Lembar PSG-AS Created Mohamad Rosihan, S.Gz.

(08122940763)
BERDASARKAN TABEL WHO 2005 Puskesmas Ceper Klaten Jawa Tengah

Status Gizi
Tanggal Tanggal
No Nama Siswa L/P Kelas Nama SD Umur BB TB BMI
Lahir Pengukuran BB/U TB/U IMT/U
1 Afika Nesyria P 1/18/2013 III 15 KPM 3/12/2022 109 19.9 118 14.2 Gizi Kurang Pendek Normal
2 Ahmad Padil Saputra L 8/18/2012 III 15 KPM 3/12/2022 114 25.9 127 16.2 Gizi Baik Normal Normal
3 Aisyah Kadrin P 5/22/2012 III 15 KPM 3/12/2022 117 39.6 138 20.9 Gizi Baik Normal Normal
4 Anugrah aditya Pratama L 10/19/2012 III 15 KPM 3/12/2022 112 24 126 15.2 Gizi Baik Normal Normal
5 Aqilah Qurratu Aini P 6/27/2012 III 15 KPM 3/12/2022 116 22.2 127 13.8 Gizi Kurang Normal Normal
6 Asifa Putri P 9/10/2010 III 15 KPM 3/12/2022 138 33.2 135 18.3 Gizi Baik Normal Normal
7 Athaya Nadia Putri P 7/10/2012 III 15 KPM 3/12/2022 116 20.1 121 13.7 Gizi Kurang Pendek Normal
8 Azira Devani P 12/4/2012 III 15 KPM 3/12/2022 111 23.2 123 15.4 Gizi Baik Normal Normal
9 Azra Khoirunnissa Yusri P 4/22/2013 III 15 KPM 3/12/2022 106 27.4 135 15.1 Gizi Baik Normal Normal
10 Bilal Wahid L 3/10/2013 III 15 KPM 3/12/2022 108 26.6 125 17.1 Gizi Baik Normal Normal
11 Gusat Dava Arjuna L 4/14/2013 III 15 KPM 3/12/2022 106 27.3 133 15.6 Gizi Baik Normal Normal
12 Lidya Marsya Puteri P 1/7/2013 III 15 KPM 3/12/2022 110 18.5 119 13.0 Gizi Kurang Pendek Kurus

13 Lukman Salam L 11/26/2013 III 15 KPM 3/12/2022 99 24 127 15.0 Gizi Baik Normal Normal
14 Kafa Putri Ramadhani P 9/14/2013 III 15 KPM 3/12/2022 101 23.6 125 15.2 Gizi Baik Normal Normal
15 M Zikran Al Fatih L 12/12/2012 III 15 KPM 3/12/2022 111 20.6 128 12.7 Gizi Kurang Normal Kurus

16 Divano Ramadhan L 4/14/2013 III 15 KPM 3/12/2022 106 31.9 133 17.9 Gizi Baik Normal Normal

1 AISHA PUTRI NABILA P 7/7/2011 IV 15 KPM 3/12/2022 128 24.3 128 14.8 Gizi Baik Pendek Normal
2 AREL ABDI JUNASA L 4/11/2012 IV 15 KPM 3/12/2022 119 24.4 128 15.0 Gizi Baik Normal Normal
3 AULIA PUTRI P 7/28/2011 IV 15 KPM 3/12/2022 127 31.7 150 14.1 Gizi Baik Normal Normal
4 FRISILIYA SAHRANI L 8/6/2010 IV 15 KPM 3/12/2022 139 30.1 139 15.6 Gizi Baik Normal Normal
5 RAISYA MARSANTI P 9/5/2010 IV 15 KPM 3/12/2022 138 28.5 133 16.1 Gizi Baik Pendek Normal
6 RICI FERDIANA MECA L 5/26/2010 IV 15 KPM 3/12/2022 141 22.8 124 14.8 Gizi Kurang Sangat Pendek Normal
7 TITA HAYATI SANDORO L 11/25/2011 IV 15 KPM 3/12/2022 123 34.6 140 17.7 Gizi Baik Normal Normal
8 VHINO DAFIT KEYLEN P 1/11/2012 IV 15 KPM 3/12/2022 122 29.8 137 15.9 Gizi Baik Normal Normal
9 AFIYAH NASYWA P 1/15/2012 IV 15 KPM 3/12/2022 121 22.6 123 14.9 Gizi Kurang Pendek Normal
10 ANANDA AFIKA KIRANA L 4/16/2009 IV 15 KPM 3/12/2022 154 49.9 151 21.9 Gizi Lebih Normal Normal
 1 ACIFA SALSABILA P 7/26/2011 V 15 KPM 3/12/2022 127 20.6 128 12.7 Gizi Kurang Pendek Kurus
2 ANNISA SYAKIRA AKMALP 9/28/2011 V 15 KPM 3/12/2022 125 56.3 148 25.9 Gizi Lebih Normal Gemuk
3 DAFA ILYASAH L 6/17/2010 V 15 KPM 3/12/2022 140 36.1 144 17.3 Gizi Baik Normal Normal
4 DHEA AMANDA P 1/20/2011 V 15 KPM 3/12/2022 133 27.2 137 14.5 Gizi Baik Normal Normal
5 LAIQAH MARITZA P 11/6/2010 V 15 KPM 3/12/2022 136 30.3 137 16.3 Gizi Baik Normal Normal
6 M RIZKI ALGHANI L 3/9/2009 V 15 KPM 3/12/2022 156 30.8 139 16.1 Gizi Baik Pendek Normal
7 M RIZQI L 12/20/2010 V 15 KPM 3/12/2022 134 37.8 139 19.6 Gizi Baik Normal Normal
8 PUTRI YORA KIRANA P 5/26/2009 V 15 KPM 3/12/2022 153 36.3 139 18.8 Gizi Baik Pendek Normal
9 RISKI MAULANA L 3/2/2011 V 15 KPM 3/12/2022 132 25 134 14.0 Gizi Baik Normal Kurus
10 SYAIF AHMAD L 10/20/2010 V 15 KPM 3/12/2022 136 27.9 144 13.5 Gizi Baik Normal Kurus
11 HASBI DEWANTO L 4/24/2011 V 15 KPM 3/12/2022 130 54.9 145 26.1 Gizi Lebih Normal Gemuk

1 AISYAH RAIHANI P 1/25/2010 VI 15 KPM 3/12/2022 145 30 136 16.2 Gizi Baik Pendek Normal
2 ALDO FADILAH L 7/14/2009 VI 15 KPM 3/12/2022 151 38.9 149 17.5 Gizi Baik Normal Normal
3 ANANDA SALSABILA P 12/7/2009 VI 15 KPM 3/12/2022 147 37.8 146 17.7 Gizi Baik Normal Normal
4 ANGELY MAHARANI P 7/10/2009 VI 15 KPM 3/12/2022 152 66.1 151 29.2 Gizi Lebih Normal Gemuk
5 DIRGA ARTHA PRATAMAL 2/5/2010 VI 15 KPM 3/12/2022 145 52 151 23.0 Gizi Lebih Normal Normal
6 FAHRI RAHMAN L 7/9/2010 VI 15 KPM 3/12/2022 140 38.5 152 16.7 Gizi Baik Normal Normal
7 FAIZUL HAMDI L 5/5/2010 VI 15 KPM 3/12/2022 142 29.6 148 13.6 Gizi Baik Normal Kurus
8 HAFIZH AULIA PUTRA L 8/18/2008 VI 15 KPM 3/12/2022 162 38.3 151 16.8 Gizi Baik Normal Normal
9 ILHAM SAPUTRA S L 11/8/2010 VI 15 KPM 3/12/2022 136 31.4 137 16.7 Gizi Baik Normal Normal
10 MINIALIS DACHI P 5/28/2010 VI 15 KPM 3/12/2022 141 48.8 146 22.9 Gizi Lebih Normal Normal
11 M DHITO ROMA L 12/15/2009 VI 15 KPM 3/12/2022 146 25.4 143 12.5 Gizi Baik Normal Sangat Kurus
12 M MULKY AKBAR L 1/15/2010 VI 15 KPM 3/12/2022 145 32 141 16.0 Gizi Baik Normal Normal
13 M YUSUF L 7/31/2009 VI 15 KPM 3/12/2022 151 39.2 149 17.8 Gizi Baik Normal Normal
14 RAHMADANI PUTRI P 9/13/2009 VI 15 KPM 3/12/2022 149 31.2 139 16.2 Gizi Baik Pendek Normal
15 RAISYA P 5/5/2009 VI 15 KPM 3/12/2022 154 52.2 148 23.7 Gizi Lebih Normal Normal
16 HANUM PUTRI RAISYA P 11/2/2009 VI 15 KPM 3/12/2022 148 39.9 151 17.5 Gizi Baik Normal Normal

1 AISYAH NURJANNAH P 10/4/2013 II 02 KPM 3/11/2022 101 20.6 123 13.6 Gizi Baik Normal Normal
2 ALYA AHZURO P 10/4/2013 II 02 KPM 3/11/2022 101 21.2 129 12.7 Gizi Baik Normal Kurus
3 ANDREAN ATHALLAH L 2/11/2014 II 02 KPM 3/11/2022 97 25.9 133 14.8 Gizi Baik Normal Normal
4 ANISA FAISHA JOLANDA P 1/21/2014 II 02 KPM 3/11/2022 97 22.5 122 15.1 Gizi Baik Normal Normal
5 ATHA RASYID FIRDAUS L 10/15/2013 II 02 KPM 3/11/2022 100 28 137 15.0 Gizi Baik Normal Normal
6 CINTA WENDILIA P 1/6/2014 II 02 KPM 3/11/2022 98 19.8 123 13.0 Gizi Baik Normal Normal
 7 FADHIL AL FAJRI L 7/17/2013 II 02 KPM 3/11/2022 103 25.1 127 15.6 Gizi Baik Normal Normal
8 FAEYZA HAMIZAN NOFRIL 6/29/2013 II 02 KPM 3/11/2022 104 28.3 139 14.6 Gizi Baik Normal Normal
9 FAYZA ALYA FEDORA P 11/10/2013 II 02 KPM 3/11/2022 100 17.9 124 11.7 Gizi Kurang Normal Sangat Kurus
10 HANA KHAIRUNNISA P 11/22/2013 II 02 KPM 3/11/2022 99 26.9 127 16.6 Gizi Baik Normal Normal
11 IBRAHIM JADI L 1/1/2014 II 02 KPM 3/11/2022 98 28.6 131 16.7 Gizi Baik Normal Normal
12 JIHAD AZAMI L 2/14/2014 II 02 KPM 3/11/2022 96 22.7 131 13.3 Gizi Baik Normal Kurus
13 M ADIB L 3/31/2014 II 02 KPM 3/11/2022 95 39.7 133 22.4 Gizi Lebih Normal Gemuk
14 NAUFAL ATHARIS L 8/9/2013 II 02 KPM 3/11/2022 103 22.9 124 14.9 Gizi Baik Normal Normal
15 OKTA SANDRA P 10/20/2013 II 02 KPM 3/11/2022 100 28.1 134 15.6 Gizi Baik Normal Normal
16 RAFFA WELDI L 10/6/2013 II 02 KPM 3/11/2022 101 43 140 22.1 Gizi Lebih Normal Gemuk
17 SALSABILLA RIZKINA P 12/4/2013 II 02 KPM 3/11/2022 99 20.1 124 13.1 Gizi Baik Normal Normal
18 VIKRI RAMADHAN L 8/4/2013 II 02 KPM 3/11/2022 103 26.2 131 15.3 Gizi Baik Normal Normal
19 ZEVANA PUTRI P 3/29/2014 II 02 KPM 3/11/2022 95 24.8 134 13.8 Gizi Baik Normal Normal

1 AHMAD FADLAN L 6/11/2013 III 02 KPM 3/11/2022 105 23.2 126 14.7 Gizi Baik Normal Normal
2 AISYAH P 9/21/2012 III 02 KPM 3/11/2022 113 26.9 131 15.7 Gizi Baik Normal Normal
3 AISYAH AUREL P 2/7/2013 III 02 KPM 3/11/2022 109 22.5 127 14.1 Gizi Baik Normal Normal
4 CHARLY GARCIA P 3/6/2012 III 02 KPM 3/11/2022 120 26.9 137 14.4 Gizi Baik Normal Normal
5 KHALIFAH KAYYA P 6/24/2013 III 02 KPM 3/11/2022 104 22.5 124 14.6 Gizi Baik Normal Normal
6 KHANSA HUMAIRA P 10/2/2012 III 02 KPM 3/11/2022 113 28.3 137 15.1 Gizi Baik Normal Normal
7 M ANDIKA L 12/8/2012 III 02 KPM 3/11/2022 111 26.7 126 16.7 Gizi Baik Normal Normal
8 M HAFIZ L 7/27/2013 III 02 KPM 3/11/2022 103 23.9 124 15.6 Gizi Baik Normal Normal
9 M KELVIN RAMADAN L 7/29/2012 III 02 KPM 3/11/2022 115 40.5 133 23.0 Gizi Baik Normal Gemuk
10 M ZHAFRAN ZAKY L 10/3/2012 III 02 KPM 3/11/2022 113 33.3 136 18.0 Gizi Baik Normal Normal
11 NAUFAL ALFARIDZI L 10/28/2012 III 02 KPM 3/11/2022 112 21.6 127 13.4 Gizi Kurang Normal Kurus
12 NAYAKA AZRI L 11/5/2011 III 02 KPM 3/11/2022 124 26.3 122 17.6 Gizi Baik Pendek Normal
13 NUR HABIBAH P 2/5/2013 III 02 KPM 3/11/2022 109 25.9 126 16.4 Gizi Baik Normal Normal
14 RADIT NUGRAHA L 1/9/2013 III 02 KPM 3/11/2022 110 31.9 132 18.4 Gizi Baik Normal Normal
15 RAHMATULLAH P 11/30/2011 III 02 KPM 3/11/2022 123 27 129 16.3 Gizi Baik Normal Normal
16 RANI SAFITRI P 29-03-2012 III 02 KPM 3/11/2022 121 30.7 139 16.0 Gizi Baik Normal Normal
17 RIZKI JUNAYDI L 1/28/2012 III 02 KPM 3/11/2022 108 25.2 130 14.9 Gizi Baik Normal Normal
18 SAKHA ARKHADIAZ L 3/11/2013 III 02 KPM 3/11/2022 103 19.1 122 12.8 Gizi Kurang Normal Kurus
19 SULTAN GYAN DEVARA L 7/27/2013 III 02 KPM 3/11/2022 114 26 132 15.0 Gizi Baik Normal Normal
20 ZAZKIATUL FITRIYAH P 8/18/2012 III 02 KPM 3/11/2022 53.1 139 27.7

Err:520 Err:520 Err:520 Err:520

1 ALAM SAMUDRA L 4/3/2012 IV 02 KPM 3/11/2022 119 28.2 130 16.7 Gizi Baik Normal Normal
 2 ALVES STEVEN L 10/14/2011 IV 02 KPM 3/11/2022 124 39.6 145 18.9 Gizi Baik Normal Normal
3 ANISA NAIDITA P 6/4/2012 IV 02 KPM 3/11/2022 117 26.4 128 16.2 Gizi Baik Normal Normal
4 BUNGA KEISYA P 5/29/2012 IV 02 KPM 3/11/2022 117 41.5 140 21.3 Gizi Baik Normal Normal
5 CYRIL STEVI P 5/14/2011 IV 02 KPM 3/11/2022 129 25.4 138 13.4 Gizi Baik Normal Kurus
6 DEVIN GRIFFITH L 4/18/2011 IV 02 KPM 3/11/2022 130 29.7 130 17.5 Gizi Baik Normal Normal
7 HAIKAL ALFARIZI L 9/29/2011 IV 02 KPM 3/11/2022 125 25.7 131 15.0 Gizi Baik Normal Normal
8 KANZA SALSABILA P 6/28/2012 IV 02 KPM 3/11/2022 116 29.1 132 16.7 Gizi Baik Normal Normal
9 KHANZA FAZILA P 2/4/2012 IV 02 KPM 3/11/2022 121 39.2 139 20.4 Gizi Baik Normal Normal
10 KHANZA WIDYADI P 2/9/2012 IV 02 KPM 3/11/2022 121 23.5 133 13.3 Gizi Baik Normal Kurus
11 LAURA JUNIFA P 6/23/2011 IV 02 KPM 3/11/2022 128 30.7 138 16.1 Gizi Baik Normal Normal
12 M ARIF L 15-10-2011 IV 02 KPM 3/11/2022 124 21.9 124 14.2 Gizi Kurang Pendek Normal
13 M FADHLAN L 4/17/2010 IV 02 KPM 3/11/2022 142 32.8 144 15.9 Gizi Baik Normal Normal
14 M FAJAR L 1/18/2012 IV 02 KPM 3/11/2022 121 31.1 132 17.8 Gizi Baik Normal Normal
15 M GALIH HARISTRA L 10/21/2011 IV 02 KPM 3/11/2022 124 30.7 139 15.8 Gizi Baik Normal Normal
16 M NAUFAL L 12/30/2012 IV 02 KPM 3/11/2022 110 31.6 132 18.3 Gizi Baik Normal Normal
17 RESTU FADHIL L 6/14/2011 IV 02 KPM 3/11/2022 128 36.7 142 18.2 Gizi Baik Normal Normal
18 REVAND ALVIAN L 10/31/2010 IV 02 KPM 3/11/2022 136 30.5 138 16.1 Gizi Baik Normal Normal
19 ROBERT L 12/28/2011 IV 02 KPM 3/11/2022 122 24.7 134 13.9 Gizi Baik Normal Normal
20 SHAIRA SIZKIA P 6/20/2011 IV 02 KPM 3/11/2022 128 32.3 136 17.6 Gizi Baik Normal Normal
21 SRI FADILA P 9/7/2011 IV 02 KPM 3/11/2022 126 24.4 124 15.8 Gizi Baik Pendek Normal
22 SYILLA ALMIRA P 3/21/2012 IV 02 KPM 3/11/2022 119 26.7 123 17.6 Gizi Baik Pendek Normal

1 ADYTIA PRATAMA L 10/1/2010 V 02 KPM 3/11/2022 137 25.8 134 14.3 Gizi Baik Normal Normal
2 AISYAH RATU P 7/20/2011 V 02 KPM 3/11/2022 127 42.3 148 19.2 Gizi Baik Normal Normal
3 ALFIOLA KANAYA P 10/25/2010 V 02 KPM 3/11/2022 136 39.9 151 17.5 Gizi Baik Normal Normal
4 AZYL PARIS L 9/12/2011 V 02 KPM 3/11/2022 125 26.8 130 15.9 Gizi Baik Normal Normal
5 BUNGOENG ZAINAL P 4/7/2011 V 02 KPM 3/11/2022 131 66.7 150 29.7 Gizi Lebih Normal Gemuk
6 CANTIKA PUTRI P 11/6/2010 V 02 KPM 3/11/2022 136 40.4 134 22.4 Gizi Baik Normal Normal
7 JUMAIDIL L 5/20/2011 V 02 KPM 3/11/2022 129 28.1 135 15.5 Gizi Baik Normal Normal
8 KEYSATUL HAFIZAH P 2/16/2010 V 02 KPM 3/11/2022 144 30.3 143 14.9 Gizi Baik Normal Normal
9 M DAIFULLAH L 1/28/2011 V 02 KPM 3/11/2022 133 33 139 17.1 Gizi Baik Normal Normal
10 NUR CAHAYA P 7/3/2010 V 02 KPM 3/11/2022 140 37.8 147 17.5 Gizi Baik Normal Normal
11 RADJA RIKENZO L 3/24/2011 V 02 KPM 3/11/2022 131 34 136 18.5 Gizi Baik Normal Normal
12 RAKA SAPUTRA L 1/6/2011 V 02 KPM 3/11/2022 134 43.3 149 19.6 Gizi Baik Normal Normal
13 REYVAN MAHESA L 1/3/2011 V 02 KPM 3/11/2022 134 81.9 149 36.7 Gizi Lebih Normal Gemuk
14 SASKIA MELISA P 4/23/2010 V 02 KPM 3/11/2022 142 41.3 142 20.4 Gizi Baik Normal Normal
15 SHAKYRA DEWINA P 8/8/2010 V 02 KPM 3/11/2022 139 29 142 14.5 Gizi Baik Normal Normal
16 SULTAN BAYHAKI L 10/16/2010 V 02 KPM 3/11/2022 136 27.8 131 16.2 Gizi Baik Pendek Normal
17 TORIQ FALLAH L 10/12/2010 V 02 KPM 3/11/2022 136 26.5 133 14.9 Gizi Baik Normal Normal
18 ZHILLAN ELYSIA P 7/7/2010 V 02 KPM 3/11/2022 140 30.6 142 15.2 Gizi Baik Normal Normal

1 ABDULLAH AL HADID L 8/12/2008 VI 02 KPM 3/11/2022 162 29.3 144 14.1 Gizi Baik Pendek Kurus
2 FAHRI ARDIANSYAH L 5/13/2008 VI 02 KPM 3/11/2022 165 42.4 159 16.7 Gizi Baik Normal Normal
3 HANNI RAMADHANI P 8/16/2009 VI 02 KPM 3/11/2022 150 40.4 146 18.9 Gizi Baik Normal Normal
4 KHESYA NISWA P 4/29/2010 VI 02 KPM 3/11/2022 142 50.7 152 21.9 Gizi Lebih Normal Normal
5 M RAHEL L 1/16/2008 VI 02 KPM 3/11/2022 169 42 153 17.8 Gizi Baik Normal Normal
6 MAULIDA ASSHIVA P 3/20/2009 VI 02 KPM 3/11/2022 155 65.2 159 25.8 Gizi Lebih Normal Normal
7 MICHELE PRINCESS P 4/12/2010 VI 02 KPM 3/11/2022 142 46.5 155 19.3 Gizi Baik Normal Normal
8 M FAHRI L 7/21/2009 VI 02 KPM 3/11/2022 151 37.5 147 17.4 Gizi Baik Normal Normal
9 M ILHAM L 10/24/2009 VI 02 KPM 3/11/2022 148 64.7 148 29.7 Gizi Lebih Normal Gemuk
10 M MIRZA MUHTADI L 10/22/2009 VI 02 KPM 3/11/2022 148 34.7 149 15.6 Gizi Baik Normal Normal
11 NABILA GRANETA P 1/22/2010 VI 02 KPM 3/11/2022 145 43.5 154 18.3 Gizi Baik Normal Normal
12 NATHIFA ADRIENZHA P 7/28/2010 VI 02 KPM 3/11/2022 139 54.5 148 25.1 Gizi Lebih Normal Gemuk
13 RAYHAN ARDIANSYAH L 4/19/2010 VI 02 KPM 3/11/2022 142 55.1 145 26.3 Gizi Lebih Normal Gemuk
14 REYSHA MUSTIKA P 10/29/2009 VI 02 KPM 3/11/2022 148 38.2 146 18.0 Gizi Baik Normal Normal
15 SALWA DWI SABRINA P 10/13/2009 VI 02 KPM 3/11/2022 148 40.6 145 19.2 Gizi Baik Normal Normal
16 SAZKIA ADILA P 7/7/2009 VI 02 KPM 3/11/2022 152 40.9 144 19.7 Gizi Baik Normal Normal
17 SOPHIA MAHESWARI P 2/6/2010 VI 02 KPM 3/11/2022 145 48.5 153 20.7 Gizi Lebih Normal Normal
18 TORETTO ISLAMI L 7/26/2009 VI 02 KPM 3/11/2022 151 39 152 16.8 Gizi Baik Normal Normal
19 AZAN LUTHFI SYAUQI L 12/14/2009 VI 02 KPM 3/11/2022 146 48 152 20.7 Gizi Lebih Normal Normal
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498
499
500

0 1 2
12 17 13
120 132 124
18 0 11