Anda di halaman 1dari 3

La^ran Surat Nomor: YK.02.03/LIV.

1/ 1^/2017 Tangga/: 2 MCi


2017

Rekap Pekerjaan Pengujian dan Kalibrasi Alat Kesehatan RS Khusus Bedah Ring Road Selatan Jl. Rlngroad Selatan.Panggungharjo.Sewon Bantul Daerah Istimewa Yogyakarta

No.WO 17.01.005
f No Nama Alat Merk Type/Model Nomor Seri Ruangan P/K Tangaal P/K L/TL No. Sertiflfrgl-———-
1 Anesthesia Mesin SHIN-EI SL-210 1504001U Ruang OK 1 19 April 2017 L YK 02.03/LIV.1/2017:_0l733
2 Anesthesia Mesin SHIN-EI SL-180 0310027 Ruang OK 2 19 April 2017 L YK 02.03/LIV. 1/2017. 01734
3 Bed SkJe Monitor Mindray MEC-1000 AO-44206495 Ruang OK 19 April 2017 L YK 02.03/LIV.1/2017. 01735
4 Bed S ide Monitor Mindray MEC-1000 AQ-18158494 Ruang OK 19 April 2017 L YK 02.03/LIV 1/2017. 01 /30
5 Bed S ide Monitor Analogical Medical AM-1200 B71113Y0068 Ruang HCU 19 April 2017 L YK 02.03/LIV 1/2017. 01/3/
6 Cerrtnfuge Dragon One Med DM 0412 D200000519 Ruang LAB 20 April 2017 L YK 02.03/LIV. 1/2017. 0173«
7 Etectrocardiograph Monitor Fukuda Denshi Cardimax Fx-7000 16024068 R. IGD Tindakan 19 April 2017 L YK.02.03/LIV.1/2017. 01735*
8 Electrocardiograpti Monitor Mindray Bene Heart R3 FK-5A006982 Ruang HCU 19 April 2017 L YK 02.03/LIV. 1/2017. 01740
9 Electrocardfograph Monitor Mindray Bene Heart R3 F K-59006844 Ruang HCU 19 April 2017 L YK.02.03/LIV.1/2017. 01741
10 Efectrosurgery Unit ALSA Alsatom SU 140 MPC 4172-07/11 Ruang OK 19 April 2017 L YK.02.03/LIV.1/2017. 01742
11 Etectrosurgery Unit HEALFORCE EB-03 0407G1990G Ruang OK 19 April 2017 L YK.02.03/LIV.1/2017. 01743
-
12 Ftow Meter MORRIS A Ruang OK 19 April 2017 L YK.02.03/LIV. 1/2017. 01744
-
13 Flow Meter GEA Medical B Ruang OK 19 April 2017 L YK.02.03/LIV. 1/2017. 01745
14 Fkjw Meter BIOMEDIX PS-302 C Ruang OK 19 April 2017 L YK.02.03/LIV.1/2017. 01746
15 icw NESCO JH 907 B J H2015081403 Ruang OK 19 April 2017 L YK.02.03/LIV.1/2017. 01747
-
16 'OW Corona D Ruang OK 19 April 2017 L YK.02.03/LIV.1/2017. 01748
-
17 ^low Mctsr BIOMEDIX E Ruang OK 19 April 2017 L YK.02.03/LIV. 1/2017. 01749
r -
18 k>w Meter BIOMEDIX F Ruang OK 19 April 2017 L YK.02.03/LIV. 1 /2017. 01750
-
19 Corona G Ruang IGD 19 April 2017 L YK.02.03/LIV. 1/2017. 01751

20 iOW M ©t ©r GEA H Ruang IGD 19 April 2017 L YK.02.03/LIV. 1/2017. 01752
-
21 1 -low Meter BIOMEDIX FM-09 Ruang IGD 19 April 2017 L YK.02.03/LIV.1/2017. 01753
-
22 How Mctsf BIOMEDIX J Ruang Poli 20 April 2017 L YK.02.03/LIV. 1/2017. 01754
23 Nebulizer OMRON NE-C28 20120210746 UF Ruang IGD 19 April 2017 L YK.02.03/LIV. 1 /2017. 01755
\ 24 , Pulse Oxymeter Bionics BPM 200 125-GH5011 Ruang OK 18 April 2017 L YK.02.03/LIV.1/2017. 01756
Lampiran Surat Nomor: YK.02.03/LIV.1/ 1*4 o /2017
Tanggal: 2017

No Nama Alat Merk Type/Model Nomor Seri Ruangan P/K Tanaaal P/K UTL No. Sertifikat
- -
25 Pulse Oxymeter Jumper Ruang Banqsal 20 April 2017 L YK.02.03/LIV. 1/2017. 01757
-
26 Pulse Oxymeter Elitech FOX 1 Ruang IGD 20 April 2017 L YK.02.03/LIV. 1/2017. 01758
27 Sphygmomanometer Riester Nova Ecoline 100103059 Ruang IGD 19 April 2017 L YK.02.03/LIV. 1/2017. 01759
28 Sphygmomanometer Riester Nova-Presameter 031115272 R. Tindakan IGD 19 April 2017 L YK.02.03/LIV.1/2017. 01760
29 Sphygmomanometer Riester Nova Ecoline 090966684 R. Tindakan IGD 19 April 2017 L YK.02.03/LIV.1/2017. 01761
30 Sphygmomanometer Riester Empire-N 62546 R. Tindakan IGD 19 April 2017 L YK.02.03/LIV.1/2017. 01762
31 Sphygmomanometer Riester Nova Ecoline 111030502 Ruang OK 19 April 2017 L YK02.03/LIV.1/2017. 01763
32 Sphygmomanometer Riester Nova-Presameter 150409088 Ruang Poli 20 April 2017 L YK.02.03/LIV.1/2017. 01764
33 Sphygmomanometer Riester Nova-Presameter 121242245 Ruang Poli 20 April 2017 L YK.02.03/LIV. 1/2017. 01765
34 Sphygmomanometer Riester Nova-Presameter 100311170 Ruang IGD 20 April 2017 L YK02.03/LIV.1/2017. 01766
-
35 Sterilisator Kering Corona ZTP-80A-7 Ruang CSSD 20 April 2017 L YK.02.03/LIV. 1/2017. 01767
36 Suction Pump Thomas MediPump 1132 GL 100300006164 Ruang HCU 18 April 2017 L YK.02.03/LI V. 1/2017. 01768
37 Suction Pump SMAF YB-DX-23B N11.001 Ruang OK 19 April 2017 L YK.02.03/LIV.1/2017. 01769
38 Suction Pump SMAF YB-DX-23B N8.258 Ruang OK 19 April 2017 L YK02.03/LIV.1/2017. 01770
39 Autoclave a. LS-B75L 221 Ruang CSSD 19 April 2017 TL
40 Electrosurgery Unit ALSA NESCO Alsatom SU 140 MPC JH 2216-06/03 Ruang OK Ruang 19 April 2017 19 TL TL
41 Flow Meter ________________ NESCO ONE MED ___ 907 B JH 907 B JH2015082549 J OK Ruang OK April 2017 19 April TL TL
42 Flow Meter _________________ H2015081428 Ruang IGD 2017 19 April 2017
43 Flow Meter _______ 0985