STIKES BINA SEHAT PPNI KABUPATEN MOJOKERTO TAHUN AJARAN : …………… Program Studi : S1 Keperawatan Mata Ajar : Pokok Bahasan : C No NIM Nama NIM 1 201601079 HABIB BAHARUDIN 201601079 2 201601080 ERNA PANGESTUTI 201601080 3 201601081 BELLA ERNANDA IKA FITRI ZANAH 201601081 4 201601082 BRILIANTI ROSA ANGGELINA 201601082 5 201601083 OKTAVIA MAHANDY PUTRI 201601083 6 201601084 DHITA ALAM AL ISHAQI 201601084 7 201601085 KRISNA RINI KUSUMASTUTI 201601085 8 201601086 WAFI HABIBUROHIM 201601086 9 201601087 YEHEZKIEL DWI ARIF WIBOWO 201601087 10 201601088 JANNATU FIRDAUS 201601088 11 201601089 MUHAMMAD SYAHRUL GHOFIN 201601089 12 201601090 IBNU NAFI 201601090 13 201601091 KHOIRUN NISA SIROJUL UMMAH 201601091 14 201601092 FITRIA ELZA VIVI KURDIANTI 201601092 15 201601093 MAYA DYAH KUSUMA DEWI 201601093 16 201601094 RISCA LESTARI 201601094 17 201601096 AINUN NASIKHATUL HANIFAH 201601096 18 201601097 FIFI TAMAMI 201601097 19 201601098 FEGI PRASETYO NUGROHO 201601098 20 201601099 SHERLI FERDIANA ASRI MARSELENA 201601099 21 201601100 NURUL AZIZ 201601100 22 201601101 WAWAN SETYO WAHYU UTOMO 201601101 23 201601102 FERLIAN FIRMANDA BASKORO 201601102 24 201601103 NURUL KHORIAH 201601103 25 201601104 RASTRA LIKA ADI SASANA 201601104 26 201601105 DEVI ANA ARIESTA BELLA 201601105 27 201601106 ERYKA WIDYA NOVITA SARI 201601106 28 201601107 DENOFAN AGUN WIJAYA 201601107 29 201601108 CHINIKA ARIANTIVA SARI 201601108 30 201601109 DURROTUN NAFISAH 201601109 31 201601110 PIPIT RAHAYU NINGTIAS 201601110 32 201601111 PUTRI MAYANG SARI 201601111 33 201601112 KHORIDATUL BAHIYAH 201601112 34 201601113 FAIQATUL MUNAJJAH 201601113 35 201601116 HIMAWAN LEKSO PRAMONO 201601116 36 201601118 ISNA AINUN MAHYA 201601118
DAFTAR PEMBIMBING AKADEMIK
STIKES BINA SEHAT PPNI KABUPATEN MOJOKERTO TAHUN AJARAN : …………… Program Studi : S1 Keperawatan Mata Ajar : Pokok Bahasan : D No NIM Nama NIM 1 201601119 YUDHA PUTRA KUSUMA 201601119 2 201601120 LILIS FAIZA AMALIATI 201601120 3 201601122 WAHYU ADITYA PRIESTIA NINGTYAS 201601122 4 201601123 RESMA FABIYA ANDRIANTI 201601123 5 201601124 WIDIYAWATI NENGSE 201601124 6 201601125 FATIMATUZZAHROK 201601125 7 201601126 EKA RUZDATUL UMMAH 201601126 8 201601127 SITI NORFIYAH 201601127 9 201601129 DIZKA FARA LISTANTI 201601129 10 201601131 IGA IMANIA 201601131 11 201601132 NUR AVI AL CHORIDA 201601132 12 201601133 ENI YUNITA 201601133 13 201601134 KHOIRUNNISAATUR ROSYDAH 201601134 14 201601135 GALUH NOVIA PUTRI 201601135 15 201601136 YUNIS DWI KURNIASARI 201601136 16 201601137 WIDYA KUSUMAWATI DEWI 201601137 17 201601138 KHOIRUN NISAK 201601138 18 201601139 RATIH RACHMA WATI 201601139 19 201601140 LYA SHELVIANA 201601140 20 201601141 HANIF AKBAR RUDIANSYAH 201601141 21 201601142 ERWIN PUTRA ARDIANSYAH 201601142 22 201601143 NUR GITA KUMALASARI 201601143 23 201601144 MEGA DWI DESINTA 201601144 24 201601145 CHANDRA NUR KHUMAIRO 201601145 25 201601146 MIFTAKHUL MAGHFIROH 201601146 26 201601147 ALIF NUR MEIRISKA 201601147 27 201601148 JUHARDINA SRI WAHYUNI 201601148 28 201601150 DELLA ERMA YUANA 201601150 29 201601151 IIN ANJARSARI 201601151 30 201601152 NABILLAH CHOIRUN NISA 201601152 31 201601153 NIRVANA FARADIBA 201601153 32 201601154 NOVIANI ISTIAN 201601154 33 201601155 FINA IKA FEBRIANTI 201601155 34 201601156 SYARIAR RACHMAN PALALLO 201601156 35 201601157 MOSES PARDJER 201601157
DAFTAR PEMBIMBING AKADEMIK
STIKES BINA SEHAT PPNI KABUPATEN MOJOKERTO TAHUN AJARAN : …………… Program Studi : S1 Keperawatan Mata Ajar : Pokok Bahasan : E No NIM Nama NIM 1 201601158 FREDRYK FERDINANDUS 201601158 2 201601160 FAJAR IMANIYAH LUTHFI 201601160 3 201601162 MARIA YENSI TAMO INA 201601162 4 201601163 MUHAMMAD ABDUL ROCHMAN 201601163 5 201601164 KHUSNUL KHOTIMAH 201601164 6 201601165 ELSYA MORIOLKOSU 201601165 7 201601166 NUR FADILAH 201601166 8 201601167 FERA ANDARESTA 201601167 9 201601168 SESTY EMRAY 201601168 10 201601169 KORNELY YOTLELY 201601169 11 201601170 NIKOLAUS YONGKI YOTLELY 201601170 12 201601171 AISIAH AMBARWATI 201601171 13 201601172 RIZKYANI ALIFFIYAH FAUZI 201601172 14 201601173 FITRI NUR KHOLIFAH 201601173 15 201601174 SAMUEL GAITEBORBIR 201601174 16 201601175 BENHUR PAPILAYA KARWUJUD 201601175 17 201601176 HANIF ARIF RAHMADI 201601176 18 201601177 BANGGA YUSRIL WICAKSANA 201601177 19 201601178 DJUER DJIES 201601178 20 201601179 LULUS YULIANTI 201601179 21 201601180 REZA BERLIANTY PUTRI 201601180 22 201601181 SILVIA RARASANTI 201601181 23 201601182 SALWA AINI 201601182 24 201601183 DIA FITRIANAH 201601183 25 201601184 WENY SENGSHIU SABONO 201601184 26 201601185 CHYNTIA RIZKI PRATIWI 201601185 27 201601186 KATARINA NINGSI TALANGEMBUN 201601186 28 201601187 INTAN FITRIANTY PUTRI 201601187 29 201601188 RASFI DESTA RAHMANDAR 201601188 30 201601189 MUHAMMAD MUAMAR KHADAFI 201601189 31 201601190 NAWANG WULANDARI 201601190 32 201601191 INDAH ZELVIE WULANDARI 201601191 33 201601192 ANA SAMBAYON 201601192 34 201601193 ZAFAR SODIK 201601193 35 201601194 ERVIANDIKA ARROSYID 201601194 36 201601195 PAMUNGKAS 201601195 37 201601196 UMI MASLAHA 201601196 JUMLAH PRESENSI PRAKTIK KLINIK KEPERAWATAN PRODI S1 KEPERAWATAN STIKES BINA SEHAT PPNI KAB. MOJOKERTO
RS/ Ruang : …………………………………….
Kompetensi : ……………………………………. Kelompok : ……………………………………. Tingkat / Semester : …………………………………….
Tggl : Tggl : Tggl : Tggl : Tggl : Tggl :
NAMA Waktu Waktu Waktu Waktu Waktu Waktu Waktu Waktu Waktu Waktu Waktu Waktu NO MAHASISWA & Datang Pulang Shift / Datang Pulang Shift / Datang Pulang Shift / Datang Pulang Shift / Datang Pulang Shift / Datang Pulang NIM Shift / waktu waktu waktu waktu waktu Jaga TTD TTD Jaga TTD TTD Jaga TTD TTD Jaga TTD TTD Jaga TTD TTD Jaga TTD TTD
Mojokerto , ............................ 2019
Kepala Ruangan, Keterangan : A : Alpha I : Ijin S : Sakit ..................................