DAFTAR NAMA- NAMA KAR

DI INSTANSI

KONDISI RIIL SUMBERDAYA MANUSIA

NO NIK NIP/NOMOR KONTRAK NAMA
1 3517131011680004 19681110200121005 dr.PUGUH HARI SUBAGIA
2 3517204902730001 197302092006042010 ENY WINARSIH,Amd.Keb
3 3517205904660001 196604191992032009 DYAH HISTORYATI,SST
4 3517136205700001 197005221992032003 KHUSNUL CHABIBAH,Amd.Keb
5 3517136410640001 196410241992032005 BUDIANAH,Amd.Keb
6 3517026102890001 198902212011012005 AYU KURNIA PRIMADININGDYAH,Amd.Keb
7 3517047008880002 198808302010012007 DIAN WIDORETNO,Amd.Keb
8 3517110611870001 198711062011011005 HAFID WAHYU MAULUDIN,Amd.Gz
9 3517086906770002 197706292009012003 YULIANI ULFAH,Amd.Keb
10 3524031705730003 197305171995081001 SUTOMO,Amd.Kep
11 3517130510670003 196710051988121002 ISKAK,S.Kep,Ns
12 3517134105740002 197405012000122001 LILIS SUMARYANI,S.Kep,Ns
13 3517136412760001 197612241998032004 FARIDA HANUM,Amd.Kep
14 3517145504730004 197304151995032003 SULIATI,Amd,
15 3517157005800001 198005302014072001 SRIATIN,Amd.Kep
16 3517201503840004 198403152009011005 LUKMAN ABADI,Amd.Farm
17 3517131510690002 196910152008011009 PAIMO
18 3517135504840004 198404152010012021 DYIAH KUSUMA AYU WARDHANI,Amd.Kep
19 3517202710730001 197310271999031006 HAIDIR FITRI,S.Kep,Ns
20 3517136711700001 197011271991022001 SUCI ISWATI,Amd.Keb
21 3517131012740003 197412101997031007 SUSILO RIBUT ANGGARBENI,Amd.AK
22 3517206310840005 198410232017042010 ANIK MASRUROH,Amd.Keb
23 3517156106850001 800/020/415,17,11/2017 LAILI ZAKIYAH,Amd.Keb
24 3516085911900001 800/020/415.17,11/2017 SUPRIYATI WIJAYANTI,Amd.Keb
25 3517135308900001 800/020/415,17,11/2017 ANGGUN DWI NIZARLI,Amd.Keb
26 3517154509850001 800/020/415.17,11/2017 TRI WIDIANA,Amd.Keb
27 3524055441190001 800/020/415,17,11/2017 LILY KHOIRULIL UMMAH,Amd.Keb
28 3517075710900003 800/020/415.17,11/2017 MARIA OCTHAVIANUS,Amd.Keb
29 3517146712850001 800/020/415,17,11/2017 EKA SUNARYANTI
30 3517176606910002 800/020/415.17,11/2017 FITRIA ZULFANA,Amd.Keb
31 3517137101780001 800/020/415.17,11/2017 HERMI SUSIYANTI,Amd.Keb
32 3517110208880003 800/020/415,17,11/2017 DENY KAFABI FIRMANSYAH,Amd.Kep
33 3517132708750002 800/020/415.17,11/2017 WARDIONO,Amd.Kep
34 3517145302790001 800/020/415.17,11/2017 IKA MAULUDIYANAWATI
35 3517136608830002 198308262019032002 TUTUS YUDHIARTI,Amd.Kep
36 3517130809880000 800/020/415,17,11/2017 MOHAMMAD ZAINUL FANANI,S.Kep,Ns
37 3517175109890001 800/020/415.17,11/2017 SEPTIAN ARI DWI SUSILOWATI,S.Kep,Ns
38 3517136408870002 800/020/415.17,11/2017 AYU DIAH FITRIANTI,S.Kep,Ns
39 3517096107810004 800/020/415.17,11/2017 INDAH FITRIAH YULIATI,Amd.Keb
40 3517016308870001 800/020/415.17,11/2017 RENI INDAH PUSPITA,Amd.AK
41 3517091007790001 800/020/415.17,11/2017 DHENY BAYU LANGGENG MULANJOYO
42 3517147103800005 800/020/415.17,11/2017 ANIRA RINI SOEBANDI,Amd.Kep
43 3517205706880001 800/020/415.17,11/2017 VIVIN YUNINGTYAS SARI
 44 3517131112730004 800/020/415.17,11/2017 MUHAMMAD ANWAR
45 3524052807920003 800/020/415.17,11/2017 AGUS FUJI SANJAYA,S.Kep,Ns
46 3517135507920001 800/020/415.17,11/2017 KRISTIANA DWI WIDIARTI,Amd.Keb
47 3517156704920002 800/020/415.17,11/2017 ELLY PUSPANINGTYAS,S.Kep.Ns
48 3517094712940006 800/020/415.17,11/2017 DITA MEGA KISTANTRI,Amd.Keb
49 3517074905930001 800/020/415.17,11/2017 NITA RUSTANTI,Amd.Keb
50 3517134503920001 800/020/415.17,11/2017 RIANI,Amd.Kep
51 3517145205890003 800/020/415.17,11/2017 drg.EKA MEI FITRIYANTI
52 3517097008930004 800/175.1/415.17,11/2018 LUZIA NABILA ZULKARNAIN,Amd.Keb
53 3517134506960001 800/020/415.17,11/2018 REVITA BUDI ANGGRAENI,Amd.Kep
54 3517207010920001 800/72.1/415.17,11/2018 WIDARI NUR AULYA,Amd.Keb
55 3517134507950002 800/162.1/415.17,11/2018 RISKA AYU SARI EKA NURILYA,Amd.Keb
56 3517135710950002 800/161.1/415.17,11/2018 NANIK MUKAROMAH,Amd.Keb
57 3524052807920000 800/ /4l5.17.11/2018 DWI AGUSTIN NINGSIH Amd. Kep
58 3517134409810001 198109042017042002 NUNING ULFIATI
59 3517135206910001 199106122015052001 RIZKITA PUTRI HADI
60 3517135903950002 800/88.3/415.17.11/2019 UMI ROHMATININGSIH
61 3503120906870001 198706092019031005 KOYUN INTAN PERMADI
62 3517090108940005 199408012019031008 RICO ANDRE SATRIAWAN,S.Fam.Atp
63 3524041104900001 199004112019031007 FERDI SUKMA
64 3517135406920000 199206142015052002 RISTA KHUSNIA DEWI
65 3517134203560000 dr TRIWORO SUKANTI
66 3517095202960003 800/20.1/415.17.11/2019 ISNIA FAIZAH
67 3517206201960002 800/99.5/415.17.11/2019 LAILI NADLIFATUS SA'ADAH
68 800/100.3/4l5.17.11/2019 DIAN LUKI PRABOWO,S,Kep,Ns
69 800/ 19.2 /4l5.17.11/2019 SRI YOUANITA WULANDARI, Amd. Keb
70 800/211/4l5.17.11/2019 LOLY DWI KUSUMA PUTRI,S.Kep Ns
71 800/211.1/4l5.17.11/2019 HEMAS NAWANG SARI
72

USULAN FORMASI CPNS

NO NAMA JABATAN JUMLAH KEBUTUHAN KUALIFIKASI PENDIDIKAN
1 DOKTER UMUM 1 S1 KEDOKTERAN
2 DOKTER GIGI 1 S1 KEDOKTERAN GIGI
3 BIDAN 24 D3 KEBIDANAN
4 PERAWAT 18 D3 KEPERAWATAN
5 PRANATA LAB 2 D3 ANALIS
6 SANITARIAN 1 S1 SANITASI
7 KEBERSIHAN 1 SMA
8 SOPIR 1 SMA
9 ADMINISTRASI 5 SMA
10 KEUANGAN 2 S1 AKUNTANSI
11 PEREKAM MEDIK 1 D3 REKAM MEDIK
ASISTEN APOTEKER 1 D3 ASISTEN FARMASI
FTAR NAMA- NAMA KARYAWAN DAN KARYAWATI PER JANUARI 2020
DI INSTANSI BLUD PUSKESMAS TEMBELANG

JK JABATAN PANGKAT/GOLONGAN PENDIDIKAN SESUAI SK

L DOKTR UMUM Pembina Tk I/ IVB S2 ILMU EKONOMI
P BIDAN Pengatur Tingkat I/ IID DIII KEBIDANAN
P BIDAN Pembina / IVA D IV KEBIDANAN
P BIDAN Penata Tk I/ IIID DIII KEBIDANAN
P BIDAN Penata Tk I/ IIID DIII KEBIDANAN
P BIDAN Penata Muda/ IIIA DIII KEBIDANAN
P BIDAN Penata Muda/ IIIA DIII KEBIDANAN
L GIZI Penata Muda/ IIIA DII GIZI
P BIDAN Penata Muda/ IIIA DIII KEBIDANAN
L PERAWAT Penata/ IIIC DIII KEPERAWATAN
L PERAWAT Pembina/ IVA SI KEPERAWATAN
P PERAWAT Penata/ IIIC SI KEPERAWATAN
P PERAWAT Penata Muda Tk I/ IIIB DIII KEPERAWATAN
P PERAWAT GIGI Penata Tk I/ IIID DIII PERAWAT GIGI
P PERAWAT Pengatur Tingkat I/ IID DIII KEPERAWATAN
L ASISTEN APOTEKERPenata Muda/ IIIA DIII FARMASI
L KEAMANAN Pengatur/ IIC SMA
P PERAWAT Penata Muda/ IIIA DIII KEPERAWATAN
L PERAWAT Penata/ IIIC SI KEPERAWATAN
P BIDAN Penata Tk I/ IIID DIII KEBIDANAN
L PRANATA LAB Penata/ IIIC DIII ANALIS
P BIDAN Pengatur/ IIC DIII KEBIDANAN
P BIDAN DIII KEBIDANAN
P BIDAN DIII KEBIDANAN
P BIDAN DIII KEBIDANAN
P BIDAN DIII KEBIDANAN
P BIDAN DIII KEBIDANAN
P BIDAN DIII KEBIDANAN
P ADMIN DIII PERTANIAN
P BIDAN DIII KEBIDANAN
P BIDAN DIII KEBIDANAN
L PERAWAT DIII KEPERAWATAN
L PERAWAT DIII KEPERAWATAN
P SANITASI S1 SANITASI
P PERAWAT DIII KEPERAWATAN
L PERAWAT SI KEPERAWATAN
P PERAWAT SI KEPERAWATAN
P PERAWAT SI KEPERAWATAN
P BIDAN DIII KEBIDANAN
P PRANATA LAB DIII ANALIS
L ADMIN SMA
P PERAWAT DIII KEPERAWATAN
P ADMIN DIII AKUPUNTUR
 P SOPIR SMA
L PERAWAT S1 KEPERAWATAN
P BIDAN DIII KEBIDANAN
P PERAWAT DIII KEPERAWATAN
P BIDAN DIII KEBIDANAN
P BIDAN DIII KEBIDANAN
P PERAWAT DIII KEPERAWATAN
P DOKTER GIGI S1 KEDOKTERAN GIGI
P BIDAN DIII KEBIDANAN
P PERAWAT DIII KEPERAWATAN
P BIDAN DIII KEBIDANAN
P BIDAN DIII KEBIDANAN
P BIDAN DIII KEBIDANAN
P PERAWAT DIII KEPERAWATAN
P BIDAN DIII KEBIDANAN
P BIDAN DIII KEBIDANAN
P PERAWAT DIII KEPERAWATAN
L PERAWAT DIII KEPERAWATAN
L APOTEKER S1 APOTEKER
L PERAWAT DII KEPERAWATAN
P BIDAN DIII KEBIDANAN
L DOKTER UMUM S1 KEDOKTERAN
P BIDAN DIII KEBIDANAN
P BIDAN DIII KEBIDANAN
L PERAWAT S1 KEPERAWATAN
P BIDAN DIII KEBIDANAN
P PERAWAT S1 KEPERAWATAN
P PERAWAT S1 KEPERAWATAN

KET
2020

NO STR NO SIP PENSIUN KETERANGAN

3511100316013237 446/1079/415.17/2017 12/03/2061
160252118-2251813 446/1397/415.25/2016 9/2/2031
160262117-2145517 46/4612/415.25/2016 19-04-2024
P2T/14247/03.01/02/XII/2015 446/1398/415.25/2016 29-06-2035
PROSES PROSES 24-10-2022
P2T/13271/03.01/02/XII/2015 PROSES 21-02-2047
16025521182251800 PROSES 30-08-2046
P2T/66/03.10/02/II/2018 446/003/415.35/2018 6/11/2045
P2T/10692/03.01/02/XI/2015 PROSES 29-06-2035
1601511140768686 PROSES 17-05-2031
160171218-1507753 447/058/415.35/2018 .5/10/2027
1601721181548100 446/4045/415.25/2015 05/01/2032
1601522181567040 446/46/415,35/2018 24-12-2034
1604521171445053 446/003/415,35/2019 15-04-2031
1601521181548130 446/4048/415.25/2015 30-05-2038
P2T/731/03.06/02/II/2017 19840315/SIPTTK-35.17/201 15-03-2042
15-10-2021
1601522181548382 15-04-2042
1601712181507750 446/074/415.35/2018 27-10-2033
P2T/14701/03.01/02/XII/2015 446/7872/415.25/2015 27-11-2028
P2T/122/03.14/03/II/2019 446/5888/415.25/2015 12/10/2032
160352118-2197368 446/97/4515.35/2018 06/01/2018
P2T/1046/03.01/02/II/2015 446/6231/415.25/2015
160252117-2138989 PROSES
160252118-2225218 446/098/415.35/2018
160252118-2225217 446/151/415.35/2018
160251118-2251819 PROSES
P2T/6921/03,01/01/IX/2014 446/7245/415.25/2016
P2T/4587/03.01/01/III/2014 446/7449/415.25/2016
1602521182251770 446/141/415.35/2019
P2T/11658/03.02/02/XI/2015 446/10729/415.25/2016
160151118-1581626
P2T/33/03,12/01/I/2017 446/003/415,35/2019
1601521181548130 446/5247/415,25/2015
160171118-2202336
160172118-1508362
160172118-1508325 446/9790/415.25/2016
P2T/1969/03.01/01/II/2014
P2T/522/03.14/01/VI/2012
160152118-1548086
P2T/10366/03.02/01/XII/2016
160252114-0728824 446/277/4515.35/218
160252118-2389658
P2T/1822/03.1/01/II/2017
1601521181548120
35.2.2.100.2.19.151144 446/4432/415.17/2017
160252115-1051822
P2T/10035/03.02/01/XII/2017
160252117-2145516
1602521182251810
160252118-2225002
P2T/1654/03.02/01/II/2018

160252118-2201403

P2T/8409/03,02/02/XI/2016
19940801/STRA-UNAIR/2017/114815
1601511192421910