Jumlah Survey 76 Tabel Drg Atiek REVISI 9 Mei 2016 (Autosaved)

7/26/2019 Jumlah Survey 76 Tabel Drg Atiek REVISI 9 Mei 2016 (Autosaved)

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Pemeriksa NIM No. Nama JK PendidikanPHBS

N K N

Novita A.R.

8742

1 Siswo Harjono L 61 SMP 18 4 Biru 8

2 Yarkonah P 7 S! 8

" Sarjinah P 67 S! 17 4 Biru 6

4 A#us H$r%antara L "7 !"

&i'astana L 47 SMA 1( 4 Biru 6

6 Masruah P 41 SMP

7 Luth)iana Ari)atus P 16 SMP

8 Sai*a Lai+a ,.-. P 14 S!

o%an# Sri &.

868/

( Ari) 0us%an L "" S1 18 4 Biru 8

1/ H$ni &u+an*ari P 2( S1 (

11 A+%a$ra S.0. P " S

12 Suhartin P 6 S1 (

1" H$ri Sutrisno L 4" SMA 17 4 Biru 7

14 0iat%i P "7 SMP 7

1 H$r%i Nur Arianti P (

16 H$r%ina Lut)ia -. P " B$+u% s$ko+ah

Nur+ina Pus3ita

8777

17 Sar'ia*i L 4( SMA 1 " Hijau 4

18 Maranti P 42 SMA

1( !wi aka A#un# &i5aksono L "/ !" 1 " Hijau 72/ Rusnia !wi P 28 S1 7

21 Binar Mahira L.A. P 1 B$+u% s$ko+ah

22 Sia% Sihana L 46 SMA 1 " Hijau

2" Purwanin#sih P 42 SMA 7

24 Ban#kit Ba#as L 1" S!

Umur(tahun)

Warna PetaPHBS

PengK


2/36

antia ita !.

8646

2 ri Yu*ianto L "2 SMA 14 " Hijau

26 ka S$3tiana P 2" SMA

27 !aki Ha)i* L 2 B$+u% s$ko+ah

28 !ja$+anin# L 87 SMA 16 " Hijau 7

2( a%irah P 78 SMA 7

"/ A))$n* &ijaa L "2 !" 8"1 Lin*a Rosiana P 26 SMA 8

"2 Arka Nau)a+ L 1 B$+u% s$ko+ah

"" Surono L "2 SM 16 " Hijau 7

"4 Anik Su*ar%i P 27 SMA 7

" -u+)ani Nur Lati)a P B$+u% s$ko+ah

"6 A+)ino L 2. B$+u% s$ko+ah

876(

"7 Muha*i L 61 SMP 16 " Hijau 8

"8 Su3artinah P 4 SMP 8

"( !wi Hartanto L 26 SM 8

4/ utik L$stari P 21 SM 7

41 ari$na A*$ta L /.1" B$+u% s$ko+ah

42 Su*arwanto L "" SM 16 " Hijau 8

4" Siti Aisah P 2( SMA 8

44 A)i)ah Huna A%a+ia P " B$+u% s$ko+ah

4 Mar#ito L 61 S 1 " Hijau 7

46 Su%ik$% P "6 S! 6

47 ri Lusiana P (

87/"

48 0anjar Bu*iono L " SMA 17 4 Biru 6

4( Su3riati P " S1 7

/ ,ri*a H$r$stika H P 18 SMA 6

1 a%juri L 72 S! 16 " Hijau 8

2 M$nik P 6 S 1/

" Suatna L 44 SMP 14 " Hijau 8

4 !wianti P ( SMA 17 4 Biru 7

,ra*a $%3akaS.

RainaNurhasanah


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S$++ A%$+ia

877(

Sura*ji L " SMA 16 " Hijau 8

6 Sri Harsini P 4( SMA 7

7 Sri Astuti P 2" SMA 8

8 Su+is Pranoto L 2( SMA 8

( rna A#ustina P 2" SMA 6

6/ +isa -a+)a S P " B$+u% s$ko+ah61 * &in*arta L 41 SMA 18 4 Biru 8

Ratna !$nita

8"84

62 Mar*i &iono L 6" SMP 14 " Hijau 8

6" &ar*iati P 61 S!

64 a%iah P 68 S! 1" " Hijau (

6 M Nur ,aroni L 7 S1 18 4 Biru 7

66 9s%i Pan#$stu P 1 SMP 6

Santika

867 67 !arono L "8 S! 14 " Hijau 6

68 &antinah P 4/ S! 7

6( ko Rah%a*i L 1( SMA 6

7/ !$viana P 18 SMP 8

71 Ba#us !$wantara L 16 SMP 7

72 harisa +)ri*a P B$+u% s$ko+ah

7" Rista L 41 SMA 1 " Hijau 8

74 Sari)ah Haati P "6 !" 8

7 Ris)a Aini ,arah P (

76 Sa'rina ,aisah A P 4 B$+u% s$ko+ah

77 &i#no Su%arto L 6( S! 1 " Hijau 6

78 Su3ar%iatun P 67 S! 4

Mu)i*ana Ais

864 7( Ah%a*i Pras$ta L "( S1 18 4 Biru 8

8/ A#ustina Nuru+ :.H. P "( S1 1/

81 M.A+i) Ahsan L 1/ S!

82 M. !aki ,. L 8

8" Misran L 8 SMP 16 " Hijau 6

84 Su%artin P ( SMP 6


4/36

8 Sri Murwani P "" SMA 7

86 &a#in$% P 6" S! 18 4 Hijau 6

87 &arsini P "6 SMP 7

Muha%%a* ,ikri

8// 88 !arto &iharjo L 82 S! 1 " Hijau "

8( u%in$% P 7 S! 6

(/ Mukiro L 6" S! 1( 4 Biru 7(1 Ranti$% P 6/ S! 8

(2 Sutrisno L 42 SMP 17 4 Biru 7

(" Pawitrawiah P "" SMP (

(4 Lai+a P 1/

( hoiru+ ,attah L 4 B$+u% s$ko+ah

(6 Su'an*iah P " SMA 1 " Hijau 6

(7 9nrus%iati P "6 SMA 7

(8 Nur Aiah P 8

9r%a !a%aanti

878 (( i3anto L 44 S! 18 4 Biru 7

1// Yu+iana P 4" S! (

1/1 Anis So)ia P 1/

1/2 9%'ron Sa*$wa L 8

1/" Suroto L 2 S! 14 " Hijau 8

1/4 Suwarsiah P 48 SMP 8

1/ Ari &inan*ari P 22 SM 4

1/6 A%'ar Susi+o &ar*ani P 18 SM 7

1/7 A%ar Sutrisno L 6 S! 16 " Hijau 6

1/8 &aki+ah P 64 S! 6

An#$+ina Putri

86" 1/( Sajia L 7/ S! 14 " Hijau

11/ Rokaah P ( SMP 6

111 Paranti P 1 SMA 17 4 Biru 8

112 9s Pujiantara L 47 SMA 14 " Hijau 7

11" Sri awan# P "8 SMP 8

114 Rika Nur Annisa P (


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11 Parji%an L " SMA 1" " Hijau 1/

116 Siti Sariah P " SMA 8

117 Athaa Najwa L 11

118 Luth)i Hanun A L 8

Siti Ra%a*ania

8711 11( hotijah P 81 S! 18 4 Biru 6

12/ Priswanti A P 44 S! 7121 Pa*%o Harjono ;Ro''ani Suju*< L 76 SMP 1( 4 Biru

122 t Puji P P 47 SMA

12" ka !ar%awan L 4( SMP 1( 4 Biru 8

124 ri Murani P 4 SMA 8

12 va+ita !a%aanti P 21 SMA 8

126 So)ian Ari$) L "6 SMA 1( 4 Biru 7

127 Asri L$stari P "7 SMA 7

128 ka Na*ia P 14 S!

12( A*hitia A L 7

1"/ Sura Ra%a*hani P 4 B$+u% s$ko+ah

1"1 9sti L$stari P 44 SMA 1 " Hijau (

1"2 &u+an !wi :ta%i P 2" SMA (

1"" !$ni An*rianto L 16 S! 7

1"4 A*ita Ban#kit L 1/

1" uwarti P 74 SMP 17 4 Biru (

1"6 ri $#uh Prao#o L 2 SMA 1( 4 Biru 8

1"7 ristiana Su*irah P 2 SMA 8

1"8 ka Nu#raha L "1 SMA

1"( !anin#tas P "/ S1 614/ Anin*ita P 6

8"86 141 asi$% P 6( S! 17 4 Biru 7

142 Ha*i iswanto L 72 SMP

14" Su3rianto L "8 SMA 7

144 Su'roto L 7 SMP 16 " Hijau (


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14 Sri :tari P " S! 6

146 A#us !wi P L 28 SMA 6

147 Antara L 1 SMP 6

148 &arsito L 2 SMP 18 4 Biru 8

14( iastuti P 6/ SMP 7

Nova No$r*ian

86/8 1/ Muh Yuri L 7" S! 14 6 Hijau 711 Pan#$stu P 47 SMA 8

12 Mar*iasih P 4" SMP 8

1" o3o Sihono L 4( SMA 17 " Biru (

14 Sujinah P 4 SMA (

1 Siti A%inah P 17 SMP 7

16 Muti=ah Nur P 1 S! 7

17 A'u au)ik L 4( !1 18 2 Biru (

18 Siti :%aah P 2 !" (

1( Putri Siti , P 21 SMA 8

16/ au)ik Ha'i'u+oh L 1" S!

86(1 161 Musin$% P 74 S! 16 " Hijau

162 S+a%$t Poniran L 47 S! 1 " Hijau 8

16" Sri L$stari P 42 SMP (

164 !hika ka P L 16 SMP 6

16 A+)ian Anan ! L 7

166 ri Yo#a &isnu L 1 B$+u% s$ko+ah

167 Nurin# 9n*rianto L 4 S1 17 4 Biru 8

168 An#$+a Maria P " SMA 8

16( St$vanus Yoshi5o L 16 SMP (

888 17/ Muh Nu#roho L 41 S1 16 4 Hijau 6

171 H$ni &ahunin#sih P "" S1 1/

172 A'*u++ah A'an L (

17" -a)irah Nai)a P 2 B$+u% s$ko+ah

174 Susanto Nu#roho L 26 SMA (

u a%%aMu5h+isu+ 0honi

Nau &u+an ri:


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17 Bu*i%anto L 2 S1 1( 1 Biru 1/

176 A+)iah 9%%awati P 46 !4 1/

177 Ri*ho Muha%%a* L 2/ SMA 8

178 A+an -aka a%a+ L 12 S!

17( u%irah P 8/ S! 1/

St$++a A*v$na

86/( 18/ Harjo Suwito L 72 S! 1" 7 Hijau "181 Harati P 4" SMA 1/

182 Suratno L 47 SMP 1 Hijau 8

18" Listiani P 4" SMA 1/

184 S+a%$t Su#ianto L 4( SMA 1 Hijau (

18 Suhartini P 4 SMA 8

186 Ba#us Panuntun L 17 SMP (

187 S$3tiana !$wi P 1" SMP

Rah%a Ari)ah

86( 188 Ha*i Pras$to L 76 S! 18 4 Biru

18( Su5iah P 68 SMP 6

1(/ Banu Sutrisno L 64 !2 17 4 Biru 8

1(1 Marjanah P 68 S! 8

1(2 Sutar%an L 2 SMA 18 4 Biru 8

1(" Sunarti P 1 S1 6

1(4 R$stu Yunia P 24 S1 8

1( R$#ista Mu+a P 21 SMA 8

1(6 Pria%'o*o ri L 18 S! (

1(7 S$3tri Ra#i+ P 16 S! 8

A*$ta 0hassani

88 1(8 Sarjianto L 4 SMA 17 4 Biru 7

1(( Surtini P 41 SMA 1/2// Ah%a* Nur Hu*a L 17 SMP 7

2/1 Mi)takhu+ Hi*aat L 1( SMA 17 4 Biru 6

2/2 Marsi+ah P 1( SMA 6

2/" Mi)takhu+ 9hsan L /.2 B$+u% s$ko+ah

2/4 Mi)takhu+ Ahsan L /.2 B$+u% s$ko+ah


8/36

2/ A)an*i L 4" SMA 1" " Hijau 6

2/6 Su%aranti P 42 SMA "

2/7 !i%as Aji Sa3utra L (

2/8 Na*i+a Putri Ariani P 6 B$+u% s$ko+ah

ar+a Maria

86/2 2/( !anan# Su+isto L 48 SMA 18 4 Biru 1/

21/ Sri &ahuni P "8 SMA 8

211 Yu+in*a Prihanti P 18 SMA (

212 Muha%%a* haisar L 8

21" 9n*ria ,$'riansah L "2 S1 1 " Hijau (

214 H$ni Yuniarti P 24 SMA 7

21 Nin*ia Mar5h$i+a 9. P " B$+u% s$ko+ah

216 Li*ar Suti+arso L 1 S!

217 Sriati P 48 SMP 6

218 Su3riati P 4 SMA 16 " Hijau (

21( Ra)i Putra P$r*ana L 14 S!

22/ Luth)i Prakosa L 8

221 Bintan# A3ri+ia P 2 B$+u% s$ko+ah

!hininta Hta

86/ 222 Su*ir%an L 7 SMA 17 " Biru (

22" Suratini P 48 SMA 1/

224 ,itrianto &i*o*o L 26 SMA 8

22 !wi Nur Hi*aanto L 22 SMA 8

226 !wiana uswi*astuti P "8 SMA 1 Hijau

227 rvina Mia !a%aanti P 18 SMA 11

228 ,a*i+a !a%a+ >$s3$ra P 7

22( 0i+*a ,i*$+a havi P B$+u% s$ko+ah2"/ Mur*iono L 42 SMA 17 " Biru 4

2"1 a$% Mari)at P 26 S! 8

2"2 Muh. Nur ,auan L 2 B$+u% s$ko+ah

861 2"" H$rno%o L SMA 18 4 Biru (

2"4 Sutin$% P 47 SMA (


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Hanna L ;R 4

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Jumlah Survey 76 Tabel Drg Atiek REVISI 9 Mei 2016 (Autosaved)