1.

Melakukan pelayanan spesialistik rawat jalan tingkat pertama

No No MR/ No Reg 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 5466xx, 5113xx, 5527xx 3

2 5510xx, 5346xx, 5653xx 3

6 5238xx, 5665xx, 5148xx 3

7 4113xx, 5217xx 2

9 5647xx, 5133xx, 5677xx, 5052xx 4

10 5719xx, 5115xx 2

11

12

13 5459xx, 5760xx, 5518xx, 5251xx 4

14

15

16 4529xx, 5354xx, 5624xx, 5117xx, 3576xx 5

17 5653xx, 3043xx, 5652xx 3

18

19

20 5315xx, 5532xx, 5857xx 3

21

22

23 3016xx, 5848xx 2

24 1547xx, 0518xx, 5431xx, 3655xx 4

25

26

27 1547xx, 0518xx, 4830xx 3

28 3011xx, 5651xx, 5547xx 3

29

30

31 5771xx, 5613xx 2

Kupang, ..................................................
Mengetahui
Ka. SMF/Ka Instalsi/ Ka.bid Pel. Medis

Appolonaris T Berkanis
NIP : 196806071989031012
 2. Melakukan Tindakan spesialistik tingkat sederhana

No No MR 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1
2
3
4 5476xx 1
5
6 1
7 5126xx
8
9
10 3055xx, 4415xx 2
11 5546xx 1
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27 5547xx, 5612xx 2
28
29
30
31

Kupang, ..................................................
Mengetahui
Ka. SMF/Ka Instalsi/ Ka.bid Pel. Medis

Appolonaris T Berkanis
NIP : 196806071989031012
 3. Melakukan Visite Pasien Rawat Inap

No No MR 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1
2
3
4 5476xx 1
5
6
7
8
9
10
11
12
13
14 5658xx 1
15 5658xx 1
16
17
18
19
20
21 4537xx, 5664xx 2
22 4537xx, 5664xx 2
23
24
25
26
27
28
29 5453xx 1
30 5453xx 1
31

Kupang, ..................................................
Mengetahui
Ka. SMF/Ka Instalsi/ Ka.bid Pel. Medis

Appolonaris T Berkanis
NIP : 196806071989031012
 4. Membuat catatan medik pasien rawat jalan

No No MR/ No Reg 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

1 5466xx, 5113xx, 5527xx 3

2 5510xx, 5346xx, 5653xx 3

6 5238xx, 5665xx, 5148xx 3

7 4113xx, 5217xx 2

8 5537xx 1

9 5647xx, 5133xx, 5677xx, 5052xx 4

10 5719xx, 5115xx 2

11

12

13 5459xx, 5760xx, 5518xx, 5251xx 4

14

15

16 4529xx, 5354xx, 5624xx, 5117xx, 3576xx 5

17 5653xx, 3043xx, 5652xx 3

18

19

20 5315xx, 5532xx, 5857xx 3

21

22

23 3016xx, 5848xx 2

24 1547xx, 0518xx, 5431xx, 3655xx 4

25

26

27 1547xx, 0518xx, 4830xx 3

28 3011xx, 5651xx, 5547xx 3

29

30 3

31 5771xx, 5613xx 5

Kupang, ..................................................
Mengetahui
Ka. SMF/Ka Instalsi/ Ka.bid Pel. Medis

Appolonaris T Berkanis
NIP : 196806071989031012

5. Membuat Catatan Medik Pasien Rawat Inap

No No MR 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1
2
3 5257xx 1
4 5476xx 1
5
6
7
8
9
10
11 5116xx 1
12
13
14 5658xx 1
15 5658xx 1
16
17
18 5337xx 1
19
20
21 4537xx, 5664xx 2
22 4537xx, 5664xx 2
23
24
25 5116xx 1
26
27
28
29 5453xx 1
30 5453xx 1
31
 Kupang, ..................................................
Mengetahui
Ka. SMF/Ka Instalsi/ Ka.bid Pel. Medis

Appolonaris T Berkanis
NIP : 196806071989031012

6. Melakukan penyuluhan medik

No No MR 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1
2
3
4
5
6 1
7
8
9
10
11
12
13
14 1
15
16
17
18 1
19
20
21 1
22
23
24
25
26
27
28
29
30 1
31

Kupang, ..................................................
Mengetahui
Ka. SMF/Ka Instalsi/ Ka.bid Pel. Medis

Appolonaris T Berkanis
NIP : 196806071989031012

7. Melayani Konsultasi dari dalam

No No MR 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1
2
3 5257xx
4 1
5
6
7
8 5537xx
9
10
11 5116xx 1
12
13
14
15 1
16
17
18 5337xx 1
19
20
21
22 1
23
24
25 5116xx
26
27 3
28
29
30
31
 Kupang, ..................................................
Mengetahui
Ka. SMF/Ka Instalsi/ Ka.bid Pel. Medis

Appolonaris T Berkanis
NIP : 196806071989031012

Mengikuti Morning Report, Coffee Morning, dan Apel Pagi Senin

No Kegiatan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 Morning Report 1
2
3 Morning Report 1
4
5
6 Morning Report 1
7
8 Morning Report 1
9
10
11
12
13 Morning Report 1
14
15 Morning Report 1
16
17 Morning Report 1
18
19
20
21
22
23
24 Morning Report 1
25
26
27 Morning Report 1
28
29 Morning Report 1
30
31 Morning Report 1

Kupang, ..................................................
Mengetahui
Ka. SMF/Ka Instalsi/ Ka.bid Pel. Medis

Appolonaris T Berkanis
NIP : 196806071989031012