LAPORA

FASKES : RUMAH SAKIT PRATAMA

BULAN : MARET 2022

SDM KESEHATAN SURAT TANDA REGISTRASI

STATUS
NAMA NOMOR
drg.AFRIDA WATI PNS '1322100217133355
ASMAR, AMK PNS '030151217-1448757
MUHAMMAD SALMI, A.Md.Kep PNS '030151217-1448773
NURHIJFA, AMK PNS '030152217-1448776
HAYATI NASUTION, AMK PNS '030152117-2151558
ELDSIS WARNILIS, A.Md.Kep PNS '030152117-2122491
ASMILDAYANI,AMK PNS '0301522182248950
LELI SUMARNI, AMK PNS '030152217-1448800
YEMI SASWITA, S.Kep PNS '040152115-0971354
SRI WAHYUNI, AMK PNS '030152217-1414902
FIRDAUS, AMK PNS '0301512171448797
ELVIA DJOHANNY, AMK PNS '030152116-1253092
SALWA ADILLAH PNS '030152217-2124379
VIVI NOVIANTI, AMK PNS '0301522172126150
NURHAIDA SIREGAR, A.Md.Kep PNS '0301521181593732
NURHAIDA SIREGAR, A.Md.Kep PNS '0301521181593732
Ns. JURMIATI, S.Kep PNS '030152217-1448770

MINDA WARNI PNS '030172220-3369816

Ns. UMI SAADAH, S. Kep PNS '030172220-3275921

Ns. NORA SALINA YENI, S.Kep PNS '0301722213473808

Ns. PERA ARIYANI, S.Kep PNS '030172117-2077670

Ns. KARTINI. S. Kep PNS '0301722214062432

Ns. ZULKARNAEN LUBIS, S.Kep PNS '0301511182290748
Ns. ISRAWATI, S. Kep PNS '030172220-3258119

Ns. FEMI YANTI, S.Kep PNS '0301722213473825

Ns. VIVIEN SARLY, S.Kep PNS '030172217-1448787
AHMAD HADY, A.Md PNS '1315511171367220
SRI DESMI, A.Md.Keb PNS '030252218-2402539
MILA SERLIMA, S.Tr.Keb PNS '0302622203366990
SITI SARI, S.Tr.Keb PNS '0302522182194509
RIRIN FEBRIANA, S.ST PNS '030262220-3217195
MISRAWATI, S.Tr.Keb PNS '0302622203240275
NURHIDAYANI, Amd. Keb PNS '030252118-1530954
ELIA NOVA, S.ST PNS '030262220-3240276
FATMAWATI, S.ST PNS '030262220-3239245
'1981/01/23/STRTTK/
IRAWATI, A.Md.Farm PNS 13.2002./2.031
'1996/06/14/STRTTK/
SRY ANDINI LESTARY, A.Md.Farm PNS 13.2017/2.047
YOSE RIZAL,SKM.Mkes PNS '0
SURYA SAPUTRA, SKM PNS '0321611161262247
NOVIA ADELINA, A.Md.Rad PNS '0307522213390621
DEAVY VERONICA, A.Md.Rad PNS '030752116-1211680

MARDIYAH, S.S.T PNS '0314622203264204

dr. HERMAN HARUN, MKM PNS '

dr DONNA PNS '
TRIO NELDI,SKM PNS '
Ns. ALI UMAR,S.Kep PNS '
MASRIL PNS '
dr. HAFNI MARSIL, Sp. B Kontrak Daerah '1311101420045861

dr. DONALIAZARTI, Sp. PK Kontrak Daerah '1321502317106172

SUMI YANTI, S.Tr.Ftr Kontrak Daerah '020362118-2217839
NOVIA SELFINA Kontrak Daerah '030252219-3065462
SABARUDDIN Kontrak Daerah '

WILA KARTIKA, S.Tr.Ftr Kontrak Daerah '020362117-2166099

dr. NURELIZA Sukarela '1321100120221769
dr. WAHYUNI RAHMADANI Sukarela '1321100119196007
dr. KARTIKA ARSAH Sukarela '1221100120222956
dr. MUHAMMAD FAKHRIZAL INDRA SADLI Sukarela '1211100219150320
dr. RIKA HANDAYANI Sukarela '1221100120207773
dr. FITRIYANI AFDAL Sukarela '
IKBAL EFENDI, A.Md.Kep Sukarela '0301512193101448
RAHMAD EDIL, A.Md.Kep Sukarela '0301512214121337
HALIMAH PASARIBU, AMK Sukarela '050152119-3069154
RIKA WATI, AMK Sukarela '030152117-1412149
MUHAMMAD IKHWAN, A.Md.Kep Sukarela '030151118-2377468
LINDA WATI, A.Md.Kep Sukarela '030152220-3265325
LINDA WATI, A.Md.Kep Sukarela '030152220-3265325
PURNAMA NINGSIH, A.Md.Kep Sukarela '030152119-3083204
AFRIYANTO Sukarela '020151118-2233346
DIRAMA YULIANTI, Amd.Kep Sukarela '030152217-1415138
Rosidah, A.Md.Kep Sukarela '0301522171448781
SARIFAH MONA Sukarela '030152117-2102043
SITI ARMIN, A.Md.Kep Sukarela '030152217-1448809
IDARMAWATI, A.Md.Kep Sukarela '130152117-1411111
SITI RAHMA, Amd. Kep Sukarela '0301521171411110
PUTRA SANNI SIREGAR, A.Md.Kep Sukarela '0301512214022518
RUDI HARYADI, Amd. Kep Sukarela '030151119-3141383
LELI FITRIANI, A.Md.Kep Sukarela '030152117-2124136
AHMAD RUJI, A.Md.Kep Sukarela '030151217-1448755
PENDI, A.Md.Kep Sukarela '0201511224142257
HADI SURAHMAT, A.Md. Kep Sukarela '0301512214028092
Ns. Melda Wati, S.Kep Sukarela '0301722171448772
Ns. DIAN RAHMAYANI, S.Kep Sukarela '0301721213448591
Ns. M.RIZKI RAHMAN, S.Kep Sukarela '030171119-3036680
RIDHA IHSANI Sukarela '0301722171448805
Ns. HUJJATUR REZKI Sukarela '050171117-2183122
Ns.YANTI YOSEFA, S.Kep Sukarela '030152217-1448788
IGA PUTRI AYU Sukarela '030172119-3049495
Ns. DWI LAILATUL FITRI, S.Kep Sukarela '030172119-3049940
Ns. Bay Haqqy, S.Kep Sukarela '030171217-1448759
TRI WAHYUNI. BA Sukarela '030172219-3146887
LENA VERAWATI HANDAYANI Sukarela '-
DESNITA Sukarela '030252120-3207187
SITI ROHANI Sukarela '0302522192415237
KHOIRUNNISA Sukarela '0302522171359700
RIRI ANDARINI, Amd.Keb Sukarela '0302521161231697
Lika Sariani, Amd.Keb Sukarela '0202521203339784
IKA SUSANTI Sukarela '0302522182289967
'1998/01/24/STRTK/
TIARA YOLANDA. SY Sukarela 13.2019/2.502
JUNIATI, Am.Keb Sukarela '0302521140757368
RINI SUSANTI, AMd.Keb Sukarela '0302522193152093
'19960202/
RABIATUL ADABIAH SRG, S.Farm Sukarela STRTTK_12/2019/200428
'1996/09/15/STRTTK/
LISA LISNA SARI, A.Md.Farm Sukarela 13.2018/2.634
'1994/04/17/STRTTK/
SINAR BULAN, A.Md. Farm Sukarela 13.2017/2.073
'19980307 / STRTTK_12 /
WILHELMINA HUTAGALUNG A.Md Farm Sukarela 2018/ 2 01491
'19960110/
ANNI HOLILAH, A.Md.Farm Sukarela STRTTK_12/2019/201454
'19960202/
RABIATUL ADABIAH SRG, S.Farm Sukarela STRTTK_12/2019/200428
DINI MARIANI ANWAR, SKM Sukarela '
FAKHRUL AFDHAL, SKM Sukarela '0321611172061244
SITI SAROHA, S.Gz Sukarela '030962117-2078038
LENI SANTIKA, S.Gz Sukarela '0309621203216760
RAHMAH SUMAINI. Amd.Fis Sukarela '020352117-1342917
SUMI YANTI, S.Tr.Ftr Sukarela '020362118-2217839
HENDRA DALIMUNTE Sukarela '0310511193055062
IFKI IFDAL, A.Md. RM Sukarela '031051116-1181354
NUR HAMDA YENI Sukarela '0314621224203007
YUHELNA WAHYU, Amd. KG Sukarela '030452117-1503911
Ayu Haris, Amd.Rad Sukarela '0307521193162034
HANDRA PUTRA, A.Md. AK Sukarela '0314511182249042
'03146222134222134288
SITI FATIMAH, S.S.T Sukarela 51
PUTRI YANTI, S.S.T Sukarela '0314621172038639
FADILLAH, Amd.AK Sukarela '0314521172172909
ANGGI Sukarela '
LAILA MAJNUN Sukarela '
HACEPTO EKA PUTRA A,Md Sukarela '
ROBIATUL ADAWIYAH HSB, S.Ak Sukarela '
HAYATUL HUSNA, SE Sukarela '
RABIATUL ADAWIYAH Sukarela '030252221-4042687
PUTRI RAMADHANI, A.Md.Kom Sukarela '
RAHMANINA Sukarela
Tenaga Lain yang '
HACEPTO EKA PUTRA A,Md belum tercantum '
 LAPORAN SUMBER DAYA MANUSIA KESEHATAN (SDMK)

SURAT TANDA REGISTRASI SURAT IZIN PRAKTIK

MASA BERLAKU NOMOR MASA BERLAKU
2017-09-13 s/d 2023-04-23 253/SIP-D/IV/2019 4/8/2019
2017-09-29 s/d 2022-09-27 SDK/155/SIP-PRWT/IV/2019 4/2/2019
2017-10-21 s/d 2022-01-18 SDK/160/SIP-PRWT/IV/2019 4/2/2019
2017-09-29 s/d 2022-06-18 SDK/556/SIP-PRWT/XI/2017 11/7/2017
0000-00-00 s/d 2022-01-11 SDK/150/SIP-PRWT/IV/2019 4/2/2019
2017-09-14 s/d 2022-07-24 SDK/586/SIP-PRWT/XI/2017 4/2/2019
2018-02-24 s/d 2023-01-31 SDK/166/SIP-PRWT/IV/2019 4/2/2019
2017-09-29 s/d 2022-05-29 SDK/125/SIP-PRWT/IV/2019 4/2/2019
2015-05-13 s/d 2020-10-10 SDK/159/SIP-PRWT/IV/2019 4/2/2019
2017-09-29 s/d 2022-06-11 SDK/164/SIP-PRWT/IV/2019 4/2/2019
2017-10-21 s/d 2022-01-29 567/SIPIV/2010 4/5/2010
2016-10-12 s/d 2021-10-04 SDK/71/SIP-PRWT/III/2020 3/9/2020
2017-09-17 s/d 2022-12-27 SDK/26/SIP-PRWT/I/2020 2/4/2019
2017-09-20 s/d 2022-11-30 SDK/202//SIP-PRWT/I/2018 1/15/2018
0000-00-00 s/d 2023-08-16 124/891/DKK/I/2021 1/26/2021
0000-00-00 s/d 2023-08-16 124/891/DKK/I/2021 1/26/2021
2017-09-29 s/d 2022-09-20 SDK/157/SIP-PRWT/IV/2019 4/2/2019

2020-11-24 s/d 2025-06-16 503/24/SIPP/DPMPTSP/V/2021 5/20/2021

2020-05-27 s/d 2025-01-31 SDK/543/SIP-PRWT/XI/2017 4/2/2019

2021-03-25 s/d 2026-07-09 503/20/SIPP/DPMPTSP/V/2021 5/20/2021

2017-05-24 s/d 2022-01-21 SDK/158/SIP-PRWT/IV/2019 4/2/2019

2021-09-08 s/d 2026-04-10 503/47/SIPP/DPMPTSP/IX/2021 9/25/2021

2018-04-12 s/d 2023-11-25 SDK/149/SIP-PRWT/IV/2019 2/4/2019
2020-04-09 s/d 2025-05-01 SDK/172/SIP-PRWT/V/2018 4/2/2019

2021-03-25 s/d 2026-05-02 503/21/SIPP/DPMPTSP/V/2021 5/20/2021

2017-09-29 s/d 2022-07-14 SDK/83/SIP-PRWT/III/2020 2/4/2019
2017-08-14 s/d 2022-06-06 175/SDK/SIP-PA/IV/2019 4/2/2019
2018-12-14 s/d 2023-06-16 SDK/171/SIPB/IV/2019 4/2/2019
2020-11-19 s/d 2025-12-02 503/104/DPMPTSP/SIPB/VII/2021 7/22/2021
2018-01-03 s/d 2023-08-15 SDK/167/SIPB/IV/2019 4/2/2019
2020-02-13 s/d 2025-02-02 SDK/168/SIPB/IV/2019 4/2/2019
2020-03-16 s/d 2025-06-16 503/84/DPMPTSP/VII/2021 7/5/2021
2018-02-24 s/d 2023-04-24 503/101/DPMPTSP/SIPB/VIII/2021 8/10/2021
2020-03-16 s/d 2025-09-18 SDK/104/SIPB/III/2020 3/9/2020
2020-03-13 s/d 2025-04-30 SDK/103/SIPB/III/2020 3/9/2020

2021-01-04 s/d 2026-01-23 SDMK/92/SIK-TK/III/2017 3/16/2021

0000-00-00 s/d 0000-00-00 str tdk valid 4/13/2021

1970-01-01 s/d 1970-01-01 1/1/1970
2016-11-14 s/d 2021-04-09 0000-00-00
2021-01-18 s/d 2026-11-29 SDK/177/SIP-R/IV/2019 2/4/2019
0000-00-00 s/d 0000-00-00 SDK/178/SIP-R/IV/2019 4/2/2019

2020-04-23 s/d 2025-03-14 06/DPMPTSP/SIP-ATLM/XII/2020 12/10/2020

2020-08-27 s/d 2026-03-25 503/26/DPMPTSP/SIPD/IX/2020 3/23/2021

2021-10-11 s/d 2027-03-09 95/SIP-D/III/2017 3/9/2021

2018-01-26 s/d 2023-10-03 SDK/147/SIPF/IV/2020 4/14/2020
2019-07-22 s/d 2024-01-13 0 0000-00-00

2017-11-11 s/d 2022-08-22 0 0000-00-00

2020-12-22 s/d 2024-03-12 503/15/DPMPTSP/SIPD/III/2021 3/22/2021
2019-05-31 s/d 2023-03-29 275/SIP-D/VII/2019 7/3/2019
2020-11-18 s/d 2024-01-05 503/14/DPMPTSP/SIPD/III/2021 3/15/2021
2019-08-12 s/d 2025-03-23 432/SIP-D/IX/2019 9/19/2019
2020-02-18 s/d 2023-05-03 376/SIP-D/IV/2020 4/1/2020

2019-10-13 s/d 2024-02-05 SDK/52/SIP-PRWT/II/2020 2/26/2020

2021-12-13 s/d 2026-09-19 503/04/SIPP/DPMPTSP/I/2022 1/14/2022
2019-07-31 s/d 2024-09-25 SDK/74/SIP-PRWT/III/2020 3/9/2020
2017-09-29 s/d 2022-11-12 SDK/86/SIP-PRWT/III/2020 3/9/2020
2018-11-02 s/d 2023-05-19 SDK/68/SIP-PRWT/III/2020 3/9/2020
2020-04-27 s/d 2025-01-21 SDK/244/SIP-PRWT/VII/2020 7/8/2020
2020-04-27 s/d 2025-01-21 SDK/244/SIP-PRWT/VII/2020 7/8/2020
2019-08-30 s/d 2024-09-09 SDK/110/SIP-PRWT/III/2020 3/9/2020
2016-07-26 s/d 2023-04-24 1/1/1970
2017-09-29 s/d 2022-07-27 SDK/80/SIP-PRWT/III/2020 3/9/2020
2017-09-29 s/d 2022-02-17 SDK/87/SIP-PRWT/III/2020 3/9/2020
2017-07-29 s/d 2022-04-04 SDK/56/SIP-PRWT/III/2020 3/3/2020
2017-09-29 s/d 2022-01-11 SDK/82/SIP-PRWT/III/2020 3/9/2020
2017-09-16 s/d 2022-03-14 SDK/81/SIP-PRWT/III/2020 3/9/2020
2017-09-29 s/d 2022-09-01 SDK/70/SIP-PRWT/III/2020 3/9/2020
2021-07-14 s/d 2026-07-27 503/38//SIPP/DPMPTSP/VIII/2021 8/23/2021
2019-11-16 s/d 2024-10-22 SDK/77/SIP-PRWT/III/2020 3/9/2020
2017-09-16 s/d 2022-05-28 SDK/78/SIP-PRWT/III/2020 3/9/2020
2017-09-29 s/d 2022-08-23 SDK/538/SIP-PRWT/XI/2017 11/9/2017
2022-01-18 s/d 2027-02-05 - 1/1/1970
2021-07-19 s/d 2026-05-01 1/1/1970
2022-05-10 s/d 2022-05-10 0 0000-00-00
2021-03-12 s/d 2026-07-03 0 0000-00-00
2019-05-15 s/d 2024-10-27 SDK/109/SIP-PRWT/III/2020 3/9/2020
2017-09-29 s/d 2022-07-05 SDK/76/SIP-PRWT/III/2020 3/9/2020
2017-12-13 s/d 2022-06-27 SDK/85/SIP-PRWT/III/2020 3/9/2020
2017-09-29 s/d 2022-04-03 SDK/79/SIP-PRWT/III/2020 3/9/2020
2019-06-25 s/d 2024-03-13 SDK/75/SIP-PRWT/III/2020 3/9/2020
2019-06-25 s/d 2024-03-26 SDK/66/SIP-PRWT/III/2020 3/9/2020
2017-09-29 s/d 2022-10-03 SDK/108/SIP-PRWT/III/2020 3/9/2020
2019-11-22 s/d 2024-03-10 SDK/69/SIP-PRWT/III/2020 3/9/2020
1970-01-01 s/d 1970-01-01 - 1/1/1970
2020-11-11 s/d 2025-02-25 0 0000-00-00
2024-08-05 s/d 2024-08-05 SDK/265/SIPB/VIII/2019 8/15/2019
2022-02-24 s/d 2022-02-24 0 0000-00-00
2021-06-13 s/d 2021-06-13 SDK/694/SIPB/XI/2017 11/30/2017
2025-01-03 s/d 2025-01-03 0 0000-00-00
2023-05-14 s/d 2023-05-14 0 0000-00-00
2019-11-22 s/d 0000-00-00 0 1/1/1970
2014-07-24 s/d 2019-10-11 0 0000-00-00
2019-11-27 s/d 2024-02-10 SDK/102/SIPB/III/2020 3/9/2020
2019-06-11 s/d 2024-02-02 STR TDK VALID 0000-00-00
2018-12-31 s/d 2023-09-15 SDMK/111/SIP-TK/III/2020 3/9/2020
2018-01-05 s/d 2023-04-17 SDMK/72/SIP-TK/III/2020 3/9/2020
2018-11-19 s/d 2023-03-07 STR TDK VALID 3/9/2020
0000-00-00 s/d 0000-00-00 STR TDK VALID 11/26/2020
2019-06-11 s/d 2024-02-02 STR TDK VALID 0000-00-00

2017-04-11 s/d 2022-04-12 - 0000-00-00

2017-05-24 s/d 2022-05-19 SDK/101/SIP-TGZ/III/2020 3/9/2020
2020-02-12 s/d 2025-01-29 503/01/SIPTGz/DPMPTSP/VII/2021 7/7/2021
2017-07-06 s/d 2022-07-05 SDK/96/SIPF/III/2020 3/12/2020
2018-01-26 s/d 2023-10-03 SDK/147/SIPF/IV/2020 4/14/2020
2019-07-03 s/d 2024-09-07 SDK/89/SIP-RM/III/2020 3/10/2020
2016-05-31 s/d 2021-01-03 SDK/112/SIP-RM/III/2020 3/9/2020
2022-02-21 s/d 2027-12-08 1/1/1970
2017-12-30 s/d 2022-12-03 SDK/113/SIP-PG/III/2020 3/9/2020
2024-03-03 s/d 2024-03-03 0 0000-00-00
2018-02-24 s/d 2023-01-07 SDMK/100/SIP-ATLM/III/2020 3/9/2020
2021-02-27 s/d 2026-10-18 08/DPMPTSP/SIP-ATLM/IX/2021 9/10/2021
2017-02-14 s/d 2022-04-27 02/DPMPTSP/SIP-ATLM/II/2021 2/16/2021
2017-11-23 s/d 2022-07-26 - 0000-00-00

2021-08-04 s/d 2026-07-26 - 0000-00-00

Padang Gelugur, 31 Maret 2022

DIREKTUR RUMAH SAKIT PRATAMA

dr. Herman Harun, MKM

NIP.19810410 200901 1 005
N (SDMK)

JENIS TENAGA

Dokter Gigi
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Ners

Ners
Ners

Ners
Ners

Ners
Ners
Ners

Ners
Ners
Perawat Medikal Bedah
Bidan Klinis
Bidan Klinis
Bidan Klinis
Bidan Klinis
Bidan Klinis
Bidan Klinis
Bidan Klinis
Bidan Klinis

Ahli Madya Farmasi (Asisten Apoteker)

Ahli Madya Farmasi (Asisten Apoteker)

Epidemiolog Kesehatan
Sanitasi Lingkungan
Radiografer
Radiografer
Ahli Teknologi Laboratorium Medik
(Analis Kesehatan)
Kepala Bagian / Kepala UPT setingkat Es.
3
Kepala Seksi
Kepala Seksi
Kepala Seksi
Kepala Seksi
Dokter Spesialis Bedah (Sp.B)

Dokter Spesialis Patologi Klinik (SP.PK)

Fisioterapis
Aset
Pekarya
Tenaga Umum Lainnya yang belum
tercantum
Dokter
Dokter
Dokter
Dokter
Dokter
Dokter
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Perawat (Non Ners)
Ners
Ners
Ners
Ners
Ners
Ners
Ners
Ners
Ners
Ners
Bidan Klinis
Bidan Klinis
Bidan Klinis
Bidan Klinis
Bidan Klinis
Bidan Klinis
Bidan Klinis
Bidan Klinis
Bidan Klinis
Bidan Klinis
Ahli Madya Farmasi (Asisten Apoteker)
Ahli Madya Farmasi (Asisten Apoteker)
Ahli Madya Farmasi (Asisten Apoteker)
Ahli Madya Farmasi (Asisten Apoteker)
Ahli Madya Farmasi (Asisten Apoteker)
Ahli Madya Farmasi (Asisten Apoteker)
Kesehatan Kerja
Sanitasi Lingkungan
 Nutrisionis
Nutrisionis
Fisioterapis
Fisioterapis
Perekam Medis dan Informasi Kesehatan
Perekam Medis dan Informasi Kesehatan
Teknisi Gigi
Terapis Gigi dan Mulut
Radiografer
Ahli Teknologi Laboratorium Medik
(Analis Kesehatan)
Ahli Teknologi Laboratorium Medik
(Analis Kesehatan)
Ahli Teknologi Laboratorium Medik
(Analis Kesehatan)
Ahli Teknologi Laboratorium Medik
(Analis Kesehatan)
Program
Program
Keuangan
Keuangan
Pelaporan
Pelaporan
Pengelola Sistem Informasi dan Basis
Data (Database)
Pekarya
Keuangan

elugur, 31 Maret 2022

RUMAH SAKIT PRATAMA

n Harun, MKM
410 200901 1 005