FORMULIR KEPATUHAN JAM VISITE DOKTER

KOMITE MUTU RS KENAK MEDIKA

UNIT : RAWAT INAP
BULAN : AGUSTUS
TAHUN : 2023

Waktu Visite Keterangan

No Tanggal Nama Pasien No RM
<14.00 >14.00 Tepat Waktu Terlambat

1 Ida Ayu Ngurah WNI625104054107390008 1

2 JAJAH ANDY WNI625271010805470001 1
3 Isabella Nicole Sopp WNA64LT479527 1
4 MADE TEGAR JAGAT UTAMA PARSUA WNI625104032006880001 1
01/08/2023
5 Ni Kadek Anindira Senja Maheswari WNI625104060901040001 1
6 I Nyoman Sugi Nandika Putra WNI625104060901040001 1
7 Kea Svenja Nowi WNA49CG6P4FHTF 1
8 Evgeniia Kremleva WNA7754187278 1
9 DAVID ASCHAUER WNA43U7614354 1
10 MADE TEGAR JAGAT UTAMA PARSUA WNI625104032006880001 1
11 Evgeniia Kremleva WNA7754187278 1
02/08/2023
12 Ni Kadek Anindira Senja Maheswari WNI62062.07.23 1
13 Kea Svenja Nowi WNA49CG6P4FHTF 1
14 Desak Putu Yuliana Dewi WNI625104016806900001 1
15 CAROLINE MARY KELLY WNA353PP1815788 1
16 Kea Svenja Nowi WNA49CG6P4FHTF 1
17 Desak Putu Yuliana Dewi WNI625104016806900001 1
03/08/2023
18 DAVID ASCHAUER WNA43U7614354 1
19 MADE TEGAR JAGAT UTAMA PARSUA WNI625104032006880001 1
20 Evgeniia Kremleva WNA7754187278 1
21 Akop Karakhanian WNA776 9061880 1
22 Desak Putu Yuliana Dewi WNI625104016806900001 1
04/08/2023
23 Ni Ketut Indah Cahaya Dewi WNI625104045206990001 1
24 MADE TEGAR JAGAT UTAMA PARSUA WNI625104032006880001 1
25 Akop Karakhanian WNA776 9061880 1
26 MADE BRAMASTA NATA PRASETYA WNI625104051008170001 1
27 INSUP SHIN WNA82M49667481 1
28 I MADE MAHA ADI SAPUTRA WNI625104030604170001 1
29 Lim Gahyun WNA82001.08.23 1
30 05/08/2023 Ni Ketut Indah Cahaya Dewi WNI625104045206990001 1
 05/08/2023

31 PAUL LEON CAPPS WNA1676921106 1

32 GUSTI AYU KINNARA SENJA SARASTI WNI625104056402210001 1
33 KADEK SANTI WNI625104056010970001 1
34 ANAK AGUNG GDE PUTU BAWA WNI625104050612670002 1
35 Ni Putu Suastini WNI625104056704780001 1
36 INSUP SHIN WNA82M49667481 1
37 ANAK AGUNG GDE PUTU BAWA WNI625104050612670002 1
38 Ni Ketut Indah Cahaya Dewi WNI625104045206990001 1
39 I Wayan Diarta WNI625103010610790002 1
40 06/08/2023 I MADE MAHA ADI SAPUTRA WNI625104030604170001 1
41 PAUL LEON CAPPS WNA1676921106 1
42 Lim Gahyun WNA82001.08.23 1
43 KADEK SANTI WNI625104056010970001 1
44 Ni Putu Suastini WNI625104056704780001 1
45 I MADE MAHA ADI SAPUTRA WNI625104030604170001 1
46 DAVY VANDENHEEDE WNA32ES345827 1
47 Ni Putu Suastini WNI625104056704780001 1
48 KADEK SANTI WNI625104056010970001 1
49 07/08/2023 I Wayan Diarta WNI625103010610790002 1
50 MADE BRAMASTA NATA PRASETYA WNI625104051008170001 1
51 UNROK YUN WNA82M902X5300 1
52 ANAK AGUNG GDE PUTU BAWA WNI625104050612670002 1
53 Ni Wayan Eka Saputri WNI625104057009920001 1
54 UNROK YUN WNA82M902X5300 1
55 I MADE MAHA ADI SAPUTRA WNI625104030604170001 1
56 KADEK SANTI WNI625104056010970001 1
57 Made Giska Nayyara Winata WNI625104066009220001 1
58 08/08/2023 Ni Wayan Eka Saputri WNI625104057009920001 1
59 MADE BRAMASTA NATA PRASETYA WNI625104051008170001 1
60 I Wayan Diarta WNI625103010610790002 1
61 ANAK AGUNG GDE PUTU BAWA WNI625104050612670002 1
62 Regina Chrysantie Weking WNI625103066201900002 1
63 UNROK YUN WNA82M902X5300 1
64 Regina Chrysantie Weking WNI625103066201900002 1
65 KADEK SANTI WNI625104056010970001 1
66 I Gusti Ayu Sukma Febriyanti WNI625104055202990001 1
09/08/2023
67 Ni Wayan Eka Saputri WNI625104057009920001 1
 09/08/2023

68 I GUSTI NGURAH GEDE HERLANGGA KUSUMA WNI625104051203040004 1

69 I Wayan Diarta WNI625103010610790002 1
70 I Kadek Gun Siwa Winatra WNI625104030901090002 1
71 Ekaterina Petrova WNA7760333885 1
72 KADEK SANTI WNI625104056010970001 1
73 I Kadek Gun Siwa Winatra WNI625104030901090002 1
74 10/08/2023 I GUSTI NGURAH GEDE HERLANGGA KUSUMA WNI625104051203040004 1
75 I Wayan Diarta WNI625103010610790002 1
76 I Gusti Ayu Sukma Febriyanti WNI625104055202990001 1
77 TJOKORDA GDE ANGGHARA SUKAWATI WNI625104050112870003 1
78 I KETUT SUWECI WNI625104053011650001 1
79 Ekaterina Petrova WNA7760333885 1
80 Lukis Abdul Ghopur WNI625171010510720018 1
81 TJOKORDA GDE ANGGHARA SUKAWATI WNI625104050112870003 1
11/08/2023
82 Emalia Achmadi WNI623174105908710009 1
83 Eren Joseph Buyukkaya WNI623674010810120002 1
84 I Gusti Ayu Sukma Febriyanti WNI625104055202990001 1
85 KAM LAN TSENG WNA1H21250104 1
86 KAM LAN TSENG WNA1H21250104 1
87 Lukis Abdul Ghopur WNI625171010510720018 1
88 RAHEL HABERLE WNA49C971P8LVF 1
89 Emalia Achmadi WNI623174105908710009 1
90 TJOKORDA GDE ANGGHARA SUKAWATI WNI625104050112870003 1
91 LEA MARIA HAAG WNA49C971MLH88 1
92 12/08/2023 I KETUT SUWECI WNI625104053011650001 1
93 Ekaterina Petrova WNA7760333885 1
94 YANG HANZHOU WNI62EJ7292464 1
95 I WAYAN LUNGSUR WNI62024.08.23 1
96 Eren Joseph Buyukkaya WNI623674010810120002 1
97 I Gusti Ayu Jayanthi Prima Dewi WNI625104065411940001 1
98 I Made Kanna Putra Ogianna WNI625104050608180001 1
99 RAHEL HABERLE WNA49C971P8LVF 1
100 LEA MARIA HAAG WNA49C971MLH88 1
101 13/08/2023 I KETUT SUWECI WNI625104053011650001 1
102 I WAYAN LUNGSUR WNI62024.08.23 1
103 I Made Kanna Putra Ogianna WNI625104050608180001 1
104 I KETUT SUWECI WNI625104053011650001 1

14/08/2023
105 Yuli Yanti Saparina WNI623205194907960004 1
106 14/08/2023 I GEDE WAHYU WIBAWA WNI625104031206960007 1
107 Ana Filipa Rodrigues Barreira WNA351CD422608 1
108 I Made Kanna Putra Ogianna WNI625104050608180001 1
109 I KETUT SUWECI WNI625104053011650001 1
110 Yuli Yanti Saparina WNI623205194907960004 1
111 I GEDE WAHYU WIBAWA WNI625104031206960007 1
112 Ana Filipa Rodrigues Barreira WNA351CD422608 1
113 15/08/2023 GANTY GIMA WNI623311124101940004 1
114 MCKISSOCK CHLOE-MONIQUE WNA61PB4457517 1
115 JAVID BAGHBANIAN WNA45212383520 1
116 MICHAELA GRACE WELLER WNA1537879203 1
117 DRA. GUSTI AYU ASTI WNI625104015508580003 1
118 Cokorda Putra Dharmayuda WNI62028.08.23 1
119 GANTY GIMA WNI623311124101940004 1
120 Yuli Yanti Saparina WNI623205194907960004 1
121 MCKISSOCK CHLOE-MONIQUE WNA61PB4457517 1
122 DINA GULDFELDT MADSEN WNA45214167044 1
123 JAVID BAGHBANIAN WNA45212383520 1
16/08/2023
124 I KETUT SUWECI WNI625104053011650001

125 MICHAELA GRACE WELLER WNA1537879203 1

126 Ana Filipa Rodrigues Barreira WNA351CD422608 1
127 DRA. GUSTI AYU ASTI WNI625104015508580003 1
128 I GEDE WAHYU WIBAWA WNI625104031206960007 1
129 Evette Meier WNA61IM2VAA38559 1
130 I KETUT SUWECI WNI625104053011650001 1
131 Jake John Mccabe-Coulter WNA61RA3112411 1
132 DINA GULDFELDT MADSEN WNA45214167044 1
133 SUNGHOON NA WNA82M913J7705 1
134 JAVID BAGHBANIAN WNA45212383520 1
17/08/2023
135 Evette Meier WNA61IM2VAA38559 1
136 Michelle Cornelia Josina Huijer WNA31NXCR8F495 1
137 Putu Gede Madrartha Wedantara WNI625104052705170002 1
138 Cokorda Putra Dharmayuda WNI62028.08.23 1
139 Daan Adrianus Leendert van Doorn WNA31NPK5LRLH9 1
140 DINA GULDFELDT MADSEN WNA45214167044 1
141 I PUTU ANDRIAN TRINATHA WNI625104060912980002 1

18/08/2023
142 Michelle Cornelia Josina Huijer WNA31NXCR8F495 1
143 Sertan Selcuk WNA971784-1976-4147259-8 1
144 SUNGHOON NA WNA82M913J7705 1
145 Putu Gede Madrartha Wedantara WNI625104052705170002 1
18/08/2023
146 Daan Adrianus Leendert van Doorn WNA31NPK5LRLH9 1
147 JAVID BAGHBANIAN WNA45212383520 1
148 Cokorda Raka Darmawan, SH WNI625171042312640002 1
149 Jake John Mccabe-Coulter WNA61RA3112411 1
150 I Putu Hesa Aryanata WNI625104050307130001 1
151 Lisa, Clélia, Jacqueline, Michèle Marchi WNA119CH29625 1
152 I PUTU ANDRIAN TRINATHA WNI625104060912980002 1
153 DINA GULDFELDT MADSEN WNA45214167044 1
154 JAVID BAGHBANIAN WNA45212383520 1
19/08/2023
155 I WAYAN SURYANA WNI625104051707900001 1
156 Cokorda Raka Darmawan, SH WNI625171042312640002 1
157 Lisa, Clélia, Jacqueline, Michèle Marchi WNA119CH29625 1
158 JAVID BAGHBANIAN WNA45212383520 1
159 Ni Nyoman Supeni WNI625104054305730002 1
160 20/09/2023 Cokorda Raka Darmawan, SH WNI625171042312640002 1
161 DINA GULDFELDT MADSEN WNA45214167044 1
162 I WAYAN SURYANA WNI625104051707900001 1
163 KIRA DENISE SIMON WNA1549998483 1
164 Ni Nyoman Supeni WNI625104054305730002 1
165 I WAYAN SURYANA WNI625104051707900001 1
21/08/2023
166 JAVID BAGHBANIAN WNA45212383520 1
167 Lukis Abdul Ghopur WNI625171010510720018 1
168 DINA GULDFELDT MADSEN WNA45214167044 1
169 KIRA DENISE SIMON WNA1549998483 1
170 Ni Nyoman Supeni WNI625104054305730002 1
22/08/2023
171 JAVID BAGHBANIAN WNA45212383520 1
172 DINA GULDFELDT MADSEN WNA45214167044 1
173 KIRA DENISE SIMON WNA1549998483 1
174 Ni Nyoman Supeni WNI625104054305730002 1
23/08/2023
175 JANA RIMMELE WNA49C8FW3P1ZX 1
176 YUSIFOV EMIL WNA31035.08.23 1
177 Sang Putu Sudana WNI625104052509740001 1
178 24/08/2023 KIRA DENISE SIMON WNA1549998483 1
 24/08/2023

179 Ni Nyoman Supeni WNI625104054305730002 1

180 Sang Putu Sudana WNI625104052509740001 1
181 25/08/2023 Ni Nyoman Supeni WNI625104054305730002 1
182 I GUSTI AYU MADE WAHYUMENTARI WNI625102055902920002 1
183 Lukis Abdul Ghopur WNI625171010510720018 1
184 26/08/2023 I GUSTI AYU MADE WAHYUMENTARI WNI625102055902920002 1
185 GEORGIA ELIANA MARIE M DURLEVA WNA44126373436 1
186 I GUSTI PUTU MERTA WNI625104052205830001 1
187 I MADE BANTAR WNI625104063112610080 1
188 27/08/2023 Ni Putu Hira Paramaheswari WNI625104054106180002 1
189 Lukis Abdul Ghopur WNI625171010510720018 1
190 Ni Wayan Maya Ida Yanti WNI62510406710391001 1
191 Ni Wayan Maya Ida Yanti WNI62510406710391001 1
192 Lukis Abdul Ghopur WNI625171010510720018 1
193 I WAYAN KASTA WNI625104050711590002 1
28/08/2023
194 I MADE BANTAR WNI625104063112610080 1
195 Ni Putu Hira Paramaheswari WNI625104054106180002 1
196 I GUSTI PUTU MERTA WNI625104052205830001 1
197 I Gede Mandala Chandra Devasya WNI625107026309110001 1
198 Faisal Riza WNI623512060604800001 1
199 I WAYAN KASTA WNI625104050711590002 1
200 Synje Schroder WNA31C1VHTRVRC 1
29/08/2023
201 I GUSTI PUTU MERTA WNI625104052205830001 1
202 Ni Ketut Beji WNI625104077112660039 1
203 I NYOMAN NIK WNI625104040607740001 1
204 VANIA ARRAIDAH WNI623173055704010002 1
205 VANIA ARRAIDAH WNI623173055704010002 1
206 Ni Ketut Beji WNI625104077112660039 1
207 I NYOMAN NIK WNI625104040607740001 1
208 Gusti Ngurah Dwipa Pradana WNI62046.08.23 1
209 30/08/2023 Faisal Riza WNI623512060604800001 1
210 I Nyoman Gautama Satria Wibawa WNI623175060601920001 1
211 Synje Schroder WNA31C1VHTRVRC 1
212 DEWA MADE AGUS SUANTARA WNI625104031608880003 1
213 I Made Danu Pradana WNI625104060405200001 1
214 I Made Danu Pradana WNI625104060405200001 1
215 DEWA MADE AGUS SUANTARA WNI625104031608880003 1

31/08/2023
216 VANIA ARRAIDAH WNI623173055704010002 1
217 Synje Schroder WNA31C1VHTRVRC 1
218 GUSTI NGURAH HENDRA SEDHANA PUTRA WNI625104052811000001 1
31/08/2023
219 Nisita Triana Karuniayanti WNI625104056106050001 1
220 JINGGA CAHYA SAPTAWARA WNI623512142212190002 1
221 Faisal Riza WNI623512060604800001 1
222 Desak Nyoman Rembang WNI625104017112490020 1
223 Gusti Ngurah Dwipa Pradana WNI62046.08.23 1

Penanggung Jawab
Kepala Unit Rawat Inap

Gusti Agung Okta Yunita Dewi, Amd.Kep

 FORMULIR KEPATUHAN WAKTU VISITE DOKTER
KOMITE MUTU RS KENAK MEDIKA
UNIT : RAWAT INAP
BULAN : SEPTEMBER
TAHUN : 2023

Waktu Visite Keterangan

No Tanggal Nama Pasien No RM
<14.00 >14.00 Tepat Waktu Terlambat

1 Synje Schroder WNA31C1VHTRVRC 1

2 GUSTI NGURAH HENDRA SEDHANA PUTRA WNI625104052811000001 1

3 Linda Frances Kaun WNI623471016407490001 1

4 01/09/2023 JINGGA CAHYA SAPTAWARA WNI623512142212190002 1

5 Nisita Triana Karuniayanti WNI625104056106050001 1

6 Faisal Riza WNI623512060604800001 1
7 Desak Nyoman Rembang WNI625104017112490020 1
8 GUSTI NGURAH HENDRA SEDHANA PUTRA WNI625104052811000001 1
9 JINGGA CAHYA SAPTAWARA WNI623512142212190002 1
10 02/09/2023 Nisita Triana Karuniayanti WNI625104056106050001 1
11 Faisal Riza WNI623512060604800001 1
12 Desak Nyoman Rembang WNI625104017112490020 1
13 DAGMAR OLINE KRONBORG FREDELL WNA45214830547 1
14 Nisita Triana Karuniayanti WNI625104056106050001 1
15 03/09/2023 Faisal Riza WNI623512060604800001 1
16 Nathaniel Jacob Jenne WNA49C9G040VT4 1
17 Desak Nyoman Rembang WNI625104017112490020 1
18 KATHRINA BRAY WNA353PF2598785 1
19 I MADE BANAYASA WNI625104053112670139 1
20 DAGMAR OLINE KRONBORG FREDELL WNA45214830547 1
21 YEON JE LEE WNA82M02462722 1
22 04/09/2023 Nisita Triana Karuniayanti WNI625104056106050001 1
23 Faisal Riza WNI623512060604800001 1
24 Nathaniel Jacob Jenne WNA49C9G040VT4 1
25 DESAK MADE PARWATI WNI625104056505810001 1
26 I MADE BANAYASA WNI625104053112670139 1
27 KATHRINA BRAY WNA353PF2598785 1
28 I MADE BANAYASA WNI625104053112670139 1
29 DAGMAR OLINE KRONBORG FREDELL WNA45214830547 1
30 YEON JE LEE WNA82M02462722 1
31 I GEDE BAGUS MANU SWARDIYASA WNI625104061403180001 1
32 Nisita Triana Karuniayanti WNI625104056106050001 1

05/09/2023
33 NI KETUT NADRI WNI625104054603700004 1
05/09/2023
34 Marco Hohm WNA31C7PK07TTH 1
35 Nina Wassmuth WNA49C7PGCKPR2 1
36 I Putu Gede Darmawan WNI625104021002950004 1
37 OBET RENDI KAKA WNI625318080110010004 1
38 Faisal Riza WNI623512060604800001 1
39 Ni Putu Nusantari WNI625104056005960002 1
40 DESAK MADE PARWATI WNI625104056505810001 1
41 MARKUS TIJMEN MORSINK WNA31NP0CRJC33 1
42 DAGMAR OLINE KRONBORG FREDELL WNA45214830547 1
43 YEON JE LEE WNA82M02462722 1
44 NI KETUT NADRI WNI625104054603700004 1
45 Ni Putu Sri Rejeki WNI625104056004000005 1
46 Marco Hohm WNA31C7PK07TTH 1
06/09/2023
47 Nina Wassmuth WNA49C7PGCKPR2 1
48 I Putu Gede Darmawan WNI625104021002950004 1
49 OBET RENDI KAKA WNI625318080110010004 1
50 Ni Putu Nusantari WNI625104056005960002 1
51 DESAK MADE PARWATI WNI625104056505810001 1
52 KUMAR CHETAN WNA91S3346939 1
53 Marco Hohm WNA31C7PK07TTH 1
54 Nina Wassmuth WNA49C7PGCKPR2 1
55 DAGMAR OLINE KRONBORG FREDELL WNA45214830547 1
56 DESAK MADE PARWATI WNI625104056505810001 1
57 Ni Putu Sri Rejeki WNI625104056004000005 1
58 KUMAR CHETAN WNA91S3346939 1
07/09/2023
59 Ni Putu Nusantari WNI625104056005960002 1
60 YEON JE LEE WNA82M02462722 1
61 NI KETUT NADRI WNI625104054603700004 1
62 MARKUS TIJMEN MORSINK WNA31NP0CRJC33 1
63 I WAYAN GEDE SUMARDIKA WNI625104050512920001 1
64 I KETUT SUWECI WNI625104053011650001 1
65 Marco Hohm WNA31C7PK07TTH 1
66 Nina Wassmuth WNA49C7PGCKPR2 1
67 KUMAR CHETAN WNA91S3346939 1
68 Ni Putu Nusantari WNI625104056005960002 1
69 YEON JE LEE WNA82M02462722 1
70 NI KETUT NADRI WNI625104054603700004 1
71 MARKUS TIJMEN MORSINK WNA31NP0CRJC33 1
72 08/09/2023 I WAYAN GEDE SUMARDIKA WNI625104050512920001 1
 08/09/2023

73 I KETUT SUWECI WNI625104053011650001 1

74 SAMANTHA MARGARET YOUNG WNA61PB5032872 1
75 I Kadek Dedi Sukma Wijaya WNI625104030807100002 1
76 DAGMAR OLINE KRONBORG FREDELL WNA45214830547 1
77 Ni Putu Sri Rejeki WNI625104056004000005 1
78 DESAK MADE PARWATI WNI625104056505810001 1
79 AL Brahim, Mashael Yousef A WNA966Z382183 1
80 AL Brahim, Mashael Yousef A WNA966Z382183 1
81 MARKUS TIJMEN MORSINK WNA31NP0CRJC33 1
82 09/09/2023 I WAYAN GEDE SUMARDIKA WNI625104050512920001 1
83 I Kadek Dedi Sukma Wijaya WNI625104030807100002 1
84 SAMANTHA MARGARET YOUNG WNA61PB5032872 1
85 SAMANTHA MARGARET YOUNG WNA61PB5032872 1
10/09/2023
86 AL Brahim, Mashael Yousef A WNA966Z382183 1
88 SAMANTHA MARGARET YOUNG WNA61PB5032872 1
89 11/09/2023 AL Brahim, Mashael Yousef A WNA966Z382183 1
90 JAN ROBRECHT SEELEN WNA31IM2RBS30467 1
94 SAMANTHA MARGARET YOUNG WNA61PB5032872 1
95 AL Brahim, Mashael Yousef A WNA966Z382183 1
96 JAN ROBRECHT SEELEN WNA31IM2RBS30467 1
12/11/2023
97 Hu, Tingyang WNA1E92732693 1

98 Delfinus Mutu WNI625318082412960002 1

99 Felicia Tedja WNI623172066101001001 1

100 SAMANTHA MARGARET YOUNG WNA61PB5032872 1
101 JAN ROBRECHT SEELEN WNA31IM2RBS30467 1

102 Hu, Tingyang WNA1E92732693 1

13/11/2023
103 Delfinus Mutu WNI625318082412960002 1

104 Felicia Tedja WNI623172066101001001 1

105 I Wayan Kartana WNI625104071408850001 1
108 SAMANTHA MARGARET YOUNG WNA61PB5032872 1

109 Hu, Tingyang WNA1E92732693 1

110 I Wayan Kartana WNI625104071408850001 1
14/11/2023
111 Li, Shuhan WNA1EA7484707 1
112 I GUSTI AYU MADE SRUTI SANTI WNI625104014212090003 1
113 Ni Made Setyadewi WNI625104045109820001 1

118 SAMANTHA MARGARET YOUNG WNA61PB5032872 1

119 Li, Shuhan WNA1EA7484707 1

120 I GUSTI AYU MADE SRUTI SANTI WNI625104014212090003 1

121 Ni Made Setyadewi WNI625104045109820001 1

122 TJOKROADISUMARTO ROHDALMIATI WNA1J1U1SAFT78288 1

123 Ir. Sri Indah Sari Hardono MBA WNI62083.09.23 1
127 Komang Mirah Sri Pratiwi WNI625104034407180001 1

128 I Wayan Widnyana WNI625104060611170001 1

129 SAMANTHA MARGARET YOUNG WNA61PB5032872 1

130 Li, Shuhan WNA1EA7484707 1

131 16/09/2023 Ni Made Setyadewi WNI625104045109820001 1

132 I Kadek Gun Siwa Winatraa WNI625104030901090002 1

133 NI PUTU AYU DIANDRA PUTRI WNI625104016209130001 1

134 NICHOLAS KANG HUI SOONG WNA64LM284929 1

135 Ni Nyoman Asmuni WNI625104057112650204 1

139 SAMANTHA MARGARET YOUNG WNA61PB5032872 1

140 Li, Shuhan WNA1EA7484707 1

141 Ni Made Setyadewi WNI625104045109820001 1

142 17/09/2023 NI PUTU AYU DIANDRA PUTRI WNI625104016209130001 1
143 Hanna Nicole Afford WNA44139949061 1
144 IDA DEWA AGUNG GEDE SRI KRISHNA PARAMAYOGA SUKAWATI PUTRA
WNI625104052712200002 1
145 Ni Ketut Limbir WNI625104057112660543 1

148 SAMANTHA MARGARET YOUNG WNA61PB5032872 1

149 IDA DEWA AGUNG GEDE SRI KRISHNA PARAMAYOGA SUKAWATI PUTRAWNI625104052712200002 1
150 Ni Ketut Limbir WNI625104057112660543 1
151 Li, Shuhan WNA1EA7484707 1
18/09/2023
152 HUANG, LONG WNA1E85331666 1
153 HANNAH NICOLE AFFORD WNA44139949061 1
154 Ni Putu Amara Dinaswari WNI625104014612170001 1
155 BOGYEONG SEONG WNA82M26459159 1
159 SAMANTHA MARGARET YOUNG WNA61PB5032872 1
160 Li, Shuhan WNA1EA7484707 1
161 HUANG, LONG WNA1E85331666 1
162 Ni Putu Amara Dinaswari WNI625104014612170001 1
19/09/2023
163 Dewa Ayu Aqila Felicia Putri WNI625104015910200001 1
164 KHADIJA ETTIR WNA1HH670261 1
165 CAROL NOVO GRADAC KENNY WNA1A30159883 1
166 I Putu Justin Aprilio Marten WNI622022082933330001
169 SAMANTHA MARGARET YOUNG WNA61PB5032872 1
170 Li, Shuhan WNA1EA7484707 1
171 HUANG, LONG WNA1E85331666 1
173 20/09/2023 Dewa Ayu Aqila Felicia Putri WNI625104015910200001 1
176 I Putu Justin Aprilio Marten WNI622022082933330001 1
177 BRUCE ALEXANDER CONNELL WNA44544056059 1

178 SUCI QARIAH WNI621372025905950021 1

184 SAMANTHA MARGARET YOUNG WNA61PB5032872 1
185 Li, Shuhan WNA1EA7484707 1

21/09/2023
186 HUANG, LONG WNA1E85331666 1
189 Cokorda Istri Nilawati WNI625104057112590033 1
190 Peter John Grout WNA44553659480 1
192 21/09/2023 BRUCE ALEXANDER CONNELL WNA44544056059 1

193 SUCI QARIAH WNI621372025905950021 1

194 Pavel Zhiliaev WNA7752102433 1
195 Ni Wayan Ulandari WNI625104066 505900001 1
196 PUTU ANA DIANTARI WNI625104066904920001 1
197 Ketut Arjuna Adipurna Yase WNI625104061803220001 1
198 Bayi Ny. Ni Wayan Ulandari WNI62100.09.23 1
199 Bayi Ny. Putu Ana Diantari WNI62101.09.23 1
200 Cokorda Istri Nilawati WNI625104057112590033 1
201 Peter John Grout WNA44553659480 1
202 22/09/2023 Jero Jempiring WNI625104057112580055 1
203 BRUCE ALEXANDER CONNELL WNA44544056059 1

204 SUCI QARIAH WNI621372025905950021 1

205 Ni Wayan Ulandari WNI625104066 505900001 1
206 PUTU ANA DIANTARI WNI625104066904920001 1
210 Jero Jempiring WNI625104057112580055 1
211 BRUCE ALEXANDER CONNELL WNA44544056059

212 23/9/2023 Ni Kadek Sandhya Divya Safira WNI625104056805180002 1

213 Wayan Aldi Kesuma WNI625104042810020002 1

214 NI KADEK SINDIANI WNI625104034601010007 1

217 KADEK GALANG BRAMASTRA KESUMA WNI625104030111170001 1

218 24/09/2023 WAYAN BELVANINA RAHAYU WNI625104076507090002 1

219 NAMEETA MAYUR MASTER WNA64LM005145 1

223 I Komang Rama Pranawijaya WNI625104052403120002 1

25/09/2023
224 I Wayan Endra WNI625104062905910001 1
229 I Gede Dharma Mahawiguna WNI625104071001190001 1

230 I Komang Rama Pranawijaya WNI625104052403120002 1

231 I Wayan Endra WNI625104062905910001 1
26/09/2023
232 MARGARETHA SNEL e/v LANGRAS WNA31NYoFJD891 1
233 BERNADETH AJENG SWASTYAYANA WNI623674035107930004 1

234 JOANNES TRIE PRIHANDOKO WNI623674032311580005 1

237 I Komang Rama Pranawijaya WNI625104052403120002 1

238 JOANNES TRIE PRIHANDOKO WNI623674032311580005 1

27/09/2023
239 MATTHEW TIMOTHY OLSON WNA44529173335 1
240 NI WAYAN ALIN RAHAYUNING HARTAWAN WNI625104024211200002 1

243 I Komang Rama Pranawijaya WNI625104052403120002 1

244 NI WAYAN ALIN RAHAYUNING HARTAWAN WNI625104024211200002 1
28/09/2023
245 Deanne Elise Baak WNA31NM5F01B05 1
246 Gwenola, Agnes, Marie, Robet WNA3323EI18816 1
247 Gwenola, Agnes, Marie, Robet WNA3323EI18816 1

248 I Komang Rama Pranawijaya WNI625104052403120002 1

29/09/2023
249 Deanne Elise Baak WNA31NM5F01B05 1
250 I Made Arik Yanto Purnayasa WNI625104020602990001 1
251 Gwenola, Agnes, Marie, Robet WNA3323EI18816 1
252 30/09/2023 I Made Arik Yanto Purnayasa WNI625104020602990001

253 LUCYNA ANNA KLUGE RUNOWSKI WNA49C271GGP 6P 1

Penanggung Jawab
Kepala Unit Rawat Inap

Gusti Agung Okta Yunita Dewi, Amd.Kep

 FORMULIR KEPATUHAN WAKTU VISITE DOKTER
KOMITE MUTU RS KENAK MEDIKA
UNIT : RAWAT INAP
BULAN : OKTOBER
TAHUN : 2023

Waktu Visite Keterangan

Tanggal
No Nama Pasien No RM <14.00 >14.00 Tepat Waktu Terlambat
1 GAIL LOUISE MCLEOD WNA1AY552524 1
2 FRANK ERDMANN WNA49C3JWM2HTY 1
1 Oktober 2023
3 I Made Arik Yanto Purnayasa WNI625104020602990001 1
4 James Javas Nararya Mc Kenna WNA353PU7776891 1
5 GAIL LOUISE MCLEOD WNA1AY552524 1
6 Harshad Dongre WNA91Z7390610 1
7 GRACE CASTILLO GALAN WNA57AR721853 1
2 Oktober 2023
8 I Made Arik Yanto Purnayasa WNI625104020602990001 1
9 ROBERTAS BENECKAS WNA37023992526 1
10 James Javas Nararya Mc Kenna WNA353PU7776891 1
11 Zuzanna Beata Jankowska WNA48ET9810346 1
12 Ni Putu Kimora Ryanni A.D WNI625104056005080001 1
3 Oktober 2023
13 GAIL LOUISE MCLEOD WNA1AY552524 1
14 GRACE CASTILLO GALAN WNA57AR721853 1
15 Zuzanna Beata Jankowska WNA48ET9810346 1
16 Ni Putu Kimora Ryanni A.D WNI625104056005080001 1
17 GAIL LOUISE MCLEOD WNA1AY552524 1
18 GRACE CASTILLO GALAN WNA57AR721853 1
4 Oktober 2023
19 KANGWOO LEE WNA82M342X7460 1
20 I Putu Candra Wigangga WNI625102072012030002 1
21 GUSTI MADE EKA PUTRA WNI625104040906890002 1
22 EUNSIL JUNG WNA82M89242631 1
23 Made Nasa WNI622023100300001 1
24 Ingrid Kuijstermans WNA62NX805R3B4 1
25 5 Oktober 2023 NI WAYAN WIDIARI WNI625104064902000001 1
26 NI GUSTI KETUT SUKRAENI WNI625104054808800005 1
27 A.A ISTRI WAHYUNINGSIH WNI625107045008770010 1
28 Ingrid Kuijstermans WNA62NX805R3B4 1
29 NI WAYAN WIDIARI WNI625104064902000001 1
30 NI GUSTI KETUT SUKRAENI WNI625104054808800005 1
31 6 Oktober 2023 A.A ISTRI WAHYUNINGSIH WNI625107045008770010 1
32 Tjokorda Gde Jhana Bang Sukawati WNI625104052708160001 1
 6 Oktober 2023

33 JACKLIN CAGNATEL WNA16629635724 1

34 By. Ny. Ni Wayan Widiari WNI62009.10.23 1
35 NI GUSTI KETUT SUKRAENI WNI625104054808800005 1
7 Oktober 2023
36 LARISA VISKOVA WNA7768803482 1
37 LARISA VISKOVA WNA7768803482 1
38 8 Oktober 2023 DZMITRY YAKAUCHYTS WNA375PD0148202 1
39 Made Indri Wulandari WNI625171025503020004 1
40 I Wayan Sunarta WNI625104050405580001 1
41 Thomas Meeuwsen WNA31NV4LL5HR3 1
42 Sih Lintang Maharani WNI623471016810160001 1
43 9 Oktober 2023 CAROL ANN DODGE WNI625104056212450001 1
44 I Gede Arya Airlangga Utama Parsua WNI625104030212190001 1
45 Made Indri Wulandari WNI625171025503020004 1
46 Ni Ketut Seri Rahayu WNI625107086704180002 1
47 I Wayan Sunarta WNI625104050405580001 1
48 Thomas Meeuwsen WNA31NV4LL5HR3 1
49 Sih Lintang Maharani WNI623471016810160001 1
50 10 Oktober 2023 I Gusti Ngurah Agung Marvin Sabda Nanda WNI625104051810190002 1
51 I WAYAN SUKANTA WNI625104053112560224 1
52 Ni Kadek Lila Mayuri WNI625104066210940001 1
53 Ni Nyoman Sri Budiani WNI62020.10.23 1
54 Ni Nyoman Sri Budiani WNI62020.10.23 1
55 NI KETUT ISTRI SUNDARI WNI625104065704890001 1
56 I Putu Bagus Pramana Sinatria WNI625104052411200001 1
57 Alban, Jules,Marceau Marcel WNA3314DA96643 1
58 11 Oktober 2023 I Wayan Dika Adnyana WNI625104063105040001 1
59 Sunarwan WNI623505121010710013 1
60 WOLFGANG LORENZ MÜHLICH WNA49C33LYM535 1
61 I WAYAN SUKANTA WNI625104053112560224 1
62 I Gusti Ngurah Agung Marvin Sabda Nanda WNI625104051810190002 1
63 Ni Nyoman Sri Budiani WNI62020.10.23 1
64 NI KETUT ISTRI SUNDARI WNI625104065704890001 1
65 I Putu Bagus Pramana Sinatria WNI625104052411200001 1
66 Alban, Jules,Marceau Marcel WNA3314DA96643 1
67 12 Oktober 2023 WOLFGANG LORENZ MÜHLICH WNA49C33LYM535 1
68 I WAYAN SUKANTA WNI625104053112560224 1
69 Anak Agung Istri Santhi Valerina Wijaya WNI62005.08.23 1
70 PUTU DEVIE PERMATA SARI WNI625105026312970003 1
71 I Wayan Kantra WNI625101040107600158 1
72 Jack D Bradbury WNA61031.10.23 1
73 Putu Bagus Kayla Lesmana WNI625104052109140001 1

13 Oktober 2023
74 I DEWA AGUNG AYU DIAH KENCANA DEWI WNI625106015109890001 1
75 By Ny. I Dewa Agung Ayu Diah Kencana Dewi WNI62030.10.23 1
76 I Kadek Juliana WNI62510404601195004 1
77 I Made Darma WNI625104011504620003 1
78 13 Oktober 2023 Noemie, Anais, Grucker WNA3317DAO1587 1
79 NI WAYAN ALIN RAHAYUNING HARTAWAN WNI625104024211200002 1
80 NI WAYAN WETRI WNI625104024611810004 1
81 I GEDE JODI STIAWAN WNI625104031610010005 1
82 Ni Nyoman Sri Budiani WNI62020.10.23 1
83 NI KETUT ISTRI SUNDARI WNI625104065704890001 1
84 PUTU DEVIE PERMATA SARI WNI625105026312970003 1
85 Jack D Bradbury WNA61031.10.23 1
86 Putu Bagus Kayla Lesmana WNI625104052109140001 1
87 I Made Darma WNI625104011504620003 1
88 Noemie, Anais, Grucker WNA3317DAO1587 1
89 NI WAYAN ALIN RAHAYUNING HARTAWAN WNI625104024211200002 1
90 14 Oktober 2023 NI WAYAN WETRI WNI625104024611810004 1
91 PUTU DEVIE PERMATA SARI WNI625105026312970003 1
92 GUSTI PUTU NGURAH ABHISAKHA WNI625104012103190002 1
93 Anak Agung Gede Rangga Wikananda WNI625104031806010002 1
94 I Ketut Purwa WNI625104050301770001 1
95 ESMA DIZDAR WNA1034.10.23 1
96 I Made Darma WNI625104011504620003 1
97 Noemie, Anais, Grucker WNA3317DAO1587 1
98 I Ketut Purwa WNI625104050301770001 1
99 ESMA DIZDAR WNA1034.10.23 1
100 Agatha Monika Maria Kuster WNA41X4842035 1
15 Oktober 2023
101 Putu Nalalita Apsari Pradnyaswari WNI620702202311110002 1
102 I MADE BAGAS PRASADA SINATRIA WNI625104050604230001 1
103 I MADE DANA WNI62 5104050303280001 1
104 I WAYAN LUNGSUR WNI62024.08.23 1
105 Jack D Bradbury WNA61031.10.23 1
106 I Made Darma WNI625104011504620003 1
107 I Ketut Purwa WNI625104050301770001 1
108 Agatha Monika Maria Kuster WNA41X4842035 1
109 I MADE BAGAS PRASADA SINATRIA WNI625104050604230001 1
110 16 Oktober 2023 I MADE DANA WNI62 5104050303280001 1
111 I WAYAN LUNGSUR WNI62024.08.23 1
112 A.A. SRI ARINI WNI625104056005730003 1
113 Tamena Shanaye Watts WNA1549868833 1
114 Gusti Ayu Kade Adrini WNI625104035806780001 1
115 NI KETUT MEGAYANI WNI62038.10.23 1
116 Agatha Monika Maria Kuster WNA41X4842035 1
117 MARY AMELIA GALLAGHER WNA1526505421 1
118 IDA AYU PUTU EKA CITA TRISNAYANTI WNI625104026706960002 1
119 Bayi Ny. IDA AYU PUTU EKA CITA TRISNAYANTI WNI62040.10.23 1
17 Oktober 2023
120 I PUTU ASKA ANGGARA WNI625104062603190002 1
121 A.A. SRI ARINI WNI625104056005730003 1
122 I WAYAN LUNGSUR WNI62024.08.23 1
123 I Ketut Purwa WNI625104050301770001 1
124 Gusti Ayu Kade Adrini WNI625104035806780001 1
125 MARY AMELIA GALLAGHER WNA1526505421 1
126 A.A. SRI ARINI WNI625104056005730003 1
127 I WAYAN LUNGSUR WNI62024.08.23 1
128 18 Oktober 2023 Ni Putu Padnya Mika Aolani WNI625104055506140003 1
129 I Nyoman Sadia WNI625104013112530209 1
130 IDA AYU PUTU EKA CITA TRISNAYANTI WNI625104026706960002 1
131 Bayi Ny. IDA AYU PUTU EKA CITA TRISNAYANTI WNI62040.10.23 1
132 FARIDA ARYANA WNI625104035009580001 1
133 I Nyoman Rana Diana WNI625104051508570001 1
19 Oktober 2023
134 I Nyoman Sadia WNI625104013112530209 1
135 A.A. SRI ARINI WNI625104056005730003 1
136 I Nyoman Sadia WNI625104013112530209 1
137 20 Oktober 2023 Anak Agung Istri Darmawati WNI625104075112780001 1
138 NI WAYAN RINTI WNI625104037122700095 1
139 BAYI NY. NI KADEK ENY WNI62048.10.23 1
140 Ni Kadek Eny WNI625104064107910073 1
141 I Nyoman Sadia WNI625104013112530209 1
142 Gusti Agung Raja Naratama Pradiri WNI625108092101190001 1
21 Oktober 2023
143 Dewa Ayu Naira Nadimulia WNI625104055812210001 1
144 Nadège Baabaa WNA1226H67432 1
145 I Wayan Edi Sudarsana WNI625104072302990001 1
146 Laura, Céline, Sabine BOITTE WNA3314CV33062 1
147 I WAYAN EKA LAKSMANA WNI625104040209150001 1
148 Gusti Agung Raja Naratama Pradiri WNI625108092101190001 1
149 Dewa Ayu Naira Nadimulia WNI625104055812210001 1
22 Oktober 2023
150 Nadège Baabaa WNA1226H67432 1
151 HANNA ZIZDA WNA380GA595826 1
152 I Wayan Edi Sudarsana WNI625104072302990001 1
153 MADE KONING WNI625104064107630177 1
154 23 Oktober 2023 I WAYAN EKA LAKSMANA WNI625104040209150001 1
155 NI WAYAN ERI SINTYARANI WNI625104024204960003 1
156 Fanny Rediastuti WNI623275085012810023 1
157 Ni Luh Putu Marlita Dewi WNI625104056703180001 1
158 Ni Wayan Kasti WNI625104037112550133 1
24 Oktober 2023
159 DESAK PUTU RATI WNI625104047112500007 1
160 IDA DEWA AGUNG ISTRI DEVIKA MAHADEVI SUKAWATI
WNI625104054403230001
PUTRI 1
161 NI WAYAN ERI SINTYARANI WNI625104024204960003 1
162 ARIJIT ROY WNA91V6728326 1
163 Ni Wayan Kasti WNI625104037112550133 1
164 DESAK PUTU RATI WNI625104047112500007 1
165 GEORGINA ANDREA WU WNI623171017110220001 1
166 BAYI NY. ANAK AGUNG RAI PUSPAWATI WNI62052.10.23 1
25 Oktober 2023
167 ANAK AGUNG RAI PUSPAWATI WNI625104064606930001 1
168 BAYI NY. NI KADEK SUSI JUNAELY WNI62053.10.23 1
169 NI KADEK SUSI JUNAELY WNI625104025801010001 1
170 I DEWA GEDE AGUNG DANAN BASWARA WNI625104060510120001 1
171 I WAYAN LINGGIH WNI625104063112600118 1
172 ARIJIT ROY WNA91V6728326 1
173 Ni Wayan Kasti WNI625104037112550133 1
174 JONGWON HA WNA82M06836306 1
175 Pujiyanti WNI623372054510520003 1
176 PUTU SYNTIA LESTARI WNI625104036003950003 1
177 26 Oktober 2023 BAYI NY. PUTU SYNTIA LESTARI WNI62056.10.23 1
178 BAYI NY. ANAK AGUNG RAI PUSPAWATI WNI62052.10.23 1
179 ANAK AGUNG RAI PUSPAWATI WNI625104064606930001 1
180 DESAK PUTU RATI WNI625104047112500007 1
181 BAYI NY. NI KADEK SUSI JUNAELY WNI62053.10.23 1
182 NI KADEK SUSI JUNAELY WNI625104025801010001 1
183 Wayan Bagus Indra Saputra WNI625104052901940001 1
27 Oktober 2023
184 MUHAMAD ALI WNI623327091004040006 1
185 Wayan Bagus Indra Saputra WNI625104052901940001 1
28 Oktober 2023
186 Ni Ketut Adri WNI625104037112640190 1
187 Wayan Bagus Indra Saputra WNI625104052901940001 1
188 Pande Wayan Apriani WNI625104056504930003 1
189 29 Oktober 2023 Robertas Puidokas WNA37024384622 1
190 THOMAS PETER WILLIAM LUXTON WNA64LB156052 1
191 Ni Komang Mega Suastini WNI625104054605960001 1
192 Pande Wayan Apriani WNI625104056504930003 1
193 Ni Wayan Pitriani WNI625106044901980001 1
30 Oktober 2023
194 Ni Wayan Terong WNI625104055203460001 1
195 Ni Komang Mega Suastini WNI625104054605960001 1
196 Ni Wayan Terong WNI625104055203460001 1

31 Oktober 2023
197 Pande Wayan Apriani WNI625104056504930003 1
198 I Wayan Sadra WNI625104053012550006 1
199 KADEK YENI FEBRIANA WNI625108056302940004 1
200 31 Oktober 2023 NI MADE ADI SARASWATI WNI625171036008940001 1
201 BAYI NY. PUTU SYNTIA LESTARI WNI62056.10.23 1
202 BAYI NY. KADEK YENI FEBRIANA WNI62066.10.23 1
203 BAYI NY. NI MADE ADI SARASWATI WNI62067.10.23 1
204 Ni Wayan Pitriani WNI625106044901980001 1

Penanggung Jawab
Kepala Unit Rawat Inap

Gusti Agung Okta Yunita Dewi, Amd.Kep

 Penanggung Jawab
Kepala Unit Rawat Inap

Gusti Agung Okta Yunita Dewi, S.Kep

 FORMULIR KEPATUHAN WAKTU VISITE DOKTER
KOMITE MUTU RS KENAK MEDIKA
UNIT : RAWAT INAP
BULAN : NOVEMBER
TAHUN : 2023

Waktu Visite Keterangan

No Tanggal Nama Pasien No RM
<14.00 >14.00 Tepat Waktu Terlambat
1 Pande Wayan Apriani WNI625104056504930003 1
2 I Wayan Sadra WNI625104053012550006 1
1 November 2023
3 BAYI NY. PUTU SYNTIA LESTARI WNI62056.10.23 1
4 Ni Wayan Terong WNI625104055203460001 1
5 Pande Wayan Apriani WNI625104056504930003 1
6 I Putu Ganesh Perwira Negara WNI62001.11.23 1
7 ETI MARIANI WNI623578296610670001 1
8 2 November 2023 Ni Wayan Sri Sutami WNI625104044208850001 1
9 IDA AYU PUTU KARNIKA WNI625104037008660003 1
10 Bayi Ny. Luh Ade Malini WNI62002.11.23 1
11 Luh Ade Malini WNI625104015412950002 1
12 Melanie, Marthe, Odette PELISSIE WNA3314DY24704 1
13 I Putu Ganesh Perwira Negara WNI62001.11.23 1
14 3 November 2023 Ni Nyoman Nadri WNI625104057009650004 1
15 IDA AYU PUTU KARNIKA WNI625104037008660003 1
16 I Ketut Kuniyawan WNI625103030712650001 1
17 Melanie, Marthe, Odette PELISSIE WNA3314DY24704 1
18 I Putu Ganesh Perwira Negara WNI62001.11.23 1
19 Ni Nyoman Nadri WNI625104057009650004 1
20 NI PUTU SOCHA PRATISTA WNI625104056011390001 1
21 Ni Luh Gde Vania Pradina WNI625104015509990005 1
22 4 November 2023 I MADE SUWITRA WNI625104012809860001 1
23 MADE SUKLACANDRA WNI625271055209920003 1
24 MUHAMMAD IQBAL WNI62127106191096005 1
25 Ni Made Natalia Dwi Prameswari WNI625102052512000002 1
26 Gusti Ayu Novilia Sukma WNI625104046011920004 1
27 Bayi Ny. Gusti Ayu Novilia Sukma WNI62005.11.23 1
28 Madelen Isabella Poveda Teuber WNA492023110400001 1
29 TOM STOERL WNA49007.11.23 1
30 Ni Made Natalia Dwi Prameswari WNI625102052512000002 1
31 NI PUTU SOCHA PRATISTA WNI625104056011390001 1
5 November 2023
32 5 November 2023 MADE SUKLACANDRA WNI625271055209920003 1
33 I MADE SUWITRA WNI625104012809860001 1
34 Yosafat Gde Darmaji WNI625104033011870001 1
35 NI KADEK ANA WULANDARI JUWITA DEWI WNI625104056001910004 1
36 NI KADEK EVY NURASNI WNI625104066501980002 1
37 Ni Made Natalia Dwi Prameswari WNI625102052512000002 1
38 Bayi Ny. Ni Made Natalia Dwi Prameswari WNI62011.11.23 1
39 Made Bagus Putramas Satrya Wibawa WNI625104052809180002 1
6 November 2023
40 Bayi Ny. Anak Agung Istri Dalem Cinthya Riris WNI62009.11.23 1
41 Yosafat Gde Darmaji WNI625104033011870001 1
42 NI KADEK EVY NURASNI WNI625104066501980002 1
43 I Dewa Putu Raka Sanjaya WNI625104030107680022 1
7 November 2023
44 Kyoungmin Lee WNA82M92921477 1
45 Kyoungmin Lee WNA82M92921477 1
46 I Wayan Lagiartama WNI625104051811480001 1
47 AADIJAY KALANI WNA91W2482676 1
48 I Nyoman Wana WNI625104012911720001 1
49 8 November 2023 Ni Kadek Dwi Masyeni WNI625104047003970001 1
50 Putu Agus Leo Sana Pangestu WNI62510403290798003 1
51 Bayi Ny. Ni Nyoman Ani WNI62014.11.23 1
52 NI NYOMAN ANI WNI625104056803980001 1
53 I Dewa Putu Raka Sanjaya WNI625104030107680022 1
54 AADIJAY KALANI WNA91W2482676 1
55 PAULIEN MYLENE J SOUVERYNS WNA32GA3223794 1
56 TOM STOERL WNA49007.11.23 1
57 I Wayan Lagiartama WNI625104051811480001 1
58 9 November 2023 BAYI NYONYA MEGA CINTHIA DEWI WNI62021.11.23 1
59 MEGA CINTHIA DEWI WNI625104014110970002 1
60 NI NYOMAN ANI WNI625104056803980001 1
61 I Nyoman Wana WNI625104012911720001 1
62 I Dewa Putu Raka Sanjaya WNI625104030107680022 1
63 TOM STOERL WNA49007.11.23 1
64 I Wayan Lagiartama WNI625104051811480001 1
65 I Kadek Juliana WNI62510404601195004 1
66 10 November 2023 I Made Edy Sugiarta WNI625104020805370002 1
67 I Dewa Putu Raka Sanjaya WNI625104030107680022 1
68 Sudarti WNI623510014607830010 1
69 I Made Karsa WNI625104060107850128 1
70 I Made Edy Sugiarta WNI625104020805370002 1

11 November 2023
71 I MADE MUSTIKA WNI625104051404700001 1
72 Ni Ketut Orpini WNI625104054205800001 1
11 November 2023
73 Dewa Gede Girinata WNI625104042003040003 1
74 Sudarti WNI623510014607830010 1
75 I Made Karsa WNI625104060107850128 1
76 Taro Kohler WNA49G9018630 1
77 KRISTINE DEVI WNA371LV6301067 1
78 12 November 2023 I Made Edy Sugiarta WNI625104020805370002 1
79 Made Karmi WNI62017.11.23 1
80 I MADE MUSTIKA WNI625104051404700001 1
81 KRISTINE DEVI WNA371LV6301067 1
82 SHELLY CONSIDINE WNA61RA3100389 1
13 November 2023
83 I MADE MUSTIKA WNI625104051404700001 1
84 Made Karmi WNI62017.11.23 1
85 KRISTINE DEVI WNA371LV6301067 1
86 14 November 2023 SHELLY CONSIDINE WNA61RA3100389 1
87 Made Karmi WNI62017.11.23 1
88 SHELLY CONSIDINE WNA61RA3100389 1
89 Made Karmi WNI62017.11.23 1
90 NI KADEK NAYRA DWI PUTRI WNI62060.11.23 1
91 15 November 2023 NI WAYAN YUNI WNI625104064406940001 1
92 NI PUTU WISNAWATI WNI625104074809940001 1
93 KRISTINE DEVI WNA371LV6301067 1
94 Bayi Ny. Anak Agung Istri Dalem Cinthya Riris WNI62009.11.23
95 NI KADEK NAYRA DWI PUTRI WNI62060.11.23 1
96 Ni Nyoman Gindil WNI625104037112640171 1
97 NI WAYAN YUNI WNI625104064406940001 1
98 Wahyu Teja Permana Putra WNI625104050707000002 1
99 KRISTINE DEVI WNA371LV6301067 1
100 16 November 2023 Made Karmi WNI62017.11.23 1
101 Bayi Ny. Anak Agung Istri Dalem Cinthya Riris WNI62009.11.23 1
102 Bayi Ny. Septi Novi Primayani WNI62025.11.23 1
103 BAYI NYONYA NI PUTU WISNAWATI WNI62026.11.23 1
104 NI PUTU WISNAWATI WNI625104074809940001 1
105 Septi Novi Primayani WNI623504036909870001 1
106 17 November 2023 Wahyu Teja Permana Putra WNI625104050707000002 1
107 Septi Novi Primayani WNI623504036909870001 1
108 Kaie Arge WNA372032.11.23 1
109 Ni Wayan Muli WNI62510406640693004 1

18 November 2023
110 NI WAYAN WARDANI WNI625104066308840001 1
111 Bayi Ny. Ni Wayan Muli WNI62030.11.23 1
112 18 November 2023 Bayi Ny. Ni Wayan Wardani WNI62031.11.23 1
113 Ni Nyoman Astini WNI625171025408900003 1
114 Bayi. Nyonya Ni Nyoman Astini WNI62202311170003 1
115 Ni Wayan Putri Vinaya WNI625104035204190001 1
116 Mirai Arutiunov WNA751No7514890 1
117 Bayi Ny. Ni Putu Susiari, SE WNI62033.11.23 1
118 Ni Putu Susiari, SE WNI625104074609940002 1
119 19 November 2023 Ni Wayan Putri Vinaya WNI625104035204190001 1
120 Mirai Arutiunov WNA751No7514890 1
121 GUSTI AYU JYOTIS KHAMANI DALEM WNI625104024411110002 1
122 20 November 2023 I Gusti Ayu Sukma Febriyanti WNI625104055202990001 1
123 Wayan Sukarsa WNI625704030208660003 1
124 Ni Putu Sri Astari WNI625104065003930003 1
125 NI WAYAN PARIANI WNI5104057112650259 1
126 GUSTI AYU JYOTIS KHAMANI DALEM WNI625104024411110002 1
127 MARK SIGURD MEIER WNAC21GM9L1N 1
128 NI WAYAN PARIANI WNI5104057112650259 1
129 I Dewa Putu Raka WNI5104053112470090 1
130 NI MADE NEROLI WNI5104056611790001 1
131 Wayan Sukarsa WNI625704030208660003 1
21 November 2023
132 Ni Putu Sri Astari WNI625104065003930003 1
133 By. Ny. Ni Wayan Pinti Kusuma Sari WNI040.11.23
134 I Gusti Ayu Sukma Febriyanti WNI625104055202990001
135 NI WAYAN PINTI KUSUMA SARI WNI5105016402020002
136 IDA BAGUS GEDE WISWANTARA WNI625104052410980002 1
137 DEWA AYU YUDIARI WNI5104044703970001 1
138 Drs. I Gusti Ngurah Narakesuma WNI5104010505510001 1
139 I Nyoman Wana WNI5104012911720001 1
140 22 November 2023 Wayan Sukarsa WNI625704030208660003 1
141 Ni Putu Sri Astari WNI625104065003930003 1
142 NI WAYAN PARIANI WNI5104057112650259 1
143 Anak Agung Gede Rai Agung WNI625104052810130001 1
144 I Dewa Putu Raka WNI5104053112470090 1
145 DEWA AYU YUDIARI WNI5104044703970001 1
146 Drs. I Gusti Ngurah Narakesuma WNI5104010505510001 1
147 I Nyoman Wana WNI5104012911720001 1
148 Wayan Sukarsa WNI625704030208660003 1
23 November 2023
149 23 November 2023 Ni Putu Sri Astari WNI625104065003930003 1
150 NI WAYAN PARIANI WNI5104057112650259 1
151 Anak Agung Gede Rai Agung WNI625104052810130001 1
152 I Dewa Putu Raka WNI5104053112470090 1
153 I Made Bramastha Ganashwara WNI5104022311210002 1
154 I Made Bramastha Ganashwara WNI5104022311210002 1
155 Adi Hariyanto WNI3511110208840001 1
156 DRS.I GUSTI NGURAH NARAKESUMA WNI625104010505510001 1
24 November 2023
157 I NYOMAN WANA WNI625104012911720001 1
158 NI WAYAN KARIASIH WNI625106046903940001 1
159 Bayi Ny. Ni Wayan Wardani WNI62031.11.23 1
160 I WAYAN TIDAH WNI625104070107420096 1
161 DRS.I GUSTI NGURAH NARAKESUMA WNI625104010505510001 1
162 I NYOMAN WANA WNI625104012911720001 1
163 Dewa Gede Sutama WNI625104040302740001 1
164 I KETUT CONO WNI625104073112700056 1
25 November 2023
165 NI KADEK NAOMI GHANTARI PUTRI WNI62 5106026610160001 1
166 NI WAYAN KARIASIH WNI625106046903940001 1
167 NI MADE SETIA PRATIWI WNI625104074211950003 1
168 Bayi Nyonya Ni Made Setia Pratiwi WNI622023112400001 1
169 Bayi Ny. Ni Wayan Wardani WNI62031.11.23 1
170 I WAYAN TIDAH WNI625104070107420096 1
171 Bayi Ny. Septi Novi Primayani WNI62025.11.23 1
172 Ni Wayan Sarmi WNI625104054404640003 1
173 Bayi Nyonya Shevira Bahriyanti Ruveno WNI62070.11.23 1
174 26 November 2023 Ni Putu Eka Primayanti WNI625104075805010001 1
175 DRS.I GUSTI NGURAH NARAKESUMA WNI625104010505510001 1
176 I NYOMAN WANA WNI625104012911720001 1
177 Dewa Gede Sutama WNI625104040302740001 1
178 PANDE GEDE WISMA PUTRA WNI625103020405930003 1
179 Anak Agung Gde Rai Agung Abinatha WNI625104052810130001 1
180 I MADE KAYSIDHI WIKANYA WNI62037.10.23 1
181 Bayi Nyonya Shevira Bahriyanti Ruveno WNI62070.11.23 1
27 November 2023
182 I WAYAN TIDAH WNI625104070107420096 1
183 Dewa Gede Sutama WNI625104040302740001 1
184 PANDE GEDE WISMA PUTRA WNI625103020405930003 1
185 Judith Watson Beebe WNA1548254989 1
186 I WAYAN RADITYA ARSA AGATA WNI62 5104052403190001 1
187 28 November 2023 Anak Agung Gde Rai Agung Abinatha WNI625104052810130001 1
 28 November 2023
188 I WAYAN TIDAH WNI625104070107420096 1
189 PANDE GEDE WISMA PUTRA WNI625103020405930003 1
190 Judith Watson Beebe WNA1548254989 1
191 I WAYAN RADITYA ARSA AGATA WNI62 5104052403190001 1
192 Ni Kadek Yuliarti WNI625104015507940001 1
193 Bayi Ny. Ni Kadek Yuliarti WNI62072.10.23 1
29 November 2023
194 I Komang Ardan Mason Ari Rudana WNI625171011010030005 1
195 Putu Yogi Widnyani WNI625103056509930002 1
196 By.Ny Putu Yogi Widnyani WNI6220231128 1
197 I WAYAN TIDAH WNI625104070107420096 1
198 SUSAN MARIE GRAHAM WNA61RA1980261 1
199 Ni Luh Ayu Sibang Sri Padma Yanti WNI622023010433330002 1
200 NI PUTU ANISA ADELIA WNI625104055001980001 1
30 November 2023
201 THOMAS ALEXANDER JOSEPH WEAVER WNI627471021011180003 1
202 EDISON WNI625171021505690001 1
203 Anak Agung Gde Rai Agung Abinatha WNI625104052810130001 1

Penanggung Jawab
Kepala Unit Rawat Inap

Gusti Agung Okta Yunita Dewi, Amd.Kep

 Penanggung Jawab
Kepala Unit Rawat Inap

Gusti Agung Okta Yunita Dewi, S.Kep