LANTAI 1 (POLIKLINIK) .Xls Final

Tempat tidur(incl.
over bed table+nakas)
NO RUANGAN DETIL RUANG

Elektrik 3 Crank Poli 1 crank Anak
Poli Ibu dan

35 2 Poli Obgyn 2
Anak
fertilisasi 1
36 imunisasi 1
KIA 1
37 3 Poli Anak 3
NS
38 Area Bermain
39 Lobby Utama Admission
40
41 Pos Security
42
43 Pendaftaran Umum
44
45 R.CS
46
47 R.Tunggu Farmasi
48
49 Poli Gd.Baru NS
50 R.Tunggu Poli
51 POLI 18 Poli Mata 1
52 POLI 15,16,17 3Poli Gigi
53 POLI14 THT
54 POLI 20 Echo / EKG 1
55 POLI 19 Jantung 1
56 POLI 21 treadmill
57 POLI 22 Rhematologi / internist 1
Hipertensi ginjal /
58 POLI 23 1
internist
59 POLI 22 KHOm / internist 1
60 POLI 13 Psikiater 1
61 POLI 1 Urologi dan BTKV 1
62 Bedah anak 1
Bedah digestif dan
63 POLI 2 1
umum
64 POLI 3 Ortopedi dan syaraf 1
65 Woundcare 1
Bedah plastik &
66 POLI 4 1
onkologi
67 POLI 7 EEG 1
68 POLI 8 2 Neurologi 2
69 POLI 10 & 11 Kulit 1
70 R.Tindakan dan transit 1
71 R.UPS
72 POLI 12 Gizi
73 POLI 13 akupuntur 2
74 POLI 1 2 internis 2
75 POLI 33 PKRS
76 Poli Umum
77
78 R.Tindakan Paru
79 R.Tindakan Bedah Umum
80 R.Tindakan THT
81 R.Tindakan Kulit
82 R.Tindakan Internist
83 R.Tindakan Bedah Syaraf
84
85 Lab R.Admin
86 R.Sampling
87 Toilet Staf
88 Pantry
89 R.Dokter
90 R.Lab
91 Mikro Procesing
92 R.Media
93 Gudang
94 BDRS Ruang BDRS
95 Farmasi R.Farmasi
96 R.Konsultasi Farmasi
97 R.Racik Obat
98 Koridor Toilet Area Kantin Umum
99 Bank BRI
100 Pantry
101 Toilet Staf
102 Gudang
103 Janitor
104 Toilet Pria
105 Toilet Wanita
106 R.Laktasi
107 Loker Wanita 444 Pintu
Loker Pria 168 Pintu
108 Lobby Utama Kantor dan gudang MR
109 R.Casemix
110 R.Dokter Casemix
111 Pendaftaran BPJS
112 Lobby
113 R.kursi Roda
114 R. Tunggu Pendaftaran
IGD Sementara 6 Bed Tindakan
Area Triase
NS
R.Resis
R. Dekontaminasi
Disposal
R.Tindakan
Toilet UGD
Poli TB Poli TB Dots 1
R.Tunggu poli TB
R.Tunggu poli TB
Pos Jaga Parkir Pos Jaga Parkir
Total 0 0 32 0 0
d table+nakas) Meja
Depan
Kerja Samping Poli Sudut
sofa
Dir Mgr Staf
Stretcher Dekontam 180cm 150cm 120cm
inasi
2
1
1
1
3
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
2
1
1
1
1
1
0 0 0 0 0 0 40 0 0
Lemari
Nurse Meja Pakaian Kayu Besi Kaca Tunggu
Station Stainless
Lemari Gantung Rak Besi

3 Seater
1 1
1 0 0 0 0 1 0 0 0
Kursi
Tunggu Hadap Dokter Pasien Rawat Inap Pasien Poli Auditorium Kerja
Staf /
2 Seater 1 Seater Mgr Dir
Tamu
0 0 0 0 0 0 0 0
Elektronik
Sofa TV Kulkas
Kursi
Bulat Futura 3 Seater 2 Seater 1 Seater 42" 36" 29" Portable 1 Pintu
Beroda
0 0 0 0 0 0 0 0 0 0
Elektronik Lampu Tempat sampah
Telepon
Microwave CCTV Dispenser Hias Kecil Sedang Plastik

Kabel Nirkabel
0 0 0 0 0 0 0 0 0
Curtain Lain-Lain
Tempat tissue APAR
Bed
Window
Koridor Sulo w/vitrage Stetoscope
Dewasa
U Shape L Shape
2
1
1
1
1
1
1
2
2
1
1
1
1
0 0 0 0 0 0 0 0 24
Tensimeter
Stetoscope Tensimeter Tensimeter Tensimeter Suction
Bayi / Pead
Jarum Audiometri Spirometri
Anak Table Digital Pump
mobile
2 1 2
1
1 1
1
3 3
1
1 1 2
1 1
1 1
1 1
1
1
1
1 1
1 1
1 1
2
1
2 2 2
1
1
1 1
1 1
1 1 1 10 16 1 1 7
Dental Chair
Timbangan Timbangan Timbangan Timbangan Timbangan Unit + Scaler + Termometer
Cauter EKG Light Curing +
BB +TB BIA Pead Bayi Elektrik Digital
Monitor
2 1 2
1
1
1 1
1 1 3
1
2 1 1 2
1 1 3
1 1
1 1
1 1
1 1 1
1
2 2 2
1 1 1
1 1
1
1
1
1 1
1 1
8 1 1 1 1 6 6 3 16
TDP ADP
Film Laringoskop Laringoskop Trolly Otoscope
Kursi Roda Lampu Elektro
Viewer Dewasa infant/ Anak Emergency Set
Akupuntur Akupuntur
2 2
1
3 1
1 1 1
5
5
1 1
1
2 1
1 1
1 1
1 1
1
1
1
1
1
1
1
1
1
1
1 2
2 2 2
1
1
1
1
1 1
1 1
13 28 0 2 2 0 5 1
Resusitato Meja Suction Suction Auto
Resusitator Smart Slit Lensa
r bayi/ Ginekolog Pump Pump Biometri Refkera
Dewasa Scan Lamp meter
Anak i bayi/pead dewasa tometer
2 2
1
3 3
1
1 1 1 1 1
1
1
1 1
2 2 2
1
1
3 0 1 5 1 7 1 1 1 1
Alat SVR
Indirec All Optal Reflek Yag Pen
+ Chat Echo Treadmill EEG Brancar
Pupil Moskop Patella Laser light
Proyektor
2
1 1 1 1
1
1 1
1
1
1 1
1
1 2 2
1
1
1 1 1 2 2 2 3 1 2 9
USG Minor Liver Set Aspirasi Renal Trans
Sum-Sum Oxy Reflek Head
2/3/4 Surger Biopsi Tulang biopsi Trokar
metri hammer
Cranial
Lamp
Dimensi y Set Set Belakang set Doppler
2 2
1
1 1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
2 2
1
2 2 2 2 2 2
1 1
1 1 1
1
1
0 12 4 3 1 3 8 5 1 8
Alat Cirku Termom
Examinatio Kulkas Vena Section
Pembuka msisi eter Termos Portable
n Lamp Vaksin Set
Gips Set Rectal
2
1
1 1 1 1
1 1 1
3 3 3 1
1
1
1
1
1
1 1
1 1
1
2
1
1
1 1
1
1
1
2 1 20 0
Tongue O2 Set + Nebulize Probe
Papsmear Kit IUD Kit Implant Kit
Spatel Flow mtr r Transvaginal
5 5 2 2
1
3 3 1
1
1
1
1
1 1
1 1
1 1
1
1
2
2 1
2
1 1
1 1
#REF! 0 #REF! 5
Colposco Stetoskop Forcep
Cardiotology Office Histeroscopy Utility Trolley 3 rak
py Laenec Biopsi
1 1 2 1 2
1 1 1
1
1
3
1
1
1
1
1
1
1
2
1
2
1
1
21 1 1 1 0
Penguk
Sonde Tampon Handgrip
Nierbeken Lemari Kaca Food Model Skinfold ur Kursi set tht
Uterus Tang Dynamometer
LLA
2 cssd 2 2
1 cssd 1
1
1 1
3
1 1
1
1
1
1
1 1
1
1 1
2
1
1 1 1 1 1
1
1
1
1
1
1
1
1
0 0 0 #REF! 0 0
C
r
i laser
Kaca
o foto
Mulut +
Alat Set Businas t Standart koagula anastesi lokal
Opti Visor Set Fako Sonde + lasik Set
THT i Set e Infus si set
Pinset +
r Retina
Excavator
a
### 1 Set
p
i
1 1 1 1 1
58 + 31
+ 23 +
23
1
1
1
1
1
1
1
1
1
1
0 21 ### 21 0 9 1 1 1
lembar
optotip Lensa
ERG/
Fundus Hartel Kampimeter kampimeter Portable snellen ginoskopi
Elektroretino
Kamera Oftalmometers automatik goldman Keratometer dgn dg 3
gram
clock cermin
dial
1 1 1 1 1 1 1 1
1 1 1 1 1 0
OCT/Op
Lensa
tical Pelli strabismus
gonometri spekular
coherent Pachymetri Robson pen light Retinometer diagnosis
dg 3 miscrope
Tomogra test set
cermin
phy
1 1 1 1 1 1 1 1
1
1
3 1 1 8 0
hydraulic,
pneumatic
Visual
Worth or EMG /
streak synopht tonomrter evoked Defibrilat woods
USG mata four dot photoelect Elektromi
retinoskopi ofore aplanasi potential / or lamp
test ric ogram
VEP
plethysmo
graphs
1 1 1 1 1 1
1 1
1
1
2
1
Under
Resusitato Alat Water Anthrum
Garpu Meja r bayi / resusitator Suction Thoracosc Biopsi
Biopsi Altograph Seal
Tala Periksa neonatus Lengkap dewasa Thorax opy Tang
Drainage
System
1
1 1 1 1 1 1
1 1
1
1
1
Biopsi
Adenoton Nasofarin Tang
Septum Tonsil Alat Minor
silektomi g Tumor Polipekto Biopsi Mikrosko
Corection Ansel bioskopi altograph surgery
Sluder+Di Hidung mi Set Nasofarin p Operasi
Set Forcep Lengkap set
seksi Set g
Set
1
1
1 1
1
1 1 1 1 1
1
aspirator/ Comedo Microsurg
vacuum/s mastoidec set bedah Trakeostro Extraktor Dioda
hecting Magnifyin ery with
uction minor Laser Laser CO2 g Lamp dermato
set tomy set mi set Instrumen Surgical
pump THT t Set me
portable
1 1
1 1 1
2 1 1 2 1
Mosquito Peralatan Peralatan Peralatan Spekulum
Chemical Peralatan Phototera Punch set Skin Vagina/Co Laser Nd
Bedah
Clamp Botox Filler py Unit curette YAG
Scalpel Peeling cor bebek
1 1 1 1 1 1 2 2 5 1
Obstetric
Bak -
Instrume gynecolo
Sterilisat Office
set punksi set angkat n Kaca / Tromol Forcep gic
lumbal jahitan CTG or Doppler histerosc
Bak Kassa Biopsi general
Portable opy
Instrume manual
2 2 n 2 2 2 instrume
2 2
nt
1 1
Aspirator ABR/BERA
/Vacuum (Brain cermin diafanosk
EVOKE lensa luc nasoparin rinomano set irigasi
/Suction RESPON rinoskopi op frenzel serumen goskop rhinuscop meter serumen
pump AUDIOME posterior
portable TRI)
2
1 1 1 1 1 1 1 1 1
Tempat tidur(incl. over bed table+nakas)

Elektrik 3 Crank Poli 1 crank
1 Radiologi R.MRI
2 R.Mesin MRI
3 R.Kontrol MRI dan CT-Scan
4 R.CT-Scan
5 R.Mammography
6 R.Digital X-Ray
7 R.Control Digital X-Ray
8 R.Panoramic
9 R.Kontrol Panoramic
10 R.Bone Densitometry
11 Toilet
12 R. RR
13 R.Admin
14 Gudang
15 Toilet Karyawan
16 Pantry
17 Toilet Umum Lt.1 Toilet Wanita
18 Toilet Pria
19 Toilet Disable
20 R.Diaper
21 UGD VK
22 12 Bed tindakan
23 NS
24 2 R.Tindakan
25 Pantry
26 2 R.Ist Dokter
27 Toilet Staf
28 Toilet umum
29 Depo Obat
30 R.Triase
31 R.Resusitas
32 R.Isolasi
33 R. Dirty Utility
34 Gudang UGD
Poli 25 dan 26 2 Poli Obgyn 2
Poli 27 fertilisasi 1
Poli 24 imunisasi 1
39 KIA 1
41 Poli 29,30,31 3 Poli Anak 3
43 NS
45 Area Bermain
46 Lobby Utama Admission
47
48 Pos Security
49
50 Pendaftaran Umum
51
52 R.CS
53
54 R.Tunggu Farmasi
55
57 NS 0
59 R.Tunggu Poli 0
61 Poli 18 Poli Mata 1
63 Poli 15,16,17 3 Poli Gigi 0
65 Poli 14 THT 0
67 Poli 20 Echo/EKG 1
69 Poli 19 Jantung 1
71 Poli 21 treadmill 0
73 Poli 22 Rhematologi ,KHOM, internist 1
75 Poli 23 Hipertensi ginjal, internist 1
77 KHOm / internist 1
79 Psikiater 1
81 Urologi dan onkologi 1
83 Bedah anak 1
85 Bedah digestif dan umum 1
87 Ortopedi 1
89 Woundcare 1
91 Bedah plastik dan syaraf 1
93 EEG 1
95 2 Neurologi 2
97 Kulit 1
99 R.Tindakan dan transit 1
101 R.UPS 0
103 Gizi 0
105 akupuntur 2
107 2 internis 2
108 Poli Umum
110 R.Tindakan (Paru, Bedah umum, THT, Kulit, Internis, bedah syaraf)
111
112
113
114
Lab R.Admin
R.Sampling
Toilet Staf
Pantry
R.Dokter
R.Lab
Mikro Procesing
R.Media
Gudang
BDRS Ruang BDRS
Farmasi R.Farmasi
R.Konsultasi Farmasi
R.Racik Obat
Koridor Toilet Area Kantin Umum
Bank BRI
Pantry
Toilet Staf
Gudang
Janitor
Toilet Pria
Toilet Wanita
R.Laktasi
Loker Wanita 444 Pintu
Loker Pria 168 Pintu
Lobby Utama Kantor dan gudang MR
R.Casemix
R.Dokter Casemix
Pendaftaran BPJS
Lobby
R.kursi Roda
R. Tunggu Pendaftaran
IGD Sementara 6 Bed Tindakan
Area Triase
NS
R.Resis
R. Dekontaminasi
Disposal
R.Tindakan
Toilet UGD
R.Tunggu poli TB
R.Tunggu poli TB
Total 0 0 32 0
ncl. over bed table+nakas) Meja
Kerja Samping Poli Depan sofa
Dir Mgr Staf
Anak StretcherDekontaminasi
180cm 150cm 120cm
2
1
1
1
3
1
0
1
3
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
2
1
1
0
1
1
2
1
1
1
1
1
0 0 0 0 0 0 0 40 0
Lemari
Sudut Nurse Stati Meja StainlPakaian Kayu Besi Kaca
1 1
0 1 0 0 0 0 1 0 0
Kursi
Tunggu Hadap Dokter Pasien Rawat Inap Pasien Poli Auditorium
lemari
alat 3 Seater 2 Seater 1 Seater
0 0 0 0 0 0
Kursi
Kerja Sofa TV
Kursi
Staf / Mgr Dir Bulat Futura 3 Seater 2 Seater 1 Seater 42"
Tamu Beroda
0 0 0 0 0 0 0 0 0
Elektronik
TV Kulkas Telepon
Microwave CCTV Dispenser

36" 29" Portable 1 Pintu Kabel Nirkabel
0 0 0 0 0 0 0 0 0
Lampu Tempat sampah Curtain
Bed
Window
Hias Kecil Sedang Plastik Koridor Sulo w/vitrage
U Shape L Shape
0 0 0 0 0 0 0 0 0
Lain-Lain
Tempat tissue APAR
Tensimeter
Stetoscope Stetoscope Tensimeter Tensimeter
Dewasa Bayi / Pead
Jarum
Anak Table
mobile
2 2 0 0 1
1 1 0 0 0
0 1 1 0 0
0 0 1 0 0
0 3 3 0 0
0 0 0 1 0
0 0 0 0 0
1 0 1 0 1
0 0 0 0 0
0 0 0 0 0
1 0 0 0 1
1 0 0 0 0
0 0 0 0 0
1 0 0 0 0
1 0 0 0 1
1 0 0 0 0
1 0 0 0 0
1 0 0 0 0
1 0 0 0 0
0 0 0 0 1
0 1 0 0 0
1 0 0 0 1
1 0 0 0 1
0 0 0 0 0
1 0 0 0 1
0 0 0 0 0
2 0 0 0 0
2 0 0 0 0
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 0 0 0 2
1
1
1
1
1 0 0 1 0
1 0 0 0 0
0 0 0 24 1 1 1 10
Tensimeter Suction Timbangan Timbangan Timbangan Timbangan
Audiometri Spirometri
Digital Pump BB +TB BIA Pead Bayi
0 0 0 2 2 0 0 0
0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2 0 0 0 2 0 1 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0
0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 1 0 0 0 0
1 0 0 1 0 0 0 0
1 0 0 1 0 0 0 0
1 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 #VALUE!
0 0 0 1 0 0 0 0
1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0
2 0 0 2 2 0 0 0
1 1
1
1
1
0 0 1 0 1 0 0 0
1 0 1 0 1 0 0 0
16 1 1 7 8 1 1 #VALUE!
Dental Chair TDP ADP
Timbangan Unit + Scaler + Termometer Film
Cauter EKG Light Curing + Kursi Roda Lampu Elektro
Elektrik Digital Viewer
Monitor Akupuntur Akupuntur
0 1 2 0 0 2 2 0 0
0 0 0 0 0 0 1 0 0
0 0 0 0 1 0 0 0 0
0 0 0 0 1 0 0 0 0
0 0 1 0 3 0 3 0 0
0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 2 5 0 0 0
0 0 0 0 0 5 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 3 0 0 0 0 0
0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 1 0 0
0 0 1 0 0 2 1 0 0
0 0 0 0 0 0 0 0 0
0 0 1 0 1 0 1 0 0
0 0 1 0 1 0 1 0 0
0 0 1 0 1 0 1 0 0
0 0 0 0 0 0 1 0 0
0 1 0 0 1 0 1 0 0
0 0 0 0 1 0 1 0 0
0 0 0 0 1 0 1 0 0
0 0 0 0 1 0 1 0 0
0 0 0 0 0 0 1 0 0
0 0 0 0 1 0 1 0 0
0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 1 0 0
0 1 0 0 0 0 1 0 0
0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 1 2 2
0 0 2 0 2 0 2 0 0
1 1 1
1
1 1 1
1
1
1 1
1
0 0 0 0 1 1 1 0 0
0 0 0 0 1 1 1 0 0
1 6 6 3 16 13 28 2 2
Resusitato Meja
Laringoskop Laringoskop Trolly Otoscope Resusitator Smart
Dewasa infant/ Anak Emergency
r bayi/ Ginekolog
Set Dewasa Scan
Anak i
0 0 0 0 0 0 2 0
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1 0 0 0 3 0 0
1 1 1 0 1 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 1
0 0 1 0 0 0 0 1
0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2 0 2 0 2 0 0 2
1
0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0
2 0 5 1 3 0 1 5
Suction Suction Auto Alat SVR
Slit Lensa Indirec All Optal
Pump Pump Biometri Refkera + Chat
Lamp meter Pupil Moskop
bayi/pead dewasa tometer Proyektor
0 2 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 7 1 1 1 1 1 1 1
USG Minor Liver
Reflek Yag Pen
Echo Treadmill EEG Brancar 2/3/4 Surger Biopsi
Patella Laser light Set
Dimensi y Set
0 0 0 0 0 0 0 2 2 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 0 0 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 1 0 1 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 1 0
0 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 0 0 0 0
0 0 1 2 0 0 2 0 2 0
0 0 0 0 0 0 1 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 0 2 2
1
1 1 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 2 2 3 1 2 9 0 12 4
Set Aspirasi Renal Trans Examina
Sum-Sum Oxy Reflek Head Alat Pembuka Cirkumsisi
biopsi Trokar Cranial tion
Tulang metri hammer Lamp Gips Set
set Doppler Lamp
Belakang
0 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 1
0 0 0 0 3 0 0 0 0 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 2 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 1
0 1 1 1 0 0 0 0 0 1
1 0 0 1 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 1
0 0 0 0 1 0 1 0 0 1
0 0 0 0 0 0 1 0 1 1
0 0 0 0 1 0 1 1 0 1
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 1 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 0 0 0 0 2
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 2 2 2 0 0 0 0 0 2
1
1 1 1
1
1
0 0 0 1 0 0 0 0 0 1
0 0 0 1 0 0 0 0 0 1
3 1 3 8 5 1 8 2 1 19
Examina Gynaecology
Termometer Kulkas Termos Vena Tongue O2 Set +
tion Nebulizer Examination
Rectal Vaksin Portable Section Set Spatel Flow mtr
Lamp Set
2 0 0 0 0 0 0 0 2
1 0 0 0 0 0 0 0 1
1 1 1 1 0 0 0 0 0
1 1 0 1 0 0 0 0 0
3 3 0 3 1 3 3 1 0
0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 3 0 0
0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 1 0 0
1 0 0 0 0 1 1 0 0
1 0 0 0 0 1 1 0 0
1 0 0 0 0 1 1 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 1 0 0
1 0 0 0 0 0 1 0 0
1 0 0 0 0 0 1 0 0
1 0 0 0 0 0 1 0 0
1 0 0 0 0 0 0 0 0
1 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 2 0 0
1 0 0 0 0 2 0 0 1
1 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 2 0 0
1
1
1
1 0 0 0 0 0 1 1 0
1 0 0 0 0 0 1 1 0
19 0 0 0 0 5 21 1 1
Probe Office
Implant Stetoskop Forcep Cardiot
Papsmear Kit IUD Kit Transva Colposcopy Histerosc
Kit Laenec Biopsi ology
ginal opy
5 5 2 2 1 1 2 1 0
0 0 0 1 0 0 1 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
Utility
Tampon Lemari Food Pengukur Handgrip
Trolley Nierbeken Skinfold Kursi set tht
Tang Kaca Model LLA Dynamometer
3 rak
2 2 2 2 0 0 0 0 0
1 1 1 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0
1 1 0 1 0 0 0 0 0
3 3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
3 3 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0
1 1 0 1 0 0 0 0 0
1 1 0 0 0 0 0 0 0
1 1 0 1 0 0 0 0 0
1 0 0 0 0 0 0 0 0
2 2 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0
2 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 1 1 1 1 1 0
0 0 0 0 0 0 0 0 0
2 2 0 0 0 0 0 0 0
1
1
1
1
1
1
0 0
1 1 0 0 0 0 0
1 1 0 0 0 0 0 0 0
1 1
21### 21 0 9 1 1 1
Alat Set Businasi Opti Standart
Kursi set tht Endoskopi THT Crioterapi Tonometri Set Fako
THT Set Visor Infus
0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 1 1 1 0
0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1
0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1
1
1
1
1
1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 1 1 1 0 3 1 1 8
laser
foto
ERG/ Kampimet kampimet
Kaca Mulut + Sonde + koagul anastesi Fundus Hartel
lasik Set Elektroret er er
Pinset + Excavator asi lokal set Kamera Oftalmom
inogram automatik goldman
Retina eters
Set
0
0
0
0
0
0
0
0
0
0 1 1 1 1 1 1 1 1
58 + 31 + 23 + 23
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
lembar OCT/Opti
Lensa Lensa
Portable optotip cal Pelli
ginoskopi gonometri Pachymet Retinomet
Keratomet snellen coherent Robson pen light
dg 3 dg 3 ri er
er dgn clock Tomograp test
cermin cermin
dial hy
1 1 1 1 1 1 1 1 1
1
1
1
strabismu Visual
streak Worth
spekular s synophtof tonomrter evoked Defibrilat
retinoskop USG mata four dot
miscrope diagnosis ore aplanasi potential / or
i test
set VEP
1 1 1 1 1 1 1 1
2
1
hydraulic,
pneumatic
or EMG / Resusitato
woods Garpu Meja r bayi / Alat resusitator
photoelect Elektromi
lamp Tala Periksa neonatus Biopsi dewasa
ric ogram
Lengkap Altograph
plethysmo
graphs
1
1 1
2
1
1 1 1
1
1
1
1
Under Biopsi
Water Adenoton Nasofarin Tang
Seal Anthrum Septum silektomi g Tumor Biopsi
Suction Thoracosc Drainage Biopsi Corection Sluder+Di Hidung Polipekto Nasofarin
Thorax opy System Tang Set seksi Set Set mi Set g
1 1 1
1 1 1 1 1 1
aspirator/
Alat Minor vacuum/s mastoidec set bedah
Tonsil hecting
bioskopi altograph surgery uction minor
Ansel Mikrosko set tomy set
Lengkap set pump THT
Forcep p Operasi portable
1
1
1 1
1 1 1
1 1
1
Comedo Microsurg
Dioda
Trakeostro Extraktor Magnifyin ery with Mosquito Peralatan
Laser Laser CO2 g Lamp dermato Bedah Peralatan
mi set Instrumen Surgical Clamp Botox
Scalpel
t Set me
1
2 1 1 2 1 1 1 1
Peralatan Peralatan Phototera Spekulum
Skin Vagina/Co Laser Nd
Chemical Filler py Unit Punch set curette YAG
Peeling cor bebek
1 1 1 2 2 5 1
NOMOR POLI
NO NOMOR POLI KETERANGAN POLIKLINIK
1 1 Bedah Thorax Kardio Vascular & Bedah Urologi
2 2 Bedah Digestive & bedah Umum
3 3 Bedah Ortopedi & Bedah Syaraf
4 4 Bedah Onkologi & Bedah Plastik
5 5 Spine & Bedah Vasculer
6 6 Neurologi 1
7 7 EEG
8 8 NEUROLOGI 2
9 9 Internist 1
10 10 Kulit 1
11 11 Kulit 2
12 12 Operator Telepon (untuk sementara)
13 13 Akupuntur / Psikiater 1
14 14 THT
15 15 Gigi 1
16 16 Gigi 2
17 17 Gigi 3
18 18 Mata
19 19 Jantung, pintu konekting ke ruang ECHO
20 20 ECHO / EKG
21 21 TREADMILL
22 22 Rematologi & KHOM/ Internis 2
23 23 Hipertensi Ginjal / Internist 3
24 24 Imunisasi /KIA
25 25 OBSGYN 1
26 26 OBSGYN 2
27 27 FERTILISASI
28 28 AUDIOMETRI
29 29 ANAK 1
30 30 ANAK 2
31 31 ANAK 3
32 32 Syaraf Anak, Andrologi, Psikiater 2
33 33 Gizi/PKRS
34 34 Tindakan / TPPRI
35 35 MCU / Poli Karyawan
36 36 Poli Laktasi
37 37 Poli TB DOTS
Ket : Belum jadi

Ket : Untuk sementara
Tempat tidur(in

Elektrik 3 Crank
Poli Ibu dan Anak

24 24 Imunisasi/KIA
25 25 OBSGYN 1
26 26 OBSGYN 2
27 27 FERTILISASI
29 29 ANAK 1
30 30 ANAK 2
31 31 ANAK 3
Poli Gd.Baru NS
Area Bermain
Poli Gd.Baru NS
R.Tunggu Poli
1 1 Bedah Thorax Kardio Vascular & Bedah Urologi
2 2 Bedah Digestive & bedah Umum
3 3 Bedah Ortopedi & Bedah Syaraf
4 4 Bedah Onkologi & Bedah Plastik
5 5 Spine & Bedah Vasculer
6 6 Neurologi 1
7 7 EEG
8 8 NEUROLOGI 2
9 9 Internist 1
10 10 Kulit 1
11 11 Kulit 2
12 12 Operator Telepon (sementara)
13 13 Akupuntur / Psikiater 1
14 14 THT
15 15 Gigi 1
16 16 Gigi 2
17 17 Gigi 3
18 18 Mata
19 19 Jantung, pintu konekting ke ruang ECHO
20 20 ECHO / EKG 1
21 21 TREADMILL
22 22 Rematologi & KHOM/ Internis 2
23 23 Hipertensi Ginjal / Internist 3 / ruang tindakan
28 28 AUDIOMETRI
32 32 Syaraf Anak, Andrologi, Psikiater 2
33 Gizi/PKRS
34 Tindakan / TPPRI
35 MCU / Poli Karyawan
36 Poli Laktasi
Poli Gd.Baru NS
R.Tunggu Poli
Poli TB Poli TB Dots
R.Tunggu poli TB
Total 0 1
Ket : Belum jadi

Ket : Sementara waktu
Ket : Nurse Station, Ruang Tunggu, Area Bermain
Ket : Permintaan Baru
Tempat tidur(incl. over bed table+nakas) Meja
Kerja
Dir Mgr Staf

Poli 1 crank Anak Stretcher Dekontamin
asi
180cm 150cm 120cm
1
1 1
1
1
1
1
1
0
0
1 1
1 1
1 1
1 1
1 1
1
1
1
1
1
1
0
2
0
0
0
0
1
1 1
0
1
1 1
1 1
1
1 1
0
1
1
0
0
1
0
30 0 0 0 0 0 10 0
Meja Lemari
Depan Nurse Meja

Samping Poli Sudut Pakaian Kayu
sofa Station Stainless
100 cm
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
0
1 1
1 1
1 1
1 1
1
2 1
1 1
1
1
1 1
1 1
1
1 1
1 1
3 1
3 1
3 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
0
1
1
2 0 41 0 0 3 36 0 0
Lemari
Besi Kaca Tunggu Hadap Dokter

3 Seater 2 Seater
1
1
1
1
1
1
1
1
1
1
1
3 9 3 0 0 0 0
Kursi
Pasien Rawat Inap Pasien Poli Auditorium Kerja
Kursi
Staf /
1 Seater Mgr Dir Bulat Futura
Tamu Beroda
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
2 1 1
0 72 0 0 0 36 36 0
Elektronik
Sofa TV Kulkas
4 Seater 3 Seater 2 Seater 1 Seater 42" 36" 29" Portable 1 Pintu
1
1 1
1
1
1
1
100
100 0 0 0 0 4 0 5 0
Elektronik Lampu Tempat sampah
Telepon
Microwave CCTV Dispenser Hias Kecil

Kabel Nirkabel EMERGENCY
1 1
1
1
1
1
1
1
1 1
1 1
2 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1 1
1 1
0 0 0 0 8 41 0 0
Tempat sampah Curtain
Bed Tempat tissue

Window
Sedang Plastik Koridor Sulo w/vitrage
U Shape L Shape
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1
1
4 0
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 0
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
2 1
1
2
75 0 0 0 0 0 0 35
Lain-Lain
WALLPAPER
1 SET PC JAM TELEPH GANTUNGAN
APAR AC ANAK+TINGGI
MONITOR DINDING ONE STETOSKOP
BADAN
0 1 1 1 1 1
0 1 1 1 1
0 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1
0 1 1
0
0 1 1 1 1
0 1 1 1 1
0 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
0 1 1 1 1
1 1 1 1 1
0 1 1 1 1
0 1 1 1 1
1 1 1 1 1
0 1 1 1 0
1 1 1 1 1
0 1 1 1 1
0 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
0 1 1 1 1
0 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
0 1 1 0 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 0 1
0 1 1
1
0 21 36 40 37 34 6
GANTUNGAN
HANDSRUB
Tensimeter
Stetoscope Stetoscope Stetoscope Tensimeter Tensimeter
Dewasa Bayi / Pead
Air Raksa
Anak Air Raksa Anak
stand mobile
1 0 1 0
1 0 0 0
1 1 0 0
1 0 0 0
1 0 1 1
1 0 1 0
1 0 0 0
1 0 0 0
0 0 0
1 1 0 1
1 0 0 0
1 0 0 0
1 0
1 0 0 0
1 1 0 0
1 1
1 1 0 0
1 0 0 0
1 1
1
1 1 0 0
1 0 0 0
0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 1 0 0
1 0 0 0
1 0 0
1 1 0 0
1 1 0 0
1
1 0 0
1 0 0 0
1 1 0 1
1 1
1
1 1 0 1
1 0 0 0
0 0
40 13 3 0 0 0 4
Tensimeter
Tensimeter Tensimeter Suction Timbangan Timbangan
Jarum Audiometri Spirometri
Table Digital Pump BB +TB BIA
mobile
0 0 0 0 0 0 0 0
0 0 1 0 0
0 0 0 0 0 1 1 0
0 0 0 0 0 0 0
1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 2 0 0 0 2 0
0 0 0 0 0 0 0 0
0 1 0 0 0 0 1 0
1 1
0 1 1 0 0 0 1 0
0 1 1 0 0 0 0 0
0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0
0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0
0 1 0 0 0 1 0
0 1 0 0 0 0 0
0 1 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0
0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1
0 1 0 0 1 1 0
1 1 1
0 0 2 0 0 0 2 0
0 0 0 0 0 0 0 0
0 0 1 0 1 0 1 0
1 6 17 1 2 5 12 1
Dental Chair
Timbangan Timbangan Timbangan Unit + Scaler + Termometer
Cauter EKG Light Curing + Kursi Roda
Pead Bayi Elektrik Digital
Monitor
0 1 0 0 0 0 1 0
1 0 1 1
0 0 0 1 0 0 0
0 0 0 0 0 0 0 0
1 0 1
0 #VALUE! 0 0 0 0 0 0
0 #VALUE! 0 0 0 0 0 0
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0
0 1 0 0 0 0 2 5
0 0 0 0 0 0 0 5
0 0 0 0 0 0 1 0
0 1
0 0 0 0 0 0 1 0
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0
0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0
0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0
0 0 0 0 1 0 1 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 1 1 0 1 1
0 1
0 1 0 0 0 0 2 5
0 0 0 0 0 0 0 5
0 0 0 0 0 0 1 1
1 #VALUE! 0 4 4 2 17 26
Film TDP Lampu ADP Elektro Laringoskop Laringoskop Trolly Otoscope Resusitator
Viewer Akupuntur Akupuntur Dewasa infant/ Anak Emergency Set Dewasa
0 0 0 0 0 0 0 0
0
1 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
1 1
1 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
0 0 0 1 1 1 0 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
1
1 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
1
1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1
1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 2 2 0 0 0 0 0
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 0 1 0 0
1 0 0 0 0 1 0 0
1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 0 1 0 1
1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1
19 2 2 1 1 5 1 3
Meja Suction Suction Auto
Resusitator Smart Slit Lensa
Ginekolog Pump Pump Biometri Refkerato
bayi/ Anak Scan Lamp meter
i bayi/pead dewasa meter
0 0 0 0 0 0 0 0
1 1
0 1 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
1 1 0
1 0 0 1 0 0 0 0 0
1 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0
0 0 0 0 1 0 0 0 0
0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 1 0 0 1 1 1 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 1 0 0 0 0
0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
4 5 3 3 7 1 1 1 1
Alat SVR
Indirec All Optal Reflek Yag
+ Chat Echo Treadmill EEG Brancar
Pupil Moskop Patella Laser
Proyektor
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0
0 0 0 0 0 1 1 0 0
0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 1 1 0 0 0 0 1 0
0 0 0 1 1 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
1 1 1 1 1 2 2 1 3
Trans
USG Minor Liver Set Aspirasi Renal Crania
Pen Sum-Sum USG Oxy Reflek
2/3/4 Surgery Biopsi Tulang biopsi Trokar l
light Set
Doppler
set
metri hammer
Doppl
Dimensi Set Belakang
er
0 0 0 0 0 0 0 0 0 0
1 1 0
0 1 1 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0
1 0
1 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0
1 1
0 0 1 0 0 0 0 0 1 0
1 0 1 0 0 0 0 0 0 1
1 0 1 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 1 0 0
1 0 0 0 0 1 1 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 1 1 1 1 0 1 1 0
1
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0
13 3 11 1 1 0 2 2 6 4 1
Gyna
ecolo
Vena Tong
Alat Exami Termom Neb gy Paps
Head Cirkum Kulkas Termos Secti ue O2 Set +
Pembu nation eter ulize Exa mear
Lamp sisi Set Vaksin Portable on Spate Flow mtr
ka Gips Lamp Rectal r mina Kit
Set l
tion
Set
0 0 0 1 1 1 0 0 0 1 0 0 0
1 1 5
0 0 0 1 0 0 0 0 0 0 0 1 5
0 0 0 1 0 0 0 0 0 0 0 1 0
0 1 1 0 1 1 1
0 0 0 1 1 0 1 0 0 1 0 0
0 0 0 1 1 0 1 0 0 1 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 0 0 0 1 0 0 0
1 1 1 1 1
1 1 0 1 0 0 0 0 0 1 0 0 0
1 0 0 1 0 0 0 0 0 1 0 0 0
0 0 0 1 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 2 0 0 1 1
0 0 0 1 0 0 0 0 2 0 0 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 1 0 0 0 0 1 1 0 0 0
0 0 0 1 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 1 1 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 1 1 0 0
6 3 1 19 6 1 3 0 7 20 2 5 12
Probe Cardioto Utility
Implant Colposc Stetosko Forcep Office
IUD Kit Transva lograph Trolley
Kit opy p Laenec Biopsi Histeroscopy
ginal y 3 rak
0 0 0 0 0 0 0 0 1
5 2 0 1 1 1 1 1 1
5 2 0 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1
1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1
1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1
10 4 1 1 1 3 1 1 22 ###
Handgri
Pengu
Sonde Tampon Lemari Food Skinfol p Kursi Alat Set
Nierbeken kur
Uterus Tang Kaca Model d Dynam set tht THT
LLA
ometer
1 0 1 0 0 0 0 0 0
1 5 5 0 0 0 0
1 5 5 0 0 0 0 0 0 0
1 5 5 1 0 0 0 0 0 0
1
1 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
1
1 0 1 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 1 1
1 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 1 1 1 1 1 0 0
1 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
23 15 15 6 1 1 1 1 1 1
Standart
Endoskopi Businasi Opti Kaca
Crioterapi Tonometri Set Fako Infus/Tia Sonde Pinset
THT Set Visor Mulut
ng Infus
0 0 0 0 0 0 0 0
0 0 1 0 0 0 1 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0
0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 58 31 23
0 0 0 0 0 0 0 58 31 23
0 0 0 0 0 0 0 58 31 23
0 0 0 1 1 1 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 1 0 0 2 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0
1 0 1 5 1 1 4 174 93 69
laser foto
ERG/ Hartel Kampimet kampimet Portable
koagulasi anastesi Fundus
Excava lasik Set Elektroret Oftalmom er er Keratomet
Retina lokal set Kamera
tor inogram eters automatik goldman er
Set
23
23
23
1 1 1 1 1 1 1 1 1
1
69 1 1 2 1 1 1 1 1 1
lembar
OCT/Optic
optotip Lensa Lensa Pelli
al coherent spekular
snellen ginoskopi dg gonometri Pachymetri Robson Retinometer
Tomograph miscrope
dgn clock 3 cermin dg 3 cermin test
y
dial
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
hydraulic,
pneumatic
Visual
strabismus Worth or
streak synophtof tonomrter evoked Defibrilat
diagnosis USG mata four dot photoelect
retinoskopi ore aplanasi potential / or
set test ric
VEP
plethysmo
graphs
1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1 1
Under
EMG / Alat Water Anthrum
woods Garpu Suction Thoracosc Biopsi
Elektromi Biopsi Altograph Seal
lamp Tala Thorax opy Tang
ogram Lengkap Drainage
System
1 1
1
1
1 1 1 1 1 1
2 1 1 1 1 1 1 1 1
Biopsi
Adenoton Nasofarin Tang
Septum Tonsil Alat
silektomi g Tumor Polipekto Biopsi Mikrosko hecting
Corection Ansel bioskopi
Sluder+Di Hidung mi Set Nasofarin p Operasi set
Set Forcep Lengkap
seksi Set g
Set
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0 1
aspirator/ Comedo Microsurg
vacuum/s mastoidec set bedah Trakeostro Extraktor Dioda Magnifyin ery with
uction minor Laser Laser CO2 g Lamp dermato
tomy set mi set Instrumen Surgical
pump THT t Set me
portable
1 1 1 1 2 1 1 1 1
1 1 1 1 2 1 1 1 1
Peralatan Peralatan Spekulum
Mosquito Peralatan Peralatan Phototera Punch set Skin
Bedah Chemical Vagina/Co
Clamp Botox Filler py Unit curette
Scalpel Peeling cor bebek
5
5
5
1 1 1 1 1 1 2 2 5
1 1 1 1 1 1 2 2 20
Bak
Obstetric- ABR/BERA
Instrume (Brain
Sterilisat gynecologi
Laser Nd set punksi set angkat n Kaca / Tromol EVOKE
YAG lumbal jahitan or Doppler c general RESPON
Bak Kassa
Portable manual AUDIOMETR
Instrume
instrument I)
n
1 1 1 1 1
0 1 1 1 1
1 1 1 1
1
1 1 1
1 1 1 1 3 3 3 3 1
nasophar
cermin diafanosk lensa luc yngoscop rhinuscop rinomano set irigasi set irigasi
rinoskopi op frenzel serumen e and meter serumen sinus
posterior accessoris
1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
tang
untuk
sound mengamb
sinuskop proof box il benda
asing
1 1 1
1 1 1
DATA ALAT MEDIS UNTUK POLIKLINIK GEDUNG
NO NAMA POLI INVENTARIS ALAT MEDIS
1 Bedah Thorax Kardio Vascular & Bedah Urologi TROLLY STAINLESS 2 SUSUN
Film Viewer
Nierbeken
1 Set PC
Gorden
Lampu Sorot
Gunting Verban
Gantungan Stetoskop
2 Bedah Digestive & bedah Umum TROLLY STAINLESS 2 SUSUN

Film Viewer
Nierbeken
Troli Kaca 2 Susun
Gunting Verban
1 SET PC
Gorden
Lampu Sorot
Set bedah minor
Set cauter
Meja Mayo
Gantungan Stetoskop
3 Bedah Ortopedi & Bedah Syaraf TROLLY STAINLESS 3 SUSUN

Film Viewer
Nierbeken
Bor Pembuka Gips
Spraider
Kikir
Gunting Verban
timbangan BB
Kulkas Portable (untuk obat injeksi)
Lampu Sorot
Meja Mayo
1 Set PC
Gordyn
Gantungan Stetoskop
4 Bedah Onkologi & Bedah Plastik TROLLY STAINLESS 2 SUSUN

Film Viewer
Nierbeken
1 SET PC
Senter (merah)
Gunting Verban
Timbangan BB & TB
Lampu Sorot
Gorden
Lemari alat
Gantungan Stetoskop
5 Spine & Bedah Vasculer TROLLY STAINLESS 2 SUSUN

1 Set PC
Film Viewer
USG Portable + Printer
Printer eksternal
Nierbeken
Gunting Verban
Torniquet Warna Biru
Meteran
Lampu Sorot
Gordyn
Gantungan Stetoskop
6 Neurologi 1 Film viewer

Reflek Hammer
Gorden
7 EEG (TAMBAHKAN SPESIFIKASI) 1 SET ALAT EEG ;

layar komputer
Fhotic stimulator
Printer
CPU
Stabillizer
Headbox
Mesin ketik
Troly
Headbox 32 chanel
UPS
Grounding
Printer
8 NEUROLOGI 2 Reflek Hammer

Stetoskop
Gordyn
Gantungan Stetoskop
9 INTERNIST 1 Stetoskop Lytman
Gordyn
pen light
Gantungan Stetoskop
Outlet Oksigen
10 KULIT 1 Kursi Gyn

Komputer
CPU
Electric Gynecolog Chair
AlatCauter
nierbeken
MejaTroli stainless 3 Rak
LampuSorot
Gordyn
11 KULIT 2 kursi Gyn

Gordyn
Lampu Sorot
Alat Cauter
Trolly Stainless 2 susun
12 Operator Telepon
13 AKUPUNKTUR/PSIKIATER Gordyn
14 THT kursi bulat tindakan

Canul suction
Kom Kecil
Tong Spatel
Gunting
Speculum Hidung
Pinset
Optal Moscop
Aligator
Kom Sedang
Kom Kecil
Tromol Besar
Tromol Sedang
Korentang
Bengkok
Head Lamp
Gantungan Stetoskop
GIGI 1 (TAMBAHKAN SPESIFIKASI MISAL AIR
15 Apex Locator Woodpecker
RO, COMPRESOR)
Set Dental Unit Thomasong
Lampu Emergency
Set PC
Kursi asisten
Light Curing
Camera Intra Oral
Ruang Kompresor
Wastafel Cuci Alat
Lemari alat dan bahan
Camera Intra Oral
Kacamata Google
GIGI 2 (TAMBAHKAN SPESIFIKASI MISAL AIR Lampu Emergency

16
RO, COMPRESOR)
1 Set PC
1 Set Dental Unit Andini
Kursi asisten
Wastafel Cuci Alat
Lemari Alat dan Bahan
Ruang Kompresor
1 Set PC
Light curing
Kacamata Google
GIGI 3 (TAMBAHKAN SPESIFIKASI MISAL AIR

17 Lampu Emergency
RO, COMPRESOR)
1 Set PC
Light Curing
Set Dental Unit
Kursi asisten
TroliAlat
Kursi asisten
Wastafel Cuci Alat
Lemari Alat dan Bahan
Ruang Kompresor
Camera Intra Oral
Kacamata Google
18 MATA non-contact tonometer

auto refkeratometer
opthalmic yag laser
chat projector
opthalmic trial lens set
biometri
indirect all pupil
smart scan
lampu sorot
Slit lamp
opthal moscope direct
lensa meter
Lup (kaca pembesar)
nierbeken kecil
pen light
satu set instrument mata
Refkeratometer Portable
basic opthlamic set
19 JANTUNG (pintu konekting ke ruang ECHO) Film Viewer

Stetoskop Lytman
Gordyn
Tensimeter
Gantungan Stetoskop
Outlet Oksigen
20 ECHO/EKG 1 set alat Echo:

a. layar komputer
b. Digital Grafhic printer
c. CPU
d.Printer
E. Probe cardiac
F.Probe anak
g. Probe Vaskuler
EKG 12 CH
EKG 3 CH
Gordyn
Gantungan Stetoskop
21 TREADMIL 1 set alat Treadmill:

a. layar komputer
b. Printer
c. CPU
d.UPS
e.ban treadmill
Tensi meter
Mesin ketik
Stetoskope
Tabung oksigen
Wall Paper Picture pemandangan
Tensimeter
Kebutuhan tegangan listrik khusus
tempat tidur pasien khusus ( lebih kecil )
Gordyn
Gantungan Stetoskop
Outlet Oksigen
22 RHEMATOLOGI/KHOM/INTERNIS 2 Gordyn
Film Viewer
Stetoskop Lytman
1 set PC
BMP Set
Lampu Sorot
Gantungan Stetoskop
Outlet Oksigen
23 HIPERTENSI GINJAL/INTERNIS 3 Film Viewer

Stetoskop dewasa
EKG
Gordyn
1 Set PC
Tensimeter
Gantungan Stetoskop
Outlet Oksigen
24 Imunisasi /KIA
25 OBSGYN 1 Meja Gyn

Film Viewer
USG 2D Mindray
Trolly 2 Susun
1 set Kolposkop + TV
1 Set PC
Meja Gynekologi
Gordyn
Kursi Bulat Putar Tindakan
Lampu Sorot
Gantungan Stetoskop
26 OBSGYN 2 TV
1 Set USG 4D GE LOGIQ F6
1 Set PC
Lampu Sorot
Meja Gyn
Nierbeken
Gordyn
Film Viewer
Gantungan Stetoskop
27 FERTILITAS Meja Ginekologi

Lampu Sorot Tindakan
USG 4 Dimensi
stetoskop
Tensimeter
Lemari alkes
Gordyn
Timbangan BB
Film Viewer
Gantungan Stetoskop
28 AUDIOMETRI (TAMBAHKAN SPESIFIKASI) 1 set Spirometri

Box Spirometri
29 POLI ANAK 1 Film Viewer

Stetoskop anak
Timbangan anak
Termometer Digital
Pen Light
Wallpapper Picture
Gantungan Stetoskop

Stetoskop anak
Termometer Digital
Pen Light
Wallpapper Picture
Gantungan Stetoskop

Stetoskop anak
Termometer Digital
Pen Light
Wallpapper Picture
Gantungan Stetoskop
32 POLI SYARAF ANAK/ANDROLOGI/PSIKIATER Film Viewer

Reflek Patela
Pen Light
Stetoskop anak
Trolly stainless 2 susun
Gordyn
Gantungan Stetoskop
33 GIZI/PKRS Timbangan BIA

1 set PC
34 Tindakan / TPPRI
35 MCU UKURAN TB
timbangan BB
tensimeter Mobile
Stetoskope Lytman
Stetoskope
termometer digital
otoskope Riester
bak instumen
nierbeken
senter
layar komputer
CPU
printer
Gordyn
Pen light
Gantungan Stetoskop
36 Poli Laktasi
37 Poli TB DOTS
Ket : Belum diinventarisir kebutuhan alat medisnya

POLIKLINIK GEDUNG BARU
KONDISI ALAT KEBUTUHAN
JUMLAH PERMINTAAN PERMINTAAN
BAIK RUSAK
PENGGANTIAN PENAMBAHAN
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
2 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √ √
1 √
1 √ √
1 √ √
0 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √ √
1 √ √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
23 √
1 √
8 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √ √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1
1
1 √
1 √
1 √
1 √
1 √
1
√
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
2 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √ √
1 √
1 √ √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √ √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √ √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
√
1 √
1 √
1 √
1 √
1 √
1 √
√
1 √
1 √
1 √
1 √
1 √
1 √
√
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
1 √
IDENTIFIKASI PO
No Ruangan Nama Alat Kriteria Merk
1 Poliklinik 1 Timbangan BB + TB Medis Smic
Fim Viewer 4 gbr Medis

Lampu Sorot Medis Dyna - LED 100 R
Nierbeken Medis
Troli Kaca 2 Susun Non medis
Meja Kantor Non medis
Kursi Kantor Biru Non medis
1 Set PC+ Monitor Non medis
Kursi Futura Non medis
Lemari Buku 3 Pintu Warna
Non medis
Cokelat
Meja Periksa Kayu + Dingklik Medis
Tempat Sampah Medis & Non
Non medis
Medis
Tempat Tissue Non medis Kimberly - Clark
Wastafel Keramik + Cermin Non medis
AC Non medis Panasonic
telephon Non medis
Jam Dinding Non medis
Lemari Es 1 Pintu Non medis Sanyo
2 Poliklinik 2 film viewer alat medis

Nierbeken alat medis
Trolly Stenlis 2 susun Non medis
Kursi Kantor Warna Abu" Non medis
Komputer : LG CPU :
1 Set PC+ Monitor Non medis
Dazumba
Lemari es untuk obat injeksi Non medis Panasonic
Tempat Tidur Priksa (Besi) +

alat medis
Dingklik

Non medis
Medis
Tempat Tissue Non medis
Wastafel Keramik + Cermin Non medis

AC Non medis Daikin
Aiphone Non medis
3 Poliklinik 3 Timbangan bb alat medis One med

film Viewer alat medis
Troli Stenlis 3 susun
Bor Pembuka Gips alat medis
Spraider alat medis Sisto Med
Kikir alat medis Dimeda
Gunting Verban alat medis allgaier germany
Tempat Tidur Periksa + Tangga Non medis

Kursi Dokter Warna Biru Non medis
Kursi Futura Pasien Non medis
Tempat Sampah Medis dan Non
Non medis
Medis
Watafel Keramik + Cermin Non medis
Lemari Buku 2 Pintu Non medis
4 Poliklinik 4 Timbangan BB alat medis One med

film Viewer alat medis
Lampu Sorot alat medis Dyna
Troli Kaca 2 Susun Non medis
Kursi Kantor Warna Abu" Non medis
Komputer : LG CPU :
1 Set PC + Monitor Non medis
Dazumba
Lemari Buku 3 Pintu Warna
Non medis
Hitam
Tempat tidur Periksa Kayu +
Non medis
Dingklik
Non medis
Medis
Aiphone Non medis
Meja Mayo Stenlis Non medis
Lampu Emergency Non medis Shinyoku
Lemari Besi Kaca Non medis
Senter (merah) Non medis
Rak File 4 susun Warna Hitam Non medis
Gunting Verban alat medis Al Gair Germany
Air Purifier Non medis Sharp
5 Poliklinik 5 meja Dokter Non medis

Meja Gyn alat medis
Kursi Dokter Non medis
Meja / Tempat Tidur Periksa Non medis
Film Viewer alat medis
USG 2 D alat medis Mindray
Lampu Sorot alat medis Ryne Light

Trolly 2 Susun Non medis
Meja Biasa Non medis
TV (cembung) Non medis
AC / Remote Non medis
Lampu Emergency Non medis
Kursi plastik Non medis
Tempat Sampah Non medis
Telpon Non medis
Tempat Tidur Periksa (besi) +

6 Poliklinik 6 Non medis
Dingklik
Kursi Kantor Non medis
AC 1/2 PK Non medis Daikin
Komputer : LG CPU :
Dazumba
Fim Viewer alat medis
Troly Stenlis 2 Susun Non medis
USG Portable + Printer alat medis Logiq V1 + Sony
Printer Non medis Epson L120
Tempat Sampah Sedang & Kecil Non medis

Gunting Verban alat medis
Torniquet Warna Biru alat medis General Cave
Meteran alat medis One Med
7 Poliklinik 7 Meja Dokter Non medis

Kursi Kantor Chairman Non medis
Kursi Kantor Non medis
Telepon Non medis
Troly Emergency alat medis
Oksigen Mobile alat medis
Bubble Humidifire alat medis
Termometer Ruangan alat medis wargan
Thermometer Digital alat medis Terumo
Baging Dewasa alat medis
Sungkup Dewasa alat medis
Laringoskop dewasa alat medis
AC alat medis Panasonic
Meja Periksa Non medis
Dingklik Non medis
Meja Gynekologi alat medis
TV + Remote Non medis
USG 4D alat medis
USG 2D alat medis
Lampu Sorot alat medis dyna
Tempat Tissue gantung Non medis
Tempat sampah injak Non medis
8 Poliklinik 9 Meja trolly stainless 2 rak alat medis

meja dokter Non medis
ac Non medis
wastafel dan kaca Non medis
kursi dokter Non medis
kursi pasien futura Non medis
tempat tidur pasien Non medis

tangga tempat tidur Non medis
jam dinding Non medis
meja marmer Non medis
Telephone Non medis
bak spuit alat medis
Neirbeken alat medis
Kulkas (Lemari Es) Non medis Toshiba
Kulkas vaksin alat medis dometic
timbangan bayi alat medis
timbangan dewasa alat medis
termos vaksin alat medis
stetoskop anak alat medis Littman
senter Non medis
tempat sampah injak Non medis
9 Poliklinik 10 Tempat tidur alat medis

AC Non medis Daikin
Wastafel dan kaca Non medis
tempat tisu Non medis
kursi dokter Non medis Vision
kursi pasien futura Non medis Futura
meja dokter Non medis
jam dinding Non medis
film viewer alat medis
10 Poliklinik 11 TempatTidur Non medis

Stetoskop MDF alat medis
TDP Akupuntur alat medis Huan Qiu
Multi-Purpose health Dievice alat medis KWD-8081
trolly stainless 2 sususn Non medis
LemariPasien Non medis
TimbanganDetecto Elektrik alat medis
MejaDokter Non medis
KursiDokter Non medis
TempatTisu Non medis
11 Poliklinik 12 Suction Pump alat medis JMAF

MejaDokter
Troly Emergency alat medis
TempatTidur periksa kayu Non medis
TanggaTempatTidur Non medis
Kaca Non medis
Wastafel Non medis
Troly kaca DuaSusun Non medis
AC Non medis
Lemari kayu Non medis
Telephone Non medis
12 Poliklinik 13 AC Non medis Panasonic

Kursi Dokter Non medis Ichiko
Kursi pasien Non medis Futura
Tempat Tidur Pasien Non medis
Tangga / Dingklik Non medis
film viewer
Troly Kaca 2 susun
Telepon Non medis
Cermin Non medis
Colokan 4 lubang Non medis
Stetoskop alat medis MDF

Kursi futura Non medis
Tempat Tidur Non medis
Tangga 2 Susun Non medis
Bangku Bulat putar Non medis
Pesawat Telepon Non medis
trolly kaca 2 susun Non medis
Troly mayo alat medis
Tempat Sampah Medis Non medis
Tempat Sampah Non Medis Non medis
Lampu Emergency alat medis Philips
Stetoskop maroon alat medis MDF
film viewer alat medis
nierbeken Sedang alat medis

TV Non medis
AC Non medis
Tempat Sampah Kecil Non medis
Kursi sofa Non medis
Tangga Kayu Non medis
Lemari etalase kaca Non medis
15 Poliklinik 16 Troly Stainless 2 Rak alat medis

AC Non medis Daikin
Wastafel Non medis TOTO
KursiPasien Non medis Futura
TempatTidurPasien Non medis
TanggaTempatTidur Non medis
1 Set PC + Monitor Non medis LG
Tempat sampah injak Non medis
16 Poliklinik 17 Lemari Bahan gigi Non Medis

Apex Locator alat medis Woodpecker
Dental Unit Andini alat medis
Lampu Emergency Non medis
AC Non medis
Kursi kantor Non medis
Kursi asisten gigi Non medis
Meja Dokter gigi Non medis
KursiDokter tindakan Non medis
WastafelCuciAlat Non medis
WastafelCuciTangan Non medis
Cermin Non medis
TempatTisuTempel Non medis
TempatSampahMedis Non medis
TempatSampah Non Medis Non medis
KasetLantai Non medis
Pesawat Telephone Non medis
RoolKabel 2 Non medis
17 Poliklinik 18 Dental Unit set alat medis Thomasong

WastafelCuciTangan Non medis
Telephone Non medis Panasonic
TempatTisuTempel Non medis Kimberly Klark
MejaDokter Non medis
AC Non medis Daikin
Lampu Emergency Non medis Yamasaki
Kursi asisten Non medis
Troli stainless Non medis
Kursi dental Dokter Non medis
TempatSampahMedis Non medis
TempatSampah Non Medis Non medis
Cermin Non medis
Kaset Kaki Non medis
Rak bahan dan Buku Non medis
18 Poliklinik 19 MejaDokter Non medis

KursiPasien Non medis
Telephone Non medis
Troly 2 Susun (EKG) alat medis
Dingklik Non medis
Wastafel Non medis Toto
TempatTisu Non medis Kimberly-Clark
TempatSampah Non medis
AC Non medis Acson
nierbeken alat medis

Telephone Non medis Panasonic
Troly 2 Susun Non medis
Wastafel Non medis Kimberly-Clark
Dingklik Non medis
AC Non medis Daikin
Gordeng Non medis
Stetoskop alat medis Riester
kom Stainles steel alat medis
Tang Spatel alat medis
20 Poliklinik 21 AC Non medis Panasonic

Kursi Dokter Non medis Donati
Meja dokter Non medis
Tempat Tidur Pasien Non medis
Tangga Non medis
Meja Kaca / Tulis Non medis
Kulkas Kecil Non medis
Tempat Tissue Non medis Kimberly
Telepon Non medis
TOA + Micropone alat medis Usada Insani
Kursi Kuliah Non medis
Kipas Angin Non medis SWF
Cermin Non medis
Kursi pasienWarna Maroon Non medis Futura
Troly 2 susun Non medis
EKG alat medis Cordisuny / Fukuda
Meja Mayo Stenlis alat medis
21 Poliklinik 22 Meja Dokter alat medis
Meja granit tempat Komputer Non medis
kursi plastik Non medis
Telepon Merah marun Non medis
Wastafel Non medis Toto
Tempat Tisu Non medis kymberly Clark
Lemari Kaca Non medis
Jam dinding Non medis
AC Non medis Sharp
Tempat tidur pasien Non medis
Meja kayu tempat Spirometri alat medis
Bed side cabinet tempat formulir Non medis
Nebulizer alat medis Pulmo Mate
Troly 2 rak stenles alat medis
Spirometri alat medis Chest
Tabung Oksigen alat medis
Flowmeter Oksigen alat medis

Kursi BULAT PUTAR TINDAKAN Non medis
kursi plastik Non medis

Telephone Non medis
Troli 2 Susun kaca Non medis
TempatTidur Non medis
Dingklik Non medis
Troli 2 Rak Stainless Non medis
MejaTroli besi putih Non medis
Wastafel Non medis Kimberly-Clark

LemariBesiKaca Non medis
AC Non medis Daikin
Mak Hospital
Electric Gynecolog Chair alat medis
Equipment
LampuSorot alat medis Dyna
AlatCauter alat medis Ellman

Bengkok Stainless Stell alat medis
Tempat tissue gantungan non medis
IDENTIFIKASI POLI LAMA
Kondisi
Jumlah Tidak
Dibutuhkan
Baik Rusak bulan ini dibutuhkan
0 1 1 1 1
1 0 1 1 0
0 1 1 1 1
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
3 0 3 3 0
1 0 1 1 0
1 0 1 0 1
2 0 2 2 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
0 1 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
2 0 2 2 0
1 0 1 1 1
1 0 1 0 1
2 0 2 2 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
0 1 0 1
1 0 1 0 1
0 1 1 1 1
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
1 0 1 0 1
2 0 2 2 0
2 0 2 2 0
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
0 1 1 0 1
1 0 1 1 0
0 1 1 1 0
1 0 1 1 0
0 1 1 1 1
1 0 1 1 1
1 0 1 1 1
1 0 1 1 0
3 0 3 3 0
1 0 1 1 0
1 0 1 0 1
2 0 2 2 0
1 0 1 1 0
1 0 1 1 1
1 0 1 0 1
0 1 1 0 1
1 0 1 0 1
0 1 1 0 1
1 0 1 0 1
0 1 1 1 1
1 0 1 1 0
0 1 1 1 1
1 0 1 1 0
1 0 1 0 1
1 0 1 0 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
0 1 1 1 1
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
2 0 2 2 0
1 0 1 1 0
2 0 2 2 0
0 1 1 1 0
1 0 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
2 0 1 1 0
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
0 1 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
2 0 2 2 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0
1 0 1 0 1
2 0 2 2 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
1 0 1 0 1
0 1 1 0 1
1 0 1 1 0
1 0 1 1 0
0 1 1 0 1
0 1 1 1 1
1 0 1 1 1
2 0 2 2 2
0 1 1 1 1
1 0 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
7 1 8 2 6
1 0 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
0 1 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
0 1 1 0 1
1 0 1 1 0
1 0 1 1 0
2 0 2 2 0
1 0 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
2 0 2 2 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 0 0
2 0 2 2 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
2 0 2 2 0
2 0 2 2 0
1 0 1 1 0
1 0 1 0 1
0 1 1 1 0
1 0 1 0 1
1 0 1 0 1
2 0 2 2 0
1 0 1 1 0
2 0 2 2 0
0 1 1 1 0
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
2 0 2 2 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
0 1 1 0 1
2 0 2 2 0
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
2 0 2 2 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
0 1 1 0 1
2 0 2 2 0
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
1 0 1 0 1
2 0 2 0 2
1 0 1 0 1
1 0 1 0 0
0 1 1 1 0
0 1 1 0 1
0 1 1 0 1
0 1 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
0 1 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
0 2 2 0 2
1 0 1 1 0
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
0 1 1 0 1
1 0 1 0 1
0 1 1 0 1
0 1 1 0 1
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
2 0 2 2 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
2 0 2 2 0
0 1 1 0 1
1 0 1 1 0
0 1 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
0 1 1 0 1
1 0 1 0 1
1 0 1 0 1
0 1 1 1 0
1 0 1 1 0
1 0 1 0 1
0 1 1 0 1
0 1 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
2 0 2 2 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
0 1 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
2 0 2 2 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
0 1 1 0 1
1 0 1 0 1
1 0 1 0 1
2 0 2 1 0
1 0 1 0 1
0 1 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
2 0 2 2 0
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
2 0 2 2 0
1 0 1 1 0
1 0 1 1 0
0 1 1 0 1
0 1 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 0 0
1 0 1 0 1
1 0 1 0 1
0 1 1 0 1
1 0 1 0 1
1 0 1 0 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
0 1 1 0 1
1 0 1 0 1
1 0 1 0 1
0 1 1 0 1
2 0 2 2 0
1 0 1 1 0
1 0 1 1 0
0 1 1 0 1
0 1 1 0 1
1 0 1 0 1
2 1 1 2 1
2 0 2 2 0
1 0 1 1 0
1 0 1 0 1
1 0 1 1 0
1 0 1 0 1
0 1 1 0 1
0 1 1 1 0
1 0 1 1 0
0 1 1 0 1
2 0 2 0 1
1 0 1 1 0
1 0 1 0 1
3 1 4 3 1
2 0 2 0 2
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 0
1 0 1 0 1
1 0 1 1 0
2 0 2 2 0
1 0 1 0 1
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
1 0 1 0 1
2 0 2 2 0
1 0 1 1 0
1 0 1 1 0
1 0 1 1 0
1 0 1 0 1
0 1 1 0 1
1 0 1 0 1
1 0 1 1 1
0 1 1 1 1
0 1 1 1 1
1 0 1 0 1
1 0 1 1 0
0 1 1 0 1
2 0 2 2 0
1 0 1 0 1
1 0 1 0 1
1 0 1 1 0
0 1 1 1 1
1 0 1 1 0
1 0 1 1 0
0 1 1 0 1
Keterangan
jika di injak suara injakannya brisik sekali,jarum naik tersendat-sendat

jika sudah dipakai beberapa orang,dibutuhkan sampai dapat ganti
tombol on/off sudah rusak.dibutuhkan sampai dpt ganti
ada LOGO RSUI
dibutuhkan sampai ada ganti,warna kulkas sudah kusam

LOGO RSUI
dibutuhkan sampai ada ganti
LOGO RSUI
tidak lolos kalibrasi dab sudah kusam
lampu kurang besar dan pencahayaan kurang terang
warna sudah kusam
warna sudah kusam

ada logo RSUI
sudah kusam,permukaan tidak datar
sudah tidak tahan lama
dipakai sampai ada ganti,sudah kusam
dipakai sampai ada ganti,sudah tidak kokoh
pencahayaan masih kurang terang.Jika ingin dimatikan harus cabut

kabel dari stop kontak ,dipakai sampai ada ganti
untuk kamera kolposkop
sudah kusam
berlogo RS Usada Insani
Roda nya tidak lancar ,mitasi dari HCU
berlogo RSUI
telpon sudah kusam
tidak bisa diatur tinggi rendah nya ,belum elektrik
dibutuhkan sampai dapat penggantian .kabelnya sdh kanibal
warna sudah kusam,masih digunakan sebelum dapat penggantian
karet tatakan kakinya nya tidak ada.kaki nya bebgkok ke dalam spt
mau patah
berlogo RSUI
sudah kusam sekali
tutupnya sudah lepas
berlogo RSUI
batre sudah rusak
daya sedot sudah lambat

sudah kusam
sudah kusam
sudah kusam
berlogo RSUI
tidak bisa naik turun lagi

sudah kusam
sudah karatan dan tidak datar
LOGO RSUI
dudukan nya mau lepas
kaki sofa ada yang patah
roda sdh tidak ada
sudah kusam,roda sudah tidak lancar,karatan
berlogo RSUI
hand piece sudah sering macet
rusak karatan
Model lama
warna sudah kusam
sudah usang
berlogo RSUI
gantungan lepas ,jatuh dan pesah
berlogo RSUI
tampak kotor ,kusam dan sebagian sudah rusak
karatan
sudah kusam
sudah kusam
LOGO EMC
kusam dan kuran dingin
tidak berfungsi lagi
sudah usang dan banyak bercak

karatan
kusam
LOGO EMC
terlalu kecil
dibutuhkan sampai ada ganti ,retak
dibutuhkan sampai ada ganti ,karatan
dibutuhkan sampai ada ganti ,roda sudah seret dan warna cat kusam
LOGO EMC
dibutuhkan sampai ada ganti ,lampu sering turun dan susah di
fokuskan
model lama

LANTAI 1 (POLIKLINIK) .Xls Final

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LANTAI 1 (POLIKLINIK) .Xls Final

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Format Tersedia

Tempat tidur(incl.

over bed table+nakas)

NO RUANGAN DETIL RUANG

Poli Ibu dan

52 POLI 15,16,17 3Poli Gigi

Lemari Gantung Rak Besi

Microwave CCTV Dispenser Hias Kecil Sedang Plastik

NO RUANGAN DETIL RUANG

Lemari Gantung Rak Besi

Microwave CCTV Dispenser

Ket : Belum jadi

NO RUANGAN DETIL RUANG

Poli Ibu dan Anak

Ket : Belum jadi

Dir Mgr Staf

Depan Nurse Meja

Besi Kaca Tunggu Hadap Dokter

Lemari Gantung Rak Besi

Pasien Rawat Inap Pasien Poli Auditorium Kerja

4 Seater 3 Seater 2 Seater 1 Seater 42" 36" 29" Portable 1 Pintu

Microwave CCTV Dispenser Hias Kecil

Bed Tempat tissue

NO NAMA POLI INVENTARIS ALAT MEDIS

2 Bedah Digestive & bedah Umum TROLLY STAINLESS 2 SUSUN

3 Bedah Ortopedi & Bedah Syaraf TROLLY STAINLESS 3 SUSUN

4 Bedah Onkologi & Bedah Plastik TROLLY STAINLESS 2 SUSUN

5 Spine & Bedah Vasculer TROLLY STAINLESS 2 SUSUN

6 Neurologi 1 Film viewer

7 EEG (TAMBAHKAN SPESIFIKASI) 1 SET ALAT EEG ;

8 NEUROLOGI 2 Reflek Hammer

10 KULIT 1 Kursi Gyn

11 KULIT 2 kursi Gyn

14 THT kursi bulat tindakan

GIGI 2 (TAMBAHKAN SPESIFIKASI MISAL AIR Lampu Emergency

GIGI 3 (TAMBAHKAN SPESIFIKASI MISAL AIR

18 MATA non-contact tonometer

19 JANTUNG (pintu konekting ke ruang ECHO) Film Viewer

20 ECHO/EKG 1 set alat Echo:

21 TREADMIL 1 set alat Treadmill:

23 HIPERTENSI GINJAL/INTERNIS 3 Film Viewer

25 OBSGYN 1 Meja Gyn

27 FERTILITAS Meja Ginekologi

28 AUDIOMETRI (TAMBAHKAN SPESIFIKASI) 1 set Spirometri

29 POLI ANAK 1 Film Viewer

30 POLI ANAK 2 Film Viewer

31 POLI ANAK 3 Film Viewer

32 POLI SYARAF ANAK/ANDROLOGI/PSIKIATER Film Viewer

33 GIZI/PKRS Timbangan BIA

Ket : Belum diinventarisir kebutuhan alat medisnya

No Ruangan Nama Alat Kriteria Merk

1 Poliklinik 1 Timbangan BB + TB Medis Smic

Fim Viewer 4 gbr Medis

2 Poliklinik 2 film viewer alat medis

Tempat Tidur Priksa (Besi) +

Tempat Sampah Medis & Non

Tempat Tissue Non medis

Wastafel Keramik + Cermin Non medis

3 Poliklinik 3 Timbangan bb alat medis One med

Tempat Tidur Periksa + Tangga Non medis

Meja Kantor Non medis

4 Poliklinik 4 Timbangan BB alat medis One med

5 Poliklinik 5 meja Dokter Non medis

Lampu Sorot alat medis Ryne Light