PEMERINTAH KABUPATEN BANYUWANGI

DINAS KESEHATAN
UPTD PUSKESMAS WONOSOBO
JL.Raya Srono No 78, Wonosobo Srono
Telp. ( 0333 ) 399233 Email: pkmwonosobo19@gmail.com, kode Pos 68471
Kepada Yth :
Nomor : 800/ 2639 /429.112.20/2020 Kepala Dinas Kesehatan
Sifat : Penting Banyuwangi.
Lampira : 1 Di
n BANYUWANGI
Perihal : Pengajuan Jadwal Work
Form Home (WFH)
Banyuwangi, 14 September 2020

Menindaklanjuti surat dari Dinas Kesehatan Kabupaten

Banyuwangi Nomor 800/8950/429.112/2020 Perihal Work From Home
(WFH), maka dari itu kami mengajukan jadwal Work From Home (WFH)
Puskesmas Wonosobo dengan jadwal dan nama pegawai terlampir.
Demikian surat pengajuan ini dibuat, atas perhatiannya
disampaikan ucapkan terimakasih.

Kepala UPTD PuskesmasWonosobo

KecamatanSrono

H. TUSIANA, SKM.
Penata Tngkat I
NIP.19670126 1988121 002
Lampiran

JADWAL
NO NAMA NIP JABATAN
WFH
17, 18, 19,
Kepala 24, 25, 26
1 H. TUSIANA, SKM 19670126 198812 1 022
Puskesmas september
2020
21 – 26
2 FITRIATUL LAILI, A.Md.Keb 19720629 199203 2 004 Bidan September
2020
21 – 26
3 NOER KHAMIDAH, A.Md.Keb 19710503 199103 2 001 Bidan September
2020
17,18,19,24
25,
4 drg. MAHUDA EKA NURDINA 19770224 201410 2 001 Dokter Gigi
26,Septemb
er 2020
16, 17, 21,
Dokter 22, 25, 26
5 dr. SITI ANDRIANI 19710719 201412 2 001
Umum September
2020
21 – 26
6 KATIRIN, A. Md. Kep 19640403 199102 1 003 Perawat September
2020
14, 15,
18,19,
dr. SHINTA AYU Dokter
7 19880421 201903 2 003 23,24
KOERNIAWATY Umum
September
2020
14 – 19
8 SUMINI, A.Md. Keb 19750618 200604 2 016 Bidan September
2020
16, 17, 21,
22, 25, 26
9 RIYANTO, A.Md. Kep 19780212 200901 1 003 Perawat
September
2020
14, 15, 16,
21, 22, 23
10 BAMBANG ADI I., A.Md. Kep 19851220 201001 1 014 Perawat
September
2020
17, 18, 19,
YAHYA RAHMATULLAH, 24, 25, 26
11 19762606 200701 1 010 Perawat
A.Md. Kep September
2020
21 – 26
ERMIN BUDIATI SANTOSO,
12 19770803 200801 2 020 Bidan September
A.Md. Keb
2020
21 – 26
13 HENNY WIJAYANTI, A.Md. Keb 19781102 200801 2 017 Bidan September
2020
21 - 26
WIWIK SUSILOWATI, A.Md.
14 19700626 200801 2 022 Bidan September
Keb
2020
14 – 19
15 INDAHYATI, A.Md. Kep 19810910 201407 2 003 Perawat September
2020
17, 18, 19,
24, 25, 26
16 EDI SANTOSO 19710306 200701 1 017 Staf
september
2020
 14 – 19
CHUSNUL CHOTIMAH, A.Md.
17 19690216 200604 2 012 Bidan September
Keb
2020
14 – 19
18 DWI WAHYUNI, A.Md. Keb 19821009 201704 2 002 Bidan September
2020
14 – 19
LINDA SAKURAWATI, A.Md.
19 19840428 201704 2 009 Bidan September
Keb
2020
14, 19
20 DENI PUSPITASARI, A.Md. Keb 19841218 201704 2 009 Bidan September
2020
14,15,16,21
,22,23
21 DEVI RINDI R., A.Md.KG 19901225 201903 2 004 Perawat Gigi
September
2020
14, 15, 16,
21, 22, 23
22 ALFIYAH 19720805 200901 2 003 Staf
September
2020
14, 15, 16,
21, 22, 23
23 MADROKHANI 19680108 200901 1 005 Staf
September
2020
17,18,19,
24,25,26
24 ENY WIJAYANTI 19741202 200901 2 003 Staf
September
2020
14 – 19
25 HARI YUSTIKARINI THL Staf September
2020
21 – 26
26 NUR AIDA THL Staf September
2020
14, 15,16,
21, 22, 23
27 NUR IMALA HAVID THL Petugas Gizi
September
2020
21-,26
28 NURMA TRI UTAMI, A.Md. Kep THL Perawat September
2020
14 – 19
SITI KAROMATUL F., A.Md.
29 THL Bidan September
Keb
2020
21 – 26
September
30 DEFI ARISTA, A Md. Keb THL Bidan
2020

21 – 26
ERDAWATI WIBOWO,
31 THL Bidan September
A. Md. Keb
2020
17, 18, 19,
ANDIKA PANGESTU, A. Md. 24, 25, 26
32 THL Perawat
Kep September
2020
17, 18, 19,
24, 25, 26
33 SONI SAHBANA, S.Kep. Ns THL Perawat
September
2020
34 ELGA YUANDHOKO, A.Md.AK THL Analis 14, 17, 19,
Kesehatan 21, 24, 26
 September
2020
14 – 19
35 ZULAIKA, A.Md. Keb THL Bidan September
2020
14,15,16,21
INDAH SRI WAHYUNI, Asisten ,22,23
36 THL
A.Md. Farm Apoteker September
2020
21 – 26
37 YOKI TANERO THL Staf September
2020
21 – 26
38 RIA SAFITRI, SST TLK Bidan September
2020
14,19
39 FIFI RATNASARI, A.Md. Keb TLK Bidan September
2020
14 – 19
40 GALUNG PIPIT P., A. Md. Keb TLK Bidan September
2020
21 – 26
RISTA DIRNA ANDRIANA,
41 TLK Bidan September
STr.Keb
2020
14-19
42 EFIANITA CITRA DEWI, SST TLK Bidan September
2020
14 – 19
NIKEN YUNDASARI, A. Md.
43 TLK Bidan September
Keb
2020
17,18,19,24
,25,26
44 IMAS IMAMA, STr. Keb TLK Bidan
september
2020
14, 15,
18,19,
RUDI SUGENG KURNIAWAN,
45 TLK Perawat 23,24
S.Kep
September
2020
17, 18, 19,
24, 25, 26
46 SITI ATMINAH, S.Kom TLK Staf
september
2020

Mengetahui,
Kepala UPTD PuskesmasWonosobo
KecamatanSrono

H. TUSIANA, SKM.
Penata Tngkat I
NIP.19670126 1988121 002