PT.

SINERGI INDOCAL SEJAHTERA

Jl. Kusumanegara No.88 Semarang-Jateng
Telp : (024)8448652, Fax : (024)8448652
Nama Customer : RS. Banyumanik

No Pesanan Kalibrasi :

Telp:

Alamat Lengkap :

No Nama Alat Merk Type

1 CTG Bionet AM1400
2 Infant Warmer GEA Medical HKN90
3 Infant Warmer Buma 2602
4 ESU MEDITOM DT-400P
5 Infant Incubator TESENA
6 Infant Incubator Buma
7 Infant Incubator Buma
8 Spektrofotometer Diasys StarDust MC15
9 Defibrilator Beijing M&B DM 7000
10 Defibrilator Beijing DM 7000
11 Defibrilator Beijing M&B DM 7000
12 Suction Pump ABN ABN ASPIRA
13 Infusion Pump Yamamoto yg-82
14 Syringe Pump Yamamoto YG-80
15 Syringe Pump Yamamoto yg-80
16 Syringe Pump Terumo TE-331
17 Sphygmomanometer ABN Mercurial Sphygmomanometer
18 Sphygmomanometer Riester nova ecoline
19 Sphygmomanometer Riester nova ecoline
20 Bed Side Monitor Mindray MEC-1000
21 Bed Side Monitor Mindray MEC-1000
22 Bed Side Monitor Mindray MEC-1000
23 Bed Side Monitor Mindray MEC-1000
 BERITA ACARA KALIBRASI ALAT

Telah Dilaksanakan Kalibrasi Alat dengan perincian

Sebagai berikut :
Yang Melaksanakan (PT SIS): Yang Menerima :

......................................... .............................................
Tanda Tangan & Nama Jelas Tanda Tangan & Nama Jelas
No. Serial Nama Ruangan Tanggal Pengerjaan
F3Q0500170 VK 9/21/2018
21110902048 VK 9/21/2018
IW-01-160 IGD 9/17/2018
DT4P0208001 OK 9/19/2018
IB-01-PERI Perina 9/19/2018
31617 Perina 9/19/2018
31461 Perina 9/17/2018
SP/01/LAB LAB 9/21/2018
DM160117 OK 9/19/2018
DM160106 IGD 9/17/2018
DM160121 HCU 9/17/2018
SU15A00975 IGD 9/17/2018
BY-15820120275 IGD 9/17/2018
BY-16810010341 Ranap 9/17/2018
BY-16810010336 IGD 9/17/2018
1005000289 VK 9/17/2018
Sphyg/01/Pol Poli 9/17/2018
151160994 VK 9/17/2018
151160975 VK 9/17/2018
AQ-63228916 HCU 9/17/2018
AQ-63228983 HCU 9/17/2018
AQ-63228982 HCU 9/17/2018
AQ-63228963 IGD 9/17/2018