lampiran Berita Acara Penjelasan perawatan

(1)

NO

Merk

Type / Model

N. Asal

Surat Dukungan

Pabrik/Agen

Tunggal/Distribut

or

Brosur/Gamb

ar Alat

Letter of Authorisation

(LoA)/ Izin Edar

Kemenkes

RI/Sertifikasi Mutu

(ISO,TUV,CE,dll.)

I POLIKLINIK SET 8 Paket

A. layanan/Pengobatan 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

DINAS KESEHATAN KABUPATEN ASMAT TAHUN ANGGARAN 2015

VOLUME NAMA ALAT DAN SPESIFIKASI TEKNIS


(2)

(ISO,TUV,CE,dll.)

- 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 : - 1/100 Sec stopwatch - Split/lap 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


(3)

(ISO,TUV,CE,dll.)

15 Tensimeter Anak 3 Unit √ √ √

Specification :

- Range 0-300 mm/Hg, high precision mercury apparatus in dye cast aluminium case - Glass tube of excellent precision.

- Easy to read anodized graduation plate.

- All metal parts chrome-plated, with mercury locking device complete with adult velcro cuff and metal ring.

- Cuff with single tube 45x10 cm

16 Tensimeter Dewasa 3 Unit √ √ √

Specification :

- Range 0-300 mm/Hg, high precision mercury apparatus in dye cast aluminium case - Glass tube of excellent precision.

- Easy to read anodized graduation plate.

- All metal parts chrome-plated, with mercury locking device complete with adult velcro cuff and metal ring.

17 Termometer Dahi dan Telinga 2 Unit √ √ √

Specification :

- Display range : 32-42°

- Accuracy : +/- 0.1°

- Min.scale : 0.1

- Memory : 10

- Checking time : 1 second

Beeper Function

- Auto shut-off : after 1 min

- Battery : LR/SR41

- Size : 140 x 70 x 40 mm

- Weight : 70 g w/o battery

18 Termometer Dewasa 2 Lsn √ √ √

Specification :

- Celcius scales, range : Approx 35ºC to 42ºC

19 Timbangan Anak + Pengukur Tinggi Badan 2 Unit √ √ √

Specification :

- Body weighing max. weight : Approx 120 kg

Sub-divisions of the weighing dial : 0,5 kg - Height Measuring

Height measuring range : Approx 70-190 cm

Sub-divisions of graduation : Approx 0.5 cm

- Size of platform (L x W) : Approx 385 x 280 mm

- Overal dimensions (L x W x H) : Approx 910 x 340 x 295 mm

- N weight : 14 kg

- G Weight : 16 kg

20 Timbangan Dewasa 2 Unit √ √ √

Specification : - Capacity : 120 Kg - Graduation : 0.5 Kg - Meas : 27 x 26 x 5 cm

21 Tromol Stainless 2 Unit √ √

-Specification : - Made of stainless steel


(4)

(ISO,TUV,CE,dll.)

22 Viewer X-Ray Double 2 Unit √ √ √

Specification :

- Power Supply : AC220V

- Frequency : 50 Hz

- Power Consumption : < 80W

- Screen Size : Approx. 720 x 435 mm

- Dimension : Approx. 800 x 540 x 120 mm

23 Sterilisator kering 2 Unit √ √ √

Specification :

- Ozone cleaning for upper cabinet

- Infrared rays high temperature sterilizing for lower cabinet

- Body dimension (LxWxH) : 435 x 333 x 795 mm

- Reted Capacity : 80 L

- Rated Voltage : 220 V

- Rated Frequency : 50 Hz

- Rated Power of heating tube : 550 W

- Rack in upper cabinet : 1

- Rack in lower cabinet : 2

- Temperature in lower cabinet : 120 – 170°C

- Ozone chroma : 10 – 15 mg/ m3

- Ozone time : 15 min

B.Indera Pendengaran

1 Alat Penghisap/Suction pump 2 Unit √ √ √

Specification :

- Power supply : 230V/50-60Hz 185VA

- Power consumption : 110V/60Hz 195VA

- Suction power : 26 l/min

- Max vacuum : 0,75 bar - 563 mmHg / -75 kPa

- Dimensions : Approx. 300 x 190 x 160 (H) mm

- Weight : Approx. 2,5 kg

- JAR : 1 x 1 L jar

2 Aligator Forceps 3 Unit √ √ √

Specification : - Made of stainless steel

3 Corong Telinga/Spekulum Telinga Ukuran Kecil,Sedang Besar 3 Unit √ √ √

Specification : - Made of stainless steel

4 Ear Syrings 3 Unit √ √ √

Specification : - Made of stainless steel

5 Garpu Tala 512 Hz 2 Unit √ √ √

Specification : - Made of stainless steel

6 Handle Kaca Larings 2 Unit √ √ √

Specification : - Made of stainless steel


(5)

(ISO,TUV,CE,dll.)

7 Kaca Larings ukuran 2,4,5,6 2 Unit √ √ √

Specification : - Made of stainless steel

8 Kaca Nasopharing Ukuran 2,4,5,6 2 Unit √ √ √

Specification : - Made of stainless steel

9 Lampu Kepala/Head Lamp + Adaptor AC/DC 2 Unit √ √ √

Spesification : - Yellow Light LED Lamp - ABS Casing - Adjustable Light Intencity - Light and Comfort to put on - Rechargeable Lithium battery - 10.000/H Life time

10 Lampu Spiritus 3 Unit √ √

-Specification : - Made of stainless steel

11 Nierbeken Besar 3 Unit √ √

-Specification : - Made of stainless steel

12 Otoscope 2 Unit √ √ √

Spesification :

- 2,5 V. standard illumination

- Chrome plated handle, 4 x magnifying glass - 3 reusable specula included

- Connection for pneumatic otoscopy - Battery handle for 2 C batteries - Rheostat for adjustment of illumination

13 Pelilit Kapas/Cotton Aplicator 2 Unit √ √ √

Specification : - Made of stainless steel

14 Pengait Serumen dan Sendok Serumen 3 Unit √ √ √

Specification : - Made of stainless steel

15 Pinset Bayonet 2 Unit √ √ √

Specification : - Made of stainless steel

16 Speculum Hidung Bayi,Anak,Dewasa 3 Unit √ √ √

Specification : - Made of stainless steel

17 Sudip Lidah,Logam Panjang 17 cm 2 Unit √ √ √

Specification : - Made of stainless steel C. Indera Mata


(6)

(ISO,TUV,CE,dll.)

1 Ishihara Book 14 Plates 2 Unit - √

-Specification : - Isi 14 lembar/Buku

2 Lampu Senter 2 Unit - √

-Specification :

- Body : Plastic

- Battery : 3 x 1.5 V

3 Opthalmoscope 2 Unit √ √ √

Specification :

- Standard illumination 2,5 V.

- Corrective lenses ranging from 0 to +20 and from 0 to -20 diopters, aperture large circle - Battery handle for 2 C batteries

4 Optivisor 2 Unit √ √ √

Specification :

- Two magnifying systems (2.2X and 3.3X).

- The system is mounted on an adjustable webbing head band and provided with two separate lenses

- The first lens provides a 2.2 X magnification, moving down the second lens, we reach a total 3.3 X magnification

- The superior quality of this lens permits high precision examinations

- The HEAD LOUPE magnifying system can be used in combination with any kind of glasses - Working distance : Approx. 30 cm

5 Snellen Cart 2 Jenis(E Cart + Alphabet Chart) 1 Unit √ √ √

Specification :

- Steel structure with heat toughened thermosetting powder coating - Manufactured with acrylic screen, fuses, green light for On/Off and Shuko plug - Power supply : 230 V 50-60 Hz

- External Dimension : Approx. 29 x 67 x 12 cm - Viewing Area : 24x62 (cm)

- Weight : Approx. 0,7 kg - Monoyer 3m - Armagnac 5m

6 Tonometer Schiotz 2 Unit √ √ √

Specification :

- Instrument according to prof. schiotz for measuring eye pressure - Jewel operated. Complete with three weight

- International standard built - Pressure

- Scale reading Plunger load

5.5gm 7.5gm 10.0gm 0 41.5 59.1 81.7 0.5 37.8 54.2 75.1 1 34.5 49.8 69.3 1.5 31.6 45.8 64 2 29 42.1 59.1 2.5 26.6 38.8 54.7 3 24.4 35.8 50.6 3.5 22.4 33 46.9 4 20.6 30.4 43.4 4.5 18.9 28 40.2


(7)

(ISO,TUV,CE,dll.)

5 17.3 25.8 37.2

5.5 15.9 23.8 34.4 6 14.6 21.9 31.8 6.5 13.4 20.1 29.4 7 12.2 18.5 27.2 7.5 11.2 17 25.1 8 10.2 15.6 23.1 8.5 9.4 14.3 21.3 9 8.5 13.1 19.6 9.5 7.8 12 18 10 7.1 10.9 16.5 10.5 6.5 10 15.1 11 5.9 9 13.8 11.5 5.3 8.3 12.6 12 4.9 7.5 11.5 12.5 4.4 6.8 10.5 13 4 6.2 9.5 13.5 5.6 8.6 14 5 7.8 14.5 4.5 7.1 15 4 6.4 15.5 ' 5.8 16 ' 5.2 16.5 ' 4.7 17 ' 4.2

7 Trial Lens Set With Trial Frame 2 Unit √ √ √

Specification :

- Concave Cylinder : (-0.25) - (-2.0)

- Concave Sphere : (-0.25) - (-14)

- Convex Sphere : (+0.25) - (+6)

- Convex Cylinder : (+0.25) - (+2.0)

- Prisma : 8 Pcs

- Accessory : Trial Frame 1 pcs

II EMERGENCY SET 8 PKT

1 Diagnostic set 3 set √ √ √

Specification :

2,5 V standard illumination for use with 2 batteries type C. Including :

- Otoscope head : Pin contact fitting.

: Chrome plated.

: Proective movable lens 4X on plastic frame - 3 Reusable specula are included.

- May-Ophthalmoscope head : Pin contact fitting.

: Lens selection wheel permits choice of

corrective lenses from 0 to +20 and 0 to -20 diopters. - Single large circle aperture.

- Bent-arm illuminator : Pin contact fitting.

Chrome plated.

- Tongue blade holder : Chrome plated.

- Nasal speculum : Chrome plated.

- Two laryngeal mirrors : n. 3 and 4.

- Battery Handle : 28mm.


(8)

(ISO,TUV,CE,dll.)

: Rheostat for adjusment of illumination.

- Replacement bulb : 2,5V

2 Set Pemberian Oksigen 10 set √ √ √

Specification : - Oxygen Cylinder 1m³

- Oxygen Regulator Made From Transfarent Plastic - Humidifier

- Flowmeter

- Vinyl Mask with Tubing (Adult and Child) - Carrying Stand made from Steel Tube Pipe

3 Oksigen (Tabung besar) +canule 10 set √ √ √

III IMUNISASI SET 8 PKT

1 ADS (Auto Disable Syringe) 0.05ml 5 Box - √

-2 Safety Box @isi 50 6 Box - √

-IV LABORATORIUM SET 8 PKT

1 Rotator 2 Unit √ √ √

Spesification :

- Speed : 20 - 240 rpm

- Timer : 99 hours and 59 minutes digital timer

- Display : Digital Display for present speed value and remaining time

- Platform Dimensions : 280 x 280 ( mm )

- Orbit Diameter : 20 mm

- Load Capacity : 2.0 kgs at the speed from 20 ~ 150 rpm

: 1.0 kgs at the speed from 151 ~ 240 rpm

- Accessories : 1 pc of spring

- Power Supply : AC 220 V , 50/60 Hz

2 Cold Chain 1 Unit √ √ √

Spesification :

- External dimensions (HxWxL) : 830 x 720 x 975

- Shipping weight (kg) : 76

- Vaccine storage capacity (litres) : 2 x 12 = 24 - Frozen ice pack storage capacity : 4 x 0,6 = 2,4

- Absorption compartment : Cooling unit heating element aladin 32 burner kerosene tank - Control panel : Situated at the top of the unit ; 1 electro thermostat - Cooling system : Absorption cooling unit filled with NH3 for 120W

- Energy consumption : 2,46 kWh/24h at 32°C amb. Temp.

- Kerosene consomption : 0,76lts/24h at 32°C amb.temp.

- Insulation : 100mm Polyurethane foam, foaming agent : Cyclopentane

- Ice pack freezing : Ice pack freezing with vaccine; 2,4kg/24h at 32°C amb.temp

- Outer body : Rotomouled with polyethylene lockablelid with 2 catches

Silicon gasket ensures, tight sealing, 1 dial thermometer to control the temperature burner lighting instruction on the lid safety distance spacer bar.

- Hold over during power cut : 6,5 hrs. at 32°C amb.temp

- WHO test procedure : E3 / PROC / 5 and E3 / PROC / 8

- WHO specification : E3 / RF 2 and E3 / RF 6

- Voltage : 230 V 50/60Hz

3 Urine Analizer + Strip 1 Unit √ √ √


(9)

(ISO,TUV,CE,dll.)

- Measurement Principle : Dual Wavelength reflactance methode

- Measuring wave length : 3 LED wavelength ( 565, 632, 755 nm )

- Sample suplly : Manual Dipping

- Throughtput : 50 test per hour

- Reaction Time : 60 seconds per test

- Display : Custom liquid crystal display

- Data Memory : 100 test

- External Output : RS 232 C

- Operating environmental : Temperature : 10º - 30 º C , Humidity 30 - 60 % RH

- Dimensions : 124 x 81 x 36 mm ( WxDxH )

- Weight : 180 grams

- Power supply : Alakline Battery x 2 or AC Adapter

- Reagent : Test strip 10 measurement

4 Blood Lancet Set 2 Set √ √ √

Specification :

- Adjustable tip, allows precise customization of lancet penetration - Include 10 lancet

5 Hemocytometer set 2 Set √ √ √

Consist of :

- Erythrocyte pipette : 1 pc

- Leucocyte pipette : 1 pc

- Mouthpieces with rubber tubing : 1 pc

- Counting chamber : 1 pc

- Optically plane cover glasses : 2 pcs

6 Westergreen Set 2 Unit - √

-7 Sentrifuge Mikrohematokrit 2 Unit √ √ √

Specification :

- Speed : Fixed 12000 rpm

- Capacity : 24 tubes

- Reader : Percentage Reader

- Timer : 0~15 minutes

- Power Supply : 110/220V, 0/60Hz. 1.8/0.9A

- Overall Dimension : W220 x H240 x H200 mm

- Net Weight : 10 Kg

- Gross Weight : 10, 5 Kg

8 Kotak Penyimpanan (Box Slide) 6 Unit √ √

-9 Bunsesn 1 Unit √ √ √

10 Pipet Tetes 6 Unit - √

-11 Rak Pengering Slide 2 Unit - √

-Catatan:

= Dipersyaratkan

- = Tidak dipersyaratkan


(1)

(ISO,TUV,CE,dll.)

22 Viewer X-Ray Double 2 Unit √ √ √

Specification :

- Power Supply : AC220V

- Frequency : 50 Hz

- Power Consumption : < 80W

- Screen Size : Approx. 720 x 435 mm - Dimension : Approx. 800 x 540 x 120 mm

23 Sterilisator kering 2 Unit √ √ √

Specification :

- Ozone cleaning for upper cabinet

- Infrared rays high temperature sterilizing for lower cabinet - Body dimension (LxWxH) : 435 x 333 x 795 mm

- Reted Capacity : 80 L

- Rated Voltage : 220 V

- Rated Frequency : 50 Hz

- Rated Power of heating tube : 550 W - Rack in upper cabinet : 1 - Rack in lower cabinet : 2 - Temperature in lower cabinet : 120 – 170°C - Ozone chroma : 10 – 15 mg/ m3

- Ozone time : 15 min

B.Indera Pendengaran

1 Alat Penghisap/Suction pump 2 Unit √ √ √

Specification :

- Power supply : 230V/50-60Hz 185VA - Power consumption : 110V/60Hz 195VA

- Suction power : 26 l/min

- Max vacuum : 0,75 bar - 563 mmHg / -75 kPa - Dimensions : Approx. 300 x 190 x 160 (H) mm

- Weight : Approx. 2,5 kg

- JAR : 1 x 1 L jar

2 Aligator Forceps 3 Unit √ √ √

Specification : - Made of stainless steel

3 Corong Telinga/Spekulum Telinga Ukuran Kecil,Sedang Besar 3 Unit √ √ √

Specification : - Made of stainless steel

4 Ear Syrings 3 Unit √ √ √

Specification : - Made of stainless steel

5 Garpu Tala 512 Hz 2 Unit √ √ √

Specification : - Made of stainless steel

6 Handle Kaca Larings 2 Unit √ √ √

Specification : - Made of stainless steel


(2)

(ISO,TUV,CE,dll.)

7 Kaca Larings ukuran 2,4,5,6 2 Unit √ √ √

Specification : - Made of stainless steel

8 Kaca Nasopharing Ukuran 2,4,5,6 2 Unit √ √ √

Specification : - Made of stainless steel

9 Lampu Kepala/Head Lamp + Adaptor AC/DC 2 Unit √ √ √

Spesification : - Yellow Light LED Lamp - ABS Casing - Adjustable Light Intencity - Light and Comfort to put on - Rechargeable Lithium battery - 10.000/H Life time

10 Lampu Spiritus 3 Unit √ √

-Specification : - Made of stainless steel

11 Nierbeken Besar 3 Unit √ √

-Specification : - Made of stainless steel

12 Otoscope 2 Unit √ √ √

Spesification :

- 2,5 V. standard illumination

- Chrome plated handle, 4 x magnifying glass - 3 reusable specula included

- Connection for pneumatic otoscopy - Battery handle for 2 C batteries - Rheostat for adjustment of illumination

13 Pelilit Kapas/Cotton Aplicator 2 Unit √ √ √

Specification : - Made of stainless steel

14 Pengait Serumen dan Sendok Serumen 3 Unit √ √ √

Specification : - Made of stainless steel

15 Pinset Bayonet 2 Unit √ √ √

Specification : - Made of stainless steel

16 Speculum Hidung Bayi,Anak,Dewasa 3 Unit √ √ √

Specification : - Made of stainless steel

17 Sudip Lidah,Logam Panjang 17 cm 2 Unit √ √ √

Specification : - Made of stainless steel C. Indera Mata


(3)

(ISO,TUV,CE,dll.)

1 Ishihara Book 14 Plates 2 Unit - √

-Specification : - Isi 14 lembar/Buku

2 Lampu Senter 2 Unit - √

-Specification :

- Body : Plastic

- Battery : 3 x 1.5 V

3 Opthalmoscope 2 Unit √ √ √

Specification :

- Standard illumination 2,5 V.

- Corrective lenses ranging from 0 to +20 and from 0 to -20 diopters, aperture large circle - Battery handle for 2 C batteries

4 Optivisor 2 Unit √ √ √

Specification :

- Two magnifying systems (2.2X and 3.3X).

- The system is mounted on an adjustable webbing head band and provided with two separate lenses

- The first lens provides a 2.2 X magnification, moving down the second lens, we reach a total 3.3 X magnification

- The superior quality of this lens permits high precision examinations

- The HEAD LOUPE magnifying system can be used in combination with any kind of glasses - Working distance : Approx. 30 cm

5 Snellen Cart 2 Jenis(E Cart + Alphabet Chart) 1 Unit √ √ √

Specification :

- Steel structure with heat toughened thermosetting powder coating - Manufactured with acrylic screen, fuses, green light for On/Off and Shuko plug - Power supply : 230 V 50-60 Hz

- External Dimension : Approx. 29 x 67 x 12 cm - Viewing Area : 24x62 (cm)

- Weight : Approx. 0,7 kg - Monoyer 3m - Armagnac 5m

6 Tonometer Schiotz 2 Unit √ √ √

Specification :

- Instrument according to prof. schiotz for measuring eye pressure - Jewel operated. Complete with three weight

- International standard built - Pressure

- Scale reading Plunger load

5.5gm 7.5gm 10.0gm 0 41.5 59.1 81.7 0.5 37.8 54.2 75.1 1 34.5 49.8 69.3 1.5 31.6 45.8 64 2 29 42.1 59.1 2.5 26.6 38.8 54.7 3 24.4 35.8 50.6 3.5 22.4 33 46.9 4 20.6 30.4 43.4 4.5 18.9 28 40.2


(4)

(ISO,TUV,CE,dll.)

5 17.3 25.8 37.2

5.5 15.9 23.8 34.4 6 14.6 21.9 31.8 6.5 13.4 20.1 29.4 7 12.2 18.5 27.2 7.5 11.2 17 25.1 8 10.2 15.6 23.1 8.5 9.4 14.3 21.3 9 8.5 13.1 19.6 9.5 7.8 12 18 10 7.1 10.9 16.5 10.5 6.5 10 15.1 11 5.9 9 13.8 11.5 5.3 8.3 12.6 12 4.9 7.5 11.5 12.5 4.4 6.8 10.5 13 4 6.2 9.5 13.5 5.6 8.6 14 5 7.8 14.5 4.5 7.1 15 4 6.4 15.5 ' 5.8 16 ' 5.2 16.5 ' 4.7 17 ' 4.2

7 Trial Lens Set With Trial Frame 2 Unit √ √ √

Specification :

- Concave Cylinder : (-0.25) - (-2.0) - Concave Sphere : (-0.25) - (-14) - Convex Sphere : (+0.25) - (+6) - Convex Cylinder : (+0.25) - (+2.0)

- Prisma : 8 Pcs

- Accessory : Trial Frame 1 pcs

II EMERGENCY SET 8 PKT

1 Diagnostic set 3 set √ √ √

Specification :

2,5 V standard illumination for use with 2 batteries type C. Including :

- Otoscope head : Pin contact fitting. : Chrome plated.

: Proective movable lens 4X on plastic frame - 3 Reusable specula are included.

- May-Ophthalmoscope head : Pin contact fitting.

: Lens selection wheel permits choice of

corrective lenses from 0 to +20 and 0 to -20 diopters. - Single large circle aperture.

- Bent-arm illuminator : Pin contact fitting. Chrome plated. - Tongue blade holder : Chrome plated. - Nasal speculum : Chrome plated. - Two laryngeal mirrors : n. 3 and 4.

- Battery Handle : 28mm.


(5)

(ISO,TUV,CE,dll.)

: Rheostat for adjusment of illumination.

- Replacement bulb : 2,5V

2 Set Pemberian Oksigen 10 set √ √ √

Specification : - Oxygen Cylinder 1m³

- Oxygen Regulator Made From Transfarent Plastic - Humidifier

- Flowmeter

- Vinyl Mask with Tubing (Adult and Child) - Carrying Stand made from Steel Tube Pipe

3 Oksigen (Tabung besar) +canule 10 set √ √ √

III IMUNISASI SET 8 PKT

1 ADS (Auto Disable Syringe) 0.05ml 5 Box - √

-2 Safety Box @isi 50 6 Box - √

-IV LABORATORIUM SET 8 PKT

1 Rotator 2 Unit √ √ √

Spesification :

- Speed : 20 - 240 rpm

- Timer : 99 hours and 59 minutes digital timer

- Display : Digital Display for present speed value and remaining time - Platform Dimensions : 280 x 280 ( mm )

- Orbit Diameter : 20 mm

- Load Capacity : 2.0 kgs at the speed from 20 ~ 150 rpm : 1.0 kgs at the speed from 151 ~ 240 rpm - Accessories : 1 pc of spring

- Power Supply : AC 220 V , 50/60 Hz

2 Cold Chain 1 Unit √ √ √

Spesification :

- External dimensions (HxWxL) : 830 x 720 x 975 - Shipping weight (kg) : 76

- Vaccine storage capacity (litres) : 2 x 12 = 24 - Frozen ice pack storage capacity : 4 x 0,6 = 2,4

- Absorption compartment : Cooling unit heating element aladin 32 burner kerosene tank - Control panel : Situated at the top of the unit ; 1 electro thermostat - Cooling system : Absorption cooling unit filled with NH3 for 120W - Energy consumption : 2,46 kWh/24h at 32°C amb. Temp. - Kerosene consomption : 0,76lts/24h at 32°C amb.temp.

- Insulation : 100mm Polyurethane foam, foaming agent : Cyclopentane - Ice pack freezing : Ice pack freezing with vaccine; 2,4kg/24h at 32°C amb.temp - Outer body : Rotomouled with polyethylene lockablelid with 2 catches

Silicon gasket ensures, tight sealing, 1 dial thermometer to control the temperature burner lighting instruction on the lid safety distance spacer bar.

- Hold over during power cut : 6,5 hrs. at 32°C amb.temp - WHO test procedure : E3 / PROC / 5 and E3 / PROC / 8 - WHO specification : E3 / RF 2 and E3 / RF 6

- Voltage : 230 V 50/60Hz

3 Urine Analizer + Strip 1 Unit √ √ √


(6)

(ISO,TUV,CE,dll.)

- Measurement Principle : Dual Wavelength reflactance methode

- Measuring wave length : 3 LED wavelength ( 565, 632, 755 nm ) - Sample suplly : Manual Dipping

- Throughtput : 50 test per hour - Reaction Time : 60 seconds per test - Display : Custom liquid crystal display

- Data Memory : 100 test

- External Output : RS 232 C

- Operating environmental : Temperature : 10º - 30 º C , Humidity 30 - 60 % RH - Dimensions : 124 x 81 x 36 mm ( WxDxH )

- Weight : 180 grams

- Power supply : Alakline Battery x 2 or AC Adapter - Reagent : Test strip 10 measurement

4 Blood Lancet Set 2 Set √ √ √

Specification :

- Adjustable tip, allows precise customization of lancet penetration - Include 10 lancet

5 Hemocytometer set 2 Set √ √ √

Consist of :

- Erythrocyte pipette : 1 pc - Leucocyte pipette : 1 pc - Mouthpieces with rubber tubing : 1 pc - Counting chamber : 1 pc - Optically plane cover glasses : 2 pcs

6 Westergreen Set 2 Unit - √

-7 Sentrifuge Mikrohematokrit 2 Unit √ √ √

Specification :

- Speed : Fixed 12000 rpm

- Capacity : 24 tubes

- Reader : Percentage Reader

- Timer : 0~15 minutes

- Power Supply : 110/220V, 0/60Hz. 1.8/0.9A - Overall Dimension : W220 x H240 x H200 mm

- Net Weight : 10 Kg

- Gross Weight : 10, 5 Kg

8 Kotak Penyimpanan (Box Slide) 6 Unit √ √

-9 Bunsesn 1 Unit √ √ √

10 Pipet Tetes 6 Unit - √

-11 Rak Pengering Slide 2 Unit - √

-Catatan:

= Dipersyaratkan

- = Tidak dipersyaratkan