tz Hd

(1)

PEMERINTAH (ABUPATEN

PURIIOREIO

R1JMAH SAKIT UMUM DAERAH Dr. TJnROIVARDOJO

f.r!a

i@?s,32, s ^(HunMd

tu

@71121652:

Dhjl, n.d d'o4rrcifuE#hEn:

tz Hd

I _ct₉/4BL

/zbto

Undblgu

Pelaksa]1aar Fonrm Perdgkat Daeiai

RSUD Dr.Tjitrowardojo Puvorejo

DalM

R6ska Penyempumad

Rdcangs

Yth.

di

'I

Mcnperhaul.d surat l(ifti nomer

00s/458/2018

te88al 9 ^Fcbludi

2018

pdihal _Undsse

Pctak

dad

Forud Pereskat

Daerah RSUD

Dr.Tjitow{dojo

PuruoEjo

Dard

Rangka Peny€hpumaan

Rucdgs ^R.nja

Taltun

2019, b€rkaita! dcngm bdye6uailcn Jad{al

KeSiate

Bupati Purworcjo maka undanSan yag 6mute

diselengsaa.l@n pada :

Tdgsal

^{: 15}

r.ldrl2O1a

Dtg Dti

m.nl.dr

_P.dal

Ha.i

^:^Sonln

Tdggel

: 09.00 WIB (Susunan Acara

tcrlmpir)

: Ruang Auditorium RSUD Dr.Tjihowsdojo

: Forum Pemckat Dacrah RSUD Dr-Tjitftsardojo P'rMorejo

Delm

RmSka

PsycEpuEen

RdcsAu

Rencea reda Taltun 2019 Atas perhauaD

de

ke.jaasEAnya kaEt

sdpaikm

Direktur

RSUD Dr

Tjiolv6doro

^Pusorejo

Tembusan disanP8jl€n kcpada Yth,

1, Kcpa.la BAPPEDA

lkbupdtq

Pur@ejo;

2.

^Ketua

D!v0r

F.usaEs BLUD RSUD Dr. 'Ilitlowardojo Pl]l@!€jo.

319a510 1 002

6P! @

(2)

JADWAL TDNTA'II''

Potum P.aaLlt D..Er' RSUD Dr. Tjlhqddojo PuMrqo

DalM Rdgll

P.nrEpuro Rdeiau R6ce

^ycd.Tdun AnssaM ?or9

rsg3al. 19 F.bruan2urs

I.ldi: S..ln, ¹⁹F.brudi20t8

rapom P.n}llclsglllffi

sdbub

^RrpauPusorcjo Pap8m F6@&d

Rrja

Pe.Yupaje Mstc.I

dd

ftnflihe

d.rcrs.t Y8ix

ald

P.6nsLar Da.6h'dirkat

P.nndotlrss

^B.rlla

lbnutups Forun P.Eglat

r,'Ili@ddojo Pr'ruor.jo

f"9

Q-".'t

(3)

I6I!IURUM ^PD

NOMOR:

TA,{OGA! : l9 FcbMi 2013

DAIiTR S,{DTR !EAERrA

IOAO PIRAII

rAT I'TERTE

Forum Pc@gket Da.Eh RSUD Dr.TjiE@qfttojo Putuorjo Datm

R@gka

Pcry€opu@ Rh6Ee R.n@

^(.rjaTahun 2019

Lrl {31

Drx. CGbnul Ari6n, M./E

,D/

IG SA.

P.r.rm t---;---v::

3

" -t''"-Y

5 5

\7,1r' - ₎

'rcflh Wi6ow, S.l(.D. N.B, MM

6w0.

^ I ^sQ/

q{

I(s Sub, B.E P.rb.ndalrmm

1' ,(

x!. Sub B,EiEh Rrkm M.dik

_{8 l-,1} ',,.4r

: _',4 A ^V'

rsft'n v

Ka. Sub. Bar. x.p.rR*ajan

,u /v*.

la

r3 0\

\c _7L

widodo suxmo Adi, S kp. Nh.

* ^?o \Ar

saAo Pn,'Mtom, S.K.p. ^!.^MP xn Sr Diklarnan LiibMs

,, (t\{

n

^(1?E

zr q$[-

," /fu

,5* ,a=-+fa,2

Rad.n Srphyadi, sr(M, lM x.3

,i _/4/1"

' ,'N

*4

(4)

MP l!5a0223 lgssro ₁_oo2

}:

^Any^rrdj.ny,^sp^P& I(a. rnstarsi _PdolosiKlin _r Ira, Iftbrei _Rehablb'i';

?!,,tu.

fttl,fw-^7o,]

Dr*tur _PsuDDr.Tl,hk _do,o

P!furjo

(5)

OAFIAR IIAOIR DE3ERTA FO'UM

: FduP.mlrnDmi ^RsuDDr.',Ilt*nrolo

fi'sro

odh Rrrskt

Pdy.hplde R!l]@D R.qL&d.rd$2oe

|d6&ke!lffildixnE

fiom 14

slklbtu &' ^d^a.PRo&6 P!M.r.lo

Alllm xohi, B DPRo (i6 P!m,.h

ll'tt

p.

₀

al4a4

^<a:=

n ,&b.sl(dc@Rob.Pwd.

(,,rr"l \U

hrk' {-w

+

u.t"-

(6)

OAFTAR HAOIi PESEiTA FORUII/| PERANGKAT DAERAS

r.niqn

_:1e F.bMrttols

Itp.'

_.nrPEns\.rorrl

RsuoDrlrwdqoFuMlo _Drt.mtuncu

eli

T -l

t

I

a

:

:4'--1

" Azz ^a->-

A t[ar"tc.tr1 nt

_sln

aBf{ lrti ,w

o I ^t LL?flt,4 , >- /l

.____;_*,

x@n.

Prbnr

oihto B.cr6

& ^A

^rts...>^..r,

a&s

_{66o 31a1}

ogt

t-r2.F-ul

.-l

1t ffrd""t'\, ^a.J- _)h3z( o{.l

6<.;-- o51tqr3,

q0 'fit

$'e""{ta! fib.'Ptv\Tl ^&_

o"^rl V^-to9-

_bSt? ^z

Slz4 | ,) ",L -r,

tt/

^.xor"

1/ ^,. ^:

kp! ! Arla6& wM xftrto

e19>1tta

" {r,r ^'

x'tfuklqhh6

I. ^q,h"* ttttl.j.yTls 4 ^," t)

|i^ !t}8)|Nh

_r."1

" \, ^n'r

rI , rdrtub ^lsi#Ero66 \r + cr.0o,0.t%4 ofiixS)r,

⁾

6 (gurl,r*tu :'^ \ ,t"'"^i,i. " ^T\2

4 (441/i

^t ^a96li4q l,h

"(d

Wi,$,4r;n:rto (fi\',)tv,c/t, !" 2/'

t1.1"" A4hk

^{L^}

r""t w( ^"

"v

i*lra.fl.d ^eEl2163lr

^rio

" L!'

.,lF-1

-..-n +-

3',..

q.*L

⁽

oia1r

^oglft.J

---.,|

l

rootrer **

(7)

DAFTARHADRFESE.TAFORUM

"'JJ:Hff:'Jil*'

Rfr*"i _UL9Ltcal

arzaWJafi

!sg3!$!

*@i;;

113/

L7fi

uad

_4Atqt

t{;;; qaDsBilE

1o;dGi

6h.idI"eh..dd;

adGfA,

081>2r.S6r

5*^"&rtiElE;

,*"".*"""*,*;

p*"..m.,"uru_ii

tetqt J 44

EN

n

uot46;

(8)

6@z unq.r

,!.,

ru6u.! !e6!ehB uoundu&.d

!!turu upo ^org5NndorqhM _{_roo.sL}u!e.o hlJsr. LMJ

fl\taBvo lvygl,lvrid nlnuoi vj.tllsla uovll

uvtfto

/){ I

-t ^lr ^*-ryf

'e+141ft+

rww

iulaQ 4la

N .fq'

^,4ot^ltoo^l-519 ^d

Jl", _{w 1/.} ^6t/rh ^rr-clgo

*.+_ '-?t/>/ t{\<s,z].7e 4"11 ^-4fi

(9)

!

qllo,qdq,!{qh{o6d4{

"w

ol+t&t r{om!

fr

olE r!!.8' ^q@q4*.o4 he4qqleEBu4uduqgr 4cra ^tq6F.d^u4tEniry .Iqliqt!,0 cl,.@ !uee, {u<rJqs

orlA,c ltoPrq(I

{

@.! @s om.

twrqdrdqrcsct.J.@s6s

0roz uqtr nq ^ruH.d^u36!ar!

ururdu*.!

|laue3 uqro

dleia

olop]t@tllo

HV!IVo l\rrcNvlla xloaol

v|3$d

^alovH

.ur//,

(10)

OArIAR HADIR PESETTA fORUIIII PERAI{GI(AT DAERAH

FNm P.niou

D'd

^Rsuor,]jmtu+Jo p.eEjo _ortmF,rrrr .iy.hpuNtn R.,fuss

i.Er

^(,hrthn 2or0

&l*016ffi6,fu]o K.'!!.!crnHfu$n.hlhi ftbqfti toMrb s&ru s.hbi!

6hAitdrD!6Pdl!6BLUD

Fsuo D rtt1,lehPfudo

I

PlMrclo!b!r4'd:otrpiaE

BLUo nSUo o

rlrMddotuq.

,t"",",.-"*,.

'l

1l

(11)

,"-4A

,-i\ i ^4{*y'19/( lF 6

)

4.,<rt ^6+rtd'nfit * ^ </w

Y4

2k--.."

"7*' ,!1"rrn5

>8 ^oe?l. ^othl ^98e'4)vA Trrq"lx

, DJ. ^-r,,1dl ^.rE

-=4/t>" _{_T} " _4: ^14.l,r

^e&o

0 ^Slq,bgzzBa ^a,r{[A

6 | o. ^lnqrJ,4.)r .uiur I ura!6!.t u.'u^du.tutu

.iaa

^uB.rc.{.reidoi.rm1]L4 _onsu

't!.rc ^r'l!ud.d^utuoJ^: ulas :

rnnro lYrcNwed flnaoJ

vlllsfa

^xEvr{

!v!vo

(12)

DAFTAR HADIR PESERTA fORUM PEiANOI(AT OAERAI{

RsuD Dr.ljiffido,' PumEjo oarm R'ior!

Po nrru

v ^{Aar^*,n} 0492?7rrt -)-ar--:r4-

",4

4 otu

^Rsuo^&ntlciqr.

tuolo

(13)

SEPATG'TAN H^SIL FORUM PD NOMOR:

fAllOOAL : 19 F.6tu.dr013

DITTAi

ETDIR PEAETIA FOROII PERAtrOTAT DAIIRTII

FNo

P.MEk r Dacreh _RSUDDr.niE@.rdojo

rr

oFjo

DdM

MEka P.nrFmpumtu

RE6su

R.l@D ^(crJ.T.iun 2Ot9

!.1.1

:

el

Inlbrui Giri/s.hj

x.n.E

i

. ,6

84. v.ria,k 3i/Pcn.riEiTmu

, tj,

s7L

6

I

_"

^z-\*_dt

t ,lah

,, }.

Bt-

ry'z?--J

t. I

*" -"

fi

^rs

^c'l ,,<L

\ ^- ^q-+

,, *$ [.

:l4ltr:{$ q *

-

^24(-l

^ ^wJt

v.Z

2A

(14)

1-- F-

tl--

JT

W-7- /

\\ ^sa Z/t

374

\---<4++

A ^"d. l/

\

e -t

_.*.-

_ai=--

46 tb*

lsatem

satp".

salpd

-_,-

4'q

\lit

:

*4v

(tr

s3 1,).

l) '4,1

\. 's r.t

J

59

U4-

q

-v

Dirc,'tur _RSUDDirjulNfudojo Pulwrjo

L4E!r!- !r:.&!

NrP 19$022r t935ro I ^OOz

(15)

BDRITA _ACA,RA

KISEPAI(AiAN HASIL iORUM PERANOTAT DAERAH

.

^RSUD^Di.TJNROVIARDOJO PTIRWORF^'O

Pad,a hari S.nin tang8ar

Sdbtan b.ts trrb. F.rMi t

ltuE Dua

nbu delape tELa

t

lah

di.Liggaralon

Foruh

ttmskar

Da@h RSUD

Dr.

liE@ailojo PuMEi,

]E1g diharttri

Fr68ku ^keFntinse

^sesuai

dcryan daftar hqdir llbagaiEana

t rcenrh dalm

LAMPIRAN

I

terita

Sctcla]r

ndpdhatiks,

dend.ngd daa

E EFrtidb@gkd:

1,

Pcraapalan DaGri Rancange Rdc.na K.rja Tahun 2019.

2.

Tarygarran d,an s.mn dini s.luruh

F$rr!

Fo,1E Fcr&ak

t

Da.En

RSUD Dr. Tjitr@atdojo

Pwftjo t rlDdlp tut ri y&s dipaprka oLh bainE - ^t@inB

^{lEtuE k}

^!d@k

^disku.i

3.toeaietu

^tets!

dimskur

n.njadi !a.n

hputus k

^lomlok^diskusi,

oala

^pada^:

: S.nin/ 19 Februei 2018 : 13.00 wrB.

I Auditorim RSLD Dr. Tjitr@adojo Puif,!rcjo Forua Pc@skat Daddt RSUD Dr. Tjitiwadqio Pu,@Ejo

KESATIJ

i(ETiGA

MENYEPA(ATI

M.ny.pal€ti prcgtm dan kcSiatsr prioritas, dar in.Iikat

r

kinerja ,ang diertai targ.t

d& k

butuhd

Fnd&aa, yos

telah

di$ldako

dengd usulan

tceiatft

p.i6itas

dei

lvusMbarA RLPD v€bupdta di tin8kar

(.c@ato.

M.ny.pal@ti

Rd6ga Ra.am (6ja

_Pctugl.at_Daer6!

RSUD Dr, Tjitm,ardojo

Pw

@jo Tanun 20 19 *ba8a!r@a

teMntua

dalae LAMPIRAII II

!.rita

acda

iri.

MenycpaLati

d6td Bul&

^prcg.@

de k gi.tm

Peregk4t

D!6a}l

RsLrD Dr.

Tjitswddojo

Pum@jo

TahE

2or9

$basao6. t rceta ^.LLE

^I,AMPIRAN^U^b.tna

^eda

^itu

(16)

rEElvtPAT M.iy.lolod tnira o.e ini tcaBta

bDpiEinya (I-IMPIRAN

ILBI) m.rulel€n stu kcetud dd EnPdcn

bagle

yos

tiat r< Erpi.ankan

dai

b.rita qr&a

haln kc*palctan Fo,lE

P.ianskEt

Da@h

^RSUD

Di tiEw6dojo

^Kabupat^D

^PlN@jo

^lni.

Bc.ila

ace iDi b.sta

lanpiramya dijadiLrn sbasai

bala _Fn cmpull'ae Ra@g& R.,,.oa rqja

^RSUD

Dr.

fjit'wddoF

^rgbuDat

r

Pu,mcjo

f.huo

^2019.

DcEilde !.rira e@ ini

^dibuatilan

.Xehlcn utuk

^digunaLan

&bs8!ib.ra b6ti!ya.

Purvor.jo. 19 Fcbrqui ^2018.

PiapilE

Sidng

Dnlktur RSUD Dr.

liit@ddojo

P@binb Ut

@

Madya NIP 1g5aO2Z3 I9a5tO I ^0q2 M.ny.tujui,

wakil P6ena ForrE

a.rdglqt

^D4rsn^RSUD^{Dr' Tjit}^osardojo^Pworejo

oandl Budl Sup4€n@, ^s.So1

,l

DB, PYSF P:'3'tsd AChMd, ^MM,

_i.$;--

+.ffi.-

5 ^Dr,

KusetoF,

^M.^(.s.

slng8lh

M{Y

^CSnYeto^PlEa

,V t/4

,u_:-.

(17)

FORUM PERT{NGIIAT DALAM

TJITROWARDOJO REIYCANA KERJA

I

i r

(18)

riia i::

(19)

(20)

$

(21)

tz Hd

PURIIOREIO

f.r!a

tu

tz Hd

/zbto

Undblgu

DalM

Rdcangs

'I

Mcnperhaul.d surat l(ifti nomer

te88al 9 Fcbludi

pdihal Undsse

dad

Forud Pereskat

Dr.Tjitow{dojo

Dard

Rucdgs R.nja

2019, b€rkaita! dcngm bdye6uailcn Jad{al

Bupati Purworcjo maka undanSan yag 6mute

Tdgsal

r.ldrl2O1a

m.nl.dr

Ha.i

tcrlmpir)

Delm

PsycEpuEen

RdcsAu

de

sdpaikm

Tjiolv6doro

lkbupdtq

2.

D!v0r

6P! @

P.nrEpuro Rdeiau R6ce

sdbub

Rrja

dd

ftnflihe

ald

P.nndotlrss

f"9

Q-".'t

IOAO PIRAII

Pcry€opu@ Rh6Ee R.n@

,D/

P.r.rm t---;---v::

" -t''"-Y

\7,1r' - )

6w0.

^ I sQ/

q{

1' ,(

8 l-,1 ',,.4r

: ',4 A V'

rsft'n v

,u /v*.

r3 0\

\c 7L

* ?o \Ar

,, (t\{

n

zr q$[-

," /fu

,5* ,a=-+fa,2

,i /4/1"

' ,'N

*4

}:

?!*,,*tu.

fttl,fw-^7o,]

P!furjo

fi'sro

fiom 14

p.

al4a4

(,,rr"l \U

hrk' {-w

+

te88al 9 ^Fcbludi

pdihal _Undsse

Rucdgs ^R.nja

\7,1r' - ₎

^ I ^sQ/

_{8 l-,1} ',,.4r

: _',4 A ^V'

\c _7L

* ^?o \Ar

,i _/4/1"

?!,,tu.

" Azz ^a->-

o I ^t LL?flt,4 , >- /l

& ^A

1t ffrd""t'\, ^a.J- _)h3z( o{.l

$'e""{ta! fib.'Ptv\Tl ^&_

1/ ^,. ^:

" {r,r ^'

I. ^q,h"* ttttl.j.yTls 4 ^," t)

" \, ^n'r

rI , rdrtub ^lsi#Ero66 \r + cr.0o,0.t%4 ofiixS)r,

(gurl,r*tu :'^ \ ,t"'"^i,i. " ^T\2

^t ^a96li4q l,h

r""t w( ^"

i*lra.fl.d ^eEl2163lr

Rfr*"i _UL9Ltcal

-t ^lr ^*-ryf

Jl", _{w 1/.} ^6t/rh ^rr-clgo