REKAP TOTAL PEKERJAAN KALIBRASI DAN PENGUJIAN ALAT KESEHATAN RS KASIH HERLINA

SORONG

Tanggal
No. Nama Alat Nomor Seri Merk Model/Type Ruangan Alat L/TL
Kalibrasi

1 Defibrillator 108988109560 Schiller Defigard4000 UGD 20/01/2022 L

2 Bedside Monitor 79.003.309 Drager Vista120 UGD 20/01/2022 L

3 Suction Pump SP-UGD-01 - BMX-1 UGD 20/01/2022 L

4 Timbangan bayi PPO-3081501 Laica BF2051 UGD 20/01/2022 L

5 Nebulizer 20150108584UF Omron NE-C28 UGD 20/01/2022 L

6 ECG 080.29626 Schiller Cardiovit AT-101 UGD 20/01/2022 L

7 Blood pressure monitor 20191013646VG Omron HEM-8712 UGD 20/01/2022 L

8 Pulse Oximeter FX117BB5232 Elitech Fox-1(N) UGD 20/01/2022 L

9 Sphygmomanometer 171143462 Riester Big Ben Round UGD 20/01/2022 L

10 Sphygmomanometer 171143487 Riester Big Ben Round UGD 20/01/2022 L

11 Thermohygrometer TH-UGD-01 - HTC-01 UGD 20/01/2022 L

12 Thermohygrometer TH-UGD-02 - HTC-02 UGD 20/01/2022 L

13 Timbangan dewasa TB-UGD-01 GEA Analog UGD 20/01/2022 L

14 Stetoskop ST-UGD-01 Litmann - UGD 20/01/2022 L

15 Stetoskop ST-UGD-02 ABN - UGD 20/01/2022 L

16 Thermohygrometer TH-FM-02 - HTC-2 Farmasi 20/01/2022 L

17 Thermohygrometer TH-FM-01 - HTC-2 Farmasi 20/01/2022 L

18 Infant warmer MC05397 Drager GSDTC2 Perina 20/01/2022 L

19 Infusion Pump 02072312190001 Fyrom Drive Perina 18/01/2022 L

20 Infusion Pump 02072312119002 Fyrom Drive Perina 18/01/2022 L

21 Pulse Oximeter PO-01 Fyrom - Perina 18/01/2022 L

22 Timbangan Bayi Digital PPO-4062604R Laica BF2051 Perina 18/01/2022 L

23 Bedside Monitor V1SJK0053 Drager Vista120 Perina 18/01/2022 L

24 Syringe Pump 02060105160024 Fyrom Drive Perina 18/01/2022 L

25 Syringe Pump 02062208160010 Fyrom Drive Perina 18/01/2022 L

26 Syringe Pump 02060105160042 Fyrom Drive Perina 18/01/2022 L

27 Infant warmer 01072708190002 Fyrom Infinity Perina 19/01/2022 L

28 Infant warmer 01072708190003 Fyrom Infinity Perina 19/01/2022 L

29 Baby Incubator DC37348 Drager C2HS-1C Perina 19/01/2022 L

30 Baby Incubator DC37349 Drager C2HS-1C Perina 19/01/2022 L

31 Phototherapy 42A1ZF07017 GEA XHZ-90 Perina 19/01/2022 L

32 Phototherapy 42AHAA03029 GEA XHZ-90 Perina 19/01/2022 L

33 Suction Pump 00120 General Care 7E-A Perina 19/01/2022 L

Fyrom
34 CPAP 02101510180005 MIX- Safe Porte Perina 19/01/2022 L
Internasional
35 Thermometer TH-01 - - Perina 19/01/2022 L
36 Mikroskop 0665 Olympus CX23 Laboraturium 18/01/2022 L

37 Mikroskop T3 Olympus CX21.F15 Laboraturium 18/01/2022 L

Table top
38 Centrifuge 1509195 PLC-03 Laboraturium 18/01/2022 L
Centrifuge
39 Centrifuge - DSC154 Laboraturium L
820609160 18/01/2022

40 CTG F3Q0500018 Bionet AM1400 VK 18/01/2022 L

41 Fetal Doppler 13020027 Hadeco ES-101EX VK 18/01/2022 L

42 Pulse Oximeter FX2191A0308 Elitech - vk 18/01/2022 L

43 Blood pressure monitor 20191013648VG Omron HEM-8712 VK 18/01/2022 L

AM Anologic
44 USG 0261618206 AM5 Plus VK 18/01/2022 L
Medical

45 Stetoskop J17K129876 Litmann - VK 18/01/2022 L

46 Sterilisator ST-02 Fortune - VK 18/01/2022 L

47 Suction Pump 1712805 K Gemmy CO 54-305 OK 18/01/2022 L

48 Sterilisator basah ST-01 - - OK 18/01/2022 L

49 Bedside Monitor AQ-18159094 Mindray MFC-1000 OK 18/01/2022 L

Master
50 Stetoskop ST-OK-01 - OK 18/01/2022 L
Duplex

51 Anesthesi Unit ASNC-0081 - - OK 18/01/2022 L

Lamidery
52 Electro Surgery Unit MC3-009 Surgilec MC3 OK 18/01/2022 L
Noury
53 Pulse Oximeter 2010080201039 Family DR FS101 Ruang Perawat 18/01/2022 L
54 Nebulizer 20071000148V Omron NE-C29 Ruang Perawat 18/01/2022 L
55 Sterilisator ST-POLI-02 Fortune - Poli Gigi 19/01/2022 L
56 Dental Unit 10229030047 Gnatus - Poli Gigi 19/01/2022 L

Cardiovit AT-
57 ECG 080.26767 Schiller Poli Penyakit Dalam 19/01/2022 L
101

58 Sphygmomanometer 180151410 One med - Poli Penyakit Dalam 19/01/2022 L

59 Stetoskop ST-PD-01 - - Poli Penyakit Dalam 19/01/2022 L

60 Blood pressure monitor 20201117222VG Omron HEM-8712 Poli Penyakit Dalam 19/01/2022 L

61 USG 26757636 GE Voluson V6 Poli kandungan 19/01/2022 L

62 Timbangan dewasa TB-POLI-01 SMIC ZT-120 Poli kandungan 19/01/2022 L

63 Sterilisator ST-POLI-01 Fortune - Poli kandungan 19/01/2022 L

64 Tempat Tidur Eyoaecdogy 1004 Boroad GKB-CM30 Poli kandungan 19/01/2022 L

65 Sterilisator ST-POLI-03 Fortune - Poli Bedah 19/01/2022 L

66 Pulse Oximeter PO-LT2-01 Family DR - Perawatan LT-2 19/01/2022 L

67 Nebulizer 2014206762VF Omron NE-C28 Perawatan LT-2 19/01/2022 L

68 Blood pressure monitor 20191013643VG Omron HEM-8712 Perawatan LT-2 19/01/2022 L

69 Thermometer TG-02 - - Dapur 19/01/2022 L

70 Thermometer TG-03 - - Dapur 19/01/2022 L

Pekerjaan diatas adalah benar telah dilakukan oleh Petugas Pelaksana PT GLOBAL QUALITY INDONESIA, dan
telah disetujui oleh Petugas dari Sarpelkes di atas.

Mengetahui, Tim MFK, Petugas PT GQI BANDUNG,