Professional Documents
Culture Documents
BCP Perawat Gigi Ahli (Bukti Catatan Pribadi/ Harian)
BCP Perawat Gigi Ahli (Bukti Catatan Pribadi/ Harian)
NO TGL PERIKSA RM NAMA USIA B/L L/P DIAGNOSIS TINDAKAN KODE KEGIATAN
6a 6b 6c 7a1 9a 9c 14b
3 1166 YAKIRAH 60 L P [K08.3/B] Retained dental root [566] Pencabutan Dengan Citoject 1 1 1 1
7 8222 VIRA WIJAYA KUSUMA 35 L L [K04.5/L] Chronic apical periodontitis [298] Premedikasi 1 1
8 13831 TRI RAHAYU 54 L P [K04.1/B] Necrosis of pulp [591] Konsultasi Dokter Gigi 1 1
11 9476 PARTIYEM 51 L P [K04.5/K] Chronic apical periodontitis [591] Konsultasi Dokter Gigi 1 1
16 64392 ARDIAZ DANENDRA 6 L L [K00.6/B] Disturbances in tooth eruption [562] Pencabutan Anestesi Topical 1 1 1
17 91236 MAHENDRA REZA FADHILAN 14 B L [K04.5/B] Chronic apical periodontitis [298] Premedikasi 1 1 1
18 14973 SUSILO SAMSUL BAKHRI 78 L L [K06.9/B] Disorder of gingiva [591] Konsultasi Dokter Gigi 1 1
6 6 1 2
22 1166 YAKIRAH 60 L P [K08.3/B] Retained dental root [566] Pencabutan Dengan Citoject 1 1 1 1
24 73741 SAYYIDAH AMINAH RAMALIAH 9 L P [K00.6/B] Disturbances in tooth eruption [562] Pencabutan Anestesi Topical 1 1 1
28 08-02-2020 22306 LUTFI ADIKUSUMA 40 L L [K04.5/L] Chronic apical periodontitis [298] Premedikasi 1 1
30 44295 SHERLYN DIVANIA JESE 9 L P [K00.6/B] Disturbances in tooth eruption [289] Observasi 1 1
31 26952 DANANG SUJARWO, DRS 53 L L [K04.5/L] Chronic apical periodontitis [298] Premedikasi 1 1
32 56960 KHAIRUNNISA PUTRI AISAH 7 L P [K00.6/B] Disturbances in tooth eruption [562] Pencabutan Anestesi Topical 1 1 1
33 38608 EKA SEPTIA RAHMADANI 9 L P [K00.6/B] Disturbances in tooth eruption [289] Observasi 1 1
34 62950 OLFAT NIJAR FAJARI 9 L L [K04.1/B] Necrosis of pulp [591] Konsultasi Dokter Gigi 1 1
35 62962 OLFAT NAUFAL NAJIB 9 L L [K02.2/B] Caries of cementum [558] Tumpatan Glass Ionomer 1 1 1
36 91256 DORI WICAKSONO 37 B L [K04.1/B] Necrosis of pulp [568] Trepanasi Gigi Gangren 1 1 1 1
37 37592 SILVIA ANNISA PUTRI ICSANI 9 L P [K00.6/B] Disturbances in tooth eruption [562] Pencabutan Anestesi Topical 1 1 1
10 10 1 5 2
38 10-02-2020 8222 VIRA WIJAYA KUSUMA 35 L L [K04.1/B] Necrosis of pulp [289] Observasi 1 1
40 19275 IQBAL KHASAN 14 L L [K02.2/B] Caries of cementum [558] Tumpatan Glass Ionomer 1 1 1
43 78397 AJENG WIDAD TAMIMAH 8 L P [K00.6/B] Disturbances in tooth eruption [562] Pencabutan Anestesi Topical 1 1 1
48 24186 RINDU MARIA ASTUTI 31 L P [K02.2/B] Caries of cementum [552] Perawatan Kaping Pulpa 1 1 1
51 90305 MAHAJENG INARA JATI 0 L P [Q35/B] Cleft Palate [591] Konsultasi Dokter Gigi 1 1
52 5530 INDAH SEKAR MAYANG SARI 36 L P [K04.5/B] Chronic apical periodontitis [298] Premedikasi 1 1
55 89825 BIMA PRAKOSO 18 L L [K02.1/B] Caries of dentine [561] Tumpatan Light Cured 1 1 1
56 17713 AJENG AYU ANNABA 22 L P [K08.3/B] Retained dental root [566] Pencabutan Dengan Citoject 1 1 1 1
57 91278 MUHAMMAD HAFIZH 21 B L [K04.1/B] Necrosis of pulp [591] Konsultasi Dokter Gigi 1 1 1
4 4 1 2 1
58 13-02-2020 90893 ESTER YULIANA 20 L P [K03.6/B] Deposits [595] Pembersihan Karang Gigi 1 1 1 2
61 49412 RAISYA ATHAYYA ROCHIM 8 L L [K04.1/B] Necrosis of pulp [591] Konsultasi Dokter Gigi 1 1
65 14-02-2020 91174 RAHMA REZA AZIZAH 14 L P [K04.1/B] Necrosis of pulp [289] Observasi 1 1
66 91289 EKA RATNA SARI 59 B P [K02.1/B] Caries of dentine [560] Tumpatan Light Cured 1 1 1 1
70 18-02-2020 30306 AMBAR SULISTYANI 51 L P [K02.8/B] Other dental caries [289] Observasi 1 1
73 57779 DEVA SATYA GARUDA 8 L L [K00.6/B] Disturbances in tooth eruption [562] Pencabutan Anestesi Topical 1 1 1
74 24186 RINDU MARIA ASTUTI 31 L P [K02.1/B] Caries of dentine [558] Tumpatan Glass Ionomer 1 1 1
76 74373 SITI MUKAROMA AGUSTIN 31 L P [K04.5/B] Chronic apical periodontitis [298] Premedikasi 1 1
77 27257 DIMAS RASYA FAUZAN 10 L L [K00.6/B] Disturbances in tooth eruption [562] Pencabutan Anestesi Topical 1 1 1
84 19000 SUMARDAL DIYONO 56 L L [K04.1/L] Necrosis of pulp [591] Konsultasi Dokter Gigi 1 1
4 4 2 2
85 20-02-2020 53618 EDELYN DWI CANTIKA 7 L P [K04.1/B] Necrosis of pulp [568] Trepanasi Gigi Gangren 1 1 1
87 4438 DRA SUYAMI, M. HUM 55 L P [K04.1/B] Necrosis of pulp [591] Konsultasi Dokter Gigi 1 1
92 91357 MUHAMMAD AHSAN 4 B L [K04.1/B] Necrosis of pulp [591] Konsultasi Dokter Gigi 1 1 1
93 12838 NOORRISKHAH HIKMA 51 L P [K04.7/B] Periapical abscess without sinus [298] Premedikasi 1 1
9 9 1 1
94 21-02-2020 52915 FITRI ARYANI 36 L L [K04.5/B] Chronic apical periodontitis [298] Premedikasi 1 1
95 57138 AYTHA BRIGGITA 7 L P [K00.6/B] Disturbances in tooth eruption [562] Pencabutan Anestesi Topical 1 1 1
97 54839 FEFINKA ERLINA VG 7 L P [K00.6/B] Disturbances in tooth eruption [562] Pencabutan Anestesi Topical 1 1 1
4 4 2
99 24-02-2020 91373 NUR BERLIANA RAHMAT 19 B P [K00/B] Gg pertumbuhan Gigi dan Erupsi [298] Premedikasi 1 1 1
100 30777 I PUTU SUADNYANA, SH 65 L L [K04.1/B] Necrosis of pulp [591] Konsultasi Dokter Gigi 1 1
101 69029 ASHRIANI NUR HALIMAH 19 L P [K05/B] Penyakit gusi [298] Premedikasi 1 1
102 82066 FORLAN DAIDULLAH 9 L L [K04.5/B] Chronic apical periodontitis [298] Premedikasi 1 1
103 20731 ANING SUSENO 71 L P [K03.6/B] Deposits [accretions] on teeth [595] Pembersihan Karang Gigi 1 1 1 2
104 60209 FRANSISKUS FANO 11 L L [K04.1/B] Necrosis of pulp [568] Trepanasi Gigi Gangren 1 1 1
6 6 1 2 2
105 26-02-2020 78968 SARI DEWI ANGGRAINI 21 L P [K03.6/B] Deposits [595] Pembersihan Karang Gigi 1 1 1 2
106 64920 ALANCA ANTONI PAHSAN 53 L L [K04.5/B] Chronic apical periodontitis [298] Premedikasi 1 1
107 84671 NAREESWARI ADEENA 2 L P [K00/B] Gg pertumbuhan Gigi dan Erupsi [591] Konsultasi Dokter Gigi 1 1
109 27-02-2020 89719 NUR ANA 21 L P [K04.1/L] Necrosis of pulp [591] Konsultasi Dokter Gigi 1 1
112 52773 BULAN CAHYA KIRANA 7 L P [K04.5/B] Chronic apical period [298] Premedikasi 1 1
4 4
113 28-02-2020 84400 BARAKALLAH GARUDA YAKSA 2 L L [K05.2/B] Acute periodontitis [591] Konsultasi Dokter Gigi 1 1
114 89929 TITIK BUDIARTI 30 L P [K08.3/B] Retained dental root [566] Pencabutan Dengan Citoject 1 1 1 1
116 88358 PUTERI DWI KUSUMA 24 L P [K04.7/B] Periapical abscess [298] Premedikasi 1 1
117 69676 SATRIANA PARMANTYA PETRUS 50 L L [K04.1/B] Necrosis of pulp [289] Observasi 1 1
5 5 1 1
118 29-02-2020 71621 RADEN RARA ZURIDA 48 L P [K02.1/B] Caries of dentine [558] Tumpatan Glass Ionomer 1 1 1
119 9914 TATY HARIYATI HARNOKO 54 L P [K05.6/B] Periodontal disease [298] Premedikasi 1 1
120 78570 HELIN IFFA ASTILA RAHMA 5 L P [K02.2/B] Caries of cementum [298] Premedikasi 1 1
121 91165 ADDIN MAHMUDI 36 L L [K04.1/L] Necrosis of pulp [553] Tumpatan Sementara 1 1 1
122 60209 FRANSISKUS FANO 11 L L [K02.8/L] Other dental caries [591] Konsultasi Dokter Gigi 1 1
123 31703 LASTINAH 46 L P [K02.2/B] Caries of cementum [557] Tumpatan Glass Ionomer 1 1 1
124 91529 KHAIRUNNISA FITRI 15 B P [K04.1/B] Necrosis of pulp [302] Surat Rujukan Dokter 1 1 1
125 91533 MUHAMMAD SIDIQ 48 B L [K02.2/B] Caries of cementum [558] Tumpatan Glass Ionomer 1 1 1 1
8 8 2 4