DAFTAR PERALATAN KESEHATAN DI PELAYANAN GAWAT DARURAT

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. TRIASE

1 Kursi Roda √

2 Brankar √

3 Pulse Oximeter √

4 Stetoskop √

5 Tensimeter Digital √

6 Tensimeter Aneroid √

7 Timbangan Bayi √

8 Timbangan Dewasa √

B. RESUSITASI

1 Defibrillator √

2 Emergency Troly √

3 Film Viewer √

Lampu Periksa/Examination
4 √
Lamp/Hanging Lamp

5 Laryngoscope √

6 Nebulizer √

7 Stetoskop √

8 Suction Pump √

9 Infusion Pump √

10 Syringe Pump √

11 Bed Patient Manual √

12 Tensimeter Digital √ Sudah ada di R. Triase

13 Tensimeter Aneroid √ Sudah ada di R. Triase

14 Thermometer Digital √

C. TINDAKAN

1 Gynecological Bed/Meja Ginek √

2 Head Lamp √

Lampu Periksa/Examination
3 √
Lamp/Hanging Lamp

4 Minor Surgery Set √

5 Bed Patient Manual √

D. ISOLASI

1 Bed Patient Manual √

2 Emergency Troly √

3 Oxygen Portable √

4 Stetoskop √

5 Tensimeter Digital √

6 Tensimeter Aneroid √

7 Thermometer Digital √

E. OBSERVASI

1 Brankar √

2 Bed Patient Manual √

3 Defibrillator √ Sudah ada di R Resusitasi

4 Elektrokardiograf/EKG √

5 Emergency Troly √ Sudah ada di R Resusitasi

6 Infusion Pump √

7 Pneumatic Splint Set √

8 Resusitator Kit √

9 Stetoskop √

10 Suction Pump √ Sudah ada di R Resusitasi

11 Syringe Pump √

12 Tensimeter Digital √ Sudah ada di R. Triase

13 Tensimeter Aneroid √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN PENYAKIT DALAM

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. KLINIK (RAWAT JALAN)

1 Film Viewer √

2 Meja Periksa √

3 Pen Light √

4 Stetoskop √

5 Tensimeter Aneroid √

6 Tensimeter Digital √
 7 Thermometer Digital √

B. KAMAR TINDAKAN

1 Meja Periksa √

2 Tensimeter Digital √

3 Tensimeter Aneroid √

4 Film Viewer √

5 Pen Light √

6 Stetoskop √

7 Thermometer Digital √

8 Emergency Troly √

9 Defibrillator √

10 Minor Surgery Set √

Lever Biopsi Set (Jarum Biopsi

11 √
Khusus)

12 Elektrokardiograf/EKG √

13 Syringe Pump √

14 Trokar √

15 Pulse Oximeter √

C. RAWAT INAP

1 Bedside Monitor √ HCU

2 Defibrillator √

3 Elektrokardiograf/EKG √ HCU

4 Emergency Troly √

5 Examination Set √

6 Film Viewer √

7 Infusion Pump √

Lampu Periksa/Examination
8 √
Lamp/Hanging Lamp

9 Matras Dekubitus √

10 Minor Surgery Set √

11 Nebulizer √ RI Dewasa, RI Anak

12 Pen Light √

13 Pulse Oximeter √

14 Stetoskop √

15 Suction Pump √ HCU

16 Syringe Pump √ HCU

17 Bed Patient Manual √

18 Tensimeter Aneroid √

19 Tensimeter Digital √

20 Timbangan Dewasa √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN PENYAKIT BEDAH

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. KLINIK (RAWAT JALAN)

1 Stetoskop √

2 Meja Periksa √

3 Pen Light √

4 Refleks Hammer √

5 Transcanial Doppler √

6 Tensimeter Aneroid √

7 Tensimeter Digital √

8 Head Lamp √

Lampu Periksa/Examination
9 √
Lamp/Hanging Lamp

10 Thermometer Digital √

11 Film Viewer √

Alat Pembuka Gips (Manual dan

12 √
Electric)

13 Suction Pump √

B. KAMAR TINDAKAN

1 Stetoskop √ IGD

2 Tensimeter Digital √ IGD

3 Tensimeter Aneroid √ IGD

4 Meja Periksa √ IGD

Lampu Periksa/Examination
5 √ IGD
Lamp/Hanging Lamp

6 Minor Surgery Set √ IGD

7 Circumsisi Set √ IGD

8 Electrocauter √ IGD

9 Emengency Set √ IGD

 10 Heating Set √ IGD

11 Local Anesthesi Set √ IGD

12 Suction Pump √ IGD

13 Sterilisator Kering √ IGD

C. RUANG PERSIAPAN (SEBELUM OPERASI)

1 Stetoskop √

2 Tensimeter Digital √

3 Tensimeter Aneroid √

4 Bedside Monitor √

5 Film Viewer √

6 Suction Pump √

7 Pulse Oximeter √

D. KAMAR BEDAH

1 Operating Lamp √

2 Mayo Table √

3 Operating Lamp Ceiling Type √

Lampu Periksa/Examination
4 √
Lamp/Hanging Lamp
ETT, LMA, Nasotracheal, Dewasa
5 √
dan Pediatric

6 Fiber Obtic √

7 Mesin Anesthesi √

8 Defibrillator √

9 Ventilator Anesthesi √

10 Electrosurgeryunit/ESU √

11 Autoklaf √ CSSD

12 Infusion Pump √

13 Suction Pump √ Sudah tidak kuat sedotannya

14 Bedside Monitor √

15 Syringe Pump √

E. RECOVERY ROOM

1 Bedside Monitor √

2 Patient Stracher/Brankar √

3 Defibrillator √

4 Emergency Troly √

5 Infusion Pump √

6 Suction Pump √

F. RAWAT INAP BEDAH UMUM

1 Hospital Bed √

2 Stetoskop √

3 Brankar √

4 Infusion Pump √

5 Examination Lamp √

6 Tensimeter Aneroid √

7 Film Viewer √

8 Minor Surgery Set √

9 Set Perawatan Luka √

10 Emergency Set √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN KESEHATAN ANAK

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. KLINIK (RAWAT JALAN)

1 Elektrokardiograf/EKG √

Infant dan Baby Pediatric

2 √
Resusitation

3 Stetoskop √

4 Examination Lamp √

5 Tensimeter Aneroid √

6 Timbangan Bayi √

7 Thermometer Rectal √

8 Thermometer Axial √

9 Refleks Hammer √

10 Kulkas Vaksin √

11 Thermos Portable √

12 Vena Suction Set √

13 Suction Pump √

14 Flow Meter √

15 Nebulizer √
 16 Tongue Spatel(Stainless Steel) √ Dari kayu

B. PERAWATAN ANAK

1 Diagnostic Set √

2 Elektrokardiograf/EKG √

3 Emergency Troly √

4 Film Viewer √

Lampu Periksa/Examination
5 √
Lamp/Hanging Lamp

6 Nebulizer √

7 Oxygen Portable √

8 Stetoskop √

9 Pediatric Hospital Bed √

10 Suction Pump √

11 Syringe Pump √

12 Infusion Pump √

13 Tensimeter Aneroid √

14 Tensimeter Digital √

15 Thermometer Digital √

C. PERINATOLOGI (NEONATUS)

1 Baby Incubator √

2 Infant Warmer √

3 Suction Pump √

4 Timbangan bayi √

5 Stetoskop √

6 Tensimeter Aneroid √

7 Thermometer Axial √

8 Thermometer Rectal √

9 Tongue Spatel(Stainless Steel) √

10 Phototheraphy √

11 Baby Resusitation Set √

12 Infusion Pump √

13 Syringe Pump √

14 Baby Examination Table √

15 Examination Lamp √

16 Bedside Monitor √ Jadi satu dengan VK

17 Refleks Hammer √

18 Intubation Set √

19 Baby Incubator Transport √

20 Lumbal Needle Puction √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN OBSTETRI DAN GINEKOLOGI

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. KLINIK (RAWAT JALAN)

1 Meja Periksa Kebidanan √

2 Meja Periksa Ginekologi √

3 Timbangan Dewasa √

4 Tensimeter Aneroid √

5 Stetoskop √

6 Doppler √

7 Examination Lamp √

8 Gynecological Examination Set √

9 Pap Smear Kit √

10 IUD Kit √

11 Implant Kit √

12 USG Transvaginal √

13 USG 2 Dimensi √

14 Forcep Biopsi √

15 Stetoskop Laenec √

16 Sterilisator Portable √

17 Cardiotocography √

18 Minor Surgery Set √

19 Office Histeroscopy √

20 Suction Pump √

21 Utility Trolley √

22 Lemari Obat Kaca √

23 Bak Instrument Kaca √

 24 Tromol Kasa √

25 Elektrokardiograf/EKG √

26 Nierbekhen ?

27 Kursi Dorong ?

28 Standar Infus ?

29 Sonde Uterus ?

30 Tampon Tang ?

31 Bak Instrument √

B. RAWAT INAP

1 Bed Patient Manual √

2 Thermometer Digital √

Lampu Periksa/Examination
3 √
Lamp/Hanging Lamp

4 Stetoskop √

5 Suction Pump √

6 Infusion Set √

7 Infusion Pump √

8 Flow Meter √

9 Resusitation Set √

10 USG 2 Dimensi √

11 Sterilisator Uap √

12 Minor Surgery Set √

13 Antidecubitus Matras √

14 Gynecological Examination Set √

15 Emergency Set √

16 Film Viewer √

17 Nebulizer √

18 Vena Section Set √

19 Cardiotocography √

20 Food Troly √

21 Lemari Obat Kaca √

22 Tensimeter Aneroid √

23 Bak Catheter √

24 Meja Suntik beroda √

25 Operating Lamp √

26 Tensimeter Aneroid √

27 Perkakas √

28 Pinset √

29 Timbangan bayi √

30 Instrument Trolley √

31 Meja Periksa √

32 Bedside Monitor √

33 Elektrokardiograf/EKG √

34 Timbangan Dewasa √

35 Sterilisator Kering √

36 Waskom Mandi √

37 Anathomische Pinset √

38 Chirurgical Pinset √

39 Air Viva √

40 Bak Instrumen √

41 Buli - buli Panas √

42 Flow Meter √

43 Gilyserine Spuit √

44 Irigator √

45 Korentang √

46 Lemari Obat Kaca √

47 Nierbekhen √

48 Kursi Dorong √

49 Standar Infus √

50 Vena Section Set √

51 Slim Zuiger √

52 Meja Obat √

53 Gelas Takar √

54 Tabung Oksigen √

55 Baby Inkubator √

56 Timbangan Dewasa √
 57 Arteri Klem √

58 Bed Skreen/Sherm 3 √

59 Kom Kompres √

60 Sputum Bak √

61 Standart Waskom √

62 Pisfot Dewasa √

63 Laser Terapi √

64 UV Lamp √

65 Brankar √

66 Oksigen Meter Dinding √

67 Suction Pump Dinding √

68 Traffic Light √

69 Doppler √

70 Mikroskop Lapobhot √

71 Automatic Emergency √

72 Box Baby √

73 Emergency Troly √

C. KAMAR TINDAKAN PERSALINAN (VK)

1 Delivery Instrument Set √

2 Curretage Instrument Set √

3 Minor Surgery Set √

4 Doppler √

5 Tensimeter Aneroid √

Menggunakan Vacum
6 Suction Pump √
Ekstraktor

7 Examination Lamp √

8 Timbangan bayi √

9 Flow Meter √

10 Sterilisator Kering √ Sudah ikut pusat CSSD

11 Forceps √

12 Vacum Ekstraktor √

13 Cardiotocography √

14 Stetoskop √

15 Resusitation Set √

16 Suction Curretage √

17 Sectio Caesarian Set √

18 Anesthesi Mechine √

19 Infusion Pump √

20 Infusion Warmer √

21 Auto Transfusion Set √

22 Embriotomi Set √

23 Operating Lamp √

24 Utility Trolley √

25 Heating Set √

26 Alat Partus Set √

27 Cardiotocography Unit √

28 Alat Pemanas √

29 Stetoskop √

30 Gunting Bengkok √

31 Pengait IUD √

32 Spekulum √

33 Tenakulum √

34 Pinset √

35 Korentang √

36 Tromol Kasa √

37 Pean Bengkok √

38 Gagang Pisau No. 3 √

39 Meja Ginekologi √

40 Lampu Ginekologi √

41 Chirurgical Pinset √

42 Meja Obat √

43 Busi √

44 Himinoplasti √

45 Forceps √

46 Bak Instrument √

47 Bak Korentang √
 48 Nierbekhen √

49 Sonde Uterus √

50 Sim Utarine Currete Blunt √

51 Partus Instrument Set √

52 Pemecah Ketubah √

53 Tampon Tang √

54 Metal Chateter √

55 Tabung Oksigen √

56 Generator Set √

D. IGD KEBIDANAN

1 Stetoskop √

2 Tabung Oksigen √

3 Bak Chateter √

4 Lampu Tindakan √

5 Pisfot Dewasa √

6 Standar Infus √

7 Electrical Suction Pump √

8 Emergency Troly √

9 Meja Periksa √

10 Flow Meter √

11 USG 2 Dimensi √ Irjal

12 Utility Trolley √

13 Electro Couter Bipolar √

14 Gynecological Examination √

15 Brankar √

16 Timbangan Bayi √

17 Syringe Pump √

18 Lemari Obat Kaca √

19 Baby Bath Tube √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN PATOLOGI KLINIK

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. PERALATAN UMUM

1 Mikroskop √

2 Rak Peawarnaan √

3 Sink Laboratorium √

4 Waterbath √

5 Refrigerator √

6 Centrifuge √

7 Mikropipet √

8 Vortex Mixer √

9 Timbangan Analitik √

10 pH Meter √

11 Bunsen √

12 Spektrofotometer √

13 Fotometer √

14 Peralatan Gelas √

B. PELAYANAN

1 Hematologi √

2 Coagulameter √

3 Agregometer √

4 Peralata Laju Endap Darah (LED) √

5 Chemistry Analyzer √

6 Urine Analyzer √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN RADIOLOGI

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. DIGNOSTIK

1 Film Viewer √

Cassete & Film X-Ray semua

2 √
Ukuran

3 Film Marker √

4 Film Drayer √

5 USG 4D √

6 Mobile X-Ray √

Picture Archiving Communication

7 √
System (PACS)
8 Peralatan Proteksi Radiasi √

9 Perlengkapan Peralatan Radiasi √

10 Emergency Kit √

11 Viewing Box √

12 Generator Set √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN JENAZAH

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

1 Body Bags √

2 Dissection Table √

3 Head Lamp √

4 Examination Lamp √

5 Body Trolley √

6 Pareparation Table √
 DAFTAR PERALATAN KESEHATAN DI PELAYANAN GAWAT DARURAT

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. TRIASE

1 Kursi Roda √

2 Brankar √

3 Pulse Oximeter √

4 Stetoskop √

5 Tensimeter Digital √

6 Tensimeter Aneroid √

7 Timbangan Bayi √

8 Timbangan Dewasa √

B. RESUSITASI

1 Defibrillator √

2 Emergency Troly √

3 Film Viewer √

Lampu Periksa/Examination
4 √
Lamp/Hanging Lamp

5 Laryngoscope √

6 Nebulizer √

7 Stetoskop √

8 Suction Pump √

9 Infusion Pump √

10 Syringe Pump √

11 Bed Patient Manual √

 12 Tensimeter Digital √ Sudah ada di R. Triase

13 Tensimeter Aneroid √ Sudah ada di R. Triase

14 Thermometer Digital √

C. TINDAKAN

1 Gynecological Bed/Meja Ginek √

2 Head Lamp √

Lampu Periksa/Examination
3 √
Lamp/Hanging Lamp

4 Minor Surgery Set √

5 Bed Patient Manual √

D. ISOLASI

1 Bed Patient Manual √

2 Emergency Troly √

3 Oxygen Portable √

4 Stetoskop √

5 Tensimeter Digital √

6 Tensimeter Aneroid √

7 Thermometer Digital √

E. OBSERVASI

1 Brankar √

2 Bed Patient Manual √

3 Defibrillator √ Sudah ada di R Resusitasi

4 Elektrokardiograf/EKG √

5 Emergency Troly √ Sudah ada di R Resusitasi

6 Infusion Pump √
 7 Pneumatic Splint Set √

8 Resusitator Kit √

9 Stetoskop √

10 Suction Pump √ Sudah ada di R Resusitasi

11 Syringe Pump √

12 Tensimeter Digital √

13 Tensimeter Aneroid √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN PENYAKIT DALAM

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. KLINIK (RAWAT JALAN)

1 Film Viewer √

2 Meja Periksa √

3 Pen Light √

4 Stetoskop √

5 Tensimeter Aneroid √

6 Tensimeter Digital √

7 Thermometer Digital √

B. KAMAR TINDAKAN

1 Meja Periksa √

2 Tensimeter Digital √

3 Tensimeter Aneroid √

4 Film Viewer √

5 Pen Light √
 6 Stetoskop √

7 Thermometer Digital √

8 Emergency Troly √

9 Defibrillator √

10 Minor Surgery Set √

Lever Biopsi Set (Jarum Biopsi

11 √
Khusus)

12 Elektrokardiograf/EKG √

13 Syringe Pump √

14 Trokar √

15 Pulse Oximeter √

C. RAWAT INAP

1 Bedside Monitor √ HCU

2 Defibrillator √

3 Elektrokardiograf/EKG √ HCU

4 Emergency Troly √

5 Examination Set √

6 Film Viewer √

7 Infusion Pump √

Lampu Periksa/Examination
8 √
Lamp/Hanging Lamp

9 Matras Dekubitus √

10 Minor Surgery Set √

11 Nebulizer √ RI Dewasa, RI Anak

12 Pen Light √

13 Pulse Oximeter √
 14 Stetoskop √

15 Suction Pump √ HCU

16 Syringe Pump √ HCU

17 Bed Patient Manual √

18 Tensimeter Aneroid √

19 Tensimeter Digital √

20 Timbangan Dewasa √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN PENYAKIT BEDAH

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. KLINIK (RAWAT JALAN)

1 Stetoskop √

2 Meja Periksa √

3 Pen Light √

4 Refleks Hammer √

5 Transcanial Doppler √

6 Tensimeter Aneroid √

7 Tensimeter Digital √

8 Head Lamp √

Lampu Periksa/Examination
9 √
Lamp/Hanging Lamp

10 Thermometer Digital √

11 Film Viewer √

Alat Pembuka Gips (Manual dan

12 √
Electric)

13 Suction Pump √
B. KAMAR TINDAKAN

1 Stetoskop √ IGD

2 Tensimeter Digital √ IGD

3 Tensimeter Aneroid √ IGD

4 Meja Periksa √ IGD

Lampu Periksa/Examination
5 √ IGD
Lamp/Hanging Lamp

6 Minor Surgery Set √ IGD

7 Circumsisi Set √ IGD

8 Electrocauter √ IGD

9 Emengency Set √ IGD

10 Heating Set √ IGD

11 Local Anesthesi Set √ IGD

12 Suction Pump √ IGD

13 Sterilisator Kering √ IGD

C. RUANG PERSIAPAN (SEBELUM OPERASI)

1 Stetoskop √

2 Tensimeter Digital √

3 Tensimeter Aneroid √

4 Bedside Monitor √

5 Film Viewer √

6 Suction Pump √

7 Pulse Oximeter √

D. KAMAR BEDAH

1 Operating Lamp √
 2 Mayo Table √

3 Operating Lamp Ceiling Type √

Lampu Periksa/Examination
4 √
Lamp/Hanging Lamp
ETT, LMA, Nasotracheal, Dewasa
5 √
dan Pediatric

6 Fiber Obtic √

7 Mesin Anesthesi √

8 Defibrillator √

9 Ventilator Anesthesi √

10 Electrosurgeryunit/ESU √

11 Autoklaf √ CSSD

12 Infusion Pump √

13 Suction Pump √ Sudah tidak kuat sedotannya

14 Bedside Monitor √

15 Syringe Pump √

E. RECOVERY ROOM

1 Bedside Monitor √

2 Patient Stracher/Brankar √

3 Defibrillator √

4 Emergency Troly √

5 Infusion Pump √

6 Suction Pump √

F. RAWAT INAP BEDAH UMUM

1 Hospital Bed √

2 Stetoskop √
 3 Brankar √

4 Infusion Pump √

5 Examination Lamp √

6 Tensimeter Aneroid √

7 Film Viewer √

8 Minor Surgery Set √

9 Set Perawatan Luka √

10 Emergency Set √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN KESEHATAN ANAK

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. KLINIK (RAWAT JALAN)

1 Elektrokardiograf/EKG √

Infant dan Baby Pediatric

2 √
Resusitation

3 Stetoskop √

4 Examination Lamp √

5 Tensimeter Aneroid √

6 Timbangan Bayi √

7 Thermometer Rectal √

8 Thermometer Axial √

9 Refleks Hammer √

10 Kulkas Vaksin √

11 Thermos Portable √

12 Vena Suction Set √

 13 Suction Pump √

14 Flow Meter √

15 Nebulizer √

16 Tongue Spatel(Stainless Steel) √ Dari kayu

B. PERAWATAN ANAK

1 Diagnostic Set √

2 Elektrokardiograf/EKG √

3 Emergency Troly √

4 Film Viewer √

Lampu Periksa/Examination
5 √
Lamp/Hanging Lamp

6 Nebulizer √

7 Oxygen Portable √

8 Stetoskop √

9 Pediatric Hospital Bed √

10 Suction Pump √

11 Syringe Pump √

12 Infusion Pump √

13 Tensimeter Aneroid √

14 Tensimeter Digital √

15 Thermometer Digital √

C. PERINATOLOGI (NEONATUS)

1 Baby Incubator √

2 Infant Warmer √

3 Suction Pump √
 4 Timbangan bayi √

5 Stetoskop √

6 Tensimeter Aneroid √

7 Thermometer Axial √

8 Thermometer Rectal √

9 Tongue Spatel(Stainless Steel) √

10 Phototheraphy √

11 Baby Resusitation Set √

12 Infusion Pump √

13 Syringe Pump √

14 Baby Examination Table √

15 Examination Lamp √

16 Bedside Monitor √

17 Refleks Hammer √

18 Intubation Set √

19 Baby Incubator Transport √

20 Lumbal Needle Puction √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN OBSTETRI DAN GINEKOLOGI

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. KLINIK (RAWAT JALAN)

1 Meja Periksa Kebidanan √

2 Meja Periksa Ginekologi √

3 Timbangan Dewasa √
4 Tensimeter Aneroid √

5 Stetoskop √

6 Doppler √

7 Examination Lamp √

8 Gynecological Examination Set √

9 Pap Smear Kit √

10 IUD Kit √

11 Implant Kit √

12 USG Transvaginal √

13 USG 2 Dimensi √

14 Forcep Biopsi √

15 Stetoskop Laenec √

16 Sterilisator Portable √

17 Cardiotocography √

18 Minor Surgery Set √

19 Office Histeroscopy √

20 Suction Pump √

21 Utility Trolley √

22 Lemari Obat Kaca √

23 Bak Instrument Kaca √

24 Tromol Kasa √

25 Elektrokardiograf/EKG √

26 Nierbekhen ?

27 Kursi Dorong ?
 28 Standar Infus ?

29 Sonde Uterus ?

30 Tampon Tang ?

31 Bak Instrument √

B. RAWAT INAP

1 Bed Patient Manual √

2 Thermometer Digital √

Lampu Periksa/Examination
3 √
Lamp/Hanging Lamp

4 Stetoskop √

5 Suction Pump √

6 Infusion Set √

7 Infusion Pump √

8 Flow Meter √

9 Resusitation Set √

10 USG 2 Dimensi √

11 Sterilisator Uap √

12 Minor Surgery Set √

13 Antidecubitus Matras √

14 Gynecological Examination Set √

15 Emergency Set √

16 Film Viewer √

17 Nebulizer √

18 Vena Section Set √

19 Cardiotocography √
20 Food Troly √

21 Lemari Obat Kaca √

22 Tensimeter Aneroid √

23 Bak Catheter √

24 Meja Suntik beroda √

25 Operating Lamp √

26 Tensimeter Aneroid √

27 Perkakas √

28 Pinset √

29 Timbangan bayi √

30 Instrument Trolley √

31 Meja Periksa √

32 Bedside Monitor √

33 Elektrokardiograf/EKG √

34 Timbangan Dewasa √

35 Sterilisator Kering √

36 Waskom Mandi √

37 Anathomische Pinset √

38 Chirurgical Pinset √

39 Air Viva √

40 Bak Instrumen √

41 Buli - buli Panas √

42 Flow Meter √

43 Gilyserine Spuit √
44 Irigator √

45 Korentang √

46 Lemari Obat Kaca √

47 Nierbekhen √

48 Kursi Dorong √

49 Standar Infus √

50 Vena Section Set √

51 Slim Zuiger √

52 Meja Obat √

53 Gelas Takar √

54 Tabung Oksigen √

55 Baby Inkubator √

56 Timbangan Dewasa √

57 Arteri Klem √

58 Bed Skreen/Sherm 3 √

59 Kom Kompres √

60 Sputum Bak √

61 Standart Waskom √

62 Pisfot Dewasa √

63 Laser Terapi √

64 UV Lamp √

65 Brankar √

66 Oksigen Meter Dinding √

67 Suction Pump Dinding √

 68 Traffic Light √

69 Doppler √

70 Mikroskop Lapobhot √

71 Automatic Emergency √

72 Box Baby √

73 Emergency Troly √

C. KAMAR TINDAKAN PERSALINAN (VK)

1 Delivery Instrument Set √

2 Curretage Instrument Set √

3 Minor Surgery Set √

4 Doppler √

5 Tensimeter Aneroid √

6 Suction Pump √

7 Examination Lamp √

8 Timbangan bayi √

9 Flow Meter √

10 Sterilisator Kering √

11 Forceps √

12 Vacum Ekstraktor √

13 Cardiotocography √

14 Stetoskop √

15 Resusitation Set √

16 Suction Curretage √

17 Sectio Caesarian Set √

18 Anesthesi Mechine √

19 Infusion Pump √

20 Infusion Warmer √

21 Auto Transfusion Set √

22 Embriotomi Set √

23 Operating Lamp √

24 Utility Trolley √

25 Heating Set √

26 Alat Partus Set √

27 Cardiotocography Unit √

28 Alat Pemanas √

29 Stetoskop √

30 Gunting Bengkok √

31 Pengait IUD √

32 Spekulum √

33 Tenakulum √

34 Pinset √

35 Korentang √

36 Tromol Kasa √

37 Pean Bengkok √

38 Gagang Pisau No. 3 √

39 Meja Ginekologi √

40 Lampu Ginekologi √

41 Chirurgical Pinset √
 42 Meja Obat √

43 Busi √

44 Himinoplasti √

45 Forceps √

46 Bak Instrument √

47 Bak Korentang √

48 Nierbekhen √

49 Sonde Uterus √

50 Sim Utarine Currete Blunt √

51 Partus Instrument Set √

52 Pemecah Ketubah √

53 Tampon Tang √

54 Metal Chateter √

55 Tabung Oksigen √

56 Generator Set √

57 Suction Pumo √

D. IGD KEBIDANAN

1 Stetoskop √

2 Tabung Oksigen √

3 Bak Chateter √

4 Lampu Tindakan √

5 Pisfot Dewasa √

6 Standar Infus √

7 Electrical Suction Pump √

 8 Emergency Troly √

9 Meja Periksa √

10 Flow Meter √

11 USG 2 Dimensi √ Irjal

12 Utility Trolley √

13 Electro Couter Bipolar √

14 Gynecological Examination √

15 Brankar √

16 Timbangan Bayi √

17 Syringe Pump √

18 Lemari Obat Kaca √

19 Baby Bath Tube √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN PATOLOGI KLINIK

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. PERALATAN UMUM

1 Mikroskop √

2 Rak Peawarnaan √

3 Sink Laboratorium √

4 Waterbath √

5 Refrigerator √

6 Centrifuge √

7 Mikropipet √

8 Vortex Mixer √
 9 Timbangan Analitik √

10 pH Meter √

11 Bunsen √

12 Spektrofotometer √

13 Fotometer √

14 Peralatan Gelas √

B. PELAYANAN

1 Hematologi √

2 Coagulameter √

3 Agregometer √

4 Peralata Laju Endap Darah (LED) √

5 Chemistry Analyzer √

6 Urine Analyzer √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN RADIOLOGI

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

A. DIGNOSTIK

1 Film Viewer √

Cassete & Film X-Ray semua

2 √
Ukuran

3 Film Marker √

4 Film Drayer √

5 USG 4D √

6 Mobile X-Ray √

Picture Archiving Communication

7 √
System (PACS)
8 Peralatan Proteksi Radiasi √

9 Perlengkapan Peralatan Radiasi √

10 Emergency Kit √

11 Viewing Box √

12 Generator Set √

DAFTAR PERALATAN KESEHATAN DI PELAYANAN JENAZAH

KETERSEDIAAN
NO NAMA ALAT HARGA KETERANGAN
YA TIDAK

1 Body Bags √

2 Dissection Table √

3 Head Lamp √

4 Examination Lamp √

5 Body Trolley √

6 Pareparation Table √