LAPORAN ALAT DAN BAHAN HABIS PAKAI

KLINIK UTAMA NINDHITA

STOK PENERIM PERSEDI SISA PERMINT PEMBERIA BAIK

NOMER NAMA ALAT DAN BAHAN HABIS PAKAI SATUAN
AWAL AAN AAN STOK AAN N
A.
1
NAMA 2 3 4 5 6 7 8 9 10
BAHAN NAMA ALAT DAN BAHAN HABIS PAKAI
HABIS
1 Alat Suntik Sekali Pakai 1 ml Box 7 5
PAKAI
2 Alat Suntik Sekali Pakai 2,5 ml Box 0 0
3 Alat Suntik Sekali Pakai 3 ml Box 8 3
4 Alat Suntik Sekali Pakai 5 ml Box 7 5
5 Alat Suntik Sekali Pakai 10 ml Box 7 5
6 Alat Suntik Sekali Pakai 50 ml Box 2 2
7 Alkohol 70% Btl 1 8
8 Alkohol 95% Btl 1 1
9 Ambuback Dewasa (Manual Resusitator) Set 1 2 3
10 Ambuback Bayi (Manual Resusitator) Set 2 2 4
11 Aseptik GEL / 5 lt Btl 3 3
12 Aseptik GEL / 500 ml Btl 3 24 7
13 Betadine Btl 3 2
14 Blood Glucose Meter Set 2
15 Catgut Chromic 3-0 Rol 1
16 Catgut Chromic 3-0 EP 3 Set 3
17 Catgut Plain 1 EP 5 Rol 1
18 Catgut Plain 2/0 Rol 1
19 Catgut Silk 2/0 Rol 1
20 Celemek Pcs 3
21 Doppler Set 1
22 ECG Set 1
23 ECG GEL Btl 1
24 Foley Catheter No. 16 Pcs 130 200 210
25 Foley Catheter No. 18 Pcs 0 0
26 Funanduskop Pcs 1
27 Hidrofilm / Dermafix 10 x 25 Box 20 10
28 Hipafix Pcs 7 3
29 ID Band Dewasa/ Pink Set 10
30 ID Band Dewasa / Blue Set 10
31 ID Band Bayi / Pink Set 10
32 ID Band Bayi / Blue Set 10
33 Infan Warmer Set 2 2
34 Infusion Set anak Box 5 4
35 Infusion Set dewasa Box 15 7
36 I.V Catheter 18 G Box 7 4
37 I.V Catheter 20 G Box 5 2
38 I.V Catheter 22 G Box 5 4
39 I.V Catheter 24 G Box 3 2
40 I.V Catheter 26 G Box 5 4
41 I.V One Dressing Box 5 5
42 Jarum Jahit Pcs
43 Jarum Bedah Kulit Pcs
44 Jarum Bedah Mukosa Pcs
45 Kapas Putih 1000gr Set 3 2
46 Kasa Hidrofil uk. 40 yard x 80 cm Rol 35 28
47 Kertas USG Set 5 9
48 Lampu sorot Set 2
49 Larutan desinfektan (Onex) / 5 lt Btl 1 1
50 Manset Pcs 0 20 17
51 Masker Box 11 20 22
52 Metlin Pcs 4
53 Nebulizer Set 3
54 NGT 12 FR x 125 cm Pcs 2 2
55 NGT 14 FR x 125 cm Pcs 0 0
56 NGT 16 FR x 120 cm Pcs 11 6
57 Object Glass Prosted Pcs 72 55
58 OGT 5 FR x 120 cm Pcs 31 30
59 OGT 8 FR x 40 cm Pcs 14 8
60 One Swebs Box 3 2
61 Otoklaf Set 1
62 Perhidrol ( H2O2 ) Btl 2 2
63 Phototherapy Eye Protectors (Posey) Pcs 10 10
64 Pispot/ pria Pcs 4
65 Pispot/ wanita (Stikpan Plastik) Pcs 3
66 Plester 5 cm x 4,5 m Pcs 3 0
67 Plester Dermafix 6 x 7 Pcs 3 3
68 Plester Dermafix 10 x 12 Pcs 3 3
69 Pompa Suction (MITYVAC) Pcs 1
70 Reflek Hummer Pcs 1
71 Sarung tangan / handscoon uk. M Box 13 30 8
72 Sarung tangan / handscoon obgyn steril 56 cm Pcs 33 31
73 Sarung tangan / handscoon obgyn non steril 54 cm Pcs 3
74 Sarung tangan karet Pcs 4
75 Saturasi O2 Pcs 6 3
76 Selang O2 dewasa (nasal) Pcs 42 42
 77 Selang O2 dewasa (mask) Pcs 19 18
78 Selang O2 anak (nasal) Pcs 7 5
79 Selang O2 anak (mask) Pcs 0 0
80 Selang O2 bayi (nasal) Pcs 7 7
81 Selang O2 bayi (mask) Pcs 15 15
82 Senter Pcs 1 1
83 Slem sweaker Pcs 77 61
84 Sterilisator Set 2
85 Stetoskop dewasa Pcs 18 4 22 22
86 Stetoskop anak Pcs 2 2
87 Stik urine 10 parameter Box 6 6
88 Suction Cateter Pcs 49 47
89 Sungkup Masker dewasa Pcs 2 2
90 Sungkup Masker bayi Pcs 4 4
91 Syringe Pump Set 2 1 3 3
92 Tensimeter (Raksa) Pcs 2 1
93 Tensimeter (One Med) Pcs 10 2
94 Tensimeter Eleksrik (Tensoval) Pcs 2
95 Tensimeter Anak Pcs 2
96 Termometer (axila) Pcs 14
97 Termometer (rectal) Pcs 13
98 Timbangan dewasa Pcs 2 1
99 Timbangan bayi Pcs 3
100 Torniekuet dewasa Pcs 4
101 Torniekuet anak Pcs 4
102 Transfusi Set Box 3 6 5
103 Umbilical cord klem Box 12 10
104 Underpad Bx 62 42
105 Urine bag Pcs 141 200 270
106 Urine Gluco Protein Tes Box 0 0
107 USG GEL / 5 lt Pcs 1 1
108 USG GEL / kecil Pcs 7 5
109 Vacum (MITYVAC) Pcs 6
110 Vacum (KIWI) Pcs 1
111 Vacum (MISTIK II)/ungu Pcs 1
112 Wing Nedle 21 Pcs 0
113 Wing Nedle 23 Box 13 11

B. NAMA ALAT-ALAT KESEHATAN

1 Abortus tang / kecil Pcs 4
2 Abortus tang / besar Pcs 2
3 Aligator Pcs 2
4 Bak Instrumen Partus Pcs 10
 5 Bak Instrumen Heating Pcs 3
6 Bak Instrumen Curet Pcs 12
7 Baskom DTT Pcs 3
8 Bengkok Pcs 5
9 Busi (Dilatators) 6-5 Pcs 1
10 Busi (Dilatators) 7-5 Pcs 1
11 Cervical Brush Pcs 14
12 Cucing / kecil Pcs 10
13 Cucing Savlon Pcs 3
14 Gunting Episiotomi Pcs 8
15 Gunting Talpus Pcs 2
16 Gunting Benang / tumpul Pcs 11
17 Gunting Benang / lancip Pcs 13
18 Gunting IUD Pcs 1
19 Hakk Pcs 2
20 Korentang Pcs 19
21 Klem Talpus Pcs 35
22 Klem Bengkok Pcs 6
23 Nalfuder / kecil Pcs 5
24 Nalfuder / besar Pcs 11
25 Pinset Anatomis Pcs 9
26 Pinset Cirurgis Pcs 9
27 Sendok Curet No. 00 Pcs 1
28 Sendok Curet No. 1 Pcs 7
29 Sendok Curet No. 2 Pcs 7
30 Sendok Curet No. 3 Pcs 6
31 Sendok Curet No. 4 Pcs 6
32 Sendok Curet No. 5 Pcs 6
33 Sendok Curet No. 6 Pcs 5
34 Sonde Uterus Pcs 6
35 Spatula Vagina Kayu Pcs 7
36 Speculum / besar Pcs 17 12
37 Speculum / kecil Pcs 2 1
38 Speculum Sim / besar Pcs 2
39 Speculum Sim / kecil Pcs 3
40 Tampon Tang Pcs 10
41 Tenaculum Pcs 2
42 Toung spatle Pcs 1
43 Tromol bulat Pcs 4
44 Tromol kotak Pcs 3
45 1/2 cokher Pcs 9
46 Scalpel Knife Handle Pcs 2
 SAMPANG, NOVEMBER

PJ ALKES MENGETAHUI

TIM 01 dr. Hj. Turah SpOG, M. Ke

AHAN HABIS PAKAI

BULAN :
TAHUN : 2016

RUSAK KET

11 12

9/11/2016
9/11/2016

9/11/2016

26/11/2016

lampu
 26/11/2016

3 di R. OK
1

16/11/2016
1
8

26/11/2016
Exp okt 2016
5
1
SAMPANG, NOVEMBER 2016

MENGETAHUI

dr. Hj. Turah SpOG, M. Kes

B. NAMA ALAT-ALAT KESEHATAN
1 Abortus ta Pcs 4
2 Abortus t Pcs 2
3 Aligator Pcs 2
4 Bak Instr Pcs 10
5 Bak Instr Pcs 3
6 Bak Instr Pcs 12
7 Baskom D Pcs 3
8 Bengkok Pcs 3
9 Busi (Dila Pcs 1
10 Busi (Dila Pcs 1
11 Cervical Pcs 14
12 Cucing / k Pcs 10
13 Cucing Sa Pcs 3
14 Gunting E Pcs 8
15 Gunting T Pcs 2
16 Gunting B Pcs 11
17 Gunting B Pcs 13
18 Gunting I Pcs 1
19 Hakk Pcs 2
20 Korentan Pcs 19
21 Klem Tal Pcs 35
22 Klem Ben Pcs 6
23 Nalfuder / Pcs 5
24 Nalfuder Pcs 11
25 Pinset An Pcs 9
26 Pinset Cir Pcs 9
27 Sendok Cu Pcs 1
28 Sendok Cu Pcs 7
29 Sendok Cu Pcs 7
30 Sendok Cu Pcs 6
31 Sendok Cu Pcs 6
32 Sendok Cu Pcs 6
33 Sendok Cu Pcs 5
34 Sonde Ut Pcs 6
35 Spatula V Pcs 7
36 Speculum Pcs 16 12
37 Speculum Pcs 2 1
38 Speculum Pcs 2
39 Speculum Pcs 3
40 Tampon T Pcs 10
41 Tenaculu Pcs 2
42 Toung spa Pcs 1
 43 Tromol bu Pcs 4
44 Tromol k Pcs 3
45 1/2 cokhe Pcs 9
46 Scalpel K Pcs 2

SAMPANG, OKTOBER 2016

PJ ALAT MENGETAHUI

Devi Rachmayanti, Amd. Keb dr. Hj. Turah SpOG, M.Kes

4
1
G, OKTOBER 2016

rah SpOG, M.Kes