DATA PRINGER PRINT

CHEKLIS SPESIMEN SHIF/NON

ID NIK NAMA JABATAN/TEMPAT TUGAS
SUDAH BELUM SHIF
500001 196410102002121006 dr.YUDI INDARTO,MM.Kes Direktur NON SHIF
500002 196209221986031000 ANDI FIRDAUSI,SE.,MM. Kabag. TU NON SHIF
500003 196603201986031000 H.MARHAENISA AR,SKM Kabid Perenc & Keu NON SHIF
500004 196505061986032000 Hj.ASIAWATI,S.ST.,M.Kes. Kabid Pely.Medis NON SHIF
500005 197011181993031000 BUDI M.GHOZALI,SKM,M.Kes Kabid Keperawatan NON SHIF
500006 196112241985031000 YAYAT SUGIYAT,A.Md.Kep. Kasubag Info Medik NON SHIF
500007 196711011988022000 ELY NOVYANTI,SKM Kasubag Kepegawaian NON SHIF
500008 196401171989031000 MASRUNDANI,SE Kasubag Umum & RT NON SHIF
500009 196212011987031000 HASAN BASRI,A.Md.Kep. Kasi Keperawatan NON SHIF
500010 196512141988032004 NEDALIA,S.KM.,MM Kasi Pely.Keperawatan NON SHIF
500011 197103051992012001 PONIAH,A.Md.Keb. Kasi Pely.Medik NON SHIF
500012 197411242006042000 SRI HANDAYANI,SKM Kasi Penunjang Medik NON SHIF
500013 196307151988031000 AZIAN AS,SE. Kasi Keuangan NON SHIF
500014 196407251988031000 JK ABIMANYU.,SKM,M.PH. Kasi Perenc & Pengemb NON SHIF
500015 196504161991012000 SARYANI,SE Staf Keuangan NON SHIF
500016 197601142006042000 ERLINDA,S.St. Staf Bid .Keperawatan NON SHIF
500017 197912242011012000 DEPI ANDRIANI,A.Md. Staf Keuangan NON SHIF
500018 197608052005011000 FAHRUDIN,S.Kep Staf Seksi Peren & Pengemb. NON SHIF
500019 197703142014062000 BUDI LESTARI,A.Md.KL Bend. Pengeluaran NON SHIF
500020 198207172014062000 DWI SUSANTI,A.Md.Kep. Staf Bid. Pely.medik NON SHIF
500021 198508282014062000 MAYA YULIANTI,S.Kom Staf Subag Kepegawaian NON SHIF
500022 2007 AHMAD ZARKASI Staf Subag Umum & RT NON SHIF
500023 2007 INDRAWAN INDRA Staf Subag Umum & RT NON SHIF
500024 2008 WAHYUDI Staf Subag Umum & RT NON SHIF
500025 2017 DIKI YUDI ANDOKO Staf Subag Kepegawaian NON SHIF
500026 2007 REZI KURNIAWAN,A.Md. Staf Subag Kepegawaian NON SHIF
500027 2007 AGUS KARDOMO Staf Subag Kepegawaian NON SHIF
500028 2007 MARULY AFNITA S.,S.Kom. Staf Subag Info Medik NON SHIF
500029 2007 HERWANDI,A.Md. Staf Subag Info Medik NON SHIF
500030 2007 HERWANSYAH Staf Subag Info Medik NON SHIF
500031 2008 DHEA AL JOSHUA,S.Kom. Staf Subag Info Medik NON SHIF
500032 2008 DINA MARGARITA Staf Seksi Keperawatan NON SHIF
500033 2007 MUKHSAN Staf Seksi Keperawatan NON SHIF
500034 2007 BERY A.,S.Kom Staf Seksi Peren & Pengemb. NON SHIF
500035 2007 SA'AMAH,A.Md. Staf Seksi Peren & Pengemb. NON SHIF
500036 2009 JULIAN FERI,S.Kom. Staf Seksi Keuangan NON SHIF
500037 2006 SITI ROHMAH TS.,A.Md. Staf Seksi Keuangan NON SHIF
500038 2007 DENI FITRIYANDI,SE. Staf Seksi Keuangan NON SHIF
500039 2007 BUSRON EFENDI,S.Kom. Staf Seksi Yanmed NON SHIF
500040 2007 SELVIANTI,S.Kom. Staf Seksi Yanmed NON SHIF
500041 2007 REDOWAN UMAR Staf Seksi Penunj Medik NON SHIF
500042 2007 MAT SOFYAN Receptionis NON SHIF
500043 2007 TAKYUDDIN Receptionis NON SHIF
500044 2007 YULIANSYAH,S.Kom. Staf Keb. Kantor NON SHIF
500045 2017 SOLEH EFENDI Supir Dinas NON SHIF
500046 195807131988011000 dr.H.EDY HERMAN,Sp.A Dokter Sp.A NON SHIF
500047 196910102002121000 dr.BAMBANG I. ,Sp.OG Dokter Sp.OG NON SHIF
500048 197903182006042000 dr.NENTI FONA M,I,Sp.OG Dokter Sp.OG NON SHIF
500049 196807112009071000 dr.IMRON,Sp.PD Dokter Sp.PD NON SHIF
500050 197605242006041000 dr.KUMBANG N.M,Sp.OT Dokter Sp.OT NON SHIF
500051 197902212006042000 dr.KAMALINA Y.,Sp.A Dokter Sp.A NON SHIF
500052 197912272006042005 dr.HENI DEKA SARI,Sp.Og Dokter Sp.OG NON SHIF
500053 197604172002122003 dr.YULIANTI,Sp.PD Dokter Sp.PD NON SHIF

HAL--1
 CHEKLIS SPESIMEN SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SUDAH BELUM SHIF
500054 196505132009072000 dr.RUMONDANG Dokter Gigi NON SHIF
500055 197502182014062000 ARLINA,A.Md.Kep. Ka.Ro. Rawat Jalan NON SHIF
500056 197810062008042000 ZULYANA YUSDA,A.Md.Kep. Staf O & T NON SHIF
500057 197609282006042000 SRI MAWARTI Staf Poli Gigi NON SHIF
500058 199208042015022000 ERIKA REINSI W.,A.Md.Keb. Staf Poli Kebidanan NON SHIF
500059 197701132014062000 KARTINI,A.Md.Kep. Staf Poli Bedah NON SHIF
500060 198007032009022000 NURFADHILAH,A.Md.Keb. Staf Ruang Perinatlogi NON SHIF
500061 2015 ZIKRINA AULIANA,A.Md.Keb Staf Poli Kebidanan NON SHIF
500062 2007 JANIAR,A.Md.Kep. Staf Poli kebidanan NON SHIF
500063 2013 DESVI MARANTIKA,S.Kep. Staf Poli PD NON SHIF
500064 2008 Ns.ANITA SERLY M.,S.Kep. Staf Poli Anak NON SHIF
500065 2007 SALEH,A.Md.Kep. Staf Poli Peny. Dalam NON SHIF
500066 2012 RIA VUSPITA D.,A.Md.Kg. Staf Poli Gigi NON SHIF
500067 2012 ROBERT K.,A.Md.RO Staf Poli Peny. Dalam NON SHIF
500068 2006 HETTI,A.Md.Kep. Staf Poli Bedah NON SHIF
500069 2006 Ns.FRISKA I.,S.Kep. Staf O & T NON SHIF
500070 2017 MARLENA ANGGRANINI Staf Poli Anak NON SHIF
500071 2007 ADI MIDIA SAPUTRA Keber. Poli Rawat Jalan NON SHIF
500072 196912222005011000 dr.DIRHAMSYAH RIVA'I Dokter Umum SHIF
500073 197206192002121000 dr.HAIDIR HAMAS Dokter Umum SHIF
500074 198210282009021000 dr.HARDHA PANDU WINATA Dokter Umum SHIF
500075 197505172009022000 dr.LENI Dokter Umum SHIF
500076 198010242010012000 dr.DEASY OKTIAN Dokter Umum SHIF
500077 198407082010012000 dr.REMIA RIANA SUHAIRI Dokter Umum SHIF
500078 198609062011012000 dr.LISTI WULANDARI Dokter Umum SHIF
500079 198908122015021000 dr.DANIEL MAHENDRA Dokter Umum SHIF
500080 198208092010012000 Ns.ISDA AGNESIA,S.Kep Ka. Inst. UGD NON SHIF
500081 196405271988031000 WINARTO,A.Md.Kep Staf UGD SHIF
500082 198102172006041000 SAMSIR EDI S,A.Md.Kep Staf UGD SHIF
500083 197908062006042000 ENI MARLINA,A.Md.Keb Staf UGD SHIF
500084 197702282010012000 NURWATI,A.Md.Keb Staf UGD SHIF
500085 198012252014061000 IWAN SUDRAJAT,A.Md.Kep Staf UGD SHIF
500086 199304102015022000 DINI PUTRI KINANTI,A.Md.Keb Staf UGD SHIF
500087 198105052015021000 JEPRI ARIANSYAH,A.Md.Kep Staf UGD SHIF
500088 197812192014062000 DIYANA INDRIYANI,A.Md.Kep Staf UGD SHIF
500089 2009 DEDY KRISWANTO,A.Md.Kep. Staf UGD SHIF
500090 2007 HADORI,A.Md.Kep Staf UGD SHIF
500091 2008 DIAH EKA PUTRI,A.Md.Kep. Staf UGD SHIF
500092 2006 YULLA SUPRA S.,A.Md.Kep. Staf UGD SHIF
500093 2008 YULIA MAYASARI,A.Md.Kep. Staf UGD SHIF
500094 2014 TIKA PUSPA NOVITA,A.Md.Keb. Staf UGD SHIF
500095 2011 SANTI DINALIS,A.Md.Keb. Staf UGD SHIF
500096 2011 FIRNANDA PUTRA,A.Md.Kep. Staf UGD SHIF
500097 2007 AGUS HENDRIYANTO Adm UGD NON SHIF
500098 2007 AGUSWANDI Keber. UGD NON SHIF
500099 198402272008042000 RENI FEBRIYANTI,A.Md.Kep. Ka.RoKelas I (Handayani) NON SHIF
500100 198708192010011000 Ns.ARIANSYAH,S.Kep. Staf RuangKelas I SHIF
500101 198708022011012000 FINDA IRAYANTI,S. Kep Staf RuangKelas I SHIF
500102 198411022010012000 ERNAWATI Y.,A.Md Kep Staf RuangKelas I SHIF
500103 198102242015022000 OLIVIA FERIANTIFA,A.Md.Kep. Staf RuangKelas I SHIF
500104 198006142014061000 SALMAN AL FARISI,A.Md.Kep. Staf RuangKelas I SHIF
500105 198410232008042000 MERY SUSANTI,A.Md.Kep. Staf RuangKelas I SHIF
500106 2009 Ns.LISMA LINDA,S.Kep. Staf RuangKelas I SHIF
500107 2012 NURUL HIDAYAT,A.Md.Kep Staf RuangKelas I SHIF
500108 2014 LIA FEBRIANI,S.Kep. Staf RuangKelas I SHIF

HAL--2
 CHEKLIS SPESIMEN SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SUDAH BELUM SHIF
500109 2011 KIKI RIZKI,A.Md.Kep. Staf RuangKelas I SHIF
500110 2007 PUJIWATI L.,A.Md.Kep. Staf RuangKelas I SHIF
500111 2017 Ns.RIADINATA S.Kep. Staf RuangKelas I NON SHIF
500112 2011 ROAIMA Staf Adm RuangKelas I NON SHIF
500113 2007 SUHAIBI Staf Keb. RuangKelas I NON SHIF
500114 198706192015022000 Ns.EKA STYANIGSIH,S.Kep Ka.RoKelas II NON SHIF
500115 198602232011012000 Ns.LINDA MURNITA T,S.Kep Staf Ruang Kelas II SHIF
500116 198607152010011000 FRENKY JULIASYAH,S.Kep. Staf Ruang Kelas II SHIF
500117 198007232010012000 ERNAWATI,A.Md.Kep. Staf Ruang Kelas II SHIF
500118 197502132014061000 EKO PURWONO,A.Md.Kep. Staf Ruang Kelas II SHIF
500119 198409082010012000 ISTIANAWATI,A.Md.Kep. Staf Ruang Kelas II SHIF
500120 2010 Ns.TRY RIZKA M.,S.Kep. Staf Ruang Kelas II SHIF
500121 2008 SRI SUSILAWATI,A.Md.Kep. Staf Ruang Kelas II SHIF
500122 2017 LISA MARTHAPINA,A.Md.Keb. Staf Ruang Kelas II SHIF
500123 2011 INTAN FERTARIA A.,A.Md.Kep. Staf Ruang Kelas II SHIF
500124 2017 ETI EKA FITRI,S.Kep. Staf Ruang Kelas II SHIF
500125 2007 DESSY WINI ARISETYA Staf Adm Kelas II NON SHIF
500126 2007 AUZAI Keb. R. Kls II NON SHIF
500127 198512152010012000 LISTYOWATI,S.Kep.. Ka.Ro PD NON SHIF
500128 198706012011012000 ANA FITRIANA AZWAR,S.Kep. Staf Ruang PD SHIF
500129 198107272014062000 TRI RAHAYU,A.Md.Kep. Staf Ruang PD SHIF
500130 197708172014061000 ASRORI,A.Md.Kep. Staf Ruang PD SHIF
500131 199102022015022000 Ns.ZAHROTUNINSSA,S.Kep Staf Ruang PD SHIF
500132 198511202011012000 YENI MARLINA,A.Md.Kep. Staf Ruang PD SHIF
500133 2012 AKBAR SETIAWAN,A.Md.Kep. Staf Ruang PD SHIF
500134 2013 Ns.RIZKI PEBRIANTI,S.Kep. Staf Ruang PD SHIF
500135 2013 EFI SILVIA,A.Md.Kep. Staf Ruang PD SHIF
500136 2013 YURISA NINGGALAS,A.Md.Kep. Staf Ruang PD SHIF
500137 2012 AGUNG BUDIMAN,A.Md.Kep. Staf Ruang PD SHIF
500138 2014 EVA RIANA,A.Md.Kep. Staf Ruang PD SHIF
500139 2017 SANTI LILIANA,A.Md.Kep. Staf Ruang PD SHIF
500140 2007 SEPTALIA Adm Ruang PD NON SHIF
500141 2007 JUNAIDI AKHYAR Keb. R. PD NON SHIF
500142 197611082008042000 RULI TASANOVA,A.Md.Keb. Ka.RoKebidanan NON SHIF
500143 198804082011012000 YANTI,A.Md.Keb. Staf Kebidanan SHIF
500144 198902282010012000 FEBRIKA D.,A.Md.Keb. Staf Kebidanan SHIF
500145 199009302015022000 YUNIKA LESTARI,A.Md.Keb. Staf Kebidanan SHIF
500146 2011 ROHILA,A.Md.Keb. Staf Kebidanan SHIF
500147 2012 SUCI WULANDARI,A.Md.Keb. Staf Kebidanan SHIF
500148 2013 GESTIA RS,A.Md.Keb. Staf Kebidanan SHIF
500149 2013 AYU SARTIKA,A.Md.Keb. Staf Kebidanan SHIF
500150 2013 EKA ERVIANA SARI,S.St. Staf Kebidanan SHIF
500151 2015 SELVIA AFRYANTI,S.St. Staf Kebidanan SHIF
500152 2014 INA FITRIYANTI,S.St. Staf Kebidanan SHIF
500153 2015 SITI RESTIANA,A.Md.Keb. Staf Kebidanan SHIF
500154 2015 DWI YULIA SARI,A.Md.Keb. Staf Kebidanan SHIF
500155 2016 ARMELIA,S.St. Staf Kebidanan SHIF
500156 2017 NOVITA.C.N.,A.Md.Keb. Staf Kebidanan SHIF
500157 2017 DEVIRINA M.A.,S.Tr.Keb Staf Kebidanan SHIF
500158 2008 ASMITA Staf Adm Kebidanan NON SHIF
500159 2008 ZAIRI Keb. Ruang kebidanan NON SHIF
500160 198602272011012000 ROHILLA,A.Md Kep Ka.RoPerinatologi NON SHIF
500161 197807222010012000 RIANA,A.Md.Kep. Staf Ruang Perinatlogi SHIF
500162 198707092010012000 AESTI RENA.Y.,A.Md.Keb Staf Ruang Perinatlogi SHIF
500163 197709072014062000 ISMARTUTI,A.Md.Kep. Staf Ruang Perinatlogi SHIF

HAL--3
 CHEKLIS SPESIMEN SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SUDAH BELUM SHIF
500164 199301112015022000 SRI INDAH BUANA,A.Md.Keb. Staf Ruang Perinatlogi SHIF
500165 198401102015022000 ANA ASTUTI,A.Md.Kep. Staf Ruang Perinatlogi SHIF
500166 2009 YUNDARI.K,A.Md Kep. Staf Ruang Perinatlogi SHIF
500167 2007 ELDA MAYA,A.Md.Kep Staf Ruang Perinatlogi SHIF
500168 2012 Ns.MARINI,S.Kep. Staf Ruang Perinatlogi SHIF
500169 2014 NURMALA,A.Md.Kep. Staf Ruang Perinatlogi SHIF
500170 2017 INDAH KURNIA,S.St. Staf Ruang Perinatlogi SHIF
500171 2017 SISCA ANJALINA,A.Md.Keb Staf Ruang Perinatlogi SHIF
500172 2017 FEBRIYOLA AP.,A.Md.Keb . Staf Ruang Perinatlogi SHIF
500173 2008 SAFITRI NOPASARI Staf Adm Ruang Perinatlogi NON SHIF
500174 198103122010012000 Ns.EKA LISNAWATI,S.Kep. Ka.Ro Bedah NON SHIF
500175 197804212009022000 YENI KARTIKA,A.Md.Kep. Staf Ruang Bedah SHIF
500176 198103062011012000 DESI WIYASTUTI,A.Md.Kep. Staf Ruang Bedah SHIF
500177 197802032014061000 IRSAN,A.Md.Kep. Staf Ruang Bedah SHIF
500178 199006182015021000 Ns.EKO RAHSANJANI,S.Kep Staf Ruang Bedah SHIF
500179 2007 JUMIATI Staf Ruang Bedah SHIF
500180 2012 APRIYANTO,A.Md.Kep. Staf Ruang Bedah SHIF
500181 2009 RESTI NAWANG.S.,A.Md.Kep. Staf Ruang Bedah SHIF
500182 2009 SUSTINA,A.Md.Kep. Staf Ruang Bedah SHIF
500183 2015 KOKO VERDIANSYAH,S.Kep. Staf Ruang Bedah SHIF
500184 2012 MERI HERNISARI,A.Md.Kep. Staf Ruang Bedah SHIF
500185 2015 ARI SUSANTO,A.Md.Kep. Staf Ruang Bedah SHIF
500186 2008 ANIK FIRANIKA.T.,A.Md Kep. Staf Ruang Bedah SHIF
500187 2009 NELLY CRISTINA G.,SE. Staf Adm Ruang Bedah NON SHIF
500188 2007 DESWANTO Keb. Ruang Bedah NON SHIF
500189 198404042008042000 LIKA DWI A.,A.Md.Kep. Ka.Ro Anak NON SHIF
500190 198105192014062000 KURNIASIH .W.,A.Md.Kep. Staf Ruang Anak SHIF
500191 197806182011012000 LIA HARTATI,A.Md.Kep. Staf Ruang Anak SHIF
500192 198205132014062000 SILVIA HASTUTI,A.Md.Kep. Staf Ruang Anak SHIF
500193 198609232011012000 LAIRA SURYA D.,A.Md.Kep. Staf Ruang Anak SHIF
500194 199106272015022000 ENI FANANI,A.Md.Kep. Staf Ruang Anak SHIF
500195 2007 ERMIYANA,A.Md.Kep. Staf Ruang Anak SHIF
500196 2007 LIA SAPTO N.,A.Md.Kep. Staf Ruang Anak SHIF
500197 2012 FITRI HELNA SARI,S.St. Staf Ruang Anak SHIF
500198 2011 ELIYANA,A.Md.Kep. Staf Ruang Anak SHIF
500199 2007 ROHIMA,A.Md.Kep. Staf Ruang Anak SHIF
500200 2017 LISA SUSILA,A.Md.Keb.. Staf Ruang Anak SHIF
500201 2009 LISMAYANTI,A.Md Kep. Staf Ruang Anak SHIF
500202 2016 HENITA M.,A.Md.Keb. Staf Ruang Anak SHIF
500203 2017 AGUS EDI DONES,S.Kep Staf Adm Ruang Anak NON SHIF
500204 2011 ENDY SURYADI USMAN Keb. Ruang Anak NON SHIF
500205 198412042011012000 Ns.ZAIDAYATI,S.Kep. Ka.RoOK NON SHIF
500206 198406272006041000 EGI MULYANTO,A.Md.Kep. Staf Ruang OK SHIF
500207 197912322014061000 WAWAN D.,A.Md.Kep. Staf Ruang OK SHIF
500208 198106302014061000 AGUNG A.,A.Md.Kep. Staf Ruang OK SHIF
500209 198103042014061000 AGUNG K.,A.Md.Kep. Staf Ruang OK SHIF
500210 197908122014062000 LINDA ARISKA D.,A.Md.Kep. Staf Ruang OK SHIF
500211 198505132015022000 KARTININGSIH,A.Md.Kep. Staf Ruang OK SHIF
500212 2012 FITRIA,A.Md.Kep. Staf Ruang OK SHIF
500213 2014 YUNI PARAMIDA I.,A.Md.Keb. Staf Ruang OK SHIF
500214 2009 LIZANA,A.Md.Kep. Staf Ruang OK SHIF
500215 2008 ENDRI SUSANTO,S.Kep. Staf Ruang OK SHIF
500216 2014 ORIKA CRISNA,S.St. Staf Ruang OK SHIF
500217 2015 SRI INDRIYANTI,S.St. Staf Ruang OK SHIF
500218 2017 HAFIZ JULIANTO,A.Md.Kep. Staf Ruang OK SHIF

HAL--4
 CHEKLIS SPESIMEN SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SUDAH BELUM SHIF
500219 2008 LELA SEPTIANA Staf / Keb Ruang OK SHIF
500220 2007 YUDA DINATA Keb. OK SHIF
500222 197905012008041000 RAHMAT NURYADI,A.Md.An. Ka.Ro Anastesi SHIF
500223 198008062014061000 ANTON S.,A.Md.Kep. Staf Ruang Anastesi SHIF
500224 198302072006041000 JOKO PURIYANTO,A.Md.AK Ka.RoUTD RS SHIF
500225 198801282011012000 MUNAWAROH,A.Md.AK Staf Ruang UTD RS SHIF
500226 2008 ARMELIA RATIH K.,SH. Staf UTD RS SHIF
500227 2009 YUNI RAHAYU,A.Md.Kep. Staf UTD RS SHIF
500228 2015 FEBRIANI K.,A.Md.Keb Staf UTD RS SHIF
500229 2007 TAUFIK Keb. UTD RS NON SHIF
500230 198102152008042000 FARIDA,S.St. Ka.Ro Fisioterapi NON SHIF
500231 2007 Ns.EWIS SUSANTI,S.Kep. Staf Ruang Fisioterapi NON SHIF
500232 2007 RIDHO AKBAR Staf Keb. Ruang Fisioterapi NON SHIF
500233 196508131986031000 M.FADIL Ka.Ro Jenazah NON SHIF
500234 197711292010012000 EFRIANA S.M,S.Far,Apt Ka. Inst. Farmasi/Apotek NON SHIF
500235 198006142009022000 YUNI MAYA.M.,A.Md.F. Staf Inst Farmasi/Apotek SHIF
500236 197709152011011000 PRADAH EDI RIADI,A.Md..F Staf Inst Farmasi/Apotek SHIF
500237 197912212006042000 ELISA NINGRUM,A.Md.F. Staf Inst Farmasi/Apotek SHIF
500238 198208032015021000 BAYU ARI SASONGKO,Apt Staf Inst Farmasi/Apotek SHIF
500239 199307092015022000 ADHIS ELTI IRSANI,A.Md.F. Staf Inst Farmasi/Apotek SHIF
500240 2007 SULISTYANINGSIH,A.Md. Staf Inst Farmasi/Apotek NON SHIF
500241 2007 ROMAIKA Staf Inst Farmasi/Apotek SHIF
500242 2007 PARIYANI NADA. L.,SE. Staf Inst Farmasi/Apotek SHIF
500243 2007 ROHILA Staf Inst Farmasi/Apotek SHIF
500244 2011 HERMAYATI,S.Kom. Staf Inst Farmasi/Apotek NON SHIF
500245 2007 ALPIANSYAH Staf Inst Farmasi/Apotek SHIF
500246 2012 IRWANDI,A.Md. Staf Inst Farmasi/Apotek SHIF
500247 2007 HADI IRAWAN Keb. Farmasi/Apotek NON SHIF
500248 2017 TYA GARINI,A.Md.F. Staf Inst Farmasi/Apotek SHIF
500249 197805262011011000 HERI KUSNO,A.Md.Af Staf Inst Farmasi/Apotek SHIF
500250 198611252010012000 ONE'S DIANNOVITA,A.Md.AK Ka. Inst Lab SHIF
500251 198111082002121000 FATURAHMAN.M,A.Md.AK Staf Inst Lab SHIF
500252 198806072009022000 YUNIARTI,A.Md.AK Staf Inst Lab SHIF
500253 198311192006042000 CORI NOVIDA SARI,A.Md.AK Staf Inst Lab SHIF
500254 198707292010012000 RAHMAWATI,A.Md.AK Staf Inst Lab SHIF
500255 2017 NOVITASARI,A.Md.AK. Staf Inst Lab SHIF
500256 2007 M. BASYIR,A.Md. Staf Adm Lab NON SHIF
500257 2007 ANHARUDIN Keb. Lab NON SHIF
500258 2013 MELDA FEBRIANA Staf Adm Lab NON SHIF
500259 197903112005012000 dr.RIMA SAPUTRI.,Sp.Rad Ka. Inst. Radiologi /Spesialis Radiologi NON SHIF
500260 198311052006042000 ANNE RESKA ,S.Si Staf Inst. Radiologi NON SHIF
500261 199012252015022000 DEVI PURWANI,A.Md.Rad Staf Inst. Radiologi NON SHIF
500262 199203052015021000 MUHAMMAD R.,A.Md.Rad Staf Inst. Radiologi NON SHIF
500263 2008 EDO YUDIANTO Staf Administrasi NON SHIF
500264 2014 M. ARIFIN,A.Md.Rad. Staf Inst. Radiologi NON SHIF
500265 2017 INTAN NURUL H.,A.Md.Rad Staf Inst. Radiologi NON SHIF
500266 2016 RATIMAH Ptgs Keb. NON SHIF
500267 198504212008042000 EMI SUMARNI,A.Md.G Ka. Inst Gizi / Dapur NON SHIF
500268 197703092000122000 ENDAH NURHALIMAH,SKM. Staf Inst Gizi / Dapur NON SHIF
500269 198404172009022000 YENNI DARMASTUTI,A.Md.G. Staf Inst Gizi / Dapur NON SHIF
500270 2006 MARTININGSIH,A.Md. Staf Inst Gizi / Dapur NON SHIF
500271 2007 FITRI SULISTIAWATI Staf Inst Gizi / Dapur SHIF
500272 2007 ROHAIDA Staf Inst Gizi / Dapur SHIF
500273 2007 YULIANI Staf Inst Gizi / Dapur SHIF
500274 2007 FITRIANA Staf Inst Gizi / Dapur SHIF

HAL--5
 CHEKLIS SPESIMEN SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SUDAH BELUM SHIF
500275 2007 HELLINA,S.Kom. Staf Inst Gizi / Dapur SHIF
500276 2008 FENTI INDAYANI Staf Inst Gizi / Dapur SHIF
500277 2007 SANAWIYAH Staf Inst Gizi / Dapur SHIF
500278 2008 ZAMRONI Staf Inst Gizi / Dapur SHIF
500279 2007 EVA MISNAWATI Staf Inst Gizi / Dapur SHIF
500280 2007 DIMAS WAN WAHYUDI Keb. Ruang Gizi/Dapur NON SHIF
500281 197908012006041000 AGUS PURNOMO,AMTE Ka. Inst PSRS NON SHIF
500282 2007 ROLIAN Staf Tekhnisi SHIF
500283 2008 MULYADI Staf Tekhnisi SHIF
500284 2006 SWEKO CATUR Staf Tekhnisi SHIF
500285 2007 ANDA WIJAYA Staf Tekhnisi NON SHIF
500286 2007 ADI RUSTAM Staf Tekhnisi SHIF
500287 197603202014061000 DWI RATNO A.,A.Md.KL. Ka. Instalsi Kesling NON SHIF
500288 198604172009022000 ARMIASA ROVALI,A.Md KL. Staf Kesling NON SHIF
500289 2007 HENDRA Staf Kesling NON SHIF
500290 2007 HENDRO YANZAH Staf Kesling NON SHIF
500291 198003282009022000 DEWI RETNO N.,A.Md.PK. Ka. Inst Rekam Medik NON SHIF
500292 198301122006042000 ANITA SILABAN,A.Md.PK. Staf Rekam Medik NON SHIF
500293 2007 ZAITUN ULIZA,S.IP. Staf Rekam Medik NON SHIF
500294 2008 MEYSI ANDRIANA Staf Rekam Medik NON SHIF
500295 2007 ISMAIL Staf Rekam Medik NON SHIF
500296 2007 ROHIMI Staf Rekam Medik NON SHIF
500297 2007 RODIAL EFENDI Staf Rekam Medik SHIF
500298 2008 META WINI A.,S.Kom. Staf Rekam Medik NON SHIF
500299 2008 APRIAL Staf Rekam Medik NON SHIF
500300 2007 HASBULLAH Staf Rekam Medik SHIF
500301 2006 DODDY IRAWAN Staf Rekam Medik SHIF
500302 2017 SUSPADEWI,S.Pd. Staf Rekam Medik SHIF
500303 2007 REFA VEBRINA,SE. Staf Rekam Medik NON SHIF
500304 2007 EVI INDRIYANI,SE. Staf Rekam Medik NON SHIF
500305 2017 ZUFLIANDA. Y. Staf Rekam Medik NON SHIF
500306 198101062010012000 DINA KURNIA,S.ST Ka.RoCSSD/ Loundry NON SHIF
500307 2007 DWI WINARTI Petugas Loundry SHIF
500308 2007 EKA SAFITRI Petugas Loundry SHIF
500309 2007 WAHYUDI,SE. Petugas Loundry SHIF
500310 2007 JOKO HARJANTO Petugas Loundry SHIF
500311 2007 KRISNAWATI,SE. Kasir NON SHIF
500312 2006 ARVINA DEWI Kasir SHIF
500313 2007 YULIANA DEWI,S.Kom. Kasir SHIF
500314 2007 MAD NASIR Kasir SHIF
500315 2013 INTAN SRI P.,S.Kom. Kasir SHIF
500316 2007 IDA NUGRAHANINGSIH,SE. Kasir SHIF
500317 2007 NURSAN Supir Ambu SHIF
500318 2007 SAHRIZAL Supir Ambu SHIF
500319 2007 RIFKI HAMSIR NATA Supir Ambu SHIF
500320 2007 ABU HASIM Koord. Satpam NON SHIF
500321 2009 EKA SATYA M.P. Karu 1 SHIF
500322 2007 SUPRIADI Anggota 1 SHIF
500323 2007 ASEP K.,S.Kom. Anggota 1 SHIF
500324 2007 SAMAN Karu 2 SHIF
500325 2015 HERI ANGGARA Anggota 1 SHIF
500326 2007 SUWANDI Anggota 2 SHIF
500327 2007 EDWIN Anggota 3 SHIF
500328 2007 INDRA JAYA Karu 3 SHIF
500329 2007 FAUZAN Anggota 1 SHIF

HAL--6
 CHEKLIS SPESIMEN SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SUDAH BELUM SHIF
500330 2007 AMROZI Anggota 2 SHIF
500331 2006 BAMBANG WIYADI Karu 3 SHIF
500332 2007 RENRAWAN Anggota 1 SHIF
500333 2007 MADIAN REPELITA Anggota 2 SHIF
500334 2007 MIRZA Koord. Keb. NON SHIF
500335 2007 PIPI HADI Keb. Taman NON SHIF
500336 2008 SUKRI,A.Md. Keb. Taman NON SHIF
500337 2008 SUMARNO Keb. Taman NON SHIF
500338 2007 TRI AGUS PURWANTO Keb. Taman NON SHIF
500221 2007 MIRZA Keb. Koridor NON SHIF

HAL--7
 DATA PRINGER PRINT (NON SHIF)
CHEKLIS SPESIMEN
SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SHIF
SUDAH BELUM

500001 196410102002121006 dr.YUDI INDARTO,MM.Kes Direktur NON SHIF

500002 196209221986031000 ANDI FIRDAUSI,SE.,MM. Kabag. TU NON SHIF
500003 196603201986031000 H.MARHAENISA AR,SKM Kabid Perenc & Keu NON SHIF
500004 196505061986032000 Hj.ASIAWATI,S.ST.,M.Kes. Kabid Pely.Medis NON SHIF
500005 197011181993031000 BUDI M.GHOZALI,SKM,M.Kes Kabid Keperawatan NON SHIF
500006 196112241985031000 YAYAT SUGIYAT,A.Md.Kep. Kasubag Info Medik NON SHIF
500007 196711011988022000 ELY NOVYANTI,SKM Kasubag Kepegawaian NON SHIF
500008 196401171989031000 MASRUNDANI,SE Kasubag Umum & RT NON SHIF
500009 196212011987031000 HASAN BASRI,A.Md.Kep. Kasi Keperawatan NON SHIF
500010 196512141988032004 NEDALIA,S.KM.,MM Kasi Pely.Keperawatan NON SHIF
500011 197103051992012001 PONIAH,A.Md.Keb. Kasi Pely.Medik NON SHIF
500012 197411242006042000 SRI HANDAYANI,SKM Kasi Penunjang Medik NON SHIF
500013 196307151988031000 AZIAN AS,SE. Kasi Keuangan NON SHIF
500014 196407251988031000 JK ABIMANYU.,SKM,M.PH. Kasi Perenc & Pengemb NON SHIF
500015 196504161991012000 SARYANI,SE Staf Keuangan NON SHIF
500016 197601142006042000 ERLINDA,S.St. Staf Bid .Keperawatan NON SHIF
500017 197912242011012000 DEPI ANDRIANI,A.Md. Staf Keuangan NON SHIF
500018 197608052005011000 FAHRUDIN,S.Kep Staf Seksi Peren & Pengemb. NON SHIF
500019 197703142014062000 BUDI LESTARI,A.Md.KL Bend. Pengeluaran NON SHIF
500020 198207172014062000 DWI SUSANTI,A.Md.Kep. Staf Bid. Pely.medik NON SHIF
500021 198508282014062000 MAYA YULIANTI,S.Kom Staf Subag Kepegawaian NON SHIF
500022 2007 AHMAD ZARKASI Staf Subag Umum & RT NON SHIF
500023 2007 INDRAWAN INDRA Staf Subag Umum & RT NON SHIF
500024 2008 WAHYUDI Staf Subag Umum & RT NON SHIF
500025 2017 DIKI YUDI ANDOKO Staf Subag Kepegawaian NON SHIF
500026 2007 REZI KURNIAWAN,A.Md. Staf Subag Kepegawaian NON SHIF
500027 2007 AGUS KARDOMO Staf Subag Kepegawaian NON SHIF
500028 2007 MARULY AFNITA S.,S.Kom. Staf Subag Info Medik NON SHIF
500029 2007 HERWANDI,A.Md. Staf Subag Info Medik NON SHIF
500030 2007 HERWANSYAH Staf Subag Info Medik NON SHIF
500031 2008 DHEA AL JOSHUA,S.Kom. Staf Subag Info Medik NON SHIF
500032 2008 DINA MARGARITA Staf Seksi Keperawatan NON SHIF
500033 2007 MUKHSAN Staf Seksi Keperawatan NON SHIF
500034 2007 BERY A.,S.Kom Staf Seksi Peren & Pengemb. NON SHIF
500035 2007 SA'AMAH,A.Md. Staf Seksi Peren & Pengemb. NON SHIF
500036 2009 JULIAN FERI,S.Kom. Staf Seksi Keuangan NON SHIF
500037 2006 SITI ROHMAH TS.,A.Md. Staf Seksi Keuangan NON SHIF
500038 2007 DENI FITRIYANDI,SE. Staf Seksi Keuangan NON SHIF
500039 2007 BUSRON EFENDI,S.Kom. Staf Seksi Yanmed NON SHIF
500040 2007 SELVIANTI,S.Kom. Staf Seksi Yanmed NON SHIF
500041 2007 REDOWAN UMAR Staf Seksi Penunj Medik NON SHIF
500042 2007 MAT SOFYAN Receptionis NON SHIF
500043 2007 TAKYUDDIN Receptionis NON SHIF
500044 2007 YULIANSYAH,S.Kom. Staf Keb. Kantor NON SHIF
500045 2017 SOLEH EFENDI Supir Dinas NON SHIF
500046 195807131988011000 dr.H.EDY HERMAN,Sp.A Dokter Sp.A NON SHIF

HAL--8
 CHEKLIS SPESIMEN
SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SHIF
SUDAH BELUM

500047 196910102002121000 dr.BAMBANG I. ,Sp.OG Dokter Sp.OG NON SHIF

500048 197903182006042000 dr.NENTI FONA M,I,Sp.OG Dokter Sp.OG NON SHIF
500049 196807112009071000 dr.IMRON,Sp.PD Dokter Sp.PD NON SHIF
500050 197605242006041000 dr.KUMBANG N.M,Sp.OT Dokter Sp.OT NON SHIF
500051 197902212006042000 dr.KAMALINA Y.,Sp.A Dokter Sp.A NON SHIF
500052 197912272006042005 dr.HENI DEKA SARI,Sp.Og Dokter Sp.OG NON SHIF
500053 197604172002122003 dr.YULIANTI,Sp.PD Dokter Sp.PD NON SHIF
500054 196505132009072000 dr.RUMONDANG Dokter Gigi NON SHIF
500055 197502182014062000 ARLINA,A.Md.Kep. Ka.Ro. Rawat Jalan NON SHIF
500056 197810062008042000 ZULYANA YUSDA,A.Md.Kep. Staf O & T NON SHIF
500057 197609282006042000 SRI MAWARTI Staf Poli Gigi NON SHIF
500058 199208042015022000 ERIKA REINSI W.,A.Md.Keb. Staf Poli Kebidanan NON SHIF
500059 197701132014062000 KARTINI,A.Md.Kep. Staf Poli Bedah NON SHIF
500060 198007032009022000 NURFADHILAH,A.Md.Keb. Staf Ruang Perinatlogi NON SHIF
500061 2015 ZIKRINA AULIANA,A.Md.Keb Staf Poli Kebidanan NON SHIF
500062 2007 JANIAR,A.Md.Kep. Staf Poli kebidanan NON SHIF
500063 2013 DESVI MARANTIKA,S.Kep. Staf Poli PD NON SHIF
500064 2008 Ns.ANITA SERLY M.,S.Kep. Staf Poli Anak NON SHIF
500065 2007 SALEH,A.Md.Kep. Staf Poli Peny. Dalam NON SHIF
500066 2012 RIA VUSPITA D.,A.Md.Kg. Staf Poli Gigi NON SHIF
500067 2012 ROBERT K.,A.Md.RO Staf Poli Peny. Dalam NON SHIF
500068 2006 HETTI,A.Md.Kep. Staf Poli Bedah NON SHIF
500069 2006 Ns.FRISKA I.,S.Kep. Staf O & T NON SHIF
500070 2017 MARLENA ANGGRANINI Staf Poli Anak NON SHIF
500071 2007 ADI MIDIA SAPUTRA Keber. Poli Rawat Jalan NON SHIF
500080 198208092010012000 Ns.ISDA AGNESIA,S.Kep Ka. Inst. UGD NON SHIF
500097 2007 AGUS HENDRIYANTO Adm UGD NON SHIF
500098 2007 AGUSWANDI Keber. UGD NON SHIF
500099 198402272008042000 RENI FEBRIYANTI,A.Md.Kep. Ka.RoKelas I (Handayani) NON SHIF
500111 2017 Ns.RIADINATA S.Kep. Staf RuangKelas I NON SHIF
500112 2011 ROAIMA Staf Adm RuangKelas I NON SHIF
500113 2007 SUHAIBI Staf Keb. RuangKelas I NON SHIF
500114 198706192015022000 Ns.EKA STYANIGSIH,S.Kep Ka.RoKelas II NON SHIF
500125 2007 DESSY WINI ARISETYA Staf Adm Kelas II NON SHIF
500126 2007 AUZAI Keb. R. Kls II NON SHIF
500127 198512152010012000 LISTYOWATI,S.Kep.. Ka.Ro PD NON SHIF
500140 2007 SEPTALIA Adm Ruang PD NON SHIF
500141 2007 JUNAIDI AKHYAR Keb. R. PD NON SHIF
500142 197611082008042000 RULI TASANOVA,A.Md.Keb. Ka.RoKebidanan NON SHIF
500158 2008 ASMITA Staf Adm Kebidanan NON SHIF
500159 2008 ZAIRI Keb. Ruang kebidanan NON SHIF
500160 198602272011012000 ROHILLA,A.Md Kep Ka.RoPerinatologi NON SHIF
500173 2008 SAFITRI NOPASARI Staf Adm Ruang Perinatlogi NON SHIF
500174 198103122010012000 Ns.EKA LISNAWATI,S.Kep. Ka.Ro Bedah NON SHIF
500187 2009 NELLY CRISTINA G.,SE. Staf Adm Ruang Bedah NON SHIF
500188 2007 DESWANTO Keb. Ruang Bedah NON SHIF
500189 198404042008042000 LIKA DWI A.,A.Md.Kep. Ka.Ro Anak NON SHIF
500203 2017 AGUS EDI DONES,S.Kep Staf Adm Ruang Anak NON SHIF

HAL--9
 CHEKLIS SPESIMEN
SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SHIF
SUDAH BELUM

500204 2011 ENDY SURYADI USMAN Keb. Ruang Anak NON SHIF
500205 198412042011012000 Ns.ZAIDAYATI,S.Kep. Ka.RoOK NON SHIF
500229 2007 TAUFIK Keb. UTD RS NON SHIF
500230 198102152008042000 FARIDA,S.St. Ka.Ro Fisioterapi NON SHIF
500231 2007 Ns.EWIS SUSANTI,S.Kep. Staf Ruang Fisioterapi NON SHIF
500232 2007 RIDHO AKBAR Staf Keb. Ruang Fisioterapi NON SHIF
500233 196508131986031000 M.FADIL Ka.Ro Jenazah NON SHIF
500234 197711292010012000 EFRIANA S.M,S.Far,Apt Ka. Inst. Farmasi/Apotek NON SHIF
500240 2007 SULISTYANINGSIH,A.Md. Staf Inst Farmasi/Apotek NON SHIF
500244 2011 HERMAYATI,S.Kom. Staf Inst Farmasi/Apotek NON SHIF
500247 2007 HADI IRAWAN Keb. Farmasi/Apotek NON SHIF
500256 2007 M. BASYIR,A.Md. Staf Adm Lab NON SHIF
500257 2007 ANHARUDIN Keb. Lab NON SHIF
500258 2013 MELDA FEBRIANA Staf Adm Lab NON SHIF
500259 197903112005012000 dr.RIMA SAPUTRI.,Sp.Rad Ka. Inst. Radiologi /Spesialis Radiologi NON SHIF
500260 198311052006042000 ANNE RESKA ,S.Si Staf Inst. Radiologi NON SHIF
500261 199012252015022000 DEVI PURWANI,A.Md.Rad Staf Inst. Radiologi NON SHIF
500262 199203052015021000 MUHAMMAD R.,A.Md.Rad Staf Inst. Radiologi NON SHIF
500263 2008 EDO YUDIANTO Staf Administrasi NON SHIF
500264 2014 M. ARIFIN,A.Md.Rad. Staf Inst. Radiologi NON SHIF
500265 2017 INTAN NURUL H.,A.Md.Rad Staf Inst. Radiologi NON SHIF
500266 2016 RATIMAH Ptgs Keb. NON SHIF
500267 198504212008042000 EMI SUMARNI,A.Md.G Ka. Inst Gizi / Dapur NON SHIF
500268 197703092000122000 ENDAH NURHALIMAH,SKM. Staf Inst Gizi / Dapur NON SHIF
500269 198404172009022000 YENNI DARMASTUTI,A.Md.G. Staf Inst Gizi / Dapur NON SHIF
500270 2006 MARTININGSIH,A.Md. Staf Inst Gizi / Dapur NON SHIF
500280 2007 DIMAS WAN WAHYUDI Keb. Ruang Gizi/Dapur NON SHIF
500281 197908012006041000 AGUS PURNOMO,AMTE Ka. Inst PSRS NON SHIF
500285 2007 ANDA WIJAYA Staf Tekhnisi NON SHIF
500287 197603202014061000 DWI RATNO A.,A.Md.KL. Ka. Instalsi Kesling NON SHIF
500288 198604172009022000 ARMIASA ROVALI,A.Md KL. Staf Kesling NON SHIF
500289 2007 HENDRA Staf Kesling NON SHIF
500290 2007 HENDRO YANZAH Staf Kesling NON SHIF
500291 198003282009022000 DEWI RETNO N.,A.Md.PK. Ka. Inst Rekam Medik NON SHIF
500292 198301122006042000 ANITA SILABAN,A.Md.PK. Staf Rekam Medik NON SHIF
500293 2007 ZAITUN ULIZA,S.IP. Staf Rekam Medik NON SHIF
500294 2008 MEYSI ANDRIANA Staf Rekam Medik NON SHIF
500295 2007 ISMAIL Staf Rekam Medik NON SHIF
500296 2007 ROHIMI Staf Rekam Medik NON SHIF
500298 2008 META WINI A.,S.Kom. Staf Rekam Medik NON SHIF
500299 2008 APRIAL Staf Rekam Medik NON SHIF
500303 2007 REFA VEBRINA,SE. Staf Rekam Medik NON SHIF
500304 2007 EVI INDRIYANI,SE. Staf Rekam Medik NON SHIF
500305 2017 ZUFLIANDA. Y. Staf Rekam Medik NON SHIF
500306 198101062010012000 DINA KURNIA,S.ST Ka.RoCSSD/ Loundry NON SHIF
500311 2007 KRISNAWATI,SE. Kasir NON SHIF
500320 2007 ABU HASIM Koord. Satpam NON SHIF
500334 2007 MIRZA Koord. Keb. NON SHIF

HAL--10
 CHEKLIS SPESIMEN
SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SHIF
SUDAH BELUM

500335 2007 PIPI HADI Keb. Taman NON SHIF

500336 2008 SUKRI,A.Md. Keb. Taman NON SHIF
500337 2008 SUMARNO Keb. Taman NON SHIF
500338 2007 TRI AGUS PURWANTO Keb. Taman NON SHIF
500221 2007 MIRZA Keb. Koridor NON SHIF

JUMLAH DATA 147

HAL--11
 DATA PRINGER PRINT (SHIF)
CHEKLIS SPESIMEN SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SUDAH BELUM SHIF
500072 196912222005011000 dr.DIRHAMSYAH RIVA'I Dokter Umum SHIF
500073 197206192002121000 dr.HAIDIR HAMAS Dokter Umum SHIF
500074 198210282009021000 dr.HARDHA PANDU WINATA Dokter Umum SHIF
500075 197505172009022000 dr.LENI Dokter Umum SHIF
500076 198010242010012000 dr.DEASY OKTIAN Dokter Umum SHIF
500077 198407082010012000 dr.REMIA RIANA SUHAIRI Dokter Umum SHIF
500078 198609062011012000 dr.LISTI WULANDARI Dokter Umum SHIF
500079 198908122015021000 dr.DANIEL MAHENDRA Dokter Umum SHIF
500081 196405271988031000 WINARTO,A.Md.Kep Staf UGD SHIF
500082 198102172006041000 SAMSIR EDI S,A.Md.Kep Staf UGD SHIF
500083 197908062006042000 ENI MARLINA,A.Md.Keb Staf UGD SHIF
500084 197702282010012000 NURWATI,A.Md.Keb Staf UGD SHIF
500085 198012252014061000 IWAN SUDRAJAT,A.Md.Kep Staf UGD SHIF
500086 199304102015022000 DINI PUTRI KINANTI,A.Md.Keb Staf UGD SHIF
500087 198105052015021000 JEPRI ARIANSYAH,A.Md.Kep Staf UGD SHIF
500088 197812192014062000 DIYANA INDRIYANI,A.Md.Kep Staf UGD SHIF
500089 2009 DEDY KRISWANTO,A.Md.Kep. Staf UGD SHIF
500090 2007 HADORI,A.Md.Kep Staf UGD SHIF
500091 2008 DIAH EKA PUTRI,A.Md.Kep. Staf UGD SHIF
500092 2006 YULLA SUPRA S.,A.Md.Kep. Staf UGD SHIF
500093 2008 YULIA MAYASARI,A.Md.Kep. Staf UGD SHIF
500094 2014 TIKA PUSPA NOVITA,A.Md.Keb. Staf UGD SHIF
500095 2011 SANTI DINALIS,A.Md.Keb. Staf UGD SHIF
500096 2011 FIRNANDA PUTRA,A.Md.Kep. Staf UGD SHIF
500100 198708192010011000 Ns.ARIANSYAH,S.Kep. Staf RuangKelas I SHIF
500101 198708022011012000 FINDA IRAYANTI,S. Kep Staf RuangKelas I SHIF
500102 198411022010012000 ERNAWATI Y.,A.Md Kep Staf RuangKelas I SHIF
500103 198102242015022000 OLIVIA FERIANTIFA,A.Md.Kep. Staf RuangKelas I SHIF
500104 198006142014061000 SALMAN AL FARISI,A.Md.Kep. Staf RuangKelas I SHIF
500105 198410232008042000 MERY SUSANTI,A.Md.Kep. Staf RuangKelas I SHIF
500106 2009 Ns.LISMA LINDA,S.Kep. Staf RuangKelas I SHIF
500107 2012 NURUL HIDAYAT,A.Md.Kep Staf RuangKelas I SHIF
500108 2014 LIA FEBRIANI,S.Kep. Staf RuangKelas I SHIF
500109 2011 KIKI RIZKI,A.Md.Kep. Staf RuangKelas I SHIF
500110 2007 PUJIWATI L.,A.Md.Kep. Staf RuangKelas I SHIF
500115 198602232011012000 Ns.LINDA MURNITA T,S.Kep Staf Ruang Kelas II SHIF
500116 198607152010011000 FRENKY JULIASYAH,S.Kep. Staf Ruang Kelas II SHIF
500117 198007232010012000 ERNAWATI,A.Md.Kep. Staf Ruang Kelas II SHIF
500118 197502132014061000 EKO PURWONO,A.Md.Kep. Staf Ruang Kelas II SHIF
500119 198409082010012000 ISTIANAWATI,A.Md.Kep. Staf Ruang Kelas II SHIF
500120 2010 Ns.TRY RIZKA M.,S.Kep. Staf Ruang Kelas II SHIF
500121 2008 SRI SUSILAWATI,A.Md.Kep. Staf Ruang Kelas II SHIF
500122 2017 LISA MARTHAPINA,A.Md.Keb. Staf Ruang Kelas II SHIF
500123 2011 INTAN FERTARIA A.,A.Md.Kep. Staf Ruang Kelas II SHIF
500124 2017 ETI EKA FITRI,S.Kep. Staf Ruang Kelas II SHIF
500128 198706012011012000 ANA FITRIANA AZWAR,S.Kep. Staf Ruang PD SHIF
500129 198107272014062000 TRI RAHAYU,A.Md.Kep. Staf Ruang PD SHIF

HAL--12
 CHEKLIS SPESIMEN SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SUDAH BELUM SHIF
500130 197708172014061000 ASRORI,A.Md.Kep. Staf Ruang PD SHIF
500131 199102022015022000 Ns.ZAHROTUNINSSA,S.Kep Staf Ruang PD SHIF
500132 198511202011012000 YENI MARLINA,A.Md.Kep. Staf Ruang PD SHIF
500133 2012 AKBAR SETIAWAN,A.Md.Kep. Staf Ruang PD SHIF
500134 2013 Ns.RIZKI PEBRIANTI,S.Kep. Staf Ruang PD SHIF
500135 2013 EFI SILVIA,A.Md.Kep. Staf Ruang PD SHIF
500136 2013 YURISA NINGGALAS,A.Md.Kep. Staf Ruang PD SHIF
500137 2012 AGUNG BUDIMAN,A.Md.Kep. Staf Ruang PD SHIF
500138 2014 EVA RIANA,A.Md.Kep. Staf Ruang PD SHIF
500139 2017 SANTI LILIANA,A.Md.Kep. Staf Ruang PD SHIF
500143 198804082011012000 YANTI,A.Md.Keb. Staf Kebidanan SHIF
500144 198902282010012000 FEBRIKA D.,A.Md.Keb. Staf Kebidanan SHIF
500145 199009302015022000 YUNIKA LESTARI,A.Md.Keb. Staf Kebidanan SHIF
500146 2011 ROHILA,A.Md.Keb. Staf Kebidanan SHIF
500147 2012 SUCI WULANDARI,A.Md.Keb. Staf Kebidanan SHIF
500148 2013 GESTIA RS,A.Md.Keb. Staf Kebidanan SHIF
500149 2013 AYU SARTIKA,A.Md.Keb. Staf Kebidanan SHIF
500150 2013 EKA ERVIANA SARI,S.St. Staf Kebidanan SHIF
500151 2015 SELVIA AFRYANTI,S.St. Staf Kebidanan SHIF
500152 2014 INA FITRIYANTI,S.St. Staf Kebidanan SHIF
500153 2015 SITI RESTIANA,A.Md.Keb. Staf Kebidanan SHIF
500154 2015 DWI YULIA SARI,A.Md.Keb. Staf Kebidanan SHIF
500155 2016 ARMELIA,S.St. Staf Kebidanan SHIF
500156 2017 NOVITA.C.N.,A.Md.Keb. Staf Kebidanan SHIF
500157 2017 DEVIRINA M.A.,S.Tr.Keb Staf Kebidanan SHIF
500161 197807222010012000 RIANA,A.Md.Kep. Staf Ruang Perinatlogi SHIF
500162 198707092010012000 AESTI RENA.Y.,A.Md.Keb Staf Ruang Perinatlogi SHIF
500163 197709072014062000 ISMARTUTI,A.Md.Kep. Staf Ruang Perinatlogi SHIF
500164 199301112015022000 SRI INDAH BUANA,A.Md.Keb. Staf Ruang Perinatlogi SHIF
500165 198401102015022000 ANA ASTUTI,A.Md.Kep. Staf Ruang Perinatlogi SHIF
500166 2009 YUNDARI.K,A.Md Kep. Staf Ruang Perinatlogi SHIF
500167 2007 ELDA MAYA,A.Md.Kep Staf Ruang Perinatlogi SHIF
500168 2012 Ns.MARINI,S.Kep. Staf Ruang Perinatlogi SHIF
500169 2014 NURMALA,A.Md.Kep. Staf Ruang Perinatlogi SHIF
500170 2017 INDAH KURNIA,S.St. Staf Ruang Perinatlogi SHIF
500171 2017 SISCA ANJALINA,A.Md.Keb Staf Ruang Perinatlogi SHIF
500172 2017 FEBRIYOLA AP.,A.Md.Keb . Staf Ruang Perinatlogi SHIF
500175 197804212009022000 YENI KARTIKA,A.Md.Kep. Staf Ruang Bedah SHIF
500176 198103062011012000 DESI WIYASTUTI,A.Md.Kep. Staf Ruang Bedah SHIF
500177 197802032014061000 IRSAN,A.Md.Kep. Staf Ruang Bedah SHIF
500178 199006182015021000 Ns.EKO RAHSANJANI,S.Kep Staf Ruang Bedah SHIF
500179 2007 JUMIATI Staf Ruang Bedah SHIF
500180 2012 APRIYANTO,A.Md.Kep. Staf Ruang Bedah SHIF
500181 2009 RESTI NAWANG.S.,A.Md.Kep. Staf Ruang Bedah SHIF
500182 2009 SUSTINA,A.Md.Kep. Staf Ruang Bedah SHIF
500183 2015 KOKO VERDIANSYAH,S.Kep. Staf Ruang Bedah SHIF
500184 2012 MERI HERNISARI,A.Md.Kep. Staf Ruang Bedah SHIF
500185 2015 ARI SUSANTO,A.Md.Kep. Staf Ruang Bedah SHIF
500186 2008 ANIK FIRANIKA.T.,A.Md Kep. Staf Ruang Bedah SHIF

HAL--13
 CHEKLIS SPESIMEN SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SUDAH BELUM SHIF
500190 198105192014062000 KURNIASIH .W.,A.Md.Kep. Staf Ruang Anak SHIF
500191 197806182011012000 LIA HARTATI,A.Md.Kep. Staf Ruang Anak SHIF
500192 198205132014062000 SILVIA HASTUTI,A.Md.Kep. Staf Ruang Anak SHIF
500193 198609232011012000 LAIRA SURYA D.,A.Md.Kep. Staf Ruang Anak SHIF
500194 199106272015022000 ENI FANANI,A.Md.Kep. Staf Ruang Anak SHIF
500195 2007 ERMIYANA,A.Md.Kep. Staf Ruang Anak SHIF
500196 2007 LIA SAPTO N.,A.Md.Kep. Staf Ruang Anak SHIF
500197 2012 FITRI HELNA SARI,S.St. Staf Ruang Anak SHIF
500198 2011 ELIYANA,A.Md.Kep. Staf Ruang Anak SHIF
500199 2007 ROHIMA,A.Md.Kep. Staf Ruang Anak SHIF
500200 2017 LISA SUSILA,A.Md.Keb.. Staf Ruang Anak SHIF
500201 2009 LISMAYANTI,A.Md Kep. Staf Ruang Anak SHIF
500202 2016 HENITA M.,A.Md.Keb. Staf Ruang Anak SHIF
500206 198406272006041000 EGI MULYANTO,A.Md.Kep. Staf Ruang OK SHIF
500207 197912322014061000 WAWAN D.,A.Md.Kep. Staf Ruang OK SHIF
500208 198106302014061000 AGUNG A.,A.Md.Kep. Staf Ruang OK SHIF
500209 198103042014061000 AGUNG K.,A.Md.Kep. Staf Ruang OK SHIF
500210 197908122014062000 LINDA ARISKA D.,A.Md.Kep. Staf Ruang OK SHIF
500211 198505132015022000 KARTININGSIH,A.Md.Kep. Staf Ruang OK SHIF
500212 2012 FITRIA,A.Md.Kep. Staf Ruang OK SHIF
500213 2014 YUNI PARAMIDA I.,A.Md.Keb. Staf Ruang OK SHIF
500214 2009 LIZANA,A.Md.Kep. Staf Ruang OK SHIF
500215 2008 ENDRI SUSANTO,S.Kep. Staf Ruang OK SHIF
500216 2014 ORIKA CRISNA,S.St. Staf Ruang OK SHIF
500217 2015 SRI INDRIYANTI,S.St. Staf Ruang OK SHIF
500218 2017 HAFIZ JULIANTO,A.Md.Kep. Staf Ruang OK SHIF
500219 2008 LELA SEPTIANA Staf / Keb Ruang OK SHIF
500220 2007 YUDA DINATA Keb. OK SHIF
500222 197905012008041000 RAHMAT NURYADI,A.Md.An. Ka.Ro Anastesi SHIF
500223 198008062014061000 ANTON S.,A.Md.Kep. Staf Ruang Anastesi SHIF
500224 198302072006041000 JOKO PURIYANTO,A.Md.AK Ka.RoUTD RS SHIF
500225 198801282011012000 MUNAWAROH,A.Md.AK Staf Ruang UTD RS SHIF
500226 2008 ARMELIA RATIH K.,SH. Staf UTD RS SHIF
500227 2009 YUNI RAHAYU,A.Md.Kep. Staf UTD RS SHIF
500228 2015 FEBRIANI K.,A.Md.Keb Staf UTD RS SHIF
500235 198006142009022000 YUNI MAYA.M.,A.Md.F. Staf Inst Farmasi/Apotek SHIF
500236 197709152011011000 PRADAH EDI RIADI,A.Md..F Staf Inst Farmasi/Apotek SHIF
500237 197912212006042000 ELISA NINGRUM,A.Md.F. Staf Inst Farmasi/Apotek SHIF
500238 198208032015021000 BAYU ARI SASONGKO,Apt Staf Inst Farmasi/Apotek SHIF
500239 199307092015022000 ADHIS ELTI IRSANI,A.Md.F. Staf Inst Farmasi/Apotek SHIF
500241 2007 ROMAIKA Staf Inst Farmasi/Apotek SHIF
500242 2007 PARIYANI NADA. L.,SE. Staf Inst Farmasi/Apotek SHIF
500243 2007 ROHILA Staf Inst Farmasi/Apotek SHIF
500245 2007 ALPIANSYAH Staf Inst Farmasi/Apotek SHIF
500246 2012 IRWANDI,A.Md. Staf Inst Farmasi/Apotek SHIF
500248 2017 TYA GARINI,A.Md.F. Staf Inst Farmasi/Apotek SHIF
500249 197805262011011000 HERI KUSNO,A.Md.Af Staf Inst Farmasi/Apotek SHIF
500250 198611252010012000 ONE'S DIANNOVITA,A.Md.AK Ka. Inst Lab SHIF
500251 198111082002121000 FATURAHMAN.M,A.Md.AK Staf Inst Lab SHIF

HAL--14
 CHEKLIS SPESIMEN SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SUDAH BELUM SHIF
500252 198806072009022000 YUNIARTI,A.Md.AK Staf Inst Lab SHIF
500253 198311192006042000 CORI NOVIDA SARI,A.Md.AK Staf Inst Lab SHIF
500254 198707292010012000 RAHMAWATI,A.Md.AK Staf Inst Lab SHIF
500255 2017 NOVITASARI,A.Md.AK. Staf Inst Lab SHIF
500271 2007 FITRI SULISTIAWATI Staf Inst Gizi / Dapur SHIF
500272 2007 ROHAIDA Staf Inst Gizi / Dapur SHIF
500273 2007 YULIANI Staf Inst Gizi / Dapur SHIF
500274 2007 FITRIANA Staf Inst Gizi / Dapur SHIF
500275 2007 HELLINA,S.Kom. Staf Inst Gizi / Dapur SHIF
500276 2008 FENTI INDAYANI Staf Inst Gizi / Dapur SHIF
500277 2007 SANAWIYAH Staf Inst Gizi / Dapur SHIF
500278 2008 ZAMRONI Staf Inst Gizi / Dapur SHIF
500279 2007 EVA MISNAWATI Staf Inst Gizi / Dapur SHIF
500282 2007 ROLIAN Staf Tekhnisi SHIF
500283 2008 MULYADI Staf Tekhnisi SHIF
500284 2006 SWEKO CATUR Staf Tekhnisi SHIF
500286 2007 ADI RUSTAM Staf Tekhnisi SHIF
500297 2007 RODIAL EFENDI Staf Rekam Medik SHIF
500300 2007 HASBULLAH Staf Rekam Medik SHIF
500301 2006 DODDY IRAWAN Staf Rekam Medik SHIF
500302 2017 SUSPADEWI,S.Pd. Staf Rekam Medik SHIF
500307 2007 DWI WINARTI Petugas Loundry SHIF
500308 2007 EKA SAFITRI Petugas Loundry SHIF
500309 2007 WAHYUDI,SE. Petugas Loundry SHIF
500310 2007 JOKO HARJANTO Petugas Loundry SHIF
500312 2006 ARVINA DEWI Kasir SHIF
500313 2007 YULIANA DEWI,S.Kom. Kasir SHIF
500314 2007 MAD NASIR Kasir SHIF
500315 2013 INTAN SRI P.,S.Kom. Kasir SHIF
500316 2007 IDA NUGRAHANINGSIH,SE. Kasir SHIF
500317 2007 NURSAN Supir Ambu SHIF
500318 2007 SAHRIZAL Supir Ambu SHIF
500319 2007 RIFKI HAMSIR NATA Supir Ambu SHIF
500321 2009 EKA SATYA M.P. Karu 1 SHIF
500322 2007 SUPRIADI Anggota 1 SHIF
500323 2007 ASEP K.,S.Kom. Anggota 1 SHIF
500324 2007 SAMAN Karu 2 SHIF
500325 2015 HERI ANGGARA Anggota 1 SHIF
500326 2007 SUWANDI Anggota 2 SHIF
500327 2007 EDWIN Anggota 3 SHIF
500328 2007 INDRA JAYA Karu 3 SHIF
500329 2007 FAUZAN Anggota 1 SHIF
500330 2007 AMROZI Anggota 2 SHIF
500331 2006 BAMBANG WIYADI Karu 3 SHIF
500332 2007 RENRAWAN Anggota 1 SHIF
500333 2007 MADIAN REPELITA Anggota 2 SHIF

HAL--15
 CHEKLIS SPESIMEN SHIF/NON
ID NIK NAMA JABATAN/TEMPAT TUGAS
SUDAH BELUM SHIF
JUMLAH DATA 191

HAL--16