Nomor : 481 /MMC/III/2019 Lhokseumawe, 09 Februari 2019

Lampiran : 1 (satu) Kepada YTH

Perihal : Permohonan Kalibrasi Alat Kepala BPFK Medan
Di_
Tempat

Dengan Hormat,
Dengan ini kami sampaikan permohonan untuk kalibrasi peralatan dengan
rincian sebagai berikut :
Ruang IGD
No. Nama Alat merk No. Seri
1. Patien Monitor Mindrey AQ-68232393
2. Nebulizer Omron 2015-0809-765UF
3. Saction Pump General Care 2017-0705-99
4. EkG BioCare A216090164
5. Syring Pump BioCare 6060-3587
6. Tensi Digital Beurer 652-28
7. Tensi Air Raksa GEA IGD/03Alkes/MMC/2018
8. Timbangan bayi GEA IGD/10Alkes/MMC/2018
9. Timbangan Dewasa One Med IGD/11Alkes/MMC/2018
10. Laringoskop Dewasa   IGD/12Alkes/MMC/2018
11. Lampu Sorot GEA IGD/15Alkes/MMC/2018
12. Tensi aneroid Riester IGD/18Alkes/MMC/2018
13. temperatur digital   IGD/21Alkes/MMC/2018
14. temperatur digital   IGD/23Alkes/MMC/2018

Ruang Lantai I
1. Tensi Digital Beurer 652-28
2. Pend Ligt one med LT1/02Alkes/MMC/2018
3. Temperatur Digital   LT1/03Alkes/MMC/2018

Ruang OK
4. Patien Monitor Mindrey AQ-6823-2400
5. Patien Monitor Mindrey AQ-6422-9794
6. Patien Monitor PC 5000 J0600-MJ000-15
7. Infamwammer GEA V3/1409-01180
8. Incubator GEA 1512-0891
9. Syringpum BioCare 6030-5164
10. EKG BlessMed A1160-80198
11. Mesin Anastesi Heal Force 1114-2550-5CPN0-0110
12. Mesin Anastesi Eternity AM832 AM832-HE170-8004
13. Mesin Cauter Heal Force 0116-G0572NJ
14. Vacum Legulator (Saction) GEA YB-Dx23B NO,B817083
15. Operating Lamp 1 BlessMed YD02-9 No 20110202
16. Operating Lamp 2 BlessMed YD02-9 No HF20130706
17. Baby Saction Pump Gima Vega-1 5079
18. Autoklaf rebus kecil   OK/01Alkes/MMC/2018
19. Autoklaf Rebus besar   OK/02Alkes/MMC/2018
20. Sterilisator   OK/03Alkes/MMC/2018
21. Laringoscop Dewasa   OK/04Alkes/MMC/2018
22. Laringoscop Dewasa   OK/05Alkes/MMC/2018
23. Laringoscop Anak   OK/06Alkes/MMC/2018
24. Lampu UV   OK/11Alkes/MMC/2018
25. Film Viewewr OneMed OK/12Alkes/MMC/2018
26. Timbangan bayi   OK/13Alkes/MMC/2018
27. ambubag Bayi   OK/14Alkes/MMC/2018
28. LMA No 3   OK/24Alkes/MMC/2018
29. LMA No 1   OK/25Alkes/MMC/2018
30. LMA No 4   OK/26Alkes/MMC/2018
31. Stilent Anak   OK/27Alkes/MMC/2018
32. Stilent Dewasa   OK/28Alkes/MMC/2018
33. Gudle Anak   OK/32Alkes/MMC/2018
34. Gudle Dewasa   OK/30Alkes/MMC/2018
35. ETT   OK/31Alkes/MMC/2018

Ruang ICU
1. Infus Pum BioCare 6030-5081
2. Syring Pump BioCare 6060-036110
3. Syring Pump BioCare 6060-3605
4. Nebulizer BlessMed 00006
5. EKG BioCare A216090163
6. Saction Pump Minic-S 1310176U
7. Patien Monitor Mindrey AQ-6823-2379
8. Patien Monitor Mindrey AQ-6823-2499
9. Patien Monitor Mindrey AQ-3819-9303
10. Tensi aneroid Rister ICU/4Alkes/MMC/2018
11. examination Lamp GEA ICU/8Alkes/MMC/2018

Ruang VK
1. Patien Monitor Mindrey AQ-6823-2381
2. Saction Baby General Care 2018-040181
3. USG Mindrey GN-66010723
4. Dopler Bistos BBH30958
5. Dopler Bistos BBH31002
6. Tensi Aneroid   VK/3Alkes/MMC/2018
7. Spo2   VK/5Alkes/MMC/2018

Ruang Lantai II
1. Nebulizer Omron 2015-0807-554UF
2. Tensi digital Breure LT2/1Alkes/MMC/2018
3. Tensi Air Raksa GEA LT2/2Alkes/MMC/2018
4. Tensi aneroid Riester LT2/3Alkes/MMC/2018
5. Examination Lamp GEA LT2/4Alkes/MMC/2018
6. Spo2   LT2/5Alkes/MMC/2018
7. Tensi digital Breure LT2/7Alkes/MMC/2018
8. Film Viewer GEA LT2/10Alkes/MMC/2018

Ruang Lantai III

Nebulizer Omron 2015-0808-724UF
Tensi Digital Breure LT3/1Alkes/MMC/2018
Tensi aneroid GEA LT3/2Alkes/MMC/2018
Film Viewer One Med LT3/3Alkes/MMC/2018
Examination Lamp GEA LT3/4Alkes/MMC/2018
Examination Lamp GEA LT3/5Alkes/MMC/2018
 Ruang NICU
1. Incubator GEA 1512-0882
2. Incubator GEA 1512-0887
3. Incubator GEA 1504-0808
4. Incubator GEA 1512-0893
5. Incubator GEA 1512-0889
6. Incubator GEA 1504-0794
7. Incubator GEA 1512-0892
8. Light Teraphy GEA 4217-1202-033
9. Infus Pump biocare 6060-3726
10. Syringpump biocare 6060-3585
11. Saction Pump General Care 2017-070-635
12. Pend Ligt One Med NICU/3Alkes/MMC/2018
13. Temperatur Digital   NICU/4Alkes/MMC/2018

Ruang Poli Safar

1. Tensi digital Breure PS/2Alkes/MMC/2018
2. Tensi aneroid Riester PS/3Alkes/MMC/2018
3. Temperatur Digital   PS/4Alkes/MMC/2018
4. Pen Light One Med PS/5Alkes/MMC/2018
5. Timbangan Dewasa One Med PS/6Alkes/MMC/2018

Ruang Poli Bedah

1. Tensi Digital Breure PB/1Alkes/MMC/2018
2. Tensi Anaeroid Riester PB/2Alkes/MMC/2018
3. Pen Light OneMed PB/4Alkes/MMC/2018
4. Lampu Kepala   PB/5Alkes/MMC/2018
5. Examination lamp   PB/6Alkes/MMC/2018
6. Film Viewer OneMed PB/7Alkes/MMC/2018

Ruang Poli Obgyn

1. Tensi Digital Breure PO/1Alkes/MMC/2018
2. Tensi Anaeroid Riester PO/2Alkes/MMC/2018
3. Pen Light OneMed PO/4Alkes/MMC/2018
4. Temperatur digital   PB/5Alkes/MMC/2018
5. Examination lamp GEA PB/6Alkes/MMC/2018
6. Film Viewer OneMed PB/7Alkes/MMC/2018
7. Dopler Bistos BBH30953

Ruang Poli Anak

1. Saction Pump General Care 2018-021404
2. Examination Lamp GEA PA/1Alkes/MMC/2018
3. Tensi Digital   PA/8Alkes/MMC/2018
4. Temperatur Axila   PA/9Alkes/MMC/2018
5. Temperatur Rektal   PA/10Alkes/MMC/2018
6. FilmViewer   PA/13Alkes/MMC/2018

Ruang Poli Penyakit Dalam

1. Tensi digital Breure PD/3Alkes/MMC/2018
2. Tensi aneroid   PD/4Alkes/MMC/2018
3. Temperatur Digital   PD/5Alkes/MMC/2018
4. Pen Light One Med PD/6Alkes/MMC/20218
5. Timbangan Dewasa One Med PD/7Alkes/MMC/2018
6. USG   PD/8Alkes/MMC/2018
7. SpO2   PD/11Alkes/MMC/2018

Ruang Poli Urologi

1. Tensi digital Breure PS/2Alkes/MMC/2018
2. Tensi aneroid Riester PS/3Alkes/MMC/2018
3. Temperatur Digital   PS/4Alkes/MMC/2018
4. Pen Light One Med PS/5Alkes/MMC/2018
5. Timbangan Dewasa One Med PS/6Alkes/MMC/2018

Ruang Poli Paru

1. Tensi digital Breure PP/2Alkes/MMC/2018
2. Tensi aneroid Riester PP/3Alkes/MMC/2018
3. Temperatur Digital   PP/4Alkes/MMC/2018
4. Pen Light One Med PP/5Alkes/MMC/2018
5. Timbangan Dewasa One Med PP/6Alkes/MMC/2018
6. FilmViewer   PP/13Alkes/MMC/2018
 Untuk itu, kami mohon tindak lanjut dari BPFK mengenai permohonan kalibrasi
ini. Atas perhatian dan kerjasama yang baik kami ucapkan terima kasih.

Hormat Kami,
Direktur RSU Metro Medical Center

dr. Alwi Qatsir