RSUD . R.

A BASOENI
NIK * (Nomor
NO NAMA LENGKAP TMT NO. KTP * NO KARTU Tempat Tanggal ALAMAT Sesuai KTP * LOKASI No Jenis Bank
Induk

karyawan) * (Sesuai KTP) IN * OUT * KELUARGA* Lahir * Lahir * KERJA * Rekening

BBU-23052017271298
1 Muhamad Muhsinun 23/05/2017 3516-161806000001 Mojokerto 27/12/1998 Dsn.Gamping Rt 03/01 Mojorejo Jetis Kab.Mojokerto RSUD BASOENI 0166253454 Jatim
BBU-01052019190601
2 Zainul Arifin 01/05/2019 3516-141906010003 Mojokerto 19/06/2001 Berat Wetan Rt 03/06 Berat Wetan Gedeg Kab.Mojokerto RSUD BASOENI 0166253616 Jatim
BBU-01042019210794
3 Erik Budi Wahyono 01/04/2019 3516-162107940001 Sidoarjo 21/07/1994 Perumnas Blok II A Wonorejo Rt 05/09 Jetis Kab. Mojokerto RSUD BASOENI Jatim
BBU-01122018191088
4 Era Panca Arti 01/12/2018 3517-125910880001 Jombang 19/10/1988 Dsn. Karangri Rt 03/05 Blimbing Kesamben Jombang RSUD BASOENI 0166253462 Jatim
BBU-10012019290595
5 Ahmad Fauzi 10/01/2019 3516-132905950002 Mojokerto 29/05/1995 Dsn. Karangri Rt 10/03 Blimbing Sooko Kab.Mojokerto RSUD BASOENI 0166253586 Jatim
BBU-03082011040298
6 Wahyudi Feri Santoso 03/08/2011 3517-120402980002 Jombang 04/02/1998 Dsn.Delik Rt 02/01 Pojokrejo Kesamben Kab. Jombang RSUD BASOENI 0166253624 Jatim
BBU-20022020110297
7 M. Sifaur Romli 20/02/2020 3516-141102970001 Mojokerto 11/02/1997 Berat Wetan Rt 05/04 Berat Wetan Gedeg Kab.Mojokerto RSUD BASOENI 0166253497 Jatim
BBU-03092018080892
8 Mohammad Soleh 03/09/2018 3516-180808920001 Mojokerto 08/08/1992 Dsn.Gayaman Rt 08/01 Gayaman Mojoanyar Kab.Mojokerto RSUD BASOENI 0166253471 Jatim
BBU-03032018026792
9 Ali Mashuri 03/03/2018 3516-010267920002 Mojokerto 02/07/1992 Dsn.Gading Rt 02/02 Gading Jatirejo Kab.Mojokerto RSUD BASOENI 0166253527 Jatim
BBU-01032016200685
10 Deni Prabowo 01/03/2016 3571-022006850001 Kediri 20/06/1985 Dsn. Balowerti II / 61 - B Rt 05/02 Balowerti Kediri RSUD BASOENI 0166253501 Jatim
BBU-09102011170284
11 Ferry Kristanto 09/10/2011 6471-051702840009 Mojokerto 17/02/1984 Dsn. Sukosewu Rt 15/03 Gempolkerep Gedeg Kab.Mojokerto RSUD BASOENI Jatim
BBU-06072011021094
12 Oky Dwi Rangga 06/07/2011 3516-140210940004 Mojokerto 02/10/1994 Dsn.Sukosewu Rt 012/03 Gempolkerep Gedeg Kab. Mojokerto RSUD BASOENI 0163008718 Jatim
BBU-19082019231000
13 Moh. Ocky Ariyanto 19/08/2019 3516-142310000001 Mojokerto 23/10/2000 Ds.Losari Timur Rt 017/03 Sidoharjo Gedeg Kab.Mojokerto RSUD BASOENI 0166253578 Jatim
BBU-04032019011088
14 Emi Muniarni 04/03/2019 3578-164105830004 Surabaya 01/05/1983 Dsn.Prabon Rt 02/08 Blimbing Kesamben Kab.Jombang RSUD BASOENI 0166253489 Jatim
BBU-02052020281088
15 Ika Setyorini 02/05/2020 3516-156812860001 Surabaya 28/12/1986 Dsn.Jeruk Kidul Rt 05/06 Banjarsari Jetis Kab.Mojokerto RSUD BASOENI 0166253594 Jatim
BBU-03032020210395
16 Moh. Edi Sujoko 03/03/2020 3516-142103950001 Nganjuk 21/03/1995 Ds.Simpang Rt 038/08 Sidoharjo Gedeg Kab.Mojokerto RSUD BASOENI 0166253608 Jatim
BBU-10072019291098
17 Catur Jaya Winarko 10/07/2019 3516-142910980001 Mojokerto 29/10/1998 Dsn.Lengkong Rt 036/07 Sidoharjo Gedeg Kab.Mojokerto RSUD BASOENI 0166476844 Jatim
BBU-05012019250787
18 Dwi Yulianawati 05/01/2019 3578-196507870001 Mojokerto 25/07/1987 Ds.Kendung-5 Rt 05/03 Sememi Benowo Kota Surabaya RSUD BASOENI 1856092328 Jatim
BBU-0501201906091998
19 Muhammad Aji Anwar 05/01/2019 3516-180609980001 Mojokerto 06/09/1998 Dsn. Gayaman RT 002/001 Mojoanyar Mojokerto RSUD BASOENI 0166253551 Jatim
BBU-10012019260680
20 Puji Rahayu 10/01/2019 3507-252102110003 Mojokerto 26/06/1980 Jl. Wijaya Kusuma blok C no 18/17 lawang malang RSUD BASOENI 500752599 BCA
BBU-08012020200996
21 M .Alaika Butiko 08/01/2020 3516-142009960003 Mojokerto 20/09/1996 Dsn. Penjalin Wakul RT 002/003 Jerukseger Gedeg RSUD BASOENI - Jatim
BBU-05012019130101
22 Rizal Arif Kurniawan 05/01/2020 3516-141301010001 Mojokerto 13/01/2001 Dsn. Banci RT 001/006 Kemantren Gedeg RSUD BASOENI 0166253519 Jatim
BBU-01012020230997
23 Kusumo Adi Noto 01/01/2020 3516-142309970002 Mojokerto 23/09/1997 Dsn.Berat wetan RT 003/006 Berat wetan Gedeg Mojokerto RSUD BASOENI 0166253543 Jatim
BBU-02022020030595
24 Inten Cahya Rosita H 02/02/2020 3516-430595000003 Mojokerto 03/05/1995 Dsn. Pulowetan RT003/002 Pulorejo Mojokerto RSUD BASOENI 0826065401 Jatim
BBU-15022020231198
25 Barik Maulana 15/02/2020 3516-162311980001 Mojokerto 23/11/1998 Dsn.Penompo RT06/02 Penompo Jetis Mojokerto RSUD BASOENI 0723110661 Jatim
BBU-03012020310196
26 Dika Chandra 03/01/2020 3516-153101960001 Surabaya 31/01/1996 Dsn. Kemlagi Timur RT004/003 Kemlagi Mojokerto RSUD BASOENI 0166253535 Jatim
BPJS KESEHATAN RSIA
NIK * (Nomor
NO Induk karyawan) NAMA LENGKAP * (Sesuai KTP) TMT
IN * OUT *
1 01/02/2020
2 01/02/2020
3 01/02/2020
4 01/02/2020
5 01/02/2020
6 01/02/2020
7 01/02/2020
8 01/02/2020
9 01/02/2020
10 01/02/2020
11 01/02/2020
12 01/02/2020
13 01/02/2020
14 01/02/2020
15 01/02/2020
16 01/02/2020
17 01/02/2020
18 01/02/2020
19 01/02/2020
20 01/02/2020
21 01/02/2020
22 01/02/2020
23 01/02/2020
24 01/02/2020
25
26
27
28
29
30
31
32
33
34
35
36
NO. KTP * NO Tempat Lahir * Tanggal Lahir *
KARTU KELUARGA*
ALAMAT Sesuai KTP * LOKASI KERJA *Tlp Office *
 Pendidik NAMA IBU
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