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Form Telaah Berkas Sep Unit Hemodialisiss
Form Telaah Berkas Sep Unit Hemodialisiss
4 Tn.Moh.Imam. 0193R0100622V000661
5 Ny.Torima 0193R0100622V000662
6 Tn. Rohmad 0193R0100622V000663
7 Tn.Jamhur 0193R0100622V000665
10 Ny.Ni’a 0193R0100622V000664
11 Tn. Ahmad.W 0193R0100622V000674
12 Tn.Suharto 0193R0100622V000675
13 Ny.Endang 0193R0100622V000676
14 DANA 0193R0100722K00112
7
8 Tn.Moh.Imam. 0193R0100722V001286
9 Ny. Asia 0193R0100722V001302
10 Ny. Nurhasanah 0193R0100722V001304
11 Tn. Ahmad.W
12 Tn.Suharto
13 Ny.Endang 0193R0100722V001310
14 Tn.Johan 0193R0100722V001307
15 Ny.Tin 0193R0100722V001290
16 Ny.Santi MD
NO TANGGAL NAMA PX NO SEP KET
20-07-2022
1 Sdr. Dana 0193R0100722V001416
2 Ny. Finaryati 0193R0100722V001418
3 Ny.Kholifah 0193R0100722V001419
4 Ny. Munifah 0193R0100722V001427
5 Tn.Ahmad 0193R0101121V000978
6 Tn. Asmadi 0193R0100722V001425
7 Ny.Sulis Ana 0193R0100722V000055
8 Tn.Suhan 0193R0100622V001858
6 Tn.Suherman.W 0193R0100822V000025
7 Ny.Ni’a
8
9 Tn. Zainul Akbar 0193R0100822V000043
10 Tn.Damanhuri 0193R0100822V000040
11 Ny.Elis 0193R0100822V000046
12 Tn.Sulin 0193R0100822V000044
13 Ny.Suyanti 0193R0100822V000049
14 Tn.Taufiq H 0193R0100822V000045
15 Ny.Juma’ati partial
15 Ny.YULIATIN 0193R0100822V000028 baru
6 Tn.Suherman.W ranap
7 Ny.Ni’a Tidak hd
8 Tn.Andika 0193R0100822V000410 Awal hd
9 Tn. Zainul Akbar ranap
10 Tn.Damanhuri ranap
11 Ny.Elis
12 Tn.Sulin 0193R0100822V000412
13 Ny.Suyanti 0193R0100822V000411
14 Tn.Taufiq H 0193R0100822V000413
15 Ny.Juma’ati Tidak hd
15 Ny.YULIATIN
12 Ny.Endang ranap
13 Tn.Johan 0193R0100822V000501
14 Tn. Moh. Hatib 0193R0100822V000493
15 Ny.Suharti 0193R0100822V000487 Hd pertama
Ny.Tin
Ny.Ruwaida 0193R0100822V000498
Belum di print
6 Tn.Suherman.W 0193R0100822V000614
7 Ny.Ni’a Tidak hd
8
9 Tn. Zainul Akbar 0193R0100822V000636
10 Tn.Damanhuri 0193R0100822V000630
11 Ny.Elis 0193R0100822V000633
12 Tn.Sulin 0193R0100822V000631
13 Ny.Suyanti 0193R0100822V000634
14 Tn.Taufiq H 0193R0100822V000632
15 Ny.Juma’ati
16 Ny.Yuliatin
NO TANGGAL NAMA PX NO SEP KET
1 09-08-2022 Tn. Shalehoddin 0193R0100822V000744
2 Tn.Siswandi 0193R0100822V000745
3 Ny.Hj.Maulidah 0193R0100822V000747
4 Tn.Moh.Imam. Tidak hd
5 Ny.Torima 0193R0100822V000748
6 Tn. Rohmad 0193R0100822V000749
7 Tn.Jamhur 0193R0100822V000751
8 Ny.Sulis Ana
9 Ny. Asia 0193R0100822V000768
10 Ny. Nurhasanah 0193R0100822V000765
11 Tn. Ahmad.W ranap
12 Ny.Endang 0193R0100822V000764 rb
13 Tn.Johan Tidak hd
14 Tn. Moh. Hatib Hd jumat saja
15 Ny.Suharti
Ny.Tin
Sdr. Dana 0193R0100822V000752
TN. RUSMANADI 0193R0100822V000767 Hd pertama
NO TANGGAL NAMA PX NO SEP KET
10-08-2022 Tn.Johan 0193R0100822V000885
1 Sdr. Dana
2 Ny. Finaryati 0193R0100822V000877
3 Ny.Kholifah 0193R0100822V000879
4 Ny. Munifah 0193R0100822V000880
5 Tn.Ahmad 0193R0100822V000881 rb
6 Tn. Asmadi 0193R0100822V000883
7 Tn.Suhan 0193R0100822V000884
8 Ny.Sot Atimi 0193R0100822V000903
9 Tn. Andika
10 Ny.Suharti 0193R0100822V000901
11 Tn.Rusmanadi
NO TANGGAL NAMA PX NO SEP KET
1 11-08-2022 Ny. Ruwaida 0193R0100822V001006
2 Tn. Suatmadji 0193R0100822V001007
3 Tn.Maisum.M 0193R0100822V001008
4 Tn.Ahmad C 0193R0100822V001009
5 Tn.Nirji 0193R0100822V001010
6 Tn.Suherman.W 0193R0100822V001011
7 Tn.Andika 0193R0100822V001012
8 Ny.Ni’a
9 Tn. Zainul Akbar 0193R0100822V001019
10 Tn.Damanhuri 0193R0100822V001018
11 Ny.Elis 0193R0100822V001020
12 Tn.Sulin 0193R0100822V001023
13 Ny.Suyanti traveling
14 Tn.Taufiq H 0193R0100822V001022
15 Ny.Juma’ati
16 Ny.Yuliatin
NO TANGGAL NAMA PX NO SEP KET
1 12-08-2022 Tn. Shalehoddin 0193R0100822V001079
2 Tn.Siswandi 0193R0100822V001080
3 Ny.Hj.Maulidah Ranap
4 Tn.Moh.Imam. Tidak hd
5 Ny.Torima 0193R0100822V001081
6 Tn. Rohmad 0193R0100822V001082
7 Tn.Jamhur 0193R0100822V001083
8 Ny.Sulis Ana Tidak hd
9 Ny. Asia 0193R0100822V001091
10 Ny. Nurhasanah 0193R0100822V001092
11 Tn. Ahmad.W 0193R0100822V001093
12 Ny.Endang 0193R0100822V001097
13 Tn.Johan 0193R0100822V001099
14 Tn. Moh. Hatib 0193R0100822V001095 Hd 1x
15
Ny.Tin
NO TANGGAL NAMA PX NO SEP KET
13-08-2022
1 Sdr. Dana ranap
2 Ny. Finaryati 0193R0100822V001157
3 Ny.Kholifah 0193R0100822V001158
4 Ny. Munifah 0193R0100822V001159
5 Tn.Ahmad 0193R0100822V001160
6 Tn. Asmadi 0193R0100822V001161
7 Tn.Suhan 0193R0100822V001162
8 Ny.Sot Atimi 0193R0100822V001171
9 Tn. Andika 0193R0100822V001173
10 Ny.Suharti 0193R0100822V001170
11 Tn.Rusmanadi 0193R0100822V001169
4 Tn.Moh.Imam. 0193R0100822V001172
8 Ny.Sulis Ana 0193R0100822V001175
NO TANGGAL NAMA PX NO SEP KET
1 15-08-2022 Ny. Ruwaida 0193R0100822V001236
2 Tn. Suatmadji 0193R0100822V001237
3 Tn.Maisum.M 0193R0100822V001238
4 Tn.Ahmad C 0193R0100822V001242
5 Tn.Nirji 0193R0100822V001245
6 Tn.Suherman.W 0193R0100822V001240
7 Ny.Ni’a 0193R0100822V001241
8
9 Tn. Zainul Akbar 0193R0100822V001254
10 Tn.Damanhuri 0193R0100822V001252
11 Ny.Elis 0193R0100822V001256
12 Tn.Sulin 0193R0100822V001255
13 Ny.Suyanti Traveling hd
14 Tn.Taufiq H 0193R0100822V001257
15 Ny.Juma’ati
16 Ny.Yuliatin
NO TANGGAL NAMA PX NO SEP KET
1 15-08-2022 Tn. Shalehoddin 0193R0100822V001362
2 Tn.Siswandi 0193R0100822V001364
3 Ny.Hj.Maulidah 0193R0100822V001365
4 Tn.Moh.Imam. 0193R0100822V001366
5 Ny.Torima 0193R0100822V001367
6 Tn. Rohmad 0193R0100822V001368
7 Tn.Jamhur 0193R0100822V001369
8 Ny.Sulis Ana 0193R0100822V001390
9 Ny. Asia 0193R0100822V001384
10 Ny. Nurhasanah 0193R0100822V001389
11 Tn. Ahmad.W Tidak hd
12 Ny.Endang 0193R0100822V001385
13 Tn.Johan 0193R0100822V001387
14 Tn. Moh. Hatib Hd 1x
15
Ny.Tin 0193R0100822V001370 Hd 1x
NO TANGGAL NAMA PX NO SEP KET
17-08-2022
1 Sdr. Dana
2 Ny. Finaryati
3 Ny.Kholifah
4 Ny. Munifah
5 Tn.Ahmad
6 Tn. Asmadi
7 Tn.Suhan
8 Ny.Sot Atimi
9 Tn. Andika
10 Ny.Suharti
11 Tn.Rusmanadi
4 Tn.Moh.Imam.
8 Ny.Sulis Ana
NO TANGGAL NAMA PX NO SEP KET
1 18-08-2022 Ny. Ruwaida 0193R0100822V001532
2 Tn. Suatmadji 0193R0100822V001533
3 Tn.Maisum.M 0193R0100822V001535
4 Tn.Ahmad C 0193R0100822V001536
5 Tn.Nirji 0193R0100822V001537
6 Tn.Suherman.W 0193R0100822V001538
7 Ny.Ni’a Tidak hd
8
9 Tn. Zainul Akbar : 0193R0100822V001555
10 Tn.Damanhuri 0193R0100822V001550 rb
11 Ny.Elis 0193R0100822V001557
12 Tn.Sulin 0193R0100822V001556
13 Tn.Taufiq H 0193R0100822V001539
14
15
16
10 Tn.Didik 0193R0100922V001665
11 Tn. Suharnadi 0193R0100922V001664
12 Ny.Sulama 0193R0100922V001663
13 Tn.Syamsul. H 0193R0100922V001662
14 Tn.Ahmad C 0193R0100922V001661 Hd 3x
7 Tn.Sulin 0193R0100922V002898
III
1 Tn. M. Saleh
2 Tn. Johan
3
4 Ny. Nuryami
2 Ny. Nuryami
3 Ny. Huzaima
4 Ny. Supatma
5 Tn. Bikir
6 Tn. Suherman
NO TANGGAL NAMA PX NO SEP KET
01-10-2022
1 Ny. Finaryati 0193R0101022V000007
2 Ny.Kholifah 0193R0101022V000008
3 I Ny. Munifah 0193R0101022V000009
4 Tn.Ahmad 0193R0101022V000010
5 Tn. Asmadi Umum
6 Tn.Suhan Bpjs tdk ditanggung
7 Tn. Dana 0193R0101022V000011
8
9 II Ny.Sot Atimi 0193R0101022V000026
10 Tn. Suharnadi Sdh hd maju
11 Ny.Sulama 0193R0101022V000022
12 Ny. Vitria 0193R0101022V000025
13 Ny. Nining 0193R0101022V000021
14 Ny. Samidah 0193R0101022V000027
15 Ny. Huzaima 0193R0101022V000019
16 Tn. Johan 0193R0101022V000024
1
2
3
4
5 Tn. Bikir
6 Tn. Suherman 0193R0101022V000290
6 Ny.Ni’a Tidak hd
7 Tn.Didik Tidak hd
Tn. Johan 0193R0101022V000435
1 II Tn. Zainul Akbar 0193R0101022V000446
2 Tn.Taufiq H 0193R0101022V000450
3 Tn. Rusmanadi 0193R0101022V000447
4 Tn. Misbahul munir 0193R0101022V000448
5 Tn.Sulin 0193R0101022V000453
6
7
1
2
3
4
1
2
3
4
NO TANGGAL NAMA PX NO SEP KET
11-10-2022
1 I Tn.Siswandi 0193R0101022V000738
2 Ny.Hj.Maulidah ranap
3 Ny.Torima ranap
4 Tn. Rohmad 0193R0101022V000739
5 Tn. Suja’i 0193R0101022V000741
6 Tn.Jamhur Tdk hd
7 Tn. Shalehoddin ranap
1
2
3
4
NO TANGGAL NAMA PX NO SEP KET
14-10-2022
1 I Tn.Siswandi 0193R0101022V001085
2 Ny.Hj.Maulidah 0193R0101022V001086
3 Ny.Torima 0193R0101022V001088 rb
4 Tn. Rohmad ranap
5 Tn. Suja’i 0193R0101022V001089
6 Tn.Jamhur 0193R0101022V001090
7 Tn. Shalehoddin 0193R0101022V001092
II
1 Ny.Sulis Ana 0193R0101022V001100
2 Ny. Asia 0193R0101022V001097
3 Ny. Nurhasanah 0193R0101022V001104
4 Ny.Endang 0193R0101022V001103
5 Tn. Ahmad.W 0193R0101022V001099
6 Tn. Johan 0193R0101022V001102
7 Tn. Moh. Hatib 0193R0101022V001098
8 Ny. Tin
III
1 Tn. Suherman
2 Ny. Nuryami
3 Ny. Supatma
4 Tn. Bikir
NO TANGGAL NAMA PX NO SEP KET
12-10-2022
1 Ny. Finaryati 0193R0101022V001150
2 Ny.Kholifah 0193R0101022V001151
3 I Ny. Munifah 0193R0101022V001152
4 Tn.Ahmad 0193R0101022V001153
5 Tn. Dana Tdk hd
6 Tn.Suhan Tdk hd
7 Tn. Ahmad. C 0193R0101022V001154
III
1 Tn. Suherman
2 Ny. Nuryami
3 Ny. Supatma
4 Tn. Abd. Rahem
5 Tn.Nirji 0193R0101022V001620
6 Ny.Ni’a Tdk hd
7 Tn.Didik Tdk hd
III
1 Tn. Suherman 0193R0101022V001792
2 Ny. Nuryami 0193R0101022V001794
3 Ny. Supatma Tdk hd
4 Tn. Abd. Rahim md
5 Ny. Sumirah 0193R0101022V001793
6 Ny. Armina 0193R0101022V001795
7
II
III
1
2
3
4
5
6
7
2 II Ny.Sulama 0193R0101022V002463
3 Ny. Vitria Ranap di m.saleh
4 Ny. Sulistyowati 0193R0101022V002464
5 Ny. Juma’ati Tdk hd
6 Ny. Sumirah Tdk hd
7 Tn. Hariyanto 0193R0101022V002467
8 Tn.Ahmad C 0193R0101022V002469
8
NO TANGGAL NAMA PX NO SEP KET
31-10-2022
1 Ny. Ruwaida 0193R0101022V002524
2 Tn. Suatmadji 0193R0101022V002525
3 I Tn.Maisum.M 0193R0101022V002526
4 Tn.Ahmad C 0193R0101022V002527
5 Tn.Nirji 0193R0101022V002528
6 Tn. Dana 0193R0101022V002530
7 Tn.Didik ranap
1
2 II Ny.Sulama 0193R0101122V000187
3 Ny. Vitria 0193R0101122V000194
4 Ny. Sulistyowati 0193R0101122V000185
5 Ny. Juma’ati 0193R0101122V000195
6 Ny. Sumirah
7 Tn. Hariyanto 0193R0101122V000197
8
8
NO TANGGAL NAMA PX NO SEP KET
03-11-2022
1 Ny. Ruwaida 0193R0101122V000296
2 Tn. Suatmadji 0193R0101122V000297
3 I Tn.Maisum.M 0193R0101122V000298
4 Tn.Ahmad C 0193R0101122V000299
5 Tn.Nirji 0193R0101122V000300
6 Ny.Ni’a 0193R0101122V000301
7 Tn.Didik Tdk hd
III
1
2
3
4
5
6
7
NO TANGGAL NAMA PX NO SEP KET
05-11-2022
1 Ny. Finaryati 0193R0101122V000489
2 Ny.Kholifah Ranap
3 I Ny. Munifah 0193R0101122V000490 rb
4 Tn.Ahmad 0193R0101122V000491
5 Tn. Dana ranap
6 Ny. Armina 0193R0101122V000492
7
1
2 II Ny.Sulama 0193R0101122V000493
3 Ny. Sulistyowati 0193R0101122V000494
4 Ny. Juma’ati 0193R0101122V000498
5 Ny. Vitria 0193R0101122V000499
6 Tn. Hariyanto 0193R0101122V000501
7 Tn. Misnawi
8 Tn.Ahmad C 0193R0101122V000503
8
NO TANGGAL NAMA PX NO SEP KET
07-11-2022
1 Ny. Ruwaida 0193R0101122V000564
2 Tn. Suatmadji 0193R0101122V000565
3 I Tn.Maisum.M 0193R0101122V000566
4 Tn.Ahmad C 0193R0101122V000568
5 Tn.Nirji 0193R0101122V000569
6 Ny.Ni’a Hd 1x seminggu
7 Tn.Didik 0193R0101122V000570
Tn. Dana 0193R0101122V000571
1 II Tn. Zainul Akbar 0193R0101122V000592
2 Tn.Taufiq H 0193R0101122V000593
3 Tn. Rusmanadi 0193R0101122V000594 rb
4 Tn.Sulin 0193R0101122V000596
5 Tn. Misbahul munir 0193R0101122V000597
6 Tn. Suherman 0193R0101122V000599
7
8
NO TANGGAL NAMA PX NO SEP KET
08-11-2022
1 I Tn.Siswandi 0193R0101122V000707
2 Ny.Hj.Maulidah 0193R0101122V000709
3 Ny.Torima 0193R0101122V000710
4 Tn. Rohmad 0193R0101122V000711
5 Tn. Suja’i 0193R0101122V000712
6 Tn.Jamhur 0193R0101122V000713
7 Tn. Shalehoddin 0193R0101122V000715
II
III
1
2
3
4
5
6
7
NO TANGGAL NAMA PX NO SEP KET
09-11-2022
1 Ny. Finaryati 0193R0101122V000869
2 Ny.Kholifah 0193R0101122V000870
3 I Ny. Munifah 0193R0101122V000871
4 Tn.Ahmad Tdk hd
5 Tn. Dana 0193R0101122V000872
6 Ny. Armina 0193R0101122V000873
7 Tn. Candra 0193R0101122V000876 Hd ke 1
1
2 II Ny.Sulama 0193R0101122V000881
3 Ny. Sulistyowati 0193R0101122V000874
4 Ny. Juma’ati 0193R0101122V000893
5 Ny. Vitria 0193R0101122V000892
6 Tn. Hariyanto 0193R0101122V000896
7 Tn. Misnawi 0193R0101122V000894
8 Tn.Ahmad Y 0193R0101122V000895 Hd ke 1
8
NO TANGGAL NAMA PX NO SEP KET
10-11-2022
1 Ny. Ruwaida 0193R0101122V000995
2 Tn. Suatmadji 0193R0101122V000996
3 I Tn.Maisum.M 0193R0101122V000997
4 Tn.Ahmad C 0193R0101122V000998
5 Tn.Nirji 0193R0101122V000999
6 Ny.Ni’a 0193R0101122V001000
7 Tn.Didik Tdk hd
II
1 Ny.Sulama 0193R0101122V001171
2 Ny. Sulistyowati 0193R0101122V001170
3 Ny. Juma’ati Tdk hd
4 Ny. Vitria 0193R0101122V001172
5 Tn. Hariyanto 0193R0101122V001178
6 Tn. Misnawi 0193R0101122V001173
7 Tn.Ahmad Y 0193R0101122V001174
II
1 Ny.Sulama 0193R0101122V001579
2 Ny. Sulistyowati 0193R0101122V001571
3 Ny. Juma’ati 0193R0101122V001584
4 Ny. Vitria 0193R0101122V001580
5 Tn. Hariyanto 0193R0101122V001586
6 Tn. Misnawi 0193R0101122V001581
7 Tn.Ahmad Y 0193R0101122V001582
II
1 Ny.Sulama 0193R0101122V002241
2 Ny. Sulistyowati Jadwal Hd maju
3 Ny. Vitria 0193R0101122V002242
4 Ny. Juma’ati 0193R0101122V002243
5 Tn. Hariyanto 0193R0101122V002244
6 Tn. Misnawi 0193R0101122V002246
7 Tn.Ahmad Y 0193R0101122V002249
5 Ny. Tin
6 Ny. Nurhasanah 0193R0101122V002457
7 Tn. Moh. Hatib
II
1 Ny.Sulama 0193R0101122V002560
2 Ny. Sulistyowati 0193R0101122V002545
3 Ny. Vitria
4 Ny. Juma’ati 0193R0101122V002561
5 Tn. Hariyanto 0193R0101122V002562
6 Tn. Misnawi
7 Tn.Ahmad Y 0193R0101122V002563
NO TANGGAL NAMA PX NO SEP KET
28-11-2022
1 Ny. Ruwaida 0193R0101122V002640
2 Tn. Suatmadji 0193R0101122V002641
3 I Tn.Maisum.M 0193R0101122V002642
4 Tn.Ahmad C 0193R0101122V002643
5 Tn.Nirji 0193R0101122V002645
6
7 Tn.Didik Tdk hd
II
1 Ny.Sulama
2 Ny. Sulistyowati 0193R0101122V003023 GAGAL HD
3 Ny. Vitria ranap
4 Ny. Juma’ati 0193R0101122V003042
5 Tn. Hariyanto ranap
6 Tn. Misnawi 0193R0101122V003043
7 Tn.Ahmad Y ranap
NO TANGGAL NAMA PX NO SEP KET
01-12-2022
1 Ny. Ruwaida 0193R0101222V000026
2 Tn. Suatmadji 0193R0101222V000027
3 I Tn.Maisum.M 0193R0101222V000030
4 Tn.Ahmad C 0193R0101222V000031
5 Tn.Nirji 0193R0101222V000032
6 Tn. Suja’i 0193R0101222V000033
7
3 Ny.Torima 0193R0101222V001247
4 Tn. Suja’i
5 Tn.Jamhur 0193R0101222V001249
7 Tn.Dana 0193R0101222V001250
II
4
Ny. Tin 0193R0101222V001300
5 Tn.Jamhur
6 Tn. Shalehoddin 0193R0101222V001609
7 Ny. Siti Ramla 0193R0101222V001605 Hd awal
II
II
1 Ny.Sulis Ana ranap
2 Tn. Ahmad.W 0193R0101222V002033
3 Tn. Johan 0193R0101222V001952
4 Ny. Nurhasanah
Ny. Tin 0193R0101222V001953
Ny. Kastoriyanti 0193R0101222V002031 Awal hd reg
7
8
II
1 Ny. Juma’ati Tdk hd
2 Tn. Hariyanto 0193R0101222V002131
3
4 Tn.Ahmad Y 0193R0101222V002132
5 Ny.Sulama 0193R0101222V002128
6 Ny. Sulistyowati 0193R0101222V002120
7 Tn.Ahmad 0193R0101222V002144
II
1 Tn. Sair 0193R0101222V002405
2 Ny.Sulis Ana 0193R0101222V002402
3 Tn. Ahmad.W Tdk hd
6 Tn. Hamidi
7 Ny. Sulistyowati
8
II
1 Tn. Hamid
2 Ny. Juma’ati
3 Tn. Hariyanto
4 Tn.Ahmad Y
5 Ny.Sulama
6 Tn.M.Dahlan
7 Tn. Ahmad .W