FORM AUDIT KETEPATAN PASIEN PASIEN PULANG

TGL RENCANA RENCANA PULANG H-1 PASIEN PULANG ≤ JAM 14.00 TGL ENTRY JAM ENTRY
NO NAMA NO RM NAMA DPJP NAMA PPJA JAM TGL PULANG KET
PULANG YA TIDAK YA TIDAK RPL RPL
JULI
1 ETDWIN RIZJALI TRISTIANTO 10233452 SURYADI ,dr,Sp.S, M.Si.Med AJI SUKARNO 2/7/2019 √ √ 9:32 2/7/2019 H
2 GURUH GURITNO 10259002 K HERI NUGROHO HARIOSENO, dr.Sp.PD AJI SUKARNO 4/7/2019 √ √ 15:05 4/7/2019 APS
3 ZAENAL ARIFIN 10247617 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 5/7/2019 √ √ 11:05 5/7/2019 H
4 SOEN KOK HING 10242179 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 7/7/2019 √ √ 1:27 7/7/2019 M
5 FADLIKA MAHABBATAN 10261628 Hexanto Muhartomo,dr,M.Kes,Sp.S(K) AJI SUKARNO 8/7/2019 √ √ 17:22 8/7/2019 APS
6 KARTINI 10260742 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) DINAR KUSUMANINGTYAS 9/7/2019 √ √ 8:54 9/7/2019 H
7 LISA ZAHRATUL ADNI 10273822 RACHMAWATI ,dr,Sp.KJ Vicky Nur Prabowo 11/7/2019 √ √ 10:37 11/7/2019 APS
8 DAWUD RIYADI 10260665 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 11/7/2019 √ √ 16:51 11/7/2019 H
9 SABAR NATALIYAWAN 10236338 YOVITA ANDHITARA ,dr,Sp.S,Msi.Med,FINS Vicky Nur Prabowo 12/7/2019 √ √ 17:52 12/7/2019 APS
10 IKA NURCAYA HARIN 10238917 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 12/7/2019 √ √ 20:24 12/7/2019 H
11 HENI TRISNAWATI 10263557 ACHMAD ALAYDRUS ,dr,Sp.KJ AJI SUKARNO 13/7/2019 √ √ 9:41 13/7/2019 H
12 JOKO PRASETYO 10253206 Natalia Dewi Wardani,dr,Sp.KJ AJI SUKARNO 15/7/2019 √ √ 14:17 15/7/2019 H
13 RIKO HARIAWAN ZAINAL (C093870) 10275062 ACHMAD ALAYDRUS ,dr,Sp.KJ AJI SUKARNO 16/7/2019 √ √ 13:14 16/7/2019 H
14 SRI ENDAH WAHYUNINGTYAS 10250555 SANTOSA ,dr,Sp.PD, K-HOM Vicky Nur Prabowo 18/7/2019 √ √ 17:41 18/7/2019 H
15 INDRATNO 10281383 Natalia Dewi Wardani,dr,Sp.KJ AJI SUKARNO 19/7/2019 √ √ 13:58 19/7/2019 H
16 TRI HATMONO 10283855 RACHMAWATI ,dr,Sp.KJ AJI SUKARNO 22/7/2019 √ √ 9:22 22/7/2019 H
17 SRI YUNARNI 10287113 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 24/7/2019 √ √ 9:53 24/7/2019 H
18 SACKHOWI 10310033 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 28/7/2019 √ √ 17:08 28/7/2019 APS
19 UMI WIJAYANTI 10309393 ACHMAD ALAYDRUS ,dr,Sp.KJ Vicky Nur Prabowo 29/7/2019 √ √ 18:14 29/7/2019 H
20 MURNIWATI 10317857 Trianggoro Budi Sulistyo,Dr, Sp.S(K) Vicky Nur Prabowo 31/07/2019 √ √ 21:53 31/07/2019 APS
AGUSTUS
1 FRANSISCA OKTAVIA 10315731 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 1/8/2019 √ √ 15:30 1/8/2019 H
2 DEDY PRASETYA 10294834 RACHMAWATI ,dr,Sp.KJ AJI SUKARNO 5/8/2019 √ √ 5/8/2019 8:30 10:09 5/8/2019 H
3 RADIAN ARYO PRADOPO 10289356 RACHMAWATI ,dr,Sp.KJ AJI SUKARNO 5/8/2019 √ √ 5/8/2019 8:31 11:38 5/8/2019 H
4 NUR AFWAH 10292310 SURYADI ,dr,Sp.S, M.Si.Med Vicky Nur Prabowo 7/8/2019 √ √ 3:00 7/8/2019 M
5 URIP KURNIASIH 10331565 MUCHLIS ACHSAN UDJI ,Dr. dr,Sp.PD.KPTI, FINASIM Vicky Nur Prabowo 8/8/2019 √ √ 7:31 8/8/2019 APS
6 VALENTINO CANDRANA BAGUS PARA 10326852 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 13/8/2019 √ √ 12/8/2019 7:42 9:09 13/8/2019 H
7 ASEP WIDIANTORO 10320377 Natalia Dewi Wardani,dr,Sp.KJ AJI SUKARNO 13/8/2019 √ √ 13/8/2019 7:08 17:49 13/8/2019 H
8 WAJI 10326936 ACHMAD ALAYDRUS ,dr,Sp.KJ AJI SUKARNO 14/8/2019 √ √ 14/8/2019 7:45 11:14 14/8/2019 H
9 ASIH SRI RAHAYU 10323879 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 16/8/2019 √ √ 16/8/2019 8:59 14:56 16/8/2019 H
10 NARA NAINA 10337765 ACHMAD ALAYDRUS ,dr,Sp.KJ Vicky Nur Prabowo 16/8/2019 √ √ 16/8/2019 8:15 18:00 16/8/2019 H
11 TEGAR AMAZONA 10350793 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 18/8/2019 √ √ 11:34 18/8/2019 H
12 JEREMIAH FEBRIRO CHRISTOFEL 10337683 Natalia Dewi Wardani,dr,Sp.KJ AJI SUKARNO 19/8/2019 √ 19/8/2019 13:43 13:23 20/8/2019 H
13 ADLERIANSAH YUSUF 10342914 RACHMAWATI ,dr,Sp.KJ AJI SUKARNO 20/8/2019 √ √ 20/8/2019 7:26 16:16 20/8/2019 H
14 DAWUD RIYADI 10321108 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 21/8/2019 √ √ 21/8/2019 13:28 16:21 21/8/2019 H
15 YULIANTO 10337526 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 23/8/2019 √ √ 23/8/2019 7:04 14:55 23/8/2019 H
16 JEREMIAH FEBRIRO CHRISTOFEL 10364823 Natalia Dewi Wardani,dr,Sp.KJ AJI SUKARNO 25/8/2019 √ √ 16:01 25/8/2019 APS
17 ANNISA'U SYARIFAH 10334251 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 28/8/2019 √ √ 26/8/2019 8:00 15:45 28/8/2019 H
18 DARWATI 10361720 Ilham Uddin,Dr,Sp.JP(K), FIHA, FAsCC Vicky Nur Prabowo 26/8/2019 √ √ 19:04 27/8/2019 APS
19 KOMSATUN 10350960 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 27/8/2019 √ √ 27/8/2019 8:07 11:44 27/8/2019 H
20 HARYONO HADIWIJOYO 10362070 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 30/8/2019 √ √ 29/8/2019 13:25 10:45 30/8/2019 H
SEPTEMBER
1 VALENTINO CANDRANA BAGUS PARA 10378197 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 3/9/2019 √ √ 12:55 3/9/2019 H
2 GADANG SYEFUDIN ARDHI 10365066 ACHMAD ALAYDRUS ,dr,Sp.KJ AJI SUKARNO 4/9/2019 √ 3/9/2019 12:34 20:09 4/9/2019 H
3 DAWUD RIYADI 10384400 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 4/9/2019 6/9/2019 H
4 EVA KURNIAWATI SURYA ATMADJA 10356743 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 9/9/2019 √ √ 8/9/2019 14:09 9/9/2019 H
5 SYAKIRAH NADHIFAH RIZQI 10387103 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 9/9/2019 √ √ 17:13 9/9/2019 H
6 DWI SUWENI 10398886 MUCHLIS ACHSAN UDJI ,Dr. dr,Sp.PD.KPTI, FINASIM Vicky Nur Prabowo 13/9/2019 √ √ 12/9/2019 12:30 13:56 13/9/2019 H
 7 ADLERIANSAH YUSUF 10389641 RACHMAWATI ,dr,Sp.KJ AJI SUKARNO 13/9/2019 √ √ 12/9/2019 13:45 13:45 13/9/2019 H
8 RACHMALIA 10392350 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 13/9/2019 √ √ 13/9/2019 8:24 9:05 13/9/2019 H
9 NORMA PANJAITAN 10393008 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 13/9/2019 √ √ 19:37 13/9/2019 H
10 SURYANI 10392804 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 15/9/2019 √ 14/9/2019 8:05 10:21 15/9/2019 H
11 NUNIK AMBARWATI 10387066 Amin Husni,Prof. Dr ,PAK, Sp.S(K),M.Sc Vicky Nur Prabowo 18/9/2019 √ √ 17/9/2019 7:50 10:21 18/9/2019 H
12 ULIN ULFANA 10381724 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 18/9/2019 √ √ 17/9/2019 7:55 15:40 18/9/2019 H
13 AHMAD SYAFI'I 10398106 ACHMAD ALAYDRUS ,dr,Sp.KJ AJI SUKARNO 18/9/2019 √ √ 18/7/2019 14:21 12:34 19/9/2019 H
14 SRI WAHYUNI 10400580 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 20/9/2019 √ √ 10:21 20/9/2019 H
15 MOGA HAYU WITANA 10396065 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 20/9/2019 √ √ 10:24 20/9/2019 H
16 MUHAMAD SACHOWI 10413258 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 21/9/2019 √ √ 15:19 21/9/2019 H
17 VALENTINO CANDRANA BAGUS PARA 10387088 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 22/9/2019 √ √ 8:59 22/9/2019 H
18 DAWUD RIYADI 10384400 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 23/9/2019 √ √ 23/9/2019 8:58 12:12 23/9/2019 H
19 TRI HATMONO 10421817 RACHMAWATI ,dr,Sp.KJ AJI SUKARNO 27/9/2019 √ √ 9:21 27/9/2019 H
20 NANANG KUSMERYADI 10421735 Natalia Dewi Wardani,dr,Sp.KJ AJI SUKARNO 29/9/2019 √ √ 17:25 29/9/2019 H
21 NUR ROHMAH 10438720 AGUNG PRASETYO ,dr,Sp.PD.K-GEH Vicky Nur Prabowo 30/9/2019 √ √ 15:52 30/9/2019 APS
OKTOBER
1 RAPIKA DURI JAYANTI 10433374 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 1/10/2019 √ √ 1/10/2019 8:20 10:35 1/10/2019 H
2 SULIKAH 10407345 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 3/10/2019 √ √ 2/10/2019 11:05 11:02 3/10/2019 H
3 FIRDAUS AL BAKRI 10439503 DIDI HERTANTO ,dr,SpB, SpOT, M.Si.Med, Vicky Nur Prabowo 3/10/2019 √ 20:35 3/10/2019 H
4 CHINTYA CANDRA DEWI 10438787 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 7/10/2019 √ √ 17:13 7/10/2019 H
5 SITI SA'ADAH 10421607 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 10/10/2019 √ √ 9/10/2019 8:03 9:05 10/10/2019 H
6 GALIH KARYA SEMBADA 10450865 AFRISAL HARI KURNIAWAN ,dr,Sp.M(K) AJI SUKARNO 9/10/2019 √ √ 12:12 9/10/2019 H
7 INTI WIDONA 10436209 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 9/10/2019 √ √ 9/10/2019 11:55 13:54 9/10/2019 H
8 BASRI 10442191 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 10/10/2019 √ √ 9:17 10/10/2019 H
9 SALIM 10427181 Natalia Dewi Wardani,dr,Sp.KJ AJI SUKARNO 9/10/2019 √ √ 18:29 9/10/2019 H
10 AFIDA DEWI WIDOWATI 10430103 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 11/10/2019 √ √ 10/10/2019 7:55 12:51 11/10/2019 H
11 AHMAD MAFTUKHAN 10427916 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 11/10/2019 √ 10/10/2019 13:33 13:03 11/10/2019 H
12 DJOKO SOEYONO 10436178 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 15/10/2019 √ 10:13 15/10/2019 H
13 CAHYO BUDI UTOMO 10464311 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 16/10/2019 √ 19:25 16/10/2019 H
14 BOEKE MAYA DAMAYANTI 10447790 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 16/10/2019 √ 19:08 16/10/2019 H
15 ELVI NILA KRISNA 10459130 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 17/10/2019 √ 10:29 17/10/2019 H
16 RETNO SULISTIANI 10447637 SUBIYAKTO,dr.,M.Si.Med, Sp.B(K)Onk Vicky Nur Prabowo 18/10/2019 √ 16:30 18/10/2019 H
17 ERMA NOORFIANA 10464919 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 19/10/2019 √ 18/10/2019 12:20 19/10/2019 H
18 SHOLICHUL MUAYYAD 10464789 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 20/10/2019 √ 19/10/2019 7:30 0:51 20/10/2019 H
19 INTI WIDONA 10478863 ANDRI RULIANANTO WINOTO ,dr,Sp.OT AJI SUKARNO 22/10/2019 √ 14:25 22/10/2019 H
20 BERNICE CHRISSY SIMAMORA 10471124 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 22/10/2019 √ 17:21 22/10/2019 H
21 SUNYOTO 10451795 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 22/10/2019 √ 15:40 22/10/2019 H
22 MUHAMMAD NURUL FURQON 10468286 RACHMAWATI ,dr,Sp.KJ AJI SUKARNO 23/10/2019 √ 10:40 23/10/2019 H
23 SANI DWI NATHAFASYA WIBIYANTI 10479581 RETNANINGSIH ,dr,Sp.S(K),KIC Vicky Nur Prabowo 23/10/2019 √ 18:01 23/10/2019 H
24 INTAN LOVITA SARI 10485933 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 23/10/2019 √ 18:14 23/10/2019 H
25 DEVANYA FAIQOH AFKARINA 10489180 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 24/10/2019 √ 16:18 24/10/2019 APS
26 DEVANI FAIQOH AFKARINA 10489179 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 24/10/2019 √ 16:20 24/10/2019 APS
27 RUDIYANTO 10464998 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 24/10/2019 √ 19:50 24/10/2019 H
28 ACHMAD FADERI 10488850 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 26/10/2019 √ 8:58 26/10/2019 H
29 HARIDHA MEILIA RAHAYU 10451988 RACHMAWATI ,dr,Sp.KJ Vicky Nur Prabowo 28/10/2019 √ √ 28/10/2019 8:15 10:19 28/10/2019 H
30 ROLIS INDRA PRABOWO 10456568 Rahmi Ardhini,dr.,Sp.S AJI SUKARNO 29/10/2019 √ 28/10/2019 8:20 H
31 INGGRID 10495210 DIDIK INDIARSO ,dr.,Sp.PD-KGEH Vicky Nur Prabowo 29/10/2019 √ √ 14:17 29/10/2019 APS
32 RUBIAH 10450956 ROBIN NOVRIANSYAH,dr.,M.Si.Med, Sp.B, Sp.OT(K) Vicky Nur Prabowo 31/10/2019 √ 31/10/2019 12:50 15:31 31/10/2019 H
NOVEMBER
1 ROLIS INDRA PRABOWO 10456568 Rahmi Ardhini,dr.,Sp.S AJI SUKARNO 1/11/2019 12:26 1/11/2019 H
2 MASRUH 10495169 Natalia Dewi Wardani,dr,Sp.KJ AJI SUKARNO 4/11/2019 √ √ 4/11/2019 9:47 12:14 4/11/2019
3 SHARA PRIMANDA SAPOETRI 10506033 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 5/11/2019 √ √ 18:27 5/11/2019
4 VALENTIA MARIA OKTAVIOLA 10500528 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 6/11/2019 √ 6/11/2019 7:05 13:14 6/11/2019
5 ARDILA NUR UTAMA PUTRI 10511865 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 7/11/2019 √ 6/11/2019 7:50
 6 RIZEKIKA PUTRI NUGRAHENY 10520026 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 8/11/2019 √ 13:23 8/11/2019
7 INTAN LOVITA SARI 10492084 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 9/11/2019 √ 8:26 9/11/2019
8 KHABIB 10508411 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 11/11/2019
9 PRABANDARI AMY 10517578 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 12/11/2019 √ 19:50 12/11/2019
10 MULYANTO 10495023 Natalia Dewi Wardani,dr,Sp.KJ AJI SUKARNO 13/11/2019 √ 13/11/2019 8:30 11:47 13/11/2019
11 ALI QOSHIM 10515038 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 13/11/2019 √ 13/11/2019 8:30 11:45 13/11/2019
12 PUTRI WIJAYATI 10522696 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 13/11/2019 √ 13/11/2019 8:30 13:22 13/11/2019
13 NUR CAHYA ADI PAMUNGKAS C742302 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 14/11/2019 √ √ 14/11/2019 7:42 15:17 14/11/2019
14 JUANG BHAKTI HASTTYADI C781596 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 14/11/2019 √ √ 13:18 14/11/2019
15 SUHARIYANTI 10503522 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 15/11/2019 √ √ 14/11/2019 13:50 12:09 15/11/2019
16 BESTIAN IRFANANTO OTTO 10509135 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 15/11/2019 √ √ 14/11/2019 13:50 8:36 15/11/2019
17 WARSIYATI 10520296 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 15/11/2019 √ √ 14/11/2019 13:50 12:11 15/11/2019
18 FERI SAFITRI C786185 BIANTI HASTUTI MACHROES,dr,Sp.KF, MH Vicky Nur Prabowo 18/11/2019 √ √ 11:00 18/11/2019
19 NUR HIDAYAH C498747 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 18/11/2019 √ √ 15:30 18/11/2019
20 ARI EVENDI 10523009 Natalia Dewi Wardani,dr,Sp.KJ AJI SUKARNO 22/11/2019 √ 21/11/2019 13:48 12:12 22/11/2019
21 NURUL HIKMAH 10537056 ACHMAD ALAYDRUS ,dr,Sp.KJ Vicky Nur Prabowo 22/11/2019 √ 22/11/2019 12:41 22/11/2019
22 PUTRI WIJAYATI 10537448 Vicky Nur Prabowo 23/11/2013
23 MASLUR 10526360 Sefri Noventi Sofia,dr,Sp.JP, M.Si.Med, FIHA AJI SUKARNO 25/11/2019 √ 12:58 25/11/2019
24 NERIN MUTIA AZZAHRA 10546412 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 27/11/2019 √ 27/11/2019 8:30 13:36
25 ROBIAH WULANDARI 10552493 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 27/11/2019 √ 27/11/2019 8:30 16:16
26 SUPARTI 10546750 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 27/11/2019 √ 27/11/2019 8:30 15:00
27 ASEP WIDIANTORO 10551894 ARWEDI ARWANTO ,dr,Sp.PD, KGH AJI SUKARNO 30/11/2019
28 AKHMAD NUR ABIDIN 10537842 BUDI SETIAWAN ,dr,Sp.PD-KHOM AJI SUKARNO 30/11/2019
DESEMBER 4/11/219 13:28
1 TARA AUDINA ESPARTA 10552846 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 1/12/2019 √ √ 12:29 1/12/2019
2 AGUS SARWONO 10562673 HERLINA SURYAWATI AJI SUKARNO 1/12/2019 √ √ 16:27 1/12/2019
3 IRINE TRIANDRA PRADEVI 10541303 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 1/12/2019 √ √ 17:05 1/12/2019
4 MUKHAMAD MALIK ALKHUSAIN 10531701 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 1/12/2019 √ √ 12:21 1/12/2019
5 NEZZA ARDIYA WISURGA 10537984 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 2/12/2019 √ √ 9:32 2/12/2019
6 DAWUD RIYADI 10566773 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 5/12/2019 √ 5/12/2019
7 FARSITA 10555821 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 7/12/2019 √ √ 16:58 7/12/2019
8 TJAHJONO 10551969 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 9/12/2019 √ √ 9/12/2019 9:05 15:01 9/12/2019
9 VITA PRASTYANA 10566890 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 9/12/2019 √ √ 9/12/2019 9:05 12:49 9/12/2019
10 SRISULASIH 10566911 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 9/12/2019 √ √ 9/12/2019 9:05 11:09 9/12/2019
11 MUHAMMAD MASYURI 10572642 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 10/12/2019 √ 10/12/2019 8:52 9:32 10/12/2019
12 KOMARIAH 10572636 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 18/12/2019 √ 17/12/2019 13:56 15:23 18/12/2019
13 MUHAMMAD NURUL FURQON 10549791 RETNANINGSIH ,dr,Sp.S(K),KIC AJI SUKARNO 18/12/2019 √ √ 12:12 18/12/2019
14 SLAMET 10592848 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 18/12/2019 √ √ 15:20 18/12/2019
15 MISRIYAH 10558539 SURYADI ,dr,Sp.S, M.Si.Med Vicky Nur Prabowo 18/12/2019 √ √ 16:58 18/12/2019
16 KANZUL FIKRI 10587281 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 19/12/2019 √ √ 15:26 19/12/2019
17 YUDI ANTHONY 10598704 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) AJI SUKARNO 20/12/2019 √ √ 11:12 20/12/2019
18 DEWI NOVIANASARI 10610126 ALIFIATI FITRIKASARI,Dr,Sp.KJ(K) Vicky Nur Prabowo 22/12/2019 √ √ 14:28 22/12/2019
19 SHARA PRIMANDA SAPOETRI 10575434 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 23/12/2019 √ √ 14:00 23/12/2019
20 PUTRI WIJAYATI 10587152 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 23/12/2019 √ √ 14:40 23/12/2019
21 AFIDA DEWI WIDOWATI 10588881 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 23/12/2019 √ √ 16:17 23/12/2019
22 RIKO HARIAWAN ZAINAL (C093870) 10567097 ACHMAD ALAYDRUS ,dr,Sp.KJ AJI SUKARNO 24/12/2019 √ √ 7:41 24/12/2019
23 FARDIAN LUVKY WIHATAMA 10614606 RACHMAWATI ,dr,Sp.KJ AJI SUKARNO 27/12/2019 √ √ 12:39 27/12/2019
24 ISFA AULIA URRACHMAN 10610142 ACHMAD ALAYDRUS ,dr,Sp.KJ Vicky Nur Prabowo 27/12/2019 √ √ 19:18 27/12/2019
25 UNGGUL WIJAYANTO 10617549 ACHMAD ALAYDRUS ,dr,Sp.KJ AJI SUKARNO 27/12/2019 √ √ 22:00 27/12/2019 MM (BUNUH DIRI)
26

TRI HATMONO 10578302 RACHMAWATI ,dr,Sp.KJ AJI SUKARNO

MM (BUNUH DIRI)
 FORM AUDIT KETEPATAN PASIEN PASIEN PULANG
TGL RENCANA RENCANA PULANG H-1 PASIEN PULANG ≤ JAM 14.00
NO NAMA NO RM NAMA DPJP NAMA PPJA
PULANG YA TIDAK YA TIDAK
1 JOKO PRASETYO 10253206 Natalia Dewi Wardani,dr,Sp.KJ AJI SUKARNO 15/7/2019 √ √ 14:17 15/7/2019 H
2 RIKO HARIAWAN ZAINAL (C093870) 10275062 ACHMAD ALAYDRUS ,dr,Sp.KJ AJI SUKARNO 16/7/2019 √ √ 13:14 16/7/2019 H
3 SRI ENDAH WAHYUNINGTYAS 10250555 SANTOSA ,dr,Sp.PD, K-HOM Vicky Nur Prabowo 18/7/2019 √ √ 17:41 18/7/2019 H
4 INDRATNO 10281383 Natalia Dewi Wardani,dr,Sp.KJ AJI SUKARNO 19/7/2019 √ √ 13:58 19/7/2019 H
5 TRI HATMONO 10283855 RACHMAWATI ,dr,Sp.KJ AJI SUKARNO 22/7/2019 √ √ 9:22 22/7/2019 H
6 SRI YUNARNI 10287113 SOESMEYKA SAVITRI ,dr,Sp.KJ Vicky Nur Prabowo 24/7/2019 √ √ 9:53 24/7/2019 H
7 SACKHOWI 10310033 SOESMEYKA SAVITRI ,dr,Sp.KJ AJI SUKARNO 28/7/2019 √ √ 17:08 28/07/2019 APS
8 UMI WIJAYANTI 10309393 ACHMAD ALAYDRUS ,dr,Sp.KJ Vicky Nur Prabowo 29/7/2019 √ √ 18:14 29/7/2019 H
9 MURNIWATI 10317857 Trianggoro Budi Sulistyo,Dr, Sp.S(K) Vicky Nur Prabowo 31/7/2019 √ √ 21:53 31/07/2019 APS
10 FRANSISCA OKTAVIA 10315731 Natalia Dewi Wardani,dr,Sp.KJ Vicky Nur Prabowo 1/8/2019 √ √ 15:30 1/8/2019 H
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