NR & Kih 2022 41

Ketentuan:
1 DATA MOHON DI-UPDA TE H-2 maksimal pk.12.00 WIB. Khusus pekerjaan Senin dan Selasa, data ditarik hari Jumat (jik a melebihi waktu mohon hub sekretaris prof esi)
2 Jika ada perubahan DPJP mohon di-update di google sheet ini juga.
3 Jika ada mahasiswa cancel, nama mahasiswa dapat diberi w arna merah dan ditulis (cancel)
NR - Jumat, 30 September 2022

Shift Pagi: 08.30 - 11.30 Shift Siang: 13.00 - 16.00
No Modul Mahasiswa NIM Pekerjaan DPJP No Modul HernanditaMahasiswa
F asik hin (Operator) NIM Pekerjaan DPJP
1 M2 / M3 Nabila Shahnaz (Operator) 041051810099 PSA gigi 21 visit 2 dan drg. Ade P. Dwisaptarini, 1 M2 / M3 I Gusti Ngurah Sanditya Ardiana 041051910049 Pulpektomi Visit 2 Gigi 12
Andiko Dimas(Operator)
Leo Alberto (Asisten) 041051810011
041051810085 Pemeriksaan Lengkap Sp.KG (K), Ph.D (Operator) 041051910051
041052010089 21 drg. Aryadi Subrata, Sp.KG (K)
2 M2 / M3 Restorasi Kelas III gigi 11 2 M2 / M3 Venny (Operator) ( Asisten)
Christ S Shaiki
Gading tephanKuri
(Asisten)
(Operator) 041051900002
041051910038 Pulpektomi Visit 1 Gigi 22 dan Zelia J oanna Aurelia Ramba 041052010143
041052010130 Restorasi Komposit kelas III gigi
3 M2 / M3 Justine Clau Sevany (Operator) 041051910065 Dr. drg. M einy F audah Amin, 3 M2 / M3 Jonathan Rafel Ohary (Asisten) PSA visit 2 gigi 21 drg. Dina Ratnasari, Sp.KG (K)
Dhea A fif ah Roza (Assisten) 041051910029 Restorasi Pemeriksaan Lengkap
Komposit Kelas 1 Gigi 36 041052010066 gigi 47
4 M2 / M3 Rick y Chandra
Gabriella Grace Gunawan Sp.KG ( K) 4 M2 / M3 Nyimas Ratu (Operator) 041051810113 digantik an drg.Rosita
5 M2 / M3 Jay a Soen
(operator) (Operator) 041051910037
041052010107
dan 37
PSA visit 2 gigi 45 5
Nathania Brenda ( Operator)
M2 / M3 Giovanna Joan Widjaja (Operator) 041051900039 Restorasi
041051810106 Pulpektomi K omposit
visit 2 gigikelas III
21 dan
Jenyf er Ig natia Moksidy 041052010063
041051910019 drg. Melaniwati, Sp.KG Jesslyn ( Asisten) 041051910062
6 M2 / M3 Chelsea (asisten)
(Operator) Restorasi kelas III gigi 11 6 M2 / M3 Namirah putry (operator) 041052000010 Restorasi Pemeriksaan
Resin Komposit Lengkap
kelas IV gigi 21 drg. Melaniwati, Sp.KG
Viv i Alvioleta Af(Asisten)
da 041052100015 UlfaKomang
Ni DwimaPriliana
Miraldza ( operator) 041052010125
041052010090 Restorasi Resin Komposit kelas IV gigi 11
7 M6 Hosea Timothy 041052010089 Scaling Ultrasonic Ke-2 7 M6 Scaling Ultrasonic Ke-3
Sonia Lovian
Chaterina Anjelia 041052010119
041052010030 drg. Marie Louisa, Sp. Perio ApsariRaihani
Azkia Galuh Cahy aningrum 041052010020
041052010023
8 M6 Scaling Ultrasonic Ke-3 8 M6 Scaling Ultrasonic Ke-1
Devina A rista Suhendro 041052010039 Annami
Maria Reza Gustitine
V incentia A ryanti Dwiastuti 041052010015
041052010078 drg. Mikha Sundjojo, Sp. Perio
9 M6 9 M6 Scaling Ultrasonic Ke-1
Ribkah ChristieThaariq
Imammuddin Hatmanti 041052100018
041052000006
10 M6 10 M6 Scalling Ultrasonic Ke 5 dan PL
Alf yan Gilang 041052000001
11 M7 11 M7
12 12
M9 M9
13 13
M9 M9
14 M10 Giovanna Joan Widjaja 041051910039 GTC - Preparasi Abutment 1 drg. Carolina Damayanti 14 M10
Helen Cyntya
Tiffany VeronicAndany
a 041051900046
041051910124 GTL - Border molding dan Marpaung,
drg. Sp.Pros, PhdM,
Carolina Damayanti
15 M10 15 M10
Nathan Ong osari
Ira Wijayanti 041051910093
041051910056 pencetakan k edua Sp. Pros,
drg. Yenny PhD
Pragustine,
16 M10 GTC - Preparasi Abutment 1 16 M10
JasmineErlian
Renata Maydiana
Bratandari 041051910057
041052100017 S p.Pros
drg. Siti Chandra Dwidjayanti, 17
17 M10 GTL - Pencetakan Kedua M10
Ribkah
Diev Christie Hatmanti
a Shafira 041052100018
041052010041 S p. Pros
drg. Yenny Pragustine,
18 M10 GTL - Indikasi 18 M10
Esa Bella 041052010051 S p.Pros
OKTOBER 2022
NR - Senin, 3 Oktober 2022

No Modul Mahasiswa NIM Pekerjaan DPJP No Modul Mahasiswa NIM Pekerjaan DPJP
1 M2/3 Caroline (operator) 041052010027 Pulpektomi Visit 2 Gigi 12 drg. Rosita Stef ani, M.M, Sp.KG 1 M2/3 Muthia A lifah Khansa (Operator) 041051910083 Pulpektomi Visit 2 Gigi 22 drg. Aryadi Subrata, Sp.KG (K)
Christopher Jeremy ( asisten)
Rut Christy (Operator) 041051910018
041051910106 drg. Ade P. Dwisaptarini, Ulfina
Gisela Fitriani
Naomy (Asisten)
A yudia (Operator) 041051910125 Restorasi Komposit Kelas I Gigi
041051910040
2 M2/3 PSA Visit 2 Gigi 11 2 M2/3 35 dan 47 dan Pemerik saan
Tesia SAntonia
Cindy agita ( Asisten)
Theja (Operator) 041051910121
041052010035 Restorasi Resin Komposit Kelas III Sp.KG (K), Ph.D Isnaeni Kurniawati
Maitsa (Operator)
Nafilah (Operat or) 041052100004 46, Restorasi Komposit Kelas IV
041052010076 drg. Dina Ratnasari, Sp.KG (K)
3 M2/3 3 M2/3 Lengk ap
Rick y Chandra Jay a Soen (Operator) 041052010107 Gigi 12 dan 21 Mipta Harlinda
Novey Riy anti ( Operator)
(Operato r) 041052010083
041051910096 Gigi 31 dan Pemeriksaan
4 M2/3 4 M2/3 Pulpektomi Visit 3 gigi 21
Rossa El
Afifah Febiana
Yumna ( Operator)
Dhaniar (operator) 041051910105 Restorasi SIK k elas V gigi 13 dan
041052010003 drg. Melaniwati, Sp.KG
5 M2/3 5 M2/3
Cici V iorina Lestari (asisten) '041052010033 Pemeriksaan Lengkap
6 M2/3 6 M2/3
7 M7 7 M7
8 M9 Chelsea 041051910015 8 M9
Cetak Evaluasi drg. Yuniar Zen, Sp.Ort.
Cindy Willie 041051910021
9 M9 Cindy Willie 041051910021 9 M9
Chelsea 041051910015
10 M9 10 M9
11 M9 11 M9
041051800002
12 M10 Chikita Ginni Hana GTC - Preparasi Abutment ke 1 drg. Aditya Pratama S, Sp. 12 M10
Fauziyah Pros
13 M10 041051900007 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10
NR - Selasa, 4 Oktober 2022

1 M4 Giovanna Joan 041051910039 Ekstraksi Gigi 35 dan 36 1 M4 Chiara Tania 041051910016 Ekstraksi Gigi 36
Jesslyn
Dhea (Asisten)
Afif ah 041051910062
041051910029 Cindy
Rut Willie (Asisten)
Christy 041051910021
041051910106
2 M4 Lady Xena (Asisten) 041051910071 Ekstraksi Gigi 37 2 M4 Ekstraksi Gigi 25
Cynthia Tandjaja 041052000003 Tiffany (Asisten)
Helen Cyntya 041051910123
041051910046
3 M4 CynthiaJulianto
Tussie (Asisten) 041051910026 Ekstraksi Gigi 26 3 M4 Ekstraksi Gigi 36
Aristya Sidharta 041051910007 drg. Yessy Ariesanti, Sp.BM Jason Ramadhan
Qadri Tanner ( Asisten) 041051910058
041051910082 Dr. drg. Anggraeny Putri, Sp. BM
4 M4 Chiara Tania (Asisten) 041051910016 Ekstraksi Gigi 36 4 M5 Trans Alveolar Gigi 45
Novyca 041051910097 Nadhira Razaqa Shabila
Jennifer 041051910088
041051910059
5 M5 Jessica Apulina Ginting 041051910061 Trans Alveolar Gigi 22 5 M5 Kontrol Bedah (lepas jahitan)
Liv ia Kristi Sutanto 041051910072
6 M5 6 M4
7 M6 Jonatha n Morgan Sudjaka (Operator) 041051810076 Kuretase 7 M6 Ric hard T rida rmawan 041052100005 Scaling Ultrasonic Ke-2
Nikita
Re (Operator)
inhart Christian 041051900008
041052010100 drg. Luki Astuti, Sp. Perio Franco LEeonardo
Tengku lisa Berlianti 041052000005
041052010122
8 M6 Scaling Ultrasonic Ke-5 + Desensiti 8 M6 Scaling Ultrasonic Ke-3 drg. Ricky Anggara Putranto, Sp.
Tirz a Nuralif
Syifa Okta rinaFianti 041052110150
041052010120 Ca thrine
Stella Dw i ALnggowo
Nathania eonarda 041052010029
041051910116
9 M6 Scaling Ultrasonic Ke-3 9 M6 Scaling Ultrasonic Ke-4 Perio
NovitaAviani
Rosa Dwi Nura ini 041052010093
041052010110 Mulia
Ca RaDw
thrine chmiaty Putri
i A nggowo 041052010084
041052010029
10 M6 Scaling Ultrasonik 3 dan PL 10 M6 Scaling Ultrasonic Ke-4
Sintairunnisa
Kha Na talinaIndah
M illenia
NurfaLizah
umbantoruan041051910069
041052010118 drg. Marie Louisa, Sp. Perio ViviSa
Evi Alvioleta
rmayanaAfda
(Sta in Banyak) 04105210915
041052010047
11 M6 Scaling Ultrasonik ke-4 dan desensi 11 M6 Scaling Manual
Keniyaw ati 041052010070 Cornellia Febri
Maitsa Nafilah 041052010036
041052010076 Scaling Ultrasonik Ke-4 + PL
12 M6 12 M6 drg. Albert, Sp. Perio
Mipta Harlinda
Nathania Immanuela T anos 041052010083
041052010089
Zelia Joanna Aurelia Ramba 041052010143
14 M6 14 M6
15 M9 Viola Serena Saptari 41052010134 Visit pertama ( Cetak rahang, Dr. drg. J ohan Arief Budiman, 15 M9
Yoshida Karana 041052010140 rontgen, dan pengisian status) Sp. Ort.
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
NR - Rabu, 5 Oktober 2022 (BKGN)

1 M2 / M3 VitCaroline (operator) 041052010027 Pulpektomi Visit 2 Gigi 12 1 M2 / M3 Frida Asima Hutapea (Operator) 041052010052 Restorasi Resin Komposit Kelas III gigi 21
a Fredlinat
Caroline a (Operator)
Septiani (asisten) 041052010135
041052010028
2 M2 / M3 Restorasi Komposit Kelas III Gigi drg. Taufiq Ariwibowo, Sp.KG (K) 2 Griselda Ananda (Operator)
M2 / M3 Diandra Christina (operator)
041052010058
041052010040 Restorasi Resin Komposit
gigi 47 Kelas IV gigi 11
drg. Ie Elline Istanto, Sp.KG (K)
Wilson Edric 21 dan 22 Helena Gita V ania ( operator) 041052010060 Restorasi Resin III gigi 11
Komposit Kelas I
3 M2 / M3 Maria
(Operat
V erena Emeralda ( Operator) 041052000009
041052010136 Pulpektomi Visit 4 Gigi 21 Dr. drg. M einy F audah Amin, 3 M2 / M3 Mipta Harlinda (Operator) 041052010083 Restorasi Resin Komposit Kelas
Cy nthia or)
Tandjaja (Asisten) 041052000003 Redha Putri W iranda (Operator) 041052010098 Dr. drg. Meiny Faudah Amin,
4 M2 / M3 Nosyafira Andesya (Operator) 041052000011 Restorasi Kelas III Gigi 41 Sp.KG ( K) 4 M2 / M3 Gerald Avila Johannes ( Operator) 041052010056 III gigi 21
restorasi + Pemerik
komposit saanIV
kelas Sp.KG (K)
Pramudita Wiyani Putri (Operator) 041052010070
041051910099 Restorasi Komposit Kelas I Gigi 45 Jacinda Jesslyn ( Asisten) 041052010062
5 M2 / M3 Keniy awati (Operator) drg. Selv iana Wulansari, 5 M2 / M3 Kezia Z iv anka Z ahara (OP) 041052010072 Restorasi Komposit Kelas V gigi 24,25
Maitsa Nafilah (Operator) 041052010076 Restorasi
dan 46 dan Pemeriksaan Lengkap Ni Komang Priliana Pradianty (OP) 041052010090 Restorasi Komposit Kelas III gigi drg. Anastasia Elsa Prahasti, Sp.KG
6 M2 / M3 Syifa Nuralif Fianti (Operator) 041052010120 Komposit Kelas IV Gigi 21 Sp.KG ( K) 6 M2 / M3 Gabriella Rehuel (operator) 041052010054 (K)
Sania Rahma Nursy am ( Operator) 041052010112 Restorasi Komposit Kelas V Gigi 24 Fira Octarina (asisten) 041052010051 22
7 konser BKGN Levina 7 konser BKGN Joshua
drg. Taufiq Ariwibowo, Sp.KG (K) drg. Ie Elline Istanto, Sp.KG (K)
8 konser BKGN Talisa 8 konser BKGN Stanley
9 konser BKGN Indra Dr. drg. Meiny Faudah Amin, 9 konser BKGN Calvin
Sp.KG Wulansari,
(K) drg. Anastasia Elsa Prahasti, Sp.KG
10 konser BKGN Amanda drg. Selviana 10 konser BKGN Yohanna (K)
Sp.KG (K)
11 exo BKGN drg. Wiwiek Poediastoeti, M. 11 exo BKGN
12 exo BKGN Kes, Sp. BM, PhD 12 exo BKGN Dr. drg. Anggraeny Putri, Sp. BM
&
13 exo BKGN & 13 exo BKGN drg. Bianda Claresta
drg. Bianda Claresta
14 exo BKGN 14 exo BKGN
15 perio BKGN 15 perio BKGN
drg. Luki Astuti, Sp. Perio drg. Albert, Sp. Perio
17 perio BKGN 17 perio BKGN drg. Ricky Anggara Putranto, Sp.
drg. Marie Louisa, Sp. Perio Perio
NR - Kamis, 6 Oktober 2022 (BKGN)

1 M4 Joanna Nadia 041052010065 Ekstraksi Gigi 11 dan 12 Renaldo Alexander 041051810129
Gabriel Reinhart (Asisten) 041052010053 Dr. drg. Anggraeny Putri, Sp. BM 1 M4
Diana
Ektraksi Gigi 46 drg. Yessy Ariesanti, Sp. BM
2 M4 Reni Finna 041051810130 Ekstraksi Gigi 11 dan 12 & 2 M4 Adelia Mayleen
Usi (Asisten) 041051810040
041051910001 Ekstraksi Gigi 36 &
MarkoZAefanya
Kevin riawan (Asisten) 041051810089
041052010071 drg. Bianda Claresta Bunga Josephine
Howis Putih ( Asisten) 041051910011
041051910050 drg. Irvan Septrian
3 M4 Ekstraksi Gigi 22 3 M5 Trans Alveolar Gigi 46
Vev ian Navlyn
Griselda Ananda(Asisten) 041052010131
041052010058 Hamledian
Ric Wijaya
ky Chandra Jaya Soen 041051910043
041052010107 Skeling Ultrasonic ke-4 & Desens
4 M6 Scaling Ultrasonic Ke-5 4 M6
Farah Salsabila
Gabriella 041052010048
Clara M aria L aurencius Na nlohy
041052100008 Maria Harlinda
Mipta Josephine Poe rjoto 041052010077
041052010083
5 M6 Scaling Ultrasonic Ke-2 drg. Luki Astuti, Sp. Perio 5 M6 Scaling Ultrasonic Ke-4 dan Pe drg. Marie Louisa, Sp. Perio
Helena
Je Gita
ssica A Vania
pulina 041052010060
G inting (O pe rator) 041051910061 Maitsa Putri
Melisa Nafilah
Usboko 041052010076
041052010080
6 M6 Kuretase 6 M6 Scaling Ultrasonic Ke-2
Naura Lindy Azhara (Operator) 041051910094 Zelia Joanna Aurelia Ramba 041052010143
7 konser BKGN Poppy 114402010008 7 konser BKGN Rahma 114402010009 Dr. drg. Ek o Fibryanto, S p.KG (K)
drg. Melaniwati, Sp.KG
8 konser BKGN Nova 114402010007 8 konser BKGN Rini 114402010004
9 konser BKGN Andri 114402010002 drg. Bernard O. Iskandar, Sp.KG(K)9 konser BKGN Aldo 114402010010 drg. Rosita S tefani, M.M, Sp.KG
10 konser BKGN Yenny 114402010012 drg. Juanita A.Gunawan, Sp.KG(K) 10 konser BKGN Adhia 114402010001
12 exo BKGN Dr. drg. Anggraeny Putri, Sp. BM 12 exo BKGN drg. Yessy Ariesanti, Sp. BM
& &
13 exo BKGN drg. Bianda Claresta 13 exo BKGN drg. Irvan Septrian
15 perio BKGN Christabhel Aretha Thomas 041052010032 Scaling Ultrasonic Ke-4 15 perio BKGN Christine Florence Jonatan 041051910017 Scaling Ultrasonic Ke-3
Adinda
16 perio BKGN Vinc ent Disa
AriesMurbarani
Fernando 041052110001
041052010132 16 perio BKGN Deo
Ja sonATnanda
anner Gloria 041051910027
041051910058
Scaling Ultrasonic Ke-4 drg. Olivia Nauli Komala, Sp. Scaling Ultrasonic Ke-3 drg. Ricky Anggara Putranto, Sp.
Vedda
17 perio BKGN Ria L ucia
V elina A gustin 041052110153
041052010104 Perio 17 perio BKGN Chiara Tania
Cinantya Putri Parahita 041051910016
041052010034 Perio
scaling ultrasonic ke-3 dan PL Pemeriksaan Lengkap + Scaling
Selly MAntonia
18 perio BKGN Cindy onica Theja 041052010116
041052010035 18 perio BKGN Ca rolineFitriana
Annisa Septiani 041052010028
041052100002
Scaling Ultrasonic Ke-3 dan PL Scaling Ultrasonic Ke-1
Chaterina A njelia 041052010030 Mutiara Ha nan Fadhilah 041051910084
NR - Jumat, 7 Oktober 2022 (BKGN)

No Modul Mahasiswa
Gabriella Grace Gunawan NIM Pekerjaan DPJP No Modul Mahasiswa NIM Pekerjaan DPJP
1 M2 / M3 (Operator) 041051910037 Perawatan Saluran Akar Visit 3 Gigi 45 1 M2 / M3 Venny (operator) 0410512010130 PSA visit 3 gigi 21
041051910015 Restorasi SIK Kelas V Gigi 34 dan drg. Selv iana Wulansari, Gabriel Rainheart( Operator)
(Asisten) 041052010053 drg. Taufiq Ariwibowo, Sp.KG (K)
2 M2 / M3 Indah
ChelseaMutia Sari ( Operator)
(Asisten) 041052000007 Sp.KG ( K) 2 Fajar
M2 / M3 Natalia Ramadhan
Deby Kristin (Operator)
041051910034 Restorasi SIK kelas V Gigi 14
Alf yan Gilang Sabda Prakoso (Operator)
041052000001 35 Anniza Bellarisi Cantik a (Asisten) 041051900009
3 M2 / M3 Maharany Bulan Putri (Operator) 041052010075 Restorasi Komposit Kelas III gigi 22 drg. Ade P. Dwisaptarini, 3 M2 / M3 Anggita Prawesti W ardhani 041051810104 Pulpektomi Visit 3 Gigi 11
Kiara Maulika Azuri (Asisten) 041052100013 Restorasi Komposit Kelas IV gigi 12 Sp.KG (K), Ph.D 041051810004 (Obturasi) drg. Dina Ratnasari, Sp.KG (K)
4 M2 / M3 Selly Monica ( operator) 041052010116 4 M2 / M3 Rosa Av iani (Operator)
(Asisten) 041052010110 34
Ria Velina Ag ustin (Asisten) 041052010104 dan Pemeriksaan Lengkap Tengku Elisa Berlianti ( Operator) 041052010122 Restorasi Komposit Kelas V Gigi
5 M2 / M3 Yohana Dela Derinda ( Operator) 041051910133 Pulpektomi Gigi 11 Visit 2 5 M2 / M3 Christ S tephan (Operator) 041051900002 PSA Gigi 21 visit 2
Rahmatun Laila Efendi ( Asisten) 041051910102 Restorasi Komposit Kelas IV gigi 42 Dr. drg. M einy F audah Amin, Leo Alberto (Asisten) 041051810085 drg. Anastasia Elsa Prahasti, Sp.KG
6 M2 / M3 Rifaty Aurili Av idanti ( Operator) 041051910108 Sp.KG ( K) 6 M2 / M3 Regita Noor Hanifa (Operator) 041052010099 Restorasi Komposit Kelas III gigi (K)
Sasha Wiradjaja (Asisten) 041051910114 dan Pemeriksaan Lengkap drg. Ade P. Dwisaptarini, Syifa Nuralif Fianti (Asisten) 041052010120 21 dan Pemerik saan lengkap
7 konser BKGN Aldo 114402010010 7 konser BKGN Andri 114402010002
Sp.KG (K), Ph.D drg. Aryadi Subrata, Sp.KG (K)
8 konser BKGN Nova 114402010007 8 konser BKGN Mita 114402010006
9 konser BKGN Widya 114402010011 Dr. drg. Tien Suwartini, Sp.KG(K) 9 konser BKGN Rini 114402010004
drg. W iena Widyastuti, Sp.KG (K) 10 konser BKGN Joce drg. Dina Ratnasari, Sp.KG (K)
10 konser BKGN Poppy 114402010008 114402010005
drg. Yessy Ariesanti, Sp. BM drg. Wiwiek Poedjiastoeti, M. Kes, Sp.
12 exo BKGN 12 exo BKGN BM, PhD
& &
13 exo BKGN drg. Irvan Septrian 13 exo BKGN
14 exo BKGN 14 exo BKGN drg. Irvan Septrian
15 perio BKGN 15 perio BKGN Farah Salsabila 041052010048
Scaling Ultrasonic Ke-2
drg. Luki Astuti, Sp. Perio Helena Gita Vania 041052010060 drg. Mikha Sundjojo, Sp. Perio
16 perio BKGN 16 perio BKGN Zelia Joanna Aurelia Ramba 041052010143
Ric kyMustopa
Chandra Jaya Soen 041052010107
17 perio BKGN Evangeline Gunaw an 041052010046
Julia
Dr. drg. Trijani Suwandi, Sp. 17 perio BKGN Esa Bella
041052010068
Scaling ultrasonic ke 2 dan pl
Be nedicta Gisela Camay 041052010024 041052010045 drg. Mikha Sundjojo, Sp. Perio
18 perio BKGN Perio 18 perio BKGN

1 M2/3 Cy nthia Tandjaja (Operator) 041052000003 PSA visit 1 Gigi 11 dan drg. Ade P. Dwisaptarini, 1 M2/3 Linda Pratiwi (Operator) 041051900006 PSA visit 2 gigi 11
Maria Restorasi Komposit Kelas I gigi 36 041051810142 Restorasi Komposit Kelas III gigi drg. Anastasia Elsa Prahasti, Sp.KG
2 M2/3 JacindaV erena
JesslynEmeralda
(operator)( Asisten) 041052000009
041052010062 dan gigi Pemeriksaan Lengkap
47 + Pemeriksaan
Sp.KG (K), Ph.D
2 M2/3
Siti Umi Fadhilah
Nathania Brenda (( Operator)
Asisten) 041051810106 (K)
Julia Mustopa Kevin
NyimasZefanya Butarbutar 041052010071
3 M2/3 Jonathan Rafel(operator)
Ohary (operator) 041052010068 Perawatan Saluran Ak ar Visit 1 gigi
*041052010066 Lengk ap 3 M2/3
Ratu Badari (A sisten) 041051810113 21
Christopher (Operator) Vevian Navlyn Pulpektomi Gigi 12 Visit 2
4 M2/3 Viola WandaJeremy ( Asisten)
Aini (operator) *041051910018
041052000014 34Restorasi
+ Pemeriksaan Lengkap
Komposit Kelas III Gigi drg. Taufiq Ariwibowo, Sp.KG (K) 4 M2/3 Fajar Ramadhan
Ramadhany ( Operator)
(Asisten) 041051910034 Restorasi Resin Komposit Kelas drg. Ie Elline Istanto, Sp.KG (K)
041052010131
AnnisaWiradjaja
Sasha Auliashinta (operator)
(Operator) 041052000002
041052010114 11 & 12 Kelas III
Restorasi Komposit Anniza willie
Cindy Bellarisi Cantik a (Asisten)
(operator) 041051900009
041051910021 IV Gigi 21
5 M2/3 5 M2/3 PSA Visit 2 gigi 11
Viola Serena Saptari (Operator)
(Operator) 041052010134
041052010077 GigiKomposit
Restorasi + PLIV Gigi Dr. drg. M einy F audah Amin,
12 & 11Kelas Chelsea
Irviana (Asisten)
Anggita (Operator) 041051910015 Restorarasi resin komposit kelas drg. Dina Ratnasari, Sp.KG (K)
6 M2/3 Sp.KG ( K) 6 M2/3 IV gigi 21 dan pemerik saan
Zelia Joanna Aurelia Ramba 041052010143 21 Kelvin Sury ajaya (Asisten)
7 M7 7 M7 lengkap
Bunga Putih Torang Carona 41051910011
8 M9 Kontrol drg. Yuniar Zen, Sp.Ort. 8 M9
Elycia Woro Indriastuti 041051910031
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
12 M10 12 M10
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 Pramudita Wiyani 041051910099 Ekstraksi Gigi 36 1 M4 Yohana Dela 041051910133 Ekstraksi Gigi 47
Nosyafira
Nady a Maria(Asisten) 041052000011
041051910089 Sofia
NadishaYanti (Asisten)
Allaam 041051910115
041051810101
2 M4 Ekstraksi Gigi 21 dan 23 2 M4 Ekstraksi Gigi 36
Ulfina (Asisten)
Mutiara Hanan 041051910125
041051910084 Siti UmiA(Asisten)
Devina rista 041051810142
041052010039
3 M4 Ekstraksi Gigi 43 3 M4 Ekstraksi Gigi 11 drg. W iw iek Poedjiastoeti, M. Kes,
Agnella
Feby (Asisten)
Fitria 041051910002
041051910035 drg. Yessy Ariesanti, Sp. BM Cindy Anthonia (Asisten)
Caroline 041052010035
041052010027
4 M4 Ekstraksi Gigi 21 4 M4 Ekstraksi Gigi 15 Sp. BM, PhD
Syifa Amalia
Novey Riy anti(Asisten) 041051910119
041051910096 Richard
Mic M anuel ( Asisten)
hell Wijaya 041052010105
041051910078
5 M4 Ekstraksi Gigi 41 dan 42 5 M4 Ekstraksi Gigi 34 dan 35
Rossa El Febiana ( Asisten)
Novyca 041051910105
041051910097 Faadiyah
Qadri Nisa ( Asisten)
Ramadhan 041051910032
041051910082 Kontrol Bedah (lepas jahitan)
6 M5 Jessica Apulina Ginting 041051910061 Kontrol Bedah (lepas jahitan) 6 M5
Valencia Law rence 041052010126 Nadhira Razaqa
Vanessa Shabila
E va ngelista 041051910088
041052010128
7 M6 Scaling Ultrasonic ke-5 + PL 7 M6 Scaling Ultrasonic Ke-4
Ja cindaRefiana
Afifah Jesslyn D ewi 041052010062
041052010002 drg. Marie Louisa, Sp. Perio Zelia N
Putri Joanna Ramba
ur Pratiwi 041052010143 Scaling Ultrasonic ke-3 &
041052010095
8 M6 Scaling Ultrasonic Ke-5 8 M6 drg. Albert, Sp. Perio
Dieva Shafira
Yohana Dela De rindra 041052010041
041051910133 Wirdha
Selly Salsabila
M onica 041052010137 Scaling
041052010116 Desensitisasi
Ultrasonic Ke-4 da n
9 M6 Scaling Ultrasonic ke-5 danPL 9 M6
Shilla Ka
Nurza Mamal
ulida Assyifa 041051910113
041052010094 drg. Ricky Anggara P., Sp. Perio Ria V elina AAriefa
Elvinadaya gustinPutri 041052010116 Peme riksa an Le ngka p
041052010044
10 M6 Scaling Ultrasonic Ke-2 10 M6 Scaling Ultrasonic Ke-1 drg. Olivia Nauli Komala, Sp.
Mohammad Reza Firdaus 041052110098 Nurroline
Ca Kha sa nah (Operator)
Septiani 041052110114
041052010028
11 M6 11 M6 Kuretase Perio
Ric hentya F eiby Salim (Ope rator) 041052010106
12 M6 12 M6
13 M6 13 M6
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
NR - Rabu, 12 Oktober 2022

No Modul Mahasiswa NIM Pekerjaan DPJP No Modul Mahasiswa
Khairunnisa Indah Nurfaizah NIM Pekerjaan DPJP
1 M2/3 Evangeline Gunaw an ( Operator) 041052010046 PSA Visit 1 Gigi 21 + Pemeriksaan Lengkapdrg. Ade P. Dwisaptarini, 1 M2/3 (Operator) 041051910069 Pulpek tomi Visit 2 Gigi 11 +
Caroline drg. Anastasia Elsa Prahasti, Sp.KG
2 M2/3 Ria VelinaSeptiani
Ag ustin(Asisten)
(Operator) 041052010028
041052010104 Restorasi SIK k elas V gigi 35 Sp.KG (K), Ph.D
2 M2/3 Fajar Ramadhan ( Asisten)
041051910034 Pemeriksaan lengk ap
(K)
ValenciaErlian
Renata Law rence (Operator)
Bratandari ( Operator) 041052100017 Restorasi SIK Kelas V gigi 25 Restorasi komposit kelas I gigi
3 M2/3 Vincent Aries 041052010126 Pulpektomi visit 2 gigi 12 3 M2/3 (Operator) 041052010090 36 dan 46 + Pemerik saan
Aries Kurniawan (Operator) 041052010132 Restorasi Komposit Kelas I Gigi 36 Dr. drg. M einy F audah Amin,
041052010121 Maria Andriani
Vania V incentia(Operator)
A ryanti Dwiastuti 041052010078 Restorasi Komposit Kelas I Gigi
041052010129
Dr. drg. Meiny Faudah Amin,
4 M2/3 Fernando (Asisten) dan Restorasi Komposit kelas I Sp.KG ( K) 4 M2/3 Lengkap Sp.KG (K)
Imammuddin
Ribkah ChristieThaariq
Hatmanti(Operator)
(OP) 041052000006
041052100018 Viola Serena
Rahayu Putri Saptari
A ndini ((Asisten)
Operator ) 041052010134
041051910101 37
5 M2/3 Restorasi Komposit Gigi 37 III gigi 11 dandrg.
kelas 12 Rosita Stefani, M.M, S p.KG 5 M2/3 Pulpektomi visit 2 gigi 23
Kezia Z ivanka
Agnella Z ahara
Gw enisa (OP)
(operator) 041052010072
041051910002 JessicaFirga
Najla Apulina Ginting ( Asisten )
Fadilla(Operator) 041051910061
041052010087 Restorasi Komposit Kelas IV Gigi 11 drg. Ie Elline Istanto, Sp.KG (K)
6 M2/3 Restorasi Komposit kelas V Gigi 14 dan 15 6 M2/3
Thesy a Dhyah Anggraini (operator) 041052000012 The Gabriella Rosetika S usanto ( Asisten)
041052010123
7 M7 7 M7
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
041051800002
12 M10 Chikita Ginni GTC - Preparasi Abutment ke 1 drg. Aditya Pratama S, Sp. 12 M10
Hana Fauziyah Pros
13 M10 041051900007 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10
NR - Kamis, 13 Oktober 2022

1 M4 Helen Cyntya 041051910046 Ekstraksi Gigi 36 1 M4 Chelsea 041051910015 Ekstraksi Gigi 44
Hernandita
Jessica Fasik hin ( Asisten)
Apulina 041051910049
041051910061 Henni Willie
Cindy (Asisten) 041051910048
041051910021
2 M4 Ekstraksi Gigi 37 2 M4 Ekstraksi Gigi 37
Dinisya Al Fatiah (A sisten)
Julia Mustopa 041051910030
041052010068 Gerald AvillaFasik
Hernandita (A sisten)
hin 041052010056
041051910049
3 M4 Ekstraksi Gigi 31 3 M4 Ekstraksi Gigi 15 dan 17 drg. Yessy Ariesanti, Sp. BM
Esa Bella
Thalia (Asisten)
Venessa 041052010045
041051910122 Dr. drg. Anggraeny Putri Sekar P, Sp.BM Helen Cyntya
Elycia Woro (Asisten) 041051910046
041051910031
4 M5 Trans Alveolar gigi 34 4 M4 Ekstraksi Gigi 11 dan 13
Yonathan 041051910134 MutiaraOngosari
Nathan Risa (Asisten) 041051910085
041051910093
5 M4 5 M4 Ekstraksi Gigi 41 dan 42
Ian Anthony (Asisten) 041051910052
6 M4 6 M4
7 M6 Ca rissa Tanya 041052010026 7 M6 Ama lia Fauza na Wijaya 041052010010
Scaling Ultrasonic Ke-4 drg. Olivia Nauli K omala, Sp. Scaling ultrasonic 3 + Pemeriks
Ja cindaNurfa
Fikha Jesslyn
dillah 041052010062
041052010050 Evangeline
Kezia Gunawa
Z ivanka n
Z ahara 041052010046
041052010072 drg. Albert, Sp. Perio
8 M6 Scaling Ultrasonic Ke-1 Perio 8 M6 Scaling Ultrasonic Ke-3
Nabilah
Ra istiqomah
hmadisya Ha ryanto
Putri Hapsari 041052010086
041052010096 D r. Drg. T rijani Suwa ndi, Sp. Maria Vinc entia Arya nti Dwia stuti
Yonathan 041052010078
041051910134
9 M6 Scaling Ultrasonic Ke-5 + Pemerik 9 M6 Kuretase dan koronoplasti drg. Mikha Sundjojo, Sp. Perio
Vevian Na vlyn 041052010131 Pe rio Rinda Re ntia 0410519103
10 M6 10 M6
11 M6 11 M6
12 M6 12 M6
13 M6 13 M6
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
NR - Jumat, 14 Oktober 2022

No Modul Mahasiswa NIM Pekerjaan DPJP No Modul Mahasiswa NIM PekerjaanKelas IV Gigi
Restorasi Komposit DPJP
1 M2 / M3 Renaldo Alexander ( Opetator) 041051810129 PSA Visit 1 Gigi 11 + Pemeriksaan 1 M2 / M3 Anggun Hermawati ( Operator) 041052010013 11
Evanhelle
Mic Dwipa Putra
Tedja (Asisten)
( Operator) 041051810045
041052010082 lengk ap drg. Taufiq Ariwibowo, Sp.KG (K) Aries Kurniawan (Asisten)
(Operator) 041052010021 Restorasi Komposit Kelas IV Gigi drg. Aryadi Subrata, Sp.KG (K)
041052010123
2 M2 / M3 Restorasi Komposit Kelas I Gigi 37 2 M2 / M3 Pemeriksaan Lengkap
Jonathan
Annisa Rafel Ohary
Fitriana (Asisten)
(Operator) '041052010066
041052100002 Restorasi Komposit Kelas I Gigi 47drg. Rahmadisya
Vincent AriesPutri Hapsari
Fernando (operator) 041052010096
041052010132 Pulpektomi 11Visit
dan 122
Gigi 11 dan
3 M2 / M3 Rosita Stefani, M.M, S p.KG 3 M2 / M3
Rissahael
Mic Anuar Shindy(Operator)
Reinhart (A sisten) 041051910104
041052010081 11 Caroline
Louis (asisten)
Z aelani (Operator) 041052010027
041052010074 Restorasi Pemeriksaan
KompositLengkap
Kelas I gigi drg. Taufiq Ariwibowo, Sp.KG (K)
4 M2 / M3 4 M2 / M3
Yoshida Karana
Rosmalinda (Operator)
S uryani (Operator) 041052010140 RestorasiKomposit
041052010111 Restorasi KompositKelas
KelasI Gigi
III Gigi
37 Jonathan Rafel
Elvinadaya A riefOhary
a Putri( A sisten)
(Operator) '041052010066
041052010044 Restorasi komposit 47 kelas I gigi
5 M2 / M3 5 M2 / M3
Natalia silaban
Tika Savira (Operator)
Ibrahim (Operator) 041052010124 Restorasi Komposit dan 47Kelas IV gigi 11 drg. Selv iana Wulansari, Rafidah
Noni AyQurrotuain
Anis u Destarani(Operator)
(Asisten) '041051910100
041052010092
Restorasi Komposit
36 Kelas III Gigi drg. Dina Ratnasari, Sp.KG (K)
6 M2 / M3 Nurza Sp.KG ( K) 6 M2 / M3 22
Denisa dan 21 + Ke-3
041052010038 Scaling Ultrasonic PL dan Naura
Venny Lindy Azhara (Asisten) 041051910094
7 M6 MaulidaNAssyifa
abila A(Operator)
manda
drg. Luki Astuti, Sp. Perio 7 M6 041052010130 dan Komposit
Scaling KelasKe-4
Ultrasonic I Gigi 14
Dieva Shafira 041052010041 Desensitisasi Re ynalda
Kiara Oktaviani
M aulika Azuri 041052010103
Re ski Aryanti 041052010101
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 12 Wirdh Salsabila 041052010137 Dr. drg. Johan Arief Budiman, Sp.
M9 M9 Kontrol
Yusika Br Purba 041052010141 Ort.
13 13 Yusika Br Purba 041052010141 Dr. drg. Johan Arief Budiman, Sp.
M9 M9 Kontrol
Wirdh Salsabila 041052010137 Ort.
14 M10 Gisela Naomy A yudia 041051910040 GTC - Preparasi Abutment ke 2 drg. Carolina Damayanti, 14 M10 Citra Nuraliyyah Yahya 041051810032 GTC - Preparasi Abutment ke 1 drg. Nova Adrian, Sp. Pros
Faadiyah 041051910039
15 M10 GiovannaNisa
Joan Widjaja 041051910032
GTC - Preparasi Abutment ke 2
Sp.Pros,Damayanti,
drg. Carolina PhD
15 M10
Kirana
Viv VirysiaAfda
i Alvioleta 041051810082
041052100015 GTL - Insersi drg. Niko Falatehan,
Helen Cyntya Andany
Henni 041051910048 Sp.Pros,Damayanti,
drg. Carolina PhD AnnisaWillie
Cindy Fitriana 041052100002
041051910021 Sp.Pros
16 M10 041051910046 GTC - Preparasi Abutment ke 1 16 M10 041052000009. GTC - Insersi drg. Nova Adrian, Sp. Pros
Hernandita Fasik hin 041051910049 Sp.Pros, PhD Mahatia
Maria Hardin
V erena Emeralda 041051910075
17 M10 17 M10 GTL - Penentuan Relasi Rahang drg. Nova Adrian, Sp. Pros
Elycia Woro Indriastuti
18 M10 18 M10 041051910031

1 M2/3 Devina A rista Suhendro (operator) 041052010039 Pulpektomi Visit 1 Gigi 21 dan Sarah qonita (Operator) 041051910110
Deo Ananda Gloria (asisten) 041051910027 Pemeriksaan Lengkap drg. Taufiq Ariwibowo, S p.KG 1 M2/3
Shilla Kamal
PSA Visit 1 Gigi 21
2 M2/3 Venny (operator) 041052010130 Restorasi kelas V gigi 31 dan 32 (K) 2 M2/3 Annami Reza( Gustitine
Asisten) (Operator) 041051910113
041052010015 Restorasi Komposit Kelas I Gigi drg. Aryadi Subrata, Sp.KG (K)
Yoseph Kusnadi(
Hanifan operator)
Aulia (Operator) 041052100016
041052010059 PSA Visit 1 Gigi 21 dan Iv y Gracia
Helsa Putri Panjaitan
Alyayuan (operator)( Asisten) 041052110069 37 dan
041051910047 PSAPemeriksaan
visit 1 gigi 21Lengkap
dan
3 M2/3 3 M2/3
Kelvin Suryajay
Annisa Nur Dianaa (Asisten)
(Operator) 041052010069
041052010018 Pemeriksaan11 Lengkap drg. Rosita Stefani, M.M, Sp.KG Jasmine
Ira Maydiana
Wijayanti (asisten)
(Operator) 041051910057 Restorasi
041051910056 pemeriksaan lengk apKelas drg. Anastasia Elsa Prahasti, Sp.KG
Resin Komposit
4 M2/3 Restorasi Komposit Kelas III GIgi 4 M2/3 (K)
Farah
Fira Salsabila(operator)
Octarina ( Operator) 041052010048 Restorasi komposit kelas III gigi 21
041052010051 Almira Prisharia
Giovanna Setyafi (Operator)
Joan Widjaja (Asisten) 041051910004
041051900039 IV Gigi 21
5 M2/3 Benedicta Gisela Camay 21+ Pemeriksaan
+ k elas I gigi 47 5 M2/3 Pulpektomi visit 3 gigi 21
Gabriella Rehuel (operator) 041052010054
041052010024 Angela
drg. Melaniwati, Sp.KG digantikan drg. Rosita Stefani,
RedhaM.M,IrenaWKok
Sp.KG
Putri anda(Operator)
iranda (Asisten) 041051910005
041052010098 gigi 21 drg. Ie Elline Istanto, Sp.KG (K)
6 M2/3 Octiv anny (operator) Ev angeline Lengkap
Restorasi komposit kelas III gigi 21 6 M2/3
041052010046 Novita Dwi Nur'aini (Operator) 041052010093 Restorasi Resin Komposit Kelas IV
7 M7 Gunawan (asisten) 7 M7
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
12 M6 Julia Mustopa 041052010068 Scaling Ultrasonic Ke-3 Julia Mustopa 041052010068
Scaling Ultra Maureen Aprilia Wongso 041051910077 GTC - Preparasi Abutment 1 drg. James Handojo, Sp.Pros
Gabriel Rainheart 041052010053 Gabriel Rainheart 041052010053 Mic hell Wijaya Koesuma 041051910078
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 Chelsea 041051910015 Ekstraksi Gigi 34 1 M4 Henni 041051910048 Ekstraksi Gigi 36
Cindy Willie
Nabila Afifah(Asisten) 041051910021
041051910086 Charyne
Stella A llika (Asisten)
Nathania 041051910014
041051910116
2 M4 Ekstraksi Gigi 38 2 M4 Ekstraksi Gigi 13 dan 15
Mutiara Hanan (Asisten)
Cy nthia Priscilla 041051910084
041051910024 Khairunnisa
Linda PratiwiIndah (Asisten) 041051910069
041051900006
3 M4 Ekstraksi Gigi 41 dan 42 drg. Yessy Ariesanti, Sp. BM 3 M4 Ekstraksi Gigi 12
Naura Lindy
Sheila Annisa(Asisten) 041051910094
041051910111 Nur Khasanah
Zaldy Farhan (Asisten) 041052110114
4 M4 Ekstraksi Gigi 31 dan 32 4 M4 Ekstraksi Gigi 21 dan 22
Sofia Yanti
Nadisha (Asisten)
Allaam 041051910115
041051810101 DevinaJ osephine
Maria A rista (Asisten) 041052010039
041052010077
Elvinadaya ( Asisten) 041052010044 Joanna
Tany Nadia
a Aya (A sisten)
Sofia 041052010065
041051910120 Trans Alveolar Gigi 24 dan 25
6 M4 6 M5
Annisa Fitri Cahyarani 041052010017 Yoana
Ca W inardi
roline 041051910132
041052010027 Scaling Ultrasonic Ke-1
7 M6 Scaling Ultrasonic Ke-2 Dr. Drg. Trijani Suwandi, Sp. 7 M6
Sania Aviani
Rosa Rahma Nursyam 041052010112
041052010110 Ca roline Septiani
Michelle Tedja 041052010028
041052010082 Scaling Ultrasonic Ke-3 drg. Albert, Sp. Perio
8 M6 Scaling Ultrasonic Ke-4 Perio 8 M6
Naomi Lidwina
Annisa Auliashinta 041052110108
041052000002 LouisSavira
Tika Zae la ni
Ibrahim 041052010074
041052010124
9 M6 Scaling Ultrasonic Ke-4 9 M6 Scaling Ultrasonic Ke-4 drg. Ricky Anggara Putranto, Sp.
Namirah
Viola Putry
Se rena Faisal
Saptari 041052000007
041052010134 drg. Marie Louisa, Sp. Perio Re ski Aryanti
Cindy Antonia Theja 041052010101
041052010035
10 M6 scaling ultrasonik ke-4 + Pemerik 10 M6 Scaling Ultrasonic Ke-3 + PL Perio
Sasha Wira djaja 041052010114 Chaterina A njelia 041052010030
11 M6 11 M6
12 M6 12 M6
13 M6 13 M6
14 M6 14 M6
15 M9 15 M9 Venny 041052010130 Visit pertama (Cetak rahang, Dr. drg. Johan Arief Budiman, Sp.
Vevian Navlyn R 041052010131 rontgen, dan pengisian status) Ort.
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

No Modul Jonathan Morg Mahasiswa
an Sudjaka NIM Pekerjaan drg. Ade P.DPJP
Dwisaptarini, No Modul Mahasiswa NIM Pekerjaan DPJP
1 M2/3 (Operator) 041051810076PSA Visit 1 Gigi 11 dan Pemeriksaan Lengkap 1 M2/3 Natasy a Iv ana (Operator) 041051910092 PSA Visit 1 Gigi 13 dan
041051810085 Sp.KG (K), Ph.D digantikan Christopher Jeremy (A sisten) 041051910018 Restorasi Pemeriksaan drg. Anastasia Elsa Prahasti, Sp.KG
2 M2/3 Vanessa
Leo Evangelista
Alberto (Operator)
Porjo (Operator) 041052010128 Restorasi komposit kelas IV Gigi drg. Taufiq A riwibowo, Sp.KG 2 M2/3 Yusik a Br Purba (Operator) 041052010141 KompositLengkap
Kelas III Gigi (K)
Venny (operator)
Viola Serena Saptari (Operator) 041052010134 11 & 21 Shofiy ah S alsabila (Operator) 041052010117 Restorasi Komposit
12 dan 13Kelas I gigi
3 M2/3 Gabriel Rainheart 041052010130 (K)F audah Amin, 3 Imammuddin Thaariq (Operator) 041052010013
Rick y Chandra Jay aGenesis
Soen L.J 041052010053
PSA visit 3 gigi 21 Dr. drg. M einy M2/3
Aries Kurniawan (Asisten) 041052010021
37
4 M2/3 (asisten)
(Operator) 041052010107
Restorasi Resin Komposit Kelas III Gigi 12 dan 21 Sp.KG ( K) 4 M2/3 Ian Anthony (Operator) 041051900052 Restorasi Pemeriksaan
Resin Komposit kelas
lengk ap I gigi 46
Deo 041052010035 NathanFitriani
Ongosari ( Asisten) 041051910093 Restorasi Resin Komposit kelas I gigi 47
5 M2/3 CindyAnanda
AntoniaGloria
Theja(operator)
(Operator) 041051910027 Pulpektomi Visit 1 Gigi 21 dan 5 M2/3 Ulfina
Putri
(Operator) 041051910125 Pulpektomi
Restorasi Visit 2 Gigi 11 24dan
AngelaLovian
Sonia Irena (Operator)
Kok anda (asisten) 041051910005
041052010119 Pemeriksaan
Restorasi KompositLengkap
Kelas IV Gigi drg. Taufiq Ariwibowo, Sp.KG (K) 6 AdeliaNur
UsiPratiwi
Lauditta(Operator)
(Asisten) 041051910001
041052010095
SIK Kelas V gigi drg. Aryadi Subrata, Sp.KG (K)
6 M2/3 M2/3 Wirdha Salsabila (Operator) Restorasi S IK Kelas V gigi 25 +
Viv i Alvioleta Af da (Operator) 041052100015 12 dan Gigi 22 041052010137
7 M7 7 M7 Pemeriksaan Lengkap
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
12 M10 12 M10
13 M10 Citra Nuraliyyah Yahya 041051810032 GTC - Preparasi Abutment ke 2 drg. Nova Adrian, Sp. Pros 13 M10
KiranaMonica
Selly Virysia 041051810082
041052010116
14 M10 GTL - Border Moulding drg. Isya Hanin, Sp.Pros. 14 M10
Syifa Nuralif
Nosyafira Fianti
Andesya 041052010120
041052000011
15 M10 GTL - Penentuan relasi rahang drg. Isya Hanin, Sp. Pros 15 M10
Della Puspita Arini 041052000004
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 Rut Christy 041051910106 Ekstraksi Gigi 46 1 M4 Jesslyn Nathania 041051910063 Ekstraksi Gigi 32 dan 43
Gerald
Cy nthiaAvila Johannes
Tandjaja 041052010056
041052000003 drg. Wiwiek Poedjiastoeti, VincentClau
Justine Aries (Asisten) 041052010132
041051910065
Justine Clau Sevany
Tiffany 041051910065
041051910123 M.Kes., S p.BM., PhD Cy nthia Dimas
Andiko Tandjaja (Asisten) 041052000003
041051810011
3 M4 Ekstraksi Gigi 46 3 M4 Ekstraksi Gigi 46 dan 47 drg. Yessy Ariesanti, Sp. BM
Sofia Yanti Sari 041051910115 Nabila aShahnaz
Natasy Iv ana (Asisten) 041051810099
041051910092
4 M4 4 M4 Ekstraksi Gigi 11 dan 21
Svetlana Allaam
Nadisha Tessalonica (A sisten) 041051910118
041051810101
5 M4 5 M4 Ekstraksi Gigi 46
Linda Pratiwi (Asisten) 041051900006
6 M4 6 M4
7 M6 Deandra Carissa Nurhasinah Wiriawan
041052010037 PL dan Scaling Ultrasonik ke 5 Sonia Lovia n 041052010119 Scaling Ultrasonic Ke-4
Dr. Drg. Trijani Suwandi, Sp. 7 M6
Denisa
Vivi N abila A
Alvioleta manda
Afda 041052010038
041052100015 Vivi Alvioleta Afda
Meliani 041052100015
041052010079
8 M6 Scaling Ultrasonic Ke-3 Perio 8 M6 Scaling Ultrasonic Ke-4 drg. Marie Louisa, Sp. Perio
Sonia Yanti
Sofia LoviaSa
n ri 0410520100119
041051910115 Scaling Ultrasonic Ke-4 Laidy Aretha L exandra O ngka runa
Venny 041052010073
041052010130
YohanaLulu
Dinda DelaADe
fifarindra
h Himawan 041051910133
041052010042 drg. Mikha Sundjojo, Sp. VevianZae
Louis Nalavlyn
ni 041052010131
041052010074
Cinantya
Cindy Putri Parahita
Willie 041052010034
041051910021 Perio Michelle
Afifah TedjaDhaniar
Yumna 041052010082
041052010003
11 M6 Scaling Ultrasonic Ke-5 11 M6 Scaling Ultrasonic Ke-1 drg. Mikha Sundjojo, Sp. Perio
Chelsea 041051910015 Anitha Soleha
Nyimas Sa tria
Ratu Badari 041052010014
041051810113
DevitaFransiski
Holie Rosalina 041051900010
041052010061
Selly MJosephine
Maria onica Poe rjoto 041052010116
14 M6 14 M6 Scaling Ultrasonic ke-5 dan Pe
Joanna N adia Sumaji 041052010065
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

No Modul Zelia Joanna Mahasiswa
Aurelia Ramba NIM Pekerjaan DPJP No Modul Mahasiswa NIM Pekerjaan DPJP
1 M2 / M3 PSA Visit 1 Gigi 21 dan 1 M2 / M3 Griselda Ananda (Operator) 041052010058 24 + Pemeriksaan Lengkap
(Operat
Evi or)
Sarmayana (Operator) Pemeriksaan
2 M2 / M3 Restorasi Komposit Lengkap
Kelas I Gigi 36 drg. Melaniwati, Sp.KG
2 M2 / M3
Gabriella Clara Maria
Diandra Christina (Operator)
(operator) '041052100008 Restorasi komposit
041052010040 Restorasi k omposit Kelas
k elas III
V gigi
gigi drg. Melaniwati, Sp.KG
Venny (Asist en) dan 47Kelas V gigi 33 drg. Rosita Stefani, M .M , Gabriella Rehuel (Asisten) 041052010054 21 + Pemeriksaan Lengkap
3 M2 / M3 Reski Aryanti
Natalia (Operator)
S ilaban (Operator) 041052010101 Restorasi Komposit 3 M2 / M3 (Operator) 041052010078 Restorasi Kelas V gigi 14 dan 15 drg. Rosita S tefani, M.M, Sp.KG
KiaraDwima
Maulika Azuri (Operator) 041052100013 dan 34 S p.KG Ribkah Christie
4 M2 / M3 Ulfa Miraldza(Operator) 041052010125 Restorasi Komposit Kelas V Gigi 14 digantikan drg. Melaniwati, 4 M2 / M3 Richentya FeibyHatmanti
S alim (Operator) 041052100018
041052010106 Restorasi Komposit kelas III gigi
Nathania
Novey RiyImmanuela Tanos
anti ( Asisten) 041051910096 AfifahMustopa
Yumna Dhaniar (Asisten) 041052010003 12 1 Gigi 11 + drg. Ade P. Dw isaptarini, S p.KG (K),
5 M2 / M3 (Operator) 041052010089 Restorasi Komposit Kelas I Gigi 47 S p.KG 5 M2 / M3 Julia (Operator) 041052010168 Pulpek tomi Visit
041052010063 dan Pemeriksaan Lengkap drg. Selv iana Wulansari, Gabriel Rainheart (Asisten) 041052010053 Restorasi Pemeriksaan
6 M2 / M3 Nurza
Jenyf erMIgaulida
natia Assyifa
Moksidy(Operator)
(A sisten) 041052010094 Restorasi Komposit Kelas III gigi 21 Sp.KG ( K) 6 M2 / M3 Selly Monica (Operator) 041052010116 kompositLengkap
kelas V Gigi Ph.D
Keniy awati
Denisa (Operator)
N abila A manda 041052010070
041052010038 dan 22 Redha Putri
Yoshida W iranda (Operator)
K arana 041052010098 24 & 44 + Pemeriksaan Lengkap
041052010140
Dieva Salsabila
Farah Shafira 041052010041
041052010048 drg. Olivia Nauli K omala, Sp. 8 Ivy Gracia
Tengku Putri
E lisa Panja itan
Berlianti 041052110069
041052010122
8 M6 Scaling Ultrasonic Ke-4 M6 Scaling Ultrasonic Ke-4
AnnisaNathania
Stella Nur Diana L eonarda 041052010018
041051910116 Perio Vivi Alvioleta
Michael ReinhartAfda 041052100015
9 M6 Scaling Ultrasonic Ke-4 9 M6 Scaling Manual
Mulia Ra chmiaty Putri 041052010084 Sarah Tiara
Kelvin Suryajaya 041052010113
041052010069
Hanifan Aulia 041052010059
11 M7 11 M7
12 Linda Pratiwi 041051900006 Visit pertama (Cetak rahang, Dr. drg. Johan Arief 12
M9 M9
Claresta Febristi 041051900003 rontgen, dan pengisian status) Budiman, Sp. Ort.
13 13
M9 M9
14 M10 Hanifah Salma Rosa 041051910044 GTC - Insersi drg. Carolina Damayanti 14 M10
Helsa
TiffanyAlyayuan
Veronic a 041051910048
041051910124 M arpaung,
drg. CarolinaSp. Pros, PhdM,
Damayanti
15 M10 GTL - Penentuan relasi rahang 15 M10
Nathan Ong osari
Gisela Naomy A yudia 041051910093
041051910040 Sp. Pros,
drg. Carolina PhD
Damayanti M,
16 M10 GTC - Pencetakan ke-2 16 M10
Faadiyah Nisa
Pramudita Wiyani 041051910032
041051910099 GTL - Border Moulding & Sp. Pros,
drg. Carolina PhD
Damayanti M,
17 M10 drg. Carolina 17 M10
SyifaAisyah
Siti Amalia Sharfina 041051910119
041051800006 Pencetakan ke-2 Sp. Pros,Damayanti
PhD
18 M10 GTL - Insersi Marpaung, Sp. Pros, 18 M10
Reni Finna A 041051810130
PhD

1 M2/3 Bunga Putih Torang Carona (Operator) 041051910011 Pulpektomi Visit 1 Gigi 21 dan 1 M2/3 Mutiara Hanan Fadhilah (Operator) 041051910084 Pulpektomi Visit 1 Gigi 21 dan Pemeriksaan Lengkap
Sheila Annisa
Carissa Tany a (Asisten)
(Operator) 041051910111
041052010026 Pemeriksaan Lengkap drg. Rosita Stefani, M.M, Sp.KG Rissa Anuar
Sinta Shindy
Natalina (A sisten)
Millenia L (operator) 041051910104
041052010118 Restorasi Komposit Kelas I gigi drg. Aryadi Subrata, Sp.KG (K)
2 M2/3 Restorasi Komposit Kelas I gigi 37 2 M2/3
Cinanty
Esa Bellaa Putri Parahita ( Asisten)
(Operator) 041052010034 Pulpektomi Visit 1 Gigi 21 dan
041052010045 Ulfa Dwima
Jeremia ArmiMiraldza ( operator)
Wijaya (Operator) 041052010125
041052010064 36 dan 37
3 M2/3 drg. W iena Widyastuti, Sp.KG ( K) 3 M2/3 PSA Visit 1 Gigi 21 dan Pemeriksaan Lengkap
Julia aMustopa
Diev (Asisten)
Shafira (Operator) 041052010068 Pemerik saan Lengkap
041052010041 Gabriel Putri
Melisa Rainheart
Usbok(Asisten)
o (Operator) 041052010053 Restorasi Komposit kelas IV gigi drg. Wiena Widyastuti, Sp.KG (K)
041052010080
4 M2/3 Restorasi Komposit Kelas III gigi 21 dan 22 4 M2/3
Dinda Lulu
William DavAfifah
id Jan Himawan
(Operator)(Operator)041051910131
041051910042 Dr. drg. Eko Fibryanto, Sp.KG 5 Zelia Joanna
Mufidah NurulAurelia
HayatiRamba ( Asisten) '041052010143
(operator) 041051910081 21
5 M2/3 PSA Visit 2 Gigi 11 dan Pemeriksaan Lengkap M2/3 PSA Visit 1 Gigi 22 dan Pemeriksaan Lengkap
Dr. drg. Ek o Fibryanto, S p.KG (K)
Angela
Aly Irena Kok anda
afi Novidhiyani (Asisten)
( operator ) 041051910005
041052010009 (K) Suci Mumpuni Pakerti (asisten) 041051910117
6 M2/3 Restorasi Komposit Kelas V pada gigi 14 dan 15 6 M2/3
Afifah refiana dewi ( operator ) 041052010002
7 M7 7 M7
8 M9 Belinda Olivia Akuba 041051910009 8 M9
Dhea Afifah Roza 041051910029
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
041051800002
12 M10 Chikita Ginni GTC - Preparasi Abutment ke 2 drg. Aditya Pratama S, Sp. 12 M10 Adelia Usi Lauditta 041051910001 GTC - Preparasi Abutment Gigi 1 drg. I G A Ratih Utari Mayun, Sp.
Hana Fauziyah Pros Agnella Irena
Angela Gwenisa
Kokanda 041051910002
041051910005 drg. I G A RatihPros
Utari Mayun, Sp.
13 M10 041051900007 13 M10 GTC - Pencetakan awal
Agustina
Vania Putri Rahayu
Andriani 041051910003
041052010129 Pros
14 M10 14 M10 Venny 041052010130 GTC - Pencetakan pertama drg. Nova Adrian, Sp.Pros
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 Cy nthia Tussie 041051910026 Ekstraksi Gigi 11 dan 12 1 M4
Belinda Olivia
Christine (Asisten)
F lorence 041051910009
041051910017
2 M4 Ekstraksi Gigi 43 2 M4
Henni (asisten)
Rahayu Putri 041051910048
041051910101
Mufidah
Ulfa Dwima Nurul (Asisten) 041051910081
041052010125 Dr. drg. Anggraeny Putri Sekar Palupi, Sp.BM
4 M4 Ekstraksi Gigi 32 dan 42 4 M4
Noni Anis
Joanna Q. ( Asisten)
Nadia 041052010092
041052010065
Gabriel Ariawan
Martin Reinhart (Asisten) 041052010053
041051810090
6 M5 Trans Alveolar gigi 21 dan 22 6 M4
Renihard
Ric Finna Astriana
T ridarmawan 041051810130
041052100005 Alya fi Novidhiyani 041052010009 Scaling Ultrasonic Ke-1
Ja son Pratama
Franco L eonardoHusa da 041052100012
041052000005 drg. Olivia Nauli K omala, Sp. Afifah TRefiana
Nikita heodorusD ewi 041052010002
041052010091 drg. Olivia Nauli Komala, Sp.
DiandraFitri
Annisa Christina
Cahyarani 041052010040
041052010017 Perio Vinc ent Riady
Chelsea Aries Fernando 041052010132
041052010031 Perio
Re dha Putri
Gabriella W Guna wan
Grace 041052010098
041051910037 Ivy GraciaTedja
Michelle Putri Panja itan 041052110069
041052010082
Chelsea
The Gabriella Rosetika Susa nto 041051910015
041052010123 drg. Luki Astuti, Sp. Perio Louis Zae
Wirdha la ni
Salsabila 041052010074
041052010137 drg. Ricky Anggara, Sp. Perio
11 M6 Scaling Ultrasonik ke 1 dan Pemer 11 M6 Scaling Ultrasonic Ke-3
Vevian Na vyln Ramadhany 041052010131 KiaraSavira
Tika M aulika Azuri
Ibrahim 041052100013
041052010124
Re ski Rahma
Sania AryantiN ursyam 041052010101
041052010112 drg. Luki Astuti, Sp. Perio
Naifa h Deddy Iskandar 041052110105
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

1 M2/3 Faadiyah Nisa ( Operator) 041051910032 PSA Visit 1 Gigi 12 dan 1 M2/3 Helena Gita V ania ( Operator) 041052010060 Pulpektomi Visit 1 Gigi 22 dan
Christopher Jeremy Restorasi Resin Komposit
LengkapKelas
2 M2/3 Afifah Refiana Dewi ((operator)
Asisten) 041051910018
041052010002 Pemeriksaan Lengkap
IV Gigi 22 drg. Ade P. Dwisaptarini, Sp.KG (K), Ph.DdigantikanValencia
2 M2/3
drg. Rosita
Deandra LawStefani,
rence
Carissa (Asisten)
M.M, Sp.KG
(Operator) 041052010126
041052010037 V gigi Pemeriksaan
14,15 dan Pemeriksaan
DenisaNaomy
Gisela NabilaAAmanda (operator)
yudia (Operator) 041052010038 Restorasi
041051910040 Resin Komposit
Restorasi Komposit Kelas IIIKelas
Gigi drg. Rosita Stefani, M .M , Aly a Ramadhita
Aristya (Operator)
J ulianto Sidharta (Operator) 041051910008 Perawatan Saluran Akar gigi 11
041051910007
3 M2/3 3 M2/3 dan
Cindy Stevany
Anitha (Asisten)
S oleha Satria (Operator) 21
041051910020 Gigi 11 dan Pemeriksaan
041052010014 Lengkap S p.KG ChristyRaihani
Azkia Tanujaya ( Asisten)
(Operator) 041051910019 Restorasi Komposit Kelas I gigi
041052010023 drg. Aryadi Subrata, Sp.KG (K)
4 M2/3 4 M2/3
Cinanty
Vita a Putri Parahita
Fredlinata ( Operator)
041052010135 Resin
PSA Gigi 12Komposit Kelas I
V isit 1 dan Astriana
Selly Putri(Operator)
Monica Fathinah (Operator) 041052010022 Restorasi Komposit
041052010116 37 & 47 Kelas I gigi
5 M2/3 Rahmadisya 5 M2/3
Vincent AriesPutri Hapsari
Fernando (Asisten) 041052010132
041052010096 dan Pemeriksaan PemerikLengkap
saan Lengk ap
drg. Selv iana Wulansari, Syifa nuralif
Cindy Antoniafianti
Theja( Asisten)
041052010035 47 dan Pemeriksaan Lengkap
Resin Komposit Kelas drg. Dina Ratnasari, Sp.KG (K)
6 M2/3 (Operator) Sp.KG ( K) 6 M2/3
041052010033 Devina A rista Suhendro (Asisten) 041052010039 IV Gigi 11
7 M7 Cici V iorina Lestari (Operator) 7 M7
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
12 M10 Maureen Aprilia Wongso 041051910077 GTC - Preparasi Abutment ke 2 drg. James Handojo, Sp.Pros 12 M10
Mic hell Dimas
Andiko Wijaya Koesuma 041051910078
041051810011
13 M10 GTC - Preparasi Abutment ke 1 drg. James Handojo, Sp.Pr 13 M10
Nabila Shahnaz 041051810099
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 Caroline Septiani 041052010028 Ekstraksi Gigi 12 dan 14 1 M4 Cy nthia Priscilla 041051910024 Ekstraksi Gigi 44 dan 45
Caroline
Esa Bella (Asisten) 041052010027
041052010045 Rut Christy
Feby (Asisten)
Fitria Hidayah 041051910106
041051910035
Julia Mustopa
Grace S abrina (Asisten) 041052010068
041052010057 Natasy aClau
Justine Iv ana (Asisten) 041051910092
041051910065
3 M4 Ekstraksi Gigi 25 drg. Wiwiek Poedjiastoeti, M. 3 M4 Ekstraksi Gigi 46
Cindy
Cy nthiaAnthonia
TandjajaTheja (Asisten) 041052010035
041052000003 Cy nthia
Reni Tandjaja (Asisten)
Finna 041052000003
041051810130 drg. Yessy Ariesanti, Sp. BM
4 M4 Ekstraksi Gigi 36 Kes, Sp. BM, PhD 4 M4 Ekstraksi Gigi 47
Cy nthia
Syifa Tussie (Asisten)
Amalia 041051910026
041051910119 Marko A riawan (Asisten)
Yonathan 041051810089
041051910134
5 M4 Ekstraksi Gigi 46 dan 47 5 M5 Kontrol Bedah (lepas jahitan)
Svetlana Tessalonica
Agustina Putri Rahayu(A sisten) 041051910118
041051910003 Thaliaa Venessa
Tany Aya Sofia 041051910122
041051910120
6 M5 Trans Alveolar Gigi 42 6 M5 Kontrol Bedah (lepas jahitan)
Cindy Stevany
Michell Wija yaR.KS . 041051910020
041051910078 Yoana Shafira
Dieva W inardi(op PL) 041051910132
7 M6 Pbi hyg kontrol pl drg. Olivia Nauli K omala, Sp. 7 M6 041052010041 PL dan Scaling Ultra 4
Mauree n Aprilia
Elvinadaya AriefaWongso
Putri 041051910077
041052010044 Anitha Soleha
Shofiyah Sa lsaSa
bilatria (op scaling) 041052010117 drg. Ricky Anggara, Sp. Perio
8 M6 Desensitisasi Perio 8 M6 Scaling Ultrasonic Ke-1
Nadya M
Annisa aria Fransisca
Auliashinta 041051910089
041052000002 Ni Komang
Cic i viorina lePriliana
sta ri Pradia nty 041052010090
041052010033
Namirah Putry
Cornellia Febri Faisal
Indriati 041052000010
041052010036 drg. Luki Astuti, Sp. Perio Irvianna
Fikha a nggita
Nurfa dillah 0410521100011
041052010050
10 M6 Scaling Ultrasonic Ke-3 10 M6 Scaling Ultrasonic Ke-3 drg. Marie Louisa, Sp. Perio
Evi Sa rmaya na 041052010047 Mulia Ra
Dahnia chimiaty Putri
Rahmayanti 041052010084
041052100007
AndhinyChristie
Ribkah Tiara Hakim
Hatmanti 041052110012
041052100018
Thaliana
Rossa Elbilla Khalisha
Febiana 041052110146
13 M6 13 M6 Scaling ultrasonic ke 5 dan PL
Novey Riyanti 041051910096
14 M6 14 M6
15 M9 Cetak Evaluasi drg. Yuniar Zen, Sp.Ort. 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

1 M2 / M3 Chaterina Anjelia (Operator) 041052010030 1 M2 / M3
Devina A rista Suhendro (Asisten) 0 drg. Melaniwati, Sp.KG drg. Melaniwati, Sp.KG
drg. Melaniwati, Sp.KG Anneke Ramadhanty Putri Wardani drg. Melaniwati, Sp.KG
2 M2 / M3 Yoseph Kusnadi (Operator) 041052100016 Restorasi Komposit Kelas I dan 2 M2 / M3 (Operator) 041052010016 V gigi 25 dan Restorasi Resin
Christabhel Aretha Thomas
Richard M anuel(Asisten) 041052010032
041052010105 Pemeriksaan Lengkap 041052010010 Komposit gigi1kelas
3 M2 / M3 (Operator) Pulpek tomi gigi 21 v isit 1 dan drg. W iena Widyastuti, Sp.KG 3 M2 / M3 Cynthia Priscilla
Amalia F auzana (Operator)
Wijaya ( Operator) 041051910024 PSA Visit Gig i V21
gigi
dan24 +
Jesslyn Nathania Sundiharja Putri Pemeriksaan Lengkap drg. Wiena Widyastuti, Sp.KG (K)
Caroline Septiani (Asisten) 041051910063
041052010028 Restorasi Komposit Kelas V Gigi 11 (K) Ulfina Fitriani
Renata (Asisten)( Operator) 041051910125
Erlian Bratandari Pemeriksaan
041052100017 Restorasi KompositLengkap
Kelas I Gigi
4 M2 / M3 (Operator)
Muthi Mahira (Operator) 041052010085 4 M2 / M3 Vanya
041052010064 dan 21 Kelas III Gigi Dr. drg. Eko Fibryanto, Sp.KG
Restorasi Komposit Richard Violetta
TridarmawanSiregar
(Asisten) 041052100005
041051910129 37
5 M2 / M3 Jeremia Armi WijayaZelia (Joanna
Operator) 5 M2 / M3 (Operator) PSA Visit 1 Gigi 12 Dr. drg. Ek o Fibryanto, S p.KG (K)
Chelsea (Operator) 041051910015 21 kelas III gigi 21
Restorasi komposit (K) Evan Dwipa(Operator)
Putra (Operator) 041051910134
041051810045 Restorasi komposit kelas I +
6 M2 / M3 Aurelia Ramba (Asisten) 041052010143 6 M2 / M3 Yonathan
Jesslyn
Ja cinda(Jesslyn
Asisten) 041051910062
041052010062 Pemeriksaan Lengkap Iandha
Re Christopher Atmaka ( Asisten)
Putri Wiranda 041051900005
7 M6 Scaling Ultrasonic Ke-3 7 M6 Scalling ultrasonic ke-4 dan PL
Gera ldTiara
Sarah AvilaHaryanto
Johannes 041052010056
041052010113 Ria V
Evi Saelina A gustine
rmayana 041052010104
041052010047
8 M6 Scaling Manual drg. Marie Louisa, Sp. Perio 8 M6 Scaling Ultrasonic Ke-3
Ric ky Chandra
Nabilah IstiqomahJayaHaaryanto
Soen 041052010107
041052010086 Hanifan dimas
Andiko Aulia 041052010059
Fikha Nurfa dillah 041052010050 NabilaVinc
Maria shahna z Arya nti Dwia stuti
entia 041051810099
041052010078
Ni Komang Priliana Pradia nty 041052010090
11 M7 11 M7
12 12
M9 M9
13 13
M9 M9
drg. Carolina Damayanti
14 M10 Gita Cahya Maulani 041051910041 GTC - Preparasi Abutment ke 1 Marpaung, Sp. Pros, 14 M10
Hamidah Oktafiani
Henni 041051910042
041051910048 drg. Carolina
15 M10 GTC - Preparasi Abutment ke 2 PhDDamayanti 15 M10
HernanditaJoan
Fasikhin 041051910039
041051910049 drg. Carolina
Marpaung, Sp.Damayanti
Pros, PhD
16 M10 Giovanna Widjaja 16 M10
Helen Cyntya Andany GTC - Kontrol Marpaung,
drg. Carolina Sp. Pros,
Damayanti
17 M10 Pramudita Wiyani 041051910099
041051910046 GTL - Pencetakan ke-2 PhDSp. Pros,
Marpaung, 17 M10
Syifa Amalia 041051800002
18 M10 Chikita GinniSharfina 041051910119
GTC - Preparasi Abutment ke 2 drg. AdityaPhDPratama S, Sp. 18 M10
Hana F auziy ah Pros
041051900007

1 M2/3 Jenyf er Ig natia Moksidy (operator) 041052010063 PSA Visit 1 Gigi 11 dan Pemeriksaan Lengkap 1 M2/3 Andiko Dimas ( Operator) 041051810011 PSA gigi 21 dan Pemeriksaan
Caroline (asisten)
Aliyy a Natasha( operator ) 041052010027 Restorasi Komposit Kelas V gigi 22 drg. Rosita Stefani, M.M, S p.KG
041052010108 Nabila Shahnaz Leonarda
Stella Nathania (Asisten) ( operator) 041051910116
041051810099 Restorasi komposit lengkap k elas IV gigi drg. Dina Ratnasari, Sp.KG (K)
2 M2/3 2 M2/3
Holly Sutanto
Richard M anuel(operator)
( Operator) 041052100010
041052010105 dan 32 Mulia Rachmiaty
Uswatunnisa Putri (operator)
( Operator ) 041051910037
041051910126 11 dan 21
3 M2/3 Pulpektomi Visit 1 Gigi 22 dan Pemeriksaan Lengkap 3 M2/3 PulpektomiRestorasi
Visit 1 gigi 21 Komposit
dan pemeriksaan lengkap
Billy Lombardo
Christopher (Operator)
Jeremy ( Asisten) 041051910018 Restorasi Komposit Kelas V gigi 14drg. W iena Widyastuti, Sp.KG ( K)
041052010025 Suci
Ca Mumpuni
thrine Dw i APakerti
nggowo( A( sisten ) ) 041051910117
Operator 041052010029
Resin kelas drg. Wiena Widyastuti, Sp.KG (K)
4 M2/3 The Gabriella Rosetika S usanto 4 M2/3 III Gigi 21 + Pemeriksaan
Nady a Maria Fransiska (Operator) 041051910089 dan 15 Hanifan Aulia
Christine ( Asiste
Florence Jonatan 041052010059
n ) (operator) 041051910017
5 M2/3 (Operator) 041052010123 Restorasi Komposit Kelas III gigi 21 Dr. drg. Eko Fibryanto, Sp.KG 5 M2/3 Pulpektomi lengkap
Visit 1 gigi 11
Rahmatun
Cici v iorinaLaila Efendi
lestari ( Asisten)
(operator) 041051910102
‘041052010033 (K) Angela Irena
Diandra Kokanda
Christina (asisten)
(operator) 041051910005 Restorasi Resin Komposit Kelas Dr. drg. Ek o Fibryanto, S p.KG (K)
041052010040
6 M2/3 Restorasi komposit kelas 1 gigi 46 dan 47 dan Pemeriksaan Lengkap 6 M2/3 V Gigi 16 + Pemeriksaan
Cornellia febri indriati (operator) ‘041052010036 Gabriella Rehuel (asisten) 041052010054
7 M7 7 M7 Lengk ap
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
12 M10 Nadhira Razaqa Shabila 041051910088 GTC - Preparasi Abutment ke 1 drg. Eka Seftiana, Sp. Pros 12 M10
Sania Aurelia 041051910108
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10
November 2022
NR - Selasa, 1 November 2022

1 M4 Rut Christy 041051910106 Ekstraksi Gigi 46 1 M4 Caroline Septiani 041052010028 Ekstraksi Gigi 41
Cindy Willie
Christ S tephan (Asisten) 041051910021
041051900002 Devina Aa rista
Cinanty Putri(Asisten) 041052010039
041052010034
2 M4 EKstraksi Gigi 36 2 M4 Ekstraksi Gigi 15
Ian Christopher
Christine F lorence( Asisten) 041051900005
041051910017 Cindy Anthonia
Vincentius Malvin(Asisten) 041052010035
041052010133
3 M4 Ekstraksi Gigi 45 Dr. drg. Anggraeny Putri, S p. 3 M4 Ekstraksi Gigi 32 dan 33 drg. W iw iek Poedjiastoeti, M. Kes,
Henni
Rick (Asisten)Jay a
y Chandra 041051910048
041052010107 GeraldTheodorus
Nikita Avila (Asisten) 041052010056
041052010091
4 M4 Ekstraksi Gigi 11 BM 4 M4 Ekstraksi Gigi 43 dan 44 Sp. BM, PhD
Devina AArista
Muthia lifah (Asisten) 041052020039
041051910083 Joanna
Esa BellaNadia (A sisten) 041052010065
041052010045
Mutiara
Linda Hanan (Asisten)
Pratiwi 041051910084
041051900006 Jeremia
Cy Armi (Asisten)
nthia Tussie 041052010064
041051910026
6 M5 Transalveolar Ekstraksi Gigi 34 6 M4 Ekstraksi Gigi 11 dan 12
Maharani
Apsari Z ahro
Galuh Cahyaningrum 041051810086
041052010020 BelindaAretha
Laidy OliviaL exandra O ngka runa 041051910009
041052010073
7 M6 Scaling Ultrasonik Ke-2 +PL drg. Olivia Nauli K omala, Sp. 7 M6 Scaling Ultrasonik 4 +PL drg. Olivia Nauli Komala, Sp.
Annami
Ca roline Re za Gustitine 041052010015
041052010027 Meliani
che lse a riady 041052010079
041052010031
8 M6 Scaling Ultrasonic Ke-2 Perio 8 M6 Scaling Ultrasonic Ke-4 Perio
Je nyfer EIgnatia
Wilson dric M oksidy 041052010063 Azkia Ra
Denisa N ihani
abila A manda 041052010023
041052010038
9 M6 041052010136 Scaling Ultrasonic Ke-3 9 M6 Scaling Ultrasonic Ke-5
Nicholaus
Rosma lindaSandy
Surya ni 041052010111 Scaling Ultrasonic Ke-1 Deandra Carissa
Nathania ImmanuelaNurhasinah
T anos Wiriawan041052010089
041052010037
10 M6 10 M6 Scaling Ultrasonic Ke-5 + PL drg. Ricky Anggara P., Sp. Perio
Putri N urReinhart
Michael Pratiwi 041052010095
041052010081 drg. Marie Louisa, Sp. Perio Ulfa Dw
Mulia Raima M iraldza
chmiaty Putri 041052010125
11 M6 Scaling Ultrasonic Ke-1 11 M6 041052010084 Scaling Ultrasonic Ke-5 + PL
Sarah
Ric TiaraFeiby Salim
hentya 041052010113
041052010106 Re ni Finna Astriana
Febria 041052010049 Scaling Ultrasonic Ke-3
12 M6 Scaling Ultrasonik ke-5 +PL 12 M6
Ca roline Septiani 041052010028 Cinantya
Ca thrine DwPutri
i AParahita
nggowo 041052010034
041052010029
13 M6 13 M6 Scaling Ultrasonic Ke-5 drg. Albert, Sp. Perio
Hanifan
Yola nda Aulia
Veronika T hiona dew i 041052010059
041052010139
14 M6 14 M6 Scaling ultrasonik dan PL
Re ynalda Oktaviani 041052010103
15 M9 Jonathan Rafel Ohary 041052010066 15 M9
Joanna Nadia Sumaji 041052010065 Kontrol drg. Yuniar Zen, Sp.Ort.
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
NR - Rabu, 2 November 2022

1 M2/3 Annisa Nur Diana (Operator) 041052010018 drg. Ade P. Dwisaptarini,
Pulpektomi Visit 1 Gigi 11 dan Pemeriksaan Lengkap 1 M2/3 Evangeline Gunaw an ( Operator) 041052010046 PSA Visit 2 Gigi 21
Farah Salsabila ( Asisten) 041052010048 Reinhart Christian (Asisten) 041052010100 drg. Anastasia Elsa Prahasti, Sp.KG
Cornellia F ebri Indriati (operator) 041052010036 Sp.KG (K), Ph.D Selly Monica (Operator) 041052010116 (K)
2 M2/3 Restorasi Kelas III Gigi 23 2 M2/3 Restorasi Komposit Kelas V Gigi 24 dan Gigi 44
Andhiny Alexander
Renaldo Tiara (asisten)
( operator) 041052110012
041051810129 Redha Putri W iranda (Operator) 041052010098
3 M2/3 PSA Visit 2 Gigi 11 3 M2/3 Fikha Nurfa dillah (Opera tor) Restorasi komposit kelas I gigi Dr. drg. Meiny Faudah Amin,
Evan Dwipa
Alma RizkitaPutra
Nabila(asisten)
(operator) 041051810045 Restorasi komposit kelas I Gigi 36 drg. Aryadi Subrata, Sp.KG (K)
041052010006 041052010050
4 M2/3 4 M2/3 Nabilah Istiqomah Haryanto 36 dan 37 dan Pemerik saan Sp.KG (K)
Aliyy a Natasha (operator) 041052010007 dan 37 Cindy 041052010086
5 M2/3 Febria (operator) drg. Rosita Stefani, M.M, S p.KG 5 M2/3 (Operawillie
tor) (Operator) 041051910021 Lengk
PSA visit 2 ap
gigi 11
041052010049 Chelsea (Asisten)
Yohana Dela Derinda ( operator) 041051910015 Restorasi Resin Komposit Kelas drg. Ie Elline Istanto, Sp.KG (K)
041051910133
6 M2/3 Cinantya putri parahita Restorasi Resin Komposit Kelas V Gigi 14 dan 45 6 M2/3
041052010034 Viola Wanda Aini (operator) 041052000014 V Gigi 25 dan Gigi 34
7 M7 (operator) 7 M7
8 M9 8 M9
9 M9 Joanna Nadia Sumaji 041052010065 9 M9

Insersi alat drg. Yuniar Zen, Sp.Ort.
Jonathan Rafel Ohary 041052010066
10 M9 10 M9
11 M9 11 M9
12 M10 Ag nella Gwenisa 041051910002 GTC - Preparasi Abutment Ke - 2 drg. I G A Ratih Utari 12 M10
Adelia Usi LaudittaYahya
Citra Nuraliyyah 041051910001
041051810032 Mayun, Sp. Pros Renata Erlian Bratandari 041052100017 GTL - Penentuan drg Siti Chandra
13 M10 GTC - Preparasi Abutment ke 2 drg.
drg.Carolina
Nova Adrian, Sp. Pros
Damayanti 13 M10 Ribkah Christie
14 M10
Kirana Virysia
Gita Cahya Maulani 041051810082
041051910041 14 M10 Yusika Br PurbaHatmanti 041052100018
041052010141 GTL - Relasi
BorderRahang
Moulding & Dwidjayanti, Sp. Pros
drg Siti Chandra
GTC - Preparasi Abutment ke 2 Marpaung, Sp. Pros, Zelia Joanna
15 M10
HamidahRazaqa
Nadhira Oktafiani
Shabila 041051910042
041051910088 PhDEka Seftiana, Sp. Pros 15 M10 Andiko DimasAurelia Ramba 041052010143
041051810011 Pencetakan ke-2
GTC - Preparasi Abutment ke 2
Dwidjayanti, Sp. Pros
drg. James Handojo, Sp.Pros
GTC - Preparasi Abutment ke 2 drg. Nabila Shahnaz 041051810099
Sania Aurelia 041051910108 Maureen Aprilia Wongso 041051910077
16 M10 16 M10 Michell Wijaya Koesuma 041051910078 GTC - Insersi drg. James Handojo, Sp.Pros
17 M10 17 M10
18 M10 18 M10
NR - Kamis, 3 November 2022

1 M4 Cindy Willie 041051910021 Ekstraksi Gigi 46 1 M4
GabriellaDav
William Grace
id Jan( Asisten) 041051910037
041051910021
Agnes Santosa
Nabila ( Asisten)
Afifah Clarasty 041051910037
041051910086
Belinda Olivia (Asisten)
Indah Mutia 041051910009
Claresta Febristi
Jonathan Rafel (A sisten) 041051900003
041052010066
5 M4 Ekstraksi gigi 21 dan 22 5 M4
Jason Pratama
Agustina (Asisten)
Putri Rahayu 041052100012
041051910003
6 M5 Kontrol Bedah (lepas jahitan) 6 M4
Cindy Stevany
Melisa R. S .
Putri Usboko 041051910020
041052010080 Syifa Nuralif Fianti 041052010120 Scalling Ultrasoniv Ke -4 dan
7 M6 Scaling Ultrasonic Ke-3 +PL 7 M6
Ric hentya
Devina Feiby
Arista Salim
Suhendro 041052010106
041052010039 drg. Olivia Nauli K omala, Sp. 8 Re gitaFransiski
Holie Noor Hanifa 041052010099 Desensitisasi
041052010061
8 M6 Scaling Ultrasonic Ke-1 M6 Scaling Ultrasonic Ke-4 drg. Albert, Sp. Perio
Holie
Re Fransiski
ynalda Oktaviani 041052010061
041052010103 Perio DevinaYumna
Afifah Arista Suhendro
Dhaniar 041052010039
041052010003
Yola nda
Julia Veronika T hiona dew i
Mustopa 041052010139
041052010068 Anneke
Sinta NaRama
talina dhanty 041052010016
M illenia L umbantoruan 041052010118
Je remia
Esa BellaArmi Wija ya 041052010064
041052010045 Dr. Drg. Trijani Suwandi, Sp. 11 Ja son Pratama
Yusika Br Purba Husa da 041052100012
041052010141
11 M6 Scaling Ultrasonic Ke-1 M6 Scaling Ultrasonic Ke-1 drg. Ricky Anggara P., Sp. Perio
Gabriel
Sofia Rainheart
Yanti Sa ri 041052010053
041051910115 Perio Ana staKurniawan
Aries sya Muna Ria d 041052010011
12 M6 Scaling Ultrasonic Ke-4 12 M6 041052010021 Scaling Ultrasonic Ke-1
Sheila AAuliashinta
Annisa nnisa 041051910111
0410520000002 Evelline
Dinda M iche
Lulu le hTrinantio
A fifa Himawan 041052010042 Scaling Ultrasonic Ke-3
Namirah
Muthi putry
mahira 041052000010
041052010085 drg. Marie Louisa, Sp. Perio Cinantya
Ulfa Putri
Dw ima MParahita
iraldza 041052010034
041052010125 drg. Marie Louisa, Sp. Perio
14 M6 Scaling Ultrasonik 3 + PL 14 M6 Scalling Ultrasonic + PL
Zelia joanna aurellia ramba 041052010143 Nathania Immanuela T anos 041052010089
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
NR - Jumat, 4 November 2022

No Modul Jonathan MorgMahasiswa
an Sudjaka NIM Pekerjaan DPJP No Modul Mahasiswa NIM Pekerjaan DPJP
1 M2 / M3 (Operator)Geralda Santjoko 041051810076 PSA Visit-2 Gigi 11 1 M2 / M3 Vita Fredlinata (Operator) 041052010135 PSA Gigi 12 Visit 2
Gabriella '041051810085
041052110057 Restorasi Komposit Kelas V gigi 35 drg. Aryadi Subrata, Sp.KG (K) 2 Vincent Aries Fernando
Azkia Raihani (Operator)(Asisten) 041052010132 Restorasi Komposit Kelas III Gigi drg. Anastasia Elsa Prahasti, Sp.KG
041052010023
2 M2 / M3 Leo Alberto
(Operator)
Meliani Porjo (A sisten)
(Operator) M2 / M3 (K)
041052110063
041052010079 dan Pemeriksaan
Pulpektomi V isit 1 Lengkap
Gigi 11 + Astriana
ChaterinaPutri (Operator)
Anjelia (Operator) 041052010022
041052010030 11 & 21
3 M2 / M3 Helen Priscilla
Grace S abrina (A
Reinhartsisten)
Christian
Ciputra (Operator) Dr. drg. M einy F audah Amin, 3 M2 / M3 PSA Gigi 11 Visit 2
Restorasi KompositLengkap
Kelas IV Gigi Devina A rista Nursy
Sania Rahma Suhendro (Asisten)
am ( Operator) 041052010039
041052010112 Restorasi Komposit Kelas III Gigi drg. Dina Ratnasari, Sp.KG (K)
4 M2 / M3 (Asisten)
Zelia Devina Arista
Joanna Aurelia Ramba Sp.KG ( K) 4 M2 / M3
041052010143 11 Afifah Antonia
Cindy Yumna Dhaniar( Operator)
Theja (Operator) 041052010003
041052010035 11 dan
Pulpek tomi Visit22
1 Gigi 21 +
5 M2 / M3 Suhendro (Asisten)
(operator) PSA Visit 2 Gigi 21 5 M2 / M3
William Dav id Jan ( Operator ) 041052010130 Restorasi Resin Komposit Kelas III drg. Taufiq Ariwibowo, S p.KG
041051910131
Sasha Wiradjaja
Caroline (Asisten)(Operator) 041052010027 Restorasi Pemeriksaan
KompositLengkap
Kelas IV Gigi drg. Ie Elline Istanto, Sp.KG (K)
6 M2 / M3 Venny (Asisten) (K) 6 M2 / M3 Rifaty Aurili
Cy nthia
Ra hmatunTandjaja
Laila E(fendi
Operator ) 041052000003
041051910102 gigi 42 & 12 D r. Drg. T rijani Suwa ndi, Sp. 7 Nikita T heodorus 21 & 22
041052010091 Scaling Ultrasonic
7 M6 Kuretase dan Koronoplasti M6 (Operator) Ke-4
Sania A urelia 041051910108 Pe rio Wilson EEdric
Tengku lisa Berlianti 041052010136
041052010122
8 M6 8 M6 Scaling Ultrasonic Ke-5 drg. Mikha Sundjojo, Sp. Perio
Ca thrineMDw
Eveline i Allenggowo
iche Trinantio 044052010028
041052110049
Aries Kurniawan 041052010021
10 M6 10 M6
11 M7 11 M7
12 12
M9 M9
13 13
M9 M9
14 M10 Ira Wijayanti 041051910056 GTC - Preparasi Abutment ke 2 drg. Yenny Pragustine, Sp.Pros 14 M10
Jasmine
Mipta Maydiana
Harlinda 041051910057
041052010083
15 M10 Redha Putri Wiranda 041052010098 GTC - Indikasi drg. Yenny Pragustine, Sp.Pros 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10
NR - Senin, 7 November 2022

1 M2/3 Julia Mustopa (Operator) 041052010068 Pulpektomi Visit 2 Gigi 11 1 M2/3 Isnaeni Kurniawati (operator) 041052100004 Restorasi Komposit kelas V gigi
Benedicta Gisela Camay
Gabriel Rainheart (Asisten) 041052010053 Restorasi resin komposit kelas V drg. Aryadi Subrata, Sp.KG (K) William Wijaya (operator) 041052100006 Restorasi resin 23 &komposit
24 kelas drg. Taufiq Ariwibowo, Sp.KG (K) digantikan drg. Rosita Stefani, MM, Sp.KG
2 M2/3 Octiv anny (Operator) 041052010024 2 M2/3 Ulfa Dwima Miraldza ( operator) 041052010125 III gigi 22 + Pemerik saan
Zaldy Farhan Adis (Operator) 041052010140
041052010142 gigi 13 & 14 Rahayu putri
Mufidah Nurul andini
Hayati(asisten)
(Operator) 041051910101
041051910081
3 M2/3 Yoshida
Rosa Karana
Av iani (Operator)
(Operator) 041052010110 Pulpektomi Visit 2 Gigi 22 3 M2/3 Vincentius Malvin S ugijono Pulpektomi Lengk ap 2 gigi 22
visit Dr. drg. Meiny Faudah Amin,
Jeremia Armi Wijaya ( Asisten) 041052010064 Restorasi Komposit Kelas III Gigi drg. Rosita Stefani, M.M, Sp.KG digantikan drg. Taufiq
Ulfina
Ariwibowo,
Fitriani (Asisten)
Sp.KG (K) 041051910125 Restorasi resin komposit kelas
041052010133
4 M2/3 Kevin Zefany a 4 M2/3 (Operator) Sp.KG (K)
Mutiara 11 041052010056 III gigi 31 dan 32
5 M2/3 (Asisten)Hanan Fadhilah (Operator) 041051910084
041052010071 Pulpektomi Visit 2 Gigi 21 drg. Ade P. Dwisaptarini, 5 M2/3 Cynthia T andjaja
Gerald Avila (O perator)
Johannes ( Operator) 041052000003 Pulpektomi
Restorasi Visit 2 Gigi
Komposit k elas11
V
Rissa
Sonia Anuar
LovianShindy (A sisten)
(Operator) 041051910104
041052010119 Maria
Ria VereAgustin
Velina na Emeralda (Asisten)
(Operator) 041052000009
041052010104 drg. Melaniwati, Sp.KG
6 M2/3 Sp.KG (K) , Ph.D 6 M2/3 Pada Gigi 24 dan 45 +
Evi Sarmayana (Operator) 041052010047 Restorasi S IK Kelas V Gigi 23 + Valleri Wijatmo (Operator) 041052010127
7 M7 7 M7
8 M9 Reski Aryanti 041052010101 drg. Harris Gadih Pratomo, 8 M9
Elvinadaya Ariefa 041052010044 Visit pertama (Cetak rahang, ronSp.Ort.
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
12 M10 12 M10
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 Svetlana Tessalonica 041051910118 Ekstraksi Gigi 37 1 M4 Nabila Tazkia 041051910087 Ekstraksi Gigi 36
Kevin Z efanya
Gabriel (Asisten)
Reinheart 041052010071
041052010053 Natasy a Iv ana
Pramudita (Asisten)
Wiyani 041051910092
041051910099
Jeremia Aulia
Hanifan Armi (Asisten) 041052010064
041052010059 Feby Fitria
Gerald Avila(Asisten) 041051910035
041052010056
3 M4 Ekstraksi Gigi 11 Dr. drg. Anggraeny Putri, S p. 3 M4 Ekstraksi Gigi 11
Cathrine
Deo Dwi Angg owo (Asisten)
Ananda 041052010029
041051910027 Fira Octarina (Asisten)
Henni 041052010051
4 M4 Ekstraksi Gigi 12 dan 13 BM 4 M4 Ekstraksi Gigi 38
Christine
Linda F lorence (A sisten)
Pratiwi 041051910017
041051900006 Hernandita
Christine (Asisten)
F lorence 041051910049
041051910017
5 M5 Kontrol Bedah (lepas jahitan) 5 M4 Ekstraksi Gigi 37
Maharani Z ahro
Tiffany 041051810086
041051910123 AgnellaAriawan
Martin Gw enisa (Asisten) 041051910002
041051810090 Kontrol Bedah (lepas jahitan)
6 M5 Trans Alveolar Gigi 23 6 M5
Vanya
Ra Violetta
hmatun LailaShalsabilla
E fendi Siregar 041051910102
041051910129 Reni FinnaTaAstriana
Gabriella sha 041051810130
041052010055
7 M6 Kuretase dan koronoplasti M6 Scaling Ultrasonic Ke-2
Sania AFitri
Annisa ureliaCahyarani 041051910108
04152010017 Dr. Drg. Trijani Suwandi, Sp. Perio7 Vinc entius
Sasqia Malvin
Faa dillah Andikoputri 041052010133
041052010115
8 M6 Scaling Ultrasonic Ke-2 8 M6 Scaling Ultrasonic Ke-3 drg. Albert, Sp. Perio
Re dha Putri Wiranda 041052010098 Ana sta syaTedja
Michelle Muna Ria d 041052010011
041052010082
Louis ZaeTlaaufik
Apriliani ni 041052010074
041052010019
Dahnia Rahmayanti
Wirdha Salsabila 041052100007
041052010137 drg. Olivia Nauli Komala, Sp. Perio
Kiara M aulika Azuri
Meliani 041052100013
041052010079
Valleri
Cic Wijatmo
i V iorina Le sta ri 041052010127
13 M6 13 M6 Scalling ultra sonic ke 2& Peme
Ra hmadisya Putri 041052010096
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

No Modul Mahasiswa
Jenyf er Ig natia NIM
Moksidy (Operator) 041052010063 Pekerjaan DPJP No Modul Vanya Violetta Mahasiswa NIM
S S iregar (Operator) 041051910129 Pulpektomi Pekerjaan
Visit 2 Gigi 12 dan DPJP
1 M2/3 Nikita Theodorus
Alishia ( Asisten)
F abiola Fattah 041052010091 dan
Salma ( Operator)
041052010004 Pulpektomi
Restorasi GIC
Visit
gigi2kelas
Gigi V11gigi drg. Ade P. Dwisaptarini, 1 M2/3 RossaAnis
Noni El Febiana ( Asisten)
Qurrotuain (Operator) 041051910105
2 M2/3 Holie F ransiski
Aristya J ulianto( Operator) 041052010061
Sidharta (Operator) 041051910007 34 Sp.KG (K) , Ph.D 2 M2/3 Naura Lindy Azhara (Asisten)
(Operator) 041051910094
Restorasi Resin Komposit Kelas IV Gigi 11 + Pemeriksaan
041052010032 drg. Dina
Lengkap
Ratnasari, Sp.KG (K)
3 M2/3 Christy Tanujaya
Vincentius Malvin( Asisten)
S ugijono 041051910019 Restorasi
041052010103 Pulpektomi Visitkelas
komposit 2 gigiV 11
gigi 14 3 M2/3 Caroline Septiani
Michelle ( A sisten)
Ted ja (Operator) 041052010028
041052010082 PSA Visit 2 Gigi 21/stv Dr. drg. Meiny Faudah Amin,
4 M2/3 (Operator)
Esa Bella (Operator) 041052010133
041052010045 dan 15 drg. Aryadi Subrata, Sp.KG (K) 4 M2/3 Louis Zaelani
Bunga (Operator)
Putih T orang Carona (Ope rator)041052010074
Restorasi Komposit Kelas V Gigi 23 dan Komposit Kelas III GigiSp.KG
041051910011 22 (K)
5 M2/3 Julia Agung
Revi Mustopa (Asisten) as (operator) 041052010102
Dityaningtiy 041052010068 Pulpektomi
Komposit Visit
Kelas 2 Gigi
V Gigi dan drg. Rosita Stefani, M.M, S p.KG 5
34 21 M2/3 Sheila Mutia
Indah A nnisaSari
(Asisten)
Resin Visit 2 GigiKelas
Komposit 21 I drg. Rosita S tefani, M.M, Sp.KG
6 M2/3 Rafidah Ay u Destarani (asisten) 041051910100 Pemeriksaan Lengkap 6 M2/3 Triany S etia Pratiwi ( Operator) 041052000013 Gigi 36 dan 38 + PL
7 M7 7 M7
8 M9 Insersi alat drg. Yuniar Zen, Sp.Ort. 8 M9
Joanna Nadia Sumaji 41052010065
9 M9 Insersi alat drg. Yuniar Zen, Sp.Ort. 9 M9
10 M9 Deo Ananda Gloria 041051910027 10 M9
Christine Florence Jonatan 41051910017
11 M9 Christine Florence Jonatan 041051910017 11 M9
Deo Ananda Gloria 41051910027
12 M10 12 M10 Agnella Gwenisa 041051910056 GTC - Preparasi Abutment ke 2 drg. I G A Ratih Utari
AdeliaWanda
Viola Usi Lauditta
Aini 041051910057
041052000014 Mayun, Sp. Pros
13 M10 13 M10 Nosyafira
Angela Andesya
Irena Kokanda 041052000011
041051910005 GTC - Preparasi Abutment ke 1 drg. drg.
NikoI GFalatehan, Sp.Pros
A Ratih Utari
14 M10 14 M10 Agustina Putri Rahayu 041051910003 GTC - Preparasi Abutment ke 1 Mayun, Sp. Pros
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 1 M4
2 M4 2 M4
3 M4 drg. W iwiek Poedjiastoesti, 3 M4
4 M4 M.Kes., S p.BM., PhD 4 M4
5 M4 5 M4
6 M5 William Dav id Jan 041051910131 Trans Alveolar gigi 34 6 M4
Dhea A fif
Putri N ur ah Roza
Pratiwi 041051910029
041052010095 Ribkah Christie Hatmanti 041052100018
7 M6 Scaling Ultrasonic Ke-3 7 M6 Scaling 5 dan PL
Mahara
Ra ny Bulan
nia Afna ndhiyaPutri
Wandawa 041052010075
041052010097 Maria Vinc
Anggun entia ti
Hermawa 041052010078
8 M6 Scaling Ultrasonic Ke-4 drg. Ricky Anggara P., Sp. Perio 8 M6 Scaling Ultrasonic Ke-3
Re skiDw
Ulfa Aryanti
ima M iraldza 041052010101
041052010125 Mulia Ra
Dinda chmiaty
Lulu A fifa hPutri
Himawan 041052010084
041052010042
9 M6 Scalling Ultrasonic 5 + PL 9 M6 Scaling Ultrasonic Ke-3
Nathania Immanuela
Cornellia T anos
Febri Indriati 041052010089
041052010036 Cinantya
Vita Putri Parahita
Fredlinata 041052010034
041052010135
10 M6 Scaling Ultrasonic Ke-4 10 M6 Scaling Ultrasonic Ke-1 drg. Luki Astuti, Sp. Perio
Andhiny
Rosma lindaTiara Hakim
Surya ni 040521010012
041052010111 Yoseph
Syifa K usnadi
Nuralif Fianti 041052100016
041052010120
11 M6 Scaling Ultrasonic Ke-1 drg. Albert, Sp. Perio 11 M6 Scalling Ultrasonic 4 dan Desens
Sinta Na talina
Michael M illenia L umbantoruan041052010081
Reinhart 041052010118 Nurza MaSa
Shofiyah ulida A
lsa bila 041052010094
041052010117
Re inhart Christian 041052010100 SasqiaNurfa
Fikha Faa dillah
dillahAndikoputri 041052010115
041052010050
13 M6 13 M6 Scaling Ultrasonic Ke-4 drg. Marie Louisa, Sp. Perio
Nabilah Fianni
Aninda Istiqomah Haryanto 041052010086
041052110014
Adinda Ra madhanty 041052110002
15 M9 Kontrol drg. Yuniar Zen, Sp.Ort. 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

1 M2 / M3 1 M2 / M3
2 M2 / M3 2 M2 / M3
3 M2 / M3 3 M2 / M3
4 M2 / M3 4 M2 / M3
5 M2 / M3 5 M2 / M3
6 M2 / M3 6 M2 / M3
7 M6 Hanifan Aulia 041052010059 7 M6 Ja cinda Jesslyn 041052010062
Scalling Ultrasonic ke-5 dan Peme Scaling Ultrasonic Ke-3
Vevian
Re Na vlyn
dha Putri R
Wiranda 041052010158
041052010098 Febria
Alya fi Novidhiyani 041052010049
041052010009
8 M6 Scaling Ultrasonic Ke-5 drg. O livia Na uli Komala , 8 M6 Scaling Ultrasonic Ke-2
Keniyaw
Be nedictaatiGisela Camay O ctiva nny 041052010070
041052010024 Afifah
Re nata Refiana D ewi ri
E rlian Bratanda 041052010002
9 M6 Scaling Ultrasonic Ke-4 Sp. Perio 9 M6 Scaling Ultrasonic Ke-1
Anneke Ra
Adinda Rama dhanty
madhanty 041052010016
041052110002 Mipta Harlinda
Andiko Dimas Pratama 041052010083
041051810011
10 M6 Scaling Ultrasonic Ke-1 10 M6 Scaling Ultrasonik ke-4 + PL
Aninda Fianni 041052110014 Nabila Shahnaz 041051810099
11 M7 11 M7
12 12
M9 M9
13 13
M9 M9
14 M10 Afifah Refiana Dewi ‘041052010002 drg. Aditya Pratama Sarwono, 14
GTC - Preparasi Abutment Ke - 1 Marpaung, M10 Vincent Aries Fernando 041052010132 GTC - Preparasi Abutment drg. Niko Falatehan, Sp.Pros
Gita
AlyafiCahy a Maulani
Novidhiyani 041051910041
‘041052010009 S p. Pros,
MH, MARS, Sp.Pros Vita Fredlinata
Citra Nuraliyyah Yahya 041052010135
041051810032
15 M10 Hamidah
Tiffany Ok tafiani
Veronica 041051910042
041051910124 GTC - Preparasi Abutment ke 2 dan Marpaung,
PhD S p. Pros, 15 M10 Kirana Virysia
Reynalda Oktaviani 041051810082
041052010103 GTC - Preparasi Abutment ke 2 drg. Nova Adrian, Sp. Pros
16 M10 Nathan
Ira Ongosari
Wijayanti 041051910093
041051910056 GTL - Try in malam PhD 16 M10 Ricky
Ria Chandra
Velina Jaya Soen
Agustin 041052010107
041052010104 GTL - Pencetakan Pertama drg. Nova Adrian, Sp.Pros
17 M10 Jasmine Maydiana 041051910057 GTC - Preparasi Abutment ke 2 drg. Yenny Pragustine, Sp.Pros 17 M10 Richentya Feiby Salim 041052010106 GTL - Pencetakan Pertama drg. Nova Adrian, Sp.Pros
18 M10 18 M10

No Modul Viola SerenaMahasiswa
(Operator) NIM
041052010134 Pekerjaan DPJP No Modul Mahasiswa NIM
041052010095 PekerjaanKelas IV Gigi
Restorasi Komposit DPJP
1 M2/3 Yoshida Evangelista
Vanessa Karana (Operator)
(Operator) 041052010140
Restorasi Komposit Kelas I Gigi 36 & 37 + Pemeriksaan
041052010128 drg.Lengkap
Ade P. Dwisaptarini, 1 M2/3 Rosa AvDeby
Natalia iani (Asisten)
Kristin (Operator) 041052010110 Restorasi Komposit
041051810104 21 Kelas I Gigi
2 M2/3 Reynalda
Laidy Oktaviani
Aretha (Asisten)
Lexandra Ongkaruna 041052010103 Restorasi Komposit Kelas III gigi 21
041052010073 Sp.KG (K) , Ph.D 2 M2/3 Anggita
Helsa Prawesti(operator)
Alyayuan W (A sisten) 041051810004
041051910047 36 + Pemeriksaan Lengkap drg. Wiena Widyastuti, Sp.KG (K)
3 M2/3 (Operator)
Mulia Helen Cyntya
Rachmiaty (Asisten)
Putri (Operator) 041051910046
041052010084 PSA Visit&1 Pemeriksaan Lengkap Lengkap
Gigi 11 + Pemeriksaan 3 M2/3 JasmineTimothy
Hosea Maydiana (asisten)Lidia
(Operator) 041051910057
PSA Visit 1 Gigi 21 + Pemeriksaan Lengkap
041052010066 drg. Anastasia Elsa Prahasti, Sp.KG
4 M2/3 Stella Nathania
Faadiyah Leonarda ( Asisten)
Nisa ( Operator) 041051910116 Restorasi Komposit Kelas I gigi 47drg. Wiena Widyastuti, Sp.KG (K) 4
041051910032 M2/3 Santoso ( operator)
Andiko Dimas ( operator) 041052110090 Restorasi Resin Komposit Kelas I
041051810011 (K)
5 M2/3 Cindy Andriani
Vania Stevany (Asisten)
041052010129 PSA Visit 1 Gigi
Komposit Kelas11V Gigi 14 5 M2/3 RichardWijatmo
Valleri M anuel (Operator)
( asisten) 041052010105 Gigi 36
041052010104
dan
PSA 46 1
visit + Pemeriksaan
gigi 22 drg. Rosita S tefani, M.M, Sp.KG
6 M2/3 Grace S abrina Ciputra (Operator) 041052010057 dan 15 drg. Melaniwati, Sp.KG 6 M2/3 Ria Velina Agustin (Operator) 041052010127
Restorasi Komposit Kelas IV Gigi 41 dan 32
7 M7 7 M7
Sasha Wiradjaja 041052010114 Visit pertama (Cetak rahang, drg. H arris Gadih Pratomo,
8 M9 8 M9
Vania Andriani 041052010129 rontgen, dan pengisian Sp.Ort.
status)
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
Christ Stephan 041051900002 Agnella Gw enisa 041051910001 GTC - Preparasi Abutment visit
12 M10 C.FebristiHermawati
Anggun 041051900003
041052010013 GTC Preparasi Abutmen ke 1 drg. Niko Falatehan, Sp. Pros 12 M10 Adelia Usi Lauditta 041051910002 3 drg. I G A Ratih Utari
13 M10 Aries Kurniawan 041052010021 GTL - Insersi drg. Niko Falatehan, Sp. Pros 13 M10 Mayun, Sp. Pros
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 Svetlana Tessalonica 041051910118 Ekstraksi Gigi 35 1 M4 Cy nthia Tandjaja 041052000003 Ekstraksi Gigi 46
Kevin Z efanya (Asisten)
Julia Mustopa 041052010071
041052010068 Vincent Aries
Caroline (Asisten)
Septiani 041052010132
041052010028
Esa Bella (Asisten)
Hamidah Ok tafiani 041052010045
041051910042 CinantyTheodorus
Nikita a Putri ( Asisten) 041052010034
041052010091
3 M4 Ekstraksi Gigi 41 dan 42 Dr. drg. Anggraeny Putri, S p. 3 M4 Ekstraksi Gigi 46 dan 47 drg. W iwiek Poedjiastoesti,
Belinda Olivia
Valencia (Asisten)
Law rence 041051910009
041052010126 VincentRianti
Novey Aries (Asisten) 041052010132
041051910096
4 M4 Ekstraksi Gigi 44 dan 45 BM 4 M4 Ekstraksi Gigi 36 dan 37 M .Kes., Sp.BM., PhD
Helena Gita ( Asisten)
Sarah Qonita 041052010060
041051910110 Dhea A fif ah ( Asisten)
Reni Finna 041051910105
041051810130
Khairunnisa
Aristya Indah
J ulianto (Asisten)
Sidharta 041051910069
041051910007 Mulia Rachmiaty
William Dav id Jan(A sisten) 041052010084
041051910131
6 M5 Almira Trans Alveolar gigi 47 6 M5 Trans Alveolar gigi 34
Yohana Christie D elvina
Dela Derinda 041052010007
041051910133 Devina
Dhea A fifArista Suhendro
ah Roza 041052010039
041051910029
7 M6 Deandra
Ca 041052010037 Scaling Ultrasonic Ke-2
roline Carissa Nurhasinah Wiriawan
041052010027 7 M6 Holie Fransiski
Gabriel Rainheart 041052010061 Scaling Ultrasonic Ke-2
041052010053
drg. Luki Astuti, Sp. Perio
8 M6 Christabhel Aretha Thomas 041052010032 Scaling Ultrasonic Ke-3 8 M6 remia Armi
Je nnifer FerdianaWija ya 041052010063 Scaling Ultrasonik 5 + Desensiti drg. Mikha Sundjojo, Sp. Perio
041052110073
9 M6 9 M6 Lidia sa
Risha ntoso T yatana
Nadira 041052110090 Scaling Ultrasonic Ke-1
041052010109
10 M6 10 M6 AnaSa
Evi starmayana
sya Muna Ria d 041052010011 Scaling Ultrasonic Ke-2
11 M6 11 M6 AprilianiRiady
Chelsea T aufik 041052010019 Scaling Ultrasonic Ke-4
041052010031
12 M6 12 M6 Astriana
Vinc entiusPutri Fathinah
Malvin Sugijono 041052010022 Scaling Ultrasonic Ke-5
13 M6 13 M6 Ric hentya F eiby Salim 041052010058 Scaling Ultrasonic 5 + Pemerik
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

No Modul Mahasiswa NIM Pekerjaan DPJP No Modul Zelia Joanna Mahasiswa
Aurelia Ramba NIM
041052010085 Pulpektomi Pekerjaan
1 M2/3 Annisa Fitri Cahyarani (Operator) 041052010017 Restorasi Komposit Kelas I Gigi drg. Rosita Stefani, M.M, S p.KG 1 M2/3 (Asisten) (Operator)
Wiriawan 041052010143 Restorasi
KompositLengkap
Kelas 1 Gigi
2 M2/3 Kiara Maulika
Richard M anuelAzuri (Operator)
( Operator) 041052100013 45 dan 47 + Pemerik saan Lengk ap
041052010105 2 M2/3 Denisa Nabila Amanda (operator) 041052010038
041052010126 16 dan 17 drg. Ie Elline Istanto, Sp.KG (K)
3 M2/3 VincentNafilah
Maitsa Aries Fernando
(Operator) (Asisten) 041052010132
Restorasi Visit 2
Komposit Gigi III22Gigi
Kelas 3 M2/3 HelenaMGita
Nurza V ania
aulida ( Asisten)
Assyifa ( operator) Pulpektomi
041052010060 Restorasi
041052010094 gigi 12
Komposit visitV 3gigi
Kelas
4 M2/3 Natalia
Agnella Silaban
Gw enisa(Operator)
(Operator) 041052010088
041051910002 11 dan Gigi 21 drg. Wiena Widyastuti, Sp.KG (K) 4 M2/3 Keniy
Farah awati ( asisten)
Salsabila ( Operator) 041052010070
041052010048 13 dan Pemeriksaan Lengkap drg. Dina Ratnasari, Sp.KG (K)
5 M2/3 Mutiara
Risha Hanan
Nadira Fadhilah
Ty atana (Asisten)
(Operator) Pulpektomi Visit 1 Gigi 11 + Pemeriksaan Lengkap
041051910084
041052010109 Dr. drg. M einy F audah Amin, 5 M2/3 Annisa Nur Diana (Operator) Pulpektomi Visit 2 gigi 21 + Pemeriksaan Lengkap
041052010018 drg. Rosita S tefani, M.M, Sp.KG
6 M2/3 Sasqia Faadillah A . (Asisten) 041052010115 Restorasi Komposit Kelas V Gigi 24 Sp.KG ( K) 6 M2/3
7 M7 7 M7
8 M9 8 M9 Christine Florence Jonatan 41051910017
Deo Ananda Gloria 041051910027 Kontrol drg. Yuniar Zen, Sp.Ort.
9 M9 9 M9 Deo Ananda Gloria 41051910027
Christine Florence Jonatan 041051910017 Kontrol drg. Yuniar Zen, Sp.Ort.
10 M9 10 M9 Joanna Nadia Sumaji 041052010065
Jonathan Rafel Ohary 042052010066 Kontrol drg. Yuniar Zen, Sp.Ort.
11 M9 11 M9 Jonathan Rafel Ohary 041052010066
Juanita Andriani S . 041051910064 Joanna
Ira Nadia Sumaji
Wijayanti 041052010065
041051910056 Kontrol drg. Yuniar Zen, Sp.Ort.
12 M10 Justine Clau Sevany
Syifa Rakhmatul Ummah 041051910065
041052010121 BW - Preparasi Abutment 1 drg. Isya Hanin, Sp. Pros 12 M10 Jasmine Maydiana 041051910057 GTC - Preparasi Abutment ke 2 drg. Yenny Pragustine, Sp.Pros
13 M10 The Gabriella
Alyafi Rosetika Susanto
‘041052010009 Cetakan pertama GTL RB drg.
drg.Isya Hanin,
Aditya Sp.Pros
Pratama Sarwono, 13 M10
14 M10 AfifahNuraliyyah
Citra Refiana Dewi
Yahya ‘041052010002
041051810032 GTC - Preparasi Abutment ke 2 MH, MARS, Sp.Pros 14 M10
15 M10 Kirana Aurili
Rifaty Virysia
Avidanti 041051810082
041052010108 GTC - Pencetakan Kedua drg. Nova Adrian, Sp. Pros 15 M10
16 M10 Sarah Tiara
Tengku ElisaHBerlianti 041052010113
041052010122 Pencetakan Pertama GTL drg. Nova Adrian, Sp. Pros 16 M10
17 M10 Shofiyah Salsabila 041052010117 GTL - Border Molding drg. Isya Hanin, Sp. Pros 17 M10
18 M10 18 M10

1 M4 Jonathan Rafel 041052010066 Ekstraksi Gigi 12 1 M4
Gerald Avila (Asisten)
Uswatunnisa 041052010056
041051910126
Rahayu
Nyimas Putri
Ratu ( Asisten) 041051910101
041051810113
Devita Rosalina
Chelsea Riady (Asisten) 041051900010
041052010031 drg. Yessy Ariesanti, Sp.BM
DevinaAv
Karen A eril
rista Suhendro (Asisten) 041052010039
041051810078
Dionicia Calcavechia
Tiffany 041051810042
041051910123
6 M5 Anitha Soleha Sa tria 041052010014 Kontrol Bedah (lepas jahitan) 6 M4 Michell Wija ya Koesuma 041051910078
Vanya Violetta Shalsabilla Siregar 041051910129
7 M6 Dieva Tiara
Sarah ShafiraHaryanto 041052010041 Scaling Ultrasonic Ke-5 + PL indik
041052010113 7 M6 Mauree n AWiyani
Pramudita W Putri 041051910077 Kuretase & Koronoplasti
041051910099
drg. Luki Astuti, Sp. Perio drg. Albert, Sp. Perio
8 M6 Venny
Adz ra Fadla Taqia 041052010130 Scaling Ultrasonic ke-5 dan PL
041052010001 8 M6 Yoshua
Ric hard Sa
M nder
anuel 041051910135 Kuretase
041052010105
9 M6 Ama lia Fauz
Yoshida ana Wijaya
K arana 041052010010 Scaling Ultrasonic Ke-1
041052010140 9 M6 Melisa Putri
Vanessa E va Usboko
ngelista 041052010080 Scaling Ultrasonic Ke-1
041052010128
10 M6 Muthi Ma hira
Meliani 041052010085 Scaling Ultrasonic Ke-4
041052010079 drg. Ricky Anggara P., Sp. Perio 10 M6 Maria Josephine
Nabilah IstiqomahPoe rjoto
Haryanto 041052010077 scaling ultrasonik 5 + PL
11 M6 Laidy Aretha Lexandra O ngka runa 041052010073 Scaling ultrasonic-5 + Pemeriksaa 11 M6 Fikha
Ana staNurfa dillahRia d
sya Muna 041052010050 Scaling Ultrasonic Ke-4
041052010011
12 M6 12 M6 Sasqia Vinc
Maria Faa dillah Andikoputri
entia Arya nti Dwia stuti 041052010115 Scaling Ultrasonic Ke-3
041052010078
13 M6 13 M6 Ni Komang
Laidy ArethaPriliana Pradia
L exandra nty runa
O ngka 041052010090 Scaling Ultrasonic Ke-3
041052010073 drg. Ricky Anggara P., Sp. Perio
14 M6 14 M6 Kiara M aulika Azuri 041052100013 Scaling Ultrasonik 4 & Pemerik
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

No Modul Jonathan Morg Mahasiswa
an Sudjaka NIM Pekerjaan DPJP No Modul Mahasiswa NIM Pekerjaan DPJP
1 M2 / M3 (Operator) 041051810076 PSA Visit 3 Gigi 11 1 M2 / M3 Sarah Qonita (Operator) 041051910110 PSA Visit 2 dan Pemerik saan drg. Dina Ratnasari, Sp.KG (K)
Renata Erlian '041051810085
2 M2 / M3 Leo Alberto
Bratandari( Porjo (A sisten) 041052100017 Restorasi Resin Komposit Kelas V drg. Aryadi Subrata, Sp.KG (K) 2 Cy nthia TussieThaariq
Imammuddin Silaban (Operator)
(Asisten) 041051910026 Lengk apKelas IV gigi digantik an drg. Taufiq Ariwibow o,
041052000006 Restorasi Komposit
Viola WandaOperator)
Aini (Operator) 041052000014
041052100005 Gigi 13 dan 23
M2 / M3
Alf yanRamadhan
Gilang (asisten) 041052000001 12 S p.KG (K)
3 M2 / M3 Richard Tridarmawan(Operator) PSA Visit 1 Gigi 13 3 M2 / M3 Fajar ( Operator) 041051910034 PSAKomposit
Visit 1 Gigi 41 IV Gigi drg. Anastasia Elsa Prahasti, Sp.KG
Deo Ananda Gloria (A sisten) 041051910027 Restorasi Kelas
4 M2 / M3 Najla Firga Fadilla 041052010087 Restorasi komposit kelas III gigi 11drg. Taufiq Ariwibowo, Sp.KG (K) 4 M2 / M3
Anniza
MutiaraBellarisi C (Asisten)
Risa Anggriani (operator) 041051900009
041051910085 11 dan Pemeriksaan Lengkap (K) digantikan drg. Taufiq
Novita Dwi
Dahnia Nur'aini (Operator)
Rahmayanti 041052010093
041052100007 danKomposit
Restorasi Resin 12 Kelas III Aisy Kahla Nugraha
Uswatunnisa Putri (operator)
(operator) 041051900001
041051910126 Ariwibowo, Sp.KG (K)
5 M2 / M3 drg. Selv iana Wulansari, 5 M2 / M3 Endodonti
Pulpektomi visit 2 gigi 21 drg. Ie Elline Istanto, Sp.KG (K)
Cici V iorina
Irviana AnggLestari (Asisten)
ita (Operator) 041052010033
041052100011 gigi
Gigi 4611+ PL MufidahChristina
Diandra Nurul Hayati (asisten)
(operator) 041051910081
041052010040 Restorasi Komposit Kelas IV gigi digantikan drg. Aryadi S ubrata,
6 M2 / M3 Muthi MaTaufik
hira (Operator) 041052010085 Sp.KG ( K) 6 M2 / M3 Almira Prisharia Setyafi 041051910004
Apriliani 041052010019 Restorasi Resin Komposit Kelasi I Fira Octarina (asisten) 041052010051 11 S p.KG (K)
7 M6 VennyDewi Fortuna
Evita 041052010130
041052110050 Operator : Scaling Ultrasonik ke 4 7 M6 Helsa Alyayuan
Valleri Wijatmo 041051910047 Scaling Ultrasonic Ke-5
041052010127
8 M6 Krysta
Fira Yosvara
Octa rina 041052110086
040152010051 Scaling Ultrasonic Ke-1 8 M6 MelianiBr Purba
Yusika 041052010120 Scaling Ultrasonic Ke-4
041052010141
drg. Marie Louisa, Sp. Perio drg. Mikha Sundjojo, Sp. Perio
9 M6 Diandra
Nikita Christina
T he odorus 041052010040
041052010091 Scaling Ultrasonic Ke-1 9 M6 RishaMustopa
Julia Nadira T yatana 041052010109 Scaling Ultrasonic Ke-2
041052010068
10 M6 Vinc ent Aries Fernando 041052010132 Scaling Ultrasonic Ke-5 dan Pemer 10 M6 Gabriel Rainheart 041052010053 Scaling Ultrasonic Ke-4
11 M7 11 M7
12 Anniza Bellarisi Cantika 041051900009 Dr. drg. Johan Arief 12
M9 M9
Linda Pratiwi 041051900006 Kontrol Budiman, Sp. Ort.
13 13
M9 M9
Faadiyah Nisa 041051910032 drg. Carolina Damayanti Angela Irena Kokanda 041051910005 drg. I G A Ratih Utari
14 M10 Gisela Naomy
Angela Ayudia
Irena Kokanda 041051910040
041051910005 GTC - Insersi Marpaung,
drg. I GSp.APros,
RatihPhD
Utari 14 M10 Agustina Putri Rahayu 041051910003 GTC - Preparasi Abutment ke 2 Mayun, Sp. Pros
15 M10 Ag ustinaAvila
Gerald Putrijohannes
Rahayu 041051910003
041052010056 GTC - Preparasi Abutment ke 1 drg.MCarolina
ayun, SDamayanti
p. Pros 15 M10
16 M10 Grace S abrina 041052010057 GTL - Indikasi & Pencetakan Pertam Marpaung, Sp. Pros, PhD 16 M10
Henni 041051910048 drg. Carolina Damayanti
17 M10 Hernandita
Tiffany Fasikhin
Veronica 041051910049
041051910124 GTC - Insersi Marpaung, Sp. Pros,
drg. Carolina PhD
Damayanti 17 M10
18 M10 Nathan Ongosari 041051910093 Tidak boleh kerja sebulan Marpaung, Sp. Pros, PhD 18 M10

1 M2/3 Chelsea Riady (Operator) 041052010031 Pulpektomi V isit 1 Gigi 21 + 1 M2/3 Cathrine Dwi Anggowo (Operator) 041052010029 Restorasi Komposit kelas IV Gigi
Alf yan Gilang
Devina Sabda Prakoso
A rista Suhendro (Asisten) 041052010039 Restorasi Pemeriksaan LengkapKelas I drg. Ade P. Dwisaptarini, Tengku ElisaA Berlianti Dr. drg. Ek o Fibryanto, S p.KG (K)
2 M2/3 (Operator) 041052000001 Resin Komposit Sp.KG (K) , Ph.D 2 M2/3 Elvinadaya rief a Putri( Operator)
(Operator) 041052010122
041052010044 11
14dan
+ PL21
Anggun Hermawati ( Operator) 041052000006
041052010013 Gigivisit
Pulpek tomi 46 & PL 21 dan
1 gigi NoniSavira
Tika Anis Qurrotuain (Operator)
Ibrahim (Operator) 041052010092 Restorasi Resin
041052010124 Restorasi komposit kelas VKelas
Komposit Gigi
3 M2/3 Imammuddin Thaariq (A sisten) 3 M2/3
Nady aVeronica
Gisca Maria Fransiska
(Operator)(A sisten) 041051910089
041052100009 Restorasi Pemeriksaan Lengkap
Resin Komposit Kelas V drg. Aryadi Subrata, Sp.KG (K) 4 Sinta Natalina
Fajar Ramadhan Millenia L (Operator)
( Operator) 041052010118 Restorasi
041051910034
Resin
V Gigi 14Komposit
dan 15 Kelas drg. Taufiq Ariwibowo, Sp.KG (K)
4 M2/3 M2/3 Rania Afnandhiya Wandawa III Gigi 22 dan Pemeriksaan
Gabriella
Cindy TashaTheja
Antonia (operator)
(Operator) '041052010055
041052010035 Gigi 23 + 31 PL Aisy Kahla NP (Operator) 041051900001 Restorasi Resin Komposit Kelas I
041052010097
5 M2/3 Pulpektomi Visit 2 Gigi 21 5 M2/3 (Operator)Reza Gustitine (Operator)
Annami Lengk ap
Caroline
della (Asisten)
puspita arini ( operator) 041052010027
041052000004 Restorasi komposit kelas III gigi 11drg. Taufiq Ariwibowo, Sp.KG (K) 6 041052100013
041052010015 Restorasi Komposit Gigi 47 kelas III gigi drg. Melaniwati, Sp.KG
6 M2/3 M2/3 Kiara Maulika
Apsari Azurianingrum
Galuh Cahy (Asisten)
Namirah putry (operator) 041052000010 Restorasi komposit kelas III gigi 21 041052010020 11
7 M7 7 M7 (Asisten)
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
Nadhira Razaqa Shabila 041051910088
12 M10 Sania
NadyaAurelia
Putri Winandari 041051910108
041051910090 GTC - Preparasi Abutment ke 2 drg. Eka Seftiana, Sp. Pros 12 M10
13 M10 Pramudita
Angela Wiyani
Irena Putri
Kokanda 041051910099
041051910005 GTC - Preparasi Abutment ke 1 drg. Eka
drg.Seftiana, Sp.Utari
I G A Ratih Pros 13 M10
14 M10 Ag ustina Putri Rahayu 041051910003 GTC - Preparasi Abutment ke 2 Mayun, Sp. Pros 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 Gabriella Grace 041051910037 Ekstraksi Gigi 37 1 M4 Ulfa Dwima 041052010125 Ekstraksi Gigi 17 dan 44
Khairunnisa
Nabila TazkiaIndah (Asisten) 041051910069
041051910087 RahayuJ osephine
Maria Putri 041051910101
041052010077
Mufidah
Jesslyn Nurul (Asisten) 041051910081
041051910062 Zelia Joana
Valencia Law rence 041052010143
041052010126
Ira Wijayanti
Naura Lindy (A sisten) 041051910056
041051910094 drg. Yessy Ariesanti, Sp. BM Nikita Pratiwi
Linda Theodorus (A sisten) 041052010091
Rossa El Dav
William Febiana
id Jan( Asisten) 041051910105
041051910131 Elvinadaya
Vev ian NavlynA rief a Putri (A sisten) 041052010044
041052010131
Agnes Santosa
Nadhiva ( Asisten)
Ramadhani F 041052110003
041051810100 Zaldy Farhan
Jasmine Maydiana(Asisten) 041052010142
041051910057
6 M5 Novyca 041051910097 Trans Alveolar Gigi 46 6 M5 Kevin Ze fanya Butarbuta r 041052010071 Trans Alveolar Gigi 21
Kirana Virysia 041051810082 Nosyafira Andesya 041052000011
7 M6 Mutiaralinda
Rosma RisaSurya
A ni 041051910085 koronoplasti
041052010111 7 M6 Zaldy Zae
Louis Farha n
la ni 041052010142 Scaling Ultrasonic 5 dan Pemer
041052010074
drg. Marie Louisa, Sp. Perio
8 M6 Ja smine
Esa BellaMaydia na 041051910057 Scaling Ultrasonic Ke-2
041052010045 8 M6 MichelleAnggita
Irviana Tedja 041052010082 Scaling Ultrasonic Ke-2
9 M6 Ca roline
Livia Alvita 041052010027 Scaling Ultrasonic Ke-1
041052000008 9 M6 Cic i V iorina
Thaliana billaLe sta ri
Khalisha 041052010033 Scaling Ultrasonic Ke-1
041052110146
drg. Ricky Anggara P., Sp. Perio
10 M6 Tria ny Setia Pratiwi 041052000013 Scaling Ultrasonic Ke-4 10 M6 RibkahMa
Nurza Christie Hatmanti
ulida Assyifa 041052100018 Scaling Ultrasonic Ke-1
041052010094
11 M6 11 M6 Siti T ika
Fikha K amilla
Nurfa dillah 041052110139 Scaling Ultrasonic Ke-3
12 M6 12 M6 NabilahDwi
Novita Istiqomah
Nur' ainiHaryanto 041052010086 Scaling Ultrasonic Ke-5
041052010093
13 M6 13 M6 Ni koma
Putri N urngPratiwi
Priliana 041052010090 Scaling Ultrasonic Ke-1
14 M6 14 M6 Ra nia Afna ndhiya Wandawa 041052010097 Scaling Ultrasonic Ke-4 + PL
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

No Modul Natasy a Iv anaMahasiswa
(Operator) NIM
041051910092 Pekerjaan DPJP No Modul Helena Gita VMahasiswa
ania ( Opertor) NIM
1 M2/3 FaadiyahAnanda
Griselda Nisa ( Asisten)
(Operator) 041051910032
041052010010 PSA Visit 1 Gigi 12
Restorasi S IK dan
KelasPemeriksaan Lengkap
V gigi 36 dan drg. Ade P. Dwisaptarini, 1 M2/3 Valencia Law
Maharany rence
Bulan (Asisten)
Putri (Operator) 041052010128 Restorasi
komposit Lengkap
kelas I gigi drg. Anastasia Elsa Prahasti, Sp.KG
2 M2/3 Hanifan Aulia
Jeremia Armi (A sisten)
Wijaya ( Operator) 041052010059
041052010064 Pemeriksaan Lengkap Sp.KG (K) , Ph.D 2 M2/3 Regita
Cy nthiaNoor Hanifa
Priscilla (Operator)
(Operator) 041052010099
041051910024 46 dan 47 + PL (K)
3 M2/3 Deo Ananda
annisa Gloria(Asisten)
auliashinta (operator) 041051910027 Restorasi
041052000002 Pulpektomi Visitkelas
komposit 2 Gigi 21 31
V gigi 3 M2/3 Naura Lindy
Carissa Tany aAzhara (Asisten)
(Operator) Pulpektomi Visit 1 Gigi 21 dan Pemeriksaan Lengkap
041051910094
041052010026
4 M2/3 dellav puspita
Cici arini ((operator)
iorina lestari operator) 041052000004 Restorasi komposit kelas V gigi 41drg. Taufiq Ariwibowo, Sp.KG (K) 4
041052010033 M2/3 Jac inda Jesslyn (Operator) 041002010062 Restorasi Komposit kelas V gigi drg. Ie Elline Istanto, Sp.KG (K)
5 M2/3 Kevin zefanya ( asisten) Pulpektomi Visit 1 Gigi 21 dan Pemeriksaan Lengkap
041052010071 5 M2/3 23 dan 24
Wirdha Salsabila (Operator) 041052010137 drg. Selv iana Wulansari, Amalia F auzana Wijaya ( operator) 041052010010 Restorasi Resin Komposit Kelas I
6 M2/3 Reski Aryanti (Operator) 041052010101Restorasi Komposit Kelas I Gigi 46 dan 47 + PL Sp.KG ( K) 6 M2/3 Anneke Ramadhanty Putri Wardani (operator)
041052010016 gigi 37 dan 47 drg. Dina Ratnasari, Sp.KG (K)
7 M7 7 M7
8 M9 Bunga Putih Torang Carona 41051910011 8 M9
Elycia Woro Indriastuti 041051910031 Cetak Evaluasi drg. Yuniar Zen, Sp.Ort.
9 M9 Jonathan Rafel Ohary 041052010066 9 M9
Joanna Nadia Sumaji 41052010065 Kontrol drg. Yuniar Zen, Sp.Ort.
10 M9 Joanna Nadia Sumaji 41052010065 10 M9
Jonathan Rafel Ohary 041052010066 Kontrol drg. Yuniar Zen, Sp.Ort.
11 M9 11 M9
Sally Liwandi 041051910107
12 M10 Christine Florence Jonatan 041051910017 GTC - Preparasi Abutment ke-1 drg. Isya Hanin, Sp.Pros 12 M10
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 Rossa El Febiana 041051910105 Ekstraksi Gigi 15 dan 16 1 M4
Novey
Justine Rianti
Clau (Asisten) 041051910096
041051910065
Venny
Cy nthia Tussie 041052010030
041051910026
Cy nthiaQonita
Sarah Tandjaja (Asisten) 041052000003
041051910110 drg. Wiwiek Poedjiastoeti, M.Kes, Sp.BM, PhD
Khairunnisa
Richard Indah (Asisten)
M anuel 041051910069
041052010105
Nikita Theodorus
Adelia Usi Lauditta(A sisten) 041052010091
041051910001
6 M5 Angela Irena Kokanda 041051910005 Trans Alveolar Gigi 24 6 M4
Dhea A fif ah Roza 041051910029 Sofia Yanti Sa ri 041051910115 Kuretase
7 M6 Helen Cyntya
Nadhiva Andany
Ramadhani 041051910046 Kuretase
041051810100 M6
Dr. Drg. Trijani Suwandi, Sp. Perio7 Tiffany Veronica
Ca rissa Tanya 041051910124
041052010026 Scaling Ultrasonik Ke-5 & Peme drg. Mikha Sundjojo, Sp. Perio
8 M6 Anggita
Rosa Prawe sti Wardhani
Aviani 041052010110 Scaling Ultrasonic ke-4 dan Pemer
0410501810014 8 M6
Cinantya
Sinta Putri M
Na talina Parahita 041052010034
illenia L umbantoruan 041052010118
9 M6 Holly
Tria nySuta ntoPratiwi
Setia 041052100010 Scaling Ultrasonic Ke-5
041052000013 9 M6 Scaling Ultrasonic Ke-3
drg. Luki Astuti, Sp. Perio Wirdha Salsabila
Agustina Putri Rahayu 041052010137
041051910003
10 M6 Livia Alvita
Anggun Hermawa ti 041052000008 Scaling Ultrasonic Ke-4
041052010013 10 M6 Kuretase drg. Luki Astuti, Sp. Perio
11 M6 11 M6 Je remia
Ane izza Armi
DanyaWija
P Rya 041052010064
Mulia Wira
Sasha Ra chmiaty
djaja Putri 041052010084 Scaling Ultrasonic Ke-4
12 M6 12 M6 IvanaSavira
Tika A gustin
Ibrahim 041052110068
041052010124
Viola Se rena 042052010134 Scaling ultrasonik ke 5 dan Peme Scaling Ultrasonik ke-5 + PL
13 M6 13 M6 Re ski Aryanti
Annami Re za Gustitine 041052010101
041052010015 Scaling Ultrasonic Ke-1 drg. Albert, Sp. Perio
14 M6 14 M6 AzkiaJoanna
Zelia Ra ihaniAurelia Ramba 041052010023
041052010143 Scaling Ultrasonic ke-5 dan Pe
Muthi Ma hira 041052010085
15 M9 Christine Florence Jonatan 41051910017 15 M9
Deo Ananda Gloria 041051910027 Kontrol drg. Yuniar Zen, Sp.Ort.
16 M9 Deo Ananda Gloria 041051910027 16 M9
Christine Florence Jonatan 41051910017 Kontrol drg. Yuniar Zen, Sp.Ort.
17 M9 17 M9
18 M9 18 M9

No Modul Mahasiswa
Rick y Chandra Jay a Soen NIM
041052010107 Pekerjaan DPJP No Modul Mahasiswa NIM Pekerjaan DPJP
1 M2 / M3 (Operator) Pulpektomi Visit I Gigi 12 dan Dr. drg. Eko Fibryanto, Sp.KG 1 M2 / M3 Gisela Naomy A yudia (operator) 041051910040 PSA Gigi 21 Visit 1 dan
041052010030
041052010084 Pemeriksaan LengkapKelas V Cindy Dr. drg. Ek o Fibryanto, S p.KG (K)
2 M2 / M3 Mulia Rachmiaty
Chaterina Anjelia Putri (Operator)
(A sisten) Restorasi Resin Komposit (K)
2 M2 / M3 Thesy aStevany
Dhyah (asisten)
Anggraini (operator) 041051910020 Pemeriksaan
041052000012 Restorasi Lengkap
resin komposit k elas 1
Anggun Hermawati ( Operator) 041052010013 gigi 13 & 14 AgnellaahGw enisa (asisten) '041051910002
3 M2 / M3 Shofiy S alsabila (Operator) 041052010117 PulpektomigigiGigi3721 Visit 1 dan
041052010055 drg. Taufiq Ariwibowo, S p.KG 3 M2 / M3
Vev ianRefiana
Navlyn Dewi
R (Asisten) 041052010131 Pemeriksaan Lengkap Kelas drg. Anastasia Elsa Prahasti, Sp.KG
4 M2 / M3 Gabriella Tasha (operator) Restorasi k elas 1 gigi 35 (K) 4 M2 / M3 Afifah (operator) 041052010002 Restorasi Resin Komposit (K)
Sasqia Faadillah A ndikoputri
Febria (operator) 041052010049
041052010115 Restorasi k elas 1 gigi 36 Anitha Soleha
Rafidah Satria (Operator)
Ay u Destarani (Operator) 041052010014 III GigiVisit
041051910100 Pulpektomi 11 1dan
Gigi2121 dan
5 M2 / M3 (Operator)
Revi Agung Dityaningtiy as 041052010142
041052010102 Pulpek tomi visit 1 gigi 21 dan 5 M2 / M3
gigi 12Lengkap drg. Melaniwati, Sp.KG Rossa
Leo El Febiana
Alberto Porjo( (operator)
Asisten) 041051910105
Restorasi KelasLengkap
II Gigi 24 drg. Ie Elline Istanto, Sp.KG (K)
6 M2 / M3 Zaldy Farhan
FianniAdis (Asisten)
(Operator)
Aninda 041052010044
041052110014 Pemeriksaan 6 M2 / M3 Vita
Restorasi Resin Komposit Kelas IV Evan Fredlinata
Dwipa Putra (operator) 041052010135
041051810045 Restorasi Kelas III Gigi 23
7 M6 Elvinadaya
Adinda
Anggun Ra A rief a Putri
madhanty
Hermawa ti ( Operator) 041052110002
041052010013 Scaling Ultrasonic Ke-1 7 M6 YosephYumna
Afifah K usnadi Dhaniar 041052100016 Scaling Ultrasonic Ke-2
041052010003
drg. Luki Astuti, Sp. Perio
8 M6 Aries Kurniawan 041052010021 Scaling Ultrasonic Ke-4 8 M6 dha Putri
Re nata E rlianWiranda
Bratanda ri 041052010098 Scaling Ultrasonic ke-2 dan Pe
9 M6 9 M6 Mipta Harlinda
Azkia Ra ihani 041052010083 Scaling Ultrasonic Ke-2
041052010023
10 M6 10 M6 Annami Re za Gustitine 041052010015 Scaling Ultrasonic + Pemeriksa
11 M7 11 M7
12 12
M9 M9
13 13
M9 M9
Nadya Putri Winandari 041051910090
14 M10 Pramudita
Alyafi Wiyani Putri
‘041052010009 GTC - Preparasi Abutment ke 2 drg.
drg. Eka Seftiana,
Carolina Sp. Pros
Damayanti 14 M10
15 M10 AfifahCahy
Gita Refiana Dewi
a Maulani ‘041052010002
041051910041 GTL - Border Molding Marpaung, Sp.
Marpaung, S p.Pros,
Pros,PhD 15 M10
16 M10 Hamidah
Angela OkKokanda
Irena tafiani 041051910042
041051910005 GTC - Insersi PhD drg. I G A Ratih Utari 16 M10
17 M10 Ag ustina Putri Rahayu 041051910003 GTC - Finishing dan Pencetakan ked Mayun, Sp. Pros 17 M10
18 M10 18 M10

1 M2/3 Kelvin Suryajay a (Operator) 041052010069 PSA Visit 1 Gigi 11 dan Ira Wijayanti (Operator) 041051910056 Pulpektomi Visit 1 Gigi 22 dan
Wiryadani
Hanifan Aulia Rahayu (operator)
(A sisten) 041052010059 Pemeriksaan Dr. drg. Eko F ibryanto, Sp.KG 1 M2/3 Restorasi Resin Komposit
LengkapKelas Dr. drg. Eko Fibryanto, Sp.KG (K)
2 M2/3 Ribkah Christie Hatmanti 041052010138 Restorasi KompositLengkap
Kelas III Gigi (K) 2 M2/3
Faadiyah
(Operator) Nisa ( Asisten) 041051910032
IV Gigi 22 dan Pemeriksaan
Richentya 041052100018 11Visit
dan 121 Khairunnisa Indah Nurfaizah 041051910069
3 M2/3 (operator)Feiby S alim (operator) 041052010106 Pulpektomi Gigi 21 dan
drg. Selv iana Wulansari, 3 M2/3 Billy Lombardo (Operator) 041052010025 PSA Visit 1 Gigi
Lengk ap 22 &
Reinhart
Frida Christian
Asima Hutapea (asisten)
(Operator) 041052010100
Restorasi LengkapIV gigi
Resin Komposit Christabhel
Namirah Aretha
putry ( Asisten)
(operator) 041052010032
Restorasi kelas IVLengkap
gigi 21 + PL drg. Wiena Widyastuti, Sp.KG (K)
4 M2/3 Sp.KG ( K) 4 M2/3
Keniy awati
Melisa Putri(AUsbok
sisten)o (Operator) 041052010070
041052010080 31 1 Gigi 21 dan
Pulpektomi Visit Dita Octarina
Fira Pratiwi (operator)
(Operator) 041052100001
Restorasi kelas IVKelas
Komposit gigi 11
V Gigi
5 M2/3 5 M2/3 drg. Rosita S tefani, M.M, Sp.KG
VitaatyFredlinata
RIf (Asisten)
Aurily (Operator) 041052010135
041052010108 Gigi 46Pemeriksaan Lengkap
dan Pemeriksaan Lengkapdrg. Wiena Widyastuti, Sp.KG (K) 6 Gabriella
Triany Rehuel
S etia (Operator)
Pratiwi ( Operator) 041052010054
041052000013 25 dan
Restorasi Resin 26
Komposit Kelas
6 M2/3 M2/3
Holly Sutanto (Operator 041052100010 Restorasi Resin Komposit Kelas I Indah Mutia Sari (Operator) 041052000007 3 Gigi 11 dan 21 + PL
7 M7 7 M7
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
Nikita Theodorus 041052010091 Caroline Septiani 041052010028
12 M10 Richard Manuel 041052010105 GTC - Preparasi Abutment drg. Niko Falatehan, Sp.Pros 12 M10 Caroline 041052010027 GTC - Preparasi Abutment drg. Niko Falatehan, Sp.Pros
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 Sarah Qonita 041051910110 Ekstraksi Gigi 46 1 M4
Khairunnisa
Deo Ananda Indah (Asisten) 041051910069
041051910027
Bunga Putih Aretha
Christabhel Torang ( Asisten) 041051910011
041052010032
Caroline (Asisten)
Jonathan Morg an 041052010027
041051810076 Dr. drg. Anggraeny Putri Sekar Palupi, Sp.BM
Ian Christopher
Billy Lombardo Atmaka ( Asisten) 041051900005
041052010025
Zaldy Farhan
Maureen (Asisten)
Aprilia Wongso 041052010142
041051910077
Svetlana Tessalonica 041051910118
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M6 11 M6
12 M6 12 M6
13 M6 13 M6
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

No Modul Mahasiswa NIM Pekerjaan DPJP No Modul Nadisha Allaam Mahasiswa
Edriani ( Operator) NIM
visit 1 gigi 11 dan DPJP
1 M2/3 1 M2/3 Nyimas
Aries Ratu Badari
kurniaw (asisten)
an ( Operator) 041051810113
041052010021 Restorasi Pemeriksaan Lengkapkelas
Resin Komposit
2 M2/3 2 M2/3 Najla Firga
Maria FadilaPoerjoto
J osephine ( asisten (Operator)
) 041052010087
041052010077 IV Gigi 11 drg. Ie Elline Istanto, Sp.KG (K)
3 M2/3 3 M2/3 Vincent Aries
Gabriella Fernando
Rehuel (Asisten)
(Operator) 041052010132
041052010054PSA Visit 1 gigi 11
Restorasi dan Pemeriksaan
Komposit Lengkap
Kelas IV gigi
4 M2/3 4 M2/3 Annisa
Nady Auliashinta
a Maria (Operator)
Fransiska (Operator) 041052000002
041051910089 11 dan 21 drg. Dina Ratnasari, Sp.KG (K)
5 M2/3 5 M2/3 Ulfina
Ulfa Fitriani
Dwima (Asisten)
Miraldza Pulpektomi
041052010125 ResinVisit 1 gigi Kelas
Komposit 22
6 M2/3 6 M2/3 Revi Agung Dityaningtiy as 041052010102 III dan Pemeriksaan Lengkap drg. Melaniwati, Sp.KG
7 M7 7 M7 Bunga Putih T orang Carona 041051910011
8 M9 8 M6 Cynthia T ussie Silaba n 041051910026 Kuretase & Kronoplasti Dr. Drg. Trijani Suwandi, Sp. Perio
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
Juanita Andriani S 041051910064 Andiko Dimas Pratama 041051810011
12 M10 JustineLiwandi
Sally Clau Sevany 041051910065
041051910107 BW - Preparasi 1 & 2 drg. Isya Hanin, Sp. Pros 12 M10 Nabila Shahnaz
Jonathan Morgan Sudjaka Gtc BW
041051810099 GTC
041051810076 preparasi abutment kedua drg.drg. James
James Handojo Sp.pros
Handojo,
13 M10 ChristineTessalonica
Svetlana Florence Jonatan 041051910017
041051910118 GTCBW
GTC - finishing dan pencetakandrg. Isya Hanin,
drg. James Handojo,Sp. Pros 13 M10 Ian Christopher Atmaka 041051900005 Preparasi Abutment-1 Sp.Pros
14 M10 Syifa Amalia 041051910119 Preparasi Abutment-1 Sp.Pros 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10
NR - Kamis, 1 Desember 2022

Jason Pratama
Valencia Law rence(Asisten) 041052100012
041052010126
Nikita Theodorus
Bunga Putih Torang (A sisten) 041052010091
041051910011
MutiaraNadia
Joanna Hanan (asisten) 041051910084
041052010065 drg. Yessy Ariesanti, Sp.BM
Julia Mustopa
Karen Av eril (Asisten) 041052010068
041051810078
5 M5 Kontrol Bedah (lepas jahitan) 5 M4
Dionicia Calcavechia
Tiffany 041051810042
041051910123
6 M5 Alya Kontrol Bedah (lepas jahitan) 6 M4
VanyaRamadhita SjamsudinSiregar
Violetta Shalsabilla 041052010008
041051910129 Annisa Fitri Cahyarani 041052010017
7 M6 Deandra
Cic Carissa
i viorina le sta ri 041052010037 Scaling Ultrasonic Ke-2
041052010033 7 M6 Shafira Pertiwi
Nicholaus Sandy 041052110131 Scaling Ultrasonic ke-3 & PL
041052110110
8 M6 Andhiny
Maria Tiara
Vinc entiaHakim 041052110012 Scaling Ultrasonic Ke-3
Arya nti Dwia stuti 041052010078 drg. Olivia Nauli Komala, Sp. Perio8 M6 Ra ynor Favia
Hanifan Aulianozaki 041052110123 Scaling Ultrasonic Ke-1
9 M6 Ribkah
Alya Christie Hatmanti
fi Novidhiyani 041052100018 Scaling Ultrasonic Ke-3
041052010009 9 M6 Alishia Fabiola
Michell Wija ya FKoesuma
attah Salma 041052010004 Scalling Ultrasonic ke-5 dan Pe
041051910078
10 M6 Diandra
Cindy Christina
Kovia nti 041052010040 Scaling Ultrasonic Ke-3
041052110031 M6 Mauree n Aprilia
Cornellia W
Febri Indriati 041051910077 Scaling Ultrasonic ke-4 & PL
041052010036
drg. Mikha Sundjojo, Sp. Perio10
11 M6 Lidia
Be Santoso
nedicta 041052110090 Scaling Ultrasonic Ke-1
Gisela Camay O ctiva nny 041052010024 11 M6 Evi Sa rmayana
Vanessa E va ngelista 041052010047 Scaling Ultrasonic Ke-4
12 M6 Ama lia
Najla FauzFadilla
Firga ana Wijaya 041052010010 Scaling Ultrasonic Ke-5
041052010088 12 M6 Thedha
Re Gabriella Rosetika Susa nto
Putri Wiranda 041052010123 Scaling Ultrasonik 5 + Pemeriks
041052010098
13 M6 Aries Kurniawan
Mahara ny Bulan Putri 041052010021 Scaling Ultrasonic Ke-1
041052010075 drg. Marie Louisa, Sp. Perio 13 M6 Annisa Tri HGunawa
Evangeline andayanin 041052110018 Scaling Ultrasonic Ke-5
14 M6 Kiara M aulika Az uri 041052100013 Scaling Ultrasonic Ke-1 14 M6 Re inhart Christian (Ope rator) 041052010100 Kuretase
15 M9 Jonathan Rafel Ohary 041052010066 Kontrol drg. Yuniar Zen, Sp.Ort. 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
NR - Jumat, 2 Desember 2022

1 M2 / M3 Agnella Gw enisa (operator) 041051910002 PL + PSA Visit 2 Gigi 11 1 M2 / M3 Cy nthia Tandjaja (operator) 041052000003 Pulpektomi Visit 3 gigi 11
Mutiara
Rosa Hanan
Av iani Fadhilah (asisten)
(Operator) 041051910084
041052010110 Restorasi Resin Komposit Kelas IV drg. Aryadi Subrata, Sp.KG (K) 2 Justineawati
Keniy Clau(Operator)
Sevany (asisten) 041051910065 Restorasi Komposit Kelas IV gigi drg. Rosita S tefani, M.M, Sp.KG
041052010070
2 M2 / M3 Rick M2 / M3
Aisy yKahla
Chandra Jay a Soen
NP (Operator) 041051900001
041052010107 Gigi 11 dan Pemeriksaan Lengkap Anggun Hermawati
Annisa Fitri Cahyarani( Operator)
(Asisten) 041052010017
041052010013 11
3 M2 / M3 (Operator) Pulpektomi Visit 2 Gigi 12 3 M2 / M3 Laidy Aretha Lex andra Ongkaruna Pulpektomi Vist 2 Gigi 21
041052010035 drg. Melaniwati, Sp.KG Novita Dwi Nur'aini (Operator) 041052010073
041052010093 Restorasi Komposit Kelas I gigi drg. Melaniwati, Sp.KG
4 M2 / M3 Cindy Antonia Theja (Asisten) 4 M2 / M3 (Asisten)
Hanifan Aulia (Operator) 041052010059 Pulpektomi Visit I Gigi 11 dan Redha
Cy nthiaPutri W iranda
Priscilla (Operator)
(Operator) 041052010098
041051910024 36 dan 46
5 M2 / M3 Dr. drg. Eko F ibryanto, Sp.KG 5 M2 / M3 Pulpektomi
Restorasi Visit 2Kelas
Komposit Gigi I21
Gigi
Kelvin Suryajay a (Asisten) 041052010069 Pemeriksaan Lengkap Ulfina Fitriani
Afifah (Asisten)Operator)
Yumna Dhaniar( 041051910125
041052010003 36 dan Gigi 37 + Pemeriksaan Dr. drg. Eko Fibryanto, Sp.KG (K)
6 M2 / M3 Riz ka Usi Nadhifa 041052110127 (K) 6 M2 / M3 Re gitaRahma
Noor Hanifa 041052010099
Sania Nursy am ( Operator) 041052010112
7 M6 Ade lia Usi
Adinda L auditta
Ra madhanty 041051910001 Scaling Ultrasonic Ke-1
041052110002 7 M6 Re inhart
Holie Christian
Fransiski 041052010061 Lengk ap
8 M6 Annisa
Ulfa DwAulia
ima MAna nda
iraldza 041052110015 Scaling Ultrasonic Ke-2
041052010125 drg. Olivia Nauli Komala, Sp. Perio8 M6 HanifanFaa
Sasqia Aulia
dillah Andikoputri 041052010059 Scaling Ultrasonic Ke-5 dan PL
9 M6 Suci M
Julia umpuni Pa kerti
Mustopa 041051910117 Skeling Ultrasonik + PL
041052010068 9 M6 RibkahMa
Muthi Christie
hira Hatmanti 041052100018 Scaling Ultrasonic Ke-4
041052010085
10 M6 Gera ld Avila Johannes 041052010056 Scaling Ultrasonic ke-5 Dr. Drg. Trijani Suwandi, Sp. Perio10 M6 Ric hentya feiby salim 041052010106 Scaling Ultrasonic Ke-5
11 M7 Esa Bella 041052010045 11 M7
12 Yoseph K usnadi 041052100016 Scaling Ultrasonic Ke-1 Dr. Drg. Trijani Suwandi, Sp. Perio12
M6 M9
13 13
M9 M9
Alyafi Novidhiyani ‘041052010009
14 M10 Afifah Refiana Dewi ‘041052010002 GTC - Insersi drg. Aditya Pratama Sarwono, 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10
NR - Senin, 5 Desember 2022

No Modul Mahasiswa NIM Pekerjaan DPJP No Modul Faadiyah NisaMahasiswa
( Operator) NIM
041051910032 Pekerjaan DPJP
1 M2/3 Renaldo Alexander ( operator) 041051810129 PSA Visit 3 gigi 11 1 M2/3 PSA Visit 2 Gigi 11
Ian Christopher
Elvinadaya A rief(aasisten)
Putri ( Operator) 041051900005 Restorasi komposit kelas III gigi 11 drg. Ade P. Dwisaptarini,
041052010044
Sheila Annisa (Asisten)
Astriana Putri Fathinah (operator)
041051910111
041052010022 Restorasi Komposit kelas IV gigi
drg. Rosita S tefani, M.M, Sp.KG
2 M2/3 Nathania Sp.KG (K) , Ph.D 2 M2/3
Noni Anis Immanuela
Qurrotuain Tanos
041052010089 PSAkomposit
visit 1 gigikelas V gigi 23
43 dan Ivy Gracia
Gisela PutriAPanjaitan
Naomy yudia (operator) 041052110069
041051910040 21 dan k elas III gigi 11
3 M2/3 (Operator) 3 M2/3 Annami Reza Gustitine (Operator) PSA Visit 2 Gigi 21
Holie F ransiski ( Operator) 041052010063
041052010061 Restorasi Pemeriksaan Lengkap
Resin Komposit Kelas IV drg. Aryadi Subrata, Sp.KG (K) 4 Cindy Stevany 041051910020 Restorasi Komposit kelas III gigi
041052010015 drg. Ie Elline Istanto, Sp.KG (K)
4 M2/3 Jenyf er
Laidy Ig natia
Aretha Lex(Moksidy (A sisten)
andra Ongkaruna M2/3 Apsari Galuh Cahy aningrum
Jacinda Jesslyn Asisten) 041052010062
041052010073 gigi 11 Melisa Putri Usbok o (Operator) 041052010020
041052010080 11
5 M2/3 (Operator) PSA Visit 2 Gigi 11 drg. Taufiq Ariwibowo, S p.KG 5 M2/3 (Asisten) Pulpektomi Visit 2 Gigi 21 drg. Rosita S tefani, M.M, Sp.KG
Esa BellaHermawati
(Operator)( Asisten) '041052010013
041052010045 Restorasi Resin Komposit Kelas IV Richard M anuel ( Asisten) 041052010105
6 M2/3 Anggun (K) 6 M2/3
Julia Mustopa (Asisten) 041052010068 Gigi 21
7 M7 7 M7
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
Nadhira Razaqa Shabila 041051910088
12 M10 12 M10 Sania Aurelia 041051910108 GTC - Preparasi Abutment ke 2 drg. Eka Seftiana, Sp. Pros
Nadya Putri Winandari 041051910090
13 M10 13 M10 Pramudita Wiyani Putri 041051910199 GTC - Finishing dan Pencetakan drg. Eka Seftiana, Sp. Pros
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10
NR - Selasa, 6 Desember 2022

Jason Pratama
Bunga H. (Asisten)
Putih Torang 041052100012
041051910011
MutiaraNadia
Joanna Hanan (asisten) 041051910084
041052010065
Julia Mustopa
Chelsea Riady (asisten) 041052010068
Evangeline
Valencia LawGunaw
rence an ( Asisten) 041052010046
041052010126
Ulfa Dwima (A sisten) 041052010125
6 M5 Lidia Santoso 041052110090 6 M5 Novyca
7 M6 Litayana Ria Anggriani Sitorus
Febria 041052110091 Scaling Ultrasonic Ke-1
041052010049 7 M6 Mutiara Risa
Shofiyah Sa lsaAbila 041051910097
041052010117 Koronoplasti
drg. Albert, Sp. Perio
8 M6 Cinantya
Alya Putri Parahita
fi Novidhiyani 041052010034 PL dan skeling ultrasonik 4
041052010009 8 M6 Tengku E lisa
Gabriella Berlianti
Ta sha 041052010122 Scaling Ultrasonic Ke-4
9 M6 Diandra Christina
Apriliani T aufik 041052010040 Scaling Ultrasonic Ke-3
041052010019 9 M6 Holie Fransiski
Keniyaw ati 041052010061 Scaling Ultrasonic Ke-3
041052010070
10 M6 Andhiny
Livia Tiara Hakim
Alvita 041052110012 Scaling Ultrasonic Ke-2
041052000008 Dr. Drg. Trijani Suwandi, Sp. Perio10 M6 Sasqia Faa
Michael dillah Andikoputri
Reinhart 041052010115 Scaling Ultrasonic Ke-5 dan Pe
041052010081
11 M6 Viola Wanda
Holly Suta nto Aini 041052000014 Scaling Ultrasonic Ke-5
041052100010 11 M6 Ric hardMa
Nurza T rida
ulidarmawan
Assyifa 041052100005 Scaling Ultrasonic Ke-2
041052010094
12 M6 AlmiraKurniawan
Aries Christie D elvina 041052010007 Scaling Ultrasonic Ke-1
041052010021 12 M6 Mohammad
Vinc Reza Firdaus
entius Malvin Sugijono 041052110098 Scaling Ultrasonic Ke-4
13 M6 Alfyan linda
Rosma G ilang Sabda
Surya ni 0410520000001
041052010111 Scaling Ultrasonic Ke-2 drg. Ricky Anggara P., Sp. Perio 13 M6 Riccinda
Ja hentya F eiby Salim
Jesslyn 041052010106 Scaling ultrasonic ke 5 + Pemer
041052010062
14 M6 Ame llia Sekar 041052110009 Scaling Ultrasonic Ke-3 14 M6 Ca rissa Tanya 041052010026 Scaling Ultrasonic Ke-4
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
NR - Rabu, 7 Desember 2022

No Modul Nyimas RatuMahasiswa
Badari (Operator) NIM
041051810113 Pekerjaan DPJP No Modul Mahasiswa
Christabhel Aretha Thomas NIM
1 M2/3 Maharani Z ahro Zafirah
Jacinda(asisten)
Jessly n '041051810086
Pulpektomi Visit 1 Gigi 11 dan Pemeriksaan Lengkap
041052010049 1 M2/3 (Asisten) Dwi Anggowo (Operator)
Cathrine 041052010032 Restorasi
041052010029 PSAKomposit
Visit 2 Gigi 22 IV Gigi
kelas
2 M2/3 (Operator)
Kelvin Suryajaya (Operator) 041002010062 Restorasi Resin Komposit Kelas IV drg. Aryadi Subrata, Sp.KG (K) 2
041052010069 M2/3 Tengku Ay
Rafidah Elisa Berlianti ( (Operator)
u Destarani Operator) 041052010122
041051910105 11 dan 21 drg. Taufiq Ariwibowo, Sp.KG (K)
3 M2/3 Irviana gigi 11, 21 dan2pemerik saan 3 M2/3
RibkahAnggita
Christie(Asisten)
Hatmanti 041052100011 Restorasi
041052010123 PSA Visit
Resin Gigi 11Kelas
Komposit III drg. Selv iana Wulansari, Rossa El Febiana ( Asisten) Pulpektomi Visit 2 Gigi 21
4 M2/3 (Asisten)
Ira Wijayanti (Operator) 041052100018
041051910056 Gigi 22 Sp.KG ( K) 4 M2/3 Redha Putri W iranda (Operator) 041052010098 drg. Taufiq Ariwibowo, Sp.KG (K)
5 M2/3 Faadiyah
Alishia Nisa (Fattah
F abiola Asisten) 041051910032
Salma ( Operator)
041052010004 5
Pulpektomi Visit 2 Gigi 22 Dr. drg. M einy F audah Amin, S p.KG (K) M2/3 Sarah Aurili
Rifaty QonitaAv(Asisten)
idanti ( Operator) 041051910110
Pulpektomi
041052010108 Visit 1 Komposit
restorasi Gigi 11 + Pemeriksaan
kelas V gigiDr.Lengkap
drg. Meiny Faudah Amin, Sp.KG ( K)
6 M2/3 Hanifan Aulia (A sisten) 041052010059 Restorasi Resin Komposit Kelas IV Gigi 11 6 M2/3 Sarah Tiara H ( Asisten) 041052010113 22 + Pemeriksaan Lengkap
7 M7 7 M7
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
Fikha Nurfadillah 041052010050
12 M10 Nabilah Istiqomah Haryanto 041052010086 GTC - preparasi abutment drg. Niko Falatehan, Sp.Pros 12 M10
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 1 M4
2 M4 2 M4
3 M4 3 M4
4 M4 4 M4
5 M4 5 M4
6 M5 6 M4
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M6 11 M6
12 M6 12 M6
13 M6 13 M6
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

1 M2 / M3 1 M2 / M3
2 M2 / M3 2 M2 / M3
3 M2 / M3 3 M2 / M3
4 M2 / M3 4 M2 / M3
5 M2 / M3 5 M2 / M3
6 M2 / M3 6 M2 / M3
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 12
M9 M9
13 13
M9 M9
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M2/3 1 M2/3
2 M2/3 2 M2/3
3 M2/3 3 M2/3
4 M2/3 4 M2/3
5 M2/3 5 M2/3
6 M2/3 6 M2/3
7 M7 7 M7
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
12 M10 12 M10
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 1 M4
2 M4 2 M4
3 M4 3 M4
4 M4 4 M4
5 M5 5 M4
6 M5 6 M5
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M6 11 M6
12 M6 12 M6
13 M6 13 M6
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

1 M2/3 1 M2/3
2 M2/3 2 M2/3
3 M2/3 3 M2/3
4 M2/3 4 M2/3
5 M2/3 5 M2/3
6 M2/3 6 M2/3
7 M7 7 M7
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
12 M10 12 M10
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 1 M4
2 M4 2 M4
3 M4 3 M4
4 M4 4 M4
5 M4 5 M4
6 M5 6 M4
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M6 11 M6
12 M6 12 M6
13 M6 13 M6
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

1 M2 / M3 1 M2 / M3
2 M2 / M3 2 M2 / M3
3 M2 / M3 3 M2 / M3
4 M2 / M3 4 M2 / M3
5 M2 / M3 5 M2 / M3
6 M2 / M3 6 M2 / M3
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 12
M9 M9
13 13
M9 M9
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M2/3 1 M2/3
2 M2/3 2 M2/3
3 M2/3 3 M2/3
4 M2/3 4 M2/3
5 M2/3 5 M2/3
6 M2/3 6 M2/3
7 M7 7 M7
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
12 M10 12 M10
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 1 M4
2 M4 2 M4
3 M4 3 M4
4 M4 4 M4
5 M5 5 M4
6 M5 6 M5
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M6 11 M6
12 M6 12 M6
13 M6 13 M6
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

1 M2/3 1 M2/3
2 M2/3 2 M2/3
3 M2/3 3 M2/3
4 M2/3 4 M2/3
5 M2/3 5 M2/3
6 M2/3 6 M2/3
7 M7 7 M7
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
12 M10 12 M10
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 1 M4
2 M4 2 M4
3 M4 3 M4
4 M4 4 M4
5 M4 5 M4
6 M5 6 M4
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M6 11 M6
12 M6 12 M6
13 M6 13 M6
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

1 M2 / M3 1 M2 / M3
2 M2 / M3 2 M2 / M3
3 M2 / M3 3 M2 / M3
4 M2 / M3 4 M2 / M3
5 M2 / M3 5 M2 / M3
6 M2 / M3 6 M2 / M3
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 12
M9 M9
13 13
M9 M9
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M2/3 1 M2/3
2 M2/3 2 M2/3
3 M2/3 3 M2/3
4 M2/3 4 M2/3
5 M2/3 5 M2/3
6 M2/3 6 M2/3
7 M7 7 M7
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
12 M10 12 M10
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 1 M4
2 M4 2 M4
3 M4 3 M4
4 M4 4 M4
5 M5 5 M4
6 M5 6 M5
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M6 11 M6
12 M6 12 M6
13 M6 13 M6
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

1 M2/3 1 M2/3
2 M2/3 2 M2/3
3 M2/3 3 M2/3
4 M2/3 4 M2/3
5 M2/3 5 M2/3
6 M2/3 6 M2/3
7 M7 7 M7
8 M9 8 M9
9 M9 9 M9
10 M9 10 M9
11 M9 11 M9
12 M10 12 M10
13 M10 13 M10
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10

1 M4 1 M4
2 M4 2 M4
3 M4 3 M4
4 M4 4 M4
5 M4 5 M4
6 M5 6 M4
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M6 11 M6
12 M6 12 M6
13 M6 13 M6
14 M6 14 M6
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9

1 M2 / M3 1 M2 / M3
2 M2 / M3 2 M2 / M3
3 M2 / M3 3 M2 / M3
4 M2 / M3 4 M2 / M3
5 M2 / M3 5 M2 / M3
6 M2 / M3 6 M2 / M3
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 12
M9 M9
13 13
M9 M9
14 M10 14 M10
15 M10 15 M10
16 M10 16 M10
17 M10 17 M10
18 M10 18 M10
Valencia
041052010126
Lawrence
PL untuk pasien bedah (1 pasien 1 pemeriksa)
Jacinda
041052010062
Jesslyn
KIH - SELASA, 1 NOVEMBER 2022

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M4 1 M6
2 M6 2 M6
3 M6 Valencia Lawrence 041052010126 3 M6 Valencia Lawrence 041052010126
PL drg. Albert, Sp. Perio PL drg. Albert, Sp. Perio
Jacinda Jesslyn 041052010062 Jacinda Jesslyn 041052010062
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7 Nia Sevina 41052110109 LK 2 Dr. Dewi Priandini, drg, Sp.PM
8 M7 8 M7 Aneizza Danya P R 041052110013 Kontrol 2 LK2 Dr. Dewi Priandini, drg, Sp.PM
9 M7 9 M7 Adinda Disa M 041052110001 Kontrol 2 LK2 Dr. Dewi Priandini, drg, Sp.PM
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Gabriella Rehuel 041052010054 Dr. drg. Himawan Halim, DMD., MS.,
15 M9 Kontrol FICD., Sp.Ort. 15 M9
Fira Octarina 041052010051
Frida Asima Hutapea 041052010052 Dr. drg. Himawan Halim, DMD., MS.,
16 M9 Kontrol FICD., Sp.Ort. 16 M9
Farah Salsabila 041052010048
Evi Sarmayana 041052010047 Dr. drg. Himawan Halim, DMD., MS.,
17 M9 Kontrol
FICD., Sp.Ort. 17 M9
Fikha Nurfadillah 041052010050
Evangeline Gunawan 041052010046 Dr. drg. Himawan Halim, DMD., MS.,
18 M9 Kontrol
Grace Sabrina 041052010057
Gabriella Tasha 41052010055 Dr. drg. Himawan Halim, DMD.,
19 M9 Insersi alat 19 M9
Febria 041052010049 MS., FICD., Sp.Ort.
Esa bella 041052010045 Dr. drg. Himawan Halim, DMD., MS.,
20 M9 Kontrol
Gabriel rainheart 041052010053
Siti Aisyah 041051800006 drg. Carolina Damayanti Billy Lombardo 041052010025 GTL - Penentuan Relasi
21 M10 Reni
GTL - Kontrol 21 M10 drg. Niko Falatehan, Sp.Pros
KevinFinna A Butarbutar
Zefanya 041051810130 Marpaung, Sp. Pros, PhD Christabhel Aretha
Jonathan Rafel Thomas
Ohary 041052010032
041052010066 Rahang Relasi
GTL - Penentuan
22 M10 Kezia ZivankaGloria
Zahara
041052010071 GTL - Pencetakan ke-1 drg. Hani Yuliasari, Sp. Pros 22 M10 Maria Josephine Poerjoto 041052010077 Rahang
drg. Hani Yuliasari, Sp. Pros
Deo Ananda 041051910027
041052010072 GTC - Indikasi dan drg. Carolina Damayanti Mufidah Nurul Hayati 041052010081
23 M10 Feby 23 M10 GTL - Penyesuaian SCP drg. Nova Adrian, Sp.Pros
DianaFitria
Mayleen 041051910035
041051810040 Pencerakan PertamaRelasi
GTL - Penentuan Marpaung, Sp. Pros, PhD. Sheila Annisa 041052010111
24 M10 Nadhiva
drg. Andy Wirahadikusumah, Sp.Pros 24 M10
JonathanRamadhani
Rafel Ohary 041051810100
041052010066 Rahang Relasi
GTL - Penentuan
25 M10 Maria Josephine
drg. Hani Yuliasari, Sp. Pros 25 M10
Nathania Brenda Poerjoto 041052010077
041051810106 Rahang drg. Carolina Damayanti
26 M10 Siti Umi Fadhilah 041051810142
GTL - Border Moulding
Marpaung, Sp. Pros, PhD 26 M10
27 M4 Justine Clau 041051910065 Kontrol Pasca Ekstraksi drg. Yessy Ariesanti, Sp. BM
Juanita (Asisten) 041051910064
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 Afifah Yumna Dhaniar 041052010003 LK3 drg. Firstine Kelsi, MClinDent, Sp. 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
Sarah Tiara Haryanto 041052010113 Visit pertama (Cetak rahang,
16 M9 rontgen, dan pengisian Dr. drg. Yohana Yusra, M.Kes. 16 M9
Reynalda Oktaviani 041052010103 status)
Richard Manuel 041052010105
17 M9 Insersi alat Dr. drg. Yohana Yusra, M.Kes. 17 M9
Rosmalinda Suryani 041052010111
18 M9 18 M9
Meliani 041052010079 Visit pertama (Cetak rahang,
19 M9 rontgen, dan pengisian Dr. drg. Harryanto Wijaya, M.Kes. 19 M9
Laidy Aretha L.O 041052010073 status)
20 M9 20 M9
Siti Aisyah 041051800006 drg. Carolina Damayanti Billy Lombardo 041052010025 GTL - Penentuan Relasi
21 M10 Reni Finna A Butarbutar 041051810130 GTL - Kontrol Marpaung, Sp. Pros, PhD 21 M10 Christabhel Aretha Thomas 041052010032 Rahang Relasi drg. Niko Falatehan, Sp.Pros
Kevin Zefanya Jonathan Rafel Ohary 041052010066 GTL - Penentuan
22 M10 KeziaAnanda
ZivankaGloria
Zahara
041052010071 GTL - Pencetakan ke-1 drg. Hani Yuliasari, Sp. Pros 22 M10 Maria Josephine Poerjoto 041052010077 Rahang drg. Hani Yuliasari, Sp. Pros
Deo 041051910027
041052010072 GTC - Indikasi dan drg. Carolina Damayanti Mufidah Nurul Hayati 041052010081
23 M10 Feby Fitria 041051910035 Pencerakan PertamaRelasi Marpaung, Sp. Pros, PhD. 23 M10 Sheila Annisa 041052010111 GTL - Penyesuaian SCP drg. Nova Adrian, Sp.Pros
Diana Mayleen 041051810040 GTL - Penentuan
24 M10 Nadhiva Ramadhani 041051810100 Rahang Relasi drg. Andy Wirahadikusumah, Sp.Pros 24 M10
Jonathan Rafel Ohary 041052010066 GTL - Penentuan
25 M10 Maria Josephine drg. Hani Yuliasari, Sp. Pros 25 M10
Nathania Brenda Poerjoto 041052010077
041051810106 Rahang drg. Carolina Damayanti
26 M10 Siti Umi Fadhilah 041051810142 GTL - Border Moulding Marpaung, Sp. Pros, PhD 26 M10
KIH - RABU, 2 November 2022

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6 Fira Octarina 041052010051
Scaling Manual
Apsari
RichardGaluh
ManuelCahyaningrum041052010020
2 M6 2 M6 Scaling Manual
Melisa Putri Usboko 041052010080
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7 Eveline Michelle 41052110049 Kontrol LK 3 Dr. Dewi Priandini, drg, Sp.PM
Trinantio
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Cynthia Tandjaja 041042000003
15 M9 Kontrol drg. Harris Gadih Pratomo, Sp.Ort. 15 M9
Maria Verena Emeralda 041052000009
Jesslyn Nathania Sundiharja Putri 041051910063
16 M9 Kontrol Dr. drg. Yohana Yusra, M.Kes. 16 M9
Justine Clau Sevany 041051910065
afifah refiana dewi 41052010002
17 M9 Kontrol drg. Olivia Piona Sahelangi, Sp.Ort. 17 M9
Alyafi Novidhiyani 41052010009
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Chelsea Riady 041052010031 drg. Aditya Pratama Sarwono, MH, Holie Fransiski 041052010061
21 M10 Devina Arista
GTL - Kontrol 21 M10 GTL - Pencetakan Pertama drg. Nova Adrian, Sp.Pros
Joanna NadiaSuhendro
Sumaji 041052010039
041052010065 GTL - Penentuan Relasi MARS, Sp.Pros GabriellaNadia
Joanna TashaSumaji 041052010055
041052010065 GTL - Penentuan Relasi
22 M10 drg. Hani Yuliasari, Sp. Pros 22 M10 drg. Hani Yuliasari, Sp. Pros
Julia Mustopa 041052010068 Rahang Julia
AnggunMustopa
Hermawati 041052010068
041052010013 Rahang
23 M10 23 M10 GTL - Try In drg. Niko Falatehan, Sp.Pros
Aries Kurniawan
041052010066
24 M10 24 M10 Maria Josephine Poerjoto 041052010077
GTL - Penentuan Relasi Rahang
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Maria Verena Emeralda 041052000009
15 M9 Kontrol drg. Harris Gadih Pratomo, Sp.Ort. 15 M9
Cynthia Tandjaja 0410520000003
Nikita 041051900008
16 M9 Kontrol Dr. drg. Harryanto Wijaya, M.Kes. 16 M9
Hana Fauziyah 041051900004
Nikita 041051900008
Laidy Aretha Lexandra Ongkaruna 041052010073 Visit pertama (Cetak
18 M9 rahang, rontgen, dan Dr. drg. Harryanto Wijaya, M.Kes. 18 M9
Meliani 041052010079 pengisian status)
19 M9 19 M9
20 M9 20 M9
Chelsea Riady 041052010031 drg. Aditya Pratama Sarwono, MH, Holie Fransiski 041052010061
21 M10 Devina GTL - Kontrol 21 M10 GTL - Pencetakan Pertama drg. Nova Adrian, Sp.Pros
JoannaArista
NadiaSuhendro
Sumaji 041052010039
041052010065 GTL - Penentuan Relasi MARS, Sp.Pros Gabriella TashaSumaji
Joanna Nadia 041052010055
041052010065 GTL - Penentuan Relasi
22 M10 Julia Mustopa 041052010068 Rahang drg. Hani Yuliasari, Sp. Pros 22 M10 Julia Mustopa 041052010068 Rahang drg. Hani Yuliasari, Sp. Pros
23 M10 23 M10 Anggun Hermawati 041052010013 drg. Niko Falatehan, Sp.Pros
GTL - Try In
Aries Kurniawan
041052010066
24 M10 24 M10 GTL - Penentuan Relasi Rahang
Maria Josephine Poerjoto 041052010077
25 M10 25 M10
26 M10 26 M10
KIH - KAMIS, 3 November 2022

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 Deandra Carissa Nurhasinah Wiriawan
041052010037 Pemeriksaan Lengkap 1 M6 Louis Zaelani 041052010074
Scaling Manual
The Gabriella Rosetika
Nikita '041052010123
041051900008 Visit 2 drg. Ricky Anggara P., Sp. Perio Michelle
Kiara TedjaAzuri
Maulika 041052010082
2 M6 Kontrol pasca Kuretase 2 M6 Scaling Manual
Naura Lindy Azhara 041051910094 Laidy Aretha
Carissa TanyaLexandra Ongkaruna
041052010073
041052010026
3 M6 3 M6 Scaling Manual
Jacinda Jesslyn
Yonathan 041052010062
4 M6 4 M6 Kontrol Pasca Bedah
Rinda Rentia Angreani 041051910103
5 M6 5 M6
6 M6 6 M6
7 M7 Aries Kurniawan *041052010021 LK3 drg. Enny Marwati Suwandi, 7 M7 Cici Viorina Lestari 41052010033 LK 3 drg. Andrian N.Fitri, Sp.PM
Mkes, Sp. PM
8 M7 8 M7 Grace Sabrina Ciputra 041052010057 LK 2 drg. Andrian N.Fitri, Sp.PM
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Andiko Dimas 041051810011 drg. Andy Wirahadikusuma Claresta Febristi 041051900003
21 M10 GTL - try in 21 M10 GTL - Try in drg. Niko Falatehan, Sp.Pros
Nabila Shahnaz
Deo Ananda Gloria 041051810099
041051910027 GTC - Indikasi Sp.pros
drg. Carolina Damayanti Christ
Vanessa Stephan Liem
Evangelista 041051900002
041052010128 drg. IGA Ratih Utari Mayun, Sp.
22 M10 22 M10 GTL- Indikasi
Feby Fitria
Siti Aisyah 041051910035
041051800006 dan Pencerakan Pertama Marpaung, Sp.Damayanti
drg. Carolina Pros, PhD. Venny
Vania Andriani 041052010130
041052010129 Pros
23 M10 041051810130 GTL - Kontrol Marpaung, Sp. Pros, PhD 23 M10 Viola GTL - Indikasi drg. IGA Ratih Utari Mayun, Sp. Pros
24 M10
Reni Finna A
Sinta Natalina Millenia L 041052010118 24 M10 ValleriSerena Saptari
Wijatmo 041052010134
GTL - Indikasi drg. Isya Hanin, Sp. Pros. GTL- Indikasi
Tika Savira
Nathania Ibrahim
Brenda 041052010124
041051810106 drg. Carolina Damayanti Wirdha SalsabilaSidharta 041052010137
Aristya Julianto 041051910007 Pros
25 M10 041052010073 GTL - Border Moulding
041051810142 Marpaung, Sp. Pros, PhD 25 M10 GTL-Insersi drg. Eka Seftiana Indah Sari, Sp. Pros
Siti
LaidyUmi Fadhilah
Aretha Lexandra O. Chiara Tania 041051910016
26 M10 Griselda Ananda GTL - Pencetakan 1 drg. Hani Yuliasari, Sp. Pros 26 M10
041052010058
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
drg. Enny Marwati Suwandi,
8 M7 Nada Fitria 041052110102 LK-1 8 M7
M.Kes.
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Vita Fredlinata 041052010135
15 M9 Kontrol Dr. drg. Johan Arief Budiman, Sp. Ort. 15 M9
Vincent Aries Fernando 041052010132
Vita Fredlinata 041052010135
Yohana Dela Derinda 041051910133
William David Jan 041051910131
Vincentius Malvin Sugijono 041052010133 Visit pertama (Cetak
18 M9 rahang, rontgen, dan Dr. drg. Johan Arief Budiman, Sp. Ort. 18 M9
Yolanda Veronika Thionadewi 041052010139 pengisian status)
19 M9 19 M9
20 M9 20 M9
Andiko Dimas 041051810011 drg. Andy Wirahadikusuma Claresta Febristi 041051900003
21 M10 GTL - try in 21 M10 GTL - Try in drg. Niko Falatehan, Sp.Pros
Nabila
Deo Shahnaz
Ananda Gloria 041051810099
041051910027 GTC - Indikasi Sp.pros
drg. Carolina Damayanti Christ Stephan
Vanessa Liem
Evangelista 041051900002
22 M10 22 M10 GTL- Indikasi
FebyAisyah
Siti Fitria 041051910035 dan Pencerakan Pertama
041051800006 Marpaung, Sp.Damayanti
drg. Carolina Pros, PhD. Venny
Vania Andriani 041052010130
041052010129 Pros
23 M10 GTL - Kontrol 23 M10 GTL - Indikasi drg. IGA Ratih Utari Mayun, Sp. Pros
Reni Finna
Sinta A Millenia L
Natalina 041051810130
041052010118 Marpaung, Sp. Pros, PhD Viola Serena
Valleri Saptari
Wijatmo 041052010134
24 M10 GTL - Indikasi drg. Isya Hanin, Sp. Pros. 24 M10 GTL- Indikasi
Tika Savira
Nathania Ibrahim
Brenda 041052010124
041051810106 drg. Carolina Damayanti Wirdha Julianto
Aristya SalsabilaSidharta 041051910007
041052010137 Pros
25 M10 25 M10
Siti Umi
Laidy Fadhilah
Aretha Lexandra O. 041051810142 GTL - Border Moulding
041052010073 Marpaung, Sp. Pros, PhD Chiara Tania 041051910016
GTL-Insersi drg. Eka Seftiana Indah Sari, Sp. Pros
26 M10 Griselda Ananda
GTL - Pencetakan 1 drg. Hani Yuliasari, Sp. Pros 26 M10
041052010058
KIH - JUMAT, 4 November 2022

Shift 1: 08.00 - 09.30 Shift 3: 13.00 - 14.15
Justine Clau 041051910065
1 M4 Kontrol Pasca Ekstraksi drg. Yessy Ariesanti, Sp. BM 1 M5
Karina WIdjaja (Asisten) 041051910067
2 M5 2 M5
3 M6 Shofiyah Salsabila 041052010117 3 M6
Scaling Manual drg. Mikha Sundjojo, Sp. Perio
Ribkah Christie
Elvinadaya Hatmanti
Ariefa Putri 041052100018
041052010044
4 M6 Kontrol desentisasi 4 M6
Nadya Maria Fransisca 041051910089
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
Prof. Rahmi Amtha,
11 M7 Caroline 041052010027 Kontrol LK 3 11 M7
drg,MDS,Sp.PM, PhD
Prof. Rahmi Amtha,
12 M7 Alyafi Novidhiyani 041052010009 Kontrol LK 3 drg,MDS,Sp.PM, PhD 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
Namirah Putry 041052000010 Visit pertama (Cetak
17 M9 17 M9 rahang, rontgen, dan drg. Riko Nofrizal, Sp.Ort.
Thesya dhyah 041052000012 pengisian status)
Pramudita 041051910099
18 M9 18 M9 Kontrol drg. Riko Nofrizal, Sp.Ort.
19 M9 19 M9
20 M9 20 M9
21 M9 21 M9
22 M10 The Gabriella Rosetika 041052010123 GTL - Indikasi drg. Isya Hanin, Sp. Pros 22 M10 Holie Fransiski 041052010061
Syifa Yanti
Rakhmatul GTL - Pencetakan Perta drg. Nova Adrian, Sp.Pros
Sofia Sari Ummah 041052010121
041051910115 Gabriella
Feby FitriaTasha
Hidayah 041052010055
041051910035
23 M10 Heidi Amanda 041051910045
GTL - Penentuan Relasi Rahang drg. Sharren Teguh, Sp. Pros 23 M10 Nabila Tazkia 041051910087
GTL - Try In drg. Nova Adrian, Sp. Pros
Gabriella Rehuel 041052010054
24 M10 Fira Octarina 041052010051 GTL - pencetakan pertama drg. Sharren Teguh, Sp. Pros 24 M10
Dionicia Calcavechia 041051810042
25 M10 Mahatia Hardin 041051910075 GTL - pencetakan pertama drg. Sharren Teguh, Sp. Pros 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.45 - 16.00

1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
Prof. Rahmi Amtha,
11 M7 Kelvin Suryajaya 041052010069 Kontrol LK 2 11 M7
drg,MDS,Sp.PM, PhD
Prof. Rahmi Amtha,
12 M7 Cici viorina lestari 41052010033 Kontrol LK 2 12 M7
drg,MDS,Sp.PM, PhD
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
17 M9 Kontrol drg. Riko Nofrizal, Sp.Ort. 17 M9
Pramudita 041051910099
Valencia Lawrence 41052010126 Visit pertama (Cetak
18 M9 rahang, rontgen, dan drg. Riko Nofrizal, Sp.Ort. 18 M9
Vanessa Evangelista 041052010128 pengisian status)
19 M9 19 M9
20 M9 20 M9
21 M9 21 M9
22 M10 The Gabriella Rosetika 041052010123 GTL - Indikasi drg. Isya Hanin, Sp. Pros 22 M10 Holie Fransiski 041052010061
GTL - Pencetakan Pertama drg. Nova Adrian, Sp.Pros
Syifa Rakhmatul
Sofia Yanti Sari Ummah 041052010121
041051910115 Gabriella
Feby FitriaTasha
Hidayah 041052010055
041051910035
23 M10 Heidi Amanda 041051910045
GTL - Penentuan Relasi Rahang drg. Sharren Teguh, Sp. Pros 23 M10 Nabila Tazkia 041051910087
GTL - Try In drg. Nova Adrian, Sp. Pros
Gabriella Rehuel 041052010054
24 M10 Fira Octarina 041052010051
GTL - pencetakan pertama drg. Sharren Teguh, Sp. Pros 24 M10
Dionicia Calcavechia 041051810042
25 M10 Mahatia Hardin 041051910075
GTL - pencetakan pertama drg. Sharren Teguh, Sp. Pros 25 M10
26 M10 26 M10
KIH - SENIN, 7 November 2022

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
Prof. Rahmi Amtha, drg,MDS,Sp.PM,
7 M7 7 M7 Winnie Valentini 041052110157 Kontrol lk2
PhDdrg,MDS,Sp.PM,
Prof. Rahmi Amtha,
8 M7 8 M7 Aries Kurniawan *041052010021 Kontrol lk2
PhDdrg,MDS,Sp.PM,
Prof. Rahmi Amtha,
9 M7 9 M7 Githa Adela Febriyanti 041052110061 Kontrol LK 2 PhDdrg,MDS,Sp.PM,
Prof. Rahmi Amtha,
10 M7 10 M7 Lidia Santoso 41052110090 LK 1 PhD
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Helsa Alyayuan 41051910047
15 M9 Kontrol Dr. drg. Joko Kusnoto, MS., Sp.Ort. 15 M9
Giovanna Joan Widjaja 041051910039
Caroline 41052010027 drg. Fajar H. Nasution, Sp.Ort.,
Caroline Septiani 041052010028 PhD.
Afifah Yumna Dhaniar 041052010003 drg. Olivia Piona Sahelangi,
17 M9 Visit pertama (Cetak rahang 17 M9
Anggun Hermawati 041052010013 Sp.Ort.
Caroline Septiani 041052010028 drg. Fajar H. Nasution, Sp.Ort.,
Caroline 41052010027 PhD.
Viola Wanda Aini 041052000014 drg. Fajar H. Nasution, Sp.Ort.,
Nosyafira Andesya 041052000011 PhD.
Alyafi Novidhiyani 041052010009 drg. Olivia Piona Sahelangi,
Afiifah Refiana Dewi 041052010002 Sp.Ort.
Regita Noor Hanifa 041052010099 GTL - Pencetakan drg. Andy Wirahadikusumah, Faadiyah Nisa 041051910032
21 M10 Reinhart Christian Sp.Pros 21 M10 Cindy Stevany 041051910020 GTL - Try In drg. IGA Ratih Utari Mayun, Sp. Pros
041052010100 Pertama
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
Putri Graesya Melani Prof. Rahmi Amtha, drg,MDS,Sp.PM,
7 M7 Edward 41052110043 LK-2 drg. Andrian N.Fitri, Sp.PM 7 M7 041052110121 Kontrol LK-2
Octavianus
Sheilaz Augusty PhDdrg,MDS,Sp.PM,
Prof. Rahmi Amtha,
8 M7 8 M7 041052110133 Kontrol LK-2
Muliawan PhD
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Regita Noor Hanifa 041052010099 GTL - Pencetakan drg. Andy Wirahadikusumah, Faadiyah Nisa 041051910032
21 M10 Reinhart Christian Sp.Pros 21 M10 Cindy Stevany 041051910020 GTL - Try In drg. IGA Ratih Utari Mayun, Sp. Pros
041052010100 Pertama
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
KIH - SELASA, 8 November 2022

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6 Aries Kurniawan 041052010021
Scalling Manual
Evelline Michelle
The Gabriella T
Rosetika 041052110049
041052010123
2 M6 2 M6 Scaling Manual drg. Ricky Anggara P., Sp. Perio
Deandra Cassina N 041052010037
drg. Ricky Anggara P., Sp. Perio
3 M6 3 M6 Agustina Putri Rahayu 041051910003
PL untuk pasien bedah, 1
Jeremia Armi Wijaya 041052010064
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Yusika Br Purba 41052010141
Yusika Br Purba 041052010141
Anggun Hermawati 041052010013 drg. Olivia Piona Sahelangi,
Afifah Yumna Dhaniar 041052010003 Sp.Ort.
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 Charyne Allika Savitri 041051910014GTL - Penentuan Relasi Rahang
drg. Andy Wirahadikusumah, Sp.Pros 21 M10 Billy Lombardo 041052010025 drg. Niko Falatehan, Sp.Pros
Rut Christy 041051910106 Christabhel Aretha Thomas041052010081
041052010032 GTL - Try In
22 M10 22 M10 Mufidah Nurul Hayati
GTL - Border Moulding drg. Nova Adrian, Sp.Pros
Sheila Annisa
Brandon Winaldy 041052010111
041052100003
23 M10 23 M10 Isnaeni Kurniawati 041052100004 GTL - Relasi Rahang drg. Niko Falatehan, Sp.Pros
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
drg. Firstine Kelsi, MClinDent,
7 M7 Evangelista Rachel Hepziba 41052110048 LK 1 7 M7
Sp.PM
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Esa Bella 41052010045 Dr. drg. Himawan Halim, DMD.,
15 M9 Kontrol 15 M9
Gabriel Rainheart 041052010053 MS., FICD., Sp.Ort.
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Charyne Allika Savitri 041051910014 Billy Lombardo 041052010025
21 M10 Rut Christy 041051910106GTL - Penentuan Relasi Rahang
drg. Andy Wirahadikusumah, Sp.Pros 21 M10 Christabhel Aretha Thomas041052010032 GTL - Try In drg. Niko Falatehan, Sp.Pros
22 M10 22 M10 Mufidah Nurul Hayati 041052010081
GTL - Border Moulding drg. Nova Adrian, Sp.Pros
Sheila
BrandonAnnisa
Winaldy 041052010111
041052100003
23 M10 23 M10 Isnaeni Kurniawati 041052100004 GTL - Relasi Rahang drg. Niko Falatehan, Sp.Pros
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6 Farah Salsabila 041052010048
Scaling manual
Helena
Ria GitaAgustin
Velina Vania 041052010060 PL untuk pasien bedah
2 M6 2 M6
Selly Monica 041052010116 (1 pasien 1 pemeriksa)
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Gabriel Rainheart 41052010053 Dr. drg. Himawan Halim, DMD., Maria Verena Emeralda 041052000009
15 M9 Kontrol 15 M9 Kontrol drg. Harris Gadih Pratomo, Sp.Ort.
Esa Bella 041052010045 MS., FICD., Sp.Ort. Cynthia Tandjaja 041052000003
Frida Asima Hutapea 041052010052 Dr. drg. Himawan Halim, DMD.,
16 M9 Kontrol 16 M9
Farah Salsabila 041052010048 MS., FICD., Sp.Ort.
Grace sabrina ciputra 041052010057 Dr. drg. Himawan Halim, DMD.,
17 M9 Kontrol 17 M9
MS., FICD., Sp.Ort.
Gabriella Rehuel 041052010054 Dr. drg. Himawan Halim, DMD.,
18 M9 Kontrol 18 M9
Fira Octarina 041052010051 MS., FICD., Sp.Ort.
Gerald Avila johannes 041052010056 Dr. drg. Himawan Halim, DMD.,
19 M9 Kontrol 19 M9
Evi Sarmayana 041052010047 MS., FICD., Sp.Ort.
Febria 41052010049 Dr. drg. Himawan Halim, DMD.,
20 M9 Insersi Alat 20 M9
Gabriella tasha 041052010055 MS., FICD., Sp.Ort.
21 M10 Novita Dwi Nur'aini 041052010093 GTL - Border Moulding drg. Andy Wirahadikusumah, 21 M10
Redha PutriPriliana
Ni Komang Wiranda 041052010098
041052010090 Sp.Pros
22 M10 Rahmadisya Putri Hapsari 041052010096
GTL - Pencetakan Pertama drg. Andy Wirahadikusumah, Sp.Pros 22 M10
Regita Noor Hanifa 041052010099
23 M10 Reinhart Christian 041052010100
GTL - Pencetakan Pertama drg. Andy Wirahadikusumah, Sp.Pros 23 M10
Hanifan Aulia 041052010059
24 M10 Jeremia ArmiBerlianti
Wijaya 041052010064 GTL - Border Moulding drg. Hani Yuliasari, Sp. Pros 24 M10
Tengku Elisa 041052010122
25 M10 Shofiyah Salsabila 041052010117
GTL - Border Moulding drg. Isya Hanin, Sp.Pros 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Faadiyah Nisa 41051910032 drg. Olivia Piona Sahelangi,
15 M9 Kontrol 15 M9
Gisela Naomy Ayudia 41051910040 Sp.Ort.
Vanessa Evangelista 041052010128 Visit pertama (Cetak
Valencia Lawrence 041052010126 pengisian status)
Nikita 041051900008
Cynthia Tandjaja 041052000003 drg. Harris Gadih Pratomo,
18 M9 Kontrol 18 M9
Maria Verena Emeralda 041052000009 Sp.Ort.
Nikita 041051900008
20 M9 20 M9
Novita Dwi Nur'aini 041052010093 drg. Andy Wirahadikusumah,
21 M10 Redha PutriPriliana
Wiranda 041052010098 GTL - Border Moulding Sp.Pros 21 M10
Ni Komang 041052010090
22 M10 Rahmadisya Putri Hapsari 041052010096 GTL - Pencetakan Pertama drg. Andy Wirahadikusumah, Sp.Pros 22 M10
Regita Noor Hanifa 041052010099
23 M10 ReinhartAulia
Christian 041052010100 GTL - Pencetakan Pertama drg. Andy Wirahadikusumah, Sp.Pros 23 M10
Hanifan 041052010059
24 M10 Jeremia Armi Wijaya 041052010064 GTL - Border Moulding drg. Hani Yuliasari, Sp. Pros 24 M10
Tengku Elisa Berlianti 041052010122
25 M10 Shofiyah Salsabila 041052010117 GTL - Border Moulding drg. Isya Hanin, Sp.Pros 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6 Ulfina Fitriani 041051910125
scaling manual
Nadya Maria Fransiska
Aneizza Danya P R 041051910089
041052110013
2 M6 2 M6 Scaling Manual drg. Albert, Sp. Perio
Ivana Agustin
Vincentius Gozali
Malvin Sugijono041052110068
041052010133
3 M6 3 M6 PL
CarolineFerdiana
Jennifer Septiani 041052010028
041052110073
4 M6 4 M6 Scaling manual
Lidia santoso
Sofia Yanti Sari 041052110090
5 M6 5 M6 Pemeriksaan Poket
Rut Christy 041051910106
6 M6 6 M6
7 M7 Esa Bella 041052010045 LK3 Drg. Enny Marwati Suwandi, 7 M7
M.Kes
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Wilson Edric 041052010136
Zaldy Farhan Adis 041052010142
Zaldy Farhan 041052010142
Wilson Edric 041052010136
Richentya Feiby Salim 041052010106
Ricky Chandra Jaya Soen 041052010107
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Siti Aisyah 041051800006 drg. Carolina Damayanti
21 M10 GTL - Kontrol 21 M10
Reni Finna
Claresta A
Febristi 041051810130
041051900003 Marpaung, Sp.Pros, PhD
22 M10 Christ Stephan Liem 041051900002 GTL - Insersi drg. Niko Falatehan, Sp.Pros 22 M10
Aristya Julianto Sidharta 041051910007
23 M10 Chiara GTL - Kontrol drg. Eka Seftiana,Sp.Pros 23 M10
ImeldaTania
Darmawan 041051910016
041051910054
24 M10 GTL - Try In drg. Eka Seftiana,Sp.Pros 24 M10
CynthiaDwi
Novita Priscilla
Nur'aini 041051910024
041052010093 drg. Andy Wirahadikusumah,
25 M10 GTL - pencetakan kedua 25 M10
Redha Putri Wiranda 041052010098 Sp.Pros
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 Devina Arista Suhendro 041052010039 LK3 7 M7
Sp.PM
8 M7 Devina Arista Suhendro 041052010039 LK3 8 M7
9 M7 Esa Bella 041052010045 LK2 drg. FirstineSp.PM
Kelsi, MClinDent, 9 M7
Sp.PM
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Cindy Kovianti 041052110031 drg. Harris Gadih Pratomo,
Haifa Nur Afifah Herlan 041052110062 Sp.Ort.
Yohana Dela Derinda 041051910133
William David Jan 041051910131
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Siti Aisyah 041051800006 drg. Carolina Damayanti
21 M10 Reni Finna A 041051810130 GTL - Kontrol Marpaung, Sp.Pros, PhD 21 M10
Claresta Febristi 041051900003
22 M10 Christ GTL - Insersi drg. Niko Falatehan, Sp.Pros 22 M10
AristyaStephan Liem
Julianto Sidharta 041051900002
041051910007
23 M10 Chiara GTL - Kontrol drg. Eka Seftiana,Sp.Pros 23 M10
ImeldaTania
Darmawan 041051910016
041051910054
24 M10 GTL - Try In drg. Eka Seftiana,Sp.Pros 24 M10
CynthiaDwi
Novita Priscilla
Nur'aini 041051910024
041052010093 drg. Andy Wirahadikusumah,
25 M10 GTL - pencetakan kedua 25 M10
Redha Putri Wiranda 041052010098 Sp.Pros
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 13.00 - 14.15
1 M5 1 M5
2 M5 2 M5
3 M6 Richentya Feiby Salim 041052010106 3 M6
Pemeriksaan Lengkap Visit
Caroline
Muthi Septiani
Mahira 041052010028
4 M6 Scalling manual 4 M6
Zelia Joanna
Apsari GaluhAurellia Ramba
Cahyaningrum 041052010143
041052010020
5 M6 Pemeriksaan Lengkap Visit 5 M6
GabriellaMichelle
Eveline Rehuel Trinantio 041052010054
6 M6 Scaling Manual 6 M6
Laura Emily Sulistyo 041052110087
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
Visit pertama (Cetak Yolanda Veronika Thion 041052010139 Visit pertama (Cetak
17 M9
rahang, rontgen, dan drg. Fajar H. Nasution, Sp.Ort., 17 M9 rahang, rontgen, dan Dr. drg. Johan Arief Budiman, Sp.
Billy Lombardo 041052010025 pengisian status) PhD. Vincentius Malvin Sugijo041052010133 pengisian status) Ort.
Visit pertama (Cetak
Billy Lombardo 041052010025 drg. Fajar H. Nasution, Sp.Ort., Linda Pratiwi 041051900006 Dr. drg. Johan Arief Budiman, Sp.
18 M9 rahang, rontgen, dan 18 M9 Insersi alat Ort.
Aries Kurniawan 041052010021 pengisian status) PhD. Claresta Febristi 041051900003
19 M9
Rahayu Putri Andini 041051910101
19 M9
Anniza Bellarisi Cantika 041051900009 Dr. drg. Johan Arief Budiman, Sp.
Kontrol drg. Riko Nofrizal, Sp.Ort. Insersi alat Ort.
Novyca 041051910097 Linda Pratiwi 04105190006
20 M9 20 M9 Kontrol drg. Riko Nofrizal, Sp.Ort.
Pramudita wiyani 041051910099
Vania Andriani 041052010129 Visit pertama (Cetak
21 M9 21 M9 rahang, rontgen, dan drg. Harris Gadih Pratomo, Sp.Ort.
Sasha Wiradjaja 041052010114 pengisian status)
Mutiara Risa Anggriani 041051910085 Gabriel Rainheart 041052010053
22 M10 Shelly Dhiafira 041051910112 GTL - Try in drg. Isya Hanin, Sp. Pros 22 M10 Apriliani Taufik 041052010019 GTL - Pencetakan Pertama drg. Eka Seftiana,Sp.Pros
Diana Mayleen 041051810040 Annami Reza Gustitine 041052010015
23 M10 Nadhiva Ramadhani 041051810100
GTL - Try in drg. Andy Wirahadikusumah, Sp. Pros. 23 M10 Azkia Raihani 041052010023 GTL - Pencetakan Pertama drg. Eka Seftiana,Sp.Pros
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.45 - 16.00
1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
Pramudita Wiyani Putri 041051910099
17 M9 Cetak Evaluasi drg. Riko Nofrizal, Sp.Ort. 17 M9
Tengku Elisa Berlianti 041052010122 Visit pertama (Cetak
Sonia Lovian 041052010119 pengisian status)
Rossa El Febiana 41051910105
20 M9 20 M9
21 M9 21 M9
Mutiara Risa Anggriani 041051910085 Gabriel Rainheart 041052010053
22 M10 Shelly Mayleen
Dhiafira 041051910112 GTL - Try in drg. Isya Hanin, Sp. Pros 22 M10 AprilianiReza
Taufik 041052010019 GTL - Pencetakan Pertama drg. Eka Seftiana,Sp.Pros
Diana 041051810040 Annami Gustitine 041052010015
23 M10 Nadhiva Ramadhani 041051810100
GTL - Try in drg. Andy Wirahadikusumah, Sp. Pros. 23 M10 Azkia Raihani 041052010023 GTL - Pencetakan Pertama drg. Eka Seftiana,Sp.Pros
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
drg. Firstine Kelsi, M.ClinDent, drg. Firstine Kelsi, MClinDent., Sp.
7 M7 Afifah Yumna Dhaniar *041052010003 Kontrol LK3 7 M7 Tirza Oktarina Setiabudi 041052110150 LK1
Sp.PM PM
8 M7 8 M7 Juan Justin John 041052110078 LK1 drg. Andrian Nova Fitri, Sp. PM
drg. Firstine Kelsi, MClinDent., Sp.
9 M7 9 M7 Gillian Grace Gandha 041052110060 LK1 PM
10 M7 10 M7 Nadya Putri Harsono 041052110103 LK 2 drg. Andrian Nova Fitri, Sp. PM
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Gerald avila Johannes 041052010056 Dr. drg. Himawan Halim, DMD.,
15 M9 Kontrol 15 M9
MS., FICD., Sp.Ort.
Gabriella Rehuel 042052010054 Dr. drg. Himawan Halim, DMD.,
16 M9 Kontrol 16 M9
Fira Octarina 042052010051 MS., FICD., Sp.Ort.
17 M9 Kontrol 17 M9
18 M9 Kontrol 18 M9
Natalia Silaban 041052010088 Dr. drg. Joko Kusnoto, MS.,
Rahmadisya Putri Hapsari 041052010096 Sp.Ort.
Rahmadisya Putri Hapsari 041052010096 Dr. drg. Joko Kusnoto, MS.,
Natalia Silaban 041052010088 Sp.Ort. Risha Nadira Tyatana
21 M10 Jonathan Rafel Ohary *041052010066 GTC - Indikasi & drg. James Handojo, Sp.Pros 21 M10 Sasqia Faadillah Andikoputri
041052010109
GTL - Pencetakan Pertama drg. Nova Adrian,Sp.Pros
Maharany Bulan Putri *041052010075 Pencetakan Pertama 041052010115
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 Azira Salsabila Afifah 041052110024 LK1 drg. Andrian Nova Fitri, Sp. PM 8 M7
9 M7 Kiara Farvianata Alimah Rindani 41052110084 LK1 drg. Andrian Nova Fitri, Sp. PM 9 M7
10 M7 Rizka Usi Nadhifa 041052110127 LK 3 10 M7
Sp.PM
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Afifah Refiana Dewi 041052010002 drg. Olivia Piona Sahelangi,
15 M9 Kontrol 15 M9
Alyafi Novidhiyani 041052010009 Sp.Ort.
Nikita Theodorus 041052010091 Dr. drg. Joko Kusnoto, MS.,
16 M9 Kontrol 16 M9
Reinhart Christian 041052010100 Sp.Ort.
Hamidah Oktafiani 41051910042 drg. Olivia Piona Sahelangi,
Gading Shaiki Kuri 041051910038 Sp.Ort.
Aneizza Danya Puteri R 41052110013 Visit pertama (Cetak drg. Olivia Piona Sahelangi,
18 M9 rahang, rontgen, dan 18 M9
Alexander Richard S 041052110005 pengisian status) Sp.Ort.
19 M9 Cetak Evaluasi Dr. drg. Yohana Yusra, M.Kes. 19 M9
Jesslyn Nathania S. P 041051910063
Rosmalinda Suryani 041052010111 Risha Nadira Tyatana
Jonathan Rafel Ohary *041052010066 GTC - Indikasi & 041052010109
21 M10 drg. James Handojo, Sp.Pros 21 M10 Sasqia Faadillah Andikoputri GTL - Pencetakan Pertama drg. Nova Adrian,Sp.Pros
Maharany Bulan Putri *041052010075 Pencetakan Pertama 041052010115
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 Cindy Kovianti 041052110031 1 M6 Sasqia Faadillah Andikoputri
041052010115
Scalling Manual Dr. Drg. Trijani Suwandi, Sp. Perio scaling manual
Jennifer Ferdiana 041052110073 Ribkah Christie Hatmanti 041052010049
Febria 041052100018
2 M6 2 M6 Skeling manual drg. Ricky Anggara Putranto, Sp. Perio
CarissaNovidhiyani
Alyafi Tanya 041052010026
041052010009
3 M6 3 M6 Scalling Manual 1
Apsari Galuh Cahyaningrum041052010020
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7 Cici viorina lestari 041052010033 Kontrol LK 3 drg. Andrian Nova Fitri, Sp. PM
drg. Firstine Kelsi, MClinDent, Sp.
8 M7 8 M7 marko ariawan 41051810089 LK 3 PM
9 M7 9 M7 Shannon Winnie Susanto 41052101132 LK 1 drg. Firstine Kelsi, MClinDent, Sp.PM
10 M7 10 M7 Grace Sabrina Ciputra 041052010057 Kontrol LK 2 drg. Andrian Nova Fitri, Sp. PM
11 M7 11 M7 Mohammad Reza Firdaus 41052110098 LK 3 drg. Firstine Kelsi, MClinDent, Sp. PM
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Claresta Febristi 041051900003 Nosyafira Andesya 041052000011 drg. Fajar H. Nasution, Sp.Ort.,
15 M9 Insersi Alat 15 M9 Insersi Alat
Anniza Bellarisi 041051900009 Viola Wanda Aini 041052000014 PhD.
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Deo Ananda Gloria 041051910027 drg. Carolina Damayanti Agnella Gwenisa 041051910002 drg. I G A Ratih Utari Mayun, Sp.
21 M10 GTC - Indikasi & Pencetakan Pertama Marpaung, Sp. Pros, PhD 21 M10 GTL - Insersi
Feby
NauraFitria
Lindy Azhara 041051910035
041051910094 Rinda RentiaHidayah
Feby Fitria Angreani 041051910103
041051910035 Pros
22 M10 GTL - Try In drg. I G A Ratih Utari Mayun, Sp. Pros 22 M10 GTL - Insersi drg. Nova Adrian, Sp. Pros
Novey Riyanti 041051910096 Nabila
MufidahTazkia
Nurul Hayati 041051910087
041052010081
23 M10 23 M10 Sheila Annisa Emeralda. 041052010111 GTL - Pencetakan Kedua drg. Nova Adrian, Sp.Pros
Maria Verena 041052000009.
24 M10 24 M10 Elycia Woro Indriastuti 041051910031 GTL - Try In Malam drg. Nova Adrian, Sp. Pros
Hamidah Oktafiani 041051910042
25 M10 25 M10 Karina Martha S 041051910066 GTL - Relasi Rahang drg. Hani Yuliasari, Sp. Pros
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 Evangelista Rachel Hepziba 41052110048 LK 1 drg. Firstine Kelsi, MClinDent, 7 M7
Sp.PM Suwandi,
drg. Enny Marwati
8 M7 Michael Theofanus Sugijanto 41052110096 LK 1 8 M7
M.Kes.
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 Insersi alat Dr. drg. Harryanto Wijaya, M.Kes. 15 M9
Maria Vincentia Aryanti D. 041052010078
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Deo Ananda Gloria 041051910027 drg. Carolina Damayanti Agnella Gwenisa 041051910002 drg. I G A Ratih Utari Mayun, Sp.
21 M10 041051910035GTC - Indikasi & Pencetakan Pertama Marpaung, Sp. Pros, PhD 21 M10 GTL - Insersi
Feby Fitria
Naura Lindy Azhara 041051910094 Rinda Fitria
Feby RentiaHidayah
Angreani 041051910103
041051910035 Pros
22 M10 GTL - Try In drg. I G A Ratih Utari Mayun, Sp. Pros 22 M10 Nabila GTL - Insersi drg. Nova Adrian, Sp. Pros
Novey Riyanti 041051910096 MufidahTazkia
Nurul Hayati 041051910087
041052010081
23 M10 23 M10 Sheila Annisa Emeralda. 041052010111 GTL - Pencetakan Kedua drg. Nova Adrian, Sp.Pros
Maria Verena 041052000009.
24 M10 24 M10 Elycia Woro Indriastuti 041051910031 GTL - Try In Malam drg. Nova Adrian, Sp. Pros
Hamidah Oktafiani 041051910042
25 M10 25 M10 Karina Martha S 041051910066 GTL - Relasi Rahang drg. Hani Yuliasari, Sp. Pros
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7 Vivi Angelina 41052110156 LK 1 Dr. Dewi Priandini, drg, Sp.PM
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Maria Verena Emeralda 041052000009 drg. Harris Gadih Pratomo,
15 M9 Kontrol 15 M9
Cynthia Tandjaja 041052000003 Sp.Ort.
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Elvinadaya Ariefa Putri 041051910044 Zaldy Farhan Adis 041052010142
21 M10 Najla Firga Fadilla 041051910087 GTL - Border moulding drg. Yenny Pragustine, Sp.Pros 21 M10 Yoshida Karana 041052010140 Try-in Malam drg. Siti Chandra, Sp. Pros
Hanifan Aulia 041052010059 Viola Wanda Aini 041052000014
22 M10 Jeremia Armi Wijaya 041052010064 GTL - Border Moulding drg. Hani Yuliasari, Sp. Pros 22 M10 Nosyafira Andesya 041052000011 GTC - Insersi drg. Niko Falatehan, Sp.Pros
Billy Lombardo 041052010025
23 M10 23 M10 GTL - Insersi drg. Niko Falatehan, Sp.Pros
Christabhel Aretha Thomas041052010032
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 Fikha Nurfadillah 041052010050 Dr. drg. Himawan Halim, 6 M6
M9 Kontrol
Evi Sarmayana Siregar 041052010047 DMD., MS., FICD., Sp.Ort.
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Fira Octarina 041052010051 Dr. drg. Himawan Halim,
15 M9 Kontrol 15 M9
Gabriella Rehuel 041052010054 DMD., MS., FICD., Sp.Ort.
Evangeline Gunawan 041052010046 Dr. drg. Himawan Halim,
16 M9 Kontrol 16 M9
Grace Sabrina 041052010057 DMD., MS., FICD., Sp.Ort.
Gabriel Rainheart 41052010053 Dr. drg. Himawan Halim,
17 M9 Kontrol 17 M9
Esa Bella 041052010045 DMD., MS., FICD., Sp.Ort.
18 M9 Kontrol 18 M9
Hana Fauziyah Nurrahman 041051900004
Nikita 041051900008
Gabriella Tasha 41052010055 Dr. drg. Himawan Halim,
20 M9 Kontrol 20 M9
Febria 041052010049 DMD., MS., FICD., Sp.Ort.
Elvinadaya Ariefa Putri 041051910044 Zaldy Farhan Adis 041052010142
21 M10 Najla Firga Fadilla 041051910087 GTL - Border moulding drg. Yenny Pragustine, Sp.Pros 21 M10 Yoshida Karana 041052010140
Try-in Malam drg. Siti Chandra, Sp. Pros
Hanifan Aulia 041052010059 Viola Wanda Aini 041052000014
22 M10 Jeremia Armi Wijaya 041052010064 GTL - Border Moulding drg. Hani Yuliasari, Sp. Pros 22 M10 Nosyafira Andesya 041052000011 GTC - Insersi drg. Niko Falatehan, Sp.Pros
23 M10 23 M10 Billy Lombardo 041052010025 GTL - Insersi drg. Niko Falatehan, Sp.Pros
Christabhel Aretha Thomas041052010032
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 Melisa Putri Usboko 041052010080 1
PL untuk pasien bedah (1 p drg. Olivia Nauli Komala, Sp. Perio Vita Fredlinata 041052010135 Dr. drg. Johan Arief Budiman, Sp.
Zelia Joanna Aurelia Ramba 041052010143 M9 Kontrol
Vincent Aries Fernando 041052010132 Ort.
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7 Shannon Winnie Susanto 41052101132 LK 1 drg. Firstine Kelsi, MClinDent, Sp.PM
8 M7 8 M7 Rizka Usi Nadhifa 041052110127 Kontrol LK 3 drg. Firstine Kelsi, MClinDent, Sp.PM
9 M7 9 M7 Devina Arista Suhendro 41052010039 Kontrol LK3 drg. Firstine Kelsi, MClinDent, Sp.PM
10 M7 10 M7 Evangelista Rachel Hepzib 41052110048 LK 1 drg. Firstine Kelsi, MClinDent, Sp.PM
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Alexandwr Richard Somawihardja 041052110005 Visit pertama (Cetak
15 M9 drg. Olivia Piona Sahelangi, 15 M9
rahang, rontgen, dan
Aneizza Danya P R 041052110013 Sp.Ort.
pengisian status)
Jesslyn Nathania Sundiharja Putri 041051910063 Putri Nur Pratiwi 041052010095
16 M9 Kontrol, Cetak Evaluasi Dr. drg. Yohana Yusra, M.Kes. 16 M9 Insersi alat Dr. drg. Joko Kusnoto, MS., Sp.Ort.
Justine Clau Sevany 041051910065 Redha Putri Wiranda 41052010098
Ricky Chandra Jaya Soen 041052010107 Reinhart Christian 041052010100
17 M9 Insersi alat Dr. drg. Yohana Yusra, M.Kes. 17 M9 Insersi alat Dr. drg. Joko Kusnoto, MS., Sp.Ort.
Richentya Feiby Salim 041052010106 Nikita Theodorus 041052010091
Wirdha Salsabila 041052010137 Dr. drg. Johan Arief Budiman, Sp.
18 M9 18 M9 Kontrol
Yusika Br Purba 41052010141 Ort.
Yusika Br Purba 041052010141 Dr. drg. Johan Arief Budiman, Sp.
19 M9 19 M9 Kontrol
Wirdha Salsabila 041052010137 Ort.
Vincent Aries Fernando 041052010132 Dr. drg. Johan Arief Budiman, Sp.
20 M9 20 M9 Kontrol
Vita Fredlinata 041052010135 Ort.
Natalia Deby 041051810104 drg. Andy Wirahadikusumah, Hamidah Oktafiani 041051910042
21 M10 GTL - Pencetakan Kedua 21 M10 GTL - Relasi Rahang drg. Hani Yuliasari, Sp. Pros
Anggita Prawesti
Frida Asima Wardhani
Hutapea 041051810014
041052010052 Sp.Pros Karina
MufidahMartha
Nurul SHayati 041051910066
041052010081
22 M10 GTL - Relasi rahang drg. Yenny Pragustine, Sp.Pros 22 M10 GTL - Pencetakan Kedua drg. Nova Adrian, Sp.Pros
EvangelineWinaldy
Brandon Gunawan 041052010046
041052100003 Sheila Annisa A
Ian Christoper 041052010111
041051900005 drg. I G A Ratih Utari Mayun, Sp.
23 M10 GTL - TRY IN GTL drg. Niko Falatehan, Sp.Pros 23 M10 GTL - Insersi
Isnaeni Kurniawati
041052010132 Putu Chintya
Afifah RefianaNitiyani
Dewi S 041051900011
‘041052010002 Pros Sarwono, MH,
drg. Aditya Pratama
24 M10 Vita Fredlinata 041052010135 GTC - Insersi drg. Niko Falatehan, Sp.Pros 24 M10 Alyafi Novidhiyani ‘041052010009
GTC - Penentuan warna
MARS, Sp.Pros
Linda Pratiwi 041051900006
25 M10 Nadisha Allaam Edriani 041051810101
GTL - Border Molding Drg. Hani Yuliasari, Sp. Pros 25 M10
Keniyawati 041052010070
26 M10 Maitsa Nafilah 041052010076
GTL - Pencetakan Pertama Drg. Hani Yuliasari, Sp. Pros 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
Prof. Dr. drg. Rahmi Amtha, MDS,
7 M7 Grace Sabrina Ciputra 41052010057 LK 1 PhD, SpPM 7 M7 Denilson 41052110036 LK 1 Dr. drg. Dewi Priandini, Sp. PM
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Yohana Dela Derinda 041051910133 Dr. drg. Johan Arief Budiman, Sp.
15 M9 Kontrol 15 M9
William David Jan 041051910131 Ort.
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Natalia Deby 041051810104 drg. Andy Wirahadikusumah, Hamidah Oktafiani 041051910042
21 M10 Anggita Prawesti Wardhani 041051810014 GTL - Pencetakan Kedua Sp.Pros 21 M10 Karina Martha GTL - Relasi Rahang drg. Hani Yuliasari, Sp. Pros
Frida Asima Hutapea 041052010052 Mufidah Nurul SHayati 041051910066
041052010081
22 M10 Evangeline Gunawan 041052010046 GTL - Relasi rahang drg. Yenny Pragustine, Sp.Pros 22 M10 Sheila Annisa A 041052010111 GTL - Pencetakan Kedua drg. Nova Adrian, Sp.Pros
23 M10
Brandon Winaldy 041052100003 GTL - TRY IN GTL drg. Niko Falatehan, Sp.Pros 23 M10 Ian Christoper 041051900005
GTL - Insersi
drg. I G A Ratih Utari Mayun, Sp.
Isnaeni Kurniawati
041052010132 Putu
AfifahChintya
RefianaNitiyani
Dewi S 041051900011
‘041052010002 Pros Sarwono, MH,
drg. Aditya Pratama
24 M10 Vita GTC - Insersi drg. Niko Falatehan, Sp.Pros 24 M10 GTC - Penentuan warna
LindaFredlinata
Pratiwi 041052010135
041051900006 Alyafi Novidhiyani ‘041052010009 MARS, Sp.Pros
25 M10 Nadisha Allaam Edriani 041051810101 GTL - Border Molding Drg. Hani Yuliasari, Sp. Pros 25 M10
Keniyawati 041052010070
26 M10 Maitsa Nafilah 041052010076 GTL - Pencetakan Pertama Drg. Hani Yuliasari, Sp. Pros 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 13.00 - 14.15
1 M5 1 M5
2 M5 2 M5
3 M6 Alifia Karunia Ramadhani 041052110008 3 M6
Scaling Manual drg. Olivia Nauli Komala, Sp. Perio
Haifa Nur Afifah Herlan 041052110062
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 Christian Natanael 041052110028 PL 15 M8 Maura Jihan Fathya 041052110093 PL
drg. Tri Putriany Agustin,Sp.KGA. drg. Arianne Dwimega,Sp.KGA.
Pascal Filio 041052110188 PL Bramantyo Senoaji 041052110027 PL
16 M8 16 M8
Cindy Stevany Rananta Sitepu 41051910020 drg. Fajar H. Nasution, Sp.Ort.,

17 M9 Kontrol 17 M9
Christopher Jeremy 041051910018 PhD.
Sonia Lovian 041052010119 Visit pertama (Cetak
Tengku Elisa Berlianti 041052010122 pengisian status)
Novyca 041051910097
Visit pertama (Cetak
Vedda Lucia 041052110153
Vanessa Wangsanegara 041052110152 pengisian status)
Rossa El Febiana 041051910105
Andiko Dimas 041051810011 Maria Verena Emeralda. 041052000009.
22 M10 Nabila Shahnaz 041051810099 GTL - Insersi drg. Andy Wirahadikusumah, Sp.Pros 22 M10 Elycia Woro Indriastuti 041051910031 GTL - Try In Malam drg. Nova Adrian, Sp. Pros
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.45 - 16.00

1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
17 M9 Kontrol 17 M9
Caroline Septiani 041052010028 PhD.
Caroline Septiani 041052010028 drg. Fajar H. Nasution, Sp.Ort.,
18 M9 Kontrol 18 M9
Caroline 041052010027 PhD.
19 M9 19 M9
Vanessa Wangsanegara 041052110152 Visit pertama (Cetak
Vedda Lucia 041052110153 pengisian status)
21 M9 Cetak Evaluasi drg. Riko Nofrizal, Sp.Ort. 21 M9
Pramudita Wiyani 041051910099
22 M10 Andiko Dimas 041051810011 GTL - Insersi drg. Andy Wirahadikusumah, Sp.Pros 22 M10 Maria Verena Emeralda. 041052000009.
GTL - Try In Malam drg. Nova Adrian, Sp. Pros
Nabila Shahnaz 041051810099 Elycia Woro Indriastuti 041051910031
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7 Cindy 41052110030 LK 1 drg. Firstine Kelsi Hartanto, M.ClinDent, Sp.PM
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Christopher Jeremy 041051910018 drg. Fajar H. Nasution, Sp.Ort.,
Cindy Stevany 041051910020 PhD.
Amalia Fauzana Wijaya 041052010010 Visit pertama (Cetak drg. Olivia Piona Sahelangi,
16 M9 rahang, rontgen, dan 16 M9
Almira Christie Delvina 041052010007 pengisian status) Sp.Ort.

18 M9 Cetak Evaluasi Dr. drg. Yohana Yusra, M.Kes. 18 M9
Jesslyn Nathania S. P 041051910063
19 M9 Kontrol 19 M9
20 M9 20 M9
Kelvin Suryajaya 041052010068 GTL- Pencetakkan Cindy Stevany 041051910020 drg. I G A Ratih Utari
21 M10 drg. Hani Yuliasari, Sp. Pros 21 M10 GTL - Try in malam
Maharany Bulan Putri
Carissa Tanya 041052010075
041052010026 Pertama Faadiyah Nisa
Agnella Gwenisa 041051910032
041051910002 drg. I G AMayun, Sp. Pros
Ratih Utari Mayun, Sp.
22 M10 GTL - Penentuan Relasi Rahang drg. Aditya Pratama Sarwono, 22 M10 GTL - Kontrol
Cinantya Putri Parahita 041052010034 MH, MARS, Sp.Pros Rinda Rentia Angreani 041051910103 Pros
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 Afifah Yumna Dhaniar 41052010003 Kontrol LK3 drg. Firstine Kelsi Hartanto, M.ClinDent, Sp.PM
7 M7
8 M7 Fira Octarina 041052010051 Kontrol LK 3 drg. Firstine Kelsi Hartanto, M.ClinDent, Sp.PM
8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 Kelvin Suryajaya 041052010068 GTL- Pencetakkan drg. Hani Yuliasari, Sp. Pros 21 M10 Cindy Stevany 041051910020 GTL - Try in malam drg. I G A Ratih Utari
Maharany Bulan Putri
Carissa Tanya 041052010075
041052010026 Pertama Faadiyah Nisa
Agnella Gwenisa 041051910032
041051910002 drg. I G AMayun, Sp. Pros
22 M10 GTL - Penentuan Relasi Rahang drg. Aditya Pratama Sarwono, 22 M10 GTL - Kontrol
Cinantya Putri Parahita 041052010034 MH, MARS, Sp.Pros Rinda Rentia Angreani 041051910103 Pros
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6 Yusika Br Purba 041052010141
Scaling manual drg. Albert, Sp. Perio
Maria
The Vincentia
Gabriella AryantiSusanto
Rosetika Dwiastutii
041052010078
041052010123
2 M6 2 M6 Desensitisasi (boleh dike
Vita Fredlinata
3 M6 3 M6 PL untuk pasien bedah dan
Najla Firga Fadilla 041052010087
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7 Nur Khasanah 41052110114 LK 1 Dr. Dewi Priandini, drg, Sp.PM
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 Kontrol 15 M9
MS., FICD., Sp.Ort.
15 M9 Dr. drg. Himawan Halim, DMD., 15 M9
Kontrol
Evangeline Gunawan 041052010046 Dr. drg. Himawan Halim, DMD.,
16 M9 Kontrol 16 M9
Grace Sabrina 041052010057 MS., FICD., Sp.Ort.
Febria 41052010049 Dr. drg. Himawan Halim, DMD.,
17 M9 Kontrol 17 M9
Gabriella Tasha 041052010055 MS., FICD., Sp.Ort.
Evi Sarmayana 041052010047 Dr. drg. Himawan Halim, DMD.,
18 M9 Kontrol 18 M9
Fikha Nurfadillah 041052010050 MS., FICD., Sp.Ort.
afifah refiana dewi 41052010002 drg. Olivia Piona Sahelangi,
19 M9 Kontrol 19 M9
Alyafi Novidhiyani 41052010009 Sp.Ort.
Faadiyah Nisa 41051910032 drg. Olivia Piona Sahelangi,
20 M9 Kontrol 20 M9
Gisela Naomy Ayudia 41051910040 Sp.Ort.
Sinta Natalina Millenia L 041052010118 Feby Fitria Hidayah 041051910035
21 M10 Tika Savira Ibrahim 041052010124 GTL - Indikasi Visit 1 drg. Isya Hanin, Sp. Pros 21 M10 Nabila Tazkia 041051910087 GTL - Kontrol drg. Nova Adrian, Sp. Pros
Annami Reza Gustitine 041052010015 Holie Fransiski 041052010061
22 M10 Azkia Raihani 041052010023 GTL - Pencetakan Pertama drg. Eka Seftiana,Sp.Pros 22 M10 Cindy Stevany
Gabriella Tasha 041051910020
041052010055 GTL - Border Moulding drg. Novadrg.
Adrian, Sp. Pros
I G A Ratih Utari
Vincentius Malvin Sugijono 041052010133
23 M10 Yolanda GTL - Indikasi Visit 1 drg. I G A Ratih Utari Mayun, Sp. Pros 23 M10 FaadiyahGwenisa
Agnella Nisa 041051910032
041051910002 GTL - Try in malam drg. I G AMayun, Sp. Pros
Valleri Wijatmo Thionadewi
Veronika 041052010039
041052010127 GTL - Kontrol
24 M10 Wirdha
GTL - Indikasi drg. IGA Ratih Utari Mayun, Sp. Pros 24 M10 Rinda Rentia Angreani 041051910103 Pros
Apriliani Salsabila
Taufik 041052010137
041052010020
25 M10 Gabriel Rainheart 041052010053 GTL - Pencetakan Pertama drg. Eka Seftiana,Sp.Pros 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7 Holly Sutanto 41052100010 LK 1 Dr. Dewi Priandini, drg, Sp.PM
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Helsa Alyayuan 41051910047 Dr. drg. Joko Kusnoto, MS.,
15 M9 Cetak Evaluasi 15 M9
Giovanna Joan Widjaja 041051910039 Sp.Ort.
Maria Vincentia Aryanti Dwiastuti 41052010078
16 M9 Insersi alat Dr. drg. Harryanto Wijaya, M.Kes. 16 M9
Linda Pratiwi 041051900006 Dr. drg. Johan Arief Budiman,
18 M9 Kontrol 18 M9
Claresta Febristi 041051900003 Sp. Ort.
Claresta Febristi 041051900003 Dr. drg. Johan Arief Budiman, Sp.
19 M9 Kontrol 19 M9
Anniza Bellarisi Cantika 041051900009 Ort.
20 M9 20 M9
Sinta Natalina Millenia L 041052010118 Feby Fitria Hidayah 041051910035
21 M10 Tika Savira Ibrahim 041052010124
GTL - Indikasi Visit 1 drg. Isya Hanin, Sp. Pros 21 M10 NabilaFransiski
Tazkia 041051910087
GTL - Kontrol drg. Nova Adrian, Sp. Pros
Annami Reza Gustitine 041052010015 Holie 041052010061
22 M10 Azkia Raihani 041052010023 GTL - Pencetakan Pertama drg. Eka Seftiana,Sp.Pros 22 M10 Cindy Stevany
Gabriella Tasha 041051910020
041052010055 GTL - Border Moulding drg. Novadrg.
Adrian, Sp. Pros
I G A Ratih Utari
Vincentius Malvin Sugijono 041052010133
23 M10 YolandaWijatmo
Veronika Thionadewi 041052010039 GTL - Indikasi Visit 1 drg. I G A Ratih Utari Mayun, Sp. Pros 23 M10 FaadiyahGwenisa
Agnella Nisa 041051910032
041051910002 GTL - Try in malam drg. I G AMayun, Sp. Pros
Valleri 041052010127 GTL - Kontrol
24 M10 GTL - Indikasi drg. IGA Ratih Utari Mayun, Sp. Pros 24 M10 Rinda Rentia Angreani 041051910103 Pros
Wirdha
Apriliani Salsabila
Taufik 041052010137
041052010020
25 M10 Gabriel Rainheart 041052010053 GTL - Pencetakan Pertama drg. Eka Seftiana,Sp.Pros 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6 Sarah Tiara Haryanto 041052010113
PL untuk pasien bedah (1 drg. Marie Louisa, Sp. Perio
Maria Josephine P 041052010077
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Risha Nadira Tyatana 041052010109 Visit pertama (Cetak
15 M9 Dr. drg. Yohana Yusra, M.Kes. 15 M9
Sania Rahma Nursyam 041052010112 rahang, rontgen, dan
pengisian status)
16 M9 16 M9
Gabriel Rainheart 41052010053 Dr. drg. Himawan Halim, DMD.,
17 M9 Kontrol 17 M9
Gerald Avila Johannes 041052010056 MS., FICD., Sp.Ort.
18 M9 Kontrol 18 M9
19 M9 19 M9
20 M9 20 M9
Dieva Shafira 041052010041 Zaldy Farhan Adis 041052010142 drg. Siti Chandra, Sp. Pros / drg.
21 M10 Esa
SofiaBella
Yanti Sari 041052010051
041051910115 GTL - Pencetakan Kedua drg. Yenny Pragustine, Sp.Pros 21 M10 Yoshida
Jasmine Karana
Maydiana 041052010140
041051910057 GTL - Try-in Malam Niko Falatehan, Sp. Pros
22 M10 Heidi Amanda 041051910045 GTL - Try In Malam drg. Sharren Teguh, Sp. Pros 22 M10 V Wanda Aini 041052000014 GTL - SCP & Cetak drg. Niko Falatehan, Sp.Pros
Christ Stephan 041051900002
23 M10 23 M10 C.Febristi 041051900003 GTC - Insersi drg. Niko Falatehan, Sp.Pros
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 Rosmalinda Suryani 041052010111 LK 3 drg.
drg.Andrian
Firstine Nova
Kelsi, Fitri, Sp. PM
MClinDent, 9 M7
10 M7 Grace sabrina ciputra 4152010057 Lk 1 Sp.PM 10 M7
11 M7 Andhiny Tiara Hakim 041052110012 LK 1 drg. Andrian Nova Fitri, Sp. PM 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Maria Verena Emeralda 041052000009 drg. Harris Gadih Pratomo,
15 M9 Kontrol 15 M9
Cynthia Tandjaja 041052000003 Visit pertama (Cetak Sp.Ort.
Haifa Nur Afifah Herlan 041052110062 rahang, rontgen, dan drg. Harris Gadih Pratomo,
16 M9 16 M9
Yasnill 041052110158 pengisian status) Sp.Ort.
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Dieva Shafira 041052010041 Zaldy Farhan Adis 041052010142 drg. Siti Chandra, Sp. Pros / drg.
21 M10 Esa Bella
Sofia Yanti Sari 041052010051
041051910115 GTL - Pencetakan Kedua drg. Yenny Pragustine, Sp.Pros 21 M10 Yoshida Karana
Jasmine Maydiana 041052010140
041051910057 GTL - Try-in Malam Niko Falatehan, Sp. Pros
22 M10 Heidi Amanda 041051910045 GTL - Try In Malam drg. Sharren Teguh, Sp. Pros 22 M10 V Wanda Aini 041052000014 GTL - SCP & Cetak drg. Niko Falatehan, Sp.Pros
Christ Stephan 041051900002
23 M10 23 M10 C.Febristi 041051900003 GTC - Insersi drg. Niko Falatehan, Sp.Pros
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6 Michelle Tedja 041052010082
Scaling manual drg. Marie Louisa, Sp. Perio
Louis Zaelani 041052010074
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 Prof. Rahmi Amtha, 6 M6
7 M7 Cindy 41052110030 LK 1 drg,MDS,Sp.PM, PhD Gillian Grace Gandha 041052110060Visit pertama (Cetak Dr. drg. Himawan Halim, DMD.,
7 M9
Eveline Michelle Trinantio 041052110049rahang, rontgen, dan MS., FICD., Sp.Ort.
8 M7 Fadila Hanoum Nurifai 041052110051pengisian status)
Visit pertama (Cetak Dr. drg. Himawan Halim, DMD.,
8 M9
Felicia 041052110053rahang, rontgen, dan MS., FICD., Sp.Ort.
9 M7 Felicia 041052110053pengisian status)
Visit pertama (Cetak Dr. drg. Himawan Halim, DMD.,
9 M9
Fadila Hanoum Nurifai 041052110051rahang, rontgen, dan MS., FICD., Sp.Ort.
10 M7 10 Vincent Aries Fernando 041052010132 pengisian status) Dr. drg. Johan Arief Budiman,
M9
Vita Fredlinata 041052010135 Kontrol Sp. Ort.
11 M7 11 Vita Fredlinata 041052010135 Dr. drg. Johan Arief Budiman,
M9
Vincent Aries Fernando 041052010132 Kontrol Sp. Ort.
12 M7 12 M7 Cici viorina lestari 041052010033 Kontrol LK 3 drg. Andrian Nova Fitri, Sp. PM
13 M8 13 M8
14 M8 14 M8
Jasmine Maydiana 041051910057
15 M9 15 M9 Cetak Evaluasi Dr. drg. Joko Kusnoto, MS., Sp.Ort.
Gabriella Grace G 041051910037
Yohana Dela Derinda 041051910133 Dr. drg. Johan Arief Budiman, Sp. Nathania Immanuela Tano 41052010089 Visit pertama (Cetak
16 M9 16 M9 Dr. drg. Joko Kusnoto, MS., Sp.Ort.
William David Jan 041051910131 Kontrol Ort. Regita Noor Hanifa 041052010099 rahang, rontgen, dan
Ni Komang Priliana Pradia041052010090 pengisian status)
17 M9 17 M9 Insersi alat Dr. drg. Joko Kusnoto, MS., Sp.Ort.
Novita Dwi Nur’aini 041052010093
Tiffany Hartono 041052110148 Visit pertama (Cetak Dr. drg. Himawan Halim, DMD.,
18 M9 18 M9
Feby Febryanti 041052110052 rahang, rontgen, dan MS., FICD., Sp.Ort.
Novita Dwi Nur’aini 041052010093 pengisian status)
19 M9 19 M9 Insersi alat Dr. drg. Joko Kusnoto, MS., Sp.Ort.
Ni Komang Priliana Pradia041052010090
Nikita Theodorus 041052010091
20 M9 20 M9 Dr. drg. Joko Kusnoto, MS., Sp.Ort.
Putri Nur Pratiwi 041052010095 Reinhart Winaldy
Brandon Christian 041052010100 Kontrol
041052100003
21 M10 Rania Afnandhiya
Anitha Wandawa
Soleha Satria 041052010097
041052010014 GTC - Indikasi drg. Yenny Pragustine, Sp.Pros 21 M10 Isnaeni Kurniawati 041052100004 GTC - Insersi drg. Niko Falatehan, Sp.Pros
22 M10 Anneke Ramadhanty
Nosyafira Andesya GTL - Indikasi & Pencetakan Pertamadrg. Eka Seftiana,Sp.Pros
041052010016
041052000011 22 M10
23 M10 Della
ChitraPuspita
MeizaliaArini 041052000004
041051810031 GTL - Try in Malam drg. Isya Hanin, Sp. Pros 23 M10
24 M10 Evan DwipaAriefa
Elvinadaya Putra Putri 041051910044 GTL - Try in Malam
041051810045 drg. Eka Seftiana,Sp.Pros 24 M10
25 M10 Najla Firga
Shofiyah Fadilla
Salsabila 041052010117 GTL - Pencetakan fisiologi drg. Yenny Pragustine, Sp.Pros
041051910087 25 M10
26 M10 Tengku Elisa Berlianti 041052010122 GTL - Pencetakan kedua drg. Isya Hanin, Sp. Pros 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
7 M7 Risya Tiara Chairunissa 41052110126 LK 1 drg,MDS,Sp.PM, PhD
Prof. Rahmi Amtha, 7 M7
8 M7 Tania Nabila 41052110144 LK 1 drg,MDS,Sp.PM, PhD 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Esa Bella 41052010045 Dr. drg. Himawan Halim, DMD.,
15 M9 15 M9
Kontrol MS., FICD., Sp.Ort.
15 M9 Dr. drg. Himawan Halim, DMD., 15 M9
Gabriel Rainheart 041052010053 Kontrol MS., FICD., Sp.Ort.
Fira Octarina 041052010051 Dr. drg. Himawan Halim,
16 M9 16 M9
Gabriella Rehuel 041052010054 Kontrol DMD., MS., FICD., Sp.Ort.
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Putri Nur Pratiwi 041052010095 Brandon Winaldy 041052100003
Anitha Wandawa
Soleha Satria 041052010097
041052010014 GTC - Indikasi drg. Yenny Pragustine, Sp.Pros 21 M10 Isnaeni Kurniawati 041052100004 GTC - Insersi drg. Niko Falatehan, Sp.Pros
22 M10 Anneke Ramadhanty
Nosyafira Andesya GTL - Indikasi & Pencetakan Pertamadrg. Eka Seftiana,Sp.Pros
041052010016
041052000011 22 M10
23 M10 Della Puspita
Chitra MeizaliaArini 041052000004
041051810031 GTL - Try in Malam drg. Isya Hanin, Sp. Pros 23 M10
24 M10 Evan DwipaAriefa
Elvinadaya Putra Putri 041051810045 GTL - Try in Malam
041051910044 drg. Eka Seftiana,Sp.Pros 24 M10
25 M10 Najla Firga
Shofiyah Fadilla
Salsabila 041051910087 GTL - Pencetakan fisiologi drg. Yenny Pragustine, Sp.Pros
041052010117 25 M10
26 M10 Tengku Elisa Berlianti 041052010122 GTL - Pencetakan kedua drg. Isya Hanin, Sp. Pros 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 13.00 - 14.15
1 M5 Aristya Julianto Sidharta 041051910007 Kontrol Bedah (lepas 1 M5
Yohana Dela Derinda
Tiffany 041051910133
041051910123 Kontroljahitan)
Bedah (lepas drg. Yessy Ariesanti, Sp.BM
2 M5 2 M5
Vanya Violetta Shalsabilla Siregar 041051910129 jahitan)
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7 Jeff Tjokro 41052110072 LK 1 Dr. Dewi Priandini, drg, Sp.PM
12 M7 12 M7 Denilson 41052110036 Kontrol LK 1 Dr. Dewi Priandini, drg, Sp.PM
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
The Gabriella Rosetika Susanto 041052010123
Shofiyah Salsabila 41052010117 drg. Riko Nofrizal, Sp.Ort.
Wilson Edric 041052010136 Dr. drg. Johan Arief Budiman, Sp.
18 M9 18 M9
Zaldy Farhan Adis 041052010142 Kontrol Ort.
Zaldy Farhan Adis 041052010142 Dr. drg. Johan Arief Budiman, Sp.
19 M9 19 M9
Wilson Edric 041052010136 Kontrol Ort.
20 M9 20 M9
Linda pratiwi 041051900006 Kontrol Ort.
21 M9 21 M9
Cici viorina lestari 041052010033 Imelda Darmawan 041051910054
22 M10 Cathrine
Almira dwi anggowo
Prisharia S 041051910004 GTL - pencetakan pertama drg. Aditya Pratama Sarwono, MH,
041052010029 22 M10 CynthiaMeizalia
Chitra Priscilla 041051910024
041051810031 GTL - Insersi drg. Eka Seftiana,Sp.Pros
23 M10 MARS, Sp.Pros 23 M10
Belinda
Maria Olivia Emeralda.
Verena A 041051910009 GTC - Indikasi dan Pencet drg. Hani Yuliasari, Sp. Pros Evan Dwipa
Hamidah Putra
Oktafiani 041051810045
041051910042 GTL - Try in drg. Eka Seftiana,Sp.Pros
24 M10 ElyciaPratiwi
Linda Woro Indriastuti 041052000009. GTL - Try In Malam visit 2 drg. Nova Adrian, Sp. Pros
041051900006 24 M10 Karina Martha S 041051910066 GTL - Relasi Rahang drg. Hani Yuliasari, Sp. Pros
25 M10 Nadisha
Sofia Allaam
Yanti Sari Edriani 041051810101 GTL - Border Molding dan Pe drg. Hani Yuliasari, Sp. Pros
041051910115 25 M10
26 M10 Heidi Amanda 041051910045 GTL - Insersi drg. Sharren Teguh, Sp. Pros 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.45 - 16.00

1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 Nadya Putri Harsono 41052110103 LK 2 kontrol drg. Andrian Nova Fitri, Sp. PM 11 M7 Jeff Tjokro 41052110072 LK 1 Dr. Dewi Priandini, drg, Sp.PM
12 M7 Novita Dwi Nur'aini 04$1052010093 Kontrol LK 3 drg. Andrian Nova Fitri, Sp. PM 12 M7 Denilson 41052110036 Kontrol LK 1 Dr. Dewi Priandini, drg, Sp.PM
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
Reynalda Oktaviani 041052010103 Visit pertama (Cetak Yasnill 041052110158 Visit pertama (Cetak
17 M9 Dr. drg. Yohana Yusra, M.Kes. 17 M9
Sarah Tiara Haryanto 041052010113 rahang, rontgen, dan Cindy Kovianti 041052110031 rahang, rontgen, dan drg. Harris Gadih Pratomo, Sp.Ort.
Shofiyah Salsabila 041052010117 pengisian status) pengisian status)
The Gabriella Rosetika 041052010123 drg. Riko Nofrizal, Sp.Ort.
19 M9 19 M9
Novyca 041051910097 Kontrol drg. Riko Nofrizal, Sp.Ort.
20 M9 20 M9
21 M9 21 M9
Cici viorina lestari 041052010033 Imelda Darmawan 041051910054
22 M10 Cathrine dwi anggowo
Almira Prisharia S 041051910004 GTL - pencetakan pertama drg. Aditya Pratama Sarwono, MH,
041052010029 22 M10 Cynthia Priscilla
Chitra Meizalia 041051910024
041051810031 GTL - Insersi drg. Eka Seftiana,Sp.Pros
23 M10 MARS, Sp.Pros 23 M10
Belinda Olivia Emeralda.
Maria Verena A 041051910009 GTC - Indikasi dan Pencet drg. Hani Yuliasari, Sp. Pros Evan Dwipa
Hamidah Putra
Oktafiani 041051810045
041051910042 GTL - Try in drg. Eka Seftiana,Sp.Pros
24 M10 Elycia Woro Indriastuti
Linda Pratiwi 041051900006 GTL - Try In Malam visit 2 drg. Nova Adrian, Sp. Pros
041052000009. 24 M10 Karina Martha S 041051910066 GTL - Relasi Rahang drg. Hani Yuliasari, Sp. Pros
25 M10 Nadisha Allaam GTL - Border Molding dan Pe drg. Hani Yuliasari, Sp. Pros 25 M10
Sofia Yanti Sari Edriani 041051810101
041051910115
26 M10 Heidi Amanda 041051910045 GTL - Insersi drg. Sharren Teguh, Sp. Pros 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
No Modul Venny Mahasiswa NIM
041052010130 Pekerjaan DPJP No Modul Mahasiswa NIM Pekerjaan DPJP
1 M6 Reynalda Oktafiani
Hamidah Oktaviani 041051910117 PL untuk pasien bedah (1 p
041051910042 1 M6
drg. Marie Louisa, Sp. Perio
2 M6 Gading Shaiki Kuri 041051910038 Desensitisasi (boleh dikerj 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Caroline Septiani 041052010028 drg. Fajar H. Nasution, Sp.Ort., Nosyafira Andesya 041052000011 drg. Fajar H. Nasution, Sp.Ort.,
15 M9 15 M9
Caroline 041052010027 Kontrol PhD. Viola Wanda Aini 041052000014 Kontrol PhD.
16 M9 16 M9
Caroline Septiani 041052010028 Kontrol PhD.
17 M9 17 M9
Nosyafira Andesya 041052000011 Kontrol PhD.
18 M9 18 M9
Cindy Stevany 041051910020 Kontrol PhD.
cindy stevany rananta sitepu 041051910020 drg. Fajar H. Nasution, Sp.Ort.,
19 M9 19 M9
Christopher Jeremy 041051910018 Kontrol PhD.
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 drg. Enny Marwati Suwandi, 6 M6
7 M7 I Ketut Ardi Wira Pradana 41052200008 LK-1 drg. FirstineM,Kes
8 M7 Siti Shabrina Nur 'Azizah 41052110138 LK 1 drg. FirstineSp.PM
9 M7 Rizka Usi Nadhifa 041052110127 Kontrol 2 LK 3 drg. FirstineSp.PM
10 M7 Isnaeni Kurniawati 41052100004 LK 1 Sp.PM 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Fransiska Victoria Kusuma 041052110055 Dr. drg. Himawan Halim, DMD.,
15 M9 15 M9
Gabriella Geralda Santjoko 041052110057 Visit pertama (Cetak rahangMS., FICD., Sp.Ort.
Agnes 041052110003 Visit pertama (Cetak drg. Olivia Piona Sahelangi,
16 M9 16 M9
Andani Aprilliyola 041052110011 rahang, rontgen, dan Sp.Ort.
pengisian status)
17 M9 17 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 Vivi Angelina 41052110156 LK 2 drg. Andrian Nova Fitri, Sp. PM 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
No Modul Mahasiswa
Syifa Rakhmatul Ummah NIM
041052010121 Pekerjaan DPJP No Modul Mahasiswa
Kevin Deminius NIM
1 M6 Nurza Maulida Assyifa 041052010094 Scaling manual drg Luki Astuti, Sp.Perio 1 M6 Bramantyo
Anitha Senoaji
Soleha SatriaHerlambang
041052110027 Scaling Manual
041052010014
drg. Olivia Nauli Komala, Sp. Perio
2 M6 2 M6 Dieva Shafira 041052010041 PL untuk pasien bedah (1
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
afifah refiana dewi 41052010002 drg. Olivia Piona Sahelangi, Lidia Santoso 041052110090
15 M9 15 M9
Alyafi Novidhiyani 41052010009 Kontrol Sp.Ort. Litayana Ria Anggriani Sit041052110091 Visit pertama (Cetak rahaDr. drg. Harryanto Wijaya, M.Kes.
Frida Asima Hutapea 041052010052 Dr. drg. Himawan Halim, DMD., Litayana Ria Anggriani Sit041052110091
16 M9 16 M9
Farah salsabila 041052010048 Kontrol MS., FICD., Sp.Ort. Lidia Santoso 041052110090 Visit pertama (Cetak rahaDr. drg. Harryanto Wijaya, M.Kes.
17 M9 17 M9
Maria Josephine Poerjoto 041052010077 Kontrol Dr. drg. Harryanto Wijaya, M.Kes.
Muthi Mahira 041052010085
Mulia Rachmiaty Putri 041052010084 Dr. drg. Harryanto Wijaya, M.Kes.
Mulia Rachmiaty Putri 041052010084
Muthi Mahira 041052010085 Dr. drg. Harryanto Wijaya, M.Kes.
20 M9 20 M9
Diana Mayleen 041051810040 Yoseph Kusnadi 041052100016
21 M10 Nadhiva Ramadhani 041051810100 GTL - Insersi drg. Andy Wirahadikusumah, Sp. Pros. 21 M10 Melisa Putri
Valleri Usboko
Wijatmo 041052010080 GTL - Pencetakan Pertama
041052010127 drg. Niko Falatehan, Sp.Pros
22 M10 22 M10 Wirdha Salsabila
Jasmine Maydiana 041051910057 GTL - Indikasi
041052010137 drg. I G A Ratih Utari Mayun, Sp. Pros
23 M10 23 M10 V Wanda
Naura LindyAini
Azhara 041052000014
041051910094 GTL- Relasi Rahang drg. Niko Falatehan, Sp.Pros
24 M10 24 M10 Novey Riyanti 041051910096 GTL - Insersi drg. I G A Ratih Utari Mayun, Sp. Pros
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
7 M7 Hosea Timothy 041052110066 LK1 drg,MDS,Sp.PM, PhD 7 M7
8 M7 Caesiovita Indah Virandani 41052200002 LK1 drg. Firstine
drg. Kelsi,
Firstine MClinDent,
Kelsi, Sp.PM
MClinDent, 8 M7
9 M7 marko ariawan 41051810089 kontrol lk 3 Sp.PM 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
Maria Verena Emeralda 041052000009 Kontrol Sp.Ort.
Sania Rahma Nursyam 041052010112
16 M9 16 M9
Risha Nadira Tyatana 041052010109 Visit pertama (Cetak rahangDr. drg. Yohana Yusra, M.Kes.
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Diana Mayleen 041051810040 Yoseph Kusnadi 041052100016
21 M10 Nadhiva Ramadhani 041051810100 GTL - Insersi drg. Andy Wirahadikusumah, Sp. Pros. 21 M10 Melisa Putri
Valleri Usboko
Wijatmo 041052010080 GTL - Pencetakan Pertama
041052010127 drg. Niko Falatehan, Sp.Pros
22 M10 22 M10 Wirdha Salsabila
Jasmine Maydiana 041051910057 GTL - Indikasi
041052010137 drg. I G A Ratih Utari Mayun, Sp. Pros
23 M10 23 M10 V Wanda
Naura LindyAini
Azhara 041052000014
041051910094 GTL- Relasi Rahang drg. Niko Falatehan, Sp.Pros
24 M10 24 M10 Novey Riyanti 041051910096 GTL - Insersi drg. I G A Ratih Utari Mayun, Sp. Pros
25 M10 25 M10
26 M10 26 M10
KIH - KAMIS, 1 Desember 2022
Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
Richentya Feiby Salim NIM
1 M6 1 M6 Zelia Joanna
Anastasya Aurelia
Muna RiadRamba041052010143
041052010011 Pemeriksaan lengkap visit drg. Albert, Sp. Perio
2 M6 2 M6 Ni Komang Priliana Pradianty
041052010090 Scalling manual
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7 Jenyfer Ignatia Moksidu 041052010063 LK-1 drg. Dewi Priandini, Sp.PM
8 M7 8 M7 Lidia Santoso 41052110090 LK 2 Dr. drg. Dewi Priandini, Sp. PM
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Vincent Aries Fernando 041052010132 Dr. drg. Johan Arief Budiman, Sp.
15 M9 15 M9
Vita Fredlinata 041052010135 Kontrol Ort.
Claresta Febristi 041051900003 Dr. drg. Johan Arief Budiman, Sp.
16 M9 16 M9
Anniza Bellarisi Cantika 041051900009 Kontrol Ort.
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Alyafi Novidhiyani ‘041052010009 Marpaung, Sp. Pros, Jonathan Rafel Ohary 041052010066
21 M10 Afifah Refiana
Chikita Ginni Dewi ‘041052010002
041051800002 GTL - Pencetakan Kedua drg. Aditya Pratama
PhD Sarwono, Sp. 21 M10 Maria Josephine Poerjoto 041052010077 GTL - Try in Malam drg Hani Yuliasari, Sp.Pros
22 M10 Hana Fauziyah
Imelda Darmawan 041051900004
041051910054 GTC - Insersi Pros 22 M10
23 M10 CynthiaDimas
Andiko PriscillaPratama 041051910024
041051810011 GTL - Kontrol drg. Eka Seftiana,Sp.Pros 23 M10
24 M10 Nabila Shahnaz
Dieva Shafira 041052010041 GTL - Insersi
041051810099 drg. Andy Wirahadikusumah, Sp. P 24 M10
25 M10 Esa BellaDeby
Natalia 041052010051 GTL - Pencetakan Kedua drg. Yenny Pragustine, Sp.Pros
041051810104 25 M10
26 M10 Anggita Prawesti Wardhani 041051810014 GTL - Pencetakan Kedua drg. Andy Wirahadikusumah, Sp. P 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7 Irviana Anggita 041052100011 LK 3 drg. Firstine Kelsi, MClinDent, Sp.PM
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
Alyafi Novidhiyani ‘041052010009 Marpaung, Sp. Pros, Jonathan Rafel Ohary 041052010066
21 M10 Afifah
ChikitaRefiana
Ginni Dewi ‘041052010002
041051800002 GTL - Pencetakan Kedua drg. Aditya Pratama
PhD Sarwono, Sp. 21 M10 Maria Josephine Poerjoto 041052010077 GTL - Try in Malam drg Hani Yuliasari, Sp.Pros
22 M10 Hana
ImeldaFauziyah
Darmawan 041051900004
041051910054 GTC - Insersi Pros 22 M10
23 M10 Cynthia PriscillaPratama
Andiko Dimas 041051910024
041051810011 GTL - Kontrol drg. Eka Seftiana,Sp.Pros 23 M10
24 M10 Nabila Shahnaz
Dieva Shafira 041052010041 GTL - Insersi
041051810099 drg. Andy Wirahadikusumah, Sp. P 24 M10
25 M10 Esa BellaDeby
Natalia 041052010051 GTL - Pencetakan Kedua drg. Yenny Pragustine, Sp.Pros
041051810104 25 M10
26 M10 Anggita Prawesti Wardhani 041051810014 GTL - Pencetakan Kedua drg. Andy Wirahadikusumah, Sp. P 26 M10
KIH - JUMAT, 2 Desember 2022

Shift 1: 08.00 - 09.30 Shift 3: 13.00 - 14.15
1 M5 1 M5
2 M5 Amalia Fauzana Wijaya 041052010010 2 M5
3 M6 Denisa Nabila Amanda
Yasnill 041052010038 Scaling manual
041052110158 3 M6
drg. Ricky Anggara Putranto, Sp. Perio
4 M6 Winnie Valentini 041052110157 Scalling manual 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 Edward 041052110043 Kontrol LK 3 drg. Andrian Nova, Sp.PM 11 M7 Irviana Anggita 041052100011 LK 3 drg. Firstine Kelsi, MClinDent, Sp.PM
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M9 21 M9
22 M10 22 M10 Evan Dwipa 041051810045 GTL - Try in Malam
Jonathan Rafel Ohary 041052010066 Joanna NadiaPutra
Sumaji 041052010065 drg. Eka Seftiana, Sp.Pros
23 M10 Maria 041052010077 GTL - Try in Malam 23 M10 041052010067 GTL - Try in Malam
JoannaJosephine Poerjoto
Nadia Sumaji 041052010065 drg Hani Yuliasari, Sp.Pros Julia
NikitaMustopa
Theodorus 041052010091 drg Hani Yuliasari, Sp.Pros
24 M10 Julia 041052010067 GTL - Try in Malam 24 M10
ZaldyMustopa
Farhan Adis 041052010142 drg Hani Yuliasari, Sp.Pros Richard Manuel
Caroline Septiani 041052010105
041052010028 GTC - Insersi drg. Niko Falatehan, Sp.Pros
25 M10 Yoshida Karana
Cici viorina lestari 041052010140
041052010033 GTL - Try in Malam Visit 2 drg. Niko Falatehan, Sp. Pros 25 M10 Caroline
Apriliani Taufik 041052010027
26 M10 Chaterin dwi anggowo 041052010029 GTL- Pencetakkan Pertama drg. Aditya Pratama Sarwono, Sp. Pros 26 M10 Gabriel Rainheart 041052010053 GTL - Pencetakan Pertama drg. Eka Seftiana,Sp.Pros
Shift 2: 10.00 - 11.30 Shift 4: 14.45 - 16.00

1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 Denilson 41052110036 LK 2 drg. Andrian Nova, Sp.PM 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
17 M9 17 M9
18 M9 18 M9
Linda Pratiwi 041051900006 Kontrol Ort.
19 M9 19 M9
20 M9 20 M9
21 M9 21 M9
22 M10 22 M10 Evan Dwipa 041051810045 GTL - Try in Malam
Jonathan Rafel Ohary 041052010066 Joanna NadiaPutra
Sumaji 041052010065 drg. Eka Seftiana, Sp.Pros
23 M10 Maria Josephine Poerjoto 041052010077
041052010065 GTL - Try in Malam drg Hani Yuliasari, Sp.Pros 23 M10 Julia Mustopa 041052010067 GTL - Try in Malam drg Hani Yuliasari, Sp.Pros
Joanna Nadia Sumaji Nikita Theodorus 041052010091
24 M10 Julia Mustopa 041052010067 GTL - Try in Malam drg Hani Yuliasari, Sp.Pros 24 M10 Richard Manuel 041052010105 GTC - Insersi drg. Niko Falatehan, Sp.Pros
Zaldy Farhan Adis 041052010142 Caroline Septiani 041052010028
25 M10 Yoshida
Cici Karana
viorina lestari 041052010140
041052010033 GTL - Try in Malam Visit 2 drg. Niko Falatehan, Sp. Pros 25 M10 Caroline Taufik
Apriliani 041052010027
26 M10 Chaterin dwi anggowo 041052010029 GTL- Pencetakkan Pertama drg. Aditya Pratama Sarwono, Sp. Pros 26 M10 Gabriel Rainheart 041052010053 GTL - Pencetakan Pertama drg. Eka Seftiana,Sp.Pros
KIH - SENIN, 5 Desember 2022

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
Kevin Anthony NIM
Christiawan041052110079 Pekerjaan DPJP
1 M6 1 M6 Vivi Angelina 041052110156 Scalling manual drg. Olivia Nauli Komala, Sp. Perio
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Reinhart Christian 041052010100 Dr. drg. Joko Kusnoto, MS., Nosyafira Andesya 041052000011 drg. Fajar H. Nasution, Sp.Ort.,
15 M9 Nikita Theodorus 041052010091 Kontrol Sp.Ort. 15 M9 Viola Wanda Aini 041052000014 Kontrol PhD.
Putri Nur Pratiwi 041052010095 Dr. drg. Joko Kusnoto, MS., Viola Wanda Aini 041052000014 drg. Fajar H. Nasution, Sp.Ort.,
16 M9 Redha Putri Wiranda 041052010098 Kontrol Sp.Ort. 16 M9 Nosyafira Andesya 041052000011 Kontrol PhD.
17 M9 Cindy Stevany 041051910020 Kontrol PhD. 17 M9
cindy stevany 041051910020 drg. Fajar H. Nasution, Sp.Ort.,
18 M9 Christopher Jeremy 41051910018 Kontrol PhD. 18 M9
Gabriel Rainheart Genesis L.J 41052010053 Dr. drg. Himawan Halim, DMD.,
19 M9 Esa Bella 041052010045 Kontrol MS., FICD., Sp.Ort. 19 M9
20 M9 Yoseph Kusnadi 041052100016 20 M9 Reynalda Oktaviani 041052010103

21 M10 Melisa Putri
Nosyafira Usboko
Andesya 041052010080
041052000011 GTL - Pas SCP drg. Niko Falatehan, Sp. Pros 21 M10 Ricky Chandra
Valencia Jaya Soen
Lawrence 041052010126 GTL - Penyesuaiaan SCP drg.
041052010107 Nova
drg. I G AAdrian, Sp.Pros
22 M10 Della Puspita Arini 041052000004 GTL- Insersi drg. Isya Hanin, Sp. Pros 22 M10 Jacinda Jesslyn 041052010062 GTL - Border Moulding Pros
23 M10 23 M10 dan pencetakan ke 2
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 Rosmalinda Suryani 041052010111 Kontrol Dr. drg. Yohana Yusra, M.Kes. 15 M9
16 M9 Richard Manuel 041052010105 Kontrol Dr. drg. Yohana Yusra, M.Kes. 16 M9
Yohana Dela Derinda 041051910133 Dr. drg. Johan Arief Budiman, Sp.
17 M9 William David Jan 041051910131 Cetak Evaluasi Ort. 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 Yoseph Kusnadi 041052100016 20 M9 Reynalda Oktaviani 041052010103

21 M10 Melisa Putri
Nosyafira Usboko
Andesya 041052010080
041052000011 GTL - Pas SCP drg. Niko Falatehan, Sp. Pros 21 M10 Ricky Chandra
Valencia Jaya Soen
Lawrence 041052010126 GTL - Penyesuaiaan SCP drg.
041052010107 Nova
drg. I G AAdrian, Sp.Pros
22 M10 Della Puspita Arini 041052000004 GTL- Insersi drg. Isya Hanin, Sp. Pros 22 M10 Jacinda Jesslyn 041052010062 GTL - Border Moulding Pros
23 M10 23 M10 dan pencetakan ke 2
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
KIH - SELASA, 6 Desember 2022

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
The Gabriella Rosetika Susanto NIM
1 M6 1 M6 Vita Fredlinata
Fikha Nurfadillah 041052010135 Desensitisasi (boleh dike
041052010050
2 M6 2 M6 Nabilah
Sarah Istiqomah
Tiara Haryanto041052010113
Haryanto 041052010086 Scaling manual
drg. Mikha Sundjojo, Sp. Perio
3 M6 3 M6 Reynalda
Triany Oktaviani
Setia Pratiwi 041052010103 PL untuk pasien bedah (1
041052000013
4 M6 4 M6 Livia Alvita 041052000008 PL untuk pasien bedah (1
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Ricky Chandra Jaya Soen041052010107
15 M9 15 M9 Richentya Feiby Salim 041052010106 Insersi alat Dr. drg. Yohana Yusra, M.Kes.
Helen Priscilla Margono 041052110063
16 M9 16 M9 Kevin Anthony Christiawa 041052110079 Visit pertama (Cetak rahadrg. Harris Gadih Pratomo, Sp.Ort.
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 Ira Wijayanti 041051910056 20 M9 Hanifan Aulia 041052010059

21 M10 Jasmine
Putri NurMaydiana
Pratiwi 041051910057
041052010095 GTC - Insersi drg. Yenny Pragustine, Sp.Pros 21 M10 Jeremia Armi Wijaya 041052010064 GTL - Relasi Rahang drg Hani Yuliasari, Sp.Pros
22 M10 Rania
Nurza Afnandhiya Wandawa
Maulida Assyifa 041052010097
041052010094 GTL - Pencetakan Pertama drg. Andy Wirahadikusumah, Sp.Pros 22 M10
23 M10 Reski Aryanti 041052010101 GTL - Pencetakan Pertama drg. Andy Wirahadikusumah, Sp.Pros 23 M10
Elvinadaya Ariefa Putri 041052010044
24 M10 Najla Firga
Hanifan Fadhila
Aulia 041052010087
041052010059 GTL - Relasi Rahang drg. Yenny Pragustine, Sp.Pros 24 M10
25 M10 Jeremia Armi Wijaya 041052010064 GTL - Relasi Rahang drg Hani Yuliasari, Sp.Pros 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 Ira Wijayanti 041051910056 20 M9 Hanifan Aulia 041052010059

21 M10 Jasmine
Putri NurMaydiana
Pratiwi 041051910057
041052010095 GTC - Insersi drg. Yenny Pragustine, Sp.Pros 21 M10 Jeremia Armi Wijaya 041052010064 GTL - Relasi Rahang drg Hani Yuliasari, Sp.Pros
Nurza Wandawa
Maulida Assyifa 041052010097
23 M10 Reski AryantiAriefa Putri
Elvinadaya 041052010101
24 M10 Najla Firga
Hanifan Fadhila
Aulia 041052010087
041052010059 GTL - Relasi Rahang drg. Yenny Pragustine, Sp.Pros 24 M10
25 M10 Jeremia Armi Wijaya 041052010064 GTL - Relasi Rahang drg Hani Yuliasari, Sp.Pros 25 M10
26 M10 26 M10
KIH - RABU, 7 Desember 2022

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
Khalda Fathiah Tuffahati 041052110081
15 M9 15 M9 Laura Emily Sulistyo 41052110087 Visit pertama (Cetak rahaDr. drg. Harryanto Wijaya, M.Kes.
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 6 M6
M9
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9 Visit pertama (Cetak rahaDr. drg. Harryanto Wijaya, M.Kes.
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1
M9
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 1: 08.00 - 09.30 Shift 3: 13.00 - 14.15
1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M9 21 M9
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.45 - 16.00

1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M9 21 M9
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 6 M6
M9
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1
M9
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 13.00 - 14.15
1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M9 21 M9
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.45 - 16.00

1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M9 21 M9
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 6 M6
M9
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1
M9
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 13.00 - 14.15
1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M9 21 M9
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.45 - 16.00

1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M9 21 M9
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 6 M6
M9
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 12.30 - 14.00
1 M6 1
M9
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.30 - 16.00

1 M6 1 M6
2 M6 2 M6
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M7 7 M7
8 M7 8 M7
9 M7 9 M7
10 M7 10 M7
11 M7 11 M7
12 M7 12 M7
13 M8 13 M8
14 M8 14 M8
15 M9 15 M9
16 M9 16 M9
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M10 21 M10
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

Shift 1: 08.00 - 09.30 Shift 3: 13.00 - 14.15
1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M9 21 M9
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10
Shift 2: 10.00 - 11.30 Shift 4: 14.45 - 16.00

1 M5 1 M5
2 M5 2 M5
3 M6 3 M6
4 M6 4 M6
5 M6 5 M6
6 M6 6 M6
7 M6 7 M6
8 M6 8 M6
9 M6 9 M6
10 M6 10 M6
11 M7 11 M7
12 M7 12 M7
13 M7 13 M7
14 M7 14 M7
15 M8 15 M8
16 M8 16 M8
17 M9 17 M9
18 M9 18 M9
19 M9 19 M9
20 M9 20 M9
21 M9 21 M9
22 M10 22 M10
23 M10 23 M10
24 M10 24 M10
25 M10 25 M10
26 M10 26 M10

NR & Kih 2022 41

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Ketentuan:

NR - Jumat, 30 September 2022

NR - Senin, 3 Oktober 2022

NR - Selasa, 4 Oktober 2022

NR - Rabu, 5 Oktober 2022 (BKGN)

NR - Kamis, 6 Oktober 2022 (BKGN)

NR - Jumat, 7 Oktober 2022 (BKGN)

NR - Senin, 10 Oktober 2022

NR - Selasa, 11 Oktober 2022

NR - Rabu, 12 Oktober 2022

NR - Kamis, 13 Oktober 2022

NR - Jumat, 14 Oktober 2022

NR - Senin, 17 Oktober 2022

NR - Selasa, 18 Oktober 2022

NR - Rabu, 19 Oktober 2022

NR - Kamis, 20 Oktober 2022

NR - Jumat, 21 Oktober 2022

NR - Senin, 24 Oktober 2022

NR - Selasa, 25 Oktober 2022

NR - Rabu, 26 Oktober 2022

NR - Kamis, 27 Oktober 2022

NR - Jumat, 28 Oktober 2022

NR - Senin, 31 Oktober 2022

NR - Selasa, 1 November 2022

NR - Rabu, 2 November 2022

9 M9 Joanna Nadia Sumaji 041052010065 9 M9

NR - Kamis, 3 November 2022

NR - Jumat, 4 November 2022

NR - Senin, 7 November 2022

NR - Selasa, 8 November 2022

NR - Rabu, 9 November 2022

NR - Kamis, 10 November 2022

NR - Jumat, 11 November 2022

NR - Senin, 14 November 2022

NR - Selasa, 15 November 2022

NR - Rabu, 16 November 2022

NR - Kamis, 17 November 2022

NR - Jumat, 18 November 2022

NR - Senin, 21 November 2022

NR - Selasa, 22 November 2022

NR - Rabu, 23 November 2022

NR - Kamis, 24 November 2022

NR - Jumat, 25 November 2022

NR - Senin, 28 November 2022

NR - Selasa, 29 November 2022

NR - Rabu, 30 November 2022

NR - Kamis, 1 Desember 2022

NR - Jumat, 2 Desember 2022

NR - Senin, 5 Desember 2022

NR - Selasa, 6 Desember 2022

NR - Rabu, 7 Desember 2022

NR - Kamis, 8 Desember 2022

NR - Jumat, 9 Desember 2022

NR - Senin, 12 Desember 2022

NR - Selasa, 13 Desember 2022

NR - Rabu, 14 Desember 2022

NR - Kamis, 15 Desember 2022

NR - Jumat, 16 Desember 2022

NR - Senin, 19 Desember 2022

NR - Selasa, 20 Desember 2022

NR - Rabu, 21 Desember 2022

NR - Kamis, 22 Desember 2022