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No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

Jenis pekerjaan Molar (ats/bwh) Premolar ats Premolar bwh Kaninus (ats/bwh) Insisivus (ats/bwh) Akar molar/premolar Akar insisivus/kaninus Desidui/persistensi Gigi mobiliti Fraktur (tertutup) Fraktur (terbuka) Perawatan dry socket Perawatan abses/insisi Asst. Bedah (Mhs) Asst. Bedah (Doc) Operkulektomi Alveolektomi Odontektomi M3 bwh Premedikasi Pemeriksaan Tensi Perawatan pasca bedah

Min Req (kasus) 9 2 2 2 2 8 3 (1) (1) (1) 1 (1) (1) 4 5 (1) 1 1 2 5 3

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Per Point 10 8 7 7 6 5 5 (3) (3) (15) 20 (10) (10) 3 6 (10) 20 50 3 1 2

No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

Jenis pekerjaan Molar (ats/bwh) Premolar ats Premolar bwh Kaninus (ats/bwh) Insisivus (ats/bwh) Akar molar/premolar Akar insisivus/kaninus Desidui/persistensi Gigi mobiliti Fraktur (tertutup) Fraktur (terbuka) Perawatan dry socket Perawatan abses/insisi Asst. Bedah (Mhs) Asst. Bedah (Doc) Operkulektomi Alveolektomi Odontektomi M3 bwh Premedikasi Pemeriksaan Tensi Perawatan pasca bedah

Min Req (kasus) 9 2 2 2 2 8 3 (1) (1) (1) 1 (1) (1) 4 5 (1) 1 1 2 5 3

1

2

3

4

5

6

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8

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10

11

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15

Per Point 10 8 7 7 6 5 5 (3) (3) (15) 20 (10) (10) 3 6 (10) 20 50 3 1 2