FORMULIR DOKTER SPESIALIS PEMBERI PELAYANAN DI POLIKLINIK

POLIKLINIK : THT
BULAN :

Jumlah Dokter Spesialis Dokter Umum yg Dokter Spesialis yg

No Tanggal Di Poliklinik Datang Datang

1 21 NOV 2016 1 1 1

2 22 NOV 2016 1 1 1

3 23 NOV 2016 1 1 1

4 24 NOV 2016 1 1 1

5 25 NOV NOV 1 1 1

6 28 NOV 2016 1 1 1

7 29 NOV 2016 1 1 1

8 30 NOV 2016 1 1 1

9 1-Dec-16 1 1 1

10 2-Dec-16 1 1 1

11 05 DES 20165 1 1 1

12 05 DES 20165 1 1 1

13 6-Dec-16 1 1 1

14 7-Dec-16 1 1 1

15 8-Dec-16 1 1 1

16 9-Dec-16 1 1 1

17 13-Dec-16 1 1 1
Petugas Pengumpul Data :
 FORMULIR JAM BUKA PELAYANAN
POLIKLINIK : THT

NO TGL JAM BUKA POLIKLINIK JAM SELESAI POLIKLINIK

1 21 NOV 2016 8:00:00 12:30:00

2 22 NOV 2016 8:00:00 11:35:00
3 23 NOV 2016 8:00:00 13:15:00
4 24 NOV 2016 8:00:00 11:45:00
5 25 NOV NOV 8:00:00 11:40:00
6 28 NOV 2016 8:00:00 13:12:54
7 29 NOV 2016 8:00:00 13:10:13
8 30 NOV 2016 8:00:00 13:11:18
8:00:00
9 1-Dec-16 12:55:20
10 2-Dec-16 8:00:00 12:45:10
11 5-Dec-16 8:00:00 13:10:12
12 6-Dec-16 8:00:00 13:20:15
14 7-Dec-16 8:00:00 11:30:15
15 8-Dec-16 8:00:00 12:45:30
16 9-Dec-16 8:00:00 11:10:18
17 13-Dec-16 8:00:00 12:45:17
Petugas Pengumpul Data :
 FORMULIR WAKTU TUNGGU PASIEN DI POLIKLINIK
POLIKLINIK : THT
BULAN :

JAM WAKTU
NO TGL NAMA PASIEN JAM DATANG DILAYANI TUNGGU
1 21 NOV 2016 SUKEMI 7:15:45 8:20:13 1:04:28
2 21 NOV 2016 ANTON 7:30:15 9:15:07 1:44:52
3 21 NOV 2016 MILA 9:20:59 11:57:12 2:36:13
4 21 NOV 2016 KETANG 8:15:19 10:12:00 1:56:41
5 21 NOV 2016 OKTAVIA PUTRI 7:17:15 9:05:45 1:48:30
6 21 NOV 2016 YAN DWI 8:30:00 10:25:00 1:55:00
7 21 NOV 2016 MARDIYANTO 7:20:00 9:20:00 2:00:00
8 21 NOV 2016 RADITYA 9:25:00 12:00:00 2:35:00
9 21 NOV 2016 ADVENT 9:15:00 11:30:00 2:15:00
10 21 NOV 2016 SUGIANTO 7:30:00 9:30:00 2:00:00
11 21 NOV 2016 FATCHIYATUN 8:15:00 10:20:00 2:05:00
12 21 NOV 2016 SATRIO WAFA 8:20:00 10:45:00 2:25:00
13 21 NOV 2016 POPY 7:36:00 9:47:00 2:11:00
14 21 NOV 2016 ANDIKA PRATAMA 9:10:00 11:45:00 2:35:00
15 21 NOV 2016 NAHRUDI ALDI 10:15:00 12:30:00 2:15:00
16 21 NOV 2016 ABBAS 10:32:00 12:45:00 2:13:00
17 21 NOV 2016 MOCH GUFRON 7:01:00 8:00:00 0:59:00
18 21 NOV 2016 ENIK 7:03:00 8:15:00 1:12:00
19 21 NOV 2016 DWI PRIYONO 8:03:00 10:02:00 1:59:00
20 21 NOV 2016 SUSIANA 7:14:00 8:25:00 1:11:00
21 21 NOV 2016 NABILA 11:00:00 12:30:00 1:30:00
22 21 NOV 2016 KOKO NUGROHO 10:55:00 12:25:00 1:30:00
23 21 NOV 2016 NIAH 9:32:00 11:57:00 2:25:00
24 21 NOV 2016 WIYANTI 8:47:00 11:00:00 2:13:00
0:00:00
25 22 NOV 2016 YUDHI YULIANTO 8:25:08 9:30:49 1:05:41
26 22 NOV 2016 BENING 8:27:17 9:35:45 1:08:28
27 22 NOV 2016 FAREL 9:19:00 9:56:00 0:37:00
28 22 NOV 2016 MUDAYANA 10:12:00 11:12:00 1:00:00
29 22 NOV 2016 ZAHRATUR 9:11:11 11:15:41 2:04:30
30 22 NOV 2016 SUSILOWATI 10:45:12 12:10:11 1:24:59
31 22 NOV 2016 PUNGKI 9:12:45 11:18:00 2:05:15
32 22 NOV 2016 NURFARIDA 10:18:12 11:59:00 1:40:48
33 22 NOV 2016 KETANG 9:15:28 10:15:48 1:00:20
34 22 NOV 2016 DODY 7:25:48 10:00:00 2:34:12
35 22 NOV 2016 EKA BUGUS 6:15:25 9:12:15 2:56:50
36 22 NOV 2016 INTAN SANIA 8:10:12 9:30:27 1:20:15
37 22 NOV 2016 NUR NGADIANTO 8:12:45 9:30:45 1:18:00
38 22 NOV 2016 SUWARNI 7:12:45 9:12:45 2:00:00
39 22 NOV 2016 RAFLI 6:12:45 10:12:40 3:59:55
40 22 NOV 2016 RUSMINI 7:10:45 8:45:12 1:34:27
41 22 NOV 2016 ALIPAH 6:48:12 9:25:13 2:37:01
0:00:00
42 23 NOV 2016 JOKO 11:10:52 12:36:41 1:25:49
43 23 NOV 2016 ANDI UTOMO 7:25:12 9:12:15 1:47:03
44 23 NOV 2016 PONIJAN 7:12:08 9:34:18 2:22:10
45 23 NOV 2016 YUAN 8:00:04 9:37:10 1:37:06
46 23 NOV 2016 SITI NURHANA 6:49:12 9:17:12 2:28:00
47 23 NOV 2016 HERI 10:10:28 12:45:12 2:34:44
48 23 NOV 2016 LUKI 8:12:45 10:12:24 1:59:39
49 23 NOV 2016 SOLIKIN 7:45:12 11:12:14 3:27:02
50 23 NOV 2016 CHESA 6:12:45 8:47:16 2:34:31
51 23 NOV 2016 SADEWA 11:12:17 12:49:15 1:36:58
 52 23 NOV 2016 RIANDIKA 9:45:12 10:59:12 1:14:00
53 23 NOV 2016 GABRIEL 7:12:45 8:59:12 1:46:27
54 23 NOV 2016 SUGIANTO 6:12:45 8:12:45 2:00:00
55 23 NOV 2016 SRI HARIYATI 8:12:09 9:46:12 1:34:03
56 23 NOV 2016 TUKIYO 9:41:12 10:00:00 0:18:48
57 23 NOV 2016 MOH AFANDI 9:12:45 10:29:14 1:16:29
58 23 NOV 2016 KAMINI 6:12:45 9:45:12 3:32:27
59 23 NOV 2016 TAHTA 7:12:08 10:42:17 3:30:09
60 23 NOV 2016 SUWARTINAH 6:12:47 9:45:10 3:32:23
61 23 NOV 2016 DURIANI 8:12:32 11:10:21 2:57:49
62 23 NOV 2016 KOKO NUGROHO 7:12:01 8:30:12 1:18:11
63 23 NOV 2016 M TAUFIQUL 7:25:31 8:36:12 1:10:41
64 23 NOV 2016 ASNUNIK 7:23:45 8:49:12 1:25:27
65 23 NOV 2016 DJUMIATI 6:45:12 9:45:12 3:00:00
66 23 NOV 2016 DJANI 7:32:45 8:45:12 1:12:27
67 23 NOV 2016 TITIK DYAH 8:43:12 9:56:12 1:13:00
68 23 NOV 2016 ARI HENDARKO 7:12:45 9:14:45 2:02:00
0:00:00
69 24 NOV 2016 VINA 6:12:41 8:09:12 1:56:31
70 24 NOV 2016 DINA EVA 6:45:12 8:45:12 2:00:00
71 24 NOV 2016 SUTRISNO 7:12:09 9:12:14 2:00:05
72 24 NOV 2016 JOKO 7:45:31 9:10:12 1:24:41
73 24 NOV 2016 AGUNG 8:12:41 10:12:14 1:59:33
74 24 NOV 2016 ARYA 7:12:45 10:45:12 3:32:27
75 24 NOV 2016 ANIK 8:43:12 10:12:14 1:29:02
76 24 NOV 2016 OKTAVIA 9:17:12 12:10:14 2:53:02
77 24 NOV 2016 KEYLA 7:45:17 9:45:14 1:59:57
78 24 NOV 2016 KUSMAWATI 6:12:51 8:30:45 2:17:54
79 24 NOV 2016 YOGA PRATAMA 6:45:29 9:12:45 2:27:16
80 24 NOV 2016 SYARAPUDIN 6:59:00 8:52:14 1:53:14
81 24 NOV 2016 SELA 7:12:09 10:12:14 3:00:05
82 24 NOV 2016 SALMAN 6:08:14 8:45:12 2:36:58
83 24 NOV 2016 MISTINAH 6:45:12 8:14:12 1:29:00
84 24 NOV 2016 RATIKA 7:12:32 9:45:12 2:32:40
85 24 NOV 2016 RASYA 8:45:00 10:42:15 1:57:15
0:00:00
86 25 NOV 2016 SUWARTINI 6:32:12 8:45:12 2:13:00
87 25 NOV 2016 MILA 7:48:15 10:17:15 2:29:00
88 25 NOV 2016 SUBAKRI 7:01:18 8:14:19 1:13:01
89 25 NOV 2016 WILLY 8:47:15 10:12:14 1:24:59
90 25 NOV 2016 SRI HARIYATI 6:12:45 8:45:12 2:32:27
91 25 NOV 2016 BIMANTARA 9:14:18 12:14:25 3:00:07
92 25 NOV 2016 HARIANGGA 8:19:17 10:42:15 2:22:58
93 25 NOV 2016 INGGAH 6:17:15 10:15:14 3:57:59
94 25 NOV 2016 ASTUTIK 7:45:18 9:15:17 1:29:59
95 25 NOV 2016 ANDRI 11:10:14 12:35:14 1:25:00
96 25 NOV 2016 GUFRON 7:14:08 9:14:20 2:00:12
97 25 NOV 2016 SUWATI 6:12:45 8:10:12 1:57:27
98 25 NOV 2016 ENY 6:45:18 9:15:14 2:29:56
99 25 NOV 2016 DWI 7:14:58 9:49:14 2:34:16
100 25 NOV 2016 SHANIA 9:14:18 11:18:17 2:03:59
101 25 NOV 2016 RIKAH 6:14:14 9:12:17 2:58:03
102 25 NOV 2016 KAKA 7:10:12 8:59:12 1:49:00
0:00:00
103 28 nov 2016 AINI 8:12:30 10:15:17 2:02:47
104 28 nov 2016 MEI ANGGITA 8:30:10 10:12:01 1:41:51
105 28 nov 2016 WIWIK 7:15:25 9:25:45 2:10:20
106 28 nov 2016 MIFTACHUL 7:28:12 10:12:10 2:43:58
107 28 nov 2016 SUDARSIH 8:12:15 10:12:18 2:00:03
108 28 nov 2016 SUBAKRI 7:20:31 9:20:12 1:59:41
109 28 nov 2016 JUARIYAH 7:12:45 8:36:12 1:23:27
110 28 nov 2016 SRI HARTINI 7:12:16 8:45:12 1:32:56
111 28 nov 2016 SRI HARIYATI 6:25:13 8:35:45 2:10:32
112 28 nov 2016 BAMBANG 7:12:51 9:12:15 1:59:24
113 28 nov 2016 POPY 9:12:51 11:12:12 1:59:21
114 28 nov 2016 FERY 9:17:00 8:12:15 22:55:15
115 28 nov 2016 FAROCHA 9:12:45 10:23:12 1:10:27
116 28 nov 2016 EKA 10:12:14 12:35:12 2:22:58
117 28 nov 2016 ERFAN 7:25:45 9:12:14 1:46:29
118 28 nov 2016 HERMAN GANI 6:14:12 8:30:12 2:16:00
119 28 nov 2016 DODI AHMAD 8:15:41 9:35:12 1:19:31
120 28 nov 2016 AKBAR 9:10:12 11:10:15 2:00:03
121 28 nov 2016 MOH KAREL 7:25:21 9:12:41 1:47:20
123 28 nov 2016 DINI 6:45:24 8:25:16 1:39:52
124 28 nov 2016 SELA 6:10:11 8:12:45 2:02:34
0:00:00
125 29 NOV2016 SITI NURHANA 7:26:58 8:35:45 1:08:47
126 29 NOV2016 SILFI HILMATUL 6:49:46 8:45:12 1:55:26
127 29 NOV2016 SUSILOWATI 7:41:00 9:10:45 1:29:45
128 29 NOV2016 IFTIDAIYAH 7:29:20 8:50:12 1:20:52
129 29 NOV2016 SUNARSIH 8:43:04 9:50:12 1:07:08
130 29 NOV2016 ANIK PUJIATI 8:58:44 10:56:12 1:57:28
131 29 NOV2016 OKTAVIA 9:27:12 11:19:05 1:51:53
132 29 NOV2016 PRADANA 9:02:55 10:29:10 1:26:15
133 29 NOV2016 ASRI YASTUTI 9:02:18 11:30:11 2:27:53
134 29 NOV2016 YULIA 9:52:19 11:35:15 1:42:56
135 29 NOV2016 SUNYANUS 9:21:17 10:45:12 1:23:55
136 29 NOV2016 SUKASIH 9:09:43 11:10:12 2:00:29
137 29 NOV2016 EFLIN 8:12:12 11:00:00 2:47:48
138 29 NOV2016 UMI ROSIDAH 9:12:30 11:21:13 2:08:43
139 29 NOV2016 BUDHI SANTOSO 10:48:37 11:10:10 0:21:33
140 29 NOV2016 IMAM 9:29:30 11:35:18 2:05:48
0:00:00
141 30 nov 2016 HERI 6:00:43 8:31:50 2:31:07
142 30 nov 2016 SUKARSIH 7:24:55 9:26:57 2:02:02
143 30 nov 2016 ZAHROTUN 7:53:12 9:21:15 1:28:03
144 30 nov 2016 DINA EVA 8:09:23 9:45:05 1:35:42
145 30 nov 2016 ABDUL WAHAB 7:35:29 8:47:15 1:11:46
146 30 nov 2016 SULIKAH 8:33:28 9:55:31 1:22:03
147 30 nov 2016 FTRANSISCA SINTIA 7:36:19 9:55:35 2:19:16
148 30 nov 2016 LILIS 8:20:22 9:45:45 1:25:23
149 30 nov 2016 NURKAN 7:25:30 9:10:55 1:45:25
150 30 nov 2016 SOEBADI 7:24:55 9:10:45 1:45:50
151 30 nov 2016 AHMAD FIRDIANSAH 6:28:04 9:15:10 2:47:06
152 30 nov 2016 SITI NURYATIN 8:28:26 9:35:45 1:07:19
153 30 nov 2016 HALIMAH 7:34:51 9:45:55 2:11:04
154 30 nov 2016 DONI 9:29:22 10:55:10 1:25:48
155 30 nov 2016 MILA 8:47:38 10:55:15 2:07:37
156 30 nov 2016 WANDA 9:36:24 10:55:30 1:19:06
157 30 nov 2016 EVANDO 8:45:11 10:11:45 1:26:34
158 30 nov 2016 ASKUR 9:43:32 11:01:55 1:18:23
159 30 nov 2016 IZZA 10:32:46 12:30:15 1:57:29
160 30 nov 2016 DINI RISKA 11:24:55 12:58:15 1:33:20
0:00:00
161 1-Dec-16 SULISTYOWATI 8:16:43 9:25:25 1:08:42
162 1-Dec-16 ANGGITA 7:28:10 8:45:55 1:17:45
163 1-Dec-16 WARTINI 6:27:47 9:25:35 2:57:48
164 1-Dec-16 FITRI 8:30:53 10:12:25 1:41:32
165 1-Dec-16 SUBIYANTO 8:30:14 9:40:45 1:10:31
166 1-Dec-16 ALLAND 9:11:45 10:55:10 1:43:25
167 1-Dec-16 MUFIDA 9:15:12 10:50:35 1:35:23
168 1-Dec-16 NUR FARIDA 7:24:59 10:05:30 2:40:31
169 1-Dec-16 LIMAN 9:05:53 10:30:25 1:24:32
170 1-Dec-16 CHUMAIRAH 8:00:01 10:45:30 2:45:29
171 1-Dec-16 SUTIANI 8:30:29 10:00:00 1:29:31
172 1-Dec-16 YAMUNTIK 10:05:10 11:25:12 1:20:02
173 1-Dec-16 VINA ABRIT 9:29:48 11:10:45 1:40:57
174 1-Dec-16 SUFAATUN 10:13:02 11:20:01 1:06:59
175 1-Dec-16 CAHYO 8:10:12 9:28:12 1:18:00
176 1-Dec-16 INDYAH 8:18:15 9:29:17 1:11:02
177 1-Dec-16 WIWEIT 9:10:46 10:38:10 1:27:24
0:00:00
178 2-Dec-16 KAREL 7:26:13 9:30:10 2:03:57
179 2-Dec-16 ADELIA 7:12:10 8:30:15 1:18:05
180 2-Dec-16 SITI ZUBAIDAH 7:35:56 9:40:15 2:04:19
181 2-Dec-16 LIMAN 8:27:08 9:38:15 1:11:07
182 2-Dec-16 SUBIANTO 8:04:39 9:45:10 1:40:31
183 2-Dec-16 MARDIANA 8:58:47 10:55:30 1:56:43
184 2-Dec-16 HARTINI 8:30:34 10:01:30 1:30:56
185 2-Dec-16 LUKMAN 9:44:47 10:25:25 0:40:38
186 2-Dec-16 FIRDAUS 8:00:10 10:35:05 2:34:55
187 2-Dec-16 SELLA 11:10:05 12:25:10 1:15:05
188 2-Dec-16 MUH RAIHAN 11:15:20 12:35:10 1:19:50
0:00:00
189 5-Dec-16 MILA 7:07:44 8:40:15 1:32:31
190 5-Dec-16 SITI NURCHANA 6:06:51 8:45:15 2:38:24
191 5-Dec-16 RETNO 7:15:55 8:30:10 1:14:15
192 5-Dec-16 BENING 7:02:17 8:05:12 1:02:55
193 5-Dec-16 HERMIN 7:13:04 9:05:10 1:52:06
194 5-Dec-16 JIMY 8:15:03 9:35:12 1:20:09
195 5-Dec-16 SIYATI 7:06:44 9:10:15 2:03:31
196 5-Dec-16 MARTINI 7:17:34 9:10:35 1:53:01
197 5-Dec-16 MUH LUTFI 7:15:45 9:15:10 1:59:25
198 5-Dec-16 IMAM 8:09:57 9:45:45 1:35:48
199 5-Dec-16 ACH CLOMIN 8:09:55 9:45:15 1:35:20
200 5-Dec-16 MARLINA 7:10:15 9:50:05 2:39:50
201 5-Dec-16 MORAINI 8:37:52 10:12:14 1:34:22
202 5-Dec-16 ADDUL HAMID 8:10:25 9:45:10 1:34:45
203 5-Dec-16 LIMAN 7:59:10 10:30:50 2:31:40
204 5-Dec-16 CAHYO WINOTO 9:05:15 10:25:35 1:20:20
205 5-Dec-16 ANSOR 8:12:10 10:40:15 2:28:05
206 5-Dec-16 TYO 9:01:18 12:40:12 3:38:54
207 5-Dec-16 SUPRIYATININGSIH 9:10:12 10:55:45 1:45:33
208 5-Dec-16 RETNO 10:18:38 12:39:12 2:20:34
209 5-Dec-16 ERFANDI 10:28:20 12:30:35 2:02:15
210 5-Dec-16 BIMATARA 10:32:47 12:37:45 2:04:58
211 5-Dec-16 RACHMATIKA 11:05:36 12:45:18 1:39:42
0:00:00
212 6-Dec-16 sumiat 6:05:23 8:50:05 2:44:42
213 6-Dec-16 sriyat 6:25:29 9:25:20 2:59:51
214 6-Dec-16 vionita 6:47:51 8:45:10 1:57:19
215 6-Dec-16 gracinda 9:24:23 10:45:19 1:20:56
216 6-Dec-16 suci krak 9:23:19 10:55:01 1:31:42
217 6-Dec-16 abdullah 9:21:43 11:20:15 1:58:32
218 6-Dec-16 martni 8:30:36 10:50:20 2:19:44
219 6-Dec-16 subakri 10:35:36 12:35:15 1:59:39
220 6-Dec-16 amel 10:28:13 12:40:05 2:11:52
221 6-Dec-16 SAKILA 11:25:36 12:38:09 1:12:33
222 6-Dec-16 sulaiman 11:24:31 12:30:15 1:05:44
223 6-Dec-16 sigit 11:15:59 12:18:40 1:02:41
 0:00:00
224 7-Dec-16 sit ngaisah 7:03:47 9:55:15 2:51:28
225 7-Dec-16 achmad cholimin 6:05:14 9:15:25 3:10:11
226 7-Dec-16 asmuni 7:08:44 10:10:15 3:01:31
227 7-Dec-16 wartni 6:32:47 9:45:12 3:12:25
228 7-Dec-16 silf 6:30:53 9:25:15 2:54:22
229 7-Dec-16 nur farida 6:32:56 10:35:30 4:02:34
230 7-Dec-16 m.fathian 8:16:55 9:26:05 1:09:10
231 7-Dec-16 heri 6:27:29 9:20:45 2:53:16
232 7-Dec-16 saiful anwar 8:01:20 9:45:15 1:43:55
233 7-Dec-16 sriani 7:15:48 9:55:45 2:39:57
234 7-Dec-16 evi rusdiana 8:27:49 9:45:14 1:17:25
235 7-Dec-16 retno 8:30:23 10:10:15 1:39:52
236 7-Dec-16 sulikah 9:06:39 11:10:55 2:04:16
237 7-Dec-16 mistani 8:33:13 10:28:30 1:55:17
238 7-Dec-16 heri mujiat 9:20:10 11:15:18 1:55:08
239 7-Dec-16 biworo 8:44:46 10:30:45 1:45:59
240 7-Dec-16 sionivea 9:17:24 11:20:15 2:02:51
0:00:00
241 8-Dec-16 sumakyah 8:27:00 9:45:20 1:18:20
242 8-Dec-16 bisriyah 8:29:15 10:12:05 1:42:50
243 8-Dec-16 umar maksum 8:32:19 9:45:12 1:12:53
244 8-Dec-16 yustna 8:25:30 9:45:39 1:20:09
245 8-Dec-16 m.sani.s 8:12:15 9:20:18 1:08:03
246 8-Dec-16 wartono 8:25:23 9:50:13 1:24:50
247 8-Dec-16 kaisar 8:21:05 9:50:10 1:29:05
248 8-Dec-16 kusmiat 8:05:12 9:30:18 1:25:06
249 8-Dec-16 endah 10:10:18 12:55:18 2:45:00
250 8-Dec-16 setani 9:23:29 10:38:40 1:15:11
251 8-Dec-16 marinta 10:42:35 12:30:10 1:47:35
252 8-Dec-16 ina 10:10:15 12:18:12 2:07:57
0:00:00
256 9-Dec-16 sit nurhana 6:05:18 9:37:05 3:31:47
257 9-Dec-16 isabel 6:37:48 9:35:18 2:57:30
258 9-Dec-16 kusmiat 6:22:12 8:15:45 1:53:33
259 9-Dec-16 lusi 7:31:44 9:49:12 2:17:28
260 9-Dec-16 isabel 6:37:48 9:33:10 2:55:22
261 9-Dec-16 darsono 7:10:14 9:43:12 2:32:58
262 9-Dec-16 mistyani 9:04:35 10:05:25 1:00:50
263 9-Dec-16 fatchiyatun 8:49:31 10:13:15 1:23:44
264 9-Dec-16 oktavia 9:29:37 10:45:45 1:16:08
265 9-Dec-16 benyamin 9:39:03 10:45:04 1:06:01
266 9-Dec-16 nemu 9:05:56 10:25:55 1:19:59
267 9-Dec-16 moch nuryani 8:12:25 10:35:20 2:22:55
268 9-Dec-16 sunariyah 9:15:36 10:45:35 1:29:59
269 9-Dec-16 arizal 9:45:12 10:46:15 1:01:03
270 9-Dec-16 sapuan 10:23:55 11:45:18 1:21:23
0:00:00
271 13-Dec-16 mei anggita 6:39:48 8:50:45 2:10:57
272 13-Dec-16 umar maksum 7:40:34 8:55:30 1:14:56
273 13-Dec-16 silf 6:33:45 9:10:30 2:36:45
274 13-Dec-16 saiful anwar 7:48:08 9:15:25 1:27:17
275 13-Dec-16 yuliat 7:07:01 9:35:25 2:28:24
276 13-Dec-16 zulfkar 8:33:53 9:35:30 1:01:37
277 13-Dec-16 mila 8:02:21 9:36:15 1:33:54
278 13-Dec-16 kamini 8:20:59 9:45:35 1:24:36
279 13-Dec-16 yudha 8:35:07 9:45:15 1:10:08
280 13-Dec-16 dyah 9:03:19 10:30:45 1:27:26
281 13-Dec-16 imam 8:39:05 9:50:40 1:11:35
282 13-Dec-16 calista 8:46:13 10:40:15 1:54:02
283 13-Dec-16 yulida 9:49:34 10:50:15 1:00:41
284 13-Dec-16 yuli 9:17:08 10:55:30 1:38:22
285 13-Dec-16 nina 9:18:15 11:52:15 2:34:00
286 13-Dec-16 erlita 10:02:23 11:20:15 1:17:52
287 13-Dec-16 sani 9:12:17 11:25:15 2:12:58
288 13-Dec-16 cholimin 8:13:10 12:05:16 3:52:06
289 13-Dec-16 septria nur azizah 10:31:38 12:12:05 1:40:27
290 13-Dec-16 ftri 9:54:41 11:12:10 1:17:29
291 13-Dec-16 sulaiman 9:15:32 12:17:12 3:01:40
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 FORMULIR PASIEN TB YANG DITANGANI DENGAN STRATEGI DOTS

Ditangani dgn Tidak Ditangani dgn

No Tgl Nama Strategi DOTS Stratego DOTS
Petugas Pengumpul Data :
 FORMULIR PASIEN DIAGNOSIS TB YANG DILAKUKAN PEMERIKSAAN DAHAK

Dilakukan Pemeriksaan Tidak Dilakukan

No Tgl Nama Dahak Pemeriksaan Dahak
Petugas Pengumpul Data :
 FORMULIR PASIEN DIAGNOSIS TB YANG DILAKUKAN PEMERIKSAAN DAHAK

Dilakukan Pemeriksaan Tidak Dilakukan

No Tgl Nama Dahak Pemeriksaan Dahak
Petugas Pengumpul Data :