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PENGADAAN ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)

DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018

NAMA UPT DAN PUSKESMAS


JLH TOTAL HARGA
No NAMA ALKES MERK DISTRIBUTOR

KURAU

PYPTN
TJ.HBL
ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC
(Rp)

S.CK
(UNIT)

PLH
ALAT KEDOKTERAN UMUM

UGD SET
Forceps : straight, curved, delicate straight,
1 FRIMED 19 KARYA PRATAMA 26,788,300;
Needle holder

2 Spatulas flexible 20cm/17/25mm FRIMED 19 Karya Pratama 5,860,700;


Indofarma Global
3 Cervical Collar SR-N1 SERENITY 38 5,848,200;
Medika
4 Cervical Collar Universal JAYAMAS ONEMED 38 Kalica Putra Pratama 5,076,192;

5 Mobile Stretcher, Wheel chair ROBUST 19 Panaindo Alkestama 319,500,599;

6 Circumsisi set SOLID 19 Aritek Karya Mandiri 235,674,550;

7 Surgical Scissors Straight 14,5 cm 5½" SCHWERT-GERMANY 19 Dyrsa International 14,867,465;

Korentang/Sponge & Dressing Forcep, Pinset


8 OTTO LEIBINGER 19 Mensa Bina Sukses 15,693,815;
anatomi
Pradhita Sejahtera
9 Carbon steel scapel blades BRAUN Aesculap 19 6,270,000;
Jaya

10 Halogen Examination Lamp TSN 015 FHC TESENA 19 Tri Sapta Jaya 111,496,332;

Oxygen concentration 10 L/M with Nebulizer


11 SYSMED 19 Mandiri Jaya Medika 454,000,000;
Oksigen Konsentrator/ OC-S100

Page 1 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
JLH TOTAL HARGA
No NAMA ALKES MERK DISTRIBUTOR

KURAU

PYPTN
TJ.HBL
ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC
(Rp)

S.CK
(UNIT)

PLH
Elitech Indonesia
12 Timbangan Badan Digital Digit Pro 19 Panasea 13,374,100;
Patient Scale
13 Stethoscope Finesse Child MPM ERKA 19 Panasea 16,615,500;

Tensimeter digital with Inflation System,


14 ABN ABN DM 500 19 Rajawali Nusindo 31,087,077;
Stethoscope

15 Tensimeter desk Type Child - 922-9 CBK ADC USA 19 Global Systech Medika 23,050,266;

16 Resuscitator anak, dewasa JAYAMAS Besmed 19 Kalica Putra Pratama 18,480,000;

17 Brankar/ Mobile stretcher 4302 ROBUST 19 Panaindo Alkestama 243,036,695;

18 Cardiology Stainless steel Stethoscope ABN ABN 19 Rajawali Nusindo 7.215.147;

Page 2 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
JLH TOTAL HARGA
No NAMA ALKES MERK DISTRIBUTOR

KURAU

PYPTN
TJ.HBL
ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC
(Rp)

S.CK
(UNIT)

PLH
Indofarma Global
19 Cervical Collar SR-N1 SERENITY 38 5.848.200;
Medika

20 Cervical collar universal JAYA MAS ONE MED 38 Kalica Putra Pratama 5.076.192;

21 Halstead Mosquito forceps curved 12,5 cm FRIMED 19 Karya Pratama 5.779.000;

22 Halstead Mosquito forceps straight 12,5 cm FRIMED 19 Karya Pratama 5.626.000;

23 Kocher Forceps delicate straight 14 cm FRIMED 19 Karya Pratama 6.697.800;

24 Mayo Hegar Needle Holder 18 cm FRIMED 19 Karya Pratama 8.685.500;

25 Pinset anatomi OTTO LEIBINGER 19 Mensa Bina Sukses 3.437.678;

26 Resuscicator dewasa JAYAMAS Besmed 19 Kalica Putra Pratama 9,240,000;

27 Spatula flexible 20cm/17/25mm FRIMED HABERER 19 Karya Pratama 5.860.700;

28 Kursi roda / Stainless steel Wheel chair ROBUST 19 Panaindo Alkestama 76.463.904;

SET PEMERIKSAAN UMUM

1 Medical Head Lamp GEA Bistos 19 Kalica Putra P 20,000,000;

2 Nierbieken stainless steel 23 cm JAYAMAS Onemed 38 Kalica Putra P 1,269,048;

3 Instrument Box with lid knob 200 x 100 x35 FRIMED 19 Karya Pratama 26,529,600;

4 Complete Diagnostic Set-5215 ADC USA 19 Global Systech Medika 67,049,000;

Digital Thermometer, Mercural


5 ABN 19 Rajawali Nusindo 14,942,056;
Sphygmomanometer

Page 3 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
JLH TOTAL HARGA
No NAMA ALKES MERK DISTRIBUTOR

KURAU

PYPTN
TJ.HBL
ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC
(Rp)

S.CK
(UNIT)

PLH
MDF INSTRUMEN USA
6 Dual Head Standart Stethoscope Adult 19 FA Antares Medika 4,815,000;
INC
7 Examination Table ROBUST 19 Panaindo Alkestama 148,877,000;

Examination Table, Instrumen Cabinet Double BARTEC UTAMA


8 19 Maharani Citra Karsa 260,192,000;
Door, Instrumet Trolley Matrial MS MANDIRI

9 Instrument Trolley ROBUST 19 Panaindo Alkestama 115,385,000;

Page 4 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
JLH TOTAL HARGA
No NAMA ALKES MERK DISTRIBUTOR

KURAU

PYPTN
TJ.HBL
ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC
(Rp)

S.CK
(UNIT)

PLH
RAWAT INAP SET

1 Bed 2 Crank Gatch Bed PARAMOUNT 30 Capricorn Mulia

2 Bed I.V Stand PARAMOUNT 30 Capricorn Mulia

3 Bed Side Cabinet PARAMOUNT 30 Capricorn Mulia

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT 30 Capricorn Mulia

5 Over Bed Table PARAMOUNT 30 Capricorn Mulia

PUSTU SET

1 Circumsisi Set SOLID 33 Aritek Karya Mandiri 411,276,850;

2 Digital Tensimeter with Inflation System ABN DM 500 33 Rajawali Nusindo 41,556,510;

BARTEC UTAMA
3 Examination Table 33 Maharani Citra Karsa 192,000,000;
MANDIRI
Instrumen box with lid with knob 200 x 100 x
4 FRIMED 33 Karya Pratama 46,077,200;
35 mm

5 Instrumen Trolley 3 shelves Shima Putra Utama 33 Shima Putra Utama 166,328,646;

Instrument Cabinet 32901, Instrument


6 MAK 33 Enseval 397,097,800;
Cabinet

7 Nierbekken stainless 23 cm JAYAMAS ONEMED 33 Kalica Putra Pratama 1,102,068;

8 Spatula flexible 20cm/17/25mm FRIMED HABERER 33 Karya Pratama 10,178,900;

Speculum Telinga - Hartmann Ear Speculum Pradana Estiara


9 PRIMAMED SCHWERT 33 27,378,800;
Set og 3 No. 0,1,2 Medical

Page 5 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
JLH TOTAL HARGA
No NAMA ALKES MERK DISTRIBUTOR

KURAU

PYPTN
TJ.HBL
ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC
(Rp)

S.CK
(UNIT)

PLH
10 Stethoscope Finesse Adult MPM ERKA 33 Panasea 28,858,500;

Timbangan Badan Digital Digit Pro-,


11 Timbangan Bayi Mekanik Baby Digit ELITECH 33 Panasea 73,166,700;
OneIndonesia Elitech Patient Scale
Verban Tromol Stainless Steel Dia.18 cm -
12 MENTOR INDONESIA 33 Panasea 20,367,800;
Drum sterilisasi

Page 6 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
JLH TOTAL HARGA
No NAMA ALKES MERK DISTRIBUTOR

KURAU

PYPTN
TJ.HBL
ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC
(Rp)

S.CK
(UNIT)

PLH
ALAT LABORATORIUM KEDOKTERAN

Alfa Plus Standart- Hematology Kimia BOULE MEDICAL AB


1 5 Swelab Indonesia 735,000,000
Analyzer SWEELAB

2 Clinical Chemistry Photometer INTHERMA 6 Cakra Medika 225,384,000

3 Table Top Centrifuge PLC-03- GEMMY INDUSTRIAL 19 Karya Pratama

Labu Reader Plus Semi Automatic Urine


4 ELEKTRONIKA 6 Topaz Borneo Utama 231,243,400
Analyzer-
Prima Alkesindo
5 Microscope Binocular BM-500 AXIOM GERMANY 19 404,000,000
Nusantara

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT
1 Hand Held Fetal Doppler GEA Bistos 33 Kalica Putra Pratama 52,576,000;

Mitra Bahagia Citra


2 Hemogobin Starter Kit Mission ACON 33 24,665,000;
Medika
Instrumen box with lid with knob 200 x 100 x
3 35 mm, Scissor straight 18 cm, spatula FRIMED 33 Karya Pratama 68,417,700;
flexible 20cm/17/25 mm

Jangka Panggul Martin / Pelvimeter Obstetrik Pradana Estiara


4 PRIMAMED SCHWERT 33 127,100,000;
Martin Medical

Mercural Sphygmomanometer (Tensimeter


5 ABN 33 Rajawali Nusindo 25,901,992;
mercuri), Digital thermometer

Indofarma Global
6 Mucus Extractor SERENITY 132 1,593,300;
Medika

Page 7 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
JLH TOTAL HARGA
No NAMA ALKES MERK DISTRIBUTOR

KURAU

PYPTN
TJ.HBL
ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC
(Rp)

S.CK
(UNIT)

PLH
7 Nierbeken Stainless 23 cm, Resusitator bayi JAYAMAS ONEMED 33 Kalica Putra Pratama 17,559,068;

8 Partus set ROLAN 33 Kasih Karunia Kekal 257,213,000;

Timbangan Badan Digital Digit Pro, ELITECH PATIENT


9 33 Panasea 73,166,700;
Timbangan Bayi Mekanik SCALE
Tongue Spatula- other Instrumens, Sonde
10 OTTO LEIBINGER 33 Mensa Bina Sukses 15,315,492;
Paradontal

Page 8 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
JLH TOTAL HARGA
No NAMA ALKES MERK DISTRIBUTOR

KURAU

PYPTN
TJ.HBL
ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC
(Rp)

S.CK
(UNIT)

PLH
RUANG PERSALINAN SET

1 Bed 2 Crank Gatch Bed PARAMOUNT 19 Capricorn Mulia 196,000,000;

2 Bed Urethane Foam Mattres width 910mm PARAMOUNT 19 Capricorn Mulia 39,203,080;

3 Delivery Bed SS SHIMA PRIMA UTAMA 19 Shima Putra Utama 267,013,706;

4 Digital Thermometer ABN ABN 19 Rajawali Nusindo 992,056;

Dissecting Scissors Blunt Curved 14.5 cm 5½" SCHWERT GERMANY


5 19 Dyrsa International 72,510,307;
Flg 1, Peritoneal Clamp Forceps 20.0 cm 8" Metzenbaum

Boswell Mahakarya
6 Episiotomy Set BBRAUN Aesculap 19 94,525,000;
Indonesia
SARANDI KARYA Sarandi Karya
7 Examination Table For Baby KA 12-00D 19 155,270,000;
NUGRAHA Nugraha
8 Infus Stand 4 Hooks 36103 MAK 19 Enseval 26,929,000;

Instrument Box with lid knob 200 x 100 x 35


mm, Forcep Tissue 1x2 teeth 13 cm, Forceps
(Dressing) Narrow 14,5 cm, Forceps
(Mosquito) Straight 14 cm,Forceps Pean
Delicate Curved 14 cm, Forceps (Pean)
9 Straight 14 cm, Forceps Tenaculum 25 cm, FRIMED 19 Karya Pratama 91,154,200;
Forceps Tissue cvd. 1x2 teeth 13 cm, Needle
Holder Mayo Hegar 14 cm, Scissor bandage
14,0 cm, Scalpel Handle No. 7 , 16 cm,
Scissor straight 14,5 cm, Scissors Surgical
sh/bl straight 14½

10 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER 19 Mensa Bina Sukses 12,256,137;

Page 9 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
JLH TOTAL HARGA
No NAMA ALKES MERK DISTRIBUTOR

KURAU

PYPTN
TJ.HBL
ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC
(Rp)

S.CK
(UNIT)

PLH
11 Nebulizer Ultrasonic GEA 19 Kalica Putra Pratama 15,466,000;
Pendar Andika
12 Infant Warmer Infinity Basic FYROM 19 310,955,825;
Paramartha
Scissor bandage 14 cm, Scissor Surgical sh/bl
13 FRIMED 19 Karya Pratama 10,035,800;
straigh 14,5 cm 18 cm

Page 10 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
JLH TOTAL HARGA
No NAMA ALKES MERK DISTRIBUTOR

KURAU

PYPTN
TJ.HBL
ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC
(Rp)

S.CK
(UNIT)

PLH
PASKA PERSALINAN SET
BARTEC UTAMA
1 Baby Basket 19 Maharani Citra Karsa 81,554,400
MANDIRI
Instrument Cabinet Double Door (Top & BARTEC UTAMA
2 19 108,248,000
Botton)- MANDIRI
Medicine Cabinet Double Door (Top & Botton)
3 BARTEC UTAMA MANDIR 19 121,016,000
-

310,818,400

4 Bed 2 Crank Gatch Bed PARAMOUNT 19 Capricorn Mulia

5 Bedside Cabinet PARAMOUNT 19 Capricorn Mulia 84,100,000

6 Bed Urethane Foam Matrees width 910 mm PARAMOUNT 19 Maharani Citra Karsa

SARANDI KARYA Sarandi Karya


7 Examination Table For Baby KA 12-00D 19 155,270,000
NUGRAHA Nugraha
Instrument Cabinet Double Door (Top & BARTEC UTAMA
8 19 Maharani Citra Karsa 108,248,000
Botton)- MANDIRI
Medicine Cabinet Double Door (Top & Botton)
9 BARTEC UTAMA MANDIR 19 Maharani Citra Karsa 121,016,000
-
MDF INSTRUMEN USA
10 Sthetoscope Deluxe Infant & Neonatal 19 FA Antares Medika
INC

11 Tensimeter Desk Type Adult - 922-11 ABK ADC USA 19 Global Systech Medika

Page 11 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
JLH TOTAL HARGA
No NAMA ALKES MERK DISTRIBUTOR

KURAU

PYPTN
TJ.HBL
ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC
(Rp)

S.CK
(UNIT)

PLH
KESEHATAN GIGI MULUT

SET KESEHATAN GIGI & MULUT


Dental Atraumatic Restorative Treatment Cobra Dental
1 PRIMAMED SCHWERT 19
/ART set Indonesia
2 Diagnostic set - Excavator Besar OTTO LEIBINGER 19 Mensa Bina Sukses 4,269,056;

3 Diagnostic set - Excavator Kecil OTTO LEIBINGER 19 Mensa Bina Sukses 4,269,056;

Boswell Mahakarya
4 Extraction Tooth Forceps for Adult BRAUN Aesculap 19 227,753,000;
Indonesia

5 Instrument Cabinet SHIMA PRIMA UTAMA 19 Shima Putra Utama 155,222,478;

Boswell Mahakarya
6 Extraction Tooth Forceps for Children BRAUN Aesculap 19
Indonesia

DENTAL UNIT

Gnatus Dental Unit Gntus Type Syncrus GLF Cobra Dental


1 GNATUS 2 261,570,006
Sonic Indonesia

BELANJA MODAL PERALATAN DAN MESIN

Mitra Megah
1 Suzuki APV pick up WD PS 2017 1 138,500,000
Profitamas

2 Electric generating set YAMAHA 4 Surya Timur Sakti 361,800,000

Page 12 daftar alkes dak '18 NILAI


ANA ALOKASI KHUSUS (DAK)
N TANAH LAUT TAHUN 2018

NAMA UPT DAN PUSKESMAS


KET.

BM.MK
AGSAU

Page 13 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
KET.

BM.MK
AGSAU

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NAMA UPT DAN PUSKESMAS
KET.

BM.MK
AGSAU

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NAMA UPT DAN PUSKESMAS
KET.

BM.MK
AGSAU

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NAMA UPT DAN PUSKESMAS
KET.

BM.MK
AGSAU

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NAMA UPT DAN PUSKESMAS
KET.

BM.MK
AGSAU

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NAMA UPT DAN PUSKESMAS
KET.

BM.MK
AGSAU

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NAMA UPT DAN PUSKESMAS
KET.

BM.MK
AGSAU

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NAMA UPT DAN PUSKESMAS
KET.

BM.MK
AGSAU

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NAMA UPT DAN PUSKESMAS
KET.

BM.MK
AGSAU

Page 22 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
KET.

BM.MK
AGSAU

Page 23 daftar alkes dak '18 NILAI


NAMA UPT DAN PUSKESMAS
KET.

BM.MK
AGSAU

Page 24 daftar alkes dak '18 NILAI


DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018

NAMA UPT DAN PUSKESMAS


JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
ALAT KEDOKTERAN UMUM

UGD SET

1 Brankar/Mobile stretcher 4302 ROBUST 19 Panaindo Alkestama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Pradhita Sejahtera
2 Carbon steel scapel blades BRAUN Aesculap 19 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Jaya

3 Cardiology Stainless steel Stethoscope ABN ABN 19 Rajawali Nusindo 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

4 Cervical Collar SR-N1 SERENITY 38 Indofarma Global


Medika 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

5 Cervical collar universal JAYA MAS ONE MED 38 Kalica Putra Pratama 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

6 Circumsisi set SOLID 19 Aritek Karya Mandiri 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

7 Halogen Examination Lamp TSN 015 FHC TESENA 19 Tri Sapta Jaya 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

8 Halstead Mosquito forceps curved 12,5 cm FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

9 Halstead Mosquito forceps straight 12,5 cm FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

10 Kocher Forceps delicate straight 14 cm FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

11 Korentang/Sponge & Dressing Forcep- OTTO LEIBINGER 19 Mensa Bina Sukses 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

12 Mayo Hegar Needle Holder 18 cm FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Page 25 daftar alkes dak '18


NAMA UPT DAN PUSKESMAS
JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
Oxygen concentration 10 L/M with Nebulizer
13 SYSMED 19 Mandiri Jaya Medika 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Oksigen Konsentrator/ OC-S100

14 Pinset anatomi OTTO LEIBINGER 19 Mensa Bina Sukses 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

15 Resuscitator anak JAYAMAS Besmed 19 Kalica Putra Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Page 26 daftar alkes dak '18


NAMA UPT DAN PUSKESMAS
JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
16 Resuscicator dewasa JAYAMAS Besmed 19 Kalica Putra Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

17 Spatula flexible 20cm/17/25mm FRIMED HABERER 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

18 Kursi roda / Stainless steel Wheel chair ROBUST 19 Panaindo Alkestama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

19 Stethoscope Finesse Child MPM ERKA 19 Panasea 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

20 Surgical Scissors Straight 14,5 cm 5½" SCHWERT-GERMANY 19 Dyrsa International 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

21 Tensimeter desk Type Child - 922-9 CBK ADC USA 19 Global Systech Medika 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

22 Tensimeter digital with Inflation System ABN ABN DM 500 19 Rajawali Nusindo 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Elitech Indonesia
23 Timbangan Badan Digital Digit Pro 19 Panasea 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Patient Scale
SET PEMERIKSAAN UMUM

1 Medical Head Lamp GEA Bistos 19 Kalica Putra P 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

2 Examination Table ROBUST 19 Panaindo Alkestama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

3 Nierbieken stainless steel 23 cm JAYAMAS Onemed 38 Kalica Putra P 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

4 Instrument Box with lid knob 200 x 100 x35 FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

5 Complete Diagnostic Set-5215 ADC USA 19 Global Systech Medika 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Mercural Sphygmomanometer (Tensimeter


6 ABN-ABN 19 Rajawali Nusindo 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
mercuri)
MDF INSTRUMEN USA
7 Dual Head Standart Stethoscope Adult 19 FA Antares Medika 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
INC

Page 27 daftar alkes dak '18


NAMA UPT DAN PUSKESMAS
JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
BARTEC UTAMA
8 Examination Table 19 Maharani Citra Karsa 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
MANDIRI
Instrumen Cabinet Double Door (Top & BARTEC UTAMA
9 19 Maharani Citra Karsa 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Bottom) MANDIRI
BARTEC UTAMA
10 Meja Instrument Material MS 19 Maharani Citra Karsa 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
MANDIRI

11 Instrument Trolly + Laci Robust 19 Aritek Karya Mandiri 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Page 28 daftar alkes dak '18


NAMA UPT DAN PUSKESMAS
JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
RAWAT INAP SET

1 Bed 2 Crank Gatch Bed PARAMOUNT 30 Capricorn Mulia 10 10 10

2 Bed I.V Stand PARAMOUNT 30 Capricorn Mulia 10 10 10

3 Bed Side Cabinet PARAMOUNT 30 Capricorn Mulia 10 10 10

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT 30 Capricorn Mulia 10 10 10

5 Over Bed Table PARAMOUNT 30 Capricorn Mulia 10 10 10

PUSTU SET

1 Circumsisi Set SOLID 33 Aritek Karya Mandiri 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1

2 Digital Tensimeter with Inflation System ABN DM 500 33 Rajawali Nusindo 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1

BARTEC UTAMA
3 Examination Table 33 Maharani Citra Karsa 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1
MANDIRI
Instrumen box with lid with knob 200 x 100
4 FRIMED 33 Karya Pratama 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1
x 35 mm

5 Instrumen Trolley 3 shelves Shima Putra Utama 33 Shima Putra Utama 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1

6 Instrument Cabinet 32901 MAK 33 Enseval 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1

7 Medicine Cabinet 32902 MAK 33 Enseval 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1

8 Nierbekken stainless 23 cm JAYAMAS ONEMED 33 Kalica Putra Pratama 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1

9 Spatula flexible 20cm/17/25mm FRIMED HABERER 33 Karya Pratama 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1

Speculum Telinga - Hartmann Ear Speculum Pradana Estiara


10 PRIMAMED SCHWERT 33 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1
Set og 3 No. 0,1,2 Medical

Page 29 daftar alkes dak '18


NAMA UPT DAN PUSKESMAS
JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
11 Stethoscope Finesse Adult MPM ERKA 33 Panasea 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1

Timbangan Badan Digital Digit Pro-


12 ELITECH 33 Panasea 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1
Indonesia Elitech Patient Scale

Page 30 daftar alkes dak '18


NAMA UPT DAN PUSKESMAS
JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
13 Timbangan Bayi Mekanik / Baby Digit-One ELITECH 33 Panasea 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1

Verban Tromol Stainless Steel Dia.18 cm -


14 MENTOR INDONESIA 33 Panasea 3 1 2 3 1 1 2 3 1 2 3 4 1 1 1 1 1 1
Drum sterilisasi

ALAT LABORATORIUM KEDOKTERAN

Alfa Plus Standart- Hematology Kimia BOULE MEDICAL AB


1 5 Swelab Indonesia 1 1 1 1 1
Analyzer SWEELAB

2 Clinical Chemistry Photometer INTHERMA 6 Cakra Medika 1 1 1 1 1 1

3 Table Top Centrifuge PLC-03- GEMMY INDUSTRIAL 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Labu Reader Plus Semi Automatic Urine


4 ELEKTRONIKA 6 Topaz Borneo Utama 1 1 1 1 1 1
Analyzer-
Prima Alkesindo
5 Microscope Binocular BM-500 AXIOM GERMANY 19 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Nusantara
ALAT KESEHATAN KEBIDANAN & PENYAKIT
KANDUNGAN
BIDAN KIT

1 Digital Thermometer ABN 33 Rajawali Nusindo

2 Hand Held Fetal Doppler GEA Bistos 33 Kalica Putra Pratama

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 33
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED 33 Karya Pratama
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 33
Obstetrik Martin Medical

Page 31 daftar alkes dak '18


NAMA UPT DAN PUSKESMAS
JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
Mercural Sphygmomanometer (Tensimeter
6 ABN SPHYGMED 33 Rajawali Nusindo
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 132
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED 33 Kalica Putra Pratama

Page 32 daftar alkes dak '18


NAMA UPT DAN PUSKESMAS
JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
9 Partus set ROLAN 33 Kasih Karunia Kekal

10 Rescucitator Bayi JAYAMAS BESMED 33 Kalica Putra Pratama

11 Scissor straight 18 cm FRIMED METZEBAUM 132 Karya Pratama

12 Sonde Paradontal WHO OTTO LEIBINGER 33 Mensa Bina Sukses

13 Spatula flexible 20cm/17/25mm FRIMED HABERER 33 Karya Pratama


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro 33 Panasea
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH 33 Panasea

16 Tongue Spatula- other Instrumens OTTO LEIBINGER 33 Mensa Bina Sukses

RUANG PERSALINAN SET

2 Bed 2 Crank Gatch Bed PARAMOUNT 19 Capricorn Mulia 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

3 Bed Urethane Foam Mattres width 910mm PARAMOUNT 19 Capricorn Mulia 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

4 Delivery Bed SS SHIMA PRIMA UTAMA 19 Shima Putra Utama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

5 Digital Thermometer ABN ABN 19 Rajawali Nusindo 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY


6 19 Dyrsa International 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
5½" Flg 1 Metzenbaum

7 Episiotomy Set BBRAUN Aesculap 19 Bosweel Mahakarya 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1


SARANDI KARYA
8 Examination Table For Baby KA 12-00D 19 Sarandi Karya Nugraha 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
NUGRAHA
9 Forcep Tissue 1x2 teeth 13 cm FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Page 33 daftar alkes dak '18


NAMA UPT DAN PUSKESMAS
JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
10 Forceps (Dressing) Narrow 14,5 cm FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

11 Forceps (Mosquito) Straight 14 cm FRIMED HALSTEAD 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

12 Forceps Pean Delicate Curved 14 cm FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Page 34 daftar alkes dak '18


NAMA UPT DAN PUSKESMAS
JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
13 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

14 Forceps Tenaculum 25 cm FRIMED SCHROEDER 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

15 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

16 Infus Stand 4 Hooks 36103 MAK 19 Enseval 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Instrument Box with lid knob 200 x 100 x


17 FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
35 mm

18 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER 19 Mensa Bina Sukses 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

19 Nebulizer Ultrasonic GEA 19 Kalica Putra Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

20 Needle Holder Mayo Hegar 14 cm FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1


SCHWERT GERMANY
21 Peritoneal Clamp Forceps 20.0 cm 8" 19 Dyrsa International 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Mukullicz
22 Scalpel Handle No. 7 , 16 cm FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

23 Scissor bandage 14 cm FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Scissor bandage 14,0 cm FRIMED LISTER 19 Karya Pratama

24 Scissor Mayo straight 14,5 cm FRIMED MAYO 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

25 Scissor Surgical sh/bl straigh 14,5 cm 18 cm FRIMED 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

26 Scissors Surgical sh/bl straight 14½ FRIMED SURGICAL 19 Karya Pratama 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket 19 Maharani Citra Karsa 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT 19 Capricorn Mulia 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Page 35 daftar alkes dak '18


NAMA UPT DAN PUSKESMAS
JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
3 Bedside Cabinet PARAMOUNT 19 Capricorn Mulia 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT 19 Maharani Citra Karsa 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Page 36 daftar alkes dak '18


NAMA UPT DAN PUSKESMAS
JLH KET.
No NAMA ALKES MERK DISTRIBUTOR

BM.MK
KURAU

AGSAU
PYPTN
TJ.HBL
(UNIT)

ASAM

KAIT2

TB.UL
BATI2
PD.LS

BTKN
KNTP
JORG

S.RM

TR.JY
TKSG

TJ.PC

S.CK
PLH
SARANDI KARYA
5 Examination Table For Baby KA 12-00D 19 Sarandi Karya Nugraha 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 19 Maharani Citra Karsa 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIR 19 Maharani Citra Karsa 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal 19 FA Antares Medika 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
INC

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA 19 Global Systech Medika 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

KESEHATAN GIGI MULUT

SET KESEHATAN GIGI & MULUT


Gnatus Dental Unit Gntus Type Syncrus
1 GNATUS 2 Cobra Dental Indonesia 1 1
GLF Sonic
Dental Atraumatic Restorative Treatment
2 PRIMAMED SCHWERT 19 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
/ART set
3 Diagnostic set - Excavator Besar OTTO LEIBINGER 19 Mensa Bina Sukses 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

4 Diagnostic set - Excavator Kecil OTTO LEIBINGER 19 Mensa Bina Sukses 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Boswell Mahakarya
5 Extraction Tooth Forceps for Adult BRAUN Aesculap 19 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Indonesia
Boswell Mahakarya
6 Extraction Tooth Forceps for Children BRAUN Aesculap 19 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Indonesia

Page 37 daftar alkes dak '18


DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018

PUSKESMAS : SUNGAI RIAM

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter


5 PRIMAMED SCHWERT Pradana Estiara Medical 1
Obstetrik Martin

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1

Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY


2 Dyrsa International 1
5½" Flg 1 Metzenbaum

3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1


SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

Page 38 s.riam
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1

Instrument Box with lid knob 200 x 100 x


13 FRIMED Karya Pratama 1
35 mm

14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1


SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1


22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1
23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

Page 39 s.riam
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 40 s.riam
AN DANA ALOKASI KHUSUS (DAK)
PATEN TANAH LAUT TAHUN 2018

KET.

Page 41 s.riam
KET.

Page 42 s.riam
KET.

2018

Page 43 s.riam
DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : TANJUNG HABULU

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1

14 Timbangan Badan Digital Digit Pro ELITECH PATIENT SCALE Panasea 1

15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY
2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 44 tj.hbl
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1

SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET

1 Baby Basket BARTEC UTAMA MANDIRI Maharani Citra Karsa 1

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top &
6 BARTEC UTAMA MANDIRI Maharani Citra Karsa 1
Botton)-
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRI Maharani Citra Karsa 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

Page 45 tj.hbl
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 46 tj.hbl
AN DANA ALOKASI KHUSUS (DAK)
ATEN TANAH LAUT TAHUN 2018

KET.

Page 47 tj.hbl
KET.

Page 48 tj.hbl
KET.

2018

Page 49 tj.hbl
DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : KAIT-KAIT

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY
2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 50 kait2
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1

SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

Page 51 kait2
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 52 kait2
AN DANA ALOKASI KHUSUS (DAK)
ATEN TANAH LAUT TAHUN 2018

KET.

Page 53 kait2
KET.

Page 54 kait2
KET.

2018

Page 55 kait2
DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : PANYIPATAN

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY
2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 56 pyptn
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1

SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

Page 57 pyptn
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 58 pyptn
AN DANA ALOKASI KHUSUS (DAK)
ATEN TANAH LAUT TAHUN 2018

KET.

Page 59 pyptn
KET.

Page 60 pyptn
KET.

2018

Page 61 pyptn
DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : TAMBANG ULANG

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY
2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 62 tb.ulg
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1

SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

Page 63 tb.ulg
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 64 tb.ulg
AN DANA ALOKASI KHUSUS (DAK)
ATEN TANAH LAUT TAHUN 2018

KET.

Page 65 tb.ulg
KET.

Page 66 tb.ulg
KET.

2018

Page 67 tb.ulg
DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : BATAKAN

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT
1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY
2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 68 btkn
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1

SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

Page 69 btkn
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 70 btkn
AN DANA ALOKASI KHUSUS (DAK)
PATEN TANAH LAUT TAHUN 2018

KET.

Page 71 btkn
KET.

Page 72 btkn
KET.

2018

Page 73 btkn
DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : TAKISUNG

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY
2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 74 tksg
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1

SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

Page 75 tksg
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 76 tksg
AN DANA ALOKASI KHUSUS (DAK)
PATEN TANAH LAUT TAHUN 2018

KET.

Page 77 tksg
KET.

Page 78 tksg
KET.

2018

Page 79 tksg
DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : JORONG

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY
2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

Page 80 jorg
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1

SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -

Page 81 jorg
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 82 jorg
AN DANA ALOKASI KHUSUS (DAK)
PATEN TANAH LAUT TAHUN 2018

KET.

Page 83 jorg
KET.

Page 84 jorg
KET.

2018

Page 85 jorg
DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : ASAM-ASAM

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY
2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 86 asam2
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)
7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1


SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

Page 87 asam2
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 88 asam2
AN DANA ALOKASI KHUSUS (DAK)
PATEN TANAH LAUT TAHUN 2018

KET.

Page 89 asam2
KET.

Page 90 asam2
KET.

2018

Page 91 asam2
DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : PELAIHARI

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1

Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY


2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1

SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

Page 92 plh
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1


SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -

Page 93 plh
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 94 plh
AN DANA ALOKASI KHUSUS (DAK)
PATEN TANAH LAUT TAHUN 2018

KET.

Page 95 plh
KET.

Page 96 plh
KET.

2018

Page 97 plh
DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : KURAU

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1

Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY


2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1

SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

Page 98 kurau
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)
6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1
7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1


SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -

Page 99 kurau
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 100 kurau


AN DANA ALOKASI KHUSUS (DAK)
PATEN TANAH LAUT TAHUN 2018

KET.

Page 101 kurau


KET.

Page 102 kurau


KET.

2018

Page 103 kurau


DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : PADANG LUAS
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1

Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY


2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1

SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 104 pd.Ls


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)
7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1


SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top & BARTEC UTAMA
7 Maharani Citra Karsa 1
Botton) - MANDIRI
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

Page 105 pd.Ls


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 106 pd.Ls


AN DANA ALOKASI KHUSUS (DAK)
PATEN TANAH LAUT TAHUN 2018

KET.

Page 107 pd.Ls


KET.

Page 108 pd.Ls


KET.

2018

Page 109 pd.Ls


DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : BATI-BATI

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100 x


4 FRIMED Karya Pratama 1
35 mm

Jangka Panggul Martin / Pelvimeter Obstetrik Pradana Estiara


5 PRIMAMED SCHWERT 1
Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


Dissecting Scissors Blunt Curved 14.5 cm 5½" SCHWERT GERMANY
2 Dyrsa International 1
Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 110 bati2


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x 35
13 FRIMED Karya Pratama 1
mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1


16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1
SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1


25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1
26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI

7 Medicine Cabinet Double Door (Top & Botton) - BARTEC UTAMA MANDIRMaharani Citra Karsa 1

MDF INSTRUMEN USA


8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Page 111 bati2
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 112 bati2


ATAN DANA ALOKASI KHUSUS (DAK)
UPATEN TANAH LAUT TAHUN 2018

KET.

Page 113 bati2


KET.

2018
Page 114 bati2
DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : KINTAP
No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1

Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY


2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1

SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 115 kntp


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)
7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1


SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Page 116 kntp


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 117 kntp


AN DANA ALOKASI KHUSUS (DAK)
PATEN TANAH LAUT TAHUN 2018

KET.

Page 118 kntp


KET.

Page 119 kntp


KET.

2018

Page 120 kntp


DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : TAJAU PECAH

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1

Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY


2 Dyrsa International 1
5½" Flg 1 Metzenbaum

3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1


SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 121 tjpch


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)
7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1
8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1

SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

Page 122 tjpch


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 123 tjpch


AN DANA ALOKASI KHUSUS (DAK)
ATEN TANAH LAUT TAHUN 2018

KET.

Page 124 tjpch


KET.

Page 125 tjpch


KET.

2018

Page 126 tjpch


DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : TIRTA JAYA

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY
2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 127 tr.jy


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1

SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top & BARTEC UTAMA
7 Maharani Citra Karsa 1
Botton) - MANDIRI
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

Page 128 tr.jy


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 129 tr.jy


AN DANA ALOKASI KHUSUS (DAK)
ATEN TANAH LAUT TAHUN 2018

KET.

Page 130 tr.jy


KET.

Page 131 tr.jy


KET.

2018

Page 132 tr.jy


DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : SUNGAI CUKA

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1


Mitra Bahagia Citra
3 Hemogobin Starter Kit Mission ACON 1
Medika
Instrumen box with lid with knob 200 x 100 x 35
4 FRIMED Karya Pratama 1
mm
5 Jangka Panggul Martin / Pelvimeter Obstetrik Martin PRIMAMED SCHWERT Pradana Estiara Medical 1

6 Mercural Sphygmomanometer (Tensimeter mercuri) ABN SPHYGMED Rajawali Nusindo 1

7 Mucus Extractor SERENITY Indofarma Global Medika 1


8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1
9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1

14 Timbangan Badan Digital Digit Pro ELITECH PATIENT SCALE Panasea 1

15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


SCHWERT GERMANY
2 Dissecting Scissors Blunt Curved 14.5 cm 5½" Flg 1 Dyrsa International 1
Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

Page 133 s.ck


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1

13 Instrument Box with lid knob 200 x 100 x 35 mm FRIMED Karya Pratama 1

14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1


SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET

1 Baby Basket BARTEC UTAMA MANDIRI Maharani Citra Karsa 1

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

6 Instrument Cabinet Double Door (Top & Botton)- BARTEC UTAMA MANDIRI Maharani Citra Karsa 1

7 Medicine Cabinet Double Door (Top & Botton) - BARTEC UTAMA MANDIRI Maharani Citra Karsa 1

MDF INSTRUMEN USA


8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

Page 134 s.ck


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 135 s.ck


DANA ALOKASI KHUSUS (DAK)
N TANAH LAUT TAHUN 2018

KET.

Page 136 s.ck


KET.

2018

Page 137 s.ck


DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : ANGSAU

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY
2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA

5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 138 ags


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1

SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1

4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1

SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC

Page 139 ags


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 140 ags


AN DANA ALOKASI KHUSUS (DAK)
PATEN TANAH LAUT TAHUN 2018

KET.

Page 141 ags


KET.

Page 142 ags


KET.

2018

Page 143 ags


DISTRIBUSI ALAT KESEHATAN DANA ALOKASI KHUSUS (DAK)
DINAS KESEHATAN KABUPATEN TANAH LAUT TAHUN 2018
PUSKESMAS : BUMI MAKMUR

No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

ALAT KESEHATAN KEBIDANAN & PENYAKIT KANDUNGAN

BIDAN KIT

1 Digital Thermometer ABN Rajawali Nusindo 1

2 Hand Held Fetal Doppler GEA Bistos Kalica Putra Pratama 1

Mitra Bahagia Citra


3 Hemogobin Starter Kit Mission ACON 1
Medika

Instrumen box with lid with knob 200 x 100


4 FRIMED Karya Pratama 1
x 35 mm

Jangka Panggul Martin / Pelvimeter Pradana Estiara


5 PRIMAMED SCHWERT 1
Obstetrik Martin Medical

Mercural Sphygmomanometer (Tensimeter


6 ABN SPHYGMED Rajawali Nusindo 1
mercuri)
Indofarma Global
7 Mucus Extractor SERENITY 1
Medika

8 Nierbeken Stainless 23 cm JAYAMAS ONEMED Kalica Putra Pratama 1

9 Partus set ROLAN Kasih Karunia Kekal 1

10 Rescucitator Bayi JAYAMAS BESMED Kalica Putra Pratama 1

11 Scissor straight 18 cm FRIMED METZEBAUM Karya Pratama 1

12 Sonde Paradontal WHO OTTO LEIBINGER Mensa Bina Sukses 1

13 Spatula flexible 20cm/17/25mm FRIMED HABERER Karya Pratama 1


ELITECH PATIENT
14 Timbangan Badan Digital Digit Pro Panasea 1
SCALE
15 Timbangan Bayi Mekanik / Baby Digit ELITECH Panasea 1

16 Tongue Spatula- other Instrumens OTTO LEIBINGER Mensa Bina Sukses 1

RUANG PERSALINAN SET

1 Digital Thermometer ABN ABN Rajawali Nusindo 1


Dissecting Scissors Blunt Curved 14.5 cm SCHWERT GERMANY
2 Dyrsa International 1
5½" Flg 1 Metzenbaum
3 Episiotomy Set BBRAUN Aesculap Bosweel Mahakarya 1
SARANDI KARYA
4 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
5 Forcep Tissue 1x2 teeth 13 cm FRIMED Karya Pratama 1

6 Forceps (Dressing) Narrow 14,5 cm FRIMED Karya Pratama 1

Page 144 bmk


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

7 Forceps (Mosquito) Straight 12.5 cm FRIMED HALSTEAD Karya Pratama 1

8 Forceps Pean Delicate Curved 14 cm FRIMED Karya Pratama 1

9 Forceps (Pean) Straight 14 cm FRIMED ROCHESTER Karya Pratama 1

10 Forceps Tenaculum 25 cm FRIMED SCHROEDER Karya Pratama 1

11 Forceps Tissue cvd. 1x2 teeth 13 cm FRIMED Karya Pratama 1

12 Infus Stand 4 Hooks 36103 MAK Enseval 1


Instrument Box with lid knob 200 x 100 x
13 FRIMED Karya Pratama 1
35 mm
14 Korentang / Sponge & Dressing Forcep OTTO LEIBINGER Mensa Bina Sukses 1

15 Nebulizer Ultrasonic GEA Kalica Putra Pratama 1

16 Needle Holder Mayo Hegar 14 cm FRIMED Karya Pratama 1


SCHWERT GERMANY
17 Peritoneal Clamp Forceps 20.0 cm 8" Dyrsa International 1
Mukullicz
18 Scalpel Handle No. 7 , 16 cm FRIMED Karya Pratama 1

19 Scissor bandage 14 cm FRIMED Karya Pratama 1

20 Scissor bandage 14,0 cm FRIMED LISTER Karya Pratama

21 Scissor Mayo straight 14,5 cm FRIMED MAYO Karya Pratama 1

22 Scissor Surgical sh/bl straigh 14,5 cm FRIMED Karya Pratama 1

23 Scissors Surgical sh/bl straight 14 FRIMED SURGICAL Karya Pratama 1

24 Robust Examination Table/meja periksa Panaindo alkestama Panaindo alkestama 1

25 Bed Partus/Delivery bed SS Shima Prima Utama Shima Prima Utama 1

26 Infant warmer infinity basic Pyron Pendar Andika 1

PASKA PERSALINAN SET


BARTEC UTAMA
1 Baby Basket Maharani Citra Karsa 1
MANDIRI

2 Bed 2 Crank Gatch Bed PARAMOUNT Capricorn Mulia 1

3 Bedside Cabinet PARAMOUNT Capricorn Mulia 1


4 Bed Urethane Foam Matrees width 910 mm PARAMOUNT Maharani Citra Karsa 1
SARANDI KARYA
5 Examination Table For Baby KA 12-00D Sarandi Karya Nugraha 1
NUGRAHA
Instrument Cabinet Double Door (Top & BARTEC UTAMA
6 Maharani Citra Karsa 1
Botton)- MANDIRI
Medicine Cabinet Double Door (Top &
7 BARTEC UTAMA MANDIRMaharani Citra Karsa 1
Botton) -
MDF INSTRUMEN USA
8 Sthetoscope Deluxe Infant & Neonatal FA Antares Medika 1
INC
9 Tensimeter Desk Type Adult - 922-11 ABK ADC USA Global Systech Medika 1

Page 145 bmk


No NAMA ALKES MERK DISTRIBUTOR JLH (UNIT)

Pelaihari,
Yang Menerima Bendahara Barang

............................................. M. Impron, SE
NIP. 19770929 200701 1 021

Page 146 bmk


AN DANA ALOKASI KHUSUS (DAK)
PATEN TANAH LAUT TAHUN 2018

KET.

Page 147 bmk


KET.

Page 148 bmk


KET.

2018

Page 149 bmk

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