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REKAP ANGGOTA KELOMPOK STAF KEPERAWATAN (KSK)
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NAMA KSK :
ONKOLOGI
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NAMA KEPALA KSK :
AGUS WIDODOAlamat Email :
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NAMA SEKRETARIS KSK
ENGGAR PAlamat Email :
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NONAMA ANGGOTANIP/NIKNOMER REGISTRASI ANGGOTARUANGLEVEL PK/BPPENDIDIKANSTRSIPP/SIPBSPK TERAKHIRSERTIFIKAT ASSESMEN KOMPETENSISERTIFIKAT PELATIHAN SESUAI PERSYARATAN KSKKETERANGAN
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NOMOR STRTANGGAL MASA BERLAKU HABISNOMOR SIPP/SIPBTANGGAL MASA BERLAKU HABISNOMOR SPKTANGGAL MASA BERLAKU HABISNOMOR SERTIFIKATTANGGAL MASA BERLAKU HABISPelatihan Kanker DasarTanggal Terbit Sertifikat Kanker Dasar Pelatihan Kanker dengan KemoterapiTangal Terbit Sertifikat Pelatihan kanker dengan KemotrapiPelatihan Luka kankerTanggal Terbit Sertifikat Pelatihan Luka KankerPerawatan Kanker LanjutPerawatan Paliatif
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1Karlina, S. Kep, Ns.197912242005012002KSK.ONK. 0001POLI ONKOLOGIPK 3NersXG00001034044590Seumur Hidup449.2/710/DPM-PTSP/IP.710/V/202112/24/2026YP.03.02/II/4060/202324 Desember 202642/TAKK/DIKLAT/IX/2014-1919/1/0207​​​1087/KANKER LANJUT 2023/DIKLAT/XI/2023-9Belum
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2Retno Dwi Yuliana, S. Kep, Ns.198607252012122001KSK.ONK. 0002KASUARI LT. 4PK 3NersZH00000873907447Seumur Hidup449.2/629/DPM-PTSP/IP.629/IV/20237/25/2028YP.03.01/II/4419/202225 Juli 202540/ASSESMEN/DIKLAT/VI/2022-94/14/2024​​​4/11/2021Belum
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3Aulia Rahmawati, AMK198506012024212018KSK.ONK. 0003KASUARI LT. 4PK 3D3 Kep14015222241923146/1/2027449.2/321/DPM-PTSP/IP.321/III/20221/6/2027YP.03.01/II/4090/20221 Juni 2025102/TAKK-7/DIKLAT/2017-2381/3/2021​​​28/10/2021BELUM
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4Mardiana Daniati, S. Kep, Ns198703042023212002KSK.ONK. 0004KASUARI LT. 4PK 3NersHZ00000451180926Seumur Hidup449.2/563/DPM-PTSP/IP.563/II/20243/4/2029YP.03.01/II/926/20224 Maret 2025​​​4/10/2021BELUM
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5Maria Indri Wigatiningsih198003241999032001KSK.ONK. 0005KUTILANG LT.1PK 3NersME00000979040009Seumur Hidup449,2/388/DPM-PTSP/IP.388/III/20213/24/2026YP.03.01/II/1658/202224 Maret 202534.ATAKK/DIKLAT/VI/2014-55712/31/2015​​​624/DPW.PPNI/W/K/XI/2022---15 NOV 2022BELUM
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6Fitri Masruroh , AMK198506222023212003KSK.ONK. 0006KEPODANG DASARPK 3D3 Kep14015222243608416/22/2027449,2/2344/DPM-PTSP/IP,2344/IX/20226/22/2027YP.03.01/II/7332/202222 Juni 2025HILANG TIDAK ADA DUPLIKAT-​​​BELUMBELUM
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7Nindyah Sri Mahastuti197804082002122003KSK.ONK. 0007MERAK LT. 2PK 3NersCL00000202320909SEUMUR HIDUP449.2/104/DPM-PTSP/IP.104/I/20244/8/2028
YP.03.02/D.X.2/2135/2024
8 April 2027102/TAKK-7/DIKLAT/2017-1851/3/2021​​​4 November 2021BELUM
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8Sriyani198001182006042015KSK.ONK. 0008KASUARI LT. 5PK 3NersPU0000689327546Seumur Hidup449,2/729/DPM-PTSP/IP.729/V/20211/18/2026YP.03,02/D.X.2/90/202418 Januari 202642/TAKK/DIKLAT/IX/2014-1989/1/2017​​​624/DPW.PPNI/SK/K.S/X/2022..15/11/2022Belum
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9Suyamto197310251994031002KSK.ONK. 0009KASUARI LT. 5PK 3NersSZ00000596979497seumur hidup449,2/976/DPM-PTSP/IP.976/VII/202110/25/2026YP.03.01/II/8119/202120 Oktober 2024102/TAKK-7/DIKLAT/2017-13​​​
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10Setiarsih198304162007012010"KSK.ONK. 0010KASUARI LT. 5PK 3Ners14017222241311114/16/2027449.2/2872/DPM-PTSP/IP.2872/XI/20224/16/2027YP.03.01/II/2040/202216 April 2025​​​382/DPW.PPNI/P/K/XI/2021/004BELUM
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11Nuzulia Asmi Damayanti198605262023212009KSK.ONK. 0011KASUARI LT. 5PK 3NersTB00000505323818Seumur Hidup449.2/1125/DPM-PTSP/IP.1125/VIII/20215/26/0205YP.03.02/II/1972/202326 Mei 2025102/TAKK-7/DIKLAT/2017-2241/2/2021​​​15/11/2022Sudah46/PALIATIVE CARE/DIKLAT/VI/2018-3
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12Nugroho13881548KSK.ONK. 0012KASUARI LT. 4PK 3NersLT00000646504547Seumur Hidup449.2/726/DPM-PTSP/IP.726/IV/20226/6/2027YP.03.01/II/4471/20228 November 202241/TAKK-3/DIKLAT/2019-2028/32022​​​4/11/2021
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13Ari Relawati198706112023212009KSK.ONK. 0013KASUARI LT. 5PK 3NersAS00000504048076Seumur Hidup449.2/415/DPM-PTSP/IP.415/III/20226/11/2027YP.03.01/II/4488/202211 Juni 202541/TAKK-3/DIKLAT/2019-283/28/2022​​​20/11/2023BelumSertifikat pel.Kanker belum keluar
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14Edy Sutopo198002172023211001KSK.ONK. 0014KASUARI LT. 5PK 3D3 KepEQ00000711804127Seumur Hidup449.2/280/DPM-PTSP/IP.280/III/20222/17/2027YP.03.01/II/1610/202217 Februari 202541/TAKK-3/DIKLAT/2019-183/28/2022​​​28 Oktober 2021Belum
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15Muhammad Ulul Azmi198305262010121004KSK.ONK. 0015KASUARI LT. 5PK 3Ners140171222-41726165/26/2027449,2/734/DPM-PTSP/IP.734/20235/26/2027YP.03.01/II/2368/202226 Mei 202567/TAKK-6/DIKLAT/2017-3328/2/2020​​​4 November 2021belum
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16Niken Vera Yunita198406262023212004KSK.ONK. 0016POLI ONKOLOGIPK 3D3 Kep14015222242964006/26/2027499,2/1221/DPM-PTSP/IP.1221/VI/20226/26/2027YP.03.01/II/7302/202226 Juni 202574/TAKK-4/DIKLAT/2018-348/24/2021​​​BELUMBELUM
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17AYUK PUJI LESTARI198805302012122001KSK.ONK. 0017KASUARI LT. 4PK 3NersFV00001001525365Seumur Hidup449.2/1387/DPM-PTSP/IP.1387/VI/20225/30/2027YP.03.01/II/2369/202230 Mei 202541/TAKK-3/DIKLAT/2019-163/28/2022​​​28 Oktober 2021belum
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18PRASASTI ASIH UTAMI, Ners198802262014022004KSK.ONK. 0018KASUARI LT. 3PK 3NersHD00000715032845Seumur Hidup449.2/341/DPM-PTSP/IP.341/II/20232/26/2028YP.03.01/II/1584/202226 Februari 2025102/TAKK-7/DIKLAT/2017-2341/3/2021​​​
624.DPW.PPNI/SK/K.S/X/2022 (Masa berlaku 15/11/2022)
Belum
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19NINIK WAHYUNINGRUM198102162003122001KSK.ONK. 0019KASUARI LT. 3PK 3NersRA00000574621562Seumur Hidup449.2/323/DPM-PTSP/IP.323/III/20222/16/2027YP.03.01/II/585/202216 Februari 2025102/TAKK-7/DIKLAT/2017-2001/3/2018​​​4 November 2021belum
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20FAIZAL MACHRUS198610082023211003KSK.ONK. 0020KASUARI LT. 3PK 3NersAL00000698142078Seumur HidupSK/228/DPM-PTSP/SIP/III/202410/8/2029YP.03.01/II/8055/20228 Oktober 202541/TAKK-3/DIKLAT/2019-253/28/2022​​​28 Oktober 2021Belum
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21AGUS SUGIHARTO197206021993031002KSK.ONK. 0021KASUARI LT. 3PK 3D3 Kep140151222-41469586/2/2027449.2/273/DPM-PTSP/IP.273/III/20226/2/2027YP.03.01/II/5679/20212 Juni 2024102/TAKK-7/DIKLAT/2017-121/3/2021​​​28-10-2021 BELUM
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22KINASIH198303312007012005KSK.ONK. 0022KASUARI LT. 5PK 3D3 KepPW00000618821646Seumur Hidup449.2/322/DPM-PTSP/IP.322/III/20223/31/2027YP.03.01/II/2043/202231 Maret 20257/1/2018​​​28 Oktober 2021
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23ENDAH DWI PRIATINI, Ners198903142014022004KSK.ONK. 0023KASUARI LT. 3PK 3Ners140172222-41816653/14/2027449.2/319/DPM-PTSP/IP.319/III/20223/14/2027
YP.03.02/D.X.2/1164/2024
14 Maret 202715/ASESSMEN/DIKLAT/II/2021-012/25/2024​​​28 Oktober 2021BELUM
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24LITA ANDRITA PURI, AMK198502282023212006KSK.ONK. 0025KASUARI LT 5PK 3D3 KepFB00000507753706Seumur Hidup449.2/510/DPM-PTSP/IP.510/III/20222/28/2027YP. 03.01/II/586/202218 Februari 202541/TAKK-3/DIKLAT/2019-33/28/2022​​​4 November 2021
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25DINIA FIKRIYANA198603312023212003KSK.ONK. 0026POLI ONKOLOGIPK 3D3 KepWY00000754383033Seumur Hidup449.2/315/DPM-PTSP/IP.315/III/20223/31/202741/TAKK-3/DIKLAT/2019-43/28/2022​​​4 November 2021
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26WACHIT FUJIANTA, AMK197407281994031003KSK.ONK. 0027POLI ONKOLOGIPK 3D3 KepSE00001010179824Seumur Hidup 449.2/1775/DPM-PTSP/IP.1775/VII/20227/28/202728 Juli 202474/TAKK-4/DIKLAT/2018-22​​​15 November 2022
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27RENA WIDYASTUTI198707102012122001KSK.ONK. 0028POLI ONKOLOGIPK 3NersEM00000598215060Seumur Hidup 449.2/822/DPM-PTSP/IP.822/V/20237/10/2028YP.03.01/II/2948/202210 Juli 202541/TAKK-3/DIKLAT/2019-133/28/2022​​​4 November 2021Belum
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28ERY SULISTYANINGSIH197509081998032001KSK.ONK. 0029POLI ONKOLOGIPK 3D3 KepAJ00000689893341Seumur Hidup449.2/772/DPM-PTSP/IP.772/V/20239/8/2028YP.03.01/II/8414/20218 September 2024​​​15 November 2022Belum
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29SRI REZEKI197506022001122004KSK.ONK. 0030POLI ONKOLOGIPK 3D3 KepBT00000690937423Seumur Hidup 449-2/442/DPM-PTSP/IP.442/III/20226/2/2027YP. 03.01/II/4472/20222 Juni 2025102/TAKK-7/DIKLAT/2017-263 Januar 2018​​​pelatihan kanker dasar - 18 Juni 2021Belum
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30P. DWI ROSARIA INDAH197408191993032001KSK.ONK. 0031POLI JANTUNGPK 3D3 KepJM00001057104821Seumur Hidup449.2/811/DPM-DTSP/IP.811/V/20238/19/2028YP.03.01/III/8413/2020319 Agustus 2024​​​belum
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31VERA PRAMUKTINING DYAH198107172009122001KSK.ONK. 0032RAJAWALI 3APK 3NersCV00001048245394Seumur Hidup449.2/1087/DPM-PTSP/IP.1087/V/20227/17/2027YP.03.01/III/5535/202117 Juli 202467/TAKK-6/DIKLAT/2017-3618/2/2020​​​382/DPW.PPNI/P/K/XI/2021/007Sudah300/DPW.PPNI/SK/K.S/IX/2021/380
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32FITRIA SISWI AMURWANI198207182005012001KSK.ONK. 0033RAJAWALI 6APK 3Ners14017222135034877/18/2026449-2/442/DPM-PTSP/IP.1106/VIII/20217/18/2026YP. 03.01/II/6212/202118 Juli 2024102/TAKK-7/DIKLAT/2017-2251/3/2021​​​4 November 2021belum
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33AHMAD SYAKIR198011222005011002KSK.ONK. 0034TPPRI IGDPK 3D3 Kep140151222449180811/22/2027449,2/3069/DPM-PTSP/IP.3069/202211/22/2027YP,03,01/II/920/202222 November 2025​​​BELUMBELUM
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34YAYUK SETYANINGSIH197503092002122002KSK.ONK. 0035RAJAWALI 4APK 3Ners14015222033841059/3/2025449.2/033/DPM.PTSP/IP.033/V/20219/3/2025
YP.03.02/D.X.2/1162/2024
3 September 2025​​​15 November 2022BELUM
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35ENGGAR PURNANINGSIH198105082005012004KSK.ONK. 0036POLI ONKOLOGIPK 3Magister Spesialis1401822234687388/5/2028449-2/1490/DPM-PTSP/IP.1490/V/202405/31/2029yp.03.01/ii/7300/20225 Agustus 202541/TAKK-3/DIKLAT/2019-103/28/2022​​​28 Oktober 2021BELUM
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36GANDES DYAH TUTWURI198403152009122001KSK.ONK. 0037KASUARI LT. 5PK 3D3 KepNV00000688391558Seumur hidup449.2/481/DPM-PTSP/IP.481/III/202203/15/2027YP.03.01/ii/2258/202203/15/202542/TAKK/DIKLAT/IX/2014-1883/28/2022​​​28 Oktober 2021BELUM
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37PUTRI AYU AMBARWATI198808062023212003KSK.ONK. 0039POLI ONKOLOGIPK 3D3 KepXL00000959673960Seumur Hidup449.2/2291/DPM-PTSP/IP.2291/IX/20228/6/2027YP.03.01/II/8022/20226 Agustus 202541/TAKK-3/DIKLAT/2019-63/28/2022​​​4 November 2021
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38SRI SETYOWATI198012152003122002KSK.ONK. 0040POLI ONKOLOGIPK 3NersHL00000646321262Seumur Hidup449.2/1263/DPM-PTSP/IP.1263/IX/202112/15/2026YP.03.01/II/8412/202115 Desember 2024102/TAKK-7/DIKLAT/2017-113/1/2021​​​4 November 2021belum
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39IRA NURVIDHA197110071994032001KSK.ONK. 0041POLI ONKOLOGIPK 3D3 Kep140152222-447341010/7/2027449.2/2989/DPM-PTSP/IP.2989/XI/202210/7/2027YP.03.01/II/6950/20217 Oktober 2024102/TAKK-7/DIKLAT/2017-1010/27/2024​​​KANKER LANJUT 27/10-2021
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40T. UDUR ANNA PASARIBU197004061989032002KSK.ONK. 0042POLI ONKOLOGIPK 3NersQI00000692028733Seumur Hidup449.2/554/DPM-PTSP/IP.554/IV/20216/4/2026YP.03.01/II/2201/20224 Juni 202525/TAKK-1/DIKLAT/2017-972/19/2021​​​keperawatan kanker dasar tanggal 6 okt 2022pk 3 gadar
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41INDAH ARI HASTUTI198611082023212007KSK.ONK. 0043RIRAPK 3D3 Kep140152222-429965511/8/2027449.2/1464/DPM-PTSP/IP.1464/VII/202211/8/2027YP.03.02/II/753/20238 November 202541/TAKK-3/DIKLAT/2019-233/28/2022​​​26-28 OKTOBER 2021BELUM
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42EDY RIYANTO197309071993031001KSK.ONK. 0044KASUARI LT. 5PK 3Ners14017122244619769/7/2027449.2/3443/DPM.PTSP/IP.3443/X/20199/7/2024YP.2/03.01/II/4473/20227 September 2025​​​15 November2022Pelatihan Perawatan Kanker Lanjut
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43MASRIPAH196804101989032003KSK.ONK. 0045POLI ONKOLOGIPK 3Ners140172221-4072034seumur hidup449,2/1430/DPM-PTSP/IP.1430/X/20214/10/2026YP.03.01/Iiii/0522/202210 April 2024382/DPW.PPNI/SK/K,.S/X/2021-24/10/2026​​​4 November 2022
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44MARIA RETNO KRISTIYO DEWI197203311996032002KSK.ONK. 0046POLI ONKOLOGIPK 3D3 Kep1401522224172628seumur hidup449.2/1963/DPM-PTSP/IP.1963/VIII/20223/31/2027
YP. 03.02/D.X.2/18852024
31 Maret 2027102/TAKK-7/DIKLAT/2017-151/3/2021​​​382/DPW.PPNI/SK/K.S/X/2021Belum
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45LIZA RIHAYATI196809161988032001KSK.ONK. 0048POLI ONKOLOGIPK 3D3 Kep​​​
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46TRISNOWATI UJI198712302009122001KSK.ONK. 0049KASUARI LT. 4PK 3D3 Kep140152222-446330012/30/2027449.2/2861/DPM-PTSP/IP.2861/XI/202212/30/2027YP.03.02/II/733/202330 Desember 2026382/DPW.PPNI/SK/K.8/X/202111/4/2024​​​382/DPW.PPNI/SK/K.8/X/2021BELUM
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47RINI KURNIASIH197204161997032001KSK.ONK. 0050KASUARI LT. 4PK 3NersKH00000959634669seumur hidup449.2/316/DPM-PTSP/IP.316/III/20214/16/2026
YP.03.02/D.X.2/2064/2024
16 April 2026102/TAKK-7/DIKLAT/2017-143 Januari 2021​​​1087/KANKER LANJUT 2023/DIKLAT/XI/2023 -15BELUM
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48NUNGKI WAHYU PERTIWI, S.kep, Ns.198404072023212007KSK.ONK. 0051KASUARI LT. 4PK 3Ners140172223461086207/04/2028449.2/489/DPM-PTSP/IP.489/III/20234/7/2028YP.03.01/II/125/20227 Maret 2025122/Assesmen/DIKLAT/XII/2021-212/3/2024​​​1087/KANKER LANJUT 2023/DIKLAT/XI/2023-13Sudah
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49JANI SUMARSIH197501201998032001KSK.ONK. 0052KASUARI LT. 4PK 3D3 KepTF00000942120887seumur hidup449.2/309/DPM-PTSP/IP.309/III/20221/20/2027YP.03.02/D.X.2/75/202420 Januari 2027102/TAKK.7/DIKLAT/2017.2221/3/2021​​​381/DPW.PPNI/SK/K.S/202110/28/2024
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50DESTI DWI NUHGRAHENI9880591KSK.ONK. 0053POLI ONKOLOGIPK 3D3 KepGW00001105982574seumur hidup449.2/370/DPM-PTSP/IP.370/III/20224/18/2027YP.03.01/II/2188/202218 April 2025tdk diberikan tdk ada​​​381/DPW.PPNI/SK/K.S/X/2021BELUM
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51FARIDA EKO CAHYANINGRUM197604252003122001KSK.ONK. 0054RIRAPK 3D3 Kep140152222-41469364/25/2027449.2/439/DPM-PTSP/IP.439/III/20224/25/2027YP.03.02/II/748/202325 April 202534.A/TAKK/DIKLAT/VI/2014-47312/31/2015​​​38/DPW.PPNI/SK/K.S/X/2021BELUM
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52SYARIF HIDAYATULLAH198505052023211007KSK.ONK. 0055RIRAPK 3D3 Kep14015122241748635/5/2027449.2/503/DPM-PTSP/IP.503/III/20225/5/2027YP.03.02/II/752/20235 Mei 202554/TAKK-1/DIKLAT/VII/2015-2507/1/2018​​​382/DPW.PPNI/SK/K.S/X/2021
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53SUNOTO197408111994031001KSK.ONK. 0056RIRAPK 3Ners14017122243483948/11/2027449.2/1379/DPM-PTSP/IP.1379/VIII/2023II/08/2027YP.03.02/II/751/202311 Agustus 202554/TAKK-1/DIKLAT/VII/2015-2507/1/2018​​​624/DPW.PPNI/SK/K.S/X/2022
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54NYONO KHOIRI197207161994031004KSK.ONK. 0057IBSPK 3Ners14017122134810367/16/2026449.2/796/.DPM.PTSP/IP.796/VI/20217/16/2026​​​
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55AZIZAH197210201993032006KSK.ONK. 0058IBSPK 3D3 KepLF00000676063850Seumur hidup449.2/1274/DPM-PTSP/IP.1274/VI/202210/20/2027YP.03.01/II/7238/202120 Oktober 2024
01/KOMPETENSI DASAR/DIKLAT/I/2022-1428
3/2/2024​​​BELUM
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56WAHYU BUDI UTOMO198007152005011004KSK.ONK. 0059IBSPK 3D3 Kep140151220-3245077Seumur hidup449.2/601/DPM-PTSP/IP.601/VI/20207/15/2025YP.03.01/II/6806/202115 Juli 2024
88/KOMPETENSI.DASAR/DIKLAT/IX/2019-2745
9/29/2022​​​
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57NIKEN PUSPITASARI198304102007012011KSK.ONK. 0060IBSPK 3D3 KepYK0000718570844Seumur hidup449.2/96/DPM-PTSP/IP.596/IV/20214/10/2026YP.03.01/II/2191/202210 April 202554/TAKK-1/DIKLAT/VII/2015-190​​​15973/KANKER DASAR/DIKLAT/VII/2024-27Belum
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58ERLINA DWI LESTARI198709252012122001KSK.ONK. 0061KEPODANG DASARPK 3NersYK00000674459504Seumur hidup449.2/2505/DPM-PTSP/IP.2505/IX/20229/25/2027YP.03.01/II/8196/202225 September 202526/TAK-1/DIKLAT/2019-642/20/2022​​​BELUMSudah77/IHT.Paliatif/Diklat/XII/2020-072
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59MUHIMMATUN NASIKHAH198402102010122001KSK.ONK. 0062RAJAWALI 5BPK 3Ners14017222346676632/10/2028449.2/1557/DPM-PTSP/IP.1557/IX/20232/10/2028
YP.03.02/D.X.2/4233/2023
10 Februari 202601/TAKK-3/DIKLAT/2016-552/1/2019​​​15 November 2023Belum
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60TITIK SUPRIYANI197805272001122004KSK.ONK. 0064RAJAWALI 4BPK 3D3 KepPE00001065719877seumur hidup449.2/193/DPM-PTSP/IP.193/II/20225/27/2027YP.03.01/II/2367/202227 Mei 1978​​​15 November 2022Belum
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61AGUS BAMBANG ASMORO 198103032015031001KSK.ONK. 0065RAJAWALI 1BPK 3Ners140171222-414540003/032027449,22/759/DPM-PTSP/IP,759/IV/20223/3/2027
YP,03,02/D.X.2/1412/2024
102/TAKK-7/DIKLAT/2017-581/3/2021​​​4 November 2021Belum
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62NILA DEWI PUSPITASARI198810012022032001KSK.ONK. 0066RAJAWALI 5BPK 3Ners140172222-436316710/1/2027449.2/1768/DPM-PTSP/IP.1768/VII/202210/1/2027YP.03.01/II/5478/20211 Oktober 202430/ASSESMEN/DIKLAT/IV/2021-74/15/2024​​​382/DPW.PPNI/P/K/XI/2021/024Belum
71
63AGUSTIN SUDIAS RINI198108272006042022KSK.ONK. 0067CENDRAWASIHPK 3Ners140172221-40610688/27/2026449.2/1540/DPM-PTSP/IP.1540/XI/20218/27/2026YP.03.02/II/669/202327 Agustus 202625/TAKK-1/Diklat /2017-642/19/2021​​​BELUMSudah46/ Palliative Care/Diklat/VI/2018-22
72
64TRI LESTARI196908021994032001KSK.ONK. 0069ISSBPK 4Ners140172220-33107068/2/2025449.2/1061/DPM-PTSP/IP.1061/IX/20202/8 2025YP.03.01/II/7239/20212 Agustus 2024​​​2-4 November 2021sudah
pelatihan paliatif care bagi tenaga kesehatan 28 oktober 2021
73
65AGUS WIDODO197412261997031001KSK.ONK. 0070KASUARI LT.4PK 4NersES00000132802605SEUMUR HIDUPYP.03.01/II/8397/202126 Desember 197451/TAKK-3/DIKLAT/2-18-35/15/2021​​​2-4 NOVEMBER 2021
74
66WIDAYANI197310272000032001KSK. ONK. 0071KASUARI LT.3PK 4D4 Kep​​​
75
67ELI SUBEKTI197211021994031001KSK.ONK. 0072KASUARI 5PK 4Ners14 01 7 1 2 23-4715935SEUMUR HIDUP449.2/962/DPM-PTSP/IP.962/VI/20232/11/202811 Februari 2024​​​ Belum
76
68KUNTARYADI197404021994031001KSK.ONK. 0073ISSBPK 4Magister140172222421605007/04/2027449.2/691/DPM-PTSP/IP.691/IV/202207/04/2027YP.03,01/II/7239/202110 Oktober 2024 ​​​1087/KANKER LANJUT 2023/DIKLAT/XI/2023 - 11
77
69ARIF BASUKI RAHMADKSK. ONK. 0074YANKEPPK 4Magister​​​
78
70NADIKSK.ONK.0075POLI ONKOLOGIPK 3​​​
79
71YAN ADI WIBAWA198607222009031002KSK.ONK.0076POLI ONKOLOGIPK 3MagisterER00001126934592Seumur Hidup1298/DPM-PTSP/SIP/VIII/20247/22/2029
YP.03.02/D.X.2/2192/2025
22 Juli 202805/ASSESSMEN/DIKLAT/IV/2025-1BELUM​SUDAH17555/KL GELOMBANG 3/DIKLAT/XI/2024 - 30
80
81
Petunjuk Pengisian Tabel :
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1.
Nama Anggota : Di isi dengan nama anggota dan gelar terakhir sesuai SK.
83
2.
NIP : Penulisan diawali dengan tanda (').
84
3.
Nomer Registrasi Anggota : Di isi sesuai dengan nomer registrasi anggota.
85
4.
Ruang : Di isi dengan nama ruangan saat ini anggota KSK bekerja.
86
5.
Level PK/BP : Di isi dengan level PK/BP saat ini sesuai dengan SPK
87
6.
Pendidikan : Di isi dengan level pendidikan terakhir, sesuai dengan SK
88
7.
Status Kepegawaian : Di isi dengan status pegawai sesuai SK
89
8.
Nomer STR : Di isi nomer STR sesuai dengan yang tertera di STR anggota KSk
90
9.
Nomer SIPP/SIPB : Di isi nomer SIPP/SIPB sesuai dengan yang tertera di SIPP/SIPB anggota KSk
91
10.
Nomer SPK : Di isi nomer yang tertera di SPK terakhir yang dimiliki anggota KSk
92
11.
Tanggal masa berlaku habis : Di Isi dengan format : Tanggal/Bulan/Tahun atau Seumur Hidup
93
12.
Nama Pelatihan sesuai persyaratan KSK : Di isi sesuai dengan nama pelatihan berdasarkan buku putih yang sudah diikuti oleh anggota KSK,
94
jika pelatihan sudah diikuti maka tuliskan tanggal pelaksanaan pelatihan, jika belum mengikuti maka tuliskan "Belum"
95
96
97
98
99
100