5.2.3.5 Sop Perubahan Rencana Kegiatan Asar

PERUBAHAN RENCANA KEGIATAN PROGRAM UKM

SOP

 No. Dokumen

: 824/

 No. Revisi

:0

Tgl. Te!i"

:

$%l%m%n

: 1/2

/PKM-KTI/VIII/2016

#gus"us 2016

P&'K('M#' )#*#N K&T#I

Penge ge"i%n

+ $, Ti Re"no ul%n+%i  NIP.18080.200  NIP.18080.200801.2.01 801.2.01

Peu!% u!%%n en en%n %n% kegi kegi%%"%n %+%l %+%l%% 3e 3eu!%%n %n "e "e%+% %+%3 en en%%n% ke kegi%"%n %"%n %n %ng g se+%ng %"%u !elum +il%ks%n%k%n %ng +isesu%ik%n +eng%n 3eu!%%n ke!i,%k%n  3emein"% %"%u 3eu!%%n ke!u"u%n m%s%%k%"5 usul%n-usul%n +%i 3el%ks%n%  3og%m &KM5 lin"%s 3og%m &KM5 +%n lin"%s sek"o "ek%i" se!%g%i u3%%

Tu,u%n

 3en%3%i%n 3og%m %ng o3"im%l. Peu!%%n e en%n% kegi%"%n 3og%m &KM

%ng se se+%ng +i +il%ks%n%k%n %ng

+isesu%ik%n +eng%n 3eu!%%n ke!i,%k%n 3emein"% %"%u ke!u"u%n m%s%%k%" %"%u s%s%%n s%s%%n 3og%m 3og%m &KM

%"%u !e+%s% !e+%s%k%n k%n %l%s%n %l%s%n %ng "e3%" "e3%" se!%g%i se!%g%i u3%% u3%%

Ke!i,%k%n

 3en%3%i%n %ng o3"im%l +%i kine,%. 'K Ke3%l% Puskesm%s No : 824/ /PKM-KTI/VIII/2016

Reeensi

1. &n+%ng-&n+%ng RI No. 76 T%un 200 Ten"%ng Ten"%ng Kese%"%n

. Pose+u/

2. Pemenkes RI No.    T%un T%un 2014 Ten"%ng Pus%" Kese%"%n M%s%%k%" 1. Ke3%l% Ke3%l% Puskes Puskesm%s m%s men+%3% men+%3%"k% "k%n n m%suk%n m%suk%n 3ei% 3ei%ll ke!i,%k ke!i,%k%n %n 3emei 3emein"% n"% 

*%ngk%-

"en"%ng 3eu!%%n en%n% kegi%"%n +%n 3eu!%%n ke!u"u%n m%s%%k%" +%n

l%ngk%

s%s%%n s%s%%n 3og%m &KM &KM 5 m%u3un %sil moni"oi moni"oing ng +%n 3en%3%i%n 3og%m 3og%m &KM 2. Ke3%l% Puskesm%s mengins"uksik%n !%gi%n T%"% &s%% un"uk mengun+%ng Pen%nggung ,%%! +%n 3el%ks%n% kegi%"%n 3og%m &KM un"uk meng%+%k%n %3%" 3eu!%%n kegi%"%n 3og%m 7. Ke3%l% Puskesm%s men%m3%ik%n "en"%ng m%suk%n kegi%"%n 3og%m &KM ke3%+% 3en%nggu 3en%nggung ng ,%%! ,%%! 3og%m 3og%m &KM &KM

+%n 3el%ks%n% 3el%ks%n% kegi%"%n kegi%"%n 3og%m 3og%m

&KM +%n mem!%%s 3eu!%%n en%n% kegi%"%n 3og%m &KM 4. Ke3%l% Puskesm%s !ese"% 3en%nggung ,%%! 3og%m &KM +%n 3el%ks%n% 3el%ks%n% kegi%" kegi%"%n %n 3og% 3og%%m %m mene3%k mene3%k%"i %"i 3eu!% 3eu!%%n %n en%n% en%n% kegi%"% kegi%"%n n %ng %ng "el% "el% +ise3%k%"i !es%m% . Revisi 3eu!%%n en%n% kegi%"%n %ng "el% +ise3%k%"i +i!u%"k%n ,%+%l +il%kuk%n ev%lu%si +%n moni"oing kegi%"%n. 6. Pe"ug%s %ng +i"un,uk men%"%" %sil 3e"emu%n +%l%m no"ulen kegi%"%n . Ke3%l% Puskesm%s mem!%%k%n %sil ke3u"us%n %3%" 8. Pen% Pen%ngg nggung ung ,%% ,%%! ! 3og 3og% %m m &KM &KM men men%m %m3% 3%ik% ik%n n 3eu 3eu!% !%% %n n en en%n %n%% kegi%"%n ke3%+% lin"%s 3og%m &KM +%n lin"%s sek"o "ek%i" 6. 9%g%n #li

-

. $%l-$%l %ng

1. %k"u

%us

2. Tem3%" 1/2

+i3e%"ik%n 8.  &ni" Tek%i"

1. 'eluu 3og%m &KM

. Dokumen

1. 2.

Tek%i" 10. Rek%m%n

No"ulen 'u%" Tug%s  No

%ng Diu!%

$is"ois

Isi Peu!%%n

Tgl Mul%i Di!el%kuk%n

Peu!%%n

2/2

PENDAFTARAN PASIEN

K%!u3%"en T%nge%ng

DAFTAR  TILIK 

 No. Dokumen

:

 No. Revisi

:

Tgl. Te!i"

:

$%l%m%n

:

Puskesm%s )%l%n Ku"%i +. $, Ti Re"no ul%n+%i  NIP.18080.200801.2.01

Unit

:………………………………………………………………

Nama Petugas

:………………………………………………………

Tangga! Pe!a"sanaan

:…………………………………………………………

 No

*%ngk% Kegi%"%n

1. #3%k% 3e"ug%s mem%nggil 3%sien +eng%n %% mem%nggil 1 nomo uu" 3en+%"%%n 2. #3%k% 3e"ug%s men+%"%k%n 3%sien se"el% 3%sien +%"%ng 2 men+%"%k%n +ii +i loke" 3en+%"%%n5 7. #3%k% 3e"ug%s mem!u%"k%n nomo RM5 n%m% +%n %l%m%" 2  3%+% egis"e nomo RM 3%+% 3%sien !%u 4. #3%k% 3e"ug%s mem!u%"k%n +%"% i+en"i"%s 3%sien %ng 7  !es%ngku"%n ;n%m% 3%sien5 umu5 ,enis kel%min5 u!ung%n kekelu%g%%n5 3%sien umum/#skes/kelu%g% miskin +%n nomo  KTP/9P)'/KI'< . #3%k% 3e"ug%s men%"%" 3%+% !uku egis"e %%" ,%l%n5 4 6. #3%k% 3e"ug%s men%ik%n +%"% %%" ,%l%n sesu%i nomo in+e= 

'IMP&'K(' %"%u n%m% un"uk 3%sien %ng su+% 3en%

 !eo!%"/!ekun,ung5 ,ik% 3%sien %ng su+% memiliki RM . #3%k% Pe"ug%s men%"%" 3%+% !uku egis"e %%" ,%l%n 6 8. m%k% 3e"ug%s memin"% 3%sien menun,uk%n k%"u KI'/9P)'5 

kemu+i%n memeiks% ke%nggo"%%n KI'/9P)' sesu%i +%"% PPK5

 ,ik% 3%sien meu3%k%n 3ese"% 9P)'/K%"u 'e%"5 . #3%k% 3e"ug%s men%"%" nomo K%"u In+onesi% 'e%" +%n 8

i+en"i"%s 3%sien %ng "e+%"% se!%g%i %nggo"% 3%+% lem!% 

kusus KI' 10. #3%k% 3e"ug%s memin"% "%n+% "%ng%n 3ese"% KI' %ng  +il%%ni5 11. #3%k% 3e"ug%s mem%sukk%n +%"% kun,ung%n 3%sien 3%+% 1

om3u"e 'IMP&'K('5

12. #3%k% 3e"ug%s mem%sukk%n +%"% kun,ung%n 3%sien 3%+% %3lik%si P->#R(5 7/2

%

Ti+%k

T++

17. #3%k% 3e"ug%s mem%suk%n +%"% kun,ung%n 3%sien 3%+% !uku 1

egis"e5

14. #3%k% 3e"ug%s men%ik e"i!usi +%i 3%sien umum sesu%i 1

+eng%n Pe+% %ng !el%ku5

1. #3%k%

3e"ug%s mene%k%n

RM 3%+% "em3%" "u,u%n

1  3el%%n%n %ng +iingink%n 3%sien5 16. #3%k% 3e"ug%s +i 3oli 3el%%n%n %ng +i"u,u meneim% RM 1  3%sien )uml% >om3li%ne %"e ;>R< : ?????????????@ ???????????..5?? Pel%ks%n% / #u+i"o 

???????. ............  NIP: ??????..................

4/2