STR, Sipp, Sik 2018

Daftar STR ED
Pegawai RSUD Hj. Anna Lasmanah Banjarnegara

RUANG TERATAI
No NAMA STR SIPP KET
No STR TGL ED No SIPP TGL ED
1 Sri Mulyati 140152113-0711805 4-Jun-13 21-Apr-18 449.1/226.Prwt/Kes/2016 Proses STR
2 Amelia Purwaningrum 140252217-1386917 29-Sep-12 1-Mar-17 449.1/28.Bd/Kes/2017 Proses STR
3 Sri Muji Lestari 140152113-0711803 4-Jun-13 30-Agt-18 449.1/131.Prwt/Kes/2016 22-Nov-16 30-Aug-18 Proses STR
4 Anggun Handayani 140252217-0386919 19-Sep-17 4-Mar-17 Proses STR
5 Nur Halimatussadiyah 14025211-20670690 Proses STR
6 Resti Putranti 140252112-0475119 29-Sep-12 03-Nov-17 Proses STR
INSTALASI IBS
1 Khamidin 140151113-0711856 4-Jun-13 30-May-18 Proses STR
2 Ratri Puji Rahayu 140152112-0264198 449.1/154.Prwt/Kes/2016 Proses STR
3 Subur Yuswanto 141551111-0012344 28-Dec-11 16-Oct-16 449.1/04/PA/2016 Proses STR
4 Andri Sapto Yuwono 449.1/133.Prwt/Kes/2016 Proses STR
5 Bambang Sjambodo 141551216-1266672 28-Dec-11 6-Jan-16 449.1/01.PA/Kes/2017 Proses STR
6 Pujo 141551216-1266676 449.1/03/PA/2017 Proses STR
7 Hari Sasongko 140151112-0263985 16-Sep-12 23-Jan-17 449.1/128.Prwt/Kes/2016 22-Nov-16 23-Jan-17 Proses STR
8 Imam Yulianto 141561111-0012345 28-Dec-11 5-Jul-16 Proses STR
RUANG ICU
1 Eka Ifa Faoziati 140152113-0711733 4-Jun-13 19-Oct-18 449.1/624/Kes/2016 Proses STR
2 Taat Agung Widodo 140151218-1545575 449.1/97.Prwt/Kes/2016 Proses STR
3 Tatang Kurniawan Setia A. 140151112-0464498 29-Sep-12 03-Nov-17 449.1/139.Prwt/Kes/2016 Proses STR
4 Fuad Nur I 140151113-0711744 4-Jun-13 14-Mar-18 Proses STR
RUANG PERINATAL NICU

1 Tulus Sedyowati 140252112-0475114 29-Mar-17 24-Mar-17 Proses STR
2 Amin Ganti Sudarman 140232112-0475964 29-Sep-12 17-Agt-17 Proses STR
3 Nur halimatus Sadiyah Proses STR
RAWAT JALAN
1 Karlyta Ayu Pusparani 140552112-0149970 1-May-12 6-Oct-17 Proses STR
2 Dhiar Tri Rahayu 140452112-0642047 31-May-13 22-Sep-17 449.1/28/PRG/2016 15-Jun-16 22-Sep-17 Proses STR
3 Muzdholifah 140152113-0711770 4-Jun-13 7-Jan-18 Proses STR
4 Eko Kartini 140152112-0263980 16-Sep-12 24-Oct-17 Proses STR
5 Hery Tri Utami 140152112-0464497 29-Sep-12 20-May-17 Proses STR
6 Sri Suprihatin 140152113-0711806 4-Jun-13 13-Oct-18 Proses STR
7 Farida Al Isiqomah 140452112-0642020 31-May-13 30-Oct-17 Proses STR
RUANG ANYELIR
1 Syaeful Bari 140151112-0264202 16-Sep-12 14-Apr-17 449.1/99.Prwt/Kes/2016 22-Nov-16 14-Apr-17 Proses STR
2 Jenni Jaenal A Proses STR
3 Ngazah Ulinuha 140152113-0711851 4-Jun-13 29-Sep-18 449.1/147.Prwt/Kes/2016 22-Nov-16 29-Sep-18 Proses STR
RUANG BOUGENVILE
1 Marina Puji Hidayati 140152112-0264204 16-Sep-12 9-Mar-17 Proses STR
HEMODIALISA
1 Ajiz Riyadi 140151112-0264185 16-Sep-12 16-Sep-17 Proses STR
2 Ika Damayanti 140152112-0264212 16-Sep-12 31-Dec-17 Proses STR
3 Widiantoro Eko Purnomo PTKY Proses STR
4 Khafid Subhan Proses STR
RUANG KENANGA
1 Fera Anggiana Proses STR
2 Oki Widia Nurjayanti Proses STR
3 Hasan Kurniawan Proses STR
RUANG MENUR
1 Adistia Maretnadianti 140252112-0675348 4-Jun-13 16-Mar-17 Proses STR
2 Arifta Dwi Weningtyas 140252112-0475961 29-Sep-12 2-Mar-17 Proses STR
3 Septina Dinar Restika 140252112-0475120 29-Sep-12 5-Sep-17 Proses STR
4 Dini Septiani 140252112-0475941 29-Sep-12 23-Sep-17 Proses STR
5 Dyah Utariningsih 140232112-0299803 16-Sep-12 02-Agt-12 Proses STR
6 Esthi Widiyanti 140232112-0475055 29-Sep-12 1-Dec-17 Proses STR
7 Hiyan Puri Indri Martani 503/1227/2 4-Jan-11 4-Jan-16 Proses STR
8 Nurhidayati 140232112-0475943 29-Sep-12 16-Agt-17 Proses STR
9 Sri Wahyuningsih 140232112-0674826 4-Jun-13 15-Apr-17 Proses STR
10 Susi Astiningrum, A. Md Proses STR
11 Witrisnah Proses STR
12 Aprilia Lutfiani Proses STR
13 Chotijah Riani Proses STR
14 Dwi Hela Herawati Proses STR
15 Mely Ayanah Proses STR
16 Nur Mutmainah Proses STR
17 Desy Ratnasari Proses STR
18 Fera Anggiana Proses STR
19 Nur Sakti Oktaviana Proses STR
20 Wahyu Pangestika Proses STR
21 Laeli Fatkhuriati Sayekti Proses STR
Daftar Perawat Rekomendasi STR
No NAMA STR SIPP
KET NO REKOMENDASI
RUANG SOKA
1 Efitiasih 140152113-0711663 4-Jun-13 4-May-18 449.1/194.Prwt/Kes/2016 22-Nov-16 4-May-18 Rekomendasi STR 4295/DPW.PPNI/R-STR/K.S/X/2018
2 Sarnaeni 140152113-0711792 4-Jun-13 449.1/107.Prwt/Kes/2016 22-Nov-16 6-Nov-18 Rekomendasi STR 4303/DPW.PPNI/R-STR/K.S/X/2018
3 Ita Wardani 140152113-0711757 4-Jun-13 27-Feb-18 449.1/178.Prwt/Kes/2016 22-Nov-16 27-Feb-18 Rekomendasi STR 343/MTKP JATENG/S.Ket/XI/2018
INSTALASI IBS
1 Waluyo Jati 140151113-0711843 4-Jun-13 15-Feb-15 449.1/223.Prwt/Kes/2016 30-Nov-16 15-Feb-18 Rekomendasi STR 4254/DPW.PPNI/R-STR/K.S/X/2018
2 Fuad Alhadi 140151113-0711743 4-Jun-13 4-Apr-18 449.1/145.Prwt/Kes/2016 Rekomendasi STR 4272/DPW.PPNI/R-STR/K.S/X/2018
3 Endon Ismangil 140151112-0263981 16-Sep-12 2-Feb-17 449.1/074/Kes/2016 8-Jan-16 2-Feb-17 Rekomendasi STR 4257/DPW.PPNI/R-STR/K.S/X/2018
4 Dartono 140151113-0711726 4-Jun-13 2-Jul-18 Rekomendasi STR 4255/DPW.PPNI/R-STR/K.S/X/2018
5 Abdul Baasith Izzudin 140151112-0264203 16-Sep-12 21-Feb-17 449.1/141.Prwt/Kes/2016 Rekomendasi STR 4271/DPW.PPNI/R-STR/K.S/X/2018
6 Urip Tubiyanto 140151113-0711837 4-Jun-13 02-Agt-18 449.1/155.Prwt/Kes/2016 22-Nov-16 02-Agt-18 Rekomendasi STR 4288/DPW.PPNI/R-STR/K.S/X/2018
7 Heni Wijiastuti 140152113-0711750 4-Jun-13 11-May-18 449.1/135.Prwt/Kes/2016 Rekomendasi STR 4256/DPW.PPNI/R-STR/K.S/X/2018
8 Nursiti 140152113-0711775 4-Jun-13 13-Jul-18 449.1/136.Prwt/Kes/2016 Rekomendasi STR 4253/DPW.PPNI/R-STR/K.S/X/2018
9 Yoga Basuki 140151112-0464491 29-Sep-12 22-Nov-17 Rekomendasi STR 4289/DPW.PPNI/R-STR/K.S/X/2018
RUANG ICU
1 Nuryanto 140151113-0712745 4-Jun-13 3-May-18 449.1/117.Prwt/Kes/2016 22-Nov-16 3-May-18 Rekomendasi STR 4259/DPW.PPNI/R-STR/K.S/X/2018
2 Hayin Dwi Astuti 120152112-0349561 24-Sep-12 28-Oct-17 449.1/120.Prwt/Kes/2016 22-Nov-16 28-Oct-17 Rekomendasi STR 4299/DPW.PPNI/R-STR/K.S/X/2018
3 Umi Laila Hidayati 140152113-0711834 4-Jun-13 5-Mar-18 449.1/166.Prwt/Kes/2016 22-Nov-16 5-Mar-18 Rekomendasi STR 4247/DPW.PPNI/R-STR/K.S/X/2018
RUANG DAHLIA
1 Suci Rahayu A.Md 140152113-0711812 4-Jun-13 27-Aug-18 449.1/181.Prwt/Kes/2016 22-Nov-16 27-Aug-18 Rekomendasi STR 4270/DPW.PPNI/R-STR/K.S/X/2018
2 Yonatan Tri Songko Jati,AMK 140151113-0711846 4-Jun-13 24-May-18 449.1/184.Prwt/Kes/2016 22-Nov-16 24-May-18 Rekomendasi STR 4250/DPW.PPNI/R-STR/K.S/X/2018
3 Dwi Rachayuningsih,AMK 140152113-0711730 449.1/186.Prwt/Kes/2018 Rekomendasi STR 4276/DPW.PPNI/R-STR/K.S/X/2018

No NAMA STR SIPP
KET NO REKOMENDASI
1 Laely Atika Mahardani 140152117-2064596 25-Apr-17 20-Jan-22
2 Tri Raharjo 140151113-0711830 4-Jun-13 20-Dec-18 449.1/84.Prwt/Kes/2016 Rekomendasi STR 4261/DPW.PPNI/R-STR/K.S/X/2018
3 Heni Hastuti 140152113-0711749 4-Jun-13 14-Oct-18 449.1/75.Prwt/Kes/2016 22-Nov-16 14-Oct-18 Rekomendasi STR 4277/DPW.PPNI/R-STR/K.S/X/2018
4 Markingah 140152113-0711762 4-Jun-13 23-Mar-18 449.1/168.Prwt/Kes/2016 22-Nov-16 23-Mar-18 Rekomendasi STR 4260/DPW.PPNI/R-STR/K.S/X/2018
5 Umi Farichatun 140152113-0711833 4-Jun-13 4-Feb-18 449.1/76.Prwt/Kes/2016 Rekomendasi STR 4262/DPW.PPNI/R-STR/K.S/X/2018
6 Titi Indraningrum 140152113-0711855 449.1/134.Prwt/Kes/2016 Rekomendasi STR 4275/DPW.PPNI/R-STR/K.S/X/2018
7 Nur Umiyati Rakhman 140152113-0711774 449.1/82.Prwt/Kes/2016 Rekomendasi STR 4279/DPW.PPNI/R-STR/K.S/X/2018
8 Triyantining Wilujeng 140152112-0264083 16-Sep-12 6-Oct-17 449.1/83.Prwt/Kes/2016 Rekomendasi STR 4263/DPW.PPNI/R-STR/K.S/X/2018
9 Anita Mustikawati 449.1/227.Prwt/Kes/2016 Rekomendasi STR 4460/DPW.PPNI/R-STR/K.S/X/2018
RUANG WIJAYAKUSUMA
1 Sustyani Ika Pramushinta 140152113-0711820 4-Jun-13 31-May-18 449.1/146.Prwt/Kes/2016 Rekomendasi STR 4287/DPW.PPNI/R-STR/K.S/X/2018
2 Endar Fitriati 140152113-0711735 4-Jun-13 20-Agt-18 Rekomendasi STR 4285/DPW.PPNI/R-STR/K.S/X/2018
3 Hilda Irtanti 140152113-0711753 4-Jun-13 21-Jun-18 Rekomendasi STR 4286/DPW.PPNI/R-STR/K.S/X/2018
IGD
1 Agus Riyanto 140151113-0712744 4-Jun-13 11-Agt-18 Rekomendasi STR 4291/DPW.PPNI/R-STR/K.S/X/2018
2 Basir 140151113-0711862 4-Jun-13 17-Nov-18 Rekomendasi STR 4300/DPW.PPNI/R-STR/K.S/X/2018
3 Edi Susanto 140151113-0711732 4-Jun-13 8-Dec-18 449.1/127.Prwt/Kes/2016 22-Nov-16 8-Dec-18 Rekomendasi STR 4248/DPW.PPNI/R-STR/K.S/X/2018
4 Desy Octora Kristiana 140152113-0711853 4-Jun-13 27-Dec-18 449.1/125.Prwt/Kes/2016 22-Nov-16 27-Dec-18 Rekomendasi STR 4258/DPW.PPNI/R-STR/K.S/X/2018
5 Muriani Agustina 140152113-0711767 4-Jun-13 02-Agt-18 449.1/98.Prwt/Kes/2016 22-Nov-16 2-Aug-18 Rekomendasi STR 4252/DPW.PPNI/R-STR/K.S/X/2018
RAWAT JALAN
1 Dwi Dharmanto 140151113-0711729 4-Jun-13 27-Nov-18 Rekomendasi STR 4282/DPW.PPNI/R-STR/K.S/X/2018
2 Titi Haryanti 140152113-0711852 4-Jun-13 25-Feb-18 Rekomendasi STR 4274/DPW.PPNI/R-STR/K.S/X/2018
3 Ani Hadiningsih 140152113-0711720 4-Jun-13 25-May-18 Rekomendasi STR 4265/DPW.PPNI/R-STR/K.S/X/2018
4 Sri Mulyani 140152113-0711804 4-Jun-13 21-Apr-18 Rekomendasi STR 4268/DPW.PPNI/R-STR/K.S/X/2018
5 Suparmiyanti 140152112-0263993 16-Sep-12 24-Apr-17 Rekomendasi STR 4267/DPW.PPNI/R-STR/K.S/X/2018
6 Ratiwen 140152113-0711785 4-Jun-13 10-Jul-18 Rekomendasi STR 4264/DPW.PPNI/R-STR/K.S/X/2018
7 Dirbudingah 140152113-0711727 4-Jun-13 17-Jul-18 449.1/121.Prwt/Kes/2016 22-Nov-16 17-Jul-18 Rekomendasi STR 4251/DPW.PPNI/R-STR/K.S/X/2018
8 Sri Wahyuraningsih 140152113-0711807 4-Jun-13 26-Jan-18 449.1/161.Prwt/Kes/2016 Rekomendasi STR 4266/DPW.PPNI/R-STR/K.S/X/2018
9 Shinta Dewi Septiningrum 140152113-0711793 4-Jun-13 12-Sep-18 449.1/165.Prwt/Kes/2016 22-Nov-16 12-Sep-18 Rekomendasi STR 4269/DPW.PPNI/R-STR/K.S/X/2018
RUANG ANYELIR
1 Purwadi 140151113-0711783 4-Jun-13 1-May-18 Rekomendasi STR 4280/DPW.PPNI/R-STR/K.S/X/2018
No NAMA STR SIPP
KET NO REKOMENDASI
2 Hanifah Kurniasih 140152113-0711745 4-Jun-18 11-Jan-18 449.1/218.Prwt/Kes/2016 30-Nov-16 11-Jan-18 Rekomendasi STR 4292/DPW.PPNI/R-STR/K.S/X/2018
3 Pindah Kurniawati 140152113-0711778 4-Jun-13 25-Feb-18 Rekomendasi STR 4296/DPW.PPNI/R-STR/K.S/X/2018
RUANG BOUGENVILE
1 Agus Sugeng Triono 140151113-0711717 4-Jun-13 3-Apr-18 449.1/105.Prwt/Kes/2016 22-Nov-16 3-Apr-18 Rekomendasi STR 4298/DPW.PPNI/R-STR/K.S/X/2018
2 Dani Sadatun 140152113-0711725 4-Jun-13 16-Mar-18 449.1/208.Prwt/Kes/2016 28-Nov-16 16-Mar-18 Rekomendasi STR 4297/DPW.PPNI/R-STR/K.S/X/2018
3 Siti Muniroh 140152114-0749086 21-Jul-14 21-Jan-19 449.1/209.Prwt/Kes/2016 28-Nov-16 21-Jan-19 Rekomendasi STR 4302/DPW.PPNI/R-STR/K.S/X/2018
4 Siti Watiyah 140152113-0711799 4-Jun-13 22-Feb-18 449.1/200.Prwt/Kes/2016 28-Nov-16 22-Feb-18 Rekomendasi STR 4293/DPW.PPNI/R-STR/K.S/X/2018
HEMODIALISA
1 Minarti 140152113-0711764 4-Jun-13 08-Agt-18 449.1/6087/Kes/2015 12-Oct-15 08-Agt-18 Rekomendasi STR 4348/DPW.PPNI/R-STR/K.S/X/2018
RUANG KENANGA
1 Buntoro Rekomendasi STR 4278/DPW.PPNI/R-STR/K.S/X/2018
2 Sukamto 140151113-0711814 4-Jun-13 23-Dec-18 Rekomendasi STR 4273/DPW.PPNI/R-STR/K.S/X/2018
3 Dwi Astuti 140152113-0711728 4-Jun-13 16-Oct-18 Rekomendasi STR 4284/DPW.PPNI/R-STR/K.S/X/2018
4 Herlina Indriastuti 140152113-0711751 4-Jun-13 9-Jul-18 Rekomendasi STR 4294/DPW.PPNI/R-STR/K.S/X/2018
5 Maryati Rekomendasi STR 4283/DPW.PPNI/R-STR/K.S/X/2018
6 Budiono Rekomendasi STR 4301/DPW.PPNI/R-STR/K.S/X/2018
7 Wahyati 140152113-0711838 4-Jun-13 22-Jun-18 Rekomendasi STR 4281/DPW.PPNI/R-STR/K.S/X/2018
8 Wahyu Yuni Rufaidah Noor Rekomendasi STR 4290/DPW.PPNI/R-STR/K.S/X/2018
TGL TERBIT
5-Oct-18
5-Oct-18
6-Nov-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
TGL TERBIT
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
TGL TERBIT
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
5-Oct-18
Daftar Perawat Proses SIPP
RUANG TERATAI
No NAMA STR SIPP
No STR TGL ED No SIPP
1 Ani Supartiyah 140152116-1250395 28-Sep-16 2-Jan-21 449.1/151.Prwt/Kes/2017
2 Tri Setyaningsih 140252217-1386889 23-Aug-17 22-Jul-22 449.1/110.Prwt/Kes/2016
3 Dwi Lestari Fitrianingsih 140152117-1465514 08-Nov-17 8-Jul-22 449.1/110.Prwt/Kes/2016
4 Jeni Wulandari 140172117-2150434 18-Oct-17 9-Jan-22
5 Ufi Nurfitriani 140252217-1382821 23-Aug-17 18-Apr-22
6 Esti Purwanti 140152217-1465453 08-Nov-17 6-Apr-22
7 Indera Winarni 140252116-0299799 26-Jan-16 21-May-21
8 Siti Faridah 14023211-61096174 26-Jan-16 3-Mar-21
INSTALASI IBS
1 Ika Ri,ma Pratiwi 140252116-1096215 26-Jan-16 21-Feb-21 449.1/29.Bd/Kes/2017
2 Reza Anggi Sofyan 131552117-2154052 25-Oct-17 26-Agt-22
3 Pujianto 140171115-1000987 30-Jun-15 23-Jul-20
RUANG ICU
No NAMA STR SIPP
No STR TGL ED No SIPP
1 Harun Nur Faid 140161116-1278092 29-Nov-16 30-Sep-21 503/101/Kes/2015
2 Agus Suharyono 140151217-1465431 08-Nov-17 4-Aug-22 449.1/140.Prwt/Kes/2016
3 Septi Tri Purnamasari 140172217-1465531 8-Nov-17 27-Sep-22 449.1/119/Prwt/Kes/2016
4 Retno Angresti W 140152217-1465437 08-Nov-17 10-Mar-22 449.1/138.Prwt/Kes/2016
5 Endriyanti 140152217-1465512 08-Nov-17 17-Nov-22 449.1/169.Prwt/Kes/2016
6 Tri Wahyu Fajriati 140152112-0264210 8-Nov-17 18-May-22 449.1/116.Prwt/Kes/2016
7 Endah Lestari 140152217-1465528 8-Nov-17 15-Nov-22 449.1/118.Prwt./Kes/2016

2 Purwanti 140152217-1465461 8-Nov-17 16-Apr-22 449.1/151.Prwt/Kes/2016
3 Heni Tri Astuti 140152217-1465525 8-Nov-17 4-Apr-22
4 Lailatul Istichanah 140152217-1465429 8-Nov-17 5-Oct-22 449.1/77.Prwt/Kes/2016
5 Faisal 140171118-2253391 27-Feb-18 6-May-23
IGD
1 Heri Purnomo 140151218-1545577 12-Apr-18 1-Jan-23 449.1/123.Prwt/Kes/2016
2 Sulasno 140151218-1545603 12-Apr-18 16-Mar-23 449.1/126.Prwt/Kes/2016
3 Koko Seno Aji 140151218-1545588 12-Apr-18 10-Apr-23 449.1/158.Prwt/Kes/2016
4 Teguh Imam Prabowo 140151217-1465459 8-Nov-17 16-Mar-22 449.1/1037/Kes/2016
5 Fitriyani 140152217-1465436 8-Nov-17 27-Nov-22 449.1/80.Prwt/Kes/2016
6 Yayuk Listanti 140152217-1465524 8-Nov-17 19-Mar-22
RAWAT JALAN
1 Imam Supriyadi 140151115-1088882 31-Dec-15 17-Oct-20
2 Edy Purwanto, SST. 140161116-1250397 28-Sep-16 12-Feb-21
3 Sri Ayuningsih 140252116-1135497 28-Mar-16 4-Jun-21
4 Sri Suwarni 140152115-1088889 31-Dec-15 14-Apr-20
5 Ulfati Dianah 140252116-1135499 28-Mar-16 26-Nov-21
6 Reny Susanti 140152218-1545580 12-Apr-18 31-Oct-23 449.1/163.Prwt/Kes/2016
RUANG ANYELIR
1 Mufti Hanafi 140151114-0850295 28-Nov-14 12-Mar-19 449.1/176.Prwt/Kes/2016
2 Ardian Damar Prabowo 140151115-1025475 25-Aug-15 23-May-20 449.1/149.Prwt/Kes/2016
3 Priyatmoko Agus Nugroho 140151114-0850602 28-Nov-14 20-Aug-19
RUANG BOUGENVILE
1 Wahyu Prihanto 140151218-1545600 12-Apr-18 6-Sep-23 449.1/122.Prwt/Kes/2016
2 Agrista Satria.P 140151218-1545607 12-Apr-18 28-Nov-23
3 Dyah Linda Erna 140152217-1465432 08-Nov-17 20-Jul-22 449.1/201.Prwt/Kes/2016
4 Sus Ernawati 140152217-1465430 08 -Nov-17 21-Jul-22 449.1/202.Prwt/Kes/2016
HEMODIALISA
1 Abdul Jamal 140171115-0711716 9-Jul-15 14-May-20
2 Mery Sukrisno 140151218-1545596 12-Apr-18 21-Aug-23 449.1/157.Prwt/Kes/2016
3 Iin Wahyu Wulandari 140152115-0899859 6-Feb-15 14-Aug-20
RUANG KENANGA
1 Suratmo 140151217-1465438 08-Nov-17 10-May-22
2 Dyah Fatma Kusumastuti 140152217-1465434 08-Nov-17 17-Mar-22
3 Fitri Nuryanti 140152217-1465526 08-Nov-17 14-Feb-22
4 Fitriawan Haris Prasetyo 140151217-1465462 08-Nov-17 23-May-22
5 Hasan Kurniawan 140151117-2031270 1-Feb-17 26-Mar-22
RUANG MENUR
1 Anjar Dwiana Wati 140252116-1096172 26-Jan-16 10-Dec-21
2 Atut Dwi Ariningsih 140252116-1096173 26-Jan-16 7-Jan-21
3 Liyana Sabtiatika 140252116-1135498 28-Mar-16 12-Sep-21
4 Ufi Nur Fitriyani 140252217-1382821 23-Agt-17 18-Apr-22
PELAYANAN
1 Septimulatsih Dumilah 140152218-1545589 12-Apr-18 03-Nov-23
2 Sri Hartati 140172114-0736945 13-Jun-14 03-Nov19
3 Teguh Winarno 140171114-0736957 13-Jul-14 26-Jun-19
rawat Proses SIPP
Anna Lasmanah Banjarnegara
SIPP KET
TGL ED
Proses SIPP
Proses SIPP
22-Nov-16 18-Jul-17 Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
SIPP KET
TGL ED
13-Jan-15 30-Sep-18 Proses SIPP
Proses SIPP
22-Nov-16 27-Sep-17 Proses SIPP
Proses SIPP
Proses SIPP
22-Nov-16 18-May-17 Proses SIPP
15-Nov-16 15-Nov-17 Proses SIPP
Proses SIPP
22-Nov-16 16-Apr-17 Proses SIPP
Proses SIPP
22-Nov-16 5-Oct-17 Proses SIPP
Proses SIPP
22-Nov-16 1-Jan-17 Proses SIPP

22-Nov-16 16-Mar-17 Proses SIPP
7-Mar-16 16-Mar-17 Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP

Proses SIPP
28-Nov-16 20-Jun-17 Proses SIPP
Proses SIPP
22-Nov-16 21-Aug-17 Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Proses SIPP
Daftar STR/SIPP
No NAMA STR SIPP
KET
RUANG SOKA
1 Tri Puwatiningsih 140172218-2315722 30-May-18 14-Oct-23 449.1/600/DPMPTSP/2018 14-Nov-18 14-Oct-23
2 Efitiasih 140152113-0711663 4-Jun-13 4-May-18 449.1/194.Prwt/Kes/2016 22-Nov-16 4-May-18 Rekomendasi STR
3 Ika Veriawati 140152217-1465435 8-Nov-17 15-Jul-22 449.1/573/DPMPTSP/2018 7-Nov-18 15-Jul-22
4 Sarnaeni 140152113-0711792 4-Jun-13 449.1/107.Prwt/Kes/2016 22-Nov-16 6-Nov-18 Rekomendasi STR
5 Dwi Budi Riyanti 140152218-1545572 12-Apr-18 7-Jul-23 449.1/564/DPMPTSP/2018 7-Nov-18 7-Jul-23
6 Haspita Arfianti 140152218-1545574 12-Apr-18 1-Jun-23 449.1/561/DPMPTSP/2018 7-Nov-18 1-Jun-23
7 Aris Wibowo 140171115-1090340 31-Dec-15 20-Aug-20 449.1/191.Prwt/Kes/2016 22-Nov-16 26-Agus-20
8 Takhfif Zulfa M 140151115-1090180 31-Dec-15 13-Apr-20 449.1/106.Prwt/Kes/2016 22-Nov-16 13-Apr-20
9 Andika Ratnaningtyas 140152115-1025090 25-Aug-15 6-Mar-20 449.1/196.Prwt/Kes/2016 22-Nov-16 6-Mar-20
10 Yuyun Setyowati 140152217-1465521 8-Nov-17 14-Feb-22 449.1/571/DPMPTSP/2018 7-Nov-18 14-Feb-22
11 Dwiana Listiyani 140152217-1465527 8-Nov-17 5-Jan-22 449.1/598/DPMPTSP/2018 14-Nov-18 15-Jan-22
12 Ita Wardani 140152113-0711757 4-Jun-13 27-Feb-18 449.1/178.Prwt/Kes/2016 22-Nov-16 27-Feb-18 Rekomendasi STR
13 Endah Palupi 140172218-1545586 12-Apr-18 16-Dec-23 449.1/559/DPMPTSP/2018 7-Nov-18 16-Dec-23
14 Siti Khapsoh 140152218-1545595 12-Apr-18 4-Dec-23 449.1/589/DPMPTSP/2018 9-Nov-18 4-Dec-23
RUANG TERATAI
1 Sri Mulyati 140152113-0711805 4-Jun-13 21-Apr-18 449.1/226.Prwt/Kes/2016
2 Ani Supartiyah 140152116-1250395 28-Sep-16 2-Jan-21 449.1/151.Prwt/Kes/2017 Proses SIPP
3 Tri Setyaningsih 140252217-1386889 23-Aug-17 22-Jul-22 449.1/110.Prwt/Kes/2016 Proses SIPP
4 Dwi Lestari Fitrianingsih 140152117-1465514 08-Nov-17 8-Jul-22 449.1/110.Prwt/Kes/2016 22-Nov-16 18-Jul-17 Proses SIPP
5 Jeni Wulandari 140172117-2150434 18-Oct-17 9-Jan-22 Proses SIPP
6 Ufi Nurfitriani 140252217-1382821 23-Aug-17 18-Apr-22 Proses SIPP
No NAMA STR SIPP
KET
7 Amelia Purwaningrum 140252217-1386917 29-Sep-12 1-Mar-17 449.1/28.Bd/Kes/2017
8 Sri Muji Lestari 140152113-0711803 4-Jun-13 30-Agt-18 449.1/131.Prwt/Kes/2016 22-Nov-16 30-Aug-18
9 Esti Purwanti 140152217-1465453 08-Nov-17 6-Apr-22 Proses SIPP
10 Novian Santi Y 140172115-1048123 13-Oct-15 24-Nov-20 449.1/130.Prwt/Kes/2016 22-Nov-16 24-Nov-20
11 Indera Winarni 140252116-0299799 26-Jan-16 21-May-21 Proses SIPP
12 Anggun Handayani 140252217-0386919 19-Sep-17 4-Mar-17
13 Nur Halimatussadiyah 14025211-20670690
14 Siti Faridah 14023211-61096174 26-Jan-16 3-Mar-21 Proses SIPP
15 Resti Putranti 140252112-0475119 29-Sep-12 03-Nov-17
INSTALASI IBS
1 Khamidin 140151113-0711856 4-Jun-13 30-May-18
2 Waluyo Jati 140151113-0711843 4-Jun-13 15-Feb-15 449.1/223.Prwt/Kes/2016 30-Nov-16 15-Feb-18 Rekomendasi STR
3 Ratri Puji Rahayu 140152112-0264198 449.1/154.Prwt/Kes/2016
4 Subur Yuswanto 141551111-0012344 28-Dec-11 16-Oct-16 449.1/04/PA/2016
5 Fuad Alhadi 140151113-0711743 4-Jun-13 4-Apr-18 449.1/145.Prwt/Kes/2016 Rekomendasi STR
6 Endon Ismangil 140151112-0263981 16-Sep-12 2-Feb-17 449.1/074/Kes/2016 8-Jan-16 2-Feb-17 Rekomendasi STR
7 Dartono 140151113-0711726 4-Jun-13 2-Jul-18 Rekomendasi STR
8 Andri Sapto Yuwono 449.1/133.Prwt/Kes/2016
9 Agus Tugiyo 141551116-1095216 21-Jan-16 10-Aug-21 449.1/2648/Kes/2016 17-May-16 10-Aug-21
10 Abdul Baasith Izzudin 140151112-0264203 16-Sep-12 21-Feb-17 449.1/141.Prwt/Kes/2016 Rekomendasi STR
11 Ika Ri,ma Pratiwi 140252116-1096215 26-Jan-16 21-Feb-21 449.1/29.Bd/Kes/2017 Proses SIPP
12 Urip Tubiyanto 140151113-0711837 4-Jun-13 02-Agt-18 449.1/155.Prwt/Kes/2016 22-Nov-16 02-Agt-18 Rekomendasi STR
13 Bambang Sjambodo 141551216-1266672 28-Dec-11 6-Jan-16 449.1/01.PA/Kes/2017
14 Pujo 141551216-1266676 449.1/03/PA/2017
15 Reza Anggi Sofyan 131552117-2154052 25-Oct-17 26-Agt-22 Proses SIPP
16 Heni Wijiastuti 140152113-0711750 4-Jun-13 11-May-18 449.1/135.Prwt/Kes/2016 Rekomendasi STR
17 Nursiti 140152113-0711775 4-Jun-13 13-Jul-18 449.1/136.Prwt/Kes/2016 Rekomendasi STR
18 Hari Sasongko 140151112-0263985 16-Sep-12 23-Jan-17 449.1/128.Prwt/Kes/2016 22-Nov- 2016 23-Jan-17
19 Imam Yulianto 141561111-0012345 28-Dec-11 5-Jul-16
20 Pujianto 140171115-1000987 30-Jun-15 23-Jul-20 Proses SIPP
No NAMA STR SIPP
KET
21 Yoga Basuki 140151112-0464491 29-Sep-12 22-Nov-17 Rekomendasi STR
RUANG ICU
1 Harun Nur Faid 140161116-1278092 29-Nov-16 30-Sep-21 503/101/Kes/2015 13-Jan-15 30-Sep-18 Proses SIPP
2 Agus Suharyono 140151217-1465431 08-Nov-17 4-Aug-22 449.1/140.Prwt/Kes/2016 Proses SIPP
3 Eka Ifa Faoziati 140152113-0711733 4-Jun-13 19-Oct-18 449.1/624/Kes/2016
4 Taat Agung Widodo 140151218-1545575 449.1/97.Prwt/Kes/2016
5 Nuryanto 140151113-0712745 4-Jun-13 3-May-18 449.1/117.Prwt/Kes/2016 22-Nov-16 3-May-18 Rekomendasi STR
6 Risyawanti 140172115-1062163 16-Nov-15 27-Jan-20 449./144.Prwt/Kes/2016 22-Nov-16 27-Jan-20
7 Septi Tri Purnamasari 140172217-1465531 8-Nov-17 27-Sep-22 449.1/119/Prwt/Kes/2016 22-Nov-16 27-Sep-17 Proses SIPP
8 Hayin Dwi Astuti 120152112-0349561 24-Sep-12 28-Oct-17 449.1/120.Prwt/Kes/2016 22-Nov-16 28-Oct-17 Rekomendasi STR
9 Retno Angresti W 140152217-1465437 08-Nov-17 10-Mar-22 449.1/138.Prwt/Kes/2016 Proses SIPP
10 Endriyanti 140152217-1465512 08-Nov-17 17-Nov-22 449.1/169.Prwt/Kes/2016 Proses SIPP
11 Tatang Kurniawan Setia A. 140151112-0464498 29-Sep-12 03-Nov-17 449.1/139.Prwt/Kes/2016
12 Tri Wahyu Fajriati 140152112-0264210 8-Nov-17 18-May-22 449.1/116.Prwt/Kes/2016 22-Nov-16 18-May-17 Proses SIPP
13 Umi Laila Hidayati 140152113-0711834 4-Jun-13 5-Mar-18 449.1/166.Prwt/Kes/2016 22-Nov-16 5-Mar-18 Rekomendasi STR
14 Endah Lestari 140152217-1465528 8-Nov-17 15-Nov-22 449.1/118.Prwt./Kes/2016 15-Nov-16 15-Nov-17 Proses SIPP
15 Fuad Nur I 140151113-0711744 4-Jun-13 14-Mar-18
RUANG DAHLIA
1 Samirin S.Kep,Ns 140151218-1545598 12-Apr-18 17-Jul-23 449.1/536/DPMPTSP/2018 18-Oct-18 17-Jul-23
2 Ami Nur Zaqiah Nuzulaeli,AMK 140152218-1545606 12-Apr-18 31-Jan-23 449.1/551/DPMPTSP/2018 05-Nov-18 31-Jan-23
3 Asmi Faizah,AMK 140152217-1465455 8-Nov-17 14-Jun-22 449.1/527/DPMPTSP/2018 12-Oct-18 14-Jun-22
4 Anjar Tabah Riyadi S.Kep. Ns 150171115-0906144 12-Feb-15 27-Apr-20 499.1/212.Prwt/Kes/2016 30-Nov-16 27-Apr-20
5 Suci Rahayu A.Md 140152113-0711812 4-Jun-13 27-Aug-18 449.1/181.Prwt/Kes/2016 22-Nov-16 27-Aug-18 Rekomendasi STR
6 Yonatan Tri Songko Jati,AMK 140151113-0711846 4-Jun-13 24-May-18 449.1/184.Prwt/Kes/2016 22-Nov-16 24-May-18 Rekomendasi STR
No NAMA STR SIPP
KET
7 Siti Nur Aini,AMK 140152217-1465428 8-Nov-17 28-May-22 449.1/548/DPMPTSP/2018 31-Oct-18 28-May-22
8 Rita Sudaryo,AMK 140152217-1465439 8-Nov-17 4-Jul-22 449.1/538/DPMPTSP/2018 19-Oct-18 4-Jul-22
9 Eni Mulyanti,AMK 140152114-0851452 28-Nov-14 14-Jan-19 449.1/531/DPMPTSP/2018 15-Oct-18 14-Jan-19
10 Faozan Dwi Agustomo A.Md 140151114-0792147 29-Aug-14 12-Aug-19 449.1/198.Prwt/Kes/2016 22-Nov-16 12-Agt-19
11 Ragil Apri Wibowo A.Md 140151217-1465522 8-Nov-17 8-Apr-22 449.1/539/DPMPTSP/2018 25-Oct-18 8-Apr-22
12 Jumanto,AMK 140151217-1465433 8-Nov-17 28-Nov-22 449.1/545/DPMPTSP/2018 25-Oct-18 28-Nov-22
13 Aman Solihin,AMK 140151218-1545601 12-Apr-18 27-Jan-23 449.1/533/DPMPTSP/2018 15-Oct-18 27-Jan-23
14 Leny Praptiwi, S Kep.Ns 140172115-1001448 30-Jun-15 16-Mar-20 449.1/215.Prwt/Kes/2016 30-Nov-16 16-Mar-20
15 Jeni Zaenal,AMK 140151115-1089281 31-Dec-15 30-May-20 449.1/104.Prwt/Kes/2016 22-Nov-16 30-May-20
16 Dwi Rachayuningsih,AMK 140152113-0711730 Rekomendasi STR

1 Laely Atika Mahardani 140152117-2064596 25-Apr-17 20-Jan-22 Proses SIPP
2 Tri Raharjo 140151113-0711830 4-Jun-13 20-Dec-18 449.1/84.Prwt/Kes/2016 Rekomendasi STR
3 Heni Hastuti 140152113-0711749 4-Jun-13 14-Oct-18 449.1/75.Prwt/Kes/2016 22-Nov-16 14-Oct-18 Rekomendasi STR
4 Sri Hastuti 140152115-1088900 31-Dec-15 2-Aug-20 449.1/78.Prwt/Kes/2016 22-Nov-16 2-Aug-20
5 Wahyuningsih 140172115-0975171 19-May-15 03-Nov-20 768/SIP-P/BMS/B/X/2016 7-Oct-16 03-Nov-20
6 Purwanti 140152217-1465461 8-Nov-17 16-Apr-22 449.1/151.Prwt/Kes/2016 22-Nov-16 16-Apr-17 Proses SIPP
7 Purwanto 140151114-0851451 28-Nov-14 12-Apr-19 449.1/124.Prwt/Kes/2016 22-Nov-16 12-Apr-19
8 Markingah 140152113-0711762 4-Jun-13 23-Mar-18 449.1/168.Prwt/Kes/2016 22-Nov-16 23-Mar-18 Rekomendasi STR
9 Umi Farichatun 140152113-0711833 4-Jun-13 4-Feb-18 449.1/76.Prwt/Kes/2016 Rekomendasi STR
10 Tulus Sedyowati 140252112-0475114 29-Mar-17 24-Mar-17
11 Titi Indraningrum 140152113-0711855 449.1/134.Prwt/Kes/2016 Rekomendasi STR
12 Heni Tri Astuti 140152217-1465525 8-Nov-17 4-Apr-22 Proses SIPP
13 Nur Umiyati Rakhman 140152113-0711774 449.1/82.Prwt/Kes/2016 Rekomendasi STR
14 Amin Ganti Sudarman 140232112-0475964 29-Sep-12 17-Agt-17
15 Muhammad Galih Ihsan 140151115-1089803 31-Dec-15 26-Apr-20 449.1/172.Prwt/Kes/2016 22-Nov-16 26-Apr-20
16 Lailatul Istichanah 140152217-1465429 8-Nov-17 5-Oct-22 449.1/77.Prwt/Kes/2016 22-Nov-16 5-Oct-17 Proses SIPP
17 Triyantining Wilujeng 140152112-0264083 16-Sep-12 6-Oct-17 449.1/83.Prwt/Kes/2016 Rekomendasi STR
18 Faisal 140171118-2253391 27-Feb-18 6-May-23 Proses SIPP
19 Anita Mustikawati 449.1/227.Prwt/Kes/2016 Rekomendasi STR
No NAMA STR SIPP
KET
20 Nur halimatus Sadiyah
RUANG WIJAYAKUSUMA
1 Sustyani Ika Pramushinta 140152113-0711820 4-Jun-13 31-May-18 449.1/146.Prwt/Kes/2016 Rekomendasi STR
2 Catur Pambudi 140171117-2150413 18-Oct-17 26-Dec-22 449.1/584/DPMPTSP/2018 09-Nov-18 26-Dec-22
3 Tri Anugrah Gansar Anggraeni 140152114-0791885 29-Aug-14 12-May-19 449.1/96.Prwt/Kes/2016 22-Nov-16 12-May-19
4 Luky Handayani 140172218-2311010 23-May-18 2-Jun-23 449.1/575/DPMPTSP/2018 07-Nov-18 2-Jun-23
5 Rian Septiantoro 140151115-1001232 30-Jun-15 15-Sep-20 449.1/180.Prwt/Kes/2016 22-Nov-16 15-Sep-20
6 Liana Anggun Syahputri 140152115-1090414 31-Dec-15 23-Mar-20 449.1/73.Prwt/Kes/2016 18-Nov-16 23-Mar-20
7 Juniva Anton Wibowo 140171217-1465532 08-Nov-17 23-Jun-22 449.1/585/DPMPTSP/2018 09-Nov-18 23-Jun-22
8 Isna Listianingrum 140172117-2032050 2-Feb-17 25-May-22 449.1/582/DPMPTSP/2018 08-Nov-18 25-May-22
9 Hijrah Kusumawati 140172218-1545573 12-Apr-18 6-Sep-23 449.1/560/DPMPTSP/2018 07-Nov-18 6-Sep-23
10 Endar Fitriati 140152113-0711735 4-Jun-13 20-Agt-18 Rekomendasi STR
11 Budiarti 140152218-1545583 12-Apr-18 10-Nov-23 449.1/567/DPMPTSP/2018 07-Nov-18 10-Nov-23
12 Beni Lastaro 140151115-1089568 31-Dec-15 17-Oct-20 449.1/174.Prwt/Kes/2016 22-Nov-16 17-Oct-20
13 Ardy Gunarto 140171115-1049269 13-Oct-15 9-May-20 449.1/175.Prwt/Kes/2016 22-Nov-16 9-May-20
14 Heni Purwaningsih 140152217-1465460 08-Nov-17 10-Mar-22 449.1/557/DPMPTSP/2018 7-Nov-18 10-Mar-23
15 Aan Saryati 140152218-1545587 12-Apr-18 19-Oct-23 449.1/566/DPMPTSP/2018 07-Nov-18 19-Oct-23
16 Hilda Irtanti 140152113-0711753 4-Jun-13 21-Jun-18 Rekomendasi STR
17 Sri Wahyuni Kartikasari 140152218-1545582 12-Apr-18 19-Jan-23 449.1/565/DPMPTSP/2018 07-Nov-18 19-Jan-23
IGD
1 Agus Riyanto 140151113-0712744 4-Jun-13 11-Agt-18 Rekomendasi STR
2 Basir 140151113-0711862 4-Jun-13 17-Nov-18 Rekomendasi STR
3 Edi Susanto 140151113-0711732 4-Jun-13 8-Dec-18 449.1/127.Prwt/Kes/2016 22-Nov-16 8-Dec-18 Rekomendasi STR
4 Edy Setiyanto 140171117-2091902 7-Jul-17 27-May-22 449.1/550/DPMPTSP/2018 05-Nov-18 27-May-22
5 Heri Purnomo 140151218-1545577 12-Apr-18 1-Jan-23 449.1/123.Prwt/Kes/2016 22-Nov-16 1-Jan-17 Proses SIPP
6 Januar Satya Kurniawan 140151217-1465454 8-Nov-17 7-Jan-22 449.1/534/DPMPTSP/2018 18-Oct-18 7-Jan-22
7 Sulasno 140151218-1545603 12-Apr-18 16-Mar-23 449.1/126.Prwt/Kes/2016 22-Nov-16 16-Mar-17 Proses SIPP
8 Denny Ambriasih 140172117-2084645 15-Jun-17 20-May-22 449.1/169.Prwt/Kes/2017 10-Nov-17 20-May-22
9 Desy Octora Kristiana 140152113-0711853 4-Jun-13 27-Dec-18 449.1/125.Prwt/Kes/2016 22-Nov-16 27-Dec-18 Rekomendasi STR
No NAMA STR SIPP
KET
10 Muriani Agustina 140152113-0711767 4-Jun-13 02-Agt-18 449.1/98.Prwt/Kes/2016 22-Nov-16 2-Aug-18 Rekomendasi STR
11 Fajar Prasetyo 140151117-2091867 7-Jul-17 9-Mar-22 449.178.Prwt/Kes/2017 20-Nov-17 9-Mar-22
12 Koko Seno Aji 140151218-1545588 12-Apr-18 10-Apr-23 449.1/158.Prwt/Kes/2016 22-Nov-16 10-Apr-17
13 Teguh Imam Prabowo 140151217-1465459 8-Nov-17 16-Mar-22 449.1/1037/Kes/2016 7-Mar-16 16-Mar-17 Proses SIPP
14 Trio Wahyu Adi P 140151114-0847518 17-Nov-14 23-Apr-19 449.1/102.Prwt/Kes/2016 22-Nov-16 23-Apr-19
15 Fitriyani 140152217-1465436 8-Nov-17 27-Nov-22 449.1/80.Prwt/Kes/2016 22-Nov-16 27-Nov-17 Proses SIPP
16 Yayuk Listanti 140152217-1465524 8-Nov-17 19-Mar-22 Proses SIPP
17 Rizki Fawuzi Rahman 140151115-1089295 31-Dec-15 5-Dec-20 449.1/94.Prwt/Kes/2016 22-Nov-16 5-Dec-20
RAWAT JALAN
1 Dwi Dharmanto 140151113-0711729 4-Jun-13 27-Nov-18 Rekomendasi STR
2 Imam Supriyadi 140151115-1088882 31-Dec-15 17-Oct-20 Proses SIPP
3 Titi Haryanti 140152113-0711852 4-Jun-13 25-Feb-18 Rekomendasi STR
4 Edy Purwanto, SST. 140161116-1250397 28-Sep-16 12-Feb-21 Proses SIPP
5 Ani Hadiningsih 140152113-0711720 4-Jun-13 25-May-18 Rekomendasi STR
6 Karlyta Ayu Pusparani 140552112-0149970 1-May-12 6-Oct-17
7 Dhiar Tri Rahayu 140452112-0642047 31-May-13 22-Sep-17 449.1/28/PRG/2016 15-Jun-16 22-Sep-17
8 Muzdholifah 140152113-0711770 4-Jun-13 7-Jan-18
9 Sri Ayuningsih 140252116-1135497 28-Mar-16 4-Jun-21 Proses SIPP
10 Sri Mulyani 140152113-0711804 4-Jun-13 21-Apr-18 Rekomendasi STR
11 Sri Suwarni 140152115-1088889 31-Dec-15 14-Apr-20 Proses SIPP
12 Suparmiyanti 140152112-0263993 16-Sep-12 24-Apr-17 Rekomendasi STR
13 Ratiwen 140152113-0711785 4-Jun-13 10-Jul-18 Rekomendasi STR
14 Ulfati Dianah 140252116-1135499 28-Mar-16 26-Nov-21 Proses SIPP
15 Dirbudingah 140152113-0711727 4-Jun-13 17-Jul-18 449.1/121.Prwt/Kes/2016 22-Nov-16 17-Jul-18 Rekomendasi STR
16 Eko Kartini 140152112-0263980 16-Sep-12 24-Oct-17
17 Hery Tri Utami 140152112-0464497 29-Sep-12 20-May-17
18 Reny Susanti 140152218-1545580 12-Apr-18 31-Oct-23 449.1/163.Prwt/Kes/2016 Proses SIPP
19 Sri Wahyuraningsih 140152113-0711807 4-Jun-13 26-Jan-18 449.1/161.Prwt/Kes/2016 Rekomendasi STR
20 Sri Suprihatin 140152113-0711806 4-Jun-13 13-Oct-18
No NAMA STR SIPP
KET
21 Farida Al Isiqomah 140452112-0642020 31-May-13 30-Oct-17
22 Shinta Dewi Septiningrum 140152113-0711793 4-Jun-13 12-Sep-18 449.1/165.Prwt/Kes/2016 22-Nov-16 12-Sep-18 Rekomendasi STR
RUANG ANYELIR
1 Purwadi 140151113-0711783 4-Jun-13 1-May-18 Rekomendasi STR
2 Syaeful Bari 140151112-0264202 16-Sep-12 14-Apr-17 449.1/99.Prwt/Kes/2016 22-Nov-16 14-Apr-17
3 Hanifah Kurniasih 140152113-0711745 4-Jun-18 11-Jan-18 449.1/218.Prwt/Kes/2016 30-Nov-16 11-Jan-18 Rekomendasi STR
4 Pindah Kurniawati 140152113-0711778 4-Jun-13 25-Feb-18 Rekomendasi STR
5 Asep Suwanto 140151115-1088896 31-Dec-15 23-Feb-20 449.1/101.Prwt/Kes/2016 22-Nov-16 23-Feb-20
6 Jenni Jaenal A
7 Mufti Hanafi 140151114-0850295 28-Nov-14 12-Mar-19 449.1/176.Prwt/Kes/2016 Proses SIPP
8 Ardian Damar Prabowo 140151115-1025475 25-Aug-15 23-May-20 449.1/149.Prwt/Kes/2016 Proses SIPP
9 Priyatmoko Agus Nugroho 140151114-0850602 28-Nov-14 20-Aug-19 Proses SIPP
10 Ngazah Ulinuha 140152113-0711851 4-Jun-13 29-Sep-18 449.1/147.Prwt/Kes/2016 22-Nov-16 29-Sep-18
11 Walidah Nurul Hikmah 140172115-1048224 13-Oct-15 13-May-20 449.1/100.Prwt/Kes/2016 22-Nov-16 13-May-20
RUANG BOUGENVILE
1 Wahyu Prihanto 140151218-1545600 12-Apr-18 6-Sep-23 449.1/122.Prwt/Kes/2016 22-Nov-16 6-Sep-17 Proses SIPP
2 Agus Sugeng Triono 140151113-0711717 4-Jun-13 3-Apr-18 449.1/105.Prwt/Kes/2016 22-Nov-16 3-Apr-18 Rekomendasi STR
3 Yusuf Adi 140151116-1250819 28-Sep-16 3-Jan-21 449.1/150.Prwt/Kes/2017 26-Oct-17 3-Jan-21
4 Marina Puji Hidayati 140152112-0264204 16-Sep-12 9-Mar-17
5 Wahyu Indarti 140152116-1250396 28-Sep-16 14-Apr-21 449.1/148.Prwt/Kes/2017 26-Oct-17 14-Apr-21
6 Wahyu Nugroho 140151116-1250394 28-Sep-16 4-May-21 449.1/147.Prwt/Kes/2017 26-Oct-17 4-Mar-21
7 Imam Aji Nurodin 140151115-1025111 25-Aug-15 21-Nov-20 449.1/207.Prwt/Kes/2016 28-Nov-16 21-Nov-20
8 Zakaria 140151116-1250390 28-Sep-16 4-Jun-21 449.1/149.Prwt/Kes/2017 26-Oct-17 4-Jun-21
9 Arun Prasetyo 140151116-1139796 31-Mar-16 21-Mar-21 449.1/205.Prwt/Kes/2016 28-Nov-16 21-Mar-21
10 Agrista Satria.P 140151218-1545607 12-Apr-18 28-Nov-23 Proses SIPP
11 Dani Sadatun 140152113-0711725 4-Jun-13 16-Mar-18 449.1/208.Prwt/Kes/2016 28-Nov-16 16-Mar-18 Rekomendasi STR
12 Dyah Linda Erna 140152217-1465432 08-Nov-17 20-Jul-22 449.1/201.Prwt/Kes/2016 28-Nov-16 20-Jun-17 Proses SIPP
13 Siti Muniroh 140152114-0749086 21-Jul-14 21-Jan-19 449.1/209.Prwt/Kes/2016 28-Nov-16 21-Jan-19 Rekomendasi STR
14 Siti Watiyah 140152113-0711799 4-Jun-13 22-Feb-18 449.1/200.Prwt/Kes/2016 28-Nov-16 22-Feb-18 Rekomendasi STR
No NAMA STR SIPP
KET
15 Sus Ernawati 140152217-1465430 08 -Nov-17 21-Jul-22 449.1/202.Prwt/Kes/2016 28-Nov-16 21-Jul-17 Proses SIPP
16 Setiana Ika Kurniasih 140152115-1089515 31-Dec-15 1-Sep-20 449.1/204.Prwt/Kes/2016 28-Nov-16 1-Sep-20
HEMODIALISA
1 Ajiz Riyadi 140151112-0264185 16-Sep-12 16-Sep-17
2 Abdul Jamal 140171115-0711716 9-Jul-15 14-May-20 Proses SIPP
3 Ika Damayanti 140152112-0264212 16-Sep-12 31-Dec-17
4 Minarti 140152113-0711764 4-Jun-13 08-Agt-18 449.1/6087/Kes/2015 12-Oct-15 08-Agt-18 Rekomendasi STR
5 Mery Sukrisno 140151218-1545596 12-Apr-18 21-Aug-23 449.1/157.Prwt/Kes/2016 22-Nov-16 21-Aug-17 Proses SIPP
6 Widiantoro Eko Purnomo PTKY
7 Khafid Subhan
8 Iin Wahyu Wulandari 140152115-0899859 6-Feb-15 14-Aug-20 Proses SIPP
RUANG KENANGA
1 Buntoro Rekomendasi STR
2 Sukamto 140151113-0711814 4-Jun-13 23-Dec-18 Rekomendasi STR
3 Suratmo 140151217-1465438 08-Nov-17 10-May-22 Proses SIPP
4 Dwi Astuti 140152113-0711728 4-Jun-13 16-Oct-18 Rekomendasi STR
5 Herlina Indriastuti 140152113-0711751 4-Jun-13 9-Jul-18 Rekomendasi STR
6 Maryati Rekomendasi STR
7 Budiono Rekomendasi STR
8 Dyah Fatma Kusumastuti 140152217-1465434 08-Nov-17 17-Mar-22 Proses SIPP
9 Fitri Nuryanti 140152217-1465526 08-Nov-17 14-Feb-22 Proses SIPP
10 Fitriawan Haris Prasetyo 140151217-1465462 08-Nov-17 23-May-22 Proses SIPP
11 Oki Widia Nurjayanti
12 Wahyati 140152113-0711838 4-Jun-13 22-Jun-18 Rekomendasi STR
13 Wahyu Yuni Rufaidah Noor Rekomendasi STR
14 Hasan Kurniawan 140151117-2031270 1-Feb-17 26-Mar-22 Proses SIPP
15 Rokhiyah 140172218-2310972 23-May-18 7-Sep-23 449.1/532/DPMPTSP/2018 15-Oct-18 7-Sep-23
16 Irfandi 140151115-0912549 18-Feb-15 7-Jun-20 449.1/167.Prwt/Kes/2016 22-Nov-16 7-Jun-20
No NAMA STR SIPP
KET
RUANG MENUR
1 Adistia Maretnadianti 140252112-0675348 4-Jun-13 16-Mar-17
2 Anjar Dwiana Wati 140252116-1096172 26-Jan-16 10-Dec-21 Proses SIPP
3 Arifta Dwi Weningtyas 140252112-0475961 29-Sep-12 2-Mar-17
4 Atut Dwi Ariningsih 140252116-1096173 26-Jan-16 7-Jan-21 Proses SIPP
5 Septina Dinar Restika 140252112-0475120 29-Sep-12 5-Sep-17
6 Dini Septiani 140252112-0475941 29-Sep-12 23-Sep-17
7 Dyah Utariningsih 140232112-0299803 16-Sep-12 02-Agt-12
8 Esthi Widiyanti 140232112-0475055 29-Sep-12 1-Dec-17
9 Hiyan Puri Indri Martani 503/1227/2 4-Jan-11 4-Jan-16
10 Liyana Sabtiatika 140252116-1135498 28-Mar-16 12-Sep-21 Proses SIPP
11 Nurhidayati 140232112-0475943 29-Sep-12 16-Agt-17
12 Sri Wahyuningsih 140232112-0674826 4-Jun-13 15-Apr-17
13 Susi Astiningrum, A. Md
14 Witrisnah
15 Aprilia Lutfiani
16 Chotijah Riani
17 Dwi Hela Herawati
18 Mely Ayanah
19 Nur Mutmainah
20 Desy Ratnasari
21 Fera Anggiana
22 Nur Sakti Oktaviana
23 Wahyu Pangestika
24 Ufi Nur Fitriyani 140252217-1382821 23-Agt-17 18-Apr-22 Proses SIPP
25 Laeli Fatkhuriati Sayekti
PELAYANAN
1 Nanang Wardana 140171217-1465464 08-Nov-17 7-Jul-22 449.1/99/DPMPTSP/2018 17-May-18 7-Jul-22
2 Septimulatsih Dumilah 140152218-1545589 12-Apr-18 03-Nov-23 Proses SIPP
3 Teguh Winarno 140171114-0736957 13-Jul-14 26-Jun-19 Proses SIPP
No NAMA STR SIPP
KET
4 Sri Hartati 140172114-0736945 13-Jun-14 03-Nov19 Proses SIPP
Daftar SIP/STR/SIK PENUNJANG
No NAMA STR SIP
No STR TGL ED No SIP TGL ED
INSTALASI RADIOLOGI
1 Dwi Sulistiyani 140762217-1402748 12-Sep-17 17-May-22
2 Isnaini Sholihati 140752115-0974519 19-May-15 12-Dec-22
3 Justina Tri Rismawati 140762217-1402745 12-Sep-17 9-Jun-22 449.1/11.Rad/Kes/2017 28-Nov-17 28-May-18
4 Kamrus 140761217-1402743 12-Sep-17 21-Jun-22 449.1/08.Rad/Kes/2017 28-Nov-17 28-May-18
5 Ni'mah Permana W 140752217-1402744 12-Sep-17 19-Nov-22
6 Noalentino Timoray 140751115-0974515 19-May-15 11-Jan-20 449.1/03/Rad/2016 7-Sep-16 11-Jan-20
7 Puspo Ikhwandoko 140761217-1402749 12-Sep-17 19-Apr-22
8 Setya Okta Priyanti 140752115-0974520 19-May-15 2-Oct-20
9 Siti Farikhah 140752217-1402750 12-Sep-17 12-Nov-22 449.1/09.Rad/Kes/2017 28-Nov-17 28-May-18
10 Sugeng Priyono 140751217-1402746 12-Sep-17 15-Nov-22
11 Wahyu Anggoro Yoga 140751217-1402747 12-Sep-17 21-Dec-22
INSTALASI REKAM MEDIS

No NAMA STR SIP
1 Emilda Sunaryanti 141052217-1402597 12-Sep-17 13-Jul-22
2 Agus Subechi 141051112-0017416 01 Mei 2012 13 Agust 17
3 Dewi Ima Widyarini A 151052117-2100160 21-Jul-17 25 mei 22
4 Roro Ayu Sekar Mayang 151052115-0907198 12-Feb-15 8-Jan-20
5 Januar Ilham 151051116-1102746 12-Feb-16 28-Jan-21
6 Indiah Widiastuti
7 Parjiyem
8 Reni Tukijo
9 Arum Yunita Sari Pratono
10 Citra Fatkhia Laeli
11 Rohayati
INSTALASI LABORAT
No NAMA STR SIP
No NAMA STR SIP
1 Aris Supriyanto 141451115-0888430 27-Jan-15 27-Apr-20 449.1/04.AK/Kes/2016 28-Nov-16 27-Apr-20
2 Birru Kurnia 141452115-0888433 27-Jan-15 27-Dec-20 449.1/07.AK/Kes/2016 28-Nov-16 27-Dec-20
3 Rasmirah 141452115-0888450 27-Jan-15 12-Feb-20 449.1/06.AK/Kes/2016 28-Nov-16 12-Feb-20
4 Sarwono 141451115-0888454 27-Jan-15 11-May-20 449.1/05.AK/Kes/2016 28-Nov-16 11-May-20
5 Siti Rahayu 141452115-0888456 27-Jan-15 27-Mar-20 449.1/05.AK/Kes/2017 19-Jan-17 27-Mar-20
6 Titik Yulianti 141452115-0888460 27-Jan-15 4-Jul-20 449.1/03.AK/Kes/2017 19-Jan-17 4-Jul-20
7 Vian Hidayah 141452115-0888464 27-Jan-15 6-Dec-20 449.1/01.AK/Kes/2017 19-Jan-17 6-Dec-20
8 Wiwin Yulianto 141451115-0888466 27-Jan-15 11-Jul-20 449.1/02.AK/Kes/2017 19-Jan-17 11-Jul-20
2 Azizah Nur Khasanah 141452115-0917766 24-Feb-15 12-Sep-20 449.1/11.AK/Kes/2016 28-Nov-16 12-Sep-20

3 Bernadus Tanri Berta Wijaya 141461117-1291116 23-Jan-17 23-Feb-22 503/6/DPMPTSP/2018 31-Aug-18 23-Feb-22
5 Dimas Nanda Fachrizal 141451115-0917633 24-Jan-15 29-Feb-20 449.1/12.AK/Kes/2016 28-Nov-16 19-Oct-20
6 Eman Arnedi Yoga Negara 151451114-0854087 1-Dec-14 1-Apr-19 449.1/8/DPMPTSP/2018 28-Sep-18 1-Apr-19
7 Novi Susianti 141452217-1471814 10-Nov-17 15-Jan-22 449.1/06.AK/Kes/2017 19-Jan-17 19-Jan-18
10 Shinta Puspanie Prayestika 141452115-0917618 24-Feb-15 1-May-20 449.1/10.AK/Kes/2016 28-Nov-16 1-May-20
13 Ummi Salamah Nasution 141452117-1290666 23-Jan-17 23-Aug-22 503/4/DPMPTSP/2018 31-Aug-18 23-Aug-22
14 Umu Maksumah 141452115-0888462 27-Jan-15 13-May-20 449.1/04.AK/Kes/2017 19-Jan-17 13-May-20
INSTALASI FARMASI
No NAMA STR SIP
1 Ari Nuryani 1974011/STRTTK_33/2014/26700 3-Dec-14 12-Jan-19
2 Emy Rofiati 19730807/STRTTK-33/2009/26748 12-Apr-16 7-Aug-21
3 Erni Widyaningrum 19710927/STRTTK_33/2014/26709 3-Dec-14 27-Sep-19
4 Herianawati 19711025/STRTTK_33/2009/26711 12-Apr-16 25-Oct-21
5 Martina Amalia 19790324/STRTTK_22/200026750 12-Apr-16 24-Mar-21
6 Ratna Dewi Handayani 198312013/STRTTK_33/2005/26752 12-Apr-16 3-Dec-21
7 Setiyo Hardiyanto 19701023/STRTTK_33/1992/16730 12-Apr-16 23-Oct-21
8 Susana Eva Wati 19820428/STRTTK_33/2003/26757 14-Apr-16 28-Apr-21
9 Suwandi 19690825/STRTTK_33/1992/16736 12-Apr-16 25-Aug-21
1 Ageng Pamuji 19930519/STRTTK_33/2015/222436 27-Jan-16 19-May-21

2 Anik Tri Wahyuni 19861010/STRTTK-33/2009/210560 26-Jun-13 10-Oct-18
3 Furqon Akromulloh 19931108/STRTTK_33/2015/12246 27-Jan-16 8-Nov-21
4 Nurul Quruotun Ngaeni 19921116/STRTTK_33/2014/217222 3-Dec-14 16-Nov-19
No NAMA STR SIP
5 Rizki Anjar Setianingsih 19880803/STRTTK_33/2014/26728 3-Dec-14 3-Aug-19
6 Tri Atmojo 19861011/STRTTK-33/2010/16737 15-Jul-16 11-Oct-21
7 Tyas Maulida Wardhani 19911020/STRTTK-34/2016/2 3004 4-Nov-16 20-Oct-21
1 Adi Suprapto 19600105/STRA-UGM/1986/11590 22 Okt 15 5-Jan-21 4 Des 15 5-Jan-21

2 Iis Herisna Agustyani 19700810/STRA-UGM/1996/221421 19-Jul-16 10-Aug-21 3-Oct-16 10-Aug-21
3 Ika Asih Kusuma 19860910/STRA-UMP/2009/26020 19-Jul-16 10-Sep-21 3-Oct-16 10-Sep-21
18 Aziez Ismunandar 19830104/STRA-UMP/2005/11592 10-Sep-15 4-Jan-21 19830104/SIPA 33.04/2016/10140 11 Okt 16 4-Jan-21

24 Gini Erwanti 19870330/STRA-UGM/2010/26019 12-Apr-16 30 Mart 2021
23 Lamya Erzaini Shafa 19871017/STRA-UAD/2011/26021 20 OKT 2016 17 OKT 20121 198710017/SIPA33.04/2017/20044 10-Nov-17 17 Okt 2021
21 May Santi Guphita 19920517/STRA-UMP/2015/242199 29-Sep-15 17 Mei 20 19920517/SIPA 33.04/2016/20137 3 Okt 16 17 Mei 20
22 Raodina Hanifah N.R 19930909/STRA-UMP/2017/248133 9-Mar-17 9-Sep-22 1993909/SIPA33.04/2017/20043 10-Nov-17 9-Sep-22
INSTALASI REHAP MEDIS

No NAMA STR SIP
1 Anteng Devi Kurniasari 140652116-1128754 22-Mar-16 7-May-21
2 Gatot Irianto 140351114-0806073 17-Sep-14 13-Feb-19 449.1/02.FT/Kes/2016 5-Dec-16 13-Feb-19
3 Agus Budi Sutanto Amf 140351114-0806088 17-Sep-14 14-Aug-19 449.1/01.FT/Kes/2016 5-Dec-16 4-Aug-19
4 Gones Saptowati 1424821115-0919906 22-Dec-15 25-Aug-20
5 Puji Pancarini 140352114-0806070 17-Sep-14 24-Mar-19
6 Siti Khofifah 140352114-0806064 17-Sep-14 25-Jul-19 449.1/03.FT/Kes/2016 5-Dec-16 25-Jul-19
INSTALASI GIZI
No NAMA STR SIP
1 Umi Azizah 140952217-1472951 01 mei 2012 01mei 2017
2 Usman Mualif 140961217-1472955 01 mei 12 18 mei 17
No NAMA STR SIP
3 Endri Purwoningsih 140952217-1472950 12 des 23 13-Apr-17
4 Peni Haryanti 140952217-1472952 01 mei 12 02 mei 17
5 Fitriani Rahayu 140952217-1472926 01 mei 12 6-Sep-17
INSTALASI SANITASI
1 Ida Fitri Leksanawati 141252217-1465860 10-Nov-17 13-Aug-22
2 Anang Suryanto 141251115-0913593 18-Feb-15 27-Aug-20
4 Mohamad Nur Rofik, S.SiT
r SIP/STR/SIK PENUNJANG
UD Hj. Anna Lasmanah Banjarnegara
SIK
SIK TGL ED
503/06/DPMPTSP/2018 13-Jul-18 17-May-22

449:/1858/Kes/2016 7-Apr-16 12-Dec-20
503/09/DPMPTSP/2018 13-Jul-18 9-Jun-22
503/10/DPMPTSP/2018 13-Jul-18 21-Jun-22
503/08/DPMPTSP/2018 13-Jul-18 19-Nov-22
449.1/03/RAD/2016 7-Sep-16 11-Jan-20
503/07/DPMTSP/2018 13-Jul-18 19-Apr-22
449.2/1857/Kes/2016 7-Apr-16 2-Oct-20
503/11/DPMPTSP/2018 13-Jul-18 12-Nov-22
503/5/DPMPTSP/2018 13-Jul-18 15-Nov-22
449.2/01/DPMPTSP/2018 12-Feb-18 21-Dec-22
SIK
SIK TGL ED
SIK
SIK TGL ED
SIK
SIK TGL ED
SIK
SIK TGL ED
19740112/SIKTTK_33.04/2016/200111 3-Oct-16 12-Jan-19
19730807/SIKTTK_33.04/2016/200115 3-Oct-16 7-Aug-21
19710927/SIKTTK_33.04/2016/200119 3-Oct-16 27-Sep-19
19711025/SIKTTK_33.04/2016/200124 21-Oct-16 25-Oct-21
19790324/SIKTTK_33.04/2016/200113 3-Oct-16 24-Mar-21
19831203/SIKTTK_33.04/2016/200128 2-Dec-16 3-Dec-21
19701023/SIKTTK_33.04/2016/100123 21-Oct-16 23-Oct-21
19820428/SIKTTK_33.04/2016/200114 3-Oct-16 28-Apr-21
19690825/SIKTTK_33.04/2016/100118 3-Oct-16 25-Aug-21
19930519/STRTTK_33/2015/222436 27-Jan-16 19-May-21

19861010/SIKTTK_33.04/2013/20056 22-Oct-13 22-Oct-18
19931108/SIPTTK_33/2017/10035 14-Nov-17 08-Nov-21
19921116/SIKTTK_33.04/2016/20084 14-Jun-16 16-Nov-19
SIK
SIK TGL ED
19880803/SIKTTK_33.04/2016/200116 3-Oct-16 3-Aug-19
19861011/SIPTTK_33/2017/10036 14-Nov-17 11-Oct-21
11911020/SIPTTK_33/2017/20033 14-Nov-17 20-Oct-21
SIK
SIK TGL ED
SIK
SIK TGL ED
449.1/33/DPMPTSP/2018 19-Sep-18 1-May-22
449.1/35/DPMPTSP/2018 19-Sep-18 18-May-22
SIK
SIK TGL ED
503/16/DPMPTSP/2018 30-Ags-18 13-Apr-22
449.1/32/DPMPTSP/2018 19-Sep-18 6-Sep-22
503/25/DPMPTSP/2018 9-Jul-18 13-Aug-22

Daftar SIP/STR/SIPP/SIK
No NAMA STR SIP SIPP
No STR TGL ED No SIP TGL ED No SIPP
RUANG SOKA
1 Tri Puwatiningsih 140152113-0711829 4-Jun-13 14-Oct-18 449.1/179.Prwt/Kes/2016
2 Efitiasih 140152113-0711663 4-Jun-13 4-May-18 449.1/194.Prwt/Kes/2016
3 Ika Veriawati 140152217-1465435 8-Nov-17 15-Jul-22 449.1/109.Prwt/Kes/2016
4 Sarnaeni 140152113-0711792 4-Jun-13 449.1/107.Prwt/Kes/2016
5 Dwi Budi Riyanti 140152112-0263070 16-Sep-12 7-Jul-17 449.1/108.Prwt/Kes/2016
6 Haspita Arfianti 140152112-0264070 16-Sep-12 1-Jun-17 449.1/193.Prwt/Kes/2016
7 Aris Wibowo 140171115-1090340 31-Dec-15 20-Aug-20 449.1/191.Prwt/Kes/2016
8 Takhfif Zulfa M 140151115-1090180 31-Dec-15 13-Apr-20 449.1/106.Prwt/Kes/2016
9 Andika Ratnaningtyas 140152115-1025090 25-Aug-15 6-Mar-20 449.1/196.Prwt/Kes/2016
10 Yuyun Setyowati 140152217-1465521 8-Nov-17 14-Feb-22 449.1/192.Prwt/Kes/2016
11 Dwiana Listiyani 140152217-1465527 8-Nov-17 5-Jan-22 449.1/153.Prwt/Kes/2016
12 Ita Wardani 140152113-0711757 4-Jun-13 27-Feb-18 449.1/178.Prwt/Kes/2016
13 Endah Palupi 140172112-0532654 7-May-13 16-Dec-17 449.1/197.Prwt/Kes/2016
14 Siti Khapsoh 140152112-0461568 29-Sep-12 4-Dec-17 449.1/195.Prwt/Kes/2016
INSTALASI RADIOLOGI
1 Isnaini Sholihati 140752115-0974519 19-May-15 12-Dec-22
2 Setya Okta Priyanti 140752115-0974520 19-May-15 2-Oct-20
3 Siti Farikhah 140752217-1402750 12-Sep-17 12-Nov-22 449.1/09.Rad/Kes/2017 28-Nov-17 28-May-18
4 Justina Tri Rismawati 140762217-1402745 12-Sep-17 9-Jun-22 449.1/11.Rad/Kes/2017 28-Nov-17 28-May-18
5 Noalentino Timoray 140751115-0974515 19-May-15 11-Jan-20 449.1/03/Rad/2016 7-Sep-16 11-Jan-20
6 Wahyu Anggoro Yoga 140751217-1402747 12-Sep-17 21-Dec-22
7 Kamrus 140761217-1402743 12-Sep-17 21-Jun-22 449.1/08.Rad/Kes/2017 28-Nov-17 28-May-18
8 Ni'mah Permana W 140752217-1402744 12-Sep-17 19-Nov-22
9 Puspo Ikhwandoko 140761217-1402749 12-Sep-17 19-Apr-22
10 Dwi Sulistiyani 140762217-1402748 12-Sep-17 17-May-22
11 Sugeng Priyono 140751217-1402746 12-Sep-17 15-Nov-22
INSTALASI REKAM MEDIS

1 Emilda Sunaryanti 141052217-1402597 12-Sep-17 13-Jul-22
2 Agus Subechi 141051112-0017416 01 Mei 2012 13 Agust 17
3 Dewi Ima Widyarini A 151052117-2100160 21-Jul-17 25 mei 22
4 Roro Ayu Sekar Mayang 151052115-0907198 12-Feb-15 8-Jan-20
5 Januar Ilham 151051116-1102746 12-Feb-16 28-Jan-21
6 Indiah Widiastuti
7 Parjiyem
8 Reni Tukijo
9 Arum Yunita Sari Pratono
10 Citra Fatkhia Laeli
11 Rohayati
RUANG TERATAI
1 Sri Mulyati 140152113-0711805 4-Jun-13 21-Apr-18 449.1/226.Prwt/Kes/2016
2 Ani Supartiyah 140152116-1250395 28-Sep-16 2-Jan-21 449.1/151.Prwt/Kes/2017
3 Tri Setyaningsih 140252217-1386889 23-Aug-17 22-Jul-22 449.1/110.Prwt/Kes/2016
4 Dwi Lestari Fitrianingsih 140152117-1465514 08-Nov-17 8-Jul-22 449.1/110.Prwt/Kes/2016
5 Jeni Wulandari 140172117-2150434 18-Oct-17 9-Jan-22
6 Ufi Nurfitriani 140252217-1382821 23-Aug-17 18-Apr-22
7 Amelia Purwaningrum 140252217-1386917 29-Sep-12 1-Mar-17 449.1/28.Bd/Kes/2017
8 Sri Muji Lestari 140152113-0711803 4-Jun-13 30-Agt-18 449.1/131.Prwt/Kes/2016
9 Esti Purwanti 140152217-1465453 08-Nov-17 6-Apr-22
10 Novian Santi Y 140172115-1048123 13-Oct-15 24-Nov-20 449.1/130.Prwt/Kes/2016
11 Indera Winarni 140252116-0299799 26-Jan-16 21-May-21
12 Anggun Handayani 140252217-0386919 19-Sep-17 4-Mar-17
13 Nur Halimatussadiyah 14025211-20670690
14 Siti Faridah 14023211-61096174 26-Jan-16 3-Mar-21
15 Resti Putranti 140252112-0475119 29-Sep-12 03-Nov-17
INSTALASI IBS
1 Khamidin 140151113-0711856 4-Jun-13 30-May-18
2 Waluyo Jati 140151113-0711843 4-Jun-13 15-Feb-15 449.1/223.Prwt/Kes/2016
3 Ratri Puji Rahayu 140152112-0264198 449.1/154.Prwt/Kes/2016
4 Subur Yuswanto 141551111-0012344 28-Dec-11 16-Oct-16 449.1/04/PA/2016
5 Fuad Alhadi 140151113-0711743 4-Jun-13 4-Apr-18 449.1/145.Prwt/Kes/2016
6 Endon Ismangil 140151112-0263981 16-Sep-12 2-Feb-17 449.1/074/Kes/2016
7 Dartono 140151113-0711726 4-Jun-13 2-Jul-18
8 Andri Sapto Yuwono 449.1/133.Prwt/Kes/2016
9 Agus Tugiyo 141551116-1095216
10 Abdul Baasith Izzudin 140151112-0264203 16-Sep-12 21-Feb-17 449.1/141.Prwt/Kes/2016
11 Ika Ri,ma Pratiwi 140252116-1096215 26-Jan-16 21-Feb-21 449.1/29.Bd/Kes/2017
12 Urip Tubiyanto 140151113-0711837 4-Jun-13 02-Agt-18 449.1/155.Prwt/Kes/2016
13 Bambang Sjambodo 141551216-1266672 28-Dec-11 6-Jan-16 449.1/01.PA/Kes/2017
14 Pujo 141551216-1266676 449.1/03/PA/2017
15 Reza Anggi Sofyan 131552117-2154052 25-Oct-17 26-Agt-22
16 Heni Wijiastuti 140152113-0711750 4-Jun-13 11-May-18 449.1/135.Prwt/Kes/2016
17 Nursiti 140152113-0711775 4-Jun-13 13-Jul-18 449.1/136.Prwt/Kes/2016
18 Hari Sasongko 140151112-0263985 16-Sep-12 23-Jan-17 449.1/128.Prwt/Kes/2016
19 Imam Yulianto 141561111-0012345 28-Dec-11 5-Jul-16
20 Pujianto 140171115-1000987 30-Jun-15 23-Jul-20
21 Yoga Basuki 140151112-0464491 29-Sep-12 22-Nov-17
RUANG ICU
1 Harun Nur Faid 140161116-1278092 29-Nov-16 30-Sep-21 503/101/Kes/2015
2 Agus Suharyono 140151217-1465431 08-Nov-17 4-Aug-22 449.1/140.Prwt/Kes/2016
3 Eka Ifa Faoziati 140152113-0711733 4-Jun-13 19-Oct-18 449.1/624/Kes/2016
4 Taat Agung Widodo 140151218-1545575 449.1/97.Prwt/Kes/2016
5 Nuryanto 140151113-0712745 4-Jun-13 3-May-18 449.1/117.Prwt/Kes/2016
6 Risyawanti 140172115-1062163 16-Nov-15 27-Jan-20 449./144.Prwt/Kes/2016
7 Septi Tri Purnamasari 140172217-1465531 8-Nov-17 27-Sep-22 449.1/119/Prwt/Kes/2016
8 Hayin Dwi Astuti 120152112-0349561 24-Sep-12 28-Oct-17 449.1/120.Prwt/Kes/2016
9 Retno Angresti W 140152217-1465437 08-Nov-17 10-Mar-22 449.1/138.Prwt/Kes/2016
10 Endriyanti 140152217-1465512 08-Nov-17 17-Nov-22 449.1/169.Prwt/Kes/2016
11 Tatang Kurniawan Setia A. 140151112-0464498 29-Sep-12 03-Nov-17 449.1/139.Prwt/Kes/2016
12 Tri Wahyu Fajriati 140152112-0264210 8-Nov-17 18-May-22 449.1/116.Prwt/Kes/2016
13 Umi Laila Hidayati 140152113-0711834 4-Jun-13 5-Mar-18 449.1/166.Prwt/Kes/2016
14 Endah Lestari 140152217-1465528 8-Nov-17 15-Nov-22 449.1/118.Prwt./Kes/2016
15 Fuad Nur I 140151113-0711744 4-Jun-13 14-Mar-18
16 Irfandi 140151115-0912549 18-Feb-15 7-Jun-20
RUANG DAHLIA
1 Samirin S.Kep,Ns 140151218-1545598 12-Apr-18 17-Jul-23
2 Ami Nur Zaqiah Nuzulaeli,AMK 140152218-1545606 12-Apr-23 31-Jan-23 449.1/190.Prwt/Kes/2016
3 Asmi Faizah,AMK 140152217-1465455 8-Nov-17 14-Jun-22 503/16997/2 31-Aug-08 31-Aug-13 449.1/185.Prwt/Kes/2016
4 Anjar Tabah Riyadi S.Kep. Ns 150171115-0906144 12-Feb-15 27-Apr-20 499.1/212.Prwt/Kes/2016
5 Suci Rahayu A.Md 140152113-0711812 4-Jun-13 27-Aug-18 503/8967/2 7-Feb-06 7-Feb-06 449.1/181.Prwt/Kes/2016
6 Yonatan Tri Songko Jati,AMK 140151113-0711846 4-Jun-13 24-May-18 449.1/184.Prwt/Kes/2016
7 Siti Nur Aini,AMK 140152217-1465428 8-Nov-17 28-May-22 449.1/199.Prwt/Kes/2016
8 Rita Sudaryo,AMK 140152217-1465439 8-Nov-17 4-Jul-22 449.1/79.Prwt/Kes/2016
9 Eni Mulyanti,AMK 140152114-0851452 28-Nov-14 14-Jan-19 449.1/219.Prwt/Kes/2016
10 Faozan Dwi Agustomo A.Md 140151114-0792147 29-Aug-14 12-Aug-19 449.1/198.Prwt/Kes/2016
11 Ragil Apri Wibowo A.Md 140151217-1465522 8-Nov-17 8-Apr-22 449.1/188.Prwt/Kes/2016
12 Jumanto,AMK 140151217-1465433 8-Nov-17 18-Nov-22 449.1/115.Prwt/Kes/2016
13 Aman Solihin,AMK 140151218-1545601 12-Apr-18 27-Jan-23 449.1/213.Prwt.Kes/2016
14 Leny Praptiwi, S Kep.Ns 140172115-1001448 30-Jun-15 16-Mar-20 449.1/215.Prwt/Kes/2016
15 Jeni Zaenal,AMK 140151115-1089281 31-Dec-15 30-May-20 449.1/104.Prwt/Kes/2016
16 Dwi Rachayuningsih,AMK 140152113-0711730 449.1/186.Prwt/Kes/2018
INSTALASI LABORAT
1 Bernadus Tanri Berta Wijaya 141461117-1291116 23-Jan-17 23-Feb-22 503/6/DPMPTSP/2018 31-Aug-18 23-Feb-22
2 Eman Arnedi Yoga Negara 151451114-0854087 1-Dec-14 1-Apr-19 449.1/8/DPMPTSP/2018 28-Sep-18 1-Apr-19
3 Aris Supriyanto 141451115-0888430 27-Jan-15 27-Apr-20 449.1/04.AK/Kes/2016 28-Nov-16 27-Apr-20
4 Azizah Nur Khasanah 141452115-0917766 24-Feb-15 12-Sep-20 449.1/11.AK/Kes/2016 28-Nov-16 12-Sep-20
5 Dimas Nanda Fachrizal 141451115-0917633 24-Jan-15 29-Feb-20 449.1/12.AK/Kes/2016 28-Nov-16 19-Oct-20
6 Rasmirah 141452115-0888450 27-Jan-15 12-Feb-20 449.1/06.AK/Kes/2016 28-Nov-16 12-Feb-20
7 Sarwono 141451115-0888454 27-Jan-15 11-May-20 449.1/05.AK/Kes/2016 28-Nov-16 11-May-20
8 Shinta Puspanie Prayestika 141452115-0917618 24-Feb-15 1-May-20 449.1/10.AK/Kes/2016 28-Nov-16 1-May-20
9 Umu Maksumah 141452115-0888462 27-Jan-15 13-May-20 449.1/04.AK/Kes/2017 19-Jan-17 13-May-20
10 Vian Hidayah 141452115-0888464 27-Jan-15 6-Dec-20 449.1/01.AK/Kes/2017 19-Jan-17 6-Dec-20
11 Siti Rahayu 141452115-0888456 27-Jan-15 27-Mar-20 449.1/05.AK/Kes/2017 19-Jan-17 27-Mar-20
12 Titik Yulianti 141452115-0888460 27-Jan-15 4-Jul-20 449.1/03.AK/Kes/2017 19-Jan-17 4-Jul-20
13 Wiwin Yulianto 141451115-0888466 27-Jan-15 11-Jul-20 449.1/02.AK/Kes/2017 19-Jan-17 11-Jul-20
14 Ummi Salamah Nasution 141452117-1290666 23-Jan-17 23-Aug-22 503/4/DPMPTSP/2018 31-Aug-18 23-Aug-22
15 Birru Kurnia 141452115-0888433 27-Jan-15 27-Dec-20 449.1/07.AK/Kes/2016 28-Nov-16 27-Dec-20
16 Novi Susianti 141452217-1471814 10-Nov-17 15-Jan-22 449.1/06.AK/Kes/2017 19-Jan-17 19-Jan-18
INSTALASI FARMASI
1 Furqon Akromulloh 19931108/STRTTK_33/2015/12246 27-Jan-16 8-Nov-21
2 Tyas Maulida Wardhani 19911020/STRTTK-34/2016/2 3004 4-Nov-16 20-Oct-21
3 Ageng Pamuji 19930519/STRTTK_33/2015/222436 27-Jan-16 19-May-21
4 Tri Atmojo 19861011/STRTTK-33/2010/16737 15-Jul-16 11-Oct-21
5 Rizki Anjar Setianingsih 19880803/STRTTK_33/2014/26728 3-Dec-14 3-Aug-19
6 Susana Eva Wati 19820428/STRTTK_33/2003/26757 14-Apr-16 28-Apr-21
7 Ari Nuryani 1974011/STRTTK_33/2014/26700 3-Dec-14 12-Jan-19
8 Martina Amalia 19790324/STRTTK_22/200026750 12-Apr-16 24-Mar-21
9 Anik Tri Wahyuni 19861010/STRTTK-33/2009/210560 26-Jun-13 10-Oct-18
10 Emy Rofiati 19730807/STRTTK-33/2009/26748 12-Apr-16 7-Aug-21
11 Erni Widyaningrum 19710927/STRTTK_33/2014/26709 3-Dec-14 27-Sep-19
12 Herianawati 19711025/STRTTK_33/2009/26711 12-Apr-16 25-Oct-21
13 Nurul Quruotun Ngaeni 19921116/STRTTK_33/2014/217222 3-Dec-14 16-Nov-19
14 Suwandi 19690825/STRTTK_33/1992/16736 12-Apr-16 25-Aug-21
15 Ratna Dewi Handayani 198312013/STRTTK_33/2005/26752 12-Apr-16 3-Dec-21
16 Setiyo Hardiyanto 19701023/STRTTK_33/1992/16730 12-Apr-16 23-Oct-21
17 Adi Suprapto 19600105/STRA-UGM/1986/11590 22 Okt 15 5-Jan-21 19600105/SIPA 33.04/2015/1050 4 Des 15 5-Jan-21
18 Aziez Ismunandar 19830104/STRA-UMP/2005/11592 10-Sep-15 4-Jan-21 19830104/SIPA 33.04/2016/10140 11 Okt 16 4-Jan-21
19 Iis Herisna Agustyani 19700810/STRA-UGM/1996/221421 19-Jul-16 10-Aug-21 19700810/SIPA 33.04/2016/2049 3-Oct-16 10-Aug-21
20 Ika Asih Kusuma 19860910/STRA-UMP/2009/26020 19-Jul-16 10-Sep-21 19860910/SIPA 33.04/2016/2048 3-Oct-16 10-Sep-21
21 May Santi Guphita 19920517/STRA-UMP/2015/242199 29-Sep-15 17 Mei 20 19920517/SIPA 33.04/2016/20137 3 Okt 16 17 Mei 20
22 Raodina Hanifah N.R 19930909/STRA-UMP/2017/248133 9-Mar-17 9-Sep-22 1993909/SIPA33.04/2017/20043 10-Nov-17 9-Sep-22
23 Lamya Erzaini Shafa 19871017/STRA-UAD/2011/26021 20 OKT 2016 17 OKT 20121 198710017/SIPA33.04/2017/20044 10-Nov-17 17 Okt 2021
24 Gini Erwanti 19870330/STRA-UGM/2010/26019 12-Apr-16 30 Mart 2021
INSTALASI REHAP MEDIS

1 Anteng Devi Kurniasari 140652116-1128754 22-Mar-16 7-May-21
2 Gatot Irianto 140351114-0806073 17-Sep-14 13-Feb-19 449.1/02.FT/Kes/2016 5-Dec-16 13-Feb-19
3 Agus Budi Sutanto Amf 140351114-0806088 17-Sep-14 14-Aug-19 449.1/01.FT/Kes/2016 5-Dec-16 4-Aug-19
4 Gones Saptowati 1424821115-0919906 22-Dec-15 25-Aug-20
5 Puji Pancarini 140352114-0806070 17-Sep-14 24-Mar-19
6 Siti Khofifah 140352114-0806064 17-Sep-14 25-Jul-19 449.1/03.FT/Kes/2016 5-Dec-16 25-Jul-19
INSTALASI GIZI
1 Umi Azizah 140952217-1472951 01 mei 2012 01mei 2017
2 Usman Mualif 140961217-1472955 01 mei 12 18 mei 17
3 Endri Purwoningsih 140952217-1472950 12 des 23 13-Apr-17
4 Peni Haryanti 140952217-1472952 01 mei 12 02 mei 17
5 Fitriani Rahayu 140952217-1472926 01 mei 12 6-Sep-17
INSTALASI SANITASI
1 Ida Fitri Leksanawati 141252217-1465860 10-Nov-17 13-Aug-22
2 Anang Suryanto 141251115-0913593 18-Feb-15 27-Aug-20
4 Mohamad Nur Rofik, S.SiT 141251217-1465875 10-Nov-17 11-Jun-22

2 Tri Raharjo 140151113-0711830 4-Jun-13 20-Dec-18 449.1/84.Prwt/Kes/2016
3 Heni Hastuti 140152113-0711749 4-Jun-13 14-Oct-18 449.1/75.Prwt/Kes/2016
4 Sri Hastuti 140152115-1088900 31-Dec-15 2-Aug-20 449.1/78.Prwt/Kes/2016
5 Wahyuningsih 140172115-0975171 19-May-15 03-Nov-20 768/SIP-P/BMS/B/X/2016
6 Purwanti 140152217-1465461 8-Nov-17 16-Apr-22 449.1/151.Prwt/Kes/2016
7 Purwanto 140151114-0851451 28-Nov-14 12-Apr-19 449.1/124.Prwt/Kes/2016
8 Markingah 140152113-0711762 4-Jun-13 23-Mar-18 449.1/168.Prwt/Kes/2016
9 Umi Farichatun 140152113-0711833 4-Jun-13 4-Feb-18 449.1/76.Prwt/Kes/2016
10 Tulus Sedyowati 140252112-0475114 29-Mar-17 24-Mar-17
11 Titi Indraningrum 140152113-0711855 449.1/134.Prwt/Kes/2016
12 Heni Tri Astuti 140152217-1465525 8-Nov-17 4-Apr-22
13 Nur Umiyati Rakhman 140152113-0711774 449.1/82.Prwt/Kes/2016
14 Amin Ganti Sudarman 140232112-0475964 29-Sep-12 17-Agt-17
15 Muhammad Galih Ihsan 140151115-1089803 31-Dec-15 26-Apr-20 449.1/172.Prwt/Kes/2016
16 Lailatul Istichanah 140152217-1465429 8-Nov-17 5-Oct-22 449.1/77.Prwt/Kes/2016
17 Triyantining Wilujeng 140152112-0264083 16-Sep-12 6-Oct-17 449.1/83.Prwt/Kes/2016
18 Faisal 140171118-2253391 27-Feb-18 6-May-23
19 Anita Mustikawati 503/4811/2 20-Apr-09 20-Apr-14 449.1/227.Prwt/Kes/2016
20 Nur halimatus Sadiyah
RUANG WIJAYAKUSUMA
1 Sustyani Ika Pramushinta 140152113-0711820 4-Jun-13 31-May-18 449.1/146.Prwt/Kes/2016
2 Catur Pambudi 140171117-2150413 18-Oct-17 26-Dec-22
3 Tri Anugrah Gansar Anggraeni 140152114-0791885 449.1/96.Prwt/Kes/2016
4 Rizki Fawuzi Rahman 140151115-1089295
5 Luky Handayani 140152113-0711759 4-Jun-13 2-Jun-18 449.1/625/Kes/2016
6 Rian Septiantoro 140151115-1001232 449.1/180.Prwt/Kes/2016
7 Liana Anggun Syahputri 140152115-1090414 449.1/73.Prwt/Kes/2016
8 Juniva Anton Wibowo 140171217-1465532 08-Nov-17 23-Jun-22 449.1/85.Prwt/Kes/2016
9 Isna Listianingrum 140172117-2032050 2-Feb-17 25-May-22
10 Hijrah Kusumawati 150172112-0456746 449.1/74.Prwt/Kes/2016
11 Endar Fitriati 140152113-0711735 4-Jun-13 20-Agt-18
12 Budiarti 140151112-0264182 16-Sep-12 10-Nov-17 449.1/177.Prwt/Kes/2016
13 Beni Lastaro 140151115-1089568 449.1/174.Prwt/Kes/2016
14 Ardy Gunarto 140171115-1049269 449.1/175.Prwt/Kes/2016
15 Heni Purwaningsih 140152217-1465460 08-Nov-17 10-Mar-22 449.1/183.Prwt/Kes/2016
16 Aan Saryati
16 Hilda Irtanti 140152113-0711753 4-Jun-13 21-Jun-18
18 Sri Wahyuni Kartikasari 14015213-0711810 4-Jun-13 19-Jan-18
IGD
1 Agus Riyanto 140151113-0712744 4-Jun-13 11-Agt-18
2 Basir 140151113-0711862 4-Jun-13 17-Nov-18
3 Edi Susanto 140151113-0711732 4-Jun-13 8-Dec-18 449.1/127.Prwt/Kes/2016
4 Edy Setiyanto 140171117-2091902 7-Jul-17 27-May-22 449.1/550/DPMPTSP/2018
5 Heri Purnomo 449.1/123.Prwt/Kes/2016
6 Januar Satya Kurniawan 140151217-1465454 8-Nov-17 7-Jan-22
7 Sulasno 140151112-0263991 16-Sep-12 16-Mar-17 449.1/126.Prwt/Kes/2016
8 Denny Ambriasih 140172117-2084645 15-Jun-17 20-May-22 449.1/169.Prwt/Kes/2017
9 Desy Octora Kristiana 140152113-0711853 4-Jun-13 27-Dec-18 449.1/125.Prwt/Kes/2016
10 Muriani Agustina 140152113-0711767 4-Jun-13 02-Agt-18 449.1/98.Prwt/Kes/2016
11 Fajar Prasetyo 140151117-2091867 7-Jul-17 9-Mar-22 449.178.Prwt/Kes/2017
12 Koko Seno Aji 140151112-0264140 16-Sep-12 10-Apr-17 449.1/158.Prwt/Kes/2016
13 Teguh Imam Prabowo 140151217-1465459 8-Nov-17 16-Mar-22 449.1/1037/Kes/2016
14 Trio Wahyu Adi P 140151114-0847518 17-Nov-14 23-Apr-19 449.1/102.Prwt/Kes/2016
15 Fitriyani 140152217-1465436 8-Nov-17 27-Nov-22 449.1/80.Prwt/Kes/2016
16 Yayuk Listanti 140152217-1465524 8-Nov-17 19-Mar-22
RAWAT JALAN
1 Dwi Dharmanto 140151113-0711729 4-Jun-13 27-Nov-18
2 Imam Supriyadi 140151115-1088882 31-Dec-15 17-Oct-20
3 Titi Haryanti 140152113-0711852 4-Jun-13 25-Feb-18
4 Edy Purwanto, SST. 140161116-1250397 28-Sep-16 12-Feb-21
5 Ani Hadiningsih 140152113-0711720 4-Jun-13 25-May-18
6 Karlyta Ayu Pusparani 140552112-0149970 1-May-12 6-Oct-17 449.1/013/RO/2016 5-Dec-16 6-Oct-17
7 Dhiar Tri Rahayu 140452112-0642047 31-May-13 22-Sep-17 449.1/28/PRG/2016
8 Muzdholifah 140152113-0711770 4-Jun-13 7-Jan-18
9 Sri Ayuningsih 140252116-1135497 28-Mar-16 4-Jun-21 503/2877/2 21-Jan-11 21-Jan-16
10 Sri Mulyani 140152113-0711804 4-Jun-13 21-Apr-18
11 Sri Suwarni 140152115-1088889 31-Dec-15 14-Apr-20
12 Suparmiyanti 140152112-0263993 16-Sep-12 24-Apr-17
13 Ratiwen 140152113-0711785 4-Jun-13 10-Jul-18
14 Ulfati Dianah 140252116-1135499 28-Mar-16 26-Nov-21
15 Dirbudingah 140152113-0711727 4-Jun-13 17-Jul-18 449.1/121.Prwt/Kes/2016
16 Eko Kartini 140152112-0263980 16-Sep-12 24-Oct-17
17 Hery Tri Utami 140152112-0464497 29-Sep-12 20-May-17
18 Reny Susanti 140152218-1545580 12-Apr-18 31-Oct-23 449.1/163.Prwt/Kes/2016
19 Sri Wahyuraningsih 140152113-0711807 4-Jun-13 26-Jan-18 449.1/161.Prwt/Kes/2016
20 Sri Suprihatin 140152113-0711806 4-Jun-13 13-Oct-18
21 Farida Al Isiqomah 140452112-0642020 31-May-13 30-Oct-17 449.1/31/TGM/2016 17-Oct-16 30-Oct-17
22 Shinta Dewi Septiningrum 140152113-0711793 4-Jun-13 12-Sep-18 449.1/165.Prwt/Kes/2016
RUANG ANYELIR
1 Purwadi 140151113-0711783 4-Jun-13 1-May-18
2 Syaeful Bari 140151112-0264202 16-Sep-12 14-Apr-17 449.1/99.Prwt/Kes/2016
3 Hanifah Kurniasih 140152113-0711745 4-Jun-18 11-Jan-18 449.1/218.Prwt/Kes/2016
4 Pindah Kurniawati 140152113-0711778 4-Jun-13 25-Feb-18
5 Asep Suwanto 140151115-1088896 31-Dec-15 23-Feb-20 449.1/101.Prwt/Kes/2016
6 Jenni Jaenal A
7 Mufti Hanafi 140151114-0850295 28-Nov-14 12-Mar-19 449.1/176.Prwt/Kes/2016
8 Ardian Damar Prabowo 140151115-1025475 25-Aug-15 23-May-20 449.1/149.Prwt/Kes/2016
9 Priyatmoko Agus Nugroho 140151114-0850602 28-Nov-14 20-Aug-19
10 Ngazah Ulinuha 140152113-0711851 4-Jun-13 29-Sep-18 449.1/147.Prwt/Kes/2016
11 Walidah Nurul Hikmah 140172115-1048224 13-Oct-15 13-May-20 449.1/100.Prwt/Kes/2016
RUANG BOUGENVILE
1 Wahyu Prihanto 140151218-1545600 12-Apr-18 6-Sep-23 449.1/122.Prwt/Kes/2016
2 Agus Sugeng Triono 140151113-0711717 4-Jun-13 3-Apr-18 449.1/105.Prwt/Kes/2016
3 Yusuf Adi 140151116-1250819 28-Sep-16 3-Jan-21 449.1/150.Prwt/Kes/2017
4 Marina Puji Hidayati 140152112-0264204 16-Sep-12 9-Mar-17
5 Wahyu Indarti 140152116-1250396 28-Sep-16 14-Apr-21 449.1/148.Prwt/Kes/2017
6 Wahyu Nugroho 140151116-1250394 28-Sep-16 4-May-21 449.1/147.Prwt/Kes/2017
7 Imam Aji Nurodin 140151115-1025111 25-Aug-15 21-Nov-20 449.1/207.Prwt/Kes/2016
8 Zakaria 140151116-1250390 28-Sep-16 4-Jun-21 449.1/149.Prwt/Kes/2017
9 Arun Prasetyo 140151116-1139796 31-Mar-16 21-Mar-21 449.1/205.Prwt/Kes/2016
10 Agrista Satria.P 140151218-1545607 12-Apr-18 28-Nov-23
11 Dani Sadatun 140152113-0711725 4-Jun-13 16-Mar-18 449.1/208.Prwt/Kes/2016
12 Dyah Linda Erna 140152217-1465432 08-Nov-17 20-Jul-22 449.1/201.Prwt/Kes/2016
13 Siti Muniroh 140152114-0749086 21-Jul-14 21-Jan-19 449.1/209.Prwt/Kes/2016
14 Siti Watiyah 140152113-0711799 4-Jun-13 22-Feb-18 449.1/200.Prwt/Kes/2016
15 Sus Ernawati 140152217-1465430 08 -Nov-17 21-Jul-22 449.1/202.Prwt/Kes/2016
16 140152115-1089515 31-Dec-15 1-Sep-20 449.1/204.Prwt/Kes/2016
HEMODIALISA
1 Ajiz Riyadi 140151112-0264185 16-Sep-12 16-Sep-17
2 Abdul Jamal 140171115-0711716 9-Jul-15 14-May-20 449.1/6156/Kes/2015 30-Nov-15 14-May-20
3 Ika Damayanti 140152112-0264212 16-Sep-12 31-Dec-17
4 Minarti 140152113-0711764 4-Jun-13 08-Agt-18 449.1/6087/Kes/2015
5 Mery Sukrisno 140151218-1545596 12-Apr-18 21-Aug-23 449.1/157.Prwt/Kes/2016
6 Widiantoro Eko Purnomo PTKY
7 Khafid Subhan
8 Iin Wahyu Wulandari 140152115-0899859 6-Feb-15 14-Aug-20
RUANG KENANGA
1 Buntoro
2 Sukamto 140151113-0711814 4-Jun-13 23-Dec-18
3 Suratmo 140151217-1465438 08-Nov-17 10-May-22
4 Dwi Astuti 140152113-0711728 4-Jun-13 16-Oct-18
5 Herlina Indriastuti 140152113-0711751 4-Jun-13 9-Jul-18 503/16313/2 13-Feb-06 13-Feb-11
6 Maryati
7 Fera Anggiana
8 Budiono
9 Dyah Fatma Kusumastuti 140152217-1465434 08-Nov-17 17-Mar-22
10 Fitri Nuryanti 140152217-1465526 08-Nov-17 14-Feb-22
11 Fitriawan Haris Prasetyo 140151217-1465462 08-Nov-17 23-May-22
12 Oki Widia Nurjayanti
13 Wahyati
14 Wahyu Yuni Rufaidah Noor
15 Hasan Kurniawan
RUANG MENUR
1 Adistia Maretnadianti 140252112-0675348 4-Jun-13 16-Mar-17
2 Anjar Dwiana Wati 140252116-1096172 26-Jan-16 10-Dec-21
3 Arifta Dwi Weningtyas 140252112-0475961 29-Sep-12 2-Mar-17
4 Atut Dwi Ariningsih 140252116-1096173 26-Jan-16 7-Jan-21 503/4565 17-Oct-11 13-Dec-15
5 Septina Dinar Restika 140252112-0475120 29-Sep-12 5-Sep-17
6 Dini Septiani 140252112-0475941 29-Sep-12 23-Sep-17
7 Dyah Utariningsih 140232112-0299803 16-Sep-12 02-Agt-12
8 Esthi Widiyanti 140232112-0475055 29-Sep-12 1-Dec-17 503/295 10-Jan-11 27-May-14
9 Hiyan Puri Indri Martani 503/1227/2
10 Liyana Sabtiatika 140252116-1135498 28-Mar-16 12-Sep-21
11 Nurhidayati 140232112-0475943 29-Sep-12 16-Agt-17
12 Sri Wahyuningsih 140232112-0674826 4-Jun-13 15-Apr-17
13 Susi Astiningrum, A. Md
14 Witrisnah 503/4670 24-Oct-11 13-Jan-16
15 Aprilia Lutfiani
16 Chotijah Riani
17 Dwi Hela Herawati
18 Mely Ayanah
19 Nur Mutmainah
20 Desy Ratnasari
21 Fera Anggiana
22 Nur Sakti Oktaviana
23 Wahyu Pangestika
24 Ufi Nur Fitriyani 140252217-1382821 23-Agt-17 18-Apr-22
25 Laeli Fatkhuriati Sayekti
PELAYANAN
1 Nanang Wardana 140171217-1465464 08-Nov-17 7-Jul-22 449.1/99/DPMPTSP/2018
2 Septimulatsih Dumilah 140152218-1545589 12-Apr-18 03-Nov-23
3 Teguh Winarno
4 Sri Hartati 140172114-0736945 13-Jun-14 03-Nov19
SIP/STR/SIPP/SIK
Anna Lasmanah Banjarnegara
SIPP SIK KET
TGL ED SIK TGL ED
22-Nov-16 14-Oct-18
22-Nov-16 4-May-18 Rekomendasi STR
22-Nov-16 15-Jul-17 503/3506/Kes/2014 22-Jul-14 15-Jul-17 Proses SIPP
22-Nov-16 6-Nov-18 Rekomendasi STR
22-Nov-16 7-Jul-17
22-Nov-16 1-Jun-17
22-Nov-16 26-Agus-16
22-Nov-16 13-Apr-20
22-Nov-16 6-Mar-20
22-Nov-16 14-Feb-17 503/3530/Kes/2014 22-Jul-14 14-Feb-17 Proses SIPP
503/3484/Kes/2014 Proses SIPP
22-Nov-16 27-Feb-18
22-Nov-16 16-Dec-17
22-Nov-16 4-Dec-17
449:/1858/Kes/2016 7-Apr-16 12-Dec-20

449.2/1857/Kes/2016 7-Apr-16 2-Oct-20
503/11/DPMPTSP/2018 13-Jul-18 12-Nov-22
503/09/DPMPTSP/2018 13-Jul-18 9-Jun-22
449.1/03/RAD/2016 7-Sep-16 11-Jan-20
449.2/01/DPMPTSP/2018 12-Feb-18 21-Dec-22
503/10/DPMPTSP/2018 13-Jul-18 21-Jun-22
503/08/DPMPTSP/2018 13-Jul-18 19-Nov-22
SIPP SIK KET
TGL ED SIK TGL ED
503/07/DPMTSP/2018 13-Jul-18 19-Apr-22
503/06/DPMPTSP/2018 13-Jul-18 17-May-22
503/5/DPMPTSP/2018 13-Jul-18 15-Nov-22
SIPP SIK KET

TGL ED SIK TGL ED
SIPP SIK KET

TGL ED SIK TGL ED
503/1360 25-Mar-10 13-Feb-11
503/3458/Kes/2014 1-Jul-14 2-Jan-17
503/4575 17-Oct-11 27-Jul-12

22-Nov-16 30-Aug-18
503/3461/Kes/2014 1-Jul-14 6-Apr-17 Proses SIPP
SIPP SIK KET
TGL ED SIK TGL ED
22-Nov-16 24-Nov-20
449.2/4922.Kes/2014 15-Sep-14 4-Mar-17
503/6980 10-Nov-11 03-Agt-14
503/1442
30-Nov-16 15-Feb-18 Rekomendasi STR
503/836/Kes/2014 21-Feb-14 16-Oct-16

449.2/297/Kes/2015 27-Jan-15 4-Apr-18 Rekomendasi STR
8-Jan-16 2-Feb-17 Rekomendasi STR
503/3516/Kes/2014 06-Nov-08 24-Mar-11 Rekomendasi STR
Rekomendasi STR
22-Nov-16 02-Agt-18 Rekomendasi STR

503/834/Kes/2014 21-Feb-14 6-Jan-16
503/3518/Kes/2014 22-Jul-14 22-Jul-14 Rekomendasi STR

503/3643 06-Nov-08 24-Mar-11 Rekomendasi STR
22-Nov- 2016 23-Jan-17
503/837/Kes/2014 21-Feb-14 5-Jul-16
503/3529/Kes/2014 22-Jul-14 22-Nov-17 Rekomendasi STR

SIPP SIK KET
TGL ED SIK TGL ED
SIPP SIK KET
TGL ED SIK TGL ED
13-Jan-15 30-Sep-18 503/100/Kes/2015 13-Jan-15 30-Sep-18
Proses SIPP
503/839/Kes/2014 25-Feb-14 25-Feb-15
503/3470/Kes/2014 1-Jul-14 18-Jun-17
22-Nov-16 3-May-18 Rekomendasi STR
22-Nov-16 27-Jan-20
22-Nov-16 28-Oct-17 Rekomendasi STR
Proses SIPP
Proses SIPP
503/3500/Kes/2014 22-Jul-14 03-Nov-17
22-Nov-16 5-Mar-18 Rekomendasi STR
449.2/396/Kes/2015 3-Feb-15 14-Mar-18
SIPP SIK KET

TGL ED SIK TGL ED
503/3523/Kes/2014 22-Jul-14 17-Jul-17
22-Nov-16 31-Jan-17 503/3480/Kes/2014 1-Jul-14 31-Jan-17
22-Nov-16 14-Jun-17 503/3482/Kes/2014 1-Jul-14 14-Jun-17 Proses SIPP
30-Nov-16 27-Apr-20
22-Nov-16 27-Aug-18 503/3498/Kes/2014 22-Jul-14 22-Jul-15 Rekomendasi STR
22-Nov-16 24-May-18 503/3474/Kes/2014 1-Jul-14 1-Jul-15 Rekomendasi STR
30-Nov-16 14-Jan-18 503/3487/Kes/2014 22-Jul-14 22-Jul-15
SIPP SIK KET
TGL ED SIK TGL ED
22-Nov-16 12-Agt-19
22-Nov-16 8-Apr-17 503/3494/Kes/2014 22-Jul-14 8-Apr-17 Proses SIPP
30-Nov-16 27-Jan-17 503/2052/Kes/2014 22-Apr-14 27-Jan-17
30-Nov-16 16-Mar-20
22-Nov-16 30-May-20
Rekomendasi STR
SIPP SIK KET

TGL ED SIK TGL ED
SIPP SIK KET

TGL ED SIK TGL ED
SIPP SIK KET
TGL ED SIK TGL ED
19931108/SIPTTK_33/2017/10035 14-Nov-17 08-Nov-21
11911020/SIPTTK_33/2017/20033 14-Nov-17 20-Oct-21
19930519/STRTTK_33/2015/222436 27-Jan-16 19-May-21
19861011/SIPTTK_33/2017/10036 14-Nov-17 11-Oct-21
19880803/SIKTTK_33.04/2016/200116 3-Oct-16 3-Aug-19
19820428/SIKTTK_33.04/2016/200114 3-Oct-16 28-Apr-21
19740112/SIKTTK_33.04/2016/200111 3-Oct-16 12-Jan-19
19790324/SIKTTK_33.04/2016/200113 3-Oct-16 24-Mar-21
19861010/SIKTTK_33.04/2013/20056 22-Oct-13 22-Oct-18
19730807/SIKTTK_33.04/2016/200115 3-Oct-16 7-Aug-21
19710927/SIKTTK_33.04/2016/200119 3-Oct-16 27-Sep-19
19711025/SIKTTK_33.04/2016/200124 21-Oct-16 25-Oct-21
19921116/SIKTTK_33.04/2016/20084 14-Jun-16 16-Nov-19
19690825/SIKTTK_33.04/2016/100118 3-Oct-16 25-Aug-21
19831203/SIKTTK_33.04/2016/200128 2-Dec-16 3-Dec-21
19701023/SIKTTK_33.04/2016/100123 21-Oct-16 23-Oct-21
SIPP SIK KET

TGL ED SIK TGL ED
SIPP SIK KET
TGL ED SIK TGL ED
SIPP SIK KET

TGL ED SIK TGL ED
449.2/5314/Kes/2015 4-Sep-15 1 mei 17
503/25/DPMPTSP/2018 9-Jul-18 13-Aug-22
449.2/29/DPMPTS/2018 12-Sep-18 11-Jun-22
503/1488 10-Apr-10 1-Feb-12 Rekomendasi STR

22-Nov-16 14-Oct-18 Rekomendasi STR
22-Nov-16 2-Aug-20
7-Oct-16 03-Nov-20
22-Nov-16 12-Apr-19
503/4741 24-Oct-11 03-Agt-14
Rekomendasi STR
5033491/Kes/2014 22-Jul-14 4-Apr-17 Proses SIPP
SIPP SIK KET
TGL ED SIK TGL ED
Rekomendasi STR
449.2/4888/Kes/2014 15-Sep-14 17-Agt-17
22-Nov-16 26-Apr-20
22-Nov-16 5-Oct-17 Proses SIPP
Rekomendasi STR
449.2/296/Kes/2015 27-Jan-15 6-May-18
Rekomendasi STR
503/842/Kes/2014 25-Feb-14 25-Feb-15
Proses SIPP

22-Nov-16 10-Nov-17
503/3463/Kes/2014 1-Jul-14 10-Mar-17 Proses SIPP

503/3468/Kes/2014 1-Jul-14 1-Jul-15
449.2/400/Kes/2015 5-Feb-15 11-Agt-18 Rekomendasi STR

SIPP SIK KET
TGL ED SIK TGL ED
449.2/339/Kes/2015 5-Feb-15 17-Nov-18 Rekomendasi STR
22-Nov-16 8-Dec-18 Rekomendasi STR
05-Nov-18 27-May-22 503/3475/Kes/2014 1-Jul-14 1-Jul-15
22-Nov-16 1-Jan-17
503/3492/Kes/2014 22-Jul-14 22-Jul-15 Proses SIPP
22-Nov-16 16-Mar-17
10-Nov-17 20-May-22 503/5624/Kes/2014 14-Oct-14 20-May-17
22-Nov-16 27-Dec-18 503/3517/Kes/2014 22-Jul-14 22-Jul-15 Rekomendasi STR
22-Nov-16 2-Aug-18 Rekomendasi STR
20-Nov-17 9-Mar-22
22-Nov-16 10-Apr-17
7-Mar-16 16-Mar-17 Proses SIPP
22-Nov-16 23-Apr-19
503/3502/Kes/2014 22-Jul-14 19-Mar-17 Proses SIPP
Rekomendasi STR
503/3649 06-Nov-08 13-Feb-11
503/3653 06-Nov-08 13-Feb-11 Rekomendasi STR
15-Jun-16 22-Sep-17
503/1451 10-Apr-10 13-Feb-11
503/1366 25-Mar-10 13-Feb-11 Rekomendasi STR

502/3526/Kes/2014 22-Jul-14 22-Jul-15
503/3522/Kes/Kes/2014 22-Jul-14 22-Jul-15 Rekomendasi STR
503/7787/2 28-Mar-11 28-Mar-16
SIPP SIK KET
TGL ED SIK TGL ED
22-Nov-16 17-Jul-18 Rekomendasi STR
503/3485/Kes/2014 1-Jul-14 24-Oct-17
449.2/594/Kes/2015 27-Feb-15 30-Oct-17

22-Nov-16 12-Sep-18 Rekomendasi STR

22-Nov-16 14-Apr-17
30-Nov-16 11-Jan-18 Rekomendasi STR
22-Nov-16 23-Feb-20
22-Nov-16 29-Sep-18
22-Nov-16 13-May-20
22-Nov-16 6-Sep-17
22-Nov-16 3-Apr-18 Rekomendasi STR
26-Oct-17 3-Jan-21
503/672/Kes/2014 17-Feb-14 9-Mar-17
26-Oct-17 14-Apr-21 503/3472/Kes/2014 1-Jul-14 1-Jul-15
26-Oct-17 4-Mar-21
28-Nov-16 21-Nov-20
26-Oct-17 4-Jun-21
SIPP SIK KET
TGL ED SIK TGL ED
28-Nov-16 21-Mar-21

28-Nov-16 20-Jun-17 Proses SIPP
28-Nov-16 21-Jan-19 Rekomendasi STR
28-Nov-16 22-Feb-18 Rekomendasi STR
28-Nov-16 1-Sep-20
503/3457/Kes/2014 1-Jul-14 16-Sep-17
503/4884/Kes/2013 21-Oct-13 31-Dec-17

12-Oct-15 08-Agt-18 Rekomendasi STR
22-Nov-16 21-Aug-17
Rekomendasi STR
449.2/295/Kes/2015 27-Jan-15 23-Sep-18 Rekomendasi STR
Proses SIPP
Rekomendasi STR
Rekomendasi STR
Rekomendasi STR
Rekomendasi STR
Proses SIPP
Proses SIPP
Proses SIPP
SIPP SIK KET
TGL ED SIK TGL ED
Rekomendasi STR
Rekomendasi STR
503/4564 17-Oct-11 03-Nov-15
4-Jan-11 4-Jan-16
503/4570 17-Oct-11 5-May-15
SIPP SIK KET
TGL ED SIK TGL ED
17-May-18 7-Jul-22
DATA SIP DAN STR DOKTER RSUD Hj. ANNA LASMANAH KABUPATEN BANJARNEGARA
STR SIP
NO NAMA DOKTER TGL. STR (MASA NO & TGL REKOMENDASI
NO. STR NO. SIP KE 1 TGL/MASA BERLAKU
BERLAKU) DARI IDI
769/CAB.BNA/A.3/6/2016 TGL.
1 Dr. NUGROHO KURNIANTO, Sp.B 3411101316012459 20 APRIL 2022 33.04/060/016/11/dr./2016 20 APRIL 2022
16 JUNI 2016
773/CAB.BNA/A.3/6/2016 TGL.
2 Dr. MADE YUDHA SATRIA UTAMA, Sp.B 3311101316012553 22 OKTOBER 2021 33.04/060/016/05/dr./2016 22 OKTOBER 2021
16 JUNI 2016
633/CAB.BNA/A.3/11/2015 TGL. 33.04/060/016/7028

3 Dr. WAHYU PRIYATNO, Sp.B 3411101315027418 12 AGUSTUS 2020 12 AGUSTUS 2020
9 NOVEMBER 2015
790/CAB.BNA/A.3/6/2016 TGL.
4 Dr. THOMAS EFENDI, Sp.PD 3411401316012572 23 JANUARI 2022 33.04/060/016/173/dr.Sp/2016 23 JANUARI 2022
28 OKTOBER 2016
772/CAB.BNA/A.3/6/2016 TGL.
5 Dr. EKO PUDJI ANTONO, Sp.S 3411605316012571 20 Juni 2021 33.04/060/016/08/dr./2016 20 Juni 2021
16 JUNI 2016
867/CAB.BNA/A.3/8/2016 TGL. 5 33.04/060/016/125/dr.Sp/2016

6 Dr. FEBI PRAMONO, Sp.Rad 3411503316032749 1 Maret 2022 1 Maret 2022
SEPTEMBER 2016
982/CAB.BNA/A.3/2/2017 TGL. 6 33.04/060/016/035/dr.Sp/2017

7 Dr. SUSANTO RAHMAD NUGROHO, Sp.OG 3411301216105080 9 APRIL 2022 9 APRIL 2022
FEBRUARI 2017
587/CAB.BNA/A.3/8/2015 TGL.
8 Dr. NUNGKY NUGROHO WIBISONO, Sp.OG 3411301315061218 25 MEI 2020 33.04/060/016/4804 25 MEI 2020
10 AGUSTUS 2015
1121/CAB.BNA/A.3/11/2017 TGL. 33.04/060/016/706/dr/2017

9 Dr. SA'ADATUL HURIYAH, M.Sc, Sp.KK 3421602317027381 08 SEPTEMBER 2023 08 SEPTEMBER 2023
28 NOVEMBER 2017
1186/CABANG.BNA/A.3/5/2018
10 Dr. SITI RAKHMAH MUSTIKAWATI, MSc, Sp.An 3421501318027434 20 APRIL 2023 33.04/060/12/25/dr.Sp/2018 20 APRIL 2023
TGL. 16 MEI 2018
576/CAB.BNA/A.3/6/2015 TGL. 6 33.04/060/016/4072

11 Dr. ANDI SURAHMAT, Sp.M 3411603315097275 05 JUNI 2020 5 Juni 2020
JULI 2015
12 Dr. ASTI AYUDIANINGRUM, Sp.M 3121603417007294 4 SEPTEMBER 2022 1025/CAB.BNA/A.3/6/2017 TGL. 33.04/060/016/077/dr.Sp/2017 4 SEPTEMBER 2022
5 JULI 2017
13 Dr. ARIS SUNARDI, Msi.Med, Sp.A 3311201318072559 17 OKTOBER 2023 1193/CAB.BNA/A.3/5/2018 TGL. 33.04/080/12/29/dr.Sp/2018 17 OKTOBER 2023
17 MEI 2018
486/CAB.BNA/A.3/11/2014 TGL. 33.04/060/016/6083
14 Dr. PRIYO BUDI SANTOSA, M.Kes, Sp.A 3311201214027385 14 OKTOBER 2019 14 OKTOBER 2019
8 NOVEMBER 2014
505/CAB.BNA/A.3/1/2015 TGL.
15 Dr. LENY ZABIDI, Sp.A 3321201214027391 19 DESEMBER 2019 33.04/060/016/105 19 DESEMBER 2019
26 JANUARI 2015
1001/CAB.BNA/A.3/3/2017 TGL. 33.04/060/016/041/dr.Sp/2017

16 Dr. DYAH PERWITASARI, MSc, Sp.A 3421201417014200 1 MARET 2022 1 MARET 2022
22 MARET 2017
588/CAB.BNA/A.3/8/2015 TGL.
17 Dr. ELIEN WIHESTIN, Sp.KFR 3121608315027397 18 MARET 2020 33.04/060/016/4802 18 MARET 2020
10 AGUSTUS 2015
492/CAB.BNA/A.3/12/2014 TGL. 33.04/060/016/590

18 Dr. TRINOVIA ANDAYANINGSIH, MSc, Sp.PK 3421502215027440 8 JANUARI 2020 8 JANUARI 2020
9 FEBRUARI 2015
875/CAB.BNA/A.3/9/2016 TGL.
19 Dr. ESTININGTYAS WARDHANI, Sp.Paru 3521604316027399 8 FEBRUARI 2022 33.04/060/016/134/dr.Sp/2016 8 FEBRUARI 2022
14 SEPTEMBER 2016
1046/CAB.BNA/A.3/8/2017 TGL. 33.04/060/016/087/dr.Sp/2017

20 Dr. YUNAN ARDI SOEWIDJI, Sp.THT-KL 3511606417043375 5 JULI 2022 5 JULI 2022
18 AGUSTUS 2017
1176/CABANG.BNA/A.3/3/2018
21 Dr. LAILY DJIHAN, Sp.JP 3521402418048020 29 MARET 2023 33.04/060/016/17/dr.Sp/2018 29 MARET 2023
TGL. 29 MARET 2018
1175/CABANG.BNA/A.3/3/2018
22 Dr. NURHATI FEBRIANI, Sp.GK 3321701418039094 06 FEBRUARI 2023 33.04/060/016/16/dr.Sp/2018 06 FEBRUARI 2023
TGL. 29 MARET 2018
009/PDGI/Cab.Bna/Rekom/X/201 33.04/060/016/169/drg./2016
23 Drg. ETY NURHAYATI 3422100316043099 26 FEBRUARI 2022 26 FEBRUARI 2022
6 TGL. 17 OKTOBER 2016
027/PDGI/CAB.BNA/Rekom/IX/20 33.04/060/15/66/drg/2018
24 Drg. ASTERIA MONIKA 3422100218145136 17 NOVEMBER 2023 17 NOVEMBER 2023
18 TGL.20 September 2018
25 Dr. FARAH HENIYATI 3421100316013090 22 DESEMBER 2021 785/CAB.BNA/A.3/6/2016 TGL. 1 33.04/060/016/206/dr./2016 22 DESEMBER 2021
DESEMBER 2016
27 Dr. DANU KRISBIANTORO WIYONO 3311100317090096 09 DESEMBER 2023 1120/CAB.BNA/A.3/11/2017 TGL. 33.04/060/016/704/dr/2017 09 DESEMBER 2023
27 NOVEMBER 2017
674/CAB.BNA/A.3/1/2016 TGL.
28 Dr. EKO PRASETYO FITRIONO 3311100215101968 5 MARET 2020 33.04/060/016/242 5 MARET 2020
20 JANUARI 2016
676/CAB.BNA/A.3/1/2016 TGL.
26 Dr. LUCY MIRAFRA GANJAR WIJAYA 3311100216118195 1 FEBRUARI 2021 33.04/060/016/244 1 FEBRUARI 2021
20 JANUARI 2016
1145/CAB.BNA/A.3/2/2018 TGL. 33.04/060/016/09/dr./2018
29 Dr. ETIKAWATI SETIANINGRUM 3421100316013106 01 FEBRUARI 2022 01 FEBRUARI 2022
07 FEBRUARI 2018
876/CAB.BNA/A.3/9/2016 TGL.
33 Dr. ADIE BANSTIAN 3311100115152247 28 OKTOBER 2020 33.04/060/016/132/dr./2016 28 OKTOBER 2020
14 SEPTEMBER 2016
575/CAB.BNA/A.3/6/2015 TGL. 6 33.04/060/016/4073

31 Dr. LINA YUNISTIA ARIFANI 3321100114144977 13 SEPTEMBER 2019 13 SEPTEMBER 2019
JULI 2015
1019/CAB.BNA/A.3/4/2017 TGL. 33.04/060/016/061/dr./2017

30 Dr. NOOR EVA DWI NOVITASARI 3321100217121851 4 NOVEMBER 2022 4 NOVEMBER 2022
28 APRIL 2017
1178/CABANG.BNA/A.3/3/2018
35 Dr. RIAYANI SOERIPTO 3421100116159439 26 APRIL 2021 33.04/060/16/20/dr./2018 26 APRIL 2021
TGL. 5 APRIL 2018
1177/CABANG.BNA/A.3/3/2018
34 Dr. RIMANDHIKA ADEK ATMANDIYAH 3321100115155305 16 DESEMBER 2020 33.04/060/016/19/dr./2018 16 DESEMBER 2020
TGL. 5 APRIL 2018
577/CAB.BNA/A.3/6/2015 TGL. 6 33.04/060/016/4074

32 Dr. SULI ASTUTI 3421100114146333 5 DESEMBER 2019 5 DESEMBER 2019
JULI 2015
TEMPAT PRAKTEK KE 1 (nama unit kerja
dan alamat lengkap)
RSUD Hj. Anna Lasmanah Banjarnegara Jl.
Jend. Soedirman No.42 Banjarnegara 53415































DAFTAR SKP DOKTER TA 2017
SKP 2017
NO NAMA DOKTER
ADA TDK
1 Dr. NUGROHO KURNIANTO, Sp.B V
2 Dr. MADE YUDHA SATRIA UTAMA, Sp.B V
3 Dr. WAHYU PRIYATNO, Sp.B V
4 Dr. THOMAS EFENDI, Sp.PD V
5 Dr. EKO PUDJI ANTONO, Sp.S V
6 Dr. FEBI PRAMONO, Sp.Rad V
7 Dr. SUSANTO RAHMAD NUGROHO, Sp.OG V
8 Dr. NUNGKY NUGROHO WIBISONO, Sp.OG
9 Dr. SA'ADATUL HURIYAH, M.Sc, Sp.KK V
10 Dr. SITI RAKHMAH MUSTIKAWATI, MSc, Sp.An V
11 Dr. ANDI SURAHMAT, Sp.M
12 Dr. ASTI AYUDIANINGRUM, Sp.M V
13 Dr. ARIS SUNARDI, Msi.Med, Sp.A V
14 Dr. PRIYO BUDI SANTOSA, M.Kes, Sp.A V
15 Dr. LENY ZABIDI, Sp.A V
16 Dr. DYAH PERWITASARI, MSc, Sp.A V
17 Dr. ELIEN WIHESTIN, Sp.KFR V
18 Dr. TRINOVIA ANDAYANINGSIH, MSc, Sp.PK V
19 Dr. ESTININGTYAS WARDHANI, Sp.Paru V
20 Dr. YUNAN ARDI SOEWIDJI, Sp.THT-KL V
21 Dr. LAILY DJIHAN, Sp.JP
22 Dr. NURHATI FEBRIANI, Sp.GK
23 Drg. ETY NURHAYATI V
24 Drg. ASTERIA MONIKA
25 Dr. FARAH HENIYATI V
26 Dr. LUCY MIRAFRA GANJAR WIJAYA V
27 Dr. DANU KRISBIANTORO WIYONO V

28 Dr. EKO PRASETYO FITRIONO V
29 Dr. ETIKAWATI SETIANINGRUM
30 Dr. NOOR EVA DWI NOVITASARI
31 Dr. LINA YUNISTIA ARIFANI
32 Dr. SULI ASTUTI
33 Dr. ADIE BANSTIAN
34 Dr. RIMANDHIKA ADEK ATMANDIYAH
35 Dr. RIAYANI SOERIPTO

STR, Sipp, Sik 2018

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Daftar STR ED

Pegawai RSUD Hj. Anna Lasmanah Banjarnegara

RUANG PERINATAL NICU

RUANG PERINATAL NICU

RUANG PERINATAL NICU

22-Nov-16 1-Jan-17 Proses SIPP

22-Nov-16 6-Sep-17 Proses SIPP

RUANG PERINATAL NICU

INSTALASI REKAM MEDIS

2 Azizah Nur Khasanah 141452115-0917766 24-Feb-15 12-Sep-20 449.1/11.AK/Kes/2016 28-Nov-16 12-Sep-20

1 Ageng Pamuji 19930519/STRTTK_33/2015/222436 27-Jan-16 19-May-21

1 Adi Suprapto 19600105/STRA-UGM/1986/11590 22 Okt 15 5-Jan-21 4 Des 15 5-Jan-21

18 Aziez Ismunandar 19830104/STRA-UMP/2005/11592 10-Sep-15 4-Jan-21 19830104/SIPA 33.04/2016/10140 11 Okt 16 4-Jan-21

INSTALASI REHAP MEDIS

503/06/DPMPTSP/2018 13-Jul-18 17-May-22

19930519/STRTTK_33/2015/222436 27-Jan-16 19-May-21

449.1/32/DPMPTSP/2018 19-Sep-18 6-Sep-22

503/25/DPMPTSP/2018 9-Jul-18 13-Aug-22

INSTALASI REKAM MEDIS

INSTALASI REHAP MEDIS

RUANG PERINATAL NICU

449:/1858/Kes/2016 7-Apr-16 12-Dec-20

SIPP SIK KET

SIPP SIK KET

22-Nov-16 18-Jul-17 Proses SIPP

503/4575 17-Oct-11 27-Jul-12

449.2/4922.Kes/2014 15-Sep-14 4-Mar-17

503/6980 10-Nov-11 03-Agt-14

503/836/Kes/2014 21-Feb-14 16-Oct-16

22-Nov-16 02-Agt-18 Rekomendasi STR

503/3518/Kes/2014 22-Jul-14 22-Jul-14 Rekomendasi STR

503/3529/Kes/2014 22-Jul-14 22-Nov-17 Rekomendasi STR

SIPP SIK KET

SIPP SIK KET

SIPP SIK KET

SIPP SIK KET

SIPP SIK KET

503/25/DPMPTSP/2018 9-Jul-18 13-Aug-22

449.2/29/DPMPTS/2018 12-Sep-18 11-Jun-22

503/1488 10-Apr-10 1-Feb-12 Rekomendasi STR

503/3469/Kes/2014 1-Jul-14 1-Jul-15 Rekomendasi STR

503/842/Kes/2014 25-Feb-14 25-Feb-15

503/3486/Kes/2014 22-Jul-14 22-Jul-15 Rekomendasi STR

503/3463/Kes/2014 1-Jul-14 10-Mar-17 Proses SIPP

503/3505/Kes/2014 22-Jul-14 22-Jul-15 Rekomendasi STR

449.2/400/Kes/2015 5-Feb-15 11-Agt-18 Rekomendasi STR

503/3515/Kes/2014 22-Jul-14 22-Jul-15 Rekomendasi STR

503/1366 25-Mar-10 13-Feb-11 Rekomendasi STR

503/3527/Kes/2014 22-Jul-14 22-Jul-15 Rekomendasi STR

449.2/594/Kes/2015 27-Feb-15 30-Oct-17

503/1079 10-Mar-09 1-Feb-12 Rekomendasi STR

28-Nov-16 16-Mar-18 Rekomendasi STR

503/3457/Kes/2014 1-Jul-14 16-Sep-17

503/4884/Kes/2013 21-Oct-13 31-Dec-17

503/4564 17-Oct-11 03-Nov-15

633/CAB.BNA/A.3/11/2015 TGL. 33.04/060/016/7028

867/CAB.BNA/A.3/8/2016 TGL. 5 33.04/060/016/125/dr.Sp/2016