I understand the problem to be that a name may appear more than once down the column and that you want an R placed in the row starting at column C and for each repeat after the first appearance an R will be placed in column C then the next in column D etc as the person repeats.
This solution will place the correct R's in the columns as the name is entered in the list in column A. This goes out to column G which would represent an original session and 5 more repeats. If more is required, copy the formula to the right. Copy the formula down as required.
This is the formula to be entered in C2 and copied across and down as required.
The enclosed file shows the results....I just used letters instead of names (I'm lazy).
The second file has a summary area if that would be of value.
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