Visum et Repertum Hidup 3 (Abam) - LabFor RSUD Margono Soekarjo
4
PEMERINTAH PROVINSI JAW A TENGAH RUMAH SAKIT UMUM DAERAH (RSUD) Prof. Dr. MARGONO SOEKARJO PURWOKERTO Jalan Dr. Gumbreg No. 01 Telp 0!1."#$0!% &a' 0!1."#101( P)RWO*ERTO.(#1+" Ema,l - an/ermargono.go. ,2 PRO J)STITIA VISUM ET REPERTUM NO: 001/IX/FOR/01! A3a perm,n3aan 3er3ul, 2ar, ''' melalu, ura3na 3anggal ''' Nomor ''' ang 2,3an2a3angan, ole4 '''% Pang/a3 '''% NRP ''' 2 an 2,3er,ma 3anggal ''' 5am ''' WI6% ma/a 2engan ,n, aa 2r. V,7, Mu4amma2 A/bar ebaga, 2o/3er ang be/er5a pa2a In3ala, Ga8a3 Darura3 Ruma4 Sa/,3 Pro9. Dr. Margono Soe/ar5o Pur8o/er3o menerang/an ba48a pa2a 3anggal 1+ Apr,l 01(% 5am 1!.+( WI6% 2, In3ala, Ga8a3 Darura3 Ruma4 Sa/,3 Margono Soe/ar5o Pur8o/er3o 3ela4 memer,/ a eeora ng an g ber 2a ar/an ura3 per m,n 3aan 3erebu3 2, a3a nama F"ERKA NOVERT " SAGIT A% u ,a $ 3a4un% 5en , /e lam,n pe rempuan% ala ma3 Penam bangan : Purbal,ngga% ang mengalam, /e7ela/aan lalu l,n3a.::::::::::::::::::::::::::::::::::::::::::::::::::::: HASI# PEMERIKSAAN ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Dar, pemer,/aan ang 3ela4 aa la/u/an% 2,3emu/an 9a/3a:9a/3a ebaga, ber,/u3 -::::::::::::::::: A. FAK TA "A NG $ERKAITAN DENGAN IDENTITAS KOR$AN:%:::::::::::::::::::::::::: I&'*+, U-- : :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 1. Jen, /elam,n - Perempuan :::::::::::::::::::::::::::::::::::::::::::: :::::::: :::::::::::: ::::::::::: . )mur - $ 3a4un::: ::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::: :::::::::::::::::::::: #. *ro nol og, - Pa ,en e2ang ber /en 2ara mo3o r epu lang /an3or 2eng an /e7epa 3an (0 /m;5am. Seampa,na 2, 5alan 5en2. Soe2,rman 2e/a3 RSMS pa,en 3er3abra/ mo3or ang 5a3u4 2,2epanna /arena /e7ele/aan 2an /emu2,an pa,en 3er5a3u4% ola4 8arga ang mel,4a3 langung 2,ba8a /e RSMS. ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: $. FAKTA DARI PEMERIKSAAN TANGGA# 0 Ar* 012-::::::::::::::::::::::::::::::::::: K'+&++ U---:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 1. *ea2a ran - <ompo Men 3, =E+V( M">:::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::: . Den u3 na2, - Delapan p ulu4 /a l, per men ,3 ::::::: ::::::::::::::::::::::::::::::::::::: #. Perna 9aan - Dua p ulu4 / al, per men,3::::::::::::::: :::::::: :::::::: ::::::::::::::::::::::: +. Te /anan 2a ra4 - Sera3u 2ua pulu 4 per 2elapan pulu4 m,l,me3er a,r ra/a :::::::::::::::::: (. Su4u - T, ga pulu 4 3u5u4 2 era5a3 7el ,u:::: ::::::::: ::::::::::::::::::::::::::::::::: 3. FAKTA DARI PEMERIKSAAN TU$UH $AGIAN #UAR :%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 1. *epala - ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: a. Daera4 b erambu 3 - Dalam ba 3a normal.::::::::::::::::::::::::::::::::::::::::::::::: ::::::::: : b. Wa5a4 - Dalam ba3a normal.::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::: 7. Ma3a - Dalam ba 3a normal.:::: :::::::::::::::::::::::::::::::::: :::::::: :::::::::::::::::::::::::: 2. H,2un g - Dalam ba3 normal .:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: e. Te l,nga - Dala m ba3a normal.::::::::::::::::::::::::::::::::::::::::::::::::: :::::::: :::::::::::: 9. Mulu3 - Dal am ba 3a no rmal.:: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: . ?e4er - Dalam ba3a normal.: :::::::::::::::::::::::::::::::::: :::::::::: ::::::::::::::::::::::::::::: #. 6a4u - Dal am ba3a normal ::::::::: ::::::::::::::::: :::::::: ::::::::::::::::::::::::::::::::::::::::: a. 6a4u / anan - Dalam b a3a no rmal :::: ::::::::::::::::::::::::::::::::::: ::::::::: ::::::::::::::
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Transcript of Visum et Repertum Hidup 3 (Abam) - LabFor RSUD Margono Soekarjo
7/23/2019 Visum et Repertum Hidup 3 (Abam) - LabFor RSUD Margono Soekarjo
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PEMERINTAH PROVINSI JAWA TENGAH
RUMAH SAKIT UMUM DAERAH (RSUD)
Prof. Dr. MARGONO SOEKARJO PURWOKERTO
Jalan Dr. Gumbreg No. 01 Telp 0!1."#$0!% &a' 0!1."#101(
P)RWO*ERTO.(#1+"
Ema,l - an/ermargono.go.,2
PRO J)STITIA
VISUM ET REPERTUM
NO: 001/IX/FOR/01!
A3a perm,n3aan 3er3ul, 2ar, ''' melalu, ura3na 3anggal ''' Nomor ''' ang 2,3an2a3angan,
ole4 '''% Pang/a3 '''% NRP ''' 2an 2,3er,ma 3anggal ''' 5am ''' WI6% ma/a 2engan ,n, aa
2r. V,7, Mu4amma2 A/bar ebaga, 2o/3er ang be/er5a pa2a In3ala, Ga8a3 Darura3 Ruma4
Sa/,3 Pro9. Dr. Margono Soe/ar5o Pur8o/er3o menerang/an ba48a pa2a 3anggal 1+ Apr,l 01(% 5am 1!.+( WI6% 2, In3ala, Ga8a3 Darura3 Ruma4 Sa/,3 Margono Soe/ar5o Pur8o/er3o 3ela4
memer,/a eeorang ang ber2aar/an ura3 perm,n3aan 3erebu3 2, a3a nama F"ERKA
NOVERT" SAGITA% u,a $ 3a4un% 5en, /elam,n perempuan% alama3 Penambangan :
Purbal,ngga% ang mengalam, /e7ela/aan lalu l,n3a.:::::::::::::::::::::::::::::::::::::::::::::::::::::
HASI# PEMERIKSAAN :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
Dar, pemer,/aan ang 3ela4 aa la/u/an% 2,3emu/an 9a/3a:9a/3a ebaga, ber,/u3 -:::::::::::::::::
A. FAKTA "ANG $ERKAITAN DENGAN IDENTITAS KOR$AN:%::::::::::::::::::::::::::
I&'*+, U-- :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
1. Jen, /elam,n - Perempuan:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
. )mur - $ 3a4un:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
#. *ronolog, - Pa,en e2ang ber/en2ara mo3or epulang /an3or 2engan /e7epa3an (0
/m;5am. Seampa,na 2, 5alan 5en2. Soe2,rman 2e/a3 RSMS pa,en 3er3abra/ mo3or ang
5a3u4 2,2epanna /arena /e7ele/aan 2an /emu2,an pa,en 3er5a3u4% ola4 8arga ang
mel,4a3 langung 2,ba8a /e RSMS. :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
$. FAKTA DARI PEMERIKSAAN TANGGA# 0 Ar* 012-:::::::::::::::::::::::::::::::::::
K'+&++ U---::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
1. *ea2aran - <ompo Men3, =E+V(M">:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
. Denu3 na2, - Delapan pulu4 /al, per men,3 ::::::::::::::::::::::::::::::::::::::::::::
#. Perna9aan - Dua pulu4 /al, per men,3::::::::::::::::::::::::::::::::::::::::::::::::::::::
+. Te/anan 2ara4 - Sera3u 2ua pulu4 per 2elapan pulu4 m,l,me3er a,r ra/a ::::::::::::::::::(. Su4u - T,ga pulu4 3u5u4 2era5a3 7el,u::::::::::::::::::::::::::::::::::::::::::::::
3. FAKTA DARI PEMERIKSAAN TU$UH $AGIAN #UAR :%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
1. *epala - :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
a. Daera4 berambu3 - Dalam ba3a normal.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::
b. Wa5a4 - Dalam ba3a normal.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
7. Ma3a - Dalam ba3a normal.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
2. H,2ung - Dalam ba3 normal.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
e. Tel,nga - Dalam ba3a normal.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
9. Mulu3 - Dalam ba3a normal.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
. ?e4er - Dalam ba3a normal.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
#. 6a4u - Dalam ba3a normal :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
a. 6a4u /anan - Dalam ba3a normal ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
7/23/2019 Visum et Repertum Hidup 3 (Abam) - LabFor RSUD Margono Soekarjo
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b. 6a4u /,r, - Dalam ba3a normal :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
+. Da2a - Dalam ba3a normal :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
(. Punggung - Dalam ba3a normal :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
". P,nggang - Dalam ba3a normal.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
$. Peru3 - Dalam ba3a norma/.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
!. Anggo3a gera/ -:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::a. Anggo3a gera/ a3a -:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
1> *,r, - Dalam ba3a
normal::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
> *anan - Dalam ba3a
normal:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
b. Anggo3a gera/ ba8a4 -::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
#> *anan - Ter2apa3 ebua4 lu/a 3erbu/a pa2a 3ung/a, bag,an ba8a4 #7m 2,ba8a4
gar, ang e5a5ar 2engan lu3u3 2an 7m 2ar, gar, ang mele8a3, umbu 3ubu4%
u/uran +' 7m ben3u/ gar, meman5ang% ba3a 3,2a/ 3egam 3ep, 3,2a/ ra3a% 3eb,ng
lu/a 3,2a/ ra3a% 3,2a/ 3er2apa3 5emba3an 5ar,ngan% 2aar o3o3% ber8arna /emera4an%
permu/aan baa4% 2an u2a4
2,5a4,3:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
1> *,r, - Dalam ba3a normal.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
D. PEMERIKSAAN TAM$AHAN%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
T,2a/ 2,la/u/an pemer,/aan 3amba4an::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
E. FAKTA "ANG DIA#AMI SE#AMA PERAWATAN%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
Tela4 2,la/u/an pera8a3an me2, 2an pa,en 2,perbole4/an pulang.:::::::::::::::::::::::::::::::
E. KESIMPU#AN -::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
Dar, 9a/3a:9a/3a ang 2,3emu/an 2ar, pemer,/aan orang 3erebu3 2apa3 /am, ,mpul/an
ba48a 3ela4 2,per,/a eorang perempuan% u,a 3,ga pulu4 3u5u4 3a4un% 8arna /ul,3 a8o
ma3ang% 3er2apa3 1 bua4 lu/a robe/ pa2a 3ung/a, /anan ba8a4 a/,ba3 ben3uran ben2a 3umpul.?u/a 3erebu3 a/an 2apa3 men,mbul/an 4alangan men5alan, pe/er5aan;a/3,9,3a elama
emen3ara 8a/3u =:# 4ar,>. :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
F. PENUTUP-::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
Dem,/,anla4 /e3erangan 3er3ul, ,n, aa bua3 2engan eunggu4na% 2engan meng,nga3
umpa4 e8a/3u mener,ma 5aba3an ebaga, 2o/3er::::::::::::::::::::::::::::::::::::::::::::::::::::
Pur8o/er3o% 1+ Apr,l 01(
Do/3er @ang Memer,/a%
2r. V,7, Mu4amma2 A/bar
7/23/2019 Visum et Repertum Hidup 3 (Abam) - LabFor RSUD Margono Soekarjo
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