Karyawan Oktober

December 17, 2018 | Author: KUSUMA HOSPITAL | Category: N/A
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BERKAS KARYAWAN NO

NIK

NAMA

JABATAN

NO STR

MASA BERLAKU STR 

NO SIP / SIK  

1

196 196820 8201404 14040 01001 1001 Dr. Dr. Tatik atik Sud Sudjiat jiati, i, Sp.O Sp.OG. G.,M ,MM M

Dok Dokter ter Spes Spesia iali liss

352130131603260

1!29!2022

2

1984 198420 2015 1512 1201 0100 002 2 Dr. Dr. "os "ossi si #ur #ur $aj $ajar aria ia%s %s&a &a', ', Sp.( Sp.(

Dokt Dokter er Spes Spesia iali liss

3511101315099666

10!30!2020

3

190 19020 201 112 1201 0100 003 3 Dr. Dr. Tri Tri Susa Susa%d %d'i 'i )uli )uliar arto to,, M.M M.M*e *ess

Dokt Dokter er +u +u

3511100113146415

11!18!2018

28!432.302!-#/"M!S/D!!2018

4

199320180201004 Dr. "a%i adei

Dokter +u

35211001181653

2!26!2023

20!432.302!-#/"M!S/D!!2018

5

198220180301005 Dr. Ta%ia +ji%aka, Sp +

Dokter Spesialis

3521106315058641

9!12!2020

30!432.302!-#/"M!S/D!!2018

6

19820180401006 Dr. #ur i%i

Dokter +u

352110011819520

11!1!2023



19692018060100 Dr. Sr Sri &uda%i%si'

Dokter +u

352110031032663

16!3!22

8

19820180601008 Dr. )e%i #oita %rai%i

Dokter +u

3521100215114919

21!10!2020

9

19892018001009 Dr. %&a% /utri

Dokter +u

3521100114141968

11!6!2019

10

198201806010010 Dr. $airus

11

19820180010011 Dr Dr $e& aroli%a 7

Dokter Gii

352210021128992

21!02!2022

12

198920140402001 Dei Me Meri %a %a (e (el li li &a &a%ti d. *ep

/ er eraat

/2T! /2T!94 940 03!03 3!03..02!0 02!02 2! !!201 !2014 4

3!2 3!26!20 6!201 19

Dokter Spesialis 04.9 4.98!43 8!432 2.30 .302!2!-#/" #/"M!S M!S*/ */! !! !20 201 18

20

198920140402010 %a&a', d. *e

(ida%

/2T /2T!109 !10955 55!0 !03. 3.01 01!0 !02! 2! !2 !201 015 5

5!4! 5!4!20 2020 20

05.6 05.64! 4!43 432. 2.30 302! 2!-#/" #/"M M!S !S*(! *(!!2 !201 018 8

21

19820140402011 %dra'&a%i, STr. *e

(ida%

/2T /2T!129 !12953 53!0 !03. 3.01 01!0 !02! 2! !2 !201 015 5

4!14 4!14!2 !202 020 0

05.6 05.69! 9!43 432. 2.30 302! 2!-#/" #/"M M!S !S*(! *(!!2 !201 018 8

22

198820151102012 -essi #oer sri, d. *e.

(ida%

/2T! /2T!10 1038 385! 5!03 03.0 .01! 1!02 02! !! !20 2015 15

12!1 12!18! 8!20 2020 20

05.6 05.68! 8!43 432. 2.30 302! 2!-#/" #/"M M!S !S* *(! (!! !20 2018 18

23

199120160102013 :ut>i i%ulla', d. *ep

/eraat

/2T /2T!65 !653! 3!03 03.0 .02! 2!02 02! ! !2 !201 01 

!5! !5!20 2022 22

04.1 04.101 01!4 !432 32.3 .302 02!!-#/" /"M!S M!S*/! */! !2 !201 018 8

24

199420160302014 ka -uli Su Susa%ti d. *

%alis *e *es.

/2T /2T!580 !580!0 !03. 3.14 14!0 !01! 1! !2 !201 015 5

6!29 6!29!2 !202 020 0

05!4 05!432 32.3 .302 02!!-#/ #/"M! "M!S S/ /T:M! T:M!!20 !2018 18

25

199220160602015 Tri 7ula%dari d. *e

(ida%

/2T! /2T!69 6922 22!0 !03. 3.01 01!0 !01! 1! !2 !201 015 5

10!2 10!22! 2!20 2020 20

05. 05.9! 9!43 432. 2.30 302! 2!-#/" #/"M M!S !S* *(! (!! !20 2018 18

26

19932016002016 &u 7ula%dari S.Tr. *e

(ida%

/2T!660!03.01!01!!2015

2!5!2020

05.4!432.302!-#/"M!S*(!!2018

2

1991201600201 >ri%da -a%ti d. *e

(ida%

/2T!9436!03.01!01!!2013

4!26!2018

28

19902016002018 Sri ?a ?ardi&a%ti :u :ukaa', S. S. ST ST

(ida%

/2T /2T!216 !2165! 5!03 03.0 .01! 1!02 02! ! !!201 201

8!31 8!31!2 !202 022 2

05. 05.2! 2!43 432. 2.30 302! 2!-#/" #/"M M!S !S*(! *(!!2 !201 018 8

29

19942016002019 Da'lia Sri usti%i d. *ep

/eraat

/2T!1 2T!104 045 5!0 !03. 3.02 02!!01! 01!!2 !201 015 5

4!20 4!20!2 !202 020 0

04.9 04.95! 5!43 432. 2.30 302! 2!-#/" /"M!S M!S*/! */! !2 !201 018 8

30

199020160802020 Mararet'a +tai d. *e

(ida%

/2T!394!03.01!02!!2016

6!6!2021

05.80!432.302!-#/"M!S*(!!2018

31

19942010102021 >a%ur :isdia%a, d. *e

(ida%

/2T /2T!55 !553! 3!03 03.0 .01! 1!01 01! ! !2 !201 016 6

!16 !16!2 !202 021 1

05.6 05.62! 2!43 432. 2.30 302! 2!-#/" #/"M M!S !S*(! *(!!2 !201 018 8

32

19922010102022 %dra *ur%iaa%, S.*ep, #s.

/eraat

/2T /2T!520 !5209! 9!03 03.0 .02! 2!01 01!!!2 !201 01 

6!! 6!!20 2022 22

04.9 04.96! 6!43 432. 2.30 302! 2!-#/" /"M!S M!S*/! */! !2 !201 018 8

33

19902010602023 (a&u Mauli%a, S. ST

(ida%

/2T! /2T!69 6921 21!0 !03. 3.01 01!0 !01! 1!  !2 !201 013 3

23!0 23!09! 9!20 2018 18

05. 05.6! 6!43 432. 2.30 302! 2!-#/" #/"M M!S !S* *(! (!! !20 2018 18

34

19912011002024 %is #urja&a%ti., S. ST

(ida%

1602521182225060

6!25!2023

05.5!432.302!-#/"M!S*(!!2018

35

19942011002025 "o'ea' #u #ur'i, S. S.Tr. *e *e

(ida%

/2T! /2T!14 1458 589! 9!03 03.0 .01! 1!01 01! ! !2 !201 015 5

3!28 3!28!2 !202 020 0

05.6 05.63! 3!43 432. 2.30 302! 2!-#/" #/"M M!S !S* *(! (!! !20 2018 18

36

199020160603001 )ulias "oi us 7a%to

3

198920140503002 Dei Su Susiloati

38

199420150803003 Sasul ri>i%

/e. +u

39

199620161103004 +sa%

/e. +u

40

198620161203005 %%& *usati

41

1992010803006 @'ad De%& 7a'&udi

/e. +u

42

1932014040300 Slaet ?ari&o%o

kord. +u

43

19922011103008 *eala D Dija&a%ti, S. S. *o * o

44

19942011203009 Dei 7idiaati, S

/e. +u :au%dr&

:au%dr&

*esekretariata% di%istrasi

52

1986 198620 2018 1803 0302 0203 034 4 -uli stutik, d. *e

(ida%

/2T /2T!105 !10530 30!0 !03. 3.01 01!0 !01! 1! !201 !2015 5

!29 !29!!2020 2020

05.6 5.6!4 !432 32.3 .302 02!!-#/" #/"M M!S* !S*(! (! !201 !2018 8

53

199020180402036 "isk& /raset&a, d. *ep

/eraat

/2T!8 2T!826 264! 4!03 03.0 .02! 2!01 01! !!2 !201 013 3

9!20 9!20!!2018 2018

04.1 04.103 03!!432. 432.30 302! 2!-#/"M! "M!S S*/ */! ! !2018 2018

54

19902018040203 Tri 7a'&udi, S.*ep. #s

/eraat

160111181533600

4!6!2023

04.109!432.302!-#/"M!S*/!!2018

55

199220180402038 %dri Dela /orte, S.*ep. #s

/eraat

/2T! /2T!3 30 0!0 !03. 3.02 02!0 !01! 1! !2 !201 014 4

11!13 1!13!2 !201 019 9

04.1 04.104 04!4 !432 32.3 .302 02!!-#/" #/"M M!S !S* */! /! !2 !201 018 8

56

199120180402039 Supri&adi >e%di, S. kep. #s

/eraat

/2T /2T!146 !14660 60!0 !03. 3.02 02!0 !01! 1! !201 !2015 5

5!5! 5!5!20 2020 20

04.1 04.10 0!!432. 432.30 302! 2!-#/"M! "M!S S*/ */! ! !2018 2018

5

199220180402040 #uril ?u ?uda %s'ori, S. S.*ep. #s #s

/eraat

1601111idatu;;u'ra, d. "M "M

"eka Me Medik  

/2T!2!03.11!01!!2018

8!4!2023

03!432.302!-#/"M!S/M!!2018

61

199420180402046 -u%ita "osadi, S. S*M

Sa%itaria%

/2T!183!03.10!01!!2016

62 63

199220180403016 #u;ulul "o'a' 19862018050301 @'. Bai%i

Tata (oa /e. +u

64

198620180503018 ?otiul +a

*ord. Se@urit&

65

199420180503019 a ?o;airi

Se@urit&

66

198520180503020 Bai%ol MuAi%

Se@urit&

6

19820180503021 Mo'aad u +sa%

Se@urit&

68

199420180503022 $at'orra'a%

Se@urit&

69

199420180503023 Didik Set&aa%

lea%i% Seri@e

0

199420180503024 @'. $ajar >e%di

lea%i% Seri@e

1

199420180503025 Multa;a ra'i

lea%i% Seri@e

2

199420180503026 -oa /raset&o

lea%i% Seri@e

3

19942018050302 Bidki raada%i

lea%i% Seri@e

DOKTER  NO 1 2 3 4 5 6  8 9

NAMA Dr. "a%i adei Dr. "ossi #ur $ajaria%s&a', Sp.( Dr. Tatik Sudjiati, Sp.OG.,MM Dr. Tri Susa%d'i )uliarto, M.M*es Dr. Ta%ia +ji%aka, Sp.+ Dr. Sri &uda%i%si' Dr. )e%i #oita %rai%i Dr. $airus # Dr $e& aroli%a 7

ALAMAT /eru /al /ark "eside%@e /aekasa% )l% *ali *epiti% 29 Suraa&a )l% (o%oroo "T 01 "7 01 /aekasa% )l./.Tru%ojo&o !22 /aekasa% Suraa&a Dokter +u Dokter +u Dokter Spesialis Dokter Gii

HP 081944954502 081294294 08123314911 081234660108 08122821330

PENDIDIKAN Dokter +u Dokter Spesialis (eda' Dokter Spesialis Os&% Dokter +u Dokter Spesi

BIDAN NO 1 2 3 4 5 6  8 9 10 11 12 13 14 15 16 1

NAMA >ri >ri%d %daa -a% -a%ti ti d. d.*e *e  %is %is #urj #urja& a&a% a%ti ti., ., S.ST S.ST &u 7ula% 7ula%da dari ri S.Tr S.Tr.*e .*e (a&u (a&u Maul Mauli% i%a, a, S.ST S.ST >a% >a%ur ur :isd :isdia ia%a %a,, d. d.*e *e  $at $ataaati, ati, S.ST S.ST %a& %a&a', d d.*e .*e %dr %dra' a'&a &a%i %i,, STr STr.*e .*e Mar Marar aret et'a 'a +ta +tai i SST SST.*e .*e /rai /raita ta Di Di eli elia, a, S.ST S.ST.. "is=i "is=i -ulia% ulia%tik tika, a, S.ST S.ST "oiatul lail&, S.Tr.*e

"o'e "o'ea' a' #ur'i #ur'i, , S.Tr S.Tr.*e .*e Sel& Sel& ra raa ati, ti, d.*e d.*e  Sitti Sitti "o>i "o>iko ko', ', d.* d.*e e Sri ?ardi ?ardi&a &a%ti %ti :uk :uka aa' a',, S.ST Tri 7ula 7ula%d %dari ari S. Tr Tr.*e .*e

ALAMAT Ds. /aepa% /adeau /aekasa% Ds.*o%a% *[email protected] /aekasa% *ap. Solo' Deje' /adeau /aekasa% Ds.Galis, *[email protected] *[email protected] /aekasa% )l..#iaa G  %o.15 /aekasa% /asea% /aekasa% )l. Seara G !25 /aekasa% (luu%a% *e@. :ara%a% /aekasa% Ds. euk *e@. Tla%aka% /aekasa% )l. :et%a% Maksu %o 12 Csaa *odi /aekasa% Ds. Duko Tiur :ara%a% /aekasa% )l. *? 7a'id ?as&i %o.38 /a /aekasa% Ds.Taeru Tiur, Sokoa%a' Sapa% )l. (asar Ga%  #o.10 /aekasa% )l. "o%osukoati %o.50 /aekasa% /lak :ut>ii i% i%ul ulla la', ', d d.* .*ep ep Masr Masrur uro' o' d. d.*e *ep p #uril ?uda %s'ori, S.*ep #s "isk& /raset&a, d. *ep Sakdulla', d. *ep Supri&adi >e%di, S.kep #s Tri 7a'&udi, S.*ep #s r%aati

)l. *oel )a&a G  /aekasa% Ge%ti% Tiur (a (aruraat Tiur /a /aekasa% Ds. :eper Ds%. +tara /adeau /aekasa% )l. :aa%a% Da&a G  /aekasa% /eru : :D perai %o %o.8 /a /aekasa% )l.Tru%ojo&o G.!4 /aekasa% Ds%. Ma%dala ke@,Tla%aka% /aekasa% Ds. /esisir e% *e@./raaa% Sue%ep )l. *oel )a&a "T 02 "7 03 /aekasa% Solo' Daja' Murtaji' /aekasa% )l. #&alau' %da' (lok  1!4 /aekasa% :o% Dale /ale%aa% /aekasa% Ds% )iuk "T 005 "7 002 Gapura Su Sue%ep /a%i%i% /adeau /aekasa% Toro%a% paekasa%

082332925513 08233889411 082333321646 082231235382 08500222 08523243084 085211863420 085232943585 08866133559 0850480069 085331916329 08523285183 0823312448 0854225511 081939396131

PENDIDIKAN D *eperaata% S1 *eperaata% S1 *eperaata% D *eperaata% D *eperaata% D *e *eperaata% D *eperaata% S1 *eperaata% D *eperaata% D *eperaata% S1 *eperaata% D *eperaata% D *eperaata% S1 *eperaata% S1 *eperaata% D *eperaata%

FARMASI NO NAMA ALAMAT 1 :eel& :eel& "i;k "i;kii /raset&a /raset&a%i% %i%ru ru, , S.$ar. S.$ar.,, pt. pt. )l. )okotole /erai %o.3 /aekasa%

HP 08850544464

PENDIDIKAN S1 $arasi pt

S

ANALIS NO NAMA 1 ka ka -ul -ulii Susa% Susa%ti ti d d. .*  *  2

ALAMAT Ds%. (arat Ds. SopaAa' "T 01 "7 02 /aekasa%

HP 085104050501

PENDIDIKAN D %alis *ese'ata%

UMUM NO 1 2 3 4 5

NAMA Da%iar $ira%s&a', SST *o *ea *eala la Dij Dija& a&a% a%ti ti,, S.* S.*o o Sitti $itratul )a%%a',S  #urista de%ia 7, 7, S

ALAMAT )l. etera% /aekasa% )l.etera% %o.8 /aekasa% )l. :aa%a% Da&a /aekasa% )l. (a&a%kara G 2 /aekasa%

HP 081803248535 082233123431 0823310661 085954436854

PENDIDIKAN D koputer   S1. *ou%ikasi S1 ko%oi ku%ta%si S1 ko%oi ku%ta%si

UMUM NO 1 2 3 4 5 6  8 9 10 11 12 13 14 15 16 1

NAMA @'a @'ad d De% De%& & 7a'&ud a'&udii Dei Dei Susi Susilo loa ati ti %%& %%& *us *usa ati ti )ulias )ulias "oi "oi us us 7a% 7a%to to #u;ulul "o'a' Sa Sasul sul ri> ri>ii% Sla Slaet et ?ar ?ari& i&o% o%o o +sa% @'. Bai%i itra &u /uspa # ?otiul +a a ?o;airi $at'orra'a% Mo'aad u +sa% Bai%ol MuAi% Didik Set&aa%  ' $ j > di

ALAMAT Ds.:ade% Ds%.(arat /aekasa% Murtaji' /adeau /aekasa%a Ds.Trasak *e@.:ara%a% /aekasa% Ds. Sueda%a% *a%e%a% /aekasa%

Ta%ju% Sapa% Ds. /a%to%al /roppo /aekasa% /eru :D perai %o.8 /aekasa% Ds%. Mo%du% Ds. (u%der /adeau /aekasa% )l. "o%osukoati paekasa% :ara%a% /aekasa% )l. Masjid (aa%da% )u%@a%@a% /aekasa% /elto% :ara%a% /aekasa% *adur /aekasa% *o%a% Galis /aekasa% (a%kes *adur /aekasa% )l. *a%i%a% /aekasa% )l * l) k /

HP 0823362613 08 5045 5810 0823329440 0851 0402 2058 088662869 085231484828 08103456 085259995805 085329919990 08849999962 08233023886 082301634605 08233023886 0852316962 082331465 08233083299 08230146221

PENDIDIKAN SM SM SM/ SM SM* TT (OG SM SM SM SM SM SM*   SM SM SM SM SM SM*  

GIZI NO NAMA 1 Saita /utri , S. G;

ALAMAT )l. "o%osukoati /aekasa%

HP 08233206911

PENDIDIKAN S1 'li Gi;i

KESEHATAN MASYARAKAT NO NAMA 1 -u%ita "osadi, S*M

ALAMAT Ds% keu% /adeau Tiur /aekasa%

HP 08523029682

PENDIDIKAN S1 *ese'ata% Mas&arakat

REKAM MEDIK  NO NAMA 1 ?a>idatu;;u'ra

ALAMAT Ds% 7aka> "T 008 "7 004 /. rjasa Sue%ep

HP 08233233935

PENDIDIKAN D "eka Medik 

TENAGA MEDIS N O 1 2

NIK 1 2

3 4

4

5

NAMA

JABATAN

NO STR

Dr. Tatik Sudjiati, Sp.OG.,MM

Dokter Spesialis

352130131603260

BERLAKU STR  1!29!2022

Dr. "ossi #ur $ajaria%s&a', Sp.(

Dokter Spesialis

3511101315099666

10!30!2020

Dr. Tri Susa%d'i )uliarto, M.M*es

Dokter +u

3511100113146415

11!18!2018

Dokter +u

35211001181653

2!26!2023

20!432.302!-#/"M!S/D!!2018

Dokter Spesialis

3521106315058641

9!12!2020

30!432.302!-#/"M!S/D!!2018

Dokter +u

352110011819520

11!1!2023

Dokter +u

352110031032663

16!3!22

Dokter +u

3521100215114919

21!10!2020

Dokter Gii

352210021128992

21!02!2022

/eraat

/2T!9 2T!94 403! 03!03.0 03.02! 2!0 02! 2!!2 !2014 014

3!26 3!26!!201 2019

04.9 04.98! 8!43 432 2.302 .302!!-#/"M "M!S*/ */! !!201 !2018 8

Dr. "a%i adei Dr. Ta%ia +ji%aka, Sp +

5 6 19820180401006 Dr Dr. #ur i%i

 19692018060100 Dr. Sri &uda%i%si' 8 19820180601008 Dr. )e%i #oita %rai%i 9 19820180601001 Dr Dr. $airus 10 1982018001001 Dr $e& aroli%a 7 11 12

1 2

13 14 15 16

Dei Meri%a (elli&a%ti d. *ep Masruro' d. *ep :eel& "i;ki -. /., S.$ar., pt.

4 6

NO SIP / SIK  

28!432.302!-#/"M!S/D!!2018

Dokter Spesialis

/eraat

/2T!9 2T!91 129! 29!03.0 03.02! 2!0 02! 2!!2 !2014 014

!10 !10!!201 2019

04. 04.100! 100!43 432 2.302 .302!!-#/"M "M!S* !S*/ /!! !2018 2018

poteker  

1984 198412 1202 02!S !ST" T"< ri%da -a%ti d. *e

(ida%

/2T!9436!03.01!01!!2013

4!26!2018

2

Sri ?ardi&a%ti :ukaa', S. ST

(ida%

/2T!2165!03.01!02!!201

8!31!2022

05.2!432.302!-#/"M!S*( ! !!2018

Da'lia Sri usti%i d. *ep

/eraat

/2T /2T!104 !1045 5!0 !03. 3.02 02!!01! 01!!2 !201 015 5

4!20 4!20!2 !202 020 0

04.9 04.95! 5!43 432. 2.30 302! 2!-#/ #/"M! "M!S S* */! !!201 !2018 8

Mararet'a +tai d. *e

(ida%

/2T!394!03.01!02!!2016

6!6!2021

05.80!432.302!-#/"M!S*( ! !!2018

28 29 30 31 32 33 34

9 0 1 2 3 4

>a%ur :isdia%a, d. *e

(ida%

/2T /2T!55 !553! 3!03 03.0 .01! 1!01 01!!! !20 2016 16

!16 !16!2 !202 021 1

05.6 05.62! 2!43 432. 2.30 302! 2!-#/"M /"M!S !S* *(! (!! !20 2018 18

/eraat

/2T!5209!03.02!01!!201

6!!2022

04.96!432.302!-#/"M!S*/!!2018

(a&u Mauli%a, S. ST

(ida%

/2T! /2T!69 6921 21!0 !03. 3.01 01!0 !01! 1!  !2 !201 013 3

23!0 23!09! 9!20 2018 18

05. 05.6! 6!43 432. 2.30 302! 2!-#/" #/"M M!S !S* *(! (!! !20 2018 18

%is #urja&a%ti., S. ST

(ida%

1602521182225060

6!25!2023

05.5!432.302!-#/"M!S*(!!2018

%dra *ur%iaa%, S.*ep, #s.

"o'ea' #ur'i, S.Tr. *e

(ida%

/2T /2T!145 !14589 89!0 !03. 3.01 01!0 !01! 1! ! !20 2015 15

3!28 3!28!2 !202 020 0

05.6 05.63! 3!43 432. 2.30 302! 2!-#/"M /"M!S !S* *(! (!! !20 2018 18

/eraat

16015111a Ma MaAru>i%%is&a, ST STr. *e *e

(ida%

/2T!6 2T!630 303! 3!03 03.0 .01! 1!01 01! ! !201 !2014 4

12!2 12!20! 0!20 2019 19

05. 05.3! 3!43 432. 2.30 302! 2!-#/"M /"M!S !S* *(! (!! !20 2018 18

38 198620180202032 ?eri% usti%i, d. *e *ep

/eraat

/2T! /2T!3 33 3!0 !03. 3.02 02!0 !02! 2!  !2 !201 01 

31!0 31!08! 8!20 2022 22

04.9 04.99! 9!43 432. 2.30 302! 2!-#/" #/"M M!S !S* */! /! !2 !201 018 8

(ida%

/2T! 2T!1053 10530! 0!03 03.0 .01! 1!01 01! !! !20 2015 15

!29 !29!2 !202 020 0

05.6 05.6! !43 432. 2.30 302! 2!-#/"M /"M!S !S* *(! (!! !20 2018 18

40 199020180402036 "isk& /raset&a, d. *ep

/eraat

/2T /2T!826 !8264! 4!03 03.0 .02! 2!01 01! !!2 !201 013 3

9!20 9!20!2 !201 018 8

04.1 04.103 03!4 !432 32.3 .302 02!!-#/ #/"M! "M!S S* */! !!201 !2018 8

41 19902018040203 Tri 7a'&udi, S.*ep. #s

/eraat

160111181533600

4!6!2023

04.109!432.302!-#/"M!S*/!!2018

42 199220180402038 %dri De Dela /o /orte, S. S.*ep. #s #s

/eraat

/2T! 2T!30 30!0 !03. 3.02 02!0 !01! 1!!20 !2014 14

11!13 1!13!2 !201 019 9

04.1 04.104 04!4 !432 32.3 .302 02!!-#/ #/"M! "M!S S* */! !!201 !2018 8

43 199120180402039 Supri&adi >e%di, S. kep. #s

/eraat

/2T! 2T!1466 14660! 0!03 03.0 .02! 2!01 01! !! !20 2015 15

5!5! 5!5!20 2020 20

04.1 04.10 0!4 !432 32.3 .302 02!!-#/ #/"M! "M!S S* */! !!201 !2018 8

44 199220180402040 #uril ?u ?uda %s'ori, S. S.*ep. #s #s

/eraat

1601111i%%is&a, STr. *e

(ida%

/2T!6303!03.01!01!!2014

39

198620180202032 ?eri% usti%i, d. *ep

/eraat

/2T!33!03.02!02!!201

40

19842 984201 0180 8020 2030 301 11 Da%iar $ira%s&a', SST *o

*oputer  

41

19862 986201 0180 8030 3030 301 18 itra &u /uspa #, S.*ep. #s

Sta> T+

42

19862 986201 0180 8030 3020 203 34 -uli stutik, d. d . *e

43

*esekretariata% di%istrasi /eraat

16015111e%di, S.kep #s

Ds% )iuk "T 005 "7 002 Gapura Sue%ep

0823312448

S1 *eperaata%

2 Tri 7a'&udi, S.*ep #s

/a%i%i% /adeau /aekasa%

0854225511

S1 *eperaata%

28 29 30 31 32 33 34 35 36 3 38 39 40 41 42 43 44 45 46 4

Toro%a% paekasa% 081939396131 Ds. /aepa% /adeau /aekasa% 08525900031 Ds.*o%a% *[email protected] /aekasa% 088522064 *ap. Solo' Deje' /adeau /aekasa% 08866283462 Ds.Galis, *[email protected] *[email protected] /aekasa% /aekasa% 0819136166 )l..#iaa G  %o.15 /aekasa% 0819390014 /asea% /aekasa% 08233315151 )l. Seara G !25 /aekasa% 085048112 (luu%a% *e@. :ara%a% /aekasa% 083123029639 Ds. euk *e@. Tla%aka% /aekasa% 0851040482 )l. :et%a% Maksu %o 12 Csaa *odi /aek  085231222316 Ds. Duko Tiur :ara%a% /aekasa% 082322343225 )l. *? 7a'id ?as&i %o.38 /a / aekasa% 08233232532 Ds.Taeru Tiur, Sokoa%a' Sapa% 082245649852 )l. (asar Ga%  #o.10 /aekasa% 081939341152 )l. "o%osukoati %o.50 / aekasa% 082332900103 /lakri%da >ri%da -a%ti d.*e d.*e %is %is #urja& #urja&a%t a%ti., i., S.ST S.ST &u 7ula% 7ula%dari dari S.Tr S.Tr.*e (a&u (a&u Maul Mauli%a i%a,, S.ST S.ST >a%ur >a%ur :isdi :isdia%a, a%a, d.*e d.*e $at $ata aat ati, i, S.ST S.ST %a&a %a&a', ', d.*e d.*e  %dra'&a %dra'&a%i, %i, STr.*e STr.*e Mararet Mararet'a 'a +tai +tai SST.*e SST.*e /raita /raita Di Di elia, elia, S.ST S.ST.. "is=i -ulia%tik ulia%tika, a, S.ST S.ST "oiatul lail&, S.Tr.*e "o'ea' "o'ea' #ur'i, #ur'i, S.Tr S.Tr.*e .*e Sel& Sel& raa raati, ti, d.* d.*e e Sitti Sitti "o>iko "o>iko', ', d.* d.*e e Sri ?ardi& ?ardi&a%ti a%ti :ukaa :ukaa', ', S.ST S.ST Tri 7ula%d 7ula%dari ari S. Tr.*e Tr.*e +l>a MaAru>i%%is&a, STr.*e -essi #oer #oer sri, sri, d.*e. d.*e.

D *eperaata% D *e *eida%a% D *eida%a% D *eida%a% D *eida%a% D *e *eida%a% D *eida%a% D *e *eida%a% D *eida%a% D *eida%a% D *eida%a% D *eida%a% D *eida%a% D *eida%a% D *e *eida%a% D *e *eida%a% D *eida%a% D *eida%a% D *eida%a% D * id

54 55 56 5 58 59 60 61 62 63 64 65 66 6 68 69 0 1 2 3 4 5 6  8

Da%iar $ira%s&a', SST *o *eala *eala Dija&a%t Dija&a%ti, i, S.*o Sitti $itratul )a%%a',S  #urista de%ia 7, 7, S @'ad @'ad De%& 7a'&udi a'&udi Dei Dei Susi Susilo loa ati ti %%& %%& *us *usat atii )ulias )ulias "oi "oi us us 7a%to Sas Sasul ul ri> ri>i% i% Slaet Slaet ?ari& ?ari&o% o%o o +sa% @'. Bai%i itra &u /uspa # Supi&ati r>i%a *usa%da%i ?otiul +a a ?o;airi $at'orra'a% Mo'aad u +sa% Bai%ol MuAi% Didik Set&aa% @' $ajar >e%di Multa;a ra'i -oa /raset&o Bidki raada%i

)l. etera% /aekasa% )l.etera% %o.8 /aekasa% )l. :aa%a% Da&a /aekasa% )l. (a&a%kara (a&a%kara G 2 /aekasa% /aekasa% Ds.:ade% Ds%.(arat /aekasa% Murtaji' /adeau /aekasa%a Ds.Trasak *e@.:ara%a% /aekasa% Ds. Sueda%a% *a%e%a% /aekasa% Ds. /a%to%al /roppo /aekasa% /eru :D perai %o.8 /aekasa% Ds%. Mo%du% Ds. (u%der /adeau /aekasa )l. "o%osukoati paekasa% :ara%a% /aekasa% )l. Stadio% G  /aekasa% Ds Mala%a% /adeau Tiur /aekasa% )l. Masjid (aa%da% )u%@a%@a% /aekasa% /elto% :ara%a% /aekasa% *adur /aekasa% *o%a% Galis /aekasa% (a%kes *adur /aekasa% )l. *a%i%a% /aekasa% )l. *oel )a&akasa% /ae /roppo /aekasa% )l. (o%oroo /aekasa% )l. Gatot *o@o *olpaju% paekasa%

081803248535 082233123431 0823310661 085954436854 085954436854 0823362613 08 5045 5810 0823329440 0851 0402 2058 085231484828 08103456 085259995805 085329919990 08849999962 08525842021 0823016685 08233023886 082301634605 08233023886 0852316962 082331465 08233083299 08230146221 08233142359 085230821829 085234900342

D koputer  S1. *o *ou%ikasi S1 ko%oi ku%ta%si S1 ko%oi ku%ta%si SM SM SM/ SM SM SM SM SM SM SM* TT(OG SM* TT(OG SM*  SM SM SM SM SM SM*  SM SM*  SM

NO

NAMA

1 Dr. Dr. % %&a% &a% /utria /utria%a% %a%da da 2 Dr. Dr. $ai $airu russ Sp Sp # 3 Dr. Dr. $ri; $ri;al al Mus& Mus&a> a>ar  ar  4 Dr. Dr. )e%i )e%i #oit #oitaa % %rai rai%i %i 5 Dr. #ur i%i 6 Dr. Dr. "a% "a%ii ad ade eii  Dr. Dr. "ossi "ossi #ur $ajar $ajaria% ia%s&a s&a', ', Sp.( Sp.( 8 Dr. Dr. Sri Sri &uda%i &uda%i%si %si' ' 9 Dr. Dr. Tatik Tatik Sudjiati, Sudjiati, Sp.OG.,MM Sp.OG.,MM 10 Dr. Dr. Ta%ia Ta%ia +ji%aka, +ji%aka, Sp.+ Sp.+ 11 Dr. Dr. Tri Susa%d' Susa%d'ii )uliarto, )uliarto, M.M*es M.M*es 12 Dr Dr $e& $e& arol aroli%a i%a 7 13 Dr ke ke -uli%i -uli%i%tia %tiass Susiadi Susiadi 14 dul *adir Sidik,d Sidik,d.*ep .*ep 15 @'. ?oirul ?oirul Mu@'tar Mu@'tar,, S.*ep S.*ep #s 16 %dri Dela /orte, /orte, S.*ep S.*ep #s 1 Da'lia Da'lia Sri Sri usti usti%i %i d.*ep d.*ep 18 Dei Meri%a Meri%a (elli (elli&a%ti &a%ti d.*ep d.*ep 19 ?eri% ?eri% usti%i, usti%i, d.*ep d.*ep 20 %dra *ur%iaa% *ur%iaa%,, S.*ep,#s. S.*ep,#s. 21 :ut>i :ut>i i%ulla' i%ulla',, d.*e d.*ep p 22 Masrur Masruro' o' d.*e d.*ep p

% )

KTP KK Lamara CV Ijaa! "r " rn#$% &&r"$'$#a" a(a S SIIP STR SIPA SIK  

23 #uril #uril ?uda ?uda %s'ori, %s'ori, S.*ep S.*ep #s #s 24 "isk& "isk& /raset /raset&a, &a, d. d. *ep 25 Sakdu Sakdulla lla', ', d. d. *ep *ep 26 Supri&adi Supri&adi >e%di, >e%di, S.kep S.kep #s 2 Tri 7a'&udi, a'&udi, S.*ep S.*ep #s 28 29 30 31 32 33 34 35 36 3 38 39 40 41 42 43 44 45 46 4 48 49 50 51 52 53

r%a r%aa ati ti >ri%da >ri%da -a%ti d.*e d.*e %is %is #urja&a #urja&a%ti %ti., ., S.ST S.ST &u 7ula%da 7ula%dari ri S.Tr. S.Tr.*e *e (a&u (a&u Mauli Mauli%a, %a, S.ST S.ST >a%ur >a%ur :isdia%a, :isdia%a, d.*e d.*e $ata $ataat ati, i, S.ST S.ST %a&a' %a&a',, d.*e d.*e  %dra' %dra'&a% &a%i, i, STr.*e STr.*e  Mararet Mararet'a 'a +tai +tai SST.*e SST.*e /raita /raita Di Di elia elia,, S.ST. S.ST. "is=i -ulia%tika ulia%tika,, S.ST S.ST "oiatul lail&, S.Tr.*e "o'ea' "o'ea' #ur'i #ur'i,, S.Tr. S.Tr.*e *e Sel& Sel& raat raati, i, d.*e d.*e  Sitti Sitti "o>iko "o>iko', ', d.* d.*e e Sri ?ardi&a%ti ?ardi&a%ti :ukaa', :ukaa', S.ST Tri 7ula%dar 7ula%darii S. Tr.* Tr.*e e +l>a MaAru>i%%is&a, STr.*e STr.*e -essi #oer #oer sri, sri, d.*e. d.*e. -uli stutik, d. *e :eel& :eel& "i;ki "i;ki /, /, S.$ar., S.$ar., pt. ka -uli Susa%ti Susa%ti d.*  d.*  Saita /utri , S. G; ?a>id ?a>idatu atu;;u ;;u'ra 'ra -u%ita u%ita "osad "osadi, i, S*M S*M

54 55 56 5 58 59 60 61 62 63 64 65 66 6 68 69 0 1 2 3 4 5 6  8 9 80

Da%iar $ira%s&a', SST *o *eala *eala Dija&a%t Dija&a%ti, i, S.*o Sitti $itratul )a%%a',S  #urista de%ia 7, 7, S @'a @'ad d De%& 7a'& 7a'&udi udi Dei Dei Susilo Susiloat atii %%& %%& *us *usat atii )ulias )ulias "oi "oi us us 7a%t 7a%to o Sas Sasul ul ri ri>i >i% % Slae Slaett ?ari&o ?ari&o%o %o +sa% @'. Bai%i itra &u /uspa # Supi&ati ri%a *usa%da%i ?otiul +a a ?o;airi $at'orra'a% Mo'aad u +sa% Bai%ol MuAi% Didik Set&aa% @' $ajar >e%di Multa;a ra'i -oa /raset&o Bidki raada%i Sa%ti -ulia%i Eurratul sti=oa'

1 Dr. %&a% /utria%a%da

41 "o "o'ea' #ur'i, S.Tr.*e

2 Dr. $airus Sp #

42 Sel& raati, d.*e

3 Dr. $ri;al Mus&a>ar

43 Sitti "o>iko', d.*e

4 Dr. )e%i #oita %rai%i

44 Sr Sri ?ardi&a%ti :ukaa', S.ST

5 Dr. #ur i%i

45 Tri 7ula%dari S. Tr.*e

6 Dr. "a%i adei

46 +l>a MaAru>i%%is&a, STr.*e

 Dr. "ossi #ur $ajaria%s&a', Sp.(

4 -essi #oer sri, d.*e.

8 Dr. Sri &uda%i%si'

48 -uli stutik, d. *e

9 Dr. Tatik Sudjiati, Sp.OG.,MM

49 :eel& "i;ki /, S.$ar., pt.

10 Dr. Ta%ia +ji%aka, Sp.+

50 k ka -uli Susa%ti d.*  

11 Dr. Tri Su Susa%d' %d'i )ul )uliiarto, to, M. M.M*e M*es

51 Saita ita /utri , , S. S. G; G;

12 Dr $e& aroli%a 7

52 ?a>idatu;;u'ra

13 Dr ke -uli%i%tias Susiadi

53 -u -u%ita "osadi, S*M

14 dul *adir Sidik,d.*ep

54 Da%iar $ira%s&a', SST *o

15 @'. ?oirul Mu@'tar, S.*ep #s

55 *eala Dija&a%ti, S.*o

16 %dri Dela /orte, S.*ep #s

56 Si S itti $itratul )a%%a',S

1 Da'lia Sri usti%i d.*ep

5 #urista de%ia 7, S

18 Dei Me Meri%a (e (elli&a%ti d.*ep

58 @'ad De De%& 7a 7a'&udi

19 ?eri% usti%i, d.*ep

59 De Dei Susiloati

20 %dra *ur%iaa%, S.*ep,#s.

60 % %%& *usati

21 :ut>i i%ulla', d.*ep

61 )u )ulias "oi us 7a%to

22 Ma Masruro' d.*ep

62 Sasul ri>i%

23 #uril ?uda %s'ori, S.*ep #s

63 Slaet ?ari&o%o

24 "isk& /raset&a, d. *ep

64 +sa%

25 Sa S akdulla', d. *ep

65 @'. Bai%i

26 Supri&adi >e%di, S.kep #s

66 i itra &u /uspa #

2 Tri 7a'&udi, S.*ep #s

6 Supi&ati

28 r%aati

68 r>i%a *usa%da%i

29 >ri%da -a%ti d.*e

69 ?otiul +a

30 %is #urja&a%ti., S.ST

0 a ?o;airi

31 &u 7ula%dari S.Tr.*e

1 $a $at'orra'a%

32 (a&u Mauli%a, S.ST

2 Mo'aad u +sa%

33 >a%ur :isdia%a, d.*e

3 Ba Bai%ol MuAi%

34 $a $ataati, S.ST

4 Didik Set&aa%

35 % %a&a', d.*e

5 @' $ajar >e%di

36 %dra'&a%i, STr.*e

6 Multa;a ra'i

3 Mararet'a +tai SST.*e

 -o -oa /raset&o

38 /raita Di elia, S.ST.

8 Bi Bidki raada%i

39 "is=i -ulia%tika, S.ST

9 Sa%ti -ulia%i

40 "oiatul lail&, S.Tr.*e

80 Eu Eurratul sti=oa'

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