Ceklist Pengisian Cppt.doc
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RSIA ABDHI FAMILI Jl. Diponegoro No. 5 RT.005 RW.001 Wringinrejo-Gambiran-Banyuwangi Telp. 0333-842219 Fax. 0333-842723, email: [email protected]
BUKTI PELAKSANAAN PENULISAN CPPT Tanggal/Bulan/Tahun : .................................................................................. Berilah tanda √ pada kolom L, TL atau Tidak ada Elemen
No.RM ADA L TL
DPJP Dokter Jaga Bidan Farmasi Gizi Perawat
TD
No
Elemen L
1 2 3 4 5 6
TL
TD
DPJP Dokter Jaga Bidan Farmasi Gizi Perawat Total Cara perhitungan : Jumlah Y x 100% Jumlah Y+T
Supervisi RM,
(..............................)
BUKTI PELAKSANAAN PENULISAN CPPT Tanggal/Bulan/Tahun : .................................................................................. Berilah tanda √ pada kolom L, TL atau Tidak ada Elemen
No.RM ADA L TL
DPJP Dokter Jaga Bidan Farmasi Gizi Perawat
TD
No
Elemen L
1 2 3 4 5 6
TL
TD
DPJP Dokter Jaga Bidan Farmasi Gizi Perawat Total Cara perhitungan : Jumlah Y x 100% Jumlah Y+T
Supervisi RM,
(..............................)
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