SYARAT PENGAMBILAN STR TERBIT USULAN REREGISTRASI/PERPANJANGAN (ONLINE)
1. Diri Sendiria. STR Lama (Asli) (Jika Menyimpan STR Lama Harap dibawa dan dikembalikan ke MTKP Kalsel) *Apabila STR Lama hilang maka dilampirkan surat kehilangan dari pihak Kepolisian
b. Fotocopy ijazah 1 Lembar (Mencatat Bulan Terbit dan Nomor Blanko yang tertera di di Website Dinkes Prov Kalsel)
c. Surat Keterangan dalam Proses (Jika ada memiliki diharapkan diserahkan kembali)
2. Orang Lain/Perwakilan
a. STR Lama (Asli) (Jika Menyimpan STR Lama Harap dibawa dan dikembalikan ke MTKP Kalsel) *Apabila STR Lama hilang maka dilampirkan surat kehilangan dari pihak Kepolisian
b. Surat Kuasa bermaterai 6000 (Contoh Terlampir)
c. Fotocopy ijazah 1 Lembar (Mencatat Bulan Terbit dan Nomor Blanko yang tertera di Website Dinkes Prov Kalsel) d. Fotocopy KTP/Identitas Penerima Kuasa 1 Lembar
Contoh
STR TERBIT BULAN JULI 2017 (3)
OKUPASI TERAPIS
No No. Registrasi Nama Tempat Tanggal Lahir Penguruan Tinggi No Blanko
1 21 08 5 2 1 17-2067882 Ayuna Desti Sulistyowati Magetan, 20 Desember 1994 Poltekkes Kemenkes Surakarta Ai 76632
Contoh Nomor Blanko Contoh Bulan Terbit STR
Contoh
SURAT KUASA
Yang bertanda tangan dibawah ini:Nama :
NIP :
Tempat/Tanggal Lahir :
Alamat :
Pekerjaan :
Menerangkan bahwa dengan ini memberi kuasa kepada
Nama :
NIP :
Tempat/Tanggal Lahir :
Alamat :
Pekerjaan :
Untuk itu penerima kuasa dikuasakan untuk mengambil Surat Tanda Registrasi (STR). Pemberi kuasa dengan ini menjamin dan membebaskan Majelis Tenaga Kesehatan Provinsi (MTKP) dari segala kewajiban, tuntutan, gugatan, klaim dalam bentuk apapun serta dari pihak manapun juga, serta membebaskan dari tanggung jawab atas setiap dan semua kerugian risiko yang timbul dikemudian hari sehubungan dengan dijalankannya kuasa ini. Surat ini dibuat dalam keadaan sebenar-benarnya untuk digunakan sebagaimana mestinya.
………... Penerima Kuasa (………..) Pemberi Kuasa Materai 6000 (………..)
REKAPITULASI STR BIDAN ONLINE RE-REGISTRASI YANG SUDAH TERBIT 02 FEBRUARI 2018
Terdapat 3 oramg dengan STR tanpa foto, diharapkan saat pengambilan membawa foto ukuran 4x6 latar merah sebanyak 1 lembar No. No. Registrasi Nama Tempat Tanggal Lahir Penguruan Tinggi
No.
Blanko No. Surat Ket.
1 21 02 5 2 2 18-2198302 Endah Haryani Tuban, 09 September 1978 Poltekkes Kemenkes Banjarmasin Ao 06234 422/289-MTKP/XI/2017 2 21 02 5 2 2 18-2198303 Fera Peryanti Gedung Agung, 28 April 1990 Akademi Kebidanan Bunga Kalimantan Ao 06235 422/289-MTKP/XI/2017 3 21 02 5 2 2 18-2198304 Mardiana Pagatan, 23 September 1990 STIKES Muhammadiyah Banjarmasin Ao 06236 422/289-MTKP/XI/2017 4 21 02 5 2 2 18-2198305 Rizni Novianti Alabio, 08 Nopember 1990 Akademi Kebidanan Sari Mulia Ao 06237 422/289-MTKP/XI/2017 5 21 02 5 2 2 18-2198306 Rahma Windy Hapsari Banjarmasin, 26 Juni 1990 Akademi Kebidanan Sari Mulia Ao 06238 422/289-MTKP/XI/2017 6 21 02 5 2 2 18-2198307 Cisilia Maya Wardani Martapura, 21 Oktober 1991 Poltekkes Kemenkes Banjarmasin Ao 06239 422/289-MTKP/XI/2017 7 21 02 5 2 2 18-2198308 Ririn Bintari Aluh-Aluh, 19 Desember 1991 Poltekkes Kemenkes Banjarmasin Ao 06240 422/289-MTKP/XI/2017 8 21 02 5 2 2 18-2198309 Novi Puspitasari Benua Tengah, 08 Nopember 1992 Akademi Kebidanan Sari Mulia Ao 06241 422/289-MTKP/XI/2017 9 21 02 5 2 2 18-2198310 Dhevy Nurfita Agustina Bojonegoro, 21 Agustus 1991 Akademi Kebidanan Pemkab Bojonegoro Ao 06242 422/289-MTKP/XI/2017 10 21 02 5 2 2 18-2198311 Mahraudal Yatimah Pagatan, 28 Agustus 1990 STIKES Muhammadiyah Banjarmasin Ao 06243 422/289-MTKP/XI/2017 11 21 02 5 2 2 18-2198312 Riska Damayanti Kotabaru, 03 Mei 1990 Akademi Kebidanan Martapura Ao 06244 422/289-MTKP/XI/2017 12 21 02 5 2 2 18-2198313 Siti Maulia Nurdin Kotabaru, 02 September 1992 Akademi Kebidanan Bunga Kalimantan Ao 06245 422/289-MTKP/XI/2017 13 21 02 5 2 2 18-2198314 Nurhayati Cabange, 12 Nopember 1967 Poltekkes Kemenkes Makassar Ao 06246 422/289-MTKP/XI/2017 14 21 02 5 2 2 18-2198315 Suwaibah Paharangan, 21 Juli 1996 Akademi Kebidanan Martapura Ao 06247 422/289-MTKP/XI/2017 15 21 02 5 2 2 18-2198316 Noorjennah Pagatan, 18 Oktober 1969 Poltekkes Kemenkes Banjarmasin Ao 06248 422/289-MTKP/XI/2017 16 21 02 5 2 2 18-2198317 Khairul Anisa Sarang Tiung, 09 September 1990 STIKES Muhammadiyah Banjarmasin Ao 06249 422/289-MTKP/XI/2017 17 21 02 5 2 2 18-2198318 Anik Indarwati Boyolali, 24 Agustus 1981 STIKES Duta Gama Klaten Ao 06250 422/289-MTKP/XI/2017 18 21 02 5 2 2 18-2198319 Rismawati Amuntai, 16 Oktober 1989 STIKES Muhammadiyah Banjarmasin Ao 06251 422/289-MTKP/XI/2017 19 21 02 5 2 2 18-2198320 Endang Susilowati Songgom, 05 Agustus 1988 STIKES Harapan Bangas Ao 06252 422/289-MTKP/XI/2017 20 21 02 5 2 2 18-2198321 Nana Khairawati Banjarmasin, 09 Agustus 1982 Poltekkes Kemenkes Banjarmasin Ao 06253 422/289-MTKP/XI/2017 21 21 02 5 2 2 18-2198322 Rizky Amalia Banjarmasin, 22 Mei 1982 Poltekkes Kemenkes Banjarmasin Ao 06254 422/289-MTKP/XI/2017 22 21 02 5 2 2 18-2198323 Tri Wardani Landasan Ulin, 15 Nopember 1989 Akademi Kebidanan Sari Mulia Ao 06255 422/289-MTKP/XI/2017 23 21 02 5 2 2 18-2198324 Mulyawati Banjarmasin, 24 Oktober 1982 Poltekkes Kemenkes Banjarmasin Ao 06256 422/289-MTKP/XI/2017 24 21 02 5 2 2 18-2198325 Adistiya Rahpida Rantau, 10 Agustus 1991 Akademi Kebidanan Martapura Ao 06257 422/289-MTKP/XI/2017 25 21 02 5 2 2 18-2198326 Diah Ayu Agustina Ponorogo, 26 Agustus 1990 Akbid Mitra Sehat Sidoarjo Ao 06258 422/289-MTKP/XI/2017
26 21 02 5 2 2 18-2198327 Novita Rima Hayati Banjarbaru, 26 Nopember 1992 Akademi Kebidanan Bunga Kalimantan Ao 06259 422/289-MTKP/XI/2017 27 21 02 5 2 2 18-2198328 Ida Sufitri Banjarmasin, 03 September 1975 Poltekkes Kemenkes Banjarmasin Ao 06260 422/289-MTKP/XI/2017 28 21 02 5 2 2 18-2198329 Mariana Banjarmasin, 11 Nopember 1977 STIKES Muhammadiyah Banjarmasin Ao 06261 422/289-MTKP/XI/2017 29 21 02 5 2 2 18-2198330 Primer Septivi Albineri Banjarmasin, 15 September 1989 Poltekkes Kemenkes Banjarmasin Ao 06262 422/289-MTKP/XI/2017 30 21 02 5 2 2 18-2198331 Rusna Banjarmasin, 10 September 1966 Poltekkes Kemenkes Banjarmasin Ao 06263 422/289-MTKP/XI/2017 31 21 02 5 2 2 18-2198332 Laila Palang Pisau, 09 Maret 1970 Poltekkes Kemenkes Banjarmasin Ao 06264 422/289-MTKP/XI/2017 32 21 02 5 2 2 18-2198333 Norliani Barito Kuala, 10 April 1965 Poltekkes Kemenkes Banjarmasin Ao 06265 422/289-MTKP/XI/2017 33 21 02 5 2 2 18-2198334 Lindawati Banjarmasin, 22 Juni 1982 Poltekkes Kemenkes Banjarmasin Ao 06266 422/289-MTKP/XI/2017 34 21 02 5 2 2 18-2198335 Mahfuzzah Banjarmasin, 20 Agustus 1987 Akademi Kebidanan Bunga Kalimantan Ao 06267 422/289-MTKP/XI/2017 35 21 02 5 2 2 18-2198336 Erlianti Tungkaran, 13 Maret 1991 Akbid Banua Bina Husada Ao 06268 422/289-MTKP/XI/2017 36 21 02 5 2 2 18-2198337 Husnul Khatimah Barabai, 02 Oktober 1990 Akademi Kebidanan Bunga Kalimantan Ao 06269 422/289-MTKP/XI/2017 37 21 02 5 2 1 18-2198338 Gusti. Aulia Ramadhani Nur Banjarmasin, 31 Mei 1984 Poltekkes Kemenkes Banjarmasin Ao 06270 422/289-MTKP/XI/2017 38 21 02 5 2 2 18-2198339 Era Tantya Hane Masnady Martapura, 28 Mei 1991 Akbid Banua Bina Husada Ao 06271 422/289-MTKP/XI/2017 39 21 02 5 2 2 18-2198340 Herlina Nensiaty Girsang Kotabaru, 25 Juni 1985 STIKES Mutiara Indonesia Ao 06272 422/289-MTKP/XI/2017 40 21 02 5 2 2 18-2198341 Yulida Rystisareni Kampung Baru, 04 September 1989 Akbid Banua Bina Husada Ao 06273 422/289-MTKP/XI/2017 41 21 02 5 2 2 18-2198342 Mariyana Pagatan, 26 Mei 1971 Poltekkes Kemenkes Banjarmasin Ao 06274 422/289-MTKP/XI/2017 42 21 02 5 2 2 18-2198343 Masito Tapus, 11 Juli 1986 Poltekkes Kemenkes Banjarmasin Ao 06275 422/289-MTKP/XI/2017 43 21 02 5 2 2 18-2198344 Dede Herawati Sihitang, 07 Nopember 1989 Akbid Darmais Padangsidimpuan Ao 06276 422/289-MTKP/XI/2017 44 21 02 5 2 2 18-2198345 Anggi Ernia Rahmarita Kotabaru, 24 Juni 1992 Akademi Kebidanan Martapura Ao 06277 422/289-MTKP/XI/2017 45 21 02 5 2 2 18-2198346 Norhayati Birayang, 15 Februari 1971 Poltekkes Kemenkes Banjarmasin Ao 06278 422/289-MTKP/XI/2017 46 21 02 5 2 2 18-2198347 Lailatul Jannah Barabai, 16 Desember 1970 Poltekkes Kemenkes Banjarmasin Ao 06279 422/289-MTKP/XI/2017 47 21 02 5 2 2 18-2198348 Wahidah Banjarbaru, 22 September 1968 Poltekkes Kemenkes Banjarmasin Ao 06280 422/289-MTKP/XI/2017 48 21 02 5 2 2 18-2198349 Muntamah Banjarmasin, 23 Mei 1958 Poltekkes Kemenkes Banjarmasin Ao 06281 422/289-MTKP/XI/2017 49 21 02 5 2 2 18-2198350 Mahmudah Ambarwati Binuang, 08 Agustus 1990 Akademi Kebidanan Martapura Ao 06282 422/289-MTKP/XI/2017 50 21 02 5 2 2 18-2198351 Norhikmah Rumintin,14 April 1991 Akademi Kebidanan Bunga Kalimantan Ao 06283 422/289-MTKP/XI/2017 51 21 02 5 2 2 18-2198352 Ina Binuang, 12 Nopember 1983 Poltekkes Kemenkes Bengkulu Ao 06284 422/289-MTKP/XI/2017 52 21 02 5 2 2 18-2198353 Eva Maulidiyawati Martapura, 27 Oktober 1987 Akademi Kebidanan Martapura Ao 06285 422/289-MTKP/XI/2017 53 21 02 5 2 2 18-2198354 Novy Rasdiyanti Jaro, 10 Mei 1992 Poltekkes Kemenkes Banjarmasin Ao 06286 422/289-MTKP/XI/2017 54 21 02 5 2 2 18-2198355 Herlina Tri Novianti Hatungun, 05 Mei 1989 Akbid Banua Bina Husada Ao 06287 422/289-MTKP/XI/2017 55 21 02 5 2 2 18-2198356 Arima Yati Banjarmasin, 14 Nopember 1986 Poltekkes Kemenkes Banjarmasin Ao 06288 422/289-MTKP/XI/2017
56 21 02 5 2 2 18-2198357 Rosinani Murung Pudak, 10 Nopember 1969 Poltekkes Kemenkes Banjarmasin Ao 06289 422/289-MTKP/XI/2017 57 21 02 5 2 2 18-2198358 Betsi Marlenpia Cut Wati Hatungun, 14 Maret 1991 Akbid Banua Bina Husada Ao 06290 422/289-MTKP/XI/2017 58 21 02 5 2 2 18-2198359 Dewi Anisah Binuang, 17 Nopember 1989 Akbid Banua Bina Husada Ao 06291 422/289-MTKP/XI/2017 59 21 02 5 2 2 18-2198360 Resni Rustiati Rantau, 05 September 1974 Poltekkes Kemenkes Banjarmasin Ao 06292 422/289-MTKP/XI/2017 60 21 02 5 2 2 18-2198361 Siti Normansyah Palangka Raya, 12 September 1991 Akademi Kebidanan Sari Mulia Ao 06293 422/289-MTKP/XI/2017 61 21 02 5 2 2 18-2198362 Misbah Banjarmasin, 12 Februari 1960 Poltekkes Kemenkes Banjarmasin Ao 06294 422/289-MTKP/XI/2017 62 21 02 5 2 2 18-2198363 Meylinasari Banjarmasin, 12 Mei 1978 Poltekkes Kemenkes Banjarmasin Ao 06295 422/289-MTKP/XI/2017 63 21 02 5 2 2 18-2198364 Hayatun Pardah Haruyan, 07 Agustus 1986 Poltekkes Kemenkes Banjarmasin Ao 06296 422/289-MTKP/XI/2017 64 21 02 5 2 2 18-2198365 Yuliana Astuti Pangkalan Bun, 05 Mei 1990 Akademi Kebidanan Sari Mulia Ao 06297 422/289-MTKP/XI/2017 65 21 02 5 2 2 18-2198366 Sri Jamilah Banjarmasin, 14 Agustus 1962 Poltekkes Kemenkes Banjarmasin Ao 06298 422/289-MTKP/XI/2017 66 21 02 5 2 2 18-2198367 Masmudah Ambarsari Binuang, 08 Agustus 1990 Akademi Kebidanan Martapura Ao 06299 422/289-MTKP/XI/2017 67 21 02 5 2 2 18-2198368 Lia Nurhayati Pemalang, 02 Februari 1988 Poltekkes Permata Indonesia Yogyakarta Ao 04719 422/289-MTKP/XI/2017 TF
68 21 02 5 2 2 18-2198369 Susrini Sebelimbingan, 23 Juni 1989 Akademi Kebidanan Martapura Ao 06301 422/289-MTKP/XI/2017 69 21 02 5 2 2 18-2198370 Dwi Hastuti Sukoharjo, 15 September 1989 Poltekkes Kemenkes Semarang Ao 06302 422/289-MTKP/XI/2017 70 21 02 5 2 2 18-2198371 Misdawati Kotabaru, 20 September 1990 Akademi Kebidanan Martapura Ao 06303 422/289-MTKP/XI/2017 71 21 02 5 2 2 18-2198372 Sartika Putri Astriyani Banjarmasin, 06 Juni 1990 STIKES Darul Azhar Batulicin Ao 06304 422/289-MTKP/XI/2017 72 21 02 5 2 2 18-2198373 Sekar Sriwahyu Wulan Astuti Banjarmasin, 18 September 1982 Poltekkes Kemenkes Banjarmasin Ao 06305 422/289-MTKP/XI/2017 73 21 02 5 2 2 18-2198374 Popy Triana Mangkatip, 26 Desember 1977 Poltekkes Kemenkes Banjarmasin Ao 06306 422/289-MTKP/XI/2017 74 21 02 5 2 2 18-2198375 Mhaya Yulida Kandangan, 01 September 1987 Poltekkes Kemenkes Banjarmasin Ao 06307 422/289-MTKP/XI/2017 75 21 02 5 2 2 18-2198376 Erma Elisa Agustina Barabai, 04 Agustus 1991 Akademi Kebidanan Martapura Ao 06308 422/289-MTKP/XI/2017 76 21 02 5 2 2 18-2198377 Siti Mutmainah Banyuwangi, 24 September 1986 Akademi Kebidanan Ummi Khasanah Ao 06309 422/289-MTKP/XI/2017 77 21 02 5 2 2 18-2198378 Firda Rosanti Banjarmasin, 13 September 1992 Akademi Kebidanan Sari Mulia Ao 06310 422/289-MTKP/XI/2017 78 21 02 5 2 2 18-2198379 Hilmah Wawai Gardu, 16 Agustus 1985 Akademi Kebidanan Sari Mulia Ao 06311 422/289-MTKP/XI/2017 79 21 02 5 2 2 18-2198380 Siti Pathonah Madiun, 12 Juni 1968 STIKES Muhammadiyah Banjarmasin Ao 06312 422/289-MTKP/XI/2017 80 21 02 5 2 2 18-2198381 Hayatun Ni'mah Banjarmasin, 11 Juli 1991 STIKES Muhammadiyah Banjarmasin Ao 06313 422/289-MTKP/XI/2017 81 21 02 5 2 2 18-2198382 Yuniar Safitri Martapura, 15 Juni 1984 Akademi Kebidanan Martapura Ao 06314 422/289-MTKP/XI/2017 82 21 02 5 2 2 18-2198383 Safitri Endah Widianti Banjarbaru, 18 Oktober 1974 Akademi Kebidanan Martapura Ao 06315 422/289-MTKP/XI/2017 83 21 02 5 2 2 18-2198384 Citra Mahdini Guntung Payung, 19 Nopember 1990 Akademi Kebidanan Martapura Ao 06316 422/289-MTKP/XI/2017 84 21 02 5 2 2 18-2198385 Nofaurita Heldayanti Landasan Ulin, 26 Nopember 1971 Akademi Kebidanan Martapura Ao 06317 422/289-MTKP/XI/2017 TF
86 21 02 5 2 2 18-2198387 Eliyana Kandangan, 21 Maret 1968 Poltekkes Kemenkes Banjarmasin Ao 06319 422/289-MTKP/XI/2017 87 21 02 5 2 2 18-2198388 Anita Rahmina Kurau, 14 Juli 1990 Poltekkes Kemenkes Banjarmasin Ao 06320 422/289-MTKP/XI/2017 88 21 02 5 2 2 18-2198389 Saidatul Monawarah Pariangan, 14 September 1992 Akademi Kebidanan Banjarbaru Ao 06321 422/289-MTKP/XI/2017
REKAPITULASI STR FISIOTERAPI ONLINE RE-REGISTRASI YANG SUDAH TERBIT 02 FEBRUARI 2018
No. No. Registrasi Nama Tempat Tanggal Lahir Penguruan Tinggi No. Blanko No. Surat Ket.
1 21 03 5 2 2 17-2188101 Endah Prasetiya Noviyanti Pelaihari, 13 Nopember 1985 Universitas Muhammadiyah Surakarta Aj 90158 422/293-MTKP/XI/2017 2 21 03 6 2 2 17-2188102 Zaimah Banjarmasin, 31 Desember 1965 Poltekkes Kemenkes Surakarta Aj 90159 422/293-MTKP/XI/2017 3 21 03 5 2 2 17-2188103 Muna Banjarmasin, 20 September 1991 Universitas Muhammadiyah Surakarta Aj 90160 422/293-MTKP/XI/2017
REKAPITULASI STR RADIOGRAFER ONLINE RE-REGISTRASI YANG SUDAH TERBIT 02 FEBRUARI 2018
No. No. Registrasi Nama Tempat Tanggal Lahir Penguruan Tinggi
No.
Blanko No. Surat Ket.
1 21 07 5 2 1 17-2188095 Aulia Safitri Kotabaru, 30 Desember 1991 AKTEK Radiodiagnostik & Terapi CIP Aj 90152 422/292-MTKP/XI/2017 2 21 07 5 1 1 17-2188096 Noufal Martapura, 19 Desember 1989 AKTEK Radiodiagnostik & Radioterapi Nusantara Aj 90153 422/292-MTKP/XI/2017 3 21 07 5 1 2 17-2188097 Herbert Sianturi Lumban Lintong, 20 Maret 1980 AKTEK Radiodiagnostik & Radioterapi (ATRO) Aj 90154 422/292-MTKP/XI/2017 4 21 07 5 2 2 17-2188098 Hijriani P.majene, 08 Oktober 1978 AKTEK Radiodiagnostik & Radioterapi Muhammadiyah Aj 90155 422/292-MTKP/XI/2017 5 21 07 5 2 2 17-2188099 Dyah Sulistyorini Surabaya, 16 Oktober 1979 Universitas Airlangga Aj 90156 422/292-MTKP/XI/2017 6 21 07 5 1 2 17-2188100 Saadillah Luthfi Matang Lurus, 02 Oktober 1989 AKTEK Radiodiagnostik & Radioterapi (ATRO) Aj 90157 422/292-MTKP/XI/2017
REKAPITULASI STR OKUPASI TERAPIS ONLINE RE-REGISTRASI YANG SUDAH TERBIT 02 FEBRUARI 2018
No. No. Registrasi Nama Tempat Tanggal Lahir Penguruan Tinggi No. Blanko No. Surat Ket.
1 21 08 5 1 2 17-2188104 Aspani Banjarmasin, 24 Desember 1978 Poltekkes Kemenkes Surakarta Aj 90161 422/294-MTKP/XI/2017
REKAPITULASI STR AHLI GIZI ONLINE RE-REGISTRASI YANG SUDAH TERBIT 02 FEBRUARI 2018
No. No. Registrasi Nama Tempat Tanggal Lahir Penguruan Tinggi No. Blanko No. Surat Ket.
1 21 09 5 2 2 18-2198249 Noor Fithriyah Amuntai, 30 April 1989 Poltekkes Kemenkes Banjarmasin Ao 06181 422/291-MTKP/XI/2017 2 21 09 5 2 2 18-2198250 Nida Hayati Rantau Karau Raya, 25 April 1988 Poltekkes Kemenkes Banjarmasin Ao 06182 422/291-MTKP/XI/2017 3 21 09 5 2 2 18-2198251 Yunida Erliana Banjarmasin, 08 Mei 1988 Poltekkes Kemenkes Banjarmasin Ao 06183 422/291-MTKP/XI/2017 4 21 09 5 2 2 18-2198252 Rina Jayanti Simpang Empat, 22 Juli 1991 Poltekkes Kemenkes Banjarmasin Ao 06184 422/291-MTKP/XI/2017 5 21 09 5 2 2 18-2198253 Sri Arniyati Miawa, 14 Oktober 1987 Poltekkes Kemenkes Banjarmasin Ao 06185 422/291-MTKP/XI/2017 6 21 09 5 2 2 18-2198254 Ika Yuliani Banjarmasin, 01 Juli 1985 Poltekkes Kemenkes Banjarmasin Ao 06186 422/291-MTKP/XI/2017 7 21 09 5 2 2 18-2198255 Murhalisah Pemurus, 14 April 1987 Poltekkes Kemenkes Banjarmasin Ao 06187 422/291-MTKP/XI/2017 8 21 09 5 2 2 18-2198256 Imillia Miftahul Jannah Kelua, 07 April 1989 Poltekkes Kemenkes Banjarmasin Ao 06188 422/291-MTKP/XI/2017 9 21 09 5 2 2 18-2198257 Utiyati Purbalingga, 27 Agustus 1989 Poltekkes Kemenkes Yogyakarta Ao 06189 422/291-MTKP/XI/2017 10 21 09 5 2 2 18-2198258 Heffy Banjarsari Tabalong, 25 Maret 1990 Poltekkes Kemenkes Banjarmasin Ao 06190 422/291-MTKP/XI/2017 11 21 09 5 2 2 18-2198259 Maya Dewi Wulandari Yogyakarta, 21 Oktober 1992 Poltekkes Kemenkes Yogyakarta Ao 06191 422/291-MTKP/XI/2017 12 21 09 5 1 2 18-2198260 Samsudin Sapri Murung Pudak, 14 April 1974 Poltekkes Kemenkes Banjarmasin Ao 06192 422/291-MTKP/XI/2017 13 21 09 5 1 2 18-2198261 Dwi Bambang Rahayu Banjarmasin, 24 Oktober 1983 Poltekkes Kemenkes Banjarmasin Ao 06193 422/291-MTKP/XI/2017 14 21 09 5 2 2 18-2198262 Hayatur Rahmah Muara Teweh, 22 Nopember 1990 Poltekkes Kemenkes Banjarmasin Ao 06194 422/291-MTKP/XI/2017 15 21 09 5 2 2 18-2198263 Agustina Manurung Lintong Julu, 17 Agustus 1977 Poltekkes Kemenkes Medan Ao 06195 422/291-MTKP/XI/2017 16 21 09 5 2 2 18-2198264 Rizka Lidyani Banjarmasin, 21 Oktober 1988 Poltekkes Kemenkes Banjarmasin Ao 06196 422/291-MTKP/XI/2017 17 21 09 6 2 2 18-2198265 Amanda Perdhani Putri Malang, 17 Nopember 1988 Universitas Brawijaya Ao 06197 422/291-MTKP/XI/2017
18 21 09 5 2 2 18-2198266 Alfisyah Banjarmasin, 15 Juli 1974 Poltekkes Kemenkes Banjarmasin Ao 06198 422/291-MTKP/XI/2017 19 21 09 5 2 2 18-2198267 Rajihah Banjarmasin, 19 April 1985 Poltekkes Kemenkes Banjarmasin Ao 06199 422/291-MTKP/XI/2017 20 21 09 5 2 2 18-2198268 Rina Amuntai, 26 Mei 1974 Poltekkes Kemenkes Banjarmasin Ao 06200 422/291-MTKP/XI/2017 21 21 09 5 2 2 18-2198269 Hilmah Keramat, 03 Oktober 1992 Poltekkes Kemenkes Banjarmasin Ao 06201 422/291-MTKP/XI/2017 22 21 09 5 2 2 18-2198270 Indah Pratiwi Tabalong, 28 Mei 1990 Poltekkes Kemenkes Banjarmasin Ao 06202 422/291-MTKP/XI/2017 23 21 09 6 2 2 18-2198271 Helnida Wati Amuntai, 10 Nopember 1990 Poltekkes Kemenkes Banjarmasin Ao 06203 422/291-MTKP/XI/2017 24 21 09 5 2 2 18-2198272 Paujiah Jaing Hilir, 23 Desember 1990 Poltekkes Kemenkes Banjarmasin Ao 06204 422/291-MTKP/XI/2017 25 21 09 5 1 2 18-2198273 Neno Husada Margasari, 05 Nopember 1988 STIKES Mohammad Husni Thamrin Ao 06205 422/291-MTKP/XI/2017 26 21 09 5 1 2 18-2198274 M. Samsuri Banjarmasin, 29 September 1984 Poltekkes Kemenkes Banjarmasin Ao 06206 422/291-MTKP/XI/2017 27 21 09 5 1 2 18-2198275 Hendra Saputera Birayang, 08 September 1990 Poltekkes Kemenkes Banjarmasin Ao 06207 422/291-MTKP/XI/2017 28 21 09 5 2 2 18-2198276 Riska Handayani Banjarmasin, 16 Agustus 1983 Poltekkes Kemenkes Banjarmasin Ao 06208 422/291-MTKP/XI/2017 29 21 09 5 2 2 18-2198277 Jannaturradaina Barabai, 09 Agustus 1990 Poltekkes Kemenkes Banjarmasin Ao 06209 422/291-MTKP/XI/2017 30 21 09 6 1 2 18-2198278 Puji Hanifah Barito Kuala, 26 Februari 1985 Universitas Brawijaya Ao 06210 422/291-MTKP/XI/2017 31 21 09 5 1 2 18-2198279 Herry Irwandi Amuntai, 10 Mei 1981 Poltekkes Kemenkes Banjarmasin Ao 06211 422/291-MTKP/XI/2017 32 21 09 5 2 2 18-2198280 Marini Banjarmasin, 16 Maret 1980 Poltekkes Kemenkes Banjarmasin Ao 06212 422/291-MTKP/XI/2017 33 21 09 5 2 2 18-2198281 Masliawati Kandangan, 17 April 1971 Poltekkes Kemenkes Banjarmasin Ao 06213 422/291-MTKP/XI/2017 34 21 09 5 2 2 18-2198282 Masrinah Kandangan, 31 Agustus 1990 Poltekkes Kemenkes Banjarmasin Ao 06214 422/291-MTKP/XI/2017 35 21 09 5 2 2 18-2198283 Hamidah Sungai Pandan, 04 Agustus 1983 Poltekkes Kemenkes Banjarmasin Ao 06215 422/291-MTKP/XI/2017 36 21 09 5 2 2 18-2198284 Noor Wahidah Agustina Banjarmasin, 24 Agustus 1986 Universitas Brawijaya Ao 06216 422/291-MTKP/XI/2017 37 21 09 5 2 2 18-2198285 Zulfiah Mahdalena Amuntai, 28 Oktober 1981 Universitas Gadjah Mada Ao 06217 422/291-MTKP/XI/2017 38 21 09 5 2 2 18-2198286 Muhammad Mahliannor Barabai, 08 Juli 1986 Universitas Brawijaya Ao 06218 422/291-MTKP/XI/2017 39 21 09 5 2 2 18-2198287 Rina Emilia Hambuku Lima, 25 September 1991 Poltekkes Kemenkes Banjarmasin Ao 06219 422/291-MTKP/XI/2017 40 21 09 5 2 2 18-2198288 Novita Hartati Amuntai, 29 Oktober 1990 Poltekkes Kemenkes Banjarmasin Ao 06220 422/291-MTKP/XI/2017 41 21 09 5 1 2 18-2198289 Ridho Ridwan Kotabaru, 04 Oktober 1986 Poltekkes Kemenkes Banjarmasin Ao 06221 422/291-MTKP/XI/2017 42 21 09 5 2 2 18-2198290 Irma Istiqomah Sari Pagatan, 31 Juli 1985 Poltekkes Kemenkes Banjarmasin Ao 06222 422/291-MTKP/XI/2017 43 21 09 5 2 1 18-2198291 Diana Siagian Pagatan, 24 Juli 1980 Poltekkes Kemenkes Banjarmasin Ao 06223 422/291-MTKP/XI/2017 44 21 09 5 2 2 18-2198292 Dwi Rahayu Ningsih Martapura, 16 Nopember 1982 Poltekkes Kemenkes Banjarmasin Ao 06224 422/291-MTKP/XI/2017 45 21 09 5 2 2 18-2198293 Eva Luriani Labuhan Barat, 17 Juli 1985 Poltekkes Kemenkes Banjarmasin Ao 06225 422/291-MTKP/XI/2017 46 21 09 5 2 2 18-2198294 Magfirah Hayati Murung Abuin, 15 Mei 1993 Poltekkes Kemenkes Banjarmasin Ao 06226 422/291-MTKP/XI/2017 47 21 09 5 2 2 18-2198295 Mildawati Mangkayahu, 10 Agustus 1991 Poltekkes Kemenkes Banjarmasin Ao 06227 422/291-MTKP/XI/2017
48 21 09 5 1 2 18-2198296 Sofyan Hadi Banjarmasin, 14 Mei 1974 Poltekkes Kemenkes Banjarmasin Ao 06228 422/291-MTKP/XI/2017 49 21 09 5 2 2 18-2198297 Novia Herlenda Banjarmasin, 08 Nopember 1988 Poltekkes Kemenkes Banjarmasin Ao 06229 422/291-MTKP/XI/2017 50 21 09 5 2 2 18-2198298 Rusna Yulida Marabahan, 26 Oktober 1988 Poltekkes Kemenkes Banjarmasin Ao 06230 422/291-MTKP/XI/2017 51 21 09 5 2 2 18-2198299 Fitwie Heqmiati Ardana Kandangan, 20 Oktober 1988 Poltekkes Kemenkes Banjarmasin Ao 06231 422/291-MTKP/XI/2017 52 21 09 5 2 2 18-2198300 Norbaity Hasanah Kandangan, 13 Juli 1989 Poltekkes Kemenkes Banjarmasin Ao 06232 422/291-MTKP/XI/2017 53 21 09 5 2 2 18-2198301 Norhidayah Dangu, 16 Juli 1989 Poltekkes Kemenkes Banjarmasin Ao 06233 422/291-MTKP/XI/2017
REKAPITULASI STR PENATA ANESTESI ONLINE RE-REGISTRASI YANG SUDAH TERBIT 02 FEBRUARI 2018
No. No. Registrasi Nama Tempat Tanggal Lahir Penguruan Tinggi No. Blanko No. Surat Ket.
1 21 15 5 1 2 17-2188109 Bambang Priyanto Banjarmasin, 30 Maret 1971 Poltekkes Kemenkes Surabaya Aj 90162 422/295-MTKP/XI/2017
Terdapat 8 oramg dengan STR tanpa foto, diharapkan saat pengambilan membawa foto ukuran 4x6 latar merah sebanyak 1 lembar
No. No. Registrasi Nama Tempat Tanggal Lahir Penguruan Tinggi No. Blanko No. Surat Ket.
1 21 01 5 2 2 18-2197942 Zuhriyah Kandangan, 17 Agustus 1992 Akademi Keperawatan Intan Martapura Ao 06001 422/288-MTKP/XI/2017
2 21 01 5 1 2 18-2197943 Herman Tamban, 08 Agustus 1984 Poltekkes Kemenkes Banjarmasin Ao 06002 422/288-MTKP/XI/2017
3 21 01 5 1 2 18-2197944 Sutrisno Tanjungsari, 24 April 1966 Poltekkes Kemenkes Banjarmasin Ao 06003 422/288-MTKP/XI/2017 4 21 01 5 2 2 18-2197945 Novia Fujiati Binuang, 03 Nopember 1991 Akademi Keperawatan Intan Martapura Ao 06004 422/288-MTKP/XI/2017
5 21 01 5 2 2 18-2197946 Elys Ermawati Martapura, 04 Oktober 1986 STIKES Suaka Insan Ao 06005 422/288-MTKP/XI/2017
6 21 01 5 2 2 18-2197947 Luthfia Amelia Jayanti Binuang, 18 Agustus 1992 Akademi Keperawatan Intan Martapura Ao 06006 422/288-MTKP/XI/2017 7 21 01 5 2 2 18-2197948 Norma Hidah Martapura, 15 Nopember 1991 Akper Pandan Harum Banjarmasin Ao 06007 422/288-MTKP/XI/2017 8 21 01 5 2 2 18-2197949 Noor'ain Banjarbaru, 22 Juni 1992 Akademi Keperawatan Intan Martapura Ao 06008 422/288-MTKP/XI/2017 9 21 01 5 1 2 18-2197950 Rusni Thamrin Pingaran, 15 Agustus 1987 Akademi Keperawatan Intan Martapura Ao 06009 422/288-MTKP/XI/2017 10 21 01 5 2 2 18-2197951 Wiwin Alfiyanti Kuala Kapuas, 13 Oktober 1989 Akademi Keperawatan Intan Martapura Ao 06010 422/288-MTKP/XI/2017 11 21 01 5 1 2 18-2197952 Muhammad Redhani Hafiz Pelaihari, 03 Oktober 1992 Akademi Keperawatan Intan Martapura Ao 06011 422/288-MTKP/XI/2017 12 21 01 5 1 2 18-2197953 Muhammad Dimas Septian Anugerah Saputra Martapura, 19 September 1992 Akademi Keperawatan Intan Martapura Ao 06012 422/288-MTKP/XI/2017 13 21 01 5 2 2 18-2197954 Heldaniah Utami Banua Anyar, 20 April 1991 Akademi Keperawatan Intan Martapura Ao 06013 422/288-MTKP/XI/2017 14 21 01 5 2 2 18-2197955 Yessi Kusuma Putri Banjarbaru, 03 Agustus 1988 STIKES Suaka Insan Ao 06014 422/288-MTKP/XI/2017
15 21 01 5 2 2 18-2197956 Tarny Anggrainy Sampait, 07 September 1986 Akademi Keperawatan Intan Martapura Ao 06015 422/288-MTKP/XI/2017 16 21 01 5 2 2 18-2197957 Saniyah
Sungai Kupang, 07 September
1993 Poltekkes Kemenkes Banjarmasin Ao 06016 422/288-MTKP/XI/2017
17 21 01 5 1 2 18-2197958 Cahyo Wibowo Marabahan, 13 Juli 1987 Akademi Keperawatan Intan Martapura Ao 06017 422/288-MTKP/XI/2017 18 21 01 5 1 2 18-2197959 Rama Almuzayad Tambarangan,14 April 1991 Akademi Keperawatan Intan Martapura Ao 06018 422/288-MTKP/XI/2017 19 21 01 5 2 2 18-2197960 Gusaenah Banjarmasin, 08 Agustus 1971 STIKES Muhammadiyah Banjarmasin Ao 06019 422/288-MTKP/XI/2017 20 21 01 5 2 2 18-2197961 Nenda Prasasti Banjarmasin, 04 Oktober 1987 Poltekkes Kemenkes Banjarmasin Ao 06020 422/288-MTKP/XI/2017
21 21 01 5 2 2 18-2197962 Ika Agus Dinny Banjarmasin, 14 Agustus 1981 Poltekkes Kemenkes Banjarmasin Ao 06021 422/288-MTKP/XI/2017 22 21 01 5 2 2 18-2197963 Andi Marita Banjarmasin, 23 Nopember 1983 Akper Kesdam VI/Tanjung Pura Ao 06022 422/288-MTKP/XI/2017
23 21 01 5 2 2 18-2197964 Noordiah Sri Muhariyati Banjarbaru, 21 Nopember 1979 Poltekkes Kemenkes Banjarmasin Ao 06023 422/288-MTKP/XI/2017 24 21 01 5 2 2 18-2197965 Rahmatullah Banjarmasin, 10 Agustus 1992 Akademi Keperawatan Intan Martapura Ao 06024 422/288-MTKP/XI/2017 25 21 01 5 1 2 18-2197966 Rizqi Achdiyat Cabi, 23 Nopember 1992 Akademi Keperawatan Intan Martapura Ao 06025 422/288-MTKP/XI/2017 26 21 01 5 2 2 18-2197967 Gayatri Dwie Aryanti Banjarbaru, 11 Juli 1991 Akademi Keperawatan Intan Martapura Ao 06026 422/288-MTKP/XI/2017 27 21 01 5 2 2 18-2197968 Siti Khalilah Kota Baru, 24 Juni 1990 Poltekkes Kemenkes Banjarmasin Ao 06027 422/288-MTKP/XI/2017 28 21 01 5 1 2 18-2197969 Rahmad Hidayat Alabio, 13 Juli 1990 Akademi Keperawatan Murakata Barabai Ao 06028 422/288-MTKP/XI/2017 29 21 01 7 1 2 18-2197970 Muhammad Mirwansyah Jarang Kuantan, 09 Oktober 1987 STIKES Muhammadiyah Banjarmasin Ao 06029 422/288-MTKP/XI/2017 30 21 01 7 1 2 18-2197971 Ahmad Syarif Banjarmasin, 29 Mei 1988 STIKES Muhammadiyah Banjarmasin Ao 06030 422/288-MTKP/XI/2017 31 21 01 5 1 1 18-2197972 Abdul Haris
Sungai Pandan Tengah, 12 Maret
1990 Akademi Keperawatan Murakata Barabai Ao 06031 422/288-MTKP/XI/2017 32 21 01 5 1 2 18-2197973 Bagus Harianto Panyipatan, 14 September 1992 Akademi Keperawatan Intan Martapura Ao 06032 422/288-MTKP/XI/2017 33 21 01 7 2 2 18-2197974 Helda Fariani Binuang, 09 September 1987 STIKES Muhammadiyah Banjarmasin Ao 06033 422/288-MTKP/XI/2017 34 21 01 5 1 2 18-2197975 Rafael Bayu Pratama Banjarmasin, 29 September 1989 STIKES Suaka Insan Ao 06034 422/288-MTKP/XI/2017 35 21 01 7 2 2 18-2197976 Nina Ariyani Banjarmasin, 27 Agustus 1988 STIKES Cahaya Bangsa Ao 06035 422/288-MTKP/XI/2017 36 21 01 5 1 2 18-2197977 Muhammad Jaini Podok, 23 September 1989 Akademi Keperawatan Intan Martapura Ao 06036 422/288-MTKP/XI/2017 37 21 01 5 1 2 18-2197978 Abdul Syukur Podok, 05 Juli 1986 Akademi Keperawatan Intan Martapura Ao 06037 422/288-MTKP/XI/2017 38 21 01 5 1 2 18-2197979 Ahmad Fauzan Noor Tambarangan, 03 September 1990 Akademi Keperawatan Intan Martapura Ao 06038 422/288-MTKP/XI/2017 39 21 01 5 2 2 18-2197980 Aulia Hazizah Pelaihari, 24 September 1990 Akper Pandan Harum Banjarmasin Ao 06039 422/288-MTKP/XI/2017
40 21 01 5 2 2 18-2197981 Paulina Semangat Bakti STIKES Muhammadiyah Banjarmasin Ao 06040 422/288-MTKP/XI/2017
41 21 01 5 2 2 18-2197982 Captur Fitri Yuliana Loktabat, 18 Mei 1984 Akademi Keperawatan Intan Martapura Ao 06041 422/288-MTKP/XI/2017 42 21 01 5 2 2 18-2197983 Cahaya Kartini Banjarmasin, 23 Juli 1986 Akper Pandan Harum Banjarmasin Ao 06042 422/288-MTKP/XI/2017 43 21 01 5 2 2 18-2197984 Mas'amah Banjarmasin, 30 Nopember 1989 STIKES Muhammadiyah Banjarmasin Ao 06043 422/288-MTKP/XI/2017
44 21 01 5 2 2 18-2197985 Marhamah Barabai, 20 Februari 1988 Akper Pandan Harum Banjarmasin Ao 06044 422/288-MTKP/XI/2017 45 21 01 5 1 2 18-2197986 Tukiran Gunung Makmur, 02 Juli 1987 Akademi Keperawatan Intan Martapura Ao 06045 422/288-MTKP/XI/2017 46 21 01 5 2 2 18-2197987 Rifana Ayu Wardani Danau Salak, 17 Desember 1991 Akademi Keperawatan Intan Martapura Ao 06046 422/288-MTKP/XI/2017 47 21 01 7 2 2 18-2197988 Siti Juleha Mangkatip, 22 Juli 1987 STIKes Muhammadiyah Banjarmasin Ao 06047 422/288-MTKP/XI/2017 48 21 01 5 2 2 18-2197989 Ulfah Banjarmasin, 26 Juli 1989 Akper Pandan Harum Banjarmasin Ao 06048 422/288-MTKP/XI/2017 49 21 01 5 1 2 18-2197990 Sarwani Kandangan, 20 Oktober 1987 Akper Kesdam VI/Tanjung Pura Ao 06049 422/288-MTKP/XI/2017 50 21 01 7 1 2 18-2197991 Deddy Restiadie Noora Ujung Pandang, 01 April 1987 STIKes Muhammadiyah Banjarmasin Ao 06050 422/288-MTKP/XI/2017 51 21 01 5 1 2 18-2197992 Yunan Hamidi Barabai, 16 April 1990 Akademi Keperawatan Murakata Barabai Ao 06051 422/288-MTKP/XI/2017 52 21 01 5 2 2 18-2197993 Noormitasari Banjarmasin, 28 Agustus 1981 Poltekkes Kemenkes Banjarmasin Ao 06052 422/288-MTKP/XI/2017 53 21 01 5 2 2 18-2197994 Aida Alabio, 02 September 1973 Poltekkes Kemenkes Banjarmasin Ao 06053 422/288-MTKP/XI/2017 54 21 01 5 2 2 18-2197995 Harisah Manarap, 09 Desember 1988 Poltekkes Kemenkes Banjarmasin Ao 06054 422/288-MTKP/XI/2017 55 21 01 5 1 2 18-2197996 Rizali Basbie Kandangan, 20 Oktober 1989 Akademi Keperawatan Intan Martapura Ao 06055 422/288-MTKP/XI/2017 56 21 01 5 1 2 18-2197997 Ady Setiawan Kandangan, 07 Januari 1980 STIKES Muhammadiyah Banjarmasin Ao 06056 422/288-MTKP/XI/2017 57 21 01 5 2 2 18-2197998 Farida Agustina Hariyanti Tanjung, 15 Agustus 1991 Akademi Keperawatan Intan Martapura Ao 06057 422/288-MTKP/XI/2017 58 21 01 5 2 2 18-2197999 Asteria Shinta Ari Purnami Klaten, 30 Desember 1984 Akper Panti Rapih yogyakarta Ao 06058 422/288-MTKP/XI/2017 59 21 01 5 1 2 18-2198000 Muhammad Irwan Sungai Raya Utara, 20 Juni 1990 Akademi Keperawatan Intan Martapura Ao 06059 422/288-MTKP/XI/2017 60 21 01 5 2 2 18-2198001 Norliana
Pematang Danau, 23 September
1987 Akademi Keperawatan Intan Martapura Ao 06060 422/288-MTKP/XI/2017 61 21 01 5 1 2 18-2198002 Akhmad Ristiandi Aluan, 09 April 1990 Akademi Keperawatan Intan Martapura Ao 06061 422/288-MTKP/XI/2017 62 21 01 5 1 2 18-2198003 Jam'an Hadi Danau Salak, 03 Nopember 1991 Akademi Keperawatan Intan Martapura Ao 06062 422/288-MTKP/XI/2017 63 21 01 5 2 2 18-2198004 Sari Noor Asiah Banjar Baru, 15 Oktober 1985 Akademi Keperawatan Intan Martapura Ao 06063 422/288-MTKP/XI/2017
64 21 01 5 2 2 18-2198005 Rahmah Negara, 28 Juli 1980 STIKES Muhammadiyah Banjarmasin Ao 06064 422/288-MTKP/XI/2017
65 21 01 7 2 2 18-2198006 Norlaila Ariyani Barabai, 20 Januari 1990 STIKES Muhammadiyah Banjarmasin Ao 06065 422/288-MTKP/XI/2017 TF
66 21 01 7 2 2 18-2198007 Maria Ulfah Pekalongan, 21 Mei 1982 Universitas Muhammadiyah Banjarmasin Ao 06066 422/288-MTKP/XI/2017 67 21 01 5 2 2 18-2198008 Norjanah Murung Pudak, 07 Nopember 1990 Akademi Keperawatan Intan Martapura Ao 06067 422/288-MTKP/XI/2017 68 21 01 7 2 2 18-2198009 Rahmah Banjarmasin, 04 Nopember 1970 STIKES Muhammadiyah Banjarmasin Ao 06068 422/288-MTKP/XI/2017 69 21 01 5 1 2 18-2198010 Eko Wahyu Saputra Banjarmasin, 19 Desember 1990 Akper Kesdam VI/Tanjung Pura Ao 06069 422/288-MTKP/XI/2017 TF
70 21 01 5 2 2 18-2198011 Linda Felda Marthawati Ratau, 17 Maret 1988 Poltekkes Kemenkes Banjarmasin Ao 06070 422/288-MTKP/XI/2017 71 21 01 5 2 2 18-2198012 Rachamawati Suryaningsih Martapura, 05 Oktober 1988 STIKES Muhammadiyah Surakarta Ao 06071 422/288-MTKP/XI/2017 72 21 01 5 2 2 18-2198013 Dewi Rahayu Daha Selatan, 26 Desember 1983 Akper Pandan Harum Banjarmasin Ao 06072 422/288-MTKP/XI/2017
73 21 01 5 1 2 18-2198014 Haris Hafizi Daha Selatan, 02 Januari 1993 STIKES Muhammadiyah Banjarmasin Ao 06073 422/288-MTKP/XI/2017 74 21 01 7 2 2 18-2198015 Nooril Azmi Banjarmasin, 23 April 1989 STIKES Muhammadiyah Banjarmasin Ao 06074 422/288-MTKP/XI/2017 75 21 01 7 2 2 18-2198016 Noor Qamariah Lok Sabang, 18 Oktober 1987 STIKES Muhammadiyah Banjarmasin Ao 06075 422/288-MTKP/XI/2017 76 21 01 5 2 2 18-2198017 Erna Dwi Kusuma Balikpapan, 27 September 1984 Akademi Keperawatan Intan Martapura Ao 06076 422/288-MTKP/XI/2017 77 21 01 5 2 2 18-2198018 Eni Rahayu Barabai, 04 Juli 1979 Akademi Keperawatan Intan Martapura Ao 06077 422/288-MTKP/XI/2017 78 21 01 5 2 2 18-2198019 Gusmawati Pelaihari, 18 Agustus 1989 Poltekkes Kemenkes Banjarmasin Ao 06078 422/288-MTKP/XI/2017 79 21 01 5 1 2 18-2198020 Muhammad Ariyanto Banjarmasin, 02 Nopember 1989 Akper Pandan Harum Banjarmasin Ao 06079 422/288-MTKP/XI/2017 TF
80 21 01 5 1 2 18-2198021 Muchriza Helmy Samarinda, 29 Nopember 1991 Akademi Keperawatan Intan Martapura Ao 06080 422/288-MTKP/XI/2017 81 21 01 5 1 2 18-2198022 Sadam Husin Sungai Pinang, 01 September 1990 Akper Pandan Harum Banjarmasin Ao 06081 422/288-MTKP/XI/2017 82 21 01 5 2 2 18-2198023 Raihanah Negara, 25 September 1984 STIKES Muhammadiyah Banjarmasin Ao 06082 422/288-MTKP/XI/2017 83 21 01 5 2 2 18-2198024 Mahrita Kotabaru, 05 Agustus 1988 Akper Kesdam VI/Tanjung Pura Ao 06083 422/288-MTKP/XI/2017 84 21 01 5 2 2 18-2198025 Puji Astuti Banjarmasin, 19 Desember 1984 Akper Pandan Harum Banjarmasin Ao 06084 422/288-MTKP/XI/2017 85 21 01 5 2 1 18-2198026 Raudatus Subaikah Ja'ar, 20 Mei 1988 Akper Kesdam VI/Tanjung Pura Ao 06085 422/288-MTKP/XI/2017 86 21 01 5 2 2 18-2198027 Dewi Fitrianti Danau Salak, 28 April 1989 STIKES Muhammadiyah Banjarmasin Ao 06086 422/288-MTKP/XI/2017 87 21 01 5 1 2 18-2198028 Rusnadi Berangas, 18 Agustus 1990 Akper Pandan Harum Banjarmasin Ao 06087 422/288-MTKP/XI/2017 88 21 01 5 2 2 18-2198029 Linda Carolina Rantau, 10 Nopember 1990 Akademi Keperawatan Intan Martapura Ao 06088 422/288-MTKP/XI/2017 89 21 01 5 2 2 18-2198030 Norlathofah Banjarmasin, 23 Mei 1979 STIKES Muhammadiyah Banjarmasin Ao 06089 422/288-MTKP/XI/2017
90 21 01 5 2 2 18-2198031 Yuliana Kotabaru, 13 Juli 1975 STIKES Suaka Insan Ao 06090 422/288-MTKP/XI/2017
91 21 01 5 1 2 18-2198032 Addin Ridhani Pelaihari, 26 Juni 1992 Poltekkes Kemenkes Banjarmasin Ao 06091 422/288-MTKP/XI/2017 92 21 01 5 2 2 18-2198033 Fitri Tatah Pelatar, 17 Juli 1991 Akper Pandan Harum Banjarmasin Ao 06092 422/288-MTKP/XI/2017 93 21 01 5 2 2 18-2198034 Katarina Sinaga Nagatimbul, 09 Maret 1968 Akademi Keperawatan Intan Martapura Ao 06093 422/288-MTKP/XI/2017 94 21 01 5 2 2 18-2198035 Lisdawati Sitorus Dumai, 26 September 1976 Universitas Advent Indonesia Ao 06094 422/288-MTKP/XI/2017 95 21 01 5 1 2 18-2198036 Gunadi Landasan Ulin, 09 Oktober 1989 Akademi Keperawatan Intan Martapura Ao 06095 422/288-MTKP/XI/2017 96 21 01 5 1 2 18-2198037 Muhammad Nuji Basuki Durian Gantang, 18 Juni 1984 Akademi Keperawatan Murakata Barabai Ao 06096 422/288-MTKP/XI/2017 97 21 01 5 2 2 18-2198038 Siti Aisyah Tapin, 01 Juli 1961 Poltekkes Kemenkes Banjarmasin Ao 06097 422/288-MTKP/XI/2017 98 21 01 5 1 2 18-2198039 H. Ahmad Makkie Pariok, 25 Juli 1984 Akademi Keperawatan Intan Martapura Ao 06098 422/288-MTKP/XI/2017 99 21 01 5 2 2 18-2198040 Aisyah Banjarmasin, 02 Juni 1988 Akper Kesdam VI/Tanjung Pura Ao 06099 422/288-MTKP/XI/2017 100 21 01 5 1 2 18-2198041 Rizky Maulana Banjarmasin, 18 September 1991 Akper Pandan Harum Banjarmasin Ao 06100 422/288-MTKP/XI/2017 101 21 01 5 2 2 18-2198042 Iki Norjanah Tabalong, 25 Oktober 1992 Akademi Keperawatan Intan Martapura Ao 06101 422/288-MTKP/XI/2017 102 21 01 7 2 2 18-2198043 Sayyidah Banjarmasin, 20 Februari 1990 STIKES Muhammadiyah Banjarmasin Ao 06102 422/288-MTKP/XI/2017
103 21 01 5 2 2 18-2198044 Elfa Norannisa Kelua, 22 Agustus 1982 Akademi Keperawatan Intan Martapura Ao 06103 422/288-MTKP/XI/2017 104 21 01 5 2 2 18-2198045 Herni Maulidah Kelua, 13 September 1992 Akademi Keperawatan Intan Martapura Ao 06104 422/288-MTKP/XI/2017 105 21 01 5 1 2 18-2198046 Awliya Rahman Alabio, 08 Juli 1990 STIKES Muhammadiyah Banjarmasin Ao 06105 422/288-MTKP/XI/2017 106 21 01 6 2 2 18-2198047 Ria Agustina Fransiska Situmorang Danau Salak, 23 Agustus 1989 Akademi Keperawatan Intan Martapura Ao 06106 422/288-MTKP/XI/2017 107 21 01 5 2 2 18-2198048 Herlina Abadi Banjarmasin, 29 Nopember 1978 STIKES Muhammadiyah Banjarmasin Ao 06107 422/288-MTKP/XI/2017 108 21 01 5 1 2 18-2198049 Mujiono Yogyakarta, 21 April 1971 Akademi Keperawatan Intan Martapura Ao 06108 422/288-MTKP/XI/2017 109 21 01 5 2 2 18-2198050 Maya Elisa Landasan Ulin, 20 Mei 1986 Akademi Keperawatan Murakata Barabai Ao 06109 422/288-MTKP/XI/2017 TF
110 21 01 5 2 2 18-2198051 Helda Wahyunita Barabai, 06 Maret 2024 Akademi Keperawatan Murakata Barabai Ao 06110 422/288-MTKP/XI/2017 TF
111 21 01 5 1 2 18-2198052 Rian Hidayat Kandangan, 24 Agustus 1980 Poltekkes Kemenkes Bandung Ao 06111 422/288-MTKP/XI/2017 112 21 01 5 1 2 18-2198053 Tajodin Noor Sei Pasah, 01 Februari 1989 Akademi Keperawatan Pemkab Kapuas Ao 06112 422/288-MTKP/XI/2017 113 21 01 5 1 2 18-2198054 Muhammad Maulidy Noor Rantau, 20 September 1991 Akademi Keperawatan Intan Martapura Ao 06113 422/288-MTKP/XI/2017 114 21 01 7 2 2 18-2198055 Erlina Astuti Banjarbaru, 08 Oktober 1980 Universitas Airlangga Ao 06114 422/288-MTKP/XI/2017 115 21 01 5 2 2 18-2198056 Rizki Dinia Mayasari Barabai, 27 Mei 1988 Akademi Keperawatan Murakata Barabai Ao 06115 422/288-MTKP/XI/2017 116 21 01 5 2 2 18-2198057 Saiful Rahmi
Taniran Kubah, 13 Nopember
1980 STIKES Muhammadiyah Banjarmasin Ao 06116 422/288-MTKP/XI/2017
117 21 01 5 2 2 18-2198058 Rusmiati Tanayung, 26 Oktober 1980 STIKES Muhammadiyah Banjarmasin Ao 06117 422/288-MTKP/XI/2017 118 21 01 5 1 2 18-2198059 Mohammad Fadli Martapura, 08 Oktober 1971 Poltekkes Kemenkes Banjarmasin Ao 06118 422/288-MTKP/XI/2017 119 21 01 5 2 2 18-2198060 Deliana Serepina Sibuea Tebingtinggi, 25 September 1981 Akper Deli Husada Delitua Medan Ao 06119 422/288-MTKP/XI/2017 120 21 01 5 2 2 18-2198061 Noor Hasanah Martapura, 26 Nopember 1989 Akademi Keperawatan Intan Martapura Ao 06120 422/288-MTKP/XI/2017 121 21 01 5 1 2 18-2198062 Rizali Aswar Martapura, 09 Nopember 1989 Akademi Keperawatan Intan Martapura Ao 06121 422/288-MTKP/XI/2017 122 21 01 7 1 2 18-2198063 M.ridha Ansyari Banjar, 08 Nopember 1988 STIKES Muhammadiyah Banjarmasin Ao 06122 422/288-MTKP/XI/2017 123 21 01 5 2 2 18-2198064 Yunia Hidayati Banjarmasin, 03 Juni 1990 Akper Pandan Harum Banjarmasin Ao 06123 422/288-MTKP/XI/2017 124 21 01 5 1 2 18-2198065 Syamsir Alam Banjarmasin, 21 Oktober 1987 Akper Pandan Harum Banjarmasin Ao 06124 422/288-MTKP/XI/2017 125 21 01 5 2 2 18-2198066 Kartania
Tatah Belayung Baru, 23 Agustus
1983 Akper Pandan Harum Banjarmasin Ao 06125 422/288-MTKP/XI/2017
126 21 01 5 2 2 18-2198067 Aulia Hidayanti Banjarmasin, 11 Mei 1986 STIKES Suaka Insan Ao 06126 422/288-MTKP/XI/2017
127 21 01 7 2 2 18-2198068 Trima Rianti Kayu Abang, 03 September 1988 STIKES Muhammadiyah Banjarmasin Ao 06127 422/288-MTKP/XI/2017 128 21 01 5 2 2 18-2198069 Tri Wiji Astuti Guntung Payung, 20 Oktober 1976 STIKES Suaka Insan Ao 06128 422/288-MTKP/XI/2017 129 21 01 5 2 2 18-2198070 Firnaning Nordian Astuti Banjarmasin, 24 Juli 1983 Akper Pandan Harum Banjarmasin Ao 06129 422/288-MTKP/XI/2017 130 21 01 5 1 2 18-2198071 Masrudin Handil Babirik, 06 Februari 1977 Poltekkes Kemenkes Banjarmasin Ao 06130 422/288-MTKP/XI/2017 131 21 01 5 1 2 18-2198072 Arief Surya Rahman Banua Kupang, 24 Oktober 1984 Akademi Keperawatan Intan Martapura Ao 06131 422/288-MTKP/XI/2017
132 21 01 5 1 2 18-2198073 Edi Susanto Tamban Sari Baru,16 Januari 1986 Akademi Keperawatan Intan Martapura Ao 06132 422/288-MTKP/XI/2017 133 21 01 5 1 2 18-2198074 Noor Fansyah B. Banjarmasin, 30 Desember 1984 STIKES Muhammadiyah Banjarmasin Ao 06133 422/288-MTKP/XI/2017 134 21 01 5 2 2 18-2198075 Dewi Hermawati
Taniran Kubah, 22 September
1987 Poltekkes Kemenkes Banjarmasin Ao 06134 422/288-MTKP/XI/2017
135 21 01 5 2 2 18-2198076 Noor Ihsan Hayani Rantau, 03 Agustus 1990 Akademi Keperawatan Intan Martapura Ao 06135 422/288-MTKP/XI/2017 136 21 01 5 2 2 18-2198077 Adya Fariani Murung Pudak, 20 Oktober 1980 STIKES Suaka Insan Ao 06136 422/288-MTKP/XI/2017 137 21 01 5 2 2 18-2198078 Shanty Maulida Pelaihari, 19 Januari 1981 STIKES Suaka Insan Ao 06137 422/288-MTKP/XI/2017
138 21 01 5 2 2 18-2198079 Erna Ningsih Bumi Jaya, 26 Oktober 1981 STIKES Suaka Insan Ao 06138 422/288-MTKP/XI/2017
139 21 01 5 2 2 18-2198080 Triana Silawati Bantul, 29 September 1981 Akademi Keperawatan YKY Yogyakarta Ao 06139 422/288-MTKP/XI/2017 140 21 01 5 1 2 18-2198081 Kaspul Anwar Balikpapan, 10 Desember 1970 Akademi Keperawatan Intan Martapura Ao 06140 422/288-MTKP/XI/2017 141 21 01 5 1 2 18-2198082 Ferryansyah Banjarmasin, 13 April 1991 Akper Kesdam VI/Tanjung Pura Ao 06141 422/288-MTKP/XI/2017 142 21 01 7 1 2 18-2198083 Ahmad Rifani Nur Kotabaru, 08 September 1988 STIKES Muhammadiyah Banjarmasin Ao 06142 422/288-MTKP/XI/2017 143 21 01 5 1 2 18-2198084 Alpianor Pengambau Hulu, 10 Maret 1991 Akademi Keperawatan Murakata Barabai Ao 06143 422/288-MTKP/XI/2017 144 21 01 5 1 2 18-2198085 Wahidin Banjarmasin, 20 Mei 1964 Poltekkes Kemenkes Banjarmasin Ao 06144 422/288-MTKP/XI/2017 145 21 01 5 2 2 18-2198086 Erlis Sumarni Amuntai, 13 Desember 1989 Akademi Keperawatan Notokusumo Ao 06145 422/288-MTKP/XI/2017 146 21 01 5 2 2 18-2198087 Sri Juariah Murung Pudak, 09 Oktober 1969 Akademi Keperawatan Intan Martapura Ao 06146 422/288-MTKP/XI/2017 147 21 01 5 1 2 18-2198088 Rachmat Firdaus Bahaur, 05 Desember 1991 Poltekkes Kemenkes Palangkaraya Ao 06147 422/288-MTKP/XI/2017 148 21 01 5 2 2 18-2198089 Suherna Kasmia Hayup, 15 Juli 1990 Poltekkes Kemenkes Banjarmasin Ao 06148 422/288-MTKP/XI/2017 149 21 01 5 2 2 18-2198090 Juwita Purnama Sari Murung Pundak, 09 Juli 1987 Akademi Keperawatan Intan Martapura Ao 06149 422/288-MTKP/XI/2017 150 21 01 5 2 2 18-2198091 Diantikasari Hayup, 08 Desember 1991 STIKES Muhammadiyah Banjarmasin Ao 06150 422/288-MTKP/XI/2017 151 21 01 5 2 2 18-2198092 Mahbubah Banjarmasin, 29 Mei 1987 Akademi Keperawatan Intan Martapura Ao 06151 422/288-MTKP/XI/2017 TF
152 21 01 5 2 2 18-2198093 Gusti Masrifah Banjarmasin, 08 September 1986 Akper Pandan Harum Banjarmasin Ao 06152 422/288-MTKP/XI/2017 153 21 01 7 2 2 18-2198094 Noviana Pagatan, 03 Juni 1984 STIKES Muhammadiyah Banjarmasin Ao 06153 422/288-MTKP/XI/2017 154 21 01 5 1 2 18-2198095 Aspihani Juking Sopan, 22 September 1990 Akper Kesdam VI/Tanjung Pura Ao 06154 422/288-MTKP/XI/2017 155 21 01 5 2 2 18-2198096 Asna Sarirah Ulfah Martapura, 04 September 1988 Akademi Keperawatan Intan Martapura Ao 06155 422/288-MTKP/XI/2017 156 21 01 5 2 2 18-2198097 Aina Tursina Martapura, 01 Nopember 1991 Akademi Keperawatan Intan Martapura Ao 06156 422/288-MTKP/XI/2017 157 21 01 5 2 2 18-2198098 Lili Erawati Banjarmasin, 26 Agustus 1982 STIKES Muhammadiyah Banjarmasin Ao 06157 422/288-MTKP/XI/2017 158 21 01 5 2 2 18-2198099 Annisa Banjarmasin, 05 Juni 1986 Akper Kesdam VI/Tanjung Pura Ao 06158 422/288-MTKP/XI/2017 159 21 01 5 2 2 18-2198100 Noorlaila Banjarmasin, 01 Agustus 1985 Universitas Muhammadiyah Banjarmasin Ao 06159 422/288-MTKP/XI/2017 160 21 01 5 2 2 18-2198101 Lisda Norliyana Kotabaru, 12 April 1989 STIKES Muhammadiyah Banjarmasin Ao 06160 422/288-MTKP/XI/2017
161 21 01 5 1 2 18-2198102 Guslan Tanjung Batu, 18 Oktober 1969 Politeknik Negeri Banjarmasin Ao 06161 422/288-MTKP/XI/2017 162 21 01 7 2 2 18-2198103 Nor Fauziah,s.kep Barabai, 18 September 1975 Universitas Airlangga Ao 06162 422/288-MTKP/XI/2017 163 21 01 5 1 1 18-2198104 Bambang Sediyarso Magetan, 23 Mei 1982 Akademi Keperawatan Panti Kosala Ao 06163 422/288-MTKP/XI/2017 164 21 01 5 2 2 18-2198105 Conny Wahyuni Martin S. Limbong, 30 Juni 1985 STIKES Stella Maris Makasar Ao 06164 422/288-MTKP/XI/2017 165 21 01 5 1 2 18-2198106 Sofyan Rahman
Berangas Kab. Kotabaru, 06 Juni
1988 Akademi Keperawatan Intan Martapura Ao 06165 422/288-MTKP/XI/2017 166 21 01 5 1 2 18-2198107 Eko Yulianto Wonorejo, 21 Juni 1989 Akademi Keperawatan Intan Martapura Ao 06166 422/288-MTKP/XI/2017 167 21 01 7 2 2 18-2198108 Herliyana Paramitha Kotabaru, 16 Mei 1989 Universitas Muhammadiyah Banjarmasin Ao 06167 422/288-MTKP/XI/2017
168 21 01 5 2 2 18-2198109 Juli Kristina Kotabaru, 07 Juli 1977 STIKES Suaka Insan Ao 06168 422/288-MTKP/XI/2017 TF
169 21 01 5 1 2 18-2198110 Ilham Kotabaru, 20 Desember 1988 Universitas Muhammadiyah Banjarmasin Ao 06169 422/288-MTKP/XI/2017 170 21 01 7 1 1 18-2198111 Thaib Asrari Kotabaru, 15 September 1985 STIKES Muhammadiyah Banjarmasin Ao 06170 422/288-MTKP/XI/2017 171 21 01 7 2 2 18-2198112 Yulia Rahmina, S.kep Kotabaru, 05 Juli 1985 Universitas Muhammadiyah Surabaya Ao 06171 422/288-MTKP/XI/2017 TF
172 21 01 5 1 2 18-2198113 Agus Anton Sujarwo Kotabaru, 20 Agustus 1981 STIKES Hang Tuah Ao 06172 422/288-MTKP/XI/2017 173 21 01 5 2 2 18-2198114 Iswatun Nisa Kotabaru, 11 September 1985 STIKES Muhammadiyah Banjarmasin Ao 06173 422/288-MTKP/XI/2017
174 21 01 5 2 2 18-2198115 Rosida Loksoga, 14 Maret 1988 Akper Kesdam VI/Tanjung Pura Ao 06174 422/288-MTKP/XI/2017
175 21 01 5 1 2 18-2198116 Karno Grobogan, 31 Agutus 1961 Akademi Keperawatan Intan Martapura Ao 06175 422/288-MTKP/XI/2017 176 21 01 5 2 2 18-2198117 Nani Ivana Jorong, 21 April 1984 Akademi Keperawatan Intan Martapura Ao 06176 422/288-MTKP/XI/2017 177 21 01 5 1 2 18-2198118 Muhammad Anshary Kotabaru, 15 Nopember 1987 STIKES Muhammadiyah Banjarmasin Ao 06177 422/288-MTKP/XI/2017 178 21 01 5 1 2 18-2198119 Supriono Rantopanjang, 16 Nopember 1988 Akademi Keperawatan Binalita Sudama Ao 06178 422/288-MTKP/XI/2017 179 21 01 5 1 2 18-2198120 Khairil Fuadi Kotabaru, 20 Mei 1987 Akademi Keperawatan Intan Martapura Ao 06179 422/288-MTKP/XI/2017 180 21 01 5 2 2 18-2198121 Latifah Banjarmasin, 16 Agustus 1988 Akper Kesdam VI/Tanjung Pura Ao 06180 422/288-MTKP/XI/2017
