CEKLIS PENGAMBILAN DATA PROFIL IMP UNIT

KETIDAKLENGKAPAN IDENTITAS PASIEN PADA BLANGKO PERMINTAAN

IDENTITAS SAMPEL

NO TGL RM NAMA BLANGKO TABUNG

PERMINTAAN SAMPEL

√ √
1 1- 7- 2023 294695 SUKARMAN, BP
√ √
2 272597 JOKO TRIYADI, BP
√ √
3 95620 NURSADI, BP
√ √
4 49780 DAVID RUDIYANTO, BP
353258 Sdr M Wildan Al Rosyid √ √
5
√ √
6 363864 LAYLA PASHA, NN
√ √
7 379562 WALIDI, BP
√ √
8 376153 MUCH DAMIRI, BP
√ √
9 379539 HAIKAL RAMADHAN, AN
√ √
10 259551 SUPRIHATIN, NY
√ √
11 378776 USWATUN KHASANAH, NN
√ √
12 379080 DEVI ROCHIMAH YULIANA, NY
√ √
13 379080 DEVI ROCHIMAH YULIANA, NY
√ √
14 379539 HAIKAL RAMADHAN, AN
√ √
15 27906 JUMIYATI, NY
√ √
16 379608 ANISA MUALIFAH, NN
√ √
17 247849 KHOIRUL AMRIN, BP
 √ √
18 379532 AHMAD, BP
√ √
19 379609 HAFILDA ANIMATUL KHUSNA, NY
√ √
20 47820 JUWARMAN, BP (HD)
√ √
1 7/3/2023 237867 ROKHIYAH,NY
√ √
2 231599 NAVISA MAULIDA NUR RAHMA, AN
√ √
3 225259 GHASANI KHAYISA NAURA, AN
√ √
4 89261 SUMARNA, BP
118998 Ny. RUMINAH NURYATI √ √
5
√ √
6 368321 TRI UTAMI, NY
√ √
7 339195 IKA SETIANA, NY
√ √
8 379080 DEVI ROCHIMAH YULIANA, NY
√ √
9 326716 PARMILAH, NY (HD)
√ √
10 151100 SLAMET MULYONO, BP
√ √
11 378398 JUMADI, BP
√ √
12 379481 HARYANI, NY
√ √
13 379472 MURTIFAH, NY
√ √
14 379618 NINA SUBEKTI, NY
√ √
15 379481 HARYANI, NY
√ √
16 256752 RAIHAN AZKA AL KHALIFI, AN
√ √
17 197169 MUHAMMAD HABIBULLOH, AN
√ √
18 359497 RAHMAT, BP
√ √
19 64193 GATI, NY
 √ √
20 374690 MUH KOMARI, BP (HD)
√ √
1 7/4/2023 231599 NAVISA MAULIDA NUR RAHMA, AN
√ √
2 118 ATUN, NY
√ √
3 316491 WARSIYATI, NY
√ √
4 51214 MULYONO, BP
√ √
5 29129 ARDIATI, NY
369936 Ny. DIAN NITA UTAMI √ √
6
√ √
7 379624 NUR ISNAENI, NY
√ √
8 339195 IKA SETIANA, NY
√ √
9 326716 PARMILAH, NY (HD)
√ √
10 151100 SLAMET MULYONO, BP
√ √
11 378398 JUMADI, BP
√ √
12 379481 HARYANI, NY
√ √
13 379472 MURTIFAH, NY
√ √
14 379618 NINA SUBEKTI, NY
√ √
15 379481 HARYANI, NY
√ √
16 256752 RAIHAN AZKA AL KHALIFI, AN
√ √
17 67993 SUPRIHATI, NY
√ √
18 379531 BY NY ESTI ROFIANA
√ √
19 379519 IMAN TOHARI, BP
√ √
20 379497 RAHMAD SUBAGIYO, BP
√ √
1 5-7-2023 32816 BARINEM RUSMIYATI, NY
 √ √
2 113635 DASIH WALUYANTI, NY
√ √
3 895 NURSAMSIYAH,NY
√ √
4 81877 BARIYAH, NY
√ √
5 329896 ROKHAYATI, NY
378776 USWATUN KHASANAH, Nn √ √
6
√ √
7 379621 ELIANAH, NY
√ √
8 379620 BY NY DEVI ROCHIMAH YULIANA
√ √
9 312559 ALFIN HENDRA FIRMANSYAH,SDR
√ √
10 374539 TUMIYEM, NY
√ √
11 135068 YUNARTI, NY
√ √
12 379515 BVY NY ENI SETIYANINGSIH
√ √
13 379510 BY NY ASIH SRI LESTARI
√ √
14 379628 MUCH SOFAN, BP
√ √
15 287779 ZAINA INARA PUTRI, AN
√ √
16 9580 DWIYATMI SRI HARYATI, NY
MUHAMMAD DIMAS ANDI √ √
17 379632 WIBOWO, SDR
√ √
18 379635 NICOLAUS GAGAD RINO, SDR
√ √
19 166252 H. ABENS PRADIPTA WAHYU,NY
√ √
20 379160 BY NY ASTRI NUR ENDAH
√ √
1 6-7-2023 379555 WISNU NUR ROHMAN, BP
√ √
2 1079 SUMARSIH, NY
√ √
3 379572 ESTY PURWANTI ISMADI, NY
 √ √
4 168071 ASMUNAH, NY
RETNO WULAN MUSTIKANINGTYAS, √ √
5 311441 NY
305626 ISA MIRAWATI, Ny √ √
6
√ √
7 379618 NINA SUBEKTI, NY
√ √
8 379302 BY NY CICIK NOVI INDRIYANI
√ √
9 214246 SUWANDI, BP
√ √
10 214246 SUWANDI, BP
√ √
11 363912 VITA AYU SETIYANI, AN
√ √
12 379577 IMAM SAROFI, SDR
√ √
13 369730 JUWARIYAH, NY
√ √
14 208747 DIFA ALFIAN YUSUF, SDR
√ √
15 369139 MUFIDATUL CHASANAH, NY
√ √
16 243628 BADRIYAH MUJI, NY
√ √
17 379560 NURMALITA DEWI YULIANTI, NN
√ √
18 361697 ARDIAN DWI ZUNARKO, AN
√ √
19 64193 GATI, NY
√ √
20 135068 YUNARTI, NY
√ √
1 7-7-2023 379522 VERONICA SRI RAHAYU, NY
√ √
2 379731 RINI ENDRIANI, NY
√ √
3 379729 MAIDA KUNI FAIZAH, NY
√ √
4 239537 ROKHMAWATI, NY
√ √
5 379732 ROFIANNA DWI WAHYUNI, NY
 205859 SHOFA RAHAYU, NY √ √
6
√ √
7 379766 MAWAR EKA ANGGRAINI, NY
√ √
8 360954 MUHAMMAD AL FATIH .A., AN
√ √
9 379768 BY NY MARIA RATNA,
√ √
10 284986 SITI ROIMUNAH,NY
√ √
11 379510 BY NY ASIH SRI LESTARI
√ √
12 216716 JANI, NY
√ √
13 247849 KHOIRUL AMRIN, BP
√ √
14 379742 BY NY NURMALITA DEWI YULIANTI
√ √
15 379689 MUHAMAD GIYONO, BP
√ √
16 374539 TUMIYEM, NY

√ √
17 379778 SUTRISNO, BP
√ √
18 159799 SEMIYATI, NY
√ √
19 379781 KHADEEJA ALMAHYRA JUFRIZAL, AN
√ √
20 379626 WIRDUN, BP
√ √
1 8-7-2023 305943 IBNU KHOIRI FAUZAN, SDR
√ √
2 379737 NUR KOLIK, BP
√ √
3 66409 YAYAN SUPANGAT, BP
√ √
4 377525 ABDUL CHAFID, BP
√ √
5 369083 HARYANI, NY
149210 Ny. Sisilia Parmiyati √ √
6
√ √
7 379773 MULYO SUWITO, BP
 √ √
8 379777 EDI KURNIAWAN, BP
√ √
9 212185 SIREP, NY
√ √
10 348779 BENY ANDREAN, BP
√ √
11 379772 BY NY SEPTIANA DEWI PUSPITA,
√ √
12 379761 TIA GUSMAWANTI, NY

√ √
13 240997 SUPARMAN, BP
√ √
14 378336 WAGIYATI, NY
√ √
15 379761 TIA GUSMAWANTI, NY
√ √
16 378901 PARJILAH, NY
√ √
17 67993 SUPRIHATI, NY
√ √
18 201431 WALTINAH, NY (HD)
√ √
19 379759 AGUS SUGIARTO TANMARGO, BP
√ √
20 379787 SUPARDI, BP
√ √
1 9-7-2023 20203 ROMINAH, NY
√ √
2 82415 JANATIN, NY
√ √
3 245335 TITIK SUNARTI, NY
√ √
4 188924 SUYAH, NY
√ √
5 195431 ISTATIK SULISTYANINGSIH, NY
√ √
6 78894 SRI MUNTAMAH, NY
√ √
7 379864 ADITYA MAHATMA NANDA, AN
√ √
8 168216 SUPARNO, BP
√ √
9 379843 EKA SA'ADATI, NN
 √ √
10 379843 EKA SA'ADATI, NN
√ √
11 379679 RAFAEL PUTRA RIYANTO, AN
√ √
12 379855 MEGA FRISKATINA PUTRI, NN
√ √
13 379853 SUYUT, BP
√ √
14 379851 SOPIYAH, NY
√ √
15 379964 WAGIYATI, BY NY
√ √
16 240997 SUPARMAN, BP
√ √
17 379749 JUMINI, BP
√ √
18 379864 ADITYA MAHATMA NANDA, AN
√ √
19 212185 SIREP, NY
√ √
20 13692 RINI KRISTANTI, NY
√ √
1 10-7-2023 177260 WASMIYATI, NY
MUHAMMAD KHABIB √ √
2 379578 BAITUROHMAN, BP
√ √
3 158597 CHOTIDJAH, NY
√ √
4 362407 NURAINI ZULIATI, NN
√ √
5 377802 SITI NGAFIAH, NY
359241 Ny. SITI ROHANI √ √
6
√ √
7 379853 SUYUT, BP
√ √
8 379689 MUHAMAD GIYONO, BP
√ √
9 373776 ASRI MUSIATI, NY
√ √
10 374895 REBO, BP
√ √
11 379798 SUTARYONO, BP
 √ √
12 300005 SUGENG, BP
√ √
13 252024 SUYATMAN, BP
√ √
14 379884 TRIYONO, BP
√ √
15 379883 TUKINUN, BP
√ √
16 379884 TRIYONO, BP
√ √
17 378901 PARJILAH, NY
√ √
18 212185 SIREP, NY
√ √
19 379964 WAGIYATI, BY NY
√ √
20 333724 FEBRIAN PUTRA ASTANTO, AN
√ √
1 11-7-2023 218635 SOLIKHAH, NY
√ √
2 345487 WARSONO, BP
√ √
3 116372 HUSNA AMALIA, NY
√ √
4 249961 SRI INDRAYANI, NY
√ √
5 139121 SUMIATI, NY
379712 ALFIATUR RAHMAWATI, NN √ √
6
√ √
7
√ √
8
√ √
9
√ √
10
√ √
11
√ √
12
√ √
13
 √ √
14
√ √
15
√ √
16
√ √
17
√ √
18
√ √
19
√ √
20
√ √
1 12-7-2023 379565 AMINURROSYIDIN, BP
√ √
2 379574 LILIS LISTIYANI, NY

√ √
3 263289 MUHAMMAD BURHANUDIN, AN
√ √
4 213996 ENI HUNAENIAH, NY
√ √
5 155345 DWI WAHYUNINGSIH, NY
285819 JILAH, Ny √ √
6
√ √
7 171007 SUROSO, BP
√ √
8 333192 NGADINO, BP
√ √
9 278105 NGATINAH, NY
√ √
10 220764 EKAR DINAH YATI, NY
√ √
11 379791 BY NY JANI
√ √
12 64193 GATI, NY
√ √
13 359696 SLAMET LASIDI, BP
√ √
14 379764 TRI RIYANTO, BP
√ √
15 372119 SUDIRMAN, BP
 √ √
16 223762 MUH ROKIM, BP
√ √
17 366485 SUTRISNO, BP
√ √
18 379817 WIDYA FARANTIKA, NY
√ √
19 379863 BY NY MAWAR EKA ANGGRAINI
√ √
20 379771 BY NY ARINAWATI
√ √
1 13-7-2023 379900 MA'RIFATUN DINIYAH, NY
√ √
2 303563 MUNANDAR,BP
√ √
3 359716 SISWADI, BP
√ √
4 262087 PAMUJINING PRATIWI, NY
√ √
5 358447 AHMAD KHOIRI, BP (HD)
329647 VIVI OKTASARI, Ny √ √
6
√ √
7 380203 MARNO, BP
√ √
8 232062 BUDI, BP
√ √
9 379981 BY NY BALGIS RISKI RAMADHANI,
√ √
10 379973 DARMANTO, BP
√ √
11 324190 ROCHMAD SUDARSIN, BP (HD)
- √
12 105731 PUJIYANA, BP
√ √
13 269241 PARSIDAH. NY
√ √
14 379797 AHMAD MUAMMAR FANANI, BP
√ √
15 289756 SITI MURNIYANTI, NY
√ √
16 183398 ROKIMAH,NY
√ √
17 380089 DYVA EDELWEIS RINJANI, AN
 √ √
18 99162 CHATRIN FITRI HAPSARI, NY
√ √
19 379911 ALIFAH ASNA OKTAFIANI, AN
- √
20 380071 RIA ASTUTI, NY
ABDUL WAHID ENGGAR NUGROHO, √ √
1 14-7-2023 61397 AN
√ √
2 379724 YUSTINA LICA LIANTI, NN
√ √
3 255112 NUR HIDAYAH, NY
√ √
4 364462 MARWOTO, BP (HD)
√ √
5 85602 SUBIAH, NY (HD)
228461 PARNI, Ny √ √
6
√ √
7 379702 ARIYANTI TRI REJEKI, NY
√ √
8 379615 by Nn,HAFILDA ANIMATUL K, GM II
√ √
9 376153 MUCH DAMIRI, BP
√ √
10 379615 by Nn,HAFILDA ANIMATUL K, GM II
√ √
11 305626 ISA MIRAWANTI, NY
√ √
12 379307 NURSIONGGONO ROEDIJONO, BP
√ √
13 379618 NINA SUBEKTI, NY
√ √
14 379302 BY NY CICIK NOVI INDRIYANI
√ √
15 214246 SUWANDI, BP
√ √
16 214246 SUWANDI, BP
√ √
17 363912 VITA AYU SETIYANI, AN
√ √
18 379577 IMAM SAROFI, SDR
√ √
19 369730 JUWARIYAH, NY
 √ √
20 208747 DIFA ALFIAN YUSUF, SDR
√ √
1 7/15/2023 379910 ZULFIA NISA APRILLIA, NY
√ √
2 379803 SHINTA DEWI ANGGRAENI, NN
√ √
3 373717 CHOLIFATUN, NY
√ √
4 380061 INDAH ARIYANTI, NY
289756 SITI MURNIYATI, Ny √ √
5
√ √
6 379790 FANDY WIBYANTO, SDR
√ √
7 379795 DEVANO ALFARIZKI, AN
√ √
8 78894 SRI MUNTAMAH, NY
√ √
9 379508 YOESWARTI, NY
√ √
10 379790 FANDY WIBYANTO, SDR
√ √
11 379747 BY NY BEKTI NUR KHASANAH
√ √
12 379766 MAWAR EKA ANGGRAINI, NY
√ √
13 360954 MUHAMMAD AL FATIH .A., AN
√ √
14 379768 BY NY MARIA RATNA,
√ √
15 173725 NAILA RAHMA SARI, AN
√ √
16 379773 MULYO SUWITO, BP
√ √
17 43366 IDWAN SUJONO, BP
√ √
18 294832 ERA NAHYATI, NY
√ √
19 379921 AHMAD ROYHAN ABDUL SOLEH, AN
√ √
20 379936 KRISTIYA FATMAWATI, NY
√ √
1 7/17/2023 13662 ESTHI PUJIATI, NY
 √ √
2 180127 SITI CHOTIJAH, NY
√ √
3 47539 INAYAH, NY
√ √
4 189349 HIKMAH INDAH NURLAILA, AN
√ √
5 379666 KAIVANDRA ALSYAZANI S, AN
321837 An. ALZA ANIMA RAYAN √ √
6
√ √
7 379937 BY NY MIFTAHUL JANAH
√ √
8 191183 SUPRIYANTO, BP
√ √
9 379791 BY NY JANI
√ √
10 306031 PUJI LESTARI, NY
√ √
11 242022 NURANIFAH SILVYANI, NY
√ √
12 105731 PUJIYANA, BP
√ √
13 269241 PARSIDAH. NY
√ √
14 379797 AHMAD MUAMMAR FANANI, BP
√ √
15 289756 SITI MURNIYANTI, NY
√ √
16 183398 ROKIMAH,NY
√ √
17 380089 DYVA EDELWEIS RINJANI, AN
√ √
18 99162 CHATRIN FITRI HAPSARI, NY
√ √
19 379911 ALIFAH ASNA OKTAFIANI, AN
√ √
20 380071 RIA ASTUTI, NY
√ √
1 7/18/2023 326693 YOHANES ROSUL SURYADI, BP
√ √
2 366275 ISROIYAH, NY (HD)
√ √
3 9336 SRI KARTINAH. V, NY
 √ √
4 316031 RENY WAHYUNINGRUM, NY
√ √
5 145833 ANISA, NN
376755 BP KOMARI √ √
6
√ √
7 111009 MARIYAH, NY
√ √
8 380082 MUHAMMAD RIZZA AMRY, SDR
√ √
9 379971 BY NY ZULIYANTI,
√ √
10 40284 NGATEMI, NY
√ √
11 380079 HIDAYAH AMANATI, NY
√ √
12 322344 NADA AMALIA KUSUMA, AN
√ √
13 379986 BY NY MARYANTI,
√ √
14 309257 SUNGKONO,BP
√ √
15 379984 UTARSIH, NY
√ √
16 274722 BIZAN MIKA ANTORO, AN
√ √
17 105731 PUJIYANA, BP
√ √
18 274722 BIZAN MIKA ANTORO, AN
√ √
19 379773 MULYO SUWITO, BP
√ √
20 40284 NGATEMI, NY
√ √
1 7/20/2023 379955 ARI SETIAWAN, BP
√ √
2 121432 SUPARWOTO, BP
√ √
3 379699 FRANKY GUNAWAN, BP
√ √
4 327838 DZIKRON FUADI MUKTIASNAWI, AN
√ √
5 379321 LILIK ISKANDAR
 379701 ARYANI PRATIWI, NY √ √
6
√ √
7 342372 QAIREEN PUTRI RASLINA, AN
√ √
8 187199 ANISA ARTIANTI, NY
√ √
9 346699 SLAMET, SDR
√ √
10 380094 SIKUNCORO, BP
√ √
11 242022 NURANIFAH SILVYANI, NY
√ √
12 380093 GRAVILA NAILY EVELYN, AN
√ √
13 380094 SIKUNCORO, BP
√ √
14 14391 TIARA NURMALA SARI, NY
√ √
15 40284 NGATEMI, NY
√ √
16 380076 MUHAMMAD AL THAFARIZ, AN
√ √
17 196780 SOLIKAH, NY
√ √
18 380083 EKO NUR ARIFIN, BP
√ √
19 183348 SURENI RISYANTO, BP
√ √
20 246580 DZAKIYAH RAFIFAH, AN
√ √
1 7/21/2023 376770 LUSIA SARYATI, NY
√ √
2 379826 MARIA YUDITH, NN
√ √
3 39369 SINGGIH NURHARYANTO, BP
√ √
4 72647 SARWITI, NY
√ √
5 226518 GUMUNIYATI, NY (HD)
333785 EMMILIA MIYARTI, Ny √ √
6
√ √
7 182665 MELLY AGUSTIN, NY
 √ √
8 210205 SUDARMI, NY
√ √
9 380100 WALYOTO, BP
√ √
10 380110 ARDA SATRIA PUTRA, AN
√ √
11 81443 ALADIN, BP
√ √
12 380114 LITA RATIH WIDYANINGSIH, NY
√ √
13 380113 DEWI PRIATI, NY
√ √
14 380172 ARIESNA SULISTYANINGRUM, NY
√ √
15 180957 SUTOPO,BP
√ √
16 380126 DAKOID, BP
√ √
17 380117 WARKAM, BP
√ √
18 380126 DAKOID, BP
√ √
19 380100 WALYOTO, BP
√ √
20 379808 SUGIYANTO, BP
√ √
1 7/22/2023 380144 DESI TRIANA WATI, NN
√ √
2 380209 MUHAMMAD HUMAM FUADA, SDR
√ √
3 362662 NGATIDJAN, BP (HD)
√ √
4 147202 SUMARWANDI,BP (HD)
√ √
5 149484 MAHARDIKA AGUS RIFA'I, SDR
380375 SUPARNO, BP √ √
6
√ √
7 43366 IDWAN SUJONO, BP
√ √
8 329647 VIVI OKTASARI, NY
√ √
9 240605 SUKIR, BP
 √ √
10 313895 MUHAMMAD IRWAN EFENDI, BP
√ √
11 380127 MUHDI, BP
√ √
12 380233 AHMAD MIFTAKHUDIN, SDR
√ √
13 213448 MUH KHOZIN, BP
√ √
14 141448 NIA FAJRIANI, AN
√ √
15 172695 FATKHAN, BP
√ √
16 380189 MAULANA KASYIFAL IMDAD, AN
√ √
17 180957 SUTOPO,BP
√ √
18 242661 SARI ISTIQOMAH, NY
√ √
19 380194 NICO JOE JUNIOR, AN
√ √
20 295714 ARI MUALIMAH, NY
√ √
1 7/24/2023 375407 IBNU HAJAR, BP
√ √
2 233509 ESTA MARTIYANI, NY
√ √
3 378332 SITI NUR DEWI INDRAYANI, NY
√ √
4 379948 WULAN ANGGRAENI, NN
230868 Ny. SURATI √ √
5
√ √
6 379984 UTARSIH, NY
√ √
7 364134 GUNAWAN, BP
√ √
8 380092 MUL SUGITAWATI, NN
√ √
9 376755 KOMARI, BP
√ √
10 233226 SUGENG, BP
√ √
11 380222 FADLILLAH RAGIL BIMA A, SDR
 √ √
12 213448 MUH KHOZIN, BP
√ √
13 304967 HARSONO TUMAR, BP
√ √
14 287389 NAFIAH, NY
√ √
15 380180 BY NY MIRA APRIYANA,
√ √
16 379984 UTARSIH, NY
√ √
17 380183 BY NY DEWI PRIATI,
√ √
18 362236 PRAWORO, BP (HD)
√ √
19 172695 FATKHAN, BP
√ √
20 54484 SUJIYAH, NY
√ √
1 7/25/2023 314476 RISTI NAVA YANTI, NN
√ √
2 269525 YOGO PARYANTO, BP
√ √
3 312487 ANGGA PRIAMBUDI, SDR
√ √
4 291507 PONIYATI, NY
√ √
5 372119 SUDIRMAN, BP
380412 Ny. SRI LESTARI √ √
6
√ √
7 380301 EMILIYANA MIYARTI, NY
√ √
8 379949 NURAINI INDAH LESTARI, NY
√ √
9 180957 SUTOPO,BP
√ √
10 246580 DZAKIYAH RAFIFAH, AN
√ √
11 379984 UTARSIH, NY
√ √
12 380177 TIRA AURA, AN
√ √
13 269241 PARSIDAH. NY
 √ √
14 379808 SUGIYANTO, BP
√ √
15 210674 DANURI WIDYOHARTONO, BP
√ √
16 380105 SRI INAYAH, NY
√ √
17 264190 DALEMI ,NY
√ √
18 380117 WARKAM, BP
√ √
19 233226 SUGENG, BP
√ √
20 374511 ANA SITI LESTARI, NY
√ √
1 7/26/2023 134135 HARTIYAH, NY
√ √
2 308661 DENOK RUMANAH, NY
√ √
3 311055 MUKINI, NY
√ √
4 380154 ADITYA RIFQI ADITAMA, SDR
√ √
5 375315 SUBIASIH, NY
321915 Bp.MOH TOYIB √ √
6
√ √
7 253745 RIKE ARDIA MEGAWANTI NY
√ √
8 380037 SITI MARIYAM, NY
√ √
9 359262 ENY HERAWATI, NY
√ √
10 380037 SITI MARIYAM, NY
√ √
11
√ √
12 360789 TITO PRASETYO HARDIANSYAH, S
√ √
13 380375 SUPARNO, BP
√ √
14 380377 KIKI RAHMAWATI, NY
√ √
15 380335 FITRIANI, NY
 √ √
16 379984 UTARSIH, NY
√ √
17 292394 SITI AMINAH,NY
√ √
18 334153 ISMI ANIFAH, NY
√ √
19 338154 BERNICA ULLY ANGELIA, NN
√ √
20 380090 ANIS SULKHANI, BP
√ √
1 7/27/2023 355748 KURNIAWAN,BP
√ √
2 307314 MUJI LESTARI, NY
√ √
3 252024 SUYATMAN, BP
√ √
4 97938 SUPARTINI, NY
√ √
5 80858 SIGIT WALUYO JATI, SDR
144819 DEDY YUSUF, Sdr √ √
6
√ √
7 134790 HERLINA SETYANINGSIH, NY
√ √
8 380213 SAIRAH, NY
√ √
9 139389 INDRO SISWOYO, BP
√ √
10 213448 MUH KHOZIN, BP
√ √
11 312513 JARIYAH, NY
√ √
12 380372 BY NY SURYATI
√ √
13 380219 SUHARTIYAH, NY
√ √
14 313895 MUHAMMAD IRWAN EFENDI, BP
√ √
15 380217 SURYA FARID SATHOTHO, BP
√ √
16 330043 ERFIN ALFIYANTO, SDR
√ √
17 263530 WARSIH UTAMI, NY
 √ √
18 316794 EXCAVANI MARTA PUTRI, NN
√ √
19 316466 ILHAM SYARIFFUDIN ISMAWAR,AN
√ √
20 380391 MUHAMMAD ZAENURI, BP
√ √
1 7/28/2023 239 DENY FAJAR NUGRAHA, SDR
√ √
2 78482 TJAHYA ANANG SANTJAKA, BP
√ √
3 193129 SUJIYATI, NY
√ √
4 370099 ANNISA NURAHMA SAFITRY, NN
√ √
5 233661 TOMADI, BP
276416 RIANAH, NY √ √
6
√ √
7 380382 WULAN RAMADHANI, AN
√ √
8 380397 NAFIATUL MUSTAHFIROH, NY
√ √
9 191776 ASFAROYAH, NY
√ √
10 380391 MUHAMMAD ZAENURI, BP
√ √
11 380301 EMILIYANA MIYARTI, NY
√ √
12 360789 TITO PRASETYO HARDIANSYAH, S
√ √
13 338154 BERNICA ULLY ANGELIA, NN
√ √
14 380401 ANDRI TRIYANTO, BP
√ √
15 380402 SITI RUHYIMAH, NY
√ √
16 290751 ISTIQOMAH, NY
√ √
17 252038 SUJUD, BP
√ √
18 380304 MUHAMMAD ARIF HARTANTO, BP
√ √
19 348597 ELHASIQ RAFA MAULA HASBI, AN
 √ √
20 374523 RUWINI, NY
√ √
1 7/29/2023 373327 ROHMAT WIDI SUPRAPTO, BP
√ √
2 309692 LISTIYAH, NY (HD)
√ √
3 152250 TEGUH WIDODO, SDR
√ √
4 361507 ISTICHONATUL CHOIRIYAH, NY
√ √
5 24655 AGUS SUYITNO, BP
380648 TINI SUPARTINI √ √
6
√ √
7 276251 MAGDALINA MARIA, NY
√ √
8 284537 KATINI, NY
√ √
9 263737 YUSUF ABDULAH, SDR
√ √
10 139389 INDRO SISWOYO, BP
√ √
11 184887 SUPINAH,NY
√ √
12 79896 SITI MAHMUDAH, NY
√ √
13 380391 MUHAMMAD ZAENURI, BP
√ √
14 380542 SUGIYANTO, BP
√ √
15 380542 SUGIYANTO, BP
√ √
16 372821 NUR MUSAWIYATI, NY
√ √
17 228443 DAKIR, BP
√ √
18 81074 SURATMI, NY
√ √
19 235222 SITI MUAWANAH, NY
√ √
20 379831 SUYOTO, BP
√ √
1 7/31/2023 252038 SUJUD, BP
 √ √
2 380304 MUHAMMAD ARIF HARTANTO, BP
√ √
3 348597 ELHASIQ RAFA MAULA HASBI, AN
√ √
4 374523 RUWINI, NY
√ √
5 380401 ANDRI TRIYANTO, BP
√ √
6 276486 ANNISA
√ √
7 360264 RAMINI, NY
√ √
8 348597 ELHASIQ RAFA MAULA HASBI, AN
√ √
9 380388 PRAYITNO, BP
√ √
10 338154 BERNICA ULLY ANGELIA, NN
√ √
11 178878 BUDIARTI, NY
√ √
12 380381 TUTIK MARDHIYAH, BY NY
√ √
13 380407 SURTI, NY
√ √
14 380410 TRI SETIYANINGSIH, NY
√ √
15 380100 WALYOTO, BP
√ √
16 348524 SUPOMO, BP
√ √
17 196206 ENDAH FITRIYATI, NY
√ √
18 359997 RUBI, NY
√ √
19 161262 SUNARTI, NY
√ √
20 263530 WARSIH UTAMI, NY

Mengetahui

Kepala Instalasi Laboratorium dan Bank Darah

RSUD Muntilan Kabupaten Magelang

Dr. Ana Roechanah, Sp.PK

NIP. 19680919 200604 2 002

KO PERMINTAAN PEMERIK

PARAF PJ
m dan Bank Darah
CEKLIS PENGAMBILAN DATA PROFIL IMP UNIT
KETIDAKLENGKAPAN IDENTITAS PASIEN PADA BLANGKO PERMINTAAN

IDENTITAS SAMPEL

NO TGL RM NAMA BLANGKO

PERMINTAAN

√
1 8/1/2023 238706 MICH JARTONO, BP
√
2 300327 SARJITO, BP
√
3 248638 HARNOTO, BP
√
4 143615 RUBIYATUN, NY
√
5 377392 SUGENG, BP
380705 Ny. KADARYANI √
6
346129 TUKIDJO, BP √
7
246777 TRIYAHMAN, BP √
8
380823 MURSINAH, NY √
9
194738 MUHAMMAD SAMSUL HUDA, BP √
10
380824 JUWAHIR, BP √
11
380822 SUKIRMAN, BP √
12
380825 ARKHA YUDHISTIRA KENZY, AN √
13
268349 HARYADI, BP √
14
380823 MURSINAH, NY √
15
380718 FENNY NUR SUCIAHESTI, NY √
16
380712 BY NY ELI SETIANI √
17
 380768 PAWIRO UTOMO TUPAN, BP √
18
380678 SUGIYANTO, BP √
19
253967 NURUL WASILATUN NAFIAH, NN √
20
√
1 8/2/2023 380276 ISTADI, BP
√
2 380275 SURAHMAD, BP
√
3 380274 TUTIK KALMIYATI, NY
√
4 49047 JANERA AL MASANI, SDR
√
5 197255 SAMINI, NY
366063 An FARISSA MAULIDA FIRDAUS √
6
√
7 246950 ALARIC AZAHIDI TSAQIB A., AN
√
8 346129 TUKIDJO, BP
√
9 380874 ARI KUSWANTORO, BP
√
10 380671 ALTAF NIZAR SAPUTRA, AN
√
11 380848 PURWO DARSONO, BP
√
12 380849 DINDA SHINTA KARINA, NY
√
13 380850 WULANDARI, NN
√
14 374248 JUMANAH, NY
√
15 380845 ROJIYAH, NY
√
16 380846 MARGO MUJIYANTO, BP
√
17 380752 BY NY, IMRONAH
√
18 380680 BY NY, NUR MUSAWIYATI
√
19 380821 BY NY, EVI NUR VAIZAH
 √
20 378901 PARJILAH, NY
√
1 8/3/2023 380640 RISANG HARYO PAMUNGKAS B, SDR
√
2 148926 ASIH DWIYANTI,NY
√
3 300339 ZAKARIA NUR IKHSAN, AN
√
4 3026 SULASMI, NY
√
5 360396 WATINI, NY
379838 KAYLILA ASHIFA FJRI, AN √
6
√
7 324972 JADARI, BP
√
8 380952 USMAN NASRUDIN, BP
√
9 151506 ATIK DINTIYANI, NY
√
10 380705 KADARYANI, NY
√
11 236740 SITI MARYAM, NY
√
12 380941 KANZA AMELIA HASNA, AN
√
13 216981 WAHYU HIDAYANINGSIH, NY
√
14 170917 SUNARYO, BP
√
15 157180 SIFANIA ARDITA ANGGRAENI, AN
√
16 380959 SULASMAN, BP
√
17 374248 JUMANAH, NY
√
18 380951 FERLY DWI KINANTI, AN
√
19 380981 ARIYAH, NY
√
20 216981 WAHYU HIDAYANINGSIH, NY
√
1 8/4/2023 248146 SITI HANIFAH FATIN, NY
 √
2 221679 SUMANTO, BP
√
3 244926 SAEFUDIN, BP
√
4 381195 LAILATUL MUFIDA, NN
√
5 77285 JOVAN RAZAAN MAHESWARA, SDR
346317 ARIF WAHYU, Sdr √
6
√
7 201403 ISTIYANI, NY(hd)
√
8 354264 NUR ANISA ALAFAH, NN
MUHAMMAT FATKHUL MUBAROK, √
9 380891 SDR
√
10 380824 JUWAHIR, BP
√
11 365800 JUMIYEM, NY
√
12 380848 PURWO DARSONO, BP
√
13 380832 TRIYANINGSIH, NY
√
14 178714 MAHMUDI,BP
√
15 194738 MUHAMMAD SAMSUL HUDA, BP
√
16 380823 MURSINAH, NY
√
17 380890 QOMINATUN, NY
√
18 253967 NURUL WASILATUN NAFIAH, NN
√
19 140851 ROCHYAN, BP
√
20 216981 WAHYU HIDAYANINGSIH, NY
√
1 8/5/2023 1838 ALFIYAH,NY
√
2 121198 JOKO BUDHI LAKSONO, BP
√
3 187620 MAWARTININGSIH, NY
 √
4 370099 ANNISA NURAHMA SAFITRY, NN
√
5 329105 ARSYILA SYAFRINA ALQUINSHA, A
380822 SUKIRMAN, Bp √
6
√
7 239357 AKMAL NAUFAL AFKAR,AN
√
8 380951 FERLY DWI KINANTI, AN
√
9 167968 ARIS, BP
√
10 381075 RISMAWATI, NY
√
11 381076 AHMAD HAKIKI, SDR
√
12 380981 ARIYAH, NY
√
13 380848 PURWO DARSONO, BP
√
14 93714 HARYONO, BP
√
15 253967 NURUL WASILATUN NAFIAH, NN
√
16 368984 SUWAR, BP
√
17 203923 PAINEM, NY
√
18 380823 MURSINAH, NY
√
19 360879 ATMO SUWARNO, BP
√
20 381012 ARIYANTO, BP
√
1 8/7/2023 319124 RUBIKAH, NY
√
2 80902 DWI LESTARI, NY
√
3 8302 RR FX ENDANG PUJIASTUTI, NY
√
4 272311 MURWANI RAHAYU, NY
√
5 153161 MURYATI, NY
 140219 Ny. ESMY AGHISIFA MAZIDA √
6
√
7 380832 TRIYANINGSIH, NY
√
8 381012 ARIYANTO, BP
√
9 381079 SUHUD, BP
√
10 380824 JUWAHIR, BP
√
11 380749 SUMARIJAH, NY
√
12 108526 MUJIRAH, NY
√
13 154847 WIYOTO, BP
√
14 381012 ARIYANTO, BP
√
15 143682 TINARSIH, NY
√
16 381141 SEPTIANA NARA ATILLA, AN
√
17 180799 SUPRANTIYO, BP
ROSPITA FITRI YULAN RAJAGUKGUK, √
18 381142 NY
√
19 374248 JUMANAH, NY
√
20 380850 WULANDARI, NN
√
1 8/8/2023 233027 PARDJAN, BP
√
2 265158 ANTIYAHMI, NY
√
3 193831 MURYANI, NY
RETNO WULAN MUSTIKANINGTYAS, √
4 311441 NY
√
5 310120 SUPARLAN, BP
366000 WINARTI, Ny √
6
√
7 378215 NISA MALICHATUSSA'DIYAH, AN
 √
8 381030 SURAMI, NY
√
9 366275 ISROIYAH, NY (HD)
√
10 380946 MINARJO, BP
√
11 381137 BY NY UMROTTULL SYARIFAH
√
12 380898 BY NY SRI KURNIATI
√
13 359056 DIO DEVANDO ARDIANSYAH, AN
√
14 263902 AGUSTINA, NY (HD)
√
15 358447 AHMAD KHOIRI, BP (HD)
√
16 47820 JUWARMAN, BP (HD)
-
17 381068 TRI HARYANTI GM II, BY NY
√
18 381012 ARIYANTO, BP
√
19 381152 RISMANTO, BP
√
20 381163 KEWIN RAHMADANI, AN
√
1 8/9/2023 381064 MIFTAKHUL JANAH, NY
√
2 380750 YULAIKHA, AN
√
3 381175 SUPARNO, BP
√
4 189410 KINANTI PADMA CHOIRINA, AN
√
5 334334 TRI ANDRIANI, NY
381075 RISMAWATI, Ny √
6
√
7 381176 DARIYAH, NY
√
8 366439 TUKIMAN, BP
√
9 100240 MUDJI, BP
 √
10 381176 DARIYAH, NY
√
11 279247 NUR HASANAH, NY
√
12 293585 MUJIONO, BP
√
13 353042 AISHA KARINA PUTRI HUMAIRA, AN
√
14 381177 SARMINI, NY
√
15 293585 MUJIONO, BP
√
16 381178 BAU YUDO KISWORO, BP
√
17 381175 SUPARNO, BP
√
18 381163 KEWIN RAHMADANI, AN
√
19 279247 NUR HASANAH, NY
√
20 255536 NURUL AZIZAH, NY
√
1 8/10/2023 336013 SRI LESTARI, NY
√
2 328918 DALMI, NY
√
3 140981 SRI WIDAYANTI, NY
√
4 379893 TRI WIJOYO, BP
√
5 112212 TUMINAH ANASTASIA
381152 RISMANTO, Bp √
6
√
7 87991 JAZIM ACHMAD, BP
√
8 380355 INDAH FAJARWATI, NY
√
9 381250 BY NY RULY KAROMATUL K
√
10 381134 AISYA NAIFA SYAFIRA, AN
√
11 381246 BY NY ANDARI
 √
12 381180 BY NY TRI ANDRIANI
√
13 381249 BY NY SITI NUR AZIZAH
√
14 381190 BY GM II NY YUSTIKA WINDAWATI
√
15 381186 BY NY ISTIQOMAH
√
16 381185 BY NY SUJARWATI
√
17 203704 DASONO, BP
√
18 380698 YAMINTEN, NY
√
19 374658 WARYATI, NY
√
20 67993 SUPRIHATI, NY
√
1 8/11/2023 380525 DINA MARYANA, NY
√
2 315290 SITI MUNAWAROH, NY
√
3 284455 VICTORIA TUMINAH, NY
√
4 380865 KHOIRUM MARFU'AH, NY
√
5 381182 NABILA ANJANIA, AN
√
6 381287 HADI PRASOJO, BP
√
7 374658 WARYATI, NY
√
8 380646 SLAMET, BP
√
9 186134 DALIYEM, NY
√
10 381163 KEWIN RAHMADANI, AN
√
11 100240 MUDJI, BP
√
12 351706 CANDRA DARMAWAN, SDR
ROSPITA FITRI YULAN RAJAGUKGUK, √
13 381142 NY
 √
14 381352 DWI ASIH SULISTYOWATI, AN
√
15 381267 DIVANO ALIFIADANI, AN
√
16 381144 MUHAMMAD FIRZA ILHAMI, AN
√
17 381245 BY NY NURUL AZIZAH,
√
18 358983.72527 MARYATUN, NY
√
19 361770.19341 SURAHMAN, BP
√
20 364556.66154 HADI PRASOJO, BP
√
1 8/12/2023 137138 ELIN ISTI ATIK, NY
√
2 55907 MARKONAH, NY
√
3 380750 YULAIKHA, AN
√
4 242337 HARYOWIDODO, BP
√
5 376968 IKHSANUDIN, BP
094848 MARNI SUGITA, Ny √
6
√
7 318349 THERESIA SUKINAH, NY
√
8 361203 AL ULA AZKA SALSABILA, AN
√
9 373035 MUHAMMAD KEVIN ALFARO, AN
√
10 381335 SITI MUSLIKHAH, NY
√
11 379141 SUPAR, BP
√
12 378838 MUH LUKMAN, BP
√
13 381305 BUDI KARYONO, BP
√
14 324296 DWI PURWANTI, NY (HD)
√
15 380901 SUPARI SISWO WARDOYO, BP
 √
16 368532 KHUMAERI, BP
√
17 348718 FANY PUJI ASTUTI, NY
√
18 327692 ANGGITA AUFA ZAHRANI, AN
√
19 257125 MARWAN, BP
√
20 366182 MUFTI SYAIFUDIN AKBAR, SDR
√
1 8/14/2023 379522 VERONICA SRI RAHAYU, NY
√
2 135732 RISYANTO, BP
√
3 79464 ENI SETIOWATI, NN
√
4 143682 TINARSIH, NY
√
5 380902 IKHWAN SAFARI, BP
112369 AULYA PUTRI RAMADHANI √
6
√
7 146967 NENIK,NY
√
8 236491 RIYANTO, BP
√
9 318194 MARIA V. ELLY SURIANTY SRI , NY
√
10 381406 BY NY SARIYANI,
√
11 380319 BAYU RIZKY MAULANI'AMI, AN
√
12 355656 ROSY INDAH CAHYANI, NY
√
13 381316 SITI FARIDAH, NY
√
14 8348 KHASANAH, NY
√
15 381417 SUJILIN, BP
√
16 381402 TASLIAH, NY
√
17 361203 AL ULA AZKA SALSABILA, AN
 √
18 381026 BY NY NURMIYATI
√
19 381189 BY GM I NY YUSTIKA WINDAWATI
√
20 100240 MUDJI, BP
√
1 8/15/2023 153295 MURTININGSIH, NY
√
2 68299 WASIYEM, NY
√
3 72647 SARWITI, NY
√
4 235135 V. SARINI, NY
√
5 311280 SULISTIYONO, SDR
√
6 378838 BP MUH LUKMAN
√
7 176752 ISFINGAH, NY
√
8 375561 SUNYOTO, BP
√
9 356865 UMI KUSWATI, NY
√
10 381330 SAFIRA ZAHRA KUMAIROH, AN
√
11 381416 NUR KHAMIDAH, AN
√
12 381408 ALVINA DHAMAYANTI, AN
√
13 381379 RISWATI, NY
√
14 327137 KASROPI, BP
√
15 277867 BUDIMAN, BP
√
16 263466 AHMAD WAHYU NUGROHO, BP
√
17 321800 MUIM SUHADAK, BP
√
18 357150 SUTIYAM, NY
√
19 381414 MARWADI, BP
 √
20 381424 WAHYUDI, BP
√
1 8/16/2023 77013 SAMIDI, BP (HD)
√
2 252163 WASIAT MARDANI , NY
√
3 357705 PARYATI, NY
√
4 38521 SARAH PRIHATIN, NY
√
5 117982 SUKADI
√
6 348718 FANY PUJI ASTUTI, Ny
√
7 206727 SITI JAMILAH,NY
√
8 318194 MARIA V. ELLY SURIANTY SRI , NY
√
9 381409 YULIMAWAN, BP
√
10 378499 PARIYAH, NY
√
11 352083 M. MUSYAFAK, BP
√
12 173083 AYU APRI YUNITA, NN
√
13 356865 UMI KUSWATI, NY
√
14 381572 BY NY SRI NINGSIH,
√
15 381411 HARTOYO, BP
√
16 380305 LILIS RATNAWATI, NY
√
17 381417 SUJILIN, BP
√
18 372098 PARINDI, BP
√
19 341886 DESTI NAHULIS, NY
√
20 316031 RENY WAHYUNINGRUM, NY
√
1 8/18/2023 191830 FATNAN, BP
 MUHAMMAD ADEVA ARFAN √
2 381206 ARDHANA, AN
MEIDIANA ASYATI HERINA SAPUTRI, √
3 347003 NY
√
4 000239 DENY FAJAR NUGRAHA, SDR
√
5 336234 BEDOK, BP
√
6 381429 Bp. KASNOTO
√
7 297643 SUKARDJO, BP
√
8 267532 TAMIYAH, NY
√
9 281496 SUMIYATI, NY
√
10 182582 SITI RONDIYAH, NY
√
11 350878 KOMISAH, NY
√
12 101912 BAKIR, BP
√
13 381362 SURYO SUKOCO, BP
√
14 253376 PURWANTO WASIDI, BP
√
15 7297 WIJI SUMIYATI, NY
√
16 297435 SETIAWAN, BP
√
17 100240 MUDJI, BP
√
18 380064 WIWIK SRIYANI, NY
√
19 381594 ESTI WIDAYATI, NY
√
20 379270 FINA TRIYASARI, NY
√
1 8/19/2023 254779 SLAMET WIDODO, BP
√
2 319857 MUJIONO, BP
√
3 251714 SUYAHTINI,NY
 √
4 170579 SYAHARANI NUR ARIFAH, NN
√
5 26197 VINCENTIUS KASYANTO, BP
√
6 271968 NADIA ALISYA PUTRI, An
√
7 202384 DIARSIH, NY
√
8 369739 UMMI AZIZAH, NY
√
9 371300 UTAMI, NY
√
10 381724 ANITA YULIANI, NY
√
11 98257 MUGEN, BP
√
12 365236 AMINAH, NY
√
13 381842 AHMAD FAUZIE, BP
√
14 381715 MUHAMMAD ARIEF SUSENO, BP
√
15 381720 MUFLIHAH ISLAMIYAH, NY
√
16 226831 LUCY MERITASARI, NY
√
17 135726 DANANG SUPRIYONO, BP
√
18 142855 ASNAFIATUN, NY
√
19 381712 CATARINA SABARNI, NY
√
20 322731 AHMAD ZURORI, BP
√
1 8/21/2023 369259 THERESIA PRASEKTI, NY
√
2 237277 SUGIYONO, BP
√
3 162408 PRAMONO,BP
√
4 375161 WIDARYANI, NY
√
5 14099 DWI ENDAH SETYOWARDANI, NY
 √
6 148433 ATIK KHOIRIYAH DWI ARIYANI, NY
√
7 140297 SUROSO, BP
√
8 381308 SABDO WIDODO, BP
√
9 381303 BY NY MUSTIKA KURNIA SAPUTRI
√
10 381180 BY NY, TRI ANDRIANI
√
11 379804 FACHRUL RONALD ZICHO, AN
√
12 310120 SUPARLAN, BP
√
13 381316 SITI FARIDAH, NY
√
14 381314 NARENDRA ALGHIFARI, AN
√
15 381162 BY NY, WIKAN NINGRUM
√
16 381250 BY NY RULY KAROMATUL K
√
17 380833 BY NY, FENNY NUR SUCIAHESTI
√
18 87762 NGATINEM, NY
√
19 345619 WIYATNO, BP
√
20 381289 MARYATUN, NY
√
1 8/22/2023 1429 HANI WIRATNO.SPD, BP
√
2 350714 DEVI SAPUTRI, NY
√
3 367921 YUSTINUS PARYANTO, BP
√
4 381681 JUMONO, BP
√
5 299687 SURIP,NY
√
6 097760 Sdr. SINGGIH IYAN HENDRATMO
√
7 300103 ERNAWATI,NY
 √
8 381362 SURYO SUKOCO, BP
√
9 381365 SUMARI, BP
√
10 381379 RISWATI, NY
√
11 327137 KASROPI, BP
√
12 381306 ARISA FIKTA NOVITA S, BY NY
√
13 364880 SAPARI, BP
√
14 381366 DITA INTAN NABILA, AN
√
15 374963 SITI NURJANAH, NY (HD)
√
16 226518 GUMUNIYATI, NY (HD)
√
17 376770 LUSIA SARYATI, NY (HD)
√
18 193435 SUDARMILAH, NY
√
19 381294 ARISA FIKTA NOVITASARI, NY
√
20 381316 SITI FARIDAH, NY
√
1 8/23/2023 236405 FAJAR SETIAJI, BP
√
2 265516 HARTONO SANTOSO WIBOWO, BP
√
3 200453 SUYANTI, NY
√
4 193034 DARYATI, NY
199552 ROWI, Bp √
5
√
6 381250 BY NY RULY KAROMATUL K
√
7 381190 BY GM II NY YUSTIKA WINDAWATI
√
8 381303 BY NY MUSTIKA KURNIA SAPUTRI
√
9 203380 NONIK DWI CAHYANINGSIH, NN
 √
10 381317 TRI MARDIYANTI, NY
√
11 381335 SITI MUSLIKHAH, NY
√
12 380219 SUHARTIYAH, NY
√
13 381361 HELFAN JORDAN NATAELY H., AN
√
14 5824 TRI RETNOWATI, NY
√
15 351706 CANDRA DARMAWAN, SDR
√
16 374108 WAHYUTI, NY (HD)
√
17 261448 HAMID FAOZI, BP
√
18 366439 TUKIMAN, BP
√
19 381303 BY NY MUSTIKA KURNIA SAPUTRI
√
20 381068 BY NY GM II TRI HARYANTI
√
1 8/24/2023 360974 ALFARIZA FAREL PRADANA, AN
√
2 368244 YOHANA INDAH SRI W, NN
√
3 381592 RISKA DWI YANTI GM I, BY NY
√
4 152314 CHABIBAH, NY
√
5 134471 VIDYA NIRMALA, SKM, NY
√
6 365236 Ny. AMINAH
√
7 351706 CANDRA DARMAWAN, SDR
√
8 380219 SUHARTIYAH, NY
√
9 378351 PARNI ,NY
√
10 381330 SAFIRA ZAHRA KUMAIROH, AN
√
11 381330 SAFIRA ZAHRA KUMAIROH, AN
 √
12 261448 HAMID FAOZI, BP
√
13 271968 NADIA ALISYA PUTRI, AN
√
14 271968 NADIA ALISYA PUTRI, AN
√
15 261448 HAMID FAOZI, BP
√
16 381012 ARIYANTO, BP
√
17 381365 SUMARI, BP
√
18 147202 SUMARWANDI,BP (HD)
√
19 355656 ROSY INDAH CAHYANI, NY
√
20 378215 NISA MALICHATUSSA'DIYAH, AN
√
1 8/25/2023 259551 SUPRIHATIN, NY
√
2 264190 DALEMI ,NY
√
3 73925 TH. SUTRIMAH, NY
√
4 175422 SUTITIK, NY
√
5 469 YUDISTIRA ARDHIE W, BP
√
6 371300 Ny. UTAMI
√
7 281242 MUHSIN (HD), BP
√
8 301609 PUJI RIYANTI, NY (HD)
√
9 380305 LILIS RATNAWATI, NY
√
10 352083 M. MUSYAFAK, BP
√
11 1632 SALIKUN JB,DRS, SDR (HD)
√
12 381179 SITI NUR AZIZAH, NY
√
13 381125 MARYATUN SOLIKHAH, NY
 √
14 318194 MARIA V. ELLY SURIANTY SRI , NY
√
15 381420 VINCENTIUS KATAM, BP
√
16 359583 FELINA SHAHIA WANDA, AN
√
17 381414 MARWADI, BP
-
18 381364 ZHAFIRA ARSY NURCAHYADI, AN
√
19 381821 BY NY SRI LESTARI
√
20 381429 KASNOTO, BP
√
1 8/26/2023 348957 RAHMAD HIDAYAT, AN
√
2 35673 PANGIHUTAN PARDEDE, BP
√
3 266697 FL SITI UMI YATUN, NY
√
4 338704 DIRDJO GIMAN, BP
√
5 239 DENY FAJAR NUGRAHA, SDR
√
6 304654 Sdr. JAMIN
√
7 263466 AHMAD WAHYU NUGROHO, BP
√
8 381842 AHMAD FAUZIE, BP
√
9 381420 VINCENTIUS KATAM, BP
√
10 336234 BEDOK, BP
√
11 381402 TASLIAH, NY
√
12 381417 SUJILIN, BP
√
13 166878 SITI ISTIKOMAH, NY
√
14 381429 KASNOTO, BP
√
15 375561 SUNYOTO, BP
 √
16 381068 BY NY GM II TRI HARYANTI
√
17 381431 BY NY RENI SUPRIHANA
√
18 381398 RIYANTO DWI PRASETYO, BP
√
19 381397 ANI NAILIL MAGHFIROH, NN
√
20 356865 UMI KUSWATI, NY
√
1 8/28/2023 27007 ASMUDAH, NY
√
2 347044 NUR AZIZAH, NY
√
3 348297 NURBAYINAH, NY
√
4 275591 SRINATUN, NY
√
5 377629 SRI INDARWATI, NY
√
6 099041 Ny. SITI
√
7 367565 RISKA DWI YANTI, NY
√
8 381068 TRI HARYANTI GM II, BY NY
√
9 381585 BY NY RINA PERDANA NUR AMALIA
√
10 381625 FITRI ANALISA, BYNY
√
11 381587 NOVITASARI, NY
√
12 381624 BY NY CHIQMAH PUJI LESTARI
√
13 381437 JONI PUTRANTO, SDR
√
14 277867 BUDIMAN, BP
√
15 356756 DALIYEM, NY
√
16 297722 TUKIDJO, BP
√
17 381433 NGATIKEM, NY
 √
18 142884 SARJONO, BP
√
19 381830 BY NY LAMI
√
20 381245 BY NY NURUL AZIZAH
√
1 8/29/2023 192109 ZANUAR KUSUMA AJI, BP
√
2 172698 ILMA ANIYATUN NASIKHAH, AN
√
3 235789 ISTIQOMAH. NY
√
4 309018 MURHADIMAN, BP
√
5 253376 PURWANTO WASIDI, BP
√
6 381963 Bp. PAIMIN
√
7 364880 SAPARI, BP
√
8 297722 TUKIDJO, BP
√
9 381362 SURYO SUKOCO, BP
√
10 282323 FILBERT WIBOWO, AN
√
11 353671 SIGIT KISWANTO. SE, BP (HD)
√
12 283015 PATMAWATI, NY
√
13 97760 SINGGIH IYAN HENDRATMO, SDR
√
14 376690 SEKAR WULAN KINASIH, AN
√
15 334780 SITI KHUSTSIYATI, NY
√
16 199552 ROWI, BP
√
17 373556 PRATAMA NIKO APRIYAN, SDR
√
18 274830 SAWITRI NUR HIDAYAH, NY
√
19 381660 SITI ANJARSARI, NY
 √
20 113726 AGUSTINA SARWOPENI, NY
√
1 8/30/2023 140769 ANZARITA, NY
√
2 179801 RUKOYAH, NY
√
3 24655 AGUS SUYITNO, BP
√
4 104706 SUTAMI, NY
√
5 351126 DEFAN PRASETYO UTOMO, SDR
381457 Ny. ARI MURTI √
6
√
7 380911 ICHITA CIRA CININTA, AN
√
8 381448 DIMAS YA'AFI LUQMAN, AN
√
9 365060 HADI DARMO, BP
√
10 381865 BY NY ARUM YATININGSIH
√
11 213448 MUH KHOZIN, BP
√
12 213158 ANIK KISMIYATI, NY
√
13 152777 SITI NGAISAH, NY
√
14 381722 MARSONO, BP
√
15 226831 LUCY MERITASARI, NY
√
16 349332 MUHAMMAD REYHAN ALVIYAN, AN
√
17 164444 SITI KHUZAEMAH, NY
√
18 362973 KRISNAWATI APRILIANA, NY
√
19 381884 MASLAHUL FAJRIYAH, NY
√
20 304654 JAMIN, SDR
√
1 8/31/2023 185651 SUGIYANTI,NY
 √
2 157876 DARWOTO,BP
√
3 364232 TUKIMAN, BP
√
4 119977 SUTIYEM, NY
√
5 85602 SUBIAH, NY (HD)
Ny. Siti Solikhah √
6 380362
√
7 381935 FENDI PRASETYO, SDR
√
8 168650 PARIYEM, NY
√
9 381909 BY NY, ERINA ZULLIANA
√
10 225888 MUHAMMAD REVAN FAIQ, AN
√
11 381899 TENTREM, NY
√
12 381935 FENDI PRASETYO, SDR
√
13 256109 RAMELAN, BP
√
14 380977 TRI LESTARI, NY
√
15 206495 ISMIYATUN, NY
√
16 381389 SUYATI, NY
√
17 369392 SUGIMAN, BP (HD)
√
18 370905 ANIK SEPTIYANI, NY (HD)
√
19 381582 KOMARIYAH, NY
√
20 97569 PARTINAH, NY (HD)

Mengetahui

Kepala Instalasi Laboratorium dan Bank Darah

RSUD Muntilan Kabupaten Magelang

Dr. Ana Roechanah, Sp.PK

NIP. 19680919 200604 2 002

BLANGKO PERMINTAAN PEMERIKSAAN

IDENTITAS SAMPEL

TABUNG PARAF PJ

SAMPEL

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nstalasi Laboratorium dan Bank Darah

untilan Kabupaten Magelang

Roechanah, Sp.PK

80919 200604 2 002