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LAPORAN PEMBUATAN DENTUR DIGITAL 3DDT
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Fasiliti:
KP SUNGAI PETANI
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Negeri: KEDAH
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Bil.Nama PesakitNama JuruteknologiNama PegawaiUmurBangsaJantina
(Tandakan '1' di ruangan berkaitan)
No. telefonJenis kes
(Tandakan '1' di ruangan berkaitan)
Jumlah unit diperlukanKaedah pengambilan impresiTarikh mula impresi (a)Tarikh kes selesai (Lab)Tarikh issue (b)Jumlah unit diisuTempoh pesakit menerima dentur (b) - (a)
(Tandakan '1' di ruangan berkaitan)
Tarikh reviewMaklum balas kepuasan pelanggan
(Tandakan '1'
di ruangan berkaitan)
Catatan
(Nyatakan maklum balas pesakit sekiranya ada)
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Lelaki
Perempuan
F/--/FF/FF/PP/FP/--/P 2 hari kes diisu3-5 hari kes diisu6-10 hari kes diisu
(nyatakan alasan di catatan*)
Catatan* 11 hari kes diisu
(nyatakan alasan di catatan**)
Catatan**Berpuas
hati
Tidak berpuas hatiEstetikWarnaDenture retentionLain-lain
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1MOHD RASYID B SAMSURIFakhrul Dr. Amalina38MELAYU111INTRAORAL21/10/202411/12/202414/11/202411IKUT APPT1YAYAYA
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2TAN GUAT HARFakhrul Dr. Ang65CINA1112IMPRESSION20/11/202420/11/202420/11/202421IKUT APPT1YAYAYA
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3P'NG SEONG TATKhairidaDr. Afiqah54CINA1112IMPRESSION11/11/202412/11/202413/11/202421ikut APPT1YAYAYA
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4CHUAN KEAN ENGKhairidaDr. Asyraf52CINA111IMPRESSION12/12/20241/1/20259/1/202511IKUT APPT1YAYAYA
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5PS RAJESWARYFakhrul Dr. Alia44INDIA111IMPRESSION4/12/20246/1/20258/1/202511IKUT APPT1YAYAYA
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6MURNITA ABD HAMIDFakhrul Dr. Alia46MELAYU111IMPRESSION11/12/20246/1/20258/1/202511IKUT APPT1YAYAYA
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7NABILA FAIRUZ ROSLANFakhrul Dr. Zubaidah31MELAYU1112IMPRESSION2/12/20246/1/202513/1/202522IKUT AAPT1YAYAYA-
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8NURDAMIA QASRINAFaizolDr. Alia16MELAYU111IMPRESSION11/12/20246/1/202522/1/202511IKUT APPT1YAYAYA-
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9HARRIS ABDULLAHJuhairi Dr. Alia50MELAYU111INTRAORAL8/1/202516/1/202520/1/202511IKUT APPT1YAYAYA
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10HANIS ZALIKHAFakhrul Dr. Najwa34MELAYU1112INTRAORAL4/11/202418/11/202425/1/202522IKUT APPT1YAYAYA-
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11NORLIDA SHAMSUDINFakhrulDr. Amalina59MELAYU111IMPRESSION23/1/202526/1/202520/2/202511IKUT APPT1YAYAYA-
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12NUR FARHANA MAHADIFaizolDr. Amilia34MELAYU1112IMPRESSION15/4/202522/4/202522/4/202522IKUT APPT1YA YAYA-
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13MUHAMMAD AZIBJuhairi Dr. Alia16MELAYU111IMPRESSION10/4/202528.5.2528.5.2511IKUT APPT1YAYAYA
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14MURNITA ABD HAMIDJuhairi Dr. Alia47MELAYU111INTRAORAL23.4.2513.5.2516.5.2511IKUT APPT1YAYA
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15 SHAMSUDIN SHAARIFakhrul Dr. Ang74MELAYU111INTRAORAL9.4.257.5.257.5.2511IKUT APPT1YAYAYA
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16TAN SIEW KEWFakhrulDr. Ang51CINA111INTRAORAL30/4/202527.5.2528.5.2511IKUT APPT1YAYAYA
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17RACHIDI B RAMLIFakhrul Dr. Ang45MELAYU1112INTRAORAL7.5.2530.5.254.6.2522IKUT APPT1YAYAYA
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18SARINA BT MANASKhairidaDr. Alia55MELAYU111INTRAORAL28.5.252.6.2511.6.2511IKUT APPT1YAYAYA
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19TAN BEE LINGFakhrul Dr. Alia69CINA1112INTRAORAL28.5.2523.6.252.7.2522IKUT APPT1YAYAYA
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20NOR AZURA AHMADFakhrul Dr. Ang51MELAYU1113INTRAORAL14.5.2510.6.2525.6.2533IKUT APPT1YAYAYA
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21NUR LIYANA JOHARIJuhairi Dr. Alia38MELAYU111INTRAORAL4.6.2516.6.2519.6.2511IKUT APPT1YAYAYA
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22MAZIDAH IBRAHIMFaizolDr. Alia55MELAYU1112INTRAORAL11.6.253.7.257.7.2522IKUT PPT1YAYAYA
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23NORMALA ISMAILKhairidaDr. Alia51MELAYU1112IMPRESSION25.6.253.7.257.7.2522IKUT APPT1YAYAYA
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24YUVANESWARIFakhrul Dr. Chen46INDIA1112INTRAORAL11.6.2511.7.2514.7.2522IKUT APPT1YAYAYA
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25BIBI NUR AISYAHFakhrul Dr. Afifah44MELAYU111IMPRESSION2.7.2511.7.2514.7.2511IKUT APPT1YAYAYA
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26OOI SENG KIAMFakhrulDR ZATIL70CINA2112INTRAORAL1.7.2522.7.2523.7.2522IKUT APPT1YAYAYA
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27NORAIN CHE LAMFakhrul Dr. Alia73MELAYU112IMPRESSION2.7.254.8.2513.8.2522IKUT APPT2YAYAYA
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28ZARINA BT MD ZAHIDFakhrul Dr. Zubaidah58MELAYU2112INTRAORAL7.7.2528.7.255.8.2522IKUT APPT1YAYAYA
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29KASINATHANFakhrul Dr. Najwa69INDIA111INTRAORAL8.7.2511.8.2512.8.2511IKUT APPT1YAYAYAREPAIR
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30HALIJAH ISMAILFakhrul Dr. Alia48MELAYU111INTRAORAL9.7.2522.7.2524.7.2511IKUT APPT1YAYAYAREPAIR
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31MAISARAH MOHD SHARUNFakhrul Dr. Alia40MELAYU1112INTRAORAL9.7.2523.7.2530.7.2522IKUT AAPT1YAYAYA
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32JEONAFakhrulDr. ASHRAF30CINA111INTRAORAL9.7.2523.7.2524.7.2511IKUT APPT1YA YAYA
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33SOFFIAH OMARFakhrul Dr. Ang51MELAYU111IMPRESSION30.6.2515.7.2522.7.2511IKUT APPT1YAYAYA
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34RAHMAH BT MANFakhrul Dr. AngMelayu112Impression 1.7.251.8.2518.8.252IKUT AAPT2YAYAYA
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35NUR LIYANA JOHARIFAKHRULDR HAJAR38MELAYU111INTRAORAL16.7.2523.7.2524.7.2511IKUT APPT1YAYAYA
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36CHONG BAN SENG FAKHRULDR ALIA59CINA111INTRAORAL16.7.259.9.2510.9.2511IKUT APPT1YAYAYA
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37AHMAD KHAIRUL ANUARFAKHRULDR ALIA34MELAYU111INTRAORAL16.7.2523,7,2530,7,2511IKUT APPT1YAYAYA
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38NISA ILYANA MD SHAHRILFAKHRULDR HAJAR`24MELAYU112INTRAORAL16.7.2523.7.2530.7.2522IKUT APPT1YAYAYA
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39PING SEONG TATFAKHRULDR SHUHADA55CINA1112IM PRESSION17.7.2527.7.2514.8.2522IKUT APPT1YAYAYA
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40MAIMUNAH ABUFAKHRULDR ZUBAIDAH65MELAYU1112IMPRESSION14.7.2529.7.255.8.2522IKUT APPT1YAYAYA
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41SYAKIRAH NAYANFAKHRULDR HANAN39MELAYU1112IMPRESSION18.6.2531.7.2511.8.2522IKUT APPT
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42MUHAMAD AIMAN ASYRAFFAKHRULDR ALIA29MELAYU111INTRAORAL30.7.253.8.2513.8.2511IKUR APPT
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43LAI SOO IMFAKHRULDR NAJAA55CINA111INTRAORAL4.8.2511.8.2518.8.2511IKUT APPT
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44TAN INN SEEFAKHRULDR HAJAR59CINA111INTRAORAL7.8.2511.8.2514.8.2511IKUT APPT
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45SURIATI YAAKOBFAKHRULDR ALIA50MELAYU111INTRAORAL13.8.2518.8.2527.8.2511IKUT APPT
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46VADIVELUFAKHRULDR ASHRAF82INDIA1112IMPRESSION31.7.2518.8.2521.8.2522IKUT APPT
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47YEAP POH KIMFAKHRULDR NAJAA58CINA111INTRAORAL10.8.2518.8.2525.8.2511IKUT APPT
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48GOAY KAI OONFAKHRULDR ZUBAIDAH62CINA1112INTRAORAL12.8.2518.8.2526.8.2522IKUT APPT
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49NAVEEN A/L RAVIFAKHRULDR TEH19INDIA111INTRAORAL13.8.2518.8.2527.8.2511IKUT APPT
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50MUHAMAD HARITHFAKHRULDR ALIA10MELAYU111INTRAORAL13.8.2528.8.253.9.2511IKUT APPT
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51HUSAIRI HUSSINFAKHRULDR HANAN55MELAYU111INTRAORAL25.8.2527.8.258.9.2511IKUT APPT
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52CHAK HUAN CHUANFAKHRULDR ALIA64CINA1112INTRAORAL27.8.2510.9.2510.9.2522IKUT APPT
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53LEE CHEE SHANGFAKHRULDR TEH68CINA1112INTRAORAL27.8.2511.9.2517.9.2522IKUT APPT
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54CHENG LEE PENGFAKHRULDR SHUHADAH54CINA 1112INTRAORAL28.8.2520.1.2623.1.26
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55WAN SUFIAH WAN ISMAILFAKHRULDR ALIA55MELAYU1112INTRAORAL3.9.255.10.258.10.252
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EMMYZUZZAIDY MOHAMAD YUSUF
MUKHTARDR ALIA40MELAYU111INTRAORAL3.9.2510.9.2513.9.251
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57LAI YOOH CHENFAKHRULDR ALIA64CINA1112INTRAORAL3.9.256.10.257.10.252
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58MOHD FAUZI HARUNFAKHRULDR ZATIL62MELAYU111INTRAORAL9.9.2521.9.2523.9.251
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59SARAVAN A/L GOVINDASAMYFAKHRULDR ALIA58INDIA111INTRAORAL10.9.2522.9.2525.9.251
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60LIM MENG YENFAKHRULDR KAMALIAH31CINA1112INTRAORAL23.9.251.10.257.10.252
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61MOHAMAD KHAIRUL ANUARFAKHRULDR ALIA34MELAYUI1112INTRAORAL24.9.251.10.258.10.252
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62MUHAMAD MUJIB FAKHRULDR ALIA30MELAYU111INTRAORAL24.5.251.10.258.10.251
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63CHEN CHIN BEEFAKHRULDR HAJAR64CINA1112 INTRAORAL25.9.256.10.259.10.252
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64NGOH LEE HONGFAKHRULDR TAN65CINA111IMPRESSION25.8.251.10.259.10.251
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65FARAH HANISFAKHRULDR NAJWA 38MELAYUI1112INTRAORAL28.9.251.10.257.10.252
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66NORHAYATI HUSSAINFAKHRULDR AMILIA57MELAYU111INTRAORAL29.9.251.10.2513.10.251
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67ASMAWATI BT AHMADFAKHRULDR TAN52MELAYU1112INTRAORAL8.9.256.10.2513.10.252
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68ISMA NUR FATIHAHFAKHRULDR ALIA27MELAYU111INTRAORAL1.10.2512.10.2515.10.251
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69
DEVASHARMA A/L DEVARAJAN
FAKHRULDR SHUHADAH34INDIA1113INTRAORAL9.10.2520.10.25
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70MASZIAH MOHAMADFAKHRULDR ALIA45MELAYU1112INTRAORAL1.10.2520.10.25
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71MANSOR MOHD REJABFAKHRULDR NAJWA 68MELAYU111INTRAORAL7.10.25
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72FARIHAL ABD MUTALIBFAKHRULDR HAJAR50MELAYU111INTRAORAL16.10.252.2.26
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1NOR SHUHADAH ISHAKFAKHRULDR NAJWA40MELAYU111IMPRESION13.1.264.2.26
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2YONG SAU FAAFAKHRULDR NAJAA65CINA111IMRESSIOMN19.1.2615,2,26
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3NUR SAFISA JAMALUDDINFAKHRULDR RIFA23MELAYU111INTRAORAL27.1.26
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4MOHAMAD SYAMIMFAKHRULDR CHEN17MELAYU111INTRAORAL28.1.2622.2.26
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5MD ISA SHAARIFAKHRUL DR AMALINA66MELAYU111IMPRESSION29.1.26
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