Anda di halaman 1dari 8

F.

Daftar Ketersediaan dan Kondisi Peralatan Puskesmas


(Puskesmas dan jaringannya menggunakan format pencatatan yang sama)

No Jenis/ Nama Ruangan Nama Alat No. Seri

1 2 3 4

1 POLI GIGI Sterilisator


2 Dental Unit
3 Dental Equipment (light Curing)
4 Scaler
5 UGD Sterilisator
6 EKG
7 Kursi Roda
8 Lampu Kepala
9 Nebulizer
10 Otoskop
11 Sphygmomanometer Anak
12 Sphygmomanometer Dewasa
13 Stand Lampu Untuk Tindakan
14 Standar Infus
15 Stetoskop Anak
16 Stetoskop Dewasa
17 Stetoskop Janin
18 Suction Pump
19 Timbangan Dewasa
20 Emergency Kit
21 Sphygmomanometer
22 EKG
23 Tensi Meter
24 Instrument Table
25 Lampu Kepala
26 Stand Lampu Untuk Tindakan
27 Termometer Anak
28 Termometer Dewasa
29 Suction Pump Portable
30 Timbangan Dewasa
31 GIZI Timbangan Digital
32 Timbangan Anak
33 Alat Ukur PB & TB
34 Alat Ukur Lila
35 POLI UMUM Stetoscope
36 Tensi Meter
37 Lampu Kepala
38 Whell Chair
39 Termometer Non kontak
40 LABORATORIUM Centrifuge Mikrohematokrit
41 Haemocytometer
42 Microscope Binoculer
43 Rotator
44 Centrifuge Electric
45 IMUNISASI Vaccine Refrigerator
46 Cold Chain
47 KIA Doppler
48 Stand Tirai
49 IUD KIT
50 Resusitator Dewasa
51 Doppler
52 TT Bayi/Box/Bed Baby
53 Timbangan Bayi
54 RANAP Tiang Infus
55 Tiang Infus
56 Stetoskop
57 Stetoskop Dewasa
58 Stetoskop Infant
59 Stetoskop Infant
60 Stetoskop Dewasa
61 Stetoskop Infant
62 Stetoskop Anak
63 Lampu Periksa
64 Nebulizer
65 Sphygmomanometer
66 Standar Waskom Tunggal
67 Standar Waskom Ganda
68 Nebulizer
69 Tensi Meter Digital
70 Resusitator Dewasa
71 Resusitator Anak
72 Suction Pump
atatan yang sama)
Tahun

Merk Type

Operasion
Perolehan

al
5 6 7 8

Meiden/Doublerack 2009
Marcbelle 2009
Dentamdica 2006
Ultrasonic/Great Star G3 2009
Meiden 2010
Axion EK3TC-3/6-04 2020
Sani 2020
Gulf GMF-LD 01 2020
Schulte U-3002 2020
ADC 5215 2020
ADC 720-9 CBK 2020
ADC 720-11 ABK 2020
Braun 32.0082 2020
Karixa KA 03-01BSS 2020
ADC ADSCOPE 604 BK 2020
ADC ADSCOPE 603 BK 2020
Medgyn-USA Doppler 2020
Dixion Vacus 7018 2020
Sani BR3010 2020
Gima 2015
MPM ERKA Tensimeter Digital E FLEX Stand 2018
BTL L Line Electrocardiograph/BTL08 LC 2018
A&D 2018
Poly Medical 2009
Bistos Medical Head Lamp BT-410 2018
Mentor Examination Light MEL-01 2018
MPM ICARE (Infra Red) DT-Pen 2018
MPM ICARE (Infra Red) DT-Pen DT-PEN (DT-060) 2018
Laerdal Compact Suction Unit 2018
Elitech Patient Scale Digit-Pro 2018
SECA MECHANICAL PERSONAL Seca 762 2020
SECA MECHANICAL BABY SCALE Seca 725 2020
SECA STADIOMETER Seca 213 2020
SECA 201 MEASURING TAPE 2020
MPM ERKA Stethoskope Finesse Duo 2018
MPM ERKA Tensimter Digital E FLEX Stand 2018
Bistos Medical Head Lamp 2018
Lonchang 2009
MPM ICARE (Infra Red) DT-Pen 2018
CHM430 2009
Asistant 2009
Olympus 2013

Heath/HC-1180T 2009
Dometic 2016
Dometic Vaccine Refrigerator 2017
Medgyn-USA SD 5 2020
Mentor 2018
2014
Laerdal Silicone Resuscitator 870053 2018
Bistos Fetal Doppler BT-250 2018
Mentor Pediatric HBC-01/176X70X60 2018
Elitech Baby One Scale Baby One 2018
Mentor Standar Infus STD-01/50x50x157C 2018
KARIXA KA 03-01BSS 2020
Erka Stethoscope 2018
ADC ADSCOPE 603 BK 2020
ADC ADSCOPE 605 BK 2020
Erka Stethoscope 2018
ADC ADSCOPE 603 BK 2020
ADC ADSCOPE 605 BK 2020
ADC ADSCOPE 604 BK 2020
Braun 32.0082 2020
Schulte-German U-3002-S 2020
ADC 720-11 ABK 2020
KARIXA KA 17-12BS 2020
KARIXA KA 17-02BS 2020
Prizma Ultrasonic Nebulizer 2018
ERKA ERKAMETER STAND MODEL 2018
Laerdal Silicone Resuscitator 2018
Laerdal Silicone Resuscitator Pediatric 2018
Laerdal Compact Suction Unit 2018
Distri
Kondisi Kalibrasi Harga Alat Sumber Dana
butor
Berfungsi

berfungsi

APBD 1

APBD 2
(tahun)

APBN
Tidak

Tidak
Ya
9 10 11 12 13 14 15 16 17

√ 2,411,500.00
√ 83,687,950.00
√ 2,450,000.00
√ 7,161,700.00
√ 2,042,000.00
√ 35,278,667.00 √
√ 8,990,771.00 √
√ 18,173,000.00 √
√ 84,091,833.00 √
√ 4,101,000.00 √
√ 4,267,000.00 √
√ 4,267,000.00 √
√ 25,030,000.00 √
√ 1,346,154.00 √
√ 1,048,000.00 √
√ 1,048,000.00 √
√ 10,926,667.00 √
√ 13,006,667.00 √
√ 440,112.00 √
√ 56,048,973.87
√ 14,235,483.87
√ 90,000,000.00
√ 2,592,365.50
√ 4,017,000.00
√ 1,200,000.00
√ 2,482,500.00 √
√ 444,107.00
√ 444,107.00
√ 31,005,678.00 √
√ 764,426.00 √
√ 1,772,878.43 √
√ 3,763,091.48 √
√ 1,691,220.62 √
√ 162,562.76 √
√ 1,200,000.00
√ 2019 14,235,483.87
√ 1,200,000.00
√ 3,214,000.00
√ 444,107.14
√ 8,000,000.00
√ 1,772,000.00


√ 5,454,000.00
√ 81,609,983.00 √
√ 80,596,417.00 √
√ 36,849,000.00 √
√ 3,475,673.91
√ 7,447,000.00
√ 6,648,135.00
√ 5,700,000.00
√ 4,135,667.00
√ 13,880,000.00
√ 1,364,171.00
√ 1,312,500.00 √
√ 1,123,200.00
√ 1,048,000.00 √
√ 1,048,000.00 √
√ 2,040,000.00
√ 1,048,000.00 √
√ 1,048,000.00 √
√ 1,048,000.00 √
√ 25,030,000.00 √
√ 84,091,750.00 √
√ 4,267,000.00 √
√ 2,112,500.00 √
√ 2,975,000.00 √
√ 10,124,889.00
√ 14,235,484.00
√ 6,648,135.00
√ 6,524,638.00
√ 31,005,678.00
Negara
er Dana Pembua
t
Hibah

18 19

Rusia

USA
German
USA
USA
USA
UK

USA

German
USA

USA
USA

USA
USA
USA
UK
German
USA