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    Monitoring Data FKTP

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    hotnauli sihaloho
    This document contains information about the operational permit (SIOP) of RB. Mitra Sehat clinic including: 1. The SIOP number and its validity period 2. Names of doctors responsible and their practicing licenses 3. Names of nurses, midwives and other health workers involved and their practicing licenses 4. Names of partner laboratories and pharmacies and their collaboration periods.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Monitoring Data FKTP

    Uploaded by

    hotnauli sihaloho
    18 views14 pages
    This document contains information about the operational permit (SIOP) of RB. Mitra Sehat clinic including: 1. The SIOP number and its validity period 2. Names of doctors responsible and their practicing licenses 3. Names of nurses, midwives and other health workers involved and their practicing licenses 4. Names of partner laboratories and pharmacies and their collaboration periods.

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    Original Title

    Monitoring Data Fktp

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    This document contains information about the operational permit (SIOP) of RB. Mitra Sehat clinic including: 1. The SIOP number and its validity period 2. Names of doctors responsible and their practicing licenses 3. Names of nurses, midwives and other health workers involved and their practicing licenses 4. Names of partner laboratories and pharmacies and their collaboration periods.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    18 views14 pages

    Monitoring Data FKTP

    Uploaded by

    hotnauli sihaloho
    This document contains information about the operational permit (SIOP) of RB. Mitra Sehat clinic including: 1. The SIOP number and its validity period 2. Names of doctors responsible and their practicing licenses 3. Names of nurses, midwives and other health workers involved and their practicing licenses 4. Names of partner laboratories and pharmacies and their collaboration periods.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 14

    SURAT IZIN OPERASIONAL (SIOP)

    NO KAB/KOTA NAMA FKTP


    NO SIOP

    1 2 3 4
    1 DELISERDANG RB.MITRA SEHAT 1138/440/RBDS/2012
    ZIN OPERASIONAL (SIOP) DOKTER UMUM
    NAMA DOKTER PENANGGUNG
    JAWAB
    MASA BERLAKU SIOP NAMA

    5 6 7
    MARET 2017 dr.HARTATY AGNES SARAGIH dr SAMUEL SIMANJUNTAK
    dr VICTOR EKA HARIANTO
    dr HARTATY AGNES SARAGIH
    dr SUSI,MKT.DK
    DOKTER UMUM OPERASIONAL DOKTER GI

    NO SIP MASA BERLAKU SIP NAMA

    8 9 10
    1153/440/SIPD/II/DS/2015 10-Apr-17 drg.JON RIZAL
    5605/440/SIPD/XI/DS/2015 6-Sep-16 drg. FADHLY FAUZI
    1140/440/SIPD/DS/2012 22- DES-16
    2443/440/SIPD/DS/2011 21-Jul-16
    DOKTER GIGI PERAWAT

    NO SIPDG MASA BERLAKU SIPDG NAMA

    11 12 13
    3231/440/SIPDG/VII/DS/2012 28-Sep-16 MIARNI
    5519/440/SIPDG/X/DS/2015 04 DES 201 SA'DIAH
    PERAWAT BIDAN

    NO SIK MASA BERLAKU SIK NAMA

    14 15 16
    1504/440/SIK/DS/2011 10-Feb-16
    1558/440/SIK/DS/2011 10-Feb-16
    BIDAN TENAGA KESEHATAN LAINNYA

    MASA BERLAKU
    NO SIK NAMA NO SIK
    SIK

    17 18 19 20
    AN LAINNYA JEJARING LABORATORIUM

    MASA BERLAKU SIK NAMA LAB MASA BERLAKU PERJANJIAN

    21 22 23
    LAB PRODIA JANUARI 2016-DESEMBER 2016
    LAB ELLA JANUARI 2016-DESEMBER 2016
    JEJARING APOTEK
    APOTEK MANDIRI
    MASA BERLAKU
    NAMA APOTEK
    PERJANJIAN

    24 25 26
    APOTEK MITRA SEHAT
    UPDATE MONITORING DAFTAR JEJARING BIDAN
    DAN MASA BERLAKU SURAT IZIN PRAKTIK BIDAN

    NO KAB/KOTA NAMA FKTP

    1 DELI SERDANG KLINIK RB MITRA SEHAT


    JARING BIDAN
    PRAKTIK BIDAN

    NAMA BIDAN JEJARING NO SURAT IZIN BIDAN JEJARING

    HENNY 4189/440/SIPB/VIII/DS/2013
    SELMA ROIDA MANURUNG 1721/440/SIPB/DS/2015
    KRISTIMONE ANDAYANI 1955/440/SIPB/DS/2012
    NURLIANA BR GINTING 1705/440/SIPB/III/DS/2015
    ANITA MARISTELLA MARPAUNG 5146/440/SIPB/IX/DS/2015
    RISMAWATI 677/440/SIPB/II/DS/2014
    SEPTERIYA NURHAWATI SITOHANG 676/440/SIPB/II/DS/2014
    YENTI GINTING 6521/440/SIK/XII/DS/2014
    MASA BERLAKU SURAT IZIN Jangka Waktu Perjanjian Klinik
    PRAKTEK BIDAN JEJARING Dengan Bidang Jejaring

    14 DES 2017 01 JAN 2015-31 DES 2016


    16-Apr-19 01 JAN 2015-31 DES 2016
    7 DES 2014 01 JAN 2015-31 DES 2016
    15 MEI 2020 01 JAN 2015-31 DES 2016
    08 MEY 2020 01 JAN 2015-31 DES 2016
    28 SEP 2018 01 JAN 2014-31 DES 2016
    18 SEP 2018 01 JAN 2014-31 DES 2016
    20 AGUS 2017 02 NOV 2015- 02 NOV 2016
    Keterangan
    PROSES TIDAK KERJA
    PERPANJANGAN SAMA LAGI
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    PKS BIDAN JEJARING TAHUN 2016

    SUDAH DI SERAHKAN KE BPJS KESEHATAN









    BIDAN JEJARING TAHUN 2016

    BELUM DI SERAHKAN KE BPJS KESEHATAN

    -
    -
    -
    -
    -
    -
    -
    -

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