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MARKAS BESAR

KEPOLISIAN NEGARA REPUBLIK INDONESIA


PUSAT KEDOKTERAN DAN KESEHATAN

RENCANA KEBUTUHAN ALKES 2015, 2017 DAN RENCANA KEBUTUHAN PAGU INDIKATIF 2018

2015 2017 2018


NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO

JML SAT JML SAT JML SAT


1 3 4 7 8 9 10 12 13 14 15 16 18 19

RS. BHAYANGKARA TK. III 1


1 RS. BHY Pekanbaru 1 PEKANBARU APBN RS. Bhayangkara TK. III Pekanbaru 22 1
1 Diagnostik X - Ray Sistem 1 Unit 1 Short Wave Diatermi (SWD) 1 Unit 1 Autoclave Steam Sterilizer Sedang 1 Unit 1
Ultrasonography - General 4 Computed Radiography (CR X-Ray) 1 Unit 2
2 D 1 Unit 2 Electro Cauter Surgery Set 1 Unit 2
Multi - Slice Whole Body CT Mesin Anasthesi + Ventilator +
2 Unit 3
3 - Scanner 16 slices 1 Unit 3 Compresor UT Ventilator for Adult to Infant 2 Set 3
4 Hematology Analyzer Ups 1 Unit 4 Dental X-Ray Panoramic (Periapikal) 1 Unit 4 Mobile Suction Pump 3 Set 4
Autometic Cemistry
Analyzer Plus PC, Ups, 1 Unit 5
Printer Bed Patient 3 Crank Manual
5 1 Unit 5 Traksi Lumbal (Matras+Bedside+Overbed) 15 Unit 5
6 Infusion Pump 4 Unit Set 6
Syirige Pump 7 Unit
7 RS Bhayangkara TK III PEKANBARU APBN-P 7
8 Patient Monitor Haemodynamic 4 Unit 1 Instrument Laparatomy Set 2 Set 8
9 DC Shock With Monitor 2 Unit 2 Instrument Sectio Caesarian Set 2 Set 9
3 Emergency Trolley 4 Unit 10
Panoramik Foto X-RaY, Cephalometric &
4 Tomography Imaging System 1 Unit 11
12
13
14
15
16
17
18

1
2015 2017 2018
NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO

JML SAT JML SAT JML SAT


1 3 4 7 8 9 10 12 13 14 15 16 18 19
19

2 RS. BHY JAMBI 2 RS. BHAYANGKARA TK. III JAMBI APBN 2 RS. Bhayangkara TK. III Jambi 48
Anasthesia Machine + Ventilator +
1 1 Unit 1
1 Meja Operasi Electrik 1 Unit Dental X-Ray Panoramic (Periapikal) Compressor 1 Unit 1
1 Unit 2
2 Lampu operasi / OK 1 Unit 2 Operating Microscope WithX-Y USG 3 D 1 Unit 2
Bed Patient 3 Crank Manual
3 Laparascopy Set Surgery Sederhana 1 Unit 3
3 DC Schock 1 Unit (Matras+Bedside+Overbed) 15 Unit 3
4 CT - scan 16 Slices 1 Unit 4 CPAP 1 Unit 4 Bed Electric 3 Crank 5 Unit 4
Endoscopy Set 1 Unit 5
5 Computer Radiograf 1 Unit 5 Patient Monitor Haemodynamic 10 Unit 5
6 Fisiotherapi set : 1 Unit 6 General Diagnostik X Ray 500 MA 1 Unit 6 ESWL 1 Unit 6
Panoramik Foto X-RaY, Cephalometric &
7
a SWD Double Tomography Imaging System 1 Unit 7
b MWD Double 8
c Utrasound Double 9
d Infrared 6 Lamp RS. Bhayangkara TK. III Jambi (39); APBN-P 12
e TENS 1 LED Operating Double Lamp 1 Unit 13
f Traksi 2 Dental Unit + Compressor 1 Unit 14
7 Peralatan Gigi 1 Unit 3 Blood Bank Refrigerator 1 Unit 15
Tang cabut untuk dewasa
a. Jerman 1 Unit 4 Syringe pump 5 Unit 16
Tang cabut untuk anak
b. Jerman 1 Unit 5 Infusion Pump 5 Unit 17
LED Vein Finder ( Alat Pencari
c. Bein Medesy 1 Unit 6 Pembuluh Darah ) 1 Unit 18
d. Minor set surgery 1 Unit 7 Instrumen Mayor Orthopedi Set 1 Set 19
e. Minor bor tulang 3 Unit 8 ECG 12 Channel 2 Unit 20
f. Mata bor restorasi crown 3 Unit 9 Laminar Air Flow (LAF) - OK 1 Unit 21
g. Shade guide vita 1 Unit 10 Medical Refrigerator Single Door 1 Unit 22
h. Root spinter 1 Unit 11 Bio Safety Cabinet (BSC) 1 Unit 23
i Suction blood 1 Unit 24
j Check retractor 1 Unit 25

2
2015 2017 2018
NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO

JML SAT JML SAT JML SAT


1 3 4 7 8 9 10 12 13 14 15 16 18 19
k. Chisel 1 Unit 26
l. Cotton rool dispenser 1 Unit 27
m. Knabel tang 1 Unit 28
n. Matrik holder tofflemire 1 Unit 29
Needle holder kecil dan
o. besar 1 Unit 30
Tang ekstrasi VVHS M3 atas
p. dan bawah 1 Unit
q. Bone fle medesy 1 Unit
r. Laboratory set medesy 1 Unit
LED Multifungsi bleaching,
s. ortho dan composit 1 Unit
Dental high speed fber
t. optik 4 hole 1 Unit
Mikromotor surgic XT plus
u. NSK 1 Unit
v. Root 2X mini 1 Unit

RS. BHAYANGKARA TK. III 3 3


3 RS. BHY Mataram 3 MATARAM APBN RS. Bhayangkara TK. III Mataram 2
Anesthesia Machine 2 Mobile X Ray 300 MA 1 Unit 1
1 Evaporator + Ventilator 1 Unit 1 CT Scan 32 Slice 1 Unit 1
Electro Surgery Couter 2
2 Mono & Bipolar 1 Unit USG 3 D 1 Unit 2
Mesin Anashesi + Ventilator +
3 Suction Pump 5 L 2 Unit 1 Compresor UT 1 APBN-P 3

4 Patient Monitor 4 Unit 2 LED Operating Double Lamp 1 RS Bhayangkara TK III MATARAM APBN-P 4
5 Dry Sterilisator Set 2 Unit 3 Operating Table Electric 1 1 DC Shock With Monitor 2 Unit 5
6 Tonsilectomy Set 1 Unit 4 HF Electro Surgical Unit 1 2 Instrument Autopsi Set 2 Set 6
Alat Sterilisasi Ruang Bed Patient 3 Crank Manual Bed Patient 3 Crank Manual
7 Operasi 2 Unit 5 (Matras+Bedside+Overbed) 5 3 (Matras+Bedside+Overbed) 20 Unit 7
8 Meja Instrumen 2 Unit 6 DC Shock With Monitor 1 4 ECG 12 Channel 5 Unit 8
9 Meja Mayo 2 Unit 7 Ventiilator for Adult, Pediatric & Infant 1 5 Patient Strecher 6 Unit 9

3
2015 2017 2018
NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO

JML SAT JML SAT JML SAT


1 3 4 7 8 9 10 12 13 14 15 16 18 19
Suction pump mobile (Adult,
10 Brancard 2 Unit 8 Pediatric, Baby) 3 6 Cardiotocigraphy (CTG) 5 Unit 10
11 Laryngocopy 2 Unit 7 Foto Terapy Unit 2 Unit 11
12 Nebulizer 1 Unit 8 Infusion Pump 5 Unit 12
13 Bed Pasien Rawat Inap 20 Unit 9 Infant Incubator 5 Unit 13
10 Gynecolog Examination Bed 2 Unit 14
11 Nebulizer Ultrasonic 5 Unit 15
12 Otoscope 3 Unit 16
13 Patient Monitor Haemodynamic 10 Unit 17
Panoramik Foto X-RaY, Cephalometric &
14 Tomography Imaging System 1 Unit 18

15 Resucitation Set (Adult, Pediatric, Infant) 3 Set 19


16 Syringe pump 5 Unit 20
LED Vein Finder ( Alat Pencari Pembuluh
17 Darah ) 5 Unit 21

RS. BHY KORP BRIMOB 4 RS. Bhayangkara TK. III Kelapa APBN-P 4 RS. Bhayangkara TK. III Kelapa Dua 52
4 POLRI Dua
PERALATAN KESEHATAN RAWAT
1 Dental X-Ray Panoramic 1 A
1 Ventilator Anastesi 1 Unit Unit INAP A
2 Meja Operasi 2 Unit 2 CT Scan 32 Slice 1 Unit 1 Bed Electric 3 Crank 10 Unit 1
Bed Patient 3 Crank Manual
3 Endoscopy & Colonoscopy 1 2
3 Tempat
Tempat tidur
tidur Elektrik
Manual 31 crank 6 Unit Unit (Matras+Bedside+Overbed) 10 Unit 2
4 crank 14 Unit 4 TURP (Alat operasi prostat) 1 Unit 3 Bed Patient Children (Matras+Bedside) 10 Unit 3
Mesin Anasthesi + Ventilator +
5 1 4
5 Suction Pump 4 Unit Compresor UT Unit Patient Strechter 1 Unit 4
6 Defbrilator 2 Unit 6 General Diagnostik X Ray 500 MA 1 Unit 5 DC Shock With Monitor 1 Unit 5
7 Patient Monitor 4 Unit 7 Ventiilator for Adult, Pediatric & Infant 1 Unit 6 Patient Monitor Haemodynamic 1 Unit 6
7
8 Lampu tindakan 2 Unit 8 C-Arm 1 Unit B PERALATAN SPESIALIS PARU 8
1
9 ECG 12 chanel 4 Unit Spirometri 1 9
10

4
2015 2017 2018
NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO

JML SAT JML SAT JML SAT


1 3 4 7 8 9 10 12 13 14 15 16 18 19
PERALATAN RUANG SPESIALIS
C
10 Instrument trolley 6 Unit MATA PERALATAN RUANG NICU Unit 11
Continuous Positive Airway Pressure
1
11 Infuse stand 20 Unit 1 Autorefkeratometer 1 (CPAP+Compressor) 1
X-Y Coping for microscop
2
12 Brankar pasien 4 Unit 2 Opthalmology 1 Patient Monitor Haemodynamic 1 B
13 Autoclave 4 Unit 3 Vitrectomy Set + Endolaser 1 3 Syringe pump 1 Unit 1
4 Slit Lamp + Camera + Computer 1 4 Infusion Pump 1 Unit 2
5 Infant Incubator 1 Unit 3
PERALATAN LABORATORIUM Unit 4
1 Auto Imuno & Serolog Analyzer 1 5
PERALATAN RUANG OPERASI
Kulkas vaksin D
2 1 SPESIALIS MATA Unit 6
LED Vein Finder (Alat Pencari Pembuluh
1
Darah) 1 Unit 7
2 Operating Table Electric 1 8
PERALATAN GIGI 3 LED Operating Double Lamp 1 9
1 Dental Unit + Compressor 2 Unit 10

11
E PERALATAN LABORATORIUM Unit 12
PERALATAN SPESIALIS THT 1 Automatic Electrolit Analyzer 1 Unit 13
1 Audiometri 1 2 Automatic Haematologi Analizer (5Diff) 1 Unit
Automatic Cemistry Analyzer Plus PC,
3
2 Mesin Operasi Fess 1 Ups, Printer 1 C
4
Centrifuge Micro Hematocrit 1 1
PERALATAN SPESIALIS SYARAF 5 Microscope Binoculair 1 Unit 2
1 EEG (Electro Encephalography) 1 3
F PERALATAN FISIOTERAPI Unit 4
1 Micro Wave Diathermy 1 Unit 5
2 TENS 1 Unit 6
3 Ultrasound (Double) 1 7

5
2015 2017 2018
NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO

JML SAT JML SAT JML SAT


1 3 4 7 8 9 10 12 13 14 15 16 18 19
PERALATAN SPESIALIS KEBIDANAN
G
DAN KANDUNGAN Unit 8
1 USG 3 D 1 Unit 9
2 Gynecolog Examination Bed 1 10

D
4 RS. Bhayangkara TK. III Kelapa Dua
(42); APBN-P 1
1 Bed Electric 3 Crank 92 Unit
Bed Patient 3 Crank Manual
2 (Matras+Bedside+Overbed) 68 Unit E
3 Infusion Pump 25 Unit 1
4 Syringe pump 25 Unit
5 Patient Strecher 6 Unit G
6 Emergency Trolley 5 Unit 1
7 LED Examination Lamp 6 Unit 2
8 Instrument Minor surgery set 6 Set
9 Medicine Trolley 6 Unit H

10 Mobile Suction Pump 6 Unit 1


Sphymomanometer Digital (Adult,
11 Child) 12 Buah

12 Room Sterilizer 3 Unit I


13 Ventilator For Adult, Pediatric & Infant 1 Unit 1
14 DC Shock With Monitor 4 Unit
15 Patient Warmer for Operating 1 Unit J

16 Blood And Infusion Warmer 5 Unit 1


17 Foto Terapy Unit 3 Unit 2
18 Infant Warmer 3 Unit 3
19 Infant Incubator 3 Unit
Laryngoscope LED For Adult And
20 Child 1 Unit H

6
2015 2017 2018
NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO

JML SAT JML SAT JML SAT


1 3 4 7 8 9 10 12 13 14 15 16 18 19
21 Patient Monitor Haemodynamic 5 Unit 1
22 ECG 12 Channel 3 Unit
Continous Positive Airway Pressure
23 ( CPAP + Compressor ) 2 Unit

Peralatan Kesehatan Instalasi Laboratorium


Automatic Haematologi Analizer
1 (5Diff) 2 Unit
Automatic Cemistry Analyzer Plus
2 PC, Ups, Printer 1 Unit
Blood Gas Analyzer + Electrolyte +
3 Lactat 1 Unit
4 Centrifuge 2 Unit
5 Microscope Binoculair 1 Unit
6 Laser Coagulator 1 Unit

Peralatan Kesehatan Instalasi Radiologi


1 USG Color Doppler 4D 1 Unit
2 Patient Strecher 2 Unit
Bed Patient 2 Crank Manual
3 (Matras+Bedside+Overbed) 1 Unit
4 Emergency Trolley 1 Unit
5 DC Shock With Monitor 1 Unit

Peralatan Kesehatan Instalasi Farmasi


1 Medical Refrigerator Single Door 4 Unit

Peralatan Kesehatan Central Steril Supply Departemen


1 Autoclave Steam Sterilizer Sedang 1 Unit
2 Dry Sterilisator 2 Unit
3 Laminar Air Flow (LAF) - OK 1 Unit

Peralatan Kesehatan Instalasi Loundry


7
2015 2017 2018
NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO

JML SAT JML SAT JML SAT


1 3 4 7 8 9 10 12 13 14 15 16 18 19
1 Washer Extractor 45kg 2 Unit
2 Steam Press Laundry 1 Unit
3 Laundry Trolley 15 Unit

PERALATAN RUANG NICU


1 Ventilator For Adult, Pediatric & Infant 1 Unit

PERALATAN RUANG OPERASI SPESIALIS MATA


Anasthesia Machine + Ventilator +
1 Compressor 1 Unit

RS. BHAYANGKARA TK. III 5 5


5 RS. BHY PALEMBANG 5 PALEMBANG APBN RS. Bhayangkara TK. III Palembang 30
Defbrilator dan Alat Pacu Mesin Anasthesi + Ventilator +
1 Unit 1
1 Jantung 1 Unit 1 Compresor UT Electro Cauter Surgery Set 1 Unit 1
Bed Patient 3 Crank Manual
HF Electro Surgical Unit 1 Unit 2
2 Nebulizer facemask 1 Unit 2 (Matras+Bedside+Overbed) 20 Unit 2
3 Bed standar ICU 2 Unit 3 Laparascopy Set Surgery Sederhana 1 Unit 3 Pharmacy Referigerator 1 Set 3
Percutanedus Dilational Instrument Laparatomy Set 1 Set 4
4 Tracheostomy 1 Unit 4 Auto Imuno & Serolog Analyzer 1 Unit 4
1 Set 5
5 ECHO 1 Unit 5 Instrument Histerectomi Set Spirometri 1 Unit 5
6 USG 4 dimensi 1 Unit 6 USG Color Doppler 4D 1 Unit 6 Audiometri 1 Unit 6
General Diagnostik X Ray 500 MA 1 Unit 7
7 CT Scan 32 slice 1 Unit 7 Ultrasound (Double) 1 Unit 7
8 Treadmil test 1 Unit 8 Computed Radiography (CR X-Ray) 1 Unit 8
RS Bhayangkara TK III
LED Operating Double Lamp 1 Unit
9 PALEMBANG APBN-P 9
Anasthesia Machine + Ventilator +
1 Unit
10 Operating Table Electric 1 Compressor 1 Unit 10
11 Automatic Procesing Film 1 Unit 2 Instrument Laparatomy Set 1 Set 11
Auto Imunology Analyzer/Kimia
1 Unit
12 Analyzer 3 Computer Radiograph + Printer 1 Unit 12
4 LED Operating Double Lamp 1 Unit 13

8
2015 2017 2018
NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO

JML SAT JML SAT JML SAT


1 3 4 7 8 9 10 12 13 14 15 16 18 19
RS. BHAYANGKARA TK. III
PALEMBANG APBN-P 5 Operating Table Electric 1 Unit 14
1 Short Wave Diathermy 1 15
2 Micro Wave Diathermy 1 16
3 TENS 1 17

4 Ultrasonic Cleaner Complete Set 1 18


5 Washer Disinfector 1 19
6 Autoclave Low Temperatur 1 20
7 Bio Safety Cabinet (BSC) 1 21

8 Dental Unit + Compressor 2 22

9 Baby Incubator Transport 1 23


10 Blood And Infusion Warmer 1 24
11 Gynecolog Examination Bed 1 25
12 Instrument Curratage Set 1 26
27
28
29
30
31
32
33
34
35
36
37

38
39
40

9
2015 2017 2018
NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO

JML SAT JML SAT JML SAT


1 3 4 7 8 9 10 12 13 14 15 16 18 19
6 RS. BHY PALU 6 RS. BHAYANGKARA TK. III PALU APBN-P 6 RS. Bhayangkara TK. III Palu 3
1 Hyperbaric chamber System 1 Unit 1 Tensimeter Mobile 9 Unit 1 Computer Radiograph + Printer 1 Unit 1
Oxygen Generator LED Vein Finder (Alat Pencari Pembuluh
2 1 Unit 2 Kursi Roda 3 Unit 2
Darah) 1 Unit 2

3 Instrument Partus Set 1 Unit 3


Mobile X-Ray 1 Unit 3
4 ECG 12 Channel 2 Unit Unit 4
5 Stetoscope 11 Unit 5
6 Patient Stretcher 2 Unit 6
7 Gynecolog Examination Bed 2 Unit 7
8 Standar Infus 1 Unit 8
9 Patient Monitor Haemodynamic 4 Unit 9
10 Termometer Digital 21 Unit 10
11 Bedside Cabinet 10 Unit 11
12 Centrifuge 1 Unit 12
13 Instrument Sirkumsisi Set 1 Unit
13
14 Instrument Hecting Set 1 Unit 14
15 Instrumen Trolley 1 Unit 15
16 Instrumen Cabinet 2 Unit 16
17 Linen Carriage 1 Unit 17
18 Medicine Kabinet 1 Unit
19 Meja Resusitasi Bayi 1 Unit
20 Resusitasi Bayi 3 Unit
21 Resucitator Anak 2 Unit
22 Resucitator Dewasa 2 Unit
23 Operating Table Electric 1 Unit
Dental X-Ray Extra Oral
24
(Panoramic+Chepalometric)
1 Unit
25 CT Scan 32 Slice 1 Unit
26 Lemari Jenazah 4 Body 1 Unit
27 Meja Autopsi 1 Unit

10
2015 2017 2018
NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO

JML SAT JML SAT JML SAT


1 3 4 7 8 9 10 12 13 14 15 16 18 19

RS. BHAYANGKARA TK. II 7


7 RS. BHY PAPUA 7 JAYAPURA APBN RS. Bhayangkara TK. III Jayapura 6
1 Unit 1
1 CT Scan 16 Slide 1 Unit 1 General Diagnostik X Ray 800 MA C-Arm 1 Unit 1
2 Suction Pump 1 Unit 2 Dental X-Ray Panoramic (Periapikal) 1 Unit 2 Infant Warmer 1 Unit 2
Continuous Positive Airway Pressure
USG Color Doppler 4D 1 Unit 3
3 Brancard 1 Unit 4 (CPAP+Compressor) 1 Unit 3
5 Operating Table Electric 1 Unit 4 Infusion Pump 1 Unit 4
6 ESWL 1 Unit 5 Mobile X-Ray 1 Unit 5
Mesin Anasthesi + Ventilator + Panoramik Foto X-RaY, Cephalometric &
2 Unit 6
7 Compresor UT Tomography Imaging System 1 Unit 6
8 Instrument Trepanasi Set 1 Set 7
1 Set
9 Instrument Mayor Orthopedi Set RS Bhayangkara TK III JAYAPURA 1 APBN-P 8
10 Instrument Laparatomy Set 1 Set 1 Waste Sterilizer 1 Unit 9
Instrument Sectio Set 1 Set
11 10
12 DC Shock With Monitor 2 Unit 11
Instrument Herniotomy Set 1 Set
13 12
14 Instrument Histerectomi Set 1 Set 13
15 Automatic Procesing Film 1 Unit
16 ECG 12 Channel 3 Unit

RS. BHAYANGKARA TK. II 8


8 RS. BHY Makasar 8 MAKASSAR APBN RS. Bhayangkara TK. I Makasar 9 8
1 Laparoscopy 1 Unit 1 CT Scan 80 Slice 1 Unit 1 C-Arm 1 Unit 1
1 Unit 2
2 Operating Microscope 1 Unit 2 CPAP Blood Bank Refrigerator 1 Unit 2
Panoramik Foto X-RaY, Cephalometric &
DC Shock With Monitor 1 Unit 3
3 USG opthalmic 1 Unit 3 Tomography Imaging System 1 3
Autofracto Keratometri + Short Wave Diatermi (SWD) 1 Unit 4
4 Electric table 1 Unit 4 ENT (Ear, Nose, Throat) Treatment Unit 1 Unit 4
5 Meja operasi mata 1 Unit 5 Instrument Trepanasi Set 1 Set 5 Ventilator for Adult to Infant 1 Set 5

11
2015 2017 2018
NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO

JML SAT JML SAT JML SAT


1 3 4 7 8 9 10 12 13 14 15 16 18 19
Instrument Laparatomy Set 1 Set 6
6 Immunology Analyzer 1 Unit 6 General Radiography 630 MA 1 Unit 6
Laryngoscope LED For Adult,Child,
Instrument Mayor Orthopedi Set 1 Set 7
7 USG 4D doopler 1 Unit 7 Pediatric 1 Unit 7
Mesin Anasthesi + Ventilator + Blood Gas Analyzer + Electrolyte +
1 Unit 8
8 Echocardiography 1 Unit 8 Compresor UT Lactat 1 Unit
Kimia Analyzer Plus UPS, PC &
1 Unit 9
9 Photo rontgen Mobile 1 Unit 9 Printer Endoscopy Set 1
10 Bronchoscopy 1 Unit 10 Operating Table Electric 2 Unit
11 General Diagnostik X Ray 800 MA 1 Unit RS Bhayangkara TK II MAKASAR APBN-P
12 USG Color Doppler 4D 1 Unit 1 Ventilator For Adult, Pediatric & Infant 4 Unit
13 Instrument Histerectomi Set 1 Set 2 Bronchoscopy Set 1 Unit
14 Instrument Herniotomy Set 1 Set 3 Autoclave Steam Sterilizer Besar 1 Unit
15 Instrument Sectio Caesarian Set 1 Set 4 EEG (Electro Encephalography) 1 Unit
16 Infant Incubator 1 Unit 5 Laser Coagulator 1 Unit
17 Infant Warmer 2 Unit 6 Laser ND YAG (Mata) 1 Unit
18 Patient Monitor Haemodynamic 1 Unit 7 Micro Wave Diathermy 1 Unit
8 Short Wave Diathermy 1 Unit
1 Set FESS 1 APBN-P
2 Gynecolog Examination Bed 1
Mesin Phacoemulsifikasi + Cataract
3 Set 1
4 Indirect Ophtalmoscopic 1
X-Y Coping for microscop
5 Opthalmology 1
6 MRI 1
7 ESWL 1
8 Laminar Airflow kamar operasi 1

Jakarta, 2017

a.n KEPALA PUSAT KEDOKTERAN DAN KESEHATA


KABAG MATFASKES

12
2015 2017 2018
NO MATERIIL KESEHATAN NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN Jakarta,
KET NO 2017

JML SAT JML SAT JML SAT


a.n KEPALA PUSAT KEDOKTERAN DAN KESEHATA
1 3 4 7 8 9 10 12 13 14 15 16 KABAG
18 MATFASKES
19

Drs. SUTRISNO UNTORO, Apt


KOMBES POL NRP. 64060874

13
2019
MATERIIL KESEHATAN KET

JML SAT
20 21 22 24

RS. Bhayangkara TK. III Pekanbaru


Bed Electric 3 Crank 7 Set
Bed Patient 3 Crank Manual
(Matras+Bedside+Overbed) 1 Set

2
Patient Strecher Unit
Pulse Oxymeter Monitor 3 Unit

Infusion Pump 6 Unit


Audiometri 1 Set
Blood Gas Analyzer + Electrolyte +
Lactat 1 Unit
Semi Auto Urine Analizer 1 Unit
Autoclave Steam Sterilizer Sedang 1 Unit
Instrument Appendectomy Set 2 Set

Instrument Mayor Surgery Set 3 Set


Instrument Minor surgery set 3 Set
Instrument Histerectomi Set 1 Set
Instrument Tonsilectomy Set 1 Set
Instrumen Mayor Orthopedi Set 1 Set
Patient Strecher 2 Unit
Dentail Unit + Compressor 2 Unit
Operating Table Electric 1 Unit

14
2019
MATERIIL KESEHATAN KET

JML SAT
20 21 22 24
LED Operating Double Lamp 1 Unit

RS. Bhayangkara TK.III Jambi 43

Digital Mamography 1 Unit


Automatic Cemistry Analyzer Plus PC,
Ups, Printer 1 Unit

Automatic Haematologi Analizer (5Diff) 1 Unit


Semi Auto Urine Analizer 1 Unit
Continous Positive Airway Pressure
( CPAP + Compressor ) 1 Unit
Film viewer LED (Double) 1 Unit
Sphymomanometer Digital (Adult,
Child) 27 Unit
Infant Incubator 2 Unit
Operating Table Electric 1 Unit
Autorefkeratometer 1 Unit
Biometri 1 Unit
Mesin Phacoemulsifikasi 1 Unit
Tonometer Non contanct 1 Unit
Set Urologi (URS, Lithotripsi, DJ Stent,
TURP, Sachse, Monitor) 1 Set

Ventilator For Adult, Pediatric & Infant 2 Unit

I-Stat (AGD analizer) 1 Unit


Katarak Set 1 Unit
USG Mata 1 Unit
Minor Set 1 Set
Cath Lab 1 Set
CSSD Set 1 Set
Laundry Set 1 Set
EEG 1 Set

15
2019
MATERIIL KESEHATAN KET

JML SAT
20 21 22 24
Mikroskop elektron 2 Unit
Centrifuge digital 2 Unit
tumor marker test 1 Unit
Hormon Test 1 Unit

Artroscopy Set 1 Set

RS. Bhayangkara TK. III Mataram 40

Autoclave Steam Sterilizer Sedang 1 Unit

Autoclave Low Temperatur 1 Unit

Automatic Processing Film 1 Unit


Set Urologi (URS, Lithotripsi, DJ Stent,
TURP, Sachse, Monitor) 1 Set
Stress Test ECG Sistem With Treadmill 1 Unit
Patient Monitor Haemodynamic 5 Unit

Cardiotocigraphy (CTG) 1 Unit


Infant Incubator 3 Unit
Infant Warmer 4 Unit

16
2019
MATERIIL KESEHATAN KET

JML SAT
20 21 22 24

Laminar Air Flow (LAF) - OK 3 Unit


Instrumen Mayor Orthopedi Set 1 Set
Laryngoscope LED For Adult And Child 3 Set
Instrument Herniotomy Set 3 Set
Instrument Laparatomy Set 3 Set
Scrub Station 3 Person 1 Unit
Instrument Sectio Caesarian Set 3 Set
Instrument Trepanasi Set 1 Set

Dentail Unit + Compressor 1 Unit


LED Vein Finder ( Alat Pencari
Pembuluh Darah ) 1 Unit
Patient Strecher 1 Unit

Set FESS 1 Set

RS. Bhayangkara TK.III Kelapa Dua


97
PERALATAN INTENSIVE CARE UNIT
(ICU)
Ventilator For Adult, Pediatric & Infant 4 Unit

Bed Electric 3 Crank 4 Set


Infusion Pump 4 Unit

Syringe Pump 4 Unit


Mobile Suction Pump 4 Unit
Patient Monitor Haemodynamic 4 Unit
Patient Warmer for Operating 4 Unit
Blood And Infusion Warmer 4 Unit
Blood Gas Analyzer + Electrolyte +
Lactat 1 Unit
DC Shock With Monitor 2 Unit

17
2019
MATERIIL KESEHATAN KET

JML SAT
20 21 22 24

Emergency Trolley 2 Unit

PERALATAN NICU/PICU
Ventilator For Adult, Pediatric & Infant 2 Unit
Bed Electric 3 Crank 2 Set
Infant Incubator 2 Unit
Infant Warmer 2 Unit
Infusion Pump 4 Unit

Syringe Pump 4 Unit

Mobile Suction Pump 4 Unit


Patient Monitor Haemodynamic 4 Unit
Patient Warmer for Operating 2 Unit
Blood And Infusion Warmer 2 Unit
Continous Positive Airway Pressure
( CPAP + Compressor ) 2 Unit
DC Shock With Monitor 1 Unit
Emergency Trolley 1 Unit

PERALATAN INSTALASI BEDAH


SENTRAL
Anasthesi Machine + Ventilator +
Compressor 2 Unit
Patient Monitor Haemodynamic 2 Unit
Infusion Pump 2 Unit
Syringe Pump 2 Unit
Operating Table Electric 2 Unit
LED Operating Double Lamp 2 Unit
Electro Cauter Surgery Set 2 Unit

18
2019
MATERIIL KESEHATAN KET

JML SAT
20 21 22 24

Baby Incubator Transport 1 Unit


DC Shock With Monitor 1 Unit
Emergency Trolley 1 Unit

PERALATAN SPESIALIS PARU

Bronchoscopy Set 1 Set

PERALATAN INSTALASI
RADIOLOGI
USG Color Doppler 4D 1 Unit

PERALATAN SPESIALIS JANTUNG


USG Echocardiac 1 Unit
Stress Test ECG Sistem With Treadmill 1 Unit

PERALATAN SPESIALIS SYARAF


Transcranial Magnetic Stimulation
(TMS) 1 Unit

PERALATAN SPESIALIS BEDAH


DAN ORTHOPEDI
Athoroscopy Set 1 Set

PERALATAN LABORATORIUM
Blood Gas Analyzer + Electrolyte +
Lactat 1 Unit
Semi Auto Urine Analizer 2 Unit
Bio Safety Cabinet (BSC) 1 Unit

PERALATAN PENUNJANG LAINNYA

19
2019
MATERIIL KESEHATAN KET

JML SAT
20 21 22 24
Autoclave Steam Sterilizer Sedang 1 Unit

20
2019
MATERIIL KESEHATAN KET

JML SAT
20 21 22 24

RS. Bhayangkara TK. III Palembang 147


1
Blood Bank Refrigerator Unit
1
Medical Refrigerator Single Door Unit
Centrifuge 2 Unit

1
Automatic Haematologi Analizer (5Diff) Unit
Blood Gas Analyzer + Electrolyte +
Lactat 1 Unit
Semi Auto Urine Analizer 1 Unit
Automatic Cemistry Analyzer Plus PC,
Ups, Printer 1 Unit
Infra Red 2 Unit

Parafin Bath 2 Unit

Tumble Drier 70kg 1 Unit


Flatwork Ironer Single Roll 1 Unit
Panoramik Foto X-RaY, Cephalometric
& Tomography Imaging System 1 Unit
Ultrasonic Cleaner Complete Set 1 Unit

21
2019
MATERIIL KESEHATAN KET

JML SAT
20 21 22 24

Waste Sterilizer 1 Unit


ECG 12 Channel 3 Unit
Ventilator For Adult, Pediatric & Infant 2 Unit
Patient Monitor Haemodynamic 4 Unit
Sphymomanometer Digital (Adult,
Child) 26 Unit
Pulse Oxymeter Monitor 4 Unit
Blood And Infusion Warmer 12 Unit
Patient Strecher 10 Unit
Electric Bed With CPR Function (Incl.
Matrass, Overbed Table, Bedside
Cabinet) 3 Set
Bed Patient 3 Crank Manual
(Matras+Bedside+Overbed) 16 Set
Gynecolog Examination Bed 2 Unit
Maternity Bed 2 Unit
Mobile Suction Pump 6 Set
Infusion Pump 5 Unit
Syringe pump 5 Unit
DC Shock With Monitor 2 Unit
Laryngoscope LED For Adult And Child 8 Set
Infant Warmer 2 Unit
Autoclave Steam Sterilizer Sedang 1 Unit
Infant Incubator 1 Unit
Baby Incubator Transport 1 Unit
Foto Terapy Unit 3 Unit
Lemari Instrument 3 Unit
Mayo Table 3 Unit
Continous Positive Airway Pressure
( CPAP + Compressor ) 2 Unit
Cardiotocigraphy (CTG) 3 Unit
Eye Operating Microscope 1 Unit

22
2019
MATERIIL KESEHATAN KET

JML SAT
20 21 22 24
RS. Bhayangkara TK.III Palu 28
DC Shock With Monitor 1 Unit

Ventilator For Adult, Pediatric & Infant 1 Unit


Electric Bed With CPR Function (Incl.
Matrass, Overbed Table, Bedside
Cabinet) 5 Set
Stress Test ECG Sistem With Treadmill 1 Unit
Traksi Unit (Cervical Dan Lumbal) 1 Unit
Foto Terapy Unit 2 Unit
Autoclave Steam Sterilizer Kecil 2 Unit
Container For Sterilizer (1/1) 2 Unit
Micro Wave Diathermy 2 Unit
Washer Disinfektor for Instrument 2 Unit
Instrument Curratage Set 2 Set
USG Color Doppler 4D 1 Unit
Anasthesi Machine + Ventilator +
Compressor 1 Unit
Instrument Mayor Surgery Set 2 Set
Instrumen Mayor Orthopedi Set 1 Set
Direct Ophtalmoscopic 1 Unit
Trial Lens Set + Trial Frame 1 Set

23
2019
MATERIIL KESEHATAN KET

JML SAT
20 21 22 24

RS. Bhayangkara TK.III Jayapura 15


Automatic Cemistry Analyzer Plus PC,
Ups, Printer 1 Unit
Dentail Unit + Compressor 1 Unit

Automatic Haematologi Analizer (5Diff) 1 Unit


Emergency Trolley 2 Unit
Micro Wave Diathermy 1 Unit

Infra Red 1 Unit


LED Operating Double Lamp 2 Unit
Tens Dan Ulrasound Terapi
Combination 1 Set
Ventilator For Adult, Pediatric & Infant 1 Unit
Set Urologi (URS, Lithotripsi, DJ Stent,
TURP, Sachse, Monitor) 1 Set
Bed Electric 3 Crank 1 Set
Blood Gas Analyzer + Electrolyte +
Lactat 1 Unit
Laparoscopy General HD 1 Set

RS. Bhayangkara TK.II Makassar 7


Capnograph Monitor 1 Unit
Set Urologi (URS, Lithotripsi, DJ Stent,
TURP, Sachse, Monitor) 1 Set

Bronchoscopy Set 1 Set

USG Color Doppler 4D 1 Unit


Bio Safety Cabinet (BSC) 1 Unit

24
2019
MATERIIL KESEHATAN KET

JML SAT
20 21 22 24
Cordless (batery) Orthopaedic Drill &
Saw 1 Unit

Instrument Tonsilectomy Set 1 Set

2017

OKTERAN DAN KESEHATAN POLRI


AG MATFASKES

25
2019
2017KESEHATAN
MATERIIL KET

OKTERAN DAN KESEHATAN POLRI JML SAT


AG MATFASKES 20 21 22 24

RISNO UNTORO, Apt


POL NRP. 64060874

26
MARKAS BESAR
KEPOLISIAN NEGARA REPUBLIK INDONESIA
PUSAT KEDOKTERAN DAN KESEHATAN

RENCANA KEBUTUHAN ALKES 2016, 2017 DAN RENCANA KEBUTUHAN PAGU INDIKATIF 2018

2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16

RS. BHY TK. IV MANADO APBN RS. BHAYANGKARA TK. III


1 APBN-P 1 RS. Bhayangkara TK. III Manado (41); 44
1 MANADO
1 Operating Table Electric 1 Unit Ventiilator for Adult, Pediatric &
1 1 Unit
Infant 1 Short Wave Diathermy 1
2 X-Ray 1 Unit 2 ENT Treatment Unit 1 Unit 2 Ultrasound (Double) 1
3 Fast Automatic Clinikal 1 Unit 3 Instrument Appendectomi Set 1 Set
Chemistry Analizer 4 Traksi Unit (Cervical Dan Lumbal) 1
4 Laparotomi Set 1 Set Continuous Positive Airway Pressure
4 Infant Warmer 1 Unit
5 (CPAP+Compressor) 1
5 Section Set 1 Set 5 CT Scan 32 Slice 1 Unit 6 USG 3 D 1
6 Histerectomi Set 1 Set Computed Radiography (CR X-
6 1 Unit 7 Infusion Pump 1
Ray)
7 Herniatomi Set 1 Set 7 Treadmill + Echochardiograph 1 Unit 8 DC Shock With Monitor 1
Multiplace Hyperbaric Chamber +
8 Patien Monitor 1 Unit 8 Oxygen Generator 1
9 Syringe Pump 1
9 Defbrilator 1 Unit 10 Automatic Haematologi Analizer (5Diff) 1
10 Anastesi Macine 1 Unit 11 Auto Imuno & Serolog Analyzer 1
11 Incubator 1 Unit 12 Microscope Binoculair 1
13 Electro Cauter Surgery Set 1

14 Patient Monitor Haemodynamic 1


Laryngoscope LED For Adult,Child,
15 Pediatric 1

16 Bed Electric 3 Crank 9

27
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16

17 Lemari Obat 7
18 Medicine Trolley 7
19 Patient Strechter 7

RS. BHY TK. IV BALIKPAPAN APBN RS. BHAYANGKARA TK. III RS. Bhayangkara TK. III Balikpapan
2 APBN-P 2 (43);
2 BALIKPAPAN 3
1 Defbrilator / DC Shock With 1 Unit 1 CT Scan 32 Slice 1 Unit
Monitor 1 Endoscopy Set 1
2 ECG 1 Unit 2 USG Color Doppler 4D 1 Unit 2 Laparoscopy General HD 1
3 Ventilator ICU 1 Unit Kimia Analyzer Plus UPS, PC &
3 1 Unit
Printer 3 Diagnostik X-Ray Sistem 630mA 1
4 Blood Warmer 1 Unit
5 Mini Suction Portable 1 Unit RS. Bhayangkara TK. III Balikpapan
(43);
6 Autoclave Low Temperatur 1 Unit Anasthesia Machine + Ventilator +
1 Compressor 1
7 Scrub Station 1 Unit
8 Bor Orthopedy 1 Unit
9 Anastesi Macine 1 Unit
10 Patien Monitor 1 Unit

28
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16

RS. BHY TK. IV PUSDIK BRIMOB RS. BHY TK. IV PUSDIK BRIMOB RS. Bhayangkara TK. IV Watukosek
APBN 3 APBN
3 WATUKOSEK WATUKOSEK 3 (21); 19
1 Infant Incubator 2 Unit Anasthesia Machine + Ventilator +
1 USG Colour Doppler 3D 1 Unit
1 Compressor 1
2 Neonatus Fototerapi Inkubator 1 Unit 2 Gynecolog Examination Bed 1 Unit 2 Spirometri 1
3 Suction Pump 2 Unit 3 General Diagnostik X Ray 800 MA 1 Unit 3 Mobile X-Ray 1
4 Defbrillator AED 1 Unit 4 DC Shock With Monitor 1 Unit 4 Emergency Trolley 6

29
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
5 Electrocardiogram (ECG) 3 2 Unit 5 Oxygen Concenrator 3 Unit
Channel 5 Syringe pump 4
6 Oxygen Concentrator 2 Unit Ventiilator for Adult, Pediatric &
6 1 Unit
Infant 6 Patient Monitor Haemodynamic 3
7 Continuous Positive Airway 2 Unit
Pressure (CPAP) 7 Ventilator for Adult to Infant 1
8 Patient Monitor 2 Unit Laryngoscope LED For Adult,Child,
8 Pediatric 1
9 Dental Unit + Compressor 1

RS. BHY TK. IV KENDARI APBN RS. BHAYANGKARA TK. III


4 APBN-P 4 RS. Bhayangkara TK. III Kendari (46);
4 KENDARI 7
1 EKG 12 Lead 1 Unit Ventiilator for Adult, Pediatric &
1 1 Set
Infant 1 Fisioteraphi Set 1
2 DC Shock 1 Unit Computed Radiography (CR X-
2 1 Set a. Ultrasound (Double) (1 Unit)
Ray)
3 Dental X-Ray (Periapikal) 1 Unit Autopsi Set + Bor Kepala, Gergaji
3 1 Set
Tulang b. TENS (1 Unit)
4 USG (4 Dimensi + Dopler) 1 Unit 4 Infant Incubator 1 Set c. Parafin Bath (1 Unit)
5 Meja Operasi 1 Unit Suction pump mobile (Adult,
5 1 Set
Pediatric, Baby) d. Infra Red (1 Unit)
6 Lampu Operasi 1 Unit 6 Autoclave Steam Sterilizer Besar 1 Set 2 Stress Test ECG Sistem With Treadmill 1

30
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
7 Laparatomi Set 1 Set 7 Patient Monitor Haemodynamic 3 Set 3 Head Lamp 1
8 Tonsilektomi Set 1 Unit 4 Emergency Trolley 2
9 Infant Warmer (Untuk Ruang 1 Unit
Bedah Central) 5 Audiometri 2
10 Infant Warmer (Untuk Ruang 1 Unit
Bayi)
11 Inkubator 1 Unit
12 Neopuff / t-Piece Resusitator 1 Unit RS. Bhayangkara TK. III Kendari (46);
13 Suction Bayi 1 Unit 1 Blood And Infusion Warmer 4
2 Patient Warmer for Operating 4
3 FISIOTERAPI Set Kecil
Ultrasound ( Double ) 1
TENS 1
Parafin Bath 1
Infra Red 1
Stress Test ECG Sistem With
4 Treadmill 1
5 ECG 12 Channel 1
6 Poli Mata Set
Slit Lamp + Camera + Computer 1
Snallen Chart Proyektor 1
Trial Lens Set + Trial Frame 1
Tonometer Non Contact &
Funduscopy 1
Fundus Copy 1
Autorefkeratometer 1
USG Mata 1
7 OK Mata Set
X-Y Coping For Microscope
Ophtalmology 1
Instrument Catarac Set 1
8 HeadLamp 1

31
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16

9 Emergency Trolley 2
10 Audiometri 1
11 USG Colour Doppler 2D 1
Anasthesia Machine + Ventilator +
12 Compressor 1

RS. BHY TK. III KUPANG APBN RS. BHAYANGKARA TK. III
5 APBN-P 5 RS. Bhayangkara TK. III Kupang (47);
5 KUPANG 6
1 CT Scan 32 slices 1 Buah 1 Patient Monitor Haemodynamic 10 Unit
1 Blood And Infusion Warmer 1
2 Cut Down Set 1 Set 2 Tempat Tidur Pasien 3 Crank 20 Buah 2 Automatic Haematologi Analizer (5Diff) 1
3 Minor Basic Set 1 Set Automatic Cemistry Analyzer Plus PC,
3 Syirige Pump 5 Unit
3 Ups, Printer 1
4 Mayor Syrgery Set 1 Set 4 Autoclave Steam Sterilizer Besar 1 Unit 4 Micro Wave Diathermy 1
5 ECG 12 Channel 1 Unit 5 C-Arm 1
6 DC Shock With Monitor 2 Unit 6 Mobile X-Ray 1
Mesin Anasthesi + Ventilator +
7 1 Unit
Compresor UT
8 HF Electro Surgical Unit 1 Unit
9 LED Operating Double Lamp 2 Unit RS. Bhayangkara TK. III Kupang (47);
10 Broncoscopy Set 1 Unit 1 Waste Sterilizer 1
Ventiilator for Adult, Pediatric &
11 3 Unit
Infant
12 Dental X-Ray Panoramic 1 Unit
13 Operating Table Electric 1 Buah
14 Gynecolog Examination Bed 3 Buah

32
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16

33
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16

RS. BHY TK. III PONTIANAK APBN RS. BHAYANGKARA TK. III RS. Bhayangkara TK. III Pontianak
6 APBN-P 6 (44);
6 PONTIANAK 43
1 CT Scan 32 slices 1 Buah 1 C-Arm 1 set 1 Infusion Pump 5

2 USG (4 Dimensi + Dopler) 1 Unit


2 Laparoscopy Complete Set 1 Set
2 Syringe pump 5
3 Kit Set Bedah Urologi Boor machine untuk tulang Bed Patient 3 Crank Manual
3 1 Set
1 Unit wajah/mandibula 3 (Matras+Bedside+Overbed) 25

CTG 4 Instrument Vena Section set 1 set LED Vein Finder (Alat Pencari
4 2 Unit 4 Pembuluh Darah) 3
5 Anastesi macine 1 Unit 5 Instrument Mayor Surgery Set 3
Anasthesia Machine + Ventilator +
6 Ventilator ICU 2 Unit 6 Compressor 1

34
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
7 Patien monitor 3 Unit 7 Autoclave Steam Sterilizer Besar 1
8 Infant Warmer with monitor 1 Unit
9 Lampu Operasi 2 Unit RS Bhayangkara TK III PONTIANAK
10 Suction 4 Unit 1 Patient Monitor Haemodynamic 2
11 Meja Operasi 1 Unit 2 Ventilator For Adult, Pediatric & Infant 2

3 Operating Table Electric 1


LED Operating Double Lamp
4 1

35
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16

RS. Bhayangkara TK. I RS. APBN RS. Bhayangkara TK. I RS. RS. Bhayangkara TK. I RS. Sukanto
7 APBN-P 7 (52);
7 Sukanto (52); Sukanto (52); 1
1 Endoscope Complete Set 1 Unit 1 Arthoroscopy Set System/Tulang 1 Unit 1 TOKSKOLOGI Set:
2 MSCT 160 Slice 1 Unit * Gas chromatography System 1
3 TOKSKOLOGI Set:
* Water xevo TOD triple quadrupole RS. Bhayangkara TK. I RS. Sukanto
1 Unit
UPLC-MSMS System (52);
* SPE Vacum manifold system for
1 Unit
sample preparation 1 Autoclave Low Temperatur (CSSD) 2
* Ultra pure water purification
1 Unit
simplicit UV (SIMSV00001) 2 Digital Mamography 1
* Inducively cople plasma optical
1 Unit
emission spectrometer (ICP-OES) 3 Diagnostik X-Ray 630 mA 1
* Microwave Digestion 1 Unit

RS. BHAYANGKARA TK. IV RS. BHAYANGKARA TK. IV


APBN-P 8 APBN
8 AMBON AMBON 8 RS. Bhayangkara TK. IV Ambon (10); 12
1 USG Doppler 4 D 1 Unit Ventiilator for Adult, Pediatric &
1 1 Unit
Infant 1 ENT (Ear, Nose, Throat) Treatment Unit 1
2 Meja Operasi Sederhana 1 Unit 2 Operating Table Electric 1 Unit 2 Ventilator for Adult to Infant 1
3 Laparatomi Set 1 Unit 3 General Diagnostik X Ray 800 MA 1 Unit
3 Audiometri 1
4 Defbrillator 1 Unit 4 LED Operating Double Lamp 1 Unit 4 Spirometri 1
5 DC Shock With Monitor 1 Unit 5 Stress Test ECG Sistem With Treadmill 1
6 Dental Unit Set with compressor 1 Unit
6 Microscope Binoculair 1
Automatic Cemistry Analyzer Plus PC,
7 Ups, Printer 1

36
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
8 Centrifuge Micro Hematocrit 1

9 Patient Monitor Haemodynamic 1


10 Syringe pump 1
11 Infusion Pump 1

12 Blood And Infusion Warmer 1

RS Bhayangkara TK IV AMBON

1 Ventilator For Adult, Pediatric & Infant 2


2 Syringe pump 2
3 Infusion Pump 2

RS. BHAYANGKARA TK. IV KEPRI APBN-P RS. BHAYANGKARA TK. IV


9 9 KEPRI APBN-P 9 RS. BHAYANGKARA TK. IV KEPRI 199

Pelayanan Gawat Darurat Pelayanan Gawat Darurat INSTALASI RAWAT JALAN


1 Stretcher / Brankar 1 Unit 1 Stetoscope Adult, Pediatric 1 Unit Poli Umum
Tempat Tidur Pasien 3 crank Tensimeter Digital Adult, Pediatric &
1 Unit
2 Manual 2 Infant 1 Unit 1 LED Examination Lamp 1
3 Infant dan baby wighting scale 1 Unit 2 Sphymomanometer Digital (Adult, Child) 1
Resusitasi 4 Standar Infus 1 Unit 3 Basic Diagnostic Set 1
1 Defibrillator 1 Unit 5 Timbangan Dewasa 1 Unit 4 Patient Strechter 1
2 Emergency Trolly 1 Unit 5 Ultrasonic Nebulizer 1
Tempat Tidur Pasien 3 crank
1 Unit
3 Manual Resusitasi
1 Lampu Periksa 1 Unit Poli Gigi Dan Mulut
Tindakan 2 Nebulizer 1 Unit 1 Dental Unit + Compressor 1
1 Minor Surgery Set 1 Unit 3 Stetoscope Adult, Pediatric 1 Unit 2 Dental X-RAY (PERIAPIKAL) 1

37
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
Tempat Tidur Pasien 3 crank Suction pump mobile (Adult,
1 Unit
2 Manual 4 Pediatric, Baby) 1 Unit 3 Light Curring Apparatus 1
Tensimeter Digital Adult, Pediatric &
5 Infant 1 Unit 4 Full Tester 1
Isolasi 6 Standar Infus 1 Unit 5 Diagnostic Set Dental 1
Tempat Tidur Pasien 3 crank
1 Unit
1 Manual 6 Cavity Preparation Set 1
2 Emergency Trolly 1 Unit Tindakan 7 Amalgam Set 1
1 Lampu Kepala 1 Unit 8 lnlay Indirect Set 1
Observasi 2 Lampu Periksa 1 Unit 9 Exodensia Set 1
1 Stretcher / Brankar 1 Unit 10 Cetakan Set 1
2 Emergency Trolly 1 Unit Isolasi 11 Insersi Gigi Tiruan Set 1
1 Stetoscope Adult, Pediatric 1 Unit 12 Aktivasi Set 1
Tensimeter Digital Adult, Pediatric &
Kamar Tindakan 2 Infant 1 Unit 13 Dry Sterilisator 1
1 Emergency Trolly 1 Unit 3 Standar Infus 1 Unit 14 Scaller Set 7's 1
2 Minor Surgery Set 1 Unit 15 Cotton Roll Holder 1
Observasi 16 Instrument Set Penyemenan 1
Rawat Inap 1 ECG 12 Channel 1 Unit
1 Emergency Trolly 1 Unit 2 Stetoscope Adult, Pediatric 1 Unit Poli Kulit & Kelamin
1 Unit Tensimeter Digital Adult, Pediatric &
2 Minor Surgery Set 3 Infant 1 Unit 1 LED Examination Lamp 1
Tempat Tidur Pasien 3 crank
1 Unit
3 Manual 4 Standar Infus 1 Unit 2 Sphymomanometer Digital (Adult, Child) 1
3 Instrument Minor surgery set 1
C. Pelayanan Bedah Pelayanan Penyakit Dalam 4 Electro Cauter Surgery Set 1
Klinik Rawat Jalan 1 Tempat Tidur Periksa 1 Unit 5 Basic Diagnostic Set 1
1 Alat Pembuka Gips 1 Unit 2 Stetoscope Adult, Pediatric 1 Unit
Tensimeter Digital Adult, Pediatric &
3 Infant 1 Unit Poli Kandungan
Kamar Tindakan 4 Standar Infus 1 Unit 1 LED Examination Lamp 1
1 Minor Surgery Set 1 Unit 2 Sphymomanometer Digital (Adult, Child) 1
2 Circumsisi Set 1 Unit Rawat Inap 3 Instrument Curratage Set 1

38
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
3 Emergency Set 1 Unit 1 ECG 12 Channel 1 Unit 4 Gynecolog Examination Bed 1
1 Unit
4 Lokal Anastesi Set 2 Lampu Periksa 1 Unit 5 Basic Diagnostic Set 1
3 Decubitus Matras 1 Unit 6 USG 3 D 1
Kamar Bedah 4 Nebulizer 1 Unit
Operating Table Electric
1 Unit
1 Sederhana 5 Stetoscope Adult, Pediatric 1 Unit Poli Mata
1 Unit Tensimeter Digital Adult, Pediatric &
2 Operating Lamp Double LED 6 Infant 1 Unit 1 LED Examination Lamp 1
3 Mesin Anastesi Kamar Operasi 1 Unit 7 Standar Infus 1 Unit 2 Sphymomanometer Digital (Adult, Child) 1
4 Mastektomy Set 1 Unit 3 Basic Diagnostic Set 1
5 Patient Stretcher 1 Unit C. Pelayanan Bedah
6 Defibrillator 1 Unit Klinik Rawat Jalan Poli THT
1 Tempat Tidur Periksa 1 Unit 1 LED Examination Lamp 1
Recovery Room 2 Stetoscope Adult, Pediatric 1 Unit 2 Sphymomanometer Digital (Adult, Child) 1
1 Unit Tensimeter Digital Adult, Pediatric &
1 Patient Stretcher 3 Infant 1 Unit 3 Basic Diagnostic Set 1
2 Emergency Trolly 1 Unit 4 Lampu Kepala 1 Unit 4 Mobile Suction Pump 1
5 Lampu Periksa 1 Unit 5 Kaca Mulut + Handle 1
Rawat Bedah Umum 6 Standar Infus 1 Unit
1 Unit Suction pump mobile (Adult,
1 Stretcher / Brankar 7 Pediatric, Baby) 1 Unit Poli Anak
2 Minor Surgery Set 1 Unit 1 LED Examination Lamp 1
Tempat Tidur Pasien 3 crank
1 Unit
3 Manual Kamar Tindakan 2 Sphymomanometer Digital (Adult, Child) 1
4 Emergency Set 1 Unit 1 Electro Surgical Unit (Couter) 1 Unit 3 Basic Diagnostic Set 1
2 Instrument Hecting Set 1 Unit 4 Ultrasonic Nebulizer 1

Pelayanan Kesehatan Anak 3 Standar Infus 1 Unit


Klinik ( Rawat Jalan ) Poli Bedah
1 Vena Section set 1 Unit Ruang Persiapan 1 LED Examination Lamp 1
1 Stetoscope Adult, Pediatric 1 Unit 2 Sphymomanometer Digital (Adult, Child) 1
Tensimeter Digital Adult, Pediatric &
Perawatan Anak 2 Infant 1 Unit 3 Basic Diagnostic Set 1
39
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
1 Emergency trolley 1 Unit 3 Standar Infus 1 Unit 4 Patient Strechter 1
2 Oxygen Concentrator 1 Unit 5 Instrument Minor surgery set 1
Kamar Bedah 6 Dry Sterilisator 1
Mesin Anashesi + Ventilator +
1 Compresor UT 1
Perinatologi 2 Lampu Periksa 1 Unit
1 Unit Laryngoscope Adult, Pediatric,
1 Incubator 3 Baby 1 Unit Poli Penyakit Dalam
1 Unit Suction pump mobile (Adult,
2 Infant Warmer 4 Pediatric, Baby) 1 Unit 1 LED Examination Lamp 1
5 Standar Infus 1 Unit 2 Sphymomanometer Digital (Adult, Child) 1
Ruang Bayi 6 Autoclave Steam Sterilizer Sedang 1 Unit 3 Basic Diagnostic Set 1
1 Incubator 1 Unit 4 Patient Strechter 1
2 Tempat tidur bayi 1 Unit Recovery Room
3 Vena Section set 1 Unit 1 Emergency Stretcher 1 Unit Klinik Jantung
2 Standar Infus 1 Unit 1 Sphymomanometer Digital (Adult, Child) 1
Pelayanan Obstetri dan Suction pump mobile (Adult,
Ginekologi 3 Pediatric, Baby) 1 Unit 2 Stress Test ECG Sistem With Treadmill 1
Klinik ( rawat Jalan ) 3 Basic Diagnostic Set 1
1 Meja periksa kebidanan 1 Unit Rawat Bedah Umum
1 Unit INSTALASI RAWAT INAP UNTUK 4
2 Minor surgery set 1 Stetoscope Adult, Pediatric 1 Unit KELAS
Tensimeter Digital Adult, Pediatric &
2 Infant 1 Unit 1 Film viewer LED (Double) 1
Rawat Inap 3 Standar Infus 1 Unit 2 Ultrasonic Nebulizer 1
Tempat Tidur Pasien 3 crank
1 Unit
1 Manual 3 Instrument Trolley 1
2 Minor surgery set 1 Unit Pelayanan Kesehatan Anak 4 Dry Sterilisator 1
Klinik ( Rawat Jalan ) 5 Syringe pump 1
Pelayanan Gawat Darurat 1 ECG 12 Channel 1 Unit 6 Lemari Obat 1
1 Mobile X-Ray 1 Unit 2 Resusitator Bayi 1 Unit 7 Medicine Trolley 1
3 Stetoscope Adult, Pediatric 1 Unit 8 Sphymomanometer Digital (Adult, Child) 1

40
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
Bed Patient 3 Crank Manual
4 Lampu Periksa 1 Unit 9 (Matras+Bedside+Overbed) 20
Tensimeter Digital Adult, Pediatric &
5 Infant 1 Unit 10 Mobile Suction Pump 1

6 Infant dan baby wighting scale 1 Unit 11 Patient Strechter 1


7 Standar Infus 1 Unit
8 Nebulizer 1 Unit RUANG OPERASI
1 Operating Table Electric 1
Perawatan Anak 2 LED Operating Double Lamp 1
1 ECG 12 Channel 2 Unit 3 Mobile Suction Pump 1
2 Lampu Periksa 1 Unit 4 Electro Cauter Surgery Set 1
3 Nebulizer 1 Unit 5 Head Lamp 1
4 Stetoscope Adult, Pediatric 1 Unit 6 Room Sterilizer 1
5 Termometer digital 1 Unit 7 Autoclave Steam Sterilzer Kecil 1
6 Standar Infus 1 Unit 8 Intrument Appendectomy Set 1

9 Instrument Circumsisi Set 1


Perinatologi 10 Electro Cauter Surgery Set 1
1 Infant dan baby wighting scale 1 Unit 11 Instrument Herniotomy Set 1
2 Stetoscope Adult, Pediatric 1 Unit 12 Lemari Instrument 1
3 Resusitator Bayi 1 Unit 13 Instrument Trolley 1
4 Lampu Periksa 1 Unit 14 Instrument Laparatomy Set 1
5 Standar Infus 1 Unit 15 Instrument Mayor Surgery Set 1
16 Mayo Table 1
Ruang Bayi 17 Mobile Suction Pump 1
1 Resusitator Bayi 1 Unit 18 Film viewer LED (Double) 1
Suction pump mobile (Adult,
2 Pediatric, Baby) 1 Unit
PELAYANAN OBSTETRI DAN
3 Tempat tidur bayi 1 Unit GINEKOLOGI

4 Standar Infus 1 Unit Rawat Jalan

41
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
5 Instrument Vena Section set 1 Unit 1 Gynecolog Examination Bed 1
2 Cardiotocography (CTG) 1
Pelayanan Obstetri dan
Ginekologi 3 LED Examination Lamp 1
Klinik ( rawat Jalan ) 4 Autoclave Steam Sterilzer Kecil 1
1 Timbangan Dewasa 1 Unit 5 Film viewer LED (Double) 1
Tensimeter Digital Adult, Pediatric &
2 Infant 1 Unit 6 Sphymomanometer Digital (Adult, Child) 1
3 Stetoscope Adult, Pediatric 1 Unit 7 Dry Sterilisator 1
4 Fetal Dopller 1 Unit 9 Mobile Suction Pump 1
5 Lampu Periksa 1 Unit 10 Instrument Trolley 1
6 Standar Infus 1 Unit 11 Lemari Instrument 1
12 Patient Strechter 1
Rawat Inap 13 Instrument Minor surgery set 1
1 Lampu Periksa 1 Unit 14 Mayo Table 1

2 Stetoscope Adult, Pediatric 1 Unit 15 Instrument Curratage Set 1


Suction pump mobile (Adult,
3 Pediatric, Baby) 1 Unit

Kamar Besalin
Pelayanan Gawat Darurat 1 Maternity Bed 1
1 Standar Infus 1 Unit 2 Instrument Curratage Set 1
3 Instrument Minor surgery set 1
Pelayanan Rehabilitasi Medik 4 Cardiotocography (CTG) 1
pemeriksaan / penilaian 5 Sphymomanometer Digital (Adult, Child) 1
1 Tempat Tidur Periksa 1 Unit 6 Mobile Suction Pump 1
2 Standar Infus 1 Unit 7 LED Examination Lamp 1
3 Lampu Periksa 1 Unit 8 Dry Sterilisator 1
9 Syringe pump 1

Diagnostic 10 Infusion Pump 1

42
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
Tensimeter Digital Adult, Pediatric &
1 Infant 1 Unit 11 Baby Bassinet 1
2 Standar Infus 1 Unit 12 Infant Warmer 1
3 Stetoscope Adult, Pediatric 1 Unit 13 Infant Incubator 1

14 Film viewer LED (Double) 1


LED Vein Viewer (Alat Pencari
Fisioterapi Fasif 15 Pembuluh Darah) 1
1 Standar Infus 1 Unit
Rawat Inap
Bed Patient 3 Crank Manual
Pemulasaran Jenazah 1 (Matras+Bedside+Overbed) 10
1 Standar Infus 1 Unit 2 Baby Bassinet 2
2 Lampu Kepala 1 Unit 3 Mobile Suction Pump 1
3 Lampu Periksa 1 Unit 4 Gynecolog Examination Bed 1
5 Dressing Trolley 1
6 Antidecubitus Matras 1

7 LED Examination Lamp 1


8 Film viewer LED (Double) 1
9 Ultrasonic Nebulizer 1
10 Instrument Trolley 1
11 Dry Sterilisator 1
12 Syringe pump 1
13 Mayo Table 1
14 DC Shock With Monitor 1
15 Lemari Instrument 1
16 Lemari Obat 1
17 Medicine Trolley 1
18 Sphymomanometer Digital (Adult, Child) 1
19 Patient Strechter 1

Kamar Bedah

43
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
1 Instrument Laparatomy Set 1
2 Instrumen Sectio Caesarian Set 1
3 Infant Incubator 1
4 Instrument Histerectomi Set 1
5 Intrument Embriotomy set 1

INSTALASI GAWAT DARURAT


Triage
1 Patient Strecher 1
2 Sphymomanometer Digital (Adult, Child) 1

Ruang Pemeriksaan Dan Observasi


1 Mobile Suction Pump 1
2 Sphymomanometer Digital (Adult, Child) 1
3 Basic Diagnostic Set 1
4 EKG 12 Channel 1
5 Film viewer LED (Double) 1
6 Emergency Trolley 1
7 Instrument Trolley 1
8 LED Examination Lamp 1

Ruang Resusitasi
1 LED Examination Lamp 1
2 Patient Strecher 1
3 DC Shock With Monitor 1
5 Mobile Suction Pump 1
6 Ultrasonic Nebulizer 1
7 Basic Diagnostic Set 1
8 Sphymomanometer Digital (Adult, Child) 1
9 Film viewer LED (Double) 1
10 Emergency Trolley 1

44
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
11 Instrument Trolley 1
12 Blood And Infusion Warmer 1
13 Syringe pump 1

INSTALASI PENUNJANG
Laundry / Linen
1 Laundry Trolley, SS 1
2 Tumble Drier 20kg 1
3 Washing Machine 35kg 1
4 Flatwork Ironer Single Roll 1

LABORATORIUM
1 Microscope Binoculair 1
2 Laboratory Referigerator ( 625 Ltr) 1
Blood Gas Analyzer + Electrolyte +
3 Lactat 1
4 Centrifuge Micro Hematocrit 1
5 Automatic Haematologi Analizer (5Diff) 1

RS. BHAYANGKARA TK. IV KEPRI


A. Instalasi Bedah
1 Operating Table Electric 1
2 LED Operating Double Lamp 1
Ventilator For Adult, Pediatric &
3 Infant 1
4 Patient Monitor Haemodynamic 1
5 Mobile Suction Pump 1

B. Instalasi ICU
Electric Bed With CPR Function
(Incl. Matrass, Overbed Table,
1 Bedside Cabinet) 1

45
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
2 Patient Monitor Haemodynamic 1
Ventilator For Adult, Pediatric &
3 Infant 1
4 DC Shock With Monitor 1
5 Infusion Pump 1

C. POLI THT
1 Basic Diagnostic Set 1
2 Head Lamp 1
3 Otoscope 1

D. POLI MATA
1 Direct Ophtalmoscopic 1
2 Snallen Chart Proyektor 2
3 Refracting Unit + Phoroptor 1
4 Slit Lamp + Camera + Computer 1
5 Autorefkeratometer 1
6 Lens Meter 1
Tonometer Non Contact &
7 Funduscopy 1
8 Automatic Perimeter 1
Optical Coherence Tomography
9 (OCT) 1
10 Streak Retinoscope 1

E. Rawat Inap
Electric Bed With CPR Function
(Incl. Matrass, Overbed Table,
1 Bedside Cabinet) 50
2 Antidecubitus Matras 2
Bed Patient Children
3 (Matras+Bedside) 2

46
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
Sphymomanometer Digital (Adult,
4 Child) 1

RS. BHAYANGKARA TK. IV APBN-P 10 RS. BHAYANGKARA TK. IV APBN RS. Bhayangkara TK. IV Lampung
10 LAMPUNG LAMPUNG 10 (11); 50
1 Mesin Anastesi Kamar Operasi 1 Unit 1 General Diagnostik X Ray 800 MA 1 Unit 1 Bed Electric 3 Crank 5
2 Operating Table Electric Kimia Analyzer Plus UPS, PC & Bed Patient 3 Crank Manual
1 Unit 2 1 Unit
Sederhana Printer 2 (Matras+Bedside+Overbed) 30
3 Defbrillator 1 Unit 3 Washer Disinfector 1 Unit 3 Ventilator for Adult to Infant 1
5 Operating Lamp Double LED 1 Unit 4 LED Operating Double Lamp 1 Unit 4 Emergency Trolley 2
6 Laparotomy Instrument Set 1 Unit 5 Medical Referigerator 1
8 Thyroidectomy Instrument Set 1 Unit 1 USG Color Doppler 4D 1 APBN-P 6 Autoclave Steam Sterilizer Sedang 1
9 Basic Obgyn Operating Bed Patient 3 Crank Manual
Instrument Set 1 Unit 1
2 (Matras+Bedside+Overbed) 10 7 Patient Monitor Haemodynamic
Ventiilator for Adult, Pediatric &
10 Mayor Basic Instrument Set 1 Unit
3 1
1
Infant 8 Sphymomanometer Digital (Adult, Child)
4 Electro Cauter 2 9 Dressing Trolley 1
5 Scrub Station 1 10 Mobile Suction Pump 1
6 Automatic Processing Film 1 11 Patient Strechter 1
12 Infusion Pump 1

13 Ultrasonic Nebulizer 1
14 Micro Wave Diathermy 1
15 Ultrasound (Double) 1
16 TENS 1
17 Vacuum 1

47
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16

RS. BHAYANGKARA TK. IV RS. BHAYANGKARA TK. IV RS. Bhayangkara TK. III Tebing Tinggi
APBN-P 11
11 TEBING TINGGI TEBING TINGGI APBN 11 (27); 1
1 USG Doppler 4 D 1 Unit Ventiilator for Adult, Pediatric &
1 1 Unit
Infant 1 CT Scan 32 Slice 1
2 Mesin Anastesi Kamar Operasi 1 Unit 2 General Diagnostik X Ray 800 MA 1 Unit

3 Defbrillator 1 Unit 3 Gastro Endoscopy 1 Unit


RS. Bhayangkara TK. III Tebing Tinggi
(27);
1 EEG (Electro Encephalography) 1

2 Dental Unit + Compressor 1


3 Autoclave Low Temperatur (CSSD) 1
4 Mesin Laundry Set 1
Instrument Orthopedy Set + Bor
5 Electric 1
6 USG Echocardiac 1
7 DC Shock With Monitor 1

48
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16

RS. BHAYANGKARA TK. II RS. BHAYANGKARA TK. II


APBN-P
12 MEDAN 12 MEDAN APBN-P 12 RS. Bhayangkara TK. II Medan (51); 12
1 CT Scan 80 Slices 1 Unit 1 Operating Table Electric 2 Unit 1 Laparoscopy General HD 1
2 LED Operating Double Lamp 2 Unit 2 Computer Radiograph + Printer 1
Mesin Anasthesi + Ventilator +
3
Compresor UT
3 Unit 3 Bed Electric 3 Crank 4
4 Blood Gas Analyzer 1 Unit 4 DC Shock With Monitor 1
Kimia Analyzer Plus UPS, PC &
5
Printer
1 Unit 5 Emergency Trolley 1
6 Orthopedy Set + Bor Electric 1 Unit 6 Patient Monitor Haemodynamic 1
7 Treadmill + Echochardiograph 1 Unit 7 Ultrasound (Double) 1
8 Patient Monitor Haemodynamic 6 Unit 8 Endoscopy Set 1
9 Mobile X Ray 300 MA 1 Unit 9 USG Color Doppler 4D 1

10
Autoclave Steam Sterilizer Besar 1 Unit
11 Infusion Pump 5 Unit RS Bhayangkara TK II MEDAN
12 Syirige Pump 5 Unit 1 Patient Monitor Haemodynamic 2
13 Dental X-Ray Panoramic 1 Unit 2 LED Operating Double Lamp 1
49
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
14 Electric Bed with CPR function 10 Unit 3 Operating Table Electric 1
15 ECG 12 Channel 1 Unit 4 Endoscopy Gastro 1
5 USG Colour Doppler 2D 2
6 ESWL 1
7 Instrument Histerectomi Set 1
8 Instrument Minor surgery set 1
9 Electro Cauter Surgery Set 1
10 Ventilator For Adult, Pediatric & Infant 1
11 Dental Unit + Compressor 2

RS.BHY TK. II H. S.
RS.BHY TK. II H. S. SAMSOERI RS.BHY TK. II H. S. SAMSOERI
13 SAMSOERI MERTOJOSO 13
MERTOJOSO SURABAYA
APBN-P 13 MERTOJOSO SURABAYA 13
SURABAYA
1 CT Scan 80 Slices 1 Unit APBN-P 1 Laparoscopy set surgery 1 Unit A. BEDAH
Ventiilator for Adult, Pediatric &
2 1 Set
Infant 1 MRI 1
3 HF Electro Surgical Unit 1 Unit 2 Operating Table Electric 1
Cordless (batery) Orthopaedic Drill &
4 C-Arm 1 Unit
3 Saw 1
4 Instrument Mayor Orthopedi Set 1
BEDAH 5 Room Sterilizer 1
Unit Cranial Stabilization & Retractor
1 (LUNA) 1 6 Operating Microscope 1
2 High Speed Drill for Craniotomy 1 7 Mobile Suction Pump 1
3 Full Spec Microscope 1 8 Electro Cauter Surgery Set 1

9 ENT (Ear, Nose, Throat) Treatment Unit 1


1 Endoscopy Set 1
2 USG Color Doppler 4D 1

50
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
B. ANASTESI
Laryngoscope LED For Adult,Child,
1 Pediatric 1
Anasthesia Machine + Ventilator +
2 Compressor 1
3 Patient Warmer for Operating 1
4 Blood And Infusion Warmer 1

RS Bhayangkara TK II MERTOJOSO
SURABAYA
Bedah Syaraf
1 Endoscopy Neurosurgery Set 1

Bedah Umum
1 Bronchoscopy Set 1

Bedah Orthopaedic
1 Arthroscopy Set 1
2 Instrument Minor Orthopedic Set 1
3 Instrument Mayor Orthopedi Set 2

Bedah Urologi
Set Urologi (URS, Lithotripsi, DJ Stent,
1 TURP, Sachse, Monitor) 1

Bedah THT
1 Electro Cauter Surgery Set 1

Bedah Obsgyn
1 Instrument Sectio Caesarian Set 1

Anasthesi

51
2016 2017 20 18
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
JML SAT JML SAT JML
1 2 3 4 7 8 9 10 11 13 14 15 16
1 Patient Strecher 4
2 Syringe Pump 1
3 Pulse Oxymeter Monitor 1
4 Patient Monitor Haemodynamic 4
5 Patient Warmer for Operating 1

Jakarta, 2017

a.n KEPALA PUSAT KEDOKTERAN DAN KESEH


KABAG MATFASKES

Drs. SUTRISNO UNTORO, Apt


KOMBES POL NRP. 64060874

52
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25

RS. Bhayangkara TK. III


prioritas 1 Manado (41); 20
1
Unit 1 Instrument Sectio Set Set
Unit 2 Waste Sterilizer 1 Unit

1
Unit 3 Instrumen Mayor Orthopedi Set Set
ECG 12 Channel 3
Unit 4 Unit
Unit 5 Cardiotocigraphy (CTG) 1 Unit
Unit 6 Instrument Craniotomy Set 1 Set
Unit 7 Scrub Station 2 Person 1 Unit

1
Unit 8 Autoclave Low Temperatur Unit
Unit 9 Foto Terapy Unit 1 Unit
Unit 10 Gynecolog Examination Bed 1 Unit
Unit 11 Dentail Unit + Compressor 1 Unit
Unit 12 LED Operating Double Lamp 1 Unit
Panoramik Foto X-RaY,
Cephalometric & Tomography 1
Unit 13 Imaging System Unit
Mobile Suction Pump 1
Unit 14 Unit
Autoclave Steam Sterilizer
1
Unit 15 Sedang Unit

53
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Continous Positive Airway
Pressure ( CPAP + 1
Unit 16 Compressor ) Unit
Unit 17 Probes Transvaginal 4D 1 Unit
Unit 18 Endoscopy Set 1 Set

RS. Bhayangkara TK. III


2 Balikpapan (43);

Unit 1 USG Mata 1 Unit


Set 2 Eye Operating Microscope 1 Set

Unit 3 Mesin Phacoemulsifikasi 1 Unit


4 Snallen Chart Proyektor 1 Unit

APBN-P 5 ECG 12 Channel 3 Unit


Stress Test ECG Sistem With
6 Treadmill 1 Unit
7 Audiometri 1 Set
8 Head Lamp 4 Unit
9 Endoscopy THT Set 1 Set
10 Instrument Tonsilectomy Set 2 Set
11 Set FESS 1 Unit
12 EEG (Electro Encephalography) 1 Unit
13 Endoscope Colonoscopy 1 Unit
14 Electro Cauter Surgery Set 1 Unit
15 LED Operating Double Lamp 2 Unit
16 Operating Table Electric 2 Unit
Laryngoscope LED For Adult
17 And Child 6 Set
18 Bed Electric 3 Crank 25 Set
19 Gynecolog Examination Bed 4 Unit
20 USG Echocardiac 1 Unit

54
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
21 Mobile Suction Pump 9 Unit
22 Instrument Laparotomy Set 4 Set
23 Infant Warmer 4 Unit
24 Syringe Pump 5 Unit
25 Infusion Pump 5 Unit
26 Blood And Infusion Warmer 4 Unit
Ventilator For Adult, Pediatric &
27 Infant 3 Unit
28 Infant Incubator 6 Unit
Anasthesi Machine + Ventilator
29 + Compressor 2 Unit
30 Patient Monitor Haemodynamic 4 Unit
31 DC Shock With Monitor 2 Unit
Continous Positive Airway
Pressure ( CPAP +
32 Compressor ) 2 Unit
33 TENS 1 Unit
34 Short Wave Diathermy 1 Unit
35 Instrument Mayor Surgery Set 4 Set
36 Instrument Minor surgery set 8 Set
37 Mobile X-ray 1 Unit
38 Room Sterilizer 2 Unit
39 Cardiotocigraphy (CTG) 1 Unit
40 Computer Radiograph + Printer 1 Unit
41 Laminar Air Flow (LAF) - OK 2 Unit

RS. Bhayangkara TK.IV


Watukosek (21); 19
ENT (Ear, Nose, Throat)
Unit 1 Treatment Unit 1 Unit
Unit 2 Nebulizer Ultrasonic 5 Unit
Unit 3 Pulse Oxymeter Monitor 2 Unit
Unit 4 Autoclave Steam Sterilizer Kecil 1 Unit

55
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Bed Patient 2 Crank Manual
Unit 5 (Matras+Bedside+Overbed) 6 Set
Instrument Sectio Caesarian
Unit 6 Set 1 Set
Blood Gas Analyzer +
Unit 7 Electrolyte + Lactat 1 Unit

Unit 8 LED Operating Double Lamp 2 Unit


Unit

RS. Bhayangkara TK. III


4 Kendari (46);

Set Fisioterapi
1 Pararel Bar Dewasa & Anak 1 Set

Poli Jantung

1 USG Echocardiac 1 Unit


Unit

56
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Unit Kebidanan
Unit 1 Gynecolog Examination Bed 1 Unit
Bed Patient 2 Crank Manual
Unit 2 (Matras+Bedside+Overbed) 15 Set

ICU
APBN-P 1 ECG 12 Channel 1 Unit
Unit
Unit Poli Urologi
Set 1 Holmium Laser 1 Unit
Unit
Unit Kamar Operasi
Unit 1 LED Operating Double Lamp 1 Unit
Unit 2 Operating Table Electric 1 Unit

Unit
Unit Poli THT (Bedah)
Set 1 Head Lamp 2 Unit
Unit
Unit Spesialis Baru
Unit 1 Spirometri 1 Unit

Unit 2 Bronchoscopy Set 1 Set


Unit
Unit UGD
Unit 1 Infusion Pump 2 Unit
Set 2 Syringe Pump 2 Unit

Unit 4 Mobile Suction Pump 1 Unit


Unit 5 Bed Electric 3 Crank 2 Set
Unit 6 Patient Strecher 3 Unit

57
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
LED Vein Finder ( Alat Pencari
Unit 7 Pembuluh Darah ) 2 Unit
Unit
Unit Spesialis Digestive

Unit 1 Endoscopy Set 1 Set

Radiologi
1 Diagnostik X-Ray 630 mA 1 Unit

Poli Saraf
Transcranial Magnetic
1 Stimulation (TMS) 1 Unit

RS. Bhayangkara TK. III


5 Kupang (47); 110
Laryngoscope LED For Adult
Unit 1 And Child 3 Set
Unit 2 USG Color Doppler 4D 1 Unit
Blood Gas Analyzer +
Unit 3 Electrolyte + Lactat 1 Unit
Unit 4 Spirometri 1 Unit
Unit
Unit LOUNDRY

1 Mesin Laundry Set Set


Washing Machine 35kg 1
APBN-P Flatwork Ironer Single Roll 1
Unit Tumble Drier 35 Kg 2

Washing Machine 45kg 1


Steam Press Laundry 1

POLI MATA

58
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
1 Snallen Chart Proyektor 1 Unit
2 Refracting Unit + Phoroptor 1 Unit
3 Slit Lamp + Camera + Computer 1 Unit

RADIOLOGI
1 Computer Radiograph + Printer 1 Unit
2 Digital Mamography 1 Unit

RUANGAN RAWAT INAP


1 Patient Strecher 10 Unit
2 Blood And Infusion Warmer 5 Unit
Bed Patient 3 Crank Manual
3 (Matras+Bedside+Overbed) 30 Set
4 Oxygen Generator 1 Unit
5 USG 3 D 1 Unit
6 ECG 12 Channel 3 Unit
LED Vein Finder ( Alat Pencari
7 Pembuluh Darah ) 4 Unit
8 Container For Sterilizer (1/1) 2 Unit
9 Medicine Trolley 2 Unit

KEBIDANAN
1 Instrument Curratage Set 2 Set

OK
1 Instrument Mayor Surgery Set 2 Set
2 Instrument Minor surgery set 2 Set
3 Laparoscopy General HD 2 Set
Traksi Unit (Cervical Dan
4 Lumbal) 2 Unit
Cordless (batery) Orthopaedic
5 Drill & Saw 4 Unit

59
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
6 Athoroscopy Set 1 Set
7 Laryngoscope Dengan Monitor 1 Unit

ICU
1 Infusion Pump 5 Unit
2 Syringe pump 5 Unit

LAB
1 Semi Auto Urine Analizer 1 Unit

FISIOTHERAPY
1 Infra Red 1 Unit
2 Ultrasound ( Double ) 1 Unit
3 Short Wave Diathermy 1 Unit
4 Micro Wave Diathermy 1 Unit
5 TENS 1 Unit
6 ELECTRICAL STIMULATION 1 Unit
7 Lacer treatment Fisioterapi 1 Unit
8 Pararel Bar Dewasa & Anak 1 Set

RS. Bhayangkara TK. III


6 Pontianak (44);
Unit 1 ALKES ICU
Ventilator For Adult, Pediatric &
Unit 1 Infant 2 Unit

Unit 2 Patient Monitor Haemodynamic 2 Unit


Electric Bed With CPR Function
(Incl. Matrass, Overbed Table,
Unit 3 Bedside Cabinet) 4 Set
Unit 4 Medicine Trolley 2 Unit

Unit 5 Emergency Trolley 2 Unit

60
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Set 6 Pulse Oxymeter Monitor 2 Unit
7 Dry Sterilisator 1 Unit
APBN-P 8 Blood And Infusion Warmer 2 Unit
Unit
Unit 2 ALKES LABORATORIUM
Automatic Haematologi Analizer
Unit 1 (5Diff) 1 Unit
Automatic Cemistry Analyzer
Unit 2 Plus PC, Ups, Printer 1 Unit
3 Centrifuge 2 Unit

3 ALKES KEBIDANAN
1 Maternity Bed 1 Unit
2 Infant
Infant Warmer
Incubator + 2 Unit
3 Phototheraphy 2 Unit

4 ALKES FISIOTERAPI
1 Short Wave Diathermy 1 Unit
2 TENS 1 Unit
Traksi Unit (Cervical Dan
3 Lumbal) 1 Unit
4 Ultrasound ( Double ) 1 Unit
5 ESWL 1 Unit
6 ECG 12 Channel 2 Unit
7 Mobile Suction Pump 4 Unit
8 Syringe pump 10 Unit
9 Infusion Pump 10 Unit
Bed Patient 3 Crank Manual
10 (Matras+Bedside+Overbed) 40 Set
11 Nebulizer Ultrasonic 5 Unit
12 Dentail Unit + Compressor 2 Unit
13 Waste Sterilizer 1 Unit

61
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
14 Instrument Minor surgery set 3 Set
15 Instrument Tonsilectomy Set 2 Set
16 Patient Strecher 5 Unit
17 Laryngoscope Dengan Monitor 1 Unit
18 Endoscopy Set 1 Set

RS. Bhayangkara TK.I RS.


7 Said Sukanto (52); 7
Unit 1 Diagnostik X-Ray 800 mA 1 Unit
Unit 2 USG Color Doppler 4D 4 Unit
Unit 3 Autoclave Low Temperatur 1 Unit

APBN-P 4 Automatic Sealling Machine 1 Unit

Unit

Unit

Unit

RS. Bhayangkara TK.IV


Ambon (10); 16

Unit 1 Infant Incubator 1 Unit


Unit 3 Infant Warmer 1 Unit
Automatic Haematologi Analizer
Unit 4 (5Diff) 1 Unit
Unit 5 Automatic Electrolit Analyzer 1 Unit
Unit 6 Mesin Sterilisasi Set Set
Autoclave Steam Sterilizer
Unit Besar (650ltr) 1
Autoclave Steam Sterilizer
Unit Sedang 1

62
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Unit Dry Sterilisator 1
Washer Disinfektor for
Unit Instrument 1
Unit Sterile Drier for Instrument 1
Unit Autoclave Low Temperatur 1
Ultrasonic Cleaner Complete
Unit Set 1
7 Oxygen Generator 1 Unit
Panoramik Foto X-RaY,
Cephalometric & Tomography
APBN-P 8 Imaging System 1 Unit
Anasthesi Machine + Ventilator
Unit 9 + Compressor 1 Unit
Unit 10 Slit Lamp + Camera + Computer 1 Unit
Unit 11 Autorefkeratometer 1 Unit

PRIORITA RS. BhayangkaraTK. IV


S KEPRI 219
Bed Patient 3 Crank Manual
1 (Matras+Bedside+Overbed) 3 Set
2 Emergency Trolley 2 Unit

Unit
Unit Observasi
Unit 1 Patient Strechter 2 Unit
Unit 2 Emergency Trolley 2 Unit
Unit

Kamar Tindakan
1 Emergency Trolley 1 Unit
Unit 2 Instrument Minor surgery set 2 Set
Unit

63
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25

Unit Rawat Inap

Unit 1 Emergency Trolley 3 Unit


Unit 2 Instrument Minor surgery set 1 Set
Bed Patient 3 Crank Manual
Unit 3 (Matras+Bedside+Overbed) 60 Set
Unit
Unit C. Pelayanan Bedah
Unit Klinik Rawat Jalan
Unit 1 Alat Pembuka Gips 1 Set
Unit
Set Kamar Tindakan

Unit 1 Instrument Minor surgery set 1 Set


Set 2 Instrument Circumsisi Set 1 Set
Unit
Set Kamar Bedah
1 Operating Table Electric 2 Unit
2 LED Operating Double Lamp 2 Unit
Anasthesi Machine + Ventilator
Unit 3 + Compressor 2 Unit

Unit 4 Instrument Mastectomy Set 2 Set


Set 5 Patient Strecher 2 Unit
Unit 6 DC Shock With Monitor 1 Unit
Unit
Recovery Room

1 Patient Strecher 4 Unit


Unit
Unit Rawat Bedah Umum
Set 1 Patient Strechter 2 Unit

64
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Unit 2 Instrument Minor surgery set 2 Set
Bed Patient 3 Crank Manual
Unit 3 (Matras+Bedside+Overbed) 2 Set
Unit
Palayanan Kesehatan Anak

Klinik (Rawat Jalan)

Unit 1 Instrument Vena Section set 2 Set


Unit
Unit Perawatan Anak
1 Oxygen Concentrator 2 Unit

Unit Perinatologi
Unit 1 Infant Incubator 2 Unit

Unit
Unit Ruang Bayi
Unit 1 Infant Incubator 4 Unit

Pelayanan Obstetri dan


Ginekologi
Unit Klinik (Rawat Jalan)

Unit 1 Gynecolog Examination Bed 2 Unit


Unit
Unit Rawat Inap
Bed Patient 3 Crank Manual
1 (Matras+Bedside+Overbed) 4 Set
2 Instrument Minor surgery set 1 Set
Unit
Unit Pelayanan Gawat Darurat
Sphymomanometer Digital
Unit 1 (Adult, Child) 3 Unit
65
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Unit
Set Resusitasi
Unit 1 LED Examination Lamp 2 Unit

2 Nebulizer Ultrasonic 2 Unit


3 Mobile Suction Pump 2 Unit
Sphymomanometer Digital
4 (Adult, Child) 2 Unit

Unit
Unit Tindakan
Unit 1 Head Lamp 2 Unit
Unit 2 LED Examination Lamp 2 Unit

Observasi
Unit 1 ECG 12 Channel 3 Unit
Sphymomanometer Digital
Unit 2 (Adult, Child) 2 Unit
Unit
Rawat Inap

1 ECG 12 Channel 3 Unit

Unit 2 LED Examination Lamp 3 Unit


Unit 4 Nebulizer Ultrasonic 3 Unit
Sphymomanometer Digital
Unit 5 (Adult, Child) 3 Unit
Unit
Unit Kamar Tindakan
Unit 1 Electro Cauter Surgery Set 2 Unit
Unit 2 Instrument Hecting Set 4 Set
Unit

66
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25

Unit Kamar Bedah

Unit 1 Mobile Suction Pump 2 Unit


Autoclave Steam Sterilizer
Unit 2 Sedang 1 Unit
3 Autoclave Steam Sterilizer Kecil 1 Unit

Unit Recovery Room


Unit 1 Patient Strecher 1 Unit
Unit 2 Mobile Suction Pump 1 Unit
Unit
Unit Pelayanan Kesehatan Anak
Unit Klinik (Rawat Jalan)
Unit 1 ECG 12 Channel 2 Unit
Set 3 LED Examination Lamp 2 Unit
Sphymomanometer Digital
Set 4 (Adult, Child) 2 Unit
Unit 5 Nebulizer Ultrasonic 2 Unit
Set 6 Autoclave Steam Sterilizer Kecil 1 Unit
Set
Unit Recovery Room
Set 1 Patient Strecher 1 Unit
Set 2 Mobile Suction Pump 1 Unit
Unit
Unit Pelayanan Kesehatan Anak
Unit Klinik (Rawat Jalan)

1 ECG 12 Channel 1 Unit

3 LED Examination Lamp 1 Unit


Sphymomanometer Digital
4 (Adult, Child) 1 Unit

67
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Unit
Unit Perawatan Anak

Unit 1 ECG 12 Channel 2 Unit


Unit 2 LED Examination Lamp 2 Unit
Unit 3 Nebulizer Ultrasonic 2 Unit

Unit
Unit Periantologi
Unit 2 LED Examination Lamp 2 Unit
Unit
Set Ruang Bayi
Unit 2 Mobile Suction Pump 2 Unit
Set 4 Instrument Vena Section Set 2 Set
Unit
Pelayanan Obstetri dan
Set Ginekologi

Klinik ( Rawat Jalan )


Sphymomanometer Digital
1 (Adult, Child) 2 Unit
Unit 2 Cardiotocigraphy (CTG) 2 Unit
Set 3 LED Examination Lamp 2 Unit
Set
Unit Rawat Inap
Unit 1 LED Examination Lamp 2 Unit
Unit 2 Mobile Suction Pump 2 Unit
Unit
Unit Pelayanan Pehabilitas Medik
Unit Pemeriksaan / Penilian
Bed Patient 2 Crank Manual
Unit 1 (Matras+Bedside+Overbed) 2 Set

68
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25

Unit 2 LED Examination Lamp 2 Unit


Unit
Unit Diagnostic
Sphymomanometer Digital
Unit 1 (Adult, Child) 2 Unit

Unit
Pemulasaran Jenazah
1 Head Lamp 2 Unit

Unit 2 LED Examination Lamp 2 Unit


Unit
Unit Poli THT
Unit 1 Instrument Poly THT Set 1 Set
Unit
Unit Rawat Inap
Bed Patient 3 Crank Manual
Unit 1 (Matras+Bedside+Overbed) 4 Set
Unit
Unit Kamar Bedah
Unit 1 Instrument
Instrument Laparotomy Set
Sectio Caesarian 1 Set
Unit 2 Set 1 Set
Unit 3 Infant Incubator 1 Unit
Unit 4 Instrument Histerectomi Set 1 Set
Unit 5 Instrument Embriotomy Set 1 Set
Unit
Unit INSTALASI GAWAT DARURAT
Unit Triage
Unit 1 Patient Strecher 2 Unit
Unit

69
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Set
Set
Unit
Set
Set

Unit
Unit

Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit

Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit

70
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Unit
Unit
Unit

Unit
Unit
Unit
Unit

Unit
Unit

Unit
Unit
Unit

APBN-P

Unit
Unit

Unit
Unit
Unit

Unit

71
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Unit

Unit
Unit
Unit

Unit
Unit
Unit

Unit
Unit
Unit
Unit
Unit
Unit

Unit
Unit

Unit
Unit

Unit
Unit

Unit

72
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25

Unit

PRIORITA RS. Bhayangkara TK. IV


S Lampung (11); 53
Unit 1 Washer Extractor 80kg 2 Unit

Unit 2 Tumble Drier 90kg 1 Unit


Unit 3 Infant Incubator 2 Unit
Unit 4 ECG 12 Channel 2 Unit
Unit 5 Patient Monitor Haemodynamic 3 Unit
Unit 6 Instrument Mayor Surgery Set 2 Set

Unit 7 Instrument Minor surgery set 2 Set

Unit 8 Slit Lamp + Camera + Computer 1 Unit


Unit 9 Snallen Chart Proyektor 2 Unit
Unit 10 Tonometer Non contanct 1 Unit
Unit 11 Bedah Mata Set : Set
Unit Eye Operating Microscope 1
Instrument Minor Mata Surgery
Unit Set 1
Unit 12 Infant Warmer 2 Unit
Unit 13 LED Examination Lamp 6 Unit
Unit 14 TURP 1 Unit
15 Semi Auto Urine Analizer 1 Unit
Automatic Haematologi Analizer
16 (5Diff) 1 Unit
17 Automatic Electrolit Analyzer
Medical Refrigerator Single 1 Unit
18 Door 1 Unit
19 Centrifuge 1 Unit
Automatic Cemistry Analyzer
20 Plus PC, Ups, Printer 1 Unit

73
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Blood Gas Analyzer +
21 Electrolyte + Lactat 1 Unit
22 Gynecolog Examination Bed 1 Unit
23 Instrument Curratage Set 2 Set
24 Mobile Suction Pump 6 Unit
Sphymomanometer Digital
25 (Adult, Child) 5 Unit
26 Emergency Trolley 2 Unit
Panoramik Foto X-RaY,
Cephalometric & Tomography
27 Imaging System 1 Unit

RS. Bhayangkara TK.III Tebing Tingg 78

Unit 1 USG Color Doppler 4D 3 Unit


Anasthesi Machine + Ventilator
2 + Compressor 1 Unit
Stress Test ECG Sistem With
3 Treadmill 1 Unit
Bed Patient 3 Crank Manual
APBN-P 4 (Matras+Bedside+Overbed) 25 Set
Unit 5 LED Operating Double Lamp 1 Unit
Electric Bed With CPR Function
(Incl. Matrass, Overbed Table,
Unit 6 Bedside Cabinet) 12 Set
Unit 7 Patient Monitor Haemodynamic 1 Unit
Set 8 ECG 12 Channel 2 Unit

Unit 9 Operating Table Electric 2 Unit


Unit 10 Infant Incubator 1 Unit
Unit 11 Colposcope 2 Unit
12 Mobile Suction Pump 2 Unit
13 Dry Sterilisator 2 Unit
14 Patient Strecher 2 Unit

74
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
15 Room Sterilzer 2 Unit
16 Defibrillator AED 2 Unit
Automatic Cemistry Analyzer
17 Plus PC, Ups, Printer 1 Unit
Continous Positive Airway
Pressure ( CPAP +
18 Compressor ) 1 Unit
19 Electro Cauter Surgery Set 1 Unit
20 Instrumen Mayor Orthopedi Set 2 Set
21 Instrument Laparatomy Set 2 Set
22 Instrument Histerectomi Set 2 Set
Laryngoscope LED For Adult
23 And Child 4 Set
24 Instrument Sectio Set 2 Set
25 Instrument Appendectomy Set 2 Set

RS. Bhayangkara TK. II


12 Medan (51); 58
Unit 1 Bed Electric 3 Crank 20 Set
Unit 2 Operating Light Mobile + Battery 2 Unit

Set 3 Emergency Trolley 3 Unit


Unit 4 Infusion Pump 5 Unit
ENT (Ear, Nose, Throat)
Unit 5 Treatment Unit 1 Unit
Unit 7 Nebulizer Ultrasonic 2 Unit
Unit 8 USG 3 D 1 Unit
Unit 9 Electro Cauter Surgery Set 1 Unit
Unit 10 Instrument Mastectomy Set 1 Set
Set Urologi (URS, Lithotripsi, DJ
11 Stent, TURP, Sachse, Monitor) 1 Set
APBN-P 12 TENS 1 Unit
Unit 13 Infra Red 1 Unit
Unit 14 Tonometer Non contanct 1 Unit
75
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Unit 15 Fundus Camera 1 Unit
Unit 16 Micro Wave Diathermy 1 Unit
Unit 17 Short Wave Diathermy 1 Unit
Unit 18 Laminar Air Flow (LAF) - OK 2 Unit
Set 19 Centrifuge 1 Unit
Set 20 Blood And Infusion Warmer 1 Unit
Unit 21 Spirometri 1 Unit
Unit 23 Infant Warmer 1 Unit
Unit 24 Oxygen Generator 1 Unit
25 Audiometri 1 Set
26 Cardiotocigraphy (CTG) 1 Unit
27 Mobile Suction Pump 2 Unit
28 Infant Incubator 2 Unit
29 Foto Terapy Unit 2 Unit

RS. Bhayangkara TK.II


13 Mertojoso Surabaya 17
Bedah Umum

Unit 1 Bronchoscopy Set 1 Set


Unit

Unit Bedah Orthopaedic


Unit 1 Athoroscopy Set Orthopedic
Instrument Minor 1 Set
Set 2 Set 1 Set

Unit 3 Instrument Mayor Orthopedi Set 2 Set


Unit
Unit Bedah Urologi
Set Urologi (URS, Lithotripsi, DJ
Unit 1 Stent, TURP, Sachse, Monitor) 1 Set
Unit
Bedah THT
76
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
1 Electro Cauter Surgery Set 1 Unit

Unit

Unit Bedah Obsgyn Sectio Caesarian


Instrument
Unit 1 Set 1 Set
Unit
Anasthesi

APBN-P 1 Patient Strecher 4 Unit


2 Syringe Pump 1 Unit
Unit 3 Pulse Oxymeter Monitor 1 Unit
4 Patient Monitor Haemodynamic 2 Unit
5 Patient Warmer for Operating 1 Unit
Unit

Set
Set
Set

Set

Set

Set

77
20 18 2019
KET NO MATERIIL KESEHATAN KET
SAT JML SAT
17 19 20 21 22 23 25
Unit
Unit
Unit
Unit
Set

arta, 2017

AT KEDOKTERAN DAN KESEHATAN POLRI


KABAG MATFASKES

rs. SUTRISNO UNTORO, Apt


OMBES POL NRP. 64060874

78
MARKAS BESAR
KEPOLISIAN NEGARA REPUBLIK INDONESIA
PUSAT KEDOKTERAN DAN KESEHATAN

RENCANA KEBUTUHAN ALKES 2017 DAN RENCANA KEBUTUHAN PAGU INDIKATIF 2018

2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10

1. RS. RS. BHY TK. IV BANDA ACEH APBN 1 RS. Bhayangkara TK. IV Aceh (5); 4
A. ALKES LABORATORIUM A. ALKES LABORATORIUM
1 Kimia Analyzer Plus UPS, PC & Printer 1 Unit 1 Blood Bank Refrigerator 1 Unit

B. ALKES RUANG RAWAT INAP B. ALKES RUANG RAWAT INAP


1 Bed Patient 2 Crank 50 Unit 1 Syringe Pump 1 Unit
2 Electric Bed with CPR function 15 Unit
3 Bedside Cabinet 15 Unit C. ALKES RUANG OK
4 Overbed Table 15 Unit 1 Endoscopy Set 1 Unit
2 Patient stretcher 1 Unit
C. ALKES IGD
1 Emergency Stretcher 1 Unit
2 Medical / Instrument Cart 1 Unit RS. Bhayangkara TK. IV Aceh (5);
3 USG Colour Doppler 3D 1 Unit ALKES RUANG RAWAT INAP
4 Electric Bed with CPR function 5 Unit 1 ECG 12 Channel 1 Unit
5 Meja Operasi Sederhana 1 Unit 2 Infusion Pump 1 Unit
6 LED Operating Double Lamp 1 Unit
7 Instrument Laparatomy Set 1 Unit ALKES RUANG OK
8 Instrument Mayor Orthopedi Set 1 Unit 1 Operating Table Electric 1 Unit
9 Kulkas vaksin 1 Unit 2 Anasthesia Machine + Ventilator + Compressor 1 Unit
10 Instrument Minor Surgery Set 1 Unit 3 LED Operating Double Lamp 1 Unit

ALKES LABORATORIUM APBN-P RUANG HCU / ICU


1 Automatic Haematologi Analizer (5Diff) 1 1 Patient Monitor Haemodynamic 1 Unit
2 Plasma Freezer 1 2 Ventilator For Adult, Pediatric & Infant 1 Unit
3 Kulkas vaksin 1 3 Infant Incubator 1 Unit

79
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10

ALKES FISIOTERAPHY
1 Traksi Lumbal 1
2 Short Wave Diathermy 1
3 USG Colour Doppler 3D 1

ALKES RUANG OK
1 HF Electro Surgical Unit 1
2 Room Sterilizer Standing Floor 1
3 Instrument Sectio Caesarian Set 1
4 Oxygen Concentrator 2

ALKES RUANG RONTGEN


1 Computer Radiograph + Printer 1

ALKES RUANG IGD


1 ECG 12 Channel 1
2 DC Shock With Monitor 1
3 Suction pump mobile (Adult, Pediatric, Baby) 5

RUANG FORENSIK
1 LED Operating Double Lamp 1

80
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10

2. RS. BHY TK. IV DUMAI RIAU APBN 2 RS. Bhayangkara TK. IV Dumai Riau (6); 18
1 General Diagnostik X Ray 500 MA 1 Unit
1 LED Vein Viewer (Alat Pencari Pembuluh Darah) 1 Unit
2 USG Colour Doppler 2D 1 Set 2 Autoclave Steam Sterilizer Sedang 1 Unit
3 Ventiilator for Adult, Pediatric & Infant 1 Unit 3 Patient Stretcher 1 Unit
4 Kimia Analiser Sederhana 1 Set 4 Gynecolog Examination Bed 1 Unit
5 Mesin Anasthesi + Ventilator + Compresor UT 1 Set 5 Dental Laser 1 Unit
6 DC Shock With Monitor 1 Unit 6 Dental Unit + Compressor 1 Unit
7 Operating Table Electric 1 Unit 7 Dental Implant Set + Micro Motor 1 Unit
8 Electric Bed with CPR function 15 Unit 8 Bed Side Cabinet 10 Unit
9 EKG 12 Channel 1 Unit

3. RS. BHY TK. IV PADANG APBN 3 RS. Bhayangkara TK. IV Padang (7); 7
1 Blood Gas Analyzer 1 Unit 1 Ventilator for Adult to Infant 1 Unit
2 Alat Fisioterapi Set 1 Unit 2 Instrumen Mayor Orthopedi Set 1 Set
3 USG Colour Doppler 3D 1 Unit 3 ENT (Ear, Nose, Throat) Treatment Unit 1 Set
4 CPAP 1 Unit 4 EKG 12 Channel 1 Unit
5 Infant Incubator 1 Unit 5 Anasthesia Machine + Ventilator + Compressor 1 Unit
6 Operating Table Electric 2 Unit 6 C-Arm 1 Unit
7 LED Operating Double Lamp 2 Unit 7 Automatic Haematologi Analizer (5Diff) 1 Unit
8 Kimia Analyzer Plus UPS, PC & Printer 1 Unit

1 Baby Incubator Transport 1 APBN-P


2 Alat Mata Set 1

81
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10

4. RS. BHY TK. IV YOGJAKARTA APBN 4 RS. Bhayangkara TK. IV DIY (8); 25
1 Instrument Sectio Caesarian Set 1 Unit 1 Patient Stretcher 1 Unit
2 USG Color Doppler 4D 1 Unit 2 Infusion Pump 1 Unit
3 Instrument Mayor Orthopedi Set 1 Unit 3 Patient Monitor Haemodynamic 1 Unit
4 General Diagnostik X Ray 500 MA 1 Unit 4 Syringe pump 1 Unit
Panoramik Foto X-RaY, Cephalometric & Tomography Imaging
5 Instrument Laparatomy Set 1 Unit
5 System 1 Set
6 Instrument Curratage Set 1 Unit 6 Blood Gas Analyzer + Electrolyte + Lactat 1 Unit
7 ECG 12 Channel 1 Unit 7 Baby Incubator Transport 1 Unit
8 Bed Patient 2 Crank 20 Unit 8 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 3 Unit
9 Kimia Analyzer Plus UPS, PC & Printer 1 Unit 9 Defibrillator AED 1 Unit
10 Operating Table Electric 1 Unit 10 DC Shock With Monitor 1 Unit
11 Operating Mobile Lamp 1 Unit 11 Stress Test ECG Sistem With Treadmill 1 Unit
12 Instrument Mayor surgerry Set 1 Unit 12 Laryngoscope LED For Adult,Child, Pediatric 1 Unit
13 Foto Therapy Unit 1 Unit 13 Dental Unit + Compressor 1 Unit
14 Room Sterilizer Standing Floor 5 Unit 14 Cardiotocography (CTG) 1 Unit
15 Bedside Cabinet 5 Unit 15 Bed Patient Children (Matras+Bedside) 1 Unit
16 Suction pump mobile (Adult, Pediatric, Baby) 1 Unit 16 Pulse Oxymeter Monitor 1 Unit
17 Ventiilator for Adult, Pediatric & Infant 1 Unit 17 Infant Incubator 1 Unit
18 Blood Warmer 1 Unit
18 Room Sterilizer 1 Unit
19 CPAP 1 Unit 19 Autoclave Steam Sterilizer Besar 1 Unit
20 Patient Monitor Haemodynamic 5 Unit 20 Automatic Haematologi Analizer (5Diff) 1 Unit
21 Emergency Stretcher 2 Unit 21 Instrument Minor surgery set 1 Unit
22 Lacer treatment Fisioterapi 1 Unit
1 USG Colour Doppler 3D 1 APBN-P 23 Micro Wave Diathermy 1
2 Kimia Analyzer Plus UPS, PC & Printer 1
3 Instrument Sectio Caesarian Set 1 4 RS. Bhayangkara TK. IV DIY (8);
4 Ventiilator for Adult, Pediatric & Infant 1 1 Patient Strecher 6 Unit
5 Instrument Laparatomy Set 1 2 Baby Incubator Transport 4 Unit

82
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
6 Instrument Curratage Set 1 3 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 5 Unit
7 Operating Table Electric 1 4 Bed Patient Children (Matras+Bedside) 2 Unit
8 Operating Mobile Lamp 1 5 Infant Incubator 2 Unit
9 Instrument Mayor Surgery Set 1 6 Instrument Mayor Orthopedi Set 1 Set
10 Instrument THT Diagnostic Set 1 7 Automatic Cemistry Analyzer Plus PC, Ups, Printer 1 Unit
11 Blood And Infusion Warmer 4 8 Probes Transducer Linier 1 Unit
9 Probe USG Phase Array 1 Unit
10 Infusion Pump 10 Unit
11 Patient Monitor Haemodynamic 10 Unit
12 Syringe pump 10 Unit
13 Stress Test ECG Sistem With Treadmill 2 Unit
14 Continous Positive Airway Pressure ( CPAP + Compressor ) 2 Unit
15 Bed Patient 2 Crank Manual (Matras+Bedside+Overbed) 20 Unit
16 Pulse Oxymeter Monitor 5 Unit
17 ENT (Ear, Nose, Throat) Treatment Unit 1 Unit
18 DC Shock With Monitor 4 Unit
19 Medical Refrigerator Single Door 2 Unit
20 Washer Extractor 100 Kg 1 Unit
Electric Bed With CPR Function (Incl. Matrass, Overbed Table,
21 Bedside Cabinet) 2 Unit
22 USG Echocardiac 1 Unit
23 ECG 12 Channel 6 Unit
24 EEG (Electro Encephalography) 1 Unit
25 Anasthesia Machine + Ventilator + Compressor 1 Unit
26 Short Wave Diathermy 1 Unit
27 TENS 2 Unit
28 Audiometri 1 Unit
29 Mobile Suction Pump 3 Unit
30 Instrument Orthopedy Set + Bor Electric 1 Unit

5. RS. BHY TK. IV MALANG APBN 5 RS. Bhayangkara TK. IV Malang (9); 4
1 Electric Bed with CPR function 4 Unit 1 Diagnostik X-Ray Sistem 630mA 1 Unit
2 Ventiilator for Adult, Pediatric & Infant 2 Unit 2 Dental Unit + Compressor 1 Unit
3 Patient Monitor Haemodynamic 4 Unit 3 Mesin sterilisasi set 1 Set
4 Suction pump mobile (Adult, Pediatric, Baby) 4 Unit - Autoclave Steam Sterilizer Besar (1 Unit)
83
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
5 DC Shock With Monitor 1 Unit - Autoclave Steam Sterilizer Sedang (1 Unit)
P6 PInstrument Mayor Orthopedi Set 1 Unit - Dry Sterilisator (1 Unit)
P
a 7 a USG Colour Doppler 3D
a 1 Unit - Washer Disinfektor for Instrument (1 Unit)
r 8 r Computed Radiography (CR X-Ray) 1 Unit - Set Washer Manual liter (1 Unit)
r
a a
a
f f - Sterile Drier for Instrument (1 Unit)
f 1 Dental X-Ray Extra Oral (Panoramic+Chepalometric) 1 APBN-P - Autoclave Low Temperatur (1 Unit)
: 2 : USG Color Doppler 4D 1 - Ultrasonic Cleaner Complete Set (1 Unit)
:1
1 3 1 Slit Lamp + Camera + Computer 1 4 CT Scan 32 Slice 1
. 4 . Instrument THT Diagnostic Set 1
.
K5 KLED Operating Double Lamp 1
K
a 6 a Operating Table Electric 1
a
s 7 s Computer Radiograph + Printer 1
su
u 8 u Electric Bed with CPR function 2
b 9 b Ventiilator for Adult, Pediatric & Infant 1
b
b b
a10a Patient Monitor Haemodynamic
b 2
a
g11g Suction pump mobile (Adult, Pediatric, Baby) 2
g
r 12r DC Shock With Monitor 1
re
e13e Instrument Mayor Orthopedi Set 1
n14n Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 18
n

: :
:
. .
..
.
..
. 6 RS. Bhayangkara TK. III Indramayu (25); 5
..6. RS. BHY TK. III INDRAMAYU APBN
.
.. 1 CT Scan 32 Slice 1 Unit 1 USG Color Doppler 4D 1 Unit
.
..
.
.. 84
.
..
.
.
: :
:
. . 2017 2018
..NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
.
..
.
.. JML SAT JML SAT
.
.. 1 2 3 4 6 7 8 9 10
.
.. 2 Computed Radiography (CR X-Ray) 1 Unit 2 LED Operating Double Lamp 1 Unit
.
..
.. 3 . Ventiilator for Adult, Pediatric & Infant 1 Unit 3 Waste Sterilizer 1 Unit
. 4 Automatic Haematologi Analizer (5Diff) 1 Unit
.2 4 Operating Table Electric 1 Unit
2
2
. 5 . Instrument Mayor Orthopedi Set
. 1 Set
5 Automatic Cemistry Analyzer Plus PC, Ups, Printer 1 Unit
K6 KInstrument Mayor surgerry Set 1 Set
K
a a
a
b 1 b Auto Imuno & Serolog Analyzer
b 1 APBN-P
a a
a 2 Automatic Electrolit Analyzer 1
g g
g
m3 mOxygen Generator 1
m
a 4 a HF Electro Surgical Unit 1
a
t t
tf
f 7 RS. Bhayangkara TK. III Denpasar (26); 7
fa7. RS. BHY TK. III DENPASAR APBN
a
s 1 s Ventiilator for Adult, Pediatric & Infant
a 1 Unit POLIKLINIK MATA
sk 2 Autoclave Steam Sterilizer Besar 1 Unit 1 Operating Microscope 1 Unit
k
ke 1 Unit
e
e
s s
s INSTALASI BEDAH SENTRAL

APBN-P
POLIKLINIK MATA 1 Operating Table Electric 1 Unit
1 Slit Lamp + Camera + Computer 1 2 Mobile Suction Pump 2 Unit
2 Autorefkeratometer 1 3 LED Operating Double Lamp 1 Unit
3 Refraction Chair Unit 1 4 Anasthesia Machine + Ventilator + Compressor 1 Unit
4 Biometri 1 5 Waste Sterilizer 1 Unit
5 Hordeolum Set 1
6 USG Mata 1 RS. Bhayangkara TK. III Denpasar (26);
INSTALASI BEDAH SENTRAL
INSTALASI BEDAH SENTRAL 1 Mobile Suction Pump 2 Unit
1 HF Electro Surgical Unit 1 2 Ventilator For Adult, Pediatric & Infant 1 Unit
2 Room Sterilizer Standing Floor 2
3 Bed Patient 2 Crank Manual (Matras+Bedside+Overbed) 15 INSTALASI BEDAH SENTRAL
: :
: 4 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 4 1 Cordless (batery) Orthopaedic Drill & Saw 1
…5 …Electric Bed with CPR function 2 2 Instrument Tonsilectomy + Adenoid Set 1 Set

. 6 . Blood And Infusion Warmer 2 3 Instrument Histerectomi Set 1 Set
..
.
7 . Tumble Drier 90kg 1 4 Instrument Minor surgery set 1 Set
3 3
3
. . 85
.
K
: : 2017 2018
:NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
… …

. . JML SAT JML SAT
..
.3
1. 2 3 4 6 7 8 9 10
8 3 ENT (Ear, Nose, Throat) Treatment Unit 1 5 Mayo Table 2 Buah
3
. .
. 9 Mesin Cuci 1 6 Laryngoscope LED For Adult And Child 2 Unit
K K 7 Patient Strecher 4 Unit
K
a a NICU 8 Patient Monitor Haemodynamic 5 Unit
a
u 1 u Ventiilator for Adult, Pediatric & Infant
u 1 9 Operating Table Electric 2 Buah
r 2 r Multiplace Hyperbaric Chamber + Oxygen Generator 1 10 Scrub Station 2 Person 2 Unit
rt
t
tu 11 USG 3 D 1 Unit
u
u
FISIOTERAPI
1 Micro Wave Diathermy 1 Unit
2 TENS 1 Unit
3 Ultrasound ( Double ) 1 Unit

8 RS. Bhayangkara TK. II Sartika Asih (48); APBN 8 RS. Bhayangkara TK. II Sartika Asih (48); 3
1 CT Scan 80 Slice 1 Unit 1 EEG (Electro Encephalography) 1 Unit
2 Endoscopy Set 1 Unit 2 EMG 1 Unit
3 LED Operating Double Lamp 1 Unit 3 Mesin sterilisasi set 1 Unit
4 Operating Table Electric 1 Unit
RS. Bhayangkara TK. II Sartika Asih (48);
1 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 30 APBN-P 1 Ventilator For Adult, Pediatric & Infant 2 Unit
2 C Arm 1 2 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 30 Unit
3 USG Color Doppler 4D 1 3 Patient Monitor Haemodynamic 10 Unit
4 Tonometrik Non Contact dan fundoscopy 1 4 Syringe pump 10 Unit
5 Ventiilator for Adult, Pediatric & Infant 1 5 Infusion Pump 1 Unit
6 Dental X-Ray Extra Oral (Panoramic+Chepalometric) 1 6 USG Color Doppler 4D 1 Unit
7 Patient Monitor Haemodynamic 5 7 Endoscopy THT Set 3 Unit
: : 8 Infant Incubator 1 Unit
: 9 Tonometer Non Contact & Funduscopy 2 Unit
. . 10 ECG 12 Channel 3 Unit
..
. Panoramik Foto X-RaY, Cephalometric & Tomography Imaging
..
. 11 System 1 Unit
..
.
..
. 12 Stress Test ECG Sistem With Treadmill 1 Unit
.. 13 Mesin Sterilisasi Set 1 Unit
.
.4
4 14 Mesin Phacoemulsifikasi + Instrument Cataract Set 1 Unit
4
. . 15 Biometri 1 Unit
.
S S 86
S
e e
e
s s
. .
..
.
..
.
..
. 2017 2018
..NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN
.
..
.
.4
4 JML SAT JML SAT
4
. 1.
. 2 3 4 6 7 8 9 10
16 DC Shock With Monitor 1 Unit
S S
S
e e 17 Baby Incubator Transport 1 Unit
e
s s 18 Probes Transducer Linier 1 Unit
sp
p 19 Audiometri 1 Unit
p
u u
u 20 ENT (Ear, Nose, Throat) Treatment Unit 1 Unit
s s
sd
d
d
o 9 o RS. Bhayangkara TK. IV Bojonegoro (12); APBN 9 RS. Bhayangkara TK. IV Bojonegoro (12); 57
o
k 1 k Operating Table Electric 1 Unit 1 Syringe pump 5 Unit
kk
ke 2 LED Operating Double Lamp
k 1 Unit 2 Mobile Suction Pump 1 Unit
e 3 e Ventiilator for Adult, Pediatric & Infant 1 Unit 3 Blood Gas Analyzer + Electrolyte + Lactat 1 Unit
s s
s 4 USG Color Doppler 4D 1 Unit 4 Infant Warmer 1 Unit
5 Mesin Anasthesi + Ventilator + Compresor UT 1 Unit 5 DC Shock With Monitor 1 Unit
6 Mobile X Ray 300 MA 1 Unit 6 EKG 12 Channel 1 Unit
7 USG Colour Doppler 2D 1 Unit 7 Blood And Infusion Warmer 1 Unit
8 Patient Monitor Haemodynamic 3 Unit
9 Emergency Trolley 1 Unit
10 Patient Warmer for Operating 1 Unit
11 Continuous Positive Airway Pressure (CPAP+Compressor) 1 Unit
12 Bed Patient 2 Crank Manual (Matras+Bedside+Overbed) 35 Unit
13 Bed Electric 3 Crank 5 Unit

RS. Bhayangkara TK. IV Bojonegoro (12);


1 Syringe pump 5 Unit
2 Mobile Suction Pump 2 Unit
3 Infant Warmer 2 Unit
4 Blood And Infusion Warmer 2 Unit
5 Patient Monitor Haemodynamic 6 Unit
: : 6 Emergency Trolley 2 Unit
:
7 Continous Positive Airway Pressure ( CPAP + Compressor ) 2 Unit
. .
..
.
.. 10 RS. Bhayangkara TK. IV Sespimma (13); APBN 10 RS. Bhayangkara TK. IV Sespimma (13); 37
.
.. 1 LED Operating Double Lamp 1 Unit RUANG ICU
.
..
2 . Computed Radiography (CR X-Ray) 1 Set 1 Ventilator for Adult to Infant 2 Unit
.
3 Mesin Anasthesi + Ventilator + Compresor UT 1 Unit 2 Patient Monitor Haemodynamic 2 Unit
4 DC Shock With Monitor 1 Set 3 Syringe pump 3 Unit
87
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
5 Operating Table Electric 1 Set 4 Infusion Pump 3 Unit
6 Mobile X Ray 300 MA 1 Unit 5 DC Shock With Monitor 1 Unit
7 Dental Unit Set with compressor 2 Unit 6 EKG 12 Channel 1 Unit
Unit 7 Pulse Oxymeter Monitor 2 Unit
RUANG LABORATORIUM Unit 8 Cardiotocography (CTG) 2 Unit
1 Kimia Analyzer Plus UPS, PC & Printer 1 9 Patient Strechter 2 Unit
APBN-P 10 Non Invasive CVP 2 Unit
RUANG RADIOLOGI
1 USG Colour Doppler 3D 1 RUANG RAWAT INAP
1 Bed Electric 3 Crank 10 Unit
POLI SPESIALIS MATA
1 Automatic Snellen Chart Projector 1 RUANG PERINATOLOGI
2 Phoropter 1 1 Infant Incubator 3 Unit
3 Slit Lamp + Camera + Computer 1
RUANG LABORATORIUM
PENGADAAN ALAT KESEHATAN 1 Automatic Haematologi Analizer (5Diff) 1 Unit
1 Gynecolog Examination Bed 3 2 Automatic Electrolit Analyzer 1 Unit
2 Operating Table Electric 1
3 Dental Unit + Compressor 1 RUANG REHAB MEDIK
1 Micro Wave Diathermy 1 Unit
2 Lacer treatment Fisioterapi 1 Unit

RS Bhayangkara TK IV SESPIMMA POLRI


1 Refracting Unit + Phoroptor 1 Unit
2 Mesin Phacoemulsifikasi + Instrument Cataract Set 1 Unit
3 X-Y Coping For Microscope Ophtalmology 1 Unit
4 Infant Incubator 3 Unit
5 Infant Incubator + Phototheraphy 1 Unit
6 Infant Warmer 3 Unit
7 Patient Monitor Haemodynamic 5 Unit
8 Syringe pump 2 Unit
9 Infusion Pump 2 Unit
10 Continous Positive Airway Pressure ( CPAP + Compressor ) 1 Unit
11 Electro Cauter Surgery Set 2 Unit
12 Probe USG 4D (untuk USG Ultrasonix) 1 Unit
88
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
13 ECG 12 Channel 3 Unit
14 Mobile Suction Pump 5 Unit
15 Microscope Binoculair 1 Unit
16 Blood Gas Analyzer + Electrolyte + Lactat 1 Unit
17 Mesin Laundry Set 1 Set

15. RS. BHY TK. IV PALANGKARAYA APBN 11 RS. Bhayangkara TK. IV Palangkaraya (14); 27
1 General Diagnostik X Ray 800 MA 1 Unit 1
1 Autoclave Steam Sterilizer Sedang Unit
2 Alat Fisioterapi Set 1 Unit 2 Patient Monitor Haemodynamic 2 Unit
3 USG Color Doppler 4D 1 Unit 3 Operating Table Electric 1 Unit
4 Kimia Analyzer Plus UPS, PC & Printer 1 Unit 4 Electro Cauter Surgery Set 1 Unit
5 DC Shock With Monitor 1 Unit 5 Patient Strechter 3 Unit
6 Bed Patient 2 Crank Manual (Matras+Bedside+Overbed) 15 Unit
7 Ventilator for Adult to Infant 1 Unit
8 Stress Test ECG Sistem With Treadmill 1 Unit
9 Instrumen Mayor Orthopedi Set 1 Set
10 Blood Gas Analyzer + Electrolyte + Lactat 1 Unit

12 RS. Bhayangkara TK. III Nganjuk (28); APBN 12 RS. Bhayangkara TK. III Nganjuk (28); 13
1 Ventiilator for Adult, Pediatric & Infant 1 Unit 1 Infant Incubator 2 Unit
2 USG Color Doppler 4D 1 Unit 2 Foto Terapy Unit 1 Unit
3 Mesin Laundry Set 1 Unit 3 Continuous Positive Airway Pressure (CPAP+Compressor) 1 Unit
4 DC Shock With Monitor 1 Unit 4 Infant Warmer 1 Unit
5 Mobile Suction Pump 1 Unit
1 Automatic Snellen Chart Projector 1 APBN-P 6 Ultrasonic Nebulizer 1 Unit
2 Tonometer Non contanct dan Funduscopy 1 7 Gynecolog Examination Bed 1 Unit
3 Trial Lens Set + Trial Frame 1 8 Dental Unit + Compressor 1 Unit
4 Continuous Positive Airway Pressure (CPAP) 2 9 Autoclave Steam Sterilizer Besar 1 Unit
5 Mesin Phacoemulsifikasi + Cataract Set 1 10 Patient Monitor Haemodynamic 1 Unit
6 X-Y Coping for microscop Opthalmology 1 11 EKG 12 Channel 1 Unit
7 Biometri 1 12 C-Arm 1 Unit
8 USG Mata 1
9 Slit Lamp + Camera + Computer 1 RS. Bhayangkara TK. III Nganjuk (28);
1 Diagnostik X-Ray 630 mA 1 Unit
89
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
2 Anasthesia Machine + Ventilator + Compressor 4 Unit
Electric Bed With CPR Function (Incl. Matrass, Overbed Table,
3 Bedside Cabinet) 4 Unit
4 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 100 Unit
5 Ventilator For Adult, Pediatric & Infant 2 Unit
6 Sphymomanometer Digital (Adult, Child) 1 Unit
7 Syringe pump 1 Unit
8 Infusion Pump 1 Unit

13 RS. Bhayangkara TK. III Banjarmasin (29); APBN 13 RS. Bhayangkara TK. III Banjarmasin (29); 1

1 Endoscopy Set 1 Unit


1 Multiplace Hyperbaric Chamber 1 Unit

14 RS. Bhayangkara TK. III Tulung Agung (30); APBN 14 RS. Bhayangkara TK. III Tulung Agung (30); 20
1 LED Operating Double Lamp 1 Unit
1 Instrument Mayor Orthopedi Set 1 Set

90
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
2 Gastro & colonoscopy Endoscopy 1 Unit 2 Electro Cauter Surgery Set 1 Unit
3 Operating Table Electric 1 Unit 3 C-Arm 1 Unit
4 Mesin Anasthesi + Ventilator + Compresor UT 1 Set 4 Patient Monitor Haemodynamic 3 Unit
5 Ventiilator for Adult, Pediatric & Infant 1 Unit 5 Infant Incubator 1 Unit
6 Bed Electric 3 Crank 3 Unit
1 Lumenis Versa Pulse Holmium Laser 1 APBN-P 7 USG 3 D 1 Unit
2 Opthalmic Surgical System 1 8 Oxygen Generator 1 Unit
3 Mesin Anashesi + Ventilator + Compresor UT 1 9 Operating Table Electric 1 Unit
4 LED Operating Double Lamp 1 10 Ventilator for Adult to Infant 1 Unit
5 ESWL 11 LED Operating Double Lamp 1 Unit
12 Endoscope Washer 1 Unit
13 Autoclave Steam Sterilizer Sedang 1 Unit
14 Anasthesia Machine + Ventilator + Compressor 1 Unit
15 DC Shock With Monitor 1 Unit
16 EKG 12 Channel 1 Unit

RS Bhayangkara TK III TULUNG AGUNG


1 DC Shock With Monitor 2 Unit
2 Patient Monitor Haemodynamic 5 Unit
3 Ventilator For Adult, Pediatric & Infant 2 Unit
4 Fisiotherapi Set Set
Short Wave Diathermy 1 Unit
TENS 1 Unit
Lacer treatment Fisioterapi 1 Unit
Micro Wave Diathermy 1 Unit
Ultrasound ( Double ) 1 Unit
Tens Dan Ulrasound Terapi Combination 1 Unit
5 Automatic Cemistry Analyzer Plus PC, Ups, Printer 1 Unit
6 Automatic Haematologi Analizer (5Diff) 1 Unit
7 Auto Imuno & Serolog Analyzer 1 Unit
8 Blood Gas Analyzer + Electrolyte + Lactat 1 Unit
9 Eye Operating Microscope 1 Unit
10 Instrument Trepanasi Set (Bedah Syaraf : Cranio+Trepanasi) 1 Unit

15 RS. Bhayangkara TK. III Bondowoso (31); APBN 15 RS. Bhayangkara TK. III Bondowoso (31); 17
91
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
1 USG Color Doppler 4D 1 Unit 1 Ventilator for Adult to Infant 1 Unit
2 Operating Table Electric 2 Unit 2 Bio Safety Cabinet (BSC) 1 Unit
3 Mobile X Ray 300 MA 1 Unit 3 Autoclave Steam Sterilizer Sedang 1 Unit
4 Computed Radiography (CR X-Ray) 1 Set 4 Auto Imuno & Serolog Analyzer 1 Unit
5 Mesin Anasthesi + Ventilator + Compresor UT 1 Set 5 Continuous Positive Airway Pressure (CPAP+Compressor) 1 Unit
6 Gynecolog Examination Bed 1 Unit 6 Instrument Mayor Orthopedi Set 1 Unit
7 LED Operating Double Lamp 1 Set
1 DC Shock With Monitor 3 APBN-P 8 Sterile Drier for Instrument 1 Unit
2 Dental Unit + Compressor 1 9 EKG 12 Channel 1 Unit
3 TENS 1 10 Baby Incubator Transport 1 Unit
11 Traksi Unit (Cervical Dan Lumbal) 1 Unit

12 Short Wave Diathermy 1 Unit


13 Bed Electric 3 Crank 4 Unit
14 Infant Incubator 1 Unit

RS Bhayangkara TK III BONDOWOSO


1 Continous Positive Airway Pressure ( CPAP + Compressor ) 2 Unit
2 USG Color Doppler 4D 1 Unit
3 Ventilator For Adult, Pediatric & Infant 3 Unit
4 Bio Safety Cabinet (BSC) 1 Unit
5 Autoclave Steam Sterilizer Sedang 1 Unit
6 Automatic Cemistry Analyzer Plus PC, Ups, Printer 1 Unit
7 LED Operating Double Lamp 3 Unit
8 Sterile Drier for Instrument 1 Unit
9 ECG 12 Channel 2 Unit
10 Baby Incubator Transport 1 Unit
11 Traksi Unit (Cervical Dan Lumbal) 1 Unit
12 Short Wave Diathermy 1 Unit
13 Electro Cauter Surgery Set 1 Unit
14 Operating Table Electric 1 Unit
15 Mesin Phacoemulsifikasi + Instrument Cataract Set 1 Unit
16 Infant Incubator 2 Unit
17 Bed Electric 3 Crank 6 Unit

92
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
16 RS. Bhayangkara TK. III Setukpa (32); APBN 16 RS. Bhayangkara TK. III Setukpa (32); 33
1 Washer Disinfector 1 Unit 1 Diagnostik X-Ray Sistem 800mA 1 Unit
2 LED Operating Double Lamp 2 Unit 2 LED Operating Double Lamp 2 Unit
3 Operating Table Electric 2 Unit 3 Bed Patient 2 Crank Manual (Matras+Bedside+Overbed) 30 Unit
4 Mesin Anasthesi + Ventilator + Compresor UT 1 Set
5 Ventiilator for Adult, Pediatric & Infant 1 Unit
6 Infant Incubator 4 Unit RS Bhayangkara TK III SETUKPA
1 Anasthesia Machine + Ventilator + Compressor 1 Unit
2 Ventilator For Adult, Pediatric & Infant 1 Unit
3 Operating Table Electric 1 Unit
4 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 50 Unit
5 ECG 12 Channel 1 Unit
6 Stress Test ECG Sistem With Treadmill 1 Unit
7 USG Color Doppler 4D 1 Unit
8 Endoscopy THT Set 1 Unit
Panoramik Foto X-RaY, Cephalometric & Tomography Imaging
9 System 1 Unit

93
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10

17 RS. Bhayangkara TK. II Semarang (49); APBN 17 RS. Bhayangkara TK. II Semarang (49); 1
1 USG Color Doppler 4D 1 Unit 1 C-Arm 1 Unit
2 Mobile X Ray 300 MA 1 Unit 2 Electro Cauter Surgery Set 1 Unit
3 Computed Radiography (CR X-Ray) 1 Set 3 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 1
4 LED Operating Double Lamp 1 Unit 4 Sphymomanometer Digital (Adult, Child) 1
5 Operating Table Electric 1 Unit
6 General Diagnostik X Ray 800 MA 1 Unit
7 Alat Fisioterapi Set 1 Unit RS. Bhayangkara TK. II Semarang (49);
1 Laparoscopy General HD 1 Unit
1 CT Scan 80 Slice 1 APBN-P

94
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10

18 RS. Bhayangkara TK. IV Akpol (15); APBN 18 RS. Bhayangkara TK. IV Akpol (15); 37
I KAMAR BEDAH A KAMAR OPERASI
1 LED Operating Double Lamp 1 Unit 1 DC Shock With Monitor 1 Unit
2 Operating Table Electric 1 Unit 2 Instrumen Mayor Orthopedi Set 1 Unit
3 Mesin Anasthesi + Ventilator + Compresor UT 1 Unit 3 Instrument Mayor Surgery Set 1 Unit
4 Patient Monitor Haemodynamic 1 Unit 4 Instrument Herniotomy Set 1 Unit
5 HF Electro Surgical Unit 1 Unit 5 Emergency Trolley 2 Unit
6 Room Sterilizer Standing Floor 1 Unit
7 Infusion Pump 1 Unit B POLI RADIOLOGY
8 Suction pump mobile (Adult, Pediatric, Baby) 1 Unit 1 Diagnostik X-Ray Sistem 630mA 1 Unit
9 Syirige Pump 1 Unit
10 Instrument Sectio Caesarian Set 1 Set C POLI OBYGN
95
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
11 Instrument Laparatomy Set 1 Set 1 USG 3 D 1 Unit
12 Instrument Histerectomi Set 1 Set
13 Instrument Microsurgery Set 1 Set D IGD
14 Autoclave Steam Sterilizer Besar 1 Unit 1 Emergency Trolley 6 Unit
15 Emergency Stretcher 1 Unit 2 Bed Side Cabinet 19 Unit

RS. Bhayangkara TK. IV Akpol (15);


POLI REHABILITASI MEDIK
II RECOVERY ROOM 1 Traksi Unit (Cervical Dan Lumbal) 1 Unit
1 Patient Monitor Haemodynamic 1 Unit 2 Cryotheraphy Unit 1 Unit
2 Emergency Stretcher 1 Unit 3 Micro Wave Diathermy 1 Unit
4 Ultrasound ( Double ) 1 Unit

KAMAR OPERASI
1 Syringe pump 4 Unit

IGD
1 DC Shock With Monitor 1 Unit

19 RS. Bhayangkara TK. IV Bogor (16); APBN 19 RS. Bhayangkara TK. IV Bogor (16); 25
1 Operating Table Electric 1 Unit 1 Electro Cauter Surgery Set 1 Unit
2 Mesin Anasthesi + Ventilator + Compresor UT 1 Unit 2 Autoclave Steam Sterilzer Kecil 3 Unit
3 Instrument Laparatomy Set 1 Unit 3 Foto Terapy Unit 1 Unit
4 Autoclave Steam Sterilizer Besar 1 Unit 4 Ultrasonic Nebulizer 2 Unit
5 Mobile Examination Lamp 2 Unit 5 USG 3 D 1 Unit
6 Infant Incubator 2 Unit 6 Gynecolog Examination Bed 2 Unit
Panoramik Foto X-RaY, Cephalometric & Tomography Imaging
1 Unit
7 Suction pump mobile (Adult, Pediatric, Baby) 7 System 1 Unit
8 DC Shock With Monitor 1 Unit 8 Instrument Trolley 6 Set
9 Patient Monitor Haemodynamic 1 Unit 9 EKG 12 Channel 2 Unit
10 Mobile Suction Pump 3 Unit
11 Medical Referigerator 1 Unit
12 Cardiotocography (CTG) 2 Unit

96
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10

20 RS. Bhayangkara TK. IV Sulawesi Barat (17); APBN 20 RS. Bhayangkara TK. IV Sulawesi Barat (17); 56
1 General Diagnostik X Ray 800 MA 1 Unit 1 USG 3 D 1 Unit
2 Kimia Analyzer Plus UPS, PC & Printer 1 Unit 2 Operating Table Electric 1 Unit
3 Instrument Laparatomy Set 1 Unit 3 Bed Patient 2 Crank Manual (Matras+Bedside+Overbed) 50 Unit
Instrument Sectio Set 1 Unit
4 4 Anasthesia Machine + Ventilator + Compressor 1 Unit
5 Instrument Histerectomi Set 1 Unit 5 Patient Monitor Haemodynamic 1 Unit
6 Instrument Herniotomy Set 1 Unit 6 Patient Strechter 2 Unit
7 Patient Monitor Haemodynamic 2 Unit
8 Mesin Anasthesi + Ventilator + Compresor UT 1 Unit
9 Infant Incubator 2 Unit
10 ECG 12 Channel 2 Unit
11 DC Shock With Monitor 2 Unit
12 Suction pump mobile (Adult, Pediatric, Baby) 2 Unit
13 Instrument Minor Surgery Set 1 Unit
14 Laparascopy Set Surgery Sederhana 1 Unit
15 CT Scan 32 Slice 1 Unit
16 Automatic Procesing Film 1 Unit
17 USG Colour Doppler 3D 1 Unit
18 Operating Table Electric 2 Unit
19 LED Operating Double Lamp 2 Unit
20 Treadmill + Echochardiograph 1 Unit
21 Automatic Haematologi Analizer 1 Unit

21 RS. Bhayangkara TK. III Bengkulu (33); APBN 21 RS. Bhayangkara TK. III Bengkulu (33); 15
1 Bed Patient 2 Crank 50 Unit 1 Waste Sterilizer 1 Unit
ᵜ Bedside Cabinet 2 Electro Cauter Surgery Set 1 Unit
ᵜ Overbed Table 3 Patient Monitor Haemodynamic 1 Unit
ᵜ Matress Lokal 4 Autoclave Steam Sterilzer Kecil 1 Unit
2 Mesin Anasthesi + Ventilator + Compresor UT 1 Unit 5 Room Sterilizer 1 Unit
3 LED Operating Double Lamp 1 Unit 6 Foto Terapy Unit 1 Set
4 Operating Table Electric 1 Unit 7 Bed Electric 3 Crank 9 Unit
97
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
5 Room Sterilizer Standing Floor 1 Unit
6 Instrument Sectio Caesarian Set 1 Unit RS Bhayangkara TK III BENGKULU
7 Oxygen Concenrator 1 Unit 1 Infusion Pump 1 Unit
8 Ventiilator for Adult, Pediatric & Infant 1 Unit 2 Syringe pump 1 Unit
9 Instrument Minor Surgery Set 1 Set 3 Instrument Sectio Caesarian Set 1 Set
10 CT Scan 32 Slice 1 Unit 4 Blood Gas Analyzer + Electrolyte + Lactat 1 Unit
11 Computed Radiography (CR X-Ray) 1 Unit 5 Blood And Infusion Warmer 1 Unit
12 DC Shock With Monitor 1 Unit 6 Infant Incubator 1 Unit
7 Dry Sterilisator 1 Unit

1 Direct Ophtalmoscopic 1 APBN-P 8 Instrument Laparatomy Set 1 Set


2 Indirect Ophtalmoscopic 1
3 Katarak Set 1
4 Suction pump mobile (Adult, Pediatric, Baby) 2
5 LED Operating Double Lamp 1
6 ENT (Ear, Nose, Throat) Treatment Unit 1
7 Instrument Mayor Orthopedi Set 1
8 Digital Breast Tomosntesis DBT (Mammogaphy) 1
9 Dental Unit + Compressor 1

22 RS. Bhayangkara TK. III Porong (34); APBN 22 RS. Bhayangkara TK. III Porong (34); 20
1 Operating Table Electric 1 Unit 1 LED Operating Double Lamp 1 Unit
2 General Diagnostik X Ray 800 MA 1 Unit 2 Autoclave Steam Sterilizer Besar 1 Unit
3 Instrument Mayor surgerry Set 1 Set 3 Continuous Positive Airway Pressure (CPAP+Compressor) 1 Unit
4 Instrument Mayor Orthopedi Set 1 Set 4 Infant Incubator 1 Unit
5 USG Colour Doppler 3D 1 Unit 5 Foto Terapy Unit 1 Unit
6 Instrument Laparatomy Set 1 Set 6 Baby Incubator Transport 1 Unit
7 Instrument Sectio Set 1 Set 7 Mobile Suction Pump 2 Unit
8 Instrument Histerectomi Set 1 Set 8 Bed Electric 3 Crank 3 Unit
9 Patient Monitor Haemodynamic 2 Unit 9 DC Shock With Monitor 1 Unit
10 Mesin Anasthesi + Ventilator + Compresor UT 1 Unit 10 Cardiotocography (CTG) 1 Unit
11 Washer Disinfector 1 Unit 11 Stress Test ECG Sistem With Treadmill 1 Unit
12 Short Wave Diatermi (SWD) 1 Unit 12 Patient Strechter 1 Unit
13 Micro Wave Diatermi (MWD) 1 Unit 13 Gynecolog Examination Bed 1 Unit
14 Ultrasound Theraphy 1 Unit 14 Automatic Haematologi Analizer (5Diff) 1 Unit
98
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
15 TENS 1 Unit 15 Automatic Cemistry Analyzer Plus PC, Ups, Printer 1 Unit
16 Infra Red 1 Unit 16 Bio Safety Cabinet (BSC) 1 Unit
17 Traksi Lumbal 1 Unit 17 Dental X-RAY Panoramic 1 Unit
18 Dental X-Ray Panoramic (Periapikal) 1 Unit
19 Infant Warmer 3 Unit RS Bhayangkara TK III PORONG
1 Infant Incubator 2 Unit
1 HF Electro Surgical Unit 1 APBN-P 2 Mobile Suction Pump 2 Unit
2 Suction pump mobile (Adult, Pediatric, Baby) 1 3 DC Shock With Monitor 2 Unit
3 Slit Lamp + Camera + Computer 1 4 Patient Strecher 4 Unit
5 Operating Table Electric 1 Unit
6 Anasthesia Machine + Ventilator + Compressor 1 Unit
7 USG 3 D 1 Unit

23 RS. Bhayangkara TK. III Lumajang (35); APBN 23 RS. Bhayangkara TK. III Lumajang (35); 10
1 Mobile X Ray 300 MA 1 Unit 1 Mobile Suction Pump 1 Unit
2 Mesin Anasthesi + Ventilator + Compresor UT 1 Unit 2 Infant Incubator 1 Unit
3 Operating Table Electric 1 Unit 3 Infant Warmer 1 Unit
4 LED Operating Double Lamp 1 Unit 4 DC Shock With Monitor 1 Unit
5 Instrument Laparatomy Set 1 Set 5 Automatic Haematologi Analizer (5Diff) 1 Unit
6 Instrument Mayor Obgyn Set 1 Unit 6 Automatic Cemistry Analyzer Plus PC, Ups, Printer 1 Unit
7 Instrument Mayor Orthopedi Set 1 Set 7 Electro Cauter Surgery Set 1 Unit
8 Instrument Bedah Saraf Set 1 Set 8 Washer Extractor 80kg 1 Unit
9 USG Color Doppler 4D 1 Unit 9 Flatwork Ironer Single Roll 1 Unit
10 Ventiilator for Adult, Pediatric & Infant 1 Unit 10 Autoclave Steam Sterilizer Sedang 1 Unit
11 Instrument Pediatric Surgery Set 1 Set
12 CT Scan 32 Slice 1 Unit RS. Bhayangkara TK. III Lumajang (35);
1 Mobile Suction Pump 3 Unit
2 Infant Incubator 2 Unit
3 ECG 12 Channel 1 Unit

24 RS. Bhayangkara TK. II Kediri (50); APBN 24 RS. Bhayangkara TK. II Kediri (50); 3
1 ESWL 1 Unit 1 Operating Microscope 1 Unit
2 Endoscopy Set 1 Set 2 Ventilator for Adult to Infant 1 Unit
3 EEG (Electro Encephalography) 1 Unit

99
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10

25 RS. Bhayangkara TK. IV Moh. Dahlan (18); APBN-P 25 RS. Bhayangkara TK. IV Moh. Dahlan (18); 102
1 Kimia Analyzer Plus UPS, PC & Printer 1 Unit DEWASA
2 General Diagnostik X Ray 800 MA 1 Unit 1 Tang Cabut Dws Premolar Sisa Akar Ra 2 Unit
3 Electric Bed with CPR function 6 Unit 2 Tang Cabut Dws Premolar Sisa Akar RB 1 Unit
4 Short Wave Diatermi (SWD) 1 Unit 3 Tang Cabut Mahkota Molar RB 1 Unit
5 Patient Monitor Haemodynamic 3 Unit 4 Tang Cabut Sisa Akar Molar RB 1 Unit
6 DC Shock With Monitor 2 Unit 5 Rasapatorim 1 Pcs
7 USG Colour Doppler 2D 1 Unit ANAK
8 Infusion Pump 2 Unit 6 Tang Cabut Unit
9 Syirige Pump 2 Unit A. Insivus Sisa Akar RA 1 Pcs
10 Infant Incubator 1 Unit B. Insivus Mahkota RB 1 Pcs
11 Suction pump mobile (Adult, Pediatric, Baby) 1 Unit C. Insivus Sisa Akar RB 1 Unit
7 Bein Lurus Besar 1 Unit
8 MATA BUR HIGHSPEED Unit
A. Fissure Panjang 5 Pcs
B. Round 5 Pcs
C. Inverted 5 Unit
D. Taper rate 5 Unit
9 Kaca Mulut + Handle 5 Unit
10 Pinset Biasa 5 Pcs
11 Eskavator 5 Unit
12 Sonde Setengah Bulan 5 Pcs
13 Semen Stopper 4 Pcs
14 Plastik Filling Instrument 5 Pcs
15 Scaller Tips Lancip 5 Pcs
16 Scaller Tips Tumpul 5 Pcs
17 Agate Spatel 2 Pcs
18 Instrument Trolley 2 Unit
19 Cito Jet 1 Unit

B Alat Rumah Sakit


100
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
1 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 7 Unit
2 Gynecolog Examination Bed 1 Unit
3 Maternity Bed 1 Unit
4 Baby Bassinet 2 Unit
5 Infant Incubator 1 Unit
6 Ultrasonic Nebulizer 1 Unit
7 Emergency Trolley 3 Unit
8 Lemari Obat 2 Unit
9 Patient Strecher 1 Unit
10 Pulse Oxymeter Monitor 2 Unit
11 Room Sterilizer 1 Unit
12 Sphymomanometer Digital (Adult, Child) 2 Unit
13 Dry Sterilisator 2 Unit
14 LED Examination Lamp 2 Unit

26 RS. Bhayangkara TK. IV Ternate (19); APBN 26 RS. Bhayangkara TK. IV Ternate (19); 3
Panoramik Foto X-RaY, Cephalometric & Tomography Imaging
1 Unit
1 Operating Table Electric 1 System 1 Unit
2 Kimia Analyzer Plus UPS, PC & Printer 1 Unit 2 Fisioteraphi Set 1 Unit
3 Instrument Laparatomy Set 1 Set 3 Microscope Binoculair 1 Unit
4 Instrument Sectio Set 1 Set
5 Instrument Histerectomi Set 1 Set
6 Instrument Herniotomy Set 1 Set
7 Patient Monitor Haemodynamic 1 Unit
8 DC Shock With Monitor 2 Unit
9 Mesin Anasthesi + Ventilator + Compresor UT 1 Unit
10 Infant Incubator 2 Unit
11 USG Colour Doppler 2D 1 Unit
12 Electric Bed with CPR function 14 Unit
13 Gynecolog Examination Bed 2 Unit
14 LED Operating Double Lamp 1 Unit

Jakarta, 2017
101
a.n KEPALA PUSAT KEDOKTERAN DAN KESEHATAN POLRI
2017 2018
NO MATERIIL KESEHATAN KET NO MATERIIL KESEHATAN

JML SAT JML SAT


1 2 3 4 6 7 8 9 10
Jakarta, 2017

a.n KEPALA PUSAT KEDOKTERAN DAN KESEHATAN POLRI


KABAG MATFASKES

Drs. SUTRISNO UNTORO, Apt


KOMBES POL NRP. 640

102
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12

1 RS. Bhayangkara TK. IV Aceh (5); 41


A. ALKES RUANG FISIOTERAPHY
1 Parafin Bath 1 Unit
2 Infra Red 1 Unit
3 TENS 1 Unit
4 Pararel Bar Dewasa & Anak 1 Set
5 Stress Test ECG Sistem With Treadmill 1 Unit

B. ALKES RUANG KEBIDANAN


1 Cardiotocigraphy (CTG) 1 Unit
2 Vacum Extractor Set 1 Set

APBN-P C. ALKES RUANG ZAAL


1 Emergency Trolley 1 Unit
2 Nebulizer Ultrasonic 1 Unit

D. ALKES RUANG IGD


1 Emergency Trolley 1 Unit
2 Sphymomanometer Digital (Adult, Child) 2 Unit
3 Syringe pump 1 Unit

E. ALKES RUANG HCU


2 Emergency Trolley 1 Unit

G. ALKES RUANG POLI SPESIALIS MATA


1 USG Mata 1 Unit
2 Tonometer Non contanct 1 Unit

103
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
Alat Mata Set (Refraction Unit+Phoropter, Snellen Chart, Trial
3 Lens & Frame) Set
Refraction Unit + Phoroptor 1 Unit
Snallen Chart Proyektor 1 Unit
Trial Lens Set + Trial Frame 1 Unit
Autorefkeratometer 1 Unit
Fundus Camera 1 Unit
Direct Ophtalmoscopic 1 Unit
4 Slit Lamp + Camera + Computer 1 Unit

I ALKES RUANG LAUNDRY


1 Washer Extractor 45kg 1 Unit

J. ALKES KURANG GIZI


1 Medical Referigerator 2 Door (900 ltr) 1 Unit

K. ALKES RUANG CCSD


1 Autoclave Steam Sterilizer Besar (800Ltr) 1 Unit

L. ALKES RUANG GIGI


a. Set Konservasi Gigi
1 Handpiece High Speed LED 2 Hole 2 Set
2 Air Motor Low Speed Set 1 Unit
3 Light Curring Apparatus 1 Unit
4 Rotary motor wireless 1 Unit
5 Apex Locator 1 Unit
6 Automatic handpiece cleaning & Lubrication system 1 Unit
7 Dentail X-Ray ( PERIAPIKAL) 1 Unit
8 Automatic Processing Film 1 Unit
9 Intra Oral Camera + PC 1 Unit
10 Autoclave Steam Sterilizer Kecil 1 Unit
11 Apec Locator 1 Unit
13 Opturation System 1 Unit
14 Rubber Dam Kit 1 Unit

104
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
e. Set Prosthodonsi
1 Artikulator Dental 1 Unit

2 RS. Bhayangkara TK. IV Dumai Riau (6); 18


Panoramik Foto X-RaY, Cephalometric & Tomography Imaging
1 System 1 Unit
2 Electro Cauter Surgery Set 1 Unit
3 TENS 1 Unit
4 Ultrasound ( Double ) 1 Unit
5 Microscope Binoculair 2 Unit
6 Blood And Infusion Warmer 1 Unit
7 Automatic Haematologi Analizer (5Diff) 1 Unit
8 Syringe Pump 2 Unit
9 Diagnostik X-Ray 630 mA 1 Unit
10 LED Operating Double Lamp 1 Unit
11 Infant Warmer 1 Unit
12 Autoclave Steam Sterilizer Kecil 1 Unit
13 Infusion Pump 2 Unit
14 Scrub Station 2 Person 1 Unit
15 Infant Incubator 1 Unit

RS. Bhayangkara TK.IV Padang (7); 25


1 Instrument Laparatomy Set 1 Set
2 Instrument Trepanasi Set (Bedah Syaraf : Cranio+Trepanasi) 1 Set
3 DC Shock With Monitor 1 Unit
4 Diagnostik X-Ray 630 mA 1 Unit
5 Patient Monitor Haemodynamic 1 Unit
6 Autoclave Steam Sterilizer Kecil 1 Unit
7 Pharmacy Referigerator Single Door 1 Unit
8 EEG (Electro Encephalography) 1 Unit
9 Mesin Sterilisasi Set Set
Autoclave Steam Sterilizer Besar (650ltr) 1
Autoclave Steam Sterilizer Sedang 1
Dry Sterilisator 1
Washer Disinfektor for Instrument 1
105
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
Sterile Drier for Instrument 1
Autoclave Low Temperatur 1
Ultrasonic Cleaner Complete Set 1
10 Bed Electric 3 Crank 10 Set

4 RS. Bhayangkara TK.IV DIY (8); 45


1 Endoscopy Set 1 Set
2 Instrument Tonsilectomy Set 1 Set
3 Laparoscopy General HD 1 Set
4 USG Echocardiac 1 Unit

5 Audiometri 1 Set
6 EMG 1 Unit
7 Computer Radiograph + Printer 1 Unit
8 Waste Sterilizer 1 Unit
9 Digital Mamography 1 Unit
10 Anasthesi Machine + Ventilator + Compressor 1 Unit
11 Instrument Orthopedy Set + Bor Electric 1 Set
12 Instrument Urologi Set 1 Set
13 ENT (Ear, Nose, Throat) Treatment Unit 1 Unit
14 Tumble Drier 90kg 1 Unit
15 Flatwork Ironer Single Roll 1 Unit
16 Dry Sterilisator 1 Unit
17 Patient Strecher 5 Unit
Electric Bed With CPR Function (Incl. Matrass, Overbed Table,
18
Bedside Cabinet) 10 Set
19 Infant Warmer 2 Unit
20 Vacum Extractor Set 1 Set
21 Instrument Minor surgery set 4 Set
22 Semi Auto Urine Analizer 1 Unit
23 Automatic Electrolit Analyzer 1 Unit
24 Short Wave Diathermy 1 Unit
25 Ultrasound ( Double ) 1 Unit
26 Traksi Unit (Cervical Dan Lumbal) 1 Unit
27 Extracorporeal Shock Wave Theraphy (ESWT) 1 Unit

106
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
28 TENS 1 Unit

5 RS. Bhayangkara TK. IV Malang (9); 39


KAMAR OPERASI
ANASTHESI SET
1 Anasthesi Machine + Ventilator + Compressor 1 Unit
2 Operating Table Electric 1 Unit
107
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
3 Instrument Histerectomi Set 1 Set

RUANG RAWAT INAP


1 Bed Patient Children (Matras+Bedside) 10 Unit

POLI MATA
ALAT OPERASI MATA SET
1 Eye Operating Microscope 1 Unit
2 USG Mata 1 Unit
3 Mesin Phacoemulsifikasi 1 Unit

POLI THT
THT SET
1 Instrument Poly THT Set 1 Set
2 ENT (Ear, Nose, Throat) Treatment Unit 1 Unit

RUANG REHABILITAS MEDIS


REHAB MEDIS
Therapi Rehab Medis
1 Short Wave Diathermy 1 Unit
2 TENS 1 Unit
3 Ultrasound ( Double ) 1 Unit

PARINATOLOGI / NICU
1 Continous Positive Airway Pressure ( CPAP + Compressor ) 2 Unit
2 Foto Terapy Unit 2 Unit
3 LED Examination Lamp 2 Unit
4 Infant Incubator 2 Unit
5 Baby Incubator Transport 2 Unit
6 Infant Warmer 2 Unit
7 Infusion Pump 3 Unit
8 Syringe pump 3 Unit

RS. Bhayangkara TK.III Indramayu (25); 23


1 Anasthesi Machine + Ventilator + Compressor 1 Unit
108
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
2 Ventilator For Adult, Pediatric & Infant 2 Unit
3 Electro Cauter Surgery Set 1 Unit
4 DC Shock With Monitor 1 Unit
Electric Bed With CPR Function (Incl. Matrass, Overbed Table,
5 Bedside Cabinet) 5 Set
6 Cardiotocigraphy (CTG) 2 Unit
7 Patient Monitor Haemodynamic 7 Unit
8 Instrument Craniotomy Set 1 Set
11 Foto Terapy Unit 3 Unit

7 RS. Bhayangkara TK. III Denpasar (26);


1 ECG 12 Channel 1 Unit
2 Emergency Trolley 2 Unit
3 Infant Warmer 2 Unit
4 Infant Incubator 2 Unit

MINTA TAMBAH VIA WA 23 MEI


5 Foto Theraphy 1 2018 TAPI BELUM ADA USULAN
6 Treadmill 1 TERTULIS

APBN-P

109
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12

8 RS. Bhayangkara TK. II Sartika Asih (48);


1 Patient Monitor Haemodynamic 5 Unit
2 Baby Incubator Transport 1 Unit
3 Dentail Unit + Compressor 1 Unit
4 Diagnostik X-Ray 800 mA 1 Unit
APBN-P 5 ECG 12 Channel 1 Unit
6 Infusion Pump 10 Unit
7 Syringe Pump 10 Unit
8 Anasthesi Machine + Ventilator + Compressor 1 Unit
9 Ventilator For Adult, Pediatric & Infant 3 Unit
10 Foto Terapy Unit 2 Unit
11 Infant Warmer 2 Unit
12 Stress Test ECG Sistem With Treadmill 1 Unit
13 Gynecolog Examination Bed 1 Unit

110
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12

RS. Bhayangkara TK.IV Bojonegoro (12); 4


1 Diagnostik X-Ray 800 mA 1 Unit
2 Computer Radiograph + Printer 1 Unit
3 Endoscopy Gastro 1 Set
4 Set Urologi (URS, Lithotripsi, DJ Stent, TURP, Sachse, Monitor) 1 Set

APBN-P

PRIORITAS 10 RS. Bhayangkara TK. IV Sespimma (13);


RUANG ICU
1 ENT (Ear, Nose, Throat) Treatment Unit 1 Unit
2 Baby Incubator Transport 2 Unit
3 Autoclave Steam Sterilizer Sedang 1 Unit
111
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
4 Electro Cauter Surgery Set 2 Unit
5 Pharmaceutical Referigerator Triple Door 1 Unit
6 Patient Strecher 7 Unit
7 Emergency Trolley 2 Unit
8 Infant Warmer 2 Unit
9 Mobile Suction Pump 4 Unit

APBN-P

112
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12

RS. Bhayangkara TK.IV Palangkaraya (14); 6


Panoramik Foto X-RaY, Cephalometric & Tomography Imaging
1 System 1 Unit
2 Set Urologi (URS, Lithotripsi, DJ Stent, TURP, Sachse, Monitor) 1 Set
3 CT Scan 32 Slice 1 Unit
4 ECG 12 Channel 1 Unit
5 USG Echocardiac 1 Unit
6 Anasthesi Machine + Ventilator + Compressor 1 Unit

RS. Bhayangkara TK.III Nganjuk (28); 68


1 Gynecolog Examination Bed 4 Unit
2 Bed Electric 3 Crank 4 Set
3 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 50 Set
4 Laminar Air Flow (LAF) - OK 2 Unit
5 Mobile Suction Pump 2 Unit
6 Defibrillator AED 1 Unit
7 ENT (Ear, Nose, Throat) Treatment Unit 1 Unit
8 Patient Monitor Haemodynamic 4 Unit

APBN-P

113
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12

RS. Bhayangkara TK.III Banjarmasin (29); 23


REALOKASI
KE
SEMARANG 1 Computer Radiograph + Printer 1 Unit
2 ENT (Ear, Nose, Throat) Treatment Unit 1 Unit
3 Laparoscopy General HD 1 Set
4 Automatic Processing Film 2 Unit
5 Biometri 1 Unit
6 USG Color Doppler 4D 1 Unit
7 CT Scan 32 Slice 1 Unit
8 Automatic Haematologi Analizer (5Diff) 1 Unit
9 Semi Auto Urine Analizer 1 Unit
10 Centrifuge 2 Unit
11 Bio Safety Cabinet (BSC) 1 Unit
12 Lacer treatment Fisioterapi 1 Unit
13 Set Urologi (URS, Lithotripsi, DJ Stent, TURP, Sachse, Monitor) 1 Set
15 Instrument Mayor Orthopedi Set 1 Set
16 Instrument Autopsi Set 1 Set
17 Mesin Phacoemulsifikasi 1 Unit
18 Continous Positive Airway Pressure ( CPAP + Compressor ) 1 Unit
19 Blood Bank Refrigerator 2 Unit
20 LED Vein Finder ( Alat Pencari Pembuluh Darah ) 2 Unit

RS. Bhayangkara TK.III Tulung Agung (30); 21


Panoramik Foto X-RaY, Cephalometric & Tomography Imaging
1 System 1 Unit

114
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
2 Steam Press Laundry 1 Unit
3 Autorefractokeratometer+Biometri 1 Unit
4 Ventilator For Adult, Pediatric & Infant 3 Unit
5 Dentail Unit + Compressor 1 Unit
6 Bed Electric 3 Crank 8 Set
7 Baby Incubator Transport 2 Unit
8 DC Shock With Monitor 4 Unit

APBN-P

15 RS. Bhayangkara TK. III Bondowoso (31);


115
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
1 Endoscopy Set 1 Set
2 Continous Positive Airway Pressure ( CPAP + Compressor ) 2 Unit
3 Ventilator For Adult, Pediatric & Infant 3 Unit
4 Laminar Air Flow (LAF) - OK 1 Unit
5 Short Wave Diathermy 1 Unit
6 TENS 1 Unit
7 Spirometri 1 Unit
8 USG Mata 1 Unit
9 Autorefkeratometer 1 Unit
10 Indirect Opthalmoscope 1 Unit
11 Stress Test ECG Sistem With Treadmill 1 Unit
Panoramik Foto X-RaY, Cephalometric & Tomography Imaging
12 System 1 Unit
13 Anasthesi Machine + Ventilator + Compressor 1 Unit
14 Operating Light Mobile + Battery 1 Unit
15 Mesin Phacoemulsifikasi 1 Unit
APBN-P 16 Instrument Sectio Caesarian Set 3 Set
17 Instrument Laparatomy Set 2 Set
18 Instrument Mastectomy Set 1 Set
19 Instrument Minor surgery set 2 Set
20 Instrument Catarac Set 2 Set
21 Instrument Urologi Set 1 Set
22 Patient Strecher 5 Unit
23 Infant Warmer 1 Unit
24 Foto Terapy Unit 1 Unit
25 LED Vein Finder ( Alat Pencari Pembuluh Darah ) 1 Unit
26 Bronchoscopy Set 1 Set
27 Incenerator 1
USUL BARU MINTA
28 Magnetotheraphy 1
DITAMBAHKAN KE APBN 2019
29 Quadricep bench 1

116
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
16 RS. Bhayangkara TK. III Setukpa (32); 144
1 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 100 Set
2 Infant Warmer 5 Unit
3 USG Color Doppler 4D 1 Unit
4 Fisiotherapi Set Set
Infra Red 1
APBN-P Ultrasound ( Double ) 1
Short Wave Diathermy 1
Micro Wave Diathermy 1
TENS 1
ELECTRICAL STIMULATION 1
Lacer treatment Fisioterapi 1
Pararel Bar Dewasa & Anak 1
5 Patient Monitor Haemodynamic 5 Unit
6 ESWL 1 Unit
1
7 CT Scan 32 Slice Unit
Panoramik Foto X-RaY, Cephalometric & Tomography Imaging
1
8 System Unit
9 Tumble Drier 70kg 1 Unit
10 Emergency Trolley 4 Unit
11 Instrumen Mayor Orthopedi Set 1 Set
12 Ventilator For Adult, Pediatric & Infant 2 Unit
13 Anasthesi Machine + Ventilator + Compressor 2 Unit
14 Mobile Suction Pump 1 Unit
15 Snallen Chart Proyektor 1 Unit
16 Trial Lens Set + Trial Frame 1 Set
17 Tornometer Non Contact 1 Unit
18 Indirect Opthalmoscope 1 Unit
19 Mesin Phacoemulsifikasi 1 Unit
20 Eye Operating Microscope 1 Unit
21 ENT (Ear, Nose, Throat) Treatment Unit 1 Unit
22 Laryngoscope LED For Adult And Child 1 Set
23 Stress Test ECG Sistem With Treadmill 1 Unit
24 ECG 12 Channel 1 Unit

117
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
25 Instrument Poly THT Set 1 Set

17 RS. Bhayangkara TK. II Semarang (49);


1 Defibrillator AED 1 Unit
2 Pulse Oxymeter Monitor 3 Unit
3 Lemari Instrument 1 Unit
6 Blood And Infusion Warmer 2 Unit
8 Basic Diagnostic Set 3 Set
9 Gynecolog Examination Bed 2 Unit
APBN-P 10 Blood Gas Analyzer + Electrolyte + Lactat 1 Unit
11 Biometri 1 Unit
12 Patient Strechter 4 Unit
13 Continous Positive Airway Pressure ( CPAP + Compressor ) 2 Unit
14 Bed Electric 3 Crank 3 Set
16 CT Scan Lab Jantung 1 Unit
17 Instrument Curratage Set 4 Unit
18 LED Vein Finder ( Alat Pencari Pembuluh Darah ) 2 Unit
19 DC Shock With Monitor 1 Unit
20 ECG 12 Channel 2 Unit
21 Electro Cauter Surgery Set 2 Unit
22 TENS 1 Unit
23 Epilasi Set 1 Set
24 Fundus Copy 1 Unit
25 Head Lamp 4 Unit
26 Infant Incubator 1 Unit
27 Infant Warmer 4 Unit
28 Infra Red 1 Unit
29 Infusion Pump 8 Unit
31 Pharmacy Referigerator Single Door 2 Unit
32 LED Examination Lamp 4 Unit
33 Laryngoscope LED For Adult And Child 4 Set
34 Laser ND YAG (Mata) 1 Unit
35 Lens Meter 1 Unit
37 Mayo Table 8 Unit
38 Anasthesi Machine + Ventilator + Compressor 1 Unit
118
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
39 Instrument Minor surgery set 2 Set
40 Patient Monitor Haemodynamic 6 Unit
41 Nebulizer Ultrasonic 2 Unit
43 Direct Ophtalmoscopic 1 Unit
44 Instrument Orthopedy Set + Bor Electric 1 Set
46 Paraffin Bath 1 Unit
47 Alat Pembuka Gips 1 Set
48 Snallen Chart Proyektor 1 Unit
49 Autoclave Steam Sterilizer Kecil 3 Unit
50 Autoclave Low Temperatur 1 Unit
51 Mobile Suction Pump 4 Unit
52 Short Wave Diathermy 1 Unit
53 Extracorporeal Shock Wave Theraphy (ESWT) 1 Unit
54 Syringe pump 6 Unit
55 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 7 Set
56 Sphymomanometer Digital (Adult, Child) 12 Unit
57 Tonometer Non contanct 1 Unit
58 Stress Test ECG Sistem With Treadmill 1 Unit
59 Emergency Trolley 3 Unit
60 USG Echocardiac 1 Unit
61 Ventilator For Adult, Pediatric & Infant 1 Unit
62 Multiplace Hyperbaric Chamber 1 Unit REALOKASI DARI BANJARMASIN

18 RS. Bhayangkara TK. IV Akpol (15); 18


A. Pelayanan Gawat Darurat
1 Defibrillator AED 2 Unit
3 ECG 12 Channel 1 Unit
4 Mobile X-Ray 1 Unit
5 Instrument Vena Section set 1 Set

B. Pelayanan Penyakit Dalam


1 ENT (Ear, Nose, Throat) Treatment Unit 1 Unit

C. Pelayanan Kesehatan Anak


1 Foto Terapy Unit 2 Unit
119
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
2 Nebulizer Ultrasonic 2 Unit

D. Pelayanan Obstetri Dan Gynaekologi


1 Cardiotocigraphy (CTG) 2 Unit
3 USG 3 D 2 Unit

F. Pelayanan Rehabilitasi Medik


1 Probes Transducer Linier 2 Unit
2 Pararel Bar Dewasa & Anak 2 Set

PRIORITAS 19 RS. Bhayangkara TK. IV Bogor (16);


1 USG 3 D 2 Unit
2 LED Examination Lamp 2 Unit
3 Infusion Pump 2 Unit
4 Syringe pump 1 Unit
5 Bed Electric 3 Crank 4 Set
6 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 6 Set

7 Infant Warmer 1 Unit


8 Laryngoscope LED For Adult And Child 2 Set
9 Ventilator For Adult, Pediatric & Infant 2 Unit
10 Dental Instrument Set 1 Set
11 Washer Extractor 35kg 1 Unit
12 Patient Strechter 1 Unit
13 Room Sterilzer 1 Unit
120
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
14 Instrument Appendectomy Set 1 Set
15 Dry Sterilisator 1 Unit

RS. Bhayangkara TK.IV Sulawesi Barat (17); 44


1 Anasthesi Machine + Ventilator + Compressor 1 Unit
2 Ventilator For Adult, Pediatric & Infant 2 Unit
3 Patient Monitor Haemodynamic 4 Unit
Electric Bed With CPR Function (Incl. Matrass, Overbed Table,
4 Bedside Cabinet) 12 Set
5 DC Shock With Monitor 1 Unit
6 Mesin Laundry Set
Washing Machine 35kg 1
Flatwork Ironer Single Roll 1
Tumble Drier 35 Kg 2
Washing Machine 45kg 1
Steam Press Laundry 1
7 Washer Disinfektor for Instrument 1 Unit
8 Operating Table Electric 1 Unit
9 LED Operating Double Lamp 1 Unit
10 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 5 Set
11 Patient Strecher 10 Unit

RS. Bhayangkara TK.III Bengkulu (33); 52


1 Anasthesi Machine + Ventilator + Compressor 1 Unit
2 Mesin Phacoemulsifikasi 1 Unit
3 Centrifuge 2 Unit
4 Tonometer Non contanct 1 Unit
5 Autorefkeratometer 1 Unit
6 Gynecolog Examination Bed 2 Unit
7 Electro Cauter Surgery Set 2 Unit
121
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
8 LED Operating Double Lamp 1 Unit
APBN-P 9 Operating Table Electric 1 Unit
10 Infant Incubator 2 Unit
11 Infusion Pump 6 Unit
12 Syringe Pump 6 Unit
13 Patient Monitor Haemodynamic 5 Unit
14 USG Color Doppler 4D 2 Unit
16 Stress Test ECG Sistem With Treadmill 1 Unit
17 Diagnostik X-Ray 630 mA 1 Unit
Panoramik Foto X-RaY, Cephalometric & Tomography Imaging
18 System 1 Unit
19 Washer Extractor 35kg 2 Unit
20 Tumble Drier 70kg 2 Unit
21 Steam Press Laundry 2 Unit
22 Instrument Sectio Caesarian Set 2 Set
23 Instrument Minor surgery set 4 Set
24 Instrument Laparatomy Set 2 Set
25 Continous Positive Airway Pressure ( CPAP + Compressor ) 2 Unit

22 RS. Bhayangkara TK.III Porong (34); 30


1 Autoclave Steam Sterilizer Besar (800Ltr) 1 Unit
2 Gynecolog Examination Bed 4 Unit
3 Computer Radiograph + Printer 1 Unit
4 CT Scan 32 Slice 1 Unit
5 DC Shock With Monitor 2 Unit
6 Electro Cauter Surgery Set 1 Unit
7 Automatic Haematologi Analizer (5Diff) 1 Unit
8 Infusion Pump 6 Unit
9 Baby Incubator Transport 1 Unit
10 Laminar Air Flow (LAF) - OK 1 Unit
11 LED Operating Double Lamp 1 Unit
13 Operating Table Electric 1 Unit
14 Patient Monitor Haemodynamic 5 Unit
16 Pharmacy Referigerator Single Door 1 Unit
122
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
17 Mobile Suction Pump 1 Unit
18 Probes Transducer Linier 1 Unit
19 ENT (Ear, Nose, Throat) Treatment Unit 1 Unit

APBN-P

23 RS. Bhayangkara TK.III Lumajang (35); 3


1 Endoscopy Set 1 Set
2 ESWL 1 Unit
3 Continous Positive Airway Pressure ( CPAP + Compressor ) 1 Unit

24 RS. Bhayangkara TK. II Kediri (50); 10


1 Ventilator For Adult, Pediatric & Infant 3 Unit
2 USG 3 D 3 Unit
3 Anasthesi Machine + Ventilator + Compressor 1 Unit
4 Mesin Phacoemulsifikasi 1 Unit
123
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
5 Tonometer Non contanct 1 Unit
6 Slit Lamp + Camera + Computer 1 Unit

25 RS. Bhayangkara TK. IV Moh. Dahlan (18); 5


1 Electro Cauter Surgery Set 1 Unit
2 Instrument Laparatomy Set 1 Set
3 Instrument Minor Set dan Mayor Set 1 Set
4 Alat Pembuka Gips 1 Set
5 Laboratory Refrigerator 1 Unit

124
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12

26 RS. Bhayangkara TK. IV Ternate (19);

1 Waste Sterilizer 1 Unit


2 Autoclave Steam Sterilizer Kecil 1 Unit
3 Centrifuge 1 Unit
4 Automatic Processing Film 1 Unit

Jakarta, 2017
125
N POLRI a.n KEPALA PUSAT KEDOKTERAN DAN KESEHATAN POLRI
2019
KET NO MATERIIL KESEHATAN KET

JML SAT
12 7 8 9 10 12
Jakarta, 2017

N POLRI a.n KEPALA PUSAT KEDOKTERAN DAN KESEHATAN POLRI


KABAG MATFASKES

Drs. SUTRISNO UNTORO, Apt


S POL NRP. 64060874 KOMBES POL NRP. 64060874

126
JUMLAH
KEBUTUHAN
NO MATERIAL KESEHATAN TAHUN 2018
JML SAT
1 2 3 4
1 RS. Bhayangkara TK.IV Banten 485
A. Pelayanan Umum
I. Klinik Umum
1 LED Examination Lamp 2 Unit
2 Sphymomanometer Digital (Adult, Child) 2 Unit
3 Patient Strecher 2 Unit

II. Klinik Gigi dan Mulut


1 Dental Unit + Compressor 2 Unit
2 Light Curing Apparatus 2 Buah
3 Basic Diagnostic Set 2 Unit
4 Exodensia Set 2 Set
5 Dry Sterilisator 2 Unit
Panoramik Foto X-RaY, Cephalometric & Tomography
6 Imaging System 1 Unit
7 Cito Jet 2 Unit

III. Klinik Anak


1 LED Examination Lamp 2 Unit
2 Sphymomanometer Digital (Adult, Child) 2 Unit
3 Patient Strecher 2 Unit
4 Emergency Trolley 1 Unit
5 Nebulizer Ultrasonic 1 Unit
6 Lemari Instrument 2 Set
7 Pharmacy Referigerator Single Door 2 Unit

IV. Poliklinik Kebidanan


1 Cardiotocigraphy (CTG) 1 Unit
2 LED Examination Lamp 2 Unit
3 Dry Sterilisator 2 Unit
4 Sphymomanometer Digital (Adult, Child) 2 Unit
5 Trolley Instrument 2 Unit
6 Gynecolog Examination Bed 1 Unit
127
JUMLAH
KEBUTUHAN
NO MATERIAL KESEHATAN TAHUN 2018
JML SAT
1 2 3 4

V. Pelayanan Keperawatan
Rawat Jalan
1 Sphymomanometer Digital (Adult, Child) 2 Unit

Rawat Inap
1 Film viewer LED (Double) 5 Unit
2 Nebulizer Ultrasonic 5 Unit
3 Trolley Instrument 5 Unit
4 Medicine Trolley 5 Unit
5 Sphymomanometer Digital (Adult, Child) 10 Unit
6 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 10 Unit
7 Antimicrobial Bed Screen 75 Box
8 Patient Strecher 10 Unit

B. PELAYANAN GAWAT DARURAT


I. Triage
1 Patient Strecher 3 Unit
2 Sphymomanometer Digital (Adult, Child) 2 Unit

C. PELAYANAN SPESIALIS DASAR


I. Pelayanan Penyakit Dalam
a Rawat Jalan
1 Basic Diagnostic Set 1 Unit
2 LED Examination Lamp 1 Unit
3 Sphymomanometer Digital (Adult, Child) 2 Unit
4 Film viewer LED (Double) 1 Unit
5 Patient Strecher 1 Unit

b Kamar Tindakan
1 Mobile Suction Pump 1 Unit
2 Laryngoscope LED For Adult And Child 1 Unit

128
JUMLAH
KEBUTUHAN
NO MATERIAL KESEHATAN TAHUN 2018
JML SAT
1 2 3 4
3 Film viewer LED (Double) 1 Unit
4 Sphymomanometer Digital (Adult, Child) 1 Unit
5 Dry Sterilisator 1 Unit
6 Mayo Table 1 Unit

c Rawat Inap
1 Film viewer LED (Double) 2 Unit
2 Trolley Instrument 4 Unit
3 Medicine Trolley 2 Unit
4 Sphymomanometer Digital (Adult, Child) 4 Unit
5 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 50 Unit

II. Pelayanan Kesehatan Anak


Rawat Jalan
1 Sphymomanometer Digital (Adult, Child) 1 Unit
2 Emergency Trolley 1 Unit
3 Basic Diagnostic Set 1 Set
4 Patient Strecher 1 Unit

Rawat Inap
1 Sphymomanometer Digital (Adult, Child) 2 Unit
2 Basic Diagnostic Set 1 Unit
3 Bed Patient Children (Matras+Bedside) 6 Unit
4 Patient Strecher 1 Unit

Ruang Tindakan
1 Sphymomanometer Digital (Adult, Child) 1 Unit
2 Trolley Instrument 1 Unit
3 Mayo Table 1 Unit
4 Film viewer LED (Double) 1 Unit

III. Pelayanan Bedah

129
JUMLAH
KEBUTUHAN
NO MATERIAL KESEHATAN TAHUN 2018
JML SAT
1 2 3 4
Rawat Jalan
1 LED Examination Lamp 2 Unit
2 Trolley Instrument 2 Unit
3 Patient Strecher 1 Unit
4 Mayo Table 1 Unit
5 Instrument Minor surgery set 2 Set
6 Dry Sterilisator 1 Unit

Rawat Inap
1 Instrument Minor surgery set 4 Set
2 Mayo Table 4 Unit
3 Medicine Trolley 1 Unit
4 Sphymomanometer Digital (Adult, Child) 2 Unit
5 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 20 Unit
6 Antimicrobial Bed Screen 2 Box

IV. Pelayanan Obstetri Dan Ginekologi


Rawat Jalan
1 Gynecolog Examination Bed 2 Unit
2 Cardiotocigraphy (CTG) 1 Unit
3 LED Examination Lamp 2 Unit
4 Autoclave Steam Sterilizer Kecil 1 Unit
5 Film viewer LED (Double) 2 Unit
6 Sphymomanometer Digital (Adult, Child) 2 Unit
7 Dry Sterilisator 1 Unit
8 Trolley Instrument 2 Unit
9 Lemari Instrument 2 Set
10 Patient Strecher 1 Unit
11 Mayo Table 2 Unit

Kamar Bersalin
1 Maternity Bed 2 Buah

130
JUMLAH
KEBUTUHAN
NO MATERIAL KESEHATAN TAHUN 2018
JML SAT
1 2 3 4
2 Vacum Extractor Set 2 Set
3 Instrument Minor surgery set 1 Set
4 Cardiotocigraphy (CTG) 1 Unit
5 Sphymomanometer Digital (Adult, Child) 2 Unit
6 Mobile Suction Pump 2 Unit
7 LED Examination Lamp 2
8 Dry Sterilisator 1 Unit

1. Rawat Inap
1 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 20 Unit
2 Baby Bassinet 20 Unit
3 Gynecolog Examination Bed 1 Unit
4 Trolley Instrument 4 Unit
5 Medicine Trolley 1 Unit
6 Patient Strecher 4 Unit

F. JENIS PERALATAN DAN KOMPETENSI TENAGA KESEHATAN


YANG BERTUGAS PADA PELAYANAN KHUSUS

I. PPT
Rawat Jalan
1 Instrument Biopsy Forceps 1 Set
2 LED Examination Lamp 1 Unit
3 Gynecolog Examination Bed 1 Unit
4 Sphymomanometer Digital (Adult, Child) 1 Unit
5 Dry Sterilisator 1 Unit
6 Patient Strecher 1 Unit
7 Instrument Minor surgery set 1 Set
8 Head Lamp 1 Unit
9 Film viewer LED (Double) 1 Unit

Rawat Inap
1 Film viewer LED (Double) 1 Unit

131
JUMLAH
KEBUTUHAN
NO MATERIAL KESEHATAN TAHUN 2018
JML SAT
1 2 3 4
2 Nebulizer Ultrasonic 1 Unit
3 Trolley Instrument 1 Unit
4 Resucitation Set (Adult, Pediatric, Infant) 1 Set
5 Dry Sterilisator 1 Unit
6 Instrument Minor surgery set 1 Set
7 Mayo Table 1 Unit
8 Lemari Instrument 1 Unit
9 Lemari Obat 1 Unit
10 Medicine Trolley 1 Unit
11 Sphymomanometer Digital (Adult, Child) 1 Buah
12 ECG 12 Channel 1 Unit
13 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 2 Unit
14 Antimicrobial Bed Screen 1 Box
15 Mobile Suction Pump 1 Unit
16 Patient Strecher 1 Unit
17 Bed Pan Washer 1

II. Wattah
Rawat Jalan
1 LED Examination Lamp 1 Unit
2 Sphymomanometer Digital (Adult, Child) 1 Unit
3 Film viewer LED (Double) 1 Unit
4 Instrument Minor surgery set 1 Set

Rawat Inap
1 Film viewer LED (Double) 1 Unit
2 Nebulizer Ultrasonic 1 Unit
3 Trolley Instrument 2 Unit
4 Resucitation Set (Adult, Pediatric, Infant) 1 Set
5 Dry Sterilisator 1 Unit
6 Instrument Minor surgery set 2 Set
7 Mayo Table 4 Unit

132
JUMLAH
KEBUTUHAN
NO MATERIAL KESEHATAN TAHUN 2018
JML SAT
1 2 3 4
8 Lemari Instrument 1 Unit
9 Lemari Obat 1 Unit
10 Medicine Trolley 1 Unit
11 Sphymomanometer Digital (Adult, Child) 1 Buah
12 ECG 12 Channel 1 Unit
13 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 4 Unit
14 Antimicrobial Bed Screen 2 Box
15 Mobile Suction Pump 1 Unit
16 Patient Strecher 1 Unit
17 Bed Pan Washer 1 Unit

III. Forensik
Pelayanan Patologi Forensik
1 LED Operating Double Lamp 2 Unit
2 Microscope Binoculair 1 Unit
3 Dry Sterilisator 1 Unit
4 Mobile X-Ray 1 Unit
5 Film viewer LED (Double) 1 Unit

IV. NARKOBA
Rawat Jalan
1 LED Examination Lamp 1 Unit
2 Sphymomanometer Digital (Adult, Child) 1 Unit
3 Instrument Minor surgery set 1 Set

Rawat Inap
Ruang Isolasi / Intensife
1 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 2 Unit
2 Oxygen Generator 1 Unit
3 Mobile Suction Pump 1 Unit
4 Bed Pan Washer 2 Unit

133
JUMLAH
KEBUTUHAN
NO MATERIAL KESEHATAN TAHUN 2018
JML SAT
1 2 3 4
Rawat Inap
1 Film viewer LED (Double) 1 Unit
2 Nebulizer Ultrasonic 1 Unit
3 Trolley Instrument 2 Unit
4 Resucitation Set (Adult, Pediatric, Infant) 1 Set
5 Dry Sterilisator 1 Unit
6 Instrument Minor surgery set 2 Set
7 Mayo Table 2 Unit
8 Lemari Instrument 1 Unit
9 Lemari Obat 1 Unit
10 Medicine Trolley 1 Unit
11 Sphymomanometer Digital (Adult, Child) 1 Buah
12 ECG 12 Channel 1 Unit
13 Bed Patient 3 Crank Manual (Matras+Bedside+Overbed) 3 Unit
14 Antimicrobial Bed Screen 2 Box
15 Mobile Suction Pump 1 Unit
16 Patient Strecher 1 Unit
17 Bed Pan Washer 1

H PERALATAN PENUNJANG LAINNYA


1 Autoclave Steam Sterilizer Sedang 2 Unit

134
MARKAS BESAR
KEPOLISIAN NEGARA REPUBLIK INDONESIA
PUSAT KEDOKTERAN DAN KESEHATAN

RENCANA KEBUTUHAN ALKES PAGU INDIKATIF 2018


JUMLAH
KEBUTUHAN
NO MATERIAL KESEHATAN TAHUN 2019 KET
JML SAT
1 2 3 4 6

1 Poliklinik Kep Babel 151


1 ECG 12 Channel 11 Unit
2 Mobile Suction Pump 6 Unit
3 Baby Incubator Transport 3 Unit
4 Patient Strecher 6 Unit
5 Lemari Instrument 2 Unit
6 Mobile X-Ray 2 Unit
7 Sphymomanometer Digital (Adult, Child) 16 Unit
8 DC Shock With Monitor 5 Unit
9 Ventilator For Adult, Pediatric & Infant 3 Unit
10 USG Colour Doppler 2D 2 Unit
11 Nebulizer Ultrasonic 6 Unit
12 LED Examination Lamp 6 Unit
13 Laryngoscope LED For Adult And Child 11 Unit
14 Instrument Vena Section set 3 Unit
15 Instrument Circumsisi Set 2 Unit
16 Operating Light Mobile + Battery 3 Unit
Bed Patient 2 Crank Manual
17 (Matras+Bedside+Overbed) 16 Unit
18 Bed Electric 3 Crank 48 Unit

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