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Admision MR Patient Name Sex Age

12/1/2019 11:44:06 PM 00-20-10-53 SESKO SUNNY RICHO ANANDA ZEBUA , TN Male 24


12/1/2019 10:34:40 PM 00-19-37-86 JIHAN NADIA ZSAHARA, NN Female 21
12/1/2019 9:54:30 PM 00-07-50-08 LUAY SAID ALFITRAH, AN Male 8
12/1/2019 9:03:05 PM 00-08-29-43 I MADE SULI ADI OKA, TN Male 41
12/1/2019 8:58:32 PM 00-00-44-94 ERNA ACHMAD, NY Female 38
12/1/2019 8:39:02 PM 00-20-14-29 ADJI KUNTO SENO, SDR Male 23
12/1/2019 8:31:13 PM 00-20-26-43 SARAH ANNISAA RUSDIAN, NY, BY Female 0
12/1/2019 8:24:42 PM 00-10-60-76 AIRIN NAMEERA PUTRI, AN Female 7
12/1/2019 8:23:15 PM 00-03-54-74 RIBOET, NY Female 56
12/1/2019 8:19:42 PM 00-20-22-87 KADERI, TN Male 63
12/1/2019 8:17:29 PM 00-20-26-37 SYARIFUDDIN RANGKUTI, TN Male 59
12/1/2019 6:27:44 PM 00-19-94-70 DARUL MA'RUF KARIM, SDR Male 19
12/1/2019 6:23:27 PM 00-16-83-82 AGUS SETIAWAN, SDR Male 28
12/1/2019 6:20:04 PM 00-14-60-08 PRATIWI PUJI SUGESTI, NN Female 24
12/1/2019 6:19:21 PM 00-19-95-81 HANI HANDAYANI, NY Female 31
12/1/2019 6:18:26 PM 00-20-26-39 GUSTAF LUMENTA, TN Male 81
12/1/2019 5:58:37 PM 00-14-08-34 GRACIO IMMANUEL MALLAWA, BY Male 3
12/1/2019 5:57:33 PM 00-19-67-74 NICKY ASTRY DWI PUTRI, NY Female 34
12/1/2019 5:41:52 PM 00-15-73-39 MUHAMMAD AL FATIH YAHYA, AN Male 2
12/1/2019 4:03:05 PM 00-20-26-38 AKHYAR KAMILI, AN Male 2
12/1/2019 3:41:01 PM 00-04-89-99 SITI MUSTIKA, NY Female 71
12/1/2019 3:37:53 PM 00-20-26-34 IHFAN MAULANA FAHREZA , SDR Male 19
12/1/2019 3:14:36 PM 00-16-81-50 AYUDIA NAYAKAILANI KEUMALA, AN Female 1
12/1/2019 2:28:24 PM 00-16-76-90 NENDEN FAHRIAN, NN Female 21
12/1/2019 2:10:50 PM 00-16-86-08 MEO KRISNO . R , TN Male 37
12/1/2019 1:41:47 PM 00-18-78-70 SARAH ANNISAA RUSDIAN, NY Female 26
12/1/2019 12:43:33 PM 00-20-26-31 ABD KADIR SUNI , TN Male 66
12/1/2019 12:20:48 PM 00-20-23-90 SITI ASIAH, NY Female 52
12/1/2019 12:01:19 PM 00-20-26-33 RAHMAH , NY Female 51
12/1/2019 11:57:43 AM 00-14-99-27 ANDI KAHARUDDIN HARISANDI, TN Male 63
12/1/2019 11:31:00 AM 00-07-85-59 HESTI OCTAVIANTI, NY Female 35
12/1/2019 10:53:43 AM 00-13-79-83 BELLOVA IVANI HOSENNA, AN Female 3
12/1/2019 10:23:00 AM 00-00-38-93 MUHAMMAD ABDUL RIZAL BAKRIE, AN Male 13
12/1/2019 8:40:56 AM 00-20-06-63 M. AZKA MAULANA PUTRA, AN Male 2
12/1/2019 8:37:11 AM 00-02-38-59 NUNUH NURJANAH AMALIAH, NY Female 44
12/1/2019 7:12:01 AM 00-19-80-78 SEPTI ERLIANTI, NY Female 37
12/1/2019 7:07:50 AM 00-10-26-89 ALEXANDRE NATHAN NOEL ADIETA, AN Male 6
12/1/2019 1:22:40 AM 00-08-11-98 DEAN NUR RIFKY ABDULLAH,AN Male 14
12/1/2019 12:19:42 AM 00-20-26-25 SYALOM VALENTINE QUEEN SALUDING, AN Female 4
12/1/2019 12:13:22 AM 00-12-73-89 IBNU AMAR AMWALUDDIN, AN Male 4
12/2/2019 12:50:04 AM 00-17-33-06 EGZHEE AUFAA FIRDAUS, BY Male 1
12/2/2019 1:11:57 AM 00-15-67-33 QUEENSHA ALMAHYRA ALFIAN, AN Female 2
12/2/2019 2:24:09 AM 00-20-26-46 CLARA OKTAVIANA, NY, BY Female 0
12/2/2019 3:26:08 AM 00-19-16-17 LETA DZAHIN FATRIA, BY Female 0
12/2/2019 4:34:23 AM 00-06-59-92 SONIA YESSICA C LANTU, NN Female 27
12/2/2019 6:04:57 AM 00-13-19-57 NURUL PRATIWI, NY Female 28
12/2/2019 7:22:11 AM 00-10-08-27 PRINCESS NAULI NATHANIA, AN Female 5
12/2/2019 7:24:20 AM 00-20-26-47 FAEYZA CHANDRA MAHARDIKA, AN Male 0
12/2/2019 9:44:52 AM 00-20-26-53 IRSA LUTFI NURHANDINI, NY Female 26
12/2/2019 11:23:55 AM 00-18-85-06 AGUS MULYADI, TN Male 46
12/2/2019 12:36:10 PM 00-11-01-89 LINA ROZA, NY Female 48
12/2/2019 5:23:39 PM 00-18-53-57 WAHYU EKO LESMONO, TN Male 39
12/2/2019 10:02:49 AM 00-12-84-34 WAHYU HADI SAPUTRA, TN Male 31
12/2/2019 10:03:35 AM 00-13-78-31 GWEN ARNELITA PUTRI HADI PERDANA, AN Female 3
12/2/2019 2:57:58 PM 00-07-85-33 SARAH SUCI NOVITA, NY Female 29
12/2/2019 3:00:14 PM 00-20-26-91 INKA PUTRI, NN Female 20
12/2/2019 2:57:41 PM 00-14-35-07 DWIARYA ENDRA FIKARIAN, AN Male 4
12/2/2019 2:58:58 PM 00-16-61-95 SHAQUEENA AZKARYA NAFEEZA R, AN Female 1
12/2/2019 3:00:32 PM 00-20-26-96 STENCE, NY Female 45
12/2/2019 3:00:47 PM 00-04-24-01 DHARNI HARYATI, NY Female 47
12/2/2019 3:02:56 PM 00-20-20-69 RAHMATIYAH, NY Female 43
12/2/2019 4:04:43 PM 00-03-73-74 NURAINI. T, NY Female 33
12/2/2019 4:06:56 PM 00-03-05-47 MUHAMMAD TEDDY SYAHRIAL, SDR Male 24
12/2/2019 4:39:50 PM 00-20-26-95 DEDEN HARDIANSA, SDR Male 17
12/2/2019 5:00:09 PM 00-20-16-19 SUTARNO, TN Male 63
12/2/2019 5:02:53 PM 00-05-54-24 ANNABELLE RACHEL CLEARESTA, AN Female 8
12/2/2019 5:15:27 PM 00-20-27-01 RUSLIANSYAH, TN Male 41
12/2/2019 5:17:03 PM 00-10-90-69 PANCA IVAN EFENDI, TN Male 37
12/2/2019 5:48:47 PM 00-20-27-07 ATID HANAD, TN Male 52
12/2/2019 5:57:17 PM 00-20-27-08 DYAN DWI ARI WIBOWO, TN Male 36
12/2/2019 6:52:07 PM 00-20-25-95 REYHAN NUGRAHA HIDAYAT, TN Male 29
12/2/2019 8:00:05 PM 00-20-03-53 KURDANI, TN Male 44
12/2/2019 8:04:03 PM 00-09-11-88 SITI RATNA, NY Female 55
12/2/2019 9:10:26 PM 00-11-74-78 HARLIANSYAH, SE, TN Male 53
12/2/2019 9:36:57 PM 00-19-85-09 SUTRISNO, TN Male 46
12/2/2019 9:51:03 PM 00-17-17-97 YUSRAN ASPAR. DRS. H, TN Male 67
12/2/2019 10:25:54 PM 00-20-27-31 DARMIN KARTONO, TN Male 54
12/2/2019 10:51:19 PM 00-18-74-16 LEE HAK YONG, TN Male 57
12/2/2019 11:22:21 PM 00-09-94-86 BIMA PRASETYA AP, SDR Male 26
12/2/2019 11:39:12 PM 00-12-89-57 DEDI HERMANTO, TN Male 32
12/2/2019 11:55:41 PM 00-01-33-49 SRI EMELDA H,NY Female 43
12/2/2019 11:57:03 PM 00-10-55-71 SAKHI NAUFAL AZMI ,AN Male 4
12/2/2019 11:58:12 PM 00-20-27-32 SHAKILA NAFHAH ADZKIYA, AN Female 2
12/2/2019 9:04:27 PM 00-20-26-84 AHMAD SAUQI, TN Male 43
12/2/2019 11:54:29 AM 00-20-26-88 NICKY ASTRY DWI PUTRI, NY, BY Female 0
12/3/2019 12:18:34 AM 00-05-05-80 AMALIA WIZARATHUL AFINA, NY Female 32
12/3/2019 12:54:03 AM 00-13-09-20 CHRISTIAN BANYU PRANADWIPA, AN Male 3
12/3/2019 4:00:00 AM 00-19-54-26 MUIN FAISAL, TN Male 44
12/3/2019 4:45:42 AM 00-03-91-17 MASJIDDA KAUNANG, NY Female 39
12/3/2019 6:20:27 AM 00-10-91-94 MONICA ANGELIA SUMOLANG, NY Female 26
12/3/2019 8:56:09 AM 00-20-27-37 IRWANSYAH , TN Male 47
12/3/2019 11:46:47 AM 00-13-69-72 RIBKA PATTA, NY Female 32
12/3/2019 1:05:38 PM 00-00-20-34 ALVIN SETIAWAN WIJAYA, SDR Male 16
12/3/2019 11:49:04 AM 00-18-94-87 KATNISS ARIANA MARITZA, AN Female 4
12/3/2019 1:07:12 PM 00-06-12-36 RAHMAWATI, NY Female 30
12/3/2019 2:22:33 PM 00-17-74-60 REFAL ALFARO HISWARA, BY Male 1
12/3/2019 2:23:58 PM 00-13-95-22 DEWI SRIKANDI, NY Female 33
12/3/2019 2:24:54 PM 00-05-38-10 KRISNIAWATI, NY Female 36
12/3/2019 2:59:17 PM 00-18-63-91 YUYUN MASLIANA, NY Female 47
12/3/2019 3:19:00 PM 00-19-96-28 RIDHA WAHYUNI SYAH, NY Female 37
12/3/2019 5:37:55 PM 00-20-27-77 JAMANI, TN Male 46
12/3/2019 8:27:17 PM 00-12-73-94 AKHMAD, TN Male 45
12/3/2019 8:27:12 PM 00-16-34-42 DEVANO RENDI PASA, AN Male 10
12/3/2019 8:27:07 PM 00-20-27-76 LISDA KURNIAWATY, NN Female 21
12/3/2019 8:27:00 PM 00-11-41-96 NURDIN,H, TN Male 42
12/3/2019 8:28:55 PM 00-20-27-82 SRI RAHAYU, NY Female 30
12/3/2019 8:30:59 PM 00-19-97-97 ELIZABETH MARIA RIBKA , NN Female 16
12/3/2019 8:53:46 PM 00-20-27-90 ANDI RISKA PUTRI AMELIA TAYANG, NY Female 16
12/3/2019 9:24:35 PM 00-14-74-05 KEN ARIF DANUHARJA NG, TN Male 30
12/3/2019 9:33:57 PM 00-14-28-76 ASMA KHAIRANY, AN Female 14
12/3/2019 9:46:55 PM 00-14-23-86 RIYANTI, NY Female 24
12/3/2019 10:04:48 PM 00-11-19-59 BULAN, HJ, NY Female 61
12/3/2019 10:12:04 PM 00-20-27-94 FRISKA UTAMI, NY Female 47
12/3/2019 10:26:52 PM 00-20-12-46 MICHELLE GABRIELA LALA, NN Female 21
12/3/2019 11:33:28 PM 00-04-02-65 AGUSTINA MAYA DHASTHY, NY Female 40
12/3/2019 12:51:07 PM 00-20-14-19 SITI AISYAH, NY Female 37
12/3/2019 10:49:51 AM 00-03-29-29 RIZALADDIN SUUDY, TN Male 35
12/3/2019 12:52:07 PM 00-16-27-02 ANGGREANI PUTRI, NY Female 24
12/3/2019 12:54:41 PM 00-02-16-05 ODYE ALDINO, TN Male 31
12/3/2019 12:53:42 PM 00-04-61-59 DEWI AGNJANAWATI, NY Female 49
12/3/2019 1:32:01 PM 00-15-62-84 DANANG ROSYIDI, TN Male 44
12/3/2019 1:39:23 PM 00-20-26-57 HASBI JUMAIDIL, TN Male 26
12/3/2019 2:28:09 PM 00-20-15-98 SUMINTO, TN Male 56
12/3/2019 3:54:49 PM 00-11-11-44 NUR KUMALA, NY Female 43
12/3/2019 4:06:13 PM 00-08-22-45 RAYHAN RASYIK, AN Male 7
12/3/2019 4:48:49 PM 00-14-26-39 LINA ANGELICA, NY Female 39
12/3/2019 7:36:50 PM 00-20-27-83 GEVIO YOSIANI ARITONANG, AN Female 3
12/3/2019 7:37:57 PM 00-16-54-85 IRA FERLIATI, NY Female 38
12/3/2019 8:15:53 PM 00-08-33-84 NURUL HIDAYATI, NY Female 45
12/3/2019 8:47:15 PM 00-19-20-10 NURUL KURNIAWATI, NY Female 24
12/3/2019 8:48:06 PM 00-06-93-14 MIKAYLA NIKEN JOHAR, AN Female 6
12/3/2019 8:59:44 PM 00-15-73-14 EVI PERMATA ARUM, NY Female 29
Diagnosis ICD Code I ICD IICode ICD III
Code ICD Code ICD Code
PrimaryDoctor IV V

dr. Yulius Mandua, SpS


dr. Shelly Laksmisari, SpPD
dr. Anggun Kusumasari, SpA, MSc
dr. Shelly Laksmisari, SpPD
dr. Shelly Laksmisari, SpPD
dr. Heribertus Gunadi, SpPD, MSc
dr. Anggun Kusumasari, SpA, MSc
dr. Silvia Meiliana, MSc., SpA
dr. Haris Hayat, SpB
dr. M. Fadhil Ardiyansyah, SpU
dr. Haris Hayat, SpB
dr. William Sugandhi, Msi. Med, SpB
dr. Alvarez Zefanya Moningka, SpOT
dr. Shelly Laksmisari, SpPD
dr. M. Fadhil Ardiyansyah, SpU
Dr.dr. Eveline, SpBS
dr. Daniel Susatyo Wirawan, SpA
dr. Stella Patricia Yapari, SpOG
dr. Lita Siulan Tanang, SpA VIRAL INFE B34.9
Dr.dr. Eveline, SpBS
dr. Heribertus Gunadi, SpPD, MSc
dr. Shelly Laksmisari, SpPD
dr. Nina Natalia, SpA
dr. Shelly Laksmisari, SpPD
dr. Hedy Wahyu Ramadhani, SpOT
dr. Stella Patricia Yapari, SpOG
dr. Christiani Muljono, SpJP
dr. Hedy Wahyu Ramadhani, SpOT
dr. Christiani Muljono, SpJP SYNCOPE, SR55 R00.1 J06.9
dr. Harris Oetama, SpU
dr. Shelly Laksmisari, SpPD
dr. Lita Siulan Tanang, SpA
dr. Anggun Kusumasari, SpA, MSc
dr. Anggun Kusumasari, SpA, MSc
dr. Yulius Mandua, SpS
dr. Nono Mattarungan, SpPD DYSPEPSIA K30
dr. Nina Natalia, SpA
dr. Heribertus Gunadi, SpPD, MSc
dr. Hittoh Fattory, SpA
dr. Nina Natalia, SpA
dr. Nina Natalia, SpA
dr. Nina Natalia, SpA
dr. Anggun Kusumasari, SpA, MSc
dr. Lita Siulan Tanang, SpA
dr. Shelly Laksmisari, SpPD
dr. Shelly Laksmisari, SpPD
dr. Lita Siulan Tanang, SpA
dr. Lita Siulan Tanang, SpA
dr. Richard Yehuda Limen, SpB (K) V
dr. Richard Yehuda Limen, SpB (K) V CKD ST V, N18.8 D63.8 E87.1
dr. Richard Yehuda Limen, SpB (K) V
dr. Hedy Wahyu Ramadhani, SpOT
dr. Maranatha Lumban Batu, SpTHT-KL
dr. Nina Natalia, SpA
dr. Yulius Mandua, SpS
dr. Shelly Laksmisari, SpPD
dr. Silvia Meiliana, MSc., SpA
dr. Silvia Meiliana, MSc., SpA
dr. Achmad Yusri, SpJP
dr. Achmad Yusri, SpJP
dr. Agustinus Sony Yudianto, SpTHT-KL
dr. Dewi Ayu Paramita, SpJP
dr. Shelly Laksmisari, SpPD
dr. Christiani Muljono, SpJP
dr. M. Fadhil Ardiyansyah, SpU
dr. Lita Siulan Tanang, SpA
dr. Nono Mattarungan, SpPD
dr. Shelly Laksmisari, SpPD
dr. Christiani Muljono, SpJP
dr. Dewi Ayu Paramita, SpJP CAD I25.1
dr. Shelly Laksmisari, SpPD
dr. Dewi Ayu Paramita, SpJP
dr. Christiani Muljono, SpJP
dr. Nono Mattarungan, SpPD
dr. M. Fadhil Ardiyansyah, SpU
dr. Muhammad Iqbal, SpJP
dr. Christiani Muljono, SpJP
dr. Yulius Mandua, SpS
dr. Harris Oetama, SpU
dr. Shelly Laksmisari, SpPD
dr. Nono Mattarungan, SpPD
dr. Silvia Meiliana, MSc., SpA
dr. Silvia Meiliana, MSc., SpA
dr. Hedy Wahyu Ramadhani, SpOT
dr. Anggun Kusumasari, SpA, MSc
dr. Hedy Wahyu Ramadhani, SpOT
dr. Anggun Kusumasari, SpA, MSc
dr. Yulius Mandua, SpS
dr. Christiani Muljono, SpJP
dr. Shelly Laksmisari, SpPD
dr. Achmad Yusri, SpJP
dr. Rudianto Halim Putera, SpOG
dr. Alvarez Zefanya Moningka, SpOT
dr. Anggun Kusumasari, SpA, MSc
dr. Shelly Laksmisari, SpPD
dr. Nina Natalia, SpA
dr. Harris Oetama, SpU
dr. Shelly Laksmisari, SpPD
dr. Shelly Laksmisari, SpPD
dr. Noviana Indarti, SpOG
dr. Christiani Muljono, SpJP
dr. Shelly Laksmisari, SpPD
dr. Lita Siulan Tanang, SpA
dr. Yulius Mandua, SpS
dr. Shelly Laksmisari, SpPD
dr. Yulius Mandua, SpS
dr. Silvia Meiliana, MSc., SpA
dr. Yulius Mandua, SpS
dr. Shelly Laksmisari, SpPD
dr. Nina Natalia, SpA
dr. Yulius Mandua, SpS
dr. Nono Mattarungan, SpPD
dr. Ketut Rama Wijaya, SpOG
dr. Nono Mattarungan, SpPD
dr. Shelly Laksmisari, SpPD
dr. Richard Yehuda Limen, SpB (K) V
dr. Yulius Mandua, SpS
dr. Shelly Laksmisari, SpPD
dr. Harris Oetama, SpU
dr. Dewi Ayu Paramita, SpJP
dr. Shelly Laksmisari, SpPD
dr. Alvarez Zefanya Moningka, SpOT
dr. Richard Yehuda Limen, SpB (K) V
dr. Noviana Indarti, SpOG
dr. Silvia Meiliana, MSc., SpA
dr. Maranatha Lumban Batu, SpTHT-KL
dr. Nina Natalia, SpA
dr. Andi Hasnawati, SpOG
dr. Hedy Wahyu Ramadhani, SpOT
dr. Stella Patricia Yapari, SpOG
dr. Daniel Susatyo Wirawan, SpA
dr. Stella Patricia Yapari, SpOG
An

ICD Code ASAL RUJUKAN Discharge Tgl Master Hasil


LOS H/M Alasan
VI MASUK / TIDAK Date Pemeriksa Diagnosis
Masuk an

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
UGD T 12/3/2019 12/4/2019 2H 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
UGD T 12/3/2019 12/4/2019 2H 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
UGD T 12/2/2019 12/4/2019 1H 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
OPD T 12/3/2019 12/4/2019 1H 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
UGD T 12/3/2019 12/4/2019 1H 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Analisis Resume Medis

Obat2 Rencana Rencana SINGKATA Visit DPJP


Kondisi Tanda TGL Kontrol (kali)
Tindakan saat Tind. L/T N S/T
Pulang tangan Pulang
pulang Lanjut

1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 12/5/2019 2
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 ### 2
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 0 2
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 ### 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
Analisis Kelengkapan Catatan Dokter

Doctor
PROFESI Date Time S O A P TTD L/T
Name

2 2 2 2 2 2 2 2 2L

2 2 0 2 2 2 2 2 2T

0 2 0 2 1 1 2 2 2T
1 1 0 1 1 1 1 1 1T

1 1 0 1 1 1 1 1 1T
Analisis Informed Consent

BLOOD TRANSFUS TANGGAL


PROCEDU TINDAKA TANGGAL Nama
TYPE ION Nama
ICD- 9 Resiko Alternatif
RE Tindakan Dokter
N
INSERSI CD38.95 12/2/2019 1 1 1 1 1
Consent LAPORAN OPERASI
Kesesuai
TTD &
OPERATO TTD & TTD & TTD & L/T an DX
Nama DX Pre DX Post Catatan
Nama Pasien/W Nama Nama
R Oerasi Oerasi Operasi
Dokter Saksi I Saksi II
ali
dr. Richard 1 1 1 1L 1 1 1 1
ORAN OPERASI Analisis Persetujuan Anestesi
TTD &
L/T TTD & TTD &
Nama TTD Nama Nama ANASTESI Nama
Operator Operator TGL/JAM Nama Nama
Tindakan Dokter OLOGIST Pasien/W
Dokter Saksi I
ali
1 1 1L
S/T

TTD & L/T


Nama JAM KEMATNIK
Saksi II

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