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FORMAT PENGISIAN DMF-T, def-t, OHI-S dan CI

SD
Nama
Kelas

:
:
:

1 DMF-T dan def-t

17
47

16
46

55

54

53

52

51

61

62

63

64

65

15
45

14
44

13
43

12
42

11
41

21
31

22
32

23
33

24
34

25
35

85

84

83

82

81

71

72

73

74

75

26
36

Total dmf-t dan DMF-T


Total d =

Total D =

Total m=

Total M =

Total f =

Total F =

Total dmf-t =

Total DMF -T =

2 OHI-S
DI
6B
6L

CI
1L
1L

6B

6B

6L

6L

Nilai DI =

Nilai CI =
OHI-S =

1L

6B
1L

6L

27
37

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