Rekapan Form Tracking
Rekapan Form Tracking
Rekapan Form Tracking
Fase 1 2 3 4 5 6
PENDAFTARAN 3 1 5 2 4 6
POLI SCREENING
Autoref 1 1
NCT/Eye Care 1 1
Visus/autorefraksi/streak retinoskopi -
Mydriatil - -
Flurecin
Tonopen
Penitri
Epilasi Sederhana
POLIKLINIK SPESIALIS
POLI 1 11 12
POLI 2
POLI 3/ INTERNA/ TINDAKAN
POLI 4 1 1 11
POLI 5
RUANG OK
IGD
PENUNJANG
BIOMETRI
ENDOTEL
LAB
OCT
PERIMETRI
USG
IOL MASTER
LASER
SPEKULAR
Insisi
Retinometri
Lensa 78
Foto fundus
SCREENING GLUKOMA
SCREENING KATARAK
AFF HECTING
GINIOSKOPI
PEELING MEMBRAN
EKSTRASI C.A
CUSTOMER SERVICE
FARMASI 10 8 5 5 5
KASIR 3 2 3 2 3
LAIN-LAIN
REFRAKSI
7 8 9 10 11 12 13 14 15 16
4 4 4 2 5 3 2 6 5 7
- -
- - - - - - 1 0
1 0
- - - - - - - -
-
11 11 13
4 5 15 7
5- -
5
4 5 5 5 5 5
2 2 2 2 2 1 4 2 2 2
BPJS
17 18 19 20 21 22 23 24 25 26
2 2 2 2 5 2 2 2 2 4
11
4 5 4 2
5 4 5 20 4 4 6 4 4
2 2 2 2 3 2 2 2 2 2
27 28 29 30 31 32 33 34 35 36
4 4 3 3 2 5 3 5 2 2
2
11 11 10 11
5 5 5
4 4 4 5 5
2 2 1 2 2 3 2 3 2 1
37 38 39 40 41 42 43 44 45 46
2 1 2 3 6 1 4 6 1 4
1 1 5
1
1
5 5
5 5 5 5 5 5
3 2 3 4 2 2 2 1 1 2
UMUM
47 48 49 50 51 52 53 54 55 56
3 4 3 0 0 0 5 2 4 1
- - 0 4 1
- - 1 -
- - 1- - 0- - - 0
17 19
5
5- - - - 0-
3 5 5 5 8
1 2 2 2 2 2 2 2 2
UMUM
57 58 59 60 61 62 63 64 65 66
0 5 4 3 4 3 4 4 3 0
0
0
12
29 7
8 9 10 5
5
5 12 4 4 5 5 5 5 6
3 3 1 2 2 2 3 2 2 2
67 68 69 70
5 0 7 0
2
5
5 4 5
3 3 2
IKS WNA
Fase 1 2 3 4 5 6
PENDAFTARAN 5 0 2 6 4 8
POLI SCREENING 1- - 1
Autoref 1
NCT/Eye Care
Visus/autorefraksi/streak retinoskopi - 3- - -
Mydriatil 1
Flurecin
Tonopen
Penitri
Epilasi Sederhana
POLIKLINIK SPESIALIS
POLI 1
POLI 2 3 4 6
POLI 3/ INTERNA/ TINDAKAN
POLI 4 18
POLI 5 5 5
RUANG OK
IGD
PENUNJANG
BIOMETRI
ENDOTEL
LAB
OCT
PERIMETRI
USG
IOL MASTER
LASER
SPEKULAR
Insisi
Retinometri
Lensa 78
Foto fundus
SCREENING GLUKOMA
SCREENING KATARAK
AFF HECTING
GINIOSKOPI
PEELING MEMBRAN
EKSTRASI C.A
CUSTOMER SERVICE
FARMASI 4 5 5 5 5
KASIR 2 5 2 2 2 2
LAIN-LAIN
REFRAKSI
UMUM
7 8 9 10 11 12 13 14 15 16
0 5 6 5 0 0 3 5 4 4
1- 1 1 = - 1 1
- -
3 2 3 3- - - - 6 5
-
- 5 5
6 7 6- - -
4 6 4 8 5 5 4
2 3 4 5 3 2 1 6 1
17 18 19 20 21 22 23 24 25 26
5 3 3 1 0 5 1 5 2 1
= 2 1
1
1
4 - - 4
33 8
5 11 7 8
3 4 7 5 5
3 8 1 2 2 2 2 4 3
27 28 29 30 31 32 33 34 35 36
2 2 2 4 1 2 5 4 2 3
1 5 1 1 1 1 1 1
- 1
1
- 4 3 5 2 4 6 3 8
-
5 5 20 10 5 25
3 7-
15
- 5 5 5 5 4
5 1 2 3 1 3 3 3 2 2
BPJS
37 38 39 40 41 42 43 44 45 46
1 5 2 2 12 3 3 3 2 4
4 1
1
5 3
60 5
6 5 8 2 7 5 3
2 5 4 3 2 1 4 5 6 3
47 48 49 50 51 52 53
5 2 6 1 2 1 6
6 14
5 50
5 5 5 19
2 2 3 2 3 3 3
IKS
Fase 1 2 3 4 5 6
PENDAFTARAN 5 5 2 2 2 1
POLI SCREENING 1 0 1 1 2
Autoref
NCT/Eye Care
Visus/autorefraksi/streak retinoskopi 2 1 3 3 3
Mydriatil
Flurecin
Tonopen
Penitri
Epilasi Sederhana
POLIKLINIK SPESIALIS
POLI 1 5 5
POLI 2 5
POLI 3/ INTERNA/ TINDAKAN
POLI 4 5 5
POLI 5
RUANG OK
IGD
PENUNJANG
BIOMETRI
ENDOTEL
LAB
OCT
PERIMETRI
USG
IOL MASTER
LASER
SPEKULAR
Insisi
Retinometri
Lensa 78
Foto fundus
SCREENING GLUKOMA
SCREENING KATARAK
AFF HECTING
GINIOSKOPI
PEELING MEMBRAN
PEMASANGAN BCL
EKSTRASI C.A
CUSTOMER SERVICE
FARMASI 5 5 5
KASIR 2 5 3 2 2 1
LAIN-LAIN
REFRAKSI
UMUM
7 8 9 10 11 12 13 14 15 16
4 2 0 0 5 3 5 1 5 0
1 1 1 1- - - - - 0
2
2 0 3 - - - - - 0
4
5 15 5-
- - - - -
5 5 5 5 5 5 5
2 7 3 2 2 1 3 2 2 2
17 18 19 20 21 22 23 24 25 26
0 5 0 3 0 0 2 5 5 8
- 1 1- 1
- 4 3 3 5
-
16 11 5 5 5 5
- 8
2
5 5 6 5 4 4
2 3 2 1 2 2 3 3 4 3
27 28 29 30 31 32 33 34 35 36
4 3 5 5 2 4 3 2 3 4
- 1 1 1 2- 1 1- -
4 2 2 4 4 5 3 4- -
5 5 1 5
12 - 10 -
2
6 5 5 5
3 2 2 3 2 3 3 3 2 2
BPJS
37 38 39 40 41 42 43 44 45 46
5 3 3 1 1 1 5 3 4 2
1 2 1 2
4 6 4
13 10 -
5 5 5
5 5 11 12
5 5 5 5 5
3 2 0 3 2 2 3 2 3 2
47 48 49 50 51 52 53 54 55
2 2 4 2 2 2 2 4 2
1
2
1
6 0
12 10 11 13 11 34 32
10
2
5
10
5 5 6 5 5 6
3 1 3 3 1 0 1 0 8
IKS
Fase 1 2 3 4 5 6
PENDAFTARAN 2 4 5 1 1 3
POLI SCREENING 1 1 1 1
Autoref - 1
NCT/Eye Care
Visus/autorefraksi/streak retinoskopi 2- 4 1 4 3
Mydriatil -
Flurecin
Tonopen
Penitri
Epilasi Sederhana
POLIKLINIK SPESIALIS
POLI 1 12 12 11
POLI 2 12
POLI 3/ INTERNA/ TINDAKAN
POLI 4 12 5
POLI 5
RUANG OK
IGD
PENUNJANG
BIOMETRI
ENDOTEL
LAB
OCT
PERIMETRI
USG
IOL MASTER
LASER
SPEKULAR
Insisi
Retinometri
Lensa 78
Foto fundus
SCREENING GLUKOMA
SCREENING KATARAK
AFF HECTING
GINIOSKOPI
PEELING MEMBRAN
EKSTRASI C.A
CUSTOMER SERVICE
FARMASI 5 4
KASIR 4 3 2 2 2 2
LAIN-LAIN
REFRAKSI
7 8 9 10 11 12 13 14 15 16
1 0 0 2 0 3 2 5 0 3
1 1- - - - 1 1
- -
2 2- - - - - - 2 3
5 6
- - - - - - 13
6 5 4 4 5 4 5 5
5 2 2 3 3 4 2 4 4 2
UMUM
17 18 19 20 21 22 23 24 25 26
3 5 3 4 4 1 0 3 2 4
1
- - 1
3 1
- -
1
5
53
6
4 5 5 5 5 5 6
1 2 2 3 2 2
27 28 29 30 31 32 33 34 35 36
1 3 2 0 0 0 4 6 3 2
-
60
5
5
5 5 5 6 5
2 2 1 3 2
37 38 39 40 41 42 43 44 45 46
6 5 2 2 3 4 2 2 4 3
1 1 1 1 1 1 1 1 1 1
3 4 4 2 3 2 4 3 4 4
11 12 12 4 5 6
10
5 5 5
45
10 5 11 5 5
2 3 3 2 2 3 1 7 1 2
47 48 49 50 51 52 53 54 55 56
3 2 2 2 2 4 5 4 1 2
7- 1 1 1- 1 1
3 4 3 4 3- 3 4
12
12 22 7 9
8
- 4
5 5 5 6 6 5
2 2 3 1 2 2 2 2 3 2
BPJS
57 58 59 60 61 62 63 64 65 66
4 2 2 3 2 1 4 4 3 3
- -
- -
7-
2 5 9 5 5
60
4 4 6 6 5 5 5 5
3 3 3 3 2 2 2 2 3
67 68 69 70 71 72 73 74 75 76
2 4 4 3 4 2 2 2 2 11
-
6 6
5 5 5 5 5 5
5 3 6 5 5 5 5 4 3
2 1 2 2 1 2 2 1 3 3
77 78 79 80
3 2 2 2
10 11 10 11
4 5 4
2 4 2 4
UMUM
Fase 1 2 3 4 5 6
PENDAFTARAN 2 2 2 2 2 2
POLI SCREENING - - - - -
Autoref 1
NCT/Eye Care 1
Visus/autorefraksi/streak retinoskopi - - - 6- -
Mydriatil
Flurecin
Tonopen
Penitri
Epilasi Sederhana
POLIKLINIK SPESIALIS
POLI 1
POLI 2
POLI 3/ INTERNA/ TINDAKAN
POLI 4
POLI 5 - - - - -
RUANG OK
IGD
PENUNJANG -
BIOMETRI
ENDOTEL
LAB
OCT
PERIMETRI
USG
IOL MASTER
LASER
SPEKULAR
Insisi
Retinometri
Lensa 78
Foto fundus
SCREENING GLUKOMA
SCREENING KATARAK
AFF HECTING
GINIOSKOPI
PEELING MEMBRAN
EKSTRASI C.A
CUSTOMER SERVICE
FARMASI 4 3 3 3
KASIR 9 2 2 3 3 2
LAIN-LAIN
REFRAKSI
UMUM BPJS IKS
7 8 9 10 11 12 13 14 15 16
2 2 2 3 3 4 3 4 4 3
- - 1 1 1
- -
- - 4 2 2 -
5 5 5
- -
- -
60
25 20
3 5 4
3 3 8 7 1 1 5 6