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FORMULIR UNTUK PENGUMPUL DATA

Sensus Harian Indikator Unit Kamar operasi


Indikator : Tidak adanya kejadian operasi salah sisi

Tidak adanya kejadian


NO Tanggal No. Rm Nama pasien operasi salah sisi
Ya Tidak
1 1/9/2018 108130 An M ghatan 1
2 1/9/2018 52488 Tn Muhamad Nur 1
3 1/9/2018 129582 Ny Melva 1
4 1/9/2018 127087 Nn. Rifaa 1
5 1/9/2018 125489 Ny ricka 1
6 3/9/2018 69764 Ny Murdian 1
7 3/9/2018 70188 Ny Yuyun 1
8 3/9/2018 95334 Ny. Sarmi 1
9 3/9/2018 93878 Ny. Opsanih 1
10 3/9/2018 131443 Tn Bambang 1
11 3/9/2018 84244 Ny irvina 1
12 3/9/2018 128582 Ny Eka 1
13 3/9/2018 35531 ny Dea 1
14 4/9/2018 112550 Nn Nabila 1
15 4/9/2018 117466 An Ufati 1
16 4/9/2018 4831 An Karin 1
17 4/9/2018 130716 nnnurul 1
18 4/9/2018 105332 Ny dian 1
19 5/9/2018 131353 Tn Gunung 1
20 5/9/2018 131056 Ny. Shiuta 1
21 6/9/2018 129242 Ny Listari 1
22 6/9/2018 131387 Tn suwaji 1
23 6/9/2018 75205 Ny Vita 1
24 6/9/2018 33268 Ny Ita Y 1
25 7/9/2018 32552 Linda 1
26 7/9/2018 131681 Tn Restu 1
27 7/9/2018 131159 Ny Amaliyah 1
28 7/9/2018 131603 An Syahru 1
29 7/9/2018 131774 Tn Mujur 1
30 7/9/2018 88908 Ny Dewi 1
31 7/9/2018 124811 Ny Cita R 1
32 8/9/2018 129032 Ny Dewi 1
33 10/9/2018 131876 Ny Rosinta 1
34 10/9/2018 131775 Ny Parwi 1
35 10/9/2018 131430 Ny suprianti 1
36 10/9/2018 131573 Tn Robert 1
37 10/9/2018 124536 Ny Putri 1
38 10/9/2018 2694 Tn Yusuf 1
39 10/9/2018 131064 Ny Yuyun 1
40 10/9/2018 56626 Tn Mansur 1
41 12/9/2018 128230 Ny syahlinan 1
42 12/9/2018 131107 Ny doria 1
43 13/9/2018 132049 Ny nani 1
44 13/9/2018 131645 Ny dewi sartika 1
45 13/9/2018 120317 Ny sopiah 1
46 14/9/2018 37986 Ny Madina 1
47 14/9/2018 132285 Ny neni 1
48 14/9/2018 132244 Ny Linda 1
49 16/9/2018 117677 Ny harmila 1
50 17/9/2018 132337 An Nadin 1
51 17/9/2018 109136 Ny sukriah 1
52 17/9/2018 131553 Indrawaty 1
53 17/9/2018 113904 Ny. Veronica 1
54 17/9/2018 132117 Ny siti A 1
55 17/9/2018 102134 Tn Warkum 1
56 17/9/2018 672324 Tn Lukman 1
57 18/9/2018 132150 Tn sanusi 1
58 18/9/2018 132160 Tn ferinand 1
59 18/9/2018 38528 Ny rosita 1
60 29/9/2018 133086 Tn riki 1
60
UL DATA FORMULIR UNTUK VAL

Sensus Harian Indikator Unit Kamar Opaerasi


Indikator : Tidak adanya kejadian operasi salah sisi

Keterangan NO Tanggal No. Rm

1 1/9/2018 108130
2 3/9/2018 69764
3 4/9/2018 112550
4 4/9/2018 130716
5 5/9/2018 131353
6 6/9/2018 129242
7 7/9/2018 32552
8 7/9/2018 131681
9 8/9/2018 129032
10 10/9/2018 131876
11 12/9/2018 128230
12 13/9/2018 131645
13 16/9/2018 117677
14 17/9/2018 132337
15 18/9/2018 38528
16 29/9/2018 133086
JML
FORMULIR UNTUK VALIDASI DATA

Kamar Opaerasi
dian operasi salah sisi

Tidak adanya kejadian


Nama pasien operasi salah sisi Keterangan
Ya Tidak
An M ghatan 1
Ny Murdian 1
Nn Nabila 1
nnnurul 1
Tn Gunung 1
Ny Listari 1
Linda 1
Tn Restu 1
Ny Dewi 1
Ny Rosinta 1
Ny syahlinan 1
Ny dewi sartika 1
Ny harmila 1
An Nadin 1
Ny rosita 1
Tn riki 1
16
100
FORMULIR UNTUK PENGUMPUL DATA

Sensus Harian Indikator Unit Kamar operasi


Indikator : Tidak adanya kejadian operasi salah sisi
Tidak adanya
kejadian operasi
NO Tanggal No. Rm Nama pasien Keterangan
Yasalah sisi
Tidak
1 1/10/2018 133098 Tn Samsul 1
2 1/10/2018 132965 Tn Achmad 1
3 1/10/2018 133145 Tn Adih 1
4 2/10/2018 133157 Tn Winarso 1
5 3/10/2018 132403 Ny Fitri 1
6 3/10/2018 55740 Ny Putri 1
7 3/10/2018 113873 Ny Tuti 1
8 3/10/2018 121296 Ny Riska 1
9 4/10/2018 21530 Tn Sukarno 1
10 4/10/2018 133047 Nn Putri 1
11 4/10/2018 86773 Ny Ana 1
12 5/10/2018 133321 Tn Abdul Gofar 1
13 5/10/2018 62374 Tn Indra 1
14 6/10/2018 132296 Nn Nurhidayah 1
15 6/10/2018 84601 Ny Neneng 1
16 8/10/2018 121661 Ny Luanggun 1
17 8/10/2018 133320 Tn Koster 1
18 8/10/2018 133586 An Rizki 1
19 8/10/2018 82829 Nn Novi 1
20 9/10/2018 60778 Ny Corina 1
21 9/10/2018 133029 Tn Udin kecil 1
22 9/10/2018 133574 Tn Agustus 1
23 10/10/2018 110326 Tn Ahmad Sofyan 1
24 10/10/2018 133093 Ny Rahmi Febriani 1
25 10/10/2018 37823 Ny Lani 1
26 11/10/2018 132991 Ny darmunah 1
27 11/10/2018 89845 Tn Yordan 1
28 12/10/2018 132977 Ny Mariskha 1
29 12/10/2018 69142 Ny Nia 1
30 12/10/2018 133824 Ny Sumarni 1
31 12/10/2018 69967 Tn M Rizki 1
32 13/10/2018 80653 Ny Imelda 1
33 13/10/2018 108414 Ny Sigit 1
34 15/10/2018 133698 Ny Dian 1
35 15/10/2018 133923 An M Daniar 1
36 15/10/2018 91643 Ny Reiva 1
37 15/10/2018 14750 Tn Gabriel 1
38 16/10/2018 133975 Tn Mahal 1
39 16/10/2018 131014 Ny Hanum 1
40 17/10/2018 100227 Ny Ria 1
41 17/10/2018 79923 Ny Aminah 1
42 17/10/2018 133984 Tn Andreas 1
43 17/10/2018 121329 Tn Imam 1
44 18/10/2018 56753 Ny Siti 1
45 19/10/2018 126763 Ny Armi 1
46 19/10/2018 130313 An Rafael 1
47 19/10/2018 132887 Tn Yusus 1
48 20/10/2018 134213 Ny Ika 1
49 20/10/2018 59210 Ny Siti 1
50 22/10/2018 132951 An Santi 1
51 22/10/2018 134137 Ny Yulfia 1
52 23/10/2018 133678 Tn Shapiy 1
53 24/10/2018 70958 An Assya 1
54 24/10/2018 101121 Ny Dede 1
55 24/10/2018 60068 Ny Gramsari 1
56 24/10/2018 127359 Tn Moch arie 1
57 25/10/2018 95713 Ny Widihastuti 1
58 26/10/2018 134695 Ny Hilda 1
59 27/10/2018 99148 Nn Athaya 1
60 27/10/2018 134147 Ny Endah 1
60
FORMULIR UNTUK VALIDASI DATA

Sensus Harian Indikator Unit Kamar Opaerasi


Indikator : Tidak adanya kejadian operasi salah sisi
Tidak adanya
kejadian operasi
NO Tanggal No. Rm Nama pasien Keterangan
Yasalah sisi
Tidak
1
2
3

JML
#DIV/0!

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