bedah rsmh
TRANSCRIPT
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UNIT KERJA : Div Bedah Orthopedi Departemen
BULAN :
No Tanggal Nama Pasien dengan Arthroplast Tanggal Lahir
! "#!#$%!& A'i K(sno Ja)*ar +&,%$- .#+#!/-,
$ !#,#$%!& Ahmad 0(hammad Leonardo /$"$&! !$#$%#!/-+
" 2/4/2016 HJ. Sabena Binti H Bakta 934274 2/18/1942
, 2/4/2016 123 1alimah 4(haimi /!,&%& 6/20/1940
- 2/4/2016 031idaat /$!+&" 3/21/1992
& 1/6/2016 Drs313Rasid Demasir +,+&$& 4/21/1941
+ 3/10/2016 N(rnaningsih /"!"," 10/10/1971
. 3/10/2016 4(prapti /$&!!. 6/10/1952
/ 2/11/2016 B3 4(laimah Binti 4ams(din /"&/!- 2/8/2016
!% 3/14/2016 Ratna 5illis "%++- 7/5/1940
!! 3/15/2016 Ririn /"%//. 2/17/1991
!$ 8/25/2016 0 4ams(ddin 44 /"+$!. 8/25/1954
!" 2/17/2016 0(hammad Arie* R ./"$.! 6/1/1987
!, 3/17/2016 N(rsilah 'inti mid(n /$-!.. 1/1/1945
No3 Re6am0edi6
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WORKSHEET
EMBERIAN ANTIBIOTIC PROFILAKSIS SATU JAM SEBELU
PADA PASIEN ARTHROPLASTY
edah
Tanggal 0as(6
7a Tida6
,%$ !
,%" !
409 1
103 1
406 1
103 1
402 1
103 1
301 1
106 1
409 1
406 1
405 1
402 1
R(angPera5atan
Di'eri6an anti'ioti8pro*ila6sis ! 2am se'el(m
insisi
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INSISI OPERASI
Ket
9enoarthritis
Osteone8rosis
Arthrosis
Genoarthritis
fr nek fe!"r
#rat"re nek fe!"r
Arthrosis
$onarthrosis
on$enita% Absene& Arthresia ' Stenosis of An"s (ith#ist"%a
#rat"re nek fe!"r
)is%oation of ra*ia% nek
$onarthrosis
s+rain an* strain in,o%,in$ -anterior an* +osterior r"%ate i$a!ent of knee
+ost s"r$ia% state
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WORKSHEET
PEMBERIAN ANTIBIOTIC PROFILAKSIS PADA OPERA
BEDAH ANAK BERSIH TERKONTAMINASI
UNIT KERJA :
BULAN :
No Tanggal Tanggal Lahir !$ 2am se'el(m ins
7a Tida6
!#$.#$%!& 03Athar Ali*a /",""% /#!!#$%!% "%$ !
!#$.#$%!& ;ito ma(lana /",&"! /#$#$%%+ ,%, !
!#$#$%!& J(nata Paroro<i /"%!., -#!-#$%%, ,%& !
"#&#$%!& K(sni a'i5i2aa /"&$,- .#$.#$%%! ,%- !
!#+#$%!& Elia s(santi /"!%&! !#!!#$%%& ,%- !
Nama Pasien Operasi Bedah Ana6
Bersih Ter6ontaminasi
No3 Re6am
0edi6
Tanggal
0as(6
R(ang
Pera5atan
Peng(mp(l Data !
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Peng(mp(l Data $#;eri*i6ator
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ioti8 pro*ila6sis
Ket1 $ setelah operasi 1 " setelah operasi
7a Tida6 7a Tida6
! !
! !
! !
! !
! !
Ka3
333333333NIP
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SH
AAASAAA #A
nit er<a = )i,isi Be*ah %astik )e+arte!en Be*ah
B"%an = aret
o $% a!a
1 3/8/2016 "s(o>o Ari 939294 2/8/1997
2 3/11/2016 ?"*i G"na(an 941073 8/31/1977
3 3/15/2016 iski kka 947558 10/15/1994
4 3/22/2016 Barino ratno 941644 5/15/1976
5 3/24/2016 o!ar"*in Ah!a* 941388 4/7/1969
1/13/2016 >a>" >"s e!i 931804 12/23/1980
1/18/2016 ina i@a!ia ah>"ni 931820 2/15/2000
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:;A )GA ;#
S "an$ ;# et
2/24/2016 B ?a
3/6/2016 B ?a
3/9/2016 Aster H ?a
3/10/2016 Aster A ?a
3/8/2016 B ?a
403 >a
103 >a
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WORKSHEET
TINDAKAN TERAPEUTIK ENDOVASKULAR DI KAMAR OPERASI
UNIT KERJA :
BULAN :
No Tanggal Tanggal Lahir
!#$%#$%!& 1ermansah /!,,&$ !$#+#!/-/ -%%
!#!,#$%!& Lilis 0ar*(atin /!-,"- !%#!/#$!,. -%$
Nama PasienEndovas6(lar
No3 Re6am0edi6
Tanggal0as(6
R(angPera5atan
Peng(mp(l Data !
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Peng(mp(l Data $#;eri*i6ator
333333333333333333333333333333333333NIP========
0engetah> ====
33333333333333333 ====
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Ket
7a Tida6
! trom'oem'ole6
! Repair tendo pe
Pela6sanaan tinda6anterape(ti6 endovas6(lar di
6amar operasi
(iKa===3
3333333333333333333NIP===
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WORKSHEET
WAKTU TUNGGU OPERASI THORAX ELEKTIF
UNIT KERJA :
BULAN :
No No Re6am 0edi6 Tanggal Lahir Diagnosis Tanggal 0R4 Nama DPJPRen8a
Tan
Jihan 0a6aila /""/&+ +#$.#$%!- PDA BER
034(lthan A'd(s /$+%-! -#&#!/&" A4D BER
Rasa Al*aro ."/"%. -#$&#$%!" ;4D BER
A8hmad *a2ar ./,/.+ $#!!#!//- ;4D BER
Ken<ho *edroansah /"$..- +#!!#$%!! ;4D BER
A2i Amadeo 4a6a .!$""/ !%#!,#$%!" ;4D BER
Al*aro maharadi6a /"-&", !$#!$#$%!" ;4D BER
9lo5 Inaa sap(tri /$!$"% -#$,#$%!- PDA BER
Dion 4ahp(tra /"$/&! /#&#$%%& ;4D BER
Evit6o 6al8a adhe &,"-/. +#&#$%!$ ;4D BER
Raisha 6han<a n(rashia &+.&$, !%#!%#$%!! ;4D BER
Nama Pasien Operasi
Thora? Ele6ti*
Peng(mp(l Data ! Peng(mp(l Data $#
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333333333333333333333333333333333333NIP========
;eri*i6ator
333333333333333333333333333333333333NIP========
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Pasien dila6(6an Operasi@TO
Tanggal Jam
"#$.#$%!&
!#,#$%!&
!#,#$%!&
$#,#$%!&
"#!!#$%!&
"#!!#$%!&
!#!"#$%!&
!#$$#$%!-
$#$$#$%!&
$#$$#$%!&
KET T(lis pene'a'
apa'ila @TO ! hariC
h(iKa====3
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WORKSHEET
REOPERASI PASIEN POST TURP
UNIT KERJA :
BULAN :
No Tanggal Nama Pasien Post TURP Tanggal Lahir
"#$#$%!& Rahmat 'in 03o8o /"&,$& .#!$#!/,/ ,%!
$#"#$%!& A3 Kadir Bin Ii2ir -$+.-- !$#"!#!/"$ ,%-
$#"#$%!& 4i6(m 'in 0at Jani /$.,-& $#"#!/,$ ,%-
!#-#$%!& 0(lono 'in narman /$."!/ /#!-#!/-/ ,%+
$#-#$%!& 03 1asim 10 Teg(h /!%-/$ /#&#!/-% !%,
"#+#$%!& Elianto 'in 8en Jong*o /"+/.+ .#!$#!/". -%"
"#.#$%!& 0a2a5as 'in na6ip /,%,!. !%#!/#!/"- -%.
"#.#$%!& N(din 'in 'erodat /"!!$& +#!#!/,% ,%/$#/#$%!& 4omid2o 'in *lan /!/%&, .#$&#!/,! ,%+
$#/#$%!& aidin 'in sanang /!-&.- ,#,#!/-" ,%+
!#!!#$%!& Koni 'in 8i6 6arim /$.%,+ +#$!#!/-% ,%+
!#!!#$%!& 03 ain(ri /$&$"% +#!+#!/&, ,%$
$#!!#$%!& Ahmad sae*(din /$/+/+ .#!.#!/"+ ,%/
No3 Re6am0edi6
Tanggal0as(6
R(angPera5atan
Peng(mp(l Data !
333333333333333333333333333333333333NIP========
Peng(mp(l Data $#;eri*i6ator
333333333333333333333333333333333333NIP========
0engetah(> =====
3333333333333333333 =====
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Ket
7a Tida6
!
!
!
!
!
!
!
!!
!
!
!
! a
Terla6sanana endos8op(lang setelah TURP F $,
2am
iKa===3
33333333333333333NIP===
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nit er<a
B"%an
AA/.
1 B"*i )ar!a/930135/11
2 $s.Jan$ik/929924/21
3 ;n*ra ?"*i/930244/31
4 "ha!!a* ?ak"b/930286/415 )on> Sa+"tra/930789/61
6 Aris!an bin ans"r/930804/61
7 Ja!iah bt S"*a"t/930951/61
8 %ia S"santi/931061/71
9 Anna bt ?on$ /841869/71
10 "*i bin Jas!ara/931445/91
11 "%kan bin H."kti/931498/101
12 ika rati(i/9315109/101
13 "ha!!a* An(ar/931518/101
14 )eri bin Ja>a/931528/111
15 e<ab bin atif/931989/121
16 Se!"na bt H.Sa!i"n/932018/131
17 ?aC*han akha/932198/131
18 $atini bt Ja"hari/932410/151
19 Ah!a* Dikri%ah/932653/171
20 %ianah bt a"%ana/933212/201
21 ;s!a(ati bt Basar/933572/221
22 A%a! bin seke!/933851/231
23 Ah!a* So%ihin/933880/241
24 Ah!a* So%ihin/933880/251
25 Akhira(ati bt Se!inar/933846/261
26 J"!a*i bin ar*i/934850/291
nit er<a
B"%an
AA/.
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1 Ba>" an*ika/935140/12
2 Bon$ an /935139/12
3 aki>e!/935374/22
4 "sni Abi(i<a>a/936245/62
5 oh!iati binti "sta!/922919/62
6 Sion bin n"**in /936295/72
7 J"%"!ah bt Ba*"sin/932875/728 i@ka "tri.A/936339/82
9 A!ir"**in Si!o!ora/935676/82
10 A$"stia(an bin ah!at/936408/92
11 A$"sn> Bin a%i!/939309/112
12 S"kari! bin Ar<a/936926/112
13 A$"stia(an bin ah!at/936408/112
14 ;+ro(ati bt ;s!ai%/932370/112
15 Sa%a!ah bt a*en/936069/132
16 A$"sna* bin Daini/413537/142
17 Dah"n bt )ah%an/887508/142
18 J"(antoro bin arti!in/937425/142
19 )o*i Arians>ah/937937/162
20 Ho%ik er>anto/937953/172
21 Sair Bin Sa%eh/938393/192
22 G"nt"r Bin an$$on/919687/232
23 asr"n Bah"sin/227986/252
24 ?"sna #ebri>anti/939743/262
25 A%i bin ahb"r/939983/282
nit er<a
B"%an
AA/.
ahiran bin ini!/908045/13 ?anto ri!o/940452/13
H<."snah ohar/862401/53
Hen*ia(an bin Dakaria/941017/63
Anis Abi*ah/941659/103
"s%i! Ansori/941882/103
Her!ans>ah bin "s*i/941905/103
Sa>ati bt Gase!/942112/113
An<" H"tabarat/942117/123
Hen*ia(an bin Dakaria/941017/123
ah>"*i bin ohar/942178/133"ha!!a* Ba>"/942168/133
Sahri H ;*r"s/942151/13 3
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is$ian bin S">a*i/942455/163
Dein #ath"r/943082/173
"ha!!a* Haria*i/942102/173
.A%ie ian/933239/183
Ab*a bin Ab*"%%ah/943348/193
a!is bin or$a/942979/203
?"s"f Hi*a>at/943969/223Hin*i "rnia(an/943334/233
Asia ?ah>a/944340/243
S"+ar!an bin a*i/944510/243
Herti "ti/944551/253
at!a bt isin/943968/263
As(a bt ?ahin/944628/273
i,a%*i bin Hasan/944655/283
aka a"fa%/945270/303
Ab" a(as/945503/313
at Senen/944268/313
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SH
S ; AAASAAA B)AH AAA; G
= )i,isi Be*ah )i$esti,e )e+arte!en Be*ah
= Jan"ari
);AGSA ;)AA
eritonitis )if"sa e erforasi Gaster a+arato!i ks+%orasi
;%e"s bstr"ksi a+arato!i ks+%orasi
eritonitis )if"sa a+arato!> ks+%orasi
eritonitis )if"asa e +erforasi or$an Eis"s a+orato!i ks+%orasi"ka "s"k Ab*o!en a+arato!i ks+%orasi
eritonitis )if"sa a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!> ks+%orasi
eritonitis )if"sa a+arato!i
"ka "s"k te!b"s ab*o!en a+arato!i
"ka "s"k te!b"s ab*o!en a+arato!> ks+%orasi
eritonitis )if"sa a+arato!> ks+%orasi
A++en*i erforasi a+arato!i ks+%orasi
eritonitis )if"sa a+arato!>
"ka t"s"k horaoab*o!ina% a+arato!> ks+%orasi
eritonitis )if"sa a+arato!> ks+%orasi
eritonitis )if"sa a+arato!> ks+%orasi
;n,a$inasi a+arato!>
eritonitis )if"sa a+arato!> ks+%orasi
"ka "s"k Ab*o!en a+arato!> ks+%orasi
;%e"s bstr"ksi a+arato!>
eritonitis )if"sa a+arato!> ks+%orasi
eritonitis )if"sa a+arato!i ks+%orasi
"ka e!bak Ab*o!en a+arato!> ks+%orasi
ost a+arato!> e%a+arato!>
eritonitis )if"sa a+arato!> ks+%orasi
"ka "s"k te!b"s ab*o!en a+arato!> ks+%orasi
S ; AAASAAA B)AH AAA; G
= )i,isi Be*ah )i$esti,e )e+arte!en Be*ah
= #ebr"ari
);AGSA ;)AA
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ra"!a i%ar a+arato!> ks+%orasi
eritonitis )if"sa a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!i
+eritonitis )if"sa a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!> ks+%orasi
+eritonitis )if"sa a+arato!> ks+%orasi
S"s+."!or Fo%on a+arato!> ks+%orasi;%e"s bstr"ktif a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!> ks+%orasi
ra"!a "!+"% ab*o!en a+arato!> ks+%orasi
;%e"s bstr"ktif a+aroto!> ks+%orasi
Hernia ;n$"ina%is )etra a+arato!> eseksi "s"s
"+t"r He+ar e%a+arato!>&e!o,e +akin$
Abses e$io eritonia% a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!>
;%e"s bstr"ktif a+arato!> ks+%orasi
S )o"b%e "!en
+eritonitis )if"sa a+arato!> ks+%orasi
"ka "s"k hora a+arato!> ks+%orasi
E"%n"s S%o+etr"! a+arato!> ks+%orasi
+eritonitis )if"sa a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!>&He!io%eto!>
;%e"s bstr"ktif a+arato!> ks+%orasi
+eritonitis )if"sa a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!> ks+%orasi
S ; AAASAAA B)AH AAA; G
= )i,isi Be*ah )i$esti,e )e+arte!en Be*ah
= aret
);AGSA ;)AA
ost Fo%osto!i *en$an %e"ka$e e%a+arato!>H; )etra +eritonitis *if"sa a+arato!> ks+%orasi
+eritonitis )if"sa a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!> ks+%orasi
B"rst Ab*o!en e%a+arato!>
"ka "s"k e!b"s Ab*o!en a+arato!> ks+%orasi
+eritonitis )if"sa a+arato!> ks+%orasi
"ka "s"k e!b"s Ab*o!en a+arato!>&S+%enora+h>
S"s+.e"ka$e anasto!osis a+arato!> ks+%orasi
"ka "s"k Ab*o!en a+arato!> ks+%orasi ra"!a t"!+"% Ab*o!en a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!> ks+%orasi
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+eritonitis )if"sa a+arato!> ks+%orasi
;n,a$inasi a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!>
;%e"s bstr"ktif a+arato!> ks+%orasi
+eritonitis )if"sa a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!> ks+%orasi
"ka "s"k e!b"s Ab*o!en a+arato!> ks+%orasi+eritonitis )if"sa a+arato!> ks+%orasi
+eritonitis )if"sa a+arato!> ks+%orasi
+eritonitis )if"sa a+arato!> ks+%orasi
Hernia )iafra$!atika e%a+arato!>
;%e"s bstr"ktif a+arato!>
+eritonitis )if"sa a+arato!> ks+%orasi
+eritonitis )if"sa a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!> ks+%orasi
bstr"ksi s"s a+arato!> ks+%orasi
;%e"s bstr"ktif a+arato!> ks+%orasi
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S; A)A AG )ASA 2 Ja!
A
Aes+on i!e
GG
AS; 120 enit I 120 enit
*r.Sar"+ Sin$h.S+BB) 10 enit
*r.aKes 20 enit
*r.A!sa% 25 enit
*r&A!sa% 90 enit *r.e@a 20 enit
*r.Sar"+ Sin$h.S+BB) 30 enit
*r.Sar"+ Sin$h.S+BB) 10 enit
*r.A!sa% 30 enit
*r.S"r>a 25 enit
*r.)"*i 5 enit
*r.D"%Lkar 20 enit
*r.Ha+i*h.S+BB) 20 enit
*r.;%ha! 20 enit
*r.;%ha! 20 enit
*r.As%a!an 40 enit
*r.HaL*h.S+BB) 10 enit
*r.a*e.# 45 enit
*r.a,%es 15 enit
*r.A*e.# 15 enit
*r.HaL*h.S+BB) 210 enit
*r.#aisa% 45 enit
*r.A!sa% 22 enit
*r.M!an.S+BB) 10 enit
*r.M!an.S+BB) 10 enit
*r.H"sein 40 enit
*r.D"%Lkar 130 enit
24 2
S; A)A AG )ASA 2 Ja!
AA
GG
AS; 2 Ja! I 2 Ja!
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*r.ia 825 enit 1
*r.ia 217 enit 1
*r.HaL*h.S+BB) 695 enit 1
*r. a> ri@a% 180 enit 1
*r.HaL*h.S+BB) 200 enit 1
*r.Sar"+ sin$h&S+BB) 250 enit 1
*r.HaL*h.S+BB) 450 enit 1*r.an e@a 360 enit 1
*r.Sar"+ sin$h&S+BB) 450 enit 1
*r.HaL*h.S+BB) 230 enit 1
*r.HaL*h.S+BB) 1260 enit 1
*r.Sar"+ sin$h&S+BB) 360 enit 1
*r.HaL*h.S+BB) 370 enit 1
*r.HaL*h.S+BB) 925 enit 1
*r.HaL*h.S+BB) 75 enit 1
*r.HaL*h.S+BB) 1530 enit 1
*r.o+ri 85 enit 1
*r.a>ri@a% 180 enit 1
*r.As%a!an 80 enit 1
*r.As%a!an 360 enit 1
*r.re@a 440 enit 1
*r.Sar"+ sin$h&S+BB) 340 enit 1
*r.HaL*h.S+BB) 355 enit 1
*r.)"*i 405 enit 1
*r.HaL*h.S+BB) 260 enit 1
3 22
S; A)A AG )ASA 2 Ja!
A
A
a+arato!> GG
AS; 2 Ja! I 2 Ja!
*r.HaL*h.S+BB) 95 enit 1*r.Sar"+ sin$h&S+BB) 20 enit 1
*r.HaL*h.S+BB) 30 enit 1
*r.HaL*h.S+BB) 90 enit 1
*r.an e@a 60 enit 1
*r.Jonatha 30 enit 1
*r.an e@a 40 enit 1
*r.)"*i 15 enit 1
*r.)iah ir%ia 45 enit 1
*r.aKes 80 enit 1
*r.D"%Lkar 20 enit 1*r.aKes 120 enit 1
*r Bob> 35 enit 1
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*r.HaL*h.S+BB) 60 enit 1
*r.)iah ir%ia 35 enit 0
*r.e@a 75 enit 1
*r.M!an.S+BB) 30 enit 1
*r.Sar"+ sin$h&S+BB) 40 enit 1
*r.aKes 30 enit 1
*r.Bobb> 35 enit 1*r.an e@a 55 enit 1
*r.)"*i 40 enit 1
*r.A!sa% 55 enit 1
*r.Sar"+ sin$h&S+BB) 15 enit 1
*r.aKes 45 enit 1
*r.HaL*h.S+BB) 60 enit 1
*r.an e@a 140 enit 1
*r.Sar"+ sin$h&S+BB) 16 enit 1
*r.Sar"+ sin$h&S+BB) 30 enit 1
*r.M!an.S+BB) 175 enit 1
26 3
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ASA
AGA
1 ;G)
;G)
ransit ;G)
;G);G)
;G)
;G)
;G)
;G)
;G)
;G)
;G)
;G)
;G)
;G)
;G)
;G)
;G)
;G)
;G)
;G)
1 ;G)
;G)
;F
;G)
;G)
92N
ASAAGA
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;G)
;G)
;G)
;G)
;G)
;G)
;G);G)
Aster G
;G)
;G)
;G)
G;F
?as!in B
?as!in F
enan$a
?as!in B
;G)
1 ;G)
;G)
;G)
?as!in )
;G)
;G)
12N
ASA
AGA
a(ar;G)
;G)
B
;G)
;G)
;G)
;G)
;G)
B
;G);G)
;G)
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;G)
;G)
Aster
;G)
B
;G) ?as!in A
;G)
;G)
;G)
B
;G)
;G)
;G)
;G)
B
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nit er<a
B"%an
AA/.
e+ania bt o%ek/931271/81
B>.)e(i ("%an*ari/931267/111
Ba$as "r!a"%ina/932966/181
*i Ars>ah/934428/261
nit er<a
B"%an
AA/.
#ahrian bin #a<ar/935844/42
;is )ah%ia/936923/112
"ha!!a* e$ar/937546/162
<an$ ar>ono/938636/202
Ar*i bin Sa@i%i/939006/222
Anik "hai!in/940027/292
nit er<a
B"%an
AA/.
An%aini bin Sahir!an/941562/83
S%a!et bin So!a*/942158/123
.AraLk/943106/173
;n*ar>anto bin i*(an/943143/183tari A$"stian/944594/273
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SH
S ; AAASAAA B)AH AAA; G
= )i,isi Be*ah Saraf )e+arte!en Be*ah
= Jan"ari
);AGSA ;)AA
)H *e! Ferebri Franioto!>
;FH Franioto!>
)H Franioto!>
S)H Franioto!>
S ; AAASAAA B)AH AAA; G
= )i,isi Be*ah Saraf )e+arte!en Be*ah
= #ebr"ari
);AGSA ;)AA
S)H #r.)ista% a*i"s )e Franioto!>
)H ob"s e!+oro+arienta% Franioto!>
)H Franioto!>
;FH S)H Franioto!>
)H Franioto!>
)H Franioto!>
S ; AAASAAA B)AH AAA; G
= )i,isi Be*ah Saraf )e+arte!en Be*ah
= aret
);AGSA ;)AA
)H Franioto!>
)H Franioto!>
)H ob"s #rontote!+ora% Franioto!>
;FH Franioto!>S)H Franioto!>
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S; A)A AG )ASA 2 Ja!
A
Aes+on i!e
GG
AS; 120 enit I 120 enit
*r.A$"n$.S+BS 6 enit 1
*r.An"$rah ni.S+BS 40 enit 1
*r.i@an 30 enit 1
*r.e@a 60 enit 124 2
S; A)A AG )ASA 2 Ja!
A
A
Franiot!> GG
AS; 2 Ja! I 2 Ja!*r.*ison.S+BS 420 enit 1
*r.An"$rah nie 300 enit 1
*r.ri<oso.S+BS 1440 enit 1
*r.A$"n$.S+BS 285 enit 1
*r.nie.S+BS 270 enit 1
*r.ri<oso.S+BS 720 enit 1
S; A)A AG )ASA 2 Ja!
A
A
Franioto!> GG
AS; 2 Ja! I 2 Ja!
*r.An*ina 75 enit 1
*r.D"%Lkar 45 enit 1
*r.A$"n$.S+BS 25 enit 1
*r.A$"n$.S+BS 105 enit 1*r.nie.S+BS 105 enit 1
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ASA
AGA
;G)
;F
;G)
;G)92N
ASA
AGA
;G)
Aster B
;G)
1 ;G)
;G)
;G)
ASA
AGA
;G)
;G)
;G)
;G);G)
8/17/2019 BEDAH RSMH
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WORKSHEET
PEMBERIAN KEMOTERAPI SESUAI JADWAL
UNIT KERJA :
BULAN :
No Tanggal Nama Pasien Kemoterapi Tanggal Lahir No3 Re6am
0edi6Tanggal0as(6
R(angPera5atan
Peng(mp(l Data !
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Peng(mp(l Data $#;eri*i6ator
333333333333333333333333333333333333NIP========
0enget> ===
33333333333333 ===
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Ket
7a Tida6
Pem'erian 6emoterapises(ai 2ad5al
h(iKa====3
3333333333333333333333NIP====
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AHA HA)A A
nit er<a = )e+arte!en Be*ah
B"%an = aret
o
an$$a%
)J asien as"k e%"ar
1 3/3/2016 3/8/2016 S; Jesia A"ra 940753
2 H# Sa!s" ri@a% 938304
3 12/10/2016 "ti S"!ira 935430
4 3/15/2016 3/21/2016 A S"ar*i >asi* 595279
5 3/1/2016 3/5/2016 )(i 897961
6 A*it>a rata!a
7 #are% 937524
8 B )r$.tris>ah 693218
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SH
)A A; ;;S )A F;;FA A
!"r )ia$nosis
enata%aksanaan asses!en k%inis
/ a !
a r a ( a t - h a r i .
A s s e
s ! e n k % i n i s
6 e !
e r i k s a a n + e n " n < a n $
5 i n *
a k a n
1 b a t
7 " t r
i s i
5 h Hernia in$"ina%is sinistra 5 50N 100N 50N 0N 67N
21 th Hernia in$"ina%is *etra 100N 100N 66N 41N 66N
36 th H>*rohe+a%"s 85N 100N 30N 16N 83N
72 th Hernia in$"ina%is *etra 6 100N 66N 16N 0N 33N
24 th "!or !a!!a *etra 4 100N 100N 100N 19N 100N
8 b%n H>*rohe+a%"s 0 100N 100N 61N 61N 10N
1 th H>*rohe+a%"s 0 71N 57N 30N 50N 100N
52 th "!or !a!!a *etra 0 100N 100N 44N 37N 100N
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HA?
ses"ai /F -N
9 o b i % i s a s i
1 " t
o ! e
6 e n *
i * i k a n
2 a t a
B r a t a
0N 50N 100N 52N 68N
100N 100N 100N 84N
0N 100N 100N 64N
0N 80N 20N 39N
100N 100N 100N 90N
40N 90N 100N 70N
40N 0N 100N 56N
100N 100N 91N 84N
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AHA GAS AA
nit er<a akitan 1.3
B"%an = #ebr"ari
o a!a et"$as
>a
1 e!i t"stiat"n 3/3/2016
2 ar>anti 3/4/2016
3 asna(ati 3/4/2016
4 #itriah 3/4/2016
5 "thf> 3/7/2016
6 F%e!ent 3/7/2016
7 )(i !a>asari 4/8/2016
8 S"kri 4/8/2016
9 G"%ra< 4/8/2016
10 ika iMriani 4/8/2016
11 an$$a 4/8/2016
12 #ebian 4/8/2016
13 ina nis!a%ia 4/8/2016
14 Se<ahtera 3/10/2016
15 A%i satria 3/10/2016
16 A*> "%>a 3/18/2016
17 An*ri soe%ist>o 3/18/2016
nit er<a = enan$a
B"%an = aret
o a!a et"$as
>a
1 )oni san*ra 3/18/2016
2 ar%in*a 3/21/2016
3 Sri ;n*arti 3/21/2016
4 e$a r"s!ini 3/21/2016
5 )e(i a>" %"!ia 3/21/2016
6 Eera ro*ina 3/22/2016
7 #ransiska okta,ia 3/22/2016
8 Fhairani @ahra 3/25/2016
9 en*> 3/25/2016 10 ;khsan 3/25/2016
11 "rnia 3/25/2016
akt" +e%aksanaans"r,e>
e%aksanaanber*asarka
akt" +e%aksanaan
s"r,e>
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12 ,a s"santi 3/28/2016
13 o!a*hon 3/28/2016
14 ?"*histira 3/29/2016
15 a,%es 3/29/2016
16 #aisa% !"ttaCien 3/30/2016
17 )onn> ,a%ensi"s 3/30/2016
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SH
F) FF; AGA B)ASAA
o!e
ti*ak Sebe%"! tin*akan ase+ti
o!e
ti*ak Sebe%"! tin*akan ase+ti
"i tan$an6 %an$kah
Sebe%"! kontak *en$an+asien
Sebe%"! kontak *en$an+asien
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AJA ) HAH GA;DA;
n "i tan$an >an$ *i%aksanakan
n "i tan$an >an$ *i%aksanakan
sete%ah berisiko kontak*en$an airan t"b"h
sete%ah kontak *en$an+asien
sete%ah kontak *en$an%in$k"n$an +asien
sete%ah berisiko kontak*en$an airan t"b"h
sete%ah kontak *en$an+asien
sete%ah kontak *en$an%in$k"n$an +asien
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GAA G;
nit er<a = ;FB"%an = aret
o an$$a% a!a +asien ;*entita
en$ka+
1 3/1/2016 ak ha(a*in 930982 3/12/1958
2 3/3/2016 Joko +raset>o 940823 9/30/1996
3 3/3/2016 A$"s!a*i 931017 8/12/1981
4 3/3/2016 (an*a sha%ia 940724 5/22/2000
5 3/4/2016 s>aif"% an(ar 938430 1/1/1997
6 3/5/2016 ;han 940261 12/27/1953 7 3/5/2016 asriani s"n*a 941085 7/11/1988
8 3/6/2016 ;n*ah %estari 934824 1/1/1993
9 3/7/2016 as>i* !a%i 933137 7/7/1959
10 3/7/2016 Sri tri n"r 918692 10/19/1975
11 3/8/2016 "rsa%in 940418 9/19/1977
12 3/8/2016 in*a(as 931319 10/19/1935
13 3/9/2016 Je!"% se+ti 901891 12/6/1941
14 3/10/2016 so%ihin *a"* 901891 8/14/1969
15 3/10/2016 no,ita sari 941873 11/4/1993
16 3/12/2016 an<" h"tabarat 942117 7/6/1966
17 3/12/2016 hen*ra(an 941017 11/13/1984
18 3/13/2016 sahri i*r"s 942151 9/19/1954
19 3/14/2016 !isti>e! 940431 1/1/1962
20 3/15/2016 atna*e(i 932340 6/15/1972
21
22
23
24
25
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SH
S;A BA SAH ;A AS;
+asien Sit"ation Bak$ro"n* Asses!ent eo!e
i*ak en$ka+ i*ak en$ka+ i*ak en$ka+ i*ak en$ka+
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;;S
n*ation araf *okter +e!beri araf *okter +eneri!a
i*ak A*a i*ak A*a i*ak
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nit e= enan$a B"%an = aret
o a!a +asien $% ahir
1 !i !asitoh 844386 6/16/1977
2 ai!"nah @ana(i 940453 7/1/1950
3 ah>" >"s"f 939965 2/14/1987
4 ifki febrian 940453 2/17/2001
5 ?anto tri!o 940452 3/26/1959
6 Heri>anto !a*ri 941043 3/10/1980
7 a**i %i*ek 939966 12/23/1977
8 eni !ar%ina 905034 6/25/1980
9 an@i% ah>ana 941139 8/19/1997
10 A%bari "!ise+ 941027 8/17/1997
11 Her!ans>ah 941027 2/7/1983
12 ika b%etona 942119 12/14/1994
13 Fher%ia O"hof"n 941979 12/16/2014
14 An*es sa+"tra 937281 4/23/2005
15 "rsa%in Sa(ak 918692 9/19/1977
16 e*ri (ar*i 943671 2/12/1977
17 ab*"% @ikri 888853 1/25/1991
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SH
ASAAA E;S;
)J Berikan tan*a = S
1 2 3 4 5 6 7 8 9 10
*r. f!an ana(an& S+BB) !rs 1 1 1 1 1 1 1 1 1
*r. "r Oo*ir& S+B-nk !rs 1 1 1
*r. f!an ana(an& S+BB) !rs 1
*r. H. Ber!ans>ah S+B& S+BE !rs 1 1
*r. Sar"+ Sin$h& S+BB) !rs 1 1 1
*r. en*ra eonas& S+-S+ine !rs 1
*r. ;s!ai% Basto!i& S+ !rs 1 1 1 1
*r. #ah!i Jaka ?"s"f& S+B-E !rs 1 1 1 1
*r. Sahat *ison sitor"s& S+BS !rs 1 1 1 1
). )r. )i*it ra!"*hito& S+ !rs 1 1 1
*r. . HaL*h o!ar& S+BB)
*r. Sar"+ Sin$h& S+BB)
*r. Sha%ita )asta!"ar& S+B& S+BA
*r. Sin*" saksono& S+B& S+BA
*r. ri<oso er!ono& S+BS
*r. ;C!a% er%ianta& S+B
*r. H. arta Hen*r> & S+
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H )J
an$$a% +e%aksanaan ,isite
asien !as"k& P asien "%an$& 1 P )J Eisite& 0 P )J ti*ak ,isite
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
!rs 1 1 1 1 1 1 1 1
!rs 1 1
!rs 1 1 1 1 1 1 1 1 1 1 1 1 1 1
!rs 1 1 1 1 1 1 1 1 1 1 1 1
!rs 1 1 1 1
!rs 1 1 1 1 1 1
!rs 1 1
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ASAAA S; A;G 1:2
nit e= )e+arte!en Be*ahB"%an = aret
o an$$a% a!a asien $% ahir
1 3/1/2016 J"!iarti binti a!in 934546 3/24/1982
2 3/2/2016 atifah rah!a 936542 10/10/1933
3 3/2/2016 ahi*in bin @aina% 936399 4/21/1973
4 3/3/2016 a*a bin naf>a% 940479 8/10/1962
5 3/3/2016 )(i "ntari 897961 12/19/1991
6 3/4/2016 )e(i sari 837999 2/2/1982
7 3/4/2016 iki rotika 938449 3/26/2009
8 3/7/2016 ka sari 919837 10/10/1974
9 3/7/2016 !"fo% 797377 7/7/1969
10 3/8/2016 Sari 935001 11/13/2004
11 3/8/2016 S"bekti 940111 7/7/1969
12 3/10/2016 ko s"r>aino 939303 11/13/2004
13 3/10/2016 A(an 936539 2/1/2013
14 3/13/2016 A%i kon*iko 940347 2/23/2014
15 3/14/2016 an$$a sa+"tra 940347 2/4/2014
16 3/14/2016 ,an a$"stian 911709 8/7/2015
17 3/14/2016 Ba%inah B 763957 4/30/2009
18 3/15/2016 S"kri 937804 8/12/1949
19 3/15/2016 Sri n"!arti 933302 10/15/1974
20 3/15/2016 a!i binti as 907860 3/24/1979
21 3/15/2016 "s!i*i 893304 10/8/1980
22 3/16/2016 oha>ati binti basri 926203 8/12/1956
23 3/16/2016 Ab*"% 940920 6/25/2008
24 3/17/2016 ?eti s"r>ani 934084 1/24/198225 3/17/2016 asr"<"h 927537 12/11/1990
26 3/17/2016 "r<anah 941798 12/15/1980
27 3/18/2016 )ina an$raeni 924607 2/17/1953
28 3/21/2016 ;rfan a+en*i 937850 6/17/1985
29 3/22/2016 Sar(i>ah 942256 6/16/1959
30 3/22/2016 Sa%a!ah 827929 3/12/1955
31 3/22/2016 Soni bin an<as 941375 3/10/1956
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32 3/23/2016 r*a>"!i 942972 2/5/1981
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SH
4 JA SB ASAA AS; ;#
+erator et
?a i*ak
a(ar *r. D"%karnain S+-S+ine
a(ar *r. "%a(an !ar S+B-nk
enan$a *r. "%a(an !ar S+B-nk
ransit *r. "%a(an !ar S+B-nk
enan$an ) *r. "%a(an !ar S+B-nk
?as!in ) *r. H. Ber!ans>ah& S+B& S+BE
Aster H *r. H. Ber!ans>ah& S+B& S+BE
enan$a ) *r. Sar"+ Sin$h S+BB)
enan$a A ). )r. "r ah!at "bis S+
enan$a *r. en*ra eonas S+-S+ine
Aster ) *r. "%a(an !ar S+B-nk
Aster H *r. H. Ber!ans>ah& S+B& S+BE
enan$a A *r. "%a(an !ar S+B-nk
e!"nin$ 2 *r. "%a(an !ar S+B-nk
a(ar B *r. "r Oo*ir S+B-nk
enan$a A *r. H. Benn> "s"!a S+B-nk
e!atan$ *r. "%a(an !ar S+B-nk
a(ar *r. "%a(an !ar S+B-nk
a(ar *r. "%a(an !ar S+B-nk
a(ar *r. "%a(an !ar S+B-nk
enan$a B *r. "%a(an !ar S+B-nk
enan$a B *r. Sar"+ Sin$h S+BB)
enan$a B *r. "%a(an !ar S+B-nk
enan$a F *r. "%a(an !ar S+B-nk Aster A *r. ;s!ai% Basto!i S+
a(ar *r. "%a(an !ar S+B-nk
enan$a B *r. "r Oo*ir S+B-nk
Aster B *r. Sar"+ Sin$h S+BB)
Aster A *r. H. Ber!ans>ah& S+B& S+BE
?as!in F *r. "%a(an !ar S+B-nk
enan$a A *r. "%a(an !ar S+B-nk
"an$era(atan
e%aksanaan site!arkin$ 124 <a!
sebe%"! o+erasi e%ektif
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;S
nit er<a = a(at ;na+
B"%an = aret
o an$$a% a!a )J
1 3/29/2016*r. H. Ber!ans>ah S+B& S+BE
2 3/29/2016 *r. H. arta Hen*r> S+
3 3/28/2016*r. H. Benn> "s"!a S+B-nk
4 3/20/2016 *r. . HaL*h o!ar S+BB)
5 3/28/2016 *r. H. arta Hen*r> S+
6 3/28/2016 *r. "%a(an !ar S+B-nk
7 3/24/2016 *r. An"$erah nie S+BS
8 3/20/2016 ). )r. H. . A%sen Ar%an S+BB)& AS
9 3/19/2016*r. Sha%ita )asta!"ar S+B& S+BA
10 3/29/2016 *r. H. arta Hen*r> S+
11 3/16/2016 *r. ;s!ai% B"sto!i S+
12 3/23/2016 *r. ;s!ai% B"sto!i S+
13 3/25/2016*r. en*ra eonas S+-S+ine
14 3/24/2016). )r. )i*it ra!"*hito S+
15 3/28/2016 *r. "r Oo*ir S+B-nk
16 3/22/2016 *r. Sar"+ Sin$h S+BB)17 3/30/2016 *r. Ab*a Arief S+B
18 3/23/2016*r. ;C!a% er%ianta S+B
19 3/27/2016 *r. ;s!ai% B"sto!i S+
20 3/8/2016 ). )r. )i*it ra!"*hito S+
21 3/28/2016 *r. Sin*" Saksono S+B& S+BA
22 3/28/2016 *r. . HaL*h o!ar S+BB)
23 3/26/2016*r. f!an ana(an S+BB)
24 3/28/2016 *r. Sar"+ Sin$h S+BB)
25 3/23/2016). )r. )i*it ra!"*hito S+
26 3/27/2016). )r. )i*it ra!"*hito S+27 3/26/2016 *r. "%a(an !ar S+B-nk
28 3/22/2016 *r. "%a(an !ar S+B-nk
29 3/4/2016 *r. ;C!a% er%ianta S+B
30 3/27/2016 *r. . HaL*h o!ar S+BB)
31 3/30/2016*r. ri!a*ika "bians>ah S+
32 3/23/2016*r. ri<oso er!ono S+BS
33 3/29/2016 *r. "r Oo*ir S+B-nk
34 3/30/2016 *r. H. arta Hen*r> S+
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35 3/30/2016). )r. )i*it ra!"*hito S+
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SH S SSA; #A;
a!a asien $% ahir ese+
ko s"r>anto 939209 11/13/1980 Asa! !efena!at
astori sa!ar*i 942759 9/3/1996 Ea%satran& F%oba@a!
.fen*i 728911 4/21/1968 Feftriaone& aniti*in
osita *iana 943155 10/10/1979 n*ansetron
Sa!inah A+on 927670 7/1/1957 eth>%+re*niso%on
)ao!aa 926002 4/21/1967 S
Daina% abi*in 943996 1/1/1981 Feftriaone
#itri>a*i son$ 912652 1/9/1969 Asa! fo%at
a*ia ar%a 943328 10/15/2009 Feftriaone
sai%ani bison 915846 7/15/1935 F%oba@a!
Ako!i sanebin 939946 2/6/1946 A!%o*i+ine
obin$ bin !a(ar 940410 12/11/1955 Fenobsartan
onik !a<in 936425 9/9/1960 Ea%satran
e*i a+rians>ah 943971 4/24/1990 Feftriaone& etero%a
Se%asa asri 943212 5/8/1979
Dakariah "h 943679 11/4/1966 Feftriaone#ebri at"r 944641 2/14/1989 Feftriaone
a*r> (en*> 943687 2/12/1977 etero%a
.?"n"s 943974 5/1/1998 Feftriaone
A%bri t"!i 941027 8/19/1997 )ea!etaone
)eni )or!a>no 908399 12/7/2005 Feftriaone
. ona%*o 943302 9/10/1996 Genta!iin
. Senen 946268 11/1/1979 Fenftriaone
H."ti 944551 5/15/1960 Fenftriaone
Sa,oh sin 932859 4/6/1972 Feftriaone& As raneksa!at
arisa !or*en 860079 3/6/1963 FeftriaoneS"rani sin$kir 913646 10/6/1984 etero%a
Bi%ana ris 943289 1/15/1971 As efena!at
)in*a febi 937668 2/14/2013 Fefa*roi%
;r(ans>ah 944630 11/2/1994 etroni*a@o%e
"r"% ha*i 896722 11/10/1966 ra!a*o%
"L safaira 881760 12/1/2009 Farba!a@e+in& #enitoin
S"tarto 916722 7/28/1979 F
"r Ha*i 943274 5/2/1937 Fi+roKoain
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Ari >anto 889759 12/30/1949 Ea%satran
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et
?a i*ak
en"%isan rese+ ses"aifor!"%ari"!