IKATAN FISIOTERAPI INDONESIA

LOG SHEET FISIOTERAPI

Nama Fisioterapis

: Firmansyah R. Purwanto, A.Md.Ftr

Institusi Pelayanan : Back Up

Ruang Pelayanan

: Fisioterapi

Atasan/PJ Ruangan : Franky Manurung, AMF, SKM

Bulan

: Agustus 2016

No.

Tanggal

Nama Pasien

Uraian kegiatan

1.

5/8/2016

Mr. Andreas
Tanusaputra
Mr. Andreas
Tanusaputra
Mrs. Natalia Liem

LBP Soft Tissue

Manipulation, TENS
LBP Lumbar Spine
Decompression Therapy
Neck Pain Soft Tissue
Manipulation
Hip & Leg Pain Soft
Tissue Manipulation, TENS
Mid-back Pain Soft Tissue
Manipulation, IFC
LBP Lumbar Spine
Decompression Therapy
Shoulder Pain Soft Tissue
Manipulation, Joint
Mobilization
Neck Pain Soft Tissue
Manipulation, Corrective
Postural
LBP Lumbar Spine
Decompression Therapy
Neck Pain & Back Pain
Spinal Decompression
Therapy
Neck Pain Soft Tissue
Manipulation, Joint
Mobilization
Shoulder-blade Pain Soft
Tissue Manipulation, Core

2.
3.
4.

6/8/2016

5.
6.

Ms. Melanie
Kurnia
Mr. Ade
Kurniawan Husin

7.
8.
9.
10.

Mrs. Fransisca
Amelia
Ms. Gaby Larisa

Mrs. Marliana
Irawati
10/8/2016

Sr. Iolanda
Vezzoli
Mrs. Criselda
Nartates

11.

Dr. Lulu Handa

12.

Mrs. Winniefer
Halim

Bukti
Fisik
16117
16117
14502
15389
14046
15125
15554
15598
14348
15643
15805
15441

Verifikasi

13.
14.
15.

11/8/2016

16.
17.

12/8/2016

18.
19.

14/8/2016

20.
21
22

17/8/2016

23
24

18/8/2016

25
26

Mrs. Fransisca
Amelia
Mr. Sudianto
Mr. Edward
Jefferson Halim
Mr. Edward
Jefferson Halim
Mr. Alfrino
Gasperz
Dr. Lulu Handa
Dr. Lulu Handa

19/8/2016

27
28
29

21/8/2016

30

23/8/2016

31

24/8/2016

32
33
34
35

Mr. Andreas
Tanusaputra
Mr. Andreas
Tanusaputra
Mrs. Margaret Lu
Soo Fen
Mr. Ryu Kawano
Mr. Andreas
Tanusaputra
Mr. Andreas
Tanusaputra

25/8/2016

Mr. Novanlie
Holung
Mr. Andreas
Tanusaputra
Mr. Andreas
Tanusaputra

Stabilization
LBP Soft Tissue
Manipulation, TENS
LBP Lumbar Spine
Decompression Therapy
LBP Soft Tissue
Manipulation, Stretching
LBP Lumbar Spine
Decompression Therapy
LBP Soft Tissue
Manipulation, Joint
Mobilization, IFC
Hip & Leg Pain Soft
Tissue Manipulation, TENS
Neck Pain Cervical Spine
Decompression Therapy
Scoliosis Specific
Scoliosis Exercise
Scoliosis Specific
Scoliosis Exercise
LBP Lumbar Spine
Decompression Therapy
Neck Pain Soft Tissue
Manipulation, Joint
Mobilization
Neck Pain Cervical Spine
Decompression Therapy

LBP Lumbar Spine

Decompression Therapy
LBP Soft Tissue
Manipulation, Joint
Mobilization, IFC
Mr. Edward
Scoliosis Specific
Jefferson Halim
Scoliosis Exercise
Mr. Surya Sudjeni
LBP Soft Tissue
Manipulation, Joint
Mobilization, US
Sr. Iolanda
LBP Lumbar Spine
Vezzoli
Decompression Therapy
Mr. Dennis
Neck Pain Cervical Spine
Arwadi
Decompression Therapy
Ms. Widya
Neck Pain Manual
Chandra
Traction, Joint Mobilization,
Stretching
Mr. Henry Jaya
Mrs. Monica

16117
16117

16117
16117
15389

15805
15805

16117
16117

14348

36
37

26/8/2016

38
39
40
41

28/8/2016

42
43

Anglivia
Mrs. Monica
Anglivia
Mr. Jeffry
Nathaniel Salim
Mr. Jeffry
Nathaniel Salim
Mr. Andreas
Tanusaputra
Mr. Andreas
Tanusaputra
Ms. Sekar
Jasmine
Mr. Sudianto
Ms. Alyaa Kartika
Putri
Mr. Octavianus
Stefan
Mrs. Margaret Lu
Soo Fen

44
45
46

Ms. Jesslynn

47

Ms. Jesslynn

48

30/8/2016

Mr. Surya Sudjeni

31/8/2016

Mr. Jeffry
Nathaniel Salim
Mr. Jeffry
Nathaniel Salim
Ms. Betty

49
50
51

Scoliosis Specific
Scoliosis Exercise
Scoliosis Soft Tissue
Manipulation
LBP Lumbar Spine
Decompression Therapy
LBP Soft Tissue
Manipulation, Joint
Mobilization, IFC
Scoliosis Soft Tissue
Manipulation
Neck Pain Cervical Spine
Decompression Therapy
Scoliosis Specific
Scoliosis Exercise
Scoliosis Specific
Scoliosis Exercise
Plantar Fasciitis Soft
Tissue Manipulation,
Stretching
Scoliosis Soft Tissue
Manipulation, EMS
Scoliosis Specific
Scoliosis Exercise
LBP Soft Tissue
Manipulation, Joint
Mobilization, IFC
Scoliosis Specific
Scoliosis Exercise
Scoliosis Soft Tissue
Manipulation, US
Neck Pain US, Trigger
Point Therapy, Stretching

16117
16117