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RENTANG TUNGGU PASIEN RA

BULAN JANUARI 202


POLIKLINIK : Bedah Orthopedi
JAM
RENTANG
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI TUNGGU
MEDREK DATANG
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Ka.Instalasi Rawat Jalan

Dr. drg. H. Darnus Djaya, Sp. KGA


NIP. 19650612 199203 1 007
TUNGGU PASIEN RAWAT JALAN
BULAN JANUARI 2022
POLIKLINIK : Bedah Orthopedi
JAM
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI
MEDREK DATANG
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

* Catatan : Mohon beri keterangan jika pada tanggal pelayanan kosong atau tidak di isi
dan mohon mencantumkan nama petugas dan tanda tangan.
Petugas Poliklinik

(Eva Zahrotul Husniyah)


RENTANG
TUNGGU
RENTANG TUNGGU PASIEN RAWAT JALAN
BULAN FEBRUARI 2022
POLIKLINIK : Bedah Orthopedi POLIKLINIK : Bedah Orthopedi
JAM JAM RENTANG
RENTANG
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI TUNGGU DILAYANI TUNGGU
MEDREK DATANG MEDREK DATANG
1 1-Feb-22 15 15-Feb-22 03-47-34-40 ERRITA HAFNI 7:38:09 8:18:30 10:21:12 2:02:42
2 2-Feb-22 18-27-26-40 AIDIL FITRI 15:19:27 9:55:41 12:08:19 2:12:38 16 16-Feb-22 01-00-99-32 CHOLIL 7:38:59 8:24:15 10:21:50 1:57:35
3 3-Feb-22 03-47-34-40 ERRITA HAFNI 7:37:39 9:33:36 13:53:05 4:19:29 17 17-Feb-22 09-84-34-11 WAHYUDI 7:36:24 8:29:35 10:38:40 2:09:05
4 4-Feb-22 18-19-30-13 EKA MUGIATNO 7:36:09 8:50:44 10:10:26 1:19:42 18 18-Feb-22 18-25-95-21 LIPOPONO FIERSEN S 8:55:00 9:27:56 10:52:59 1:25:03
5 5-Feb-22 18-13-77-39 HARTATI 7:27:34 8:57:26 12:54:14 3:56:48 19 19-Feb-22 18-13-77-39 HARTATI 7:39:49 8:51:10 9:32:58 0:41:48
6 6-Feb-22 20 20-Feb-22
7 7-Feb-22 18-17-39-37 ENDAH LESTARI 8:06:22 8:46:25 11:09:12 2:22:47 21 21-Feb-22 18-12-87-33 NAYUDHA ABIMANYU 7:38:26 9:18:18 10:38:43 1:20:25
8 8-Feb-22 03-47-34-40 ERRITA HAFNI 7:46:53 8:42:16 11:53:14 3:10:58 22 22-Feb-22 18-28-64-99 ERNAWATI 9:59:53 10:13:18 12:37:18 2:24:00
9 9-Feb-22 08-69-03-80 AYISAH 8:25:04 9:16:42 12:52:36 3:35:54 23 23-Feb-22 00-95-56-37 MUCHTAR AMINUDIN 7:40:47 8:18:34 11:09:11 2:50:37
10 10-Feb-22 09-84-34-11 WAHYUDI 7:36:24 8:29:35 10:38:40 2:09:05 24 24-Feb-22 18-27-61-33 TITIN RUSWANTINI 7:18:10 9:59:40 10:23:31 0:23:51
11 11-Feb-22 03-46-37-60 AMELIA SABRINA 7:43:49 8:45:55 9:34:36 0:48:41 25 25-Feb-22 18-19-30-13 EKA MUGIATNO 7:47:13 8:50:59 10:32:35 1:41:36
12 12-Feb-22 18-28-90-68 RAISYAH OKTAVIANI 7:46:54 8:26:59 10:34:32 2:07:33 26 26-Feb-22 18-13-77-39 HARTATI 8:39:45 9:45:17 10:17:41 0:32:24
13 13-Feb-22 27 27-Feb-22
14 14-Feb-22 03-52-62-23 IRENE NATALY S 7:38:21 8:49:11 11:55:48 3:06:37 28 28-Feb-22

Ka.Instalasi Rawat Jalan * Catatan : Mohon beri keterangan jika pada tanggal pelayanan kosong atau tidak di isi
dan mohon mencantumkan nama petugas dan tanda tangan.
Petugas Poliklinik

Dr. drg. H. Darnus Djaya, Sp. KGA


NIP. 19650612 199203 1 007 (Eva Zahrotul Husniyah)
RENTANG TUNGGU PASIEN RAWAT JALAN
BULAN MARET 2022

POLIKLINIK : Bedah Orthopedi POLIKLINIK : Bedah Orthopedi


JAM JAM RENTANG
RENTANG
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI TUNGGU DILAYANI TUNGGU
MEDREK DATANG MEDREK DATANG
1 1-Mar-22 09-84-34-11 WAHYUDI 7:46:32 8:47:10 11:23:16 2:36:06 17 17-Mar-22 18-28-53-94 NURYANINGSIH 7:39:32 8:22:42 10:42:46 2:20:04
2 2-Mar-22 01-00-99-32 CHOLIL 7:48:57 8:30:58 10:06:46 1:35:48 18 18-Mar-22 18-20-71-47 MIHANI HARJANTO 7:43:20 8:32:12 10:43:18 2:11:06
3 3-Mar-22 19 19-Mar-22 03-33-64-10 WAHYU ANDI 7:30:36 8:46:04 11:24:10 0:00:00
4 4-Mar-22 18-28-69-77 M FADHIL BUDIONO 7:57:44 8:53:26 10:31:34 1:38:08 20 20-Mar-22
5 5-Mar-22 18-28-80-30 YEHEZKIEL DE FRETES 7:59:23 8:35:43 10:10:11 1:34:28 21 21-Mar-22 09-82-12-21 RAYMOND P 7:41:10 8:47:03 10:21:05 1:34:02
6 6-Mar-22 22 22-Mar-22 09-84-34-11 WAHYUDI 7:51:53 8:29:13 11:13:07 2:43:54
7 7-Mar-22 03-29-15-11 SUHUD WAHAB 7:35:54 8:24:22 11:26:42 3:02:20 23 23-Mar-22 10-01-24-03 HASANAH 7:50:23 8:28:36 10:51:52 2:23:16
8 8-Mar-22 18-29-10-58 JULIO VALENTINO 7:56:52 8:40:52 11:27:20 0:00:00 24 24-Mar-22 18-29-41-79 ADINDA PANTI N 7:35:54 8:24:22 11:26:42 3:02:20
9 9-Mar-22 18-29-17-90 MARDIAH 8:11:35 9:10:27 10:52:08 1:41:41 25 25-Mar-22 18-27-90-73 TAUFIK HIDAYAT 7:43:49 8:45:55 9:34:36 0:48:41
10 10-Mar-22 03-34-27-04 YUNAN INTAN 7:50:23 8:28:36 10:51:52 2:23:16 26 26-Mar-22 03-29-15-11 SUHUD WAHAB 7:46:54 8:26:59 10:34:32 2:07:33
11 11-Mar-22 18-29-35-10 NUR HENI 7:41:10 8:47:03 10:21:05 1:34:02 27 27-Mar-22
12 12-Mar-22 18-13-77-39 HARTATI 7:54:44 9:21:39 10:03:57 0:42:18 28 28-Mar-22 18-27-42-34 TIMUR TARIGAN 7:37:36 8:25:08 11:34:24 3:09:16
13 13-Mar-22 29 29-Mar-22 18-24-38-72 INGKA AGUSTIANA 7:37:49 7:37:49 10:45:38 2:16:13
14 14-Mar-22 18-28-85-95 YULIANTO 5:47:34 10:08:50 11:12:04 1:03:14 30 30-Mar-22 18-29-52-29 DWI TUKIYANI 7:32:33 8:38:27 10:27:30 1:49:03
15 15-Mar-22 18-28-52-65 GOUW HONG NIO 7:51:53 8:29:13 11:13:07 2:43:54 31 31-Mar-22 03-52-62-23 IRENE NATALY S 7:02:28 8:27:31 10:03:17 1:35:46
16 16-Mar-22 03-47-54-19 ROSMAWARI SIBARANI 7:54:28 8:45:36 10:47:42 2:02:06

Ka.Instalasi Rawat Jalan * Catatan : Mohon beri keterangan jika pada tanggal pelayanan kosong atau tidak di isi
dan mohon mencantumkan nama petugas dan tanda tangan.
Petugas Poliklinik

Dr. drg. H. Darnus Djaya, Sp. KGA


NIP. 19650612 199203 1 007 (Eva Zahrotul Husniyah)
RENTANG TUNGGU PASIEN R
BULAN APRIL 202
POLIKLINIK : Bedah Orthopedi
JAM
NO TANGGAL NO.MEDREK NAMA PASIEN RENTANG
DAFTAR DI STATUS TUNGGU
DILAYANI
MEDREK DATANG
1 1-Apr-21 10-01-81-92 SRI MININGSIH 7:41:26 8:39:55 11:11:14 2:31:19
2 2-Apr-21 18-13-77-39 HARTATI 7:52:30 8:19:24 11:01:59 2:42:35
3 3-Apr-21
4 4-Apr-21 18-18-14-19 YANNATUN NISA 7:32:48 8:26:13 11:46:24 3:20:11
5 5-Apr-21 18-22-90-27 RINAWATI 7:37:50 8:11:38 11:02:17 2:50:39
6 6-Apr-21 09-97-68-10 RAMLI RAHMAN 7:43:07 8:38:32 10:42:15 2:03:43
7 7-Apr-21 18-25-41-56 TRI JULIYANTO 7:38:32 8:38:55 10:47:03 2:08:08
8 8-Apr-21 18-24-09-68 AGUS SULAEMAN 7:31:34 8:32:37 10:56:50 2:24:13
9 9-Apr-21 18-22-41-38 KETUT WARDANA 8:20:22 8:20:22 10:03:22 1:43:00
10 10-Apr-21
11 11-Apr-21 18-29-53-54 ENURWATI 7:36:24 8:29:35 10:38:40 2:09:05
12 12-Apr-21 18-27-49-94 SITI ZAHROH 7:39:37 8:23:44 12:40:32 4:16:48
13 13-Apr-21 18-24-68-10 ROSNAENI 7:52:13 8:23:47 12:26:57 4:03:10
14 14-Apr-21 18-22-08-40 RUDITA 7:36:25 7:36:24 8:29:35 10:38:40
15 15-Apr-21

Ka.Instalasi Rawat Jalan

Dr. drg. H. Darnus Djaya, Sp. KGA


NIP. 19650612 199203 1 007
TUNGGU PASIEN RAWAT JALAN
BULAN APRIL 2022
POLIKLINIK : Bedah Orthopedi

JAM
NO TANGGAL NO.MEDREK NAMA PASIEN
DAFTAR DI STATUS
DILAYANI
MEDREK DATANG
16 16-Apr-21 18-29-75-68 RUMIYATI 7:32:21 8:19:56 10:33:00
17 17-Apr-21
18 18-Apr-21 18-13-77-39 HARTATI 7:18:10 9:59:40 10:23:31
19 19-Apr-21 02-06-94-27 SUHARTONO 7:23:13 8:29:00 10:21:30
20 20-Apr-21 03-42-01-14 DJUPRI 7:41:54 8:55:21 11:08:25
21 21-Apr-21 18-19-94-23 ARIS 7:39:15 8:40:56 11:33:29
22 22-Apr-21 03-43-33-65 ADE PRATAMA H 7:32:12 8:41:24 10:43:27
23 23-Apr-21 18-29-73-52 SUGI WARSONO 7:49:50 8:15:48 10:24:56
24 24-Apr-21
25 25-Apr-21 18-29-71-92 SITI ROMLAH 7:36:24 8:29:35 10:38:40
26 26-Apr-21 18-25-87-38 TATIK MULYANI 7:36:16 8:22:26 10:08:40
27 27-Apr-21 03-34-96-83 ELIN ERLINAWATI 7:49:44 8:38:04 10:35:35
28 28-Apr-21 18-25-41-56 TRI JULIYANTO 7:44:43 8:38:56 10:42:42
29 29-Apr-21 09-69-46-03 NANI SURYANI 7:39:18 8:39:46 10:21:01
30 30-Apr-21 18-28-41-56 KASMAN 7:34:13 8:51:05 10:28:45

* Catatan : Mohon beri keterangan jika pada tanggal pelayanan kosong atau tidak di isi
dan mohon mencantumkan nama petugas dan tanda tangan.
Petugas Poliklinik

(Eva Zahrotul Husniyah)


RENTANG

TUNGGU

2:13:04

0:23:51
1:52:30
2:13:04
2:52:33
2:02:03
2:09:08

2:09:05
1:46:14
1:57:31
2:03:46
1:41:15
1:37:40
RENTANG TUNGGU PASIEN
BULAN MEI 20
POLIKLINIK : Bedah Orthopedi
JAM
NO TANGGAL NO.MEDREK NAMA PASIEN RENTANG
DAFTAR DI STATUS TUNGGU
DILAYANI
MEDREK DATANG
1 1/MEI/2021
2 2/MEI/2021
3 3/MEI/2021
4 4/MEI/2021
5 5/MEI/2021
6 6/MEI/2021
7 7/MEI/2021
8 8/MEI/2021
9 9/MEI/2021 18-29-44-63 YUNUS, S. PD 7:40:41 8:40:25 11:40:10 2:59:45
10 10/MEI/2021 01-16-32-29 ABDUL GAFUR 7:43:05 8:34:16 10:02:11 1:27:55
11 11/MEI/2021 01-25-06-35 SINAWATI 7:51:11 8:37:55 9:28:05 1:27:55
12 12/MEI/2021 18-29-29-87 NAJLA NIA 7:28:48 8:20:03 0:51.15 1:37:08
13 13/MEI/2021 18-30-02-10 SITI DJURIAH 7:37:22 8:50:56 9:55:49 1:04:53
14 14/MEI/2021 18-29-75-68 RUMIYATI 7:37:29 8:44:33 9:45:19 1:00:46
15 15/MEI/2021

Ka.Instalasi Rawat Jalan

Dr. drg. H. Darnus Djaya, Sp. KGA


NIP. 19650612 199203 1 007
NG TUNGGU PASIEN RAWAT JALAN
BULAN MEI 2021
POLIKLINIK : Bedah Orthopedi

JAM
NO TANGGAL NO.MEDREK NAMA PASIEN
DAFTAR DI STATUS
DILAYANI
MEDREK DATANG
16 16/MEI/2021
17 17/MEI/2021 03-26-56-36 LIPUR KASIHANI 7:45:58 8:29:25 11:16:10
18 18/MEI/2021 18-29-93-63 WASTIAH 7:43:20 9:08:20 11:30:08
19 19/MEI/2021 18-29-53-54 SUSILOWATI 7:50:01 8:56:31 10:33:39
20 20/MEI/2021 18-29-87-78 MARIA 7:09:46 8:44:58 10:41:19
21 21/MEI/2021 18-25-41-56 TRI JULIYANTO 7:29:35 8:37:15 10:34:27
22 22/MEI/2021
23 23/MEI/2021 18-29-44-63 YUNUS, S. PD 7:44:45 8:23:07 11:09:41
24 24/MEI/2021 18-13-46-05 SRI ASTUTI 7:20:20 8:37:34 11:11:41
25 25/MEI/2021 03-25-27-61 HEIDY MARICO 7:23:26 8:57:24 10:38:59
26 26/MEI/2021
27 27/MEI/2021 18-25-95-21 LIPOPONO F 7:48:00 8:36:57 10:52:26
28 28/MEI/2021 18-29-90-61 IQBAL FAZRI 7:27:48 8:25:42 10:52:50
29 29/MEI/2021
30 30/MEI/2021 09-78-59-94 RATU SHINTA 7:37:49 7:37:49 10:45:38
31 31/MEI/2021 18-29-09-72 BOIH 7:11:14 11:00:43 11:03:01

* Catatan : Mohon beri keterangan jika pada tanggal pelayanan kosong atau tidak di isi
dan mohon mencantumkan nama petugas dan tanda tangan.
Petugas Poliklinik

(Eva Zahrotul Husniyah)


RENTANG

TUNGGU

2:46:45
2:21:48
1:37:08
1:56:21
1:57:12

2:46:34
2:34:07
1:41:35

2:15:29
2:27:08

2:16:13
0:02:18
RENTANG TUNGGU PASIEN RAWAT JALAN
BULAN JUNI 2022
POLIKLINIK : Bedah Orthopedi POLIKLINIK
JAM
RENTANG
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS NO TANGGAL
DILAYANI TUNGGU
MEDREK DATANG
1 1/JUNI/2021 16 16/JUNI/2021
2 2/JUNI/2021 03-51-08-00 YUNI Y 7:31:43 9:10:57 9:35:16 0:24:19 17 17/JUNI/2021
3 3/JUNI/2021 18-30-19-48 SAHRUL R 7:53:57 8:58:04 10:27:07 1:29:03 18 18/JUNI/2021
4 4/JUNI/2021 18-27-98-72 EKI SETIAWAN 7:36:48 8:44:49 11:06:15 2:21:26 19 19/JUNI/2021
5 5/JUNI/2021 20 20/JUNI/2021
6 6/JUNI/2021 09-97-35-67 AMNAH 7:52:52 8:48:24 11:40:13 2:51:49 21 21/JUNI/2021
7 7/JUNI/2021 18-30-29-28 WATUTI 7:37:36 8:25:08 11:34:24 3:09:16 22 22/JUNI/2021
8 8/JUNI/2021 18-28-03-49 BEJO 7:37:49 7:37:49 10:45:38 2:16:13 23 23/JUNI/2021
9 9/JUNI/2021 10-22-45-50 SUNTI W 7:32:33 8:38:27 10:27:30 1:49:03 24 24/JUNI/2021
10 10/JUNI/2021 18-30-20-03 YUSRIZAL 7:02:28 8:27:31 10:03:17 1:35:46 25 25/JUNI/2021
11 11/JUNI/2021 18-30-34-34 KOMIRAN 7:37:20 8:16:58 10:46:17 2:29:19 26 26/JUNI/2021
12 12/JUNI/2021 27 27/JUNI/2021
13 13/JUNI/2021 09-97-68-10 RAMLI R 6:43:46 8:51:46 11:28:57 2:37:11 28 28/JUNI/2021
14 14/JUNI/2021 03-26-56-36 LIPUR KASIHANI 7:43:21 8:42:59 10:31:46 1:48:47 29 29/JUNI/2021
15 15/JUNI/2021 18-19-30-13 EKA MUGIATNO 7:27:29 8:45:41 11:08:48 2:23:07 30 30/JUNI/2021

Ka.Instalasi Rawat Jalan * Catatan : Mohon beri keterangan


dan mohon mencantu

Dr. drg. H. Darnus Djaya, Sp. KGA


NIP. 19650612 199203 1 007
AT JALAN

: Bedah Orthopedi
JAM RENTANG
NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI TUNGGU
MEDREK DATANG
02-00-42-33 RAMLI YUSUF 7:29:46 8:32:40 9:58:06 1:25:26
18-24-20-37 ERLANGGA C 7:46:30 9:05:29 11:20:29 2:15:00
18-25-52-83 DJUMISIH 7:39:52 8:52:24 11:01:08 2:08:44

18-24-07-35 MURWANI 8:47:08 9:29:08 11:56:36 2:27:28


01-02-61-29 SULASTRI S 7:35:05 8:38:45 10:59:24 2:20:39
10-01-97-82 WIRDA SAFIRA 7:37:52 8:26:26 9:53:20 1:26:54
18-26-36-23 DHENY H 7:34:01 8:16:27 10:47:43 2:31:16
01-28-93-31 LEMAN MISMAN 7:40:22 9:44:56 11:08:49 1:23:53
18-26-14-41 CHARLES L 7:56:51 8:33:07 12:45:44 4:12:37

18-22-90-27 RINAWATI 7:43:43 8:58:08 11:37:45 2:39:37


01-02-61-29 SULASTRI S 7:33:31 8:27:57 11:06:16 2:38:19
02-05-42-26 HIOE SIU ING 7:39:14 8:44:16 10:41:36 1:57:20
18-19-49-40 BETI IRIANA 8:06:28 9:19:41 11:17:00 1:57:19

Mohon beri keterangan jika pada tanggal pelayanan kosong atau tidak di isi
dan mohon mencantumkan nama petugas dan tanda tangan.
Petugas Poliklinik

(Eva Zahrotul Husniyah)


RENTANG TUNGGU PASIEN R
BULAN JULI 202
POLIKLINIK : Bedah Orthopedi
JAM
RENTANG
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI TUNGGU
MEDREK DATANG
1 1/JULI/2021 01-28-93-31 LEMAN MISMAN 7:43:55 8:35:31 10:30:16 1:54:45
2 2/JULI/2021 18-26-29-84 WAHYUDIN 7:47:36 8:40:47 10:20:21 1:39:34
3 3/JULI/2021
4 4/JULI/2021
5 5/JULI/2021 18-13-01-92 KURNIATI 7:56:44 8:22:05 12:28:22 4:06:17
6 6/JULI/2021
7 7JULI/2021 01-32-06-42 SUNARSIH 9:34:50 10:31:23 11:41:25 1:10:02
8 8/JULI/2021
9 9/JULI/2021 18-22-41-38 KETUT WARDANA 8:16:47 9:13:32 11:52:15 2:38:43
10 10/JULI/2021
11 11/JULI/2021
12 12/JULI/2021 18-25-31-62 NAZWIR NAZIR 7:55:59 8:58:56 12:42:29 3:43:33
13 13/JULI/2021
14 14/JULI/2021 18-25-41-56 TRI JULIYANTO 8:11:48 9:07:57 11:29:35 2:21:38
15 15/JULI/2021

Ka.Instalasi Rawat Jalan

Dr. drg. H. Darnus Djaya, Sp. KGA


NIP. 19650612 199203 1 007
TUNGGU PASIEN RAWAT JALAN
BULAN JULI 2021
POLIKLINIK : Bedah Orthopedi
JAM
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI
MEDREK DATANG
16 16/JULI/2021 18-13-07-38 VERONICA W 7:47:41 8:51:20 11:15:50
17 17/JULI/2021
18 18/JULI/2021
19 19/JULI/2021 18-25-95-65 RIA EMIYATI 7:57:30 9:05:56 11:31:32
20 20/JULI/2021
21 21/JULI/2021 18-26-27-25 AMINULLOH 7:54:14 8:52:41 10:41:31
22 22/JUNI/2021
23 23/JULI/2021 03-28-96-38 FATHIAN R 7:47:09 9:02:22 13:50:51
24 24/JULI/2021
25 25/JULI/2021
26 26/JULI/2021 02-05-42-26 HIOE SIU ING 7:52:58 8:34:53 11:18:03
27 27/JULI/2021
28 28/JULI/2021 18-13-00-05 SULAIHA 7:29:45 9:07:17 10:14:00
29 29/JULI/2021
30 30/JULI/2021 03-24-20-89 SAMAKHATU A 9:30:03 11:07:20 11:48:16
31 31/JULI/2021

* Catatan : Mohon beri keterangan jika pada tanggal pelayanan kosong atau tidak di isi
dan mohon mencantumkan nama petugas dan tanda tangan.
Petugas Poliklinik

(Eva Zahrotul Husniyah)


RENTANG

TUNGGU

2:24:30

2:25:36

1:48:50

4:48:29

2:43:10

1:06:43

0:40:56
RENTANG TUNGGU PASIEN RAWA
BULAN AGUSTUS 2021
POLIKLINIK : Bedah Orthopedi
JAM
RENTANG
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI TUNGGU
MEDREK DATANG
1 1-Aug-21
2 2-Aug-21 18-26-27-25 AMINULLOH 7:46:05 8:40:52 11:09:16 2:28:24
3 3-Aug-21
4 4-Aug-21 03-08-41-20 MAURIN HARTI 7:29:09 8:56:30 10:21:09 1:24:39
5 5-Aug-21 18-25-31-62 NAZWIR NAZIR 9:01:54 10:09:35 11:37:00 1:27:25
6 6-Aug-21 18-25-52-83 DJUMISIH 7:38:36 8:59:17 11:56:42 2:57:25
7 7-Aug-21
8 8-Aug-21
9 9-Aug-21 18-19-28-63 MHD RIDO 7:43:27 8:38:03 11:34:05 2:56:02
10 10-Aug-21 18-24-09-68 AGUS SULAEMAN 7:47:17 8:38:06 11:36:16 2:58:10
11 11-Aug-21
12 12-Aug-21 18-26-96-46 ASA VEMARTHA 8:19:42 8:42:20 11:41:42 2:59:22
13 13-Aug-21 18-22-90-63 RAFLI FEBRIAN 7:41:23 8:42:45 11:32:52 2:50:07
14 14-Aug-21 03-30-71-03 SRI 7:23:54 8:59:35 11:54:36 2:55:01
15 15-Aug-21

Ka.Instalasi Rawat Jalan

Dr. drg. H. Darnus Djaya, Sp. KGA


NIP. 19650612 199203 1 007
U PASIEN RAWAT JALAN
AGUSTUS 2021
POLIKLINIK : Bedah Orthopedi
JAM RENTANG
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI TUNGGU
MEDREK DATANG
16 16-Aug-21 18-19-28-63 MHD RIDO 7:25:41 8:16:16 11:46:30 3:30:14
17 17-Aug-21
18 18-Aug-21 18-26-91-27 MARDIYANA 7:37:21 8:17:59 11:12:00 2:54:01
19 19-Aug-21 18-24-09-68 AGUS SULAEMAN 7:32:44 8:26:50 9:50:38 1:23:48
20 20-Aug-21 09-67-81-46 YOVITA HENNI 7:41:55 8:29:23 10:45:53 2:16:30
21 21-Aug-21 18-25-52-83 DJUMISIH 7:20:00 8:41:41 9:59:25 1:17:44
22 22-Aug-21
23 23-Aug-21 03-30-99-77 SUGIYANTI 7:39:46 8:35:57 9:03:12 0:27:15
24 24-Aug-21 03-41-24-37 NADIAH 7:50:59 8:38:13 10:39:37 2:01:24
25 25-Aug-21 01-00-99-32 CHOLIL 7:28:49 8:15:34 10:22:58 2:07:24
26 26-Aug-21 18-26-85-89 ENOK YULIATI 7:49:57 8:42:40 10:49:06 2:06:26
27 27-Aug-21 18-22-90-63 RAFLI FEBRIAN 7:31:17 8:27:17 11:33:05 3:05:48
28 28-Aug-21 18-25-12-15 CARWI 7:04:12 10:23:05 10:24:00 0:00:55
29 29-Aug-21
30 30-Aug-21 10-02-18-16 ENI SUMINAR 7:29:17 8:33:03 10:45:09 1:05:58
31 30-Aug-21 18-19-28-63 MHD RIDO 7:37:42 8:41:03 10:39:55 1:58:52

* Catatan : Mohon beri keterangan jika pada tanggal pelayanan kosong atau tidak di isi
dan mohon mencantumkan nama petugas dan tanda tangan.
Petugas Poliklinik

(Eva Zahrotul Husniyah)


RENTANG TUNGGU PASIEN RAWA
BULAN SEPTEMBER 2021
POLIKLINIK : Bedah Orthopedi
JAM
RENTANG
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI TUNGGU
MEDREK DATANG
1 1-Sep-21 18-26-91-27 MARDIYANA 7:46:31 8:28:46 10:32:46 2:04:00
2 2-Sep-21 09-99-79-67 WALNIDA ASTA 7:51:39 9:15:22 10:42:44 1:27:22
3 3-Sep-21 01-22-38-99 YUYUN YUNINGSIH 7:51:03 8:35:41 11:38:19 3:02:38
4 4-Sep-21 18-25-52-83 DJUMISIH 7:48:06 8:34:44 10:08:03 1:33:19
5 5-Sep-21
6 6-Sep-21 09-68-96-40 HAMDAN 8:22:35 8:22:35 10:27:35 2:05:00
7 7-Sep-21 10-02-18-16 ENI SUMINAR 7:30:34 8:27:55 11:02:26 2:34:31
8 8-Sep-21 18-26-91-27 MARDIYANA 7:42:11 8:18:13 10:43:39 2:25:26
9 9-Sep-21 18-25-84-24 WINARSIH 7:36:45 8:44:09 11:06:13 2:22:04
10 10-Sep-21 18-27-23-26 FARID ACHMADI 8:18:10 9:32:29 12:09:50 2:37:21
11 11-Sep-21 18-25-52-83 DJUMISIH 7:39:49 8:45:27 11:19:52 2:34:25
12 12-Sep-21
13 13-Sep-21 18-13-01-92 KURNIATI 8:20:40 8:42:21 11:36:44 2:54:23
14 14-Sep-21 18-27-26-81 ATHALYA AISYAH 7:38:53 8:03:53 11:06:14 3:02:21
15 15-Sep-21 18-27-27-70 KODEROTIN 7:30:27 8:05:56 11:07:45 3:01:49

Ka.Instalasi Rawat Jalan

Dr. drg. H. Darnus Djaya, Sp. KGA


NIP. 19650612 199203 1 007
GU PASIEN RAWAT JALAN
SEPTEMBER 2021
POLIKLINIK : Bedah Orthopedi
JAM RENTANG
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI TUNGGU
MEDREK DATANG
16 16-Sep-21 18-25-84-24 WINARSIH 7:38:07 8:08:50 10:33:43 2:24:53
17 17-Sep-21 09-67-81-46 YOVITA HENNI 8:37:48 9:11:57 11:56:46 2:44:49
18 18-Sep-21 09-78-04-27 MAMAN S 7:42:42 8:23:03 11:03:22 2:40:19
19 19-Sep-21
20 20-Sep-21 09-68-96-40 HAMDAN 7:32:23 8:43:14 10:40:10 1:56:56
21 21-Sep-21 18-27-26-81 ATHALYA A 7:44:16 8:22:11 9:50:39 1:28:28
22 22-Sep-21 18-26-29-54 LAILI AMRI 8:13:45 8:52:03 11:10:21 2:18:18
23 23-Sep-21 18-24-09-68 AGUS SULAEMAN 7:43:53 8:31:18 11:45:29 3:14:11
24 24-Sep-21 18-27-22-27 FRANKY SUSILO 7:34:35 8:57:48 10:36:24 1:38:36
25 25-Sep-21 09-78-04-27 MAMAN S 7:50:22 8:40:54 11:27:19 2:46:25
26 26-Sep-21
27 27-Sep-21 10-01-91-91 POERWANTO A M 7:36:48 9:28:06 12:00:41 2:32:35
28 28-Sep-21 18-27-26-81 ATHALYA AISYAH 7:39:15 8:39:46 10:42:11 2:02:25
29 29-Sep-21 03-29-15-11 SUHUD WAHAB 7:23:31 8:22:08 9:48:58 1:26:50
30 30-Sep-21 03-47-27-38 ASHANI 7:47:03 8:21:38 10:36:24 2:46:25

* Catatan : Mohon beri keterangan jika pada tanggal pelayanan kosong atau tidak di isi
dan mohon mencantumkan nama petugas dan tanda tangan.
Petugas Poliklinik

(Eva Zahrotul Husniyah)


RENTANG TUNGGU PASIEN RA
BULAN OKTOBER 20
POLIKLINIK : Bedah Orthopedi
JAM
RENTANG
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI TUNGGU
MEDREK DATANG
1 1-Oct-21 03-45-07-77 ADE SETIYAWAN 7:28:31 8:22:50 10:33:56 2:11:06
2 2-Oct-21 18-27-17-16 MLATI ALVIYANTI 7:49:35 8:54:56 10:33:09 1:38:13
3 3-Oct-21
4 4-Oct-21 03-52-78-73 SATIARA S 7:15:36 8:21:41 11:29:11 3:07:30
5 5-Oct-21 09-78-98-59 ROSMINI. NY 7:32:01 8:28:32 11:35:56 3:07:24
6 6-Oct-21 03-29-15-11 SUHUD WAHAB 7:10:38 8:05:06 9:32:31 1:27:25
7 7-Oct-21 03-28-34-07 ERIKA BR SINAGA 7:48:04 8:25:41 13:07:30 4:41:49
8 8-Oct-21 18-12-35-59 ALISAH NURFAZWA 7:25:33 10:35:46 10:36:17 0:00:31
9 9-Oct-21 18-25-52-83 DJUMISIH 7:24:12 8:16:04 10:53:23 2:37:19
10 10-Oct-21
11 11-Oct-21 10-01-91-91 POERWANTO 7:16:56 8:25:55 13:24:42 4:58:47
12 12-Oct-21 01-17-64-50 EUIS KUSTINAH 7:27:43 9:29:38 10:22:58 0:53:20
13 13-Oct-21 09-78-98-59 ROSMINI. NY 7:31:25 8:31:50 10:11:15 1:39:25
14 14-Oct-21 03-28-34-07 ERIKA BR SINAGA 7:52:00 8:36:32 11:57:42 3:21:10
15 15-Oct-21 18-27-45-22 RUDY HARDIYANTO 7:45:42 8:20:36 11:12:16 2:51:40

Ka.Instalasi Rawat Jalan

Dr. drg. H. Darnus Djaya, Sp. KGA


NIP. 19650612 199203 1 007
TUNGGU PASIEN RAWAT JALAN
BULAN OKTOBER 2021
POLIKLINIK : Bedah Orthopedi
JAM
NO TANGGAL NO.MEDREK NAMA PASIEN DAFTAR DI STATUS
DILAYANI
MEDREK DATANG
16 16-Oct-21 18-27-59-13 ZHAFRAN 8:29:39 9:17:31 12:12:46
17 17-Oct-21
18 18-Oct-21 09-68-96-40 HAMDAN 7:36:38 8:24:37 11:02:16
19 19-Oct-21 18-26-12-99 INDRIYANI 9:14:42 9:54:02 11:18:39
20 20-Oct-21
21 21-Oct-21 00-86-18-43 YAYAR ARYANTI 7:28:07 8:29:51 10:58:13
22 22-Oct-21 03-08-41-20 MAURIN HARTI 7:45:12 8:48:09 13:14:18
23 23-Oct-21 18-27-39-61 FAHRURROZI 7:32:04 8:52:08 11:25:13
24 24-Oct-21
25 25-Oct-21 00-86-18-43 YAYAR ARYANTI 7:38:37 8:07:50 12:08:53
26 26-Oct-21 09-99-34-47 TRIYONO S 7:52:58 8:20:18 11:09:49
27 27-Oct-21 18-22-41-38 KETUT WARDANA 7:38:01 8:09:59 10:42:41
28 28-Oct-21 18-27-70-70 NUR FATHUL 7:35:26 8:38:18 10:51:49
29 29-Oct-21 18-27-45-51 IMAM MUDIN 7:28:26 8:14:49 10:46:32
30 30-Oct-21 18-27-39-61 FAHRURROZI 7:14:52 8:51:33 11:24:59
31 31-Oct-21

* Catatan : Mohon beri keterangan jika pada tanggal pelayanan kosong atau tidak di isi
dan mohon mencantumkan nama petugas dan tanda tangan.
Petugas Poliklinik

(Eva Zahrotul Husniyah)


RENTANG
TUNGGU

2:55:15

2:37:39
1:24:37

2:28:22
4:26:09
2:33:05

4:01:03
2:49:31
2:32:42
2:13:31
2:31:43
2:33:26

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