Você está na página 1de 3

Angka Kelcngkapan Pengisian Serah'ferima Pasien Antar Unit

Bu lan : O\<'rDBEP oot?

No Hari iTgl Nama Pasierr,4'io. Rm Kelenskapan Serah Terima Pasien Keterangan


'r,'1.[
i7 io/ iB- f^.[,-+* la>ao so1l z t/
\ i rol r.9 T^. B,"{l /-oi *1s' t/

b \ /,o/,8 T". ld.i"^ /ooots ]{o t/


\ / to /,0 G.L**q f ooot s]So V
A,
a9 i /r" i,8 rt, .ia*, L-p, /oocIS!-Dt t/
t/.
4.6 t lw/,t r.t. fMnix l1as" >o t,l S-{ o8
V
d+ lb l,*q 'io - l+4rq,^{- 6l.. /co olssls-
a-E .i1rc r? SL(Air- /cr)<)ls1-r/3 a/

4.5. rS {^" Q"d', /.,oor s'ts t {


*t s lo lt? fl nL- i0"," /oool9 o3 ,/
hil elyit! -6.\1,,t *. / ooot s"{ v/
TE\.1 6lel6 t4,rz L,- / wussE9 (
Li'l ?lp ln PooS fo ool tLoL l/
a"l1 1l,o ,8 l\-'L.tl. 8,0+.t,( / coo t s9) l t/
*L' B lto I -ro. Ed; Qt o,.<^ /"o""losl t/
au 8/,, 8 r -Hu Qr. lor ol5592- t/
,Il B lt.l,9 fn )re Cl,o..,J,- ;'cx> t 5S?3 t/
.ra,i[ 'fn.i.;aJft Caol-"s f oooltttz- V
81," l,s
a r8 N^ u,l.na / rr,ooire i t/
90 5 t tyrJ, /oool ssg? /
)iL,rl !o,11"14 r: .r.*irr,"" / otois-uQf t/
-
.%,2. to ltol to" en'n- I t 'ol't"2-l V.
Bt rr;l dn. ic^ i\Iz<p.rr;
.t"..
t a V
t/
Lb, l2 t9 k5 M-'t " oco l{t'*
t't-l,ol I H.A,^ I ooo\ 9L99 V
&? olE
[.t".
f,., A.,i.", f^*L, looollrL* t/
,$tt tt-|,
-&^i \h" hE G. lle.{^U,,', g'*t'u- \,/
l) l'ol.U oo5ts+tt V
*2 r s-/,o ,8 l" u"L cl^,t," lo@to\q V
ai, Elo ,0 r.i". r.la Ti,- in /oools{oi t/
D," . E/,"/,t
r H:A..l L^ /ooolS{2 V.
IA: '-re lplS Tn. H. h0 arlL /oools-r- t9 t/
?B' tLlol r8 To- Loa,.w,r' / apolsBS z V
g, lLlto)8 To. !.il-,,., / aels:r 'r'i t/
- ,ir" t6[
"/i8
N4. R-s. gi{4.1E- /cools t/
'2h. iq . UorX Lru Tte /"oot se st t/
\8. t lg. lr..t."t; loootst*XF lr''
h,
'h to/n
rs ,q-{"g;rl;;ifi"- V.
V
ltN G.Le-* P.,l. E' L:L'r" I (f(9
'f^.Lhi& biz.r, 0a. /aoots-t9.1 t/
Dzlra"r.a / t*ot sg*e l/
qL t/
l0/tol& t ^14.
lo. A"o2...0, I oa:t s0. z
q 1. IE r? *-^ / ,orl s3l9
'tn, .<,,tu r'
+] ts/,o/8 &€La p, i i*. /oo olsSra t/
t{s (
\rg, lEi. P44*.*'l /,2 oo te2] V
L4+. t0 l,o ! ,9 i,{n OVI"Q lUL locctt *,8 t/
Angka Kelengkapan Pengisian Serah Terima Pasien Antar Unit

Btrlan ; l.tovene,ee ?ot B

Ntr I'lari lTgl Nama Pasien,No. Rtrr Kelengkapan Serah Terima Pasien Ketemngan
{a 'T,'Ja^
I l;iTtB *q.7"0, anln*" f Lnot q* ,/
4 (
tr /rS hi, h . s\ I oooi 6'1 ''o t/
/rn ,t,. U"*,,,L fooa l 6 L84
I /r'/t8 iil. ,f".1 srrAerzr. /oo o I sD ro
t/
r! xlu . 9x ;',at. /oo o r I rl
"'l
/!. r/', lr3 i"" s*-,lt /oo oi6 3o1 r'
.Z: i lrB t/
hk{. !4a.rt- loootLlbC
ol 2/ ri/rB fi-M',i Lan I oool L?'41 t/
q. LI ir I,d il s."u r+,i. 6"", r'
tD. L/r lrn f^ *e-.i /.ool63?3 ":i, t/
II zl,tltE tt a. lgtd:x,ar^U foo ol s8?l
r'
t}. L/r,l$ Nq",cr"r-; / oo"t13Y t/
l:4 z/t ltB da Lva qaad. fooo i 5,) ,
V
t/
tL L(rtl,9 ri, !n PJ'ar, / oo ols35f
- t6.' 3/r r /r8 tl," r,""it """,2t-a<
(o Uul.U-, I oo or t tk
\/
t/
IL, ) tB

17.
q/rr/rn ii t*^''loo"' t'*'
rR. q/,,/,8 r..1.. r.l"r.ni iaool GLIS t/
slt, 1,8 tL,a+o^. 1oooILtt'\|
ao,
lct.
Y/ r, /r3 Pi t^L ,*,ft l@ot 4't+1 r'
Jr. d tr"L"U.^ (i*t /ooo lsrpc, lr'
C/
" l,e v'
.la. b/..l't ,I c",* V* A"t /ooo I sD8t"
AA ? ll/r B ,.rj l,it" g-"^. /coot sDlv t/
9A ? l I,0 *r,I <., fiu / rpoo 3soS r'
)h, 8 /,,/,s ti eU" f I "oooB tr tr t/
aL,. O lttl fi A"i;;;,; lcootLsN r/
)7 B/r, tS M4 Atr-/.z"* A.{z / *ol eETs
-1ab e),, l,s It" ,-tn^.L f ooot Lc!3 t/
*. e/r, lrB t"t". 9.,.,o1i /ooo I
6{so t/
.bo i"7r;t - Tn . a,*.Tt"a*^ /oo oo3{3q t/
.li -r,/i. t, I &. Hi . ria-,i.rs; r. f r:.> o t arl 4 V
.L2- il rE r.. 94 r;. T6^ looo\698?' V
t1 \ ?-! t l,t r.L. tlE1 L* ./ oo o t (6,1 I r'
\L/rlfi ,1;D,L A.p loaotLLtg t/
a,L.
7.6- lli,,/r8 hlq.Li; / oool 66o I t/
.24 l{i, l,n t\_!. r.,.^ r1*+,_, lo*,"t LL 7\
.?7 tE/,, /,c (^ e),a Sa^Er- / oot,t &2a V
ffi l6/rr f16 i"o-T.* / oo.,r 4i9 t/
V
7q i lblrlt8 Ai{. EiAli- 0diq,4' /oool LSLo
a;. Iti /,, / E Jg.t'la:,v'ar I ooo I L?So /
lt i roTu/it rlq.Lil,. loaol6oSa v/
/t- l5 t,e t\.OL; 6A. Chqry I d:bo1ls L 1/
A\, t5 lt, lrz h.L a,l &x"',j- /*.,r e8s, ,/
1t+ lslrtld T^ kr-.{- / oo o l6E3l v

4+. 1t /r l,B {. s-.5"n; s / ooo t 6+;- 2 1,.


4/ 't"/t, I ,E Nq.?i""- H".t I oo"t olsL L/'
/tL. tolr lft [,,.[.i.o,'. fa-^.- /oo o i tBr r
t/
Arrgka Kelengkapan Pengisian Serah Terima pasien Antar Unit

Buhn' EEsevgeR 2ot?


l\ (l Hari /Tgl Nama Pasien,No. Rm glepan Serah 'ferima pasien
_Ke !g! Keterangan
Ya nrfoi.
tz-l I tln Qa,.0ru g.l-l& f *"t v1-g
7. tI r>16 "G aifu^145, /.oorzz<t r'
3 t>l tB t\t\a* t,ll1614^ I ao "tr2.e a t/
rr-l18 (h. clo,." g"i \..n- /oD o tT2r, t/
r>/,0 TI.V-A nr".! f.o ort:- e! r'
L. (
t>l 18 r'ln, Skr'- f oool?2 6Y
+ r lo-18 fq 6,r" L-,., f ooorz 2-€5 t/
B R G. &4"-- oY*- f6o"1v27o r'
I I n-l @ t5 gi\.6 t.r;11- fooc,t?z1l 4/
I r>f18 ft..i.- 6aoh IvahJq- /oD o , :11? z r'
ii I rvltE r.h.G.- 3i" Hq /co ot isr r
t/
r2 tl >ltQ Anr..6ra.e $dl"^/. [" 3i t/
"1y3
il z lr>l 19 &. i&'-^ /-""i 2,1 t/ f
iq I r 2,/r8 *t r.. Ur. lt-/"o"11161 t/
ls. 3 @lrN q .|.)a.su- q"- /ooo1V2s7 t/'
iL 3 ol tg A^r- C^-0"ss- |oool: a? V,
r.1. 3 rvl,9 -. Nq A Tr'L' /oooooo63 t/
it. \lt>ln .i, .l-" l-. )f^r /c6 or,i3., t/
i5 \ o-ld {; -$."-q, /oo ot e?1r t/
10. )1,>lrs J.r H"P-,- Sr{a.a / oool}r,s: V
u 3 , ?-/ r8 r.{1 t !e,:-A I o""o8<ta V
LI 3 ttlrR R^r- rthJ. Q-.rh.^ /oco l't3i I t/
23. v o-l rE rU. t-tu*Ov- $tye. /"o,;.1:* t/
24 vlrS C, eJ,t Mo"L /ooo 1e333 t/
,-t. 3l c,.l 18 oJq.Lsr,a.,.-{, /oooo I 3st v
u. 7lt>l,s 6!q . €s&. le.rr,, /oool?3,8 t/
21. I tL- r8 r.l" -t{^Ui f oo"o8s v, r'
1. '>l rB .rn-?t+.- &^L f oc't+\L2 t/
7l ul,t .ro. fra
Oe,oalr /ooo t? 3f} r'
3o. 4 l,>l'e illq H,rrz; Nrlt /ooo i? 3 V
]r .t ,J,B !!'r. !r-:.,-c /oooo ?2{3
(
lL Q lr>-lr p -(o.tlp"*_ l-,st..D /ooo tr 3;( t/
'1-n . r[..,s{", }-l.!t l/'
,3. .1 t ,n,l n I "oo t+r.
u l'">l te rql If^ &Ht .1 ,/ooes 63yo t/
)r- r>[,8 ri;v u",,t, /*o ex" t/
)1. .{ o-l18 6!q gr- nTiln*/eo tes"g t/
3l 41,>l,z t.{r. t-t" U. 4-, /"a"|+te t r'
3S. q ,Ll,e tc" . 8""-j L^\*t",..,* 6ooi+ s-l v
-b. 9lr> lra fr. g,-,_-. /ooo t?3 ( 3 /
4o o-l ,a Tn . fu'6ur /ooo ia-r< ? V,.
.li. Elr>l rl r.lq.6rq qi*e /coD t+3 ?( v.
.!l g ul ,3 &t ft'1+* c4.-- / ,o" u,,',, ,..
'l]. 5 lol ,o l&. ]'o- !'Le' t":- /cmo Baev t/'
'ir{ 5[ /t8 r4In. Di.fuad..--3 /ooo tas8s ./
.{s. ft t>18 n"r-o4oii,. /;;i?38( t/
Yl
'-- I tp & &r; Q;i-t- l*o tar,,r
q:I.
Ylrtld GL. h"-t,t /oo.rrrso6

Você também pode gostar