KEMENTERIAN KESEHATAN REPUBLIK INDONESIA

DIREKTORAT JENDERAL PELAYANAN KESEHATAN

RSUP Dr. MOHAMMAD HOESIN PALEMBANG
Jalan Jenderal Sudirman Kilometer 3,5 Palembang 30126
Telepon: (0711) 354088 Faksimile: (0711) 351318 Web: www.rsmh.co.id Email: rsmh@rsmh.co.id

Palembang, July 19th 2017

No :-
Attachment :-
Subject : Primary Autopsy Report a.n. Zaet Igor

Initial Report of Autopsy and External Examination

Pro Yustitia

From the external and internal examination for Mr. Zaet Igor, fifty one years old, the
citizen of Moldova, we found no signs of violence on the body. In external examination, we
found cyanotic nail beds of the upper extremity, eritematous spots in both of eyes, the lividity
is well developed and fixed on the posterior surface of the body and the posterior neck. The
body mortis is complete. In internal examination, we found the enlarged of viscera. There are
eritematous spots of right and left lungs. From the incision of right and left lungs, there are
smooth solid foams and dark blood.

Medical Examiner

dr. Indra Syakti Nasution, SpF

NIP. 197102252002121004