REGISTRASI PASIEN ENDODONTIA

N0 1 2 3 4 5 6 7 8 TANGGAL 21/4/11 25/4/11 26/4/11 28/4/11 28/4/11 28/4/11 29/4/11 30/4/11 NO REGISTER 55129/IV/11 55130/IV/11 55131/IV/11 55132/IV/11 55133/IV/11 55134/IV/11 55135/IV/11 55136/IV/11 NAMA PASIEN BERTA Cepik Wy Suriasih Siman Sahari Ida Kristian Ketut Fani Sugata Eka P p p L p L p L L/P UMUR 27 Th 52Th 18Th 24Th 14Th 38Th 14Th 20Th

TOTAL JUMLAH KUNJUNGAN PASIEN BULAN APRIL 2011 = 8 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 2/5/2011 2/5/2011 2/5/2011 2/5/2011 2/5/2011 3/5/2011 3/5/2011 4/5/2011 4/5/2011 5/5/2011 5/5/2011 6/5/2011 9/5/2011 9/5/2011 9/5/2011 9/5/2011 9/5/2011 9/5/2011 9/5/2011 9/5/2011 9/5/2011 9/5/2011 10/5/2011 10/5/2011 10/5/2011 10/5/2011 10/5/2011 12/5/2011 12/5/2011 13/5/11 55137/V/11 55138/V/11 55139/V/11 55140/V/11 55141/V/11 55142/V/11 55143/V/11 55144/V/11 55145/V/11 55146/V/11 55147/V/11 55148/V/11 55149/V/11 55150/V/11 55151/V/11 55152/V/11 55153/V/11 55154/V/11 55155/V/11 55156/V/11 55157/V/11 55158/V/11 55159/V/11 55160/V/11 55161/V/11 55162/V/11 55163/V/11 55164/V/11 55165/V/11 55166/V/11 Nengah Kelam Sudarta Niken Ayu Kurniasari ArI sanjiwani Salomo Wewengkang Devi Kisnayanti Arselo l Dalung Dewi Jero Patmawati Pande Haryantini Aplonia Sumiati Ketut Narti Ristia Dewi P.P Mariani Jeklin Bu Desak Komang Wati Febri Marlin Laki Modok Endi Ryan Bayu Vendra Mahmun Marni Ina Soares Desi Anggraeni Eka Ardika Ni Nyoman Karneli p L p p L p L p P P P P P P P P P P P P P L L L L P P P L P 17Th 46Th 18Th 17Th 22Th 15Th 21Th 25Th 51Th 10Th 24TH 21TH 46TH 11TH 30TH 14TH 54TH 31TH 20TH 27TH 24TH 26TH 24TH 16TH 43TH 46TH 23TH 15TH 23TH 22TH

31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73

13/5/11 13/5/11 13/5/11 14/5/11 14/5/11 14/5/11 16/5/11 16/5/11 16/5/11 16/5/11 18/5/11 18/5/11 18/5/11 18/5/11 18/5/11 19/5/11 20/5/11 20/5/11 21/5/11 23/5/11 23/5/11 23/5/11 24/5/11 24/5/11 24/5/11 25/5/11 25/5/11 25/5/11 25/5/11 26/5/11 26/5/11 26/5/11 27/5/11 28/5/11 28/5/11 30/5/11 30/5/11 30/5/11 30/5/11 30/5/11 31/5/11 31/5/11 31/5/11

55167/V/11 55168/V/11 55169/V/11 55170/V/11 55171/V/11 55172/V/11 55173/V/11 55174/V/11 55175/V/11 55176/V/11 55177/V/11 55178/V/11 55179/V/11 55180/V/11 55181/V/11 55182/V/11 55183/V/11 55184/V/11 55185/V/11 55186/V/11 55187/V/11 55188/V/11 55189/V/11 55190/V/11 55191/V/11 55192/V/11 55193/V/11 55194/V/11 55195/V/11 55196/V/11 55197/V/11 55198/V/11 55199/V/11 55200/V/11 55201/V/11 55202/V/11 55203/V/11 55204/V/11 55205/V/11 55206/V/11 55207/V/11 55208/V/11 55209/V/11

Ketut Suranata Puspita Dian Kadek Novi Astuti Putra Dennys Sepiana Sudarto Ferry Indriyanto Marianus Oktoferi Kadek Artini Nengah Kalem Nigen Ayu Kurniasari Niken Indriansari Kadek Artini Sutivan Nyoman Darmaya Marianus Oktoveri Putra Lala Samsura Omana Gusti Ngr Indra Marianto Bu Telma Aplonia Marcelino Nyoman Kadek Sri I Wayan Agus Krisnayana Endang Udayani Angga Triyasa Virno Dewi Urwasi Sinta Asih Wayan Kori Putu Pande Atik Nur Tri Cahna Sari Nyoman Ngarawati Betty Berlina Nengah Koni Kd Kasih

L P L P L L L L L L P P P P P P L L L P P L L P P L P P L P L L P P P L P P P P P P L

23TH 18TH 26TH 20TH 22TH 24TH 27TH 46TH 17TH 21TH 41TH 17TH 18TH 34TH 31TH 33TH 49TH 21TH 22TH 22TH 16TH 11TH 23TH 44TH 24TH 15TH 20TH 21TH 19TH 30TH 10TH 21TH 17TH 33TH 41TH 16TH 19TH 23TH 13TH 47TH 24TH 12TH 37TH

TOTAL JUMLAH KUNJUNGAN PASIEN BULAN MEI 2011 =73 1 1/6/2011 55210/VI/11 Indrawan L 15TH

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48

1/6/2011 1/6/2011 1/6/2011 1/6/2011 1/6/2011 1/6/2011 4/6/2011 6/6/2011 6/6/2011 6/6/2011 6/6/2011 6/6/2011 7/6/2011 7/6/2011 7/6/2011 7/6/2011 8/6/2011 9/6/2011 9/6/2011 9/6/2011 9/6/2011 10/6/2011 13/6/11 13/6/11 13/6/11 13/6/11 13/6/11 13/6/11 13/6/11 13/6/11 13/6/11 13/6/11 13/6/11 14/6/11 14/6/11 14/6/11 15/6/11 15/6/11 15/6/11 9/6/2011 16/6/11 16/6/11 16/6/11 16/6/11 17/6/11 17/6/11 17/6/11

55211/VI/11 55212/VI/11 55213/VI/11 55214/VI/11 55215/VI/11 55216/VI/11 55217/VI/11 55218/VI/11 55219/VI/11 55220/VI/11 55221/VI/11 55222/VI/11 55223/VI/11 55224/VI/11 55225/VI/11 55226/VI/11 55227/VI/11 55228/VI/11 55229/VI/11 55230/VI/11 55231/VI/11 55232/VI/11 55233/VI/11 55234/VI/11 55235/VI/11 55236/VI/11 55237/VI/11 55238/VI/11 55239/VI/11 55240/VI/11 55241/VI/11 55242/VI/11 55243/VI/11 55243/VI/11 55244/VI/11 55245/VI/11 55246/VI/11 55247/VI/11 55248/VI/11 55249/VI/11 55250/VI/11 55251/VI/11 55252/VI/11 55253/VI/11 55254/VI/11 55255/VI/11 55256/VI/11

Sudarto Ida Bgs Suprapta Wayan. Mahru Adi Putra Dedik Mahendra Merry Kdk Arsa Widiantara Pt Ari Nengah Koni Juliantara Pak Tadi desak nyoman arini Srimin Santi Wayan Sentana Lilik Widya Nani Agus Juniawan Mariati Dina Rio Marianto Sumarsih Chandrawati Km Supadmi Kadek Novita Cristian Nempung Ni Kdk Dwi Lestari Lia Nym Musda Siti Malika Km Artha Eka Mulyana Gd Putra Widana Siti. Dexa Satria Arya Winata Dexa. Panca Muliani Kadek Sri Kanta Putra Kdk Ayu Ratna Indrawan Gst Indra Eka Putra Jesika

L L L L L P L P P L L P P P L P P L P P L L P P P P L P P L P L L L P L L L L P P L P P L L P

46TH 37TH 22TH 13TH 32TH 11TH 13TH 32TH 11TH 15TH 30TH 50Th 37TH 19TH 24TH 17TH 24TH 14TH 29TH 46TH 21TH 20TH 35TH 19TH 38TH 13TH 25TH 9TH 12TH 46TH 43TH 24TH 16TH 12TH 46TH 25TH 12TH 25TH 12TH 26TH 21TH 13TH 31TH 22TH 15TH 11TH 14TH

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 1/7/2011 2/7/2011 4/7/2011 8/7/2011 13/7/2011 13/7/2011 13/07/2011 13/07/2011 18/07/2011 18/07/2011 18/07/2011 18/07/2011 19/07/2011 19/07/2011 19/07/2011 19/07/2011 20/07/2011 20/07/2011 20/07/2011 20/07/2011 20/07/11 55279/VII/11 55280/VII/11 55281/VII/11 55282/VII/11 55283/VII/11 55283/VII/11 55284/vii/11 55285/VII/11 55286/VII/11 55287/VII/11 55288/VII/11 55289/VII/11 55290/vii/11 55291/VII/11 55292/VII/11 55293/VII/11 55294/VII/11 55294/VII/11 55295/VII/11 55296/vii/11 55297/VII/11 wayan suartana dewa ayu arik putri Andoni I gd Joni Ariada santa wayan bantul trifena Emi pt yasa oktariadi martianus balino maria patrisia kori komang epik Wayan Sukerti Gusti ngurah parata putra Rani Oktavia gung sri tamu rambu makamuri Dian Febriyanti nathalia siti nuruljanah L p L L P l P P L L P P p P L p P P P p P 18thn 20thn 14 th 20 th 19 Th 18thn 17 thn 21 th 21th 38 th 27 Th 18 th 16th 41th 18th 21th 20th 20 thn 22 th 25 th 12 th .49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 17/6/11 18/6/11 18/6/11 20/6/11 20/6/11 20/06/11 20/06/11 21/06/2011 21/06/2011 21/6/2011 21/6/11 23/6/11 23/6/2011 23/06/2011 23/06/2011 23/06/2011 24/06/2011 24/6/11 24/6/1 24/6/11 24/6/11 27/6/11 28/6/11 55257/VI/11 55258/VI/11 55259/VI/11 55260/VI/11 55261/VI/11 55262/VI/11 55263/VI/11 55264/Vi/11 55265/VI/11 55266/vi/11 55267/VI/11 55268/vI/11 55269/VI/11 55270/VI/11 55271/VI/11 55272/VI/11 55273/VI/11 55274/VI/11 55275/VI/11 55276/VI/11 55277/VI/11 55278/VI/11 55164/V/11 Lama Sri Wedaningsing Vera I Gst Indra Eka Putra Ni Kdk Dwi Lestari Dewi Yoga siti rokmat Ernawati Paulus Dewarani happy sulistiawan ENDANG SUHARTANTI nyoman arya Adi hanifah Muliani umbu hiwa tanangunju supinah Wayan Danik Kariani Wayan Danik Kariani Ariani Rince Km Ayu desi anggraeni P P L P P L P p L l L L L P P L p P P p P P p 24TH 34TH 11TH 9TH 23TH 13 th 37 thn 26th 22th 15th 22 TH 14 th 23th 28th 26 th 22 th 33 th 17th 17 th 22th 21 Th 17 th 15 thn TOTAL JUMLAH KUNJUNGAN PASIEN BULAN JUNI 2011 = 71 ORANG.

A Ngr Sugandha Kusuma kadek Arta Wijaya puspita PRIHATI Nina Budi Utami eka mulyana NI Putu Widiantari Wayan Sarini Sarah Manacika Ni Wayan Sumeninti wayan sugiana dewi sukarini Ni Wayan Suriani Azizah wyn. Ngr Bagus Wisnu Wirawan Sanimah wiwik Sumarsih wayan landep Hortencio Amaral Santi Elvianti Raudatul Jana P L P L P P P P L P L 40 th 35 th 23 thn !3 thn 44th 20th 35 thn 17 thn 21thn 13 thn 12 th .lama 55298/VII/11 55299/VII/11 55618/V/11 55300/VII/11 53301/VII/11 53302/VII/11 53303/VII/11 53304/VII/11 53305/VII/11 53306/VII/11 53307/VII/11 53308/vii/11 53309/VII/11 53310/VII/11 53311/VII/11 53312/VII/11 53313/VII/11 53314/VII/11 53315/VII/11 53316/VII/11 53317/VII/11 53318/VII/11 53319/vll/11 53320/VII/11 53321/VII/11 53322/VII/11 53323/VII/11 53324/VII/11 53325/VII/11 53326/VII/11 53327/VII/11 wayan bantul A. 1 2 3 4 5 6 7 8 9 10 11 1/8/2011 1/8/2011 1/8/2011 2/8/2011 2/8/2011 2/8/2011 2/8/2011 2/8/2011 2/8/2011 4/8/2011 5/8/2011 53328/VII/11 53329/VIII/11 53330/VIII/11 53331/VIII/11 53332/VIII/11 53333/VIII/11 53334/VIII/11 53335/VII/11 53336/VII/11 53337/VIII/11 53338/VIII/11 Ni Wayan Karyani I Wayan Jeger Nemsi Siki GSt.alit suasti bu fikri SURYANI Fikri Made Denti Lestari sumanik Sri Wahyuni Winda wayan sukati Ismawati ibu desak Nova Nurhayati Putri Seriani Rinto bari ida Komang Devianingsih l L L P P P l p p p P L P P P p p p P P P P p p p p P P L L p P 18th 27 thn 31th 18 th 37TH 21 th 15 thn 29thn 37thn 12th 42 th 18th 19th 18 th 48th 39th 36 th 28 thn 36 thn 19th 43 thn 23 thn 14 thn 32thn 41th 31 th 19th 21th 28th 27th 26thn 11th TOTAL JUMLAH KUNJUNGAN PASIEN BULAN JULI 2011 = = 52 ORANG.22 23 24 25 26 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 20/07/11 20/07/2011 21/07/2011 9/10/2011 21/7/11 21/7/11 22/07/11 22/07/11 22/07/11 22/07/11 22/07/11 22/07/11 22/07/11 22/07/11 22/07/11 25/07/2011 25/07/2011 25/07/2011 25/07/2011 25/07/2011 25/7/11 26/VII/2011 26/VII/2011 27/vll/11 27/7/11 27/7/11 28/7/2011 28/7/11 28/7/2011 29/7/11 29/7/11 29/7/11 55283/VII/11.

12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 5/8/2011 5/8/2011 5/8/2011 5/8/2011 5/8/2011 8/8/2011 8/8/2011 9/8/2011 9/8/2011 9/8/2011 9/8/2011 9/8/2011 9/8/2011 9/8/2011 9/8/2011 10/8/2011 10/8/2011 10/8/2011 10/8/2011 10/8/2011 10/8/2011 12/8/2011 12/8/2011 12/8/2011 13/8/2011 13/8/11 15/8/11 16/8/11 16/8/11 16/8/11 18/08/2011 18/08/2011 18/8/11 19/8/11 20/08/11 22/8/11 22/08/2011 22/08/2011 22/8/2011 23/8/2011 23/08/11 23/08/11 24/08/11 25/8/11 25/8/11 25/8/11 25/8/11 53339/viii/11 53340/viii/11 53341/VII/11 53342/VIII/11 53343/VIII/11 53344/vlll/11 53345/VII/11 53346/VIII/11 53347/VIII/11 53348/VIII/11 53349/VII/11 533350/VIII/11 533351/VIII/11 533352/VIII/11 533353/VIII/11 533354/VIII/11 533355/VIII/11 533356/VII/11 533357/VIII/11 533358/vIII/11 533359/VIII/11 533360/VIII/11 533361/VIII/11 533362/VIII/11 533363/viii/11 533364/VIII/11 533365/VIII/11 533366/VIII/11 533367/VIII/11 533368/VIII/11 533369/VIII/11 533370/VIII/11 533371/viii/11 533372/vIII/11 533373/VIII/11 533374/VIII/11 533375/VIII/11 533376/VIII/11 533377/VIII/11 533378/VIII/11 533379/VIII/11 533380/VIII/11 533381/VIII/11 533382/VIII/11 533383/VIII/11 533384/VIII/11 533385/VIII/11 sri rejeki indra debi winarsih Komang Adi Darmawan wayan suartini Heny Nepafani Wayan danik kariani icnas Niluh Sucini agus sentana yuliana abdul malik Martinus Teguh Ariffaul Jero Sari Ratna Dewi ari zainal nur tri chana gusti ngurah wirawan MADE ALDO PRASTAWAN Sumiari Nadya Eko Purnomo sugianto Siswanti Sugiarto Natasha Fera Natalia wayan rahayu Made Ludra angle benu siti raju Kadek Susi bu dewi dumaria simamora Jero Lepo desi putri Ketut Seryani Nyoman Purnamawati ketut asih bu deby wayan Deni Yeriston p L P P L p P p l p L p L L L p P L P L L P p L l P L P P p L P P l p P P P P p P P P p l l L 30thn 23th 35 th 36 th 13 th 34thn 25 thn 17 thn 32th 46th 20thn 30thn 17 thn 51 th 15 th 36th 71th 18 th 23 thn 13 th 21thn 18 th 18th 32th 29thn 36th 29 th 16th 18 th 32th 30thn 27thn 12 th 12thn 16 th 35th 22 thn 43 th 15th 17th 34 th 39thn 24 thn 35 th 27 thn 23 thn 29 thn .

karneli astrit jeharu kadek sandiyasa dewe ayu candra sonia tan cik Denny wayan sucita I Wayan Sujesna Wayan Siki Nurhaini rey Abilio Prera Iston Keswanto trisnadewi ayu agus eka wiantara rey hamatara denny ni nym.karneli kony suteja Musa Wuraka Liku ketut sri I ngh darma yohanti herminayanti Denny aldi Made Ludra simson simson eka sugiantari juli wahyuni P p p L p p L P l L P P L L L P p l l L P L l P L P p L L L L L P p 25th 22thn 20 thn 29thn 15thn 35 thn 20 thn 40 thn 23th 37 thn 13 th 30 thn 28th 33 th 29thn 28thn 30 thn 25 th 27th 40th 22thn 29thn 26 thn 25th 32 TH 35th 43Th 40 thn 12 thn 30 thn 19 thn 19 thn 16 thn 33th .59 60 61 62 63 63 65 66 67 25/8/2011 25/8/11 26/8/2011 26/08/2011 26/08/2011 27/8/2011 27/8/2011 27/8/11 27/8/11 533386/VIII/11 533387/VIII/11 533388/VIII/11 533389/VIII/11 533390/VIII/II 533400/viii/11 533401/VIII/11 533402/VIII/11 533402/VIII/11 Paulus paulus Suatul hasanah frans serang Imanuel dewa ayu candra TAUFIK gede deni Yuliana Ranggi L L p L L p L l P 22 thn 22 thn 28th 34 th 30thn 15 25 thn 20 thn 22 thn JUMLAH PASIEN BULAN AGUSTUS =67 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 1/9/2011 2/9/2011 2/9/2011 3/9/2011 3/9/2011 5/9/2011 5/9/2011 5/9/2011 6/9/2011 7/9/2011 7/9/2011 7/9/2011 9/9/2011 10/9/2011 10/9/2011 10/9/2011 10/9/2011 10/9/2011 10/9/2011 12/9/2011 12/9/2011 19/9/2011 19/9/11 19/9/11 19/09/11 19/9/11 20/9/11 20/9/11 20/9/2011 21/9/11 22/9/11 22/9/11 23/9/11 23/IX/11 533403/ix/11 533403/ix/11 533404/IX/11 533405/IX/11 533406/ix/11 533407/ix/11 533408/IX/11 533409/IX/11 533410/XI/11 533411/IX/11 533412/IX/11 533413/ix/11 533414/IX/11 533415/IX/11 533416/IX/11 533417/ix/11 533418/ix/11 533419/ix/11 533420/ix/11 533421/ix/11 533422/IX/11 533423/IX/11 533424/IX/11 533425/ix/11 533426/ix/11 533427/ix/11 533428/ix/11 533429/IX/11 533430/IX/11 533431/IX/11 533432/IX/11 533433/IX/11 533434/ix/11 533435/IX/11 ketut sri nym.

35 36 37 38 39 40 41 24/IX/11 26/IX/11 28/IX/11 29/IX/11 29/IX/11 29/IX/11 30/IX/11 533436/IX/11 533437/IX/11 533438/IX/11 533439/IX/11 533440/IX/11 533441/IX/11 533442/IX/11 hortensio amaral ketut laba yasa ismawati Surya Handarini Sri Wahyuni abdul malik Kadek Novi Astuti L l p P P L P 21thn 24 th 41th 24 thn 20 thn 17 thn 20 thn JUMLAH KUNJUNGAN PASIEN BULAN SEPTEMBER 2011 = 41 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 4/10/2011 17/10/2011 20/10/11 21/10/11 21/10/2011 21/10/2011 21/10/11 21/10/11 22/10/11 22/10/11 22/10/11 22/10/11 22/10/11 22/10/11 22/10/11 24/10/11 25/10/11 25/10/11 25/10/11 25/10/11 25/10/11 25/10/11 25/10/11 25/10/11 25/10/11 26/10/11 26/10/11 26/10/11 26/10/11 26/10/11 27/10/11 27/10/11 27/10/11 27/10/11 27/10/11 27/10/11 533443/X/11 533444/x/11 533445/x/11 533446/X/11 533447/X/11 533448/X/11 533449/X/11 533450/X/10 533451/X/11 533452/x/11 533453/X/11 533454/x/11 533455/x/11 533456/x/11 533456/x/11 533457/X/11 533458/x/11 533459/X/11 533459/X/11 533460/X/11 533461/X/11 533462/x/11 533463/x/11 533464/X/11 533465/X/11 533466/X/11 533467/X/11 533468/X/11 533469/x/11 5334670/x/11 5334671/x/11 5334672/X/11 5334673/X/11 5334674/x/11 5334675/x/11 5334676/x/11 Ervina aldi jordan asmara putu ari putra gede merta wijaya ferdinandus Putu Mirah Ristaningsih ibu sonya Putu gede darmayasa sri wahyuni yudana Rikky Bagus Pratama Putra putu darmayasa gusti ngurah junianta sheilania rosa Santhi Dwi lestari ni nym maseniadi b. nanda Yuliana IA Nayawati Christina vincent made kartawan Aldiano Seryani Lalu Martayadi Kadek Sinarti Bu aris ketut sriteka ketut sri teka risma Bu indah I md arta wiguna nengah alit Dian Yuniari Savitri yuliana P l L L L P p l p l L L L P p P p p p P P L L L P L p P p p p P l p P p 32 th 13 thn 33TH 20th 22th 18 th 32th 21th 20th 33th 18 thn 10TH 22thn 23thn 24th 38 th 44th 39 thn 36 thn 51th 13 thn 25th 30th 18 th 34 29th 16 th 30 th 25th 25th 30 thn 30 th 10th 30th 27thn 11 TH .

37 38 39 40 41 42 43 44 45 46 47 48 27/10/11 28/10/11 28/10/11 28/10/11 28/10/11 28/10/11 28/10/11 28/10/11 29/10/11 29/10/11 29/10/11 29/10/11 5334677x/11 5334678/x/11 5334679/x/11 5334680/x/11 5334681/x/11 5334682/X/11 5334683/X/11 5334684/X/11 5334685/X/11 5334686/x/11 5334687/X/11 5334688/x/11 Sri Sudewi viesta ni nym ari natarini putu giri hartika kartini eka sudiantari tora billy alvian mertawati wayan sukareni rama putra P p P L L P P L l p P L 21th 24 th 15th 9th 23thn 16 th 30 th 23 th 20th 46 thn 19thn 15th jumlah kunjungan pasien bulan oktober 2011 =48 orang 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 1/11/2011 1/11/2011 1/11/2011 2/11/2011 2/11/20011 2/10/2011 2/11/2011 2/11/2011 2/xi/2011 3/xi/2011 3/xi/2011 3/11/2011 3/11/2011 4/11/2011 4/11/2011 4/11/2011 4/11/2011 4/11/2011 4/11/2011 4/11/2011 5/11/2011 5/11/2011 5/11/2011 7/11/2011 7/11/2011 7/11/2011 7/11/201 8/11/2011 10/11/2011 10/11/2011 10/11/2011 10/11/2011 5334689/xi/11 5334690/xi/11 5334691/xi/11 5334692/XI/11 5334693/XI/11 5334694/XI/11 5334695/XI/11 5334696/xi/11 5334697/xi/11 5334698/xi/2011 5334699/xi/2011 5334700/XI/2011 5334701/xi/11 5334702/XI/11 5334703/XI/11 5334704/XI/11 5334705/XI/11 5334706/XI/11 5334707/XI/11 5334708/XI/11 5334709/XI/11 5334710/XI/11 53348/XI/11 53349/XI/11 53350/XI/11 53351/XI/11 53352/xi/11 53353/XI/2011 53354/XI/11 53355/XI/11 53356/XI/11 53357/XI/11 eka tusilia wates manik mas pt aditya P.P Kadek Adi made ludra putu mia marta dewi dewi yani md supra juliantara p Yuliana kadek dastri edi sudarto ririn Ketut Sunarti Putu Diasa Hanudin Nanda Yosua gede sari novi ni Nyoman Sunari Desi anggraini md yoga suwedan indra saputra Agus Astika Ardi nengah ariani Safii Kadek Adi Kadek Sri Utari Sofi Hartini p L l L L p p l p p l L p P L L P L P p P P L L L L p L L P P P 26th 29 thn 11thn 28th 45th 13th 15th 12 th 11 th 32th 23thn 47 thn 33 th 30 th 26yh 35th 39th 14th 30 thn 27 thn 30th 15th 14 thn 31thn 24th 10th 21 thn 35 28th 17th 30 th 32 th .

jhordan Dewa Ayu N.33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 12/11/2011 12/11/2011 12/11/2011 12/11/2011 14/11/2011 14/11/2011 14/11/2011 14/11/2011 14/11/11 14/11/2011 15/11/2011 15/11/2011 16/11/2011 16/11/2011 16/11/2011 16/11/2011 16/11/11 16/11/2011 16/11/2011 16/11/11 16/11/2011 16/11/2011 11/11/2011 11/11/2011 17/11/2011 17/11/2011 17/11/2011 17/11/11 17/11/11 17/11/11 17/11/11 17/11/11 18/11/11 18/11/2011 18/11/2011 18/11/11 21/11/11 21/11/2011 21/11/2011 21/11/2011 21/11/11 24/11/11 24/11/11 24/11/11 24/11/11 24/11/11 24/11/2011 53358/XI/11 53359/XI/11 53360/XI/11 53361/xi/11 53362/XI/11 53363/xi/11 53364/XI/11 53365/xi/11 53366/XI/11 53367/XI/11 53368/XI/11 53369/xi/11 53370/XI/11 53371/XI/11 53372/XI/11 53373/XI/11 53374/xi/11 53375/Xi/11 53376XI/11 53377/XI/11 53378/XI/11 53379/xi/11 53379/xi/11 53380/Xi/11 53381/XI/11 53382/XI/11 53383/xi/11 53384/XI/11 53385/XI/11 53386/XI/11 53387/xl/11 53388/XI/11 53389/xi/11 53390/XI/11 53391/XI/11 53392/XI/11 53392/XI/11 53393/XI/11 53394/XI/11 53395/XI/11 53396/XI/11 53397/XI/11 53398/xI/11 53399/xi/11 53400/XI/11 53401/XI/11 53402/xi/11 putu wahyuni susmita Jero Jepun Arik Agus Wiguna adi putrawan Mulyadi siti jubaidah Dian Febriana Ayu Rista komang ani putu winda Abadi Made Widiasih SONIA ibu nanda wayan arya sri koniah Dwi Mayawati nuraidah suratning putri wirawan wayan dewi I Made Dwi Hamerta nuraidah juliastini yanita yulia koniah amyarti made supra juliantara putra ketut astika gede made sudiatmika kadek marsana Ni Ketut yuliani putu eka s. Lantang made dana COK RATIH Seny yanti ida sumira jebi ismau p P P L L l L p p P p p P P P P l P p P p p p p L p p P p l l L L P p L p L P L L P p p P P p 21th 16 thn 37th 25th 31thn 14 thn 38 th 30thn 10th 10th 14th 25th 16th 29th 32THN 38TH 21th 18 th 17 th 34th 30th 25th 15th 20th 27thn 30th 18 th 34 th 17th 12th 9thn 34 th 17TH 20 thn 16 thn 12 thn 50th 16 thn 35th 18th 13 thn 23thn 18thn 39 thn 35thn 45thn 33th .A. Renyani ketut budiarta Yunita Gideon L.

80 81 82 83 84 85 86 88 89 90 91 92 93 94 95 96 97 98 25/11/2011 25/11/2011 25/11/11 25/11/2011 25/11/11 25/11/2011 25/11/11 25/11/11 26/11/11 26/11/11 30/11/11 30/11/11 30/11/11 30/11/2011 30/11/2011 30/11/11 30/11/11 30/11/11 53403/XI/11 53404/xi/11 53405/XI/11 53406/XI/11 53407/xi/11 53408/XI/11 53409/xi/11 53410/XI/11 53411/XI/11 53412/XI/11 53413/XI/11 53414/XI/11 53415/XI/11 53416/xi/11 53417/11/2011 53418/11/2011 53419/11/11 53420/11/11 amimuloh ivan Kadek Sulastri gede ardana komamg ariani Supiyani Nyoman Dira hermin nayasari putu gede darmayasa putu amik natrini Gita swari Dewa Putu Gde Arsa Novi Surya endah Tri Budi Ati sugianto yohanti ayu rista windu Mitha l L P L p P L P L p P L P l P P L P 25th 28 th 24th 35th 15th 35th 54 th 43th 21th 30thn 20 thn 35th 22th 36th 36 thn !0 th 13TH 16 thn jumlah kunjungan pasien bulan november =98 orang 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 1/12/2011 1/12/2011 1/12/2011 1/12/2011 1/12/2011 1/12/2011 1/12/2011 1/12/2011 1/12/2011 3/12/2011 3/12/2011 3/12/2011 3/12/2011 3/12/2011 6/12/2011 6/12/2011 12/12/2011 12/12/2011 12/12/2011 13/12/2011 13/12/2011 13/12/2012 19/12/2011 20/12/2011 20/12/2011 53421/12/11 53422/XII/11 53423/XII/11 53424/xii/11 53425/XII/11 53426/xii/11 53427/XII/11 53428/xii/11 53429/XII/11 53430/XII/11 53431/XII/11 53432/XII/11 53433/xii/11 53434/XII/11 53435/xii/11 53436/XII/11 53437/XII/11 53438/XII/11 53439/XII/11 53440/XII/11 53441/XII/11 53442/xii/11 53443/XII/11 53444/XII/11 53445/XII/11 Fitri Aisyah Ibu Lina koniah wayan suartini Kristina suweka darma putra Ni Wayan Semiasih ketut yanti pathol sulaeman Emanuel Ni Nyoman Indah Riana Dewi M Husein wyn pariasa Kadek Rasmi sri Tinca koniah rohim efi Yuli Suryani kadek ayu ratna serli heriawati KADEK DIDIK WIRAYUDA wayan nunik P P P p P l P p L L P L L P P P P L P P p p p L p 24 th 35 th 17 th 34th 13th 25 thn 47 thn 40 thn 23thn 22thn 25 thn 28 thn 23thn 23 TH 18th 15th 17 th 35 thn 26th 20th 40th 23thn 35 thn 10 th 27thn .

26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 20/12/2011 22/12/11 22/12/2011 22/12/2011 22/12/2011 22/12/2011 22/12/11 22/12/11 23/12/11 24/12/11 24/12/11 24/12/11 24/12/11 28/12/11 28/12/11 28/12/11 28/12/11 28/12/11 29/12/11 29/12/11 31/12/11 53446/XII/11 53447/XII/11 53448/XII/11 53449/XII/11 53450/XII/11 53451/XII/11 53452/XII/11 53453/XII/11 53454/XII/11 53455/XII/11 53456/XII/11 53457/XII/11 53458/xii/11 53459/XII/11 53460/XII/11 53461/XII/11 52462/X11/11 52463/XII/11 52464/XII/11 52465/XII/11 52466/XII/11 natalia Dewa nyom an putra Ketut Sunarti Moh.setiani nanang apriyanto p L P L P P P P L L p L L p p p P L L p l 26th 30 th 30 th 14th 46thn 50 th 39 thn 17thn 26th 10TH 38 th 38th 23 th 43th 50 thn 41th 39 THN 17 thn 31 th 27thn 15th jumlah kunjungan pasien bulan desember 2011 =46 orang 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 34 20 21 22 23 3/2/2012 4/1/2012 4/1/2012 4/1/2012 4/1/2012 6/1/2012 11/1/2012 11/1/2012 11/1/2012 11/1/2012 12/1/2012 12/1/2012 12/1/2012 12/1/2012 12/1/2012 13/01/2012 13/1/12 13/1/12 14/1/12 14/1/12 14/1/12 14/1/12 16/1/2012 52467/I/12 52468/I/12 52469/I/12 52470/1/12 52471/1/12 52472/I/12 52473/1/12 52474/1/12 52475/1/12 52476/I/12 52477/I/12 52478/I/12 52479/I/12 52480/I/12 52481/I/12 52482/I/12 52483/I/12 52484/1/12 52485/I/12 52486/I/12 52488/1/12 52489/I/12 Khofifah dwi R D wulan putu angga kusuma firdaus Putri sujana Ni Made Mawartini jaya ngurah fransiskus putra swardika Gede Arjun Ketut Irawati Ketut Candra Kadek Desi Mariani Dewa Putu Astawa Ketut Sadya yusnita I kd. Abdul Rohim Ni Wayan serinadi nym Sartini Ayu wulan muhamad soleh KADEK WIRAYUDA ni luh balik Kade Selamat jural norhayati Nym klepon ibi edy YATI komang Mikael Lodo kt. Sukma Legawa Yohana feryna Erna Maulida MZ komang karyaryawan Reza piscaria 533469 suardana putu mia marta dewi Serli Heriawati P p L L P P L l L P L P L L p L p p L p l P P 12th 17th 14th 17thn 18 th 39th 15 th 26th 25th 37 thn 32th 15 thn 20 thn 32 thn 23 th 19 th 21th 12th 17thn 14thn 19th 13th 35thn .

Wedarianti wayan sriasih pilipi ceria tarigan wayan kerti maria magdalena desy arina Siti Rahma Ahmad kt sutayasa Aris Subawa Aris Subawa hermin nayasari wayan sriadi bak nifi dewi astuti bu edi Serli Heriawati Agus Ariadi wayan sriasih nengah latri heri Nengah Sekar george simson I Made Dwipa Krisnadi Suryani Desi Ariana Sukmawati Khofifah Dwi Rahmadhani komang dewi noviani mufida Ayu Lestari srinadi petronela metak silvia mareta awal Heru ayu wandira gung hendra Junaidi wayan sri utami Sri P P p p P l P p p P L L L L p p L p P P L P p L P L L P P p p p P p P p L L p l L p P 35 thn 17 thn 17th 46th 43 th 23 th 41 th 40 thn 18th 20th 25th 18 th 13 th 13. A. Kt.24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 16/1/2012 16/1/2012 16/1/2012 17/1/2012 17/01/12 17/01/12 18/01/2012 18/01/2012 18/01/12 18/01/12 18/01/12 18/01/12 18/01/12 18/01/12 18/01/12 19/01/12 19/01/2012 19/01/2012 19/01/2012 19/01/201 19/01/2012 19/01/12 9/2/2012 20/1/12 20/1/12 20/01/2012 24/01/2012 24/1/12 24/1/12 24/01/12 25/01/12 25/01/12 26/1/12 26/1/12 26/01/12 26/01/12 26/1/2012 26/1/2012 26/1/2012 27/1/2012 27/1/2012 27/1/2012 30/1/2012 52490/I/12 52491/I/12 52492/i/12 52493/I/12 52494/I/12 52495/1/12 52496/I/12 52497/1/12 52498/1/12 52499/I/12 52500/I/12 52501/I/12 52502/1/12 52503/1/12 52504/1/12 52505/1/12 52506/I/12 52507/01/12 52508/01/12 52509/I/12 52510/I/12 52511/I/12 52512/1/12 52513/1/12 52514/I/12 52515/1/12 52516/1/12 52517/1/12 52518/i/12 52518/i/12 52520/1/12 52521/1/12 52522/1/12 52523/1/12 52524/I/12 52526/I/12 52527/1/12 52528/1/12 52529/01/12 52530/1/12 52531/1/12 52532/1/12 52533/I/12 Ibu Lina Ni Kadek Sri Utami mutiara i.thn 43thn 35 thn 28thn 20thn 41th 35 thn 30 th 34 th 32 th 19 th 28thn 19 thn 22 th 40th 18th 12th 17th 38 th 21 th 22 thn 20thn 20 thn 17 thn 23th 20 thn 20 thn 40 thn 17thn 21 thn Jumlah kunjungan pasien bulan januari th 2012 =66 orang .

27 28 29 30 31 32 33 34 6/2/2012 7/2/2012 7/2/2012 8/2/2012 14/2/2012 16/2/12 16/2/12 20/2/12 20/02/2012 21/2/12 21/2/12 22/2/12 22/2/12 22//2/12 22/2/12 22/2/12 23/2/11 23/2/12 23/2/12 23/2/12 23/2/12 24/2/12 27/2/2012 27/2/2012 28/2/2012 28/2/2012 28/2/2012 28/2/2012 28/2/2012 29/2/12 29/2/12 29/2/12 29/2/2012 29/2/2012 52534/II/12 52535/II/12 52536/II/12 52537/II/12 52538/II/12 52539/II/12 52540/II/12 52541/II/12 52542/II/12 52543/II/12 52544/II/12 52545/II/12 52546/II/12 52547/II/12 52547/II/12 52548/ii/12 52549/II/12 52550/ii/12 52551/II/12 52552/11/12 52553/II/12 52554/II/12 52555/II/12 52556/II/12 52557/II/12 52558/II/12 52559/II/12 52560/II/12 52561/II/12 52562/11/12 52563/II/12 52564/II/12 52565/II/12 52566/II/12 anna maria ibu tina wayan sri dwi Desy Arina S ino Wayan Suartini wisnu segara putra jumiati komang eka tusilia Nurul Laili Ni Md Dwi Sruti MADE LANDEP Semsius Faentaono Ni Gede Ayu Sutarningsih Komang adi hardy nuriel ernawati putu agus Putu Eka km.1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 . somo desi Ibu Agus ahmad kairom Ketut Putri mussa wayan ayu agus putra wirawan marhatun made dana salhita desy winda P p po P P L P L P p p p L L P L L p P l P L p P L P L P L P L P P p 13 thn 34th 18 th 15 thn 18 th 20th 34th 20 th 31th 28th 27th 14 th 23 thn 32 th 16th 17 thn 37 thn 17thn 26 thn 11 th 26 thn 20 thn 19 thn 42 th 19 50 th 26 thn 14 thn 12 THN 35th 13 thn 42 thn 19th 27th JUMLAH KUNJUNGAN PASIEN BULAN FEBRUARI 2012= 34 ORANG 1 2 3 4 5 6 7 8 9 1/3/2012 1/3/2012 1/3/2012 1/3/2012 1/3/2012 1/3/2012 2/3/2012 3/3/2012 3/3/2012 52567/iii/12 52568/111/12 52569/iii/12 52570/iii/12 52571/III/12 52572/iii/2012 52573/III/2012 52574/III/2012 52575/III/2012 susmita putu sentana juma ati tini agung rai malik ibrahim susana wonga Siti Rohma Komang Yasa p l p p L L P P L 42 25 31 thn 52th 28 thn 12 thn 37 th 36th 25thn .

A Mirah Meitasari SUPARMI yuli diani Ketut Sidan konstantina kono suwarni Budi utomo p L L L P p L P l L L L L L L L P p L L p p l l P p P L L P P p p L p p L 20th 32th 8th 32 THN 9 thn 13 th 22th 31 thn 16 thn 34th 18th 19 42 thn 37th 13 thn 31th 40 th 36 thn 26 th 28 thn 27th 16th 19 th 39thn 17th 42thn 34th 52th 25thn 21thn 30TH 23th 34th 18th 25thn 30 th 46 th JUMLAH KUNJUNGAN PASIEN BULAN MARET 2012 = 39 ORANG 1 2 3 4 5 6 4/42012 4/4/2012 9/4/2012 10/4/2012 10/4/2012 16/4/2012 52912/iv/12 52913/iv/12 52914/IV/12 52915/IV/12 52916/IV/12 52917/iv/12 putu ria parhatun Kadek suseni Jumaati Pt Ratna Dewi tina p p P P p p 21 thn 36 thn 38 th 25 th 25th 34th .10 11 12 13 14 15 16 17 19 20 21 22 23 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 5/3/2012 5/3/2012 5/3/2012 5/3/2012 6/3/2012 7/3/2012 7/3/201`2 9/3/2012 12/32012 12/3/2012 13/3/12 13/3/12 13/3/2012 14/3/2012 14/3/12 15/3/12 15/3/12 16/3/12 16/3/12 17/3/2012 17/3/12 17/3/12 17/3/2012 21/3/12 26/3/12 26/3/12 27/3/12 28/3/12 28/3/12 29/3/12 29/3/12 29/3/12 30/3/12 30/3/12 30/3/12 30/3/12 30/3/12 52576/iii/2012 52577/iII/2012 52578/lll/2012 52579/III/2012 52580/III/2012 52581/III/2012 52582/III/2012 52583/III/2012 52584/iii/2012 52585/iii/2012 52586/III/2012 52587/III/12 52588/III/12 52589/III/12 52589/Iii/12 52590/III/12 52591/III/12 52592/III/12 52593/III/12 52594/III/12 52595/III/12 52596/III/12 52597/iii/12 52898/iii/12 52899/III/12 52900/III/12 52901/III/12 52902/III/12 52903/III/12 52904/III/12 52905/III/12 52906/III/12 52907/III/12 52908/III/12 52909/III/12 52910/III/12 52911/III/12 dewi Komang Alit yasin widiatmoko ARI KILLA putu dewi fitriani Yofan jumiati widnyana rama putra hartati made rama p deni Suparman mario adam Angga Vida meity tina diara sanjaya Yanto wyn nunik ni gede ayu sutarningsih dennis mursito Susmita Hamli isma wati TINA nengah mantra chris kilimandu A.

F P P P p L L p p p l L P l P p P P p p L P p l p P p p p L P L P L 20 th 20 th 30th 35th 25 thn 13thn 24 th 31 thn 29 thn 17 thn 24thn 25th 25 th 22 th 30th 18 thn 25 thn 20 thn 24thn 25thn 17th 34thn 14 thn 18thn 28 thn 20thn 25thn 30th 20 thn 24 thn 17 thn 33 th 20 thn JUMLAH KUNJUNGAN PASIEN BULAN APRIL 2012 = 39 ORANG 1 2 3 4 5 6 7 8 9 10 1/5/2012 2/5/2012 3/5/2012 4/5/2012 4/5/2012 4/5/2012 4/5/2012 4/5/2012 4/5/2012 4/5/2012 52952/V/12 52953/V/12 52954/v12 52955/V/12 52956/V/12 52957/V/12 52958/V/12 52959/V/12 52960/v/12 52961/v/12 Tika Putri Mochtar Dadan eko susi indaryati putu febi damayanti Nengah Gunarsa Vera Edon dewa ayu komang tri widia icha P L l l p p L p p p 34 th 20th 18th 21th 33 th 15th 35th 14 th 22th `14 .7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 16/4/12 19/4/12 19/4/12 19/4/12 21/4/12 21/4/12 23/4/12 24/4/12 24/04/12 24/04/12 24/4/12 24/4/12 24/4/12 24/4/12 24/4/12 24/4/12 24/4/12 24/4/12 25/4/12 25/04/12 25/04/12 26/4/12 26/04/12 26/4/12 26/4/12 26/4/12 26/4/12 27/4/12 27/4/12 28/4/2012 28/4/2012 30/4/2012 30/4/12 52918/IV/12 52919/IV/12 52920/IV/12 52921/iv/12 52922/IV/12 52923/IV/12 52924/IV/12 52925/IV/12 52926/IV/12 52927/iv/12 52928/IV/12 52929/IV/12 52930/IV/12 52931/IV/12 52932/IV/2012 52933/iv/12 52934/IV/12 52935/IV/12 52936/iv/12 52937/IV/12 52938/IV/12 52940/IV/12 52941/IV/12 52942/IV/12 52943/IV/12 52944/IV/12 52945/IV/12 52946/IV/12 52947/IV?12 52948/IV/12 52949/IV/12 52950/IV/12 52951/IV/12 Ketut Lini Ketut Lini nengah sasih ibu feby Cristian abdurahman Mina norling wayan armini Putu Sulasih ketut darmawan kadek suade Dani erick Jesika suparmi yusliani Konstatina Kono nova sulastri Nyoman Yasa Komang Dewi tina hosea kadek ayu setyawati handayani ani kadek widiani nuraidah ketut sri teka rossa Pt Redi Laksamana Hartina moises angelico M.

11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 5/5/2012 5/5/2012 7/5/2012 7/5/2012 7/5/2012 7/5/2012 8/5/2012 8/5/2012 8/5/2012 8/5/2012 8/5/2012 9/5/2012 10/5/2012 10/5/2012 10/5/2012 10/5/2012 10/5/2012 10/5/2012 10/5/2012 14/5/2012 14/5/2012 16/5/2012 16/5/12 16/5/2012 18/5/2012 18/5/2012 19/5/2012 21/5/2012 21/5/2012 21/5/2012 22/05/2012 22/05/2012 23/5/2012 23/5/2012 23/5/12 23/5/12 23/5/12 14/5/12 24/5/12 25/5/2012 25/5/2012 25/v/2012 25/05/2012 25/05/2012 26/05/2012 26/5/2012 26/5/20012 52962/V/12 52963/V/12 52964/v/12 52965/v/12 52966/v/12 52967/v/12 52968/v/12 52969/v/12 52970/v/12 52971/V/12 52972/V/2012 52973/V/2012 52974/v/12 52975/V/12 52976/V/12 52977/v/12 52978/v/12 52979/V/12 52980/v/12 52981/v/12 52982/V/12 52983/v/12 52984/v/12 52985/V/12 52986/v/12 52987/v/12 52988/v/12 52989/v/12 52990/V/12 52991/v/12 52992/v/12 52993/v/12 52994/v/12 52995/V/12 52996/V/12 52997/v/12 52998/V/12 52999/V/12 53000/V/12 53001/v/12 53002/v/12 53003/v/12 53004/v/12 53005/v/12 53005/v/12 53006/V/12 53007/v/12 wayam wigama Servas I wayan wibawa harta ayu setiawati Made Ranti Putu Suliasih ade nur wulan angelina ketut kamiani devy ratna dewi Devy Dany made dwijana putra Rizky Novita Eka Susilia antoni imanuel molinah kadek riana dominggus wili made suryanti wayan eva Ardi Yudha arik wyn karmawan Lili Kartini nengah sulastra ni made ayu candra dewi Surayah gusti ayu trisnawati Ketut Arta pt arya mahotama danilo Okta Made Dwijana Putra Agus Putra Wirawan lili kartini anjas Koming anis lalatul rahmah Debby Natasya willy kd megawati Luh happy Diah Fitri Antary yuliatun Salhita Ni Md. Dwi Lestari zainullah l L l p P p p p p P P L L P P l p L p l L L L P l p P p L L L L L L P p p p P l p P P p p p l 20 th 25 th 17 thn 18th 52 thn 30thn 15thn 14 thn 38thn 25thn 38 th 25th 18th 35thn 29th 16th 17th 23 thn 49th 14 th 22th 26th 33 th 36th 35th 15th 32th 20th 23 thn 11 thn 26th 21 thn 18 th 12 thn 36th 40th 29th 16 th 25 th 25th 30thn 15 th 25 th 31thn 42thn 18th 40thn .

59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 26/5/2012 28/5/2012 28/5/2012 28/5/2012 28/5/2012 28/05/2012 29/05/2012 29/05/12 29/05/12 30/5/12 30/5/12 30/5/12 31/5/12 31/5/12 31/5/12 31/5/12 31/5/12 31/5/12 31/5/12 31/5/12 31/v/12 53008/v/12 53009/v/12 53010/v/12 53011/v/12 53012/v/12 53013/V/12 53014/V/12 53015/v/12 53016/v/12 53017/v/12 53018/v/12 53019/v/12 53020/5/12 53021/5/12 53022/5/12 53023/5/12 53024/V/12 53025/v/12 53026/v/12 53027/v/12 53028/v/12 Ayu Swadana Diasa I made arya kusuma dewa kadek adi putrawan sri dina purnami komang mertha Karlina Dewi rinavat mala sari ketut erna rediartini Komang Radika Pak Markus wayan darna wariasa haerul umam budi utomo musapikin Candra didik wahyudi dwi ayu intan pertiwi miskiah rima fatmalsari ketut sri artini p l l l p l P p p L L L L l L L L p p p p 14th 28th 12 thn 14 thn 17th 21thn 24 thn 11thn 15 thn 30thn 43 thn 38 thn 24th 28 th 30 thm 21 thn 34th 15thn 42thn 11thn 33thn JUMLAH KUNJUNGAN PASIEN BULAN MEI 2012 = 79 ORANG 1 2 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 1/6/2012 1/6/2012 1/6/2012 4/6/2012 4/6/2012 4/6/2012 6/6/2012 6/6/2012 6/6/2012 6/6/2012 8/6/2012 8/6/2012 8/6/2012 8/6/2012 8/6/2012 8/6/2012 8/6/2012 9/6/2012 9/6/2012 9/6/2012 12/6/2012 12/6/2012 12/6/2012 53029/VI/12 53030/VI/12 53031/VI/12 53032/VI/12 53033/VI/12 53034/vI/12 53035/vi/12 53036/vi/12 53037/VI/12 53038/VI/12 53039/VI/12 53040/vi/12 53041/vi/12 53042/VI/12 53043/VI/12 53044/VI/12 53045/vi/12 53046/vi/12 53047/VI/12 53048/VI/12 53049/VI/12 53050/VI/12 53051/VI/12 Arianto nugroho I wayan adi sumirka ninik Putu Juliarta maha adhi wira ni putu rita pebriyani ketut sri yudani ni wayan septiantari Yuli Utami rila Ghozi decarlo tirtana gusti putu satia dimas ade wibowo desiana umburobaka Budi Erwin kadek yunita nindya dewi rani pedro Hendra Mardiana wayan suciati made wahyu dwiputra rosa l l p L L p p p P p L l l p L L P P l L P L P 28th 16 thn 49 th 36th 23 thn 18thn 19thn 13th 20 th 17th 12th 50th 24 thn 20thn 31 th 26th 14thn 35th 11th 21 th 42 th 18thn 26 th .

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 12/6/2012 15/6/2012 15/6/2012 15/6/12 15/6/12 18/6/12 18/6/2012 18/6/12 18/6/12 19/6/12 19/6/12 19/6/12 19/6/12 19/6/12 19/6/12 21/6/12 21/06/12 21/06/12 21/06/12 19/06/12 22/06/12 22/06/12 22/06/12 22/6/12 23/6/12 25/6/12 26/6/12 27/6/12 27/6/12 27/6/12 27/6/12 27/6/12 27/06/12 28/06/12 28/06/12 28/06/12 28/6/12 28/06/12 29/06/12 29/06/12 29/06/12 29/6/12 29/6/12 29/6/12 53052/VI/12 53053/VI/12 53054/VI/12 53055/VI/12 53056/VI/12 53057/VI/12 53058/VI/12 53059/VI/12 53060/VI/12 53061/vi/12 53062/vi/12 53063/VI/12 53064/vi/12 53065/vi/12 53066/VI/12 53067/VI/12 53068/VI/12 53069/vi/12 53070/VI/12 53071/VI/12 53071/vi/12 53072/vi/12 53073/vi/12 53073/vi/12 53074/VI/12 53075/vi/12 53076/vi/12 53077/VI/12 53078/VI/12 53079/VI/12 53080/VI/12 53081/VI/12 53082/VI/12 53083/VI/12 53084/VI/12 53085/VI/12 53086/VI/12 53087/vi/12 53088/vi/12 53089/vi/12 53090/VI/12 53091/VI/12 53092/VI/12 53093/vi/12 Bayu Frenata Made yudi artawan vila sistiani ari dessmelia antonio alves yuli kadek megawati MADE ASIH marten de pores I made suardika surya mahardika I wayan asta kadek eni suparman luh sri asih made gita atmaja Nopik nattasa Fera willy margaretha rohma rohana eva misrani desi ariana neni lufinia ahmad fausan Nyoman Kodi s.hadi made sukayati Komang Tri Nur Hasanah Rustam REJUNIARI NATALIA novi natalia Kadek Sukma Pramadani stin kono irul muhammad rohma rohana kadek agus ayu karmila dwi antari lusiana Sri Rejeki L. putu aryani ni luh ketut putri nila sukesi desmelia L l p p l p p P l l l l P L p l L p p p p p p l P l p P p l P p p p p L p l p p p p p p 21 th 27 thn 25th 19thn 20 thun 23 thn 30th 55TH 19 th 32 thn 19thn 31 th 12th 43th 38th 17thn 25 thn 16th 51th 50th 14thn 18 th 17thn 25th 50th 22thn 40th 12th 40th 14thn 24thn 22 thn 24thn 13 th 25 thn 8 th 50th 14 th 12th 30 th 45th 15thn 11 thn 19 thn JUMLAH KUNJUNGAN PASIEN BULAN JUNI 2012 = 67 ORANG .

bagus putra u.a. AAN slamet sohomulio Komang Kartini abilio fereira ayuning maharani putri a. Nym Trisna Sasrama Putra made sudiarta KOMANG ANIK Gek Ernawati I Nengah Suatra mega agung yuda P P l p l L L P L P l L L l p p p p p p p l L P l p L P L p L p l p l L L P L P l l p p L p L 22 thn 23thn 32th 32th 21th 23thn 34 th 18th 27th 29 Thn 19th 35th 20th 22 th 35 th 30th 15thn 50 thn 15thn 23 thn 13th 17 th 20th 10th 27th 44th 26 thn 28thn 9th 35thn 34th 12th 13th 58 thn 38 thn 21 thn 27 thn 50th 20 th 34thn 12 th 35 th 25thn 23thn 30th 21th 8th .1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 2/7/2012 2/7/2012 3/7/2012 3/7/2012 3/7/2012 3/7/2012 3/7/2012 4/7/2012 4/7/2012 5/7/2012 5/7/2012 5/7/2012 5/7/2012 6/7/2012 6/7/2012 6/7/2012 6/7/2012 6/7/2012 7/7/2012 7/7/2012 9/7/2012 9/7/2012 9/7/2012 9/7/2012 10/7/2012 11/7/2012 11/7/2012 11/7/2012 11/7/2012 12/7/2012 12/7/2012 13/7/12 13/7/12 17/7/12 17/07/2012 18/07/12 18/7/12 119/7/13 19/7/12 19/7/12 19/7/12 19/7/2012 20/7/12 20/7/12 20/7/12 20/7/2012 20/7/2012 53094/VII/12 53095/VII/12 53096/vii/12 53097/vii/12 53098/vii/12 53099/VII/12 53100/VII/12 53101/VI/12 53102/VII/12 53103/VII/12 53104/VII/13 53105/vii/12 53106/vii/12 53107/vii/12 53108/vii/12 53109/vii/12 53110/vii/12 53111/VII/12 53112/vii/12 53113/VII/12 53114/vii/12 53115/vii/12 53116/vii/12 53117/VII/12 53118/vii/12 53113/vii/812 53114/vii/12 53115/vii/12 53116/vii/12 53117/VII/12 53118/VII/12 53119/vii/12 53120/VII/12 53121/VII/12 53122/vii/2012 53123/VII/12 53124/VII/12 53125/VII/13 53126/VII/12 53127/VII/12 53128/VII/12 53129/vii/12 53130/vii/12 53131/vii/12 53132/VII/12 53133/vi/12 53134/VII/12 dewi mariam putu diatmika sudarmini luis da costa Agus Dwi Putra abilio fereira Lia Apredina Darto Suartini cok de rama nengah arnawan antonio alves I nym andiartama sriwati musyahada selvionita evriani selvionita ariani wiwit fillyanti julio mendoca Putu Pratama Adi Santika Kadek Ani Putri Sari wayan suwantra mariani Gede Indrawan MBK. tio kwie jien ignasiyus tober gaud rinto darto nyoman kodi AA Hendra Mardinata Bu Bayu S.

48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 23/7/12 23/7/12 24/7/2012 25/7/2012 26/7/2012 27/7/12 27/7/12 27/7/12 27/7/2012 27/7/2012 27/7/12 27/7/2012 27/7/12 30/7/12 30/7/12 30/7/12 30/7/12 30/7/12 53135/vii/12 53136/vii/12 53137/vii/12 53138/vii/12 53139/vii/12 53140/vii/12 53141/vii/12 53142/VII/12 53143/VII/12 53144/VII/12 53145/VII/13 53146/VII/13 53147/vii/12 53148/VII/12 53149/VII/12 53150/VII/12 53151/vii/12 53152/VII/12 ignas gaud surya pradnyana Lily Made suartini Rudi johanes Gst Ngr Wijaya Kusuma Heru Ernesta wayan sumini anis lailatul rahmah Rudi dwi kusuma wardani gde aditya kadek widiana Ni Nyoman Putriani sang nym trisna s.p dermawan l L P p L l l L P p p L p L l P l L 38 thn 20th 21th 30th 24 thn 27th 24 thn 13thn 31th 18 th 16th 24 thn 12th 21 thn 16 thn 22 thn 12 thn 29 tuh JUMLAH KUNJUNGAN PASIEN BULAN JULI 2012 = 65 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 2/8/2012 2/8/2012 2/8/2012 2/8/2012 2/8/2012 2/8/2012 2/8/2012 3/8/2012 3/8/2012 3/8/2012 4/8/2012 4/8/2012 6/8/2012 6/8/2012 6/8/2012 6/8/2012 8/8/2012 8/8/2012 10/8/2012 10/8/2012 10/8/2012 10/8/2012 10/8/2012 11/8/2012 13/8/2012 13/8/12 53153/VIII/12 53154/viii/12 53155/viii/12 53156/viii/12 53157/vii/12 53158/VIII/12 53159/viii/12 53160/VIII/12 53161/vi12 53162/vii/12 53163/vii/12 53164/viii/12 53165/viii/12 53166/viii/12 53167/VIII/12 53168/viii/12 53169/VIII/12 53170/VIII/12 53171/VIII/12 53172/viii/12 53173/viii/12 53174/VIII/12 53175/VIII/12 53176/VIII/12 53177/VIII/12 53178/viii/12 Kadek Ayu Ekarini P Ari Langko L I dewa nyoman surya prihanggara l suniarti p ignas gaud l md yuda suarsika L ayu ari anggreeni p Charles pelorosa l lina p Lingga P ibu wayan p pedro l wayan ardi l netrayasa l ni luh andrea p gede gandi pratama l Jamaludin L dw kt suryana l Jamaludin L ni kadek martini p Ketut Alit Widiari p Kadek Adi Sugiarta L kadek ayu ekarini p Agus Subadri L Tio Kwie Jien P Ayik Lestari p 22 th 25thn 20 thn 43th 38th 23 thn 22th 27thn 35thn 39thn 46yhn 11thn 19th 28th 19th 14 th 24thn 47th 24 thn 14th 49thn 12thn 22th 32th 58 thn 22 th .

27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 13/8/2012 13/8/2012 14/8/12 15/8/12 15/8/13 15/8/12 15/8/12 15/8/12 16/8/12 16/8/2012 23/8/2012 23/8/12 23/8/12 27/8/12 27/8/2012 53179/VIII/12 53180/VIII/12 53181/VIII/12 53182/viii/12 53183/viii/12 53184/VIII/12 53185/VIII/12 53186/VIII/12 53187/VIII/12 53188/VIII/12 53189/VIII/12 53190/viii/12 53191/VII/12 53192/viii/12 53193/viii/12 Icha Heri Susanto ni luh susilowati ujang wayan supadma sarah kornelus Pius Gasa kiki ketut wenten putu eka sri budiasih ajay jose Wayan Widiastuti nengah sudarsa kadek yunita nindya dewi p L p l L p L L L p p L P L p 18thn 25 thn 14thn 13thn 20 thn 20 th 30 thn 36 thn 30 thn 32th 10 thn 20 thn 13thn 31th 13 th JUMLAH KUNJUNGAN PASIEN BULAN AGUSTUS 2012 = 41 0RANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 5/9/2012 5/9/2012 5/9/2012 5/9/2012 5/9/2012 6/9/2012 6/9/2012 6/9/2012 6/9/2012 10/9/2012 10/9/2012 10/9/2012 10/9/2012 10/9/2012 11/9/2012 18/9/2012 18/9/2012 19/9/2012 19/9/2012 19/9/2012 19/9/2012 19/9/2012 20/9/2012 20/9/12 20/9/12 21/9/12 21/9/12 21/9/12 22/9/12 53194/IX/12 53195/IX/12 53196/IX/12 53197/IX/12 53198/IX/12 53199/ix/12 53200/IX/12 53201/ix/12 53202/ix/12 53203/ix/12 53204/IX/12 53205/IX/12 53206/ix/12 53207/ix/12 53208/IX/12 53209/IX/12 53210/IX/12 53211/IX/12 53212/IX/12 53213/IX/12 53214/IX/12 53215/IX/12 53216/ix/12 53217/ix/12 53218/ix/12 53219/IX/12 53220/ix/12 53221/IX/12 53222/IX/12 Putu Meta Permatasari Anis Siti Fatimah Made Kwendra Dwi Arpiyanto kasta valensia morlen glorya ijay fatimah sri astuti wayan supadma Erik Agus Dwi Putra Darto zaenul putu wedani erawati made putra Nyoman Sarya Saleh Ratih Juliandari S. Yuliati Erwin kristina ni made narti nopita Aryadi Suryawan muhamad kadafi ni made narti lu ming fe sri astuti p p P l L l p P p l L L L L p L L L p P L P p p L L p l P 22th 32th 20 thn 47th 31 th 20 13 thn 20 thn 51 thn 20th 27 th 24 thn 27th 21thn 49th 18 th 35 thn 23th 12thn 26th 18th 25 th 41 th 33 th 24 thn 14 th 41 th 19thn 52thn .

BULAN OKTOBER 2012 1 31/10/12 53241/X/12 2 10/10/2012 53228/X/12 3 BULAN JANUARI 2013 8/1/2013 53228/I/13 Aditya Indra Purnama Saleh L L 21thn 23th 1 dini P 13 thn BULAN NOVEMBER 2012 1 2/11/2012 53242/XI/12 2 3 Sri Astuti P 52thn .

BULAN DESEMBER 2012 1 2 3 4 5 6 7 8 9 10 11 12 13 14 14 16 17 18 19 20 21 22 23 24 4/12/2012 4/12/2012 5/12/2012 6/12/2012 6/12/2012 6/12/2012 6/12/2012 6/12/2012 3/12/2012 11/12/2012 3/12/2012 17/12/2012 18/12/12 19/12/12 19/12/2012 19/12/2012 19/12/2012 19/12/2012 22/12/12 24/12/12 20/12/12 27/12/12 29/12/12 31/12/12 53223/XII/12 53224/XII/12 53225/XII/12 53226/XII/12 53227/XII/12 53228/XII/12 53229/XII/12 53230/XII/12 53231/XII/12 53232/XII/12 53233/XII/12 53234/XII/12 53235/xii/12 53236/XII/12 53237/xii/12 53238/xii/12 53239/XII/12 53240/xii/12 53241/xii/12 53241/xii/12 53242/XII/12 53243/XII/12 53244/XII/12 53245/XII/12 Mustika juita IBU SUTRINI NI WAYAN MERTI NI WYN SUGIANTARI MD SUCIPTAWATI WYN METRIANI KM SINDU BGS ARTIKA IWAN ROSSI christ adi Muraini Budi Arsana inama vira ockian dwi angga Silviana kurniati inama h wilhelmina Hanifah hartik ni putu ratnadewi Ni Komang Mega Ramayanti Koming Sefia Lady Maukar Mohammad Hari Erik Bone Leroh p P P P P P L L L P L p L P p p P p p P P P L L 38th 26thn 11th 17 thn 26thn 19thn 18thn 26thn 19 th 50thn 48thn 25th 13 thn 9th 44thn 30thn 18 thn JUMLAH KUNJUNGAN PASIEN BULAN DESEMBER 2012 = 22 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 3/1/2013 4/1/2013 4/1/2013 4/1/2013 4/1/2013 5/1/2013 7/1/2013 7/1/2013 8/1/2013 8/1/2013 8/1/2013 9/1/2013 10/1/2013 14/01/2013 14/01/2013 14/01/2013 53246/XII/12 53247/I/13 53248/I/13 53249/i/13 53250/I/13 53251/I/13 53252/i/13 53253/i/13 53254/I/13 53255/I/13 53256/1/13 53257/I/13 53258/I/13 53259/I/13 53260/I/13 53261/I/13 putri kd ayu lia lestari mulyati masruki Hermawan komang novi rusdiarti kusuma dharma rajasa abe saleh rusbiyanto desi arina Ngurah Krisna dauh Mukti sri patmawati Lady Maukar vena ayu marhain p P P l L p p l L L p L P P p p 18th 14 th 35 th 55th 38th 35 th 26 th 21 th 22 th 52th 19 thn 34th 40 thn 44thn 11th 26 th .

17 18 19 20 21 22 23 24 25 26 15/01/2013 15//1/2013 15//1/2013 18/01/2013 21/01/13 21/01/13 21/01/13 21/01/13 25/01/13 25/01/13 53261/I/13 53262/1/13 53263/1/13 53264/1/13 53265/I/13 53266/i/13 53267/I/13 53268/I/13 53269/1/13 53270/I/13 deviani miniatun sukarni mni kadek sri nadi Kadek artini wawan Luh Putu Nanik Erlinawati Marwati gede raja gusti ayu rai p p p p P l P P l P 14thn 29thn 35th 38th 40th 20th 16th 18th 32th 47th 27 26/01/13 28 26/1/2013 29 26/1/2013 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 28/1/2013 28/1/13 28/1/2013 28/1/2013 28/1/2013 28/1/2913 29/01/13 29/i/2013 30/1/13 30/1/13 30-1-2013 31/1/13 31/I/13 31/1/13 31/1/13 31/1/13 53271/I/13 53272/I/13 53273/I/13 53274/I/13 53275/I/13 53276/i/13 53277/I/13 53278/I/13 53279/I/13 53280/I/13 53281/I/13 53282/1/13 53283/1/13 53284/1/13 53285/1/13 53286/I/13 53287/I/13 53288/1/13 53289/1/13 novriandi Emilia wayan metriani sri komang sutawan wayan rentet eri kusuma ariawan wyn pasar Mikaela kadek megawati made lanang pradita indra muslih nyoman suani komang sutawan Yosep Herman Mulyono ni nym ari natarini miniatun sumaiah l P p P L P L p P P l l L p L L P p p 30th 30 thn 30 thn 45th 17thn 43thn 32 th 50 thn 49 th 31thn 20thn 22th 45th 30thn 17 thn 53 th 17 thn 29 55th JUMLAH KUNJUNGAN PASIEN BULAN JAN 1 2 3 4 5 4/2/2013 4/2/2013 4/2/2013 4/2/2013 4/2/2013 53290/II/13 53291/ii/13 53292/II/13 53293/II/13 53294/II/13 Jesse Willem Posumah ayu nur chandra L Luter Akbar nabila L p L L p 28th 18thn 22thn 8thn 12thn .

6 7 8 9 10 11 12 13 14 15 16 17 18 4/2/2013 4/2/2013 5/2/2013 6/2/2013 6/2/2013 6/2/2013 6/2/2013 6/2/2013 6/2/2013 7/2/2013 7/2/2013 7/2/2013 7/2/2013 53295/II/12 53296/II/12 53297/II/13 53298/II/13 53299/ii/13 53300/II/13 53301/II/13 53302/ii/13 53303/II/13 53304/ii/13 53305/II/13 53306/II/13 53307/II/13 fitri Gde Mulyawan Lodi Wayan Metri franciska oriana nengah juliantara Sudirman lena daud Agus Iswahyudi Ni Putu Meri Arianti Mita p L P P p p L L p l l P P 27 thn 23thn 27Thn 45 thn 30th 14 thn 21 thn 36 thn 29th 21thn 34th 23 th 27thn .

.

Gn Agung JL.7 JL.Palapa Gg JL. Ubud 0162/V/11 0175/V/11 0174/V/11 0122/V/11 0177/V/11 0178/V/11 0213/V/11 0054/IV/11 64670/I/11 0185/V/11 0222/V/11 6619/VI/09 0335/V/11 65446/V/11 0349/V/11 0360/V/11 0260/V/11 0370/V/11 0368/V/11 0378/V/11 0375/V/11 63207/V/11 0395/V/11 0387/V/11 0398/V/11 0464/V/11 0302/V/11 0376/V/11 0515/V/11 0523/V/11 PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE Nekrosa Pulpa Pulpitis Irreversible PULPITIS REVERSIBLE Pulpitis Irrevorsible Pulpitis Irreversible Pulpitis Irreversible PULPITIS REVERSIBLE PULPITIS REVERSIBLE Pulpitis Irreversible Pulpitis Irreversible PULPITIS REVERSIBLE PULPITIS REVERSIBLE Pulpitis Irreversible PULPITIS REVERSIBLE PULPITIS REVERSIBLE Nekrosa Pulpa Pulpitis Irreversible Pulpitis Irreversible Pulpitis Irreversible PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE Nekrosa Pulpa Nekrosa Pulpa PULPITIS REVERSIBLE Pulpitis Irreversible PULPITIS REVERSIBLE .Wijaya Kusuma JL.Ahmad Yani Gg 1 No 14 JLTukad Banyusari Gg mekarsari JL Jayagiri 99 JL Perum Buana Permai JL Karang Sari JL Kenanga No.6 JL Teropong Gg buaya Jl Gunung Gilimana No9 Jl Trenggana No 115 Jl Jempiring No 5 Jl wibisana Barat GG VII No 4 Jl Imam Bonjol No 93 Jl Trenggana No 90 Jl Danau Beratan No 2 Jl Sudirman JlSalya Jl Sandat GG V No 25 Perum Raya Kompial E No 15 Jl Rujak Cingur GG Kejan No 33 Jl Gadung GG V No 5 Jl Tukad Citarum Tedung.Batu Karu JL.ALAMAT JL TK BANYUSARI Gg XI/18 JL Letda Made Putra No .Batuyang 2B N0 0D 0070/IV/11 0081/IV/11 0101/IV/11 0036/IV/11 0079/IV/11 64789/I/11 0125/IV/11 0151/IV/11 DIAGNOSA/ELEMEN PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE JL.18 JL Batu Karu Gg 5 No 1 JL. Gianyar Desa Gadungan Padang Sambian GG III Jl Puputan Renon Jl Rujak Cingur Jl Banyusari GG Taman No 5 Jl Tukad Languan III No 22 Br Tunon Singakerta.Muding SariNo.Gn.

Jl Akasia XVI B No 9 Jl Cokroaminoto No 34 Jl Letda Kajeng No 19 Br Ketugan Desa Taman, Badung Jl Salya GG VI E No 2 Jl Gili Danan No 75 Jl Dauh Pasar No 10 Jl Ahmad Yani gg I No 14 Jl Ranggah Buana No 67 Jl Gadung V No 5 Br Tunon Singakerta, Ubud Jl Gunung Agung Jl Tukad Guaji GG mekarsari Jl Cenigan Sari GG Angrede Jl Kapten Japa Jl Kartini GG 31 Br Nagi Desa Wangsian, Karangasem Jl Gadung GG V No 5 Jl Salya GG VI E No 2 Jl Gunung Lempuyang III No 19 Jl Tukad Yeh Aya VI No 1 Br Tegal Selat atas Jl Kenyeri Br Untal-Untal No 30, Dalung Jl Jempiring No 5 Jl Jempiring No 20 Jl Letda Made Putra Jl Gunung Agung Br Penestanan kelod Jl Letda Reta No 6 Jl Trenggana GG III Jl Akasia XVI GG Durian No 2 Jl W.R Supratman Jl Dewi Madri Jl Gatsu I Br Kabetan, Gianyar Jl Trenggana No 84 Jl Diponegoro No 256 Jl Salia No 6 Jl Gatsu GG Mertasari No 11 Jl Plawa gg IX B Jl Monang-Maning JL Kapten Japa Gg I no 5

0522/V/11 0235/V/11 0542/V/11 0555/V/11 0567/V/11 0467/V/11 0590/V/11 0175/V/11 0579/V/11 0612/V/11 0640/V/11 0162/V/11 0174/V/11 0643/V/11 049/V/11 0671/V/11 0346/V/11 0612/V/11 0567/V/11 0293/V/11 0736/V/11 0770/V/11 0785/V/11 0815/V/11 0222/V/11 8024/V/11 0838/V/11 0842/V/11 0847/V/11 0797/V/11 0858/V/11 0064/V/11 0814/V/11 0920/V/11 0918/V/11 0947/V/11 0866/V/11 0762/V/11 0979/V/11 0980/V/11 0688/V/11 0946/V/11 1005/V/11

PULPITIS REVERSIBLE PULPITIS REVERSIBLE Pulpitis Irreversible Pulpitis Irreversible PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE Gangren Pulpa Pulpitis Irreversible PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE Pulpitis Irreversible Pulpitis Irreversible Pulpitis Irreversible PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE Nekrosa Pulpa PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE Pulpitis Irreversible Pulpitis Irreversible Pulpitis Irreversible PULPITIS REVERSIBLE PULPITIS REVERSIBLE Gangren Pulpa PULPITIS REVERSIBLE PULPITIS REVERSIBLE Pulpitis Irreversible Pulpitis Irreversible Gangren Pulpa Pulpitis Irreversible Pulpitis Irreversible PULPITIS REVERSIBLE Pulpitis Irreversible Pulpitis Irreversible Gangren Pulpa PULPITIS REVERSIBLE Pulpitis Irreversible Pulpitis Irreversible

JL Letda Md Putra

0900/V/11

Pulpitis Irreversible

JL A.Yani Gg I No 14 JL Gn Lebah Gg 4 JL Sudamala 11 JL Nusa Kambangan Gg II NO 10 JL Nangka Utara No 2 JL Gatsu Perum Bumi Kerta No 8 JL Buana Raya No 37 Dps JL Sedap Malam JL Tutur JL Letda Reta III Dps JL Resimuka Jl Pekambingan No 55 JL Tunjung ,Sanur JL Waturenggong JL Trenggana No 29 JL Salya No 14 JL Letda Reta JL Gatsu No 6 JL Imam Bonjol. JL Ceroring JL Ahmad Yani. JL Kenyeri No 23 JL Jayagiri No 19 JL Trenggana No 18 JL Gn Karang No 4 JL Gn Andakasa Gg Mawar II No 10 JL Tamrin Gg I No 8 JL Muding Pertiwi JL Kapten Japa 45 JL Batu Yang Gg Merpati No 8 JL Plawa No 11 JL Soka 6 JL Letda Reta Gg IV No 1 JL Gunung Agung No 6 JL Tantular Gg Nusa 3X JL Cokroaminoto Gg Gasing No 2 Yang Batu JL Cokroaminoto Gg Bangsing No 2 JL Imam Bonjol No 5 Tegal JL Yang Batu No 8A JL Gn Agung Gg Nata Jaya JL Selayar 52 Ternate 4 JL Tgl Wangi Komp.Polri No 15 JL Letda Made Putra Desa Selat,Abiansemal JL Gn Agung Gg merta Jaya 33X

0175/V/11 1029/VI/11 1039/VI/11 1035/VI/11 1037/VI/11 1030/VI/11 0577/V/11 1049/V/11 1031/V/11 1082/VI/11 1100/VI/11 1103/VI/11 1113/VI/11 0714/V/11 1130/VI/11 1139/VI/11 1169/VI/11 1192/VI/11 1202/VI/11 1194/VI/11 1200/VI/11 0785/V/11 1265/VI/11 0861/V/11 1266/VI/11 1269/VI/11 1217/VI/11 0634/VI/11 1284/VI/11 0321/V/11 1299/V/11 1301/V/11 1290/VI/11 1325/VI/11 1327/VI/11 1252/VI/11 1352/VI/11 1252/VI/11 1355/VI/11 1201/VI/11 08421/V/11 1063/VI/11 1374/VI/11 65379/III/11 900/VI/11 1393/VI/11 1396/VI/11

Gangren Pulpa Pulpitis Irreversible Pulpitis Irreversible Pulpitis Irreversible Pulpitis Irreversible Nekrosa Pulpa Nekrosa Pulpa PULPITIS REVERSIBLE Pulpitis Irreversible PULPITIS REVERSIBLE PULPITIS REVERSIBLE Nekrosa Pulpa PULPITIS REVERSIBLE PULPITIS REVERSIBLE Nekrosa Pulpa PULPITIS REVERSIBLE PULPITIS REVERSIBLE PULPITIS REVERSIBLE Gangren Pulpa PULPITIS REVERSIBLE Pulpitis Irreversible PULPITIS REVERSIBLE PULPITIS REVERSIBLE Pulpitis Reversible 46 Pulpitis Irreversible 12 Pulpitis Irreversible 46 Pulpitis Reversible 47 Pulpitis Reversible 46 Nekrosa Pulpa 11 Pulpitis Reversible 21 Pulpitis reversible 46 Pulpitis Irreversible 16 Pulpitis Reversible 26 Pulpitis Reversible Nekrosa Pulpa 11 Pulpitis Reversible Nekrosa Pulpa 11 Pulpitis Reversible Pulpitis Irreversible 46 Pulpitis Reversible 21 Pulpitis Reversible 46 Pulpitis Irreversible 37 Pulpitis Irreversible 21 Pulpitis Irreversible 37 Pulpitis Irreversible 11 Pulpitis Reversible Pulpitis Reversible

JL Tunjung No 5 JL WR Supratman Gg I No 1 JL Desa Adat Abiansemal JL Muding Pertiwi Badung JL Teropong No 1 Jl. Banteng no 9 X jln.jayagiri no.22 denpasar jln. Nangka gg 2 no 5 Jl. Gatot Subroto No. 6b jl.sanggalangit br. Yang batu jln letda reta 25 dps jl.Pulau Batam 3 jl. Letda reta gg IV no 32 jl. Yang Batu no.8A Denpasar jln. Akasia XIII no 2X.dps jln. Kusuma dewa II Jln.drupadi XVI no.8 Jln.drupadi XVI no.8 jl.gatsu timur no 6 JL Plawa Gg XIII No 6 Jl Letda Reta Gg F jl.tkd. Banyusari gang taman sari no 5

1400/VI/11 1373/VI/11 1393/VI/11 0634/VI/11 1434/VI/11 1152/VI/11 1354/VI/11 1475/vI/11 1474/VI/11 1472/vi/11 1240/VI/11 1456/vI/11 1534/VI/11 1538/Vi/11 1201/VI/11 1545/VI/11 1547/VI/11 1499/VI/11 1499/VI/11 1550/VI/11 63270/X/10 1576/VI/11 0376/V/11

Nekrosa Pulpa 46 Pulpitis Reversible Pulpitis Reversible Pulpitis Irreversible Pulpitis Irreversible Nekrose Pulpa pulpitis irreversibel pilpitis iireversible pulpitis irreversible nekrosa pulpa 21 pulpitis irreversible Pulpitis Reversible Pulpitis Reversible nekrose pulpa 12 Pulpitis Irreversible 11 pulpitis irrevesible 14 pulpitis reversible 11 Gangren Pulpa 21 pulpitis irreversible 11 pulpitis ireversible 11 Pulpitis Ireversible 37 Pulpitis Ireversible 46 pulpitis reversibel 12

Br. Pewaya Batuan, Sukawati Jl.Tukad Citarum F No 99 A Jl. Kebo iwa no.28 Dps jl. Sesetan gang taman sari no. 5 jl. Satelit no 27 dps jln tkd badung 1 dps jln raya sesetan/ceningan sari 21 A Graha pasek sesetan jl kapten japa no. 26 Jl tegal wangi III no 4K.dps jln plawa no 106 dps jln tukat pakerisan gang 1 gianyar Jl. Gatsu 1 Gg. Mertasari B No 15 jln soka no 10 Jl. Wibisana 2 jl cokroaminoto gg bangau no 20a jl. Serma made pil, No. 8A Jl. Cok Agung Tresna I / 2 Denpasar jl. Liang batu jl.anyelir gang ramasari

1596/VII/11 1616/VII/11 1618/VII/11 1649/VII/11 1672/VII/11 1683/VII/11 1684/VII/11 1681/VII/11 1279/VI/11 1686/VII/11 1708/VII/11 1709/VII/11 1712/vii/11 13/43/vi/11 1723/VII/11 1734/VII/11 1755/vii/11 1750/VII/11 1122/VI/11 1762/VI/11 0226/V/11

Gangren Pulpa Pulpitis Reversible 48 Pulpitis Irreversible Pulpitis Irreversible pulpitis ireversibel pulpitis ireversibel pulpitis irreversibel Hiperemi pulpa 27 pulpitis irreversible pulpitis reversible pilpitis revesible pulpitis ireversibel pulpitis ireversible Pulpitis reversible pulpitis reversible pilpitis revesible pulpitis reversible pulpitis ireversibel hiperemi pulpa 27 Pulpitis reversibel 47 gangren pulpa

4 No. Suli Gg. 22 Jl.hayam wuruk g remaja XVI no 5 jln bajang sari gg 1 no 4 dps Jln hayam wuruk g.dps jln. Salya gg IV baru/18 jl raya bypass buruan gianyar Jl Plawa no 99 Dps jl darmawangsa no 10 jln. Cok agung tresna no.nangka gang turi barat no 8 jl Letda Made Putra no 28 DPS jl.letda reta no. Letda Reta Gg. yani no 21 jl. Raya gatsu barat . Trenggana No.41. Dps Jl. Gunung Andakasa No. JL. By Pass Ngurah Rai Jl Tukad Jinah Jl Gajah mada. dps Jln Pulau Serangan No38 D dps Jln.anyelir gg rama no 3 dps jl.27 dps jl. 56 Dps jl.Panji 1 no.remaja XVI no 5 Jl. Veteran gg III no 5 1683/v/11 1760/vi/11 1785/VII/11 0234/V/11 1768/VII/11 1791/VII/11 1802/VII/11 1804/VII/11 1764/VII/11 0817/V/11 1805/VII/11 1766/VII/11 1810/VII/11 1801/VII/11 1819/VII/11 1834/VII/11 1763/VII/11 1833/II/11 1763/VII/11 1841/VII/11 1840/VII/11 1846/VII/11 1825/VII/11 1799/vll/11 1818/VII/11 1843/V11/11 1892/VII/11 1895/VII/11 1890/VII/11 1902/VII/11 1905/VII/11 1881/7/11 Pulpitis reversible Nekrose pulpa Nekrose pulpa hiperemi pulpa NEKROSE PULPA pulpitis reversible pulpitis irreversible pulpitis iireversilbe pulpitis reversible pulpitis reversible pulpitis irreversible pulpitis reversible Pulpitis reversible Pulpitis reversible pulpitis reversible pulpitis irreversible pulpitis reversibel pulpitis reversible Pulpitis reversible Pulpitis irreversible pulpitis irreversible Pulpitis reversible pulpitis irreversible pulpitis reversible Pupitis irreversible pulpitis reversible pulpitis Ireversible pulpitis ireversible Nekrosa Pulpa nekrosa pulpa nekrosa pulpa pulpitis ireversible jln.nangka utara gang garuda no 8 jl cokroaminoto no 34 dps JL P BANGKA NO 23 Jl Gn Kapur III no 5 jln letda reta gang IV no 31 Jl. Sumandang.JL Tukad Badung 1 dps.b dps jl a. Ledareta No.no 6 dps Jl.banteng no 9 jln. Sumatra. dps jl. 26 jl. 1 Dps jl. Ngasari no. Hasanudin No. Jayagiri 19 no 29 jln.7 Dps jl kusuma bangsa II no 5 1936/VII/11 1938/VIII/11 1937/VII/11 1928/VIII/11 1950/VIII/11 1910/VII/11 1955/VIII/11 1835/VII/11 0642/V/11 1977/VIII/11 1676/VII/11 Hiperemi pulpa 27 Fraktur fraktur Ganggren Pulpa pulpitis reversible pulpitis reversible pulpitis reversibble pulpitis reversibel pulpitis irreversibel Gangren Pulpa Nekrose Pulpa . Batubulan jln pulau singkep no 107 Jl. 50.gg 1.Vi Jl.soka no 83. 10 jln. Letda reta Jl. 15 jl. Intan LC 2 no.gunung agung dps jln.

jln.tkd.yeh biu.68 jll.jayagiri jln. Jaya giri no 18 Kargo Permai, Denpasar Jl. Imam Bonjol, dps jl.letda made putra no.10 Jln. Anggrek no. 19, denpasar jln raya drupadi jl. Pakarisan,panjer Jl. Sahadewa. No 12A jln diponegoro gg 2 n0 3 jln plawa 9 jln. A yani no.12 Jl Penamparan gg satyabakti no 21 Dps Jl P Batanta gg Penataran sari no 20 Jl. Wibisana Barat gg.Taman Sari 2 Dps jl.Nangka Gg.merpati NO.5 jl. Jaya giri no.29 jln dipenogoro no.256 dps jl. Pulau serangan no.48 A jl.kertanegara gg.iv/5 dps Jl.Letda Reta no 10,Denpasar jln.tukad petanu no 7 dps Jl. P. Galang No. 9 dps jl. Subur gg mirah kecubung no 7 jl. Cokrominoto, gg. Jempiring no.19 Jl. Hayam wuruk gg Nagasari no.73 Jl Tunjung Sari Permai no 21 jl. Gandaria, no 27 jl l md putra no 18 jl.Sedap Malam gg rampi no 27 jln. Plawa gang VII jl.anyelir ljn. G agung gg 3e jl. Merta jaya, No2, dps renon jln.tukad irawadi no.3 dps Jl. Busung Yeh, dps jl.gn kawi no.2 jln. Waturenggong gg 8 no 10 Jl. Jaya Giri., No 50, dps Jl. Plawa no 103 Dps Jln Hang tuah no 1 renon jln sudamala 11 dps jln. Salya no 16 jln. Tegal wangi

2005/viii/11 2006/viii/11 1999/VII/11 2003/VIII/11 2024/VIII/11 2033/vll/11 2028/VII/11 1499/VI/11 1590/VI/11 2052/VIII/11 2049/VII/11 1923/VIII/11 2013/VIII/11 1856/VII/11 2059/VIII/11 2066/VIII/11 2061/VIII/11 2075/VII/11 0762/V/11 1963/vIII/11 1980/viii/11 2083/VIII/11 0239/V/11 2086/VII/11 2100/viii/11 2101/VII/11 2108/VIII/11 2054/VIII/11 2126/VIII/11 2144/VIII/11 2156/VIII/11 1501/VI/11 2163/VII/11 2170/vIII/11 2181/VIII/11 2191/VIII/11 2182/VIII/11 2195/VIII/11 2121/VIII/11 074/V/11 2203/VIII/11 2128/VIII/11 2225/VIII/11 2191/VIII/11 1033/VI/11 2186/VIII/11 2210/VIII/11

Hiperemi pulpa 27 hiperemi pulpa 11 hiperemi pulpa Pulpitis Ireversible Nekrosis pulpa pulpitis ireversible pulpitis irreversible nekrosa pulpa nekrosa pulpa Pulpitis Ireversible pulpitis reversibel pulpitis reversibel pulpitis irreversible Pulpitis Ireversible Nekrose Pulpa nekrosa pulpa hiperemi pulpa Fraktur 1/6 mahkota Hiperemia pulpa nekrosa pulpa nekrose pulpa fraktur 1/3 cervikoinsisal pulpitis reversible pulpitia irreversible pulpitis ireversibel pulpitis ireversible Pulpitis reversible pulpitis ireversible pulpitis irreversible pulpitis reversible pulpitis reversible hiperemi pulpa pulpitis ireversible Nekrosis pulpa Pulpitis reversible pulpitis reversible hiperemia pulpa Pulpitis irreversible pulpitis irreversible pulpitis reversible Pulpitis Irreversible Nekrose Pulpa Pulpitis reversibble pulpitis reversible post pulpektomy nekrosis pulpa

Jl. Gatsu 6B Jln Gatsu 6B jln. Pidada IV, ubung , denpasar jl nusa lembongan no 24.dps jln.Komp>kurung no 46 Tuban jln kepundung gg 3 jl. Gn batukaru gana 8/10 jl kecubung no 59 jl muding indah 6x .dps

1858/VII/11 1858/VII/11 2244/VIII/11 2245/VIII/11 2171/VIII/11 2252/viii/11 2136/viii/11 2250/VIII/11 2255/VII/II

NEKROSE PULPA post endo pulpitis irreversible pulpitis reversible pulpitis reversible pulpitis reversibel pulpitis ireversibel pulpitis reversible pulpitis reversible

gg. Mertajaya, gunung agung br.tunon singakerta,ubud jl. P. komodo monang maning jl kepundung gg6 no 3 jl. Letda reta no>11 A jln. Merdeka 9 dps jln cangu permai B 21 tegalalang, gianyar Jl. Gn. Lumut No. 8 Jl. Gn. Batukaru Gg III jln letda made putra no.6 dps jl.p.flores jl.Banyusari gg Perkutut,Dps Jl. Tk Banyusari Dps jl.Sedap Malam 103, Dps jl tk banyusari gg perkutut 13 dps JL SELEMADEG TABANAN jl. Pulau flores I/1 jl canggu permai b-21 br.tunon,singakerta,ubud jl. Pulau kawe, gg. Apollo 11a jln. Terompong no.16 gg merta jaya gunung agung JL.Letda retA,g.IV,DPSR jl. Gn. Batur gg. Kaliasem I no 10 jl, sedap malam gg nuasaa 6 Br. Canggu, B-31 Permai jln. Leda reta gang 12a dpsr jl. Sedap Malam gg Rampi no 27 jln kapten japa no 24 dpsr jln kapten japa no 24 dpsr jl. Nangka gg 7 no.50 jln muding mekar,kerobokan

2260/ix/11 0523/IX/2011 2263/IX/11 2084/VIII/11 2252/viii/11 2268/ix/11 2267/IX/11 22273/IX/11 2277/XI/11 2288/IX/11 2292/IX/11 1966/zVii/11 2282/IX/11 2316/IX/11 2618/IX/11 64614/i/11 2317/ix/2011 63891/11/2010 2262/ix/11 2273/ix/11 533403/IX/11 0928/V/11 2372/ix/11 1770/ix/11 2332/ix/11 2369/ix/11 2273/IX/11 2381/IX/11 2156/VII/11 2420/IX/11 2420/IX/11 2434/ix/11 2440/IX/11

pulpitis reversible pulpitis reversible gangren parsialis nekrosis pulpa pulpitis ireversibel pulpitis reversible pulpitis irreversible hiperemia pulpa pulpitis reversible Pulpitis Irreversible pulpitis irreversible pulpitis reversibel nekrosis pulpa pulpitis reversible nekrosis pulpa nekrosis pulpa pulpitis ireversibel pulpitis reversible pulpitis reversible pulpitis reversible pulpitis reversible pulpitis reversible nekrose pulpa hiperemia pulpa gangren pulpa pulpitis ireversibel nenrosa pulpa Pulpitis Reversible pulpitis reversible pulpitis reversible pulpitis reversible pulpitis reversible pulpitis reversible pulpitis reversible

jln nagasari no 27 dps gatsu timur jl. A Yani no 21 dps Perum. Graha Permai No. 36 A, Denpasar Jl.Bukit Tunggal Dps jl A yani no 12 dps Br. Ketogan, Taman, Badung

2410/IX/11 2307/IX/11 2438/IX/11 1237/VI/11 1076/VI/11 5333351/VIII/11 55170/V/11

nekrosis pulpa pulpitis reversibel pulpitis irreversible pulpitis reversible Nekrosis Pulpa post endointrakanal post endointrakanal

SEPTEMBER 2011 = 41 ORANG jl letda reta no 14 jl. Letda made putra gg. 12 A JLN SUMATRA NP32 br blangsinga blahbatuh gyr jl uluwatu- kedonganan Banjar Perang Alas, Lukluk, Mengwi jl letda made putra gg 3 Br.umahanyar penarungan mengwi jl.bukit tumggal gg IX no 1 dps jl suli no 13 Jl. Soka GG. Kertapura No.32 Dps JL.Sedap malam no 2 jln soka no 6 jl. Tkd batanghari 14 no 8 jl kebo iwa Jl. Raya Kargo, Karya makmur No. IV br.tibubeneng jln serangan no 15 A jln.Letda Made Putra IV/5 Jln GN Cemara No 50, Dpsr Jl. Jayagiri No. 6 Dpsr jln waturenggong gg 14 no 13 banjar tunon ubud Jl Sudirman Rt VIII Dps Jayagiri imambonjol jln Gatsu I/III no. 41x Jl. Pulau Serangan No 32 D jl.kebo iwa 6 jl.kebo iwa 6 jl. P.serangan no 32 D Jl. Pulau serangan no 17 jl. Kayutulang-canggu jln tkd pakerisan 6 14A no 10 jl.Danau Tondano no 16 dps JL JAYA Giri 16 dps 2505/IX/11 2530/x/11 2564/X/11 2535/X/11 2582/X/11 2574/X/11 2579/X/11 2583/X/11 1076/VI/11 2596/x/11 2554/X/11 2590/x/11 2599/x/11 0342/v/11 2602/x/11 2610/X/11 2643/x/11 2628/x/11 2629/X/11 2603/X/11 2623/X/11 2615/x/11 2657/x/11 2625/X 11 2203/VIII/11 2682/X/11 2659/x/11 2688/X/11 2690/x/11 2690/x/11 2688/x/11 2764/x/11 2707/X/11 2701/x/11 2722/x/11 2725/x/11 pulpitis irreversible pulpitis reversible pulpitis irreversible pulpitis irreversible pulpitis irreversible Gangren Pulpa pulpitis reversibel Gangren Pulpa pulpitis irreversible pulpitis irreversible pulpitis irreversible pulpitis ireversible pulpitis reversible Gangren Pulpa iritasi pulpa Pulpitis ireversible pulpitis reversible pulpitis reversible Nekrose Pulpa pulpitis irreversible Abses Periapikal hiperemi pulpa pulpitis reversibel Nekrosis Pulpa Nekrose Pulpa hiperemi pulpa nekrosa pulpa Pulpitis Reversibel pulpitis reversible pulpitis reversinble pulpitis reversible pulpitis irreversible Nekrosis Pulpa hiperemi pulpa Pulpitis Reversible pulpitis irreversible

Nusa Indah No.nangka II no. tampaksiring jln.Taman no.pakis aji dps jl.50 br.Gunung batu karu n0.Hayam wuruk gg. Jayagiri no 16 dps jln sedap malam gang semetri jl.jl.Raya puputan IV/1b Jalan JayaGiri jl.1 2791/xi/11 2770/x/11 2804/xi/11 2805?XI/11 2818/xi/11 2775/X/11 2833/XI/11 2834/xi/11 2725/x/11 2838/xi/11 2844/xi/11 2855/X1/11 2870/xi/11 2738/X/11 2850/XI/11 2880/XI 2628/x/11 64147/XII/10 2883/XI/11 2886/XI/11 2895/XI/11 1885/VII/11 2892/XI/11 2709/XI/11 2917/XI/11 2933/XI/11 2685/x/11 2956/XI/11 5334692/XI/11 2989/XI/11 2978/XI/11 3006/XI/11 pulpitis reversible pulpitis reversible Gangren Pulpa pulpitis reversible hiperemi pulpa nekrose pulpa Nekrose Pulpa pulpitis irreversible pulpitis irreversible pulpitis irreversible pulpitis reversible Pulpitis reversible pulpitis irreversible pulpitis ireversible Pulpitis reversible hiperemi pulpa post pulp capping fraktur 1/3 incisal pulpitis iireversibel pulpitis ireversible hiperemi pulpa Pulpitis reversible pulpitis reversibel pulpitis reversible Abrasi Pulpitis reversible pulpitis irreversible nekrose pulpa pulpitia reversible pulpitis irreversible Pulpitis revesible Pulpitis ireversible .34 Dps jl.VII no.III DPS Jl. yani jl letda md putra 6x dps candi baru.Banyusari gg.nangka gg.batanghari xiv / 8 sambahan. Letda md putra gg I br batumas dps jl.Siuan no.kawi no 12A jl. Pakusari no. Cokroaminoto no. Cargo merta jaya 38 Jl.12 jln hang tuah gang jagung jln pemuda ni 1 jl. Tangkuban perahu 2692/X/11 2667/x/11 2728/x/11 2733/x/11 0474/v/11 2545/X/11 2666/X/11 2739/x/11 2732/x/11 2741/x/11 2769/X/11 2749/x/11 Pulpitis Reversible pulpitis reversible pulpitis reversibel pulpitis irreversible pulpitis reversible pulpitis reversible hiperemi pulpa Nekrosis Pulpa pulpitis reversible pulpitis reversibel Pulpitis reversibel Pulpitis ireversibel er 2011 =48 orang jl sumatra gang 1 no 4 jln sedap malam jln letda reta gg 4x no 28x Jalan Jayagiri jl sedap malam jl.Tk. 3 buduk mengwi jl.akasia VII/10 dps jl nusa kambangan jl. mengwi jl suli no 98 jl t.gn. ubud Jl.7 Jl. gianyar Jl.4 jl.2 Jl.Busunyeh GG.5 dps pejeng kelod.raya canggu Jln. P. Sedap malam gg Sumantri Jl.& jl. Kaja.serangan no.15 A Jl. Tangkuban perahu no.tukad petanu 25 jl.a. moyo Jl. Kemuda II no.

50 dps jln kapten japa no 2a dpsr jl padang udayana VIII/2b jl. tukad citarum Jl. Menui No.putra. Gn.gn.br.11 Dps Perum. Letda mede putra Jl.67 Dps Jl.singaraja Jln Katrangan XII/8 Dps jl nangka n0.br. 2 jl. 16 jl.flores gg.8.ImamBonjol no.Mas Ubud jl Bukit Tunggal Gg Blawa No 4 Jl.2 Jimbaran jl.tukad citarum jl.batur gg nangka IV no 4 jln. Purigading blok F no. gg.tukad balian gg lx jl tulip gang bambu no 4 DESA PANJI. Gatot subroto I Jln.Pondok Indah V no. Letda reta gn 4 no 8 Jl.11 B jln gunung agung no 1 Jln.putra Jl.8 jl letda reta jl.dps jl. Gunung Batu karu gg V No.n. Akasia jl. Kargo No. Nangka selatan gang 2 no 11 jl. Gunung Batur No. no 11 Dps Abianseka.7 Dps jl. Surya Buana no.pliatan ubud jl.letda md.batur no.49 dps jl tukad balian xii/4 JL JAYA Giri 8 dps Kesiman jl letda made putra gg 3 JG GUNUNG BATU KARU NO 5 jln sedap malam no 23 jl. P.letda md. Batunas jl.2 jl. Marga Jl.raya padonan-canggu Br Tengah.1 jl. Tunjung Sari Gg.6 no.81 dps puri saren kangin ubud jl kapten japa gang 6 no.I.Gadung no.paku sari no 10k 3023/XI/11 3025/XI/11 3033/XI/11 2858/XI/11 2766/xi/11 3030/XI/11 3054/xi/11 2187/VIII/11 3056/XI/11 2871/XI/11 2581/xi/11 2034/VIII/11 56473/VI/09 2579/xi/11 0269/v/11 3111/XI/11 3113/xi/11 3101/XI/11 3039/Xi/11 3102/Xi/11 3105/XI/11 65276/xi/11 3132/Xi/11 3125/XI/11 3102/Xi/11 3136/xi/11 3139/XI/11 3101/XI/11 2834/xi/11 3184/lx/11 3130/XI/11 3157/xi/11 3159/XI/11 3170/XI/11 3162/XI/11 3121/XI/11 3188/XI/11 3185/XI/11 3182/XI/11 3196/XI/11 3239/xi/11 3245/xi/11 3236/xi/11 3244/XI/11 3234/XI/11 3250/xi/11 pulpitis reversible pulpitis irreversible hiperemi pulpa Gangren Pulpa pulpitis reversible nekrosa pulpa pulpitis irrevesible pulpitis reersible Post pulpektomi Pulpitis Reversible pulpitis irreversibel Gangren Pulpa Pulpitis irreversible pulpitis reversible PULPITIS REVERSIBLE PULPITIS IRREVERSIBLE pulpitis reversible pulpitis reversible pulpitis ireversible pulpitis reversible pulpitis reversible pulpitis reversible pulpitis ireversible PULPITIS IRREVERSIBLE nekrosa pulpa pulpitis reversibel pulpitis reversibel Pulpitis reversibel pulpitis reversible pulpitis ireversible pulpitis ireversible pulpitis reversible pulpitis reversible pulpitis irversibel pulpitis ireversible pulpitis ireversible pulpitis reversible pulpitis reversible Pulpitis irreversible Nekrosis Pulpa pulpitis ireversibel nekrose pulpa fraktur 1/3 incisal pulpitis ireversible fraktur 1/3 incisal pulpitis reversible pulpitias reversible .jayagiri I.7 Dps jl. Gunung Batu karu gg V No. Tukad balian gg19 n0.

XI A 2893/XI/11 3187/xi/11 3255/XI/11 3262/XI/11 3260/xi/11 3216/XI/11 3263/XI/11 3259/XI/11 3275/XI/11 3289/XI/11 2660/x/11 3293/XI/11 3107/XI/11 3304/xi/11 2332/ix/2011 3056/11/2011 3312/11/2011 3055/11/2011 Gangren Pulpa pulpitis reversible hiperemi pulpa nekrose pulpa hiperemi pulpa pulpitis irreversible Hiperemi pulpa pulpitis irreversible pulpitis irreversible nekrose pulpa nekrose pulpa nekrose pulpa Hiperemi pulpa pulpitis reversible pulpitis reversible hiperemi pulpa ganggren pulpa pulpitis irreversible mber =98 orang Jl.gianyar Jl.Sedap malam. Tukad citarum jln. Pulau Serangan No. ubud jl.ubud. Gianyar Jalan Ratna calingan sari sesetan jln. Letda made putra gg.tunon. Tukad citarum jl. Batu karu gang 5. Ratna GG.IX no. Sedap malam gg Sumantri jl akasia JL. ubud jl.gadung gg.38 D sambahan. Gn.umahanyar penarungan mengwi br.2 JL. Tk Languan III no 20 DPS jln.hang tuah jl.Suryabuana 1 dalung JL gunung ringin gg sawah no 6 jln.singakerta.tegal wangi no 15 jl kamboja kreneng denpasar jl.jl.suli no 98 jl.8 Dps Jl. Gunung batukaru gg 5 no 7 jl.Hyang batu no 3 Jl.cok agung tresna no. Gunung batukaru gg 5 no 7 jl. Batur gg.3 3331/XII/11 3308/XI/11 3101/XI/11 3337/xii/11 3338/XII/11 3341/xii/11 3343/XII/11 3347/xii/11 3098/x/11 3342/XII/11 3354/XII/11 3370/XII/11 3367/xii/11 3363/XII/11 3113/xi/11 3352/XII/11 3101/XII/11 3409/XII/11 2175/VIII/11 3420/XII/11 3432/XII/11 65379/iii/11 3468/XII/11 3202/xi/11 3422/Xii/11 Pulpitis Reversibel nekrose pulpa pulpitis reversible pulpitis irreversible nekrose pulpa nekrose pulpa Pulpitis resersible pulpitis ireversibel pulpitis reversible pulpitis ireversibel Pulpitis reversible Pulpitis Irreversible pulpitis ireversibel Iritasi pulpa pulpitis reversible Gangren Pulpa pulpitis reversible pulpitis irreversible pulpitis reversible Pulpitis Reversible pulpitis irreversible pulpitis reversible hyperemi pulpa pulpitis ireversible pulpitis reversible .gunung agung no.VI No 17 DPS jln.md putra gg.Dps Jl. Sakura Gg.plawa no. Sandat No. Kaliasem I no 10 jl.106.gang sinantri jl gatot subroto II jl tukad balian xii/4 jl. no. Citarum Blok N jln tukad pancoran jl. Danau Buyan I No. Sumatra no 45 Jl. Salya no 10 jl.letda .3 no 18 jl.20 Sanur Jl A Yani sakti. 6 jl sedap malam gg nuansa 6B Br. Teges. Banteng no 9 denpasar Ling.13 Jl.

Gianyar jl.4 Jl Menuri Gg. Sibang Kaja jl. By pass Dps br.HANG TUAH tojan .gandaria no.18 Jl Siulan banjar lap lap tengah jl.jl.28 jl. 3f Jl.1 Dps Jl. Tunjung sari Jl. Raya celuk JK.salaswati no. Sangging.kapten japa no.blahbatuh jl.38 sukawati gianyar jl. XII Candi Baru.teuku umar.kerobokan jl.Kecubung no. Mangroove.pulo ayu JLN RAYA PUPUTAN RENON Jln hang tuah no 5 Jl.4 dps Jl. Kamboja Kreneng Denpasar jumlah total kunjungan pasien thn 2011 =691 orang 3689/I/12 3555/xii/11 3714/I/12 3510/XII/11 3726/I/12 3734/I/12 3439/xii/11 3789/I/xii 3795/I/12 3797/I/12 3790/I/12 1040/VI/11 3647/XII/11 3805/I/12 3809/i/12 3491/I/12 3715/I/12 3718/I/12 3818/I/13 3828/I/12 3826/I?12 2775/X/11 3468/XII/11 Pulpitis irreversibel Gangren Pulpa Gangren Pulpa pulpitis irreversible Gangren Pulpa Pulpitis reversible pulpitis irreversible pulpitis irreversible hiperemi pulpa hiperemi pulpa Pulpitis reversible pulpitis reversibel pulpitis irreversible pulpitis reversibel pulpitis reversibel pulpitis irreversible pulpitis irreversible hiperemi pulpa Pulpitis reversible pulpitis reversible hiperemi pulpa hiperemi pulpa pulpitis reversibel . Sari no 10 jl. Kemuning GG. Buana Raya Perum Buana Mas Indah 14 A Br. Gn Ringin jl. Pemogan.nangka II/4 jln. III/ 12 Jl.gang I no.gunung batukaru. Serma kawi no 4 Pedungan no. Krobokan gg wanasari 19 dps Jl. Purnawira I no. dps jl. Saturnus no.gadon.gandaria no.77 dps jl.malioboro no. Letda kajeng gg 1/4 sambahan.letda reta no. gg. ubud jl. 3 jl.10 3477/XII/11 3381/XII/11 2738/X/11 3536/XII/11 3549/XII/11 3551/XII/11 3540/XII/11 3555/xii/11 3533/Xii/11 3576/XII/11 3504/XII/11 3574/xii/11 3564/xii/11 35585/xii/11 3607/xii/11 3534/XII/11 3498/XII/11 3638/XII/11 3645/XII/11 3637/XII/11 3671/XII/11 pulpitis reversibel pulpitis reversible post pulpektomi pulpektomi pulpitis reversible Pulpitis reversible Pulpitis ireversible pulpitis irreversible pulpitis reversible pulpitis reversibble nekrose pulpa Nekrose Pulpa nekrose Pulpa pulpitis reversible pulpitis reversibel pulpitis irreversible PULPITIS REVERSIBLE Pupitis reversibel Pulpitis reversibel Pupitis reversibel pulpitis irreversible ber 2011 =46 orang Jl.gunung sanggah bhuana jl me3kar sari no 6 jl.28 jl. Kebo iwa gg kelapa gading no 9 dps Jl Suli no 53 Jl Cok Agung Tresna no 1 jl.Antasura Gg otomotif hayam wuruk jln. Sumatra. Gunung tangkuban perahu jl.

batunya jl pulau ayu . Sakura Gg. dps jl. 7 jl. Dps.3/18 dps Jln. Batu Bulan jln kapten japa no 24 dpsr Jl. Karang semaja kuta Badung sambahan.Letda made putra gg.Ringin n0.17 Dps jl. Uluwatu Gg. Kakak tua no 4 jl dewata vi no 9 Jl Gunung Agung Gg mertasari B no 15 jln pulau ayu jl kapten japa no 34 Jalan Gunung Batukaru no 5 Jalan Gunung Batukaru no 5 jl.Jl. Kakak tua no 4 jl. Letda Made reta n0 14 jl. Kusuma bangsa no.25 dps jln. Kamboja. VI no.gunung agung Jl Gunung Agung Gg mertasari B no 15 jln sedap malam gg nuaansa no 63 jln erlangga no 101 gianyar jln. Tangkuban Perahu No. kreneng denpasar Jl. Letda reta gg 1 no 7 dps Jl.6 Jl. Gunung gede gg leci no.4 Kedonganan Jl.8 no. Gg.ubud jln.kusumabangsa2 jl. Hayamwuruk.letda reca gg 1 no 5 dps Jl. Wijaya Kusuma No. 1 jl. Tukad citarum 0 pejeng kelod tampak siring gianyar Jln Raya Abianbase no 83 monang maning Jl.G. teuku umar. jl. 2. Letda reta no I jl batu karu gg 5 no.28 Dps 3308/XI/11 3572/XII/11 3842/i/12 3843/i/12 3847/I/12 3851/i/12 3861/I/12 3497/xii/11 1/12/3868 3873/I/12 3872/I/12 1/12/3873 2773/xI/11 2773/xI/11 3259/xI/11 3609/xii/11 3876/I/12 3878/01/xii 3534/xii/11 3468/XII/11 3886/I/12 3847/I12 1/12/3889 3897/I/12 3900/I/12 1/12/3904 3911/I/2012 3432/xii/12 3927/I/12 3928/I/12 1/12/3941 1/12/3942 1/12/3945 1/12/3942 3941/I/12 3915/I/12 1/12/3946 1/12/3948 3951/i/12 3700/I/12 1/12/3953 1/12/3955 3965/I/12 Post Endointracanal pulpitis reversibel pulpitis ireversibel pulpitis irreversible Pulpitis reversible gangren pulpa Pulpitis Reversible pulpitis reversible pulpitis reversible nekrosa pulpa nekrosa pulpa pulpitis iierversibel pulpitis reversibel post pulpektomi post pulpektomy pulpitis reversible nekrosa pulpa pupitis irreversible pulpitis reversible pulpitis reversibel Hiperemi pulpa Iritasi Pulpa hiperemi pulpa nekrose pulpa pulpitis reversible nekrose pulpa Pulpitis reversibel post pulpektomy Pulpitis Reversibel pulpitis ireversibel pulpitis irreversible Iritasi Pulpa Pulpitis Reversible pulpitis reversibel pulpitis irreversible pulpitis reversible pulpitis ireversibel hiperemi pulpa pulpitis irreversibel pulpitis ireversible iritasi pulpa pulpitis ireversible hiperemi pulpa ri th 2012 =66 orang . Tukad waji No 14 DPS jl.letda reta sanglah Gang Arum.1 jl mahendra data gang puputan 1 no.Bemas No. Pudak sari br.2 jl.

MERPATI gg. Letda made poutra no 3 jl.yos sudarso no.I Beng Kaja kauh.6 jn tkd badung no 12 dps jl.16 DPS jln buyung yeh no 5 monang maning JLN.3 jl.3 Jl. VI jl. denpasar 4231/iii/12 4235/111/12 4235/iii/12 41191/i/12 4242/III/12 4167/ii/2012 4242/III/12 4068/II/12 4246/III/12 pulpitis irreversible nekrosis pulpa pulpitis ireversible nekrosis pulpa fraktur pulpitis reversible nekrosis pulpa pulpitis irreversible pulpitis reversible .VI NO.letda reta gg2 no.letda kajeng jl imam bonjol gg kertapura Vi/36 jln pulau adi no 15 dps jl. Br batumas dps jln kartini gg 3 no 4 JL gmn Gede Gg Kelapa Muda no 4 JL P FLORES DPS Jl.wibisana no. Raya puputan. Kemuda III gg.49 dps jln sesetan no 4 Jln. Terompong no. Ahmad yani gg. gianyar jukut paku . Letda reta no. Sedap Malam Gg. Pesraman Gg. 3 Jl. Letda Made Putra Gg.Gunung Batur 81 Dps jln.jln gng beringin no 6 dps jl. 46 Dps jl. Letda made putra jl. Letda md putra.20 jl.11 Jl.sumatra gg I/6 Kampung Jawa RT. I no. 3 jl tkd yeh aya ix no 11 jln banteng jl. Kebo Iwa No.Rampe Denpasar jl.ubud Jl. Jaya giri 1 no11a jl kartini gg 3 no 4 jl tkd citarum O no 19 3988/II/12 3998/II/12 3867/I/12 3984/I/12 3927/I/12 4091/I/12 3798/I/2012 3941/I/2012 4102/II/12 4148/II/12 4147/II/12 4159/II/12 4158/II/12 3963/I/12 4981/II/12 4145/II/12 4103/II/12 4148/ii/12 4143/II/12 11/12/4158 4159/II/12 4165/II/12 4152/II/12 4187/II/12 4061/2/2012 1884/VII/11 2372/IX/11 4171/II/12 4213/ii/12 4217/II/12 3196/XI/11 4193/II12 4152/2/2012 4229/II/12 pulpitits irreversible pulpitis irreversible pulpitis reversible pulpitis reversible Pulpitis Ireversible pulpitis ireversible Pulpitis Ireversible nekrose pulpa pulpitis reversible pulpitis reversible pulpitis reversible pulpitis reversible pulpitis reversible pulpitis ireversibel nekrose pulpa Pulpitis reversibel pulpitis reversible nekrose pulpa pulpitis irreversibel pulpitis irreversibel Pulpitis reversible nekrose pulpa pulpitis reversible pulpitis revelsib le PULPITIS REVERSIBEL nekrose pulpa nekrose pulpa pulpitis reversibel nekrose pulpa pulpitis reversible pulpitis irreversibel pulpitis irreversibel pulpitis irreversibel pulpitis reversible EBRUARI 2012= 34 ORANG jl jayagiri 1 no 11 a jln penatih gg mawar no 69 jl. Tukad pule jl.gadung no.seroja Jl. Sunangiri no 2A Jl.W spratman no 104 jl. Kapten Japa jln.

Sedap Malam. Kecubung no.15 Jl.I no. 10 Jl.dps jl.wijaya kusuma 3C no 3 jln kapten japa tampaksiring gianyar Jl. Jaya Giri I no. Badak Agung No. Tukad Irawadi jl. Cemara no 7 jl.buntu jln T. Resi Mukabarat Gg. Kayu Mas Denpasar jl. gg. 38 jl. A yani no 21 dps jl.plawa. I no. Perahu. Raya sesetan gg beo no 12 jl. Letda made putra no 3 jln gunung agung jl.pitis reversibel pulpitis reversible pulpitis irreversible pulpitis reversible nekrosa pulpa Pulpitis ireversible jln permata hijau dps jln tukad badung 12 dps Jln. Kemuda III gg.!! A jl. Letda md putra.batunya jl. gang tunjung biru jl. Jayagiri 17 No. Jayagiri no 15 Jl.klungkung jl.sahadewa Gg.ida bgus mantra gg jepun no 2 Jln gn.7 JLN HAYAM HURUK jln.Tantular barat n0 2 dps jl letda made putra II/3 dpe 4478/iv/12 4494/iv/12 4485/IV/12 4523/IV/12 4524/IV/12 4554/iv/12 pulpitis reversible pulpitis reversible pulpitis reversible pulpitis ireversible Pulpitis Irreversible pulpitis reversible .cokrominoto.gunung lingga Iib no 4 dps JLN.letda made putra jl.3 jl. Yos sudarso. Gg. yani no.br.jayagiri G no6 dps jl sesetan gg ikan mas 14x jl. 4 A no 1 3878/I/12 4248/III/12 4268/lll/12 4269/III/12 4283/III/12 4273/III/12 4288/III/12 4102/II/12 4311/iii/12 4314/iii/12 4311/iii/12 4317/III/12 4332/III/12 4340/III/12 4278/III/12 4353/III/12 4366/III/12 4324/III/12 2979/XI/11 4382/III/12 4383/III/12 4981/III/12 4386/iii/12 4397/iii/12 4404/III/12 4429/III/12 4436/III/12 4422/III/12 4461/III/12 4230/iii/12 4462/111/12 4456/III/12 4472/III/12 4474/III/12 4477/III/12 4479/III/12 pulpitius reversible pilpitis reversible pulpitis irreversible PULPITIS REVERSIBLE nekrosis pulpa pulpitis ireversible hiperemi pulpa nekrosis pulpa nekrose pulpa pulpitis irreversible Nekrose Pulpa pulpitis irreversible pulpitis reversibel pulpitis reversible nekrosis pulpa pulpitis reversible pulpitis irreversible pulpitis ireversible nekrose pulpa Pulpitis reversible nekrosa pulpa pulpitis irreversible pulpitis irreversible pulpitis irreversible Gangren Pulpa pulpitis ireversibel PULPITIS IREVERSIBLE piulpitis revesible pulpitis revelsibel Pulpitis irreversible pulpitis irreversible pu. Sambian jln anggrek 21 dps Jl. Arjuna no 6 P.kapten japa no. 16 DPS Br.hang tuah jl akasia n0. 9 jl. klk jln anggrek 21 dps jln tantular gg 1 dps jl. Plawa gg 19 jl. A.16 jl.

Tk.Jl. Kertapura IV no.Hangtuah.37 Dps jln. Gatot subroto jl anggrek no 19 jl. Batas dukuh sari gg dara no 2 4774/V/12 4781/V/12 4823/v/12 4747/iv/12 4827/V/12 4856/v/12 4855/v/12 4849/V/12 4850/v/12 4851/v/12 nekrose pulpa pulpitis reversibel pulpitis reversible nekrose pulpa pulpitis reversible hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa pulpitis reversible . IV no 1 jl. 2 jl.gunung agung no.139 dpsr jl.merpati gang 10 n0 19 jln letda retta no 28 Jl. Agung G : Merta Gaya no 3C jl gunung agung gang yamuna 5 renon jl.letda made putra Gg. Gatsu jl.8 Jln Letda Reta No.letda reta gg. Liang batu Kaja Jl. Tukad yeh aya.Nusakambangan.4 no 26 jln. Nuansa Indah Gg IX.8 jln.47 Jl Antasura gg 12 no 6 Jl. Kusuma bangsa no.2 no. 6 Dps jln.No.25 jln.kebo iwa no.palapa IV jl gunung kapur 3 no. Letda Made Putra Jl gunung batukaru 16 jalan tukad pule no 7 jl gunung bromo 11 dps jl tk yeh aya IX no 30 dusun kayehan dawan kaler dusun kayehan dawan kaler jl sakura VI no 26 A jl raya celuk gg culeg I jl. Gn. Agung G : Merta Gaya no 3C Jl.Gunung agung Gang 4c jl gunung batukaru gg 5 no 7 dps jl.anggrek no. Gn.yeh aya IX/10 jl salya gg. Anggrek no 19 Jln.3 jl.Denpasar Jl. Plawa Gg 11 no 12 Dps jln jaya giri jln raya sesetan gg beo no 9 b Jl Plawa gg XIX No 12 DPS jl. dps 4560/IV/12 4560/IV/12 4623/IV/12 4639/iv/12 4666/IV/12 4670/IV12 4687/iv/12 4692/IV/12 4685/IV/12 4697/iv/12 4704/IV/12 4705/IV/12 4709/IV/12 4713/Iv/12 4714/IV/2012 4327III/12 4715/IV/12 4726/iv/12 47227/IV/12 4728/IV/12 4730/IV/12 4732/IV/12 4734/IV/12 4735/Iv/12 4731/IV/12 4736/IV/12 2920/xi/11 4746/IV/12 4745/IV/12 4748/IV/12 4752/IV/12 4739/IV/12 pulpitis reversible Pulpitis Irreversible pulpitis reversible pulpitis reversible pulpitis reversible Pulpitis Irreversible Pulpitis Irreversible pulpitis reversible nekrosa pulpa nekrose pulpa nekrosa pulpa gangren pulpa Nekrosis Pulpa Pulpitis reversible pulpitis reversible nekrose pulpa Pulpitis Irreversibel pulpitis reversibbel pulpitis ireversible pulpitis reversib el Pulpitis Irreversible pulpitis reversible pulpitis irreversible nekrose pulpa Hiperemi pulpa Hiperemi pulpa Hiperemi pulpa Hiperemi pulpa nekrose pulpa Hiperemi pulpa Hiperemi pulpa Nekrosis Pulpa pulpitis reversible APRIL 2012 = 39 ORANG Jl.

denpasar jl.6 Jln pulau yoni no.jl yang batu Jl Kenanga no 5 jl.5b dps Jl. Pantai purnama I No.ken arok gang belibis no 9 Jl. Subur gg.Nusa Kambangan no.hayam wuruk gg nagasari no 27. Imam bonjol. Nusa Kambangan 139 Dps pejeng kelod gianyar Jln. Batur Sari No.dps Jln plawa no. galang. No. 8 Jl nangka utara gg murai Jl. Kusuma dewa no 6 dps jl. Badak Agung IV no 5 Dps Jl.Tkd. Abianseka. 2b Denpasar jln perum calista no A7 dps selatan jl. VI No. Maruti no. sukawati Jl. Sedap Malam 3 Gg. Merpati Gg. dps jl raya sesetan gg bintang laut no 12 jl.3 Dps jl gunung lingga 1 b no 2 Jl. Agung Gg Bumi Ayu jl cokroaminoto 4875/V/12 4881/v/12 4754/v/12 4926/v/12 4939/V/12 4944/v/12 2840/v/12 4862/v/12 4971/v/12 4997/V/12 4971/V/12 4830/V/12 4822/v/12 5080/V/12 5093/V/12 4938/v/12 4899/v/12 5099/V/12 5041/v/12 5047/v/12 5176/v/12 3819/xi/11 5235/v/12 5142/V/12 5162/v/12 5243/v/12 5261/v/12 5344/v/12 5348/V/12 5359/v/12 5312/v/12 5410/v/12 4822/v/12 5353/V/12 5548/V/12 5413/v/12 4908/v/12 5216/V/12 5477/V/12 5364/v/12 4753/v/12 5471/v/12 5500/v/12 5532/v/12 5508/v/12 5293/v/12 5470/v/12 pulpitis reversible Pulpitis reversible pulpitis reversible n3krosa pulpa hiperemi pulpa Gangren pulpa 1/3 cervico incisal pulpitis ireversible pulpitis reversible pulpitis irreversible Pulpitis reversible nekrose pulpa pulpitis reversible Pulpitis Reversible pulpitis irreversible pulpitis ireversibel pulpitis reversible pulpitis ireversible pulpitis reversible nekrose pulpa pulpitis irreversible nekrose pulpa nekrosa pulpa nekrose pulpa pulpitis reversible nekrose pul. Gianyar jl letda made putra gang 1 no 8 Jl.2 dps jl bukit tunggal gg blawa no 4 Br. Anyelir. 3. Salya Gg. Jayagiri 1 no. Denpasar Jl Sumatra no 4 denpasar jl paku sari gg vi no 2 jln. P. Tantular -Renon Jl.44 Dps pejeng kelod gianyar Jl.Kartini RT 5 No.gg ratna indah. 6 Denpasar jl subur gang mirah 555b denpasar jl. mas.4 dps jl. Mirah Mandiri No. tegal.Balian XI.1 jl bukit tunggal gg Ib no 6 jl gatot subroto vi no 4b badak agung 1 no. 4F no. Pujung kaja.11 Jl.\pa Pulpitis reversible pulpitis irreversible Pulpitis Reversible pulpitis reversible pulpitis reversible nekrose pulpa nekrose pulpa Pulpitis Reversible gangrena pulpa pulpitis revelsible pulpitis irreversible pulpisits reversible Nekrose Pulpa nekrose pulpa pulpitis reversible Pulpitis reversible Pulpitis Reversible nekrosis pulpa pulpitis reversible pulpitis ireversibel nekrose pulpa . Tegallalang. Ratna No. Gn. Yang Batu jl gatsu barat no 1 dps jl a yani ds wanasari rt I jl. 8. ubud Jl.555b br kayehan klungkung jl.65 X jln Resimuka barat gg IV B no 18 X Jln.

singaraja Br. mengwi br kayehan klungkung dawan Jl. Merpati x/48. 18 A Denpasar jln. Tukad balian gg. Gianyar jl. XI no 1 jln gatsu iv blok 7 no 14 dps jln gunung guntur padang sambaian Jl. no 30 br.Plawa gg XV no.Manuk Susut Bangli Jln.9 Hayam Wuruk Denpasar jln gunung agung dps jl kediri no 14 tuban jl.kartini gg 3 nmor 4 kampung islam kepaon Jl.32 No. Sutoyo no. Resi muka barat jl.5 br sudaji .1 jl.jl. Suwira no.balangan kangin. Pengosekan. Pulau Indah No. ratnasari 2. Tegallalang.10 jl letda reta gg bineka no.Nusa Kambangan Gg. Pakis aji No. Jln Sumatra di depan Tati Foto jl. Mirah hati no 1a ubung dps jl tukad buaji sesestan jl kartini no 31 jl ratna no 4 5561/v/12 5564/v/12 5563/v/12 5491/v/12 5606/v/12 5597/V/12 5634/V/12 5651/v/12 5653/v/12 5421/v/12 5679/V/12 5682/v/12 5401/v/12 5402/v/12 5680/v/12 5681/V/12 3298/V/11 5700/v/12 5730/v/12 5651/v/12 5595/v/12 pulpitis ireversibel pulpitis reversible pulpitis ireversible pulpitis ireversible abses periapikal pulpitis ireversibel Pulpitis Reversible nekrose pulpa pulpitis reversible nekrose pulpa pulpitis irreversible hyperaemia pulpa iritasi pulpa pulpitis irreversibel pulpitis irreversible GP pulpitis reversible pulpitis reversible pulpitis irreversible pulpitis ireversible pulpitis reversible MEI 2012 = 79 ORANG jl gatot subroto I 55 br. Muding Indah Kerobokan jl.12 Jl sedap malam no 1 denpasar jl patimura gg banteng no 2a dps Pejeng Kelod.45C Dps jl.bakisan denbantas tabanan br.15 dps Jl. gianyar jal. Raya mas no 54 mas ubud jln. Pulau galamng. ubud. kuum. Pasekan ketewel sukawati gianyar Jln. Gianyar Jl Raya Pemogan btn griya wahyu indah no 12f jl.padang sambian no 189 dps jln gunung agung gg gangga IV no 18 dps br. Sesetan gg ikan mas 99 4800/v/12 4914/v/12 5386/v/12 5835/VI/12 5836/VI/12 5837/vi/12 5428/v/12 5920/vi/12 5923/VI/12 5934/VI/12 5959/VI/12 5861/vi/12 5969/vi/12 4874/v/12 5977/VI/12 5897/VI/12 4958/v/12 5981/Vi/12 5996/vi/12 5997/vi/12 5893/VI/12 4365/vi/12 6076/VI/12 pulpitis ireversible pulpitis irreversible pulpitis irreversible pulpitis reversible hyperaemi Pulpa pulpitis irreversible gp pulpitis irreversible GP hyperaemi Pulpa nekrose pulpa pulpitis irreversible gp pulpitis irreversible nekrose pulpa pulpitis reversible pulpitis irevesible pulpitis ireversible pulpitis ireversible pulpitis irreversible pulpitis reversible pulpitis irreversible HP . denpasar Jln. Pujung kaja.kartini gang 31 RT. Wijaya kusuma 11A DPS jl.Pakis Haji Hayam Wuruk Dps jl.

tegallalang. Kapten japa. Nusa indah 58 dps jln buana agung no 30 jln ciung wanara 1 jl raya sesetaN gg ikan mas no 14x jl.Jln Mandalasari gg IV no 9 dps jln.taman yangbatu jl tukad yeh aya gg xiii no 8 jl. Cok agung tresna jl. Panjaitan Gg arik no 2 dps jln badak agung I no 9 dps jl.no 19x. gianyar jl buana kubu no 30 6073/VI/12 nekrose pulpa 6077/vi/12 pulpitis irreversible 4869/vi/12 pulpitis irreversible 6098/vi/120pulpitis irreversible 4749/v/12 pulpitis irreversible 4859/v/12 nekrose pulpa 4753/V/12 pulpitis ireversible 5733/vi/12 hp 6142/vi/12 nekrosis pulpa 6057/vi/12 pulpitis reversible 6145/vi/12 pulpitis reversible nekrose pulpa 6166/VI/12 nekrose pulpa 6178/vi/12 pulpitis irreversibel 6143/IV/12 nekrosis pulpa 6150/VI/12 pulpitis ireversibel 6188/VI/12 Pulpitis reversible 6201/vi/12 nekrose pulpa 5845/VI/12 pulpitis irreversible 6181/VI/12 gangren pulpa 5270/vi/12 pulpitis reversible 6215/vi/12 pulpitis reversible 6231/vi/12 pulpitis irreversible 4876/vi/12 pulpitis reversible 5149/V/12 pulpitis reversible 5944/vi/12 pulpitis reversible 6268/vi/12 pulpitis irreversible Pulpitis Ireversible 63519/XI/10 post pulpectomi 6174/VI/12 pulpitis irreversible 5140/V/12 PULPITIS REVERSIBLE 6233/VI/12 pulpitis ireversibel 5140/V/12 pulpitis reversible 6377/VI/12 pulpitis reversible 6379/vi/12 pulpitis ireversible 6397/VI/12 Hyperemy pulpa 6375/VI/12 pulpitisn ireversible 5786/vi/12 pulpitisn ireversible 6303/vi/12 pulpitis reversible 6078/vi/12 pulpitis reversible 6421/VI/12 Hiperemi pulpa 6371/VI/12 pulpitis reversible 6339/VI/12 pulpitis irreversible 6098/vi/12 hiperemi pulpa UNI 2012 = 67 ORANG .31.7 jl. gianyar jl.cok agung trisna 1 no. gianyar jl.gg narwastu.18 dps jl.IV no 1 jl nusakambangan no 83 dps Jl. Pujung kaja. dawan kaler. Pasekan ketewel.58 dps jl sakura jln tukad ijo gading jl wibisana gg 2 l no6 Desa Dawan Klungkung jl. gianyar jl nangka utara gang pinguin no 1 br. Panji 1 no. Kartini Gg. Jaya giri 1 Dps jln. denpasar perum dalung permai g/45 badung jl turi no. Cokroaminoto gang sedayu no 3 dps Jl. Gemitir 66 jl sulatri II gang VI/21 jl. tegalalang.4 jl.letdaeata gg.26 dalung permai blok 6 no 45 br. Kayehan. Sedap malam No.anom no 2 jl. yeh embang kaje jl akasia xvi.dps jln. Polau galang. Betngandang I no 29 Tunjung Sari Permai 21 jl padang udayana Ivc no 1 denpasar jl. sukawati.gg ratnaindah. tegallalang. klungkung jln plawa no 13 dps jl. Pujung kaja. Nusa indah no. dps Jl. no 8 dusun bangli . Pujung kaja.

95 dps jl waturenggong gang XI jl sedap malam Gg I no 25.batata no.gg sedap malam no 2 dps Jl. klungkung jalan maruti jalan dewi sita. Sengguan Dawan Klungkung sesetan jl. Gianyar JLn Kembang Matahari br geriya. G patuha IX no 119 jln hayam wuruk no 71 dps kerobokan jl.14 jl tukad banyusari gg2 no 28 Penebel.ahmad yani. ubud jln.11 jl tibung sari no 6 jl.letda reta no.16 Dps Br.raya sesetan jl kapten japa. Tegal Dps.tkd banyusari gg2 no 28 jl drupadi xiv no 2 dps br. Nangka Selatan Gang Kaswari/No.gunung bromo no 9 jln hayam wuruk no 71 dps jl.gg taman sari no 2 dps Jalan Sedap Malam Blok I jl. Sedap malam jl.jln cokroaminoto denpasar jl. Gunung guntur XXVI/11 dps jln p. taman badung jl. banjar dawan. Hyang batu kauh 6458/VII/12 6469/VII/12 5838/VI/12 6488/vii/12 pulpitis irreversibel pulpitis reversible pulpitis irreversible hiperemi pulpa pulpitis reversible 6007/VI/12 Nekrose Pulpa 6510/VI/12 HP 6318/VI/12 Pulpitis Irreversible 65445/VII/12 hiperemi pulpa 6558/VII/12 Nekrosis pulpa 6278/vii/12 pulpitis reversible 6559/VII/12 pulpitis irreversible 4779/V/12 pulpitis reversible pulpitis reversible 6593/vii/12 pulpitis reversible 6589/vii/12 ganggren pulpa 53110/vii/12 pulpitis irreversible 6598/VII/12 pulpiti irreversibel 5876/vi/12 pulpitis irreversible 6517/VII/12 hiperemi pulpa 6552/vii/12 pulpitis ireversible 6618/vii/12 hiperimi pulpa 6596/vii/12 pulptis ireversible 6651/Vii/12 Pulpitis Reversible 6595/vii/12 pulpitis irreversible 6223/vi/12 hiperemi pulpa 6702/ VII/ 12 Nekrosa pulpa 6729/VII/12 pulpitis reversible 5900/VI/12 pulpitis ireversible 6663/vii/12 pulpitis irreversible 6510/Vii/12 pulpitis reversibel 6623/vii/12 nekrose pulpa 6479/vii/12 pulpitis reversible 42548 pulpitis reversible 6569/vii/12 pulpitis irreversibel 6767/VII/12 pulpitis irreversible 6834/VII/12 pulpitis irreversible 5149/v/12 pulpitis ireversible 6836/VII/12 Pulpitis ireversible 6816/VII/12 pulpitis reversible 6803/vii/12 pulpitis reversible 6804/vii/12 pulpitis reversibel 6811/vii/12 pulpitis ireversible 6852/vii/12 Nekrosa pulpa 7/12/6852 Pulpitis Reversible 5317/VI/12 Pulpitius irreversible 6859/VII/12 pilpitis irreversible . bangli jl setia budi 45 jln veteran JLn Karna no.raketan. Ahmad yani no 30 banjar senggaan klungkung jalan sandat no 2 nyuh gading nagasari Jln. Tabanan jl. Sumatra gg 1 no 9 dps jl gumitir br pande dawan klungkung JLN CIUNG WANARA 1 br pancasari mengwi gang askes jl.dps jl sakura ujung Tampaksiring. Imam Bonjol Gg.

By Pass Ngurah Rai no.2 Denpasar Br. Gianyar br geriya. Pulau batanta JLAN SINGOSARI AYANI Jl.cokroaminoto gg bangau no 5 Jl.ubud Jl. Askes Jl. Tegallalang.mandala sari gg 3 no 1. Gunung agung. Suwung Batang Kendar.Renon<dps jl.dps jl katrangan no 17 B jl.22 dps jl. Pujung Kaja. Wibisana barat gg pondok bambu no 9 Jl.20 dps jl banteng luwus jl ayani gang karunia no. Soka denpasar timur jl.1 No. Gn.mandala sari gg 3 no 1. Raya renon gg. Abianseka.dps suwung.Sengguan Dawan Kaler Klungkung perum dalung permai blok f/s kuta utara Jl. Nangka selatan gg IV no 9 denpasar 6877/vii/12 6881/VII/12 6882/VII/12 6919/vii/12 6945/vii/12 6847/vii/12 6916/vii/12 6876/VII/12 6924/VII/12 6909?vii/12 5216/VII/12 6945/vii/12 6918/vii/12 6878/VII/12 6990/vII/2012 6998/VII/12 6803/vii/12 6997/VII/12 pulpitis reversible Ganggren Pulpa Pulpitis Reversible pulpitis irreversible pulpitis reversible pulpitis irreversible pulpitis irreversible pulpitis irreversible Hiperemi Pulpa pulpitis reversible pulpitis ireversible pulpitis reversible pulpitis ireversible pulpitis reversible hiperimi pulpa pulpitis reversible post capping Nekrosis pulpa ULI 2012 = 65 ORANG Jl. no3 jl akasia VII jl ahmad yani dusun wanasari Jl blanjong no 9 sanur jl salya gg 4 baru no 5 dps jln. Bandeng.mas. 18xxx Jl.jl. denpasar jln akasia Br.Sumatra Gg.1 Dps jln pd udayana VIII/2b dps` Jl. Dalung Permai Blok F/5 Kuta Utara jl. Gn Agung Gg Puputan Baru no 1A jl. Raya kuta 36 B 6965/VII/12 7017/viii/12 7047/vii/12 7019/viii/12 6877/vii/12 7061/VIII/12 7060/viii/12 6960/viii/12 7064/vii/12 7063/vii/12 7053/vii/12 5964/vi/12 7037/viii/12 7088/viii/12 7092/VIII/12 7105/viii/12 7128/VIII/12 7154/VIII/12 7128/VIII/12 7185/viii/12 7187/viii/12 7179/VIII/12 6965/vii/12 7203/VIII/12 42548 6964/vii/12 Gangren Pulpa pulpitis reversible pulpitis irreversibel hiperemi pulpa post capping hiperemi pulpa nekrose pulpa pulpitis irreversibel pulpitis reversible pulpitis irreversibel n3krosis pulpa pulpitis ireversible pulpitis ireversible nekrose pulpa pulpitis irreversible nekrose pulpa Pulpitis reversible pulpitis irreversible Pulpitis irreversibel pulpitis irreversible pulpitis irreversibel Pulpitis Irreversible pulpitis reversible pulpitis reversible pulpitis reversible pulpitis irreversible .bumi ayu bon dalem Jl. Gadung no. bangli jln. dps Jln. Tamtular. gg.16 jl. Pulau batanta jln jayagiri no 32 jl panurangan mengwi jl. Tunggul Ametung 3A no. Tukad balian denpasar blanjong 9 sanur. gg.Gunung Agung Gg. Gita sura 3/19 jl.Guntur XXIV/11a jl.Puputan Baru No.

sutoyo gg 4 no 5 jl. Pulau bungin gg mawar no 3 dps jl cokroaminoto gg angsoka no. Letda Reta. Tukad Yeh Aya No. dps jl. 6. Merpati. Dps Jln.sari gading gg saraswati no 6 Jln.8 sesetan jl raya puputan gg akas no 10 5268/v/12 7245/VIII/12 7379/IX/12 7381/IX/12 7388/IX/12 7398/ix/12 7403/IX/12 7379/IX/12 7404/ix/12 7246/viii/12 7418/IX/12 6007/VI/12 53124/Viii 7429/ix/9 7425/IX/12 7459/IX/12 7468/IX/12 7373/IX/12 7468/IX/12 7450/IX/12 7476/IX/12 7492/IX/12 7453/ix/12 7464/ix/12 7497/ix/12 7503/IX/12 7453/ix/12 7442/IX/12 7507/IX/12 nekrose pulpa pulpitis irreversibel nekrosa pulpa puplpitis reversibel pulpitis irreversibel pulpitis irreversibel pulpitis irreversibel pulpitis irreversibel pulpitis reversible nekrose pulpa pulpitis reversible hyperaemia pulpae nekrose pulpa hyperaemia pulpae pulpitis reversible Pulpitis reversible nekrosa pulpa pulpitis reversible pulpitis irreversibel Pulpitis Ireversible Gangren Pulpa Pulpitis Ireversible nekrosa pulpa pulpitis ireversible pulpitis reversible pulpitis ireversible pulpitis reversible nekrose pulpa Pulpitis Reversible .bisma no. 14 Dps jl.97 Jln. bangli jl gn batur Dps jln.Jl. Nangka selatan jl. Abianseka. Kedonganan Jl. Trengguli gg 22 no 2b jln.jogading gg IV/5 Br.gg 6 dps Br. Sesetan gg mangga sari no:28 jl plawa Br pagan kelod jln puputan raya gang akes no 10 br.yangbatu jln P galang Gg ratnasari 1 / 16 pejeng Jln. Gunung Muria no 40 Jln>Sudirman no 26 dps jln.kawan bangli Jl. Trengguli gg 22 no 2b gatsu timur Jl.31 jl. Abiansemal Jl.Ketapang. Nangka Selatan Gg.gianyar jl. A.23 Denpasar Jl. Kartini.tukad pule no.ubud. Yani RT2 no. Dawan Kaler Klungkung jl. Kawan.12 Br. gg.mas. Gn.sedap malam jl. Kampung Jawa RT 1 Denpasar Jl. Gandaria no 26 Dps jl.23. Kayehan.Kaswari No. Danau toba 16 sanur jl. Kapten Japa jl.tukad pancoran jl letda reta gg bhineka no 12 7212/VIII/12 7219/VIII/12 7196/VIII/12 7241/viii/12 7246/VIII/12 7245/VIII/12 7246/VIII/12 7248/VIII/12 7261/viii/12 7279/VIII/12 6917/VII/12 7264/viii/12 7313/VII/12 7330/viii/12 4958/v/12 pulpitis irreversible pulpitis irreversible pilpitis irreversible nekrosa pulpa nekrose pulpa nekrose pulpa pulpitis reversible pulpitis irreversible pulpitis irreversible pulpitis irreversible pulpitis reversible nekrose pulpa pulpitis reversible pulpitis reversible karies media AGUSTUS 2012 = 41 0RANG jl zamrud 20 ubung jl sesetan Denpasar jl plawa denpasar Lingkungan br. Bromo IX Dps. Cempaka No.

A.23 Denpasar 7833/X/12 7556/X/12 Pulpitis Irreversible Pulpitis reversible jln. Tukad buaji gg carik III no 13 dps 8931/I/13 gangren pulpa Jl Raya puputan gg akas no 10 dps 7507/ix/12 pulpitis reversible .Jl Purnawira 8 no 11 denpasar Jl.Yani RT2 no.

tegal wangi no100 sesetan jl. Nangka Gg. Kartini No. Buluh Indah no. 132.kertapura no.buaji. panjer denpasar jl.4 Jl Trengguli gg 22B no 47.28. dps jl akasia VIII / 28 8804/XII/12 8877/I/13 8878/I/13 8879/i/13 8885/I/13 8765/XII/12 8791/xii/12 8030/XI/12 8343/XI/12 8923/I/13 2920/I/13 8927I/13 8880/I/13 8779/XII/12 8515/XII/12 9021/I/13 pulpitis irreversible nekrose pulpa pulpitis irreversible ganggren pulpa nekrose pulpa pulpitis reversible pulpitis ireversible nekrose pulpa pulpitis reversible pulpitis irreversible pulpitis reversible nekrose pulpa pulpitis ireversibel Pulpitis reversible piulpitis reversibel pulpitis irreversible .jl raya puputan renon JL SUMATRA GG V/7 OPS JL TUKAD PANCORAN NO 3 JL KEBUDAYAAN NO 11 DPS JL NANGKA GG PAKSI MAS JL BULUH INDAH DPS TABANAN JL PAMOGAN Jln Tukat batang hari jl. gg. denpasar 8212/xi/12 8262/XI/12 8047/XI/12 7837/X/12 8535/XII/12 8394/XI/12 8441/XII/12 8511/XII/12 8395/XII/12 8592/XII/12 8453/XII/12 8620/XII/12 8454/xii/12 8194/xi/12 8669/XII/12 8663/xii/12 8369/XII/12 8671/xii/12 8638/xii/12 8729/XII/12 8696/XII/12 8779/XII/12 8773/XII/12 8892/I/13 pulpitis irreversibel KM KM pulpitis irreversibel pulpitis irreversibel pulpitis irreversibel NEKROSE PULPA NEKROSE PULPA PULPITIS IREVERSIBEL pulpitis irreversible Pulpitis irreversible NEKROSE PULPA pulpitis reversible KM NEKROSE PULPA KM KM km pulpitis iireversible nekrosis pulpa pulpitis reversible Pulpitis irreversible Pulpitis irreversible Nekrose Pulpa DESEMBER 2012 = 22 ORANG jlnwaturenggong jl.4 jln. Pendidikan 2 no.6 sanglah Jln. dps jl. Kapten japa Jl.tantular renon Pekarangan Baturiti JL.pulau komodo gg 11 no. Kediri gang 3.Tukad Languan Jl. Kartini. 31 jl. Kakaktua I/8 jl salya 123 denpasar Jl Pulau Ayu XI No 9 jl. Denpasar jl. Denpasar Jln. Kenyeri 3 no 25 Jl. Akasia gg sandat no. 16 gatsu jl. Salya gg.7. IV/10. flores gg II no 6 dps jl wr supratman gg lilacita no 2 jln jerungjang gg pakusari jl. kuta jln. Tukad buaji jl. Pulau Ayu XI No 9 Jln. tuban jl muding indah 29 x jl kediri. Hayam Wuruk no. P.

Akasia no 5 dps jl kebo iwa jl gatsu I jln. Yehaye. Letda madeputra 1/13/9149 9153/I/13 8394/XI/12 9164/I/13 8815/XII/12 9124/i/ 13 777310/XI/12 9165/I/13 km pulpitis reversible post pulpektomi pulpitis irreversible iritasi pulpa pullpitis irrevesible post pulpektomi KM Pulpitir irrevesible 1/13/9099 Pulpitis irrevesible nekrose pulpa 1/13/8138 pulpitis reversibel 1/13/9012 pulpitis reversibel 1/13/9024 km 8815/I/13 pulpitis reversibel 9215/I/13 Nekrose pulpa 2728/X/11 nekrose pulpa 1/13/9027 iritasi pilpa 9221/I/13 pulpitis reversibel 9044/i/13 AH KUNJUNGAN PASIEN BULAN JANUARI 2013 = 45 ORANG Jln Gatot Subroto I jl sulatri 2 no 12 Jl.11 jln tkd.gunung sari. 18 jl.Werkudara No. Pulau moyo. dps jl paku sari jl.1 JL.gatsu 6 denpasar JL.Ratna Gg. Palapa no. Soka sati Jl. Letda reta no 46 jl cokroaminoto gg II no 3 Dps jln buluh indah dps jl.Tukat Pancoran gg. Perum merpati jl. Gunung Lebah No.14 jln glogor carik GG ratna indah no 8 jl.4 br tunon singakerta ubud jl.1 br babahan penebel jln badak I no VII Jl.4C no. Akasia VII/10.Tukad Balian Gg VI/9 Jl. 49 jln.denpasar jlnb paku sari jl tukad banyu poh jl. Flamboyan No. sanur 9024/I/13 1/13/9027 9031/I/13 1/13/9076 8398/XI/12 9096/i/13 9003/I/13 0902/V/11 9148/I/11 9144/I/11 pulpitis irreversible pulpitis reversibel km pulpitis ireversible nekrose pulpa nekrose pulpa nekrose pulpa pulpitis ireversible nekrosa pulpa nekrosa pulpa jl. Jayagiri ixviii no. dps jl. Kecubung no.Tukad banyusari Gg puspa indah no 24 jl gunung krakatau 9239/II/13 9235/ii/13 9174/I/13 9208/I/13 2/13/9234 nekrose pulpa nekrosse pulpa nekrose pulpa pulpitis irreversible hiperemi pulpa . Soka sati jln.

Cokroaminoto jl. Tukad badung 5 n0 4 dps Jln.3 jl letda md putra dps jl. Letda reta Jalan Gn Agung Gg Yamuna 5 No. Raya Pemogan Gg:mutiara indah 1 . Banjar Pekan Desa Kamasan jln tukad melangit gg 14 no 26 9206/I/13 5391/V/2012 9253/II/13 9256/II/13 9025/ii/13 9263/II/13 9274/II/13 9278/II/13 9283/II/13 9288/iii/2013 9264/II/13 9297/II/13 9296/II/13 nekrose pulpa Pulpitis Irreversible Pulpitis Irreversible nekrose pulpa pulpitis irreversible pulpitis reversible pulpitis irreversible pulpitis reversible pulpitis irreversible nekrose pulpa hiperemi pulpa pulputis irreversible .kapten japa no. dps jl cokroaminoto gg angsoka no 23 jl.dps Jl. Letda made Putra no. 7 Jln.jln. Letda made Putra no. Merpati.24 dps Jl.3 Jl.

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p.P Debora Ngara Adelina Jefri Ratih Pulp capping Pulp capping Pulp capping Endo Intrakanal Pulpektomi Pulp capping Pulpektomi Endo Intrakanal Endo Intrakanal Pulp capping Pilp capping Pulpektomi Pulpektomi Pulp capping Pulp capping Pulpektomi Pulp capping Pulp capping Endo Intrakanal Pulpektomi Pulpektomi Pulpektomi Pulp capping Pulp capping Pulp capping Endo Intrakanal Endo Intrakanal Pulp capping Pulpektomi Pulp capping Janterri Hitaswari Ayu aria.Hitaswar.m Dewi Karmela Suparno Sri Wahyuni Putra N Syanne Dewati Ayu Sri Wahyuni Adi Purnama Andika Dentanka Setia Utami Kumala Dewi Maria Hosiana Debora Ngara Winda Diana Esti D.K Helen Dewati Ayu Rusdi Desak.Y Agung Pande Richard Oktavia Nubah Helly Wiras Irmawati .RENCANA PERAWATAN PULPEKTOMI Pulp capping Pulp capping Pulp capping Pulp capping Pulp capping PULPEKTOMI Pulp capping OPERATOR ANGGA Syifa Adelina MD.

Pulp capping Pulp capping Endo Intrakanal Endo Intrakanal Pulp capping Pulp capping Pulp capping Pulp capping Endo Intrakanal Pulpektomi Pulp capping Pulp capping Pulp capping Pulpektomi Pulpektomi Pulpektomi Pulp capping Pulpektomi Pulp capping Endo Intrakanal Pulp capping Pulp capping Pulp capping Pulpektomi Pulp capping Pulpektomi Pulp capping Pulp capping Endo Intrakanal Pulp capping Pasien Tes Keluar Pasien Tes Keluar Pulpektomi Pasien Tes Keluar Pasien Tes Keluar Pulpektomi Pulp capping Pulpektomi Pulpektomi Endo Intrakanal Pulp capping Pulp capping Pulp capping Arya Andi Hendrajaya Syanne Elisse Dentanka Dentanka Adi Purnama Diah Yuliandari Jantemi Yohanna H Irmawati Janterri Ayu aria.K Ayuni bikja Fitri G Sipaun Candranita Tini Yuliani Agnys Fienna N.S Suparta Arimbawa I Wayan Rusdianto Anggia Jelantik Tyas Agusti Adi Purnama Nory Afni P Irmawati Sri Wahyuni Tirza Agung Ari W Jayanthi Novic Julia Wike Jnatemi Sudaryanti Kumala Dewi Juwita Putra Diana Juwita Ferrawati PULPEKTOMI Adi Suartika .

S Dewat.M. Nona Adi Purnama Dewati.S Nona H Agus Adi Purnama Angela Nona Anita Andika Ria Purnami Helly D . Dewaty I Nym Andika Wyn Rusdianto Christo Ita Ayu R ari dwiyanti Fachrun K Agustina Irmawati Adi Purnama Utami Cahya Putri Deasy.L Putra N Trisna Dewi Debora Ngara Triana Dewi Ita Ayu R Agus Virgo Rissa Fiena N.Endo Intrakanal PULPEKTOMI PULPEKTOMI PULPEKTOMI PULPEKTOMI Endo Intrakanal Endo Intrakanal Pulp capping PULPEKTOMI Pulp capping Pulp capping Endo Intrakanal Pulp capping Pulp capping Endo Intrakanal Pulp capping Pulp capping Pulp capping Endo Intrakanal Pulp capping PULPEKTOMI Pulp capping Pulp capping Pulp capping Pulpektomi Devital Pulpektomi Pulp capping Pulp capping Endo Intrakanal Pulpektomi Pulp capping Pulpektomi Pulp capping Pulp capping Endo Intrakanal Pulp capping Endo Intrakanal Pulp capping Pulpektomi Pulp capping Pulp capping Pulpektomi Pulpektomi Pulpektomi Pulpektomi Pulp capping Pulp capping Maria A Wiwik Adi Irmawati Wulan Feny Diah T. Ratih Yoga Ria Purnami Arya Widnyani Agnys Dewaty Oktavia Nubah Ivan G.

S dewaty ayu ayu artha .Endo Intrakanal Pulp capping Pulp capping Pulpektomi Pulpektomi Endointrakanal pulp capping pulprktomi pulpektomi endointrakanal pulpektomi Pulp capping Pulp Capping pulpektomi Pulpektomi pilpektomi pulp capping indirek pulpektomi pulpektomi pulpektomi Pulpektomi Pulpektomi pulp capping Tirtasari Indah Febriana Parametha Irmawati Maria mas wulansari janterri sistayanthi hadijah Agung bayu apri buana adi purnama Ayu Aria K Ita Ayu R Fienna N.y Ria Purnami widnyani dayu sundari theofani ambu Fienna N. Gd juwita Putra irma Ayu sudiwedani Debora Ngara Ayuni Biksa trisna dewi pulpektomi Pupcaping Pulpektomi Pulpektomi Pulpektomi Pulpektomi pul capping Komposit klas I pulpektomi pulpcaping pulpcapping pulpektomi pulpektomi pulp capping pulp capping pulp capping pulp caapping pulpektomi Komposit klas I pulp caping pulpektomi andy herawan dayu sundari Diah Yuliandari Pande Sumardana adi suartika yuliani jan terri Ivan widiadnyani maria hosiana Maria Hosiana yulia hartanti esti d.S Maria Hosiana pande sumardana I Nym.

pulpektomi endo intrakanal endo intrakanal tump komposit kls 3 ENDO INTRAKANAL pulp caping pulpektomi pulpektomi pulp capping pulp capping pulp capping pulp capping pulp capping pulp capping pulp capping pulpektomi pulp capping pulp capping pulp capping pulpektomi pulpektomi pulp capping pulpektomi piulp cappping pulpektomi pulp capping pulpektomi pulpektomi Endo Intrakanal endo intrakanal endointrakanal pulpektomy yuliani feny ayu aria kandari ari dwiyanti MERIH Trisnadewi andika dayu sundari dentarika indah febrina oka sulistyawati rima subawa tini yuliani pande wulan hadijah suparta nurwahyuni adi purnama maria wiwik dedy arya Dwiliana dentarika christo ayu sudiwedani ratih yoga Candranita Ayu aria kandari Raziv Ganesha novita dewi irmawati ratih kristina Tumpatan Amalgam Klas 2 Komposit klas I Komposit klas IV Endo Intrakanal pulp capping pulpektomi pulp capping pul capping PULPEKTOMI Endo Intrakanal Endointrakanal dewaty ayu Wiwik Ivan Ria Purnami pande sumardana novita dewi purnamayanta jan terri ivonia Andi Hendrajaya Theofani .

gic komposit kls 4 komposite klsIV Pulpektomi Endodontik intrakanal pulpektomi pulpektomi Endo Intrakanal Endo Intrakanal PULPEKTOMI pulp capping endo intrakanal PULPEKTOMI Endo Intrakanal Endo Intrakanal GIC komposit klas IV amalgam klas 1 endo intrakanal endointrakanal komposit kelas IV pulpcapping pulpektomi pulpektomi pulpektomi Pulp Capping pulpektomi pulpektomi pulp capping pulp capping komposit klas III pulpektomi endointrakanal pulp capping pulpcapping komposit kla 1 Pulpektomi PULPEKTOMI pulcapping Pulpektomi Endointrakanal Pulpcapping pulp capping tumpatan tuang onlay endo intrakanal endo intrakanal indah suryadewi agus ry yulia hartanti andy herawan Ivan christo agustina irma chintya novita dewi dayu sundari widnyani ayuni cahya putri Agus Virgo Helly Ni Wayan Dethy Christo dewaty ayu jan terri pramiari indah suryadewi oka sulistyawati juwita putra hadijah wyn rusdi Helly Helen indah febrina novita dewi ayuni diah yuliandari nona ratih yoga wyn rusdianto Pande Wulan ratih yoga jan terri Ivan sudaryanti arya sweta Pande Wulan Dwiliana maria ratih yoga adi purnama dentarika Yuniarti .

Endo intrakanal onlay pulpektomi pulpcapping pulpcapping pulpcapping PULPEKTOMI pulcapping pulpcapping Syifa syifa pande sumardana maria hosiana anggia rusdianto trisna dewi gede purnama yp maria hosiana pulpcapping pulpcapping pulpektomy endo intrakanal pulpektomi pulp capping pulpektomi tumpatan tuang inlay pulpcaping Pulpektomy Pulpektomi pulp capping endo intrakanal pulp capping endo intrakanal endo intrakanal pulpektomi pulp capping pulp capping pulpcapping tumpatan tuang inlay pulpcapping endo intrakanal tumatan tuang inlay endo intrakanal pulpektomi endointrakanal Pulp Capping pulp capping pulp capping pulp capping pulp capping pulp capping pul capping widiadnyani irmawati reny ningrum esti d.y wyn rusdianto feny suparta janterri dayu sundari Yudi saputra Ivan janterri reny ningrum oka sulistyawati Yuniarti ratih jelantik widyawati. tini yuliani widiadnyani irmawati setia utami gst.A. Warni widiadnyani ariningsih hari yudhari rusdi Pande Wulan yulia hartanti Diah Yuliandari yulia hartanti yulia hartanti feny nona anita .

y ayuni biksa sri indrayanti Elisse Diah Yuliandari afni Elisse endo intrakanal pulp capping pulpektomi pulpectomy pulpectomy Endodontik intracanal pulp capping Endodontik intracanal pulpektomi pulpektomy pulpectomy pulpectomy pulp capping Endodontik intracanal tumpatan kls 3 pulpektomy pulp capping pulp capping Endo Intrakanal pulpektomi Endo Intrakanal tumpat komposit pulp capping Endo intra canal Pasak tumpatan amalgam klas I endo intrakanal Pulp Capping pulp caping pupl caping pulp capping pulp capping endo intrakanal tumpatan amalgam klas I Pulp Capping pulpektomi syanne feny YULIANI deby artika putu putra.endo intrakanal pulp caping pulpektomi pulp capping Endo Intrakanal onlay onlay esti d. s Wida Wirani oktavianus sea Arie Pradana mayudianingsih wulandari Dwiliana paramita widnyani andrianus purwita dewi yokthan ofier siki yosi martrisna yulia hartanti wirastuti ayuni biksa Manik A purwita dewi trisna dewi Agus Virgo Syifa Mustika bety arisanti Mas wulan sari mutiara mutiara feny wulansari yosi martrisna krisanthi Prabadewi jelantik .

s kumala dewi sudaryanti agus virgo jelantik krisanthi yosi martrisna maria agus virgo niki nadia nurvikha putri indra adi suartika adi suartika janterri yulia hartanti made Kurnia Wardhani nurvikha listiyanti nona Mustika Ivan cahyadi vikha mira wijayani hitaswari Silva yokthan ofier siki .Pulp capping pulp capping pulp capping pulpektomi pulpcapping pulpcapping amalgam kls I endo intrakanal pulpektomi pulp capping Pulp capping pulpektomi Pande Made Maha bety arisanti riskayanti surya putri indra kumala dewi syifa jeffry andrianus listiyanti Dwiliana yudha S pulpcapping pulpektomi endo intrakanal pulp capping amalgam kls I endo intrakanal endo intrakanal pulpektomi pulpektomi pulpektomi pulp capping pulp capping pulpektomi pulpektomi pilp capping amalgam kls1 komposit klas 3 komposit klas 4 pulpektomy endo intra canal amalgam klas 1 pilp capping pulp capping pulp caping GIC Pulp capping Endo intra canal Endo Intrakanal amalgam kelas 1 pulpektomi Pulp caping Pulpetomi krisanthi dedy arya indratama gek mira putu putra.

K dani bayu Dananjaya kumala dewi yosi martrisna Mira Wijayani dani bayu dewaty ayu Mas wulansari mutiara setia utami christo bety arisanti wulandari riskayanti trisna dewi yulia hartanti mayudianingsih denny p.pulp cping pulpektomy Amalgam klas 1 endo intrakanal pulpcapping Endo Intrakanal Pulpectomi pulp capping amalgam klas 1 Pulp Capping pulpektomi inlay inlay inlay pulpcapping PULPEKTOMY pulpcapping pulpcapping amalgam klas 1 Komposit klas IV pulpcapping gGIC klas V pulpektomi devital PULPEKTOMY DEVITAL Endointrakanal amalgam klas 1 pulp capping Pulp capping pulp cappping pulpektomy pulpektomy pulp capping pulp capping pulpektomy piulpektomi pulpektomy pulp capping amalgam klas 1 pulpectomy Endointrakanal pulpektomi endointrakanal Komposit klas IV pulpektomy komposit klas VI pulp capping pulp capping siumastami wilhelmus yanti yunita surya mustika p. S widnyani ratih derick Erni Hasan H. cahyadi Silva andika adi suartika Dely Luh Ena ariasmi wulandari winda diana winda diana sea PUTU PUTRA. Erni Hasan H.K Mustika Pramidi trisna dewi siumastami ariani feny heidy nona paramita .

K dw.Endointrakanal pulp capping Amalgam kls I perawatan sal.akar amalgam kls 1 pulpektomi Klas I Komposit pulpectomy endointrakanal endointrakanal indikasi pasak Endointrakanal klas III Komposit pulcapping pulp capping (post caping) kls 1amalgam indikasi endo intra kanal indikasi pulpektomi andrianus deby artika Vyna Indri ita wulandari putri indra Ayu Sri Adnyani awan tanjung Arie Pradana irmawati niki nadia Pande Made Maha Mira Wijayani krisanthi hari yudhari ariningsih purwita dewi triana dewi pulpcapping indikasi endo intra kanal pulpcaping pulpektomy Endo Intra Kanal endo intra canal pulpcapping pulpektomy pulpcapping tes keluar Pulpcapping Pulpektomi pulpektomi klas 1 amalgam pulp capping endo intrakanal (post caping)kls 4 komposit pulpektomy pulp capping Pulp Capping pulpektomi pulp capping pulp capping pulpektomi pulp caping maswulansari Erni Hasan H. Md. Ari rima s Winda andika Wida Wirani listiyanti putu putra. s ingelende Wida Wirani Yuniarti listiyanti anastassia widi wirastuti dw. Ari hari yudhari victris Wulan nurvikha nona nita agustina paramita yosi martrisna . Md.

Anastasia dwi c andrianus Mustika P.K Vyna Indriyanthi Putu Riskayanti komang sri gunawati Elisse dani ayu sri adnyani andrianus Niki Nadia putu putra triana dewisua putri indra kumala dewi agustina .pulp capping pulpcapping Onlay onlay pulp capping pulp capping pulpektomi pulpektomi pulp capping pulp capping endo intrakanal endo intra kanal endo intrakanal pulp capping pulp capping pulpektomi devital pupl caping Pulpektomi pulp capping pulp capping pulpektomi luh ena ariasmi yulia nitaswari niki nadia komang sri susilawati prabadewi denny p. yokthan ofier siki dian kusuma kurnia siumastami bety arisanti putri indra deby artika andrianus listiyanti PUTU PUTRA. S dedy arya maria yokthan ofier siki yosi martrisna putri indra 11 =691 orang pulpektomi deviutal Endointrakanal endointrakanal pulpektomi Endo intrakanal pulp capping pulpektomi pulpektomi klas IV komposit Klas VI Komposit pulp capping pulp capping pulpektomi pulp capping pulp capping pulpektomi devital pulpektomi devital Klas III komposit Klas III komposit pulp capping klas 1 amalgam klas II amalgam pulp capping wiwik komang sri susilawati md Kurnia Wardhani dian kusuma Mas wulansari Pande Made Maha md. Erni Hasan H.

Mahkota Pasak pulp capping pulpektomi pulpektomi pulp capping pulpektomi pulp capping pulp capping pulp capping endointrakanal Endointrakanal pulpektomi pulpektomi pasak pasak pulp capping endointrakcanal pulpektomi `pulp caping pulp capping Kls III komposit Kls I amalgam kls 2 amalgam Endo intrakanal pulp capping endo intra canal pulp capping onlay Pulp Caping pulpektomi pulpektomi kls II amalgam pulpcapping pulpcapping pulpektomi pulpcapping pulpektomi Komposit klas VI inlay pulpektomi Kls V GIC pulpektomi Amalgam Klas I Erni Hasan H. dianita indah dwi rizka anastasia esti d.K Elisse komang dewi widiadnyani adi kumara krisanthi Niki Nadia andika wulandari Mira Wijayani Bety arisanti dani bayu Maria Anita Maria Anita awan tanjung Bety arisanti andrianus suparta putu putra agustina Silva adi kumara dewaty ayu deby artika Mira Wijayani maria hasiana T ayu sri adnyani nurvikha Hostiadhi helly dethy Agus virgo yulia nitaswari listiyanti nona yudi artha ariani Mustika P.y Erni Hasan H.K .

K agus virgo cahyadi yokthan ASTIKA DEWI Ayu Sri Adnyani victris yufransa ayu purwadi triana dewi purwita dianita indah yulia hartanti maria anita jeffry pulpektomi pulpektomi pulpektomi endointrakanal pulpektomy pulp capping endointrakanal pulpektomi pulp capping krisanthi widnyani feny jeffry dedy arya hari yudhari Wida Wirani Pande Made Maha P vyna indriyanthi .pulpektomi pulpektomi pulp capping pulp capiing Pulpectomy Pulpectomy Pulpectomy endo intrakanal pulp capping pulp capping pulp cappin g pulp capping pulp capping pulpektomy pulpektomi non vital pulp capping pulp capping endo intrakanal pulpektomi pulpektomi pulp capping endo intrakanal pul[ektomi devital pulp caping pulp capping endo intrakanal endo intrakanal pulp capping endo intrakanal pulp caping pulpektomi pulpektomi pulpektomi pulp caping agustina ratihy yoga ena ariasmi maria Hostiadhi siumastami Dananjaya deby artika ita ayu kumala dewi anggia niki nadia listiyanti yokthan putri indra dewaty ayu heidy nadia nurwahyuni dewaty ayu Erni Hasan H.

pulpcaping pulp capping indikasi psa PULPCAPPING endointrakanal pulpektomi vital tumpatan klas IV pulpektomi endointrakanal pulpektomy Endo Imtra kanal pulpektomi pulp capping pulpcapping endo intra kanal pulpcapping pulpektomi pulpektomi endo intrakanal pulp capping endointrakanal pulpektomi pulpektomi pulpektomi endointracanal pulpektomi pulpektomi pulp capping pulp caping Pulpektomy pulpektomy pulp[ capping pulpcapping pulpektomi pulp capping endo intrakanal Pulpektomi suparta sri indrayanti christo DEDY arya maharani gek mira Suparno ita ayu andika setia utami Hostiadhi widyawati lady hutapea novic julia maria putri indra heidy dwi rizka made deby artika Anastasia yosi putri indra adi wicaksana adi purnama Helly D. merry I paramita komang sri s Maria Anita Prabadewi siumastami dani vyna indriyanthi sri indrayanti bety arisanti Mas Wulan Sari pulp capping pulp capping pulp capping pulpektomi pulpektomi pulp capping cahyadi cahyadi silva Yokthan nurvikha jelantik .

Fienna NS.pulp capping pulpektomi (tes keluar) pulpcapping (teskel) pulp capping(teskel) Pulp capping (teskel) pulpektomi (tes keluar) pulpektomi (tes keluar) pulp capping (tes keluar) endo intra kanal endo intrakana endointrakanal (tes kluar) endointrcanal(TK) endointrakanal (tes kluar) pulp pulp caping (test keluar) mahkota pasak Pulpektomi(test keluar) pulpektomi(tes keluar) pulpektomi (tes keluar) pulp capping(tes keluar) Pulpektomi (tes keluar) pulp capping(tes keluar) pulp capping endo intrakanal(tes keluar) tump komposit kls 3 kompoait klas 3 Komposit klas 3 Pulp capping endo intra kanal tump komposit kls 3 tmp komposit kl 6 Endo intrakanal pulp capping Fienna NS. novicjulia ratih yoga Dwiliana hari yudhari afni dentarika cahya putri ayu purwadi awan tanjung Ariningsih dewaty Dely adi wicak dedy arya Debora Ngara merihmerdianawati agustini Anggia S. mutiara Lady Hutapea dodiek trisna dewi merih m dewati ayu Lady Hutapea sylvia jessy dianita indah maharani syifa Ivan Joao bosco endo intra kanal pulp cap[ping pulp capping endo intrakanal pulp caping amalgam klas 1 amalgam klas 1 amalgam klas 1 amalgam kelas 1 amaLgam klas 1 ari dwiyanti sylvia jessy adhi muliaharta sylvia jessy sherly marisa Dima Putri Asiani Putri ayu suri valentining krisma dewi .

K merry indriani sidan sylvia jessy cok gde suryabharata Regina asiani putri nia dianata Putri marina Yustika widnyani Yuditha Ikawati Sherly pande .pulp caping pulp caping pulp caping endointrakanal Amalgam Kls II endo intrakanal komposit klas iv pulpektomy devital pulp capping pulpektomi Pulpcapping endo intrakanal pulpcapping Pulp Capping Indirek pulpektomy devital pulpektomy vital pulp capping indirek pulpektomy vital pulp caping indirec endo intracanal pulpektomy endo intracanal endo intrakanal endo intrakanal pupcaping endo intrakanal Pulp capping pulpektomi Pulp Capping Indirek pulpektomi Pulpcapping endo intrakanal endo intrakanal Pulp Capping endo intrakanal pulp capping pulpektomi pulp caping Endo Intra Canal endo intrakanal pulp capping Pulp capping Pulp Capping endo intra kanal polp capping pulpektomi endo intrakanal cok gede Suryabharata arnoldina leok nia mas krisanthi Sri Gunawati ayu Candranitha pratidina utomo mulya siahan indah suryadewi nona herawaty wiwik chandra dewi Ivonia Ribeiro putri marina Tamu Rambu Ita Ining mieke made chersyana renny karlina imran yuwanti ayu suryani mustika pramidi surya santi andy nurmita yuwanti I Putu Gde Ariastawa sri gunawati Septiana ika yustika joao bosco triana dewi Putri Marina Erni Hasan H.

endo intrakanal pulp capping pulpektomi pulpektomi endo intrakanal pulpektomi devital Pulp Capping pulpektomy pulp capping endointrakanal Pulpektomi komposit klas iv pulp capping endo intra kanal pulpektomi endo intrakanal pulp capping pulp capping pulpektomi puplpektpmi pulp capping Suparno Marisa Wulandari nia mas dwipayani agustini dian mahayu karina Putu Maharani agnys agustini I Putu Gde Ariastawa Tamu Rambu Ita Ining Yustika sajiva gede surya imran Silva cokmira trya kiki pande pande pulpektomi pulpektomi pulpektomi pulp capping komposit klas III pulpektomi endointrakanal endiintrakanal endointrakanal komposit klas IV endointrakanal pulpektomi endointrakanal pulpektomi Pulpektomi pulp capping pilpektomi pulpektomi pulpektomi Pulpek tomi pulp capping pulpektomi klas III komposit utomo gunadi santi septiana yustika trya indah suryadewi nurmita dewi yulia nitaswari putra utama nia dianata ayu suryani gunadi arnoldina leok Gayatri oktaviani elvira dewi mieke sylvia jessy Putri Marina sidan pratidina dani bayu .

endointrakanal pulpektomi vital pulpektomi vital pulpektomi vital pulpektomi vital pulpektomi vital pulpektpmu vital tumpatan komposit kls 3 pulpektomi non vital pulp caping pulp capping endodontik intrakanal endodontik intrakanal pulpektomi endodontik intrakanal pulpektomi Pulp capping pulpektomi non vital pulpektomi pulpektomi non vital pulp capping pulp capping pulpektomi pulp capping pulp caping pulp capping pulpektomi Pulpektomi Indikasi pasak pulpektomi PULP CAPPING pulpektomi pulpcapping Pulpektomi Pulpektomi klas 1 komposit pulpektomy pulpektomy pulpektomi pulpcapping Komposit kelas IV pulp capping pulpektomi klas v GIC septiana nia mas yuwanti hapsari ksamawan renny karlina nia dianata bunga hapsari maria hosiana ni wayan nia mas saraswati hapsari intan arista dsk nym haridina marsely coryka reny ningrum sylvia Jessy Gayatri hodstiadhi[i9866][ mayudianingsih widiadnyani gunadi I gede surya s ayu suri valentining dody sukmajaya sajiva hapsari pratidina Dima Gevilawati Mustika indah suryadewi l cok mira Alit yusi aditya paradipta dani bayu agnys I gede surya septadinata krisma dewi yuwanti praptini Sherly pande gustiani gunadi ayu suri valentining .

Ribeiro sajiva nurmita KSAMAWAN pratidina intan arista shinta ayunani ksamawan hjbbhjhhhdcddyuyy ayu suri valentining nurwahyuni wira hary utomo joao bosco Ayu Candranitha marisa alit yusi Suparno ema agustini fransiska dani bayu made chersyana wira hary gunadi janterri \ maria hosiana sajiva Putri Marina gayatri handayani ayu suryani ni made dwipayani gayatri handayani fransiska Nurmitha Dewi Githa Komala sri indrayanti .pulpektomi pulp capping pulpektomi kls 5 gic pulp capping Pulpektomi pulp capping Pulpektomi klas VI mahkota pasak pulp capping pulpektomi pulp capping pulp caping kls 1 komposit pulpektomi 21 pulpektomi tunggal pulpektomi pulpektomi tunggal komposit klas III pulpektomi amalgam klas 1 pulpektomi Pulp capping pulpektomi endo intrakanal kls 3 komposit pulpektomi pulpektomi klas IV komposit endo intrakanal pulp capping pulp capping pulpeltomy pulpektomy pulpektomy pulpektomy Pulpektomi pulp capping indirect pulp capping indirect pulp caping indirect pulpektomi vital endointrakanal Pulp Capping pulpektomi vital pulpektomy sugiartining 33 marisa cahyani ksamawan renny karlina dani bayu Githa Komala Suparno Ivonia A.

Md ari pande surya made chersyana cahyadi c sugiartining endointrakanal pulp capping pulpektomi GIC Klas V inlay amalgam klas 2 endointrakanal pulpektomi pulp capping pulpektomi endointrakanal pulpektomi pulpektomi endointrakanal pulpektomy endodontik intrakanal Pulp capping pulpektomi Pulpektomi devital pulpektomi Pulpektomi devital Pulpektomi devital pulp capping pulp capping GIC kelas V endo intrakanal yulia nitaswari joao bosco asiani putri adinatha intan arista dedy arya dirawan adelina joao bosco arnoldina leok fransiska arnoldina leok aditya paradipta dody sukmajaya ayu suryani cokmira dwipayani I Putu Gde Ariastawa mayudianingsih Sherly wira hary Adevia I Putu Gde Ariastawa ayu suryani andy herawan asiani putri intan arista .pulp capping endo intrakanal Pulpcapping pulpektomi vital pilpcapping pulpektomi vital pulpektomi pulpektomi Tumpatan Amalgam klas 2 pulp capping pulpektomi Pulp Capping pulpektomi pulp capping komposit kls III GIC Klas V inlay endointrakanal intan arista ksamawan Wiwik oktaviani alit yusi hapsari santi nona agus wiwik sherly yuwanti Putri Marina agustini dw.

Md.endo intrakanal pulpektomi devital pilpektomi endo intrakanal endo intrakanal endo intrakanal pulp capping pulpektomi devital Pulpektomi devital pulpektomi (px tes keluar pulp capping endo intrakanal pulp capping pulp capping komposit kelas 3 Nurina Ismawati septiana sri indrayanti arnoldina leok yulia nitaswari Wiesty sugiartining asfar heidy sudaryanti pertiwi santi heidy alit yusi marisa elvira dewi endointrakanal pulpektomi devital endo intrakanal pulp capping Pulpektomi devital pulpektomi devital pulpektomi devital pulpektomi devital pulp capping endointrakanal pulp capping komposit klas III pasak mahkota jaket pulp capping pulp capping endo intrakanal pulp capping pulpektomi vital endointrakanal endointrakanal endointrakanal endo intrakanal endo intrakanal pulp capping pulpektomi devital pulp capping (test keluar) pulp capping sylvia jessy Wiesty agustina Mustika Ivan shinta ayunani pertiwi santi dani bayu krisanthi cok mira Ivan renny karlina Suparno christo nia dianata ari dwiyanti Elisse andy herawan sherly Ayu Candranitha Ivan dani bayu asiani putri intan arista Ni Made Dwipayani dw. Ari intan arista agnys ganesha .

Pulpectomy pulp capping raziv ganesha andy herawan endo intrakanal pulp capping raziv ganesha .

Ari shinta ayunani andrianus yessy karmila putri charista aditya sari ayu maheswari yessy karmila putri aditya kusuma komang tri Pande Md. Maha P listiyanti eka sriwijayanti allif harista dian sari . Md.pulpektomi GIC KLS V GIC KLS V PULPEKTOMI PULPEKTOMY PULPEKTOMY ENDO INTRA KANAL ENDO INTRA KANAL PULP CAUPPING pulpektomy pulpektomy ENDO INTRA KANAL pulp capping GIC KLS V ENDO INTRA KANAL komposit klass 1 GIC kls V GIC klas V pulpektomi Endo Intra Kanal pulp capping Endointrakanal Pulpektomy Endo intrakanal astika karlina dewi novanti theotani putra yudistira yessy karmila indrayani surya kusuma dewi LEONARD cokmira oka sulistyawati kurnia wardhani agungdwija Dhyana nitha dewi indah suryadewi Ariyani G. A Ariyani G. A eka putra cokmira T> R> Ita Ining novanti Eka Sriwijayanti Pande sumardana Pande sumardana pulpektomy endo intrakanal pulpektomy endo intracanal endo intracanal pulp capping pulpektomi endo intrakanal pulp capping pulpektomy pulp caping Pulpektomi (Pasien tes keluar) pulpectomy pulp capping pulp capping pulpektomi arya sweta putu riskayanti dw.

pulpektomy pulpektomy komposit klas 1 pulpektomy endointrakanal pulpektomy pulpektomy pulpektomy endo intrakanal endo intrakanal sartika leo diar dian sari mirah handayani indrayani Andanari Andanari arya sweta putri indra klas 1 amalgam pulp capping indikasi onlay mahkota pasak tumpatan amalgam klas 2 pulp capping indikasi onlay GIC klas V Pulpektomy Pulpektomy endointrakanal pulp caping indirek pulp capping gic klas v pulp caping indirek endointrakanal endointrakanal konservasi pulp capping diar hady anastasia dwi cahyani yessy karmila putri komang sri susilawati komang tri prima indrayani oka martarini Leonard yessy karmila ayu purwanti gevilawati githa eka putra komang tri Astrid putu riskayanti leonard komang sri endointrakanal endointrakanal endointrakanal pulpektomy konservasi mira Wijayani agungdwija heidy sonia heidy sonia leonard .

endointrakanal Pulpektomy pulpektomy endointrakanal pulpektomy pulp capping pulpektomy (pasien tes keluar) pulpektomy pulpektomy pulpektomy Mahkota Jaket pulpektomy sugiartining IGN Putra Yudistira Eka Trisnayanti Aditya Kusuma I gede purnamayanta p pertiwi santi andy herawan ema agustini karlina dewi anastasia Silva irma chintyadewi .

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Dewi Sri.Made Km Aditya Indra Yusup Kuntoro Wyn Darna Yohana Aditya Suwaji Devi Krisnayanti Anggi Trisya Dwijayani Putri Slamet Ignaz Akbar Laksamana Tika Komang Suartini Wayan Suriasih Jonathan R Vidhyari Ernawati Dewi Prihatin Novi Antari Sridani Gusti Putu Gede Aditya Nyoman Musda Yohana Fani I.Y Diana Juwita Fachrun.4p JL Sandat II No.R Triana Dewi Hari.10 JL Purnawira 8 No 11 Perum Dalung Permai Dps No 42 JL P. Kawe No 45 Jl Gatsu Timur No 18 Br Praban.II No 16 N0 0D 0069/IV/11 65287/III/11 0079/IV/11 0101/IV11 0105/IV/11 0085/IV/11 0085/IV/11 64857/II/11 64952/II/11 55053/II/11 0045/II/11 0149/Iv/11 0152/IV/11 0154/IV/11 DIAGNOSA/ELEMEN HP POST PULPEKTOMI 21 HP HP HP Pulpitis Reversible 37 Pulpitis reversible 38 Post Endointrakanal Post Endointrakanal Post Endointrakanal Post Pulp capping Hp HP IP RENCANA PERAWATAN KlS 2 AMALGAM MAHKOTA PASAK Amalgam kls 2 Amalgam kls 1 Komposit kls 4 Pulp capping Pulp capping Mahkota pasak MAHKOTA PASAK Onlay Komposit kls 4 Komposit Kls 3 Tumpatan amalgam KLs 2 Tumpatan amalgam KLs 2 NAMA 0PERATOR RIMA .k Ariningsih Parameta. Yani Gg Sunari No 3 Jl Plawa No 31 Jl Imam Bonjol No 5 Jl Batukaru Gg V No 1 Jl Batukaru Gg V No 1 Jl Mertajaya Jl I.A Istri Sasih Dewi Desi L/P P P p p L p p p L L p p p p UMUR 30Th 20Th 43Th 18Th 25Th 31Th 31Th 23Th 37Th 19Th 34Th 63Th 30Th 29Th ALAMAT JL LETDA MADE PUTRA JL COKROAMINOTO DPS JL Mudingsari no 7 dps JL Batu Karu Gg 5 No 1 JL Danau Buyan JL LETDA MADE PUTRA JL LETDA MADE PUTRA m 0 JL Athena No.B Oka Gg Kujang Jl Trenggana No 81 Jl Terompong Jl Dewi Sri Jl Jaya Giri Jl Kartini No 104 Jl Kartini Gg VI No 9 Jl Raya Sesetan Jl Batuyang Gg Merpati No 38 JL P.Batuyang Gg.K TOTAL JUMLAH PASIEN BULAN APRIL 2011 =14 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 2/5/2011 2/5/2011 2/5/2011 2/5/2011 3/5/2011 3/5/2011 3/5/2011 3/5/2011 3/5/2011 3/5/2011 3/5/2011 4/5/2011 4/5/2011 4/5/2011 4/5/2011 4/5/2011 4/5/2011 4/5/2011 4/5/2011 4/5/2011 5/5/2011 5/5/2011 5/5/2011 5/5/2011 6/5/2011 6/5/2011 6/5/2011 6/5/2011 7/5/2011 7/5/2011 9/5/2011 9/5/2011 9/5/2011 9/5/2011 9/5/2011 9/5/2011 9/5/2011 9/5/2011 10/5/2011 10/5/2011 10/5/2011 10/5/2011 10/5/2011 10/5/2011 10/5/2011 10/5/2011 67785/V/11 67786/V/11 67787/V/11 67788/V/11 67789/V/11 67790/V/11 67791/V/11 67792/V/11 67793/V/11 67794/V/11 67795/V/11 67796/V/11 67797/V/11 67798/V/11 67799/V/11 67800/V/11 67801/V/11 67802/V/11 67803/V/11 67804/V/11 67805/V/11 67806/V/11 67807/V/11 67808/V/11 67809/V/11 69810/V/11 69811/V/11 69812/V/11 69813/V/11 69814/V/11 69815/V/11 69816/V/11 69817/V/11 69818/V/11 69819/V/11 69820/V/11 69821/V/11 69822/V/11 69823/V/11 69824/V/11 69825/V/11 69826/V/11 69827/V/11 69828/V/11 69829/V/11 69830/V/11 Marisa Meliyani. Kawe No 45 JL Purnawira 8 No 11 Br Kertawinangun JL Karang Sari JL Raya Penatih JL badak Sari 21 Jl Diponegoro No 81 A Jl Tukad Banyu Poh Jl A.Kenari 2 JL.Batanta No 2 JL.S wike .70 Jl Sesetan 25 JL Letda Mde Putra JL.A Komang Darmini Nengah Kalen Komang Parwati Bu Candra komang purna Kristina Ndasing Winda Aprila Desi Anggraeni Yuli Sumantri Nyoman Ngetis Devi Krisnayanti Helmi Ratna Harum Tika Niken Ayu Kurniasari Putri Wirawan p P L L L P L L P P P L L L L P P P L P P P P P P L L L P P P L P P L P P P P P P L P P P P 39Th 34Th 20Th 35Th 28Th 23Th 26Th 45Th 15Th 20Th 16Th 30Th 37Th 31Th 11Th 24Th 20Th 18Th 10Th 27Th 10Th 22Th 31Th 14Th 40Th 62Th 18Th 46Th 23Th 11Th 26Th 17Th 24Th 35Th 30Th 22Th 15TH 15Th 50Th 24Th 15Th 36Th 17Th 18Th 18Th 15Th JL Diponogoro No.K Trisna Dewi Setia Utami Hadiyah Subawa Irmawati Jan Terri Ari W mas Wulan Feny Dwiyani Nona Helly D Juwita Putra Dayu Sundari Rusdianto Tipas Novita Dewi Dwiliana Setia Utami Kumala Dewi . Sibang Kaja Jl Gunung Agung Jl Merpati Jl Letda Made Putra Jl Tukad Pancoran Jl Plawa Gg VIII No 6 Jl Gunung Krakatau Jl Tukad Banyu Sari Gg Taman No 5 Jl Sekar Tunjung VII No 3 Jl Surya Buana II Jl Karang Sari I Jl Hasanudin No 28 Jl Malboro No 11 Jl Gadung No 57 C Jl Tukad Bugi Gg Mertasari Jl Tukad Balian 19 N0 8 0161/V/11 65434/IV/11 0180/V/11 63908/IX/11 0130/Iv/11 0127/IV/11 0180/V/11 0192/V/11 0193/V/11 0198/V/11 64295/XII/11 0232/V/11 0251/V/11 55102/III/11 0258/V/11 0254/V/11 0257/V/11 101/IV/11 0255/V/11 65332/III/11 0186/V/11 0054/IV/11 65205/III/11 6033/IV/11 0311/V/11 0300/V/11 0321/V/11 0127/IV/11 0331/V/11 6294/II/11 0162/V/11 64357/I/11 0358/V/11 0357/V/11 0361/V/11 0369/V/11 0376/V/11 0383/V/11 0378/V/11 0193/V/11 0412/V/11 0418/V/11 57437/XII/10 0174/V/11 65276/V/11 KM Post Pulp capping HP HP 46 HP 46 HP 47 KM KM KM 46 KM 46 Post Endo intra kanal KM 37 KM 37 KP 21 KM 21 KS Fraktur 1/3 Incisal Post Pulp capping HP 21 Post Pulpex HP HP Post Pulpektomi Post Pulp capping KS 47 Post Endo intra kanal Fraktur 1/3 Incisal Fraktur 1/3 Incisal KM HP HP Pulpitis Reversible HP HP HP HP HP HP HP HP Post Pulp capping HP HP Post Pulpektomi HP Iritasi Pulpa Amalgam kls I Inlay Amalgam Kls I Onlay Amalgam Kls I Amalgam Kls I Amalgam Kls I Amalgam Kls I Amalgam Kls I Amalgam Kls I Tumpatan Tuang Onlay Amalgam Kls I Amalgam Kls I Komposit Kls III komposit Kls IV Amalgam Kls II Komposit Kls IV Amalgam Kls I Komposit Kls VI Pasak Amalgam Kls II Komposit Kls III Onlay Inlay Tumpatan Komposit Kls I MAHKOTA PASAK Komposit Kls IV Komposit Kls VI Komposit Kls III Komposit Kls III Amalgam Kls I Amalgam Kls I Amalgam Kls II Amalgam Kls I Amalgam Kls I Amalgam Kls I GIC Amalgam Kls II GIC Amalgam Kls I Amalgam Kls I Amalgam KLs II Amalgam Kls I Onlay Komposit Kls III Amalgam Kls II Dedy Arya D Diah Yuliandari Adi Purnama Putra Andi Hendrajaya Juwita Putra Hadijah Najib S Agung D Pande Sumardana Rusdianto Arya Sweta Tini Yuliani Ni Wayan Dlety Ratih Yoga S Nita Yohana H Sudaryanti Triana Dewi Adelin Arin Ratih Sri Wahyuni Karmela Arie K Arie K Reny Fachrun.Ng Adelina Ardika Helena Helena Ayu Aria.REGISTRASI PASIEN KONSERVASI TUMPATAN N0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 TANGGAL 21/4/11 25/4/11 25/4/11 26/4/11 28/4/11 28/4/11 28/4/11 28/4/11 28/4/11 28/4/11 28/4/11 30/4/11 30/4/11 30/4/11 NO REGISTER 67771/IV/11 67772/IV/11 67773/IV/11 67774/IV/11 67775/IV/11 67776/IV/11 67777/IV/11 67778/IV/11 67779/IV/11 67780/IV/11 67781/IV/11 67782/IV/11 67783/IV/11 67784/IV/11 NAMA PASIEN SARMINI DIJAH Ida Wy Sariasih Putrawan Onya Tinggapi Onya Tinggapi Eka.Maant Nurhaini A.M Debora.A Tatan M.Sumatra Gg.

d Ganesha Agung Agung Hadijah Maria Hosiana Maria Hosiana Syifa Rima S Sista Wiwik Hitaswari Adi Purnama Feni Andika Hitaswari Ita Elissa Theofani Christo Adi Purnama Nurwahyuni Ari dwiyanti wulansari Widiadnyani Ayuni Biksa Kumala Dewi Andi Hendrajaya Sri Wahyuni Ratih Yoga S Maria hOSIANA Hari Yudari Purwita Setia Utami Adelina Andika Ria Purnami Agung Dwija Syifa Anggia Wulan Pande Sumardana Indah Christo Agnis Eka Yudi Ita Ayu R Wiwik K Irmawati . Tondano 29 Dps JL Hayam Wuruk Gg 16 No 11 JL Cokroaminoto No 34 JL P AlorNo 2x JL P Aru Gg I No 6A JL Gn Sari Gg Anggrek Jl Cokroaminoto Gg Blibis 10 JL Cokroaminoto 34 dps JL Buana Kubu JL Letda Made Putra JL Tukad Badung Gg XVIII No 28 JL Salya JL Tukad Pakerisan JL Tukad Banyu Sari Jl Imam Bonjol Gg VII No 3 Batu Bulan Jl Sekar Tunjung VII no 3 Desa Gadungan JL Sudirman No 6 Dps Jl cokroaminoto no66 Jl tunjung sari no 3 Jl Siulan Gg Pacah no 9 A Jl Waturenggong Jl Waturenggong Jl Salya Gg IV E no2 Jl Gn Agung Gg YamunaV no 1 Jl P Alor no 2X JL Buana Kubu Jl Salya Gg IV E no2 0425/V/11 65486/IV/11 0426/V/11 0431/V/11 0360/V/11 0085/IV/11 0342/V/11 0365/V/11 0478/V/11 0484/V/11 0462/V/11 0502/V/11 0085/IV/11 0503/V/11 0514/V/11 65183/III/11 0404/V/11 0130/Iv/11 0529/V/11 0527/V/11 0168/V/11 0387/V/11 0547/V/11 0266/V/11 64669/I/11 0543/V/11 0574/V/11 0469/V/11 0587/V/11 0175/V/11 0590/V/11 0596/V/11 0601/V/11 0577/V/11 0603/V/11 0552/V/11 0619/V/11 0244/V/11 0486/V/11 0620/V/11 0562/V/11 0647/V/11 0643/V/11 0642/v/11 0235/II/11 65257/III/11 0081/IV/11 0669/V/11 0260/V/11 0672/V/11 0376/V/11 0673/V/11 0678/V/11 0383/V/11 0193/V/11 0695/V/11 0383/V/11 0608/V/11 0717/V/11 0704/V/11 0567/V/11 62757/IX/11 0502/V/11 65257/III/11 0567/V/11 Fraktur HP HP HP HP HP Pulpitis Reversible Pulpitis Irreversible HP HP Pulpitis Irreversible HP HP Pulpitis Reversible Fraktur 1/3 Incisal Post Endo intra kanal HP HP HP HP IP Fraktur Incisal HP Fraktur Incisal IP Pulpitis Reversible HP HP HP HP HP HP HP HP HP Post Endo intra kanal HP 47 HP 37 HP 26 HP 11 HP 47 HP 42 IP 48 Pulpitis Irreversible 12 HP 21 21 pulpitis irreversible 47 post capping pulpitis irreversible 37 Iritasi pulpa 47 HP 46 IP 21 post capping 11 Hp 37 IP 34 Abrasi 46 Pulp capping 37 Onlay Indikasi 41 Abrasi 11 Iritasi pulpa ok fraktur HP 46 Pulp capping HP HP HP HP KP (post capping) Tumpatan Komposit Kls IV Komposit Kls IV Tumpatan Amalgam Kls II Komposit Kls III Amalgam Kls I Amalgam Kls I Pulp capping Pulpektomi Amalgam Kls I Komposit Kls IV Pulpektomi GIC Kls V Amalgam Kls I Pulp capping Komposit Kls VI Mahkota Pasak Amalgam Kls I Amlgam Kls I Komposit Kls III Amalgam KLs I Amalgam Kls I Komposit Kls IV Amalgam Kls I Komposit Kls IV Komposit Kls V Komposit Kls IV Pulp Capping Amalgam Kls I Amalgam KLs II Amalgam Kls II Amalgam Kls I Amalgam Kls I Komposit Kls IV Mahkota Jaket Amalgam KLs I Amalgam Kls I Pasak Amalgam Kls I Amalgam Kls I Amalgam Kls I GIC Kls V Amalgam Kls I GIC Kls V Amalgam Kls I Pulpektomi Komposit Kls VI pulp capping 21 Amalgam kls II Kls III komposit Tumpat kls III komposit Tumpatan kls I amalgam Tumpatan kls I amalgam Kls IV komposit Kls VI komposit Tumpat kls I komposit Tumpat kls V GIC Tumpat kls I Amalgam Onlay Komposit kls I Kls V GIC Tumpatan Klas IV komposit Tumpatan kls I amalgam Tumpatan kls I amalgam Tumpatan Amalgam Kls I Onlay Tumpatan GIC kls V Tumpatan komposit kls III Tumpatan amalgam kls I Triana Dewi Ria Lestari Deasy M Diana Juwita Ita Ayu R Irmawati Ivan G Ari Dwiyanti Ayu Sudiwedani Nusarini Dewaty Ayu Feny Ratih Yoga S Ivan Ledel Setia Utami Angga P Wulan P Ria Purnami Andika Gd Purnama Y. Renon Jl A Yani RT 8 No 3 Jl Tibung Sari Jl Imam Bonjol No 9 Jl Pulau Alor No 2x Jl Letda Made Putra Jl Letda Made Putra No 28 Jl Batuyang No 38 Jl Waturenggong III No 18 JL Tukad Banyu Sari XI/18 JL Gn Tangkuban Prahu no.47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 10/5/2011 10/5/2011 10/5/2011 10/5/2011 11/5/2011 11/5/2011 11/5/2011 11/5/2011 12/5/2011 12/5/2011 12/5/2011 12/5/2011 12/5/2011 12/5/2011 12/5/2011 12/5/2011 13/5/11 13/5/11 13/5/11 13/5/11 13/5/11 13/5/11 14/5/11 14/5/11 14/5/11 14/5/11 14/5/11 14/5/11 14/5/11 16/5/11 16/5/11 16/5/11 16/5/11 16/5/11 16/5/11 16/5/11 16/5/11 18/5/11 18/5/11 18/5/11 18/5/11 18/5/11 18/5/11 18/5/11 18/5/11 18/5/11 19/5/11 19/5/11 19/5/11 19/5/11 19/5/11 19/5/11 19/5/11 19/5/11 20/5/11 20/5/11 20/5/11 20/5/11 20/5/11 21/5/11 21/5/11 21/5/11 21/5/11 21/5/11 23/5/11 23/5/11 23/5/11 23/5/11 69831/V/11 69832/V/11 69833/V/11 69834/V/11 69835/V/11 69836/V/11 69837/V/11 69838/V/11 69839/V/11 69840/V/11 69841/V/11 69842/V/11 69843/V/11 69844/V/11 69845/V/11 69846/V/11 69847/V/11 69848/V/11 69849/V/11 69850/V/11 69851/V/11 66852/V/11 66853/V/11 66854/V/11 646608/II/11 66855/V/11 66856/V/11 66857/V/11 66858/V/11 66859/V/11 66860/V/11 66861/V/11 66862/V/11 66863/V/11 66864/V/11 66865/V/11 66867/V/11 66868/V/11 66869/V/11 66870/V/11 66871/V/11 66872/V/11 69842/V/11 69843/V/11 69844/V/11 69845/V/11 55168/V/11 69846/V/11 69847/V/11 69848/V/11 69849/V/11 69850/V/11 69851/V/11 69852/V/11 69853/V/11 69854/V/11 69855/V/11 69856/V/11 69857/V/11 69858/V/11 69859/V/11 69860/V/11 69861/V/11 69862/V/11 69863/V/11 69862/V/11 69846/V/11 69847/v/11 Ade Romaya Komang Sudiarta Ketut Wi Jeklin Onya Tinggapi Sheillania Wayan Sudarta Abdul Edi Panca Iis Sugiarthi Onya Tinggapi Putu Aditya Nyoman Marta Pusparini Oktafiana Wayan Darna Diana Davian Shanie Hendra Juliani Usriah Boni Doni Nope Erik Ibu Anjas Ade David Komang Supurna Sudarto Supiana Vika Indrayana Arya Widiantara Ibu Iwan I Ketut Lento Tridesi Antari Jaini Kdk Jana Popot Solin Ashari Sugiarta Siti Rohayati Niken Indriansari Lina Puspita Lamtius Tinah P Nym Lepik Eko Dsk Parmiasih Ana Agustina Desi Anggraeni Km Adi Darmawa Beny Artayana Yuli Sumantri Hendra K Erik Gede Arya Yuli Sumantri Lanang Debora Putri Suartini Putrawan Nova Lis Sugiarta Tinah Putra L P L P P P P L L L L P P L L P P L P P P L P P L L L P L L L L P L L P L P P L P L L P P P P P P L P P P L L P L L L P L P P L L P P L 25Th 29Th 25Th 28Th 14Th 31Th 23Th 59Th 33Th 13Th 11Th 41Th 31Th 9Th 46Th 21Th 23Th 28Th 43Th 16Th 37Th 16Th 16Th 34Th 28Th 19Th 30Th 36Th 26Th 31TH 46Th 27Th 26Th 27Th 12Th 52Th 34Th 34Th 30Th 19Th 50Th 16Th 41Th 41Th 84Th 25Th 18Th 31Th 52Th 22Th 54Th 14Th 15Th 14Th 23th 50th 16th 30th 16th 50th 13 th 21 th 17 th 22 th 14 th 41 th 31 th 22 th Jl Imam Bonjol Gg VII No 3 Jl Gunung Cemara Jl Noja Jl Kerandan Gg Dahlia Jl PB Sudirman No 81 B Jl Letda Made Putra Jl Tukad Batanghari Br Kelod.106 JL Pidada IE Dps Desa Gadungan Ds Panek JL Resi Muka Barat Permai JL Plawa No 106 Dps JL Tukad Musi II N0 9 Dps JL Sudirman No 6 Dps JL Letda Made Putra JL Ida Bagus Oka JL Tukad Pancoran JL Ahmad Yani Gg I No 14 C JL Dauh Pasar 10 Dps JL Ahmad Yani RT8 No 3 JL Silakarang JL Buana Raya No 37 Dps JL Letda Reta Gg4/26 Br Saging Sibang JL Gn Batu Karu 62 Dps JL merpati No 8 JL P.5 JL Pb Sudirman JL GN Batukaru No.

Juwita Putra Novita Dewi Setia Utami Putra N Andika Suparta Adi Purnama Ratih V Widiadnyani Fienna N S Fienna N S Andanari Jayanthi Ari Widiastuti Diana Juwita Agnys Rusdianto Helena Nurwahyuni Pande Sumardana Hitaswari . JL Gn Batur JL Gn Lebah No 27 JL Tk Petanu No 25 JL Kenari No 26 JL Monang Maning No 5 JL Letda Reta No 6 JL Gn Karang I No2 JL Gtsu Timur No 9 JL Pulau Kawe Gg Apollo JL GN Waturenggong No 5 JL Letda Reta JL Gn Suputan V No 14 JL Tkd Badung JL Pulau Alor 2X JL Pulau Alor 2X JL Tkd Pakerisan Gg XIV A No 12 JL Tkd Pakerisan Gg XIV A No 12 JL Warkudara JL Kusuma Dewa I JL Merpati Gg 6 No 16 JL Tkd Batang Hari No VI A JL Giri Dahari No 15 JL Kenyeri 53 JL Trenggana No 90 JL Maruti No 7 JL Mahendradata No 168 JL Trenggana 90 0047/V/11 0741/V/11 0036/IV/11 0760/V/11 0765/V/11 0803/V/11 0779/V/11 0180/V/11 0791/V/11 55159/V/11 0773/V/11 0794/V/11 0814/V/11 63431/V/11 5048/IV/11 8024/V/11 0840/V/11 0841/V/11 0850/V/11 0829/V/11 0849/V/11 0848/V/11 0502/V/11 0857/V/11 0175/V/11 0867/V/11 0647/V/11 0349/V/11 0503/V/11 0861/V/11 62734/IX/10 0878/V/11 0715/V/11 0751/V/11 0937/V/11 0884/V/11 0900/V/11 65433/IV/11 0906/V/11 0882/V/11 0885/V/11 0474/V/11 0729/V/11 0912/V/11 0797/V/11 0904/V/11 0922/V/11 0928/V/11 0934/V/11 0938/V/11 0935/V/11 0925/V/11 0502/V/11 0502/V/11 0307/V/11 0307/V/11 0902/V/11 0968/V/11 64397/I/11 0976/V/11 0467/V/11 0785/V/11 5108/V/11 64739/III/11 0931/V/11 55108/V/11 HP HP IP Pulpitis Reversible Fraktur Pulpitis Reversible 36 HP IP HP HP HP HP Post Pulpektomi HP Post Pulp Capping Post pulpektomi Post pulpektomi HP HP 46 HP HP HP HP Pulpitis Reversible HP HP Post Pulp Capping HP IP Post Pulp Capping Post Pulp Capping HP HP HP HP HP 37 HP 47 HP 46 Fraktur HP 47 HP 21 HP 11 HP 38 HP 26 IP 11 HP 37 HP 48 Fraktur 21 HP 37 Fraktur 21 Fraktur 21 Fraktur 11 Pulpitis Reversible IP 37 HP HP HP 26 HP 22 Pulpitis Reversible 37 HP 37 HP 37 HP 21 Post Pulp Capping 47 Post Pulp Capping 46 Post Pulp Capping 36 Post Pulp Capping 37 IP 37 Post Pulp Capping Tumpatan amalgam kls I Tumpatan amalgam kls II Tumpatan Amalgam Kls I Komposit Kls IV Pulp Capping Amalgam Kls I Tumpat kls I komposit Tumpat kls I Amalgam Inlay Amagam Kls I Amalgam Kls I Pasak Komposit Kls I Inlay Indikasi Onlay Indikasi Onlay Komposit Kls I Amalgam Kls I GIC Kls V Amalgam Kls I amalgam kls 2 Komposit Kls I Pulp Capping GIC Kls V Amalgam Kls I Amalgam Kls II Amalgam Kls I Komposit Kls III Indikasi Inlay Amalgam Kls I Komposit Kls I Amalgam Kls II GIC Kls V Amalgam Kls I Amalgam Kls II Amalgam Kls I Amalgam Kls I Komposit Kls VI Komposit Kls I Komposit Kls I Komposit Kls IV Amalgam Kls I Amalgam Kls I Komposit KLs IV Amalgam Kls I Amalgam Kls I Komposit Kls IV Amalgam Kls I Komposit Kls IV Komposit Kls IV Komposit Kls VI Pulp Capping Kls II.Gianyar JL Tukad Yeh Aya 9 JL WR Supratman JL Letda Reta No 3 JL Akasia XVI Gg Dudian/2 JL Salya Gg 4 Jl Jempiring No 20 Dps JL Sekartunjung Gg XII No 177 Br Batur Batubulan JL Gn Kawi JL Jaya Giri JL Letda Md Putra JL Resi Muka Barat.P P L L L L P L L L L P P P P L L P L L L L P P L P L L P P P L P P L L L P P L P P P P P L P P L P L L L L L P P P P P P P L L L P P L P 41 th 21 Th 24 Th 35 Th 23 Th 31 Th 51 Th 20 Th 26 Th 24 Th 52 Th 20 Th 19 Th 17 Th 23 Th 19 Th 37 Th 15 Th 25 Th 52 Th 13 Th 28 Th 12 Th 33 Th 41 Th 13 Th 46 Th 68 Th 41 Th 30 Th 9 Th 19 Th 49 Th 21 Th 22 Th 22 Th 23 Th 42 Th 15 Th 22 Th 26 Th 45 Th 20 Th 23 Th 13 Th 18 Th 30 Th 27 Th 50 Th 29 Th 23 Th 15 Th 20 Th 22 Th 41 Th 41 Th 37 Th 37 Th 17 Th 18 Th 24 Th 12 Th 24 Th 23 Th 11 Th 32 Th 24 Th 11 Th JL P Aru Gg I No 6A Jl Hayam Wuruk Gg Nagasari JL Wijaya Kusuma JL Nusa Kambangan gg 92 N0 4 JL Gn Sari II No 10 JL Letda Reta Gg IV No 28 JL Raya Buruan Gianyar JL Purnawira 8 No 11 Jl Diponogoro no717 Dps Gianyar JL Waturenggong Br Gede Batuan.Badra Kdk Surya A Sabina Pt.P Ivan Ita Yuniarti Deasy L Indah Febrina Andika Andi H.Md. Dewati Widiadnyani Adi. Kls V Kls V GIC Kls V Komposit Kls III Pulp Capping Komposit Kls I Komposit Kls I Komposit Kls VI Komposit Kls I Amalgam Kls I Inlay Inlay Amalgam Kls I Inlay Ratih Yoga S Helena Widiadnyani Tirza Dely Indah Agung Ria Purnami Esti D.S Iis Sugiarta Hardi M Sudarta MurTINI Siti Rohayati Mariani Putu Aditya Candrawati Sri Sulastri Tian Dartian Sudha Benny Ni Nym Eka Tusilia Mariati Indrawan Kd Karmini Vika I. JL Lebar Dalung JL Ayani Gg I No 14C JL Letda Reta JL P Aru Gg I No 6A JL Danau Bratan 2 JL Letda Reta Jl Trenggana No 81 JL Pamogan JL Akasia XVI.Rista Ahmad.Sri ati Arsyah Amir Kartini Gd Guntur Putra P Shanti Endang Udayani Putra N Made Sukerti Koni Suteja Muhamad Afandi Indrawan Albertus. Gd Hari S Iis Sugiarta Iis Sugiarta Igst Ayu Ngh Santini I Gst Ayu Ngh Santini Marwati Km Triana Kmg Parwati Ahmad Nurdani Prayuga Denny S Marianto Ni Wy Rista Dewi P.Kdk Ni Wy Rista Dewi P.P Sumiati Rimbawan.Ngh. Agung Awan Yoseph S K Awan Tyas Fienna Wiwk Setia Utami Purwita Oktaviani Syifa Andika Indah Diah.A.115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 23/5/11 23/5/11 23/5/11 23/5/11 23/5/11 23/5/11 24/5/11 24/5/11 24/5/11 24/5/11 24/5/11 25/5/11 24/5/11 24/5/11 24/5/11 24/5/11 24/5/11 25/5/11 25/5/11 25/5/11 25/5/11 25/5/11 25/5/11 25/5/11 26/5/11 26/5/11 26/5/11 26/5/11 26/5/11 26/5/11 26/5/11 26/5/11 26/5/11 26/5/11 27/5/11 27/5/11 27/5/11 27/5/11 27/5/11 27/5/11 27/5/11 27/5/11 28/5/11 28/5/11 28/5/11 28/5/11 28/5/11 28/5/11 28/5/11 28/5/11 28/5/11 30/5/11 30/5/11 30/5/11 30/5/11 30/5/11 30/5/11 30/5/11 30/5/11 30/5/11 30/5/11 30/5/11 30/5/11 31/5/11 31/5/11 31/5/11 31/5/11 31/5/11 69848/V/11 69849/V/11 69850/V/11 69851/V/11 69852/V/11 69853/V/11 69854/V/11 69855/V/11 69856/V/11 69857/V/11 69858/V/11 69859/V/11 69860/V/11 69861/V/11 69862/V/11 69863/V/11 69864/V/11 69865/V/11 69866/V/11 69867/V/11 69868/V/11 69869/V/11 69870/V/11 69871/V/11 69872/V/11 69873/V/11 69874/V/11 69875/V/11 69876/V/11 69877/V/11 69878/V/11 69879/V/11 56430/XI/11 69880/V/11 69881/V/11 69882/V/11 69883/V/11 69884/V/11 69885/V/11 69886/V/11 69887/V/11 69887/V/11 699888/V/11 69889/V/11 69890/V/11 69891/V/11 69892/V/11 69893/V/11 69894/V/11 69895/V/11 69896/V/11 69897/V/11 69872/V/11 69873/V/11 69874/V/11 69875/V/11 69876/V/11 69877/V/11 69878/V/11 69879/V/11 69880/V/11 69881/V/11 69882/V/11 69883/V/11 69884/V/11 69885/V/11 69886/V/11 69887/V/11 Siti Rohayati Alfredo Magung Simon Sahari Pak Eka Kaleb Tapatap Pt Armini Ketut Mendra Aditya Indra P Sulas Bayu Putu Rini A A Istri Inten Adriana Ela Dewi U Kabir Albertus Hana Wayan Sari Marcelino I Gst K Wira W Dw.Gg Pisang No 1 JL A. JL Pulau Alor.Y Oka Sulistyawati Bayu A Maria.Yani Gg Satria Batu Bulan JL Sumatra Gg I No 6 JL Letda Reta No 25 JL Letda Md Putra Gg I Br Tunon Ubud JL Ayani. Ayu Maheswari Adi Suartika Mayudianingsih Sistayanthi Dayu Sundari Hadijah Ria Purnami I Wyn Rusdianto Charista Irma.

B. Subawa Gede J. Ivan Danteni Agung Wulan Paramita Sri Wahyuni Navita Dewi Pande Wulan Suparta Andika Widiadnyani Parametha R Feny Indah Indah Purnama Y P Dayu Sundari wulan Paramita Yuliani Pande Sumardana Adelina Adhawanti Andika D Afni P Ayu Sudiwedani Indah Suryadewi Yudi Saputra Agus Ry Ratih Yoga Wiwik Feny Ivan Rissa Jeffry Agnys Maria hOSIANA Oka Sulistyawati Pande Wulan Juwita Putra Irma chintya Pande Sumardana Dayu Sundari Indah Febrina Helly Duwarawati Andika Ratih Yoga Wulan Sari Fienn N S Helmy Ayuni Biksa Wida Wirani Syifa Hadijah Agung Novita dewi Pande Sumardana Juwita Putra Rusdianto Bayu A .A Bagus Permana I Md Ardianta Kd widiarta Lela Prasetya Prabaningrum Nengah Bagiantara Linda Dedy Ny Winda Nurul Intan Rustini I Wayan Sujesna Jones Nyoman Musda Ni Pt Sri Wedanti Merry Skeillania Nengah Desi Tiara Niken Indriansari Doni Astadi Putra Ni Gst Kt Mita Sari I Md Nirta Betty Berlina H Maria Ulka Lela Prasetya Prabaningrum Ketut Sriati Deborah Sigit Sambodo Dexa Nanik Rohani Marselo Pt Purnam Jaya Siti Malika Kdk Artini Kdk Artini Dewi Gamar Tesa Dian Kusuma I Md Giriarta aplonia Pt Risca Pramana Endang Sutiartanti L P P P L P L P L L L P P L L P L P P P L L P L P L L P P L L L P P P P P P L P L L P P P P L L P L L P P P P L P P L P P P 21 Th 20 Th 16 Th 20 Th 21 Th 17 Th 46 Th 22 Th 11 Th 30 Th 37 Th 16 Th 26 Th 27 Th 14 th 41 Th 45 Th 21 Th 24 th 21 th 20 th 18 th 17 th 36 th 27 th 20 th 56 th 18 th 25 th 37 th 18 th 46 th 12 Th 22 Th 23 Th 16 Th 41 Th 34 Th 19 Th 17 Th 60 Th 24 Th 30 Th 17 Th 35 Th 19 Th 28 Th 25 Th 24 Th 10 Th 20 Th 43 Th 39 Th 31 Th 46 Th 16 Th 21 Th 18 Th JL Soka No 16 JL Cokroaminoto JL Tkd Yeh Aya VI No 1 JL Batu Yang JL Permata I Dps JL Gn Agung Dps JL Kapten Japa Br Kebalian Sukawati JL Trenggana No 42 JL Sumatra No 6 JL Flores Gg VI No 1 JL Tkd Yeh Aya VI No 1 JL Pulau Nusa JL Dewata No 28 JL Nakula gg I No IA JL Subur Gg Merah Hati IA No 5 JL Darmagiri I No 88 JL Raya Tuban Jl Banteng no 11 Jl Kebo Iwa Utara Br Kebalian Sukawati Jl Kabetan Gianyar Jl Imam Bonjol Gg 100 Jl Wibisana Barat Gg F no 3 Jl Nuansa Kori No 37 Dps Jl Ratna Jl Siulan no 1 dps Jl Salya no 5 Dps Jl Sekoja Indah Perum India Indah Jl Bikini V no 1 Jl Jempiring no 20 Semarapura Jl Batuyang no 38 Batu bulan JL Dewi Sri Gg Anggrek Perum Bumi Kerta No 8 JL Tkd Batang Hari XIV No 8 JL Gn Batur No 38 JL P Aru No 2X JL Ceningan Sari Gg Anggrek No 10 Br Bunyuh Berean Baturiti Tbn JL Sedap Malam JL Surapati Gg III No 20 JL Plawa Dps Mandala sari no 16 A JL Imam Bonjol Gg 100 JL Gn Agung JL Goagong Gg Mekar S JL Piranha No 11 JL Cokroaminoto JL Letda Reta JL Subur Gg Merah hati No 1B JL Raya sesetan No 2 JL Plawa No 11 Br Tunon Singakerta Ubud JL Kapten Japa Gg Nusa Indah I JL Letda Reta 12 Jl Waturenggong gg IV no 23 Jl Penyaringan JL Gadung 37 C Gianyar JL Jempiring No 5 JL raya Mandir 53 Br yang Batu 1019/VI/11 1021/VI/11 0736/V/11 0784/V/11 64109/XII/10 0162/V/11 1038/V/11 0896/V/11 1053/VI/11 1055/VI/11 1056/VI/11 0736/V/11 1071/VI/11 1048/VI/11 1084/VI/11 1102/VI/11 1039/VI/11 1057/V/11 1121/VI/11 1129/VI/11 0895/VI/11 1120/VI/11 1133/VI/11 1138/VI/11 1140/VI/11 1137/VI/11 64164/XII2010 1028/V/11 1152/VI/11 1162/VI/11 1144/ 1163/V/11 1030/VI/11 0342/V/11 1171/VI/11 1207/VI/11 0643/VI/11 1210/VI/11 1221/V/11 64916/II/11 0688/V/11 1212/VI/11 1133/VI/11 1231/VI/11 0717/V/11 1255/VI/11 1252 VI/11 1263/VI/11 1273/VI/11 1244/VI/11 1299/VI/11 0640/V/11 0049/IV/11 1302/VI/11 1242/VI/11 1297/V/11 0897/V/11 1303/VI/11 0222/V/11 1305/VI/11 1290/VI/11 HP IP Pulpitis Reversible HP Post Pulp Capping Post Pulp Capping IP HP HP 21 HP 37 HP 48 HP 35 HP 15 IP 37 IP 12 Fraktur 11 HP 21 HP HP HP HP Pulpitis Reversible Hiperaemi Pulpa IP HP HP Hp HP Hp HP HP HP HP HP Post Pulp Capping IP 47 HP HP HP HP Abrasi Post Pulp Capping 37 Post Pulp Capping 37 Pulpits Reversible 46 HP 37 HP 26 Fraktur 21 HP IP Fraktur 11 Fraktur 11 Pulpitis Reversible Pulpitis Reversible Post Pulpektomi Pulpitis Reversible Hiperemi pulpa Fraktur 21 Pulp Capping 45 HP Post Pulp Capping HP Post Pulp Capping 36 Komposit Kls IV Komposit Kls I Amalgam Kls I Komposit Kls I Amalgam Kls I Amalgam Kls I Komposit Kls I Komposit Kls IV Komposit Kls IV Amalgam Kls II Amalgam Kls I Komposit Kls i Komposit Kls I Komposit Kls I Komposit Kls VI Komposit Kls IV Komposit Kls VI Komposit Kls IV Amalgam kls I Kls IV Komposit Kls III komposit Caping Tumpatan Kls I komposit Kls IV Komposit Komposit Kls Vi Kls III Komposit GIC Kls I Amalgam Pulp Caping Tumpatan Amalgam Kls II Tumpatan Komposit Kls I Tumpatan komposit kls VI Komposit Kls IV Komposit KlsIII Amalgam Kls II Komposit Kls I GIC Kls V Komposit Kls III Komposit Kls III Amalgam Kls I GIC Kls V Amalgam Kls I Amalgam Kls I Pulp Capping Komposit Kls I Komposit Kls I Komposit Kls IV Komposit Kls I Komposit Kls IV Komposit Kls VI Komposit Kls IV Amalgam Kls II Amalgam Kls II Onlay Pulp Capping GIC Kls V Komposit kls IV Pulp Capping Komposit Kls III Amalgam Kls I Komposit Kls I Amalgam Kls I Deasy L wike .183 31/5/11 184 31/5/11 69889/V/11 69890/V/11 Ana Agustina Pt Armini P P 14 th 31 Th JL Tkd Batu Sari gg I JL Letda Reta Gg IV no 28 65349/III/11 0803/V/11 Post Pulpektomi Post Pulp Capping Onlay Amalgam Kls I Adelina Triana Dewi TOTAL JUMLAH PASIEN BULAN MEI 2011= 184 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 1/6/2011 1/6/2011 1/6/2011 1/6/2011 1/6/2011 1/6/2011 3/6/2011 3/6/2011 4/6/2011 4/6/2011 4/6/2011 6/6/2011 6/6/2011 6/6/2011 6/6/2011 6/6/2011 6/6/2011 6/6/2011 7/6/2011 7/6/2011 7/6/2011 7/6/2011 7/6/2011 7/6/2011 7/6/2011 7/6/2011 7/6/2011 8/6/2011 8/6/2011 8/6/2011 8/6/2011 8/6/2011 8/6/2011 8/6/2011 8/6/2011 8/6/2011 9/6/2011 9/6/2011 9/6/2011 10/6/2011 10/6/2011 10/6/2011 10/6/2011 10/6/2011 11/6/2011 11/6/2011 11/6/2011 11/6/2011 13/6/11 13/6/11 13/6/11 13/6/11 13/6/11 13/6/11 13/6/11 14/6/11 14/6/11 14/6/11 14/6/11 14/6/11 14/6/11 14/6/11 69891/VI/11 69892/VI/11 69893/VI/11 69894/VI/11 69895/VI/11 69896/VI/11 69897/VI/11 69898/VI/11 69899/VI/11 69900/VI/11 69901/VI/11 69902/VI/11 69903/VI/11 69904/VI/11 69905/VI/11 69906//VI/11 69907/VI/11 69908/VI/11 69909/VI/11 69910/VI/11 69911/VI/11 69912/VI/11 69913/VI/11 69914/VI/11 69915/VI/11 69916/VI/11 69917/VI/11 69918/VI/11 69919/VI/11 69920/VI/11 69921/VI/11 69922/VI/11 69923/VI/11 69924/VI/11 69925/VI/11 69926/VI/11 69927/VI/11 69928/VI/11 69929/VI/11 69930/VI/11 69931/VI/11 69932/VI/11 69933/VI/11 69934/VI/11 69935/VI/11 69936/VI/11 69937/VI/11 69938/VI/11 69939/VI/11 69940/VI/11 69941/VI/11 69942/VI/11 69943/VI/11 69944/VI/11 69945/VI/11 69946/VI/11 69947/VI/11 69948/VI/11 69949/VI/11 69950/VI/11 69951/VI/11 69952/VI/11 KM Mahardika Sri Wahyuni Omang Putu P Ricard Nengah Kalem Kt Merta Ni Wyn Arniti Aris Setiawan I Wayan Yudi Suwarno Omang Ani I.S Lina I Wyn Suarba Pande Elsa Sastra A.M Suparta Ratih Yoga.

Kls V HP 36 HP HP HP HP HP Hp HP HP HP Post Pulpektomi 21 Fraktur 21 Fraktur 11 Inlay Komposit Kls IV Komposit Kls I + GIC Pulp Capping Indikasi Onlay GIC Kls V Amalgam Kls Ii Amalgam Kls II Komposit Kls III Pulp Caping Amalgam kls I Komposit Kls III Komposit Kls IV Amalgam Kls I GIC Kls V M Jaket Pulp Caping Komposit Kls IV Komposit Kls I Komposit Kls I Amalgam Kls I Amalgam Kls Ii Amalgam Kls I Amalgam Kls II Komposit Kls IV Komposit Kls I Komposit Kls III Komposit Kls I Komposit Kls III Komposit Kls I Pulpektomi Amalgam Kls I Komposit Kls IV Komposit Kls Iv Amalgam Kls I Komposit Kls I Amalgam Kls I Komposit Kls III Komposit Kls 11+21 Komposit Lks I Komposit Kls I Indikasi Perawatan Endo Komposit Kls IV Indikasi Pasak Tump. Ita Andanari Agnys Mariana Hasiana Cahya Putri Ferra Anggia Maharani Pande Sumardana Agung Ayu Maheswari charista Oka Sulistyawati Bayu A Pande Wulan Novita dewi Purnama.63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 14/6/11 14/6/11 14/6/11 14/6/11 14/6/11 14/6/11 14/6/11 14/6/11 14/6/11 15/6/11 15/6/11 15/6/11 15/6/11 15/6/11 15/6/11 15/6/11 15/6/11 15/6/11 16/6/11 16/6/11 16/6/11 16/6/11 16/6/11 16/6/11 16/6/11 16/6/11 16/6/11 16/6/11 17/6/11 17/6/11 17/6/11 17/6/11 17/6/11 18/6/11 18/6/11 18/6/11 18/6/11 18/6/11 18/6/11 18/6/11 18/6/11 18/6/11 18/6/11 18/6/11 20/6/11 20/6/11 20/6/11 20/6/11 20/6/11 20/6/11 20/6/11 20/6/11 20/6/11 20/6/11 21/6/11 21/6/11 21/6/11 21/6/11 21/6/11 21/6/11 21/6/11 21/6/11 21/6/11 21/6/11 21/6/11 22/6/11 22/6/11 22/6/11 69953/VI/11 69954/VI/11 69955/VI/11 69956/VI/11 69957/VI/11 69958/VI/11 69959/VI/11 69960/VI/11 69961/VI/11 69962/VI/11 69963/VI/11 69964/VI/11 69965/VI/11 69966/VI/11 69967/VI/11 69822/V/11(lama 69968/VI/11 69969/VI/11 69970/VI/11 69971/VI/11 69972/VI/11 69973/VI/11 69974/VI/11 69975/VI/11 69976/VI/11 69977/VI/11 69978/VI/11 69979/VI/11 69980/VI/11 69981/VI/11 69982/VI/11 69983/VI/11 69984/VI/11 69985/VI/11 69986/VI/11 69987/VI/11 69988/VI/11 69989/VI/11 69990/VI/11 69991/VI/11 69992/VI/11 69993/VI/11 69994/VI/11 69995/VI/11 69996/VI/11 69997/VI/11 69877/II/11 69998/VI/11 69999/VI/11 699100/VI/11 699101/VI/11 699102/VI/11 699103/VI/11 699104/VI/11 699105/VI/11 699106/VI/11 699107/VI/11 699108/VI/11 699109/VI/11 699110/VI/11 699111/VI/11 699112/VI/11 699113/VI/11 699114/VI/11 699115/VI/11 699116/VI/11 699117/VI/11 69996/VI/11 Srimin Hendra Dicky Christianto Rai Kd widiarta Surya Handarini Km Kristina dewi P I Kdk Dangin Vivi Fani I GA Agung Supariadi Sumiasih Siti Rohmat Wayan suarnika Dewa Ngurah Satria Desi Anggraeni Ngrh Manu Subaga Mansur Septiana Ni Luh Putri Krisnawati Hortencio Amaral Pt Ari Leni Simon Sahari Muliani Dian F Grace I Pt Julio Edi Pratama Kt Uwi Mega Silvia Indrawan Intan Rustini Putri Y Suparmi M Syamsul A Ibu Tutik Md Sudarmini Evy Mathias Antony S Richard N Kdk Mariani Md sudarmini Niken Indrian Sari Ipt Agung Yudistira Nym Musda Gst Ayu ngh Santini Marwati Ryan Fernando Gilang Prasetyo desi Rahayu Kd Kasih Bu Telma Bu Iis Abdul Rahman Happy S Erwin Erwin Hendrikus Horma Endang Sutiartanti Shinta Ayunani I gd Purnama Dsk Pt Novita Siti Malika Firmansyah Indrawan merrisa Pt agung Yudistira P L L L L L P L P P P P P L L P L L P P L P P L P P P L P P L P P P L P P P L L L P P p L L P P L L P P P p L P L L L P P L P P L L P L 20 Th 20 Th 26 Th 12 th 34 th 35 th 37 th 18 th 30 th 13 th 35 th 9 th 22 th 8 th 21 th 32 Th 24 Th 24 Th 26 Th 22 Th 16 Th 21 Th 30 Th 12 Th 15 Th 25 Th 19 Th 39 Th 21 Th 41 Th 35 Th 20 Th 22 Th 42 Th 30 Th 15 Th 35 Th 34 Th 13 Th 46 Th 37 Th 17 Th 12 Th 11 Th 45 Th 37 Th 44 Th 40 Th 43 Th 15 Th 20 Th 20 Th 25 Th 22 Th 23 Th 21 Th 21 Th 45 Th 31 Th 15 Th 23 Th 13 Th JL Tanjung sanur Ds Gadungan JL sesetan IV A JL Ckroaminoto No 34 Kabetan Ds bakbakan Perum Permata arsandi 36 Kramas Gianyar JL sedap Malam JL Gadung Jl cokroaminoto no 34 Dps Jl Tk Ciliwung II no 3 Dps Jl Jayagiri no 19 Jl Jaygiri no 22 Dps Br Nungnung Plaga Jl Rajawali Gg III no 4 Tbn Tkd Banyusari Gg Taman no 5 Dps Jl Pura Sada Jl A Yani RT 8 No 3 Dalung Permai no X Singakerta Ubud Jl Nagasari 27 Dps JL Sedap Malam gg Mantri JL Nangka No 4 JL Wijaya Kusuma JL Yang Batu No 8A JL Cok Agung Trisna JL Br Untal -Untal Br Penestanan Klod Ubud JL Gn Batur Gg Delima JL Gn Agung No 24 JL Letda Made Putra JL Seroja JL Gn Agung Mertajaya JL Nangka. Ingelende dhety Adi Suartika Mas wulan sari Feny .Y Wilhelmus G A Warni Ari Dwiyanti Fienna N S Cristo Terri Widiadnyani Maria hOSIANA Ilham Z Aklis Helly Sista Ganesha Dedy Arya D Ivonia Hitaswari Diah Yuliandari Fienna N S Wiwik Chandra D Putra N Helly D Dayu Sundari Ayu Maheswari Indah Suryadewi Mayudianingsih Sistayanthi Parameha Fitri G Charissa Oka Sulistyawati Novita dewi Bobby Ilham Z Aklis Indah Suryadewi Agnys Ayuni Biksa feny Widi. JL Diponogoro No 717 JL sekarsari Gg Musola JL GN Agung No 4C JL Tkd Pancoran F/20 JL Gadung No 8 JL Bay Pas Ngh Rai gg Wijaya 2 No 2 JL Kapten Japa No 24 JL Tkd Yeh Biu No I JL Gn Agung Gg Mertajaya No 4C Cenengan Sari Gg Angrek No 10 Jl Antasura gg Batu Sari Blok C2 JL Batuyang No 38 JL Tkd Pakerisan Gg XIV A No 12 JL Warkudara no 11 JL Gn Agung Gg Mertajaya No 4C JlL Letda Reta No 12 JL Subur JL Kapten Japa Gg I No 5 Br Untal -Untal 30 Dalung JL P Sailus No 1 JL Cokroaminoto Gg Bangau No 2 JL Sanggarlangit JL Ida Bgs Oka No 3 JL Ida Bgs Oka No 3 JL Tamrin I/8 Br Yangbatu JL Raya Kuta No 10 JL Kecubung No 39 JL Ida Bgs Oka No 3 JL Plawa N0 11 JL Gadung No 11 JL Letda Made Putra Gg 5 Perum Dalung Permai Blok 22 /3 Jl Antasura gg Batu Sari Blok C2 1113/VI/11 0378/V/11 1320/VI/11 1313/VI/11 1120/VI/11 1237/VI/11 1302/VI/11 1324/VI/11 65/102/II/11 292/V/11 1535/V/11 1265/VI/11 1354/VI/11 1151/VI/11 1356/VI/11 6376/VI/11 64959/II/11 60584/V/10 1323/VI/11 1300/VI/11 0642/VI/11 55218/VI/11 1167/V/11 0036/IV/11 55249/VI/11 1122/VI/11 1380/VI/11 1381/VI/11 1386/VI/11 0880/VI/11 0900/VI/11 0580/VI/11 1391/VI/11 1412/VI/11 1402/VI/11 63821/XI/10 1408/VI/11 1409/VI/11 1417/VI/11 1414/VI/11 1421/VI/11 1405/VI/11 1408/VI/11 0643/V/11 1430/VI/11 1144/VI/11 0307/V/11 0902/V/11 1251/VI/11 1459/VI/11 1461/VI/11 55209/V/11 0815/V/11 1458/VI/11 1469/VI/11 1472/VI/11 1470/VI/11 1470/VI/11 1410/VI/11 1240/VI/11 1394/VI/11 1478/VI/11 1482/VI/11 55241/VI/11 0810/V/11 55210/III/11 1506/VI/11 1430/VI/11 post Pulp Capping fraktur 21 IP 46 Pulpitis Reversible Post pulp Capping HP HP HP HP pulpitis revelsible Hiperaimi Pulpa Hiperaimi Pulpa Iritasi Pulpa Iritasi Pulpa Hiperemi Pulpa M Jaket Pulpitis Revelsible Hiperaemi Pulpa 11 Hiperaemi Pulpa pd 6 Hiperaemi Pulpa pd 46 Hiperaemi Pulpa pd 37 Post Pulp Capping 35 HP 47 HP 14 Post Pulp Capping 21 HP HP HP HP IP Pulpitis Irreversible Post Pulp Capping 36 Fraktur 21 Fraktur 11 KM 36 KS 48 HP HP HP HP HP Hp HP Post Pulpektomi Fraktur 21 Fraktur KM 12 Post Pulp Capping 37 Fraktur Fraktur 12 HP 24 Post Pulp Capping 24 Post Pulpektomi 21 Ind. Kls VI Tump Kls VI Komposit Kls III Amalgam Kls I Tumpatan Kls IV Kokposit Kls VI Amalgam Kls II Amalgam Kls II Indikasi Pasak GIC Amalgam Kls II Komposit Kls III Komposit Kls VI komposit Kls VI Amalgam kls I amalgam Kls I Komposit kls I Komposit Kls VI Komposit Kls I Amalgam Kls II Amalgam Kls I Indikasi Pasak Komposit kls IV Komposit Kls Iv Ria Purnami Agung Dhety Dwiliana Yuliani Elissa ESTI D.

A. dps jl.1/4 mahkota p0st endointrakanal post pulpek post caping Post capping hyperem pulpa hyperemi pulpA Fraktur 1/3 Incisal hyperemi pulpa hyperemi pulpA hyperemi pulpA amalgam klas 1 tumpatan kelas VI komposit tump kls 1 amalgam Pulpcapping tump klas 1 komposit tump klas VI komposit tump klas I komposit Indikasi Pasak Indikasi Pasak Indikasi Inlay Indikasi klas V GIC INDIKASI KLAS IV KOMPOSIT indikasi klas I amalgam indikasi mahlota pasak indikasi tumpatan tuang onlay Tump kls II amalgam indikasi mahkota pasak Tump klas V GIC tindikasi klas IV komposit tumpatan klas I Amalgam tumpatan klas II Amalgam tumpatan klas I Amalgam indikasi inlay komposit klas 4 mahkota pasak onlay onlay klas I Amalgam komposit klas 3 komposit klas 4 komposit kls 4 komposit klas 4 komposit lkls 3 pulpcapping indah febrina pande sumardana wyn rusdianto Novita dewi arya sweta Oka Sulistyawati pande sumardana Yudi Saputra AndikA Ayu Aria. Letda made putra no 14 jl. 11 A jl.letda reta gg.A.131 22/6/11 132 22/6/11 133 22/6/11 22/6/11 134 23/6/11 135 23/6/11 136 23/6/11 137 23/6/11 138 23/6/11 139 24/6/11 140 24/6/11 141 24/6/11 142 24/06/11 143 24/06/11 144 24/6/11 145 24/06/11 146 24/06/11 147 25/6/11 148 25/6/11 149 25/6/11 150 25/06/11 151 25/6/11 152 27/6/11 153 27/6/11 154 27/6/11 155 28/6/11 156 28/6/11 699118/VI/11 699119/VI/11 699120/VI/11 699121/VI/11 70000/vi/11 70001/VI/11 70002/VI/11 70003/VI/11 70004/vI/11 70005/VI/11 70006/VI/11 70007/vi/11 70008/vi/11 70009/VI/11 70010/VI/11 70011/VI/11 70012/VI/11 70013/VI/11 70014/VI/11 70015/VI/11 70016/vi/11 70017/VI/11 70018/VI/11 70019/VI/11 70020/VI/11 70021/VI/11 70022/VI/11 ni Kt Irawati Lilik Widia Niken Ayu Kurniasari fani putu ari nanik Rohali nanik rohali matius Dexa Satria ni kadek dwi lestari Kristina Dewi suratmaja ketut audy Kadek Budiasa I made dangin lilik Bu Iis Kristina Dewi komang artini mathias bu annga Ngh Manu Subaga Anggun Yuka Ika Dewi I. Imam bonjol no. Gadung IX no. Andakasa Gg.4 Dps jl. ita ining Maria hosiana dewaty ayu feny Awan Tanjung Ingelende Syifa Triana Dewi charista pande wulan ARYA SWETA Agung Dwija Novita dewi . Bale batur. Gilimaha no. Batu yang.dipenogoro no.Pulau saelus no. Kls iv komposit tump kls IV komposit HP hyperem pulpa hyperem pulpa hiperemi pulpa hiperemi pulpa post pulp capping fr.sanur br.merpati n0. Mawar No.letda reta gg.gang kujang no. 16 A Dps jl. Letda Made Putra Gg. Marana Eti 21/07/2011 70047/VII/11 Martianus Balino 21/07/11 70048/vii/11 bagus siladharma 21/07/11 70049/VII/11 merry Herniati 21/7/11 70050/VII/11 Esti Murni 21/7/11 70051/VII/11 Siti Malita 21/7/11 70052/VII/11 Dewi 21/7/11 70053/VII/11 Ibu Ely 22/07/11 70054/vii/11 melati 22/7/11 70055/VII/11 Ni Wayan Suriani 22/07/11 70056/VII/11 made dwitanaya 22/7/11 70057/vii/11 py darmayasa 22/7/11 70058/vii/11 ketut parta l L l P l P p P L L P P P P P L L L l P P L P L P L L P P P P P p P L l L 20th 35th 23thn 18 thn 20 th 22 th 17 th 13 thn 15 thn 23th 40th 57thn 30thn 50th 23 thn 29 thn 46th 67th 18thn 17 thn 56thn 10th 19thn 34 TH 16 thn 38 th 14 th 22 thn 24 th 45 th 20 thn 56 thn 21 th 18 th 21 th 43thn 36 th br buruan gianyar jl. 8 Dps jl. 3 DPS Jl. Vidyani Gede Putra Widana Jero Patmawati P P p P p p p L L p p l l L L p p P P l p L P P P L p 36 Th 17 Th 18 Th 12th 32 th 24 tahun 24 yahun 17 tahun 25thn 9 th 41th 23 thn 15thn 43thn 20 th 32th 40th 41 th 16 th 22 thn 39 thn 34 Th 21 th 17 th 27 thn 12 thn 57thn JL Saturnus No 7 JL Salya No 14 JL Tkd Buaji jl. 17 Dps jln nangka selatan gg kenari 7/19 jl.muding pertiwi. Yani gang A 1 jl. P Moyo no 32 Jl Plawa no 11 Jl.kuanji N0.19 dps JL.Bangsing no. tanjung benoa 1599/VI/11 1612/VII/11 0785/v/11 1161/vi/11 1599/vii/11 1656/VII/11 1560/VI/11 1269/VI/11 0900/IV/11 1534/VI/11 1666/VII/11 1682/VII/11 1702/VII/11 0762/V/11 1687/VII/11 0321/V/11 64916/II/11 1715/vii/11 1725/VII/11 1726/VII/11 1729/VII/11 1624/VII/11 65080/ii/11 1783/VII/11 55287/VII/11 1786/vii/11 1030/vi/11 57238/VIII/2010 1302/VI/11 1789/VII/11 1793/vii/11 1801/vii/11 1795/VII/11 1798/vii/11 1809/vii/11 HP hiperemi pulpa post pip kaping HP HP HP pulpitis reversible post endo Post Endo post Pulp Capping Iritasi Pulpa FR.R.IB oka.256 dps jl.pidada VII/16A.baypass sanur no 55 jl. 1 jl. oktaviani trisna dewi Suparno TOTAL JUMLAH PASIEN BULAN JUNI 2011 = 156 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 1/7/2011 70023/VII/11 agus waskita 2/7/2011 70024/VII/11 Subagia 8/7/2011 70025/vii/11 marianto 8/7/2011 70026/vii/11 kadek ari 9/7/2011 70027/vii/11 agus waskita 9/7/2011 70028/VII/11 ari yuliana 9/7/2011 70029/VII/11 lela prasetya prabaningrum 11/7/2011 70030/VII/11 Kadek Novita Prayani 11/7/2011 70031/VI/11 Indrawan 11/7/2011 70032/VII/11 Adi 11/7/2011 70033/VII/11 Iis Sugiarti 13/7/2011 70034/VII/11 IBU SUMIATI 18/07/11 70035/VII/11 Sumini 18/07/11 70036/VII/11 desak nyoman arini 18/07/11 70037/VII/11 nur tri chana 18/07/11 646616/II/11(lama) Nym andika 18/07/11 70038/VII/11 nyoman musda 19/07/11 70039/VII/11 I made wirta 19/07/11 70040/vii/11 sutikno hadi santoso 19/07/11 70041/VII/11 Rara 19/07/11 70042/VII/11 Sukarningsih 19/07/11 70043/VII/11 Gede Arianta 20/07/2011 70044/VII/11 Icha 20/07/2011 70045/Vii/11 wy suardika 21//07/2011 70046/VII/11 T.Pulau Batam no. Pakishaji no.I. Letda Reta No.8 Jl.A. PLAWA 15 jl. 50. Imam bonjol gang 100 Jl. Kadling. WR Supratman Gg. 1/3 MAHKOTA HP post pulpek post pulpek HP post pulpek tump. Kamasan jl sedap malam jl. Serma made pil. Pratama.17A jl.7 dps JL.pekambingan 55 jln. Kls V GIC tump. No.k Ivan Ledoh WIDIADNYANI nona agus ratih yoga jan tyerri Yuniarti setia utami Dayu Sundari wyn rusdianto Gd Purnama Y. 12 Denpasar Jl. Dps jl. A. Aru no 2. Letda reta gg harnum 3 JL Pura Sada No 8 Kapal Jl Letda Md Putra Gg III no 11 Jl Letda Md Putra Gg III no 25 jln. R.1 Jl. Buruan gianyar ds. Setia budi jl.sedap malam jl.9 DPS 65138/II/11 1139/VI/11 0174/V/11 0292/V/11 1342/vi/11 1169/VI/11 1169/VI/11 1543/VI/11 1252/VI/11 0634/VI/11 1546/VI/11 1548/vi/11 1549/vi/11 1422/VI/11 1551/VI/11 64194/XII/10 1458/VI/11 1546/VI/11 1557/VI/11 1417/VI/11 1558/vi/11 64959/II/11 1574/VI/11 1573/VI/11 65332/III/11 1325/VI/11 64670/01/11 Post Pulpektomi 16 Post Pulp Capping 47 Post Endo Intracanal 12 post pupl capping HP HP HP fraktur 21 post pulp capping post capping fraktur 41 hp hp HP fraktur 42 atrisi 13 HP Fraktur 31 HP HP hp HP hp Hp HP post pulpcapping post endo Indikasi Onlay Komposit Kls I Indikasi Pasak 12 indikasi inlay tump.letda reta gg 5 no 6. I No.Cokroaminoto Gg.20 jl kenyeri no 1 jl.dps jl.Gunung Agung no 6 Dps jl.tunjuk. Surapati.tabanan jl.. Gng Batok III no. III.letda reta jl.Denpasar jl.p Irma chintya hadijah Ivonia Jelantik T. no 8A Jln Tegal wangi III no 4 K.tunjuk selatan.klas III kompsit 12 Amalgam klas 1 Komposit klas iv komposit kelas 6 indikasi inlay indikasi amalgam komposit kls VI komposit klass 1 Komposit Kls III komposit kelas V komposit kls IV mahkota jaket Komposit klas III Komposit kls VI komposit klas I komposit klas 3 komposit kls iii Inlay Tumpatan Kls I amalgam Kls I amalgam kls 3 komposit indikasi inlay indikasi pasak Cahya Putri Setia Utami Trisna Dewi ari dwiyanti Dewaty Ayu Dewaty Ayu Dewaty Ayu agnys ingelende reny ningrum Hadijah andika ARYA SWETA Indah Febryna Novita dewi nona anita maharani pande wulan Novita dewi gede purnamayanta iwayan rusdianto Helly Triana Dewi Syifa A. Cokroaminoto no 34. Pidada VII No. I Jl. Kembang rampe. GG.kenyeri no 23 jl. Gatsu perum bumi kerta no. Letda Reta No. 16 A Dps jln yudistura gang 2 no 6 jln.karangasem jln.3 DPS Jl P.sedap malam jl.4 Dps jl. 10 Jl.sedap malam gg bunga rampe jln.G.2 jl. TK IRAWADI NO. badung Jl.dps Jl. Gn. Pidada VII No. gg.28 J. gg 1. Dps JL.

Letda made putra gg1 d jl tantular 3x jln. Imam Bonjol no.4 jl. Pulau selous no 21 jl.4 No. denpasar Jl Plawa no 45 Dps jl.wanasari gg. P. Nangka selatan. Taman sekar.4 Dps jl.1 Dps jl. Sahadewa No 12 A Jl Jayagiri gg xix no 29 jl Sekar Tunjung I/4 perum kuta raya no 3 Jl Cokroaminoto gg bangsing 2 1763/VII/11 1932/VIII/11 1911/VII/11 1717/VIII/11 1846/VII/11 1717/VIII/11 1950/VIII/11 1968/VIII/11 1936/VIII/11 1967/VIII/11 1831/VII/11 1966/VII/11 1975/VIII/11 1764/VII/11 1990/VIII/11 2007/VIII/11 1676/VII/11 1549/VII/11 2001/VII/11 2027/vIII/11 1029/VI/11 1528/Vi/11 2042/VIII/11 2044/VIII/11 1962/VIII/11 1683/VII/11 2052/viii/11 2058/VIII/11 2069/VIII/11 2087/VIII/11 1252/VI/11 post pulpcapping hiperemi pulpa hiperemi pulpa hiperemi pulpa Post Pulp Capping hiperemi pulpa post pulp capping fr. dps Aspol kreneng.38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 22/07/2011 23/07/2011 23/7/11 23/VII/11 23/VII/11 25/Vii/11 25/Vii/11 25/VII/11 25/Vii/11 25/VII /11 26/VII/11 26/VII/11 26/7/11 27/7/11 27/07/2011 27/7/11 27/7/11 27/7/11 27/7/11 27/7/11 27/VII/11 27/7/11 27/VII/11 28/VII/11 28/7/11 29/7/11 29/07/11 29/07/11 29/07/11 29/7/11 29/7/11 29/7/11 30/7/11 30/7/11 70059/VII/11 70060/VII/11 70061/VII/11 70062/VII/11 70063/VII/11 70064/VII/11 70065/VII/11 70066/VII/11 70067/VII/11 70068/VII/11 70069/VII/11 70070/VII/11 70071/VII/11 70072/vii/11 70073/VII/11 70074/VII/11 70075/VII/11 70076/VII/11 70077/VII/11 70078/VII/11 70079/VII/11 70080/VII/11 70081/Vi/11 70082/VII/11 70083/VII/11 70084/VII/11 70085/vii/11 70086/vii/11 70087/VII/11 70088/VII/11 70089/VII/11 70090/VII/11 70091/VII/11 70092/vii/11 Asmaun ketut candra Ni Wayan Suriani ni putu asri dewi siti hatijah mahruz adi putra Ni WayanSudani Ni Nym Alit Trinadi IB. Sedap malam jl. Raya gatsu barat. Gn. 78. dps Jl. Sedap malam dps JL WR Supratman jln purnawira 8 dps Jl.5 Jl. By Pass Ngurah Rai jl nangka utara gang belibis no 32 Beteng sari jl letda made putra no 6 dps abiansemal badung Jl Salya gg IV Baru no 18 Jl.9 jl. Buluh indah no.Dps jl. Krandan jl. Sedap malam gg.Roon gg.monang-maning gg.Letda Reta gg 4 no 26. no 3 Jl. Subur gg merah kecubung jl.tkd batanghari IVA/10. no 17.10 Jl.Banteng no 9 X Jl.tunjung sari jln. Letda reta III dps Jl.4 Dps jl.surapati GgIII no 12. Letda Reta No 50.salya gg IV baru/no 18 jl ratna gg IV no 5 dps jl.surapati GgIII no 12.5 Dps jl.nusa kambangan Gg XI no.gunung agung dps Jl Letda Made Putra Jl.kusuma bangsa 2 no. Ahmad yani Jl. dps jln. Batur. Gunung Karang no. Gn Lebah gg 4.letda reta gg4 no 32 jln.dps jln.a yani no 3 jln. dps jl. Anom Satya Prabawa juliantara Ayu Faniati Dewi soleh Fitriani uchi yusticia dewi Putri Danela Nelly Made Astara Km Supadmi olit rian ali imron Nanik Wayan Nik M. Gunung Andakasa No. Dps jl. 1/2 mahkota Hiperemi Pulpa fr mahkota Hiperemi pulpa hiperemi pulpa irritation pulpa Hiperaimi Pulpa Hiperemi Pulpa hiperemi pulpa Fraktur 1/3 Incisal hiperemi pulpa hiperemi pulpa irritation pulpa post endo intrakanal post endo intrakanal hiperemi pulpa fr 1/3 cervikoinsisal hiperemi pulpa hiperemi pulpa hiperemi pulpa Hiperaimi Pulpa hiperemi pulpa hiperemi pulpa post caping klas IV komposit klas IV komposit kls II amalgam kls V GIC klas I Amalgam kls V GIC inlay Kls VI komposit klas IV komposit klas IV komposit Klas II amalgam klas 1 amalgam kls 1 kmposit kls II amalgam Klas I Komposit klas VI komposit klas VI komposit klas III komposit kls amalgam I kls 1 kmposit Mahkota pasak mahkota pasak kls II amalgam klas IV komposit Kls III Komposit kls II amalgam kls IV komposit kls II amalgam kls I amalgam kls IV komposit inlay nurwahyuni nona merry Rusdianto Dwiliana arya sweta pande sumardana Ari dwiyanti nona ita Mas wulansari agustina ayuni biksa Dentarika Mas wulansari Novita dewi Fachrun kahar charista Jelantik Adi Purnama Putra wiwik Ita Ayu R yulia hartanti oka sulistyawati maheswari yuliani arya sweta Tini Y Jelantik yulia hartanti Yuniarti . dps jln. Tunjung biru tkd badung no 1 Jl. Sesetan Gang Melati No.117x Jl.Akbar Yoga Muliani putu dharma yasa I wayan adiyasa wirta made krisna putra tiwi wayan sarini wira budi prima suta Melati pranitasari L l P P p L P P L L P L P p P L P L L L P P L L P l l l L P p L P p 25 th 32 th 18 th 11 th 46 th 12tn 26 th 19 thn 24 th 15thn 19thn 45th 21 th 22thn 18 thn 33 th 38 th 29 th 31 th 26 th 25thn 13 thn 30 th 13 th 26 th 34 thn 19 thn 60th 12th 38th 37th 24 th 21 th 19thn jl. Yang batu no 8A jln sedap malam jln tulip no 1a JL Surapati Gg III No 12 jl kapten japa Gg 4 jl.sunan kali jaga n0. no3 Jln.hayam wyruk g remaja XVI no. 69 kenari Jl Gunung Agung 1806/VII/11 1820/VII/11 1801/VII/11 1824/VII/11 1827/VII/11 70064/VII/11 1831/VII/11 1838/VII/11 1800/VII/11 1082/VI/11 1850/VII/11 1852/VII/11 1736/VII/11 1863/vii/11 1871/VII/11 1873/VII/11 1266/VI/11 1875/vii/11 1878/VII/11 1879/VII/11 1169/VI/11 1898/VII/11 1899/VII/2011 1152/VI/11 1201/VI/11 1798/vii/11 1904/vii/11 1717/vii/11 1857/VII/11 1909/VII/11 1764/VII/11 65280/III/11 1793/vii/11 1918/vii/11 hyperemi pulpa hyperemi pulpA hyperemi pulpA hyperemi pulpA hyperemi pulpA post pulpek Hiperemi Pulpa hiperemi pulpa Hiperemi Pulpa post capping hiperemi pulpa hiperemi pulpa Hiperaimi Pulpa hiperemi pulpa hiperremi pulpa Nekrosis pulpa Post pulpektomi hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa Hiperemi pulpa Post endo intrakanal post pulpektomi hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa komposit kelas 4 indikasi kelas 5 GIC amalgam klas 1 komposite kls 1 komposite kls 4 mahkota pasak Komposite klas 3 Komposit klas I Komposit klas IV amalgam klas I amalgam kelas 1 GIC kelas V Komposit kls I komposit klas iii komposit klas IV Endo intrakanal mahkota pasak klas 1 komposit Kls III Komposit komposite kls VI komposit klas I Komposit klas III Komposit klas 3 Indikasi pasak Indikasi pasak komposit kelas III komposit kelas VI gic kls v klas II amalgam klas VI komposit kls I amalgam kls II amalgam klas III komposit klas 1 komposit Pande Sumardana gede purnamayanta Pande Wulan yulia hartanti jeffry irmawati Mas wulan sari Ari dwiyanti Mas Wulansari agustina Irma Chintya Dewi pande sumardana Nurwahyuni indah suryadewi janterri Ivan Ari dwiyanti feny yulia hartanti yulia hartanti nona Ivan dewaty ayu maswulan fienna irma chintya Rusdianto agung dwija rima subawa sudaryanti sri indrayanti jelantik gede purnamayanta Oka Sulistyawati TOTAL JUMLAH PASIEN BULAN JULI 2011 = 71 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1/8/2011 1/8/2011 1/8/2011 2/8/2011 2/8/2011 2/8/2011 2/8/2011 3/8/2011 3/8/2011 3/5/2011 3/8/2011 3/8/2011 3/8/2011 3/8/2011 4/8/2011 5/8/2011 5/8/2011 6/8/2011 6/8/2011 8/8/2011 8/8/2011 8/8/2011 8/8/2011 9/8/2011 9/8/2011 9/8/2011 9/8/2011 9/8/2011 10/8/2011 11/8/2011 12/8/2011 70093/VII/11 70094/VIII/11 70095/VIII/11 70096/VIII/11 70097/VIII/11 70098/VIII/11 70099/VIII/11 70100/VIII/11 53328/VIII/11 70101/VIII/11 70102/VIII/11 70103/VII/11 70104/VIII/11 70105/VIII/11 70106/VIII/11 70107/VIII/11 70108/VIII/11 70109/VII/11 70110/VII/11 70111/VIII/11 70112/VIII/2011 70113/VII/11 70114/VIII/11 70115/VIII/11 70116/VIII/11 70117/VIII/11 70118/VIII/11 70119/VIII/11 70120/VIII/11 70121/VIII/11 70122/VIII/11 bu fikri Komang Suandi pt darmayasa wirta Sri Wahyuni wirta sanimah nella Ni Wayan Karyani ardiansyah Ni wayan Sudani nurhaini weda sanjiwani Wy Sarini Ambara Putra arifin raudatul janna ketut Wira Suta komng aditya indra p Ida Bagus suprapta hanifah dwi nurandi Adi ni wayan parti WAYAN BANTUL Ni Luh Sucini Suparman IGA Diah rian prabowo Dexa Satria p P L L P L P P P L P P P P L L p L L L L P L L P L p L P L L 36 thn 21thn 34th 60th 23thn 60th 44th 41 th 41thn 29th 26 th 37 thn 20th 37 th 24 th 45th 12th 15thn 25 th 20 thn 35 th 28th 25 th 26 th 35 th 18th 46th 42 th 25 th 17 th 25 th jl. Betengsari Denpasar Utara Jl. Letda reta Jl. Sudirman no 1 Jl. Sumatra gang I no 4 jl.10 jln. Blok G.

17 A no.sanur jl. PLAWA 1 DENPASAR 2101/VIII/11 jl. Bgs. Kembang rampe. Mertasari B no 15 Dps 1343/VI/11 jl.20 Dps 533353/VII/11 jln. Tukad petanu no.gg. Wisnu Wirawan Deni Wayan Sukerti arselus L. Serma Md Pill Gg. Puri Agung Gelogor 2243/VIII/11 G. Batukaru Gg. juwita putra helly D.yang batu gg. Letda made putra 2115/v11/11 Jl. Ngr. Pewaya Batuan. Gadung Gang I no 10 70135/VIII/11 jl Letda Reta Gang f 1576/VI/11 asrama polisi 2240/VIII/11 Jl.Gadung 30 2122/VIII/11 Jl. Lempuyang III no 19 dps 0293/V/11 jln. P. Pulau kawe no. Gatsu I Gg.Tuban Jln. jan terri RATIH YOGA dewaty ayu dayu sundari Ivan dentarika yoseph . Melati No.tukad yeh aya IX dps 55284/VII/11 jl.Gng Guntur.mahendradatta gg pdg gajah no9 dps 2308/IX/2011 jl.salia no. Nagasari no.Komp. dps 2297/IX/11 jl. Made bina 2112/VIII/11 jl.pacar no 2a denpasar 2165/VIII/11 br. VIII 2060/VIII/11 Jl.agus arsamadi p p L L P L L L p P L p p p L L L P L P P l l P l p L 35 th 18th 13 th 40 th 41 th 22 th 20thn 18th 25th 32 thn 40 thn 40th 44 th 18 th 18th 32th 30th 21th 15th 60 thn 35 th 35 th 35 th 40th 26 thn 17 thn 20thn jl.plawa 2143/viii/11 Jl.Sari no.Kurung No. 6 indikasi komposit kls 4 INDIKASI KLAS 2 AMALGAM INDIKASI KLAS 2 AMALGAM INDIKASI KLAS 2 AMALGAM Widiawati bayu apri buana Adi Purnama Putra fienna janterri Fienna nona christo dewaty ayu dayu sundari winda Dodiek Ambu Adi Purnama Putra janterri indah suryadewi Ria Purnami yulia hartanti indah suryadewi ayu sudiwedani angga pramita sudaeyanti irmawati widiadnyani Andanari Novita dewi gede purnama yp dentarika Dodiek syanne ayuni biksa Ita Ayu R Ari dwiyanti cahya putri cahya putri hadijah JUMLAH PASIEN BULAN AGUSTUS = 68 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 22 23 24 25 26 2/9/2011 2/9/2011 5/9/2011 5/9/2011 6/9/2011 6/9/2011 6/9/2011 6/9/2011 7/9/2011 8/9/2011 9/9/2011 9/9/2011 9/9/2011 9/9/2011 9/9/2011 9/9/2011 9/9/2011 9/9/2011 10/9/2011 12/9/2011 12/9/2011 14/09/2011 19/9/2011 19/9/2011 19/9/11 19/9/11 19/9/2011 70160/viii/11 70161/IX/11 70162/IX/11 70163/IX/11 70164/IX/11 70165/IX/11 70166/IX/11 70167/ix/11 70168/lx/11 70169/IX/11 70170/IX/11 70171/IX/11 70172/IX/11 70173/IX/11 70174/IX/11 70175/IX/11 70176/IX/11 70177/IX/11 70178/IX/11 70179/IX/11 70180/IX/11 70131/viii/11 70181/IX/11 70182/IX/11 70183/IX/11 70184/IX/11 70185/IX/11 ketutu sritika Nadya Gst.3 dps 60566/V/10 hiperemi pulpa post pulpcapping post endointracanal hiperemi pulpa post pulpcapping post pulpektomi hiperemi pulpa post pulpektomy hiperemi pulpa irritasi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa post pulpektomi post endo intrakanal post endointarkanal post Pulp Capping hiperemi pulpa post pulpektomi hiperemia pulpa POST PULP CAPPING post pulpektomi post pulpektomy hiperemia pulpa post endointrakanal IP indikasi klas 1 komposit indikasi klas III komposit indikasi mahkota pasak komposit kls III komposit kls III onlay amalgam klas II inlay klas 1 komposit klas 6 komposit klas 4 komposit kelas II amalgam komposit kelas 1 mahkota pasak onlay onlay Amalgam klas I komposit kls 1 mahkota pasak klas V GIC INLAY mahkota pasak mahkota pasak Komposit klas IV onlay Amalgam klas I charista juwita putra hitaswari Adi P Ria Purnami novita dewi suparta novic julia christo janterri Elisse pande sumardana bayu apribuana novita dewi andy herawan Ayu aria k Anggia S.wr.subur gang gunung karang dps 2094/VIII/11 jln.1 no. Gunung guntur.tabanan 2179/viii/11 jl salya gg 4 baru 2180/viii/11 jl.letda reta no.soka no 83 dps 1799/vlll/11 jl. Terompong no.Perum Sepaguntur. I No.supratman gg. Sukawati Jln.16 jl.Nangka Utara Gg.gg mertajaya 1231/vi/11 jl.38 Denpasar 53331/VIII/11 Jl Br Canggu Permai B 21 2272/IX/11 jl.41 dps 53326/VII/11 jl.sambez 1/3 dps 2167/vii/11 Jl. Pulau saelus NO 22 denpasar 2169/viii/11 jln. 45 0127/V/11 JL. Dps 2375/IX/11 jln.7 Dps 0239/V/11 jl.merdeka 9 denpasar 2269/IX/11 jl. Kenanga. Hayam wuruk gg.kembang matahari G.letda md putra gg xi no 7 2187/viii/11 jl.9 Dps 2086/VIII/11 Br. Gadung Gg.Gadung Gang I no10 2122/VIII/11 jl. 16 0122/IV/11 jln. Kapten japa no. no 8 jl. Gn. Gg.46. 46 35286/vii/11 jl. 1 No. Tk Citarum F 99A 1616/VII/11 jl gandaria 2127/viii/11 jln. 8A dps 2151/VIII/11 jln kapten japa 45 dps 2124/VIII/11 jln.gunung agung. 73 53365/VIII/11 jl. Garuda no 8.xiv no 8 dps 2291/ix/11 jln.P galang no. no 3 2207/VIII/11 jl. Gandaria.Batanta. Tegal wangi dps 2209/VIII/11 Jl.32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 12/8/2011 13/8/11 15/8/11 15/8/11 15/08/11 15/08/2011 15/08/2011 15/8/11 15/08/2011 16/08/2011 16/08/11 16/08/11 17/8/11 18/8/11 18/8/11 18/08/2011 19/08/2011 19/08/2011 19/8/11 19/08/11 19/8/11 20/8/11 20/8/11 22/8/11 22/8/11 22/8/11 23/08/11 23/08/11 23/08/11 23/8/11 23/8/11 23/8/11 25/8/11 25/08/11 24/08/11 24/8/11 27/08/11 70123/VIII/11 70124/VIII/11 70125/VIII/11 70126/VIII/11 70127/v/11 70128/VIII/11 70129/VIII/11 70130/vlll/11 70131/vii/11 70132/VIII/11 70133/viii/11 70134/viii/11 70135/VIII/11 70136/VIII/11 1284/VI/11 70138/VIII/11 70139/viii/11 70140/viii/11 70141/VIII/11 70142/vii/11 70143/viii/11 70144/viii/11 70145/viii/11 70146/VIII/11 70147/viii/11 70148/VIII/11 70149/vii/11 70150/VIII/11 70151/VIII/11 70152/VIII/11 70153/VIII/11 70154/VIII/11 70155/VIII/11 70156/VIII/11 70157/VIII/11 70158/VIII/11 70159/VIII/11 Sumarsih yohana DANAN JAYA Lala samsura eka Swandewi Desak made Diah Widiantari ibu galang wayan sukerti ahmad dewa ayu ari putri kusuma dewi aniratu Petrus Atamila lia Elli elfrida Ridwan andi dian indra pratiwi Luh Isti dian febriana sariasih Ida putu yasa oktariadi Sugiarto kadek ari gede prima ary martinus Peter Peter Kmg Ayu patricia Intan Agustiari Taufik Petrus Octabita Hardiningsih P P L P P P P p l p p p L P p P p L L p p p p p L L p L L L L P P P L L P 35 th 23 th 22 THN 22 thn 31 thn 15 th 37thn 32thn 35 th 20 thn 15 th 30thn 26 th 19thn 12 thn 43 thn 31thn 52 thn 26 thn 21thn 32thn 9th 13th 26thn 21thn 29 th 18 th 21 thn 38 th 26 th 26thn 17 th 33th 11 th 25 thn 26 thn 17th Jl Jayagiri no 29 1955/VIII/11 jl. Gunung guntur gang 17a.tegal jegu. Dalung Tan Cik Hai wayan bantul lia eko purnama Denny maria filomina Kristina wayan wayan suartana Kadek Arta Wijaya Imanuel Lina Teguh Ariffaul nengah rai ibu deby ahmad ahmad Wyn Karmiati Musa Wuraka Liku Ari Sanjiwani km.6 2109/VIII/11 Jl.Dps 2219//VIII/11 jl. 67 Dps 2222/VIII/11 post caping hiperemi pilpa hiperemi pulpa post pulpektomi hiperemia Pulpa Fraktur 1/3 Incisal fraktur 1/3mahkota frkatur 1/3 mahkota pulpitis irreversibel post pulpcaping Fraktur 1/3 Incisal hiperemi pulpa Hiperemia Pulpa Hiperemi Pulpa post endo intrakanal iritasi pulpa iritasi pulpa fraktur abrasi hiperemi pulpa hiperemi pulpa pulpitis ireversibel post pulpektomy post endo intrakanal post endo intrakanal post pulpcapping post pulpcapping hiperemi pulpa hiperemi pulpa hiperemia Pulpa post pulpcapping post pulpektomi fraktur 1/2 mahkota fraktur 1/4 mahkota Hipremei pulpa Hiperemi Pulpa Hiperemi Pulpa inlay klas III komposit kls II amalgam onlay amalgam klas 1 klas VI komposit klas VI komposit klas iv komposit pulpectomy kls 1 amalgam kls 6 komposit qmalgam kls 1 Pulp Capping klas III komposit mahkota pasak klas III komposit klas vi komposit klas 1iv komposit kls V GIC klas 1 komposit klas 3 komposit pulpektomi indikasi onlay indikasi onlay indikasi mahkota pasak klas 3 komposit inlay klas 2 amalgam klas III komposit Kontrol Capping indikasi inlay indikasi inlay indikasi komposit kls. Raya Sesetan Gang Graha Pasek no 26S 2116/VIII/11 jln.dps 55299/VII/11 Jl.noja.letda made putra 2327/IX/11 renon denpasar 533374/viii/11 letda made putra 70131/viii/11 jl.penebel. no 28 Br. 10 2122/VIII/11 Jl.6 55125/v/11 jln. Letda made putra no 19 2115/VIII/11 Jl. Tohpati. Pulau Serangan no. Canggu Permai B-21 2273/IX/11 jln. Jayagiri XVII no.

Maluku gg IV no 17 jl banteng no 9x jl.38 br. P.2 jl.6 dps jln.tukad balian xii/4 renon jl. Letda Made Putra 99 no 12 A Jl. Letda reta jl.buana kubu g asem II no 4 dps Perum. Dps jln. no. 9. Letda Md Putra no 12 jln.21 Jl.tamrin 1 dps jl.A. Teges yangloni.34 Dps 1318/IX/11 53331/VIII/11 2555/X/11 1760/v11/11 1176/VI/11 2581/x/11 2598/x/11 2586/x/11 2592/X/11 2606/x/11 52585/X/11 53344/X/11 55165/V/11 53323/VII/11 2660/x/11 2661/X/11 2654/x/11 2697/x/11 2563/x/11 2736/X/11 2738/x/11 2721/x/11 0269/v/11 2762/X/11 2766/x/11 2769/X/11 post endo intrakanal post pulpektomi post capping hiperemi pulpa post endointrakanal Iritasi pulpa iritasi pulpa Iritasi pulpa Iritasi pulpa abrasi hiperemi pulpa Post pulpektomi post pulp capping post pulpektomi post pulpektomi post endo intrakanal hiperemi pulpa iritasi pulpa Iritasi pulpa hiperemi pulpa Post pulpektomi fraktur 1/3 incisal hiperemi pulpa hiperemi pulpa hiperemi pulpa Hiperemi pulpa hiperemi pulpa hiperemi pulpa mahkota pasak mahkota pasak inlay Komposit klas 4 onlay tumpatan kelas I amalgam amalgam kls 2 komposit kls III amalgam kls 1 GIC klas V AMALGAM klas 1 Onlay AMALGAM klas 1 Onlay onlay mahkota pasak Komposit klas 4 komposit kls1 amalgam klas I komposit klas 3 mahkota pasak komposit kals6 amalgam klas I amalgam klas 1 amalgam klas I Amalgam klas 1 komposit kls 4 Komposit klas IV Yuniarti novic julia novic julia Diah Yuliandari feny listiyanti wulandari siumastami yosi martrisna ayu sri adnyani cahyadi Maria Fienna NS wirastuti trisna dewi niki nadia adi purnama yuditha ikawati adi kumara suwikanti Ivan syanne niki nadia dwi rizka dani bayu Yokthan Ofier Siki cahyadi Dwiliana jumlah kunjungan pasien bulan oktober 2011 =28 orang 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 1/11/2011 1/11/2011 1/11/2011 2/11/2011 3/11/2011 3/11/2011 3/11/2011 3/11/2011 3/11/2011 3/11/2011 3/11/2011 3/11/2011 3/11/2011 3/11/2011 3/11/2011 702133/x/11 702134/x/11 702135/X/11 702136/XI/11 702137/XI/11 702138/XI/11 702139/x1/11 702140/XI/11 702141/XI/11 702142/xi/11 702143/XI/11 702144/xi/11 702145/xi/11 702146/XI/11 702147/XI/11 I ketut pande wardana anom sulistiawati Yuliana Viactor Rawin Pt Chandra Kusuma Bu indah komang rasini santi Surya Handarini Tan Cik Hai Anita Happy Perdana edi sudirman indah susiati l p P L L P p p P L P l l p P 16 thn 52th 30 thn 30 th 23 th 30 th 40 thn 20 thn 24 thn 20thn 15thn 25th 36th 28 thn 53thn jl letda kajeng gg.pakis aji jl.sedap Malam gg rampi no 27 jln.pujung kaja tegalalang gianyar Jl.g.27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 19/9/11 19/9/11 21/09/2011 21/9/11 21/09/2100 21/09/2011 22/09/11 22/09/11 22/09/11 23/09/11 26/9/11 26/9/11 26/9/2011 27/09/2011 27/09/2001 28/09/2011 29/09/2011 29/09/2011 30/09/11 70186/9/11 70187/IX/11 70188/IX/11 70189/IX/11 70190/IX/11 70191/IX/11 70192/IX/11 70193/ix/11 70194/ix/11 70195/IX/11 70196/IX/11 70197/IX/11 70198/ix/11 70199/ix/11 70200/IX/11 70201/IX/11 70202/IX/11 70203/IX/11 70204/IX/11 yudi yudi yuni Made Ludra Nurhaini pak denny Komang Tria Kony suteja santi ismawati magdalena ratu yoga andika putra eka mulyani martinus Rahayu S Petrus Maria T Henukh simson L L P L P L P L p p P P L P L P L P L 23 th 23 th 36 thn 30 th 37 thn 40 thn 22thn 30th 21thn 41 thn 39 th 31 th 13thn 35th 51 th 32 thn 26 thn 27 thn 19 thn jln. Jayagiri no 11 jln. Gadung Gg. Intan lc 2 no. 310 Jl. Pulau serangan no 17 jl. Appolo. Seroja gg.kaptn japa no.tukad buaji gg 4 no 2 jl. Taru mas perum sriwedari. W. Indraloka jl. 36 A. Graha Permai No.15 pejeng kelod tampaksiring jl.Canggu Permai B. I No. Pulau kae 68 dps Jl.11A jln buana kubu no4 jln. dps Jl. Tari Kecak No 12X candi baru.sanghyang gg.nangka gang turi barat no.Thamrin gg I no 8 Dps jl. Pramana aditya Ni Wayan Sutri adriana bantul Aldi Jordan Asmara Eka Ardika seriyani gita swari hendrikus luh gede triana dewi I made buda lastra putu juliarta Komang Adi Darmawan Gusti Ngurah Eka Yoga Mandiana Ketut Sunarti rosalina bu nanda Gede Manik adi putrawan sukareni L L L L l P p L L L P L L L p p l p l L L L P p p L l P 29thn 13th 23th 25 th 27 thn 36 thn 25th 21th 10th 46 th 18 thn 19 thn 13 thn 20 thn 21 th 20th 26th 26thn 23 th 36 thn 13 thn 17th 30 th 28 thn 38 th 40 th 14 thn 19thn Jl Tk Banyusari Dps jl pulau serangan no 38 dps br. Cokroaminoto no.8 jl. gianyar jln ahmadyani gg sapta darma 13 b jl.raya canggu jl.VI jln batukaru 16 jln tukad yeh aya IX B no 7 Jl. ubud Jln ternate no 24 Jl. Denpasar Jln waturenggong No.Banteng no 9 jl. Yani no 21 jl. Tk Languan III no 20 jl. Raya Kargo gunung agung no 1 Jl. dps jln kapten japa no 24 dpsr 2119/viii/11 2119/viii/11 2400/VIII/11 2156/VII/11 1966/VII/11 2273/IX/11 2426/IX/11 0928/V/11 70174/ix/11 1818/VII/11 2457/IX/11 2464/IX/11 1152/vi/11 2471/ix/11 1856/VIII/11 2144/VIII/11 7152/VIII/11 2492/IX/11 2420/IX/11 hiperemia pulpa hiperemia pulpa hiperemi pulpa post pulp capping post pulp capping post pulp capping hiperemia pulpa post pulpcapping hiperemia pulpa post pulpektomi hiperemi pulpa hiperemi pulpa fraktur klas 6 fraktur klas 4 post pulpektomi post Pulp Capping post Pulp Capping hiperemi pulpa post pulp capping komposit klas IV klas 2 amalgam komposit klas I amalgam klas II klas II amalgam inlay komposit klas III inlay komposit klas IV mahkota pasak amalgam klas 2 amalgam klas I komposit klas 6 komposit klas 4 onlay inlay Inlay komposit klas I amalgam kls 1 hari yudhari hari yudhari TR ita ining Diah Yuliandari jan terri janterri Dwiliana setia utami Yuliani dentarika ratih yoga wilhelmus RATIH YOGA ita agus virgo ayuni biksa Winda Diana wilhelmus yulia hartanti JUMLAH KUNJUNGAN PASIEN BULAN SEPTEMBER 2011 = 45 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 17/10/11 19/10/11 20/XI/11 20/10/11 20/10/11 21/10/2011 21/10/2011 22/10/2011 22/10/11 22/10/11 24/10/11 24/10/11 25/10/11 25/10/11 25/10/11 26/10/11 26/10/11 25/10/11 28/10/11 28/10/11 28/10/11 28/10/11 29/10/11 31/10/11 31/10/11 31/10/2011 31/10/11 31/10/2011 70205/X/11 70206/X/11 70207/XI/11 70208/X/11 70209/X/11 70210/X/11 70211/x/11 702112/x/11 702113/x/11 702114/X/11 702115/x/11 702116/X/11 702117/X/11 702118/X/11 702119/x/11 702120/x/11 702121/X/11 702122/x/11 702123/x/11 702124/x/11 702125/x/11 702126/x/11 702127/x/11 702128/x/11 702129/x/11 702130/x/11 702131/x/11 702132/X/11 Iston Keswanto gst ngr bgs wisnu wirawan wayan sucita Hendrik Hormat A.A. Plawa no 24. gg. Letda Md Putra no 12 jln. Salak no. Plawa No.sedap malam. buduk Jl. Kawe.kusumabangsa 1 no 6 dps jl. Pasraman Gg. Letda reta 2731/x/11 2780/x/11 1923/X/11 2762/X/11 2689/XI/11 2764/XI/11 2842/xi/11 64218/XI/11 1237/VI/11 533408/ix/11 2792/XI/11 2844/xi/11 2469/xi/11 2851/XI/11 2866/XI/11 iritasi pulpa hiperemi pulpa Post Capping hiperemi pulpa Fraktur 1/3 incisal Post Capping hiperemi pulpa hiperemi pulpa Post capping post pulpektomi Hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa amalgam kelas 1 kls v gic Kls 2 Amalgam Klas 3 komposit komposit kls VI Klas I amalgam klas 2 amalgam klas 2 amalgam klas 2 amalgam onlay klas 2 amalgam kls 1 amalgam kls 1 amalgam komposit klas 3 amalgam klas I yudi artha kusuma yosi martrisna Syifa Yokthan Ofier Siki Sri Gunawati Mas wulansari feny nurwahyuni Elisse suparta prabadewi yosi martrisna Dananjaya Ariani silva . gg 1 Jl. Imam Bonjol jl. A. Penamparan gg satya bakti XXI dps JL letda made putra no 18 Jl.R Supratman 47 A jl. Raya Pemogan. 10 Dpsr jl.letda made putra no.gg kembar jl.merdeka 9 renon denpasar jl. Serma made pil. Ngr Sugandha Kusuma Wayan Giriani putu winda kadek dangin A.

Letda Made Putra 2970/XI/11 br tengah lodtunduh 2999/xi/2011 Jl Karya Makmur no 4 ubung denpasar 2996/xi/11 Jl.32 D 5334671/x/11 jl. Denpasar 2728/X/11 Jln.37 2888/IX/11 jl. Gunung batu karu no. 5 2610/XI/1 perum keuangan no 72 renon 3046/XI/11 Jln tkd yeh aye IX 3049/xi/11 Br. Zambrud 3 no. Singakerta Ubud 0523/V/11 Jln. tampaksiring 2892/XI/11 Jl.3 3072/xi/11 mertajaya gg 4c no 20 3128/xi/11 jl. Raya sesetan gg manggasari no 10 3193/XI/11 mas batanancak.pulau biak gg mandala wangi 2945/xi/11 jln tukad pakerisan gang xiv a no 10 dps2701/x/11 jln akasia no 17 2965/XI/11 jl. Pulau serangan 15 a dps 2811/xi/11 jl sumatra gang 1 2791/xi/11 Jl.gadung no 57. Busunyeh Gg.n. Sekarsari XI no7 3119/XI/II jl.t krisanthi sea andrianus adi purnama widiadnyani cahyadi dani bayu krisanthi Pande Made Maha Listiyanti feny Mas wulansari Ivan dian kusuma andrianus paramita nona dwi rizka putu putra Anastasia Sri Susilawati adi kumara wahyu antari Gung Ayu listiyanti Yokthan Ofier Siki Ayu aria kandari YULIANI setia utami ari dwiyanti adi kumara adi purnama andrianus winda diana Pande Made Maha Yuniarti rima s md. Puaya. 2 2908/XI/11 jl. P. dps 2952/XI/11 jln tukat pakerisan 55289/XI/11 JL. Gunung batu karu no.7 2881/XI/11 jln tamrin 1 dps 2661/x/11 gg markisa no. Hayamwuruk gg.7 2893/XI/11 Jl. 3 3092/XI/11 Jln.5 sesetan 2975/xi/11 jlnb subur 56 2827/xi/11 jln. Tunan.c 2990/XI/11 jl. Akasia VII/10.nagasari no. ubud 2846/x/11 br. Abianbase 83 2916/XI/11 Jl.sidakarya 3179/XI/11 Jl. Letda made putra no 14 0069/iv/11 Jl Siulan Gg. LETDA RETA 2457/IX/11 jln. Dps 2926/XI/11 jln kapten japa no 21 dpsr 533432/XI/11 jl suli no 98 3150/xi/11 jl kerta pedulu 4 no 7.25 3127/XI/11 gtsu 2f no.3 2692/X/11 sambahan. Kemuda II no.7 2998/XI/11 jl. Jayagiri XIX no 6 2996/XI/11 jl. Gatot subroto II no 5 2914/XI/11 jl. mengwi 2666/x/11 jln. serangan no. III DPS 2978/XI/11 yangbatu 3161/XI/11 jln letda reta 3054/xi/11 jln gng agung gg 4no1 31049/xi/11 hiperemi pulpa post capping iritasi pulpa post endo intrakanal Iritasi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa Hiperemi Pulpa hiperemi pulpa fraktur 1/4 mahkota hiperemi pulpa post endo intra canal hiperemi pulpa hiperemi pulpa hiperhemi pulpa hiperemi pulpa pulpitis irreversible hiperemi pulpa iritatio pulpa hiperemi pulpa HP post pulp capping Post pulp capping post pulp capping post pulp capping Post Pulpcapping hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa Hiperemi pulpa Iritasi pulpa hiperemi pulpa hiperemia pulpa Iritasi pulpa post pulpektomy fraktur1/3 incisal fraktur1/3 incisal post pulp capping hiperemi pulpa iritasi pulpa hiperemi pulpa hiperemi pulpa post pulp capping Hiperemi Pulpa post pulp capping post capping Hiperemi pulpa Hiperemi Pulpa hiperemi pulpa Iritasi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa post pulp capping hiperaemi pulpa hiperemi pulpa Hiperemi pulpa hiperemi pulpa post pulp capping iritasi pulpa GIC klas V klas 1 amalgam Klas 3 komposit onlay komposit klas 4 amalgam kelas1 amalgam kelas1 Komposit kelas 6 amalgam kls1 amalgam kls I Amalgam klas II GIC klas V komposit klas IV kompsit klas IV onlay indikasi kls 2 amalgam indikasi kls 1 amalgam indikasi klas 1 amalgam indikasi klas V gic indikasi psa kompsit klas IV komposit klas iv komposit klas iii amalgtam klas II inlay Amalgam Klas I amalgam kelas II inlay Inlay Amalgam klas I amalgam klas 1 amalgam kelas 1 amalgam kls 1 amalgam Kls 1 komposit kls 1 komposit kls 1 Amalgam klas 1 amalam klas I komposit klas 1 komposit klas 3 amalgam klas 1 amalgam kelas 1 Mahkota pasak komposit klas IV komposit klas IV onlay amalgam kls 1 komposit klas 3 Komposit kelas 6 indikasi psa onlay GIC klas V amalgam klas I inlay amalgam klas 1 Komposit kls 3 komposit klas 1 GIC klas V komposit klas 4 Mahkota Jaket komposit klas IV inlay klas II amalgam klas 1 komposit klas IV komposit kelas 1 komposit kelas 1 amalgam kls 4 komposit cahyadi bety arisanti listiyanti made deby artika suwikanti andrianus jeffry Lady Putri Indra Riskayanti Hostiadhi triana dewi ita ayu agustina yulia hartanti ratih yoga citra cindra . karya makmur No. P. serangan no. Letda made putra no 12 A. Sedap malam gg sumantri 2981/xi/11 pejeng kelod. Siulan gg Pacah no 9 a Dps 3148/xi/11 Jl. 7A 31818/XI/11 jltukad otan no.7 2913/XI/11 Jl.9. Plawa no 106 1708/VII/11 jl.7 3098/xi/11 JL Cokroaminoto Gg Bangsing No 2 55245/Vi/11 Jln. Gunung batu karu no. Raya kargo. Gunung batu karu no. ubud 3079/XI/11 jln tamrin 1 dps 2661/x/11 jl.jayagiri 19 2995/xi/11 Jln. Kurnia wardani Pande Made Maha Ariani dwi rizka cahyadi Jelantik Hitaswari yulia hartanti deby artika heidy Silva yudi artha kusuma andika putra purwita dewi . ubud 2741/X/11 jl. Sedap malam gg sumantri 2895/XI/11 jl.32 D 533468/X/11 Jl. Kapten Japa 3001/XI/11 jln.nuansa kori utama no. sukawati 1596/vii/11 Jln ternate no 24 2563/x/11 jl batukaru gg 5 no 7 2881/XI/11 buduk. Pulau aru no. Kemuda II no. Gunung batu karu no. Buana Raya 2580/X/11 jln.16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 3/11/2011 4/11/2011 4/11/2011 4/11/2011 4/11/2011 4/11/2011 4/11/2011 4/11/2011 5/11/2011 5/11/2011 5/11/2011 5/11/2011 7/11/2011 7/11/2011 7/11/2011 8/11/2011 8/11/2011 9/11/2011 9/11/2011 9/11/2011 9/11/2011 9/11/2011 9/11/2011 9/11/2011 9/11/2011 10/11/2011 10/11/2011 10/11/2011 10/11/2011 10/11/2011 10/11/2011 10/11/2011 10/11/2011 10/11/2011 10/11/2011 11/11/2011 11/11/2011 11/11/2011 11/11/2011 11/11/2011 12/11/2011 12/11/2011 14/11/2011 14/11/11 14/11/11 14/11/11 15/11/11 15/11/11 16/11/11 16/11/11 16/11/11 16/11/11 16/11/11 16/11/11 17/11/11 17/11/11 17/11/11 17/11/11 17/11/11 18/11/11 18/11/11 18/11/11 21/11/11 21/11/11 21/11/11 21/11/11 21/11/11 21/11/11 702148/xi/11 702149/XI/11 702150/IX/11 702151/XI/11 702152/xi/11 702153/XI/11 702154/XI/11 702155/XI/11 702156/XI/11 702157/XI/11 702158/XI/11 702159/XI/11 702160/XI/11 702161/Xi/11 702162/XI/11 702163/XI/11 702164/xi/11 702165/xi/11 702166/XI/11 702167/Xi/11 702168/XI/11 702169/xi/11 702170/xi/11 702171/xi/11 702172/xi/11 702173/XI/11 702174/XI/11 702175/xi/11 702176/XI/11 702177/XI/11 702178/XI/11 702179/XI/11 702180/xi/11 702181/11/2011 702182/11/2011 702183/XI/2011 702183/XI/2011 702184/XI/2011 702185/xi/2011 702186/xi/11 702187/xi/11 702188/XI/11 702189/XI/11 702190/XI/11 702191/XI/11 702192/XI/11 702193/XI/11 702194/XI/11 702195/11/11 702196/XI/11 702197/XI/11 702198/XI/11 702199/XI/11 702200/xi/11 702201/XI/II 702202/XI/11 702203/XI/11 702204/xi/11 702205/xi/11 702206/xi/11 702207/XI/11 702208/XI/11 702209/XI/11 772210/XI/11 772211/XI/11 772212/x/11 772213/xi/11 772214/xi/11 ahmad Viesta Warini wayan suartana Putu Juliarta sahanudin tora Linda.H Aminuloh Ni Nym Ari Natarini Nym Kertiasih sugiarti agustini marseiken kori MAGDALENA risma nengah alit sugianthi sahanudin hendrikus bayu candra dewi eli ahmad roni eka tusilia Sri Sudewi Mertawati risma Aris Risma Suparmiati ayu suryati usman mansyur rosid blasuis sape ni nyoman sunari Dhany Sutrisna Adhi Titin Putu Widana Yuliani Kadek Sarmini Made Yoga Suwedan Santhi Dwi Lestari Amir Mahmud Agung Ni nyoman kameli Fransiska Leli komang yuliani hendrikus pathol sulaeman Dexa Satria Adhi Surya Dharma Maria Patrisia ibu sarmini bu catri Luh Putu Eliawati I gusti agung juniar astri wayan selamet I G Lanang Agung Krisna W Paulus Trimardi simson sani yasin Sofi gede ari siti jubaidah mahardika l p p L L L p P L P P P P L P p p p p l l p p L p P p p P P p l p L p L L P L P P P p L L P P p l l l L P p p P L p l L L L p L P l p L 55 thn 24 thn 30 thn 18 thn 36 thn 33thn 30 th 27thn 25th 15 thn 30 th 40 thn 34th 54 thn 17 thn 39 TH 28th 30 th 57thn 33thn 26 th 22th 43 thn 38 tahun 26 th 21th 46 thn 30 thn 30 th 30th 30thn 27thn 36 thn 38thn 30 thn 17th 53 th 39 th 22 th 36th 24th 14thn 38 th 42th 20THN 22th 37 th 18 thn 26 thn 23th 25TH 25TH 27thn 30th 42 th 24th 27thn 29 thn 45 thn 13 thn 20 thn 19 thn 37 th 29thn 30 th 26 thn 30 thn 9th gunung lebah buana kubu 2852/xi/11 buduk mengwi 5334678/x/11 sayan.

Raya Sersetan JL.Putra no.paku sari no 10k jl. Nangka Selatran Gang 2 no 11 jl. Menuri no. Batu karu gang 5 no.Md.8 jl sumatra no 4 Jl. Salya No 7 DPS jln yang batu taman Jl.4. Cok agung tresna no.Y Mas wulan sari dewaty ayu bety arisanti Mas wulan sari ari dwiyanti cahyadi feny janterri nona anita yulia hartanti bety arisanti Pande Made Maha Mira Wijayani jelantik widnyani ratih yoga jeffry christo Syifa dedy arya dirawan yuniarti hari yudhaRI ingelende irmawati jumlah kunjungan pasien bulan november 2011 =119 orang 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 w 1/12/2011 1/12/2011 1/12/2011 1/12/2011 2/12/2011 2/12/2011 2/12/2011 3/12/2011 3/12/2011 3/12/2011 12/12/2011 12/12/2011 13/12/2011 13/12/2011 13/12/2011 13/12/2011 13/12/2011 13/12/2011 14/12/2011 14/12/2011 14/12/2011 14/12/2011 19/12/2011 19/12/2011 19/12/2011 19/12/2011 19/12/11 7772251/XII/11 7772252/XII/11 7772253/XII/11 7772254/XII/11 7772255/xii/11 7772256/XII/11 7772257/xii/11 7772258/xii/11 7772259/XII/11 7772260/xii/11 7772261/xii/11 7772262/XII/11 7772263/xii/11 7772264/XII/11 7772265/XII/11 7772266/XII/11 7772266/XII/11 7772267/XII/11 7772268/XII/11 7772269/XII/11 7772270/XII/11 7772271/XII/11 7772272/XII/11 7772273/XII/11 7772274/XII/11 7772275/XII/11 7772276/XII/11 7772277/XII/11 wella Eko Purnomo Yudi Sahanudin jebi ismau Ibu Tiwi ivan yati Dw.SRINADI Putu Diasa edi kadek warsana kadek warsana komang epik Yanita yuli paulinus Sumadji ketut candra Yanita Yuli Ketut Any endang N lia wayan Murdani juli wahyuni novi gede made sudiatmika I Gst. Dps jl gatsu I/III no 41x jl gatsu I/III no 41x br gede anggungan lukluk mengwi Br. Padang Sari Karang Asam jl gunung sari no. G. Hangtuah no.Letda Md.Cemagi JL. Cokroaminoto no.raya canggu DESA PANJI SINGARAJA DESA PANJI SINGARAJA Medahan Blahbatuh Gianyar Jl.84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 21/11/11 21/11/11 21/11/11 21/11/11 21/11/11 22/11/2011 22/11/2011 22/11/11 22/11/11 22/11/11 22/11/11 24/11/11 24/11/11 24/11/11 24/11/11 24/11/2011 24/11/11 24/11/11 25/11/2011 25/11/2011 25/11/11 25/11/11 26/11/11 26/11/11 26/11/11 30/11/11 30/11/11 30/11/11 30/11/11 30/11/11 30/11/11 30/11/11 30/11/11 30/11/11 30/11/11 772215/xi/11 772216/xi/11 772217/xi/11 772218/XI/11 772219/xi/11 772220/xi/11 772221/XI/11 772222/XI/11 772223/XI/11 772224/xi/11 772225/xi/11 772226/xi/11 772227/XI/11 772228/XI/11 772229/XI/11 772230/XI/11 772231/XI/11 772232/xi/11 772233/xi/11 772234/XI/11 772235/xi/11 772236/XI/11 772237/XI/11 7772238/XI/11 7772239/XI/11 7772240/xi/11 7772241/XI/11 7772242/xi/11 7772243/xi/11 7772244/xi/11 7772245/XI/11 7772246/xi/11 7772247/XI/11 7772248/xi/2011 7772249/XI/11 7772250/XI/11 Mitha yuliana waryanto YOHANTI YOHANTI Fransiska leli KD. Batu karu gg salak no 3 jl.Singakerta ubud gianyar jl letda made putra no 25 jl p galang no 9 denpasar Jl.Tunon. 19 jl p serangan no 38 d Jln Sedap Malam. 1 Jl. Sakura jl sesetan gg graha paset jl gn agung gg iv c dps Canggu Permai B-21 jln letda reta gang IV no 2 yang batu taman jln.7 jl. 4E no. Nangka Selatan Gang 2 No 11 jl.34 Dps jl cok agung treasna no 7 Jl. Gianyar Jalan Kemuda jl jayagiri 16 dps jln sedap malam no 23 jl. Letda Md Putra 6x dps Jl. Ayu Kila Antari Diantri Rejekika yuliana Wayan arya ibu lina abdul wahid ni kd darmayanti Denny santi asih wyn serinten yuli Bu Aldi Ni Luh Putri Krisnawati P p l P p P P L L L L P P l l P P p p P p P l p P p l P l p L p p p p p 16 thn 36th 38thn 35th 35Th 37th 36TH 26th 23th 17TH 17TH 16thn 34 th 43 thn 32 th 34 th 26 th 47 thn 21 thn 29 thn 33thn 27 thn 34 th 21 th 15thn 11 th 21thn 35th 40th 17th 40thn 30 thn 31 thn 36 thn 39thn 9th jln. Kebo iwa jl.XI A jl.dirgahayu jln sedap malam dps jln. Sanur jl. Pulau Kawe jl.Agung Gg. Yani RT 8 jl. Hayam wuruk Gg.X 3055/xi/11 533459/x/11 3197/xi/11 533427/Ix/11 2332/Ix/11 3193?XI/11 65204/III/11 2850/X/11 2844/xi/11 3157/XI/11 3157/XI/11 55290/vii/11 53384/XI/11 3088/XI/11 3242/XI/11 3139/XI/11 3240/XI/11 2531/x/11 3251/xi/11 3253/XI/11 533435/ix/11 53334708/XI/11 53388/XI/11 3272/XI/11 3278/XI/11 2725/xi/11 3111/xi/11 3308/XI/11/ 3228/xi/11 3257/xi/11 2273/IX/11 3286/xi/11 3314/XI/11 3309/xi/2011 3310/XI/2011 3311/XI/11 Pulpitis irreversible post pulpektomi hiperemi pulpa post pulpektomi Hp Hiperemi pulpa POST CAPPING post caping post capping PULPITIS IRREVERSIBLE POST CAPPING post pulpektomi Post Capping hiperemi pulpa hiperemi pulpa Hiperemi Pulpa Hiperemi pulpa iritasi pulpa hiperemi pulpa hiperemia pulpa post capping post indo intracanal Post Capping hiperemi pulpa Hiperemi pulpa post pulpektomi Post capping hiperemi pulpa hiperemi pulpa hiperemi pulpa Hiperemi Pulpa hiperemi pulpa hiperemia pulpa hiperemi pulpa hiperemia pulpa indikasi perawatan saluran akar onlay komposit kl iii mahkota pasak amalgam kls ii Amalgam klas 1 INLAY amalgam kelas 2 inlay PULPEKTOMY INLAY onlay INLAY tumpatan komposit klas 1 tumpatan gic klas 5 Tumpatan amalgam Klas 1 Tumpatan amalgam Klas 1 komposit klas 1 klas 2 amalgam klas 2 amalgam klas 2 amalgam pasak Tumpatan amalgam Klas 1 Tumpatan amalgam Klas 1 Tumpatan amalgam kelas 2 Onlay amalgam klas 1 komposit klas 4 komposit klas 4 komposit klas 4 Amalgam kls 2 amalgam klas 1 komposit kls 1 komposit klas 4 amalgam klas 2 komposit klas 1 triana dewi mutiara jeffry hari yudari hari yudari wiwik INGELENDE nurvikha yosi martrisna HOSTIADHI DEBY ARTIKA esti D.Pakisaji no2 jl.VIII NO.muding mekar. Tukad itarum 3324/XII/11 533362/VIII/11 3323/XII/11 2881/XI/11 3250/xi/11 3348/XII/11 3187/xi/11 3349/xii/11 3371/XII/11 3368/XII/11 3372/xii/11 3307/XII/11 2870/xi/11 3411/XII/11 3416/xii/11 3430/xii/11 3434/XII/11 7772267/xii/11 3363/XII/11 3446/XII/11 533467/x/11 57443/xi/10 3456/XII/11 3466/XII/11 5334687/XII/11 3470/XII/11 3469/XII/11 2770/XI/11 hiperemi pulpa post pulpektomi hiperemia pulpa pulpitis reversible post capping fraktur post capping hiperemia pulpa fraktur Hyperemia Pulpa hyperemy pulpa Hyperemia pulpa post pulpektomi fraktur 1/4 mahkota hyperemi pulpa hp hp hp IP IP post endo intrakanal post endo intrakanal Hyperemia Pulpa hiperemi pulpa post capping hiperemi pulpa hiperemi pulpa pulpitis ireversible komposit klas 1 pasak komposit klas 4 komposit klas 4 inlay komposit kls 6 klas 2 amalgam inlay komposit klas VI Komposit Kls III komposit klas 1 Komposit klas 3 mahkota Pasak komposit kls IV amalgam kls I komposit kelas 1 amalgam kls 2 amalgam kls I amalgam kls I amalgam kls I onlay onlay Komposit Klas III komposit kelas IV amalgam klas II GIC klas V Komposit klas IV onlay arie pradana sri gunawati Manik A putri indra paramita oktaviani deby artika adi ingelende Wirastuti rima s Yokthan Ofier Siki Agus Virgo ari dwiyanti rosita trisnawan winda diana helly D jeffry Riskayanti Vyna Indriyanthi bety arisanti novic julia Erni Hasan H.suli no 98 renon Br.kerobokan jln pemuda no 1 denpasar jl tulip gang bambu no 4 Beng Kelod Kauh.letda made putra 4/5 jl sakura gg vi no 17 JL gn BATUR GG KALIASEM I NO 10 JL gn BATUR GG KALIASEM I NO 10 Jl.4. Letda reta jln seroja perum nindya indah no 5 br. A. Ahmad Yani Denpasar jl.Sanghyangan.K yudi artha kusuma Dwiliana denny P Ivan dedy arya dirawan . Pulau aru no 3x jl.JAYA GIRI GG.DPS JL. Tunjung sari gg.Anom Putu Tara wayan serinten Nitha Efiena Ririn Novi Nona syanne Kadek Putrawan wayan semiasih Kadek Rasmi Ketut Rai kadek sinarti nyoman suartana Ketut Gampil khairul anwar Rai Sukareni blacius Parhatun Wates Manik Mas p L L L p P L p L P p P p P p p L P P L p L p l P L P L 32 th 32 th 21 thn 33thn 33thn 39thn 28 thn 38thn 24thn 13 thn 36th 14 thn 33 th 32 th 19thn 25th 13th 47 thn 23 thn 29thn 16 thn 37th 30th 12 th 19thn 37 thn 35 th 29 thn Br.

Cokroaminoto no.11 no.Purnawira I no 3 Jl.n. Tunjung sari permai jln letda reta 10 dps jl sedap malam gang simantari jln hangtuah no 5 sayan kutuh.hang tuah 3634/XII/11 jl. Lebah sari no.11 DESA PANJI SINGARAJA jl. Trenggana gg.K A. Siulan no.Ubud 53455/XII/11 fraktur hiperemi pulpa hiperemi pulpa Hiperemi pulpa Hiperemi pulpa pulpitis reversible Hiperemi Pulpa POST PULPEKTOMI Iritasi pulpa Pulpitis reversible hiperemi pulpa hiperemi pulpa Hiperemi Pulpa hiperemi pulpa fraktur hiperemi pulpa hiperemi pulpa hiperemi pulpa fraktur hiperemi pulpa post pulpcapping HIPEREMI PULPA Hiperemi pulpa Iritasi pulpa Hiperemi Pulpa post pulp capping fraktur hiperemi pulpa hiperemi pulpa iritasi pulpa hiperemipulpa fraktur pulp capping hiperemi pulpa HP POST PULPEKTOMY fraktur post capping komposit klas VI Komposit Klass IV inlay Mahkota Jaket amalgam klas II pulp capping komposit Klas IV ONLAY komposit kelas VI Amalgam kelas II Amalgam kelas I amalgam kals 1 Komposit Klas IV komposit klas I komposit kls VI komposit klas III klas 2 amalgam komposit klas IV komposit klas IV komposit kls 1 komposit kls 4 komposit klas 6 komposit klas III GIC klas V Kimposit klas 1 inlay komposit kelas IV kls II amalgam klas 1 komposit kelas 1 komposit klas III komposit kls IV KOMPOSIT kls I KOMPOSIT KLS V KOMPOSIT ONLAY klasvi komposit kls 1 komposit dwi rizka adi kumara Mira Wijayani Mas wulansari widiadnyani Mustika P. Gunung ringin gg sawah no 1 denpasar 3578/XII/11 jl gunung batukaru no 5 3570/XII/11 Jl.pakis haji no.t prabadewi adi suartika Pande Made Maha listiyanti putri indra andika Mira Wijayani siumastami putu putra yudi artha kusuma Mustika P. Pulau ayu gg.17 3544/XII/11 Jl. Anyar. Md. PARAMITA listiyanti ari dwiyanti nurwahyuni Dananjaya kurnia bety arisanti Sugiartining luh ena ariasmi bety arisanti kumara citra cindra . Sakti Bentuyung ubud 3581/Xii/11 JL. ubud abianbase. Sumatra no. Merpati gg 6 no 12 3420/XII/11 jln.A Gd Hendra Mardiana kadek dwiyana anik edy aris purnama I wayan pariasa wawan kurniawan ketut dani surya wirya serli heriawati Kd. Darmasaba 533454/X/11 JL. tampaksiring jln sumatra gg 1 no 6 denpasar jl. Akasia denpasar 3113/XI/11 Jl. Tegallalang no 10 gianyar jln gatot kaca 29 dps jln.2X Sanglah Jl. Pulau Ara No. gianyar pejeng kelod.3dps 3650/XII/11 jln merpati gg 6 no 6 3561/xii/11 jl pulau kawe no 50 3610/xii/11 JL HANG TUHA gg lalu 2732/XII/11 JL TUKAD BATANGHARI XIV NO 8 55251/VI/11 Lot Tunduh.merpati gg. 18 Gianyar 3607/XII/11 sambahan.raya padonan-canggu Jl. Sari no 10 Pemogan 3518/XII/11 jl. Ari agustina yosi martrisna Pande Md Maha Pande Md Maha Siumastami ariani . Pulau aru no 2x jl letda made putra jl.6 3549/xii/11 jl kebo iwa gang kelapa gading no 9 3605/XII/11 Jl.116 3465/XII/11 jln. ubud 3611/XII/11 Jl.swdap malam no 2 3367/XII/11 br. Pulau Ayu 3447/xii/11 jln letda reta 3627/XII/11 Br.34 Dps 3537/XII/11 jl.Ubud 3664/XII/11 Lot Tunduh.Gulingan. Akasia Dps 3509/XII/11 Br.29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 20/12/11 20/12/11 20/12/11 21/12/2011 21/12/11 21/12/2011 21/12/2011 22/12/11 22/12/2011 22/12/2011 22/12/2011 22/12/2011 22/12/2011 23/12/2011 23/12/2011 23/12/2011 24/12/11 24/12/11 27/12/11 27/12/11 27/12/11 27/12/11 27/12/11 28/12/11 28/12/11 28/12/11 29/12/11 29/12/11 29/12/11 29/12/11 29/12/11 29/12/11 30/12/11 30/12/11 30/12/11 30/12/11 31/12/11 31/12/11 7772278/XII/11 7772279/XII/11 7772280/xii/11 7772281/XII/11 7772282/XII/11 7772283/XII/11 7772284/XII/11 7772285/XII/11 7772286/XII/11 7772287/XII/11 7772288/XII/11 7772289/XII/11 7772290/XII/11 7772291/XII/11 7772292/XII/11 7772293/XII/11 7772294/XII/11 7772295/XII/11 7772296/XII/11 7772297/Xii/11 7772298/xii/11 7772299/xii/11 7772300/XII/11 7772301/XII/11 7772302/XII/11 7772303/xii/11 7772304/XII/11 7772305/XII/11 7772306/XII/11 7772307/XII/11 7772308/XII/11 7772309/XII/11 7772310/XII/11 7772311/xii/11 7772312/XII/11 7772313/XII/11 7772314/XII/11 7772315/XII/11 ujang Yuli yati Jaya Ngurah Fransiskus Kasmir Komang Sri Yoga Ades Saputra putu darmayasa Wyn pariasa sudarto Fitri Andani dila Ilham Made Deby Anggraeni komang bayu Halimatus rizki hidayat budi fauzan pariasa agus putra W ni wayan serinadi Ridho Pande Km. Gd.15 3580/XII/11 br. 10 k 3650/XII/11 Jl. DWI RIZKA bety arisanti ANDRIANUS AYU SRI ADNYANI niki nadia paramita jumlah kunjungan pasien bulan desember 2011 =66 orang jumlah total kunjungan pasien thn 2011 =1047 orang 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 2/1/2012 2/1/2012 2/1/2012 2/1/2012 4/1/2012 4/1/2012 4/1/2012 4/1/2012 4/1/2012 6/1/2012 6/1/2012 6/1/2012 6/1/2012 7/1/2012 7/1/2012 9/1/2012 9/1/2012 9/1/2012 9/1/2012 9/1/2012 10/1/2012 10/1/2012 11/1/2012 12/1/2012 12/1/2012 12/1/2012 7772316/I/12 7772317/I/12 7772318/I/12 7772319/I/12 7772320//I/12 7772321/I/12 7772322/I/12 7772323/1/2012 7772324/1/12 7772325/1/12 7772326/1/12 7772327/1/12 7772328/1/12 7772329/1/12 7772330/1/12 7772331/1/12 7772332/1/12 7772333/1/12 7772333/1/12 7772334/1/12 7772335/I/12 7772336/1/12 7772337/1/12 7772338/I/12 7772339/1/12 7772340/1/12 ari mandrayana sri wahyuni Iis Sugiarti Indah Permatasari sonia yohana feryna siur timor kadek rasmi komang alek sudarmawan kadek erina A.baru jln tegallalang no 10 gianyar jln. Gunung Kapur 3 no.3 Puri Saren Kangin Ubud jl pakis haji 3819/XI/11 1076/v/11 3664/I/12 3682/I/12 2579/I/12 1/12/3715 3721/I/12 1/12/3724 1/12/3727 3728/I/12 3700/I/12 3739/I/12 1/12/3730 3744/I/12 3580/XII/2011 3760/I/12 3758/I/12 1/12/3747 3468/XII/11 3157/XI/11 53380/XI/11 3734/I/12 3799/I/12 533397/XI/11 2851/XI/11 abrasi post pulpektomi Hiperemi Pulpa Hiperemi pulpa post capping hiperemi pulpa abrasi hiperhemi pulpa hiperhemi pulpa iritasi pulpa fraktur fraktur Hiperemi pulpa hiperemi pulpa fraktur hiperemi pulpa hiperemi pulpa hiperemi pulpa post pulp capping Post Pulpektomy post pulpektpmy Hiperemi pulpa fraktur Post Endointrakanal hiperemi pulpa kls V GIC mahkota pasak Klas V GIC Klas IV Komposit Klas I amalgam kelas 1 komposit kls V GIC klas ii amalgam inlay kls I komposit kls VI komposit kls IV KOMPOSIT klas I komposit klas 1 amalgam klas VI komposit klas Iv komposit klas 1 amalgam klas 4 komposit klas 4 komposit Onlay onlay klas I amalgam kls VI komposit Onlay tumpat gic gung surya mayudianingsih Erni Hasan H.yani 0541/V/11 Jl.Waturenggong III/18 3606/XII/11 jl. Gatsu barat no. 45 3498/xii/11 jln puputan renon 3439/XII/11 Jalan G. Marga 3633/xii/11 jl. Bayu Wikrama Nym klepon Keny Konstantia maria magdalena Ratna Miantari KADEK SUDARSANA Moty fransiska leli Ibu Agi AGUS PUTRA WIRAWAN KADEK AGUS Bagasur amin Alvian Sumartadi PT GEDE KANTA JAYA NUGRAHA Ni putu ratna dewi KASEK DIDIK WIRAYUDA L P p L L P L L L L P P L P L P L L L L p L L p p p P L p p p L L l L L P L 12 thn 20 thn 39 thn 15thn 29 thn 18th 18th 10 TH 23thn 47 thn 14 thn 14 thn 43thn 14thn 11 th 39 thn 20 thn 20 thn 23th 12TH 46th 26TH 16thn 50 thn 43thn 40 thn 15thn 22TH 21th 37 th 31th 12TH 19thn 20th 20TH 13TH 24 thn 10 th Jl Sedap Malam 3464/XII/11 jln. ubud 5334700/XI/11 Jln A. Gunung lebah 3553/XII/11 jl gunung batur no 21 3556/XII/11 jl. Sakti.18 kuta utara 3193/XI/11 jl raya sesetan gg mangga sari no. Wibisana no.Pulau Aru no.6 no.A Gde Dananjaya oktavianus sea ANDRIANUS adi krisanthi widnyani listiyanti Mira Wijayani bety arisanti Sugiartining putri indra adi kumara sugiartining cahyadi dw. Tegal. Warsana wayan dewi Ni Made Mawartini Kari Aji Prasangka cok ratih Indah Permatasari L p P p p p l p l p L l P l L L p L P L p P L P p 25th 20 thn 40 Thn 12th 32thn 21htn 38 thn 23 th 17thn 12 thn 20th 48 th 26 thn 31th 23th 21 thn 18 th 23 th 35 thn 17 thn 20th 39 th 40th 23th 28thn jl'hang tuah jln bukit tunggal jln bukit tunggal IX no 1 Jl.

no. ari andika putra janterri Wida Wirani bety arisanti Pande Md Maha dwi rizka g.blahbatuh Ling.Raya Puputan IV/1B dps 2956/XI/11 jln. gianyar 4978/II/12 jl. Jaya giri no 11 4080/II/12 Jl. Gatsu I Gg. Kemuning Gg. Kemuda no 4 jln pulau barito no 2 sambahan. ubud 3976/II/12 perum. Marga.serangan no 23c 4049/II/12 jl raya sesetan no 3 3897/I/12 jl. ubud Marga Sengkala. Bemas No.gunung sanghyng jl. Sangging. Md ari agus virgo riskayanti . Letda reta gg KF DPS jln erlangga no 101 gianyar Jl.badak agung gg II no 9 4039/II/12 jln raya sesetan no 9 52537/II/12 jln. Dwi Amerta srinadi nathalia I gede deny saputra putri wirawan L P l p P p L P P P p P l l l L L P L p p L P p L L p p L p 30 th 19 th 25 thn 22 thn 19 th 38 thn 35th 17 thn 37thn 28thn 13th 28 thn 14 thn 28thn 11 thn 40 thn 37 thn 35 thn 18 thn 31 th 18 th 56thn 26 thn 35 thn 47 th 27th 22 thn 26 thn 19th 15th Jl. Akasia 16 no.27 28 29 30 77 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 12/1/2011 12/1/2012 12/1/2012 12/1/2012 12/1/2012 12/1/2012 14/1/12 16/1/12 16/1/12 16/1/12 17/1/12 18/01/12 18/01/12 18/01/12 19/1/12 20/01/2012 20/01/12 20/01/2012 21/01/2012 21/01/2012 24/01/2012 24/01/2012 25-01-12 26-01-12 26/01/12 26/01/12 26/01/12 26/01/12 26/1/2012 26/1/12 7772341/I/12 7772342/I/12 7772343/1/12 7772344/1/12 7772345/1/12 7772346/I/12 7772347/I/12 7772348/I/12 7772349/I/12 7772350/I/12 7772351/1/12 7772352/1/12 7772353/I/12 7772354/I/12 7772355/I/12 7772356/I/12 7772357/I/12 7772358/12 7772359/1/12 7772360/I/12 7772361/I/12 7772362/I/12 7772363/I/12 7772364/I/12 7772365/I/12 7772366/I/12 7772367/1/12 7772368/1/12 7772369/1/12 7772370/1/12 Dewa Nyoman Putra ria ariyanti gst suweka darma putra lina Dewi Sukarini ni luh balik Dewa Putu Gde Arsa tonia wayan sarinten swandewi komang febriani indah adi putrawan Novi andreas Putra Suaji I pt yudha mbak wiek ketut darmawan Made suryani wayan sri shabiri natalia wayan sriadi Sudiarto I Md. Suli Gg VI tojan . Palapa no 44 3959/I/12 penestanan kaja . Mertasari B no. Sibang Kaja.I pulpa Hiperemi Pulpa Hiperemi pulpa post endointrakanal Hiperemi Pulpa fraktur fraktur pulpektomy Hiperemi Pulpa iritasi pulpa Fraktur hiperemi pulpa iritasi pulpa iritasi pulpa post capping hiperemi pulpa post pulpektomi iritasi pulpa post capping iritasi pulpa post pulpektomy inlay komposit klas III onlay mahkota pasak Inlay mahkota pasak mahkota pasak klas III komposit klas I amalgam klas 1 amalgam kls 2 amalgam klas 2 amalgam mahkota pasak kelas 4 kelas 4 komposit klas VI komposit mahkota pasak kls2 amalgam kls I amalgam komposit klas IV inlay komposit kls IV Amalgam kls 1 inlay klas V GIC mahkota pasak kls II amalgam klas 1 amalgam kls IV KOMPOSIT Onlay yulia nitaswari dw. Ahmad Yani Br Tengah. XII/2 jln. GiANYAR jl. P yulia hartanti listiyanti niki nadia ena ariasmi richard silva bety arisanti niki nadia Mira Wijayani listiyanti dewaty ayu putu putra kumala dewi JUMLAH KUNJUNGAN PASIEN BULAN JANUARI TH 2012= 56 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 25 26 27 28 29 30 31 32 33 3/2/2012 3/2/2012 3/2/2012 3/2/2012 4/2/2012 6/2/2012 7/2/2012 13/2/2012 13/2/2012 13/2/2012 13/2/12 14/2/12 14/2/12 14/2/12 14/2/14 15/2/12 15/2/12 15/2/12 15/2/12 15/2/12 15/2/12 15/2/12 16/2/12 15/2/12 16/2/12 16/2/12 16/2/12 16/2/12 16/2/12 16/12/12 16/2/12 16/2/12 17/2/12 7772371/II/12 7772372/II/12 7772373/ii/12 7772374/II/12 7772375/II/12 7772376/II/12 7772377/II/12 7772378/II/12 7772379/II/12 7772380/II/12 7772381/II/12 7772382/II/12 7772383/II/12 7772384/II/12 7772385/ii/12 7772386/II/12 7772387/II/12 7772388/II/12 7772389/II/12 7772390/II/12 7772391/II/12 7772392/II/12 7772393/II/12 7772394/II/12 7772395/II/12 7772396/II/12 7772397/II/12 7772398/II/12 7772399/II/12 7772400/II/12 7772401/II/12 7772402/II/12 7772403/II/12 7772404/II/12 I Made Dwipa Krisnadi Nengah Sekar musyadi silvia mareta Ery Corniawati KADEK ADI PRANA putu ayu saniasti Safii Putu suwitra Ketut Sadya Ni Nym Seni Aryanti Indriati heri roy ari suryanti Desy Arina S Siti Rohma lia ni wayan mustiniasih putu ayu saniasti I gst wayan sumawa Nyoman Suarni jhordan kristina Putri sujana Putu Swardika Luh Komang Adnyaningsih ni gede ayu sutarningsih ida ayu nyoman suryati DEVI dwi sulistyorini tina Wayan Kerti L P l p p L p L L L P P L L p P p p p p L P L L P l P p p p P P p P 22 thn 28 thn 35 thn 20 thn 19 th 10 thn 17thn 35thn 27 thn 32 thn 18 th 34 thn 19 th 46th 13 thn 18 th 36TH 26thn 28th 17thn 50 thn 41 th 12 th 13 thn 18 th 27th 32 th 16th 41 thn 37TH 15 thn 31 th 34 thn 41 thn JL.5 denpasar 3964/I/12 jln salian no 25 4059/ii/12 Jln Kapt Japa no 34 52518/II/12 Jl. Kapten Japa 4048/II/12 Jl. I no. Pulau batanta jl tunjung sari jln. ubud liang batu jl indrajaya.20 4981/II/12 jl. Bromo No 12 Denpasar jl. Kemuda III Gg. 3805/I/1`2 Jl. G.yos sudarso. Kosala jimbaran lestari blok B/V 3980/II/12 tabanan 4032/II/12 Jl Nangka Gg 7 no 22 4078/II/12 jl kapten japa no 2A denpasar 53392/XI/11 jln. Tukad yeh aya 138 4083/II/12 jl.pakis haji g cengana 5 jln gunung agung no 1 denpasar jl. P.sari gading no. Dukuh sari 3936/II/12 jl letda md putra gg II no 3 dps 4095/II/12 Jl.kapten japa 24 dps jl. Kosala jimbaran lestari blok B/V 3980/II/12 Jl. 4 Kedonganan 3911/I/12 Gang Arum atubulan 52514/1/12 jln pulau kawe 45 denpasar 3970/ii/12 jl batukaru gg 5 no 8 3915/I/12 Jl. 15 3861/I/12 Post Pulp Capping post pulp caping fraktur post pulpcapping iritasi pulpa iritasi pulpa pulpitis reversible post pulpektomy hiperemi pulpa post pulp caping hiperemi pulpa hiperemi pulpa post pulpectomy iritasi pulpa fraktur Post Pul[ Capping hiperemi pulpa pulpitis reversible fraktur post pulpcapping post capping hiperemi pulpa post pulpektomi IRITASI PULPA Post Endo intrakanal hiperemi pulpa Hiperemi pulpa hiperemi pulpa hiperemi pulpa post pulp caping post pulp capping hiperemi pulpa iritasi pulpa post capping Klas II Amalgam klas II Amalgam kls VI komposit kelas 1 amalgam 7772400/II/12 kls I komposit pulp capping indikasi mahkota psak klas IV komposit Inlay Klas VI Komposit klas III Komposit mahkota pasak klas I amalgam klas IV komposit Inlay Klas II Amalgam pulp capping Klas VI Komposit onlay onlay indikasi klas 2 amalgam indikasi onlay amalgam klass II Indikasi onlay kelas 6 komposite klas I amalgam klas IV komposit Klas II Amalgam inlay inlay amalgam klas I amalgam klas II komposit kls III Ayu Sri Adnyani Mira Wijayani adi purnama yudi artha Kurnia listiyanti mustika nurvikha sugiartining Elisse Yokthan Dananjaya deby artika rosita trisnawan dwi rizka Hostiadhi Pande Made Maha oktavianus sea adi purnama mustika denny . 3 4068/II/12 jln letda made putra gg 3 4071/II/12 jln dusun kawan seliasih 4070/II/12 perum.surya ita ayu yosi martrisna nurwahyuni cahyadi ANDRIANUS yudi artha Sugiartining denny. Siulan Banjar Lap lap tengah 52471/I/12 jl. gang 7 no 7 jl tukad balian gg 19 no 8 3381/XII/11 3810/I/12 53426/1/12 61776/VI/10 53308/VII/11 53456/xii/11 53414/XI/11 3817/xi/12 2716/x/11 3835/I/12 3840/I/12 2851/XI/11 2766/x/11 3876/I/12 3890/I/11 3898/I/12 3871/I/12 1/12/2624 1/12/3905 2597/X/11 3867/I/12 3840/I/12 3937/I/12 52505/I/12 3899/I/2012 53381/XI/11 53382/1/12 55296/vi/11 3957/i/12 65276/III/11 post pulpcapping hiperemi pulpa Post Endointrakanal post endointracanal Post pulp capping post endo intrakanal post endo intrakanal hiperemi pulpa hiperemi pulpa hipere.P Wida Wirani maria hosiana adi wicaksana Mas wulansari andrianus Niki Nadia putri indra Fienna Novianthi siumastami maria dw. Gianyar tukad citarum jl kapten japa no 46 dps jl. 9 jln tkd pancoran gg ivb no 20 jln permata hijau denpasar Jl. Batur sari gg II no 10 dps 4046/II/12 Br. Letda reta gg 4 jl. Teges . Serma kawi no 4 3789/1/XII beng. Tabanan sambahan. Md.gadung 49 jl. Uluwatu Gg.

10 Jl.42Z.12 4156/II/12 4163/II/12 41464/ii/12 4168/II/12 2306/VIII/11 3777/II/12 4102/II/12 4186/II/12 2887/XI/11 4195/II/12 4083/II/12 2871/ii/12 3196/xi/11 57008/III/10 4214/XII/12 3607/XII/ii 3952/i/12 4146/II/12 3638/XII/11 Abrasi Fraktur 1/3 incisal Fraktur nekrosa pulpa iritasi pulpa iritasi pulpa hiperemi pulpa pulpitis reversible fraktur iritasi pulpa iritasi pulpa Fraktus 1/3 incisal hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa iritasi pulpa iritasi pulpa nekrosis pulpa hiperemi pulpa post pulp capping post pulp capping hiperemi pulpa hiperemi pulpa FRAKTUR hiperemi pulpa post pulpektomi post pulpektomy post p[ulpektomi post pulpektomi hiperemi pulpa hiperemi pulpa post pulpektomi Klas V GIC Klas VI komposit klas IV komposit endo intrakanal klas IV komposit Klas II Amalgam komposit kls III pulp capping klas IV komposit klas I amalgam KLAS I komposit kls VI komposit kls1 komposite Klas II Amalgam Klas 1 komposit Klas I amalgam kls IV komposit klas l komposit klas IV komposit Klas II Amalgam Klas 1 komposit kls VI komposit pulpektomi Klas II Amalgam inlay inlay klas II amalgam Klas I komposit kls IV komposit Tumpatan tuang inlay tumpatan tuang onlay tumpatan tuang onlay tumpatan pasak klas III Komposit indikasi mahkota pasak Klas II Amalgam kls IV komposit tumpatan tuang onlay adi kumara Elisse Pande Made Maha suwikanti ayuni adi suartika Anggia S Jepry Oktovius Ni Wayan Dethy Vyna Indriyanthi sea Silva yulia hartanti bety arisanti Mira Wijayani listiyanti putu putra Widyawati cahyadi Yokthan agus virgo putri indra trisna junita setia utami dwi rizka ita ayu dw. dps jl. Simantri jl. Sumantri jln plawa A 92 jl. Beo no. sri indrayanti sri indrayanti nona anita dedy arya .Sumatra Gang I no. Gn. Ubud Kaja Br. Gg. ! No 3 Sambahan Ubud Jl.4 4100/II/12 4107/II/12 4108/II/12 4101/II/12 4120/II/12 4144/II/12 4147/II/12 4149/II/12 4143/II/12 4157?II/12 4071/II/12 4163/II/12 4168/II/12 4146/II/12 4068/II/12 4025/II/12 4146/II/12 4144/ll/12 4151/II. Gunung gede 1 Jl.49 jl.4 dpsr jln diponogoro 52 Kampung Jawa RT.anggrek no 21 jl. Batur gg. Gede Gg. Rampe Denpasar Jl. ubud jl. Bengkel. dps Br. Raya sesetan gg beo no 12 dps Jl. Tk. SUMATRA NO. Ari Elisse Citra cindra nicha T Fienna Novianthi luh ena ariasmi ayu purwadi trisna dewi Annastasia listiyanti sudaryanti riskay nurwahyuni JUMLAH KUNJUNGA PASIEN BULAN FEBRUARI 2012 = 71 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 1/3/2012 1/3/2012 1/3/2012 2/3/2012 2/3/2012 2/3/2012 2/3/2012 3/3/2012 3/3/2012 3/3/2012 5/3/2012 6/3/2012 7/3/2012 7/3/2012 7/3/2012 7/3/2012 12/3/2012 12/3/2012 12/3/2012 12/3/2012 13/3/12 13/3/12 13/3/12 13/3/12 13/03/2012 13/3/2012 7772442/III/12 7772443/II/12 7772444/iii/12 7772445/III/12 7772446/III/12 7772447/III/12 7772448/III/12 7772449/III/12 7772450/III/12 7772451/III/12 7772452/III/12 7772453/III/12 7772454/III/12 7772455/III/12 7772456/III/12 7772457/lll/12 7772458/III/12 7772459/III/12 7772460/III/12 7772461/III/12 7772462/iii/12 7772463/III/12 7772464/III/12 7772465/III/12 7772466/III/12 7772467/III/12 eka prasastini Badra yohanti Nyoman nurjaya Iluh Partini ibu devi WAYAN YUDI SABDA Chris N Kilimandu yati mega Ibu Agus nyoman arya sugiarta Made Sukadana Putu Eka Yudi suparman urdi Eni Ariesta Dennis Eka tusilia dedy arya dirawan Putu Mia Komang alit rohim khofifah dwi rahmadhani Yusliani P L P L P P L L p p P L L P L L L P L P l P L L p p 23 thn 22 thn 36 thn 30 thn 26th 37th 30TH 25th 39th 21th 42th 14thn 42 th 26 thn 31th 42thn 60TH 31 th 19 th 28th 27 thn 12thn 32thn 35thn 12thn 18 thn Bitra. Salya no 30 jln gn ringin no 1 jalan raya sesetan 3029/XI/11 4232/III/12 2332/ix/11 4243/III/12 3297/XI/11 4244/III/12h 4011/ii/12 3498/xii/11 4149/ii/12 4277/II/12 3794/I/12 4159/II/12 4285/III/12 4301/lll/12 64011/XII/10 4156/II/12 4317/III/12 4318/III/12 4323/III/12 4147/II/12 62577/II/12 53438/XII/11 52518/I/12 4327/III/12 hiperemi pulpa hiperemi pulpa hiperemi pulpa FRAKTUR hiperemi pulpa hiperemi pulpa ABRASI post caping post caping post caping post caping gagngren pulpa ABRASI post pulp capping hiperemi pulpa hiperemi pulpa HP hiperemi pulpa nekrose pulpa post caping hiperemi pulpa post endointrakanal post caping Post pulpektomi post pulpektomy nekrosis pulpa klas II amalgam klas III Komposit tumpatan tuang inlay Klas IV komposit klas V GIC inlay TUMPATAN gic onlay inlay inlay inlay endo intra canal GIC kls V Onlay GIC kls V klas ll amalgam klas III Komposit klas V GIC endo intra canal akar tunggal inlay klas 1 komposit onlay klas II amalgam Onlay onlay endo intrakanal Niki Nadia Trisna Junita hari yudhari anastasia rosita trisnawan putu putra kurnia Maria Anita christo jefry Yokthan awan Vyna Indriyanthi Erni Hasan H.hang tuah no.gadung no.10 jl. Muding indah no. 1 X jln letda made putra gg 3 Jl.1 No. Sedap malam Gg. Letda made putra no 3 br.agus Made Hendra komang L P L L p p P P L L p L P p P L L L p P p L L P p p L L L P p l L L p l L L 21 th 13 thn 27th 35thn 33th 36th 27 thn 21 th 35th 35th 26thn 38 th 23 thn 37 thn 36 th 20 thn 17thn 12th 45 thn 31 th 17 th 16th 22th 34th 36 thn 31thn 46 th 30 thn 18 thn 41th 14 th 13thn 30thn 22 thn 50 thn 12th 17 thn 17 thn Br.I Jl. Gianyar jl. Letda Made Putra Gg II No.19 Kampung Jawa RT I Jl Tukad Bilok no 61 X Jl.6. Letda Made Putra No 6 E jln plawa no 92a denpasar jln gunung batukaru no 25 jln. Sedap malam 117 A sambahan. Kelapa Muda No. Letda Made Putra gg II No.8 jln hayam wuruk. gianyar jl. Sedap malam 117 A jl. Sedap malam.gunung batur 81 dps jl. Raya Sesetan gg. 8 jl. Akta. Jayagiri I no 11 dps desa kamasan.34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 17/2/12 18/2/12 18/2/12 18/2/2012 21/2/2012 21/2/12 21/2/12 21/2/12 21/2/12 22/2/12 22/2/12 22/2/12 22/2/12 22/2/12 23/2/12 23/2/12 23/2/11 23/2/12 23/2/12 23/2/12 23/2/12 24/2/12 24/2/12 25/2/12 27/2/12 27/2/12 27/2/12 27/2/12 28/2/12 28/2/12 28/2/12 28/2/12 28/2/12 28/2/12 29/2/12 29/2/12 29/2/12 29/2/12 7772405/II/12 7772406/II/12 7772407/II/12 7772408/II/12 7772409/II/12 7772410/II/12 7772411/II/12 7772412/II/12 7772413/II/12 7772414/II/12 7772415/II/12 7772416/II/12 7772417/II/12 7772418/II/12 7772419/II/12 7772420/II/12 7772421/II/12 7772422/ll/12 7772423/ii/12 7772424/II/12 7772425/II/12 7772426/II/12 7772427/II/12 7772428/II/12 7772429/II/12 7772430/II/12 7772431/II/12 7772432/II/12 7772433/11/12 7772434/ii/12 7772435/II/12 7772436/II/12 7772437/II/12 7772437/II/12 7772438/ii/12 7772439/ii/12 7772440/II/12 7772441/II/12 Darma Putra Ni Luh Lisa Kurniawati Hari Priyanto Musadi bu nengah sutari devi Nurul Laile Mega Fendy Musiadi lia Zakaria citra cindra fatimah Siti Rohma Nyoman Parsika Kadek Kendra nur ismail nurhayati Ibu Eni ita Putu Aris Andika made satya nugraha kadek karmini anik jumiati Bakrie Wayan Netra putu agus rifayanto ida ayu nyoman suryati komang ani made dana achmad Subadra nyoman nym klepon md. Md .sedap malam. gg.no. Kemuda III gg. Denpasar jl. Tandeg.K Anggia S. Kaliasem I no. Kalimantan no. Gn.SumatraG.BATUNYA BATURITI TBN Jl.klungkung jl. Tibubeneng Pekambingan jln buana kubu jl kembang matahari 1 no 82 jl.letda reta gg 4.badak agung II NO. Yeh Aya 138 jl. Sedap malam 117 A jl. Badak agung BR. Ketewel. christo SUPARTA Yokthan Ofier Siki maharani arin andika Anggia S.4 jln letda retta gg IV no25 Jl. 8 jl.4 jl akasia no 16 jl puputan renon jl tkd bilok no 61x Jl. Bhuana Kubu no.3 Dps Jl. badung jl badak agung 1 no 6 JL. Letda reta gang 22 jl.Hayam wuruk Gg Hang tuah monang maning jln ida bagus oka gg clurit no 1 Jl.

14 4373/III/12 jl a yani gg III no 3 4377/III/12 jl. kae No VII 4450/III/12 jl. ratih yoga awan trisna nona anita Kumala Dewi Debora Ngara . 4 Dps jln. Letda Reta Gg IV No. Merpati Gg VI no 6 4213/II/12 jl. Jatian 3596/XII/11 jl.letda kajeng 52548/11/12 jln.G. Intan Permai 4405/III/12 Jl nakula Seminyak 4413/III/12 jl.9 4348/III/12 jl.dps 53354/XI/11 jl nangka no 9 4348/III/12 jl.S paramita Yokthan Kurnia Wardani adi purnama komang sri.sumatra gg.27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 13/ 3/ 12 13/3/12 13/3/12 13/3/12 14/3/12 14/3/12 14/3/12 14/3/12 14/3/12 15/3/2012 15/3/2012 15/3/12 15/3/12 15/3/2012 15/3/2012 16/3/2012 16/3/2012 16/3/2012 16/3/2012 17/3/2012 17/3/2012 17/3/12 17/03/2012 20/03/2012 20/3/12 21/3/2012 21/3/2012 27/3/12 27/3/2012 28/3/2012 28/3/12 28/3/2012 28/3/12 29/03/2012 29/3/12 29/3/12 29/3/12 29/3/12 29/3/12 29/3/12 29/3/12 29/3/12 29/3/12 29/3/12 30/3/12 30/3/12 7772468/III/12 7772469/III/12 7772470/III/12 7772471/iii/12 7772472/III/12 7772473/iii/12 7772474/III/12 7772475/iii/12 7772476/iii/12 7772477/iii/12 7772478/III/12 7772479/iii/12 7772480/III/12 7772481/III/12 7772482/III/12 7772483/III/12 7772484/III/12 7772485/III/12 7772486/III/12 7772487/III/12 7772488/III/12 7772489/III/12 7772490/III/12 7772491/III/12 7772492/II/12 7772493/III/12 7772494/III/12 7772495/III/12 7772496/III/12 7772497/III/12 7772498/III/12 7772499/III/12 7772450/III/12 7772501/iii/12 7772502/III/12 7772503/III/12 7772504/III/12 7772505/iii/12 7772506/iii/12 7772507/iii/12 7772508/III/12 7772509/III/12 7772510/iii/12 7772511/III/12 7772512/iii/12 7772513/III/12 Ni Kadek Miasi ibu senemi ragil novi yanto komang sriwati salamah nyoman yasa Bu Aryuni sinta ketut sri teka Dwi komang dewi sukadana WAYAN DASTRA Yana Komang Nurpana ketut darmawan komang gede sumerta salamah kadek ardini Ayuni Melisa Intan Belinda Agus Putra Wirawan Dwijayanti Neneng Antari tini nyoman sudarwika ni nym alit trinadi ketut yunita putu juliantara md risma widyastuti Masti kadek ayu ratna djabulani yuli ratna ningsih I kadek eka putra windu mussa andi wira ragil novianto ragil nopvianto KADEK SRI ANGGRAINI ketut candra Jaya Ngurah Fransiskus P p L p P L P p p p l P L L P L l L p p p p L p P p p l p p L P L p l p p l l l L l l P L L 28 th 53thn 28 th 36 thn 35thn 25th 39 th 21 th 25th 15 thn 17 thn 51thn 42th 45TH 33 th 30 thn 21 thn 17th 35 th 23 thn 39thn 22th 12 thn 25 th 34 th 33th 52th 42th 20thn 25th 16 thn 15th 25th 22th 32thn 23 thn 24 th 11 thn 13th 26th 18th 28 th 28th 10 TH 35thn 15 thn Jl. Gn Agung Gang Merta Gaya no 3C jl. Tukad yeh aya no. Tukad Badung. Pesraman GG. Hangtuah 4282/III/12 jl. Sembua No. P. 16 DPS Buana Kubu GG.3 4289/III/12 jl. 1 4328/iii/12 jl.a. carangsari 4435/III/12 jl.I no.T ena ariasmi JUMLAH KUNJUNGAN PASIEN BULAN MARET 2012 =72 ORANG 1 2 3 4 5 5 6 7 8 9 10 11 12 13 14 15 16 17 18 7/4/2012 9/4/2012 9/4/2012 9/4/2012 9/4/2012 10/4/2012 10/4/2012 10/4/2012 16/4/12 16/4/12 18/4/12 18/4/12 19/IV/12 19/4/12 23/4/12 25/4/2012 25/4/2012 25/4/12 25/4/12 7772514/IV/12 7772515/IV/12 7772516/IV/12 7772517/VI/12 7772518/VI/12 7772519/IV/12 7772520/iv/12 7772521/IV/12 7772522/IV/12 7772523/IV/12 7772524/IV/12 7772525/IV/12 7772526/IV/12 7772527/iv/12 7772528/IV/12 7772529/IV/12 7772530/IV/12 7772531/IV/12 7772532/IV/12 Ketut Putri Kadek Suseni Santi wayan sumarni mursito Widi pt ria NI KETUT SITI md wirtanaya mona Nova nurhayati Putu Juliantara Ketut Lini natalia paulinus sumaji kadek eka putra ariyuni Mona Sadhu Lotang P P P p l P p P L P P L P p L L p P L 50 th 38 th 21thn 39tahun 39th 41th 21 thn 35 TH 33th 25 thn 20th 17 th 20 th 14 th 42thn 12th 38th 25 20 thn jl. Raya bona no 14 gianyar 4453/III/12 tukad yeh aya 64194/xii/11 jln gng ringin gg sawah no 6 3312/xi/12 jln trompong no 16 dps 2372/ix/11 jln dalung permai blok D3 4454/iii/12 perum dalung permai 4330/III/12 perum dalung permai 4330/iii/12 jln gn agung gg d no 3 4468/iii/12 jln.kebo iwa 2690/x/11 jl. Taman Intan.sedap malam.Letda reta gg 4/24 dps Jl. Sesetan gg ikan mas 14 x 4462/111/12 jl.raya sesetan gang berlian no. Tukad yeh aya 9 no. Werkudara Gg. Batu karu no.4 4470/iii/12 jl. Sekuta No 16 Sanur 4331/ III/ 12 jln.20 c 4329/III/12 jl. VI Jl.imam bonjol no 165 dps 4438/III/12 jl. Ternate 4372/III/12 jln gg hangtuah dps 4374/III/12 jl. Renon gg.pulau indah 2x 4363/III/12 Jl.jayagiri jl tunjung sari gg menuri no 8x jl.letda reta/16dps 4421/iii/12 jl tkd yeh aya ix no 11 4191/ii/12 petang.Sari-Pemogan 3439/xii/11 Fraktur 1/3 incisal pulpitis reversible fraktur1/3 insisal hiperemi pulpa iritasi pulpa hiperemi pulpa hiperemi pulpa iritasi pulpa hiperemi pulpa post capping post pulp capping pulpitis irreversible abrasi Hiperemi Pulpa iritasi pulpa hiperemi pulpa fraktur hiperemi pulpa post pulpektomi iritasi pulpa hyperimi pulpa post endointrakanal hiperemi pulpa Hiperemi pulpa hiperemi pulpa post endointrakanal hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa post capping hiperemi pulpa hiperemi pulpa fraktur fraktur fraktur nekrose pulpa fraktur fraktur fraktur hiperemi pulpa hiperemi pulpa post pulpektomi Tumpatan Komposit Klas 4 pulp caping mahkota jaket amalgam kls 2 tumpatan klas V komposit klas 4 komposit klas I komposit klas 3 dan 4 amalgam klawss 2 inlay inlay pulpektomi klas V GIC KLS IV (test keluar) Klas I Komposit Klas III Komposit KLS IV (test keluar) KLS IV (test keluar) tumpatan amalgam kals 2 inlay kls I komposit komposit kls 1 mahkota pasak komposit klas IV (tes keluar) komposit klas IV (tes keluar) komposit klas 1 (tes keluar) mahkota pasak kls 6 komposit klas 1 komposit inlay komposit kls 1 amalgam kls II tump komposit amalgam klas 1 amalgam kelas II gic klas 5 komposit klas IV (tes keluar) mahkota jaket mahkota pasak mahkota pasak kls 6komposit (tes keluar) mahkota jaket mahkota jaket komposit kls 1 GIC kls V mahkota pasak Wida Wirani lady afni agnys dian kusuma setia utami dentarika adi wicaksana mutiara Ariani dewaty ayu nona agus komang sri. A yani no 126 Jl. Jayagiri 17 No. gg. Yani Gg II no 6 Dps jl.yani no.4 3984/11/xii jl. Tukad gerinding 4349/iii/12 jl.18 jln tukad yeh aya 9 no10x Jl A.s afni sri gunawati sri indrayanti helly D Triana Dewi deby A Mas wulan sari angga pramita jefry yosi prabadewi widiadnyani bety arisanti novic julia Maria Anita nona anita andrianus dani niki nadia nona anita purwita dewi victris siumastami afni nona anita agustini citra cindra N.seruni no 2 1884/VII/11 4485/IV/12 4504/IV/12 4513/IV/12 4397/III/12 4520/IV/12 4478/iv/12 4544/IV/12 4546/IV/12 4558/IV/12 4576/IV/12 4608/IV/12 4560/IV/12 4624/iv/12 4675/IV/12 54467/X/08 4719/IV/12 4718/IV/12 4723/IV/12 Post Endo Intrakanal Hiperemi pulpa Hiperemi pulpa hiperemi pulpa hiperemipulpa hiperemipulpa hiperemipulpa hiperemipulpa hyperemy pulpa hyperemy pulpa IP Hiperemi Pulpa IP hp iritation pulpa fraktur 1/3 insisal IP IP HP Mahkota Pasak Indikasi Kls II amalgam Komposit Klas IV (tes keluar) Indikasi Kls II amalgam klasII amalgasm Komposit Klas IV (tes keluar) komposit klas IV komposit klas IV komposit kls4 komposit kls 1 (tes keluar) Komosit kelas1 (tes keluar) Komposit Klas 1 (tes Keluar) Komposit Klas 1 (tes Keluar) komposit klas 1 ( teskeluar) komposit klas 1 (tes kluar) komposit kls 4(tes keluar) komposit klas 3(test keluar) Komposit klas 1 (test Keluar) Kompositklas 1(test keluar0 Ayu Sri Adnyani Silva Dwiliana agnys mutiara Dely cahyadi jelantik novic hari yudhari \ Yokthan Fienna NS. 1 Jl.cok agung trisna 1 jl tantular gg 1 Jln. X jln permata hijau 96 dpd JL YANG BATU br pengayehan cemagi jl. Letda Reta No 6 4870/III/12 Jl. Tukad banyupoh no 69 panjer. Letda reta no 1 4442/III/12 bnjar gde anggungan lukluk mengwi bdg 4443/III/12 jl drupasi gang dewi uma no 17 62015/VII/10 jl tegal wangi komplek polri no 15 53442/xii/12 jl. Jagung no.1 no. Nusa Dua 4385/Iii/12 jln.Renon gang M.Yamin 4333/III/12 perumahan dalung permai 4330/iii/12 jln.pulau kalimantan 4359/III/12 JL.

Tukad balian xi/6 4899/v/12 Jln.kusuma bangsa 4728/IV/12 jl.26-Dps 4722/1v/12 jln. D. Tangkuban Perahu Gg Arjuna 6 52586/V/12 jln. Wijaya kusuma 4930/V/12 Br. Gunung agung no. Badung no 12 4494/iv/12 jl.mas. Katrangan.Ir. Yang batu 4720/iv/12 jln. Gianyar 4754/v/12 jln. Pujung kaja. Raya pujung kaja.ciung wanara 4749/iv/12 jln.ubud 4778/V/12 gg merah hati no 1a monang maning 4821/V/12 pejeng kelod gianyar 4822/v/12 br metulia. gg camar no 1 a 4817/V/12 jl. gg. Yang batu 4720/iv/12 jl.Hangtuah.sawo dawan kelungkung 5079/v/123 jl.19 20 21 22 23 24 25 26 27 28 25/4/12 26/4/12 26/4/12 26/4/12 26/4/12 27/4/12 27/4/12 27/4/12 30/4/12 30/4/12 7772533/iv/12 7772534/iv/12 7772535/IV/12 7772536/IV/12 7772537/IV/12 7772538/Iv/12 7772539/IV/12 7772540/IV/12 7772541/IV/12 ferdinandus suyati suyati komang dewi Kt. Tkd. Jatian 3596/XII/11 jl kartini gg 3 no 4 4152/II/12 Br. Karang Semaja Kuta badung 3945/I/12 jl gunung seraya 4819/v/12 jl veteran gg 7 no 6 4834/v/12 jalan tukad balian gang XI no 1 denpasar 4835/V/12 jalan batas dukuh sari gang dara no. Noja Gg xxxi no 7x dps 5065/v/12 jl. gianyar4751/IV/12 Hp hp hp hp HP HP hp HP HP HP komposit klas1(tes keluar) komposit klass 4 (test keluar) komposit klass 4 (tes keluar) komposit klas !(testkeluar) komposit klas 3(test keluar) amalgam kls 1 kompositklas4(tes kluar) Kom[posit klas 3(tes keluar) AMALGAM kls 1 amalgam kls 1 ADI WICAKSANA ria mutiara adi suartika sylvia jessy ferra wati anggia YUWANTI nia mas s.Sanur 4832/V/12 jln.27 Dps 5013/V/12 br kayehan klungkung 5017/v/12 br.denpasar 4753/V/12 jl. Menuh no.Ida Bagus Oka Gg. klungkung dawan 4826/v/12 dawan kaler. No. Tukad barito timur no 49 denpasar 4857/v/12 jl tukad pule no 7 4823/v/2012 jl raya celuk gg culeg I 4850/v/2012 Br. gianyar 5121/v/12 hp fraktur 1/3 insisal HP IP post pulpektomi POST PULPEKTOMI HP IP hp hp hp post pulpcapping hp hp HP HP HP pulpitis reversible hp hp hp hp hp hp pulpitis reversible hp hp post pulpektomi hp hp post capping hp ip hp Hp hp hp hp IP HP IP HP HP hp hp hp hp hp hp hp hp IP hp amalgam kls 1 komposit klas IV amalgam kelas 1 amalgam klas II mahkota pasak amalgam kelas 1 amalgam klas 1 amalgam klas 1 amalgam kelas 1 amalgam kls 1 amalgam klas 1 Amalgam klas II amalgam kls 1 amalgam kls 1 amagam kelas I amalgam kelas I amalgam kelas I amalgam kelas I amalgam klas 1 amalgam klas I amalgam klas i amalgam klas 1 amalgam kelas 1 amalgam kelas 1 pulp capping amalgam klas 1 amalgam klas i Pasak komposit klas IV komposit klas 1 amalgam klas 2 amalgam klas 1 komposit kls 1 komposit kelas 3 amalgam kls 1 komposit kls 3 komposit kls 3 komposit kls IV Komposit Klas IV komposit klas III komposit klas III gic kls v amalgam kls I amalgam kls I komposit kelas iv amalgam klas II komposit klas I komposit klas1 komposit klas 3 komposit klas 1 gic klas v komposit klas IV gic klas v ksamawan nia mas nia dianata widiadnyani nona herawaty Putri marina pertiwi santi cok ata aji nurmita alit yusi yulia nitaswari ayu suryani dody sukmajaya dwipayani krisma dewi geg trya elvira wira hary pratidina gunadi hapsari adhi ayu suri valentining fransiska Gayatri ADITYA PARADIPTA Hostiadhi yuwanti wira hary ita ayu intan arista sylvia jessy aji I Putu Gde Ariastawa alit yusi asfar ambu sugiartining santi sylvia jessy Githa Komala gede cok gde suryabharata Ariani I wayan gunadi ksamawan trya elvira dewi trya sylvia jessy nia mas .Denpasar 47227/IV/12 JL. ST I wayan wika permana parhatun yohanes kadek juli vika Shinta Puspita sari kdk ariana kd.88. 5 4623/V/12 Jln. klungkung 4824/v/12 Jl. Kumbuh. tegalalang.legian 4768/IV/12 jl.Rai Asih Nuraidah putu redy laksamana Nyoman Yasa EMI I WAYAN SUCITA L p p p p p L L P L 34thn 50th 50th 17th 46th 30th 17th 25thn 25thn 24 Thn jl. dps 5038/V/12 jln. sukawati. Trunyan Kintamani 2125/viii/11 jl kemuda 3 4976/v/12 Jl. Danau Toba. tegallalang. Umacandi Buduk 4858/v/12 jl. Gunung karang no 9 dps 5054/v/12 jl bedugul gg merpati no 6 5067/v/12 jln. 1 . Ida bagus mantra 5073/v/12 Br.4.ratna indah.pakusari3 no. Renon Gg.sekuta no 16 sanur 4846/v/12 jl bukit tunggal gg IB no 6 4841/v/12 br. tegallalang. Pilau galang.soka 4730/IV/12 jl gunung batukaru gg 5 no 7 dps 2920/xi/11 jl.Mandau No. Ayani 281 dps 4847/v/12 jl.shintayani santi Ano feri putu hendra koming Fransiskus nengah sutarjana putu surya wisnu wardana puspita I wayan adi sumirka ramus preira ketut suri dwi agus wijayanti ishaq ambar veda Nabilla nurvilail ni luh wayan hardini L L P P P p p p L l l P p p p p p p p l l p l p l p p L L l P L L p P L p p L L L p L l L p l l p p l p p 20 thun 17 thn 30th 30th 5ithn 19 th 47 th 43 th 18th 31th 22 th 21 th 19 th 22 th 19 tahun 14 tahun 15 th 21 th 31th 19th 50 tahun 28th 18th 22th 37th 16th 17 thn 18th 34th 22th 36th 17th 17th 15th 21th 19th 17th 22 th 29 thn 40 thn 20 th 29th 21th 17tn 21 th 20 thn 16 thn 22 thun 38th 21 th 23thn 12th 50 thn jln. Kembang matahari no 96 dps 5050/v/12 jl gunung krakatau 11A dps 5090/v/12 jl.antasura 4740/Iv/12 Jln.kanginan dawan.10 4982/V/12 jl. Tamblingan no 72 4915/v/12 jl. JUMLAH KUNJUNGAN PASIEN BULAN APRIL 2012 = 28 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 1/5/2012 1/5/2012 1/5/2012 1/5/2012 1/5/2012 2/5/2012 2/5/2012 3/5/2012 3/5/2012 3/5/2012 3/5/2012 3/5/2012 3/5/2012 3/5/2012 3/5/2012 3/5/2012 3/5/2012 3/5/2012 4/5/2012 4/5/2012 4/5/2012 4/5/2012 4/5/2012 4/5/2012 4/5/2012 5/5/2012 5/5/2012 5/5/2012 7/5/2012 7/5/2012 7/5/2012 8/5/2012 9/5/2012 9/5/2012 9/5/2012 9/5/20012 9/5/2012 9/5/2012 9/5/2012 9/5/2012 9/5/2012 10/5/2012 10/5/2012 10/5/2012 10/5/2012 10/5/2012 10/5/2012 10/5/2012 10/5/2012 10/5/2012 11/5/2012 11/5/2012 11/5/2012 7772542/IV/12 7772543/V/12 7772544/V/12 7772545/V/12 7772546/V/12 7772547/V/12 7772548/V/12 7772549/V/12 7772550/v/12 7772551/V/12 7772552/v/12 7772553/V/12 7772554/V/12 7772555/V/12 7772556/V/12 7772557/V/12 7772558/V/12 7772559/v/12 7772560/v/12 7772561/v/12 7772562/V/12 7772563/v/12 7772564/v/2012 7772565/v/2012 7772566/v/12 7772567/v/12 7772568/V/12 7772569/v/12 7772570/v/12 7772571/v/12 7772572/v/12 7772573/v/12 7772574/v/12 7772575/v/12 7772576/v/12 7772577/V/12 7772578/v/12 7772579/V/12 7772580/V/12 7772581/V/12 7772582/V/12 7772583/v/12 7772584/v/12 7772585/v/12 7772586/v/12 7772587/v/12 7772588/v/12 7772589/v/12 7772590/v/12 7772591/v/12 7772592/v/12 7772593/v/12 7772594/v/12 ANTONIO ALVES I wayan wibawa harta Kadek Megawati ibu nengah sasih dewi Desi nyoman mundeh bu lika made dwijana putra putu arya widiana wyn yudi artawan Ayu Lestari laila kadek wartini ni putu putri utami leu tresia jeryanty simbolon nopi antari rosalia gede raditya I nyoman partha yulia ratnawati dadan komang tri Ahmad Morsid Ketut Devi kadek riana Md Rama Putra I made purniawan. Pasekan. Pasekan ketewel sukawati gianyar 4853/v/12 jl. ketewel. Kapten japa gg II no 5 denpasar 5055/V/12 Jln. Majapahit no. Pujung kaja. Tukad balian xi/6 4898/v/12 jl. KUSUMA BANGSA 3 NO 2 4750/IV/12 jl. gianyar4914/v/12 jln tukad ijo gading 5053/v/12 jln.klungkung 5020/v/12 buana kubu gg. no:54 Denpasar 4880/V/12 jl gatsu tengah no 1 dps 4908/v/12 Jl. Sembua no.2 4836/V/12 jl sesetan no 62.

yani no 6 dps 5415/v/12 perumahan lukluk indah blok D no 16 5400/V/12 jl.18 Dps jl. Tukad balian no. ketewel.16 dps 5374/v/12 jl padang udayana Ivc/1 denpasar 5407/v/12 jl tukad pule no 7 5374/v/12 jl. Legian no. Sahadewa I no 10 4456/III/12 jl cokrominoto 214 5304/v/12 jl kapten reguh 1 no 4 5204/v/12 jl nangka 5300/v/12 jalan pulau buru iv no.13 kuta Jln Hayam Wuruk no.hayam wuruk gg nagasari no. Gunung guntur 5114/v/12 jl.gg nagasari no27. sajiva ayu suri valentining alit yusi sarra cahyani ksamawan gunadi Sherly mita sylvia jessy gede surya elvira dewi Githa Komala wira hary Marisa Wulandari ksamawan bosco mayudianingsih dody sukmajaya trya indah suryadewi hapsari karlina dewi mayudianingsih adhi muliaharta arnoldina leok sajiva dwiyani sidan Ivonia cok ata imran Gayatri fransiska joao bosco pratidina renny KRISMA DEWI mayudianingsih Putri Marina aditya paradipta . Tantular 5253/V/12 Jl. Anyelir. Yeh Aya IX no 30 4827/v/12 jl. 29. Sudirman timur.3 5269/v/12 Jl.54 55 56 57 58 60 61 62 63 64 65 66 67 68 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 11/5/2012 11/5/2012 11/5/2012 11/5/2012 11/5/2012 11/5/2012 11/5/2012 11/5/2012 12/5/2012 12/5/2012 12/5/2012 12/5/2012 14/5/2012 14/5/12 14/5/2012 15/05/2012 15/5/2012 15/5/2012 15/5/2012 15/5/2012 16/V/12 16/5/2012 !6/05/2012 16/05/2012 16/05/2012 18/05/12 18/05/12 18/05/12 18/05/13 18/05/12 18/5/12 18/5/2012 19/5/2012 19/v/12 19/05/12 19/5/12 21/5/2012 21/5/2012 21/5/2012 21/5/12 21/5/12 21/5/12 21/5/12 22/5/12 23/5/12 22/5/12 22/5/12 22/5/12 22/5/12 23/5/2012 23/5/12 23/5/2012 23/5/12 23/5/12 23/5/12 24/5/12 24/5/12 24/5/12 24/5/12 24/5/12 24/v/12 24/v/12 24/5/12 24/5/12 24/5/2012 25/5/12 25/5/12 7772595/V/12 i wayan yunaldi 7772596/v/12 nengah juli artawan 7772597/v/12 ratna 7772598/v/12 ni luh sariani 7772599/v/12 Wayan Tagel 7772600/V/12 sulistyorini 7772601/V/12 ni nyoman mariani 7772601/V/12 Abreu Alves 7772602/v/12 Susi Indaryati 7772603/v/12 I gede prima ary winata 7772604/V/12 yanti 7772605/V/12 dewa komang 7772606/v/12 Ahmad Morsid 7772607/v/12 dewa ketut mertha 7772608/V/12 jiwanto 7772609/v/12 luh andreani 7772610/v/12 komang gede sumerta 7772611/v/12ljko.27 dps Jl.'jo. Pulau Slayar No.8 gg.soka no. Sroja gg anggada 15 5086/v/12 perum candra ditya 1b No.dps 5123/V/12 Jl. Gg.gatsu vi no.tukad banyuning no 6.3 batubulan 5269/v/12 badak agung iv no/5 dps 4971/v/12 jl.5 denpasar 4881/V/12 jl. Yang Batu 5446/v/12 Jln.kenanga no. pande surya joao bosco Sherly gede surya arnoldina leok Putri Marina fransiska ksamawan cok mira indah suryadewi adinatha dsk nym haridina cok gde suryabharata arnoldina leok dananjaya Ambu Gevilawati Ivan L. Gg:kartika 1 no 33 4531/IV/12 Br. Ari R.hayam wuruk. Kayehan klungkung dawan 5125/v/12 jln. Anggrek no.44 5256/V/12 Jl. denpasar 4875/v/12 jl cok agung tresna no 1 3540/XII/11 jl yangbatu 4875/V/12 jl.Manuk Susut Bangli 5120/v/12 jl.jayagiri 5452/v/12 Jl. Batas dukuh sari gg dara no 2 4810/v/12 Banjar Kayehan Dawan 5314/v/12 nyuhgading nagasari 5335/v/12 jl. K. Denpasar 52975/V/12 jl. sukawati. dps 5312/v/12 jl raya mas ubud n0 20 gianyar 3121//11 jl.6 denpasar 5081/v/12 jl werkudara gg 1 no 14 5124/v/12 jln. 7772648/V/12 anis lailatul rahmah 7772649/v/12 7772650/v/12 7772651/v/12 7772652/v/12 7772653/v/12 7772654/v/12 7772655/v/12 7772656/v/12 7772657/v/12 7772658/v/12 danilo Wulan I Gusti Putu Harnata luiis da costa I made wahyu dwi putra Kadek Riana leutrisia dw ayu nym renyani Luh happy kd murni l l p p L P p L P l p L l l L p l l P L L P P L L p p p l l l l P p l p l l p p l L p l l p p L L l p L p p P L p L p l L L P P p P p 17 tahun 23 thn 58 thn 38 th 48 th 31 th 51 th 24th 33th 23 thn 39 thn 18 tahun 37 thn 49 thun 32th 19thn 17thn 26 tahun 39tahun 20tahun 25 thn 40thn 35 thn 23 thn 45 th 50 thn 21thn 38 thn 12 thn 17thn 23 thun 22th 34th 15th 24th 47th 15th 20th 14th 18th 20th 26th 50th 60th 22thn 38thn 22thn 20thn 17th 19th 25th 22th 24 th 42th 40thn 21thn 16 thn 26 thn 25th 23thn 22th 18th 17th 14 THN 50th 14 THN 27th Br.Balian Jlbatas dukuh sari gg dara no 2 jl padang udayana VIII no 2b dps Jl Nangka Utara gg murai no 28 jl sedap malam 5312/V/12 5465/v/12 5479/v/12 5466/v/12 4365/v/12 52978/v/12 4810/V/12 53392/V/12 5471/v/12 5514/V/12 hp komposit klas iii hp komposit klas i hp komposit klas i hp gic klas v Hp gic kls v IP mahkota pasak hp komposit kls IV IP komposit kelas iv HP amalgam kelas I hp amalgam kls II hp komposit klas III Fraktur 1/4 incisal komposit klas IV hp amalgam klas 1 frktur 1/3 insisal komposit klas 4 hp komposit klas 1 hp komposit klas iv hp amalgam kelas 1 fraktur 1/3 serviko insisalkomposit kelas IV post pulpektomy onlay post pulpcaping kelas I amalgam post pulpcaping kelas I amalgam hp Inlay Hiperemi Pulpa inlay Hiperemi Pulpa komposit kls 4 Iritasi Pulpa Amalgam kls 2 hiperemi pulpa gic klas 5 Hiperemi Pulpa komposit klas 1 hiperemi pulpa komposit klas 4 Hiperemi pulpa amalgam kelas 1 Hiperemi Pulpa amalgam kelas 1 Hiperemi Pulpa komposit klas3 fraktur 1/3 serviko insisalkomposit komposit kelas klas IViv Hiperemi Pulpa Inlay fraktur1/3 serviko insisal komposit kls iv iritasi pulpa amalgam kls 2 Hiperemi Pulpa komposit kls 3 Hiperemi Pulpa komposit kls 4 hiperemi pulpa komposit kls 3 hp komposit klas 3 hp komposit klas 1 hp komposit klkas 3 hp komposit kelas 1 HP amalgam kls I hp amalgam klas 2 hp komposit kelas 1 hp inlay hp komposit kls 1 fraktur 1/3 serviko insisalkomposit kelas IV hp komposit kls IV hp komposit kelas iii hp komposit klas I Hiperemi Pulpa amalgam kelas 2 Hiperemi Pulpa komposit klas 3 hp amalgam kls 2 Ip komposit klas 1 hp Komposit Klas I hp komposit klasi I hp hp hp hp hp Pulpitis Reversuble KPP post capping Hp hp komposit kls IV gic kls v komposit klas 1 komposit kls 3 gic kls v Amalgam Klas I PULPEKTOMI tumpatan amalgam kls II Tumpatan klas I komposit tumpatam komposit klas III gunadi mita dody sukmajaya pertiwi santi I Putu Gde Ariastawa D. Dukuh sari. Kartini rt 5 no 3 dps 5262/v/12 jalan merpati VI/6 5263/v/12 jl gadung no 2b 5277/v/12 jl pamogfan no 2 5248/v/12 perum candra ditya 1b No. gianyar5115/V/12 br. Nagasari 27 5252/V/12 jl a yani dsn wanasari rt I 5216/V/12 jl. no 98 br pande tulikup gianyar 5118/v/12 jl ciung wanara I no 1. Pasekan.20 5267/v/12 katrangan no 54 denpasar 4880/v/12 jl.Tkd. Umacandi Buduk 4858/v/12 jl aklasia 4 no 4 4969/v/12 jl raya mas 5168/V/12 jl. Batubulan 5125/v/12 Br.ringin gg sawot 5124/v/12 Jl Batuyang. Kapten Japa. m. Hayam wuruk. Tukad pancoran gang 4b no 22 denpasar 5363/v/12 jl.a.19 5422/v/12 jl.jljl'j putu widya gunawan 7772612/V/12 ibu ayu 7772613/v/12 wayan wigama 7772614/V/v servas 7772615/v/12 Ferry 7772616/V/12 Rizky Novita 7772617/V/12 Sangrama Wijaya 7772618/V/12 Ferry 7772619/V/12 myoman kodi 7772620/v/12 desy ayu pancasilawati 7772621/v/12 surayah 7772620/v/12 agus 7772621/v/12 rama 7772622/v/12 made nata 7772623/v/12 putu prihan sastra iswara 7772624/v/12 Diani 7772625/v/12 ayu 7772626/v/12 hanif 7772627/v/12 wyn sriani 7772628/v/12 I gede yoga perman 7772629/v/12 putu hendra 7772630/v/12 leothresia 7772631/v/12 Komang Apriningsih 7772632/v/12 selson 7772633/v/12 danilo 7772634/V/12 dw ayu nym renyani 7772635/v/12 I nengah ladra 7772636/v/12 putu prihan sastra iswara 7772637/v/12 devy 7772638/v/12 elvira dewi 7772639/v/12 wawan prayonoo 7772640/v/12 md passek reza swandira 7772641/v/12 Andrizal 7772642/v/12 muna waroh 7772643/V/12 Gilang pratama 7772644/v/12 minaselan 7772645/v/12 salhita 7772646/v/12 anjas 7772647/V/12 Luis da Costa R.dps btn griya wahyu indah no 12f jln. Veteran no 89 5119/v/12 Jl. Tk. Dps 5254/V/12 jl sakura 5149/v/12 asrama kongdam kepaon blok a-6 dps 5154/v/12 jl.

Hangtuah No 10 DPS jalan raya diponogoro no 52 dawan klod klungkung Jl. VI No. gianyar 5604/v/12 ubud 5657/v/12 jl.kayehan.nuri no40 5650/v/12 jln sma 3 gg 6 b dps 5648/v/12 jl kapten japa no 7 5257/iii/12 jl. Nangka no 40 gang Nuri 5531/v/12 jln gn agung no. Turi no.12 25/5/12 26/5/12 26/5/12 26/5/2012 26/5/12 26/5/12 28/5/12 28/5/12 29/5/12 28/5/12 28/5/12 29/5/12 29/5/12 29/5/12 29/5/2012 29/05/12 29/v/12 29/v/12 29/5/12 29/5/12 29/5/12 29/5/12 30/5/12 30/5/12 31/5/12 31/5/12 31/5/12 31/5/12 31/5/12 31/5/12 31/5/12 31/5/12 7772659/v/12 7772660/v/12 7772661/v/12 7772662/v/12 7772663/v/12 7772664/v/12 7772665/v/12 7772666/v/12 7772667/v/12 7772668/v/XII 7772669/V/XII 7772670/v/12 7772671/v/12 7772672/v/12 7772673/v/12 7772674/V/12 7772675/v/12 7772676/v/12 7772677/V/12 7772678/V/12 7772679/v/12 7772680/V/12 7772681/V/12 7772682/v/12 7772683/v/12 7772684/v/12 7772685/5/12 7772686/V/12 7772687/v/12 7772688/v/12 7772689/v/12 7772690/v/12 7772691/v/12 7772692/v/12 7772693/v/12 7772694/v/12 7772695/v/12 7772696/v/12 7772697/v/12 7772698/v/12 frans peter sadin jimmy g komang gede sumerta putu eka juni lestari nengah rempi salamah ketut wenten arifin ketut arta Jumiati Irul mariska yusak mangngi daniel I putu yudha.dps jln.Gadung No.pande.1 5499/v/12 jln Ymi no 03 dps 5504/v/12 jl. Nangka selatan gg.1 Dps br. Batur Sari 67 5678/v/12 jl batu bulan 5269/v/12 jl.K Putu Maharani fransiska wiwik astika sumandari yustika jefry gede surya wiesty ayu suri valentining nia mas shinta ayunani cok gde suryabharata Gayatri pratidina cahyani pande surya ayu suryani mieke purwita dewi dodiek sukmana JUMLAH KUNJUNGAN PASIEN BULAN MEI 2012 = 163 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 1/6/2012 1/6/2012 1/6/2012 1/6/2012 1/6/2012 1/6/2012 1/6/2012 1/6/2012 1/6/2012 1/6/2012 2/6/2012 2/6/2012 2/6/2012 4/6/2012 4/6/2012 4/6/2012 5/6/2012 5/6/2012 5/6/2012 6/6/2012 6/6/2012 6/6/2012 6/6/2012 7/6/2012 7/6/2012 7772699/vi/12 7772700/vi/12 7772701/vi/12 7772702/VI/12 7772703/vi/12 7772704/vi/12 7772705/vi/12 7772706/vi/12 7772707/vi/12 7772708/VI/12 7772709/VI/12 7772710/VI/12 7772711/VI/12 7772712/VI/12 7772713/vi/12 7772714/VI/12 7772715/vi/12 7772716/VI/12 7772717/VI/12 7772718/VI/12 7772719/VI/12 7772720/VI/12 7772721/VI/12 7772722/VI/12 7772723/VI/12 nyoman kodi jumiati slamet novi Made Gita jhon Carla Ita Kharisma roth yosiwa ahmad sofian syva Charles polarosa Eko kadek agus darmasputra ratna Joel Antonio Kris nia restika tini MADE SUDANI Agus ariawan Haliyani I Wayan Lingga Antara Fery rossa Gd. Tukad balian xi no 2 dps jl sandat no 2.121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 158 159 160 161 162 163 25/5/12 25/5/12 25/5/12 25/5/12 25/5/12 25/5/12 25/5/12 25/5/. Badak Agung I no 6 dps 5149/v/12 5212/v/12 5737/vi/12 5734/vi/12 5739/vi/12 5743/vi/12 5735/vi/12 4901/v/12 vi/12 5749/VI/12 5742/V/12 4747/IV/12 5727/VI/12 5119/V/12 5828/vi/12 5844/vi/12 5839/vi/12 5800/VI/ 5798/VI/12 5905/VI/12 5901/VI/12 5904/Vi/12 5937/vi/12 5883/VI/12 5091/V/12 hp pulpitis reversible hp hp hp hp hp pulpitis reversibel hp hp pulpitis reversible post pulpektomy pulpitis irreversible pulpitis reversible hp hp hp hp hp HP HP IP hp HP IP tumpatan gic kelas v pulp capping indirect tumpatan komposit kls 4 tumpatan GIC kls V tumpatan GIC klas v tumpatan komposit Kelas 4 Tumpatan Amalgam kls 1 pulp capping tump.batas dukuh sari gg dara no 2 5281/v/12 jln. Menuh no. tegallalang. 1 4863/v/12 tonja 3871/I/12 perumahan lukluk indah blok c no 40 5576/v/12 jalan pulau buru iv no. Gic klas v tumpatan komposit klas IV pulp capping mahkota pasak onlay pulp capping amalgam kelas II tumpatan komposit klas V klas 5 gic tumpatan komposit klas III klas 5 gic klas IV komposit Kelas IV Komposit KELAS I Komposit klas II amalgam kls III komposit Kls I komposit yuwanti praptini aditya paradipta marisa githa fransiska ayu suryani Adevia dima putri gevilawati arnoldina leok githa sylvia jessy cok gde suryabharata dody sukmajaya joao bosco Suparno ksamawan putra utama dedy arya dima putri I Putu Gde Ariastawa alit yusi jefry sylvia jessy Sherly sylvia jessy .10 5530/v/12 jln gng ringin gg sawah no 1 monang maning 5556/v/12 jl raya dalung no 16 untal untal dalung 5559/v/12 jl. 6 Denpasar 5353/V/12 Jl.tukad gangga 3.Sutomo Gg Cendrawasih No. Badak Agung IV no 5 Dps 4971/V/12 Jl Gn talang np V 2X 5641/V/12 jln nangka gg.A putu candra yudha I gede yoga permana Agus Putra Wirawan Karlina Dewi Silvia Devy riadi kt.tukad laguan no. dawan.dipogoro jl. Sakura ujung 21 jl raya renon no 2 jn.kemuda 3 jln.1 dps 5520/v/12 jl gadung no 57 c dps 5512/v/12 jl werkudara gg 1 no 14 5124/v/12 Jl.99 5614/v/12 Jl. Letda winda gg 3 no 3 5463/v/12 jln kenyeri gg 2 no 2 5694/v/12 br.18 A Denpasar 5634/V/12 Jln ayani gg jepun no.P hapsari elvira dewi Erni Hasan H. Arya Mertajaya p p l p l l p p l p L L l p L L p p P l P L L p L 50th 31th 39thn 15thn 24th 27thn 46th 51th 10thn 27thn 22th 10 th 58th 23thn 30th 22th 38th 45 thn 19thn 29th 14 th 45th 24th 17th jl. Pulau Indah No. hp hp hp hp hp tumpatan komposit klas IV gic klas v komposit klas 1 pulp capping indirect tumpatan amalgam klas 1 tumpatan klas1 amalgam tumpatan tuang/inlay tumpatan komposit kls III tumpatan komposit klas III tumpatan GIC Tumpatan tuang/onlay tumpatan amalgam kelas I tumpatan gic kls v amalgam kls ii tumpatan komposit kelas 4 mahkota pasak komposit klas 4 pulpektomy Tumpatan Amalgam Klas II Tumpatan Komposit Klas I Tumpatan komposit klas 4 Tumpatan tuang inlay tumpatan komposit kls 4 tumpatan komposit klas 4 pulpektomi onlay komposit kls 1 tumpatan tuang onlay tumpat komposit klas 4 tumpatan amalgam klas II tumpat komposit klas 4 tumpatan amalgam klas II tumpatan komposit klas 4 tumpatan komposit klas I tumpatan komposit kls 1 tumpatan GIC kls V tumpatan komposit kls 1 amalgam klsII tumpatan komposit kls 1 tumpatan komposit kls 4 wira hary arnoldina leok Gevilawati adinatha Putra Utama sumandari dian mahayu karina gede surya dody sukmajaya nurmita dewi Ganesha Yuditha Ikawati purwita dewi maria hosiana intan arista denny. Gunung agung 5516/v/12 jl batursari B6 5536/v/12 jl Letda Made Putra 4102/II/12 Jln.37 Denpasar jl. Sedap Malam jl.10 dps Jln. Monang maning no>9 dps jalan mandala sari gg 3 no 6 jl gunung bromo 11 dps jl sedap malam gang tanjung biru jl. dps jl mtahari terbit canggu permai jl. Jayagiri 1 no.20 5267/v/12 Jl.nangka utar 5533/v/12 jl. klungkung jl yangbatu gg V no 7 jl keboiwa no 47 dps Jl. Merpati Gg. Veteran no 89 dps jl. Kartini gg 27 no 8 dps 5488/v/12 Jl.siulan 69 sekar sari 5403/v/12 jl kembang matahari 2163/VIII/11 jl tukad bilok 5605/v/12 jl.wenten sandy pratama yasin nengah nurmita dewi Siti nuruljanah gede putra yasa ni wayan suani ratna siti mariyam Yudith Permana putu prihan sastra iswara tama indah budi apsari I wayan pasek suparma ketut sri kadek candri ketut adi adnyani l l l l p p p p l L P L p l l L l L L P p P L p L L p P l p p p l l l p l p p p 14th 58th 22 thn 17 thn 10th 35 thn 30thn 30 th 25th 23th 31th 8thn 17th 23th 23 th 35 thn 26thn 15th 12 thn 24 thn 22 thn 38th 17th 30thn 22 thn 8 th 23 th 13 th 23thn 39 thn 24thn 36thn 31 th 21th 17th 23 th 20th 32th 23th 49 thun jl. bangli 5140/v/12 jl sumatra gg I no 6 dps 5718/V/12 jln drupadi xiv no 9 5731/v/12 kertha dalam suwung 5732/v/12 hp hp hp pulpitis reversible hp hp hp hp hp hp Post Pulpektomy hp hp hp hp post pulpek hp fraktur Post Pulp Capping Hiperemi Pulpa Hiperemi Pulpa Post pulpcapping Hiperemi Pulpa hp pulpitis ireversible post pulpektomi HP post pulpektomy hp hp hp hp ip hp hp. Pujung kaja.

Tukad Yeh Aya. 11 a BKR JL. Sangging.H Suparno cok mira indah suryadewi . Gn. Jayagiri no.II Monang Maning jl a yani 21 dps br dlodblungbang Jl. Jaya Giri n0.26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 7/6/2012 7/6/2012 7/6/2012 7/6/2012 7/6/2012 7/6/2012 7/6/2012 7/6/2012 7/6/2012 8/6/2012 8/6/2012 8/6/2012 8/6/2012 8/6/2012 8/6/2012 8/6/2012 9/6/2012 1/6/2012 11/6/2012 11/6/2012 11/6/2012 12/6/2012 12/6/2012 12/6/2012 12/6/2012 13/6/2012 15/6/12 15/6/12 15/6/12 15/6/12 15/6/12 18/6/12 18/6/12 18/6/12 18/6/2012 18/6/2012 18/6/12 19/6/12 19/6/12 19/6/2012 19/06/2012 19/6/12 21/6/12 21/6/12 21/6/12 21/6/12 21/6/2012 21/6/2013 22/6/12 22/6/12 22/6/12 22/6/12 22/6/12 22/6/12 22/6/12 23/6/12 23/6/12 23/6/12 23/6/12 25/6/12 25/6/12 25/6/12 26/6/12 26/06/12 26/06/12 27/06/12 27/06/2012 27/06/12 7772724/vi/12 7772725/VI/12 7772726/VI/12 7772727/VI/12 7772728/vi/12 7772729/vi/12 7772730/vi/12 7772731/vi/12 7772732/VI/12 7772733/VI/12 7772734/VI/12 7772735/VI/12 7772736/VI/12 7772737/VI/12 7772738/VI/12 7772739/VI/12 7772740/VI/12 7772741/vi/12 7772742/vi/12 7772743/VI/12 7772744/VI/12 7772745/VI/12 7772746/vi/12 7772746/vi/12 7772747/vi/12 7772748/VI/12 7772749/vi/12 7772750/VI/12 7772751/vi/12 7772752/vi/12 7772753/vi/12 7772754/vi/12 7772755/vi/12 7772756/VI/12 7772757/vi/12 7772758/VI/12 7772759/6/12 7772760/6/12 7772761/6/12 7772762/6/12 7772763/VI/12 7772764/vi/12 7772765/vi/12 7772766/vi/12 7772767/vi/12 7772768/vi/12 7772769/VI/12 7772770/vi/12 7772771/VI/12 7772772/VI/12 7772773/VI/12 7772774/VI/12 7772775/vi/12 7772776/VI/12 7772777/VI/12 7772778/VI/12 7772779/vi/12 7772780/VI/12 7772781/VI/12 7772782/VI/12 7772783/VI/12 7772784/vi/12 7772785/vi/12 7772786/IV/12 7772767/VI/12 7772768/vi/12 7772769/VI/12 7772770/vi/12 gede putra suhardika Esty Nur Chadisah ni made even marta ayun kadek widya I luh putu santiasih selvionita rila yunny rhayu NANDA ARSA WIBAWA nengah sulastra jumiati komang mertha komang mertha Putri Amalia kadek sugita rila indra made asih paulina evi tawatu ayu setiawati Kt.38 46th banjar kayehan dawan kaler 38thn jln gunung karang no 9 dps 12th jl antasura gang otomotif no 4 12th jl batukandik 14 thn jl kwanji 1 no 7 43th jl drupadi xiv no 2 29thn Jln. dawan. Kapten japa jl.Tuang Onlay tump tuang onlay Gic klas v Timp. Gn.soka jl.kayehan. Letda made putra gg. 2 dps jl tunjung sari gg menuri Ia 33 jl.20 Jl. Gunung gunturpadang sambaian jln.K merry indriani ksamawan marisa Hostiadhi nona agus shinta ayu nani yuwanti praptini ayu suryani utomo gunadi trya sajiva GITHS krisma dewi asiani putri fransiska Elisse Githa Sherly adhi muliaharta andy herawan merry indriani utomo Nurina trya adinatha Made Chersyana D. dps jl. Gunung gunturpadang sambaian Jl. Hayam wuruk no 17 jl. Mirah mandiri No.29 Jl. Raya sesetan gg. Raya mas no 54 ubud perum dalung permai g/45 badung 5711/v/12 5949/VI/12 5805/VI/12 5666/V/12 5791/vi/12 5876/vi/12 5946/vi/12 5965/VI/12 4984/VI/12 5261/VI/12 5212/v/12 5597/V/12 5597/V/12 5971/VI/12 5936/VI/12 5985/VI/12 5989/VI/12 5733/vi/12 6012/vi/12 4926/V/12 6029/VI/12 5654/vi/12 5558/vi/12 5802/vi/12 6046/vi/12 53005/v/12 6093/vi/12 6901/vi/12 5050/v/12 5123/v/12 5410/v/12 6096/vi/12 6107/vi/12 6117/VI/12 6133/vi/12 6135/VI/12 4429/III/12 5087/v/12 53009/v/12 6159/Vi/12 3162/XI/11 6194/vi/12 5936/vi/12 5791/vi/12 6191/vi/12 6139/vi/12 6214/VI/12 5054/v/12 5131/v/12 6225/VI/12 5575/v/12 6224/vi/12 6229/vi/12 3805/I/12 5262/V/12 5293/V/12 6183/vi/12 5142/V/12 5548/V/12 4862/V/12 5855/VI/12 6306/vi/12 6304/vi/12 6057/IV/12 6333/VI/12 6345/VI/12 3298/XI/11 pulpitis irreversible HP HP fraktur HP hp hp HP fraktur post pulpcapping post pulpcapping hp hp fraktur fraktur fraktur Hiperemi pulpa hiperemi pulpa hiperemi pulpa post pulpektomy Hiperemi pulpa Hiperemi pulpa hiperemi pulpa hiperemi pulpa Hiperemi pulpa nekrosis pulpa hiperemi pulpa hiperemi pulpa Hiperemi pulpa Hiperemi pulpa puspitis irreversible Hiperemi Pulpa hp HP hiperemi pulpa post pulpektomy post pulpektomi hp post capping HP post pulpektomi hp hp hp hp hp hp pulpitis reversiblle hp HP pulpitis reversible hp hp hp hp Hp pulpitis ireversible post pulpectomy post endointracanal post pulpektomy HP hp hp Hp HP hp hp hp endo intrakanal klas II amalgam klas II amalgam klas iv komposit klas 3 komposit klas 3 komposit kls 3 komposit KLAS 5 GIC klas IV komposit inlay inlay klas IV komposit klas II amalgam klas IV komposit KLAS III KOMPOSIT KLAS IV KOMPOSIT KLAS III KOMPOSIT kls V GIC kls V GIC mahkota pasak Kls II Amalgam kls II Amalgam kls III komposit kls IV komposit Gic klas v mahkota pasak Gic klas v Gic klas v Gic klas v komposit kls 1 tump. VETERAN GG VII/3 DPS br.sekuta no 16 sanur jl. Agung 19thn sulangai petang badung 36th Jl Subur gg. Cargo permai saridanan no. Kembang matahari no 96.30 jln. Pemuda . Batukaru III/15 jl Yang Batu jl sandat no 2. dps jln plawa no 44 dps Jln. gianyar jln Resimuka barat gg VI B no 18x jln sandat v no 47a dps BR DAWAN KLUINGKUNG jl. 28 Dps 34 thn Br. GIC klas V kls III komposit Tump. Ikan mas no. klungkung jl raya renon no 2 jln.tukad pule no 7a jl. Tuang onlay klas II amalgam tump. Tukad Yeh Aya no. Gunung Talang IA No. Letda reca gg 1 no 3 dps jl. Tegallalang. Gn. 27 Denpasar 19thn Jl.dps Jl Letda Reta br. 1 no 8 Jl. Wibisana No. Wijaya kesuma no. Tuang inlay Komposit Kl 1 tumpatan tuang onlay tumpatan klas v GIC kelas 1 komposit kelas 3 komposit kelas 4 komposite kelas 5 gic kelas 5 gic pulp capping kelas 4 komposit Kls I komposit kls 1 kmposit klas 1 komposit KLAS III KOMPOSIT klas I amalgam Klas 4 Komposit kls V GIC pulpektomi devital mahkota pasak mahkota pasak onlay KLAS III KOMPOSIT kls 4 komposit kls 1 komposit Kls 1 amalgam KLAS V klas 1 kpmposit klas 5 GIC klas 2 amalgam adhi Nurina pratidina yuwanti praptini ayu suri intan arista KSAMAWAN dody sukmajaya nurmita aditya paradipta dian mahayu karina dian mahayu karina oktaviani DEDY ARYA DEDY ARYA aditya paradipta hapsari krisma dewi krisanthi anjani Ivan sidan sidan sidan ayu suryani widnyani dima putri alit yusi dody sukmajaya joao bosco triana dewi fransiska wira hary Cahyani karlina dewi Erni Hasan H. ubud. B. 555b 36th jl. no 11 A. 2 dps jln.renon jl. Dps jln. Gianyar jl. Satria mas. Kartini No. Kapten japa no 24 dps jl. DPS jalan hangtuah jalan wijayakusuma jl pulao moyo dusun bangli yehemmbang kangin jl anom no 2 dalung jl. Maryani anjas ahmad Agus putra gusti ayu oka yuliatun Kadek sutarmini WAYAN SUMAJAYA ADIPUTRA ishaq ambar veda abreu alves okta Agus Halim ni wayan sumeni Parwita kadek edy Putu Agus Darmayasa ismawati desak made kayun Diasa Putu Putra jordan andrizal reka mudiasih ni luh putu santiasih juli artawan siti hamida nengah yudagama ketut suri Erma Diah yanti muallimah Kadek Edi Ketut Sadya Surayah Ni Md Dwi Lestari ni luh ratna devi lili kartini lili kartini ketut kamiani Adip Fadlun I nyoman sudarta Yudi Asmoro I Made Suardika Kdk Suartini arya didik wahyudi rejuniari natalia l P p l p p p p L L p l l P L p l p p p P p L L p p p L L L L l p L L L p p l L L L p p l p l p p p p p l L P p p P p p L l L L p l l p 29th 18th 20th 25 th 29 thn 15thn 17 thn 20 thun 12TH 35th 22th 21thn 21thn 26th 19 thn 19 thn 32 thn 54thn 18thn 18th 34th 40 th 51 th 29 thn 43th 31thn 32thn 25THN 23thn 24thn 21 thn 24th 53th 23thn 29thn 11 th 37th 60th 28thn 18th 13thn 19thn 27thn 29th 14thn jl tunjung sari gg kenanga 4a Jl. 98 Dps 29thn jln gatsu 6 gang turi barat 33 thn 32 thn 35thn 32th 34th 24thn jl batukaru no 1f Jl.GIC klas V tump. Cargo permai saridanan no. Pakis Haji Hayam Wuruk jln.ciung wanara I. Raya Gg. Subur gg mirah no 555b dps 14 thn jl gatot subroto VI 4b 23thn Jl. Sibang Kaja 38th Jl. Jempiring I dps jl benteng no1 jl.Pujung Kaja.Lebah V No. II/12.

143 6860/vii/12 hiperemia pulpae post capping hiperemi pulpa hiperemi pulpa hiperemi pulpa fraktur 1/3 insisal post PSA Hiperemi pulpa Hiperemi pulpa fraktur 1/3 insisal hiperemia pulpae post pulpektomy post pulpektomy hiperemi pulpa hiperemi pulpa Hiperemi pulpa hiperemi pulpa hiperemi pulpa post pulp capping post endo intrakanal abrasi hoperemi pulpa hiperemi pulpa Nekrose Pulpa Hyperemi Pulpa hp Iritasi Pulpa hiperemi pulpa Hiperemi pulpa post pulpektomi post pulp caping Hiperemi Pulpa post endo intrakanal post endo intrakanal fraktur 1/3 insisal fraktur 1/3 insisal hiperemi pulpa Iritasi Pulpa hiperemi pulpa fraktur 1/3 insisal iritasi pulpa HIPEREMI PULA post pulpektomi fraktur 1/3 mahkota Post pulpektomy hiperemi pulpa post pulpektomy hiperemi pulpa post endo intrakanal Gangren pulpa iritasi pulpa post pulpektomi post endointrakanal fraktur 1/3 mahkota kls I komposit kls 1 amalgam kls IV komposit kls kls IVIII komposit komposit kls kls IVV komposit GIC kls IV komposit indikasi jaket Kls I Komposit klas IV dan VI komposit klas iv komposit kls V GIC indikasi jaket indikasi onlay kls V GIC kls IV komposit Kls I Komposit kls ll amalgam kls III komposit kls 1 komposit mahkota pasak kelas 5 GIC kls II amalgam klaas ii amalgam Endo Intrakanal Klas 1 Amalgam kls 1 komposit Kelas I Komposit kelas 2 amalgam kls 2 amalgam indikasi onlay kelas 2 amalgam Klas 1 Komposit mahkota pasak mahkota pasak kls 4 komposit kls 4 komposit kls 4 komposit Klas 1 Komposit klas 2 amalgam klas 4 komposit klas 3 komposit klas III komposit onlay klas 4iv komposit Pasak klas III komposit pasak klas II ]amalgam mahkota pasak pulpectomi klas III komposit onlay onlay Klas IV Komposit ni made dwipayani utomo maharani sherly cok gde suryabharata dwiyani pertiwi santi I Putu Gde Ariastawa krisma dewi dwipayani pande pande sri indrayanti I gede surya septadinata Made Chersyana. ubud.IV no1 53066/VI/12 jl tk pancoran iv blok k/12 6735/vii/12 jl.Hasanuddun Gang 2 no.Hang Tuah Denpasar jl kartini gang 27 n0 14 jl cokroaminoto gang katalia III/9 jl pemuda II/16 jln.D.akasia 1.97 5983/VII/12 jl. no30 5959/VI/12 jl drupadi xiv no 2 dps 6623/vii/12 jl majapahit (legian-kuta) 6760/vii/12 jln ayani RT.SALEH ni made ayu candra dewi ahmad Nopik ni kadek astini putu agus darmayasa Agus Mahendra Kiki amalia sulmi Zainullah Iyan Parta Wijaya ACHMAD P p l L p l L p l l l 23THN 15 th 52 th 25 th 17 th 11 th 17th 17thn 40thn 25thn 28 thn jl ayani rt 2 no 23 dps jl.dps 6096/VI/12 Jl.Plawa no. Sandat no. Drupadi XIV no 2 6451/vii/12 jln. Raya dalung no.pemuda.69 6590/vii/12 Jl.sedap malam no. Pujung kaj.H dian mahayu karina joao bosco gunadi adinatha janterri indah sureyadewi sylvia jessy janterri Regina utomo 25th asiani putri I gede surya septadinata gevilawati cok gde suryabharata ayu suryani elvira dewi Ayu Sri Adnyani . Letdareta gg. 103 6477/VII/12 jl batukaru no 1 f 6304/VI/12 jl raya sesetan 6610/VII/12 jl.95 dps 6569/vii/2012 perum dalung permai q/62 badung 6251/VII/12 jl nusakambangan 83 dps 53067/vi/12 jln tukad yehbiu no 2a dps 6824/vii/12 jl. Kembang matahari jln Wibisana no II monang-maning Jl. Kartini no.8 6785/VII/12 jl. Sakura ujung dps 53074/vi/12 JL Sedap Malam gang Nuansa 6571/VII/12 jl.2 5272/V/12 jln delod kluungkung 6559/VII/12 jl.H christo putri marina intan arista nia mas saraswati elvira dewi dsk nym haridina adhimuliaharta Sarra Ayu Candranitha cok gde suryabharata Sajiva Purna Yudha heidy githa oktaviani yuwanti praptini putri marina krisma dewi nia dianata asiani putri Made Chersyana. 2 Jl.20 Dps. tegallalang.D.kartini gang 31 RT 5 53015/vii/12 jl. Betngandang I no 23 jl.no 1 6795/vii/12 jl. gianyar 53040/vi/12 jalan letda reta gg bhineka no 12 53045/vi/12 Jl. Kecubung no. Pulai galang. gianyar 5121/v/12 jl cokroaminoto gang katalia III/9 5470/v/12 jl kartini gang III no 9 5651/v/12 jl a yani no 23 dps 5846/VI/12 jl. tegallalang.letda reta gg 22 dps ORANG 5373/vi/12 52987/vi/12 6406/vi/12 6192/VI/12 5123/v/12 6135/v/12 6419/VI/12 6101/v/12 5470/v/12 6372/vi/12 57008/III/10 hp post endointrakanal hp post capping hiperemia pulpa post PSA hiperemia pulpa hiperemia pulpa hiperemia pulpa hiperemia pulpa post pulpektomy kls 3 komposit mahkota pasak kls 5 gic kls I komposit kls III komposit kls I komposit kls III komposit klas I komposit klas III komposit klas IV komposit indikasi pasak agustini yuwanti intan arista Gayatri ni made dwipayani Pande surya I Putu Gde Ariastawa pande gustiani pande gustiani pande gustiani agnys JUMLAH KUNJUNGAN PASIEN BULAN JUNI 2012 = 112 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 2/7/2012 3/7/2012 3/7/2012 4/7/2012 5/7/2012 5/7/2012 5/7/2012 5/7/2012 5/7/2012 5/7/2012 5/7/2012 5/7/2012 5/7/2012 5/7/2012 6/7/2012 6/7/2012 6/7/2012 6/7/2012 9/7/2012 9/7/2012 10/7/2012 10/7/2012 11/7/2012 11/7/2012 11/7/2012 12/7/2012 12/7/2012 12/7/2012 12/7/2012 12/7/2012 13/7/2012 13/7/2012 13/7/2012 13/7/2012 13/7/2012 16/7/2012 16/7/12 17/7/12 17/7/12 17/7/12 17 juli 2012 18/07/12 19/7/12 19/7/2012 19/7/12 19/7/12 19/7/12 20/7/2012 20/7/2012 20/7/2012 20/7/2012 20/7/2012 20/7/2012 21/7/2012 7772782/VII/12 7772783/VII/12 7772784/VII/12 7772785/VII/12 7772786/VII/12 7772787/VII/12 7772788/VII/12 7772788/VII/12 7772789/VII/12 7772789/VII/12 7772790/VII/12 7772791/VII/12 7772792/VII/12 7772793/VII/12 7772794/VII/12 7772795/VII/12 7772796/VII/12 7772797/VII/12 7772798/VII/12 7772799/vi/12 7772800/vii/12 7772801/VII/12 7772802/VII/12 7772803/VII/12 7772804/VII/12 7772805/VII/12 7772806/VII/12 7772807/VII/12 7772808/VII/12 7772809/VII/12 7772810/VII/12 7772811/VII/12 7772812/VII/12 7772813/VII/12 7772814/VII/12 7772815/VII/12 7772816/VII/12 7772817/vii/12 7772818/VII/12 7772819/vii/12 7772820/Vii/2012 7772821/VII/2012 7772822/VII/12 7772823/vii/2012 7772824/VII/12 7772825/VII/12 7772826/VII/12 7772827/vii/12 7772828/VII/12 7772829/VII/12 7772830/VII/12 7772831/VII/12 7772832/vii/12 7772833/vii/12 ni putu yuni rahayu surya mahardika Agus Halim Luh Pt. Pengosekan. Ken arok gang blibis no 9 dps jl. Gunung Bromo 11. 2 4810/v/12 jl. Gianyar 5563/v/112 jl sekuta no.Tukad petanu gg. ratnasari 2.102 103 104 105 106 107 108 109 110 111 112 27/06/12 28/06/12 28/6/12 29/6/12 29/6/12 29/6/12 29/6/12 29/6/12 29/6/12 29/6/12 29/6/12 7772771/VI/12 7772772/vi/12 7772773/vi/12 7772774/VI/12 7772775/VI/12 7772776/VI/12 7772777/VI/12 7772778/VI/12 7772779/VI/12 7772780/VI/12 7772781/VI/12 M. Maruti no. Ayu Oktarini nyoman kodi utariyani Eko Putu Mas Nengah arya mega gutri Ni luh wayan hardini zainullah rima fatmalasari saleh I gede purnamayanta putra Ni Kadek Wulandari luh sukartini yanti DIAN KARTIKA made arya kusuma dewa ni wayan sumeni yustina mariani Titik Taufik Hidayat Kadek ayu indah A Ni Made Budiasih yudi asmoro Marofah rinavat malasari nyoman kodi Angela Pricilia leotheresia Ghozi decarlo tirtana Ayuning maharani putri I Gusti Ketut Budiarta muawarnah Mariano lay tio kwie jien yani parta wijaya ignasiyus tober gaud DIDI darmawan Made Gita Atmaja claudya chelsy Debby Natasya rara dewi luh sri asih nova triana wijaya I kadek agus Meichel hendri maneri ipik Gst Putu satia kadek yunita nindya dewi Ni Kadek Mustini p l l P p p L P l p p l p L l P p p P l p P p P L p P L p p p P P l p l p L p l l L L p P p P l l L l l p P 17 thn 19 thn 24thn 30th 50 th 13 thn 22 th 23th 35thn 17 thn 50 th 40thn 11thn 23th 22 th 17 thn 35thn 39 th 14 TH 12 thn 53 thn 24thn 44th 40thn 13th 16th 16 thn 33 thn 36thn 11thn 50th 13 thn 15 THN 12th 12th 29 thn 28thn 24thn 58 thn 25th 38 thn 19 thn 17th 23 thn 25th 16 thn 38 thn 33 thn 14 th 21 Th 50 th 14th 41 th br. 8 5477/V/12 jl gamdapura gg I no 2 6846/vii/12 jl.Denpasar 4747/VI/12 Jl. Gn bromo XI 6527/VII/12 jl sakura 5149/VII/12 JL. Pujung kaja.4 5786/vi/12 jl kecubung.16 6107/vi/12 jl krobokan GG wanasari no 19 dps 3809/I/12 jalan maruti 6223/vi/12 jalan Nangka 6253/VI/12 Jl.jayagiri 6374/vl/12 jl ringin gg sawot 5124/v/12 JL. gianyar 6378/VI/12 jl nangka utara gang pinguin no 1 6145/vi/12 jl. Batas dukuh sari no. 6720/VII/12 jl sutomo gg xii 5214/vii/12 Jalan Noja No.kenari no 2 dps 6495/VII/12 Jln. Baypas Ngurah Rai kedonganan No. 9 6553/vii/12 jln. Gunung guntur XXIV/11 Denpasar 42548/ jl pemuda 2 6802/vii/12 jln pulau batata no. dps 6554/VII/12 26 perum padang sambian 6855/VII/12 br pengosekan. ubud.

Kayehan. gianyar 52994/V/12 jl.i putu gineung pratidina leotheresia I gd yoga permana p l P L p p p l l p p l l l l p L l L l p p l 30 th 27 thn 15 th 18 thn 50 thn 23thn 58 thn 22th 18th 27thn 39thn 35 thn 24thn 28 th 24thn 28thn 34thn 35 thn 29thn 19th 22th 15 th 15 th jl. gg. Pasekan ketewel sukawati gianyar 7270/viii/12 jln salya gang 4 baru no 5 7278/viii?12 Jln.Manuk Susut Bangli 53017/V/12 jl kediri 14 tuban 53080/V/12 jl. Sumatra di depan Tati Foto 5434/V/12 br pande klungkung dawan 53105/VII/XII Jl Letda reta 7147/VIII/12 jln gunung batok iv no 26 dps 5554/v/12 tegalwangi no 2 kapling 21 7163/VIII/12 Jl Nangka Selatan gg kaswari no 14 6007/VI/12 Jl Gunung Agung 5516/V/12 luwus 7037/viii/12 Perum Tunjung Sari Permai No.14x 6901/vii/12 jln.no:11 7279/VIII/12 jln singosari ayani 6881/vii/12 Jln. gianyar 50353/vi/12 Jl. Dawan Kaler Klungkung 7313/VII/12 jln rsys kerobokan gang kunti no 1 7159/VIII/12 jln buluh indah 50c dps 7316/viii/12 BANJAR SERANGAN DAWAN KALER 5838/VI/12 post pulpektomi iritasi pulpa post endointrakanal post endointrakanal post pulp caping post pulpektomi post pul capping pulpektomi fraktur fraktur Post endointrakanal post pulpektomy Pulpitis irreversible abrasi fraktur post endo intracanal hyperemi pulpa hyperemi pulpa Pulpitis irreversible pulpitis reversible pulpitis reversible fraktur hyperemi pulpa post pulpcapping post endointrakanal post pulp capping pulpitis reversible post endo intracanal post endo intracanal post endo intracanal pulpitis irreversible nekrosa pulpa pulpitis reversible hyperemi pulpa post endo intracanal hyperemi pulpa hyperemi pulpa post pulpektomy hiperemi pulpa hiperemi pulpa hiperemi pulpa POST ENDOINTRAKANAL onlay kls IV komposit Mahkota Pasak onlay inlay onlay klas I komposit inlay komposit klas IV komposit klas IV Pasak pasak Pulpektomi GIC klas v mahkota jaket pasak komposit klas III amalgam klas II Pulpektomy Vital pupl capping amalgam klas II komposit kelas VI Komposit Klas I inlay onlay inlay amalgam klas II onlay onlay mahkota pasak pulpektomi endo intrakanal pilp capping amalgam klas II onlay amalgam klas II komposit klas IV mahkota pasak Amalgam Klas II amalgam kls II amalgam kls II MAHKOTA PASAK pertiwi santi mayudianingsih I Putu Gde Ariastawa aji yuwanti praptini cok ata dw.dps 6893/VII/12 jln. Bumi ayu jln Sahadewa.18 dps 6375/VI/12 Jln Sesetan gg.d. Gelogor carik 7137/VIII/12 Jl. Abianseka Ubud 5235/V/12 br kayenan-klungkung 5261/v/12 Jl Letda Made Putra no 28 dps 1890/VII/11 jln gumitir perum graha liva C7 6987/vii/12 jl rayasempidi jl batas dukuh sari no 2 4810/v/12 jl pulau buru no 4 5267/v/12 post capping indirect inlay post pulpektomy onlay Hyperemi Pulpa komposit klas I fraktur 1/3 mahkota mahkota jaket post pulpektomy pasak Iritasi Pulpa GIC klas v post pulp capping indirect inlay hp amalgam klas 2 iritasi pulpa klsIV komposit hiperemi pulpa Kls I Komposit Gangren Pulpa pulpektomy Non Vital post pulp capiing indirectkls KLls amalgam II amalgam ganggren pulpa pulpektomi non vital post pulpektomy onlay Hyperemi Pulpa kls II amalgam hyperemi Pulpa kls II amalgam post pulpektomi Pasak kp pulp capping Post Pulpectomy Pasak post pulp capping amalgam kls 1 hyperemi pulpa amalgam klas2 post pulpektomi mahkota pasak post pulpektomi mahkota pasak yuwanti praptini nia mas saraswati Luh Ena Ariasmi maria hosiana agnys Renny Karlina gunadi wira hary sri indrayanti utomo cok gde suryabharata dwipayani I gede surya septadinata ayu suryani agustini Pertiwi santi I gede surya septadinata Raziv Ganesha i. Dewi sita.dawan 53036/vi/12 jln tukad citarum 47 dps 7035/viii/12 Br. D. Ketewel. Kayehan. Ikan Mas no.189 Dps 5835/VI/12 Br. legian kelod kuta badung7129/VIII/12 Jl. peliatan. Gadung No 49 DPS 6885/vii/12 jln yudistira no 33.renon 53154/viii/12 jl wibisana gg 2l no 6 53076/vi/12 jln tukad gerinding no 11b dps 7194/VIII/12 jln tukad gerinding no 11b dps 7194/VIIi/12 jln letda reta 4277/iii/12 Pejeng Kelod. Gunung guntur XXIV/11A 42548/ jl. ubud.mandalasari gg 3 no 1. tegallalang. 21 7188/VIII/12 jln tukad gerinding no 11b dps 7194/VIII/12 jl. Aditya Sunartiani imam turmudi komang juni suryawan Candra nengah ariawan Iluh made yudi asmara Samuel papilaya Agus Dwi Putra Arifin wayan ardi Natasha Fera Natalia Made Dian Utami sri handayani budiman Wayan Manis Ari made sukayati made dian utami Made Dian Utami nym arya sugiarta Made Dwijana Putra Gede Indrawan ni luh gede rusmini dewa ayu ratna sari putu wiratni ketut suratnadi surya pradnyana Putu Juliarta putu Sawitri nyoman kodi Wayan Widiastuti I kadek sudiartha prida maqrgaretha fitriani PT.20 7181/VIII/12 jl.DIATMIKA p p L L p l L p l L L L P p l L L l P p p L P L p p p l L L p p p p l L P p P L p L 13 thn 28thn 30thn 25th 49th 11 th 21 th 24 thn 20 th 9 tahun 21 thn 35th 43 th 34 thn 29 th 23th 25thn 19 thn 16 thn 22thn 36 thn 47thn 46thn 25thn 40th 22 thn 22 thn 14 thn 18 th 26 thn 24th 28 th 13 thn 38 thn 20 th 36th 24th 50th 13thn 23th 26 thn 32TH Br.Padang Sambian No.55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 23/7/2012 23/7/2012 23/07/2012 23/07/2012 23/vii/12 24/07/12 24/07/12 24/07/12 24/07/12 26/07/12 26/07/12 26/07/12 26/7/12 27/7/12 27/7/12 27/7/12 28/7/12 28/7/12 28/7/12 30/7/12 31/7/12 13/7/12 12/7/2012 7772834/vii/12 7772835/vii/12 7772836/vii/12 7772837/VII/12 7772838/vii/12 7772839/vii/12 7772840/VII/12 7772841/vii/12 7772842/VI/12 7772843/VI/12 7772844/VI/12 7772845/vii/12 7772846/VII/12 7772847/VII/12 7772848/vii/12 7772849/vii/12 7772850/VII/12 7772851/VII/12 7772852/VII/12 7772853/vii/12 7772854/vii/12 7772855/vii/12 7772856/vii/12 lusiana made yudi artawan Ni Kadek Mustini sayful rohma rohana Yuliana tio kwie jien I gusti agung rismayana ningrat saiful meriani Bu Titik made sudiarta ferdy juniardi budi utomo gede jony ibu siti Wayan Karmawan nengah sulastra Rinto cok gede rama p.H krisma dewi Sarra Feryna yustika triana dewi merry indriani Andanari Prami joao bosco pratidina yustika yustika suartini Putri Marina alit yusi pratidina gunadi sumandari santi ksamawan I Putu Gde Ariastawa Andy herawan sajiva Dima Putri nia dianata utomo MARISA WULANDARI . Gatot Subroto no:16. Rsi Muka Barat GgIV.A 5710/v/12 br tengah.Dps 7136/VIII/12 jln. Sukawati 7097/VIII/12 jl sakura ujung 5149/V/12 Br. gianyar 6959/vii/12 jln ayani gg2no 29 dps 6985/vii/12 Br. Cokroaminoto gang sedayu no 3 dps 53089/vi/12 jln. Kusuma dewa no 6 dps 52980/v/12 jl sedap malam gang tanjung biru 5727/V/12 jln. Gunung mas II.klungkung. Gunung agung. Pujung kaja.Gadung No. gianyar 6703/VII/12 br pande kediri 7261/viii/12 br.a dwi cp ksamawan krisma dewi elvira dewi JUMLAH KUNJUNGAN PASIEN BULAN JULI 2012 = 77 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 1/8/2012 1/8/2012 2/8/2012 2/8/2012 3/8/2012 4/8/2012 6/8/2012 7/8/2012 8/8/2012 8/8/2012 8/8/2012 8/8/2012 8/8/2012 8/8/2012 9/8/2012 9/8/2012 10/8/2012 10/8/2012 10/8/2012 10/8/2012 10/82012 11/8/2012 13/8/2012 14/8/2012 14/8/2012 13/8/2012 13/8/2012 14/8/2012 15/8/12 16/8/12 16/8/12 16/8/12 16/8/12 18/8/12 21/8/12 22/8/12 22/8/12 22/8/12 23/8/12 23/8/12 23/8/12 24/8/12 7772857/VIII/12 7772858/viii/12 7772859/VIII/12 7772860/VIII/12 7772861/VIII/12 7772862/VIII/12 7772863/VIII/12 7772864/VIII/12 7772865/VIII/12 7772866/VIII/12 7772867/VIII/12 7772868/VIII/XII 7772869/VIII/XII 7772870/VIII/12 7772871/VIII/12 7772872/VIII/12 7772873/VII/12 7772874/viii/12 7772875/VIII/12 7772876/VIII/12 7772877/VIII/12 7772878/VIII/12 7772879/VIII/12 7772880/viii/12 7772881/viii/12 7772882/VIII/12 7772883/VIII/12 7772884/viii/12 7772885/VIII/12 7772886/VIII/12 7772887/viii/12 7772888/VIII?!2 7772889/viii/12 7772890/VIII/12 7772891/viii/12 7772892/VIII/12 7772893/VIII/12 7772894/VIII/12 7772895/VII/12 7772896/VIII/12 7772897/viii/12 7772898/VIII/12 Ni Wyn Septiantari nengah suarni Komang Radika haerul umam Made Suryanti kadek agus darmasaputra gd. Kecubung no 55 dps 7195/VIII/12 jl tukad buaji gg carik no 9 7206/VIII/12 JL.cok agung trisna 1 no. Md ari yustika pertiwi santi sugiartining Silva nurmita Ivan yustika sri gunawati mieke Made Chersyana.tondano gg 4 no 3 6906/vii/12 jl yudistira no 33 6918/VII/12 jl buluh indah gg III no 21 6943/vii/12 jalan Nangka 6946/VII/12 jln setiabudi 45 53129/vii/12 jln padang kartika 3 no 6 dalung 6639/vii/12 jl.

7322/VIII/12 Jl. dps 53192/VIII/12 Jl Blanjong no 9.16 Dps 6852/vii/12 Jl. sanur 53146/VII/12 jl puputan raya gang akes no 10 7404/ix/12 Nyuh gading nagasari 6882/V/12 jln ratna gg jepun no 22 7410/ix/12 jl werkudara 1 ni 14 7417/ix/12 jln tukad ijo gading no 5 5944/vi/12 Jalan Karna no.43 44 45 46 47 48 25/8/12 25/8/12 25/8/12 27/8/12 31/8/12 7772899/VII/12 7772900/VIII/12 7772901/VIII/12 7772902/VIII/12 7772903/VIII/12 Winarti Ahmad Roni Idnul Fitriya Hadi didi cahyadi netrayasa p L P L L 23thn 28thn 23 thn 21THN 28thn jln jayagiri Xxvi 7326/vii/12 Jl. A. Sesetan no:6. dps 7421/IX/12 Jl. Batukaru XI Dps. Gn.salia gg iv d 7280/viii/12 jln.Dawan Kaler 7350/ix/12 jl. kecamatan tampak siring7329/VIII/12 Jalan soka gg kertapura no 32 2554/x/2011 jl.23 7373/IX/12 Pejeng kelod. Dps 7418/IX/12 jl tkd citarum GG no 1 7428/ix/12 br pande kediri 72261/viii/12 Lingkungan Br. Tukad pancoran. Tukad balian gg xi no 1 53011/v/12 jl hyam wuruk no 71 dps 53110/vii/12 jl siulan no 11 dps 7363/IX/12 jln raya puputan gg askes 7365/ix/12 jl. yani RT2 no.3 badung 7339/viii/12 jl ayani Gg karunia no 22 dps 53166/viii/12 hyperemi pulpa hiperemi pulpa hyperemi pulpa hyperemi pulpa post endointrakanal komposit kls VI Amalgam kelas 2 Komposit kelas 1 komposit kls 1 Mahkota Pasak Githa sherly Sarra Feryna ayu candranita ayu suryani JUMLAH KUNJUNGAN PASIEN BULAN AGUSTUS 2012 = 47 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 1/9/2012 1/9/2012 3/9/2012 3/9/2012 4/9/2012 4/9/2012 4/9/2012 4/9/2012 4/9/2012 5/9/2012 6/9/2012 6/9/2012 6/9/2012 6/9/2912 6/9/2012 6/9/2012 6/9/2012 10/9/2012 10/9/2012 10/9/2012 10/9/2012 10/9/2012 10/9/2012 17/9/12 17/9/12 7772904/IX/12 7772905/IX/12 7772906/ix/12 7772907/ix/12 7772908/ix/12 7772909/IX/12 7772910/ix/12 7772911/ix/12 7772912/IX/12 7772913/IX/12 7772914/IX/12 7772915/ix/12 7772916/IX/12 7772917/IX/12 7772918/ix/12 7772919/ix/12 7772920/ix/12 7772921/ix/12 7772922/ix/12 7772923/ix/12 7772924/IX/12 7772925/IX/12 7772926/IX/12 7772927/ix/12 7772928/IX/12 Khoirul Anam komang sudiana Komang Eka Adnyana kadek adi putrawan selvionita made agus astika sriwati andi cahya wayan murdani saleh Nova Aristina rikky bagus pratama putra Nengah Sudarsa Rudi sri astuti handriawan leviana naim komang gde sumerta hadi kusuma wijaya Gek Ernawati ardini Erik wayan sadar luh gede rusmini Made Kwendra L L L l p L p l p L L L L L p L p l l P P L p L 24TH 33 thn 15th 14 thn 15 th 24th 35thn 12th 31thn 23th 19 th 19th 31 th 24 th 51 th 21th 20th 17 th 22thn 24tahun 22 thn 27 th 20th 24 th 47th JL Padang Kluma n0 7 dps 5608/v/12 Jln. Letda Reta. 69. panjer. Sedap malem gg sinatri 7240/VIII/12 jl. dps 7346/IX/12 Banjar Kayehan.Ketapang Kedonganan 7381/IX/12 fraktur hyperemi pulpa hyperemi pulpa post pulpektomi post pulpektomy abrasi hyperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa bekas pulpectomy Post pulp capping Post pulp capping huperemi pulpa post pulp capping hiperemi pulpa hiperemi pulpa post pulp capping bekas pulpektomi hiperemi pulpa hiperemi pulpa hiperemi pulpa post pulpectomy Post pulp capping komposit klas IV amalgam klas II amalgam kls 2 onlay mahkota pasak tumpatan klas V gic tumpatan amalgam klas 1 komposit klas 1 (px tes keluar) amalgam kelas 2 Komposit klas 3 amalgam kelas 2 onlay inlay inlay komposit klas 4 tumpatan tuang inlay komposit kls 3 mahkota jaket inlay mahkota pasak amalgam kls 2 Inlay komposit kls 3 mahkota pasak amalgam klas I Ganesha pertiwi santi MARISA WULANDARI ksamawan dsk nym haridina marsely sudaryanti widnyani Andy herawan Putri Marina adhi muliaharta alit yusi Putri Marina krisanthi mieke I a dwi cp sri gunawati hapsari fransiska ari dwiyanti Ivan jefry pratidina Mustika . Tkd banyu Poh n0. Gn Welirang 7327/VIII/12 perum dalung permai blok a no.

Yani rt 2 no 23 dps jln raya mas 54 ubud Jl Tunggul Ametung 3A/6A. Tibung sari 7794/x/12 532111/ix/12 8290/xi/12 8142/XI/12 1/13/9027 1/13/9262 8812/xii/12 8059/xi/12 8632/xii/12 7913/xi/12 8341/xi/12 7768/x/12 7943/xi/12 7772/x/12 8553/xii/12 8291/xi/12 8239/xi/12 hiperemi pulpa post pulp caping hiperemi pulpa post pulpektomy hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa fraktur 1/3 cervikoincisal hiperemi pulpa abrasi fraktur 1/3 cervikoincisal hiperemi pulpa hiperemi pulpa hiperemi pulpa hiperemi pulpa komposit kelas IV komposit kelas III komposit klas I mahkota pasak KOMPOSIT KLAS III komp[osit klas IV amalgam klas 1 komposit klas 1 komposit klas 3 komposit klas 4 gic klas 5 gic klas 5 komposit klas 4 komposit klas 3 amalgam klas 2 komposit klas 1 amalgam klas 1 yessy angelina Raziv Ganesha pramiary oka sulistyawati leonard allif mirah andayani mirah andayani mirah andayani mirah andayani mirah andayani eka sriwijayanti eka sriwijayanti eka sriwijayanti eka sriwijayanti eka sriwijayanti eka sriwijayanti .Pande Kediri Tabanan Br.lumba2 3 no 2 jl. Blambangan gg 7.Dps jln paku sari No 1 jl.26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 18/09/2012 19/9/12 20/9/2012 20/9/2012 20/9/2012 21/9/2012 21/9/2012 21/9/12 21/9/12 21/9/12 21/9/12 22/9/2012 24/9/2012 24/9/2012 24/09/2012 24/09/12 7772929/ix/12 7772930/IX/12 7772931/IX/12 7772932/IX/12 7772933/ix/12 7772934/IX/12 7772935/IX/12 7772936/IX/12 7772937/IX/12 7772938/IX/12 7772939/IX/12 7772940/IX/12 7772941/IX/12 7772942/IX/12 7772943/IX/12 7772944/IX/12 Ni Luh Gede Rusmini Ni Luh Lisa Kurniawati P Segis Mundo Julio.by pass TBA pesanggaran jl.5 Denpasar jln hayam wuruk 7462/ix/12 7729/ix/12 7499/IX/12 7414/IX/12 7449/ix/12 7449/ix/12 6946/VII/12 7472/ix/12 7443/ix/12 7507/IX/12 7442/IX/12 5711/V/12 53160/viii/12 7517/IX/12 7504/IX/12 53112/xi/12 Hyperemi pulpa hyperemi pulpa hyperemi pulpa irritatio pulpa pulpitis ireversible pulpitis reversible post pulpectomy Post pulp capping fraktur hiperemi pulpa fraktur fraktur post pulpectomy abrasi hiperemi pulpa post pulpectomy Komposit kls 4 tumpatan klas II Tumpatan klas VI tumpatan amalgam klas 2 pulp capping direct pulp capping indirect mahkota pasak tumpatan klas II tumpat klas IV tumpat amalgam klas 2 test keluar(komposit klas IV) mahkota jaket onlay tumpatan kls V GIC Komposit kls 3 mahkota pasak Adinatha Suparno Elisse joao bosco elvira dewi elvira dewi cok gde suryabharata made chersyana renny karlina adelina agnys sajiva joao bosco ari dwiyanti Adevia ayu suri JUMLAH KUNJUNGAN PASEIN BULAN SEPTEMBER 2012 = 41 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BULAN OKTOBER 29/10/12 7772975/x/12 6/10/2012 772953/X/12 9/1/2013 772954/1/13 21/1/2013 772955/I/13 772956/1/13 772957/1/13 29/12/12 7773015/xii/12 10/11/2012 7773017/xi/12 17/12/12 7772975/xii/12 3/11/2012 7772993/xi/12 27/11/12 777334/xi/12 24/10/12 7772970/x/12 21/1/13 7772958/i/13 21/1/13 7772959/i/13 21/1/13 7772960/i/13 21/1/13 7772961/i/13 21/1/13 7772962/i/13 Naning Saleh danil Felix Antonius miniatun suwandi pak husein made wadini yohana amburg ni kadek sri astari rusdiarti pande putu yuliana surya nyomman gede mardawa verika landa wayan mulia wati I gede subrata naomi sayuna P L L L P l l p p p p l l p p l p 35 thn 23thn 19 thn 41 thn 29 thn 39thn 30th 32th 18th 15th 26th 23thn 21th 22th 20th 14th 21th jln nusa indah denpasar Jl A.mandalasari gg 3 no 1.Gst. Raya sesetan gg. Tukad balian jl raya padang luwih no 63 jl pulau serangan no 15b jl. no 16.kertapura 4 no.pemuda I no 11 A.1 No.tukad pule no.G siti muslikah siti muslikah buk titik Ni Ayu Sri Rahmawati I. Wijaya kusuma jl. sesetan gang ikan mas no 8. Tibubeneng jl. dps jl. dps Jl. Trengguli Gg. kusnia lu ming fe gede putra suhardika charles pelorosa Lutfia Dian Purwanti selvionita p P L p p p p L p l L L P P p 24tn 12 thn 23thn 37 thn 37 thn 39 th 49 thn 15thy 28th 19 thn 29th 27thn 40 thn 32thn 15thn Br. Ngurang Agung Satya P. Pahyangan gianyar jl. Jeruk tanjung jl.7 jl raya puputan gg.suwung batan kendal jl. dps Jln. dps gang ikan mas no 8.badak agung no 9 jl.Ib.Sedap Malam Gg.IV D3 No. Tandeg.askes jln.8 sesetan jl tunjung sari gg kenanga 4A jl. sesetan jl nangka gg nuri III no 11 jl sedap malam II no 4 dps jln.

Badak Agung no. P.10 sambahan.42 Jalan Karna No.sumatra ggV no. henny yungliana livinna tika tedja adi saputra Kadek Partini Sri Astuti pt agus dharmawan Dany Tanti Pande Wayan Artha mustika juita Sukaryati ni nyoman sri astuti Luh Merdani Luh Merdani SUSIANA dewi santika Kina Putu Gede suryawan I Made Dwiadnyanaadi Lokatanaya Manaf ibu sutrini Dixon T. Kecubung No. Sudirman n0 26 dps Jl. Nusa Kambangan No. Kemuda III Gg.kenyeri no.P.muding indah no 29x 8343/XI/12 jln.tukad gading 7911/XI/12 jln. P Galang gg ratnasari 2 no 30 5959/VI/12 Jl.nangka selatan gg nuri no.dps jln. Akas no. Bete Heri Susanto Putu Gede suryawan nyoman surni kina Hadijah Najib Sanad Gek Ernawati sutirah Ni Luh Gede Risma Km Sri Lestari pras yudyo L P P L p p L P P P L p P P P L L l P p L p p P p P L P P L L p L p p p P p P p p L L L P L L L P P P P P p p L 19Thn 16 th 22Thn 18Thn 30thn 20thn 25thn 35thn 36thn 22thn 36thn 35THN 21thn 45thn 17thn 12thn 32thn 22Thn 21thn 34thn 22thn 34thn 28 th 47th 65 th 19 thn 30 th 15th 52th 21thn 22 thn 34th 18Thn 28th 41th 20thn 32thn 32thn 32thn 30thn 40thn 17thn 42th 39th 47thn 25 thn 25th 17thn 30thn 40thn 23thn 23thn 42 th 32 th 27th 23thn Jln.penyarikan Jln.10 Denpasar 53222/IX/12 jl trengguli 4b no 38 8070/xi/12 Jln.8 JL TIKAD BANYUPOH 73A.8 Jl. Jayagiri 21C no 18 dps jl. Gadung 49 Denpasar 7985/XI/12 Jl. dps 8138/xi/12 jln. Kartini Rt 5 gg 20 Dps jl.Kawe No. 3 52574/III/12 jln.7. Saren Desa Sinbang Kaja 7917/XI/12 jln Nusa Indah Denpasar 7794/X/12 Br. Sanggulan Tabanan 8275/XI/12 jln Gunung Bromo 2 no 26 dps 8089/XI/12 jln Lembu sura kav I no 7 dps 6192/VI/12 jln. Anyelir no 59b Jl.1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 BULAN NOVEMBER 1/11/2012 7772985/XI/12 2/11/2012 7772987//12 10/11/2012 7773015/XI/12 27/11/12 7773333/XI/12 28/11/12 7773334/xi/12 29/xi/12 7773335/xi/12 3/11/2012 7772988/XI/12 6/11/2012 7773002/XI/12 7/11/2012 7773003/XI/12 10/11/2012 7773014/XI/12 5/11/2012 7773000/XI/12 10/11/2012 7773013/XI/12 22/11/12 777331/XI/12 12/11/2012 777307/XI/12 3/11/2012 7772991/XI/12 5/11/2012 7772999/XI/12 14/11/2012 7772969/XI/12 28/11/12 7773336/xi/12 3/11/2012 7772992/XI/12 5/11/2012 7773100/XI/12 27/11/2012 777336/XI/12 13/11/2012 7/11/2012 7773014/XI/12 20/11/12 7773009/xi/12 10/11/2012 7773016/xi/12 1/11/2012 7772986/xi/12 7773010/xi/12 7/11/2012 7773004/XI/12 1/11/2012 7772983/XI/12 12/11/2012 777304/xi/12 BULAN DESEMBER 3/12/2012 7772943/XII/12 3/12/2012 7772945/XII/12 4/12/2012 7772946/XII/12 4/12/2012 7772947/xii/12 5/12/2012 7772948/xii/12 5/12/2012 7772949/XII/12 5/12/2012 7772950/XII/12 5/12/2012 7772951/XII/12 5/12/2012 7772952/XII/12 5/12/2012 7772953/XII/12 5/12/2012 7772954/XII/12 6/12/2012 7772955/XII/12 6/12/2012 7772956/XII/12 6/12/2012 7772957/XII/12 5/12/2012 7772958/XII/12 6/12/2012 7772959/XII/12 6/12/2012 7772960/XII/12 6/12/2012 7772961/XII/12 6/12/2012 7772962/XII/12 6/12/2012 7772963/XII/12 6/12/2012 7772964/XII/12 6/12/2012 7772965/XII/12 6/12/2012 7772966/XII/12 6/12/2012 7772967/XII/12 10/12/2012 7772968/XII/12 10/12/2012 7772969/XII/12 Nova Sukarnata Wijaya anis lailatul rahmah Ni Kadek Dian Utami Pande Wayan Artha putu sumiati wiwik netrayasa Naning Siti Rohma Lina nyoman deksen Naning ni made indah dwilarasati warna ketut resmini ghozi decarlo tirtana Ketut sri indra Jesika Indri Abe saleh Indri desak ketut suci andayani b. Badak Agung no. Jaya giri 7997/XI/12 Br. A yani dusun wanasari rt 1 dps 5216/v/12 Jln. Raya Puputan gg. Tukad Batanghari No.pulau serangan 7941/XI/12 jln. Tukad Buaji gang puspa indah Jl. Jl. 29 Dps 8234/XI/12 jln salya gg4a no 1 dps 8387/xi/12 jln baypass ngurah rai gg kertapura 8 8405/xi/12 jln A Yani Gg Karunia No 22 7088/VIII/12 jln Nusa Indah Denpasar 7794/X/12 Jl. Jayagiri XIII No.31 no4 dps Jl.16 Dps Jl. Gadung 77D. 139 Dps jln. Kartini. 29 Dps jl raya puputam renon JL tantular no 9 jln. VIII Dps 8049/XI/12 Jln. Jayagiri XIII No.nangka selatan gg nuri no. ubud jln Tkd Buaji Gg Puspa indah no 19 Jl.pulau serangan 7941/XI/12 br menak Tulikup Gianyar 7970/XI/12 jln gn agung gg 5 no 6a dps 8105/xi/12 jl gn bromo gg II dps 8048/XI/12 jl perum kerta petasikan II /21 7877/xi/12 jl gn bromo no 46 dps 8004/xi/12 Jl.8 Jln.serangan 19a perum siligita blok 2D Nusa Dua 52973/V/2012 8460/xii/12 8234/XI/12 8212/xi/12 777323/XI/12 8476/XII/12 8493/XII/12 8493/XII/12 8153/XI/12 8510/XI/12 8377/XI/12 8524/XII/12 8384/XI/12 8527/XII/12 8263/xi/12 8529/XII/12 7219/VIII/12 8524/XII/12 8543/XII/12 8377/XI/12 8545/XII/12 53131/VII/12 8428/xII/12 8521/XII/12 7737/XI/12 8402/XI/12 Hiperemi Pulpa post pulpektomi Hiperemi Pulpa Hiperemi Pulpa Hiperemi Pulpa Hiperemi Pulpa Hiperemi Pulpa Hiperemi Pulpa Post Endointrakanal Hiperemi Pulpa Hiperemi Pulpa Hiperemi Pulpa Hiperemi Pulpa Hiperemi Pulpa Hiperemi Pulpa Hiperemi Pulpa Hiperemi Pulpa post pulp capping Hiperemi Pulpa pulpitis reversibel pulpitis reversibel irritation pulpae Hiperemi Pulpa Hiperemi Pulpa Hiperemi Pulpa nekrosis pulpa Hiperemi Pulpa irritatio pulpae post pulp capping Hiperemi Pulpa Post Endo Intracanal hiperemi pulpa Hiperemi Pulpa pulpoitis ireversible Post Pulp Capping hyperemi pulpa hyperemi pulpa hyperemi pulpa hyperemi pulpa hyperemi pulpa hyperemi pulpa hyperemi pulpa Hyperemi pulpa hyperemi pulpa hyperemi pulpa hyperemi pulpa Post Pulpektomi hyperemi pulpa hyperemi pulpa hyperemi pulpa hyperemi pulpa Post pulpektomy HP hyperemi pulpa post endo intracanal pulp caping Klas V Glas Ionomer Cement onlay Indirek Klas III Komposit Pulp Caping klas 1 komposit klas 3 komposit Klas IV Komposit GIC Klas V Onlay Indirek komposit Klas 1 komposit Klas 1 Klas IV Komposit Klas 2 Amalgam komposit Klas 1 GIC Klas V Klas IV Komposit Klas I amalgam Klas 2 Amalgam Klas 1 komposit pulp capping indirect pulp caping Klas 1 amalgam Klas IV Komposit amalgam kelas I komposit kelas III pulpektomi ganda komposit kelas I komposit klas I inlay klas II Klas 2 Amalgam Indikasi Onlay komposit kls 3 Amalgam Klas 2 pulpektomy Inlay komposit klas IV Amalgam Klas 2 pd 25 Amalgam Klas 2 pd 15 komposit kls iv GIC kls v komposit kls IV Komposit klas IV komposit klas IV komposit klas I GIC Klas V amalgam kls I Indikasi Onlay Komposit klas IV inlay GIC Klas V komposit kls 1 Mahkota Pasak Klas 2 amalgam klas 3 komposit mahkota pasak komposit klas I Eka Trisnayanti cok gde suryabharata Eka Trisnayanti Eka Trisnayanti marsely coryka marsely coryka sartika sartika Pande Made Maha P sartika indrayani indrayani indrayani yessy karmila yessy karmila yessy karmila Dini saraswati gevilawati Surya kusuma dewi Surya kusuma dewi Surya kusuma dewi Surya Kusuma dewi ary adiningrum yessy angelina yessy angelina yessy angelina yessy angelina Andy herawan Andy herawan agungdwija Ivonia Ribeiro surya kusuma dewi Eka Trisnayanti Putri Marina padma dewi andy herawan Mustika astika marsely coryka Vyna Indriyanthi Dini Saraswati Ayu Candranitha Mustika maharani arselus Septiana Eka Trisnayanti listiyanti yuliani Irma Cintya Dewi I Putu Gde Ariastawa dani bayu ary adiningrum dian sari mika suardani . 57 Dps 7870/XI/12 jl. DPS jln salya gg 4a no 3 dps jl.10 Jl. gg. I no. Dps.ternate 8140/xi/12 jl akasia no 5.

Gemitir Jl. Imam Bonjol B. Y No. penebel. Tegal wangi gg tukad kemara jln raya mas 54 ubud JL.20 jln. Sumatera gg 5 no. Jaya giri no 21C Jl Suli no 3 Dps jl.12 dps jl.Tukad Languan no. Gunung krakatau jln. Tukad batanghari No 4c JL COKROMINOTO DPS br. denpasar jl badak agung no 8 dps 8578/XII/12 8585/XII/12 8334/XI/12 7584/IX/12 8622/XII/12 8632/xii/12 7246/VIII/12 7881/XI/12 8642/XI/12 8454/xii/12 8654/XII/12 8668/XII/12 8290/xi/12 8696/xii/12 7776/X/12 8710/xii/12 2920/x1/12 8717/xii/12 8721/XII/12 8633/XII/12 8732/XII/12 8747/xii/12 8698/XII/12 8774/XII/12 8719/XII/12 7837/x/12 8781/xi/12 8772/xii/12 8343/XI/12 8788/xii/12 8794/XII/12 8493/XII/12 hiperemi pulpa hiperemi pulpa hiperemi pulpa P0ST PULP CAPPING post pulpektomy hiperemi pulpa hiperemi pulpa post endo intrakaanal hiperemi pulpa HIPEREMI Pulpa pulp capping hiperemi pulpa Post endo intra canal hiperemi pulpa P0ST PULP CAPPING hiperemi pulpa Post Pulpektomi hiperemi pulpa iritasi pulpa polpitis refersible pulpitis reversible pulpitis reversibel iritasi pulpa hiperemi pulpa fraktur hyperemi pulpa hyperemi pulpa post pulpektomi hyperemi pulpa hyperemi pulpa hyperemi pulpa pulpitiusd reversible hyperemi pulpa hyperemi pulpa komposit kelas I komposit klas IV komposit klas III ONLAY Mahkota Pasak GIC Klas V klas 3 komposit mahkota pasak komposit klas IV komposit kls I onlay amalgam klas I ONLAY klas 3 komposit amalgam klas I amalgam klas I Mahkota Pasak GIC klas V kils 1 amalgam kls 4 pulp capping pulp capping klas 1 amalgam klas 3 komposit mahkota jaket kls 4 klas 1 komposit onlay amal. 1B jln letda made putra gg 12A jl. Amalgam klas 2 mahkota pasak amalgam kelas II tump. Tukad Badung no. A wyn rusdianto yessy angelina oka martha Sartika Pande Wulan Allif surya kusuma dewi Gayatri dian sari ayu purwanti .dps jl.wijaya kusuma br.Cok agung tresna no. Dps jln kapten java no 58 jl ceningan sari sesetan jln wibisana jln. 22. saelus no. Amalgam kls. Ayani no 23 JL.a dini saraswati leonard guswir indrayani sartika wahyu antari ayu purwanti sherly marsely coryka ary adiningrum ayu sudiwedani karlina dewi Maharani eka trisnayanti wirya ari dwiyanti astika JUMLAH KUNJUNGAN PASIEN BULAN DESEMBER 2012 =60 ORANG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 2/1/2013 2/1/2013 3/1/2013 3/1/2013 3/1/2013 4/1/2013 5/1/2013 5/1/2013 5/1/2013 5/1/2013 5/1/2013 5/1/2013 5/1/2013 7/1/2013 7/1/2013 7773003/I/13 7773004/i/13 7773005/i/13 7773006/i/13 7773007/I/13 7773008/i/13 7773009/I/13 7773010/I/13 7773011/I/13 7773012/1/13 7773013/1/13 7773014/1/13 7773015/1/13 7773016/I/13 7773017/i/13 Komang Eka Tusila Gulma jefri eri susanto Ariyanto dewi sri hartini andrini Reviyanti Farhatun Ketut Seryani kt dharmawati ladi Abdul Hafid Ketut Dika Rajendra Prasada Bagaskara p p l l L p p p P p p p l L L 30thn 41thn 24th 31thn 35thn 46thn 25 th 29 thn 37 thn 35 th 61th 44th 10th 70th 20Thn Jl.6.gam klas2 amalgam klas II klas 1 komposit pulp caping tump.DPS Br Kawan Bangli Jln. Komposit klas 1 mahkota pasak pul capping tump.2 jl.7 denpasar jln. By paass pesanggaran Br. Kartini jl. Komposit klas IV pulp capping Mahkota Pasak tump GIC klas V tump GIC klas V pulp capping tump GIC klas V amalgam klas I dayu sundari Dananjaya ayu sudiwedani marsely coryka Ariyani G. Amalgam kls. AKASIA NO 59. Sumatera No 4 jl. Tukad Badung. Denpasar 7834/x/12 8831/i/12 7776/x/12 8861/xi/13 8753/XII/12 8292/xii/12 8888/I/13 8719/XII/12 8890/I/13 2203/XIII/11 8886/I/13 8779/XII/12 8539/XII/12 7929/XI/12 8906/i/13 post pulpektomi hyperemi pulpa post pulpektomi pulpitis reversibel hyperemi pulpa pos pulpektomi hiperemi pulpa hyperemi pulpa pulpitis reversible post pulpektomi hyperemi pulpa Abrasi Pulpitis reversible hyperemi pulpa hyperemi pulpa onlay tump.wibisana jl kebudayaan no 11. 2 tump.27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 11/12/2012 11/12/2012 11/12/2012 12/12/2012 12/12/2012 17/12/2012 17/12/2012 17/12/2012 18/12/2012 18/12/12 18/12/12 18/12/12 18/12/12 19/12/12 19/12/12 20/12/12 20/12/12 20/12/12 20/12/12 20/12/12/20/12/12 20/12/12 20/12/12 24/12/2012 27/12/2012 26/12/2012 27/12/2012 27/12/12 27/12/2012 26/12/2012 27/12/2012 27/12/12 27/12/2012 28/12/2012 7772970/xii/12 7772971/XII/12 7772972/XII/12 7772972/XII/12 7772973/XII/12 7772974/XII/12 7772975/xii/12 7772976/XII/12 7772977/XII/12 7772978/xii/12 7772979/xii/12 7772980/XII/12 7772981/XII/12 7772982/XII/12 7772983/xii/12 7772984/XII/12 7772985/XII/12 7772986/XII/12 7772987/XII/12 7772988/xii/12 7772989/XII/12 7772990/XII/12 7772991/XII/12 7772992/xii/12 7772993/XII/12 7772994/xii/12 7772995/xii/12 7772996/xi/12 7772997/xi/12 7772998/xii/12 7772999/XII/12 7773000/XII/12 7773001/XII/12 7773002/xii/12 Anis Lailatul Rahmah ayu saleh Yustinus jawa Wayan Jati Cesario Menezes yohana ambung wayan supadma yuda kusuma dodi ockian dwi angga salama I gusti agung istri mas trisnawati Ulfa danil Koming Sefia Devi Jefri sutrini christiam adi praseto NURUL I Wayan Mupiyasa Ni Luh Gede Diah Surastri Ngurah Gede Arya Winata ade duasti yasa Jero Pasek victor yanti sugiantari ibu tantik Rohma aba saleh muli Ni Wayan Weti Luh Merdani p P l L L L p l l L L p P p l P L p L p L P L l p L p p p p L p P p 16 thn 14 thn 23thn 23THN 20thn 27thn 18Thn 20thn 22 th 17thn 19thn 35thn 21 th 25th 19 thn 9th 24th 47thn 26thn 16th 15 thn 11thn 12th 15thn 50thn 28thn 29th 20thn 31thn 50thn 22thn 24th 35 thn 32thn jl ahmad yani jl.26 Jln.3dps jl. dps jl tukad bela. Belimbing Gg. Ayani no 3 jalan gunung lingga Ib no. Jawan bangli jll dahlia sangkanbuana-klk jl kenyeri 3 no 25 jl. Raya sesetan no. Mirahati B4.sumatera gang v no.R Ita Ining mirah andayani cok mira Surya kusuma dewi oka martharini agungdwija padma dewi Regina Vyna Indriyanthi pramiary Novanti Septiana i.muding indah no 29x jl. dps Jl Drupadi GGg Sengkuni.7 Jl. P.tantular Jl.babahan. Kelandis. Nypass ngurah rai no 206 jl imambonjol B 12 jln letda reta no 2 dps Jln. tabanan jln. 2 putra yudistira komang tri padma dewi GEVILAWATI Wiesty T. dps jl. dps jln.

pulau serangan jln sanggalangit 8515/i/13 8985/I/13 8037/I/13 8401/XI/12 7941/xi/12 1472/vi/11 post endointrakanal hyperemi pulpa Nekrose Pulpa Abrasi Pulpitis reversible irritation pulpae nekrosa pulpa mahkota pasak tump. Kelapa no.16 17 18 19 20 21 22 9/1/2013 10/1/2013 10/1/2013 10/1/2013 10/1/2013 5/11/2013 18/07/11 7773018/1/13 7773019/1/13 7773020/1/13 7773021/1/13 7773022/1/13 7773023/1/13 7773024/1/13 inamah inamah Nur Hikmah Evi Windari Gusti Putu Gede indri happy sulistiawan p p p P L P l 26thn 11th 35thn 21 thn 65thn 34thn 15thn jln buaji. 4 A. gatsu Jln.1 9124/I/13 P 44 thn Jl.by pass pesanggaran 8788/xii/12 P 29 thn jln sumatra gang 1 no 9 dps 53103/VII/12 p 43thn jl.9 JLN BADAK AGUNG 16 jln nangka gg kakatua no 2 65thn Jln.kartini no 31 1/13/9074 l 45th padang sambian no.25. Pulau Ayu XI No 9 8779/XII/12 p 40thn br. Tunon. Pulau ayu XI no.9 Dps jl. singakerta ubud 8398/xi/13 l 22 th jl akasia no 5 dps 8138/xi/12 p 45 thn jln maruti RT 6 9273/I/13 p 34th jl. 4A 26thn Jln.gg bayu jl. dps 1/13/9180 p 26 thn jln paku sari dps 7855/x/12 P 24 th jl tantular 9193/I/13 l 19th jl raya mas 54 ubud 8290/xi/12 L 31th Jl Letda Reta no 2 dps 7773006/I/13 l 31thn Jl Letda Reta no 2 dps 53273/1/13 JUMLAH KUNJUNGAN PASIEN BULAN JANUARI 2013 = 50 ORANG hiperemi pulpa Hiperemi pulpa pulpitis reversible nekrosis pulpa Hiperemi pulpa Post pulpektomi post pulpektomi post caping Hiperemi pulpa Hiperemi pulpa Hiperemi pulpa Hiperemi pulpa post pulpektomi Hiperemi pulpa Hiperemi pulpa Post Capping post capping tumpatan klas 5 tump klas 4 inlay mahkota pasak tumpatan klas v pasak pasak klas 2 amalgam kelas 4 komposit klas 4 komposit pulp capping klas 1 komposit mahkota pasak kelas II amalgam kls 1 komposit Tumpatan tuang inlay tumpatan tuang inlay diar hady ayu sudiwedani karlina dewi ivonia A. Gg. Plawa.dukuh. dps Jl.4c no. A surya kusuma dewi agungdwija 23 24 25 26 14/1/2013 14/1/2013 14/1/2013 14/1/13 7773025/1/13 7773025/1/13 7773026/1/13 7773027/1/13 I nyoman mertayasa yani suwandi abdul hafid L p L l 30 Thn 25thn 39 th 10thn jl. Ribeiro prima eka sriwijayanti mirah andayani gevilawati irma chintyadewi vyna indriyanthi yessy angelina Allif pramiary Sundati Utami astika ganesha marsely . panjer denpasar jl akasia. Kartini gg VI no. Gunung Kerinci no.tukad pancoran gg.tkd irawadi jl kertapura IV 1b dps jln kartini 8423/XI/12 9015/i/13 8780/I/13 7773015/1/13 Hyperaemia pulpa hyperaemia pulpa hyperamia pulpa pulpitis reversible tumpatan kls V tumpt klas I indikasi tumptn klas II tumpt klas I Astrid gloryen ary adiningrum aditya paradipta 27 28 29 30 31 32 33 15/1/13 15/1/2013 15/1/2013 15/1/13 17/1/13 17/1/13 17/01/13 7773028/1/13 7773029/I/13 7773030/I/13 7773o31/1/13 7773032/1/13 7773033/1/13 7773034/I/13 wayan sujendra Ade Duasti Yasa lady maukar sukiTI ni wayan kusuma dewi gusti putu gedde Bram l L P P P L L 32th 15 th 44 thn 50THN jl jayapangus no III jl sumatra gg 5 no 7 denpasar jl.Raya Sesetan.dps 9163/I/13 p 24thn jln. Tukad dingin n0 3 8865/I/xii 8747/I/13 8779/XI/12 1/13/9029 1/13/9056 8401/XI/12 9060/I/13 nekrose pulpa hyperemia pulpa pulpitis reversible hyperemypulpa hyperemypulpa hyperemypulpa hyperemypulpa endointrakanal tumpatan komposit klas IV tumpatan komposit kls III tumpkomp tumpatan kls V inlay mahkota jaket eka putra yuliani indrayani oka m leonard Ariyani nona agus 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 19/01/13 28/1/13 28/1/2013 28/01/13 28/1/13 29/1/2013 29/1/13 29/1/13 30/1/13 30/1/13 1/30/1900 30/1/13 30/1/13 30/1/13 30/1/13 30/1/2013 30/1/13 7773035/I/13 7773036/i/13 7773037/i/13 7773038/I/13 7773039/I/13 7773040/I/13 7773041/I/13 7773042/1/13 7773043/1/13 7773044/1/13 7773045/I/13 7773046/I/13 7773047/I/13 7773048/I/13 7773049/i/13 7773050/I/13 7773051/1/13 nurjanah Musa Tami muli suartini wayan rentet Lady Maukar Kadek Artini indra Mariani Siami Fransiska dewa suryadi rusdianti sumartini danil Erik Susanto Erik Susanto p 28th jl. Komposit klas I endointrakanal kls V GIC pulp capping amalgam kls 1 mahkota pasak indah suryadewi allif Mustika indrayani Ariyani G. Kartini gg VI no.16 A 1/13/9185 P 30 th jl cokroaminoto 9025/I/13 l 31th jl. Raya Muding. Dps jln.

1 2 3 4 5 6 7 8 1/2/2013 1/2/2013 4/2/2013 5/2/2013 6/1/2013 6/2/2013 6/2/2013 6/2/2013 7/2/2013 7773052/II/13 7773053/II/13 7773054/II/13 7773055/II/13 7773056/II/13 7773057/II/13 7773058/II/13 7773059/II/13 7773060/II/13 juan fresno Putu Sukreni nabila Ni Nyoman Sri Astuti Wayan Metri franciska yati nugraha Erwin Erik Bone Leroh L P p P P p p l L 25thn 23thn 12 thn 20thn 45 thn 30th 42 th 18thn 18 thn jl. Merpati.59B jl. 132.26.Gandaria no. dps 9231/II/13 9233/II/13 9234/II/12 8476/XII/12 9256/II/13 9025/II/13 7766/x/12 7476/ix/12 7925/XI/12 iritasi pulpa hiperemi pulpa hiperemi pulpa iritasi pulpa post capping post capping post pulpectomy post pulpectomy kls 1 komposit mahkota jaket tumpatan klas 1 komposit klas 4 komposit tumpatang tuang inlay tumpatang tuang inlay tumpatan tuang onlay mahkota pasak arselus nona agus komang tri Novanti astika pramiari maharani Pande sumardana . Buluh Indah No. Letda mae putra Gg.dps jln. G.tukad yeh ho.dps Jln. krakatau no 11a JL.III jln.Anyelir no. dps jl cokroaminoto gg angsoka no 23 jln letda reta 12 dps jl.

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