3/27/22, 5:50 PM rsciremai.ddns.

net/rsciremai/radiologi/cetak/20220324110836/054897/R208
UNIT RADIOLOGI KLINIK GIGI & MULUT
RUMAH SAKIT CIREMAI No REGISTER : 20220324110836
JL. KESAMBI NO. 237 - CIREBON Telp. (0231) 238335 Tgl.Cetak :  27/03/2022 17:50:23
PEMERIKSAAN : Panoramik Pramita NO FOTO : -
NAMA PASIEN : AINU SA'ADAH. NN NO REKMED : 054897
JENIS KELAMIN : Perempuan GOL PASIEN : BPJS UMUM
Umur : 24 tahun 6 bulan 28 hari DOK PENGIRIM : drg.Ericka Agustin Latif
DIAGNOSA : k01.1 impacted teeth

Sejawat YTH

Cariers 18

filling dental 11, 21

extruded 38, 48

Os mandibula intact

   Cirebon   24-03-2022 11:12:06

 

 dr.Dyah Astarini,Sp.Rad

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