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Nama
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Harwanto
Parmanto
Muh Nurdin
Guntur M
Nanda HW
Putri D
Samto
Wiyadi
Benny Aris
Titik Kowiyah
Yudi
Pramono
Sugiman
Rully Y
Teguh
Lestari
Deva
Fitrianto
14
15
16
17
18
Rita Yuni
Rahayu
Datinah
Hadi
Wisnu Dian
Yasin Nur
Toyib
Umur
RM
50 th
67 th
30 th
59 th
22 th
20th
30 th
26 th
41 th
28 th
35 th
39 th
25 th
1770511
641472
1770548
1770535
1770566
1770571
1770587
1770786
1770961
1550553
177121
1765229
1771419
14 th
1771430
P
P
L
L
37
62
20
18
1007638
1760126
1771447
1771458
th
th
th
th
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51
Waiyo
56 th
1771463
57 th
1771454
Mei Tesha
Raden
Norkolis
Sendi Fajar
Harmini
Fares
Erdiansyah
Sukarni
21 th
1711474
39 th
1770231
L
P
L
17 th
24 th
10 th
1770399
1770397
1769846
34 th
1632623
Galih Agung
Agung
Subiandoro
Anggun
Mardiyah
Pardi
Nova Galih
Choirini
Agus
Rudiyansyah
Raden
Norkolis
Widoyo
Yurokhmad
Harwanto
Darmanto
Muhammad
Nuradin
Nanda Hata
Wiguna
Samto
Wiyadi
Tititk
Kowiyah
Yudi
Pramono
Putri
Damayanti
Daman Huri
Rizal Bayu
Kurnia
Rully Yui
Rita Yuni
Rahayu
Yasin Nur
Thoyib
Waiyo
Mei Teska
Darto
L
L
L
L
P
L
L
L
L
L
L
L
L
L
P
L
P
L
L
P
P
L
L
L
22
34
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43
20
22
40
40
25
50
68
30
22
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41
28
20
50
20
39
37
29
36
20
1769879
1769882
1769860
1769893
924481
1770436
1770231
1770440
1770600
1770611
691472
1770648
1770666
1770687
1770961
1560533
1770571
1769409
1769353
1765229
1007536
1771458
1771453
1771474
Murwahyudi
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
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Ferry
Kurniawan
Pawiro
Sumarjo
Ponijan
Priyo
Puspolaras
Sri Sumarni
Rangga
Bimawan
Roni Arman
Fitriana
Mansur
Sudarjo
Fachrudin
Setiawan
Sudarsih
Supirihatin
Alias Su
Hery Irwanto
Ari Santoso
Daud
Suparno
Ngatidjo
Supiyan
Pawiro
Sumarjo
Senen
Adiwiharjo
Hendi
Riyandi
Aribawa Aji
Marinah
Didik Riawan
Herman Tri
Saputro
L
L
L
L
P
L
L
P
L
L
P
L
L
L
L
L
L
L
L
L
L
P
L
L
22
75
49
25
46
22
30
49
49
22
32
33
34
22
49
69
50
75
53
52
42
55
25
24
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
th
1768389
1771682
1771672
1771513
1755810
1771681
1771964
239984
1770297
1772097
633276
1772272
1772349
1772323
1772317
1772636
1772996
1771682
1773021
1773030
1773073
1764367
1768068
863162
MENGETAHUI
KEPALA BAGIAN ORTHOPAEDI
AH UMUM
to Benni Sambada
Diagnosa
Keterangan
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Sharp instrument injury of the left femur extensor zone VII with open total rupture ofthe ECRL<
ECRB< EPL tendon
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Fracture clavicula sinistra, fracture scapula dextra, fracture intertrochanter femur sinistra,
fracture vertebra thoracal I, IV, spinal cord injury complete
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RESIDEN