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  • Kegiatan Harian Balai Pengobatan Gigi: Kunjung AN PRA Sekolah Masy / Umum B / L Period Tumpatan Periodontitis Pulpa

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    Hendra Al Serkan Ash
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    9 views4 pages

    Kegiatan Harian Balai Pengobatan Gigi: Kunjung AN PRA Sekolah Masy / Umum B / L Period Tumpatan Periodontitis Pulpa

    Uploaded by

    Hendra Al Serkan Ash
    contoh form register

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    KEGIATAN HARIAN BALAI PENGOBATAN GIGI

    HARI / TANGGAL :

    KUNJUNG
    UMUR / KASUS KELAINAN TINDAKAN STATUS
    AN

    DIAGNOSA
    PRA SEKOLAH MASY / UMUM B/L PERIOD TUMPATAN PENGOBATAN

    ALAMAT

    ELEMEN
    PULPA PERIODONTITIS CABUT
    NO NAMA 1 5 10 15 20 45 55 > GIGI PERMANEN GIGI SULUNG PULPA

    MALOCC

    UMUM
    CARIES

    LAIN2
    CARIES
    CALC.

    OBAT MINUM
    MUMMY

    SEMENTARA

    SEMENTARA

    OPEN BUR

    OBAT GIGI

    SCALLING

    GG TETAP
    L P

    GG SUSU
    TETAP

    TETAP

    LAIN2
    EXO
    4 9 14 19 44 54 59 60

    1
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    STATUS
    BPJS / ASKES
    ###
    BUMIL

    KET

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