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LAPORAN KEPUASAN PASIEN UNIT BUGENVILE

Audit Kepuasan
No Sasaran

1 2 3 4 5 6 7 8 9 10 11 12

1 Dokter 0 0 0 0 0 0 0 0 0 0 0 0
2 Perawat
0 0 0 0 0 0 0 0 0 0 0 0
3 Fasilitas 0 0 0 0 0 0 0 0 0 0 0 0
4 Waktu Tunggu
0 0 0 0 0 0 0 0 0 0 0 0
Hasil
0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN KEPUASAN PASIEN UNIT BUGENVILE
BULAN JANUARI

TANGGAL
MGG SASARAN PROSES AUDIT
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

Puas 0
1 DOKTER
Tdk 0

H 0

Puas 0
2 PERAWAT
Tdk 0

H 0

Puas 0
3 FASILITAS
Tdk 0

H 0

Puas 0
4 WAKTU TUNGGU
Tdk 0

H 0
Numerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Denumerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hasil ( % ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanggal Pelaksanaan :

TTD Kepala Unit :


LAPORAN KEPUASAN PASIEN UNIT BUGENVILE
BULAN FEBRUARI

TANGGAL
MGG SASARAN PROSES AUDIT
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

Puas 0
1 DOKTER
Tdk 0

H 0

Puas 0
2 PERAWAT
Tdk 0

H 0

Puas 0
3 FASILITAS
Tdk 0

H 0

Puas 0
4 WAKTU TUNGGU
Tdk 0

H 0
Numerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Denumerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hasil ( % ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanggal Pelaksanaan :

TTD Kepala Unit :


LAPORAN KEPUASAN PASIEN UNIT BUGENVILE
BULAN MARET

TANGGAL
MGG SASARAN PROSES AUDIT
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

Puas 0
1 DOKTER
Tdk 0

H 0

Puas 0
2 PERAWAT
Tdk 0

H 0

Puas 0
3 FASILITAS
Tdk 0

H 0

Puas 0
4 WAKTU TUNGGU
Tdk 0

H 0
Numerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Denumerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hasil ( % ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanggal Pelaksanaan :

TTD Kepala Unit :


LAPORAN KEPUASAN PASIEN UNIT BUGENVILE
BULAN APRIL

TANGGAL
MGG SASARAN PROSES AUDIT
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

Puas 0
1 DOKTER
Tdk 0

H 0

Puas 0
2 PERAWAT
Tdk 0

H 0

Puas 0
3 FASILITAS
Tdk 0

H 0

Puas 0
4 WAKTU TUNGGU
Tdk 0

H 0
Numerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Denumerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hasil ( % ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanggal Pelaksanaan :

TTD Kepala Unit :


LAPORAN KEPUASAN PASIEN UNIT BUGENVILE
BULAN MEI

TANGGAL
MGG SASARAN PROSES AUDIT
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

Puas 0
1 DOKTER
Tdk 0

H 0

Puas 0
2 PERAWAT
Tdk 0

H 0

Puas 0
3 FASILITAS
Tdk 0

H 0

Puas 0
4 WAKTU TUNGGU
Tdk 0

H 0
Numerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Denumerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hasil ( % ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanggal Pelaksanaan :

TTD Kepala Unit :


LAPORAN KEPUASAN PASIEN UNIT BUGENVILE
BULAN JUNI

TANGGAL
MGG SASARAN PROSES AUDIT
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

Puas 0
1 DOKTER
Tdk 0

H 0

Puas 0
2 PERAWAT
Tdk 0

H 0

Puas 0
3 FASILITAS
Tdk 0

H 0

Puas 0
4 WAKTU TUNGGU
Tdk 0

H 0
Numerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Denumerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hasil ( % ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanggal Pelaksanaan :

TTD Kepala Unit :


LAPORAN KEPUASAN PASIEN UNIT BUGENVILE
BULAN JULI

TANGGAL
MGG SASARAN PROSES AUDIT
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

Puas 0
1 DOKTER
Tdk 0

H 0

Puas 0
2 PERAWAT
Tdk 0

H 0

Puas 0
3 FASILITAS
Tdk 0

H 0

Puas 0
4 WAKTU TUNGGU
Tdk 0

H 0
Numerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Denumerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hasil ( % ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanggal Pelaksanaan :

TTD Kepala Unit :


LAPORAN KEPUASAN PASIEN UNIT BUGENVILE
BULAN AGUSTUS

TANGGAL
MGG SASARAN PROSES AUDIT
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

Puas 0
1 DOKTER
Tdk 0

H 0

Puas 0
2 PERAWAT
Tdk 0

H 0

Puas 0
3 FASILITAS
Tdk 0

H 0

Puas 0
4 WAKTU TUNGGU
Tdk 0

H 0
Numerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Denumerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hasil ( % ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanggal Pelaksanaan :

TTD Kepala Unit :


LAPORAN KEPUASAN PASIEN UNIT BUGENVILE
BULAN SEPTEMBER

TANGGAL
MGG SASARAN PROSES AUDIT
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

Puas 0
1 DOKTER
Tdk 0

H 0

Puas 0
2 PERAWAT
Tdk 0

H 0

Puas 0
3 FASILITAS
Tdk 0

H 0

Puas 0
4 WAKTU TUNGGU
Tdk 0

H 0
Numerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Denumerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hasil ( % ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanggal Pelaksanaan :

TTD Kepala Unit :


LAPORAN KEPUASAN PASIEN UNIT BUGENVILE
BULAN OKTOBER

TANGGAL
MGG SASARAN PROSES AUDIT
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

Puas 0
1 DOKTER
Tdk 0

H 0

Puas 0
2 PERAWAT
Tdk 0

H 0

Puas 0
3 FASILITAS
Tdk 0

H 0

Puas 0
4 WAKTU TUNGGU
Tdk 0

H 0
Numerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Denumerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hasil ( % ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanggal Pelaksanaan :

TTD Kepala Unit :


LAPORAN KEPUASAN PASIEN UNIT BUGENVILE
BULAN NOPEMBER

TANGGAL
MGG SASARAN PROSES AUDIT
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

Puas 0
1 DOKTER
Tdk 0

H 0

Puas 0
2 PERAWAT
Tdk 0

H 0

Puas 0
3 FASILITAS
Tdk 0

H 0

Puas 0
4 WAKTU TUNGGU
Tdk 0

H 0
Numerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Denumerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hasil ( % ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanggal Pelaksanaan :

TTD Kepala Unit :


LAPORAN KEPUASAN PASIEN UNIT BUGENVILE
BULAN DESEMBER

TANGGAL
MGG SASARAN PROSES AUDIT
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

Puas 0
1 DOKTER
Tdk 0

H 0

Puas 0
2 PERAWAT
Tdk 0

H 0

Puas 0
3 FASILITAS
Tdk 0

H 0

Puas 0
4 WAKTU TUNGGU
Tdk 0

H 0
Numerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Denumerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hasil ( % ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanggal Pelaksanaan :

TTD Kepala Unit :

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