FORMULIR KETEPATAN WAKTU DISTRIBUSI MAKANAN PASIEN RAWAT INAP

RSUD JAGAKARSA

Bulan : Oktober
Tahun : 2018

Tanggal
Waktu Distribusi

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Makan Pagi
Jam Distribusi 6:40 6:35 6:40 6:40 6:40 6:35 6:30 6:40 6:30 6:30 6:40 6:40 6:30 6:30 6:40 6:30 6:35 6:50 6:40 6:50 6:35 6:45 6:45 6:40
Paraf Petugas Ruangan V V V V V V V V V V V V V V V V V V V V V V V V
Persentase Ketepatan Waktu
Snack Pagi
Jam Distribusi 9:50 9:40 10:00 9:55 9:55 9:50 10:00 9:40 10:00 10:00 10:00 9:50 10:05 10:00 9:45 9:40 9:30 9:50 9:55 9:50 9:55 9:50 9:50 9:40
Paraf Petugas Ruangan V V V V V V V V V V V V V V V V V V V V V V V V
Persentase Ketepatan Waktu
Makan Siang
Jam Distribusi 11:25 11:50 11:50 11:35 11:30 11:45 11:40 11:50 11:45 11:50 12:00 11:45 11:45 11:30 11:50 11:40 11:50 11:50 11:45 11:45 11:35 11:40 11:35 11:50
Paraf Petugas Ruangan V V V V V V V V V V V V V V V V V V V V V V V V
Persentase Ketepatan Waktu
Snack Sore
Jam Distribusi 15:00 14:57 15:10 15:00 15:00 15:00 15:00 15:00 15:00 15:05 15:00 15:00 14:30 15:00 15:00 15:00 14:50 14:50 14:55 14:55 14:00 14:40 14:50 14:55
Paraf Petugas Ruangan V V V V V V V V V V V V V V V V V V V V V V V V
Persentase Ketepatan Waktu
Makan Sore
Jam Distribusi 16:40 16:55 17:00 16:40 16:45 16:50 16:50 17:00 16:40 16:40 16:30 16:30 16:40 16:40 16:40 16:40 16:50 17:00 16:35 16:35 16:40 16:50 16:40 16:40
Paraf Petugas Ruangan V V V V V V V V V V V V V V V V V V V V V V V V
 25 26 27 28 29 30 31

6:40 6:30 6:35 6:35 6:35 6:30 6:50

V V V V V V V

9:40 9:40 9:55 9:40 9:50 9:50 9:40

V V V V V V V

11:50 11:40 11:45 11:35 11:50 11:40 11:50

V V V V V V V

14:50 14:50 14:50 14:40 15:00 14:40 14:40

V V V V V V V

16:40 16:40 16:30 16:30 16:40 16:40 16:40

V V V V V V V