TIM PANITIA PELAKSANA KEGIATAN JKN FKTP

TAHUN 2017

NO PUSKESMAS PPTK
1 SUKADIRI dr.Taufit Wirawan 1
NIP.19780901 200801 1 001
Penata Tk I/ III D
2

2 GUNUNG KALER dr. Hj. T U T I 1

NIP. 197507142008012009
Penata Tk I / III d
2

3 BOJONG NANGKA dr.Hj.Salmawati,MKM 1

19720207 200604 2 014
Penata / III c
2

4 KRESEK drg.Rr.Truly Kartikawatie 1

NIP. 196312081993032005
Pangkat/Gol : IV B
2

5 CIKUYA drg.Eko Hartati, MARS 1

NIP.19770619 200801 2 007
Penata Tk.I/III.d
2

3
6 SURADITA dr.Zairin Rambe 1
NIP.19740810 200604 1 004
Penata TK.I/III.d
2

7 BOJONG KAMAL dr.eddy Riris Anita Tarihoran, M.Mkes 1

NIP.19700619 200212 2 003
Pembina /IV.a
2

8 KELAPA DUA dr.Dwi Anita Etikasari 1

NIP.19660124 200212 2 001
Pembina/IV.a
2

9 JAYANTI dr.Endah Dwi Putrianti 1

NIP.19781112 200801 2 009
Penata TK.I/III.d
2

10 PANONGAN dr.Netty M Tambunan 1

NIP.19721116 200012 2 002
Pembina/IV.a
2

11 PAGEDANGAN Hj.Wirahayu, MKM 1

NIP.19641003 198312 2 001

3
12 KOSAMBI dr.A Ruhpedi Yunsa 1
NIP.19750830 200501 1 006
Penata TK.I/III.d
2

13 KEMIRI H. Agus Mulyawan,SKM.MMKes 1

NIP. 19710103 199102 1001
Pangkat/Gol : Penata Tk. I/ III D
2

14 CISOKA H.Rasidi 1

15 JALAN EMAS Dr Hj Meijiwati Balini,MM 1

NIP : 195905171989012001
Pembina /IV A
2

16 PASAR KEMIS dr. Hj. Salwah 1

NIP. 19730727 200701 2 011
Penata Tk.I/ III d
2

17 JAMBE dr R. Astrid Heraline 1

NIP. 19790708 200501 2 012
 Penata Tk.I/III d
2

18 GEMBONG dr. Hj. Sulastri 1

Nip. 19780602 200801 2 017
Penata Tk. I / III.d
2

19 PASIR NANGKA dr. Shelmi Johan 1

19750824 200801 2010

20 TIGARAKSA drg. Farah Segeir 1

NIP. 19740303 200604 2 027

21 SUKAWALI dr hj Linda Fatmawati 1

NIP. 19720419 200604 2 002
Penata Tk 1/IIID
2

22 PASIR JAYA dr. Ai SitiZakiyah 1

19780524 200701 2007

2
23 PAGEDANGAN drg Widya Anggraeni MKM 1
Nip.19600929 198703 2 009
Pembina / IV a
2
ATAN JKN FKTP

PELAKSANA
Anggita Meilia Asriani
NIP.19890516 201101 2 003
Pengatur Tk I/II D
Eka Yuni Astuti
NIP.198406172010012006
Penata Muda/III A

Endang Sri Rahayu,S.Kep.Ners

NIP.19670221 199607 2 001
Penata / III c
Yeti Setiawaty
NIP.19661208 198902 2 001
Penata Tk.I /IIId

Sanah Susilawati
NIP. 198002042008012007
Penata Muda/III A
Nuraini
NIP. 19810310200812008
Penata Muda/III A
A.Suhardi
NIP. 196809201990031006
Penata / III c

Subri
Penata / III c
Penata Muda TK.I/III.b
Dede Diah Nurmala
NIP.19681218 198903 2 002
Penata TK.I/III.d
Sutarno
NIP.19820501 200701 1 004
Lina Herlina
NIP.19700815 199203 2 006
Penata TK.I/III.d
Husnul Khotimah
NIP.19701124 200604 2 005
Pengatur/II.c

Lin Yu Rozana Ellyah, SST

NIP.19700723 199103 2 011
Penata/III.c
Cholilah, AmKeb
NIP.19600406 198303 2 005
Penata TK.I/III.d

drg.Diah Mustika Intani

NIP.19660313 198901 2 002
Penata TK.I/III.d
Rismaniar Oktaviani
NIP.19841020 201001 2 013
Penata Muda/III.a

Herawati
NIP.19750917 200701 2 007
Pangkat dan Golongan ??
Siti Nurlaela, Amd.Keb
NIP.19870607 201001 2 007
Penata Muda TK.I/III.b

Wiwi Widianingsih
NIP.19771214 200801 2 006
Pengatur/II.c
Tedi Kustiadi
NIP.19890418 201101 1 003
Pengatur/II.c

Hj.Siti Masturoh, S.Sos

NIP.19641028 199301 2 001

Hj.Yasmarlis,Amd.Kep
NIP.19780817 200604 2 000

Tuti Herawati, Am.Keb

NIP.19780423 201212 2 001

Sarjiyati
NIP.19741223 200701 2 008
Pengatur TK.I /II.d
Toba Aritonang
NIP.19700510 199103 2 006
Penata TK.I/III.d

Hj. Mulyanah Sri Rahayu

NIP.19710528 199103 2 006
Penata Tk. I/ III D
Raodatul Janah, AmKeb
NIP.19741218 2002 2 003
Penata/ III a
Heti Suherti, AmKeb
Nip. 19770305 200212 2 005
Pengatur / II C

Binsar Lumban Gaol

NIP.19860122201101 1 002
Pengatur TK.I/ II.d
Bd. Netti Novianti
NIP.19791123200801 2 009
Penata Muda / III.a

dr Zairin Rambe
NIP.197408102006041004
Penata Tk I /III D
Nurika Handayani,Amkeb
NIP.197907092008012013
Penata Muda /III A

Siti Syuraningsih, STr.Keb, SKM

NIP. 19680331 198803 2 004
Penata Tk.I/III d
Hj. Ela Sri Mulyani, S.ST
NIP. 19711105 199301 2 002
Penata Tk.I/III d
Nine Mulyanah
NIP. 197611161997022001
Penata Muda/ III. A

H. Mad Yusuf,SIP,MM.Kes
NIP.19720329 199203 1 003
Penata / III.c
Nurhayati
NIP.19660803 198803 2 010
Penata Muda Tk.I /III.b

Suprihatin, Am.Keb
NIP.19731025 200701 2005
Pengatur Tk I/II d
Lena Prasasti, Am.KG
NIP.19850403 201101 2003
Pengatur Tk I/II d

H. Tb. Bisrin Nazmudin, SKM.,M.Kes

NIP.19740210 199503 1 002
Penata / III c
Hj. Parni
NIP.19660804 198803 2 023
Penata TK I / III d
Tati Supriati
NIP.19680310 198903 2 005
Penata / III c

Ropikoh SKM,M,Si
NIP. 19690111 199603 2 003
Penata / IIIC
Hj Kartikawati Am.Keb
NIP. 19700611 199103 2 006
Pengatur Tk I / IID

Suparmi, Sip
NIP.19630703 198409 2002
Penata TK I / III d
drg. Maya Juliati
19770724 201001 2 002
Penata / III c

Bd.Ni Luh Eva S

Nip.197101181990032002
Penata / III C
Eem Maghfiroh
Nip.197903032011012005
Pengatur TK I / II D
 TIM PANITIA PELAKSANA KEGIATAN BOK
TAHUN 2017

NO PUSKESMAS PPTK
1 SUKADIRI dr.Taufit Wirawan 1
NIP.197809012008011001
Pangkat/Gol : Penata / III C
2

2 GUNUNG KALER dr. Hj. T U T I 1

NIP. 197507142008012009
Penata Tk I / III d
2

3 BOJONG NANGKA dr.Hj.Salmawati,MKM 1

NIP.19720207 200604 2 014
Penata / III c
2

4 KRESEK drg.Rr.Truly Kartikawatie 1

NIP. 196312081993032005
Pangkat/Gol : Pembina TK .I/IV B
2

5 CIKUYA drg.Eko Hartati, MARS 1

NIP.19770619 200801 2 007
Penata Tk.I/III.d
2

6 SURADITA dr.Zairin Rambe 1

 NIP.19740810 200604 1 004
Penata TK.I/III.d
2

7 BOJONG KAMAL dr.eddy Riris Anita Tarihoran, M.Mkes 1

NIP.19700619 200212 2 003
Pembina /IV.a
2

8 KELAPA DUA dr.Dwi Anita Etikasari 1

NIP.19660124 200212 2 001
Pembina/IV.a
2

9 JAYANTI dr.Endah Dwi Putrianti 1

NIP.19781112 200801 2 009
Penata TK.I/III.d
2

10 PANONGAN dr.Netty M Tambunan 1

NIP.19721116 200012 2 002
Pembina/IV.a
2

11 PAGEDANGAN Hj.Wirahayu, MKM 1

NIP.19641003 198312 2 001

12 KOSAMBI dr.A Ruhpedi Yunsa 1

NIP.19750830 200501 1 006
 Penata TK.I/III.d

13 KEMIRI H. Agus Mulyawan,SKM.MMKes 1

NIP. 19710103 199102 1001
Penata Tk. I/ III D
2

14 CISOKA H.Rasidi 1

15 JALAN EMAS Dr Hj Meijiwati Balini,MM 1

NIP : 195905171989012001
Pangkat /Gol : Pembina /IV A
2

16 PASAR KEMIS dr. Hj. Salwah 1

NIP. 19730727 200701 2 011
Penata Tk.I/ III d
2

17 JAMBE dr R. Astrid Heraline 1

NIP. 19790708 200501 2 012
Penata Tk.I/III d
2

18 GEMBONG dr. Hj. Sulastri 1

NIP.19780602 200801 2 017
Penata Tk. I / III.d
 2

19 PASIR NANGKA dr. Shelmi Johan 1

NIP.19750824 200801 2010

20 TIGARAKSA drg. Farah Segeir 1

NIP. 19740303 200604 2 027

21 SUKAWALI dr hj Linda Fatmawati 1

NIP. 19720419 200604 2 002
Penata Tk 1/IIID

22 PASIR JAYA dr. Ai SitiZakiyah 1

NIP.19780524 200701 2007

23 PAGEDANGAN 1

2
KEGIATAN BOK
7

PELAKSANA
Anggita Meilia Asriani
NIP.198905162011012003
Pangkat/Gol : Pengatur Tk I/II D
Eka Yuni Astuti
NIP.198406172010012006
Pangkat/Gol : Penata Muda/III A

Endang Sri Rahayu,S.Kep.Ners

NIP.19670221 199607 2 001
Penata / III c
Yeti Setiawaty
NIP.19661208 198902 2 001
Penata Tk.I /IIId

Cica Nurhayati ,Sit

NIP. 197609162008012007
Pelaksana / III A
Zainul Arifin ,AMD
NIP. 1990022112011011001
Pelaksana / II C

Lely Andriani
NIP.19750408 200701 2 011
Pengatur/II.c
Siti Ratnawati
NIP.19690416 199101 2 002
Penata/III.c
Patimah
NIP.19650208 199403 1 007
Penata/III.c

Lina Herlina
NIP.19700815 199203 2 006
Penata TK.I/III.d
Husnul Khotimah
NIP.19701124 200604 2 005
Pengatur/II.c

Lin Yu Rozana Ellyah, SST

NIP.19700723 199103 2 011
Penata/III.c
Cholilah, AmKeb
NIP.19600406 198303 2 005
Penata TK.I/III.d

drg.Diah Mustika Intani

NIP.19660313 198901 2 002
Penata TK.I/III.d
Rismaniar Oktaviani
NIP.19841020 201001 2 013
Penata Muda/III.a

Herawati
NIP.19750917 200701 2 007

Siti Nurlaela, Amd.Keb

NIP.19870607 201001 2 007
Penata Muda TK.I/III.b

drg.Tohiroh
NIP.19790521 201001 2 008
Penata TK.I/III.d
Adithyar Rachman
NIP.19860909 201101 1 003
Pengatur/ II.c

Titin Wiriyantini, Am.Kep

NIP.19750614 201212 2 001

Nurhani Dwi Setiadini, AMKL

NIP.19880925 201001 2 004

Zulis Aini
NIP.19720204 199203 2 006
Penata TK.I/III.d

Ulyati
Nip. 19770607 200604 2033
Pengatur Tk. I/ II d
Syahrin
NIP. 19670806 199203 1 008
Penata Tk. I / III d

Binsar Lumban Gaol

NIP.19860122201101 1 002
Pengatur TK.I/ II.d
Bd. Netti Novianti
NIP.19791123200801 2 009
Penata Muda / III.a

Sulastri
NIP.197104211992032007
Penata Tk I /IIId
Chaerun Nysa,Amkeb
NIP : 198608022011012001
Penata Muda/IIIa
Elmi Rosita ,Amkeb
NIP.197303031993012001
Penata Tk 1/III D

H. Ade Dahyani, SKp

NIP. 197205062003121002
Penata/III c
Yuliyanti
NIP. 197411032007012004
Pengatur Tk.I/II D

Ela Sulastri, S.ST

NIP. 19770712 200801 2 015
Penata Muda/ III. A
Rita Haerani
NIP. 196903221993122001
Penata/ III. C
Siti Hodijah, Am.Keb
NIP.19850112 201101 2003
Pengatur Tk I/II d
Nurul Yuniati, SKM
NIP.19860621 201101 2006
Penata Muda Tk I/III b

Siti Kodiyah
NIP.19851017 201101 2006
Penata Muda / III a

Suparmi, Sip
NIP.19630703 198409 2002
Penata Tk 1/III D
Entur Suripto
NIP.19770601 201001 1 010
Penata Muda / III a
 TIM PANITIA PELAKSANA KEGIATAN JAMPERSAL
TAHUN 2017

NO PUSKESMAS PPTK
1 SUKADIRI dr.Taufit Wirawan 1
NIP.197809012008011001
Pangkat/Gol : Penata Tk I/ III D

2 GUNUNG KALER dr. Hj. T U T I 1

NIP. 197507142008012009
Penata Tk I / III d

3 BOJONG NANGKA dr.Hj.Salmawati,MKM 1

19720207 200604 2 014
Penata / III c
2

4 KRESEK drg.Rr.Truly Kartikawatie 1

NIP. 196312081993032005
Pangkat/Gol : Pembina TK .I/IV B
2

5 CIKUYA Rina Ristiyani, S.Si.T 1

NIP.19730626 199203 2 002
Penata TK.I/III.d
2

6 SURADITA dr.Zairin Rambe 1

NIP.19740810 200604 1 004
Penata TK.I/III.d
2

7 BOJONG KAMAL dr.eddy Riris Anita Tarihoran, M.Mkes 1

NIP.19700619 200212 2 003
Pembina /IV.a
 2

8 KELAPA DUA dr.Dwi Anita Etikasari 1

NIP.19660124 200212 2 001
Pembina/IV.a
2

9 JAYANTI dr.Endah Dwi Putrianti 1

NIP.19781112 200801 2 009
Penata TK.I/III.d
2

10 PANONGAN dr.Netty M Tambunan 1

NIP.19721116 200012 2 002
Pembina/IV.a
2

11 PAGEDANGAN Hj.Wirahayu, MKM 1

NIP.19641003 198312 2 001

12 KOSAMBI dr.A Ruhpedi Yunsa 1

NIP.19750830 200501 1 006
Penata TK.I/III.d
2

13 KEMIRI H. Agus Mulyawan,SKM.MMKes 1

NIP. 19710103 199102 1001
Pangkat/Gol : Penata Tk. I/ III D
2
14 CISOKA H.Rasidi 1

15 JALAN EMAS Dr Hj Meijiwati Balini,MM 1

NIP : 195905171989012001
Pangkat /Gol : Pembina /IV A

16 PASAR KEMIS dr. Hj. Salwah 1

NIP. 19730727 200701 2 011
Penata Tk.I/ III d
2

17 JAMBE dr R. Astrid Heraline 1

NIP. 19790708 200501 2 012
Penata Tk.I/III d
2

18 GEMBONG dr. Hj. Sulastri 1

Nip. 19780602 200801 2 017
Penata Tk. I / III.d

19 PASIR NANGKA dr. Shelmi Johan 1

19750824 200801 2010

20 TIGARAKSA drg. Farah Segeir 1

NIP. 19740303 200604 2 027
 2

21 SUKAWALI dr hj Linda Fatmawati 1

NIP. 19720419 200604 2 002
Penata Tk 1/IIID

22 PASIR JAYA Dr. Ai SitiZakiyah 1

19780524 200701 2007

23 PAGEDANGAN 1

2
AN JAMPERSAL

PELAKSANA
Hj.Ida Herawati
NIP.198103062007012010
Pangkat/Gol : Penata Muda Tk I / III B

Endang Sri Rahayu,S.Kep.Ners

19670221 199607 2 001
Penata / III c
Yeti Setiawaty
19661208 198902 2 001
Penata Tk.I /IIId

Cica Nurhayati ,Sit

NIP. 197609162008012007
Pangkat/Gol : Pelaksana / III A
Nama : Zainul Arifin ,AMD
NIP. 1990022112011011001
Pangkat/Gol : Pelaksana / II C

Hj.Ida Rosyida
NIP.19790824 201212 2 001
Pengatur muda/II.a
Enok Siti Marhamah
NIP.19601004 198105 2 001
Penata TK.I/III.d

Lina Herlina
NIP.19700815 199203 2 006
Penata TK.I/III.d
Husnul Khotimah
NIP.19701124 200604 2 005
Pengatur/II.c

Lin Yu Rozana Ellyah, SST

NIP.19700723 199103 2 011
Penata/III.c
Cholilah, AmKeb
NIP.19600406 198303 2 005
Penata TK.I/III.d

drg.Diah Mustika Intani

NIP.19660313 198901 2 002
Penata TK.I/III.d
Rismaniar Oktaviani
NIP.19841020 201001 2 013
Penata Muda/III.a

Herawati
NIP.19750917 200701 2 007

Siti Nurlaela, Amd.Keb

NIP.19870607 201001 2 007
Penata Muda TK.I/III.b

Erina Nur'afni
NIP.19800410 200801 2 010
Penata Muda/III.a
Aan Minsari
NIP.19690116 199102 2 002
Penata TK.I/III.d

Purnawati.H, Am.Keb
NIP.19710109 199303 2 008

Neneng Hasanah, S.kep, Ners

NIP.19830810 200801 2 007

Sarjiyati
NIP.19741223 200701 2 008
Pengatur TK.I /II.d
Toba Aritonang
NIP.19700510 199103 2 006
Penata TK.I/III.d
Binsar Lumban Gaol
19860122201101 1 002
Pengatur TK.I/ II.d
Bd. Netti Novianti
19791123200801 2 009
Penata Muda / III.a

Dewi Fortuna
NIP. 19770515 200801 2 047
Penata Muda/ III A
Tety Mulyani
NIP. 196208231983032007
Penata tk. I /IIId
Suburniati Ndruru, SKM
NIP. 198709022011012009
Penata / III C

Ela Sulastri, S.ST

NIP. 19770712 200801 2 015
Penata Muda/ III. A
Sri Kurniasih, Amd.Keb
NIP. 197412302007012009
Pengatur/ III. C

Heni Nurhasanah, S.ST. Keb

19751110 200701 2019
Penata Muda/III a
Hj. Badriah, S.Tr.Keb
19750405 200701 2005
Penata Muda/III a

Hj. Sartika
19720131 199301 2 002
Penata / III c
Iyos Rosmawati SST
19771216 200501 2 010
Penata Muda / III a

Suparmi, Sip
NIP.19630703 198409 2002
III.D
Nurbaeti
19701222 199103 2 004
III.D
NO FKTP
KETUA

1 SUKADIRI DI ISI DINAS

2 GUNUNG KALER

3 BOJONG NANGKA

4 KRESEK

5 BOJONG KAMAL

6 CIKUYA

7 SURADITA

8 BOJONG KAMAL

9 KELAPA DUA

10 JAYANTI

11 PANONGAN

12 PAGEDANGAN

13 JALAN EMAS
14 KEMIRI
 TIM PEMERIKSA BARANG DAN JASA/
PENERIMA HASIL PEKERJAAN BELANJA NON OBAT

TIM PENERIMA HASIL PEKERJAAN BELANJA DPA FKT

SEKRETARIS

Siti Hudriyah
NIP.196410151986032007
Pangkat/Gol : Penata muda/IIIB
Yusup Sutaryat
NIP. 196507021989031006
Penata Muda Tk I / III b

Yustin Aryani
NIP.19740604 199803 2 003

Aan Minsari
NIP.19690116 199102 2 002
Penata TK.I/III.d
Neneng Hasanah, S.Kep, Ners
NIP.19830413 198903 1 007

Nama : Chaerun Nysa,Amkeb

NIP : 198608022011012001
Pangkat /Gol : Penata Muda/IIIa
Waesul Qurni,AmKep
NIP. 19700707 199403 1 007
Pangkat/Gol : Pengatur / II c
M PEMERIKSA BARANG DAN JASA/
A HASIL PEKERJAAN BELANJA NON OBAT

TIM PENERIMA HASIL PEKERJAAN BELANJA DPA FKTP

ANGGOTA
(1)

Nama ; Syahril
NIP : 196511101986031017
Pangkat/Gol : Penata Muda Tk I /III B
Aat Samhudi
Nip. 19671202 199003 1 002
Pangkat/Gol : Penata Tk. I / III d
DPA FKTP
ANGGOTA
(2)
Suharta
NIP.196707111989011004
Pangkat/Gol : Penata Tk I/IIID
dr. Evi Yuliani Lestiawati
NIP. 197907042014112001
Penata Muda Tk I / III b

Hotimah
NIP.19730821 199603 2 003
Penata muda TK.I/III.b

drg.Tohiroh
NIP.19790521 201001 2 008
Penata/III.c
Warid, SKM
NIP.19680413 198903 1 007

Nama : H.Eli Jumaeli, AmKG

NIP : 196612061989031006
Pangkat/Gol :Penata Tk I / III D
Syahrin
Nip. 19670806 199203 1 008
Pangkat/Gol : Penata Tk. I / III d
 (3)
Ningrum Solihati
NIP.197208212007012010
Pangkat/Gol : Pengatur / II C
Yeni Safitri
NIP. 197008121992032003
Penata Muda / III b

Paetomah
NIP.19750209 200701 2 001
Pengatur Muda TK.I/II.b

Zenal Mutakin
NIP.19720924 199402 1 001
Penata/III.c
Neng Itoh, Am.Keb
NIP.19770308 201212 2 001

Nama : Marinsyafia Helingsih

NIP : 197008191992032004
Pangkat : Penata /III C
NO FKTP
KETUA

1 PANONGAN
DIISI DARI DINKES

2 JALAN EMAS
DIISI DARI DINKES

3 KEMIRI
DIISI DARI DINKES

YANG LAIN SILAHKAN DIAJUKAN

 TIM PEMERIKSA BARANG DAN JASA/
PENERIMA HASIL PEKERJAAN BELANJA OBAT

TIM PENERIMA HASIL PEKERJAAN BELANJA DPA FKT

SEKRETARIS

Nunung
NIP.19650524 199203 2 005
Penata TK.I/III.d

Nama : Anton Timur J., Ssi. Apt.

NIP : 1981050720010011007
Pangkat : Penata Tk I /IIId

Waesul Qurni,AmKep
NIP. 19700707 199403 1 007
Pangkat/Gol : Pengatur / II c
 TIM PEMERIKSA BARANG DAN JASA/
NERIMA HASIL PEKERJAAN BELANJA OBAT

TIM PENERIMA HASIL PEKERJAAN BELANJA DPA FKTP

ANGGOTA
(1)
Rismanita Banjarnahor
NIP.19670224 199203 2 005
Penata TK.I/III.d

Nama ; Elmi Rosita ,Amkeb

NIP.197303031993012001
Pangkat/Gol : Penata Tk 1/III D

Aat Samhudi
Nip. 19671202 199003 1 002
Pangkat/Gol : Penata Tk. I / III d
DPA FKTP
ANGGOTA
(2)

Nama : Wawan setiawan, AmKep.

NIP : 19880108 201101 1002
Pangkat/Gol :Pengatur Tk I / II D

Syahrin
Nip. 19670806 199203 1 008
Pangkat/Gol : Penata Tk. I / III d
/ III B
 (3)

Nama : H.Eli Jumaeli, AmKG

NIP : 196612061989031006
Pangkat/Gol :Penata Tk I / III D

Nama
NIP.
Pangkat/Gol :
TIM BLUD PUSKESMAS

NO PUSKESMAS KPA

1 BALARAJA drg.LELY ARYUNI

NIP.19620610 198712 2 002/IV.A
drg.H.TARIS SYAHRUL ALAM.MM
2 CIKUPA
NIP.19640310 199212 1001/IV.A

3 CURUG dr.H.ACHMAD MUCHLIS, MARS

NIP.19720130 200604 1 009/III.D

4 KUTABUMI drg.CH HANDAR MUJATI

NIP.19670101 199303 2 010/IV.A

5 KRONJO dr.MUHAMMAD FARIDZI FIKRI

NIP.19810118 200902 1 002/III.C

6 MAUK dr.DAVID SETIAWAN

NIP.19720114 200604 1010/III.D

7 RAJEG PRI HELGA ISMIATI, SKM, MKM

NIP.19690912 199302 2 002/IV.A

8 SEPATAN Dr.ELNI HANDAYANI

NIP.19780826 200701 2 006/III.D
dr.RADIANTI BULAN MERLIANA
9 SINDANG JAYA TOBING
NIP.19780325 200604 2 007/III.D
dr.DICKY SOEGIHARTO
10 TELUK NAGA NIP.19721220 200212
1 002/III.D
 BENDAHARA BLUD
DEWI APRIANI, SSIT
NIP.19810405 200801 2 010/III.A
IIS AISAH, SST.Keb
DEASI SAGITA, STR.Keb
NIP.19761205 200801 2 009/II.C
DJUWARSIH NIP.19751010
201406 2 002/II.C
SUGIYARNI, Amd.KG NIP.19860204
201101 2 003
SAMSUL HAKIM, AMD.Kep
NIP.19801016 201407 1 002/II.C
SRI ROSNAENI NIP.19780612
200801 2 014/II.B
KENYO AYU YUNIASTANTI
NIP.19730624 199203 2 003/III.D
NENENG SUHAERIAH NIP.19860703
201001 2 009/II.D
SUDARSIH, SST NIP.19760507
200212 2 004/III.A
Hj.AAL LAELA NUALIYAH, SKM
NIP.19811001 200501 2 010/III.B
BENDAHARA PENGELUARAN
YENI SUSIANI, AMKG NIP.19680414
198901 2 002/III.D
NIP.19710326
200701 2 006/III.A
AAN HANDAYANI, AM.Keb
NIP.19731227 199301 2 003/III.C
EPA YOHANTI,AM.Kep NIP.19800505
200212 2 010/III.C
HJ.WATI, SST.Keb
NIP.19740504 200212 2 003/III.A
TATI ASMARAWATI
NIP.19680505 199103 2
YENNY SOPHIASARI
014/III.D
NIP.19780731
DEWI ROSMAWATI200801 2 008/II.C
NIP.19760107 199703 2 001/III.C
IYAH ANDRIYANA, AM.Keb
NIP.19700701 199003 2 004/III.D
JULIASIH
NIP.19630714 198402 2 001/III.D
 PPTK PPK

YAYAH ROSIANA DEWI, SST JUNIARSIH, SST

NIP.19730516 200701 2 005/III.A NIP.19730612 199302 2 005/III.D

SUGIYARTO, SKM, MKM NIP.19670405

198703 1 006/III.D
dr.SITI SALMAH
RIZKI KHAIRI AMALIA, SKM NIP.19741030
NIP.19851129 201101 2 002/III.B 200801 2 010/III.C
drg.JUWITA PRIYANASARI ASMAH, SKM, MKM NIP.19710604
NIP.19830806 201001 2 006/III.C 199803 2 005/III.D
MARDIANA, S.St dr.DWIYANTO
NIP.19780103 200604 2 008/ NIP.19760110 200801 1 011/

Catatan: JUMLAH PELAKSANA DISESUAIKAN D

 PELAKSANA

MLAH PELAKSANA DISESUAIKAN DENGAN DPA