REKAP DATA KASAR 1SD v4

Jenis Kelamin
No Nama Pemeriksa Nama Siswa yang Diperiksa Kelas

Laki-laki
1 Albert Sandjaya Putra Abdilla Faiz Anugrah Al Faridzi IA ✓
2 Albert Sandjaya Putra Akmal Mulia Kadisaputra IA ✓
3 Albert Sandjaya Putra Adelia Bilqis Nur Kholifah IA
4 Albert Sandjaya Putra Agiska Arya Dhica IA ✓
5 Albert Sandjaya Putra Aisya Putri IA
6 Albert Sandjaya Putra Aisyah Istiqomah Nurrohmadani IA
7 Lynda Milsa Alfian Rizka Saputra IA ✓
8 Lynda Milsa Alika Avrillya Sari IA
9 Lynda Milsa Almas Salwa Salsabila IA
10 Lynda Milsa Cinta Dwi Aryni Putri IA
11 Lynda Milsa Kayla Fatima Faliha IA
12 Lynda Milsa Kevin Putra Pradana IA ✓
13 Caroline Manuela Hartanto Equienne Bellvania Putri IA
14 Caroline Manuela Hartanto Dimas Saputra Maulana IA ✓
15 Caroline Manuela Hartanto Dimas Muhammad Yusuf IA ✓
16 Caroline Manuela Hartanto Setara Khansa Sabila IA
17 Caroline Manuela Hartanto Dinda Cahya Kinanti IA
18 Caroline Manuela Hartanto Davito Revan Putra IA ✓
19 Nadya Kurnia Putri Nathanael Wasih Putra IA ✓
20 Nadya Kurnia Putri Hanifah Dinny Aliyah IA
21 Nadya Kurnia Putri Irfan Maulana Ashari IA ✓
22 Nadya Kurnia Putri Hafsoh Arfa Nur J. IA
23 Nadya Kurnia Putri Halimatussa'diyah IA
24 Nadya Kurnia Putri Karunia Indah Pradita IA
Jumlah 10
Jenis Kelamin
Laki-laki
1 Chintia Arifa Priyanti Ramadhan Bintang Sugiyanto IB ✓

2 Chintia Arifa Priyanti Rani Apriyanti Hamdani IB
3 Chintia Arifa Priyanti Rayhan Dwi Prakoso IB ✓
4 Chintia Arifa Priyanti Raynathan Dzaki Mansa IB ✓
5 Chintia Arifa Priyanti Rebelliona Pradipa Rara Gulton IB
6 Chintia Arifa Priyanti Revanna Thalita Arsany IB
7 Chintia Arifa Priyanti Ridho Ahmad Fauzan IB ✓
8 Afra Hatim Nanang Irham Maulana IB ✓
9 Afra Hatim Nathan Putra Heryuansa IB ✓
10 Afra Hatim Organ Vebriyan Saputra IB ✓
11 Afra Hatim Nakira Mutiara Zahwa IB
12 Afra Hatim Rafa Rifana Rahim IB
13 Afra Hatim Naning Dhewi Maharani IB
14 Afra Hatim Nilam Ayu Artanto IB
15 Aulia Ayub Khansa Wahiba Muna IB
16 Aulia Ayub Krisnantyo Wahyu Ramadhan IB ✓
17 Aulia Ayub Muhammad Bagus Ramadhan IB ✓
18 Aulia Ayub Muhammad Juf Romiz IB ✓
19 Aulia Ayub Muhammad Luthfi Raditya IB ✓
20 Aulia Ayub Muhammad Ramadhan Tuaryma IB ✓
21 Aulia Ayub Nadia Aiko Widya Destiano IB
22 Nur Annisa Cahyani Sadewa Raka P IB ✓
23 Nur Annisa Cahyani Shafa Diil Shelo IB
24 Nur Annisa Cahyani Robikhakaf Kafano A IB ✓
25 Nur Annisa Cahyani Zidna Ilma IB
26 Nur Annisa Cahyani Septian Andika P IB ✓
27 Nur Annisa Cahyani Tira Zakia IB
Jumlah 15
Jenis Kelamin
Laki-laki
1 Krisna Devara Pramuditya Afira Erna Dwi Asyifa II A

2 Krisna Devara Pramuditya Aima Cinta Habeahan II A
3 Krisna Devara Pramuditya Al Azhar Putra Nugraha II A ✓
4 Krisna Devara Pramuditya Aldy Siswo Priambodo II A ✓
5 Krisna Devara Pramuditya Anas Ramadhan II A ✓
6 Krisna Devara Pramuditya Aquna Odrielio Frasya NakasaputraII A ✓
7 Ellindamayanti Arief Prasetyo Budi Nugroho II A ✓
8 Ellindamayanti Asia Yulita II A
9 Ellindamayanti Ayra Jameera Maryam II A
10 Ellindamayanti Dian Novita II A
11 Ellindamayanti Hanum Asafa II A ✓
12 Ellindamayanti Noarfa Dava Refaldi II A ✓
13 Citra Ayu Widowati Dinar Satria II A ✓
14 Citra Ayu Widowati Devan Angga II A ✓
15 Citra Ayu Widowati Bagas Agustya II A ✓
16 Citra Ayu Widowati Azzahra II A
17 Citra Ayu Widowati Azalia Teguh II A
18 Citra Ayu Widowati Dewi Arum II A
19 Citra Ayu Widowati Darean Clevrich II A ✓
20 Presty Dwi Fitriani Dyandra Shinta Dewi II A
21 Presty Dwi Fitriani Elvaretta Angelina Andriani II A
22 Presty Dwi Fitriani Elvinda Mutiara Sahira II A
23 Presty Dwi Fitriani Fahroni Nugroho II A ✓
24 Presty Dwi Fitriani Fanesha Putri Ramadhani II A
25 Presty Dwi Fitriani Findhita Berliani Saputri II A
26 Presty Dwi Fitriani Fira Rahmawati II A
Jumlah 12
Jenis Kelamin
Laki-laki
1 Delia Nigrahaning Rasti Muhammad Khadafi II B ✓

2 Delia Nigrahaning Rasti Muqorrobin Huda II B ✓
3 Delia Nigrahaning Rasti Rasyid Imam Febri II B ✓
4 Delia Nigrahaning Rasti Ridwan Nur Masjid II B ✓
5 Delia Nigrahaning Rasti Zaki Arkana Favian II B ✓
6 Delia Nigrahaning Rasti Silfi Adhila Putri II B
7 Muhammad Rezky Solehin Galang Bangkit Satrio II B ✓
8 Muhammad Rezky Solehin Janisya Cahya Rini II B
9 Muhammad Rezky Solehin M. Satria Tri Kurniawan II B ✓
10 Muhammad Rezky Solehin Raditya Javas Nararya II B ✓
11 Muhammad Rezky Solehin Rayyanadra Jati Mannaf II B ✓
12 Muhammad Rezky Solehin Risma Indriani II B
13 Muhammad Rezky Solehin Syafira Shinta Pradewi II B
14 Muhammad Rezky Solehin Zivanna Anzelia Arteta II B
15 Ainul Khusna Yuka Tegar Wicaksono II B ✓
16 Ainul Khusna Rafa Aidil El-Gunawan II B ✓
17 Ainul Khusna Muna Aini Mufidah II B
18 Ainul Khusna M. Afrizza Al-faridzi II B ✓
19 Ainul Khusna Keandre Panji Meda II B ✓
20 Ainul Khusna Galeh Bangkit Satrio II B ✓
Jumlah 14
Jenis Kelamin
Laki-laki
1 Faiz Rahma Mumpuni Dava Anditya III A ✓
2 Faiz Rahma Mumpuni Cira Annoura III A
3 Faiz Rahma Mumpuni Chaya Duanta Aulia III A
4 Faiz Rahma Mumpuni Bimo Satrio Cahyo Nugroho III A ✓
5 Faiz Rahma Mumpuni Azzalya Syifa Setyawan III A
6 Faiz Rahma Mumpuni Aulia Salsa Billa III A
7 Faiz Rahma Mumpuni Aisyah Ayu Susanto III A
8 Ryadhiljannah Aufa Pratama III A ✓
9 Ryadhiljannah Devano Dwi Nurrohman III A ✓
10 Ryadhiljannah Devino Dwi Nurrohman III A ✓
11 Ryadhiljannah Ega Arifah Larasati III A
12 Ryadhiljannah Elsa Arifah Nugrahani III A
13 Ryadhiljannah Fadhil Khoiru Mafaza III A ✓
14 Ryadhiljannah Fajar Hafidh Saputra III A ✓
15 Angelica Dian Mita Akhmelia Nur Fajrina III A
16 Angelica Dian Mita Amira Nathaniela III A
17 Angelica Dian Mita Andika Alvin Pratama III A ✓
18 Angelica Dian Mita Ansyifa Nur Naafi'ah III A
19 Angelica Dian Mita Aryo Wicaksono III A ✓
20 Angelica Dian Mita Atik Permata Sari III A
21 Fun Nagede Adinsyah Adika Gerard Abimayu III A ✓
22 Fun Nagede Adinsyah Aditya Rizky Pratama III A ✓
23 Fun Nagede Adinsyah Afifah Resky Pramadita III A
24 Fun Nagede Adinsyah Agna Fatma Sari III A
25 Fun Nagede Adinsyah Ahmad Alzarizko III A ✓
26 Fun Nagede Adinsyah Aisha Meydina Puspasari III A
27 Fun Nagede Adinsyah Akbar Yuko Hartanto Putro III A ✓
Jumlah 13
Jenis Kelamin
Laki-laki
1 Millatina Eva Fitria Galih Setyo Nugroho III B ✓
2 Millatina Eva Fitria Gana Jaya Prasetyo III B ✓
3 Millatina Eva Fitria Habib Affan Syathir III B ✓
4 Millatina Eva Fitria Jasmine Putri Dandy III B
5 Millatina Eva Fitria Jessica Dwi Anindya III B
6 Millatina Eva Fitria Jihan Nurmalita Putri III B
7 Millatina Eva Fitria Khanza Kalyca Suwandono III B
8 Arum Trisnaningtyas SP Linda Ulfi Hanifah III B
9 Arum Trisnaningtyas SP M. Mirza Rahadian III B ✓
10 Arum Trisnaningtyas SP M. Adieb Akbar Habibie III B ✓
11 Arum Trisnaningtyas SP Natasya Adinda S III B
12 Arum Trisnaningtyas SP Nadia Ayu Ningrum III B
13 Arum Trisnaningtyas SP Navicka Ayunda L III B
14 Isnaeni Sal Mah Hayuti Navisa Monahara A. P. III B
15 Isnaeni Sal Mah Hayuti Nurma Rinda R III B
16 Isnaeni Sal Mah Hayuti Putri Diandra A. M. III B
17 Isnaeni Sal Mah Hayuti Raditya Awani III B ✓
18 Isnaeni Sal Mah Hayuti Rasel Adi Putra III B ✓
19 Isnaeni Sal Mah Hayuti Rayyana Qalbulshali III B
20 Isnaeni Sal Mah Hayuti Riyan Ragil Saputro III B ✓
21 Intan Kartika P.S. Rizkya Ichi Zakaria III B
22 Intan Kartika P.S. Septi Fitri Ardiani III B
23 Intan Kartika P.S. Sintya Bella Putri R. III B
24 Intan Kartika P.S. Sintya Insani Amelia III B
25 Intan Kartika P.S. Zika Azzahra III B
Jumlah 8
Jenis Kelamin
Laki-laki
1 Ellindamayanti Ardania Mesya Hastani IV A

2 Ellindamayanti Auryn Shareta Kurniahany IV A
3 Ellindamayanti Baras Putra Wicaksono IV A ✓
4 Ellindamayanti Benyamin Al Habibi IV A ✓
5 Ellindamayanti Devara Satya Putra Hutama IV A ✓
6 Caroline Manuela Hartanto Esstery Barakuana IV A ✓
7 Caroline Manuela Hartanto Anugerah Fauzan Alfaridzi IV A ✓
8 Caroline Manuela Hartanto Elvira Chairunissa IV A
9 Caroline Manuela Hartanto Elyan Dika Aditya IV A ✓
10 Caroline Manuela Hartanto Fajar Dwi Saputra IV A ✓
11 Faiz Rahma Mumpuni Friska Amelia Safitri IV A
12 Faiz Rahma Mumpuni Fika humaira IV A
13 Faiz Rahma Mumpuni Chesya Nada Berliana IV A
14 Faiz Rahma Mumpuni Ghayda Nafisah Jihan Labibah IV A
15 Presty Dwi Fitriani Jessica Tungga Dewi Sunandar IV A
16 Presty Dwi Fitriani Ginariswari Ratna Ismaya IV A
17 Presty Dwi Fitriani Imannuelo Yunaz Efraim IV A ✓
18 Presty Dwi Fitriani Kayla Azzura Lufitawati IV A
19 Fun Nagede Adinsyah Agtifa Candra Pramesti IV A
20 Fun Nagede Adinsyah Ahmad Arkan Nandana Naban IV A ✓
21 Fun Nagede Adinsyah Ahmad Syarif Ashari IV A ✓
22 Fun Nagede Adinsyah Alfino Ferdiansyah IV A ✓
23 Albert Sandjaya Andika Ragil Alifian IV A ✓
24 Albert Sandjaya Anindya Kirani IV A
25 Albert Sandjaya Anugerah Fauzi Alfaridzi IV A ✓
26 Albert Sandjaya Fauzan Setyo Nugroho IV A ✓
27 Albert Sandjaya Aloysius Julio Wase Putra IV A ✓
Jumlah 15
Jenis Kelamin
Laki-laki
1 Intan Kartika P.S. Linda Ayu Pratiwi IV B
2 Intan Kartika P.S. Muhammad Rasya Putra IV B ✓
3 Intan Kartika P.S. Novita Dwi Nur Aini IV B
4 Intan Kartika P.S. Satya Noer Rachman IV B ✓
5 Intan Kartika P.S. Wardatul Jannah IV B
6 Intan Kartika P.S. Zara Leviana Garinta IV B
7 Ainul Khusna Pratama Chrisan Nugraha IV B ✓
8 Ainul Khusna Shohihul Khuluq Nurul Ilmi IV B
9 Ainul Khusna Nadya Marella IV B
10 Ainul Khusna Winda Ayu Lestari IV B
11 Ainul Khusna Zeatha Kamila Putri IV B
12 Ainul Khusna Marcellinus Janenino IV B ✓
13 Isnaeni Sal Mah Hayuti Rasya Apri Wijaya P. IV B ✓
14 Isnaeni Sal Mah Hayuti Narendra Djangkaru P. IV B ✓
15 Isnaeni Sal Mah Hayuti Yuliana Kusminarti IV B
16 Isnaeni Sal Mah Hayuti Ulfa Amilia W. IV B
17 Isnaeni Sal Mah Hayuti Meilani Putri IV B
18 Chintia Arifa Priyanti Martua Dome Ichi Habeahan IV B
19 Chintia Arifa Priyanti Najwa Yulia Prastiwi IV B
20 Chintia Arifa Priyanti Sasmecca IV B
21 Chintia Arifa Priyanti Tanaya Vidia Ramadhani IV B
22 Chintia Arifa Priyanti Yanu Iskandar Ahhmad IV B ✓
23 Aulia Ayub Kidung Suci Maheswari IV B
24 Aulia Ayub Mentari Zetta Rossalya IV B
25 Aulia Ayub Naufal Hazim Muazzam Praditya IV B ✓
26 Aulia Ayub Vevi Noviana IV B
27 Aulia Ayub Zahra Aulia Kansa IV B
Jumlah 8
Jenis Kelamin
Laki-laki
1 Krisna Devara Pramuditya Ahmad Gusnajib VA ✓
2 Krisna Devara Pramuditya Akmal Putra Laksana VA ✓
3 Krisna Devara Pramuditya Alifia Zahra Prasetyo VA
4 Krisna Devara Pramuditya Alya Azkal Azkia S. VA
5 Krisna Devara Pramuditya Andhara Nabila VA
6 Lynda Milsa Novellia Anggoro Putranto VA ✓
7 Lynda Milsa Novellia Arief Maulana Syahdewa VA ✓
8 Lynda Milsa Novellia Asya Ayu Ramadhani VA
9 Lynda Milsa Novellia Atha Pranaja Mahardika VA ✓
10 Lynda Milsa Novellia Aurel Pasya Shetara VA
11 Angelica Dian Mita Aurelya Putri VA
12 Angelica Dian Mita Ayu Lintang Sekar Kinasih VA
13 Angelica Dian Mita Bayu Tria Setiawan VA ✓
14 Angelica Dian Mita Bimantara Aldi Dwitama VA ✓
15 Angelica Dian Mita Chacha Aulia Ramandini VA
16 Citra Ayu Widowati Darel Cavell Manggala Akira Putra VA ✓
17 Citra Ayu Widowati Dea Adelia Paradita VA
18 Citra Ayu Widowati Charis Septian Putra Utama VA ✓
19 Citra Ayu Widowati Dedi Ardiansyah VA ✓
20 Nadya Kurnia Putri Defana Malvino Braga VA ✓
21 Nadya Kurnia Putri Delia Putri Rahmawati VA
22 Nadya Kurnia Putri Devalina Nur Khoirunnisa VA
23 Nadya Kurnia Putri Dhea Syaharani VA
24 Ryadhiljannah Dinda Melisa VA
25 Ryadhiljannah Erlita Cahya Nurprita VA
26 Ryadhiljannah Evi Nur Azezah VA
27 Ryadhiljannah Galuh Artanto VA ✓
Jumlah 12
Jenis Kelamin
Laki-laki
1 Muhammad Rezky Solehin Ilham Nawwarudin Zaidan VB ✓
2 Muhammad Rezky Solehin Izra Naufal Anugra N. VB ✓
3 Muhammad Rezky Solehin Kaka Rahmat Hidayat VB ✓
4 Muhammad Rezky Solehin Keisha Hayelani VB
5 Muhammad Rezky Solehin Krishna Putra W. M. VB ✓
6 Afra Hatim Moch Giovanny Alief VB ✓
7 Afra Hatim Muhammad Nova Darmawan VB ✓
8 Afra Hatim Muhammad Hafizh Septian VB ✓
9 Afra Hatim Muhammad Rahmandika Fani VB ✓
10 Arum Trisnaningtyas SP Muhammad Tristan Pamungkas VB ✓
11 Arum Trisnaningtyas SP Muthi'ah Husna P VB
12 Arum Trisnaningtyas SP Naufal Alfi Ahmad VB ✓
13 Arum Trisnaningtyas SP Niken Dwi Arini VB
14 Arum Trisnaningtyas SP Novi Nurhidayah VB
15 Delia Nigrahaning Rasti Rafael Heppy Listiyantoro VB ✓
16 Delia Nigrahaning Rasti Panji Ramadhon VB ✓
17 Delia Nigrahaning Rasti Punto Aji Tri Jamali VB ✓
18 Delia Nigrahaning Rasti Qirannisa Azkiya Valin VB
19 Delia Nigrahaning Rasti Qanita Rafa'hayya Bilqis VB
20 Nur Annisa Cahyani Reza Galang Ardana VB ✓
21 Nur Annisa Cahyani Ramadhika Temmy R VB ✓
22 Nur Annisa Cahyani Reihan Raditya VB ✓
23 Nur Annisa Cahyani Rifqii Naufal Eka VB ✓
24 Millatina Eva Fitria Talitha Nabilah A. VB
25 Millatina Eva Fitria Vania Callista Diva A. VB
26 Millatina Eva Fitria Vina Afi Datun Sofa VB
27 Millatina Eva Fitria Wahyu Agung Prananto VB ✓
Jumlah 18
HASIL PEMERIKSAAN UKGS SD N CATURTU
✓
Jenis Kelamin OHIS
Status OHIS
Perempuan Nilai Jumlah Gigi
Baik Cukup Kurang Tidak bisa dih
x ✓ 18
0.67 ✓ 18
✓ 1.50 ✓ 18
1.60 ✓ 19
✓ 1.00 ✓ 14
✓ 1.40 ✓ 16
2.30 ✓ 19
✓ 1.00 ✓ 12
✓ 0.50 ✓ 14
✓ 1.00 ✓ 18
✓ 1.50 ✓ 14
1.30 ✓ 18
✓ 2.50 ✓ 18
2.00 ✓ 12
1.80 ✓ 14
✓ 1.10 ✓ 14
✓ x ✓ 18
2.33 ✓ 9
1.40 ✓ 13
✓ 1.80 ✓ 14
1.60 ✓ 17
✓ 1.60 ✓ 12
✓ x ✓ 15
✓ x ✓ 20
14 6 14 0 4
Jenis Kelamin OHIS

Status OHIS
1.80 ✓ 14
✓ 1.00 ✓ 14
0.80 ✓ 16
1.50 ✓ 12
✓ 1.20 ✓ 16
✓ 1.60 ✓ 16
1.40 ✓ 11
0.75 ✓ 16
1.00 ✓ 20
1.75 ✓ 14
✓ 2.16 ✓ 16
✓ 1.60 ✓ 15
✓ 1.60 ✓ 14
✓ 1.67 ✓ 11
✓ 1.00 ✓ 14
1.25 16
0.83 ✓ 15
0.80 ✓ 18
1.33 ✓ 12
0.83 ✓ 14
✓ 1.33 ✓ 14
0.80 ✓ 18
✓ 1.50 ✓ 13
1.50 ✓ 7
✓ 0.16 ✓ 5
0.82 ✓ 18
✓ 0.83 17
12 12 13 0 0
Jenis Kelamin OHIS

Status OHIS
✓ 2.16 ✓ 11
✓ 1.16 ✓ 8
0.50 ✓ 12
0.60 ✓ 5
1.67 ✓ 10
1.67 ✓ 12
1.1 ✓ 12
✓ 1.5 ✓ 12
✓ 0.8 ✓ 15
✓ 2.2 ✓ 11
1.1 ✓ 13
1.0 ✓ 16
0.83 ✓ 18
0.83 ✓ 12
2.00 ✓ 9
✓ 1.17 ✓ 4
✓ 0.33 ✓ 12
✓ 2.50 ✓ 10
1.17 ✓ 4
✓ 2.40 ✓ 14
✓ 0.70 ✓ 11
✓ 2.50 ✓ 12
1.20 ✓ 12
✓ 1.50 ✓ 10
✓ 1.70 ✓ 12
✓ 2.70 ✓ 12
14 14 12 0 0
Jenis Kelamin OHIS

Status OHIS
1.17 ✓ 14
0.67 ✓ 10
1.10 ✓ 12
0.83 ✓ 12
1.50 ✓ 13
✓ 0.83 ✓ 6
0.66 ✓ 13
✓ 1.66 ✓ 12
1.33 ✓ 12
0.33 ✓ 11
1.50 ✓ 11
✓ 0.99 ✓ 12
✓ 0.99 ✓ 14
✓ 0.33 ✓ 9
1.33 ✓ 11
1.00 ✓ 15
✓ 1.83 ✓ 3
1.67 ✓ 11
1.67 ✓ 13
1.33 ✓ 14
6 11 9 0 0
Jenis Kelamin OHIS

Status OHIS
1.00 ✓ 7
✓ 0.83 ✓ 7
✓ 0.50 ✓ 11
0.82 ✓ 8
✓ 0.50 ✓ 9
✓ 0.50 ✓ 10
✓ 0.67 ✓ 6
0.67 ✓ 9
1.17 ✓ 11
1.16 ✓ 10
✓ 0.83 ✓ 12
✓ 0.83 ✓ 11
0.67 ✓ 3
0.83 ✓ 6
✓ 1.60 ✓ 4
✓ 1.16 ✓ 10
1.50 ✓ 7
✓ 1.00 ✓ 6
1.33 ✓ 3
✓ 1.16 ✓ 1
1.83 ✓ 6
2.99 ✓ 6
✓ 1.33 ✓ 5
✓ 1.66 ✓ 7
1.16 ✓ 7
✓ 1.49 ✓ 6
1.16 ✓ 8
14 19 8 0 0
Jenis Kelamin OHIS

Status OHIS
1.00 ✓ 12
0.67 ✓ 12
0.83 ✓ 14
✓ 1.33 ✓ 12
✓ 0.83 ✓ 10
✓ 0.60 ✓ 5
✓ 1.50 ✓ 10
✓ 0.33 ✓ 8
1.00 ✓ 3
1.16 ✓ 10
✓ 1.32 ✓ 10
✓ 1.50 ✓ 9
✓ 1.33 ✓ 10
✓ 1.15 ✓ 7
✓ 2.83 ✓ 11
✓ 1.67 ✓ 8
1.83 ✓ 2
1.67 ✓ 8
✓ 1.50 ✓ 5
1.67 ✓ 2
✓ 0.66 ✓ 8
✓ 1.50 ✓ 4
✓ 1.83 ✓ 7
✓ 1.16 ✓ 4
✓ 1.50 ✓ 8
17 11 14 0 0
Jenis Kelamin OHIS

Status OHIS
✓ 2.20 ✓ 4
✓ 4.70 ✓ 1
2.20 ✓ 4
4.30 ✓ 0
1.30 ✓ 0
1.00 ✓ 4
1.50 ✓ 7
✓ 0.75 ✓ 12
1.33 ✓ 10
1.67 ✓ 0
✓ 1.84 ✓ 8
✓ 1.17 ✓ 6
✓ 1.00 ✓ 13
✓ 1.66 ✓ 6
✓ 1.20 ✓ 1
✓ 2.30 ✓ 12
3.30 ✓ 4
✓ 1.50 ✓ 1
✓ 1.33 ✓ 0
1.00 ✓ 3
1.16 ✓ 4
1.66 ✓ 2
2.50 ✓ 10
✓ 1.50 ✓ 0
1.50 ✓ 12
0.83 ✓ 4
0.83 ✓ 2
12 9 15 3 0
Jenis Kelamin OHIS

Status OHIS
✓ 2.00 ✓ 1
1.00 ✓ 1
✓ 1.16 ✓ 2
1.00 ✓ 2
✓ 1.00 ✓ 1
✓ 1.66 ✓ 0
2.40 ✓ 5
✓ 1.83 ✓ 9
✓ 1.33 ✓ 5
✓ 2.00 ✓ 0
✓ 1.66 ✓ 6
1.33 ✓ 6
1.83 ✓ 12
1.63 ✓ 2
✓ 1.67 ✓ 11
✓ 1.67 ✓ 2
✓ 1.67 ✓ 0
✓ 1.00 ✓ 0
✓ 1.33 ✓ 6
✓ 0.67 ✓ 2
✓ 1.50 ✓ 3
1.83 ✓ 11
✓ 0.66 ✓ 0
✓ 1.16 ✓ 3
1.33 ✓ 6
✓ 2.33 ✓ 2
✓ 0.33 ✓ 0
19 9 18 0 0
Jenis Kelamin OHIS

Status OHIS
1.83 ✓ 0
1.75 ✓ 2
✓ 1.16 ✓ 0
✓ 0.40 ✓ 0
✓ 1.67 ✓ 0
1.00 ✓ 0
2.00 ✓ 0
✓ 1.50 ✓ 1
1.50 ✓ 2
✓ 1.16 ✓ 0
✓ 0.67 ✓ 0
✓ 0.83 ✓ 3
1.50 ✓ 0
1.50 ✓ 0
✓ 1.33 ✓ 0
2.40 ✓ 0
✓ 5.50 ✓ 4
3.50 ✓ 1
2.40 ✓ 4
2.13 ✓ 0
✓ 1.67 ✓ 2
✓ 1.83 ✓ 0
✓ 3.00 ✓ 1
✓ 1.67 ✓ 1
✓ 0.83 ✓ 0
✓ 1.83 ✓ 1
0.67 ✓ 0
15 8 17 2 0
Jenis Kelamin OHIS

Status OHIS
1.75 ✓ 2
1.33 ✓ 3
0.49 ✓ 2
✓ 1.49 ✓ 0
0.50 ✓ 3
1.67 ✓ 0
1.00 ✓ 0
0.50 ✓ 0
0.67 ✓ 0
1.33 ✓ 7
✓ 1.33 ✓ 0
1.66 ✓ 1
✓ 0.50 ✓ 6
✓ 0.50 ✓ 7
1.00 ✓ 1
1.17 ✓ 11
1.83 ✓ 5
✓ 0.83 ✓ 1
✓ 0.87 ✓ 7
1.32 ✓ 2
0.83 ✓ 0
1.32 ✓ 0
1.00 ✓ 0
✓ 1.00 ✓ 0
✓ 0.67 ✓ 0
✓ 0.50 ✓ 0
2.00 ✓ 12
9 16 11 0 0
AN UKGS SD N CATURTUNGGAL 4
Gigi sulung Gigi Tetap

d m f total Jumlah Gigi D M
2 0 0 2 2 0 0
2 0 0 2 8 0 0
12 0 0 12 5 0 0
7 0 0 7 5 0 0
14 0 0 14 10 0 0
8 1 0 9 7 0 0
7 0 0 7 9 0 0
2 0 0 2 12 0 0
1 1 0 2 8 0 0
9 0 1 10 6 0 0
2 0 0 2 9 0 0
0 0 0 0 6 0 0
13 0 0 13 4 0 0
10 0 0 10 11 0 0
11 0 0 11 10 2 0
5 0 0 5 8 0 0
5 0 0 5 4 0 0
6 2 0 8 14 2 0
8 0 0 8 13 0 0
12 0 0 12 11 0 0
1 0 0 1 6 0 0
3 0 0 3 12 0 0
9 0 0 9 9 0 0
19 0 0 19 3 0 0
168 4 1 173 4 0

7 0 1 8 10 0 0
5 0 0 5 10 0 0
16 0 0 16 8 0 0
4 0 0 4 12 2 0
2 0 0 2 8 0 0
14 0 0 14 9 2 0
5 0 0 5 13 1 0
7 0 0 7 9 0 0
15 0 0 15 3 1 0
4 0 0 4 5 0 0
7 0 0 7 8 1 0
0 0 0 0 7 0 0
13 0 0 13 10 0 0
6 0 0 6 12 1 0
9 0 0 9 11 0 0
5 0 0 5 7 0 0
3 0 0 3 10 0 0
2 0 0 2 6 0 0
4 0 0 4 12 0 0
4 0 0 4 9 2 0
4 0 0 4 10 0 0
6 0 0 6 6 0 0
1 1 0 2 11 0 0
5 0 0 5 18 2 0
5 0 0 5 21 2 0
5 0 0 5 7 2 0
12 0 0 12 9 0 0
170 1 1 172 16 0

4 0 0 4 14 0 0
3 0 0 3 20 1 0
10 0 0 10 12 2 0
5 0 0 5 18 2 0
5 0 0 5 12 2 0
7 0 0 7 12 0 0
5 0 0 5 12 0 0
7 0 0 7 11 2 0
2 0 0 2 11 0 0
10 0 0 10 10 2 0
3 0 0 3 12 1 0
14 0 0 14 8 0 0
7 0 0 7 10 0 0
0 0 0 0 24 0 0
7 0 0 7 19 1 0
3 0 0 3 18 3 0
0 0 0 0 12 0 0
0 0 0 0 15 0 0
2 0 0 2 17 3 0
7 0 0 7 10 2 0
6 0 0 6 18 5 0
9 0 0 9 12 2 0
1 0 0 1 12 4 0
5 0 0 5 14 1 0
10 0 0 10 12 0 0
12 0 0 12 14 2 0
144 0 0 144 35 0

5 0 0 5 10 0 0
5 0 0 5 16 3 0
6 0 0 6 13 0 0
6 0 0 6 12 4 0
0 0 0 0 11 0 0
4 2 0 6 16 2 0
6 0 0 6 11 0 0
5 0 0 5 12 4 0
3 0 0 3 12 0 0
8 1 0 9 12 0 0
3 1 0 4 10 0 0
3 0 0 3 10 0 2
6 0 0 6 10 0 0
6 1 0 7 14 3 0
3 0 0 3 13 0 0
12 0 0 12 10 2 0
1 3 1 5 18 4 0
6 0 0 6 13 0 0
4 1 0 5 10 0 0
7 0 0 7 10 3 0
99 9 1 109 25 2

4 0 0 4 17 1 0
0 0 0 0 16 0 0
6 0 0 6 14 2 0
3 0 0 3 21 0 0
2 0 1 3 15 3 0
5 0 0 5 14 0 0
4 0 0 4 17 0 0
1 0 0 1 14 0 0
1 0 0 1 13 0 0
0 0 0 0 14 0 0
4 0 0 4 16 1 0
5 0 0 5 18 2 0
0 0 0 0 21 0 0
4 0 0 4 18 0 0
0 0 0 0 20 0 0
5 0 0 5 16 3 0
2 0 0 2 17 1 0
4 0 0 4 18 0 0
0 0 0 0 20 5 0
0 0 0 0 25 3 0
3 2 0 5 19 1 0
4 4 0 8 18 5 0
2 1 0 3 20 0 0
3 2 1 6 19 0 0
0 1 0 1 17 1 0
0 0 0 0 22 0 0
0 0 0 0 18 0 0
62 10 2 74 28 0

4 0 0 4 12 0 0
2 0 0 2 12 0 0
3 0 1 4 11 0 0
4 0 0 4 12 0 0
4 0 0 4 14 0 0
3 0 1 4 21 1 0
6 2 0 8 14 3 0
3 0 0 3 16 1 0
1 0 0 1 20 3 0
7 0 0 7 14 0 0
8 0 0 8 14 2 0
7 1 0 8 15 4 0
4 0 0 4 14 0 0
5 0 0 5 18 1 0
4 0 0 4 14 0 0
4 0 0 4 16 0 0
2 0 0 2 22 2 0
6 0 0 6 16 0 0
2 0 0 2 19 0 0
2 0 0 2 24 2 0
1 0 0 1 14 1 0
2 0 0 2 20 2 0
4 0 0 4 20 2 0
2 0 0 2 20 1 0
2 0 0 2 16 4 0
92 3 2 97 29 0

3 0 0 3 22 1 0
1 0 0 1 27 2 1
1 0 0 1 20 0 0
0 0 0 0 24 0 0
0 0 0 0 24 0 0
2 0 0 2 21 2 0
1 0 0 1 14 0 0
0 0 0 0 11 0 0
4 0 0 4 17 0 0
0 0 0 0 27 2 0
5 0 0 5 18 0 0
3 0 0 3 19 4 0
0 0 0 0 12 0 0
4 0 0 4 18 0 0
1 0 0 1 24 2 0
1 0 0 1 12 0 0
1 0 0 1 10 0 0
1 1 0 2 21 4 0
0 0 0 0 28 1 0
3 0 0 3 23 3 0
3 0 0 3 21 1 0
0 0 0 0 22 1 0
3 0 0 3 14 1 0
0 0 0 0 28 0 0
3 0 0 3 12 0 0
1 0 0 1 22 1 0
1 0 0 1 22 0 0
42 1 0 43 25 1

1 0 0 1 23 3 0
1 0 0 1 27 2 0
2 0 0 2 26 0 0
2 0 0 2 24 1 0
1 0 0 1 26 0 0
0 0 0 0 26 0 0
3 0 0 3 19 4 0
8 0 0 8 16 5 0
5 1 0 6 19 0 0
0 0 0 0 26 0 0
5 0 0 5 17 4 0
0 0 0 0 17 0 0
10 0 0 10 14 1 0
2 4 0 6 16 3 0
9 0 0 9 16 1 0
2 0 0 2 22 2 0
0 1 0 1 27 0 0
0 0 0 0 26 2 0
5 0 0 5 24 4 0
1 0 0 1 22 4 0
3 0 0 3 22 2 0
1 0 0 1 14 0 0
0 0 0 0 26 0 0
3 0 0 3 20 2 0
2 0 0 2 18 2 0
2 0 0 2 28 4 0
0 0 0 0 28 0 0
68 6 0 74 46 0

0 0 0 0 28 0 0
2 0 0 2 26 8 0
0 0 0 0 28 1 0
0 0 0 0 28 3 0
0 0 0 0 27 3 0
0 0 0 0 27 1 0
0 0 0 0 24 3 0
1 0 0 1 26 2 0
2 0 0 2 26 0 0
0 0 0 0 27 0 0
0 0 0 0 28 0 0
0 0 0 0 21 3 0
0 0 0 0 27 5 0
0 0 0 0 28 3 0
0 0 0 0 26 0 0
0 0 0 0 28 0 0
4 0 0 4 26 2 0
1 0 0 1 23 0 0
4 0 0 4 25 4 0
0 0 0 0 26 0 0
2 0 0 2 26 0 0
0 0 0 0 28 0 0
1 0 0 1 25 1 0
1 0 0 1 23 0 0
0 0 0 0 24 0 0
1 0 0 1 24 2 0
0 0 0 0 28 0 0
19 0 0 19 41 0

0 0 0 0 20 0 0
3 0 0 3 24 4 0
0 0 0 0 20 0 0
0 0 0 0 26 3 0
2 0 0 2 26 4 0
0 0 0 0 24 2 0
0 0 0 0 24 4 0
0 0 0 0 26 4 0
0 0 0 0 23 2 0
4 0 0 4 17 3 0
0 0 0 0 24 6 0
1 0 0 1 27 3 0
0 0 0 0 18 0 0
2 0 0 2 18 1 0
1 0 0 1 28 9 0
7 0 0 7 13 0 0
3 0 0 3 19 2 0
0 0 0 0 24 4 0
5 0 0 5 16 2 0
1 0 0 1 24 1 0
0 0 0 0 28 2 0
0 0 0 0 26 1 0
0 0 0 0 26 2 0
0 0 0 0 28 6 0
0 0 0 0 28 0 0
0 0 0 0 27 3 1
6 0 0 6 12 0 0
35 0 0 35 68 1
Gigi Tetap
Kesehatan Gusi
F total
Sehat 1-3 segmen 4-6 segmen
0 0 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 0✓
0 0 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 2 ✓
0 0✓
0 0 ✓
0 2 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 4 2 14 8
Gigi Tetap
Kesehatan Gusi
F total
0 0 ✓
0 0 ✓
0 0 ✓
0 2 ✓
0 0 ✓
0 2 ✓
0 1 ✓
0 0 ✓
0 1 ✓
0 0 ✓
0 1 ✓
0 0 ✓
0 0 ✓
0 1 ✓
0 0 ✓
0 0 ✓
0 0✓
0 0✓
0 0 ✓
0 2✓
0 0✓
0 0 ✓
0 0 ✓
0 2 ✓
0 2✓
0 2 ✓
0 0 ✓
0 16 5 18 4
Gigi Tetap
Kesehatan Gusi
F total
0 0 ✓
0 1 ✓
0 2✓
0 2 ✓
0 2 ✓
0 0 ✓
0 0 ✓
0 2 ✓
0 0✓
0 2 ✓
0 1✓
0 0 ✓
0 0✓
0 0 ✓
0 1 ✓
0 3✓
0 0✓
0 0 ✓
0 3✓
0 2 ✓
0 5✓
0 2 ✓
0 4 ✓
0 1 ✓
0 0 ✓
0 2 ✓
0 35 8 14 4
Gigi Tetap
Kesehatan Gusi
F total
0 0✓
0 3✓
0 0✓
0 4✓
0 0✓
0 2✓
0 0✓
0 4 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 2 ✓
0 0 ✓
0 3✓
0 0 ✓
0 2 ✓
0 4 ✓
0 0 ✓
0 0 ✓
0 3 ✓
0 27 8 8 4
Gigi Tetap
Kesehatan Gusi
F total
0 1✓
0 0✓
0 2 ✓
0 0 ✓
0 3✓
0 0✓
0 0 ✓
0 0✓
0 0 ✓
0 0 ✓
0 1✓
0 2✓
0 0✓
0 0 ✓
0 0 ✓
1 4 ✓
0 1 ✓
0 0 ✓
0 5 ✓
0 3 ✓
0 1 ✓
4 9 ✓
0 0 ✓
0 0 ✓
0 1✓
0 0 ✓
0 0✓
5 33 10 15 2
Gigi Tetap
Kesehatan Gusi
F total
0 0 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 1 ✓
0 3 ✓
0 1 ✓
0 3 ✓
0 0 ✓
0 2 ✓
0 4 ✓
0 0 ✓
0 1 ✓
0 0 ✓
0 0 ✓
0 2 ✓
0 0 ✓
0 0 ✓
0 2 ✓
0 1 ✓
0 2 ✓
0 2 ✓
0 1 ✓
0 4 ✓
0 29 0 15 10
Gigi Tetap
Kesehatan Gusi
F total
0 1 ✓
0 3 ✓
0 0 ✓
0 0✓
0 0 ✓
0 2 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 2 ✓
0 0 ✓
0 4✓
0 0✓
0 0 ✓
0 2✓
0 0 ✓
0 0 ✓
0 4 ✓
0 1✓
0 3✓
0 1✓
0 1 ✓
0 1 ✓ ✓
0 0 ✓ ✓
0 0 ✓
0 1 ✓ ✓
0 0 ✓ ✓
0 26 7 16 8
Gigi Tetap
Kesehatan Gusi
F total
0 3 ✓
0 2✓
0 0 ✓
0 1 ✓
0 0 ✓
0 0 ✓
0 4 ✓
0 5 ✓
0 0 ✓
0 0 ✓
0 4 ✓
0 0 ✓
0 1 ✓
0 3 ✓
0 1 ✓
0 2 ✓
0 0 ✓
0 2 ✓
0 4 ✓
0 4✓
0 2 ✓
0 0 ✓
0 0✓
0 2✓
0 2 ✓
0 4 ✓
0 0✓
0 46 5 16 6
Gigi Tetap
Kesehatan Gusi
F total
0 0 ✓
0 8 ✓
0 1 ✓
0 3 ✓
0 3 ✓
0 1 ✓
0 3 ✓
0 2 ✓
0 0 ✓
0 0✓
0 0 ✓
0 3 ✓
0 5 ✓
0 3 ✓
0 0 ✓
0 0 ✓
0 2 ✓
0 0 ✓
0 4 ✓
0 0 ✓
0 0 ✓
0 0 ✓
0 1 ✓
0 0 ✓
0 0 ✓
2 4 ✓
0 0✓
2 43 2 17 8
Gigi Tetap
Kesehatan Gusi
F total
0 0✓
0 4 ✓
0 0✓
0 3 ✓
0 4 ✓
0 2 ✓
0 4 ✓
0 4 ✓
0 2 ✓
0 3 ✓
0 6 ✓
0 3 ✓
0 0 ✓
0 1 ✓
0 9✓
0 0 ✓
0 2 ✓
0 4✓
0 2✓
0 1 ✓
0 2✓
0 1 ✓
0 2 ✓
0 6 ✓
0 0 ✓
0 4 ✓
0 0 ✓
0 69 6 13 8
HASIL PEMERIKSAAN UKGS SD
✓
Jenis OHIS
No Nama Murid Nama Pemeriksa Kelamin Status OHIS
Nilai
L P B C
1 Abdilla Faiz Anugrah Al FaridziAlbert Sandjaya Putra ✓ x
2 Akmal Mulia Kadisaputra Albert Sandjaya Putra ✓ 0.67 ✓
3 Adelia Bilqis Nur Kholifah Albert Sandjaya Putra ✓ 1.50 ✓
4 Agiska Arya Dhica Albert Sandjaya Putra ✓ 1.60 ✓
5 Aisya Putri Albert Sandjaya Putra ✓ 1.00 ✓
6 Aisyah Istiqomah NurrohmadanAlbert Sandjaya Putra ✓ 1.40 ✓
7 Alfian Rizka Saputra Lynda Milsa ✓ 2.30 ✓
8 Alika Avrillya Sari Lynda Milsa ✓ 1.00 ✓
9 Almas Salwa Salsabila Lynda Milsa ✓ 0.50 ✓
10 Cinta Dwi Aryni Putri Lynda Milsa ✓ 1.00 ✓
11 Kayla Fatima Faliha Lynda Milsa ✓ 1.50 ✓
12 Kevin Putra Pradana Lynda Milsa ✓ 1.30 ✓
13 Equienne Bellvania Putri Caroline Manuela Hartanto ✓ 2.50 ✓
14 Dimas Saputra Maulana Caroline Manuela Hartanto ✓ 2.00 ✓
15 Dimas Muhammad Yusuf Caroline Manuela Hartanto ✓ 1.80 ✓
16 Setara Khansa Sabila Caroline Manuela Hartanto ✓ 1.10 ✓
17 Dinda Cahya Kinanti Caroline Manuela Hartanto ✓ x
18 Davito Revan Putra Caroline Manuela Hartanto ✓ 2.33 ✓
19 Nathanael Wasih Putra Nadya Kurnia Putri ✓ 1.40 ✓
20 Hanifah Dinny Aliyah Nadya Kurnia Putri ✓ 1.80 ✓
21 Irfan Maulana Ashari Nadya Kurnia Putri ✓ 1.60 ✓
22 Hafsoh Arfa Nur J. Nadya Kurnia Putri ✓ 1.60 ✓
23 Halimatussa'diyah Nadya Kurnia Putri ✓ x
24 Karunia Indah Pradita Nadya Kurnia Putri ✓ x
Jenis OHIS
Nilai
L P B C
1 Ramadhan Bintang Sugiyanto Chintia Arifa Priyanti ✓ 1.80 ✓
2 Rani Apriyanti Hamdani Chintia Arifa Priyanti ✓ 1.00 ✓
3 Rayhan Dwi Prakoso Chintia Arifa Priyanti ✓ 0.80 ✓
4 Raynathan Dzaki Mansa Chintia Arifa Priyanti ✓ 1.50 ✓
5 Rebelliona Pradipa Rara GultonChintia Arifa Priyanti ✓ 1.20 ✓
6 Revanna Thalita Arsany Chintia Arifa Priyanti ✓ 1.60 ✓
7 Ridho Ahmad Fauzan Chintia Arifa Priyanti ✓ 1.40 ✓
8 Nanang Irham Maulana Afra Hatim ✓ 0.75 ✓
9 Nathan Putra Heryuansa Afra Hatim ✓ 1.00 ✓
10 Organ Vebriyan Saputra Afra Hatim ✓ 1.75 ✓
11 Nakira Mutiara Zahwa Afra Hatim ✓ 2.16 ✓
12 Rafa Rifana Rahim Afra Hatim ✓ 1.60 ✓
13 Naning Dhewi Maharani Afra Hatim ✓ 1.60 ✓
14 Nilam Ayu Artanto Afra Hatim ✓ 1.67 ✓
15 Khansa Wahiba Muna Aulia Ayub ✓ 1.00 ✓
16 Krisnantyo Wahyu Ramadhan Aulia Ayub ✓ 1.25
17 Muhammad Bagus Ramadhan Aulia Ayub ✓ 0.83 ✓
18 Muhammad Juf Romiz Aulia Ayub ✓ 0.80 ✓
19 Muhammad Luthfi Raditya Aulia Ayub ✓ 1.33 ✓
20 Muhammad Ramadhan TuarymaAulia Ayub ✓ 0.83 ✓
21 Nadia Aiko Widya Destiano Aulia Ayub ✓ 1.33 ✓
22 Sadewa Raka P Nur Annisa Cahyani ✓ 0.80 ✓
23 Shafa Diil Shelo Nur Annisa Cahyani ✓ 1.50 ✓
24 Robikhakaf Kafano A Nur Annisa Cahyani ✓ 1.50 ✓
25 Zidna Ilma Nur Annisa Cahyani ✓ 0.16 ✓
26 Septian Andika P Nur Annisa Cahyani ✓ 0.82 ✓
27 Tira Zakia Nur Annisa Cahyani ✓ 0.83
Jenis OHIS
Nilai
L P B C
1 Afira Erna Dwi Asyifa Krisna Devara Pramuditya ✓ 2.16 ✓
2 Aima Cinta Habeahan Krisna Devara Pramuditya ✓ 1.16 ✓
3 Al Azhar Putra Nugraha Krisna Devara Pramuditya ✓ 0.50 ✓
4 Aldy Siswo Priambodo Krisna Devara Pramuditya ✓ 0.60 ✓
5 Anas Ramadhan Krisna Devara Pramuditya ✓ 1.67 ✓
6 Aquna Odrielio Frasya NakasapKrisna Devara Pramuditya ✓ 1.67 ✓
7 Arief Prasetyo Budi Nugroho Ellindamayanti ✓ 1.1 ✓
8 Asia Yulita Ellindamayanti ✓ 1.5 ✓
9 Ayra Jameera Maryam Ellindamayanti ✓ 0.8 ✓
10 Dian Novita Ellindamayanti ✓ 2.2 ✓
11 Hanum Asafa Ellindamayanti ✓ 1.1 ✓
12 Noarfa Dava Refaldi Ellindamayanti ✓ 1.0 ✓
13 Dinar Satria Citra Ayu Widowati ✓ 0.83 ✓
14 Devan Angga Citra Ayu Widowati ✓ 0.83 ✓
15 Bagas Agustya Citra Ayu Widowati ✓ 2.00 ✓
16 Azzahra Citra Ayu Widowati ✓ 1.17 ✓
17 Azalia Teguh Citra Ayu Widowati ✓ 0.33 ✓
18 Dewi Arum Citra Ayu Widowati ✓ 2.50 ✓
19 Darean Clevrich Citra Ayu Widowati ✓ 1.17 ✓
20 Dyandra Shinta Dewi Presty Dwi Fitriani ✓ 2.40 ✓
21 Elvaretta Angelina Andriani Presty Dwi Fitriani ✓ 0.70 ✓
22 Elvinda Mutiara Sahira Presty Dwi Fitriani ✓ 2.50 ✓
23 Fahroni Nugroho Presty Dwi Fitriani ✓ 1.20 ✓
24 Fanesha Putri Ramadhani Presty Dwi Fitriani ✓ 1.50 ✓
25 Findhita Berliani Saputri Presty Dwi Fitriani ✓ 1.70 ✓
26 Fira Rahmawati Presty Dwi Fitriani ✓ 2.70 ✓
Jenis OHIS
Nilai
L P B C
1 Muhammad Khadafi Delia Nigrahaning Rasti ✓ 1.17 ✓
2 Muqorrobin Huda Delia Nigrahaning Rasti ✓ 0.67 ✓
3 Rasyid Imam Febri Delia Nigrahaning Rasti ✓ 1.10 ✓
4 Ridwan Nur Masjid Delia Nigrahaning Rasti ✓ 0.83 ✓
5 Zaki Arkana Favian Delia Nigrahaning Rasti ✓ 1.50 ✓
6 Silfi Adhila Putri Delia Nigrahaning Rasti ✓ 0.83 ✓
7 Galang Bangkit Satrio Muhammad Rezky Solehin ✓ 0.66 ✓
8 Janisya Cahya Rini Muhammad Rezky Solehin ✓ 1.66 ✓
9 M. Satria Tri Kurniawan Muhammad Rezky Solehin ✓ 1.33 ✓
10 Raditya Javas Nararya Muhammad Rezky Solehin ✓ 0.33 ✓
11 Rayyanadra Jati Mannaf Muhammad Rezky Solehin ✓ 1.50 ✓
12 Risma Indriani Muhammad Rezky Solehin ✓ 0.99 ✓
13 Syafira Shinta Pradewi Muhammad Rezky Solehin ✓ 0.99 ✓
14 Zivanna Anzelia Arteta Muhammad Rezky Solehin ✓ 0.33 ✓
15 Yuka Tegar Wicaksono Ainul Khusna ✓ 1.33 ✓
16 Rafa Aidil El-Gunawan Ainul Khusna ✓ 1.00 ✓
17 Muna Aini Mufidah Ainul Khusna ✓ 1.83 ✓
18 M. Afrizza Al-faridzi Ainul Khusna ✓ 1.67 ✓
19 Keandre Panji Meda Ainul Khusna ✓ 1.67 ✓
20 Galeh Bangkit Satrio Ainul Khusna ✓ 1.33 ✓
Jenis OHIS
Nilai
L P B C
1 Dava Anditya Faiz Rahma Mumpuni ✓ 1.00 ✓
2 Cira Annoura Faiz Rahma Mumpuni ✓ 0.83 ✓
3 Chaya Duanta Aulia Faiz Rahma Mumpuni ✓ 0.50 ✓
4 Bimo Satrio Cahyo Nugroho Faiz Rahma Mumpuni ✓ 0.82 ✓
5 Azzalya Syifa Setyawan Faiz Rahma Mumpuni ✓ 0.50 ✓
6 Aulia Salsa Billa Faiz Rahma Mumpuni ✓ 0.50 ✓
7 Aisyah Ayu Susanto Faiz Rahma Mumpuni ✓ 0.67 ✓
8 Aufa Pratama Ryadhiljannah ✓ 0.67 ✓
9 Devano Dwi Nurrohman Ryadhiljannah ✓ 1.17 ✓
10 Devino Dwi Nurrohman Ryadhiljannah ✓ 1.16 ✓
11 Ega Arifah Larasati Ryadhiljannah ✓ 0.83 ✓
12 Elsa Arifah Nugrahani Ryadhiljannah ✓ 0.83 ✓
13 Fadhil Khoiru Mafaza Ryadhiljannah ✓ 0.67 ✓
14 Fajar Hafidh Saputra Ryadhiljannah ✓ 0.83 ✓
15 Akhmelia Nur Fajrina Angelica Dian Mita ✓ 1.60 ✓
16 Amira Nathaniela Angelica Dian Mita ✓ 1.16 ✓
17 Andika Alvin Pratama Angelica Dian Mita ✓ 1.50 ✓
18 Ansyifa Nur Naafi'ah Angelica Dian Mita ✓ 1.00 ✓
19 Aryo Wicaksono Angelica Dian Mita ✓ 1.33 ✓
20 Atik Permata Sari Angelica Dian Mita ✓ 1.16 ✓
21 Adika Gerard Abimayu Fun Nagede Adinsyah ✓ 1.83 ✓
22 Aditya Rizky Pratama Fun Nagede Adinsyah ✓ 2.99 ✓
23 Afifah Resky Pramadita Fun Nagede Adinsyah ✓ 1.33 ✓
24 Agna Fatma Sari Fun Nagede Adinsyah ✓ 1.66 ✓
25 Ahmad Alzarizko Fun Nagede Adinsyah ✓ 1.16 ✓
26 Aisha Meydina Puspasari Fun Nagede Adinsyah ✓ 1.49 ✓
27 Akbar Yuko Hartanto Putro Fun Nagede Adinsyah ✓ 1.16 ✓
Jenis OHIS
Nilai
L P B C
1 Galih Setyo Nugroho Millatina Eva Fitria ✓ 1.00 ✓
2 Gana Jaya Prasetyo Millatina Eva Fitria ✓ 0.67 ✓
3 Habib Affan Syathir Millatina Eva Fitria ✓ 0.83 ✓
4 Jasmine Putri Dandy Millatina Eva Fitria ✓ 1.33 ✓
5 Jessica Dwi Anindya Millatina Eva Fitria ✓ 0.83 ✓
6 Jihan Nurmalita Putri Millatina Eva Fitria ✓ 0.60 ✓
7 Khanza Kalyca Suwandono Millatina Eva Fitria ✓ 1.50 ✓
8 Linda Ulfi Hanifah Arum Trisnaningtyas SP ✓ 0.33 ✓
9 M. Mirza Rahadian Arum Trisnaningtyas SP ✓ 1.00 ✓
10 M. Adieb Akbar Habibie Arum Trisnaningtyas SP ✓ 1.16 ✓
11 Natasya Adinda S Arum Trisnaningtyas SP ✓ 1.32 ✓
12 Nadia Ayu Ningrum Arum Trisnaningtyas SP ✓ 1.50 ✓
13 Navicka Ayunda L Arum Trisnaningtyas SP ✓ 1.33 ✓
14 Navisa Monahara A. P. Isnaeni Sal Mah Hayuti ✓ 1.15 ✓
15 Nurma Rinda R Isnaeni Sal Mah Hayuti ✓ 2.83 ✓
16 Putri Diandra A. M. Isnaeni Sal Mah Hayuti ✓ 1.67 ✓
17 Raditya Awani Isnaeni Sal Mah Hayuti ✓ 1.83 ✓
18 Rasel Adi Putra Isnaeni Sal Mah Hayuti ✓ 1.67 ✓
19 Rayyana Qalbulshali Isnaeni Sal Mah Hayuti ✓ 1.50 ✓
20 Riyan Ragil Saputro Isnaeni Sal Mah Hayuti ✓ 1.67 ✓
21 Rizkya Ichi Zakaria Intan Kartika P.S. ✓ 0.66 ✓
22 Septi Fitri Ardiani Intan Kartika P.S. ✓ 1.50 ✓
23 Sintya Bella Putri R. Intan Kartika P.S. ✓ 1.83 ✓
24 Sintya Insani Amelia Intan Kartika P.S. ✓ 1.16 ✓
25 Zika Azzahra Intan Kartika P.S. ✓ 1.50 ✓
Jenis OHIS
Nilai
L P B C
1 Ardania Mesya Hastani Ellindamayanti ✓ 2.20 ✓
2 Auryn Shareta Kurniahany Ellindamayanti ✓ 4.70
3 Baras Putra Wicaksono Ellindamayanti ✓ 2.20 ✓
4 Benyamin Al Habibi Ellindamayanti ✓ 4.30
5 Devara Satya Putra Hutama Ellindamayanti ✓ 1.30 ✓
6 Esstery Barakuana Caroline Manuela Hartanto ✓ 1.00 ✓
7 Anugerah Fauzan Alfaridzi Caroline Manuela Hartanto ✓ 1.50 ✓
8 Elvira Chairunissa Caroline Manuela Hartanto ✓ 0.75 ✓
9 Elyan Dika Aditya Caroline Manuela Hartanto ✓ 1.33 ✓
10 Fajar Dwi Saputra Caroline Manuela Hartanto ✓ 1.67 ✓
11 Friska Amelia Safitri Faiz Rahma Mumpuni ✓ 1.84 ✓
12 Fika humaira Faiz Rahma Mumpuni ✓ 1.17 ✓
13 Chesya Nada Berliana Faiz Rahma Mumpuni ✓ 1.00 ✓
14 Ghayda Nafisah Jihan Labibah Faiz Rahma Mumpuni ✓ 1.66 ✓
15 Jessica Tungga Dewi Sunandar Presty Dwi Fitriani ✓ 1.20 ✓
16 Ginariswari Ratna Ismaya Presty Dwi Fitriani ✓ 2.30 ✓
17 Imannuelo Yunaz Efraim Presty Dwi Fitriani ✓ 3.30
18 Kayla Azzura Lufitawati Presty Dwi Fitriani ✓ 1.50 ✓
19 Agtifa Candra Pramesti Fun Nagede Adinsyah ✓ 1.33 ✓
20 Ahmad Arkan Nandana Naban Fun Nagede Adinsyah ✓ 1.00 ✓
21 Ahmad Syarif Ashari Fun Nagede Adinsyah ✓ 1.16 ✓
22 Alfino Ferdiansyah Fun Nagede Adinsyah ✓ 1.66 ✓
23 Andika Ragil Alifian Albert Sandjaya ✓ 2.50 ✓
24 Anindya Kirani Albert Sandjaya ✓ 1.50 ✓
25 Anugerah Fauzi Alfaridzi Albert Sandjaya ✓ 1.50 ✓
26 Fauzan Setyo Nugroho Albert Sandjaya ✓ 0.83 ✓
27 Aloysius Julio Wase Putra Albert Sandjaya ✓ 0.83 ✓
Jenis OHIS
Nilai
L P B C
1 Linda Ayu Pratiwi Intan Kartika P.S. ✓ 2.00 ✓
2 Muhammad Rasya Putra Intan Kartika P.S. ✓ 1.00 ✓
3 Novita Dwi Nur Aini Intan Kartika P.S. ✓ 1.16 ✓
4 Satya Noer Rachman Intan Kartika P.S. ✓ 1.00 ✓
5 Wardatul Jannah Intan Kartika P.S. ✓ 1.00 ✓
6 Zara Leviana Garinta Intan Kartika P.S. ✓ 1.66 ✓
7 Pratama Chrisan Nugraha Ainul Khusna ✓ 2.40 ✓
8 Shohihul Khuluq Nurul Ilmi Ainul Khusna ✓ 1.83 ✓
9 Nadya Marella Ainul Khusna ✓ 1.33 ✓
10 Winda Ayu Lestari Ainul Khusna ✓ 2.00 ✓
11 Zeatha Kamila Putri Ainul Khusna ✓ 1.66 ✓
12 Marcellinus Janenino Ainul Khusna ✓ 1.33 ✓
13 Rasya Apri Wijaya P. Isnaeni Sal Mah Hayuti ✓ 1.83 ✓
14 Narendra Djangkaru P. Isnaeni Sal Mah Hayuti ✓ 1.63 ✓
15 Yuliana Kusminarti Isnaeni Sal Mah Hayuti ✓ 1.67 ✓
16 Ulfa Amilia W. Isnaeni Sal Mah Hayuti ✓ 1.67 ✓
17 Meilani Putri Isnaeni Sal Mah Hayuti ✓ 1.67 ✓
18 Martua Dome Ichi Habeahan Chintia Arifa Priyanti ✓ 1.00 ✓
19 Najwa Yulia Prastiwi Chintia Arifa Priyanti ✓ 1.33 ✓
20 Sasmecca Chintia Arifa Priyanti ✓ 0.67 ✓
21 Tanaya Vidia Ramadhani Chintia Arifa Priyanti ✓ 1.50 ✓
22 Yanu Iskandar Ahhmad Chintia Arifa Priyanti ✓ 1.83 ✓
23 Kidung Suci Maheswari Aulia Ayub ✓ 0.66 ✓
24 Mentari Zetta Rossalya Aulia Ayub ✓ 1.16 ✓
25 Naufal Hazim Muazzam PradityAulia Ayub ✓ 1.33 ✓
26 Vevi Noviana Aulia Ayub ✓ 2.33 ✓
27 Zahra Aulia Kansa Aulia Ayub ✓ 0.33 ✓
Jenis OHIS
Nilai
L P B C
1 Ahmad Gusnajib Krisna Devara Pramuditya ✓ 1.83 ✓
2 Akmal Putra Laksana Krisna Devara Pramuditya ✓ 1.75 ✓
3 Alifia Zahra Prasetyo Krisna Devara Pramuditya ✓ 1.16 ✓
4 Alya Azkal Azkia S. Krisna Devara Pramuditya ✓ 0.40 ✓
5 Andhara Nabila Krisna Devara Pramuditya ✓ 1.67 ✓
6 Anggoro Putranto Lynda Milsa Novellia ✓ 1.00 ✓
7 Arief Maulana Syahdewa Lynda Milsa Novellia ✓ 2.00 ✓
8 Asya Ayu Ramadhani Lynda Milsa Novellia ✓ 1.50 ✓
9 Atha Pranaja Mahardika Lynda Milsa Novellia ✓ 1.50 ✓
10 Aurel Pasya Shetara Lynda Milsa Novellia ✓ 1.16 ✓
11 Aurelya Putri Angelica Dian Mita ✓ 0.67 ✓
12 Ayu Lintang Sekar Kinasih Angelica Dian Mita ✓ 0.83 ✓
13 Bayu Tria Setiawan Angelica Dian Mita ✓ 1.50 ✓
14 Bimantara Aldi Dwitama Angelica Dian Mita ✓ 1.50 ✓
15 Chacha Aulia Ramandini Angelica Dian Mita ✓ 1.33 ✓
16 Darel Cavell Manggala Akira PuCitra Ayu Widowati ✓ 2.40 ✓
17 Dea Adelia Paradita Citra Ayu Widowati ✓ 5.50
18 Charis Septian Putra Utama Citra Ayu Widowati ✓ 3.50
19 Dedi Ardiansyah Citra Ayu Widowati ✓ 2.40 ✓
20 Defana Malvino Braga Nadya Kurnia Putri ✓ 2.13 ✓
21 Delia Putri Rahmawati Nadya Kurnia Putri ✓ 1.67 ✓
22 Devalina Nur Khoirunnisa Nadya Kurnia Putri ✓ 1.83 ✓
23 Dhea Syaharani Nadya Kurnia Putri ✓ 3.00 ✓
24 Dinda Melisa Ryadhiljannah ✓ 1.67 ✓
25 Erlita Cahya Nurprita Ryadhiljannah ✓ 0.83 ✓
26 Evi Nur Azezah Ryadhiljannah ✓ 1.83 ✓
27 Galuh Artanto Ryadhiljannah ✓ 0.67 ✓
Jenis OHIS
No Nama Murid Nama Pemeriksa Kelamin
Jenis
Nilai
L P B C
1 Ilham Nawwarudin Zaidan Muhammad Rezky Solehin ✓ 1.75 ✓
2 Izra Naufal Anugra N. Muhammad Rezky Solehin ✓ 1.33 ✓
3 Kaka Rahmat Hidayat Muhammad Rezky Solehin ✓ 0.49 ✓
4 Keisha Hayelani Muhammad Rezky Solehin ✓ 1.49 ✓
5 Krishna Putra W. M. Muhammad Rezky Solehin ✓ 0.50 ✓
6 Moch Giovanny Alief Afra Hatim ✓ 1.67 ✓
7 Muhammad Nova Darmawan Afra Hatim ✓ 1.00 ✓
8 Muhammad Hafizh Septian Afra Hatim ✓ 0.50 ✓
9 Muhammad Rahmandika Fani Afra Hatim ✓ 0.67 ✓
10 Muhammad Tristan Pamungkas Arum Trisnaningtyas SP ✓ 1.33 ✓
11 Muthi'ah Husna P Arum Trisnaningtyas SP ✓ 1.33 ✓
12 Naufal Alfi Ahmad Arum Trisnaningtyas SP ✓ 1.66 ✓
13 Niken Dwi Arini Arum Trisnaningtyas SP ✓ 0.50 ✓
14 Novi Nurhidayah Arum Trisnaningtyas SP ✓ 0.50 ✓
15 Rafael Heppy Listiyantoro Delia Nigrahaning Rasti ✓ 1.00 ✓
16 Panji Ramadhon Delia Nigrahaning Rasti ✓ 1.17 ✓
17 Punto Aji Tri Jamali Delia Nigrahaning Rasti ✓ 1.83 ✓
18 Qirannisa Azkiya Valin Delia Nigrahaning Rasti ✓ 0.83 ✓
19 Qanita Rafa'hayya Bilqis Delia Nigrahaning Rasti ✓ 0.87 ✓
20 Reza Galang Ardana Nur Annisa Cahyani ✓ 1.32 ✓
21 Ramadhika Temmy R Nur Annisa Cahyani ✓ 0.83 ✓
22 Reihan Raditya Nur Annisa Cahyani ✓ 1.32 ✓
23 Rifqii Naufal Eka Nur Annisa Cahyani ✓ 1.00 ✓
24 Talitha Nabilah A. Millatina Eva Fitria ✓ 1.00 ✓
25 Vania Callista Diva A. Millatina Eva Fitria ✓ 0.67 ✓
26 Vina Afi Datun Sofa Millatina Eva Fitria ✓ 0.50 ✓
27 Wahyu Agung Prananto Millatina Eva Fitria ✓ 2.00 ✓
MERIKSAAN UKGS SD N CATURTUNGGAL 4
OHIS Status Karies Gigi Frekuensi Sikat

Status Karies Gigi Tetap Kesehatan Gusi
Status OHIS Sulung Gigi
K T ∑ d m f dmf ∑ D M F DMF 0 1-3 4-6 1x 2x 3x
✓ 18 2 0 0 2 2 0 0 0 0 ✓ ✓
18 2 0 0 2 8 0 0 0 0 ✓ ✓
18 12 0 0 12 5 0 0 0 0 ✓ ✓
19 7 0 0 7 5 0 0 0 0 ✓ ✓
14 14 0 0 14 10 0 0 0 0 ✓ ✓
16 8 1 0 9 7 0 0 0 0 ✓ ✓
19 7 0 0 7 9 0 0 0 0 ✓ ✓
12 2 0 0 2 12 0 0 0 0 ✓ ✓
14 1 1 0 2 8 0 0 0 0 ✓ ✓
18 9 0 1 10 6 0 0 0 0 ✓ ✓
14 2 0 0 2 9 0 0 0 0 ✓ ✓
18 0 0 0 0 6 0 0 0 0 ✓ ✓
18 13 0 0 13 4 0 0 0 0 ✓ ✓
12 10 0 0 10 11 0 0 0 0 ✓ ✓
14 11 0 0 11 10 2 0 0 2 ✓ ✓
14 5 0 0 5 8 0 0 0 0 ✓ ✓
✓ 18 5 0 0 5 4 0 0 0 0 ✓ ✓
9 6 2 0 8 14 2 0 0 2 ✓ ✓
13 8 0 0 8 13 0 0 0 0 ✓ ✓
14 12 0 0 12 11 0 0 0 0 ✓ ✓
17 1 0 0 1 6 0 0 0 0 ✓ ✓
12 3 0 0 3 12 0 0 0 0 ✓ ✓
✓ 15 9 0 0 9 9 0 0 0 0 ✓ ✓
✓ 20 19 0 0 19 3 0 0 0 0 ✓ ✓

14 7 0 1 8 10 0 0 0 0 ✓ ✓
14 5 0 0 5 10 0 0 0 0 ✓ ✓
16 16 0 0 16 8 0 0 0 0 ✓ ✓
12 4 0 0 4 12 2 0 0 2 ✓ ✓
16 2 0 0 2 8 0 0 0 0 ✓ ✓
16 14 0 0 14 9 2 0 0 2 ✓ ✓
11 5 0 0 5 13 1 0 0 1 ✓ ✓
16 7 0 0 7 9 0 0 0 0 ✓ ✓
20 15 0 0 15 3 1 0 0 1 ✓ ✓
14 4 0 0 4 5 0 0 0 0 ✓ ✓
16 7 0 0 7 8 1 0 0 1 ✓ ✓
15 0 0 0 0 7 0 0 0 0 ✓ ✓
14 13 0 0 13 10 0 0 0 0 ✓ ✓
11 6 0 0 6 12 1 0 0 1 ✓ ✓
14 9 0 0 9 11 0 0 0 0 ✓ ✓
16 5 0 0 5 7 0 0 0 0 ✓ ✓
15 3 0 0 3 10 0 0 0 0 ✓ ✓
18 2 0 0 2 6 0 0 0 0 ✓ ✓
12 4 0 0 4 12 0 0 0 0 ✓ ✓
14 4 0 0 4 9 2 0 0 2 ✓ ✓
14 4 0 0 4 10 0 0 0 0 ✓ ✓
18 6 0 0 6 6 0 0 0 0 ✓ ✓
13 1 1 0 2 11 0 0 0 0 ✓ ✓
7 5 0 0 5 18 2 0 0 2 ✓ ✓
5 5 0 0 5 21 2 0 0 2 ✓ ✓
18 5 0 0 5 7 2 0 0 2 ✓ ✓
17 12 0 0 12 9 0 0 0 0 ✓ ✓

11 4 0 0 4 14 0 0 0 0 ✓ ✓
8 3 0 0 3 20 1 0 0 1 ✓ ✓
12 10 0 0 10 12 2 0 0 2 ✓ ✓
5 5 0 0 5 18 2 0 0 2 ✓ ✓
10 5 0 0 5 12 2 0 0 2 ✓ ✓
12 7 0 0 7 12 0 0 0 0 ✓ ✓
12 5 0 0 5 12 0 0 0 0 ✓ ✓
12 7 0 0 7 11 2 0 0 2 ✓ ✓
15 2 0 0 2 11 0 0 0 0 ✓ ✓
11 10 0 0 10 10 2 0 0 2 ✓ ✓
13 3 0 0 3 12 1 0 0 1 ✓ ✓
16 14 0 0 14 8 0 0 0 0 ✓ ✓
18 7 0 0 7 10 0 0 0 0 ✓ ✓
12 0 0 0 0 24 0 0 0 0 ✓ ✓
9 7 0 0 7 19 1 0 0 1 ✓ ✓
4 3 0 0 3 18 3 0 0 3 ✓ ✓
12 0 0 0 0 12 0 0 0 0 ✓ ✓
10 0 0 0 0 15 0 0 0 0 ✓ ✓
4 2 0 0 2 17 3 0 0 3 ✓ ✓
14 7 0 0 7 10 2 0 0 2 ✓ ✓
11 6 0 0 6 18 5 0 0 5 ✓ ✓
12 9 0 0 9 12 2 0 0 2 ✓ ✓
12 1 0 0 1 12 4 0 0 4 ✓ ✓
10 5 0 0 5 14 1 0 0 1 ✓ ✓
12 10 0 0 10 12 0 0 0 0 ✓ ✓
12 12 0 0 12 14 2 0 0 2 ✓ ✓

14 5 0 0 5 10 0 0 0 0 ✓ ✓
10 5 0 0 5 16 3 0 0 3 ✓ ✓
12 6 0 0 6 13 0 0 0 0 ✓ ✓
12 6 0 0 6 12 4 0 0 4 ✓ ✓
13 0 0 0 0 11 0 0 0 0 ✓ ✓
6 4 2 0 6 16 2 0 0 2 ✓ ✓
13 6 0 0 6 11 0 0 0 0 ✓ ✓
12 5 0 0 5 12 4 0 0 4 ✓ ✓
12 3 0 0 3 12 0 0 0 0 ✓ ✓
11 8 1 0 9 12 0 0 0 0 ✓ ✓
11 3 1 0 4 10 0 0 0 0 ✓ ✓
12 3 0 0 3 10 0 2 0 2 ✓ ✓
14 6 0 0 6 10 0 0 0 0 ✓ ✓
9 6 1 0 7 14 3 0 0 3 ✓ ✓
11 3 0 0 3 13 0 0 0 0 ✓ ✓
15 12 0 0 12 10 2 0 0 2 ✓ ✓
3 1 3 1 5 18 4 0 0 4 ✓ ✓
11 6 0 0 6 13 0 0 0 0 ✓ ✓
13 4 1 0 5 10 0 0 0 0 ✓ ✓
14 7 0 0 7 10 3 0 0 3 ✓ ✓

7 4 0 0 4 17 1 0 0 1 ✓ ✓
7 0 0 0 0 16 0 0 0 0 ✓ ✓
11 6 0 0 6 14 2 0 0 2 ✓ ✓
8 3 0 0 3 21 0 0 0 0 ✓ ✓
9 2 0 1 3 15 3 0 0 3 ✓ ✓
10 5 0 0 5 14 0 0 0 0 ✓ ✓
6 4 0 0 4 17 0 0 0 0 ✓ ✓
9 1 0 0 1 14 0 0 0 0 ✓ ✓
11 1 0 0 1 13 0 0 0 0 ✓ ✓
10 0 0 0 0 14 0 0 0 0 ✓ ✓
12 4 0 0 4 16 1 0 0 1 ✓ ✓
11 5 0 0 5 18 2 0 0 2 ✓ ✓
3 0 0 0 0 21 0 0 0 0 ✓ ✓
6 4 0 0 4 18 0 0 0 0 ✓ ✓
4 0 0 0 0 20 0 0 0 0 ✓ ✓
10 5 0 0 5 16 3 0 1 4 ✓ ✓
7 2 0 0 2 17 1 0 0 1 ✓ ✓
6 4 0 0 4 18 0 0 0 0 ✓ ✓
3 0 0 0 0 20 5 0 0 5 ✓ ✓
1 0 0 0 0 25 3 0 0 3 ✓ ✓
6 3 2 0 5 19 1 0 0 1 ✓ ✓
6 4 4 0 8 18 5 0 4 9 ✓ ✓
5 2 1 0 3 20 0 0 0 0 ✓ ✓
7 3 2 1 6 19 0 0 0 0 ✓ ✓
7 0 1 0 1 17 1 0 0 1 ✓ ✓
6 0 0 0 0 22 0 0 0 0 ✓ ✓
8 0 0 0 0 18 0 0 0 0 ✓ ✓

12 4 0 0 4 12 0 0 0 0 ✓ ✓
12 2 0 0 2 12 0 0 0 0 ✓ ✓
14 3 0 1 4 11 0 0 0 0 ✓ ✓
12 4 0 0 4 12 0 0 0 0 ✓ ✓
10 4 0 0 4 14 0 0 0 0 ✓ ✓
5 3 0 1 4 21 1 0 0 1 ✓ ✓
10 6 2 0 8 14 3 0 0 3 ✓ ✓
8 3 0 0 3 16 1 0 0 1 ✓ ✓
3 1 0 0 1 20 3 0 0 3 ✓ ✓
10 7 0 0 7 14 0 0 0 0 ✓ ✓
10 8 0 0 8 14 2 0 0 2 ✓ ✓
9 7 1 0 8 15 4 0 0 4 ✓ ✓
10 4 0 0 4 14 0 0 0 0 ✓ ✓
7 5 0 0 5 18 1 0 0 1 ✓ ✓
11 4 0 0 4 14 0 0 0 0 ✓ ✓
8 4 0 0 4 16 0 0 0 0 ✓ ✓
2 2 0 0 2 22 2 0 0 2 ✓ ✓
8 6 0 0 6 16 0 0 0 0 ✓ ✓
5 2 0 0 2 19 0 0 0 0 ✓ ✓
2 2 0 0 2 24 2 0 0 2 ✓ ✓
8 1 0 0 1 14 1 0 0 1 ✓ ✓
4 2 0 0 2 20 2 0 0 2 ✓ ✓
7 4 0 0 4 20 2 0 0 2 ✓ ✓
4 2 0 0 2 20 1 0 0 1 ✓ ✓
8 2 0 0 2 16 4 0 0 4 ✓ ✓

4 3 0 0 3 22 1 0 0 1 ✓ ✓
✓ 1 1 0 0 1 27 2 1 0 3 ✓ ✓
4 1 0 0 1 20 0 0 0 0 ✓ ✓
✓ 0 0 0 0 0 24 0 0 0 0 ✓ ✓
0 0 0 0 0 24 0 0 0 0 ✓ ✓
4 2 0 0 2 21 2 0 0 2 ✓ ✓
7 1 0 0 1 14 0 0 0 0 ✓ ✓
12 0 0 0 0 11 0 0 0 0 ✓ ✓
10 4 0 0 4 17 0 0 0 0 ✓ ✓
0 0 0 0 0 27 2 0 0 2 ✓ ✓
8 5 0 0 5 18 0 0 0 0 ✓ ✓
6 3 0 0 3 19 4 0 0 4 ✓ ✓
13 0 0 0 0 12 0 0 0 0 ✓ ✓
6 4 0 0 4 18 0 0 0 0 ✓ ✓
1 1 0 0 1 24 2 0 0 2 ✓ ✓
12 1 0 0 1 12 0 0 0 0 ✓ ✓
✓ 4 1 0 0 1 10 0 0 0 0 ✓ ✓
1 1 1 0 2 21 4 0 0 4 ✓ ✓
0 0 0 0 0 28 1 0 0 1 ✓ ✓
3 3 0 0 3 23 3 0 0 3 ✓ ✓
4 3 0 0 3 21 1 0 0 1 ✓ ✓
2 0 0 0 0 22 1 0 0 1 ✓ ✓
10 3 0 0 3 14 1 0 0 1 ✓ ✓ ✓
0 0 0 0 0 28 0 0 0 0 ✓ ✓ ✓
12 3 0 0 3 12 0 0 0 0 ✓ ✓
4 1 0 0 1 22 1 0 0 1 ✓ ✓ ✓
2 1 0 0 1 22 0 0 0 0 ✓ ✓ ✓

1 1 0 0 1 23 3 0 0 3 ✓ ✓
1 1 0 0 1 27 2 0 0 2 ✓ ✓
2 2 0 0 2 26 0 0 0 0 ✓ ✓
2 2 0 0 2 24 1 0 0 1 ✓ ✓
1 1 0 0 1 26 0 0 0 0 ✓ ✓
0 0 0 0 0 26 0 0 0 0 ✓ ✓
5 3 0 0 3 19 4 0 0 4 ✓ ✓
9 8 0 0 8 16 5 0 0 5 ✓ ✓
5 5 1 0 6 19 0 0 0 0 ✓ ✓
0 0 0 0 0 26 0 0 0 0 ✓ ✓
6 5 0 0 5 17 4 0 0 4 ✓ ✓
6 0 0 0 0 17 0 0 0 0 ✓ ✓
12 10 0 0 10 14 1 0 0 1 ✓ ✓
2 2 4 0 6 16 3 0 0 3 ✓ ✓
11 9 0 0 9 16 1 0 0 1 ✓ ✓
2 2 0 0 2 22 2 0 0 2 ✓ ✓
0 0 1 0 1 27 0 0 0 0 ✓ ✓
0 0 0 0 0 26 2 0 0 2 ✓ ✓
6 5 0 0 5 24 4 0 0 4 ✓ ✓
2 1 0 0 1 22 4 0 0 4 ✓ ✓
3 3 0 0 3 22 2 0 0 2 ✓ ✓
11 1 0 0 1 14 0 0 0 0 ✓ ✓
0 0 0 0 0 26 0 0 0 0 ✓ ✓
3 3 0 0 3 20 2 0 0 2 ✓ ✓
6 2 0 0 2 18 2 0 0 2 ✓ ✓
2 2 0 0 2 28 4 0 0 4 ✓ ✓
0 0 0 0 0 28 0 0 0 0 ✓ ✓

0 0 0 0 0 28 0 0 0 0 ✓ ✓
2 2 0 0 2 26 8 0 0 8 ✓ ✓
0 0 0 0 0 28 1 0 0 1 ✓ ✓
0 0 0 0 0 28 3 0 0 3 ✓ ✓
0 0 0 0 0 27 3 0 0 3 ✓ ✓
0 0 0 0 0 27 1 0 0 1 ✓ ✓
0 0 0 0 0 24 3 0 0 3 ✓ ✓
1 1 0 0 1 26 2 0 0 2 ✓ ✓
2 2 0 0 2 26 0 0 0 0 ✓ ✓
0 0 0 0 0 27 0 0 0 0 ✓ ✓
0 0 0 0 0 28 0 0 0 0 ✓ ✓
3 0 0 0 0 21 3 0 0 3 ✓ ✓
0 0 0 0 0 27 5 0 0 5 ✓ ✓
0 0 0 0 0 28 3 0 0 3 ✓ ✓
0 0 0 0 0 26 0 0 0 0 ✓ ✓
0 0 0 0 0 28 0 0 0 0 ✓ ✓
✓ 4 4 0 0 4 26 2 0 0 2 ✓ ✓
✓ 1 1 0 0 1 23 0 0 0 0 ✓ ✓
4 4 0 0 4 25 4 0 0 4 ✓ ✓
0 0 0 0 0 26 0 0 0 0 ✓ ✓
2 2 0 0 2 26 0 0 0 0 ✓ ✓
0 0 0 0 0 28 0 0 0 0 ✓ ✓
1 1 0 0 1 25 1 0 0 1 ✓ ✓
1 1 0 0 1 23 0 0 0 0 ✓ ✓
0 0 0 0 0 24 0 0 0 0 ✓ ✓
1 1 0 0 1 24 2 0 2 4 ✓ ✓
0 0 0 0 0 28 0 0 0 0 ✓ ✓

Sulung Gigi
Status Karies Gigi Frekuensi Sikat
2 0 0 0 0 20 0 0 0 0 ✓ ✓
3 3 0 0 3 24 4 0 0 4 ✓ ✓
2 0 0 0 0 20 0 0 0 0 ✓ ✓
0 0 0 0 0 26 3 0 0 3 ✓ ✓
3 2 0 0 2 26 4 0 0 4 ✓ ✓
0 0 0 0 0 24 2 0 0 2 ✓ ✓
0 0 0 0 0 24 4 0 0 4 ✓ ✓
0 0 0 0 0 26 4 0 0 4 ✓ ✓
0 0 0 0 0 23 2 0 0 2 ✓ ✓
7 4 0 0 4 17 3 0 0 3 ✓ ✓
0 0 0 0 0 24 6 0 0 6 ✓ ✓
1 1 0 0 1 27 3 0 0 3 ✓ ✓
6 0 0 0 0 18 0 0 0 0 ✓ ✓
7 2 0 0 2 18 1 0 0 1 ✓ ✓
1 1 0 0 1 28 9 0 0 9 ✓ ✓
11 7 0 0 7 13 0 0 0 0 ✓ ✓
5 3 0 0 3 19 2 0 0 2 ✓ ✓
1 0 0 0 0 24 4 0 0 4 ✓ ✓
7 5 0 0 5 16 2 0 0 2 ✓ ✓
2 1 0 0 1 24 1 0 0 1 ✓ ✓
0 0 0 0 0 28 2 0 0 2 ✓ ✓
0 0 0 0 0 26 1 0 0 1 ✓ ✓
0 0 0 0 0 26 2 0 0 2 ✓ ✓
0 0 0 0 0 28 6 0 0 6 ✓ ✓
0 0 0 0 0 28 0 0 0 0 ✓ ✓
0 0 0 0 0 27 3 1 0 4 ✓ ✓
12 6 0 0 6 12 0 0 0 0 ✓ ✓
IA
Rujukan
(+) (-)
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
IB
Rujukan
(+) (-)
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
II A
Rujukan
(+) (-)
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
II B
Rujukan
(+) (-)
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
III A
Rujukan
(+) (-)
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
III B
Rujukan
(+) (-)
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
IV A
Rujukan
(+) (-)
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
IV B
Rujukan
(+) (-)
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
VA
Rujukan
(+) (-)
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
VB
Rujukan
Rujukan
(+) (-)
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
DIAGNOSIS DAN RENCANA PERAWATAN UKGS SD N CATURTUNGGAL
Umur
No. Nama Murid Elemen
Tahun Bulan
1 Abdilla Faiz Anugrah Al- 7 10 52
Faridzi 63
2 Akmal Mulia Kadisaputra 7 6 62
72
82
84
3 Adelia Bilqis Nur Kholifah 7 9 55
53
52
51
61
62
63
64
75
74
82
84
4 Agiska Arya Dhiva 8 1 53
51
61
62
63
64
74
81
5 Aisya Putri 7 11 55
54
53
52
62
63
64
65
75
74
73
83
84
85
6 Aisyah Istiqomah 7 8 54
Nurrohmadani
6 Aisyah Istiqomah 7 8
Nurrohmadani 52
51
61
62
64
75
74
82
84
85
7 Alfian Rizka Saputra 7 6 54
52
51
63
75
74
73
72
71
81
82
8 Alika Avrillya Sari 8 0 65
84
9 Almas Salwa Salsabila 7 4 52
62
10 Cinta Dwi Aryni Putri 8 3 55
54
52
51
61
62
63
64
74
11 Kayla Fatima Faliha 8 3 52
64
72
74
12 Kevin Putra Pradana 7 7 51
61
13 Equienne Bellvania Putri 7 3 55
54
13 Equienne Bellvania Putri 7 3
52
51
61
62
63
64
65
75
74
82
84
85
14 Dimas Saputra Maulana 7 5 55
54
63
64
65
75
74
73
84
85
15 Dimas Muhammad Yusuf 7 10 55
54
52
62
64
65
36
75
74
73
84
85
46
16 Setara Khansa Sabila 7 9 55
65
75
84
85
17 Dinda Cahya Kinanti 7 2 51
61
75
74
18 Davito Revan Putra 7 9 55
18 Davito Revan Putra 7 9
64
65
36
75
74
84
46
19 Nathanael Wasih Putra 8 3 55
54
53
52
64
65
75
74
85
20 Hanifah Dinny Aliyah 8 2 54
53
62
63
64
65
75
74
73
82
83
84
85
21 Irfan Maulana Ashari 8 4 51
61
22 Hafsoh Arfa Nur J 7 7 75
74
85
23 Halimatussa'diyah 7 10 55
52
62
65
75
74
73
72
84
85
24 Karunia Indah Pradita 7 1 54
24 Karunia Indah Pradita 7 1
53
52
51
61
62
63
64
65
75
74
73
72
71
81
82
83
84
85
Umur
Tahun Bulan
1 Ramadhan Bintang 7 8 55
Sugiyanto 62
75
74
73
82
83
84
2 Rani Apriyanti Hamdani 7 0 52
62
75
74
84
3 Rayhan Dwi Prakoso 7 6 55
54
52
62
63
64
65
75
74
73
72
82
83
84
85
4 Raynathan Dzaki Mansa 8 2 64
65
75
74
36
84
85
46
5 Rebelliona Pradipa Rara 7 8 55
Gulton 54
6 Revanna Thalita Arsany 8 4 55
54
53
52
62
63
64
65
75
74
73
36
83
84
85
46
7 Ridho Ahmad Fauzan 8 3
54
65
36
75
74
84
85
8 Nanang Irham Maulana 7 5 52
62
63
74
75
8 Nanang Irham Maulana 7 5
83
84
9 Nathan Putra Heryuasa 7 3 51
52
53
61
62
63
64
71
72
73
74
81
82
83
84
36
10 Organ Vebriyan Saputra 7 6 65
74
75
11 Nakira Mutiara Zahwa 7 7 54
64
65
74
75
84
85
12 Rafa Rifana Rahim 7 5
13 Naning Dhewi Maharani 7 5 52
53
54
55
63
64
65
73
74
75
83
84
85
14 Nilam Ayu Maharani 7 6 53
63
74
14 Nilam Ayu Maharani 7 6
75
84
85
46
15 Khansa Wahiba Muna 7 9 54
53
61
62
64
65
75
74
85
16 Krisnantyo Wahyu 7 8 54
Ramadhan 75
74
84
85
17 Muhammad Bagus 7 8 75
Ramadhan
82
84
85
18 Muhammad Juf Romiz 7 5 74
84
19 Muhammad Luthfi Raditya 7 9 53
75
74
85
20 Muhammad Ramadhan 8 0 36
Tuaryma 75
74
84
85
46
21 Nadia Aiko Widya Destiano 7 9 64
75
84
85
22 Sadewa Raka P 7 10 54
51
61
75
74
22 Sadewa Raka P 7 10
84
23 Shafa Diil Shelo 7 9 26
74
24 Robikhakaf Kafano A 7 10 55
54
63
36
74
84
46
25 Zidna Ilma 7 8 55
53
65
36
75
85
46
26 Septian Andika P 7 4 55
54
52
51
64
26
36
72
84
27 Tira Zakia 7 8 55
54
52
61
62
63
64
65
75
74
72
82
84
85
Umur
Tahun Bulan
1 Afira Erna Dwi Asyifa 9 5 55
1 Afira Erna Dwi Asyifa 9 5
65
75
85
2 Aima Cinta Habeahan 8 5 55
65
85
46
3 Al Azhar Putra Nugraha 8 3 16
55
54
53
64
65
26
75
74
83
84
85
4 Aldy Siswo Priambodo 9 2 55
53
63
65
36
46
5 Anas Ramadhan 8 8 55
54
64
36
74
84
46
6 Aquna Odrielio Frasya 8 6 55
Nakasaputra 54
65
75
74
84
85
7 Arief Prasetyo Budi 8 10
Nugroho 64
75
74
84
Nugroho
85
8 Asia Yulita 8 9 55
62
63
64
36
75
74
84
85
46
9 Ayra Jameera Maryam 8 7 74
72
82
84
10 Dian Novita 8 4 55
53
52
62
63
64
65
36
75
74
73
83
84
85
46
11 Hanum Asafa 8 5 62
36
75
83
84
85
12 Noarfa Dava Refaldi 8 5 55
54
53
52
61
62
65
75
74
73
72
82
83
84
85
13 Dinar Satria 8 10 52
62
64
75
74
72
84
85
14 Devan Angga 8 9
15 Bagas Agustya 9 8 55
54
65
36
74
73
83
85
16 Azzahra 9 3 65
26
36
75
85
46
17 Azalia Teguh 8 8
18 Dewi Arum 8 10
19 Derean Clevrich 8 10 55
65
26
36
46
20 Dyandra Shinta Dewi 8 8 55
54
52
64
26
75
74
85
46
21 Elvaretta Angelina Andriani 8 3 16
55
54
24
65
26
36
75
84
85
46
22 Elvinda Mutiara Sahira 8 11 55
54
63
64
65
26
36
75
74
84
85
23 Fahroni Nugroho 9 2 16
63
26
36
46
24 Fanesha Putri Ramadhani 8 8 65
36
75
74
84
85
25 Findhita Berliani Saputri 8 8 55
54
53
63
64
65
75
74
84
85
26 Fira Rahmawati 8 1 16
55
54
53
63
64
65
26
75
74
73
83
84
85
Umur
Tahun Bulan
1 Muhammad Khadafi 8 6 61
75
74
84
85
2 Muqorrobin Huda 8 5 54
26
36
75
74
84
85
46
3 Rasyid Imam Febri 9 2 55
54
53
64
73
84
4 Ridwan Nur Masjid 10 1 16
55
54
64
65
26
36
84
85
46
5 Zaki Arkana Favian 8 10
6 Silfi Adhila Putri 8 10 16
55
54
64
65
75
85
46
7 Galang Bangkit Satrio 8 7 62
64
65
75
83
85
8 Janisya Cahya Rini 9 3 16
55
65
26
36
75
74
83
85
46
9 M. Satria Tri Kurniawan 10 0 55
75
75
10 Raditya Javas Nararya 8 6 55
54
53
63
64
74
75
84
85
11 Rayyanadra Jati Mannaf 8 7 53
65
75
85
12 Risma Indriani 8 8 52
62
12 Risma Indriani 8 8
64
65
84
13 Syafira Shinta Pradewi 8 4 55
54
52
62
64
65
14 Zivanna Anzelia Arteta 9 0 55
53
63
64
65
26
36
75
85
46
15 Yuka Tegar Wicaksono 8 7 64
73
83
84
85
16 Rafa Aidil El-Gunawan 8 7 55
54
52
61
62
64
65
36
75
74
73
84
85
46
17 Muna Aini Mufidah 8 11 16
53
63
26
36
75
74
46
18 M. Afrizza Al-faridzi 8 5 55
63
64
65
74
84
19 Keandre Panji Meda 8 1 55
54
64
65
83
20 Galeh Bangkit Satrio 8 7 55
54
52
62
64
65
26
36
75
84
85
46
Umur
Tahun Bulan
1 Dava Anditya 8 10 55
65
75
85
46
2 Cira Annoura 9 9 84
3 Chaya Duanta Aulia 9 11 55
64
36
75
73
46
4 Bimo Satrio Cahyo 9 8 52
Nugroho 62
65
75
74
4 Bimo Satrio Cahyo 9 8
Nugroho
73
83
5 Azzalya Syifa Setyawan 9 4 16
75
36
46
6 Aulia Salsa Billa 10 3 54
64
65
84
85
7 Aisyah Ayu Susanto 11 8 55
53
63
65
75
85
8 Aufa Pratama 9 4 74
9 Devano Dwi Nurrohman 9 2 74
10 Devino Dwi Nurrohman 9 2
11 Ega Arifah Larasati 9 5 55
54
65
75
84
46
12 Elsa Arifah Nugrahani 9 5 55
64
65
36
75
84
85
46
13 Fadhil Khoiru Mafaza 10 4 63
75
14 Fajar Hafidh Saputra 9 10 55
53
63
65
75
85
15 Akhmelia Nur Fajrina 9 9
16 Amira Nathaniela 9 6 16
55
16 Amira Nathaniela 9 6
65
26
36
74
83
84
17 Andika Alvin Pratama 11 2 16
55
74
73
18 Ansyifa Nur Naafi'ah 9 9 55
63
65
75
85
19 Aryo Wicaksono 10 10 16
15
26
75
36
46
20 Atik Permata Sari 9 5 16
65
36
46
21 Adika Gerard Abimayu 9 7 24
75
84
85
22 Aditya Rizky Pratama 9 9 55
53
61
62
63
65
34
33
32
41
42
43
44
23 Afifah Resky Pramadita 9 6 55
75
24 Agna Fatma Sari 9 2 63
75
85
25 Ahmad Alzarizko 9 6 16
26 Aisha Meydina Puspasari 9 11
27 Akbar Yuko Hartanto Putro 9 0
Umur
Tahun Bulan
1 Galih Setyo Nugroho 10 0 75
74
84
85
2 Gana Jaya Prasetyo 10 3 53
74
3 Habib Affan Syathir 9 3 52
62
64
75
84
4 Jasmine Putri Dendy 9 3 75
74
84
85
5 Jessica Dwi Anindya 9 9 55
54
53
63
6 Jihan Nurmalita Putri 10 0 16
55
54
53
85
7 Khanza Kalyca Suwandono 9 7 16
55
54
65
36
75
74
43
84
45
46
8 Linda Ulfi Hanifah 10 0 54
75
74
85
46
9 M Mirza Rahadian 9 11 16
36
34
85
46
10 M Adieb Akbar Habibie 9 2 55
54
64
65
75
74
85
11 Natasya Adinda S 10 1 55
54
64
65
36
75
74
84
85
46
12 Nadia Ayu Ningrum 9 10 16
55
54
64
65
26
36
75
74
84
85
46
13 Navicka Ayunda L 9 11 55
54
64
13 Navicka Ayunda L 9 11
75
14 Navisa Monahara A. P. 9 11 55
54
65
75
85
46
15 Nurma Rinda R. 9 8 75
74
84
85
16 Putri Diandra A. M. 9 11 55
54
75
85
17 Raditya Awani 9 11 16
53
63
46
18 Rasel Adi Putra 10 6 55
53
63
75
84
85
19 Rayyana Qalbulshali 9 5 55
53
20 Riyan Ragil Saputro 10 10 65
36
75
46
21 Rizkya Ichi Zakaria 9 9 64
36
22 Septi Fitri Ardiani 9 7 36
75
46
85
23 Sintya Bella Putri Riyanti 9 8 55
53
63
64
36
74
46
24 Sintya Insani Amelia 9 5 16
24 Sintya Insani Amelia 9 5
85
75
25 Zika Azzahra 9 7 16
26
75
34
83
85
46
Umur
Tahun Bulan
1 Ardina Mesya Hastani 10 6 53
63
85
46
2 Auryn Shareta Kurniahany 10 10 65
36
45
46
3 Baras Putra Wicaksono 10 2 75
4 Benyamin Al Habibi 10 11
5 Devara Satya Putra Hutama 10 5
6 Esstery Barakuana 10 6 55
65
36
46
7 Anugerah Fauzan Alfaridzi 10 11 53
75
8 Elvira Chairunissa 10 3
9 Elyan Dika Aditya 10 8 75
74
84
85
10 Fajar Dwi Saputra 10 9 36
46
11 Fika Khumaira 10 10 16
65
26
36
84
46
12 Chesya Nada Berliana 10 0 52
62
12 Chesya Nada Berliana 10 0
83
13 Ghayda Nafisah Jihan 10 0 55
Labibah 65
75
85
14 Friska Amelia Safitri 10 8 53
65
75
73
83
84
85
15 Jessica Tungga Dewi 10 4 65
Sunandar 36
46
16 Ginariswari Ratna Ismaya 10 8
75
17 Imannuelo Yunaz Efraim 10 2 85
18 Kayla Azzura Lufitawati 10 8 16
26
36
75
85
46
19 Agtifa Candra Pramesti 10 8 36
20 Ahmad Arkan Nandana 10 4 15
Naban 37
36
75
84
85
21 Ahmad Syarif Ashari 10 6 55
65
43
85
22 Alfino Ferdiansyah 10 7 16
23 Andika Ragil Alifian 10 5 64
65
83
84
46
24 Anindya Kirani 11 5
25 Anugerah Fauzi Alfaridzi 10 11 75
73
84
26 Fauzan Setyo Nugroho 10 9 16
83
85
27 Aloysius Julio Wase Putra 10 9 63
65
Umur
Tahun Bulan
1 Linda Ayu Pratiwi 10 8 55
25
26
46
2 Muhammad Rasya Putra 11 1 65
26
45
3 Novita Dwi Nur Aini 10 5
75
85
4 Satya Noer Rachman 10 4 55
75
46
5 Wardatul Jannah 10 10 55
6 Zara Leviana Garinta 10 10 16
26
46
7 Pratama Chisan Nugraha 10 3 16
55
53
26
36
75
85
46
8 Shohihul Khuluq Nurul Ilmi 10 1 16
55
14
53
63
64
65
26
36
75
74
84
85
46
9 Nadya Marella 10 3 55
53
63
65
84
85
10 Winda Ayu Lestari 10 8
11 Zeatha Kamila 10 7 16
55
14
24
65
36
74
85
12 Marcellinus Janenino 10 8 63
83
13 Rasya Apri Wijaya P. 11 1 55
54
53
51
62
65
36
75
74
84
85
14 Narendra Djangkaru P. 10 5 16
65
75
36
46
15 Yuliana Kusminarti 10 9
54
62
63
64
65
36
75
74
84
85
16 Ulfa Amilia W. 10 5 55
65
36
46
17 Meilani Putri 10 11 13
18 Martua Dome Ichi 10 3 36
Habeahan 46
19 Najwa Yulia Prastiwi 10 7 16
55
53
63
26
36
74
72
82
84
20 Sasmecca 10 0 16
26
36
75
46
21 Tanaya Vidia Ramadhani 11 3 36
75
84
85
46
22 Yanu Iskandar Ahhmad 9 9 74
23 Kidung Suci Maheswari 10 8
24 Mentari Zetta Rossalya 11 3 16
53
63
36
85
25 Naufal Hazim Muazzam 10 1 36
Praditya 75
85
46
26 Vevi Noviana 11 9 16
52
26
36
74
46
27 Zahra Aulia Kansa 10 10
Umur
Tahun Bulan
1 Ahmad Gusnajib 11 8
2 Akmal Putra Laksana 11 9 16
15
14
24
26
36
75
84
46
47
3 Alifia Zahra Prasetyo 11 6 36
4 Alya Azkal Azkia S. 12 0 16
36
46
5 Andhara Nabila 11 4 16
26
36
6 Anggoro Putranto 11 7 36
7 Aurel Pasya Shetara 11 0
8 Atha Pranaja Mahardika 12 7
54
75
9 Asya Ayu Ramadhani 11 2
55
26
46
10 Arief Maulana Syahdewa 11 6 36
43
46
11 Aurelya Putri 12 2
12 Ayu Lintang Sekar Kinasih 11 1 16
12 Ayu Lintang Sekar Kinasih 11 1
26
74
73
46
13 Bayu Tria Setiawan 11 3 16
14
26
36
46
14 Bimantara Aldi Dwitama 12 0 12
26
36
15 Chacha Aulia Ramandini 11 7
16 Darel Cavell Manggala 11 4
17 Dea Adelia Pradita 11 5 55
52
62
65
36
46
18 Charis Septian Putra Utama 11 6
55
19 Dedi Ardiansyah 12 0 16
65
26
36
74
84
85
46
20 Defana Malvino Braga 12 2
21 Delia Putri Rahmawati 11 9 64
65
22 Devalina Nur Khoirunnisa 11 4
23 Dhea Syaharani 12 2 85
46
24 Dinda Melisa 11 11 55
25 Erlita Cahya Nurprita 11 8
26 Evi Nur Azezah 11 8 55
24
26
27 Galuh Artanto 11 2
Umur
Tahun Bulan
1 Ilham Nawarudin Zaidan 11 8
2 Izra Naufal Anugra 11 8 16
55
26
36
75
85
46
3 Kaka Rahmat Hidayat 11 8 72
82
4 Keisha Hayelani 11 8 16
36
46
5 Moch Giovanny Alief 11 8 55
26
36
75
46
47
6 Moch Giovanny Alief 11 6 16
46
7 Muhammad Nova 11 11 16
Darmawan 26
36
46
8 Muhammad Hafizh Septian 11 7 16
26
36
46
9 Muhammad Rahmandika 11 10 26
Fani 36
10 Muhammad Tristan 11 5 16
Pamungkas 55
53
36
75
74
73
85
46
11 Muthi'ah Husna P 12 0 16
14
24
26
11 Muthi'ah Husna P 12 0
36
46
12 Naufal Alfi Ahmad 11 8 55
26
36
46
13 Niken Dwi Arini 11 7
14 Novi Nurhidayah 11 5 54
36
84
15 Rafael Heppy Listiyantoro 11 1 17
16
54
24
26
27
16 Panji Ramadhon 11 7 55
54
63
65
74
83
85
17 Punto Aji Tri Jamali 11 10 65
36
75
85
46
18 Qirannisa Azkiya Valin 11 8 54
26
36
46
47
19 Qanita Rafa'hayya Bilqis 11 1 55
54
65
36
84
85
46
20 Reza Galang Ardana 12 1 65
36
74
21 Ramadhika Temmy R 11 8 36
21 Ramadhika Temmy R 11 8
47
22 Reihan Raditya 11 8 26
23 Rifqii Naufal Eka 11 8 16
36
24 Talitha Nabilah A. 11 11 16
25
26
36
35
46
25 Vania Callista Diva A. 11 9
26 Vina Afi Datun Sofa 11 6 16
24
36
46
27 Wahyu Agung Prananto 12 3 55
53
63
75
74
85
ANA PERAWATAN UKGS SD N CATURTUNGGAL 4
IA
Diagnosis Rencana Perawatan
Karies dentin Opdent
Karies email Opdent
Karies email Opdent
Luksasi derajat I Observasi pro eksodonsia
Luksasi derajat II Observasi pro eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies dentin disertai nekrosis pulpa Endodonsia
Karies dentin disertai luksasi derajat III Eksodonsia
Karies email disertai luksasi derajat III Eksodonsia
Karies dentin disertai luksasi derajat III Eksodonsia
Karies dentin disertai luksasi derajat I Observasi pro eksodonsia
Karies dentin disertai luksasi derajat I Observasi pro eksodonsia
Radices Eksodonsia
Edentulous Observasi
Radices disertai luksasi derajat II Eksodonsia
Karies dentin disertai luksasi derajat II Eksodonsia
Karies dentin disertai luksasi derajat I Eksodonsia
Karies Email Opdent
Karies Email Opdent
Karies Email Opdent
Persistensi disertai luksasi derajat I Eksodonsia
Karies dentin disertai nekrosis pulpa dan
pulpa polip Observasi pro eksodonsia
Premature Loss Space regainer
Karies dentin disertai nekrosis pulpa Eksodonsia
Radices disertai luksasi derajat II Eksodonsia
Luksasi derajat 1 Eksodonsia
Karies Email Opdent
Persistensi disertai luksasi derajat II Eksodonsia
luksasi derajat 1 Eksodonsia
Radices Eksodonsia
Radix Eksodonsia
Radix Eksodonsia
Radix Eksodonsia
Radix Eksodonsia
Radix Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies dentin disertai luksasi derajat 1 Observasi pro eksodonsia
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Radices Eksodonsia
Luksasi derajat 2 Observasi pro eksodonsia
Radix Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
Karies email disertai luksasi derajat 2 Observasi pro eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Radix Eksodonsia
Radices Eksodonsia
IB
Karies email Opdent
Persistensi disertai luksasi derajat 3 Eksodonsia
Radices Eksodonsia
Karies email Opdent
Radices Eksodonsia
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices disertai luksasi derajat 3 Eksodonsia
Karies email Opdent
Radices disertai persistensi dan luksasi
derajat 2 Eksodonsia
Radices disertai persistensi dan luksasi
derajat 3 Eksodonsia
Karies email Opdent
Radices Eksodonsia
Radix disertai persistensi Eksodonsia
Radix Eksodonsia
Radices Eksodonsia
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radix Eksodonsia
Radix Eksodonsia
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Gigi sehat Topical Aplikasi Fluor
Radix Eksodonsia
Radix Eksodonsia
Radices Endodonsia
Radix Eksodonsia
Radices Eksodonsia
Radix Eksodonsia
Radix Eksodonsia
Radix disertai luksasi derajat I Eksodonsia
Radix disertai persistensi dan luksasi
derajat I Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Persistensi disertai persistensi dan luksasi
derajat III Eksodonsia
Karies email Opdent
Karies email Opdent
Radix Eksodonsia
Radix Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Persistensi radix Eksodonsia
Persistensi radix Eksodonsia
Radices Eksodonsia
Karies email Opdent
Radices Eksodonsia
Radices Eksodonsia
Karies email Opdent
Karies dentin disertai luksasi Observasi pro ekso
Luksasi derajat 3 Eksodonsia
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Radix Eksodonsia
Radix disertai luksasi derajat 3 Eksodonsia
Karies dentin disertai nekrosis pulpa
dengan luksasi derajat 3 Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
II A
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
radices Eksodonsia
karies dentin disertai nekrosis pulpa Endodonsia
karies dentin Opdent
Karies email Opdent
Karies email Opdent
radices Eksodonsia
radiks Eksodonsia
Karies email Opdent
karies dentin disertai nekrosis pulpa Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
radices Eksodonsia
Karies email Opdent
karies dentin disertai nekrosis pulpa Observasi pro eksodonsia
polip pulpa Endodonsia
Karies email Opdent
Premature loss Space Maintainer
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
Karies email Opdent
Persistensi Eksodonsia
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
polip gingiva Endodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Radix Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
Karies dentin disertai luksasi derajat 2 Eksodonsia
Karies dentin disertai nekrosis pulpa Observasi pro eksodonsia
Karies email Opdent
Karies email Opdent
Radices disertai persistensi Eksodonsia
Karies email Opdent
persistensi Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies dentin disertai nekrosis pulpa Observasi proeksodonsia
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
II B
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies dentin dengan nekrosis pulpa Endodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Gigi sehat Topikal Aplikasi Fluor
Karies email Opdent
Premature loss Space maintainer
Karies email Opdent
Karies email dengan persisensi Eksodonsia
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Karis email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Luksasi derajat 2 Observasi Pro Ekso
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies dentn Opdent
Prematur loss Space maintainer
Prematur loss Observasi
Karies email Opdent
Karies email Opdent
Karies email Opdent
Edentulous Oservasi
Karies dentin dengan persistensi Eksodonsia
Karies dentin dengan persistensi Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies dentin disertai nekrosis pulpa dan Observasi pro eksodonsia
luksasi derajat 1
Radix Eksodonsia
Radix Eksodonsia
Radix Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
premature loss Observasi
premature loss Observasi
Karies email Opdent
Karies email Opdent
Karies email Opdent
premature loss SM
Karies email Opdent
Radices Eksodonsia
premature loss SM
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Radices Eksodonsia
Karies email Opdent
III A
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Luksasi derajat III disertai persistensi Eksodonsia
Karies email Opdent
Radices Eksodonsia
Luksasi derajat III disertai persistensi Eksodonsia
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
karies dentin opdent
Gigi Sehat Topical Aplikasi Fluor
radices disertai persistensi eksodonsi
persistensi eksodonsi
karies email opdent
karies email opdent
luksasi derajat 1 disertai persistensi eksodonsi
karies email opdent
luksasi derajat 1 observasi pro eksodonsi
karies email opdent
karies email opdent
karies dentin dengan pulpa terbuka eksodonsi
karies dentin dengan pulpa terbuka eksodonsi
Gigi Sehat Topical Aplikasi Fluor
Karies Email Opdent
Karies Email Opdent
Karies Dentin Opdent
Radices dengan persistensi Eksodonsia
Luksasi derajat 1 Observasi Pro Eksodonsia
Karies dentin dengan persistensi disertai
luksasi derajat III Eksodonsia
Karies dentin dengan nekrosis pulpa
disertai persistensi Eksodonsia
Karies dentin dengan nekrosis pulpa Observasi Pro Eksodonsia
Radices Eksodonsia
Karies Email Opdent
Karies Email Opdent
Karies Email Opdent
Karies Email Opdent
Karies Email Opdent
Radix Eksodonsia
Karies dentin Eksodonsia
Karies dentin disertai nekrosis pulpa Observasi pro Eksodonsia
Karies email Opdent
III B
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Luksasi derajat III Eksodonsia
luksasi derajat II Observasi pro eksodonsia
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Radix Eksodonsia
Radix Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
Radix Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices disertai persistensi Eksodonsi
Karies dentin disertai nekrosis pulpa Observasi pro eksodonsi
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Eksodonsi
Karies email Opdent
Radix disertai persistensi Eksodonsi
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Observasi pro eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
IV A
Karies email Opdent
Karies email Opdent
Edentulous Prostodonsia
Karies dentin disertai nekrosis pulpa Observasi pro Eksodonsia

Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Kares email Opdent
karies email Opdent
karies email Opdent
Karies email Opdent
Karies email Opdent

Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Premature loss Space Maintener
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
IV B
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Kares email Opdent
Karies email Opdent
Radices dengan luksasi derajat 3 disertai
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
luksasi derajat 1 Observasi pro eksodonsia
Karies email Opdent
Karies email Opdent
premature loss Observasi pro SM
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
persistensi 11 Eksodonsi
Radix disertai persistensi 22 Eksodonsi
Karies email Opdent
Radices Observasi pro eksodonsi
Karies email Opdent
Karies email Opdent
Karies email Opdent
Radices disertai persistensi 24 Eksodonsi
Karies email Opdent
Karies email Opdent
Premature loss Observasi
Karies email Opdent
Karies email Opdent
Karies email Opdent
edentulous Observasi
edentulous Observasi
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
radices Eksodonsia
radices Eksodonsia
Karies email Opdent
Karies email Opdent
luksasi derajat I Observasi Pro Eksodonsia
luksasi derajat I Observasi Pro Eksodonsia
Karies email Opdent
luksasi derajat III Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
VA
karies email Opdent
karies email Opdent
karies email Opdent
karies email Opdent
radices Eksodonsia
radices Eksodonsia
karies email Opdent
karies email Opdent
karies email Opdent
karies email Opdent
karies email Opdent
Karies Email Opdent
luksasi derajat II Eksodonsia
Karies Email Opdent
Karies Email Opdent
Luksasi derajat II Observasi Pro Eksodonsia
Karies Email Opdent
Karies Email Opdent
Karies Email Opdent
Karies Email Opdent
Karies Email Opdent
Karies Email Opdent
Karies Email Opdent
Karies Email Opdent
Karies email Opdent
Karies email Opdent

Karies email Opdent
Karies email Opdent
Radices Eksodonsia
Radices Eksodonsia

Radices Eksodonsia
Karies email Opdent
radices disertai persistensi Eksodonsia
VB
Karies email Opdent
Radices Eksodonsia
Radices Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies dentin dengan nekrosis pulpa Eksodonsia
Karies dentin dengan nekrosis pulpa Eksodonsia
Karies dentin dengan nekrosis pulpa
disertasi luksasi derajat III Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies dentin disertai luksasi derajat 3 Eksodonsia
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
Karies email Opdent
No. Nama Kelas Tanggal Lahir Tanggal Pemeriksaan
1 Abdilla Faiz Anugrah Al Faridzi I A 28/06/2011 29/04/2019

2 Akmal Mulia Kadisaputra IA 04/10/2011 29/04/2019
3 Adelia Bilqis Nur Kholifah IA 04/07/2011 29/04/2019
4 Agiska Arya Dhica IA 20/03/2011 29/04/2019
5 Aisya Putri IA 06/05/2011 29/04/2019
6 Aisyah Istiqomah NurrohmadanI A 01/08/2011 29/04/2019
7 Alfian Rizka Saputra IA 25/10/2011 29/04/2019
8 Alika Avrillya Sari IA 23/04/2011 29/04/2019
9 Almas Salwa Salsabila IA 15/12/2011 29/04/2019
10 Cinta Dwi Aryni Putri IA 31/12/2010 29/04/2019
11 Kayla Fatima Faliha IA 12/01/2011 29/04/2019
12 Kevin Putra Pradana IA 14/09/2011 29/04/2019
13 Equienne Bellvania Putri IA 28/01/2012 29/04/2019
14 Dimas Saputra Maulana IA 24/11/2011 29/04/2019
15 Dimas Muhammad Yusuf IA 02/06/2011 29/04/2019
16 Setara Khansa Sabila IA 08/07/2011 29/04/2019
17 Dinda Cahya Kinanti IA 31/01/2012 29/04/2019
18 Davito Revan Putra IA 18/07/2011 29/04/2019
19 Nathanael Wasih Putra IA 28/01/2011 29/04/2019
20 Hanifah Dinny Aliyah IA 25/02/2011 29/04/2019
21 Irfan Maulana Ashari IA 27/12/2010 29/04/2019
22 Hafsoh Arfa Nur J. IA 22/09/2011 29/04/2019
23 Halimatussa'diyah IA 11/06/2011 29/04/2019
24 Karunia Indah Pradita IA 11/03/2012 29/04/2019
1 Ramadhan Bintang Sugiyanto I B 13/08/2011 29/04/2019

2 Rani Apriyanti Hamdani IB 18/04/2012 29/04/2019
3 Rayhan Dwi Prakoso IB 15/10/2011 29/04/2019
4 Raynathan Dzaki Mansa IB 21/02/2011 29/04/2019
5 Rebelliona Pradipa Rara GultonI B 29/08/2011 29/04/2019
6 Revanna Thalita Arsany IB 29/12/2010 29/04/2019
7 Ridho Ahmad Fauzan IB 19/01/2011 29/04/2019
8 Nanang Irham Maulana IB 28/11/2011 29/04/2019
9 Nathan Putra Heryuansa IB 01/01/2012 29/04/2019
10 Organ Vebriyan Saputra IB 24/10/2011 29/04/2019
11 Nakira Mutiara Zahwa IB 12/09/2011 29/04/2019
12 Rafa Rifana Rahim IB 21/11/2011 29/04/2019
13 Naning Dhewi Maharani IB 28/11/2011 29/04/2019
14 Nilam Ayu Artanto IB 28/10/2011 29/04/2019
15 Khansa Wahiba Muna IB 25/07/2011 29/04/2019
16 Krisnantyo Wahyu Ramadhan I B 21/08/2011 29/04/2019
17 Muhammad Bagus Ramadhan I B 01/08/2011 29/04/2019
18 Muhammad Juf Romiz IB 10/11/2011 29/04/2019
19 Muhammad Luthfi Raditya IB 04/07/2011 29/04/2019
20 Muhammad Ramadhan TuarymI B 16/04/2011 29/04/2019
21 Nadia Aiko Widya Destiano IB 10/07/2011 29/04/2019
22 Sadewa Raka P IB 23/06/2011 29/04/2019
23 Shafa Diil Shelo IB 08/07/2011 29/04/2019
24 Robikhakaf Kafano A IB 15/06/2011 29/04/2019
25 Zidna Ilma IB 03/08/2011 29/04/2019
26 Septian Andika P IB 16/09/2011 29/04/2019
27 Tira Zakia IB 09/08/2011 29/04/2019
1 Afira Erna Dwi Asyifa II A 16/11/2009 29/04/2019

2 Aima Cinta Habeahan II A 18/11/2010 29/04/2019
3 Al Azhar Putra Nugraha II A 15/01/2011 29/04/2019
4 Aldy Siswo Priambodo II A 16/02/2010 29/04/2019
5 Anas Ramadhan II A 26/08/2010 29/04/2019
6 Aquna Odrielio Frasya NakasapII A 09/10/2010 29/04/2019
7 Arief Prasetyo Budi Nugroho II A 25/06/2010 29/04/2019
8 Asia Yulita II A 02/07/2010 29/04/2019
9 Ayra Jameera Maryam II A 08/09/2010 29/04/2019
10 Dian Novita II A 20/12/2010 29/04/2019
11 Hanum Asafa II A 22/11/2010 29/04/2019
12 Noarfa Dava Refaldi II A 26/11/2010 29/04/2019
13 Dinar Satria II A 21/06/2010 29/04/2019
14 Devan Angga II A 01/07/2010 29/04/2019
15 Bagas Agustya II A 11/08/2009 29/04/2019
16 Azzahra II A 03/01/2010 29/04/2019
17 Azalia Teguh II A 22/08/2010 29/04/2019
18 Dewi Arum II A 24/06/2010 29/04/2019
19 Darean Clevrich II A 02/06/2010 29/04/2019
20 Dyandra Shinta Dewi II A 19/08/2010 29/04/2019
21 Elvaretta Angelina Andriani II A 17/01/2010 29/04/2019
22 Elvinda Mutiara Sahira II A 14/05/2010 29/04/2019
23 Fahroni Nugroho II A 06/02/2010 29/04/2019
24 Fanesha Putri Ramadhani II A 27/08/2010 29/04/2019
25 Findhita Berliani Saputri II A 31/07/2010 29/04/2019
26 Fira Rahmawati II A 29/03/2011 29/04/2019

1 Muhammad Khadafi II B 04/10/2010 29/04/2019
2 Muqorrobin Huda II B 10/11/2010 29/04/2019
3 Rasyid Imam Febri II B 19/02/2010 29/04/2019
4 Ridwan Nur Masjid II B 23/03/2009 29/04/2019
5 Zaki Arkana Favian II B 03/06/2010 29/04/2019
6 Silfi Adhila Putri II B 31/05/2010 29/04/2019
7 Galang Bangkit Satrio II B 22/09/2010 29/04/2019
8 Janisya Cahya Rini II B 26/01/2010 29/04/2019
9 M. Satria Tri Kurniawan II B 24/04/2009 29/04/2019
10 Raditya Javas Nararya II B 28/10/2010 29/04/2019
11 Rayyanadra Jati Mannaf II B 24/09/2010 29/04/2019
12 Risma Indriani II B 03/08/2010 29/04/2019
13 Syafira Shinta Pradewi II B 18/12/2010 29/04/2019
14 Zivanna Anzelia Arteta II B 07/04/2010 29/04/2019
15 Yuka Tegar Wicaksono II B 11/09/2010 29/04/2019
16 Rafa Aidil El-Gunawan II B 03/09/2010 29/04/2019
17 Muna Aini Mufidah II B 24/05/2010 29/04/2019
18 M. Afrizza Al-faridzi II B 07/11/2010 29/04/2019
19 Keandre Panji Meda II B 24/03/2011 29/04/2019
20 Galeh Bangkit Satrio II B 22/09/2010 29/04/2019
1 Dava Anditya III A 06/06/2010 29/04/2019

2 Cira Annoura III A 12/07/2009 29/04/2019
3 Chaya Duanta Aulia III A 14/05/2009 29/04/2019
4 Bimo Satrio Cahyo Nugroho III A 10/08/2009 29/04/2019
5 Azzalya Syifa Setyawan III A 24/12/2009 29/04/2019
6 Aulia Salsa Billa III A 19/01/2009 29/04/2019
7 Aisyah Ayu Susanto III A 31/07/2007 29/04/2019
8 Aufa Pratama III A 16/12/2009 29/04/2019
9 Devano Dwi Nurrohman III A 09/02/2010 29/04/2019
10 Devino Dwi Nurrohman III A 09/02/2010 29/04/2019
11 Ega Arifah Larasati III A 26/11/2009 29/04/2019
12 Elsa Arifah Nugrahani III A 26/11/2009 29/04/2019
13 Fadhil Khoiru Mafaza III A 26/12/2008 29/04/2019
14 Fajar Hafidh Saputra III A 14/06/2009 29/04/2019
15 Akhmelia Nur Fajrina III A 08/07/2009 29/04/2019
16 Amira Nathaniela III A 15/10/2009 29/04/2019
17 Andika Alvin Pratama III A 05/02/2008 29/04/2019
18 Ansyifa Nur Naafi'ah III A 18/07/2009 29/04/2019
19 Aryo Wicaksono III A 18/06/2008 29/04/2019
20 Atik Permata Sari III A 02/11/2009 29/04/2019
21 Adika Gerard Abimayu III A 25/09/2009 29/04/2019
22 Aditya Rizky Pratama III A 25/07/2009 29/04/2019
23 Afifah Resky Pramadita III A 17/10/2009 29/04/2019
24 Agna Fatma Sari III A 21/02/2010 29/04/2019
25 Ahmad Alzarizko III A 10/6/2009 29/04/2019
26 Aisha Meydina Puspasari III A 5/8/2009 29/04/2019
27 Akbar Yuko Hartanto Putro III A 4/6/2010 29/04/2019
1 Galih Setyo Nugroho III B 22/04/2009 29/04/2019

2 Gana Jaya Prasetyo III B 11/01/2009 29/04/2019
3 Habib Affan Syathir III B 09/01/2010 29/04/2019
4 Jasmine Putri Dandy III B 18/01/2010 29/04/2019
5 Jessica Dwi Anindya III B 22/07/2009 29/04/2019
6 Jihan Nurmalita Putri III B 13/04/2009 29/04/2019
7 Khanza Kalyca Suwandono III B 13/09/2009 29/04/2019
8 Linda Ulfi Hanifah III B 14/04/2009 29/04/2019
9 M. Mirza Rahadian III B 09/05/2009 29/04/2019
10 M. Adieb Akbar Habibie III B 10/02/2010 29/04/2019
11 Natasya Adinda S III B 24/03/2009 29/04/2019
12 Nadia Ayu Ningrum III B 11/06/2009 29/04/2019
13 Navicka Ayunda L III B 30/04/2009 29/04/2019
14 Navisa Monahara A. P. III B 22/05/2009 29/04/2019
15 Nurma Rinda R III B 29/08/2009 29/04/2019
16 Putri Diandra A. M. III B 30/04/2009 29/04/2019
17 Raditya Awani III B 15/05/2009 29/04/2019
18 Rasel Adi Putra III B 12/10/2008 29/04/2019
19 Rayyana Qalbulshali III B 05/11/2009 29/04/2019
20 Riyan Ragil Saputro III B 26/06/2008 29/04/2019
21 Rizkya Ichi Zakaria III B 09/07/2009 29/04/2019
22 Septi Fitri Ardiani III B 21/09/2009 29/04/2019
23 Sintya Bella Putri R. III B 03/08/2009 29/04/2019
24 Sintya Insani Amelia III B 15/11/2009 29/04/2019
25 Zika Azzahra III B 16/09/2009 29/04/2019
1 Ardania Mesya Hastani IV A 29/09/2008 26/04/2019

2 Auryn Shareta Kurniahany IV A 16/06/2008 26/04/2019
3 Baras Putra Wicaksono IV A 09/02/2009 26/04/2019
4 Benyamin Al Habibi IV A 21/05/2008 26/04/2019
5 Devara Satya Putra Hutama IV A 02/11/2008 26/04/2019
6 Esstery Barakuana IV A 23/10/2008 26/04/2019
7 Anugerah Fauzan Alfaridzi IV A 20/05/2008 26/04/2019
8 Elvira Chairunissa IV A 15/01/2009 26/04/2019
9 Elyan Dika Aditya IV A 22/08/2008 26/04/2019
10 Fajar Dwi Saputra IV A 20/07/2008 26/04/2019
11 Friska Amelia Safitri IV A 26/06/2008 26/04/2019
12 Fika humaira IV A 05/04/2009 26/04/2019
13 Chesya Nada Berliana IV A 30/03/2009 26/04/2019
14 Ghayda Nafisah Jihan Labibah IV A 03/08/2008 26/04/2019
15 Jessica Tungga Dewi Sunandar IV A 30/11/2008 26/04/2019
16 Ginariswari Ratna Ismaya IV A 20/08/2008 26/04/2019
17 Imannuelo Yunaz Efraim IV A 31/01/2009 26/04/2019
18 Kayla Azzura Lufitawati IV A 03/08/2008 26/04/2019
19 Agtifa Candra Pramesti IV A 8/22/2008 26/04/2019
20 Ahmad Arkan Nandana Naban IV A 12/18/2008 26/04/2019
21 Ahmad Syarif Ashari IV A 10/23/2008 26/04/2019
22 Alfino Ferdiansyah IV A 9/21/2008 26/04/2019
23 Andika Ragil Alifian IV A 07/11/2008 26/04/2019
24 Anindya Kirani IV A 26/11/2007 26/04/2019
25 Anugerah Fauzi Alfaridzi IV A 20/05/2008 26/04/2019
26 Fauzan Setyo Nugroho IV A 22/07/2008 26/04/2019
27 Aloysius Julio Wase Putra IV A 22/07/2008 26/04/2019
1 Linda Ayu Pratiwi IV B 24/08/2008 26/04/2019

2 Muhammad Rasya Putra IV B 27/02/2008 26/04/2019
3 Novita Dwi Nur Aini IV B 01/11/2008 26/04/2019
4 Satya Noer Rachman IV B 04/12/2008 26/04/2019
5 Wardatul Jannah IV B 21/06/2008 26/04/2019
6 Zara Leviana Garinta IV B 14/06/2008 26/04/2019
7 Pratama Chrisan Nugraha IV B 01/01/2009 26/04/2019
8 Shohihul Khuluq Nurul Ilmi IV B 25/03/2009 26/04/2019
9 Nadya Marella IV B 15/01/2009 26/04/2019
10 Winda Ayu Lestari IV B 24/08/2008 26/04/2019
11 Zeatha Kamila Putri IV B 16/09/2008 26/04/2019
12 Marcellinus Janenino IV B 13/08/2008 26/04/2019
13 Rasya Apri Wijaya P. IV B 04/03/2008 26/04/2019
14 Narendra Djangkaru P. IV B 22/11/2008 26/04/2019
15 Yuliana Kusminarti IV B 21/07/2008 26/04/2019
16 Ulfa Amilia W. IV B 14/11/2008 26/04/2019
17 Meilani Putri IV B 21/05/2008 26/04/2019
18 Martua Dome Ichi Habeahan IV B 05/01/2009 4/26/2019
19 Najwa Yulia Prastiwi IV B 06/09/2008 4/26/2019
20 Sasmecca IV B 31/03/2009 4/26/2019
21 Tanaya Vidia Ramadhani IV B 07/01/2008 4/26/2019
22 Yanu Iskandar Ahhmad IV B 01/07/2009 4/26/2019
23 Kidung Suci Maheswari IV B 01/08/2008 4/26/2019
24 Mentari Zetta Rossalya IV B 02/01/2008 4/26/2019
25 Naufal Hazim Muazzam PradityIV B 18/03/2009 4/26/2019
26 Vevi Noviana IV B 29/06/2007 4/26/2019
27 Zahra Aulia Kansa IV B 08/06/2008 4/26/2019
1 Ahmad Gusnajib VA 17/08/2007 26/04/2019

2 Akmal Putra Laksana VA 20/07/2007 26/04/2019
3 Alifia Zahra Prasetyo VA 03/10/2007 26/04/2019
4 Alya Azkal Azkia S. VA 17/04/2007 26/04/2019
5 Andhara Nabila VA 20/12/2007 26/04/2019
6 Anggoro Putranto VA 25/09/2007 26/04/2019
7 Arief Maulana Syahdewa VA 02/04/2008 26/04/2019
8 Asya Ayu Ramadhani VA 23/09/2007 26/04/2019
9 Atha Pranaja Mahardika VA 07/02/2007 26/04/2019
10 Aurel Pasya Shetara VA 05/10/2007 26/04/2019
11 Aurelya Putri VA 10/02/2007 26/04/2019
12 Ayu Lintang Sekar Kinasih VA 12/03/2008 26/04/2019
13 Bayu Tria Setiawan VA 29/12/2007 26/04/2019
14 Bimantara Aldi Dwitama VA 18/04/2007 26/04/2019
15 Chacha Aulia Ramandini VA 25/09/2007 26/04/2019
16 Darel Cavell Manggala Akira PuV A 07/12/2007 26/04/2019
17 Dea Adelia Paradita VA 02/11/2007 26/04/2019
18 Charis Septian Putra Utama V A 28/09/2007 26/04/2019
19 Dedi Ardiansyah VA 24/04/2007 26/04/2019
20 Defana Malvino Braga VA 09/02/2007 26/04/2019
21 Delia Putri Rahmawati VA 06/07/2007 26/04/2019
22 Devalina Nur Khoirunnisa VA 29/11/2007 26/04/2019
23 Dhea Syaharani VA 28/01/2007 26/04/2019
24 Dinda Melisa VA 05/05/2007 26/04/2019
25 Erlita Cahya Nurprita VA 06/08/2007 26/04/2019
26 Evi Nur Azezah VA 07/08/2007 26/04/2019
27 Galuh Artanto VA 01/02/2008 26/04/2019
1 Ilham Nawwarudin Zaidan VB 06/08/2007 26/04/2019

2 Izra Naufal Anugra N. VB 11/08/2007 26/04/2019
3 Kaka Rahmat Hidayat VB 08/08/2007 26/04/2019
4 Keisha Hayelani VB 11/08/2007 26/04/2019
5 Krishna Putra W. M. VB 08/08/2007 26/04/2019
6 Moch Giovanny Alief VB 17/10/2007 26/04/2019
7 Muhammad Nova Darmawan V B 09/05/2007 26/04/2019
8 Muhammad Hafizh Septian VB 12/09/2007 26/04/2019
9 Muhammad Rahmandika Fani V B 27/05/2007 26/04/2019
10 Muhammad Tristan PamungkasV B 12/11/2007 26/04/2019
11 Muthi'ah Husna P VB 26/04/2007 26/04/2019
12 Naufal Alfi Ahmad VB 08/08/2007 26/04/2019
13 Niken Dwi Arini VB 23/09/2007 26/04/2019
14 Novi Nurhidayah VB 11/11/2007 26/04/2019
15 Rafael Heppy Listiyantoro VB 20/03/2008 26/04/2019
16 Panji Ramadhon VB 24/09/2007 26/04/2019
17 Punto Aji Tri Jamali VB 12/06/2007 26/04/2019
18 Qirannisa Azkiya Valin VB 14/08/2007 26/04/2019
19 Qanita Rafa'hayya Bilqis VB 20/03/2008 26/04/2019
20 Reza Galang Ardana VB 11/03/2007 29/04/2019
21 Ramadhika Temmy R VB 19/08/2007 29/04/2019
22 Reihan Raditya VB 29/08/2007 29/04/2019
23 Rifqii Naufal Eka VB 29/08/2007 29/04/2019
24 Talitha Nabilah A. VB 27/04/2007 26/04/2019
25 Vania Callista Diva A. VB 10/07/2007 26/04/2019
26 Vina Afi Datun Sofa VB 04/10/2007 26/04/2019
27 Wahyu Agung Prananto VB 18/01/2007 26/04/2019
Umur
Tahun Bulan
7 10
7 6
7 9
8 1
7 11
7 8
7 6
8 0
7 4
8 3
8 3
7 7
7 3
7 5
7 10
7 9
7 2
7 9
8 3
8 2
8 4
7 7
7 10
7 1
Umur
Tahun Bulan
7 8
7 0
7 6
8 2
7 8
8 4
8 3
7 5
7 3
7 6
7 7
7 5
7 5
7 6
7 9
7 8
7 8
7 5
7 9
8 0
7 9
7 10
7 9
7 10
7 8
7 7
7 8
Umur
Tahun Bulan
#VALUE! 5
#VALUE! #VALUE!
#VALUE! #VALUE!
#VALUE! #VALUE!
#VALUE! #VALUE!
8 6
8 10
8 9
8 7
8 4
8 5
8 5
8 10
8 9
9 8
9 3
8 8
8 10
8 10
8 8
9 3
8 11
9 2
8 8
8 8
8 1
Umur
Tahun Bulan
8 6
8 5
9 2
10 1
8 10
8 10
8 7
9 3
10 0
8 6
8 7
8 8
8 4
9 0
8 7
8 7
8 11
8 5
8 1
8 7
Umur
Tahun Bulan
8 10
9 9
9 11
9 8
#VALUE! #VALUE!
#VALUE! #VALUE!
11 8
9 4
9 2
9 2
9 5
9 5
10 4
9 10
9 9
9 6
11 2
9 9
10 10
9 5
#VALUE! #VALUE!
#VALUE! #VALUE!
#VALUE! #VALUE!
#VALUE! #VALUE!
9 6
9 11
9 0
Umur
Tahun Bulan
10 0
10 3
9 3
9 3
9 9
10 0
9 7
10 0
9 11
9 2
10 1
9 10
9 11
9 11
9 8
9 11
9 11
10 6
9 5
10 10
9 9
9 7
9 8
9 5
9 7
Umur
Tahun Bulan
10 6
10 10
10 2
10 11
10 5
10 6
10 11
10 3
10 8
10 9
10 10
10 0
10 0
10 8
10 4
10 8
10 2
10 8
10 8
10 4
10 6
10 7
10 5
11 5
10 11
10 9
10 9
Umur
Tahun Bulan
10 8
11 1
10 5
10 4
10 10
10 10
10 3
10 1
10 3
10 8
10 7
10 8
11 1
10 5
10 9
10 5
10 11
10 3
10 7
10 0
11 3
9 9
10 8
11 3
10 1
11 9
10 10
Umur
Tahun Bulan
11 8
11 9
11 6
12 0
11 4
11 7
11 0
11 7
12 2
11 6
12 2
11 1
11 3
12 0
11 7
11 4
11 5
11 6
12 0
12 2
11 9
11 4
12 2
11 11
11 8
11 8
11 2
Umur
Tahun Bulan
11 8
11 8
11 8
11 8
11 8
11 6
11 11
11 7
11 10
11 5
12 0
11 8
11 7
11 5
11 1
11 7
11 10
11 8
11 1
12 1
11 8
11 8
11 8
11 11
11 9
11 6
12 3
STATUS RUJUKAN UKGS SD N CATURTUNGGAL 4
Rujukan
No Nama Kelas
Ya Tidak Opdent
1 Abdilla Faiz Anugrah Al Faridzi I A ✓ ✓

2 Akmal Mulia Kadisaputra IA ✓ ✓
3 Adelia Bilqis Nur Kholifah IA ✓ ✓
4 Agiska Arya Dhica IA ✓ ✓
5 Aisya Putri IA ✓ ✓
6 Aisyah Istiqomah Nurrohmadani I A ✓ ✓
7 Alfian Rizka Saputra IA ✓ ✓
8 Alika Avrillya Sari IA ✓ ✓
9 Almas Salwa Salsabila IA ✓
10 Cinta Dwi Aryni Putri IA ✓ ✓
11 Kayla Fatima Faliha IA ✓ ✓
12 Kevin Putra Pradana IA ✓
13 Equienne Bellvania Putri IA ✓ ✓
14 Dimas Saputra Maulana IA ✓ ✓
15 Dimas Muhammad Yusuf IA ✓ ✓
16 Setara Khansa Sabila IA ✓ ✓
17 Dinda Cahya Kinanti IA ✓ ✓
18 Davito Revan Putra IA ✓ ✓
19 Nathanael Wasih Putra IA ✓ ✓
20 Hanifah Dinny Aliyah IA ✓ ✓
21 Irfan Maulana Ashari IA ✓
22 Hafsoh Arfa Nur J. IA ✓ ✓
23 Halimatussa'diyah IA ✓ ✓
24 Karunia Indah Pradita IA ✓ ✓
24 0 21
Rujukan
No Nama Kelas
Ya Tidak Opdent
1 Ramadhan Bintang Sugiyanto IB ✓ ✓

2 Rani Apriyanti Hamdani IB ✓ ✓
3 Rayhan Dwi Prakoso IB ✓ ✓
4 Raynathan Dzaki Mansa IB ✓ ✓
5 Rebelliona Pradipa Rara Gulton IB ✓ ✓
6 Revanna Thalita Arsany IB ✓ ✓
7 Ridho Ahmad Fauzan IB ✓ ✓
8 Nanang Irham Maulana IB ✓ ✓
9 Nathan Putra Heryuansa IB ✓ ✓
10 Organ Vebriyan Saputra IB ✓
11 Nakira Mutiara Zahwa IB ✓
12 Rafa Rifana Rahim IB ✓
13 Naning Dhewi Maharani IB
14 Nilam Ayu Artanto IB
15 Khansa Wahiba Muna IB ✓ ✓
16 Krisnantyo Wahyu Ramadhan I B ✓ ✓
17 Muhammad Bagus Ramadhan I B ✓ ✓
18 Muhammad Juf Romiz IB ✓
19 Muhammad Luthfi Raditya IB ✓ ✓
20 Muhammad Ramadhan TuarymaI B ✓ ✓
21 Nadia Aiko Widya Destiano IB ✓ ✓
22 Sadewa Raka P IB ✓ ✓
23 Shafa Diil Shelo IB ✓ ✓
24 Robikhakaf Kafano A IB ✓ ✓
25 Zidna Ilma IB ✓ ✓
26 Septian Andika P IB ✓ ✓
27 Tira Zakia IB ✓ ✓
22 3 21
Rujukan
No Nama Kelas
Ya Tidak Opdent
1 Afira Erna Dwi Asyifa II A ✓ ✓

2 Aima Cinta Habeahan II A ✓ ✓
3 Al Azhar Putra Nugraha II A ✓ ✓
4 Aldy Siswo Priambodo II A ✓ ✓
5 Anas Ramadhan II A ✓ ✓
6 Aquna Odrielio Frasya NakasaputII A ✓ ✓
7 Arief Prasetyo Budi Nugroho II A ✓ ✓
8 Asia Yulita II A ✓ ✓
9 Ayra Jameera Maryam II A ✓ ✓
10 Dian Novita II A ✓ ✓
11 Hanum Asafa II A ✓ ✓
12 Noarfa Dava Refaldi II A ✓ ✓
13 Dinar Satria II A ✓ ✓
14 Devan Angga II A ✓
15 Bagas Agustya II A ✓ ✓
16 Azzahra II A ✓ ✓
17 Azalia Teguh II A ✓
18 Dewi Arum II A ✓
19 Darean Clevrich II A ✓ ✓
20 Dyandra Shinta Dewi II A ✓ ✓
21 Elvaretta Angelina Andriani II A ✓ ✓
22 Elvinda Mutiara Sahira II A ✓ ✓
23 Fahroni Nugroho II A ✓ ✓
24 Fanesha Putri Ramadhani II A ✓ ✓
25 Findhita Berliani Saputri II A ✓ ✓
26 Fira Rahmawati II A ✓ ✓
23 3 23
Rujukan
No Nama Kelas
Ya Tidak Opdent
1 Muhammad Khadafi II B ✓ ✓
2 Muqorrobin Huda II B ✓ ✓
3 Rasyid Imam Febri II B ✓ ✓
4 Ridwan Nur Masjid II B ✓ ✓
5 Zaki Arkana Favian II B ✓
6 Silfi Adhila Putri II B ✓ ✓
7 Galang Bangkit Satrio II B ✓ ✓
8 Janisya Cahya Rini II B ✓ ✓
9 M. Satria Tri Kurniawan II B ✓ ✓
10 Raditya Javas Nararya II B ✓ ✓
11 Rayyanadra Jati Mannaf II B ✓ ✓
12 Risma Indriani II B ✓ ✓
13 Syafira Shinta Pradewi II B ✓ ✓
14 Zivanna Anzelia Arteta II B ✓ ✓
15 Yuka Tegar Wicaksono II B ✓ ✓
16 Rafa Aidil El-Gunawan II B ✓ ✓
17 Muna Aini Mufidah II B ✓ ✓
18 M. Afrizza Al-faridzi II B ✓ ✓
19 Keandre Panji Meda II B ✓ ✓
20 Galeh Bangkit Satrio II B ✓ ✓
19 1 19
Rujukan
No Nama Kelas
Ya Tidak Opdent
1 Dava Anditya III A ✓ ✓

2 Cira Annoura III A ✓
3 Chaya Duanta Aulia III A ✓ ✓
4 Bimo Satrio Cahyo Nugroho III A ✓ ✓
5 Azzalya Syifa Setyawan III A ✓ ✓
6 Aulia Salsa Billa III A ✓ ✓
7 Aisyah Ayu Susanto III A ✓ ✓
8 Aufa Pratama III A ✓ ✓
9 Devano Dwi Nurrohman III A ✓ ✓
10 Devino Dwi Nurrohman III A ✓
11 Ega Arifah Larasati III A ✓ ✓
12 Elsa Arifah Nugrahani III A ✓ ✓
13 Fadhil Khoiru Mafaza III A ✓
14 Fajar Hafidh Saputra III A ✓ ✓
15 Akhmelia Nur Fajrina III A ✓
16 Amira Nathaniela III A ✓ ✓
17 Andika Alvin Pratama III A ✓ ✓
18 Ansyifa Nur Naafi'ah III A ✓ ✓
19 Aryo Wicaksono III A ✓ ✓
20 Atik Permata Sari III A ✓ ✓
21 Adika Gerard Abimayu III A ✓ ✓
22 Aditya Rizky Pratama III A ✓ ✓
23 Afifah Resky Pramadita III A ✓
24 Agna Fatma Sari III A ✓ ✓
25 Ahmad Alzarizko III A ✓ ✓
26 Aisha Meydina Puspasari III A ✓
27 Akbar Yuko Hartanto Putro III A ✓
22 5 20
Rujukan
No Nama Kelas
Ya Tidak Opdent
1 Galih Setyo Nugroho III B ✓ ✓

2 Gana Jaya Prasetyo III B ✓ ✓
3 Habib Affan Syathir III B ✓ ✓
4 Jasmine Putri Dandy III B ✓ ✓
5 Jessica Dwi Anindya III B ✓ ✓
6 Jihan Nurmalita Putri III B ✓
7 Khanza Kalyca Suwandono III B ✓ ✓
8 Linda Ulfi Hanifah III B ✓ ✓
9 M. Mirza Rahadian III B ✓ ✓
10 M. Adieb Akbar Habibie III B ✓ ✓
11 Natasya Adinda S III B ✓ ✓
12 Nadia Ayu Ningrum III B ✓ ✓
13 Navicka Ayunda L III B ✓ ✓
14 Navisa Monahara A. P. III B ✓ ✓
15 Nurma Rinda R III B ✓ ✓
16 Putri Diandra A. M. III B ✓ ✓
17 Raditya Awani III B ✓ ✓
18 Rasel Adi Putra III B ✓ ✓
19 Rayyana Qalbulshali III B ✓ ✓
20 Riyan Ragil Saputro III B ✓ ✓
21 Rizkya Ichi Zakaria III B ✓ ✓
22 Septi Fitri Ardiani III B ✓ ✓
23 Sintya Bella Putri R. III B ✓ ✓
24 Sintya Insani Amelia III B ✓ ✓
25 Zika Azzahra III B ✓ ✓
25 0 24
Rujukan
No Nama Kelas
Ya Tidak Opdent
1 Ardania Mesya Hastani IV A ✓ ✓

2 Auryn Shareta Kurniahany IV A ✓ ✓
3 Baras Putra Wicaksono IV A ✓
4 Benyamin Al Habibi IV A ✓
5 Devara Satya Putra Hutama IV A ✓
6 Esstery Barakuana IV A ✓ ✓
7 Anugerah Fauzan Alfaridzi IV A ✓ ✓
8 Elvira Chairunissa IV A ✓
9 Elyan Dika Aditya IV A ✓ ✓
10 Fajar Dwi Saputra IV A ✓ ✓
11 Friska Amelia Safitri IV A ✓ ✓
12 Fika humaira IV A ✓ ✓
13 Chesya Nada Berliana IV A ✓
14 Ghayda Nafisah Jihan Labibah IV A ✓ ✓
15 Jessica Tungga Dewi Sunandar IV A ✓ ✓
16 Ginariswari Ratna Ismaya IV A ✓ ✓
17 Imannuelo Yunaz Efraim IV A ✓ ✓
18 Kayla Azzura Lufitawati IV A ✓ ✓
19 Agtifa Candra Pramesti IV A ✓ ✓
20 Ahmad Arkan Nandana Naban IV A ✓ ✓
21 Ahmad Syarif Ashari IV A ✓ ✓
22 Alfino Ferdiansyah IV A ✓ ✓
23 Andika Ragil Alifian IV A ✓ ✓
24 Anindya Kirani IV A ✓
25 Anugerah Fauzi Alfaridzi IV A ✓ ✓
26 Fauzan Setyo Nugroho IV A ✓ ✓
27 Aloysius Julio Wase Putra IV A ✓
26 1 20
Rujukan
No Nama Kelas
Ya Tidak Opdent
1 Linda Ayu Pratiwi IV B ✓ ✓

2 Muhammad Rasya Putra IV B ✓ ✓
3 Novita Dwi Nur Aini IV B ✓
4 Satya Noer Rachman IV B ✓ ✓
5 Wardatul Jannah IV B ✓
6 Zara Leviana Garinta IV B ✓ ✓
7 Pratama Chrisan Nugraha IV B ✓ ✓
8 Shohihul Khuluq Nurul Ilmi IV B ✓ ✓
9 Nadya Marella IV B ✓ ✓
10 Winda Ayu Lestari IV B ✓
11 Zeatha Kamila Putri IV B ✓ ✓
12 Marcellinus Janenino IV B ✓
13 Rasya Apri Wijaya P. IV B ✓ ✓
14 Narendra Djangkaru P. IV B ✓ ✓
15 Yuliana Kusminarti IV B ✓ ✓
16 Ulfa Amilia W. IV B ✓ ✓
17 Meilani Putri IV B ✓
18 Martua Dome Ichi Habeahan IV B ✓ ✓
19 Najwa Yulia Prastiwi IV B ✓ ✓
20 Sasmecca IV B ✓ ✓
21 Tanaya Vidia Ramadhani IV B ✓ ✓
22 Yanu Iskandar Ahhmad IV B ✓ ✓
23 Kidung Suci Maheswari IV B ✓
24 Mentari Zetta Rossalya IV B ✓ ✓
25 Naufal Hazim Muazzam PradityaIV B ✓ ✓
26 Vevi Noviana IV B ✓ ✓
27 Zahra Aulia Kansa IV B ✓
27 0 20
Rujukan
No Nama Kelas
Ya Tidak Opdent
1 Ahmad Gusnajib VA ✓
2 Akmal Putra Laksana VA ✓ ✓
3 Alifia Zahra Prasetyo VA ✓ ✓
4 Alya Azkal Azkia S. VA ✓ ✓
5 Andhara Nabila VA ✓ ✓
6 Anggoro Putranto VA ✓ ✓
7 Arief Maulana Syahdewa VA ✓ ✓
8 Asya Ayu Ramadhani VA ✓ ✓
9 Atha Pranaja Mahardika VA ✓
10 Aurel Pasya Shetara VA ✓
11 Aurelya Putri VA ✓
12 Ayu Lintang Sekar Kinasih VA ✓ ✓
13 Bayu Tria Setiawan VA ✓ ✓
14 Bimantara Aldi Dwitama VA ✓ ✓
15 Chacha Aulia Ramandini VA ✓
16 Darel Cavell Manggala Akira PutrV A ✓
17 Dea Adelia Paradita VA ✓ ✓
18 Charis Septian Putra Utama VA ✓
19 Dedi Ardiansyah VA ✓ ✓
20 Defana Malvino Braga VA ✓
21 Delia Putri Rahmawati VA ✓
22 Devalina Nur Khoirunnisa VA ✓
23 Dhea Syaharani VA ✓ ✓
24 Dinda Melisa VA ✓ ✓
25 Erlita Cahya Nurprita VA ✓
26 Evi Nur Azezah VA ✓ ✓
27 Galuh Artanto VA ✓
19 8 15
Rujukan
No Nama Kelas
Ya Tidak Opdent
1 Ilham Nawwarudin Zaidan VB ✓

2 Izra Naufal Anugra N. VB ✓ ✓
3 Kaka Rahmat Hidayat VB ✓
4 Keisha Hayelani VB ✓ ✓
5 Krishna Putra W. M. VB ✓ ✓
6 Moch Giovanny Alief VB ✓ ✓
7 Muhammad Nova Darmawan VB ✓ ✓
8 Muhammad Hafizh Septian VB ✓ ✓
9 Muhammad Rahmandika Fani VB ✓ ✓
10 Muhammad Tristan Pamungkas VB ✓ ✓
11 Muthi'ah Husna P VB ✓ ✓
12 Naufal Alfi Ahmad VB ✓ ✓
13 Niken Dwi Arini VB ✓
14 Novi Nurhidayah VB ✓ ✓
15 Rafael Heppy Listiyantoro VB ✓ ✓
16 Panji Ramadhon VB ✓ ✓
17 Punto Aji Tri Jamali VB ✓ ✓
18 Qirannisa Azkiya Valin VB ✓ ✓
19 Qanita Rafa'hayya Bilqis VB ✓ ✓
20 Reza Galang Ardana VB ✓ ✓
21 Ramadhika Temmy R VB ✓ ✓
22 Reihan Raditya VB ✓ ✓
23 Rifqii Naufal Eka VB ✓ ✓
24 Talitha Nabilah A. VB ✓ ✓
25 Vania Callista Diva A. VB ✓
26 Vina Afi Datun Sofa VB ✓ ✓
27 Wahyu Agung Prananto VB ✓ ✓
24 3 23
N UKGS SD N CATURTUNGGAL 4
Rencana Perawatan
Observasi Observasi
Endodonsia Eksodonsia Observasi pro SM Scaling
pro SM
Eksodonsia
✓
✓
✓
✓ ✓ ✓
✓ ✓ ✓
✓
✓
✓ ✓
✓ ✓ ✓
✓ ✓
✓
✓ ✓ ✓
✓ ✓
✓ ✓
✓
✓
✓ ✓ ✓
✓ ✓ ✓
✓
✓
✓ ✓
✓ ✓
9 15 1 12 1 1 1
Rencana Perawatan
Observasi Observasi
pro SM
Eksodonsia
✓ ✓ ✓
✓
✓
✓
✓
✓ ✓ ✓
✓ ✓ ✓
✓
✓
✓ ✓
✓
✓ ✓
✓ ✓
✓ ✓
✓
✓ ✓
✓ ✓
9 14 0 2 0 0 4
Rencana Perawatan
Observasi Observasi
pro SM
Eksodonsia
✓ ✓
✓
✓ ✓
✓ ✓
✓
✓ ✓ ✓ ✓
✓ ✓
✓ ✓ ✓ ✓
✓ ✓ ✓
✓ ✓ ✓
✓ ✓
✓ ✓
✓
✓
✓ ✓ ✓ ✓
✓
✓ ✓
✓ ✓
✓ ✓
✓ ✓
✓ ✓ ✓
11 14 0 7 4 1 9
Rencana Perawatan
Observasi
Observasi
pro SM
Eksodonsia
✓ ✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓
✓
✓ ✓
✓ ✓ ✓
✓ ✓
✓ ✓
✓ ✓
✓ ✓
✓ ✓
6 9 2 4 1 5 0
Rencana Perawatan
Observasi Observasi
pro SM
Eksodonsia
✓
✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓ ✓
✓ ✓
✓ ✓ ✓
✓ ✓
✓
✓
✓
✓ ✓
2 12 2 7 0 1 0
Rencana Perawatan
Observasi Observasi
pro SM
Eksodonsia
✓
✓ ✓
✓
✓
✓ ✓ ✓
✓ ✓ ✓ ✓
✓
✓ ✓ ✓
✓
✓ ✓ ✓
✓ ✓ ✓
✓
✓ ✓
✓ ✓ ✓
✓
✓
✓ ✓ ✓
✓ ✓
✓
✓
✓ ✓
✓
7 13 2 12 0 1 6
Rencana Perawatan
Observasi
Observasi
pro SM
Eksodonsia
✓ ✓
✓ ✓ ✓
✓ ✓
✓
✓
✓
✓
✓ ✓
✓
✓
✓
✓ ✓
✓
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
0 9 0 7 0 2 11
Rencana Perawatan
Observasi Observasi
pro SM
Eksodonsia
✓
✓
✓
✓
✓ ✓
✓ ✓ ✓
✓ ✓
✓
✓
✓
✓ ✓ ✓
✓ ✓
✓ ✓ ✓
✓ ✓
✓ ✓
✓
✓ ✓ ✓
✓ ✓ ✓
✓ ✓
✓ ✓
2 13 3 10 0 0 10
Rencana Perawatan
Observasi Observasi
pro SM
Eksodonsia
✓ ✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓ ✓ ✓
✓ ✓
✓ ✓ ✓
4 11 1 1 0 0 4
Rencana Perawatan
Observasi
Observasi
pro SM
Eksodonsia
✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓
0 8 4 1 0 0 0
TAF
TAF
✓
✓
✓
TAF
✓
✓
3
TAF
TAF
✓
✓
✓
3
TAF
✓
TAF
TAF
✓
✓
3
TAF
✓
✓
✓
✓
TAF
✓
3
FREKUENSI MENYIKAT GIGI SISWA SD N CATU
Frekuensi menyikat gigi

No. Nama Kelas
N 0x 1x
1 Abdilla Faiz Anugrah Al Faridzi I A 3

2 Akmal Mulia Kadisaputra IA 2
3 Adelia Bilqis Nur Kholifah IA 1 ✓
4 Agiska Arya Dhica IA 1 ✓
5 Aisya Putri IA 2
6 Aisyah Istiqomah NurrohmadanI A 2
7 Alfian Rizka Saputra IA 2
8 Alika Avrillya Sari IA 2
9 Almas Salwa Salsabila IA 2
10 Cinta Dwi Aryni Putri IA 2
11 Kayla Fatima Faliha IA 2
12 Kevin Putra Pradana IA 3
13 Equienne Bellvania Putri IA 3
14 Dimas Saputra Maulana IA 3
15 Dimas Muhammad Yusuf IA 2
16 Setara Khansa Sabila IA 2
17 Dinda Cahya Kinanti IA 2
18 Davito Revan Putra IA 2
19 Nathanael Wasih Putra IA 2
20 Hanifah Dinny Aliyah IA 2
21 Irfan Maulana Ashari IA 3
22 Hafsoh Arfa Nur J. IA 2
23 Halimatussa'diyah IA 2
24 Karunia Indah Pradita IA 1 ✓
Jumlah 0 3

No. Nama Kelas
N 0x 1x
1 Ramadhan Bintang Sugiyanto I B 2

2 Rani Apriyanti Hamdani IB 2
3 Rayhan Dwi Prakoso IB 2
4 Raynathan Dzaki Mansa IB 2
5 Rebelliona Pradipa Rara GultonI B 2
6 Revanna Thalita Arsany IB 2
7 Ridho Ahmad Fauzan IB 2
8 Nanang Irham Maulana IB 2
9 Nathan Putra Heryuansa IB 2
10 Organ Vebriyan Saputra IB 2
11 Nakira Mutiara Zahwa IB 2
12 Rafa Rifana Rahim IB 2
13 Naning Dhewi Maharani IB 2
14 Nilam Ayu Artanto IB 1 ✓
15 Khansa Wahiba Muna IB 2
16 Krisnantyo Wahyu Ramadhan I B 2
17 Muhammad Bagus Ramadhan I B 2
18 Muhammad Juf Romiz IB 2
19 Muhammad Luthfi Raditya IB 1 ✓
20 Muhammad Ramadhan TuarymI B 2
21 Nadia Aiko Widya Destiano IB 2
22 Sadewa Raka P IB 2
23 Shafa Diil Shelo IB 2
24 Robikhakaf Kafano A IB 2
25 Zidna Ilma IB 2
26 Septian Andika P IB 2
27 Tira Zakia IB 2
Jumlah 0 2

No. Nama Kelas
N 0x 1x
1 Afira Erna Dwi Asyifa II A 2

2 Aima Cinta Habeahan II A 3
3 Al Azhar Putra Nugraha II A 3
4 Aldy Siswo Priambodo II A 2
5 Anas Ramadhan II A 3
6 Aquna Odrielio Frasya NakasapuII A 3
7 Arief Prasetyo Budi Nugroho II A 1 ✓
8 Asia Yulita II A 2
9 Ayra Jameera Maryam II A 2
10 Dian Novita II A 1 ✓
11 Hanum Asafa II A 3
12 Noarfa Dava Refaldi II A 3
13 Dinar Satria II A 2
14 Devan Angga II A 2
15 Bagas Agustya II A 2
16 Azzahra II A 3
17 Azalia Teguh II A 3
18 Dewi Arum II A 2
19 Darean Clevrich II A 1 ✓
20 Dyandra Shinta Dewi II A 2
21 Elvaretta Angelina Andriani II A 1 ✓
22 Elvinda Mutiara Sahira II A 3
23 Fahroni Nugroho II A 3
24 Fanesha Putri Ramadhani II A 2
25 Findhita Berliani Saputri II A 2
26 Fira Rahmawati II A 2
Jumlah 0 4

No. Nama Kelas
N 0x 1x
1 Muhammad Khadafi II B 2
2 Muqorrobin Huda II B 2
3 Rasyid Imam Febri II B 2
4 Ridwan Nur Masjid II B 2
5 Zaki Arkana Favian II B 1 ✓
6 Silfi Adhila Putri II B 3
7 Galang Bangkit Satrio II B 3
8 Janisya Cahya Rini II B 3
9 M. Satria Tri Kurniawan II B 2
10 Raditya Javas Nararya II B 2
11 Rayyanadra Jati Mannaf II B 2
12 Risma Indriani II B 3
13 Syafira Shinta Pradewi II B 2
14 Zivanna Anzelia Arteta II B 3
15 Yuka Tegar Wicaksono II B 2
16 Rafa Aidil El-Gunawan II B 1 ✓
17 Muna Aini Mufidah II B 2
18 M. Afrizza Al-faridzi II B 3
19 Keandre Panji Meda II B 2
20 Galeh Bangkit Satrio II B 3
Jumlah 0 2

No. Nama Kelas
N 0x 1x
1 Dava Anditya III A 2

2 Cira Annoura III A 3
3 Chaya Duanta Aulia III A 3
4 Bimo Satrio Cahyo Nugroho III A 3
5 Azzalya Syifa Setyawan III A 3
6 Aulia Salsa Billa III A 2
7 Aisyah Ayu Susanto III A 2
8 Aufa Pratama III A 2
9 Devano Dwi Nurrohman III A 2
10 Devino Dwi Nurrohman III A 3
11 Ega Arifah Larasati III A 3
12 Elsa Arifah Nugrahani III A 3
13 Fadhil Khoiru Mafaza III A 2
14 Fajar Hafidh Saputra III A 3
15 Akhmelia Nur Fajrina III A 3
16 Amira Nathaniela III A 3
17 Andika Alvin Pratama III A 2
18 Ansyifa Nur Naafi'ah III A 2
19 Aryo Wicaksono III A 3
20 Atik Permata Sari III A 2
21 Adika Gerard Abimayu III A 3
22 Aditya Rizky Pratama III A 2
23 Afifah Resky Pramadita III A 2
24 Agna Fatma Sari III A 3
25 Ahmad Alzarizko III A 2
26 Aisha Meydina Puspasari III A 1 ✓
27 Akbar Yuko Hartanto Putro III A 2
Jumlah 0 1

No. Nama Kelas
N 0x 1x
1 Galih Setyo Nugroho III B 3

2 Gana Jaya Prasetyo III B 1 ✓
3 Habib Affan Syathir III B 2
4 Jasmine Putri Dandy III B 2
5 Jessica Dwi Anindya III B 2
6 Jihan Nurmalita Putri III B 2
7 Khanza Kalyca Suwandono III B 2
8 Linda Ulfi Hanifah III B 2
9 M. Mirza Rahadian III B 2
10 M. Adieb Akbar Habibie III B 3
11 Natasya Adinda S III B 2
12 Nadia Ayu Ningrum III B 2
13 Navicka Ayunda L III B 3
14 Navisa Monahara A. P. III B 2
15 Nurma Rinda R III B 2
16 Putri Diandra A. M. III B 2
17 Raditya Awani III B 2
18 Rasel Adi Putra III B 2
19 Rayyana Qalbulshali III B 3
20 Riyan Ragil Saputro III B 3
21 Rizkya Ichi Zakaria III B 3
22 Septi Fitri Ardiani III B 3
23 Sintya Bella Putri R. III B 3
24 Sintya Insani Amelia III B 3
25 Zika Azzahra III B 3
Jumlah 0 1
No. Nama Kelas
N 0x 1x
1 Ardania Mesya Hastani IV A 3

2 Auryn Shareta Kurniahany IV A 3
3 Baras Putra Wicaksono IV A 3
4 Benyamin Al Habibi IV A 1 ✓
5 Devara Satya Putra Hutama IV A 3
6 Esstery Barakuana IV A 3
7 Anugerah Fauzan Alfaridzi IV A 3
8 Elvira Chairunissa IV A 2
9 Elyan Dika Aditya IV A 2
10 Fajar Dwi Saputra IV A 2
11 Friska Amelia Safitri IV A 3
12 Fika humaira IV A 2
13 Chesya Nada Berliana IV A 3
14 Ghayda Nafisah Jihan Labibah IV A 1 ✓
15 Jessica Tungga Dewi Sunandar IV A 2
16 Ginariswari Ratna Ismaya IV A 2
17 Imannuelo Yunaz Efraim IV A 1 ✓
18 Kayla Azzura Lufitawati IV A 3
19 Agtifa Candra Pramesti IV A 3
20 Ahmad Arkan Nandana Naban IV A 3
21 Ahmad Syarif Ashari IV A 1 ✓
22 Alfino Ferdiansyah IV A 2
23 Andika Ragil Alifian IV A 2
24 Anindya Kirani IV A 3
25 Anugerah Fauzi Alfaridzi IV A 3
26 Fauzan Setyo Nugroho IV A 2
27 Aloysius Julio Wase Putra IV A 2
Jumlah 0 4

No. Nama Kelas
N 0x 1x
1 Linda Ayu Pratiwi IV B 3

2 Muhammad Rasya Putra IV B 3
3 Novita Dwi Nur Aini IV B 3
4 Satya Noer Rachman IV B 3
5 Wardatul Jannah IV B 3
6 Zara Leviana Garinta IV B 3
7 Pratama Chrisan Nugraha IV B 2
8 Shohihul Khuluq Nurul Ilmi IV B 2
9 Nadya Marella IV B 2
10 Winda Ayu Lestari IV B 3
11 Zeatha Kamila Putri IV B 2
12 Marcellinus Janenino IV B 3
13 Rasya Apri Wijaya P. IV B 3
14 Narendra Djangkaru P. IV B 2
15 Yuliana Kusminarti IV B 2
16 Ulfa Amilia W. IV B 3
17 Meilani Putri IV B 3
18 Martua Dome Ichi Habeahan IV B 3
19 Najwa Yulia Prastiwi IV B 2
20 Sasmecca IV B 3
21 Tanaya Vidia Ramadhani IV B 2
22 Yanu Iskandar Ahhmad IV B 2
23 Kidung Suci Maheswari IV B 3
24 Mentari Zetta Rossalya IV B 2
25 Naufal Hazim Muazzam PradityIV B 2
26 Vevi Noviana IV B 2
27 Zahra Aulia Kansa IV B 2
Jumlah 0 0

No. Nama Kelas
N 0x 1x
1 Ahmad Gusnajib VA 3
2 Akmal Putra Laksana VA 2
3 Alifia Zahra Prasetyo VA 2
4 Alya Azkal Azkia S. VA 2
5 Andhara Nabila VA 3
6 Anggoro Putranto VA 3
7 Arief Maulana Syahdewa VA 2
8 Asya Ayu Ramadhani VA 2
9 Atha Pranaja Mahardika VA 2
10 Aurel Pasya Shetara VA 3
11 Aurelya Putri VA 3
12 Ayu Lintang Sekar Kinasih VA 3
13 Bayu Tria Setiawan VA 2
14 Bimantara Aldi Dwitama VA 3
15 Chacha Aulia Ramandini VA 2
16 Darel Cavell Manggala Akira PutV A 3
17 Dea Adelia Paradita VA 3
18 Charis Septian Putra Utama VA 2
19 Dedi Ardiansyah VA 3
20 Defana Malvino Braga VA 2
21 Delia Putri Rahmawati VA 3
22 Devalina Nur Khoirunnisa VA 3
23 Dhea Syaharani VA 2
24 Dinda Melisa VA 3
25 Erlita Cahya Nurprita VA 2
26 Evi Nur Azezah VA 2
27 Galuh Artanto VA 3
Jumlah 0 0

No. Nama Kelas
N 0x 1x
1 Ilham Nawwarudin Zaidan VB 2

2 Izra Naufal Anugra N. VB 1 ✓
3 Kaka Rahmat Hidayat VB 3
4 Keisha Hayelani VB 3
5 Krishna Putra W. M. VB 3
6 Moch Giovanny Alief VB 2
7 Muhammad Nova Darmawan V B 1 ✓
8 Muhammad Hafizh Septian VB 2
9 Muhammad Rahmandika Fani V B 2
10 Muhammad Tristan PamungkasV B 3
11 Muthi'ah Husna P VB 2
12 Naufal Alfi Ahmad VB 2
13 Niken Dwi Arini VB 2
14 Novi Nurhidayah VB 2
15 Rafael Heppy Listiyantoro VB 2
16 Panji Ramadhon VB 3
17 Punto Aji Tri Jamali VB 2
18 Qirannisa Azkiya Valin VB 2
19 Qanita Rafa'hayya Bilqis VB 3
20 Reza Galang Ardana VB 2
21 Ramadhika Temmy R VB 3
22 Reihan Raditya VB 3
23 Rifqii Naufal Eka VB 3
24 Talitha Nabilah A. VB 2
25 Vania Callista Diva A. VB 3
26 Vina Afi Datun Sofa VB 2
27 Wahyu Agung Prananto VB 2
Jumlah 0 2
NYIKAT GIGI SISWA SD N CATURTUNGGAL 4
✓
nsi menyikat gigi WAKTU MENYIKAT GIGI
Sebelum Setelah Sebelum
2x 3x Siang hari Mandi sore
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14 7
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11 13

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15 7
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01001
01001
01010
10011
10010
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10011
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10010
10011
10001
10010
LATAR PENDIDIKAN DAN PEKERJA
Ayah
No Nama Kelas
PNS Swasta
1 Abdilla Faiz Anugrah Al Faridzi IA

2 Akmal Mulia Kadisaputra IA
3 Adelia Bilqis Nur Kholifah IA
4 Agiska Arya Dhica IA
5 Aisya Putri IA ✓
6 Aisyah Istiqomah Nurrohmadani IA
7 Alfian Rizka Saputra IA
8 Alika Avrillya Sari IA
9 Almas Salwa Salsabila IA ✓
10 Cinta Dwi Aryni Putri IA ✓
11 Kayla Fatima Faliha IA ✓
12 Kevin Putra Pradana IA
13 Equienne Bellvania Putri IA ✓
14 Dimas Saputra Maulana IA
15 Dimas Muhammad Yusuf IA
16 Setara Khansa Sabila IA ✓
17 Dinda Cahya Kinanti IA ✓
18 Davito Revan Putra IA ✓
19 Nathanael Wasih Putra IA ✓
20 Hanifah Dinny Aliyah IA ✓
21 Irfan Maulana Ashari IA
22 Hafsoh Arfa Nur J. IA
23 Halimatussa'diyah IA
24 Karunia Indah Pradita IA
25 Ramadhan Bintang Sugiyanto IB ✓
26 Rani Apriyanti Hamdani IB
27 Rayhan Dwi Prakoso IB ✓
28 Raynathan Dzaki Mansa IB
29 Rebelliona Pradipa Rara Gulton IB
30 Revanna Thalita Arsany IB ✓
31 Ridho Ahmad Fauzan IB ✓
32 Nanang Irham Maulana IB
33 Nathan Putra Heryuansa IB ✓
34 Organ Vebriyan Saputra IB ✓
35 Nakira Mutiara Zahwa IB
36 Rafa Rifana Rahim IB ✓
37 Naning Dhewi Maharani IB ✓
38 Nilam Ayu Artanto IB ✓
39 Khansa Wahiba Muna IB ✓
40 Krisnantyo Wahyu Ramadhan IB ✓
41 Muhammad Bagus Ramadhan IB ✓
42 Muhammad Juf Romiz IB ✓
43 Muhammad Luthfi Raditya IB
44 Muhammad Ramadhan Tuaryma IB ✓
45 Nadia Aiko Widya Destiano IB ✓
46 Sadewa Raka P IB
47 Shafa Diil Shelo IB
48 Robikhakaf Kafano A IB ✓
49 Zidna Ilma IB
50 Septian Andika P IB ✓
51 Tira Zakia IB ✓
52 Afira Erna Dwi Asyifa II A
53 Aima Cinta Habeahan II A
54 Al Azhar Putra Nugraha II A ✓
55 Aldy Siswo Priambodo II A
56 Anas Ramadhan II A
57 Aquna Odrielio Frasya Nakasaputra II A ✓
58 Arief Prasetyo Budi Nugroho II A
59 Asia Yulita II A ✓
60 Ayra Jameera Maryam II A
61 Dian Novita II A
62 Hanum Asafa II A
63 Noarfa Dava Refaldi II A ✓
64 Dinar Satria II A ✓
65 Devan Angga II A ✓
66 Bagas Agustya II A
67 Azzahra II A ✓
68 Azalia Teguh II A ✓
69 Dewi Arum II A ✓
70 Darean Clevrich II A ✓
71 Dyandra Shinta Dewi II A
72 Elvaretta Angelina Andriani II A
73 Elvinda Mutiara Sahira II A ✓
74 Fahroni Nugroho II A ✓
75 Fanesha Putri Ramadhani II A
76 Findhita Berliani Saputri II A
77 Fira Rahmawati II A
78 Muhammad Khadafi II B
79 Muqorrobin Huda II B ✓
80 Rasyid Imam Febri II B
81 Ridwan Nur Masjid II B
82 Zaki Arkana Favian II B ✓
83 Silfi Adhila Putri II B
84 Galang Bangkit Satrio II B
85 Janisya Cahya Rini II B
86 M. Satria Tri Kurniawan II B
87 Raditya Javas Nararya II B
88 Rayyanadra Jati Mannaf II B ✓
89 Risma Indriani II B
90 Syafira Shinta Pradewi II B ✓
91 Zivanna Anzelia Arteta II B ✓
92 Yuka Tegar Wicaksono II B ✓
93 Rafa Aidil El-Gunawan II B ✓
94 Muna Aini Mufidah II B ✓
95 M. Afrizza Al-faridzi II B ✓
96 Keandre Panji Meda II B ✓
97 Galeh Bangkit Satrio II B ✓
98 Dava Anditya III A
99 Cira Annoura III A
100 Chaya Duanta Aulia III A
101 Bimo Satrio Cahyo Nugroho III A ✓
102 Azzalya Syifa Setyawan III A ✓
103 Aulia Salsa Billa III A
104 Aisyah Ayu Susanto III A ✓
105 Aufa Pratama III A ✓
106 Devano Dwi Nurrohman III A
107 Devino Dwi Nurrohman III A
108 Ega Arifah Larasati III A ✓
109 Elsa Arifah Nugrahani III A ✓
110 Fadhil Khoiru Mafaza III A ✓
111 Fajar Hafidh Saputra III A
112 Akhmelia Nur Fajrina III A
113 Amira Nathaniela III A
114 Andika Alvin Pratama III A ✓
115 Ansyifa Nur Naafi'ah III A
116 Aryo Wicaksono III A ✓
117 Atik Permata Sari III A ✓
118 Adika Gerard Abimayu III A
119 Aditya Rizky Pratama III A ✓
120 Afifah Resky Pramadita III A ✓
121 Agna Fatma Sari III A
122 Ahmad Alzarizko III A ✓
123 Aisha Meydina Puspasari III A ✓
124 Akbar Yuko Hartanto Putro III A ✓
125 Galih Setyo Nugroho III B ✓
126 Gana Jaya Prasetyo III B ✓
127 Habib Affan Syathir III B
128 Jasmine Putri Dandy III B ✓
129 Jessica Dwi Anindya III B
130 Jihan Nurmalita Putri III B ✓
131 Khanza Kalyca Suwandono III B ✓
132 Linda Ulfi Hanifah III B ✓
133 M. Mirza Rahadian III B ✓
134 M. Adieb Akbar Habibie III B ✓
135 Natasya Adinda S III B ✓
136 Nadia Ayu Ningrum III B ✓
137 Navicka Ayunda L III B ✓
138 Navisa Monahara A. P. III B ✓
139 Nurma Rinda R III B
140 Putri Diandra A. M. III B ✓
141 Raditya Awani III B
142 Rasel Adi Putra III B ✓
143 Rayyana Qalbulshali III B ✓
144 Riyan Ragil Saputro III B
145 Rizkya Ichi Zakaria III B ✓
146 Septi Fitri Ardiani III B ✓
147 Sintya Bella Putri R. III B ✓
148 Sintya Insani Amelia III B ✓
149 Zika Azzahra III B ✓
150 Ardania Mesya Hastani IV A
151 Auryn Shareta Kurniahany IV A
152 Baras Putra Wicaksono IV A ✓
153 Benyamin Al Habibi IV A ✓
154 Devara Satya Putra Hutama IV A ✓
155 Esstery Barakuana IV A ✓
156 Anugerah Fauzan Alfaridzi IV A ✓
157 Elvira Chairunissa IV A ✓
158 Elyan Dika Aditya IV A ✓
159 Fajar Dwi Saputra IV A ✓
160 Friska Amelia Safitri IV A
161 Fika humaira IV A
162 Chesya Nada Berliana IV A ✓
163 Ghayda Nafisah Jihan Labibah IV A ✓
164 Jessica Tungga Dewi Sunandar IV A
165 Ginariswari Ratna Ismaya IV A ✓
166 Imannuelo Yunaz Efraim IV A ✓
167 Kayla Azzura Lufitawati IV A
168 Agtifa Candra Pramesti IV A
169 Ahmad Arkan Nandana Naban IV A ✓
170 Ahmad Syarif Ashari IV A ✓
171 Alfino Ferdiansyah IV A ✓
172 Andika Ragil Alifian IV A
173 Anindya Kirani IV A
174 Anugerah Fauzi Alfaridzi IV A ✓
175 Fauzan Setyo Nugroho IV A
176 Aloysius Julio Wase Putra IV A ✓
177 Linda Ayu Pratiwi IV B ✓
178 Muhammad Rasya Putra IV B ✓
179 Novita Dwi Nur Aini IV B
180 Satya Noer Rachman IV B
181 Wardatul Jannah IV B
182 Zara Leviana Garinta IV B
183 Pratama Chrisan Nugraha IV B ✓
184 Shohihul Khuluq Nurul Ilmi IV B
185 Nadya Marella IV B ✓
186 Winda Ayu Lestari IV B
187 Zeatha Kamila Putri IV B ✓
188 Marcellinus Janenino IV B ✓
189 Rasya Apri Wijaya P. IV B ✓
190 Narendra Djangkaru P. IV B ✓
191 Yuliana Kusminarti IV B
192 Ulfa Amilia W. IV B
193 Meilani Putri IV B
194 Martua Dome Ichi Habeahan IV B
195 Najwa Yulia Prastiwi IV B ✓
196 Sasmecca IV B
197 Tanaya Vidia Ramadhani IV B ✓
198 Yanu Iskandar Ahhmad IV B ✓
199 Kidung Suci Maheswari IV B ✓
200 Mentari Zetta Rossalya IV B
201 Naufal Hazim Muazzam Praditya IV B
202 Vevi Noviana IV B ✓
203 Zahra Aulia Kansa IV B ✓
204 Ahmad Gusnajib VA ✓
205 Akmal Putra Laksana VA ✓
206 Alifia Zahra Prasetyo VA ✓
207 Alya Azkal Azkia S. VA ✓
208 Andhara Nabila VA ✓
209 Anggoro Putranto VA
210 Arief Maulana Syahdewa VA ✓
211 Asya Ayu Ramadhani VA
212 Atha Pranaja Mahardika VA ✓
213 Aurel Pasya Shetara VA ✓
214 Aurelya Putri VA
215 Ayu Lintang Sekar Kinasih VA ✓
216 Bayu Tria Setiawan VA ✓
217 Bimantara Aldi Dwitama VA ✓
218 Chacha Aulia Ramandini VA
219 Darel Cavell Manggala Akira Putra VA ✓
220 Dea Adelia Paradita VA ✓
221 Charis Septian Putra Utama VA ✓
222 Dedi Ardiansyah VA ✓
223 Defana Malvino Braga VA ✓
224 Delia Putri Rahmawati VA ✓
225 Devalina Nur Khoirunnisa VA
226 Dhea Syaharani VA ✓
227 Dinda Melisa VA ✓
228 Erlita Cahya Nurprita VA ✓
229 Evi Nur Azezah VA
230 Galuh Artanto VA ✓
231 Ilham Nawwarudin Zaidan VB
232 Izra Naufal Anugra N. VB ✓
233 Kaka Rahmat Hidayat VB ✓
234 Keisha Hayelani VB
235 Krishna Putra W. M. VB
236 Moch Giovanny Alief VB ✓
237 Muhammad Nova Darmawan VB
238 Muhammad Hafizh Septian VB ✓
239 Muhammad Rahmandika Fani VB ✓
240 Muhammad Tristan Pamungkas VB ✓
241 Muthi'ah Husna P VB ✓
242 Naufal Alfi Ahmad VB ✓
243 Niken Dwi Arini VB
244 Novi Nurhidayah VB
245 Rafael Heppy Listiyantoro VB ✓
246 Panji Ramadhon VB
247 Punto Aji Tri Jamali VB ✓
248 Qirannisa Azkiya Valin VB
249 Qanita Rafa'hayya Bilqis VB
250 Reza Galang Ardana VB
251 Ramadhika Temmy R VB ✓
252 Reihan Raditya VB
253 Rifqii Naufal Eka VB ✓
254 Talitha Nabilah A. VB
255 Vania Callista Diva A. VB ✓
256 Vina Afi Datun Sofa VB
257 Wahyu Agung Prananto VB ✓
10 142
TAR PENDIDIKAN DAN PEKERJAAN ORANG TUA SDN NANGGULAN
Pekerjaan Orang Tua

Ayah Ibu
Wiraswasta Tidak bekerja Exclude PNS Swasta Wiraswasta Tidak bekerja
✓ ✓
✓ ✓
✓ ✓
✓
✓
✓ ✓
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✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓ ✓
✓ ✓
✓
✓
✓ ✓
✓
✓
✓ ✓
✓ ✓
✓
✓
✓
✓ ✓
✓ ✓
✓ ✓
✓
✓ ✓
✓
✓
✓ ✓
✓
✓
✓ ✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓ ✓
✓
✓
✓ ✓
✓
✓
✓ ✓
✓ ✓
✓
✓
✓
✓ ✓
✓ ✓
✓
✓ ✓
✓
✓
✓
✓ ✓
✓ ✓
✓ ✓
✓ ✓
✓
✓ ✓
✓
✓ ✓
✓
✓
✓
✓
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✓
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✓
✓
✓
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✓ ✓
✓
✓
✓
✓
✓
✓
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✓
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✓
✓
✓ ✓
✓
✓
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓
✓
✓ ✓
✓
✓ ✓
✓
✓
✓ ✓
✓ ✓
✓
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✓
✓
✓
✓
✓
✓ ✓
✓ ✓
✓
✓ ✓
✓
✓ ✓
✓ ✓
✓ ✓
✓
✓ ✓
✓
✓ ✓
✓
✓ ✓
✓
78 2 25 6 56 36 152
Pendidikan Or
Ayah
Exclude TS SD SMP SMA AK PT
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
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✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
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✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
6 7 27 47 132 14 26
Pendidikan Orang Tua
Ibu
Exclude TS SD SMP SMA AK PT
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
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✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
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✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
5 6 31 47 139 12 21
Exclude
✓
1
Waktu Menyikat Gigi
Sebelum Setelah Mandi Sebelum Frekuensi N %
sarapan sarapan Siang hari Sore tidur
0
✓ 1
✓ 1
✓ 1
✓ 1
✓ 1
✓ ✓ 2
✓ ✓ 2
✓ ✓ 2
✓ ✓ 2
✓ ✓ 2
✓ ✓ 2
✓ ✓ 2
✓ ✓ 2
✓ ✓ 2
✓ ✓ 2
✓ ✓ ✓ 3
✓ ✓ ✓ 3
✓ ✓ ✓ 3
✓ ✓ ✓ 3
✓ ✓ ✓ 3
✓ ✓ ✓ 3
✓ ✓ ✓ 3
✓ ✓ ✓ 3
✓ ✓ ✓ 3
✓ ✓ ✓ 3
✓ ✓ ✓ ✓ 4
✓ ✓ ✓ ✓ 4
✓ ✓ ✓ ✓ 4
✓ ✓ ✓ ✓ 4
✓ ✓ ✓ ✓ 4
✓ ✓ ✓ ✓ ✓ 5
Jumlah

REKAP DATA KASAR 1SD v4

Diunggah oleh

Informasi Dokumen

Judul Asli

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Opsi Berbagi

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Format Tersedia

REKAP DATA KASAR 1SD v4

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Format Tersedia

Jenis Kelamin

No Nama Pemeriksa Nama Siswa yang Diperiksa Kelas

1 Chintia Arifa Priyanti Ramadhan Bintang Sugiyanto IB ✓

1 Krisna Devara Pramuditya Afira Erna Dwi Asyifa II A

1 Delia Nigrahaning Rasti Muhammad Khadafi II B ✓

1 Ellindamayanti Ardania Mesya Hastani IV A

Jenis Kelamin OHIS

Jenis Kelamin OHIS

Jenis Kelamin OHIS

Jenis Kelamin OHIS

Jenis Kelamin OHIS

Jenis Kelamin OHIS

Jenis Kelamin OHIS

Jenis Kelamin OHIS

Jenis Kelamin OHIS

Gigi sulung Gigi Tetap

Gigi sulung Gigi Tetap

Gigi sulung Gigi Tetap

Gigi sulung Gigi Tetap

Gigi sulung Gigi Tetap

Gigi sulung Gigi Tetap

Gigi sulung Gigi Tetap

Gigi sulung Gigi Tetap

Gigi sulung Gigi Tetap

Gigi sulung Gigi Tetap

OHIS Status Karies Gigi Frekuensi Sikat

OHIS Status Karies Gigi Frekuensi Sikat

OHIS Status Karies Gigi Frekuensi Sikat

OHIS Status Karies Gigi Frekuensi Sikat

OHIS Status Karies Gigi Frekuensi Sikat

OHIS Status Karies Gigi Frekuensi Sikat

OHIS Status Karies Gigi Frekuensi Sikat

OHIS Status Karies Gigi Frekuensi Sikat

OHIS Status Karies Gigi Frekuensi Sikat

OHIS Status Karies Gigi Frekuensi Sikat

Gigi sehat Topikal Aplikasi Fluor

Gigi sehat Topikal Aplikasi Fluor

Karies dentin Opdent

Karies dentin disertai nekrosis pulpa Eksodonsia

Gigi sehat Topikal Aplikasi Fluor

1 Abdilla Faiz Anugrah Al Faridzi I A 28/06/2011 29/04/2019

No. Nama Kelas Tanggal Lahir Tanggal Pemeriksaan

1 Ramadhan Bintang Sugiyanto I B 13/08/2011 29/04/2019

No. Nama Kelas Tanggal Lahir Tanggal Pemeriksaan

1 Afira Erna Dwi Asyifa II A 16/11/2009 29/04/2019

No. Nama Kelas Tanggal Lahir Tanggal Pemeriksaan

No. Nama Kelas Tanggal Lahir Tanggal Pemeriksaan

1 Dava Anditya III A 06/06/2010 29/04/2019

No. Nama Kelas Tanggal Lahir Tanggal Pemeriksaan

1 Galih Setyo Nugroho III B 22/04/2009 29/04/2019

No. Nama Kelas Tanggal Lahir Tanggal Pemeriksaan

1 Ardania Mesya Hastani IV A 29/09/2008 26/04/2019

No. Nama Kelas Tanggal Lahir Tanggal Pemeriksaan

1 Linda Ayu Pratiwi IV B 24/08/2008 26/04/2019

No. Nama Kelas Tanggal Lahir Tanggal Pemeriksaan

1 Ahmad Gusnajib VA 17/08/2007 26/04/2019

No. Nama Kelas Tanggal Lahir Tanggal Pemeriksaan

1 Ilham Nawwarudin Zaidan VB 06/08/2007 26/04/2019

1 Abdilla Faiz Anugrah Al Faridzi I A ✓ ✓

1 Ramadhan Bintang Sugiyanto IB ✓ ✓

1 Afira Erna Dwi Asyifa II A ✓ ✓

1 Dava Anditya III A ✓ ✓

1 Galih Setyo Nugroho III B ✓ ✓