FORMULIR MONITORING SDMK

TAHUN 2018

PUSKESMAS : AMONDO
KECAMATAN : PALANGGA SELATAN

STATUS STR
NO NAMA TENAGA JENIS PROFESI
KEPEGAWAIAN NOMOR TANGGAL BERLAKU S.D TANGGAL
1 SUSMAN SJARIF, S.KM.,M.Kes MANAJEMEN KESEHATAN PNS
2 MULYATI, S.KM KESMAS PNS 2921621150954255 5/25/2015 22/04/2020
3 MASWIYAH, S.KM KESMAS PNS 2901522171357283 7/28/2017 25/12/2022
4 MUH. ARSIL TONGASA, S.KM KESMAS PNS 2921611151007122 10/7/2015 6/17/2020
5 ASNENI, S.ST GIZI PNS 2909522182219269 6/29/2018 29/10/2023
6 MARDIANA, S.Kep PERAWAT PNS 2901222171322891 20/04/2017 16/07/2020
7 DELIANA PERAWAT PNS 2901222171322890 04/20/2017 16/07/2020
8 RAMLI, AMK PERAWAT PNS 2901511161103870 2/16/2016 12/07/2021
9 HINDI YUNITA,AM.Keb BIDAN PNS 2902521140763991 8/7/2014 10/16/2019
10 NOVITA SAFITRI, AM.Keb BIDAN PNS 2902522181558835 5/18/2018 9/9/2023
11 IRMA ROSANTI,AM.Keb BIDAN PNS 2902521140763894 7/8/2014 23/02/2019
12 ASNIAR, AM.Keb BIDAN PNS 2902521140763896 7/8/2014 15/07/2019
13 ASRIANI,AM.keb BIDAN PNS 2902521140763891 7/8/2014 04/08/2019
14 WA ODE ASNAWATI,AM.Keb BIDAN PNS 2902521140763897 7/8/2014 19/02/2019
15 SELVIANI,AM.keb BIDAN PNS 2902521140763895 08/07/2014 23/05/2019
16 SITI BULQIS,A.Md.keb BIDAN PNS 2902521140763892 8/7/2014 20/09/2019
17 FITRIA RAMADHANTI, AM. Keb BIDAN PNS 2902522171311305 3/13/2017 04/04/2022
18 dr. OVAN WEKAWULADANA DOKTER UMUM NS 7311100114142826 12/02/2014 12/02/2019
19 ASTRIANI ASRA, A.Md.A.K ANALIS NS 2914521182288430 11/04/2018 24/06/2023
20 dr. IRHAM DOKTER UMUM TKD 7311100118180270 14/03/2018 27/02/2024
21 Drg. DEVI HARDIASTUTI, S DOKTER GIGI TKD 3422100118194650 13/01/2018 13/12/2023
22 JULIANA, AMAK ANALIS TKD 2914521162016594 2/13/2017 15/08/2021
23 Ns. NURHAYATI, S.Kep PERAWAT TKD 2901721172149630 10/17/2017 20/01/2022
24 ZULVICHAR, A.md. Farm FARMASI TKD 19940818/STRTK_74/2015/1188 10/29/2015 8/18/2020
25 NUR AMALIA WULEHO, S.Si, Apt APOTEKER TKD 19951009/STRA-UNHAS/2017/252015 10/12/2017 10/9/2022
26 JUMRIADIN, AMK PERAWAT PHTT 2901511140800717 10/09/2014 30/06/2019
27 HERLIANTI, AMK PERAWAT PHTT 2901522171322700 20/04/2017 22/10/2018
28 NURFADILLAH, AMK PERAWAT PHTT 2901521162007630 10/6/2016 11/08/2021
29 NURLAELA, AM. Keb BIDAN PHTT 2902521150891122 1/30/2015 13/02/2020
30 INDRIANI, AM. Keb BIDAN PHTT 2902521140769118 12/12/2014 07/06/2019
31 ANITA, Amd.Keb BIDAN PHTT 2902521171357400 7/28/2017 08/03/2022
32 TITIN SRI HASTUTI, Amd. Keb BIDAN PHTT 2902521171358115 7/28/2017 22/04/2022
33 EVALIANA, Amd keb BIDAN PHTT 2902521151039158 30/09/2015 18/04/2020
34 SUKMAYANTI, A.Md.Keb BIDAN PHTT 29025211612390030 05/09/2016 07/05/2021
35 IRMAYANTI, Am. Keb BIDAN PHTT 2902521161236068 05/09/2016 10/07/2021
36 FITRIANI, Am. Keb BIDAN TKS 2802521151002822 01/07/2015 04/07/2020
37 HARDIANA,Amd.Gz GIZI TKS 2909521182219347 1/29/2018 03/02/2023
38 RIA HARJUNITA, AM. Keb BIDAN TKS 2902521140798682 10/10/2014 19/06/2019
39 SULFIANITA, S.ST BIDAN TKS 2902521172114363 02/09/2017 07/11/2022
40 TUTI MELIANTI, AMKG PERAWAT GIGI TKS 2904521172046572 06/03/2017 06/06/2022
41 NURUL IZZATUL JANNA, Amd.Keb BIDAN TKS 290252118232119 07/06/2018 22/06/2023
42 VIKA SARI, Amd KOMPUTER TKS - - -
43 MARWAH,Amd.Kep PERAWAT TKS - - -
44 Ns.KURNIAWAN,S.Kep PERAWAT TKS - - -
45 AYU ASHARI,Amd.Keb BIDAN TKS - - -
46 ASPIANI,Amd.Keb BIDAN TKS - - -
47 MIDZULQAIDAH,Amd.Keb BIDAN TKS - - -
48 DANAWIA, S.KM KESMAS TKS - - -
49 PERIANI, S.Kep PERAWAT TKS - - -
50 HERLIANTI, Amd.Keb BIDAN TKS - - -
51 NURHAKIKI, Amd.Kep PERAWAT TKS - - -
52 RISMA YUNUS, Amd.Keb BIDAN TKS - - -
53 HERNAWATI, SKM KESLING TKS - - -
54 NIRMA RATNA NIGSIH, Amd.Gz GIZI TKS - - -
55 ATMA SURI, AMKL KESLING TKS - - -
56 RINA MARIANI, Amd.Keb BIDAN TKS - - -
57 YUSLIANTI, Amd.Keb BIDAN TKS - - -
58 RIA, Amd.Keb BIDAN TKS - - -
 SIP
KETERANGAN
NOMOR TANGGAL BERLAKU S.D TANGGAL
TIDAK ADA STR
7405-6-04-034-0520-SIP/2017 7/24/2017 5/25/2020
;7405-3-01-046-1222-SIPP/2018 6/30/2018 25/12/2022
440/LAKMI/12/IX/2016 09/09/2016 6/17/2020
TIDAK ADA SIKG
7405-3-01-066-0720/SIP/2017 14/08/2017 15/07/2020
7405-3-01-014-0720-SIPP/2018 06/04/2018 16/07/2020
7405-3-01-15-0721-SIPP/2018 21/03/2018 15/07/2021
440/SIB-099/IV/2015 27/04/2015 15/10/2019
7405-4-01-090-1123-SIPB/2018 01/08/2018 09/09/2023
440/SIB-090/IV/2015 27/04/2015 29/02/2019
440/SIB-103/IV/2015 24/04/2015 15/06/2019
440/SIB-106/IV/2015 24/04/2015 08/08/2019
440/SIB-104/IV/2015 24/04/2015 19/02/2019
440/SIB-105/IV/2015 24/04/2015 5/23/2019
440/SIB-122/V/2015 5/4/2015 20/09/2019
440/SIB-091/IV/2015 4/13/2017 04/04/2017
7405-1-01-017-0215-SIP/2018 12/11/2018 12/02/2019
7405-8-03-011-0623-SIP-ATLM/2018 05/11/2018 24/06/2023
7405-1-01-026-0224-SIP/2018 05/04/2018 27/02/2014
7405-1-01-034-1223/SIP/2018 09/04/2019 12/13/2023
7405-8-03-004-0821-SIK/2017 2/13/2017 8/15/2021
7405-3-02-010-0122/SIPP/2018 21/02/2018 20/01/2022
TIDAK ADA SIP
TIDAK ADA SIP
440/SIK-0111/IV/2015 27/04/2015 6/30/2019
7405-3-01-011-1022/SIPP/2018 21/02/2018 10/22/2022
7405-3-01-012-0821/SIP/2018 21/02/2018 8/11/2021
440/SIB-100/IV/2015 27/04/2015 03/13/2020
440/SIB-097/IV/2015 8/12/2014 07/06/2019
7405-4-01-100-0322/SIP/2017 12/14/2017 03/08/2022
7405-4-01-103-0423/SIP/2017 12/14/2017 04/29/2022
440/SIKB/165/XII/2016 12/6/2016 04/18/2020
440/SIKB/169/XII/2016 05/09/2016 5/7/2021
440/SIKB/170/XII/2016 12/29/2016 7/10/2021
7405-4-01-104-0620/SIP/2017 12/14/2017 7/4/2020
BELUM ADA
440/SIB-096/IV/2015 4/27/2015 6/19/2019
TIDAK ADA SIKB
BELUM ADA
BELUM ADA
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- - - TIDAK ADA STR
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