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  • Form STR-SIP Dokter

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    1. This document lists the names of 15 doctors, their registration status (full time or part time), registration and practice license numbers, and expiration dates. 2. The doctors have registration numbers from the Indonesian Medical Council and licenses to practice from the local health office. 3. Their licenses are valid for 1-3 years according to their expiration dates.

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    Form STR-SIP dokter (1).docx

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    1. This document lists the names of 15 doctors, their registration status (full time or part time), registration and practice license numbers, and expiration dates. 2. The doctors have registration numbers from the Indonesian Medical Council and licenses to practice from the local health office. 3. Their licenses are valid for 1-3 years according to their expiration dates.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    36 views2 pages

    Form STR-SIP Dokter

    Uploaded by

    heriiskandar
    1. This document lists the names of 15 doctors, their registration status (full time or part time), registration and practice license numbers, and expiration dates. 2. The doctors have registration numbers from the Indonesian Medical Council and licenses to practice from the local health office. 3. Their licenses are valid for 1-3 years according to their expiration dates.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    DAFTAR DOKTER RS …………………

    Bulan …………………………… Tahun………………………….

    Penjelasan : FT = Full Time/doktertetap/pegawai ; PT = Part Time/doktertamu

    No Nama dokter Status Surat Tanda Registrasi Surat ijin praktik Keterangan
    FT/PT* (STR) (SIP)
    No Berlaku No Berlaku
    sampai : sampai :
    1 Dr. Handri Irawan, MMRS FT 341110031603735 18/10/202 440/318.1/SIP/429.114/IX/2016 18/10/202
    0 1 1
    2 Dr. Hj. Triana Helmawati,MMR FT 342110021510791 13/01/202 076-2/SIP/429.114/VII/2014 13/01/202
    3 0 0
    3 Dr. Shinta Ayu Koerniawaty FT 312110011313632 18/11/201 68.1/SIP/429.114/IX/2015 18/11/201
    6 8 8
    4 Drg. Anandya Yopi Prastama FT 351210011415687 18/11/201 440/1914.2/SIP/429.114/X/2016 18/11/201
    8 9 9
    5 Dr. Nur Wahid P`T 351110011213564 10/10/201 440/1498.1/SIP/429.114/IV/2016 10/10/201
    6 7 7
    6 Dr. Arfis Syifa’i PT 161110021611651 10/01/202 440/1972.3/SIP//429.114.II/2017 10/01/202
    9 1 1
    6 Dr. Neni Destriana FT 162110011414165 13/06/201 440/1390.2/SIP/429.114/II/2016 13/06/201
    2 9 9
    7 Dr. Nur anis agustina PT 512110021510837 27/04/202 23.2/SIP/429.114/IV/2015 27/04/202
    0 0 0
    8 Dr. Sri Redjeki, Sp.A PT 352120131603717 09/05/202 440/1953.3/SIP/429.114/X/2016 09/05/202
    5 2 2
    9 Dr. Arwin Achijar, Sp.PD PT 351140131601792 01/03/202 440/1579.3/SIP/429.114/V/2016 01/03/202
    2 2 2
    10 Dr. Hertoro Prayitno, Sp. M PT 341160331703730 24/04/202 440/511.3/SIP/429.114/IV/2017 24/04/202
    7 2 2
    11 Dr. Zaenal Arifin, Sp. Og PT 351130131603730 19/04/202 440/1957.1/SIP/429.114/XII/2016 19/04/202
    8 2 2
    12 Dr. Arif Dharmawan, Sp.B PT 341110121409194 30/04/201 067-3/SIP/429.114/VII/2014 30/04/201
    6 9 9
    13 Dr. I Dewa Gedi Tresna PT 511150131510004 09/06/202 440/688.3/SIP/429.114/IX/2016 09/06/202
    Rismantara, M. Biomed 4 0 0
    14 Dr. Nolly Kiki aditya, Sp. OT PT 351110331609966 09/01/202 440/1731.3/SIP/429.114/XII/2016 09/01/202
    4 2 2
    15 Dr, Selamat Widodo, Sp.Og PT 341130131707804 28/06/202 440/2341.1/SIP/429.114/II/2017 28/06/202
    8 2 2

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