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FORMULIR KETERLAMBATAN WAKTU PENERIMAAN OBAT

BULAN : APRI
RESEP NON RACIKAN RESEP RACIKAN
TGL SHIFT
Ʃ RESEP ƩRESEP >30 MENIT Ʃ RESEP
P 70 0 2
01/04/2022 S 89 0 13
M 67 0 0
P 41 0 7
02/04/2022 S 85 0 5
M 57 0 2
P 68 0 0
03/04/2022 S 75 0 8
M 63 0 0
P 71 0 3
04/04/2022 S 56 0 6
M 72 0 3
P 67 0 2
05/04/2022 S 55 0 2
M 74 0 0
P 70 0 0
06/04/2022 S 53 0 4
M 71 0 0
P 93 0 4
07/04/2022 S 93 0 7
M 68 0 3
P 71 0 0
08/04/2022 S 89 0 5
M 68 0 0
P 84 0 3
09/04/2022 S 63 0 5
M 47 0 0
P 92 0 0
10/04/2022 S 82 0 8
M 50 0 0
P 65 0 0
11/04/2022 S 80 0 3
M 44 0 0
P 72 0 3
12/04/2022 S 25 0 2
M 47 0 3
P 68 0 2
13/04/2022 S 31 2 0
M 49 0 1
P 97 2 0
14/04/2022 S 89 0 0
M 79 0 4
P 69 0 6
15/04/2022
15/04/2022 S 97 2 6
M 71 0 1
P 52 0 0
16/04/2022 S 65 5 1
M 54 0 3
P 84 0 3
17/04/2022 S 80 0 6
M 42 1 2
P 89 0 3
18/04/2022 S 69 0 2
M 54 2 0
P 53 0 5
19/04/2022 S 66 0 5
M 62 2 0
P 51 0 0
20/04/2022 S 51 0 0
M 48 0 0
P 85 0 5
21/04/2022 S 47 0 0
M 39 0 0
P 59 0 3
22/04/2022 S 56 0 0
M 38 0 0
P 63 0 0
23/04/2022 S 71 0 6
M 54 0 0
P 73 0 0
24/04/2022 S 77 0 0
M 48 0 0
P 71 0 2
25/04/2022 S 68 0 3
M 69 0 1
P 80 0 0
26/04/2022 S 57 0 3
M 53 0 1
P 50 0 5
27/04/2022 S 58 0 3
M 47 0 1
P 61 0 5
28/04/2022 S 97 0 3
M 80 0 0
P 58 0 0
29/04/2022 S 29 0 8
M 25 0 0
P 54 0 7
30/04/2022 S 91 0 4
M 56 0 1
ENERIMAAN OBAT

RESEP RACIKAN
ƩRESEP >60 MENIT
0
2
0
0
0
0
0
3
0
0
1
0
0
0
0
0
1
0
0
2
0
0
1
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0

0
0
0
0
0
0
0
0
FORMULIR KEPATUHAN PENGGUNAAN FORMULARIUM NASIONAL

BULAN :
KEPATUHAN FORNAS
TGL Ʃ RESEP YG DISURVEY
Ʃ RESEP SESUAI FORNAS Ʃ RESEP YG TDK SESUAI FORNAS
1 12 12
2 12 12
3 11 1 12
4 12 12
5 12 12
6 12 12
7 12 12
8 10 2 12
9 12 12
10 11 1 12
11 11 1 12
12 12 12
13 12 12
14 11 1 12
15 11 1 12
16 12 12
17 12 12
18 11 1 12
19 11 1 12
20 12 12
21 10 2 12
22 11 1 12
23 11 1 12
24 12 12
25 12 12
26 11 1 12
27 12 12
28 12 12
29 12 12
30 12 12
FORMULIR KESALAHAN PEMBERIAN OBAT

BULAN : APRIL
NAMA PX YG MENERIMA KETERANGAN KESALAHAN
TGL NO
OBAT SALAH JENIS DOSIS JUMLAH YG MENERIMA ETIKET

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