Bulan : April 2020

No Tanggal Pasien No RM

1 4/24/2020 Ny. Almawiyah 20097031

2 Ny. Yuyun 20096550
3 Ny. Ernawati 20096984
4 Ny. Tika 20097120
5 Ny. Nina 20097121
6 Ny. Rismayanti 20096891
7 Ny. Dini 20097131
8 Ny. Herawati 20097148
9 Ny. Susilawati 20093260
10 Ny. Yani 20097167
11 Ny. Eri 20097171
12 Ny. Rina 20097071
13 Ny. Enung 20096864
14 Ny. Mimah 20097110
1 4/25/2020 Ny. Tika 20097120
2 Ny. Ai Nila 20097217
3 Ny. Nina 20097121
4 Ny. Rismayanti 20096891
5 Ny. Eri 20097171
6 Ny. Dini 20097131
7 Ny. Herawati 20097148
8 Ny. Susilawati 20093260
9 Ny. Yani 20097167
10 Ny. Sarwi 20097774
11 Ny. Enung 20096864
12 Ny. Mimah 20097110
1 26 April April IDA FARIDA 15-01-47-22
2 RINI SRI RAHAYU 20-09-72-99
3 ISAH AISYAH 20-09-72-92
4 LILIS, NY 15-00-75-88
5 SANTI SETIAWATI 20-09-72-75
6 MUNAWAROH 20-09-72-71
7 CACA TRIANA 20-09-68-17
8 RENI ALFIANI 20-09-72-27
9 AI ANILA ROSMAYANTI 20-09-72-17
10 NENI PITRIANI 20-09-72-16
11 DEPI 20-09-32-81
12 HENA HENDAYANI 19057145
13 RISMA SARI 20-09-72-23
14 SUMI 20097286
15 AI NURLINA 20090508
1 4/27/2020 IIS SUHARTINI 20-09-73-79
2 KARTINI 20-09-73-68
3 SITI RAHMAWATI 20-09-73-50
4 ELAH JUHAELAH 20-09-73-56
5 ANE MULYANI, NY 16-00-55-44
6 RIANTI 20-09-73-49
7 YANI SURYANI 20-09-65-71
8 NIA SUSILAWATI 19-07-89-40
9 TUTI HERMAWATI 20-09-73-17
10 AI EMA HASLINDA 20-09-61-99
11 NUNUR 20-09-73-14
12 UCU SUMINAR 20-09-73-32
13 AI NURLINA 20-09-05-08
14 RINI SRI RAHAYU 20-09-72-99
15 ISAH AISYAH 20-09-72-92
16 SUMI KULSUM 20-09-72-86
17 SANTI SETIAWATI 20-09-72-75
18 MUNAWAROH 20-09-72-71
19 CACA TRIANA 20-09-68-17
20 HENA HENDIYANI 19-05-71-45
1 4/28/2020 LINA MARALINA 20-08-78-64
2 RIDA DAMAYANTI 20-09-73-86
3 MUMUN MUNAWAROH 20-09-73-92
4 DEDE SOBARIAH 20-09-67-82
5 IIS SUHARTINI 20-09-73-79
6 TITIN PATIMAH 20-09-73-75
7 KARTINI 20-09-73-68
8 ANE MULYANI, NY 16-00-55-44
9 NIA SUSILAWATI 19-07-89-40
10 NUNUR 20-09-73-14
11 HENA HENDIYANI 19-05-71-45
12 BY NY LINA 20097429
1 4/29/2020 ELSA FITRI HANDAYANI 20-09-74-88
2 DINI ANGGRAENI 20-09-74-83
3 IPIT 20-09-74-75
4 SINTA ALVIANI 20-09-74-66
5 YULI JAMILATUL WAHIDAH 20-09-74-68
6 EVA MUZDALIFAH 19-08-36-82
7 SITI AISYAH 20-09-74-45
8 SITI ROHIMAH 20-09-74-34
9 LINA MARALINA 20-08-78-64
10 NUNUNG NURJANAH 20-09-73-11
11 RIDA DAMAYANTI 20-09-73-86
12 DEDE SOBARIAH 20-09-67-82
13 TITIN PATIMAH 20-09-73-75
14 KARTINI 20-09-73-68
15 ANE MULYANI, NY 16-00-55-44
16 NIA SUSILAWATI 19-07-89-40
17 NUNUR 20-09-73-14
18 BY NY YULI 20-09-74-79
19 BY NY SITI AISYAH 20-09-74-69
20 BY NY TITIN 20097423
21 BY NY DINI 20097486
22 BY NY. KARTINI 20097426
1 4/30/2020 NY. SINTA 20097466
2 NY. EVA 19083682
3 NY. IPIT 20097475
4 NY. YULI 20097468
5 NY. DINI 20097483
6 NY. LENI 20097499
7 NY.SITI R 20097434
8 NY. ELSA 20097488
9 NY. KATINI 20097368
10 NY. NIA 19078940
11 NY. NUNUNG 20097311
12 NY. TITIN 20097375
13 NY. RIDA 20097386
14 NY. MUMUN 20097392
15 NY. SITI AISYAH 20097445
16 NY. DEDE 20-09-75-41
17 NY. ANE 16005544
1 5/1/2020 RINI LAELASARI 20-09-75-84
2 ANDHARA PUTRI 18-03-77-84
3 NURLELA 20-09-75-68
4 NOVI DEWI NINGRUM 20-09-75-52
5 NUNUNG SARIPAH 19-08-46-51
6 DEDE PIPIT 20-09-75-41
7 ETIK 20-09-75-38
8 YANTI SUMIARTI 20-09-75-04
9 ELSA FITRI HANDAYANI 20-09-74-88
10 BY NY ELSA FITRI HANDAYANI 20-09-75-45
11 BY.NY NOVI DEWI NINGRUM 20097562
 FORM

Pemberian Pemberian Pemberian Pengambilan Sebelum melakukan Denominator

Obat Nutrisi darah Specimen tindakan diagnostik

1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 1 1 1 5
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
1 1 0 0 1 3
 FORMULIR INDIKATOR NASIONAL

Waktu Visite
Keterangan Jam Keluar Hasil Jam dilaporkan Keterangan
Nilai Kritis
< 14.00 > 14.00
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
Waktu Tunggu Pelaporan KEPATUHAN CP
Keterangan Keterangan
< 30 Menit > 30 Menit Patuh Tidak Patuh
Kategori Komplain Waktu selesai Keterangan
FORMULIR INDIKATOR NASIONAL

Bulan : Mei 2020

Pemberian
No Tanggal Pasien No RM
Obat

1 5/1/2020 RINI LAELASARI 20-09-75-84 1

2 ANDHARA PUTRI 18-03-77-84 1
3 NURLELA 20-09-75-68 1
4 NOVI DEWI NINGRUM 20-09-75-52 1
5 NUNUNG SARIPAH 19-08-46-51 1
6 DEDE PIPIT 20-09-75-41 1
7 ETIK 20-09-75-38 1
8 YANTI SUMIARTI 20-09-75-04 1
9 ELSA FITRI HANDAYANI 20-09-74-88 1
10 BY NY ELSA FITRI HANDAYANI 20-09-75-45 1
11 BY.NY NOVI DEWI NINGRUM 20097562 1
1 5/2/2020 NY. DEDE 20097541 1
2 NY. YANTI 20097504 1
3 NY. EUTIK 20097538 1
4 NY. ELSA 20097488 1
5 NY. ANDHARA 18037784 1
6 NY. NUNUNG 19084651 1
7 NY. NOVI 20097552 1
8 NY. NURLELA 20097568 1
9 NY. RINI 20097584 1
1 5/3/2020 AI SUSANTI , NY 16-01-72-39 1
2 YUYUN NURAENI, NY 14-00-55-29 1
3 JUARIAH 20-09-76-79 1
4 ROHAYATI 20-09-76-75 1
5 LIA YULIA 20-09-76-64 1
6 ROSMAWATI 20-09-75-31 1
7 TETI SURYATI 20-09-75-19 1
8 IRMA DWI RAHAYUNINGTYAS 20-09-76-42 1
9 NENG RIEN ROSALINA 20-09-76-21 1
10 FAUZA RAHSYAM 20-09-61-63 1
11 FITRIA HERLANI 20-09-76-07 1
12 NENENG RAHAYUNI 18-04-81-43 1
13 NENENG S 20097601 1
14 BY NY FAUZA 20-09-76-31 1
15 BY NY FITRIA 20-09-76-30 1
1 5/4/2020 NESA NUR ASTUTI 20-09-77-39 1
2 SITI ASRIATUN 20-09-77-26 1
 3 KIKI ZAKIAH 16-00-34-38 1
4 ROSI NOVANTI 20-09-76-94 1
5 NUNUNG NURHASANAH 20-09-64-58 1
6 AI SUSANTI , NY 16-01-72-39 1
7 YUYUN NURAENI, NY 14-00-55-29 1
8 PAULA 20-09-76-82 1
9 JUARIAH 20-09-76-79 1
10 LIA YULIA 20-09-76-64 1
11 IRMA DWI RAHAYUNINGTYAS 20-09-76-42 1
12 SUSI 20-09-24-30 1
13 NENG RIEN ROSALINA 20-09-76-21 1
14 WIWIN 20-09-77-21 1
15 INA RISMAYANTI 20-09-77-11 1
16 SITI AISAH 20-09-77-34 1
17 NENENG RAHAYUNI 18-04-81-43 1
18 BY NY NENG RIEN 20-09-76-60 1
1 5/5/2020 SRI MELANI OKTAVIANTI 20-09-78-30 1
2 NENG TETI 20-09-77-79 1
3 DINI SUMIYATI 20-09-71-31 1
4 NUNUNG NUR BAETI 20-09-58-72 1
5 NENI NURAENI 20-09-73-87 1
6 SITI SURYATI 20-09-77-88 1
7 NENDAHSARI 20-09-77-50 1
8 RINI LAELASARI 20-09-75-84 1
9 SITI ASRIATUN 20-09-77-26 1
10 NUNUNG NURHASANAH 20-09-64-58 1
11 WIWIN ASTI 20-09-77-21 1
12 AI SUSANTI , NY 16-01-72-39 1
13 INA RISMAYANTI 20-09-77-11 1
14 YUYUN NURAENI, NY 14-00-55-29 1
15 PAULA 20-09-76-82 1
16 LIA YULIA 20-09-76-64 1
17 ANISA 19-08-24-29 1
18 SUSI 20-09-24-30 1
19 NY. NUNUNG 20097820 1
20 NY. RINI 20097823 1
21 NY. NENDAHSARI 20097819 1
1 5/6/2020 NY AI SUSANTI 16017239 1
2 NY DINI 20097131 1
3 NY NENDAHSARI 20097750 1
4 NY WIWIN 20097721 1
5 NY RINI 20097584 1
6 NY NUNUNG 20095872 1
 7 NY SITI ASRIATUN 20097726 1
8 NY NENI 20097387 1
9 NY NENG TETI 20097779 1
10 NY YUYUN 14005529 1
11 NY INA 20097711 1
12 NY NUNUNG 20096458 1
13 NY ANISA 19082429 1
14 NY LIA 20097664 1
15 NY SRI MELANI 20097830 1
16 NY SUSI 20092430 1
17 NY PAULA 20097682 1
18 NY SITI SURYATI 20097788 1
1 5/7/2020 ILMA SYAMSI NURTIANI 20-09-79-42 1
2 SENI 20-09-79-40 1
3 DEWI 20-09-78-73 1
4 PIPIH SOPIAH 20-09-78-86 1
5 WINDA AULIA 20-09-78-35 1
6 SRI MELANI OKTAVIANTI 20-09-78-30 1
7 NENI NURAENI 20-09-73-87 1
8 INA RAMDIANA 20-09-77-36 1
9 DEDE NENDAH 20-09-77-30 1
10 SISKA SRINASARI 20-09-78-37 1
11 YENI 20-09-79-16 1
12 BY NY NENI 20-09-78-89 1
13 BY NY DEDE NENDAH 20097840 1
14 BY NY PIPIH 20097894 1
15 BY NY INA 20097891 1
16 BY.NY NENI 20097889 1
17 BY NY WINDA 20097890 1
1 5/8/2020 NY. YENI 20097916
2 NY. SRI MELANI 20097830
3 NY. DEWI 20097873
4 NY. ILMA 20097942
5 NY. SENI 20097940
6 NY. DEDE 20097730
7 NY. SISKA 20097873
8 NY. INA 20097736
9 NY. WINDA 20097835
10 NY. NENI 20097387
11 NY. PIPIH 20097886
12 BY. NY SENI 20097943
13 BY. NURJANAH 20097971
1 5/9/2020 NY. SENI 20097940
2 NY. ILMA 20097942
 3 NY. NURJANAH 18042392
4 NY. SITI MASITOH 19061795
5 NY NENG HIAR 20097938
6 NY. TITIN 20097945
7 NY. RANI 20097982
8 NY. SITI ROHMAYATI 20097847
9 NY. NURLELA 20097568
10 NY. SITI FARIDAH 20097989
11 BY. NY SITI ROHMAYATI 20097990
1 5/10/2020 ELI SAIDAH, NY 16-01-34-11
2 ANIK RATNA SUTAWAN 20-09-80-52
3 RINA DESTIAWAN 20-09-80-55
4 LISMAYA HANDAYANI 20-09-79-56
5 SITI AISAH 20-09-80-34
6 TINA RISNAWATI 20-09-80-29
7 ROSI RINJANI 20-09-79-51
8 ARIN DEWI ARINI 20-09-80-65
9 INA MARTINA 20-09-78-50
10 BY SITI AISYAH 20098036
1 5/11/2020 DEWI 20-09-81-09
2 ENUNG 20-09-81-16
3 IIS SITI AISAH 20-09-80-97
4 UUN UNASIH 20-09-81-28
5 MARTINA NEKE DESPRIANA 20-09-44-76
6 ELIS KUSMIATI 20-09-80-81
7 MIMI ROHAYATI 20-09-80-76
8 TITIN KARTINI 20-09-78-70
9 SRI ROSMAYANTI 20-09-80-66
10 ELI SAIDAH, NY 16-01-34-11
11 ANIK RATNA SUTAWAN 20-09-80-52
12 DARYATI 20-09-80-56
13 RINA DESTIAWAN 20-09-80-55
14 EEN YATI 20-09-80-49
15 LISMAYA HANDAYANI 20-09-79-56
16 TINA RISNAWATI 20-09-80-29
17 MUTIA MUTMAINUL QULUB 20-09-81-04
18 ARIN DEWI ARINI 20-09-80-65
19 INA MARTINA 20-09-78-50
20 TUTI NURLINA 20-09-81-22
21 BY NY DARYATI 20-09-80-77
22 BY NY TITIN KARTINI 20-09-80-75
23 BY NY SRI ROSMAYANTI 20-09-80-73
24 BY NY TINA RISNAWATI 20-09-80-58
25 BY NY RINA 20098120
26 BY NY ANIK 20098117
27 BY NY MIMI 20098139
1 5/12/2020 DEDE SITI ROSINAH 20-09-82-09
2 RIRIN HERLINA 20-09-82-07
3 SARIPAH 20-09-81-77
4 NURUL CAHYANI 20-09-80-99
5 YUYUN YUNINGSIH 20-09-81-75
6 IIS SITI AISAH 20-09-80-97
7 MARTINA NEKE DESPRIANA 20-09-44-76
8 MIMI ROHAYATI 20-09-80-76
9 TITIN KARTINI 20-09-78-70
10 SRI ROSMAYANTI 20-09-80-66
11 ELI SAIDAH, NY 16-01-34-11
12 ANIK RATNA SUTAWAN 20-09-80-52
13 DARYATI 20-09-80-56
14 RINA DESTIAWAN 20-09-80-55
15 LISMAYA HANDAYANI 20-09-79-56
16 INA MARTINA 20-09-78-50
17 BY NY MIMI 20-09-81-39
18 BY NY RINA 20-09-81-20
19 BY NY LISMAYA 20-09-81-19
20 BY NY ANIK 20-09-81-17
21 BY NY DARYATI 20-09-80-77
22 BY NY TITIN KARTINI 20-09-80-75
23 BY NY SRI ROSMAYANTI 20-09-80-73
1 5/13/2020 SITI NURSAADAH 20-09-82-85
2 LILIS SURYANI 18-03-00-72
3 LIA SITI PATIMAH 20-09-82-70
4 YUYUN IDA WARNASIH 20-09-78-55
5 NUNUNG NUR BARIAH 19-07-82-63
6 INGELDA, NY 13-00-47-76
7 DEDE SITI ROSINAH 20-09-82-09
8 RIRIN HERLINA 20-09-82-07
9 ERNI HERAWATI 20-09-81-65
10 DEVI SRI MULYANI 20-09-82-06
11 LISNA SITI MAULIDAH 20-09-82-03
12 SARIPAH 20-09-81-77
13 LANI MELANI 20-09-81-84
14 NURUL CAHYANI 20-09-80-99
15 YUYUN YUNINGSIH 20-09-81-75
16 EGA ELAWATI 20-09-81-37
17 MULYATI 20-09-31-64
18 IIS SITI AISAH 20-09-80-97
19 MARTINA NEKE DESPRIANA 20-09-44-76
20 SITI HARTINI 20-09-82-94
21 BY NY INGELDA 20-09-82-61
22 BY NY MARTINA 20-09-82-05
23 BY NY YUYUN 20-09-82-04
24 BY NY IIS SITI AISAH 20-09-82-02
25 BY NY SITI 20098283
1 5/14/2020 ERNAWATI, NY 15-00-71-35
2 NOPI NURHALIPAH 20-09-83-29
3 NENDAHSARI 20-09-77-50
4 EMEH 20-09-83-38
5 YANTI 20-09-83-11
6 DEVI 20-09-83-05
7 SITI HARTINI 20-09-82-94
8 LILIS SURYANI 18-03-00-72
9 LIA SITI PATIMAH 20-09-82-70
10 EPA 20098148
11 INGELDA, NY 13-00-47-76
12 ULFAH SITI HASANAH 20-09-09-16
13 RIRIN HERLINA 20-09-82-07
14 ERNI HERAWATI 20-09-81-65
15 DEVI SRI MULYANI 20-09-82-06
16 LISNA SITI MAULIDAH 20-09-82-03
17 SARIPAH 20-09-81-77
18 LANI MELANI 20-09-81-84
19 NURUL CAHYANI 20-09-80-99
20 EGA ELAWATI 20-09-81-37
21 MULYATI 20-09-31-64
22 BY NY DEVI 20-09-82-90
23 BY NY LISNA 20-09-82-56
24 BY NY INGELDA 20-09-82-61
25 BY NY SARIPAH 20-09-82-69
26 BY NY NURUL 20-09-82-68
27 BY NY MULYATI 20-09-82-65
28 BY NY EGA 20-09-82-63
29 BY NY LANI MELANI 20-09-82-88
30 BY NY ERNI 20-09-82-86
1 5/15/2020 MELIA 20-09-83-86
2 ROHIMAH 15-01-30-58
3 OPIH SOPIAH 20-09-83-55
4 ERNAWATI 15-00-71-35
5 NOPI NURHALIPAH 20-09-83-29
6 NENDAHSARI 20-09-77-50
7 EMEH 20-09-83-38
8 YANTI 20-09-83-11
9 AAY SITI ROKAYAH 20-09-82-82
10 ULFAH SITI HASANAH 20-09-09-16
11 RINA SAFARINA 20-09-83-63
12 BY NY ERNAWATI 20-09-83-67
13 BY NY AAY SITI ROKAYAH 20-09-83-65
14 BY NY YANTI 20-09-83-62
1 5/16/2020 ELA NURLAELASARI 15-00-88-34
2 IPAH SYARIPAH 20-09-60-17
3 KURNAESIH 20-09-84-24
4 HERLINA 20-09-84-19
5 YUNI JALPAH 19-07-81-79
6 AAY SITI ROKAYAH 20-09-82-82
7 BY NY YUNI 20-09-84-20
Pemberian Pemberian Pengambilan Sebelum melakukan
Denominator
Nutrisi darah Specimen tindakan diagnostik

1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 1 1 4
1 1 1 1 5
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 1 1 4
1 0 1 1 4
1 0 0 1 3
1 0 1 1 4
1 0 1 1 4
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 1 1 4
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 1 1 1 5
1 0 0 1 3
1 0 1 1 4
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 1 0 1 4
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 1 0 1 4
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
1 0 0 1 3
 Waktu Visite Jam Keluar
Keterangan Hasil Nilai Jam dilaporkan Keterangan
< 14.00 > 14.00 Kritis
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0 20.21 20.51
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
Waktu Tunggu Pelaporan KEPATUHAN CP
Keterangan Keterangan
< 30 Menit > 30 Menit Patuh Tidak Patuh
1

1
Kategori Komplain Waktu selesai Keterangan