PEMERINTAH DAERAH PROVINSI JAWA BARAT

DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMA NEGERI 1 BANJAR
Jalan K.H. Mustofa No.1 0265- 741192
Website: www.sman1banjar.sch.id Email: mail@sman1banjar.sch.id
Banjar 46311

DATA PEMERIKSAAN KESEHATAN

KELAS X MIPA 1
No NIS Nama_Siswa L/P NIK Berat Badan Tinggi Badan Usia KET TENSI HB HIV ket HB
1 2223X001 ADITYA GAUTAMA RIDWAN L 3279011005070001 65 165 15 120/80 neg
2 2223X002 ALDI MUHAMMAD ZAKY L 3279020808070001 52 16 15 121/70 neg
3 2223X003 ALYA BARKAH P 3329015204040001 50 15 16 110/70
4 2223X004 ARYA NABIL ATHALAH L 3279013112060003 57 158 16
5 2223X005 AURA YASIFA MAKALEW P 3279014803070002 36 13 15
6 2223X006 AZKA DZIKRA ABDILLAH L 3279020212060002 47 167 16
7 2223X007 DANAR YUSUF GANTIKA PUTRA L 3207171103070001 35 165 15 100/60 neg
8 2223X008 DWI AULIASARI WULANDARI P 3273266008060006 42 149 16 110/70 11.7 ringan
9 2223X009 DZAIKRA NAQA HERDIANA L 3279041601070001 59 160 16 100/80 neg
10 2223X010 FARREL ADELARD VICKSIAN L 3279021701070002 60 170 16
11 2223X011 HISYAM ANARTA HARITSYAH L 3279012503070002 68 181 15
12 2223X012 HUSNA NIDA P 3279036407060001 38 149 16
13 2223X013 IZMI ALIFA PUTRI P 3279024108060001 53 150 16
14 2223X014 KAMALA NADHIVA ALFIANA P 3279036509060001 41 156 16
15 2223X015 KEITARO ANABIL SAUQY L 3279031411060002 95 179 16 130/70 neg
16 2223X016 KHIRA FAYRUZ SAVAIRA P 3279016912060003 45 145 16 ANEMIA 116/79 12.8 normal
17 2223X017 MAHANA RESNA WIRANDIKA P 3279035907070001 65 156 15 ANEMIA 120/80 11.9 ringan
18 2223X018 MOCHAMMAD ADHIYAKSA YUSUF L 3279010909060001 42 169 16 100/70 neg
19 2223X019 MUHAMMAD RIFA ZAHRAN L 3207201410060002 55 16 16 110/70 neg
20 2223X020 MUHAMMAD SYAHRI RAMADHAN L 3201040410060001 65 175 16 120/80 neg
21 2223X021 NABILLA ARGIANTY GHISELLA P 3207304209060001 50 150 16 87/65 13.3 normal
22 2223X022 NADWA SYAHIDAH P 3279026403070001 40 159 15 100/80 12.9 normal
23 2223X023 NUNUNG NURJANAH P 3279014405060001 46 160 16
24 2223X024 RACHMA FADZILA AZMI P 3279035511060001 42 160 16
25 2223X025 RAIHAN AZKA RAHMAT IZZATY L 3279033009060003 46 147 16 140/80 neg
26 2223X026 RAKHA ADITYA DWI PUTRA L 1571030405070061 55 159 15 120/70 13.2 neg normal
27 2223X027 REGINA ARIANTI VANESSA P 3172046601071002 61 160 16 120/70 11.2 ringan
28 2223X028 RISGI PUSPITA NINGRUM P 3273236212060001 39 149 16
29 2223X029 RIZKA AMALIA P 3279037101070001 47 158 15 100/80 9.5 sedang
30 2223X030 SALSABILA AZHAR RAHMADI P 3279014811060001 35 152 16 120/80 13.3 normal
31 2223X031 SEPTIYANTI P 3279014209060001 48 158 16
32 2223X032 SISCA LISTYANTY P 3279015210060004 44 155 16
33 2223X033 SYAKILA AGUSTINABILA PERMANA P 3213044708070004 50 153 15
34 2223X034 TYARA NUR FADILLA P 3301164506060003 40 150 16 100/80
35 2223X035 WINDA DWI ISMANTI P 3279026805070004 63 155 15 117/80 12.8 normal
36 2223X036 ZAHRUNA ZAHRADHITA P 9103116503070002 24 110 15 100/70 12.2 normal

KETERANGAN :
di periksa : 11
normal 7
ringan 3
sedang 1
berat 0
 PEMERINTAH DAERAH PROVINSI JAWA BARAT
DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMA NEGERI 1 BANJAR
Jalan K.H. Mustofa No.1 0265- 741192
Website: www.sman1banjar.sch.id Email: mail@sman1banjar.sch.id
Banjar 46311

DATA PEMERIKSAAN KESEHATAN

KELAS X MIPA 2
No NIS Nama_Siswa L/P NIK Berat Badan Tinggi Badan Usia KET TENSI HB HIV ket HB
1 2223X037 A`THI DZAKIYATU LATIFAH P 3279046407070002 48 151 15 100/60 9.7 sedang
2 2223X038 ADZKIA AMATULLAH NURMAN P 3279026203070001 56 158 15 120/80 12.2 normal
3 2223X039 AMIN FARHANNUDDIN L 3279040103070001 55 165 15 110/70
4 2223X040 ANGGUN ZEFANYA P 3279015205070002 65 160 15 110/80
5 2223X041 AQMAL ALGHIFARI HAMBALI L 3279020712060004 60 165 16 120/70
6 2223X042 CHELSEA WARDA ZAKIYA P 3279014206070006 42 162 15 148/60 11.4 ringan
7 2223X043 DAFFA FARIS ERDHIANA L 3279012907060007 40 156 16 106/70
8 2223X044 DESTIA NUR AENI P 3207306209060002 70 15 16 120/70 11 ringan
9 2223X045 DEVINA EKA ADINDA P 3279016411060001 45 149 16 100/70 10.7 sedang
10 2223X046 FARRELL GAUTAMA ISMAIL L 3279021305060001 63 176 16 114/75
11 2223X047 HILAL SYAH FATIH L 3279022610060002 59 168 16 80/60
12 2223X048 HINDA MILDIYAJNI HANAA P 3279016806060002 43 150 16 100/60 13.7 normal
13 2223X049 INNA ADINIAPUTRI PERMANA P 3207196501080001 55 165 15 120/80 9.9 sedang
14 2223X050 KEYSHA ASHYLLA FIRMANSYAH P 3279014510060001 66 160 16 140/90 12.3 normal
15 2223X051 LAURA ANGLE LINA NURMALAWATI PASARIBU P 3279026204070003 49 159 15
16 2223X052 LIANZRA FADIYAH ASILAH P 3279016612060002 55 165 16 90/60
17 2223X053 MAULINA ANATASYA PUTRI P 3279025903070001 45 154 15 ANEMIA 100/60 10.9 sedang
18 2223X054 MUHAMAD FAIZ KHOIRUL ZILDA L 3279022507060001 39 146 16 110/80
19 2223X055 MUHAMMAD FATHI AT THORIQUL I L 3279022010060002 55 175 16 ANEMIA 140/70 10.8 sedang
20 2223X056 MUHAMMAD RIZKI FAUZI L 3279021011060001 53 175 16 110/60
21 2223X057 MUTHIA ROSMITA JUBAEDAH P 3174045203070008 50 160 15 100/60 11.3 ringan
22 2223X058 MUTIARA AZZUHRUF BILQIS P 3279014401070001 77 170 16 130/69 11 ringan
23 2223X059 NAZAL HABIB L 3279012408070001 54 165 15 110/80 neg
24 2223X426 NAZZA AURAZI L 3279010310070001 59 173 15 110/70 neg
25 2223X060 RAFI GILANG RAMADHAN L 3279010704070002 59 170 15 120/70
26 2223X061 RAFIIF GHINAN MAULANA L 3279026510060001 34 145 16 120/70 neg
27 2223X062 RAYA FITRI HIDAYAT P 3205091005070002 50 157 15 90/70
28 2223X063 RAYFFA MAYZHA SETIAWAN L 3279021511060002 60 157 16 110/70
29 2223X064 REGI HERLIADI L 3207192805060001 75 166 16 110/80
30 2223X065 REIKI GANI PUTRA L 3279010612060001 58 158 16 130/80
31 2223X066 SALMAN RAFI IBRAHIM L 3279014101070001 43 160 16
32 2223X067 SHAFANI RATRI WAHYUNI P 3279015401070001 46 152 16 117/80 11.8 ringan
33 2223X068 SIFA FAUZIYYAH P 3207184801060002 45 152 17 100/70
34 2223X069 SYSCA ADE PUTRI P 3279034411060002 55 165 16 100/60
35 2223X071 VANESHA NOVIANI KURNIAWAN P 3279016201070001 34 150 16 110/80
36 2223X072 WINDI SABILATURROHMAH P 3207154303070001 46 149 15 100/70

KETERANGAN
di periksa : 13
normal 3
ringan 5
sedang 5
berat 0
 PEMERINTAH DAERAH PROVINSI JAWA BARAT
DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMA NEGERI 1 BANJAR
Jalan K.H. Mustofa No.1 0265- 741192
Website: www.sman1banjar.sch.id Email: mail@sman1banjar.sch.id
Banjar 46311

DATA PEMERIKSAAN KESEHATAN

KELAS X MIPA 3
No NIS Nama_Siswa L/P NIK Berat Badan Tinggi Badan Usia KET TENSI HB HIV ket HB
1 2223X073 AKITA VALENIA REIZA K P 3279035302070001 43 155 15 100/80
2 2223X074 BAIQ ANYA AZMI NURAZKHIA F P 3279016211060002 48 148 16 100/70
3 2223X075 CECEP TRI CAHYANTO L 3279012908060001 54 165 16 100/80
4 2223X076 DESTY NURHAYATI P 3279025212060001 49 153 16 110/70 10.6 sedang
5 2223X077 DEVINA DWI FEBRIANI P 3207305202070001 50 160 15 110/80 10.6 neg sedang
6 2223X078 FAHMI RAIHAN L 3279021901070001 55 164 16 110/70 neg
7 2223X079 FALAH SAMI SYAHDAN L 3279011002070001 78 172 15 110/80 14.2 neg normal laki-laki
8 2223X080 FARIZKY AMIRUL WAFI L 3279010906060002 71 174 16 120/80 neg
9 2223X081 HELGA PUTRIMARITZA P 3279015112060002 49 156 16 100/70
10 2223X082 ICA RAHMAYANTI P 3207304801070001 68 181 16 110/80
11 2223X083 IRFAN RACHMAT MAULANA L 3279010203070001 96 170 15 120/70 neg
12 2223X084 ISMAIL ASSHIDIQ MULYANA L 3279012912060001 43 144 16 100/60 neg
13 2223X085 KARISSA ADRA WINANDAR P 3279015802070001 45 152 15 110/70 10.9 sedang
14 2223X086 LAILA SUKMA FITRIA P 3277016310060003 53 160 16 120/70 9.3 ringan
15 2223X087 LUTHFI FILMA ELYSIA P 3279025806060001 70 163 16 110/60
16 2223X088 MARSHA AMELIA P 3279035303070001 62 156 15 120/80
17 2223X089 METYA DENOVA CHAIRUNNISA P 3207306004070001 50 160 15 110/80
18 2223X090 MIA SHAFIRA NUR AENINAYAH P 3207196502070001 36 153 15 110/70 9.5 ringan
19 2223X091 MUHAMMAD BAGAS GHALURA BAKHIT L 3301151203070002 47 148 15 120/70 neg
20 2223X092 MUHAMMAD FADHLAN NASHRULLAH L 3207302911060001 47 156 16 110/80 neg
21 2223X093 MUHAMMAD RAYHAN FAYADH AUFA L 3207182610060005 55 165 16 110/70 neg
22 2223X094 NAUFAL HANIF AL-MUTTAQIIN L 3279020102070002 70 170 15 110/70 neg
23 2223X095 NAZLA NAIFAH CERIA SANDHI P 3279016012060002 40 154 16 100/70
24 2223X096 NISSA NURHALIZA P 3207304304070003 50 160 15 110/70
25 2223X097 NOVIA P 3279034611060001 48 147 16 110/70
26 2223X098 ORYZA SASTRAWIJAYA L 3279013007060001 42 164 16 110/70
27 2223X099 QINTHARI ZAHRAN ISKANDAR P 3279014808060002 51 155 16 110/70 11.4 ringan
28 2223X100 REFHANI NUR RAHMANIA P 3207304207700001 51 147 15 110/70 10.5 sedang
29 2223X101 RESA AZKAL AZKYA L 3207301311060001 70 170 16 120/80 neg
30 2223X102 SALSABILLA OCEANA PUTRI HENDRA P 3279014806070002 47 162 15 120/80 10.3 neg sedang
31 2223X103 SALWA NISRINA PUTRI P 3279016805070002 45 153 15 100/70
32 2223X104 SEPTIAN AGIT SYAHDIKA L 3279032609060001 51 160 16 120/80
33 2223X105 SHAFIRA KHAIRINA P 3279016912060001 49 161 16 100/70 8.7 sedang
34 2223X106 SINDY SRI RAHAYU P 3279015709060001 47 156 16 113/70
35 2223X107 SYAILA SYAHLA FITRIANI P 3279034410060001 47 158 16 110/80
36 2223X108 VARIT SATRIA L 3279012411060002 65 175 16 120/80 neg

KETERANGAN
di periksa : perempuan 9 laki-laki 1
normal 0 normal 1
ringan 3
sedang 6
berat 0
 PEMERINTAH DAERAH PROVINSI JAWA BARAT
DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMA NEGERI 1 BANJAR
Jalan K.H. Mustofa No.1 0265- 741192
Website: www.sman1banjar.sch.id Email: mail@sman1banjar.sch.id
Banjar 46311

DATA PEMERIKSAAN KESEHATAN

KELAS X MIPA 4
No NIS Nama_Siswa L/P NIK Berat Badan Tinggi Badan Usia KET TENSI HB HIV ket HB
1 2223X109 ADI PUTRA L 3206200112050001 60 175 17 110/70
2 2223X110 AGNIA NAELA SAFITRI P 3207184511060003 55 16 16 110/70 12.1 normal
3 2223X111 AILSA NAJLA RIHANA ALIFAH P 3279026904070003 48 15 15
4 2223X112 ANDHIKA WISNU SAPUTRA L 3207172807070001 82 164 15
5 2223X113 ANDRI APRIANSYAH L 3279021104060001 75 16 16 120/80
6 2223X114 ANGGITA AYU LESTARI P 3279035204070001 23 130 15

7 2223X115 ANNAFS MUTHMAINNAH ZAINAB DIMYATI P 3279024402070003 46 16 15

8 2223X116 AZHAR HANAN ARROSYAD L 3207190108060003 36 146 16

9 2223X117 AZRIL JULIANSYAH L 3279010307070002 38 142 16
10 2223X118 BIAN ABDILAN ANDIA L 3279021602060001 30 15 16
11 2223X119 BIMO AQCES SAEFULLAH L 3279022804070003 42 158 15
12 2223X120 FAIZHAL ANWAR L 3279030107070006 46 171 15
13 2223X122 KAFKA FITRIANA ARIYANDI L 3279032410060001 63 172 16
14 2223X123 KRISNA DEWI PERTIWI P 3279016407060002 47 157 16
15 2223X124 LUTHFI FADHILAH FATURAHMAN L 3207162907070001 35 144 15 100/70 neg
16 2223X125 MANISA RAMDINATI ANDINI P 3207306509060001 50 160 16 120/70 10.7 sedang
17 2223X126 MOCHAMMAD GHIOSHAQUILLA ASH SHIDDIQ L 3279010901070003 68 173 16 120/80 neg
18 2223X127 MUHAMMAD IKHSAN YAAS L 3279032103070003 71 167 15 130/80 neg
19 2223X128 NAILA RAMADHANI PUTRI DARMAWAN P 3279016509070004 51 156 15
20 2223X129 NANDA FATURRAHMAN L 3279040411050001 50 170 17 180/80
21 2223X130 NERA WIDYA AFTYNA P 3279014708060001 56 156 16
22 2223X131 PUTRI SATIVA ARTA ALMALIQA P 3279014106070003 50 159 15
23 2223X132 RADITYA FAJAR SIDDIQ L 3279012810060001 55 154 16 100/70
24 2223X430 REVALDY FARDIANA L 3273302711060001 50 160 16
25 2223X133 RIFQI RAHARDIANSYAH L 3279020103070004 51 170 15 110/70
26 2223X134 ROSALIA ZAHRA INDRIYANI P 3279035101070001 49 163 16 100/80 12.3 normal
27 2223X135 SALSABILA SAVILA P 3207174711060001 54 157 16 100/70 10.7 sedang
28 2223X136 SALWA AZZAHRA MELSON P 3279016901070001 50 155 15
29 2223X137 SARAH FEHIMA JELILA P 3279014211060002 63 163 16 110/70 10.7 sedang
30 2223X138 SUCI JUNIARTI P 3279014206070002 43 155 15 80/60 12.5 normal
31 2223X139 SYIFA ISNA AULIA P 3279035004060002 49 163 16
32 2223X140 TASSYA SHIFA EKA PUTRI P 3279015402070004 41 155 15 110/60
33 2223X141 VANISSA ZAURA AZZAHRA P 3279037008070001 39 154 15 90/70 13.2 normal
34 2223X142 VIRA NURFADILA BALQIS P 3207306012070001 40 140 15
35 2223X143 VRYSILA ARIESTALIANITA P 3207194704070004 46 149 15
36 2223X144 ZALFA NASYA ZAHIRA PUTRI YULIANDRY P 3279015608070001 50 159 15 110/70 12.9 normal

KETERANGAN
di periksa : 8
normal 5
ringan 0
sedang 3
berat 0
 PEMERINTAH DAERAH PROVINSI JAWA BARAT
DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMAN 1 BANJAR
Jalan K.H. Mustofa No.1 0265- 741192
Website: www.sman1banjar.sch.id Email: mail@sman1banjar.sch.id
Banjar 46311

DATA PEMERIKSAAN KESEHATAN

KELAS X MIPA 5
No NIS Nama_Siswa L/P NIK Berat Badan Tinggi Badan Usia KET TENSI HB HIV ket HB
1 2223X145 ADINDA KAMILATUNNISA P 3207306602070002 52 162 15
2 2223X146 AMELIA PUTRI AZZURA P 3279036901070003 55 165 15
3 2223X147 ANGGA SURYADINATA L 3279022303070001 48 162 15 140/80 neg
4 2223X148 ARHIFA BARNABAS PASHA RAMDHANI L 3207291110070001 67 170 15 110/80 neg
5 2223X149 ATSARINA GHAISANI FATHIAZZAHRA P 3279035501070001 38 158 16
6 2223X150 AYU PERMATA INDAH P 3279017012060002 48 150 16 100/70 11.5 ringan
7 2223X151 AZKA AZZAHRA HAMZAH L 3207292610060001 50 166 16
8 2223X152 BELLA SOFIANTI JUNIAR P 3207306806070001 45 145 15
9 2223X153 DENA SEPTIAN RAMADHANI L 3207300209070001 50 160 15 130/90
10 2223X154 DIVANIA CHESYALOMITHA PRAJANY P 3279014209070002 42 155 15
11 2223X155 FADHIL RIZKY FEBRIAN L 3279032802070003 60 170 15 130/80
12 2223X156 FRIDA NOVIANA P 3279014311060001 41 150 16
13 2223X157 GHENIA SHAFA SYAKINAH P 3279015302070001 46 155 15
14 2223X158 HIJRATUL AINI P 3207164509070001 50 160 15
15 2223X159 IHSA SANIORA L 3207300505070001 50 160 15
16 2223X160 JAVIER RIZAL DZAKI L 3279040706060001 65 161 16
17 2223X161 JIHAN FITRI OKTAFIANI P 3279036410080001 35 150 14
18 2223X162 JUWANA ADE LIA P 3279026501070002 45 156 16
19 2223X163 KARYN DEVINA DJAYALARAS P 3279025709060001 31 155 16
20 2223X164 MUHAMAD RIZKI NUGRAHA L 3279011804070001 51 170 15
21 2223X165 MUHAMMAD KHALIFA SHIDQI L 3279012801070002 68 165 16
22 2223X166 MUHAMMAD SAHRIL ASHARI L 3279010202070001 78 168 15
23 2223X167 OKTAVIAN DAFFA WIDIATMOKO L 3279030310060003 93 170 16
24 2223X168 PRINCESS KIMIKO YOSHE WIJAYA P 3279014708070005 55 157 15
25 2223X169 PUTRI AZ ZAHRA APRILITA P 3279034604070001 49 158 15 110/70 14 normal
26 2223X170 RAINAL WIBAWA HAMARA L 3279022102070001 50 161 15
27 2223X171 REGIN JAYSY FAATIHA P 3279025401070003 44 150 16
28 2223X172 RENATA DWI LESTARI YUHENDI P 3279015210060005 49 153 16
29 2223X173 RESTI RAMADHANI P 3279025810060001 55 145 16
30 2223X174 RIZKI ADIANA AFRIZA L 3279012804060002 61 172 16
31 2223X175 SALMAN ALFARIDZI SANUSI L 3279011511060003 48 160 16 119/83 neg
32 2223X176 SHIVA WIDHYANITA RAHADIANTI PERMANIK P 3301166207060001 47 150 16
33 2223X177 SYAHSIYA KAMILA P 3277016304070004 49 165 15 90/70 neg
34 2223X178 VALERIN INGGRIANI LUMBANTORUAN P 3279015112060001 52 151 16
35 2223X179 ZAQINUH ABDULLOH L 3279011305070001 53 175 15 110/70
36 2223X180 ZIAN PUTRA NUGRAHA L 3279010211060001 60 169 16 100/60 neg

KETERANGAN
di periksa : 2
normal 1
ringan 1
sedang 0
berat 0
 PEMERINTAH DAERAH PROVINSI JAWA BARAT
DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMAN 1 BANJAR
Jalan K.H. Mustofa No.1 0265- 741192
Website: www.sman1banjar.sch.id Email: mail@sman1banjar.sch.id
Banjar 46311

DATA PEMERIKSAAN KESEHATAN

KELAS X MIPA 6
No NIS Nama_Siswa L/P NIK Berat Badan Tinggi Badan Usia KET TENSI HB HIV ket HB
1 2223X181 ABDUL MAJID MUHAMAD L 3279022106060002 41 161 16 130/90 neg
2 2223X182 ABYAN ARKAN WARDOYO L 3207301704070001 50 160 15 120/80 neg
3 2223X183 ALFI RAHMA ISKANI P 3273166109070002 49 142 16 110/70
4 2223X184 ANANDA ARIEF TSANI ALHAQQ L 3279041106070001 54 104 15 100/75
5 2223X185 ANDRA GILMAN NUR RIZQI L 3279011405070001 57 172 15 110/70
6 2223X186 ARGYANTI VEGA FEBRIAN P 3279016502070001 50 17 15 120/80
7 2223X187 AYUDIA ARIYANTI RAHARJO P 3301156101070001 48 159 16 90/70 12.6 normal

8 2223X188 L 3207300811060002 63 172 16

AZHAR MUHAMMAD HAFIDZ WIDIATMOKO
9 2223X189 AZKA ASJADIRRAHMAN L 3279022512060001 53 167 16 100/70 neg
10 2223X190 DAFFA FAUZAN FIRMANSYAH L 3279020705070001 50 160 15 100/80 neg
11 2223X191 EKA RAMADHANI SAFITRI P 3279035010060001 35 148 16 90/60
12 2223X192 ELIFFIANSA PUTRI FRIANKASIWI P 3279035804070001 59 160 15 90/60 12.3 normal
13 2223X193 FAIZA OKTABRYA P 3279015910060001 43 155 16 90/70
14 2223X194 FARAZ QAIS AL JABIL L 3279021904070004 48 168 15 100/70
15 2223X195 FARIS SHOLAH HASAN L 3279010208060001 55 165 16 122/84 neg
16 2223X196 FINA SAFINATUNNAJAH P 3279037103070001 48 146 15 100/70 11.5 ringan
17 2223X197 FRISCA OCTAVIA P 3279037110060001 67 153 16 110/70 12.5 normal
18 2223X198 GIMNASTIAR RAMDANI L 3273052609060001 62 172 16 100/70
19 2223X199 KEYSHA HUMAIRA PUTRI P 3279044803070001 34 150 15 100/60 11.7 ringan
20 2223X200 LAILA NUR AZKIA P 3207194410070001 55 16 15 100/60 10.4 sedang
21 2223X201 MOCHAMMAD RIDHO SISWANTO L 3279012502070001 45 165 15 110/80 neg
22 2223X202 MUHAMMAD NIRWAN GARZIA L 3279010608070002 51 165 15
KESEHATAN
23 2223X203 NANANG ABDUROHMAN L 3207190111060001 55 165 16
MENTAL TIDAK MASUK SEKOLAH
24 2223X204 NANDRA JUNIANSYAH L 3279021606060003 45 166 16 126/86 neg
25 2223X205 NATASHA PUTRI SUTRISNO P 7504054911060001 39 152 16 90/70 11.7 ringan
26 2223X206 NAZHIFAH ZUHROTUL UMMA P 3301016012060002 45 159 16 90/60
27 2223X207 NAZILLA NERAZURRI AZAHRA P 3207304611060001 50 160 16 100/70
28 2223X208 NAZLA NASYIFA P 3279014302070001 45 155 15 90/60 11.6 ringan
29 2223X209 PUTRI NURGINA ISKANDAR P 3207304911060002 50 160 16 106/77
30 2223X210 RAIHAN FARRAS WIBISANA L 3279010505070003 48 174 15 130/80
31 2223X211 RIZKY ANDHIKA PRIHANDINIE P 3279026007060001 58 163 16 113/83 9.6 sedang
32 2223X212 SULTAN SYAH NASUTION L 3279011512060003 42 175 16 100/70 neg
33 2223X213 THALITA SYAHLA CANDRANINGTYAS P 3207195606070001 45 167 15 107/72 11.2 ringan
34 2223X214 WINDI LESTARI P 3207196905060002 55 165 16 90/70 13.2 normal
35 2223X215 YENNI ADITIANA P 3279025508060001 40 15 16 114/80 10.8 sedang
36 2223X216 ZOYA AINI ZAHRA FIRMANSYAH P 3279014704060002 56 156 16 100/70 13.9 normal

KETERANGAN
di periksa : 12
normal 4
ringan 5
sedang 3
berat 0
 PEMERINTAH DAERAH PROVINSI JAWA BARAT
DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMAN 1 BANJAR
Jalan K.H. Mustofa No.1 0265- 741192
Website: www.sman1banjar.sch.id Email: mail@sman1banjar.sch.id
Banjar 46311

DATA PEMERIKSAAN KESEHATAN

KELAS X MIPA 7
No NIS Nama_Siswa L/P NIK Berat Badan Tinggi Badan Usia KET TENSI HB HIV ket HB
1 2223X217 AMADEA PRINCI SELFIANA P 3324045305070001 43 153 15 ANEMIA 100/80 11.7 ringan
2 2223X218 AURA SAKKA ANUGRAH L 3279030309060001 56 172 16 100/60 neg
3 2223X219 BAGAS ABDUL MANAF L 3279030112060002 81 175 16 140/90 neg
4 2223X220 CELVIN OKTOVIO L 3279021310060008 91 176 16 120/80 neg
5 2223X221 DELA PRADNYA MULYA ATMAJA P 3279015502070002 39 164 15 BRONKHITIS 110/70 11.8 ringan
6 2223X222 DITA SAFITRI ROSMIATI P 3279026011060001 68 169 16 120/80 10.5 sedang
7 2223X223 DIVA MAHARANI PRAYOGI P 3279025509060004 41 150 16 BRONKHITIS
8 2223X224 ERVAN ANTHONY GUSMARA L 3279022907070003 58 166 15 120/70
9 2223X225 FABIAN FASYA FIRMANSYAH L 3207170702070001 55 165 15 130/70 neg
10 2223X226 FAKHIRA HAFIDA ZAHRA P 3279026412060001 55 165 16 90/60
11 2223X227 FARIZ NUR HAKIKI L 3279012706060001 56 168 16 120/70
12 2223X228 FEBRIANI SRI GUNAWAN P 3279016402070001 65 168 15 110/70
13 2223X229 GAUREL TITAN ALBANI L 3279013112060002 36 164 16 SERING SAKIT 110/70
14 2223X230 GITA PUSPITA P 3279014208060001 40 150 16 110/70
15 2223X231 KEILA YUMNA PURHINDA P 3279026002070001 45 157 15 110/70 11.7 ringan
16 2223X232 MARISAH KRISTYANI MUNTE P 3279015509060003 50 155 16 120/70
17 2223X233 MOCHAMAD GEMPA TEKTONA L 3207181807070001 75 170 16 110/70 neg
18 2223X234 MOCHAMMAD RAIHAN AL FAUZI L 3279011011060001 42 166 16 108/70 neg
19 2223X235 MUHAMMAD FARHAN AGUNG FADILAH L 3207300408060001 46 160 16 111/70 neg
20 2223X236 NABILA VIDYA PRAMESTY P 3301154512060002 58 163 16 90/60

2223X237 NABILAH LUTHFIYYAH GHAISANI P 3279016110060001 45 154 16 BRONKHITIS&

21 ASMA 90/70
22 2223X238 NAUFAL FAWWAZ MUNAWWAR L 3207191811060003 34 134 16
23 2223X239 NAZWA CHIKA NURSABILA P 3279016912060002 55 157 16 90/60 13.3 normal
24 2223X240 RACHMA ALYA KHAERUNNISA P 3279034905070002 48 157 15 110/70
25 2223X241 RAYYNA AZAHRA PUTRI NUGRAHA P 3279024908070002 51 160 15 ASMA 125/80
26 2223X242 RIANTY ARIFAH DWIASTUTI P 3279044512060001 55 165 16
27 2223X243 RINDU KINTAMANIK P 3279036210070001 39 160 15 110/70 12.3 normal
28 2223X244 RUSLIE L 1571022805070001 56 165 15 120/80
29 2223X245 SANDY PRIYATMOJO L 3279032703070001 71 167 15 140/90
30 2223X246 SAVIRA RAMADHANI P 3279024610060003 37 155 16 123/69
31 2223X247 SHERIL KHAERUNNISA P 3206266201070002 42 150 16
32 2223X248 SYAHWA HASNAA HUSNIYYAH P 3279015809060001 42 152 16 110/75 12.9 normal
THALASEMIA
2223X249 SYAILA NURMALIA NUGRAHA P 3279026710070001 55 156 15
33 MINOR 100/60 12.5 normal
34 2223X250 VERA ELIZA RAHMAWATI P 3279014112060001 51 160 16 100/70
35 2223X251 ZAHRAN FEBRIAN NUGRAHA L 3207051202070002 55 165 15 120/80
36 2223X252 ZAINLAFAYZA ALIFIA P 3277014601070002 38 152 16 110/70

KETERANGAN
di periksa : 8
normal 4
ringan 3
sedang 1
berat 0
 PEMERINTAH DAERAH PROVINSI JAWA BARAT
DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMAN 1 BANJAR
Jalan K.H. Mustofa No.1 0265- 741192
Website: www.sman1banjar.sch.id Email: mail@sman1banjar.sch.id
Banjar 46311

DATA PEMERIKSAAN KESEHATAN

KELAS X MIPA 8
No NIS Nama_Siswa L/P NIK Berat Badan Tinggi Badan Usia KET TENSI HB HIV ket HB
1 2223X253 ADINDA PUTRI LESTARI P 3279015304070002 47 149 15 110/80 9.9 sedang
2 2223X254 AMELIA NUGRAHANDINI P 3279035103070001 45 15 15 100/70
3 2223X255 AMELIA NURSABRINA P 3207305502070002 46 157 15 100/60
4 2223X256 AZKA ASYIFA P 3273165904070003 34 145 15 120/70 9.9 sedang
5 2223X257 DAFFA KHAIRAN PUTRA PRIYATNA L 3279013010060001 50 170 16 100/80 neg
6 2223X258 DEWANTI OKTAVIANI P 3279024110060003 47 150 16 104/70
7 2223X259 DIGJAYANA DARMA PUTRA N L 3279030606070003 53 165 15 110/70 11.4 neg ringan laki-laki
8 2223X260 FARCHIKA MAULIDIA P 3279036403070003 67 163 15 100/70
9 2223X261 FARIDA RAHMAT P 3207195112060002 44 145 16 90/70
10 2223X262 FIRDAN HAIDAR HILMI L 3279021706070001 49 154 15 110/80
11 2223X263 GRAREVA OKTA PRATAMA L 3279022610060001 74 173 16 100/70 neg
12 2223X264 HAFIDZ AL AMIN PUTRA SOBA L 3279012006060006 49 170 16
13 2223X265 INDAH SUCI SALSABILA P 3279024206070001 45 153 15 110/70 11.2 ringan
14 2223X266 KELANA SAPUTRA L 3279031708060002 60 160 16 110/80
15 2223X267 KINANTY RIANI PUTRI HAKKA P 3279045607060001 29 136 16 100/70 neg
16 2223X268 MUHAMAD FARHAN ABDILLAH L 3279021311060001 49 172 16
17 2223X269 MUHAMMAD ERLANGGA NUGRAHA L 3279012703070001 62 173 15 100/80
18 2223X270 MUHAMMAD TYAGA FARREL A S L 3279011612070001 48 170 15 110/80
19 2223X271 NABILA GHINA ZAKYAH P 3207205411060004 46 162 16 BRONKHITIS 100/70 11.5 neg ringan
20 2223X272 NASYIFA AZZAHRA P 3207196803070001 45 146 15 110/80 9
21 2223X273 NINDIA AULIA PUTRIANA P 3279024601070002 47 150 16
22 2223X274 NISA NUR`AENI P 3279014501070002 51 157 16 120/70 10 neg sedang
23 2223X275 NIVA ZAFIRA YAHYA P 3207015705070001 86 153 15 110/80
24 2223X276 NURCAHAYA DAMAYANTI GLADYS E SIHOMBING P 3279027105070002 40 160 15 100/60
25 2223X277 PANDU GUSTI JATIWARUGA L 3279041807070001 93 166 15 140/70 neg
26 2223X278 PUTRI HAURA AINUN MAHYA P 5171036602080003 47 152 14 110/70
27 2223X279 RAIHAN RENJANA PASHA L 3279022110060003 55 16 16 120/70 neg
28 2223X280 RAYHAN RIZKY NASRULLOH L 3279023101070005 80 160 15 120/80 neg
29 2223X281 REGHINA AMAREL PUTRI P 3175074604070009 42 158 15 100/70
30 2223X282 SALWA DENISA SALSABILA P 2171024311069003 74 164 16 100/60
31 2223X283 SHOFHIA JULIA RAHAYU P 3207196607060005 43 157 16 ASMA 110/70 11.6 sedang
32 2223X284 SOFI HASNA PRATAMI P 3279015003070001 76 155 15 120/80 11.8 sedang
33 2223X285 VERAWATI FAZRIN P 3207296002070001 49 160 15 100/70
34 2223X286 VHIANDRA CHAESAR SURYA FIRDAUS L 3578170712060001 47 162 16 110/80
35 2223X287 YOLANDA ISMI NUR AGISTI P 3207306108060001 45 149 16 100/70 12.5 normal
36 2223X288 YUSUF MAULANA KHAMAMI L 9171030108070003 58 166 15 100/80

KETERANGAN :
di periksa Perempuan : 8 laki laki : 1
normal 1 ringan 1
ringan 2
sedang 5
berat 0
 PEMERINTAH DAERAH PROVINSI JAWA BARAT
DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMAN 1 BANJAR
Jalan K.H. Mustofa No.1 0265- 741192
Website: www.sman1banjar.sch.id Email: mail@sman1banjar.sch.id
Banjar 46311

DATA PEMERIKSAAN KESEHATAN

KELAS X IPS 1
No NIS Nama_Siswa L/P NIK Berat Badan Tinggi Badan Usia KET TENSI HB HIV ket HB
1 2223X289 ADE ALDI RAYYIHAAN NAWAA L 3279021503070001 48 167 15 110/70 NR
2 2223X290 ADIKA RIZKY FAUZI L 3279010512060002 54 170 16 110/80
3 2223X291 ALEA RAFA RISQULLOH L 3501052808060002 55 165 16 100/80 neg
4 2223X292 ALLENA TSANIA NISA P 3279024111060002 40 15 16 140/70
5 2223X293 ANISA PEBRIANTI P 3279036702070002 43 156 15 120/70
6 2223X294 ANJAS BUDI PRASETYA L 3301160502070003 50 17 15 90/70 neg
7 2223X295 ANNAHLA GADIZA DANNIS P 3301134907070001 54 158 15 110/80
8 2223X296 ARMYTA FEBRILIAN PAMUNGKAS P 3279024402070001 37 15 15 ANEMIA 117/80 11.4 ringan
9 2223X297 BORNOP ICHA LESTARIA BR SIHITE P 3279026001070002 40 150 16 90/70
10 2223X298 DIVA KHAIRINA ANDINY P 3279026508060001 34 167 16 120/70
11 2223X299 DIYENG ADHI LUHUNG L 3279022608060001 54 168 16
12 2223X300 ERICK ALFARIDZA SAMUDRA L 3279011706070001 59 155 15 110/70 neg
13 2223X301 ERIKSON SIALLAGAN L 1208112709060001 48 166 16 110/70 neg
14 2223X302 FAISHAL ARDIANSYA L 3279022503070001 60 160 15 100/80
15 2223X303 FERA AULIA RAHMA P 3279026310060001 40 165 16 140/70 12.2 normal
16 2223X304 GADIS VHIRA GUPTI P 3279036703070002 42 155 15 108/75 10.4 sedang
17 2223X305 GENDIS FIRLI HAFSARI P 3207196604060001 46 152 16 120/50
18 2223X306 IHSAN REGIAN FARELL L 3279011009060002 45 175 16 114/78
19 2223X307 KALINDA FANNA ANGGARA P 3207304607060001 50 160 15 90/80
20 2223X308 LAUDIA MEILIN AZHARI P 3279036105070002 52 156 15 100/60 9.7 sedang
21 2223X309 MELISA CITRA LESTARI P 3279024605070002 38 150 15 130/90 11.1 ringan
22 2223X310 MOCHAMAD DAVA OKTAVIAN L 3273150910060011 60 167 16 110/70 neg
23 2223X311 MUHAMMAD AL - GHIFARI L 3279032702070001 45 165 15 130/90 neg
24 2223X312 MUHAMMAD RABBIL SYAKUR L 3279011509060001 56 172 16 100/70 neg
25 2223X313 NABIILAH FAJRIN SUTISNA P 3278064402070005 55 165 15 100/70
26 2223X314 NAUFAL RAFID YUSRAN L 3279012001070002 49 165 16 120/70 neg
27 2223X315 NURROCHIMAH P 3276024706050016 32 138 17 100/80 9.9 sedang
28 2223X316 PASYA OKTA NURFADILLAH P 3279014410060001 42 158 16 ANEMIA 100/60
29 2223X317 REVANI DEWI AMELIA P 3279026401060002 53 160 17 120/80 11.5 ringan
30 2223X318 RIZNI NUR RAHMAYANI P 3279015201070001 54 155 16 ANEMIA
31 2223X319 ROZIK SAEPULROHMAN L 3207141509050002 40 140 16 120/80
32 2223X320 RYNALDI NAHUM MANUPPOL SIAHAAN L 3279021704070002 56 168 15 120/70 neg
33 2223X321 SITI HOLIFAH P 3279046710060004 55 165 16 100/80
34 2223X322 SYAFWAN DIDAN SAPUTRA L 3210072501070001 45 173 16 110/80 neg
35 2223X323 SYAILA HAZZATUN ARDIYAH P 3279014102070002 50 152 15 100/70 11.4 ringan
36 2223X324 TAZKIA KHOERUNNISA P 3279014607050002 48 157 16

KETERANGAN
di periksa : 8
normal 1
ringan 4
sedang 3
berat 0
 PEMERINTAH DAERAH PROVINSI JAWA BARAT
DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMAN 1 BANJAR
Jalan K.H. Mustofa No.1 0265- 741192
Website: www.sman1banjar.sch.id Email: mail@sman1banjar.sch.id
Banjar 46311

DATA PEMERIKSAAN KESEHATAN

KELAS X IPS 2
No NIS Nama_Siswa L/P NIK Berat Badan Tinggi Badan Usia KET TENSI HB HIV ket HB
1 2223X325 ALFAZ HUDZAIFA L 3279012207070002 58 16 15 120/70 neg
2 2223X326 ALIF FIRMANSYAH L 3279011708060001 46 17 16 120/80
3 2223X327 ALIIYAH NURUL FAIZAH ADIPRAJA P 3279025802070001 48 15 15 ANEMIA 100/70 7.8 berat
4 2223X328 ANBAR RANI P 3204445610060008 58 15 16
5 2223X329 ANE NURAENI P 3279034606070001 55 16 15 120/80 9.3 sedang
6 2223X330 ANNISA JUNIAR LARASATI P 3279035706070001 55 146 15 130/80
7 2223X331 ARIEL MULYAWAN L 3279030905060001 40 155 16
8 2223X332 AZAHRA VITARA P 3279015208060002 43 147 16 100/70 12.2 normal
9 2223X333 DAFFA JANUAR FARADILLA P 3279035801070001 35 151 16 100/60
10 2223X334 DESI DENIAH P 3279036112060001 55 165 16 110/70
11 2223X335 DESWITA MAILA SAKHAYA P 1571075812060101 40 162 16 80/70 10.6 sedang
12 2223X336 FAJAR SUTRISNO L 3207031311060002 50 164 16 120/70
13 2223X337 GALANG RAMADHAN FAHREZA L 3279012109070001 42 160 15
14 2223X338 GINA AULIA GUNAWAN P 3279016103060004 55 163 16 ASMA 110/70 9.4 sedang
15 2223X339 HASBI FAUZAN IRAWAN L 3207302307060002 62 163 16 110/70
16 2223X340 ICA AMELIA P 3207305205070001 50 160 15 ANEMIA 110/70 9.1 sedang
17 2223X341 IKA FEBRIANI P 3279036302070001 28 135 15 ASMA 110/70
18 2223X342 KAMAL RAMDHANI L 3279032809060001 45 167 16 100/60 neg
20 2223X344 MOCHAMAD FAHAD NURHAKIM L 3205022005070002 63 159 15 130/90
21 2223X345 MOCHAMMAD ABILLA DEVANKA L 3279012607060001 64 178 16 110/70
22 2223X346 MUHAMAD ADITYA L 3214122608060002 77 177 16 110/70 neg
23 2223X347 MUHAMAD SYAHRUL AWALUDDIN L 3279030406060001 56 162 16 100/80
24 2223X348 MUHAMMAD DZIKRI PRAYOGA L 3279011605060002 45 165 16 110/70 neg
25 2223X349 NABILA ELSA ALFIYANI P 3279014706070001 42 145 15 110/80 12 normal
26 2223X350 NAUFAL ATHA SIRAJ L 3279020102070001 55 16 15
28 2223X352 RAHMA SALWA P 3279024611060002 44 155 16 ASMA 120/70 12 normal
29 2223X353 REYHAN HILMAN AGUSTIN L 3279011008070001 30 165 16 100/70 neg
30 2223X354 ROSY NUR MAULANI P 3279015104070002 41 155 15 100/70
31 2223X355 SABILA MARSHA APRIANI P 3279016404070002 41 159 15
32 2223X356 SASKIA RAHMA JULIANSYAH P 3279014807060002 51 156 16 100/60
33 2223X357 SEPTIAN GUNADARMA L 3279020309060005 70 175 16 130/80 neg
34 2223X358 SUCI AULIA FEBRIANTI P 3279024102070004 34 138 15 BROKHITIS 110/80 9.7 sedang
BROKHITIS&
35 2223X359 SYIFA RAMADHANI EKA SUBEKTI P
3207205210060001 57 151 16 ASMA 10.8 sedang
36 2223X360 TSANY PUTRI HARDIYANTI P 3279015603070002 50 155 15 110/70

KETERANGAN
di periksa : 10
normal 3
ringan 0
sedang 6
berat 1
 PEMERINTAH DAERAH PROVINSI JAWA BARAT
DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMAN 1 BANJAR
Jalan K.H. Mustofa No.1 0265- 741192
Website: www.sman1banjar.sch.id Email: mail@sman1banjar.sch.id
Banjar 46311

DATA PEMERIKSAAN KESEHATAN

KELAS X IPS 3
No NIS Nama_Siswa L/P NIK Berat Badan Tinggi Badan Usia KET TENSI HB HIV ket HB
1 2223X361 ADIBAH NURUL INSANI P 3279036202070001 58 15 15 130/80 10.8 ringan
2 2223X362 AFIDINTA LAKSANA WAHID L 3279020905070002 40 160 15 130/70
3 2223X363 AGUNG RISWANA L 3207290801070001 50 170 16 110/70 neg
4 2223X364 ALYA FADHILAH P 3279016401070003 47 15 16 120/70 11.1 ringan
5 2223X365 ARIL TRIYANSAH PRIBADY L 3279010703070004 50 160 15 120/80 12.4 neg normal laki laki
6 2223X366 ATHIFA AZZAHRA P 3279015903070001 45 159 15 120/80
7 2223X367 AULIA SYAHNI KHOERUL FIKRIAH P 3279024707060001 46 158 16 120/80 12.1 neg normal
8 2223X368 BHAIQ ZASKIA AZZAHRA PERMANA P 3279014203080001 37 143 14 90/80 14.7 normal
9 2223X369 DIMAS SUBANDINI L 3279011812060003 49 163 16 100/80
10 2223X370 FACHRI RAMADHAN L 3279012010060001 51 168 16 120/80 neg
11 2223X371 FAREL RAIHAN CHANDRA L 3279012703070003 80 170 15 100/80 neg
12 2223X372 FIRSYA HANIA AULIA P 3279024405060002 58 158 16 110/70 11.4 ringan
13 2223X373 HANDIKA BAGUS PRATAMA L 3279022702070005 45 144 15 120/80
14 2223X374 HANJANI MEILANI P 3279036105060001 37 152 16 100/70 9.4 sedang
15 2223X375 HILMAN FIRMANSYAH L 3279022305060002 44 144 16 120/70 neg
16 2223X376 IKHSAN LUBAID CHAERUL L 3279012103070003 45 163 15
17 2223X377 ISNABILA SEPTIANI P 3207194309060001 55 16 16 120/70
18 2223X378 JOVITA DAHANA KUSUMA AYU P 3279015205060001 49 159 16 120/80 12.1 normal
19 2223X379 MEYTHA ANATASYA P 3279025705070001 45 157 15 101/78 10.5 sedang
20 2223X380 MOCHAMAD RIFFA KAFKA N L 3279031411060001 65 172 16 100/80 neg
21 2223X381 MUHAMMAD AIKEN NURSYIFA L 3279011209070001 65 156 15 124/80 neg
22 2223X382 MUHAMMAD HASBI ASH-SHIDIQIE L 3278052205060006 52 157 16
23 2223X383 MUHAMMAD RASYA DEFFERELL KAKA L 3279010707070006 63 162 15
24 2223X384 NABIL VIDYAPUTRI GARINDA P 3279025607070003 55 155 15 100/70
25 2223X385 NATHASYA FIRYAL AL FAJR P 3279016710070001 63 157 15 ANEMIA 110/80 10.9 sedang
26 2223X386 RISKA JULYA SHAFIRA P 3279016107070002 43 160 15 100/80 11.4 ringan
27 2223X387 SEPTI SYALAWATI SUKANDA P 3279024409070001 56 152 15 120/70 11.5 ringan
28 2223X388 SILVI YULIANI P 3279035907060001 25 136 16 110/80 10.1 sedang
29 2223X389 SYAHARA SUKMA ADITYA P 3207352610060001 55 165 16 120/70
30 2223X390 TASYA AMELIA PUTRI P 3279034306070003 82 156 15 130/80
31 2223X391 TRIO SHAKA IRPANA L 3279040802070001 55 165 15 100/80
32 2223X392 TRIYA NURHASANAH P 3279036011060002 55 165 16 120/80 10 sedang
33 2223X393 VITA RAHMATIYAH P 3174015612060011 65 156 16 120/70 11 ringan
34 2223X394 YERIKA FITRIYANI SOPYAN P 3279016010060003 40 152 16 110/70 11 ringan
35 2223X395 YESSA RAMADANI PUTRA L 3279021710060004 53 175 16 100/60

KETERANGAN
di periksa : perempuan : 15 Laki-laki : 1
normal 3 normal 1
ringan 7
sedang 5
berat 0
 PEMERINTAH DAERAH PROVINSI JAWA BARAT
DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMAN 1 BANJAR
Jalan K.H. Mustofa No.1 0265- 741192
Website: www.sman1banjar.sch.id Email: mail@sman1banjar.sch.id
Banjar 46311

DATA PEMERIKSAAN KESEHATAN

KELAS X IPS 4
No NIS Nama_Siswa L/P NIK Berat Badan Tinggi Badan Usia KET TENSI HB HIV ket HB
1 2223X397 ADE WIDIYA P 3207196810060001 57 159 16 90/80
2 2223X398 ADINDA AURELIA P 3279014412060003 38 160 16 100/70 10.9 sedang
3 2223X399 ADITIA PERMANA L 3279020701070001 42 180 16 110/70
4 2223X400 ADRYAN NURRACHMAN L 3279010507060001 55 170 16 130/75
5 2223X401 ALIYASA SYAHPUTRA L 3207191308060002 55 158 16 109/79
6 2223X402 ARINA RAMADHANI ENDRASMARA P 3207306809060001 50 160 16
7 2223X403 CALLYSTA HARA WAFA` P 3279036606070001 39 150 15 130/78 12 normal
8 2223X404 CLAUDIA VINANCIA KABAN P 6271036603070003 38 158 15 100/60
9 2223X405 DAVIKA ANDHARA REVA P 3278026009060005 42 148 16 117/87 13.2 normal
10 2223X406 DHEA ADISTHY NUR ISNAINI P 3279026601070002 60 155 16 130/90 10.9 sedang
11 2223X407 DINI ROSMAWATI P 3279014810960001 55 152 16 110/70
12 2223X408 EISYA FEBRIANTI P 3279025502070002 36 165 15 120/80
13 2223X409 FEBRIAN MUHLIKALKARIM SUKENDARA L 3207300702070001 50 160 15 120/70
14 2223X410 GALIH ARIFIA JAMIL L 3207352106070003 55 16 15
15 2223X411 GEMPAR PERMANA L 3279020612060001 65 170 16
16 2223X412 GILANG FIQRI PRATAMA L 3279010908060002 65 165 16 130/70
17 2223X413 GRASCIA BENFICA PIALAPUTRI P 3279015907070005 40 155 15
18 2223X414 LAVINA MARVA VANIA P 3279014903070001 49 160 15 100/60
19 2223X415 MANDA DWI ARYANY P 3279016312060001 45 154 16 100/70 11 ringan
20 2223X416 MARSYA RIZKANIA P 3279024503070001 63 165 15 100/70
21 2223X417 MAULANA ICHSAN L 3279011504070003 62 174 15 90/70
22 2223X418 MAWAR ARISKA SIAHAAN P 3279024805070001 50 154 15 100/80 12.1 normal
23 2223X419 MELAN NUR SA`ADAH P 3279036105070001 48 153 15 106/70 11.7 ringan
24 2223X420 MOCH IKHSAN MADANI HARAHAP L 3279012909060001 59 165 16 80/70 neg
25 2223X421 MUHAMAD FIQRY FATUROHMAN L 3279012505070001 53 159 15 100/80
26 2223X422 MUHAMMAD BARIQ ALFAIZ L 3279021202070001 75 165 15 120/80
27 2223X423 MUHAMMAD IMAM FIRDAUS L 3279022212060002 75 170 16 100/80
28 2223X424 MUTHYA FAHIRA DANIELLA P 3279036709070003 47 154 15 120/80 11.2 ringan
29 2223X425 NAMEERA ASHFIYA PUJIANA P 3207307010060002 40 148 16 100/60 10.9 sedang
30 2223X427 NIA MARSELINA P 3279010102070001 55 155 15 110/70 12 normal
31 2223X428 PIRLO AL-SHIRAZ FATURRAHMAN L 3279036803070001 55 165 15 120/80
32 2223X429 PRATISTA AINA FITRIA SANTOSO P 3174041903070003 45 170 15 110/70 12.2 normal
33 2223X070 TRI SASTIKA P 3279017010060002 55 151 16 120/80
34 2223X431 WANDA FEBRIANTY P 3279024102070001 42 158 15 120/87 12.2 normal
35 2223X432 ZIDAN IBNU SANIE L 3279012711060001 44 165 16 100/60

KETERANGAN
di periksa : 12
normal 6
ringan 3
sedang 3
berat 0