Tabel Laporan Sementara Penilaian Status Gizi
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7/24/2019 Tabel Laporan Sementara Penilaian Status Gizi
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TABEL LAPORAN SEMENTARA
PENILAIAN STATUS GIZI SECARA ANTROPOMETRI
TANGGAL PRAKTIKUM:__________________________ KELAS: __
KELOMPOK: _______
N
o.
Nama Peserta
Praktikum
! " # $ %
BB
&k'(
TB
&)m( IMT
TL
&)m(
TB
MENUR
UT TL&)m(
L Pi
&)m(
L Pa
&)m( *+R
T.Tr)
&mm(
T.S,s
&mm( -B
LiLA
&)m(
LP
&)m
1 Moh. Fikri 46,3 171
15,85
54,1
172,63
61,5 68,8
0,89
6 6
20,4 65,6
Severe
thinnes
Very
higth KEK or!
2 Moh. F"hri $%#"hi 43,5 159,
2
17,19
49
162,33
65,4 68
0,96
Mi#&
thinnes
Very
higth
3 M%h. Sy"ri' (i&"y"t 51,9 160,
9
20,11
50,5
165,4
71,5 77,2
0,92
nor!"# Very
higth
4 M")*%# +'"n&i 46,4 155,
5
19,25
49
162,97
73 76
0,96
nor!"# Very
higth
5 %rh"n%&&in 57,6 167,
8
20,49
53
170,41
74,3 77,2
0,96
or!"# Very
higth
6 +-eng "h!"/"ti 41,1 149
18,51
47,9
149,53
62,6 74,5
0,84
nor!"# Very
higth
7 "h&"ni" 56
154,
9
23,43
50
158,38
76 86
0,88
nor!"# Veryhigth
8 ("ri"ni ("ki! 64 149,
5
28,69
48,7
156
78 90
0.86
re
*esit"s
Very
higth
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9 r"e #vi"ni 47,1 148,
2
21,5
46,7
152,34
67,8 77
0.88
nor!"# Very
higth
10
Asiste/
&_____________________________________(
TABEL LAPORAN SEMENTARA
PENILAIAN STATUS GIZI SECARA ANTROPOMETRI
TANGGAL PRAKTIKUM:__________________________
KELAS: _______ KELOMPOK: _______
N
o.
Nama Peserta
Praktikum
! "
ULNA
LENGT+
&)m(
TB
Me/urut
UL
0EMI
SPAN
&)m(
TB
MENURU
T 0S &)m(
ARM SPAN
&)m(
TB
MENURUT
AS &)m(
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2
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Asiste/ Asiste/ !
&_____________________________________( &_____________________________________(
TABEL LAPORAN SEMENTARA
PENILAIAN STATUS GIZI SECARA BIOKIMIA
TANGGAL PRAKTIKUM:__________________________ KELAS: _______ KELOMP
_______
N
o.
Nama Peserta
Praktikum
!
No.
Nama Peserta: _________________________ Umur: ____ Ta1u/
2K: L3P
Kate'o
ri
Status
Se/'
Ket.
Ka4ar
+,
&'345(
Ket.
Parameter
Pe/'ukura/
Biokimia 0ara1
+asi5
Pe/'ukura/Kate'ori Ka4ar Norma
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Asiste/
&_____________________________________(
