No.

Dokumen : UTDKBC-005-PR-L4-023
Versi : 002

UTD PMI KABUPATEN CIREBON

LEMBAR SERAH TERIMA PEMUSNAHAN KANTONG DARAH DAN SAMPEL

Tanggal Gol Kantong Sample Tanggal Komponen Alasan

No No.Kantong Tanggal Aftap Petugas
Pemusnahan Darah Darah Darah Kadaluarsa Darah pemusnahan

1 3/10/2023 S4388852A A+ √ x 2/2/2023 3/9/2023 PRC Erpiati Ibrahim Kadaluwarsa

2 3/14/2023 S4299827A A+ √ x 2/7/2023 3/14/2023 PRC AdeHerdiyana Kadaluwarsa
3 3/15/2023 S4298486A A+ √ x 2/8/2023 3/15/2023 PRC AdeHerdiyana Kadaluwarsa
4 3/15/2023 S3845202A A+ √ x 2/8/2023 3/15/2023 PRC AdeHerdiyana Kadaluwarsa
5 3/15/2023 S4341195A A+ √ x 2/8/2023 3/15/2023 PRC AdeHerdiyana Kadaluwarsa
6 3/15/2023 S4342483A A+ √ x 2/8/2023 3/15/2023 PRC AdeHerdiyana Kadaluwarsa
7 3/15/2023 S4077784A A+ √ x 2/8/2023 3/15/2023 PRC AdeHerdiyana Kadaluwarsa
8 3/15/2023 S4310266A A+ √ x 2/8/2023 3/15/2023 PRC AdeHerdiyana Kadaluwarsa
9 3/15/2023 S4077610A A+ √ x 2/8/2023 3/15/2023 PRC AdeHerdiyana Kadaluwarsa
10 3/15/2023 S4300733A A+ √ x 2/8/2023 3/15/2023 PRC AdeHerdiyana Kadaluwarsa
11 3/17/2023 S3892571A A+ √ x 2/10/2023 3/17/2023 PRC AdeHerdiyana Kadaluwarsa
12 3/17/2023 S4344783A A+ √ x 2/10/2023 3/17/2023 PRC AdeHerdiyana Kadaluwarsa
13 3/17/2023 S4351201A A+ √ x 2/10/2023 3/17/2023 PRC AdeHerdiyana Kadaluwarsa
14 3/17/2023 S3884205A A+ √ x 2/10/2023 3/17/2023 PRC AdeHerdiyana Kadaluwarsa
15 3/17/2023 S3878482A A+ √ x 2/10/2023 3/17/2023 PRC AdeHerdiyana Kadaluwarsa
16 3/17/2023 S4344786A A+ √ x 2/10/2023 3/17/2023 PRC AdeHerdiyana Kadaluwarsa
17 3/21/2023 S4354647A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
18 3/21/2023 S4281598A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
19 3/21/2023 S4281597A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
20 3/21/2023 S4258852A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
21 3/21/2023 S3893386A A+ √ x 2/13/2023 3/20/2023 PRC AdeHerdiyana Kadaluwarsa
22 3/21/2023 S4394351A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
23 3/21/2023 S4272114A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
24 3/21/2023 S4302991A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
25 3/21/2023 S4258636A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
26 3/21/2023 S4273886A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
27 3/21/2023 S4273650A A+ √ x 2/8/2023 3/15/2023 PRC AdeHerdiyana Kadaluwarsa
28 3/21/2023 S4298183A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
29 3/21/2023 S4289119A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
30 3/21/2023 S4298802A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
31 3/21/2023 S4298197A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
32 3/21/2023 S4042916A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
33 3/21/2023 S4043086A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
34 3/21/2023 S4354646A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
35 3/21/2023 S3967411A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
36 3/21/2023 S4372680A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
37 3/21/2023 S4319521A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
38 3/21/2023 S4302992A A+ √ x 2/14/2023 3/21/2023 PRC AdeHerdiyana Kadaluwarsa
39 3/23/2023 S4301951A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
40 3/23/2023 S4279190A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
41 3/23/2023 S4303850A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
42 3/23/2023 S4325597A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
43 3/23/2023 S4309770A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
√
44 3/23/2023 S4266804A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
45 3/23/2023 S4266805A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
46 3/23/2023 S4267319A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
47 3/23/2023 S4291873A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
48 3/23/2023 S4291683A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
49 3/23/2023 S4302952A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
50 3/23/2023 S4258043A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
51 3/23/2023 S4260898A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
52 3/23/2023 S4326767A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
53 3/23/2023 S4320791A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
54 3/23/2023 S4292917A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
55 3/23/2023 S4265607A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
56 3/23/2023 S4292378A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
57 3/23/2023 S4302959A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
58 3/23/2023 S4266953A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
59 3/23/2023 S4281329A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
60 3/23/2023 S4270855A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
61 3/23/2023 S4324663A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
62 3/23/2023 S4281556A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
63 3/23/2023 S4041854A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
64 3/23/2023 S4283448A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
65 3/23/2023 S4309967A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
66 3/23/2023 S4262083A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
67 3/23/2023 S4318699A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
68 3/23/2023 S4267315A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
69 3/23/2023 S4327270A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
70 3/23/2023 S4283443A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
71 3/23/2023 S4293999A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
72 3/23/2023 S4324163A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
73 3/23/2023 S4282298A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
74 3/23/2023 S4283498A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
75 3/23/2023 S4306587A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
76 3/23/2023 S4296452A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
77 3/23/2023 S4281658A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
78 3/23/2023 S4270863A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
79 3/23/2023 S4324158A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
80 3/23/2023 S4306655A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
81 3/23/2023 S4270616A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
82 3/23/2023 S4259076A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
83 3/23/2023 S4258920A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
84 3/24/2023 S4291689A A+ √ x 2/16/2023 3/23/2023 PRC Yuyun Nuru Kadaluwarsa
85 3/25/2023 S4065986A A+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
86 3/25/2023 S4279025A A+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
87 3/25/2023 S4009661A A+ √ x 2/12/2023 3/19/2023 PRC AdeHerdiyana Kadaluwarsa
88 3/28/2023 S4323546A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
89 3/28/2023 S3885361A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
90 3/28/2023 S4324124A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
91 3/28/2023 S4323857A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
92 3/28/2023 S4292701A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
93 3/28/2023 S4306599A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
94 3/28/2023 S4306574A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
95 3/28/2023 S4267759A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
96 3/28/2023 S4271205A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
97 3/28/2023 S4271278A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
√
98 3/28/2023 S4278778A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
99 3/28/2023 S4306659A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
100 3/28/2023 S4290515A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
101 3/28/2023 S4288751A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
102 3/28/2023 S4290732A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
103 3/28/2023 S4282168A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
104 3/28/2023 S4305485A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
105 3/28/2023 S4282167A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
106 3/28/2023 S4271130A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
107 3/28/2023 S4323852A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
108 3/28/2023 S4324168A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
109 3/28/2023 S4287432A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
110 3/28/2023 S4260605A A+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
111 3/28/2023 S4320567A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
112 3/28/2023 S4291926A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
113 3/28/2023 S4282130A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
114 3/28/2023 S4271050A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
115 3/28/2023 S4260979A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
116 3/28/2023 S4318501A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
117 3/28/2023 S4292500A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
118 3/28/2023 S4301958A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
119 3/28/2023 S4304349A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
120 3/28/2023 S4285276A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
121 3/28/2023 S4258860A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
122 3/28/2023 S4310112A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
123 3/28/2023 S4289162A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
124 3/28/2023 S4274829A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
125 3/28/2023 S4302262A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
126 3/28/2023 S4291875A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
127 3/28/2023 S4278606A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
128 3/28/2023 S4290954A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
129 3/28/2023 S4311346A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
130 3/28/2023 S4319541A A+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
131 3/29/2023 S4291415A A+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
132 3/29/2023 S4288112A A+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
133 3/29/2023 S4292446A A+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
134 3/29/2023 S3889880A A+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
135 3/29/2023 S4304692A A+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
136 3/29/2023 S4278812A A+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
137 3/29/2023 S4287305A A+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
138 3/29/2023 S4292449A A+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
139 3/29/2023 S4314554A A+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
140 3/29/2023 S4309400A A+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
141 3/29/2023 S4075406A A+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
142 3/29/2023 S4318388A A+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
143 3/31/2023 S4314762A A+ √ x 2/23/2023 3/30/2023 PRC Sariyah Kadaluwarsa
144 3/31/2023 S4261430A A+ √ x 2/23/2023 3/30/2023 PRC Sariyah Kadaluwarsa
145 3/13/2023 S4315721A A+ 2/6/2023 3/13/2023 PRC Erpiati Ibrahim Kadaluwarsa
146 3/31/2023 S4318918A A+ √ x 2/23/2023 3/30/2023 PRC Sariyah Kadaluwarsa
147 3/31/2023 S4302931A A+ √ x 2/23/2023 3/30/2023 PRC Sariyah Kadaluwarsa
148 3/14/2023 S3936012B A+ √ x 3/9/2023 3/14/2023 TC AdeHerdiyana Kadaluwarsa
149 3/14/2023 S3926412B A+ √ x 3/9/2023 3/14/2023 TC AdeHerdiyana Kadaluwarsa
150 3/14/2023 S3929325B A+ √ x 3/9/2023 3/14/2023 TC AdeHerdiyana Kadaluwarsa
151 3/17/2023 S3931988B A+ √ x 3/11/2023 3/16/2023 TC AdeHerdiyana Kadaluwarsa
√
152 3/26/2023 S3933967B A+ √ x 3/20/2023 3/25/2023 TC Erpiati Ibrahim Kadaluwarsa
153 3/3/2023 S3893988B B+ √ x 2/25/2023 3/2/2023 TC Firanti Kadaluwarsa
154 3/3/2023 S3895427B B+ √ x 2/25/2023 3/2/2023 TC Firanti Kadaluwarsa
155 3/3/2023 S3885006B B+ √ x 2/25/2023 3/2/2023 TC Firanti Kadaluwarsa
156 3/3/2023 S3880813B B+ √ x 2/25/2023 3/2/2023 TC Firanti Kadaluwarsa
157 3/3/2023 S3879954B B+ √ x 2/25/2023 3/2/2023 TC Firanti Kadaluwarsa
158 3/3/2023 S3876374B B+ √ x 2/25/2023 3/2/2023 TC Firanti Kadaluwarsa
159 3/16/2023 S3929322B B+ √ x 3/10/2023 3/15/2023 TC Yuyun Nuru Kadaluwarsa
160 3/22/2023 S3932693B B+ √ x 3/17/2023 3/22/2023 TC Erpiati Ibrahim Kadaluwarsa
161 3/22/2023 S3936144B B+ √ x 3/17/2023 3/22/2023 TC Erpiati Ibrahim Kadaluwarsa
162 3/22/2023 S3924092B B+ √ x 3/17/2023 3/22/2023 TC Erpiati Ibrahim Kadaluwarsa
163 3/22/2023 S3937956B B+ √ x 3/17/2023 3/22/2023 TC Erpiati Ibrahim Kadaluwarsa
164 3/22/2023 S3922118B B+ √ x 3/17/2023 3/22/2023 TC Erpiati Ibrahim Kadaluwarsa
165 3/22/2023 S3920597B B+ √ x 3/17/2023 3/22/2023 TC Erpiati Ibrahim Kadaluwarsa
166 3/22/2023 S3924238B B+ √ x 3/17/2023 3/22/2023 TC Erpiati Ibrahim Kadaluwarsa
167 3/23/2023 S4305161A B+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana DCT +
168 3/23/2023 S4323277A B+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana DCT +
169 3/23/2023 S4261066A B+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
170 3/23/2023 S4326125A B+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
171 3/23/2023 S4285277A B+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
172 3/10/2023 S4003343A O+ √ x 2/1/2023 3/8/2023 PRC Erpiati Ibrahim Kadaluwarsa
173 3/10/2023 S3986808A O+ √ x 2/1/2023 3/8/2023 PRC Erpiati Ibrahim Kadaluwarsa
174 3/25/2023 S4270723A O+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana DCT +
175 3/25/2023 S4306703A O+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
176 3/2/2023 S3882069B O+ √ x 2/24/2023 3/1/2023 TC Leni Kurniawati Kadaluwarsa
177 3/9/2023 S3895275B O+ √ x 3/2/2023 3/7/2023 TC Firanti Kadaluwarsa
178 3/9/2023 S3870514B O+ √ x 3/2/2023 3/7/2023 TC Firanti Kadaluwarsa
179 3/9/2023 S3881761B O+ √ x 3/2/2023 3/7/2023 TC Firanti Kadaluwarsa
180 3/9/2023 S3878846B O+ √ x 3/2/2023 3/7/2023 TC Firanti Kadaluwarsa
181 3/10/2023 S3930529B O+ √ x 3/4/2023 3/9/2023 TC Erpiati Ibrahim Kadaluwarsa
182 3/10/2023 S3918519B O+ √ x 3/4/2023 3/9/2023 TC Erpiati Ibrahim Kadaluwarsa
183 3/10/2023 S3930912B O+ √ x 3/4/2023 3/9/2023 TC Erpiati Ibrahim Kadaluwarsa
184 3/12/2023 S3936628B O+ √ x 3/6/2023 3/11/2023 TC Intan Arni Jaungi Kadaluwarsa
185 3/13/2023 S3918754B O+ √ x 3/6/2023 3/11/2023 TC AdeHerdiyana Kadaluwarsa
186 3/13/2023 S3932666B O+ √ x 3/6/2023 3/11/2023 TC AdeHerdiyana Kadaluwarsa
187 3/13/2023 S3938895B O+ √ x 3/6/2023 3/11/2023 TC AdeHerdiyana Kadaluwarsa
188 3/21/2023 S3927546B O+ √ x 3/16/2023 3/21/2023 TC AdeHerdiyana Kadaluwarsa
189 3/10/2023 S3922446B AB+ √ x 3/4/2023 3/9/2023 TC Erpiati Ibrahim Kadaluwarsa
190 3/12/2023 S3931174B AB+ √ x 3/6/2023 3/11/2023 TC Intan Arni Jaungi Kadaluwarsa
191 3/16/2023 S3934030B AB+ √ x 3/10/2023 3/15/2023 TC Yuyun Nuru Kadaluwarsa
192 3/16/2023 S3937463B AB+ √ x 3/10/2023 3/15/2023 TC Yuyun Nuru Kadaluwarsa
193 3/17/2023 S3928579B AB+ √ x 3/11/2023 3/16/2023 TC AdeHerdiyana Kadaluwarsa
194 3/23/2023 S4266456A AB+ √ x 2/16/2023 3/23/2023 PRC AdeHerdiyana Kadaluwarsa
195 3/25/2023 S4309818A AB+ √ x 2/15/2023 3/22/2023 PRC AdeHerdiyana Kadaluwarsa
196 3/28/2023 S4284225A AB+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
197 3/28/2023 S4305005A AB+ √ x 2/17/2023 3/24/2023 PRC AdeHerdiyana Kadaluwarsa
198 3/28/2023 S4291409A AB+ √ x 2/17/2023 3/24/2023 PRC AdeHerdiyana Kadaluwarsa
199 3/28/2023 S4309947A AB+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
200 3/28/2023 S3876041A AB+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
201 3/28/2023 S4310023A AB+ √ x 2/18/2023 3/25/2023 PRC AdeHerdiyana Kadaluwarsa
202 3/28/2023 S4262024A AB+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
203 3/28/2023 S4305853A AB+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
204 3/28/2023 S4286774A AB+ √ x 2/18/2023 3/25/2023 PRC AdeHerdiyana Kadaluwarsa
205 3/28/2023 S4290739A AB+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
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206 3/28/2023 S3991451A AB+ √ x 2/20/2023 3/27/2023 PRC AdeHerdiyana Kadaluwarsa
207 3/28/2023 S4291414A AB+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
208 3/28/2023 S4284341A AB+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
209 3/28/2023 S4287502A AB+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
210 3/28/2023 S4356979A AB+ √ x 2/20/2023 3/27/2023 PRC AdeHerdiyana Kadaluwarsa
211 3/28/2023 S4311332A AB+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
212 3/28/2023 S4271202A AB+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
213 3/28/2023 S4324342A AB+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
214 3/28/2023 S4306572A AB+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
215 3/28/2023 S4287733A AB+ √ x 2/19/2023 3/26/2023 PRC AdeHerdiyana Kadaluwarsa
216 3/28/2023 S4271275A AB+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
217 3/28/2023 S4284176A AB+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
218 3/28/2023 S4324381A AB+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
219 3/28/2023 S4290706A AB+ √ x 2/21/2023 3/28/2023 PRC AdeHerdiyana Kadaluwarsa
220 3/29/2023 S4288117A AB+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
221 3/29/2023 S4286372A AB+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
222 3/29/2023 S4281208A AB+ √ x 2/22/2023 3/29/2023 PRC AdeHerdiyana Kadaluwarsa
223 3/30/2023 S4323971A AB+ √ x 2/23/2023 3/30/2023 PRC AdeHerdiyana Kadaluwarsa
224 3/30/2023 S4290868A AB+ √ x 2/24/2023 3/31/2023 PRC AdeHerdiyana Kadaluwarsa
225 3/30/2023 S4322051A AB+ √ x 2/23/2023 3/30/2023 PRC AdeHerdiyana Kadaluwarsa

Mengetahui,
Yang Menyerahkan Kasie : Penyimpanan Kabid pengengelolaan Yang Menerima
Petugas Laboratorium dan Distribusi Darah Petugas pemusnahan

(........................) ( Ade Herdiyana ) dr.Iid Mujtahid (........................)

Berlaku mulai : 05 Februari 2022

Peninjauan kembali : 05 Februari 2024

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