| No | Examiner | Institution |
|---|---|---|
| 1 | dr. Tri Wahyu Martanto, SpOT(K) | FK.UNAIR |
| 2 | dr. Mouli Edward, SpOT(K) | FK.UNAIR |
| 3 | dr. Teddy Heri Wardhana, SpOT(K) | FK.UNAIR |
| 4 | Prof.Dr. dr. Darmadji Ismono, SpB, SpOT(K) | FK.UNPAD |
| 5 | Dr. dr. De Is Moch. Rizal Chaidir, SpOT(K), M.Kes(MMR), M.H.Kes | FK.UNPAD |