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No BERKAS HIPOCRAT No. RM Nama Ruangan
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19 09/02/2022 09/02/2022 01.13.11.70 PARIAHMI NGARMAN MAWAR


6 09/01/2022 09/02/2022 01.14.16.34 ERNISYAH TAJUDDIN EDELWEIS
31 09/05/2022 09/05/2022 01.08.97.49 M.JAMIL HASYIM Kemoterapi
36 09/06/2022 09/06/2022 01.20.30.38 NUR BAINI ANGGREK
40 09/06/2022 09/06/2022 01.20.21.22 MISNAYU SEROJA
49 09/06/2022 09/06/2022 01.20.25.72 BAINAH HCU
56 09/07/2022 09/07/2022 01.30.08.17 HUSAIN LONDANG ICU
70 09/08/2022 09/08/2022 01.30.09.12 MARIANA FLAMBOYAN
75 09/08/2022 09/08/2022 01.20.22.65 ROBERTUS JUANI FLAMBOYAN
87 09/09/2022 09/09/2022 01.20.31.20 IRVAN SAPUTRA ICU
88 09/09/2022 09/09/2022 76.14.93 ISHAK FAUZI ICU
94 09/12/2022 09/12/2022 01.16.74.24 PAIJO ANGGREK
95 09/12/2022 09/12/2022 01.16.79.42 HAIRUDDIN ANGGREK
145 09/20/2022 09/21/2022 01.16.40.52 FAHRUNI JAMTERA SAKURA 4
154 09/20/2022 09/21/2022 01.10.92.69 SUJADMINI SOEBANDI TERATAI 1
184 09/21/2022 09/23/2022 01.20.42.77 SALMIAH TERATAI 1
189 09/22/2022 09/23/2022 44.16.50 H.M HATTA CHAIR DRS SAKURA 4
162 09/20/2022 09/21/2022 01.09.18.96 IRUS FLAMBOYAN
191 09/22/2022 09/23/2022 91.25.65 ALFANTO SAKURA 4
10 09/01/2022 09/02/2022 01.30.12.53 SUKIRAH EDELWEIS
28 09/05/2022 09/05/2022 01.20.26.75 BY NY TRI MURTI MAWAR
35 09/06/2022 09/06/2022 01.19.93.88 FLORENTINA SUPIANA MAWAR
37 09/06/2022 09/06/2022 01.20.19.88 YULIANA MAWAR
39 09/06/2022 09/06/2022 01.20.23.69 HENI MARIANI ANGGREK
43 09/06/2022 09/06/2022 01.10.09.09 PARTINI SASTRO KASMIN MAWAR
50 09/05/2022 09/05/2022 01.01.08.61 WA LURU Nuklir
53 09/06/2022 09/06/2022 01.12.83.28 ALESHA ALMEERA MELATI
65 09/07/2022 09/07/2022 01.20.27.78 AMIR CEMPAKA
66 09/08/2022 09/08/2022 01.20.26.52 HARIDAH ANGGREK
68 09/08/2022 09/08/2022 01.20.20.12 EKKA THERESIA ASTER
72 09/08/2022 09/08/2022 01.30.08.25 ARBAIN ASTER
74 09/08/2022 09/08/2022 59.49.08 TASLIM HUSIN SAKURA 3
77 09/08/2022 09/08/2022 81.55.97 HJ.TANDARIANI SAKURA 3
78 09/08/2022 09/08/2022 95.04.97 ERVICKO FRODINE P SAKURA 3
79 09/08/2022 09/08/2022 01.30.13.08 USMAN ASTER
98 09/12/2022 09/12/2022 01.10.59.54 EVA RAHAYU ABDURAHMAN FLAMBOYAN
100 09/12/2022 09/12/2022 01.01.90.98 SUMIATI EDELWEIS
101 09/12/2022 09/12/2022 01.30.01.56 SAMSIAH ASTER
102 09/13/2022 09/13/2022 01.20.23.69 HENI MARIANI ANGGREK
104 09/13/2022 09/13/2022 01.20.26.13 HARIYONO EDELWEIS
106 09/13/2022 09/13/2022 01.20.35.96 BY NY TIFFANY SAKURA 5
107 09/13/2022 09/13/2022 01.30.06.65 SARKIYAH MAWAR
108 09/13/2022 09/13/2022 65.25.50 YAYUK NURHAENI MAWAR
109 09/13/2022 09/13/2022 85.07.06 JUMIYAH KEMUNING
110 09/13/2022 09/13/2022 79.15.55 SUSANA JUWITA ASTER
112 09/14/2022 09/15/2022 01.20.27.60 MUHAMMAD HAFIZ MELATI
113 09/14/2022 09/15/2022 01.20.32.56 AMIRA ERRI RIZKY MELATI
117 09/14/2022 09/15/2022 01.30.08.55 MAISYARAH HCU
118 09/14/2022 09/15/2022 63.86.11 TARMUDI HCU
120 09/14/2022 09/15/2022 01.20.33.82 BAYI NYONYA DESI LILY
121 09/14/2022 09/15/2022 79.14.01 MARYATI ANANG KASIM MAWAR
122 09/16/2022 09/15/2022 41.73.47 NOR AINAH TERATAI 1
123 09/16/2022 09/19/2022 01.19.64.63 NUR INDAH MAYA R MAWAR
125 09/16/2022 09/19/2022 01.19.93.38 FLORENTINA SUPIANA MAWAR
126 09/16/2022 09/19/2022 01.20.35.03 SUPRIATI MAWAR
127 09/16/2022 09/19/2022 01.19.96.15 RIYANI Kemoterapi
128 09/16/2022 09/19/2022 79.14.01 MARYATI ANANG KASIM Kemoterapi
129 09/19/2022 09/19/2022 01.20.04.45 MARDIANA Kemoterapi
130 09/19/2022 09/19/2022 01.08.87.90 SUYUTI PARLAN Kemoterapi
131 09/19/2022 09/19/2022 01.16.44.07 MASRIANA SIDAURUK Kemoterapi
132 09/19/2022 09/19/2022 01.12.22.34 NURLAILA ISHAK Kemoterapi
133 09/19/2022 09/19/2022 01.19.90.26 SITI SALMAH HCU
134 09/19/2022 09/19/2022 91.06..11 ANSHELIA DWUI ISMI EDELWEIS
137 09/19/2022 09/21/2022 01.30.07.69 SELAWATI MAWAR
138 09/19/2022 09/21/2022 01.30.03.78 MARKUS PENOQ JIE BOUGENVILLE
139 09/19/2022 09/21/2022 01.20.38.64 ADZRIEL RAFIF ALFAREZI MAWAR
140 09/19/2022 09/21/2022 01.16.38.28 LORA NOVITA SARI MAWAR
142 09/20/2022 09/21/2022 01.16.82.56 TIARMA H SIMATUPANG Kemoterapi
143 09/20/2022 09/21/2022 01.20.40.45 AREX ROLANDO GALA SAKURA 4
144 09/20/2022 09/21/2022 01.20.43.45 SALEH BEDDU TERATAI 1
146 09/20/2022 09/21/2022 01.19.29.71 FATMAWATI ARMA Kemoterapi
147 09/21/2022 09/21/2022 01.09.77.34 MUHAMMAD AZKA UMAR MELATI
148 09/21/2022 09/21/2022 01.15.18.10 ATHARIZZA ARSY A MELATI
149 09/20/2022 09/21/2022 01.15.30.17 IRMA RANTE Kemoterapi
150 09/20/2022 09/21/2022 01.19.52.98 ROSNIAH Kemoterapi
151 09/20/2022 09/21/2022 01.11.56.72 ELIS NAWATI Kemoterapi
153 09/20/2022 09/21/2022 01.20.38.97 GWEN JOLIN GUNAWAN SAKURA 3
155 09/20/2022 09/21/2022 01.20.39.22 BY NY ELVIRA SAKURA 3
156 09/20/2022 09/21/2022 01.20.37.26 PERIYANTO ANDI MANJA TERATAI 1
157 09/20/2022 09/21/2022 01.14.69.43 SANTOSO FLAMBOYAN
158 09/20/2022 09/21/2022 39.81.66 NURUL MILAWATI FLAMBOYAN
159 09/20/2022 09/21/2022 95.93.77 NURSIAH FLAMBOYAN
163 09/20/2022 09/21/2022 01.30.11.13 HASANAH FLAMBOYAN
164 09/20/2022 09/21/2022 01.20.27.70 RUMIYATI FLAMBOYAN
165 09/21/2022 09/21/2022 01.19.34.86 AYU KETUT OKA SANTI MAWAR
166 09/21/2022 09/21/2022 01.16.73.40 KHANSA AS SYUHADA MELATI
167 09/21/2022 09/21/2022 01.15.21.96 ROBIYATUL SAKDIAH C MELATI
171 09/21/2022 09/22/2022 01.19.34.40 SYARIFAH MARYAM A MAWAR
172 09/21/2022 09/22/2022 01.10.05.63 SALSIAH ABDUL KADIR MAWAR
173 09/21/2022 09/22/2022 01.09.52.42 DINAR BAKRI ALI MAWAR
174 09/21/2022 09/22/2022 01.20.23.81 NN.IQLIMA MAWAR
175 09/21/2022 09/22/2022 81.81.18 ENDANG BUDI FATMAWATI MAWAR
176 09/21/2022 09/22/2022 01.30.11.81 D.I FERONIKA MAWAR
177 09/21/2022 09/22/2022 01.20.35.66 KRIISSANTA IMAKULA M MAWAR
179 09/21/2022 09/22/2022 01.20.35.29 SALIMAN HCU
180 09/21/2022 09/22/2022 85.27.76 H.M YUNUS SIDO EDELWEIS
181 09/21/2022 09/22/2022 01.30.11.07 SITI AMINAH HCU
182 09/21/2022 09/22/2022 01.20.44.09 AN.ELZIO M.AKBAR FAUZI MAWAR
183 09/21/2022 09/22/2022 01.20.41.60 SRI UTAMI EDELWEIS
185 09/21/2022 09/23/2022 27.81.19 HAPZAH FLAMBOYAN
186 09/21/2022 09/23/2022 01.20.26.87 GAPAR FLAMBOYAN
187 09/21/2022 09/23/2022 01.19.36.90 BAYI NYONYA WINARTI MELATI
188 09/22/2022 09/23/2022 01.14.59.80 SIR MIRMOADI ANGGREK
190 09/22/2022 09/23/2022 01.20.35.62 SUPARMI SAKURA 4
192 09/22/2022 09/23/2022 01.20.44.28 MUHAMMAD HAYYIN ATH CEMPAKA
193 09/22/2022 09/23/2022 01.15.33.48 SASKIA SAPWANI Kemoterapi
194 09/22/2022 09/23/2022 01.20.40.90 GUSTI SURIANI BAKRI,H ICU
195 09/22/2022 09/23/2022 95.61.49 SRI HARTATI Kemoterapi
196 09/22/2022 09/26/2022 60.12.08 WIJI ASTUTIK EDELWEIS
197 09/23/2022 09/26/2022 01.20.39.01 ANDRA PRATAMA MELATI
198 09/23/2022 09/26/2022 01.03.35.89 NAZLA FATIMAH MELATI
199 09/23/2022 09/26/2022 01.20.45.23 NASAR ICU
200 09/23/2022 09/26/2022 01.20.36.12 ABDUL FATTAH ICU
201 09/23/2022 09/27/2022 01.20.34.12 SUWARNO TULIP
202 09/23/2022 09/27/2022 01.20.30.69 SUHANDI ASTER
203 09/23/2022 09/27/2022 01.16.62.34 HARSO ASTER
204 09/23/2022 09/27/2022 01.20.45.70 EKO WAHYUDI ASTER
205 09/26/2022 09/27/2022 01.02.61.11 RAJENDRA ARYA SANDI SAKURA 3
206 09/26/2022 09/27/2022 01.20.40.18 BUJANA YUDHO SUBROTO SAKURA SUPERIOR
207 09/26/2022 09/27/2022 01.20.49.34 AN-NISA AULIA SAKURA 4
208 09/26/2022 09/27/2022 01.20.42.08 FABIAN BASYAR ALFAREZI SAKURA 3
209 09/26/2022 09/27/2022 01.20.34.42 GAVRILA TIFFANI SAKURA 3
210 09/26/2022 09/27/2022 41.47.96 HERLINDA BAKRAN ASTER
211 09/26/2022 09/27/2022 01.20.40.03 JASMINE INDIRA Y SAKURA 3
212 09/26/2022 09/27/2022 01.20.35.21 WENTI MARLINA SEROJA
213 09/26/2022 09/27/2022 01.20.44.18 SULASTRI STROKE
214 09/26/2022 09/27/2022 01.20.19.52 SOFYANSYAH Kemoterapi
215 09/26/2022 09/27/2022 01.19.58.12 LUTHFIA ENDAH S Kemoterapi
216 09/26/2022 09/27/2022 01.19.34.42 YOSPIN MINTIN SINGGIH Kemoterapi
217 09/26/2022 09/27/2022 01.10.04.13 SITI HASNAH Kemoterapi
218 09/26/2022 09/27/2022 01.20.17.53 MARIANA MARISKA Kemoterapi
219 09/27/2022 09/27/2022 01.14.34.89 RUSLIANA TARKIP MAWAR
220 09/27/2022 09/27/2022 01.20.48.36 HARI ROSITA MAWAR
221 09/27/2022 09/27/2022 01.10.34.59 SHERLY RUMAMPAK T MAWAR
222 09/27/2022 09/27/2022 95.42.20 MERLI MARSAULI S HCU
223 09/27/2022 09/27/2022 93.35.30 HALISAH BABA CEMPAKA
224 09/27/2022 09/28/2022 01.20.21.90 WIJI ANTO FLAMBOYAN
225 09/27/2022 09/28/2022 01.20.42.29 AHMAD ARIS MUNDIR.S TERATAI 1
226 09/27/2022 09/28/2022 01.04.23.26 ABDUL AZIZ,S.PD FLAMBOYAN
227 09/27/2022 09/28/2022 01.20.37.21 ABDULLAH PAJRI FLAMBOYAN
228 09/27/2022 09/28/2022 01.12.59.89 ANDREAS ALEX SIAMA FLAMBOYAN
229 09/27/2022 09/28/2022 01.20.41.68 MARYADIN FLAMBOYAN
230 09/27/2022 09/28/2022 01.20.46.41 RAHMANIA FLAMBOYAN
231 09/27/2022 09/28/2022 01.30.11.00 MARLINA FLAMBOYAN
232 09/28/2022 09/28/2022 01.19.37.88 FRICE YUNITA MOKOAGOW Kemoterapi
233 09/28/2022 09/28/2022 01.19.73.16 ITI Kemoterapi
234 09/28/2022 09/28/2022 01.19.74.93 LILIS SURYANI Kemoterapi
235 09/28/2022 09/28/2022 01.19.82.61 ROSA LESMANA Kemoterapi
236 09/28/2022 09/28/2022 01.19.83.75 MUSTIYATI Kemoterapi
237 09/28/2022 09/28/2022 01.19.59.48 MISRAWATI Kemoterapi
238 09/28/2022 09/28/2022 01.20.05.51 NUR FAJRIYANI Kemoterapi
239 09/28/2022 09/28/2022 01.19.53.76 SALMIAH Kemoterapi
240 09/28/2022 09/28/2022 01.19.32.57 RIKA Kemoterapi
241 09/28/2022 09/28/2022 01.20.49.55 NUR AMELIA OKTAVIANY ANGGREK
242 09/28/2022 09/28/2022 01.20.53.21 BY NY SITI AISYAH KEMUNING
243 09/28/2022 09/28/2022 99.19.09 RATMAN FAISAL STROKE
244 09/28/2022 09/28/2022 01.10.58.06 SAMPIR HCU
245 09/28/2022 09/28/2022 01.20.42.88 DIDIK SANTOSO ASTER
246 09/28/2022 09/28/2022 01.20.53.86 RUSMINI SEROJA
247 09/28/2022 09/28/2022 53.19.79 UKI KRISTIANAWATI SUWARNO KEMUNING
248 09/28/2022 09/28/2022 01.20.53.93 SITI FATIMAH ANGGREK
249 09/28/2022 09/28/2022 01.20.39.03 BY NY LILIS NURHAYATI LILY
250 09/28/2022 09/28/2022 40.79.89 MURNI EDELWEIS
251 09/28/2022 09/28/2022 01.20.35.50 KALEB SEROJA
252 09/28/2022 09/28/2022 01.03.23.22 AKMAD NUR SYAIFUDIN Kemoterapi
253 09/27/2022 09/29/2022 01.15.00.05 ISTIQOMAH MAWAR
254 09/28/2022 09/29/2022 01.05.27.14 OEY YAN TIE SAKURA 4
255 09/28/2022 09/29/2022 01.20.45.52 NGATIJO ICU
256 09/28/2022 09/29/2022 01.20.49.62 NOOR RAUDAH KASUM ICU
257 09/28/2022 09/29/2022 01.12.82.06 ALIWI LA SUWU ICCU
258 09/29/2022 09/29/2022 01.19.39.65 HUMAHAYRA FENTIKA MELATI
259 09/28/2022 09/29/2022 31.23.26 NURUL AZISAH BOUGENVILLE
260 09/28/2022 09/29/2022 01.20.43.53 AGUS SETIAWAN ICU
261 09/29/2022 09/29/2022 01.20.49.81 WABETI MAWAR
262 09/29/2022 09/29/2022 01.19.33.06 SITI NUR CAHAYA S ICCU
263 09/29/2022 09/29/2022 01.20.50.98 ELNARA NAZIPA NAZLA MELATI
264 09/29/2022 09/29/2022 79.14.01 MARYATI ANANG KASIM(ALM) MAWAR
265 09/29/2022 09/29/2022 01.19.89.16 SRI WAHYUNI MUHLIS MAWAR
266 09/29/2022 09/29/2022 01.20.02.87 ROCHANI MAWAR
267 09/29/2022 09/29/2022 01.20.31.54 SITI ERNAWATI MAWAR
268 09/29/2022 09/29/2022 01.19.89.16 SRI WAHYUNI MUHLIS MAWAR
269 09/29/2022 09/29/2022 01.20.02.87 ROCHANI MAWAR
270 09/29/2022 09/29/2022 01.30.13.00 MUHAMMAD PANJI MELATI
271 09/29/2022 09/29/2022 01.20.56.42 PONIDI ANGGREK
272 09/29/2022 09/29/2022 01.14.91.70 SYAIBATUL ASPIAH ANGGREK
CEKLIST ANALISA KUANTI

LOS
KSM DPJP TGL. MASU TGL.KELUAR(Length
Of Stay)

PD dr. Astried Indrasari, Sp.PD 08/25/2022 08/27/2022 2


PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 07/11/2022 08/19/2022 39
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 08/31/2022 09/01/2022 1
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 09/03/2022 09/04/2022 31
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 08/26/2022 09/01/2022 6
Kedokteran Nuklir dr.Samuel Hananiel Rory,M.Ked.Klin 08/30/2022 08/31/2022 1
ANAESTASI dr.Samuel Hananiel Rory,M.Ked.Klin 08/24/2022 08/31/2022 7
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 08/21/2022 08/30/2022 9
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 08/27/2022 08/29/2022 2
ANAESTASI dr.Samuel Hananiel Rory,M.Ked.Klin 09/04/2022 09/06/2022 61
ANAESTASI dr.Samuel Hananiel Rory,M.Ked.Klin 08/31/2022 09/05/2022 5
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 09/04/2022 09/08/2022 122
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 08/27/2022 09/08/2022 12
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 09/09/2022 09/11/2022 61
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 09/09/2022 09/16/2022 7
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 09/14/2022 09/18/2022 4
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 09/09/2022 09/19/2022 10
PD dr. Astried Indrasari, Sp.PD 09/05/2022 09/07/2022 61
PD dr. Astried Indrasari, Sp.PD 09/12/2022 09/14/2022 2
SYARAF dr.Susilo S,Sp.S.M.Si.Med 08/23/2022 08/27/2022 4
ANAK dr.Sukartini,Sp.A 09/01/2022 09/01/2022 0
Obgyn dr.Andi Satya Adi Saputra,Sp.OG 08/30/2022 09/02/2022 3
Obgyn dr.Andi Satya Adi Saputra,Sp.OG 08/25/2022 09/01/2022 7
JANTUNG dr.Muhammad Furqon,Sp.JP 08/31/2022 09/04/2022 4
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 08/30/2022 09/02/2022 3
Nuklir dr.Habusari Hapkido,Sp.KN 08/22/2022 08/22/2022 0
ANAK dr.Dini Heriyani,Sp.BS 08/22/2022 08/31/2022 9
SYARAF dr.Dwi Ananda Puspita Sari,Sp.S 09/01/2022 09/04/2022 90
PD dr.Kuntjoro Yakti,Sp.PD 08/31/2022 09/07/2022 7
SYARAF dr.Susilo S,Sp.S.M.Si.Med 08/25/2022 09/02/2022 8
Bedah Syaraf dr.Dini Heriyani,Sp.BS 08/20/2022 08/27/2022 7
JANTUNG dr.Muhammad Furqon,Sp.JP 08/27/2022 08/31/2022 4
PD dr.Kuntjoro Yakti,Sp.PD 08/24/2022 08/31/2022 7
ANAK dr.Hendra,Sp.A 09/01/2022 09/03/2022 59
JANTUNG dr.Anita Rahmadhani Adnan,Sp.PD 08/24/2022 09/02/2022 9
ONKOLOGI dr.Zainal Abidin,Sp.B.Onk ( K ) 08/24/2022 09/02/2022 9
PD dr.Kuntjoro Yakti,Sp.PD 09/01/2022 09/04/2022 90
PD dr.Kuntjoro Yakti,Sp.PD 09/04/2022 09/08/2022 122
PD dr.Adidia Carina Familia,Sp.PD 08/31/2022 09/04/2022 4
MATA dr.Lisandra Nangoy,Sp.M 08/31/2022 09/03/2022 3
ANAK dr.Hendra,Sp.A 09/08/2022 09/09/2022 31
Obgyn dr.Muhammad Faizal Arif C,Sp.OG 08/20/2022 09/07/2022 18
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/01/2022 09/08/2022 212
Obgyn dr.Muhammad Faizal Arif C,Sp.OG 09/07/2022 09/09/2022 62
UROLOGI dr.Boyke Soebali,Sp.U 09/07/2022 09/09/2022 62
ANAK dr.Sukartini,Sp.A 09/07/2022 09/09/2022 62
ANAK dr.Sukartini,Sp.A 09/06/2022 09/11/2022 153
ANAESTASI dr.Tias Diah Setiari,Sp.AN.KIC 09/09/2022 09/10/2022 30
ANAESTASI dr.Tias Diah Setiari,Sp.AN.KIC 09/06/2022 09/10/2022 122
Bedah Anak dr.Dadik Agus,Sp.BA(K) 09/07/2022 09/12/2022 153
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 08/29/2022 09/10/2022 12
Bedah Syaraf dr.Dini Heriyani,Sp.BS 09/08/2022 09/09/2022 31
Obgyn dr.Andi Satya Adi Saputra,Sp.OG 09/08/2022 09/10/2022 61
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/07/2022 09/12/2022 153
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/07/2022 09/09/2022 62
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/14/2022 09/15/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/14/2022 09/15/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/15/2022 09/16/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/15/2022 09/16/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/14/2022 09/16/2022 2
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/15/2022 09/16/2022 1
ANAESTASI dr.Tias Diah Setiari,Sp.AN.KIC 09/11/2022 09/14/2022 3
PD dr.Adidia Carina Familia,Sp.PD 09/07/2022 09/09/2022 62
Obgyn dr. Setyawan Nurtanio, M.Biomed 09/05/2022 09/13/2022 8
Bedah Syaraf dr.Grace EPM Sianturi,Sp.BS 08/14/2022 08/28/2022 14
ANAK dr.Sukartini,Sp.A 09/11/2022 09/15/2022 4
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 08/28/2022 09/13/2022 16
ONKOLOGI dr.Zainal Abidin,Sp.B.Onk ( K ) 09/15/2022 09/16/2022 1
PD dr.Kuntjoro Yakti,Sp.PD 09/12/2022 09/16/2022 4
PD dr.Ridho Monotoc,Sp.PD 09/15/2022 09/18/2022 3
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/16/2022 09/17/2022 1
ANAK dr.Annisa Muhyi,Sp.A 09/10/2022 09/12/2022 61
ANAK dr.Sukartini,Sp.A 09/06/2022 09/14/2022 8
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/16/2022 09/17/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/16/2022 09/17/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/16/2022 09/17/2022 1
Anak dr.Anrih Roi Manthurio,Sp.A 09/12/2022 09/14/2022 2
ANAK dr.Hendra,Sp.A 09/11/2022 09/14/2022 3
PD dr.Nirapambudi Devianto,Sp.PD 09/11/2022 09/14/2022 3
PD dr.Kuntjoro Yakti,Sp.PD 08/29/2022 09/05/2022 7
BTKV dr.Michael Caesario,Sp.BTKV 09/07/2022 09/07/2022 0
Bedah Syaraf dr.Grace EPM Sianturi,Sp.BS 09/06/2022 09/07/2022 30
PD dr.Santi Sijabat,Sp.PD 08/22/2022 09/03/2022 12
PD dr.Adidia Carina Familia,Sp.PD 09/01/2022 09/03/2022 59
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/12/2022 09/17/2022 5
Bedah Anak dr.Santi Rini,Sp.BA 08/26/2022 09/14/2022 19
Bedah Anak dr.Dadik Agus,Sp.BA(K) 08/26/2022 09/12/2022 17
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/15/2022 09/17/2022 2
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/14/2022 09/16/2022 2
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/14/2022 09/16/2022 2
Obgyn dr.Setyawan Nurtanio,M.Biomed,Sp.OG 09/13/2022 09/18/2022 5
Obgyn dr.Muhammad Faizal Arif C,Sp.OG 09/14/2022 09/18/2022 4
Obgyn dr.Muhammad Faizal Arif C,Sp.OG 09/13/2022 09/16/2022 3
Obgyn Dr.dr.Novia Fransiska Ngo,Sp.OG 09/16/2022 09/17/2022 1
PARU dr.Aryo Dirgantara Putra,Sp.P 09/08/2022 09/17/2022 9
PD dr.Nirapambudi Devianto,Sp.PD 09/11/2022 09/13/2022 2
ONKOLOGI dr.Zainal Abidin,Sp.B.Onk ( K ) 09/14/2022 09/16/2022 2
ANAK dr.Sukartini,Sp.A 09/15/2022 09/19/2022 4
DIGESTIF dr. Bambang Suprapto, Sp.B-KBD 09/13/2022 09/14/2022 1
PD dr.Santy Sijabat,Sp.PD 08/31/2022 09/09/2022 9
PD dr.Ridho Monotoc,Sp.PD 09/01/2022 09/08/2022 212
Bedah Anak dr.Dadik Agus,Sp.BA(K) 08/29/2022 9/13/2022 15
DIGESTIF dr. Ahmad Tobroni N., Sp.B-KBD 09/14/2022 09/18/2022 4
Bedah Syaraf dr.Dini Heriyani,Sp.BS 09/12/2022 09/20/2022 8
ANAK dr.Sukartini,Sp.A 09/15/2022 09/19/2022 4
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/16/2022 09/20/2022 4
ANAESTASI dr.Tias Diah Setiari,Sp.AN.KIC 09/13/2022 09/14/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/20/2022 09/21/2022 1
PD dr.Yuliana Rahma R,M.Kes,Sp.PD 09/16/2022 09/19/2022 3
ANAK dr.Annisa Muhyi,Sp.A 09/12/2022 09/20/2022 8
ANAK dr.Diane Meytha Supit,Sp.A(K) 09/16/2022 09/17/2022 1
ANAESTASI dr.Samuel Hananiel Rory,M.Ked.Klin 09/16/2022 09/17/2022 1
ANAESTASI dr.Tias Diah Setiari,Sp.AN.KIC 09/08/2022 09/12/2022 122
PARU dr.Ridmawan,Sp.P 09/07/2022 09/07/2022 0
PD dr.Yuliana Rahma R,M.Kes,Sp.PD 09/03/2022 09/12/2022 275
DIGESTIF dr. Ahmad Tobroni N., Sp.B-KBD 09/16/2022 09/18/2022 2
UROLOGI dr.Poppy Desra Syahfitri N,SP.U 09/17/2022 09/19/2022 2
Bedah Anak dr.Santi Rini,Sp.BA 09/08/2022 09/10/2022 61
PD dr.Kuntjoro Yakti,Sp.PD 09/12/2022 09/14/2022 2
DIGESTIF dr.Ahmad Tobroni,Sp.B-KBD 09/20/2022 09/23/2022 3
Bedah Anak dr.Dadik Agus,Sp.BA(K) 09/19/2022 09/21/2022 2
ANAK dr.Anrih Roi Manthurio,Sp.A 09/09/2022 09/13/2022 4
ONKOLOGI dr.Zainal Abidin,Sp.B.Onk ( K ) 09/17/2022 09/20/2022 3
ANAK dr.Hendra,Sp.A 09/12/2022 09/21/2022 9
Bedah Syaraf dr.Grace EPM Sianturi,Sp.BS 09/19/2022 09/23/2022 4
Bedah Syaraf dr.Grace EPM Sianturi,Sp.BS 09/15/2022 09/21/2022 6
PD dr.Ridho Monotoc,Sp.PD 09/09/2022 09/21/2022 12
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/22/2022 09/23/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/21/2022 09/22/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/21/2022 09/22/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/21/2022 09/22/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/07/2022 09/22/2022 15
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/21/2022 09/23/2022 2
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/21/2022 09/23/2022 2
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 09/21/2022 09/23/2022 2
DIGESTIF dr.Ahmad Tobroni,Sp.B-KBD 09/19/2022 09/23/2022 4
UROLOGI dr.Poppy Desra Syahfitri N,SP.U 09/11/2022 09/13/2022 2
THT dr.Selvianti,Sp.THT-KL 09/19/2022 09/23/2022 4
PD dr. Astried Indrasari, Sp.PD 09/11/2022 09/12/2022 30
PD dr.Astried Indrasari,Sp.PD 09/09/2022 09/11/2022 61
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 09/04/2022 09/12/2022 244
PD dr.Astried Indrasari,Sp.PD 09/13/2022 09/14/2022 1
PD dr.Adidia Carina Familia,Sp.PD 09/18/2022 09/18/2022 0
Bedah Syaraf dr.Dini Heriyani,Sp.BS 08/22/2022 09/15/2022 24
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
KEJIWAAN dr.Hutomo Judhi C.W,S.H.Sp.KJ 09/20/2022 09/24/2022 4
ANAK dr.Herwina Brahmantya,Sp.A 09/23/2022 09/23/2022 0
SYARAF dr.Susilo S,Sp.S.M.Si.Med 09/16/2022 09/23/2022 7
ANAESTASI dr.Samuel Hananiel Rory,M.Ked.Klin 09/21/2022 09/25/2022 4
Bedah Syaraf dr.Grace EPM Sianturi,Sp.BS 09/20/2022 09/23/2022 3
SYARAF dr.Yetty Oktavia Hutahaen,Sp.S 09/24/2022 09/26/2022 2
Obgyn dr.Gusti Hesty Nuraini,Sp.OG 09/24/2022 09/25/2022 1
PD dr.Santy Sijabat,Sp.PD 09/24/2022 09/26/2022 2
ANAK dr.Hendra,Sp.A 09/12/2022 09/24/2022 12
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 09/20/2022 09/21/2022 1
THT dr.Moriko Pratiningrum,M.Kes,Sp.THT-KL 09/22/2022 09/24/2022 2
PD dr.Ridho Monotoc,Sp.PD 09/21/2022 09/24/2022 3
Obgyn dr.Setyawan Nurtanio,M.Biomed,Sp.OG 09/21/2022 09/23/2022 2
PD dr.RR.Ignatia Sinta Murti , M.Kes.,Sp.PD.K-GEH 09/12/2022 09/16/2022 4
ANAESTASI dr.Samuel Hananiel Rory,M.Ked.Klin 09/16/2022 09/21/2022 5
ANAESTASI dr.Samuel Hananiel Rory,M.Ked.Klin 09/20/2022 09/22/2022 2
JANTUNG dr.Muhammad Furqon,Sp.JP 09/14/2022 09/24/2022 10
ANAK dr.Sukartini,Sp.A 09/20/2022 09/22/2022 2
JANTUNG dr.Muhammad Furqon,Sp.JP 09/19/2022 09/26/2022 7
ANAESTASI dr.Samuel Hananiel Rory,M.Ked.Klin 09/15/2022 09/20/2022 5
PD dr.Santi Sijabat,Sp.PD 09/20/2022 09/24/2022 4
JANTUNG dr.Djoen Herdianto,Sp.JP 09/06/2022 09/14/2022 8
ANAK dr.Annisa Muhyi,Sp.A 09/21/2022 09/23/2022 2
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/26/2022 3
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/20/2022 09/24/2022 4
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
Obgyn dr. Andika Adi Saputra A, Sp.OG(K) 09/23/2022 09/24/2022 1
Ortopedi dr.Achmad Fachrizal,Sp.OT 08/24/2022 09/22/2022 29
Bedah Umum dr.Sirajul Munir,Sp.B 09/26/2022 09/27/2022 1
PD dr.Kuntjoro Yakti,Sp.PD 09/25/2022 09/27/2022 2
A KUANTITATIF BRM BULAN SEPTEMBER 2022

Jeda
Waktu TGL. Jeda
Setor Konfirma TGL. Perbaikan Jeda Waktu Diperbaiki Tgl Yg
Waktu
dari si dikonfir
Respon Respon
Admin masi
(hari)

6 09/06/2022
13 09/08/2022
120 09/08/2022
61 09/08/2022
151 09/08/2022
6 09/08/2022
7 09/08/2022
9 09/08/2022
10 09/08/2022
92 09/12/2022
123 09/12/2022
122 09/16/2022
122 09/16/2022
9 09/22/2022
4 09/22/2022
3 09/22/2022
3 09/22/2022
13 9/22/2022
8 9/22/2022
5 2/10/2022
120 2/10/2022
120 2/10/2022
151 2/10/2022
61 2/10/2022
120 2/10/2022
14 2/10/2022
6 2/10/2022
91 2/10/2022
31 2/10/2022
181 2/10/2022
12 2/10/2022
8 2/10/2022
8 2/10/2022
153 2/10/2022
181 2/10/2022
303 2/10/2022
244 2/10/2022
122 2/10/2022
9 2/10/2022
10 2/10/2022
4 2/10/2022
6 2/10/2022
5 2/10/2022
4 2/10/2022
4 2/10/2022
5 2/10/2022
3 2/10/2022
4 2/10/2022
4 2/10/2022
2 2/10/2022
4 2/10/2022
7 2/10/2022
6 2/10/2022
4 2/10/2022
7 2/10/2022
1 2/10/2022
1 2/10/2022
3 2/10/2022
3 2/10/2022
3 2/10/2022
3 2/10/2022
5 2/10/2022
10 2/10/2022
6 2/10/2022
22 2/10/2022
4 2/10/2022
6 2/10/2022
4 2/10/2022
4 2/10/2022
2 2/10/2022
3 2/10/2022
9 2/10/2022
7 2/10/2022
3 2/10/2022
3 2/10/2022
3 2/10/2022
6 2/10/2022
6 2/10/2022
6 2/10/2022
15 2/10/2022
13 2/10/2022
13 2/10/2022
17 2/10/2022
17 2/10/2022
4 2/10/2022
7 2/10/2022
9 2/10/2022
4 2/10/2022
5 2/10/2022
5 2/10/2022
3 2/10/2022
3 2/10/2022
5 2/10/2022
4 2/10/2022
4 2/10/2022
8 2/10/2022
5 2/10/2022
2 2/10/2022
7 2/10/2022
12 2/10/2022
13 2/10/2022
8 2/10/2022
4 2/10/2022
2 2/10/2022
3 2/10/2022
2 2/10/2022
8 2/10/2022
1 2/10/2022
3 2/10/2022
3 2/10/2022
6 2/10/2022
6 2/10/2022
11 2/10/2022
16 2/10/2022
11 2/10/2022
5 2/10/2022
4 2/10/2022
16 2/10/2022
12 2/10/2022
3 2/10/2022
5 2/10/2022
13 2/10/2022
6 2/10/2022
5 2/10/2022
3 2/10/2022
5 2/10/2022
5 2/10/2022
3 2/10/2022
4 2/10/2022
4 2/10/2022
4 2/10/2022
5 2/10/2022
4 2/10/2022
4 2/10/2022
4 2/10/2022
4 2/10/2022
14 2/10/2022
4 2/10/2022
15 2/10/2022
16 2/10/2022
15 2/10/2022
13 2/10/2022
9 2/10/2022
12 2/10/2022
4 2/10/2022
4 2/10/2022
4 2/10/2022
4 2/10/2022
4 2/10/2022
4 2/10/2022
4 2/10/2022
4 2/10/2022
4 2/10/2022
4 2/10/2022
5 2/10/2022
5 2/10/2022
3 2/10/2022
5 2/10/2022
2 2/10/2022
3 2/10/2022
2 2/10/2022
4 2/10/2022
7 2/10/2022
4 2/10/2022
4 2/10/2022
4 2/10/2022
12 2/10/2022
7 2/10/2022
6 2/10/2022
4 2/10/2022
7 2/10/2022
2 2/10/2022
8 2/10/2022
5 2/10/2022
15 2/10/2022
6 2/10/2022
3 2/10/2022
5 2/10/2022
5 2/10/2022
5 2/10/2022
5 2/10/2022
5 2/10/2022
7 2/10/2022
2 2/10/2022
2 2/10/2022
2022

CM 1 LEMBAR MASUK CM 1.5 RESUME MEDIS Informed Consent

Jenis Nama Nama Nama


Sebab Nama
Diagnos Tindaka dan Diagnos Riwayat dan Dokter
Kematia Terapi Tindaka
a Akhir n/Opera TTD a Penyakit TTD dan
n n Medis
si Dokter Dokter TTD
ormed Consent Status Perbaikan Keterangan

Tanggal Delingue
dilakuka Incomple nt MR
nnya te MR 2 1 = Di isi 0 = Blm Di isi
14 X 24
Tindaka X24 Jam
Jam
n Medis

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