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Daftar Hadir Peserta Simposium Nurturing The Awareness & Healthcare on Ca

Cirebon, 16 Juli 2017

NO Nama Lengkap Institusi


1 Menik Herdwiyanti,dr., Sp.PD RSPC
2 Rendy Agustian,dr. RSUD Waled
3 Liza,dr. RSUD Waled
4 Agung Firmansyah Sumantri, dr.,Sp.PD FK Unisba
5 Arif Agung Wibowo,dr. RSPC
6 Rudiana,dr., MMRS Klinik Pradipa Kuningan
7 Henny Andriasari, dr. Puskesmas Dukupuntang
8 Padli Mulyana,dr.
9 Frisky Putri Perdhana,dr.
10 Lely Nurmaidah,dr.
11 Parlopi,dr.
12 Dr. Hana Ratnawati, dr., M.Kes FK Maranatha
13 Hendry Gunawan, dr., SpS RSUD Waled
14 Taufiq Muhibuddin Waly,dr., Sp. PD RSUD Waled
15 Ika komala,dr., M.Si.Med
16 Rose Indriyati,dr., M.Sc, Sp.PK* RSUD Arjawinangun
17 Caroline Anggraeni, dr. RS Pertamina
18 Jati Hardikawati, dr. RSUD Indramayu
19 Ayu Nuur Annisa, dr. RSUD Indramayu
20 Nur Asiyah, dr. RSUD Indramayu
21 Djohari Tony, dr. RSUD Indramayu
22 Uun Maesunah, dr. RSUD Indramayu
23 Raharup Ardi, dr. RSUD Indramayu
24 Nanda ayu zaskia,dr.
25 Retno Sulistianingsih,dr.
26 Moh. Nuruzzaman, dr. RSUD Waled
27 Amaludin jaelani,dr. RSUD Waled
28 Hj. Dian Andajani, dr., Mh.Kes
29 Dr.Meilani Kumala, M.S.,dr., Sp. GK (K)* FK Untar
30 Rebekah Malik, dr., MPd.Ked.* FK Untar
31 Yoanita Widjaja, dr.,M. Biomed* FK Untar
32 Melly Dwi Bastian, dr.*
33 Lutfia Putri Bastian, dr.*
34 Rika Mulyaningsih, dr.
35 Abdul Halim,dr.
36 Ela Hayati, dr.
37 Dewi Ristiya Ningsih,dr.
38 Dyah Ayu Riski Nugraheni, dr.
39 Helena Nainggolan, dr.
40 Niklah Zaidah, dr FK Unswagati
41 Ruri Eka Maryam Mulyaningsih, dr., MM FK Unswagati
42 Yukke Nilla Permata , dr FK Unswagati
43 Dhiyani Wahyu A, dr.*
44 Rian Damayanti, dr. FK Unswagati
45 Emallia Fitriani, dr. FK Unswagati
46 Masyithoh, dr. RS. Pertamina Balongan Indramayu
47 Maria Novrita, dr.
48 Wan Andre Nugraha Baros, dr. RS. MM Indramayu
49 Rini Rianti,dr., Sp.KJ RSUD Waled
50 Zulkifli Ahmad,dr.,Sp.OG.,KFER.,M.Kes*
51 Sutara, dr., Mh. Kes*
52 Uki Suswandar, dr. *
53 Neneng Hasanah, dr*
54 Fajar Mutmainah, dr. *
55 Esandi Felicia,dr. *
56 Retna Deviani, dr.*
57 Kiky Mamat Kurnia, dr RS Bhayangkara Indramayu
58 Retno Widowati, Drg *
59 Richardi Witjaksono,dr.,Sp.OG FK Unswagati
60 Risky Akaputra, dr., Sp.P FK UMJ
61 Maria Eka Putri, dr.,MKK FK UMJ
62 Nurjati, dr. RS Pelabuhan Cirebon
63 Tetty Sri Nurliyawati, dr* Labkesda Kab.Cirebon
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Nurturing The Awareness & Healthcare on Cancer in Young Adults
Cirebon, 16 Juli 2017

No. Telepon Email Tanda Tangan


081215198188 menik.herdwiyanti@gmail.com 1.
081320466393 rendy.agustian.m.d@gmail.com 2.
081313940606 drliza41269@gmail.com 3.
08112200982 dragung@gmail.com 4.
085741400003 arifagungwibowo@ymail.com 5.
+62 819-3127-5525 rudianapradipa@gmail.com 6.
+62 813-3422-2003 h_andriasari@yahoo.com 7.
082115655534 padlimulyana5@gmail.com 8.
085322014455 friskyputriperdhana@gmail.com 9.
08122407887 drlelynurmaidah@gmail.com 10.
+62 812-2189-5545 11.
+62 22 2012186 hana.ratnawati@gmail.com 12.
comeon4bdg@gmail.com 13.
0231 3384929 t.mudwal@yahoo.co.id 14.
081324743211 ika_komal4@yahoo.co.id 15.
081281584316 roseindriyati11@gmail.com 16.
+628159858812 carol_vito99@yahoo.com 17.
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085351556008 Nandarfs@gmail.com 24.
081320660854 retnosulistia10@gmail.com 25.
08122832385 26.
08112000789 grungemaroon@yahoo.com 27.
085224110646 dian@antamandiri.com 28.
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082130407716 mellghedez@gmail.com 32.
081393074668 33.
08122532955 mulyaningsihrika@yahoo.com 34.
+62 813-2444-4845 abdulhalimnow@gmail.com 35.
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081327141444 37.
08122926999 ayuriski.dr@gmail.com 38.
081243333801 chiarafelisha@gmail.com 39.
081390432769 dr.niklah@gmail.com 40.
089666355215 ruriade@yahoo.com 41.
08112433300 yukke_nilla@yahoo.com 42.
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081394499044 dr.riandamayanti@gmail.com 44.
081312300081 emallia03@gmail.com 45.
081320771903 46.
085348339088 marianovritasagala@gmail.com 47.
081262770227 andre2301baros@gmail.com 48.
+62 813-1363-7829 49.
+6282262829006 privatezul@gmail.com 50.
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085216819054 kikykurnia061087@gmail.com 57.
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Daftar Hadir Peserta Workshop on Cancer Genetics and Risk Calculation
Cirebon, 15 Juli 2017

NO Nama Lengkap Institusi No. Telepon


1 Agung Firmansyah Sumantri, dr.,Sp.PD FK Unisba 08112200982
2 Jati Hardikawati, dr. RSUD Indramayu
3 Ayu Nuur Annisa, dr. RSUD Indramayu
4 Nanda ayu zaskia,dr. 085351556008
5 Retno Sulistianingsih,dr. 081320660854
6 Rika Mulyaningsih, dr. 08122532955
7 Zulkifli Ahmad,dr.,Sp.OG.,KFER.,M.Kes*
8 Sri Herawati Gerson, Dra.*
9 Risky Akaputra, dr., Sp.P FK UMJ
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r Genetics and Risk Calculation
2017

Email Tanda Tangan


dragung@gmail.com 1.
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Nandarfs@gmail.com 4.
retnosulistia10@gmail.com 5.
mulyaningsihrika@yahoo.com 6.
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Daftar Hadir Peserta Workshop Interprofesional Education on Medical Educatio
Cirebon, 15 Juli 2017

NO Nama Lengkap Institusi


1 Arya Raditya,dr. Unibraw
2 Dr. Benedictus Triagung Ruddy P., dr., Sp.OG (K) FK Unika Widya Mandala Surabaya
3 Gladdy Lysias Waworuntu, dr., MS. FK Unika Widya Mandala Surabaya
4 P.Y. Kusuma T., dr., Sp.OG (K) FK Unika Widya Mandala Surabaya
5 Dr. Ruri Eka Maryam Mulyaningsih, MM FK Unswagati
6 Yukke Nilla Permata , dr FK Unswagati
7 Niklah Zaidah, dr. FK Unswagati
8 Dyah Widiyastuti,SST,M.Keb Akbid
9 Lia Nurcahyati, SST,MPH Akbid
10 Pepi Hapitria, SST, MPH Akbid
11 Nurasih, SST, M.Keb Akbid
12 Endang Nurrochmi, S.SiT.MKM Akbid
13 Neli Nurlina, SST, MPH Akbid
14 Rinela Padmawati, SST, MPH Akbid
15 Dewi Vimala, SST, M.Keb Akbid
16 Lisnawati, SST, M.Keb Akbid
17 Rani Widiyanti SA, SST, M.Keb Akbid
18 Maria Eka Putri, dr.,MKK FK UMJ
19 Dr. Wiwi. Kertadjaja MS. M. Pd. Ked* Universitas Krida Wacana
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esional Education on Medical Education and Health Profesion
Cirebon, 15 Juli 2017

No. Telepon Email Tanda Tangan


087824064268 1.
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089666355215 ruriade@yahoo.com 5.
08112433300 yukke_nilla@yahoo.com 6.
081390432769 dr.niklah@gmail.com 7.
085324283600 Widiyastuti_dyah@yahoo.co.id 8.
081320709565 Ka_iya@yahoo.com 9.
081392953057 hapitriapepi@yahoo.com 10.
082110439004 nurasih1610@yahoo.com 11.
081321222432 endang_nurr@yahoo.com 12.
081321032981 nurlina_leni@yahoo.com 13.
082118285292 padmawatirinela@yahoo.co.id 14.
082217508282 vimaladewi@yahoo.co.id 15.
082128504286 bidan_lisna85@yahoo.com 16.
08991133089 widirani85@gmail.com 17.
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Daftar Hadir Peserta Workshop Case-Based Approach on Onco
Cirebon, 15 Juli 2017

NO Nama Lengkap Institusi No. Telepon


1 Menik Herdwiyanti,dr., Sp.PD RSPC 081215198188
2 Arif Agung Wibowo,dr. RSPC 085741400003
3 Rudiana,dr., MMRS Klinik Pradipa Kuningan +62 819-3127-5525
4 Padli Mulyana,dr. 082115655534
5 Frisky Putri Perdhana,dr. 085322014455
6 Caroline Anggraeni,dr. RS Pertamina +628159858812
7 Helena Nainggolan, dr. 081243333801
8 Masyithoh, dr. RS. Pertamina Balongan Indramayu 081320771903
9 Rian Damayanti, dr. FK Unswagati 081394499044
10 Emallia Fitriani, dr. FK Unswagati 081312300081
11 Maria Novrita, dr. 085348339088
12 Rini Rianti,dr., Sp.KJ RSUD Waled +62 813-1363-7829
13 Ika komala,dr., M.Si.Med 081324743211
14 Tetty Sri Nurliyawati, dr* Labkesda Kab.Cirebon
15 Retno Widowati, Drg *
16 Richardi Witjaksono,dr.,Sp.OG FK Unswagati
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e-Based Approach on Oncology
uli 2017

Email Tanda Tangan


menik.herdwiyanti@gmail.com 1.
arifagungwibowo@ymail.com 2.
rudianapradipa@gmail.com 3.
padlimulyana5@gmail.com 4.
friskyputriperdhana@gmail.com 5.
carol_vito99@yahoo.com 6.
chiarafelisha@gmail.com 7.
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dr.riandamayanti@gmail.com 9.
emallia03@gmail.com 10.
marianovritasagala@gmail.com 11.
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Daftar Hadir Peserta Workshop Belum Milih
Cirebon, 15 Juli 2017

NO Nama Lengkap Institusi No. Telepon


1 Dr.Meilani Kumala, M.S.,dr., Sp. GK (K)* FK Untar
2 Rebekah Malik, dr., MPd.Ked.* FK Untar
3 Yoanita Widjaja, dr.,M. Biomed* FK Untar
4 Sutara, dr., Mh. Kes*
5 Uki Suswandar, dr. *
6 Nurjati, dr. RS Pelabuhan Cirebon 0897729948689
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p Belum Milih
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Email Tanda Tangan


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nurjaty@yahoo.co.id 6.
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Daftar Hadir Peserta Simposium & Workshop Nurturing The Awareness & Healthcare on Cancer in Young
Cirebon, 16-17 Juli 2017
Simposium
N0 Nama Peserta Workshop Jumlah
Student Dokter
1 Menik Herdwiyanti,dr., Sp.PD 400 000
2 Rendy Agustian,dr. 150 000
3 Liza,dr. 150 000
4 Agung Firmansyah Sumantri, dr.,Sp.PD
5 Arif Agung Wibowo,dr. 400 000
6 Rudiana,dr., MMRS 400 000
7 Henny Andriasari, dr. 300 000
8 Padli Mulyana,dr. 400 000
9 Frisky Putri Perdhana,dr. 400 000
10 Lely Nurmaidah,dr. 300 000
11 Parlopi,dr. 300 000
12 Dr. Hana Ratnawati, dr., M.Kes
13 Hendry Gunawan, dr., SpS
14 Taufiq Muhibuddin Waly,dr., Sp. PD
15 Ika komala,dr., M.Si.Med 200 000
16 Rose Indriyati,dr., M.Sc, Sp.PK* 150 000
17 Caroline Anggraeni, dr. 400 000
18 Jati Hardikawati, dr. 400 000
19 Ayu Nuur Annisa, dr. 400 000
20 Nur Asiyah, dr. 300 000
21 Djohari Tony, dr. 300 000
22 Uun Maesunah, dr. 300 000
23 Raharup Ardi, dr. 300 000
24 Nanda ayu zaskia,dr. 400 000
25 Retno Sulistianingsih,dr. 400 000
26 Moh. Nuruzzaman, dr. 150 000
27 Amaludin jaelani,dr. 150 000
28 Hj. Dian Andajani, dr., Mh.Kes 300 000
29 Dr.Meilani Kumala, M.S.,dr., Sp. GK (K)* 400 000
30 Rebekah Malik, dr., MPd.Ked.* 400 000
31 Yoanita Widjaja, dr.,M. Biomed* 400 000
32 Melly Dwi Bastian, dr.* 300 000
33 Lutfia Putri Bastian, dr.* 300 000
34 Rika Mulyaningsih, dr. 400 000
35 Abdul Halim,dr. 300 000
36 Ela Hayati, dr. 300 000
37 Dewi Ristiya Ningsih,dr.
38 Dyah Ayu Riski Nugraheni, dr.
39 Helena Nainggolan, dr. 425 000
40 Niklah Zaidah, dr
41 Ruri Eka Maryam Mulyaningsih, dr., MM
42 Yukke Nilla Permata , dr
43 Dhiyani Wahyu A, dr.* 300 000
44 Rian Damayanti, dr.
45 Emallia Fitriani, dr.
46 Masyithoh, dr. 400 000
47 Maria Novrita, dr. 400 000
48 Wan Andre Nugraha Baros, dr. 300 000
49 Rini Rianti,dr., Sp.KJ 300 000
50 Zulkifli Ahmad,dr.,Sp.OG.,KFER.,M.Kes* 200 000
51 Sutara, dr., Mh. Kes* 200 000
52 Uki Suswandar, dr. * 400 000
53 Neneng Hasanah, dr* 300 000
54 Arya Raditya,dr. 200 000
55 Dr. Benedictus Triagung Ruddy P., dr., Sp.OG (K) 200 000
56 Gladdy Lysias Waworuntu, dr., MS. 200 000
57 P.Y. Kusuma T., dr., Sp.OG (K) 200 000
58 Fajar Mutmainah, dr. * 200 000
59 Esandi Felicia,dr. * 200 000
60 Retna Deviani, dr.* 200 000
61 Dyah Widiyastuti,SST,M.Keb 200 000
62 Lia Nurcahyati, SST,MPH 200 000
63 Pepi Hapitria, SST, MPH 200 000
64 Nurasih, SST, M.Keb 200 000
65 Endang Nurrochmi, S.SiT.MKM 200 000
66 Neli Nurlina, SST, MPH 200 000
67 Rinela Padmawati, SST, MPH 200 000
68 Dewi Vimala, SST, M.Keb 200 000
69 Lisnawati, SST, M.Keb 200 000
70 Rani Widiyanti SA, SST, M.Keb 200 000
71 Kiky Mamat Kurnia, dr 300 000
72 Retno Widowati, Drg * 400 000
73 Richardi Witjaksono,dr.,Sp.OG
74 Risky Akaputra, dr., Sp.P 400 000
75 Maria Eka Putri, dr.,MKK 400 000
76 Nurjati, dr. 400 000
77 Tetty Sri Nurliyawati, dr* 400 000
78 Dr. Wiwi. Kertadjaja MS. M. Pd. Ked* 200 000
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althcare on Cancer in Young Adults

Keterangan

Transfer 5/7/2017
Transfer 5/7/2017
Transfer 5/7/2017
Free dr. Fariz
Transfer 7/7/2017
700 000 Transfer 11/7/2017

800 000 Transfer 10/7/2017

600 000 Transfer 10/7/2017

Free Peserta Oral presentasi

Transfer 13/7/2017

Transfer 12/7/2017

2, 000 000 Transfer 12/7/2017

800 000 Transfer 12/7/2017

Cash dr.Tiar
Cash dr.Tiar
Transfer 13/7/2017

Transfer 12/7/2017
600 000 Transfer 12/7/2017

Cash dr.Kati
Cash dr.Kati
25 ribu ongkir Transfer 13/7/2017

FK Unswagati
FK Unswagati

Transfer 13/7/2017
Transfer 13/7/2017
Transfer 13/7/2017
Transfer 14/7/2017

Transfer 6/7/2017

600 000 Transfer 12/7/2007

2 000 000 Cash Ke bag keuangan pd tgl


13/7/2017

Transfer 14/7/2017

FK Unswagati
800 000 Transfer 14/7/2017

Transfer 14/7/2017

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