Form Timbangan Limbah Medis Harian

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TIMBANGAN SAMPAH MEDIS HARIAN

RUMAH SAKIT GRAHA SEHAT KRAKSAAN - PROBOLINGGO

Jl. Panglima Sudirman No.  Kra!"aan #$%%&' ()*&$$

Bulan

Bulan + + ,ruari ,ruari $/0$/0

No No TANGGAL TANGGAL / /  %% )) && ** 11 (( 00 //$$ //// // // ag

agi i or or ag ag or or agagi i or or agagi i orore e agagi i orore e ag ag or or ag ag or or agagi i or or agagi i orore e agagi i or or ag ag or or agagi i or or agagii 1

1 AnAnak ak 2

2 PaviPaviliuliunn 3 3 NeoNeo 4 4 VK VK 5 5 HCUHCU 6 6 OK OK 7 7 Maternal Maternal 8 8 eneral eneral ! ! ""## 1$ 1$ 11 11 12 12 13 13 14 14 %otal 'Kg( %otal 'Kg(

)Aa+ila enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

Catatan  Catatan        oo oo

TIMBANGAN SAMPAH MEDIS HARIAN

RUMAH SAKIT GRAHA SEHAT KRAKSAAN - PROBOLINGGO

Jl. Panglima Sudirman No.  Kra!"aan #$%%&' ()*&$$

Bulan

Bulan + + Januari Januari $/0$/0 Nama

Nama Ruangan Ruangan

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Cancel Anytime. No No TANGGALTANGGAL / /  %% )) && ** 11 (( 00 //$$ //// // // Pa

Pagi gi or or ag ag or or agagi i or or agagi i orore e agagi i orore e ag ag or or ag ag or or agagi i or or agagi i orore e agagi i or or ag ag or or agagi i or or agagii 1

1 AnAnak ak 2

2 PaviPaviliuliunn 3 3 NeoNeo 4 4 VK VK 5 5 HCUHCU 6 6 OK OK 7 7 Maternal Maternal 8 8 eneral eneral ! ! ""## 1$ 1$ 11 11 12 12 13 13 14 14 %otal 'Kg( %otal 'Kg(

)Aa+ila enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

Catatan  Catatan        oo oo Nama Nama Ruangan Ruangan r r

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% //)) %%$$ %%//

or

or agi agi or or agagi i orore e agagi i ororee

      . Cleaning Servi . Cleaning Servi Sai2un Sai2un  

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%

% //)) //&& %%//

or

or agi agi or or agagi i orore e agagi i ororee

      . Cleaning Servi . Cleaning Servi Sai2un Sai2un 0aan 0aan

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TIMBANGAN SAMPAH MEDIS HARIAN

RUMAH SAKIT GRAHA SEHAT KRAKSAAN - PROBOLING

Jl. Panglima Sudirman No.  Kra!"aan #$%%&' ()*&$$

Bulan

No

No Nama RuanganNama Ruangan TANGGALTANGGAL

/ /  %% )) && ** 11 (( 00 //$$ // PagiSorePagiSorePagiSorePagiSorePagiSorePagiSorePagiSorePagiSorePagiSorePagiSorePagi PagiSorePagiSorePagiSorePagiSorePagiSorePagiSorePagiSorePagiSorePagiSorePagiSorePagi 1 1 AnAnak ak 2

2 PaviPaviliuliunn 3 3 NeoNeo 4 4 VK VK 5 5 HCUHCU 6 6 OK OK 7 7 Maternal Maternal 8 8 eneral eneral ! ! ""## 1$ 1$ 11 11 12 12 14 14 %otal %i,+angan 'Kg( %otal %i,+angan 'Kg(

)Aa+ila enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

Catatan Catatan



 

TIMBANGAN SAMPAH MEDIS HARIAN

RUMAH SAKIT GRAHA SEHAT KRAKSAAN - PROBOLING

Jl. Panglima Sudirman No.  Kra!"aan #$%%&' ()*&$$

Bulan

TANGGAL TANGGAL

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Cancel Anytime. 5 5 HCUHCU 6 6 OK OK 7 7 Maternal Maternal 8 8 eneral eneral ! ! ""## 1$ 1$ 11 11 12 12 14 14 %otal %i,+angan 'Kg( %otal %i,+angan 'Kg(

)Aa+ila enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

Catatan Catatan



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O

/ / // //%% //)) SorePagiSorePagiSorePagiSore SorePagiSorePagiSorePagiSore  

Koor. Cleaning Servie Koor. Cleaning Servie ra

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 

Koor. Cleaning Servie Koor. Cleaning Servie

Sai2un Sai2un

 

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T

TIIM

MB

BA

AN

NG

GA

AN

N S

S

R

RU

UM

MA

AH

H S

SA

AK

KIIT

T G

GR

RA

AH

HA

A S

SE

E

Jl. Panglima Sudirman

Bulan

Bulan + + Mar3 Mar3 $/0$/0 N Noo NNaamma a RRuuaannggaann / /  %% )) && ** 11 (( 00 //$$ //// // 1 1 AnAnak ak 2

2 PaviPaviliuliunn 3 3 NeoNeo 4 4 VK VK 5 5 HCUHCU 6 6 OK OK 7 7 Maternal Maternal 8 8 eneral eneral ! ! ""## 1$ 1$ 11 11 12 12 13 13 14 14 %otal %i,+angan 'Kg( %otal %i,+angan 'Kg(

)Aa+ila 0ala- 0atu ruangan .ilakukan enga,+ilan 2/ ,aka

)Aa+ila 0ala- 0atu ruangan .ilakukan enga,+ilan 2/ ,aka tuli0 .i kolo, atata

tuli0 .i kolo, atata

Catatan  Catatan       

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MP

MPAH

AH MEDIS

MEDIS HARIAN

HARIAN

A

AT

T KRAKSAAN

KRAKSAAN -

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No. 

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

  

 

Koor. Cleaning Servie Koor. Cleaning Servie ra 0aan ra 0aan

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Bulan + + A4ril A4ril $/0$/0 N Noo NNaamma a RRuuaannggaann / /  %% )) && ** 11 (( 00 //$$ //// // 1 1 AnAnak ak 2

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MEDIS HARIAN

HARIAN

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T KRAKSAAN

KRAKSAAN -

- PROBOLINGGO

PROBOLINGGO

o.

o. 

 Kra!"aan

Kra!"aan #$%%&'

#$%%&' ()*&$$

()*&$$

TANGGAL TANGGAL /

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Bulan + + Mi Mi $/0$/0 N Noo NNaamma a RRuuaannggaann / /  %% )) && ** 11 (( 00 //$$ //// // 1 1 AnAnak ak 2

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A

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T KRAKSAAN

KRAKSAAN -

- PROBOLINGGO

PROBOLINGGO

No. 

No.  Kra!"aan #$%%&' ()*&$$

Kra!"aan #$%%&' ()*&$$

TANGGAL TANGGAL /

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Bulan + + Mar3 Mar3 $/0$/0 N Noo NNaamma a RRuuaannggaann / /  %% )) && ** 11 (( 00 //$$ //// // 1 1 AnAnak ak 2

2 PaviPaviliuliunn 3 3 NeoNeo 4 4 VK VK 5 5 HCUHCU 6 6 OK OK

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KRAKSAAN -

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o.

o. 

 Kra!"aan

Kra!"aan #$%%&'

#$%%&' ()*&$$

()*&$$

TANGGAL TANGGAL /

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Bulan + + Juli Juli $/0$/0 N Noo NNaamma a RRuuaannggaann / /  %% )) && ** 11 (( 00 //$$ //// // 1 1 AnAnak ak 2

2 PaviPaviliuliunn 3 3 NeoNeo 4 4 VK VK 5 5 HCUHCU 6 6 OK OK

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No. 

No.  Kra!"aan #$%%&' ()*&$$

Kra!"aan #$%%&' ()*&$$

TANGGAL TANGGAL /

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(64)

Form Timbangan Limbah Medis Harian

TIMBANGAN SAMPAH MEDIS HARIAN

TIMBANGAN SAMPAH MEDIS HARIAN

RUMAH SAKIT GRAHA SEHAT KRAKSAAN - PROBOLINGGO

RUMAH SAKIT GRAHA SEHAT KRAKSAAN - PROBOLINGGO

Jl. Panglima Sudirman No.  Kra!"aan #$%%&' ()*&$$

Jl. Panglima Sudirman No.  Kra!"aan #$%%&' ()*&$$

)A*a+ila *enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

)A*a+ila *enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

TIMBANGAN SAMPAH MEDIS HARIAN

TIMBANGAN SAMPAH MEDIS HARIAN

RUMAH SAKIT GRAHA SEHAT KRAKSAAN - PROBOLINGGO

RUMAH SAKIT GRAHA SEHAT KRAKSAAN - PROBOLINGGO

Jl. Panglima Sudirman No.  Kra!"aan #$%%&' ()*&$$

Jl. Panglima Sudirman No.  Kra!"aan #$%%&' ()*&$$

)A*a+ila *enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

)A*a+ila *enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

TIMBANGAN SAMPAH MEDIS HARIAN

TIMBANGAN SAMPAH MEDIS HARIAN

RUMAH SAKIT GRAHA SEHAT KRAKSAAN - PROBOLING

RUMAH SAKIT GRAHA SEHAT KRAKSAAN - PROBOLING

Jl. Panglima Sudirman No.  Kra!"aan #$%%&' ()*&$$

Jl. Panglima Sudirman No.  Kra!"aan #$%%&' ()*&$$

)A*a+ila *enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

)A*a+ila *enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

TIMBANGAN SAMPAH MEDIS HARIAN

TIMBANGAN SAMPAH MEDIS HARIAN

RUMAH SAKIT GRAHA SEHAT KRAKSAAN - PROBOLING

RUMAH SAKIT GRAHA SEHAT KRAKSAAN - PROBOLING

Jl. Panglima Sudirman No.  Kra!"aan #$%%&' ()*&$$

Jl. Panglima Sudirman No.  Kra!"aan #$%%&' ()*&$$

)A*a+ila *enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

)A*a+ila *enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

O

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Jl. Panglima Sudirman

Jl. Panglima Sudirman

)A*a+ila 0ala- 0atu ruangan .ilakukan *enga,+ilan 2/ ,aka

)A*a+ila 0ala- 0atu ruangan .ilakukan *enga,+ilan 2/ ,aka tuli0 .i kolo, atata

tuli0 .i kolo, atata

MP

MPAH

AH MEDIS

MEDIS HARIAN

HARIAN

A

AT

T KRAKSAAN

KRAKSAAN -

- PROBOLINGGO

PROBOLINGGO

No. 

No.  Kra!"aan #$%%&' ()*&$$

)Aa+ila enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

)Aa+ila enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

)Aa+ila enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

)Aa+ila enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

)Aa+ila enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

)Aa+ila enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

)Aa+ila enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

)Aa+ila enga,+ilan le+i- .ari 2/ ,aka tuli0 .i kolo, atatan

)Aa+ila 0ala- 0atu ruangan .ilakukan enga,+ilan 2/ ,aka

)Aa+ila 0ala- 0atu ruangan .ilakukan enga,+ilan 2/ ,aka tuli0 .i kolo, atata