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 FORMULIR 5 LAMPIRAN PERATURAN MENTERI KESEHAT AN  NOMOR : 143/MENKES/P ER/VII/77 TANGGAL : 1 JULI 197 7 HASIL PENGUJIAN KESEHATAN NO / DPT / 2012 / /812 D!"#$ P#%&'() T#$*#%+)$) /T#,- P#%&'() /T#,- K.'*'* P#%&'() K#*#.,",% P#&,,) N#&#$) S)) +) T#-),.,% ,%& +)"#",!,% #$+,*,$!,% S'$," K#'"'*,% K#,, D)%,* K#*#.,",% P$R),' N-$:800/TU/SK/DPT/2003/1401 T ,%&&, 17 J') 2003 ,%& ,%&&",6,%&&",% , +,,- ., )%) "#,. -#%(,,%!,% "'&,*%, +#%&,% -#%&)%&," *'-,. (,%() ,%& "#,. +)',!,% -#$#!, ,!"' -#%#$)-, (,,",%%, -#%#$,%&!,% ,., : N , - , : R,(, F,)*, F#%,+) SS* N,-, K#) : R,(, N I P : 19820219 201102 1 001 K,$#& : T#-,"/T& ,.)$ : S'%&,) G'%"'%& 19 F#$',$) 1982 G%&,% $',%& : III/, P#!#$(,,% : ;,% P#&,,) N#&#$) S)) A ,-," : J S # $ ,%",* T #- ) , ., % "# , . +) # $) !* , +# %&,% "# ) ") ," ,* #$-)% ",,% K#,, D)%,* P#-'+, O,.$,&, K#'+,,,% +,% P,$,)*,", K,I%.) +#%&,% S'$," N: 800/DPOKP/SET/<I/2012 /0539 T,%&&, 09 N=#-#$ 2012 D,% #$#%+,," ,., ,%& +)#$)!*, : , M#-# %'.) *, $," '%" '! *#-' , (#%)* #!#$( ,,% , +, '-' -%, M#-#%' .) * ,$, " '%" '! (# %)* #!# $(, ,% "#$"#%"' D,, " +)"#$)-, +#%& ,% #$*, $," '%"'! , ,",' "#$*# '" +),",* + U%"' ! *#-#%", $, #'- -#- #%'. ) *,$," !#*#. ,",% +,% -# -#$' !,% #%& ," ,% / #$,," ,% +,% '(),% !#* #.," ,% #$' +)',%& *#"#,. *##*,) #%&, ",% / #$,,",% ,",' +)",! '%"'! *#-#%",$, # T)+ ,! -#-# %'.) * ,$," '% "'! -#% (,,% !,% "'& ,* *#, &,) P# &,, ) N#&#$ ) S)) ,", ' +)" ,! H,*) #%&'(),% !#*#.,",% )%) +)#$)!,% ,",* %,-, DPT / TPK P#$,"'$,% P#%&'(),% K#*#.,",% N-$ 2 T,.'% 1977 ",%&&, 30 A$) 1977  T #-),.,% 10 N=#-#$ 2012 S,)%,% H,*) K#'"'*,% P#%&'() K#*#.,",% +)!)$)- !#,+, : T)- P#%&'() K#*#.,",% 1D)%!#* P$)%*) R) ,' +) P#!,%,$' 2>,%& ?#$*,%&!'",% 3A$*)  dr.Yandri Saputra, Sp.M  NIP 19590119 198802 1 001

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7/24/2019 Olahraga,Kebudayaan Nov

http://slidepdf.com/reader/full/olahragakebudayaan-nov 1/1

  FORMULIR 5 LAMPIRAN PERATURAN MENTERI KESEHATAN  NOMOR : 143/MENKES/PER/VII/77

TANGGAL : 1 JULI 1977

HASIL PENGUJIAN KESEHATANNO / DPT / 2012 / /812

D!"#$ P#%&'() T#$*#%+)$) /T#,- P#%&'() /T#,- K.'*'* P#%&'() K#*#.,",% P#&,,) N#&#$) S)) +) T#-),.,%

,%& +)"#",!,% #$+,*,$!,% S'$," K#'"'*,% K#,, D)%,* K#*#.,",% P$R),' N-$:800/TU/SK/DPT/2003/1401

T,%&&, 17 J') 2003 ,%& ,%&&",6,%&&",%, +,,- ., )%) "#,. -#%(,,%!,% "'&,*%, +#%&,% -#%&)%&," *'-,.

(,%() ,%& "#,. +)',!,% -#$#!, ,!"' -#%#$)-, (,,",%%, -#%#$,%&!,% ,., :

N , - , : R,(, F,)*, F#%,+) SS* N,-, K#) : R,(,N I P : 19820219 201102 1 001 K,$#& :T#-,"/T& ,.)$ : S'%&,) G'%"'%& 19 F#$',$) 1982 G%&,% $',%& : III/,P#!#$(,,% : ;,% P#&,,) N#&#$) S))A,-," : JS#$,%",* T#-),.,% "#,. +)#$)!*, +#%&,% "#)") ,",* #$-)%",,%

K#,, D)%,* P#-'+, O,.$,&, K#'+,,,% +,% P,$,)*,", K,I%.) +#%&,% S'$," N: 800/DPOKP/SET/<I/2012/0539T,%&&, 09 N=#-#$ 2012 D,% #$#%+,," ,., ,%& +)#$)!*, :

, M#-#%'.) *,$," '%"'! *#-', (#%)* #!#$(,,% ,+, '-'-%, M#-#%'.) *,$," '%"'! (#%)* #!#$(,,% "#$"#%"'

D,," +)"#$)-, +#%&,% #$*,$," '%"'! , ,",' "#$*#'" +),",*+ U%"'! *#-#%",$, #'- -#-#%'.) *,$," !#*#.,",% +,% -#-#$'!,% #%&,",% / #$,,",% +,% '(),% !#*#.,",%

#$' +)',%& *#"#,. *##*,) #%&,",% / #$,,",% ,",' +)",! '%"'! *#-#%",$,# T)+,! -#-#%'.) *,$," '%"'! -#%(,,%!,% "'&,* *#,&,) P#&,,) N#&#$) S)) ,",' +)",!

H,*) #%&'(),% !#*#.,",% )%) +)#$)!,% ,",* %,-, DPT / TPK P#$,"'$,% P#%&'(),% K#*#.,",% N-$ 2 T,.'% 1977

",%&&, 30 A$) 1977

  T#-),.,% 10 N=#-#$ 2012S,)%,% H,*) K#'"'*,% P#%&'()

K#*#.,",% +)!)$)- !#,+, : T)- P#%&'() K#*#.,",%

1D)%!#* P$)%*) R),' +) P#!,%,$'2>,%& ?#$*,%&!'",%3A$*)

 dr.Yandri Saputra, Sp.M

  NIP19590119 198802 1 001