Alkes Kalibrasi

DAFTAR USULAN PENGUJIAN DAN KALIBRASI P
DINAS KESEHATAN KABUPATEN LUWU TIM
NO. JENIS PENERIMAAN NEGARA BUKAN PAJAK TARIF (Rp)
1. Pengujian/Kalibrasi
1 Anak Timbangan Kelas F Maximal 200 mg 300,000
2 Anak Timbangan Kelas M Maximal 200 mg 200,000
3 Analytical Balance 150,000
4 Audiometer 330,000
5 Autoclave 260,000
6 Automatic Processing Film (APF) 240,000
7 Bed Side Monitor / Pasien Monitor 490,000
8 Blood Bank 210,000
9 Blood Pressure Monitor 135,000
10 Centrifuge 200,000
11 Centrifuge Refrigerator 350,000
12 Chamber Audiometer 120,000
13 Computed Radiography (CR) / Digital Radiography (DR) 500,000
14 Deep Freezer 320,000
15 Defibrilator with ECG (Electrocardiograph) 250,000
16 Defibrillator / DC Shock 130,000
17 Defibrillator Monitor 250,000
18 Dental Unit 140,000
19 Dosimeter Saku 280,000
20 ECG (Electrocardiograph) Monitor 140,000
21 ECG (Electrocardiograph) Recorder 150,000
22 Elektro Stimulator / EST 240,000
23 Elektro Surgery Unit (ESU) / Couter 290,000
24 Fetal Detector / Doppler 130,000
25 Flow Meter / Regulator Oksigen 160,000
26 Freezer Laboratorium 330,000
27 Grounding / Pertanahan 290,000
28 Hearth Rate Monitor 250,000
29 Infant Warmer 200,000
30 Infusion Pump 240,000
31 Inkubator Perawatan 270,000
32 Instalasi Listrik Medis 610,000
33 Laboratorium Incubator 210,000
34 Laboratorium Refrigerator 210,000
35 Laboratorium Rotator 120,000
36 Lampu Operasi 160,000
37 Light Source 160,000
38 Magnetic Resonance Imaging (MRI) 1,860,000
39 Mesin Anastesi Tanpa Vaporizer Tanpa Ventilator 190,000
40 Micropipet Fix 240,000
41 Micropipet Multi Chanel 240,000
42 Micropipet Variabel 320,000
43 Oven 330,000
44 Pace Maker 90,000
45 Paraffin Bath 210,000
46 Pengujian Thermo Luminisence Dosimeter (TLD) 100,000
47 Photo Therapy Unit / Blue Light 170,000
48 Portable Contentrator Oksigen 240,000
49 Pressure Gauge 200,000
50 Pulse Oximetri (SPO2 Monitor) 150,000
51 Sphygmomanometer / Tensimeter 70,000
52 Spirometer 130,000
53 Sterilisator Basah 170,000
54 Sterilisator Kering 170,000
55 Stirrer 130,000
56 Stop Watch 220,000
57 Suction Pump / Alat Hisap Medik 120,000
58 Suction Wall / Suction Dinding 80,000
59 Survey Meter 440,000
60 Syringe Pump 240,000
61 Thermohygrometer Analog 560,000
62 Thermohygrometer Digital 610,000
63 Thermometer Digital 140,000
64 Thermometer Gelas 340,000
65 Thermometer Klinik 180,000
66 Thermometer Ruang 230,000
67 Timbangan Bayi 150,000
68 Timbangan Digital 140,000
69 Timer 110,000
70 Traksi 140,000
71 Treadmill 140,000
72 Treadmill with EGC (electrocardiograph) / Cardiac Stress Test 150,000
73 Ultra Sonograph (USG) 250,000
74 Ultra Sound Theraphy (UST) 180,000
75 Ultra Violet Sterilizer 150,000
76 Vacuum Extractor 140,000
77 Vaporizer (tanpa gas anaesthesi) 330,000
78 Vaporizer dengan gas Desflurane 1,730,000
79 Vaporizer dengan gas Enflurane 1,730,000
80 Vaporizer dengan gas Halothane 1,730,000
81 Vaporizer dengan gas Isoflurane 1,730,000
82 Vaporizer dengan gas Sevoflurane 1,730,000
Ventilator / Continous Positive Airways Presure
83 330,000
(CPAP) / Respirator Rate / Ventilator Aesthesi
84 Water Bath 180,000
2. Pengujian, Kalibrasi dan Proteksi Radiasi
85 Angiography 930,000
86 CT-Scan 870,000
87 Dental X-Ray 500,000
88 Dental X-Ray Panoramic 510,000
89 Dental X-Ray Panoramic With Chepalometric 510,000
90 General Purpose X-Ray 860,000
91 General Purpose X-Ray with Automatic Exposure Computed (AEC) 1,200,000
92 MSC X-Ray 510,000
93 Mobile C-Arm X-Ray 840,000
94 Mobile Unit X-Ray 730,000
95 Tomography 690,000
96 X-Ray Fluoroscopy (Dual fungsi R/F) 930,000
97 X-Ray Mammography 760,000
3. Uji Kesesuaian
98 Angiography 1,785,000
99 CT-Scan 2,195,000
100 Dental X-Ray Panoramic 1,385,000
101 General Purpose X-Ray 1,560,000
102 Mobile X-Ray 1,385,000
103 X-Ray Mammography 1,785,000
104 X-Ray Fluoroscopy (Dual fungsi R/F) 33,000,000
Mengetahui,
Kepala Puskesmas
AFTAR USULAN PENGUJIAN DAN KALIBRASI PUSKESMAS
DINAS KESEHATAN KABUPATEN LUWU TIMUR
JUMLAH SPESIFIKASI TEKNIS

SATUAN BARANG MEREK MODEL/TIPE NO. SERI
Per 1 anak timbangan

Per 1 anak timbangan
Per pemeriksaan 1 alat
Per pemeriksaan per alat
Per pemeriksaan 1 titik ukur
Per pemeriksaan 1 output
Per pemeriksaan
Per pemeriksaan
Per pemeriksaan 1 outlet


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Alkes Kalibrasi

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Alkes Kalibrasi

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DAFTAR USULAN PENGUJIAN DAN KALIBRASI P

DINAS KESEHATAN KABUPATEN LUWU TIM

NO. JENIS PENERIMAAN NEGARA BUKAN PAJAK TARIF (Rp)

JUMLAH SPESIFIKASI TEKNIS

Per 1 anak timbangan

Per pemeriksaan 1 alat

Per pemeriksaan 1 alat

Per pemeriksaan 1 alat

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