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  • Lembar Pemeriksaan Gigi

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    92 views2 pages

    Lembar Pemeriksaan Gigi

    Uploaded by

    sa3a1
    xxx

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    NAMA SEKOLAH :

    NAMA : UMUR : KELAS :

    STATUS def-t / dmf-t :

    STATUS DEBRIS INDEX DAN CALCULUS INDEX

    DI CI STATUS CPITN

    STATUS OHIS : STATUS CPITN :


    Pemeriksa :
    NAMA SEKOLAH :
    NAMA : UMUR : KELAS :

    STATUS def-t / dmf-t :

    STATUS DEBRIS INDEX DAN CALCULUS INDEX

    DI CI STATUS CPITN

    STATUS OHIS : STATUS CPITN :


    Pemeriksa :

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