REKAPITULASI HASIL PENJARINGAN KESEHATAN PESERTA DIDIK

UPT PUSKESMAS CILAWU

Nama Sekolah : MTS Darul Arqam Putri Kelas VII A Tahun Ajaran 2018/2019

Tinggi Berat Tekanan Denyut Tajam

Jenis Kelamin Status Gizi Tajam Dengar Gigi & Mulut
Badan Badan Darah Nadi Penglihatan
No Nama Murid OM
TN Rongga Mulut Gigi
L P (cm) (Kg) (mmHg) (menit) N G K KS N RJ RD N
R S B LB BB Karies
1 Adhwa Rahil S P 148 45 100/70 80 N RJ T N Y
2 Afifah Tias Ramadhani P 142 40.1 100/70 80 N N T N Y
3 Afwa Muntaha P 146 55.1 90/60 82 N N T N T
4 Ahda Sabiela P -
5 Alika Khumaira P 154 83 100/70 100 G N T N T
6 Aliza Al-Farizi P 135 31 100/70 80 N N T N T
7 Alma Bunga S P 153.5 44 90/60 86 N N T N T
8 Amggia Ayuning L P 149 39 100/70 84 N N T N Y
9 Astri Herawat P 153.3 60 100/70 88 N N T N T
10 Azfasani Cindika P 142 31 100/70 87 N N T N Y
11 Azharatu Nisrina P 135.5 30 100/90 87 N RJ T N T
12 Azka Putri Awaliyah P 137.5 37 100/70 80 N N T N T
13 Azkia Qurottul Aini P -
14 Davina Salsabila P 148.5 40 90/60 87 N N T N T
15 Delvira Sit N P 145 38.5 100/70 80 N N T N T
16 Emilia Rofiatul K P 147.5 42 90/60 80 N N T N T
17 Evania Khoirunnisa P 143.5 30 90/60 80 N RJ T N Y
18 Faiza Khoirun Niswah P 150.5 35 110/90 80 N N T N T
19 Fariza Khaida P 145.7 45.1 90/60 80 N N T N T
20 Fathma Kirana P -
21 Fauziah Dita P -
22 Fajra Aina Sabila P 142 33.5 100/70 80 N N T N T
23 Firyal Nur Awalia W P 144.5 50 100/70 87 N N T N Y
24 Halwa Nur G P 143 50 100/70 90 N N T N T
25 Hanina Nisyatul P 145 35.6 100/70 80 N N T N T
26 Hasna Novia R P 150.5 35 100/70 82 N N T N T
27 Hesya Akila Faiza P - 88
28 Intan Putri N P 152.5 59 100/70 95 N N T N T
29 Jihan Kamila R P 143 35.6 100/70 88 N N T N Y
30 Kahla Mufida P 148.1 34 90/60 80 N RJ T N Y
31 Keisya Khaira P 147.5 30.5 100/70 84 N N T N Y
32 Keisya Wafa P 144.5 39 100/70 80 N N T N Y
33 Khaleesha Naury M P 164 63 90/60 100 N N T N Y
34 Mida Junisa P -
35 Nabila Dewi R P -
36 Nabila Sinar I P 152 55 100/70 80 N N T N y
37 Nadifa Rizkia N P
38 Nahla Hayatun P 145 45 90/60 90 N N T N Y
39 Naila Nafisa P 151 56.5 100/70 80 N N T N T
40 Najmi Huaida A P 139 30.5 100/70 80 N N T N Y
41 Naura Halia Billah P 141 31.5 100/70 80 N N T N Y
42 Nindya Anindita P 155 45.5 90/60 82 N N T N Y
43 Nuzia Shabira H P 153 48.1 100/70 80 N N T N T
44 Rahmah Silvia S P 155 46.5 100/70 88 N N T N T
45 Reinissa Zhafira R P 84 N N T N
46 Repa Amelia P 161 62.5 100/90 80 N N T N Y
47 Riendu Khairunnisa S P 80 N N T N T
48 Risyfa Aulia R P 152 65 90/60 80 N RJ T N Y
49 Sava Aqeela P 151 44 90/60 80 N N T N T
50 Sifa Silvia P 84 N N T N T
51 Syifa Syauqiyah S P 142 45.5 90/60 82 N N T N T
52 Tazkia Nadwa M P 156 43 90/60 78 N N T N Y
53 Tsurayya Meuthia R P 150 35.4 110/90 82 N N T N T
54 Vanya Fadia Aulia P 152 39 90/60 80 N N T N T
55 Wafa Badriyah S P 151 58 100/70 96 N N T N T
56 Windi Nuraeni P 147 50.5 100/70 90 N N T N T
57 Zita Aulia Labibah P 145 32 100/70 90 N N T N Y
58 Zulfa Az Zahra P 149 40.5 100/70 84 N N T N T
 Hasil Periksa Penunjang
Gangguan Kesegaran Jasmani
ME Risiko
Hb Anemia Kecacingan GAKY Segar Tidak Segar
T 13.5 T T S
T 12.9 T T S
T 13.5 T T S

T 11.8 Y T S
T 12.8 T T S
T 15.3 T T S
T 12.3 T T S
T 11.3 Y T S
T 12.4 T T S
T 15.2 T T S
T 13.3 T T S

T 13.3 T T S
T 15.3 T T S
T 11.1 Y T S
T 13.8 T T S
T 11.7 Y T S
T 11.8 Y T S

T 12.8 T T S
T 13.4 T T S
T 14.6 T T S
T 11.7 Y T S
T 10.9 T T S

T 14.5 T T S
T 15.2 T T S
T 12.3 T T S
T 12.2 T T S
T 16.3 T T S
T 12.2 T T S

T 16.3 T T S

T 14.3 T T S
T 13.9 T T S
T 15.3 T T S
T 11.3 Y T S
T 12.6 T T S
T T T S
T 12.7 T T S
T T T S
T 14.5 T T S
T T T S
T 12.8 T T S
T 14.6 T T S
T T T S
T 11.8 Y T S
T 11.8 Y T S
T 13.8 T T S
T 13.3 T T S
T 15.3 T T S
T 13.3 T T S
T 11.4 Y T S
T 14 T T S
Kepala UPT Puskesmas Cilawu

dr. Hj. Nia Soniawaty

NIP. 197204172003122005
REKAPITULASI HASIL PENJARINGAN KESEHATAN PESERTA DIDIK
UPT PUSKESMAS CILAWU
Nama Sekolah : MTS Darul Arqam Putri Kelas VII B Tahun Ajaran 2018/2019

Tinggi Berat Tekanan Denyut Tajam

Jenis Kelamin Status Gizi Tajam Dengar Gigi & Mulut
Badan Badan Darah Nadi Penglihatan
No Nama Murid OM
TN Rongga Mulut Gigi
L P (cm) (Kg) (mmHg) (menit) N G K KS N RJ RD N
R S B LB BB Karies
1 Adhira Uswah P 151.5 52.5 110/70 80 N N T N Y
2 Adinda Qurotu'aini Arif P 155.5 65 120/70 113 N N T N Y
3 Aini Zahra Nurjanah P 147.5 41 90/10 82 N RD T N Y
4 Alfie Fitriah P 149 65 100/70 90 N N T N T
5 Alzena Salwa F P 153.5 41 98/66 100 N RD T N Y
6 Angely Dzakiah P 146 28.2 90/60 80 N N T N Y
7 Anjali Zaeni P 158 45 110/70 86 N N T N T
8 Aulia Nur Ramdaniah P 154 47.5 100/70 84 N N T N Y
9 Azkia Hanifa P 149 60 100/60 88 N RD T N T
10 Fatmah Nur Abdillah P 148 47.5 113/80 87 N N T N T
11 Fatwa Aulia P
12 Geisha Alma Zafira P 155 43.7 90/60 80 N N T N T
13 Gifari Rahman P P 134 30 90/60 80 N N T N Y
14 Harmoni Oase Fatwa P 147 37 100/70 87 N RD T N T
15 Hasya Sabila Hendrayani P 147.5 41.5 100/60 80 N RD T N Y
16 Hilda Rosmalia Syarifah P 143.7 72.2 100/70 80 N RD T N Y
17 Ilma Briliant P 150 44.5 90/60 80 N RD T N Y
18 Indriyani Nurhidayah P 145.5 38 90/60 80 N RD T N Y
19 Kayla Natsukawa P 150 42.5 90/60 80 N N T N T
20 Malika Nurul Ardia P 149 51 100/70 80 N RD T N T
21 Marya Samirah P 155 47 90/60 80 N RD T N T
22 Michele Alzena Diafa P 157.5 55 100/70 80 N N T N T
23 Mutara Rahma Dewi P 152 59 115/60 87 N RD T N T
24 Nabila Safitri Rayadi P 149.5 43 100/70 90 N RD T N T
25 Nabilah Humaidah P 140 44 100/60 80 N N T N T
26 Nadin Saroswat Surya P 147 37.6 100/70 82 N N T N Y
27 Nadia Aulia Maulidina P 155 54 120/70 88 N N N N Y
28 Nailah Nazla Tufailah P 150 52.5 110/70 95 N N N N Y
29 Nazla Kamila Atfah P 152.5 54 120/80 88 N RD N N Y
30 Nashywa Nayla Adi Shahia P 156 52.5 90/60 80 N RD N N Y
31 Nayla Fathian Az-Zahra P 134.5 35 100/70 84 N N N N T
32 Nazla Fadilah P 149 41 100/70 80 N N N N T
33 Putha Rahmah Dahlan P 144 37.1 130/80 100 N RD N N T
34 Qaditah Nisrina Nazmi P 149 46 90/60 80 N RD N N Y
35 Rd. Agisna Sit Nurahma P 151 72.5 100/70 82 N RD N N T
36 Rafeyfa Aziza M P 150.2 37 90/60 80 N RD N N T
37 Rahmanisa A P 150.5 40 100/70 82 N N N N T
38 Refa Adhwa Gunawan P 153 55 120/80 90 N N N N T
39 Rezma Rahayuy P 140 32.6 90/60 80 N RD N N T
40 Rucita Asami Ramdani P 144 34.5 80/60 80 N N N N T
41 Rumaisha Qori Ainaya P 148 39 90/60 80 N N N N Y
42 Safana Raudah P 146.5 37 100/70 82 N N N N T
43 Salwa Aulia Bilqist P 150 37 90/60 80 N N N N T
44 Salwa Salsabila Nurdiman P 158.2 66.5 90/60 88 N RD N N T
45 Safana Durotul Yatma P 148.5 47.5 90/60 84 N N N N T
46 Sayyida Nafisa Tsurayya P 143.2 31 110/70 80 N N N N T
47 Shalma Adzikia Fatmawat Robbie P 157.5 53 90/60 80 N N N N T
48 Sit Irfani Abdillah P 144.2 39 90/60 80 N RJ N N T
49 Safira Jihan Marina P 143 29.5 100/70 80 N RD N N T
50 Syahla Andini Kusnarto P 157.5 49 110/70 84 N N N N T
51 Tsaalitsa Najma Alfitra P 147.7 31.5 100/70 82 N RD N N T
52 Tsaqfia Qathya Shaliha P 149.1 32 90/60 78 N N T N T
53 Tsuraya Dhiya Islami P 149 32 90/60 82 N N T N T
54 Wilda Muthmainah P 135 30 90/60 80 N N N N Y
55 Zahra Emiliana P 149.5 44.5 90/10 96 N RD N N Y
56 Zakiya Fauziah Mahfudz P 149 36 100/70 90 N RD N N T
57 Zalfaa Rihhadatul Aisya P 146 34.5 100/70 90 N N N N T
58 Zhafira Khaerunnisa Mirrah Hakim P 140.5 35 90/60 84 N N N N T
 Mengetahui,
Kepala UPT Puskesmas Cilawu

dr. Hj. Nia Soniawaty

NIP. 197204172003122005
 Hasil Periksa Penunjang
Gangguan Kesegaran Jasmani
ME Risiko
Hb Anemia Kecacingan GAKY Segar Tidak Segar
T 13.4 T T S
T 10.8 Y T S
T 11.7 Y T S
T 12.3 T T S
T 13.3 T T S
T 10.8 Y T S
T 13.9 T T S
T 12.8 T T S
T 12.5 T T S
T 15.9 T T S
T
T 13.3 T T S
T 9.6 Y T S
T 15.3 T T S
T 13.3 T T S
T 11.7 Y T S
T 11.7 Y T S
T 12.7 T T S
T 13.2 T T S
T 12.2 T T S
T 12.9 T T S
T 12.8 T T S
T 11.6 Y T S
T 13.4 T T S
T 13.4 T T S
T 12.9 T T S
T 11.3 Y T S
T 11.2 Y T S
T 11.7 Y T S
T 11.8 Y T S
T 11.7 Y T S
T 12.7 T T S
T 13.4 T T S
T 11.1 Y T S
T 11.1 Y T S
T 15.3 T T S
T 13.8 T T S
T 11.5 Y T S
T 11.6 Y T S
T 12.8 T T S
T 14 T T S
T 11.7 Y T S
T 11.8 Y T S
T 11.7 Y T S
T 11.3 Y T S
T 12.8 T T S
T 13.4 T T S
T 12.7 T T S
T 13.5 T T S
T 13.5 T T S
T 12.3 T T S
T 11.5 Y T S
T 12.8 T T S
T 12.4 T T S
T 11.6 Y T S
T 12.3 T T S
T 12.3 T T S
T 12.3 T T S
 Petugas UKS

Wida Resmiat, AMKG

NIP. 197302171993022003
REKAPITULASI HASIL PENJARINGAN KESEHATAN PESERTA DIDIK
UPT PUSKESMAS CILAWU
Nama Sekolah : MTS Darul Arqam Putra VII A Tahun Ajaran 2018/2019

Tinggi Berat Tekanan Denyut Tajam

Jenis Kelamin Status Gizi Tajam Dengar Gigi & Mulut
Badan Badan Darah Nadi Penglihatan
No Nama Murid OM
TN Rongga Mulut Gigi
L P (cm) (Kg) (mmHg) (menit) N G K KS N RJ RD N
R S B LB BB Karies
1 Afdal Kurnia L 153 42 110/70 88 N N N T
2 Ahmad Zaini R L 139 35 110/70 82 N N N Y
3 Azhar Syarif R L 175 61 100/70 88 N N N Y
4 Azka Dhiyaulhaq R.P L 135 36 100/70 80 N N N Y
5 Bintang Fisichella Mas'ud L 156 55 110/70 88 N N N T
6 Dewa Anugrah P.W L 149 41 110/70 80 N N N T
7 Zaki Sultan Rafif R L 158 44 120/80 90 N N N Y
8 Dzikri Munajat Alfaridzi L 145 39 100/70 82 N N N Y
9 Fadel Alibasa L 151 55 110/70 84 N N N T
10 Fauzi Ahmad Hawari L 142 43 100/70 82 N N N T
11 Fawwaz Zayyan Thoryan L 157 43 120/80 90 N N N T
12 Febriansyah Rizki Nurhanief L 150 69 120/80 90 N N N T
13 Hilman Rosyad L 141 33 90/60 78 N N N T
14 Khansa Eka Maulana L 159 49 100/70 82 N N N T
15 Ksatrianandika Ramdhani Arif L 152 45 100/70 80 N N N T
16 Mochamad Fadli Raplyansyah L 147 55 100/70 80 N RJ N T
17 Muhamad Rijki Abdillah L 130 26 100/70 86 N N N T
18 Muhammad Abyan Oktorio R L 145 42 100/70 86 N N N T
19 Muhammad Dawam Ikhsan L 168 55 100/70 88 N N N T
20 Muhammad Dzikri Asshidiq L 151 59 100/70 88 N N N Y
21 Muhammad Fadhil Mubarok L 153 51 100/70 90 N N N T
22 Muhammad Hafidz Habibulloh L 152 45 110/70 78 N N N T
23 Muhammad Harridhil Rais L 137 28 120/80 80 N N N T
24 Muuhammad Nabil Alfariza L 156 51 100/70 84 N N N Y
25 Muhammad Najib Al Ghifari L
26 Muhammad Nazlan Khairin L 153 47 100/70 90 N N N T
27 Muhammad Syafiq Lazuardi L 131 25 90/60 80 N N N T
28 Muhammad syaghif Zamany L 137 32 100/70 82 N N N T
29 Nadyan Bayu Nugraha L 156 51 100/70 80 N N N T
30 Oryza Satva Apriliansyah L 149 40 120/80 90 N N N T
31 Rafa Ghassan Rasydi L 146 34 100/70 78 N N N T
32 Rafli Dihyatul Qolbi L 148 38 90/50 82 N N N T
33 Rafli Putra Firdaus L 142 36 100/70 78 N N N T
34 Ridho Ananta Wibowo L 153 40 100/80 86 N N N Y
35 Rizqo Fadhilla Azmi L 139 33 120/80 80 N N N T
36 Sandi Septana L 157 47 100/70 90 N N N T
37 Talaga Abdul Wahid L 158 50 100/70 78 N N N Y
38 Uwais Al Qarni L 140 48 100/70 84 N N N T
39 Wildan Al Malik L 147 37 110/70 90 N N N T
40 Yidlis Ahmad Rausan Fikri L 137 30 90/60 85 N N N T

Mengetahui,
Kepala UPT Puskesmas Cilawu

dr. Hj. Nia Soniawaty

NIP. 197204172003122005
 Hasil Periksa Penunjang
Gangguan Kesegaran Jasmani
ME Risiko
Hb Anemia Kecacingan GAKY Segar Tidak Segar
T 13 T S
T 14.1 T S
T 13.7 T S
T 13.8 T S
T 14 T S
T 17.3 T S
T 14 T S
T 13.4 T S
T 12.2 T S
T T S
T 12.9 T S
T 11.5 T S
T 13.4 T S
T 13.9 T S
T 14 T S
T 14 T S
T 13.3 T S
T 14 T S
T 14.1 T S
T 15.9 T S
T 14.1 T S
T 13.6 T S
T 13.6 T S
T 14.3 T S
T
T 14.1 T S
T 13.3 T S
T 13.5 T S
T 15.1 T S
T 14.2 T S
T 14.2 T S
T 14.5 T S
T 12.2 T S
T 12.9 T S
T 15.3 T S
T 14.4 T S
T 15.2 T S
T 14 T S
T 14.7 T S
T 14.7 S

Petugas UKS

Wida Resmiat, AMKG

NIP. 197302171993022003
REKAPITULASI HASIL PENJARINGAN KESEHATAN PESERTA DIDIK
UPT PUSKESMAS CILAWU
Nama Sekolah : MTS Darul Arqam Putra VII B Tahun Ajaran 2018/2019

Tinggi Berat Tekanan Denyut Tajam

Jenis Kelamin Status Gizi Tajam Dengar Gigi & Mulut
Badan Badan Darah Nadi Penglihatan
No Nama Murid OM
TN Rongga Mulut Gigi
L P (cm) (Kg) (mmHg) (menit) N G K KS N RJ RD N
R S B LB BB Karies
1 Abbyaz Hibrizin Muslim L 140.5 35 100/60 75 N N T N T
2 Adil Muhammad Rizaldi L
3 Akmal Muhammad Safti L 136 31 100/70 80 N N T N T
4 Alifannuzula El Fikri L 145.5 62 100/70 82 N N T N T
5 Angkasa Putra Nur Ichsan L 150.5 43 110/70 88 N RJ T N T
6 Arkadia Hilmi Wijaya L 150.4 36 120/60 98 N N T N T
7 Arkan Tibyan L 137 37 100/60 88 N N T N T
8 Davy Muhammad Rizky L 148 55 110/80 86 N N T N T
9 Difar Al-Fadilah L 146 41 110/70 88 N N T N T
10 Diki Muhaemin Nurisman 149.5 39 100/70 87 N N T N T
11 Dzaky Abdurahman F L 143 36 100/70 82 N N T N T
12 Fadil Muhammad Haritz L 153 47 110/70 88 N N T N T
13 Fadillah Ramdani L 147.5 37 110/70 100 N N T N T
14 Firdaus Rais Mutaqiin L 135.5 28 90/60 70 N N T N T
15 Gema Muhammad Hianata L 144 29 90/60 70 N N T N T
16 M. Fikri Hafidz Amrulloh L 131.5 45 110/70 88 N N T N T
17 Mochammad Saqhy Fadillah L 139.5 30 100/60 93 N N T N T
18 Muhammad Rafi Athallah L 140.5 43 120/80 90 N N T N T
19 Muhammad Herfian Maulana W L 153.6 59 120/80 92 N N T N T
20 Muhammad Lutfi Al-Ghani L 149.5 46 120/60 82 N N T N T
21 Muhammad Hafidz Safwan D L 150 48 120/80 96 N N T N T
22 Muhammad Adi Mardiansyah L 132.5 32 90/70 82 N RJ T N T
23 Muhammad Akbar Rabbani A L 166 50 120/80 96 N N T N T
24 Muhammad Azka Arraya L
25 Muhammad Dafa Rizqullah L 147 56 120/80 90 N N T N T
26 Muhammad Gazi Humaidi L 143 44 110/60 81 N N T N T
27 Muhammad Hafidz Askari L 138 33 110/70 86 N N T N T
28 Muhammad Hafsi Al-Hawari L N T N T
29 Muhammad Haidar S.R L 155.5 48 110/70 90 N N T N T
30 Muhammad Michael Ibnu S L 155.5 50 120/80 100 N N T N T
31 Muhammad Naufal Rafiyullah L
32 Muhammad Rizki Nur Illahi L 136 30 120/70 98 N N T N T
33 Nabil hakim Satria P L 138 48 110/60 78 N N T N T
34 Nizar Ali Mufti L 150.5 47 120/70 85 N N T N T
35 Rezal Muhammad Faisal L 148.5 34 110/70 88 N N T N T
36 Saeep Hamzah Asyad Sulaiman L 146 47 110/70 85 N N T N T
37 Tegar Niswar Wibowo L 142.5 37 100/70 88 N N T N T
38 Wisnu Adiman L 158 64 120/80 99 N N T N T
39 Zaky Naufal Riyandi L 145 33 110/60 90 N N T N T
40 Zuhdan Muhammad Arif L 118 37 90/60 72 N N T N T

Mengetahui,
Kepala UPT Puskesmas Cilawu

dr. Hj. Nia Soniawaty

NIP. 197204172003122005
 Hasil Periksa Penunjang
Gangguan Kesegaran Jasmani
ME Risiko
Hb Anemia Kecacingan GAKY Segar Tidak Segar
T 11.3 T S
T
T 12.7 T S
T 13.7 T S
T 15.9 T S
T 15.3 T S
T 12.3 T S
T 11.2 T S
T 13.6 T S
T T S
T 14 T S
T 14.9 T S
T 12.3 T S
T 13.8 T S
T 13.4 T S
T 13.7 T S
T 12.8 T S
T 13.4 T S
T 15.9 T S
T 14.1 T S
T 12.3 T S
T 15.2 T S
T 13.9 T S
T
T 15.3 T S
T 14 T S
T T S
T T S
T 14.9 T S
T 14.1 T S
T
T 13 T S
T 14.1 T S
T 14 T S
T 11.2 T S
T 15.9 T S
T 14 T S
T 13.3 T S
T 14.7 T S
T 12.9 T S

Petugas UKS

Wida Resmiat, AMKG

NIP. 197302171993022003
REKAPITULASI HASIL PENJARINGAN KESEHATAN PESERTA DIDIK
UPT PUSKESMAS CILAWU
Nama Sekolah : MTS Darul Arqam Putra VII C Tahun Ajaran 2018/2019

Tinggi Berat Tekanan Denyut Tajam

Jenis Kelamin Status Gizi Tajam Dengar Gigi & Mulut
Badan Badan Darah Nadi Penglihatan
No Nama Murid OM
TN Rongga Mulut Gigi
L P (cm) (Kg) (mmHg) (menit) N G K KS N RJ RD N
R S B LB BB Karies
1 Abay Nabiel L 159 50 90/60 80 N N T N Y
2 Alif Ishomudin L 145 46 100/70 86 N N T N T
3 Arluby Zaini L 154.5 61 100/70 90 T N T N T
4 Bahy Faisal L 153 55 100/70 86 N RJ T N Y
5 Dzakwan L 151.5 66 100/70 82 N N T N T
6 Dzikri Gilang L 158 61 130/80 110 N N T N T
7 Fachril Andika L 143 36 90/60 86 N N T N Y
8 Fadlan Haekal L 139 34 110/70 90 N N T N T
9 Ghaza Algifhari L 152 55 90/60 80 T N T N T
10 Habib Alfarizi L 132.5 27 80/60 80 N N T N T
11 Ihsan Abdul Rohman L 153 47 100/70 80 N N T N Y
12 Imam Ibnu L 138 28 100/60 90 N N T N Y
13 Iqbal Abdul R L 150.5 46 100/70 88 N N T N Y
14 M. Darrylm p L 149 34 90/60 80 N N T N Y
15 M. Julfikar H L 156 52 110/70 88 N N T N T
16 M. Faisal L 138 30 80/60 60 N N T N T
17 M.Fikri R L 150.5 56 120/70 80 N N T N T
18 M.Rizki B L 139 33 90/10 78 N N T N T
19 M.Alif Rahmatullah L 153 40 120/80 90 N N T N T
20 M.Daffa L 164 72 120/80 90 N N T N T
21 M.Daffa N L 149.5 37 110/70 86 N N T N T
22 M.Fadil L 155 42 100/70 82 N N T N T
23 M.Faiz Fthula L 137.5 31 120/80 92 N N T N T
24 M.farhan L 145 38 90/60 82 N N T N T
25 M.Fathur Rahman A L 157 58 100/70 82 N N T N T
26 M.Irfan Hakim L 158 38 110/80 86 N N T N T
27 M.Rais Fauzan R L 153 44 100/70 85 N RJ T N Y
28 M.Rizki L 143 32 120/80 90 N N T N T
29 M.Umar Al Anshari L 158.5 50 100/70 80 N N T N T
30 Raditya Naufal Sandita H L 143 40 100/80 80 N N T N T
31 Rafi Sadad A L 140 52 120/80 90 N N T N Y
32 Rafiuddin M.Z L 163 54 120/80 96 N N T N T
33 Raihan M J L 140 44 100/70 86 N N T N T
34 Rizki Ramadan L 148 43 100/70 84 N N T N T
35 Savero Bintang B Z L 140.5 37 90/60 78 N N T N Y
36 Subhan Ahmad N.F L 147.5 43 80/60 87 N N T N T
37 Syifa Ramadhana Isban L 150 32 90/60 82 N N T N Y
38 Zaki Zikri Manan L 159 49 120/80 94 N N T N T
39 Zakiya Ahmad N L 144 42 100/70 86 N N T N Y
40 Zhundy Miftahulfallah A L 147 48 100/70 88 N N T N T

Mengetahui,
Kepala UPT Puskesmas Cilawu

dr. Hj. Nia Soniawaty

NIP. 197204172003122005
 Hasil Periksa Penunjang
Gangguan Kesegaran Jasmani
ME Risiko
Hb Anemia Kecacingan GAKY Segar Tidak Segar
T 16.5 T T S
T 12.3 T T S
T 16.6 T T S
T 13.9 T T S
T 12.3 T T S
T 12.1 T T S
T 13.1 T T S
T 15.2 T T S
T 14.1 T T S
T 12.9 T T S
T 14 T T S
T 13.7 T T S
T 15.2 T T S
T 13.3 T T S
T 12.8 T T S
T 13.7 T T S
T 15 T T S
T 18.9 T T S
T 13 T T S
T 15.9 T T S
T 14 T T S
T 14 T T S
T 12 T T S
T 13.3 T T S
T 15.3 T T S
T 13.4 T T S
T 15.3 T T S
T T S
T 12.9 T T S
T 14.1 T T S
T 12.9 T T S
T 14.5 T T S
T T S
T 15.8 T T S
T 13.4 T T S
T 12.3 T T S
T 12.7 T T S
T 14.1 T T S
T 13.6 T T S
T 14.4 T T S

Petugas UKS

Wida Resmiat, AMKG

NIP. 197302171993022003