R S U.

M A N A D O M E D I C A L C E N T E R
LIVE FOR A BETTER LIFE
JLN. RAJAWALI NO. 8 PAAL 2 – MANADO
TELEPON: +62 431 866 641 / +62 821 9028 5345

BERITA ACARA
PENGAMBILAN SUMPAH TENAGA REKAM MEDIS DAN STAF LAINNYA

Nomor : 002/BA/RSU-MMC/III/2019

Pada hari ini Senin tanggal Satu Bulan April Tahun Dua Ribu Sembilan Belas (01-04-2019) dengan
mengambil tempat di Meeting Room RSU. Manado Medical Center Pall Dua Manado, telah diambil sumpah
Rekam Medis dan Staff lainnya.

Demikian Berita Acara Pengambilan Sumpah Tenaga Rekam Medis dan Staf lainnya

Mengetahui,

1. dr. Halim Ronal Ciakaren Sp. PD ............................................

Direktur RSU. Manado Medical Center

2. Indryanti Ahmad, S.Tr KES ............................................

PJ. Rekam Medis

3. Edwin Mangantara, S.Kep ............................................

Rekam medis

4. Ansye F. Pongoh, SE. ............................................

5. Herodion Jukono, SKM ............................................

6. Indria F. Ismail, S.Kep. NS ............................................

7. Age Wullur, SE ............................................

8. Adrian Sahay, S.Pd ............................................

9. Chery Longdong ............................................

10. Sumarline Tine, S.AP ............................................

11. Ismar Karim, S.Tr. Kes ............................................

12. Dance Salipeng, S.Kep. NS ............................................

 R S U. M A N A D O M E D I C A L C E N T E R
LIVE FOR A BETTER LIFE
JLN. RAJAWALI NO. 8 PAAL 2 – MANADO
TELEPON: +62 431 866 641 / +62 821 9028 5345

13. Lasmi Ruung, A.Md. Keb ............................................

14. Esther Ointu ............................................

15. ______________________ ............................................

Saksi 1

16. ______________________ ............................................

Saksi 2
 R S U. M A N A D O M E D I C A L C E N T E R
LIVE FOR A BETTER LIFE
JLN. RAJAWALI NO. 8 PAAL 2 – MANADO
TELEPON: +62 431 866 641 / +62 821 9028 5345

DAFTAR HADIR
HARI, SABTU TANGGAL 30 MARET 2018
KESEPAKATAN HASIL AUDIT TUJUAN TERTENTU ATAS
DANA JAMINAN SOSIAL (DJS) KESEHATAN TAHAP II TAHUN 2018
PADA BPJS KESEHATAN CABANG MANADO
DI RUMAH SAKIT UMUM MANADO MEDICAL CENTER

NO NAMA / NIP JABATAN TANDA TANGAN

1 ............................................. 1. ...........................
NIP. ....................................

2 ............................................. 2. ..........................
NIP. .................................... .

3 ............................................. 3. ...........................
NIP. ....................................

4 ............................................. 4. .........................
NIP. .................................... ..

5 ............................................. 5...........................
NIP. ....................................