PT.

DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi

LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

No Nama Alat Merk Tipe No Seri No Sertifikat Tanggal Kalibrasi Ruangan Keterangan

1 Microtomy ***) THERMO SCIENTIFIC HM 325 S19010080 DKI.S.00901 Monday, April 18, 2022 LAB PA LAIK

2 Water Bath THERMO SCIENTIFIC PARRAFIN FLOTATION BATH 137784CB200Q DKI.S.00902 Monday, April 18, 2022 LAB PA LAIK

3 Tissue Embedding ***) THERMO SCIENTIFIC HISTOSTAR HS7885B1901 DKI.S.00903 Monday, April 18, 2022 LAB PA LAIK

4 Slide Taner ***) THERMO SCIENTIFIC GEMINI AS GT6238H1901 DKI.S.00904 Monday, April 18, 2022 LAB PA LAIK

5 Slide Taner ***) THERMO SCIENTIFIC STP 120 STP121-2759-1803 DKI.S.00905 Monday, April 18, 2022 LAB PA LAIK

6 Hot Plate Laboratory THERMO SCIENTIFIC SLIMLINE HOTPLATE 127073CV1712 DKI.S.00906 Monday, April 18, 2022 LAB PA LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

7 Micropipete Variabel SOCOREX ACURA 825 21041477 DKI.S.00910 Monday, April 18, 2022 LABORATORIUM LAIK

8 Micropipete Variabel SOCOREX ACURA 825 21041306 DKI.S.00911 Monday, April 18, 2022 LABORATORIUM LAIK

9 Micropipete Fix SUREPETTE - 38299 DKI.S.00912 Monday, April 18, 2022 LABORATORIUM LAIK

10 Micropipete Fix SUREPETTE - 31830 DKI.S.00913 Monday, April 18, 2022 LABORATORIUM LAIK

11 Micropipete Fix SUREPETTE - 46544 DKI.S.00914 Monday, April 18, 2022 LABORATORIUM LAIK

12 Micropipete Fix LOKAL - 815233 DKI.S.00915 Monday, April 18, 2022 LABORATORIUM LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

13 Centrifuge HETTICH EBA 21 0005705-04-00 DKI.S.00916 Monday, April 18, 2022 LABORATORIUM LAIK

14 Bed Side Monitor (Patient Monitor) PHILIPS INTELLIVUE MX450 DE671P9787 DKI.S.00821 Monday, April 18, 2022 OK LAIK
Max 5 Parameter

15 Bed Side Monitor (Patient Monitor) GE B105 SQE20427605WA DKI.S.00825 Monday, April 18, 2022 OK LAIK
Max 5 Parameter

16 Laparoscopy ***) AMNOTECH AMNOCAM 2000 HD 9405515 DKI.S.00836 Monday, April 18, 2022 OK LAIK

17 Bed Side Monitor (Patient Monitor) GE B105 SQE20427607WA DKI.S.00838 Monday, April 18, 2022 OK LAIK
Max 5 Parameter

18 Bed Side Monitor (Patient Monitor) GE B105 SQE20427606WA DKI.S.00872 Monday, April 18, 2022 OK LAIK
Max 5 Parameter

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

19 Defibrillator (DC Shock) BEXEN CARDIO REANIBEX 800 2020/20032469 DKI.S.00818 Monday, April 18, 2022 OK LAIK

20 Suction Pump DOCTORS FRIEND DF-350A 9062817 DKI.S.00832 Monday, April 18, 2022 OK LAIK

21 Bed Side Monitor (Patient Monitor) PHILIPS INTELLIVUE MX500 DE671P9783 DKI.S.00819 Monday, April 18, 2022 OK LAIK
Max 5 Parameter

Bed Side Monitor (Patient Monitor)

22 Max 5 Parameter PHILIPS INTELLIVUE MX500 DE671P9785 DKI.S.00823 Monday, April 18, 2022 OK LAIK

Ventilator Anasthesia DRAGER FABIUS PLUS ASNB-0021 DKI.S.00826 Monday, April 18, 2022 OK LAIK

23

Vaporizer DRAGER VAPOR 2000 ASML-0447 DKI.S.00826 Monday, April 18, 2022 OK LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

Infant Warmer FISHER & PAYKEL COSYCOT 170301000151 DKI.S.00840 Monday, April 18, 2022 OK LAIK

24

Neopuff FISHER & PAYKEL INFANT T-PIECE RESUSCITATOR 170301000151 DKI.S.00840 Monday, April 18, 2022 OK LAIK

25 Electrosurgical Unit BOVIE IDS-400 BV5115002 DKI.S.00820 Monday, April 18, 2022 OK LAIK
(ESU/Electrocouter)

Bed Side Monitor (Patient Monitor)

26 Max 5 Parameter PHILIPS INTELLIVUE MX500 DE6771P9782 DKI.S.00824 Monday, April 18, 2022 OK LAIK

27 Infant Warmer SHVABE SNO-SBO 3599 DKI.S.00837 Monday, April 18, 2022 OK LAIK

28 Electrosurgical Unit GIESTER ESU-X400 HT N396-09/18 DKI.S.00841 Monday, April 18, 2022 OK LAIK
(ESU/Electrocouter)

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

Bed Side Monitor (Patient Monitor)

29 Max 5 Parameter PHILIPS INTELLIVUE MX450 DE671P9786 DKI.S.00822 Monday, April 18, 2022 OK LAIK

30 Smoke Evacuator***) BOVIE SMOKE SHARK BFAA4315 DKI.S.00839 Monday, April 18, 2022 OK LAIK

31 Microscope Mata***) LEICA LEICA F40 250416001 DKI.S.00827 Monday, April 18, 2022 OK MATA LAIK

32 PACHO***) NIDEK CV-9000 90265 DKI.S.00829 Monday, April 18, 2022 OK MATA LAIK

33 Opration Lamp DRE DRE 061513 816206 DKI.S.00831 Monday, April 18, 2022 OK MATA LAIK

34 Suction Pump DOCTOR'S FRIEND DF-350A 9062819 DKI.S.00828 Monday, April 18, 2022 OK MATA LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

Bed Side Monitor (Patient Monitor)

35 Max 5 Parameter PHILIPS INTELLIVUE MX500 DE671P9784 DKI.S.00830 Monday, April 18, 2022 OK MATA LAIK

36 Dental Unit GNATUS - 10069210072 DKI.S.00842 Monday, April 18, 2022 POLI GIGI LAIK

37 Dental Unit GNATUS - 10229030093 DKI.S.00843 Monday, April 18, 2022 POLI GIGI LAIK

38 ECG Recorder FUKUDA DENSHI CARDIMAX FX-7542 50000373 DKI.S.00846 Monday, April 18, 2022 POLI JANTUNG LAIK

39 Echo ESAOTE MYLAB SOCV 1266 DKI.S.00847 Monday, April 18, 2022 POLI JANTUNG LAIK

40 Treadmill H/P/COSMOS PLUTO LE 200CE COS30027VA08-0027 DKI.S.00917 Monday, April 18, 2022 POLI JANTUNG LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

41 Slit Lamp***) ZEIN SL 130 1147480 DKI.S.00834 Monday, April 18, 2022 POLI MATA LAIK

42 TONOMETER***) CANON TX-20 P 301383 DKI.S.00835 Monday, April 18, 2022 POLI MATA LAIK

43 USG Mata***) TOMEY AL-4000 678911 DKI.S.00845 Monday, April 18, 2022 POLI MATA LAIK

Auto Refracto Keratometer (ARK)

44 ***) CANON RK-F2 310042 DKI.S.00874 Monday, April 18, 2022 POLI MATA LAIK

45 Chart Projector ***) HUVITZ HCP-7000 7PD00D17I0002 DKI.S.00869 Monday, April 18, 2022 POLI MATA LAIK

46 Spirometer SIBELMED DATOSPIR TOUCH DIAGNOSTIC 11B-738 DKI.S.00870 Monday, April 18, 2022 POLI PARU LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

47 Sphygmomanometer ABN - 00438015 DKI.S.00873 Monday, April 18, 2022 POLI THT LAIK

48 ENT***) KAZAMA HEALTMEN SPLUTION ENT-001/POLI DKI.S.00833 Monday, April 18, 2022 POLI THT LAIK

49 Audiometri GRASON-STADLER GSI 39 AUTO TYMP GS0060171 DKI.S.00866 Monday, April 18, 2022 POLI THT LAIK

50 Timbangan Bayi GEA MEDICAL - TB/1801/SPD DKI.S.00844 Monday, April 18, 2022 SELASAR POLI DEPAN LAIK

51 Timbangan Badan Dewasa SECA 762 1019008 5762300158018 DKI.S.00871 Monday, April 18, 2022 SELASAR POLI DEPAN LAIK

52 Shortwave Diathermy ***) BTL BTL-6000 SHORTWAVE 01300B003111 DKI.S.00918 Tuesday, April 19, 2022 FISIOTHERAPY LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

53 Ultrasound Therapy ***) COSMOGAMMA US13 US061780 DKI.S.00919 Tuesday, April 19, 2022 FISIOTHERAPY LAIK

54 Ultrasound Therapy ***) ELETTRONICA PAGANI ROLAND OPERA 3-BAND 108 DKI.S.00920 Tuesday, April 19, 2022 FISIOTHERAPY LAIK

55 Laser Therapy ***) ASA M6 A00023039 DKI.S.00921 Tuesday, April 19, 2022 FISIOTHERAPY LAIK

56 Infrared Lamp LOKAL - IRL/0001/FST DKI.S.00922 Tuesday, April 19, 2022 FISIOTHERAPY LAIK

57 Tuesday, April 19, 2022 LAIK

Tens ***) COSMOGAMMA FIRING F7612 DKI.S.00925 FISIOTHERAPY

58 Tuesday, April 19, 2022 LAIK

Sphygmomanometer ABN - 00438752 DKI.S.00926 FISIOTHERAPY

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

59 Tuesday, April 19, 2022 LAIK

Microwave Diathermy (MWD) ***) PAGANI ENDOSAN 1829 DKI.S.00927 FISIOTHERAPY

60 Ventilator HAMILTON C3 11240 DKI.S.00875 Tuesday, April 19, 2022 ICU LAIK

61 Infusion Pump TERUMO TE-LF600 1612010657 DKI.S.00876 Tuesday, April 19, 2022 ICU LAIK

62 Infusion Pump TERUMO TE-LF600 1701010127 DKI.S.00877 Tuesday, April 19, 2022 ICU LAIK

63 Infusion Pump B BRAUN INFUSOMAT SPACE P 767774 DKI.S.00878 Tuesday, April 19, 2022 ICU LAIK

64 HFNC VAPOTHERM PRECISION FLOW HI-VNI PFPC00048986-E DKI.S.00879 Tuesday, April 19, 2022 ICU LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

65 Syringe Pump B BRAUN PERFUSOR SPACE P 600197 DKI.S.00880 Tuesday, April 19, 2022 ICU LAIK

66 HFNC VAPOTHERM PRECISION FLOW HI-VNI PFPC00048996-E DKI.S.00881 Tuesday, April 19, 2022 ICU LAIK

67 Infusion Pump B BRAUN INFUSOMAT SPACE P 767783 DKI.S.00882 Tuesday, April 19, 2022 ICU LAIK

68 Syringe Pump B BRAUN PERFUSOR SPACE P 600214 DKI.S.00883 Tuesday, April 19, 2022 ICU LAIK

69 Syringe Pump MINDRAY BENEFUSION SP5 EX SK00805151 DKI.S.00884 Tuesday, April 19, 2022 ICU LAIK

70 Infusion Pump MINDRAY BENEFUSION VP5 EX SK00805990 DKI.S.00885 Tuesday, April 19, 2022 ICU LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

71 Syringe Pump MINDRAY BENEFUSION SP5 EX SK00805139 DKI.S.00886 Tuesday, April 19, 2022 ICU LAIK

72 Infusion Pump MINDRAY BENEFUSION VP5 EX SK00805971 DKI.S.00887 Tuesday, April 19, 2022 ICU LAIK

73 Syringe Pump MINDRAY BENEFUSION SP5 EX SK00805107 DKI.S.00888 Tuesday, April 19, 2022 ICU LAIK

74 Infusion Pump MINDRAY BENEFUSION VP5 EX SK00805964 DKI.S.00889 Tuesday, April 19, 2022 ICU LAIK

75 ECG Recorder BTL BTL-08 LC 0733C0B002073 DKI.S.00859 Tuesday, April 19, 2022 IGD LAIK

76 Suction Pump SIEM JOVA 6110 A1 CURET MAX 170105 DKI.S.00890 Tuesday, April 19, 2022 IGD LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

77 AED CARDIAC AED 63 4507334 DKI.S.00891 Tuesday, April 19, 2022 IGD LAIK

78 Ventilator WILAMED ITENSA 31357 DKI.S.00892 Tuesday, April 19, 2022 IGD LAIK

79 Timbangan Badan Dewasa SECA - 10000000672791 DKI.S.00928 Tuesday, April 19, 2022 IGD LAIK

80 Infant Warmer FISHER&PAYKEL COSYCOT 170110000007 DKI.S.00854 Tuesday, April 19, 2022 NICU LAIK

81 Phototherapy (Blue Light) GINEVRI NAOS 074/17 DKI.S.00848 Tuesday, April 19, 2022 NICU LAIK

82 Suction Pump GENERAL CARE PHLEGM SUCTION 7E-B 2016010950 DKI.S.00849 Tuesday, April 19, 2022 NICU LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

83 Phototherapy (Blue Light) GINEVRI NAOS 072/17 DKI.S.00850 Tuesday, April 19, 2022 NICU LAIK

84 Infant Warmer FISHER&PAYKEL COSYCOT 170109000005 DKI.S.00856 Tuesday, April 19, 2022 NICU LAIK

85 Phototherapy (Blue Light) GINEVRI NAOS 073/17 DKI.S.00852 Tuesday, April 19, 2022 NICU LAIK

86
Bed Side Monitor (Patient Monitor) Max 5 Parameter INFINIUM ALTUS OMNI II A16081100392 DKI.S.00853 Tuesday, April 19, 2022 LAIK

NICU

87 Incubator Transport GEA TI-2000 36170201012 DKI.S.00855 Tuesday, April 19, 2022 NICU LAIK

88 Infant Warmer GINEVRI ALHENA 229/16 DKI.S.00857 Tuesday, April 19, 2022 NICU LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

89 Infant Incubator GEA MEDICAL YP-2000 13170402011 DKI.S.00858 Tuesday, April 19, 2022 NICU LAIK

90 Tuesday, April 19, 2022 LAIK

Bed Side Monitor (Patient Monitor) Max 5 Parameter INFINIUM ALTUS OMNI II A16081100399 DKI.S.00860 NICU

91 Infant Incubator GINEVRI OBG POLYTREND-MU 850/16 DKI.S.00861 Tuesday, April 19, 2022 NICU LAIK

92 Infant Incubator GINEVRI OBG POLYTREND-MU 577/16 DKI.S.00862 Tuesday, April 19, 2022 NICU LAIK

93 Infant Incubator GEA YP-2000 13170402010 DKI.S.00863 Tuesday, April 19, 2022 NICU LAIK

94 Bubble CPAP CAREFUSION INFANT FLOW SIPAP BGP01172 DKI.S.00864 Tuesday, April 19, 2022 NICU LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

95 Infant Incubator GEA MEDICAL YP-2000 13170402008 DKI.S.00865 Tuesday, April 19, 2022 NICU LAIK

96
Bed Side Monitor (Patient Monitor) Max 5 Parameter INFINIUM ALTUS OMNI II A16081100403 DKI.S.00867 Tuesday, April 19, 2022 LAIK

NICU

97
Bed Side Monitor (Patient Monitor) Max 5 Parameter INFINIUM ALTUS OMNI II A16081100383 DKI.S.00868 Tuesday, April 19, 2022 LAIK

NICU

98 Timbangan Bayi ONEMED OD231B 10901803256 DKI.S.00851 Tuesday, April 19, 2022 NICU LAIK

99 Suction Pump PROGETTI PG VAC 30 1050 DKI.S.00929 Tuesday, April 19, 2022 POLI BEDAH LAIK

100 Head Lamp BISTOS BT-410 ECK81770 DKI.S.00900 Tuesday, April 19, 2022 POLI THT LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

101 Timbangan Bayi SECA 334 1321008 5344386154781 DKI.S.00896 Tuesday, April 19, 2022 PONEK LAIK

102 Blood Pressure Monitor (NIBP Monit TENSIONE 1A TM/190422-PNK DKI.S.00897 Tuesday, April 19, 2022 PONEK LAIK

103 Incubator Transport DRAGER ISOLETTE TI500 JC13012 DKI.S.00898 Tuesday, April 19, 2022 PONEK LAIK

104 Ultrasonography (USG) MINDRAY DP-20 6R-71003799 DKI.S.00899 Tuesday, April 19, 2022 PONEK LAIK

105 X-RAY Mobile DK ELMO-T3 1091283 DKI.S.00893 Tuesday, April 19, 2022 RADIOLOGI LAIK

106 Tuesday, April 19, 2022 LAIK

Ultrasonography (USG) ESAOTE MYLAB40 15046 DKI.S.00894 RADIOLOGI

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

107 CR Reader ***) FUJIFILM DRY PIX SMART CR/0002/RDL DKI.S.00895 Tuesday, April 19, 2022 RADIOLOGI LAIK

108 X Ray General Purpose CPI RTM 782 HS 84T749 DKI.S.00923 Tuesday, April 19, 2022 RADIOLOGI LAIK

109 Suction Pump SIMEX S20 40033082 DKI.S.00969 Wednesday, April 20, 2022 HEMODIALISA LAIK

110 Timbangan Badan Dewasa SECA 769 10000000672793 DKI.S.00950 Wednesday, April 20, 2022 HEMODIALISA LAIK

111 Blood Pressure Monitor (NIBP Monit OMRON HEM-7130 20160612757VG DKI.S.00968 Wednesday, April 20, 2022 HEMODIALISA LAIK

112 Syringe Pump TERUMO TE-SS700 171101041 DKI.S.00970 Wednesday, April 20, 2022 HEMODIALISA LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

113 Pulse Oxymeter CORERAY CR-100 CR2006 DKI.S.00967 Wednesday, April 20, 2022 HEMODIALISA LAIK

114 Syringe Pump TERUMO TE-SS700 1711010465 DKI.S.00979 Wednesday, April 20, 2022 ICU LAIK

115 Syringe Pump TERUMO TE-SS700 1711010410 DKI.S.00981 Wednesday, April 20, 2022 ICU LAIK

116 Wednesday, April 20, 2022 LAIK

Bed Side Monitor (Patient Monitor) Max 5 Parameter UTAS UM-300 M.651.16008.0012 DKI.S.00957 ICU

117 Wednesday, April 20, 2022 LAIK

Bed Side Monitor (Patient Monitor) Max 5 Parameter UTAS UM-300 M.651.16008.0013 DKI.S.00958 ICU

118 Timbangan Bayi ONEMED OD231B TB/200422-IGD DKI.S.00943 Wednesday, April 20, 2022 IGD LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

119 Bubble CPAP CAREFUSION INFANT FLOW SIPAP BGP01174 DKI.S.00959 Wednesday, April 20, 2022 NICU LAIK

120 Syringe Pump MINDRAY BENEFUSION SP5 EX SK00805118 DKI.S.00974 Wednesday, April 20, 2022 VIP LT 1 LAIK

121 Infusion Pump MINDRAY BENEFUSION VP5 EX SK00805886 DKI.S.00975 Wednesday, April 20, 2022 VIP LT 1 LAIK

122 ECG Recorder BTL BTL-08 LC 073C08002092 DKI.S.00978 Wednesday, April 20, 2022 VIP LT 1 LAIK

123 Ventilator VYAIRE LTV2 2200 R01829 DKI.S.00952 Wednesday, April 20, 2022 VIP LT 1 LAIK

124 Ventilator HAMILTON C1 26002 DKI.S.00953 Wednesday, April 20, 2022 VIP LT 1 LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

125 Ventilator HAMILTON C1 25744 DKI.S.00955 Wednesday, April 20, 2022 VIP LT 1 LAIK

126 HFNC VAPOTHERM PRECISION FLOW HI-VNI PFPC00048973-E DKI.S.00956 Wednesday, April 20, 2022 VIP LT 1 LAIK

127 Bed Side Monitor (Patient Monitor) UTAS UM-300 160080011 DKI.S.00941 Wednesday, April 20, 2022 VIP LT 1 LAIK

128 Bed Side Monitor (Patient Monitor) UTAS UM-300 M.712.17003.0061 DKI.S.00942 Wednesday, April 20, 2022 VIP LT 1 LAIK

129 Defibrillator MEDIANA D500 159220050005 DKI.S.00973 Wednesday, April 20, 2022 VIP LT 1 LAIK

130 ECG Recorder BIONET CARDIOCARE EP1200161 DKI.S.00977 Wednesday, April 20, 2022 VIP LT 1 LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

131 Suction Pump GENERAL CARE 7E-B 2016030821 DKI.S.00982 Wednesday, April 20, 2022 VIP LT 1 LAIK

132 Defibrillator INNOMED CARDIO 11-VIP DKI.S.00983 Wednesday, April 20, 2022 VIP LT 1 LAIK

133 Wednesday, April 20, 2022 LAIK

Blood Pressure Monitor (NIBP Monitor) SINOCARE BA-801 NIBP/2003/VIP1 DKI.S.00976 VIP LT 1

134 Suction Pump INSPITAL - 21410009 DKI.S.00972 Wednesday, April 20, 2022 VIP LT 2 LAIK

135 Timbangan Badan Dewasa GEA EB1622 1296-VIP DKI.S.00971 Wednesday, April 20, 2022 VIP LT 2 LAIK

136 Blood Pressure Monitor (NIBP Monitor) OMRON HEM-8712 20200100468VG DKI.S.00951 Wednesday, April 20, 2022 LAIK

VIP LT 2

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

137 Blood Pressure Monitor (NIBP Monitor) ONEMED TENSIONE B171100857 DKI.S.00954 Wednesday, April 20, 2022 LAIK

VIP LT 2

138 Timbangan Bayi LOTUS - TB/0003/ZA DKI.S.00949 Wednesday, April 20, 2022 ZAL ANAK LAIK

139 Suction Pump INSPITAL CERRAHI ASPIRATOR 21410008 DKI.S.00966 Wednesday, April 20, 2022 ZAL ANAK LAIK

140 Blood Pressure Monitor (NIBP Monit OMRON HEM-8712 20200304497VG DKI.S.00964 Wednesday, April 20, 2022 ZAL ANAK LAIK

141 Timbangan Badan Dewasa CAMRY - TD/20002/ZA DKI.S.00965 Wednesday, April 20, 2022 LAIK

ZAL ANAK

142 ECG Recorder UTAS UCARD 100 K106170040076 DKI.S.00907 Wednesday, April 20, 2022 ZAL BEDAH UMUM LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

143 Defibrillator MEDIANA D500 150220050009 DKI.S.00924 Wednesday, April 20, 2022 ZAL BEDAH UMUM LAIK

144 Blood Pressure Monitor (NIBP Monit OMRON HEM-8712 20200100463VG DKI.S.00930 Wednesday, April 20, 2022 ZAL BEDAH UMUM LAIK

145 Infant Warmer SHVABE SNO-SBO 3605 DKI.S.00963 Wednesday, April 20, 2022 ZAL BIDAN LAIK

146 ECG Recorder BTL BTL-08 LC 073C00B002109 DKI.S.00948 Wednesday, April 20, 2022 ZAL BIDAN LAIK

147 Suction Pump INSPITAL CERRAHI ASPIRATOR 21410012 DKI.S.00940 Wednesday, April 20, 2022 ZAL BIDAN LAIK

148 Blood Pressure Monitor (NIBP Monit OMRON HEM-8712 20200308895VG DKI.S.00961 Wednesday, April 20, 2022 ZAL BIDAN LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

149 Ultrasonography (USG) SOGATA SG60 121030738 DKI.S.00962 Wednesday, April 20, 2022 ZAL BIDAN LAIK

150 Blood Pressure Monitor (NIBP Monit ONEMED TENSIONE B20190010420 DKI.S.00931 Wednesday, April 20, 2022 ZAL MATA LAIK

151 Infusion Pump B BRAUN INFUSOMAT SPACE P 767770 DKI.S.00938 Wednesday, April 20, 2022 ZAL PENYAKIT DALAM ATAS LAIK

152 ECG Recorder BTL BTL-08 LC 073C0B002094 DKI.S.00946 Wednesday, April 20, 2022 ZAL PENYAKIT DALAM ATAS LAIK

153 Syringe Pump BBRAUN PERFUSOR SPACE P 600252 DKI.S.00935 Wednesday, April 20, 2022 ZAL PENYAKIT DALAM ATAS LAIK

154 Syringe Pump BBRAUN PERFUSOR SPACE P 600207 DKI.S.00936 Wednesday, April 20, 2022 ZAL PENYAKIT DALAM ATAS LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

155 Infusion Pump BBRAUN INFUSOMAT SPACE P 767781 DKI.S.00939 Wednesday, April 20, 2022 ZAL PENYAKIT DALAM ATAS LAIK

156 Blood Pressure Monitor (NIBP Monit OMRON HEM-8712 20210906617VG DKI.S.00947 Wednesday, April 20, 2022 ZAL PENYAKIT DALAM ATAS LAIK

157 Syringe Pump B BRAUN PERFUSOR SPACE P 600180 DKI.S.00909 Wednesday, April 20, 2022 ZAL PENYAKIT DALAM BAWAH LAIK

158 Infusion Pump B BRAUN INFUSOMAT SPACE P 767765 DKI.S.00937 Wednesday, April 20, 2022 ZAL PENYAKIT DALAM BAWAH LAIK

159 ECG Recorder BTL BTL-08 LC 073C0B002107 DKI.S.00934 Wednesday, April 20, 2022 ZAL PENYAKIT DALAM BAWAH LAIK

160 Suction Pump PROGETTI PGVAC 30 1071 DKI.S.00933 Wednesday, April 20, 2022 ZAL PENYAKIT DALAM BAWAH LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

161 Defibrillator MEDIANA D500 159220050006 DKI.S.00908 Wednesday, April 20, 2022 ZAL PENYAKIT DALAM BAWAH LAIK

162 Timbangan Badan Dewasa ONEMED - TD/20001/ZPDB DKI.S.00932 Wednesday, April 20, 2022 ZAL PENYAKIT DALAM BAWAH LAIK

163 Washer SHINVA - 21042022/01 DKI.S.00944 Thursday, April 21, 2022 CSSD LAIK

164 Autoclave SHINVA - 25162567 DKI.S.00945 Thursday, April 21, 2022 CSSD LAIK

165 Plasma Sterilisator SHINVA PS-100 1740917 DKI.S.00985 Thursday, April 21, 2022 CSSD LAIK

166 ECG Recorder UTAS UCARD 100 K.106.17004.0077 DKI.S.00987 Thursday, April 21, 2022 HEMODIALISA LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240
 PT. DIDI KALIBRASI INDONESIA Laboratorium Kalibrasi
LK-263-IDN
Izin Operasional Kemenkes No : HK.02/I/1862/2018

No : 030/04-2022/DKI.TT-CAL Jakarta, : 18/04/2022

Perihal Berita Acara

Berita Acara
Nomor Order : 030/04-2022/DKI.TT-CAL
Tanggal : 18/04/2022
Instansi : RSUD Lahat
Peralatan / barang yang diserahkan sebagai-berikut:

167 Cardiotocograph (CTG) BISTOS BT-350 AFH60047 DKI.S.00988 Thursday, April 21, 2022 ICU LAIK

168 Suction Pump SIMEX M20 40033097 DKI.S.00989 Thursday, April 21, 2022 ICU LAIK

169 Centrifuge ELEKTRO.MAG M.4808 P 0636 DKI.S.00986 Thursday, April 21, 2022 LABORATORIUM LAIK

170 PCR TEST ***) GENEXPERT CEPHEID 110001274 DKI.S.00960 Thursday, April 21, 2022 LABORATORIUM MIKROBIOLOGI LAIK

171 Nebulizer OMRON NE-C28 20150903085UF DKI.S.00984 Thursday, April 21, 2022 VIP LT 2 LAIK

Calibration For Safety and Quality

Head Office Laboratorium : Jl. Pelita no. 2G Lantai 2 Kebayoran lama – Jakarta Selatan 12240