Nama Pasien :
1. ...................... 4. ...........................
2. ...................... 5. ...........................
3. ...................... 6. ...........................
Nama Pasien :
1. ...................... 4. ...........................
2. ...................... 5. ...........................
3. ...................... 6. ...........................
BULAN : PERSENTA
N TANGGAL JUML SE
NAMA
O AH (%)
1 2 3 4 5 6 7 8 9 30
1
2
3
4
5
6
7
8
9
( 0 ) = Perawat Libur
Bulan :
Ruangan :
Makassar, 2012
( ) ( )