Nomor : 04PPBJDinkes-AsmtV2015
Tanggal : 13 Mei 2015
NO
Merk Type Model
N. Asal Surat Dukungan
PabrikAgen TunggalDistribut
or BrosurGamb
ar Alat Letter of Authorisation
LoA Izin Edar Kemenkes
RISertifikasi Mutu ISO,TUV,CE,dll.
I POLIKLINIK SET
8 Paket A. layananPengobatan Umum
1 Baki Logam Tempat Alat Steril Bertutup
2 Unit √
√ -
Specification : - Made of stainless steel
2 Bingkai Kaca Mata
1 Unit √
√ -
Specification : - Frame made of metal
- PD distance : 48-76 mm - Frame adjustable length : 35 mm
- Nose pad adjustable length : 22 mm - Maximum available lens : 6 pcs
- Axis of lens : 0-180°
3 Kaca Kepala
1 Unit √
√ -
Specification : - Adjustable band
- Mirror : Approx. Ø 90 mm - Hole : Approx. Ø 19 mm
4 Kaca Pembesar
2 Unit -
√ -
Spesifikasi : - Bahan terbuat dari kaca
- Pegangan Bingkai terbuat dari Plastik 5
Lampu Periksa 2 Unit
√ √
√ Specification :
- Shadowless high-performance LED light for examination with adjustable arm - The absence of UV or infrared in the light beam is suitable to light heat - sensitive parts
- Foldable stainless steel base with 5 x Ø50 mm. Castors - Light Intensity : 30.000lux 50cm
- Color temperature : 6000ºK - Voltage : 12V
- Angle : 30° - Input power : 3 x 3W
6 Lemari Alat
2 Unit √
√ √
Specification : - Construction
: Steel Plat - Dimension
: Approx. 900X400X1700mm - Door
: 2 Two - Finishing
: Epoxy Powder Coating 7
Meja Instrumen 2 Unit
√ √
√ Specification :
- Construction : Stainless Steel Non Magnetic
Lampiran Berita Acara Penjelasan: DINAS KESEHATAN KABUPATEN ASMAT TAHUN ANGGARAN 2015
REVISI DAFTAR SPESIFIKASI DAN ADMINISTRASI TEKNIS ALAT YANG DISYARATKAN PENGADAAN ALAT KESEHATANPENUNJANG UNTUK PUSKESMAS PERAWATAN
VOLUME NAMA ALAT DAN SPESIFIKASI TEKNIS
Page 1 of 9
NO
Merk Type Model
N. Asal Surat Dukungan
PabrikAgen TunggalDistribut
or BrosurGamb
ar Alat Letter of Authorisation
LoA Izin Edar Kemenkes
RISertifikasi Mutu ISO,TUV,CE,dll.
VOLUME NAMA ALAT DAN SPESIFIKASI TEKNIS
- Dimension : Approx. 600 x 400 x 800mm
- Drawer : Stainless Steel Non Magnetic, Equipped with handle
- Shelves : 2 Two stainless steel sheet H.I. Non magnetic
- Handle : Stainless Steel pipe Non Magnetic
- Guard List : Stainless Steel Non Magnetic
- Castor : 2
- Finishing : Polishing
8 Meteran
3 Unit -
√ -
Specification : - Made substance from vynil
- Measuring range : 150 cm - Graduation : 1 mm
9 Palu Pengukur Refleks
2 Unit √
√ √
Specification : - Made of stainless steel
10 Stetoskop Anak
3 Unit √
√ √
Specification : - Dual head
- Light weight - Switchable
11 Stetoskop Dewasa
3 Unit √
√ √
Specification : - Dual head
- Light weight - Switchable
12 Stop Watch
2 Unit -
√ -
Specification : - 1100 Sec stopwatch
- Splitlap time - Normal time
- Hours, minutes, seconds - Day, date, month
13 Sudip Lidah,Logam Panjang 17 cm
3 Unit √
√ √
Specification : - Made of stainless steel
14 Tempat Tidur Periksa dan Perlengkapannya
2 Unit √
√ √
Specification : - Construction
: Stainless Steel Pipe Non Magnetic - Dimension
: Approx. 2000x650x800mm - Mattress
: FOAM, Imitation Leather - Finishing
: Polishing Foot Step
Specification : - Construction
: Stainless Steel Pipe Non Magnetic - Consist
: Two step with rubber sheet cover - Dimension
: Approx. 400 x 400 x 330 mm - Finishing
: Polishing
Page 2 of 9
NO
Merk Type Model
N. Asal Surat Dukungan
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