Lampiran I Surat Kepala Dinas Kesehatan Kab.

Penajam Paser Utara

Nomor : 090/ /TU Pkm-Wr/I/2017
Tanggal : 19-Jan-17

Pangkat Jabatan Masa LAT. JABATAN

Kerja JML
NO NAMA
BLN
Gol TMT NAMA THN THN BLN NAMA THN

1 2 3 4 5 6 7 8 9 10 11

3 Sidiq Amirullah, SKM III/d 04-01-2012 Ka. UPT. 4/21/2014 13 08 Pim/IV 2012 1

NIP. 197305111992031001 Puskesmas Waru

2 Andalas Tono, SKM III/d 01-04-2012 Kasubag TU 1/5/2000 21 0 PimIV 2012 1

NIP. 196410311986031013 Puskesmas Waru

1 Hj. Mariyam. I III/d 01-10-2011 Bidan Penyelia 01-10-2011 23 01

NIP. 196502051985112002
4 Winarsih. A.Md. Kep IIId 04-01-2012 Perawat Penyelia 4/1/2012 20 4

NIP. 196705081986122002
5 Sari Nurlita,A.Md.Kep III/d 04-01-2011 Perawat Penyelia 4/1/2011 17 5

NIP. 197604212008012025
6 Rohani,A.Md.Kep III/d 01-14-2015 Perawat Penyelia 01-14-2015 18 1

NIP. 1968061719911032010
7 drg.Ivony Simbolon III/d 01-14-2015 Dokter Gigi 7/7/2010 5 0

NIP. 197604212008012025

8 Budi Wiyono III/c 10-01-2010 Nutrisionis Pelaksana 1-Jan-10 18 7

NIP. 196505181987031014 Lanjutan
9 Saiji Burrahman, SKM III/c 01-04-2012 Perawat Penyelia 01-04-2012 13 10

NIP. 197206011994031004
10 Sisvana Damayanti, S,ST,M.A.R.S. III/c 03-01-2015 Bidan Muda 3/1/2015 9 10

NIP.1982053120031220036
11 dr. Santi Maulina III/c 01-01-2010 Dokter Umum 01-01-2010 03 11

NIP. 198201202010012005 Pratama

12 Rita Rusdiani III/b 01-04-2008 Pekarya Kesehatan 01-04-2008 16 01

NIP. 196506061987032020
13 dr.Hayati IIIb 13-08-2015 Dokter Umum 13-08-2015 1 5

Nip.198310102015042001 Pratama

14 Betty Puspa Dewi, A.Md. Keb III/b 01-04-2014 Bidan Pelaksana 01-04-2011 09 04

NIP. 198308062003122003 Lanjutan

19 Hatijah,SST III/b 01-04-2014 Bidan Pratama 01-04-2014 09 4

NIP. 198003092005022005
15 Cicilia Saputra, A.Md.Keb III/b 01-10-2013 Bidan Pelaksana 01-04-2010 09 01

NIP. 198107302006042017 Lanjutan

16 Rahyati Dahniar, A.Md.Kesling III/b 01-04-2014 Sanitarian Pelaksana 01-05-2014 07 03

NIP. 197910252005012025 Lanjutan

17 Siti Muslimah, A.Md.Keb III/b 01-10-2011 Bidan Pelaksana 01-01-2011 07 00

NIP. 198210032006042005 Lanjutan

18 Jang Hakim. A.Md.Kep III/a 01-04-2010 Perawat Pelaksana 01-04-2010 18 01

NIP. 196907231989111001 Lanjutan

20 Nursanti Manik III/a 01-10-2012 Perawat Pelaksana 01-10-2012 10 00

NIP. 197811152003122012 Lanjutan

21 Yamani, A.Md.AK III/a 01-04-2005 Pranata lab 01-04-2005 9 3

NIP. 197907052000121003 Pelaksana

30 Eka Juliyana, A.Md.KL III/a 01-01-2011 Sanitarian 06 03

NIP. 198607022011011003 Pelaksana

39 Leo Puspito TM,A.Md.Kep III/a 06-03-2014 Perawat Pelaksana 06-03-2014 07 03

Nip.198707232010011002
27 Muh. Aqwil Assiddik. A, A.Md.Kep III/a 01-01-2010 Perawat Pelaksana 01-01-2010 04 03

NIP. 198603192010011003
28 Yayun Fatimah. A.Md. Keb III/a 01-04-2011 Bidan Pelaksana 01-04-2011 04 03

NIP. 198710312010012002
26 Barir Rosidah A.Md Kep III/a 01-04-2011 Perawat Pelaksana 01-04-2011 04 03

NIP 108012022011012005
31 Kurniawati, A.Md. Farm III/a 04-01-2014 Asisten Apoteker 01-04-2013 06 03

NIP. 198905122011012003 Pelaksana

33 Mar'atus Soleha, A.Md.Kep III/a 01-01-2012 Perawat Pelaksana 01-04-2014 06 03

NIP. 198705042011012003 Lanjutan

32 Sukartini, A.Md.Kep III/a 01-01-2010 Perawat Pelaksana 01-01-2010 04 03

NIP. 198712042010012002 Lanjutan

22 Abdul Rahman, A.Md.Kep III/a 01-04-2009 Perawat Pelaksana 01-01-2012 07 04

NIP. 198512112009041002 Lanjutan

23 Novy Sulistyawan, A.Md. Kep III/a 01-04-2009 Perawat Pelaksana 01-01-2012 04 04

NIP. 198504202009041001 Lanjutan

24 Eka Novasari, A.Md.Keb III/a 01-04-2009 Bidan Pelaksana 01-04-2009 07 04

NIP. 198509102009042008
35 Esti Era Agustine, A.Md.Keb III/a 01-01-2011 Bidan Pelaksana 01-04-2014 06 03

NIP. 198808172011012002 Lanjutan

25 Eti Nur Ainah,A.Md.Keb III/a Bidan Pelaksana

Nip.198704152010012018
38 Revie Rizkia,A.Md.Kep III/a 31-12-2009 Perawat Pelaksana 31-12-2009

Nip.198705252010012003
36 Suryadi Stanley,Amd.Kep III/a 01-01-2011 Perawat Pelaksana 4/1/2014 06 03

Nip:196808132011011002 Lanjutan
29 Zakiah II/d 01-04-2006 Perawat Pelaksana 01-10-2012 09 08

NIP. 197812112006042018
41 Sri Ismindari II/d 01-04-2006 Bidan Pelaksana 01-04-2006 09 00

NIP.197901202006042022 Pemula
34 Charlie S Manik II/d 01-10-2011 Perawat Pelaksana 01-04-2006 09 00
 NIP. 198107102006041009 Lanjutan

37 Winda Rosi II/d 01-10-2012 Asisten Apoteker 01-10-2012 06 06

NIP. 198611162006042001 Pelaksana

40 Nor Baiti II/c 04-01-2008 Fungsional Umum 4/1/2012 08 04

NIP.198108312003122007
42 Masriansyah II/c 01-04-2012 Staf Administrasi 01-04-2012 08 03

NIP. 197810202007011016 Puskesmas Waru

42 Rositasari,A.Md.Keb II/c 05-09-201 Bidan Pelaksana 5/1/2017 09 08

Nip.198404152017052003
43 Dia Januar Sandra,A.Md.Keb II/c 25-04-2017 Bidan Pelaksana 05-04-2017 09 01

Nip.199001252017052002
 PENDIDIKAN USIA JENIS Tempat Tugas

TGL KELAMIN Kerja TUPOKSI Tambahan

LULUS TK LAHIR Sekarang

NAMA JURUSAN
THN IJASAH L/P
12 13 14 15 16 17 18 19 20

FKM 2006 SI EPID 11/5/1973 L UPT. Puskes Ka. UPT. Pusk

mas Waru esmas Waru

FKM 2006 S.I AKK 10/31/1964 L UPT. Puskes TU UPT. Pusk

mas Waru esmas Waru

SPB 1989 D.I Bidan 05-02-1965 P UPT. Puskes Koordinator

mas Waru KB

AKPER 2010 D.III Perawat 8/5/1967 P Pusban Perawat Pus

B Mulya B Mulya

AKPER 2010 D III Perawat 4/4/1968 P UPT. Puskes Perawat

mas Waru

AKPER D.I Gizi 6/17/1968 P UPT. Puskes Perawat PPTK

mas Waru

FKG USU 2006 S.I FK 4/21/1976 P UPT. Puskes Dokter

mas Waru Gigi

SPAG 1987 DI GIZI 5/18/1965 L UPT. Puskes Gizi Kartu

mas Waru

FKM 2008 S.I AKK 01-06-1972 L UPT. Puskes PPK BP,

mas Waru Rawat Inap

D IV 2008 D IV Bidan 5/31/1981 P UPT. Puskes Bidan

S2 2015 S2 mas Waru

Kedokteran 2006 S.I FK 20-01-1982 P UPT. Puskes Dokter

Umum mas Waru Umum

SMA 1987 SLTA Pekarya 06-06-1965 P UPT. Puskes Kartu Bendahara

Kesehatan mas Waru Penerimaan

Kedokteran 2011 S1 FK 10/9/1983 P UPT. Puskes Dokter

Umum mas Waru Umum

AKBID 2003 D.III Bidan 16-08-1983 P UPT. Puskes Bidan Petugas Usila,

mas Waru Rawat Inap

D IV 2013 D.IV Bidan 09-03-1980 P UPT. Puskes Bidan

mas Waru

AKBID 2003 D.III Bidan 30-07-1981 P UPT. Puskes Bidan

mas Waru
 AKL 2001 D.III Kesling 25-10-1979 P UPT. Puskes Sanitarian Kartu

mas Waru

AKBID 2004 D.III Bidan 03-10-1982 P Pusban Bidan Pus

Sesulu ban Sesulu

AKPER 2010 D.III Perawat 23-07-1969 L UPT. Puskes Perawat

mas Waru

SPK 1997 SLTA Perawat 15-11-1978 P UPT. Puskes Perawat

mas Waru

AAK 2006 D.III Analis 05-07-1979 L UPT. Puskes Pelaksana

mas Waru Analis

AKL 2010 D.III Kesling 02-07-1986 L UPT. Puskes Sanitarian Bendahara

mas Waru Umum

AKPER 2009 D.III Perawat 23-06-1987 L UPT. Puskes Perawat

mas Waru

AKPER 2007 D.III Perawat 19-03-1986 L UPT. Puskes Perawat Petugas

mas Waru P2M

AKBID 2008 D.III Bidan 31-10-1987 P UPT. Puskes Bidan

mas Waru

AKPER D III Perawat 12/2/1989 P UPT. Puskes Perawat

mas Waru

AKFAR 2010 D.III Farmasi 12-05-1989 P UPT. Puskes Asisten

mas Waru Apoteker

AKPER 2008 D.III Perawat 04-05-1987 P UPT. Puskes Perawat Staf Pengelola

mas Waru Keuangan

AKPER 2009 D.III Perawat 04-12-1987 P Perawat Pus Perawat Pus

Sesulu Sesulu

AKPER 2008 D.III Perawat 11-12-1985 L UPT. Puskes Perawat TB,Kusta,HIV

mas Waru Pelaksana

AKPER 2006 D.III Perawat 20-04-1985 L Pusban Perawat Pus

Api - Api ban Api - Api

AKBID 2006 D.III Bidan 10-09-1985 P UPT. Puskes Bidan Bendahara

mas Waru BPJS

AKBID 2010 D.III Bidan 17-08-1988 P UPT. Puskes Bidan

mas Waru

AKBID D.III Bidan 15-04-1987 P UPT. Puskes Bidan

mas Waru

AKPER 2008 D.III Perawat 25-05-1987 P UPT. Puskes Perawat Juru

mas Waru Imunisasi

AKPER 2008 D.III Perawat 13-08-1988 L UPT. Puskes Perawat Promkes

mas Waru

SPK 1998 SLTA Perawat 11-12-1978 P UPT. Puskes Perawat

mas Waru

SPB 1999 D III Bidan 1/23/2011 P UPT. Puskes Bidan

mas Waru

SPK 1999 SLTA Perawat 10-07-1981 L Pusban Perawat Pus

 Mata Air Mata Air

SMF 2004 SLTA Farmasi 16-11-1986 P UPT. Puskes AA Staf Pengelola

mas Waru Keuangan

SMF 2000 SLTA Farmasi 8/31/1981 P UPT. Puskes

mas Waru

SMA 1998 SLTA 20-10-1978 L UPT. Puskes Staf TU

mas Waru

AKBID 2009 D III Bidan 4/15/1984 P Pusban Bidan

Bangun Mulya Bangun Mulya

AKBID 2010 D III Bidan 25-01-1990 P Pusban Bidan

Mata Air Mata Air

Ka. UPT. Puskesmas Waru

Sidiq Amirullah, SKM

Nip. 196505061986121002
3