PEMER

UP
Jln. Poros Kada

KARTU INVENTARIS BARAN

KABUPATEN : Buton Selatan

PROVINSI : Sulawesi Tenggara
UNIT : Dinas Kesehatan
SATUAN KERJA : UPTD Puskesmas Kadatua
RUANGAN : Pelayanan Kesehatan Gigi dan Mulut

No. Seri
NO Nama Barang Merek/Model Ukuran
Pabrik
1 2 3 4 5
1 Dental Unit
Medica Instrument
2 Upper roots forceps (anak)
Marwa Stainless
Medica Instrument
3 Upper incisors forceps (anak)
Marwa Stainless
Medica Instrument
4
Upper premolar forceps (anak) Marwa Stainless
Medica Instrument
5 Upper molars forceps (anak)
Marwa Stainless
Lower molars forceps tweezers Medica Instrument
6
(anak) Marwa Stainless
Lower incisors forceps Medica Instrument
7
tweezers (anak) Marwa Stainless
Lower roots forceps and
8 Medica Instrument
tweezers (anak)
Medica Instrument
9 Upper roots extraxting forceps
Marwa Stainless
10 Upper molars extracting Medica Instrument
forceps, right Marwa Stainless
11 Upper molars extracting
Medica Instrument
forceps, left
12 Upper roots extracting forceps Medica Instrument
Marwa Stainless
13 Lower premolars extracting Medica Instrument
forceps Marwa Stainless
14 Upper lateral and canines Medica Instrument
extracting forceps Marwa Stainless
15 Upper third molars extracting Medica Instrument
forceps
 Upper third molars extracting
forceps Marwa Stainless
16 Lower third molars extracting Medica Instrument
forceps Marwa Stainless
17 Medica Instrument
Lower roots extracting forceps Marwa Stainless
18 Lower premolars extracting Medica Instrument
forceps Marwa Stainless
19 Lower molars extracting Medica Instrument
forceps Marwa Stainless
20 Bein root elevators, 3 mm Medica Instrument
21 Bein root elevators, 2.5 mm Medica Instrument
22 Barry 320 root elevators, 1/2 Medica Instrument
23 Barry 321 root elevators, 1/2 Medica Instrument
24 Mouth mirror plane 300sp Medica Instrument

25 Handle mirror plane 300SH Medica Instrument

26 Probes and explorers, fig. 23 Medica Instrument

27 Probes and explorers, fig. 66 Medica Instrument
28 19 Meriam cotton pliers- Medica Instrument
tweezers, 1/1, 2/3 smooth 16
Medica Instrument
cm
29 Darby-Perry excavators (19/20) Medica Instrument

30 Darby-Perry excavators (15/16) Medica Instrument

Langenbeck finger protector,

31 fig. 1 Medica Instrument
Plastic wax knives, silicate
32 spatulas Medica Instrument
33 Ladmore filling instruments Medica Instrument
34 Matrix holder 5 mm Medica Instrument
35 Le cron wax and modelling carveMedica Instrument
36 Mayo tongue depressor, 17 cm Medica Instrument
37 Black scalers Medica Instrument
38 Scalers Medica Instrument
39 Scalers Medica Instrument
Darby-Perry Scalers Medica Instrument
Gillet excavators (111/112) Medica Instrument
Gillet excavators (113/114) Medica Instrument
Gillet excavators (115/116) Medica Instrument
Mortonson filling instruments Medica Instrument
Gum scissors, 2/3, 11 cm Medica Instrument
Mathieu needle holder, 14 cm Medica Instrument
Scalpel handle Medica Instrument
Gunting anatomi Solid
Oil free air compressor SMU Dental

Mengetahui,
Kepala UPTD Puskesmas Kadatua

AWALUDIN, SKM
NIP. 19751231 199703 1 010
 PEMERINTAH KABUPATEN BUTON SELATAN
DINAS KESEHATAN
UPTD PUSKESMAS KADATUA
Jln. Poros Kadatua No. U. 009 Kode Pos 93752 Email: pusk.kadatua@gmail.com
Telepon (0402)........Faksimile (0402) ….......

TU INVENTARIS BARANG MEDIS RUANG PELAYANAN KESEHATAN GIGI DAN MULUT

Tahun Jumlah Keadaan Barang

No. Kode Harga
Bahan Pembuatan/P Barang
Barang Beli/Perolehan Baik
embelian Register
6 7 8 9 10 11
1
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 5 V

Stainless Steel 5 V

Stainless Steel 5 V
Stainless Steel 5 V
Stainless Steel 5 V
Stainless Steel V
5
Stainless Steel V

1
Stainless Steel V

1
Stainless Steel V
1
Stainless Steel V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
Stainless Steel 1 V
1 V

Penanggung Jawab Pelayanan Gigi dan Mulut

drg. Eka Wahyuni Febrina

LUT

Keadaan Barang
Kurang Asal Usul Keterangan
Rusak
Baik
12 13 14 15
 Bendahara Barang

WA Ode Nurhasanah, Amd. Keb

NIP. 19891226 201704 2 008
 PEMERINTAH KABUPA
DINAS KE
UPTD PUSKES
Jln. Poros Kadatua No. U. 009 Kode Po
Telepon (0402)........F

KARTU INVENTARIS RUANG

KABUPATEN : Buton Selatan

PROVINSI : Sulawesi Tenggara
UNIT : Dinas Kesehatan
SATUAN KERJA : UPTD Puskesmas Kadatua
RUANGAN : Pelayanan Gigi dan Mulut

No. Seri
NO Nama Barang Merek/Model Ukuran
Pabrik
1 2 3 4 5
 PEMERINTAH KABUPATEN BUTON SELATAN
DINAS KESEHATAN
UPTD PUSKESMAS KADATUA
Jln. Poros Kadatua No. U. 009 Kode Pos 93752 Email: pusk.kadatua@gmail.com
Telepon (0402)........Faksimile (0402) ….......

KARTU INVENTARIS RUANG PELAYANAN GIGI DAN MULUT

Tahun Jumlah Harga Keadaan Barang

No. Kode
Bahan Pembuatan/P Barang Beli/Perole Kurang
Barang Baik
embelian Register han Baik
6 7 8 9 10 11 12
daan Barang
Asal Usul Keterangan
Rusak
13 14 15