REKAPITULASI PENJARINGAN KESEHATAN BERKALA SMP/MTs

DI WILAYAH PUSKESMAS WINDUAJI TAHUN 2017

JUMLAH PESERTA DIDIK

NO NAMA SEKOLAH
Kelas VII s/d IX Kelas VII Yang dijaring
L P Jml L P Jml L P Jml
1 MTs Manhalul Ahbab 32 27 59 9 4 11
2 SMP BU NU Paguyangan 79
3 SMP Muhammadiyah 02 Paguyangan
4 SMPN 02 Paguyangan
5 SMPN 03 Paguyangan 79 69

KEPALA PUSKESMAS WINDUAJI

dr. Hj MUDRIKAH
NIP
 Status Gizi Tajam Dengar Gigi dan Mulut
Tajam
Serumen OM
Penglihatan TN Rongga Mulut
N G OB K KS N
N RJ RO TR S LB LB BB
Gigi dan Mulut
Hasil Pemeriksaan Penujang Kebugaran Jasmani
Gangguan ME
Gigi Caries
Anemia Kecacingan Resiko GAKY Bugar Tidak Bugar

PENGELOLA UKS

MASDAR HELMI
NIP
 DAFTAR NAMA
MTs MANHALUL AHBAB

Kelas : I

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat BadanTinggi Badan Kelas 1 Yang dijaring
L P Jml L
1 Aziz Kurniawan 12 27 34 L L
2 Aziz Nuriduansyah 11 30 139 L L
3 Angger Dinata 12 0 0 L
4 Zaini Yahya 11 37 140 L L
5 M. Chandra 12 31 144 L L
6 Imtiaz Razan Gani 12 34 145 L L
7 M. Raf 12 37 144 L L
8 M. Rizki F 12 0 0 L
9 Fahmi 14 40 155 L L
10 Nuraeni 11 34 149 P
11 Putri Nabila K 11 37 151 P
12 Kholifatun Nisa Amelia 12 0 0 P
13 Zitta Aoliya E 13 39 155 P

Kelas : 8

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat BadanTinggi Badan Kelas 1 Yang dijaring
L P Jml L
1 Abim Ripansyah 14 34 151 L L
2 Ahmad Nurudin 13 36 148 L L
3 Aji Imron S 13 51 160 L L
4 Doni Setiawan 14 39 154 L L
5 Fudzal Ramadhani 14 49 153 L L
6 Galuh F H 12 41 148 L L
7 Gilang Husni F 13 37 152 L L
8 M. Labib F 13 48 160 L L
9 M. Rifai Nur H 13 31 138 L L
10 Mahmud Mustofa K 0 0 L L
11 M. Zidan Ali 14 40 147 L L
12 Ma'mun Al Kahf 14 48 155 L L
13 Nabil Rifki A 13 45 151 L L
14 Oktavianus 14 44 134 L L
15 Pandu Haryo G 0 0 L
16 Anisa Nur Aini 13 46 151 P
17 Difa Naidah Putri 13 48 155 P
18 Dina Melia Santi 13 33 145 P
19 Icha Gita Amanda 13 42 153 P
20 Jihan Johatunnisa 13 46 156 P
 21 Mayta Tri Wahyuni 14 35 144 P
22 Mufatun Umami 13 37 148 P
23 Nadia Ika Camelia 13 44 145 P
24 Siti Aisah 14 44 153 P
25 Tri Sohiroh 14 41 147 P
26 Wiranti Yulistiani 13 37 144 P
27 Wiwin Puji Lestari 13 0 0 P
28 Yunita Dwi Astuti 13 35 145 P

Kelas : 9

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat BadanTinggi Badan Kelas 1 Yang dijaring
L P Jml L
1 Ahmad Misbahudin 14 50 161 L L
2 Akbar Nugroho 15 49 160 L L
3 Akhmad Arifudin 14 50 141 L L
4 Arifn 15 0 0 L
5 Dustin Deffaro P H 15 48 157 L L
6 Ibnu Syakron A 14 56 156 L L
7 Maftuh Af 15 45 151 L L
8 M. Anifudin 14 45 157 L L
9 M. Khoerul 16 0 0 L
10 M. Subehi 15 37 138 L L
11 Renaldi 15 52 160 L L
12 Rizki Prasetyo H 15 40 155 L L
13 Eka Febiwiwianti 14 0 0 P
14 Eti Afriyani 14 40 147 P
15 Evarida Putri H 15 49 145 P
16 Inten Mustavia 14 48 147 P
17 Ita Pupitasari 14 39 155 P
18 Furi Rahayu 15 46 146 P
19 Triana Antika Putri 14 60 147 P
ESERTA DIDIK Status Gizi Tajam
Yang dijaring Penglihatan
N G OB K KS
P Jml N RJ RO
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0

ESERTA DIDIK Status Gizi Tajam

Yang dijaring Penglihatan
N G OB K KS
P Jml N RJ RO
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
 P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0

ESERTA DIDIK Status Gizi Tajam

Yang dijaring Penglihatan
N G OB K KS
P Jml N RJ RO
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
P N 0 0 0 0 N 0 0
 Tajam Dengar Gigi dan Mulut
Serumen OM TN Rongga Mulut
N Gigi Caries
TR S LB LB BB
Serumen 0 N 0 0 0 0 0 Sehat
Serumen 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier

Tajam Dengar Gigi dan Mulut

Serumen OM TN Rongga Mulut
N Gigi Caries
TR S LB LB BB
Serumen 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Sehat
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Sehat
0 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Sehat
Serumen 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Sehat
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Sehat
Serumen 0 N 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Sehat
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Sehat
0 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 0
Serumen 0 N 0 0 0 0 0 Carier

Tajam Dengar Gigi dan Mulut

Serumen OM TN Rongga Mulut
N Gigi Caries
TR S LB LB BB
0 0 N 0 0 0 0 0 Sehat
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Sehat
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 0
Serumen 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Sehat
0 0 N 0 0 0 0 0 0
Serumen 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Carier
0 0 N 0 0 0 0 0 Carier
Serumen 0 N 0 0 0 0 0 Carier
 Hasil Pemeriksaan Penujang Kebugaran Jasmani
Gangguan ME
Anemia KecacinganResiko GAKY Bugar Tidak Bugar

0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0

Hasil Pemeriksaan Penujang Kebugaran Jasmani

Gangguan ME
Anemia KecacinganResiko GAKY Bugar Tidak Bugar

0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
 0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0

Hasil Pemeriksaan Penujang Kebugaran Jasmani

Gangguan ME
Anemia KecacinganResiko GAKY Bugar Tidak Bugar

0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 0 tidak bugar
0 0 0 0 Bugar 0
 DAFTAR NAMA
SMP BU NU PAGUYANGAN

Kelas : VII A

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1
L P Jml
1 Abi Maulana 45 147 L
2 Ahmad Galih P 32 142 L
3 Aldo Saputra 39 144 L
4 Amel Indriyani 33 134 P
5 Anang Sulihan 39 147 L
6 Ariv Adi P 29 134 L
7 Cladia Devi L 31 139 P
8 Deliana Saftri 34 146 P
9 Dimas Maulana 36 141 L
10 Erna Purwati 39 148 P
11 Fatikhatunnada 60 143 L
12 Fatimah 35 146 P
13 Fatimah Azzahro 34 140 P
14 Fina Fauziah 40 143 P
15 Hidayatul Isnaeni 30 138 P
16 Ilman Nur Fahmi 31 136 L
17 Isyana Faqiha T 45 142 P
18 M. Wahyu Maulana 26 133 L
19 M. Zaenal Nadif 62 147 L
20 M. Noval Zaqi 30 128 L
21 M. Nurul Iman 35 146 L
22 Restu Pamuji 38 146 L
23 Revalina Fitria A 40 144 P
24 Riki Nurdiansyah 33 139 L
25 Sari Rusida 35 143 P
26 Siti Haflahatun Nisa 50 151 P
27 Syifa Nur Halimah 39 142 P
28 Ulfatun Fitri 35 144 P
29 Wasis Romadon 45 152 L
30 Widiastuti 34 151 P

Kelas : VII B

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan
 NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1
L P Jml
1 Ahmad Maulana S 49 152 L
2 Alin Asifa U 47 149 P
3 Alvin Maulana 40 149 L
4 Def Wulandari 46 154 P
5 Delia Ardiansyah 38 143 L
6 Desy Ratnasari 35 141 P
7 Diva Novel L 45 150 P
8 Evi Silvia Sari 39 152 P
9 Fadilah Ramadani 43 150 P
10 Firman Adi S 33 147 L
11 Fitrotul Barokah 26 133 P
12 Haidar Alwi 36 142 L
13 Hendi Prayogo 40 150 L
14 Irham Anja Fikri 34 148 L
15 Isnaeni 45 151 P
16 Isnaeni Nurun N 49 143 P
17 Luluh Musyaro F 45 150 P
18 M. Whayu Agus D 38 133 L
19 M. Adnan 30 141 L
20 M. Rizki L
21 M. Aenurrofq 30 138 L
22 M. Ma'arid 40 154 L
23 Najwa Anisa Mulya 28 138 P
24 Raf Mubarok 45 143 L
25 Salma Faiqoh 32 138 P
26 Siti Hawa Aesatun N 0 0 P
27 Siti Julekha 35 151 P
28 Sri Yulianti 41 147 P
29 Zahrotunnisa 34 151 P

Kelas : VII C

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1
L P Jml
1 Abdul Ghofur 46 148 L
2 Adi Irwanto 0 0 L
3 Andhika Yudha P 45 148 L
4 Dzurotun Nafsah 35 149 P
5 Farel Rafly F 29 133 L
 6 Hasyim Muzadi 42 151 L
7 Ibnu Tamam 32 144 L
8 Imroatul Fauziyah 35 136 P
9 Isma Laelatun Najwa 40 144 P
10 Lulu Nofsatul A 32 147 P
11 M. Harits E 33 143 L
12 M. Iqbal Ramadhan 28 133 L
13 Najmatul Ifadah 27 141 P
14 Naufal Nizam I U A 25 135 L
15 Putri Amaliatun Zahro 35 143 P
16 Radina Maya P 32 142 P
17 Ris Maulana Z 35 147 L
18 Romdan Maulana 32 145 L
19 Saabiqul Anam 31 137 L
20 Sely Septiani 35 137 P
21 Sindi Rahma Niati 39 154 P
22 Siti Azayati 35 144 P
23 Siti Elisa 40 149 P
24 Slamet Wahyudi 35 140 L
25 Subehi Solihin 52 148 P
26 Sya Bila Yahdini 85 161 P
27 Ulfatun Hidayah 49 143 P
28 Ulkih Nur Maulana 36 140 L
29 Yoga Nur Maulana 40 141 L
30 Yulianti 50 154 P

Kelas : VII D

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1
L P Jml
1 Aeniroh 35 145 P
2 Ahmad Sofyan L
3 Ajeng Sakinah Maulidia 34 140 P
4 Akhmad Mustain 55 163 L
5 Andrey Maulana 43 155 L
6 Angky Dwi Azhar 30 133 L
7 Anisah 38 148 P
8 Aris Munandar 44 159 L
9 Ayu Elyvia 35 146 P
10 Azam Ulul Azmi 0 0 L
11 Farikhatul Janah 45 154 P
12 Farizal Fakih 35 139 L
 13 Fika Amalia S 45 150 P
14 Fukron Firmansyah 43 149 L
15 Ichi Iqlima 0 0 P
16 Ifa Nur Fadilah 40 153 P
17 Ifda Andiyanto 32 146 L
18 Ismail Lailudin 60 167 P
19 Leli Ernawati 44 253 P
20 M. Rizal Flahi 45 153 L
21 Melatun Nisa P
22 Melisa Fifn Fania 45 150 P
23 Miftakhul Janah 39 145 P
24 M. Nur Faozan 40 147 L
25 Raf Romadon 35 145 L
26 Rini Atika 32 137 P
27 Rosi Salsabila 53 143 P
28 Yogi Saputra 45 153 L

Kelas : VII E

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1
L P Jml
1 Aliyatul Mukarromach 40 150 P
2 Askaruloh Agung P 30 143 L
3 Ayu Munziah 45 149 P
4 Dani Ardansyah 48 154 L
5 Daryono 40 158 L
6 Desi Retno N 53 140 P
7 Dimas Indra Kurniawan 35 136 L
8 Dimas Setyo 43 153 L
9 Dita Salsa Azzahra 48 140 P
10 Hestri astuti 50 147 P
11 Ibrokhim Khabibi 30 147 L
12 Ika Maulida 25 138 P
13 Ika Mulyani 40 149 P
14 Ilham Arof 61 158 L
15 Irham Anja Fikri 40 150 L
16 Khilatul Amaliyah 29 133 P
17 M. Nur Fauzy 39 156 L
18 Maulida Inayah 53 149 P
19 M. Zaki Mubarok 33 146 L
20 M. Fadli Asidiq 49 162 L
21 M. Fatir Ramadhan 43 144 L
22 Nafarotul Azkiya 34 145 P
 23 Nur Laela 35 137 P
24 Riziq Ilham 38 152 L
25 Salsabila Aulia P 35 141 P
26 Self Febriyanti 25 137 P
27 Siti Fatimah 45 150 P
28 Wisnu Irawan S 0 0 P
29 Yoga Adi P 25 141 L
30 Syaroful Ilmi 45 139 L
31 Gebytiasari 42 151 L

Kelas : VII F

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1
L P Jml
1 A Yuni Amalia 55 138 P
2 Abdhan Sukron AS 30 136 L
3 Adinda Cahyani N 45 146 P
4 Aenun Najla 50 147 P
5 Akhmad Najmi F 38 148 L
6 Amilatul Maola 40 136 P
7 Anifah Ulul Azmi 35 141 P
8 Aniqotul Najwa 30 139 P
9 Antik Komariah 39 153 P
10 Hana Fitriah 40 144 P
11 Ida Rahayu 40 146 P
12 Khaerul Anam 28 137 L
13 Laela Agustiningsih 31 137 P
14 M. Tegar Febrianto 32 142 L
15 Mahkota Shauqille F 38 141 L
16 Maidatul Khasanah 35 142 P
17 Malina Azkia 30 142 P
18 M. Khusen 30 136 L
19 M. Zidni 42 158 L
20 Nur Fauzan 40 164 L
21 Puput Maelinda 41 142 P
22 Riski Indah R 35 136 P
23 Samsul Huda 54 145 L
24 Sela Arbani 45 143 P
25 Sifaul Amaliyah 39 144 P
26 Siti Faiqoh 34 136 P
27 Siti Istiqomah 35 142 P
28 Titin Listyaninngsih 36 143 P
29 Wildan Baihaqi 36 153 L
30 Zidan Angga Saputra 53 162 L
UMLAH PESERTA DIDIK Status Gizi Tajam
Yang dijaring Penglihatan
N G OB K KS
L P Jml N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N

UMLAH PESERTA DIDIK Status Gizi Tajam

 Yang dijaring Penglihatan
N G OB K KS
L P Jml N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N

UMLAH PESERTA DIDIK Status Gizi Tajam

Yang dijaring Penglihatan
N G OB K KS
L P Jml N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
 N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N

UMLAH PESERTA DIDIK Status Gizi Tajam

Yang dijaring Penglihatan
N G OB K KS
L P Jml N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
 N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N

UMLAH PESERTA DIDIK Status Gizi Tajam

Yang dijaring Penglihatan
N G OB K KS
L P Jml N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
 N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N

UMLAH PESERTA DIDIK Status Gizi Tajam

Yang dijaring Penglihatan
N G OB K KS
L P Jml N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 Tidak Normal
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
N 0 0 0 0 N
 Tajam Tajam Dengar Gigi dan Mulut
Penglihatan Serumen OM TN Rongga Mulut
N
RJ RO TR S LB LB
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0

Tajam Tajam Dengar Gigi dan Mulut

Serumen OM
Penglihatan Serumen OM TN Rongga Mulut
N
RJ RO TR S LB LB
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0

Tajam Tajam Dengar Gigi dan Mulut

Penglihatan Serumen OM TN Rongga Mulut
N
RJ RO TR S LB LB
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
 0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0

Tajam Tajam Dengar Gigi dan Mulut

Penglihatan Serumen OM TN Rongga Mulut
N
RJ RO TR S LB LB
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
 0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0

Tajam Tajam Dengar Gigi dan Mulut

Penglihatan Serumen OM TN Rongga Mulut
N
RJ RO TR S LB LB
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
 0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0

Tajam Tajam Dengar Gigi dan Mulut

Penglihatan Serumen OM TN Rongga Mulut
N
RJ RO TR S LB LB
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 RD 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
0 0 0 0 N 0 0 0 0
 Gigi dan Mulut Hasil Pemeriksaan Penujang Kebugaran Jasmani
Rongga Mulut Gangguan ME
Gigi Caries Anemia KecacinganResiko GAKY Bugar Tidak Bugar
BB
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 0 Tidak Bugar
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0

Gigi dan Mulut Hasil Pemeriksaan Penujang Kebugaran Jasmani

Gangguan ME
Rongga Mulut Gangguan ME
Gigi Caries Anemia KecacinganResiko GAKY Bugar Tidak Bugar
BB
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 0 Tidak Bugar
0 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0

Gigi dan Mulut Hasil Pemeriksaan Penujang Kebugaran Jasmani

Rongga Mulut Gangguan ME
Gigi Caries Anemia KecacinganResiko GAKY Bugar Tidak Bugar
BB
0 Carier 0 0 0 0 Bugar 0
0 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
 0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0

Gigi dan Mulut Hasil Pemeriksaan Penujang Kebugaran Jasmani

Rongga Mulut Gangguan ME
Gigi Caries Anemia KecacinganResiko GAKY Bugar Tidak Bugar
BB
0 Carier 0 0 0 0 Bugar 0
0 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
 0 Carier 0 0 0 0 Bugar 0
0 Sehar 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0

Gigi dan Mulut Hasil Pemeriksaan Penujang Kebugaran Jasmani

Rongga Mulut Gangguan ME
Gigi Caries Anemia KecacinganResiko GAKY Bugar Tidak Bugar
BB
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 0 Tidak Bugar
0 Sehat 0 0 0 0 0 Tidak Bugar
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
 0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Carier 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0
0 Sehat 0 0 0 0 Bugar 0

Gigi dan Mulut Hasil Pemeriksaan Penujang Kebugaran Jasmani

Rongga Mulut Gangguan ME
Gigi Caries Anemia KecacinganResiko GAKY Bugar Tidak Bugar
BB
0 Sehat 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Carier 0 0 0 0 0 0
0 Carier 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Carier 0 0 0 0 0 0
0 Carier 0 0 0 0 0 0
0 Carier 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Carier 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Carier 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Carier 0 0 0 0 0 0
0 Carier 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Carier 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Carier 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
0 Sehat 0 0 0 0 0 0
 DAFTAR NAMA
SMP Muh. 02 PAGUYANGAN

Kelas : VII A

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1 Yang dijaring
L P Jml L
1 Ahmad Sahbana 34 140 L
2 Ajeng Diyat M 45 159 P
3 Ajeng Safria MR 40 149 P
4 Amelia Indriyani S 49 147 P
5 Ananda Rafli 34 144 L
6 Anggi Irawan 0 0 L
7 Anisa Fatin S 34 148 P
8 Anisa Trimaya A 49 148 P
9 Arlin Haya S 42 150 P
10 Arya Dwi P 31 140 P
11 Causar Defa A 0 0 L
12 Daffala Putra H 40 149 L
13 Dimas Indra H 0 0 L
14 Dino Bagus S 0 0 L
15 Erna Sari 40 140 P
16 Fadilah Nurf Asih 45 142 P
17 Faqih Pamungkas 30 139 L
18 Fitria Rahma N 50 152 P
19 Khoerunnisa L 30 148 P
20 M. Gilang Adi S 50 150 L
21 M. Nail Hilmy N 40 137 L
22 Najwa Shabira 33 150 P
23 Noval Anggi P 25 138 L
24 Nur Handika J 30 137 P
25 Putri Nabila S 29 133 P
26 Qurrotul 'Aini 33 139 P
27 Ratna Widia A 46 145 P
28 Riski Sulistio 46 154 L
29 Salman Farisi 35 132 L
30 Sofyatul Hidayah 46 140 P
31 Wahyu Aji F 40 147 L
32 Yasvika Lastuna H 36 142 P

Kelas : VII B

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan
NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1 Yang dijaring
L P Jml L
1 Andika Abdul Azis 337 142 L
2 Andira Putri 60 142 P
3 Ayunda Rahma 35 148 P
4 Bagas Putra P 35 148 L
5 Bella Mutia Aulia 40 145 P
6 Dani Brugman 0 0 L
7 Diah Wiwi K 40 144 P
8 Diki Satriya C 0 0 L
9 Dimas Febra S 28 120 L
10 Dimas Saputra 28 125 L
11 Febian Arki P 0 0 L
12 Fajar Miftah A 31 138 L
13 Farhahlail R 30 141 L
14 Kevin Nazari 0 0 L
15 Kiya Riski M 40 152 P
16 M. Khoerudin 0 0 L
17 M. Gugup Munajat 0 0 L
18 Nindika Budi 0 0 L
19 Nur Fuadiyah 45 155 P
20 Nur Hidayatulloh 0 0 L
21 Ramadan 34 140 L
22 Randika Alreno P 35 149 L
23 Randika Ardiyan 36 140 L
24 Rany Saputri 35 144 P
25 Sabila Febi R 35 140 P
26 Safra Fara Diba 36 140 P
27 Samsul Ma'arif 0 0 L
28 Septian Risqon M 39 144 L
29 Trisna Rahmawati 41 148 P
30 Trisno 45 154 L
31 Vebrina S N 47 154 P

Kelas : VII C

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1 Yang dijaring
L P Jml L
1 Ade Tri N 35 146 L
2 Ageng Wijoyo L
3 Aji Al Ihsan 45 165 L
4 Alya Zalfa R 49 154 P
5 Anastasya Dwi S 31 140 P
 6 Anggi Destiana Sari 55 145 P
7 Anggoro H 40 135 L
8 Ani Mahfroh 41 150 P
9 Anisa Urohimah 40 151 P
10 Azmi Aristawati 49 151 P
11 Bagus Cahya A 0 0 L
12 Bayu Aji Ponco P 0 0 L
13 Bilal Bayu P 0 0 L
14 Dimas Nazhif A 34 144 L
15 Dwi Fibry I 41 139 P
16 Faris Akbatr Z 0 0 L
17 Haifa Ayuf S 39 149 P
18 Hanifah R 33 127 P
19 Indi Luna A 36 144 P
20 Januar Dwi M 39 142 L
21 Kurnia Wati R 41 143 P
22 Lulu Zahrotun Nisa 40 148 P
23 Maulana T 30 144 L
24 M. Syafi 47 160 L
25 Nahna Mey H 46 155 P
26 Nanda Amelia 40 145 P
27 Restu Wahyu U 0 0 P
28 Rizqi Amelia R 40 146 P
29 Sifaun Najiyah 30 148 P
30 Sindi Dina S 51 160 P
31 Siti Hayati Naryah 42 166 P
32 Vinnesta Rizky J 0 0 P
33 Viona Adelia R 30 146 P
ESERTA DIDIK Status Gizi Tajam
Yang dijaring Penglihatan
N G OB K KS
P Jml N RJ RO
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0

ESERTA DIDIK Status Gizi Tajam

 Yang dijaring Penglihatan
N G OB K KS
P Jml N RJ RO
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0

ESERTA DIDIK Status Gizi Tajam

Yang dijaring Penglihatan
N G OB K KS
P Jml N RJ RO
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
 Tajam Dengar Gigi dan Mulut
Serumen OM TN Rongga Mulut Gangguan ME
N Gigi Caries
TR S LB LB BB
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0

Tajam Dengar Gigi dan Mulut

Serumen OM Gangguan ME
Serumen OM TN Rongga Mulut Gangguan ME
N Gigi Caries
TR S LB LB BB
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0

Tajam Dengar Gigi dan Mulut

Serumen OM TN Rongga Mulut Gangguan ME
N Gigi Caries
TR S LB LB BB
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
0 0 N 0 0 0 0 0 0 0
Hasil Pemeriksaan Penujang Kebugaran Jasmani
Anemia Kecacingan
Resiko GAKY Bugar Tidak Bugar

0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 Suspect Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0

Hasil Pemeriksaan Penujang Kebugaran Jasmani

Anemia Kecacingan
Resiko GAKY Bugar Tidak Bugar

0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0

Hasil Pemeriksaan Penujang Kebugaran Jasmani

Anemia Kecacingan
Resiko GAKY Bugar Tidak Bugar

0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
 DAFTAR NAMA
SMP 02 PAGUYANGAN

Kelas : VII A

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1 Yang dijaring
L P Jml L
1 Adelila Yola K 25 132
2 Adi Suryanto 49 149
3 Akhmad Rizki N H 34 139
4 Arum Kusumawati 39 152
5 David Febri S 28 134
6 Dekiana Indriani 46 147
7 Dita Irma S A P 42 148
8 Elga Fatin W 43 151
9 Erlinda 40 152
10 Geri Anggara A 37 142
11 Hamdan Izul R 35 141
12 Indah Nur S 28 131
13 Khof Ramadhan 38 130
14 Khosifatul Jannah 32 141
15 Meli Febiana 46 150
16 Mutiara Nurulita H 72 146
17 Nova Rahmawati 39 152
18 Pangestu huda W 26 140
19 Putri Nur F 59 148
20 Rania Afta S 29 136
21 Ref Agus B 35 140
22 Revi Auia R 31 141
23 Rido Saputra 38 147
24 Sahril Amir 32 141
25 Tivan Egi P 38 147
26 Topik 36 144
27 Widayat Putra R 31 141
28 Wisnu P 34 140
29 ulan Harina 48 157
Kelas : VII B

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1 Yang dijaring
L P Jml L
1 Afriska Indra P 37 146
2 Agus Nurohman 42 150
3 Andika Ramadani 74 162
4 Deska Bagas S 34 147
5 Duta Dwi S 26 136
6 Ergi Tri V 40 149
7 Fazaria Eki N H 44 155
8 Haikal Agung N 46 155
9 Isnatul Zenah 30 133
10 Ivan Ferdi S 43 149
11 Karina Nur A 40 147
12 Kiki Dwi P 36 149
13 Kukuh Yogi P 37 143
14 Laelatus Shhifa 40 143
15 Meilani Anggun P 44 142
16 Miftahu Sururi 34 144
17 Nila Agustin 40 142
18 Novandiko Dean A 0 0
19 Raf Muzaki 44 143
20 Rezid Dwi H 33 142
21 Rivandi Dwi P 38 141
22 Rizky Pratama 38 145
23 Sagian Riski W 35 139
24 Sahwa Aliya 38 151
25 Sofatun Naza 37 143
26 Tosa Egi U 41 144
27 Verga Elsa M 28 133
28 Wnada Nurul A 38 149
29 Weli Aprilia 39 148
30 Wiwit Dwi M 29 135
31 Yuli Wati 54 158
Kelas : VII C

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1 Yang dijaring
L P Jml L
1 Afri Uliayanti 43 150 P
2 Aidil Tri Bagus R 30 137 L
3 Ari Saputra 43 144 L
4 Arif Rahman Alfarizi 37 126 L
5 Dhela Alya Nur A 39 147 L
6 Desta Galang Putra P 44 159 P
7 Eri Sindi F S 65 151 L
8 Fajar Mei H 28 136 P
9 Fista Dea S 37 146 L
10 Innaanta Shinta A 34 149 L
11 Imam Dwi A 28 137 L
12 Jihan Ginanjar 48 153 P
13 Juan Ardian S 34 143 L
14 Karista Zahra P 39 137 P
15 Khoiril Muzaki 35 136 P
16 Lifa 25 141 L
17 Melani Fariqih 57 136 P
18 M. Firdaus A 42 150 P
19 Nofta 38 141 P
20 Rafta Sesi Anjani 58 144 P
21 Salis Salsabila 58 152 P
22 Sri Nuryati 38 141 P
23 Syarni Nur A 29 142 L
24 Titi Dwi L 39 149 L
25 Tiza Hassanta F 38 148 P
26 Tomi Aji P 33 141 P
27 Tri Wulandari 29 138 L
28 Wili Juli S 30 143 L
29 Windra Wigiyanto 39 150 P
30 Wiwit Satria G 28 140
SERTA DIDIK Status Gizi Tajam
Yang dijaring Penglihatan
N G OB K KS
P Jml N RJ RO
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
SERTA DIDIK Status Gizi Tajam
Yang dijaring Penglihatan
N G OB K KS
P Jml N RJ RO
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
SERTA DIDIK Status Gizi Tajam
Yang dijaring Penglihatan
N G OB K KS
P Jml N RJ RO
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
N 0 0 0 0 N 0 0
 Tajam Dengar Gigi dan Mulut
Serumen OM TN Rongga Mulut Gangguan ME
N Gigi Caries
TR S LB LB BB
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
 Tajam Dengar Gigi dan Mulut
Serumen OM TN Rongga Mulut Gangguan ME
N Gigi Caries
TR S LB LB BB
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
 Tajam Dengar Gigi dan Mulut
Serumen OM TN Rongga Mulut Gangguan ME
N Gigi Caries
TR S LB LB BB
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Carier 0
0 0 N 0 0 0 0 0 Sehat 0
0 0 N 0 0 0 0 0 Carier 0
Hasil Pemeriksaan Penujang Kebugaran Jasmani
Anemia KecacinganResiko GAKY Bugar Tidak Bugar

0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
Hasil Pemeriksaan Penujang Kebugaran Jasmani
Anemia KecacinganResiko GAKY Bugar Tidak Bugar

0 0 G1 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 0 Konsu/gigi
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 0 Tonsil
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
Hasil Pemeriksaan Penujang Kebugaran Jasmani
Anemia KecacinganResiko GAKY Bugar Tidak Bugar

0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 0 Konsil gigi
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
0 0 0 Bugar 0
 DAFTAR NAMA
SMP 03 PAGUYANGAN

Kelas : VII A

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1
L P Jml
1 Agustina Ayu L 40 147 P
2 Andika Kusuma P 45 145 L
3 Bryan Irawan 26 128 L
4 Budi Aji T M 32 132 L
5 Deski P 47 145 P
6 Devi Dwi A 29 138 P
7 Eva N 31 140 P
8 Faisal Adi F 35 143 L
9 Galih Dwi A 34 141 L
10 Indriyani Setyaningrum 35 144 P
11 Iqbal Rizki A 37 148 L
12 Jamal Abidin 54 163 L
13 Karimatul Hasanah 49 149 P
14 M. Muksin Jaelani 31 135 L
15 M. Iqbal Fatoni 35 145 L
16 Nia Ramadani 43 152 P
17 Peri Setiawan 32 138 L
18 Rehan Ananda S 32 138 L
19 Rio Sandy L 33 144 L
20 Riyan Gusti P 44 161 L
21 Satria Hadi M 32 137 L
22 Self Aningsih 32 142 P
23 Suci Indah L 28 145 P
24 Suci Rahmawaty 37 140 P
25 Supriyono 30 145 L
26 Suria Winoto 39 144 L
27 Tania 40 134 P
28 Widya Tri Ayu L 46 152 P
29 Wiki 34 142 L
30 Yusuf Ariyanto 38 150 L
Kelas : VII B

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1
L P Jml
1 Affandi Saputra
2 Agung Pamuji L
3 Andre Irawan S L
4 Anisa Rahayu P
5 Dafa D. Latif L
6 Deni Ardiansyah L
7 Diana Novitalia P
8 Diion Aji S L
9 Dwi Indah T P
10 Fadia Khainifa Yasin P
11 Gari Suseno L
12 Karisma Indah S P
13 Khalimi L
14 M. Syahdan L
15 Masali Mahfudz A A L
16 Maulana Febriyanto N L
17 Maya Agustin P
18 Nur Hotimah P
19 Rtna Soviani P
20 Rendianto L
21 Riko Agung P L
22 Rosita Esa P P
23 Sella Meilani P
24 Siska Pebiati P
25 Syaroful Anam L
26 Tri Wahyono L
27 Wili Yuliamti P
28 Winda Roslaia P P
29 Wisnu Leo P L
30 Yosi Eka S P

Kelas : VII C

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1
 NO NAMA UMUR Berat Badan
Tinggi Badan
L P Jml
1 Ahmad Berlian M L
2 Ami Giarti P
3 Andri Budiarto L
4 pitasari P
5 Arif Pamuji L
6 Asiah Nur N P
7 Deni Handika P P L
8 Dimas Agus W L
9 Duwi Yanti P
10 Dwi Cahya N P
11 Eka Sulistyani P
12 Firman Hakim L
13 Fitri Rahayu P
14 Hamka Putra S L
15 Joty Amelia S P
16 Kurniawan Tri Y L
17 Lupitasari P
18 M. Freddie Viqih R L
19 Nanda Ayu P P
20 Rahma Dwi S P
21 Reno Eki S L
22 Rifki Adri M L
23 Rifki Joni P L
24 Rivana S P
25 Riyanti P
26 Siti Maesaroh P
27 Wahyu Al Gani L
28 Wahyudin L
29 Wanito Deni S L
30 Wiwin Nofta P

Kelas : VII D

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1
L P Jml
1 Ade Maulana L
2 Agustina P
3 Ahizna Khoerul Anam L
 4 Amelia Iswatun M P
5 Anggun Sagita P
6 Anisa P
7 Aris Mujiono L
8 Aufal Baihaqi L
9 Eka Adi P L
10 Virgiana d L
11 Friska Anang B L
12 Gesti Virgiana Devi P
13 Giastara Narendra C H P
14 Hafd Hidayatulloh L
15 Handika L
16 Indiri Yezi S P
17 Kiki Abdul Kholik L
18 Lusi Monika R P
19 M. Ardiansyah L
20 Nika Diah U P
21 Olkhis Ramadan L
22 Pangestu Tri Utami P
23 Rani P
24 Ridho Imanulloh L
25 Rifania Astuti P
26 Rizal Fadli U L
27 Septia Dwi Dita M P
28 Siti Solikha P
29 Sulistyo Wati P
30 Wawan Hadi P L
31 Wulan Saftriyani P

Kelas : VII E

JUMLAH PESERTA DIDIK

NO NAMA UMUR Berat Badan
Tinggi Badan Kelas 1
L P Jml
1 Ahmad Soni M L
 2 Angga Nur Rizky L
3 Anis Fitriah P
4 Arin Setyaningsih P
5 Aris Rumono L
6 Bayu Akhmad F L
7 Dimas Bayu A L
8 Ernasari P
9 Fandi Faturrohman L
10 Fauzi Subianto L
11 Hana Anggun S P
12 Hendri Rasiya P L
13 Hugo Andrian R L
14 Ika Ismatul H P
15 M. Farkhan S L
16 Maharani Nur I P
17 Meri Andini P
18 Prastio L
19 Restu Lia Tari P
20 Rizki Setiawan L
21 Rizki Wijaya L
22 Rohati Prima P P
23 Salman Al Farisi L
24 Self Oktofani P
25 Serli Murdiana P
26 Windi Asuti P
27 Wisma Anggita A P
28 Yesa Sofanti P
29 Yoga Pranata L
30 Yogi Panca S L
UMLAH PESERTA DIDIK Status Gizi Tajam
Yang dijaring Penglihatan
N G OB K KS
L P Jml N RJ
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
UMLAH PESERTA DIDIK Status Gizi Tajam
Yang dijaring Penglihatan
N G OB K KS
L P Jml N RJ
N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0

UMLAH PESERTA DIDIK Status Gizi Tajam

Yang dijaring Penglihatan
N G OB K KS
 N G OB K KS
L P Jml N RJ
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0

UMLAH PESERTA DIDIK Status Gizi Tajam

Yang dijaring Penglihatan
N G OB K KS
L P Jml N RJ
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
 P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0

UMLAH PESERTA DIDIK Status Gizi Tajam

Yang dijaring Penglihatan
N G OB K KS
L P Jml N RJ
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
P N 0 0 0 0 N 0
L N 0 0 0 0 N 0
L N 0 0 0 0 N 0
 Tajam Tajam Dengar Gigi dan Mulut
Penglihatan Serumen OM TN Rongga Mulut
N Gigi Caries
RO TR S LB LB BB
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
 Tajam Tajam Dengar Gigi dan Mulut
Penglihatan Serumen OM TN Rongga Mulut
N Gigi Caries
RO TR S LB LB BB
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0

Tajam Tajam Dengar Gigi dan Mulut

Penglihatan Serumen OM TN Rongga Mulut
N Gigi Caries
 Serumen OM
N Gigi Caries
RO TR S LB LB BB
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0

Tajam Tajam Dengar Gigi dan Mulut

Penglihatan Serumen OM TN Rongga Mulut
N Gigi Caries
RO TR S LB LB BB
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
 0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0

Tajam Tajam Dengar Gigi dan Mulut

Penglihatan Serumen OM TN Rongga Mulut
N Gigi Caries
RO TR S LB LB BB
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
0 0 0 N 0 0 0 0 0 0
 Hasil Pemeriksaan Penujang Kebugaran Jasmani
Gangguan ME
Anemia KecacinganResiko GAKY Bugar Tidak Bugar

0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
 Hasil Pemeriksaan Penujang Kebugaran Jasmani
Gangguan ME
Anemia KecacinganResiko GAKY Bugar Tidak Bugar

0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0

Hasil Pemeriksaan Penujang Kebugaran Jasmani

Gangguan ME
Anemia KecacinganResiko GAKY Bugar Tidak Bugar
Gangguan ME
Anemia KecacinganResiko GAKY Bugar Tidak Bugar

0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0

Hasil Pemeriksaan Penujang Kebugaran Jasmani

Gangguan ME
Anemia KecacinganResiko GAKY Bugar Tidak Bugar

0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
 0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0

Hasil Pemeriksaan Penujang Kebugaran Jasmani

Gangguan ME
Anemia KecacinganResiko GAKY Bugar Tidak Bugar

0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0
0 0 0 0 Bugar 0