RUMAH SAKIT GIGI DAN MULUT
PROGRAM STUDI KEDOKTERAN GIGI
FAKULTAS KEDOKTERAN
UNIVERSITAS YARSI
REKAM MEDIK
PENYAKIT MULUT
Noon RIKAMMEDIS_
23.02.2532
“TANOGAL DATANG PERTAMA,
wa 12 Fewer 3023
Nesta nets Hoge Wau. 9S a
NrwtpRorest 202003
IDENTITAS ASIEN
(UTI FASTEN ANAK
ALAM
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BARATIRIESIS“Amamessuan wot in ty dong we peat dant ceenent saan de SAS acer
Neeser A ina x-Orecuny tenn (arom Fares ened non Stet
vasa Yel ls sa vet un. Leamarem Senta da@irriarenraniniad. atest Faeen WT
mesunan gerne ths soooonngp-tanen wengts a ar/tori M tem ment TA fe
Tague Man. at remit tam aan en aetton der SSO, OS a, HEN ergs aE ON
rena sa Woh ras scaraptet INN UE rc a om sen, Ben os
rie ak arnt rvngaa eael Staal
Pe gov an ens rca ees ween ON Torsoae Akutan (ats sri erento
Sr cieagtnianin wie Oe ee cavay bar
Riayat penyakit sistemik:Paien OK mamas FEMA yenpeis HEM
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PEMERIKSAAN EKSTRA ORAL
Bentukwajah + Gans
Pembenghakan
Kalen
Bibir
Keli sekitar matut
(eriora) esKelenjar saliva We
Lain-tain
Stain arcs
Katkulus Rae rego ata 18,29, 26
‘Mokosa labial
‘Mukosa bukal sage Yat rats ag Ht om wy H684y MA
Tetenteresoter, alg, nator WI Fora HEN eruanrn A
Mokosa dasar mulat = RX
‘Mukosa lida ertentie
Dorsal rerdagah sated tongue dan aqtsan ware PUK HeNGAN 7
Weare danas aiveoe aanatiran 4 543.0 Benet erin Wash
Lateral THe
Ventral Pine
tnveeningse ACS!
‘Muosa gingiva rch (a guns lates uae swt Naruse NE, mri
Tee re beehueWes at age uran rt x gimim HeUs a
‘Moko palatum wer Ww bersarra Kener
jan yaaton BucUn fh ICO
Durum _tecaayat ves Aros HABIT TEE equa eps cas gran, mah +
“Jor ucuran 2m Been at
Motte Fra
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sree 4 Asmse
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sarge? em Boe
+ Mae
Longs Haka gga bana FP FES
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Tae Bing HD Ente
Leas:
see 7
sen | die
seme «camer
ssa > Mane
snares setangay e0 Sih BEET AS “A
snaway # Honore bata (enh den Kenan
veer 3 Pay ap teenie HN
Tough vee Teen Patt
Wena Cec tered)
sTaee Aor
seni deco
+ Nena sHeester
+ bam
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nia 4 Hikes alin durum eso ge te
stance Heth
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tomas £ Hoeo'e dorsom (kon
same tatLain-tain TAK
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PEMERIKSAAN RADIOLOGH
Ode dpoigt tere
PEMPRIKSAAN PENUNJANG LAINNYA
une asawtan theentaanANALISIS KASUS
wise coin ao a5 at ore voramartnaentamt SOS
Te ranen Sm cena mente Led mei SIEA STE
Tove bane (ones om senate aa, aun wevstnone! Tasers A war Aum FOIA,
sa nami, gee saaerrerstoes SFE ‘sown
aa reeNis ARB OA
pence onions gaara 2 ATS Tartan so, deg
Iecah dan ersagns tere FOP
gra arenes LWIA
+ Les wean agar enh
burnin FF ES yep (est bertonas SHEE portan ted
ee
vec arose taverns rms versa
DIAGNOSIS KERJA/TETAP
owsains Atoka Feeaten nor @ Ue AIT ounear srom Bone
pO! bss temas tones Neate
[RENCANA PERAWATAN
eae = meen neem merger woinan! eres renga ti
“herent ea ci, ETN OP
at cae wroaian Os ws arent LU Vuelos’ koqat aera 364
sp nanan chee Dat 9 7 ee een Ss Sas)
Be iesakete ION A rant win oom HO
ue [rues estar tat estat A cen wartieese ee
sao
El emsen wpurenic 30d Ont hak MO +
Elta tench WOE
sh at‘TINDAKAN PERAWATAN
KEGIATAN PARAF
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DOSEN
fap | am RR
Ques vues sane SHH HE AGW IS) AAT
“ea ator: diate oki gin Ho
5s hicktts aren earn ot SS Mare
sam ors
DOT artus Koumontes, stomanius venenahd
Ca
one
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ies Horrors
fears nguronie ws Oat Lt vw FH