SYARAT PENGAMBILAN STR BARU (ONLINE) TERBIT
1. Diri Sendiri
a. Fotocopy ijazah 1 Lembar (Mencatat Bulan Terbit dan Nomor Blanko yang tertera di di Websitte Dinkes Prov Kalsel)
b. Surat Keterangan dalam Proses (Jika ada memiliki harapkan diserahkan kembali)
2. Orang Lain
a. Surat Kuasa bermaterai 6000 (Terlampir)
c. Fotocopy ijazah 1 Lembar (Mencatat Bulan Terbit dan Nomor Blanko yang tertera di Website Dinkes Prov Kalsel) b. 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 AHLI GIZI ONLINE BARU YANG SUDAH TERBIT 15 JANUARI 2018
No. No. Registrasi Nama Tempat Tanggal Lahir Penguruan Tinggi No. Blanko No. Surat Ket.
1 21 09 5 2 1 17-2187757 Ridhatul Jannah Desa Jamil, 16 Agustus 1996 Poltekkes Kemenkes Banjarmasin Aj 85852 422/300-MTKP/XI/2017 2 21 09 5 1 1 17-2187758 Hartati Rahmini Banjarmasin, 04 September 1991 Poltekkes Kemenkes Banjarmasin Aj 85853 422/300-MTKP/XI/2017 3 21 09 6 2 1 17-2187759 Helda Rahmawati Kusambi Hulu, 06 Oktober 1990 STIKES Husada Borneo Aj 85854 422/300-MTKP/XI/2017 4 21 09 6 2 1 17-2187760 Eva Lia Selnia Kotabaru, 24 April 1995 Poltekkes Kemenkes Banjarmasin Aj 85855 422/300-MTKP/XI/2017 5 21 09 6 2 1 17-2187761 Dwi Ayu Novianty Kotabaru, 07 Nopember 1996 STIKES Husada Borneo Aj 85856 422/300-MTKP/XI/2017 6 21 09 6 2 1 17-2187762 Nur Azizah Hestyani Banjarbaru, 19 Januari 1996 STIKES Husada Borneo Aj 85857 422/300-MTKP/XI/2017 7 21 09 5 1 1 17-2187763 Oczky Samberra Pelaihari, 02 Oktober 1994 Poltekkes Kemenkes Banjarmasin Aj 85858 422/300-MTKP/XI/2017 8 21 09 6 2 1 17-2187764 Novia Erwianti Kotabaru, 23 Nopember 1994 Poltekkes Kemenkes Banjarmasin Aj 85859 422/300-MTKP/XI/2017 9 21 09 6 2 1 17-2187765 Nurmita Rahmalina Aminy Kandangan, 09 Juni 1995 Poltekkes Kemenkes Banjarmasin Aj 85860 422/300-MTKP/XI/2017 10 21 09 5 1 1 17-2187766 Mei Dedy Purwanto Kotabaru, 25 Mei 1996 Poltekkes Kemenkes Banjarmasin Aj 85861 422/300-MTKP/XI/2017 11 21 09 5 2 1 17-2187767 Tasya Putriyatna Pagatan, 15 Februari 1997 Poltekkes Kemenkes Banjarmasin Aj 85862 422/300-MTKP/XI/2017 12 21 09 6 2 1 17-2187768 Maryanti Andriani Kandangan, 26 Juli 1995 STIKES Husada Borneo Aj 85863 422/300-MTKP/XI/2017 13 21 09 6 2 1 17-2187769 Hayda Irnani Paringin, 11 Mei 1996 Institut Pertanian Bogor Aj 85864 422/300-MTKP/XI/2017 14 21 09 6 2 1 17-2187770 Maulida Sabila Banjarmasin, 10 Mei 1995 Universitas Brawijaya Aj 85865 422/300-MTKP/XI/2017
REKAPITULASI STR SANITARIAN ONLINE BARU YANG SUDAH TERBIT 15 JANUARI 2018
No. No. Registrasi Nama Tempat Tanggal Lahir Penguruan Tinggi
No.
Blanko No. Surat Ket.
1 21 12 5 2 1 17-2170661 Putri Afina Awwaliah Banjarbaru, 01 Januari 1996 Poltekkes Kemenkes Banjarmasin Aj 69849 422/274-MTKP/X/2017 2 21 12 5 2 1 17-2170662 Rizka Aisary Landasan Ulin, 24 Desember 1996 Poltekkes Kemenkes Banjarmasin Aj 69850 422/274-MTKP/X/2017 3 21 12 5 2 1 17-2170663 Rabiatul Jannah Amuntai, 18 Februari 1996 Poltekkes Kemenkes Banjarmasin Aj 69851 422/274-MTKP/X/2017 4 21 12 5 2 1 17-2170664 Rahmayanti Kandangan, 10 Juni 1996 Poltekkes Kemenkes Banjarmasin Aj 69852 422/274-MTKP/X/2017 5 21 12 5 2 1 17-2170665 Yantri Kuala Kurun, 15 April 1995 Poltekkes Kemenkes Banjarmasin Aj 69853 422/274-MTKP/X/2017
6 21 12 5 2 1 17-2170666 Aulia Azizah Pelaihari, 31 Desember 1995 Poltekkes Kemenkes Banjarmasin Aj 69854 422/274-MTKP/X/2017 7 21 12 5 2 1 17-2170667 Anisa Ulan Dari Pangkalan Bun, 30 Agustus 1995 Poltekkes Kemenkes Banjarmasin Aj 69855 422/274-MTKP/X/2017 8 21 12 5 2 1 17-2170668 Anisa Zuhrina Kandangan, 30 Desember 1995 Poltekkes Kemenkes Banjarmasin Aj 69856 422/274-MTKP/X/2017 9 21 12 5 2 1 17-2170669 Titin Apriliana Bekasi, 24 April 1995 Poltekkes Kemenkes Banjarmasin Aj 69857 422/274-MTKP/X/2017 10 21 12 5 2 1 17-2170670 Aida Sari Handil Kulur, 06 Januari 1996 Poltekkes Kemenkes Banjarmasin Aj 69858 422/274-MTKP/X/2017 11 21 12 5 2 1 17-2170671 Yupy Nurdiana Parenggean, 26 Agustus 1995 Poltekkes Kemenkes Banjarmasin Aj 69859 422/274-MTKP/X/2017 12 21 12 5 2 1 17-2170672 Kurniawati Nuur Indah Sari Pekalongan, Jawa Tengah, 11 Januari 1996 Poltekkes Kemenkes Banjarmasin Aj 69860 422/274-MTKP/X/2017 13 21 12 5 2 1 17-2170673 Dinar Ramadhani Husna Tanah Laut, 05 Februari 1997 Poltekkes Kemenkes Banjarmasin Aj 69861 422/274-MTKP/X/2017 14 21 12 5 1 1 17-2170674 Muhammad Rizkian Noor Banjarmasin, 23 Maret 1995 Poltekkes Kemenkes Banjarmasin Aj 69862 422/274-MTKP/X/2017 15 21 12 5 2 1 17-2170675 St Eva Juwita Pasar Panas, 23 Juni 1996 Poltekkes Kemenkes Banjarmasin Aj 69863 422/274-MTKP/X/2017 16 21 12 5 1 1 17-2170676 Ayu Nadia Pihaung, 20 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 69864 422/274-MTKP/X/2017 17 21 12 5 2 1 17-2170677 Annisyah Wulan Januarti Bandung, 27 Januari 1996 Poltekkes Kemenkes Banjarmasin Aj 69865 422/274-MTKP/X/2017 18 21 12 5 1 1 17-2170678 Muhammad Surya Firdaus Banjarmasin, 30 September 1996 Poltekkes Kemenkes Banjarmasin Aj 69866 422/274-MTKP/X/2017 19 21 12 5 1 1 17-2170679 Muhammad Wandi Singkawang, 09 April 1995 Poltekkes Kemenkes Banjarmasin Aj 69867 422/274-MTKP/X/2017 20 21 12 5 1 1 17-2170680 Rico Ariessandi Guntung Payung, 23 Juni 1996 Poltekkes Kemenkes Banjarmasin Aj 69868 422/274-MTKP/X/2017 21 21 12 5 2 1 17-2170681 Sekar Arum Tanjung, 22 Agustus 1996 Poltekkes Kemenkes Banjarmasin Aj 69869 422/274-MTKP/X/2017 22 21 12 5 2 1 17-2170682 Rani Intan Permatasari Sampit, 17 Nopember 1994 Poltekkes Kemenkes Banjarmasin Aj 69870 422/274-MTKP/X/2017 23 21 12 5 2 1 17-2170683 Yulia Miranti Kandangan, 20 Juli 1995 Poltekkes Kemenkes Banjarmasin Aj 69871 422/274-MTKP/X/2017 24 21 12 6 1 1 17-2170684 Supianor Rumbia, 30 Juni 1993 Poltekkes Kemenkes Banjarmasin Aj 69872 422/274-MTKP/X/2017 25 21 12 6 1 1 17-2170685 Muhammad Reza Amrullah Tatakan,tapin, 14 Desember 1995 Poltekkes Kemenkes Banjarmasin Aj 69873 422/274-MTKP/X/2017 26 21 12 6 2 1 17-2170686 Vista Septiani Putri Banjarmasin, 17 September 1995 Poltekkes Kemenkes Banjarmasin Aj 69874 422/274-MTKP/X/2017 27 21 12 6 2 1 17-2170687 Evi Susilawati Pangkalan Bun, 07 Nopember 1995 Poltekkes Kemenkes Banjarmasin Aj 69875 422/274-MTKP/X/2017 28 21 12 6 1 1 17-2170688 Perdana Oktavianus Kurniawan Blora, 07 Oktober 1994 Poltekkes Kemenkes Banjarmasin Aj 69876 422/274-MTKP/X/2017 29 21 12 6 2 1 17-2170689 Eta Berina Kuswardani Juai, 05 Juli 1995 Poltekkes Kemenkes Banjarmasin Aj 69877 422/274-MTKP/X/2017 30 21 12 6 2 1 17-2170690 Istiqomah Muara Teweh, 14 Nopember 1995 Poltekkes Kemenkes Banjarmasin Aj 69878 422/274-MTKP/X/2017 31 21 12 6 2 1 17-2170691 Noorwahidah Chairunnisa Kotabaru, 24 Maret 1996 Poltekkes Kemenkes Banjarmasin Aj 69879 422/274-MTKP/X/2017 32 21 12 6 1 1 17-2170692 Bagus Putra Christianto Pelaihari, 28 Agustus 1991 Poltekkes Kemenkes Banjarmasin Aj 69880 422/274-MTKP/X/2017 33 21 12 6 2 1 17-2170693 Fadya Artha Aristanova Madiun, 14 Maret 1995 Poltekkes Kemenkes Banjarmasin Aj 69881 422/274-MTKP/X/2017 34 21 12 6 2 1 17-2170694 Husnul Mawaddah Astambul, 05 Januari 1994 Poltekkes Kemenkes Banjarmasin Aj 69882 422/274-MTKP/X/2017 35 21 12 6 2 1 17-2170695 Eva Mai Saadah Takisung, 18 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 69883 422/274-MTKP/X/2017
36 21 12 6 1 1 17-2170696 Muhammad Sufriannor Tambangan, 19 Oktober 1994 Poltekkes Kemenkes Banjarmasin Aj 69884 422/274-MTKP/X/2017 37 21 12 6 2 1 17-2170697 Tiara Pratiwi Rantau, 21 Juli 1995 Poltekkes Kemenkes Banjarmasin Aj 69885 422/274-MTKP/X/2017 38 21 12 6 2 1 17-2170698 Endah Aryadni Amuntai, 15 Oktober 1995 Poltekkes Kemenkes Banjarmasin Aj 69886 422/274-MTKP/X/2017 39 21 12 6 2 1 17-2170699 Luky Rinda Meiriana Jepara, 16 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 69887 422/274-MTKP/X/2017 40 21 12 6 1 1 17-2170700 Harun Alrasyid Adenan Muara Teweh, 18 Oktober 1995 Poltekkes Kemenkes Banjarmasin Aj 69888 422/274-MTKP/X/2017 41 21 12 6 1 1 17-2170701 Fidyan Hifzhani Sampit, 10 Juni 1995 Poltekkes Kemenkes Banjarmasin Aj 69889 422/274-MTKP/X/2017 42 21 12 6 1 1 17-2170702 Fathurrahman Amuntai, 02 Februari 1995 Poltekkes Kemenkes Banjarmasin Aj 69890 422/274-MTKP/X/2017 43 21 12 6 1 1 17-2170703 Muh. Primananda Syahputera Kamal Tanjung, 28 Agustus 1995 Poltekkes Kemenkes Banjarmasin Aj 69891 422/274-MTKP/X/2017 44 21 12 6 2 1 17-2170704 Norhayati Kandangan, 25 April 1995 Poltekkes Kemenkes Banjarmasin Aj 69892 422/274-MTKP/X/2017 45 21 12 6 1 1 17-2170705 Andry Setiawan Kotabaru, 18 Oktober 1994 Poltekkes Kemenkes Banjarmasin Aj 69893 422/274-MTKP/X/2017 46 21 12 6 1 1 17-2170706 Norwahyudi Kandangan, 15 September 1995 Poltekkes Kemenkes Banjarmasin Aj 69894 422/274-MTKP/X/2017 47 21 12 5 2 1 17-2170707 Sa'adah Yuanita Keramat, 10 Agustus 1996 Poltekkes Kemenkes Banjarmasin Aj 69895 422/274-MTKP/X/2017 48 21 12 5 2 1 17-2170708 Rif'atul Hasanah Kandangan, 26 April 1995 Poltekkes Kemenkes Banjarmasin Aj 69896 422/274-MTKP/X/2017 49 21 12 5 1 1 17-2170709 M. Fauzannor F. Tanjung, 14 Agustus 1994 Poltekkes Kemenkes Banjarmasin Aj 69897 422/274-MTKP/X/2017 50 21 12 5 1 1 17-2170710 Muhammad Noor Poltekkes Kemenkes Banjarmasin Aj 69898 422/274-MTKP/X/2017
REKAPITULASI STR AHLI GIZI ONLINE BARU YANG SUDAH TERBIT 15 JANUARI 2018
No. No. Registrasi Nama Tempat Tanggal Lahir Penguruan Tinggi
No.
Blanko No. Surat Ket.
1 21 09 5 2 1 17-2174321 Laily Tutini Banjarmasin, 22 Januari 1996 Poltekkes Kemenkes Banjarmasin Aj 77701 422/272-MTKP/X/2017 2 21 09 5 2 1 17-2174322 Fitriana Yunita Sandy Surabaya, 11 Februari 1997 Poltekkes Kemenkes Banjarmasin Aj 77702 422/272-MTKP/X/2017 3 21 09 6 2 1 17-2174323 Risky Fahrina Birayang, 06 Oktober 1994 Poltekkes Kemenkes Banjarmasin Aj 77703 422/272-MTKP/X/2017 4 21 09 6 2 1 17-2174324 Syaiati Astina Kalibaru, 26 Nopember 1994 Poltekkes Kemenkes Banjarmasin Aj 77704 422/272-MTKP/X/2017 5 21 09 6 2 1 17-2174325 Annisa Putri Banjarmasin, 05 Oktober 1995 Poltekkes Kemenkes Banjarmasin Aj 77705 422/272-MTKP/X/2017
6 21 09 6 2 1 17-2174326 Dewi Deviyanty Banjarmasin, 22 Desember 1994 Poltekkes Kemenkes Banjarmasin Aj 77706 422/272-MTKP/X/2017 7 21 09 6 2 1 17-2174327 Rahmah Negara, 26 Mei 1994 Poltekkes Kemenkes Banjarmasin Aj 77707 422/272-MTKP/X/2017 8 21 09 6 2 1 17-2174328 Nur Ahlina Banjarmasin, 16 Juli 1995 Poltekkes Kemenkes Banjarmasin Aj 77708 422/272-MTKP/X/2017 9 21 09 6 2 1 17-2174329 Mariatul Husna Amuntai, 19 Desember 1994 Poltekkes Kemenkes Banjarmasin Aj 77709 422/272-MTKP/X/2017 10 21 09 6 2 1 17-2174330 Riska Nur Putri Tapin, 12 Maret 1994 Poltekkes Kemenkes Banjarmasin Aj 77710 422/272-MTKP/X/2017 11 21 09 5 1 1 17-2174331 Untung Adi Warseto Pelaihari, 13 April 1995 Poltekkes Kemenkes Banjarmasin Aj 77711 422/272-MTKP/X/2017 12 21 09 6 2 1 17-2174332 Sari Yulianti Desa Tarambahan, 13 Juli 1995 Poltekkes Kemenkes Banjarmasin Aj 77712 422/272-MTKP/X/2017 13 21 09 6 2 1 17-2174333 Rizna Hermiya Ulfah Banjarmasin, 21 Nopember 1994 STIKES Husada Borneo Aj 77713 422/272-MTKP/X/2017 14 21 09 6 2 1 17-2174334 Rasidah Ampah, 15 September 1995 Poltekkes Kemenkes Banjarmasin Aj 77714 422/272-MTKP/X/2017 15 21 09 6 2 1 17-2174335 Aprilda Paskah Tristania Sitorus Banjarbaru, 15 April 1995 Poltekkes Kemenkes Banjarmasin Aj 77715 422/272-MTKP/X/2017 16 21 09 6 2 1 17-2174336 Magda Silmi Fitriyani Bakin Surabaya, 13 Maret 1996 Poltekkes Kemenkes Banjarmasin Aj 77716 422/272-MTKP/X/2017 17 21 09 6 2 1 17-2174337 Dwi Herlianti Safitri Bi-ih, 26 Nopember 1995 Poltekkes Kemenkes Banjarmasin Aj 77717 422/272-MTKP/X/2017 18 21 09 6 2 1 17-2174338 Rizqi Dwi Annisa Banjarmasin, 14 Desember 1995 Poltekkes Kemenkes Banjarmasin Aj 77718 422/272-MTKP/X/2017 19 21 09 6 2 1 17-2174339 Rahma Santi Sirih, 02 Oktober 1994 STIKES Husada Borneo Aj 77719 422/272-MTKP/X/2017 20 21 09 6 2 1 17-2174340 Yuliati Bundung Raya, 18 Maret 1995 STIKES Husada Borneo Aj 77720 422/272-MTKP/X/2017 21 21 09 6 2 1 17-2174341 Desianggraini Baruyan, 03 Desember 1994 STIKES Husada Borneo Aj 77721 422/272-MTKP/X/2017 22 21 09 6 2 1 17-2174342 Siska Emelia Parenggean, 01 Maret 1990 STIKES Husada Borneo Aj 77722 422/272-MTKP/X/2017 23 21 09 6 2 1 17-2174343 Risa Okni Banjarmasin, 03 Oktober 1995 STIKES Husada Borneo Aj 77723 422/272-MTKP/X/2017 24 21 09 6 2 1 17-2174344 Dina Yuliana Amuntai, 28 Juli 1995 STIKES Husada Borneo Aj 77724 422/272-MTKP/X/2017 25 21 09 6 2 1 17-2174345 Yulia Nur Rahmawati Buntok, 09 Maret 1996 STIKES Husada Borneo Aj 77725 422/272-MTKP/X/2017 26 21 09 6 2 1 17-2174346 Widya Tapin, 11 Oktober 1995 STIKES Husada Borneo Aj 77726 422/272-MTKP/X/2017 27 21 09 6 2 1 17-2174347 Baidatun Nisa Ilung, 16 Maret 1996 STIKES Husada Borneo Aj 77727 422/272-MTKP/X/2017 28 21 09 6 2 1 17-2174348 Zainun Nasriyah Martapura, 08 Mei 1995 STIKES Husada Borneo Aj 77728 422/272-MTKP/X/2017 29 21 09 6 2 1 17-2174349 Mundita Bintari Banjarmasin, 03 Agustus 1995 STIKES Husada Borneo Aj 77729 422/272-MTKP/X/2017 30 21 09 6 2 1 17-2174350 Feby Sembiga Putri Budiarto Banjarmasin, 19 Februari 1993 STIKES Husada Borneo Aj 77730 422/272-MTKP/X/2017 31 21 09 6 2 1 17-2174351 Ria Anjani Herlik Tapin, 03 Maret 1996 STIKES Husada Borneo Aj 77731 422/272-MTKP/X/2017 32 21 09 6 2 1 17-2174352 Yesinta Octavia Tanjung, 28 Oktober 1994 STIKES Husada Borneo Aj 77732 422/272-MTKP/X/2017 33 21 09 6 2 1 17-2174353 Monica Kristina Rantau, 25 Juni 1995 STIKES Husada Borneo Aj 77733 422/272-MTKP/X/2017 34 21 09 6 2 1 17-2174354 Ineu Wulan Dari Pelaihari, 11 April 1995 STIKES Husada Borneo Aj 77734 422/272-MTKP/X/2017 35 21 09 6 2 1 17-2174355 Nor Izzatil Maulida Martapura, 03 Oktober 1994 Poltekkes Kemenkes Banjarmasin Aj 77735 422/272-MTKP/X/2017
36 21 09 6 1 1 17-2174356 Muhammad Ridwan Pratama Buntok, 13 Maret 1995 Poltekkes Kemenkes Banjarmasin Aj 77736 422/272-MTKP/X/2017 37 21 09 6 2 1 17-2174357 Diah Rosalina Banjarmasin, 27 Januari 1995 Poltekkes Kemenkes Banjarmasin Aj 77737 422/272-MTKP/X/2017 38 21 09 5 2 1 17-2174358 Nita Rahayu Sungai Arfat, 19 Agustus 1997 Poltekkes Kemenkes Banjarmasin Aj 77738 422/272-MTKP/X/2017 39 21 09 5 2 1 17-2174359 Elly Hardiany Kendal, 14 Nopember 1996 Poltekkes Kemenkes Banjarmasin Aj 77739 422/272-MTKP/X/2017 40 21 09 6 2 1 17-2174360 Kiki Resky Amelia Rantau, 31 Mei 1995 Institut Pertanian Bogor Aj 77740 422/272-MTKP/X/2017 41 21 09 5 2 1 17-2174361 Sulastri Kotabaru, 10 Oktober 1995 Poltekkes Kemenkes Banjarmasin Aj 77741 422/272-MTKP/X/2017 42 21 09 5 2 1 17-2174362 Sumiyati Sebamban, 19 Nopember 1996 Poltekkes Kemenkes Banjarmasin Aj 77742 422/272-MTKP/X/2017 43 21 09 5 2 1 17-2174363 Muslimah Banjarmasin, 12 Mei 1996 Poltekkes Kemenkes Banjarmasin Aj 77743 422/272-MTKP/X/2017 44 21 09 5 2 1 17-2174364 Meisy Zahratunnupus Landasan Ulin, 19 Nopember 1997 Poltekkes Kemenkes Banjarmasin Aj 77744 422/272-MTKP/X/2017 45 21 09 5 2 1 17-2174365 Siti Rahmaniah Banjarmasin, 11 Januari 1997 Poltekkes Kemenkes Banjarmasin Aj 77745 422/272-MTKP/X/2017 46 21 09 5 2 1 17-2174366 Maya Nur Aulia Banjarmasin, 01 Februari 1996 Poltekkes Kemenkes Banjarmasin Aj 77746 422/272-MTKP/X/2017 47 21 09 5 2 1 17-2174367 Latifah Sungai Dalam, 13 Juli 1996 Poltekkes Kemenkes Banjarmasin Aj 77747 422/272-MTKP/X/2017 48 21 09 5 2 1 17-2174368 Annisa Rahmatika Amuntai, 15 Oktober 1996 Poltekkes Kemenkes Banjarmasin Aj 77748 422/272-MTKP/X/2017 49 21 09 6 1 1 17-2174369 Muhammad Ihsan Kandangan,13 Juli 1995 STIKES Husada Borneo Aj 77749 422/272-MTKP/X/2017 50 21 09 6 1 1 17-2174370 Rifki Aulia Ilung, 10 April 1995 STIKES Husada Borneo Aj 77750 422/272-MTKP/X/2017 51 21 09 6 1 1 17-2174371 Reza Rivani Halong, 31 Mei 1992 STIKES Husada Borneo Aj 77751 422/272-MTKP/X/2017 52 21 09 6 1 1 17-2174372 Fauzi Rahman Tanjung, 03 September 1995 STIKES Husada Borneo Aj 77752 422/272-MTKP/X/2017 53 21 09 6 2 1 17-2174373 Retno Safitri Amuntai, 20 Februari 1996 STIKES Husada Borneo Aj 77753 422/272-MTKP/X/2017 54 21 09 6 2 1 17-2174374 Indah Rohyati Amini Amuntai, 01 Oktober 1995 Poltekkes Kemenkes Banjarmasin Aj 77754 422/272-MTKP/X/2017 55 21 09 5 2 1 17-2174375 Siti Radha Safitri Teluk Mesjid, 20 Februari 1995 Poltekkes Kemenkes Banjarmasin Aj 77755 422/272-MTKP/X/2017 56 21 09 5 2 1 17-2174376 S. K. Khairiva Rahman Kandangan, 16 Januari 1996 Poltekkes Kemenkes Banjarmasin Aj 77756 422/272-MTKP/X/2017 57 21 09 5 2 1 17-2174377 Anisa Widiastuti Banjarbaru, 29 September 1996 Poltekkes Kemenkes Banjarmasin Aj 77757 422/272-MTKP/X/2017 58 21 09 5 2 1 17-2174378 Maimunah Kiram, 12 Oktober 1994 Poltekkes Kemenkes Banjarmasin Aj 77758 422/272-MTKP/X/2017 59 21 09 5 2 1 17-2174379 Rini Diani Amuntai, 09 Maret 1997 Poltekkes Kemenkes Banjarmasin Aj 77759 422/272-MTKP/X/2017 60 21 09 5 2 1 17-2174380 Yulia Redha Amuntai, 31 Juli 1996 Poltekkes Kemenkes Banjarmasin Aj 77760 422/272-MTKP/X/2017 61 21 09 5 2 1 17-2174381 Nurul Ika Fitriani Tanah Grogot, 05 Nopember 1995 Poltekkes Kemenkes Banjarmasin Aj 77761 422/272-MTKP/X/2017 62 21 09 5 2 1 17-2174382 Surya Nurlita Barabai, 14 Agustus 1995 Poltekkes Kemenkes Banjarmasin Aj 77762 422/272-MTKP/X/2017 63 21 09 5 2 1 17-2174383 Arrifa Nurrika Martapura, 07 Nopember 1996 Poltekkes Kemenkes Banjarmasin Aj 77763 422/272-MTKP/X/2017 64 21 09 5 1 1 17-2174384 Saipul Anwar Benua Raya, 20 Juni 1996 Poltekkes Kemenkes Banjarmasin Aj 77764 422/272-MTKP/X/2017 65 21 09 5 2 1 17-2174385 Sri Wahyuni Kotabaru, 05 Nopember 1996 Poltekkes Kemenkes Banjarmasin Aj 77765 422/272-MTKP/X/2017
66 21 09 5 2 1 17-2174386 Yulifah Saroh Kotabaru, 26 Juni 1996 Poltekkes Kemenkes Banjarmasin Aj 77766 422/272-MTKP/X/2017 67 21 09 5 2 1 17-2174387 Aulia Ulfah Kotabaru, 06 Maret 1996 Poltekkes Kemenkes Banjarmasin Aj 77767 422/272-MTKP/X/2017 68 21 09 6 2 1 17-2174388 Rahmawati Rangan Barat Ii, 13 April 1996 Poltekkes Kemenkes Banjarmasin Aj 77768 422/272-MTKP/X/2017 69 21 09 5 2 1 17-2174389 Nur Amalina Pelaihari, 07 Juli 1994 Poltekkes Kemenkes Banjarmasin Aj 77769 422/272-MTKP/X/2017 70 21 09 6 2 1 17-2174390 Anelia Sintani Saing Pipa, 31 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 77770 422/272-MTKP/X/2017 71 21 09 6 2 1 17-2174391 Misda Noermiyati Kelua, 02 Maret 1994 STIKES Husada Borneo Aj 77771 422/272-MTKP/X/2017 72 21 09 6 2 1 17-2174392 Yanti Rahmawati Sungai Kupang, 30 Oktober 1995 STIKES Husada Borneo Aj 77772 422/272-MTKP/X/2017 73 21 09 5 2 1 17-2174393 Nabila Ulya Sungai Pandan, 30 Maret 1997 Poltekkes Kemenkes Banjarmasin Aj 77773 422/272-MTKP/X/2017 74 21 09 5 2 1 17-2174394 Maulina Putri Amuntai, 10 Agustus 1995 Poltekkes Kemenkes Banjarmasin Aj 77774 422/272-MTKP/X/2017 75 21 09 5 2 1 17-2174395 Ramona Insyerah Pakacangan, 12 Mei 1996 Poltekkes Kemenkes Banjarmasin Aj 77775 422/272-MTKP/X/2017 76 21 09 6 2 1 17-2174396 Putri Meishandy Barabai, 16 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 77776 422/272-MTKP/X/2017 77 21 09 6 2 1 17-2174397 Mustika Retno Anggraeni Barabai, 02 April 1995 Poltekkes Kemenkes Banjarmasin Aj 77777 422/272-MTKP/X/2017 78 21 09 6 2 1 17-2174398 Noor Laila Fitrianie Tabanio, 28 Desember 1995 Poltekkes Kemenkes Banjarmasin Aj 77778 422/272-MTKP/X/2017 79 21 09 6 2 1 17-2174399 Dika Dwi Intan Agustin Martapura, 23 Agustus 1995 Poltekkes Kemenkes Banjarmasin Aj 77779 422/272-MTKP/X/2017 80 21 09 5 2 1 17-2174400 Auni Lestari Tanjung Batu, 06 Maret 1995 Poltekkes Kemenkes Banjarmasin Aj 77780 422/272-MTKP/X/2017 81 21 09 6 2 1 17-2174401 Halimatus Syakhdiah Paringin, 08 Maret 1996 Poltekkes Kemenkes Banjarmasin Aj 77781 422/272-MTKP/X/2017 82 21 09 6 2 1 17-2174402 Fatma Khairun Nisa Pelaihari, 01 Nopember 1994 Poltekkes Kemenkes Banjarmasin Aj 77782 422/272-MTKP/X/2017 83 21 09 6 2 1 17-2174403 Yulianty Eka Safitri Kotabaru, 11 Juli 1995 Poltekkes Kemenkes Banjarmasin Aj 77783 422/272-MTKP/X/2017 84 21 09 6 2 1 17-2174404 Fitria Fasha Negara, 11 Oktober 1995 Poltekkes Kemenkes Banjarmasin Aj 77784 422/272-MTKP/X/2017 85 21 09 6 2 1 17-2174405 Gt. Maizan Azaria Banjarmasin, 03 Februari 1995 Poltekkes Kemenkes Banjarmasin Aj 77785 422/272-MTKP/X/2017 86 21 09 6 2 1 17-2174406 Livia Hanatie Banjarmasin, 14 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 77786 422/272-MTKP/X/2017 87 21 09 6 1 1 17-2174407 Randy Aspianoor Kotabaru, 22 Maret 1995 Poltekkes Kemenkes Banjarmasin Aj 77787 422/272-MTKP/X/2017 88 21 09 5 2 1 17-2174408 Dafiana Niken Tebing Siring, 07 September 1996 Poltekkes Kemenkes Banjarmasin Aj 77788 422/272-MTKP/X/2017 89 21 09 6 2 1 17-2174409 Sari Puspita Dewi Kotabaru, 19 Agustus 1995 Poltekkes Kemenkes Banjarmasin Aj 77789 422/272-MTKP/X/2017 90 21 09 5 2 1 17-2174410 Ana Safitri Benua Lawas, 16 Agustus 1996 Poltekkes Kemenkes Banjarmasin Aj 77790 422/272-MTKP/X/2017 91 21 09 5 2 1 17-2174411 Nia Septi Indiarti Guntung Payung, 06 September 1995 Poltekkes Kemenkes Banjarmasin Aj 77791 422/272-MTKP/X/2017
REKAPITULASI STR TERAPIS GIGI DAN MULUT ONLINE BARU YANG SUDAH TERBIT 15 JANUARI 2018
No. No. Registrasi Nama Tempat Tanggal Lahir Penguruan Tinggi
No.
Blanko No. Surat Ket.
1 21 04 5 1 1 17-2170728 Muhammad Jhony Arianto Mantimin, 08 Juni 1996 Poltekkes Kemenkes Banjarmasin Aj 69899 422/273-MTKP/X/2017 2 21 04 5 1 1 17-2170729 Muhammad Rizal Pagatan, 30 Nopember 1995 Poltekkes Kemenkes Banjarmasin Aj 69900 422/273-MTKP/X/2017 3 21 04 5 1 1 17-2170730 Ahmad Happy Amuntai, 10 Maret 1996 Poltekkes Kemenkes Banjarmasin Aj 69901 422/273-MTKP/X/2017 4 21 04 5 2 1 17-2170731 Rifka Yulianoor Lazuba Bandasari, 22 Juli 1997 Poltekkes Kemenkes Banjarmasin Aj 69902 422/273-MTKP/X/2017 5 21 04 5 2 1 17-2170732 Anneke Amellina Azzora Banjarmasin, 20 Juni 1997 Poltekkes Kemenkes Banjarmasin Aj 69903 422/273-MTKP/X/2017 6 21 04 5 2 1 17-2170733 Triana Sugesti Marabahan, 31 Oktober 1995 Poltekkes Kemenkes Banjarmasin Aj 69904 422/273-MTKP/X/2017 7 21 04 5 2 1 17-2170734 Desy Rahmawati Batola, 05 Desember 1995 Poltekkes Kemenkes Banjarmasin Aj 69905 422/273-MTKP/X/2017 8 21 04 5 2 1 17-2170735 Rahma Yanti Barabai, 08 Januari 1996 Poltekkes Kemenkes Banjarmasin Aj 69906 422/273-MTKP/X/2017 9 21 04 5 2 1 17-2170736 Bainah Amuntai, 02 Juni 1995 Poltekkes Kemenkes Banjarmasin Aj 69907 422/273-MTKP/X/2017 10 21 04 5 2 1 17-2170737 Rona Mahda Paulina Ujung Baru, 25 September 1996 Poltekkes Kemenkes Banjarmasin Aj 69908 422/273-MTKP/X/2017 11 21 04 5 2 1 17-2170738 Mutia Juraida Barabai, 10 April 1996 Poltekkes Kemenkes Banjarmasin Aj 69909 422/273-MTKP/X/2017 12 21 04 5 1 1 17-2170739 Ahmad Mubarak Pagatan, 11 Mei 1996 Poltekkes Kemenkes Banjarmasin Aj 69910 422/273-MTKP/X/2017 13 21 04 5 1 1 17-2170740 Dedy Kotabaru, 15 Februari 1996 Poltekkes Kemenkes Banjarmasin Aj 69911 422/273-MTKP/X/2017 14 21 04 5 1 1 17-2170741 Very Efendi Amuntai, 29 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 69912 422/273-MTKP/X/2017 15 21 04 5 1 1 17-2170742 Akhmad Yulian Noor Banjarbaru, 15 Juli 1979 Poltekkes Kemenkes Banjarmasin Aj 69913 422/273-MTKP/X/2017 16 21 04 5 2 1 17-2170743 Rabbiatul Husna Abung, 29 Agustus 1996 Poltekkes Kemenkes Banjarmasin Aj 69914 422/273-MTKP/X/2017 17 21 04 5 2 1 17-2170744 Nur Hayati Banjarmasin, 18 Maret 1997 Poltekkes Kemenkes Banjarmasin Aj 69915 422/273-MTKP/X/2017 18 21 04 5 2 1 17-2170745 Sulimah Kuala Kapuas, 28 Nopember 1995 Poltekkes Kemenkes Banjarmasin Aj 69916 422/273-MTKP/X/2017 19 21 04 5 1 1 17-2170746 Sandi Oktavianor Sampit, 12 Oktober 1996 Poltekkes Kemenkes Banjarmasin Aj 69917 422/273-MTKP/X/2017 20 21 04 6 1 1 17-2170747 Ryan Nanda Syahbana Banjarmasin, 03 Januari 1995 Poltekkes Kemenkes Banjarmasin Aj 69918 422/273-MTKP/X/2017 21 21 04 6 2 1 17-2170748 Devi Ariska Putri Mendik, 11 April 1995 Poltekkes Kemenkes Banjarmasin Aj 69919 422/273-MTKP/X/2017 22 21 04 6 2 1 17-2170749 Raudina Sholeha Tapin, 10 Nopember 1994 Poltekkes Kemenkes Banjarmasin Aj 69920 422/273-MTKP/X/2017 23 21 04 5 2 1 17-2170750 Firda Endah Safitri Banjarmasin, 24 Agustus 1996 Poltekkes Kemenkes Banjarmasin Aj 69921 422/273-MTKP/X/2017
24 21 04 6 2 1 17-2170751 Mudah Amuntai, 30 Januari 1995 Poltekkes Kemenkes Banjarmasin Aj 69922 422/273-MTKP/X/2017 25 21 04 6 2 1 17-2170752 Eis Damayanti Amuntai, 07 Desember 1994 Poltekkes Kemenkes Banjarmasin Aj 69923 422/273-MTKP/X/2017 26 21 04 6 2 1 17-2170753 Munawarah Amuntai, 09 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 69924 422/273-MTKP/X/2017 27 21 04 6 2 1 17-2170754 Putri Elysa Amuntai, 09 Oktober 1995 Poltekkes Kemenkes Banjarmasin Aj 69925 422/273-MTKP/X/2017 28 21 04 5 2 1 17-2170755 Nurul Huda Barabai, 07 Oktober 1996 Poltekkes Kemenkes Banjarmasin Aj 69926 422/273-MTKP/X/2017 29 21 04 5 2 1 17-2170756 Khairunisa Najela Barabai, 01 Maret 1996 Poltekkes Kemenkes Banjarmasin Aj 69927 422/273-MTKP/X/2017 30 21 04 5 2 1 17-2170757 Emma Septiana Kandangan, 22 September 1995 Poltekkes Kemenkes Banjarmasin Aj 69928 422/273-MTKP/X/2017 31 21 04 5 2 1 17-2170758 Puteri Natasia Banjarbaru, 10 Februari 1996 Poltekkes Kemenkes Banjarmasin Aj 69929 422/273-MTKP/X/2017 32 21 04 5 2 1 17-2170759 Nadya Ulfa Martapura, 25 Oktober 1996 Poltekkes Kemenkes Banjarmasin Aj 69930 422/273-MTKP/X/2017 33 21 04 5 2 1 17-2170760 Salma Januaristy Banjarmasin, 20 Januari 1997 Poltekkes Kemenkes Banjarmasin Aj 69931 422/273-MTKP/X/2017 34 21 04 5 2 1 17-2170761 Ayu Regina Banjarmasin, 17 Februari 1996 Poltekkes Kemenkes Banjarmasin Aj 69932 422/273-MTKP/X/2017 35 21 04 6 2 1 17-2170762 Wafa' Mufidah Amuntai, 31 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 69933 422/273-MTKP/X/2017 36 21 04 6 2 1 17-2170763 Norsehan Pemangkih, 24 Maret 1995 Poltekkes Kemenkes Banjarmasin Aj 69934 422/273-MTKP/X/2017 37 21 04 6 2 1 17-2170764 Sri Rahmawati Alabio, 20 Oktober 1994 Poltekkes Kemenkes Banjarmasin Aj 69935 422/273-MTKP/X/2017 38 21 04 6 1 1 17-2170765 Muhammad Iqbal Palangkaraya, 05 Juni 1995 Poltekkes Kemenkes Banjarmasin Aj 69936 422/273-MTKP/X/2017 39 21 04 5 2 1 17-2170766 Nur Mu'thia Barabai, 20 Maret 1996 Poltekkes Kemenkes Banjarmasin Aj 69937 422/273-MTKP/X/2017 40 21 04 5 2 1 17-2170767 Normahayati Kandangan, 07 Nopember 1996 Poltekkes Kemenkes Banjarmasin Aj 69938 422/273-MTKP/X/2017 41 21 04 5 2 1 17-2170768 Lea Alabio, 19 Maret 1996 Poltekkes Kemenkes Banjarmasin Aj 69939 422/273-MTKP/X/2017 42 21 04 6 2 1 17-2170769 Fatma Dewi Kandangan, 18 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 69940 422/273-MTKP/X/2017 43 21 04 6 2 1 17-2170770 Winda Amalia Marsha Banjarmasin, 28 Desember 1994 Poltekkes Kemenkes Banjarmasin Aj 69941 422/273-MTKP/X/2017 44 21 04 6 2 1 17-2170771 Mia Audina Kintapura, 14 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 69942 422/273-MTKP/X/2017 45 21 04 6 2 1 17-2170772 Listia Hayati Kandangan, 02 April 1995 Poltekkes Kemenkes Banjarmasin Aj 69943 422/273-MTKP/X/2017 46 21 04 6 1 1 17-2170773 Muhammad Syaifullah Malutu, 27 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 69944 422/273-MTKP/X/2017 47 21 04 6 2 1 17-2170774 Aulia Rakhmah Kandangan, 15 September 1995 Poltekkes Kemenkes Banjarmasin Aj 69945 422/273-MTKP/X/2017 48 21 04 6 2 1 17-2170775 Nur Azmi Lestari Amuntai, 03 Oktober 1994 Poltekkes Kemenkes Banjarmasin Aj 69946 422/273-MTKP/X/2017 49 21 04 6 2 1 17-2170776 Meilena Sari Rantau, 16 Mei 1995 Poltekkes Kemenkes Banjarmasin Aj 69947 422/273-MTKP/X/2017 50 21 04 6 2 1 17-2170777 Syifa Mawaddah Martapura, 21 Agustus 1995 Poltekkes Kemenkes Banjarmasin Aj 69948 422/273-MTKP/X/2017 51 21 04 6 2 1 17-2170778 Refda Bellynia Agustary Malinau, 24 Agustus 1995 Poltekkes Kemenkes Banjarmasin Aj 69949 422/273-MTKP/X/2017 52 21 04 6 2 1 17-2170779 Anita Marholipah Kuaro, 02 Agustus 1995 Poltekkes Kemenkes Banjarmasin Aj 69950 422/273-MTKP/X/2017 53 21 04 6 2 1 17-2170780 Yeni Novianti Ampah, 08 Nopember 1995 Poltekkes Kemenkes Banjarmasin Aj 69951 422/273-MTKP/X/2017
54 21 04 6 2 1 17-2170781 Rena Herliani Barabai, 18 Juni 1995 Poltekkes Kemenkes Banjarmasin Aj 69952 422/273-MTKP/X/2017 55 21 04 6 2 1 17-2170782 Muhibbah Sofia Padang Batung, 29 Juli 1954 Poltekkes Kemenkes Banjarmasin Aj 69953 422/273-MTKP/X/2017 56 21 04 6 2 1 17-2170783 Sri Hartini Alabio, 25 Februari 1995 Poltekkes Kemenkes Banjarmasin Aj 69954 422/273-MTKP/X/2017 57 21 04 6 2 1 17-2170784 Rizkina Maulida Tambak Anyar Ilir, 26 Agustus 1995 Poltekkes Kemenkes Banjarmasin Aj 69955 422/273-MTKP/X/2017 58 21 04 6 2 1 17-2170785 Ikrimah Kandangan, 25 September 1995 Poltekkes Kemenkes Banjarmasin Aj 69956 422/273-MTKP/X/2017 59 21 04 6 2 1 17-2170786 Gusti Khaerunnisa Pangkajene, 19 Nopember 1994 Poltekkes Kemenkes Banjarmasin Aj 69957 422/273-MTKP/X/2017 60 21 04 6 2 1 17-2170787 Hamidah Marampiau, 15 Februari 1994 Poltekkes Kemenkes Banjarmasin Aj 69958 422/273-MTKP/X/2017 61 21 04 6 2 1 17-2170788 Rr Anjani Haryani Koestoer Pelaihari, 23 Januari 1994 Poltekkes Kemenkes Banjarmasin Aj 69959 422/273-MTKP/X/2017 62 21 04 5 2 1 17-2170789 Rabiatul Adawiyah Bambulung, 01 Februari 1994 Poltekkes Kemenkes Banjarmasin Aj 69960 422/273-MTKP/X/2017 63 21 04 6 2 1 17-2170790 Ema Kuswardhani Palngkaraya, 06 Nopember 1995 Poltekkes Kemenkes Banjarmasin Aj 69961 422/273-MTKP/X/2017 64 21 04 6 2 1 17-2170791 Ridha Maswati Paya, 06 Februari 1995 Poltekkes Kemenkes Banjarmasin Aj 69962 422/273-MTKP/X/2017 65 21 04 5 2 1 17-2170792 Noor Syifa Hikmatiah Pelaihari, 07 April 1996 Poltekkes Kemenkes Banjarmasin Aj 69963 422/273-MTKP/X/2017 66 21 04 5 2 1 17-2170793 Fitri Yuliyani Tabalong, 23 Juni 1996 Poltekkes Kemenkes Banjarmasin Aj 69964 422/273-MTKP/X/2017 67 21 04 5 2 1 17-2170794 Badriah Buntok, 20 Maret 1996 Poltekkes Kemenkes Banjarmasin Aj 69965 422/273-MTKP/X/2017 68 21 04 5 2 1 17-2170795 Norpah Paringin, 13 Agustus 1996 Poltekkes Kemenkes Banjarmasin Aj 69966 422/273-MTKP/X/2017 69 21 04 5 2 1 17-2170796 Hadissa Azemi Pelaihari, 09 Januari 1996 Poltekkes Kemenkes Banjarmasin Aj 69967 422/273-MTKP/X/2017 70 21 04 5 2 1 17-2170797 Rolia Miftahul Nurilma Asura Kandangan, 28 Mei 1996 Poltekkes Kemenkes Banjarmasin Aj 69968 422/273-MTKP/X/2017 71 21 04 6 2 1 17-2170798 Dini Eka Purwati Barabai, 21 Oktober 1995 Poltekkes Kemenkes Banjarmasin Aj 69969 422/273-MTKP/X/2017
