JADWAL KALIBRASI ALAT KESEHATAN SESUAI STANDAR APLIKASI ASPAK

PUSKESMAS : DRIYOREJO TAHUN : 2022

STATUS PUSKESMAS : RAWAT INAP

* ALAT KESEHATAN WAJIB KALIBRASI JUMLAH BARANG USULAN KETERANGAN

**
1 Nebulizer
2 Sphygmomanometer 2 2
3 Tensimeter Digital 3 3
4 Thermometer
5 Thermometer Infrared
6 Timbangan Dewasa 4 4
7 Timbangan Bayi 1 1
8 Vital Sign Monitor
9 Regulator Oksigen / Flow meter
10 Pulse Oxymeter 1 1
11 Dental Unit
12 Doppler
13 Baby Incubator
14 Infant Warmer
15 Lampu Tindakan
16 Ultrasonograph (USG)
17 Baby Suction Pump
18 Breast Pump
19 Defibrilator/ DC Shock
20 Electrocardiograph (ECG) 1 1
21 Automatic External Defibrilator (AED)
22 Hematology Analyzer
23 Blood Warmer
24 Centrifuge
25 Mikropipet Fix 3 3
26 Mikropipet Variable 2 2
27 Rotator
28 Analitical Balance
29 Body Fat Analyzer
30 Microscope
31 Photometer
32 Sterilisator kering
33 Autoclave
34 Vaccine Refrigerator 1 1
35 Freezer
36 Thermometer Lemari Es 2 2
 Gresik, 22 September 2021
Mengetahui, Bendahara Barang
Kepala Puskesmas Driyorejo Puskesmas Driyorejo

dr. SUKADI ERNI SULIANAH

NIP. 19720208 200801 1 008 NIP. 19800419 200701 2 011
IDENTIFIED: REVISION:
DM.BAPP 1
AUTHOR:
PT. MEDITERA GLOBAL TEKNOLOGI
TITLE:
BERITA ACARA PENYELESAIAN PEKERJAN
Pelanggan : Puskesmas Driyorejo
Alamat :Jl. Raya Driyorejo No.03, Ds. Wates, Cangkir, Kec. Driyorejo, Kab. Gresik, J

No Nama Alat Merek Model Nomer Seri

1 Timbangan Bayi Kenko - TBY-001
2 Sphygmomanometer Erka - 19405845
3 Electrocardiograph Bionet CardioCare EL1200242
4 Sphygmomanometer Erka - 19405890
5 Timbangan Dewasa GEA ZT-120 TBD-001
6 Timbangan Dewasa GEA ZT-120 TBD-002
7 Tensimeter Digital Erka Erkameter 125 17 42 02102
8 Pulse Oxymeter Elitech FOX-2 -
9 Tensimeter Digital Erka Erkameter-125 17 42 02104
10 Tensimeter Digital Erka Erkameter-125 Pro 17 42 02120
11 Vaccine Refrigerator GEA - -
12 Thermometer Lemari Es GEA - -
13 Timbangan Dewasa Serenity SR-HW03 -
14 Timbangan Dewasa Serenity SR-HW04 -
15 Mikropipet Bio Lb - GD444131
16 Mikropipet Bio Lb - GD444213
17 Mikropipet Bio Lb - GD444601
18 Mikropipet Dragon Lab - YL3K035918
19 Mikropipet Socorex Acura 825 26022495
Catatan Tanggal PT. Meditera Global Teknologi

30/11/2022

Sugeng Riyanto
N: EFFECTIVE DATE:
03 Januari 2022

No. PO : 22/MGT/STU/IX/136
kir, Kec. Driyorejo, Kab. Gresik, Jawa Timur Jenis Pekerjaan : Pengujian Dan Kalibrasi
Tanggal Penyelesaian : 30 November 2022
Nomer Label Lokasi Tanggal Kalibrasi Status
202220167 Puskesmas Driyorejo 30 November 2022 Laik Pakai
202220172 Puskesmas Driyorejo 30 November 2022 Laik Pakai
202220177 Puskesmas Driyorejo 30 November 2022 Laik Pakai
202220182 Puskesmas Driyorejo 30 November 2022 Laik Pakai
202220159 Puskesmas Driyorejo 30 November 2022 Laik Pakai
202220164 Puskesmas Driyorejo 30 November 2022 Laik Pakai
202220169 Puskesmas Driyorejo 30 November 2022 Laik Pakai
20225515 Puskesmas Driyorejo 30 November 2022 Laik Pakai
202220146 Puskesmas Driyorejo 30 November 2022 Laik Pakai
202220151 Puskesmas Driyorejo 30 November 2022 Laik Pakai
202220128 Puskesmas Driyorejo 30 November 2022 Laik Pakai
20225517 Puskesmas Driyorejo 30 November 2022 Laik Pakai
202220133 Puskesmas Driyorejo 30 November 2022 Laik Pakai
202220138 Puskesmas Driyorejo 30 November 2022 Laik Pakai
On Proses Puskesmas Driyorejo 30 November 2022 On Proses
On Proses Puskesmas Driyorejo 30 November 2022 On Proses
On Proses Puskesmas Driyorejo 30 November 2022 On Proses
On Proses Puskesmas Driyorejo 30 November 2022 On Proses
On Proses Puskesmas Driyorejo 30 November 2022 On Proses
lobal Teknologi Puskesmas Driyorejo

Riyanto Erni Sulianah

Pelaksana