No.

TGL MRS DAN JAM NO RM PENGKAJIAN AWAL MEDIS LENGKAP KET

DILAKUKAN ≤ 24 JAM (pada bagian apa yang
(Pukul:…………) ridak lengkap)
YA TIDAK
1 16031252
01-5-2019
ALUH √ Anamnese
2 17006039
01-5-2019
TOLA`INA,
√
3 19003895
01-5-2019
SUTRIK
√
4 19003897
01-5-2019
SATUN
√
5 16036634
01-5-2019
Choilin
√
6 16010588
02-5-2019
Suparto
√
7 19003944
02-5-2019
HADIYATI
√
8 19003712
02-5-2019
RIDHO IMAN NORIS
√
9 17001719
02-5-2019
SITINA
√
10 19003865
02-5-2019
MUHFA
√
11 19003937
02-5-2019
NYOK SUDARSO
√
12 1601663
02-5-2019 Suroso √
13 19003985 SUNDARI
03-5-2019 √ TTD
14 16043349 AGUNG WASKITO
03-5-2019 √
15 19003317 RISAN
03-5-2019 √
16 17001168 SITI MULYANI
03-5-2019 √
17 19003978 DESI PRIHATINI,
03-5-2019 √
18 16003555 NISRINA INAS
03-5-2019 √
19 16007794 ARWIANTO
03-5-2019 √
20 16053874 Arsyad
03-5-2019 √
21 16040468 AINA APRILIALI
04-5-2019 √
22 19003998 SANAWI
04-5-2019 √
23 16020990 MISNADUN
04-5-2019 √
24 16046736 AGAM H
04-5-2019 √
25 16036311 JULIO OKY
04-5-2019 √
26 18008910 EMY SUSIYATI
05-5-2019 √
27 16033966 RIFAIE
05-5-2019 √
28 18005320 SRI MUJIATI
05-5-2019 √
29 18006976 AYRA ANNASYA KHUMAIRAH,
06-5-2019 √
An.
30 19003975 NANIK SUYANA, Ny.
06-5-2019 √
31 16027928 Sutik, Ny.
06-5-2019 √
32 19004028 NOVAN DWI SUSANTO, Tn.
06-5-2019 √
33 16016112
06-5-2019
Ahmad Hakimulhaki, An.
√
34 19000579
06-5-2019
AAMIR AHMAD, An.
√
35 17007106 PRAWIRA JEMBAR PINERANG,
06-5-2019 √
An.
36 16038980
06-5-2019
Suhartini, Ny, Ny.
√
37 19004045 ALFIYAH HASNAH KAMIL
06-5-2019 √
SYARIF, An.
38 19003904
07-5-2019
APRIYADI
√
39 19004085
07-5-2019
RAHMAD SURYADI
√
40 19004093
07-5-2019
MARWIYANTO
√
41 16006627
07-5-2019
Sunarsih
√
42 19004077
07-5-2019
SUTAMI
√
43 19004080
07-5-2019
HASYIM HANANI,
√
44 18001900
07-5-2019
SRI AGUSTININGSIH
√
45 18004173
07-5-2019
SITI FATIMAH
√
46 16002253
08-5-2019
Fitria
√
47 16008044
08-5-2019
Suki
√
48 18007438
08-5-2019
AFRA HILYA MAFAZA ZAHIRAH
√
49 16031353
08-5-2019
Mustar
√
50 19003768
08-5-2019
EKO ERFAN WAHYUDI
√
51 17001580
08-5-2019
ISMAWATI
√
52 19002900
08-5-2019
TUTIK
√
53 19003356
08-5-2019
JATIMAN
√
54 16041049
09-5-2019
Winda Vidyawati , Ny.
√
55 17002587
09-5-2019
MURWATINGISIH, Ny.
√
56 17007318
09-5-2019
ALIMUDDIN, Tn.
√
57 18003375
09-5-2019
HAYATI, Ny.
√
58 16018633
09-5-2019
Rina Arista Dewi.An, An.
√
59 19003941
09-5-2019
QORI`ATIL JANNAH, An.
√
60 16006180 ARWITO
11-5-2019 √
61 16054300 YETI LIDIA
11-5-2019 √
62 16031687 DENI PRAJAWIDI
11-5-2019 √
63 19004195 RASIDI,
11-5-2019 √
64 16048916 ARKA BAKTI MAULID
11-5-2019 √
65 16008600 TAUFIK
12-5-2019 √
66 19004227 ASNAM,
12-5-2019 √
67 19003958 SINAWI
12-5-2019 √
68 16042124 PONIYEM
12-5-2019 √
69 19004220 SAHANIJA
12-5-2019 √
70 19004218 marini
12-5-2019 √ Tanggal dan
jam
71 16042566 UMI JAMRONI
12-5-2019 √
72 16037664 KUSNOTO
12-5-2019 √
73 13-5-2019 16051891 CAMELIA GIGA KANDELA, NN,
Nn.
74 13-5-2019 16022907 Gina, Ny.

75 13-5-2019
IMAM KURNIADI, Tn.
18004559
76 13-5-2019 19004072 INAYATUL HASANA, An.

77 13-5-2019 NASILA, Nn.

19004173
78 13-5-2019 18010655 KINARA ZALWA SHAHILA I,
An.
79 13-5-2019 19004233 MUHAMMAD ZAINUR RAIHAN,
An.
80 13-5-2019 19004238
ROFIK, Tn.
81 14-5-2019
YADIONO, Tn.
√
17002247
82 19003479 IMAM THOBRONI, Tn.
14-5-2019 √
83 16039898
14-5-2019
Kambali, Tn.
√
84 14-5-2019
AIMAI SYAROH, Ny.
√
19000047
85 14-5-2019
Imam Buhari,Tn
√
16049749
86 15-5-2019 Marzuki, Tn, √
16035002
87 15-5-2019 ABD KADIR, Tn. √
17006743
88 15-5-2019 √
16022982 NUR IMANAH, Nn.
89 16046036
16-5-2019 MUHAMMAD IRFAN .An √
90 19004164
16-5-2019 MUKSIN ALATAS, Tn. √
91 17005967
16-5-2019 SUMIARSIH, Ny. √
92 17000500
16-5-2019 RAFA RIANDI, An. √
93 18002556
16-5-2019 SAMSUL ARIFIN , Tn. √
94 18007045
16-5-2019 SA`ADA, Ny. √
95 18006993
16-5-2019 DIAN ANGGRAINI, Ny. √
96 17001873
16-5-2019 MARKHAMAH, Ny. √
97 19004165
16-5-2019 MISNAR ANTO, Tn. √
98 16000801
16-5-2019 Hoedijono, Tn. √
99 16002161
16-5-2019 Sudaryono / Tokyo, Tn. √
100 18005155
17-5-2019
M. TIRTA FARZAN FADIL, An.
√
101 18006665
17-5-2019
MOH ALWI, Tn.
√
102 19004043
17-5-2019
V. TJATUR ISWARI, Ny.
√
103 16025288
17-5-2019
Suha.Tn, Tn.
√
104 19000350
17-5-2019
AZIZ SARDJU, Tn.
√
105 19004366
17-5-2019
RABIYAH, Ny.
√
106 16048289
18-5-2019
Ivi Chusaifi, Tn.
√
107 19004398 RUDIYANTO, Tn.
18-5-2019 √
108 18007378 MUHAMMAD WILDAN HALIM,
18-5-2019 √
An.
109 19004412
18-5-2019 Tn Hosnan √
110 16022189 RAIZA
19-5-2019 √
111 19004420 SUDARSIH,
19-5-2019 √
112 18007302 HAENOR
19-5-2019 √
113 18004291 HADIS
19-5-2019 √
114 17003350 WULAN
19-5-2019 √
115 19004416 HAIRANI
19-5-2019 √
116 19004414 ZAKIYAH KARINA
19-5-2019 √
117 19004419
20-5-2019
MISYONO, Tn.
√
118 17002239
20-5-2019
SUGENG SUDRADJAT, Tn.
√
119 19002388 TEGUH YUNUS DARMAWAN,
20-5-2019 √
Tn.
120 19004197
20-5-2019
SUDIYANTO, Tn.
√
121 19004432
20-5-2019
HASANIYA, Ny.
√
122 18006082
20-5-2019
SOEDARTO, Tn.
√
123 19004318
20-5-2019
AHMAD BUDI SETIAWAN, Tn.
√
124 19004425
20-5-2019
MOH HULWAN FU`ADI, An.
√
125 16026743 DZAKIRAH LATIFAH PUTRI,
20-5-2019 √
An.
126 19004382
21-5-2019
MAS`ODAH, Ny.
√
127 19004457 NURYADI, Tn.
21-5-2019 √
128 18002095
21-5-2019
MASMUNAH, Ny.
√
129 16013010
21-5-2019
Akhmad Jaelani, Tn.
√
130 16039370
21-5-2019
Abdullah,Tn
√
131 18003589 SUPAMI, Ny.
21-5-2019 √
132 18001023
21-5-2019
AGNOTO, Tn.
√
133 19003871
21-5-2019
RISKIYA, Ny.
√
134 17003618
21-5-2019
QURROTUL LAILY, Nn.
√
135 16045084
21-5-2019
Lilik Ngatmini, Ny.
√
136 21-5-2019
ARTINI, Ny.
√
18008974
137 22-5-2019
SuYUDI SAHARI
√
138 22-5-2019
SUWANDAR
√
139 22-5-2019 arief humaidi √
140 23-5-2019
NAILA FARHATUL MAGHFIROH
√
141 23-5-2019
IDRUS
√
142 16031687
24-5-2019
DENI PRAJAWIDI,
√
143 17002624
24-5-2019
JOKO PRIHANTONO,
√
144 19004080
24-5-2019
HASYIM HANANI
√ Assesment
145 16044943 Raisha Zahira Az-Zahra, An,
25-5-2019 √
An.
146 16038980
25-5-2019
Suhartini, Ny
√
147 19004600
25-5-2019
MAHRIYE, Ny.
√
148 19004609
26-5-2019 SUKIYARJO, Tn. √
149 19004610
26-5-2019 ILHAM IMAM FIRDAUSI, √
Tn.
150 19004605
26-5-2019 SITI NURIL INDATUL , An. √
151 18004559
26-5-2019 IMAM KURNIADI, Tn. √
152 19000417
26-5-2019 JUHARIYA, Ny. √
153 16042320 Alfriezha Aprilianca Fiana Badri,
27-5-2019 √
An.
154 19004614
27-5-2019
EKA RATNAWATI, Ny.
√
155 17006771
27-5-2019
SUYANI SRI LESTARI , Ny.
√
156 16015839
27-5-2019
SUKADI, Tn.
√
157 19004450 DEWI MARDIYATUL HASANAH,
27-5-2019 √
Ny.
158 19003854
27-5-2019 hamza aditya √
159 19000042
28-5-2019
ANIS SUMIATUN, Ny.
√
160 16000810
28-5-2019
Sugiati, Ny, Ny.
√
161 19001918
28-5-2019
HAWIYA, Ny.
√
162 16051503
28-5-2019
FIONA SHEZA FARSANA, An.
√
163 16001329
28-5-2019
Darsono, Tn.
√
164 19004562 YULIATIK, Ny.
29-5-2019 √
165 18004180
29-5-2019
MARJANNA , Ny.
√
166 19004713
29-5-2019
NATASHA
√
167 17000952
29-5-2019
EVI SUSIANA, Ny.
√
168 18000777
29-5-2019
SAWITO, Tn.
√
169 19004148
29-5-2019
AGUS ADIYANTO, Tn.
√
170 16032897
29-5-2019
Pupah, Ny.
√
171 19004723
30-5-2019
SUMARTI, Ny.
√
172 19004719
30-5-2019
H. FARIS BAIDHOWI, Tn.
√
173 16021115
30-5-2019
Imam Supriyadi, Tn, Tn.
√
174 18007989 FAJRUL FALAH
31-5-2019 √
175 16036071
31-5-2019
tn mustar
√
176 19004745 MIE JOEN,
31-5-2019 √
177 19004740 MASPUL
31-5-2019 √
178 16043425 BUSAIRI,
31-5-2019 √
179 16031353 ABD. KADIR JAELANI,
31-5-2019 √