 19.1745799854 155 1.55 2.4025 48.2 20.062434964

172 1.72 2.9584 53 17.9150892374 146 1.46 2.1316 35.8 16.794895853

159 1.59 2.5281 47 18.591036747 161 1.61 2.5921 42.5 16.395972378

168 1.68 2.8224 47 16.6524943311 159 1.59 2.5281 44.2 17.483485622

157 1.57 2.4649 40 16.2278388576 157 1.57 2.4649 42 17.0392308

162 1.62 2.6244 54.9 20.9190672154 163 1.63 2.6569 46 17.313410365

158 1.58 2.4964 57 22.8328793463 160 1.6 2.56 64 25

166 1.66 2.7556 55 19.9593554943 176 1.76 3.0976 102.2 32.993285124

170 1.7 2.89 78 26.9896193772 158 1.58 2.4964 61.3 24.555359718

154 1.54 2.3716 40 16.8662506325 162 1.62 2.6244 51 19.43301326

161 1.61 2.5921 54 20.8325296092 148 1.48 2.1904 40 18.261504748

164 1.64 2.6896 60 22.3081499108 171 1.71 2.9241 56.9 19.458978831

162 1.62 2.6244 44 16.7657369303 168 1.68 2.8224 70.9 25.120464853

171 1.71 2.9241 47 16.0733217058 155 1.55 2.4025 35.4 14.734651405

165 1.65 2.7225 56 20.5693296602 173 1.73 2.9929 99.8 33.34558455

159 1.59 2.5281 34 13.4488350935 156 1.56 2.4336 46 18.902038133

162 1.62 2.6244 53 20.1950922116 171 1.71 2.9241 63 21.545090797

164 1.64 2.6896 47 17.4747174301 171 1.71 2.9241 70.8 24.212578229

164 1.64 2.6896 46 17.1029149316 156 1.56 2.4336 48.3 19.847140039


159 1.59 2.5281 46 18.1954827736 163 1.63 2.6569 73.7 27.739094433

168 1.68 2.8224 44 15.589569161 163 1.63 2.6569 48.4 18.216718732

161 1.61 2.5921 41 15.8172909996 164 1.64 2.6896 87.2 32.42117787

161 1.61 2.5921 44 16.9746537556 156 1.56 2.4336 53.2 21.860618014

165 1.65 2.7225 79 29.0174471993 157 1.57 2.4649 59.5 24.138910301

172 1.72 2.9584 47 15.8869659275 146 1.46 2.1316 34.3 16.091199099

163 1.63 2.6569 56 21.0771952275 163 1.63 2.6569 47.3 17.802702398

163 1.63 2.6569 41 15.4315179344 163 1.63 2.6569 61.6 23.18491475

166 1.66 2.7556 46 16.6932791407 160 1.6 2.56 43.5 16.9921875

151 1.51 2.2801 38.9 17.0606552344 158 1.58 2.4964 39.9 15.983015542

161 1.61 2.5921 45 17.360441341 158 1.58 2.4964 37.6 15.061688832

160 1.6 2.56 53 20.703125 159 1.59 2.5281 61.4 24.287013963

162 1.62 2.6244 51 19.4330132602 160 1.6 2.56 46.2 18.046875

157 1.57 2.4649 49 19.8791026005 158 1.58 2.4964 56.7 22.712706297

162 1.62 2.6244 80 30.4831580552 158 1.58 2.4964 53.5 21.430860439


0 #DIV/0! 0 0 #DIV/0!

167 1.67 2.7889 55 19.721036968 8.E 156 1.56 2.4336 43.8 17.998027613 8.F

156 1.56 2.4336 37 15.2038132807 156 1.56 2.4336 46.4 19.066403682

159 1.59 2.5281 47.3 18.709702939 165 1.65 2.7225 56.9 20.899908173

158 1.58 2.4964 39.5 15.8227848101 167 1.67 2.7889 53.6 19.219046936

156 1.56 2.4336 42.6 17.5049309665 157 1.57 2.4649 54.3 22.029291249

163 1.63 2.6569 41.8 15.7326207234 156 1.56 2.4336 51.5 21.162064431

155 1.55 2.4025 37.3 15.5254942768 151 1.51 2.2801 42.3 18.551817903

163 1.63 2.6569 42.3 15.9208099665 156 1.56 2.4336 50.6 20.792241946

146 1.46 2.1316 37 17.3578532558 162 1.62 2.6244 60 22.862368541

163 1.63 2.6569 49.9 18.7812864617 157 1.57 2.4649 42.9 17.404357175

156 1.56 2.4336 45.5 18.6965811966 156 1.56 2.4336 51.2 21.03879027

170 1.7 2.89 65.3 22.5951557093 162 1.62 2.6244 48.9 18.632830361

162 1.62 2.6244 70.4 26.8251790886 174 1.74 3.0276 63.5 20.973708548

145 1.45 2.1025 46.5 22.1165279429 151 1.51 2.2801 29.3 12.850313583

174 1.74 3.0276 50.6 16.7129079139 154 1.54 2.3716 48.2 20.323832012

153 1.53 2.3409 33.7 14.3961724123 163 1.63 2.6569 66.4 24.991531484

167 1.67 2.7889 50 17.9282154254 156 1.56 2.4336 48.9 20.093688363

164 1.64 2.6896 53.3 19.8170731707 165 1.65 2.7225 51.9 19.063360882

168 1.68 2.8224 50.6 17.9280045351 157 1.57 2.4649 48.3 19.595115421

170 1.7 2.89 59.7 20.6574394464 177 1.77 3.1329 139.2 44.431676721

168 1.68 2.8224 47.8 16.9359410431 160 1.6 2.56 40.2 15.703125

167 1.67 2.7889 50 17.9282154254 162 1.62 2.6244 32.3 12.307575065

151 1.51 2.2801 49.3 21.6218586904 157 1.57 2.4649 53 21.501886486

159 1.59 2.5281 44.6 17.6417072109 163 1.63 2.6569 38.8 14.603485265

161 1.61 2.5921 46.3 17.861965202 155 1.55 2.4025 52.2 21.727367326

159 1.59 2.5281 53.6 21.201692971 162 1.62 2.6244 55.9 21.300106691

149 1.49 2.2201 35.4 15.9452276924 161 1.61 2.5921 38.3 14.775664519

162 1.62 2.6244 57.7 21.9859777473 161 1.61 2.5921 48.2 18.594961614

161 1.61 2.5921 44.4 17.1289687898 159 1.59 2.5281 39.2 15.505715755

160 1.6 2.56 44.4 17.34375 160 1.6 2.56 40.3 15.7421875

156 1.56 2.4336 63.3 26.0108481262 150 1.5 2.25 39.8 17.688888889

162 1.62 2.6244 91 34.6745922878 160 1.6 2.56 40.8 15.9375

152 1.52 2.3104 57.8 25.0173130194 167 1.67 2.7889 51.3 18.394349026

156 1.56 2.4336 62.7 25.7642998028 154 1.54 2.3716 43 18.13121943

157 1.57 2.4649 53.3 21.6235952777 153 1.53 2.3409 33.7 14.396172412

166 1.66 2.7556 46.6 16.9110175642 0 #DIV/0!

0 #DIV/0! 163 1.63 2.6569 72.3 27.212164553 8.H

167 1.67 2.7889 65.5 23.4859622073 8.G 160 1.6 2.56 64 25

149 1.49 2.2201 30 13.5129048241 162 1.62 2.6244 55.4 21.109586953

174 1.74 3.0276 91.9 30.3540758356 162 1.62 2.6244 58.6 22.328913275

164 1.64 2.6896 42.9 15.9503271862 157 1.57 2.4649 49.5 20.081950586

158 1.58 2.4964 44.5 17.8256689633 156 1.56 2.4336 36.2 14.875082183

157 1.57 2.4649 57.3 23.2463791635 170 1.7 2.89 64.8 22.422145329

153 1.53 2.3409 31.6 13.4990815498 163 1.63 2.6569 77.2 29.056419135
171 1.71 2.9241 75.9 25.9567046271 161 1.61 2.5921 32.6 12.576675283

149 1.49 2.2201 65 29.2779604522 159 1.59 2.5281 58.9 23.29812903

186 1.86 3.4596 55.9 16.1579373338 176 1.76 3.0976 56.9 18.369059917

160 1.6 2.56 52.6 20.546875 163 1.63 2.6569 68.3 25.706650608

144 1.44 2.0736 34.2 16.4930555556 157 1.57 2.4649 45.3 18.378027506

165 1.65 2.7225 50.4 18.5123966942 160 1.6 2.56 47.2 18.4375

152 1.52 2.3104 53.9 23.3292936288 158 1.58 2.4964 56 22.432302516

156 1.56 2.4336 36.6 15.0394477318 156 1.56 2.4336 42.6 17.504930966

160 1.6 2.56 47.9 18.7109375 164 1.64 2.6896 49 18.218322427

170 1.7 2.89 55.5 19.2041522491 153 1.53 2.3409 36.6 15.635012175

161 1.61 2.5921 37.3 14.3898769338 174 1.74 3.0276 93.2 30.783458845

169 1.69 2.8561 40.8 14.2852141031 157 1.57 2.4649 58.6 23.773783926

166 1.66 2.7556 62.8 22.7899550007 161 1.61 2.5921 40.6 15.662975965

160 1.6 2.56 50.9 19.8828125 164 1.64 2.6896 60.7 22.56841166

158 1.58 2.4964 50.5 20.2291299471 167 1.67 2.7889 54.2 19.434185521

164 1.64 2.6896 51.7 19.2221891731 156 1.56 2.4336 46.5 19.107495069

163 1.63 2.6569 52.2 19.6469569799 168 1.68 2.8224 45.6 16.156462585

154 1.54 2.3716 56.3 23.7392477652 163 1.63 2.6569 50.4 18.969475705

156 1.56 2.4336 56.4 23.1755424063 175 1.75 3.0625 62.7 20.473469388

156 1.56 2.4336 37.9 15.5736357659 150 1.5 2.25 36.4 16.177777778

161 1.61 2.5921 72.3 27.8924424212 157 1.57 2.4649 43 17.444926772

167 1.67 2.7889 47.3 16.9600917925 157 1.57 2.4649 47.4 19.229989046

154 1.54 2.3716 55.7 23.4862540057 159 1.59 2.5281 51 20.17325264

180 1.8 3.24 65 20.0617283951 161 1.61 2.5921 67 25.847768219

151 1.51 2.2801 35.7 15.6572080172 152 1.52 2.3104 39.9 17.269736842

159 1.59 2.5281 51 20.1732526403 152 1.52 2.3104 41.2 17.832409972


0 151 1.51 2.2801 42.5 18.639533354
0 152 1.52 2.3104 54 23.372576177
0 0

0 0

0 0

Tinggi 0 Berat Penilaian Status Gizi Tinggi 0 Berat Penilaian Status Gizi

Bdn 0 Bdn 9.A Bdn 0 Bdn 9.C


IMT IMT
(cm) 0 (kg) SMPN 193 (cm) 0 (kg) SMPN 193
150 1.5 2.25 49.7 22.0888888889 167 1.67 2.7889 76.4 27.39431317
152 1.52 2.3104 47.5 20.5592105263 165 1.65 2.7225 52.7 19.357208448
162 1.62 2.6244 68.1 25.9487882945 156 1.56 2.4336 52.8 21.696252465
158 1.58 2.4964 46.7 18.7069379907 160 1.6 2.56 50.9 19.8828125
158 1.58 2.4964 50.7 20.3092453133 154 1.54 2.3716 42.7 18.00472255
144 1.44 2.0736 46.8 22.5694444444 180 1.8 3.24 107.3 33.117283951
171 1.71 2.9241 53.3 18.2278307855 174 1.74 3.0276 49.5 16.349583829
162 1.62 2.6244 43.5 16.5752171925 173 1.73 2.9929 62.9 21.016405493
163 1.63 2.6569 63.2 23.7871203282 167 1.67 2.7889 55 19.721036968
174 1.74 3.0276 51.2 16.9110846875 156 1.56 2.4336 41.4 17.01183432
158 1.58 2.4964 44.2 17.7054959141 163 1.63 2.6569 49.5 18.630735067
151 1.51 2.2801 51.1 22.4112977501 180 1.8 3.24 126.7 39.104938272
172 1.72 2.9584 72.2 24.4050838291 158 1.58 2.4964 44 17.625380548
157 1.57 2.4649 53.6 21.7453040691 158 1.58 2.4964 49.6 19.8686108
160 1.6 2.56 44.1 17.2265625 157 1.57 2.4649 55.5 22.516126415
176 1.76 3.0976 85.7 27.6665805785 175 1.75 3.0625 66.2 21.616326531
175 1.75 3.0625 54 17.6326530612 154 1.54 2.3716 53.6 22.600775848
156 1.56 2.4336 65.1 26.7504930966 178 1.78 3.1684 64.6 20.388839793
161 1.61 2.5921 59.7 23.0315188457 163 1.63 2.6569 44.8 16.861756182
170 1.7 2.89 41.3 14.2906574394 170 1.7 2.89 80 27.6816609

160 1.6 2.56 54.8 21.40625 155 1.55 2.4025 56.9 23.683662851

170 1.7 2.89 49.4 17.0934256055 164 1.64 2.6896 68 25.282569899

164 1.64 2.6896 45.6 16.9541939322 162 1.62 2.6244 67.5 25.720164609

158 1.58 2.4964 42.7 17.1046306682 175 1.75 3.0625 70 22.857142857

168 1.68 2.8224 55.3 19.5932539683 160 1.6 2.56 47.5 18.5546875

158 1.58 2.4964 58 23.2334561769 159 1.59 2.5281 58.1 22.981685851


166 1.66 2.7556 71.6 25.9834518798 152 1.52 2.3104 45.7 19.780124654

161 1.61 2.5921 50.5 19.4822730605 165 1.65 2.7225 52.5 19.283746556

170 1.7 2.89 51.2 17.7162629758 162 1.62 2.6244 83.2 31.702484377

164 1.64 2.6896 45.2 16.8054729328 162 1.62 2.6244 64.8 24.691358025

147 1.47 2.1609 38.7 17.9092044981 156 1.56 2.4336 44 18.080210388

155 1.55 2.4025 38.2 15.9001040583 169 1.69 2.8561 47.5 16.631070341

166 1.66 2.7556 50.4 18.2900275802 160 1.6 2.56 92.9 36.2890625

154 1.54 2.3716 45 18.9745319615 163 1.63 2.6569 46.2 17.388686063

170 1.7 2.89 46 15.9169550173 164 1.64 2.6896 53.4 19.854253421

156 1.56 2.4336 47.6 19.5595003287 0 #DIV/0!

0 #DIV/0! 156 1.56 2.4336 46 18.902038133 9.D

178 1.78 3.1684 76.5 24.1446787022 9.B 151 1.51 2.2801 36 15.788781194

163 1.63 2.6569 43.8 16.4853776958 163 1.63 2.6569 48 18.066167338

155 1.55 2.4025 39.3 16.3579604579 160 1.6 2.56 54 21.09375

158 1.58 2.4964 48 19.2276878705 165 1.65 2.7225 51 18.732782369

160 1.6 2.56 37.2 14.53125 162 1.62 2.6244 57 21.719250114

173 1.73 2.9929 43.2 14.4341608473 175 1.75 3.0625 130 42.448979592

163 1.63 2.6569 54.2 20.3997139524 151 1.51 2.2801 48 21.051708258

164 1.64 2.6896 57.2 21.2671029149 154 1.54 2.3716 51 21.504469556

157 1.57 2.4649 68.8 27.911882835 166 1.66 2.7556 82 29.757584555

180 1.8 3.24 76.4 23.5802469136 167 1.67 2.7889 43 15.418265266

164 1.64 2.6896 53.8 20.00297442 174 1.74 3.0276 92 30.387105298

166 1.66 2.7556 43.2 15.6771664973 175 1.75 3.0625 93 30.367346939

164 1.64 2.6896 74 27.5133848899 177 1.77 3.1329 71 22.662708672

167 1.67 2.7889 49.8 17.8565025637 156 1.56 2.4336 34 13.971071663

171 1.71 2.9241 85.7 29.3081631955 160 1.6 2.56 52 20.3125

155 1.55 2.4025 65 27.0551508845 158 1.58 2.4964 45 18.025957379

164 1.64 2.6896 57.2 21.2671029149 162 1.62 2.6244 65 24.76756592

160 1.6 2.56 50.9 19.8828125 161 1.61 2.5921 45 17.360441341

166 1.66 2.7556 48.6 17.6368123095 157 1.57 2.4649 53 21.501886486

165 1.65 2.7225 64.8 23.8016528926 160 1.6 2.56 51 19.921875

155 1.55 2.4025 50.3 20.9365244537 164 1.64 2.6896 44 16.359309935

158 1.58 2.4964 51 20.4294183624 171 1.71 2.9241 52 17.783249547

165 1.65 2.7225 64 23.507805326 174 1.74 3.0276 84 27.744748315

155 1.55 2.4025 51.3 21.3527575442 183 1.83 3.3489 95 28.367523664

184 1.84 3.3856 75.5 22.3003308129 164 1.64 2.6896 44 16.359309935

158 1.58 2.4964 53.9 21.5910911713 156 1.56 2.4336 50 20.545693623

175 1.75 3.0625 40.3 13.1591836735 167 1.67 2.7889 71 25.458065904

152 1.52 2.3104 64.2 27.7873961219 161 1.61 2.5921 43 16.58886617

168 1.68 2.8224 47.3 16.7587868481 200 2 4 72 18

159 1.59 2.5281 43.2 17.0879316483 158 1.58 2.4964 54 21.631148854

172 1.72 2.9584 40.4 13.6560302866 156 1.56 2.4336 46 18.902038133

153 1.53 2.3409 53.8 22.9826135247 178 1.78 3.1684 50 15.780835753

157 1.57 2.4649 60.3 24.4634670778 163 1.63 2.6569 57 21.453573714


0 #DIV/0! 156 1.56 2.4336 34 13.971071663

167 1.67 2.7889 69.8 25.0277887339 9.E 0 #DIV/0!

163 1.63 2.6569 49 18.4425458241 156 1.56 2.4336 39.4 16.190006575 9.F

161 1.61 2.5921 44 16.9746537556 170 1.7 2.89 76.9 26.60899654

152 1.52 2.3104 46.4 20.0831024931 154 1.54 2.3716 61.4 25.889694721

169 1.69 2.8561 50.4 17.6464409509 159 1.59 2.5281 48.9 19.342589296

162 1.62 2.6244 64.4 24.5389422344 156 1.56 2.4336 47.6 19.559500329

176 1.76 3.0976 50 16.1415289256 165 1.65 2.7225 44.5 16.345270891

154 1.54 2.3716 44.5 18.7637038286 164 1.64 2.6896 81.7 30.376264128

155 1.55 2.4025 41.4 17.232049948 157 1.57 2.4649 56.8 23.043531178

176 1.76 3.0976 64.7 20.8871384298 154 1.54 2.3716 40 16.866250632

164 1.64 2.6896 47 17.4747174301 154 1.54 2.3716 46.2 19.480519481

170 1.7 2.89 58 20.0692041522 163 1.63 2.6569 47 17.689788852

157 1.57 2.4649 41.6 16.8769524119 159 1.59 2.5281 40 15.822158934

160 1.6 2.56 51 19.921875 158 1.58 2.4964 51.8 20.749879827

154 1.54 2.3716 42.9 18.0890538033 163 1.63 2.6569 40.8 15.356242237
161 1.61 2.5921 41.4 15.9716060337 172 1.72 2.9584 51.2 17.306652244

160 1.6 2.56 55.6 21.71875 156 1.56 2.4336 42.2 17.340565417

152 1.52 2.3104 44.7 19.347299169 154 1.54 2.3716 39.3 16.571091246

168 1.68 2.8224 62.5 22.1442743764 161 1.61 2.5921 43.7 16.85891748

167 1.67 2.7889 43.9 15.7409731435 154 1.54 2.3716 48.8 20.576825772

176 1.76 3.0976 51 16.4643595041 169 1.69 2.8561 72.2 25.279226918

170 1.7 2.89 47.4 16.401384083 170 1.7 2.89 80 27.6816609

167 1.67 2.7889 56.5 20.2588834307 169 1.69 2.8561 58.2 20.377437765

157 1.57 2.4649 48 19.4734066291 171 1.71 2.9241 71.2 24.349372456

158 1.58 2.4964 42.2 16.9043422528 164 1.64 2.6896 62.2 23.126115407

144 1.44 2.0736 31.7 15.2874228395 160 1.6 2.56 45.2 17.65625

156 1.56 2.4336 53.3 21.9017094017 159 1.59 2.5281 41.4 16.375934496

153 1.53 2.3409 46.9 20.0350292622 168 1.68 2.8224 59.9 21.223072562

160 1.6 2.56 59.7 23.3203125 156 1.56 2.4336 51.9 21.32642998

158 1.58 2.4964 41.7 16.7040538375 159 1.59 2.5281 57.5 22.744353467

166 1.66 2.7556 49.8 18.0722891566 200 2 4 114.9 28.725

150 1.5 2.25 39.1 17.3777777778 166 1.66 2.7556 87.3 31.68094063

160 1.6 2.56 60.2 23.515625 159 1.59 2.5281 67.8 26.818559392

161 1.61 2.5921 54.4 20.9868446433 153 1.53 2.3409 43.8 18.710752275

159 1.59 2.5281 45.6 18.0372611843 167 1.67 2.7889 66.2 23.736957223
0 #DIV/0! 152 1.52 2.3104 43.2 18.698060942

156 1.56 2.4336 44.2 18.1623931624 9.G 168 1.68 2.8224 48.7 17.254818594

164 1.64 2.6896 58.2 21.6389054134 0 #DIV/0!

163 1.63 2.6569 95.5 35.9441454326 178 1.78 3.1684 55.2 17.422042671 9.H

160 1.6 2.56 47.7 18.6328125 156 1.56 2.4336 30.2 12.409598948

157 1.57 2.4649 464 188.242930748 174 1.74 3.0276 57.3 18.925881887

156 1.56 2.4336 54.2 22.2715318869 158 1.58 2.4964 45.3 18.146130428

163 1.63 2.6569 64.8 24.3893259061 167 1.67 2.7889 76.7 27.501882463

64 0.64 0.4096 50 122.0703125 157 1.57 2.4649 51.4 20.852772932

156 1.56 2.4336 54.8 22.5180802104 172 1.72 2.9584 63 21.295294754

155 1.55 2.4025 53.2 22.1436004162 162 1.62 2.6244 77.4 29.492455418

169 1.69 2.8561 86 30.1109905115 157 1.57 2.4649 43.8 17.769483549

159 1.59 2.5281 50 19.777698667 161 1.61 2.5921 38.2 14.737085761

174 1.74 3.0276 96.6 31.9064605628 157 1.57 2.4649 51 20.690494543

169 1.69 2.8561 46.9 16.4209936627 153 1.53 2.3409 45.4 19.394250075

156 1.56 2.4336 43.2 17.7514792899 150 1.5 2.25 46.9 20.844444444

167 1.67 2.7889 50.2 17.9999282871 160 1.6 2.56 63.1 24.6484375

170 1.7 2.89 41.5 14.3598615917 162 1.62 2.6244 50.2 19.12818168

167 1.67 2.7889 48.9 17.5337946861 170 1.7 2.89 54.3 18.788927336

146 1.46 2.1316 42.2 19.797335335 173 1.73 2.9929 56.2 18.777774065

157 1.57 2.4649 44.7 18.1346099233 177 1.77 3.1329 66.5 21.226339813

164 1.64 2.6896 81.7 30.3762641285 171 1.71 2.9241 47.7 16.312711604

153 1.53 2.3409 54.9 23.4525182622 172 1.72 2.9584 54 18.253109789

164 1.64 2.6896 55.2 20.5234979179 162 1.62 2.6244 47.8 18.213686938

164 1.64 2.6896 47.4 17.6234384295 167 1.67 2.7889 52.8 18.932195489

155 1.55 2.4025 44 18.3142559834 163 1.63 2.6569 45 16.937031879

169 1.69 2.8561 51.3 17.9615559679 163 1.63 2.6569 56.9 21.415935865

186 1.86 3.4596 116.6 33.7033183027 171 1.71 2.9241 53.7 18.364625013

150 1.5 2.25 41 18.2222222222 161 1.61 2.5921 46.2 17.823386443

168 1.68 2.8224 59.5 21.0813492063 169 1.69 2.8561 48.2 16.876159798

156 1.56 2.4336 51.4 21.120973044

170 1.7 2.89 60.4 20.899653979

155 1.55 2.4025 41.5 17.273673257

167 1.67 2.7889 64.9 23.270823622

166 1.66 2.7556 50.3 18.253737843

163 1.63 2.6569 55.5 20.889005984

154 1.54 2.3716 38.3 16.149434981

161 1.61 2.5921 43.7 16.85891748

168 1.68 2.8224 52.3 18.530328798


REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn
abilitas
(cm)

1 ADISHA KHANSA RIVANA 3175014702060002 P N 153

2 Aila Julita Farras 3171034407060007 p N 150

3 AKMAL NABIL ARDIANSAH 3174042011050003 L N 157

4 ALFRIDA GISTIRA DAMAYANTI 3175060302099109 p N 156

5 ANA HASLINDA 3175032764239642 P N 160

6 BERLIANA NUR PUTRI AYUNI 3172045804040003 p N 159

7 Danindra Nusa Pratama 3216021706060007 L N 177

8 DESVITA UTTU FEBRIEN 3172545020610001 P N 150

9 FAKHRI FAHREZI 3175071708060013 L N 165

10 Farrel Ardian Yasin 3171041711050004 L N 172

11 FIRLIYAL ZALFADYA ALLYANI 3172046901060001 P N 156

12 GANESHA ALFIANSYAH HENDARTA 3175060707050011 L N 170

13 Gheanadya Ciara Keisha 3674055211060005 P N 157

14 HAIKAL ARIFIANSYAH 3175062101093536 L N 159

15 HELWAH 3175064806050006 P N 152

16 HILYA JANNATIE MAULADYA 3175067004060006 P N 152

17 MIA MAHARANI SIMATUPANG 3175066405050002 P N 157

18 MUHAMAD ARFAN ZILDAN KOSWARA 3276021801060009 L N 163

19 MUHAMMAD AZHIQNA AZKIA 3175060304060018 L N 161

20 MUHAMMAD RIFKY RAMDHANSYAH 3172022409600004 L N 152

21 Muhammad Zaki Ananda Putra Essa 3172022211050003 L N 158

22 MUTIA HAURAA ATHAAYA 3275066412050007 P N 152

23 NASYILA MALENDRA 3175060803111068 P N 155

24 NICKY ADITYA DIAN PRASETYO 3175060203060012 L N 161

25 NOVI SULISTIAWATI 3175066411051003 P N 155

26 NUR KHALIZA NOVIANTI 3175066703051002 P N 146

27 PRISCILLIA LAURA MONICA 3172030301190043 P N 176

28 RAHMAH ALIYAH 3175064510050004 P N


29 REVAKAYLA RESIVA LEMBO 3175065904050014 P N 166

30 ROHMATUN KARIMAH 3175064104060014 P N 161

31 RUIZHI ELGIN SANTOSO 3172041807060010 L N 153

32 SOFI HAPSARI PUTRI 3175016202061001 P N 158

33 SYAHNAZ SALSABILA 3175064807050003 P N 156

34 SYIFA AURELIA 3175065705060003 P N 155

35 Tatia Mairani 3275035605060003 P N 160

36 Zhafira Maulidia 3171035305050007 P N 161

1 ADELIA RIZKY DWI FERNANDA 3175082364896236 P N 155


2 ADHIATMAJA SAPUTRA 3171030111050006 L N 163

3 ALYA AZZAHIRA 3171107571106000 P N 148

4 ANDI SAPTO NUGROHO 3172051503051001 L N 172

5 ANGGITA ALFIANI PUTRI 3175056205060003 P N 159

6 APRILLYA PUTRI RIYANI 3175065704060008 P N 168

7 ARDI CHRISTANTO SAMOSIR 3175061306110104 L N 157

8 AYU FATMAWATI 3175026210050003 P N 162

9 BETHA RO RAFFIELLA MANALU 3275035103600008 P N 158

10 BOY JEREMIA NICODEMUS 3175062602060004 L N 166

11 DANIELO SIREGAR 3175060207061001 L N 170

12 DELLA SIMA SIHOMBING 3175062401097094 P N 154

13 DERRA ALDADINI TUJAPRILSI SIHITE 3173054704060001 P N 161

14 Diana Carolin 3175064107060011 P N 164

15 EVAN BUNGARAN CHRISTOFER HUTAPEA 3175060605060014 L N 162

16 FAJAR RAMADHAN 3175060310050003 L N 171

17 GERALD EFRAIM PANGAPUL RAJAGUKGUK3175060606061007 L N 165

18 KEYNE DIAN AILSA 3175064808060008 P N 159

19 KHOIRUNISA FITRI 0954036407050027 P N 162

20 LAURA AMELIA KARO 3172034904060007 P N 164

21 LUKY APRIAN 3175060804060012 L N 164

22 MARCELLA JOCELLYN OPPIER 3275086203050009 P N 159

23 MARIO HASIHOLAN ARITONANG 3175060312050004 L N 168

24 MUHAMMAD JERRICHO 3172042206060015 L N 161

25 NAFILAH ARSYA 3275065006060003 P N 161

26 NAJWA PUTRI KHAIRUNNISA 3175064512050002 P N 165

27 NANDANA PRIMA FADHIL 3175060302091016 L N 172

28 NEISYA SYAFARINA 3175066003061002 P N 163

29 NI NYOMAN TRI DEVI SUCI NIRMALA 3275066702060002 P N 163

30 Rama Dewantara 3275037060600012 L N 166

31 RANIA FAUZIYAH SOLEMAN 3171046702060001 P N 151

32 Richelle Ayudhia Putri 3175061404100032 P N 161

33 SALSABILA SYIFA DZUBYAN 3175065411060001 P N 160

34 SASKIA MEIRINDA 3175066305050015 P N 162

35 YEMIMA FHYLO SHOFYA SILITONGA 3175016409061003 P N 157

36 YUNITA PASARIBU 3175065806050017 P N 162

1 ABRAHAM ADI PANGESTU HAHOLONGAN 3175061008060003 L N 175

2 ALANDRIAN SURYA TANRA L N 171

3 ALYNDA NATASYA PUTRI ARDIANTO 3172211120050003 P N 157

4 ALYSA KIRAN DRIYANTI 3216025812060000 P N 157

5 Andrea Juliani Nurjaman 3171025907060004 P N 154

6 Artini Ondeng Hutabarat 3175064807051002 P N 153

7 DAFFA AQIL ATHALLAH 3172042208060001 L N 161

8 DANIEL JONATHAN SEBASTIAN PARDEDE 3175060408060009 L N 168

9 Ezra Manuel Damongilala 3172040511050005 L N 172

10 FAIZUN NOVA RIANSYAH 3175061611050001 L N 163


11 FEBYANA NUR ATIKA 3175064102060001 P N 154

12 FELICIA AUDREY KUSUMA LINDI 3172064204060004 P N 165

13 GIDEON MIRACLE SIHOMBING 3175063110051001 L N 173

14 GLADYS CICILIA SIGAR 3175066608051001 P N 159

15 INDAH RAHMA SAHARI 3175064606050002 P N 157

16 JASMINE DIAZ 9530160120501271 P N 154

17 Jomai Risen Simanjuntak 3175060910060017 L N 170

18 Katherine Damaris Milagroce 3175060802180015 P N 166

19 LANNY DWI AGUSTIN SUPRIATNO 0954036608060128 P N 157

20 LUPITA SASKIA 3175066704061004 P N 156

21 MAYA ALYANA 3175065803050001 P N 156

22 MICHELLE MUTIARA ANGELLIE 3175066301061004 P N 159

23 MONA NATALIA CHRISTINA 3216016112050001 P N 149

24 MUHAMMAD FAQIH AR-RAHMAN 3216020301060006 L N 175

25 MUHAMMAD RAKAN ALBAHY 3275003100805000 L N 166

26 NADIA MEIRIL 3175065605060013 P N 156

27 NAILA DISTI ZULAIDA 3175090721376216 P N 157

28 NATASYA AURELIA AZZAHRA 3212307005060001 P N 154

29 RAISYA NUR AFI 3175064201061003 P N 157

30 SUCIPTO NAGARIA SEMBIRING 3172061708060005 L N 158

31 THEO JESEN NAFTALI SIRAIT 3175062801060015 L N 171

32 Vivian Daniella Mapandiy 3172025001060010 P N 158

33 WESLEY ZEPANYA SITOMPUL 3275036604060008 L N 164

34 Zafira Saskia Ramadhani 3275065709060007 P N 163

35 ZAKKY ANWAR MAKARIM 3175061702061002 L N 149

36 ZHAFIRA DWI RAHMA 3171036203060001 P N 153

1 ABELIA DANA AQUILA 3175064507050003 P N 158

2 ABIMANYU HAFIZH AL FAKHRI 3175060107060010 L N 155

3 ADITYA RACHMAT MAULANA 3175062304061004 L N 155

4 AIN NUR ROFIAH 3175066701060002 P N 146

5 ALINI FAMELIA 3175075311050006 P N 161

6 AMANDA HASNA SALSABILA 3175065104060007 P N 159

7 ANDI LUTFIAH 3175065905061004 P N 157

8 ANINDHITA KEYZIA NUGROHO 3172044209061004 P N 163

9 AULIA MAHARANI WIJAYA 3175024204060003 P N 160

10 BAYU DIRA SETIADJI 3175100311061002 L N 176

11 CHELSEA JULIANTI ATMAJA WASIAT 3172046607050003 P N 158

12 DINI AMALIA ZAHRAH 3175064103051002 P N 162

13 FAJAR RAIHAN HANAFI 3171051603060003 L N 148

14 FAQIH SRI SHEVA WICAKSONO 3172042006060008 L N 171

15 GHANI ABRAR PAHREVI 3175061103060001 L N 168

16 Hasna Andhini 3175026707060004 P N 155

17 Jovan Aulia Dwi Putera 3216012704060004 L N 173

18 KHALISHA FAYZA PRILLIADHYA 3175066804060010 P N 156

19 KHANSA NADHIR CARRISSA 0954035707060017 P N 171


20 MALIK IBRAHIM KUADY 3172022908050002 L N 171

21 MARSHA FATHIKA AMALIA 2175066300705100 P N 156

22 Mohamad Putra Imanudin 3175061905051002 L N 163

23 MUHAMAD RIZKI UMANDA 3175062204050007 L N 163

24 NABILA FADLILATUZULFA 3175065203060002 P N 164

25 NAJWA CHAYARA FIRDY 3175062401092519 P N 156

26 NAURA APRODHITE YUSNI 3175075002060005 P N 157

27 PASHA AVATAR ARDAN 3275082303040005 L N 146

28 RAHMAD NAWAWI SAPUTRA 3175021371932698 L N 163

29 SATRIA RAKA HERLAMBANG 3175062102061004 L N 163

30 SHAFA NABILA ANDRIANA 3175065001061004 P N 160

31 SYAHLA FATYAN SALSABILA 3175064807060013 P N 158

32 SYIFAA AWULIA 3175066603060006 P N 158

33 TARISKA RAMADANI 3175065110050005 P N 159

34 TASYA DWI LESTARI 3175066809050003 P N 160

35 VAHD VUAD VALAHIN 3175061006080006 L N 158

36 YUNI MALIA WULANDARI 3175066106051005 P N 158

1 ADAM MUSTAFA DZIKRI 3175060602060009 L N 167

2 AFNISA PURJI RINJANI 3175064302060000 P N 156

3 Alfianah 3175064606060008 P N 159

4 ALYA ADRIANA MAHMUD 3175066812050006 P N 158

5 AM SYAHLUL AMNI 3175062101096708 L N 156

6 ANINDYA KAYLA NUGROHO 3172044209061005 P N 163

7 Brenda Helena Paruntu 3175045310050003 P N 155

8 Chalisa Nabila Afrizal 3172042201097245 P N 163

9 CHELSEA AUFFA CAHYA PRIHATIN 3172046506060004 P N 146

10 DIAH AYU LESTARI 3175065409050001 P N 163

11 ELISA PERMATA SUNDAY LOMBU 3172041701094739 P N 156

12 ERSA SAPUTRO 3175063001050004 L N 170

13 GEORGIA SABRINA MARETTI SETIA LUMB 3175064705060012 P N 162

14 Gerhard Steven Sinaga 1207211005070003 L N 145

15 GHILRANDY ADAM HARIMURTI 3175062507050013 L N 174

16 Gresia Oktavianti NAinggolan 3175064710051008 P N 153

17 HARI BERNARDO 3175063001094003 L N 167

18 Kayla Prisqilla Delofa 3175060501090526 P N 164

19 MARCO ALESSANDRO MARESCA 3175061810060017 L N 168

20 MITZAL AQILA ELFIANO 3175020908060001 L N 170

21 MUHAMMAD ARIEL ALFIANSYAH 3175060608050005 L N 168

22 MUHAMMAD RAKA BISMA RASENDRIYA 3518010805050001 L N 167

23 MUTIARA AULIA AGUSTIANI 3175065707050004 P N 151

24 NADINE CANTIKA PUTRI 3175064406060014 P N 159

25 NAJMA ZAYYANA RANYA 3175067105061004 P N 161

26 NAYLA ZAHRA BASYALWI 3172044204060003 P N 159

27 NICHOLAS EFENDI SAPUTRA 3171022401061001 L N 149

28 OKTAFIA SIMBOLON 3175600520050000 P N 162


29 Paulus Layana Pradipta 9510531070500171 L N 161

30 RATU ANDARA 3175062908160059 P N 160

31 RICHARD ALIMIN 3175062910050009 L N 156

32 RIZKI NUR FAWAZNI 3175065203050008 P N 162

33 SHAFWAH HAZEL AZZIIZAH 3171036007050008 P N 152

34 TRESYA JOHANA SIAHAAN 0954036107030132 P N 156

35 VERCHYLIE BIANQA EFRATA RESTIADI 3275027105060004 P N 157

36 WILFRED SIHOMBING 3173032811060003 L N 166

1 ABIZAR GHIFFARI NADHYT WINATA 3175060412050001 L N 156

2 ADINDA AISYAH WELLIANI 3175066203060007 P N 156

3 ALMALIA AL ZAHRA 3175064410050008 P N 165

4 ALYA SALSABILLA PUTRI HAPSARI 3175064704061004 P N 167

5 ANISA SYAFITRI 3175066003060006


6 Asikin 3175061912110055 L N 157

7 AURORA FERVITA 3172025511050001 P N 156

8 CHERYL NAILAH TUBAGUS 3175066607060008 P N 151

9 CLARISSA ATHAILLAH NOVIA PUTRI 3175064205060018 P N 156

10 DAFFA EL GIBRANI 3275062611060006 L N 162

11 DELIA SEFTIANI ZUBIR 3175064309060013 P N 157

12 Dwi Nur Aini 3171035301060004 P N 156

13 ERLANGGA PRAYOGA PUTRA 3175010605060000 L N 162

14 FIRMAN SYAPUTRA EFFENDI 3175061202060005 L N 174

15 HARRI SAPUTRA 3175060802180015 L N 151

16 KAYLA DINAR PUTERI 3171054309051001 P N 154

17 LAELIA NAJWA NURFAJRIA 3175066512050009 P N 163

18 LIFIA AVI AULIANA 3175032874289364 P N 156

19 LIYAH LESTARY 3175066501060002 P N 165

20 MELLA ARTIKAH RINGKIH 3175065205050006 P N 157

21 MU'TAZ AL GHANIY 3175060202096045 L N 177

22 MUHAMAD DWIKY HERMAWAN PRIAMBO3275062703060004 L N 160

23 MUHAMMAD ZEN AL BUKHORI 3175060303050004 L N 162

24 NADIA FATMA RATU ADELIA 3172046904050008 P N 157

25 Nadselindra Prathalla Putra 3175061210050016 L N 163

26 NAGATA WIRAPUTRA 3175022301093434 L N 155

27 NAILA VIRGINANDA PURNAMASARI 3175060302093261 P N 162

28 NAJMI SANIYAH PUTRI RINALDI 3172046706060012 P N 161

29 NAUFAL RAEHAAN 3216081811050001 L N 161

30 NAZWA SURYA MELATI 3175024212050004 P N 159

31 RIZKY ICHWAN NUGRAHA 3175061212111008 L N 160

32 SALWA KAMILAH 3172046208060005 P N 150

33 SILVIANA AGUSTIN 3175064908051002 P N 160

34 SYALWA ZAHIRA JUNAIDI 3175064310050017 P N 167

35 THASYA AMANDA 3327135307050003 P N 154

36 Vanisa Ramadhani 3175065810060003 P N 153

1 ABDUL RA'UF AZQILA NUGRAHA 3175060509050006 L N 167


2 ADELIA RARAPUTRI TAPANGAN 3175064503060012 P N 149

3 AHMAD FACHRI ANDREANY 3175060402090251 L N 174

4 AISHA RIFDATUSSUADAH 3175065003061001 P N 164

5 ALYA NABILA ZAHRA 3175066705060002 P N 158

6 ARETHA ATHALLAH DEVI 3171085412060003 P N 157

7 AZZAM ANSHORY 3275061109060002 L N 153

8 CHANDRA ADE PUTRA 3175061409051006 L N 171

9 CHASNA FAUZIYYAH AMIR 3175064703050009 P N 149

10 EVAN WIJAYA RAMADHAN 3275030610050009 L N 186

11 Faldisa Amelia Azahra 3175064705060019 P N 160

12 GADING MUQSITHU RAHMATULLAH 3172041104060000 L N 144

13 GEOVANY RIZKY ARDIANA PUTRA 3175060506060002 L N 165

14 GHINA SITO LISANDA 3175065006060008 P N 152

15 GIFTA MOOIRA PRASHARNISSA 3171035905060006 P N 156

16 Hartini Utami 3175064101050002 P N 160

17 IKHLASUL MU'MININ 3172031809060003 L N 170

18 indah permata sari 3175064904051008 P N 161

19 MAHARDIKA AURIN ADRIANA 3273236703060009


20 MAKHSHUSH BIL IZZI 3175061206061003 L N 169

21 MUHAMMAD ARDELL RAMADHAN 3175061410051002 L N 166

22 NABIHA ALISA IRAWAN 3175025206060002 P N 160

23 NADA FITRIA BERLIANA 3172044510050003 P N 158

24 NASYA MEIDITA 3175066405051003 P N 164

25 NAZWA CHAIRUNNISA 3171036809050006 P N 163

26 NURUL KAMILAH 3175065506050011 P N 154

27 OKTAVIA SAVITRI 3175067010051006 P N 156

28 PIJAR NURIA SUFI 3216014603060007 P N 156

29 Raakan Aulia Akhmad 3175021506061003 L N 161

30 Rafie Tri Erian Mahadika 3175061501061003 L N 167

31 SHAFA ATHAILLAH 3172025512040008 P N 154

32 SHANDY IBRAHIM NASUTION 3216012609060005 L N 180

33 SUCI NURUL HIDAYATI 3175061702100108


34 Syifa Puspita Saraswati Sardi 3175024907060003 P N 151

35 ZAHRA MUFIDA 3175065410060015 P N 159

1 ADINDA MAYSYAFANI IKAS 3275026705060003 P N


2 ALIFAH NAILAL HUSNA 3175067105061001 P N
3 AN NISAA NUR KAYLA 3175066305060002 P N
4 ANANDA NUR FIRDAUSI 3175064301060003 P N
5 ANGGARA KURNIA RAMDHANA 3175062905060015 L N
6 ARYA MAXY PACIAN 3175060608061004 L N
7 BIMA CAHYO NUGROHO 3171081702060001 L N
8 CANDERRO RAIHAN AFFERO 3275061003060004 L N
9 DAAFFA AGUSFRYANSYAH 3175061807160017 L N
10 DINARA AZWA UMARI 3175065306050002 P N
11 FADHIL AKMAL 3275061508050004 L N
12 FAYZA AULIA 0954036301060111 P N
13 ITA RAFITRI 3175065504050008 P N
14 JIHAN CAESARIA MEITAWATI 3175067005051001 P N
15 Kayla Avisanindya Daneswari 3172024410060002 P N
16 Maryam Khoirunnisa Sisilia 3175065006060008 P N
17 Moch Ezzy Pramono 3175063007060005 L N
18 Muhammad Arya Sastra Putra 3275030812050007 L N
19 MUHAMMAD RAFLI SYAHPUTRA 3172042703060005 L N
20 MUHAMMAD RASYA HIBRIZI 3175061209060009 L N
21 MUHAMMAD RHAFIK 3175060901051002 L N
22 MUHAMMAD ZAKY MAULANA 3175061404060012 L N
23 NAURA ZHAFARINA 3275062505070366 P N
24 NOVELIA PUTRI BUDI 3175066911050002 P N
25 PANJI FAJAR PERDANA 3175042705060009 L N
26 RIZMA KHAIRUNNISA 3175065612050003 P N
27 Sandy Garda Pramudya 3172031004060011 L N
28 SEPTIA ANDINI 3175062401099127 P N
29 SHABRINA ABYANI IFTIKHOOR 3175065408061008 P N
30 SHAFA AULIA HAMIDIYAH 3175065502060003 P N
31 SHEVA SULISTIARI 3175066909051003 P N
32 SHINTA RAMADHANI SURBAKTI 3175065410051005 P N
33 SUCI BERLIN RAMADANI 3175074610050015 P N
34 VIANA ASOKA WIRDA 0951047108060129 P N
35 YONITA PUTRI ASSYIFA JULIFORSA 3175014903041001 P N
36 Zia Fatihah Gandi 2171115505069004 P N

287 total 284


TM perempuan 4 107
177
K DI SEKOLAH

Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit
(kg) (mmHg) Jantung Paru (stunting)

46 N T T L T S S
59 N T T L T S S
50 N T T L T S S
63 N T T L T S S
48 N T T L T S S
43 N T T L T S S
43 N T T L T S TS
52 N T T L T S S
73 N T T L T S S
51 N T T L T S S
43 N T T L T S S
48 N T T L T S S
62 N T T L T S S
71.4 N T T L T S S
52 N T T L T S S
40 N T T L T S S
60 N T T L T S TS
46.4 N T T L T S S
56 N T T L T S S
34 N T T L T S S
60 N T T L T S S
47 N T T L T S S
40 N T T L T S S
51 N T T L T S S
60 N T T L T S S
54 N T T L T S S
91 N T T L T S S
N T T L T S S
54 N T T L T S S
63 N T T L T S S
49 N T T L T S S
60 N T T L T S S
68 N T T L T S S
58 N T T L T S S
41 N T T L T S S
67.5 N T T L T S S
48 N T T L T s s
50 N T T L T s s
42 N T T L T s s
53 N T T L T s s
47 N T T L T s S
47 N T T L T s s
40 N T T L T s s
54.9 N T T L T s s
57 N T T L T s s
55 N T T L T s s
78 N T T L T s TS
40 N T T L T s s
54 N T T L T s s
60 N T T L T s s
44 N T T L T s s
47 N T T L T s s
56 N T T L T s TS
34 N T T L T s s
53 N T T L T s s
47 N T T L T s s
46 N T T L T s s
46 N T T L T s s
44 N T T L T s s
41 N T T L T s s
44 N T T L T s s
79 N T T L T s s
47 N T T L T s s
56 N T T L T s s
41 N T T L T s s
46 N T T L T s s
38.9 N T T L T s s
45 N T T L T s s
53 N T T L T s s
51 N T T L T s s
49 N T T L T s s
80 N T T L T s s
79.5 N T T L T S S
51.7 N T T L T S S
65.8 N T T L T S S
56.4 N T T L T S S
53.3 N T T L T S S
39.9 N T T L T S S
50.7 N T T L T S S
42.9 N T T L T S S
89.4 N T T L T S S
65.2 N T T L T S S
41 N T T L T S S
50.8 N T T L T S TS
64.3 N T T L T S S
65.4 N T T L T S S
68.8 N T T L T S TS
39.3 N T T L T S S
58.8 N T T L T S S
56 N T T L T S S
55.5 N T T L T S S
44.6 N T T L T S S
41.5 N T T L T S S
44.9 N T T L T S S
38.7 N T T L T S S
58.8 N T T L T S S
46 N T T L T S S
57.3 N T T L T S S
43.4 N T T L T S S
39.7

49.5 N T T L T S S
71.4 N T T L T S S
81.2 N T T L T S S
72.9 N T T L T S S
45.9 N T T L T S S
45.7 N T T L T S S
31.9 N T T L T S S
41.4 N T T L T S S
66.2 N T T L T S S
32 N T T L T S S
48.2 N T T L T S S
35.8 N T T L T S S
42.5 N T T L T S S
44.2 N T T L T S S
42 N T T L T S S
46 N T T L T S S
64 N T T L T S S
102.2 N T T L T S S
61.3 N T T L T S S
51 N T T L T S S
40 N T T L T S S
56.9 N T T L T S TS
70.9 N T T L T S S
35.4 N T T L T S S
99.8 N T T L T S S
46 N T T L T S S
63 N T T L T S S
70.8 N T T L T S S
48.3 N T T L T S S
73.7 N T T L T S S
48.4 N T T L T S S
87.2 N T T L T S S
53.2 N T T L T S S
59.5 N T T L T S S
34.3 N T T L T S S
47.3 N T T L T S S
61.6 N T T L T S S
43.5 N T T L T S S
39.9 N T T L T S S
37.6 N T T L T S S
61.4 N T T L T S S
46.2 N T T L T S S
56.7 N T T L T S S
53.5 N T T L T S S
55 N T T L T S S
37 N T T L T S S
47.3 N T T L T S S
39.5 N T T L T S S
42.6 N T T L T S S
41.8 N T T L T S S
37.3 N T T L T S S
42.3 N T T L T S S
37 N T T L T S S
49.9 N T T L T S S
45.5 N T T L T S S
65.3 N T T L T S S
70.4 N T T L T S S
46.5 N T T L T S S
50.6 N T T L T S S
33.7 N T T L T S S
50 N T T L T S S
53.3 N T T L T S S
50.6 N T T L T S S
59.7 N T T L T S S
47.8 N T T L T S S
50 N T T L T S S
49.3 N T T L T S S
44.6 N T T L T S S
46.3 N T T L T S S
53.6 N T T L T S S
35.4 N T T L T S S
57.7 N T T L T S S
44.4 N T T L T S S
44.4 N T T L T S S
63.3 N T T L T S S
91 N T T L T S S
57.8 N T T L T S S
62.7 N T T L T S S
53.3 N T T L T S S
46.6 N T T L T S S
43.8 N T T L T S S
46.4 N T T L T S S
56.9 N T T L T S S
53.6 N T T L T S S

54.3 N T T L T S TS
51.5 N T T L T S S
42.3 N T T L T S S
50.6 N T T L T S S
60 N T T L T S S
42.9 N T T L T S S
51.2 N T T L T S S
48.9 N T T L T S S
63.5 N T T L T S S
29.3 N T T L T S S
48.2 N T T L T S S
66.4 N T T L T S S
48.9 N T T L T S S
51.9 N T T L T S S
48.3 N T T L T S S
139.2 N T T L T S S
40.2 N T T L T S S
32.3 N T T L T S TS
53 N T T L T S S
38.8 N T T L T S S
52.2 N T T L T S S
55.9 N T T L T S S
38.3 N T T L T S S
48.2 N T T L T S S
39.2 N T T L T S S
40.3 N T T L T S S
39.8 N T T L T S S
40.8 N T T L T S S
51.3 N T T L T S S
43 N T T L T S S
33.7 N T T L T S S
65.5 N T T L T S S
30 N T T L T S S
91.9 N T T L T S S
42.9 N T T L T S S
44.5 N T T L T S S
57.3 N T T L T S S
31.6 N T T L T S S
75.9 N T T L T S S
65 N T T L T S S
55.9 N T T L T S S
52.6 N T T L T S S
34.2 N T T L T S S
50.4 N T T L T S S
53.9 N T T L T S S
36.6 N T T L T S S
47.9 N T T L T S S
55.5 N T T L T S S
37.3 N T T L T S S

40.8 N T T L T S S
62.8 N T T L T S S
50.9 N T T L T S S
50.5 N T T L T S S
51.7 N T T L T S S
52.2 N T T L T S S
56.3 N T T L T S S
56.4 N T T L T S S
37.9 N T T L T S S
72.3 N T T L T S S
47.3 N T T L T S S
55.7 N T T L T S S
65 N T T L T S S

35.7 N T T L T S S
51 N T T L T S S
N T T L T S S
N T T L T S TS
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S TS
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S TS
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S
N T T L T S S

283 283 283 283 271


TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna Gangguan
Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

TS S Y T T KM T T T T
S S Y T T KM T T T T
S S T T T N T T Y T
S S T T T N T T T T
S S T T T N T T Y T
S S T T T N T T Y T
TS S T T T KM T T T T
S S T T T N T T Y T
S S Y T T KM T T Y T
S S T T T N T T Y T
S S T T T N T T Y T
S S T T T KM T T T T
S S T T T N T T T T
TS S Y T T N T T T T
S S Y T T N T T T T
S S T T T N T T T T
S S Y T T N T T T T
S S Y T T N T T T T
S S T T T N T T T T
S S Y T T N T T T T
S S Y T T N T T T T
S S T T T N T T T T
S S Y T T KM T T T T
S S T T T N Y T T T
S S Y T T KM T T T T
TS S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
TS S T T T N T T T T
TS S Y T T N T T Y T
TS S Y T T KM T T T T
TS S T T T KM T T Y T
TS S T T T N T T Y T
TS S T T T N T T Y T
TS S Y T T N T T Y T
S S Y T T N T T T T
S S T T T N T T Y T
S S T T T KM T T T T
S S T T T N T T T T
TS S T T T N T T Y T
S S T T T N T T T T
S S T T T N T T Y T
TS S T T T N T T T T
S S T T T N T T T T
S S T T T KM T T T T
TS S T T T N T T T T
TS S T T T N T T T T
TS S T T T N T T Y T
S S T T T KM T T Y T
S S T T T N T T T T
S S T T T KM T T Y T
S S T T T N T T T T
S S T T T KM T T T T
S S Y T T N T T T T
S S T T T KM T T T T
S S T T T N T T T T
TS S T T T N T T T T
TS S T T T N T T T T
S S T T T N T T T T
S S T T T N T T T T
TS S T T T KM T T Y T
S S T T T N T T T T
TS S T T T KM T T Y T
TS S T T T KM T T T T
TS S T T T KM T T Y T
TS S T T T N T T Y T
S S T T T KM T T T T
S S T T T KM T T T T
S S T T T KM T T T T
S S T T T N T T T T
TS S T T T KM T T Y T
S S T T T N T T T T
TS S T T T N T T Y T
S S T T T N T T T T
S S Y T T N T T Y T
TS S Y T T N T T T T
S S T T T KM T T Y T
TS S T T T N T T Y T
S S T T T N T T T T
S S T T T KM T T Y T
S S T T T N T T T T
TS S T T T N T T T T
S S T T T N T T T T
S S T T T KM T T Y T
S S Y T T KM T T T T
S S T T T KM T T T T
TS S Y T T N T T Y T
S S T T T KM T T T T
S S T T T N T T Y T
S S T T T N T T Y T
TS S Y T T N T T Y T
S S Y T T KM T T T T
TS S T T T N T T T T
S S Y T T N T T Y T
S S T T T KM T T T T
S S Y T T N T T Y T
S S T T T N T T T T
S S Y T T N T T Y T

TS S T T T KM T T Y T
TS S T T T KM T T T T
S S T T T KM T T Y T
TS S T T T N T T Y T
S S T T T N T T Y T
S S T T T N T T Y T
S S T T T N T T T T
S S Y T T N T T Y T
S S Y T T N T T Y T
S S Y T T KM T T Y T
TS S T T T N T T Y T
TS S Y T T N T T T T
S S Y T T N T T T T
S S Y T T N T T T T
S S T T T N T T Y T
TS S T T T KM T T T T
TS S T T T KM T T Y T
S S T T T N T T T T
TS S T T T N T T Y T
TS S Y T T N T T T T
TS S Y T T N T T T T
S S T T T N T T Y T
S S T T T N T T T T
S S T T T N T T Y T
S S T T T N T T Y T
TS S T T T N T T T T
TS S Y T T KM T T T T
TS S T T T N T T Y T
S S T T T N T T T T
S S T T T N T T Y T
TS S Y T T N T T Y T
TS S T T T N T T Y T
TS S T T T N T T T T
S S T T T N T T Y T
TS S T T T N T T Y T
S S Y T T KM T T Y T
S S T T T KM T T T T
S S T T T KM T T T T
S S T T T KM T T T T
S S T T T N T T T T
S S T T T KM T T Y T
S S T T T N T T T T
TS S T T T N T T Y T
TS S T T T N T T Y T
Y S T T T T T T T T
Y S T T T T T T T T
T S T T T T T T Y T
T S T T T T T T T T
T S T T T T T T T T
T S T T T KM T T T T
T S T T T KM T T Y T
T S T T T KM T T T T
T S T T T T T T T T
T S T T T T T T Y T
T S T T T KM T T T T
T S T T T T Y T T T
Y S T T T T T T T T
T S T T T T T T T T
T S T T T T T T Y T
T S Y T T T T T T T
T S T T T T Y T Y T
T S T T T T T T T T
T S T T T T T T T T
Y S T T T T T T T T
Y S Y T T KM T T Y T
T S T T T T T T T T
T S T T T T T T T T
T S T T T T T T Y T
T S T T T T T T Y T
T S T T T KM T T Y T
Y S T T T T T T Y T
T S T T T T T T Y T
T S T T T T T T T T
T S T T T T T T T T
T S T T T T T T T T
T S T T T T T T T T
T S T T T T T T T T
T S T T T T T T T T
T S T T T T T T T T
Y S T T T T T T Y T
S S T T T KM T T T T
S S T T T KM T T Y T
S S T T T N T T Y T
S S T T T N T T Y T

S S T T T N T T T T
S S T T T N T T T T
S S T T T KM T T T T
S S T T T KM T T T T
S S T T T N T T Y T
S S T T T KM T T T T
S S T T T KM T T Y T
S S T T T N T T Y T
S S Y T T N T T Y T
S S Y T T N T T T T
S S T T T KM T T Y T
S S T T T KM T T Y T
S S T T T N T T T T
S S T T T N T T Y T
TS S Y T T N T T Y T
S S T T T N T T T T
S S T T T N T T T T
S S Y T T N T T Y T
S S T T T N T T T T
S S T T T KM T T Y T
S S T T T N T T T T
TS S Y T T KM T T T T
S S T T T N T T Y T
S S T T T N T T Y T
S S T T T KM T T T T
S S Y T T N T T Y T
S S Y T T KM T T T T
S S Y T T N T T T T
S S T T T N T T Y T
S S Y T T N T T T T
S S T T T KM T T T T
TS S T T T N Y T Y T
S S T T T N T T Y T
TS S Y T T N T T Y T
TS S T T T N T T Y T
S S T T T N T T Y T
TS S Y T T N T T Y T
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179 283 226 283 283 79 278 283 165 283


68 56 5 117
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283 283 137 178 246


146 105 36
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani

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283
REKAPITULASI HASIL PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK DI SEKOLAH
NAMA SEKOLAH :
KELAS:
Tinggi

No Nama NIK Jns Klm (L/P)


Jenis Dis Bdn
abilitas
(cm)

1 Adinda Nurul Aulia 3175065501050003 P N 150

2 AISYAH SALSABILA 3175065912040005 P N 152

3 AL FATHIA KHOIRIDINA 3175067007040008 P N 162

4 ANANDA AYU LESTARI 3175060202098407 P N 158

5 ANNISA SALWA AZZAHRA 3172044807050007 P N 158

6 AYU SEPTIANINGSIH 3175065109041001 P N 144

7 AYYUBI HANIFAN WIBISONO 3216012103050008 L N 171

8 CAHYO BAYU SAMIAJI 3175060802040004 L N 162

9 Challista Nayla Sembiring 3216024908050002 P N 163

10 DENY ALFIANO SOLEHAN 3175060212040020 L N 174

11 DIVA ANGELIA PUTRI 3172036801050005 P N 158

12 fadhila anindya ramadhani 3175066010040018 P N 151

13 FIRDAUS 3175062201092346 L N 172

14 HAFSA ZUHRALATIFA AFTHONY 3175025508051001 P N 157

15 Hanna Aisyah 3175067006040005 P N 160

16 IRFAN MAULANA 3175021401099561 L N 176

17 JAKA SATRIA NUR ALIPH 3175062009040001 L N 175

18 KEISHA AURELIA 3172025307040003 P N 156

19 KHAERUN NISA 3326195903050001 P N 161

20 KOSAZI ARI HANDANI 3175018296122432 L N 170

21 LAYYA IZZATI KAMILA 3175066312040012 P N 160

22 MELVA FIRDHIAN NABILLAH 3175066912040009 P N 170

23 MOCHAMMAD ZULHAN RUSDY 3175060404040025 L N 164

24 Muhammad Dwi Septiyanto 3175062109040002 L N 158

25 MUHAMMAD DZIDAN AZAHRA 3175061710040016 L N 168

26 NINDYA KHOERONI SAFITRI 3175065207040004 P N 158

27 NUSAIBAH HUSNA SALSABILA 3175066402041002 P N 166

28 PUPUT ARIYANTI 3175065405040003 P N 161

29 RAYA RAIHAN DEWANDRA PUTRA 3175060505040025 L N 170

30 RINA MAULIDYA 3175066504050001 P N 164

31 RISKA WIDYANINGTYAS 3172034608040005 P N 147

32 SITI AULIYA PUTRI 3175064112031001 P N 155

33 SONY HERMAWAN 3175061106040009 L N 166

34 VANIA WIDYADANA ZAHIDA 3175065412060004 P N 154

35 YUDHISTIRA TRI PAMUNGKAS 3276062611040008 L N 170

36 ZHERLINDA PUTRI SUHERLAN 3175065905050007 P N 156

1 ACE MULYADI RIZQULLAH 3175060607040015 L N 178


2 ADI SETIAJI 0954032812040117 L N 163

3 ADINDA DESFIANI 3175066212041001 P N 155

4 Adiska Diandara Fasha 3171035809040004 P N 157

5 AHMAD MUZAKKY 3172043004040003 L N 163

6 AMALIA SARI RAMADHANI 3216016410040002 P N 158

7 ANYA SABRINA NARULITA 3175067108040001 P N 160

8 ARYAND GYMNASTIAR 3174101705050001 L N 173

9 AURA MAWADDAH 3175066111040002 P N 163

10 BINTANG MAHARANI 3275064205050005 P N 164

11 DESTIANI NUR SALSABILLA 3175064812041001 P N 157

12 DIKA ADNAR DARMAWAN 3175060112040005 L N 180

13 DWIKI RAHAYU 3275067101050004 P N 164

14 EKA PRASETYO 3172041510041002 L N 166

15 FIRYAL SHIFA AKBAR 3175064208040002 P N 164

16 HAFIDZAH IHSANI SYIFAMAHFUDZAH 3175064105050010 P N 167

17 KASYFURRAHMAN FATHAN 3175062606050005 L N 171

18 KORLENIA SAFITRI 3175065611040006 P N 155

19 MELANI ROHMALIA 3175062904050002 P N 164

20 MEYTA ARIYANTI 3175065505050010 P N 160

21 MONICA DWI LAURA 3175061811100023 P N 166

22 MUHAMAD FARREL SADIDUL KUWA 0954033112040117 L N 165

23 NAJZWA ZENITHA 3175060302098784 P N 155

24 NESSA FADIA SARI 3172046206040003 P N 158

25 NOVIA RAHMAWATI 3172041105120005 P N 165

26 PUTRI VINA RAHMATUSYIFA 3175064403050017 P N 155

27 RAGIL PRABOWO 3175061010040012 L N 184

28 RETNO DEWI KINASIH 3176066204060002 P N 158

29 RIFKI FATAHILLAH 3172032410040007 L N 175

30 RIZKA ADINDA FITRIA 3175062401091216 P N 152

31 RIZKY PRATAMA 3175062807040003 L N 168

32 SAUQI SALMAN SETIAWAN 3175062405040002 L N 159

33 SYAEDANI ZULKAISI 3173073001050008 L N 172

34 SYIFA ALIA MAHARANI 3175062401097197 P N 153

35 UMI AHYATUL KARIMAH 3175065907040010 P N 157

36 ZHAFIRA AZZAHRA 3175066007040015 P N 161

1 ADINDA TRI SEPTYAWATI 3175065709040004 P N 167

2 Agustin Shella Fransiska 3175064308050007 P N 165

3 ALYA NAFISA ZULFIANTI 3175026307040001 p N 156

4 AMELIA RETA PURBA 3172046206050003 P N 160

5 ANASTASYA PUTRI BUNGSU 3175065303050015 P N 154

6 Asyer Natanael Nainggolan 3175061412041003 L N 180

7 BAMBANG ARI PURNOMO 3175060312040003 L N 174

8 DAVA ALFARABI 3175062204100079 L N 173

9 DIAN HAMZAH RIYANTO 3175061004050015 L N 167

10 FATYA EMILIA 3175065309050012 P N 156


11 FIKRI AVIORA SAMUDERA 3175062304050001 L N 163

12 George Martua Siahaan 3175062801094729 L N 180

13 GHAZLINA DARIN SUPARNO PUTRI 3216016201060005 P N 158

14 GITA KEZIA SIBARANI 3175065508051003 P N 158

15 GRACE HILARY SITUMORANG 3275036903050005 P N 157

16 I Made Surya Dharmawan 3216010112040005 L N 169

17 Imanuel Prince Matthew T 3175061011040004 L N 175

18 INDRI OXTAVIANI 3175066310031001 P N 154

19 INTAN NURWAFA 3175065511040004 P N 178

20 JULIO IMMANUEL NAINGGOLAN 3175021907050001 L N 163

21 Ken Bima Satria Gandasasmita 3216090601060003 L N 170

22 MARCYA MAGDALENA DAMERIA SIAG3175065407051001 P N 155

23 Marshella 3172024203041003 P N 164

24 MARWAN IKSAN GULTOM 3175062005040006 L N 162

25 MUHAMMAD ZIDAN MUZAKI 9540309120400271 L N 175

26 NATHANIA ARDELIA 9540305008050113 P N 160

27 Nihel Hanna Aqila 3175066507051001 P N 159

28 OLIVIA SEPTIANA CAROLINA 3175064409040001 P N 152

29 RAHEL JASMIN 3175644040405100 P N 165

30 REGITA PUTRI CAHYA 3175065605051005 P N 162

31 SABRINA LIVIANA 3175065206050009 P N 162

32 SHERLY AMANDA AGUSTINA SITORUS 0954035708040063 P N 156

33 Sindbad Bali Mahatma Trisyani 3175060110040009 L N 169

34 TIUR CAHYA SELAWIYAH 3175064401050012 P N 160

35 VALENTINA NUR FEBRIANTI 3175065402050016 P N 163

36 YASINTYA SURYA ASRI 3172046703050002 P N 164

1 Aliel Syahqira 3175061708041004 L N 156

2 AMANDA EDIES SAPUTRI 3172036912040006 P N 151

3 Amelia Geovania 3175045405050005 P N 163

4 APRILIA LESTARI 3175065904050006 P N 160

5 AURA GITA HAPSARI 0951047007040130 P N 165

6 AZZAHRA YUSRINA SABILA 3175064606050003 P N 162

7 CHAERUL SYAMSA 3175061902050002 L N 175

8 DINI YETRI EFENDI 3175066507041002 P N 161

9 DIVA ANDINI 3175085911040002 P N 151

10 Elsa Simanjuntak 3172046004050010 P N 154

11 ERYCKA SYLVI 3175065010040007 P N 166

12 FORTIUS LEONARD GERSANG TARIGAN3175060608051005 L N 167

13 Fulvian Prima Benedicta 3175060508040014 L N 174

14 George Richie Matthew 3171040612041001 L N 175

15 GLADWIN DAVE KRISTANTO 3175061312050006 L N 177

16 ILHAM FADILLAH 3275060102050002 L N 156

17 ISTA HASANAH HILYATUN 3175064210040015 P N 160

18 JEOCELYN GABRIELLE 3172057003050004 P N 158

19 JESSICA VALERI NATHANIELA 3175065604050009 P N 162


20 JOSUA LIMBONG 3175060905040008 L N 161

21 Karina Nur Ariani 6171056504050013 P N 157

22 KRISTIN HALAHO 3175064302051003 P N 160

23 M. RAKHA SYAHPUTRA 3175061803100049 L N 164

24 MOHAMMAD RASYID FAUD 3175062005050020 L N 171

25 MUHAMMAD ALFAREL WICAKSONO 3175060202099949 L N 174

26 MUHAMMAD HAFIZ PASHA 3175062004050003 L N 183

27 NADIA PEBRIYANTI MANALU 3175064702050002 P N 164

28 NAYLA AAMIRA BACHTIAR 3175066903060002 P N 156

29 NUR ALIYAA PUTRI KHALILA 3275115303050005 P N 167

30 NUR HALIZAH SALEH 3172045903040010 P N 161

31 Raja Maleakhi 3275067050050003 L N 200

32 REDIVA ANANDA PUTRI 3175067107040001 P N 158

33 SABINA AZZAHRA 3175066806050019 P N 156

34 SANTOS PERDANA SETIAWAN 3172042410780002 L N 178

35 SHELAMITA SINTIA ZEN 3175065103041005 P N 163

36 WIDYA KALISTA SIHOMBING 3173034803050001 P N 156

1 ANDIKA HARYMURTI SYAPUTRA 3175011611040001 L L 167

2 Angel Pintauli Rosita 3175025304051001 P 163

3 ARUM WIDYAWATI 3172036903050003 P 161

4 BHELVA BATHARI BACHTIAR 3175076245728757 P 152

5 BRYAN DWI PRASETYO 3175062208040003 L L 169

6 ELSHADAY CHRISTIAN PRIBADI 3217103254050001 L L 162

7 FADHIL ALFARIZI 3175062402050010 L L 176

8 FARAH ANNISA MAHMUD 3175066111040010 P 154

9 FARSYA FAKHIRA 3175064902050006 P 155

10 FICRI HIDAYAT 3175060405020006 L L 176

11 Gerraldo Tito Afra 3275060207050004 L L 164

12 HELENA JESICA PANGGABEAN 0954036711040220 P 170

13 I MADE ADITYA PARAMARTHA 3175062803050004 L L 169

14 INTAN HENDRIOS 3175064301050007 P 157

15 JOSUA ARYZON SIMATUPANG 3175062109050003 L L 160

16 KAREN ENIKE BEE 3175064408040011 P 154

17 KARITAS CHYKA JEANETTA 3175067006050013 P 161

18 LORENSA CHRISTINA PANJAITAN 3175064401060003 P 160

19 MARSHABELLA FAIZA IRSYANDA 3175065503050007 P 152

20 MICHAELA MEILANI PARDEDE 3372055708020011 P 168

21 MOAMAR DHIKA MAHARRIZKY 3175060408041002 L L 167

22 MUHAMMAD IFTAH RIZQI 3175061809041008 L L 176

23 NAILAH NUR AYNA FADILLAH 3175065609051001 P 170

24 NANDA CLARISSA 3175064803051002 P 167

25 NAOMI 3175025201050003 P 157

26 NASYA AGENG REZKIANY BUATAN 3175066305051001 P 158

27 PUTRI DZAKIRA SHOLEHAH 3518116204040005 P 144

28 Rakha Prayoga 3216020307060017 L L 156


29 Rasya Amalya Putri Purwanto 3275065603060001 P 153

30 RIDWAN RIVALDO APRILLIO 3175060904050009 L L 160

31 SARAH NUR INTAN 3175065407040006 P 158

32 SAVINA MARCHANTI 3171087003050001 P 166

33 SHAIRA SUKMAPUTRI ARIEF 3175067108050002 P 150

34 SILVITA SUSIHANA PURWANINGTYAS 3175065705050012 P 160

35 THERESIA MAUREEN AMALIA 3175066405051007 P 161

36 TICHAL LASIA DEWY 3175064706040017 P 159

1 ADELIA FATHANISA 3172016103030006 P N 156

2 AHMAD KEVIN KURNIA 3517112010040002 L N 170

3 AISYAH FADHILAH PUTRI 3175066612041004 P N 154

4 ALLYSA SYIFA RAMADHANI RIZAL 3175066909051002 P N 159

5 ANISA SEFIRA DESWANA 3172044509040006 P N 156

6 ANNISA NURUL AZIZAH 3175023864926482 P N 165

7 ARTIKA NUR HAKIM 3175066507050003 P N 164

8 BERLIANA ALFI RAMADHANI 3175066310051001 P N 157

9 BUNGAH MUSTIKA 3175065301050004 P N 154

10 DANICA FAZILLA UMRI NASUTION 3175065007051005 P N 154

11 DEVA NABILA WINDASARI 3175065804041001 P N 163

12 FADHIA CHOIRUN NISA 3175065605050005 P N 159

13 Fauziah Rahmadiah 3275065211040006 P N 158

14 IRFAN ABDURRAHMAN 3175062608051005 L N 163

15 JIBRAL ALDY RAMADHAN 3175060111041004 L N 172

16 KHALISHAH NABILAH PUTRI 3216017112040002 P N 156

17 LINTANG SELYKA PUTRI 3175065610041007 P N 154

18 LIVIA PEBRIANI 3175064603050008 P N 161

19 MARSYA AURELIA SYAHKIRA 3175066003050008 P N 154

20 MOHAMMAD DZAKI TRIHASTANTO 3275061809040007 L N 169

21 MUHAMAD FAHRUL RIZQY RAMADHA3175062206050002 L N 170

22 MUHAMAD SULTHON HANIF WIBOWO3172031501092001 L N 169

23 MUHAMMAD NAUFAL SYAHRIAL 3175061309051001 L N 171

24 MUHAMMAD SUTAN CAESARINOVE 3175061811040006 L N 164

25 NABILLA SAFITRI 3175066011400111 P N 160

26 NADYA RIZKIANA PUTRI 3175066408040012 P N 159

27 NAUFAL RAJWA RABBANI 3175061511040004 L N 168

28 OKTAVIA SRI HANDAYANI 3175065810040001 P N 156

29 RIDYA SYABITA 3175066201051001 P N 159

30 RIKO AGUSTIAN NAPITUPULU 3175062308040009 L N 200

31 RISKY FIRMANSYAH 3175060501050011 L N 166

32 RIZKI AMANDHA AULIA 3175065308040020 P N 159

33 SAFFANA URFA SETIAWAN 3175076102050002 P N 153

34 SATRIO 3175060703050011 L N 167

35 Siti Fauziah 3175061805040001 P N 152

36 SOERYO AJIE 3175061604051006 L N 168

1 ADELA NUR SHADRINA 3275065603050009 P N 156


2 AKBAR SYIHABUDDIN 3172042909040006 L
3 ALIFIA RACHMA PUTRI 3175066304050005 P N 164

4 ALIYAH KHAIRUNNISA 1671116611050002 P N 163

5 ALVINA DAMAYANTI 3175065802050010 P N 160

6 ARYA RENDY 3175060209040011 L N 157

7 AUDRI RIZKITA YANUAR 3175064301050009 P N 156

8 DAVA ADZKIYA PUTRI 3175065909041003 P N 163

9 DENA NOVITA HERAWATI 3275065112040003 P N 64

10 DHINI ALIA PUTRI 3175065505050001 P N 156

11 DINDA MAULIDYA SARASWATI 3175065306050009 P N 155

12 HAIKAL HIRA HABIBILLAH 3175062806041001 L N 169

13 ILHAM YUSUF NARENDRA 3175061301050008 L


14 INDRI LESTARI 3175065009040012 P N 159

15 KAFITA DESTA AZZAHRA 3175065406041001 P N 174

16 KAKA FAJRI RIRAMSYAH 3172042001050006 L N 169

17 LUNA KAYLA BALQIS 3171036504051002 P


18 MARSHA AULIA 3175012938109730 P N 156

19 MUHAMMAD HILDAN HAKIKI 3175062606051001 L N 167

20 MUHAMMAD RIZAL MAULANA 3172040105040009 L


21 MUHAMMAD RIZKY BRILIAN 3175063005050014 L N 170

22 MUHAMMAD SHEVA RAMADHAN 3175060111040009 L N 167

23 MUHAMMAD SYAIFUDIN 3175061304051005 L


24 Nadia Aulanur Kartikasari 3276055112040001 P N 146

25 NASYWA HANDA FITRIAYA 3175065511040009 P N 157

26 NISFATUL MUSTIKA 3175060202095903 P N 164

27 PUTRI NAIYA AZALIA KENNEDY 3175072501121063 P N 153

28 RAFI ANDANA 3172041608050011 L N 164

29 REKA AULIA TANIA ASZAHRA 3175064302051001 P N 164

30 RIKO DENARYA PUTRA CAHYO PURNO3175061212031001 L


31 SABILATUNAJAH HASAN 3175066906030009 P N 155

32 SALSA BILLA NURAINI 3175061009141047 P N 169

33 SARAH MEUTHYA ZAHWA 3175066501050001 P


34 SATRIA CHANDRA DHARMAPUTRA 3275062207050003 L N 186

35 SITI NAZMAH AFIFAH 3175065203040010 P N 150

36 YUNI EKA PURWANINGSIH 3175065906040002 P N 168

1 AGUS LESMANA 3208232408040001 L N 178

2 ANASTASYA ARGIYANTI 3175064612040018 P N 156

3 ARIS FADILAH 3175070711040007 L N 174

4 CANTIK SRIKANDI NUR ILAVI 3216012508880001 P N 158

5 DELAROSA SAVITA DEWI 3175066112040012 P N 167

6 DIAN KHAIRUNNISSA 3175025102041001 P N 157

7 DIMAS WAHYU HIBATILLAH 3175062310131031 L N 172

8 DINDA AULIA HAKIM 3175064106051009 P N 162

9 FIONA TRIANANDRA 3175066708040007 P N 157

10 FITROTUNNADA SALSABILAH 3175066211040002 P N 161


11 INAYAH AZ ZUKHRUF 3175066412040015 P N 157

12 KALYA ALMAHSA PUTRI 3175066009050001 P N 153

13 Lareina Razita Darlene 3175064202050009 P N 150

14 METI DWI ASTUTI 3175064110040014 P N 160

15 MUHAMMAD AFRANSYAH FAJAR 3175060904050003 L N 162

16 MUHAMMAD DEVA RAMDANI 3175060111040001 L N 170

17 MUHAMMAD RIZKY 3175060201050007 L N 173

18 MUHHAMAD FAHMI KHASAN 3175062608041003 L N 177

19 NANDA AL-KHAASYI' 3175022405050008 L N 171

20 NAUVAL AL GHIFARI 3175062408041001 L N 172

21 NAYLA NANDHITA NURIL HADI 3175066104050013 P N 162

22 OCTRYA RAMADHANI 3175066710040013 P N 167

23 PUTRI ROSIPAH 3175065108040016 P N 163

24 RAEHSYA AIDHA UTARI 3175066001051005 P N 163

25 RAIHAN TAUFIQUR RAHMAN 3172021210040003 L N 171

26 RIDHO DAFFA AMRULLOH 3175061307040009 L N 161

27 RIDHO GILANG RAMADHAN 3175060910040011 L N 169

28 RIFAH AISYAH 3175066508040009 P N 156

29 ROBBIANSYAH ADAM KUSUMA 3175060806040001 L N 170

30 SARA HARINI 3175061609041002 P N 155

31 SHAFA AQEELA RAMADHANI SYAHRIL 3175064611041001 P N 167

32 SHELLYNA AULIA 3275064205050003 P N 166

33 SHINTA DIVA AULIA 3175060202097624 P N 163

34 WIDAYANTI 3303045004050002 P N 154

35 XANIA KHOIRUN NADA SALSABILA 3175066906040014 P N 161

36 ZIYYAD FATIH HAMZAH 3172043004050009 L N 168

288
TM 5 105 100
TM 8 183 175
TA DIDIK DI SEKOLAH

Berat Tekanan Dugaan Dugaan Penilaian Status Gizi Kebersihan Diri

Bdn darah Kln Masalah Imunisasi


TB/U
IMT Risiko Anemia Rambut Kulit
(kg) (mmHg) Jantung Paru (stunting)

49.7 N T T L T S S
47.5 N T T L T S S
68.1 N T T L T S S
46.7 N T T L T S S
50.7 N T T L T S S
46.8 N T T L T S S
53.3 N T T L T S S
43.5 N T T L T S S
63.2 N T T L T S S
51.2 N T T L T S S
44.2 N T T L T S S
51.1 N T T L T S S
72.2 N T T L T S S
53.6 N T T L T S S
44.1 N T T L T S S
85.7 N T T L T S S
54 N T T L T S S
65.1 N T T L T S S
59.7 N T T L T S S
41.3 N T T L T S S

54.8 N T T L T S S

49.4 N T T L T S S

45.6 N T T L T S S

42.7 N T T L T S S

55.3 N T T L T S S

58 N T T L T S S

71.6 N T T L T S S

50.5 N T T L T S S

51.2 N T T L T S S

45.2 N T T L T S S

38.7 N T T L T S S

38.2 N T T L T S S

50.4 N T T L T S S

45 N T T L T S S

46 N T T L T S S

47.6 N T T L T S S

76.5 N T T L T S S
43.8 N T T L T S S

39.3 N T T L T S TS

47.2

53

48 N T T L T S S

37.2 N T T L T S S

43.2 N T T L T S S

54.2 N T T L T S S

57.2 N T T L T S S

68.8 N T T L T S S

76.4 N T T L T S S

53.8 N T T L T S S

43.2 N T T L T S TS

74 N T T L T S S

49.8 N T T L T S S

85.7 N T T L T S TS

65 N T T L T S S

57.2 N T T L T S S

50.9 N T T L T S S

48.6 N T T L T S TS

64.8 N T T L T S S

50.3 N T T L T S S

51 N T T L T S S

64 N T T L T S S

51.3 N T T L T S S

75.5 N T T L T S S

53.9 N T T L T S S

40.3 N T T L T S S

64.2 N T T L T S S

47.3 N T T L T S TS

43.2 N T T L T S S

40.4 N T T L T S TS

53.8 N T T L T S S

60.3 N T T L T S S

51.4

76.4 N T T L T S S
52.7 N T T L T S S
52.8 N T T L T S S
50.9 N T T L T S S
42.7 N T T L T S S
107.3 N T T L T S S
49.5 N T T L T S S
62.9 N T T L T S S
55 N T T L T S S
41.4 N T T L T S S
49.5 N T T L T S S
126.7 N T T L T S S
44 N T T L T S S
49.6 N T T L T S S
55.5 N T T L T S S
52.8

66.2 N T T L T S S
53.6 N T T L T S S
64.6 N T T L T S S
44.8 N T T L T S S
80 N T T L T S S
56.9 N T T L T S S
68 N T T L T S S
67.5 N T T L T S S
70 N T T L T S S
47.5 N T T L T S S
58.1 N T T L T S S
45.7 N T T L T S S
52.5 N T T L T S S
83.2 N T T L T S S
64.8 N T T L T S S
44 N T T L T S S
47.5 N T T L T S S
92.9 N T T L T S S
46.2 N T T L T S S
53.4 N T T L T S S
46 N T T L T S S
36 N T T L T S S
48 N T T L T S S
54 N T T L T S S
51 N T T L T S S
57 N T T L T S S
130 N T T L T S S
46

48 N T T L T S S
51 N T T L T S S
82 N T T L T S S
43 N T T L T S S
92 N T T L T S S
93 N T T L T S S
71 N T T L T S S
34 N T T L T S S
52 N T T L T S S
45 N T T L T S S
65 N T T L T S S
45 N T T L T S S
53 N T T L T S S
51 N T T L T S S
44 N T T L T S S
52 N T T L T S S
84 N T T L T S S
95 N T T L T S S
44 N T T L T S S
50 N T T L T S S
71 N T T L T S S
43 N T T L T S S
72 N T T L T S S
54 N T T L T S S
46 N T T L T S S
50 N T T L T S S
57 N T T L T S S
34 N T T L T S S
69.8 N T T L T S S
49 N T T L T S S
44 N T T L T S S
46.4 N T T L T S S
50.4 N T T L T S TS
64.4 N T T L T S S
50 N T T L T S TS
44.5 N T T L T S S
41.4 N T T L T S S
64.7 N T T L T S S
47 N T T L T S S
58 N T T L T S S
55.7

41.6 N T T L T S TS
51 N T T L T S S
42.9 N T T L T S S
41.4 N T T L T S S
55.6 N T T L T S S
44.7 N T T L T S S
62.5 N T T L T S TS
43.9 N T T L T S S
51 N T T L T S S
47.4 N T T L T S S
56.5 N T T L T S S
48 N T T L T S S
42.2 N T T L T S S
31.7 N T T L T S S
53.3 N T T L T S S
46.9 N T T L T S S
59.7 N T T L T S S
41.7 N T T L T S S
49.8 N T T L T S S
39.1 N T T L T S S
60.2 N T T L T S S
54.4 N T T L T S S
45.6 N T T L T S S
39.4 N T T L T S S
76.9 N T T L T S S
61.4 N T T L T S S
48.9 N T T L T S S
47.6 N T T L T S S
44.5 N T T L T S S
81.7 N T T L T S S
56.8 N T T L T S S
40 N T T L T S S
46.2 N T T L T S S
47 N T T L T S S
40 N T T L T S S
51.8 N T T L T S S
40.8 N T T L T S S
51.2 N T T L T S TS
42.2 N T T L T S TS
39.3 N T T L T S S
43.7 N T T L T S S
48.8 N T T L T S S
72.2 N T T L T S TS
80 N T T L T S S
58.2 N T T L T S S
71.2 N T T L T S S
62.2 N T T L T S TS
45.2 N T T L T S S
41.4 N T T L T S S
59.9 N T T L T S S
51.9 N T T L T S S
57.5 N T T L T S S
114.9 N T T L T S S
87.3 N T T L T S S
67.8 N T T L T S S
43.8 N T T L T S S
66.2 N T T L T S S
43.2 N T T L T S S
48.7 N T T L T S S
44.2 N T T L T S S
58.2 N T T L T S S

95.5 N T T L T S S

47.7 N T T L T S S

464 N T T L T S S

54.2 N T T L T S S

64.8 N T T L T S S

50 N T T L T S S

54.8 N T T L T S S

53.2 N T T L T S S

86 N T T L T S S

50 N T T L T S S

96.6 N T T L T S S

46.9 N T T L T S S

43.2 N T T L T S S

50.2 N T T L T S S

41.5 N T T L T S S

48.9 N T T L T S S

42.2 N T T L T S S

44.7 N T T L T S S

81.7 N T T L T S S

54.9 N T T L T S S

55.2 N T T L T S S

47.4 N T T L T S TS

44 N T T L T S TS

51.3 N T T L T S S

116.6 N T T L T S S

41 N T T L T S S

59.5 N T T L T S S

55.2 N T T L T S S

30.2 N T T L T S S

57.3 N T T L T S S

45.3 N T T L T S S

76.7 N T T L T S S

51.4 N T T L T S S

63 N T T L T S S

77.4 N T T L T S S

43.8 N T T L T S S

38.2 N T T L T S S
51 N T T L T S S

45.4 N T T L T S S

46.9 N T T L T S S

63.1 N T T L T S S

50.2 N T T L T S S

54.3 N T T L T S S

56.2 N T T L T S S

66.5 N T T L T S S

47.7 N T T L T S S

54 N T T L T S S

47.8 N T T L T S S

52.8 N T T L T S S

45 N T T L T S S

56.9 N T T L T S S

53.7 N T T L T S S

46.2 N T T L T S S

48.2 N T T L T S S

51.4 N T T L T S S

60.4 N T T L T S S

41.5 N T T L T S S

64.9 N T T L T S S

50.3 N T T L T S S

55.5 N T T L T S S

38.3 N T T L T S S

43.7 N T T L T S S

52.3 N T T L T S S

274 259
TAHUN :

Kebersihan Diri Gigi dan Mulut Mata / Penglihatan


Telinga / Pendengaran

Gigi dan Gusi


Gangguan Buta Warna Gangguan
Kuku Rongga Mulut Masalah Infeksi Infeksi Seru men
Karies Peng lihatan (SMP/ SMA) Pen dengaran
lainnya

S S T T T KM T T T T

S S T T T KM T T Y T

S S Y T T N T T T T

S S T T T N T T T T

S S T T T KM T T Y T

S S T T T N T T T T

S S T T T N T T T T

S S T T T N T T Y T

TS S Y T T N T T T T

TS S T T T N T T Y T

S S T T T N T T T T

TS S T T T N T T Y T

S S T T T N T T Y T

S S Y T T KM T T T T

S S T T T KM T T T T

S S T T T N T T T T

S S T T T N T T T T

S S T T T N T T Y T

S S T T T N T T Y T

TS S Y T T N T T T T

TS S T T T KM T T Y T

S S T T T KM T T T T

S S Y T T N T T Y T

S S Y T T N T T T T

TS S Y T T N T T T T

TS S T T T N T T T T

S S T T T KM T T Y T

S S T T T N T T Y T

S S Y T T KM T T T T

S S T T T N T T T T

S S T T T N T T T T

S S T T T KM T T Y T

TS S T T T N T T Y T

S S T T T N T T T T

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101
Gangguan Mental Emosional Modalitas Belajar
Gangguan
Risiko berhub
Kes. Repro
dg gaya hidup
duksi
E C H P Pr Audio Visual Kines tetik

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2 0 139 118 29
Penggunaan Kebugaran
Dominasi otak Dirujuk
Alat Bantu Jasmani

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