KARTU INVENTARIS RUANGAN

KABUPATEN : NAGEKEO
PROVINSI : NUSA TENGGARA TIMUR
SKPD : DINAS KESEHATAN
UNIT KERJA : UPTD RSD AERAMO
RUANGAN : POLI GIGI NOMOR KODE LOKASI :

NO NAMA/JENIS MEREK/ NO SERI TAHUN NO. KEDE JUMLAH BRG KEADAAN BARANG
URUT BARANG MODEL PABRIK UKURAN BAHAN PEMBELIAN BARANG NO. REGISTER HARGA BARANG KURANG RUSAK KET
BAIK
BAIK BERAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 Pinset Anatomo Leibinger Stainless 2017 2.08.01.02.55.0008 8 Rp 2,284,496 √
2 Pinset Chirurgis Leibinger Stainless 2017 2.08.01.02.55.00020 20 Rp 5,711,240 √
3 Arteri Clem Lurus Leibinger Stainless 2017 2.08.01.02.55.0004 4 Rp 1,769,132 √
Extraction Supporting - Mayo Hegar Needle Leibinger
4 Stainless 2017 2.08.01.02.55.0004 4 Rp 2,612,170 √
Holder
5 Korentang / Sponge & Dressing Forcep Leibinger Stainless 2017 2.08.01.02.55.0004 4 Rp 3,209,292 √
6 Dental Light Curing Starlight Pro - Campuran 2017 2.08.01.02.55.0001 1 Rp 8,447,000 √
7 Dental Portable Operative Unit 1 Lowspeed - Campuran 2017 2.08.01.02.55.0001 1 Rp 9,600,000 √
8 Tongue Spatula Leibinger Campuran 2017 2.08.01.02.55.0006 6 Rp 2,322,196 √
9 Dental Chair Fortuna Premium Campuran 2017 2.08.01.02.01.0001 1 Rp 147,950,000 √
10 Diagnostic Set - Explorer Straight Leibinger Stainless 2017 2.08.01.02.55.0002 2 Rp 244,364 √
11 Extraction Tongs for Children - Lower Root Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 792,940 √
12 Extraction Tongs for Adult - Bayonet Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 745,940 √
13 Extraction Tongs for Adult - Upper Root Anterior Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 745,940 √
14 Extraction Tongs for Children - Upper Root Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 792,940 √
15 Extraction Tongs for Children - Upper Molar Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 792,940 √
16 Extraction Tongs for Adult - Upper Molar Right Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 745,940 √
17 Extraction Tongs for Adult - Upper Molar Left Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 745,940 √
18 Extraction Tongs for Children - Lower Molar Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 792,940 √
19 Extraction Tongs for Adult - Lower Molar Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 745,940 √
20 Extraction Tongs for Adult - Upper Premolar Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 745,940 √
21 Extraction Tongs for Adult - Lower Premolar Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 745,940 √
22 Extraction Tongs for Children - Upper Incisive Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 792,940 √
23 Extraction Tongs for Children - Lower Incisive Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 792,940 √
24 Extraction Tongs for Adult - Upper Incisive Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 745,940 √
25 Extraction Tongs for Adult - Lower Root Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 745,940 √
Extraction Tongs for Adult - Upper Molar Leibinger
26 Wisdom Stainless 2017 2.08.01.02.55.0001 1 Rp 745,940 √
27 Extraction Tongs for Adult - Lower Wisdom Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 745,940 √
28 Extraction Tongs for Adult - Lower Incisive Leibinger Stainless 2017 2.08.01.02.55.0001 1 Rp 745,940 √
29 Stethoscope ADSCOPE 603 Campuran 2017 2.08.01.01.04.0001 1 Rp 1,395,971 √
30 Tensimeter MDF 808 Campuran 2017 2.08.01.01.05.0001 1 Rp 750,000 √
31 Lemari Instrumen MAK 1412000556 Aluminium 2015 2.08.01.01.68.0001 1 - √
32 Meja biro Kayu 2017 2.06.02.01.61.0001 1 - √
33 Kursi Kayu 2017 2.06.02.01.34.0001 1 - √
34 Handuk Kain 2017 2.06.02.01.61.0001 1 - √ PKM DANGA
35 Ember Plastik 2017 2.05.01.02.03.0001 1 - √ PKM DANGA
36 Cerek Plastik 2017 2.06.02.05.14.0001 1 - √ PKM DANGA
37 Gelas Kumur Kaca 2017 2.08.01.02.55.0004 4 - √ PKM DANGA
38 Tromol Kas One med Stainles stel 2015 2.08.01.01.68.0001 1 - √
39 Baki Instrumen One med Stainles stel 2015 2.08.01.01.68.0001 1 - √
40 Set Periodontal Insert Derby 67310426503 Stainles stel 2017 2.08.01.02.55.0001 1 Rp 3,452,544 √
41 Set korentang 2014 2.08.01.02.55.0001 1 √ Hibah
42 Tromol sedang 2014 2.08.01.02.55.0001 1 √ Hibah
43 Baki sedang Unicomn 2014 2.08.01.02.55.0001 1 √ Hibah
44 Tensi dewasa Sphygmo medical 2014 2.08.01.02.55.0001 1 √ Hibah
45 Sterilisator listrik 2014 2.08.01.02.55.0001 1 √ Hibah
46 Spon petugas Grand 2017 2.06.02.01.38.0003 3 - √

Aeramo, 15 Februari 2018

Bendahara Barang RSD Aeramo Penanggung Jawab Ruangan Poli Gigi

FREDERIKUS AHAT, AMAK ANGELA MARICI GHELA

NIP. 19880718 201503 1 002 NIP. 19870422 200904 2 002
Lampiran

NO JENIS BARANG MERK / TIPE JUMLAH KONDISI

1 Pinset Anatomo Leibinger 8 B
2 Pinset Chirurgis Leibinger 20 B
3 Arteri Clem Lurus Leibinger 4 B

4 Extraction Supporting - Mayo Leibinger 4 B

Hegar Needle Holder

5 Korentang / Sponge & Leibinger 4 B

Dressing Forcep

6 Dental Light Curing Starlight - 1 B

Pro

7 Dental Portable Operative Unit - 1 B

1 Lowspeed
8 Tongue Spatula Leibinger 6 B
9 Dental Chair Fortuna Premium 1 B

10 Diagnostic Set - Explorer Leibinger 2 B

Straight

11 Extraction Tongs for Children - Leibinger 1 B

Lower Root

12 Extraction Tongs for Adult - Leibinger 1 B

Bayonet

13 Extraction Tongs for Adult - Leibinger 1 B

Upper Root Anterior

14 Extraction Tongs for Children - Leibinger 1 B

Upper Root

15 Extraction Tongs for Children - Leibinger 1 B

Upper Molar

16 Extraction Tongs for Adult - Leibinger 1 B

Upper Molar Right

17 Extraction Tongs for Adult - Leibinger 1 B

Upper Molar Left

18 Extraction Tongs for Children - Leibinger 1 B

Lower Molar

19 Extraction Tongs for Adult - Leibinger 1 B

Lower Molar

20 Extraction Tongs for Adult - Leibinger 1 B

Upper Premolar

21 Extraction Tongs for Adult - Leibinger 1 B

Lower Premolar

22 Extraction Tongs for Children - Leibinger 1 B

Upper Incisive

23 Extraction Tongs for Children - Leibinger 1 B

Lower Incisive
24 Extraction Tongs for Adult - Leibinger 1 B
Upper Incisive

25 Extraction Tongs for Adult - Leibinger 1 B

Lower Root

26 Extraction Tongs for Adult - Leibinger 1 B

Upper Molar Wisdom

27 Extraction Tongs for Adult - Leibinger 1 B

Lower Wisdom

28 Extraction Tongs for Adult - Leibinger 1 B

Lower Incisive
29 Stethoscope ADSCOPE 1 B
30 Tensimeter MDF 1 B
31 Lemari Instrumen MAK 1 B
32 Meja biro 1 B
33 Kursi 1 B
34 Handuk 1 B
35 Ember 1 B
36 Cerek 1 B
37 Gelas Kumur 4 B
38 Tromol Kas One med 1 B
39 Baki Instrumen One med 1 B
40 Set Periodontal Insert Derby 1 B
41 Set korentang 1 B
42 Tromol sedang 1 B
43 Baki sedang Unicomn 1 B
44 Tensi dewasa Sphygmo medical 1 B
45 Sterilisator listrik 1 B
46 Spon petugas Grand 3 B
47