LAPORAN TINDAKAN DIAGNOSTIK BULAN JULI 2017

No Tanggal No. RM Nama Pasien Umur Tindakan

1 7/11/2017 72177 Aprizal 55 USG
2 7/12/2017 54149 Nursiti 66 USG
3 7/14/2017 72438 Wirman Ariga 55 USG
4 7/15/2017 44504 Oyong 59 Perimetri
5 7/17/2017 71868 Suksmerri 57 Perimetri
6 7/17/2017 169 Nadya 18 USG
7 7/18/2017 72664 Hasimah 53 USG
8 7/20/2017 72814 Muslim 62 USG
9 7/20/2017 72457 M.Ilham 22 Perimetri
10 7/20/2017 68722 Ario Virgo 30 USG
11 7/24/2017 73035 Subarnas 45 USG
12 7/24/2017 73073 Epian 35 USG
13 7/24/2017 73041 Ngadiman 42 USG
14 7/24/2017 72094 Yusmawarni 61 USG
15 7/25/2017 72349 Syahniar 70 USG
16 7/25/2017 73173 Firdaus 31 USG
17 7/25/2017 73188 Afrida 60 USG
18 7/25/2017 50099 Nurlis 49 USG
19 7/25/2017 73172 Nurdesmiarti 53 USG
20 7/26/2017 73246 Yasma M 49 USG
21 7/26/2017 73247 Riko 30 USG
22 7/26/2017 73408 Nurhayati 72 USG
23 7/26/2017 72692 Ardin 54 USG

padang, Juli 2017

Kanit Ruangan PIC

Rosi Susanti, Amd. Kep Rosi Susanti, Amd. Kep

 LAPORAN DIAGNOSTIK BULAN AGUSTUS 2017

No Tanggal No. RM Nama Pasien Umur Tindakan

1 8/1/2017 71275 Suherman 61 USG
2 8/1/2017 70771 Sri Yulianti 66 Foto Fundus
3 8/1/2017 73667 Amril 56 USG
4 8/1/2017 73599 M.duncul 62 USG
5 8/2/2017 73668 Darmawi S 79 USG
6 8/4/2017 45440 Darmawati 59 USG
7 8/7/2017 73551 Sukarno 49 Perimetri
8 8/7/2017 74044 Kanut 64 USG
9 8/10/2017 74261 Seno 2 bln USG
10 8/15/2017 74588 Syafrizal 60 USG
11 8/15/2017 74552 Norjati 48 USG
12 8/16/2017 73847 Melfi 50 USG
13 8/16/2017 74588 Syafrizal 60 USG
14 8/16/2017 74278 Nurhelmi 50 Foto Fundus
15 8/16/2017 43760 Fajar 18 USG
16 8/16/2017 74603 M.Erlangga 9 USG
17 8/16/2017 74649 Nurmainis 69 USG
18 8/18/2017 74324 Adifebrianto 40 USG
19 8/18/2017 74130 Afrita Yuana 42 USG
20 8/22/2017 71658 Afanda 34 USG
21 8/23/2017 74921 Adean Putra 32 Perimetri
22 8/23/2017 74975 Dalur 65 USG
23 8/23/2017 75006 Rika 28 Perimetri
24 8/23/2017 74872 M.Nur 63 USG
25 8/23/2017 71275 Suherman 61 USG
26 8/24/2017 75067 Haziarni 65 USG
27 8/25/2017 75119 Zaidarnis 63 USG
28 8/26/2017 75132 Theorensia 18 USG
29 8/26/2017 75075 Tarmizi 57 USG
30 8/28/2017 74149 Tugiran 62 USG
31 8/30/2017 75408 Mira Sovia 57 Perimetri

padang, Agustus 2017

Kanit Ruangan PIC

Rosi Susanti, Amd. Kep Rosi Susanti, Amd. Kep

 LAPORAN DIAGNOSTIK BULAN SEPTEMBER 2017

No Tanggal No. RM Nama Pasien Umur Tindakan

1 9/4/2017 73729 Yenni 53 Perimetri
2 9/5/2017 71360 Deswita 41 USG
3 9/5/2017 47839 Muslim Thalib 73 USG
4 9/5/2017 49243 Nursyam 73 USG
5 9/7/2017 39720 M.Fadli 40 USG
6 9/14/2017 76146 Andri 46 Perimetri
7 9/22/2017 76555 Reno 62 USG
8 9/23/2017 76474 Rostin Darnis 73 USG
9 9/25/2017 76647 Rahmat Genta 18 USG
10 9/27/2017 74552 Norjati 48 USG
11 9/27/2017 76510 Samsur 54 USG
12 9/28/2017 76862 Supardi 39 USG

Padang, September 2017

Kanit Ruangan PIC

Rosi Susanti, Amd. Kep Rosi Susanti, Amd. Kep

 LAPORAN DIAGNOSTIK BULAN OKTOBER 2017

No Tanggal No. RM Nama Pasien Umur Tindakan

1 10/2/2017 76754 Nurhayati 61 USG
2 10/2/2017 76759 Jefri Deni 14 USG Bulan
3 10/4/2017 67705 Afriyanti 57 USG Juli
4 10/4/2017 77004 Erwin 54 Perimetri Agustus
5 10/4/2017 77158 Marzasuwita 52 USG September
6 10/4/2017 77151 Kastami 53 USG Oktober
7 10/7/2017 77341 Samsir Abbas 66 USG November
8 10/9/2017 76980 Arni Taib 55 USG Desember
9 10/9/2017 59224 Suwandik 70 Foto Fundus
10 10/9/2017 75672 Winarti 55 Foto Fundus
11 10/10/2017 77353 Sumarni 69 USG
12 10/12/2017 77415 Satifa 9 USG
13 10/12/2017 77560 Nofrizal 56 USG Bulan
14 10/17/2017 77832 Firdaus 55 USG Juli
15 10/24/2017 78253 Martius 39 USG Agustus
16 10/25/2017 78267 Darman 36 USG September
17 10/25/2017 78170 Krentina 74 USG Oktober
18 10/26/2017 77878 Baharun 54 USG November
19 10/26/2017 73479 Farlina 40 USG Desember

padang, Oktober 2017

Kanit Ruangan PIC

Rosi Susanti, Amd. Kep Rosi Susanti, Amd. Kep

Enumerator Denumerator Formula
23 23 100
31 31 100
12 12 100
19 19 100
10 11 100
11 12 100

Pencapaian Target
100 100
100 100
100 100
100 100
90 100
90 100

Ketepatan identifikasi pasien dari nama pasien, no.RM, umur, tindakan

Pencapaian Target

110

100 100 100 100 100 100 Desember; 100

90 90 90

80
Juli Agustus September Oktober November Desember
no.RM, umur, tindakan

Desember; 100

90

Desember
 LAPORAN DIAGNOSTIK BULAN NOVEMBER 2017

NO TANGGAL NO.RM NAMA PASIEN UMUR TINDAKAN

1 11/3/2017 71918 Syahrial 61 USG
2 11/3/2017 78775 Eli Novita 53 Foto fundus
3 11/6/2017 Suwandik Fotot fundus
4 11/9/2017 79122 Darwin 44 USG
5 11/15/2017 79462 Susilawati 22 USg
6 11/20/2017 79744 Naswizal 54 USG
7 11/20/2017 77701 Syamsuar A 71 USg
8 11/24/2017 79631 Yunidas 54 USG
9 11/24/2017 79979 Ramoi 24 USG
10 11/27/2017 79520 Ellyasdi 72 USG
11 11/30/2017 41994 Ary Wijaya 29 USG

padang, Oktober 2017

PIC

Rosi Susanti, Amd. Kep

Formula
N 10 90.9090909091
D 11
 LAPORAN DIAGNOSTIK BULAN DESEMBER 2017

NO TANGGAL NO.RM NAMA PASIEN UMUR TINDAKAN

1 12/4/2017 79571 rabani 72 USG
2 12/4/2017 80375 Ernawati 68 USG
3 12/5/2017 68520 Sumarni Halim 66 USG
4 12/6/2017 78165 Arisman 23 USG
5 12/8/2017 80631 Refky 35 USG
6 12/11/2017 80732 Ermi 42 USG
7 12/13/2017 Hajar 48 USG
8 12/14/2017 80940 Eva Anggraini 59 USG
9 12/15/2017 80765 Rosidah 57 USG
10 12/22/2017 71876 Martin 38 USG
11 12/22/2017 81190 Irnawati 59 USG
12 12/23/2017 81501 Purwanto 60 USG

Formula
N 11 91.6666666667
D 12
 LAPORAN DIAGNOSTIK BULAN JANUARI 2018

NO TANGGAL NO.RM NAMA PASIEN UMUR TINDAKAN

1 1/8/2018 81683 Asniwati 53 Perimetri
2 1/10/2018 79719 Soeharto 68 perimetri
3 1/13/2018 81942 Nawawi 70 USG
4 1/16/2018 82811 Rajunis 70 USG
5 1/17/2018 82811 Rajunis 70 USG
6 1/20/2018 83038 Yuhaldi 54 USG
7 1/20/2018 82620 Erni afriana 45 Foto fundus
8 1/22/2018 83092 VirmanSeptiady 23 USG
9 1/23/2018 81177 Dasril 67 USG
10 1/23/2018 81919 Marnelis 54 USG
11 1/23/2018 82342 Syahrial setiawan 51 USG
12 1/23/2018 82811 Rajunis 70 USG
13 1/24/2018 83235 Zulkifli 41 USG
14 1/25/2018 71360 Deswita 41 USG
15 1/25/2018 82965 Tianir 87 USG
16 1/25/2018 83299 Mursai 32 USG
17 1/26/2018 83147 Syafnir pili 60 USG
18 1/30/2018 83605 Maisardi 65 USG
19 1/30/2018 83157 Rinna irwan 35 USG
20 1/30/2018 83597 Abi mayu 17 USG
21 1/31/2018 83705 Santi Dewi 38 USG
 Bulan Enumerator Denumerator Formula
Januari 21 21 100

Bulan Pencapaian Target

Januari 100 100

Formula
N 21 100
D 21