RSUD Dr AGOESDJAM

DATAR INVENTARIS ALAT M

RUANGAN : RADIOLOGI

KODE NAMA PERALATAN JENIS MEREK TYPE NOMOR SERI

ULTRASONOGRAPHY GE LOGIQ E9 5197104-2 REV 2
X-RAY PANORAMIC ORTHOCPH 0C200D-1-4-1 10604
MOBILE X-RAY TOSHIBA IME 200A T2E05X2038
MOBILE X-RAY OMNIX N100 PK12050
MOBILE X-RAY SHIMADZU M01100L-19 6231276
CR CR15X AGFA 5151/300 52896
CR DRYSTAR AXYS AGFA 5367/100 11116
X-RAY GENEAL PURPOSE STATIONARY TOSHIBA KXO-3212 02DD5Y2903
X-RAY PROCESSOR KODAK PROCESSOR 102 117510-1211
 RSUD Dr AGOESDJAM
DATAR INVENTARIS ALAT MEDIS

PABRIKAN USIA TEKNIS DISTRIBUTOR/SUPPLIER TAGGAL PENGADAAN TANGGAL PENERIMAAN KONDISI PETUGAS PEMELIHARA
JERMAN B
FINLANDIA ANDHINI B
JEPANG B
TROVI RAJAWALI INDONESIA B
JEPANG R
JERMAN B
JERMAN B
JEPANG JCIS B
JEPANG B
HARGA
RUANGAN : IGD

KODE NAMA PERALATAN JENIS MEREK

SUCTION PUMP DIXION
SUCTION PUMP MEDIST
SUCTION PUMP BLUE CROSS
INFANT WARMER MEDICOR
SPHYGMOMANOMETER ERKA
SPHYGMOMANOMETER ABN
SPHYGMOMANOMETER ABN
SPHYGMOMANOMETER ABN
SPHYGMOMANOMETER ABN
SPHYGMOMANOMETER ABN
VIN VIEWER VASCUL LUMITOR
NEBULIZER KOMPRESOR MEDIX
NEBULIZER KOMPRESOR OMRON
NEBULIZER KOMPRESOR OMRON
NEBULIZER KOMPRESOR OMRON
NEBULIZER KOMPRESOR OMRON
ELEKTROKARDIOGRAPH BTL
ELEKTROKARDIOGRAPH BTL
ELEKTROKARDIOGRAPH BTL
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
SYIRINGE PUMP FESENIUS
SYIRINGE PUMP FESENIUS
SYIRINGE PUMP TERUMO
SYIRINGE PUMP TERUMO
SPO2 SCHILLER
SPO2 SCHILLER
SPO2 SCHILLER
SPO2 SCHILLER
PATIENT MONITOR /BSM EMTEL
PATIENT MONITOR /BSM SIARE NEPTUNE
PATIENT MONITOR /BSM SIARE NEPTUNE
PATIENT MONITOR /BSM SIARE NEPTUNE
STERILISATOR DRY STERIL 28
LAMPU TINDAKAN B-BRAUN
LAMPU TINDAKAN ACOM
LAMPU OPERASI TRUMF MEDICAL
DEFIBIRILATOR BIXEN CARDIO
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
 RSUD Dr AGOESDJAM
DATAR INVENTARIS ALAT MEDIS

TYPE NOMOR SERI PABRIKAN USIA TEKNIS DISTRIBUTOR/SUPPLIER

VACUS 7209 07-08-15090831 JERMAN
1210137-1
D-6000 1653550020
BDS 00004 HUNGARIA
KLINIKERMETER 1100984
00437671
0020605
0030538
00206050
00437071
2.01 60170977-302 BELANDA
AC2000 48366397
NE-C900 20160800052UF JEPANG
NE-C29 20110401940UF JEPANG
NE-C900 20160800050UF JEPANG
NE-C900 20160800049UF JEPANG
BTL-08LC EKG 073C-B-00980
BTL-08LC EKG 093C-B-00906
BTL-08LC EKG 093C-B-00909
TE-112 130300132 JEPANG
TE-112 09070289 JEPANG
TE-112 1304000528 JEPANG
TE-112 1303000183 JEPANG
TE-112 1304000521 JEPANG
TIVA AGILA 29497344 FRANCIS
TIVA AGILA 23497050 FRANCIS
TE-331 09050167
TE-172 1410000122
ARGUS OXM C HPA 16L1067 FRANCIS
ARGUS OXM C HPA 16L0199 FRANCIS
ARGUS OXM C HPA 16L0186 FRANCIS
ARGUS OXM C HPA 16L0197 FRANCIS
11161527
9212380 ENSEVAL MEDIKA PRIMA
9212362 ENSEVAL MEDIKA PRIMA
9212356 ENSEVAL MEDIKA PRIMA
10076034
22989-2484
 11.F.1000.777
103007997
REANIBEX 800 2016/20031340 SPANYOL
9003101
900400800044
901017500284
901017500383
901017500350
901017500268
901017500282
901017500248
901017500381
901017500361
901017500356
900801800015
TAGGAL PENGADAAN TANGGAL PENERIMAAN KONDISI PETUGAS PEMELIHARA HARGA
B
B
B
B
B
B
B
B
B
B
2017 B
B
B
B
B
B
B
B
B
B
B
B
B
B
2017 B
2017 B
B
2015 B
2017 B
2017 B
2017 B
2017 B
2016 B
2015 B
2015 B
2015 B
B
B
 B
B
2016
B
B
B
B
B
B
B
B
B
B
B
B
 RSUD DR AGOESDJAM
DATAR INVENTARIS ALAT MEDIS

RUANGAN : LABORATORIUM

KODE NAMA PERALATAN JENIS MEREK TYPE NOMOR SERI PABRIKAN USIA TEKNIS DISTRIBUTOR/SUPPLIER
STERILISATOR MEMMERT
INCUBATOR LAB BIO RAD ID INCUBATOR 37SII 2001202 SWISS
INCUBATOR LAB DIGISYSTEM 1210212
BLOOD BANK HELMER 2005590 AMERIKA
BLOOD BANK HELMER 2001314 AMERIKA
BLOOD BANK HELMER 941638 AMERIKA
BLOOD BANK DOMETIC MP 1430 SG 7292390 HOSINGEN
REFRIGERATOR DOMETIC PR 750 G 7232455 HOSINGEN
REFRIGERATOR DOMETIC MP 370 4180869 LEUSEMBURG
REFRIGERATOR HELMER
SHEKER HELMER 1012165 AMERIKA
CENTRIFUGE BIO RAD DIACENT-12 2001600 SWISS
CENTRIFUGE BIO RAD ID CENTRIFUGE L 0100469 SWISS
CENTRIFUGE KUBOTA 8730 N70259-FOOD JEPANG
CENTRIFUGE GRIFOLS DG-SPIN 320-0001403 SPANYOL
CENTRIFUGE ROTO SELETON G30R5 0001075.02.02
PENYEIMBANG DARAH CENTRIFUGE BALANCE 3621 KOREA
MIKROSKOP OLYMPUS CX 22 LED 3F85851
MIKROSKOP LEICA 407260
SPHYGMOMANOMETER RAKSA ABN 00437849
SPHYGMOMANOMETER RAKSA ABN 00447421
SPHYGMOMANOMETER DIGITAL ABN DM 500 151003403
SPHYGMOMANOMETER RAKSA ABN 00437291
COLLECTION MESIN BLOOD COLLECTION MIXER CM 735 733993103
COLLECTION MESIN BLOOD COLLECTION MIXER CM 735 734151103
TAGGAL PENGADAAN TANGGAL PENERIMAAN KONDISI PETUGAS PEMELIHARA HARGA
B
2014 B
2012 R
2014 B
2014 B
2012 R
2017 B
B
2014 B
R
B
2014 B
2016 B
B
B
B
B
B
B
B
B
B
B
B
B
RUANGAN : UPF ANAK

KODE NAMA PERALATAN JENIS MEREK

BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
INFUS PUMP TOP
INFUS PUMP TOP
INFUS PUMP TOP
INFUS PUMP TOP
INFUS PUMP TOP
INFUS PUMP TERUMO
INFUS PUMP TERUMO
NEBULIZER OMRON
NEBULIZER OMRON
NEBULIZER PHILIPS
NIBP OMRON
NIBP OMRON
PATIENT MONITOR CHARTER KONTRON
PATIENT MONITOR CHARTER KONTRON
SPHYGMOMANOMETER ERKA
SPHYGMOMANOMETER RAKSA ERKA
SPO2 SCHILLER
SPO2 SCHILLER
SYRINGE PUMP TOP
SYRINGE PUMP TOP
TIMBANGAN FAMA MOTO
TIMBANGAN YBFF
 RSUD Dr AGOESDJAM
DATAR INVENTARIS ALAT MEDIS

TYPE NOMOR SERI PABRIKAN USIA TEKNIS DISTRIBUTOR/SUPPLIER

900202600006
900202100082
900202600056
900202600008
900202600032
900202600046
900202600108
900202100091
900202100103
900310100087
901017500354
900202600036
900202600007
901017500349
900702100106
900702100081
900310100103
TOP-330 FN 91796
TOP-330 FN 91793
TOP-330 FN 91800
TOP-330 HN 65210
TOP-330 HN 65191
TE-112 1304000509 JEPANG
TE-112 1304000517 JEPANG
20160800055UF
20160800025UF
1021506087
HEM-7203 20151000951UG
HEM-7203 20151000958UG
9980769900001 SUMBER M ALKESTRON
9979180100010 SUMBER M ALKESTRON
11101007
3000 12501820 JERMAN
HP 16L0169 KOREA
HP 16L0203 KOREA
TOP-5330 FM 92552 JEPANG
TOP-5330 FM 61677 JEPANG
 TAGGAL PENGADAAN TANGGAL PENERIMAAN KONDISI PETUGAS PEMELIHARA HARGA

2015
2015

2014
2017
2017
2016
2016
RUANGAN : KEBIDANAN DAN KANDUNGAN

KODE NAMA PERALATAN JENIS MEREK

CTG WALLACH
CTG PHILIPS
DOPPLER POCKET WALLACH
EXAMINATION LAMP ACEM
EXAMINATION LAMP DYNA
EXAMINATION LAMP OMEGA
INFANT WARMER NAKAMURA
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
PATIENT MONITOR DRAGER
SPHYGMOMANOMETER RAKSA RIESTER
SPHYGMOMANOMETER RAKSA RIESTER
SPHYGMOMANOMETER RAKSA RIESTER
SPHYGMOMANOMETER RAKSA ABN
SPHYGMOMANOMETER RAKSA ERKA
SPHYGMOMANOMETER DIGITAL SMES
STERILISATOR MEMMERT
SUCTION PUMP DIXION
SUCTION PUMP ARDO
TIMBANGAN BAYI
TIMBANGAN BIASA CAMRY
USG TOSHIBA
USG GE
 RSUD Dr AGOESDJAM
DATAR INVENTARIS ALAT MEDIS

TYPE NOMOR SERI PABRIKAN USIA TEKNIS DISTRIBUTOR/SUPPLIER

FETAL EMR
SERIES 50A 3816G27796 JERMAN
LIFE DOP 2016060004
300120 0000566 CHINA
DYNA 100R
AH 002 JERMAN
NIW 3500 1710235
TE-112 1408000145 JEPANG
TE-112 1303000241 JEPANG
TE-112 1408000142 JEPANG
INFINITY GAMMA XL 5517187073 AMERIKA
NOVA PRESAMETER 08579 JERMAN
NOVA PRESAMETER 080204 JERMAN
NOVA PRESAMETER 0850556 JERMAN
811457
11101030 JERMAN
001
C2080895
VACUS 7209 07|08|1509|0830-2015
SENATOR 30 0420389 SWISS

PIA05X3614 JEPANG
VOLUSON S8 606794M5
TAGGAL PENGADAAN TANGGAL PENERIMAAN KONDISI PETUGAS PEMELIHARA HARGA

2012

R
RUANGAN : IBS (OK)

KODE NAMA PERALATAN JENIS MEREK

BED PATIENT MAK
BED PATIENT PARAMOUNT
BED PATIENT PARAMOUNT
DEFIBRILATOR / DC SHOCK NIHON KOHDEN
DEFIBRILATOR / DC SHOCK BIXEN CARDIO
ELECTROSURGERY / ESU / COUTER GEISER
ELECTROSURGERY / ESU / COUTER GEISER
ELECTROSURGERY / ESU / COUTER ERBE
ENDOSCOPY STORZ
ENDOSCOPY AESCULAP
INFANT WARMER DRAGER
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
LAMPU OPERASI DRAGER
LAMPU OPERASI DRAGER
LAMPU OPERASI DRAGER
LAMPU OPERASI DRAGER
LAMPU TINDAKAN EMALED
LAMPU TINDAKAN EMALED
LAMPU TINDAKAN SKYPER II
LAMPU TINDAKAN SKYPER II
LAMPU TINDAKAN DRAGER
MEJA OPERASI ELEKTRIK ONEMED
MEJA OPERASI ELEKTRIK ONEMED
MEJA OPERASI MANUAL GEA
MESIN ANASTHESI TECHIMA
MESIN ANASTHESI MINDRAY
MIKROSKOP / OP MATA KARL ZEISS
PATIENT MONITOR / BSM DRAGER
PATIENT MONITOR / BSM DRAGER
PATIENT MONITOR / BSM DRAGER
PATIENT MONITOR / BSM SIARE NEPTUNE
PATIENT STERECHER / BRANKAR MANUAL PARAMOUNT
PATIENT STERECHER / BRANKAR MANUAL PARAMOUNT
PATIENT STERECHER / BRANKAR MANUAL PARAMOUNT
SUCTION PUMP BLUE CROSS
SUCTION PUMP BLUE CROSS
SUCTION PUMP BLUE CROSS
SYIRINGE PUMP TERUMO
SYIRINGE PUMP FRESENIUS
 RSUD Dr AGOESDJAM
DATAR INVENTARIS ALAT MEDIS

TYPE NOMOR SERI PABRIKAN USIA TEKNIS DISTRIBUTOR/SUPPLIER

K013-1K-3-120-420-000-200N
900607000133
900607000131
TEC-7621K 00966
REANIBEX 800 2016/2003139 SPANYOL
N:295G-10/15 JERMAN
N:296G-10/15 JERMAN
ICC300 DF20F2
876400024
16-267231 AMERIKA
RECUSITARE NF02571
TE 172 1410000120 JEPANG
TE 172 1410000121 JEPANG
TE 112 05090197 JEPANG
POLARIS 200 ASFL 032F JERMAN
POLARIS 200 ASHL 0160 JERMAN
10000000007978F
10000000007979F
38154000426125
ACROBAT SWING 3815H000476141
22.0244
22.0290
POLARIS 200 ASPL 0330
AGISTAB OP.850
AGISTAB OP.850
2009082
0402016 V
A7 GC73000936

DELTA XL 6007017080 AMERIKA

DELTA XL 6007014377 AMERIKA
DELTA XL 6007014974 AMERIKA
9212196
20903804248
38793000018
384415000029
D.6000 1653550021
D.6000 1653550018
D.6000 1653550023
05100395 JEPANG
012890/24275 FRANCIS
TAGGAL PENGADAAN TANGGAL PENERIMAAN KONDISI PETUGAS PEMELIHARA HARGA

2015
2015

2014
2014
2014
2014

2017

2009

2017

2017
2017
2017

2017
RUANGAN : ICU

KODE NAMA PERALATAN JENIS MEREK

INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP B - BRAUN
INFUS PUMP B - BRAUN
PATIENT MONITOR / BED SIDE GE
PATIENT MONITOR / BED SIDE GE
PATIENT MONITOR / BED SIDE GE
NEBULIZER PHILIPS
SYIRINGE PUMP B - BRAUN
SYIRINGE PUMP B - BRAUN
TENSIMETER ABN
STERILISATOR CBN
VENTILATOR DRAGER
VENTILATOR DRAGER
VENTILATOR DRAGER
SUCTION PUMP BLUECROSS
PATIENT MONITOR / BED SIDE EMTEL
PATIENT MONITOR / BED SIDE EMTEL
INFUS PUMP TOP
INFUS PUMP TOP
INFUS PUMP TOP
INFUS PUMP TOP
INFUS PUMP TOP
INFUS PUMP TOP
DEFIBRILATOR / DC SHOCK
VENTILATOR MINDRAY
VENTILATOR MINDRAY
VENTILATOR MINDRAY
 RSUD Dr AGOESDJAM
DATAR INVENTARIS ALAT MEDIS

TYPE NOMOR SERI PABRIKAN USIA TEKNIS DISTRIBUTOR/SUPPLIER

TE 112
TE 112
TE 112
TE 112
TE 112

DASH 4000
DASH 4000
DASH 500

300 OMD
300 OMD
TOP 5500
TOP 5500
TOP 5500
TOP 5500
TOP 5500
TOP 5500
TAGGAL PENGADAAN TANGGAL PENERIMAAN KONDISI PETUGAS PEMELIHARA HARGA
2014
2014
2014
2014
2014
2014
2014
2013
2013
2013
2015

2015

2015
2015
2015
2016
2016
2016
2016
2016
2016
2016
2016
2016

2017
2017
2017
RUANGAN : UPF PAVILIUN

KODE NAMA PERALATAN JENIS MEREK

BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
BED PATIENT MANUAL PARAMOUNT
ELECTROCARDIOGRAPH / EKG UTAS
ELECTROCARDIOGRAPH / EKG WLCHALLYN
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
NEBULIZER OMRON
PATIENT MONITOR / BSM DRAGER
PATIENT MONITOR / BSM DRAGER
SPHYGMOMANOMETER / TENSI ANEROID ERKA
SPHYGMOMANOMETER / TENSI GEA
SPHYGMOMANOMETER / TENSI ERKA
SUCTION PUMP BLUECROSS
SUCTION PUMP NICO
SYIRINGE PUMP FRESENIUS
SYIRINGE PUMP FRESENIUS
 RSUD Dr AGOESDJAM
DATAR INVENTARIS ALAT MEDIS

TYPE NOMOR SERI PABRIKAN USIA TEKNIS DISTRIBUTOR/SUPPLIER

UCARD-100 K.106.150150127 UKRAINA

CP100 1006299 AMERIKA
TE-112 1304000517 JEPANG
TE-112 1304000502 JEPANG
TE-112 1304000505 JEPANG
TE-112 1304000508 JEPANG
NE 29 220110400181UF JERMAN
GAMMA XL 5517195171 AMERIKA
GAMMA XL 5517260475 AMERIKA
ERKAMETER 3000 12501829

07400290
D-6000
79116 07.6379 BELANDA
TIVA AGILA INT 018290-23497342 FRANCIS
TIVA AGILA INT FRANCIS
TAGGAL PENGADAAN TANGGAL PENERIMAAN KONDISI PETUGAS PEMELIHARA HARGA
2016
2016
2016
2016
2016
2016
2016
2016
2015
2010
2015
2015
2015
2015
2012
2015
2015
2015
2017

2017
2010
2017
2017
RUANGAN : UPF BEDAH

KODE NAMA PERALATAN JENIS MEREK

ELECTROCARDIOGRAPH / EKG BTL
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
NEBULIZER KOMPRESOR OMRON
PATIENT MONITOR / BSM EMTEL
PATIENT MONITOR / BSM CHARTER KONTRON
PATIENT MONITOR / BSM CHARTER KONTRON
PULSE OXIMETRI SCHILLER
PULSE OXIMETRI SCHILLER
SPHYGMOMANOMETER / TENSI ABN
SPHYGMOMANOMETER / TENSI RIESTER
SPHYGMOMANOMETER / TENSI EMPIREN KISTER
STERILISATOR KERING NUVE
SUCTION PUMP UZUMCU
SYIRINGE PUMP TOP
SYIRINGE PUMP TOP
SYIRINGE PUMP TERUMO
 RSUD Dr AGOESDJAM
DATAR INVENTARIS ALAT MEDIS

TYPE NOMOR SERI PABRIKAN USIA TEKNIS DISTRIBUTOR/SUPPLIER

BTL 08 LC 073CB00910
TE-112 1304000528 JEPANG
TE-112 1304000523 JEPANG
TE-112 1304000507 JEPANG
TE-112 14304000518 JEPANG
TE-112 1408000147 JEPANG
NE-C900 20160800051UF JEPANG
LCD 15 1162529 POLANDIA
VITALOGIC 6000 99791801007 INGGRIS SUMBER MANDIRI ALKESTRON
VITALOGIC 6000 9979180100608 INGGRIS SUMBER MANDIRI ALKESTRON
ARGUS OXM-C HPA16L0196
ARGUS OXM-C HPA16L0198
CE 0044 447120
080204
65873
FN055 869886110930
16093308582 TURKI
TOP 5300 FM92459 JEPANG
TOP 5300 FM92550 JEPANG
TE-SS700 151001490 JEPANG
TAGGAL PENGADAAN TANGGAL PENERIMAAN KONDISI PETUGAS PEMELIHARA HARGA

2015
2015
2015
2015
2015

2016
2017
2017
2017
2017

2015
2016
2016
2016
RUANGAN : CSSD

KODE NAMA PERALATAN JENIS MEREK

AUTOCLAVE HIGH TERM CISA
AUTOCLAVE HIGH TERM GETINGE
AUTOCLAVE LOW TERM GETINGE
DRAYING CABINET GETINGE
AUTOCLAVE BLESSMED
WASHER GETINGE
 RSUD Dr AGOESDJAM
DATAR INVENTARIS ALAT MEDIS

TYPE NOMOR SERI PABRIKAN USIA TEKNIS DISTRIBUTOR/SUPPLIER

110AS A170748 TURKI

S363 WAA085106 SWEDIA
TAGGAL PENGADAAN TANGGAL PENERIMAAN KONDISI PETUGAS PEMELIHARA HARGA

2018
2018
RUSAK
2018
RUANGAN : PERINATOLOGI & NICU

KODE NAMA PERALATAN JENIS MEREK

PATIENT MONITOR / BSM DRAGER
INCUBATOR MEDIX
INCUBATOR MEDIX
INCUBATOR GE
INCUBATOR GE
INFANT WARMER DRAGER
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
SUCTION PUMP DIXION
SYIRINGE PUMP TERUMO
SYIRINGE PUMP TERUMO
VENTILATOR NEONATAL DRAGER
VENTILATOR NEONATAL DRAGER
INCUBATOR MEDICOR
INCUBATOR MEDICOR
INCUBATOR MEDICOR
INFUS PUMP TOP
INFUS PUMP TOP
INFUS PUMP TOP
INFUS PUMP TOP
INFUS PUMP FRESENIUS
INFANT WARMER MEDICOR
INFANT WARMER AMBIA
INFANT WARMER GEA
INCUBATOR TRANSPORT DRAGER
CPAP SECHRIST
CPAP SLE
INCUBATOR MEDICOR
INCUBATOR GEA MEDICAL
INCUBATOR GEA MEDICAL
INCUBATOR GEA MEDICAL
PATIENT MONITOR / BSM DRAGER
INCUBATOR DRAGER
INCUBATOR DRAGER
INCUBATOR DRAGER
INCUBATOR DRAGER
PULSE OXIMETRI SCHILLER
PULSE OXIMETRI SCHILLER
PULSE OXIMETRI SCHILLER
PULSE OXIMETRI SCHILLER
PULSE OXIMETRI SCHILLER
NEBULIZER ABN
NEBULIZER ABN
SYIRINGE PUMP B-BRAUN
SYIRINGE PUMP B-BRAUN
SYIRINGE PUMP FRESENIUS
SYIRINGE PUMP FRESENIUS
 RSUD Dr AGOESDJAM
DATAR INVENTARIS ALAT MEDIS

TYPE NOMOR SERI PABRIKAN USIA TEKNIS DISTRIBUTOR/SUPPLIER

GAMMA XL 5517183870
PC-305 738904
PC-305 739009
YP-2000 13121003001
YP-100 0109503057
BABY LIFE NF0231
TE-112 1408000139 JEPANG
TE-112 1408000137 JEPANG
TE-112 1303000256 JEPANG
TE-112 1408000140 JEPANG
TE-112 1303000270 JEPANG
07/08/1509/0833
TE-SS700N03 15100110492 JEPANG
TE-SS700N03 15100110491 JEPANG
VN500 ASHL-0101
VN500 ASHL-0332
BABY LIFE BLF 2001 CET 00189
BABY LIFE BLF 2001 CET 00188
BABY LIFE BLF 2001 CET 00190
TOP 3300 HN 65207S
TOP 3300 HN 65201S
TOP 3300 HN 65203S
TOP 3300 HN 65204S
OPTIMA VSIS 02729/21515018 FRANCIS
BABY LIFE B05000022014 HUNGARIA
MEDIPREMA 43001195
HKN938 24120801016
ISSOLETE TI500 GF10342
3500HL H73155
SLE1000 SLE-13.05.01433
BABY LIFE CET 00208
YP-2000 1312 100 3007
YP-2000 1312 100 3004
YP-2000 1312 100 3001
GAMMA XL 5517187171
CALEO ASJM-0003 JERMAN SBM
CALEO ASKC-0006 JERMAN SBM
CALEO ASKC-0007 JERMAN SBM
 CALEO ASJM-0002 JERMAN SBM
ARGUS OXM-C HPA14F0003 KOREA
ARGUS OXM-C HPA14F0004 KOREA
ARGUS OXM-C HPA15K0039 KOREA
ARGUS OXM-C HPA15K0037 KOREA
ARGUS OXM-C HPA15J0259 KOREA
COMPAMIST 1 1212582 A
COMPAMIST 1 011756
8713030 253424 JERMAN
8713030 300962 JERMAN
018290/23497340 FRANCIS
018290/23497345 FRANCIS
TAGGAL PENGADAAN TANGGAL PENERIMAAN KONDISI PETUGAS PEMELIHARA HARGA

RUSAK

2016
2016
2016
2016

2017
2017
2017
2017
2017
2017
2017
2017
2017
RUANGAN : UPF DALAM

KODE NAMA PERALATAN JENIS MEREK

ELECTROCARDIOGRAPH / EKG UTAS
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
INFUS PUMP TERUMO
PATIENT MONITOR / BSM SIARE NEPTUNE
PATIENT MONITOR / BSM SIARE NEPTUNE
STERILISATOR MEMMERT
SUCTION PUMP SHIN-CL
 RSUD Dr AGOESDJAM
DATAR INVENTARIS ALAT MEDIS

TYPE NOMOR SERI PABRIKAN USIA TEKNIS DISTRIBUTOR/SUPPLIER

UCARD 100 K106150150040
TE-112 1303000196
TE-112 1303000197
TE-112 1304000506
TE-112 1304000519
TE-112 1304000522
TE-112 1304000524
TE-112 1304000528
TE-112 1408000147
TE-112 1408000143
MASIMO 9212336
MASIMO 9212356
U.30 802307
MINIC 5 1009088U
TAGGAL PENGADAAN TANGGAL PENERIMAAN KONDISI PETUGAS PEMELIHARA HARGA