Form A1 - Individu - Data Keadaan SDM Kesehatan di Fasyankes UPTD Puskesmas Peulumat

Jeni Pekerjaan Pendidikan

NIK Status
s
NO (Nomor Induk NIP/NRPTT/NRPK Nama (Nama Lengkap) Kepega
Kela Tahun Nama Sekolah /Perguruan
Kependudukan) waian Jenis Pekerjaan Mulai Berakhir Program Studi Provinsi
min Lulus Tinggi

1 1101162412800001 1980122420060410 Ema Hendra,SKM L PNS KEPALA 2022 2040 S1 KESMAS 2010 UNMUHA ACEH
2 1110661088100004 198108212010032001 Vevi Rosnizar.SKM P PNS KTU 2019 2039 S1 KESMAS 2005 USU SUMUT
3 1101160701790041 197901072019051001 dr.Saiful Rahmat L PNS DOKTER UMUM 2021 2040 KEDOKTERAN 2008 ABULYATAMA ACEH
4 1106155607880002 198807162017052001 dr.Dewi Marjulita P PNS DOKTER UMUM 2017 2048 KEDOKTERAN 2013 ABULYATAMA ACEH
5 1103037001890004 198901302019032002 dr.Nur Azima P PNS DOKTER UMUM 2019 2049 KEDOKTERAN 2013 ABULYATAMA ACEH
6 1175015011850000 198511102014122000 dr.Inge Nopi Pratiwi p PNS DOKTER UMUM 2013 2038 KEDOKTERAN 2011 UNIVERSITAS MALAHAYATI LAMPUNG
7 1112014303920001 199203032019032007 drg.Rini Suprianti P PNS DOKTER GIGI 2019 2052 DOKTER GIGI 2018 UNSYIAH ACEH
8 110114503860003 198603172010032001 Hildayani,AMKG P PNS PERAWAT GIGI 2010 2046 D-III PERAWAT GIGI 2007 POLTEKKES DEPKES NAD ACEH
9 1112044608860004 198608062019032008 Netta Mulya,A.Md.K.G P PNS PERAWAT GIGI 2019 2046 D-III PERAWAT GIGI 2008 POLTEKKES DEPKES NAD ACEH
10 1101056502770001 197702252006042014 Cut Herniati,Amd.Kep P PNS PERAWAT 2006 2037 D-III KEPERAWATAN 2002 AKPER ABULYATAMA ACEH
11 1101166710830002 198310272014062003 Eva Andriani,Amd.Kep P PNS PERAWAT 2014 2037 D-III KEPERAWATAN 2004 AKPER PEMKAB ASEL ACEH
12 1101164702780001 197802072014062008 Zulbaidah,Amd.Kep P PNS PERAWAT 2014 2038 D-III KEPERAWATAN 2000 TENGKU FAKINAH B.ACEH ACEH
13 1101161403770001 197703142014061003 Safaruddin,Amd.Kep L PNS PERAWAT 2017 2037 D-III KEPERAWATAN 2004 AKPER ABULYATAMA ACEH
14 1101050710670003 197610071989031002 Safdar Nirwadi L PNS PERAWAT 2005 2027 SPK 1988 SPK BANDA ACEH ACEH
15 1101165706730001 197206171993022001 Amsalwati Sal P PNS BIDAN 2007 2031 D-III KEBIDANAN 1993 STIKES YPNAD ACEH
16 1101165505730002 197305152006042008 Nurza Zikri P PNS BIDAN 2006 2033 D-III KEBIDANAN 1996 POLTEKES KEMENKES ACEH ACEH
17 1101084505790008 197905052007012005 Zulfa Sari P PNS BIDAN 2007 2034 D-III KEBIDANAN 1996 SPK MUHAMMADYAH B,ACEH ACEH
18 1101166012770001 197712202007012018 Iva Yusrina p PNS BIDAN 2007 2037 D-III KEBIDANAN 1996 PPB SPK TAPAKTUAN ACEH
19 1101165101770001 197701112007012003 Ita Ernawati P PNS BIDAN 2007 2037 D-III KEBIDANAN 1998 STIKES YPNAD ACEH Bid Sarkes
20 1101046508770001 197708252008012002 Kasna Dewala p PNS BIDAN 2008 2037 D-III KEBIDANAN 1999 PPB SPK DEPKES B.ACEH ACEH Sekretaris
21 1101165005710001 197105102014062004 Suryati.ZN,Amd.Keb P PNS BIDAN 2014 2031 D-III KEBIDANAN 2010 POLTEKKES KEMENKES NAD ACEH PMK
22 1106155607880002 198402022017052001 Nailul Muna,Amd.Keb P PNS BIDAN 2017 2044 D-III KEBIDANAN 2007 STIKES MAROS SULSEL SDMK
23 110116550490001 199004152017052003 Laisi Afriza,Amd.Keb P PNS BIDAN 2017 2050 D-III KEBIDANAN 2010 STIKES MEDIKA ACEH Pelyankes
24 1101164808880001 198808082017052006 Maulidawati,Amd.Keb P PNS BIDAN 2017 2048 D-III KEBIDANAN 2010 STIKES YP NAD ACEH
25 1101166111910001 199111212017052001 Nelmi Novrida,Amd.Keb P PNS BIDAN 2017 2051 D-III KEBIDANAN 2012 STIKES UBUDIYAH ACEH
26 1101166808890001 198908282017052008 Murnizar Rahman,Amd.Keb P PNS BIDAN 2017 2049 D-III KEBIDANAN 2010 UBUDYAH ACEH
27 1106185612900001 199012162017052006 Nurhasanah,Amd.Keb P PNS BIDAN 2017 2050 D-III KEBIDANAN 2010 YYSN MONA ACEH
28 1101165006750002 197506102000122002 Siti Aisyah,SKM P PNS FKM 2016 2035 S1 KESMAS 2007 FKM UNMUHA ACEH
29 1101166841250001 196605051986031002 Darman,SKM L PNS FKM 2019 2026 S1 KESMAS 2010 FKM UTU ACEH
30 1101012109920003 1992092120220210 Miftahuddin L PNS NUTRISIONIS 2022 2045 D-III GIZI 2014 POLTEKKES KEMENKES NAD SUMUT

31 1101071002870009 198702102006041002 Jumaidi L PNS ANALIS 2006 2047 SMAK 2005 POLTEKKES KEMENKES MEDAN SUMUT

PENDIDIKAN DAN LATIHAN

32 1101161004680002 196804101980031001 Saifullah L PNS PERKARYA 1989 2028 SMA 1988 ACEH
PERKARYA KES. PUSKESMAS

33 1101161006720001 197206102010011009 Sardi L PNS SMA 2010 2032 SMA 1990 SMA N.1 LABUHANHAJI ACEH

34 1101046008790002 197908202014062005 Syarifah Hatriah P PNS SMA 2014 2039 SMA 1997 SMA N.1 LABUHANHAJI ACEH

35 1988011207052003 Ima Fajriani,Amd.Keb p PNS BIDAN 2020 ACEH

36 198707072023212013 Sri WardaNingsih Amd.Kep p PPPK PERAWAT

37 1101056108220002 - Ira Maya Amd.Kep P PTT PERAWAT 2005 DIII KEPERAWATAN 2004 STIKES UBUDIYAH ACEH
38 1101164612860001 - Nurmelda Wati Amd,Kep P PTT PERAWAT 2008 DIII KEPERAWATAN 2008 AKPER PEMKAB ASEL ACEH
39 1101164404940002 - Evi Rianti,Amd.Kep P PTT PERAWAT 2017 DIII KEPERAWATAN 2016 AKPER PEMKAB ASEL ACEH
40 1101054805870002 - Yenni Veramailis,Amd.Kep p PTT PERAWAT 2017 DIII KEPERAWATAN 2008 AKPER PEMKAB ASEL ACEH
41 1101050111920001 - Irhamdi Saputra,Amd.Kep L PTT PERAWAT 2017 DIII KEPERAWATAN 2013 AKPER PEMKAB ASEL ACEH
42 1101165805930002 - Ernawati,Amd.Kep P PTT PERAWAT 2017 DIII KEPERAWATAN 2015 AKPER PEMKAB ASEL ACEH
43 1101164206930001 - Yuriza,Amd.Kep p PTT PERAWAT 2017 DIII KEPERAWATAN 2015 AKPER PEMKAB ASEL ACEH
44 1101056001960002 - Nuraida,Amd.Kep p PTT PERAWAT 2018 DIII KEPERAWATAN 2018 AKPER PEMKAB ASEL ACEH
45 1101165301970001 - Mira Wijaya,Amd.Kep p PTT PERAWAT 2018 DIII KEPERAWATAN 2017 AKPER PEMKAB ASEL ACEH
46 110116010794006 - Saiful Rahman,Amd.Kep L PTT PERAWAT 2019 DIII KEPERAWATAN 2014 AKPER PEMKAB ASEL ACEH
47 1101165403940001 - Fitriani,Amd.Kep p PTT PERAWAT 2019 DIII KEPERAWATAN 2012 AKPER PEMKAB ASEL ACEH
48 1101162718910001 - Mardi Suheri,Amd.Kep L PTT PERAWAT 2020 DIII KEPERAWATAN 2013 AKPER PEMKAB ASEL ACEH
49 1101165208870002 - Masnidar,Amd.Keb p PTT BIDAN 2010 D -III KEBIDANAN 2010 STIKES YP. NAD ACEH
50 1101165711870000 - Rosa Diana,Amd.Keb P PTT BIDAN 2010 D -III KEBIDANAN 2010 STIKES UBUDIYAH ACEH
51 110105501190001 - Riza Novina,Amd.Keb P PTT BIDAN 2016 D -III KEBIDANAN 2011 STIKES YP. NAD ACEH
52 1101166304860000 - Sumarda, Amd.Keb P PTT BIDAN 2016 D -III KEBIDANAN 2008 STIKES YP. NAD ACEH

53 1101166806890001 - Fitriyani, Amd.Keb p PTT BIDAN 2016 D -III KEBIDANAN 2008 Akbid Medica Putro Bungsu ACEH

54 1101164907910001 - Supriyanti, Amd.Keb P PTT BIDAN 2017 D -III KEBIDANAN 2010 UBUDYAH ACEH

55 1101165902900001 - Mawarda,Amd.Keb p PTT BIDAN 2017 D -III KEBIDANAN 2013 STIKES BANDA ACEH ACEH

56 1101166503950001 - Redha Fujia Santi,Amd.Keb p PTT BIDAN 2017 D -III KEBIDANAN 2015 AKBID DEWI MAYA SUMUT

57 1101084101910007 - Nova Zasrianti,Amd.Keb p PTT BIDAN 2017 D -III KEBIDANAN 2013 Akbid Medica Putro Bungsu ACEH

58 1101165808890001 - Aida Mursinah,Amd.Keb p PTT BIDAN 2017 D -III KEBIDANAN 2012 STIKES UBUDIYAH ACEH
59 1101165204890002 - Rima Hayati,Amd.Keb P PTT BIDAN 2017 D -III KEBIDANAN 2017 Akbid Medica Putro Bungsu ACEH
60 1101045105900001 - Ira Yulmaida,Amd.Keb p PTT BIDAN 2017 D -III KEBIDANAN 2012 PHMN Melbon ACEH

61 1101054305930003 - Sri Rezeki,STr.Keb p PTT BIDAN 2019 D -IV KEBIDANAN 2016 INSTITUT KES HELVETIA SUMUT
62 1101167107910001 - Eri Rahmawati P PTT BIDAN 2021 D-IV KEBIDANAN 2015 UBUDYAH ACEH
63 1101042202890002 - Erwin Suwandi,SKM L BOK FKM 2017 S1 KESMAS 2011 UNMUHA ACEH
64 1101160611890001 - Hendri Jaya,SKM L PTT FKM 2017 S1 KESMAS 2012 UNMUHA ACEH
65 1101166811940001 - Rita Novi Hastuti,SKM p PTT FKM 2017 S1 KESMAS 2016 UBUDYAH ACEH
66 1101046004920001 - Rahimi,SKM p PTT FKM 2017 S1 KESMAS 2017 UNMUHA ACEH
67 1101154706920001 - Irmawati,SKM p PTT FKM 2015 S1 KESMAS 2015 UNMUHA ACEH
68 1101160909970003 - Supriadi.S L BOK FKM 2021 S1 KESMAS 2020 SERAMBI MEKAH ACEH
69 1101164205920004 - Marpitiana,SKM L PTT FKM 2020 S1 KESMAS 2016 UNMUHA ACEH
70 110105481290000 - Gina Novianti,AMKL p PTT KESLING 2017 AMKL 2011 POLTEKES ACEH
AKADEMI FARMASI
71 1101164107940006 - Asmanita,S Farm P PTT APOTEKER 2019 DIII APOTEKER 2016 ACEH
PEMERINTAH ACEH
72 1101055207990002 - Desi Razkiati, A.Md.Keb P PTT BIDAN 2023 D -III KEBIDANAN 2019 UNMUHA ACEH
73 1101054104940002 - Nailis Afriza,S.pd P PTT ADMINISTRASI 2017 S1 PENDIDIKAN 2016 SERAMBI MEKAH ACEH
74 1101162104980001 - David Afriadi L PTT SOPIR AMBULAN 2017 SMA 2016 SMA N.1 LABUHANHAJI ACEH
75 1101164209000003 - Nadia Barianti, A.Md.Keb P PTT BIDAN 2023 D -III KEBIDANAN 2023 UBUDYAH ACEH
76 1101164107980016 - Rosita Raskiati, A.Md.Kep P PTT PERAWAT 2023 D -III KEPERAWATAN 2023 AKPER PEMKAB ASEL ACEH
AKADEMI ANALIS KESEHATAN
77 1101165207930001 - Rikasari, A.Md.AK P PTT Analis 2024 D -III Analis 2016 ACEH
PEMERINTAH ACEH
78 1101051207450001 - Yusnidar P PTT CS 2019 SMA 2015 SMA N 1 LABUHAN HAJI ACEH
23
37
25
13
18
 Form A2 - Individu - Data Pendidikan Berkelanjutan SDM Kesehatan di Fasyankes

Pendidikan Terakhir Pendidikan Berkelanjutan yang Dilaksanakan

Jenis Status
No. NIK NIP/NRPTT/NRPK Nama Kelamin Kepegawaian Provinsi
Status
Nama Sekolah Pendidikan
Program Studi Tahun Lulus /Perguruan Tinggi Program Studi Sumber Dana
Berkelanjutan
Form A3 - Individu - Data SDM Kesehatan yang mengikuti Pendidikan dan Pelatihan (Diklat)

Diklat yang diikuti

Status
Jenis
NO NIK ID/NIP Nama Kepega Lama Provinsi
Kelamin Rumpun Jenis Diklat/ Nama Tgl Jumlah
waian Akreditasi Pelatihan Tempat Pelaksanaan Pelatihan
Pelatihan Pelatihan Diklat Pelaksanaan JPL
(Hari)

1 1106155607880002 198402022017052001 Nailul Muna,Amd.Keb P PNS Diklat Prajabatan Nomor : 35715 / H / Q.11 /1.4 /1991 Banda Aceh 6-Feb-91 20 Hari 86 jam Aceh

2 110116550490001 199004152017052003 Laisi Afriza,Amd.Keb L PNS Klinik Kesehatan Produksi Nomor : 847 / 01-00/STFK/.CSP/-PI/XII/10 Banda Aceh 8-Dec-10 4 Hari 28 Jam Aceh

3 1112014303920001 199203032019032007 drg.Rini Suprianti L PNS Kespro Nomro : 897/01-01/STFK/CSP-APN/1- Banda Aceh 23-Nov-10 10 Hari 57 Jam Aceh

Diklat Prajabatan Nomor : 120944/H/811/000/488/VIII/2001 Banda Aceh 24-Sep-01 13 Hari 70 jam ACEH

5 110114503860003 198603172010032001 Hildayani,AMKG P PNS Jafung Nomor : 0044 / JFK - PKM / LPS-IWI/III/2011 Diklat Aceh selatan 9-Mar-11 5 hari 82 jam Aceh

Diklat Prajabatan Nomor : 793/Diklat Prajab Gol II / DDN / 2007 Aceh Selatan 20-Feb-07 13 Hari 90 Jam Aceh

6 1112044608860004 198608062019032008 Netta Mulya,A.Md.K.G P PNS Diklat Prajabatan Nomor : 1124/Prajab gol II / DDN / 2007 Aceh Selatan 25-Oct-07 14 Hari 174 jam Aceh

7 1101050710670003 197610071989031002 Safdar Nirwadi p PNS CTU IUD dan Implan Nomor : 3073/01-00/STFK/CSP-TKT/II/12 Aceh Selatan 3-Oct-11 3 hari 33 jam Aceh

8 1101161403770001 197703142014061003 Safaruddin,Amd.Kep p PNS Diklat Prajabatan Nomor : 13003/Prajab-gol II / BKPP /2008 Aceh Selatan 28-Nov-08 15 hari 174 Jam Aceh

Nomor : 8099/01-00/STFK/CSP-APN/1638-II-
9 1101165101770001 197701112007012003 Ita Ernawati L PNS APN Banda Aceh 4-Apr-16 9 hari 110 jam Aceh
5/1v/16

Nomor : 8100/01-00/STFK/CSP-APN/1638-II-
10 1101164702780001 197802072014062008 Zulbaidah,Amd.Kep p PNS APN Banda Aceh 4-Apr-16 9 hari 110 jam Aceh
5/1v/16

Nomor : 8091/01-00/STFK/CSP-APN/1638-II-
11 1106185612900001 199012162017052006 Nurhasanah,Amd.Keb p PNS APN Banda Aceh 4-Apr-16 9 hari 110 jam Aceh
5/1v/16

12 1101166111910001 199111212017052001 Nelmi Novrida,Amd.Keb p PNS Diklat Prajabatan Nomor : 064125/H/0,11/1.2/III/1993 Banda Aceh 21-Feb-93 20 Hari Aceh

13 1101166808890001 198908282017052008 Murnizar Rahman,Amd.Keb p PNS APN Nomor : 1083/01001/STFCK/CSP-APN/V/13 Pidie 3-Jun-13 9 hari 129 jam Aceh

14 1101166841250001 196605051986031002 Darman,SKM p PNS CTU IUD dan Implan Nomor : 1325/01-00/STFK/CSP-TKT/II/12 Aceh Selatan 3-Oct-11 3 hari 33 jam Aceh

15 1101056502770001 197702252006042014 Cut Herniati,Amd.Kep p PNS Diklat Prajabatan Nomor : 853/prajab I,II dan III / BKP / 2016 Aceh Selatan 25-Feb-12 5 Hari 130 jam Aceh

26 des s/d 5
17 1110661088100004 198108212010032001 VEVI ROSNIZAR.SKM p PNS Diklat Prajabatan Nomor : 439 / Diklat Prajab Gol II / DDN / 2006 Aceh Selatan 14 Hari 90 Jam Aceh
Jan 2006
23 Agus s/d 02
18 1101164702780001 197802072014062008 ZULBAIDAH.AMd.Kep P PNS Diklat Prajabatan Nomor : 715 / 1 dan II / Badan Diklat / 2006 Aceh Besar 9 Hari 90 Jam Aceh
Sep 2006
27 Nop s/d 19
19 1101145703860003 198603172010032001 HILDAYANI.AMKG P PNS Diklat Prajabatan Nomor : 13069 / Prajab - Gol II / BKPP / 2008 Aceh Selatan 14 Hari 174 Jam Aceh
Des 2008
31 Okt s/d 19
20 1101014608790002 197908202014062005 SYARIFAH HATRIAH P PNS Diklat Prajabatan Nomor : 890 / 750 / Peg /1988 Banda Aceh 20 Hari Aceh
Nop 1988
Nomor : 4248 / Prajab - Gol. Dan II / BKPP / 31 Mei s/d 19
21 1101165101770001 19770111200712005 ITA ERNAWATI P PNS Diklat Prajabatan Aceh Selatan 14 Hari 174 Jam Aceh
2010 Juni 2010
21 Juli s/d 28
22 1101161004680002 196810101988031001 SAIFULLAH P PNS Pel Simposium Nomor : 0019 / IDI / - Wil IV / 2010 Banda Aceh 7 Hari 17 SKP Aceh
Juli 2010
10 Feb s/d 17
23 1101166710830002 197708252008012002 EVA ANDRIANI AMd.Kep. p PNS Pel Teradmill Nomor : 62/SKP/WS/IDI Aceh / IV / 2015 Banda Aceh 7 Hari 14 SKP Aceh
Feb 2015
Form A4 - Individu - Data Registrasi dan Perijinan Tenaga Kesehatan

Registrasi Perijinan
Jenis Status
NO NIK NIP/NRPTT/NRPK Nama Kepega Tanggal Tanggal Provinsi
Kelamin Tanggal No. Surat Ijin Praktik Tanggal
waian No. Surat Tanda Registrasi (STR) Penerbitan Jenis Profesi penerbitan
Berakhir STR (SIP) Berakhir SIP
STR SIP
1 1101162412800001 1980122420060410 Ema Hendra,SKM L PNS 0121611150940526 12/24/2015 12/24/2020 KESMAS ACEH
2 1110661088100004 198108212010032001 Vevi Rosnizar.SKM P PNS KESMAS SUMUT
3 1101160701790041 197901072019051001 dr.Saiful Rahmat L PNS 1111100219135183 2/4/2019 04/02/2024 DOKTER 445/005/2019 22/02/2019 23/04/2022 ACEH
4 1106155607880002 198807162017052001 dr.Dewi Marjulita P PNS 1121100219146927 09/04/2019 16/07/2024 DOKTER 445 / 523 / V11 / 2019 15/07/2019 16/07/2024 ACEH
5 1103037001890004 198901302019032002 dr.Nur Azima P PNS 1121100115154540 11/24/2015 11/24/2020 DOKTER 445 / 132 / V/ 2019 07/05/2019 24/11/2020 ACEH
6 1175015011850000 198511102014122000 dr.Inge Nopi Pratiwi P PNS 1821100216121610 11/2/2016 11/2/2021 DOKTER 445 / 662 / VII / 2020 20/07/2020 26/08/2025 LAMPUNG
7 1112014303920001 199203032019032007 drg.Rini Suprianti P PNS 1122100118197499 18/05/2018 03/03/2024 DOKTER GIGI 445 / 148 / V / 2019 07/05/2019 03/03/2024 ACEH
8 110114503860003 198603172010032001 Hildayani,AMKG P PNS 0104622171490707 09/12/2017 17/03/2022 PERAWAT GIGI 445 / 500 / 2019 03/07/2019 3/17/2022 ACEH
9 1112044608860004 198608062019032008 Netta Mulya,A.Md.K.G P PNS 0104622171490742 09/12/2017 08/06/2022 PERAWAT GIGI 445 / 344 / 2019 14/05/2019 06/08/2022 ACEH
10 1101056502770001 197702252006042014 Cut Herniati,Amd.Kep P PNS 0101521161143659 25/02/2016 25-02-2021 PERAWAT ACEH
11 1101166710830002 198310272014062003 Eva Andriani,Amd.Kep P PNS 0101521120661297 28/05/2013 27/10/2017 PERAWAT ACEH
12 1101164702780001 197802072014062008 Zulbaidah,Amd.Kep P PNS 0101522172177944 9/27/2016 07/03/2022 PERAWAT ACEH
13 1101161403770001 197703142014061003 Safaruddin,Amd.Kep L PNS 0101511120661298 14/03/2012 3/14/2017 PERAWAT ACEH
14 1101050710670003 197610071989031002 Safdar Nirwadi L PNS PERAWAT ACEH
15 1101165706730001 197206171993022001 Amsalwati Sal P PNS 0102522182232029 08/02/2018 17/06-/023 BIDAN 445 / 428 / 2019 01/07/2019 17/06/2023 ACEH
16 1101165505730002 197305152006042008 Nurza Zikri P PNS 0102522203226414 02/03/2020 5/15/2025 BIDAN ACEH
17 1101084505790008 197905052007012005 Zulfa Sari P PNS 0102522203226426 02/03/2020 05/05/2025 BIDAN ACEH
18 1101166012770001 197712202007012018 Iva Yusrina p PNS 0102322171389919 28/08/2017 20/12/2020 BIDAN ACEH
19 1101165101770001 197701112007012003 Ita Ernawati P PNS 0102522171367527 15/08/2017 11/01/2022 BIDAN 445 / 427 / 2019 25/06/2019 11/01/2022 ACEH
20 1101046508770001 197708252008012002 Kasna Dewala p PNS 0102522203226395 02/03/2020 25/08/2025 BIDAN ACEH
21 1101165005710001 197105102014062004 Suryati.ZN,Amd.Keb P PNS 0102522171421653 10/25/2017 10/05/2022 BIDAN 455 / 421 / 2019 25/06/2019 10/05/2022 ACEH
22 1106155607880002 198402022017052001 Nailul Muna,Amd.Keb P PNS 0102522171450112 25/10/2017 02/02/2022 BIDAN 445 / 434 / 2019 25/06/2019 02/02/2022 SULSEL
23 110116550490001 199004152017052003 Laisi Afriza,Amd.Keb P PNS 0102522171368278 15/08/2017 15/04/2022 BIDAN 455 / 420/ 2019 25/06/2019 15/04/2022 ACEH
24 1101164808880001 198808082017052006 Maulidawati,Amd.Keb P PNS 0102522193042679 13/06/2019 08/08/2024 BIDAN 445 / 438 / 2019 25/06/2019 08/08/2019 ACEH
25 1101166111910001 199111212017052001 Nelmi Novrida,Amd.Keb P PNS 0102522182254626 28/02/2018 21/11/2023 BIDAN 445 / 437 / 2019 6/25/2019 11/21/2023 ACEH
26 1101166808890001 198908282017052008 Murnizar Rahman,Amd.Keb P PNS 0102522182254613 28/02/2018 28/08/2023 BIDAN ACEH
27 1106185612900001 199012162017052006 Nurhasanah,Amd.Keb P PNS 0102522182254625 16/12/2018 16/12/2023 BIDAN 445 / 432 / 2019 25/ 06/2019 16/12/2023 ACEH
28 1101165006750002 197506102000122002 Siti Aisyah,SKM P PNS 0121621161255238 14/10/2016 10/6/2021 KESMAS ACEH
29 1101166841250001 196605051986031002 Darman,SKM L PNS KESMAS ACEH
30 1101012109920003 199209212022031002 Miftahuddin L PNS 0109511161227165 21/09/2016 21/09/2021 GIZI SUMUT
31 1101071002870009 198702102006041002 Jumaidi L PNS 0114212193068707 30/07/2019 31/12/2020 ANALIS SUMUT
32 1101161004680002 196804101980031001 Saifullah L PNS PERKARYA ACEH
33 1101161006720001 197206102010011009 Sardi L PNS SMA ACEH
34 1101046008790002 197908202014062005 Syarifah Hatriah P PNS SMA ACEH
35 1101164707870002 198707072023212013 Sri WardaNingsih Amd.Kep p PPPK 101522182311634 5/23/2018 7/7/2023 PERAWAT ACEH
36 1101056108220002 - Ira Maya Amd.Kep P PTT 0101521120661203 10/20/2017 10/20/2022 PERAWAT ACEH
37 1101164612860001 - Nurmelda Wati Amd,Kep P PTT 101522192448177 5/6/2019 12/6/2024 PERAWAT ACEH
38 1101164404940002 - Evi Rianti,Amd.Kep P PTT 344003144012070016 4/28/2017 4/4/2023 PERAWAT ACEH
 39 1101054805870002 - Yenni Veramailis,Amd.Kep p PTT 0101522192448176 5/6/2019 5/8/2024 PERAWAT ACEH
40 1101050111920001 - Irhamdi Saputra,Amd.Kep L PTT 101512193102053 10/14/2019 01/11/2024 PERAWAT ACEH
41 1101165805930002 - Ernawati,Amd.Kep P PTT 0101521172178297 12/4/2017 8/18/2022 PERAWAT ACEH
42 1101164206930001 - Yuriza,Amd.Kep p PTT 0101521182301380 27/04/2018 19/04/2023 PERAWAT ACEH
43 1101056001960002 - Nuraida,Amd.Kep p PTT 0101521182383126 11/12/2018 1/20/2023 PERAWAT ACEH
44 1101165301970001 - Mira Wijaya,Amd.Kep p PTT 0101521182301392 4/27/2018 1/13/2023 PERAWAT ACEH
45 110116010794006 - Saiful Rahman,Amd.Kep L PTT 101511182383055 11/12/2018 12/28/2023 PERAWAT ACEH
46 1101165403940001 - Fitriani,Amd.Kep p PTT 0101521182301440 4/27/2018 3/14/2023 PERAWAT ACEH
47 1101162718910001 - Mardi Suheri,Amd.Kep L PTT PERAWAT ACEH
48 1101165208870002 - Masnidar,Amd.Keb p PTT 0102522171422852 10/25/2017 8/12/2022 BIDAN ACEH
49 1101165711870000 - Rosa Diana,Amd.Keb P 0102522193105997 10/22/2019 11/17/2024 BIDAN ACEH
50 110105501190001 - Riza Novina,Amd.Keb P PTT 0102522171374138 8/21/2017 11/10/2022 BIDAN ACEH
51 1101166304860000 - Sumarda, Amd.Keb P PTT 0102522171450148 10/25/2017 4/23/2022 BIDAN ACEH
52 1101166806890001 - Fitriyani, Amd.Keb p PTT 0102521120383410 10/25/2017 6/28/2022 BIDAN ACEH
53 1101164907910001 - Supriyanti, Amd.Keb P PTT 0102521120540130 10/25/2017 7/9/2022 BIDAN ACEH
54 1101165902900001 - Mawarda,Amd.Keb p PTT 0102521150893243 2/2/2015 2/19/2020 BIDAN ACEH
55 1101166503950001 - Redha Fujia Santi,Amd.Keb p PTT 0202521161224052 8/10/2016 3/25/2021 BIDAN SUMUT
56 1101084101910007 - Nova Zasrianti,Amd.Keb p PTT 0102521150893243 02/02/2015 2/19/2020 BIDAN ACEH
57 1101165808890001 - Aida Mursinah,Amd.Keb p PTT 0102521120621519 6/5/2018 8/18/2023 BIDAN ACEH
58 1101165204890002 - Rima Hayati,Amd.Keb P PTT 0102521120540767 2/28/2018 5/11/2023 BIDAN ACEH
59 1101045105900001 - Ira Yulmaida,Amd.Keb p PTT 0102521120621243 2/28/2018 5/11/2023 BIDAN ACEH
60 1101054305930003 - Sri Rezeki,STr.Keb p PTT 0202622203186286 1/20/2020 5/1/2025 BIDAN SUMUT
61 1101167107910001 - Eri Rahmawati p PTT 010262117-1333176 7/31/2017 7/31/2022 BIDAN ACEH
62 1101042202890002 - Erwin Suwandi,SKM L BOK 0121611172063100 4/17/2017 2/22/2022 KESMAS ACEH
63 1101160611890001 - Hendri Jaya,SKM L PTT 0121611150940627 06/04/2015 11/6/2020 KESMAS ACEH
64 1101166811940001 - Rita Novi Hastuti,SKM p PTT 0121621172048567 3/8/2017 11/28/2022 KESMAS ACEH
65 1101046004920001 - Rahimi,SKM p PTT 0121621182385102 11/14/2018 4/20/2023 KESMAS ACEH
66 1101154706920001 - Irmawati,SKM p PTT 0121621161185474 6/7/2016 6/7/2021 KESMAS ACEH
67 1101160909970003 - Supriadi.S L BOK 01 2 3 6 1 1 2 2-4202717 21/02/2022 9/9/2027 KESMAS ACEH
68 1101164205920004 - Marpitiana,SKM P PTT 0121621172048615 3/8/2017 5/2/2022 KESMAS ACEH
69 110105481290000 - Gina Novianti,AMKL p PTT 0112521172177414 12/3/2017 12/8/2022 KESLING ACEH
70 1101164107940006 - Asmanita,S Farm P PTT 19920510/STRTTK_11/2016/03.0073 3/15/2016 5/10/2021 APOTEKER ACEH
71 1101054104940002 - Nailis Afriza,S.pd P PTT ADMINISTRASI ACEH
72 1101162104980001 - David Afriadi L PTT SOPIR AMBULAN ACEH
73 1101164209000003 Nadia Barianti, A.Md.Keb P PTT 01 02 5 2 1 22-4354884 6/25/2022 9/2/2027 BIDAN ACEH
74 1101164107980016 Rosita Raskiati, A.Md.Kep P PTT 01 01 5 2 1 22-4402334 8/1/2022 01/07/2027 PERAWAT ACEH
75 1101165207930001 Rikasari, A.Md.AK P PTT 01 14 5 2 2 22-4246136 28/03/2022 12/1/2027 ANALIS ACEH
76 1101051207450001 - Yusnidar P PTT CS ACEH
77 1101160503520001 - Yudi Rianda L PTT PRAMU KANTOR ACEH

Mengetahui : Peulumat, 03 Januari 2024

KEPALA UPTD PUSKESMAS PEULUMAT Pengelola SDMK UPTD Pusksesmas Peulumat
EMA HENDRA, SKM SUPRIADI.S, SKM
Nip. 19801224 200604 1 004 NIP.