DAFTAR STR DAN SIK TENAGA PERAWAT DAN BIDAN DI RSUD SYARIFAH AMBAMI RATO EBU BANGKALAN

TANGGAL TANGGAL
NO. NIK NIP NAMA PEGAWAI STR Berlaku S/D SIP Berlaku S/D
TERBIT TERBIT

SARJANA KEPERAWATAN
1 3526014305610004 196105081983032000 NUR FAIDAH, S.Kep,Ns. 160172117-1429283 03-06-2022 23-10-2017 503/016/433.114/SIKP/X/2018/P 03-05-2022 23-10-2018
2 3526054512620002 196811231989032000 TITIEK KRISMIANINGSIH,S.Kep.Ns. 160172117-1429321 23 - 11 - 2022 23-10-2017 446.1/147-SIKP/SDMK/XI/2017/P 23 - 11 - 2022 09 - 11 - 2017
3 3526025009650004 196805251989032000 RADEN IKLIMAWATI, S.Kep.Nes 160152117-1429289 25-05-2022 23-10-2017 440/138-SIK/REGDIT/II/2016/P 05-02-2016
4 3526016505680004 196211031988032000 MAS'UDAH, S.Kep.Ns P2T/6199/03.02/02/IX/2016 03-11-2021 15-09-2016 503/001/433.114/SIKP/IX/2018/P 22-09-2021 09-10-2018
5 3526014501640001 196212051983032000 FATMA HAZAIRINAH S..Kep.Ns. 160172118-1508940 05 - 12 - 2023 09 -01- 2018 445/315-SIK/REGDIT/II/2016/B 05 - 12 - 2017 29 - 02 - 2016
6 3526016311680003 196301051984012000 SULISTIANI, S.Kep.Ns. P2T/2674/03.02/01/III/2016 05-01-2021 21-03-2016 445/309-SIK/REGDIT/II/2016/B 05-01-2015 29-02-2016
7 3526014311620003 196509101986032000 HALIMATUS SAKDIYAH,S.Kep.Ns P2T/6081/03.02/02/IX/2016 10 - 09 - 2021 29 - 02 - 2016 445/391-SIK/REGDIT/X/2016/P 10 - 09 - 2021 20 - 10 - 2016
8 3526015501670005 196701151988032000 FATIMATUR RAHMI, S. Kep.Ns. P2T/749/03.02/02/I/2017 15 -01- 2022 13 -01- 2017 445/466-SIK/REGDIT/I/2017/B 15 -01- 2022 19 -01- 2017
9 3526025408670003 196708141989032000 AMRINA, S.Kep.Ns. P2T/6079/03.02/02/IX/2016 14 - 08 - 2021 09 - 09 - 2016 445/345-SIK/REGDIT/IX/2016/P 14 - 08 - 2021 20 - 09 - 2016
10 3526016009680002 196809201989032000 HOMSIYAH, S.Kep.Ns. P2T/6076/03.02/IX/2016 20 - 09 - 2021 09 - 09 - 2016 445/338-SIK/REGDIT/IX/2016/P 20 - 09 - 2021 15 - 09 - 2016
11 3526035507680002 196707171989021000 TAUFIK QURROHMAN, S.Kep.Ns.
12 3526155209630002 196805101989032007 NURSUTIYAWATI, S.Kep.Ns P2T/6528/03.02/IX/2011 22 - 09 - 2011 445/232-SIK/REGDIT/II/2016/B 29 - 02 - 2016
13 3526026206640007 197201021993032000 PINO RASTUTI, S.Kep,Ns P2T/3061/03.02/03/VII/2019 02-01-2024 23-07-2019 446.1/023-SIKP/SDMK/IV/2017/B 17 - 10 - 2020 28-04-2017
14 3526040602660000 196603301992032010 NANIK NUR'AINI, S.Kep.Ns. P2T/6075/03.02/02/IX/2016 30 - 03 - 2021 09-09-2016 445/348-SIK/REGDIT/IX/2016/P 30 - 03 - 2021 20 - 09 - 2016
15 3526014605680001 196812041990032007 RODIFAH, S.Kep.Ns P2T/9115/03.02/0-2/X1/2017 04 - 12 - 2022 09 - 11 - 2017 446.1/180-SIKP-SDMK/XII/2017/P 04 - 12 - 2022 11 - 12 - 2017
16 3526034310660002 196801151989031008 FATHURRAHMAN, S.Kep.Ns. 0597/III/MTKP-JATIM/UK-P/S1/II/2012 30 - 05 - 2013 445/055-SIK/REGDIT/X/2014/P 10 - 10 - 2014
17 3526026005680002 196806051989032009 ASIYA SULISTYAWATI,S.Kep.Ns P2T/5430/03.02/02/VI/2017 05 - 06 - 2022 08 - 06 - 2017 445/319-SIK/REGDIT/II/2016/B 29 - 02 - 2016
18 3526036508720001 197009011993031000 ANIS ASWAR, S.Kep.Ns. P2T/5692/03.02/IX/2011 12 - 09 - 2011 445/298-SIK/REGDIT/II/2016/B 29 - 02 - 2016
19 3526011307690006 196404181995032000 RUKMIATI,S.Kep.Ns 160152117-1429304 18 - 04 - 2022 23 - 10 - 2017 445/339-SIK/EGDIT/IX/2016/P 18 - 04 - 2016 20 - 09 - 2016
20 3526011911840011 198411192009031000 RIZAL NOVI ANDIKA, S.Kep,Ns. 160171117-1429345 19 - 11 - 2022 23 - 10 - 2017 445/001-SIK/REGDIT/I/2014/B 19 - 11 - 2018 23 -01- 2014
21 3526012210840006 198410222009031000 BUSTANUL FIRDAUS, S.Kep,Ns. 16 01 7 1 1 17-1429172 22-10-2022 23-10-2017 446.1/109-SIKP/SDMK/II/2018/P 22-10-2022 26 - 02 - 2016
22 3526036206840001 198406222010012000 HUSNUL KHOTIMAH, S.Kep,Ns 16 01 7 2 1 16-2007139 22-06-2021 03 - 10 - 2016 445/197-SIK/REGDIT/II/2016/B 22-06-2021 29 - 02 - 2016
23 3526026405850001 198505242010012000 IKA PUSPA DEWI DAHLIA, S.Kep.Ns 160172117-1429215 24 - 05 - 2022 23 - 10 - 2017 445/245-SIK/REGDIT/II/2016/B 24 - 05 - 2017 29 - 02 - 2016
24 3526010808850005 198508081010011000 A'LAMUL HUDA, S.Kep.Ns 16 01 7 2 1 18-1553654 08-08-2023 16-09-2015 445/141-SIK/REGDIT/II/2016/B 26 - 02 - 2016
25 3526011212850013 198512122010011000 WAHYU SUGENG ERIANTO, S.Kep.Ns P2T/8105/03.02/02/VIII/2015 06 - 08 - 2015 445/236-SIK/REGDIT/II/2016/B 29 - 02 - 2016
26 3526036705640001 198510122010012000 INDAH SAFITRI R. S.Kep.Ns P2T/3763/03.02/02/V/2016 24 - 05 - 2016 445/033-SIK/REGDIT/II/2014/B 20 - 02 - 2014
27 3526030907730001 197208261998032000 EVIE AGUSTINIE S.Kep.Ns. P2T/6083/03.02/02/IX/2016 26 - 08 - 2021 09 - 09 - 2016 445/342-SIK/REGDIT/IX/2016/P 26 - 08 - 2021 20 - 09 - 2016
28 3526026608720002 197307091997031000 MOHAMMAD SYAFII, S.Kep.Ns. 10.12.01.020 28 - 12 - 2011 445/008-SIKPA/REGDIT/I/2015/B 12 -01- 2014
29 352601 4506870007 198706052011012000 SILVIA NUR ROHIM, S.Kep.Ns. P2T/12740/03.02/02/XI/2015 11 - 11 - 2015 445/016-SIK/REGDIT/II/2014/B 04 - 02 - 2014
30 3526015311860004 198611132011012000 RESTINA MAULIDAWATI, S.Kep.Ns P2T/3987/03.02/02/V/2017 13 - 11 - 2022 05 - 05 - 2017 446.1/108-SIKP/SDMK/II/2018/P 13 - 11 - 2022 26 - 02 - 2018
31 3526075507850011 198507152011012000 MUSDALIFAH, S.Kep.Ns P2T/2550/03.02/02/III/2016 15-07-2021 15-03-2016 445/313-SIK/REGDIT/II/2016/B 15-07-2021 29-02-2016
32 3526010701770000 197701072006041000 MOH. JUSLI, S.Kep.Ns P2T/2015/03.02.01/11/2012 22 - 02 - 2012 445/130-SIK/REGDIT/II/2014/P 03 - 02 - 2014
33 3526017010820002 198107012005012000 IRMA FAROH, S.Kep.Ns 160172118-1533728 01 - 07 - 2023 01 - 03 - 2018 445/343-SIK/REGDIT/IX/2016/P 01 - 07 - 2021 20 - 09 - 2016
34 3526035601840002 198210302006042000 SRI UTAMI, S.Kep P2T/6198/03.02/02/IX/2016 30 - 10 - 2021 15 - 09 - 2016 445/423-SIK/REGDIT/XI/2016/P 29 - 11 - 2016 29 - 11 - 2016
35 3526014801810004 198401162006042000 MEGA WULANDARI, S.Kep.Ns 160172118-1553654 16 -01- 2023 14 - 09 - 2016 445/385-SIK/REGDIT/X/2016/B 16 -01- 2021 20 - 10 - 2016
36 3526015405800007 198101082006042000 JUAIDA ISMAWATI, S.Kep.Ns 160172118-1508948 08-01-2023 09 -01- 2018 445/344-SIK/REGDIT/IX/2016/B 08-01-2021 20-09-2016
37 352601405810005 198005142006042000 ENDANG NUR S, S.Kep.Ns P2T/6098/03.02/02/IX/2016 14-05-2021 13-09-2016 445/389-SIK/REGDIT/X/2016/B 14-05-2016 20-10-2016
38 3526015311740001 197802022006042000 NOVITA ACHMANIYAH, S.Kep.Ns P2T/1287/03.02/02/1/2017 02 - 02 - 2022 25 -01- 2017 446.1/011-SIK/SDMK/III/2017/B 02 - 02 - 2022 13 - 03 - 2017
39 3256014712830002 198205112005012000 ELLY DIAH STYORINI,S.Kep.Ns P2T/6527/03.02/IX/2011 22 - 09 - 2011 445/341-SIK/REGDIT/IX/2016/P 20 - 09 - 2016
40 3526035209760001 197707112006042000 YULI ASTUTIK, S.Kep.Ns P2T/5946/03.02/IX/2016 11 - 07 - 2021 06 - 09 - 2016 P2T/2943/03.02/01/III/2017 17 - 10 - 2020 21 - 03 - 2017
41 3526015302810005 197604071997031000 FARIDAL ATROS, S.Kep.Ns 160171117-1429194 07 - 04 - 2022 23 - 10 - 2017 proses
42 3526034107810340 197604062007011000 ALI IMRON, S.Kep.,Ns 160171217-1429911 06 - 04 - 2022 04 - 10 - 2017 446.1/103-SIKP/SDMK/VIII/2017/P 06 - 04 - 2020 24 - 08 - 2017
43 3526034412770001 198806012015032000 RIZKI ASRININGTYAS, S.Kep.Ns P2T/6139/03.02/02/VII/2017 01-06-2022 05-07-2017 445/255-SIKREGDIT/II/2016/B 29 - 02 - 2016
44 199012272019032002 NURUL JANNAH, S.Kep., Ns 160172119-2423594 27-12-2024 29-01-2019
45 199312052019032005 RITA DESIYANTI WAHYUNI, S.Kep., Ns 160172117-2059321 05-12-2022 09-04-2017
46 199410242019032008 SOHIBATUN NUROHNIA, S.Kep., Ns 160172118-2322894 24-10-2023 08-06-2018
47 199204022019031006 MOCH. ROMADHON RISQIYANTO, S.Kep., Ns

48 3526016403820002 THL Dian Nurvitri,S.Kep.Ns P2T/15419/03.02/01/XII/2015 24-03-2020 03-12-2015 445/275-SIK/REGDIT/II/2016/B 24-03-2020 29/02/2016
49 THL Sri Mulyana,S.Kep.Ns P2T/5203/03/03.02/01/VII/2016 01-01-2021 05-08-2016 445/153-SIK/REGDIT/II/2016 01-01-2018 26-02-2016
50 3578126004860003 THL Luluk Mukarromah,S.Kep.Ns P2T/14604/03.02/01/XI/2015 20-04-2020 26-11-2015 445/272.SIK/REGDIT/II/2016/P 20-04-2020 29-02-2016
51 THL Ruslan Efendi, S.Kep, Ns P2T/7456/03.02/01/X/2011 14- 10-2011 14-10-2016 445/160-SIK/REGDIT/II/2016/B 14-10-2016 29-02-2016
52 3526011510880001 THL Septa Harri Murfi, S.Kep.Ns PROSES
53 3526047005870001 THL Rifaah Fitriyah, S.Kep.Ns PROSES
54 3526026505880001
3526035611870002 KONTRAK Sri wahyuningsih, S. Kep, Ns P2T/10909/03.02/01/XII/2016 25-05-2021 28-12-2016 445/225-SIK/REGDIT/II/2016/B 25-05-2020 29-02-2016
55 KONTRAK Siti Isnaniyah, S.Kep, Ns P2T/3967/03.02/01/IV/2012 16-11-2017 12-04-2021 445/269-SIK/REGDIT/II/2016/B 16-11-2017 29-02-2016
56 3526016308890010 KONTRAK Moh. Ribut Efendi, S.Kep.Ns P2T/1775/03.02/02/II/2017 07-02-2022 06-02-2017 445.1/019-SIKP/SDMK/IV/2017/P 07-02-2022 18/04/2017
57 3526044505920003 KONTRAK Firman Ade Pratama, S.Kep. Ns 160171118-1533739 15-03-2023 01-03-2018 446.1/083-SIPP/SDMK/II/2018/B 15-03-2023 26-02-2018
58 3506254512860002 KONTRAK Nur Cholidah Isnaini, S.Kep.Ns 160172117-1429277 27-02-2022 23-10-2017 445/147-SIK/REGDIT/II/2016/B 26 - 02 - 2016
59 352601150389002 7 KONTRAK M. Hoyri Pria Perdana, S.Kep.Ns P2T/2501/03.02/01/III/2016 04-07-2021 14-03-2016 445/310-SIK/REGDIT/II/2016/B 26 - 02 - 2016
60 352601670289000 6 KONTRAK Amanatur Rohmaniyah, S.Kep.Ns 160172117-1429159 15-02-2022 23-10-2017 503/012/433.114/SIKP/X/2018/P 15-02-2022
61 352601040781000 3 KONTRAK Fathur Rozi, S.Kep.Ns P2T/6096/03.02/01/VI/2012 24-10-2017 29-06-2012 445/285-SIK/REGDIT/II/2016/B 29-02-2016
62 357305550288000 4 KONTRAK Siti Fatimah, S.Kep.Ns 160172116-2007138 03-10-2021 03-10-2016 445/206-SIK/REGDIT/II/2016/B 06-05-2018 29-02-2016
63 KONTRAK Agus Eka Hendrawan, S.Kep.Ns P2T/6328/03.02/01/VII/2012 14-09-2022 08-09-2017 446.1/139-SIKP/SDMK/II/2018/P 14-09-2022 27-02-2018
64 35260567039990001 KONTRAK Dina Dianita, S.Kep.Ns 160172117-2052005 18-05-2022 21-05-2015 445/241-SIK/REDIT/II/2016/B 18-05-2020 29-02-2016
65 3526021409870001 KONTRAK Nurul Hikmawati, S.Kep.Ns P2T/8813/03.02/01/VIII/2015 27-08-2015 445/139-SIPP/REGDIT/II/2016/P 17-02-2016
66 3526015805850010 KONTRAK Yusuf Bahtiar, S.Kep.Ns 16 01 7 1 1 18-1548257 11-06-2023 24-04-2018 503/003/433.114/SIKP/II/2019/P 11-06-2023 07-02-2019
67 3526015104890010 KONTRAK Teguh Wahyu Permana, S.Kep.Ns
68 KONTRAK Walid Tanzil Imami, S.Kep.Ns P2T/6738/03.02/02/X/2016 01-02-2021 05-10-2016 445/265-SIK/REGDIT/II/2016/B 15-09-2016 29-02-2016
69 3526090102850010 KONTRAK Rahmad Suharyono, S.Kep.Ns P2T/7938/03.02/01/IX/2014 25-09-2014 445/288-SIK/REGDIT/II/2016/B 29-02-2016
70 3529122707880000 KONTRAK Septian Nugraha, S.Kep. Ns P2T/4552/03.02/01/III/2013 18-03-2013 445/230-SIK/REGDIT/II2016/B 29-02-2016
71 3526010405160001 KONTRAK Novia Rosalina, S.Kep.Ns P2T/394/03.02/01/I/2014 07-11-2019 13-01-2014 445/217-SIK/REGDIT/II/2016/B 07-11-2019 29-02-2016
72 3526014711890001 KONTRAK Ustum Al Arief Barnabas, S.Kep. Ns 160171118-1508968 29-08-2023 445/157-SIK/REGDIT/II/2016/B 29-08-2019 26-02-2016
73 352615290889000 1 KONTRAK Charis Sugianto, S.Kep.Ns 16 01 7 1 1 18-2202217 16-11-2023 04-01-2018 445/260-SIK/REGDIT/II/2016/B 16-11-2019 26-02-2016
74 352 9261402880001 KONTRAK Abd. Fatah, S.Kep.Ns P2T/7462/03.02/01/X/2014 03-06-2019 09-10-2014 445/262-SIK/REGDIT/II/2016/B 03-06-2019 29-02-2016
75 3526011803880000
3526050512880003 KONTRAK Faqih Suhendra, S.Kep.Ns P2T/7527/03.02/01/IX/2014 05-12-2019 11-09-2014 445/258-SIK/REGDIT/II/2016/B 05 - 12 - 2019 29 - 02 - 2016
76 KONTRAK Selfia Mayang Sari, S.Kep.Ns 160172117-2029618 30-05-2022 27-01-2017 445/250-SIK/REGDIT/II/2016/B 30-05-2019 29-02-2016
77 KONTRAK Meilyna Dwiharani,S.Kep.Ns P2T/11792/03.02/01/XI/2015 03 - 05 - 2020 03 - 11 - 2015 445/248-SIK/REGDIT/II/2016/B 03 - 05 - 2020 29 - 02 - 2016
78 3526017005890000
3526034305910001 KONTRAK Sri Darmayanti, S.Kep.Ns P2T/8379/03.02/01/X/2014 08-04-2019 22 - 10 - 2014 446.1/032-SIKP/SDMK/V/2017/B 22 - 05 - 2017
79
3526054804890001 KONTRAK Catur Abdul rahman,S.Kep.Ns P2T/8628/03.02/01/VIII/2015 06-10-2020 24 - 08 - 2015 445/210-SIK/REGDIT/II/2016/B 06-10-2020 29 - 02 - 2016
80 KONTRAK Anas Nasaruddin,S.Kep.Ns P2T/5155/03.02/01/X/2018 26-12-2023 09-10-2018 503/046/433.144/SIKP/XII/2018/P 26-12-2023
81 3526070610880001
3526136312900001 KONTRAK Angelia Dewiyanti,S.Kep.Ns P2T/11454/03.02/01/X/2015 23-12-2020 29 - 10 - 2015 445/280-SIK/REGDIT/II/2016/B 23-12-2020 29 - 02 - 2016
82 KONTRAK Senja Widyaning C,S.Kep.Ns 160172116-2007141 03-10-2021 03-10-2016 446.1/040-SIKP/SDMK/II/2018/P 03-10-2021 26-02-2018
83 3526016712900010 KONTRAK Wahyu Budi Hartono,S.Kep.Ns 16 01 7 1 1 20-3235912 04-05-2025 03/12/2020 445/175-SIK/REGDIT/II/2016/B 04-05-2020 29-02-2016
84 3526035205890001 KONTRAK Norul Qomari,S.Kep.Ns 160172117-2122547 10 NOV 2022 14-09-2017 466.1/009-SK/SDMK/III/2017/B 10-11-2022 13-03-2017
85 3526010405900001 KONTRAK Thufeil Fadhullah,S.Kep.Ns 16 01 7 1 1 20-3235870 19-09-2025 12-03-2020 Proses PROSES UKOM 31-08-201
86 3529015011900004 KONTRAK Bagus Ananta,S.Kep.Ns 16 01 7 1 1 17-1429169 18-08-2022 23-10-2017 446.1/043-SIKP/SDMK/VI/2017/B 18-08-2022 15-05-2017
87 352605190985000 1 KONTRAK Tartila Mega Rudini,S.Kep.Ns P2T/3931/03.02/01/III/2015 19-03-2015 445/205-SIK/REGDIT/II/2016/B 29/02/2016 PROSES UKOM 29-09-201
88 352601180890000 1 KONTRAK Cahya Ilahi,S.Kep. Ns P2T/8641/03.02/01/VIII/2015 12-06-2020 24-09-2015 445/263-SIK/REGDIT/II/2016/B 12-06-2020 29/02/2016
89 352601120402828 KONTRAK Ira Dwi Agustiningsih, S. Kep. Ns
90 352603020 6910001 KONTRAK Yogi Pramana, S.Kep.Ns
91 352609600 5920001 KONTRAK Mi'ratul Khoironi, S.Kep.Ns P2T/6224/03.02/01/IX/2016 20-05-2021 16-09-2016 446.1/138-SIKP/SDMK/II/2018/B 20-05-2021 27-02-2018
92 KONTRAK Arina Nurhasanah, S.Kep.Ns 16 01 7 2 1 17-2048546 26-02-2022 07-03-2017 446.1/125-SIKP/SDMK/IX/2017/B 26-02-2022 22-05-2017
93 KONTRAK Erfin Budi Santoso, S.Kep.NS P2T/9742/03.02/01/XII/2016 06-05-2021 09-12-2016 445/452-SIK/REGDIT/XII/2016/B 06-05-2020 19 - 12 - 2016
94 KONTRAK Nur Laila. S.Kep,Ns P2T/8622/03.02/01/VIII/2015 09-04-2020 24 - 08 - 2015 445/382-SIK/REGDIT/X/2016/B 09 - 04 - 2020 13 OKT 2016
95 KONTRAK Moh. Hafidzur Risqi, S.Kep.Ns 16 01 7 1 1 18-1548256 23-10-2023 24-04-2018 503/015/433.114/SIKP/X/2018/P 23-10-2020 23-10-2018
96 KONTRAK Fadila Azmi,S.Kep,Ns P2T/15553/03.02/01/XII/2015 08-11-2020 04-12-2016 466.1/030-SKP/SDMK/V/2017/B 08-11-2020 26-02-2018
97 KONTRAK Masnunah.S.Kep.Ns 160172118-2224828 03 - 05 - 2023 01-02-2018 503/003/433.114/SIKP/IX/2018 03-05-2023 10-09-2023 NHM 2017
98 KONTRAK Musrifatun Adawiyah.S.Kep.Ns 160172117-2051837 26 - 04 - 2022 12-03-2017 503/004/433.114/SIKP/IX/2018 26-04-2022 10-09-2018 Insan Unggul 2017
99 KONTRAK Fuad Fajar Muharrom, S.Kep.Ns P2T/16200/03.02/01/XII/2015 29-09-2020 14 -12-2015 NHM 2015
DIII KEPERAWATAN
1 3526036009640001 196807151989032000 SITI HAMIDAH, Amd.Kep 160172217-1429917 15 - 07 - 2022 04 - 10 - 2017 446.1/148-SIKP/SDMK/XI/2017/P 15 - 07 - 2022 08 - 11 - 2017
2 3526037003660001 196409201986032000 DWI HIDAYATI P2T/2646/03.02/02/II/2014 20 - 09 - 2019 13 - 02 - 2014 445/191-SIK/REGDIT/II/2016/B 20 - 09 - 2019 29 - 02 - 2016
3 3526015005620001 196406121985012003 SRI NURHAYATI, A.Md.Kep P2T/2367/03.02/02/III/2016 12 - 06 - 2020 07 - 03 - 2016 445/303-SIK/REGDIT/II/2016/B 12-Jun-20 29 - 02 - 2016
4 3526044506680005 196407271985012002 ILMIK YULIARTI,Amd.Kep P2T/3/03.27/02/III/2016 27 - 07 - 2021 03 - 03 - 2016 445/304-SIK/REGDIT/II/2016/B 27-07-2021 29 - 02 - 2016
5 3526014412680001 196805061989022005 SITI FATIMAH, A.Md.Kep 160152118-1582639 06-05-2023 10-10-2018
6 3526015708600007 196610031988112002 ILMIEK SETYAWATI, Amd.Kep. P2T/4/03.27/02/III/2016 03 - 10 - 2021 8/3/2016 445/307-SIK/REGDIT/II/2016/B 03 - 10 - 2021 29 - 02 - 2016
7 3526016707640004 196805201989032006 MURSIAH, AKG. P2T/48/03.03/01/1/2016 20 - 05 - 2021 21 -01- 2016 445/007-SIKPG/REGDIT/V/2016/B Proses 19-05-2016
8 3526016603680001 196803261990032000 DIAH WINDARTI, A.Md.Kep P2T/5/03.27/02/III/2016 26 - 03 - 2021 08-03-2016 445/306-SIK/REGDIT/II/2016/B 05 - 06 - 2021 29-02-2016
9 1225014103660002 196603011989012000 SITI UMMAMAH,A.Md.Kep 16 01 52 1 17-2029294 01 - 03 - 2022 26 -01- 2017 445/275-SIK/REGDIT/II/2014/P 04 - 02 - 2014
10 3526034208690001 196908021990032000 UMMI FADILAH, A.Md.Kep P2T/6082/03.02/02/IX/2016 09-09-2016 445/233-SIK/REGDIT/II2016/B 29 - 02 - 2016
11 3526035503690003 196903151989032000 BENG DWI FATMAWATI, A.Md.Kep P2T/1783/03.02/02/II/2012 15 - 03 - 2017 07-02-2012 445/331-SIK/REGDIT/II/2012 15 - 03 - 2012 15 - 02 - 2012
12 3526014306710009 197103121991032000 EFFI HERAWATI,AKG P2R/2/03.03/01/I/2016 12 - 03 - 2021 05-01-2016 455/013-SIPPG/REDGIT/IX/2016/P 12 - 03 - 2021 15-09-2016
13 3526015203710002 196910191991031000 MOH. ACHYAR 0059/II/MTKP-JATIM/UK-P/S1/XI/2011 20 - 02 - 2012 445/245-SIK/REGDIT/II/2016/B 29 - 02 - 2016
14 3526011910690001 196904171989022000 DEWI ANGGRAENI P2T/10209/03.02/02/XII/2013 17 - 04 - 2018 05 - 12 - 2013 445/312/SIK/REGDIT/II/2016/B 17 - 04 - 2018 29 - 02 - 2016
15 3526015704690004 196902241993031000 SYAIFUL HIDAYAT, A.Md.Kep. 16 15 5 1 1 11-0012792 28-12-2011 445/010-SIKPA/REGDIT/I/2015/B 12 -01- 2014
16 3526030109700001 196506091989022000 SITI KOTIJAH P2T/2373/03.02/02/III/2016 09 - 06 - 2020 07 - 03 - 2016 445/311-SIK/REGDIT/II/2016/B 09 - 06 - 2020 29 - 02 - 2016
17 3526022402690001 197208251996032000 MASTIYA, Amd.Kep P2T/14409/03.02/01/XI/2015 26-08-2020 25-11-2015 445/009-SIK/REGDIT/II/2014/B 03 - 02 - 2014 Proses
18 3526015804640002 196907131994031000 WADUDDIN, A.Md.Kep P2T/7/03.27/02/III/2016 23 - 03 - 2016 445/317-SIK/REGDIT/II/2016/B 29 - 02 - 2016
19 3526012511680001 196811251990031010 ACHMAD ASIRI, A.Md.Kep P2T/2210/03.02/01/II/2016 25-11-2021 26 - 02 - 2016 445/283-SIK/REGDIT/II/2016/B 25-11-2021 29 - 02 - 2016
20 3526031803740003 197403181995031000 FATHOR RAHMAN, A.Md.Kep P2T/8931/03.02/01/IX/2015 01 - 09 - 2015 440/132-SIK/REGDIT/I/2016/B 13 -01- 2016
21 3526035210850002 196505201989111000 RUSTAMADJI
22 3526014510740007 197410051998032000 ARIK FITRIANDHANI, A.Md.Kep 160152118-1571807 05-10-2023 31 - 08 - 2018 445/027-SIK/REGDIT/II/2014/B 05 - 10 - 2018 12 - 02 - 2014
23 3526012108800009 198008212005011000 SOLIHIN, Amd.Kep 16 01 7 1 2 17-1429919 21-08-2022 04-10-2017 445.1/146-SIKP/SDMK/XI/2017/P 21-08-2022 08-11-2017
24 3526014202780011 198105092006042000 VIVIEN TRI W, A.Md.Kep 16172116-2007142 03 - 10 - 2021 02 - 03 - 2012 446.1/010-SIK/SDMK/111/2017/B 03 - 10 - 2021 03 - 02 - 2014
25 3526016505790007 197411132006042000 MARIYA NINGSIH, A.Md.Kep P2T/9022/03.02/01/IX/2015 13-11-2020 04 - 09 - 2015 440/140-SIK/REGDIT/II/2016/P 13-11-2020 17 - 02 - 2016
26 3526036301800003 197905252006042000 HENNY AFRISANTY, A.Md.Kep P2T/6078/03.02/02/IX/2016 26 - 05 - 2021 09 - 09 - 2016 445/346-SIK/REGDIT/IX/2016/P 25 - 05 - 2021 20 - 09 - 2016
27 3526015105820006 198001232006042000 NURHASANAH, A.Md.Kep 160152118-1508955 23 -01- 2023 09 -01- 2018 446'1/043-SIKP/SDMK/II/2018/P 23 -01- 2023 26 - 02 - 2018
28 3526015107770001 198312072006042000 DESSI PUSPITASARI, A.Md.Kep P2T/11730/03.02/02/XI/2015 02 - 11 - 2015 445/211-SIK/REGDIT/II/2014/B 29 - 02 - 2016
29 3526160604760002 197609121998032000 SITI HALIMAH, A.Md.Kep P2T/15775/03.02/01/XII/2015 12 - 09 - 2020 29 - 02 - 2016 445/176-SIK/REGDIT/II/2016/P 12 - 09 - 2020 29 - 02 - 2016
30 3526060704760003 197904202006042000 ROESLIANA DEWI, A.Md.Kep P2T/9194/03.02/01/IX/2015 20 - 04 - 2020 09 - 09 - 2015 445/168-SIK/REGDIT/II/2016/B 20 - 04 - 2020 29 - 02 - 2016
31 3526016006810009 198102132007012000 SITI ROMLAH, A.Md.Kep 16 01 7 2 2 18-1508059 13-02-2023 08-01-2018 503/002/433.114/SIKP/IX/2018/P 13-02-2023 30-09-2018
32 3526150104800004 198106202007012000 YUNI HERAWATI, A.Md.Kep P2T/14535/03.02/01/XI/2015 20-06-2020 26-11-2015 446.1/115-SIKP/SDMK/II/2018/P 20-06-2022 26-02-2018
33 3526016004790002 198004012007011000 MOHAMMAD ZAFRI YUNUS, A.Md.Kep P2T/10128/03.02/02/XII/2012 06 - 12 - 2017 445/292-SIK/REGDIT/II/2016/B 29 - 02 - 2016
34 3526015505810007 198105152008012000 ANNI ASTUTIK, A.Md.Kep 1601721117-1429164 15 - 05 - 2022 446.1/111-SIKP/SDMK/II/2018/P 15 - 05 - 2022 26 - 02 - 2018
35 3526035004810002 198104102008012000 ROEMIYATI, A.Md.Kep P2T/14110/03.02/01/XI/2015 10 - 04 - 2020 23 - 11 - 2015 440/139-SIK/REGDIT/II/2016/B 10 - 04 - 2020 5/2/2016
36 3526014308800003 198008032008012000 IRA FERAWATI, A.Md.Kep P2T/14611/03.02/01/XI/2015 26 - 11 - 2015 445/024-SIK/REGDIT/II/2014/B 12 - 02 - 2014
37 3526015303810002 198103132009032000 UTAMI NINGSIH, A.Md.Kep P2T/6126/03.02/IX/2016 13 - 03 - 2021 14 - 09 - 2016 445/368-SIK/REGDIT/X/2016/B 13 - 03 - 2021 13 - 10 - 2016
38 3526014904850006 198504092009032000 DWI NINING SUWARINI, A.Md.Kep P2T/3239/03.02/02/IV/2017 09-04-2022 05-04-2017 503/020/433.114/SIKP/X/2018/P 09-04-2022 29 - 02 - 2016
39 3526030203850003 198503022009031000 YUDO WASITO, A.Md.Kep 161551111-0178288 28 - 12 - 2011 445/001-SIKPA/REGDIT/I/2015/B 12 -01- 2014
40 3526034408840001 198408042009032000 EFA ELIS SETYAWATI,A.Md.Kep P2T/9515/03.02/01/IX/2015 04 - 08 - 2020 18 - 09 - 2015 445/192-SIK/REGDIT/I/2016/B 20 - 09 - 2020 29 - 02 - 2016
41 3526014501640001 198503132009032000 SRI SULISTIYAWATI, A.Md.Kep P2T/8850/03.02/02/XI/2012 21 - 11 - 2012 445/145-SIK/REGDIT/II/2016/B 26 - 02 - 2016
42 3526092404850001 198504242009031000 AFRIA INDRA KURNIAWAN, A.Md.Kep P2T/2835/03.02/02/III/2016 24 - 04 - 2021 30 - 03 - 2016 445/322-SIK/REGDIT/II/2016/B 29 - 02 - 2016
43 3526034503830001 198303052009032000 MARIA ULFAH, A.Md.Kep P2T/3551/03.02/02/II/2013 18 - 02 - 2013 445/246-SIK/REGDIT/II/2016/B 29 - 02 - 2016
44 3526016904840002 198404292009032000 DEWI SARININGSIH, A.Md.Kep P2T/14615/03.02/01/XI/2015 26 - 11 - 2015 445/240-SIK/REGDIT/II/2016/B 29 - 02 - 2016
45 3526015511830006 19831115200932000 NOVI FARIDA, A.Md.Kep P2T/6105/03.02/IX/2011 19 - 09 - 2011 445/347-SIK/REGDIT/IX/2016/P 20 - 09 - 2016
46 3526034208830002 198308022009032000 TUTIK SULISTYAWATI, A.Md.Kep 160172218-2202214 02-08-2023 04-01-2018 445/300-SIK/REGDIT/II/2016/B 02-08-2020 29-02-2016
47 3526015611850006 198602122009032000 ELVIRA DWINDASARI L, A.Md.Kep
48 3526011110700004 198511162009032000 DIAH ROSALINA H, A.Md.Kep P2T/881/03.02/02/I/2013 10 -01- 2013 445/290-SIK/REGDIT/II/2016/B 29 - 02 - 2016
49 3526016507860001 197010111997031000 MOHAMMAD ISLAH, A.Md.Kep 160171117-1429250 11-10-2022 23-10-2017 446.1/116-SIKP/SDMK/II/2018/P 11-10-2022 26-02-2018
50 3526011302820002 198607252010012000 DWI PRIYANTI , A.Md.Kep 160171117-2029617 25 - 07 - 2022 02 - 11 - 2012 446.1/042-SIKP/SDMK/11/2018/P 25 - 07 - 2022 29 - 02 - 2016
51 3526014303860017 198202132010011000 BAMBANG MEKI FERDIANTO, A.Md.Kep P2T/14108/03.02/01/XI/2015 23 - 11 - 2015 445/294-SIK/REGDIT/II/2016/B 29 - 02 - 2016
52 3526034304850011 198408062010012000 DWI AGUSTINA,A.Md.Kep 16 01 5 2 1 18-1508937 06-08-2023 09-01- 2018 445/338-SIK/REGDIT/IX/2016/P 20-09-2021 15-09-2016
53 3526185008790004 198603032010012000 FAUZIAH RIZA ROMADHON, A.Md.Kep 16 01 7 2 1 18-1593157 03-03-2023 12-12-2018 446.1/030/433.102/SDMK-SIKP/VII/2019/P Rekom 11-07-2019
54 3526071501830000 198504032010012000 HENI PURNAWATI, A.Md.Kep P2T/6097/03.02/02/IX/2016 03-04-2021 13-09-2016 445/387-SIK/REGDIT/X/2016/B 03-04-2021 20-10-2016
55 3515066212850001 197908102010012000 MUTIHAH, A.Md.Kep P2T/3415/03.02/01/II/2014 10-08-2019 27-02-2014 445/200-SIK/REGDIT/II/2016/B 10-08-2019 29-02-2016
56 3526065411870001 198301152010011000 SOLIHIN, A.Md.Kep P2T/23/03.02/02/I/2017 15-01-2022 03-01-2017 445/468-SIK/REGDIT/I/2017/P 15-01-2022 19-01-2017
57 3526055801850004 198512222010012000 DWI ARISANTI, A.Md.Kep. 160152117-1429184 22-12-2022 23-10-2017 446.I/130-SIKP/SDMK/II/2018/P 22-12-2022 26-02-2018
58 3526034812770003 198711142010012000 MARYAM, A.Md.Kep 13.221.08.06679 5 - 11 - 2013 445/292-SIK/REGDIT/IV/2010 08 - 04 - 2010
59 3526076310770001 198501182010012000 POPI EKA INDRIATI, A.Md.Kep 160152116-2007679 18-01-2021 07-10-2016 445/203-SIK/REGDIT/II/2016/B 18-02-2021 13-03-2017
60 '3526014805840005 197712082002122000 SITI SURYATI, A.Md.Kep P2T/2209/03.02/02/II/2016 08-12-2021 25-08-2016 446.1//008-SIK/SDMK/III/2017/B 08-12-2020 29-02-2016
61 3526024111810002 197710232010012000 SITI AMINAH, A.Md.Kep P2T/6096/03.02/02/IX/2016 23-10-2021 13-09-2016 445/388-SIK/REGDIT/X/2016/P 23-10-2021 20-10-2016
62 3526036606870001 198405082010012000 ERVINA MEIRIDAWATY, A.Md.Kep 160152116-2007683 08-05-2021 07-10-2016 445/194-SIK/REGDIT/II/2016/B 08-05-2020 29-02-2016
63 3526011812840006 198111012010012000 NURUL HIKMAH EKA N., A.Md.Kep 16 01 7 2 1 20-3337287 01-11-2025 05-10-2020 440/139-SIPP/REGDIT/II/2016/P 01-11-2020 17-02-2016
64 3526014904830014 198304092010012000 SITI NUR AISYAH, A.Md.Kep P2T/7789/03.02/02/VII/2015 09-04-2020 27 - 07 - 2015 445/267-SIK/REGDIT/II/2016/B 09-04-2020 29-02-2016
65 3526076801870002 198706262010012000 SELVIA ERYKAYANTI, A.Md.Kep P2T/2610/03.02/02/II/2014 13 - 02 - 2014 503/92-433,114/SIKP/2019/P 29 - 02 - 2016
66 352601620884005 198412182010011000 Joko Nurdiyanto, Amd.Kep P2T/8932/03.02/01/IX/2015 01 - 09 - 2015 445/161-SIK/REGDIT/II/2016/B 26 - 02 - 2016
67 3526032002850002 198002222011012000 SARI NARULITA WIDIARTI, A.Md.Kep P2T/4149/03.02/01/III/2015 22-02-2020 20-03-2015 445/177-SIK/REGDIT/II/2016/B 22-02-2020 29-02-2016
68 3526011105890014 198701282011012000 NANIK BUDIYANTI, A.Md.Kep 160152117-1429266 28-01-2022 23-10-2017 445/247-SIK/REGDIT/II/2016/B 29 - 02 - 2016
69 3573016508800010 198308042011011000 HAMDAN ASTOHARI, A.Md.Kep P2T/4981/03.02/02/VII/2016 04-08-2021 27-07-2016 446.1/018-SIKP/SDMK/IV/2017/B 04-08-2021 05-04-2017
70 3526016202800004 198408222011012000 REZA INDRIANA, A.Md.Kep 16 01 5 2120-3305114 22-08-2025 445/219-SIK/REGDIT/II/2016/B 22-08-2021 28-02-2016
71 3526090408830001 198502202011011000 FERRY SULISTYO, A.Md.Kep. P2T/438/03.02/02/I/2014 13 -01- 2014 445/242-SIK/REGDIT/II/2016/B 29 - 02 - 2016
72 3526034106880001 198905112011011000 AHMAD TAUFIQ PUTRA R., A.Md.Kep 16 15 5 1115- 100 2492 30 - 06 - 2015 445/015-SIKPA/REGDIT/XI/2015/B 16 - 11 - 2015
73 3526014503780005 198008252009032000 ELIN MARLINA,A.Md.Kep P2T/2730/03.02/01/III/2016 23 - 03 - 2016 445/305-SIK/REGDIT/II/2016/B 29 - 02 - 2016
74 3526014205810001 197712312007011000 MIHARDI P2T/4302/03.02/02/III/2014 13 - 03 - 2014 445/291-SIK/REGDIT/II/2016/B 29 - 02 - 2016
75 3526036306740001 197803052014072000 ARITA WIDIASIH, Amd.Kep P2T/6837/03.02/01/V/2015 05-03-2020 27-05-2015 445/278-SIK/REGDIT/II/2016/B 05-03-2020 29-02-2016
76 3526081106840001 198105022014072000 MUYASSAROH, A.Md.Kep P2T/7293/03.02/01/VI/2015 02-05-2020 16-06-2015 445/171-SIK/REGDIT/II/2016/B 02-05-2020 09-02-2016
77 3526033001860006 197406132014072000 NURUL HIDAYATI,A.Md,Kep P2T/3306/03.02/02/II/2014 25 - 02 - 2014
78 3526075408840003 198408142015032000 SILAHTURROHMAH, A.Md.Kep P27/2687/03.02/02/III/2016 22 - 03 - 2016 445/167-SIK/REGDIT/II/2016/B 29 - 02 - 2016
79 3526035812840004 198412182015032000 IKA MAULIDIYA SARI, A.Md.Kep 160172117-2059110 18-12-2022 08-04-2017 446.1/124-SIKP/SDMK/IX/2017/P 18-12-2022 25-09-2017
80 3515154407860001 198607042015032000 EMA YULISFATI HIDAYAT ,A.Md.Kep 160172116-2007140 03-10-2021 03-10-2016 446.1/038-SIKP/SDMK/II/2018/P 03-10-2021 26-02-2018
81 3526032403900006 199003242015031000 MARTA DWI SAPUTRA, A.Md.Kep P2T/9721/03.02/01/XII/2011 06 - 12 - 2011 445/261-SIK/REGDIT/II/2016/B 29 - 02 - 2016
82 3526036901830004 198301292014072002 NUR INDAH PURNAMA D, Amd.Kep P2T/10910/03.02/01/XII/2016 29-01-2021 28-12-2016
YUNITA ISTIANAH, Amd.Kep P2T/10801/03.02/01/XII/2016 16-08-2021 27-12-2016 446.1/114-SIKP/SDMK/II/2018/P 16-08-2022 26-02-2018
83 THL Wahid Hidayat, Amd.Kep 161362216-1282171
84 3526014207800002 THL Sulindawati, Amd.Kep 160152118-1553659 02-07-2023 04-05-2018 503/028/433.114/SIKP/XI/2018/P 02-07-2023 22-11-2018
85 3526036508810001 THL Dhian Restikasari, Amd.Kep P2T/2902/03.02/02/IV/2016 25-08-2021 04-04-2016 445/323-SIK/REGDIT/II/2016/B 25-08-2021 29-02-2016

86 3526034205790001 THL Romlah, Amd.Kep

87 3526155205790004 THL Samsiyah, Amd.Kep P2T/3441/03.02/02/II/2014 12-05-2019 28-02-2014 445/231-SIK/REGDIT/II/2016/B 12-05-2019 29-02-2016
88 3526035206810005 THL Siti Ropiah, Amd.Kep 004/DPK.PPNI-RSUD/R/K/VI/2019 18-05-2019 445/237-SIK/REGDIT/II/2016/B 29/02/2016
89 3526010301810000 THL Farid Abdurrahman, Amd.Kep P2T/16887/03.02/02/XII/2016 21 - 12 - 2015 445/296-SIK/REGDIT/11/2016/P 29 - 02 - 2016
90 3526016605810012 THL Iin Endang W. Amd.Kep 160152118-1508944 26-05-2023 09-01-2018 445/273-SIK/REGDIT/II/2016/B 26-05-2020 29-02-2016

91 3526015105810000 THL Nur Masriyah, Amd.Kep P2T/5116/03.02/02/IV/2015 11-05-2020 06-04-2015 445/178-SIK/REGDIT/II/2016/P 11-05-2020 29-02-2016
92 3526036711810002 THL Sri Mauliyati Ningsih, Amd.Kep 160172118-1508965 27-11-2023 09-01-2018 445/164-SIK/REGDIT/II/2016/B 27-11-2021 29-02-2016
93 3526046108820002 THL Susmidah, A.Md.Kep 160172117-1429318 21-08-2021 23-10-2017 445/351-SIK/REGDIT/IX/2016/P 21-08-2021 23-09-2016

94 THL Harmoko, A.Md.Kep P2T/2353/03.02/02/III/2016 04 - 03 - 2016 445/302-SIK/REGDIT/II/2016/P 29 - 02 - 2016

95 THL Hisbul Maulana, Amd.Kep

96 3526025307830002 THL Holifah,Amd.Kep P2T/9369/03.02/02/IX/2015 13-07-2020 15-09-2015 445/196-SIK/REGDIT/II/2016/B 13-07-2020 09-02-2016

97 3526011104830000 THL Raden Agung Prasetiawan, A.Md.Kep P2T/2267/03.02/III/2016 11-04-2021 01-03-2016 445/299-SIK/REGDIT/II/2016/B 11-04-2021 29-02-2016
98 3526046711820003 THL Rika Handayani, Amd.Kep P2T/5994/03.02/01/IV/2015 27-11-2020 27-04-2015 445/063-SIK/REGDIT/IV/2015/B 27-11-2020 15-06-2015
99 3526032112820002 THL Samsul Arifin, Amd.Kep 16 01 5 1 1 17-1429307 21-12-2022 23-10-2017 445/155-SIK/REGDIT/11/2016/B 21-12-2019 26-02-2016
100 3526035003830009 THL Siti Kalimah, Amd.Kep P2T/3550/03.02/02/III/2014 10-03-2019 03-03-2014 445/223-SIK/REGDIT/II/2016/B 10-03-2019 29-02-2016
101 3526012703840000 THL Angga Dwi Setiawanto, Amd.Kep 160151116-2007685 27-03-2021 07-10-2016 445/190-SIK/REGDIT/II/2016/P 27-03-2019 29-02-2016
102 THL Moh. Arifuddin, Amd.Kep
103 THL Mohammad Zainoddin, Amd.Kep
104 3526016903840003 THL Musdalifah, Amd.Kep P2T/3119/03.02/02/III/2017 29-03-2022 20-03-2017 445/313-SIK/REGDIT/II/2016 29-03-2022 04-08-2017
105 3526014306840001 THL Nur Diana, Amd.Kep P2T/2903/03.02/02/IV/2016 03-06-2021 445/324-SIK/REGDIT/II/2016/B 03-06-2021
106 3526015503840012 THL Rr. Mia Rahayu Mardini, Amd.Kep P2T/2366/03.02/02/III/2016 15-03-2021 07-03-2016 445/301.SIK/REGDIT/II/2016/B 15-03-2021 29-02-2016
107 3526014404840005 THL Sri Nafiah, Amd.Kep P2T/1439/03.02/02/III/2019 04-04-2024 29-03-2019 503/026/433.114/SIKP/2019/B 04-04-2024 27-06-2019
108 3526016507830004 THL Yulianingsih, A.Md.Kep P2T/7200/03.02/02/VIII/2017 25-11-2022 14 - 08 - 2017 445/186-SIK/REGDIT/II/2016/B 25-07-2022 26-02-2018
109 3526015804850013 THL Enni Yulita, Amd.Kep P2T/2370/03.02/02/III/2016 18-04-2021 07-03-2016 445/186-SIK/REGDIT/II/2016/B 18-04-2021 29-02-2016

110 3526015309840005 THL Innike Hadiyanti, Amd.Kep 16 01 5 2 18-1508945 13-09-2023 09-01-2018 503/006/433.114/SIKP/IX/2018/P 13-09-2023 13-09-2018
111 3515165211840002 THL Intan Lestari, Amd.Kep
112 3526094710840002 THL Izzaturrohmah, Amd.Kep P2T/4980/03.02/02/VII/2016 07-10-2021 27-07-2016 445/172-SIK/REGDIT/II/2016/B 07-10-2021 24-08-2017

113 3526011103850006 THL Rodi Tubillah, Amd.Kep P2T/1112/03.02/02/III/2019 11/3/2024 12-03-2019 503/021/433.114/SIKP/VI/2019/P 11-03-2024 11-06-2019
114 3526015709840003 THL Rohanni, Amd.Kep 16 01 7 2 1 20-3306102 17-09-2025 06-08-2020 445/249-SIK/REGDIT/II/2016/B 17-09-2020 29-02-2016

115 3526015806850000 THL Sulastri, Amd.Kep

116 3526025206850004 THL Surya Yunita Wulandari, Amd.Kep P2T/7215/03.02/02/IX/2012 12-06-2022 12-06-2017 445/163/-SIK/REGDIT/11/2016/B 12-06-2022 29-02- 2016
117 3526015701850005 THL Tria Susanti, Amd.Kep P2T/7915/03.02/IP/2017 17-01-2022 14-09-2017 446.1/128-SIKP/SDMK/X/2017/P 17-01-2022 05-10-2017

118 3526027006880002 THL Wiwik Indriyati, Amd.Kep 16 01 7 2 1 17-1429231 30-06-2021 04-08-2016 445/340-SIK/REGDIT/IX/2016/P 30-06-2021 20-09-2016
119 3526014808850013 THL Diniyah Ulfa Isnaniyati, Amd.Kep P2T/15842/03.02/01/XII/2015 23-10-2020 08-12-2015 445/145-SIK/REGDIT/II/2016/B 08-08-2020 26-02-2016
120 3526014104860006 THL Erise Fatwa Amaliya, Amd.Kep 1601521162007678 01-04-2021 07-10-2016 446.1/068--SIKP/SDMK/VIII/2017/P 01-04-2021 04-08-2017
121 3526050911850002 THL Fathul Junaidi, Amd.Kep P2T/7264/03.02/02/X/2016 09-11-2021 27-10-2016 446.I/113-SIKP/SDMK/II/2018/P 09-11-2022 26-02-2018
122 3526115607860002 THL Fifin Yuliana, Amd.Kep 160152117-1429200 16-07-2022 23-10-2017 445/257-SIK/REGDIT/II/2016/B 16-07-2022 24-08-2017
123 3526046308850002 THL Fransiska Dewi A. Amd.Kep 160152117-1429201 23-07-2022 23-10-2017 446.1/104-SIKP/SDMK/VIII/2017/P 23-08-2022 24-08-2017
124 3526016608860003 THL Rahmawati, Amd.Kep 160152116-2007681 26-08-2021 04-08-2017 445/340-SIK-REGDIT/IX/2016/P 26-08-2021 20-09-2016
125 3529015802840003 THL Anne Febrianti, Amd.Kep P2T/302/03.02/01/I/2016 18-02-2021 08-01-2016 445/281-SIK/REGDIT/II/2016/B 18-02-2021 29/02/2016
126 3526016211860002 THL Sulis Tiyaningsih, Amd.Kep P2T/9699/03.02/02/XI/2013 25-08-2007 22-11-2018 445/227-SIK/REGDIT/II/2016/B 22-11-2018 29-02-2016
127 THL Dian Nurfitrih, Amd.Kep P2T/15419/03.02/01/XII//2015 03/12/2015 445/275-SIK/REGDIT/II/2016/B 29/02/2016

128 3526027006850002 THL A. Riyadi, A.Md.Kep P2T/6946/03.02/02/IX/2016 17 - 10 - 2016 445/422-SIK/REGDIT/XI/2016/B 29 - 11 - 2016

129 3526075702860004 THL Aulatin Nisa, Amd.Kep P2T/4223/03.02/02/III/2013 17-02-2018 445/209-SIK/REGDIT/II/2016/B 17-02-2021
130 3526015206850010 KONTRAK Dini Nur Fibriana, Amd.Kep. 160152118-1508936 02-10-2023 09-01-2018 446.1/110-SIKP/SDMK/II/2018/B 02-10-2023 26-02-2018

131 352603140991000 1 KONTRAK Silvy Arista Ekapradana, Amd.Kep 160152116-2007684 03-04-2021 07-10-2016 445/049-SIK/REGDIT/IX/2014/B 03-04-2019 04-09-2014
132 3526091708910007 KONTRAK Arina Fibriyanti, Amd.Kep P2T/14607/03.02/02/XI/2015 26-02-2020 26-11-2015 445/279-SIK/REGDIT/II/2016/B 26-02-2020 29-02-2016

133 362601470790000 5 KONTRAK Shinta Kumala, A.Md.Kep P2T/8154/03.02/02/XI/2016 12-06-2021 21-11-2016 445/234-SIK/REGDIT/II/2016/B 29-02-2016 PROSES
134 3526135207930010 KONTRAK Noval Arifin, A.Md.Kep 16 01 5 1 1 17-1429273 14-09-2022 23-10-2017 445/114-SIK/REGDIT/II/2016/B 14-09-2019 26-09-2016
135 352 607600289002 KONTRAK Muafi, A.Md.Kep P2T/1855/03.02/01/II/2014 17-08-2019 04-02-2014 445/216-SIK/REGDIT/II/2016/B 17-08-2019 29-02-2016
3526061408880004
136 KONTRAK Ratih Yuliana, Amd.Kep P2T/7949/03.02/02/IX/2017 07-07-2022 15-09-2017 445/154-SIK/REGDIT/II/2016/B 7/7/2020 26-02-2016 PROSES
137 3526017009920001 KONTRAK Amirah, A.Md.Kep 160152118-1534130 01-07-2023 01-03-2018 445/260-SIK/REGDIT/II/2016/B 01-07-2023 29-02-2019

138 3526045604930000 KONTRAK Nur Hamilah, A.Md.Kep P2T/3725/03.02/01/III/2014 20-02-2019 06-03-2014 445/169-SIK/REGDIT/II/2016/B 20-02-2019 29-02-2019
139 352612280308000 3 KONTRAK Bairul Hakiki, A.Md.Kep P2T/8370/03.02/01/XI/2011 21-11-2011 21-11-2011 445/277-SIK/REGDIT/II/2016/B 21-11-2016 29-02-2016
140 3526181604880000 KONTRAK Nurita Eka P., A.Md.Kep P2T/1531/03.02/01/I/2014 30-09-2019 28-01-2014 445/200-SIK/REGDIT/II/2016/B 30-09-2019 29-02-2016
141 KONTRAK Siti Mufarrohah, Amd.Kep 1601521162007682 16-04-2021 07-10-2016 446.1/039-SIKP/SDMK/II/2018/P 16-04-2021 26-02-2018
142 KONTRAK Dedy Yanuar Isbandi,Amd.Kep P2T/6020/03.02/02/VI/2017 20 -01- 2017 22 - 06 - 2017 445/154-SIK/REGDIT/II/2016/B 24-08-2016 26-02-2016 Proses perpanjangan SIK 28-09-2
143 KONTRAK Moh. Mustofa, Amd.Kep 16 01 7 1 1 18-1508954 16-04-2023 09-01-2018 445/390-SIK/REGDIT/X/2016/B 16-04-2020 20-10-2016
144 35260176612890002 KONTRAK Fahad Zaini, Amd. Kep P2T/15516/03.02/02/XII/2015 05-09-2020 04-12-2015

145 3526010508860014 KONTRAK Figur Satria, Amd.Kep P2T/1417/03.02/01/I/2017 22-10-2022 27-01-2017

146 352906190790002 KONTRAK Dwi Resty Indriawati, Amd.Kep P2T/13771/03.02/02/XI/2015 27-05-2020 19-11-2015 445/174-SIK/REGDIT/II/2016/B 27-05-2020 29-02-2016
147 KONTRAK Alim Fitri Sari, Amd. Kep P2T/711/03.02/01/I/2016 03-04-2021 14-01-2016 Poltekes Kemenkes 2015
148 KONTRAK Maulana Robby Darwis, Amd.Kep.GI 160451118-1571196 01-10-2023 31-08-2018 446.1/007-SIPTGM/SDMK/X/2017/B 01-10-2020 11-10-2017 Poltekes Kemenkes 2014

Plt. DIREKTUR RUMAH SAKIT UMUM DAERAH

SYARIFAH AMBAMI RATO EBU
KABUPATEN BANGKALAN

dr. NUNUK KRISTIANI, Sp.Rad

Pembina Tk. I
NIP. 197010302002122003
ROSES UKOM 31-08-2018

ROSES UKOM 29-09-2018

san Unggul 2017

oses perpanjangan SIK 28-09-2018

tekes Kemenkes 2015

tekes Kemenkes 2014
 DAFTAR STR DAN SIK TENAGA KESEHATAN DI RSUD SYARIFAH AMBAMI RATO EBU BANGKALAN
PER OKTOBER 2020

NO. NIP NAMA PEGAWAI STR BERLAKU S/D SIP BERLAKU S/D

IRNA A

1 PNS HUSNUL KHOTIMAH, S. Kep, NS 445/197-SIK/REGDIT/II/2016/B 22-Jun-20 160152116 - 2007139 3-Oct-21

2 PNS EFA ELIS SETIYOWATI, Amd. Kep 446.1/038-SIKP/SDMK/II/2018/P 3-Oct-21 P2T / 95-15 / 03.02 / 01 / 1X / 2015 4-Aug-20
3 PNS JULI DWI PRIYANTI, Amd. Kep 445/281-SIK/REGDIT/II/2016/B 18-Feb-21 160171117 - 2029617 25-Jul-20
4 Kontrak SENJA WIDYANING C.K.W, S. Kep, NS 503/044/433.114/SIKP/XI1/2018/P 3-Oct-21 P2T/4524/03.02/01/111/2015 12-May-20
5 Kontrak ERFIN BUDI SANTOSO, S. Kep, NS 445/452-SIK/REKDIT/XII/2016 6-May-20 P2T/9742/03.02/01/XII/2016 6-May-21
6 Kontrak HABIBI, S. Kep, NS Proses 503/022/433.114/SIKP/IV/2019/P 3-May-20
Kontrak 446.11/127/433.102/SDMK-SIKP//XI/2019/P 3-Apr-21 160171117 - 2029617
7 SILVY ARISTA EKAFRADANA, S.Kep.Ns 25-Jul-20
8 Kontrak SITI MUFARROHAH, Amd. Kep 446.1/039-SIK/SDMK/II/2018/P 16-Apr-21 P2T/4524/03.02/01/111/2015 12-May-20
IRNA B kelas 1
1 Kontrak Rif’atulAminah, Amd.Keb 445/310-SIKB/ERGDIT/II/2016/B 08-02-2020 P2T/7842/03,01/02/VIII/2015 08-02-2020

2 Kontrak Musdelifah.S.Kep.Ns 445/313-SIK/REGDIT/II/2016/B 27-11-2020 P2T/2550/03,02/02/III/2016 15-07-2021

3 Kontrak Sri Mauliyati, S.Kep Ns. 445/164-SIK/REGDIT/II/2016/B 27-11-2020 160172118 - 1508965 27-11-2023

4 Kontrak Nurrahmah Ayunda Suciati,S.Tr.Keb 445/433-SIKB/REGDIT/II/2016/B 02-01-2020 P2T/7456/03,01/01/VII/2015 02-01-2020

5 Kontrak LukiSusanti, Amd.Keb 445/424-SIKB/REGDIT/II/2016/B 24-11-2019 P2T/6236/03,01,1/VIII/2014 24-09-2019

445/308-SIKB/REGDIT/II/2016/B 12-12-2020 160252114 - 0747289 12-12-2019 (12-12-
6 Kontrak YulindaErnita, Amd.Keb (P2T/7897/03,01/02/VIII/2015) 2020 )

7 Kontrak DwiLilianSeptiana, S.St 445/414-SIKB/REGDIT/II/2016/B 9/12/2016 1602521182298245 20-09-2023

8 Kontrak Indah Wahyuni P W, Amd.Keb 445/315-SIKB/REGDIT/II/2016/B 16-06-2019 160252118 - 2298236 16-06-2023

445/314-SIKB/REGDIT/II/2016/B 2/20/2019 160252114 - 0776590 / 2/20/2019
9 Kontrak IrianiJayanthi, Amd.Keb (P2T/6141/03,01/01/VIII/2014 )

10 Kontrak ArinaFebriyanti, Amd.Keb 445/279-SIK/REGDIT/II/2016/B 26-02-2020 P2T/14607/03,02/XI/2015 26-02-2020

IRNA E
1 PNS ROESLIANA DEWI, S.KEP., Ns 445/168-SIK/REGDIT/II/2016/B 29 Pebr 2016 20 April 2020 P2T/9194/03.02/01/IX/2015 20 April 2020
2 PNS SILVIA NURROHIM, S.KEP.,Ns 445/165-SIK/REGDIT/II/2016/B 29 Pebr 2016 05 Juli 2020 P2T/1274003 02/02/XI/2015 05 Juli 2020
3 PNS MUTIHAH, S.KEP.,Ns 445/200-SIK/REGDIT/II/2016/B 29 Febr 2016 (rekom) 10 Agustus 2019 16 01 5 2 1 16-2007680 10-Aug-20
4 PNS PUTRI AYUNINGTYAS, AMD. KEB 445/409-SIK/REGDIT/II/2016/ B 24 Pebr 2016 03 April 2018 16 02 5 2 2 19-3096337 3-Apr-24
5 THL RIKA SULISTIYO RINI, SST 445/530 -SIKB/REGDIT/I/2017/B.21 Janur 2017 15 Nopember 2019 16 02. 5 2 1 14 - 0746851 15 Nopember 2019
6 Kontrak R. ASMY SEPTIANA.W, AMD. KEB 445/362-SIK/REGDIT/II/2016/B 24 Pebr 2016 11 September 2020 P2T/9357/03.01/02/X/2015 11 September 2020
7 Kontrak NURUL ARIFIANI, AMD. KEB 445/408-SIKB/REGDIT/II/2016/B 24 Pebr 2016 26 Oktober 2016 16 02 5 2 1 14 - 0747188 02 Februari 2019
8 Kontrak KURNIAWATI, AMD.KEB 445/434-SIKB/REGDIT/II/2016/B 24 Pebr 2016 9-Dec-21 16 02 5 2 1 16 - 2009889 9-Dec-20
9 Kontrak WASIATUL ROHMAH, AMD. KEB 445/360-SIKB/REGDIT/II/2016/B 24 Pebr 2017 20-Oct-22 P2T/9006/03.01/XII/2012 20 Oktober 2017
10 Kontrak WIDYA CAHYA N, STr. KEB 445/407-SIKB/REGDIT/II/2016/B 24 Pebr 2019 20-Jul-24 P2T/1572/03.01/01/II/2014 20 Juli 2019
11 Kontrak MEYLA KARUNIA SARI, SST 445/410-SKB/REGDIT/V/2016/B 18 Mei 2016 06 Mret 2021 16 02 5 2 1 16-1275975 6 Maret 2019
12 Kontrak NUR HAMILAH, AMD. KEP 445/410-SIK/REGDIT/II/2016/B 29 Pebr 2019 20 Pebruai 2024 P2T/3725/03.02/01/III/2014 20 Pebruari 2019
IGD
PNS ALI IMRON S. Kep., Ns 445/019-SIK/REGDIT/II/2014/B 4/6/2020 16 01 71217-1429911 4/6/2020
PNS BUSTANUL FIRDAUS S.Kep., Ns 445/142-SIK/REGDIT/II/2016/B 10/22/2019 P2T/5692/03.02/02/V/2014 10/22/2019
PNS NUR INDAH PURNAMA D, Amd. Kep 503/033/433.114/SIKP/XI/2014/P 1/29/2020 P2T/10910/03.02/01/XII/2016 1/29/2020
PNS RAHMAWATI, Amd., Kep 160152116-2007681 4/26/2020 446.1/070-SIKP/SDMK/VIII/2014/P 4/26/2020
PNS ARITA WIDIASIH, Amd., Kep 445/278-SIK/REGDIT/II/2016/B 3/5/2020 P2T/6837/03.02/01/V/2015 3/5/2020
P3K SAMSUL ARIFIN, AMD.Kep 445/155-SIK/REGDIT/II/2016/B 12/21/2019 P2T/4469/03.02/01/III/2014 12/21/2019
Kontrak FAQIH SUHENDRA, S.Kep., Ns 445/258-SIK/REGDIT/II/2016/B 12/5/2019 P2T/7527/03.02/01/IX/2014 12/5/2019
Kontrak NURITA EKA P, Amd. Kep 445/202-SIK/REGDIT/II/2016/B 9/30/2019 P2T/1531/03.02/01/I/2014 9/30/2019
Kontrak MEILYNA DWIHARINI, S.Kep., Ns 445/248-SIK/REGDIT/II/2016/B 5/3/2020 P2T/11792/03.02/01/XI/2015 5/3/2020
IRNA B ATAS
PNS Utami Ningsih,S.Kep.Ns 445/368-SIK/REGDIT/X/2014/B 13 MARET 2020 P2T/6125/03,02/02/IX/2014 3/13/2020
Kontrak Bairul Hakiki,AMD.Kep 446.1/037-SIKP/SDMK/VI/2014/B 14 Agustus 2020 P2T/7005/03.02/02/X/2014 8/14/2020
PAVILIUN

PNS Timik Herlina,Amd.Kep 445//162-SIK/REGDIT/II/2014/B 13 MARET 2020 P2T/13691/03.02/01/X1/2014 13 MARET 2020

Anestesi
PNS H. Fathor Rohman, S.Kep, Ns 440/132-SIK/REGDIT/I/2016/B 18-Mar-20 P2T/8931/03.02/01/IX/2015 18-Mar-20
IBS
PNS Ach. Asiri, S.Kep, Ns 445/283-SIK/REGDIT/II/2016/B 25-Nov-21 P2T/2210/03.02/01/II/2016 25-Nov-21
PNS Wadudin, S.Kep, Ns 445/320-SIK/REGDIT/II/2016/B 13-Jul-21 P2T/7/03.27/02/III/2016 13-Jul-21
PNS Novita Endang M, A.Md.Kep 445/159-SIK/REGDIT/II/2016/B 17-Nov-20 P2T/12592/03.02/02/XI/2015 17-Nov-20
IRNA F
PNS IIN ENDANG WAHYU NINGTYAS AMD.KEP 445/273-SIK/REGDIT/II/2016/B 26-May-20 MTKI 160152118-1508944 STR P2T/9MTKI 26 MEI 2023 STR 26 MEI 2020
Kontrak FERNY LISTIAWATI AMD KEB 445/419-SIKB/REGDIT/II/2016/B 21-Feb-19 P2T/6142/03.01/01/VIII/2014 21-Feb-19
BIDAN
1 196812311989112004 SITI HOTIJAH, S.ST. MMKes

2 196912181991022002 SRI HARYATI, A.Md.Keb 16 02 3 2 1 12-0557756 18-12-2017 445/395-SIKB/XII/2013 18-12-2018

3 198608152010012019 AGITA FRISKA, A.Md.Keb P2T/14447/03.01/XII/2015 15-08-2020 445/354-SIKB/REGDIT/II/2016/B 15-08-2020

4 198502042014072003 DIAN MAJA KRISNA SUKMA YANTI, Amd.Keb 014/REK/PC.IBIBKL/VI/2020 Rekom Mati

5 Kontrak Anayatul Ilmah, S.ST Proses Mati

6 Kontrak Siti Amina, Amd.Keb P2T/6335/03.01/01/VIII/2013 21-02-2019 445/359-SIKB/REGDIT/II/2016/B 21-02-2019

7 Kontrak Nur Azizah,S.Tr.Keb 1876/Sek.PDIBI/VIII/2020 Rekom 445/406-SIKB/REGDIT/II/2016/B 19-07-2020

8 Kontrak Siti Rohimah, Amd.Keb P2T/6689/03.01/01/V/2015 21-07-2020 445/416-SIKB/REGDIT/II/2016/B 21-07-2020

9 Kontrak Ike Rachmawati, Amd. Keb 031/REK.PC.IBIBKL/X/2020 Proses Mati

10 Kontrak Wasiatul Rohmah, A.Md.Keb 12912/Sek.PDIBI/VIII/2019 Rekom 445/360-SIKB/REGDIT/II/2016/B 20-10-2017

11 Kontrak Fitria Irma Pradita, A.Md.Keb 12103/Sek.PDIBI/VI/2019 Rekom 445/413-SIKB/REGDIT/II/2016/B 14-04-2019

12 Kontrak Zubaida,Amd.Keb 2356/Sek.PDIBI/X/2020 Rekom 445/330-SIKB/REGDIT/II/2016/B 12-12-2020

13 Kontrak Rinanti Ayu Lestari,Amd.Keb 16 02 5 2 1 15-0982152 16-11-2020 445/333-SIKB/REGDIT/II/2016/B 16-11-2020

14 Kontrak Fitri Syaiful Aliyah,Amd.Keb 030/REK/PC.IBIBKL/X/2020 Rekom 030/REK/PC.IBIBKL/X/2020 Proses

15 Kontrak Yulia Akni Rifayanti, A.Md.Keb P2T/3408/03.01/01/II/2014 15-03-2019 Mati

Apoteker
1 Kontrak
Teknik Kefarmasian
1 PNS
2 PNS
3 PNS
Petugas Pengelola Limbah
1 P3K
2 THL
Akupuntur
1 Kontrak
Desinta Sylviana P.D,S.Farm.Apt 19871218/STRA-UNEJ/2015/241400 18-12-2020
MOHAMMAD FATHONI P2T/7016/03.06/02/X/2017 17-10-2020
SORAYA ISVANDARIA DEVIE P2T/6959/03.06/02/X/2017 17-10-2020
WIWIK SULISTYOWATI TDK ADA
Rahayu Gerhanawati, AKL P2T/448/03.12/01/XII/2015 6/11/2020 445/003-SIKTS/REGDIT/II/2016//B 6/11/2020
Nidaul Hasanah, AKL P2T/446/03.12/01/XII/2015 3/24/2020 445/002-SIKTS/REGDIT/II/2016/B 3/24/2020
R. Saiful Malik, A. Md P2T/6/03.15/01/XII/2014 9/3/2019 445/01-SIKF/REGDIT/IV/2016/B 9/3/2019
 TENAGA FARMASI

1 3526016001790005 197901202009032006 DWI ELVIKA K.S.Farm.Apt 19790120/STRA-UGM/2005/29987 20-01-2021 10-10-2016 19790120/SIPA-35.26/2016/2073 20-01-2021 04-03-2016
2 7371025805820011 198205182008032002 IKADONA LOGOS KAUKABA,S.Farm.Apt 19820518/STRA-UAD/2006/219530 18-05-2021 30-05-2016 19820518/SIPA-35.25/2017/20100 18-05-2022 26-04-2017
3 3526037003850001 198503302011012011 NURUL FARIDA, S. Farm.Apt. 19850330/STRA-UBAYA/2009/29997 30-03-2021 21-06-2016 19850330/SIPA-35.26/2016/2074 30-03-2021 04-03-2016
4 3526015506820006 198206152010012025 SISKA YUNIANTI,S.Farm.Apt 19820615/STRA-UBAYA/2005/218608 15-06-2021 10-10-2016 19820615/SIPA_35.26/2016/2075 15-06-2021 04-03-2016
5 3526015406860009 198606142015032002 NURUL HIKMAH, S.Farm.Apt 19860614/STRA-UBAYA/2010/210003 14-06-2021 29-05-2017 19860614/SIPA_35.26/2016/2072 14-06-2021 04-03-2016
6 352601620480002 196804222014072001 PIENTOKO ENDAWATI, S.Si,Apt 19680422/STRA-UNAIR/1996/29991 22-04-2021 11-03-2016 19680422/SIPA-35.26/2016/2097 22-04-2022 26-01-2017
7 3526046807690002 196906281989032002 WIWIK SULISTYOWATI TDK ADA TDK ADA

8 3526016808700002 197008282006042006 NANIK AUGUSTINAH P2T/6104/03.06/02/VIII/2017 17-10-2020 15-08-2017 19700828/SIKTTK_35.25/2016/2064 28-08-2021 03-04-2016
9 3526052310840001 198410232008011002 MOHAMMAD FATHONY P2T/7016/03.06/02/X/2017 17-10-2020 16-10-2017 19841023/SIKTTK-35.26/2016/1065 23-10-2021 04-03-2016
10 3526015610840003 198410162007012002 SORAYA ISVANDARIA DEVIE P2T/6959/03.06/02/X/2017 17-10-2020 11-10-2017 19841016/SIKTTK_35.26/2016/2068 16-10-2021 04-03-2016

11 3526014708830000 198308072019032003 TERRY ANGGRAINI, S.Farm.,Apt 19830807/STRA-UBAYA/2007/210005 07-08-2021 10-10-2016 19830307/SIPA-35.26/2016/2089 07-08-2021 28-10-2016
12 3526044810930003 199310082019032005 OKTAVIA INDAH AMBARSARI, S.Farm., Apt 19931008/STRA-UNAIR/2016/246166 08-10-2021 14-09-2016 19931008/SIPA_35.26/2016/2098 08-10-2022 26-01-2017

13 3526015510840006 THL Kadita Rima Oktaviana P2T/6942/03.06/02/X/2017 15-10-2022 10-10-2017 19841015/SIKTTK_35.26/2016/2063 15-10-2021 04-03-2016
14 3526014708830006 THL Susanty Kartika Dewi P2T/6681/03.06/02/IX/2017 17-10-2020 15-09-2017 19850423/SIKTTK-35.26/2016/2060 23-04-2021 04-03-2016
15 3526054404850005 THL Priliya Wulandari P2T/559/03.06/02/III/2019 17-10-2020 27-03-2019 19850404/SIKTTK_35.26/2016/2067 04-04-2021 04-03-2016
16 3526016605860009 Kontrak Tri Winda K., S.Farm.Apt 19860526/STRA-UBAYA/2009/218607 26-05-2021 11-05-2016 19860526/SIPA-35.26/2016/2088 26-05-2021 25-10-2016
17 3526034709870006 Kontrak Normalia.,S.Farm,Apt 19870907/STRA-UNAIR/2011/210006 07-09-2021 30-08-2016 19870907/SIPA_35.26/2016/2081 07-09-2021 16-05-2016
18 3526045812870003 Kontrak Desinta Sylviana P.D,S.Farm.Apt 19871218/STRA-UNEJ/2015/241400 18-12-2020 19-09-2015 19871218/SIPA_35.26/2016/2081 18-12-2021 16-05-2016
19 3526015511820005 Kontrak Eva Cristiana,S.Farm,Apt 19821115/STRA-UNAIR/2008/29995 15-11-2021 29-05-2017 19821115/SIPA-35.26/2016/2082 15-11-2021 16-05-2016
20 3526014905920001 Kontrak Rina Arimurti Putri, S.Farm.Apt 19920509/STRA-UNEJ/2016/243887 09-05-2021 12-03-2016 19920509/SIPA_35.26/2016/2081 09-05-2021 16-05-2016
21 3529014201930002 Kontrak Sofiatin Aziza,S.Farm.Apt 19930102/STRA-UNAIR/2016/246169 02-01-2021 14-09-2016 19930102/SIPA-35.26/2016/2090 02-01-2021 25-10-2016
22 3526035705800003 Kontrak Ramita Ariani Pratiwi, S.Farm..Apt 19930914/STRA-UBAYA/20147/250469 14-09-2022 26-09-2017 19930914/SIPA-35.26/2018/20113 14-09-2022 19-02-2018
23 3526074909930001 Kontrak Annisa Muhdiyah, S.Farm.Apt 19930909/STRA-UBAYA/2016/247236 09-09-2021 04-10-2016 19930909/SIPA-35.26/2017/20102 09-09-2022 28-04-2017
24 3526016612910003 Kontrak Novita Fahrianti Putri.S.Farm.,Apt 19911226/STRA-UNEJ/2017/241533 26-12-2022 05-10-2017 19911226/SIPA-35.26/2018/20110 26-12-2023 22-10-2018
25 3526045701950002 Kontrak Ariska Damayanti P2T/1347/03.06/02/IX/2018 17-01-2023 18-09-2018 19950117/SIPTTK_35.26/2019/2094 17-01-2024 06-02-2019
26 3526015701970002 Kontrak Nur Hasanah P2T/1684/03.06/02/XI/2018 17-10-2020 05-11-2018 19941202/SIKTTK-35.26/2016/2061 02-12-2021 04-03-2016
27 3526016005960002 Kontrak Ummul Latifah P2T/1240/03.06/01/XII/2015 06-09-2020 28-12-2015 19960906/SIKTTK-35.26/2016/2062 06-09-2021 04-03-2016
28 3529055711950002 Kontrak Khonina P2T/1241/03.06/01/XII/2015 17-11-2020 28-12-2017 19951117/SIKTTK-35.26/2016/2059 17-11-2021 04-03-2016
29 3526036905930003 Kontrak Syafridha kusdimukti P2T/3663/03.06/02/V/2017 17-10-2020 23-05-2017 19930529/SIKTTK-35.26/2016/2080 29-05-2021 25-10-2016
ANALIS MEDIK
1 3526041608600002 196008161983121003 AMIERUDDIN, S.Si 16 14 5 1 2 18-2196208 16-08-2023 02-01-2018 503/017/433.114/SIP-ATLM-IX/2018/P 16-08-2023 20-09-2018
2 3526035307640003 HANDINI DEWI, SKM 16 14 5 2 2 18-2196183 13-07-2023 02-01-2018 503/011/433.114/SIP-ATLM/IX/2018/P 13-07-2023 20-09-2018

3 3526016804760001 HIDAYATAL ALIYAH, Amd.Kes 16 14 5 2 18-2196181 28-04-2023 02-01-2018 445/06-SIP-ATLM/REGDIT/II/2016/B 28-04-2023 20-09-2018
4 3526034802830001 MILA KARUNIA, A.Md AK 16 14 5 2 2 18-2196178 08-02-2023 02-01-2018 445/15-SIP-ATLM/REGDIT/II/2016/B 28-04-2023 20-09-2018
5 3526016305840002 MEINDA PUSPADEWI, Amd.Kes 16 14 5 2 2 18-2196177 23-05-2023 02-01-2018 445/03-SIP-ATLM/REGDIT/II/2016/B 28-04-2023 20-09-2018
6 3526016705830007 MAISARA LESTARI SOEKI, Amd.Kes 16 14 5 2 2 18-2196209 27-05-2023 02-01-2018 445/09-SIP-ATLM/REGDIT/II/2016/B 28-04-2023 20-09-2018
7 3526015710850004 NUR LAILI OKTAVIA, Amd.Kes 161452112-0169465 17-10-2023 02-01-2018 445/13-SIP-ATLM/REGDIT/II/2016/B 28-04-2023 20-09-2018

8 3526024208830002 TUTIK ERNAWATI, Amd.Kes. 16 14 5 2 2 18-2196186 02-08-2023 02-01-2018 445/04-SIP/RGDIT/II/2016/B 28-04-2023 20-09-2018
9 3526094207050001 EMIK RATNAWATI, Amd.Kes P2T/427/03.14/01/IX/2015 07-05-2023 02-01-2018 445/297-SIK/REGDIT/II/2016/P 28-04-2023 20-09-2018
10 3526014902850011 FAUSIYA DITA, A.Md.AK 16 14 5 2 2 18-2196207 09-02-2023 02-01-2018 503/015/433.114/SIP-ATLM/IX/2018/P 28-04-2023 20-09-2018
11 3526016011830003 ELIS TRIWAHYUNI, A,Md.AK 16 14 6 2 2 18-2196188 20-09-2023 02-01-2018 503/012/433.114/SIP-ATLM/IX/2018/P 20-09-2018 20-09-2018
12 3526025810750003 AYUDITA PURWANTI SYAIFUL, A,Md.AK 16 14 5 2 18-2196182 22-07-2023 02-01-2018 503/014/433.114/SIP-ATLM/IX/2018/P 22-07-2023 20-09-2018
13 3526016011830003 THL Sulviyanti, Amd.Kes 16 14 5 2 2 18-2196189 05-10-2023 02-01-2018 503/010/433.114/SIP-ATLM/IX/2018/P 05-10-2023 20-09-2018
14 3526016207850003 THL Umi Hoiriyah, AMD 16 14 5 2 2 18-2196191 18-10-2023 02-01-2018 503/005/433.114/SIP-ATLM/IX/2018/P 18-10-2023 20-09-2018
15 3526044403940002 Kontrak Thirza Zhavira, Amd P2T/1150/03.14/01/XII/2015 04-03-2020 23-12-2015 PROSES
16 3528050801950001 Kontrak Ihwal Wiladi, Amd.AK P2T/314/03.14/01/III/2018 08-01-2023 20-03-2018 503/006/433.114/SIP-ATLM/VIII/2019 08-01-2023 14-08-2019
17 3526015807950007 Kontrak Fani Farial, A.Md.Kes P2T/158/03.14/01/II/2018 18-07-2023 21-02-2018 503/009/433.114/SIP-ATLM/VIII/2019 18-07-2023 14-08-2019
RADIOGRAFER
1 3526011501640002 196401151989021002 KASWADI, A.Md.Rad. P2T/II/03.08/02/I/2016 21/01/2016 445/01-SIKR/REGDIT/II/2016/P 25-02-2016

2 3526014210750005 198109142008012016 ANITA PRIHATIN S, Amd,Rad. P2T/3/03.08/02/I/2016 14/01/2016 445/02-SIKR/REGDIT/II/2016/P 25-02-2016

3 3526171002920003 Kontrak Irwan Agustianto,A.Md.Rad P2T/33/03.08/01/II/2016 2/29/2016 445/06-SIKR/REGDIT/II/2016/B 2/29/2016
4 3526015211920008 Kontrak Ahmad Hamdan, AMd.Rad P2T/236/03.08/01/XI/2014 11/17/2014 445/03-SIKR/REGDIT/II/2016/B 2/25/2016

5 3526010911060025 Kontrak Febryan Hidayaturochim.A.Md.Rad P2T/88/03.08/01/III/2014 3/10/2014

6 3577022004077171 Kontrak Hendra Adi Saputra. A.Md. Rad
NUTRISIONIS
1 3526042608750001 197508262001121002 MOH.SYAIFUL BAHRI, SKM P2T/6/03.10/01/I/2013 08/01/2013 445/010-SIKTGz/REGDIT/II/2016/B 29/02/2016
2 3526035408690001 196908141993032005 RITA AGUSTINA, AMG. P2T/213/03.10/02/IV/2017 20-06-2017 446.1/006-SIKTGz/SDMK/XII/2017/P 12-12-2017
3 3526056802710001 197102281995032001 IDA FADJARIJA, AMG P2T/147/03.10/01/II/2014 26/02/2014 445/004-SIKPTGZ/REGDIT/II/2016/B 15/02/2016
4 3526036812730003 197312281997032003 TRI RAHAYU NINGSIH, AMG. P2T/523/03.10/01/V/2012 25/05/2014 445/002/SIKPTGZ/REGDIT/II201/B 15/02/2016
5 3526014407740005 197407041997032003 SUDARMIATI, AMG. P2T/338/03.10/01/V/2012 16/05/2012 445/003-SIKPTGZ/REGDIT/II/2016/B 15/02/2016
6 3526015006740001 197406102007012014 SULASTRI, AMG P2T/293/03.10/02/VI/2017 6/7/2017 445/006-SIKPTGz/REGDIT/II/2016/B 2/15/2016

7 3526034602640001 196402062007012005 SITI RUBANIAH, AMG. P2T/120/03.10/02/II/2017 2/2/2017 446.1/001-SIKPTGz/SDMK/II/2017/P 2/23/2017

8 3526035002940002 Kontrak Nurul Hidayati. S.Gz P2T/335/03.10/01/X/2016 25-10-2016 446.1/002-SIKTGz/SDMK/XI/2017/B 07-11-2017
9 Kontrak
10 Kontrak
SANITARIAN

1 3526032212750002 197512221999011001 ISNAINI HASAN ALI W.AKL P2T/65/03.12/01/III/2013 07/03/2013 445/001-SIKTS/REGDIT/II/2016/B 25/02/2015
2 3578260906710005 197106092014071001 MOCHAMMAD RIZALY TRIYANTO,A.Md P2T/40/03.12/01/III/2016 3/8/2016 445/04-SIKTS/REGDIT/II/2016/B 3/10/2016
3

4 3526015106830006 THL Rahayu Gerhanawati, AKL P2T/448/03.12/01/XII/2015 12/30/2015 445/003-SIKTS/REGDIT/II/2016//B 2/25/2016

5 3526016403850006 THL Nidaul Hasanah, AKL P2T/446/03.12/01/XII/2015 12/30/2015 445/002-SIKTS/REGDIT/II/2016/B 2/25/2016
ELEKTROMEDIK
1 3526011700750002 197511171999031003 EDWIN PERMADI, A.Md.Tem 161351216-1282169 30-11-2016 446.1/001-SIP-E/SDMK/XI/2017/B 07-11-2017
2 3526016901870001 THL Aulia Indrawati, S.ST

3 3526045906840001 THL Hartina Murandani, Amd.Tem

4 3526027010830003 THL Fatsiyah, Amd.Atem 161352216-1282170 11/30/2016 MATI
FISIOTERAPIS
1 3526014210750005 197510022008012013 ANITA KUSUMA DEWI, Amd.Fis P2T/44/03.04/01/V/2016 09/05/2016 445/02/SIKF/REGDIT/V/2016/B 16/05/2016
2 352601607940005 Kontrak Aven Darul Asmawan.A.Md P2T/102/03.04/01/X/2016 20-10-2016
3 3526014804930003 Kontrak Zakki Mubarok Anggawinata, AMF 14 03 5 1 1 16-2017028 7/12/2016
4

PEREKAM MEDIK
1 3526026003830007 198303202010012026 ROSIDA FARDIANA,Amd.PK P2T/427/03.14/01I/IX/2015 01/09/2015 445/05-SIP-ATLM/REGDIT/II/2016/B 25/02/2016
2 3526045207890000 Kontrak R.AJ Rina Dwi Nurcahya,S.ST P2T/71/03.01/01/VIII/2016 8/11/2016 445/002-SIKPM/REGDIT/X/2016/B 10/28/2016

3 3529055711950002 Kontrak Yanuar Alfiandy A.Md.RMIK P2T/190/03.11/01/XI/2016 11/9/2016 446.1/002-SIKPM/SDMK/VI/2017/B 7/9/2017

PSIKOLOG KLINIS

1 3526010104660002 196604011986031007 Drs.SASTRO SARDJONO, MM. 16 24 9 1 1 16-1107009 22-02-2016 00326-14-1-2 22-12-2014

PENYULUH KESEHATAN
1 3526014306710009 197106031995032004 SITI MUTHMAINNAH, SKM. TDK ADA TDK ADA

AKUPUNTUR
1 3526010911060025 Kontrak R. Saiful Malik, A. Md P2T/6/03.15/01/XII/2014 22-12-2014 445/01-SIKF/REGDIT/IV/2016/B 07-04-2016
 DAFTAR STR DAN SIK TENAGA MEDIS DI RSUD SYARIFAH AMB

NO. NIK NIP NAMA PEGAWAI

PNS
SPESIALIS
1 3526037010700003 197010302002122003 dr. NUNUK KRISTIANI, Sp. Rad.
2 3578041503610010 196103151988021001 dr. MONO SETYOBUDI, SpS
3 3526011406620002 196206141989031012 dr. MULJADI AMANULLAH,Sp.OG
4 1214147007670003 196707301999032001 dr. SAYIDAH ORBARIANA, Sp.Rad.
5 3526023108740001 197408312006041008 dr. ANDRI EKO PURNOMO, Sp.P
6 3526011203680007 196803122002121010 dr. EDY SUHARTO, Sp.F.
7 3526016708770002 197708272005012013 dr. FITRIA ROMADIANA, Sp.M.
8 3526014701780002 197801072005012010 dr. ROSIDA FAJARIJA,SpD
9 3526010209820006 198209022009031006 dr.FARHAT SURYA NINGRAT, Sp.KK
10 3525104210750003 197510022005012009 dr. ENDANG FITRIH MULYANINGSIH, Sp.THT-KL
11 3526032301650003 196501232009031001 dr. FERY SETYABUDI, Sp.S
12 3526010704720001 19204272005011008 dr. CATUR BUDI KESWARDIONO, Sp.P
13 3578070305670001 196705032000031005 dr. EKO SONY TEJOLAKSITO, Sp.Rad.
14 3526015303810005 198103132009032009 dr. YASMITA RAHAJENG, Sp.PD
15 3526015107830002 198307112010012019 dr. FITRIYAH MAYORITA, Sp. PK
16 3526090304790001 197904032010011012 dr. MAHRUS, Sp. EM
17 3578081310760001 197610132007011008 dr. TEWU KAPOJOS L.W, Sp.KK
18 3578022506680002 196806252010011003 dr. SIGID DJUNIAWAN, Sp.B
19 7371020811700007 197011082009041000 dr. BERNARD TAUFAN S, Sp.An
20 3526012512770004 197712252006041014 dr. NURUL HIDAYAT, Sp.B,. M.Si.Med
21 3526071505770003 197705152006041019 dr. ZAINAL ABIDIN, Sp.S
22 3578294907760002 197607092005012013 dr. NURYATIEN HUSNA, Sp.KFR
23 3515070806180009 198002272009041001 dr. SUBCHAN AGA BACHTIAR, Sp.B
24 3507164201800002 198001022010012016 dr. UMMU HANIK, Sp.OG
GIGI SPESIALIS
1 3578071903610001 196103191988121001 drg. YUSUF NURHADI, Sp.Ort
2 3526045201870001 198701122011012010 drg FAIRUZA AFADA, Sp.KG
3 3526015511810001 198111152009032005 drg. METARIA SUSAN HIDAYATI, SP.Perio
DOKTER UMUM
1 3526010512590003 195912051989011001 dr. FACHRUR ROZI, MM.
2 3526015602610001 196102161988022001 dr. SRI WAHYU UTAMI
3 3578150107670007 196707012002121006 dr. AHMAD AZIS
4 3578131708600005 196008171990111002 dr. ALFIAN NUR
5 3526014903770002 197703092006042022 dr. MARGRIET MAYASIN
6 3526012605770001 197705262006041011 dr. PRIMA NUGROHO
7 3526042311680002 196811232007011010 dr. RONA ANANTO
8 3526075409790001 197909142009032004 dr.UMMI ASTUTIK
9 3526015503800004 198003152009032003 dr. LILIK RAHMAWATI
10 3526015706780002 197806172010012008 dr. WINDYA SRI MANDURESTY
11 3526014807720002 197207032010012003 dr. YULIA MAYASIN
12 3526015705830007 198403092011012004 dr. SILVIA KURNIAWATI
13 3526014903840004 197207032010012003 dr. SISKA AMALIA
14 3526010503860012 198603052015031001 dr. AGENG PRIATMAJA
15 3526011312860005 198612132015031000 dr. IRWAN WIBOWO
DOKTER GIGI
1 3578104102650002 196502011993122001 drg.HARTINI MULIANI SUTANTO
2 3526106906830005 198306292009032011 drg.FEBY ELYANA WARDANI
KONTRAK
SPESIALIS / SUB SPESIALIS
1 3578210404700001 Kontrak dr. Anang Mufti Sumarsonom Sp.B (K) Onk
2 3526011403500000 Kontrak dr. Bambang Soetjahjo, Sp.OG
3 3526015212530001 Kontrak dr. Hj. Ima Wiryani, Sp.THT
4 3526012004550001 Kontrak dr. H.A. Hamid Nawawi, Sp.A
5 3526014110280004 Kontrak dr. Donny Valiandra, Sp. PD
6 3578086811790005 Kontrak dr. Indah Sulistyani, Sp.A
7 3525145505700004 Kontrak dr. Heriyawati,Sp.PA
8 3578052711120001 Kontrak dr. Hery Supriyadi, SpBM
9 3578256303770003 Kontrak dr. Myra Edwina Sukamto, Sp.KJ
10 3578215805800005 Kontrak dr. Erlinda Widyastutik, Sp.PK
11 3572938012650001 Kontrak dr. Sapta Prihartono Rahman, Sp.BA
12 9103015108850002 Kontrak dr. Anggia Augustasia Lumban Toruan, Sp.U
13 5302196512780001 Kontrak dr. Desak Ketut Ayu Aryani, Sp.OG
14 3526012802880009 Kontrak dr. Yusfik Helmi Hidayat, Sp.B
15 5105022710860001 Kontrak dr. Ida Bagus Adhi Proyoga, SpOT
16 Kontrak dr. Arief Rachman Hakim, Sp.Jp
17 Kontrak dr. Ayu DiajengSekar Negari, Sp.Jp
18 Kontrak dr. Evy Irmawaty Apidian, Sp.M
19 3578082908840001 Kontrak dr. Agung Tristyanto, Sp.OT
20 Kontrak dr. Satria Dwi Erwanto, Sp.An
21 3578082607590003 Kontrak dr. HERU SUBANDRIO, SpM
22 3578176703770002 Kontrak dr. Indra Damayanti, Sp.BS
23 3527036005790003 Kontrak dr. Aniek Meidy Utami, Sp.PA
24 3578166404700001 Kontrak dr. Zahrah Hikmah, Sp.A (K)
25 3515186303860008 Kontrak dr. Mirza Kusumawardani, Sp.KFR

UMUM
1 3526014903840004 Kontrak dr. Natalia Muljadi
2 3526012802880007 Kontrak dr. Sandy kurnia permana
3 3526030410890000 Kontrak dr. Mustain Komarullah
4 3509026102860002 Kontrak dr. Rosaria Angraeni
5 3526015106900020 Kontrak dr. Primita Ayu Damayanti
6 3526012582830004 Kontrak dr. Vebrian Andika Putra
7 3526036705900003 Kontrak dr. Siti Jamilah
8 3526076705090002 Kontrak dr. Ulfatun Nahdiyah
9 Kontrak dr. Asrori Azhar
 KONTRAK
DOKTER GIGI UMUM
1 3526015007920005 Kontrak drg. Hamida Yusuf
2 3526045811860001 Kontrak drg. Windhy Putri Utami

WKDS
1 Kontrak dr. Annisa Zahra Mufida, Sp.PD
2 Kontrak dr. Shirley Ferlina Lasmono, Sp.A
ENAGA MEDIS DI RSUD SYARIFAH AMBAMI RATO EBU BANGKALAN

TANGGAL
STR Berlaku S/D SIP Berlaku S/D
TERBIT

PNS
SPESIALIS
Wakil Direktur Pelayanan
35.1.1.605.3.16.020296 15-03-2022 25-05-2016 445/160-SIP/REGDIT/VII/2016/P 15-03-2022
35.1.1.301.3.16.020291 14-06-2022 15-06-2011 445/218-SIP/REGDIT/X/2016/P 14-06-2022
35.2.1.503.3.16.000207 30-07-2021 02-01-2006 445/139-SIP/REGDIT/IV/2016/P 30-07-2021
35.1.1.604.4.19.021482 31-08-2024 503/070/433.114/VII/2019 31-08-2024
35.1.1.607.4.19.066379 12-03-2024 503/0082/433.114/SIP-Dokter/IX/2019/P/DS 12-03-2024
35.2.1.603.3.15.014040 25-09-2020 25-09-2015 445/142-SIP/REGDIT/IV/2016/P 25-09-2020
35.2.1.401.2.14.019572 07-01-2024 18-04-2014 503/031/433.114/III/2019/P 07-01-2024
33.1.1.602.3.16.058668 02-09-2022 18-11-2016 446.1/001-SIP/SDMK/II/2017/B 02-09-2022
35.2.1.100.2.15.110960 12-05-2020 12-05-2015 445/111-SIP/REGDIT/II/2016/B 12-05-2020
35.1.1.605.3.16.043385 23-01-2022 27 -07-2016 445/270-SIP/REGDIT/I/2017/P 23-01-2022
35.1.1.604.3.15.021484 06-10-2020 06-10-2015 445/087-SIP/REGDIT/XI/2015/B 06-10-2020
35.1.1.503.3.16.077595 03-05-2022 27-09-2016 445/228 -SIP/REGDIT/XI/20163 03-05-2022
35.2.1.401.3.17.023114 13-03-2023 03-08-2017 446.1/080-SIP/SDMK/IX/2017/B 13-03-2023
35.2.1.502.3.18.102674 11-07-2023 30-11-2018 503/002/433.114/I/2019 11-07-2023
35.1.1.100.3.16.008592 03-04-2022 - 503/001/433.114/I/2019 03-04-2022
35.1.1.602.2.13.020351 13-10-2022 - 503/068/433.114/XII/2018 13-10-2022
51.1.1.101.2.15.104714 30-03-2020 - 445/112-SIP/REGDIT/II/2016/P 30-03-2020
73.1.1.501.3.14.026652 21-10-2021 21-10-2014 445/119-SIP/REGDIT/II/2016/B 21-10-2021
33.1.1.101.2.16.038775 25-12-2021 - 455/229-SIP/REGDIT/XI/2016/B 25-12-2021
33.1.1.605.2.17.123450 15-05-2023 20-10-2017 466.1/120-SIP/SDMK/XII/2017/B 15-05-2023
35.2.1.608.3.13.065666 09-07-2023 10-10-2013 466.1/030.1-SIP/SDMK/II/2018/B 09-07-2023

73.1.1.101.3.19.046280 247-02-2025 - 503/0090/433.114/SIP-Dokter/X/2019/P/DS 27-02-2025

35.2.1.301.4.18.016725 24-01-2024 - 503/072/433.114/XII/2018 24-01-2024

GIGI SPESIALIS
35.1.2.201.1.06.021448 19-03-2022 04-04-2016 446,1/024-SIP/SDMK/III/2017/P 19-03-2022
35.2.2.601.2.15.109201 01-09-2020 01-09-2015 445/093-SIP/REGDIT/XI/2015/B 01-09-2020
35.2.2.801.3.14.001453 08-12-2019 08-12- 2014 445/094-SIP/REGDIT/XI/2015/B 08-12-2019
DOKTER UMUM
Koordinator Instalasi Umum dan Operasional
35.2.1.100.3.16.020354 16-02-2022 29-02-2016 445/175-SIP/REGDIT/VIII/2016/P 16-02-2022
35.1.1.100.2.11.066383 01-07-2022 21-12-2016 445/121-SIP/REGDIT/II/2016/B 01-07-2022
35.1.1.100.3.16.021308 17-08-2021 24-04-2016 445/173-SIP/REGDIT/VIII/2016/P 17-08-2021
35.2.1.100.3.16.021479 09-03-2022 29-02-2016 445/183-SIP/REGDIT/VIII/2016/B 09-03-2022
35.1.1.100.3.16.021384 26-05-2022 24-04-2016 445/169-SIP/REGDIT/VIII/2016/P 26-05-2022
35.1.1.100.3.16.019574 23-11-2021 24-04-2016 445/164-SIP/REGDIT/VII/2016/P 23-11-2021
35.2.1.100.3.16.029569 14-09-2021 12-04-2016 445/189-SIP/REGDIT/VIII/2016/P 14-09-2021
35.2.1.100.3.16.038777 15-03-2022 17-10-2016 445/230-SIP/REGDIT/XI/2016/B 15-03-2022
 31.2.1.100.3.16.004636 17-06-2021 18-02-2016 445/141 -SIP/REGDIT/IV/2016/B 17-06-2021
35..2.1.100.3.16.018491 08-07-2022 18-02-2016 445/178 -SIP/REGDIT/VIII/2016/P 08-07-2022
35.2.1.100.2.16.118834 17-05-2021 24-04-2016 445/149-SIP/REGDIT/VI/2016/P 17-05-2021
35.2.1.100.1.15.110960 27-04-2020 27-01-2015 445/059-SIP/REGDIT/VI/2015/B 27-04-2020
33.1.1.100.2.16.121595 05-03-2022 18-02-2016 445/167-SIP/REGDIT/VII/2016/P 05-03-2022
35.1.1.100.2.17.127125 16-11-2021 - 445/277-SIP/REGDIT/I/2017/P 16-11-2021
DOKTER GIGI
31.2.2.100.3.16.021428 19-03-2022 - 446.1/025-SIP/SDMK/III/2017/P 19-03-2022
35.2.2.100.2.13.092637 29-06-2023 - 503/043/433.114/VIII/2018 29-06-2023
KONTRAK
SPESIALIS / SUB SPESIALIS

35.2.1.11.3.15.031166 06-01-2020 16-01-2015 503/013/433.114/I/2019 06-01-2020

35.1.1.100.3.16.020283 14-03-2022 - 445/251-SIP/REGDIT/XI/2016/P 14-03-2022
35.2.1.606.3.16.020290 12-12-2021 - 445/196-SIP/REGDIT/VIII/2016/P 12-12-2021
33.1.1.201.3.16.020292 20-04-2022 16-06-2016 445/188-SIP/REGDIT/VIII/2016/P 20-04-2022
34.1.1.401.2.12.002068 11-02-2023 - 466.1/005.1-SIP/SDMK/1/2018/B 11-02-2023
35.2.1.201.2.13.020130 28-11-2023 21-08-2017 446.1/113-SIP/SDMK/II/2017/P 28-11-2023
35.2.1.704.3.13.069075 15-05-2023 - 445/123-SIP/REGDIT/II/2016/B 15-05-2023
34.1.2.301.2.16.097903 27-11-2021 - 445/149-SIP/REGDIT/IV/2016/B 27-11-2021
35.2.1.601.3.15.011349 26-10-2020 - 445/117-SIP/REGDIT/II/2016/B 26-10-2020
35.2.1.502.3.15.040490 28-08-2020 - 445/126-SIP/REGDIT/III/2016/B 28-08-2020
32.1.1.101.2.11.007112 - - 101.5/35/ST.1/dr.Sp/009/V/2016 22-06-2019
35.2.1.106.3.17.107082 11-08-2023 - 466.1/096-SIP/SDMK/X/2017/B 11-08-2023
35.2.1.301.4.18.055580 25-12-2023 - 466.1/014.1-SIP/SDMK/II/2018/B 25-12-2023
35.1.1.101.3.18.118580 28-02-2024 - 503/005/433.114/V/2018 28-02-2024
35.1.1.103.3.18.118792 27-10-2023 16-03-2018 503/026/433.114/VI/2018 27-10-2023
35.1.1.402.3.18.107600 02-05-2023 - 503/018/433.114/VI/2018 02-05-2023
35.2.1.402.3.18.127472 01-03-2023 17-05-2018 503/022/433.114/VI/2018 01-03-2023
35.2.1.603.4.18.004516 20-01-2024 - 503/030/433.114/VII/2018 20-01-2024
35.1.1.103.3.16.099930 29-08-2021 23-03-2016 503/022/433.114/III/2019 29-08-2021
35.1.1.501.2.18.115586 06-02-2023 26-01-2018 503/025/433.114/III/2019 06-02-2023
35.1.1.603.2.11.020295 26-07-2022 06-07-2012 445/255-SIP/REGDIT/XII/2016/P 26-07-2022
35.2.1.105.1.15.026083 06-10-2020 503/028/433.114/III/2019 06-10-2020
35.2.1.704.3.16.046289 20-05-2021 503/0076/433.114/SIP-Dokter/VIII/2019/P/DS 20-05-2021
35.2.1.201.4.19.017499 24-04-2024 503/0077/433.114/SIP-Dokter/VIII/2019/DS 24-04-2024
35.2.1.608.3.18.121923 23-03-2024 503/0075/433.114/SIP-Dokter/VIII/2019/P/DS 23-03-2024

UMUM
35.2.1.100.2.18.141745 11-06-2018 12-12-2017 446.1/044.1/SIP/SDMK/II/2018/B 11-06-2023
35.1.1.100.1.15.145918 20-01-2020 09-01-2015 445/052 – SIP/REGDIT/IV/2015/B 20-01-2020
35.1.1.100.1.16.162131 04-10-2021 12-07-2016 445/225-SIP/REGDIT/XI/2016/B 04-10-2021
35.2.1.100.1.15.147989 21-02-2023 24-01-2 017 445/129-SIP/REGDIT/III/2016/B 21-02-2023
35.2.1.100.1.17.162833 11-06-2022 09-01-2017 446.1/029-SIP/SDMK/IV/2017/B 11-06-2022
35.1.1.100.1.16.175533 25-02-2022 12-08-2016 466.1/052-SIP/SDMK/VI/2017/B 25-02-2022
35.2.1.100.1.17.171034 27-05-2023 - 466.1/026.2-SIP/SDMK/II/2018/B 27-05-2023
35.2.1.100.1.17.164970 27-06-2022 - 503/003/433.114/V/2018 27-06-2022
35.1.1.100.1.18.185893 08-05-2024 - 503/027/433.114/III/2019 08-05-2024
 KONTRAK
DOKTER GIGI UMUM
35.2.2.100.1.17.188840 10-07-2023 503/0083/433.114/SIP-Dokter/IX/2019/DG 10-07-2023
35.2.2.100.2.17.132271 18-11-2022 503/0084/433.114/SIP-Dokter/IX/2019/DG 18-11-2022

WKDS

35.2.1.140.13.18.128409 24-02-2024 - 503/016/433.114/II/2019 24-02-2024

35.2.1.120.13.19.118638 24-02-2024 - 503/017/433.114/II/2019 24-02-2024

Plt. DIREKTUR RUMAH SAKIT UMUM DAERAH

KABUPATEN BANGKALAN

dr. H. ANDRI EKO PURNOMO, Sp.P

Pembina Tk.I
NIP. 19740831200604100
TANGGAL
TERBIT

25-06-2016
20-10-2016
05-04-2016

11-09-2019
18-04-2016
13-03-2019
10-02-2017
25-02-2016
21-01-2017
19-11-2015
09-11-2016
11-09-2017
04-01-2019
04-01-2019
10-12-2018
25-02-2016
26-02-2016
09-11-2016
28-12-2017
26-02-2018
15-10-2019

28-12-2018

30-03-2017
15-10-2015
19-11-2015

04-08-2016
26-02-2016
04-08-2016
04-08-2016
04-08-2016
29-07-2016
10-08-2016
10-11-2016
05-04-2016
04-08-2016
20-06-2016
01-06-2015
29-07-2016
21-01-2017

30-03-2017
28-08-2018

29-01-2019
30-11-2016
31-08-2016
10-08-2016
15-01-2018
11-12-2017
26-02-2016
19-05-2016
20-02-2016
03-04-2016
22-06-2018 Surat Tugas
06-10-2017
21-02-2018
30-05-2018
26 JUNI 2018
26 JUNI 2018
26 JUNI 2018
02-08-2018
04-03-2019
07-03-2019
07-12-2016

26-11-2018
09-04-2015
08-11-2016
03-04-2016
13-04-2017
05-06-2017
26-02-2018
30-05-2018
07-03-2019
 04-02-2019
04-02-2019

UMUM DAERAH
KALAN

OMO, Sp.P

04100
 DAFTAR STR DAN SIK TENAGA MEDIS DI RSUD SYARIFAH AMBAMI RATO E

NO. NIK NIP NAMA PEGAWAI

PNS
SPESIALIS
1 3526037010700003 197010302002122003 dr. NUNUK KRISTIANI, Sp. Rad.
2 3578041503610010 196103151988021001 dr. MONO SETYOBUDI, SpS
3 3526011406620002 196206141989031012 dr. MULJADI AMANULLAH,Sp.OG
4 1214147007670003 196707301999032001 dr. SAYIDAH ORBARIANA, Sp.Rad.
5 3526023108740001 197408312006041008 dr. ANDRI EKO PURNOMO, Sp.P
6 3526011203680007 196803122002121010 dr. EDY SUHARTO, Sp.F.
7 3526016708770002 197708272005012013 dr. FITRIA ROMADIANA, Sp.M.
8 3526014701780002 197801072005012010 dr. ROSIDA FAJARIJA,SpD
9 3526010209820006 198209022009031006 dr.FARHAT SURYA NINGRAT, Sp.KK
10 3525104210750003 197510022005012009 dr. ENDANG FITRIH MULYANINGSIH, Sp.THT-KL
11 3526032301650003 196501232009031001 dr. FERY SETYABUDI, Sp.S
12 3526010704720001 19204272005011008 dr. CATUR BUDI KESWARDIONO, Sp.P
13 3578070305670001 196705032000031005 dr. EKO SONY TEJOLAKSITO, Sp.Rad.
14 3526015303810005 198103132009032009 dr. YASMITA RAHAJENG, Sp.PD
15 3526015107830002 198307112010012019 dr. FITRIYAH MAYORITA, Sp. PK
16 3526090304790001 197904032010011012 dr. MAHRUS, Sp. EM
17 3578081310760001 197610132007011008 dr. TEWU KAPOJOS L.W, Sp.KK
18 3578022506680002 196806252010011003 dr. SIGID DJUNIAWAN, Sp.B
19 7371020811700007 197011082009041000 dr. BERNARD TAUFAN S, Sp.An
20 3526012512770004 197712252006041014 dr. NURUL HIDAYAT, Sp.B,. M.Si.Med
21 3526071505770003 197705152006041019 dr. ZAINAL ABIDIN, Sp.S
22 3578294907760002 197607092005012013 dr. NURYATIEN HUSNA, Sp.KFR
23 3515070806180009 198002272009041001 dr. SUBCHAN AGA BACHTIAR, Sp.B
24 3507164201800002 198001022010012016 dr. UMMU HANIK, Sp.OG
GIGI SPESIALIS
1 3578071903610001 196103191988121001 drg. YUSUF NURHADI, Sp.Ort
2 3526045201870001 198701122011012010 drg. FAIRUZA AFADA, Sp.KG
3 3526015511810001 198111152009032005 drg. METARIA SUSAN HIDAYATI, SP.Perio
DOKTER UMUM
1 3526010512590003 195912051989011001 dr. FACHRUR ROZI, MM.
2 3526015602610001 196102161988022001 dr. SRI WAHYU UTAMI
3 3578150107670007 196707012002121006 dr. AHMAD AZIS
4 3578131708600005 196008171990111002 dr. ALFIAN NUR
5 3526014903770002 197703092006042022 dr. MARGRIET MAYASIN
6 3526012605770001 197705262006041011 dr. PRIMA NUGROHO
7 3526042311680002 196811232007011010 dr. RONA ANANTO
8 3526075409790001 197909142009032004 dr.UMMI ASTUTIK
9 3526015503800004 198003152009032003 dr. LILIK RAHMAWATI
10 3526015706780002 197806172010012008 dr. WINDYA SRI MANDURESTY
11 3526014807720002 197207032010012003 dr. YULIA MAYASIN
12 3526015705830007 198403092011012004 dr. SILVIA KURNIAWATI
13 3526014903840004 197207032010012003 dr. SISKA AMALIA
14 3526010503860012 198603052015031001 dr. AGENG PRIATMAJA
15 3526011312860005 198612132015031000 dr. IRWAN WIBOWO
16 3506065408920002 199208142019032004 dr. Riski Agustina Firdausi
17 3526030410890000 198910042019031003 dr. Mustain Komarullah
DOKTER GIGI
1 3526106906830005 198306292009032011 drg.FEBY ELYANA WARDANI
KONTRAK
SPESIALIS / SUB SPESIALIS
1 3578210404700001 Kontrak dr. Anang Mufti Sumarsonom Sp.B (K) Onk
2 3526011403500000 Kontrak dr. Bambang Soetjahjo, Sp.OG
3 3526015212530001 Kontrak dr. Hj. Ima Wiryani, Sp.THT
4 3526012004550001 Kontrak dr. H.A. Hamid Nawawi, Sp.A
5 3526014110280004 Kontrak dr. Donny Valiandra, Sp. PD
6 3578086811790005 Kontrak dr. Indah Sulistyani, Sp.A
7 3525145505700004 Kontrak dr. Heriyawati,Sp.PA
8 3578052711120001 Kontrak dr. Hery Supriyadi, SpBM
9 3578256303770003 Kontrak dr. Myra Edwina Sukamto, Sp.KJ
10 3578215805800005 Kontrak dr. Erlinda Widyastutik, Sp.PK
11 3572938012650001 Kontrak dr. Sapta Prihartono Rahman, Sp.BA
12 9103015108850002 Kontrak dr. Anggia Augustasia Lumban Toruan, Sp.U
13 5302196512780001 Kontrak dr. Desak Ketut Ayu Aryani, Sp.OG
14 3526012802880009 Kontrak dr. Yusfik Helmi Hidayat, Sp.B
15 5105022710860001 Kontrak dr. Ida Bagus Adhi Proyoga, SpOT
16 3578293012650001 Kontrak dr. Arief Rachman Hakim, Sp.Jp
17 3327114103880005 Kontrak dr. Ayu DiajengSekar Negari, Sp.Jp

KONTRAK
SPESIALIS / SUB SPESIALIS
18 6471026001790003 Kontrak dr. Evy Irmawaty Apidian, Sp.M
19 3578082908840001 Kontrak dr. Agung Tristyanto, Sp.OT
20 3578020602850005 Kontrak dr. Satria Dwi Erwanto, Sp.An
21 3578082607590003 Kontrak dr. Heru Subandrio, SpM
22 3578176703770002 Kontrak dr. Indra Damayanti, Sp.BS
23 3527036005790003 Kontrak dr. Aniek Meidy Utami, Sp.PA
24 3578166404700001 Kontrak dr. Zahrah Hikmah, Sp.A (K)
25 3515186303860008 Kontrak dr. Mirza Kusumawardani, Sp.KFR
KONTRAK
DOKTER UMUM
1 3526015106880003 Kontrak dr. Natalia Muljadi
2 3526012802880007 Kontrak dr. Sandy kurnia permana
3 3509026102860002 Kontrak dr. Rosaria Angraeni
4 3526015106900020 Kontrak dr. Primita Ayu Damayanti
5 3526012582830004 Kontrak dr. Vebrian Andika Putra
6 3526036705900003 Kontrak dr. Siti Jamilah
7 3526076705090002 Kontrak dr. Ulfatun Nahdiyah
8 3526050805920001 Kontrak dr. Asrori Azhar
KONTRAK
DOKTER GIGI UMUM
1 3526015007920005 Kontrak drg. Hamida Yusuf
2 3526045811860001 Kontrak drg. Windhy Putri Utami
WKDS
1 3578154506890001 Kontrak dr. Annisa Zahra Mufida, Sp.PD
2 3578066409870005 Kontrak dr. Shirley Ferlina Lasmono, Sp.A
DIS DI RSUD SYARIFAH AMBAMI RATO EBU BANGKALAN

STR Berlaku S/D SIP Berlaku S/D

PNS
SPESIALIS
Wakil Direktur Pelayanan
35.1.1.605.3.16.020296 15-03-2022 445/160-SIP/REGDIT/VII/2016/P 15-03-2022
35.1.1.301.3.16.020291 14-06-2022 445/218-SIP/REGDIT/X/2016/P 14-06-2022
35.2.1.503.3.16.000207 30-07-2021 445/139-SIP/REGDIT/IV/2016/P 30-07-2021
35.1.1.604.4.19.021482 31-08-2024 503/070/433.114/VII/2019 31-08-2024
35.1.1.607.4.19.066379 12-03-2024 503/0082/433.114/SIP-Dokter/IX/2019/P/DS 12-03-2024
35.2.1.603.3.15.014040 25-09-2020 445/142-SIP/REGDIT/IV/2016/P 25-09-2020
35.2.1.401.2.14.019572 07-01-2024 503/031/433.114/III/2019/P 07-01-2024
33.1.1.602.3.16.058668 02-09-2022 446.1/001-SIP/SDMK/II/2017/B 02-09-2022
35.2.1.100.2.15.110960 12-05-2020 445/111-SIP/REGDIT/II/2016/B 12-05-2020
35.1.1.605.3.16.043385 23-01-2022 445/270-SIP/REGDIT/I/2017/P 23-01-2022
35.1.1.604.3.15.021484 06-10-2020 445/087-SIP/REGDIT/XI/2015/B 06-10-2020
35.1.1.503.3.16.077595 03-05-2022 445/228 -SIP/REGDIT/XI/20163 03-05-2022
35.2.1.401.3.17.023114 13-03-2023 446.1/080-SIP/SDMK/IX/2017/B 13-03-2023
35.2.1.502.3.18.102674 11-07-2023 503/002/433.114/I/2019 11-07-2023
35.1.1.100.3.16.008592 03-04-2022 503/001/433.114/I/2019 03-04-2022
35.1.1.602.2.13.020351 13-10-2022 503/068/433.114/XII/2018 13-10-2022
51.1.1.101.2.15.104714 30-03-2020 445/112-SIP/REGDIT/II/2016/P 30-03-2020
73.1.1.501.3.14.026652 21-10-2021 445/119-SIP/REGDIT/II/2016/B 21-10-2021
33.1.1.101.2.16.038775 25-12-2021 455/229-SIP/REGDIT/XI/2016/B 25-12-2021
33.1.1.605.2.17.123450 15-05-2023 466.1/120-SIP/SDMK/XII/2017/B 15-05-2023
35.2.1.608.3.13.065666 09-07-2023 466.1/030.1-SIP/SDMK/II/2018/B 09-07-2023

73.1.1.101.3.19.046280 09-10-2019 503/035/433.114/VIII/2018 09-10-2019

35.2.1.301.4.18.016725 24-01-2024 503/072/433.114/XII/2018 24-01-2024

GIGI SPESIALIS
35.1.2.201.1.06.021448 19-03-2022 446,1/024-SIP/SDMK/III/2017/P 19-03-2022
35.2.2.601.2.15.109201 01-09-2020 445/093-SIP/REGDIT/XI/2015/B 01-09-2020
35.2.2.801.3.14.001453 08-12-2019 445/094-SIP/REGDIT/XI/2015/B 08-12-2019
DOKTER UMUM
Koordinator Instalasi Umum dan Operasional
35.2.1.100.3.16.020354 16-02-2022 445/175-SIP/REGDIT/VIII/2016/P 16-02-2022
35.1.1.100.2.11.066383 01-07-2022 445/121-SIP/REGDIT/II/2016/B 01-07-2022
35.1.1.100.3.16.021308 17-08-2021 445/173-SIP/REGDIT/VIII/2016/P 17-08-2021
35.2.1.100.3.16.021479 09-03-2022 445/183-SIP/REGDIT/VIII/2016/B 09-03-2022
35.1.1.100.3.16.021384 26-05-2022 445/169-SIP/REGDIT/VIII/2016/P 26-05-2022
35.1.1.100.3.16.019574 23-11-2021 445/164-SIP/REGDIT/VII/2016/P 23-11-2021
35.2.1.100.3.16.029569 14-09-2021 445/189-SIP/REGDIT/VIII/2016/P 14-09-2021
35.2.1.100.3.16.038777 15-03-2022 445/230-SIP/REGDIT/XI/2016/B 15-03-2022
 31.2.1.100.3.16.004636 17-06-2021 445/141 -SIP/REGDIT/IV/2016/B 17-06-2021
35..2.1.100.3.16.018491 08-07-2022 445/178 -SIP/REGDIT/VIII/2016/P 08-07-2022
35.2.1.100.2.16.118834 17-05-2021 445/149-SIP/REGDIT/VI/2016/P 17-05-2021
35.2.1.100.1.15.110960 27-04-2020 445/059-SIP/REGDIT/VI/2015/B 27-04-2020
33.1.1.100.2.16.121595 05-03-2022 445/167-SIP/REGDIT/VII/2016/P 05-03-2022
35.1.1.100.2.17.127125 16-11-2021 445/277-SIP/REGDIT/I/2017/P 16-11-2021
33.2.1.100.1.18.179554 14-08-2023 503/059/433.114/VI/2019 14-08-2023
35.1.1.100.1.16.162131 04-10-2021 445/225-SIP/REGDIT/XI/2016/B 04-10-2021
DOKTER GIGI
35.2.2.100.2.13.092637 29-06-2023 503/043/433.114/VIII/2018 29-06-2023
KONTRAK
PESIALIS / SUB SPESIALIS

35.2.1.11.3.15.031166 06-01-2020 503/013/433.114/I/2019 06-01-2020

35.1.1.100.3.16.020283 14-03-2022 445/251-SIP/REGDIT/XI/2016/P 14-03-2022
35.2.1.606.3.16.020290 12-12-2021 445/196-SIP/REGDIT/VIII/2016/P 12-12-2021
33.1.1.201.3.16.020292 20-04-2022 445/188-SIP/REGDIT/VIII/2016/P 20-04-2022
34.1.1.401.2.12.002068 11-02-2023 466.1/005.1-SIP/SDMK/1/2018/B 11-02-2023
35.2.1.201.2.13.020130 28-11-2023 446.1/113-SIP/SDMK/II/2017/P 28-11-2023
35.2.1.704.3.13.069075 15-05-2023 445/123-SIP/REGDIT/II/2016/B 15-05-2023
34.1.2.301.2.16.097903 27-11-2021 445/149-SIP/REGDIT/IV/2016/B 27-11-2021
35.2.1.601.3.15.011349 26-10-2020 445/117-SIP/REGDIT/II/2016/B 26-10-2020

35.2.1.502.3.15.040490 28-08-2020 445/126-SIP/REGDIT/III/2016/B 28-08-2020

35.1.1.102.3.17.007112 30-12-2022 102.5/35/ST.1/dr.Sp/006/VII/2019 04-06-2020
35.2.1.106.3.17.107082 11-08-2023 466.1/096-SIP/SDMK/X/2017/B 11-08-2023
35.2.1.301.4.18.055580 25-12-2023 466.1/014.1-SIP/SDMK/II/2018/B 25-12-2023
35.1.1.101.3.18.118580 28-02-2024 503/005/433.114/V/2018 28-02-2024
35.1.1.103.3.18.118792 27-10-2023 503/026/433.114/VI/2018 27-10-2023
35.1.1.402.3.18.107600 02-05-2023 503/018/433.114/VI/2018 02-05-2023
35.2.1.402.3.18.127472 01-03-2023 503/022/433.114/VI/2018 01-03-2023

KONTRAK
PESIALIS / SUB SPESIALIS
35.2.1.603.4.18.004516 20-01-2024 503/030/433.114/VII/2018 20-01-2024
35.1.1.103.3.16.099930 29-08-2021 503/022/433.114/III/2019 29-08-2021
35.1.1.501.2.18.115586 06-02-2023 503/025/433.114/III/2019 06-02-2023
35.1.1.603.2.11.020295 26-07-2022 445/255-SIP/REGDIT/XII/2016/P 26-07-2022
35.2.1.105.1.15.026083 06-10-2020 503/028/433.114/III/2019 06-10-2020
35.2.1.704.3.16.046289 20-05-2021 503/0076/433.114/SIP-Dokter/VIII/2019/P/DS 20-05-2021
35.2.1.201.4.19.017499 24-04-2024 503/0077/433.114/SIP-Dokter/VIII/2019/DS 24-04-2024
35.2.1.608.3.18.121923 23-03-2024 503/0075/433.114/SIP-Dokter/VIII/2019/P/DS 23-03-2024
KONTRAK
DOKTER UMUM
35.2.1.100.2.18.141745 11-06-2023 446.1/044.1/SIP/SDMK/II/2018/B 11-06-2023
35.1.1.100.1.15.145918 20-01-2020 445/052 – SIP/REGDIT/IV/2015/B 20-01-2020
35.2.1.100.1.15.147989 21-02-2023 445/129-SIP/REGDIT/III/2016/B 21-02-2023
 35.2.1.100.1.17.162833 11-06-2022 446.1/029-SIP/SDMK/IV/2017/B 11-06-2022
35.1.1.100.1.16.175533 25-02-2022 466.1/052-SIP/SDMK/VI/2017/B 25-02-2022
35.2.1.100.1.17.171034 27-05-2023 466.1/026.2-SIP/SDMK/II/2018/B 27-05-2023
35.2.1.100.1.17.164970 27-06-2022 503/003/433.114/V/2018 27-06-2022
35.1.1.100.1.18.185893 08-05-2024 503/027/433.114/III/2019 08-05-2024
KONTRAK
DOKTER GIGI UMUM
35.2.2.100.1.17.188840 10-07-2023 503/0083/433.114/SIP-Dokter/IX/2019/DG 10-07-2023
35.2.2.100.2.17.132271 18-11-2022 503/0084/433.114/SIP-Dokter/IX/2019/DG 18-11-2022
WKDS

35.2.1.140.13.18.128409 24-02-2024 503/016/433.114/II/2019 24-02-2024

35.2.1.120.13.19.118638 24-02-2024 503/017/433.114/II/2019 24-02-2024

Plt. DIREKTUR RUMAH SAKIT UMUM DAERAH

SYARIFAH AMBAMI RATO EBU
KABUPATEN BANGKALAN

dr. NUNUK KRISTIANI, Sp.Rad

Pembina Tk.I
NIP. 19701030 200212 2 003