DATA SAMPLING RAWAT JALAN LAB.

NOVEMBER-DESMBER 2013

Tanggal No.Lab. Analis dr. Nama Pasien Sampling Bagian

11/26/2013 189 RN DY An. M. Zaini Renny Laboratorium

193 TA APS Ny. Hj. Sanah (ortu icha) Tia Laboratorium

11/27/2013 197 EM hafiz An. Rahma Azizah (dr hfz) Mawaddah Laboratorium
198 EM PR An. Praya Mawaddah Laboratorium
199 EM APS Ny. Marlina Mawaddah Laboratorium
204 IF SY An. Abyasa Hifni Laboratorium

11/29/2013 221 TA APS Ny. Tri Rifa Tia Laboratorium

222 TA APS An. Justin Maulana Tia Laboratorium
223 TA APS mb. Pipin (admin) Tia Laboratorium
224 EM APS Ny. Zahrah Mawaddah Laboratorium
225 EM DY An. Fauza Hasna x

11/30/2013 230 RN APS mb. Pipin (admin) Renny Laboratorium

12/1/2013 2 IF SY An. Nur Syifa k' yulida UGD

4 IF ifiq Ny. Nurmawati Desi UGD
5 IF ifiq An. Angelo Hifni Laboratorium

12/2/2013 12 EM APS bu I'in (resepsionis) Mawaddah Laboratorium

13 EM APS Pak Budi (CS) Mawaddah Laboratorium
15 EM DY An. Fauza Haasna x
16 EM anin Tn. Ari Wahyudin k' yulida UGD
17 EM DN Tn. Jiat Sapuani Olla UGD

12/3/2013 22 IF DY An. Fatih Razi R. Hifni Laboratorium

12/5/2013 27 IF DY An. Abdul Halim Hifni Laboratorium

30 RN/TA hafiz Tn. H. Fahmi Renny Laboratorium
34 TA RY Ny. Rezeki Tia Laboratorium

12/7/2013 39 IF APS Ny. Lisa x

12/9/2013 52 RN DY An. Teresia Renny Laboratorium

53 RN DY An. Malika Naomi Renny Laboratorium
57 RN APS Ny. Reni Setiowati (mas andri) Renny Laboratorium
58 TA APS Ny. Zubaidah TA Laboratorium

12/11/2013 61 TA APS Ny. Mutmainah TA Laboratorium

12/12/2013 67 RN DH Ny. Sartika x

12/13/2013 72 TA DH Ny. Nurhayati Tia Laboratorium

73 RN APS Ny. Hj. Syarifah Icun x

12/14/2013 75 IF APS Ny. Marulliah Hifni Laboratorium

77 TA SY An. Naja k' yulida UGD

12/15/2013 79 EM APS Tn. Rizal (suami imas) Mawaddah Laboratorium

12/16/2013 80 EM APS Ny. Hj. Fathiyah (klg em) Mawaddah Laboratorium

83 TA anindya Ny. Hj. St. Aisyah (klg mas anin) k' yulida UGD
85 RN DH Ny. Desita x

12/17/2013 92 RN hafiz An. Kirana Zaviroh Fatur UGD

12/18/2013 100 RN RY Ny. Hj. St. Aspari x

101 RN ISD An. A. Syaifullah Renny Laboratorium
102 RN RY Ny. Desi Renny Laboratorium
103 RN DY An. Almira x
104 IF RY Ny. Iis Marinda Hifni Laboratorium

12/19/2013 107 RN APS Tn. M. Zakir Renny Laboratorium

108 RN APS Ny. Retno Dwi (perawat) Renny Laboratorium

12/20/2013 115 EM ifiq An. Nazira Desi UGD

116 EM APS Tn. H. Baihaqi (ortu Mawadah) Mawaddah Laboratorium
117 EM APS Ny. Hj. Fatimah (ortu mawaddah) Mawaddah Laboratorium
119 EM APS Ny. Alwiyah Mawaddah Laboratorium
 DATA SAMPLING RAWAT JALAN LAB. NOVEMBER-DESMBER 2013

Tanggal No.Lab. Analis dr. Nama Pasien Bagian

12/21/2013 120 IF APS Ny. St. Hamriah Hifni Laboratorium

121 IF APS Ny. Mbah (k'asniah) k' asniah Ruang Bersalin
122 RN APS Ny. Desi (perawat) Renny Laboratorium
124 RN ISD Tn. Eko Fathur UGD

12/22/2013 127 EM SY An. Gt. Zaldi K' Yulida UGD

12/23/2013 128 RN APS Ny. Zubaidah Tia Laboratorium

130 RN APS Ny. Ayuniati Renny Laboratorium
132 EM RZ An. M. Fadil Mawaddah Laboratorium
133 EM APS Ny. Mei Anma x

12/24/2013 135 RN DY An. Ahmad Rosih Renny Laboratorium

136 IF Ifiq An. M. Heidy Hifni Laboratorium

12/25/2013 137 IF DH Ny. Diah x

Total Biaya
UGD 10 Rp 100,000
Ruang Anak 0 Rp -
Ruang Bersalin 1 Rp 10,000
Laboratorium 42 Rp 420,000

Total Rp 530,000
 DATA SAMPLING RAWAT INAP LAB. NOVEMBER-DESEMBER 2013

No. Lab Kamar Analis dr. Nama Pasien Tanggal Bagian

187RB1113 C7 RN DH Ny. Zakiah 11/26/2013 santi Ruang Bersalin

188RB1113 A4 RN DH NY. Juaeriyah 11/26/2013 santi Ruang Bersalin

190RB1113 RN 11/26/2013 wiwin Ruang Bersalin

191RB1113 A6 RN RY Ny. Anita Amelina 11/26/2013 wiwin Ruang Bersalin

192RB1113 A5 RN RY Ny. Melina 11/26/2013 vk? Ruang Bersalin
194RA1113 K8 IF ifiq An. M. Afif W. 11/26/2013 Hifni Laboratorium

195RB1113 A4 IF RY Ny. khairani Fatma 11/27/2013 vk? Ruang Bersalin

203RB1113 IF 11/27/2013 vk? Ruang Bersalin
206RB1113 EM 11/28/2013 vk? Ruang Bersalin
218RB1113 RN 11/29/2013 Renny Laboratorium

200RB1113 B2 EM DH Ny. Sariyah 11/27/2013 vk? Ruang Bersalin

215RB1113 RN 11/29/2013 linda Ruang Bersalin
227RB1113 EM 11/29/2013 vk? Ruang Bersalin
231RB1113 TA 11/30/2013 vk? Ruang Bersalin
006RB1213 RN 12/1/2013 Renny Laboratorium
011RB1213 EM 12/2/2013 x

201RA1113 K12 EM IH An. Cyndi 11/27/2013 x

202RB1113 A4 IF RZ By. Ny. Chairani Fatma 11/27/2013 Hifni Laboratorium

205RB1113 C8 EM RY Ny. Erna 11/28/2013 vk? Ruang Bersalin

212RB1113 IF 11/28/2013 Hifni Laboratorium

207RB1113 C9 EM RY Ny. Ayu 11/28/2013 vk? Ruang Bersalin

208RA1113 K2 IF hfz Bny. Ny. Erna 11/28/2013 Hifni Laboratorium

209RA1113 K5 IF RZ Nn. Nia 11/28/2013 k' yulida UGD

217RA1113 RN Sf 11/29/2013 rully Ruang Anak
228RA1113 EM An. Nia Ramadhani 11/30/2013 novi Ruang Anak
003RA1213 IF 12/1/2013 vina Ruang Anak

210RA1113 K2 IF SF By. Ny. Sariyah 1 11/28/2013 HIfni Laboratorium

211RA1113 K2 IF SF By. Ny. Sariyah 2 11/28/2013 HIfni Laboratorium
213RB1113 A5 RN RY Ny. Anggie Thesa 11/28/2013 wirna Ruang Bersalin

214RA1113 K1 RN ISD An. M. Nasuha 11/29/2013 koniah Ruang Anak

220RA1113 TA DY 11/29/2013 x

216RB1113 C9 RN AA Ny. Syefi 11/29/2013 linda Ruang Bersalin

219RA1113 K12 RN IH An. Marcelinus 11/29/2013 x
226RB1113 A6 EM RY Ny. Nikade 11/29/2013 vk? Ruang Bersalin

229RA1113 K7 RN RZ An. M. Alvin 11/30/2013 lutfhi UGD

001RA1213 K3 IF SF An. Noor Fajri 12/1/2013 k' yulida UGD

007RA1213 K10 RN Ridha An. M. Widodo 12/1/2013 Renny Laboratorium

020RA1213 IF SF 12/3/2013 Hifni Laboratorium

008RB1213 C7 TA RW Nn. Rifka 12/2/2013 x

009RB1213 A5 TA BD Ny. dr. Rahma 12/2/2013 nurul Ruang Bersalin
010RA1213 K6 EM hafiz An. Azizah 12/2/2013 Mawaddah Laboratorium

014RB1213 C7 EM hfz Nn. Putri Pancar Indah 12/2/2013 Olla UGD

018RB1213 RN RW 12/2/2013 x

019RA1213 K3 RN IH An. M. Ragam 12/2/2013 desi UGD

023RA1213 K8 TA DY An. M. Afrizal 12/3/2013 maria Ruang Anak

024RB1213 A4 RN DH Ny. Ika Andriani 12/3/2013 vk? Ruang Bersalin

027RB1213 EM 12/4/2013 vk? Ruang Bersalin

025RA1213 K12 RN PR An. Adelia Putri 12/3/2013 fatur UGD

026RB1213 C8 TA DH Ny. Hj. Maulidah 12/4/2013 vk? Ruang Bersalin
 DATA SAMPLING RAWAT INAP LAB. NOVEMBER-DESEMBER 2013

No. Lab Kamar Analis dr. Nama Pasien Tanggal Bagian

028RB1213 B2 EM DH Ny. Abidah 12/4/2013 vk? Ruang Bersalin

024RB1213 C7 IF DH Ny. Rabiatul 12/4/2013 vk? Ruang Bersalin

026RB1213 IF 12/5/2013 vk? Ruang Bersalin

025RB1213 A6 IF DH Ny. Syarifah nur farah 12/5/2013 icha Ruang Bersalin

031RB1213 TA 12/5/2013 vk? Ruang Bersalin

028RA1213 K5 RN hfz An. M. Wildan 12/5/2013 desi UGD

032RA1213 TA 12/5/2013 x

029RB1213 A5 RN RY Ny. Helmiyati 12/5/2013 santi Ruang Bersalin

033RB1213 B2 TA BD Ny. Iriana Lestari 12/5/2013 vk? Ruang Bersalin

035RA1213 K3 IF DY An. Gina Rahmatika 12/6/2013 eka Ruang Anak

046RA1213 RN 12/8/2013 ra? Ruang Anak

036RB1213 A6 EM IH By. Ny. Syarifah Nur Farah 12/6/2013 Mawaddah Laboratorium

037RB1213 A4 RN IH By. Ny. Ika Andriani 12/6/2013 wiwin Ruang Bersalin

038RB1213 A6 IF DH Ny. Jamilah 12/6/2013 vk? Ruang Bersalin

042RB1213 IF 12/7/2013 vk? Ruang Bersalin
044RB1213 TA 12/7/2013 vk? Ruang Bersalin
055RB1213 RN 12/9/2013 rahma Ruang Bersalin

041RB1213 rb IF felita Tn. M. Feri Mahmud 12/7/2013 lutfhi UGD

043RB1213 B2 TA RY Ny. Hiliwatin Nazwa 12/7/2013 vk? Ruang Bersalin

045RA1213 K2 RN IH By. Ny. Jamilah 12/8/2013 vk? Ruang Bersalin

069RA1213 TA 12/13/2013 maria Ruang Anak

047RB1213 vk IF RY Ny. Ledy Tia Saputry 12/8/2013 wirna Ruang Bersalin

048RA1213 K3 IF DY An. Nazira 12/8/2013 Hifni Laboratorium
049RB1213 A4 TA wahyu Ny. Norhasanah 12/8/2013 vk? Ruang Bersalin
050RB1213 C9 TA AA Ny. Windi 12/8/2013 vk? Ruang Bersalin
051RB1213 C9 EM hfz By. Ny. Windi 12/9/2013 Mawaddah Ruang Anak

054RA1213 K8 RN ISD An. M. Naufal 12/9/2013 Renny Laboratorium

064RA1213 RN SF 12/11/2013 x

056RA1213 K10 RN ISD An. Rasya nabil 12/9/2013 Renny Laboratorium

059RB1213 B2 IF RY Ny. Sholehah 12/9/2013 vk? Ruang Bersalin
060RA1213 K5 RN RZ An. Vigor Hanasta Sinaga 12/10/2013 lutfhi UGD
062RA1213 K6 TA RZ An. Sweety 12/11/2013 Tia Laboratorium
065RB1213 C9 RN DH Ny. Toyibah (om dadang) 12/11/2013 icha Ruang Bersalin
066RA1213 K4 EM SY An. M. Zaki 12/12/2013 Mawaddah Laboratorium
068RB1213 A5 IF RY Ny. Rezeki Damayanti 12/13/2013 martha Ruang Bersalin
070RB1213 C7 TA AA Ny. Fatma 12/13/2013 santi Ruang Bersalin
071RB1213 A6 TA RY Ny. Rini Indrawati 12/13/2013 vk? Ruang Bersalin

074RB1213 B2 RN AA Ny. Sahdiah 12/13/2013 rahma Ruang Bersalin

076RB1213 IF 12/14/2013 vk? Ruang Bersalin

077RA1213 ra TA SY An. Naja 12/14/2013 k' yulida UGD

081RA1213 K7 TA hfz An. Syifa Azkia 12/16/2013 k' yulida UGD

082RA1213 K8 TA hfz An. Ayyas Fiqri 12/16/2013 k' yulida UGD

089RA1213 TA DY 12/17/2013 maria Ruang Anak
097RB1213 EM 12/18/2013 kamila Ruang Anak

084RB1213 C8 TA RY Ny. Muliana Ulfah 12/16/2013 vk? Ruang Bersalin

086RB1213 C9 RN RY Ny. Erna Setyawati 12/16/2013 icha Ruang Bersalin

087RB1213 C7 IF DH Ny. Aini 12/17/2013 vk? Ruang Bersalin

090RB1213 TA 12/17/2013 wardah Ruang Bersalin

088RA1213 K2 TA SF By. Ny. Muliana Ulfah 12/17/2013 Tia Laboratorium

 DATA SAMPLING RAWAT INAP LAB. NOVEMBER-DESEMBER 2013

No. Lab Kamar Analis dr. Nama Pasien Tanggal Bagian

093RA1213 K2 RN hfz An. Siti Munawarah 12/17/2013 fatur UGD

094RB1213 A4 EM RY Ny. Tika 12/18/2013 vk? Ruang Bersalin

095RA1213 K11 EM ifiq An. Naufal 12/18/2013 desi UGD

111RA1213 IF DY 12/19/2013 raudah Ruang Anak

098RB1213 A6 RN BD Ny. Hevi 12/18/2013 vk? Ruang Bersalin

099RB1213 B2 RN AA Ny. Sri Rezeki 12/18/2013 wiwin Ruang Bersalin
105RA1213 K2 IF SF By. Ny. Hevi 12/18/2013 hamdanah Ruang Anak
106RA1213 K4 IF ridha An. Kamil Zaidan 12/18/2013 fatur UGD
109RB1213 vk RN RY Ny. Rahmatul 12/19/2013 icha Ruang Bersalin
110RB1213 C9 IF DH Ny. Mariatul 12/19/2013 icha Ruang Bersalin

112RA1213 K5 TA ISD By. Aditya 12/20/2013 Tia Laboratorium

113RA1213 EM 12/20/2013 x

114RB1213 A5 EM RY Ny. Qurratul 12/20/2013 vk? Ruang Bersalin

118RA1213 K3 EM ISD An. Syafa 12/20/2013 desi UGD
123RB1213 A4 RN RY Ny. Fatmawati 12/21/2013 rahma Ruang Bersalin
125RA1213 K6 TA ISD An. Rifki Azka 12/21/2013 fatur UGD

126RB1213 A5 IF RY Ny. Masitoh 12/22/2013 vk? Ruang Bersalin

131RB1213 EM 12/23/2013 wirna Ruang Bersalin

129RB1213 A4 RN AA Ny. Debby 12/23/2013 marta Ruang Bersalin

134RA1213 K3 TA Ridha An. Nurhayah 12/23/2013 ra? Ruang Anak
138RB1213 A6 TA RY Ny. Endang 12/25/2013 k'asniah Ruang Bersalin

UGD 17 Rp 170,000
Ruang Anak 14 Rp 140,000
Ruang Bersalin 60 Rp 600,000
Laboratorium 19 Rp 190,000

Total Rp 1,100,000
 DATA SAMPLING RAWAT JALAN LAB. NOVEMBER - DESEMBER 2014

Tanggal No.Lab. Analis dr. Nama Pasien Sampling Bagian

11/26/2014 219 EM ifiq An. Ibrahim k'yulida UGD

221 EM RY Ny. Fatmawati Gemalasari Mawaddah Laboratorium

11/27/2014 225 TA DH Ny. Rohatul Aina x

11/28/2014 231 RN ifiq An. Azzura Renny Laboratorium

233 RN aps Nn. Elva Yulianti Renny Laboratorium
234 RN aps Ny. Normilawati (acil ila dapur) Renny Laboratorium

11/29/2014 240 TA aps Ny. Siti Hamriah Tia Laboratorium

241 TA/EM DY An. Atna Sabila Nugraha Tia Laboratorium
242 EM aps Ny. Marlina Mawaddah Laboratorium

11/30/2014 257 EM idola An. M. Diandra K' Yulida UGD

12/1/2014 4 DN Anin Tn. Akhmad khairani Lutfhi UGD

12/2/2014 9 RN DY An. Denovan Siska UGD

10 RN ifiq Ny. Farida Hildawati (mertua dr ifiq) dr. Ifiq dr. Ifiq
11 RN isd Ny. Sri Jumiati (mertua ari) siska UGD
12 EM aps Ny. Siti Mu'minah Mawaddah Laboratorium
13 EM ifiq Tn. M. Fakhrianoor siska UGD

12/3/2014 16 EM DY An. Gt. Zaini Mufid Mawaddah Laboratorium

17 EM DY An. Azza Mawaddah Laboratorium
18 TA aps Ny. Iin (resepsionis) Mawaddah Laboratorium
21 TA aps Ny. St. Hamriah Tia Laboratorium
22 TA DH Ny. Liza Widyawati x

12/6/2014 31 RN Nn. Kusri Ningsih Tri Astuti Renny Laboratorium

32 RN Nn. Syarifa Nurul Huda Renny Laboratorium

12/8/2014 41 RN DY An. Rizki Marcel Tololiu Renny Laboratorium

45 TA aps Tn. M. Jamil kamali Tia Laboratorium
46 TA DH Ny. Sari Dely x

12/9/2014 48 TA DY An. M. Auki Yuda Ardani Tia Laboratorium

49 TA DY An. M. Zaki Tia Laboratorium
53 DN hfz Ny. Nadya Lutfhi UGD

12/10/2014 57 DN aps Ny. Eny Hadiyati Dhoni Laboratorium

61 RN DY An. M. Zaki Renny Laboratorium

12/11/2014 68 RN DH Ny. A'an x

69 RN DH Ny. Siti Fatimah x
70 RN DH Ny, Trisna Renny Laboratorium

12/12/2014 71 DN Tn. M. Zainurrahaman Dhoni Laboratorium

73 DN ifiq An. Tazkia Putri Fathur UGD

12/13/2014 79 TA DY An. Siti Atikah Tia Laboratorium

80 TA DY An. Nur Aisyah Tia Laboratorium

12/14/2014 83 RN DY An. Siti Atikah Renny Laboratorium

84 RN Idola An. M. Irza Renny Laboratorium

12/18/2014 104 DN DY An. M. Nasuha x

106 RN RY Ny. Nani Fatmawati Renny Laboratorium
107 EM aps Ny. Esti Puji Prikasih Mawaddah Laboratorium
108 EM aps Nn. Mega Ananda Mawaddah Laboratorium
109 EM DY An. M. Irza x
110 EM SY An. Ihsan kamil (dr. Lia) Lutfhi UGD
 DATA SAMPLING RAWAT JALAN LAB. NOVEMBER - DESEMBER 2014

Tanggal No.Lab. Analis dr. Nama Pasien Sampling Bagian

12/19/2014 113 RN RY Ny. Sukesi Renny Laboratorium

114 RN SF An. M. Naufal Renny Laboratorium
115 RN DY An. M. Zaini x

12/20/2014 118 DN ifiq An. Alifa Putri k'yulida UGD

12/21/2014 124 EM aps Ny. Rina Mawaddah Laboratorium

125 EM aps Ny. Gusti kardina x

12/22/2014 127 DN aps Ny. Hj. Hanifah Dhoni Laboratorium

128 RN aps Ny. Hj. Zahrah Renny Laboratorium
129 RN aps Tn. Abdul hadi Renny Laboratorium
130 RN aps Ny. Hj. Fadluniah Renny Laboratorium
131 RN aps An. M. Lutfhi Renny Laboratorium
132 RN aps An. Habibi Hasyim Renny Laboratorium
135 RN aps Tn. Fauzi Ridwan (adik renny) Renny Laboratorium

12/23/2014 137 TA aps Ny. Gusti Kardina Tia Laboratorium

139 RN aps Tn. Gt. Hafizinnur Renny Laboratorium
140 RN DH Ny. Yulianor x

12/25/2014 146 TA aps Tn. Abdullah Tia Laboratorium

147 EM aps Cahyo (karyawan dulu) Mawaddah Laboratorium

Total Biaya
UGD 10 Rp 100,000
Ruang Anak 0 Rp -
Ruang Bersalin 0 Rp -
Laboratorium 43 Rp 430,000
Dokter 1 Rp 10,000

Total 54 Rp 540,000

Mengetahui,
Ttd, Kepala Ruangan Laboratorium

Renny Sislia dr. M. Hafidz Maulana

 DATA SAMPLING RAWAT INAP LAB. NOVEMBER - DESEMBER 2014

No. Lab Kamar Analis dr. Nama Pasien Tanggal Sampling Bagian

220RA1114 K7 EM ifiq An. Bilqis 11/26/2014 k'yulida UGD

222RA1114 K8 DN SY Nn. Nisa Mala Hayani 11/26/2014 k'yulida UGD

223RA1114 K10 TA hfz An. M Riyaru 11/27/2014 lutfi UGD

230RA1114 EM SF 11/28/2014 rina Ruang anak

224RA1114 K13 TA SF An. Ubaidillah 11/27/2014 lutfi UGD

226RB1114 A4 DN RY Ny. Hamdanah (perawat anak) 11/27/2014 rahma Ruang bersalin

235RB1114 RN 11/28/2014 renny Laboratorium

227RA1114 K1 DN hfz An. Galuh 11/27/2014 k'yulida UGD

228RB1114 C9 EM RY Ny. Sulistiawati 11/27/2014 wardah Ruang bersalin

229RB1114 C7 EM AA Ny. Astuti 11/27/2014 marta Ruang bersalin

247RB1114 RN 11/29/2014 renny Laboratorium

232RB1114 A5 RN DH Ny. Misnaini 11/28/2014 marta Ruang bersalin

238RB1114 TA 11/28/2014 tia Laboratorium
255RB1114 EM 11/30/2014 mawaddah Laboratorium

236RB1114 A5 RN DY By. Ny. Misnaini 11/28/2014 renny Laboratorium

237RB1114 B2 TA AA Ny. Yanti (perawat anak) 11/28/2014 vk? Ruang bersalin
239RB1114 C8 TA Fathur Ny. Nurul Hikmah 11/29/2014 umi Ruang bersalin

243RA1114 K5 EM hfz An. Adelia Putri 11/29/2014 fathur UGD

246RA1114 RN SF 11/29/2014 x

244RB1114 A6 EM AA Ny. Salawatul Awaliyah 11/29/2014 mawaddah Laboratorium

245RA1114 K2.2 EM DY By. Ny. Hamdanah II (perawat) 11/29/2014 rina Ruang anak
015RA1214 EM 12/2/2014 x

248RA1114 K12 RN SY An. AL Khalifi 11/29/2014 fathur UGD

249RA1114 K1 RN HFZ An. Bagas 11/29/2014 renny Laboratorium

254RA1114 EM 11/30/2014 x

250RA1114 K4 RN hfz An. Abimael 11/29/2014 lutfi UGD

251RB1114 C8 RN DH Ny. Helmiah 11/29/2014 wiwin Ruang bersalin
252RB1114 A6 RN RY Ny. Marnilawati 11/30/2014 marta Ruang bersalin
253RB1114 B2 RN RY Ny. Husniah 11/30/2014 marta Ruang bersalin
256RB1114 B1 EM RY Ny. Asiah 11/30/2014 k'yulida UGD
258RB1114 B1 DN hfz By. Ny. Aisyah 11/30/2014 dhoni Laboratorium
259RB1114 C7 DN RY Ny. Devi 11/30/2014 rahma Ruang bersalin

001RB1214 C9 EM BD Ny. Helda Rahmawati 12/1/2014 linda Ruang bersalin

008RB1214 RN 02/12/12014 rahma Ruang bersalin

002RB1214 B2 DN DY By. Ny. Husniah 12/1/2014 mawaddah Laboratorium

003RB1214 C7 DN ifiq By. Ny. Devi 12/1/2014 mawaddah Laboratorium
005RA1214 K5 TA PR An. M. Bisri 12/1/2014 UGD? UGD
006RA1214 K10 TA Anin An. M. Agus Fiqri 12/1/2014 retno Ruang anak
007RB1214 C9 TA DY By. Ny. Helda Rahmawati 12/2/2014 tia Laboratorium

014RA1214 K1 EM ISD An. Saira Asyfa 12/2/2014 lutfi UGD

020RA1214 TA SF 12/3/2014 x

019RA1214 K8 TA DY An. Ayyas 12/3/2014 ervina Ruang anak

023RB1214 B2 RN RW Ny. Sri Jumiaty (mertua ari) 12/4/2014 renny Laboratorium

025RB1214 TA 12/4/2014 x
026RB1214 TA 12/5/2014 tia Laboratorium
029RB1214 DN 12/6/2014 dhoni Laboratorium
 DATA SAMPLING RAWAT INAP LAB. NOVEMBER - DESEMBER 2014

No. Lab Kamar Analis dr. Nama Pasien Tanggal Sampling Bagian

024RA1214 K1 TA SF An. M. Rizki 12/4/2014 k'yulida UGD

027RA1214 K7 TA IH An. M. Indra 12/5/2014 x
028RB1214 C9 DN DH Ny. Siti Faizah 12/5/2014 icha Ruang Bersalin
030RA1214 K1 DN DY An. Queen Bee 12/6/2014 k'yulida UGD
033RB1214 C7 EM RY Ny. Noor Jannah 12/6/2014 rahma Ruang Bersalin

034RA1214 K7 EM DY An. M. Adli 12/6/2014 mawaddah Laboratorium

035RA1214 EM 12/6/2014 siska UGD
037RA1214 TA 12/7/2014 tia Laboratorium
043RA1214 RN 12/8/2014 renny Laboratorium
047RA1214 TA 12/9/2014 tia Laboratorium

036RB1214 A4 EM DH Ny. Nor Hamidah 12/7/2014 umi Ruang Bersalin

038RA1214 K12 RN SY An. Taufik Rahman 12/7/2014 fatur UGD

044RA1214 TA SF 12/8/2014 x

039RB1214 A4 RN SY By. Ny. Hamidah 12/7/2014 renny Laboratorium

040RB1214 A6 RN DH Ny. Padila Sandi 12/7/2014 linda Ruang Bersalin
042RB1214 C7 RN AA Ny. Noor Halidah 12/8/2014 vk? Ruang Bersalin
043RA1214 K10 DN HFZ Ny. Helda Rahmawati 12/8/2014 k'yulida UGD

050RB1214 C8 TA BD Ny. Falahiatul 12/9/2014 lita Ruang Bersalin

052RB1214 DN 12/9/2014 dhoni Laboratorium
055RB1214 DN 12/10/2014 dhoni Laboratorium
062RB1214 EM 12/10/2014 mawaddah Laboratorium

051RB1214 A6 TA/EM RY Ny. Febriana 12/9/2014 vk? Ruang Bersalin

063RB1214 EM 12/10/2014 mawaddah Laboratorium
065RB1214 TA 12/11/2014 tia Laboratorium

053RA1214 K3 DN DY By. Ibra Arkana 12/9/2014 k'yulida UGD

056RA1214 DN 12/10/2014 dhoni Laboratorium

054RB1214 C9 DN RY Ny. Siti Wulansari 12/9/2014 icha Ruang Bersalin

058RA1214 R/Anak RN ifiq An. Yunita 12/10/2014 novi Ruang Anak
059RB1214 A6 RN SF By. Ny. Febriana 12/10/2014 renny Laboratorium
060RB1214 A5 RN BD Ny. Ratna Putri 12/10/2014 wiwin Ruang Bersalin
064RA1214 K2.2 EM DY By. Rizky Marcel 12/11/2014 mawaddah Laboratorium

066RA1214 K2.2 TA SF By. Ny. Falahiatul 12/11/2014 tia Laboratorium

076RA1214 DN 12/13/2014 rina Ruang Anak

067RB1214 A4 RN RY Ny. Lucia Ika Heni Rahmawati 12/11/2014 rahma Ruang Bersalin
075RB1214 DN 12/12/2014 dhoni Laboratorium

072RA1214 K2.1 DN SF By. Ny. Lucia 12/12/2014 novi Ruang Anak

077RB1214 C7 EM BD Ny. Ida 12/13/2014 nurul Ruang Bersalin
078RB1214 B2 EM DY By. Ny. Ida R. 12/13/2014 mawaddah Laboratorium
081RB1214 A5 TA RY Ny. Mimi 12/14/2014 umi Ruang Bersalin
082RB1214 vk TA RY Ny. Dwi Astuti 12/14/2014 icha Ruang Bersalin
085RB1214 A6 EM RY Ny. Reni 12/14/2014 marta Ruang Bersalin
086RA1214 K8 EM ISD An. M. Ramadhan 12/14/2014 lutfi UGD
087RA1214 K1 EM ISD An. Larisa E.S 12/15/2014 x
088RA1214 K7 EM ISD An. Emir Ali R. 12/15/2014 lutfi UGD
089RA1214 K4 RN ifiq An. Qiandra A.S (anak dr. Ifiq) 12/15/2014 fatur UGD

090RA1214 K12 RN Ifiq An. Akmal Sidiq 12/15/2014 fatur UGD

096RA1214 TA SF 12/17/2014 x

091RB1214 C8 RN DH Ny. Dewi Fajarwati 12/15/2014 wirna Ruang Bersalin

092RB1214 vk RN AA Ny. Erlina 12/15/2014 wardah Ruang Anak

093RA1214 K8 RN Anin An. A. Fadil 12/16/2014 renny Laboratorium

094RA1214 K10 RN Anin An. Fatimah Azzahra (anak Ari) 12/16/2014 siska UGD
095RA1214 K1 TA SF An. Sayyid Husein 12/16/2014 tia Laboratorium
 DATA SAMPLING RAWAT INAP LAB. NOVEMBER - DESEMBER 2014

No. Lab Kamar Analis dr. Nama Pasien Tanggal Sampling Bagian

097RB1214 C8 TA NN Ny. Hj. Rukiah 12/17/2014 tia Laboratorium

102RB1214 DN 12/18/2014 dhoni Laboratorium

098RB1214 C7 TA RL Ny. Gusti Kardina 12/17/2014 tia Laboratorium

099RB1214 TA 12/17/2014 x

100RA1214 K9 EM ifiq An. Helena Cindy 12/17/2014 lutfi UGD

101RA1214 K4 DN SF An. Tazkiatul Maula 12/18/2014 k'yulida UGD

103RA1214 DN 12/18/2014 x
120RA1214 DN 12/20/2014 x

105RB1214 K12 RN DY An. Ahmad Rifa'i (anak acil lina) 12/18/2014 renny Laboratorium
111RB1214 A6 EM RY Ny. Mina 12/19/2014 nurul Ruang Bersalin
112RA1214 K7 EM IH An. Marcellinus (Adik Helena Cindy) 12/19/2014 pony Ruang Anak
116RB1214 A5 RN AA Ny. Diana 12/20/2014 santi Ruang Bersalin

117RB1214 A4 DN RY Ny. Nani 12/20/2014 wardah Ruang Bersalin

119RB1214 DN 12/20/2014 x
121RB1214 DN 12/20/2014 dhoni Laboratorium

119RB1214 A6 DN RY Ny. Uly 12/20/2014 umi Ruang Bersalin

122RA1214 K6 TA SF An. Ghina Lien 12/21/2014 fatur UGD

123RA1214 K3 EM SY An. Hilyah Aulia 12/21/2014 lutfi UGD

136RA1214 TA DY 12/23/2014 ervina Ruang Anak

126RA1214 K7 EM SF An. Alya Salsabila 12/21/2014 dr. Idola dr. Idola

133RB1214 C7 RN RY Ny. Wulan Tri Utami 12/22/2014 rahma Ruang Bersalin
134RB1214 A5 RN RY Ny. Dewi Lestari 12/22/2014 rahma Ruang Bersalin
138RB1214 B2 TA RY Ny. Reka 12/23/2014 lita Ruang Bersalin

141RB1214 A5 TA RY Ny. Apri Ramadani 12/24/2014 umi Ruang Bersalin

145RB1214 TA 12/25/2014 tia Laboratorium

142RA1214 K2 TA DY By. Ny. Hj. Latifah 12/24/2014 tia Laboratorium

143RB1214 A5 TA DY By. Ny. Apri Ramadani 12/24/2014 tia Laboratorium
144RB1214 A4 TA DH Ny. Hj. Latifah 12/24/2014 tia Laboratorium

148RA1214 K5 DN SF An. Ahad Aqila 12/25/2014 Ltfhi UGD

150RA1214 DN 12/25/2014 x

149RA1214 C8 DN idola An. Randi (Om. Andre admin) 12/25/2014 Lutfhi UGD

UGD 28 Rp 280,000
Ruang Anak 10 Rp 100,000
Ruang Bersalin 35 Rp 350,000
Laboratorium 41 Rp 410,000
Dokter 1 Rp 10,000

Total 115 Rp 1,150,000

Mengetahui,
Ttd, Kepala Ruangan Laboratorium

Renny Sislia dr. M. Hafidz Maulana

 DATA SAMPLING RAWAT INAP LAB. DESEMBER 2014 - JANUARI 2015

No. Lab Kamar Analis dr. Nama Pasien Tanggal Sampling Bagian

155RA1214 K2 EM ISD By. Fawas Anwar 12/26/2014 siska UGD

168RA1214 DN DY 12/28/2014 dhoni Laboratorium

156RA1214 K5 EM DY An. Atnan 12/26/2014 rully Ruang Anak

157RA1214 K2 EM Anin By. Sabilina 12/26/2014 mawaddah Laboratorium

164RA1214 TA DY 12/27/2014 x

158RA1214 K6 EM Anin An. Fatir Rizky 12/26/2014 mawaddah Laboratorium

159RB1214 K7 EM Anin Tn. Kaspul Anwar 12/27/2014 mawaddah Laboratorium
162RB1214 A6 TA AA Ny. Sri Agustina 12/27/2014 lita Ruang Bersalin
163RB1214 A6 TA DY By. Ny. Sri Agustina 12/27/2014 tia Laboratorium

165RA1214 K6 TA HFZ An. Noel Sembiring 12/27/2014 nisa Ruang Anak

166RA1214 DN 12/28/2014 x
187RA1214 RN/RT DY 12/30/2014 x

167RA1214 K5 DN DY An. Adnan 12/28/2014 dhoni Laboratorium

174RA1214 DN 12/29/2014 dhoni Laboratorium
182RA1214 TA 12/30/2014 tia Laboratorium
191RA1214 TA 12/31/2014 tia Laboratorium

169RA1214 K1 DN DY An. Ziazka Rezky 12/28/2014 k'yulida UGD

170RB1214 A4 DN DH Ny. Safwah 12/28/2014 icha Ruang Bersalin
171RA1214 K3 DN DY An. Raudatul Hafina 12/28/2014 k'yulida UGD

172RB1214 C8 DN RL Ny. Wiwik 12/28/2014 k'yulida UGD

175RB1214 EM/RT 12/29/2014 mawaddah Laboratorium
185RB1214 TA 12/30/2014 tia Laboratorium
190RB1214 TA 12/31/2014 tia Laboratorium
195RB1214 RN 12/31/2014 renny Laboratorium
001RB0115 RN 1/1/2015 renny Laboratorium
007RA0115 DN 1/2/2015 dhoni Laboratorium
013RB0115 EM 1/2/2015 mawaddah Laboratorium
021RB0115 TA 1/3/2015 tia Laboratorium

173RA1214 K4 DN ISD An. Faris Ahmad 12/28/2014 fatur UGD

176RB1214 C9 EM/RT RY Ny. Ida Mariyana 12/29/2014 linda Ruang Bersalin
177RA1214 K10 EM/RT Ifiq An. Aqila Rezky 12/29/2014 lutfi UGD

178RA1214 K7 EM/RT Ifiq An. M. Lutfi 12/29/2014 lutfi UGD

183RA1214 TA DY 12/30/2014 tia Laboratorium
192RA1214 TA 12/31/2014 tia Laboratorium

179RA1214 K8 EM/TA idola An. Zulfa Husna 12/29/2014 mawaddah Laboratorium

193RA1214 DN 12/31/2014 ervina Ruang Anak

181RA1214 K12 TA DY An. Rifqi 12/30/2014 tia Laboratorium

188RB1214 C7 EM BD Ny. Nurwasihan 12/30/2014 rahma Ruang Bersalin
189RB1214 A4 TA DH Ny. Halimah 12/30/2014 umi Ruang Bersalin
196RA1214 K3 RN DY An. Naura 12/31/2014 fatur UGD
197RA1214 K5 RN DY An. Khodijatun Nafiza 12/31/2014 R/Anak Ruang Anak

002RA0115 K1 DN Anin Ny. Mardiah (ortu An. Prama P.) 1/1/2015 lutfi UGD
011RA0115 EM/RT RL 1/2/2015 x
018RA0115 TA 1/3/2015 retno Ruang Anak

003RB0115 C7 DN Anin Ny. Pratiwi Ayu Wulandari 1/1/2015 lutfi UGD

004RA0115 K1 DN Anin An. Prama Pramudia 1/1/2015 dhoni Laboratorium

008RA0115 DN DY 1/2/2015 rina Ruang Anak
019RA0115 TA 1/3/2015 tia Laboratorium
028RA0115 DN 1/4/2015 dhoni Laboratorium
043RA0115 RN/RT 1/5/2015 renny Laboratorium
047RA0115 DN/RT 1/5/2015 x
 DATA SAMPLING RAWAT INAP LAB. DESEMBER 2014 - JANUARI 2015

No. Lab Kamar Analis dr. Nama Pasien Tanggal Sampling Bagian

005RA0115 K6 DN ISD An. M. Ridho 1/1/2015 fatur UGD

016RA0115 TA DY 1/3/2015 ervina Ruang Anak

006RB0115 A6 DN DH Ny. Yunnisa 1/1/2015 lita Ruang Bersalin

012RA0115 A4 EM/RT RY Ny. Yusnita 1/2/2015 vk? Ruang Bersalin
015RA1214 K3 TA HFZ An. Gt. Nelam 1/2/2015 ervina Ruang Anak

017RA0115 K5 TA DY An. M. Fadly 1/3/2015 ervina Ruang Anak

026RA0115 DN 1/4/2015 dhoni Laboratorium
041RA0115 RN 1/5/2015 R/Anak Ruang Anak
057RA0115 EM/RT 1/6/2015 novi Ruang Anak
064RA0115 DN 1/7/2015 dhoni Laboratorium

029RB1214 vk DN RY Ny. Elvy Supiati 1/4/2015 marta Ruang Bersalin

032RA0115 K7 DN DY An. Putri Nayla 1/4/2015 dhoni Laboratorium

042RA0115 RN/RT 1/5/2015 R/Anak Ruang Anak

034RB0115 C10 RN RL Nn. Pratiwi 1/4/2015 x

035RB0115 K4 RN HFZ Tn. Winarto (ortu An. M. Ridho) 1/4/2015 lutfi UGD

036RB0115 C8 RN HFZ Ny. Aina 1/4/2015 lutfi UGD

045RB0115 DN/RT RL 1/5/2015 dhoni Laboratorium
055RB0115 TA 1/6/2015 tia Laboratorium

039RA0115 K6 RN ISD An. Haidar 1/4/2015 fatur UGD

048RB0115 B2 DN/RT RY Ny. Amah 1/5/2015 umi Ruang Bersalin
049RA0115 K8 DN/RT DY An. Aufar 1/5/2015 olla Ruang Anak

050RB0115 C9 TA DH Ny. Helmiah 1/5/2015 linda Ruang Bersalin

096RB0115 TA 1/9/2015 tia Laboratorium

051RA0115 K7 TA DY An. Rezqiya Khair A. 1/5/2015 fatur UGD

052RA0115 K12 TA SF An. Azka 1/5/2015 fatur UGD
053RA0115 K2 TA ifiq An. Naura 1/5/2015 fatur UGD

054RA0115 K1 TA SF An. Nayla Salsabila 1/6/2015 fatur UGD

058RA0115 EM/RT 1/6/2015 sisa sampel UGD
065RA0115 DN 1/7/2015 dhoni Laboratorium
077RA0115 EM 1/8/2015 mawaddah Laboratorium
088RA0115 DN/RT 1/9/2015 dhoni Laboratorium
100RA0115 TA 1/10/2015 tia Laboratorium

059RA0115 K10 DN SF An. Alifa Hijriya 1/6/2015 hafizah UGD

066RA0115 DN 1/7/2015 dhoni Laboratorium
078RA0115 EM 1/8/2015 mawaddah Laboratorium

060RB0115 A6 DN DH Ny. Wida Sintya Putri 1/6/2015 icha Ruang Bersalin

062RB0115 DN 1/7/2015 dhoni Laboratorium
084RB0115 TA 1/8/2015 linda Ruang Bersalin

061RA0115 K3 DN SF An. Saufia Zafira 1/6/2015 R/Anak Ruang Anak

063RB0115 A4 DN RY Ny. Agustia 1/7/2015 icha Ruang Bersalin
067RA0115 K4 DN DY An. Haidar 1/7/2015 retno Ruang Anak

069RA0115 K5 RT/TA ifiq An. Nayla 1/7/2015 taufik Laboratorium

070RA0115 EM 1/7/2015 x

073RB0115 C7 EM DH Ny. Rizki Purnama Sari 1/7/2015 k'asniah Ruang Bersalin

095RB0115 TA 1/9/2015 tia Laboratorium

075RB0115 C8 EM RY Ny. Dian 1/7/2015 susan Ruang Bersalin

076RA0115 K6 EM SF An. Zahira P.K. 1/8/2015 desy Ruang Anak
079RB0115 A4 TA DH Ny. Ade Febriani 1/8/2015 linda Ruang Bersalin
 DATA SAMPLING RAWAT INAP LAB. DESEMBER 2014 - JANUARI 2015

No. Lab Kamar Analis dr. Nama Pasien Tanggal Sampling Bagian

082RB0115 B2 TA RY Ny. Tuti 1/8/2015 linda Ruang Bersalin

087RB0115 DN 1/9/2015 dhoni Laboratorium

085RB0115 B1 DN RY Ny. Monalita 1/9/2015 vk? Ruang Bersalin

086RB0115 C9 DN DH Ny. Nor Halimah 1/9/2015 vk? Ruang Bersalin
091RA0115 K1 EM/RT SF An. Chika (Kakak Nayla Salsabila) 1/9/2015 mawaddah Laboratorium

092RB0115 A6 EM/RT RY Ny. Mila Karmila 1/9/2015 umi Ruang Bersalin

099RB0115 TA 1/10/2015 tia Laboratorium

094RA0115 K7 TA isd An. Seema 1/9/2015 tia Laboratorium

104RA0115 EM/RT DY 1/10/2015 x

097RA0115 K12 TA Fatma Ny. Hj. Norliani 1/9/2015 tia Laboratorium

098RA0115 K1 TA Anin An. M. Syahrani 1/9/2015 fatur UGD

102RB0115 C8 EM/RT RY Ny. Trifia 1/10/2015 marta Ruang Bersalin

115RB0115 EM 1/11/2015 mawaddah Laboratorium

105RB0115 A5 EM/RT AA Ny. Nor Hidayati 1/10/2015 marta Ruang Bersalin

106RA0115 K5 EM/RT ifiq An. Hazza 1/10/2015 taufik Laboratorium

111RA0115 DN IH 1/11/2015 x

107RB0115 B2 DN/RT IH By. Ny. Tuti 1/10/2015 dhoni Laboratorium

108RA0115 K6 DN idola An. Eghi 1/10/2015 lutfi UGD

131RA0115 DN/RT DY 1/13/2015 dhoni Laboratorium

110RB0115 A4 DN AA Ny. Herlita 1/10/2015 icha Ruang Bersalin

112RB0115 TA 1/11/2015 tia Laboratorium

117RA0115 K4 EM DY An. Alisa 1/11/2015 siska UGD

118RA0115 K10 EM isd Tn. Zari Pandowo 1/11/2015 lutfi UGD

126RA0115 TA RW 1/13/2015 x

119RB0115 A5 EM RY Ny. Syarifah 1/12/2015 marta Ruang Bersalin

122RB0115 DN/RT 1/12/2015 taufik Laboratorium

123RB0115 K12 DN isd NY. Dini 1/12/2015 fatur UGD

124RA0115 DN 1/12/2015 x

128RB0115 A6 RT/DN RY Ny. Triwira 1/13/2015 icha Ruang Bersalin

138RB0115 TA 1/14/2015 tia Laboratorium

129RA0115 K7 RT/DN ifiq An. M. Alif Fatahillah 1/13/2015 tia Laboratorium

140RA0115 RN SF 1/14/2015 x

130RA0115 K1 RT/DN ifiq An. Hafizah Rahmah 1/13/2015 hafizah UGD

139RB0115 A6 EM/RT DY By. Ny. Triwira 1/14/2015 tia Laboratorium
143RA0115 K7 RN Anin An. Elfida Nor Aulia 1/14/2015 hafizah UGD

144RA0115 K3 RN DY An. Rizkya Dyah 1/15/2015 ervina Ruang Anak

153RA0115 RN 1/16/2015 k'maria Ruang Anak
160RA0115 RN 1/17/2015 novi Ruang Anak
165RA0115 K4 TA 1/17/2015 tia Laboratorium
170RA0115 DN/RT 1/18/2015 R/Anak Ruang Anak
181RA0115 RN 1/19/2015 renny Laboratorium

145RA0115 RA DN/RT ifiq An. Nadia 1/15/2015 R/Anak Ruang Anak

147RB0115 C8 DN/RT ifiq Ny. Wiwik 1/15/2015 siska UGD
150RA0115 K4 EM SF An. Fariz 10/15/2015 mawaddah Laboratorium

158RA0115 K7 RN SF An. Avelina 1/16/2015 fatur UGD

159RA0115 RN 1/17/2015 x
 DATA SAMPLING RAWAT INAP LAB. DESEMBER 2014 - JANUARI 2015

No. Lab Kamar Analis dr. Nama Pasien Tanggal Sampling Bagian

161RA0115 K3 EM/RT aps An. Siti Rohidatul Aisyah 1/17/2015 taufik Laboratorium
166RA0115 K4 TA DY 1/17/2015 tia Laboratorium
169RA0115 TA 1/18/2015 tia Laboratorium
173RA0115 DN 1/19/2015 dhoni Laboratorium
180RA0115 RN 1/19/2015 renny Laboratorium
193RA0115 DN 1/20/2015 dhoni Laboratorium
201RA0115 RN/RT 1/21/2015 k'novi Ruang Anak

162RA0115 VK EM/RT AA Ny. Ayu Widawati 1/17/2015 wardah Ruang Bersalin

163RB0115 A6 EM/RT RY Ny. Hj. Bulkis 1/17/2015 wardah Ruang Bersalin
164RA0115 K10 EM/RT ifiq An. Nur Latisya P. 1/17/2015 k'maria Ruang Anak

171RA0115 K9/10 DN/RT SY An. Julia Dwi 1/18/2015 lutfi UGD

179RA0115 K10 RN SF 1/19/2015 ervina Ruang Anak
194RA0115 DN 1/20/2015 dhoni Laboratorium
202RA0115 RN/RT 1/21/2015 renny Laboratorium
214RA0115 EM 1/22/2015 mawaddah Laboratorium

172RB0115 A5 DN/RT DH Ny. Hj. Rifqoh 1/18/2015 nurul Ruang Bersalin

186RB0115 EM 1/19/2015 mawaddah Laboratorium

174RA0115 K5 DN Anin An. Kevin 1/19/2015 dhoni Laboratorium

184RA0115 EM 1/19/2015 x

176RA0115 K1 DN IH An. Nor Latifa 1/19/2015 x

183RA0115 K6 EM DY An. M. Ihza Saputra 1/19/2015 siska UGD

192RA0115 DN 1/19/2015 x

187RB0115 A6 EM AA Ny. Nurul Huda 1/19/2015 rahma Ruang Bersalin

197RB0115 C7 RN/RT hfz Ny. Tri Yulianti 1/20/2015 renny Laboratorium

218RB0115 EM RL 1/22/2015 mawaddah Laboratorium
224RB0115 DN 1/22/2015 dhoni Laboratorium
246RB0115 EM 1/23/2015 mawaddah Laboratorium
249RB0115 EM 1/24/2015 mawaddah Laboratorium
281RB0115 TA 1/25/2015 tia Laboratorium

198RA0115 K4 RN/RT DY An. Alif Hasan 1/20/2015 renny Laboratorium

237RA0115 RN/RT 1/23/2015 taufik Laboratorium
253RA0115 EM 1/24/2015 R/Anak Ruang Anak

203RA0115 K6 TA/RT ifiq An. Hafna Fatiya Tasla 1/21/2015 renny Laboratorium
256RA0115 TA IH 1/24/2015 mawaddah Laboratorium

205RA0115 K7 TA/RT ifiq An. Nasia Putri 1/21/2015 UGD? UGD

215RA0115 EM DY 1/22/2015 mawaddah Laboratorium
236RA0115 RN/RT 1/23/2015 renny Laboratorium
255RA0115 TA 1/24/2015 mawaddah Laboratorium
266RA0115 RN 1/25/2015 renny Laboratorium

212RA0115 K4 EM isd An. Naira 1/22/2015 fatur UGD

228RA0115 DN 1/22/2015 x

213RA0115 K1 EM DY An. Dina Nabila 1/22/2015 x

216RB0115 A4 EM RY Ny. Ana 1/22/2015 santi Ruang Bersalin

221RA0115 K3 DN DY An. Nurul Huda 1/22/2015 taufik Laboratorium

234RA0115 RN/RT 1/23/2015 renny Laboratorium
251RA0115 EM 1/24/2015 mawaddah Laboratorium
268RA0115 RN 1/25/2015 renny Laboratorium

222RB0115 C8 DN ifiq Ny. Hj. Bustamiah 1/22/2015 lutfi UGD

225RB0115 A5 DN RY Ny. Herlina 1/22/2015 nurul Ruang Bersalin

 DATA SAMPLING RAWAT INAP LAB. DESEMBER 2014 - JANUARI 2015

No. Lab Kamar Analis dr. Nama Pasien Tanggal Sampling Bagian

227RA0115 K8 DN hfz An. Raditya Najwan 1/22/2015 lutfi UGD

263RA0115 RN/RT DY 1/24/2015 renny Laboratorium
267RA0115 RN 1/25/2015 nisa Ruang Anak
277RA0115 TA 1/25/2015 tia Laboratorium

229RB0115 A6 RN RY Ny. Mila Astun 1/22/2015 vk? Ruang Bersalin

231RA0115 K12 RN RD An. Adinda Nurus Syifa 1/22/2015 hafizah UGD

259RA0115 TA/RT DY 1/24/2015 tia Laboratorium

233RA0115 K10 RN SF An. Amilia Putri 1/23/2015 R/Anak Ruang Anak

254RA0115 EM 1/24/2015 R/Anak Ruang Anak
269RA0115 RN 1/25/2015 nisa Ruang Anak

235RA0115 C9 RN/RT NN Nn. Siti Raudah 1/23/2015 vk? Ruang Bersalin

250RB0115 EM 1/24/2015 mawaddah Laboratorium

243RA0115 K1 RN/RT DY An. Zidan 1/23/2015 siska UGD

247RA0115 K9 EM Anin An. Mirza 1/23/2015 lutfi UGD

252RA0115 K13 EM DY 1/24/2015 R/Anak Ruang Anak
262RA0115 RN/RT 1/24/2015 renny Laboratorium
270RA0115 RN 1/25/2015 nisa Ruang Anak

248RA0115 B1 EM DY An. Kaisa 1/23/2015 mawaddah Laboratorium

258RB0115 A4 TA DH Ny. Dian Novayanti 1/24/2015 linda Ruang Bersalin

261RB0115 TA/RT 1/24/2015 lita Ruang Bersalin

264RB0115 B2 RN hfz An. Gibran 1/25/2015 fatur UGD

274RB0115 A5 EM SF By. Ny. Siti Hindun 1/25/2015 mawaddah Laboratorium
275RB0115 C8 EM NN Tn. A. Thohir 1/25/2015 vk? Ruang Bersalin

278RB0115 A5 TA/EM HS Ny. Siti Hindun 1/25/2015 vk? Ruang Bersalin

280RB0115 TA 1/25/2015 tia Laboratorium

279RB0115 A6 TA RY Ny. Nova Damayanti 1/25/2015 linda Ruang Bersalin

 DATA SAMPLING RAWAT JALAN LAB. JANUARI 2015

Tanggal No.Lab. Analis dr. Nama Pasien Sampling Bagian

12/26/2014 151 RN DY An. Nasya Putri x

152 RN ifiq Ny. Asniah siska UGD
153 RN ifiq An. Danish siska UGD
154 EM DY An. M. Fathi Mawaddah Laboratorium

12/27/2014 160 TA ifiq An. Afifa Rahman x

161 TA/EM ifiq An. Hernawati siska UGD

12/29/2014 180 TA idola An. Davina Soraya Tia Laboratorium

12/30/2014 184 TA DY An. Narsya Regita Tia Laboratorium

186 RN/RT DY An. Nararia Renny Laboratorium

12/31/2014 194 DN/RT RY Ny. Nur Faridah Dhoni Laboratorium

1/2/2015 9 EM/RT DY An. Nararia Mawaddah Laboratorium

10 EM/RT DY An. Siti Nor syifa Mawaddah Laboratorium
14 EM hfz An. Putri k'yulida UGD

1/3/2015 20 TA aps Tn. Djunaidi Tia Laboratorium

22 EM/RT aps An. M. Syarif Habibi Mawaddah Laboratorium
23 RN DY An. Ahyan Mawaddah Laboratorium
24 RN DY An. Nararia Mawaddah Laboratorium

1/4/2015 25 DN isd Tn. Wahyu Kurniawan lutfi UGD

27 DN aps Ny. Siti Hamriah dhoni Laboratorium
30 TA DY An. Nararia tia Laboratorium
31 TA RS Mutia An. M. Dafa tia Laboratorium
33 TA aps Ny. Gusti Kardina tia Laboratorium
37 RN Anin An. M. Amar (anak pipit) renny Laboratorium
38 RN hfz Nn. Marlina x

1/5/2015 40 RN DY An. Wari Nugroho renny Laboratorium

44 RN/RT aps Tn. Abdul Hadi taufik Laboratorium
46 DN/RT aps Ny. Muriaty (loundry) dhoni Laboratorium
56 EM/RT DY An. Afifa Mikaila mawaddah Laboratorium

1/7/2015 68 RT/TA DH Ny. Dewi taufik Laboratorium

71 EM DH Ny. Dina mawaddah Laboratorium
72 EM aps Ny. Reka mawaddah Laboratorium
1/8/2015 80 TA aps Tn. Poniran tia Laboratorium
81 TA aps Ny. Marlina tia Laboratorium
83 TA idola Ny. Nor Hassanah fatur UGD

1/9/2015 89 DN DY An. Haikal x

90 DN/RT DY An. Karisa dhoni Laboratorium
91 EM/RT SF An. Chika mawaddah Laboratorium
93 EM/RT DY An. Karisa x

1/10/2015 101 TA DY An. Ayra tia Laboratorium

103 EM/RT ifiq An. Lailatus Saadah mawaddah Laboratorium
109 DN Anin An. Yudi dhoni Laboratorium

1/11/2015 113 TA DH Ny. Nanik Maryani x

114 TA DH Ny. Ernawati x
116 EM aps Tn. Edy Ariansyah mawaddah Laboratorium

1/12/2015 120 DN/RT aps Nn. Supriatin (Admin) mawaddah Laboratorium

121 DN/RT aps Ny. Imas (kasir) dhoni Laboratorium

1/13/2015 125 TA DH Ny. Yanti tia Laboratorium

127 RT/DN aps Ny. Hj. Zunaidah taufik Laboratorium
132 RT/DN ifiq An. Yona Maudita taufik Laboratorium
134 EM DH Ny. Mursidah mawaddah Laboratorium
135 EM SY An. Ahmad Aditya Lutfi hafizah UGD
136 EM Anin Tn. Aspihani (mertua dr. Anin) mawaddah Laboratorium
137 EM Anin Ny. Jumiatun (mertua dr. Anin) mawaddah Laboratorium

1/14/2015 141 RN Idola An. Nadia Khairunnisa Lutfhi UGD

142 RN DH Ny. Marina x
 DATA SAMPLING RAWAT JALAN LAB. JANUARI 2015

Tanggal No.Lab. Analis dr. Nama Pasien Sampling Bagian

1/15/2015 146 DN/RT ifiq An. Antin siska UGD

147 EM DY An. Khodijah Mawaddah Laboratorium
148 EM idola Ny. Noor Hasanah Mawaddah Laboratorium
149 EM idola An. M. Elvian Mawaddah Laboratorium

1/16/2015 151 EM DY An. Febri Aulia Mawaddah Laboratorium

152 EM DY An. Aldito Mawaddah Laboratorium
154 DN/RT APS Ny. Marlina Taufik Laboratorium
155 RN DY An. Abdurrahman Hafiz Renny Laboratorium
156 RN DY An. M. Khairul Fikri Fathur UGD
157 RN SY Tn. M. Kahirul Syafi'i Fathur UGD

1/17/2015 167 TA aps Ny. Marlina Tia Laboratorium

1/18/2015 168 TA RD An. Nazamah Huda Fathur UGD

1/19/2015 175 DN anin An. M. Zibran B. Kaflin Dhoni Laboratorium

178 RN/DN DY An. Nasya Putri Renny Laboratorium
182 RN/DN DY An. M. Sayuti Renny Laboratorium
185 EM aps Ny. Nia x
188 EM ifiq An. Elvian siska UGD
189 DN AA Ny. Yuli Ananda (mutia) Dhoni Laboratorium
190 EM DH Ny. Heliana Mawaddah Laboratorium
191 DN DY By. M. Ananda Ilhami Dhoni Laboratorium

1/20/2015 195 TA PR An. Rahmatullah (mutia) Tia Laboratorium

196 RN/RT APS Ny. Mahdayani Taufik Laboratorium

1/21/2015 199 RN/RT DY An. Nurul Huda Taufik Laboratorium

200 RN/RT DY An. Dina Nabila Renny Laboratorium
204 TA/RT ifiq Tn. Adi Rosyadi Taufik Laboratorium
206 TA DY An. Talita Alifah Tia Laboratorium
207 TA SY An. Rizka Aulia Putri Hafizah UGD
208 TA DY An. Ahmad Zaini Hafizah UGD
209 TA aps An. Fathan (kaka dina) Tia Laboratorium
210 TA aps An. Dina Nabila x
211 TA SY Tn. Lukman Wahyudi Hafizah UGD

1/22/2015 217 EM isd An. M. Nasir Fathur UGD

219 EM DY An. M. Syahid Mawaddah Laboratorium
220 DN ifiq An. Ayu x
223 DN/RT ifiq An. Zahra Lutfhi UGD
226 DN hfz An. Sebastia Lutfhi UGD
230 RN Ridha An. Ajeng Ayu Hafizah UGD

1/23/2015 232 RN ridha An. Dwi Handayani Renny Laboratorium

238 RN/RT DY An. AzkiaSamha Saufa Renny Laboratorium
239 RN/RT DY An. Nanda Amelia Renny Laboratorium
240 RN/RT isd Ny. Yayuk Siska UGD
241 RN/RT RY Ny. Dr. Rahayu, Sp.OG Renny Laboratorium
242 RN/RT RL Ny. Hj. Fadluniah Taufik Laboratorium
244 EM/RT Idola An. M. Fajar siska UGD
245 EM idola Tn. Yunus (suami K'yulida) siska UGD

1/24/2015 257 TA DY An. Kenzi Mawaddah Laboratorium

260 TA/RT aps An. Medina Tia Laboratorium

1/25/2015 265 RN aps Tn. Sofiyan noor Renny Laboratorium

271 EM RD An. M. Putra Fajar Ramadhan Hafizah UGD
272 EM RD Ny. Noor Aisyah k'yulida UGD
273 EM aps Ny. Hj. Zahrah Mawaddah Laboratorium
276 TA hfz tn. dr. M. Hafidz Tia Laboratorium
 DATA SAMPLING RAWAT JALAN LAB. APRIL 2015

Tanggal No.Lab. Analis dr. Nama Pasien Sampling

12/26/2014 151 RN DY An. Nasya Putri x

152 RN ifiq Ny. Asniah siska
153 RN ifiq An. Danish siska
154 EM DY An. M. Fathi Mawaddah

12/27/2014 160 TA ifiq An. Afifa Rahman x

161 TA/EM ifiq An. Hernawati siska

12/29/2014 180 TA idola An. Davina Soraya Tia

12/30/2014 184 TA DY An. Narsya Regita Tia

186 RN/RT DY An. Nararia Renny

12/31/2014 194 DN/RT RY Ny. Nur Faridah Dhoni

1/2/2015 9 EM/RT DY An. Nararia Mawaddah

10 EM/RT DY An. Siti Nor syifa Mawaddah
14 EM hfz An. Putri k'yulida

1/3/2015 20 TA aps Tn. Djunaidi Tia

22 EM/RT aps An. M. Syarif Habibi Mawaddah
23 RN DY An. Ahyan Mawaddah
24 RN DY An. Nararia Mawaddah

1/4/2015 25 DN isd Tn. Wahyu Kurniawan lutfi

27 DN aps Ny. Siti Hamriah dhoni
30 TA DY An. Nararia tia
31 TA RS Mutia An. M. Dafa tia
33 TA aps Ny. Gusti Kardina tia
37 RN Anin An. M. Amar (anak pipit) renny
38 RN hfz Nn. Marlina x

1/5/2015 40 RN DY An. Wari Nugroho renny

44 RN/RT aps Tn. Abdul Hadi taufik
46 DN/RT aps Ny. Muriaty (loundry) dhoni
56 EM/RT DY An. Afifa Mikaila mawaddah

1/7/2015 68 RT/TA DH Ny. Dewi taufik

71 EM DH Ny. Dina mawaddah
72 EM aps Ny. Reka mawaddah
1/8/2015 80 TA aps Tn. Poniran tia
 81 TA aps Ny. Marlina tia
83 TA idola Ny. Nor Hassanah fatur

1/9/2015 89 DN DY An. Haikal x

90 DN/RT DY An. Karisa dhoni
91 EM/RT SF An. Chika mawaddah
93 EM/RT DY An. Karisa x

1/10/2015 101 TA DY An. Ayra tia

103 EM/RT ifiq An. Lailatus Saadah mawaddah
109 DN Anin An. Yudi dhoni

1/11/2015 113 TA DH Ny. Nanik Maryani x

114 TA DH Ny. Ernawati x
116 EM aps Tn. Edy Ariansyah mawaddah

1/12/2015 120 DN/RT aps Nn. Supriatin (Admin) mawaddah

121 DN/RT aps Ny. Imas (kasir) dhoni

1/13/2015 125 TA DH Ny. Yanti tia

127 RT/DN aps Ny. Hj. Zunaidah taufik
132 RT/DN ifiq An. Yona Maudita taufik
134 EM DH Ny. Mursidah mawaddah
135 EM SY An. Ahmad Aditya Lutfi hafizah
136 EM Anin Tn. Aspihani (mertua dr. Anin) mawaddah
137 EM Anin Ny. Jumiatun (mertua dr. Anin) mawaddah

1/14/2015 141 RN Idola An. Nadia Khairunnisa Lutfhi

142 RN DH Ny. Marina x

DATA SAMPLING RAWAT JALAN LAB. JANUARI 2015

Tanggal No.Lab. Analis dr. Nama Pasien Sampling

1/15/2015 146 DN/RT ifiq An. Antin siska

147 EM DY An. Khodijah Mawaddah
148 EM idola Ny. Noor Hasanah Mawaddah
149 EM idola An. M. Elvian Mawaddah

1/16/2015 151 EM DY An. Febri Aulia Mawaddah

152 EM DY An. Aldito Mawaddah
154 DN/RT APS Ny. Marlina Taufik
155 RN DY An. Abdurrahman Hafiz Renny
 156 RN DY An. M. Khairul Fikri Fathur
157 RN SY Tn. M. Kahirul Syafi'i Fathur

1/17/2015 167 TA aps Ny. Marlina Tia

1/18/2015 168 TA RD An. Nazamah Huda Fathur

1/19/2015 175 DN anin An. M. Zibran B. Kaflin Dhoni

178 RN/DN DY An. Nasya Putri Renny
182 RN/DN DY An. M. Sayuti Renny
185 EM aps Ny. Nia x
188 EM ifiq An. Elvian siska
189 DN AA Ny. Yuli Ananda (mutia) Dhoni
190 EM DH Ny. Heliana Mawaddah
191 DN DY By. M. Ananda Ilhami Dhoni

1/20/2015 195 TA PR An. Rahmatullah (mutia) Tia

196 RN/RT APS Ny. Mahdayani Taufik

1/21/2015 199 RN/RT DY An. Nurul Huda Taufik

200 RN/RT DY An. Dina Nabila Renny
204 TA/RT ifiq Tn. Adi Rosyadi Taufik
206 TA DY An. Talita Alifah Tia
207 TA SY An. Rizka Aulia Putri Hafizah
208 TA DY An. Ahmad Zaini Hafizah
209 TA aps An. Fathan (kaka dina) Tia
210 TA aps An. Dina Nabila x
211 TA SY Tn. Lukman Wahyudi Hafizah

1/22/2015 217 EM isd An. M. Nasir Fathur

219 EM DY An. M. Syahid Mawaddah
220 DN ifiq An. Ayu x
223 DN/RT ifiq An. Zahra Lutfhi
226 DN hfz An. Sebastia Lutfhi
230 RN Ridha An. Ajeng Ayu Hafizah

1/23/2015 232 RN ridha An. Dwi Handayani Renny

238 RN/RT DY An. AzkiaSamha Saufa Renny
239 RN/RT DY An. Nanda Amelia Renny
240 RN/RT isd Ny. Yayuk Siska
241 RN/RT RY Ny. Dr. Rahayu, Sp.OG Renny
242 RN/RT RL Ny. Hj. Fadluniah Taufik
244 EM/RT Idola An. M. Fajar siska
245 EM idola Tn. Yunus (suami K'yulida) siska
1/24/2015 257 TA DY An. Kenzi Mawaddah
260 TA/RT aps An. Medina Tia

1/25/2015 265 RN aps Tn. Sofiyan noor Renny

271 EM RD An. M. Putra Fajar Ramadhan Hafizah
272 EM RD Ny. Noor Aisyah k'yulida
273 EM aps Ny. Hj. Zahrah Mawaddah
276 TA hfz tn. dr. M. Hafidz Tia

UGD 25
Ruang Anak 0
Ruang Bersalin 0
Laboratorium 70
Dokter 0

Total 95

Mengetahui,
Ttd, Kepala Ruangan Laboratorium

Renny Sislia dr. M. Hafidz Maulana

015

Bagian

UGD
UGD
Laboratorium

UGD

Laboratorium

Laboratorium
Laboratorium

Laboratorium

Laboratorium
Laboratorium
UGD

Laboratorium
Laboratorium
Laboratorium
Laboratorium

UGD
Laboratorium
Laboratorium
Laboratorium
Laboratorium
Laboratorium

Laboratorium
Laboratorium
Laboratorium
Laboratorium

Laboratorium
Laboratorium
Laboratorium
Laboratorium
 Laboratorium
UGD

Laboratorium
Laboratorium

Laboratorium
Laboratorium
Laboratorium

Laboratorium

Laboratorium
Laboratorium

Laboratorium
Laboratorium
Laboratorium
Laboratorium
UGD
Laboratorium
Laboratorium

UGD

2015

Bagian

UGD
Laboratorium
Laboratorium
Laboratorium

Laboratorium
Laboratorium
Laboratorium
Laboratorium
 UGD
UGD

Laboratorium

UGD

Laboratorium
Laboratorium
Laboratorium

UGD
Laboratorium
Laboratorium
Laboratorium

Laboratorium
Laboratorium

Laboratorium
Laboratorium
Laboratorium
Laboratorium
UGD
UGD
Laboratorium

UGD

UGD
Laboratorium

UGD
UGD
UGD

Laboratorium
Laboratorium
Laboratorium
UGD
Laboratorium
Laboratorium
UGD
UGD
 Laboratorium
Laboratorium

Laboratorium
UGD
UGD
Laboratorium
Laboratorium

Total Biaya
Rp 250,000
Rp -
Rp -
Rp 700,000
Rp -

Rp 950,000