7/17/2019 VER Forclin Kekerasan Pada Anak
http://slidepdf.com/reader/full/ver-forclin-kekerasan-pada-anak 1/2
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" $emeriksaa" atas kor)a" #e"ga" "omor registrasi 06'7'21, a"g me"urut suratterse)ut a#a!a:'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''
Nama : A"% N8888 P888888 &8888%''''''''''''''''''''''''''''''''''''''''''''''''''''''
9mur : tau"%''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''
Je"is ke!ami" : Laki'!aki%''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''arga "egara : I"#o"esia%''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''
Peker;aa" : Pe!a;ar%'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''A!amat :J!% akota 15 Rt%011/0 No% 57<, -e!uraa" -a)u$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%'''''''''''''
2% -or)a" me"gaku, #e!a$a" sete"ga ;am >sekitar $uku! #ua )e!as "o! "o!? se)e!um
$emeriksaa", #i$uku! o!e $e!aku >!aki'!aki )erusia em$at $u!u tau", teta"gga ;au"a?#e"ga" ta"ga" koso"g se)a"ak satu ka!i $a#a ke$a!a% -or)a" sem$at ;atu kare"a #ike;ar
o!e $e!aku% A*a! ke;a#ia", $a#a saat kor)a" se#a"g mema"=i"g )ersama tema"'tema""a,
$e!aku ti#ak terima a"ak'a"ak mema"=i"g #i ko!am a"g a#a #i #ekat ruma $e!aku% Sete!a
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 $i"gsa", ti#ak mua! #a" mu"ta%'''''''''''''''''''''''''''''''''''''''''''''''''''''''
3% Pemeriksaa" @isik umum #i#a$atka" asi!:''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''e"ut "a#i sem)i!a" $u!u #ua ka!i $er me"it @rekue"si "a@as #ua $u!u em$at ka!i $er
me"it suu tu)u #a!am )atas "orma! ti"ggi )a#a" seratus !ima )e!as se"timeter )erat )a#a"
sem)i!a" )e!as ki!ogram%'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''
% Luka'!uka:''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''
a% Pa#a )e!aka"g ke$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 $em)e"gkaka" #e"ga" ukura" #ua se"timeter ka!i tiga
se"timeter%''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' )% 4e$at $a#a !utut kiri, ter#a$at !uka !e=et #e"ga" ukura" "o! koma !ima se"timeter ka!i "o!
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
NIP:123576<
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