7/17/2019 VER Forclin Kekerasan Pada Anak

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DEPARTEMEN ILMU KEDOKTERAN FORENSIK DAN

MEDIKOLEGAL

RUMAH SAKIT DR CIPTO MANGUNKUSUMO

Jalan Diponegoro no. 7! Ja"ar#a P$%a# &'(&! Ko#a" Po% &)*

Telp. (+)(&! (+(&)&) ,H$n#ing-! Fa (')++

  Nomor : 332/VER/VIII/2015/POLRES JP Jakarta, 23 Agustus 2015

Peria! : Pemeriksaa" tera#a$ A"%NP&

Lam$ira" : '%'

PRO JUSTITIA

/ISUM ET REPERTUM

(a"g )erta"#a ta"ga" #i )a*a i"i, #r% +e"#i Putra +arta"to, #okter $a#a e$arteme" I!mu

-e#oktera" .ore"sik #a" e#iko!ega! Ruma Sakit r% i$to a"gu"kusumo #i Jakarta, atas

 $ermi"taa" tertu!is #ari -e$a!a -e$o!isia" Resort etro Jakarta Pusat #e"ga" surat"aterta"gga! #ua $u!u tiga )u!a" Agustus tau" #ua ri)u !ima )e!as% Nomor surat

332/VER/VIII/2015/POLRES JP, maka #e"ga" i"i me"era"gka" )a*a $a#a ta"gga! #ua $u!utiga )u!a" Agustus tau" #ua ri)u !ima )e!as, $uku! #ua $u!u !e*at !ima )e!as me"it aktu

I"#o"esia arat, )ertem$at #i Pusat -risis 4er$a#u Ruma Sakit r% i$to a"gu"kusumo, te!a

me!akuka" $emeriksaa" atas kor)a" #e"ga" "omor registrasi 06'7'21, a"g me"urut suratterse)ut a#a!a:'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

 Nama : A"% N8888 P888888 &8888%''''''''''''''''''''''''''''''''''''''''''''''''''''''

9mur : tau"%''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

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Peker;aa" : Pe!a;ar%'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''A!amat :J!% akota 15 Rt%011/0 No% 57<, -e!uraa" -a)u$ate" -oso"g,-e=amata" -emaora", Jakarta Pusat%'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

0000000000000000000000000000000000000000HASIL PEMERIKSAAN''''''''''''''''''''''''''''''''''''''''''''

1% -or)a" #ata"g #a!am kea#aa" sa#ar $e"u, #e"ga" kea#aa" umum tam$ak te"a"g%'''''''''''''

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o!e $e!aku% A*a! ke;a#ia", $a#a saat kor)a" se#a"g mema"=i"g )ersama tema"'tema""a,

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ke;a#ia" kor)a" merasa "eri $a#a ke$a!a #a" su#a )erkura"g saat $emeriksaa"% -or)a"me"gaku ti#ak $i"gsa", ti#ak mua! #a" mu"ta%'''''''''''''''''''''''''''''''''''''''''''''''''''''''

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a% Pa#a )e!aka"g ke$a!a%%%%%%

7/17/2019 VER Forclin Kekerasan Pada Anak

http://slidepdf.com/reader/full/ver-forclin-kekerasan-pada-anak 2/2

La";uta" Bisum et re$ertum Nomor 332/VER/VIII/2015/POLRES JP

+a!ama" ke 2 #ari 2 a!ama"

a% Pa#a )e!aka"g ke$a!a sisi kiri, tu;u se"timeter #ari garis $erte"gaa" )e!aka"g, e"amse"timeter #i atas )atas tum)u ram)ut )e!aka"g, ter#a$at !uka !e=et se$a";a"g "o! koma

#e!a$a" se"timeter, #ike!i!i"gi $em)e"gkaka" #e"ga" ukura" #ua se"timeter ka!i tiga

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koma tiga se"timeter%'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

5% Pa#a kor)a" ti#ak #i!akuka" $emeriksaa" $e"u";a"g #a" ti"#aka" me#is a$a$u"%'''''''''''''''

7% -or)a" #i$u!a"gka" #a!am kea#aa" )aik%'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

KESIMPULAN1'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''Pa#a $emeriksaa" kor)a" a"ak !aki'!aki )erusia #e!a$a" tau" i"i, #itemuka" !uka !e=et $a#a

ke$a!a #a" !utut, serta $em)e"gkaka" $a#a ke$a!a aki)at kekerasa" tum$u! a"g ti#ak 

me"im)u!ka" $e"akit atau a!a"ga" u"tuk me";a!a"ka" $eker;aa" ;a)ata" atau $e"=aria"%'''''''

emikia"!a Bisum et re$ertum i"i te!a saa uraika" #e"ga" se;u;ur';u;ur"a #a" me"ggu"aka"

kei!mua" saa a"g se)aik')aik"a, me"gi"gat sum$a sesuai #e"ga" -ita) 9"#a"g'9"#a"g+ukum A=ara Pi#a"a%''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

Jakarta, 23 Agustus 2015okter Pemeriksa,

  #r% +e"#i Putra +arta"to

 

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