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Daftar Hadir Akreditasi Puskesmas

The document is an attendance list for a self-assessment activity for accreditation at Pematang Kabau Community Health Center on November 16, 2017. It includes the names, positions, and signatures of 40 attendees, including doctors, nurses, midwives, and other health center staff. The activity was held to conduct a self-assessment for accreditation of the Pematang Kabau Community Health Center. The list is signed by the head of the Pematang Kabau Community Health Center, Hartati Sandora.

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Rosmawati Hermawan
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57 views8 pages

Daftar Hadir Akreditasi Puskesmas

The document is an attendance list for a self-assessment activity for accreditation at Pematang Kabau Community Health Center on November 16, 2017. It includes the names, positions, and signatures of 40 attendees, including doctors, nurses, midwives, and other health center staff. The activity was held to conduct a self-assessment for accreditation of the Pematang Kabau Community Health Center. The list is signed by the head of the Pematang Kabau Community Health Center, Hartati Sandora.

Uploaded by

Rosmawati Hermawan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

DAFTAR HADIR

Kegiatan :

.
PUSKESMAS

Tanggal
NO

2016
NAMA

ALAMAT

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______________________

________________________
NIP/NRPTT : _____________

R
.

PARAF
1. .............
2. .............
3. .............
4. .............
5. .............
6. .............
7. .............
8. .............
9. .............
10. .............
11. .............
12. .............
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18. .............
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22. .............
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25. .............
26. .............
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29. .............
30. .............
31. .............
32. .............
33. .............
34. .............
35. .............
Pemegang Program
______________________________

_________________________________
IP/NRPTT : ________________________

DAFTAR HADIR
KEGIATAN : Self Assesment (SA) Akreditasi
PUSKESMAS PEMATANG KABAU
Tanggal
NO
1
2
3
4
7
5
6
8
9
10
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16
17
18
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40

: 16 November 2017
NAMA

Hartati Sandora, AMK


Usman Kholiq, SE
dr. Mart Abdiman Purba
dr. Ivana
dr. Resti Prihantini
[Link] Hadiyati
Rd. Kunto Wibowo
Dasrul
Kartini
[Link] Irlandes, [Link]
Eva Khoiriyah Harahap, SKM
[Link], [Link]
Rosmawati
Sri Wahyuni, [Link]
Saringah
Melly Hendry, [Link]
Eka Hastuti, [Link]
Alchudori Julian,[Link]
Anggia Putri Pratiwi, [Link]
Andi Gunarto
Eko Tri Susanto
Eko Yuliyanto
Suparno
Sri Wahyuni,[Link]
Muslichan,[Link]
Sugeng Riyadi, [Link]
Yayuk Sri R,[Link]
Esti Wijiastuti AM. Keb
Lindayu Retnowati, [Link]
Yudha Erlangga, SKM
Yuli Oktaviani, [Link]
Efari Nawirama, [Link]
Melia Tranita Sari,[Link]
Nurliana [Link]
Lisa Indriyani, [Link]
Dian Puspita.A, [Link]

NIP
19740927 200604 2 012
19750504 200901 1 010
19820312 201407 1 001
19820419 201407 2 001
19890417 201504 2 001
05.1.001 2648
19651107 199103 1 007
19621109 198603 1 004
19690424 199303 2 009
19881204 201504 2 001
19900223 201504 2 001
19811228 200903 1 002
19820106 200604 2 005
19810313 201212 2 001
19840724 200701 2 003
19850101 201403 2 001
19901102 201403 2 001
19900709 201403 1 001
19910925 201504 2 001
19791014 200701 1 010
19830420 200901 1 010
19830705 201001 1 001
19730402 200701 1 033
2007 8406 2404 83
2007 7805 2204 81
2007 8506 2204 82
05.4.025 730
05.4.022 885
TKS
TKS
TKS
TKS
TKS
TKS
TKS

HADIR

ment (SA) Akreditasi


ATANG KABAU

Jabatan

PARAF

Kepala Puskesmas
[Link] Tata Usaha
Dokter Puskesmas
Dokter Puskesmas
Dokter Puskesmas
Dokter Gigi Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas

1. .............
2. .............
3. .............
4. .............
5. .............
6. .............
7. .............
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32. .............
33. .............
34. .............
35. .............
36. .............
37. .............
38. .............
39. .............
40. .............

Mengetahui,
Kepala Puskesmas Pematang Kabau

HARTATI SANDORA, AMK


NIP : 19740927 200604 2 012

DAFTAR HADIR
KEGIATAN ________________________
PUSKESMAS PEMATANG K
Tanggal :

NO
1
2
3
4
7
5
6
8
9
10
11
12
13
14
15
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18
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31
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36
37
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40
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43
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NAMA
Hartati Sandora, AMK
Usman Kholiq, SE
dr. Mart Abdiman Purba
dr. Ivana
dr. Resti Prihantini
[Link] Hadiyati
Azil Azwari
Mastiur Matondang
Erni Masniati,[Link]
Cardia
Chrisna Handayani,[Link]
Juliana S
Sarnida Simatupang
Rd. Kunto Wibowo
Dasrul
Kartini
[Link] Irlandes, [Link]
Eva Khoiriyah Harahap, SKM
[Link], [Link]
Rosmawati
Sri Wahyuni, [Link]
Saringah
Melly Hendry, [Link]
Eka Hastuti, [Link]
Alchudori Julian,[Link]
Anggia Putri Pratiwi, [Link]
Andi Gunarto
Eko Tri Susanto
Eko Yuliyanto
Suparno
Sri Wahyuni,[Link]
Muslichan,[Link]
Sugeng Riyadi, [Link]
Yayuk Sri R,[Link]
Esti Wijiastuti AM. Keb
Lindayu Retnowati, [Link]
Ima Susanti, [Link]
Yudha Erlangga, SKM
Yuli Oktaviani, [Link]
Efari Nawirama, [Link]
Melia Tranita Sari,[Link]
Nurliana [Link]
Lisa Indriyani, [Link]

Perawat
Ekonomi Manajemen
dokter
dokter
dokter
Perawat
Bidan
Bidan
Perawat
Bidan
Bidan
Bidan
Perawat
Perawat
Sanitarian
Perawat S1
Kesmas
Farmasi
Perawat Gigi
Bidan
Laboratorium
Bidan
Perawat
Laboratorium
Bidan
Administrasi
Administrasi
Administrasi
Administrasi
Perawat
perawat
Perawat
Bidan
Bidan
Bidan
Bidan
Perawat
Bidan
Bidan
Bidan
Bidan
Farmasi

TAR HADIR
____________________________
PEMATANG KABAU
NIP

Jabatan

19740927 200604 2 012


19750504 200901 1 010
19820312 201407 1 001
19820419 201407 2 001
19890417 201504 2 001
05.1.001 2648
19710101 199103 1 006
19690604 199103 2 006
05.4.047.9082
19660503 198603 1 011
05.4.047.9083
05.4.3300 386
19750609 200604 2 011
19651107 199103 1 007
19621109 198603 1 004
19690424 199303 2 009
19881204 201504 2 001
19900223 201504 2 001
19811228 200903 1 002
19820106 200604 2 005
19810313 201212 2 001
19840724 200701 2 003
19850101 201403 2 001
19901102 201403 2 001
19900709 201403 1 001
19910925 201504 2 001
19791014 200701 1 010
19830420 200901 1 010
19830705 201001 1 001
19730402 200701 1 033
2007 8406 2404 83
2007 7805 2204 81
2007 8506 2204 82
05.4.025 730
05.4.022 885
TKS
TKS
TKS
TKS
TKS
TKS
TKS
TKS

Kepala Puskesmas
[Link] Tata Usaha
Dokter Puskesmas
Dokter Puskesmas
Dokter Puskesmas
Dokter Gigi Puskesmas
[Link] [Link]
Bidan Desa [Link]
Bidan Desa [Link]
[Link] [Link]
Bidan Desa [Link]
Bidan Desa [Link]
Bidan Desa [Link]
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas
Staf Puskesmas

PARAF
1. .............
2. .............
3. .............
4. .............
5. .............
6. .............
7. .............
8. .............
9. .............
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Mengetahui,
Kepala Puskesmas Pematang Kabau

Hartati Sandora, AMK


NIP : 19740927 200604 2 012

###

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