Lembar Cheklist - Rev.docx

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LEMBAR CHEKLIST

No

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19.

DATA ANEMIA DAN PENILAIAN PRESTASI BELAJAR SISWA REMAJA PUTRI KELAS III SMA NEGERI 5 PANDEGLANG PROVINSI BANTEN Penilaian Prestasi Belajar (Semester Ganjil) Kadar Hemoglobin (Hb) IPK Skala 1-4 Nama Siswa Sangat Anemia Ringan Anemia Sedang Anemia Berat Baik Cukup Kurang Baik 11 – 11,9 gr/dl 8 – 10,9 gr dl ≤ 7,9 gr/dl 3,66-4,00 2,66-3,33 1,66-2,33 1,00-1,33 Sis. HY Sis. FK Sis. HS Sis. FT Sis. SF Sis. DN Sis. KML Sis. St.F Sis. HL Sis. NP Sis. SD Sis. KL Sis. MS Sis. MNH Sis. RS Sis. FN Sis. KF Sis. MF Sis. AM

Kadar Hemoglobin (Hb) No

20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40.

Nama Siswa

Sis. DF Sis. EM Sis. NG Sis. MFT Sis. SHR Sis. SPH Sis. KLS Sis. UN Sis. ITH Sis. EJ Sis. NYS Sis. WP Sis. SMH Sis. AH Sis. NL Sis. EJB Sis. SR Sis. TF Sis. YT Sis. RSR Sis. PP

Anemia Ringan

Anemia Sedang

Anemia Berat

11 – 11,9 gr/dl

8 – 10,9 gr dl

≤ 7,9 gr/dl

Penilaian Prestasi Belajar IPK Skala 1-4 Sangat Baik Cukup Kurang Baik 3,66-4,00 2,66-3,33 1,66-2,33 1,00-1,33

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