NO TANGGAL DEPARTEMENT AWAL AKHIR PETUGAS PENERIMA 1 1 Oktober 2009 ICU - 1,000 Muji Hasan 2 2 Oktober 2009 Topaz - 1,000 Muji Awwa 3 2 Oktober 2009 Emerald - 1,000 Muji Husnul 4 2 Oktober 2009 MCU - 1,000 Muji Hirma 5 3 Oktober 2009 MCU - 1,600 Yudi Ida 6 3 Oktober 2009 OK - 1,400 Suratal Khuntari 7 3 Oktober 2009 Sapphire - 1,000 Dedi 8 5 Oktober 2009 UGD - 1,000 Supri Lisda 9 5 Oktober 2009 UGD - 1,000 Muji 10 5 Oktober 2009 Km Bayi Sehat - 1,300 Boni Ratna 11 5 Oktober 2009 Ambulance - 1,400 Yudi Adi 12 6 Oktober 2009 500 1,100 Muji Nopita 13 7 Oktober 2009 UGD - 1,200 Supri Martuah 14 8 Oktober 2009 ICU - 1,500 Muji Sri M 15 8 Oktober 2009 Topaz - 1,100 Dedi Dame Ria 16 8 Oktober 2009 NICU - 1,000 Dedi Ema 17 8 Oktober 2009 OK - 950 Dedi Intan 18 9 Oktober 2009 Endoscopy - 1,500 Suratal Noor 19 10 Oktober 2009 UGD - 1,500 Muji 20 10 Oktober 2009 NICU - 1,500 Suratal Ratna 21 12 Oktober 2009 OK - 1,200 Boni Khuntari 22 12 Oktober 2009 Endoscopy - 1,000 Boni Ida 23 12 Oktober 2009 Topaz - 1,600 Asep Maryati 24 12 Oktober 2009 Emerald - 1,000 Asep Yeni 25 13 Oktober 2009 OK - 1,000 Muji Ratna 26 14 Oktober 2009 Endoscopy - 1,300 Dedi Nur 27 14 Oktober 2009 UGD - 1,500 Boni Subur 28 15 Oktober 2009 NICU - 1,600 Asep Ratna 29 15 Oktober 2009 Emerald - 1,500 Supri Yudia 30 15 Oktober 2009 Emerald - 1,500 Supri Yudia 31 15 Oktober 2009 Emerald - 1,300 Supri Yudia 32 16 Oktober 2009 OK 500 1,000 Suratal Ratna 33 16 Oktober 2009 ICU - 900 Supri Enti 34 17 Oktober 2009 Endoscopy - 1,600 Boni Nur 35 19 Oktober 2009 OK 500 1,100 Supri Khuntari 36 19 Oktober 2009 Endoscopy - 800 Dedi Nur 37 20 Oktober 2009 Endoscopy 400 1,400 Supri Heri 38 20 Oktober 2009 OK - 1,400 Dedi Nur 39 21 Oktober 2009 ICU - 1,000 Dedi Enti 40 22 Oktober 2009 Emerald - 1,000 Asep Yeni 41 22 Oktober 2009 ICU - 1,500 Muji 42 23 Oktober 2009 OK - 1,500 Yudi 43 24 Oktober 2009 NICU - 1,200 Asep Eti 44 24 Oktober 2009 UGD - 1,300 Dedi Martuah 45 24 Oktober 2009 Endoscopy - 1,000 Dedi Nur 46 24 Oktober 2009 UGD - 1,000 Muji Erni 47 25 Oktober 2009 UGD - 1,000 Muji Erni 48 26 Oktober 2009 OK - 1,500 Supri Khuntari 49 26 Oktober 2009 Endoscopy - 1,300 Suratal Nur 50 27 Oktober 2009 Topaz - 1,600 Suratal 51 27 Oktober 2009 ICU - 1,600 Supri Dwi 52 28 Oktober 2009 UGD 700 1,500 Asep Martuah 53 28 Oktober 2009 UGD 400 1,200 Asep Martuah 54 29 Oktober 2009 Ambulance - 1,500 Muji Bagas 55 29 Oktober 2009 Ambulance - 1,500 Muji Bagas 56 29 Oktober 2009 R. Bayi 500 1,000 Muji Retno 57 29 Oktober 2009 OK - 1,500 Muji 58 29 Oktober 2009 Perina - 1,000 Suratal 59 30 Oktober 2009 Endoscopy - 1,000 Boni Nur 60 31 Oktober 2009 Endoscopy - 1,000 Supri Nur
FORMULIR PENGISIAN OXYGEN PORTABLE
RS GLOBAL MEDIKA TANGERANG
NAMA TEKANAN TEKANAN
NO TANGGAL PETUGAS PENERIMA DEPARTEMENT AWAL AKHIR 1 02 November 2009 OK 100 1,700 Yudi 2 02 November 2009 UGD 0 1,400 Suratal 3 02 November 2009 R. Bayi 0 1,300 Boni Siti 4 03 November 2009 Topaz 0 1,000 Suratal 5 04 November 2009 Ambulance 0 1,000 Boni Adi 6 04 November 2009 Endoscopy 0 1,000 Supri Nur 7 04 November 2009 OK 0 700 Dedi Khuntari 8 04 November 2009 UGD 0 1,600 Radyan Christin 9 04 November 2009 UGD 0 1,500 Radyan Christin 10 04 November 2009 NICU 0 1,500 Radyan Etti 11 04 November 2009 NICU 0 1,400 Radyan Etti 12 04 November 2009 OK 0 1,700 Yudi 13 04 November 2009 R. Bayi 0 1,700 Boni Siti 14 05 November 2009 MCU 0 1,100 Muji Nur 15 06 November 2009 Endoscopy 0 1,000 Muji Nur 16 09 November 2009 Topaz 0 1,100 Suratal Leni 17 10 November 2009 UGD 0 1,600 Suratal Martuah 18 10 November 2009 UGD 0 1,200 Suratal Martuah 19 10 November 2009 OK 0 1,100 Suratal Khuntari 20 11 November 2009 R. Bayi 0 1,000 Boni Siti 21 12 November 2009 Endoscopy 0 1,500 Boni Nur 22 12 November 2009 OK 0 1,500 Supri 23 12 November 2009 ICU 0 1,300 Supri Cici 24 13 November 2009 Topaz 0 1,500 Muji 25 13 November 2009 NICU 0 1,400 Yudi 26 14 November 2009 UGD 0 1,500 Muji Christin 27 14 November 2009 R. Bayi 0 1,400 Muji Ratna 28 14 November 2009 OK 0 1,100 Muji Ratna 29 14 November 2009 Endoscopy 0 1,500 Muji Nur 30 14 November 2009 Endoscopy 0 1,000 Muji Nur 31 14 November 2009 NICU 0 1,100 Suratal Siti 32 16 November 2009 NICU 0 1,500 Muji Siti 33 17 November 2009 OK 0 1,200 Boni Dedeh 34 17 November 2009 UGD 0 1,600 Muji 35 18 November 2009 Ambulance 0 1,500 Muji 36 18 November 2009 Endoscopy 0 1,100 Suratal Nur 37 18 November 2009 OK 0 1,200 Boni Vera 38 19 November 2009 Endoscopy 0 1,700 Yudi Nur 39 20 November 2009 OK 0 1,400 Yudi 40 20 November 2009 Endoscopy 0 1,600 Yudi 41 20 November 2009 NICU 700 1,300 Yudi Dian 42 20 November 2009 NICU 0 1,500 Yudi Dian 43 20 November 2009 UGD 500 1,600 Suratal 44 20 November 2009 UGD 500 1,000 Suratal 45 21 November 2009 Endoscopy 0 1,400 Muji Nur 46 21 November 2009 NICU 0 1,100 Muji Siti 47 21 November 2009 OK 0 1,500 Muji 48 22 November 2009 Emerald 0 1,200 Muji 49 23 November 2009 ICU 0 1,000 Boni Lesty 50 23 November 2009 Endoscopy 100 1,000 Muji 51 23 November 2009 Sapphire 0 1,000 Muji 52 23 November 2009 NICU 500 1,400 Muji 53 25 November 2009 UGD 0 1,000 Suratal Martuah 54 25 November 1990 OK 0 1,000 Muji 55 25 November 2009 NICU 0 1,000 Muji Ratna 56 25 November 2009 NICU 0 1,000 Suratal Ratna 57 25 November 2009 Topaz 0 1,100 Suratal Lenny 58 26 November 2009 OK 0 1,200 Boni Gita 59 26 November 2009 Endoscopy 0 1,000 Boni Nur 60 27 November 2009 R. Bayi 0 1,200 Yudi 61 28 November 2009 R. Bayi 0 1,500 Boni Dian 62 30 November 2009 OK 200 1,000 Radyan 63 30 November 2009 Emerald 0 1,500 Suratal Yudia
FORMULIR PENGISIAN OXYGEN PORTABLE
RS GLOBAL MEDIKA TANGERANG
NAMA TEKANAN TEKANAN
NO TANGGAL PETUGAS PENERIMA DEPARTEMENT AWAL AKHIR 1 01 Desember 2009 NICU 0 1,600 Asep 2 01 Desember 2009 OK 800 1,200 Dedi 3 01 Desember 2009 Endoscopy 200 1,000 Muji Nur 4 02 Desember 2009 UGD 0 1,000 Radyan 5 02 Desember 2009 MCU 0 1,000 Muji 6 03 Desember 2009 Endoscopy 0 1,500 Yudi Nur 7 03 Desember 2009 Sapphire 0 1,200 Alhapsi 8 03 Desember 2009 ICU 400 1,200 Alhapsi 9 03 Desember 2009 OK 0 1,000 Dedi 10 03 Desember 2009 NICU 0 1,000 Muji 11 06 Desember 2009 UGD 0 1,500 Supri Subur 12 06 Desember 2009 UGD 500 1,600 Supri Subur 13 07 Desember 2009 Endoscopy 100 1,100 Muji Nur 14 07 Desember 2009 Endoscopy 0 1,000 Muji Nur 15 07 Desember 2009 Topaz 0 1,000 Alhapsi 16 07 Desember 2009 R. Bayi Sehat 0 1,200 Supri Andar 17 07 Desember 2009 R. Bayi Sehat 0 1,000 Boni Wanti 18 07 Desember 2009 R. Bayi Sehat 0 1,600 Boni Wanti 19 07 Desember 2009 OK 0 1,700 Supri Gita 20 09 Desember 2009 MCU 200 1,400 Yudi Nur 21 09 Desember 2009 Endoscopy 0 1,400 Yudi Nur 22 - 23 - 24 - 25 - 26 - 27 - 28 - 29 - 30 - 31 - 32 - 33 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -