SARANA DAN PRASARANA RAWAT JALAN

POLI UMUM
NO
NAMA ALAT STD JML NO. SERI MERK
Meja Periksa / Tempat tidur
periksa / Examination Table 1 1 001/IRJ/2017 -
Pen Light / Lampu Senter 1 1 002/IRJ/2017 DELUXE ABN
Stetoskop/Stetoskop Dewasa 1 1 003/IRJ/2017 ONEMED
Tensimeter 1 1 004/IRJ/2017 ABN
Termometer digital 1 1 005/IRJ/2017
Timbangan dewasa; 1 1 048/IGD/2017 GEA
X-Ray Film Viewer 1 1 049/IGD/2017

POLI KANDUNGAN

Aspirator/Vacuum/Suction
pump portable 1 0

Cardiotocograph/CTG 1 1 006/IRJ/2017
Colposcope 1
Doppler 1
Examination light /
Examination lamp / Lampu
periksa / Hanging lamp 1 1 007/IRJ/2017
Forcep Biopsi 1 0
Gynecological Bed/Obstetric
table and accessories 1 1 008/IRJ/2017
Implant Kit 1 1 009/IRJ/2017
IUD Kit 1 1 010/IRJ/2017

Minor Surgery Set 1 0

Obstetric-gynecologic
general manual instrument 1
Office histeroscopy 1

Pap smear kit 1

Sonde Uterus (Uterine
Sound) 1 1 011/IRJ.2017
Sterilisator Portable 1 1 012/IRJ/2017 CORONA

Stetoskop/Stetoskop Dewasa 1 1 013/IRJ/2017 RIESTER

Tampon tang 1 1 014/IRJ/2017
Tensimeter 1 1 015/IRJ/2017 RIESTER

Timbangan dewasa; 1 1 048/IGD/2017

USG 3D 1 1 049/IRJ/2017
USG 4D 1

POLI KESEHATAN ANAK

Baby Suction Pump 1 1
Cool box immunization /
Cold Chain (untuk
penyimpan vaksin) 1 1 050/IRJ/2017 ONEMED
Examination light /
Examination lamp / Lampu
periksa / Hanging lamp 1 1 013/IGD/2017
Meja Periksa / Tempat tidur 1
periksa / Examination Table 1 001/IRJ/2017 -
1
Nebulizer 1 030/IGD/2017
1
Pen Light / Lampu Senter 1 002/IRJ/2017 DELUXE ABN
Resusitator Anak 1
1
1
Resusitator bayi/neonatus 1
Stetoskop anak 1 1
1
Stetoskop bayi 1 051/IRJ/2017 ONEMED
Sudip/penekan lidah/Tongue 1
depressor 1 052/IRJ/2017
1
Termometer digital 1 005/IRJ/2017
1
Timbangan anak 1
1
Timbangan bayi 1 053/IRJ/2017 GEA
Tensimeter 1
1 004/IRJ/2017 ABN
POLI BEDAH
Alat pembuka gips 1

Aspirator/Vacuum/Suction
pump portable 1
Examination light /
Examination lamp / Lampu
periksa / Hanging lamp
Hecting set
Lampu kepala / head lamp
Meja Periksa / Tempat tidur
periksa / Examination Table
Minor Surgery Set
Reflex hammer/Palu
pengukur reflex
Stetoskop/Stetoskop Dewasa
Tensimeter
Termometer digital
X-Ray Film Viewer
Meja Periksa / Tempat tidur
periksa / Examination Table
Pen Light / Lampu Senter
Stetoskop/Stetoskop Dewasa
Tensimeter
Termometer digital
Timbangan dewasa;
X-Ray Film Viewer
1 013/IGD/2017 OMEGA
1 054/IRJ/2017 ONEMED
1
1 055/IRJ/2017 -
026/IGD/2017
1 Renz
1 056/IRJ/2017 GENERAL CARE
1 057/IRJ/2017 ONEMED
1 058/IRJ/2017 ABN
1 059/IRJ/2017
1 049/IGD/2017
POLI PENYAKIT DALAM
1 055/IRJ/2017 -
1 060/IRJ/2017 ONEMED
1 057/IRJ/2017 ONEMED
1 058/IRJ/2017 ABN
1 059/IRJ/2017 ONEMED
1 048/IGD/2017 GEA
1 049/IGD/2017
RANA RAWAT JALAN

UMUM
TAHUN DANA KONDISI KALIBRASI
PEMBELIAN PEMBELIAN
1.8000.000
2008
2016 85 BAIK
2016 35
2016 195
2017 27

2010 875

2008 1.000.000

NDUNGAN

10.000.000
2008

2010 1.150.000

2009 2.300.000
2014 115
2015 800

2010 40
 2016 1.550.000

2017 385
2010 95
2015 1.100.000

2010 875
2008

HATAN ANAK

280

2010

2010 1.150.000

2008 1.8000.000

2010 650
85 BAIK
2016

2016 35

2017 110
27
2017

255
2010
2016 195

BEDAH
 2010 1.150.000
2016 300

2008 1.800.000

2008 1.050.000

2016 35
2016 35
2016 195

2017 25
2008 1.000.000

KIT DALAM

2008 1.800.000

2017 85

2016 35
195
2016
25
2017

2010 875
1.000.000
2008
 SARANA N PRASARANA UGD
NO
NAMA ALAT STD JML NO. SERI
Aspirator/Vacuum/Suction pump 001/IGD/2017
portable 1 1
002/IGD/2017
003/IGD/2017
004/IGD/2017
Bed patient (Kayu ) 1 3 005/IGD/2017
006/IGD/2017
Gynecological Bed/Obstetric 1 2
table and accessories 007/IGD/2017
Bed-side Monitor/Bed-patient
monitor/Patient monitor 1 0
008/IGD/2017
Cave Lamp / incubator sederhana 1
Defibrilator 1 1 049/IGD/2018
Doppler 1 1 009/IGD/2017
ECG/EKG/Electrocardiograph 1 1 008/IGD/2017
Emergency Trolley / 009/IGD/2017
Resuscitation Crash Cart 1 1
010/IGD/2017
011/IGD/2017
Ember 3 012/IGD/2017
013/IGD/2017
Examination light /
Examination lamp / Lampu
periksa / Hanging lamp 1 1
2 014/IGD/2017
Foot step 015/IGD/2017
016/IGD/2017
Heating Set 1
Infusion pump 1 0
Kulkas 1 017/IGD/2017
2 018/IGD/2017
Kursi Penunggu 019/IGD/2017
Kursi roda 1 020/IGD/2017

Lampu kepala / head lamp 1 0

021/IGD/2017
Lampu Duduk (u/ bayi) 1
Laringoskop Dewasa 1 1 022/IGD/2017
023/IGD/2017
Laringoskop Anak 1 1
 024/IGD/2017
Lemari Depo 2 025/IGD/2017
Minor Surgery Set 1 1 026/IGD/2017
Meja + Kursi Pendaftaran 1 027/IGD/2017
Meja + Kursi Dokter 1 028/IGD/2017
Meja Terima Bayi 1 029/IGD/2017
Nebulizer 1 030/IGD/2017

Oximeter / pulse oximeter /

Oksigen Saturasi 1 0
Oxygen Concentrator /
Portable Oxygen Generator. 1 0
031/IGD/2017
Oksigen Trolly 1
032/IGD/2017
Oksigen Tabung
2 033/IGD/2017
Partus Set 034/IGD/2017
Pneumatic Splint Set 1 0
035/IGD/2017
Pocket oximetry 1 1
Resusitation Set / Resusitation
bay / Resusitation kit 1 0
036/IGD/2017
037/IGD/2017
Standard infus 1 3 038/IGD/2017
Stetoskop Dewasa 1 1 039/IGD/2017
040/IGD/2017
Stetoskop anak 1
Stretcher/Brankar 1 1 041/IGD/2017
Syringe Pump 1 0
2 042/IGD/2017
Tempat sampah Injak 043/IGD/2017
Tensimeter Manset Dewasa 1 1 044/IGD/2017
Tensimeter Digital dengan
manset untuk bayi dan anak 1 0
Telepon 1 045/IGD/2017

Termometer digital 1 1 046/IGD/2017

Timbangan bayi 1 1 047/IGD/2017
Timbangan dewasa; 1 048/IGD/2017
X-Ray Film Viewer 1 1 049/IGD/2017
SARANA N PRASARANA UGD
TAHUN DANA KONDISI KALIBRASI
MERK PEMBELIAN
BAIK
ELECTRICAL SUCTION
DEVICE YBDX23B-SMIC 2010 3.250.000
- 2008 1.800.000 BAIK
- 2008 1.800.000 BAIK
- 2008 1.800.000 BAIK
- 2008 1.800.000 BAIK
BAIK
2008 3.000.000
2008 3.000.000 BAIK

BAIK
2010 1.400.000
BAIK
PHILIP AED FRX 2018 48.000.000
HI BEBE 2015 800 BAIK
BIONET 2010 16.000.000

- 2010 850
- 2015 50
- 2015 50
- 2015 50

2010 1.150.000
2010 230
2010 230
One med 2008 150

2010
- 2008 800
- 2008 800
One med 2010 750

2010 65
Riester 2008 3.000.000
Riester 2008 3.000.000
 2010 2.300.000
2010 1.100.000
Renz 2008 1.050.000
- 2008 850
- 2008 1.800.000
- 2008 3.000.000
2010 650

2010 750
2010 2.400.000
One Med 2010 230
One Med 2010 230

2015 350

2010 130
2010 130
2010 130
2016 25

2016 65
2016 3.500.000

2016 95
2016 95
ABN 2016 195

2015
27
2017
GEA 2010 255
2010 875

2008 1.000.000
 SARANA N PRASARANA RUANG BEDAH SENTRAL
NO
NAMA ALAT STD JML NO. SERI MERK
RUANG PERSIAPAN
a
Aspirator/Vacuum/Suction pump
portable 1 1 001/OK/2017
b Bed-side Monitor/Bed-patient
monitor/Patient monitor 1

Oximeter / pulse oximeter 1 1 002/OK/2017

c Stetoskop/Stetoskop Dewasa 1 1 003/OK/2017
d Tensimeter Aneroid 1 1 004/OK/2017
e Tensimeter Digital 1
f Stretcher/Brankar 1 1 005/OK/2017
RUANG RECOVERY / PEMULIHAN
Bed-side Monitor/Bed-patient 006/OK/2017
monitor/Patient monitor 1
Blanket Warmer / Hipotermia Unit 1
Defibilator 1 007/OK/2017
Emergency Trolly 1
Infant Radian Warmer 1 008/OK/2017
Infusion Pump 1 009/OK/2017
Laringoskop 1 010/OK/2017

Magil Forcep 1 011/OK/2017

Stretcher / Brankard 1 004/OK/2017

012/OK/2017
Aspirator / Vacuum / Suction Pump 1
013/OK/2017
Aspirator / Vacuum / Suction Pump 1
Srynge Pump 1 014/OK/2017

RUANG BEDAH UMUM

Arthroscope 1
Autorefraktometer 1
Bed side monitor 1 015/OK/2017

Bedah Retraktif Set 1

Bieharostat bayi 1
Blanket Warmer 1
Cryosurgical Unit dan Accessoris 1
Electrosurgical Unit 1 008/OK/2017

Fakoemulsi Unit 1
Infusion Pump 1 009/OK/2017

Lampu Operasi 010/OK/2017

Lampu Operasi 1 011/OK/2017

Lampu Operasi bergerak 1

Lensmeter 1
Major Surgery Instrumen Set u/
Abdomen Pediatric 1
012/OK/2017
Major Surgery Instrumen set untuk
Abdomen Dewasa 1
Meja Mayo 1 013/OK/2017

Meja Mayo 014/OK/2017

Microsurgical Instrumen 1
Operating Headlamp 1
operating table, electric 1 015/OK/2017

Operating table, manual 1 016/OK/2017

Printer video 1
Sectio Caesarean Set 017/OK/2017

Sectio Caesarean Set 018/OK/2017

Sectio Caesarean Set 019/OK/2017

1 6 RENZ
Sectio Caesarean Set 020/OK/2017

Sectio Caesarean Set 021/OK/2017

Sectio Caesarean Set 022/OK/2017

Strabismus Diagnostic set 1

Suction Pump Unit 1 023/OK/2017 GEA

Suction Pump Unit 1 024/OK/2017 GEA

Syringe Pump 1 025/OK/2017

Urologi Instrumen Set 1

USG u/ regional anestesi &
pemasangan CVP 1
UV Sterilizer 1 026/OK/2018
X-Ray Film Viewr 1
RUANG TRANSFER

Blanket warmer/Hipotermia unit 1

Bronchoscope and accessories 1

Cryosurgical Unit n Accesories

Colonoscopy 1
007/OK/2017
Defibrilator 1

Electrosurgical Unit
Emergency Trolley / Resuscitation
Crash Cart 1

Endoscope washer 1
Endoscopic electrosurgical unit and
accessories 1
Endoskopik video monitor 1
Gastroscopy 1

Hospital Endoscope Cabinet 1

Infant radiant warmer 1 008/OK/2017

Infusion pump 1 009/OK/2017

Lampu operasi (Ceyling Type) 1

Lampu Operasi Bergerak/Operating
Lamp Mobile 1

Laringoskop 1 027/OK/2017

Lensmeter / Lensometer
Lightsource for endoscopy 1

Magill forcep 1 028/OK/2017

Mayor Surgery Instrument Set u/

Abdomen Dewasa

Mayor Surgery Instrumen Set u/

abdomen pediatric
Meja Mayo / Meja Instrumen
Mesin Anestesi ventilator 1

Microsurgical Instrumen
Operating Headlamp

Operating Table Electric

Operating Table Manual

Oximeter / pulse oximeter / Oksigen
Saturasi 1
Printer Video
Rectosigmoidoscopy 1
Sectio Caesarian Set
Suction Pump
Syringe Pump 1

Urologi Instrumen Set

UV Sterilizer

Video for endoscopy 1

X-ray Film Viewer
UANG BEDAH SENTRAL
TAHUN DANA KONDISI KALIBRASI
PEMBELIAN
RSIAPAN

2014

2016

2015
RY / PEMULIHAN
2016

AH UMUM
2015 BAIK NONE
RANSFER