Puskesmas is a functional health organization as well as a center for community health development. The Klender urban health center currently uses an online registration system and offline registration. This study aims to determine the online and offline outpatient registration system at the Klender Village Community Health Center in 2023. This research is a qualitative research. In this study, researchers directly observed the process of outpatient registration. Retrieval of research data is done by observation and interviews with registration officers. The results of the study found that online registration uses the Jaksehat application, patients do not need to come to the health center to register, patients come to the health center to validate queue numbers to the polyclinic only. Calling patients who register online is prioritized with a system of calling queue numbers 1-5, 11-15 and so on. Offline registration is done by having patients come directly to the puskesmas and queue to register. For calling patients, register offline after patients register online with queue numbers 6-10, 16-15, etc. The problems found in registration were the separate queues for patients who registered online and offline and there was a mismatch in calling patients according to the serial number of the queue. The conclusion in this study is that online registration of outpatients uses the Jaksehat application and offline registration is carried out using the system used by the puskesmas. It is expected that the puskesmas will separate the queues of patients who have registered online with patients who have registered offline.
 
 

Prompt return of patient medical records is an important step in the health records processing workflow. Speed is the key to meeting quality processing standards. The hospital sets a deadline for returning medical records within 2x24 hours after the patient is discharged. Delays can be caused by various factors, which are classified under the 5M management elements: man, materials, machines, methods, and money. The aim of this research is to identify aspects that are the root of the problem in delays in the process of returning medical records to the hospital. The methodology used is a literature review, with analysis of 17 journal articles from the Google Scholar database. The study results showed that human factors such as staff shortages, incomplete doctor signatures, and inadequate staff educational qualifications were the main causes of delays. Material factors often result in incomplete documents. The machine factor is related to the significant distance between the inpatient department and the medical records department. Meanwhile, the method factor, namely SPO socialization has not been carried out and the implementation of job descriptions has not been maximized.