Fasdaoto Ekstra Dan Intra Oral.docx
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FAKULTAS KEDOKTERAN GIGI UNIVERSITAS MAHASARASWATI DENPASAR PROGRAM PENDIDIKAN DOKTER GIGI BAGIAN ORTODONTI
Nama Pasien Umur, Tgl Lahir Jenis kelamin,Suku Alamat, No.Telp No.Kasus, No.O.D Tanggal foto Operator Pembimbing
: Laksmi Novrina Dewi : 20 tahun, 29 November 1999 : Perempuan, Bali : Jl. Gatot Subroto IV Blok 12A No.30, 082144384444 : 2628/V/18, 32594/V/18 : 1 Agustus 2018 : Made Rhama Brahmastra. A : drg. Dwis Syahrul, M.Kes.
SEBELUM PERAWATAN
Nama Pasien Umur, Tgl Lahir Jenis kelamin,Suku Alamat, No.Telp No.Kasus, No.O.D Tanggal foto Operator Pembimbing
: Laksmi Novrina Dewi : 20 tahun, 29 November 1999 : Perempuan, Bali : Jl. Gatot Subroto IV Blok 12A No.30, 082144384444 : 2628/V/18, 32594/V/18 : 1 Agustus 2018 : Made Rhama Brahmastra. A : drg. Dwis Syahrul, M.Kes.
SEBELUM PERAWATAN
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