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1/40

NO. TGL PX/ WAKTU NO. CM

1 13/04/2014 07.53 14022050

2 13/04/2014 09.27 14022059

3 13/04/2014 10.32 14022061

4 13/04/2014

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2/40

5 13/04/2014 12.15 14022075

13/04/2014 12.45 14022079

13/04/2014 14.00 14022090

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3/40

12

13

14

15

16

17

18

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4/40

19

20

21

22

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5/40

NAMA L/P

Epin J!"#"n P

A. A A$U KA%L&NA 'EW& P

& MA'E JAW& L

N& PUTU (&NTA A%$AN& P

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6/40

A A GE'E AGUNG (APUT%A L

AM&NTO)A%& L

*ON&+A(&U( L

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7/40

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8/40

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9/40

UMU% WN

19 T"#,n in-ni"

24 T"#,n in-ni"

30 T"#,n &n-ni"

in-ni"

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10/40

26 T"#,n in-ni"

43 T"#,n in-ni"

18 T"#,n in-ni"

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11/40

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12/40

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13/40

BAG

ALAMAT

J. (" n. 55A 'np""

*%. T"!"n ("i K-ii T""n"n

J. *", $"n *", *,"n Gi"n"

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14/40

*. ("i# G,"n (,""i Gi"n"

Mn"n M"nin 'np""

J. T""ni && K": 21 ("n 'np""

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15/40

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16/40

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17/40

ALASI KEDOKTERAN FORENSIK FK UNUD RSUP SANGLAH DENPASA

RAN JAGA FORENSIK KLINIK 10 APRIL 2014 11 APRIL 2014

'&AGNO(&(

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;!,i && A* 30 < ; "pi

!,ip :,n, =;i",!

CK% E') !p;;ipi" -" n,i ;i >n!p" +", ini-"

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19/40

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20/40

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21/40

M%( PULANG TGL ?E%

M%( NON

M%(

M%(

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22/40

M%( NON

M%( NON

*PL 13/04/2014 NON

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23/40

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24/40

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25/40

Jni

KLL

KLL

KLL

KLL

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26/40

KLL

KK

KLL

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27/40

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28/40

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29/40

K

P"in -""n -n"n pn,,n"n "-""n -"n ,"," "#;"""n ", in" P"in !n"" ! -i n"# @""n -"n

@",# ""# -p"n

P"in -""n !n""!i ," p"-" "@"# -"n -"-" "n"n "n" "#!n"" ", -i @""n !n,n""n #!. P"in -i !,"n #

pii.

P"in -""n ,@,"n %(. GANE(A "n" ;"""n ", in" -i"" # "n -i pn"n

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30/40

p"in -""n "-" !n,# ni p"" "# ;"""n ", in"3 @"! (M%(. P"in !nn-""i p-" ! ", -i"" #

p-" ! -"i ""# "n"n -", !!n, "p"

p"in -""n "-" !n,# ," "" p"-" "@"# "n"n -"n "i.P"in -"n !!"" i ", n" !,"n " -"i !p

p"in -""n "-" -n"n ni p"-" p"n"n "n"n -"n "i.P"in !nn-""i p-" ! -i"" -"i ""n # !i

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31/40

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32/40

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33/40

'M UN&?

+i (i Uni" Un"

+i (i Uni" Un"

+i (i Uni" Un"

+i (i Uni" Un"

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34/40

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35/40

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36/40

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37/40

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38/40

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39/40

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40/40