Kelas 8e

FORMULIR PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK
RAHASIA
PUSKESMAS : BAGOR
TANGGAL PELAKSANAAN SKRINING (TANGGAL, BULAN, TAHUN) :
I. IDENDITAS PESERTA DIDIK
8 11 2022 Form Ra
NAMA SEKOLAH : MTS 10 NGANJUK
ALAMAT SEKOLAH : DESA BAGOR KULON
KELAS : 8E
JUMLAH SELURUH PESERTA DIDIK : 32 L : 15 P : 17
PRIYANDHIKA RAMADHAN
JUMLAH PESERTA DIDIK YANG DIPERIKSA KESEHATANNYA : Nomor Absen 1 2
MARTHA DWI AURELGA

NAMA SISWA :
LAKI - LAKI : (JIKA YA DIISI 1) 1

PEREMPUAN : (JIKA YA DIISI 1) 1
ALAMAT :
WILANGAN,
WILANGAN,
TEMPURAN
WILANGAN
BANARAN
NGANJUK
NGANJUK
BAGOR,
KULON,
TGL LAHIR : 16 20
BULAN LAHIR : 03 09
TAHUN LAHIR : 2009 2008
NAMA AYAH/IBU : SISW SUPRI
JENIS DISABILITAS 1 2
1. Netra : T= 0 Y= 1 1. 0 0
2. Rungu : T= 0 Y= 1 2. 0 0
3 Rungu Wicara : T= 0 Y= 1 3 0 0
4 Grahita : T= 0 Y= 1 4 0 0
5 Daksa : T= 0 Y= 1 5 0 0
6 Autisme : T= 0 Y= 1 6 0 0
7 Ganda : T= 0 Y= 1 7 0 0
8 ADHD : T= 0 Y= 1 8 0 0
II. PEMERIKSAAN KESEHATAN DENGAN KUESIONER
A. RIWAYAT KESEHATAN ANAK 1 2
1. Alergi makanan tertentu : T= 0 Y= 1 1. 0 0
2. Alergi obat tertentu : T= 0 Y= 1 2. 0 0
3 Asma/Bengek : T= 0 Y= 1 3 0 0
4 saat ini minum obat : T= 0 Y= 1 4 0 0
5 pernah dirawat d RS : T= 0 Y= 1 5 0 0
6 Pernah mengalami cidera (gegar otak, patah tulang / lainnya : T= 0 Y= 1 6 0 0
7 Riwayat kejang berulang : T= 0 Y= 1 7 0 0
8 Riwayat Pingsan : T= 0 Y= 1 8 0 0
9 Tranfusi darah berulang : T= 0 Y= 1 9 0 0
10 Riwayat kelainan bawaan : T= 0 Y= 1 10 0 0
11 Riwayat penyakit lainya : T= 0 Y= 1 11 0 0
B. RIWAYAT IMUNISASI 1 2
1 Memiliki catatan imunisasi : T= 0 Y= 1 1 1 1
2 Saat bayi mendapat imunisasi : T= 0 Y= 1 2 1 1
3 Pada SD kelas 1 mendapat imunisasi : T= 0 Y= 1 3 1 1
C. RIWAYAT KESEHATAN KELUARGA
apakah orang tuamu /anggota keluarga menderita : 1 2
1 1. Tuberkulosis (TBC) : T= 0 Y= 1 Tidak Tahu = 2 1 0 0
2 2. Kencing manis / DM : T= 0 Y= 1 Tidak Tahu = 2 2 0 0
3 3. Hepatitis/sakit kuning : T= 0 Y= 1 Tidak Tahu = 2 3 0 0
4 4. Asma/Bengek : T= 0 Y= 1 Tidak Tahu = 2 4 0 0
5 5. Penyakit jantung : T= 0 Y= 1 Tidak Tahu = 2 5 0 0
6 6. Stroke/lumpuh : T= 0 Y= 1 Tidak Tahu = 2 6 0 0
7 7. Obesitas/gemuk sekali : T= 0 Y= 1 Tidak Tahu = 2 7 0 0
8 8. Tekanan darah tinggi : T= 0 Y= 1 Tidak Tahu = 2 8 0 0
9 9. Kanker/tumor ganas : T= 0 Y= 1 Tidak Tahu = 2 9 0 0
10 10. Anemia : T= 0 Y= 1 Tidak Tahu = 2 10 0 0
11 11. Thalasemia : T= 0 Y= 1 Tidak Tahu = 2 11 0 0
12 l2. Haemofilia : T= 0 Y= 1 Tidak Tahu = 2 12 0 0
D. GAYA HIDUP 1 2
1. Sarapan : Tdk pernah=0 Kadang=1 Selalu=2 2 1
2. Jajan : Tdk pernah=0 Kadang=1 Selalu=2 1 1
3. Jenis jajanan yang kamu suka ........................................... : Tdk pernah=0 Kadang=1 Selalu=2 0 0
d. Apakah orang tua/keluarga ada yang merokok : Tdk pernah=0 Kadang=1 Selalu=2 0 0
5. Apakah kamu pernah merokok : Tdk pernah=0 Kadang=1 Selalu=2 0 0
6. Apakah orang tua/keluarga ada yang minum minuman alkohol : Tdk pernah=0 Kadang=1 Selalu=2 0 0
7. Apakah kamu pernah minuman alkohol/ menggunakan obat-obatan terlarang Tdk pernah=0 Kadang=1 Selalu=2 0 0
E. KESEHATAN REPRODUKSI 0 0
PESERTA DIDIK PUTRI
(Jika belum menstruasi lompat ke pertanyaan no. 4) 1 2
1. Berapa usiamu saat menstruasi pertama
( 0 ) < 8 th ( 1 ) 8-15 th ( 2 ) > 15 th : < 8 th=0 8-15 th=1 > 15 th=2 1
2. Apakah menstruasimu teratur tiap bulan : T= 0 Y= 1 2.
3. Apakah saat menstruasi disertai nyeri perut hebat : T= 0 Y= 1 3.
4. Apakah pernah mengalami keputihan : T= 0 Y= 1 4.
5. Apakah kamu pernah mengalami : T= 0 Y= 1 5.
gatal-gatal disekitar kemaluan : T= 0 Y= 1
6. Apakah kamu pernah disentuh secara paksa pada bagian vital tubuhmu ( alat : T= 0 Y= 1 6.
kelamin, payudara/bokong)
PESERTA DIDIK PUTRA
(jika belum mimpi basah lompat ke pertayaan no. 3) 1 2
1. Apakah kamu pernah mimpi basah : T= 0 Y= 1 1.
2. Apakah kamu pernah mengalami kencing kuning kental : T= 0 Y= 1 2.
3. Apakah kamu pernah mengalami gatal-gatal disekitar kemaluan : T= 0 Y= 1 3.
4. Apakah kamu pernah disentuh secara : T= 0 Y= 1 4.
paksa pada bagian vital tubuhmu ( alat kelamin/bokong) 0 0
BAHAN EDUKASI DAN KONSELING
Di isi angka 1 bila dipilih ,, boleh pilih lebih
BERIKAN TANDA V PADA HAL-HAL YG INGIN KAMU
dari 1 pilihan
KETAHUI ( BOLEH LEBIH DARI 1 MESKIPUN KAMU
TIDAK MENGALAMI 1 2
1 Berat badan : 1
2 Tinggi badan : 2
3 Postur tubuh : 3
4 Diet/makanan : 4
5 kulit(jerawat) : 5
6 Bau badan : 6
7 Pendenagran : 7
8 Mulut dan gigi : 8
9 Sakit kepala : 9
10 Nyeri dada : 10
11 Sakit perut : 11
12 Nyeri saat kencing : 12
13 Menstruasi : 13
14 Organ seksual : 14
15 Masturbasi/onani : 15
16 Mengompol : 16
17 Stres : 17
18 Kesulitan belajar : 18
19 Sulit konsentrasi : 19
20 Cara belajar efektif : 20
21 Sulit tidur : 21
22 Napza/narkoba : 22
Lainnya ............................................
III PEMERIKSAAN FISIK

A PEMEERIKSAAN TANDA-TANDA VITAL 1 2
1 Tekanan darah (sistole) : mm / Hg 1 122 120
2 Nadi (per menit) : kali 2 88 88
3 Pernapasan (per menit) : kali 3 20 20
4 Temperatur (suhu) : *C 4 36 36
5 Bising Jantung : T= 0 Y= 1 5
6 Bising Paru : T= 0 Y= 1 6
B PEMERIKSAAN STATUS GIZI
1 Berat Badan : kg 34 44
2 Tinggi Badan : cm 160 161
3 Laborat Haemoglobin : gr%
C. PEMERIKSAAN KEBERSIHAN DIRI
1 Rambut Tdk sehat= 0 Sehat= 1 1 1 1
2 Kulit bercak putih, : T= 0 Y= 1 2 0 0
3 merah, hitam T= 0 Bercak putih mati rasa=1 3 0 0
4 Kulit bersisik : T= 0 Y= 1 4 0 0
5 Kulit ada memar : T= 0 Y= 1 5 0 0
6 Kulit ada luka sayatan : T= 0 Y= 1 6 0 0
7 Kulit ada luka koreng : T= 0 Y= 1 7 0 0
8 Kulit ada luka koreng yg sukar sembuh : T= 0 Y= 1 8 0 0
9 Kulit ada bekas suntikan : T= 0 Y= 1 9 0 0
10 Kuku : Tdk sehat=0 Sehat =1 10 1 1
D. PEMERIKSAAN KESEHATAN PENGLIHATAN 0 0
1 Mata luar : Normal=0 Tidak sehat=1 1 0 0
2 Tajam penglihatan : Normal=0 Kelainan Refraksi=1 2 0 0
3 Visus Mata kanan 3 ### 0
4 Visus Mata Kiri 4 0 0
5 kebutaan : T= 0 Y= 1 5 0 0
6 Low vision : T= 0 Y= 1 6 0 0
7 Kacamata : T= 0 Y= 1 7 0 0
8 Anemis : T= 1 Y= 2 8 1 1
9 Buta Warna : T= 0 Y= 1 9 0 0
E. PEMERIKSAAN KESEHATAN PENDENGARAN
1 Telinga Luar : Sehat=0 Infeksi=1 Serumen=2 1 2 0
2 Tajam pendengaran : Normal=0 Ada gangguan =1 2 0 0
3 Infeksi telinga : T =0 OM= 1 OE= 2 3 0 0
F. PEMERIKSAAN GIGI DAN MULUT
KESEHATAN RONGGA MULUT 1 2
1 Celah bibir/langit langit : T= 0 Y= 1 1 0 0
2 Luka pada sudut mulut : T= 0 Y= 1 2 0 0
3 Sariawan : T= 0 Y= 1 3 0 0
4 Lidah kotor : T= 0 Y= 1 4 0 0
5 Luka lainnya : T= 0 Y= 1 5 0 0
KESEHATAN GIGI DAN GUSI
1 Gigi berlubang/karies : T= 0 Y= 1 1 0 0
2 Gigi mudaha berdarah : T= 0 Y= 1 2 0 0
3 Gusi bengkak : T= 0 Y= 1 3 0 0
4 Gigi kotor(plak dan sisa makanan) : T= 0 Y= 1 4 0 0
5 Karang gigi : T= 0 Y= 1 5 0 0
6 Susunan gigi depan tidak teratur : T= 0 Y= 1 6 0 0
7 Masalah rongga mulut : Sehat=0 Tidak Sehat=1 7 0 0
0 0
G. PEMAKAIAN ALAT BANTU 1 2
1 Penglihatan/Loupe : T= 0 Y= 1 1 0 0
2 Pendengaran : T= 0 Y= 1 2 0 0
3 Kursi roda : T= 0 Y= 1 3 0 0
4 Tongkat/Kruk : T= 0 Y= 1 4 0 0
5 Kaki/tangan/mata protesa : T= 0 Y= 1 5 0 0
H. PEMERIKSAAN KEBUGARAN JASMANI 0 0
Jumlah nilai
1 - Klasifikasi tingkat kebugaran jasmani daya tahan jantung : Baik sekali=0 Baik=1 Cukup=2 1
dengan single tes Kurang =3 Kurang sekali=4
V. RUJUK : T= 0 Y= 1 1
F KESEHATAN MENTAL EMOSIONAL

1 2
Kode* Tida Agak Be
k benar nar
F
bena
MARTHA DWI AURELGA
r
Sk
or
An
ak
1 1. Saya berusaha bersikap baik kepada orang lain. Saya peduli dengan Pr 1 1
0 1 2
perasaan mereka
2 2. Saya gelisah, saya tidak dapat diam untuk waktu lama H1 2
3 3. Saya sering sakit kepala, sakit perut atau macam2 sakit lain E1 3
4 4. Kalau saya memiliki mainan CD atau makanan saya biasanya berbagi Pr 2 4
dengan orang lain
5 5. Saya menjadi sangat marah dan sering tidak bisa mengendalikan C1 5
kemarahan saya
6 6. Saya lebih suka sendirian daripada bersama dengan orang-orang yang P1 6
seumur saya
7 7. Saya biasanya melakukan apa yang diperintahkan oleh orang lain C2 7
8 8. Saya banyak merasa cemas atau khawatir terhadap apapun E2 8
9 9. Saya selalu siap menolong jika ada orang terluka, kecewa atau merasa Pr 3 9
sakit
10 10. Bila sedang gelisah atau cemas badan saya sering bergerak-gerak tanpa H2 10
saya sadari
11 11. Saya mempunyai satu teman baik atau lebih P2 11
12 12. Saya sering bertengkar dengan orang lain. Saya dapat memaksa orang lain C3 12
melakukannya apa yang saya inginkan
13 13. Saya sering merasa tidak bahagia, sedih atau menangis E3 13
14 14. Orang lain seumur saya pada umumnya menyukai saya P3 14
15 15. Perhatian saya mudah teralihkan. Saya sulit memusatkan perhatian pada H3 15
apapun
16 16. Saya merasa gugup dalam situasi baru. Saya mudah kehilangan rasa E4 16
percaya diri
17 17. Saya bersikap baik pada anak-anak yang lebih muda dari saya Pr 4 17
18 18. Saya sering dituduh berbohong atau berbuat curang C4 18
19 19. Saya sering diganggu atau dipermainkan oleh anak-anak atau remaja P4 19
lainnya
20 20. Saya sering menawarkan diri untuk membantu orang lain, orang tua, guru Pr 5 20
atau anak-anak
21 21. Sebelum melakukan sesuatu saya berpikir dahulu tentang akibatnya H4 21
22 22. Saya mengambil barang yang bukan milik saya dari rumah, sekolah, atau C5 22
darimana saja
23 23. Saya lebih mudah berteman dengan orang dewasa daripada dengan orang- P 5 23
orang seumur saya
24 24. Banyak yang saya takuti. Saya mudah menjadi takut E5 24
25 25. Saya menyelesaikan pekerjaan yang sedang saya lakukan. Saya H5 25
mempunyai perhatian yang baik terhadap apapun
NILAI 0 1 2
G KESEHATAN INTELEGENSIA ( UNTUK MURID SD, SMP,SMA SEDERAJAT )

1 2
G1
KAD
MARTHA DWI AURELGA

TIDA
ANG
K SELA
-
PERN LU
KAD
AH
ANG
1 Suka mengingat sesuatu dengan membayangkannya 1 2 3 1

2 Memahami sesuatu dengan melihat grafik/bagan/skema atau membaca tulisan 2
3 Memahami sesuatu dari mendengar/petunjuk lisan 3
4 Mudah mengikuti instruksi tertulis 4
5 Bisa mengerjakan grafik, bagan/skema dan poster dengan baik. 5
6 Senang melakukan tugas dengan di dikte 6
7 Saya dapat menyusun bongkar pasang gambar (puzzles) dengan baik 7
8 Senang membaca 8
9 Mudah memahami penjelasan dengan alat peraga 9
10 Suka mencatat dan membuat daftar apa yang ingin saya ingat 10
11 Mudah mengikuti petunjuk di peta 11
12 Suka mengikuti petunjuk lisan 12
13 Suka mendengar seseorang berbicara dalam mendapatkan informasi. 13
14 Membutuhkan penjelasan tentang suatu diagram atau peta. 14
15 Senang berdiskusi membicarakan suatu hal. 15
16 Suka mendengarkan irama musik untuk mempelajari sesuatu. 16
17 Suka mendengarkan musik 17
Suka melakukan gerakan-gerakan untuk mengingat sesuatu (mengetuk-ngetuk 18
18 pena, menggoyang-goyang tungkai).
19 Suka bekerja dengan tangan saya dalam membuat atau memperbaiki sesuatu. 19
20 Suka berdiri atau berjalan-jalan saat belajar 20
21 Suka menggunakan gerakan tangan saat berbicara 21
22 Terampil berolah raga. 22
23 Suka melihat gerakan tubuh seseorang untuk memahami maksud pikirannya. 23
24 Harus melakukan apa yang telah dipelajari agar mudah dipahami 24
1 2 3
1 2
MARTHA DWI AURELGA
B. DOMINASI OTAK
G2
YA TIDAK
1 Suka bergerak dan banyak beraktivitas? 1 0 1
2 Kesulitan dalam mewarnai gambar dan menulis? 2
3 Sangat peka terhadap kritikan? 3
4
4 Terampil dalam menyusun mainan (building toys), misalnya LEGO, balok susun?
5 Terampil dalam menyusun puzzles dan mazes? 5
Bila dibacakan sebuah buku kepada kamu sebanyak 2 atau 3 kali, dapatkah kamu 6
6 mengisi kata yang hilang dengan ingatan yang sangat baik?
Sangat penting untuk menyukai guru disekolah agar dapat mengerjakan pekerjaan 7
7 dengan baik di dalam kelas?
8 Mudah beralih perhatiannya, atau sering melamun? 8
9 Tidak dapat menyelesaikan tugas secara konsisten? 9
10 Cenderung berbuat dulu baru berpikir? 10
11 Harus memotong label baju sebelum dikenakan? 11
12 Hanya mau memakai baju yang lembut dan nyaman? 12
Sangat menikmati saat berolah raga, berada di pesta yang ramai, dan berekreasi di 13
13 taman hiburan?
14 Cenderung pemalu? 14
15 Harus selalu diingatkan untuk mengerjakan sesuatu pekerjaan? 15
16 Senang bersaing dan tidak mau kalah ? 16
17 Memiliki rasa humor yang baik ? 17
Mempunyai kemampuan di atas rata-rata untuk mengerti dan menciptakan 18
18 permainan kata ?
19 Selalu ingin sempurna dalam mencoba sesuatu yang baru 19
Mampukah mengingat kembali saat liburan atau kejadian pada 1 atau 2 tahun yang 20
20 lalu, secara gamblang detailnya ?
F 1 MENTAL EMOSIONAL
1 2 3 4 5
MARTHA DWI AURELGA
PRIYANDHIKANADHIFAH
RAMADHANZULFA AYU SHOLIHAH
LENI TRIANA SAFIRA
SHILVIA RAMADHANI
Skor Skor Skor Skor
NO NO NO NO NO Skor Anak
Anak Anak Anak Anak
1 0 1 0 1 0 1 0 1 0
2 0 2 0 2 0 2 0 2 0
3 0 3 0 3 0 3 0 3 0
4 0 4 0 4 0 4 0 4 0
5 0 5 0 5 0 5 0 5 0
6 0 6 0 6 0 6 0 6 0
7 0 7 0 7 0 7 0 7 0
8 0 8 0 8 0 8 0 8 0
9 0 9 0 9 0 9 0 9 0
10 0 10 0 10 0 10 0 10 0
11 0 11 0 11 0 11 0 11 0
12 0 12 0 12 0 12 0 12 0
13 0 13 0 13 0 13 0 13 0
14 0 14 0 14 0 14 0 14 0
15 0 15 0 15 0 15 0 15 0
16 0 16 0 16 0 16 0 16 0
17 0 17 0 17 0 17 0 17 0
18 0 18 0 18 0 18 0 18 0
19 0 19 0 19 0 19 0 19 0
20 0 20 0 20 0 20 0 20 0
21 0 21 0 21 0 21 0 21 0
22 0 22 0 22 0 22 0 22 0
23 0 23 0 23 0 23 0 23 0
24 0 24 0 24 0 24 0 24 0
25 0 25 0 25 0 25 0 25 0
1 2 3 4 5
MARTHA DWI AURELGA
PRIYANDHIKANADHIFAH
RAMADHAN ZULFA AYU SHOLIHAH
LENI TRIANA SAFIRA SHILVIA RAMADHANI
Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpretasi
gan asi gan asi gan asi gan asi gan
Skor Gejala Emosional 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal
(E)
Skor Masalah Perilaku 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal
(C)
Skor Hiperaktivitas (H) 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal
Skor Masalah Teman 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal

Sebaya (P)
Skor Kekuatan 0 abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal
[Prososial (Pr)]
Skor Total Kesulitan 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal
G1. MODALITAS BELAJAR
1 2 3 4 5
MARTHA DWI AURELGA
PRIYANDHIKANADHIFAH
LENI TRIANA SAFIRA
SHILVIA RAMADHANI
NO NO NO NO NO
QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR
ON ON ON ON ON
1 0 1 0 1 0 1 0 1 0
2 0 2 0 2 0 2 0 2 0
3 0 3 0 3 0 3 0 3 0
4 0 4 0 4 0 4 0 4 0
5 0 5 0 5 0 5 0 5 0
6 0 6 0 6 0 6 0 6 0
7 0 7 0 7 0 7 0 7 0
8 0 8 0 8 0 8 0 8 0
9 0 9 0 9 0 9 0 9 0
10 0 10 0 10 0 10 0 10 0
11 0 11 0 11 0 11 0 11 0
12 0 12 0 12 0 12 0 12 0
13 0 13 0 13 0 13 0 13 0
14 0 14 0 14 0 14 0 14 0
15 0 15 0 15 0 15 0 15 0
16 0 16 0 16 0 16 0 16 0
17 0 17 0 17 0 17 0 17 0
18 0 18 0 18 0 18 0 18 0
19 0 19 0 19 0 19 0 19 0
20 0 20 0 20 0 20 0 20 0
21 0 21 0 21 0 21 0 21 0
22 0 22 0 22 0 22 0 22 0
23 0 23 0 23 0 23 0 23 0
24 0 24 0 24 0 24 0 24 0
1 2 3 4 5
MARTHA DWI AURELGA
PRIYANDHIKANADHIFAH
LENI TRIANA SAFIRA
SHILVIA RAMADHANI
VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0
AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0
KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
VISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum optima
AUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optima
KINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum optima
G 2 .DOMINASI OTAK KANAN KIRI

1 2 3 4 5
MARTHA DWI AURELGA
PRIYANDHIKANADHIFAH
LENI TRIANA SAFIRA
SHILVIA RAMADHANI
NO NO NO NO NO
Skor Skor Skor Skor Skor
QUESE QUESE QUESE QUESE QUESE
N N N N N
1 0 1 0 1 0 1 0 1 0
2 0 2 0 2 0 2 0 2 0
3 0 3 0 3 0 3 0 3 0
4 0 4 0 4 0 4 0 4 0
5 0 5 0 5 0 5 0 5 0
6 0 6 0 6 0 6 0 6 0
7 0 7 0 7 0 7 0 7 0
8 0 8 0 8 0 8 0 8 0
9 0 9 0 9 0 9 0 9 0
10 0 10 0 10 0 10 0 10 0
11 0 11 0 11 0 11 0 11 0
12 0 12 0 12 0 12 0 12 0
13 0 13 0 13 0 13 0 13 0
14 0 14 0 14 0 14 0 14 0
15 0 15 0 15 0 15 0 15 0
16 0 16 0 16 0 16 0 16 0
17 0 17 0 17 0 17 0 17 0
18 0 18 0 18 0 18 0 18 0
19 0 19 0 19 0 19 0 19 0
20 0 20 0 20 0 20 0 20 0
0 0 0 0 0
Sangat Otak Kiri Sangat Otak Kiri Sangat Otak Kiri Sangat Otak Kiri Sangat Otak Kiri
1 2 3 4 5
MARTHA DWI AURELGA
PRIYANDHIKANADHIFAH
LENI TRIANA SAFIRA
SHILVIA RAMADHANI
STATUS GIZI
Tg.Timbang Tgl.Lahir
NO NAMA BB TB (cm) TB (m)
Tg Bln Thn Tg Bln

1 MARTHA 34 160 1.6 8 11 2022 16 03
2 PRIYAND 44 161 1.61 8 11 2022 20 09
3 NADHIFA 45 149 1.49 8 11 2022 10 12
4 LENI TRI 80 158 1.58 8 11 2022 21 10
5 SHILVIA 38 157 1.57 8 11 2022 26 09
6 SAFIRA 54 158 1.58 8 11 2022 12 12
7 MOHAMM 39 139 1.39 8 11 2022 25 11
8 TAMA AN 46 165 1.65 8 11 2022 21 03
9 MUH. RI 41 145 1.45 8 11 2022 11 02
10 MOHAMMA 79 157 1.57 8 11 2022 19 03
11 NAZW DE 41 155 1.55 8 11 2022 11 12
12 CINDY R 35 145 1.45 8 11 2022 12 10
13 DENY RI 50 160 1.6 8 11 2022 29 03
14 FADILA A 42 154 1.54 8 11 2022 18 11
15 YULIA R 43 152 1.52 8 11 2022 09 07
16 VANESA 46 164 1.64 8 11 2022 09 12
17 DINDA A 62 158 1.58 8 11 2022 22 08
18 MUHAMMA 61 170 1.7 8 11 2022 04 06
19 ABI BAHA 40 152 1.52 8 11 2022 06 10
20 MUDZAKI 41 .152 0.00152 8 11 2022 28 01
21 CHYKAL 54 151 1.51 8 11 2022 24 11
22 SABILLA 40 160 1.6 8 11 2022 22 11
23 PUTRI A 44 148 1.48 8 11 2022 18 03
24 MUHAMMA 44 158 1.58 8 11 2022 28 06
25 SABRINA 34 147 1.47 8 11 2022 11 11
26 SANU MA 48 158 1.58 8 11 2022 18 03
27 RENDY P 48 156 1.56 8 11 2022 29 04
28 RIVALDO 52 171 1.71 8 11 2022 24 04
29 PUTRI IN 38 150 1.5 8 11 2022 12 01
30 HAFIDH 35 147 1.47 8 11 2022 01 01
31 HANA MU 50 153 1.53 8 11 2022 29 07
32 MERRIL 43 153 1.53 8 11 2022 06 12
33 0 0 0 0 8 11 2022 0 0
34 0 0 0 0 8 11 2022 0 0
35 0 0 0 0 8 11 2022 0 0
36 0 0 0 0 8 11 2022 0 0
37 0 0 0 0 8 11 2022 0 0
38 0 0 0 0 8 11 2022 0 0
39 0 0 0 0 8 11 2022 0 0
40 0 0 0 0 8 11 2022 0 0
41 0 0 0 0 8 11 2022 0 0
42 0 0 0 0 8 11 2022 0 0
43 0 0 0 0 8 11 2022 0 0
44 0 0 0 0 8 11 2022 0 0
45 0 0 0 0 8 11 2022 0 0
46 0 0 0 0 8 11 2022 0 0
47 0 0 0 0 8 11 2022 0 0
48 0 0 0 0 8 11 2022 0 0
49 0 0 0 0 8 11 2022 0 0
50 0 0 0 0 8 11 2022 0 0
51 0 0 0 0 8 11 2022 0 0
52 0 0 0 0 8 11 2022 0 0
53 0 0 0 0 8 11 2022 0 0
54 0 0 0 0 8 11 2022 0 0
55 0 0 0 0 8 11 2022 0 0
56 0 0 0 0 8 11 2022 0 0
57 0 0 0 0 8 11 2022 0 0
58 0 0 0 0 8 11 2022 0 0
59 0 0 0 0 8 11 2022 0 0
60 0 0 0 0 8 11 2022 0 0
61 0 0 0 0 8 11 2022 0 0
62 0 0 0 0 8 11 2022 0 0
63 0 0 0 0 8 11 2022 0 0
64 0 0 0 0 8 11 2022 0 0
65 0 0 0 0 8 11 2022 0 0
66 0 0 0 0 8 11 2022 0 0
67 0 0 0 0 8 11 2022 0 0
68 0 0 0 0 8 11 2022 0 0
69 0 0 0 0 8 11 2022 0 0
70 0 0 0 0 8 11 2022 0 0
71 0 0 0 0 8 11 2022 0 0
72 0 0 0 0 8 11 2022 0 0
73 0 0 0 0 8 11 2022 0 0
74 0 0 0 0 8 11 2022 0 0
75 0 0 0 0 8 11 2022 0 0
76 0 0 0 0 8 11 2022 0 0
77 0 0 0 0 8 11 2022 0 0
78 0 0 0 0 8 11 2022 0 0
79 0 0 0 0 8 11 2022 0 0
80 0 0 0 0 8 11 2022 0 0
81 0 0 0 0 8 11 2022 0 0
82 0 0 0 0 8 11 2022 0 0
83 0 0 0 0 8 11 2022 0 0
84 0 0 0 0 8 11 2022 0 0
85 0 0 0 0 8 11 2022 0 0
86 0 0 0 0 8 11 2022 0 0
87 0 0 0 0 8 11 2022 0 0
88 0 0 0 0 8 11 2022 0 0
89 0 0 0 0 8 11 2022 0 0
90 0 0 0 0 8 11 2022 0 0
91 0 0 0 0 8 11 2022 0 0
92 0 0 0 0 8 11 2022 0 0
93 0 0 0 0 8 11 2022 0 0
94 0 0 0 0 8 11 2022 0 0
95 0 0 0 0 8 11 2022 0 0
96 0 0 0 0 8 11 2022 0 0
97 0 0 0 0 8 11 2022 0 0
98 0 0 0 0 8 11 2022 0 0
99 0 0 0 0 8 11 2022 0 0
100 0 0 0 0 8 11 2022 0 0
6 7 8 9 10 11
SAFIRA FURMILAWATI
MOHAMMAD
FERLITA REHAN REFANSYAH
TAMA ANDHIKAMUH.
PRAWIRA
RIZAL ADNAN
MOHAMMAD
RIFALUNG
MAULANA
NAZW
AINUL
DESHINTA
YAQIN CHAIRUNISA
Skor Skor Skor Skor Skor Skor
NO NO NO NO NO NO
Anak Anak Anak Anak Anak Anak
1 0 1 0 1 0 1 0 1 0 1 0
2 0 2 0 2 0 2 0 2 0 2 0
3 0 3 0 3 0 3 0 3 0 3 0
4 0 4 0 4 0 4 0 4 0 4 0
5 0 5 0 5 0 5 0 5 0 5 0
6 0 6 0 6 0 6 0 6 0 6 0
7 0 7 0 7 0 7 0 7 0 7 0
8 0 8 0 8 0 8 0 8 0 8 0
9 0 9 0 9 0 9 0 9 0 9 0
10 0 10 0 10 0 10 0 10 0 10 0
11 0 11 0 11 0 11 0 11 0 11 0
12 0 12 0 12 0 12 0 12 0 12 0
13 0 13 0 13 0 13 0 13 0 13 0
14 0 14 0 14 0 14 0 14 0 14 0
15 0 15 0 15 0 15 0 15 0 15 0
16 0 16 0 16 0 16 0 16 0 16 0
17 0 17 0 17 0 17 0 17 0 17 0
18 0 18 0 18 0 18 0 18 0 18 0
19 0 19 0 19 0 19 0 19 0 19 0
20 0 20 0 20 0 20 0 20 0 20 0
21 0 21 0 21 0 21 0 21 0 21 0
22 0 22 0 22 0 22 0 22 0 22 0
23 0 23 0 23 0 23 0 23 0 23 0
24 0 24 0 24 0 24 0 24 0 24 0
25 0 25 0 25 0 25 0 25 0 25 0
6 7 8 9 10 11
SAFIRA FURMILAWATI
MOHAMMAD
TAMA ANDHIKAMUH. PRAWIRA
RIZAL ADNAN
MOHAMMAD
RIFALUNGMAULANA NAZWAINUL
DESHINTA
YAQIN CHAIRUNISA
Perhitungan Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret
asi gan asi gan asi gan asi gan asi gan asi
0 Normal 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal
0 abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal
6 7 8 9 10 11
SAFIRA FURMILAWATI
MOHAMMAD
TAMA ANDHIKAMUH.
PRAWIRA
RIZAL ADNAN
MOHAMMAD
RIFALUNG
MAULANA
NAZW
AINUL
DESHINTA
YAQIN CHAIRUNISA
NO NO NO NO NO
NO
SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR
QUESTION
ON ON ON ON ON
1 0 1 0 1 0 1 0 1 0 1 0
2 0 2 0 2 0 2 0 2 0 2 0
3 0 3 0 3 0 3 0 3 0 3 0
4 0 4 0 4 0 4 0 4 0 4 0
5 0 5 0 5 0 5 0 5 0 5 0
6 0 6 0 6 0 6 0 6 0 6 0
7 0 7 0 7 0 7 0 7 0 7 0
8 0 8 0 8 0 8 0 8 0 8 0
9 0 9 0 9 0 9 0 9 0 9 0
10 0 10 0 10 0 10 0 10 0 10 0
11 0 11 0 11 0 11 0 11 0 11 0
12 0 12 0 12 0 12 0 12 0 12 0
13 0 13 0 13 0 13 0 13 0 13 0
14 0 14 0 14 0 14 0 14 0 14 0
15 0 15 0 15 0 15 0 15 0 15 0
16 0 16 0 16 0 16 0 16 0 16 0
17 0 17 0 17 0 17 0 17 0 17 0
18 0 18 0 18 0 18 0 18 0 18 0
19 0 19 0 19 0 19 0 19 0 19 0
20 0 20 0 20 0 20 0 20 0 20 0
21 0 21 0 21 0 21 0 21 0 21 0
22 0 22 0 22 0 22 0 22 0 22 0
23 0 23 0 23 0 23 0 23 0 23 0
24 0 24 0 24 0 24 0 24 0 24 0
6 7 8 9 10 11
SAFIRA FURMILAWATI
MOHAMMAD
TAMA ANDHIKAMUH.
PRAWIRA
RIZAL ADNAN
MOHAMMAD
RIFALUNG
MAULANA
NAZW
AINUL
DESHINTA
YAQIN CHAIRUNISA
VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0
AUDIOTORIK 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0
KINESTETIK 0 KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0
SKOR TIPE BELAJARSKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
VISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum opt
AUDIOTORIK belum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum opt
KINESTETIK belum optKINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum opt
6 7 8 9 10 11
SAFIRA FURMILAWATI
MOHAMMAD
TAMA ANDHIKAMUH.
PRAWIRA
RIZAL ADNAN
MOHAMMAD
RIFALUNG
MAULANA
NAZW
AINUL
DESHINTA
YAQIN CHAIRUNISA
NO NO NO NO NO
QUESE QUESE QUESE QUESE QUESE
NO QUESEN N N N N N
1 0 1 0 1 0 1 0 1 0 1 0
2 0 2 0 2 0 2 0 2 0 2 0
3 0 3 0 3 0 3 0 3 0 3 0
4 0 4 0 4 0 4 0 4 0 4 0
5 0 5 0 5 0 5 0 5 0 5 0
6 0 6 0 6 0 6 0 6 0 6 0
7 0 7 0 7 0 7 0 7 0 7 0
8 0 8 0 8 0 8 0 8 0 8 0
9 0 9 0 9 0 9 0 9 0 9 0
10 0 10 0 10 0 10 0 10 0 10 0
11 0 11 0 11 0 11 0 11 0 11 0
12 0 12 0 12 0 12 0 12 0 12 0
13 0 13 0 13 0 13 0 13 0 13 0
14 0 14 0 14 0 14 0 14 0 14 0
15 0 15 0 15 0 15 0 15 0 15 0
16 0 16 0 16 0 16 0 16 0 16 0
17 0 17 0 17 0 17 0 17 0 17 0
18 0 18 0 18 0 18 0 18 0 18 0
19 0 19 0 19 0 19 0 19 0 19 0
20 0 20 0 20 0 20 0 20 0 20 0
0 0 0 0 0 0
Sangat Otak Kiri Sangat Otak Kiri Sangat Otak Kiri Sangat Otak Kiri Sangat Otak Kiri Sangat Otak Kiri
6 7 8 9 10 11
SAFIRA FURMILAWATI
MOHAMMAD
TAMA ANDHIKAMUH.
PRAWIRA
RIZAL ADNAN
MOHAMMAD
RIFALUNG
MAULANA
NAZW
AINUL
DESHINTA
YAQIN CHAIRUNISA
F.
MENTA
L
TB/U EMOSI G 1. TIPE BELAJAR
Tgl.Lahir Umur
ONAL
Skor Total Kesulitan

Teman Sebaya (P)
Skor Hiperaktivitas
[Prososial (Pr)]
Skor Kekuatan
Tidak Stunting
Emosional (E)
Skor Masalah
Skor Masalah
Perilaku (C)
Skor Gejala
Stunting
VISUAL
Thn ( Bln ) TB/U (H)
2009 164 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima


12 13 14 15 16 17 18
CINDY RIRIN PUTRI RAHAYU
DENY RIZQI SAHPUTRA
FADILA ASIYA BILGE
YULIA RAMAWATI
VANESA EKA DESTYANA
DINDA AYRAMUHAMMAD
PUTRI KHOIRUL ARDANA
NO NO NO NO NO NO NO
1 0 1 0 1 0 1 0 1 0 1 0 1
2 0 2 0 2 0 2 0 2 0 2 0 2
3 0 3 0 3 0 3 0 3 0 3 0 3
4 0 4 0 4 0 4 0 4 0 4 0 4
5 0 5 0 5 0 5 0 5 0 5 0 5
6 0 6 0 6 0 6 0 6 0 6 0 6
7 0 7 0 7 0 7 0 7 0 7 0 7
8 0 8 0 8 0 8 0 8 0 8 0 8
9 0 9 0 9 0 9 0 9 0 9 0 9
10 0 10 0 10 0 10 0 10 0 10 0 10
11 0 11 0 11 0 11 0 11 0 11 0 11
12 0 12 0 12 0 12 0 12 0 12 0 12
13 0 13 0 13 0 13 0 13 0 13 0 13
14 0 14 0 14 0 14 0 14 0 14 0 14
15 0 15 0 15 0 15 0 15 0 15 0 15
16 0 16 0 16 0 16 0 16 0 16 0 16
17 0 17 0 17 0 17 0 17 0 17 0 17
18 0 18 0 18 0 18 0 18 0 18 0 18
19 0 19 0 19 0 19 0 19 0 19 0 19
20 0 20 0 20 0 20 0 20 0 20 0 20
21 0 21 0 21 0 21 0 21 0 21 0 21
22 0 22 0 22 0 22 0 22 0 22 0 22
23 0 23 0 23 0 23 0 23 0 23 0 23
24 0 24 0 24 0 24 0 24 0 24 0 24
25 0 25 0 25 0 25 0 25 0 25 0 25
12 13 14 15 16 17 18
DENY RIZQI SAHPUTRA FADILA ASIYA BILGE YULIA RAMAWATI VANESA EKA DESTYANA DINDA AYRAMUHAMMAD
Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun
gan asi gan asi gan asi gan asi gan asi gan asi gan
0 Normal 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal 0
0 abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal 0
12 13 14 15 16 17 18
DENY RIZQI SAHPUTRA
FADILA ASIYA BILGE
YULIA RAMAWATI
VANESA EKA DESTYANA
DINDA AYRAMUHAMMAD
QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI
ON ON ON ON ON ON ON
1 0 1 0 1 0 1 0 1 0 1 0 1
2 0 2 0 2 0 2 0 2 0 2 0 2
3 0 3 0 3 0 3 0 3 0 3 0 3
4 0 4 0 4 0 4 0 4 0 4 0 4
5 0 5 0 5 0 5 0 5 0 5 0 5
6 0 6 0 6 0 6 0 6 0 6 0 6
7 0 7 0 7 0 7 0 7 0 7 0 7
8 0 8 0 8 0 8 0 8 0 8 0 8
9 0 9 0 9 0 9 0 9 0 9 0 9
10 0 10 0 10 0 10 0 10 0 10 0 10
11 0 11 0 11 0 11 0 11 0 11 0 11
12 0 12 0 12 0 12 0 12 0 12 0 12
13 0 13 0 13 0 13 0 13 0 13 0 13
14 0 14 0 14 0 14 0 14 0 14 0 14
15 0 15 0 15 0 15 0 15 0 15 0 15
16 0 16 0 16 0 16 0 16 0 16 0 16
17 0 17 0 17 0 17 0 17 0 17 0 17
18 0 18 0 18 0 18 0 18 0 18 0 18
19 0 19 0 19 0 19 0 19 0 19 0 19
20 0 20 0 20 0 20 0 20 0 20 0 20
21 0 21 0 21 0 21 0 21 0 21 0 21
22 0 22 0 22 0 22 0 22 0 22 0 22
23 0 23 0 23 0 23 0 23 0 23 0 23
24 0 24 0 24 0 24 0 24 0 24 0 24
12 13 14 15 16 17 18
DENY RIZQI SAHPUTRA
FADILA ASIYA BILGE
YULIA RAMAWATI
VANESA EKA DESTYANA
DINDA AYRAMUHAMMAD
VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL
AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO
KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0 KINESTE
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
VISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum optVISUAL
AUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTO
KINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTE
12 13 14 15 16 17 18
DENY RIZQI SAHPUTRA
FADILA ASIYA BILGE
YULIA RAMAWATI
VANESA EKA DESTYANA
DINDA AYRAMUHAMMAD
QUESE QUESE QUESE QUESE QUESE QUESE QUESE
N N N N N N N
1 0 1 0 1 0 1 0 1 0 1 0 1
2 0 2 0 2 0 2 0 2 0 2 0 2
3 0 3 0 3 0 3 0 3 0 3 0 3
4 0 4 0 4 0 4 0 4 0 4 0 4
5 0 5 0 5 0 5 0 5 0 5 0 5
6 0 6 0 6 0 6 0 6 0 6 0 6
7 0 7 0 7 0 7 0 7 0 7 0 7
8 0 8 0 8 0 8 0 8 0 8 0 8
9 0 9 0 9 0 9 0 9 0 9 0 9
10 0 10 0 10 0 10 0 10 0 10 0 10
11 0 11 0 11 0 11 0 11 0 11 0 11
12 0 12 0 12 0 12 0 12 0 12 0 12
13 0 13 0 13 0 13 0 13 0 13 0 13
14 0 14 0 14 0 14 0 14 0 14 0 14
15 0 15 0 15 0 15 0 15 0 15 0 15
16 0 16 0 16 0 16 0 16 0 16 0 16
17 0 17 0 17 0 17 0 17 0 17 0 17
18 0 18 0 18 0 18 0 18 0 18 0 18
19 0 19 0 19 0 19 0 19 0 19 0 19
20 0 20 0 20 0 20 0 20 0 20 0 20
0 0 0 0 0 0
Sangat Otak Kiri Sangat Otak Kiri Sangat Otak Kiri Sangat Otak Kiri Sangat Otak Kiri Sangat Otak Kiri Sangat Otak Kiri
12 13 14 15 16 17 18
DENY RIZQI SAHPUTRA
FADILA ASIYA BILGE
YULIA RAMAWATI
VANESA EKA DESTYANA
DINDA AYRAMUHAMMAD
G 1. TIPE BELAJAR VISUS
DOMINASI
Ket Kiri Kanan

KANAN
KANAN
AUDIOTORIK
OTAK
KINESTETIK
KIRI
KIRI
1
belum optimabelum optimaSangat Otak Kiri 0 0 Tidak NorTidak NorTidak Normal &'1.INPU
belum optimabelum optimaSangat Otak Kiri 0 0 Tidak NorTidak NorTidak Normal &'1.INPU
belum optimabelum optimaSangat Otak Kiri 0 0 Tidak NorTidak NorTidak Normal
belum optimabelum optimaSangat Otak Kiri .20/100 .20/100 Tidak NorTidak NorTidak Normal
belum optimabelum optimaSangat Otak Kiri .20/200 .20/200 Tidak NorTidak NorTidak Normal

belum optimabelum optimaSangat Otak Kiri 0 0 Tidak NorTidak NorTidak Nor 50 51 52 53
belum optimabelum optimaSangat Otak Kiri 0 0 Tidak NorTidak NorTidak Norw x
belum optimabelum optimaSangat Otak Kiri 0 0 Tidak NorTidak NorTidak Nor&CW40 &CY40
belum optimabelum optimaSangat Otak Kiri 0 0 Tidak NorTidak NorTidak Nor&CW40 &CY40 &DA40 &DC40
belum optimabelum optimaSangat Otak Kiri 0 0 Tidak NorTidak NorTidak Nor&CV118 &CX118 &CZ118 &DB118
18 19 20 21 22 23 24
HAMMAD KHOIRUL ARDANA
ABI BAHARRISKI
MUDZAKIR MA'RUF PANOTOGOMO
CHYKAL ARUM SAPUTRI
SABILLA KHOIRUN
PUTRI
NISAAYU WIDYA
MUHAMMAD
KASIH RAJASA ATMAJA
Skor Skor Skor Skor Skor Skor Skor
NO NO NO NO NO NO
Anak Anak Anak Anak Anak Anak Anak
0 1 0 1 0 1 0 1 0 1 0 1 0
0 2 0 2 0 2 0 2 0 2 0 2 0
0 3 0 3 0 3 0 3 0 3 0 3 0
0 4 0 4 0 4 0 4 0 4 0 4 0
0 5 0 5 0 5 0 5 0 5 0 5 0
0 6 0 6 0 6 0 6 0 6 0 6 0
0 7 0 7 0 7 0 7 0 7 0 7 0
0 8 0 8 0 8 0 8 0 8 0 8 0
0 9 0 9 0 9 0 9 0 9 0 9 0
0 10 0 10 0 10 0 10 0 10 0 10 0
0 11 0 11 0 11 0 11 0 11 0 11 0
0 12 0 12 0 12 0 12 0 12 0 12 0
0 13 0 13 0 13 0 13 0 13 0 13 0
0 14 0 14 0 14 0 14 0 14 0 14 0
0 15 0 15 0 15 0 15 0 15 0 15 0
0 16 0 16 0 16 0 16 0 16 0 16 0
0 17 0 17 0 17 0 17 0 17 0 17 0
0 18 0 18 0 18 0 18 0 18 0 18 0
0 19 0 19 0 19 0 19 0 19 0 19 0
0 20 0 20 0 20 0 20 0 20 0 20 0
0 21 0 21 0 21 0 21 0 21 0 21 0
0 22 0 22 0 22 0 22 0 22 0 22 0
0 23 0 23 0 23 0 23 0 23 0 23 0
0 24 0 24 0 24 0 24 0 24 0 24 0
0 25 0 25 0 25 0 25 0 25 0 25 0
18 19 20 21 22 23 24
ABI BAHARRISKI
CHYKAL ARUM SAPUTRISABILLA KHOIRUN PUTRI
NISAAYU WIDYA MUHAMMAD
KASIH RAJASA ATMAJA
Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret
asi gan asi gan asi gan asi gan asi gan asi gan asi
Normal 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal
abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal
18 19 20 21 22 23 24
ABI BAHARRISKI
CHYKAL ARUM SAPUTRI
SABILLA KHOIRUN
PUTRI
NISAAYU WIDYA
MUHAMMAD
KASIH RAJASA ATMAJA
NO NO NO NO NO NO
SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR
ON ON ON ON ON ON
0 1 0 1 0 1 0 1 0 1 0 1 0
0 2 0 2 0 2 0 2 0 2 0 2 0
0 3 0 3 0 3 0 3 0 3 0 3 0
0 4 0 4 0 4 0 4 0 4 0 4 0
0 5 0 5 0 5 0 5 0 5 0 5 0
0 6 0 6 0 6 0 6 0 6 0 6 0
0 7 0 7 0 7 0 7 0 7 0 7 0
0 8 0 8 0 8 0 8 0 8 0 8 0
0 9 0 9 0 9 0 9 0 9 0 9 0
0 10 0 10 0 10 0 10 0 10 0 10 0
0 11 0 11 0 11 0 11 0 11 0 11 0
0 12 0 12 0 12 0 12 0 12 0 12 0
0 13 0 13 0 13 0 13 0 13 0 13 0
0 14 0 14 0 14 0 14 0 14 0 14 0
0 15 0 15 0 15 0 15 0 15 0 15 0
0 16 0 16 0 16 0 16 0 16 0 16 0
0 17 0 17 0 17 0 17 0 17 0 17 0
0 18 0 18 0 18 0 18 0 18 0 18 0
0 19 0 19 0 19 0 19 0 19 0 19 0
0 20 0 20 0 20 0 20 0 20 0 20 0
0 21 0 21 0 21 0 21 0 21 0 21 0
0 22 0 22 0 22 0 22 0 22 0 22 0
0 23 0 23 0 23 0 23 0 23 0 23 0
0 24 0 24 0 24 0 24 0 24 0 24 0
18 19 20 21 22 23 24
ABI BAHARRISKI
CHYKAL ARUM SAPUTRI
SABILLA KHOIRUN
PUTRI
NISAAYU WIDYA
MUHAMMAD
KASIH RAJASA ATMAJA
0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0
0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0
0 KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
belum optVISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum opt
belum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum opt
belum optKINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum opt
18 19 20 21 22 23 24
ABI BAHARRISKI
CHYKAL ARUM SAPUTRI
SABILLA KHOIRUN
PUTRI
NISAAYU WIDYA
MUHAMMAD
KASIH RAJASA ATMAJA
NO NO NO NO NO NO
QUESE QUESE QUESE QUESE QUESE QUESE
N N N N N N
0 1 0 1 0 1 0 1 0 1 0 1 0
0 2 0 2 0 2 0 2 0 2 0 2 0
0 3 0 3 0 3 0 3 0 3 0 3 0
0 4 0 4 0 4 0 4 0 4 0 4 0
0 5 0 5 0 5 0 5 0 5 0 5 0
0 6 0 6 0 6 0 6 0 6 0 6 0
0 7 0 7 0 7 0 7 0 7 0 7 0
0 8 0 8 0 8 0 8 0 8 0 8 0
0 9 0 9 0 9 0 9 0 9 0 9 0
0 10 0 10 0 10 0 10 0 10 0 10 0
0 11 0 11 0 11 0 11 0 11 0 11 0
0 12 0 12 0 12 0 12 0 12 0 12 0
0 13 0 13 0 13 0 13 0 13 0 13 0
0 14 0 14 0 14 0 14 0 14 0 14 0
0 15 0 15 0 15 0 15 0 15 0 15 0
0 16 0 16 0 16 0 16 0 16 0 16 0
0 17 0 17 0 17 0 17 0 17 0 17 0
0 18 0 18 0 18 0 18 0 18 0 18 0
0 19 0 19 0 19 0 19 0 19 0 19 0
0 20 0 20 0 20 0 20 0 20 0 20 0
0 0 0 0 0 0 0
18 19 20 21 22 23 24
ABI BAHARRISKI
CHYKAL ARUM SAPUTRI
SABILLA KHOIRUN
PUTRI
NISAAYU WIDYA
MUHAMMAD
KASIH RAJASA ATMAJA
2 3 4 5 6 7 8 9 10 11 12 13 14
&'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU
54 55 56 57 58 59 60 61 62 63 64 65 66
&DA40 &DC40 &DE40 &DG40 &DI40 &DK40 &DM40
&DE40 &DG40 &DI40 &DK40 &DM40 &DO40 &DQ40 &DS40 &DU40 &DW40 &DY40 &EA40 &EC40
&DD118 &DF118 &DH118 &DJ118 &DL118 &DN118 &DP118 &DR118 &DT118 &DV118 &DX118 &DZ118 &EB118
25 26 27 28 29 30 31
SABRINA BERLIANA
SANUAFIFA
MARDIAN DWIRENDY
MARENO
PUTRA PRATAMA
RIVALDO CAKRA PURNAMA
PUTRI INTAN NURAINI
HAFIDH SUYADI
HANA MUFIDA ZAHRA
1 0 1 0 1 0 1 0 1 0 1 0 1
2 0 2 0 2 0 2 0 2 0 2 0 2
3 0 3 0 3 0 3 0 3 0 3 0 3
4 0 4 0 4 0 4 0 4 0 4 0 4
5 0 5 0 5 0 5 0 5 0 5 0 5
6 0 6 0 6 0 6 0 6 0 6 0 6
7 0 7 0 7 0 7 0 7 0 7 0 7
8 0 8 0 8 0 8 0 8 0 8 0 8
9 0 9 0 9 0 9 0 9 0 9 0 9
10 0 10 0 10 0 10 0 10 0 10 0 10
11 0 11 0 11 0 11 0 11 0 11 0 11
12 0 12 0 12 0 12 0 12 0 12 0 12
13 0 13 0 13 0 13 0 13 0 13 0 13
14 0 14 0 14 0 14 0 14 0 14 0 14
15 0 15 0 15 0 15 0 15 0 15 0 15
16 0 16 0 16 0 16 0 16 0 16 0 16
17 0 17 0 17 0 17 0 17 0 17 0 17
18 0 18 0 18 0 18 0 18 0 18 0 18
19 0 19 0 19 0 19 0 19 0 19 0 19
20 0 20 0 20 0 20 0 20 0 20 0 20
21 0 21 0 21 0 21 0 21 0 21 0 21
22 0 22 0 22 0 22 0 22 0 22 0 22
23 0 23 0 23 0 23 0 23 0 23 0 23
24 0 24 0 24 0 24 0 24 0 24 0 24
25 0 25 0 25 0 25 0 25 0 25 0 25
25 26 27 28 29 30 31
SABRINA BERLIANA
SANUAFIFA
MARDIAN DWIRENDYMARENOPUTRA PRATAMA
RIVALDO CAKRA PURNAMA PUTRI INTAN NURAINI HAFIDH SUYADI HANA MUFIDA ZAHRA
25 26 27 28 29 30 31
SABRINA BERLIANA
SANUAFIFA
MARDIAN DWIRENDY
MARENO
PUTRA PRATAMA
PUTRI INTAN NURAINI
HAFIDH SUYADI
HANA MUFIDA ZAHRA
1 0 1 0 1 0 1 0 1 0 1 0 1
2 0 2 0 2 0 2 0 2 0 2 0 2
3 0 3 0 3 0 3 0 3 0 3 0 3
4 0 4 0 4 0 4 0 4 0 4 0 4
5 0 5 0 5 0 5 0 5 0 5 0 5
6 0 6 0 6 0 6 0 6 0 6 0 6
7 0 7 0 7 0 7 0 7 0 7 0 7
8 0 8 0 8 0 8 0 8 0 8 0 8
9 0 9 0 9 0 9 0 9 0 9 0 9
10 0 10 0 10 0 10 0 10 0 10 0 10
11 0 11 0 11 0 11 0 11 0 11 0 11
12 0 12 0 12 0 12 0 12 0 12 0 12
13 0 13 0 13 0 13 0 13 0 13 0 13
14 0 14 0 14 0 14 0 14 0 14 0 14
15 0 15 0 15 0 15 0 15 0 15 0 15
16 0 16 0 16 0 16 0 16 0 16 0 16
17 0 17 0 17 0 17 0 17 0 17 0 17
18 0 18 0 18 0 18 0 18 0 18 0 18
19 0 19 0 19 0 19 0 19 0 19 0 19
20 0 20 0 20 0 20 0 20 0 20 0 20
21 0 21 0 21 0 21 0 21 0 21 0 21
22 0 22 0 22 0 22 0 22 0 22 0 22
23 0 23 0 23 0 23 0 23 0 23 0 23
24 0 24 0 24 0 24 0 24 0 24 0 24
25 26 27 28 29 30 31
SABRINA BERLIANA
SANUAFIFA
MARDIAN DWIRENDY
MARENO
PUTRA PRATAMA
PUTRI INTAN NURAINI
HAFIDH SUYADI
HANA MUFIDA ZAHRA
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
25 26 27 28 29 30 31
SABRINA BERLIANA
SANUAFIFA
MARDIAN DWIRENDY
MARENO
PUTRA PRATAMA
PUTRI INTAN NURAINI
HAFIDH SUYADI
HANA MUFIDA ZAHRA
N N N N N N N
1 0 1 0 1 0 1 0 1 0 1 0 1
2 0 2 0 2 0 2 0 2 0 2 0 2
3 0 3 0 3 0 3 0 3 0 3 0 3
4 0 4 0 4 0 4 0 4 0 4 0 4
5 0 5 0 5 0 5 0 5 0 5 0 5
6 0 6 0 6 0 6 0 6 0 6 0 6
7 0 7 0 7 0 7 0 7 0 7 0 7
8 0 8 0 8 0 8 0 8 0 8 0 8
9 0 9 0 9 0 9 0 9 0 9 0 9
10 0 10 0 10 0 10 0 10 0 10 0 10
11 0 11 0 11 0 11 0 11 0 11 0 11
12 0 12 0 12 0 12 0 12 0 12 0 12
13 0 13 0 13 0 13 0 13 0 13 0 13
14 0 14 0 14 0 14 0 14 0 14 0 14
15 0 15 0 15 0 15 0 15 0 15 0 15
16 0 16 0 16 0 16 0 16 0 16 0 16
17 0 17 0 17 0 17 0 17 0 17 0 17
18 0 18 0 18 0 18 0 18 0 18 0 18
19 0 19 0 19 0 19 0 19 0 19 0 19
20 0 20 0 20 0 20 0 20 0 20 0 20
0 0 0 0 0 0
25 26 27 28 29 30 31
SABRINA BERLIANA
SANUAFIFA
MARDIAN DWIRENDY
MARENO
PUTRA PRATAMA
PUTRI INTAN NURAINI
HAFIDH SUYADI
HANA MUFIDA ZAHRA
15 16 17 18 19 20 21 22 23 24 25 26 27
&'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPUT&'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU &'1.INPU
67 68 69 70 71 72 73 74 75 76 77 78 79
&DO40 &DQ40 &DS40 &DU40 &DW40 &DY40
&EE40 &EG40 &EI40 &EK40 &EM40 &EO40 &EQ40 &ES40 &EU40 &EW40 &EY40 &FA40 &FC40
&ED118 &EF118 &EH118 &EJ118 &EL118 &EN118 &EP118 &ER118 &ET118 &EV118 &EX118 &EZ118 &FB118
31 32 33 34 35 36 37
HANA MUFIDA ZAHRA
MERRIL ACHMAD ARISTO 0 0 0 0 0
NO NO NO NO NO NO
Anak Anak Anak Anak Anak Anak Anak
0 1 0 1 0 1 0 1 0 1 0 1 0
0 2 0 2 0 2 0 2 0 2 0 2 0
0 3 0 3 0 3 0 3 0 3 0 3 0
0 4 0 4 0 4 0 4 0 4 0 4 0
0 5 0 5 0 5 0 5 0 5 0 5 0
0 6 0 6 0 6 0 6 0 6 0 6 0
0 7 0 7 0 7 0 7 0 7 0 7 0
0 8 0 8 0 8 0 8 0 8 0 8 0
0 9 0 9 0 9 0 9 0 9 0 9 0
0 10 0 10 0 10 0 10 0 10 0 10 0
0 11 0 11 0 11 0 11 0 11 0 11 0
0 12 0 12 0 12 0 12 0 12 0 12 0
0 13 0 13 0 13 0 13 0 13 0 13 0
0 14 0 14 0 14 0 14 0 14 0 14 0
0 15 0 15 0 15 0 15 0 15 0 15 0
0 16 0 16 0 16 0 16 0 16 0 16 0
0 17 0 17 0 17 0 17 0 17 0 17 0
0 18 0 18 0 18 0 18 0 18 0 18 0
0 19 0 19 0 19 0 19 0 19 0 19 0
0 20 0 20 0 20 0 20 0 20 0 20 0
0 21 0 21 0 21 0 21 0 21 0 21 0
0 22 0 22 0 22 0 22 0 22 0 22 0
0 23 0 23 0 23 0 23 0 23 0 23 0
0 24 0 24 0 24 0 24 0 24 0 24 0
0 25 0 25 0 25 0 25 0 25 0 25 0
31 32 33 34 35 36 37
HANA MUFIDA ZAHRA
Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret Perhitun Interpret
asi gan asi gan asi gan asi gan asi gan asi gan asi
abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal
31 32 33 34 35 36 37
HANA MUFIDA ZAHRA
NO NO NO NO NO NO
SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR QUESTI SKOR
ON ON ON ON ON ON
0 1 0 1 0 1 0 1 0 1 0 1 0
0 2 0 2 0 2 0 2 0 2 0 2 0
0 3 0 3 0 3 0 3 0 3 0 3 0
0 4 0 4 0 4 0 4 0 4 0 4 0
0 5 0 5 0 5 0 5 0 5 0 5 0
0 6 0 6 0 6 0 6 0 6 0 6 0
0 7 0 7 0 7 0 7 0 7 0 7 0
0 8 0 8 0 8 0 8 0 8 0 8 0
0 9 0 9 0 9 0 9 0 9 0 9 0
0 10 0 10 0 10 0 10 0 10 0 10 0
0 11 0 11 0 11 0 11 0 11 0 11 0
0 12 0 12 0 12 0 12 0 12 0 12 0
0 13 0 13 0 13 0 13 0 13 0 13 0
0 14 0 14 0 14 0 14 0 14 0 14 0
0 15 0 15 0 15 0 15 0 15 0 15 0
0 16 0 16 0 16 0 16 0 16 0 16 0
0 17 0 17 0 17 0 17 0 17 0 17 0
0 18 0 18 0 18 0 18 0 18 0 18 0
0 19 0 19 0 19 0 19 0 19 0 19 0
0 20 0 20 0 20 0 20 0 20 0 20 0
0 21 0 21 0 21 0 21 0 21 0 21 0
0 22 0 22 0 22 0 22 0 22 0 22 0
0 23 0 23 0 23 0 23 0 23 0 23 0
0 24 0 24 0 24 0 24 0 24 0 24 0
31 32 33 34 35 36 37
HANA MUFIDA ZAHRA
0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0
0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0 AUDIOTO 0
0 KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0 KINESTE 0
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
belum optVISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum optVISUAL belum opt
belum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum optAUDIOTObelum opt
belum optKINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum optKINESTEbelum opt
31 32 33 34 35 36 37
HANA MUFIDA ZAHRA
NO NO NO NO NO NO
QUESE QUESE QUESE QUESE QUESE QUESE
N N N N N N
0 1 0 1 0 1 0 1 0 1 0 1 0
0 2 0 2 0 2 0 2 0 2 0 2 0
0 3 0 3 0 3 0 3 0 3 0 3 0
0 4 0 4 0 4 0 4 0 4 0 4 0
0 5 0 5 0 5 0 5 0 5 0 5 0
0 6 0 6 0 6 0 6 0 6 0 6 0
0 7 0 7 0 7 0 7 0 7 0 7 0
0 8 0 8 0 8 0 8 0 8 0 8 0
0 9 0 9 0 9 0 9 0 9 0 9 0
0 10 0 10 0 10 0 10 0 10 0 10 0
0 11 0 11 0 11 0 11 0 11 0 11 0
0 12 0 12 0 12 0 12 0 12 0 12 0
0 13 0 13 0 13 0 13 0 13 0 13 0
0 14 0 14 0 14 0 14 0 14 0 14 0
0 15 0 15 0 15 0 15 0 15 0 15 0
0 16 0 16 0 16 0 16 0 16 0 16 0
0 17 0 17 0 17 0 17 0 17 0 17 0
0 18 0 18 0 18 0 18 0 18 0 18 0
0 19 0 19 0 19 0 19 0 19 0 19 0
0 20 0 20 0 20 0 20 0 20 0 20 0
0 0 0 0 0 0 0
31 32 33 34 35 36 37
HANA MUFIDA ZAHRA
28 29 30 31 32 33 34 35 36 37 38 39 40
80 81 82 83 84 85 86 87 88 89 90 91 92
&EA40 &EC40 &EE40 &EG40 &EI40 &EK40 &EM40
&FE40 &FG40 &FI40 &FK40 &FM40 &FO40 &FQ40 &FS40 &FU40 &FW40 &FY40 &GA40 &GC40
&FD118 &FF118 &FH118 &FJ118 &FL118 &FN118 &FP118 &FR118 &FT118 &FV118 &FX118 &FZ118 &GB118
38 39 40 41 42 43 44
0 0 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 1 0 1
2 0 2 0 2 0 2 0 2 0 2 0 2
3 0 3 0 3 0 3 0 3 0 3 0 3
4 0 4 0 4 0 4 0 4 0 4 0 4
5 0 5 0 5 0 5 0 5 0 5 0 5
6 0 6 0 6 0 6 0 6 0 6 0 6
7 0 7 0 7 0 7 0 7 0 7 0 7
8 0 8 0 8 0 8 0 8 0 8 0 8
9 0 9 0 9 0 9 0 9 0 9 0 9
10 0 10 0 10 0 10 0 10 0 10 0 10
11 0 11 0 11 0 11 0 11 0 11 0 11
12 0 12 0 12 0 12 0 12 0 12 0 12
13 0 13 0 13 0 13 0 13 0 13 0 13
14 0 14 0 14 0 14 0 14 0 14 0 14
15 0 15 0 15 0 15 0 15 0 15 0 15
16 0 16 0 16 0 16 0 16 0 16 0 16
17 0 17 0 17 0 17 0 17 0 17 0 17
18 0 18 0 18 0 18 0 18 0 18 0 18
19 0 19 0 19 0 19 0 19 0 19 0 19
20 0 20 0 20 0 20 0 20 0 20 0 20
21 0 21 0 21 0 21 0 21 0 21 0 21
22 0 22 0 22 0 22 0 22 0 22 0 22
23 0 23 0 23 0 23 0 23 0 23 0 23
24 0 24 0 24 0 24 0 24 0 24 0 24
25 0 25 0 25 0 25 0 25 0 25 0 25
38 39 40 41 42 43 44
0 0 0 0 0 0 0
38 39 40 41 42 43 44
0 0 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 1 0 1
2 0 2 0 2 0 2 0 2 0 2 0 2
3 0 3 0 3 0 3 0 3 0 3 0 3
4 0 4 0 4 0 4 0 4 0 4 0 4
5 0 5 0 5 0 5 0 5 0 5 0 5
6 0 6 0 6 0 6 0 6 0 6 0 6
7 0 7 0 7 0 7 0 7 0 7 0 7
8 0 8 0 8 0 8 0 8 0 8 0 8
9 0 9 0 9 0 9 0 9 0 9 0 9
10 0 10 0 10 0 10 0 10 0 10 0 10
11 0 11 0 11 0 11 0 11 0 11 0 11
12 0 12 0 12 0 12 0 12 0 12 0 12
13 0 13 0 13 0 13 0 13 0 13 0 13
14 0 14 0 14 0 14 0 14 0 14 0 14
15 0 15 0 15 0 15 0 15 0 15 0 15
16 0 16 0 16 0 16 0 16 0 16 0 16
17 0 17 0 17 0 17 0 17 0 17 0 17
18 0 18 0 18 0 18 0 18 0 18 0 18
19 0 19 0 19 0 19 0 19 0 19 0 19
20 0 20 0 20 0 20 0 20 0 20 0 20
21 0 21 0 21 0 21 0 21 0 21 0 21
22 0 22 0 22 0 22 0 22 0 22 0 22
23 0 23 0 23 0 23 0 23 0 23 0 23
24 0 24 0 24 0 24 0 24 0 24 0 24
38 39 40 41 42 43 44
0 0 0 0 0 0 0
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
SKOR TIPE BELAJAR
38 39 40 41 42 43 44
0 0 0 0 0 0 0
N N N N N N N
1 0 1 0 1 0 1 0 1 0 1 0 1
2 0 2 0 2 0 2 0 2 0 2 0 2
3 0 3 0 3 0 3 0 3 0 3 0 3
4 0 4 0 4 0 4 0 4 0 4 0 4
5 0 5 0 5 0 5 0 5 0 5 0 5
6 0 6 0 6 0 6 0 6 0 6 0 6
7 0 7 0 7 0 7 0 7 0 7 0 7
8 0 8 0 8 0 8 0 8 0 8 0 8
9 0 9 0 9 0 9 0 9 0 9 0 9
10 0 10 0 10 0 10 0 10 0 10 0 10
11 0 11 0 11 0 11 0 11 0 11 0 11
12 0 12 0 12 0 12 0 12 0 12 0 12
13 0 13 0 13 0 13 0 13 0 13 0 13
14 0 14 0 14 0 14 0 14 0 14 0 14
15 0 15 0 15 0 15 0 15 0 15 0 15
16 0 16 0 16 0 16 0 16 0 16 0 16
17 0 17 0 17 0 17 0 17 0 17 0 17
18 0 18 0 18 0 18 0 18 0 18 0 18
19 0 19 0 19 0 19 0 19 0 19 0 19
20 0 20 0 20 0 20 0 20 0 20 0 20
0 0 0 0 0 0
38 39 40 41 42 43 44
0 0 0 0 0 0 0
41 42 43 44 45 46 47 48 49 50 51 52 53
93 94 95 96 97 98 99 100
&EO40 &EQ40 &ES40 &EU40 &EW40 &EY40
&GE40 &GG40 &GI40 &GK40 &GM40 &GO40 &GQ40 &GS40


&GD118 &GF118 &GH118 &GJ118 &GL118 &GN118 &GP118 &GR118
44 45 46 47 48 49
0 0 0 0 0 0
Skor Anak NO Skor Anak NO Skor Anak NO Skor Anak NO Skor Anak NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
0 25 0 25 0 25 0 25 0 25
44 45 46 47 48 49
0 0 0 0 0 0
Interpretasi Perhitungan Interpretasi Perhitungan Interpretasi Perhitungan Interpretasi Perhitungan Interpretasi Perhitungan
Normal 0 Normal 0 Normal 0 Normal 0 Normal 0
abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal 0
44 45 46 47 48 49
0 0 0 0 0 0
NO NO NO NO NO
SKOR SKOR SKOR SKOR SKOR
QUESTION QUESTION QUESTION QUESTION QUESTION
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
44 45 46 47 48 49
0 0 0 0 0 0
0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL 0 VISUAL
0 AUDIOTORI 0 AUDIOTORI 0 AUDIOTORI 0 AUDIOTORI 0 AUDIOTORI
0 KINESTETIK 0 KINESTETIK 0 KINESTETIK 0 KINESTETIK 0 KINESTETIK
SKOR TIPE BELAJAR SKOR TIPE BELAJAR SKOR TIPE BELAJAR SKOR TIPE BELAJAR SKOR TIPE BELAJAR SKOR TIPE BELAJAR
belum optimaVISUAL belum optimaVISUAL belum optimaVISUAL belum optimaVISUAL belum optimaVISUAL
belum optimaAUDIOTORI belum optimaAUDIOTORIbelum optimaAUDIOTORIbelum optimaAUDIOTORIbelum optimaAUDIOTORI
belum optimaKINESTETIKbelum optimaKINESTETIKbelum optimaKINESTETIKbelum optimaKINESTETIKbelum optimaKINESTETIK
44 45 46 47 48 49
0 0 0 0 0 0

NO NO NO NO NO
QUESEN QUESEN QUESEN QUESEN QUESEN
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 0 0 0 0
44 45 46 47 48 49
0 0 0 0 0 0
54 55 56 57 58 59 60 61 62 63
&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D
&FA40 &FC40 &FE40 &FG40 &FI40
49 50 51 52 53 54
0 0 0 0 0 0
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
0 25 0 25 0 25 0 25 0 25
49 50 51 52 53 54
0 0 0 0 0 0
49 50 51 52 53 54
0 0 0 0 0 0
NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
49 50 51 52 53 54
0 0 0 0 0 0
belum optimaAUDIOTORIbelum optimaAUDIOTORIbelum optimaAUDIOTORIbelum optimaAUDIOTORIbelum optimaAUDIOTORI
belum optimal belum optimaKINESTETIKbelum optimaKINESTETIKbelum optimaKINESTETIKbelum optimaKINESTETIK
49 50 51 52 53 54
0 0 0 0 0 0

NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 0 0 0 0
49 50 51 52 53 54
0 0 0 0 0 0
64 65 66 67 68 69 70 71 72 73
&FK40 &FM40 &FO40 &FQ40 &FS40
54 55 56 57 58 59
0 0 0 0 0 0
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
0 25 0 25 0 25 0 25 0 25
54 55 56 57 58 59
0 0 0 0 0 0
54 55 56 57 58 59
0 0 0 0 0 0
NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
54 55 56 57 58 59
0 0 0 0 0 0
54 55 56 57 58 59
0 0 0 0 0 0

NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 0 0 0 0
54 55 56 57 58 59
0 0 0 0 0 0
74 75 76 77 78 79 80 81 82 83
&FU40 &FW40 &FY40 &GA40 &GC40
59 60 61 62 63 64
0 0 0 0 0 0
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
0 25 0 25 0 25 0 25 0 25
59 60 61 62 63 64
0 0 0 0 0 0
59 60 61 62 63 64
0 0 0 0 0 0
NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
59 60 61 62 63 64
0 0 0 0 0 0
59 60 61 62 63 64
0 0 0 0 0 0

NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 0 0 0 0
59 60 61 62 63 64
0 0 0 0 0 0
84 85 86 87 88 89 90 91 92 93
&GE40 &GG40 &GI40 &GK40 &GM40
64 65 66 67 68 69
0 0 0 0 0 0
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
0 25 0 25 0 25 0 25 0 25
64 65 66 67 68 69
0 0 0 0 0 0
64 65 66 67 68 69
0 0 0 0 0 0
NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
64 65 66 67 68 69
0 0 0 0 0 0
64 65 66 67 68 69
0 0 0 0 0 0

NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 0 0 0 0
64 65 66 67 68 69
0 0 0 0 0 0
94 95 96 97 98 99 100
&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT DATA '!DK142
&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT D&'1.INPUT DATA '!DK143
&GO40 &GQ40 &GS40
69 70 71 72 73 74
0 0 0 0 0 0
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
0 25 0 25 0 25 0 25 0 25
69 70 71 72 73 74
0 0 0 0 0 0
69 70 71 72 73 74
0 0 0 0 0 0
NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
69 70 71 72 73 74
0 0 0 0 0 0
69 70 71 72 73 74
0 0 0 0 0 0

NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 0 0 0 0
69 70 71 72 73 74
0 0 0 0 0 0
74 75 76 77 78 79
0 0 0 0 0 0
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
0 25 0 25 0 25 0 25 0 25
74 75 76 77 78 79
0 0 0 0 0 0
74 75 76 77 78 79
0 0 0 0 0 0
NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
74 75 76 77 78 79
0 0 0 0 0 0
74 75 76 77 78 79
0 0 0 0 0 0

NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 0 0 0 0
74 75 76 77 78 79
0 0 0 0 0 0
79 80 81 82 83 84
0 0 0 0 0 0
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
0 25 0 25 0 25 0 25 0 25
79 80 81 82 83 84
0 0 0 0 0 0
79 80 81 82 83 84
0 0 0 0 0 0
NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
79 80 81 82 83 84
0 0 0 0 0 0
79 80 81 82 83 84
0 0 0 0 0 0

NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 0 0 0 0
79 80 81 82 83 84
0 0 0 0 0 0
84 85 86 87 88 89
0 0 0 0 0 0
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
0 25 0 25 0 25 0 25 0 25
84 85 86 87 88 89
0 0 0 0 0 0
84 85 86 87 88 89
0 0 0 0 0 0
NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
84 85 86 87 88 89
0 0 0 0 0 0
84 85 86 87 88 89
0 0 0 0 0 0

NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 0 0 0 0
84 85 86 87 88 89
0 0 0 0 0 0
89 90 91 92 93 94
0 0 0 0 0 0
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
0 25 0 25 0 25 0 25 0 25
89 90 91 92 93 94
0 0 0 0 0 0
89 90 91 92 93 94
0 0 0 0 0 0
NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
89 90 91 92 93 94
0 0 0 0 0 0
89 90 91 92 93 94
0 0 0 0 0 0

NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 0 0 0 0
89 90 91 92 93 94
0 0 0 0 0 0
94 95 96 97 98 99
0 0 0 0 0 0
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
0 25 0 25 0 25 0 25 0 25
94 95 96 97 98 99
0 0 0 0 0 0
94 95 96 97 98 99
0 0 0 0 0 0
NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 21 0 21 0 21 0 21 0 21
0 22 0 22 0 22 0 22 0 22
0 23 0 23 0 23 0 23 0 23
0 24 0 24 0 24 0 24 0 24
94 95 96 97 98 99
0 0 0 0 0 0
94 95 96 97 98 99
0 0 0 0 0 0

NO NO NO NO NO
0 1 0 1 0 1 0 1 0 1
0 2 0 2 0 2 0 2 0 2
0 3 0 3 0 3 0 3 0 3
0 4 0 4 0 4 0 4 0 4
0 5 0 5 0 5 0 5 0 5
0 6 0 6 0 6 0 6 0 6
0 7 0 7 0 7 0 7 0 7
0 8 0 8 0 8 0 8 0 8
0 9 0 9 0 9 0 9 0 9
0 10 0 10 0 10 0 10 0 10
0 11 0 11 0 11 0 11 0 11
0 12 0 12 0 12 0 12 0 12
0 13 0 13 0 13 0 13 0 13
0 14 0 14 0 14 0 14 0 14
0 15 0 15 0 15 0 15 0 15
0 16 0 16 0 16 0 16 0 16
0 17 0 17 0 17 0 17 0 17
0 18 0 18 0 18 0 18 0 18
0 19 0 19 0 19 0 19 0 19
0 20 0 20 0 20 0 20 0 20
0 0 0 0 0
94 95 96 97 98 99
0 0 0 0 0 0
99 100
0 0
Skor Anak NO Skor Anak
0 1 0
0 2 0
0 3 0
0 4 0
0 5 0
0 6 0
0 7 0
0 8 0
0 9 0
0 10 0
0 11 0
0 12 0
0 13 0
0 14 0
0 15 0
0 16 0
0 17 0
0 18 0
0 19 0
0 20 0
0 21 0
0 22 0
0 23 0
0 24 0
0 25 0
99 100
0 0
Interpretasi Perhitungan Interpretasi
Normal 0 Normal
Normal 0 Normal
Normal 0 Normal
Normal 0 Normal
abnormal 0 abnormal
Normal 0 Normal
99 100
0 0
NO
SKOR SKOR
QUESTION
0 1 0
0 2 0
0 3 0
0 4 0
0 5 0
0 6 0
0 7 0
0 8 0
0 9 0
0 10 0
0 11 0
0 12 0
0 13 0
0 14 0
0 15 0
0 16 0
0 17 0
0 18 0
0 19 0
0 20 0
0 21 0
0 22 0
0 23 0
0 24 0
99 100
0 0
0 VISUAL 0
0 AUDIOTORI 0
0 KINESTETIK 0
SKOR TIPE BELAJAR SKOR TIPE BELAJAR
belum optimaVISUAL belum optimal
belum optimaAUDIOTORIbelum optimal
belum optimaKINESTETIKbelum optimal
99 100
0 0
Skor Skor
NO
QUESEN
0 1 0
0 2 0
0 3 0
0 4 0
0 5 0
0 6 0
0 7 0
0 8 0
0 9 0
0 10 0
0 11 0
0 12 0
0 13 0
0 14 0
0 15 0
0 16 0
0 17 0
0 18 0
0 19 0
0 20 0
0 0
Sangat Otak Kiri Sangat Otak Kiri
99 100
0 0
NAMA SEKOLAH : MTS 10
KELAS : 8E
Dugaan Dugaan
Jns Klm
No Nama Jenis Disabilitas TB BB HB Tekanan darah Kelainan Masalah Imunisasi
(L/P)
Jantung Paru
Rungu Wicara
Tidak Lengkap
Hipertensi
Hipotensi
Autisme
Lengkap
(mmHg)
Grahita
Ganda
Normal
Rungu
Daksa
ADHD
Netra
Tidak
Tidak
(cm)
(kg)
L P
Ya
Ya
1 2 3 4 5 6 7 8 9 10
1 MARTHA DWI AURELGA 0 1 0 0 0 0 0 0 0 0 160 34 0 0 1 0 0 1 0 1 1 0
2 PRIYANDHIKA RAMADHAN 1 0 0 0 0 0 0 0 0 0 161 44 0 1 0 0 0 1 0 1 1 0
3 NADHIFAH ZULFA AYU SHOL 0 1 0 0 0 0 0 0 0 0 149 45 0 0 1 0 0 1 0 1 1 0
4 LENI TRIANA SAFIRA 0 1 0 0 0 0 0 0 0 0 158 80 0 0 0 1 0 1 0 1 1 0
5 SHILVIA RAMADHANI 0 1 0 0 0 0 0 0 0 0 157 38 0 0 0 1 0 1 0 1 1 0
6 SAFIRA FURMILAWATI FERLI 0 1 0 0 0 0 0 0 0 0 158 54 0 0 0 1 0 1 0 1 1 0
7 MOHAMMAD REHAN REFAN 1 0 0 0 0 0 0 0 0 0 139 39 0 0 0 1 0 1 0 1 1 0
8 TAMA ANDHIKA PRAWIRA 1 0 0 0 0 0 0 0 0 0 165 46 0 0 0 1 0 1 0 1 1 0
9 MUH. RIZAL ADNAN RIFALU 1 0 0 0 0 0 0 0 0 0 145 41 0 1 0 0 0 1 0 1 1 0
10 MOHAMMAD MAULANA AINUL 1 0 0 0 0 0 0 0 0 0 157 79 0 1 0 0 0 1 0 1 1 0
11 NAZW DESHINTA CHAIRUNIS 0 1 0 0 0 0 0 0 0 0 155 41 0 1 0 0 0 1 0 1 1 0
12 CINDY RIRIN PUTRI RAHAYU 0 1 0 0 0 0 0 0 0 0 145 35 0 1 0 0 0 1 0 1 1 0
13 DENY RIZQI SAHPUTRA 1 0 0 0 0 0 0 0 0 0 160 50 0 0 0 1 0 1 0 1 1 0
14 FADILA ASIYA BILGE 0 1 0 0 0 0 0 0 0 0 154 42 0 0 1 0 0 1 0 1 1 0
15 YULIA RAMAWATI 0 1 0 0 0 0 0 0 0 0 152 43 0 0 1 0 0 1 0 1 1 0
16 VANESA EKA DESTYANA 0 1 0 0 0 0 0 0 0 0 164 46 0 1 0 0 0 1 0 1 1 0
17 DINDA AYRA PUTRI 0 1 0 0 0 0 0 0 0 0 158 62 0 0 0 1 0 1 0 1 1 0
18 MUHAMMAD KHOIRUL ARDA 1 0 0 0 0 0 0 0 0 0 170 61 0 1 0 0 0 1 0 1 1 0
19 ABI BAHARRISKI 1 0 0 0 0 0 0 0 0 0 152 40 0 0 0 1 0 1 0 1 1 0
20 MUDZAKIR MA'RUF PANOT 1 0 0 0 0 0 0 0 0 0 .152 41 0 0 0 1 0 1 0 1 1 0
21 CHYKAL ARUM SAPUTRI 0 1 0 0 0 0 0 0 0 0 151 54 0 0 0 1 0 1 0 1 1 0
22 SABILLA KHOIRUN NISA 0 1 0 0 0 0 0 0 0 0 160 40 0 0 0 1 0 1 0 1 1 0
23 PUTRI AYU WIDYA KASIH 0 1 0 0 0 0 0 0 0 0 148 44 0 0 0 1 0 1 0 1 1 0
24 MUHAMMAD RAJASA ATMAJ 1 0 0 0 0 0 0 0 0 0 158 44 0 0 0 1 0 1 0 1 1 0
25 SABRINA BERLIANA AFIFA 0 1 0 0 0 0 0 0 0 0 147 34 0 1 0 0 0 1 0 1 1 0
26 SANU MARDIAN DWI MAREN 1 0 0 0 0 0 0 0 0 0 158 48 0 0 0 1 0 1 0 1 1 0
27 RENDY PUTRA PRATAMA 1 0 0 0 0 0 0 0 0 0 156 48 0 0 0 1 0 1 0 1 1 0
28 RIVALDO CAKRA PURNAMA 1 0 0 0 0 0 0 0 0 0 171 52 0 1 0 0 0 1 0 1 1 0
29 PUTRI INTAN NURAINI 0 1 0 0 0 0 0 0 0 0 150 38 0 0 1 0 0 1 0 1 1 0
30 HAFIDH SUYADI 1 0 0 0 0 0 0 0 0 0 147 35 0 1 0 0 0 1 0 1 1 0
31 HANA MUFIDA ZAHRA 0 1 0 0 0 0 0 0 0 0 153 50 0 1 0 0 0 1 0 1 1 0
32 MERRIL ACHMAD ARISTO 1 0 0 0 0 0 0 0 0 0 153 43 0 1 0 0 0 1 0 1 1 0
33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1
TOTAL 15 17 0 0 0 0 0 0 0 0 12 5 15 0 32 0 32 0 0
REGISTER KEGIATAN KESEHATAN ANAK DI SEK
Penilaian Status Gizi Gigi dan Mulut Mata / Penglihatan

Kebersihan diri dan Kelainan Kulit
Gigi dan Gusi Mata Gangguan Pengliha
TB/U Risiko Rongga
IMT Rambut Kulit Kuku lubang Masalah tampak Infeksi Kelainan
(stunting) Anemia Mulut Visus
Tidak Stunting Karies lainnya luar Refraksi
Sangat Kurus
Tidak Normal
Tidak Sehat
Tidak Sehat
Tidak Sehat
Tidak Sehat
Tidak Sehat
Obesitas
Stunting
Gemuk
Normal
Normal
Normal
Kurus
Sehat
Sehat
Sehat
Sehat
Tidak
Tidak
Tidak
Tidak
Tidak
Ya
Ya
Ya
Ya
11 12 13 14 15 16 17 18 19 20 21
1 0 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 0 0 1 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 1 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 0 0 1 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 0 0 1 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 1 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 0 1 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 0 1 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 0 1 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 0 1 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 0 1 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 0 1 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
#N/A #N/A #N/A #N/A #N/A 1 0 0 1 1 0 0 1 1 0 1 0 1 0 1 0 1 0 0 1 1
1 2 24 2 3 0 0 32 0 32 0 32 0 32 0 32 0 21 11 30 2 32 0 32 0 0 32 32
ESEHATAN ANAK DI SEKOLAH
Mata / Penglihatan
Telinga / Pendengaran Gangguan Mental Emosional
Risiko Gangguan
Gangguan Penglihatan Gangguan berhub dg Kes. Repro
Buta gaya hidup duksi
Kelainan Infeksi Seru men Pen
Low Vision Kebutaan Kacamata warna E C H
Refraksi dengaran
Otitis Eksterna
Otitis Media
Borderline
Borderline
Borderline
Abnormal
Abnormal
Normal
Normal
Normal
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
21 22 23 24 25 26 27 28 29 30
0 1 0 1 0 1 0 1 0 1 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 0 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
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0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
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0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0
0 32 0 32 0 32 0 32 0 32 0 0 26 6 32 0 32 0 32 0 32 0 0 32 0 0 32 0
Gangguan Mental Emosional Modalitas Belajar
Pengguna
Dominasi otak an Alat Kebugaran Jasmani
Bantu
Dirujuk
H P Pr Audio Visual Kines tetik
Dominasi Otak
Dominasi Otak
Dominasi Otak
Kurang Sekali
Baik Sekali
Kiri Kanan
Borderline
Borderline
Abnormal
Abnormal
Abnormal
Normal
Normal
Kurang
Kanan
Cukup
Tidak
Tidak
Tidak
Tidak
Baik
Kiri
Ya
Ya
Ya
Ya
30 31 32 33 34 35 36 37 38 42
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 1
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 1
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 1
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 1
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 1
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 1
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0 32 0 0 0 0 32 32 0 32 0 32 0 32 0 0 32 0 32 0 0 0 0 6
PENENTUAN STATUS GIZI ANAK USIA 0 - 60 BULAN DAN 5 - 18 TAHUN
BERDASARKAN NILAI Z_SCORE BAKU RUJUKAN WHO 2005
Sex Tg.Timbang Tgl.Lahir Umur BB TB IMT 5 - 18 TH

NO NAMA
L=1,P=2 Tg Bln Thn Tg Bln Thn ( Bln ) ( Kg ) ( Cm ) Nilai
1 MARTHA DWI AUR 2 8 11 2022 16 03 2009 164 34 160 13.3
2 PRIYANDHIKA RA 2 8 11 2022 20 09 2008 170 44 161 17.0
3 NADHIFAH ZULFA 2 8 11 2022 10 12 2008 167 45 149 20.3
4 LENI TRIANA SAFI 2 8 11 2022 21 10 2008 169 80 158 32.0
5 SHILVIA RAMADHA 2 8 11 2022 26 09 2008 169 38 157 15.4
6 SAFIRA FURMILAW 2 8 11 2022 12 12 2008 167 54 158 21.6
7 MOHAMMAD REHA 2 8 11 2022 25 11 2008 167 39 139 20.2
8 TAMA ANDHIKA P 2 8 11 2022 21 03 2009 164 46 165 16.9
9 MUH. RIZAL ADNA 2 8 11 2022 11 02 2009 165 41 145 19.5
10 MOHAMMAD MAULA 2 8 11 2022 19 03 2009 164 79 157 32.0
11 NAZW DESHINTA C 2 8 11 2022 11 12 2008 167 41 155 17.1
12 CINDY RIRIN PUTR 2 8 11 2022 12 10 2008 169 35 145 16.6
13 DENY RIZQI SAHP 2 8 11 2022 29 03 2008 175 50 160 19.5
14 FADILA ASIYA BIL 2 8 11 2022 18 11 2008 168 42 154 17.7
15 YULIA RAMAWATI 2 8 11 2022 09 07 2008 172 43 152 18.6
16 VANESA EKA DES 2 8 11 2022 09 12 2008 167 46 164 17.1
17 DINDA AYRA PUTR 2 8 11 2022 22 08 2009 159 62 158 24.8
18 MUHAMMAD KHOIR 2 8 11 2022 04 06 2009 161 61 170 21.1
19 ABI BAHARRISKI 2 8 11 2022 06 10 2008 169 40 152 17.3
20 MUDZAKIR MA'RU 2 8 11 2022 28 01 2008 177 41 .152 ###
21 CHYKAL ARUM SA 2 8 11 2022 24 11 2008 167 54 151 23.7
22 SABILLA KHOIRUN 2 8 11 2022 22 11 2007 180 40 160 15.6
23 PUTRI AYU WIDYA 2 8 11 2022 18 03 2009 164 44 148 20.1
24 MUHAMMAD RAJAS 2 8 11 2022 28 06 2008 172 44 158 17.6
25 SABRINA BERLIAN 2 8 11 2022 11 11 2008 168 34 147 15.7
26 SANU MARDIAN D 2 8 11 2022 18 03 2008 176 48 158 19.2
27 RENDY PUTRA PR 2 8 11 2022 29 04 2009 162 48 156 19.7
28 RIVALDO CAKRA 2 8 11 2022 24 04 2008 174 52 171 17.8
29 PUTRI INTAN NURA 2 8 11 2022 12 01 2009 166 38 150 16.9
30 HAFIDH SUYADI 2 8 11 2022 01 01 2009 166 35 147 16.2
31 HANA MUFIDA ZA 2 8 11 2022 29 07 2008 171 50 153 21.4
32 MERRIL ACHMAD 2 8 11 2022 06 12 2008 167 43 153 18.4
33 0 2 8 11 2022 0 0 0 0 0 #N/A
34 0 2 8 11 2022 0 0 0 0 0 #N/A
35 0 2 8 11 2022 0 0 0 0 0 #N/A
36 0 2 8 11 2022 0 0 0 0 0 #N/A
37 0 2 8 11 2022 0 0 0 0 0 #N/A
38 0 2 8 11 2022 0 0 0 0 0 #N/A
39 0 2 8 11 2022 0 0 0 0 0 #N/A
40 0 2 8 11 2022 0 0 0 0 0 #N/A
41 0 2 8 11 2022 0 0 0 0 0 #N/A
42 0 2 8 11 2022 0 0 0 0 0 #N/A
43 0 2 8 11 2022 0 0 0 0 0 #N/A
44 0 2 8 11 2022 0 0 0 0 0 #N/A
45 0 2 8 11 2022 0 0 0 0 0 #N/A
46 0 2 8 11 2022 0 0 0 0 0 #N/A
47 0 2 8 11 2022 0 0 0 0 0 #N/A
48 0 2 8 11 2022 0 0 0 0 0 #N/A
49 0 2 8 11 2022 0 0 0 0 0 #N/A
50 0 2 8 11 2022 0 0 0 0 0 #N/A
51 0 2 8 11 2022 0 0 0 0 0 #N/A
52 0 2 8 11 2022 0 0 0 0 0 #N/A
53 0 2 8 11 2022 0 0 0 0 0 #N/A
54 0 2 8 11 2022 0 0 0 0 0 #N/A
55 0 2 8 11 2022 0 0 0 0 0 #N/A
56 0 2 8 11 2022 0 0 0 0 0 #N/A
57 0 2 8 11 2022 0 0 0 0 0 #N/A
58 0 2 8 11 2022 0 0 0 0 0 #N/A
59 0 2 8 11 2022 0 0 0 0 0 #N/A
60 0 2 8 11 2022 0 0 0 0 0 #N/A
61 0 2 8 11 2022 0 0 0 0 0 #N/A
62 0 2 8 11 2022 0 0 0 0 0 #N/A
63 0 2 8 11 2022 0 0 0 0 0 #N/A
64 0 2 8 11 2022 0 0 0 0 0 #N/A
65 0 2 8 11 2022 0 0 0 0 0 #N/A
66 0 2 8 11 2022 0 0 0 0 0 #N/A
67 0 2 8 11 2022 0 0 0 0 0 #N/A
68 0 2 8 11 2022 0 0 0 0 0 #N/A
69 0 2 8 11 2022 0 0 0 0 0 #N/A
70 0 2 8 11 2022 0 0 0 0 0 #N/A
71 0 2 8 11 2022 0 0 0 0 0 #N/A
72 0 2 8 11 2022 0 0 0 0 0 #N/A
73 0 2 8 11 2022 0 0 0 0 0 #N/A
74 0 2 8 11 2022 0 0 0 0 0 #N/A
75 0 2 8 11 2022 0 0 0 0 0 #N/A
76 0 2 8 11 2022 0 0 0 0 0 #N/A
77 0 2 8 11 2022 0 0 0 0 0 #N/A
78 0 2 8 11 2022 0 0 0 0 0 #N/A
79 0 2 8 11 2022 0 0 0 0 0 #N/A
80 0 2 8 11 2022 0 0 0 0 0 #N/A
81 0 2 8 11 2022 0 0 0 0 0 #N/A
82 0 2 8 11 2022 0 0 0 0 0 #N/A
83 0 2 8 11 2022 0 0 0 0 0 #N/A
84 0 2 8 11 2022 0 0 0 0 0 #N/A
85 0 2 8 11 2022 0 0 0 0 0 #N/A
86 0 2 8 11 2022 0 0 0 0 0 #N/A
87 0 2 8 11 2022 0 0 0 0 0 #N/A
88 0 2 8 11 2022 0 0 0 0 0 #N/A
89 0 2 8 11 2022 0 0 0 0 0 #N/A
90 0 2 8 11 2022 0 0 0 0 0 #N/A
91 0 2 8 11 2022 0 0 0 0 0 #N/A
92 0 2 8 11 2022 0 0 0 0 0 #N/A
93 0 2 8 11 2022 0 0 0 0 0 #N/A
94 0 2 8 11 2022 0 0 0 0 0 #N/A
95 0 2 8 11 2022 0 0 0 0 0 #N/A
96 0 2 8 11 2022 0 0 0 0 0 #N/A
97 0 2 8 11 2022 0 0 0 0 0 #N/A
98 0 2 8 11 2022 0 0 0 0 0 #N/A
99 0 2 8 11 2022 0 0 0 0 0 #N/A
100 0 2 8 11 2022 0 0 0 0 0 #N/A
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#N/A #N/A #N/A #N/A 2237 2460.1 #REF! #REF!

#N/A #N/A #N/A #N/A ### #REF! #REF! #REF!
1 2 3 4 1 2 3 4
BB / U TB / U
KETERANGAN :
1. USIA 0 - 60 BULAN BISA MENGGUNAKAN BB/U, TB/U DAN IMT/U KHUSUS 0 - 60 BULAN
2. USIA 61 BULAN (5 TAHUN 1 BULAN) S/D 228 BULAN (19 TAHUN 0 BULAN) HANYA BISA MENGGUNAKAN IMT/U UNTUK 5 - 18 TAHUN
UM
###
IMT 5 - 18 TH STANDART BB IMT/U 5 - 18 TH
Status Umur
S. Kurus ###
Normal ###
Normal ###
Obes ###
Kurus ###
Normal ###
Normal ###
Normal ###
Normal ###
Obes ###
Normal ###
Normal ###
Normal ###
Normal ###
Normal ###
Normal ###
Gemuk ###
Normal ###
Normal ###
Obes ###
Gemuk ###
Kurus ###
Normal ###
Normal ###
Normal ###
Normal ###
Normal ###
Normal ###
Normal ###
Normal ###
Normal ###
Normal ###
#N/A ###
#N/A ###
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#N/A ###
#N/A ###
#N/A ###
#N/A ###
#N/A ###
#N/A ###
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#N/A ###
#N/A ###
#N/A ###
#N/A ###
#N/A ###
#N/A ###
#N/A ###
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###
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###
AN IMT/U UNTUK 5 - 18 TAHUN ###
NO
NAMA
L
P
JENIS DISABILITAS
Netra
Rungu
Rungu Wicara
Grahita
Daksa
Autisme
Ganda
ADHD
TB
BB
HB
Tekanan darah
normal
hipertensi
hipotensi
Dugaan Kelainan Jantung
ya
tidak
Dugaan Masalah Paru
ya
tidak
imunisasi
ya
tidak
IMT
Sangat Kurus
Kurus
Normal
Gemuk
Obesitas
rambut
sehat
tidak sehat
kulit
sehat
tidak sehat
kuku
sehat
tidak sehat
rongga mulut
sehat
tidak sehat
lubang Karies
tidak
ya
masalah lainnya
tidak
ya
Mata tampak luar

normal
tidak
visus
kanan
kiri
Kelainan Refraksi
tidak
ya
low vision
tidak
ya
kacamata
tidak
ya
buta warna
tidak
ya
Infeksi
T
OM
OE
Seru men
tidak
ya
Gangguan Pen dengaran

tidak
ya
risiko gaya hidup

tidak
ya
Gangguan Kes. Repro duksi

tidak
ya
Penggunaan Alat Bantu

tidak
ya
Kebugaran Jasmani
Baik Sekali
Baik
Cukup
Kurang
Kurang Sekali
DIRUJUK
anemi
ya
tidak
audio
kebutaan
tidak
ya
1
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52 53 54 55 56 57 58 59 60 61
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62 63 64 65 66 67 68 69 70 71
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72 73 74 75 76 77 78 79 80 81
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82 83 84 85 86 87 88 89 90 91
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92 93 94 95 96 97 98 99 100
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INPUT INPUT INPUT INPUT INPUT INPUT INPUT INPUT INPUT
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0 0 0 0 0 0 0 0 0

DATA '!DK9
DATA '!DK10
DATA '!DK11
DATA '!DK16
DATA '!DK17
DATA '!DK18
DATA '!DK19
DATA '!DK20
DATA '!DK21
DATA '!DK22
DATA '!DK23
DATA '!DK122
DATA '!DK121
DATA '!DK123
UT DATA '!DK116&120,1,0)
UT DATA '!DK116>120,1,0)
UT DATA '!DK116<120,1,0)
UT DATA '!DK118&1,"1",IF('1. INPUT DATA '!DK118&0,"0"))


UT DATA '!DK43<4,"0",IF('1. INPUT DATA '!DK43&4,"1"))

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AL INTELEGENSIA'!M228
AL INTELEGENSIA'!N228
AL INTELEGENSIA'!O228
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DATA '!DK13
DATA '!DK14
DATA '!DK15




DATA '!DK140
DATA '!DK141




UT DATA '!DK150&1,"0",IF('1. INPUT DATA '!DK150&0,"1",IF('1. INPUT DATA '!DK150&2,"0")))




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UT DATA '!DK175>&1,1,0)
UT DATA '!DK177&0,1,0)
UT DATA '!DK177&1,1,0)
UT DATA '!DK177&2,1,0)
UT DATA '!DK177&3,1,0)
UT DATA '!DK177&4,1,0)
UT DATA '!DK177&0,"0",IF('1. INPUT DATA '!DK177&1,"DIRUJUK"))
KAP LAPORAN'!DJ9<11,1,0)
KAP LAPORAN'!DJ9>&11,1,0)
UT DATA '!DK144&1,0,1)
UT DATA '!DK144&0,0,1)
REGISTER KEGIATAN KESEHATAN ANAK DI SEKOLA
NAMA SEKOLAH : MTS 100 NGANJUK
KELAS : 8E
Penilaian Status Gizi Gigi dan Mulut Mata / Penglihatan
Kebersihan diri dan Kelainan Kulit
Dugaan Dugaan
Jns Klm Gigi dan Gusi Gangguan Penglihatan
No Nama Jenis Disabilitas TB BB HB Tekanan darah Kelainan Masalah Imunisasi Mata
(L/P) TB/U Risiko Rongga
Jantung Paru IMT Rambut Kulit Kuku tampak Infeksi
(stunting) Anemia Mulut lubang Masalah Kelainan
luar Visus
Karies lainnya Refraksi
Rungu Wicara
Tidak Lengkap
Tidak Stunting
Sangat Kurus
Tidak Normal
Tidak Sehat
Tidak Sehat
Tidak Sehat
Tidak Sehat
Tidak Sehat
Hipertensi
Hipotensi
Obesitas
Autisme
Lengkap
Stunting
(mmHg)
Grahita
Ganda
Normal
Normal
Normal
Normal
Rungu
Gemuk
Daksa
ADHD
Netra
Kurus
Sehat
Sehat
Sehat
Sehat
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
(cm)
(kg)
L P
Ya
Ya
Ya
Ya
Ya
Ya
Ya
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 MARTHA DWI AURELGA 0 1 0 0 0 0 0 0 0 0 160 34 0 0 1 0 0 1 0 1 1 0 1 0 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
2 PRIYANDHIKA RAMADHAN 1 0 0 0 0 0 0 0 0 0 161 44 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
3 NADHIFAH ZULFA AYU SHOL 0 1 0 0 0 0 0 0 0 0 149 45 0 0 1 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
4 LENI TRIANA SAFIRA 0 1 0 0 0 0 0 0 0 0 158 80 0 0 0 1 0 1 0 1 1 0 0 0 0 0 1 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
5 SHILVIA RAMADHANI 0 1 0 0 0 0 0 0 0 0 157 38 0 0 0 1 0 1 0 1 1 0 0 1 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
6 SAFIRA FURMILAWATI FERLI 0 1 0 0 0 0 0 0 0 0 158 54 0 0 0 1 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
7 MOHAMMAD REHAN REFAN 1 0 0 0 0 0 0 0 0 0 139 39 0 0 0 1 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 1 0 1 0 0 1 1 0
8 TAMA ANDHIKA PRAWIRA 1 0 0 0 0 0 0 0 0 0 165 46 0 0 0 1 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
9 MUH. RIZAL ADNAN RIFALU 1 0 0 0 0 0 0 0 0 0 145 41 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
10 MOHAMMAD MAULANA AINUL 1 0 0 0 0 0 0 0 0 0 157 79 0 1 0 0 0 1 0 1 1 0 0 0 0 0 1 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
11 NAZW DESHINTA CHAIRUNIS 0 1 0 0 0 0 0 0 0 0 155 41 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
12 CINDY RIRIN PUTRI RAHAYU 0 1 0 0 0 0 0 0 0 0 145 35 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
13 DENY RIZQI SAHPUTRA 1 0 0 0 0 0 0 0 0 0 160 50 0 0 0 1 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 1 0 1 0 0 1 1 0
14 FADILA ASIYA BILGE 0 1 0 0 0 0 0 0 0 0 154 42 0 0 1 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
15 YULIA RAMAWATI 0 1 0 0 0 0 0 0 0 0 152 43 0 0 1 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
16 VANESA EKA DESTYANA 0 1 0 0 0 0 0 0 0 0 164 46 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
17 DINDA AYRA PUTRI 0 1 0 0 0 0 0 0 0 0 158 62 0 0 0 1 0 1 0 1 1 0 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
18 MUHAMMAD KHOIRUL ARDA 1 0 0 0 0 0 0 0 0 0 170 61 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0 1 0 1 0 0 1 1 0
19 ABI BAHARRISKI 1 0 0 0 0 0 0 0 0 0 152 40 0 0 0 1 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
20 MUDZAKIR MA'RUF PANOT 1 0 0 0 0 0 0 0 0 0 .152 41 0 0 0 1 0 1 0 1 1 0 0 0 0 0 1 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
21 CHYKAL ARUM SAPUTRI 0 1 0 0 0 0 0 0 0 0 151 54 0 0 0 1 0 1 0 1 1 0 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
22 SABILLA KHOIRUN NISA 0 1 0 0 0 0 0 0 0 0 160 40 0 0 0 1 0 1 0 1 1 0 0 1 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
23 PUTRI AYU WIDYA KASIH 0 1 0 0 0 0 0 0 0 0 148 44 0 0 0 1 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0 1 0 1 0 0 1 1 0
24 MUHAMMAD RAJASA ATMAJ 1 0 0 0 0 0 0 0 0 0 158 44 0 0 0 1 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
25 SABRINA BERLIANA AFIFA 0 1 0 0 0 0 0 0 0 0 147 34 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
26 SANU MARDIAN DWI MAREN 1 0 0 0 0 0 0 0 0 0 158 48 0 0 0 1 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
27 RENDY PUTRA PRATAMA 1 0 0 0 0 0 0 0 0 0 156 48 0 0 0 1 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0 1 0 1 0 0 1 1 0
28 RIVALDO CAKRA PURNAMA 1 0 0 0 0 0 0 0 0 0 171 52 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
29 PUTRI INTAN NURAINI 0 1 0 0 0 0 0 0 0 0 150 38 0 0 1 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
30 HAFIDH SUYADI 1 0 0 0 0 0 0 0 0 0 147 35 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
31 HANA MUFIDA ZAHRA 0 1 0 0 0 0 0 0 0 0 153 50 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
32 MERRIL ACHMAD ARISTO 1 0 0 0 0 0 0 0 0 0 153 43 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
TOTAL 15 17 0 0 0 0 0 0 0 0 12 5 15 0 32 0 32 0 0 1 2 24 2 3 0 0 32 0 32 0 32 0 32 0 32 0 27 5 30 2 32 0 32 0 0 32 32 0
I SEKOLAH
Telinga / Pendengaran Gangguan Mental Emosional Modalitas Belajar

Risiko Gangguan Pengguna
Gangguan berhub dg Kes. Repro Dominasi otak an Alat Kebugaran Jasmani
Buta gaya hidup duksi Bantu
Infeksi Seru men Pen
warna
Dirujuk
Low Vision Kebutaan Kacamata dengaran E C H P Pr Audio Visual Kines tetik
Dominasi Otak
Dominasi Otak
Dominasi Otak
Otitis Eksterna
Kurang Sekali
Otitis Media
Baik Sekali
Kiri Kanan
Borderline
Borderline
Borderline
Borderline
Borderline
Abnormal
Abnormal
Abnormal
Abnormal
Abnormal
Normal
Normal
Normal
Normal
Normal
Kurang
Cukup
Kanan
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Tidak
Baik
Kiri
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
1 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 42
1 0 1 0 1 0 1 0 1 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 1
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 0 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 1
1 0 1 0 1 0 1 0 1 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 1
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
32 0 32 0 32 0 32 0 32 0 0 26 6 32 0 32 0 32 0 32 0 0 32 0 0 32 0 0 32 0 0 0 0 32 32 0 32 0 32 0 32 0 0 32 0 32 0 0 0 0 3

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FORMULIR PENJARINGAN KESEHATAN/PEMERIKSAAN BERKALA PESERTA DIDIK

MARTHA DWI AURELGA

LAKI - LAKI : (JIKA YA DIISI 1) 1

III PEMERIKSAAN FISIK

F KESEHATAN MENTAL EMOSIONAL

G KESEHATAN INTELEGENSIA ( UNTUK MURID SD, SMP,SMA SEDERAJAT )

MARTHA DWI AURELGA

1 Suka mengingat sesuatu dengan membayangkannya 1 2 3 1

Skor Masalah Teman 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal

G1. MODALITAS BELAJAR

G 2 .DOMINASI OTAK KANAN KIRI

NO NAMA BB TB (cm) TB (m)

Tg Bln Thn Tg Bln

0 Normal 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal

0 Normal 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal

0 Normal 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal

0 abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal 0 abnormal

0 Normal 0 Normal 0 Normal 0 Normal 0 Normal 0 Normal

Skor Total Kesulitan

2008 170 Normal Normal Normal Normal abnormalNormal belum optima

2008 167 Normal Normal Normal Normal abnormalNormal belum optima

2008 169 Normal Normal Normal Normal abnormalNormal belum optima

2008 169 Normal Normal Normal Normal abnormalNormal belum optima

2008 167 Normal Normal Normal Normal abnormalNormal belum optima

2008 167 Normal Normal Normal Normal abnormalNormal belum optima

2009 164 Normal Normal Normal Normal abnormalNormal belum optima

2009 165 Normal Normal Normal Normal abnormalNormal belum optima

2009 164 Normal Normal Normal Normal abnormalNormal belum optima

2008 167 Normal Normal Normal Normal abnormalNormal belum optima

2008 169 Normal Normal Normal Normal abnormalNormal belum optima

2008 175 Normal Normal Normal Normal abnormalNormal belum optima

2008 168 Normal Normal Normal Normal abnormalNormal belum optima

2008 172 Normal Normal Normal Normal abnormalNormal belum optima

2008 167 Normal Normal Normal Normal abnormalNormal belum optima

2009 159 Normal Normal Normal Normal abnormalNormal belum optima

2009 161 Normal Normal Normal Normal abnormalNormal belum optima

2008 169 Normal Normal Normal Normal abnormalNormal belum optima

2008 177 Normal Normal Normal Normal abnormalNormal belum optima

2008 167 Normal Normal Normal Normal abnormalNormal belum optima

2007 180 Normal Normal Normal Normal abnormalNormal belum optima

2008 172 Normal Normal Normal Normal abnormalNormal belum optima

2008 168 Normal Normal Normal Normal abnormalNormal belum optima

2008 176 Normal Normal Normal Normal abnormalNormal belum optima

2009 162 Normal Normal Normal Normal abnormalNormal belum optima

2008 174 Normal Normal Normal Normal abnormalNormal belum optima

2009 166 Normal Normal Normal Normal abnormalNormal belum optima

2009 166 Normal Normal Normal Normal abnormalNormal belum optima

2008 171 Normal Normal Normal Normal abnormalNormal belum optima

2008 167 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima

0 Normal Normal Normal Normal abnormalNormal belum optima