SUB TOTAL SELESAI KURANG CANCEL

27 28 2 3 4
GMM 138 119 31 35 27 15 11 11 8

NAMA ALAT PO SELESAI 27 28 2 3 4 KURANG CANCEL

Autoclave Steam 1 1 1
Autoclave kering 1 0 1
Bedside Monitor 25 21 12 3 3 3
Bio Safety Cabinet 2 0
Blood Stroge Refrigerator 1 0
Bubble CPAP 2 3 2 1
Centrifuge 1 1 1
CT Scan 128 Slide 1 1 1
Defibrilator 1 1 1
Echo 1 1 1
EKG 5 5 1 4
Elektrosurgical Unit 3 3 3
Endo Mate DT NSK 1 0 1
Endoscopy THT 1 0 1
Infusion Pump 6 7 3 4
Incubator 2 2 2
Lensometer 1 0
Mesin Anastesi 3 3 2 1
Mesin EECP 1 1 1
Microskop THT 1 0
Miscroskop 1 1 1
Nebulizer 4 2 1 1
Neopuf 1 1 1
Pulse Oxymetri 5 6 1 4 1
Radiology Konvensional 500 mA 1 0 1
Slit Lamp 1 0
Spirometri 1 1 1
Syringe pump 8 5 4 1 3
Tensimeter 16 19 3 11 4 1
Thermohygrometer 4 0
Thermometer Badan 4 0
Timbangan Badan 6 7 6 1
Timbangan Analitik Digital 3 2 2 1
Timbangan 2 Kg 1 1 1
Timbangan 5 Kg 1 1 1
Timbangan 10 Kg 1 1 1
Timbangan Bayi 3 4 4
Treadmil 1 1 1
USG 3 4 1 2 1
Ventilator 4 4 4
Suction Pump 4 4 1 3
Phototherapy 1 1 1 Tambahan
Lampu Operasi 4 4 4

TAMBAHAN
RUSAK
KELEBIHAN
No. Nama Alat Sisa Rusak
1 Autoclave Kering 1 1
2 Bedside Monitor 4 2
3 Biosafety Cabinet 2
4 Blood Storage Refrigerator 1
5 Lensometer 1
6 Mikroskop THT 1
7 Nebulizer 2
8 Slitlamp 1
9 Thermohygrometer 4
10 Termometer Badan 4
11 Timbangan Analitik Digital 1
Sisa Alat 22 3
No Nama Alat Merk Type
1 Bedside Monitor Comen STAR 8000
2 Bedside Monitor Comen STAR 8000
3 Bedside Monitor Comen STAR 8000
4 Bedside Monitor Comen STAR 8000
5 Bedside Monitor Comen STAR 8000
6 Bedside Monitor Comen STAR 8000
7 Bedside Monitor Comen STAR 8000
8 Bedside Monitor Comen STAR 8000
9 Bedside Monitor Comen STAR 8000
10 Bedside Monitor Comen STAR 8000
11 Bedside Monitor Comen STAR 8000
12 Bedside Monitor CT-SCAN IVY MONITOR 7800
13 Syringe Pump Fresenius Kabi Injectomat Agilia
14 Syringe Pump Fresenius Kabi Injectomat Agilia
15 Syringe Pump Fresenius Kabi Injectomat Agilia
16 Syringe Pump Fresenius Kabi Injectomat Agilia
17 Infusion Pump Terumo TE-LF 600
18 Infusion Pump Fresenius Kabi Optima VSIS
19 Infusion Pump Fresenius Kabi Optima VSIS
20 Tensimeter Riester Nova presameter
21 Tensimeter Riester Nova presameter
22 Tensimeter Riester Nova presameter
23 Bubble CPAP Lokal AD SERIES
24 Bubble CPAP Lokal AD SERIES
25 USG GE LOGIQ 200 MD
26 Defibrilator METSIS LIFE POINT
27 CT-SCAN GE HEALTHCARE OPTIMA CT660
28 MIKROSKOP
29 Pulse Oxymeter BEURER
30 Centrifuge Top Centrifuge PLC 03
31 ECG Sonoscape IE3
32 Pulse Oxymeter BEURER P030
33 Pulse Oxymeter Mindray PM-60
34 Pulse Oxymeter - PULSE OXYMETRI
35 Pulse Oxymeter - PULSE OXYMETRI
36 Bedside Monitor Comen STAR 8000
37 Bedside Monitor Comen STAR 8000
38 Bedside Monitor Comen STAR 8000
39 Infusion Pump Fresenius Kabi Optima VSIS
40 Infusion Pump Fresenius Kabi Optima VSIS
41 Infusion Pump Fresenius Kabi Optima VSIS
42 Infusion Pump (Tambahan) Fresenius Kabi Optima VSIS
43 Syringe Pump Terumo TE-SS700
44 Nebulizer Omron NE-C28
45 Ventilator Drager Evita 4
46 Ventilator Drager Evita 4
47 Ventilator Drager Evita 4 Neoflow
48 Ventilator Drager Evita 4
49 NeoPAP Fisher*Paykel Neopuf
50 USG Mindray DC-N2
51 USG Medison Alpinion Ecube
52 Tensimeter Riester Nova presameter
53 Tensimeter Riester Nova presameter
54 Tensimeter Riester Nova presameter
55 Tensimeter Riester Nova presameter
56 Tensimeter Riester Nova presameter
57 Tensimeter ABN Spectrum Sphygmomanometer
58 Tensimeter Riester Nova presameter
59 Tensimeter Riester Nova presameter
60 Tensimeter Riester Nova presameter
61 Tensimeter Folee Puremed
62 Tensimeter Riester Nova presameter
63 ECG Comen CM 300
64 ECG Comen CM 300
65 ECG Bionet Cardiocare
66 ECG Bionet Cardiocare
67 USG Alpinion Ecube 5
68 USG (Echo) GE Vivid S6
69 Incubator GEA Medical YP 90A
70 Incubator GEA Medical YP 90A
71 Spirometri CHEST HI-105
72 Tensimeter Riester Nova presameter
73 Tensimeter Riester Nova presameter
74 Tensimeter Digital (Tambahan) Omron HBP-1300
75 Tensimeter Digital (Tambahan) Omron HBP-1300
76 Treadmill GE T2100
77 Timbangan Elektronik Ohaus Scout Pro
78 Timbangan Elektronik Camry EK-3131
79 Timbangan Gizi 2kg Thang Long TL-102
80 Timbangan Gizi 5kg Nhon Hoa NHS 5
81 Timbangan Gizi 10kg Nhon Hoa NHS 10
82 Timbangan Bayi OneMed OD 230
83 Timbangan Bayi OneMed OD 230
84 Timbangan Bayi Tanita 1380
85 Timbangan Bayi (Tambahan) Serenity SR 30D
86 Timbangan Dewasa OneMed Elegance
87 Timbangan Dewasa Camry -
88 Timbangan Dewasa Electronic Personal Scale
89 Timbangan Dewasa LAICA ITALY
 90 Timbangan Dewasa GEA ZT-120
91 Timbangan Dewasa LAICA ITALY
92 Bubble CPAP (Tambahan) LOCAL AD SERIES
93 Suction Pump (Tambahan) Medipump 16326L
94 Timbangan Dewasa (Tambahan) GEA EB9360
95 Pulse Oxymeter (Tambahan) BEURER -
96 Mesin EECP ECP PSK P-ECP/TI
97 Nebulizer Philips Inno Spire Essence
98 Tensimeter (Tambahan) Riester Nova presameter
99 Phototherapy Murido
100 Autoclave Shinva -
101 Electrosurgical Unit Valleylab ForceFX
102 Bedside Monitor Comen STAR 8000
103 Anasthesi Ventilator Mindray WATO EX-20
104 Anasthesi Ventilator Drager Titus
105 Bedside Monitor Comen STAR 8000
106 Bedside Monitor Comen STAR 8000
107 Electrosurgical Unit Valleglab ForceFX
108 Electrosurgical Unit Valleglab ForceFX
109 Lampu Operasi (Tambahan) - -
110 Lampu Operasi (Tambahan) - -
111 Lampu Operasi (Tambahan) Triup R2013-620/620
112 Suction Pump (Tambahan) Trade Mark SU-305
113 Suction Pump (Tambahan) Trade Mark SU-305
114 Lampu Operasi (Tambahan) Triup R2013-620/620
115 Suction Pump (Tambahan) Trade Mark SU-305
116 Bedside Monitor Comen STAR 8000
117 Bedside Monitor Comen STAR 8000
118 Bedside Monitor Comen STAR 8000
119 Anasthesi Ventilator Drager Fabius Plus
 SN Ruangan Tanggal
E7150422010G ICU 27-Dec-18
E7150422029G HCU 27-Dec-18
E7150422011G HCU 27-Dec-18
E7150422018G HCU 27-Dec-18
E7150422005G PICU 27-Dec-18
E7150422021G ICCU 27-Dec-18
E7150422025G ICU 27-Dec-18
E7150422015G ICU 27-Dec-18
E7150422030G IGD 27-Dec-18
E7150422055G IGD 27-Dec-18
E7150422006G IGD 27-Dec-18
15080693 Radiologi 27-Dec-18
22868828 ICU 27-Dec-18
22926038 ICCU 27-Dec-18
22800101 ICCU 27-Dec-18
22868827 IGD 27-Dec-18
1612010628 ICCU 27-Dec-18
22536706 ICU 27-Dec-18
22536706 IGD 27-Dec-18
093227 ICU 27-Dec-18
093264 IGD 27-Dec-18
104049 IGD 27-Dec-18
141173013 ICU 27-Dec-18
140971058 ICU 27-Dec-18
319895M7 ICU 27-Dec-18
15LPPOA IGD 27-Dec-18
SN TUBE 5401074 Radiologi 27-Dec-18
laboratorium 27-Dec-18
C34/003665 IGD 27-Dec-18
1607702 laboratorium 27-Dec-18
4014080879 IGD 27-Dec-18
B291002814 ICU 28-Dec-18
CRSC169166 ICU 28-Dec-18
DO1501101022 ICU 28-Dec-18
DO1501101063 VIP 200 28-Dec-18
E7150422020G PICU 28-Dec-18
E7150422032G ICCU 28-Dec-18
E7150422003G ICU 28-Dec-18
22536692 ICU 28-Dec-18
22536694 ICU 28-Dec-18
22536645 ICU 28-Dec-18
22536711 ICU 28-Dec-18
1509010500 ICU 28-Dec-18
20141200643UF PICU 28-Dec-18
 AURA-0397 ICU 28-Dec-18
AURA-0379 ICU 28-Dec-18
AURA-0373 ICU 28-Dec-18
AURA-0394 ICU 28-Dec-18
151207004117 NICU 28-Dec-18
6w-84002412 Poli.8 Obgyn 2 28-Dec-18
S074M3HD600003J Poli.7 Obgyn 1 28-Dec-18
091678 Poli. Jantung 28-Dec-18
150409983 Poli. Spesialis 28-Dec-18
150409962 VK 28-Dec-18
150409982 HD 28-Dec-18
170161663 VIP 200 28-Dec-18
- VIP 200 28-Dec-18
170561097 Kls 1 300 28-Dec-18
170161545 R. Rawat Inap 308 28-Dec-18
109401 R. Rawat Inap 300 28-Dec-18
- R. Rawat Inap 308 28-Dec-18
109095 R. Rawat Inap 308 28-Dec-18
301503250014 R. Rawat Inap 300 28-Dec-18
301509011636 VIP 200 28-Dec-18
E07200276 Poli. Jantung 28-Dec-18
E07200201 R. Rawat Inap 308 28-Dec-18
H00818 Poli 12 2-Jan-19
057170VS6N Poli Jantung 2-Jan-19
6150401005 NICU 2-Jan-19
06AH2A10018 NICU 2-Jan-19
10511100 Poli 29 2-Jan-19
150410993 IBS 2-Jan-19
150409963 IBS 2-Jan-19
04010247LF Poli 1 2-Jan-19
04010246LF Poli 2 2-Jan-19
SM815349558A Poli 27 2-Jan-19
B403218563 Farmasi 2-Jan-19
- Gizi 2-Jan-19
- Gizi 2-Jan-19
15524 Gizi 2-Jan-19
2305 Gizi 2-Jan-19
- NICU 2-Jan-19
- Poliklinik 2-Jan-19
- IGD 2-Jan-19
102014HCA14257 VK 2-Jan-19
- NS. Anak 2-Jan-19
- Fisioterapi 2-Jan-19
EB9360 Hemodialisa 2-Jan-19
EEP1220Y Poli 20 2-Jan-19
 - Gizi 2-Jan-19
EEP1220Y.1 R. Rawat Inap 200 2-Jan-19
140973052 NICU 2-Jan-19
041500013254 ICU 2-Jan-19
- R.Rawat Inap 300 3-Jan-19
- R.Rawat Inap 300 3-Jan-19
PSK-TI 15245 EECP 3-Jan-19
1021503316 R. Rawat Inap 200 3-Jan-19
109093 EECP 3-Jan-19
150400203203-001 NICU 3-Jan-19
- CSSD 3-Jan-19
FXF7H3842A OK 4 3-Jan-19
E7150422016G OK 3 3-Jan-19
DW-65004777 OK 1 3-Jan-19
ARMC-0036 OK 4 3-Jan-19
B7150422012G OK 4 3-Jan-19
E7150422026G OK 1 3-Jan-19
F5E38336A OK 1 3-Jan-19
CFIA15911A OK 2 3-Jan-19
- OK 2 4-Jan-19
- OK 3 4-Jan-19
1210110691704018 OK 2 4-Jan-19
1509436 OK 2 4-Jan-19
1509435 OK 1 4-Jan-19
1210110691704015 OK 1 4-Jan-19
1509438 OK 1 4-Jan-19
E7150422037G OK RR 4-Jan-19
E7150422031G OK 2 4-Jan-19
E7150422028G OK RR 4-Jan-19
ASKH-0020 OK 2 4-Jan-19
Laporan Keuangan Tim Kalibrasi RS Permata Cirebon

URAIAN
PEMASUKAN
27 Desember 2018 Rp 5,370,000 1 tim 3 hr
31 Desember 2018 Rp 5,000,000 1 tim 3 hr
4 Januari 2019 Rp 3,710,000 1 tim 1 hr
TOTAL PEMASUKAN
PENGELUARAN
06 Januari 2019 Rp 15,727,500 1 tim 7 hr
SISA
RINCIAN PENGELUARAN KESELURUHAN
Uang Makan Rp 100,000 5 org 7 hr
Hotel 1 Rp 350,000 3 kmr 2 mlm
Hotel 2 Rp 327,000 3 kmr 4 mlm
BBM, Tol, Parkir Rp 2,240,500 2 mobil 7 hr
Driver 1 Mobil Rp 40,000 1 org 3 hr
Driver 2 Mobil Rp 40,000 2 org 4 hr
Pulsa Rp 20,000 5 org 2 x
Peralatan Kalibrasi Rp 225,000 1 set 1 x
Service Mobil Rp 3,050,000 1 pkt 2 x
Lain-lain Rp 52,000
TOTAL PENGELUARAN
Rp 5,370,000
Rp 5,000,000
Rp 3,710,000
Rp 14,080,000

Rp 15,727,500
-Rp 1,647,500 Reimbursment

Rp 3,500,000
Rp 2,100,000
Rp 3,920,000 disc. 4000
Rp 2,240,500
Rp 120,000
Rp 320,000
Rp 200,000
Rp 225,000
Rp 3,050,000
Rp 52,000
Rp 15,727,500