| No | Examiner | Institution |
|---|---|---|
| 1 | Prof. Dr. dr. I Ketut Suyasa, SpB, SpOT(K) | FKUNUD |
| 2 | dr. I Wayan Suryanto Dusak, SpOT(K) | FKUNUD |
| 3 | Dr. dr. Made Bramantya Karna, SpOT(K) | FKUNUD |
| 4 | Prof. dr. Hafas Hanafiah, SpB, SpOT(K) | FK.USU |
| 5 | Prof. dr. Nazar Moesbar, SpB, SpOT(K) | FK.USU |