Regester Umur - 18 TH
Regester Umur - 18 TH
Regester Umur - 18 TH
I10 T170/90MMHG
N18
GIGI 5 RA KANAN
K04 PERMANENT
I10
GIGI 6 RB KIRI
K04.1 BERDARAH
E10
R05 T 120/80MMHG
K29 T 120/80MMHG
J11 T 120/80MMHG
GIGI 2 BAWAH
K04.1 KANAN PERMANENT
R53 T130/80MMHG
B26 T120/80MMHG
A15 T 120/80MMHG
K29 T 110/70MMHG
I10 T170/100MMHG
GIGI 7 BAWAH
K04 KANAN PERMANENT
R53 T130/90MMHG
F20 ERYT+ PUS- MAC+
L23 VES+ CRUST+T
I10 120/80MMGG
T150/90MMHG
I10 T 160/90MMHG
R05 T 1`20/80MMHG
T120/80MMHG TB
Z00 172CM BB 78KG
Z00
Z00
R53 120/80
Z00
B02
K02 90/70
G99
Z00
R51 80/70
N18
I50
Z00
J11 T110/70MMHG
J11 T140/90MMHG
M10
E149
J11 T 120/80MMHG
J10 T100/70MMHG
Z00
H54
K29 T 100/70MMHG
I64
K04 GIGI 7 RB KIRI
PERMANENT
A15 T 120/80MGHG
K29 T 120/80MMHG
K29 T120/70MMHG
GIGI 7 RA KIRI
K04.1 PERMANENT
J11 T 120/80MMHG
J11 T120/80MMHG
E10
K29
F03
J10
J10
Z00
S70
Z00
K04 GIGI 6 RB KANAN
H54
E11
J44
I64
E10
K03 GIGI RA / RB
M10
Z00
E10
E10
K29
R53
F20
J10
I50
L23
A15
E10
I10
I50
M47
K29
D470
Z09
E10
R53
R53 100/70
R53
J11
B02
I10 160/100
I50
E11
G40
J11 100/70
H10
S63
I50
K29 70/70
L23 100/70
I10 140/90
Z00
I10 160/100
J11
N40
Z00
Z00
E10 T 160/90MMHG
Z00
N42
E10 120/80
Z00 TB =158CM BB=47KG
T110/70MMHG
Z00
E10
E10
I10
T25
Z00
Z00
J11 120/70
Z00
Z00
Z00
I50
E78
F20
K29 T120/80MMHG
Z00
I10 180/100
Z00
Z00
L23
E10
M81
Z00
Z00
TB=159CM BB=45KG
Z00 T=120/80MMHG
I10 T160/90MMHG
R53 T 110/80MMHG
A16 T 120/80MMHG
E149
J11 T110/70MMHG
J11 T 120/80MMHG
K04 GIGI 7 ATAS KANAN
GIGI 6 RB KANAN
K02 PERMANENT
H54
L23 T 120/80MMHG
K03 RA+RB
I50
J449
I10 T160/90MMHG
N18
R53 T 120/80MMHG
GIGI 8 RA KANAN
K04 PERMANENT
J11 T120/80MMHG
E10 T 120/80MMHG
K02 GIGI 6 RB KANAN
I10 T150/90MMHG
L23 T130/80MMHG
K04 GIGI 5 RA KIRI
GIGI 7 RA KIRI
K04.1 PERMANENT
GIGI 5 RB KANAN
K04 PERMANENT
K29 T110/70MMHG
A15 T 120/80MMHG
K03 GIGI RB KA KI
R53 T120/80MMHG
Z00 T 140/90MMHG
I64
B16
R53 T 120/80MMHG
ERY + MAC- PUST-
L23 VES- CRUS-
Z00
Z00
J11
J11 T 120/80MMHG
Z00
B86 PUS+ MAC- VES-
CRUS- ERYT+
I10 T 130/80MMHG
K03 GIGI RA+RB
L23 T 120/80MMHG
J45
M10
Z00
I10
L23
Z00
Z00
K29 T120/80MMHG
Z00
R53 T120/80MMHG
I84 T 130/80MMHG
W45
J11 T 110/80MMHG
K29
Z00
J11 90/70
K29
K29 T120/80MMHG
I50
GIGI 7 RB KANAN
K02 PERMANENT
Z00
W55 T 120/80MMHG
GIGI 1 BAWAH
K04 KANAN
GIGI 7 RB KANAN
K04.1 PERMANENT
J10 T 110/70MMHG
Z00
E10 T120/80MMHG
GIGI 5 RA KANAN
K04 PERMANENT
J11 90/70
I10 T160/90MMHG
K43
GIGI 7 RB KIRI
K04.1 PERMANENT
I64
Z32
I10 200/100
GIGI 7 RB KIRI
K04 PERMANENT
F20
I50
J11 T 130/90MMHG
L029
TB=157CM BB=50KG
Z00 T=110/70MMHG
D50 T 120/80MMHG
H60 T 120/80MMHG
I10 T170/100MMHG
A15
GIGI 5 RA KIRI
K04 PERMANENT
S92
Z32
L23
L23
R53 100/70
J11 90/70
R53 110/70
I50
K29 T 110/70MMHG
I10 T 190/100MMHG
J11 90/70
I10 160/100
I10 180/100
GIGI 6 BAWAH
K04 KANAN PERMANENT
R05 T 120/80MMHG
GIGI 8 RA KANAN
K04 PERMANENT
E10
M32
I50
K29 T 110/80MMHG
R53 T120/80MMHG
K29 T110/70MMHG
K04.1 GIGI 5 RA KANAN
I50
ERY+ PUST- VES+
L24 MAC+ CRUST_
GIGI 7 RB KANAN
K04 PERMANENT
E11
A15 TTB=
120/80MMHG
160CM BB=
Z00 50KG T
E14 120/80MMHG
Z32
K04 GIGI 6 RB KANAN
K04 GIGI 6 RB KIRI
K29 T120/80MMHG
I10 T 160/90MMHG
R53
K04 GIGI 7 RB KIRI
PERMANENT
K04 GIGI 7 RB KANAN
K04 GIGI 6 RA KANAN S A
J11 T 120/80MMHG
I50
GIGI 7 RA KANAN
K04 PERMANENT
J11
E10
I50 120/80
K04 GIGI 7 RB KANAN
H54
A15
R05
I50
I10 170/100
K29 120/80
I10 150/90
I10 150/90
J11 110/70
J11 120/80
A15
K29 90/70
R53 120/80
A16.T
J11 110/70
J10
F20
J45
R53 130/80
Z00
I10 150/90
A15
I10 210/100
I50
I64
K29 90/70
Z09
R53 120/80
R53 130/80
E10
GIGI 3 RA KIRI
K04 PERMANENT
I50
J11 90/70
K29 90/70
I10 150/90
I10 150/90
K29 130/80
E10 170/100
I10 190/100
R53 120/80
J11 130/80
R53
Y548
I10 190/100
I10 150/90
I95 T90/70
Z00
I10 T170/90
R05
Z00
Z00
I10 T160/95
J00
J00
Z09
J00
K12
Z09
Z00
L23 90/70
E10
S14
R53
Z09
Z00
Z00
R05
K29
I10 T 130/90
MOLAR KEDUA
K04.4 CARIES PROFUNDA
J00
I50
R53 T 100
Z09
G40 REMOLAR SATU
K00.4 KANAN ATAS CARIES
J00 PROFUNDA
L24
R53
J00
K29 90/70
K29 90/70
R53 120/80
I84 110/80
D470
H54
L23 90/70
I10 170/100
K29 130/80
E10 110/70
E10 130/80
H60 130/80
I10 150/90
R51 130/80
E14
J11 100/70
M150
I50
F20
R53 100/70
H25
R53 150/90
I10 160/100
J45 120/80
F20
F20
A01 110/70
L23 90/70
I10 190/100
K29 100/70
K29 100/70
I10 170/100
L23
K29 120/80
L23 120/80
J11 T 120/80MMHG
R05 T 120/80MMHG
J11 T 130/90MMHG
F20
K29 T140/40MMHG
K04 GIGI 4 RB KANAN
I10 T 170/90MMHG
R53 T120/80MMHG
K29
L028 T120/80MMHG
E02
K03 MLAR KANAN KIRI
SCALLING
R05 T 120/80MMHG
A15
M10 T120/80MMHG
D470
GIGI 7 RB KIRI
K04 PERMANENT
E149
K03 BANYAK KG RB
A15
I50
E10 T 120/80MMHG
I10 T110/70MMHG
K04.1 GIGI 1 RB KA KI
E10
K03 GIGI RA KA+KI
D50 MOLAR KANAN
K04.2 BAWAH CARIES
MOLAR KE DUA KIRI
K00.4 PROFUNDA
ATAS CARIES
R53 PROFUNDA
T120/80MMHG
K29
H54
E10
Z00
I10
I10
R53 110/70
R05
Z00
Y548
N81
F20 KANAN BAWAH
K02 SETELAH DI TUMPAT
K29 ADA
90/70KELUHAN
E10
I95 T 80/60
K29
R50
E10 TD 140/90
J00
E10
R53
R53
E10
R53 120/80
R50
G45 MOLAR DUA KIRI
BAWAH SISA AKAR
H25 KONDISI HAMIL
J45
J11 100/70
R05
K29
B20
R53
I50 90/70
I50
L23 120/80
PITT FISURRNYA TLL
K00.4 DALAM
R53 T 130 /80
R53 T 120/80
L23 120/80
L24
I10 T 160/90
R50
I10 160/90
I10
R53
R05
J00
GDA 98 AU 4,9
R53 KOLES 271
J10
E01
K04
R53
K03 GIGI RB KA KI
Z00
K04.0 GIGI RB KIRI
R53
L23
J10
R53
A09
F20
I10 220/100
J10
GIGI 1 RA KIRI
K04 PERMANENT
R53
L23
I10 T 150/90
R53
I10 T 180/100
R53
I50
A15
R53 130/80
E10
Z00
J10
GIGI 7 RA KIRI
K02 PERMANENT
K29
L24
Z00
J11 140/90
R53
J10
R53
N29
R50
R50
H26
Z00
H54
GIGI 2 RA KIRI
K04 PERMANENT
M10
I10
I64
I50
Z00
L23
M10
J10
D699 100/70
L23
T10
GIGI 7 RA KIRI
K04 PERMANENT
L23
E10
GIGI 1 RB KANAN
K04 PERMANENT
R53
J11 110/70
R51
J45 100/70
I10
A01
H10 110/70
J45 120/80
Z00
I10 190/100
Z00
Z00
Z00
Z00
H60 120/80
R53 120/80
R53 130/80
R53
R53 120/80
K29 130/80
Z00
Z00
Z00
Z00
J10
Z00
Z00
Z00
Z00
Z00
Z00
Z00
Z00
I10 170/100
Z00
Z00
I10 160/100
Z00
Z00
K29 T100/70MMHG
H54
J11 120/80
E10
Z00
L23
J11 T 120/80MMHG
KU LEMAH MUNTAH
A09 + DIARHE
K29
L23
I10
I95 100/70
L028
K29 T110/70MMHG
Z00
A15 T 120/80MMHG
J11 120/80
A18 T120/80MMHG
T165CM BB 55KG T
Z00 100/70MMHG
LAB S=NEG P =
A15 1/100LP
K29 T120/80MMHG
M19
A01 T 110/70MMHG
Z00
Z00
Z00
Z00
H60 120/80
I50
A01
R53 120/80
I50
I50
K29 140/90
F20
L23 110/70
J45 130/80
INCICIVUS DUA
K04.4 KANAN BAWAH
I50 GOYANG
H54
I10 180/100
K29 140/90
K29 100/70
A01.T 90/70
K03 GIGI RB
I10 200/100
I10 160/100
I10 180/100
J11 120/80
K04.1 GIGI
R53
I50
E10
I10 T 180/90
K04 GIGI 1 RA KIRI
PERMANENT
R53 T 130/80
R50 90/70
R53 90/70
Z00
Z09
R53
J00
J45
I10 210/100
I50
I50
GIGI 8 RA KANAN
K04 PERMANENT
H25
I10 T 130/90MMHG
A01 150/90
J11 140/80
E11 110/70
H10
K29
A16 T 120/80MMHG
R53 T 110/70MMHG
I10 T 200/100MMHG
E10
K29 T120/80MMHG
R53
A56 T 120/80MMHG
A15 T 120/80MMHG
J11 T 110/70MMHG
J11 T 120/80MMHG
R53 T 120/80MMHG
J11 T 120/80MMHG
N500
G40
R53
K29 T100/70MMHG
R53 90/70
J11 T110/80MMHG
R53
T12
E10
Z09
A16.T
I10 140/90
A15
N18
I10
I10 T170/90MMHG
E11 190/100
L23 90/70
N63
E10
I10 180/90
I10 200/100
R51 90/70
H10 110/70
M32
K29 T 110/80MMHG
N390
R53 T 120/80
Z00
S73
GIGI 4 RA KIRI
K04 PERMANENT
J11 T110/70MMHG
E10
H54
I10 T 120/90
I10 T170/100MMHG
I10 T 160/90
S42
K29 T130/90MMHG
A15 T 120/80MMHG
H54
GIGI 7 RB KANAN
K04.1 PERMANENT
K40
H54
K29 T120/80MMHG
I10 T 130/90MMHG
A15
N18
J00 T 110/80
E14
E10
R53
J00
N40
I95 T 90/70
R51
K29
H26
J00
K04 GIGI 8 RB KANAN
PERMANENT
F20
J00
H10
J00
R05
I50
H66
GIGII 3 RB KIRI
K04 PERMANENT
J00
E10
R05
R53
M10
J00
L23
J11 T 120/80MMHG
A15 T120/80MMHG
J11 T130/80MMHG
K04 GIGI 4 RB KANAN
E10
GIGI 6 RA KIRI
K04 PERMANENT
K29 T 120/80MMHG
L23 T130/80MMHG
B02 T130/80MMHG
GIGI 7 RA KANAN
K04 PERMANENT
GIGI 8 RB KIRI
K01 PERMANENT
K04 GIGI 4 RB KANAN
A15 T 120/80MMHG
K29 T 110/70MMHG
A15 T 120/80MMHG
F20
I10 T 140/90MMHG
I50
J11 T 110/70MMHG
I50
I50
GIGI 6 RB KANAN
K04 PERMANENT
I10 T 180/95
I95
J10
R51
R53
L23
Z09
R53
J00
A56
J00
GIGI 8 RB KIRI
K01 PERMANENT
R05
Z30
GIGI 1 RA KANAN
N390
Z00
Z00
K12
R53
Z00
J00
GIGI 6 RB KIRI
K04 PERMANENT
I10 T 170/90
A09 T120/80MMHG
I10
E10
J10
K29 T 120/80MMHG
J11
K29 T120/80MMHG
GIGI 6 RB KIRI
K02 PERMANENT
R53
K29
R53
I10 T 180/100MMHG
L23
L23 T 120/80MMHG
J11 T 110/70MMHG
K29
A15 T 120/80MMHG
GIGI3 RA KIRI
K04 PERMANENT
J11 T 130/90MMHG
J11 T 120/80MMHG
GIGI 7 RB KANAN
K04.1 PERMANENT
L23
A15 T 120/80MMHG
R51
H359 T120/80MMHG
E11 T 110/70MMHG
F20 T 120/80MMHG
A15 T 120/80MMHG
TB 161CM BB 60 KG
Z00 T 110/70MMHG
K29 T120/80MMHG
J11 T 140/90MMHG
A15 T 120/80MMHG
I10 T140/90MMHG
K29 T110/70MMHG
K29 T110/70MMHG
K29 T 110/70MMHG
F20
A09 T 120/80MMHG
E10 T110/70MMHG
T 120-MMHG TB
Z00 162CM BB 54 KG
A15 T 120/80MMHG
H448
K29 T;120/80MMHG
I10 T 120/90
I10 T 165/90
I10 T 180/95
I10
N18
R53 T120/80
R05 T 110/80
GIGI 6 RA KANAN
K04 PERMANENT
GIGI 6 RB KANAN
K02 PERMANENT
J00
K02 GIGI 3 RA KA KI
GIGI 8 RB KIRI
K04 PERMANENT
R53
K03 GIGI RA+RB
K03 GIGI RA /RB
F20 T 120/80MMHG
Z30
Z09
I64
J00
I95 T 65/60
E10
R53
I84
H93
E14
I50 T 140/90
J00
R53
J00
E10
R05
GIGI 7 RB KIRI
K04 PERMANENT
J00
J00
A75
J028
J10 T 90/70MMHG
G40
R53 T110/70MMHG
E07
K29 T 110/70MMHG
GIGI RB KIRI SAKIT ,
K04 BENGKAK
A01 T 90/60MMHG
J10 T 120/80MMHG
L23 T 90/60MMHG
K29 T 90/60MMHG
K29 T 120/80MMHG
D33
GIGI 4 RB KIRI
K04.1 PERMANENT
E10 T 130/90MMHG
I10 T 190/100MMHG
J10 T 140/90MMHG
E059
R05 T 120/80MMHG
H54
I10 T 170/90MMHG
J10 T 120/80MMHG
R53 T 120/80MMHG
J10 T 120/80MMHG
T90/60MMHG
GIGI 8 BAWAH KIRI
K01 PERM
GIGI 1 ERUSI
RB KANAN
K04 PERMANENT
J10 T100/60MMHG
T 153CM BB 53KG T
Z00 150/90MMHG
TD 150CM BB 62CM
Z00 T 180/100MMHG
F20
K02 GIGI 4 RA KANAN
I10 T180/100 MMHG
TB 166CM BB 75KG T
Z00 120/80MMHG
I10 T140/90MMHG
A91 T100/70MMHG
K29 T 110/70MMHG
GIGI 5 RB KANAN
K04 PERMANENT
L23 T110/70MMHG
J10 T 110/70MMHG
K29 T 120/80MMHG
H54
R53 T 120/80MMHG
Z09
D470
K29 T 130/80MMHG
J11 T 120/80MMHG
A01 T 90/60MMHG
K29 T100/60MMHG
K29 T 130/80MMHG
W49 T 120/80MMHG
R53 T 120/80MMHG
GIGI 7 RB KANAN
K04.1 PERMANENT
I10 T 200/100
I10 T 200/100
S34
G40
I10 T 160/95
K04.1 GIGI 7 RB KANAN
E10 T 150/90 GDA 324
R53
A09
J45
R53
Z09
R05
J00
K04 GIGI
G40
R05 T 160/90
A01
A15
R53 T 130/80
L23
E75
L23
J00
I50
K03.6 GIGI RB KA KI
J449
R53
N18
Z09
GIGI 7 BAWAH KIRI
K04 PERMANENT
GIGI 8BBAWAH
K01 KANAN PERMANENT
GIGI 6 BAWAH KIRI
K02 PERMANENT
R060
S62
GIGI 3 RA KANAN
K04.1 PERMANENT
J10 T110/80
S43
L23
I50
F20
A09
R05
Z09
J11
Z00
Z00
E14
I10
I10 200/110
E11 130./80
I10 T 160/90
F20
H26
N39
E10
J44
K05.3
J00
I50
I50
A16.T
Y548
E75
A01
L23
I50
K05.3
R51
Z00
Z00
J11 90/70
Z00
I50
I50
R53
Z00
E14
M43
A15
Z00
H10
I50
I10
J00
N18
E14
N429
F20
I10 T150/90MMHG
H54
F20
J00
F20
A16 T 120/80MMHG
H10
A15 T 120/80MMHG
A16.T
A15 T 120/80MMHG
J11 100/70
S63
R05 T120/80MMHG
E10
J11 T 110/70MMHG
R05 T 120/80
Z00
J00
I10 T 160/90
L23 T 160/90
R53 AU 6,4 GDA 132
R50
E10
I10 T 170/90
K29 T 120/80MMHG
R53 T120/80MMHG
J11 T110/70MMHG
R53 T110/80MMHG
E10 T 100/80MMHG
J11 120/80
K29 T 120/80MMHG
J45 T130/80MMHG
I10 T 170/90MMHG
K03 GIGI RB KA KI
I10
R05 T 120/80MMHG
GIGI 5 RA KIRI
K04 PERMANENT
K29 T120/80MMHG
K29 T110/70MMHG
Z32
J11 T 130/80MMHG
GIGI 7 RB KIRI
K01 PERMANENT
J10 T140/90MMHG
I10 T150/90MMHG
I50
I10 T 180/95
R05 T 120/80MMHG
J11
A18 T120/80MMHG
I10 T170/90MMHG
N18
L23
N18
K37
R05 T 150/80
L23 T 120/80MMHG
S71
I10 T110/80MMHG
J44
I10
F20 T 120/80MMHG
I50
K05.2
K05.3 T 160/100
I10 T 190/110MMHG
TB 150CM BB 45KG T
Z00 110/70MMHG
E10
J11 T 120/80MMHG
H66 T 120/80MMHG
I10 T 160/95
J10 T 120/80MMHG
K29 T130/80MMHG
J11 T120/80MMHG
E10 T130/80MMHG
J00 T 120/80
I50
H26 TB =150 CM
Z00 BB=50KG T
L24 120/80MMHG
E14
Z09
F20
R53
R53
R53
K29 T110/70MMHG
E10 GDA 218
Z09
I50 TERASA LINU
K00.4 KARENA POSISI
K29 TURUN MOLAR
F20 T 120/80MMHG
Z09
T120/80MMHG
W49 T 120/80MMHG
J44
M10 AU 7,7
MO;AR DUA CARIES
K00.4 PROFUNDA
E10 T 130/80MMHG
ATAS TURUN
K02 KARENA BAWAN
R53 T 120/80MMHG.
INCICIVUS ATAS
K04.0 KANAN TERASA LINU
I10 T 210/100
E11
J11 T120/80 MMHG
H54
E14
K29 T110/70MMHG
I64
K29 T 110/70MMHG
I10 T 160/95
E11 T120/80MMHG
R05
I10 T 170/95
F20
I50 T 160/90
A01.T 90/70
J11 100/70
GIGI 1 RA KIRI
K04.1 PERMANENT
GIGI 1 RA KIRI
K04.1 PERMANENT
J11 100/70
GIGI 6 RB KIRI
K02 PERMANENT
I10 T 160/90MMHG
I10 T 180/90MMHG
GIGI 6 RA KANAN
K04 PERMANENT
K04.1 GIGI 1 RB KANAN
R53 T120/80MMHG
K29 140/90
K03 GIGI RA RB KA KI
I84 170/100
E10 T 120/80MMHG
K29 T 120/80MMHG
I10 180/100
J11 T 110/70MMHG
R05
R51 T 120
E10
R52 T 110/70MMHG
E11 130/80
R53 T 120/80MMHG
A15 T 120/80MMHG
I10 170/100
R53 120/80
D470
I10 150/90
J45 120/80
J11
H25
R51
K29
I50
H54
T170
I10 REDUKSI +3
M10
E10 REDUKSI +3
J00 T 170/95
Z30
K29 T 130/80
GIGI 8 RB KIRI
K01 PERMANENT
J00 T 150/90
J45 80/70
E11
A15
H54
E14
I10
R51 90/70
A15
L23 90/70
J03 90/70
K05.3 GIGI 4 RB KIRI
PERMANENT
R53
Z00
K04.1 GIGI 7 RB KANAN
J10
R53
GIGI 3 RB KANAN
K05.3 PERMANENT
L23 MOLSR DUA KIRI
K04.8 BAWAH CARIES
A15 PROFUNDA
T120/80MMHG
J11 T 120/80MMHG
GIGI 8 BAWAH
K04 KANAN PERMANENT
E11 120/80
A01
I10
I50
N18
I10 180/90
J06
K29 120/70
I10 `120/80
K29 100/70
R51 90/70
I50 120/80
E14
K29 90/70
A01.T
E11 13O/80
C53
K29 100/70
A16.T
E10
E11 120/80
I50
K29
R53 110/70
MOLAR 3 KANAN
K01.1 BAWAH MIRING
R53 T 130/90MMHG
GIGI4 RA KIRI
K04.0 PERMANENT
K29
INCICIVUS DUA KIRI
K04.0 ATAS PULPITIS
R51 MOLAR DUA KIRI
K04.9 BAWAB CARIES
R53 PROFUNDA
90/70
J11 90/70
R05 T 120/80MMHG
I10 T 160/90MMHG
B20 T 120/80MMHG
I10 T 110/70MMHG
K29
R51 T 120
I10 T 180/100MMHG
Z32
J11 T 110/70MMHG
H10 T 120/80MMHG
Z32
A16 T 120/80MMH
J11 T 120/80MMHG
J03 T 110/80MMHG
H10 T120/80MMHG
GIGI 5 BAWAH
K04.1 KANAN
M10 T120/80MMHG
GIGI 4 RA KIRI
K04.9 PERMANENT
R53 T 110/70MMHG
TDK DI LAKUKAN
PEMERIKSAAN
K29 T 100/70MMHG
J11 T 110/70MMHG
J11 T90/70MMHG
K29 T 110/70MMHG
J11 T 1110/70MMHG
R05 T 120/80MMHG
L23 T 120/80MMHG
K29 T 140/90MMHG
R05 T 120/80MMHG
K29
J10
J10
D31
E10 T130/80MMHG
Z32
R05
Z09
A16.T
A15
I10 150/90
E11
N40
GIGI 8 RB KIRI
K04.9 PERMANENT
GIGI 4 KIRI BAWAH
K04.5 PERMANENT
I95 Y 100/80
R53 T 120/80
E018 T 120/80MMHG
J11 100/70
J11 90/70
R53 135/80
F20
K03 GIGI RA +RB
I10 160/100
K310
L020
Z32
E10
I10 T 170/95
I10 200/100
A16.T
J90
I10 T 170/95
A15
R05 T 130/80
R53
M939 110/70
R53 T 140/80
H10 90/70
A16.T
I50
K29 90/70
I10 160/90
J45 135/80
J11 120/80
K29 140/80
F20
I10 200/110
K469
Z00
R53 140/80
K29 120/80
I50
R51 90/70
J11 110/70
I50
R53 120/70
Z00
Z00
R53 110/70
A15 T 120/80MMHG
Z09
K29 T 120/80MMHG
K29 100/70
R53 130/80
I50
K29 120/80
K12
H10
M81
J11
S82
G51
Z00
I10 T 165/90
J11 140/80
K29 90/70
CORPUS ALENIUM _
H54 ERYT - NYERI - T
K29 120/80MMHG
120/80
A15 T 120/80MMHG
R51 90/70
M54
K03 GIGI RB KA KI
I64
K29 90/70
J11 110/70
J11 100/70
R53 90/70
R298
GIGI 2 RA KANAN
K04.1 PERMANENT
H54
K01 GIGI 8 RB KA KI
I10 170/100
R51 110/70
J11 110/70
I10 T 170/90
K29 100/70
R51 90/70
E11 120/80
E11 160/100
R05 INCICIVUS PERTAMA
K04 ATAS KANAN KIRI
K29 CARIES PROFUNDA
T110/70MMHG
I50
E01
R53
M150
PREMOLAR SATU
K00.4 BAWAH
DUA SISACARIES
AKAR
K04.9 PRFUNDA
MOLAR DUA GIGI
KIRI
K00 GOYANG NGINGIVA
BAWAH GUSI
Z32 BENGKAK
F20
R53 90/70
Z00
K29 120/80
L23 90/70
J11 110/70
J11
Z00
M09
S14
R53
J11 110/70
B20
R53
S92
I10 150/90
L23 100/70
F20
J00
I498
TD : 120/80 BB : 67
Z00 KGTB : 167 CM
K29
L26
H10
I50
R05 T 130/80MMHG
Z00
GIGI 2 RA KANAN
K02 PERMANENT
A16 T 120/80MMHG
GIGI 4 RA KKIRI
K04 PERMANENT SA
I50
A15 T 120/80MMHG
C50
B02 T 170/90MMHG
K29 T120/80MMHG
K29 T 120/80MMHG
N63
A15
Z00
K29 T 150/90MMHG
K29
GIGI 2 RB KANAN
K04.5 PERMANENT
K29
NYERI PUNGGUNG
Z00
E11
J11 T 120/80MMHG
I50 T 120/80MMHG
R05 T 120/80MMHG
I50 T 120/80MMHG
GIGI 5 RA KIRI
K05.3 PERMANENT
N18
R53 T120/80MMHG
A15 T 120/80MMHG
J03
I50 T 120/80MMHG
R05 T 120/80MMHG
J11 T120/80MMHG
R53
K40 T 120/80MMHG
I10 T130/80MMHG
GIGI 6 RB KANAN
K04.1 PERMANENT
I10 T 150/90MMHG
H54 T 120/80MMHG
I64 T150
E10 T120/80MMHG
R53 T110/70MMHG
K29
K29 T120/80MMHG
R53
GIGI 7 RB KIRI
K05.3 PERMANENT
I10 140/90
I10 150/90
R53 100/70
GIGI 7 RB KIRI
K04.9 PERMANENT
K29 130/80
I519
Z00
Z00
GIGI 6 RB KANAN
K04 PERMANENT
GIGI 6 RB KIRI
K04.1 PERMANENT
Z00
I10 T 170/90
I95 T 80/70
GIGI 7 RB KANAN
K04.9 PERMAQNENT
I95 T 90/60
R53 T 90/70
GIGI 7 RB KANAN
K04.9 PERMANENT
I95 T 90/70
J00
K29
E14
K29
R05 T 90/80
I95 T 100/80
K29 T 120/80
R53
K29 T 130/80
I50
J00
K29
R53
R53
H04
R53
I50
E11
R53
J00
F20
R29
L23
J10
R53
E14 T 120/80
K29
I10
R53 120/70
M150
L23
J10
I50
L24
J00
J10
N19
L23
I10
R53
E11
J00 T 170/90
N830
I10 T220/100
J45
I10 T 170/90
J00 T 150/80
R53
R05 T 140/85
J00
K03 GIGI RB KA KI
R53 T 150/80
I50
R53 T 120/810
I10 T 150/80
R05 T100/80
I10
I10 T 150/90
E14 T 130/80
E10
L23
I95 T 90/80
GIGI 7 RB KIRI
K05.3 PERMANENT
R53
I10 T 140/80
H26 T140/80
GIGI 8 RA KANAN
K04.9 PERMANENT
N18
E10
Z09
GIGI 6 RA KIRI
K04.9 PERMANENT
I10 T160/90
R53
I50
R53
A15
N81
GIGI 7 RB KIRI
K04.9 PERMANENT
L23 T 140/80
R53
L23
J10
K29
J11 T 140/90MMHG
K04.9 GIGI
GIGI 6 BAWAH
K04.4 KANAN
I10 T 140/
L23
Z00
K29
K29
M478
I95 T 85/60
E14
J00 T 90/70
A15
J00 T90/70
GIGI 8 ATAS KANAN
K04.4 PERMANENT
I10 T200/100
K04.4 GIGI 5 RB KANAN
K29 135/85
J11 130/80
K29 T 100/80
K29 135/80
R05
N219
I50
J10
R53 T 90/70
J00
J10
Z32
L23
K01 GIGI RB
K03 GIGI RB KA KI
G40
K04.1 GIGI 5 ATAS KANAN
J00 T 100/80
F20
R53
I50
R53 T 100/70
R53 T 110/80
K29
L23
K29
K04.1 GIGI 2 RA KANAN
PERMANENT
S62
I20
S42
L24
Z32
N19
Z00
GIGI 6 ATAS KIRI
K04.9 PERMANENT
GIGI 7 RB KIRI
K04.1 PERMANENT
L71 120/80
I49
L24
GIGI RB KA DAN KIRI
K03 PERMANENT
J45
GIGI 7 RB KIRI
K04.1 PERMANENT
E10
Z00
K04.9 GIGI 1 RA KANAN
PERMANENT
J00
L23
H60 90/70
H25
I84 110/70
J11 90/70
K29 120/80
A15
J11 120/80
K29 110/70
E02
I10 170/100
I10
R53 125/80
J44
W45 130/80
E10
GIGI 5 RB KIRI
K02 PEERMANENT
J00
GIGI RB KA KI
K03 PERMANENT
J45
Z09
M09 90/70
A15
A15
E14 130/90
G40
I50
K03 GIGI RA +RB
GIGI RB KA KI
K03 PERMANENT
I50
I10 150/090
K29 110/70
Z00
M09 110/70
GIGI 7 RB KIRI
K04.9 PERMANENT
R51
J019
GIGI 5 RA KANAN
K04 PERMANENT
Z09
J10
CABUT GIGI
K04.9 PERMANENT
A15 T 120/80MMHG
R53 120/80
K01 GIGI 8 RB KANAN
PERMANENT
F20
I50
R51
E02
R53
GIGI 4 RA KANAN
K02 PERMANENT
J10
S83
R51
Z09
J10
E10
GIGI 6 BAWAH
K04.9 KANAN PERMANENT
L23
K29
J10
J00 T 120/80
J00
E11 130/80
E10 T 140
J10 T100/60
J10
J10
J00 T 110/80
W17
A75
H66
Z09
R53
R53
K29
J00 T 110/80
E10
J00
R53
F20
J10
R53 T120/80
G40
J00
E14
E10
E10 T 170/90
K29 T 140/80
Z32
I10 T 190/95
I10 T 200/100
I10 T 150/90
I95 T 85/60
R32
E14
E07
K29
K29
R53 T 130/80
J00
GIGI 7 RB KANAN
K04.1 PERMANENT
K29 T 120/80 MMHG
GIGI 7 RB KIRI
K04.1 PERMANENT
R53 T120/80MMHG
I10
J11 T 130/80MMHG
R05 T 120/80MMHG
R53 T 120/80
R53 T 130/80
E10
E059
J00
A699 T 90/60MMHG
K29
C50
I10 T 160/90
Z00
I10 T 170/90
H54
L24
R53 GIGI 7 RB KANAN
K04.1 LANCIP MINTA DI
R05 HALUSKAN
R51 T 120/80MMHG
J10 WEZ-/- SRTID-/-
R53 THONS-/-
T120/80MMHG
Z09
L24
I10
I50
R53
E11
I50
K05.3 DRUK -
K04.3 DRUK +
J10
K04.4 DRUK ( + )
K29
K29
R50
E14 T 120/80MMHG
L23
K29
Z00
Y54
J10
K29
J10
E14
A09
K29
R53
I10
R53
K05.3 TD 110/80 MMHG,
DRUK (-)
R53
R53
H01
I10 T 190
R53
R51
Z00
R53
I84
R53
I50 T 120/80
GIGI SAKIT 2
K04.9 MINGGU
K00.1 GIGI
GIGI 6 RB KANAN
K02 PERMANENT
A15
E14 T 110/70
K29 T 100/70
R53 T 130/80
R53
L028
R53 T 130/80
K04.0 GIGI
H01
J10
L23
I10 I
GIGI 7 RB KIRI
K02 PERMANENT
E14
I10 T 160/90
I50
I10
I10 T 150/90
N18
I10 T 170/90
E14
I95 T 80/70
A16.T
D470
R53
R53
D470
A15
I10 190/100
R53 120/80
E14 160/90
I10 160/90
R53 120/80
I10
GIGI 7 RB KIRI
K04.9 PERMANENT
R51
I10 160/90
I10
L23 100/70
J11 120/70
Z00
A01
R53 120/80
I10 160/100
J44
I50
I10 T 170/90
I10 td 160/90
J45
H26
K04.9 GIGI RA RB DUA
PREMOLAR
K04.1 KANAN ATAS SISA
J00 AKAR
R53
K29
J00
L23
GIGI TDK ADA
K04.9 KELUHAN
K04.9 GIGI RA RB
R53 T 120/80
K03 GIGI RA RB
A15 T 120/80MMHG
K29 T 120/80MMHG
K03 KONSUL GIGI HAMIL
N39
Z09
K29
GIGI 7 RB KANAN
K04.9 PERMANENT
F20
Z09
R53
A15
K03 KG RA RB
A15
E11 120/70
Z00
N18
K29
I10 T 130
I10 180/90
K29
I10 170/90
I50
I10 160/90
AU 6,7
I10 T 160
A15
E10 RED 3+
K29 T130/80MMHG
I10
K29
TDK DI PERIKSA
K04.9 KARENA SAKIT
Z00
J10 T130/80MMHG
E01
J10 110/70
K29 110/70
I10 160/90
J45 140/90
I64
I50
J10
E10
D33
K29
R05 LAB SP
K29 T 120/80MMHG
LAB STIK DARI BPJS
I50 HBS
R53 T 120/80MMHG
K29 T 120/80MMHG
J10 T120/80MMHG
G40
E11
A15
J11
I10 150/90
J11 100/70
G40
E10
R53 130/80
R53 120/70
E14
Z00
E01
I10 180/100
E10
I10 150/90
I10 170/90
R53 90/70
R53
K03 GIGI RA RB
R53
GIGI 6 RA KANAN
K04.1 PERMANENT
J00
J00
H60
GIGI 6 ATAS KANAN
K04.5 PERMANENT
Y548
J00
E14
R15
K03 GIGI RA RB
L23
GIGI 7 RA KIRI
K04.5 PERMANENT
R53 140/90
K29 120/80
J11 100/70
J11 100/70
K469
E10
K29 110/70
Z00
Z00
K04.9 GIGI 7 RB KANAN
E10
Z00
I10 T 160/90MMHG
K29
J00
Z00
GIGI 7 RB KIRI
K04.9 PERMANENT
J00
J00
R53 T 100/70
I50
J449
Z09
I50
H54
E10
H10
E10
J02
I50
A01 100/70
Z00
N18
I50
E10
J10
J11 T 110/70MMHG
J11 90/70
K29
A15
I10 T 150/90MMHG
E14
I50
R53
K05.2 GIGI 7 RB KANAN
J11 T 120/80MMHG
I64
J10
GIGI 6 RB KANAN
K04.7 PERMANENT
GIGI 8 RB KANAN
K04.9 PERMANENT
Z32
Z00
K03 GIGI RB KA KI
R53 T120/80MMHG
R53 T120/80MMHG
J11 T 110/70MMHG
I10 T
J00
I10 T 130/90MMHG
H26 T 120/80MMHG
R32
L23 T120/80MMHG
R53
K29 T 120/80MMHG
L23 T 120/80MMHG
I10 160/90
I50 T 130/90MMHG
I10 T 150/90MMHG
I10 TT 120/80MMHG
120/80MMHG
K29 ERYT+ MAC- PUST-
R53 VES- CRUS-
T 110/70MMHG
E78 110/70
F20
Z00
H10
A01 100/70
I10 150/90
J449
I84 120/80
I10 120/80
I10 150/90
I10
N18
J44
J11
I10 140/90
I10 150/90
K29
R51
K29 T 120/80MMHG
K04.4 DRUK (+)
K04.4 DRUK (+)
I10 T 140/90MMHG
E10 T 120/80MMHG
K29 T 120/80MMHG
K05.1 KALKULUS +
ERY+ PUS- MAC-
L23 VES- CRUST +
H54
R53 T 120/80MMHG
L23
J10
Z09
K29
L24
I10 190/100
H54
I64
ERYT+ VES- PUST-
E14 MAC- CRUST+
Z00
R53 100/70
M19
S86
R53
Y548
R53
E10
R53
K01 DRUK +
K05.1 GIGI RB BANYAK KG
S91
I50
L23
K04.9 GIGI RA KA KI
K04.9 GIGI
R51
Z00
F20
K03 GIGI RA RB
K03 GIGIRA RB
J10
J10
F20
L23
J10
K29
Z00
I10 T 160/90MMHG
K04 GIGIRA
J11 T120/80MMHG
T 120/80MMHG ERY
L23 + PUS- MAC- VES-
E10 CRUST
T 130/80MMHG
1
K03 GIGI RA RB
K04.1 GIGI RA RB
I50
A18 T 120/80MMHG
M05
I50
K03 GIGI RB
GIGI 8 RB KIRI
K02 PERMANENT
GIGI 7 RB KIRI
K02 PERMANENT
L23
Z32
K04 GIGI 8 RB KANAN
W45
Z09
N18
B02
I10 190/100
I50
N50
K29 T90/60MMHG
R53 120/80
K29
H10 130/80
L23 120/80
E14
R53 130/70
A15
I10 150/90
I10 150/90
A15 T 120/80MMHG
J11
R53 T 110/70MMHG
R05 T 180/80MMHG
K29 T 120/80MMHG
K29 T 120/80MMHG
GIGI 6 RB KANAN
K04.1 PERMANENT
K29 T 110/79MMHG
I50
J10
L23
K04.5 DRUK (+)
K29
L23 GIGI 8 RA KANAN
K04.9 PERMANENT
K29 GOYANG
T 120/80MMHG
I64
R53
R51
K29
I10 T 210/120
C17
K29
B20
R51
K29
I10
I50
J10
K29
GIGI 6 RB KANAN
CARIES
K04 GIGI
GIGI RA
8 RBRBKANAN
K01 PERMANENT
I64 { IMPAKSI}
GIGI 6 RB KANAN
K02 PERMANENT
I10 T130/80MMHG
H54
M10
J11 T 100/70MMHG
I10 T180/100MMHG
GIGI 6 RB KANAN
K02 PERMANENT
I10 T 150/90MMHG
R05
E11
K03 GIGI RA RB
K03 GIGI RA RB
J10
K03 GIGI RA RB
K04 GIGI RB
GIGI 4 RA KIRI
K04 PERMANENT
K03 GIGI RA RB
K03 GIGI RA RB
K04.5 GIGI 1RB KANAN
PERMANNET
H10 T 140/80MMHG
GIGI 2RA KIRI
K04.9 PERMANENT
L23
A15 T 120/80MMHG
E018
R53 T 120/80MMHG
E11
I50
R53 T120/80MMHG
K29 120/'80
Z00
K12 T 120/80MMHG
I10 T170/90MMHG
J11 T150/90MMHG
K29
K29 T120/80MMHG
I84
S93
M430
D509
I10
TB 170CM BB 58KG T
Z00 120/80MMHG
A15 T 120/80MMHG
Z09
L24 T 120/80MMHG
J11 T150/90MMHG
L23
R50 120/80
K29 T150/90MMHG
J11 130/80
R51 110/70
T 120/80MMHG
A09 TURGOR BAIK
TONUS OTOT +
R53 110/70
GIGI 7 RB KANAN
K02 PERMANENT
Z00
T120/80MMHG
GIGI 6 RB KANAN
K02 BERLUBANG
R53 130/80
J90
R53 110/70
J11
I50
K29
J11
E10 T120/80MMHG
R53
F20
I50
J11
H54
E10 T130/90MMHG
H25
K03 GIGI RB KA KI
J11 T 130/90MMHG
K29 T 120/80MMHG
I50
A15 T 120/80MMHG
H54
D31
K29 T120/80MMHG
R51 110/70
L24
G45
Z00
J11 120/80
I50
E11 120/80
K02 GIGI
R53
R53 100/70
I10 160/100
I10
E11 130/80
F20
Z00
Z00
B20
Z00
I50
I10 180/100
I10
I10 160/90
R53 130/80
I50
J11 120/80
I10 170/90
I50
R53 T 120/80MMHG
R53 100/70
Z00
E11 130/80
R53 130/80
R51 120/80
J11 100/70
I10 150/90
R53 120/80
W45 GIGI 4 RB KIRI
K04.1 PERMANENT
K04.9 BENGKAK
GIGI 8 RB KANAN
GIGI 8 RA KIRI
K04.1 SUDAH GOYANG
J00
GIGI 3RB KIRI POST
K04.9 EKTRASI
J00 T130/80
A16
A16 SP DAHAK
J10
K43
H58
A15
Z09
I50
R53 T130/90MMHG
I10 T 140/90MMHG
I10 T130/90MMHG
J11 T 120/80MMHG
J11 T120/80MMHG
WEZ-/- SRTID-/-
THONS-/-
H54
N39 T130/80MMHG
R53 T 120/80MMHG
K29 T120/80MMHG
T
R53 T 110/80
R05 T 150/80
GIGI 7 RB KIRI
K04.0 PERMANENT
R53
H66
J45
R53
J00
F20
M478
R15
GIGI 7 RB KANAN
K04.1 PERMANENT
R53 T 140/80
I10
I10 T 190/95
GIGI 7 RB KANAN
K04 PERMANENT
H54
L23
GIGI 6 RA KANAN
K04.5 PERMANENT
K12
I10 T 130/90
K29 T 120/80
I10 T 160/90
I10
R53 T 110/80
R05
R53
GIGI 6 RA KIRI
K04.9 PERMANENT
R53
S63
K29
J44
GIGI GERAHAM
K04.1 PERNAH SAKIT
F20
GIGI 2 RA KANAN
K04.1 PERMANENT
R53
GIGI 3 RA KANAN
K02 PERMANENT
H66 T 120/80
Z00
GIGI 4 RB KANAN
K04 PERMANENT
A75
I50
R53
K29
GIGI 1 RA KANAN
K04.9 PERMANENT
L23
R53
L23
R53
GIGI 5 RB KIRI
K02 PERMANENT
R33
L24
J11
L23
Z00
Z00
I10
I10 GIGI BAWAH KANAN
K04 PERMANENT
R53 KESAKITAN
R03
A01
GIGI 6 RA KIRI
K04 PERMANENT
GIGI 6 RA KANAN
K04 GDA 169
PERMANENT
M10 AU 7,8
M10 KOL 175
R53
R53 T 100/70
K29
J00
I50
I10 T 160/95
N18
K03 GIGI RA RB
H66
I50
I10 T 140/90
L23
I50
Z09
Z00
A09
L23
S14
I10 T 160/90
I10 T 180/100
GIGI 1 RB KIRI
K04.9 PERMANENT
K03 GIGI RA RB
E78
H54
J00
K03 GIGI RA RB
I10 T 170/95
GIGI RB KANAN KIRI
K03 PERMANENT
C84 T 120/80
R53
I50
I50
L23
J00
K03 GIGI RA RB
H54
E11
I64
R53
A15
N39
A16 SPS
AU 5.8
R53 COL 180
L24
K29
H66
E11
M10 KOLES 249
J02
I10 T 190/
E10
I50
J10
G40
A15
L23
J10
K04.9 GIGI 7 RB KANAN
N20
R50
R53
J11
E10
A16 SPS
R51
Z00
J10
S62
H54
J10
I10 T170/
M10 KOLES 244
Z00
F20
R53
L23
GIGI 7 RB KANAN
K04 PERMANENT
R53
I10
Z09
R53
J10
I10 T 165/90
Z00
H54
J44
R05
T10 T 130/90
L23
R05
I50
Z09
K03 GIGI RA RB
I10 T 200/100
R53
E10
R53
I95 T 90/80
L23
R53 T 130/80
Z00
Z00
Z00
K29
GIGI 6 RB KANAN
K02 PERMANENT
M150
I10 T 150/90
Z00
H019
K03 GIGI RA RB
R53
K03 GIGI RA RB
R53
R53
J00
H10 T 120/80MMHG
TB 155 CM BB 54KG
Z00 T 120/80 MMHG
K29 T 120/80MMHG
R53 130/80MMHG
PNEUMONIA EX TB
D02 FNAB NODUL
J11 METASTASE
T 120/80MMHG
K29 T120.80MMHG
K04.9 GIGI 5 RA KIRI PER
J11 T 120/80MMHG
K29 T 120/80MMHG
H25
R53 T 120/80MMHG
I50 KAPAS TERTINGGAL
H57 D TELINGA KIRI SDH
J11 4HR
T 130/80MMHG
A15 T 120/80MMHG
E10 T 120/80MMHG
J10 T 120/80MMHG
I50
J10 T 120/80MMHG
J11 T 120/80MMHG
I50
R53 T 120/80MMHG
D40
H54 T 120/80MMHG
K29 T 120/80MMHG
I10 T160/90MMHG
J11 T 150/90MMHG
K29 T 120/80MMHG
Z09
R53 T 130/90MMHG
K29 T 130/80MMHG
R53 T 130/90MMHG
J11 T 120/80MMHG
J10
I10
R51
R53 T 100/80
J10
R53
J00
J10
H52
R51 TD 90
H40
I10 T160
TB 165
Z00 BB 49
E11 TD 110/70
R53
GIGI 8 RB KIRI
K04.9 PEMANENT
R51
A16
R53 T 120/80MMHG
J11 T 100/70MMHG
TB 152 CM BB 45KG
Z00 T 110/70MMHG
J10
R53
E10
I50
R50
H10
L23
F20
M10 AU 6.1
Z00
F20
M10 KOLES 213
Z09
I10 TD150
Z00
GIGI 3 RB KANAN
K04.5 PERMANENT
R29
Z30
GIGI RB KA KI
K03 BANYAK KG
K04.9 GIGI
GIGI 6 RA KIRI
K04.9 PEMANENT
GIGI 7 RB KANAN
K04.0 ERMANENT
I10 T 160/90
GIGI 1 DAN 2 RA
K04.9 KANAN PERMANENT
Z00
I50
R53 t 130/80
GIGI 8 RB KANAN
K04.9 PERMANENT
E21
GIGI 6 RB KANAN
K04 PERMANENT
K03 GIGI RB
R53
Z32
R53
D50
Z00
I10 T 190/90
J45
K29
Z00
Z00
I10 T 210/100
L23
R53 T 120/80MMHG
I50
F03
K28 T120/80MMHG
S92
K29 T 120/80MMHG
H26
J11 T 120/80MMHG
H66
E10
E109
I50
J10 T 110/70MMHG
J11 T 120/80MMHG
K29 T120/80MMHG
N189
I50
J10 T130/80MMHG
I50
H57
I10
J45
R53
Z00
L23
H10
R53
J11
E10
Z00
A16.T
GIGI 5 RA KIRI
K04.1 PERMANENT
R53
J10
I50
Z00
F20
J10
Z00
J10
K05.3 TD 140/90
J10
I50
J10
J11
R53 T 120/80MMHG
K03 GIGI RA RB
R12 T 120/80MMHG
K03 GIGI RA RB
J10
J11 T 120/80MMHG
Z32
H10
GIGI 7 RA KIRI
K02 PERMANENT
A01 T 120/80MMHG
A16 T 120/80MMHG
K03 GIGI RA RB
K29 T 120/80MMHG
K03 GIGI RA RB
K03 GIGI RB RA
K02 RA RB
K03 GIGI RA RB
K03 GIGI RB KG
K29 T120/80MMHG
H00 T 120/80MMHG
I10 T130/80MMHG
W49 T 120/80MMHG
TB 163CM BB 62KG T
Z00 120/80MMHG
R53 T
E10 T 120/80MMHG
I10 T130/90MMHG
I10 T160/90MMHG
S82 T 120/80MMHG
K29 T 110/70MMHG
A15 T 120/80MMHG
T 130/80MMHG
J00
R07
S73
E10
N830
E10 T120/80MMHG
K29 T 120/80MMHG
I50
S34
TB 160 BB 55 TD
Z00 110/70
I95 T 80/70
TB 155 BB 55 TD
Z00 T 120/80MMHG
110/70
L24 ERYT+ PUST- VES-
H019 MAC- PUST-
TD 100/70
J00
GIGI 6 RA KIRI
K04.0 PERMANENT
K12
K29 T 120/80MMHG
T120/80MMHG
A15
R53
J00
E10
K04.9 GIGI 6 RB KIRI
P3ERMANENT
K29 T120/80MMHG
R53 T 90/70
H58
K29 T 95/70
I10 T 210/95
I10 T 185/90
I10 T 190/90
R060
N18
R53
R070
Z00
R53
R53 T 110/80
R21
E14 T 130/80
R53
G40
Z00
Z00
E14 GDA 334
J00
E78
J00 T 100/70
J00
E10 T 130/90MMHG
H54 T 120/80MMHG
E149
J11 T 170/90MMHG
J11 T 120/80MMHG
R53 T120/80MMHG
F20
J44
I50
N18
J11 T 120/80MMHG
A16 T 120/80MMHG
H25
J10
R51 TD 90
J11 T 120/80MMHG
E14 T 120/80MMHG
R53 T 120/80MMHG
R53 T 120/80MMHG
R53 T 120/80MMHG
K29 T 120/80MMHG
L23 T 120/80MMHG
R53 T 120/80MMHG
K29 T120/80MMHG
Z00
G40
J449
I50 T120/80MMHG
L23
Z03
R05
E14
R53
S56
K29
E14
R53
Z00
Z00
L23
E14
I50
R53
I50
H54
Z09
I84
M10 AU 7,1
E14
J00
E14
E14
J45
E14
A690
GIGI 6 RB KIRI
K04.1 LANCIP
K02 GIGI 7 RB KANAN
GIGI RAHANG ATAS
K03 KA
GIGIKI6 RB KIRI
K04.1 PERMANENT
H10
I10 T 200/100
Z00
F20
GIGI 6 RB KANAN
K04.9 PERMANENT
Z00
J11
R060 T 165/85
J44
GDA 421
E10 KOLES 216
E14
Z00
I10 TD 170/90
J00
K29
A16
GIGI 7 RB KIRI
K04.9 PERMANENT
E11
E14
A75
H60
K05.1 TAA
L23
K29
K29
J00
J00
R05
R53 GDA 83
E14
GIGI 6 RB KIRI
K04.1 PERMANENT
F20
T 160/90
GIGI RB
K04 GIGI RA RB
L23
K29
GIGI RB KIRI
K04.0 PERMANENT
K05.1 TAA
K05.1 TAA
K03 GIGI RA RB
E14 GDA 103
I10 T 180/90
R53
K04.1 GIGI RA RB
J00
I10 T 180/90
K04 GIGI 5 RB KIRI
SULUNG
R53
E14
Z09
B20
J00
Z00
R53
I10 160/100
F20
J11
GIGI 4 RA KIRI
K04.0 PERMANENT
GIGI 2 RB KIRI
K04.1 PERMANENT
K29 T 120/80MMHG
R53 T 120/80MMHG
K29
A15
R53 T 120/80MMHG
I10
R50
A01
K29
R53
J11
R53
Z00
J11 T 130/80MMHG
R53
Z00
Z00
I10
R53
E10 T120/80MMHG
R53 T 130/90MMHG
H54 T 120/80MMHG
I10 T 120/80MMHG
B20
Z00
R53
K29
Z00
R53
Z00
E11
I50 T 190/100MMHG
I10
J11 T 110/70MMHG
A15 T 120/80MMHG
GIGI 2 RB KANAN
K04.9 PERMANENT
GIGI 8 RB KIRI
K02 PERMANENT
K05.1 GIGI RA RB
GIGI 6 RB KIRI
K04.9 PERMANENT
K04.0 GIGI 5 RB
GIGI 4 RA KANAN
K04.9 PERMANENT
L24 T120/80MMHG
I10
R53
E11
E149 T 120/80MMHG
J11
H54 T 130/80MMHG
J11 T 120/80MMHG
N18 T 120/80MMHG
J11 T 120/80MMHG
A16 T 120/80MMHG
R51
D470
K02 GIGI RB KIRI
Z00
R53
F20
J00
L23
K29
K29
F20
GIGI 6 RB KIRI
K04.1 PERMANENT
R53
J00
K03 GIGI RB KA KI
GIGI 7 RB KIRI
K04.9 PERMANENT
GIGI 5 RA KIRI
K04 PERMANENT
A16 SPS
J10
R53 TD 140/
K03 GIGI RB
Z00
R53
J00 T 120/80
Z00
R53 T 130/80MMHG
R53
R53
TB 165CM BB 63KG T
Z00 120/80MMHG
R53
J449
J00
GIGI 6 RA KIRI
K02 PERMANENT
K29 T 110/70MMHG
H54
I10 T 180/100MMHG
J11 T 120/80MMHG
A16 T 120/80MMHG
K29
J11 T 120/80MMHG
I50 T 120/80MMHG
J11 T 120/80MMHG
R53
K13
K29
J00 T 150/90
R060
I10 T 155/90
J00
L23
GIGI 5 B KANAN
K00 SULUNG
I50
R53
I50
R05
J10
J00
I50
GIGI 5 RA KANAN
K04.0 PERMANENT
Z09
G440
K05.1 GIGI RA RB
R05 SPS NEGATIF
K29
F20
R53
R53
K00 GIGI 3 RB KANAN
SULUNG
Z09
J11
L23 110/70
K29
J11
I10
F20
I10 130/80
I10 160/100
F20
R51
Z00
R53
L23
I50
L24
Z00
K12
H54
I10 140/90
K29 120/80
K29 120/80
I10 170/90
I10
R53 90/70
I50
H26
E14
M09 100/70
E14
N40
I10 160/90
I10 180/90
R91
I10 140/90
I10 110/70
I10 170/100
I50
H54
E10
D470
I64
E10
E14
I50
E14
I10 145/90
R53 T 120/80MMHG
R53
R53
A16 T120/80MMHG
A16 T120/80MMHG
F20
A16 T 120/80MMHG
I50 T120/80MMHG
E10 T 120/80MMHG
J11 T 120/80MMHG
I50 T 120/80MMHG
K29
I10 T 130/90MMHG
K29 T 120/80MMHG
I10 T 180 /90
I64 T 120/80MMHG
I50
H54
M09 130/80
M09 130/80
R53 T 110/70MMHG
I10 T 130/90MMHG
R53 T 110/70MMHG
I50 T 120/80MMHG
I84
L23
A18
GIGI 6 RB KIRI
K04.9 PERMANENT
L23
J00
J10
N18
K29 T 160/90MMHG
L24
K05.1 GIGI RA RB
A09
GIGI 3 RA KANAN
K04.9 PERMANENT
L23
Z00
K29 T 150/90MMHG
H66
J10
I10 T140/90MMHG
E10
R53 T 90/60MMHG
K05.1 RA RB
R51
HIV NON REAKTIF
Z09 IMS NON REAKTIF
K29
J10
R51
I10
J10
J45 120/80
I10 170/90
L23
K04.5 DRUK - TD 110/70
R05 T 120/80MMHG
I10 T 180/100MMHG
A18 T 120/80MMHG
K05.1 GIGI RA RB
A16.T
R05 T 120/80MMHG
R53 T130/80MMHG
A15 T 120/80MMHG
I10 T 180/100MMHG
R53 T 120/80MMHG
K04.4 DRUK +
E10
TES DINGI (-), DRUK
K04.5 (-)
S82
K05.3 KEMERAHAN
DRUK -, TD
K04.5 100/70MMHG
K29 90/70
M09
F20 MOLAR SATU DUA
K02 KANAN BAWAH
K458 CARIES
K29 100/70
I10 150/90
K29 80/70
Z09
I50
K04.5 DRUK +
I10 150/90
K05.1 GIGI RA RB
D470
K29
A15
J11 T110/70MMHG
GIGI 1 RB KANAN
K04.9 PERMANET
B20
R53
Z00
J11
K03 GIGI RB KA KI
R53 T 150/90MMHG
H54
K02 GIGI RB
K03 GIGI RA RB
I10 125/80
R51 110/70
A15
I50 T 120/80MMHG
A15
I50 T130/90MMHG
E10 T 120/80MMHG
K29 T 110/70MMHG
K80 T 120/80MMHG
I50
K04.9 GIGI 6 RB KANAN
PERMANENT
F20
K29 T 120/80MMHG
E10 T 120/80MMHG
J11 T 120/80MMHG
Z32
R05 T 110/70MMHG
K03 GIGI RB KA KI
K05.1 GIGI RA RB
GIGI 8 RB KANAN
K04.5 PERMANENT
K03 GIGI RB KA KI
A15
K02 GIGI
I84
J45 T 110/70MMHG
R51 140/80
A15 T 120/80MMHG
J11 T 130/80MMHG
I50
Z00 TB 157CM BB 65 T
120/80MMHG
R05
H60
E10 T 130/80MMHG
J10
Z09
J10
R51
H10
R53
Z32
A16
AU 6,3
I10 COLES 158
Z00
J10
R20
I84
Z00
J10
AU5,1
R53 KOL 122
L23
J10
H10
G40
K03 GIGI RA KA KI
Z00
GIGI 6VRA KIRI
K02 PERMANENT
R05 T 120/80MMHG
J11 T 120/80MMHG
H10 T 130/80MMHG
T 120/80MMH NYERI
K29 EPYGASTRIK +
I64
I10 T 210/110MMHG
R05 T120/80MMHG
J11 T120/80MMHG
I50 T
K29 T 130/80MMHG
R53 T 110/70MMHG
GIGI 6 RB KANAN
K02 PERMANENT
J10
R53
GIGI 6 RB KANAN
K04.9 PERMANENT
GIGI 6 RA KSNSN
K02 PERMANENT
Z32
K29
K29
R53 T 130/80
R53
GIGI 5 RB KIRI
K04.9 PERMANENT
I10 T 140/90
K05.1 GIGI RA RB
GIGI 6 RA KANAN
K04.9 PERMANENT
K29 AU 7.2
L24
J10
K05.3 DRUK(-)
R53
I10 I 170/90
K29
I10 T 190/95
R53
R12
A16 WEZ-/- STRID-/-
R53 T 120/80MMHG
R05 T 120/80MMHG
K29 T 120/80MMHG
T 120/80MMHG
K29 PUSING MUAL
I50 T 120/80MMHG
K29 T 150/90MMHG
L24 T 120/80MMHG
I10 T 140/90MMHG
J11 T 120/80MMHG
R53 T 120/80MMHG
R31 T 140/90MMHG
R05 T 120/80MMHG
I10 T130/90MMHG
K29 T 120/80MMHG
I50 T 130/80MMHG
I10 T 140/90MMHG
R53 T 130/90MMHG
J11 T 120/80MMHG
F03 T 120/80MMHG
E10 T 120/80MMHG
L23 T 130/90MMHG
K29 T 130/80MMHG
I50 T 120/80MMHG
R53 T 160/90MMHG
I10 T 150/90MMHG
K29 T 120/80MMHG
I10 T 220/110MMHG
A16 T 120/80MMHG
I10 T 150/90MMHG
R53 T 110/70MMHG
G40 T 120/80MMHG
I50 T120/80MMHG
K29 T 120/80MMHG
J11 T 140/90MMHG
J11 T 160/100MMHG
M09 T 120/80MMHG
M05 T 140/90MMHG
E11
K29 T 110/70MMHG
R53 T 120/80MMHG
E10 T 120/80MMHG
R53 T 120/80MMHG
K29 T120/80MMHG
J11 T 130/90MMHG
E10
E14 T 120/80MMHG
I50 T120/80MMHG
K29 T 120/80MMHG
K29 T 120/80MMHG
R53 T 120/80MMHG
K29 T 120/80MMHG
M05
R53 T 120/80MMHG
J11 T 120/80MMHG
J11 T 120/80MMHG
S73
E109 T 120/80MMHG
J03 T 120/80MMHG
TB=158 BB=58 T=
Z00 110/70MMHG
GIGI 2 RA KANAN
K04.9 PERMANENT
B008
R53 T 110/80
I50
J10
F20
K29
GIGI 2 RA KIRI
K00 PERMANENT
J10
Z32
K29
L23
K29
Z00
M05 T 120/80MMHG
F20
I50
K03 GIGI RA RB
R53
Z00
L24
K05.1 GIGI RA RB
A09
R50
S82
H66
GIGI 6 RB KANAN
K02 PERMANENT
H52
I84
I10 TD 160
AU 6,0
M10 KOL 268
R53
GIGI 6 RB KIRI
K04.9 PERMANENT
I10 T 170/90MMHG
Z00
Z00
R31
R53
K29 T 160/90MMHG
J11 T 120/80MMHG
GIGI 8 RB KANAN
K04.0 PERMANENT
I64
K29
R53
F20
H10
K05.1 GIGI RA RB
Z00
K05.1 GIGI RA RB
R53 T 140/90MMHG
R53 T 120/80MMHG
Z00
GIGI 8 RB KANAN
K04.0 PERMNENT
Z00
S34
J10
K05.1 GIGI RA RB
I10 T 150/90MMHG
L23
R53 T 120/80MMHG
J11 T 120/80MMHG
KOLES 263
M10 AU 7,8
L23 T 120/80MMHG
J180
R53 T 150MMHG
GIGI 4 RB KIRI
K02 PERMANENT
K05.1 GIGI RA RB
GIGI 7 RA KIRI
K04.9 PERMANENT
J00
J11 T 130/90MMHG
R53 T110/70MMHG
R53 T 120/80MMHG
J11 T 140/90MMHG
E10
I10 T 150/90MMHG
K05.1 GIGI RA RB
R05
J02
E01
A15
L24
Z00
J10
A09
S82
E10
K29
E10
B24
Z00
K29
GIGI 1 RA KA KI
K02 BERLUBANG
J10
K29
N40
J10
R51 TD 130
K29
I10
J10
Z00
I84
K29 T 120/80MMHG
R53
J00
J11
I50 T 120/80MMHG TB
C17 156CM BB 55KG
A09 RESP 18X/MT
T 120/80MMHG
E14
I50
GIGI 8 RB KANAN
K04.9 PERMANENT
J44
R53
I10
L24
E10
M47
GDA 403
E10 TD 11O
J00
K04.5 GIGI 2RB KANAN
I10 TT 130/90MMHG
120/80MMHG
J45 RESP 18X/MNT TB
J00 165CM
T 150/90BB =54KG
K04.5 GIGI 8 RB KIRI
PERMANENT
J90
I10
J00
K05.1 GIGI RA RB
Z00
F20
K29 T 100/70
N18
R53
J039
R53
R05
R05
J00
GIGI 6 RB KANAN
K04.5 PERMANENT
K29
K05.1 RA RB
Z00
I60 TT 160/90
120/80MMHG TB
E01 156CM BB 46KG R
GIGI 6 RA KIRI
18X/MNT
K04.3 PERMANENT
J11
GIGI 7 RB KIRI
K04.9 PERMANENT
R53
I10 TD 140
J10
GIGI 1 RA KANAN
K02 PERMANENT
R53
R53 AU 5,1 KOLES 230
K04.5 GIGI 8 RB
K05.1 GIGI RA RB
J00
K05.1 GIGI ERA RB
GIGI 6 RA KIRI
K04.1 PERMANENT
I50
GIGI 1 RA KANAN
K02 PERMANENT
GGI 6 RA KIRI
K02 PERMANENT
E10
E11
GIGI 5 RB KANAN
K04.9 PERMANENT
H60
I10
L23
A16.T
E10
K05.1 GIGIRA RB
GIGI 8 RB KIRI
K01 PERMANENT
K29
GIGI 6 RB KANAN
K04.1 PERMANENT
H10
I10
J45
R53
L23
T12
J11
R53
J11
K05.1 GIGI RA RB
K04.9 GIGI 6 RB KIRI
Z00
L24
R53
Z09
A049
Z00
R53
H54
R53
K03 GIGI RB KA KI
J11
R53
L23
Z00
S63
R05 T 100/70MMHG
K29 T 120/80MMHG
K29 T 120/80MMHG
J44 T 100/70MMHG
K29 T110/70MMHG
R51
Z32 AU 10.1
M10 KOL 216
I50 GDA 129
T 120/80MMHG
L23
GIGI 1 RA KANAN
K04.9 PERMANENT
K04.9 GIGI 1 RA kiri
L23 T 130/90MMHG
A15 T 120/80
J11 T 110/70MMHG
E14 GDA 476
R53 T 150/90MMHG
Z09 T 120/80MMHG
GIGI 5 RB KANAN
K04.5 PERMANENT
Z00
K31
Z09
Z00
I50
GIGI 7 RB KAANAN
K04.0 PERMANENT
J11 T 130/90MMHG
Z00
K29 T 130/80MMHG
J11 T 170/90MMHG
K29 T 150/90MMHG
I50
I11 T 130/90MMHG
H54 T130/90MMHG
E10
E11
I64 T 130/80MMHG
F20
R53
K02 GIGI RA RB
I50 T 120/80MMHG
G45 T 130/90MMHG
GIGI 6 RB KIRI
K04.1 PERMANENT
R53
R53 T 120/80MMHG
I10 T 130/90MMHG
I50
Z00
GIGI 7 6 RB KIRI
K02 PERMANENT
GIGI 5 BAWAH
BERLUBANG
K04.9 KANAN PERMANENT
L23
J10
J10 T 150/90MMHG
H52
H52
K04.1 GIGI RB
H54
I10 T 150/90MMHG
R53 T 130/90MMHG
I50
R51 90/70
L23
R51 130/70
GIGI RB KA KI
K03 BANYAK
GIGI 6 RBKG
KIRI
K02 PERMANENT
K00 GIGI RA RB
K29 140/90
I10
F20
I50 T 120/80MMHG
K05.1 GIGI RA RB
GIGI 2 RA KIRI
K02 PERMANENT
K05.1 GIGI RA RB
GIGI 5 RB KANAN
K04.5 PERANENT
I10 130/90
GIGI 2 RA KANAN
K04.1 PERMANENT
K458
Z00
R51
I50
I10
I50
H10
A01
M09
E10
K04.0 GIGI 5 RB KIRI
K100
K03 GIGI RA RB
C50
I50
E11
J11
H26
K05.1 GIGI RA RB
L24
I10 170/90
H66
K29
I10 150/90
J11 110/70
I84
K02 GIGI 1 RA KIRI
PERMANENT
A75
L23 100/70
K29
L23
I10 TD 150/
L23
J10
L24
A15
Z00
R53
Z00
K03 GIGI RA RB
R53
GIGI 7 RB KANAN
K04 PERMANENT
Z09
GIGI 8 RB KANAN
K01 PERMANENT
K03 GIGI RB KA KI
K29
E10
GIGI 4 RA KANAN
K04.0 PERMANENT
E10
E05
R53
K29
GIGI 1 RA KIRI
K04.9 PERMANENT
R05
GIGI 5 RB KIRI
K04.9 PERMANENT
R50
J00
GIGI 8 RA KANAN
K04.5 PERMANENT
R53
A15
E10
I10
GIGI 8 RB KANAN
K01 MIRING
I50
K29
J00
J00
K04.9 GIGI
R53
J00
R53
GIGI 6 RB KIRI
K04.1 PERMANENT
J00
K29
J00
K29
Z09
I10 T 160/90
K04.1 GIGI
R33
Z00
R53
R53
L24
H000
GIGI 4RB KIRI
K04.1 PERMANENT
G40
I10 T 220/100
I50
R53
L23
A16
GIGI 5 RB KANAN
K04.9 PERMANENT
Z00
K29
J10
I10 T 150/90
A15
Z00
GIGI 5 ATAS KIRI
K02 PERMANENT
Z00
R53
H26
R51
K46
I50
J11
E10
K29
Z00
E10
K29
S34
A16
N18
A01
GIGI 5 RB KIRI
K04.1 PERMANENT
M10
K03 GIGI RA RB
GIGI 7 RB KANAN
K04 PERMANENT
E11
K29
C50
R53
I15
Z09
F20
F20
GDA 380
E11 KOLES 208
H66
E10
E10
M10 AU 6,3
H54
N18
J11
I10
I50
I50
GDA 187
M10 KOLES
GIGI 4 243
RB KANAN
K04 PERMANENT
F20
J45
I10
E14
J11
I50
K29
K29
I84
J45
M09
G40
TD 190/
E10 GDA 239
I10
Z00
I10
I10
J10
I10
I10
E14
I10
Z00
H10
R53
J11
G40
K29
Z00
R53
K29
I10
J44
Z09
E10
K29
Z32
Z00
J10
K29
GIGI 1 RA KANAN
K04.1 PERMANENT
I10
D47
I64
M19
I50
I50
J44
M09
J10
J10
K05.1 GIGI RA RB
I10
A15
Z00
GIGI 1 RA KANAN
K02 PERMANENT
K05.1 GIGI RA RB
J10
Z00
R53
J10
K29 TD 160
B02
K04.1 GIGI 6 BAWAH KIRI
I10
Z09
R53
I84
Z09
J10
R51 TD 120
R53
E10
R53
GIGI 5 RA KANAN
K04.9 PERMANENT
F20
J44
I10
A16
M10
Z09
R53
E10
I64
F20
J44
E78
J10
I10
Z00
H25
Z32
K03 GIGI RB
J10
H54
A16
GIGI RB KIRI
K04.9 PERMANENT
GIGI 6 RB KANAN
K04.1 PERMANENT
K05.1 GIGI RA RB
A01
R51
K05.1 GIGI RA RB
K29
J11
J11
L23
H54
A16.T
I10
K29
GIGI RB KANAN KIRI
K03 PERMANENT
GIGI 4 RB KIRI
K04.9 PERMANENT
M93
I50
I50
Z09
I50
R53
K29
K29
L23
A16.T
GIGI 6 RB KIRI
K04.1 PERMANEN
R53
L24
GIGI 36 ,37 RB
K04.0 PERMANENT
R53
R39
J11
R51
Z30
L24
B02
K29
H10
M09
E11
E10
E14
R53
J10
A09 TT 130/80MMHG
130/90MMHG
L23 ERYT+ VES- PUST-
K40 MACUL- CRUST-
A15 T 120/80MMHG
TB 150CM BB 47KG T
Z00 120/80MMHG
GIGI 8 RB KIRI
K04.0 PERMANENT
E10 T 120/80MMHG
L23
J10
H66
I10 T 170/90MMHG
GIGI 6 RB KANAN
K04.0 PERMANENT
I50 T 120/80MMHG
T 140/80MMHG BB
D470 80KG RESP 18X/MNT
W49 T 120/80MMHG
GIGI 1 RA KANAN
K04.9 PERMANENT
R05 T 120/80MMHG
Z09
Z09
K03 GGI RB KA KI
R53 T 140/90MMHG
N18
K29
E10 GDA 240
H54
L23
Z09
J10
R53
L23
H54 T 120/80MMHG
K05.1 GINGIVITIS
I50 T120/80MMHG
GIGI 7 RA KIRI
K04.9 PERMANENT
Z09
K29 T 110/70MMHG
L23 T 120/80MMHG
F23
J10
K29
F20
A09
A16 T 120/80MMHG
J10
E01
J11 T130/80MMHG
B20
E01
K05.1 GIGI RA RB
J10
E10 T 110/70MMHG
R53 T 120/80MMHG
J10 T120/80MMHG
K29 T 130/80MMHG
R53
H54 T120/80MMHG
J10
H26 T 120/80MMHG
GIGI 6 RB KANAN
K04.1 PERMANENT
I50
L24 T130/80MMHG
R29 T 120/80MMHG
I50
R53 T110/70MMHG
I10 TD 140/
I10 TD 190
K29 T 120/80MMHG
J11 T 120/80MMHG
GIGI 3 RB KANAN
K04.1 PERMANENT
K29 T 150/90MMHG
GIGI8 RB KIRI
K04.9 PERMANENT
H26 T 120/80MMHG
T15
R53 T120/80MMHG
R53 T 130/80MMHG
J10 T 120/80MMHG
K29 T 150/90MMHG
J10
Z00
K29
E10
I10
J10
Z00
R50
Z00
S74
K04
GIGI 8 RB KIRI
K04.5 PERMANENT
K29
I50
D010
J44
K29
I10
Z00
J10
Z00
J10
Z00
I10 T 160/90
E10
Z09
H44
Z09
Z00
K29
GIGI 6 ATAS KANAN
K02 PERMANENT
GIGI 7 RB KIRI
K04.1 PERMANENT
K05.1 GIGI RA RB
R53
R53
K05.1 GIGI RA RB
K05.1 GIGI RB KA KI
A39
R50
GIGI 1RA KIRI
K04.9 PERMQNENT
I10
K05.1 GIGI RA RB
PERMANENT
E10
Z00
K05.1 GIGI RB KA KI
M10 AU 7,2
Z00
R50
J10
Z09
E10
I50
Z00
V010
A15
L23
I50
R53
J00
J45
S43
R53
K03 GIGI RA KA KI
I10
Z00
R53
R53
B20
K29
J45
Z32
J11
M09
GIGI RB KANAN
K03 BANYAK KG
N18
R53
GIGI 6 RA KIRI
K02 PERMANENT
R05
E10
Z09
K03 GIGI RB KA KI
I10 T 160/80
R53 T10/80
Z09
Z00
K04.1 GIGI RB KIRI
PERMANENT
I50
K29
GIGI RB KANAN
K04.0 PERMANENT
R53
I64
R05
Z00
K03 GIGI RB KA KI
L23
R53
I95
GIGI 5 RB KIRI
K04.0 PERMANENT
GIGI 6 ATAS KIRI
K04.0 PERMANENT
K04.0 GIGI
C859
H10
A15 T 120/80MMHG
GIGI 5 BAWAH KIRI
K04.1 PERMANENT
GIGI 8 ATAS KIRI
K04.1 PERMANENT
Z00
I10
K29
K29
K29
A15 T 120/80MMHG
E10 T 120/80MMHG
I10 T 190/100MMHG
I10 TD 180/110
H54
R53 AU 6'7
J10
L24
L23
K29
K29
R53
I10
GIGI 7 RRB KANAN
K04.9 PERMANENT
F20
I10
Z00
I50
K29
A15
T25
H10
Z00
I84
A16
K29
E10
L24
R53
R50
H25
GIGI 6 RB KANAN
K04.0 PERMANENT
I84
R53
R53
Z09
I10
R53
N188
R53
A09
J00
I50
J00
R53
GIGI 2 RA KIRI
K04.1 PERMANENT
H10
GIGI 6 RB KIRI
K04 PERMANENT
I50
A09
Z00
R53
J00
F20
E10 T 130/80
E10
K04 GIGI 8 RB KIRI
A09
Z00
E10
I10 T 150/80
R53
A15
E11
A09
J00
GIGI 2 RA KIRI
K04.1 PERMANENT
E10
K29
I10 T 170/90
I10 T 180/90
E14
S62
N830
F20
Z00
E10
R21
K29
A75 LAB POSITIP THYPUS
J10
A15
E78
I10 TD 160/110
R53
L23
Z00
K04.9 GIGI 8 RA KIRI
PERMANENT
K05.1 GIGI RA RB
J44
N18
GIGI 1 RA KIRI
K04.1 PERMANENT
R53
K05.1 GIGI RA RB
K05.1 GIGI RA RB
K05.1 GIGI RA RB
K04.1 GIGI RA RB
I50
I10
E10
GIGI RA RB
K05.1 PERMANENT
L23
E10
F20
R53
I10 T 170/90
GIGI 6 RA
K04.1 KIRIPERMANEN
B20
Z00
K05.1 GIGI RA RB
J00
H10
Z00
Z00
K29
J00
R53
Z00
Z00
Z00
Z00
GIGI 6 RB KANAN
K04 BAWAH
Z00
Z00
K03 GIGI RB KA KI
J10
Z00
Z00
J00
J10
Z00
Z00
Z00
Z00
J10
Z00
R53
Z00
Z00
Z00
I10 TD 180/120
H54
R51
R05
TD 120/80
J20 TB 160CM
E11
K40 T 130/80MMHG
R05 T 120/80MMHG
J10
H54
A09 T 120/80MMHG
J10
J10
J10
K04.1 GIGI RA RB
R53 T 120/80MMHG
R53 T 120/80MMHG
TB 165CM BB 55KG
Z00 T120/80MMHG
T 120/80MMHG BB
A15 46KG N 80X/MNT
K80
I10 T 130/90MMHG
T 140/80MMHG N
A15 80X/MNT
I64 T 180/80MMHG
T 150/90MMHG N
I10 80X/MNT
I10 T 150/90MMHG
E10 T 120/80MMHG
I10 T170/90MMHG
I10 T 170/90MMHG
T130/90MMHG N
I10 80X/MNT
K29 T 110/70MMHG
J45 T 130/80MMHG
K29 T100/70MMHG
K02 GIGI 11, 21
I84
A75
J00
L23
J00
J00
H10
R53
A09
L23
I84
I50
R53
I84
K44
E10 GDA 240
R33
R53
K03 GIGI RA RB
R23
A16
K03 GIGI RA RB
I50
K010 GIGI
J00
E10
K29
L23
Z09
I50
J10
R53
K04.9 GIGI
K29
H54
K29
I10 T 150/85
L23
K29
I10 T 190/90
J10
K29
Z00
J00
I10
L23
J00
A15
R53
R53
K05.1 GIGIRA RB
R53 AU 6,3
I50
I10 T 180/90
GIGI RAHANG ATAS
K05.1 & RAHANG BAWAH
L23
I10 TD 130
L23
I10 T 150/90
H54
R51 TD 130/70
A09
I95 T 90/70
Z32
J00
I95 T 85/60
N29
Z00
F20
N200
I10
K29
K29
I10
R51
K29
R53
K29 T 110/80
R50
R53 T 140/80
R53
Z00
R53
R05
R53
K03 GIGI RA RB
R05
R53
E11
I10 T 169/90
A15
F20
L24
K29 T 110/70MMHG
I10 T 170/90 MMHG
J350 T 130/80MMHG
N18 T 150/90MMHG
A15 T 120/80MMHG
J45 T 120/80MMHG
E10 T 110/70MMHG
H609 T 90/70MMHG
J44 T 120/80MMHG
R53 T 130/80MMHG
E10 T 130/90MMHG
L23 T 120/80MMHG
Z09 T 120/80MMHG
A15 T 100/70MMHG
J11 T 120/80MMHG
R53 T130/90MMHG
I50
Z00
K46
R05
Z00
K29
G40
Z00
K29
R53
N830
J00
L23
J00
J10
A09
H25
J00
E10
I10 T 150/85
N18
K03 GIGI RA RB
L23
Z09
Z00
R05
K40
I50
I50
I10 T 180 / 90
K29
Z09
F99
R05
R53
J00
E10
K29
F20
R53
J00
F20
A15
Z00
K29
K03 GIGI RB KA KI
I10 T 150/90MMHG
J449 T130/80MMHG
R53 T120/80MMHG
I209 T 130/80MMHG
K29 T 110/70MMHG
E14 T 110/70MMHG
K29 T 130/90MMHG
L23 T 130/90MMHG
E14 T 150/90MMHG
E21 T 120/80MMHG
J10 T 120/80MMHG
E10 T 170/90MMHG
T 130/90MMHG N
E10 80X/MNT
R05
E149 T 170/90MMHG
R53 T 120/80MMHG
R53
L23
G40
H10
R53
L23
J00
F20
A09
Z00
I10
J029
J44 T 110/70MMHG
R53
I10 T 200/100
A09
GIGI RA RB
K03 PERMANENT
L23
I50
H57
R53
J00
F06
R05
R53
L24
R53 T 150/90MMHG
Z09
R53 T 110/70MMHG
L23
R51
J10
J45
Z00
Z00
H52
I50
J10
M10
J10 TD 90/
GIGI 5 RB KANAN
K04.9 PERMANENT
I50
J10
PEMERIKSAAN GIGI
K05.1 RA RB
Z00
J10
K29
G40
J10
GIGI 4 RA KIRI
K04.1 PERMANENT
R53
J10
E10
GIGI 1 RA KANAN
K04.9 PERMANENT
R51
Z32
I50 T 130/80MMHG
N18 T 120/80MMHG
R53 T 120/80MMHG
L23 T 120/80MMHG
I64 T 120/80MMHG
A15 T 120/80MMHG
I10 T 120/80MMHG
Z30
E10
I10
E11
K29
I10 T 120/80MMHG
R51
H60
R51 130/80
E11 gda 318
M09 T 120/80MMHG
Z00
F20
K29
D01
R53
F20
E10
H10
J11
I50
E11
K29
I64
I50
Z00
A01
R53
E11
D47
E10
L23 110/70
Z00
E10
K29 T 110/70MMHG
D64 T 100/70MMHG
J45 T 120/80MMHG
I10 T;120/80MMHG
R05
R53
K29 T 120/80MMHG
J00
J00
H60
Z00
R53 T 120/80MMHG
L64 T170/90MMHG
GIGI RA RB BANYAK
K05.1 YANG BERLUBANG
I84
GIGI RA RB KA KI
K05.1 PERMANENT
Z00
I50
R53
E78
K29
B20
B26
M069 T120/80MMHG
K29
GIGI 6 RA KANAN
K02 PERMANENT
K03 GIGI RA PERMANENT
R05
J10
I10
GIGI 6 RA KIRI
K06.2 PERMANEN [RESESI]
T
J10
GIGI 6 RB KIRI
K04.1 PERMANENT
R53 T 120/80
T 100/60 BB 46 RR
A01 20
TB 155 BB 69 T
I50 130/80 N 80 RR 20
L23 TV 110/70 BB 50
E10 T110/70 BB 48
L23
T 100/60 BB 76 RR
J10 20 TBB 1668
T 110/70 BB 98 RR
K29 20 TB 155BB 55 RR
T 130/80
J10 20
M06 TC120 B 79
I50 TB 155B BB 69 T
130/80 RR 18
Z32
K29 T 120/80MMHG
I10 T 150/90MMHG
M09 T 130/80MMHG
R53 T 120/80MMHG
R51
GIGI 6 RB KANAN
K02 PERMANENT
J11 T 120/80MMHG
N18
I10 T 140/90MMHG
K05.1 GIGI RA RB
R53
K03 GIGI RB KA KI
O01
E149 T 120/80MMHG
I50 T 120/80MMHG
K04.1 GIGI RA RB
A16 T 120/80MMHG
Z00
I50
A09
K04 GIGI 7 RB KIRI
PERMANENT
K29
I84
GIGI 8 RB KIRI
K01 IMPAKSI
J10
Z00
E21
L91 GIGI 6 RA KIRI SAKIT
K04 PERNAH DI TAMBAL
R51 SEKITAR
TD 90/605 BULAN
I50
I50 T 120/80MMHG
R53 T 120/80MMHG
L23
H66
J45 T 120/80MMHG
L23
A01 T 110/70 BB 59 N 80
F20 T 100/60 BB 35 N 80
T 110/70 BB 55V TB
Z00 153
120/80 BB 100 TB
Z00 168
T 120/80 TB 165 BB
Z00 54
L23 T 120/70 BB 80 N 80
H66 T 110/70 B 64 N 80
RR 84
150/90 BB 55 RR 20
I10 N 80
T 110/70 BB 45 RR
A09 20 N 80
Z30
R53 T 110/70 BB 56 N 80
T 130/80 BB 72 N 80
L23 RR 20
A06
T 120/80 N 80 RR 20
J11 BB 60 BB 60 RR
100/70
J11 20N N 80 BB 50 N80
TV120/80
M06 RR 20
T 120/80 N 80 RR20
J10 BB50
T 110/70 BB 55 TB
Z00 167
E10 T150/90MMHG
,
T 100/60 BB 50 N 80
E10 RR 20
T 180/100 N 80 RR24
I10 BB 80
J11 T130/90MMHG
E10 T120/80MMHG
T 110/70 BB 55 TB
Z00 157
T140/80 BB 60 RR 20
M06 N
TV80
100/60 N80 RR20
K29
BB 60
T 100/60 N80 RR 20
J10
BB 69
J11 T120/80MMHG
GIGI 6 RB KIRI
K05.1 PERMANENTSKIT
M06 TDC120.=/80
T 120/80 BB 49 RR
I50 18N N 80
K05.1 GIGI RA RB
E10 T120/80MMHG
GIGI 1RA KIRI
K02 PERMANENT
T 100/60 N 80 RRC20
K29 BB 60
T 120/80MMHG
I64 T150/90MMHG
TV100/60 BB50 N 80
E10 RR 20
R53 T 110/80MMHG
Z00
T 110/ 70 BB 64 RR
W45 20 N 80
R53 T 120/80MMHG
I64 T 120/80MMHG
T V100/60 N 80 BB
K29 60-
GIGIRRV
6 RA2O
KIRI
K04 PERMANENT
J11 T 90/60 N 80 RR 20
TB 147 BB 45 TB
Z00 90/70
R05 T 120/80MMHG
TB 163 BB 60 T
B17 100/60 RR 20
I10 T150/90MMHG
T 90/60 N 84 BB 58N
E01 T 130/80MMHG
TV 120/80 N 80 BB
J10 88
F20 T 110/70 BB 80 N 84
E10 T 110/70 BB 56 N 80
Z00
A09 BB 50 N 80 T 110/70
Z32
L23 BB 20 RR 20 N 84
I50 TB 160 BB 85
Z09 TB 152 BB 42 N 84
T 130 /80 N 80 BB
M06 58
H54
T 120/80 N 80 RR 20
K29 BB
GIGI566 RA KIRI
K04.0 PERMANENT
L23 T 120/80 BB 56 N 80
GIGI 4 RB KANAN
K04.0 PERMANENT
K29
R29 T 120/80MMHG
I50 T 130/80MMHG
L24 T 120/80 BB 48 N 80
A15 T 120/80MMHG
I64 T120/80MMHG
K29 T 120/80 N 80 BB 65
K29 T 110/70 BB 59 N 80
J11 T 110/70 BB 53 N 80
T 100/60 BB 47 TB
Z00 159
R05 T 150/90MMHG
T 120/80 BB 96 N 80
Z00 TB 156
I10 T=120/80MMHG
H10 T 120/80MMHG
K02 GIGI RA RB,
E10 T 130/90MMHG
TB 159 BB 63 RR 24
I50 N 88
K29 T120/80MMHG
T 120/80 BB 42 N 80
K29 RR 20
E10 T 120/90MMHG
K29 BB
E10 T 120/80MMHG
TD 120/80 BB 70 N
K29 80
TB RR
15620BB 78 T
Z00 120/80
GIGI 4CRA KIRI
K04.1 PERMANENTLANCIP
T 110/ 70 BB 62 N 80
K29
RR 18
M06 T 140/90 N 80 BB 68
GIGI 7 RB KANAN
K04.9 PERMANENT
TD 110/70 BB 50 N
L23 80 RRRR
N 80 2029 BB 130 /
A01 90
TB BB
17059BB 61 T
110/70
T 110/70N BB
80 44 TB
Z09 150
TB 172 BB 55 T 110/
Z00 70
GIGI 6 RA KIRI
K04.9 PERMANET
T 120/80 BB 72 N 88
N18 RR 24 TB 165
T 120/80 N 80 RR 29
M710 BB 65
GIGI 6 RB
K04.1 KANANPERMANENT
F20 BB 67 N 88
BB 58 T 100 /70 N
A01 80
TB 150 BB 43 T
Z00 110/70
Z32
I50 T 120/80MMHG
K29 T 140/90MMHG
TB 154 BB 47 TD
Z09 110/ 70 N 84
TD 110/70 BBRR
4424
RR
J45 24 TB 153 N 80
T 110/70 N 80 BB 60
RR 20 BB 494 TD
TB 160
Z00
120/70
GIGI RA NKIRI
84 BNYAK
RR 20
K03
KG
TB 158 BB 45 TD
Z00 100/60 RR 82
TB 170 BB 20 TD
N 80
Z00 120./80
F20
BB 36 RR 20 N 80 T
L23 100/ 60 BB 63 RR
TD 120/80
M06 20 N 84
E11 T120/80MMHG
R05 T 110/70MMHG
H930 T 120/80MMHG
E10 T 120/80MMHG
J45 T 120/80MMHG
A15 T 120/80MMHG
L23
F48 T 130/90MMHG
R53
K05.1 GIGI RA RB
Z00
I10 T 180
L23
R51 T 100/
Z00
G40
L23
H28
R53 T120/80MMHG
R53
J11 T 120/80MMHG
K29 T110/70MMHG
J44 T120/80MMHG
I50 T 120/80MMHG
A15 T 120/80MMHG
I50 T120/80MMHG
E10 T150/90MMHG
I849 TT120/80MMHG
110/70MMHG
I50
A15 T120/80MMHG
T120/80MMHG
MOLAR DUA KANAN
K00.1 BAWAH CARIES
R53 MEDIA
J10
R51
H44
R51
I10 t 160/
J44
H26
I50
I84
F20
R53 HASIL BTA NEG
R53
Z09
K29
Z00
L24
J00
I50
GIGI 1 RA KIRI
K04.1 PERMANENT
E10
S34
L23
R53
GIGI 7 REB KIRI
K04.1 PERMANENT
Z00
L23 T 120/80MMHG
L23
E10
Z00
R53 T 120/80MMHG
L24
R50
GIGI 6 RA KIRI
K02 PERMANENT
GIGI 6 RB KIRI
K02 PERMANENT
I10
J340
A15 T 120/80MMHG
J44 T 120/80MMHG
I50 T 120/80MMHG
L23
J10
L23
S42
Z00
J10
A15 T 120/80MMHG
J44 T 120/80MMHG
I10 T150/90MMHG
K05.1 GIGI RA RB
S72 T 120/80MMHG
R05
L23
L23 T 110/70MMHG
I10 T 130/90MMHG
I84
Z32
Z00
I10 T 150/90MMHG
J00
L24
R53 T 120/80MMHG
N18 T140/90MMHG
K29 T 120/80MMHG
A15 T 120/80MMHG
I64
K29 T120/80MMHG
R05
J00
Z00
Z00
Z00
Z00
Z00
I50
Z00
Z00
R05
Z00
I10 T 180/100
E10
Z00
Z00
F20
Z00
I95
J10
I10 T 180/90
K29
R53
F20
R53
N40
Z00
J00
K29
R53
Z00
G40
L24
H60 SAKIT GIGI 3 HARI PD
K04.0 GIGI 6 BAWAH KIRI
Z00 PERMANENT
J10
R51
L23
R53
J11 T 120/80MMHG
N18 T 130/90MMHG
D02 T 120/80MMHG
I84
T12
H54
I10 140/90
J10 120/80
K04.4 GIGI 8 RB KIRI
PERMANENT
E14
R53 120/80
H10 WEZ-/- THONS-/-
K29 110/70
I64
I10 160-/90
E10
J11 120/80
Z09
R53 140/90
R53 120/80
Z32
R53 120/80
R04 T 120/80MMHG
I10 T 170/90MMHG
I50 T 90/70MMHG
Z09 T 120/80MMHG
E10 T 130/90MMHG
L23 T 120/80MMHG
E10 T 120/80MMHG
H74 T 120/80MMHG
J44 T 120/80MMHG
K44 T120/80MMHG
A15
N18 T 120/80MMHG
E10 T 130/90MMHG
L23 T 120/80MMHG
J11 T 120/80MMHG
I50 T 12/80MMHG
M09 T 120/80MMHG
Z09 T 120/80MMHG
R05 T 120/80MMHG
E11 T 120/80MMHG
L23 T 120/80MMHG
I10 T 120/80MMHG
I10 T150/90MMHG
I10 TD 160/90
E10
R53
L24
E10
Z00
GIGI 8 RAKIRI
K04 PERMANENT
I10 200/100
F20
H54
E11 110/80
Z09
R53 120/80
J10
E11 100/70
N210 130/80
I10 160/90
A15
I10 180/90
I50
E10
R53
H54 160/90
F20
R53
J45
GIGI 6 RB KANAN
K04.5 PERMANENT
R05
M09
R05
K05.1 GIGI RA RB
A16
H10
E78
K29
R05
E05
F20
J00
S53
H10
K29 120/80
O;1/80
R51 H;1/80
R599
I10 T 160/90
I64
C50
R53
Z00
K46
L23
T12
K458
R07
I10 160/90
G448
R53
I10 TD 160/90
R309 120/80
Z09
Z00
A15
R53
T06
J45
R53
I10 T 140/90
F20
R53
Z00
I50
K29
H939
R53
K12 T130/80MMHG
Z00
I50 T 120/780MMHG
Z00
J00
E109 T 130/80MMHG
E10 T 120/80MMHG
R53 T 120/80MMHG
M10
R05
Z09 T 140/80
Z09
Z00
Z00
Z09
J00
E10
J11 T130/80MMHG
GIGI 8 RB KANAN
K01 PERMANENT
R53
L23 T 130/80
R53
J10
K29 T 110/70MMHG
Z32
I10 T 140/80
Z00
L23
Z09
T 150/80
H54
I499 T 120/80MMHG
K29 T 120/80MMHG
R53
A15 T 120/80MMHG
I64
H54 T 120/80MMHG
J00
I95 T 85/70
E10 T 120/80MMHG
GIGI BAGIAN RA KA
K03 KI
L23 T 120/80MMHG
I95 T 85/60
A01
A15 T 120/80MMHG
H52
A09
Z00
E14 T 120/80MMHG
GIGI 4 5 RA
K04.1 PERMANENT
O 1/160
A01 H 1/160
K05.1 KALKULUS +
I84 160/90
Z00
N40 180/100
J11 130/80
I10
A09
Z00
I50
M10
H54
GIGI RA RB
K05.1 PERMANENT
I50 180/90
Z00
R51 T 110
Q120
L23
R53
Z00
R53
E10
K29
L23
J10
F20
E14
E10
N20
Z00
R51 T 130
H52
J10
K29
K29
K05.1
J10
I50
K29
J10
R50
G40
J10
R53
K29
K29
K04.0 IO TES DINGIN +
K05.1 GIGI RA RB
K05.1 GIGI RA RB
Z00
K29
R53
R53
L23
K12
Z00
GIGI 8 RB KIRI
K04.1 PEMANENT
GIGI RA RB
K03 PERMANENT
F20
GIGI 8 RB KIRI
K04.4 PERMANENT
GIGI 6 7 RB KIRI
K04.4 PERMANENT
J03
H52
E10
KOLES 273
R53 AU 8,4
C50
A15
J10
GIGI RA KIRI
K04.1 PERMANENT
R53
I50
Z32
Z00
K04.0
J10
L24
J10
H26
J10
H52
R53
K05.1
J10
KOLN 245
M10 TG 233
A01
Z00
I50
I10 200/100
E11
K03 GIGI RB KA KI
H10 120/80
I10 180/100
J84
A09 120/80
GIGI 6 ERB KANAN
K04.4 PERMANENT
K03 GIGI RB KA KI
E10
J44
E10
H54
I64
J90
R53 120/80
A15
I10 180/100
L23 110/70
J44 100/70-
Z00
E11
J00
H66
D470
K02 GIGI 2 RA KA KI
J00
F20
J00
F20
R21 170/90
E11 120/80
I10 160/90
L24 140/80
A01 120/80
L23
M10 T 90/70
R53
L23
GIGI 8 RB KANAN
K01 PERMANENT
J10
Z00
H10
T 180/90
J00
R53
L23
I10 T 160/90
J00
I10 TD190
J00
L23
GIGI 6 ATAS KANAN
K028 PERMANENT
R53
GIGI 8 RB KANAN
K04.1 PERMANENT
L23 T 120/80MMHG
K04.1 GIGI 6 ATAS KANAN
J029
K04.1 GIGI RA
E10 GD 210
R51 T 1240
M050 T120/80MMHG
GIGI 6 KIRI BAWAH
K04.5 PERMANENT
K29 T 120/80MMHG
R05
R53
Z09
Z00
K05.1 GIGI RA RB
A15
K03 GIGI RA RB
R53
Z00
E10 T 130/90MMHG
M47 T130/80MMHG
H448
E11 T 120/80MMHG
K29 T 120/80MMHG
R53 T 120/80MMHG
J449 T 120/80MMHG
I10 T120/80MMHG
D02 T 120/80MMHG
H939 T 120/80MMHG
I64 T170/90MMHG
E10 T 120/80MMHG
I50 T160/90MMHG
J10 T 120/80MMHG
I20 T 120/80MMHG
I10 T 160/90MMHG
E10 T 120/80MMHG
GIGI 8 RA KIRI
K05.3 PERMANENT
H54 T 120/80MMHG
K29 T 130/90MMHG
R53
G40
R53
I10 T 170/80
M10
J00
GIGI6 RB KIRI
K02 PERMANENT
E07
E14
K29
H04
Z09
H52
N189
M10 AU 8,2
I10 T 170/90
I10 T 130/90MMHG
A15 T 120/80MMHG
I10 T 150/80
GIGI 6 RB KIRI
K04.4 PERMANENT
J10
K29
E14
R51 TD 140
K769
I50
GIGI 4 RB KANAN
K02 PERMANENT
H66
K12
E14
L23
J10
H66
I10 T 175/90
R53
J10
Z09
K29
H10
R229
A15 T 120/80MMHG
M05 T 130/90MMHG
I50 T 120/80MMHG
E10 T 170/100MMHG
I10 T 190/100 MMHG
A09 T 90/60
J00
I50 T120/80MMHG
J10
Z09 GIGI GERAHAM
K04.9 BAWAH AGAK
J00 GOYANG
R529
J00
I10 T 190/90
GIGI 8 RB KIRI
K02 PERMANENT
Z00
E10
J10
M10 T 150/80
E14 T130/80MMHG
I50 T 120/80MMHG
J00
F20
K03 GIGI RB KA KI
R53 T=120/80MMHG
H26 T 120/80MMHG
J10
L23
Z00
Z00
I52 T 150/80
R51 TD
GIGI MOLAR SATU
K04.4 RB KANAN
R53 T 120/80MMHG
J10
I50
R53 T 120/80MMHG
J10
E10
K29 T 120/80MMHG
A15 T 120/80MMHG
K29
Z00
K29
I10 T 160/80
K29
R53
T25
K04.0 KARIES MEDIA
GIGI 4 RB KANAN
K01 PERMANEN
Z00
E10
R53
E10
G40
J00
J00
PERIKSA GIGI
K05.3 SETELAH DI CABUT
J10
GIGI 8 RB KIRI
K05.1 PERMANENT
G40
K29
R53
E10
GIGI 6 RB KIRI
K04.4 PEMANENT
E01
K04.5 GIGI RA RB
I10 T165/90
GIGI 8 RA KIRI
K04.4 PERMANENT
K04.5 GIGI RA RB
R53
J10
R05
F20
I10 T 130/80
J00 T 80/60
E11
R53
R53
F20
L23
J00
J028
I10 T 130/85
I10 TD 180
GIGI 4 RB KANAN
K04.4 PERMANENT
R53
H10
Z00
Z00
GIGI 6 RB KANAN
K04.0 PERMANENT
D47
E10 T150/90MMHG
I50 T 140/90MMHG
E10 T120/80MMHG
J00
K05.1 GIGI RA RB
K05.1 GIGI RA RB
N18
F20
S82
K05.1 GIGI RA RB
R05
Z10
R07
J00
K04.9 GIGI
K03 GIGI RA KA KI
T25
K29 T140/90MMHG
R50
K29
K05.1 KALKULUS
J00 T 160/85
I10 T 150/80
GIGI 8 RA KIRI
K02 PERMANENT
R53
G40
R05
I10 T 160/80
E10 T120/80MMHGH
K05.1 GIGI RB KA KI
GIGI 6 RA KIRI
K04.4 PERMANENT
Z00
R53
J44
K04.4 GIGI 8 BAWAH
KANAN PERMANENT
R53
B17
Z00
J00
I50 GIGI 2 RA KANAN
K02 DAN 2 RB KIRI
GIGI RA RB
PERMANENT
K05.1 PERMANET
H540
B20
R53
J10
GIGI RB KA KI
K03 PERMANENT
Z00
J10
Z00
I50
E10 GDA 165
K04.4 KALKULUS
M10
G43 T180/100MMHG
N18
Z00
J11 T120/80MMHG
I50 T120/80MMHG
R05 T 120/80MMHG
J45
K06 GIGI RB KA KI
J10
L23 T120/80MMHG
J03 T 120/80MMHG
J11 T140/90MMHG
C26 T 130/90MMHG
Z00
F20
A01.T
R53
I10
I10
K03 GIGI RB KA KI
K29
I10 200/100
I10
K03 GIGI RB KA KI
L23
H54
GIGI 7 RB KANAN
K04.4 TETAP
R53
Z09
K29
GIGI 8 RB KIRI
K02 PERMANENT
A01.T
Z00
L23
H66
H54
I50
K03 GIGI RB KA KI
T25
R53
A01.T
F03 T 120/80MMHG
E14 T 130/90MMHG
M09 T 120/80MMHG
I10 T 180/100MMHG
I64 T 150/90MMHG
I10 T130/80MMHG
I50 T150/90MMHG
I10 T 160/90MMHG
M09 T 130/90MMHG
E10 T170/90MMHG
I50 T 160/90MMHG
K29 T120/80MMHG
J11 T 120/80MMHG
J45 T 130/80MMHG
E10 T 130/90MMHG
J11 T 120/80MMHG
Y548 T130/90MMHG
R05 T120/80MMHG
A15 T 120/80MMHG
R05 T 120/80MMHG
J00
J10 PREMOLAR KAQNAN
K04.5 ATAS CARIES
E10 PROFUNDA
GDA 568
I50
E78 AU 9,0 KOLES 195
R05
A75
I52
E10
L130
L23
J10
Z00
E10 GDA 214
Z32
T12
A01
K05.3 SISA AKAR GOYANG
I10
J11
K05.1 KALKULUS +
M09 MOLAR PERTAMA
K04.5 KANAN BAWAH
K04.4 CARIES PROFUNDA
TES DINGIN (-)
J11 120/80
B02
H54
K29
J11
R53
I84 INCICIVUS SATU DUA
K05.3 KANAN KIRI ATAS
CARIES
Z09
A549
Z09
W45 140/80
IO GIGI KARIES
K04.1 PROFUNDA
H10 PERFORASI
I84 120/80
K29 90/70
K29
E10
GIGI 8 RB KANAN
K04.4 PERMANENT
E10
K04 GIGI 6 RB KANAN
K05.1 GIGI RA RB
K05.1 GIGI RA RB
E10 T 150/80
J11 T110/70MMHG
I10 T160/90MMHG
TB =153CM
Z00 BB=47,5KG T
R05 =120/80MMHG
T 120/80
I10 T 150/90MMHG
J00
K29 T 110/70
I10 T 170/90MMHG
R53
A75
R53
J11 T 130/80MMHG
GIGI 6 RB KANAN
K04.1 PERMANENT
T23 T 110/80MMHG
M09 T120/80MMHG
K02 GIGI 1 RA KA KI
F20 T 120/80MMHG
I10 T 140/90MMHG
F20 T = 120/80MMHG
G448
K29 T130/80MMHG
I10
H54
A15 T 120/80MMHG
K29 T=120/80MMHG
R04 T 120/80MMHG
J449 T 120/80MMHG
I10 T170/90MMHG
H26 T 120/80MMHG
F20
Z00
R53 T 140/80
I10 T 140/90
N18 T 120/80MMHG
Z09
K29 T130/80MMHG
T25
Z00
GIGI 6 RA KIRI
K04 PERMAN ENT
M45 T 120/80MMHG
I10 T 150
GIGI 7 RB KIRI
K04.5 PERMANENT
R53
T 155CM BB 74KG
Z00 T120/80MMHG
R53 T 130/90MMHG
B02 ERYT+ MAC+ PUS+
M09 VES+ CRUST_
T110/70MMHG
N92
R05 T 120/80MMHG
J11 T 120/80MMHG
I10 T150/90MMHG
K29 T120/80MMHG
K29 T120/80MMHG
R05 T120/80MMHG
E10
I84
T 110/70MMHG BB
Z00 55KG TB 158CM
K29 T 120/80MMHG
J11 T 120/80MMHG
A15 T 120/80MMHG
I50 T 120/80MMHG
Z00
I50
G44
J00
Z00
J449 T 120/80MMHG
R53 AU 6
I10
J00
I499
R05 T 120/80MMHG
K29 T110/70MMHG
D02 T 120/80MMHG
J11 T 110/70MMHG
J10
I50 T120/80MMHG
R50
E10
I50
N20
J10
G44 T 130/80
J10
I84
R53
K05.1 GIGIB RA RB
K29
E10 T130/80MMHG
R53 T 130/80MMHG
S92
R05 T 120/80MMHG
I50
K02 BERLUBANG , DI
TAMBAL TUMP
L23 T 120/80MMHG
Z09 T 130/90MMHG
E149 T 120/80MMHG
R05 T 110/70MMHG
GIGI 6 RB KANAN
K02 PERMANENT
I50
GIGI 8 RB KANAN
K04.4 PERMANENT
A540
GIGI RA RB
K05.1 PERMANENT
K05.1 GIGI RA RB
E10 T 100/70MMHG
K05.1 GIGIV RA RB
Z09 T120/80MMHG
I84 T 120/80MMHG
Z00
I139
GIGI RA RB
K05.1 PERMANENT
I50
R53
R05
Z00
K04.4 GIGI
N18 T130/80MMHG
L91
K03 GIGI RB KA KI
J45
K05.1 GIGI RA RB
L23
K05.1 GIGI RA RB
GIGI 5 RB KANAN
K04.5 PERMANENT
F20
K05.1 GIGI RA RB
I10 T140/90MMHG
K04.4 GIGI
E10
R04 T 120/80MMHG
I10
I10 T150/90MMHG
A15 T120/80MMHG
AU 9.9
M10 KOL 206
K29
E10
E10 T120/80MMHG
J11 T 140/90MMHG
I10 T 150/90MMHG
K30 T 130/80MMHG
E11 T 130/90MMHG
GIGI 6 RA KANAN
K04.1 PERMANENT
Z00
I10
I50
L23
K03 GIGI RB KA KI
F20
H54 T120/80MMHG
M10
GIGI 6 RB KANAN
K04.1 PERMANENT
F20
R53
R53
R53
Z09
R51
R53
R51 TD 100/60
R53
I50 T 120/80MMHG
I50 T130/90MMHG
I10 T 190/100MMHG
I50
R51
N40 130/80
J11
I84
J11
R53
K29
Z00
R53
R53
J11
R53
E14 120/80
Z00
GIGI 6 RB KIRI
K04.4 PERMANENT
I10
I10 160/90
R53
I50 T130/80MMHG
I10 T 160/90MMHG
K29 T 110/70MMHG
D48 T =120/80MMHG
K29 T 120/80MMHG
Z00 T 110/70MMHG
Z00 T 120/80MMHG
E10 T 110/70MMHG
L23 T 110/70MMHG
H25 T 120/80MMHG
E10 T140/90MMHG
D470 T 110/70MMHG
I509 T=170/90MMHG
T 120/80MMHG
L24 ERYT- CRUST- VES-
R29 MAC+ PUST+
I10 TD 180
R53
L029 T110/70MMHG
I10 T 160/90MMHG
I50 T130/80MMHG
E10
E10 T 120/80MMHG
R05 T140/90MMHG
I50 T 120/80MMHG
R05 T 120/80MMHG
R53
F20
H10
R53
J00
H10
I10 T 210/100
Z09
D470 T 90/60MMHG
A15 T 120/80MMHG
A75
J10
K29 T 120/80MMHG
J11 T 120/80MMHG
E10 T 180/90
M09 T 130/80MMHG
I50
Z09
L23
M09 T 120/80MMHG
J11 T170/100MMHG
E01 T120/80MMHG
E109 T120/80MMHG
I10 T130/80MMHG
K29 T160/90MMHG
I50
R05
J00
L23
GIGI 8 RB KIRI
K04.5 PERMANENT
I10 T170/90
R53
R53
Z00
Z00
K05.1 GIGI RA RB
H10
S92
GIGI MOLAR 1 ,2 RA
K04.5 KIRI PERMANENT
F20
E10
K05.1 GIGI RA RB
H54
R05
J10
R53
I10 T 190/90
I10 T160/90MMHG
I10
R00 T 150/90MMHG
F20
L23
J10
M10
K29
R53
I10 T160/90MMHG
I50
H66
E10 T120/80MMHG
I10 TD 170/
110
Z09
K29
J10
J10
K05.1 GIGI RA RB
E10 T 120/80MMHG
J45 T120/80MMHG
Z00
K29
R53
R53
R53 TD 130
AU 9.0
M10 KOLES 262
M10 TD170
R53
Z32
L23
M10
E10
K29
A35
H10
K05.1 GIGI RA RB
E10
Z00
L23
GIGI 4 RB KANAN
K04.4 PERMANENT
I10
J00
GIGI 7 RB KANAN
K04.4 PERMANENT
R53
K05.1 GIGI RA RB
J10
F20
I10 T 170/90
E10 T
J45
E10
I50
GIGI 6 RB KANAN
K04.4 PERMANENT
L23
K29
L23
A15
H10
Z09
J10
A15
R53
K29
Z00
Z00 PREMOLAR KEDUA
K04.8 KANAN BAWH
N39 CARIES PROFUNDA
GIGI 6 RA KANAN
K04.4 PERMANENT
R05
OH KURANG
K03.6 TERJAGA
Z00
K40
GIGI RA KIRI
K04.4 PERMANENT
L24
L24
GIGI 7 RA KANAN
K04.4 PERMANENT
J00
K02 GIGI
K04.4 GUSI BENGKAK
H54 T 130/80MMHG
E10
K29 T 110/80
I50
R50
K29
M43
I10 T 240/100
K29 T 100
R53
M47
GIGI 8 RA KIRI
K02 PERMANENT
K29
R53
GIGI RA KIRI
K04.9 PERMANENT
Z00
R53
I95
Z00
F20
I10
K04 GIGI 5 RA KANAN
PERMANENT
R18
E02
J10
I95 T 100/70
K29
R53 KOLES 235
R53
R53
Z00
G40
B36
K05.1 GIGI RA RB
I50
A09
K29
A15
E10
GIGI 6 RA KANAN
K04.4 PERMANENT
R53
K29
GIGI 4 RB KIRI
K04.4 PERMANENT
L23
A09
Z00
K05.1 GUSI SARIAWAN,2
HARI YG LALU
I50
L23
Z00
K29
GIGI RA RB
K05.1 PERMANENT
R53
F20
Z00
J10
M09
K03 GIGI RA RB
M09
I10 T 180/90
K29
GIGI RB KIRI
K04.4 PERMANENT
L23
I95 T 90/70
Z00
F20
I10 T 195/100
GIGI 6 RA KANAN
K04.4 PERMANENT
I64
K29
I10 T 205/100
I50 T 140/80
J10
I10 T 180/90
O32
K29 T 100/70
J10
J00 T 100/80
R51
E11
Z00
GIGI 6 RB KIRI
K04.0 PERMANENT
H269
N42 T 200/100MMHG
I10 T 180/110MMHG
K29 T 120/80MMHG
E10 T 130/90MMHG
M09 T 120/80MMHG
Z09 T 120/80MMHG
I50 T180/90MMHG
K29 T120/80MMHG
I50 T 120/80MMHG
R05 T 120/80MMHG
R53
N390 T 110/70MMHG
GIGI 1 RA KIRI
K04.4 PERMANENT
K05.1 GIGI RB KA KI
M10
R53
K29 T 130/90MMHG
A09 T 110/70MMHG
R53 T 120/80MMHG
R53 140/90
A16.T
I10
GIGI 8 RA KIRI
K04.4 PERMANENT
J10
I10 160/90
R53 140/90
K04.4 GIGI 1 RA KIRI
PERMANENT
L23 100/80
S83
I84 T 130/90MMHG
L23 T 120/80MMHG
K05.1 GIGI RA RB
Z00
I10
Z00
R53 120/80
J11 T=120/80MMHG
E10 T 130/80MMHG
J11 T 130/80MMHG
R05
J10
C53
I10 155/90
N18
J11
J45
TD 170
Z00
R53 T 120/80MMHG
J11
I10 T150/90MMHG
I10 T 160/90MMHG
N18 T 130/90MMHG
R05
R53
Z00
AU 10,2
M10 KOL 217
D02 PX DI RUMAH
J11 120/80
J11
Z00
Z09
R53 100/70
R53
M09
GIGI 6 RB KANAN
K02 PERMANENT
R51 100.70
C50 120/80
GIGI RA RB
K05.1 PERMANENT
E10
L24
B02
L53
GIGI 7 RB KANAQN
K04.4 PERMANENT
K29 T120/80MMHG
R05 T140/90MMHG
GIGI RA RB
K04.4 PERMANENT
J11 T110/70MMHG
A15 T 120/80MMHG
J11 T 120/80MMHG
M10
J00
R05
R05
K05.1 GIGI RA RB
Z09
E149 T120/80MMHG
R53
J11 T 130/80
K03 GIGI RB KA KI
N18
N40 T 140/90 MMHG
GIGI 6 RB KANAN
K04.4 PERMANNT
K29 T 120/80MMHG
Z00
K02 GIGI 1R A KIRI
PERMANENT
K29 T160/90MMHG
I10 T 150/90MMHG
I50 T130/90MMHG
E10
R51
I10 T
R05
K04.4 GIGI 6 RA KANAN
K03 GIGI RA RB
I10 T 150/100
K05.1 GIGI RA RB
Z00
J00
Z00
L23 T120/80MMHG
I10 T 180/90
GIGI 4 RB KIRI
K04.4 PERMANENT
K03 GIGI RA KA KI
R05
K03 GIGI RB KA KI
Z00
R05
GIGI 6 RB KANAN
K02 PERMANENT
L23
R53
A15 T 120/80MMHG
M08 T130/90MMHG
G40 T120/80MMHG
N40 T 120/80MMHG
J11
R53 T 120/80MMHG
E10 T120/80MMHG
I10 T130/80MMHG
K05.1 GIGI RA RB
K29
E14
E11 GDA 210
T31
I64
Y72
W01
I10
R53
J06
H52
J11
J11
R53
C95
J44
H54
K29
J11
R53
K29
J10
J10 T 110
I50
M09
Z09
Z00
Z00
GIGI 6 RB KANAN
K04.4 PERMANENT
J11
GIGI 7 RB KIRI
K04.4 PERMANENT
Z00
Z00
I10 T 160/90
I95 T 90/70
O 1/80
A01 H 1/160
K04.4 SAKIT GIGI
A18 T 120/80MMHG
K00 DRUK(-)
E10 T 130/90MMHG
I50 T 120/80MMHG
F07 T 120/80MMHG
Z00
A15 T 120/80MMHG
A15 T 120/80MMHG
I50 T 120/80MMHG
J449 T 20/80MMHG
A15 T 120/80MMHG
J90 T 120/80MMHG
J11 T
R05 T 120/80MMHG
Z00
H54
L23 T 140/85
S78
S19
L24
K29
K05.3 GIGI TERASA TAJAM
I10 T 160/90
A09
N18
GIGI 7 RB KIRI
K04.4 PERMANENT
R53
R53 T.=150/90MMHG
I10 T 150/90
AU 4,3 KOLES 270 T
I10 160/90
K12
K05.1 GIGI RA RB
R05
K05.1 GIGI
R05
I10 T 170N/90
Z00
R53
J11
J10
J11
K29
J11 T 130/80
F20
J10
K04 GIGI 6 RB KANAN
J10
K04.4 GIGI 5 ATAS KANAN
K40
R53 T 120/80
B20
R53 T 150
B18
L23
GIGI 5 RB KANAN
K04.9 GDA 351
SISA AKAR
E10 KOL 326
K29 AU 5,6
R05
K04.4 GIGI 6 RB KANAN
I10 T 150/90
B02
L24
I10
I10 T 160/100
K07 GUSI RB KA KI
I10 T 200/100
J11
R53 T 140
R53
R51 T140
K12
I10 T 180/110
I50
K04.4 GIGI
R53 T 150/90
R53 T 120/80
GIGI 7 RB KIRI
K04.4 PERMANENT
K05.1 GIGI RA RB
E10 T 130/80
GIGI 5 RB KANAN
K04.4 PERMANENT
GIGI 5 RB KANAN
K04.4 PERMANENT
A16 SETOR DAHAK SPS
E10 T170/90MMHG
J11 T 120/80MMHG
J11 T 120/80MMHG
K29 T120/80MMHG
E10 T 120/80MMHG
J84 T 120/80MMHG
I10 T 170/90MMHG
E01 T 120/80MMHG
E10 T 120/80MMHG
R300 T120/80MMHG
I50 T 120/80MMHG
E14 T 130/90MMHG
K29 T 130/80MMHG
H54 T 120/80MMHG
E11 T 130/80MMHG
I64 T 120/80MMHG
R53
I10 T 180
I10 T 170
J10
Y548 T 130/80MMHG
Z09
J10
L24
J10
Z00
M10 T 100
L23 T 120/80MMHG
J10
N18
M09 T 120/80MMHG
E10 T 130/80MMHG
I50 T 120/80MMHG
L23 T120/80MMHG
R53
I10
J10
A75
J10
A09
H25
K04.5 DRUK+
F20
E11 T120/80MMHG
Z00
J10
L23 T 140
Z00
K29
I84
K05.3 DRUK +
B20 T 120/80MMHG
K29 T 120/80MMHG
Z00
Z09
Y548 T130/90MMHG
F20
J45 T 120/80MMHG
A15 T 110/80MMHG
I50 T 120/80MMHG
K800 T 120/80MMHG
N20 T 120/80MMHG
L23
TES DINGIN + KARIES
K04.5 MEDIA
Kalkuluzsregio
K05.1 bawah
R53
EXTRACSIE DI TUNDA
K00.4 HIPERTENSI
L23
L23
Z00
L23
J10
K01 IMPAKSI
I10 160/90
R53
J10
Z09
A15
L23 T 130/80MMHG
M10
I50
R51 T 130
E07
K05.1 GIGI RA RB
I50
R05
GIGI4 RA KIRI
K04.5 PERMANENT
E10
R53
H10 T 120/80MMHG
B008
L100
J11 T 120/80MMHG
H26 T 200/100 MM HG
R53
F20
L23
I15 T 120/80MMHG
GIGI 6 RA KIRI
K04.1 PERMANENT
GIGI 1RA KA KI
K04.1 PERMANENT
M09 T120/80MMHG
M09 T 130/90MMHG
J11 T 120/80MMHG
T 120/80MMHG
E10 T 160/90MMHG
Z00
I10 130/90
A15 T 120/80MMHG
I10 160/90
L23
B20
H54
J06
R298
L23
R53
H10
GIGI 5 RB KIRI
K04 PERMANENT
I10 T 160/90
I10 T 150/90
GG2 8 RA KANAN
K04.4 PERMANENT
Z00
I10
GIGI 6 RA KANAN
K02 PERMANENT
L24
J11
J10
E10
Z00
K29
TAA
R53
T 120/80MMHG
M09 T 160/90MMHG
I50 T 120/80MMHG
E10 T 120/80MMHG
J449 T 120/80MMHG
M09 T 160MMHG
I64 T 120/80MMHG
I64 T170/80MMHG
R53 T 120/80MMHG
E149 T 120/80MMHG
S73 T 120/80MMHG
E10 T100/70MMHG
K29 T130/80MMHG
M09 T 120/80MMHG
K29
R53
I10
Z00
F20
J45
K06.8 GUSI MBENGKAK
M220
J06
J06
E14
R53
H029
R05
Z00
Z00
Z00
I10 T 190/90
M09
J11 T 80/60
Z00
A16 T 120/80MMHG
L23 T 140/90MMHG
I10
K04.1 GIGI 1 RA KANAN GR
I10 T 160/90MMHG
K29 T150/90MMHG
E10
K05.1 GIGI BANYAK KG RB
Z00
J45
M09
M09
I50 T 100/70MMHG
R05 T 120/80MMHG
I10 160/90
E10 T120/80MMHG
Z00
R05 T 120/80MMHG
L23
Z00
GIGI 4 RA KIRI
K04.4 PERMANENT
L23
J06
GIGI 8 RB KANAN
K04.4 PECAH MBENGKAK
L23
E14
I10 T 170/100
E10
I10
S19
M09 T 120/80MMHG
M09
I10 90/70
GIGI RA RB BANYAK
K03 KG
I50 T 120/80MMHG
M09 T 140/90MMHG
I50 T120/80MMHG
I10 T 160/90MMHG
R05 T120/80MMHG
N18
R53 T 120/80MMHG
K29 T120/80MMHG
J11 T 110/70MMHG
H54 T 120/80MMHG
M10 T 130/90MMHG
E14
K05.1 GIGI RA RB
L23
I50
I10
K29
L23 T 120/80/80MMHG
K29
Z00
E10
Z00
K05.1 GIGI RA RB
GIGI 6 RA KIRI
K04.1 PERMANENT
R53 T120/80MMHG
I50
K05.1 GIGI RB BANYAK KG
Z00
K05.1 GIGI RA RB
K05.1 GIGI RA RB
J06
E11
N48
N92
I10 T 160/90MMHG
I84 T 100/70MMHG
G51 T 120/80MMHG
I10 T150/90MMHG
S91
R33
K05.1 GIGI RA RB
J06
W45
M09
J06
J06
Z00
K05.1 GGI RA ,RB BANYAK
KG
GIGI 6 RA KANAN
K04.4 PERMANENT
R53 GIGI 7 RB KANAN
K04.1 SISA AKAR MASIH
J06 BENGKAK
GIGI 8 RB KIRI
K04.4 TAMBALAN
F20
T12
Z00
F20
L23
I10
Z00
Z00
K92.1
R51
H60
R51
A15
N18
R53
J06
J06
M09
C50
F20
I10
K29
E14
H10
R05 T 120/80MMHG
M09 T 120/80MMHG
R53 T 120/80MMHG
A15 T 120/80MMHG
E14 T 120/80MMHG
H029 T150/90MMHG
R53 T 120/80MMHG
I64 T130/80MMHG
R05 T 120/80MMHG
J11 T 120/80MMHG
J06
Z32
J44
L23
J06
R53
K05.1 GIGI RA RB
I10
A01.T
J06
A15
I50
E14
J06
I10
Z09
J06
Z09
L24
K29
J06
R51
H54
I84
K05.1 GIGI RA RB
R50
I10
J06
K29 T 120/80MMHG ERY-
L23 MAC- PUS- PAP- VES-
H25 CRUST-
I10 T 190/100MMHG
L23 T 120/80MMHG
I10
J06
GIGI 1 RB KANAN
K04.4 PERMANENT
E14
K29
J06
K05.1 GIGI RA RB
R53
GIGI 1 RA KANAN
K04.1 PERMANENT
R10 T 120/80MMHG
I10
K29
E11
K29
GIGI 8 RB KIRI
K02 PERMANENT
GIGI 8 RB KANAN
K04.4 PERMANENT
H25
E14
H60
K29
GIGI 1 RB KIRI
K04.9 PERMANENT
I10
J06
GIGI 6 RB KANAN
K02 PERMANENT
J45
Z00
GIGI 6 RA KIRI
K04.1 PERMANENT
M09
GIGI 6 RB KANAN
K02 PERMANET
GIGI 6 RB KIRI
K04.4 PERMANENT
Z09
G40
K29
J06
H25
J44
E14
J06
Z00
K04.4 GIGI 6 RB KIRI
PERMANENT
H54
C218
A16.T
E14
J44
R05
K29
E14
L24
I10
J06
J06
I10
J44
A16.T
J06
D47
I10
Z00
R53 T 120/80MMHG
I50 T120/80MMHG
I50 T 120/80MMHG
K29
E14
J06
A16.T
D259
K05.1 GIGI RA RB
R50
Z09
Z03
GIGI RA RB
K05.1 PERMANENT
M09
Z09 T130/80MMHG
K29
K29
GIGI 7 RB KIRI
K04.4 PERMANENT
N92
M09
I64
Z00
N18 T 120/80MMHG
Z09
I64
I50
H54
T 120/80MMHG
J45 WES-/- STRID-/-
I10
J03
M09
I10
A16 T 120/80MMHG
J44
K29 T 120/80MMHG
R50
A18
J06
I64
R05 T 120/80MMHG
A16.T
Z00
H66
I84
K45
GIGI 1 RB KIRI
K04.1 PERMANENT
E14
R05 T 120/80MMHG
GIGI 6 RB KIRI
K04.4 PERMANENT
K05.1 GIGI RA RB
I64
E10 T 120/80MMHG
I50 T 120/80MMHG
E14
F48 T 120/80MMHG
K29 T 120/80MMHG
N18
B02 T 120/80MMHG
I10
I11
I10
E11 T 120/80MMHG
J06
M10
R53
R53
E02
R51
K29 T120/80MMHG
E10
I10
M09
I50
Z09
I10
K29
K04.5 PATAH
E14
K03 GIGI RB KA KI
GIGI 6 RA KIRI
K02 PERMANENT
I10
Z00
I10
Z00
M09
I10 T165/84MMHG
E14
I139 T 110/80MMHG
J06
F20
R53 T167/87MMHG
K03 GIGI RB KA KI
R53
E14 T120/80MMHG
Z00
I10 T 147/86MMHG
L23
I10
R53
R53
GIGI 6 RA KANAN
K04.4 PERMANENT
A16.T
K45
GIGI 7 RB KIRI
K04.4 PRMANENT
R53
K29
A16.T
I10
E10
E14
R51
E10 T235/102MMHG
I10
I10
I119 T163/85
J11 T176/100MMHG
A16 T 120/80MMHG
L23
J06
R05
F99
I10
A15
E14
R53 T154/64MMHG
E14
H54
K05.1 GIGI RA RB
J06
R53
I10
K29 T150/75MMHG
K05.1 GIGI RA RB
I10
J11 T190/100MMHG
I50 T110/80MMHG
D02 T110/80MMHG
J11 T180/96MMHG
B17
H74
L23 T 150/75MMHG
I50 T 170/90MMHG
I10
M09 T122/64MMHG
K29 T167/90MMHG
K29 T
K05.1 GG RA RB
K05.1 GIGI RA RB
L23
I10
I50
B02 T 120/80MMHG
R05 T 120/80MMHG
GIGI 5 RB KIRI
K04.4 PERMANENT
M09
I50
M09
K05.1 GIGI RA RB
I50
I10
L24
J10
GIGI 6 RA KANAN
K02 PERMANENT
E10
J10
J10
Z32
J10
K04 GIGI RB ANTERIOR
R53
J10
GIGI 6 RB KANAN
K04 PERMANENT
S92
J10
R53
I10 TD 220
J10
GIGI 7 RB KIRI
K04.4 PERMANENT
J10
K04.4 GIGI 6 RA KIRI
TD 200/
I10 110
F20
E11 T 160/90
F20
J10
F20
K04 GIGI RB BERLUBANG
E10
Z00
I10 T 180/90
K29 T 100/70
GIGI RA RB
K05.1 PERMANENT
J00
K04.4
J11
R05
M05
F20 GIGI RA RB
K03
J10 GIGI RA RB
J03
G40
A09
A75 WIDAL POSITIF
L23
R05
I10 T 140/90
K29 T 140/90
R05 T 110/70MMHG
J11 T170/95MMHG
J11 T 119/74MMHG
R53 T 132/71MMHG
E10 T120/80MMHG
I10
K29 T.150/80MMHG
I10 T
J44 T 130/90MMHG
K29 T136/72MMHG
R53 T219/82 MMHG
I10 T140/80MMHG
I50 T150/80MMHG
M09 T
R05 T203/106MMHG
I50 T 120/80MMHG
E01 T 120/80MMHG
K29 T144/91MMHG
K29 T140/70MMHG
M09 T180/90MMHG
E14 T150/80MMHG
K05.1 GIGI RA RB KA KI
K05.1 GIGI RA RB
J45
A15
M09
R53
I10
M09
K04.4 GIGI
I10
J06
I10
GIGI 7 RA KIRI
K04.4 PERMANENT
I10
GIGI 6 RB KANAN
K04.9 PERMANENT
J06
I10
Z09
K92.1
GIGI 4 RA KIRI
K04 PERMANENT
I50 T 130/80MMHG
A18 T 120/80MMHG
E14
K29
J06
Z09
A15
J06
K04.4 GIGI
K02 GIGI
L23 T130/80MMHG
H54 T120/80MMHG
J44
L24
A15 T 120/80MMHG
L23
GIGI 7 RB KIRI
K04.4 PERMANENT
Z00
M09
M09
Z00
Z00
R05 T 120/80MMHG
GIGI RA RB
K05.1 PERMANENT
I10 T 210/90MMHG
K29 T120/80MMHG
I10 T190/80MMHG
J11 T220/100MMHG
A16 T 120/80MMHG
I10
J06
J11 T 140/90MMHG
I10
I10
I10
I10
I10
I50
Z00
H04
GIGI 2 RA KIRI
K04.9 PERMANENT
L23
K02 GIGI 5 RA KANAN
A01
Z02.W
J00
GIGI 6 RA KANAN
K02 PERMANENT
R53
I10
K29
J00
I95 T 80/60
I50
N18
B02
GIGI 7 RA KIRI
K04.4 PERMANENT
R51
K04.9 GIGI 3 RA KANAN
F20
J00
J00
I50
J11
J45
J00
J10
R53
Z02.W
L23
R51
Z09
J00 T 170/90
J10
K29
Z02.P
R53
D47
D470
Z09
E14
I10
T 160/90
N21 T
R53 T 120/80MMHG
J00
I10 T110/60MMHG
A15 T 120/80MMHG
K05.1 GIGI RA RB
K05.1 GIGI RA RB
I10 T 150/80MMHG
K03 GIGI RA RB
GIGI 2 RA KANAN
K04 PERMANENT
Z09
E10
K05.1 GIGI RA RB
J11 T95\65 MMHG
K30
L23
Z00
R53
K05.1 GIGI RA RB
C859
K29
GIGI 5 RB KANAN
K02 PERMANENT
K05.1 GIGI RA RB
I10 T 65/100
Z00
K04.4 GIGI
K05.1 GIGI RA RB
L23
L24 T160/70MMHG
K05.1 GIGI RA RB
J11 T180/90MMHG
J10
I10
GIGI 7 RB KANAN
K04.4 BAWAH
N40
K04.4 GIGI
N18
K05.1 GIGI RA RB
PERMANENT
J10
L23
E10 T 160
R05 T 160/90
Z00
L23
I10
H52
Z00
Z00
Z00
Z00
Z00
S82
J06
GIGI 5 RB KANAN
K04.4 PERMANENT
GIGIV 6 RB KIRI
K04.1 PERMANENT
I84
Z00
Z00
Z09
S76
K29
J06
I50
K29
R51
J06
GIGI 7 RB KIRI
K04.4 PERMANENT
K02 GIGI
K04 GIGI
Z00
K04.4 GIGI
K29
GIGI 1 RA KANAN
K02 PERMANENT
K02 GIGI RA
Z00
I10
F20
I10
I50 T 100/60MMHG
K29 T150/70MMHG
M09 T110/60MMHG
J11 T
J06
I64
J06
K29
Z00
I10
J06
R51
I10
R53
GIGI 6 RB KANAN
K04.4 TETAP
I10
I10
E14
N18
I10
N18
GIGI 5 RB KANAN
K04.4 PERMANENT
GIGI 6 RA KIRI
K04.4 PERMANENT
J03
J44
GIGI 4 RB KANAN
K04.4 TETAP
L23
Z00
I10
K04.9 GIGI 7 RA KIERI
TATAP
I10 T207/103MMHG
Z00 T154/93 MMHG
M10 T=170/70MMHG
R53 T125/70MMHG
I50 T130/80MMHG
E10 T160/95MMHG
R05 T 110/70MMHG
J44 T115/87MMHG
E10 T 120/80MMHG
J10 T120/80MMHG
K29 T110/90MMHG
I10 T150/90MMHG
A15 T 120/80MMHG
K29 T124/74MMHG
I50 T 120/80MMHG
E10 T 124/94MMHG
I50 T15/80MMHG
I10 T186/91MMHG
I10 T 190/90
K04 GIGI 8 RA KANAN
PERMANENT
GIGI 4 RB KIRI
K04.1
PERMANENT
R53
I10 T 160/90
I10 T 160/90
R53
R05
I50 T192/92MMHG
H000
E78
L24 T160/80MMHG
K05.1 GIGI RA RB
GIGI 1 RA KIRI
K04.4 PERMANENT
K12
E10
E11 T126/72MMHG
A15 T 120/80MMHG
Z09
K05.1 GIGI RA RB
R53
GIGI 4 RB KIRI
K04.4 PERMANET
I50 T120/80MMHG
R51
J11
E05
S50
J00
GIGI 6V RB KIRI
K04.4 PERMANENT
I64
GIGI 2 RA KANAN
K04.1 PERMANET
I10 T 150/90
J10
K05.1 GIGI RA RB
G40
K04.0 GIGIB 7 RB KANAN
GIGI 7 RB KIRI
K04.9 PERMANENT
E10 T117/86MMHG
K05.1 GIGI RA RB
R05
L23
J10
L23
I10 T186/94MMHG
GIGI RA RB
GIGI 7 RB KANAN
K04.4 PERMANENT
GIGI 4 RB KIRI
K04.4
PERMANENT
J10
R05
R53 T160/80MMHG
D609
I64
J10
I50 T140/90MMHG
J00
J06
I84
J11 T140/90MMHG
E10
J449 T190/100MMHG
L23
R51
E14
Z00
I10
J06
E14
I50 T130/90MMHG
E14
R53 T
K29 T110/60MMHG
R05 T 120/80MMHG
M09 T130/90MMHG
Z00
Z00
L23
Z00
R51
E14
R53
E10 T100/70MMHG
K29 T210/100MMHG
A15 T120/80MMHG
E10 T150/80MMHG
GIGI 2 RB KANAN
K04.9 PERMANENT
Z00
GIGI 6 RA KANAN
K04 PERMANENT
I10
L23
K29
K29
F20
R53
R53
I10 T130/60MMHG
L23
L23
K29 T105/63MMHG
E149 T120/80MMHG
I50 T 120/80MMHG
Z00
K29
H60
GIGI 8 RB KANAN
K01 PERMANENT
R51
J06
A15 T 110/70MMHG
K04.4 GIGI
K29
J06
K29
O01
Z00
H25
A15 T 120/80MMHG
S19
R51
I10
J06
H54 T 120/80MMHG
M09 T175/95MMHG
J06
R53
E10
Z00
E14 T140/80MMHG
I50 T130/86MMHG
Z00
I10 T 180/100MMHG
GIGI 2 RA KANAN
K02 PERMANENT
H539 T 160/90MMHG
S76
H28 T 170/90MMHG
I10
E11 110/70
Z00
H539 T 170/90MMHG
I50 T 120/90MMHG
K05.1 GIGI RA RB
I10 T206/93MMHG
E11
A16 T 120/80MMHG
L24 T 120/80MMHG
R51
K29 T150/60MMHG
A09 T150/80MMHG
I50
J11 T140/90MMHG
H10
I10
Z00
B02 T175/74MMHG
A56 T120/70MMHG
GIGI 6 RB KANAN
K04 PERMANENT
I10 T170/90MMHG
R51
N17 T 160/100MMHG
Z32
L23 T168/84MMHG
J06
K29
I84
J06
GIGI 7 RA KANAN
K04.4 PERMANENT
R53
Z00
Z32
R05 T 180/100MMHG
Z32
Z32
Z32
Z32
L23
Z32
K05.1 GIGI RA RB
H10
L23
Z09
I50 T140/90MMHG
E11 T150/90MMHG
E11 T 130/80MMHG
K29 T130/90MMHG
K29 T 130/100 MMHG
M09 T 120/80MMHG
I10
H10
F20
R51
I10
GIGI 1 RA KIRI
K04.4 PERMANENT
R53 T140/80MMHG
I10 T 200/90MMHG
I50 T 120/80MMHG
H26 T 120/80MMHG
F20
K29 T120/80MMHG
J11 T140/90MMHG
I10 T130/80MMHG
J10
H52
E10 GDA 334
J10
L23
K29
J10
I50 T130/80MMHG
J11 T140/80MMHG
I15 T140/80MMHG
I50 T 110/80MMHG
E14 T177/90MMHG
L23
I10 T248/126MMHG
L24 T140/90MMHG
E10 T165/75MMHG
K29
K05.1 GIGI RA RB
J10
L23
J06
E14
J06
L23
F20
K29
J06
G40
Z00
T12
GIGI 5 RB KANAN
K04.4 PERMANENT
R29
I10
A09 T130/70MMHG
J44 T104/73MMHG
E10 135/74MMHG
J11 T151/85MMHG
I10 T190/100MMHG
I10 T185/110MMHG
D47 T226/148MMHG
S70 T 120/80MMHG
K29 T160/75MMHG
J11 T120/80MMHG
N189 T160/80MMHG
E10 T116/63MMHG
I50 T130/70MMHG
I10 T 190/120MMHG
J11 T190/100MMHG
A15 T120/80MMHG
K29
GIGI 2 RB KIRI
K04.9 PERMANENT
I10
M09
I10 T 148/87MMHG
M09 T140/70MMHG
L23 T110/70MMHG
J06
K29
R53
E14
M08 T130/80MMHG
K29
K05.1 GIGI RA RB
L23 T 180/90MMHG
N42 T200/90MMHG
Z00
R53
I10
I10
J06
K05.1 GIGI RA RB KA KI
GIGI 1 RA KANAN
K02 PERMANENT
R53
I10
R05
K05.1 GIGI RA RB
I10
GIGI 7 RA KIRI
K04.9 PERMANENT
R50
E10 T173/88MMHG
N81 T170/95MMHG
B20 T 120/80MMHG
S76
M05
I50
D61 T
I10
Z00 T180/90MMHG
GIGI 7 RA KANAN
K05.1 PERMANENT
S92
K29 T120/80MMHG
L23
E10 T121/75MMHG
Z00
A15 T113/61 MMHG
E14
K05.1 GIGI RA RB
E14
I10
L23
R05 T175/105 MMHG
J44 T166/91MMHG
I10
I10
J45
J06
F20
K05.1 GIGI RA RB
K29
I10
Z00
R51
A15
I10 T178/80MMHG
C53
GIGI 5 KIRI ATAS
K04.4 PERMANENT
GIGI 7 RA KANAN
K02 PERMANENT
L23
K29
R05 T140/80MMHG
J11 T136/80MMHG
J11 T100/60MMHG
J06
GIGI 8 RB KANAN
K04.4 PERMANENT
K29 T 167/87MMHG
K29 T 150/70MMHG
A15 T 110/70MMHG
G40 T 124/67MMHG
A01
R50
L23 T165/100MMHG
K05.1 GIGI RB KA KI
R53
GIGI 4 RA KANAN
K04.0 PERMANENT
R53
J06
F20
J06
E10
J45
A15 T 110/70MMHG
E14
E10 T165/87MMHG
J11 T 139/73MMHG
I10 T148/87MMHG
K29
E10 T137/71MMHG
Z00
J10 T106/65MMHG
GIGI 5 RB KANAN
K04.0 PERMANENT
I10 T196/110MMHG
D47
Z00
L23
K05.1 GIG RA RB
K05.1 GIGI RA RA RB
Z00
K29 T 150/90MMHG
I10 T227/130MMHG
E10 T99/62MMHG
M09
GIGI 5 RA KANAN
K04.9 PERMANENT
J06
L23
J44
H54
GIGI 7 RB KIRI
K04.0 PERMANENT
I10
I10
A09
I10
R53
K29
J06
A15
I50
K29 T150/80MMHG
K05.1 GIGI RA RB
K05.1 GIGI 5RA RB
K05.1 GIGI RA RB
I10
L23
K05.1 GIGI RA RB
I50 T129/89MMHG
F20
I10
Z00
I84
L23
R21 T167/96MMHG
J11 T185/100 MMHG
H54
Z00
I10
L23
J44 T202/98MMHG
F20
K29
C53
Z00
J00
R53
H10
E07
K29 T90/70
D33
K29
F20
T12
R53
J00
Z00
H54
H54
F20
GIGI 5 RA KANAN
K02 PERMANENT
J00
K05.1 GIGI RA RB
L23
J029
Z00
I50
TD
I10 170
R53
Z09 T 130
M09
R51 T 110
O 1/160
A01 H 1/160
I10 T 160
J10
K29
M43
J10
K02 GIGI 6 RA KANAN
I50
J10
E10 GDAC444
K29
I10 TD 190
G40
I50
E10
GIGI 6 RB KANAN
K04.1 PERMANENT
Z00
R53
GIGI 8 RB KANAN
K04.9 PERMANENT
J11 T 130/70MMHG
J10 T160/90MMHG
I50 T120/80MMHG
K29 T130/80MMHG
B02 T170/80MMHG
I10 T160/90MMHG
K29 T130/90MMHG
M08 T120/80MMHG
I64 T220/130MMHG
E14 T150/90MMHG
Z09 T140/90MMHG
H58 T 120/80MMHG
E11 T 120/80MMHG
I10 T 160/90MMHG
K29 T120/80MMHG
K29 T
I50 T150/90MMHG
I119 T 130/80MMHG
R21 T 160/90MMHG
B02 T120/80MMHGH
A16 T120/80MMHG
M09 T
M08 T
E10 T120/80MMHG
E10 T 120/80MMHG
Z00
L24
R51 TD 120
GIGI 8 RB KANAN
K01 PERMANENT
J10
J10
R53
K04 GIGI
K04.0 GIGI
K02 GIGI DEPAN CARIES
R53
GIGI 4 RA KANAN
K04.4 PERMANENT
N18 T130/80MMHG
K29 T120/80MMHG
J449 T 120/80MMHG
M09 T120/80MMHG
I50 T120/80MMHG
J11 T 120/80MMHG
GIGI 8 RB KANAN
K04.4 PERMANENT
I50
R53
Z00
I10 T170
C50
I10 T 190/100MMHG
I10 T170
I64
GIGI 7 RB KIRI
K04.4 PERMANENT
H52
N18
A01
K04 GIGI
K12
R53
I50
K04.4 GIGI
L24
J10
H04 T120/80MMHG
J10
R53
L23
R05 T110/70MHG
H52
J10
GIGI 7 RB KANAN
K04.9 PERMANENT
M10 T 160/90MMHG
C50
Z09
E10
Z00 T 120/80MMHG TB
160CM BB=55KG
J11 T120/80MMHG
K40 T120/80MMHG
Z09
I50 T 120/80MMHG
J11 T120/80MMHG
N18
E10 T110/70MMHG
GGI 1 RA KIRI
K02 PERMANET
L23
J06
I50 T126/67MMHG
J11 T 104/68MMHG
R53
Z00
J06
R53
F20
J06
K04.4 GIGI RB
K03 GIGI RB KA KI
K29
K29 T160/100MMHG
M080 T130/90MMHG
GIGI 5 RA KIRI
K04.4 PERMANENT
D470 T 130/80MMHG
K29
A15 T 120/80MMHG
K03 GIGI RB KA KI
R53 T97/63MMHG
E10 T144/76MMHG
I64 T130/85MMHG
I50 T148/82MMHG
K29 T167/74MMHG
I10 T190/110MMHG
GIGI 8 RB KIRI
K04.0 PERMANENT
Z00
H10 T120/80MMHG
Z00
A01
L23
J06
Z00
E11
K29
F20
J06
K29
K29
I10
R53
R51
K29 T98/71MMHG
J06
J06
I10
J06
K05.1 GIGI RA RB
K05.1 GIGI RA RB
A15
I10
K45
L23
B53
K05.1 GIGI RA RB
I10
I10
J06
Z00
K75
A15
Z00
R51
I10
K05.1 GIGI RA RB
Z00
I10
L23
B17
K05.1 GIGI RA RB
Z00
J06
E14
K04.4 GIGI
A15
H26 T 120/80MMHG
J11 T
M09 T130/80MMHG
I64 T17/90MMHG
I50 T110/70MMHG
E14 T172/86MMHG
M10 T150/80MMHG
L23 T130/80MMHG
R05 T 120/80MMHG
I50 T110/70MMHG
I50 T110/80MMHG
K29 T158/85MMHG
L24 T130/80MMHG
E01 T137/61MMHG
L23 T
R53 T 200/100MMHG
K29 T 110/70MMHG
Z32
I10 T 160/90
R53
5 ATAS,6 RB KIRI
K00 PERMANENT
GIGI 1 RA KIRI
K04.5 PERMANENT
R53
E10
GIGI 6 RB KANAN
K02 PERMANET
GIGI 7 RB KIRI
K04.4
PERMANENT
GIGIO 6 RB KIRI
K02
PERMANENT
L23
R53
GIGI 8 RB KANAN
K04.4 PERMANENT
I10 T 190/100
K29
R05
Z00
I84
I10 T190
GIGI 5 RB KANAN
K04.4 PERMANENT
J10
R53
J00
J10
H10
K01 GIGI MOLAR 3 RB
H52
Z00
GIGI 6 RB JKANAN
K04.4 PERMANET
L23
K04.4 GIGI
I10 T 200/100
R53
A18
Z00
E10
R05
J00
K29
K04 GIGI
I10 T 170/100
I10 T 200/100
I10 T 160/80
J00
I10
I10
R05
Z00
I50
R53
R53
I10 T 180/100MMHG
I50 T120/80MMHG
R53 T140/90MMHG
I50 T150/90MMHG
L23 T140/87MMHG
J11 T 129/74MMHG
I10 T170/100MMHG
K29 T120/60MMHG
E10 T 100/60MMHG
R04 T120/80MMHG
E10 T164/90MMHG
I10 T210/90MMHG
R53 T170/100MMHG
I10 T200/100MMHG
I10 T147/87MMHG
M09 T120/70MMHG
Z09
B26
R53
R53
K04.4 SAKIT GIGI
K29
H54
GIGI 8 RB KANAN
K01 MIRING
GIGI 6 RB KIRI
K04.4
PERMANET
E10 T 150/85MMHG
A75
GIGI 8 RB KANAN
K04.4 PERMANENT
I10 T 165/90
I10 T 150/90
H54
K05.1 GIGI RB KA KI
Z00
Z00
Z00
Z00
Z00
J10
R05
J00
L24 T150/86MMHG
K29
K29 T110/70MMHG
H60
I50
K05.1 GIGI RA RA RB
K05.1 GIGI RA RB
R05 T160/65MMHG
J11 T130/90MMHG
I50 T120/80MMHG
K29 T130/80MMHG
I10 T 160/90
R53
GIGI 5 ERB KANAN
K04.9 PERMANENT
R53
R53 T170/80MMHG
I10
J00
Z00
Z00
GIGI 6 RA KIRI
K04.4 PERMANET
GIGI 6 RB KIRI
K02 PERMANENT
Z00
R53
M10 KOL 224
GIGI 4 RB KIRI
K04.0 PERMANENT
Z00
H44 T 120/80MMHG
L24
GIGI 5 RA KIRI
K04.4 PERMANENT
R53 T180/80MMHG
I50 T120/80MMHG
R53
I84
O 1/80
A01 H 1/160
E10 T170/90MMHG
R53
A15 T 120/80MMHG
N39
I10 T250/100MMHG
E109 T 120/80MMHG
R53
A01
GIGI 6 RA KANAN
K02 PERMANENT
K05.1 GIGI RA RB
H52
GIGI 8 RB KIRI
K04.1 PERMANENT
J10
K05.1 GIGI RA RB
K29 T170/120MMHG
J00
GIGI 5 RB KIRI
K04.9 BAWAH PERMANENT
E10 T120/80MMHG
L23
K29
E10 T120/80MMHG
KARANG GIGI PADA
K03 RA KANAN
J10
Z00
R53
R51
L24
K04.4 GIGI RA RB
I50
F20
GIGI 6 RB KANAN
K04.0 PERMANENT
I84
J10
A16 T120/80MMHG
I50
K29 T167/100MMHG
GIGI RB BAGIAN KIRI
K04.4 SAKIT AGAK
E10 BENGKAK
M09 T132/75MMHG
Z00
E10
I10 T186/91MMHG
Z20
K29 T110/60MMHG
K29 T160/80MMHG
I10 T176/81MMHG
F41 T120/60MMHG
L23 T120/80MMHG
J10
J42 T 120/80MMHG
F20
B02 T150/96MMHG
K29 T137/86MMHG
A15 T120/80MMHG
R05 T120/80MMHG
K29 T
GIGI 1 RB KANAN
K04.9 PERMANENT
K29
L23
D61
GIGI 8 RB KANAN
K04.0 PERMANENT
F20
GIGI 6 RA KANAN
K04.4 PERMANENT
J90
GIGI 3 RB KIRI
K04.1 PERMANENT
J10
I10 T 190
K29
J00
L23
L23
I50
R53
J10
GIGI 1 RB KIRI
K04.4 PERMANENT
GIGI 7 RB KIRI
K04.0 PERMANENT
M10 AU 8,4
R53
K29
R53 T 180
H52
Z09
R05 T120/80MMHG
N18 T160/90MMHG
I10 T168/87MMHG
K29 T 145/80MMHG
I10
K29 T150/80MMHG
D02 T110/80MMHG
E76 T170/100MMHG
E10 T224/82MMHG
K29 T 160/100MMHG
B02 T146/63MMHG
L24 T 120/80MMHG
R05 T120/80MMHG
GIGI 8 RB KANAN
K04.9 PERMANENT
K29
GIGIB 5 RB KANAN
K04.0 PERMANENT
J10
K29
R53
F20
F20
I50
R53
GIGI 7RB KANAN
K04.0 PERMANENT
GIGI 8 RB KANAN
K01 PERMANENT
R51 T 90
R53
R53
A16 T120/80MMHG
R53
J06
H54
J00
J00
GIGI 6 RB KANAN
K04.4 PERMANENT
R53
Z00
K04.4 GIGI 6 RB KANAN
J11 T190/100MMHG
K29
M10
I10 T180MMHG
K29 T120/80MMHG
M10
R05
K29
J00
I10 T 210/110
J45
A09
GIGI 8 RB KANAN
K04.0 PERMQNENT
M10 T160/90MMHG
H26
J10
GIGI 6 RB KIRI
K04.0 PERMANET
R51 T 110
K04.9 GIGI 6 RA KANAN
K29 T106/70MMHG
A16 T 120/80MMHG
K29 T
E76 T120/70MMHG
I64 T190/100MMHG
RESESI GINGIVA
PADA GIGI4 RB KIRI
Z00 PERMANENT
A18
F20
L23
R05
J11
F20
R05
TGIGI
160/90
6 RB KANAN
K04.1 PERMENENT GP,
J10 GINGIVA BENGKAK
I10 T 200/100
K29
J00
K29
K01.1
J00
R53
J00
K29
L23
K29 DI TELAPAK KAKI
E10 KANAN BAGIAN
J11 SAMPING TRDAPAT
J00
J00
R05
R53
R53
J10
J10
I10 T 196/85MMHG
N40 T 120/80MMHG
A18 T120/80MMHG
I10 T180/100MMHG
K29 T130/80MMHG
E149 T157/77MMHG
L23 T120/80MMHG
N63 T120/80MMHG
R53 T170/80MMHG
H10 T120/70MMHG
N18 T
J11 160/90MMHG
H26 T140/80MMHG
I50 T120/80MMHG
I10 T 170/70MMHG
K29 T120/80MMHG
N40 T 120/80MMHG
N18 T 140/90MMHG
R53 T163/97MMHG
K29
molar 3 kiri bawah
K04.4 gp
N18
H10
A75
F20
J00 T 180/90
H10
K12 BB 53
F20
A16
H10
I50
J00
Z09
I10 T 150/90
DHE
R53
E14
R53
K29 T 120/80
J44
K04.1 MOLAR KIRI ATAS GP
K29
H60
L23
A75
R05
T
A15 T120/80MMHG
TAA
H45 T160/80MMHG
M09 T161/100MMHG
W44
taa
L23
M09
L23
Z00
K29
L23
R53 T 140/80
I10 T125/80MMHG
molar satu kanan
K04.4 bawah caries
I10 profunda
T 190/90
E10
I64
J44
F20
H60
DHE
O01
R309 T160/90MMHG
T
I95 T 80/60
R53 T 150/90
K29 T 120/80
I10 T210/100MMHG
L23
I10
J029
I10 T 160/90
Z00
N18
I10 T170/100MMHG
K29 T120/80MMHG
I50 T150/90MMHG
N189 T124/70MMHG
K29 T120/80MMHG
I50 T120/70MMHG
I10 T170/100MMHG
E76 T137/70MMHG
R53 T200/100MMHG
I10
E10
K29
E76 T150/90MMHG
R05 T 110/70MMHG
A16 T 120/80MMHG
J11 T120/80MMHG
K05.1 GIGI RA RB
A09
K05.1 GIGIB RA RB
J11
S34
GIGI 8 RB KANAN
K04.4 PERMANENT
R53
K05.1 GIGI RA RB
GIGU RA RB
K05.1 PERMANENT
K56
I10
K05.1 GIGI RA RB
I10 T 190/110
K05.1 GIGI RA RB
E10
Z00
L23
Z00
A15 T120/80MMHG
K05.1 GIGI RA RB
R05 T 90/70
I10 T 140/90
K04.4 GIGI ATAS
K04.9 GGI
K04.9 GIGI
GIGI 6 RB KIRI
K04.4 PERMANENT
Z00
A15 T120/80MMHG
K29 T160/90MMHG
I95 T 100/80
R53
K04.4 GIGI 1 RB KIRI
GIGI 5 RB KANAN
K04.9 PERMANET
GIGI 1 RB KIRI
K04.9 PERMANENT
I10
E76 T130/70MMHG
GIGI 7 RA KANAN
K04.4 PERMANENT
M10 T120/80MMHG
J11
J11 T100/70MMHG
K05.1 GIGI RA RB
A15 T120/80MMHG
M10 T140/70MMHG
I10 T160/100MMHG
R05 T120/80MMHG
N18 T120/80MMHG
K29 T166/100MMHG
I10 T=177/85MMHG
E76 T=180/100MMHG
J449 T130/80MMHG
N17 T150/90MMHG
L23 T120/80MMHG
E10 T130/90MMG
Z00 T120/80MMHG
H54 T127/70MMHG
J11 T140/95MMHG
M10
F20
L23
J10
L23
GIGI 7 RA KANAN
K04.4 PERMANENT
E14 T 160 / 90
R53
M10
K29
Z00
F20
M10 KOLES 204
R51 T 110
R53
I10 T 180
A09 T 180/110
B20
J00
R05
K29
H54
R15
E14
J00
M10
J10 GDA 462
E10 AU 7
Z00 KOL 210
Z00
K05.1 GIGI RA RB
K29 T 130 /80
E14
L23
R53
K05.1 GIGI RA RB
I84
R53
I10 T 190/100
F20
J00
T 160/90
K05.1 GIGI RA RB
W44
I10
R05 T 80/60
K29
K05.1 GIGI RA RB
K05.1 GIGI RA RB
F20
R53
Z09
GIGI 7 RA KIRI
K04.9 PERMANENT
Z00
I10 T 230/110
H10
J10
GIGI 3 RB KANAN
K04.4 PERMANENT
I50
R51
Z09
R53
A16.T
E14
Z09
L24
J10 T 90
L23
H10
R50
J10
J10
H60
R53
R53
K29
L24
R51
I10
R53
K03 GIGI RA RB
B02
AU 6,5
I10 KOL 228
N18
K29
A15
J10
K29
J10
R51
L23
K29
J45
GIGI 7 RB KIRI
K04.4 PERMANENT
E14
H52
I10
F20
GIGI 6 RA KIRI
K04.9 PERMANENT
M09
I10
Z00
F20
GIGI 6 RB KANAN
K04.1 PERMANET
L23
R53 T 130
Z00
K29
I50
I50
I50
R53
A15
F20
J45
I50
I50
E14
L23
J06
Z00
J06
I10
J11 T125/'70MMHG
R53 T180/110MMHG
I498 T130/80MMHG
A16 T 120/80MMHG
K800 135/81MMHG
I50 T130/96MMHG
J10 T130/70MMHG
I50 T138/78MMHG
A16 T 110/70MMHG
R16 T139/80MMHG
E76 T=130/80MMHG
I50 T166/71MMHG
I10 T212/124MMHG
R53 T150/70MMHG
J06
K29
J06
GUSI BAGIAN DEPAN
K06 ATAS
GIGI 6 RA KIRI
K04.4 PERMANET
K29
GIGIV 3 RA KANAN
K04 PERMANENT
J06
K29 T 180/90MMHG
L23
K29
I10
I10
J06
R51
K03 GIGI RA KA KI
K29
J45
J06
E11 T170/86MMHG
A01
L23 T130/80MMHG
S63
I10
I10
I10 T130/70MMHG
L23 T
D470 T80/60MMHG
A15 T 120/80MMHG
I10 T150/80MMHG
R53 T120/70MMHG
J11 T148/80MMHG
R53
E10 T170/80MMHG
E11 T 120/80MMHG
J40 T130/80MMHG
H26 T 120/80MMHG
L23 T 120/80MMHG
E76 T 90/60MMHG
I10 T170/80MMHG
PEND SDH MRS
A09 SEJAK TGL 7/10/17
L23 S/D SEKARANG
T160/90MMHG
I50 T130/76MMHG
K40 T 120/80MMHG
I50 T110/70MMHG
I10 T230/100MMHG
K29
R53
A01
GIGI 1 RA KIRI
K04.1 PERMANET
K29
GIGI 8 RB KIRI
K04 PERMANENT
E14
GIGI 5 RA KIRI
K04 PERMANET
I10
E14
I15 T160/80MMHG
GIGI 5 RA KIRI
K04.1 PERMANET
R53
J40 T 110/80MMHG
T12
E10
K05.1 GIGI RA RB
R53
G40
L24
K04.4 GIGI
R50
E76 T180/80MMHG
K04.4 GIGI
R51 T 110
J10
K05.1 GIGI RA RB
K05.1 GIGI RA RB
R51
K05.1 GIGI RA RB
J10
Z09
Z00
A15 T 120/80MMHG
K29 T175/90MMHG
Z09
I10 T 170/110
K05.1 GIGI RA RB
D50
Z32
I10 T 150
M10 KOLES 234
J10
A16 T 120/80MMHG
R53
E14 T140/90MMHG
E14 T130/64MMHG
J10
J11 T130/85MMHG
R53 T=140/80MMHG
I10 T180/80MMHG
K05.1 GIGI PROSTODONTIA
J10 T=
L23 ERYT+ CRUST- VES-
K05.1 PUST+
GIGI RAMAC-
RB
R53 T160/90MMHG
I10 T207/90MMHG
E10
J10
K05.1 GIGI RA RB
Z00
Z00
J10
K29
Z00
J10
Z00
L23
GIGI 6 RB KIRI
K04.4 PERMANENT
Z00
J10
R50
Z00
GIGI 7 RB KIRI
K04.4 PERMANENT
K05.1 GIGI RA RB
Z00
J10
I10 T 190/110
Z00
K02 GIGI 5 RB KANAN
PERMANET
Z09
J10
K29 T135/75MMHG
R53
Z00
Z00
J10
A15 T 120/80MMHG
L24
K05.1 GIGI RA RB
R53 T140/80MMHG
GIGI 3 RB KANAN
K04.4 PEMANENT
E76 T145/75MMHG
K29 T110/70MMHG
K05.1 GIGI RA RB
Z00
R50
D470 T159/84MMHG
L23 T114/63MMHG
Z00
Z09
L24
Z00
Z00
L23
I50 T140/70MMHG
E76 T110/70MMHG
E10 T147/80MMHG
K29 T165/80MMHG
J449 T 120/80MMHG
A09
R53
H10
GIGI 8 RB KANAN
K01.1 PERMANENT
I84
GIGI 8 RB KIRI
K04.4 PERMANENT
R53
K02 GIGI 35 KALKULUS
K29
R05 T 120/80MMHG
K29 T123/75MMHG
L23
L23
R51
J10
R53
A15 T 120/80MMHG
Z00
Z00
J10
R53
Z00
I10 T 190
J10
Z00
H66
J10
R51
Z09
M10
K29
A16 T 110/70MMHG
J10
K40 T 110/70MMHG
R53 T 120/80MMHG
I10 T190/100MMHG
K29 T170/80MMHG
J45
K05.1 GIGI RA RB
GIGI 7 RB KIRI
K04.4 PERMANENT
J00
J10
Z00
K29
I50
K03 GIGI RB KA KI
K29
R53
L23
K29 T127/90MMHG
J10
K04.4 RB KA KI
R53 T120/80mmhg
K40 T120/80MMHG
K05.1 GIGI RA RB
R53
Z00
I95 T 85/60
Z00
Z00
I10 T 180/90
K05.1 RA POSTORIOR
J10
I10
I10 T 150/90
J10
GIGIB 6 RB KIRI
K04.4 PERMANENT
Z00
R53 T 130/80
R05
J00
I84
L23
J00
GIGI 1 RA KANAN
K04 PERMANENT
I10 T 200/100
R53
GIGI 6 RB KIRI
K02 PERMANENT
I10 T 140/90
R53 T110/70MMHG
R060 T130/90MMHG
I50 T120/80MMHG
E76 T139/80MMHG
H54 T135/80MMHG
L23 T139/82MMHG
R53 T150/96MMHG
E10 T95/80MMHG
K29 T110/80MMHG
A16 T120/80MMHG
E10 T170/90MMHG
I50 T150/80MMHG
N18 T130/80MMHG
I64 T177/110MMHG
I10 T177/70MMHG\
K29 T120/80MMHG
E76 T175/92MMHG
E10 T110/60MMHG
F20 T160/90MMHG
R53 T 140/90MMHG
E10 T170/70MMHG
A15 T 110/70MMHG
H28 T120/70MMHG
R05 T 120/80MMHG
J10 T140/80MMHG
H000
R53
I10 T 150/90
R05
E10 T 110/70MMHG
K05.1 GIGI RA RB
I50 T200/90MMHG
K29 T
R53
J00
J029
R53
R53
K29
J00
K45 T120/70MMHG
K05.1 GIGI RA RB
GIGI 8 RB KIRI
K04.0 PERMANENT
R53
J00
I10 T 170/90
K05.1 GIGI RA RB
GIGI 2 RA KIRI
K04.1 PERMANENT
G318
J00
L23
J00
F20
K29
E76 T140/70MMHG
Z00
I50 T120/80MMHG
F20
J00
A75
J00
GIGI 3 RB KIRI
K04.9 PERMANENT
J00
Z00
K04.1 GIGI RA KIRI
PEMANENT
E10 T139/80MMHG
R53
J00 T 150/80
K29
J11 T135/80MMHG
E10
GIGI 4 RA KANAN
K04.9 PERMANENT
C53
GIGI 7 RB KIRI
K04.4 PERMANENT
GIGI 8 RB KIRI
K04.4 PERMANET
J00
L23
R53
K04.4 GIGI RA RB
I10 T180/100MMHG
A15 T
A15 T 120/80MMH
E76 T140/76MMHG
J11 T130/80MMHG
R05 T100/60MMHG
I10
E76 T120/80MMHG
K29 T165/72MMHG
R53
E10 T144/76MMHG
Z00
R53
GIGI RA RB
K29 T129/80MMHG
K05.1 GIGI RA RB
J06
L23 T113//70MMHG
H25 T146/74MMHG
B20 T 120/80MMHG
R53
F20
E14
M09
K29
E11
Z09
I50
F03
E76 T140/80MMHG
K04.4 GIGI 6 RB KANAN
PEMANENT
J00
N18
Z09 T120/80MMHG
T120/80MMHG
R05 T 140/90
K05.1 GIGI RA RB
Z00
Z00
R53
R53
E14
L23
E14
I10 T 190/100
A75
Z00
J11 T 150/90MMHG
F20
I10 T199/110MMHG
Z00
I10
T12
H10
H54
A15 T 120/80MMHG
H10
R53
J00
E108 T115/70MMHG
Z00
R53 T130/80MMHG
K05.1 GIGI RA RB
I50 T170/90MMHG
J11 T130/80MMHG
E14
Z00
E10
GIGI 6 RA KANAN
K04.4 PERMANENT
I10
Z00
R10
J00
E76 T150/75MMHG
R53
R53 T130/70MMHG
I10 T176/80MMHG
L23 T130/70MMHG
I50 T 150/90MMHG
E11 T150/80MMHG
K12 T140/80MMHG
I10 T210/110MMHG
L23 T
N18
B02 T170/80MMHG
F20
R53
GIGI 8 RB KIRI
K04.9 PERMANENT
Z00
Z00
Z00
B26
E10
I10 T 150
K29
K05.1 GIGI RA RB
F20
K05.1 GIGI RA RB
J10
J10
J10
Z00
M10
J10
Z00
K12
Z00
R53
K29
I10 T 190
Z00
R51
Z00
GIGI 7 RA KIRI
K04.0 PERMANENT
J10
Z00
A09
R50
Z00
J10
K29 T120/90MMHG
A01
Z00
R51 T 100
GIGI 6 RA KANAN
K04.9 PERMANENT
R51 T 110
L23 T 120/80MMHG
J10
R060 T175/80MMHG
E76 T180/100MMHG
K29
I64 T170/100MMHG
J10
J10
Z00
I50
J00
I10 T 220/100
I95
I50
R53
TD 120/80 N 84 BB
H269 60 TB 162
J11 T130/70MMHG
J10 BB 58 N 84 TD 90 /70
Z00
A09
R53
BB 70 N 84 TD
B00 1660/90
I10 T168/90MMHG
Z00
I10 T150/70MMHG
A15 T110/70MMHG
K29
J00
BB 60 N 84 TD
J10 110/70
TD 120/80 BB 66 N
E13 84
I10 T 160/90
R060
J00
BB 49N TB 160 N 84
M06 TD 100/ 70
Z00
GIGI 6 RB KIRI
K04.4 PERMANENT
A01
J02
Z00
R53
H54
Z09
Z00
J10
J10
R51
I50
D47
E01
J10
Z00
Z00
Z00
J10
H52
M06 130/90 N 84 BB 50
A15 T 120/80MMHG
A16 S-P-S
H52
I50
R05 T100/70MMHG
M06 TD 140 / 80 N 80 BB
67
Z32
G40 T 120/80MMHG
L23 T140/70MMHG
M06 110/70 BB 65 N 84
E10 T140/70MMHG
K29 110/70 BB 50 N 84
TD 120/80 N 84 BB
K29 55
K29
K29
M10
I10 T 180
K05.1 GIGI RA RB
GIGI 7 RB KANAN
K04.4 PERMANENT
G40
R51 TD 110/80
A01
A09 90/70 BB 47
TD 150/90 N 84 BB
K29 60 TB 155
J45
I50
I10
R53
A09
G40
A15
GIGI 7 RA KIRI
K04.4 PERMANENT
J10
K29
BB 65 TB 150 TD
J10 100 /70
E10
J10
R53
J10
R53
R53
J10
J11 T135/70MMHG
J10
A15 T120/80MMHG
K05.1 GIG I RA RB
E10 GDA 314
K29
I10 T205/140MMHG
H26 T120/80MMHG
TAA
M10
M10
M43 T170/90MMHG
I84
J10
I64 T150/80MMHG
J10
H54 T220/70MMHG
J449 T 120/80MMHG
L23 T138/60MMHG
L23 T120/80MMHG
E10 T150/90MMHG
I10 T170/80MMHG
J10
H26 T120/70MMHG
J45
R53 AU 7,2
L23
K05.1 GIGI RA RB
J10
J00
T12
F20
R53
J10
Z00
K04.4 GIGI
I10 T 160/90
R10
L23
Z00
J00
E14
K29
GIGI 1 RA KANAN
K04.9 PERMANENT
E14
R208 T145/90MMHG
GIGI 7 RA KIRI
K04.4 PERMANENT
R53
D470
K29
L23
Z00
K29
K29
E10 T130/90MMHG
J00
M09 T120/70MMHG
E76 T126/70MMHG
K12
Z00
I50 T150/90MMHG
I10 T 150/90
J10
K29 T 110/80
R53
A15 T120/80MMHG
GIGI 8 RB KIRI
K04.9 PERMANENT
I10
Z00
GIGI 3 RA KIRI
K04.4 PERMANENT
E76 T140/80MMHG
I50 T100/60MMHG
I10 T140/90MMHG
I10 T140/80MMHG
GIGI 1 RA KANAN
K02 TETAP
GIGI 6 RB KANAN
K04.4 PERMANENT
E10 T110/70MMHG
H57 T146/70MMHG
R53
J00 T 180/90
R53
R05
GIGI 6 RA KANAN
K05.1 PERMANENT
GIGI 8 RA KANAN
K04.1 PERMANENT
GIGI 1 RA KA KI
K02 PERMANET
I84
GIGI 6 RB KANAN
K04.1 PERMANEN T
J11 T100/60MMHG
Z00
E76 T 150/80MMHG
J10
J10
Z00
K04.4 GIGI 5 RB KIRI
PERMANENT
J10
J00
Z32
J449 T120/70MMHG
GIGI 7 RA KIRI
K04.4 PERMANENT
J11 T120/80MMHG
I10 T 170/90
A01
E14
GIGI 5 RA KANAN
K02 PERMANENT
M10
GIGI 7 RA KIRI
K04.4 PERMANENT
L23 T 110
I10 T 160
GIGI 6 RB KANAN
K02 PERMANET
N40 T130/90MMHG
R53
E10 T150/70MMHG
R53 T170/90MMHG
J00
I50 T 120/80MMHG
R53 T 140/90
I10 T230/110MMHG
J10
E01 T110/60MMHG
K02 GIGI 6 RB KIRI
GIGI 6 RB KANAN
K04.4 PERMANENT
J00
J10
J10
L24 T120/80MMHG
J10
Z00
Z00
K29
I10 T160
K04.4 GIGI
E10
E10
R53
F20
J10 T 150
K05.1 GIGI RA RB
F20
J10
Z09
R51
GIGI 7 RB KANAN
K04.4 PERMANENT
GIGI 7 RB KIRI
K04.9 PERMANENT
J10
M10 AU 9,1
GIGI 6 RB KANAN
K04.4 PERMANENT
R51
R53
GIGI 3 RA KANAN
K02 PERMANENT
R53
F20
GIGI 1RB KANAN
K06 PERMANENT
A09
Z09
J10
GIGI 6 RB KIRI
K02 PERMANENT
F20
H60
L23
M09
I10 T 180/90
R53
H409
J00
J10
R53
K29
K29
R53
A15
K29
R53 T 100/70
K03 GIGI RB KA KI
L23
GIGI 4 RB
K04.1 KANANPERMANENT
R05
GIGI 6 RB KIRI
K04.1 PERMANENT
J00
L23
N89
L23
K29
GIGI 5 RB KIRI
K04.4 PERMANENT
J10
J00
J11
J00
H54
I10 T 180
E10
Z09
J02
L23
L24
R51 T 100
I50
J00
I95
K29
R34
I10 T 170/90
E10
R51
Z09
K29
J00
R53
J00
Z00
I10 T 180/90
L23
J10
GIGI 4 RB KANAN
K04.9 PERMANET
I50
J10
R50
K29
R53
J00
J00
R05
GIGI 7 RA KIRI
K04.4 PERMANENT
R50
A15
H10
K02 GIGI 4 RB KIRI GIGI
PERMANENT
R53
E10
GIGI 7 RB KIRI
K04.4 PERMANENT
R50
J018
R53 KEJU LINU
R53
I10 T 180/90
H919
L23
I10 T 170/90
R53
R50
R50
E10
R53
R53
I10 T 180/90
K29
R05 T 175/90
K29
K02 GIGI 5 RB KIRI
PERMANENT
I84
Z00
J00
R53
GIGI 6 RB KANAN
K04 PERMANENT
I10 T 200/100
I10 T 160/90
R05
R53
R53
Z00
L23
I10 T 160/90
R53
K29 T 140/80
E10 GDA 326
T16
L23
R53
GIGI 6 RB KANAN
K04 PEMANENT
GIGI 7 RB KANAN
K04.9 PERMANENT
R05
R53
E10 T 180/90
R53
I10 T 170/90
R53
J11
I50 T230/100MMHG
R05
R05
R53
K29
K29
E10
R53
I10 T 170/90
GIGI 4 RB KIRI
K04.4 PERMANENT
I10 T 170/90
K29
I10
R53
R51
A15
R53
F20
R53
R53
I10
I10
GIGI 4 RB KIRI
K04.0 PERMANENT
J00
R53
A75
I10 T 160
E10
GIGI 5 RA KIRI
K02 PERMANENT
K29
H52
R53
I10
GIGI 4 RB KIRI
K04.4 PERMANENT
R53
J10
H54
E14
J10
E10
R53
I10 T 180/90
R51
A15
I10 T 180/90
K04.9 GIGI 46
R53
GIGI 2 RB KIRI
K04.1 PERMANET
L23
F20
K29
E14
H52
GIGI 3 RA KIRI
K04.0 PERMANENT
R53
J00
R53
K45
K29
M10
J00
R05
F20
J00
GIGI 7 RB KIRI
K04.4 PERMANENT
J10
R53
J10
F20
T 170/110
I10 AU 8.8
R05
GIGI 7 RB KANAN
K04.0 PERMANENT
K05.1 GIGI RA RB
K05.1 GIGI RB KA KI
R53 T142/93MMHG
L23
E14
A16
R51
R53
I64
R53
K04.1 GIGI 3 RA KANAN
PERMANENT
GIGI 4 RB KANAN
K02
TETAP
B17
J10
Z00
R53
E76 T179/93MMHG
K29 T138/70MMHG
R05 T120/80MMHG
M080 T140/80MMHG
I50 T130/70MMHG
L23
K29
F20
R53
L23
R51 T 110
I10
R53
L23
J10
K29
J44
Z00
R53
E10
E10
R53
I50
R53
I10 T 180
I64 T170/70MMHG
J10
A15 T 120/80MMHG
E76 T 167/81,MMHG
A15 T 120/80MMHG
K29 T130/80MMHG
L24
R53
J10
J10
R51
I50
Z00
A16
R53
H10
H10
H52
J10
K29
E10
R51
INCICIVUS ATAS KIRI
K00.4 CARIES PROFUNDA
L23
J00
R51
J10
L23
R53 T 120
R51 T 110
J10
T 120/80MMHG
R05 T 120/80MMHG
I50 T172/100MMHG
R05 T 120/80MMHG
L23 T208/98MMHG
L24 T 120/80MMHG
H03 T174/97MMHG
A15 T 120/80MMHG
I50 T184/85MMHG
I10 T158/64MMHG
E76 T198/107MMHG
N40 T 199/86MMHG
I50 T145/89MMHG
H54 MMHG
E76 T144/83MG/DL
E10 T164/82MMHG
Z00 T163/101MMHG
E76 T 120/80MMHG
Z09 T177/88MMHG
I10 T160/90MMHG
E10 T138/79MMHG
I10 T188/94MG/DL
E10 T215/105MMHG
E10 T120/80MMHG
E10 T132/70MMHG
K05.1 GIGI3 RB KIRI
PERMANENT
I50
J10 T 110
R51 T 100
R51 T 120
R53
R53
K29
H10
J10
K05.3 GIGI 44 DAN 45
L24
R53
I50
I10 T 170/110
RAHANG BAWAH
K05.1 KANAN DAN KIRI
6 RA KANAN
K04.1 PERMANENT
E76 T166/89MMHG
K29 T110/70MMHG
A09 T108/75MMHG
I50 T18`/92MMHG
E14 T146/91MMHG
J11 T174/97MMHG
I10 T210/120MMHG
J10
J10
I64
F20
E10 T120/80MMHG
I50 T170/100MMHG
M10
E10 T145/74MMHG
F20
J10
Z00
H10 T136/78MMHG
I10 T167/93MMHG
A56 T14/60MMHG
I10 T207/120MMHG
E76 T169/79MMHG
H54 T138/79MMHG
K05.1 GIGI RA RB
K29
K04.4 GIGI
I10 T 140
I10 T230/112MMHG
K29
Z00
R53
Z00
K05.1 GIGI RA RB
Z00
J00
I10 T 160/90
K05.1 GIGI RA RB
Z32
K05.1 GIGI RA RB
A16
K29
K05.1 GIGI RB KA KI
J00
GIGI 2 RA KANAN
K02 PERMANENT
R51 T 120
K05.1 GIGI RA RB
I10 170
K05.1 GIGI RA RB
K05.1 GIGI RA RB
D00
I10 T 180/90
I10 T 160/90
I10 T 150
K05.1 GIGI RA RB
I84
A09
F20
I10
R53
L23
I50
I11
Z00
K29
Z00
Z00
Z00
Z00
Z00
R53
K29 T136/85MMHG
Z00
Z00
H00
Z00
J11 T190/73MMHG
E76 T164/88MMHG
J11 T163/89MMHG
T12 T 120/80MMHG
A15 T 120/80MMHG
E10 T=142/87MMHG
J11 T=190/97MMHG
J11 T121/87MMHG
E10 T151/86MMHG
R05 T120/80MMHG
T 120/80MMHG
J10 T162/85MMHG
J11 T138/73MMHG
GIGI 7 RA KANAN
K04.9 PERMANET
Z00
Z00
Z00
I10 T 200/100
Z00
Z00
A16
Z00
A75
Z00
Z00
R05
Z00
A15
J00
J10
Z00
Z00
I10 T140/90MMHG
Z00
R53 T148/85MMHG
E01
R53
Z00
L23
Z00
Z00
K05.1 GIGI RARB
Z00
Z00
Z00
K05.1 GIGI RA RB
Z00
A15
K05.1 GIGI RA RB
Z00
R53 GDA126
A15
R53
Z00
Z00
I10 T 170/90
R53
Z00
Z00
Z00
Z00
Z00
L24
Z00
H10
Z00
I50
J44
Z00
R53
R51 T 90
R53
R53
R53
H60
I10 T200/100MMHG
E10 T141/65MMHG
Z00
J11 T150/77MMHG
J449 T110/70MMHG
A16 T 120/80MMHG
A15 T 120/80MMHG
Z00
Z00
I10 T 230/100
K05.1 GIGI RA RB
L23
A16
I50
KALKULUS RA DAN
K05.1 RB
L23
A01
R53
GIGI RA RB
K29 T 120
I10 T 160/90
L23
R10
J00
R53
L23
L23
J00
GIGI 5 RB KANAN
K04.4 PERMANENT
E11 GDA 149
J10
R53
J00
E10
H00
GIGI 6 RB KIRI SISA
K04.9 AKAR
I10 T 171/90
GIGI 1 RA KANAN
K04.4 PERMANENT
Z00
J10
J00
K29
I10 T 170/90
J10
J00
I10 T140/90
R05
G44
Z00 TR 180
Z00
K05.1 GIGI RB KA KI
Z00
L23
K25
I50
F20
Z00
Z00
Z00
R05
A15 T=120/80MMHG
I10 T 150
L23
I10 T 160
A09
J00
E10
E76 T185/105MMHG
GIGU 4 RB KANAN
K04.4 PERMANENT
I10 T236/122MMHG
R05 T149/81MMHG
I64
J10
R53 T 130
R05 T129/75MMHG
I50 T130/83MMHG
E10
I10
R00 T126/62MMHG
N40 T116/57MMHG
J11 T180/95MMHG
J10
K29
K04.5 GIGI RA RB
Z09
J018
E10
A09
E10
I10 T 150
Z00
R05
H10
GIGI 1 RA KA KI
PERMANENT
GIGI RA RB
K05.1 PERMANENT
GIGI 7 RA KIRI
K04.9 PERMANET
J00
Z00
R53 T 150/90
J10
K29
K12
M10
A75
R53
R05 T103/78MMHG
K05.0 REGIO KIRI BAWAH
GIGI 37 PULPITIS
K02 REVERSIBLE
J10
Z09
M10
I10 T 170/90
J10
G40
R05
L23
E11
I10 T 160/90
GIGI 8 RB KANAN
K01 PERMANENT
E01
H54
K29
L23
K29
D00
R05 T 180/90MMHG
Z00
E10
J00
J10
I15 T-131/64MMHG
F20 T 190/90MMHG
M09 T130/60MMHG
A15 T 120/80MMHG
K449 T 120/80MMHG
K29 T125/70MMHG
E76 T140/84MMHG
F20
E14 T130/70MMHG
E11 T 130/80MMHG
R53
R53
GIGI 6 RB KIRI
K04.9 PERMANENT
E10 T130/80MMHG
GIGI 7 RB KANAN
K04.4 PERMANET
R53
R53
E10 T99/64MMHG
K04.9 GIGI 6 RB KIRI
PERMANENT
K05.1 GIGI RA RB
Z00
J10
M10
GIGI 6 RB KIRI AD
K04.4 POLIEP PULPA
J10
J10
F20
K29
R51 KARANG GIGI PADA
K05.1 REGIO RAHANG
GIGI 3 RB KANAN
BAWAH
K04.4 PERMANENT
Z00
I10 T 180/110
Z00
Z00
I10 T123/71MMHG
A15 T132/79MMHG
GIGI 6 RA KANAN
K04.4 PERMANENT
I10 T 170
J10 T 140
Z00
E14
K12
K29
K29 T170/90MMHG
Z00
R53
GIGI 3 RB KANAN
K02 PERMANENT
I50
Z32
R53 T 110
J10
K12
K29
E10
R53
J10
R53
K04.1 GIGI 24
I10 T 170
K04.9 GIGI 27
Z00
K04.0 44
Z30
Z32
I10
K04 GIGI 45
R53
Z00
Z00
H66
R51
J02
R51 T 90
L23
Z30
K05.1 RAHANG ATAS
R51
J00
R53
G318
Z00
REGIO RAHANG
K05.1 BAWAH
E07
K07 REGIO GIGI 13
R53
H60 T 170/90
GIGI BAGIAN RA
K05.1 KANAN ABSES
R05
K01 GIGI 38
K04.0 GIGI 36
Z00
K04.9 48
E10
TB 155CM BB 45KG
Z00 T110/90MMHG
A15 T 120/80MMHG
R53 AU 11 KOLES 276
K04.0 GIGI 15
K04.1
J11 T 140/90MMHG
I10 T170/80MMHG
R05
J11 T167/84MMHG
I10 T151/86MMHG
I50 T
GIGI 6 RA KIRI
K04.9 PERMANENT
J10
J00
F20
K04.9 GIGI 13
J00
J10
J00
Z00
I10 T 150/90
I10 T 190/90
E14
R53
J02
GIGI 5 RB KIRI
K04.9 PERMANENT
R53
R53
K06 GIGI 33
H66
K29
Z00
R50
J10
J10
J10
A09
K06 GIGI 63
I10 T 160
K04.1 GIGI 46
H60
K29
Z00
I10
Z00
K04.1 GIGI 47
Z00
I10 T 150/90
I10 T 180 / 120
A15
A15
I10 T 180/90
R51 T 130
R53
R53
F20
E14
GIGI 7 RA KANAN
K04.9 PERMANENT
K04.4 GIGI
R53
B008
Z00
R53
K29
E14
I10 T 150
I84
A15
K04.4 GIGI
I10 T 160/90
R53
E14 T,
G40
I64 T=141/77MMHG
T170/90MMHG
R05 T 120/80MMHG
R05 T150/80MMHG
E10 T170/80MMHG
L23 T 150/97MMHG
I50 T 174/83MMHG
R05 T89/70MMHG
L24 T130/80MMHG
N20 T158/85MMHG
J11 T77/64MMHG
I10 T181/96MMHG
I10 T187/114MMHG
R53 T200/94MMHG
R53 T170/90MMHG
I64 T195/105MMHG
A15 T 120/80MMHG
L23 T136/93MMHG
K29 T113/70MMHG
I64 T255/148MMHG
KONTROL GIGI 6 RA
K02 KANAN
KONTROLPERMANEN
GIGI 6 RB
K04.4 KANAN
Z00
R53
J10
R53
R53
K29
K05.1 PEMBERSIHAN
KARANG
EKSTRAKSIGIGI
GIGI 5 RA
K04.4 KANAN
I10 T 180
A16 SPS
GIGI 7 RB KANAN
K04.2 PERMANEN
Z00
I10 T 170/95
R53 T148/75MMHG
TUMPATAN GIGI 6 RA
K02 KANAN PERMANEN
K04.4 KONTROL GIGI
L23 T146/98MMHG
K05.1 KONSULTASI GIGI
Z09
K05.1 GIGI RA RB
E10
GIGI 1 RA KIRI
K05.1 PERMANENT
H26 T 120/80MMHG
PERIKSA GIGI 8 RA
K05.1 KANAN
R53
A15 T120/80MMHG
S82 T 120/80MMHG
J11 T110/60MMHG
J11 T196/92MMHG
K29 T130/80MMHG
Z00
J44 T120/80MMHG
I10 T200/93MMHG
Z09 T110/70MMHG
J11 T166/85MMHG
GIGI 5 RB KIRI
K04.4 PERMANENT
K04.4 GIGI 6 RB KIRI
K29 T185/92MMHG
R53
KONSULTASI GIGI RA
K05 RB
KONSULTASI GIGI RA
K05 RB
I10 T 160
I10 TGIGI
160/90
6 RA KANAN
K02 TUMPATAN
K05.1 PERMANEN
GIGI RA RB
R53
EKSTRAKSI GIGI 4 RA
K04.4 KANAN
I50 T100/60MMHG
L23
KONSULTASI GIGI RA
K05 RB
J00
J00
GIGI 6 RB KIRI
K04.0 PERMANENT
R060
H54
E14
M239
R53
K05 KONTROL GIGI RA RB
GIGI 4 RA KIRI
K04.4 BENGKAK
R05 T147/102MMHG
S73 T110/70MMHG
S73 T
L23 T128/70MMHG
KONSULTASI GIGI RA
K05 RB
K29
R51
E14
J10
F20
J02
E10
R53
I10
Z00
KONSULTASI GIGI RA
K05 RB
R53 GDA 131
EKSTRAKSI GIGI 7 RB
K02 KANAN PERMANEN
K29 T190/130MMHG
EKSTRAKSI GIGI 6 RA
K04.4 KIRI PERMANEN
I10
R53
Z09
J06
I10
I10
I84
H60
R53
L23
I10
J06
L23
I10
H10
R53
K29 T164/93MMHG
A15 T 120/80MMHG
E76 T116/73MMHG
J11 T123/60MMHG
R53 T148/90MMHG
L23 T149/79MMHG
I10 T187/119MMHG
K29 T114/65MMHG
E10 T135/94MMHG
H26 T168/97MMHG
I64 T145/91MMHG
E10 T143/76MMHG
R53 T130/90MMHG
E76 T139/64MMHG
I10 T159/91MMHG
I10 T139/82MMHG
J11 T112/91MMHG
F23 T173/90MMHG
K29 T117/65MMHG
R53 T121/89MMHG
E10 T150/90MMHG
I64 T180/100MMHG
D470 T100/80MMHG
J11 T120/77MMHG
I10 T190/90MMHG
R05 T100/70MMHG
E76 T186/106MMHG
K29 T115/80MMHG
A15 T 120/80MMHG
H26 T196/107MMHG
R53 T167/80MMHG
F07 T130/78MMHG
R05 T143/75 MMHG
N18 T174/86MMHG
K29 T120/76MMHG
R53
I10
L23
I10
A09
R53
J10
Z00
R53
Z00
E14
Z00
A09
Z00
L23
R51
J10
J10
N18
J10
J10
J10
R53
Z00
K06 DRUK +
Z09
R53
A01
R53
E14
K29
K05.3
R05
R50
K02 GIGI 6 RB KA
R50
GIGI 8 RB KIRI
K02 PERMANENT
R53
GIGI 7 RB KANAN
K04.4 PERMANENT
R53
R100
GIGI 4 RA KANAN
K04.9 PERMANEN
D47
Z00
F20
M10 T138/75 MMHG
I499 T110/72MMHG
H26
I50 T135/60MMHG
R53 T156/78MMHG
L23 T 120/80MMHG
L23 T 120/60MMHG
E10
R53 T 113/61MMHG
L23 T 120/80MMHG
Z32
Z30
K29 T91/70MMHG
E10 T120/70MMHG
Z32
R05 97/66MMHG
GIGI 1 RA KANAN
K02 PERMANENT
GIGI 6 RB KANAN
K02 PERMANENT
J11 T100/70 MMHG
L23 T 120/80MMHG
Z00 T120/70MMHG
Z32
K04.9 GIGI
J10
J11 T138/85MMHG
K04.9 GIGI PERMANENT
K05.1 GIGI RA RB
K29 T204/127MMHG
K29 T 148/77MMHG
I10 T185/80MMHG
I50 T150/80MMHG
J11 T140/110MMHG
R53 T 149/90MMHG
F20 T 120/80MMHG
E11 T127/65MMHG
A54 T110/70MMHG
I10 T130/80MMHG
J11 T110/70MMHG
J11 T167/81MMHG
G40 T 120/80MMHG
I499 T191/90MMHG
R53
GIGI RA RB KIRI
K03 PERMANEN
I10 T 190
K29 T206/115MMHG
K29
R53 T168/94MMHG
K05.1 GIGI RA RB
R05 T108/68MMHG
K05.1 GIGI RA RB
K04.9 GIGI 4 RA KANAN
PERMANENT
J11 T103/73MMHG
F20
Z32
J11 T 140/90MMHG
Z32
K05.1 GIGI RA RB
I10
I84
R53
E11
GGI 6 RB KIRI
K04.9 PERMANENT
K29
K05.1 GIGI RA RB
Z32
K05.1 GIGI RA RB
R51
B20
H10
Z00
R53
J06
Z00
K05.1 GIGI RA RB
K03 GIGI RB KA KI
Z32
Z32
I10
Z32
R51
J11
R53
R53
Z32
A15
R53
R53
R53
A16.T
R53
J00
A75
I10
R51
J06
A16.T
B01
Z00
F20
K04.4 GIGI
170
I10 120
GIGI TD 170/ 120
K04.4 TIDAK SAKIT
I84
R53
H25
K29
K05.1 GIGI RA RB
J06
Z00
E11
J06
J06
J06
R53 GIGI 8 RB KANAN
K01 PERMANENT
Z00 TUMBUH
I50
J06
K29
GIGI 6 RB KANAN
K04.5 PERMANENT
K04.4 GIGI 7 RA KIRI
J06
L23
J00
A15 T 120/80MMHG
E10 T117/67MMHG
J00
R05 T 120/80MMHG
K29 T158/80MMHG
E76 T179/93MMHG
J00
Z00
Z00
J10 T140/74MMHG
R53
R53
R53
I10 T 140/90
I10 T 220/100
R53
J00 T 160/90
R05
E14
K29 T 196/100MMHG
Z00
L24
K04.4 GIGI 6 RB KANAN
K29
J00
I10 T 200/100
I10 T 160/60
R53
R05
J11 T154/98MMHG
E14
PEMERIKSAAN GIGI
K05.1 RA RB
E14 GDA 371
J11 T110/70MMHG
R05 T101/70MMHG
R53
Z00
R53 T 150/76MMHG
Z00 T120/70MMHG
L24
L23
F20
L23
I10 T 170/90
Z00
I10 T 170/90
I10 T 160/90
R05
R53 T 100/90
R53
Z00 EKSTRAKSI GIGI 6
K04.4 DAN 8 RA KIRI
R53 PERMANEN
I10
E11
F20
J06
R50
J06
J06
R53
R05
I84
I10 T 170/90
GIGI RA RB KANAN
K05.1 KIRI
L23
J90
K40
R53
I10 T 200/100
R53
H10
R53
K29
N18
F20
PEMERIKSAAN GIGI
K05.1 RA RB
R53 T 110/70
R50
J44
E76 T 118/65MMHG
R05 T143/84MMHG
E10 T 130/80MMHG
A15 T 120/80MMHG
I10 T150/90MMHG
R04 T150/80MMHG
K29 T156/81MMHG
R53 T138/95MMHG
E10 T126/73MMHG
R05 T101/71MMHG
T120/80MMHG
J11 T154/72MMHG
E10 T140/77MMHG
A16 T120/80MMHG
R53
Z32
I50
GIGI 6 RB KIRI
K04.1 PERMANENT
I10 T
R53
J11 T110/60MMHG
L23 T 160/80MMHG
F20 T180/98MMHG
I10
R51
R53
F20
K05.1 GIGI RA RB
Z00
A15 T 120/80MMHG
J11 T117/64MMHG
R53 T138/80MMHG
J06
Z00
I50
E10 T136/77MMHG
Z09
I10
GIGI 2 RA KIRI
K02 CARIES
L24
J06
I10
E10 T182/118MMHG
M09 T129/66MMHG
K29 T187/97MMHG
Z09
GIGI 7 RA KANAN
K04.4 PERMANENT
Z00
I10
R53
Z00
E11
L23
Z30
I84
R53
R53
A01
Z00
Z32
Z32
K04.9 GIGI
E11
Z00
I10
I10 T154/84MMHG
I849 T151/79MMHG
D470 T200/87MMHG
Z00
Z32
K29
K06 GIGI
L23
L23
H54
Z00
Z00
E11
E11
R53
R51
J06
Z00
G40
Z00
R53 T144/81MMHG
L24 T169/84MMHG
J06
Z00
R53
K05.1 GIGI RA RB
Z32
E14
E14
GIGI 5 RB KIRI
K04.4 PERMANENT
I10 T 175/90
Z00
K05.1 GIGI RA RB
K05.1 GIGI RA RB
R53
K05.1 GIGI RA RB
L23
MOLAR KANAN ATAS
K04 CARIES PROFUNDA
J45
H10
Z32
GIGI 8 RB KIRI MAU
K05.1 TUMBUH / ERUPSI
Z32
K04.4 GIGI 3 RA KIRI
PERMANENT
J06
T12
I10 T 180/100
K29
I10 TRAHANG
180/90 BAWAH
K00 KANAN PENUH DG
I10 KARANG GIGI
R05
Z00
K05.1 GIGI RA RB
K29
K29
T12
M09
GG 6 RB KANAN
K02 PERMANENT
R05 T 120/80MMHG
R05 T135/70MMHG
L23 T133/84MMHG
E10 T168/80MMHG
E10 T150/90MMHG
E10 T 130/80MMHG
A15 T 122/90MMHG
I50 T107/60MMHG
L23
I50 T131/70MMHG
Z30
Z32
Z32
I50 T125/70MMHG
R53 T144/94MMHG
R53 T149/91MMHG
R05 T109/64MMHG
A16.T
I49 T164/88MMHG
A15 T 120/80MMHG
J10 T120/80MMHG
L24
L23
J06
J06
K40
D470 T141/76MMHG
E76 152/75MMHG
R04 T 210/124MMHG
I10 T200/90MMHG
L029 T120/80MMHG
A15 T120/80MMHG
K29
K29
E11
R53
J06
I10
R53 T175/80MMHG
A01
I50 T151/63MMHG
Z00
J00
Z00
Z00
K06 GIGI
Z32
R53 T 140/90
Z00
L24
G40
K04.4 GIGI
Z00
K02 GIGI RA RB
L23
S24
K29
L24
K05.1 GIGI RA RB
GIGI RA RB
Z32
Z32
K05.1 GIGI RA RB
J06
M10
F20
Z00
I10 T 150
K05.1 GIGI RA RB
J06
A75 THYPUS +
Z32
R53
K29
I10
K03 GIGI
J06
I10
GIGI RA RB
I10 T 165/90
Z32
R51
K04.4 GG 8 RB KIRI
K05.1 GIGI RA RB
GIGI 6 RA KIRI
K02 PERMANENT
K29 T 90
K05.1 GIGI RB KA KI
GIGI RB KANAN
K01 PERMANENT
Z09
K29
GIGI 6 RB KANAN
K04.0 PERMANENT
E10
K05.1 GIGI RB KA KI
E14
J10
R53
J10
R51 T 140
K04.9 GIGU
K05.1 GIGI RA RB
GIGI 8 RB KIRI
K05.1 PERMANENT
H52
K29
K29
GIGI 6 RA KANAN
K04.0 PERMANENT
R50
R53
J00
L23
I10 T 155 /90
J00
R53
M06
GINGIVA
K04 KEMERAHAN
R53
I10 T 170/90
J10
J06
R05
Z00
R53
K29
J00
J00
J00
E14 T 120/80
Z00
TD 160/90 N 84 CEK
E13 AU 7,2
J10 TD 90/60 BB 53
TD 110/70 BB 55 N
M06 84
F20
I10 TD 180/90 BB 73
R53 TD C130/80 BB 52
TD 110/70 BB 73 N
J10 84
A01 TD 110/70
A01 TD 90/60
K29 TD 120/80 N 84
PERKUSI NEGATIF
K05.1 DRUG NEGATIF
I10 185/90
L23
TD 110/70 BB 548 TB
K29 150 N 84
L23 TD 120/80M
R53 TD 119/70 BB 45V
R53 90/70 N 84
TD 120/80 BB 65 TB
Z00 169
TD 100/60 N 80 BB
K29 50
R53 TDC 110/70 BB 56
F20
TB 150 BB 48 TD
H10 90 /60
I10 T 210/100
Z00
Z00
Z00
Z00
Z00
Z00
Z00
Z00
E11
I64
Z00
Z00
L23
R53
Z00
Z00
Z00
J06
I10
Z00
J06
R53
J06
Z00
Z09
M05
I50
I10
A16.T
R53
Z00
Z00
A15
J06
Z00
Z00
Z00
Z00
H60
I10
J06
Z00
L23
Z00
K05.1
R51
R53
K29
I10 T 170/100
F20
Z00
Z00
Z00
Z00
L24
Z00
Z00
J44
J06
A16.T
I10
Z00
Z00
Z00
Z00
I10 T 220/110
R53
I10 T 160
Z00
R05
Z00
R53
K04.4 GIGI GOYANG
K29
R53
A16.T
I10
Z00
J06
A16.T
E10
I10
R53
I10
E11
A01
L23 T 140
I10 T 170
L23
K04.9 GIGI 4 RA KANAN
K29
K05.1 GIGI RA RB
R50
R53
R53
K29
E14
J06
GIGI 6 RB KANAN
K04.4 PERMANENT
R53
L23
Z00
Z00
A15
A15
Z00
I10
R53
K29
K29
F20
K05.1 GIGI RA RB
K03 GIGI RB KA KI
I10 T 180
K05.1 GIGI RA RB
A15
J06
L23
R53
J06
R53
I10
L23
E11
R53
I10 140/85
I10 T 190/120
J10
GIGI 8 RB KIRI
K04.4 PERMANENT
R53
A09
I10 T 170/90
GIGI 8 RB KIRI
K04.4 PERMANENT
K29
I84
GIGI 8 RB KIRI
K05.1 PERMANENT
Z00
I10 T 200/200
R53
Z00
E14
Z00
H66
R50
L23
L23
R05
E10 GDA 936
K29
R50
I10 T 170/90
R05
J10
E14
J10
I10 T 160 / 90
R05 T 90/70
J00 T 150/90
I10 T 140/90
R51
K29
TIDAK DI TEMUKAN
MASALAH
J029
K29
I95 T 70/60
R53
R53
H000
R53
Z00
R53 ADA SISA AKAR YG
K05.2 PERLU DI EXK TP
E14 GUSI MSH BENGKAK
MOLAR 3 KANAN
K05.3 ATAS KARIES
A09 PROFUNDA
R53
E14 T 140/80 BB 110
G40
J00
Z09
H60
K29
M239
E10
E10
M09
R53
R53
I10
I84
I10
K29
E10
I10
MOLAR SATU KIRI
K00 atas pulpits
L24
E10
L23 T 180/90
GIGI 6 RA KANAN
K02 PERMANENT
N390
I10 T 170/90
E10
Z09
Z09
K02 GIGI 6 RA KANAN
K05.1 GIGI RA RB
B26
J11
A15
R05 T 130/80
R53
J00
L23
K05.1 GIGI RA RB
G318
J00
K29
J00
K04.4 GIGI 3 RA KANAN
J00
I10 T 140/90
I10
GIGI 8 RB KIRI
K01 PERMANENT
A549
J10
H10
R29
GIGI 7 RB KIRI
K05.3 PERMANENT
R53
L24
J10
I10 T 160/90
J00
J00
R53
R53
K29
L23
E108 T164/89MMHG
S62
Z00
J11 T150/108MMHG
K05.1 GIGI RA RB
E10 T102/64MMHG
H54 T117/72MMHG
J00
Z00
R05
A15 T120/80MMHG
E14
Z00
Z00
A15 T120/80MMHG
R53 T 160/90
E11 T152/85MMHG
I10 T170/80MMHG
E76 T140/74MMHG
E10 T169/80MMHG
A15 T 120/80MMHG
J11 T114/80MMHG
I10 T166/92MMHG
E10 T139/73MMHG
J11 T140/75MMHG
R53
I10 T 208/122MMHG
I50 T186/117MMHG
GIGIV1RA KANAN
K05.3 PERMANENT
L23 T110/70MMHG
Z00 T 204/138MMHG
J00
Z00
J00
R11
I10 T197/90MMHG
B02 T130/69MMHG
I10 T 150/90
R54
E14 T 150/90
E14
GIGI 8 RB KANAN
K04.4 PERMANENT
R53 T120/68MMHG
K05.1 GIGI RA RB
R35
Z00
I10 T 200/100
M84
J11 T133/88MMHG
G40 T120/80MMHG
L23 T110/61MMHG
K29 T140/85MMHG
R05 T186/110MMHG
L23 T162/78MMHG
A15 T 120/80MMHG
Z00
J00
Z00
Z00
GIGI 6 RA KIRI
K02 PERMANET
Z00
L728
L23
R05 T112/70MMHG
K29 T178/86MMHG
GIGI 6 RA KANAN
K05.3 PERMANENT
Z32
N390 T110/71MMHG
I10 T 170/90
Z00
K29
Z00
I10 T 130/90
I10 T 150/90
R05
K05.1 GIGI RA RB
K05.1 GIGI RA RB
K05.1 GIGI RA RB
H10
K04.9 GIGI 8 RB KIRI G R
K29
Z00
I10 T 170/90
Z00
I10 T 170/90
GIGI 6 RB KANAN
K02 PERMANENT
I10 T 180/90
L23
R05
K05.1 GIGI RA RB
L23
J029
K04.4 GIGI 7 RB KIRI
PERMANENT
L23
J00
R53
Z00
A75
I10 T 160/90
J00
A09
K29
I84
E14
J029
I10 T 160/90
J00
J00
J00
Z00
R05
E14
K29
K02 GIGI 6 RB KANAN
PERMANET
E76 T120/60MMHG
L23
F20 T 120/80MMHG
K29
Z00
R53
Z00
K29 T177/92MMHG
E14
GIGI RA RB
K05.1 KA
I KI
I10 T 160/90
R05
GIGI 6 RB KIRI
K04.4 PERMANENT
GIGI 6VRA KIRI
K04.4 PERMANENT
K05.1 GIGI RB KA KI
K05.1 GIGI RB KA KI
I10 T 160/90
R53
J00
PERMANENT
K05.1 ,GINGIVA AGAK
I10 T 160/90
GIGI 6 RB KIRI
K04.4 PERMANENT
I10 T 170/90
A15
I10 T 160/90
K29
K29
I10
I10
R53
R53
J06
K29
L23
R51
A01.T
R53
R53
Z00
Z00
F20
R51