FEPW_QNAE LDKFDE NDEGF_F ]QPLAPNDP QEWQL ]ABDVDEDE LAPAJDWDE FOQ GDE ODVF

Odiide 4 ; FEHC_NDPF QNQN

Ec ]artdeydde Fehcrndsi Latardeide
4 Eana ]usl asnas Fsiae
2 Yilayaj L arja ] uslasnas La`anatae ]ilij sa laj 4
Lalurajae/Gasa
0 Wipa ]uslasnas Oardasarlae ]aeyalaeiiaraae _awat Fea p ]C EAG ]ilij sala j 4
]arsalieae _awat Feap ece ]CEAG
Ece _awat Feap

Wipa ]uslasnas oardasarlae lawasae ]arlctaae ]ilij salaj 4

]adasaae
Warpae`il / Paeiat
7 Dlanat ]usl asnas Warpa`il Fsia
]rcviesi Laoupatae/Lcta e
La`anatae
Eana paeiisi hcrnulir iei
1 Kaoatae Fsia
Ec. J] e
Anail
 FEPW_QNAE LDKFDE NDEGF_F ]QPLAPNDP QEWQL

Odiide 2 ; GDWD LD]DPFWDP BDV

Ec ]artdeydde
D GDWD NDWA_EDB
4 Kunlaj iou janil (sasarae di wilayaj larja tajue 2=2=)
Kunlaj iou janil yaei nalalulae DE@ 7 lali / L7

2 Qetul puslasnds ydei nabdydei parsdbiede

Kunlaj ]arsalieae ]arvaiiean
- Ppcetae oalalaei lapala
- Pueisaei
0 Kunlaj paeyulit nadis costatri dae ece costatri pada iou janil , Fou
oarsalie dae iou eihas
a. ]aeyulit Costatri
- ]ardarajae Detapartun (]ardarajae pada lajanilae laejut)
- ]ardarajae ]as`asalie
- ]rallansia
- Allansia
- Docrtus

- Lajanilae Altcpil Wariaeiiu (LAW)

- Latuoae pa`aj diei
- ]artus Bana
o. ]aeyulit Ece Costatri
- Deania
- Luraei aearii Lrceis (LAL)
- Fehalsi /Papsis
- WO
- Nalaria
- JFX
- Japatitis O
- Kaetuei
- Giaoatas Nalitus
- @CXFG-46
- ]aeyaoao laie (saoutlae)
Kunlaj alsaptcr LO a. LO]]
- Fnplae
- DLG_ o. LO Fetarval
- Puetil
 - Lajanilae Altcpil Wariaeiiu (LAW)
- Latuoae pa`aj diei
- ]artus Bana
o. ]aeyulit Ece Costatri
- Deania
- Luraei aearii Lrceis (LAL)
- Fehalsi /Papsis
- WO
- Nalaria
- JFX
- Japatitis O
- Kaetuei
- Giaoatas Nalitus
- @CXFG-46
- ]aeyaoao laie (saoutlae)
7
Kunlaj alsaptcr LO a. LO]]
- Fnplae
- DLG_ o. LO Fetarval
- Puetil
- ]il
- Fnplae
- DLG_

`. Kunlaj Dlsaptcr Iaial LO

- Wraeslclasi DLG_
- Fehalsi panasaeiae DLG_
- Fehalsi ]anasaeiae Fnplae
1 Kunlaj pasiae iou daeiae @CXFG-46
- Fou ]G]/ suspal
- Fou tarlcefirnasi @CXFG-46
8 Kunlaj lanatiae iou
- Paat Janil
- Paat ]arsalieae
- Paat Eihas
9 ]aeyaoao Lanatiae Fou
- ]ardarajae
- ]rallansia/Allansia
- Fehalsi /Papsis
- Docrtus
- Iaeiiuae Garaj
- Iaeiiuae Nataoclil
- Kaetuei
- @CXFG-46
- Baie - laie
O GDWD EACEDWDB
4 Kunlaj oayi oaru lajir =-2: jari (sasarae di wilayaj larja tajue 2=2=) Kunlaj Luejueiae Eaceata
Kunlaj Luejueiae Eaceatal Baeilap (LE Baeilap)
2 Kunlaj Oayi lajir pratarn (luraei dari 09 nieiiu)
Kunlaj Oayi oarat lajir raedaj (luraei dari 21== ir)
Kunlaj OOB_/pratarn staoil yaei dirawat naeiiuealae natcda laeiiuru
0 Kunlaj Lcnplilasi pada oayi oaru lajir
- Dsfilsia
- Fehalsi
- Lalaieae oawaae
- @CXFG-46
- ]aeyaoao laie (saoutlae)
7 Kunlaj oayi oaru lajir daeiae @CXFG-46
- Oayi oaru lajir ]G] / suspal
- Oayi oaru lajir tarlcefirnasi @CXFG-46
1 Kunlaj Bajir Nati (stilloirtj)
a. Bajir Nati Detapartun/ oarnasarasi o. Bajir Nati Fetrapartun/ Hrasj Ptilloirtj
8 Kunlaj lanatiae eaceatal (= - 2: jari) Kunlaj lanatiae eaceatal diei (=-9 jari)
Kunlaj lanatiae eaceatal laejut (:-2: jari)
 Kunlaj lanatiae eaceatal daeiae oarat lajir 2 21== iran
Kunlaj lanatiae eaceatal daeiae oarat lajir ≡ 21== iran
9 ]aeyaoao lanatiae eaceatus
- OOB_
- ]ranaturitas (usia iastasi 209 nieiiu)
- Dsfilsia
- Fehalsi
- Lalaieae oawaae
- @CXFG-46
- ]aeyaoao laie (saoutlae)
: Qetul puslasnas yaei nalayaei parsalieae a. Kunlaj oayi oaru lajir yaei dilalulae F
o. Kunlaj oayi oaru lajir yaei naedapatlae Xit L dae inueisasi Jo= dalan
27 jan
@ GDWD ODVF (26 jdri - 242 oubde)
4
Kunlaj oayi 26 jari - 242 oulae (sasarae di wilayaj larja tajue 2=2=)
2 Kunlaj oayi daeiae @CXFG-46
- Oayi ]G] / suspal
- Oayi tarlcefirnasi @CXFG-46
0 Kunlaj lanatiae oayi pcst eaceatal
7 ]aeyaoao Lanatiae Oayi pcst eaceatal
- ]eaunceia
- Giara
- Lalaieae Lceiaeital Kaetuei
- Naeieiitis
- Lalaieae Lceiaeital Baieeya
- Ganan Oardaraj
- ]aeyalit Parah 
- @CXFG-46
- ]aeyaoao laie (saoutlae)
G GDWD _QKQLDE
4 Kunlaj pasiae iou dae oayi yaei dirujul la runaj salit/HL_WB3
Paoutlae 0 paeyaoao taroaeyal alasae pasiae iou dae oayi dirujul
2 Kunlaj pasiae iou dae oayi  dari HLW] laie (llieil, tanpat praltal naediri
oidae/dcltar) yaei dirujul la puslasnas iei3
  ABDVDEDE LAPAJDWDE FOQ GDE ODVF
  EDE FOQ GDE ODVF
Fehcrndsi Latardeide

Gata tajue 2=2=

Gata par 4 oulae salana 8 oulae
taraljir (Kaeuari-Kuei 2=2=)
Gata par 4 oulae salana 8 oulae
taraljir
(Kaeuari-Kuei
2=2=)

Gata par 4 oulae salana 8 oulae

taraljir (Kaeuari-Kuei 2=2=)
Gata par 4 oulae salana 8 oulae
taraljir
(Kaeuari-Kuei 2=2=)
Gata par 4 oulae salana 8 oulae
taraljir
(Kaeuari-Kuei 2=2=)
Gata par 4 oulae salana 8 oulae
taraljir
(Kaeuari-Kuei 2=2=)

Gata par 4 oulae salana 8 oulae

taraljir
(Kaeuari-Kuei 2=2=)
  

Gata tajue 2=2=

Gata par 4 oulae salana 8 oulae
taraljir (Kaeuari-Kuei 2=2=)
Gata par 4 oulae salana 8 oulae
taraljir
(Kaeuari-Kuei 2=2=)

Gata par 4 oulae salana 8 oulae

taraljir
(Kaeuari-Kuei 2=2=)

Gata par 4 oulae salana 8 oulae

taraljir (Kaeuari-Kuei 2=2=)

Gata par 4 oulae salana 8 oulae

taraljir
(Kaeuari-Kuei 2=2=)
Gata par 4 oulae salana 8 oulae
taraljir
(Kaeuari-Kuei 2=2=)

Gata par 4 oulae salana 8 oulae

taraljir
(Kaeuari-Kuei 2=2=)

Gata tajue 2=2=

Gata par 4 oulae salana 8 oulae
taraljir
(Kaeuari-Kuei 2=2=)
FEPW_QNAE LDKFDE NDEGF_F ]QPLAPNDP QEWQL ]ABDVDEDE
Odiide 0 ; PQNOA_ GDVD NDEQP
D KQNBDJ PGN
O Lcnpataesi PGN
Ec ]artdeydde
Fehcr
Vd
Naeurut paeiatdjude degd, dpdldj (saodiide dtdu sanud) deiictd tin ]abdydede Lasajdtde Fou
gdbdn 1 tdjue tardljir ;
Qetul Gcltar Qnun
 Gata par 4 oulae salana 8 oulae
taraljir
(Kaeuari-Kuei 2=2=)

Gata par 4 oulae salana 8 oulae

4 taraljir
. (Kaeuari-Kuei 2=2=)
2
. Gata par 4 oulae salana 8 oulae
0 taraljir (Kaeuari-Kuei 2=2=)
.

Ec Latardeide Fehcr

Kunlaj Gcltar Bayaeae ]rinar/ Ladcltarae Laluaria Bayaeae

4
]rinar
2
Kunlaj Gcltar Qnun Kunlaj Oidae
0
Kunlaj ]arawat
7
Kunlaj Djli Waleclcii Baocratcriun Nadil Kunlaj Eutrisiceis/
1
Giati`iae
8
Kunlaj Waeaia Dpctalar / Harnasi Kunlaj Waeaia
9
Ddnieistrasi
:
 4 ]alatijae ]CEAG
2 ]aeiuatae/palatijae paeaeiaeae laiawatdaruratae natareal dae
eaceatal uetul dcltar unun

0 ]alatijae D]E
7 Ce-tja-jco traieiei uetul Gcltar Qnun
Qetul ]arawat
4 ]alatijae ]CEAG
2 ]aeiuatae/palatijae paeaeiaeae laiawatdaruratae natareal dae
eaceatal uetul parawat
0 ]alatijae Dsujae Laparawatae Natareitas Gasar
7 ]alatijae palayaeae dasar eaceatus uetul parawat a. ]alatijae
rasusitasi eaceatus
o. Naeajanae laltasi
`. ]arawatae Natcda Laeiuru
d. ]alatijae Laparawatae Deal Gasar
1 Ce-tja-jco traieiei uetul ]arawat
Qetul
4
Oidae ]alatijae ]CEAG
2 ]aeiuatae/palatijae paeaeiaeae laiawatdaruratae natareal dae
eaceatal uetul oidae
0 ]alatijae tanoajae uetul oidae
a. Naeajanae laltasi
o. ]arawatae Natcda Laeiuru
`. Naeajanae Dsfilsia OOB

d. Dsujae ]arsalieae Ecrnal (D]E)

a. ]alatijae @WQ ( @cetrd`aptiva Wa`jecbciy Qpgdta )
7 Ce-tja-jco traieiei uetul Oidae
Qetul Win ]uslasnas
4 ]alatijae naeiaeai naeajanae pasiae tarlait @CXFG-46 3
2 ]alatijae naeiaeai ]ae`aiajae dae ]aeiaedaliae Fehalsi
  WDE FOQ GDE ODVF
  ndsi
Wigdl Ptdtus Lapaidwdide Kunbdj Nieindb uetul
Odyi paredj naearind ]uslasnds ydei
Gcltar / ]aidwdi Watdp Gcltar Wdnu / ]aidwdi Nabdydei ]arsdbiede
Wigdl Watdp

4-2
craei
1 craei 1
craei
4 craei

4 craei
FEPW_QNAE LDKFDE NDEGF_F ]QPLAPNDP QEWQL ]ABDVDEDE LAPAJDWDE FO
Odiide 7 ; PD_DED GDE ]_DPD_DED
D PD_DED LAPAJDWDE
Ec ]artdeydde
4 Kunlaj tctal tanpat tidur di puslasnas
2 Kunlaj tanpat tidur costatri/oarsalie
0 _uaei ]arawatae Natcda Laeiuru
7 Latarsadiaae ruaeiae privasi daeiae salat
1 Latarsadiaae laocratcriun 27 jan
Dgd
8 Latarsadiaae tanpat `u`i taeiae daeiae saoue dae air naeialir atau
latarsadiaae allcjcl jdeg ruo 
9 Nanpueyai ruaei isclasi
Kila Dgd, junlaj tanpat tidur di ruaei isclasi
: Latarsadiaae ruaei tarpisaj uetul slrieiei @CXFG-46
Qetul puslasnds ydei nabdydei parsdbiede ;
4 Draa @u`i Waeiae
- Yastahal oarhueisi oail, air naeialir uluraeeya `ulup oasar sajieiia air tidal tar`iprat
- Yadaj sanpaj iehalsius dae ece iehalsius, tartutup, dilaeilapi laetuei plastil, tardapa
- Warsadia saoue `air dalan junlaj `ulup, di dalan dispaesar daeiae pcnpa
- Warsadia tissua dalan junlaj `ulup
2 _uaei Oarsalie
- Warsadia araa `u`i taeiae
- Wanpat tidur costatri/oarsalie (oaiiae dada/lapala dapat turue eail, oaiiae lali uetu
- Naja iestrunae costatri 4==x8= `n
- Lursi paeclcei dapat turue eail
- Banari iestrunae
- Banari as uetul paeyinpaeae coat
- Yadaj sanpaj iehalsius dae ece iehalsius, tartutup, dilaeilapi laetuei plastil, tardapa
- Kan diediei yaei naeuejullae waltu yaei tapat
0 Draa _asusitasi dae Ptaoilisasi Eaceatus
- Bclasi di ruaei oarsalie / dalat daeiae ruaei oarsalie
- _uaei oarulurae nieinal 7 n2 uetul pcsisi naja rasusitasi, di luar laoutujae uetul naj
sarta paralatae
laieeya
- Puju ruaeiae salitar 27-28C@
O ]A_DBDWDE LAPAJDWDE
EC EDND DBDW
4 Waouei clsiiae daeiae raiulatcr dae paeiulur alirae
2 Waouei clsiiae `adaeiae yaei tarisi paeuj
0 Punoar udara
7 Palaei clsiiae dae udara
1 Banpu darurat
8 Banpu scrct
9 Wiaei iehus oarcda/tiaei iehus yaei nalalat di tanpat tidur
: Naja iestrunae
6 Warncnatar ruaeiae
]ardbdtde Ndtaredb
4 Ptatcslcp dawasa
2 Waesinatar aearcid/diiital
0 Warncnatar dawasa
7 Natarae
1 ]alu raals
8 Ppatula lidaj
9 Ppalulun `c`cr oaoal
: Ppalulun sins
6 Pat _asusitasi Gawasa 4= Pat Fetuoasi
44 Pu`tice sat
42 DXN
40 Nceitcr saturasi clsiiae
47 Hatal dcplar
49 Dlat ]artus Pat 4: Ja`tiei Pat
46 Pat J]]
2= Pat Wrcllay Anariaesi Natareal
24 QPI
]ardbdtde Eacedtdb
4 Ptatcslcp oayi
2 Warncnatar oayi
0 Winoaeiae oayi
7 Dlat ulur paejaei oayi
1 Natarae
8 Ptcp wat`j
9 Pat _asusitasi Eaceatus
: Pat Fetuoasi Eaceatus
6 Feluoatcr traespcrt
4=  laie/iaue natcda laeiuru
44 Fehaet warnar / naja rasusitasi paeijaeiat
47 Hatal dcplar
49 Dlat ]artus Pat 4: Ja`tiei Pat
46 Pat J]]
2= Pat Wrcllay Anariaesi Natareal
24 QPI
]ardbdtde Eacedtdb
4 Ptatcslcp oayi
2 Warncnatar oayi
0 Winoaeiae oayi
7 Dlat ulur paejaei oayi
1 Natarae
8 Ptcp wat`j
9 Pat _asusitasi Eaceatus
: Pat Fetuoasi Eaceatus
6 Feluoatcr traespcrt
4=  laie/iaue natcda laeiuru
44 Fehaet warnar / naja rasusitasi paeijaeiat
Dgd
Latardeide ; Ncjce Giisi gaeide @ja`lbist ( X) oibd tarsagid odrdeieyd , gde gioarilde latardeid
 @ QEWQL ]A_DBDWDE ABALW_CNAGFP
4 Palinut paeijaeiat oayi / plastil panoueilus oayi pranatur laeilap daeiae
2 tcpieya
40 W-pia`a rasusitatcr / alat vaetilasi ece ievasih / @]D]
(@cetieucus ]csitiva Dir
47 ]rassura)
4 Ilulcnatar
1 Pu`tice ]unp ]crtaola/Dspiratcr/Xa`uun
48 ]aeijisap laedir Ga Baa Clsiiae Lcesaetratcr
49 Laeul easal daeiae paeiatur alirae raedaj (bcw flcwnatar ) Nceitcr
4: saturasi clsiiae
4 Pat alsas ietravaea (unoililal anariaesi) Wjraa-way stcp`c`l
6 Pat Wrcllay Anariaesi Eaceatal
2 Ptanp pad lali oayi
4
22 ]an abijdrdde
Laiidtde
4 20
27 dilalulae ievaetarisasi paralatae nadil natareal dae eaceatal
Walaj
2 Patiap alat nadil nanilili lartu `atatae panalijaraae dae paroailae
paralatae
0
Warsadia P]C panalijaraae sasuai daeiae spasifilasi nasiei nasiei alat nadil
7 Dpalaj alat diparoaili oila naeialani larusalae/tidal oarhueisi3 Patiap alat
1 nadil dilaliorasi nieinal 4 (satu) lali satajue Lasajatae Bieilueiae
8 a. ]aeialclaae Binoaj Fehalsius (daraj, duj tuouj,dll)
o. ]aeialclaae Binoaj Ece Fehalsius (lartas, oueilus plastil, dll)
  F
ndsi

Wigdl Dgd
Wigdl Latardeide
Dgd
 

si/Wigdl Oarhueisi
Lcefirnasi la FLDWANF
Wigdl
FEPW_QNAE LDKFDE NDEGF_F ]QPLAPNDP QEWQL ]ABDVDEDE LAPAJDWDE F
Odiide 1 ; CODW-CODWDE, OJ], gde D]G
D CODW-CODWDE gde OJ]
Ec Kaeis Codt gde
Codt gde OJ] Ndtaredb
4 Cxytcsie iej
2 Natjil Aricnatrie iej
0 Niscprcstcl
7 Naieasiun sulhat 2=%
1 Naieasiun sulhat 7=%
8 Eihadipie taolat
9 Lalsiun Ilulceas
: Ddraealie
OJ] Dgd
 O DBDW ]ABFEGQEI GF_F
6 Dnpisillie iejalsi
4= Dncxi`illie taolat
44  Bidc`aie
42 Giazapan
40 Gaxanatjasce
47 Ea@l =,6%
41 Gaxtrcsa 7=%
48 _ieiar Baltat (_B)
49 Ilulcsa 1%
4: Dsariei
46 Dquaoidas
2= Pat iehus
24 Pat traeshusi
22 Palaei latatar dae laetcei
urie
20 Latatar ietra vaea ec 48, 4:
Codt gde OJ] Odyi
4 Xitanie L4
2 Palap Nata / tatas nata
0 aetioictil Dnpisiilie 1== ni atau 4
7 iran Iaetanisie 7= ni
1 Haecoaroital 8=, 81 atau 40=
8 ni/`` Apieahrie sadiaae 4; 4===

9 Pulhas
: Fehus sat nilrc
Dtrcpiea
6 Dquadast
4 ]cvidce icdiea
= Doc`atj / wiei
4 eaadla Ea`l =,6 %
4 21``
47 4 Xalsie;
Gaxtrcsa 4=% 1==
2 nl
4
Japatitis O@I
]clic0F]X
G]W JO Jio @anpal
N_ (Nunps _uoalla) JoFi
 = Doc`atj / wiei
4 eaadla Ea`l =,6 %
4 21``
47 4 Xalsie;
Gaxtrcsa 4=% 1==
2 nl
4
Japatitis O@I
]clic0F]X
G]W JO Jio @anpal
N_ (Nunps _uoalla) JoFi

Ec Latardeide V

4 Latarsagidde D]G gi ]uslasnds

a. Papatu Occt
o. Dprce
`. ]alieduei lapala d.
Naslar nadis
a. Iciilas/palieduei nata
  E ODVF
h. @alanal
i. Oaju palieduei Icwe
j. Paruei taeiae staril
i. Paruei taeiae paejaei
 j. Paruei taeiae ece staril (axdniedtice ibcvas) l. Bapisae palieduei sapatu
l. @airae disiehaltae n. @airae aetisaptil
2 Latarsagidde D]G Ljusus
_aspiratcr (naslar) E-61 Oaju Jaznat
]alieduei Yajaj
0 Latarsagidde D]G uetul pdsiae
Dpalaj puslasnas nanilili laeilaj-laeilaj parliedueiae oaii pasiae 3
a. Wanpat `u`i taeiae daeiae saoue dae air naeialir/ allcjcl jdeg ruo
o. Naslar Nadis

ecta ; nasul dalan oaiiae sarpras

Wigdl Dgd
 Dgdldj latarsagidde
Wigdl
pdsclde uetul 0 oubde3

Vd/
Wigdl 
FEPW_QNAE LDKFDE NDEGF_F ]QPLAPNDP QEWQ
Odiide 8 ; ]ABDVDEDE LAPA
Ec ]alayaeae Dda
4
]aeiawasae parsalieae naeiiuealae partcirah 
QPI taroatas uetul nanoaetu tiedalae dalan lcedisi
2 laiawatdaruratae costatri saparti lalaieae latal, latal plasaeta
(trinastar 0), lajanilae alstra utarie (trinastar 4)
0 ]arsalieae ecrnal
7 ]arsalieae parvaiiean pada oaoarapa haltcr risilc sadaei saparti;
- Qsia iou ≧48 tajue
- Qsia iou ≡01 tajue
- Deal tarla`il ≧2 tajue
- Warlalu lana pueya aeal partana ≡7 tajue
- Fetarval lajanilae 54= tajue
- ]arsalieae ≡7 lali
- _iwayat costatril jalal (laiuiurae / iaial lajanilae 4x) atau lcnplilasi pada pars
hcrsap, pardarajae pas`a salie, naeual plasaeta dae atau traeshusi)
- Fehalsi dalan lajanilae (JFX, sifilis dae japatitis O) yaei talaj
naedapat tatalalsaea sasuai staedar dae taepa paeyulit costatri
1 ]arawatae rutie oayi oaru lajir
8 _asusitasi eaceatus
9 Feisiasi naeyusu diei
: _awat iaouei
6 Naeiaeali dae nalalulae staoilisasi awal pada lcnplilasi yaei ditanulae dae nala
4=
Nanilili hasilitas uetul nalalulae panarilsaae daraj dae urie