DAFTAR INVENTARIS MEDIS RSAB SUDIRMAN 2022

B KB R THN PEROLEHAN QTY KONDISI NO NAMA BARANG MERK/TYPE BARANG GAMBAR SERIAL NUMBER RUANGAN KATEGORI PERALATAN MEDIS KET TGL KALIBRASI TYPE 31 SUCTION WALL KEMOTERAPI KOMATSU AV-5 31684 2019 23/09/2022 1 HIGH RISK LAIK PAKAI 32 TENSIMETER DIGITAL KEMOTERAPI OMRON HEM 7130 20181114939VG 2019 30/01/2023 1 MEDIUM RISK LAIK PAKAI 33 TENSIMETER STANDING KEMOTERAPI RIESTER BIGBEN ROUND 161242369 2019 23/09/2022 1 MEDIUM RISK LAIK PAKAI 34 TENSIMETER STANDING KEMOTERAPI RIESTER BIGBEN ROUND 161242370 2020 01/10/2022 1 MEDIUM RISK LAIK PAKAI 35 TENSIMETER MANUAL KEMOTERAPI RIESTER CE0124 160520958 2019 30/01/2023 1 MEDIUM RISK LAIK PAKAI 36 TIANG INFUS KEMOTERAPI LOCAL STAINLESS TI. KEMO01-07 2019/2023 N/A 5/2 LOW RISK LAIK PAKAI 37 TIMBANGAN DIGITAL KEMOTERAPI CAMRY EB9003 TD,KEMO01 2020 24/06/2023 1 LOW RISK LAIK PAKAI 38 TROLLEY INSTRUMEN 2 TINGKAT KEMOTERAPI LOCAL STAINLESS TF. KEMO01 2019 N/A 1 LOW RISK LAIK PAKAI 39 TROLLEY 3 TINGKAT KEMOTERAPI LOCAL STAINLESS T. KEMO01 2019 N/A 1 LOW RISK LAIK PAKAI 40 TROLLEY EMERGENCY KEMOTERAPI PARAMOUNT KY40QR 0S0098000010 2022 N/A 1 LOW RISK LAIK PAKAI 41 TROLLEY EMR KEMOTERAPI PARAMOUNT P712D 900602900001 2022 N/A 1 LOW RISK LAIK PAKAI 42 TROLLEY INSTRUMEN 2 RAK KEMOTERAPI LOCAL STAINLESS TINS,KEMO01 2019 N/A 1 LOW RISK LAIK PAKAI

LABORATORIUM 1 13

B KB R 1 AGGRAM RUANG HEMATOLOGY URINE HELENA HELENA 631033301 2014 N/A 1 LOW RISK LAIK PAKAI 2 ALAT KX21 MICRO BASAH SYSMEX SYSMEX B71260 2020 N/A 1 MEDIUM RISK LAIK PAKAI 3 ALAT PCR PCR QUANTSTUDIO QSTUDIO5 272511772 2020 N/A 1 MEDIUM RISK LAIK PAKAI 4 ALAT TRIAGE RUANG KIMIA IMUN QUIDEL I-STAT 84591 2018 N/A 1 LOW RISK LAIK PAKAI 5 AUTOCLAVE MICRO BASAH HIRAYAMA HVE-80 30620010751 2020 15/10/2023 1 HIGH RISK LAIK PAKAI 6 AUTOCLAVE MICRO BASAH HIRAYAMA HVA110 31920051973 2020 15/10/2023 1 HIGH RISK LAIK PAKAI 7 AUTOMED URINE SEDIMENT ANALYER RUANG HEMATOLOGY URINE LABUMAT 2 UPA99013 UPA08000308 2019 N/A 1 LOW RISK LAIK PAKAI 8 AUTOMED URINE SEDIMENT ANALYER RUANG HEMATOLOGY URINE URISED 3 PRO URP9906 URP06000081 2018 N/A 1 LOW RISK LAIK PAKAI 9 BACT 60 D MICRO KERING BIOMERUEX 60D 1281353154 2018 N/A 1 MEDIUM RISK LAIK PAKAI 10 BED PERIKSA PHLEBOTOMY PARAMOUNT BED KA-8260E 36026200008 2018 N/A 1 LOW RISK LAIK PAKAI 11 BIOGEAR LABOR PA RETRIEVAL GENERATION RG1 B618-1202-A5 2019 N/A 1 LOW RISK LAIK PAKAI 12 BIOSAFETY CABINET MICRO BASAH ESCO SC2 BSC.LAB01 2011 N/A 1 MEDIUM RISK LAIK PAKAI 13 BIOSAFETY CABINET MICRO KERING ESCO SC24SI 2020156651 2020 N/A 1 MEDIUM RISK LAIK PAKAI RUANGAN : LABORATORIUM DAFTAR INVENTARIS ALAT MEDIS RUMAH SAKIT AWAL BROS PEKANBARU NO NAMA BARANG MERK TYPE SERIAL NUMBER GAMBAR TAHUN PEROLEHAN QTY KONDISI RUANGAN BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS KET

B KB R NO NAMA BARANG MERK TYPE SERIAL NUMBER GAMBAR TAHUN PEROLEHAN QTY KONDISI RUANGAN BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 14 BLOOD BANK REFRIGERATOR BDRS GEA BXY-200 0073AB 2018 30/09/2022 1 LOW RISK LAIK PAKAI 15 BLOOD BANK REFRIGERATOR BDRS HEIMER HORIZONE SERIES 2093441 2018 30/09/2022 1 LOW RISK LAIK PAKAI 16 BLOOD BANK REFRIGERATOR LABOR GEA EXPO26FC LC07A 2018 30/01/2023 1 LOW RISK LAIK PAKAI 17 BLOOD BANK REFRIGERATOR LABOR GEA EXPO26FC LE2PJ 2018 30/01/2023 1 LOW RISK LAIK PAKAI 18 BSC PCR ESCO CLASSIC II BSC BSC769 2020 N/A 1 MEDIUM RISK LAIK PAKAI 19 CENTRIFUGE LABOR EPPENDORF 5702 5702LH157140 2022 30/01/2023 1 LOW RISK LAIK PAKAI 20 CENTRIFUGE LABOR PA EPPENDORF 5702 5702LH057148 2022 30/01/2023 2 LOW RISK LAIK PAKAI 21 CENTRIFUGE PCR EPPENDORF 5430R 5428JJ230649 2018 01/10/2022 1 LOW RISK LAIK PAKAI 22 CENTRIFUGE PCR ESCO MCR 888M22RMB8 149797/1041800046 2020 30/01/2023 1 LOW RISK LAIK PAKAI 23 CENTRIFUGE BDRS THERMO SCIENTIFIC MEDIFUGE 41958935 2018 30/09/22022 1 LOW RISK LAIK PAKAI 24 CENTRIFUGE BDRS DIAMED ID CENTRIFUGE 122SII 1002555 2018 30/01/2023 1 LOW RISK LAIK PAKAI 25 CENTRIFUGE BDRS EPPENDORF 5702 570211348650 2020 30/01/2023 1 LOW RISK LAIK PAKAI 26 CENTRIFUGE RUANG HEMATOLOGY URINE THERMO SCIENTIFIK LABOFUGE 411240224 2018 30/09/2022 1 LOW RISK LAIK PAKAI 27 CENTRIFUGE RUANG KIMIA IMUN EPPENDORF CENTRIFUGE 5702 570211348650 2020 30/01/2023 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG MERK TYPE SERIAL NUMBER GAMBAR TAHUN PEROLEHAN QTY KONDISI RUANGAN BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 28 CENTRIFUGE RUANG KIMIA IMUN EPPENDORF CENTRIFUGE 5702 570211748651 2020 30/09/2022 1 LOW RISK LAIK PAKAI 29 CENTRIFUGE LABORATORIUM NUVE NUVE200 0415985 09/11/2023 ALAT BARU 1 LOW RISK LAIK PAKAI 30 CHEMBER LABOR PA BIOGEAR BGRG0118 BG18-1202-015 2014 N/A 1 LOW RISK LAIK PAKAI 31 COBAS H 232 RUANG KIMIA IMUN ROCHE H232 KQ0303397 2020 N/A 1 MEDIUM RISK LAIK PAKAI 32 COBAS H 232 RUANG KIMIA IMUN ROCHE H233 KQ0309818 2020 N/A 1 MEDIUM RISK LAIK PAKAI 33 COBAS H 233 RUANG KIMIA IMUN ROCHE H234 KQ0309817 2021 N/A 1 MEDIUM RISK LAIK PAKAI 34 COAGULAN ANALYZER RUANG HEMATOLOGY URINE SYSMEX CA620 23430 2018 N/A 1 LOW RISK LAIK PAKAI 35 COAGULAN ANALYZER RUANG HEMATOLOGY URINE SYSMEX XN 1000 42939 2022 30/01/2023 1 LOW RISK LAIK PAKAI 36 COAGULAN ANALYZER RUANG HEMATOLOGY URINE SYSMEX CA104 C2540193 2014 N/A 1 LOW RISK LAIK PAKAI 37 COBAS INTEGRA 400 PLUS RUANG KIMIA IMUN ROCHE 400 PLUS 421504 2021 N/A 1 MEDIUM RISK LAIK PAKAI 38 COBAS 6000 E601 RUANG KIMIA IMUN ROCHE E 601 32J703 2020 N/A 1 MEDIUM RISK LAIK PAKAI 39 COBAS 6000 C501 RUANG KIMIA IMUN ROCHE C 501 20K602 2020 N/A 1 MEDIUM RISK LAIK PAKAI 40 DIFFPOUNT (CELL COUNTER) RUANG HEMATOLOGY URINE LOCAL DIFFPOUNT D.LAB01 2015 N/A 1 LOW RISK LAIK PAKAI 41 DNA/RNA UV -CLEANER BOX PCR BIOSAN UNCT/AR DNA.LAB01 2020 N/A 1 LOW RISK LAIK PAKAI 42 ELEKTROLYT ANALYZER RUANG KIMIA IMUN ROCHE AVL 9180 29027 2020 N/A 1 MEDIUM RISK LAIK PAKAI

B KB R NO NAMA BARANG MERK TYPE SERIAL NUMBER GAMBAR TAHUN PEROLEHAN QTY KONDISI RUANGAN BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 43 EMBEDING LABOR PA LEICA EG1150H 11564 2012 30/01/2023 1 LOW RISK LAIK PAKAI 44 EMBEDING CABINET LABOR PA BIOZATIC BIOZATIC EC.LABPA01-03 07/2023 N/A 3 LOW RISK LAIK PAKAI 45 FREEZER MICRO BASAH HAIERE DW86L338J BE0H87EIT000GK9B0003 2018 04/10/2022 1 LOW RISK LAIK PAKAI 46 GEM PRIMER 3500 RUANG KIMIA IMUN INSTRUMEN LABORATORY GEM PRIMER 3500 19081590 2015 N/A 1 MEDIUM RISK LAIK PAKAI 47 GEN EXPERT RUANG KIMIA CEPCHEID GX-II 110001717 2022 N/A 1 MEDIUM RISK LAIK PAKAI 48 GEN EXPERT LABOR MEDQUEST GXIIR2 110001717 2022 N/A 1 LOW RISK LAIK PAKAI 49 GENOSE BANDARA SSK GENOSE C19 C19 G.LAB01-02 2021 N/A 2 LOW RISK LAIK PAKAI 50 GENOSE BANDARA SSK GENOSE C20 C19 B1NEY0033.057 2021 N/A 2 LOW RISK LAIK PAKAI 51 GENOSE BANDARA SSK GENOSE C21 C19 G.LAB03-04 2021 N/A 1 LOW RISK LAIK PAKAI 52 HEMATOLOGI ANALZYER RUANG HEMATOLOGY URINE SYSMEX XN1000 42939 2018 N/A 1 MEDIUM RISK LAIK PAKAI 53 HEMATOLOGI ANALZYER MICRO BASAH SYSMEX KX-21 B7126 2018 N/A 1 MEDIUM RISK LAIK PAKAI 54 HISTOCORE MULTICUT LABOR PA LEICA CM 1860 00699 2021 30/01/2023 1 MEDIUM RISK LAIK PAKAI 55 I-STAT RUANG HEMATOLOGY/KIM IA I-STAT MN-3006 21412383 2022 N/A 1 MEIDUM LAIK PAKAI 56 INCUBATORY LABORATORY MICRO BASAH MEMMERT UNB400 C4051714 2014 30/09/2022 1 HIGH RISK LAIK PAKAI

B KB R NO NAMA BARANG MERK TYPE SERIAL NUMBER GAMBAR TAHUN PEROLEHAN QTY KONDISI RUANGAN BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 57 INCUBATORY LABORATORY MICRO BASAH MAMMERT UNB400 B4970986 2014 01/10/2022 1 HIGH RISK LAIK PAKAI 58 INCUBATORY LABORATORY LABOR PA MEMMERT UNB200 E209266 2014 30/01/2023 1 HIGH RISK LAIK PAKAI 59 INCUBATORY 37 BDRS DIAMED ID ID-INCUBATOR 37S 1000360 2020 30/09/2022 1 HIGH RISK LAIK PAKAI 60 LC 2 PCR ROCHE LC96 15478 2020 N/A 1 MEDIUM RISK LAIK PAKAI 61 LC 3 PCR ROCHE LC96 15408 2020 N/A 1 MEDIUM RISK LAIK PAKAI 62 LEICA HISTOCORE PEARL 14049350667 LABOR PA LEICA CM 1860 0969 2021 30/01/2023 1 MEDIUM RISK LAIK PAKAI 63 LEICA CRYOSTAT W AGPROTECT N UV DENFECTAN LABOR PA LEICA CM 1860 5209 2021 30/01/2023 1 MEDIUM RISK LAIK PAKAI 64 MAGNA PURE PCR ROCHE MP96 R0013 2020 N/A 1 MEDIUM RISK LAIK PAKAI 65 MEDICAL REFRIGERATOR(UMUM) LABOR GEA EXPO800PH 904003 2018 30/09/2022 1 LOW RISK LAIK PAKAI 66 MEDICAL REFRIGERATOR(UMUM) LABOR GEA EXPO26FC L6267 2018 01/10/2022 1 LOW RISK LAIK PAKAI 67 MEDICAL REFRIGERATOR(UMUM) LABOR GEA GEA 104006 2018 01/10/2022 1 LOW RISK LAIK PAKAI 68 MEJA STAINLESS 2 TINGKAT RUANG HEMATOLOGY URINE LOCAL STAINLESS PL336637 2020 N/A 1 LOW RISK LAIK PAKAI 69 MICRO CENTRIFUGE PCR EPPENDORF 5430R 5428JJ830751 2020 N/A 1 LOW RISK LAIK PAKAI 70 MICRO CENTRIFUGE PCR EPPENDORF 5430R 5428JJ230649 2020 N/A 1 LOW RISK LAIK PAKAI 71 MICROPIPET 0,5-10 UL PCR EPPENDORF REASERCH PLUS M37335J 2020 04/10/2022 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG MERK TYPE SERIAL NUMBER GAMBAR TAHUN PEROLEHAN QTY KONDISI RUANGAN BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 72 MICROPIPET 200 UL PCR EPPENDORF UL 200 K535481 2020 03/10/2022 1 LOW RISK LAIK PAKAI 73 MICROPIPET 200 UL PCR EPPENDORF UL 200 K53221 2020 30/01/2023 1 LOW RISK LAIK PAKAI 74 MICOPIPET 1000 UL PCR EPPENDORF REASERCH PLUS R204551 2020 03/10/2022 1 LOW RISK LAIK PAKAI 75 MICROPIPET 2,5 UL PCR EPPENDORF REASERCH PLUS H122756 2020 30/01/2023 1 LOW RISK LAIK PAKAI 76 MICROPIPET 2,5 UL PCR EPPENDORF 1000 UL M13610J 2020 30/01/2023 1 LOW RISK LAIK PAKAI 77 MICROPIPET 1000 UL PCR EPPENDORF REASERCH PLUS M21522H 2020 03/10/2022 1 LOW RISK LAIK PAKAI 78 MICROPIPET 10 UL PCR EPPENDORF 10 UL Q53411H 2020 30/01/2023 1 LOW RISK LAIK PAKAI 79 MICROPIPET 1000 UL PCR EPPENDORF REASERCH PLUS R20465 2020 02/10/2022 1 LOW RISK LAIK PAKAI 80 MICROPIPET 2,5 UL PCR EPPENDORF 2,5 UL P400826 2020 30/01/2023 1 LOW RISK LAIK PAKAI 81 MICROPIPET 1000 UL PCR EPPENDORF REASERCH PLUS Q46063H 2020 02/10/2022 1 LOW RISK LAIK PAKAI 82 MICROPIPET 20 UL PCR EPPENDORF 20 UL P397666 2020 30/01/2023 1 LOW RISK LAIK PAKAI 83 MICROPIPET 0,5-10 UL PCR EPPENDORF 10 UL M374795 2020 30/01/2023 1 LOW RISK LAIK PAKAI 84 MICROPIPET 0,5-20 UL PCR EPPENDORF 20 UL P39576G 2020 30/01/2023 1 LOW RISK LAIK PAKAI 85 MICROPIPET 1000 UL PCR EPPENDORF REASERCH PLUS M136017 2020 02/10/2022 1 LOW RISK LAIK PAKAI 86 MICROPIPET 10-100 UL PCR EPPENDORF REASERCH PLUS G43223K 2020 04/10/2022 1 LOW RISK LAIK PAKAI 87 MICROPIPET 10-100 UL PCR EPPENDORF REASERCH PLUS G43264K 2020 30/01/2023 1 LOW RISK LAIK PAKAI 88 MICROPIPET 100UL BDRS ACURA 825 SOCOREX 26062190 2020 04/10/2022 1 LOW RISK LAIK PAKAI 89 MICROPIPET 100-1000 UL BDRS DUMO 100-1000 UL PL336637 2020 30/01/2023 1 LOW RISK LAIK PAKAI 90 MICROPIPET 50 UL BDRS DUMO 50 UL NE989605 2020 01/10/2022 1 LOW RISK LAIK PAKAI 91 MICROPIPET 5-50 UL BDRS DUMO 5-50 UL NE989045 2020 01/10/2022 1 LOW RISK LAIK PAKAI 92 MICROPIPET 5 UL BDRS DRAGON MED 5 UL DV07379 2020 30/01/2023 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG MERK TYPE SERIAL NUMBER GAMBAR TAHUN PEROLEHAN QTY KONDISI RUANGAN BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 93 MICROPIPET 5 UL BDRS EPPENDORF 5 UL N23454J 2020 30/01/2023 1 LOW RISK LAIK PAKAI 94 MICROPIPET 10 UL RUANG HEMATOLOGY URINE SOCOREX ACURA 815 26061394 2018 30/01/2023 1 LOW RISK LAIK PAKAI 95 MICROPIPET 1000 UL RUANG HEMATOLOGY URINE EPPENDORF REASERCH PLUS L10931L 2018 30/01/2023 1 LOW RISK LAIK PAKAI 96 MICROPIPET 5-50 UL RUANG HEMATOLOGY URINE DUMO 5-50 UL NE989045 2018 01/10/2022 1 LOW RISK LAIK PAKAI 97 MICROPIPET 50 UL LABOR DUMO 50 UL NE989605 2021 01/10/2022 1 LOW RISK LAIK PAKAI 98 MICROPIPET 10-100 UL LABOR EPPENDOY 10-100 UL PL327584 2021 30/01/2023 1 LOW RISK LAIK PAKAI 99 MICROPIPET 100 UL LABOR EPPENDOY 100UL NJ1041020 2021 30/01/2023 1 LOW RISK LAIK PAKAI 100 MICROPIPET 100-1000 UL LABOR DUMO 100-1000UL PL336619 2021 30/01/2023 1 LOW RISK LAIK PAKAI 101 MICROPIPET RUANG HEMATOLOGY URINE MACHIYO EX PLUS II K20516441 2018 30/01/2023 1 LOW RISK LAIK PAKAI 102 MICROPIPET RUANG KIMIA IMUN EPPENDORF REFERENCE P395766 2020 03/10/2022 1 LOW RISK LAIK PAKAI 103 MICROPIPET 1000 UL RUANG KIMIA IMUN EPPENDORF REFERENCE L43720K 2022 30/01/2023 1 LOW RISK LAIK PAKAI 104 MICROPIPET RUANG KIMIA IMUN EPPENDORF REFERENCE K535221 2020 03/10/2022 1 LOW RISK LAIK PAKAI 105 MICROPIPET 10 UL RUANG KIMIA IMUN EPPENDORF REFERENCE J30732J 2020 30/01/2023 1 LOW RISK LAIK PAKAI 106 MICROPIPET RUANG KIMIA IMUN EPPENDORF REFERENCE K535481 2020 03/10/2022 1 LOW RISK LAIK PAKAI 107 MICROPIPET 100 UL RUANG KIMIA IMUN EPPENDORF REFERENCE H44082K 2020 30/01/2023 1 LOW RISK LAIK PAKAI 108 MICROPIPET RUANG KIMIA IMUN EPPENDORF REFERENCE Q388296 2020 01/10/2022 1 LOW RISK LAIK PAKAI 109 MICROPIPET 100-1000 UL RUANG KIMIA IMUN EPPENDORF REFERENCE R204551 2020 03/10/2022 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG MERK TYPE SERIAL NUMBER GAMBAR TAHUN PEROLEHAN QTY KONDISI RUANGAN BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 110 MICROPIPET 100 UL RUANG KIMIA IMUN EPPENDORF 100UL P518286 2020 30/01/2023 1 LOW RISK LAIK PAKAI 111 MICROPIPET 100 UL RUANG KIMIA IMUN EPPENDORF 100UL H44176K 2020 30/01/2023 1 LOW RISK LAIK PAKAI 112 MICROPIPET 20 UL RUANG KIMIA IMUN FINPIPPETE 20UL DH36492 2020 30/01/2023 1 LOW RISK LAIK PAKAI 113 MICROPIPET 20 UL RUANG KIMIA IMUN EPPENDORF 20UL 630440J 2020 30/01/2023 1 LOW RISK LAIK PAKAI 114 MICROPIPET 20 UL RUANG KIMIA IMUN FINPIPPETE 20UL L2813 2020 01/10/2022 1 LOW RISK LAIK PAKAI 115 MICROPIPET 1000 UL RUANG KIMIA IMUN EPPENDORF 1000UL K149681 2020 30/01/2023 1 LOW RISK LAIK PAKAI 116 MICROPIPETE 0.5-10UL LABOR EPPENDORF RESEARCH PLUS M37479J 2021 30/01/2023 1 LOW RISK LAIK PAKAI 117 MICROPIPETE 0.5-10UL LABOR EPPENDORF RESEARCH PLUS M37335J 2021 04/10/2022 1 LOW RISK LAIK PAKAI 118 MICROPIPET 10-100 UL LABOR PA THERMO SCIENTIFIC FINNPIPTTE F3 EJ25844 2019 02/10/2022 1 LOW RISK LAIK PAKAI 119 MICROPIPET 1000 UL LABOR PA DUMO 1000 UL OC1121658 2019 30/01/2023 1 LOW RISK LAIK PAKAI 120 MICROPIPET 1000 UL LABOR PA DUMO 1000 UL P1336619 2019 02/10/2022 1 LOW RISK LAIK PAKAI 121 MICROPIPET 100 UL LABOR PA WATSON NEXTY 14151806 2019 02/10/2022 1 LOW RISK LAIK PAKAI 122 MICROPIPET LABOR SOCOREX ACURA 815 32012799 2023 1 LOW RISK LAIK PAKAI 123 MICROPIPET LABOR SOCOREX ACURA 815 31091163 2023 1 LOW RISK LAIK PAKAI 124 MICROPIPET LABOR SOCOREX ACURA 815 32033171 (5826168) 2023 1 LOW RISK LAIK PAKAI 125 MICROPIPET LABOR SOCOREX ACURA 815 31113053 2023 1 LOW RISK LAIK PAKAI 126 MICROPIPET LABOR SOCOREX ACURA 815 32033169 2023 1 LOW RISK LAIK PAKAI 127 MICROPIPET LABOR SOCOREX ACURA 815 33031044 2023 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG MERK TYPE SERIAL NUMBER GAMBAR TAHUN PEROLEHAN QTY KONDISI RUANGAN BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 128 MICROPLATE READER KIMIA RAYTO RT-6500 672501018IE 2023 N/A 1 LOW RISK LAIK PAKAI 129 MICROSCOPE BDRS OLYMPUS CH30 1J16093 2018 N/A 1 LOW RISK LAIK PAKAI 130 MICROSCOPE LABORATORIUM OLYMPUS CX21FS1 A4M90074 2018 30/01/2023 1 LOW RISK LAIK PAKAI 131 MICROSCOPE RUANG HEMATOLOGY URINE LEICA DM750 C740354988KN0073 2014 21/09/2022 1 LOW RISK LAIK PAKAI 132 MICROSCOPE RUANG DOKTER LEICA DM750 C7403415055X0002 2018 04/10/2022 1 LOW RISK LAIK PAKAI 133 MICROSCOPE RUANG DOKTER LEICA DM750 C740354988KN0071 2019 04/10/2022 1 LOW RISK LAIK PAKAI 134 MICROSCOPE RUANG DOKTER OLYMPUS OLYMPUS OMO2998 2019 N/A 1 LOW RISK LAIK PAKAI 135 MICROSCOPE RUANG KIMIA IMUN EUROSTAR III PLUS 33015 2022 N/A 1 LOW RISK LAIK PAKAI 136 MICROSCOPE BINOCULAR LABORATORIUM OLYMPUS CX23 3B81935 07/2023 N/A 1 LOW RISK LAIK PAKAI 137 MINI VIDAS MICRO BASAH BIOMERIEUX MINI VIDAS IVO5226616 2016 N/A 1 MEDIUM RISK LAIK PAKAI 138 PLASMA THAWING BDRS HELMER HELMER 2093985 2019 N/A 1 MEDIUM RISK LAIK PAKAI 139 PLETELET INCUBATOR BDRS HELMER HELMER 2055014 2019 N/A 1 MEDIUM RISK LAIK PAKAI

B KB R NO NAMA BARANG MERK TYPE SERIAL NUMBER GAMBAR TAHUN PEROLEHAN QTY KONDISI RUANGAN BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 140 POC ONE RUANG HEMATOLOGY/KIM IA POC ONE PC ONE 200143 2022 N/A 1 MEDIUM RISK LAIK PAKAI 141 POC ONE RUANG KIMIA IMUN POC ONE POC ONE 200143 2020 N/A 1 MEDIUM RISK LAIK PAKAI 142 POCKIT CENTRAL PCR POCKIT CENTRAL POCKIT CENTRAL PCHOO18 2020 N/A 1 LOW RISK LAIK PAKAI 143 PCR CABINET PCR ESCO ISOLID CABINET 151970 2020 N/A 1 MEDIUM RISK LAIK PAKAI 144 RAK SLIDE CABINET LABORATORIUM PRO HISTRO PRO HISTRO RSC.01-05 08/2023 N/A 5 LOW RISK LAIK PAKAI 145 REASERCH PLUS ADJ8 10-100UL LABOR EPPENDORF RESEARCH PLUS 643264K 2021 30/01/2023 1 LOW RISK LAIK PAKAI 146 REASERCH PLUS ADJ8 10-100UL LABOR EPPENDORF RESEARCH PLUS 643223K 2021 N/A 1 LOW RISK LAIK PAKAI 147 ROLLER 20LC RUANG HEMATOLOGY URINE ROLLER 20LC 842 2018 N/A 1 MEDIUM RISK LAIK PAKAI 148 ROLLER MIXER RUANG HEMATOLOGY URINE WAP LAB WP-60R VF215A60032703 2022 30/01/2023 1 LOW RISK LAIK PAKAI 149 ROLLER MIXER RUANG HEMATOLOGY/KIM IA WP60R WP60R VF21SA6003279 2022 30/01/2023 2 LOW RISK LAIK PAKAI 150 ROLLER MIXER RUANG KIMIA IMUN WAP LAB WP 60 VF229AM0000775 2022 30/01/2023 1 LOW RISK LAIK PAKAI 151 ROLLER MIXER RUANG KIMIA IMUN WAP LAB WP 60R VF229AM0000766 2022 30/01/2023 1 LOW RISK LAIK PAKAI 152 ROTATOR RUANG HEMATOLOGY URINE GEMMY VRM200 220629 2015 30/01/2023 1 LOW RISK LAIK PAKAI 153 STAGO HEMATOLOGI STAGO STA COMPACT MAX3 0000008109 2023 N/A 1 MEDIUM RISK LAIK PAKAI

B KB R NO NAMA BARANG MERK TYPE SERIAL NUMBER GAMBAR TAHUN PEROLEHAN QTY KONDISI RUANGAN BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 154 SLIDE CABINET WITH LOCK J-E1-2 LABOR PA BIOGEN BIOGEN SC.LABPA01 2021 N/A 1 LOW RISK LAIK PAKAI 155 SLIDE BLOK CABINET LABOR PA PRO HISTRO PRO HISTRO CF.LABPA01 2022 N/A 8 LOW RISK LAIK PAKAI 156 TROLLEY EMR PHLEBOTOMY PARAMOUNT BED PY723D0018K 901008900006 - N/A 1 LOW RISK LAIK PAKAI 157 TROLLEY PRINTER LABORATORIUM LOCAL STAINLESS - - N/A 1 LOW RISK LAIK PAKAI 158 TUBE SEALER BDRS TERUMO PENPOL XS1010 20170224097 2018 N/A 1 LOW RISK LAIK PAKAI 159 VORTEX MIXER PCR THERMO SCIENTIFIX 88882010 JBCT82010294 2018 N/A 1 LOW RISK LAIK PAKAI 160 VITEKS 2-COMPACT MICRO KERING BIOMERUEX 2 COMPACT VK241245 2018 N/A 1 MEDIUM RISK LAIK PAKAI 161 VORTEX MIXER MICRO KERING THERMO SCIENTIFIK 88882010 K3CT82010333 2018 30/01/2023 1 LOW RISK LAIK PAKAI 162 VORTEX MIXER PCR THERMO SCIENTIFIK CBR8200294 K3CT82010359 2018 03/10/2022 1 LOW RISK LAIK PAKAI 163 VIDAS 3 RUANG KIMIA IMUN BIOMEURIEUK VIDAS 3 VN05638 2019 N/A 1 MEDIUM RISK LAIK PAKAI 164 WATER BATH LABOR PA LEICA LEICA HP.LAB01 2014 N/A 1 LOW RISK LAIK PAKAI

26 ARCHIT ECT I1000 SR MICRO KERING ABBOT I1000SR IISR0750 2020 - 1 LOW RISKLAIK PAKAI 38 BLOOD WARME R RUANG HEMAT OLOGY URINE AP LAB WP60R AB02 2018 - 1 LOW RISKLAIK PAKAI 64 ELEKT ROLYT ANALYZ ER RUANG KIMIA IMUN ROCE AVL NOVA 5 CRT 29024 2015 - 1 LOW RISKLAIK PAKAI 65 NOVA 5 CRT RUANG KIMIA IMUN NOVA BIOME DICAL METER PRO NO5117050 2015 - 1 LOW RISKLAIK PAKAI YANG DIHILANGKAN DARI DAFTAR INVENTARIS MEDIS LABORATORIUM 2022

LILY 14

B KB R 1 AMBU BAG DEWASA NURSE STATION AMBU SILICON AD.LIY01 2022 N/A 1 MEDIUM RISK LAIK PAKAI 2 AMBU BAG ANAK NURSE STATION AMBU SILICON AA.LIY01 2014 N/A 1 MEDIUM RISK LAIK PAKAI 3 BED ENGKOL 2 501 PARAMOUNT BED PA1210 900212100001 2020 N/A 1 LOW RISK LAIK PAKAI 4 BED PATIENT ELEKTRIK 501 HOPEFULL B968Y 09110501010 2020 N/A 1 LOW RISK LAIK PAKAI 5 BED PATIENT ELEKTRIK 502 PARAMOUNT BED PA6325 901209500107 2020 N/A 1 LOW RISK LAIK PAKAI 6 BED PATIENT ELEKTRIK 502 PARAMOUNT BED PA6325 900708400002 2020 N/A 1 LOW RISK LAIK PAKAI 7 BED PATIENT ELEKTRIK 503 PARAMOUNT BED PA6325 901114800010 2020 N/A 1 LOW RISK LAIK PAKAI 8 BED ENGKOL 3 505 PARAMOUNT BED PA5231 900102100011 2020 N/A 1 LOW RISK LAIK PAKAI 9 BED PATIENT ELEKTRIK 505 PARAMOUNT BED PA6325 900708400012 2020 N/A 1 LOW RISK LAIK PAKAI 10 BED PATIENT ELEKTRIK 506 PARAMOUNT BED PA6325 901111600012 2020 N/A 1 LOW RISK LAIK PAKAI 11 BED PATIENT ELEKTRIK 507 PARAMOUNT BED PA6325 900610900023 2020 N/A 1 LOW RISK LAIK PAKAI 12 BED PATIENT ELEKTRIK 507 PARAMOUNT BED PA6325 901114800015 2020 N/A 1 LOW RISK LAIK PAKAI 13 BED PATIENT ELEKTRIK 508 PARAMOUNT BED PA6325 901114800018 2020 N/A 1 LOW RISK LAIK PAKAI 14 BED PATIENT ELEKTRIK 509 PARAMOUNT BED PA6325 900204100037 2020 N/A 1 LOW RISK LAIK PAKAI 15 BED PATIENT ELEKTRIK 509 HOPEFULL PA6325 10020809091 2020 N/A 1 LOW RISK LAIK PAKAI 16 BED PATIENT ELEKTRIK 509 PARAMOUNT BED B768Y 900102100014 2020 N/A 1 LOW RISK LAIK PAKAI 17 BED PATIENT ELEKTRIK 510 PARAMOUNT BED PA5231 900208200008 2020 N/A 1 LOW RISK LAIK PAKAI DAFTAR INVENTARIS ALAT MEDIS RUMAH SAKIT AWAL BROS PEKANBARU NO NAMA BARANG RUANGAN MERK/TYPE SERIAL NUMBER THN PEROLEHAN TGL KALIBRASI QTY KONDISI BARANG KATEGORI PERALATAN MEDIS KET GAMBAR RUANGAN : LILY TYPE

B KB R NO NAMA BARANG RUANGAN MERK/TYPE SERIAL NUMBER THN PEROLEHAN TGL KALIBRASI QTY KONDISI BARANG KATEGORI PERALATAN MEDIS TYPE KET GAMBAR 18 BED PATIENT ELEKTRIK 511 PARAMOUNT BED PA5231 900102100013 2020 N/A 1 LOW RISK LAIK PAKAI 19 BED ENGKOL 3 511 PARAMOUNT BED PA5231 900301200014 2020 N/A 1 LOW RISK LAIK PAKAI 20 BED PATIENT ELEKTRIK 512 HOPEFULL B768Y 10030809032 2020 N/A 1 LOW RISK LAIK PAKAI 21 BED PATIENT ELEKTRIK 512 PARAMOUNT BED PA6325 901111600025 2020 N/A 1 LOW RISK LAIK PAKAI 22 BED PATIENT ELEKTRIK 515 PARAMOUNT BED PA6325 900207000007 2020 N/A 1 LOW RISK LAIK PAKAI 23 BED PATIENT ELEKTRIK 515 PARAMOUNT BED PA5231 900301200019 2020 N/A 1 LOW RISK LAIK PAKAI 24 BED PATIENT ELEKTRIK 516 PARAMOUNT BED PA6325 901111600009 2020 N/A 1 LOW RISK LAIK PAKAI 25 BED PATIENT ELEKTRIK 516 PARAMOUNT BED PA6325 901114800013 2020 N/A 1 LOW RISK LAIK PAKAI 26 BED PATIENT ELEKTRIK 517 PARAMOUNT BED PA6325 900708400008 2020 N/A 1 LOW RISK LAIK PAKAI 27 BED ENGKOL 3 518 PARAMOUNT BED PA5231 900301200016 2020 N/A 1 LOW RISK LAIK PAKAI 28 BED PATIENT ELEKTRIK 518 PARAMOUNT BED PA6325 901111600022 2020 N/A 1 LOW RISK LAIK PAKAI 29 BED PATIENT ELEKTRIK 519 HOPEFULL B768Y 10030809026 2020 N/A 1 LOW RISK LAIK PAKAI 30 BED PATIENT ELEKTRIK 520 PARAMOUNT BED PA6325 901111600020 2020 N/A 1 LOW RISK LAIK PAKAI 31 BED ENGKOL 3 521 PARAMOUNT BED - - - N/A 1 LOW RISK LAIK PAKAI 32 BED PATIENT ELEKTRIK 521 PARAMOUNT BED PA6325 901111600031 2020 N/A 1 LOW RISK LAIK PAKAI 33 BED ENGKOL 3 522 PARAMOUNT BED PA1210 900111000004 2020 N/A 1 LOW RISK LAIK PAKAI 34 BED PATIENT ELEKTRIK 522 HOPEFULL B768Y 09110501007 2020 N/A 1 LOW RISK LAIK PAKAI 35 BEDSIDE KABINET 501 PARAMOUNT BED PF1201 901212500044 2020 N/A 1 LOW RISK LAIK PAKAI 36 BEDSIDE KABINET 501 PARAMOUNT BED PF1201 BS,LIY06 2020 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK/TYPE SERIAL NUMBER THN PEROLEHAN TGL KALIBRASI QTY KONDISI BARANG KATEGORI PERALATAN MEDIS TYPE KET GAMBAR 37 BEDSIDE KABINET 502 PARAMOUNT BED PF1202A 901200500329 2020 N/A 1 LOW RISK LAIK PAKAI 38 BEDSIDE KABINET 502 PARAMOUNT BED PF1201 900310200037 2020 N/A 1 LOW RISK LAIK PAKAI 39 BEDSIDE KABINET 503 PARAMOUNT BED PF1202A 911200300304 2020 N/A 1 LOW RISK LAIK PAKAI 40 BEDSIDE KABINET 505 PARAMOUNT BED PF1202A 911200300302 2020 N/A 1 LOW RISK LAIK PAKAI 41 BEDSIDE KABINET 505 HOPEFULL HOPEFULL BSC,LIY07 2020 N/A 1 LOW RISK LAIK PAKAI 42 BEDSIDE KABINET 506 PARAMOUNT BED PF1201 900310100018 2020 N/A 1 LOW RISK LAIK PAKAI 43 BEDSIDE KABINET 507 PARAMOUNT BED PF1202A 911200200235 2020 N/A 1 LOW RISK LAIK PAKAI 44 BEDSIDE KABINET 507 PARAMOUNT BED PF1202A 911200300293 2020 N/A 1 LOW RISK LAIK PAKAI 45 BEDSIDE KABINET 508 PARAMOUNT BED PF1202A 910901100390 2020 N/A 1 LOW RISK LAIK PAKAI 46 BEDSIDE KABINET 509 HOPEFULL HOPEFULL BSC,LIY08 2020 N/A 1 LOW RISK LAIK PAKAI 47 BEDSIDE KABINET 510 PARAMOUNT BED PF1202A 910400300102 2020 N/A 1 LOW RISK LAIK PAKAI 48 BEDSIDE KABINET 510 PARAMOUNT BED PF1202A 911200300294 2020 N/A 1 LOW RISK LAIK PAKAI 49 BEDSIDE KABINET 511 PARAMOUNT BED PF1201 900310100023 2020 N/A 1 LOW RISK LAIK PAKAI 50 BEDSIDE KABINET 511 PARAMOUNT BED PF1201 BSC,LIY01 2020 N/A 1 LOW RISK LAIK PAKAI 51 BEDSIDE KABINET 512 HOPEFULL HOPEFULL BSC,LIY02 2020 N/A 1 LOW RISK LAIK PAKAI 52 BEDSIDE KABINET 512 PARAMOUNT BED PF1202A 901200500327 2020 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK/TYPE SERIAL NUMBER THN PEROLEHAN TGL KALIBRASI QTY KONDISI BARANG KATEGORI PERALATAN MEDIS TYPE KET GAMBAR 53 BEDSIDE KABINET 515 PARAMOUNT BED PF1202A 910700400058 2020 N/A 1 LOW RISK LAIK PAKAI 54 BEDSIDE KABINET 515 PARAMOUNT BED PF1202A BSC,LIY03 2020 N/A 1 LOW RISK LAIK PAKAI 55 BEDSIDE KABINET 516 PARAMOUNT BED PF1202A 911200300307 2020 N/A 1 LOW RISK LAIK PAKAI 56 BEDSIDE KABINET 516 PARAMOUNT BED PF1202A 911200300290 2020 N/A 1 LOW RISK LAIK PAKAI 57 BEDSIDE KABINET 517 PARAMOUNT BED PF1202A 901200500309 2020 N/A 1 LOW RISK LAIK PAKAI 58 BEDSIDE KABINET 517 PARAMOUNT BED PF1201 900310100040 2020 N/A 1 LOW RISK LAIK PAKAI 59 BEDSIDE KABINET 518 PARAMOUNT BED PF1201 900310100021 2020 N/A 1 LOW RISK LAIK PAKAI 60 BEDSIDE KABINET 518 PARAMOUNT BED PF1202A 911200300305 2020 N/A 1 LOW RISK LAIK PAKAI 61 BEDSIDE KABINET 519 PARAMOUNT BED PF1202A 901200500314 2020 N/A 1 LOW RISK LAIK PAKAI 62 BEDSIDE KABINET 519 HOPEFULL HOPEFULL BSC,LIY04 2020 N/A 1 LOW RISK LAIK PAKAI 63 BEDSIDE KABINET 520 PARAMOUNT BED PF1202A 901200500377 2020 N/A 1 LOW RISK LAIK PAKAI 64 BEDSIDE KABINET 521 PARAMOUNT BED PF1201 900610000011 2020 N/A 1 LOW RISK LAIK PAKAI 65 BEDSIDE KABINET 521 PARAMOUNT BED PF1201 900310100033 2020 N/A 1 LOW RISK LAIK PAKAI 66 BEDSIDE KABINET 522 PARAMOUNT BED PF1200 900109200020 2020 N/A 1 LOW RISK LAIK PAKAI 67 BEDSIDE KABINET 522 PARAMOUNT BED PF1202A 901200500371 2020 N/A 1 LOW RISK LAIK PAKAI 68 BEDSIDE KABINET RUANG STRETCHER PARAMOUNT BED PF1202A 901200500320 2020 N/A 1 LOW RISK LAIK PAKAI 69 BEDSIDE KABINET RUANG STRETCHER PARAMOUNT BED PF1201 900310200032 2020 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK/TYPE SERIAL NUMBER THN PEROLEHAN TGL KALIBRASI QTY KONDISI BARANG KATEGORI PERALATAN MEDIS TYPE KET GAMBAR 70 COMMODE CHAIR NURSE STATION GEA GEA CC.LIY01 2023 N/A 1 LOW RISK LAIK PAKAI 71 DEFIBRILATOR NURSE STATION PHILIPS /HEARTSTAR T XL US110409944 2020 30/01/2023 1 HIGH RISK LAIK PAKAI 72 DRESSING TROLLY RUANG ALAT DAN OBAT MAK STAINLESS 1306000014 2018 N/A 1 LOW RISK LAIK PAKAI 73 DRESSING TROLLY RUANG ALAT DAN OBAT MAK STAINLESS 1306000014 2018 N/A 1 LOW RISK LAIK PAKAI 74 EKG 3 CHANNEL RUANG ALAT DAN OBAT PHILIPS TC10 CN72222634 2022 21/09/2022 1 MEDIUM RISK LAIK PAKAI 75 EMERGENCY TROLLY RUANG ALAT DAN OBAT PARAMOUNT BED KY40QR 0S0033600030 2022 N/A 1 LOW RISK LAIK PAKAI 76 GLUCOMETER LILY TERUMO MEDISAFE 1409320722 2022 N/A 1 LOW RISK LAIK PAKAI 77 GLUCOMETER LILY TERUMO MEDISAFE 1409320731 2022 N/A 1 LOW RISK LAIK PAKAI 78 INFUS PUMP RUANG ALAT DAN OBAT TERUMO TE112 1001000238 2010 21/09/2022 1 MEDIIUM RISK LAIK PAKAI 79 INFUS PUMP RUANG ALAT DAN OBAT TERUMO TELF600 1701010083 2017 30/01/2023 1 MEDIUM RISK LAIK PAKAI 80 INFUS PUMP RUANG ALAT DAN OBAT TERUMO TELF600 1701010055 2017 21/09/2022 1 MEDIUM RISK LAIK PAKAI 81 INFUS PUMP RUANG ALAT DAN OBAT TERUMO TELF630 2007010232 2007 30/01/2023 1 MEDIUM RISK LAIK PAKAI 82 INFUS PUMP RUANG ALAT DAN OBAT TERUMO TELF630 2009010155 2009 20/09/2022 1 MEDIUM RISK LAIK PAKAI 83 INFUS PUMP RUANG ALAT DAN OBAT TERUMO TELF630 2007010231 2007 26/01/2023 1 MEDIUM RISK LAIK PAKAI 84 KIDNEY BASIN RUANG ALAT DAN OBAT LOCAL STAINLESS KB.LIY 2014 N/A 2 LOW RISK LAIK PAKAI 85 KURSI RODA NURSE STATION SELLACO SELLACO KR.LIY01-02 2021 N/A 2 LOW RISK LAIK PAKAI 86 KURSI RODA NURSE STATION SHIMMA SHIMMA 11344000310050 2020 N/A 1 LOW RISK LAIK PAKAI 87 LARYOSCOPE ANAK NURSE STATION RIESTER BIGBEN ROUND LARA.LIY01 2014 N/A 1 MEDIUM RISK LAIK PAKAI 88 LARYOSCOPE DEWASA NURSE STATION RIESTER BIGBEN ROUND LARD.LIY01 2014 N/A 1 MEDIUM RISK LAIK PAKAI 89 LINEN HAMPER PANTRY LOCAL STAINLESS LH.LIY01 2014 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK/TYPE SERIAL NUMBER THN PEROLEHAN TGL KALIBRASI QTY KONDISI BARANG KATEGORI PERALATAN MEDIS TYPE KET GAMBAR 90 MEDICINE TROLLY RUANG ALAT DAN OBAT ACARE AKRILIK MT.LIY01 2014 N/A 1 LOW RISK LAIK PAKAI 91 MATRAS DEKUBITUS RUANG ALAT DAN OBAT PARAMOUNT BED KEGSIE C890025577 2014 N/A 1 LOW RISK LAIK PAKAI 92 MATRAS DEKUBITUS RUANG ALAT DAN OBAT ONEMED ONEMED M,D 2014 N/A 1 LOW RISK LAIK PAKAI 93 NEBULIZER RUANG ALAT DAN OBAT OMRON NEC29 20150400430UF 2015 26/01/2023 1 MEDIUM RISK LAIK PAKAI 94 NEBULIZER RUANG ALAT DAN OBAT OMRON NEC28 20221118498UF 2023 30/01/2023 1 MEDIUM RISK LAIK PAKAI 95 OVERBED TABLE 501 PARAMOUNT BED PF3100 901109800121 2018 N/A 1 LOW RISK LAIK PAKAI 96 OVERBED TABLE 501 PARAMOUNT BED PF3100 900805900273 2018 N/A 1 LOW RISK LAIK PAKAI 97 OVERBED TABLE 502 PARAMOUNT BED PF3100 900911200044 2018 N/A 1 LOW RISK LAIK PAKAI 98 OVERBED TABLE 502 PARAMOUNT BED PF3100 900911200030 2018 N/A 1 LOW RISK LAIK PAKAI 99 OVERBED TABLE 503 PARAMOUNT BED M01 901206900082 2018 N/A 1 LOW RISK LAIK PAKAI 100 OVERBED TABLE 505 PARAMOUNT BED KF282 900107800108 2018 N/A 1 LOW RISK LAIK PAKAI 101 OVERBED TABLE 505 PARAMOUNT BED PF3100 901206900087 2018 N/A 1 LOW RISK LAIK PAKAI 102 OVERBED TABLE 506 PARAMOUNT BED KF282 900506400200 2018 N/A 1 LOW RISK LAIK PAKAI 103 OVERBED TABLE 507 HOPEFULL M01 10030809196 2018 N/A 1 LOW RISK LAIK PAKAI 104 OVERBED TABLE 507 PARAMOUNT BED PF3100 901109800127 2018 N/A 1 LOW RISK LAIK PAKAI 105 OVERBED TABLE 508 PARAMOUNT BED PF3100 901206900079 2018 N/A 1 LOW RISK LAIK PAKAI 106 OVERBED TABLE 510 PARAMOUNT BED PF3100 900805900257 2018 N/A 1 LOW RISK LAIK PAKAI 107 OVERBED TABLE 510 PARAMOUNT BED KF282 901006600411 2018 N/A 1 LOW RISK LAIK PAKAI 108 OVERBED TABLE 511 PARAMOUNT BED PF3100A 910400400237 2018 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK/TYPE SERIAL NUMBER THN PEROLEHAN TGL KALIBRASI QTY KONDISI BARANG KATEGORI PERALATAN MEDIS TYPE KET GAMBAR 109 OVERBED TABLE 511 HOPEFULL M01 10030809170 2018 N/A 1 LOW RISK LAIK PAKAI 110 OVERBED TABLE 512 PARAMOUNT BED KF282 900107800113 2018 N/A 1 LOW RISK LAIK PAKAI 111 OVERBED TABLE 512 PARAMOUNT BED PF3100 901206900086 2018 N/A 1 LOW RISK LAIK PAKAI 112 OVERBED TABLE 513 PARAMOUNT BED KF282 901006600392 2018 N/A 1 LOW RISK LAIK PAKAI 113 OVERBED TABLE 513 PARAMOUNT BED KF282 901006600407 2018 N/A 1 LOW RISK LAIK PAKAI 114 OVERBED TABLE 515 PARAMOUNT BED KF282 901206500179 2018 N/A 1 LOW RISK LAIK PAKAI 115 OVERBED TABLE 516 PARAMOUNT BED PF3100A 910400400231 2018 N/A 1 LOW RISK LAIK PAKAI 116 OVERBED TABLE 516 PARAMOUNT BED PF3100 900911200032 2018 N/A 1 LOW RISK LAIK PAKAI 117 OVERBED TABLE 517 PARAMOUNT BED KF282 901006600388 2018 N/A 1 LOW RISK LAIK PAKAI 118 OVERBED TABLE 517 PARAMOUNT BED KF282 OBT,LIY01 2018 N/A 1 LOW RISK LAIK PAKAI 119 OVERBED TABLE 518 PARAMOUNT BED PF3100 901109800110 2010 N/A 1 LOW RISK LAIK PAKAI 120 OVERBED TABLE 519 PARAMOUNT BED PF3100 901206900092 2018 N/A 1 LOW RISK LAIK PAKAI 121 OVERBED TABLE 519 PARAMOUNT BED PF3100 901109800117 2018 N/A 1 LOW RISK LAIK PAKAI 122 OVERBED TABLE 520 PARAMOUNT BED PF3100 910100100280 2018 N/A 1 LOW RISK LAIK PAKAI 123 OVERBED TABLE 521 PARAMOUNT BED PF3100 901206900093 2018 N/A 1 LOW RISK LAIK PAKAI 124 OVERBED TABLE 521 PARAMOUNT BED KF282 901006600416 2018 N/A 1 LOW RISK LAIK PAKAI 125 OVERBED TABLE 522 PARAMOUNT BED PF3100 900911200041 2019 N/A 1 LOW RISK LAIK PAKAI 126 OVERBED TABLE 522 PARAMOUNT BED PF3100 900911200053 2020 N/A 1 LOW RISK LAIK PAKAI 127 PEDSLIDE NURSE STATION PARAMOUNT PARAMOUNT PS.LIY01 2014 N/A 1 LOW RISK LAIK PAKAI 128 PULSE OXIMETRI RUANG ALAT DAN OBAT CHOICE MMED MD300 213184403958 22/06/2023 N/A 1 LOW RISK LAIK PAKAI 129 PULSE OXIMETRI RUANG ALAT DAN OBAT PULSE OXYMETRI OXIMETER 213184403925 22/06/2023 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK/TYPE SERIAL NUMBER THN PEROLEHAN TGL KALIBRASI QTY KONDISI BARANG KATEGORI PERALATAN MEDIS TYPE KET GAMBAR 130 PULSE OXIMETRI RUANG ALAT DAN OBAT CHOICE MMED MD300 213184403960 22/06/2023 N/A 1 LOW RISK LAIK PAKAI 131 PULSE OXIMETRI RUANG ALAT DAN OBAT CHOICE MMED MD300 213184403953 22/06/2023 N/A 1 LOW RISK LAIK PAKAI 132 REFLEX HUMMER NURSE STATION GEA STAINLESS RH,LIY01-03 6/Jul/2005 N/A 3 LOW RISK LAIK PAKAI 133 REGULATOR O2 WALL KAMAR PASIEN OXYVAX NB-015 1NB2580 2020 N/A 1 LOW RISK LAIK PAKAI 134 REGULATOR O2 WALL KAMAR PASIEN OXYVAX NB-015 1NB2574 2020 N/A 1 LOW RISK LAIK PAKAI 135 REGULATOR O2 WALL KAMAR PASIEN OXYVAX NB-015 1NB2575 2020 N/A 1 LOW RISK LAIK PAKAI 136 REGULATOR O2 WALL KAMAR PASIEN OXYVAX NB-015 1NB2576 2020 N/A 1 LOW RISK LAIK PAKAI 137 REGULATOR O2 WALL KAMAR PASIEN OXYVAX NB-015 1NB2573 2020 N/A 1 LOW RISK LAIK PAKAI 138 REGULATOR O2 WALL KAMAR PASIEN KOMATSU F5 7411 2020 N/A 1 LOW RISK LAIK PAKAI 139 REGULATOR O2 WALL KAMAR PASIEN OXYVAX NB-015 1NB2579 2020 N/A 1 LOW RISK LAIK PAKAI 140 REGULATOR O2 WALL KAMAR PASIEN OXYVAX NB-015 6754 2020 N/A 1 LOW RISK LAIK PAKAI 141 REGULATOR O2 WALL KAMAR PASIEN OXYVAX NB-015 7336 2020 N/A 1 LOW RISK LAIK PAKAI 142 REGULATOR O2 WALL KAMAR PASIEN OXYVAX NB-015 1NB2578 2020 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK/TYPE SERIAL NUMBER THN PEROLEHAN TGL KALIBRASI QTY KONDISI BARANG KATEGORI PERALATAN MEDIS TYPE KET GAMBAR 143 REGULATOR O2 WALL KAMAR PASIEN OXYVAX NB-015 1NB2579 2020 N/A 1 LOW RISK LAIK PAKAI 144 REGULATOR O2 WALL KAMAR PASIEN KOMATSU AV-5 7337 2020 N/A 1 LOW RISK LAIK PAKAI 145 REGULATOR O2 WALL KAMAR PASIEN KOMATSU AV-5 8012 2020 N/A 1 LOW RISK LAIK PAKAI 146 REGULATOR O2 WALL KAMAR PASIEN ONECARE WALL OKW.LILY01 25/09/2023 N/A 1 LOW RISK LAIK PAKAI 147 REGULATOR O2 WALL KAMAR PASIEN ONECARE WALL OKW.LILY02 25/09/2023 N/A 1 LOW RISK LAIK PAKAI 148 OKSIGEN PORTABLE SET KAMAR PASIEN GEA,SHARP PORTble ROP.LIY01- ROP.LIY02 2014 N/A 2 LOW RISK LAIK PAKAI 149 PAPAN CPR KAMAR PASIEN PARAMOUNT KAYU RB.LIY01 2014 N/A 1 LOW RISK LAIK PAKAI 150 RENASYS GO KAMAR PASIEN SMITH N NEPHEW GO SMITH N NEPHEW KHA9180239 2019 N/A 1 LOW RISK LAIK PAKAI 151 SUCTION PORTABLE KAMAR PASIEN MEDIAIR SUA01 SU11A020108 2014 30/01/2023 1 HIGH RISK LAIK PAKAI 152 SYRINGE PUMP RUANG ALAT DAN OBAT TERUMO TESS730 1802010160 2019 29/09/2022 1 MEDIUM RISK LAIK PAKAI 153 SYRINGE PUMP RUANG ALAT DAN OBAT TERUMO TESS730 1802010077 2019 29/09/2022 1 MEDIUM RISK LAIK PAKAI 154 SYRINGE PUMP RUANG ALAT DAN OBAT TERUMO TESS730 2010010816 2020 29/09/2022 1 MEDIUM RISK LAIK PAKAI 155 SYRINGE PUMP RUANG ALAT DAN OBAT TERUMO TE331 1104000760 2011 29/09/2022 1 MEDIUM RISK LAIK PAKAI 156 SUCTION WALL KAMAR PASIEN KOMATSU AV- 5 26845 2018 30/01/2023 1 HIGH RISK LAIK PAKAI 157 SUCTION WALL KAMAR PASIEN KOMATSU AV- 5 26084 2018 30/01/2023 1 HIGH RISK LAIK PAKAI 158 SUCTION WALL KAMAR PASIEN KOMATSU AV- 5 39643 25/09/2023 ALAT BARU 1 HIGH RISK LAIK PAKAI 159 SUCTION WALL KAMAR PASIEN KOMATSU AV- 5 34641 25/09/2023 ALAT BARU 1 HIGH RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK/TYPE SERIAL NUMBER THN PEROLEHAN TGL KALIBRASI QTY KONDISI BARANG KATEGORI PERALATAN MEDIS TYPE KET GAMBAR 160 PENGUKUR TINGGI BADAN NURSE STATION HEIGHT WALL S.LIY01 2018 N/A 1 LOW RISK LAIK PAKAI 161 STRETCHER KAMAR PASIEN PARAMONT PK2100 90020300017 2020 N/A 1 LOW RISK LAIK PAKAI 162 STETOSCOPE DEWASA NURSE STATION LIETMAN 3M J20B179521 2020 N/A 1 LOW RISK LAIK PAKAI 163 STETOSCOPE DEWASA NURSE STATION LIETMAN 3M J20B179611 2020 N/A 1 LOW RISK LAIK PAKAI 164 STETOSCOPE DEWASA NURSE STATION LIETMAN 3M J20B178905 2019 N/A 1 LOW RISK LAIK PAKAI 165 STETOSCOPE DEWASA NURSE STATION LIETMAN 3M J19G883567 2019 N/A 1 LOW RISK LAIK PAKAI 166 STETOSCOPE DEWASA NURSE STATION LIETMAN 3M J19D972262 2019 N/A 1 LOW RISK LAIK PAKAI 167 STAND BOWEL DOUBLE PANTRY MAK STAINLESS SBD.LIY01- SBD.LIY02 2014 N/A 2 LOW RISK LAIK PAKAI 168 TENSIMETER DIGITAL RUANG ALAT DAN OBAT OMRON HEM8712 20200221499VG 2020 21/09/2022 1 MEDIUM RISK LAIK PAKAI 169 TENSIMETER DIGITAL RUANG ALAT DAN OBAT OMRON HEM8712 20200223693VG 2020 21/09/2022 1 MEDIUM RISK LAIK PAKAI 170 TENSIMETER DIGITAL RUANG ALAT DAN OBAT OMRON HEM8712 20210240221VG 2018 30/01/2023 1 MEDIUM RISK LAIK PAKAI 171 TENSIMETER DIGITAL RUANG ALAT DAN OBAT OMRON HEM8712 202102013441VG 2020 30/01/2023 1 MEDIUM RISK LAIK PAKAI 172 TENSIMETER DIGITAL RUANG ALAT DAN OBAT OMRON HEM8712 20211258481VG 2022 30/01/2023 1 MEDIUM RISK LAIK PAKAI 173 TENSIMETER DIGITAL RUANG ALAT DAN OBAT OMRON HEM8712 20210605242VG 2023 30/01/2023 1 MEDIUM RISK LAIK PAKAI 174 TENSIMETER DIGITAL RUANG ALAT DAN OBAT OMRON HEM8712 20210605245VG 2023 30/01/2023 1 MEDIUM RISK LAIK PAKAI 175 TENSIMETER DIGITAL RUANG ALAT DAN OBAT OMRON HEM8712 20220112724VG 2023 30/01/2023 1 MEDIUM RISK LAIK PAKAI 176 TENSIMETER STANDING RUANG ALAT DAN OBAT RIESTER BIGBEN ROUND 161140491 2016 30/01/2023 1 MEDIUM RISK LAIK PAKAI 177 TENSIMETER STANDING RUANG ALAT DAN OBAT RIESTER BIGBEN ROUND 161140490 2016 30/01/2023 1 MEDIUM RISK LAIK PAKAI 178 TIANG INFUS BERODA 5 RUANG ALAT DAN OBAT LOCAL STAINLESS TINF.LIY01-18 2020 N/A 17 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK/TYPE SERIAL NUMBER THN PEROLEHAN TGL KALIBRASI QTY KONDISI BARANG KATEGORI PERALATAN MEDIS TYPE KET GAMBAR 179 TIMBANGAN INJAK DEWASA RUANG ALAT DAN OBAT GEA EB 1623 TD.LILY012023 13/09/2023 23/06/2023 1 LOW RISK LAIK PAKAI 180 TROLLEY EMR (MEDICAL TROLLEY DOUBLE TRAY) RUANG ALAT DAN OBAT PARAMOUNT P712 900906200004 2018/2023 N/A 1 LOW RISK LAIK PAKAI 181 TROLLEY EMR (MEDICAL TROLLEY DOUBLE TRAY) RUANG ALAT DAN OBAT PARAMOUNT P712 90111200006 2018/2023 N/A 1 LOW RISK LAIK PAKAI 182 TROLLEY EMR (MEDICAL TROLLEY DOUBLE TRAY) RUANG ALAT DAN OBAT PARAMOUNT P712 900210400005 2018/2023 N/A 1 LOW RISK LAIK PAKAI 183 TROLLEY EMR (MEDICAL TROLLEY DOUBLE TRAY) RUANG ALAT DAN OBAT PARAMOUNT P712 901008900010 2018/2023 N/A 1 LOW RISK LAIK PAKAI 184 TROLLEY EMR (MEDICAL TROLLEY DOUBLE TRAY) RUANG ALAT DAN OBAT PARAMOUNT P712 900906200014 2018/2023 N/A 1 LOW RISK LAIK PAKAI 185 TROLLEY EKG RUANG ALAT DAN OBAT LOCAL LOCAL TEKG.LIY01 2022 N/A 1 LOW RISK LAIK PAKAI 186 TIANG NAMA PERAWAT LILY LOCAL STAINLESS TNP.LIY01-02 2020 N/A 2 LOW RISK LAIK PAKAI 187 VITAL SIGN NURSE STATION PHILIPS EARLY VUE VS30 CN82206613 2022 21/09/2022 1 MEDIUM RISK LAIK PAKAI 188 X-RAY VIEWER 1 FILM NURSE STATION VIEWMED 1FILM 10121827 2022 N/A 1 LOW RISK LAIK PAKAI

MCU 15

B KB R 1 AMBU BAG DEWASA RUANG TREADMILLE AMBU SILICON AD,MCU01 2021 N/A 1 MEDUIM RISK LAIK PAKAI 2 AMBU BAG ANAK RUANG TREADMILLE AMBU SILICON AA,MCU01 2021 N/A 1 MEDIUM RISK LAIK PAKAI 3 ABI RUANG ASSESMEN PERAWAT 1 MESI ABPIMDD ME01V13- 011702347 2020 N/A 1 MEDIUM RISK LAIK PAKAI 4 AUDIOMETRI POLIKLINIK RESONANCE AM13 AM1314100043 2014 14/10/2022 1 MEDIUM RISK LAIK PAKAI 5 AUTOREFKERATOMETER RUANG VISUS SHIN NIPPON ACCUREF-K9001 92AH6389 2013 14/10/2022 1 MEDIUM RISK LAIK PAKAI 6 BUKU ISHIHARA RUANG ASESSMEN PERAWAT LOCAL KERTAS LOCAL 2021 N/A 1 LOW RISK LAIK PAKAI 7 BUKU ISHIHARA RUANG ASSESMEN PERAWAT 2 KANEHARA KERTAS ISHIHARA.MCU 2022 N/A 1 LOW RISK LAIK PAKAI 8 BUKU ISHIHARA MCU KANEHARA KERTAS ISHIHARA.MCU 2022 N/A 1 LOW RISK LAIK PAKAI 9 BUKU ISHIHARA MCU KANEHARA KERTAS ISHIHARA.MCU 04/09/2023 N/A 1 LOW RISK LAIK PAKAI 10 EKG RUANG ASSESMEN PERAWAT 1 GE MAC 400 SCT11453086WA 2015 14/10/2022 1 HIGH RISK LAIK PAKAI 11 EKG RUANG ASSESMEN PERAWAT 2 GE MAC 400 SCT10192096WA 2015 14/10/2022 1 HIGH RISK LAIK PAKAI 12 EKG RUANG ASSESMEN PERAWAT 3 GE MAC 400 SCT11453119WA 2015 14/10/2022 1 HIGH RISK LAIK PAKAI 13 EMERGENCY TROLLEY MCU REHAB CARDIO PARAMOUNT KY40QR ET.MCU01 2022 N/A 1 LOW RISK LAIK PAKAI 14 LARINGOSKOP DEWASA RUANG TREADMILLE RIESTER STAINLESS LD,MCU01 2020 N/A 1 MEDIUM RISK LAIK PAKAI 15 LARINGOSKOP ANAK RUANG TREADMILLE RIESTER STAINLESS LA,MCU02 2020 N/A 1 MEDIUM RISK LAIK PAKAI 16 NCT RUANG VISUS TOPCON CT-800 2867047 2022 14/10/2022 1 MEDIUM RISK LAIK PAKAI 17 OKSIGEN PORTABLE SET RUANG TREADMILLE GEA EB9360 ROP.POLZ201 2018 N/A 1 MEDIUM RISK LAIK PAKAI GAMBAR DAFTAR INVENTARIS ALAT MEDIS RUMAH SAKIT AWAL BROS PEKANBARU NO NAMA BARANG RUANGAN MERK SERIAL NUMBER THN PEROLEHAN QTY KONDISI BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS KET RUANGAN : MCU TYPE

B KB R NO NAMA BARANG RUANGAN MERK SERIAL NUMBER THN PEROLEHAN QTY GAMBAR KONDISI BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS TYPE KET 18 PENGUKUR TINGGI BADAN RUANG ASESSMEN PERAWAT SECA CEO123 10000000495171 2021 N/A 1 LOW RISK LAIK PAKAI 19 PENGUKUR TB+BB KLINIK VAKSINASI GEA ZT120 PTBBB.POLZ201 2018 N/A 1 LOW RISK LAIK PAKAI 20 PULSE OXYMETRI RUANG MCU/ RUANG TINDAKAN CHOICEMED MD300C15 D 204737704817 2020 30/01/2023 2 LOW RISK LAIK PAKAI 21 REFLEX HUMMER RUANG DR CHRYSTINE GEA STAINLESS RH.MCU01 2023 N/A 1 LOW RISK LAIK PAKAI 22 SLIT LAMP RUANG KONSULTASI SHIN NIPPON SL500 20120415 2006 14/10/2022 1 MEDIUM RISK LAIK PAKAI 23 STETOSKOPE RUANG TREADMILE RIESTER DUPLEX ST,POLMCU01 2022 N/A 1 LOW RISK LAIK PAKAI 24 STETOSKOPE RUANG TREADMILE LITTMAN 3M J171720662 2022 N/A 1 LOW RISK LAIK PAKAI 25 STETOSKOPE RUANG KOMSULTASI LITTMAN 3M I9Y26746 2022 N/A 1 LOW RISK LAIK PAKAI 26 STETOSKOPE RUANG ASSESMEN PERAWAT 2 RIESTER DUPLEX ST,POLMCU02 2014 N/A 1 LOW RISK LAIK PAKAI 27 SPIROMETRI MCU BTL BTL 003000036184 2020 14/10/2022 1 LOW RISK LAIK PAKAI 28 SPIROMETRI MCU BTL BTL 003000037822 30/08/2023 ALAT BARU 1 LOW RISK LAIK PAKAI 29 SPIROMETRI MCU BTL BTL 003000037818 30/08/2023 ALAT BARU 1 LOW RISK LAIK PAKAI 30 TIMBANGAN BB+TB RUANG MCU/RUANG TINDAKAN SECCA SECCA 100000002093 2018 23/06/2023 3 LOW RISK LAIK PAKAI 31 TREADMILLE RUANG TREADMILE GE T2100ST2 GeDC3435 2020 29/09/2022 1 MEDIUM RISK LAIK PAKAI 32 TREADMILLE RUANG TREADMILE GE T2100ST2 SJP13340731SA 2018 14/10/2022 1 MEDIUM RISK LAIK PAKAI 33 TREADMILLE RUANG TREADMILE BTL BTL 253A22 2022 14/10/2022 1 MEDIUM RISK LAIK PAKAI 34 TREADMILLE MCU BTL BTL 309A23 30/08/2023 ALAT BARU 1 MEDIUM RISK LAIK PAKAI 35 TROLLEY ABI RUANG ASESSMEN PERAWAT LOCAL STAINLESS TE.POLZ202 2015 N/A 1 LOW RISK LAIK PAKAI 36 TROLLEY EKG MCU LOCAL LOCAL TEKG01-04 2022 N/A 4 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK SERIAL NUMBER THN PEROLEHAN QTY GAMBAR KONDISI BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS TYPE KET 37 TROLLEY EMR (MEDICAL TROLLEY DOUBLE TRAY) MCU PARAMOUNT P712 90021040015 2023 N/A 1 LOW RISK LAIK PAKAI 38 TENSIMETER STANDING RUANG ASESSMEN PERAWAT 2 RIESTER BIGBEN ROUND 140997690 2014 14/10/2022 1 MEDIUM RISK LAIK PAKAI 39 TENSIMETER STANDING RUANG ASESSMEN PERAWAT 3 RIESTER BIGBEN ROUND 140997693 2014 14/10/2022 1 MEDIUM RISK LAIK PAKAI 40 TENSIMETER STANDING RUANG TREADMILE RIESTER BIGBEN ROUND 170441377 2017 14/10/2022 1 MEDIUM RISK LAIK PAKAI 41 TENSIMETER STANDING RUANG TREADMILE RIESTER BIGBEN ROUND 161140489 2017 14/10/2022 1 MEDIUM RISK LAIK PAKAI 42 TENSIMETER STANDING RUANG TREADMILE RIESTER BIGBEN ROUND 190643723 2017 14/10/2022 1 MEDIUM RISK LAIK PAKAI 43 TENSIMETER DIGITAL RUANG MCU/ RUANG TINDAKAN OMRON HEM7203 20130701357VG 2014 30/09/2022 1 MEDIUM RISK LAIK PAKAI 44 TENSIMETER DIGITAL RUANG ASSESMEN PERAWAT 2 OMRON HEM8712 20210553510VG 2021 30/01/2023 1 MEDIUM RISK LAIK PAKAI 45 TENSIMETER DIGITAL RUANG ASSESMEN PERAWAT 3 OMRON HEM7130 TD,MCU01 2021 30/01/2023 1 MEDIUM RISK LAIK PAKAI 46 TENSIMETER DIGITAL RUANG ASSESMEN PERAWAT 2 OMRON HEM7130 20191103700VG 2019 30/01/2023 1 MEDIUM RISK LAIK PAKAI 47 TENSIMETER DIGITAL MCU OMRON HEM7156 202106014871V 2021 30/01/2023 1 MEDIUM RISK LAIK PAKAI 48 TENSIMETER DIGITAL MCU OMRON HEM7156 202101014087V 2021 30/01/2023 1 MEDIUM RISK LAIK PAKAI 49 TENSIMETER DIGITAL MCU OMRON HEM7156 202101007509V 2021 30/01/2023 1 MEDIUM RISK LAIK PAKAI 50 TENSIMETER DIGITAL MCU OMRON HEM7203 20210553502VG 2021 30/01/2023 1 MEDIUM RISK LAIK PAKAI 51 TENSIMETER DIGITAL MCU OMRON HEM 8712 20220112723VG 14/08/2023 ALAT BARU 1 MEDIUM RISK LAIK PAKAI 52 THERMOMETER IR MCU CHINA TG88818D IR,THERM,MCU01 2020 13/07/2023 1 LOW RISK LAIK PAKAI 53 THERMOMETER IR MCU CHINA TG88818D IR,THERM,MCU02 2020 13/07/2023 1 LOW RISK LAIK PAKAI 54 THERMOMETER IR MCU CHINA TG88818D IR,THERM,MCU03 2020 13/07/2023 1 LOW RISK LAIK PAKAI 55 THERMOMETER IR MCU CHINA TG88818D IR,THERM,MCU04 2020 13/07/2023 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK SERIAL NUMBER THN PEROLEHAN QTY GAMBAR KONDISI BARANG TGL KALIBRASI KATEGORI PERALATAN MEDIS TYPE KET 56 THERMOMETER IR MCU OMRON MC-720 IR,THERM,MCU05 2020 13/07/2023 1 LOW RISK LAIK PAKAI 57 THERMOMETER IR MCU OMRON MC-720 IR,THERM,MCU06 2020 13/07/2023 1 LOW RISK LAIK PAKAI 58 THERMOMETER IR MCU YOUNGE ME YMITF01 YM2020020101881 2020 13/07/2023 1 LOW RISK LAIK PAKAI 59 THERMOMETER IR MCU YUWELL YT0-1 PT2211040164135 14/08/2023 13/07/2023 1 LOW RISK LAIK PAKAI 60 TOUNGE SPATEL RUANG TREADMILLE STAINLESS STAINLESS TS,MCU01 2021 N/A 1 LOW RISK LAIK PAKAI 61 TINGGI BADAN KLINIK VAKSINASI LOCAL LOCAL TB.POLZ201 2020 N/A 1 LOW RISK LAIK PAKAI 62 TIANG INFUS RODA 5 RUANG TREADMILLE LOCAL STAINLESS TI.POLZ201 2014 N/A 1 LOW RISK LAIK PAKAI 63 TENSIMETER DIGITAL RUANG ASESSMEN PERAWAT OMRON HEM7203 20210553502VG 2021 30/01/2023 1 MEDIUM RISK LAIK PAKAI 64 TENSIMETER DIGITAL RUANG ASESSMEN PERAWAT OMRON HEM7203 20210553510VG 2021 30/01/2023 1 MEDIUM RISK LAIK PAKAI 65 TENSIMETER DIGITAL RUANG ASESSMEN PERAWAT OMRON HBP1100 20150404444VG 2020 30/01/2023 1 MEDIUM RISK LAIK PAKAI 66 TIMBANGAN DIGITAL RUANG ASESSMEN PERAWAT GEA EB9063 TBB.MCU01 2020 23/06/2023 1 LOW RISK LAIK PAKAI 67 TIMBANGAN BADAN RUANG ASESSMEN PERAWAT INBODY INBODY 120 F322003297 2023 23/06/2023 1 LOW RISK LAIK PAKAI 68 TIMBANGAN BADAN COLOUMB MEASURING RUANG ASESSMEN PERAWAT SECCA SECA679 10000000970279 2023 23/06/2023 1 LOW RISK LAIK PAKAI 69 TIMBANGAN BADAN COLOUMB MEASURING RUANG ASESSMEN PERAWAT SECCA SECA679 10000000970280 2023 23/06/2023 1 LOW RISK LAIK PAKAI 70 TRIAL LENS SET MCU INNAMI K350A SO210801516 2023 N/A 1 LOW RISK LAIK PAKAI 71 TRIAL FRAME MCU INNAMI K0391 EO220813388 2023 N/A 1 LOW RISK LAIK PAKAI 72 USG BMD RUANG KONSULTASI ECHO LIGHT ECHOSTATION CART 003180905 2018 ALAT BARU 1 MEDIUM RISK LAIK PAKAI 73 USG LOGIC C5 RUANG ALAT DAN OBAT GE LOGIC C5 169678WXO 2019 14/10/2023 1 MEDIUM RISK LAIK PAKAI

OK MATA 16

B KB R 1 BIPOLAR COAGULATOR KAMAR OPERASI ANASTESI LOKAL APPASAMI APPASAMI 2701200067 2021 N/A 1 LOW RISK LAIK PAKAI 2 EMERGENCY TROLLEY RUANG PEMULIHAN PARAMOUNT KY40QR 50036900059 2021 N/A 1 LOW RISK LAIK PAKAI 3 FLOWMETER HUMIDIFIER RUANG PEMULIHAN OXYGEN 806-OX-15 20G0021 2021 N/A 1 MEDIUM RISK LAIK PAKAI 4 FLOWMETER HUMIDIFIER RUANG PEMULIHAN OXYGEN 806-OX-15 20G0041 2021 N/A 1 MEDIUM RISK LAIK PAKAI 5 FLOWMETER HUMIDIFIER RUANG PEMULIHAN OXYGEN 806-OX-15 20B0001 2021 N/A 1 MEDIUM RISK LAIK PAKAI 6 FLOWMETER HUMIDIFIER RUANG PEMULIHAN OXYGEN 806-OX-15 20G0024 2021 N/A 1 MEDIUM RISK LAIK PAKAI 7 INSTRUMEN TROLLEY 2 RAK + 2 LACI (DRESSING TROLLEY) KAMAR OPERASI ANASTESI LOKAL LOCAL STAINLESS TI.OKM01- TI.OKM02 2021 N/A 3 LOW RISK LAIK PAKAI 8 LAMPU OPERASI PANALEX 2 KAMAR OPERASI ANASTESI UMUM PANALEX PANALEX 2 G8232 2021 14/10/2023 1 LOW RISK LAIK PAKAI 9 LAMPU OPERASI KAMAR OPERASI ANASTESI LOKAL PANALEX LENGAN 1 G6926 2021 14/10/2023 1 LOW RISK LAIK PAKAI 10 LARYNGOSCOPE DEWASA RUANG PEMULIHAN RIESTER STAINLESS LA.OKM01 2021 N/A 1 MEDIUM RISK LAIK PAKAI 11 LARYNGOSCOPE ANAK RUANG PEMULIHAN RIESTER STAINLESS LP.OKM01 2021 N/A 1 MEDIUM RISK LAIK PAKAI 12 MEJA OPERASI (OPERATING TABLE) KAMAR OPERASI ANASTESI LOKAL MEDICINDO MD301 30IN072018 2021 19/09/2022 1 MEDIUM RISK LAIK PAKAI 13 MEJA OPERASI KAMAR OPERASI ANASTESI UMUM LOCAL STAINLESS MO.OKM01 2021 14/10/2023 1 MEDIUM RISK LAIK PAKAI 14 MEJA OPERASI (OPERATING TABLE) KAMAR OPERASI ANASTESI UMUM BELMONT BELMONT 2120313010001 2021 14/10/2023 1 MEDIUM RISK LAIK PAKAI 15 MEJA MAYO KAMAR OPERASI ANASTESI UMUM LOCAL STAINLESS MM.OKM01- MM.OKM03 2021 N/A 2 LOW RISK LAIK PAKAI DAFTAR INVENTARIS ALAT MEDIS RUMAH SAKIT AWAL BROS PEKANBARU NO NAMA BARANG RUANGAN MERK/TYPE S/N THN PEROLEHAN QTY KONDISI BARANG GAMBAR KATEGORI PERALATAN MEDIS TGL KALIBRASI KET RUANGAN : OK MATA TYPE

B KB R NO NAMA BARANG RUANGAN MERK/TYPE S/N THN PEROLEHAN QTY KONDISI BARANG GAMBAR KATEGORI PERALATAN MEDIS TGL KALIBRASI TYPE KET 16 MESIN SCRUBBING KAMAR OPERASI ANASTESI UMUM ELIO STAINLESS BAK 2 MS.OM01 2021 N/A 1 LOW RISK LAIK PAKAI 17 MESIN PHACO (FACOEMULSIFIKASI UNIT) KAMAR OPERASI ANASTESI LOKAL ALCON LEGION CART 2101873501X 2022 N/A 1 HIGH RISK LAIK PAKAI 18 MESIN PHACO (FACOEMULSIFIKASI UNIT) KAMAR OPERASI ANASTESI LOKAL OERTLI CATARHEX3 92720009 2022 N/A 1 HIGH RISK LAIK PAKAI 19 MESIN VITREX KAMAR OPERASI ANASTESI UMUM DORC 8000 COM 2 EVA 2020001594 2021 N/A 1 MEDIUM RISK LAIK PAKAI 20 MESIN ANAESTHESI KAMAR OPERASI ANASTESI UMUM GE 9100NXT SPC19220643WA 2021 14/10/2022 1 HIGH RISK LAIK PAKAI 21 MESIN ANAESTHESI KAMAR BEDAH GE 9100C NT SPC21210652WA 2020 14/10/2022 1 HIGH RISK LAIK PAKAI 22 MESIN LASIX KAMAR BEDAH THECNOCLAS 271z100 1236-03/02-1102 2022 N/A 1 MEDIUM RISKLAIK PAKAI 23 MICROSCOPE BEDAH MATA KAMAR OPERASI ANASTESI LOKAL ZEISS OPMI LUMERA 6629186149 2021 19/09/2022 1 LOW RISK LAIK PAKAI 24 MICROSCOPE BEDAH MATA KAMAR OPERASI ANASTESI UMUM LEICA M500 11012006 2021 20/09/2022 1 LOW RISK LAIK PAKAI 25 MONITOR IKAGEMI KAMAR OPERASI ANASTESI UMUM IKEGAMI MKC230HD AB47710EA 2021 N/A 1 HIGH RISK LAIK PAKAI 26 OKSIGEN PORTABLE SET RUANG PEMULIHAN TABUNG PORTABLE OP.OKM01 2021 N/A 2 MEDIUM RISK LAIK PAKAI 27 PAPAN RESUSITASI (CPR) RUANG PEMULIHAN PARAMOUNT ACRILIK PR.PKM01 2021 N/A 1 LOW RISK LAIK PAKAI 28 PATIENT MONITOR RUANG PEMULIHAN MINDRAY IMEC10 EX820533644 2021 14/10/2022 1 MEDIUM RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK/TYPE S/N THN PEROLEHAN QTY KONDISI BARANG GAMBAR KATEGORI PERALATAN MEDIS TGL KALIBRASI TYPE KET 29 PATIENT MONITOR RUANG PEMULIHAN MINDRAY IMEC10 EX820533650 2021 14/10/2022 1 MEDIUM RISK LAIK PAKAI 30 PATIENT MONITOR RUANG PEMULIHAN MINDRAY IMEC10 EX820533648 2021 14/10/2022 1 MEDIUM RISK LAIK PAKAI 31 PATIENT MONITOR KAMAR OPERASI ANASTESI LOKAL MINDRAY EPM12 AC614015374 2021 19/09/2022 1 MEDIUM RISK LAIK PAKAI 32 PATIENT MONITOR KAMAR OPERASI ANASTESI UMUM MINDRAY EPM12 EX82053646 2021 14/10/2022 1 MEDIUM RISK LAIK PAKAI 33 PENDANT KAMAR OPERASI ANASTESI UMUM LIWEN PENDAN CREEPORT 3000 2021 N/A 1 LOW RISK LAIK PAKAI 34 PXL CROSSLINKING SYSTEM OK MATA SAPPHIRE PESCHKE SAPHIRE 21010096 2022 N/A 1 MEDIUM RISK LAIK PAKAI 35 SUCTION PUMP RUANG PEMULIHAN ONEMED 7EC 00012 2021 19/09/2022 1 HIGH RISK LAIK PAKAI 36 SUCTION PUMP KAMAR OPERASI ANASTESI UMUM ATMOS C451 451-01 2021 19/09/2022 1 HIGH RISK LAIK PAKAI 37 STRECHER RUANG PEMULIHAN PARAMOUNT PK 51041720K 901010800036 2021 N/A 1 LOW RISK LAIK PAKAI 38 STRECHER RUANG PEMULIHAN PARAMOUNT PK 51041720K 901010800035 2021 N/A 1 LOW RISK LAIK PAKAI 39 STRECHER RUANG PEMULIHAN PARAMOUNT PK 51041720K 901010800045 2021 N/A 1 LOW RISK LAIK PAKAI 40 STRECHER RUANG PEMULIHAN PARAMOUNT PK 51041720K 901010800050 2021 N/A 1 LOW RISK LAIK PAKAI 41 TIANG INFUS RODA 5 RUANG PEMULIHAN LOCAL STAINLESS TIR.OKM01 2021 N/A 5 LOW RISK LAIK PAKAI 42 TROLLEY EMR KAMAR OPERASI ANASTESI LOKAL LOCAL STAINLESS TE.OKM01 2021 N/A 1 LOW RISK LAIK PAKAI 43 TROLLEY EMR KAMAR OPERASI ANASTESI UMUM PARAMOUNT P712 TE.OKM02 2021 N/A 1 LOW RISK LAIK PAKAI 44 TROLLEY INSTRUMEN 2 RAK + 2 KAMAR OPERASI ANASTESI UMUM LOCAL STAINLESS TI.OKM02- TI.OKM03 2021 N/A 3 LOW RISK LAIK PAKAI

ORCHID 17

B KB R 1 AMBU BAG DEWASA NURSE STATION AMBU SILICON AD.ORC01 2023 N/A 1 MEDIUM RISK LAIK PAKAI 2 AMBU BAG ANAK NURSE STATION AMBU SILICON AA.ORC01 2020 N/A 1 MEDIUM RISK LAIK PAKAI 3 BASKOM STAINLESS LINEN LOCAL STAINLESS ORC01 2020 N/A 4 LOW RISK LAIK PAKAI 4 BED PATIENT ELEKTRIK 601 PARAMOUNT BED PA11100 900601100077 2020 N/A 1 LOW RISK LAIK PAKAI 5 BED PATIENT ELEKTRIK (HD) 601 PARAMOUNT BED PA11100 900601100024 2018 N/A 1 LOW RISK LAIK PAKAI 6 BED PATIENT ELEKTRIK 602 PARAMOUNT BED PA6325 901111600019 2018 N/A 1 LOW RISK LAIK PAKAI 7 BED PATIENT ELEKTRIK (LILY) 603 PARAMOUNT BED PA6325 901209500112 2018 N/A 1 LOW RISK LAIK PAKAI 8 BED PATIENT ELEKTRIK 605 PARAMOUNT BED PA6325 901209500108 2018 N/A 1 LOW RISK LAIK PAKAI 9 BED PATIENT ELEKTRIK 606 PARAMOUNT BED PA5231 900601500016 2018 N/A 1 LOW RISK LAIK PAKAI 10 BED PATIENT ELEKTRIK 606 PARAMOUNT BED PA6325 901111600041 2018 N/A 1 LOW RISK LAIK PAKAI 11 BED PATIENT ELEKTRIK 607 PARAMOUNT BED PA5231 900601500020 2018 N/A 1 LOW RISK LAIK PAKAI DAFTAR INVENTARIS ALAT MEDIS RUMAH SAKIT AWAL BROS PEKANBARU NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET RUANGAN : ORCHID

B KB R NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 12 BED PATIENT ELEKTRIK 608 PARAMOUNT BED PA6325 90111480002 2018 N/A 1 LOW RISK LAIK PAKAI 13 BED ENGKOL 1 (RADIOLOGI) 609 PARAMOUNT BED PA11100 900601100078 2015 N/A 1 LOW RISK LAIK PAKAI 14 BED PATIENT ELEKTRIK 610 PARAMOUNT BED PA5231 900301200007 2015 N/A 1 LOW RISK LAIK PAKAI 15 BED PATIENT ELEKTRIK 611 PARAMOUNT BED PA5231 900301200003 2015 N/A 1 LOW RISK LAIK PAKAI 16 BED PATIENT ELEKTRIK 611 PARAMOUNT BED PA1210 900212100012 2015 N/A 1 LOW RISK LAIK PAKAI 17 BED ENGKOL 1 612 PARAMOUNT BED PA11100 900601100030 2015 N/A 1 LOW RISK LAIK PAKAI 18 BED PATIENT ELEKTRIK 612 PARAMOUNT BED PA6325 901208500032 2015 N/A 1 LOW RISK LAIK PAKAI 19 BED PATIENT ELEKTRIK 615 PARAMOUNT BED PA6325 901012000023 2018 N/A 1 LOW RISK LAIK PAKAI 20 BED PATIENT ELEKTRIK 615 PARAMOUNT BED PA6325 901111600010 2018 N/A 1 LOW RISK LAIK PAKAI 21 BED PATIENT ELEKTRIK 616 PARAMOUNT BED PA6325 901111600051 2018 N/A 1 LOW RISK LAIK PAKAI 22 BED PATIENT ELEKTRIK 616 PARAMOUNT BED PA1210 900212100013 2018 N/A 1 LOW RISK LAIK PAKAI 23 BED PATIENT ELEKTRIK 617 PARAMOUNT BED PA5231 900102100010 2018 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 24 BED PATIENT ELEKTRIK 617 PARAMOUNT BED PA5231 0097L 2018 N/A 1 LOW RISK LAIK PAKAI 25 BED PATIENT ELEKTRIK 618 PARAMOUNT BED PA6325 901111600050 2018 N/A 1 LOW RISK LAIK PAKAI 26 BED ENGKOL 3 619 PARAMOUNT BED PA5231 900102100018 2018 N/A 1 LOW RISK LAIK PAKAI 27 BED ENGKOL 3 619 PARAMOUNT BED PA5231 900601500014 2018 N/A 1 LOW RISK LAIK PAKAI 28 BED PATIENT ELEKTRIK 620 PARAMOUNT BED PA6325 901209500113 2018 N/A 1 LOW RISK LAIK PAKAI 29 BED PATIENT ELEKTRIK 621 PARAMOUNT BED PA6325 901209500099 2018 N/A 1 LOW RISK LAIK PAKAI 30 BED PATIENT ELEKTRIK 622 PARAMOUNT BED PA6325 900708400007 2018 N/A 1 LOW RISK LAIK PAKAI 31 BED SIDE KABINET 601 PARAMOUNT BED PF1201 900310100037 2018 N/A 1 LOW RISK LAIK PAKAI 32 BED SIDE KABINET 601 PARAMOUNT BED PF1201 BSC,OR01 2018 N/A 1 LOW RISK LAIK PAKAI 33 BED SIDE KABINET 602 PARAMOUNT BED PF1202A 9012005XXXX 2018 N/A 1 LOW RISK LAIK PAKAI 34 BED SIDE KABINET 603 PARAMOUNT BED PF1201 900310100030 2018 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 35 BED SIDE KABINET 605 PARAMOUNT BED PF1201 900310100022 2018 N/A 1 LOW RISK LAIK PAKAI 36 BED SIDE KABINET 606 PARAMOUNT BED PF1201 900310100031 2018 N/A 1 LOW RISK LAIK PAKAI 37 BED SIDE KABINET 606 HOPEFULL HOPEFULL BS,ORC03 2018 N/A 1 LOW RISK LAIK PAKAI 38 BED SIDE KABINET 607 PARAMOUNT BED PF1201 900310100019 2018 N/A 1 LOW RISK LAIK PAKAI 39 BED SIDE KABINET 608 PARAMOUNT BED PF1201 901212500059 2018 N/A 1 LOW RISK LAIK PAKAI 40 BED SIDE KABINET 609 PARAMOUNT BED PF1201 900409900067 2018 N/A 1 LOW RISK LAIK PAKAI 41 BED SIDE KABINET 610 PARAMOUNT BED PF1201 900310100010 2018 N/A 1 LOW RISK LAIK PAKAI 42 BED SIDE KABINET 611 PARAMOUNT BED PF1201 900310100044 2018 N/A 1 LOW RISK LAIK PAKAI 43 BED SIDE KABINET 611 PARAMOUNT BED PF1201 901212500048 2018 N/A 1 LOW RISK LAIK PAKAI 44 BED SIDE KABINET 612 PARAMOUNT BED PF1202A 911200300277 2018 N/A 1 LOW RISK LAIK PAKAI 45 BED SIDE KABINET 612 HOPEFULL HOPEFULL BSC,ORC01 2018 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 46 BED SIDE KABINET 615 PARAMOUNT BED PF1201 900310100038 2018 N/A 1 LOW RISK LAIK PAKAI 47 BED SIDE KABINET 615 HOPEFULL HOPEFULL BSC,02 2018 N/A 1 LOW RISK LAIK PAKAI 48 BED SIDE KABINET 616 PARAMOUNT BED PF2100 900109200021 2018 N/A 1 LOW RISK LAIK PAKAI 49 BED SIDE KABINET 616 PARAMOUNT BED PF2100 900310100045 2018 N/A 1 LOW RISK LAIK PAKAI 50 BED SIDE KABINET 617 PARAMOUNT BED PF1201 900310100024 2018 N/A 1 LOW RISK LAIK PAKAI 51 BED SIDE KABINET 617 PARAMOUNT BED PF1201 900310100002 2018 N/A 1 LOW RISK LAIK PAKAI 52 BED SIDE KABINET 618 PARAMOUNT BED PF1202A 911200300308 2018 N/A 1 LOW RISK LAIK PAKAI 53 BED SIDE KABINET 619 PARAMOUNT BED PF1200 900109200029 2018 N/A 1 LOW RISK LAIK PAKAI 54 BED SIDE KABINET 619 PARAMOUNT BED PF1201 900409900069 2018 N/A 1 LOW RISK LAIK PAKAI 55 BED SIDE KABINET 620 PARAMOUNT BED PF1201 900409900095 2018 N/A 1 LOW RISK LAIK PAKAI 56 BED SIDE KABINET 621 PARAMOUNT BED PF1201 900310100039 2018 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 57 BED SIDE KABINET 622 PARAMOUNT BED PF1202A 911200300265 2018 N/A 1 LOW RISK LAIK PAKAI 58 BOWL STAND DOUBLE LINEN LOCAL STAINLESS BSD.ORC01- BSD.ORC03 2018 N/A 3 LOW RISK LAIK PAKAI 59 BOX ANAK RUANG ALKES DAN OBAT MAK CHILDREN BED BA.ORC01-02 2018 N/A 2 LOW RISK LAIK PAKAI 60 DRESSING TROLLY RUANG ALKES DAN OBAT MAK STAINLESS TINS,ORC01 2018 N/A 3 LOW RISK LAIK PAKAI 61 DRESSING TROLLY RUANG ALKES DAN OBAT MAK STAINLESS TINS,0RC02 2018 N/A 3 LOW RISK LAIK PAKAI 62 DRESSING TROLEY RUANG ALKES DAN OBAT MAK STAINLESS TINS,ORC03 2018 N/A 3 LOW RISK LAIK PAKAI 63 EKG RUANG ALKES DAN OBAT GE HEALTHCARE MAC2000 STX21320091PA 2021 30/01/2023 1 MEDIUM RISK LAIK PAKAI 64 EMERGENCY TROLEY NURSE STATION PARAMOUNT KY40QR 050098000025 2018 N/A 1 LOW RISK LAIK PAKAI 65 GLUCOMETER ORCHID TERUMO MEDISAFE 1708630710 2022 N/A 1 LOW RISK LAIK PAKAI 66 INFUS PUMP RUANG ALKES DAN OBAT TERUMO TE112 7020028 2018 30/01/2023 1 MEDIUM RISK LAIK PAKAI 67 INFUS PUMP RUANG ALKES DAN OBAT TERUMO TE112 1202000112 2018 30/01/2023 1 MEDIUM RISK LAIK PAKAI 68 INFUS PUMP RUANG ALKES DAN OBAT TERUMO TE112 1001000177 2018 30/01/2023 1 MEDIUM RISK LAIK PAKAI 69 INFUS PUMP RUANG ALKES DAN OBAT TERUMO TE112 1001000219 2018 26/01/2023 1 MEDIUM RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 70 INFUS PUMP RUANG ALKES DAN OBAT TERUMO TE112 1001000171 2018 30/01/2023 1 MEDIUM RISK LAIK PAKAI 71 INFUS PUMP RUANG ALKES DAN OBAT TERUMO TE112 9040122 2018 31/01/2023 1 MEDIUM RISK LAIK PAKAI 72 INFUS PUMP RUANG ALKES DAN OBAT TERUMO TE112 1001000190 2018 29/09/2022 1 MEDIUM RISK LAIK PAKAI 73 INFUS PUMP RUANG ALKES DAN OBAT TERUMO TE112 1202000103 2018 31/01/2023 1 MEDIUM RISK LAIK PAKAI 74 INFUS PUMP RUANG ALKES DAN OBAT TERUMO TE112 1202000105 2018 22/09/2022 1 MEDIUM RISK LAIK PAKAI 75 INFUS PUMP RUANG ALKES DAN OBAT TERUMO TELF630 2007010228 2018 22/09/2022 1 MEDIUM RISK LAIK PAKAI 76 INFUS PUMP RUANG ALKES DAN OBAT TERUMO TELF630. 2009010165 2018 26/01/2023 1 MEDIUM RISK LAIK PAKAI 77 INFUS PUMP RUANG ALKES DAN OBAT TERUMO TELF630. 2008010625 2018 30/01/2023 1 MEDIUM RISK LAIK PAKAI 78 KURSI RODA RUANG ALKES DAN OBAT SERENITY SERENITY KR.ORC01-03 2018 N/A 3 LOW RISK LAIK PAKAI 79 LARINGOSKOP DEWASA NURSE STATION RIESTER STAINLESS LARD.ORC01 2018 N/A 1 MEDIUM RISK LAIK PAKAI 80 LARINGOSKOP ANAK NURSE STATION RIESTER STAINLESS LARA.ORC01 2018 N/A 1 MEDIUM RISK LAIK PAKAI 81 LINEN HAMPER LINEN MAK STAINLESS 35302 2018 N/A 1 LOW RISK LAIK PAKAI 82 MEDICINE TROLEY (TROLI OBAT) RUANG ALKES DAN OBAT ACARE STAINLESS MT.ORC01 2018 N/A 1 LOW RISK LAIK PAKAI 83 NEBULIZER RUANG ALKES DAN OBAT OMRON NE - C 29 20220605868UF 2018 26/01/2023 1 MEDIUM RISK LAIK PAKAI 84 NEBULIZER RUANG ALKES DAN OBAT OMRON NE - C 29 20140800636UF 2018 20/09/2022 1 MEDIUM RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 85 NEBULIZER RUANG ALKES DAN OBAT OMRON NE - C 29 20220605867UF 2022 30/01/2023 1 MEDIUM RISK LAIK PAKAI 86 NEBULIZER RUANG ALKES DAN OBAT OMRON NEC28 20220307929UF 2022 20/09/2022 1 MEDIUM RISK LAIK PAKAI 87 NEBULIZER RUANG ALKES DAN OBAT OMRON NEC28 20220104468UF 2022 20/09/2022 1 MEDIUM RISK LAIK PAKAI 88 OVER BED TABLE 601 PARAMOUNT BED KF282 901006600413 2018 N/A 1 LOW RISK LAIK PAKAI 89 OVER BED TABLE 601 PARAMOUNT BED KF282 900107800106 2018 N/A 1 LOW RISK LAIK PAKAI 90 OVER BED TABLE 602 PARAMOUNT BED KF282 900506400135 2018 N/A 1 LOW RISK LAIK PAKAI 91 OVER BED TABLE 603 PARAMOUNT BED KF282 900506400175 2018 N/A 1 LOW RISK LAIK PAKAI 92 OVER BED TABLE 605 HOPEFULL M01 10030809157 2018 N/A 1 LOW RISK LAIK PAKAI 93 OVER BED TABLE 606 HOPEFULL M01 10030809162 2018 N/A 1 LOW RISK LAIK PAKAI 94 OVER BED TABLE 606 HOPEFULL M01 090227052033 2018 N/A 1 LOW RISK LAIK PAKAI 95 OVER BED TABLE 607 PARAMOUNT BED KF282 901006600389 2018 N/A 1 LOW RISK LAIK PAKAI 96 OVER BED TABLE 608 PARAMOUNT BED PF3100 901206900089 2018 N/A 1 LOW RISK LAIK PAKAI 97 OVER BED TABLE 609 PARAMOUNT BED KF282 900506400203 2018 N/A 1 LOW RISK LAIK PAKAI 98 OVER BED TABLE 610 PARAMOUNT BED KF282 900506400191 2018 N/A 1 LOW RISK LAIK PAKAI 99 OVER BED TABLE 611 PARAMOUNT BED PF3100A 910100100289 2018 N/A 1 LOW RISK LAIK PAKAI 100 OVER BED TABLE 611 PARAMOUNT BED KF282 900107800107 2018 N/A 1 LOW RISK LAIK PAKAI 101 OVER BED TABLE 612 PARAMOUNT BED PF3100 900805900258 2018 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 102 OVER BED TABLE 612 PARAMOUNT BED PF3100 900911200047 2018 N/A 1 LOW RISK LAIK PAKAI 103 OVER BED TABLE 615 PARAMOUNT BED PF3100 901109800122 2018 N/A 1 LOW RISK LAIK PAKAI 104 OVER BED TABLE 615 HOPEFULL M01 10053102065 2018 N/A 1 LOW RISK LAIK PAKAI 105 OVER BED TABLE 616 PARAMOUNT BED PF3100 900911200036 2018 N/A 1 LOW RISK LAIK PAKAI 106 OVER BED TABLE 616 PARAMOUNT BED KF282 900506400189 2018 N/A 1 LOW RISK LAIK PAKAI 107 OVER BED TABLE 617 PARAMOUNT BED PF3100 901109800118 2018 N/A 1 LOW RISK LAIK PAKAI 108 OVER BED TABLE 617 HOPEFULL M01 10030809198 2018 N/A 1 LOW RISK LAIK PAKAI 109 OVER BED TABLE 618 PARAMOUNT BED PF3100 901109800138 2018 N/A 1 LOW RISK LAIK PAKAI 110 OVER BED TABLE 619 PARAMOUNT BED KF282 900107800110 2018 N/A 1 LOW RISK LAIK PAKAI 111 OVER BED TABLE 619 HOPEFULL M01 OBT,OR01 2018 N/A 1 LOW RISK LAIK PAKAI 112 OVER BED TABLE 620 PARAMOUNT BED KF282 900107800099 2018 N/A 1 LOW RISK LAIK PAKAI 113 OVER BED TABLE 621 PARAMOUNT BED PF3100 901109800112 2018 N/A 1 LOW RISK LAIK PAKAI 114 OVER BED TABLE 622 PARAMOUNT BED KF282 901006600409 2018 N/A 1 LOW RISK LAIK PAKAI 115 PED SLIDE ORCHID EASY MOVE EASY MOVE PS. ORC01 2023 N/A 1 LOW RISK LAIK PAKAI 116 PENGUKUR TINGGI BADAN NURSE STATION HEIGHT HEIGHT PTB.ORC01 2018 N/A 1 LOW RISK LAIK PAKAI 117 PULSE OXYMETRI RUANG ALKES DAN OBAT JUMPER PULSE0METER PO.ORC02 2019 N/A 1 LOW RISK LAIK PAKAI 118 PULSE OXYMETRI RUANG ALKES DAN OBAT CHINA PII DP110479569 2021 20/09/2022 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 119 REGULATOR O2 WALL (FLOW METER + HUMIDIFIYER WALL SET) RUANG ALKES DAN OBAT IOXGEN F-5 20G0010 2014 N/A 1 MEDIUM RISK LAIK PAKAI 120 REGULATOR O2 WALL (FLOW METER + HUMIDIFIYER WALL SET) RUANG ALKES DAN OBAT IOXGEN F-5 2050002 2014 N/A 1 MEDIUM RISK LAIK PAKAI 121 REGULATOR O2 WALL (FLOW METER + HUMIDIFIYER WALL SET) RUANG ALKES DAN OBAT IOXGEN F-5 20G0010 2014 N/A 1 MEDIUM RISK LAIK PAKAI 122 REGULATOR O2 WALL (FLOW METER + HUMIDIFIYER WALL SET) RUANG ALKES DAN OBAT KOMATSU F-5 7413 2014 N/A 1 MEDIUM RISK LAIK PAKAI 123 REGULATOR O2 WALL (FLOW METER + HUMIDIFIYER WALL SET) RUANG ALKES DAN OBAT KOMATSU F-5 7407 2014 N/A 1 MEDIUM RISK LAIK PAKAI 124 REGULATOR O2 WALL (FLOW METER + HUMIDIFIYER WALL SET) RUANG ALKES DAN OBAT OXYVAC NB-015 3NB0768 2021 N/A 1 MEDIUM RISK LAIK PAKAI 125 STRECHER RUANG ALKES DAN OBAT PARAMOUNT PK2100 900104500024 2021 N/A 3 LOW RISK LAIK PAKAI 126 REGULATOR O2 PORTABLE & TBG RUANG ALKES DAN OBAT GEA BESI/TABUNG ROP.ORC01- R.ORC02 2014 N/A 2 MEDIUM RISK LAIK PAKAI 127 REFLEK HAMMER RUANG ALKES DAN OBAT GEA STAINLESS RH.ORC01 2014 N/A 1 LOW RISK LAIK PAKAI 128 RESUSITASI BOARD RUANG ALKES DAN OBAT PARAMOUNT BED AKRILIK RB.ORC01 2018 N/A 1 LOW RISK LAIK PAKAI 129 STETOSKOPE ANAK RUANG ALKES DAN OBAT LITTMEN 3M K5Z30006 2020 N/A 1 LOW RISK LAIK PAKAI 130 STETOSKOPE ANAK RUANG ALKES DAN OBAT LITTMEN 3M K11V17056 2020 N/A 1 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 131 STETOSKOPE ANAK RUANG ALKES DAN OBAT LITTMEN 3M K10P26636 2020 N/A 1 LOW RISK LAIK PAKAI 132 STETOSKOPE INFANT RUANG ALKES DAN OBAT LITTMEN 3M L18G21022 2014 N/A 1 LOW RISK LAIK PAKAI 133 STETOSKOPE INFANT RUANG ALKES DAN OBAT LITTMEN 3M L20J21197 2022 N/A 1 LOW RISK LAIK PAKAI 134 STETOSKOPE DEWASA/ANAK RUANG ALKES DAN OBAT RIESTER 3M J19L996733 2015 N/A 1 LOW RISK LAIK PAKAI 135 SUCTION WALL RUANG ALKES DAN OBAT KOMATSU AV-5R 26090 2014 20/09/2023 1 HIGH RISK LAIK PAKAI 136 SUCTION WALL RUANG ALKES DAN OBAT KOMATSU AV-5R 26091 2014 30/01/2023 1 HIGH RISK LAIK PAKAI 137 SUCTION WALL RUANG ALKES DAN OBAT KOMATSU AV-5R 26092 2014 20/09/2023 1 HIGH RISK LAIK PAKAI 138 SUCTION PORTABLE RUANG ALKES DAN OBAT MEDIAIR SUA01 SU11A02001 2011 30/01/2023 1 HIGH RISK LAIK PAKAI 139 SYRINGE PUMP RUANG ALKES DAN OBAT TERUMO TE331 1104000751 2011 30/01/2023 1 MEDIUM RISK LAIK PAKAI 140 SYRINGE PUMP RUANG ALKES DAN OBAT TERUMO SS730 2108010001 2014 21/09/2022 1 MEDIUM RISK LAIK PAKAI 141 SYRINGE PUMP RUANG ALKES DAN OBAT TERUMO SS730 1112000202 2014 22/09/2022 1 MEDIUM RISK LAIK PAKAI 142 SYRINGE PUMP RUANG ALKES DAN OBAT TERUMO SS730 2108010004 2014 21/09/2022 1 MEDIUM RISK LAIK PAKAI 143 SYRINGE PUMP RUANG ALKES DAN OBAT TERUMO SS730 2108010002 2014 26/01/2023 1 MEDIUM RISK LAIK PAKAI 144 STRECHER RUANG ALKES DAN OBAT PARAMOUNT PK21002515A 900104500024 2018 N/A 1 MEDIUM RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 145 STEAM STERILISASI RUANG ALKES DAN OBAT LOCAL PLASTIK 3120880684 2015 N/A 1 LOW RISK LAIK PAKAI 146 STAND BOWEL DOUBLE RUANG ALKES DAN OBAT LOCAL STAINLESS SBD.ORC 2014 N/A 1 LOW RISK LAIK PAKAI 147 TENSIMETER DIGITAL RUANG ALKES DAN OBAT OMRON HEM 2019011 2019 20/09/2022 1 MEDIUM RISK LAIK PAKAI 148 TENSIMETER MANUAL RUANG ALKES DAN OBAT RIESTER EXACTA 180521155 2018 30/01/2023 1 MEDIUM RISK LAIK PAKAI 149 TIMBANGAN BAYI RUANG ALKES DAN OBAT SECCA ELETRIK 1000000601286 2021 23/06/2023 1 LOW RISK LAIK PAKAI 150 TIMBANGAN DIGITAL RUANG ALKES DAN OBAT GEA EB1623 TBD,ORC01 2020 23/06/2023 1 LOW RISK LAIK PAKAI 151 TIANG INFUS RODA 5 RUANG ALKES DAN OBAT LOCAL STAINLESS TI.ORC01-03 2016 N/A 4 LOW RISK LAIK PAKAI 152 TIANG INFUS RODA 5 RUANG ALKES DAN OBAT LOCAL STAINLESS TI.ORC01-03 2016 N/A 2 LOW RISK LAIK PAKAI 153 TROLLEY EKG RUANG ALKES DAN OBAT LOCAL LOCAL TECG,ORCH01 2023 N/A 2 LOW RISK LAIK PAKAI 154 TROLLEY EKG RUANG ALKES DAN OBAT LOCAL LOCAL TECG,ORC02 2023 N/A 2 LOW RISK LAIK PAKAI 155 TROLLEY EMR RUANG ALKES DAN OBAT PARAMOUNT PY712D 901008900016 2016 N/A 2 LOW RISK LAIK PAKAI 156 TROLLEY EMR RUANG ALKES DAN OBAT PARAMOUNT PY712D 9010061900013 2016 N/A 2 LOW RISK LAIK PAKAI

B KB R NO NAMA BARANG RUANGAN MERK QTY GAMBAR KONDISI TYPE SERIAL NUMBER BARANG TAHUN PEROLEHAN TGL KALIBRASI KATEGORI PERALATAN MEDIS KET 157 X-RAY VIEWER 1 FILM NURSE STATION NR 1 FILM XR.ORC01 2014 N/A 1 LOW RISK LAIK PAKAI

PERINATOLOGI 18