Data Sip Dokter

KONFIRMASI TA NO

3

4

NOTISI AUDIT

GGAPAN NOTISI SPI UNIT MPKR KONFIRMASI TANGGAPAN

- Terlampir surat surat (omor ) **4+/,.0/0*41 "al)Pem!eritahua "asil 2egiata Pemeriksaa teral 'PS 'PS 2esehata #a!ag Sigaraa Sigaraa Periode Septem!er +*4 taggal ++ Septem!er +*4

- Terlampir 2eputusa etri 2esehata Repu!lik doesia (omor ) *53*/(2S/S2/,/+* tetag Peetapa Peetapa 2elas Rumah Rumah Sakit Umum Parama Sidhi di Sigaraa ilik PT. Parama Sidhi Pro7isi 'ali - Terlampir Surat Surat RSU 'uda (omor)*43/0/RSU 'uda/+*4 Prihal) Per%ataa Per%ataa $kaa elaksaaka $kreditasi taggal *5 Septem!er + *4 - Terlampir dafar Dokter Spesialis/umum/gigi RSU Parama Sidhi - Terlampir surat surat (omor ) **4+/,.0/0*41 "al)Pem!eritahua "asil 2egiata Pemeriksaa teral 'PS 'PS 2esehata #a!ag Sigaraa Sigaraa Periode Septem!er +*4 taggal ++ Septem!er +*4

- Secara Lisa Rumah Sakit !ersedia megem!alika atas hasil pemeriksaa - Terlampir surat surat (omor ) **4+/,.0/0*41 "al)Pem!eritahua "asil 2egiata Pemeriksaa teral

REKAPAN SDM RSU PARAMA SIDHI NO

NAMA

NO SIP

A DOKTER UMUM

*

dr.2omag 2atrii1.

44/403/DU /Dikes/+**

+

dr.(i ade $smiigsih

44/*58+/DU-/Dikes/+*3

3

dr. Desak (%oma 9uita Pra:;i

44/*+.4/DU-/Dikes/+*5

4

dr.Lie ulia;a

44/3636/DU-/Dikes/+**

5

dr. (%oma oh Risa;a

44/**6.*/DU-/Dikes/+*4

6

dr.Thir
44/++3.+/DU-/Dikes/+*4

8

dr.=ede uli Suas:ka

44/5.*/DU-/Dikes/+*4

>

dr.Putu $%u Sad%ai T

44/460/DU-/Dikes/+*3

0

dr.ade $st% Saitha De;i

44/*+.*/DU-/Dikes/+*5

*

dr.   $di ?ira;a

44/6.++/DU-/Dikes/+*6

**

dr.(i (%oma $sri @ia%a:

44/**+.+/DU-/Dikes/+*6

B

Sub Spesialis

*

dr.(%oma ardaa1Sp.'.A($#S

C

Spesialis Dasar

*

dr. (%oma 'eteg1Sp.'

44/+33/DS-/Dikes/+*3

+

dr.&ka Udra%aa1Sp.'

44/038/DS-/Dikes/+*3

3

dr. =us: (gurah Susata1Sp.$

44/30+/DS-/Dikes/+**

4

dr.2etut 'udi%asa1Sp.$

44/+403/DS-/Dikes/+*3

44/35+>/DS-/Dikes/+*+

BERLAKU SIP

TEMPAT PRAKEK

3/*/+*6

RSU P$R$$ SD"

*/5/+*>


8/5/++


3/*/+*6


*8/8/+*>


*8/3/+*0


5/*/+*6


4/>/+*6


+8/4/+*0


+/*+/++


+/5/+*>


3/*/+*6


*+/>/+*>


6/*+/+*8


+/**/+*6


+/**/+*6


R2$P$( SD RSUD 'ULL(= NO

NAMA

NO SIP

A

DOKTER UMUM

*

dr.2omag Sea $dis:ra $rtha

44/5.+/DU-/Dikes/+*6

+

dr.De;a Putu Suheri 'o;o

44/5.*/DU-/Dikes/+*6

3

dr.(i 2etut Suriai

44/3>/DU -/Dikes/+**

4

dr.(i ade ardai

44/3045/DU-/Dikes/+**

5

dr. @a%a ksasila1.2es

44/*6.**/DU-/Dikes/+*4

6

dr.Luh @idias::

44/3808/DU-/Dikes/+**

8

dr.ade Sulasmi

44/38*4/DU /Dikes/+**

>

dr.=ede uli Suas:ka

44/*86.8/DU-/Dikes/+*4

0

dr.Putu $%u @ida @irastu: =iri

44/6>/DU-/Dikes/+*6

B

D#"$er Gii

*

drg."ad% Sucita

44/0.3/D=-/Dikes/+*5

+

drg.Putu =ede @ira;a

44/4638/D=-/Dikes/+**

3

drg.La:Bah

44/348/D=-/Dikes/+*+

4

drg.Putu =ia Puspa;a:

44/>/D=-/Dikes/+*+

D

Penunjan Me!i"

*

dr. =ede (o7a @irahasa1Sp.$

44/*48.+3/DS-/Dikes/+*4

+

dr. De;a =ede (gurah a%a (egara1Sp.$

44/046/DS-/Dikes/+*+

3

dr.(i 2omag Darmias:i1Sp.Rad

44/*6+.*/DS-/Dikes/+*6

4

dr.(i ade De;i $rimas1Sp.P2

44/30+4/DS-/Dikes/+**

5

dr  ade a: Luhur Sp P$

44/03 *5/DS-/Dikes/+*4

G

Spesialis Lain

*

dr. 2etut S.2epakisa T.Sp.S

44/46*>/DS-/Dikes/+**

+

dr.Putu Ra:h Dia Pardai.Sp.U

44/0*.*+/DS-/Dikes/+*5

3

dr. sari dah1Sp.T"T-2L

44/>6.6/DS-/Dikes/+*4

4

dr.da 'agus 9udi aha%aa1Sp.T"T.2L

44/+.**/DS-/Dikes/+*5

5

dr. =st (gura" $om Suprad%a1Sp.

44/6*.*/DS-/Dikes/+*4

6

dr.(i (%oma Sekarsari1Sp.

44/8>.0/DS-/Dikes/+*6

8

dr. 2omag =ua;a L1Sp.2

44/+8>*/DS-/Dikes/+*+

>

dr.2etut Sutea @i!a;a1Sp.22..2es

44/*0/5/DS-/Dikes/+*4

MASA BERLAKU

TEMPAT PRAKTEK

*>/**/++

RSUD 'ULL(=

*5/*/++

RSUD 'ULL(=

3/*/+*6

RSUD 'ULL(=

3/*/+*6

RSUD 'ULL(=

+/*/+*8

RSUD 'ULL(=

3/*/+*6

RSUD 'ULL(=

3/*/+*6

RSUD 'ULL(=

5/*/+*6

RSUD 'ULL(=

+/8/+*8

RSUD 'ULL(=

3/*/+*6

RSUD 'ULL(=

3/*/+*6

RSUD 'ULL(=

3/*/+*6

RSUD 'ULL(=

+/*/+*6

RSUD 'ULL(=

+5/6/+*0

RSUD 'ULL(=

>/**/+*6

RSUD 'ULL(=

+4/*/+++

RSUD 'ULL(=

3/*/+*6

RSUD 'ULL(=

3/4/+*0

RSUD 'ULL(=

3/*/+*6

RSUD 'ULL(=

0/3/++

RSUD 'ULL(=

+/4/+*0

RSUD 'ULL(=

+3/0/+*0

RSUD 'ULL(=

*0/+/+*0

RSUD 'ULL(= RSUD 'ULL(=

3/*/+*6

$potek Sadha $gug1l.Dipoegoro

*/*/+*0

RSUD 'ULL(=

R2$ (&

($$

*.D&2TR UU E D&2TR == *

dr.PUTU SR @$RD$(

+

dr.D@$ $9U $(==$ R$((=S"

3

dr.( LU" PUTU ?R$ A$$R(

4

dr.2$D2 @D$(T

5

drg.( @$9$( @($RS"

6

dr. =UST $9U L$2S" D$$9$(T

8

drg.( 2&$(= $R($ $9U 2RS($ .kes

>

dr. 2TUT 'UD S$DPUTR$

0

dr.( PUTU 2$ (DR$@$T

*

dr.=UST $9U PUTU R$T" PR$D(9$(D$R1S.2ed

**

dr. $D DD9 2US($@$(

*+

dr. @$9$( PR$ST9$ @SUD$

2TR SPS$LS *

dr.2TUT RT$ (DR$@$T1Sp.P2

+

dr. $D L(==" $R9$($1Sp.'

3

dr. =UST 2TUT @($T$ $D(9$($1Sp.$

4

dr. =UST '$=US =T$ TR$RT$1Sp.'

5

dr.  $D SUD$($1Sp.PD

6

dr  =UST PUTU $RD$($1Sp.S

8

dr.$D $=US SUPR$T$$1Sp.&=

>

dr S@$R$ S&$D($ DU$RS$ Sp &=

$( SD RSU (=$R$ (& SP

$S$ 'RL$2U

TP$T PR$2T2

53/>5/SP.D.38/2es/2PPT/?/+*3

+*/8/+*6

RSU (=$R$

53/*0/SP.D.+/2es/2PPT//+*3

3*/*/+*6

RSU (=$R$

53/**8/SPD.3+/2es/2PPT/?/+*5

*/6/++

RSU (=$R$

53/**0/SPD.34/2es/2PPT/?/+*5

*/6/++

RSU (=$R$

53/63/SP.D.+/2es/2PPT/?/+*3

*3/**/+*6

RSU (=$R$

53/8*/SP.D.+>/2es/2PPT/?/+*3

*3/**/+*6

RSU (=$R$

53/6*/sip.D.*>/2es/2PPT/?/+*3

+6/3/+*>

RSU (=$R$

53/65/SP.D.++/2es/2PPT/?/+*3

*3/**/+*6

RSU (=$R$

53/0+/D.*0/2es/2PPT//+*+

*3/**/+*6

RSU (=$R$

53/88/SPD.*0/2es/2PPT/?/+*5

++/5/*00

RSU (=$R$

53/84/SPD.*6/2es/2PPT/?/+*5

3/+/+*8

RSU (=$R$

53/0*/SPD.+>/2es/2PPT/?/+*5

3/+/+*8

RSU (=$R$

53/6/SP.D.+6/2es/2PPT/?/+*3

**/4/+*6

RSU (=$R$

53/6>/SP.D.+5/2es/2PPT/?/+*3

**/4/+*6

RSU (=$R$

53/8+/SP.D.+0/2es/2PPT/?/+*6

6/0/+*6

RSU (=$R$

53/6/SP.D.*8/2es/2PPT/?/+*3

*3/**/+*6

RSU (=$R$

53/83/SP.D.3/2es/2PPT/?/+*6

*3/**/+*6

RSU (=$R$

53/64/SP.D.+*/2es/2PPT/?/+*6

*3/**/+*6

RSU (=$R$

53/50/SP.D.*6/kes/2PPT/?/+*3

*3/**/+*6

RSU (=$R$

53/68/SP D +4/kes/2PPT/?/+*3

*3/**/+*6

RSU (=$R$

R2$P$( SD 2L(2 UT$$ D$R$ ($T"$ (&

($$

(& SP

*

dr.PUTU 'UD @'$@$ S1Sp.pd

44/3***/DS-/Dikes/+*3

+

dr.U" $RTF$R #h.Lakare

44/*86+/DU-/Dikes/+*3

3

$.$ stri Sri Utari De;i

44/*8*.*5/Dikes/+*5

4

@R$ $=(= "$(AUDD(1S.2P1(S

44/*60.6/Dikes/+*5

5

2$ $9U 2$RT2$ D@

44/>.*/Dikes/+*6

6

P$( $9$ 'U$($

44/*60.5/Dikes/+*5

8

D$( 9UL R$"$9U

44/*8*.*4/Dikes/+*5

>

T&$S "$R PRS$(T&

44/+*4/Dikes/+*3

0

( $D LS D@ $R(1S.A$R.$pt

44/+*+/SP$/Dikes/+*5

*

( LU" =D $ST$ D@

44/+*5/S2TT2/Dikes/+*3

'RL$2U SP *5/*+/+*3 +3/+/+*8 +8/**/+*> *>/0/+*8 +0/8/+*8 6/*/+*8 8/8/+*> *8/**/+*6 ++/3/++ +/8/+*8

REKAPAN SDM RSU KAR%A DHARMA HUSADA NO

NAMA

NO SIP

BERLAKU SIP

TEMPAT PRAKTEK

A

Spesialis Penunjan

*

dr.2etut (gurah =uapri%a1Sp.$

44/+>0/DS-/Dikes/+*+

3/3/+*8

RSU 2$R9$ D"$R$ "US$D$

+

dr.=ede Darma%asa Saputra1Sp.$

44/>5.*/DS-/Dikes/+*4

+3/0/+*>

RSU 2$R9$ D"$R$ "US$D$

3

dr. De;a =de (gurah Daa (egara1Sp.$

44/04>/DS-/Dikes/+*+

>/**/+*6

RSU 2$R9$ D"$R$ "US$D$

4

dr. =ede (o7a @irahasa1Sp.$

44/*3+.*/DS-/Dikes/+*4

+5/6/+*0

RSU 2$R9$ D"$R$ "US$D$

5

dr. =ede Sur%a;a1Sp.$

44/48.*/DS-/Dikes/+**5

>/*+/+*0

RSU 2$R9$ D"$R$ "US$D$

B

Spesialis Dasar

*

dr. ade Suas:ka1Sp.&=

44/**/DS-/Dikes/+*3

+>/*+/+*6

RSUD 'ULL(=

+

dr.ade 'agiad%a1S.'

44/5.8/DS-/Dikes/+*4

*+/>/+*6

RSU 2$R9$ D"$R$ "US$D$

3

dr.ade 2etut Sukarta1Sp.&=

44/*.3/DS-/Dikes/+*5

*6/4/+*8

RSU 2$R9$ D"$R$ "US$D$

4

dr.&ka Udra%aa1Sp.'

44/*.*/DS-/Dikes/+*6

6/*+/+*8

RSU 2$R9$ D"$R$ "US$D$

5

dr. 2etut (gurah $lit @idiada1Sp.$

44/5.4/DS-/Dikes/+*6

+/**/+*6

RSU 2$R9$ D"$R$ "US$D$

C

Spesialis Lain

*

dr. (%oma (ama Putra1Sp.P

44/>0.+4/DS-/Dikes/+*6

*>/6/+++

PRU =R$ P$( $SR 'L&2 D

+

dr. 2etut S.2epakisa T1Sp.S

44/*85.3*/DS-/Dikes/+*6

*6/4/+++

RSU 2$R9$ D"$R$ "US$D$

D

Sub Spesialis

*

dr. 2etut Susila1Sp.P1A"$

44/58*/'PPC SUR$T TU=$S

3/*/+*6

RSU 2$R9$ D"$R$ "US$D$

E&

D#"$er U'u'

*

dr.2adek $gus Suhardiatha Putra

44/05.4/DU-/Dikes/+*5

>/*+/+*6

RSU 2$R9$ D"$R$ "US$D$

+

dr.(i ade (o7a $dri 2luiari

44/+36.4/DU-/Dikes/+*5

*5/*/++

RSU 2$R9$ D"$R$ "US$D$

NO

NAMA

A

Dokter Umum

1 2 3 4 ! $ & ' ) 1, 11 12 13 14

dr.I Wayan Parna Arianta dr.Luh Putu Laksmi Antari dr.Luh Komang Enggi Lindayani dr.Andika Metrisiaan dr.Ni Made Ita Pur"a #ani dr.Ni Made %indri Astuti dr.Ni Luh Putu Ayu Maha Isari dr. I Wayan Ari (umardika dr.I *ede Agus A+riyanta dr.Perina Enri Lisniaan dr.I *st Ayu Nym (ri Ariani Putri dr.Luh (umiari dr.Ni Putu Kusumadei-(.Ked dr.Ni Komang ristiana /ei

B

Dokter Gigi

1

drg.heresia Indriyani

C

Spesialis Dasar

1 2 3

dr.I Nyoman 0eteng-(+.0 dr.I *usti Ngurah Ait-(+.O* dr Putu (udarsana (+ O* K

1 2 3 4 !

dr.(umiati (unarko-(+.% dr.I Ketut(-Ke+akisan .(+.( dr.I Nyoman Nama Putra-(+.P dr.I *st Ngurah Anom (u+radnya-(+.M dr.I Komang *unaan L-(+.K8

NOMO5 (IP

MA(A 0E5LAK<

44,=22&.&=/<>I=/ikes=2,1! 44,=112.1=/<>II=/ikes=2,1$ 44,=12,=/<>II=/ikes=2,1! 44,=2'.1=/<>I=/ikes=2,1$ 44,=2'.2=/<>I='/ikes=2,1$ 44,=12&.13=/<>I=/ikes=2,14 44,=12&.1,=/<>I=/ikes=2,14 44,=12&.14=/<>I=/ikes=2,14 44,=241)=/<>I=/ikes=2,13 44,=241'==/<>I=/ikes=2,13 44,=2!,&=/<>III=/ikes=2,13 44,=1$).2=/<>I=/ikes=2,14 44,=1!.4=/<>II=/ikes=2,14 44,=12&.11=/<>I=/ikes=2,14

1&=11=2,2, &=!=2,2, 1=!=2,1' 2=12=2,2, 2=12=2,2, 22=!=2,1) 22=!=2,1) 22=!=2,1) 1=!=2,1' 1=!=2,1' $=2=2,1& 1)=2=2,1) 2=!=2,1' 22=!=2,1)

44,=2,4.3$=/*>I=/ikes=2,1$

&=4=2,22

44,=2333=/(>I=/ikes=2,13 44,=12!1=/(>II=/ikes=2,12 44,=2)$=/(>II=/ikes=2,13

12='=2,1' 1!=11=2,1$ 1&=,1=2,1&

44,=1),1=/(>III=/ikes=2,12 44,=1&!.32=/(>III=/ikes=2,1$ 44,=').23=/(>II=/ikes=2,1$ 44,=1!.3=/(>II=/ikes=2,14 44,=2&',=/(>II=/ikes=2,11

3,=4=2,1& 1$=4=2,22 1'=$=2,22 1)=2=2,1) 3,=1,=2,1$

EMPA P5AKEK (E(
5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A 5(< KE5%A <(A/A

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dr.LU" PUTU SU$RT( 2

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dr.2$D2 (DR$( $D@T9$

44/+>5>/DU-/Dikes/+*3

3

dr.9ULUS $R$D

44/44.+>/DU-/Dikes/+*6

4

dr.RA$( R&"&T UL $(2

44/+.38/DU-/Dikes/+*6

5

dr1?? S$?TR "$D

44/**4.3/DU-/Dikes/+*5

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dr. (9&$( 'T(=1Sp.'

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dr. ((=$" D$($ SUS$D1Sp.PD

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dr.2TUT SU$RD$($1Sp.&=

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dr. 2TUT $(DR9$S$1Sp.PD

44/*+.3/DS-/Dikes/+*4

5

dr.S$(TR P$(=$R'U$(1Sp.$

44/++*.+/DS-/Dikes/+*5

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dr.=D D$R$9$S$ S$PUTR$1Sp.$

44/*>.*3/DS-/Dikes/+*4

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dr. =D SUR9$@$(1Sp.$

44/+.*3/DS-/Dikes/+*5

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3/*/+*6

RSU S"$(T =R$"$ 0/+/+*8 RSU S"$(T =R$"$ 4/3/++* RSU S"$(T =R$"$ +/0/+*0 RSU S"$(T =R$"$

+5/>/+*0

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SURAT I(IN PRAKTEK DOKTER RST TK I) SINGARA(A

NO 1 2 3 4 NO

NAMA /OKE5 (PE(IALI( dr. A"du %aris /rake-(+.O dr. *ede /armayasa (a+utra-(+.An dr. Ketut Putra (edana-(+.O* dr. 0agiadnya-(+.0 NAMA /OKE5
1 dr. Luh Putu (uartini Kusumaati 2 dr. *ede Prasada 3 dr. 5e9inda A9isantia NO

NAMA /OKE5 *I*I

1 drg. Primandita Nugraha

NO. (IP 44,='',=/(>II=/ikes=2,13 44,='!.=/(>I=/ikes=2,14 44,=2!.$=/(>II=/ikes=2,1! 44,=2!.!=/(>I=/ikes=2,1! NO. (IP 44,=4,)1=/< I=/inkes=2,11 44,=2).&=/<>II=/ikes=2,12 44,='4.2=/<>I=/ikes=2,1! NO. (IP 44,=1,$.3=/*>I=/ikes=2,1!

0E5AK%I5 (IP

,' 7uni 2,1$ 12 Agustus 2,1'

7AM P5AKEK ??? ,'.,,>14.3, ??? ,'.,,>14.,, 13.,,>1$.,, 13.,,>1$.,,

0E5AK%I5 (IP 3, Okto"er 2,1$ 31 Okto"er 2,1$ 13 7uni 2,1)

7AM P5AKEK Menyusaikan 8ada 8 ,'.,,>1!.,, >

0E5AK%I5 (IP 13 /esem"er 2,1$

7AM P5AKEK >

EMPA P5AKEK (E(
R2$P$( SD Rekredesialig 3* NO

SDM

NO& SIP

BERAKHIR SIP

I& DOKTER UMUM

* + 3 4 5 6 8 > 0 *

dr. De;a =ede Sida $rdhaa dr. Putu Dia Purama Sari dr.  ade Ded% 2usa;a1 S.2ed dr. Suri%oo dr. (i ade ?ia Sep:ai dr. Putu 9uliai @idiasari1 S.2ed dr.  @a%a Suaa1 .2es dr.  =us: $u Lakshmi Damaa: dr. da a%u Putu Raga Diatari dr.  Putu $gus Sur%a;a

53/8/SPD.3/2es/2PP9//+*5 53/*4+/SP.D.6+/2es/2PPT/,/+*3 53/*+0/D.40/2es/2PPT/?/+*+ 53/*43/SP.D.63/2es/2PPT/,/+*3 53/**/SP.D.+0/2es/2PPT/?/+*5 53/*+4/D.44/2es/2PPT/?/+*+ 53/4*/SPD.0/2es/2PPT/?/+*5 53/40/SP.D.*4/2es/2TTP/?/+*3 53/3+/SP.D.0/2es/2TTP//+*4 53/*5/SP.D.+4/2es/2ppT/,/+*4

GGG +8 $gustus +*> 3 Ae!ruari +*8 *3 Ae!ruari +*8 ++ ei +*0 3 Ae!ruari +*8 GGG GGG 0 Ae!ruari +*8 + ei +*>

II& DOKTER GIGI * drg. (i Putu $ri 2umalasai + drg.  =us: $%u ade D;i Resturii

53/*>*/SPD.44/2es/2PPT/,/+*5 53/*3/d.5/2es/2PPT/?/+*+

+4 aret +*0 GGG

III& PELA%ANAN MEDIK SPESIALIS DASAR III&A& PEN%AKIT DALAM * dr. =ede Sukra;a1 .'iomed1Sp.PD + dr. (egah Susup $ra;a1Sp.PD 3 dr. (i Luh ta:k Sri;ah%ui1Sp.PD

53/>/SPD.++/2es/2TTP/?/+*5 53/4*/SP.D.*/2es/2PPT//+*3 53/4/SPD.>/2es/2TTP/?/+*5

+* desem!er +*0 GGG *0 ei +*>

III&B& KESEHATAN ANAK * dr. R%aa "arlist%a:1Sp.$ + dr. (i Putu Sucita @ah%u De;i1 .Sc1Sp.$

53/*0/D.55/2es/2PPT/,/+** +3/06/D.+3/2es/2TTP//+*+

GGG *4 Desem!er +*6

III&C& BEDAH * dr.  =us: 'agus =ita Triarta1Sp.' + dr.  ade Liggih $r%aa1Sp.'

53/+8/D.**/2es/2TTP/?/+** 53/***/D.58/2es/2TTP/,/+**

GGG oda%1 $pril **1 +*6

III&D& OBSTETRI DAN GINEKOLOGI * dr.  =de ade Saraa1Sp.&=

53/*84/D.84/2es/2PPT/,/+*+

GGG

+

dr.  2etut Rai @i;a (egara1Sp.&=

53/*83/D.83/2es/2PPT/,/+*+

Suda%1 $pril *01 +*5

I)& PELA%ANAN MEDIK SPESIALIS PENUN(ANG I)&A& ANESTESIOLOGI * dr.  =ede ka $ri @ira;a1Sp.$

53/**/D.+4/2ep/2PPT//+*+

+> Ae!ruari +*8

I)&B& RADIOLOGI * dr. (%oma Sat%a1Sp.Rad

53/*86/D.86/2es/2PPT/,/+*+

4 uli +*8

)&C& PATOLOGI KLINIK * dr. 2etut merta dra;a:1Sp.P2

53/*54/SPD.3>/2es/2PPT/?/+*5

oda%1 $pril **1 +*6

53/*85/D.85/2es/2PPT/,/+*+ 53/3/SP.D.8/2es/2PPT//+*4 Surat Tugas) 44/4+880/'PP 53/3/SPD.38/2es/2PPT/?/+*5

*3 (opem!er +*6 *0 Ae!ruari +*0 GGG 3 ui ++

)I& DOKTER GIGI SPESIALIS )II& PELA%ANAN MEDIK LAINN%A * dr.  =us: Putu $rdaa1Sp.S + dr. (i ade Tirta Sai;ai1Sp.T"T-2L 3 dr.  gus: (gurah $om Suprad%aa1Sp. 4 dr. De;a =ede Satria $m!ara Putra1.'iomed1Sp.&t )III& TENAGA KEFARMASIAN

*

@id% Tri Reto Sari1S.Aarm.$pt

53/*45+/9akes.Dikes/?/+*5

GGG

+

(i Putu 9uliasih1S.Aarm.$pt

53/+0>5/9akes.Dikes/,/+*5

* ui ++

3 4 5

(i ade $%u Pra:;i Praa 2adek $ri Puspa%a:.1 $.d.Aarm (i ade $%u Puspita Sari

53/+>>/9akes.Dikes/?/+*5 53/+33>/9akes.Dikes/,/+*5 53/+>6/9akes. Dikes/?/+*5

*5 $gustus +*0 Arida%1 $pril 51 +*0 > ei +*0

53/*0>/S2.P.56/2es/2PPT/,/+*5 53/*08/S2.P.55/2es/2PPT/,/+*5 53/*04/S2.P.5+/2es/2PPT/,/+*5 53/*03/S2.P.5*/2es/2PPT/,/+*5 53/*0+/S2.P.5/2es/2PPT/,/+*5 53/*0*/S2.P.40/2es/2PPT/,/+*5 53/*0/S2.P.4>/2es/2PPT/,/+*5 53/*06/S2.P.54/2es/2PPT/,/+*5 53/*05/S2.P.53/2es/2PPT/,/+*5 53/*>0/S2.P.48/2es/2PPT/,/+*5 53/8+/S2.P.+6/2es/2PPT/?/+*5

*3 aret ++ *4 aret ++ ++ $gustus ++ Arida%1 $pril 31 ++ * aret +*0 *> ei ++ 5 mei +*> *8 Desem!er ++ *6 Desem!er ++ +3 aret ++ GGG

I*& TENAGA KEPERA+ATAN * (s.  Putu &las arta;a1S.2ep + (i ade "aria:i 3 =utsi $%u Putu Dia Aera%a:1$.d12ep 4 $ris Lipa%a:1$.d12ep. 5 $ggraei Tri a%a Sari1$.d12ep 6 Ria Pura;a:1$.d12ep 8 l% Raha%u SaHtri1$md12ep > (i 2etut Sri @idiai1$.d12ep 0 (i Luh made @ir%ai1$.d12ep * Diaa Sari1$.d12ep ** (s.Aema $rgadiata1S.2ep

*+ *3 *4 *5 *6 *8 *> *0 + +* ++ +3 +4 +5 +6 +8 +> +0

(s. Putu $rdia 2ariata1S.2ep (s. (i @a%a Sri Raha%ui Utami1 S.2ep Dei Susi%a:1S.2ep.(s (o7iaa sari (ugroho1S.2ep.(s da 'agus 2ade 2uria Saputra1S.2ep.(s  Putu 9oga Semadhi1S.2ep.(s (i Luh Dia eiliatariasih1S.2ep.(s (s. 2ade D;i $d%aa1S.2ep (s.  ade $r%sta Sur%a;a1S.2ep Putu $gus $di Pratama1S.2ep.(ers. 9uli $dri @ia%a1S.2ep.(s (i ade $%u ra 2usuma De;i1$.d.2ep (i (%oma Suari:1$.d.2ep  2omag =ede @ira%a =ua $rtha1$.d.2ep (i Putu Dia Utari1$.d.2ep (i 2etut Ratasih1 $.d12ep (ue @ahida1$.d12ep Suparto1 SST

*& TENAGA KEBIDANAN * Putu 'udiar:i1$.d.2e! + (i ade Umie "ardai1$.d12ed 3 (i 2omag Sri da%a:1$.d.2e! 4 (i ade (ia D;i 2arlie1$.d.2e! 5 Putu $%u $stri Puspita1$md.2e! 6 2aria $Brilia1$.d.2e! 8 (i 2adek Sriari aha%oi1$.d.2e! > (i Putu ega Sari De;i 0 Putu $%u Sari De;i1$.d.2e! * @i;it @idhiarsa:1 $md.2e! ** #hrist% Raha%u De;i .$md.2e!

STR Proses Pera;at $estesi

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