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96168518 Laporan Ortho Amanda Fix

96168518 Laporan Ortho Amanda Fix

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Published by: tristiarina on Jun 06, 2014
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06/06/2014

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LAPORAN PEMERIKSAAN DAN PERAWATANORTODONTIK 
NOMOR MODEL438-1-10-19NAMA PASIEN : Amanda Wulan KencnOPERATOR : !el"c"a Ra#e$%" &e''"(ad" )0*+K,+8001PEM.IM.IN, : d'/ Da'maan2 S2 S2 SO'% )K.A,IAN ORTODONSIA!AKLTAS KEDOKTERAN ,I,INI5ERSITAS ,AD6A& MADA7O,7AKARTA
 
011NI5ERSITAS ,AD6A& MADA!AKLTAS KEDOKTERAN ,I,I.A,IAN ORTODONSIAIIDENTITAS
Operator: Felicia Rahesti Herriyadi No. Mhs: 06/KG/8001Pemimi!": dr". #arma$a!% &.% &'% &p. Ort (K) Nomor Model: *+8,11,0,1- Nama Pasie!: ma!da la! Ke!co!o&: 2a$a'mr: 18 tah!2!s Kelami!: Perempa!lamat: 3e"al Pa!"!" #N 4/88- R3 55 R1+ 3elp: 0856-140-006Peeraa!: Mahasis$a Nama ayah: G!a$a!&: 2a$a 'mr : 50 thPeeraa!: PN& Nama i: edi!i!"sih&: 2a$a 'mr : 5+ thPeeraa!: PN&lamat ort: Komp.77PM&OH 7lo# No 44% G!!" &i!dr% 7o"o3elp : (041) 565*5
IIWAKTPERAWATAN
Pe!da9tara!: 3"l. 6 #esemer 4011Pe!cetaa!: 3"l. 6 #esemer 4011Pemasa!"a! alat: 3"l. 4* 2a!ari 40144
 
Retai!er : 3"l.
IIIPEMERIKSAAN KLINIS
.
Peme'"$aan Su;e%"< ) anamne$"$
 )
Kelu#an u%ama :
 Pasie! me!"elha! "i"i depa! atas ya!" erara.
R"a(a% e$e#a%an :
 Kesehata! mm pasie! ai. Pasie! tida memilii ri$ayat pe!yait ya!" me!""a!"" proses pertmha! da! perema!"a! de!to9asial atap! pe!yait ya!" dapat me!""a!"" proses pera$ata! ortodo!ti ya!" dilaa!. Pasie! "a tida dalam masa pera$ata! doter.
R"a(a% Pe'%umu#an dan Pe'eman/an ,"/"-/el"/" :
Gigi Desidui :
Gi"i,"i"i ss tmh de!"a! ai% "i"i elaa!" ada ya!" erla!". Gi"i,"i"i ss tmh rapih% tida ereal% da! tida ada ri$ayat "i"i ss ya!" lama ta!""al!ya.
Gigi Bercampur :
Periode "i"i ercampr ai% sesai de!"a! tahapa! per"a!tia! "i"i.
Gigi Permanen :
Gi"i "eraham a$ah a!a! da! iri erla!". Gi"i depa! atas tampa erara 
Ke"a$aan ;ele (an/ e'a"%an den/an elu#an a$"en
 : tida ada
R"a(a% Kelua'/a (an/ .e'a"%an den/an elu#an a$"en
 : ada
Ke%e'an/an :
yah : &s!a! "i"i rapi : &s!a! "i"i rapi!a  (lai,lai): &s!a! "i"i rapi
.Peme'"$aan O;e%"1mum
Ketera!"a! :
2asma!i: &ehat
Me!tal: Kooperati9 
&tats Gi;i: 3i!""i 7ada! (37) : 1%60 m+

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