Pemeriksaan Kebugaran Haji 02 Feb 2018.xls

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TES ROCKPORT

Pengukuran Kebugaran Jasmani 2018

Warna . . . . . . .

Tanggal : 02/02/2018 NO

NO

DADA

FORM

NAMA

UMUR

L/P

SUDIRMAN

53

L

2

UMI KALSUM,AMA.PD

52

3

NURBAYAH

4

WAKTU

VO2max

START

FINISH

TEMPUH

8:52

9:07

15:27

27

P

8:52

9:10

18:41

24

56

P

8:52

9:14

22:00

21

PASDIWATI

56

P

8:52

9:06

14:31

28

5

SULAIMAN. HS

64

L

8:52

9:08

16:27

26

6

NURWANI

54

P

8:52

9:11

19:00

24

7

SANUSi,AMA.PD

62

L

8:52

9:09

17:12

25

8

ASMAWATI AG

56

P

8:52

9:11

18:53

24

9

M.YUSUF,S.PDI

54

L

8:52

9:10

18:41

24

10

KAMARIYAH

47

P

8:52

9:10

18:30

24

11

SAMIN

64

L

8:52

9:07

15:39

27

12

ABD SIDIK

54

L

13

M.TARMIZI AM

60

L

14

ASIAH

61

P

15

TAYIB

66

L

16

NURSIKIN

56

P

1

Nama pencatat waktu : 1.

( . . . . . . . . . . . . . )

2.

( . . . . . . . . . . . . . )

PEMERIKSAAN FISIK Tanggal NO DADA

Pengukuran Kebugaran Jasmani 2018

06/01/2018 NO

NAMA

UMUR

L/P

TENSI

NADI

FORM

TINGGI

BERAT

BADAN

BADAN

IMT

1

SUDIRMAN

53

L

110/70

75

172

72

23

2

UMI KALSUM,AMA.PD

52

P

160/90

76

157

62

23

3

NURBAYAH

56

P

110/70

75

147

47

20

4

PASDIWATI

56

P

140/80

75

155

44

22

5

SULAIMAN. HS

64

L

120/80

75

153

47

23

6

NURWANI

54

P

120/80

70

151

48

20

7

SANUSi,AMA.PD

62

L

110/70

74

167

62

21

8

ASMAWATI AG

56

P

120/80

79

157

54

23

9

M.YUSUF,S.PDI

54

L

130/80

76

163

68

23

10

KAMARIYAH

47

P

100/60

72

148

54

20

11

SAMIN

64

L

120/80

74

167

48

22

12

ABD SIDIK

54

L

13

M.TARMIZI AM

60

L

14

ASIAH

61

P

15

TAYIB

66

L

16

NURSIKIN

56

P

Nama pemeriksa fisik : Evi Marita, A.Md.Kep ( . . . . . . . . . . . . )

NADI SETELAH LATIHAN 92 96 84 109 88 100 96 104 80 128 102

REKAPITULASI PENGUKURAN KEBUGARAN CALON JEMAAH HAJI NO

NAMA

NO DADA

TD

NADI

TB

BB

IMT

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

SUDIRMAN UMI KALSUM,AMA.PD NURBAYAH PASDIWATI SULAIMAN. HS NURWANI SANUSi,AMA.PD ASMAWATI AG M.YUSUF,S.PDI KAMARIYAH SAMIN ABD SIDIK M.TARMIZI AM ASIAH TAYIB NURSIKIN

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

110/70 160/90 110/70 140/80 120/80 120/80 110/70 120/80 130/80 100/60 120/80

75 76 75 75 75 70 74 79 76 72 74

172 157 147 155 153 151 167 157 163 148 167

72 62 47 44 47 48 62 54 68 54 48

23 23 20 22 23 20 21 23 23 20 22

GD

KOLESTEROL

KATEGORI PENGUKURAN KEBUGARAN JASMANI BAIK SEKALI

BAIK

CUKUP

KURANG KURANG SEKALI

√ √ √ √ √ √ √ √ √ √ √

GAGAL

PROGRAM LATIHAN FISIK

KETERANGAN

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