Anda di halaman 1dari 2

Form Evaluasi Kinerja

Jabatan : Front Office


Nama Petugas :……………………………………….

NILAI
N Kuran
MATERI Baik
O g
(+)
(-)
1 Input data pasien    
2 Mencetak SEP & Gelang Pasien    
3 Merapikan formulir dan berkas untuk rawat inap    
4 Memberikan informasi kepada pasien    
5 Membersihkan ruangan    
6 Berkoordinasi dengan bpjs    
7 Berkoordinasi dengan pramusaji jika ada pasien baru    
8 Memberikan gelang pasien, menempelkan fall risk di gelang
bayi    

Catatan:

...............................................................................................................................................

...............................................................................................................................................

...............................................................................................................................................

...............................................................................................................................................

...............................................................................................................................................

...............................................................................................................................................

Brebes,

Mengetahui

(..........................................)
Koordinator

Tembusan :
1. Arsip
2. Unit Terkait

Anda mungkin juga menyukai