DAFTAR KALIBRASI ALKES 2018

Kontrak 2017
No Nama Alat Merk Type Nomor Seri Jml Sat
Harga Satuan
1 Defibrilator (AED) Primedic AS Automatic Defibrilator 1 unit 380,000
2 Defibrilator (AED) Primedic AS Automatic Defibrilator 1 unit 380,000
3 Defibrilator (AED) Zoll AED Plus 1 unit 380,000
4 Defibrilator (AED) Zoll AED Plus 3 unit 380,000
5 Defibrilator (AED) Zoll AED Plus 1 unit 380,000
6 Defibrilator (AED) Zoll AED Plus 1 unit 380,000
7 Electro Cardiograph (ECG) GE MAC i 1 Unit 336,300
8 Patient Simulator Fluke Biomedical PS4000 1 Unit 522,500
9 Thermohygrometer Haar-Synth.Hygro 1 Unit 237,500
10 Timbangan + Tinggi Badan Karixa Healthmeter 05110171601003 1 Unit 332,500
11 Timbangan Badan Seca 1 Unit 332,500
12 Timbangan Gantung Sellery 1 Unit 332,500
13 Timbangan Gantung Sellery 1 Unit 332,500
14 Vital Signs Simulator Fluke Biomedical ProSim4 + SPOTLight 1 Unit

TOTAL 16 unit
TAR KALIBRASI ALKES 2018

Kontrak 2017
Lokasi
Jumlah Harga
380,000 Lobi Gd. A
380,000 Lt. 2 Gd. A
380,000 Lobi Gd. BD
1,140,000 Lt. 3 Gd. BD
380,000 Lt. 6 Gd. BD
380,000 Lt. 7 Gd. BD
336,300 Yanmed MCU
522,500 IPSRS
237,500 Laundry
332,500 Depan R. Komdik
332,500 MCU
332,500 Laundry
332,500 Kesling
- IPSRS
 DAFTAR KALIBRASI ALKES 2018

RUANG : OK

No Nama Alat Merk Type Nomor Seri Jml Sat

1 Anasthesi unit with Ventilator Blease Focus 1 Unit

2 Anasthesi unit with Ventilator Drager Fabius Plus 1 Unit
3 Anasthesi unit with Ventilator Draeger Primus 2 Unit
4 Defibrilator GE Responder 2000 1 Unit
5 Defibrilator Zoll R Series Plus 1 Unit
6 Electrosurgery unit (ESU) Aesculap GN 60 1 Unit
7 Electrosurgery unit (ESU) EMED ES-120 1 Unit
8 Electrosurgery unit (ESU) Valley Lab Force FX 1 Unit
9 Electrosurgery unit (ESU) Lamidey Optima 2 Unit
10 Endoscopy THT Storz 1 Unit
11 Examination Lamp KLS Martin ML 101 1 Unit
12 Incubator Transport Draeger 1 Unit
13 Infant Warmer GE Giraffe 1 Unit
14 Infusion Pump B Braun Infusomat P 1 Unit
15 Laparoscopy Olympus 1 Unit
16 Microscope Operasi Carl Zeiss Lumera I 1 Unit
17 Nebulizer Omron NE C900 1 Unit
18 Operating Lamp Surgiris S601 1 Unit
19 Operating Lamp Maquet 2 Unit
20 Operating Lamp Trilux 4 Unit
21 Operating Lamp Emaled 1 Unit
22 Operating Lamp Mobile ST. Francis Altus 10E 1 Unit
23 Patient Monitor Perlong PDJ-3000A 1 Unit
24 Patient Monitor GE Dash 2500 1 Unit
25 Patient Monitor Criticare N Genuity 1 Unit
26 Patient Monitor GE Carescape B650 1 Unit
27 Patient Monitor GE Carescape B650 1 Unit
28 Patient Monitor Philips MX 700 9 Unit
29 Pulse Oximetry Neonatus Masimo Radical 7 1 Unit
30 Regulator + Flowmeter O2 Sharp - 3 Unit
31 Regulator + Flowmeter O2 Allied 15 Unit
32 Regulator + Flowmeter Vacuum Allied 15 Unit
33 Sphygmomanometer Digital Omron HBP-1100 1 Unit
34 Sphygmomanometer Digital ABN Prowave VM 100 1 Unit
35 Sphygmomanometer Jarum ABN Regal 2 Unit
36 Sphygmomanometer Stand ABN Stand Mobile 1 Unit
37 Sterilisator Basah Torre Picenardi 899 1 Unit
38 Sterilisator Basah Torre Picenardi 895 1 Unit
39 Suction Pump MGE SAM 12 1 Unit
40 Suction Pump Atmos C451 3 Unit
41 Suction Pump Sturdy 1 Unit
42 Thermal Blanket Hirtz Hico-Aquatherm 660 1 Unit
43 Thermal Blanket Gaymar TP-702 1 Unit
44 Thermal Blanket Moeck 2 Unit
45 Thermometer Infrared Microlife FR1DL1(FR1MF1) 2 Unit
46 Timbangan + Tinggi Badan Smic ZT-120 1 Unit
47 Timbangan Bayi Yamamoto Giken YB-77 1 Unit
48 Timbangan Bayi SECA 1 Unit
49 Warming Cabinet Barkey Warming Center 4 Unit

TOTAL 101 unit

DAFTAR KALIBRASI ALKES 2018

Kontrak 2017
Harga Satuan Jumlah Harga
1,045,000 1,045,000
1,045,000 1,045,000
1,045,000 2,090,000
380,000 380,000
380,000 380,000
356,250 356,250
356,250 356,250
356,250 356,250
356,250 712,500
454,100 454,100
207,100 207,100
437,000 437,000
409,450 409,450
427,500 427,500
397,100 397,100
364,800 364,800
255,550 255,550
323,000 323,000
323,000 646,000
323,000 1,292,000
323,000 323,000
323,000 323,000
522,500 522,500
522,500 522,500
522,500 522,500
522,500 522,500
522,500 522,500
522,500 4,702,500
252,700 252,700
285,000 855,000
285,000 4,275,000
285,000 4,275,000
294,500 294,500
294,500 294,500
214,700 429,400
214,700 214,700
427,500 427,500
427,500 427,500
257,450 257,450
257,450 772,350
257,450 257,450
204,250 204,250
204,250 204,250
204,250 408,500
142,500 285,000
332,500 332,500
332,500 332,500
332,500 332,500
289,750 1,159,000
 DAFTAR KALIBRASI ALKES 2018

RUANG : RANAP (Lt. 5 Isolasi, Lt. 6, Lt. 7)

No Nama Alat Merk Type Nomor Seri Jml Sat

1 Blood Bank (Refigerator) Nuve KN-120 8698863111227 1 Unit

2 Blood Warmer Termiflow TEIDE 150 1 Unit
3 Cardiotocograph (CTG) GE Corometrics 250CX Series SDJ17100085PAS 1 Unit
4 Defribilator Mindray Beneheart D6 Defribilator OE69015475 1 Unit
5 Doppler Hadeco ES-102EX 05090060 1 Unit
6 Doppler Brael Fetal Doppler UDT 20 D 2017-E2598, 2017-E2599 2 Unit
7 Electro Cardiograph (ECG) GE Mac 500 510005380 1 Unit
8 Electro Cardiograph (ECG) GE MAC 400 SCT12447329PA 1 Unit
9 Electro Cardiograph (ECG) GE MAC 2000 SPW17280037PA 1 Unit
10 Electro Cardiograph (ECG) GE MAC i SF016185010PA 1 Unit
11 Electro Cardiograph (ECG) Fukuda ME Cardisuny C-120 06103019 1 Unit
12 Examination Lamp KLS Martin ML 101 ML101U102001614015, 2 Unit
13 Incubator Couvis Tesena TSN UI-2 399/VI/09 1 Unit
14 Infant Warmer Tesena TSN-89IW 1 Unit
15 Infusion Pump Terumo TE-112 09050189 1 Unit
16 Infusion Pump Terumo TE-172 1609000036, 1609000029, 6 Unit
17 Kulkas Obat Sanyo MPR-161D (H) 08110516 1 Unit
18 Kulkas Obat Panasonic MPR-S163-PE 17040058, 17040056, 17 4 Unit
19 Nebulizer Omron NE-C30 20120500062UF 1 Unit
20 Nebulizer Omron NE-C900 20170400734UF, 2017040 11 Unit
21 Nebulizer Ultrasonic Prizma Profisonic 201735003449 1 Unit
22 Patient Monitor Econet Compact 7 DBL1100125 1 Unit
23 Patient Monitor GE B20i SJW1638007HA 1 Unit
24 Patient Monitor GE B40i SK316420057HA 1 Unit
25 Pulse Oximetry Schiller Argus OXM-C HPA17H0123, HPA17H0122, 5 Unit
26 Pulse Oximetry (Finger) Elitech FOX-3 FX314CA0072, FX314CA01 10 Unit
27 Pulse Oximetry (Finger) Elitech FOX-BABY FX414CA0106, FX415A014 4 Unit
28 Pulse Oximetry (Finger) Elitech PM 50 PM7175A009 1 Unit
29 Pulse Oxymetry Medical Econet Palm Care 161Ni5044 2 Unit
30 Pulse Oxymetry Medical Econet Palm Care 161Ni5094 1 Unit
31 Pulse Oxymetry (2 Parameter) Huntleigh Smart Sign Life Plus 114410090003 1 Unit
32 Regulator + Flowmeter O2 Allied Timeter 122 Unit
33 Regulator + Flowmeter Suction Allied Vacutron 12 Unit
34 Sphygmomanometer Digital ABN Prowave VM 100 5 Unit
35 Sphygmomanometer Duduk ABN 811274, 805024 2 Unit
36 Sphygmomanometer Duduk Riester Nova Presameter 040948070, 040434891 2 Unit
37 Sphygmomanometer Duduk Erka Erkameter 3000 2 Unit
38 Sphygmomanometer Jarum ABN Regal Clock Aneroid 9 Unit
39 Sphygmomanometer Mobile ABN DM 500 6 Unit
40 Sphygmomanometer Stand Erka Klinikerkameter 14301224 1 Unit
41 Sphygmomanometer Stand Erka Klinikerkameter 14301230 1 Unit
42 Sphygmomanometer Stand Erka Klinikerkameter 14301233 1 Unit
43 Sphygmomanometer Stand ABN Stand Mobile 1 Unit
44 Sterilisator Kering My Life ZTP80-15 000237 1 Unit
45 Suction Pump Ordisi Mobile FV Series SM 54656, 54739, 54768, 54 4 Unit
46 Suction Pump Hirtz Hico-Rapidovac 791-16 087978 1 Unit
47 Suction Pump Sharp Minic-s 0801075U 1 Unit
48 Syringe Pump Terumo TE-331 09060211 1 Unit
49 Syringe Pump Terumo TE-331 09060207 1 Unit
50 Syringe Pump Bbraun Perfusor Compact S 115903, 115895, 110135, 11 9 Unit
51 Thermal Blanket Moeck Twin Warm 1721082 1 Unit
52 Thermometer Infrared Microlife FR1DL1(FR1MF1) 171802620, 171802618, 171 7 Unit
53 Timbangan Badan SECA Manual 762 1 Unit
54 Timbangan Badan SECA Stadiometer 214 1 Unit
55 Timbangan Badan SECA Mechanical Column Scale 755 & 224 3 Unit
56 Timbangan Badan Digital SECA Digital & Measuring ROD-SECA 703 3 Unit
57 Timbangan Bayi SECA Baby scale digital 727 1 Unit

TOTAL 267 Unit

AFTAR KALIBRASI ALKES 2018

Kontrak 2017
Harga Satuan Jumlah Harga
403,750 403,750
494,950 494,950
494,950 494,950
380,000 380,000
304,000 304,000
304,000 608,000
336,300 336,300
336,300 336,300
336,300 336,300
336,300 336,300 isolasi
336,300 336,300
207,100 414,200
340,100 340,100
409,450 409,450
427,500 427,500
427,500 2,565,000
427,500 427,500
427,500 1,710,000
255,550 255,550
255,550 2,811,050
255,550 255,550
522,500 522,500
522,500 522,500
522,500 522,500
525,700 2,628,500
525,700 5,257,000
525,700 2,102,800
525,700 525,700
525,700 1,051,400
525,700 525,700
525,700 525,700
285,000 34,770,000
285,000 3,420,000
294,500 1,472,500
214,700 429,400
214,700 429,400
214,700 429,400
214,700 1,932,300
214,700 1,288,200
214,700 214,700
214,700 214,700
214,700 214,700
214,700 214,700
427,500 427,500
257,450 1,029,800
257,450 257,450
257,450 257,450
257,450 257,450
257,450 257,450
257,450 2,317,050
204,250 204,250
142,500 997,500
332,500 332,500
332,500 332,500
332,500 997,500
332,500 997,500
332,500 332,500
 DAFTAR KALIBRASI ALKES 2018

RUANG : PICU

No Nama Alat Merk Type Nomor Seri Jml Sat

1 Examination Lamp KLS Martin ML 101 1 unit

2 Infusion Pump Terumo TE-172 1609000031 1 unit
3 Nebulizer Omron NE-C900 20170400258UF 1 unit
4 Nebulizer Ultrasonic Prizma Profisonic 201734003409 1 unit
5 Patient Monitor Philips MX 700 DE58550391 1 unit
6 Regulator + Flowmeter Suction Allied Vacutron 1 Unit
7 Suction Pump Ordisi FV Series SM 54606 1 Unit
8 Syringe Pump B Braun Perfusor Space/Advance 383406, 383425 2 Unit
9 Timbangan + Tinggi Badan Digital SECA Digital & Measuring ROD-SECA 5703292160698 1 Unit

TOTAL 10 unit
R KALIBRASI ALKES 2018

Kontrak 2017
Harga Satuan Jumlah Harga
207,100 207,100
427,500 427,500
255,550 255,550
255,550 255,550
522,500 522,500
285,000 285,000
257,450 257,450
257,450 514,900
332,500 332,500
 DAFTAR KALIBRASI ALKES 2018

RUANG : FARMASI

No Nama Alat Merk Type Nomor Seri Jml Sat

1 Kulkas Obat Evermed MPR1365W 75016 1 Unit

2 Kulkas Obat Sanyo MPR-161D (H) 08110508 1 Unit
3 Kulkas Obat Sanyo MPR-161D (H) 08110502 1 Unit
4 Kulkas Obat Panasonic MPR-S313-PK 16070818, 18010004 2 Unit
5 Kulkas Obat Panasonic MPR-1411-PB 18010010 1 Unit
6 Kulkas Obat Panasonic MPR-1411-PE 16070455 1 Unit
7 Regulator + Flowmeter O2 Tabung 18 Unit
8 Regulator + Flowmeter O2 Wall 11 Unit
9 Thermohygrometer Haar-Synth.Hygro Analog 1 Unit
10 Thermohygrometer Digital Krisbow 1 Unit
11 Thermohygrometer Digital Krisbow 1 Unit
12 Thermohygrometer Digital Krisbow 1 Unit
13 Thermometer Kulkas 1 Unit
14 Thermometer Kulkas 1 Unit
15 Thermometer Kulkas 1 Unit
16 Thermometer Kulkas 1 Unit
17 Thermometer Kulkas 1 Unit
18 Thermometer Kulkas 1 Unit
19 Thermometer Kulkas 1 Unit
20 Timbangan Obat New Protinal 2 Lengan 2 Unit
21 Timbangan Obat Halus 2 Unit
22 Timbangan Obat Digital Kenko KK-BL 4 Unit
23 Timbangan Obat Digital Kenko KK-LAB 4 Unit

TOTAL 59 unit
DAFTAR KALIBRASI ALKES 2018

Kontrak 2017
Harga Satuan Jumlah Harga
427,500 427,500
427,500 427,500
427,500 427,500
427,500 855,000
427,500 427,500
427,500 427,500
285,000 5,130,000
285,000 3,135,000
237,500 237,500
237,500 237,500
237,500 237,500
237,500 237,500
142,500 142,500
142,500 142,500
142,500 142,500
142,500 142,500
142,500 142,500
142,500 142,500
142,500 142,500
358,150 716,300
358,150 716,300
409,450 1,637,800
409,450 1,637,800
 DAFTAR KALIBRASI ALKES 2018

RUANG : HCU

No Nama Alat Merk Type Nomor Seri

1 Defibrilator Zoll R Series Plus (21)AF171071507

2 Electro Cardiograph (ECG) GE MAC 2000 SPW17280038PA
3 Examination Lamp KLS Martin ML 101 ML101U1030016M021
4 Infusion Pump Terumo TE-172 1701000006, 1609000037, 170100000
5 Kulkas Obat Panasonic MPR-S163-PE 17040031
6 Nebulizer Omron NE-C900 20170400227UF
7 Patient Monitor Philips MX 500 DE35195870, DE35198560, DE3519857
8 Regulator + Flowmeter O2 Allied Timeter
9 Regulator + Flowmeter Suction Allied Vacutron
10 Sphygmomanometer Digital ABN Prowave VM 100 260315-M18507050007
11 Sphygmomanometer Jarum ABN Regal 15002052, 15002408, 15002012
12 Suction Pump Ordisi FV Series SM 54785, 54651
13 Syringe Pump B Braun Perfusor Space /Advance 383424, 383383, 383371, 383435, 383
14 Thermometer Infrared Microlife FR1DL1(FR1MF1) 171802611, 171802594, 171802599
Timbangan Dewasa SECA 703 570392160698
Pulse Oximeter Schiller Argus OXM C HPA17HO123
Nebulizer Omron NE-C900 20170400258UF
Vena Viewer ACCUVEIN AV 400 AV17170025
Ventilator Maquet Servo i 87587, 86879
Blanket Warmer Moeck Twinwarm
TOTAL
2018

Kontrak 2017 Syringe data beda

Jml Sat
Harga Satuan Jumlah Harga
1 unit 380,000 380,000
1 Unit 336,300 336,300
1 Unit 207,100 207,100
6 Unit 427,500 2,565,000
1 Unit 427,500 427,500
1 Unit 255,550 255,550
6 Unit 522,500 3,135,000
6 Unit 285,000 1,710,000
6 Unit 285,000 1,710,000
1 Unit 294,500 294,500
3 Unit 214,700 644,100
2 Unit 257,450 514,900
6 Unit 257,450 1,544,700
3 Unit 142,500 427,500
1 Unit
1 Unit
1 Unit
1 Unit
2 Unit
1 unit
51 unit
 DAFTAR KALIBRASI ALKES 2018

RUANG : ICU

No Nama Alat Merk Type Nomor Seri Jml Sat

1 AGD i-STAT Analyzer 300-G 397091 1 unit

2 Defibrilator Zoll R Series Plus (21)AF171071401 1 unit
3 Electro Cardiograph GE MAC 2000 SPW17280041PA 1 Unit
4 Examination Lamp KLS Martin ML101 ML101U1030016M016 1 Unit
5 Infusion Pump Terumo TE-172 1701000004, 1609000040 3 Unit
6 Kulkas Obat Panasonic MPR-S163-PE 17040025 1 Unit
7 Nebulizer Omron NE-C900 20170400228UF 1 Unit
8 Patient Monitor Philips MX 700 DE58550398, DE58550383 3 Unit
9 Regulator O2 Allied Timeter 3 Unit
10 Regulator Suction Allied Vacutron 3 Unit
11 Sphygmomanometer Jarum ABN Regal 15002319, 15001958 2 Unit
12 Suction Pump Ordisi FV Series SM 54665 1 Unit
13 Syringe Pump B Braun Perfusor Space /Advance 383403, 383438, 383375, 9 Unit
14 USG Philips CX 50 B1NCJK 1 Unit
15 Ventilator Maquet Servo-i 257466, 255999, 255989, 4 Unit
Blanket Warmer Moeck Twinwarm 1721085, 172190 2 unit
Vena Viewer Accuvein AV 400 AV171770046 1 unit
Thermometer Digital Microlife FR1DL1 171802607 1
TOTAL 39 unit
R KALIBRASI ALKES 2018

Kontrak 2017
Harga Satuan Jumlah Harga
-
380,000 380,000
336,300 336,300
207,100 207,100
427,500 1,282,500
427,500 427,500
255,550 255,550
522,500 1,567,500
285,000 855,000
285,000 855,000
214,700 429,400
257,450 257,450
257,450 2,317,050
475,000 475,000
522,500 2,090,000
 DAFTAR KALIBRASI ALKES 2018

RUANG : CSSI

No Nama Alat Merk Type Nomor Seri Jml Sat

1 Autoclave Tuttnauer 3870 M 15060947 1 unit

2 Autoclave Steelco VS 4/2 10661 1 unit
3 Drying Cabinet Getinge 363 1 Unit
4 Sterilisator Plasma Renosem S130 S130P0139 1 Unit
5 Ultrasonic Washer Getinge 450 1 Unit
6 Washer Desinfector Getinge 46-series 1 Unit
7 Thermohygrometer Haar Synth Hygro Analog - 1 unit
TOTAL 7 unit
R KALIBRASI ALKES 2018

Kontrak 2017
Harga Satuan Jumlah Harga
427,500 427,500
-
-
-
-
-
-
 DAFTAR KALIBRASI ALKES 2018

RUANG : FORENSIK
Kontrak 2017
No Nama Alat Merk Type Nomor Seri Jml Sat
Harga Satuan
1 Defibrilator (AED) Zoll AED Plus 1 Unit 380,000
2 Defibrilator (AED) Zoll AED Plus 1 Unit 380,000
3 Defibrilator (AED) Philip 1 Unit 380,000
4 Lampu Autopsi (Lampu Operasi) KLS Martin ME15A1A404017C4613, ME 3 Unit 323,000
5 Mortuari Chamber Kugle STC100012120001 1 Unit
6 Patient Monitor Mindray/iMEC 8 1 Unit 522,500
7 Patient Monitor Mindray/iMEC 8 1 Unit 522,500
8 Patient Monitor New Tech PM 9000 A 1 Unit 522,500
9 Regulator O2 Cramer Decker 2 Unit 285,000
10 Regulator O2 Biomedix 4 Unit 285,000
11 Regulator + Flowmeter O2 Akindo AK-3016 1 Unit 285,000
12 Regulator + Flowmeter O2 1 Unit 285,000
13 Regulator + Flowmeter O2 1 Unit 285,000
14 Sphygmomanometer Jarum ABN 00215060 1 Unit 214,700
15 Sphygmomanometer Jarum ABN 00215509 1 Unit 214,700
16 Sphygmomanometer Jarum Akindo B1021 1 Unit 214,700
17 Suction Pump Weinmann 02608 1 Unit 257,450
18 Suction Pump Weinmann 02609 1 Unit 257,450
19 Suction Pump Blue Cross 1 Unit 257,450
20 Thermometer Raksa SK 1 Unit 142,500
21 Thermometer Raksa SK 1 Unit 142,500
22 Thermometer Telinga Polygreen 1 Unit 142,500
23 Ventilator portable Weinmann 1 Unit 522,500
24 Ventilator portable Weinmann 1 Unit 522,500
25 Ventilator portable Cramer Decker 1 Unit 522,500
26 Sphygmomanometer ABN DM 500 151006046 1 Unit
27 Suction Pump Ordisi FV Series SM 54803 1 Unit
TOTAL 33 unit
 Belum Terekap Pada Pengajuan
Melengkapi data (Input)
Kontrak 2017
Lokasi
Jumlah Harga
380,000 Ambulance Haice
380,000 Ambulance Haice
380,000 Ambulance KIA Travelo
969,000 Forensik
- Forensik
522,500 Ambulance Haice
522,500 Ambulance Haice
522,500 Ambulance KIA Travelo
570,000 Ambulance KIA Travelo
1,140,000 Ambulance Haice
285,000 Ambulance KIA Travelo
285,000 Ambulance Haice
285,000 Ambulance Haice
214,700 Ambulance Haice
214,700 Ambulance Haice
214,700 Ambulance KIA Travelo
257,450 Ambulance Haice
257,450 Ambulance Haice
257,450 Ambulance KIA Travelo
142,500 Ambulance Haice
142,500 Ambulance Haice
142,500 Ambulance KIA Travelo
522,500 Ambulance Haice
522,500 Ambulance Haice
522,500 Ambulance KIA Travelo
Ruang Forensik
Ruang Forensik
 DAFTAR KALIBRASI ALKES 2018

RUANG : GIZI

No Nama Alat Merk Type Nomor Seri Jml Sat

1 Thermohygrometer Analog Haar-Synth.Hygro 1 Unit

2 Thermohygrometer Digital Krisbow KBB-0196Z 2 Unit
3 Thermometer Kulkas Analog 5 Unit
4 Thermometer Kulkas Digital 6 Unit
5 Timbangan Badan Manual Seca 5762004166453 1 Unit
6 Timbangan Bahan Makanan Oxone Ox-366 5 Unit
7 Timbangan Bahan Makanan Digital Kris Chef Ek 3550-31P 227192 1 Unit

TOTAL 21 unit
AR KALIBRASI ALKES 2018

Kontrak 2017
Harga Satuan Jumlah Harga
237,500 237,500
237,500 475,000
142,500 712,500
142,500 855,000
332,500 332,500
332,500 1,662,500
332,500 332,500
 DAFTAR INVENTARIS ALAT KESEHATAN
RSUD KOTA DEPOK
TAHUN 2019

INSTALASI : RADIOLOGI
Kondisi Alat
No Nama Alat Merk Type Nomor Seri Jml Sat
B
1 Computer Radiology (CR) Carestream 1 Unit Ö
- Image Reader CR Carestream Direct View Classic CR K5481-7098
- Printer CR Carestream 5950 Laser Imager K5482-5616
2 Examination Lamp Everlight TLA-100H 1 Unit Ö
3 Film Viewer (1 Viewer) Tesena TSN 014S 1 Unit Ö
4 Film Viewer (1 Viewer) Medicanvas 1 Unit Ö
5 Film Viewer (2 Viewer) Medicanvas 1 Unit Ö
6 HSG Set Riester 1 Set Ö
7 Sterilisator Kering My Life ZTP80-15 310509 1 Unit Ö
8 Stetoscope Erka 0057390 1 Unit Ö
9 Thermohygrometer Digital Krisbow KW 06-797 1 Unit Ö
10 Thermohygrometer Digital Krisbow KW 06-797 1 Unit Ö
11 USG Doppler GE Voluson Logic P6 158098504 1 Unit Ö
12 X-Ray Dental Intra Oral Poye X Ray Mfg/PY-70C 090327 1 Unit Ö
13 X-Ray Dental Gnatus Timex 70C 4454334004 1 Unit Ö
14 X-Ray General Purpose Toshiba MRAD A32S/142 1E0435 1 Unit Ö
15 X-Ray Mobile Siemens Mobilett XP-Eco 4510/11411 1 Unit Ö
16 X-Ray Mobile GE VMX Plus 1 Unit

TOTAL 16 unit
NVENTARIS ALAT KESEHATAN
RSUD KOTA DEPOK
TAHUN 2019

Kondisi Alat
Kalibrasi Terakhir Uji Kesesuaian Keterangan
RR RB

05 Desember 2017

14 November 2017

19 November 2018
23 November 2017
29 Oktober 2018
05 Desember 2018
Penghentian operasi : 13 Mei 2014
05 Desember 2018
05 Desember 2018 04 Mei 2018
Ö Penghentian operasi : 08 Juni 2016
 DAFTAR KALIBRASI ALKES 2018

RUANG : LABORATORIUM

No Nama Alat Merk Type Nomor Seri Jml Sat

1 Blood Bank Panasonic MBR-506DH 17120246 1 Unit

2 Centrifuge Hettich EBA 20 D78532 1 Unit
3 Centrifuge Hettich EBA 280 0001595-04 1 Unit
4 Centrifuge Kubota 4000 JX1109-M000 1 Unit
5 Centrifuge Kubota 4200 T80687-M000 1 Unit
6 Micropipet (10 - 100 µL) Socorex Acura 815 1 Unit
7 Micropipet (10 µL) Socorex Acura 818 3 Unit
8 Micropipet (100 - 1000 µL) Socorex Acura 815 2 Unit
9 Micropipet (100 µL) Socorex Acura 815 4 Unit
10 Micropipet (1000 µL) Socorex Acura 815 4 Unit
11 Micropipet (20 - 200 µL) Socorex Acura 815 1 Unit
12 Micropipet (20 µL) Socorex Acura 815 2 Unit
13 Micropipet (200 µL) Socorex Acura 815 6 Unit
14 Micropipet (25 µL) Socorex Acura 815 3 Unit
15 Micropipet (250 µL) Socorex Acura 815 1 Unit
16 Micropipet (5 - 50 µL) Socorex Acura 815 3 Unit
17 Micropipet (5 µL) Socorex Acura 815 3 Unit
18 Micropipet (50 µL) Socorex Acura 815 4 Unit
19 Micropipet (500 µL) Socorex Acura 815 2 Unit
20 Microscope Olympus CX-21 OE88431 1 Unit
21 Microscope Olympus CX-21 4E01389 1 Unit
22 Microscope Olympus CX-21 OJ85563 1 Unit
23 Plasmathawing Barkey Plasmatherm 1111458 1 Unit
24 Refrigerator Panasonic MPR-1411 16050327, 16050328 2 Unit
25 Refrigerator + Freezer Dometic MP 380 CSG 7242206 1 Unit
26 Thermohygrometer Haar-Synth.Hygro Analog 1 Unit
27 Thermohygrometer Digital Krisbow 1 Unit
28 Thermohygrometer Digital Krisbow 1 Unit
29 Thermohygrometer Digital Krisbow 1 Unit
30 Thermometer Kulkas Digital 1 Unit
31 Thermometer Kulkas Digital 1 Unit
32 DG Spin Grifols DG Spin 054-0002204 1 Unit
33 DG Therm Grifols DG Therm 319-0005778 1 Unit
34 DG Reader Grifols DG Reader 054-0002204 1 Unit
35 Refrigerator Electrolux 1 Unit
36 Biobase Safety Cabinet Biobase BSC-1500 15BSCIII 2 Unit
37 GeneXpert 1955 3 Unit
38 Microscope Leica DM 750 C740300627C50035, C74030 3 unit
Shaker K VRN 200 504961
Roller Mixer AP Lab WP-60R
TOTAL 69 unit
DAFTAR KALIBRASI ALKES 2018

Kontrak 2017
Harga Satuan Jumlah Harga
403,750 403,750
319,200 319,200
319,200 319,200
319,200 319,200
319,200 319,200
477,850 477,850
477,850 1,433,550
477,850 955,700
477,850 1,911,400
477,850 1,911,400
477,850 477,850
477,850 955,700
477,850 2,867,100
477,850 1,433,550
477,850 477,850
477,850 1,433,550
477,850 1,433,550
477,850 1,911,400
477,850 955,700
364,800 364,800
364,800 364,800
364,800 364,800
-
427,500 855,000
427,500 427,500
237,500 237,500
237,500 237,500
237,500 237,500
237,500 237,500
142,500 142,500
142,500 142,500

KSO?
 DAFTAR ALKES 2019

RUANG : Perinatologi
Kondisi Alat
No Nama Alat Merk Type Nomor Seri Jml Sat Tanggal Kalibrasi
B RR RB
Fisher & Paykel
1 CPAP 3500HL H64361 1 Unit 14 November 2018
Healthcare
Fisher & Paykel
2 CPAP 3500HL H78215 1 Unit 14 November 2018
Healthcare
3 Electro Cardiograph GE MAC 2000 SPW17280040PA 1 Unit 05 November 2018
4 Examination Lamp Medillum 1010094 1 Unit
5 Examination Lamp One Med AH-001 1 Unit
6 Examination Lamp KLS Martin ML101 ML101U1030016M019 1 Unit 07 Desember 2018
7 Infant Inkubator Medix PC-305 798871 1 Unit 14 November 2018
8 Infant Inkubator Tesena TSN910SC-c 046/I/06 1 Unit 07 Desember 2018
9 Infant Inkubator Cobams Mod. Cristina 003A SCH 004161153 1 Unit 14 November 2018
10 Infant Inkubator Cobams Mod. Cristina 003A SCH 004161150 1 Unit 14 November 2018
11 Infant Inkubator Draeger Isolette 8000 HY07011 1 Unit 14 November 2018
12 Infant Inkubator Draeger Isolette 8000 HY07012 1 Unit 29 November 2018
13 Infant Inkubator GE Giraffe HDHW60209 1 Unit 14 November 2018
14 Infant Inkubator GE Giraffe HDHW60213 1 Unit 05 Desember 2018
15 Infant Inkubator GE Giraffe HDHW60212 1 Unit 05 Desember 2018
16 Infant Warmer Cobams Mod.Leri C88 1 Unit 14 November 2018
17 Infant Warmer Tesena TSN-89IW 308/XII/10 1 Unit 29 November 2018
18 Infant Warmer GE Giraffe 021702810 1 Unit 29 November 2018
19 Infusion Pump B-Braun Infusomat P 52123 1 Unit 30 Oktober 2018
20 Infusion Pump Terumo TE-112 09060402 1 Unit
21 Infusion Pump Terumo TE-112 09060365 1 Unit 05 November 2018
22 Infusion Pump Terumo TE-112 09060366 1 Unit
23 Infusion Pump Terumo TE-112 09070328 1 Unit 05 November 2018
24 Infusion Pump Terumo TE-172 1609000032 1 Unit 05 November 2018
25 Inkubator Transport Tesena TSN89TR 1 Unit
26 Inkubator Transport Draeger TI 500 CR12082 1 Unit 29 November 2018
27 Kulkas Obat Panasonic MPR-S163-PE 17040034 1 Unit 07 Desember 2018
28 Nebulizer Nivec Modell 02 L1 355656/02 1 Unit
 Kondisi Alat
No Nama Alat Merk Type Nomor Seri Jml Sat Tanggal Kalibrasi
B RR RB
29 Nebulizer Ultrasonic Prizma Profi Sonic 2017 34003415 1 Unit
30 Neo Puff Fisher & Paykel RD-900 AEU 110523001927 1 Unit 14 November 2018
31 Neo Puff Fisher & Paykel RD-900 AEU 110523001939 1 Unit 27 November 2018
32 Patient Monitor Innomed IM-200-2 10209030 1 Unit
33 Patient Monitor GE B20i SJW1638 1 Unit 30 Oktober 2018
34 Patient Monitor Philips Intellivue MX 700 DE58550396 1 Unit 30 Oktober 2018
35 Patient Monitor Philips Intellivue MX 700 DE58550392 1 Unit 30 Oktober 2018
36 Patient Monitor Philips Intellivue MX 700 DE58550402 1 Unit 30 Oktober 2018
37 Patient Monitor Philips Intellivue MX 700 Basic Pa DE58550400 1 Unit
38 Patient Monitor Philips Intellivue MX 700 Basic Pa DE58550369 1 Unit
39 Phototherapy Unit Tesena - 079/VI/06 1 Unit 14 November 2018
40 Phototherapy Unit Tesena - 080/VI/06 1 Unit 14 November 2018
41 Phototherapy Unit Tesena - 081/VI/06 1 Unit 14 November 2018
42 Phototherapy Unit Gris - 1 Unit 14 November 2018
43 Phototherapy Unit Gris - 1 Unit 14 November 2018
44 Phototherapy Unit Gris - 1 Unit
45 Pulse Oximetry Finger for Baby Elitech PM 50 175A 1 Unit
46 Pulse Oximetry Neonatus Masimo Radical 7 155281 1 Unit
Pulse Oxymeter (lebih dari 2
47 Masimo Radical 5 N-22180 1 Unit
Parameter)
48 Regulator + Flowmeter O2 for infant Allied 1 Unit
49 Regulator + Flowmeter O2 for infant Allied 1 Unit
50 Regulator + Flowmeter O2 for infant Allied 1 Unit
51 Regulator + Flowmeter O2 for infant Allied 1 Unit
52 Regulator + Flowmeter O2 for infant Allied 1 Unit
53 Regulator + Flowmeter O2 for infant Allied 1 Unit
54 Regulator + Flowmeter Vacuum Allied 1 Unit
55 Regulator + Flowmeter Vacuum Allied 1 Unit
56 Regulator + Flowmeter Vacuum Allied 1 Unit
57 Suction Pump Shin-ei Sharp Minic-S 0801162U 1 Unit
58 Syringe Pump TOP TOP-5300 SM-12977E 1 Unit
59 Syringe Pump Terumo TE-331 09060225 1 Unit
 Kondisi Alat
No Nama Alat Merk Type Nomor Seri Jml Sat Tanggal Kalibrasi
B RR RB
60 Syringe Pump Terumo TE-331 09060251 1 Unit
61 Syringe Pump Bbraun Perfusor Compact S 110136 1 Unit
62 Syringe Pump B Braun Perfusor Space/Advance 383373 1 Unit
63 Syringe Pump B Braun Perfusor Space/Advance 383394 1 Unit
64 Syringe Pump B Braun Perfusor Space/Advance 383366 1 Unit
65 Thermometer Air Raksa Yenaco Safely 9 Unit
66 Thermometer Digital Omron MC-246 1 Unit
67 Thermometer Infrared Microlife FR1DL1(FR1MF1) 171802601 1 Unit
68 Thermometer Infrared Microlife FR1DL1(FR1MF1) 171802605 1 Unit
69 Timbangan Bayi Digital SECA 334 10000000061079 1 Unit
70 Timbangan Bayi SECA 7251040009 2725102058247 1 Unit
71 Timbangan + pengukur tinggi bayi DigitSECA 727 5334282153599 1 Unit
72 Ventilator Carefusion HFOV 3100A (21)BHW01308 1 Unit
73 Ventilator Carefusion AVEA BHY01013 1 Unit
74 Ventilator Carefusion AVEA BGY01632 1 Unit

TOTAL 82 unit
 DAFTAR ALKES 2019

RUANG : IGD
Kondisi Alat
No Nama Alat Merk Type Nomor Seri Jml Sat Tanggal Kalibrasi
B RR RB
1 Cauter (Sunat) Erbe ICC-50 1 Unit
2 Defibrilator GE Cardioserv 101188100 1 Unit 26 Oktober 2018
3 Defibrilator Zoll R Series Plus (21)AF171071521 1 Unit 26 Oktober 2018
4 Doppler Brael UDT-20D 2017-E2603 1 Unit 29 Oktober 2018
5 Electro Cardiograph Fukuda ME Cardisuny C-120 06103675 1 Unit 26 Oktober 2018
6 Electro Cardiograph Fukuda ME Cardisuny α 1000 1 Unit
7 Electro Cardiograph GE MAC 2000 SMT16350056PA 1 Unit 26 Oktober 2018
8 Electro Cardiograph Anak Camina/Eurocamina K-130B 1 Unit
9 Examination Lamp Karixa NT-50HS 01 1 Unit 26 November 2018
10 Examination Lamp Karixa NT-50HS 02 1 Unit
11 Examination Lamp One Med AH-001 1 Unit
12 Infant Incubator Tesena TSN 910SC-CHL 97/ll/10 1 Unit
13 Infant Warmer Tesena TSN-89IW 225/X/09/W 1 Unit 29 November 2018
14 Infusion Pump Terumo TE-112 09050176 1 Unit 29 Oktober 2018
15 Infusion Pump B-Braun Infusomat P 66139 1 Unit 29 Oktober 2018
16 Nebulizer Comfort 2000 KU-400 1 Unit 29 Oktober 2018
17 Nebulizer Clement Clarke AC2000 18418 1 Unit
18 Nebulizer MGE Nivec III 157718/AKP 1 Unit
19 Nebulizer Omron NE-C900 20170400736UF 1 Unit 29 Oktober 2018
20 Nebulizer Omron NE-C900 20170400735UF 1 Unit
21 Patient Monitor GE B40i SK316420037HA 1 Unit 26 Oktober 2018
22 Patient Monitor GE B40i SK316420033HA 1 Unit 26 Oktober 2018
23 Patient Monitor SpaceLab Elance 3300-002299 1 Unit 26 Oktober 2018
24 Patient Monitor MMED 6000DP 75092617 1 Unit
25 Pulse Oximetry Medix Oxi-3 1 Unit
26 Pulse Oximetry Schiller Argus OXM-C HPA17H0118 1 Unit 29 Oktober 2018
27 Pulse Oximetry (2 Parameter) Huntleigh Smart Signs 114410090004 1 Unit 29 Oktober 2018
28 Pulse Oximetry Neonatus Massimo Radical 7 T060366 1 Unit 29 Oktober 2018
 Kondisi Alat
No Nama Alat Merk Type Nomor Seri Jml Sat Tanggal Kalibrasi
B RR RB
29 Regulator O2 + Flow Meter Wall Comweld 652 1 Unit 26 Oktober 2018
30 Regulator O2 + Flow Meter Wall Comweld 652 1 Unit 26 Oktober 2018
31 Regulator O2 + Flow Meter Wall Sharp 1 Unit 26 Oktober 2018
32 Regulator O2 + Flow Meter Wall Sharp 1 Unit 26 Oktober 2018
33 Regulator O2 + Flow Meter Wall Sharp 1 Unit 26 Oktober 2018
34 Regulator O2 + Flow Meter Wall Sharp 1 Unit 26 Oktober 2018
35 Regulator O2 + Flow Meter Wall Pahsco 1 Unit 26 Oktober 2018
36 Sphygmomanometer Anak Riester Nova Presameter 1 Unit
37 Sphygmomanometer Digital ABN Prowave VM 100 260315-M18507050005 1 Unit 26 Oktober 2018
38 Sphygmomanometer Digital ABN Prowave VM 100 260315-M18507050004 1 Unit 26 Oktober 2018
39 Sphygmomanometer Digital ABN DM-500 151006117 1 Unit
40 Sphygmomanometer Digital ABN DM-500 151006032 1 Unit
41 Sphygmomanometer Jarum ABN Regal 15002299 1 Unit 26 November 2018
42 Sphygmomanometer Jarum ABN Regal 15002280 1 Unit 26 November 2018
43 Sphygmomanometer Stand Erka Klinikerkameter 1 Unit 26 November 2018
44 Sphygmomanometer Stand Erka Klinikerkameter 1 Unit 26 November 2018
45 Sphygmomanometer Stand Erka Klinikerkameter 1 Unit 07 Desember 2018
46 Sterilisator Memmert SNB 400 CM410-0849 1 Unit 29 Oktober 2018
47 Sterilisator Kering My Life ZTP80-15 20090805 1 Unit 29 Oktober 2018
48 Suction Pump MG Electric SAM 12 05091000 1 Unit 26 November 2018
49 Suction Pump Sharp Minic-s 0801161/4 1 Unit 26 November 2018
50 Suction Pump Hirtz Hico-Rapidovac 791-16 087977 1 Unit
51 Syringe Pump TOP TOP-5300 SM13073 1 Unit
52 Syringe Pump B Braun Perfusor Compact S 110146 1 Unit 29 Oktober 2018
53 Syringe Pump B Braun Perfusor Compact S 62621 1 Unit 29 Oktober 2018
54 Syringe Pump B Braun Perfusor Compact S 110152 1 Unit 29 Oktober 2018
55 Syringe Pump B Braun Perfusor Compact S 110149 1 Unit 29 Oktober 2018
56 Syringe Pump B Braun Perfusor Compact S 110140 1 Unit 29 Oktober 2018
57 Thermohygrometer Haar-Synth.Hygro Analog 1 Unit 19 November 2018
58 Thermohygrometer Haar-Synth.Hygro Analog 1 Unit
59 Thermometer Analog Safety SK Normal Glass 1 Unit 29 Oktober 2018
 Kondisi Alat
No Nama Alat Merk Type Nomor Seri Jml Sat Tanggal Kalibrasi
B RR RB
60 Thermometer Infrared Microlife FR1DL1(FR1MF1) 1 Unit
61 Thermometer Infrared Microlife FR1DL1(FR1MF1) 1 Unit
62 Thermometer Infrared Microlife FR1DL1(FR1MF1) 1 Unit
63 Thermometer Infrared Vinmed PC 800 1 Unit 29 Oktober 2018
64 Timbangan + Tinggi Badan Smic ZT-120 1 Unit 08 November 2018
65 Timbangan + Tinggi Badan Yamamoto Giken 1 Unit
66 Timbangan Bayi Digital SECA 334.1321004 13344071040673 1 Unit 08 November 2018
67 Timbangan Bayi Digital SECA 334.1321004 13344071040673 1 Unit
68 Timbangan Bayi Digital SECA 727 (21)100000000781709 1 Unit 08 November 2018

TOTAL 68 unit
 DAFTAR KALIBRASI ALKES 2018

RUANG : Rawat Jalan

Kontrak 2017
No Nama Alat Merk Type Nomor Seri Jml Sat
Harga Satuan
Poli Gigi
1 Dental Unit Takara Belmont Clesta CF05E0187 1 Unit 252,700
2 Sphygmomanometer Duduk Riester Nova Presameter 050681083 1 Unit 214,700
3 Sterilisator Kering Tau Steril 2000 Automatic 3/05094 1 Unit 427,500
4 Timbangan Badan Manual Karixa 1 Unit 332,500
5 Timbangan Badan Manual SECA 1 Unit 332,500

Poli Mata
1 A/B Scan Quantel Medical Aviso 1342 1 Unit 950,000
2 Autoreff Keratometer Shin Nippon Accuref-K9001 30AH5915 1 Unit 950,000
3 Biometri Tomey AL-100 15504 1 Unit 950,000
4 Cirus HD-OCT Carl Zeiss 5000 8138 1 Unit
5 Lensmeter Tomey TL-100 960510 1 Unit 950,000
6 LSL Yag III Carl Zeiss IP20 1182178 1 Unit
7 NCT Canon TX-20P 301380 1 Unit
8 Slit Lamp Shin Nippon SL-500 09-0118 1 Unit 522,500
9 Sphygmomanometer Digital Omron HBP-1100 1 Unit 294,500
10 Sphygmomanometer Stand ABN 803751 1 Unit 214,700
11 Timbangan Badan Manual Yamamoto Giken ZT-120 1 Unit 332,500
12 Timbangan Badan Manual SECA 5762004166447 1 Unit 332,500

Poli Kebidanan & Kandungan

1 Doppler (Pocket) Hadeco Bidop/ES-100V3 11050169 1 Unit 304,000
2 Examination Lamp Karixa NT-50HSS 1 Unit 207,100
3 Sphygmomanometer Duduk Riester Nova Presameter 050161914 1 Unit 214,700
4 Sphygmomanometer Stand Erka Klinikerkameter 14301093 1 Unit 214,700
5 Thermometer Infrared Microlife FR1DL1(FR1MF1) 171802596 1 Unit 142,500
6 Timbangan Badan Manual SECA Analog (762) 5762004166446 1 Unit 332,500
7 USG GE Voluson S8 VS8002159 1 Unit 475,000

Poli Bedah
1 Examination Lamp Karixa NT-50HSS 1 Unit 207,100
2 Sphygmomanometer Digital Omron HBP-1100 1 Unit 294,500
3 Sphygmomanometer Duduk Riester Nova Presameter 1 Unit 214,700
4 Timbangan + Tinggi Badan Karixa 16010008 1 Unit 332,500
5 Timbangan Badan Manual SECA Analog 5762004166451 1 Unit 332,500

Poli Syaraf
1 Sphygmomanometer Duduk Riester Nova Presameter 1 Unit 214,700
2 Sphygmomanometer Jarum Stand ABN Regal 15001782 1 Unit 214,700
3 Timbangan + Tinggi Badan Karixa Healthmeter 16010007 1 Unit 332,500
4 Timbangan Badan Manual SECA Analog 5762004166444 1 Unit 332,500

Poli Penyakit Dalam

1 Sphygmomanometer Digital Omron HBP-1100 01006783LF 1 Unit 294,500
2 Sphygmomanometer Duduk Riester Nova Presameter 040433098 1 Unit 214,700
3 Sphygmomanometer Duduk Riester Nova Presameter 1 Unit 214,700
4 Thermometer Infrared Microlife FR1DL1(FR1MF1) 171802593 1 Unit 142,500
5 Timbangan Badan Manual SECA 1 Unit 332,500

Poli THT
1 Audiometri Interacoustic AA 222 805986 1 Unit 807,500
2 Endoskopi Set Olympus 7645269 1 Unit 454,100
3 ENT Treatment Unit Mega NET-260 SLCB 11V2605LCB0501 1 Unit 308,750
4 Sphygmomanometer Digital Omron HBP-1100 1 Unit 294,500
5 Sphygmomanometer Duduk Erka Erkameter 3000 13519592 1 Unit 214,700
6 Suction Pump MG Electric SAM 12 070915852 1 Unit 257,450
7 Timbangan Badan Manual SECA 2763082055534 1 Unit 332,500

Poli Paru
 Kontrak 2017
No Nama Alat Merk Type Nomor Seri Jml Sat
1 Nebulizer Omron NE-C28 20150103285VF 1 Unit 255,550
2 Sphygmomanometer Stand ABN 803933 1 Unit 214,700
3 Spirometri Chest HI-801 14810884 1 Unit 270,750
4 Timbangan + Tinggi Badan Smic ZT-120 001 1 Unit 332,500
5 Timbangan Badan Manual SECA Analog 5762004166455 1 Unit 332,500

Poli Psikiatri
1 Sphygmomanometer Stand Erka Klinikerkameter 14301077 1 Unit 214,700
2 Timbangan Badan Manual SECA Analog 5762004166454 1 Unit 332,500

Poli VCT
1 Sphygmomanometer Digital Omron HBP-1100 01006785LF 1 Unit 294,500
2 Sphygmomanometer Jarum ABN Regal 15002294 1 Unit 214,700
3 Thermometer Infrared Microlife FR1DL1(FR1MF1) 171802609 1 Unit 142,500
4 Timbangan Badan Manual SECA Analog 5762004166442 1 Unit 332,500

Poli Anak
1 Sphygmomanometer Duduk Riester Nova Presameter 040948067 1 Unit 214,700
2 Sphygmomanometer Stand ABN Healthcare 805002 1 Unit 214,700
3 Thermometer GEA DT-PEN ETA160406-2609 1 Unit 142,500
4 Timbangan Badan Manual SECA Analog 5762004166452 1 Unit 332,500
5 Timbangan Bayi Misaki Baby Scale 1 Unit 332,500
6 Timbangan Bayi Digital SECA 727 10000000061505 1 Unit 332,500

Poli Kulit
1 Electro Surgery Unit (ESU) Comed Hyfrilator 2000 14DGJB96 1 Unit 356,250
2 Nebulizer Omron NEC-900 20170400607UF 1 Unit 255,550
3 Nebulizer MGE Nivec III 15720/ASP 1 Unit 255,550
4 Timbangan Badan Manual SECA 5762004166445 1 Unit 332,500
5 Timbangan Bayi Misaki 1 Unit 332,500

Poli Urologi
1 Sphygmomanometer Riester Nova Presamater 130307998 1 Unit 214,700
2 Sphygmomanometer Jarum ABN Regal 15002222 1 Unit 214,700
3 USG BK Medical Flex Focus 500 1 Unit 475,000

Poli Orthopedi
1 Examination Lamp KLS Martin ML-101 ML10141030016M02 1 Unit 207,100
2 Timbangan Badan SECA Analog 5762004166448 1 Unit 332,500

Poli Jantung
1 Electro Cardiograph GE MAC 2000 SPW17280039PA 1 Unit 336,300
2 Sphygmomanometer Stand Erka Klinikerkameter 4301075 1 Unit 214,700
3 USG Philips EPIC 7C US61881236 1 Unit 475,000

Poli Nebulizer
1 Nebulizer Omron NE-C28 20140910828UF 1 Unit 255,550
2 Nebulizer Clement Clarke AC 2000 18419 1 Unit 255,550

Poli ECG
1 Electro Cardiograph GE MAC i 1 Unit 336,300

TOTAL 78 unit
DAFTAR KALIBRASI ALKES 2018

Kontrak 2017
Lokasi
Jumlah Harga

252,700 Poli Gigi

214,700 Poli Gigi
427,500 Poli Gigi
332,500 Poli Gigi
332,500 Poli Gigi

950,000 Poli Mata

950,000 Poli Mata
950,000 Poli Mata
- Poli Mata
950,000 Poli Mata
- Poli Mata
- Poli Mata
522,500 Poli Mata
294,500 Poli Mata
214,700 Poli Mata
332,500 Poli Mata
332,500 Poli Mata

304,000 Poli Kebidanan &

Kandungan
207,100 Poli Kebidanan &
Kandungan
214,700 Poli Kebidanan &
Kandungan
214,700 Poli Kebidanan &
Kandungan
142,500 Poli Kebidanan &
Kandungan
Poli Kebidanan &
332,500 Kandungan
475,000 Poli Kebidanan &
Kandungan

207,100 Poli Bedah

294,500 Poli Bedah
214,700 Poli Bedah
332,500 Poli Bedah
332,500 Poli Bedah

214,700 Poli Syaraf

214,700 Poli Syaraf
332,500 Poli Syaraf
332,500 Poli Syaraf

294,500 Poli Penyakit Dalam

214,700 Poli Penyakit Dalam
214,700 Poli Penyakit Dalam
142,500 Poli Penyakit Dalam
332,500 Poli Penyakit Dalam

807,500 Poli THT

454,100 Poli THT
308,750 Poli THT
294,500 Poli THT
214,700 Poli THT
257,450 Poli THT
332,500 Poli THT
Kontrak 2017
Lokasi
255,550 Poli Paru
214,700 Poli Paru
270,750 Poli Paru
332,500 Poli Paru
332,500 Poli Paru

214,700 Poli Psikiatri

332,500 Poli Psikiatri

294,500 Poli VCT

214,700 Poli VCT
142,500 Poli VCT
332,500 Poli VCT

214,700 Poli Anak

214,700 Poli Anak
142,500 Poli Anak
332,500 Poli Anak
332,500 Poli Anak
332,500 Poli Anak

356,250 Poli Kulit

255,550 Poli Kulit
255,550 Poli Kulit
332,500 Poli Kulit
332,500 Poli Kulit

214,700 Poli Urologi

214,700 Poli Urologi
475,000 Poli Urologi

207,100 Poli Orthopedi

332,500 Poli Orthopedi

336,300 Poli Jantung

214,700 Poli Jantung
475,000 Poli Jantung

255,550 Poli Nebulizer

255,550 Poli Nebulizer

336,300 Poli Penyakit Dalam

 DAFTAR ALKES 2019

RUANG : VK
Kondisi Alat
No Nama Alat Merk Type Nomor Seri Jml Sat Tanggal Kalibrasi
B RR RB
1 Anasthesi Machine Draeger Primus 106007279201 1 Unit 03 November 2018
2 Blood Bank (Refigerator) Nuve KN-120 01-0240 1 Unit 07 Desember 2018
3 Cardiotocograph (CTG) GE Corometrics 170 Series SAS09364049PA 1 Unit 29 Oktober 2018
4 Cardiotocograph (CTG) GE Corometrics 250CX Series SDJ17350161PA5 1 Unit
5 Cardiotocograph (CTG) Fetatrack 310 0607131 1 Unit
6 Cardiotocograph (CTG) Fetatrack 310 31051107061 1 Unit
7 Defibrilator Zoll R Series Plus AF171071519 1 Unit
8 Doppler (Pocket) Hadeco Bidop ES-100V3 11050168 1 Unit 29 Oktober 2018
9 Doppler (Pocket) Hadeco Minidop ES-100VX 20900BZZ00120000 1 Unit 29 Oktober 2018
10 Doppler (Pocket) Brael UDT 20 2017-E2590 1 Unit
11 Doppler (Pocket) Brael UDT 20 2017-E2593 1 Unit
12 Doppler (Pocket) Brael UDT 20 2017-E2591 1 Unit
13 Doppler Mobile Hadeco ES 102 EX 09090074 1 Unit 07 Desember 2018
14 Electro Cardiograph (ECG) GE MAC 2000 SPW17280036PA 1 Unit 03 November 2018
15 Electro Surgery Unit (ESU) Valleylab Force FX F9H63981A 1 Unit 03 November 2018
16 Examination Lamp Karixa NT-50 HS 002 1 Unit
17 Examination Lamp KLS Martin ML101 1 Unit 07 Desember 2018
18 Infant Warmer Tesena TSN-89IW 130/II/06 1 Unit 29 November 2018
19 Infant Warmer Drager GSDTC2 AR04173 1 Unit 03 November 2018
20 Infusion Pump B Braun Infusomat P 66163 1 Unit 30 Oktober 2018
21 Infusion Pump Terumo TE-172 1609000035 1 Unit 30 Oktober 2018
22 Inkubator Transport Medix TR-200 1960.10 1 Unit 07 Desember 2018
23 Kulkas Obat Panasonic MPR-S163-PE 17040057 1 Unit 27 November 2019
24 Operating Lamp Trilux Aurinio L160 1 Unit 03 November 2018
25 Operating Lamp Mobile Emaled Acrobat Swing LO3020990517 1 Unit
26 Patient Monitor Criticare N Genuity 211255797 1 Unit 30 Oktober 2018
27 Patient Monitor GE B40i SK316420045HA 1 Unit 31 Oktober 2018
28 Patient Monitor Philips MX 500 DE35198566 1 Unit 31 Oktober 2018
29 Patient Monitor Philips MX 500 DE35198573 1 Unit 31 Oktober 2018
 Kondisi Alat
No Nama Alat Merk Type Nomor Seri Jml Sat Tanggal Kalibrasi
B RR RB
30 Patient Monitor Philips MX 500 DE35198581 1 Unit 31 Oktober 2018
31 Patient Monitor Philips MX 500 DE35198562 1 Unit 31 Oktober 2018
32 Patient Monitor Philips MX 700 DE58550285 1 Unit
33 Pulse Oximetry Finger for Adult Elitech FOX-3 FX 314CA 0078 1 Unit 05 November 2018
34 Pulse Oximetry Finger for Adult Elitech FOX-3 FX 314CA 0066 1 Unit
35 Pulse Oximetry Finger for Adult Schiller Argus OXM-C HPA17H0124 1 Unit 05 November 2018
36 Pulse Oximetry Finger for Baby Schiller Argus OXM-C HPA17H0117 1 Unit 05 November 2018
37 Regulator + Flowmeter O2 Allied 1 Unit 03 November 2018
38 Regulator + Flowmeter O2 Allied 1 Unit 03 November 2018
39 Regulator + Flowmeter O2 Allied 1 Unit 03 November 2018
40 Regulator + Flowmeter O2 Allied 1 Unit 03 November 2018
41 Regulator + Flowmeter O2 Allied 1 Unit 03 November 2018
42 Regulator + Flowmeter O2 Allied 1 Unit 26 November 2018
43 Regulator + Flowmeter O2 Allied 1 Unit 26 November 2018
44 Regulator + Flowmeter O2 Allied 1 Unit 26 November 2018
45 Regulator + Flowmeter O2 Allied 1 Unit 26 November 2018
46 Regulator + Flowmeter O2 Allied 1 Unit 27 November 2018
47 Regulator + Flowmeter O2 Allied 1 Unit 27 November 2018
48 Regulator + Flowmeter O2 Allied 1 Unit 27 November 2018
49 Regulator + Flowmeter O2 Allied 1 Unit 27 November 2018
50 Regulator + Flowmeter Suction Allied 1 Unit 26 November 2018
51 Regulator + Flowmeter Suction Allied 1 Unit 26 November 2018
52 Regulator + Flowmeter Suction Allied 1 Unit 26 November 2018
53 Regulator + Flowmeter Suction Allied 1 Unit 26 November 2018
54 Regulator + Flowmeter Suction Allied 1 Unit 26 November 2018
55 Regulator + Flowmeter Suction Allied 1 Unit 27 November 2018
56 Regulator + Flowmeter Suction Allied 1 Unit 27 November 2018
57 Regulator + Flowmeter Suction Allied 1 Unit 27 November 2018
58 Regulator + Flowmeter Suction Allied 1 Unit 27 November 2018
59 Regulator + Flowmeter Suction Allied 1 Unit 27 November 2018
60 Regulator + Flowmeter Suction Allied 1 Unit 27 November 2018
61 Regulator + Flowmeter Suction Allied 1 Unit 27 November 2018
 Kondisi Alat
No Nama Alat Merk Type Nomor Seri Jml Sat Tanggal Kalibrasi
B RR RB
62 Sphygmomanometer Digital ABN Prowave VM 100 1 Unit
63 Sphygmomanometer Digital ABN Prowave VM 100 1 Unit
64 Sphygmomanometer Digital ABN DM 500 1 Unit
65 Sphygmomanometer Jarum ABN Regal 1 Unit
66 Sphygmomanometer Jarum ABN Regal 1 Unit
67 Sphygmomanometer Jarum ABN Regal 1 Unit
68 Sphygmomanometer Stand Riester Nova Presameter 03019D 1 Unit
69 Sphygmomanometer Stand Erka Klinikerkameter 14301408 1 Unit
70 Sphygmomanometer Stand Erka Klinikerkameter 14301226 1 Unit
71 Suction Pump Sharp Minic-S 08011604 1 Unit
72 Suction Pump Ordisi FV Series SM 54799 1 Unit
73 Suction Pump Ordisi FV Series SM 54601 1 Unit
74 Suction Pump Atmos C 451 1 Unit
75 Syringe Pump B-Braun Perfusor Compact S 1 Unit
76 Syringe Pump B-Braun Perfusor Compact S 1 Unit
77 Syringe Pump B-Braun Perfusor Space/Advance 1 Unit
78 Thermal Blanket Moeck Twinwarm III 1721083 1 Unit
79 Thermometer Infrared Microlife FR1DL1(FR1MF1) 1 Unit
80 Thermometer Infrared Microlife FR1DL1(FR1MF1) 1 Unit
81 Thermometer Infrared Microlife FR1DL1(FR1MF1) 1 Unit
82 Thermometer Infrared Microlife FR1DL1(FR1MF1) 1 Unit
83 Timbangan Badan Digital SECA 7031321007 5703292160695 1 Unit
84 Timbangan Badan Manual SECA 5755158177793 1 Unit
85 Timbangan Bayi Misaki Analog 1 Unit
86 Timbangan Bayi Digital SECA 727 10000000061506 1 Unit
87 USG Honda H-S 4000 00401399 1 Unit
88 USG GE Logiq 200 Pro Series 77123SM8 1 Unit

TOTAL 88 unit