PRESENSI

RUMAH SAKIT GIGI DAN MULUT

UNIVERSITAS AIRLANGGA
HARI/TANGGAL : .............................................................................
LOKASI : .............................................................................
KEGIATAN : .............................................................................

NO. NAMA DEPARTEMEN TTD

1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10
11
11
12
12
13
13
14
14
15
15
16
16
17
17
18
18
19
19
20
20
21
21
22
22
23
23
NO. NAMA DEPARTEMEN TTD
24
24
25
25
26
26
27
27
28
28
29
29
30
30
31
31
32
32
33
33
34
34
35
35
36
36
37
37
38
38
39
39
40
40
41
41
42
42
43
43
44
44
45
45
46
46
47
47
48
48
49
49
50
50
NO. NAMA DEPARTEMEN TTD
51
51
52
52
53
53
 PRESENSI
RUMAH SAKIT GIGI DAN MULUT
UNIVERSITAS AIRLANGGA

HARI/TANGGAL : Senin, 17 Januari 2019

LOKASI : Ruang Rapat Direktur RSGM UNAIR
KEGIATAN : Rapat Koordinasi RSGM- RSUD Soetomo

NO NAMA NIP
1

10

11

12

13

14

15
SGM UNAIR
- RSUD Soetomo

TTD
 HARI/TANGGAL : ..........................................................................
LOKASI : ..........................................................................
KEGIATAN : ..........................................................................

NO NAMA NIP
1

10

11

12

13

14

15

16

17

18

19

20
NO NAMA NIP
21

22

23

24
..................................
..................................
..................................

TTD
TTD
No. Nama NIP
1 Sumardiyano 196206271981031003
2 Taswati 196210291981032001
3 Kaswandi 196505022008101001
4 Tukijan 196511161988031004
5 Trijono Basoeki,S.Sos. 196601031990031001
6 Janji Santoso 196601171987021001
7 Romlah 196609271991032002
8 Moch.Qosim 196710292001121001
9 Fandy Kusjanto, SE 196612221990031001
10 Simpen 196804191989032001
11 Fajarin Nova, drg., Sp.KG 196907092008102001
12 Cicilia Sri Pudjiastutik 197007101990032001
13 Slamet Wahyudi 197102012008101001
14 Hermin 197305202007012001
15 Choirul 197507142007011003
16 Agung Ariesta, SE 197602012010121005
17 Hilmi Afandi 197607092009101001
18 Supri Yuliani 197607212007012001
19 Kristiningsih 197704122008102001
20 Ari Handaru 197707132007101002
21 Didiet Ardrianto 197712142009101002
22 Tinike Dwi Mardiana 197803062007012002
23 Indah Ismawati,A.Md.Kesgi 197808182008102001
24 Oktiana Zumaroh,A.Md. 197810122003122002
25 Vida Purwanti 197903062008102001
26 Hendra Jaya,A.Md.TEM 197903312008101002
27 Adi Suprapto 197906182008101001
28 Linda Mardianti,A.Md.Kesgi 198002162008102001
29 Achmad Muzakki 197804102014091004
30 Mardianto,A.Md 198403092015041001
31 Ika Indrayani,A.Md 198603012015042004
32 Citra Ayu Radita Furry,A.Md. 198710102015042002
33 Nuriyah Firda,A.Md 198901092015042001
34 Tri Vina Winda Apriliana,A.Md 198904132015042005
35 Uciek Lailiya Maziddah,A.Md.PK. 199106192015042002
36 Siti Nur Syaadah,A.Md 199107102015042003
37 Bustanil Haris,A.Md 199108152015041001
38 Dena Amilyyah Sari,A.Md 199109062015042002
39 Ricca Gunawan,A.Md 199109172015042002
40 Warakanya Parahita,A.Md.PK. 199111152015042001
41 Lina Dwi Ratnawati,A.Md 199203302015042001
42 Riska Ziyan Farodis,A.Md 199207162015042002
43 Sulfiany,A.Md 199312132015042001
44 Noer Farida Puspawati, A.Md 198306302018013201
45 Chairul Handono, S.KM. 198304092018013101
46 Yuyun Mujayati, A.Md. 197908132018013201
47 Marina Surya Airlangga,S.A 198803282018013201
48 Anang Lukmanul Khakim,A.Md. Kg 198205242018013101
49 Ana Fitriyah,A.Md. Kesgi 198805292018013201
50 Sari Khusniyati,A.Md. Kesgi 198902102019013201
51 Yonex Wijayanto,A.Md.Kesgi 198711142018013101
52 Bety Septaviana Fajria,A.Md 198709102018013201
53 Djoko Widodo 197601072018035101
54 Rony Surya Darma 197508162018035101
55 Nuril Hanifah, A.Md 198510242018035201