PEMERINTAH KABUPATEN BOJONE

DINAS KESEHATAN
Jl. Raya Gondang Bojonegoro Km.1 Kode Pos 62173 Tel
Email : puskesmasgondangbjn@gmail.com

NO NAMA NIP NIK NPWP KELAM

IN
1 dr. M. LUTFI K PUTRA 19720316 201406 1 001 3522261603720003 70.428.799.4-601.000 L
2 dr. DJATMIKO LAKSONOWEDI 19670918 200212 1 002 3571011809670002 08.700.832.2-622.000 L
3 M. IMRON, S.Kep, SE ,Ns 19660714 198803 1 010 3522261407660002 78.145.892.2-601.000 L
4 SUPRIADI, Amd.Kep, SE 19680516 198812 1 001 3522261605680002 78.145.894.8-601.000 L
5 ADY SUGIARTO, Amd.Kep 19680113 199003 1 004 3522261311680001 08.526.766.4-601.000 L
6 ENDAH KARYANI, SST 19710618 1991022 001 3522265806710002 78.145.896.3-601.000 L
7 ANIS PUWINI, SST 19720407 199203 2 012 3522264704720002 78.145.897.1-601.000 P
8 NINIK TRI WIJIATI, Amd., Kep 198303152010042000 352265503830003 46.821.148.7-954.000 P
9 NURUL AZIZAH, Amd., Keb 198206072008012018 3522155807820003 78.145.899.7-601.000 P
10 DIAN AMBARWATI 197601132007012000 3622265301760002 79.676.596.4.601.000 P
11 MOH. SUCAHYONO 78.145.893.0-601.000 3522260111650002 78.145.893.0-601.000 L
12 PARNI 78.145.898.9-601.000 3522267108640001 78.145.898.9-601.000 P

13 SITI DIAN MUJI KURNIATI, Amd.Keb 13.4.047.13351 3506145510840002 66.744.436.8-601.000 P

14 RAHMAYANTI Amd. Keb 13.4.047.13322 3522266401840001 66.744.441.8-601.000 P
15 RACHMA ARUMA NITA, Amd., Keb 13.4.027.493 3522155410870005 66.744.439.2-601.000 P

16 drg STIENDRI LADY S P 3522024202920001 80.555.454.0-601.000 P

17 LILIK YUNI ASTUTIK, Amd., Keb 3522054806790001 71.558.776.2-601.000 P
18 KHIRUL YUSUF ADE W,Amd Kep 3522261710880001 71.240.199.1-601.000 L
19 A.NASRUL MUHSININ,Amd Kep 3522260803910003 71.540.011.5-601.000 L
20 RIO JOKO PRATOMO,SKep Ns 3522120304880003 71.265.181.9-601.000 L
21 YULIATIN, Amd., Keb 3523116604890002 71.558.809.1-601.000 P
22 TRI LIANA YULI RAHAYU, AMd.Kep 3522156307890004 71.325.931.5-601.000 P
23 ANDI SETIYAWAN, AMd. Kep 3522082509820002 78.085.179.6-601.000 L
24 ELVA DWI NURYANTI, Amd., Keb 3522100121451121 71.577.474.1-601.000 P
25 IKA DWI WAHYUNI,Amd Keb 3522264737840002 P
26 DENY CHRISTIAN ADE PUTRA 3522226251282001 71.577.474.1-601.000 L
27 HARI SUYANTO 3522261409840003 71.558.952.9-601.000 L
28 WINARTO 3522012444211002 L
29 WHESKY AYU WIJAYA 3522266901900000 P
30 SRI NUR LAILI 3522264803920002 P
31 ANIK QOMARIYAH 3522265207810000 P
32 SUHESTI 3522265111880001 P
33 LISTYOWATI 3507245503800001 P
34 LIPA DWIRAHAYU 3507245503800001 P
35 LUCKY HERMAWAN SUSANTO 3507245503800001 L

Dr. M.LUTFI K PUTRA

Dr DJATMIKO LAKSONO
WEDI
drg STIENDRI LADI S.P. 80.555.454.0-601.000
H.M.IMRON, SE,
78.145.892.2-601.000
S.Kep.Nes
SUPRIADI, Amd.Kep, SE 78.145.894.8-601.000
ADY SUGIARTO, Amd.Kep 08.526.766.4-601.000
ENDAH KARYANI, SST 78.145.896.3-601.000
ANIS PUWINI, SST 78.145.897.1-601.000
MOH. SUCAHYONO 78.145.893.0-601.000
PARNI 78.145.898.9-601.000
DIAN AMBARWATI 79.676.596.4.601.000
NURUL AZIZAH, Amd.Keb 78.145.899.7-601.000
NINIK TRI WIJIATI,
46.821.148.7-954.000
Amd.Kep
SITI DIAN MK, Amd.Keb
RAHMAYANTI, Amd. Keb
RACHMA ARUMA N,
Amd.Keb
ENDAH SRI S, Amd.Keb 66.744.442.6-601.000
LILIK YUNI A,Amd.Keb
YULIATIN, Amd.Keb
RIO JOKO S, S.Kep.Ns
KHOIRUL YUSUF A, S.Kep
A. NASRUL M, Amd.Kep
TRI LIANA YULI R,
Amd.Kep
ANDI SETIYAWAN,Amd.
Kep
DENY CHRISTIAN ADE
PUTRA
HARI SUYANTO
 KABUPATEN BOJONEGORO
NAS KESEHATAN
jonegoro Km.1 Kode Pos 62173 Telp. 082301321958
l : puskesmasgondangbjn@gmail.com
KEPEG
STR TERBIT
PNS 3511100316024938
PNS 3511100211018216
PNS P2T/2388/03.02/01/I/2013
PNS P2T/2389/03.02/01/I/2013
PNS P2T/6450/03.02/01/VI/2014
PNS P2T/3933/03.01/01/II/2013
PNS P2T/3910/03.01/01/II/2013
PNS P2T/9140/03.02/IX/2015
PNS P2T/301/03.01/02/I/2017
PNS P2T/11186/03.01/01/XI/2015
PNS
PNS
PTT P2T/1256/03.01/02/II/2012
PTT P2T/9479/03.01/02/X/2015
PTT P2T/152/03.01/02/I/2015
Kontrak Daerah 352210016172986
Kontrak Daerah P2T/11786/03.01/02/XI/2015
Kontrak Daerah P2T/10857/03.02/02/X/2015
Kontrak Daerah P2T/2259/03.02/01/I/2013
Kontrak Daerah P2T/942/03.02/01/I/2013
Kontrak Daerah P2T/9564/03.01/02/X/2015
Kontrak Daerah P2T/11018/03.02/02/X/2015
Honorer Daerah P2T/10584/03.02/01/X/2015
Kontrak Daerah P2T/401/03.01/02/I/2017
Kontrak Daerah P2T/401/03.01/02/I/2017
IJIN NAKES
NAKES SIKP TERBIT
04-Mei-2016 01. DOKTER 332/13/Dinkes/Dr/VII/2016 20-Juli-2016
04-Mei-2016 01. DOKTER 092/13/Dinkes/Dr/V/2016 '11-Mei-2016
30-Jan- 2013 03. PERAWAT 446/490/SIKP/02/208.412/2014 16 Des 2016
30-Jan-13 03. PERAWAT 446/489/SIKP/02/208.412/2014 16 Des 2014
19 Juni 2014 03. PERAWAT 446/459/SIKP/02/208.412/2014 5 Des 2014
20 Peb 2013 06. BIDAN 446/110/SIKB/208.412/2013 04 Juli 2013
20 Pebr 2013 06. BIDAN 446/110/SIKB/208.412/2013 24 Okt 2013
8 Sep 2015 03. PERAWAT 446/211/SIKP/208.412/2015 01 Des 2015
09 Jan 2017 06. BIDAN 446/06/SIKB/02/412.216/2017 08 Pebr 2017
13 Nop 2015 06. BIDAN 446/01/SIKB/208.412/2016 04 Jan 2016
27 Pebr 2012 06. BIDAN 446/122/SIKB/208.412/2012 19 Nop 2012
23 Okt 2015 06. BIDAN 446/233/SIKB/208.412/2015 23 Des 2015
12 Jan 2015 06. BIDAN 446/48/SIKB/208.412/2015 9-Apr-15
18 April 16 DOKTER GIGI 369/13 /Dinkes/Dr/VII/2016 01 Agst 2016
'19 Nop 2015 06. BIDAN 446/52/SIK/208.412/2015 '20 Apr 2015
22 Okt 2015 03. PERAWAT 446/67/SIKP/02/208.412/2016 10 Nop 2016
11 Des 2014 03. PERAWAT 446/467/SIKP/208.412/2014 28 Jan 2013
11 Jan 2013 03. PERAWAT 446/497/SIKP/208.412/2014 16 Des 2014
26 Okt 2015 06. BIDAN 446/240/SIKB/208.412/2015 23 Des 2015
26 Okt 2015 03. PERAWAT 446/07/SIKP/02/208.412/2016 11 Jan 2016
21 Okt 2015 03. PERAWAT 446/156/SIKP/208.412/2015 16 Des 2015
07 -Juli-22 06. BIDAN 446/02/SIKB/01/208.412/2016 08 Jan 2016
10 Jan 2017 06. BIDAN 446/06/SIKB/01/412.216/2017 08 Pebr 2017
Kontrak sukarela 16 02 5 2 1 14-0738921 1 Juli 2014 06. BIDAN dlm Proses

Kontrak sukarela P2T/3941/03.01/01/II/2013 20 Peb 2013 06. BIDAN dlm Proses

Kontrak sukarela P2T/531/03.14/01/VI/2014 17 -Juli-14 06. BIDAN dlm Proses

Kontrak sukarela P2T/139/03.01/01/I/2012 5 Jan 2012 06. BIDAN dlm Proses

Kontrak sukarela P2T/7156/03.01/02/VIII/2013 30 Agst 2013 06. BIDAN dlm Proses

Kontrak sukarela P2T/13625/03.01/01/XII/2015 8 Des 2015 06. BIDAN dlm Proses

Kontrak sukarela P2T/4683/03.02/01/vii/2016 11 Juli 2016 03. PERAWAT dlm Proses