DAFTAR BMN SAMPAI DENGAN TAHUN 2016

UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG

Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
3070101001 (Sterilisator)
1 1 31-12-2006 DROPPING 2,400,000
2 2 31-12-2006 DROPPING 2,400,000
3 3 31-12-2006 SWADAYA 1,200,000
4 - RB 4 31-12-2006 42,000,000
3070101002 (Minor Surgical Set (Alat Kedokteran Umum))
1 1 31-12-2006 DROPPING 10,000,000
3070101003 (Diagnostik Set)
1 1 31-12-2006 DROPPING 8,890,000
3070101004 (Stetoscope (Alat Kedokteran Umum))
1 1 31-12-2006 SWADAYA 25,000
2 2 31-12-2006 SWADAYA 25,000
3 3 31-12-2006 SWADAYA 25,000
4 4 31-12-2006 SWADAYA 25,000
5 287.0001/RK, GERMANY 5 17-12-2012 DROPPING PUSDOKKES 407,000
6 287.0001/RK, GERMANY 6 17-12-2012 DROPPING PUSDOKKES 407,000
7 287.0001/RK, GERMANY 7 17-12-2012 DROPPING PUSDOKKES 407,000
8 superbult 8 27-06-2013 1,630,000
9 RK Germany sa 9 31-12-2011 Pusdokkes 407,000
10 RK Germany sa 10 31-12-2011 Pusdokkes 407,000
11 RK Germany sa 11 31-12-2011 Pusdokkes 407,000
12 RK Germany sa 12 31-12-2011 Pusdokkes 407,000
13 RK Germany sa 13 31-12-2011 Pusdokkes 407,000
14 RK Germany sa 14 31-12-2011 Pusdokkes 407,000
3070101005 (Tensimeter)
1 1 31-12-2006 SWADAYA 100,000
2 2 31-12-2006 SWADAYA 100,000
3 3 31-12-2006 SWADAYA 100,000
4 4 31-12-2006 SWADAYA 100,000
5 5 31-12-2006 SWADAYA 100,000
6 6 31-12-2006 SWADAYA 100,000
7 286.8501/RK, GERMANY 7 17-12-2012 DROPPING PUSDOKKES 1,584,000
8 286.8501/RK, GERMANY 8 17-12-2012 DROPPING PUSDOKKES 1,584,000
9 286.8801/RK, GERMANY TENSI LAPANGAN 9 17-12-2012 DROPPING PUSDOKKES 693,000
10 RK Germany (tensi sa 10 31-12-2011 Pusdokkes 693,000
lapangan)
11 RK Germany (tensi sa 11 31-12-2011 Pusdokkes 693,000
lapangan)
12 286.8501 RK Germany sa 12 31-12-2011 Pusdokkes 1,584,000
13 286.8501 RK Germany sa 13 31-12-2011 Pusdokkes 1,584,000
14 286.8501 RK Germany sa 14 31-12-2011 Pusdokkes 1,584,000
15 286.8501 RK Germany sa 15 31-12-2011 Pusdokkes 1,584,000
16 Reister 16 28-02-2014 dpk pusdokkes 1,980,000

Tgl Cetak : 27-04-2017 Halaman : 1

 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
3070101007 (Head Lamp (Alat Kedokteran Umum))
1 1 31-12-2006 SWADAYA 25,000
2 LED/SURGIMED, RRC 2 17-12-2012 DROPPING PUSDOKKES 825,000
3 Ryne INA sa 3 31-12-2011 Pusdokkes 825,000
4 Ryne INA sa 4 31-12-2011 Pusdokkes 825,000
3070101008 (Waskom)
1 1 31-12-2006 SWADAYA 50,000
2 2 31-12-2006 SWADAYA 50,000
3 3 31-12-2006 SWADAYA 50,000
4 4 10-03-2011 15,500
5 5 10-03-2011 15,500
6 6 10-03-2011 15,500
7 7 10-03-2011 15,500
3070101009 (Timbangan Badan (Alat Kedokteran Umum))
1 1 31-12-2006 SWADAYA 100,000
2 2 31-12-2006 SWADAYA 100,000
3 ZT-120/ SMIC, RRC 3 17-12-2012 DROPPING PUSDOKKES 1,078,000
4 ZT-120 SMIC RRC sa 4 31-12-2011 Pusdokkes 1,078,000
5 ZT-120 SMIC RRC sa 5 31-12-2011 Pusdokkes 1,078,000
3070101010 (Timbangan Bayi)
1 1 31-12-2006 SWADAYA 80,000
2 BF 2051/ LAICA, ITALY 2 17-12-2012 DROPPING PUSDOKKES 1,320,000
3 BF 2051 Laica italy sa 3 21-12-2011 Pusdokkes 1,320,000
4 BF 2051 Laica italy sa 4 21-12-2011 Pusdokkes 1,320,000
3070101015 (Chirurgical Pinset)
1 1 31-12-2006 SWADAYA 15,000
3070101016 (Naalvoeder)
1 1 31-12-2006 SWADAYA 35,000
2 2 31-12-2006 SWADAYA 35,000
3 3 31-12-2006 SWADAYA 35,000
3070101026 (Tabung 02)
1 1 30-05-2014 2,145,000
2 2 30-05-2014 2,145,000
3070101028 (Autoclave Table)
1 ELITECH 1 23-09-2011 PEMBELIAN 1,800,000
2 - - 2 28-02-2013 - 27,321,000
3070101032 (Bak Instrument (Stainles,Kaca,Email))
1 1 31-12-2006 SWADAYA 200,000
2 2 31-12-2006 SWADAYA 200,000
3 0156/ MAGNATE, 3 17-12-2012 DROPPING PUSDOKKES 313,500
THAILAND
4 0156/ MAGNATE, 4 17-12-2012 DROPPING PUSDOKKES 313,500
THAILAND

Tgl Cetak : 27-04-2017 Halaman : 2

 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
5 0156/ MAGNATE, 5 17-12-2012 DROPPING PUSDOKKES 313,500
THAILAND
6 0156/ MAGNATE, 6 17-12-2012 DROPPING PUSDOKKES 313,500
THAILAND
7 0156/ MAGNATE, 7 17-12-2012 DROPPING PUSDOKKES 313,500
THAILAND
8 0156 magnate Thailand sa 8 31-12-2011 Pusdokkes 313,500
9 0156 magnate Thailand sa 9 31-12-2011 Pusdokkes 313,500
10 0156 magnate Thailand sa 10 31-12-2011 Pusdokkes 313,500
11 0156 magnate Thailand sa 11 31-12-2011 Pusdokkes 313,500
3070101042 (Brancard)
1 1 31-12-2006 SWADAYA 9,000,000
2 2 31-12-2006 SWADAYA 9,000,000
3 3 31-12-2006 SWADAYA 9,000,000
4 4 31-12-2006 SWADAYA 9,000,000
5 5 31-12-2006 SWADAYA 9,000,000
6 6 31-12-2006 SWADAYA 9,000,000
7 PARAMOUNT, ALAT IGD 7 31-10-2014 tranfer masuk 13,887,382
INDONESIA
8 S/S PLUS INDOMED (BH) HD 8 31-10-2015 blu 8,140,000
9 S/S PLUS INDOMED (BH) HD 9 31-10-2015 blu 8,140,000
10 des19 beroda 10 19-11-2015 blu 16,280,000
3070101061 (Elektro Counter)
1 1 31-12-2006 DROPPING 27,000,000
3070101080 (Infusion Pump)
1 1 31-12-2006 DROPPING 20,000,000
2 Top 3300 Top Japan sa 2 31-12-2011 Pusdokkes 55,879,026
3 Top 3300 Top Japan sa 3 31-12-2011 Pusdokkes 55,879,026
3070101088 (Korentang)
1 1 31-12-2006 SWADAYA 200,000
3070101094 (Mangkok/Kom Betadin (Stainless,Keramik/China))
1 1 31-12-2006 SWADAYA 11,500
2 2 31-12-2006 SWADAYA 11,500
3 3 31-12-2006 SWADAYA 11,500
3070101096 (Meja Suntik Beroda)
1 1 31-12-2006 SWADAYA 100,000
2 2 31-12-2006 SWADAYA 100,000
3 3 31-12-2006 SWADAYA 100,000
4 4 31-12-2006 SWADAYA 100,000
3070101097 (Lemari Obat (Kaca))
1 1 31-12-2006 SWADAYA 678,500
2 2 31-12-2006 SWADAYA 678,500
3 3 31-12-2006 SWADAYA 678,500
4 4 31-12-2006 SWADAYA 678,500
Tgl Cetak : 27-04-2017 Halaman : 3
 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
5 5 31-12-2006 SWADAYA 678,500
6 6 31-12-2006 SWADAYA 678,500
7 7 31-12-2006 SWADAYA 678,500
3070101105 (Nierbekhen)
1 1 31-12-2006 SWADAYA 40,600
2 2 31-12-2006 SWADAYA 40,600
3 3 31-12-2006 SWADAYA 40,600
4 4 31-12-2006 SWADAYA 40,600
5 5 31-12-2006 SWADAYA 40,600
6 6 31-12-2006 SWADAYA 40,600
7 7 31-12-2006 SWADAYA 40,600
8 8 31-12-2006 SWADAYA 40,600
9 9 31-12-2006 SWADAYA 40,600
10 10 31-12-2006 SWADAYA 40,600
11 11 31-12-2006 SWADAYA 40,600
12 12 31-12-2006 SWADAYA 40,600
13 13 31-12-2006 SWADAYA 40,600
14 14 31-12-2006 SWADAYA 40,600
15 15 31-12-2006 SWADAYA 40,600
3070101108 (Operating Lamp)
1 1 31-12-2006 DROPPING 43,000,000
2 2 31-12-2006 DROPPING 43,000,000
3070101127 (Kursi Dorong)
1 1 31-12-2006 SWADAYA 1,500,000
2 2 31-12-2006 SWADAYA 1,500,000
3 3 31-12-2006 SWADAYA 1,500,000
4 - - 4 30-04-2013 - 1,000,000
5 SERENITY, CHINA ALAT IGD 5 31-10-2014 pusdokkes 2,713,245
3070101134 (Suction Pump)
1 1 31-12-2006 DROPPING 11,000,000
2 2 31-12-2006 DROPPING 11,000,000
3 3 31-12-2006 DROPPING 11,000,000
4 ORDISI, SPAIN ALAT IGD 4 31-10-2014 pusdokkes 53,600,424
5 bh mobile pos1 5 13-10-2015 blu 3,685,000
6 1242 2TB D SU192 6 25-07-2016 blu 38,500,000
3070101139 (Standar Infus)
1 1 31-12-2006 SWADAYA 53,000
2 2 31-12-2006 SWADAYA 53,000
3 3 31-12-2006 SWADAYA 53,000
4 4 31-12-2006 SWADAYA 53,000
5 5 31-12-2006 SWADAYA 53,000
6 6 31-12-2006 SWADAYA 53,000

Tgl Cetak : 27-04-2017 Halaman : 4

 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
7 7 31-12-2006 SWADAYA 53,000
8 8 31-12-2006 SWADAYA 53,000
9 9 31-12-2006 SWADAYA 53,000
10 10 31-12-2006 SWADAYA 53,000
11 11 31-12-2006 SWADAYA 53,000
12 12 31-12-2006 SWADAYA 53,000
13 13 31-12-2006 SWADAYA 53,000
14 14 31-12-2006 SWADAYA 53,000
15 15 31-12-2006 SWADAYA 53,000
16 16 31-12-2006 SWADAYA 53,000
17 17 31-12-2006 SWADAYA 53,000
18 18 31-12-2006 SWADAYA 53,000
19 19 31-12-2006 SWADAYA 53,000
20 20 31-12-2006 SWADAYA 53,000
21 21 31-12-2006 SWADAYA 53,000
22 22 31-12-2006 SWADAYA 53,000
23 23 31-12-2006 SWADAYA 53,000
24 24 31-12-2006 SWADAYA 53,000
25 25 31-12-2006 SWADAYA 53,000
26 26 31-12-2006 SWADAYA 53,000
27 27 31-12-2006 SWADAYA 53,000
28 28 31-12-2006 SWADAYA 53,000
29 29 31-12-2006 SWADAYA 53,000
30 30 31-12-2006 SWADAYA 53,000
31 31 31-12-2006 SWADAYA 53,000
32 32 31-12-2006 SWADAYA 53,000
33 33 31-12-2006 SWADAYA 53,000
34 34 31-12-2006 SWADAYA 53,000
35 35 31-12-2006 SWADAYA 53,000
36 36 31-12-2006 SWADAYA 53,000
37 37 31-12-2006 SWADAYA 53,000
38 38 31-12-2006 SWADAYA 53,000
39 39 31-12-2006 SWADAYA 53,000
40 40 31-12-2006 SWADAYA 53,000
41 41 22-08-2013 220,000
42 42 22-08-2013 220,000
43 43 22-08-2013 220,000
44 44 22-08-2013 220,000
45 45 22-08-2013 220,000
3070101140 (Standar Waskom)
1 1 31-12-2006 SWADAYA 100,000
2 2 31-12-2006 SWADAYA 100,000

Tgl Cetak : 27-04-2017 Halaman : 5

 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
3 3 31-12-2006 SWADAYA 100,000
4 M.8905 SS/ HSP 4 17-12-2012 DROPPING PUSDOKKES 1,925,000
INDONESIA
3070101144 (Syringe Pump (Alat Kedokteran Umum))
1 1 31-12-2006 DROPPING 23,000,000
2 2 27-06-2013 22,499,999
3070101146 (Termometer Mercury Untuk Suhu Badan)
1 1 31-12-2006 SWADAYA 9,200
2 2 31-12-2006 SWADAYA 9,200
3 3 31-12-2006 SWADAYA 9,200
3070101151 (Tromol Has)
1 1 31-12-2006 SWADAYA 120,000
2 2 31-12-2006 SWADAYA 120,000
3 3 31-12-2006 SWADAYA 120,000
4 4 31-12-2006 SWADAYA 120,000
5 plat INA sa 5 31-12-2011 Pusdokkes 352,000
6 plat INA sa 6 31-12-2011 Pusdokkes 352,000
7 plat INA sa 7 31-12-2011 Pusdokkes 352,000
8 plat INA sa 8 31-12-2011 Pusdokkes 352,000
3070101152 (Urinal)
1 0108/ MAGNATE 1 17-12-2012 DROPPING 440,000
THAILAND
2 0108/ MAGNATE 2 17-12-2012 DROPPING 440,000
THAILAND
3 0108/ MAGNATE 3 17-12-2012 DROPPING 440,000
THAILAND
4 0108/ MAGNATE 4 17-12-2012 DROPPING 440,000
THAILAND
5 0108/ MAGNATE 5 17-12-2012 DROPPING 440,000
THAILAND
6 0108 magnate Thailand sa 6 31-12-2011 Pusdokkes 440,000
7 0108 magnate Thailand sa 7 31-12-2011 Pusdokkes 440,000
8 0108 magnate Thailand sa 8 31-12-2011 Pusdokkes 440,000
9 0108 magnate Thailand sa 9 31-12-2011 Pusdokkes 440,000
3070101155 (UV Sterilizer)
1 1 31-12-2006 DROPPING 13,000,000
2 2 31-12-2006 DROPPING 13,000,000
3 4lampubh pos3+ok 3 22-10-2015 blu 5,720,000
4 4lampubh pos3+ok 4 22-10-2015 blu 5,720,000
3070101999 (Alat Kedokteran Umum Lainnya)
1 Bed side ABS 6 26-05-2014 1,500,000
2 Bed side ABS 7 26-05-2014 1,500,000
3 Bed side ABS 8 26-05-2014 1,500,000
4 Bed side ABS 9 26-05-2014 1,500,000

Tgl Cetak : 27-04-2017 Halaman : 6

 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
5 Bed side ABS 10 26-05-2014 1,500,000
6 bed + mtrs px ABS 2 CR BED+MATRAS px HD 11 30-09-2015 blu 7,150,000
OM
7 bed + mtrs px ABS 2 CR BED+MATRAS px HD 12 30-09-2015 blu 7,150,000
OM
8 bed + mtrs px ABS 2 CR BED+MATRAS px HD 13 30-09-2015 blu 7,150,000
OM
9 bed + mtrs px ABS 2 CR BED+MATRAS px HD 14 30-09-2015 blu 7,150,000
OM
10 bed + mtrs px ABS 2 CR BED+MATRAS px HD 15 30-09-2015 blu 7,150,000
OM
3070102002 (Dental Unit)
1 1 31-12-2006 HIBAH 15,945,000
2 gnatus pop star lsf me p gigi 2 13-08-2015 blu 58,025,000
3070102003 (Dental X-Ray Unit)
1 1 31-12-2006 DROPPING 75,000,000
3070102005 (Dental Hand Instruments Set)
1 dental set instr p gigi 1 13-08-2015 blu 28,298,600
3070102014 (Minor Surgical Set (Alat Kedokteran Gigi))
1 - pgigi 1 13-08-2015 blu 15,707,230
3070102020 (Dental Ultra Sonic)
1 1 31-12-2006 DROPPING 10,000,000
3070102027 (Bend Pusher)
1 1 31-12-2006 SWADAYA 75,000
3070102033 (Burnisher)
1 1 31-12-2006 SWADAYA 30,000
2 2 31-12-2006 SWADAYA 30,000
3070102039 (Cryer)
1 1 31-12-2006 SWADAYA 100,000
2 2 31-12-2006 SWADAYA 100,000
3070102040 (Curret Gigi)
1 1 31-12-2006 SWADAYA 10,000
2 2 31-12-2006 SWADAYA 10,000
3070102048 (Exkavator)
1 1 31-12-2006 SWADAYA 25,000
2 2 31-12-2006 SWADAYA 25,000
3070102059 (Kaca Mulut/Spigel)
1 1 31-12-2006 SWADAYA 25,000
2 2 31-12-2006 SWADAYA 25,000
3 3 31-12-2006 SWADAYA 25,000
3070102067 (Light Curing Unit)
1 1 31-12-2006 DROPPING 957,000
3070102079 (Pinset Dental)
1 1 31-12-2006 SWADAYA 20,000

Tgl Cetak : 27-04-2017 Halaman : 7

 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
2 2 31-12-2006 SWADAYA 20,000
3 3 31-12-2006 SWADAYA 20,000
3070102080 (Pisau Lilin/Wasmess/Wax Knife)
1 1 31-12-2006 SWADAYA 10,000
3070102081 (Plastik Instrument)
1 1 31-12-2006 SWADAYA 15,000
2 2 31-12-2006 SWADAYA 15,000
3070102089 (Spatel Gips)
1 1 31-12-2006 SWADAYA 10,000
2 2 31-12-2006 SWADAYA 10,000
3 3 31-12-2006 SWADAYA 10,000
4 4 31-12-2006 SWADAYA 10,000
5 5 31-12-2006 SWADAYA 10,000
3070102093 (Tang Ektrasi (Dewasa,Anak))
1 1 31-12-2006 DROPPING 293,000
2 2 31-12-2006 DROPPING 293,000
3 3 31-12-2006 DROPPING 293,000
4 4 31-12-2006 DROPPING 293,000
5 5 31-12-2006 DROPPING 293,000
6 6 31-12-2006 DROPPING 293,000
7 7 31-12-2006 DROPPING 293,000
8 8 31-12-2006 DROPPING 293,000
9 9 31-12-2006 DROPPING 293,000
10 10 31-12-2006 DROPPING 293,000
11 11 31-12-2006 DROPPING 293,000
12 12 31-12-2006 DROPPING 293,000
13 13 31-12-2006 DROPPING 293,000
14 14 31-12-2006 DROPPING 293,000
15 15 31-12-2006 DROPPING 293,000
16 16 31-12-2006 DROPPING 293,000
17 17 31-12-2006 DROPPING 293,000
18 18 31-12-2006 DROPPING 293,000
3070103003 (Service Model Kit)
1 Bidan Kit sa 1 31-12-2011 Pusdokkes 4,390,100
2 Bidan Kit sa 2 31-12-2011 Pusdokkes 4,390,100
3070103006 (Speculum)
1 1 31-12-2006 SWADAYA 62,500
2 2 31-12-2006 SWADAYA 62,500
3 3 31-12-2006 SWADAYA 62,500
4 4 31-12-2006 SWADAYA 62,500
5 5 31-12-2006 SWADAYA 62,500
6 6 31-12-2006 SWADAYA 62,500
7 7 31-12-2006 SWADAYA 62,500
Tgl Cetak : 27-04-2017 Halaman : 8
 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
8 8 31-12-2006 SWADAYA 62,500
9 9 31-12-2006 SWADAYA 62,500
10 10 31-12-2006 SWADAYA 62,500
11 11 31-12-2006 SWADAYA 62,500
12 12 31-12-2006 SWADAYA 62,500
3070104001 (Minor Surgeri Set)
1 1 31-12-2006 DROPPING 2,500,000
2 2 17-12-2012 DROPPING PUSDOKKES 682,000
3 3 17-12-2012 DROPPING PUSDOKKES 682,000
3070104011 (Anaesthesi App)
1 1 31-12-2006 DROPPING 125,000,000
3070104012 (Operating Table Bedah)
1 1 31-12-2006 DROPPING 40,000,000
2 2 31-12-2006 DROPPING 40,000,000
3 3 25-10-2013 84,348,000
3070104022 (Mobile Operating Lamp)
1 3 21-12-2006 saldo awal 1,500,000
3070104038 (Basic Surgical Instrument)
1 1 30-06-2014 3,670,150
3070104071 (Electric Suction Pump)
1 1632GL Thomas portable 2 26-05-2014 5,000,000
3070104074 (Emergency Trolley)
1 Onemed W/ lock Emgcy trolly ok-icu-igd 1 21-04-2016 blu 19,800,000
2 Onemed W/ lock Emgcy trolly ok-icu-igd 2 21-04-2016 blu 19,800,000
3 Onemed W/ lock Emgcy trolly ok-icu-igd 3 21-04-2016 blu 19,800,000
3070104086 (Heacting Set)
1 1 17-12-2012 DROPPING PUSDOKKES 1,595,000
2 sa 2 31-12-2011 Pusdokkes 1,471,800
3 sa 3 31-12-2011 Pusdokkes 1,471,800
3070104111 (Laparatomi Set)
1 1 31-12-2006 DROPPING 83,450,000
3070104121 (Mayo Table Stand Mobile, Stainles Steel)
1 1 31-12-2006 SWADAYA 1,500,000
3070104999 (Alat Kedokteran Bedah Lainnya)
1 operasi set 1 25-10-2013 4,534,750
2 ok instrument 2 16-03-2014 Pembelian 4,602,840
3 OK 3 21-01-2014 pembelian 975,000
4 set doek ok set 4 13-08-2015 blu 16,354,800
5 sealing 80 Alat press steril ok 5 21-04-2016 blu 2,860,000
3070105002 (Hysterectomy Set)
1 1 01-06-2011 1,914,000
3070105008 (Curetage And Dilation Set)
1 1 31-12-2006 DROPPING 1,500,000
Tgl Cetak : 27-04-2017 Halaman : 9
 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
3070105010 (Basic Obstetric Set)
1 1 31-12-2006 SWADAYA 200,000
3070105011 (Gynecological Examining Table)
1 1 31-12-2006 SWADAYA 678,000
3070105027 (Oxygen Regulator)
1 YR.88/ INNOVA, RRC 1 17-12-2012 DROPPING PUSDOKKES 962,500
2 YR.88/ INNOVA, RRC 2 17-12-2012 DROPPING PUSDOKKES 962,500
3 YR.88/ INNOVA, RRC 3 17-12-2012 DROPPING PUSDOKKES 962,500
3070105054 (Vacuum Extractor (Alat Kesehatan Kebidanan Dan Penyakit Kandungan)
1 1 31-12-2006 SWADAYA 200,000
3070105060 (Baby Incubator (Alat Kesehatan Kebidanan Dan Penyakit Kandungan))
1 1 31-12-2006 SWADATA 100,000
2 2 31-12-2006 SWADATA 100,000
3 3 31-12-2006 SWADATA 100,000
4 4 31-12-2006 SWADATA 100,000
5 5 31-12-2006 SWADATA 100,000
3070105063 (Alat Partus Set)
1 1 31-12-2006 DROPPING 1,000,000
2 2 17-12-2012 DROPPING PUSDOKKES 1,452,000
3 sa 3 31-12-2011 Pusdokkes 1,342,000
4 sa 4 31-12-2011 Pusdokkes 1,342,000
3070105083 (Dopler (Fetal Heart Sound Detector))
1 1 14-05-2011 2,090,000
2 BF 600 + 2 23-09-2011 PEMBELIAN 1,900,000
3070105087 (Forcep Fulture)
1 1 31-12-2006 SWADAYA 25,000
2 2 31-12-2006 SWADAYA 25,000
3 3 31-12-2006 SWADAYA 25,000
4 4 31-12-2006 SWADAYA 25,000
5 5 31-12-2006 SWADAYA 25,000
6 6 31-12-2006 SWADAYA 25,000
3070105097 (Lampu Gynaecologi)
1 1 31-12-2006 SWADAYA 125,000
2 2 31-12-2006 SWADAYA 125,000
3 led pos2 3 13-10-2015 blu 1,210,000
3070105107 (Partus Instrument Set)
1 0m pos2 1 13-10-2015 blu 880,000
2 om +heactsetpos1258,5 2 13-10-2015 blu 1,138,500
3070105119 (Tampon Tang)
1 1 31-12-2006 SWADAYA 50,000
3070105999 (Alat Kesehatan Kebidanan Dan Penyakit Kandungan Lainnya)
1 1 22-08-2013 2,850,000
3070106096 (Otoscope Halogen Lamp)
Tgl Cetak : 27-04-2017 Halaman : 10
 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
1 - ok 1 28-02-2013 - 16,250,000
3070106150 (X-Ray Viewer)
1 M-8940/HSP, 1 17-12-2012 DROPPING PUSDOKKES 935,000
INDONESIA
2 M-8940/HSP, 2 17-12-2012 DROPPING PUSDOKKES 935,000
INDONESIA
3 M 8940 Lokal INA sa 3 31-12-2011 Pusdokkes 935,000
4 M 8940 Lokal INA sa 4 31-12-2011 Pusdokkes 935,000
5 M 8940 Lokal INA sa 5 31-12-2011 Pusdokkes 935,000
6 M 8940 Lokal INA sa 6 31-12-2011 Pusdokkes 935,000
3070108030 (Ultra Sono Graphy (USG) Internal Medicine)
1 Mindray DP-20 USG poli KIA 1 26-09-2016 blu 76,640,000
3070109003 (Autopsi Set)
1 Varieus Hebu Medical sa 1 31-12-2011 Pusdokkes 97,587,946
GmbH
3070109999 (Alat Kedokteran Kamar Jenasah Lainnya)
1 HB 8891 Hebu Medical sa 1 31-12-2011 Pusdokkes 41,020,996
GmbH (Electric Saw
Machine)
3070110011 (Neirbekken Stainless Steel)
1 1 10-03-2011 104,333
2 2 10-03-2011 104,333
3 3 10-03-2011 104,333
4 1201/ MAGNATE, 4 17-12-2012 DROPPING PUSDOKKES 71,500
THAILAND
5 1201/ MAGNATE, 5 17-12-2012 DROPPING PUSDOKKES 71,500
THAILAND
6 1201/ MAGNATE, 6 17-12-2012 DROPPING PUSDOKKES 71,500
THAILAND
7 1201/ MAGNATE, 7 17-12-2012 DROPPING PUSDOKKES 71,500
THAILAND
8 1201/ MAGNATE, 8 17-12-2012 DROPPING PUSDOKKES 71,500
THAILAND
9 1201 Magnate Thailand sa 9 31-12-2011 Pusdokkes 71,500
10 1201 Magnate Thailand sa 10 31-12-2011 Pusdokkes 71,500
3070110044 (Doek Klem-Towel Forceps)
1 1 31-12-2006 SWADAYA 40,000
2 2 31-12-2006 SWADAYA 40,000
3 3 31-12-2006 SWADAYA 40,000
4 4 31-12-2006 SWADAYA 40,000
5 5 31-12-2006 SWADAYA 40,000
6 6 31-12-2006 SWADAYA 40,000
7 7 31-12-2006 SWADAYA 40,000
8 8 31-12-2006 SWADAYA 40,000
9 9 31-12-2006 SWADAYA 40,000

Tgl Cetak : 27-04-2017 Halaman : 11

 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
10 10 31-12-2006 SWADAYA 40,000
11 11 31-12-2006 SWADAYA 40,000
12 12 31-12-2006 SWADAYA 40,000
13 13 31-12-2006 SWADAYA 40,000
14 14 31-12-2006 SWADAYA 40,000
15 15 31-12-2006 SWADAYA 40,000
16 16 31-12-2006 SWADAYA 40,000
17 17 31-12-2006 SWADAYA 40,000
18 18 31-12-2006 SWADAYA 40,000
19 19 31-12-2006 SWADAYA 40,000
20 20 10-03-2011 16,500
21 21 10-03-2011 16,500
22 22 10-03-2011 16,500
23 23 10-03-2011 16,500
24 24 10-03-2011 16,500
25 25 10-03-2011 16,500
26 26 10-03-2011 16,500
27 27 10-03-2011 16,500
3070110065 (Baby Incubator (Alat Kedokteran Anak))
1 1 31-12-2006 SWADAYA 100,000
2 2 31-12-2006 SWADAYA 100,000
3070110999 (Alat Kedokteran Anak Lainnya)
1 bed for children 1 31-10-2014 5,352,000
2 bed for children 2 31-10-2014 5,352,000
3 bed for children 3 31-10-2014 5,352,000
4 bed for children 4 31-10-2014 5,352,000
5 alat phototerapy 5 25-08-2014 1,180,000
3070111003 (Bed Pan For Adult 310 mm Complete)
1 0101/ MAGNATE, 1 17-12-2012 DROPPING PUSDOKKES 660,000
THAILAND
2 0101/ MAGNATE, 2 17-12-2012 DROPPING PUSDOKKES 660,000
THAILAND
3 0101/ MAGNATE, 3 17-12-2012 DROPPING PUSDOKKES 660,000
THAILAND
4 0101/ MAGNATE, 4 17-12-2012 DROPPING PUSDOKKES 660,000
THAILAND
5 0101/ MAGNATE, 5 17-12-2012 DROPPING PUSDOKKES 660,000
THAILAND
6 0101 Magnate Thailand sa 6 31-12-2011 Pusdokkes 644,600
7 0101 Magnate Thailand sa 7 31-12-2011 Pusdokkes 644,600
8 0101 Magnate Thailand sa 8 31-12-2011 Pusdokkes 644,600
9 0101 Magnate Thailand sa 9 31-12-2011 Pusdokkes 644,600
3070111021 (Dressing Forceps)
1 PLATA INDONESIA 24 CM 1 17-12-2012 DROPPING PUSDOKKES 352,000
Tgl Cetak : 27-04-2017 Halaman : 12
 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
2 PLATA INDONESIA 24 CM 2 17-12-2012 DROPPING PUSDOKKES 352,000
3 PLATA INDONESIA 24 CM 3 17-12-2012 DROPPING PUSDOKKES 352,000
4 PLATA INDONESIA 24 CM 4 17-12-2012 DROPPING PUSDOKKES 352,000
5 PLATA INDONESIA 24 CM 5 17-12-2012 DROPPING PUSDOKKES 352,000
6 PLATA, INDONESIA 21 CM 6 17-12-2012 DROPPING PUSDOKKES 352,000
7 PLATA, INDONESIA 21 CM 7 17-12-2012 DROPPING PUSDOKKES 352,000
8 PLATA, INDONESIA 21 CM 8 17-12-2012 DROPPING PUSDOKKES 352,000
9 PLATA, INDONESIA 21 CM 9 17-12-2012 DROPPING PUSDOKKES 352,000
10 PLATA, INDONESIA 21 CM 10 17-12-2012 DROPPING PUSDOKKES 352,000
3070111032 (Knife Handle)
1 1 10-03-2011 27,000
2 2 10-03-2011 27,000
3 3 10-03-2011 27,000
3070112002 (Wheel Chair (Alat Kesehatan Rehabilitasi Medis))
1 1 31-12-2006 SWADAYA 750,000
2 2 21-04-2011 1,500,000
3 3 21-04-2011 1,500,000
3070113005 (Patient Monitor)
1 1 10-02-2011 16,000,435
2 mec 1000 2 21-06-2013 17,000,000
3 mec 1000 3 21-06-2013 17,000,000
4 mec 1000 4 01-10-2013 19,000,000
5 mec 1000 5 01-10-2013 19,000,000
6 6 21-01-2016 blu 20,350,000
3070114001 (Electrocardiograph)
1 - - 1 31-03-2013 - 11,499,999
2 - - 2 31-03-2013 - 11,499,999
3 NIHON KOHDEN, JAPAN ALAT IGD 3 31-10-2014 pusdokkes 44,574,732
4 cardio7bh igd 4 22-10-2015 blu 24,000,000
3070114004 (Central Gas)
1 o2 ctrl central 1 08-12-2015 blu 14,825,580
3070114006 (Heart Rate Monitor)
1 AM 1200 ADVANCE SC OK 1 30-10-2015 blu 18,700,000
2 Am 1500 ADV VERSI II px monitor icu 2 14-04-2016 blu 20,350,000
3 AM 1500 ADV VERSI II + px monitor O K 3 19-05-2016 blu 20,350,000
PRINTER
3070114021 (Defibrilator Phisiocontrol)
1 type beneheart minray defibrillator OK 1 01-08-2015 sisa DPK 2013 78,497,312
3070114022 (ECG 3 Channel)
1 1 31-12-2006 DROPPING 27,500,000
2 2 31-12-2006 DROPPING 27,500,000
3 ECG 1150 nihon kohden 3 28-02-2014 dpk pusdokkes 44,836,892
Japan

Tgl Cetak : 27-04-2017 Halaman : 13

 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
3070114027 (EKG Monitor)
1 1 31-12-2006 DROPPING 33,000,000
2 - - 2 28-02-2013 - 16,500,000
3 - - 3 28-02-2013 - 16,500,000
4 - - 4 28-02-2013 - 16,500,000
3070115003 (Automatic Film Processing Unit)
1 KONICA 1 28-02-2011 DROPPING PUSDOKKES 122,650,000
3070115006 (Cassete Film (Alat Kedokteran Radiodiagnostic))
1 film 24x30 ro 1 07-09-2015 blu 1,760,000
3070115008 (Film Processing Tank)
1 1 31-12-2006 SWADAYA 150,000
2 2 31-12-2006 SWADAYA 150,000
3070115009 (General Purpose X-Ray Unit)
1 1 31-12-2006 DROPPING 300,000,000
3070115011 (Grid)
1 lisholm ro 1 07-09-2015 blu 1,760,000
3070115017 (X-Ray Mobile Unit)
1 MEDNIF 1 28-02-2011 DROPPING PUSDOKKES 308,000,000
3070115999 (Alat Kedokteran Radiodiagnostic Lainnya)
1 film drier 1 07-09-2015 blu 433,840,000
2 COLENTA Kompt radiography(cassette 2 30-11-2016 blu 107,360,000
reader)
3070117999 (Alat Kedokteran Transfusi Darah Lainnya)
1 Blood warmer penghangat cairan OK 1 15-10-2016 blu 1,294,700
3070118014 (Film Hanger)
1 1 31-12-2006 SWADAYA 250,000
2 2 31-12-2006 SWADAYA 250,000
3 3 31-12-2006 SWADAYA 250,000
4 4 31-12-2006 SWADAYA 250,000
5 5 31-12-2006 SWADAYA 250,000
6 6 31-12-2006 SWADAYA 250,000
7 7 31-12-2006 SWADAYA 250,000
8 8 31-12-2006 SWADAYA 250,000
9 9 31-12-2006 SWADAYA 250,000
3070118016 (Film Pass Box)
1 1 31-12-2006 SWADAYA 150,000
3070120011 (Kasur Anti Decubitus)
1 1 24-03-2011 800,000
2 2500 F/ GRAND, 2 17-12-2012 DROPPING PUSDOKKES 1,650,000
TAIWAN
3 2500 F/ GRAND, 3 17-12-2012 DROPPING PUSDOKKES 1,650,000
TAIWAN
4 2500F Grand Taiwan sa 4 31-12-2011 Pusdokkes 1,650,000

Tgl Cetak : 27-04-2017 Halaman : 14

 DAFTAR BMN SAMPAI DENGAN TAHUN 2016
UAKPB : 060.01.0500.679635.000.KD RS BHAYANGKARA LUMAJANG
Kode Barang Nama Barang
No. No Aset Tgl. Perlh Asal Perolehan Rupiah Aset
Merk Barang Keterangan
5 2500F Grand Taiwan sa 5 31-12-2011 Pusdokkes 1,650,000
3070121022 (Emergency Kit)
1 1 31-12-2006 SWADAYA 25,110,000
2 2 17-12-2012 DROPPING PUSDOKKES 4,390,100
3 sa 3 31-12-2011 Pusdokkes 43,901,000
4 sa 4 31-12-2011 Pusdokkes 43,901,000
3070121028 (Infant Ventilator)
1 type synovent E3 minray ventilator OK 1 01-08-2015 sisa DPK 2013 197,609,999
3070124003 (Co2 Analyzer (Alat Kedokteran I C U))
1 sandana icu 1 22-01-2016 blu 34,593,020
3070124004 (Icu Bed Electric)
1 1 31-12-2006 DROPPING 4,562,500
2 2 31-12-2006 DROPPING 4,562,500
3 3 31-12-2006 DROPPING 4,562,500
4 4 31-12-2006 DROPPING 4,562,500
5 5 31-12-2006 DROPPING 4,562,500
6 6 31-12-2006 DROPPING 4,562,500
7 7 31-12-2006 DROPPING 4,562,500
8 8 31-12-2006 DROPPING 4,562,500
9 9 31-10-2014 25,087,500
10 10 31-10-2014 25,087,500
11 11 31-10-2014 25,087,500
12 12 31-10-2014 25,087,500
3070128001 (Anesthesi Apparatus)
1 - ok 2 30-06-2013 - 196,460,000
3070128999 (Alat Kedokteran Anaesthesi Lainnya)
1 1 22-08-2013 1,750,000
2 DK 50-DS/UNIT compressor ventilator ok 2 21-04-2016 blu 93,500,000
3070199999 (Alat Kedokteran Lainnya)
1 veldbert lipat 1 31-03-2014 500,000
2 veldbert lipat 2 31-03-2014 500,000

Tgl Cetak : 27-04-2017 Halaman : 15