BASTB apbn alkes 2013

7/24/2019 BASTB apbn alkes 2013

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RUMAH SAKIT UMUM DAERAH

PROVINSI KEPULAUAN RIAU TANJUNGPINANG Jalan W.R Supratman No.100 KM. 8 Tanjungpinang Telp/ Fax. 0771- 733 52

E-mail:[email protected] Kode

BERITA ACARA SERAH TERIMA BARANG

NOMOR : 4613.1 /BA-STB/APBN/RSUD

Pada hari ini Senin Tanggal Enam Belas Bulan Desember Tahun Dua Ribu Tiga Belas, Kam

yang bertanda tangan dibawah :

Nama : CITRA PTRA PERDANA

NIP : !"#$%!%" &%!%%! ! %!'

(abatan : Penyim)an Barang Rumah Sa*it mum Daerah Pr+insi

Ke)ulauan Riau Tan-ung)inang.

Dalam hal ini bertinda* untu* dan atas nama Kuasa )engguna barang )ad

Rumah Sa*it mum Daerah Pr+insi Ke)ulauan Riau, Selan-utnya disebu

mailto:[email protected]




NIP. 1961!"" 19!9" " 1



6A9PIRAN : BERITA ACARA SERA5 TERI9A BARAN

N898R : /$!'.! 1BA<STB1APBN1RSD

TAN77A6 : !$ DESE9BER &%!'

No Nama Alat Type/Merek-brand Quantitas/ Satuan

1 2 3 4

1 CT Scan 16 slice + UPS 100kva Alexion 16 + GP 9332C Series / Toshiba /Jaan 1 !ni"

PI5AK KEDA

SUPRIADI, AmdNIP. !"#%%/%! &%%0%& ! %%0

KEPA6A RAN7AN RADI8687I

PI5AK PERTA9A

CITRA PUTRA PERDANA NIP.!"#$%!%" &%!%%! ! %!'

PENI9PAN BARAN7

9EN7ETA5I,

KASA PEN77NA BARAN7

R9A5 SAKIT 99 DAERA5 PR8;INSI KEPRI TAN(N7PINAN7

dr. SUPARTINI

NIP. 1961!"" 19!9" " 1




PROVINSI KEPULAUAN RIAU

TANJUNGPINANG

Jalan W.R Supratman No.100 KM. 8 Tanjungpinang Telp/ Fax. 0771- 733



NOMOR : 4613." /BA-STB/APBN/RSUD

Pada hari ini Senin Tanggal Enam Belas Bulan Desember Tahun Dua Ribu Tiga Belas,Kami yang bertanda tangan dibawah :


NIP : !"#$%!%" &%!%%! ! %!'



Dalam hal ini bertinda* untu* dan atas nama Kuasa )engguna barang

)ada Rumah Sa*it mum Daerah Pr+insi Ke)ulauan Riau, Selan-utny

di b PIHAK PERTAMA





NIP. 1961!"" 19!9" " 1




N898R : /$!'.& 1BA<STB1APBN1RSD


No Nama Alat Type/Merek-brand Quantitas/

Satuan

1 2 3 4

1#h"al$ic #era"in% &iscroscoe'or an"erior (an os"erior

#$i )!$era * / carleiss/ Ger$an, 1 Uni"

2 S!c"ion P!$ -S. 00 / Gabler &e(ical /U 2 Uni"

3 Pa"ien" &oni"or Ar%!s )C& Pl!s / Schiler / Siss 2 Uni"

#era" in% )a$Si$4).5 000 Si$4).5 7000 +

Si$4CA& S5/ Si$eon &e(ical Ger$an, 1 Uni"

7 Anas"esi &achine i"h 8en"ila"or Pasi"hec / e,er/ %er$an, 1 Uni"

6 &e:a #erasi &an!al SP)331 / &i!ho / :aan 2 Uni"

.lec"ros!r%ical Uni" - 00) / 5ei$e(/ Ger$an, 2 Uni"

; Aerosol Anios / Aerose" A-/-rance 2 Uni"

9 Se" bor "!lan% elek"rik Colibri / s,n"es/ %er$an, 1 Uni"

10 Se" <or "!lan% elek"rik $ikro .lec"ric Pen 5rive / s,n"es/%er$an, 1 Uni"

11 =es!si"a"or 5easa &ark *8 A(!l" / A$b!/ 5en$ark 1 Uni"

12 *ns"r!$en" Trole, 37101 / &A/ *>5#>.S*A 2 Uni"

13.n(osco, + <ronchosco, + UPS2 8

.P?2700 + .G730@= + .C730@) +.<730S

/ -!:inon/Jaan 1 Uni"

1 Scr!b S"a"ion 3 erson 1;003611 / A"os / *"al, 2 Uni"

17 )aarosco, <e(ah #b%,n vario!s / aesc!la/ Ger$an, 1 Uni"

16 *n'!sion P!$ T.112@3 / T.=U&# / JAPA> 1 Uni"

1 ea( la$ 8ario!s / a$a$o"o Giken/*n(ia 2 Uni"

1; aca $a"a Goo%le P8C / )okal/*n(onesia 7 Uni"

19 &a,o s"an( 37103 / &A *>5#>.S*A 2 Uni"

20 Sika" sons !n"!k c!ci "an%an s"eril S"an(ar / )okal/*n(onesia 7 !ni"



21 Ti$ban%an ba,i

< / a$a$o"o Giken/China 1 !ni"

22 Tornike" 8ario!s / enaco/China 1 !ni"

23 S,rin%e P!$ T.331>@3S / T.=U&#/JAPA> 1 !ni"

2 .xa$ina"ion Tool 3171 / &A *>5#>.S*A 2 Uni"

27 &anse" anak + shi%o$ano$e"er 5esk Clock+>,lon C!B 2"b <la((er chil( / A<>/*n(onesia 1 !ni"

26 Tensi$e"er S"an(ar / Sa'e",/Jaan 1 !ni"

2 *ns"r!$en" cabine" 32901 / &A/ *>5#>.S*A 1 !ni"

PI5AK KEDA

EKA HERINA#AT$ SIPA$UNG, S.K%&

NIP. !"#$%&%# &%%#%' & %%/

KEPA6A RAN7AN BEDA5 CENTRA6

PI5AK PERTA9A

CITRA PUTRA PERDANA

NIP.!"#$%!%" &%!%%! ! %!'

PENI9PAN BARAN7

9EN7ETA5I,KASA PEN77NA BARAN7


dr. SUPARTINI

NIP. 1961!"" 19!9" " 1





TANJUNGPINANG





Pada hari ini Senin Tanggal Enam Belas Bulan Desember Tahun Dua Ribu Tiga Belas,

Kami yang bertanda tangan dibawah :


NIP : !"#$%!%" &%!%%! ! %!'





di b PIHAK PERTAMA







6A9PIRAN : BERITA ACARA SERA5 TERI9A BAR

N898R : /$!'.' 1BA<STB1APBN1RSD


No Nama Alat Type/Merek-brand Ke Ruangan Quantitas/

Satuan

1 2 3 4 5

1 Sli" )a$ + .lec"ric Table S)700 / S*> >*PP#>/ Jaan

Poli &a"a

1 !ni"

2 Snellen char" ro:ec"or CP 700 / S*> >*PP#>/ Jaan 1 !ni"

3 Trial lens i"h -ra$e S8= + T- 3 / S*> >*PP#>/ Jaan 1 !ni"

Schio" *(en"a"ion Tono$e"er AA9010 / Aasa$,/*n(ia 1 !ni"

7 Ca"arac Se" 8ario!s / Te!'el/%er$an, 3 !ni"

6 &inor S!r%er, Se" &a"a 8ario!s / "e!'el/ Ger$an, 3 !ni"

-!ll A!"o$a"ic =e'era"o$e"eri"h .lec"rik s"an(

=C 7000 / To$e,/Jaan 1 !ni"

; =e"inosko S"reak 1302P1010 / keeler/en%lan( 1 !ni"

9-!n(!sco, *n(irec"ireless+carr,in%case/#h"al$osko

1207P1016 / keeler/en%lan( 1 !ni"

10 USG A< Scan Co$ac" To!ch / !an"el &e(ical/-rance 1 !ni"

11 *ns"r!$en" Trole, 37101 / &A/ *>5#>.S*A P#)* 3 !ni"

12 <!k! *shcihara 2; la"e 2; Pla"e / *shcihara/Jaan P#)* 1 !ni"

13 ea( la$ 8ario!s / a$a$o"o Giken/*n(ia P#)* 2 !ni"

1 Sen"er Penli%h" / )okal/*n(onesia P#)* 10 !ni"

17 S"e"osko (easa Classic ** S4. S"e"hoscoe / 3& )i""$ann USA P#)* 2 !ni"

16 S"e"osko anak Classic Pe(ia"ric S"e"hoscoe / 3& )i""$ann USA P#)* 1 !ni"

1

Ti$ban%an ba,i

< / a$a$o"o Giken/China P#)* 1 !ni"



1; >eb!lier Co$'or" 2000 U00 / Shar/Jaan P#)* PA=U 1 !ni"

19 -oo" S"e 5rea$ -oo" S"e / -,ro$/ *>5#>.S*A P#)* 1 !ni"

20 an( l! S"einless s"eel / .x4 China P#)* 2 !ni"

21an(le &irror

S"einless s"eel /eb! &e(icalG$bh/Ger$an,

P#)* 1 !ni"

22&anse" anak + shi%o$ano$e"er

5esk Clock+>,lon C!B 2"b <la((erchil(

/ A<>/*n(onesia P#)* 1 !ni"

23 =eDek ha$$er 8ario!s / Ta:i$aco/Pakis"an P#)* 2 !ni"

2 Ti$ban%an bera" ba(an 8ario!s / a$a$o"o Giken/China P#)* 12 !ni"

27 Tensi$e"er


/ A<>/*n(onesia P#)* 3 !ni"

PI5AK KEDA

E'A E(MIATI, S.K%&

NIP. !">#%>%" &%%"%/ & %%!

KEPA(A RUANGAN RA#AT )A(AN

PI5AK PERTA9A

CITRA PUTRA PERDANA

NIP.!"#$%!%" &%!%%! ! %!'

PENI9PAN BARAN79EN7ETA5I,

KASA PEN77NA BARAN7


dr. SUPARTINI

NIP. 1961!"" 19!9" " 1





TANJUNGPINANG








NIP : !"#$%!%" &%!%%! ! %!'





di b PIHAK PERTAMA





NIP. 1961!"" 19!9" " 1




N898R : /$!'./ 1BA<STB1APBN1RSD



Satuan

1 2 3 4

1 .lek"roli" anal,er S&A=T)T. / 5*A&#>5/USA 1 !ni"

2 e$a"olo%, Anal,er <o!le / !in"!s/Se(ia 1 !ni"

3 i$ia linik Anal,er A27 / <ios,s"e$/sain 1 !ni"

A!"o$a"ic Tiss!e Processor 'or is"olo%,Alica"ion

TP1020 /)eica/ China Un(er license%er$an,

1 !ni"

7 .$be((in% S,s"e$s .G1170+C /)eica/ China Un(er license%er$an,

1 !ni"

6 &an!al =o"ar, &icro"o$e -or #!"s"an(in% =&2237 /)eica/ China Un(er license%er$an,

1 !ni"

@a"erba"h *1210 /)eica/ China Un(er license%er$an,

1 !ni"

; o" Pla"e *1220 /)eica/ China Un(er license%er$an,

1 !ni"

9 )inear S"ainer ST020 / )eica/ China Un(er license%er$an,

1 !ni"

10 *nnova"ive .(oca"ional &ikrosko + Ca$era5&70 +*CC705

/)eica/ China Un(er license%er$an,

1 !ni"

11 Cr,os"a" 'or A(vance( Alica"ions C&1970 /)eica/ China Un(er license%er$an,

1 !ni"

12 C,"ocen"ri'!%e Aerosra, /)eica/ China Un(er license%er$an,

1 !ni"

13 5iB co!"er cell E; :enis selF 5<C 9 / Ge$$,/Taian 1 !ni"

1 5i%i"al lab "i$er S"an(ar / )okal/.xChina 2 !ni"

17 Tornike" 8ario!s / enaco/China !ni"

16 =ak en%eca"an %ra$ S"an(ar / )okal/*n(onesia 3 !ni"

1 A(:!s"able vol!$en &icroie" 770 l -ix / <io)</-rance !ni"



1; =ak "ab!n% reaksi s"ainless E70 "ab!n%F 8ario!s / 8ario!s/*n(onesia 3 !ni"

PI5AK KEDA

MISRI$ANI, P.SKMNIP. !">>!%!' &%%"%/ & %%!KEPA6A RAN7AN 6AB8RAT8RI9

PI5AK PERTA9A


PENI9PAN BARAN7

9EN7ETA5I,

KASA PEN77NA BARAN7R9A5 SAKIT 99 DAERA5 PR8;INSI KEPRI TAN(N7PINAN7

dr. SUPARTINI

NIP. 1961!"" 19!9" " 1





TANJUNGPINANG




NOMOR : 4613.* /BA-STB/APBN/RSUD




NIP : !"#$%!%" &%!%%! ! %!'





di b PIHAK PERTAMA





NIP. 1961!"" 19!9" " 1




N898R : /$!'.0 1BA<STB1APBN1RSD



1 2 3 4

1#x,%en -lo$e"er i"h!$i(iHer

-17 / $e(i$ax/korea ; Uni"

2 @all S!c"ion Uni" @CA100 / $e(i$ax/korea ; Uni"

3 S!c"ion P!$ -S. 00 / Gabler &e(ical /U 1 Uni"

Pa"ien" &oni"or Ar%!s )C& Pl!s / Schiler / Siss 1 Uni"

7 =es!si"a"or 5easa &ark *8 A(!l" / A$b!/ 5en$ark 1 Uni"

6 &a"ras 5ec!bi"!s P. 002 / Para$o!n"/ *n(onesia 3 Uni"

*ns"r!$en" Trole, 37101 / &A/ *>5#>.S*A 3 Uni"

; S,rin%e P!$ T.331>@3S / T.=U&# / JAPA> 1 Uni"

9 *n'!sion P!$ T.112@3 / T.=U&# / JAPA> 1 Uni"

10 @heel chair 31303 / &A *>5#>.S*A 1 Uni"

11 =oo$ (evi(er 36102 / &A/ *>5#>.S*A 1 Uni"

12 )!$an% oba" Porcelain / .x4 China 1 Uni"

13 Piso" laki laki 8ario!s / eal"h/*n(ia 7 Uni"

1 Sen"er Penli%h" / )okal/*n(onesia 1 Uni"

17 S"e"osko (easa Classic ** S4. S"e"hoscoe / 3& )i""$ann USA 2 Uni"

16 >eb!lier Co$'or" 2000 U00 / Shar/Jaan 1 Uni"



1 Piso" ere$!an + "!"! 8ario!s / eal"h/*n(ia 2 Uni"

1; =eDek ha$$er 8ario!s / Ta:i$aco/Pakis"an 1 Uni"

19 Tensi$e"er

5esk Clock+>,lon C!B 2"b<la((er chil(

/ A<>/*n(onesia 2 Uni"

PI5AK KEDA

DINA ANDRIANI HUTAGA(UNG, S.K%&.N +

NIP. !">"!&%" &%%#%' & %%!KEPA6A RAN7AN RA=AT INAP DE=ASA

PI5AK PERTA9A

CITRA PUTRA PERDANA

NIP.!"#$%!%" &%!%%! ! %!'PENI9PAN BARAN7



dr. SUPARTINI

NIP. 1961!"" 19!9" " 1





TANJUNGPINANG








NIP : !"#$%!%" &%!%%! ! %!'





di b PIHAK PERTAMA





NIP. 1961!"" 19!9" " 1




C S

N898R : /$!'.$ 1BA<STB1APBN1RSD



1 2 3 4


-17 / $e(i$ax/korea !ni"

2 @al l S!c" ion Uni" @CA100 / $e(i$ax/korea !ni"

3 S!c"ion P!$ -S. 00 / Gabler &e(ical /U 1 !ni"

=es!si"a"or Chil( &ark *8 bab, / A$b!/ 5en$ark 1 !ni"

7 &a"ras 5ec!bi"!s P. 002 / Para$o!n"/ *n(onesia 1 !ni"


>eb!lier Co$'or" 2000 U00 / Shar/Jaan 1 !ni"

; @heel chair 31303 / &A *>5#>.S*A 1 !ni"

9 *n'!s S"an( &obile 5rea$ *n'!ssion S"an( / -,ro$/ *>5#>.S*A 2 !ni"

10 )!$an% oba" Porcelain / .x4 China 1 !ni"

11 Pen%!k!r Tin%%i <a(an 8ario!s / a$a$o"o Giken/China 1 !ni"


13&anse" anak +shi%o$ano$e"er


/ A<>/*n(onesia 2 !ni"

1 =eDek ha$$er 8ario!s / Ta:i$aco/Pakis"an 1 Uni"

PI5AK KEDA

SRI#U(AN ARIANDINI, S.K%&

NIP. !">#%/&& &%%#%' & %%&

KEPA6A RAN7AN RA=AT INAP ANAK

PI5AK PERTA9A

CITRA PUTRA PERDANA

NIP.!"#$%!%" &%!%%! ! %!'

PENI9PAN BARAN7



9EN7ETA5I,


dr. SUPARTINI

NIP. 1961!"" 19!9" " 1





TANJUNGPINANG




NOMOR : 4613. /BA-STB/APBN/RSUD




NIP : !"#$%!%" &%!%%! ! %!'





di b PIHAK PERTAMA





NIP. 1961!"" 19!9" " 1




N898R : /$!'.> 1BA<STB1APBN1RSD



Satuan

1 2 3 4

1

#x,%en -lo$e"er i"h

!$i(iHer -17 / $e(i$ax/korea 7 !ni"

2 @all S!c"ion Uni" @CA100 / $e(i$ax/korea 7 !ni"


=es!si"a"or 5easa &ark *8 A(!l" / A$b!/ 5en$ark 1 !ni"

7 &a"ras 5ec!bi"!s P. 002 / Para$o!n"/*n(onesia

2 !ni"

6 *ns"r!$en" Trole, 37101 / &A/ *>5#>.S*A 2 !ni"

@heel chair 31303 / &A *>5#>.S*A 1 !ni"

;)!$an% oba"

Porcelain / .x4 China 1 !ni"

9&a,o s"an(

37103 / &A *>5#>.S*A2

!ni"

10Piso" laki laki

8ario!s / eal"h/*n(ia 7 !ni"

11 Piso" ere$!an +"!"!

8ario!s / eal"h/*n(ia 2 Uni"

12=eDek ha$$er

8ario!s / Ta:i$aco/Pakis"an 1 Uni"

13 Tensi$e"er





PI5AK KEDA

EKO PRASET$O, Amd. K%&

NIP. !"#&%$&> &%%"%/ ! %%!

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PI5AK PERTA9A

CITRA PUTRA PERDANA

NIP.!"#$%!%" &%!%%! ! %!'

PENI9PAN BARAN7

9EN7ETA5I,

KASA PEN77NA BARAN7


dr. SUPARTINI

NIP. 1961!"" 19!9" " 1





TANJUNGPINANG

Jalan W.R Supratman No.100 KM. 8 Tanjungpinang Telp/ Fax. 0771- 733 E-mail:[email protected]

Kode


NOMOR : 4613.! /BA-STB/APBN/RSUD




NIP : !"#$%!%" &%!%%! ! %!'


Ke)ulauan

Riau Tan-ung)inang.


d R h S *i D h P i i K l Ri S l -

d SUPARTINI





dr. SUPARTINI

NIP. 1961!"" 19!9" " 1




N898R : /$!'.# 1BA<STB1APBN1RSDTAN77A6 : !$ DESE9BER &%!'



No. Nama Alat Type/Merek-brand Quantitas/

Satuan

1 2 3 4


-17 / $e(i$ax/korea 2 !ni"



=es!si"a"or 5easa &ark *8 A(!l" / A$b!/ 5en$ark 1 !ni"



.xa$ina"ion S"ool 3171 / &A *>5#>.S*A 2 !ni"

; *n'!s S"an( &obile 5rea$ *n'!ssion S"an( / -,ro$/ *>5#>.S*A 3 !ni"


10 aca $a"a Goo%le P8C / )okal/*n(onesia 7 !ni"

11 S"e"osko anakClassic Pe(ia"ric

S"e"hoscoe/ 3& )i""$ann USA 1 !ni"

12 S"e"osko >eona"!s Classic ** ** S"e"hoscoe / 3& )i""$ann USA 1 !ni"

13 5oler G 102 = / a$a$o"o Giken/china 1 !ni"

1 Ti$ban%an ba,i < / a$a$o"o Giken/China 1 !ni"

17 USG Por"able 2 "ran(!cer -a$io c!be / Toshiba /Jaan 1 !ni"

16 Tensi$e"er5esk Clock+>,lon C!B 2"b

<la((er chil(/ A<>/*n(onesia 1 Uni"

PI5AK KEDA

'ERA(IN KA(ISTA, S.ST

NIP. !">$!&!! &%%0%& & %%'

KEPA6A RAN7AN RA=AT INAP KEBIDANAN

PI5AK PERTA9A

CITRA PUTRA PERDANA

NIP.!"#$%!%" &%!%%! ! %!'

PENI9PAN BARAN7

9EN7ETA5I,

KASA PEN77NA BARAN7


dr. SUPARTINI

NIP. 1961!"" 19!9" " 1




N898R : /$!'.# 1BA<STB1APBN1RSD


No. Nama Alat Type/Merek-brand Quantitas/

Satuan

1 2 3 4

1 Pen%!k!r an:an% ba(an ka,! @oo(en / Cabler &e(ical/China 1 !ni"




PI5AK KEDA

'ERA(IN KA(ISTA, S.ST

NIP. !">$!&!! &%%0%& & %%'

KEPA6A RAN7AN RA=AT INAP KEBIDANAN

PI5AK PERTA9A

CITRA PUTRA PERDANA

NIP.!"#$%!%" &%!%%! ! %!'

PENI9PAN BARAN7



dr. SUPARTINI

NIP. 1961!"" 19!9" " 1





TANJUNGPINANG Jalan W.R Supratman No.100 KM. 8 Tanjungpinang Telp/ Fax. 0771- 733







NIP : !"#$%!%" &%!%%! ! %!'




)ada Rumah Sa*it mum Daerah Pr+insi Ke)ulauan Riau Selan-utny






N898R : /$!'." 1BA<STB1APBN1RSD

TAN77A6 : !$ DESE9BER &%!/

No Nama Alat Type/Merek-brand Quantitas

Satuan

1 2 3 4

1#x,%en -lo$e"er i"h!$i(iHer -17 / $e(i$ax/korea 3 Un

2 @all S!c"ion Uni" @CA100 / $e(i$ax/korea 3 Un

3 S!c"ion P!$ -S. 00 / Gabler &e(ical /U 1 Un

Pa"ien" &oni"or Ar%!s )C& Pl!s / Schiler / Siss 2 Un

7 =es!si"a"or 5easa &ark *8 A(!l" / A$b!/ 5en$ark 1 Un

6 =es!si"a"or Chil( &ark *8 bab, / A$b!/ 5en$ark 1 Un

*ns"r!$en" Trole, 37101 / &A/ *>5#>.S*A 1 Un

; .xa$ina"ion S"ool 3171 / &A *>5#>.S*A 1 Un

9 Piso" laki laki 8ario!s / eal"h/*n(ia 2 !n

10 Sen"er Penli%h" / )okal/*n(onesia 2 !n

11Sika" sons !n"!k c!ci "an%ans"eril

S"an(ar / )okal/*n(onesia 3 !n

12 S"e"osko (easa Classic ** S4. S"e"hoscoe / 3& )i""$ann USA 2 !n

13 Tornike" 8ario!s / enaco/China 1 !n

1 5oler G 102 = / a$a$o"o Giken/china 2 !n

17 &a,o s"an( 37103 / &A *>5#>.S*A 1 !n

16 =oo$ (evi(er 36102 / &A/ *>5#>.S*A 1 !n



16 =oo$ (evi(er 36102 / &A/ *>5#>.S*A 1 !n

1 Tensi$e"er 5esk Clock+>,lon C!B 2"b <la((er chil( / A<>/*n(onesia 1 Un

PI5AK KEDA

S$ARIA(, S.K%&

NIP. !"#/%$!$ &%%#%' ! %%!

KEPA6A RAN7AN I7D

PI5AK PERTA9A

CITRA PUTRA PERDANA

NIP.!"#$%!%" &%!%%! ! %!'

PENI9PAN BARAN7



dr. SUPARTININIP. 1961!"" 19!9" " 1


N898R /$!' " 1BA STB1APBN1RSD



N898R : /$!'." 1BA<STB1APBN1RSD

TAN77A6 : !$ DESE9BER &%!/


Satuan

1 2 3 4






PI5AK KEDA

S$ARIA(, S.K%&NIP. !"#/%$!$ &%%#%' ! %%!

KEPA6A RAN7AN I7D

PI5AK PERTA9A


PENI9PAN BARAN7



dr. SUPARTINI

NIP. 1961!"" 19!9" " 1

RUMAHSAKITUMUMDAERAH





TANJUNGPINANG


Kode






NIP : !"#$%!%" &%!%%! ! %!'





di b PIHAK PERTAMA

NIP. 1961!"" 19!9" " 1






N898R /$!' !% 1BA STB1APBN1RSD



N898R : /$!'.!% 1BA<STB1APBN1RSD TAN77A6 : !$ DESE9BER &%!'


1 2 3 4

1#x,%en -lo$e"er i"h

!$i(iHer

-17 / $e(i$ax/korea 3 !ni"



Pa"ien" &oni"or Ar%!s )C& Pl!s / Schiler / Siss 3 !ni"



8en"ila"or (easa Galileo Gol( /a$il"on &e(ical Si"erlan(

!ni"

;5o!ble boel s"an( 36302

/ &A/ *>5#>.S*A 1 !ni"

9*ns"r!$en" cabine"

32901 / &A/ *>5#>.S*A 1 !ni"

10)!$an% oba"

Porcelain / .x4 China 1 !ni"

11 Co!% Trea"$en" -or *CU CA3200 / =esirocnis/USA 1 !ni"




13Piso" ere$!an + "!"!

8ario!s / eal"h/*n(ia 2 Uni"


17Tensi$e"er





Tensi$e"er chil(

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ROTUA RINA 'ERA#AT$, S.K%&,N+

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PI5AK PERTA9A

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dr. SUPARTINI

NIP. 1961!"" 19!9" " 1






TANJUNGPINANG


Kode






NIP : !"#$%!%" &%!%%! ! %!'


Ke)ulauan Riau Tan-ung)inang.Dalam hal ini bertinda* untu* dan atas nama Kuasa )engguna barang


dr. SUPARTINI

NIP 1961!"" 19!9" " 1





NIP. 1961!"" 19!9" " 1


N898R : /$!'.!! 1BA<STB1APBN1RSD





PI5AK PERTA9A




PI5AK PERTA9A

CITRA PUTRA PERDANA

NIP.!"#$%!%" &%!%%! ! %!'

PENI9PAN BARAN7

1 2 3 4


2 Pa"ien" &oni"or Ar%!s )C& Pl!s / Schiler / Siss 1 !ni"

3 S,rin%e P!$ T.331>@3S / T.=U&# / JAPA> 1 !ni"

*n'!sion P!$ T.112@3 / T.=U&# / JAPA> 1 !ni"


6 ea( la$ 8ario!s / a$a$o"o Giken/*n(ia 6 !ni"

aca $a"a Goo%le P8C / )okal/*n(onesia 3 !ni"

; Sen"er Penli%h" / )okal/*n(onesia 2 !ni"

9Sika" sons !n"!k c!ci"an%an s"eril

S"an(ar / )okal/*n(onesia !ni"

10 S"e"osko (easa Classic ** S4. S"e"hoscoe / 3& )i""$ann USA 2 !ni"

11 S"e"osko anak Classic Pe(ia"ric S"e"hoscoe / 3& )i""$ann USA 2 !ni"



1 5oler G 102 = / a$a$o"o Giken/china 2 !ni"

17 >eb!lier Co$'or" 2000 U00 / Shar/Jaan 2 Uni"




1 Ti$ban%an bera" ba(an 8ario!s / a$a$o"o Giken/China 13 !ni"

1; Tensi$e"er



19 =e%!la"or "ab!n% oksi%en 8ario!s / a$a$o"o Giken/China 16 !ni"

PI5AK KEDA



BENNI )UNEDI SIMAMORA

NIP. 19!613 "94 1 1

KEPA6A INSTA6ASI IPSRS

9EN7ETA5I,

KASA PEN77NA BARAN7


dr. SUPARTINI

NIP. 1961!"" 19!9" " 1






TANJUNGPINANG


Kode


NOMOR : 4613.1" /BA-STB/APBN/RSUD




NIP : !"#$%!%" &%!%%! ! %!'





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Satuan

1 2 3 4

1 Pa"ien" &oni"or Ar%!s )C& Pl!s / Schiler / Siss 2 !ni"


3 S,rin%e P!$ T.331>@3S / T.=U&# / JAPA> 2 !ni"

*n'!sion P!$S T.331>@ / T.=U&# / JAPA> 2 !ni"

7 *nc!ba"or Transor" T= 200 / &e(ix/ Ar%en"ina 1 !ni"

6 *nc!ba"or *n'an" >a"al care / &e(ix/ Ar%en"ina !ni" *ns"r!$en" cabine" 32901 / &A/ *>5#>.S*A 3 !ni"

; ea( box ba,i c!k! b!lan -ol(a(o$e / >a"!s &e(ical *nc/USA 3 !ni"

9 ea( box ba,i re$a"!r -ol(a(o$e / >a"!s &e(ical *nc/USA 7 !ni"

10 ea( box in'an" -ol(a(o$e / >a"!s &e(ical *nc/USA 7 !ni"

11 S"e"osko anak Classic Pe(ia"ric S"e"hoscoe / 3& )i""$ann USA 1 !ni"



1 8en"ila"or Anak Galileo Gol( / a$il"on &e(ical Si"erlan( 2 !ni"

17 =e%!la"or "ab!n% oksi%en 8ario!s / a$a$o"o Giken/China !ni"

16 &inor se" 8ar io!s / Ta: i$o/Pakis"an 2 !ni"

PI5AK KEDA

SU)IATMI, AMK

NIP. 19!1!" "94 " "

KEPA6A RAN7AN PERINA

PI5AK PERTA9A

CITRA PUTRA PERDANA

NIP.!"#$%!%" &%!%%! ! %!'

PENI9PAN BARAN7



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TANJUNGPINANG


Kode






NIP : !"#$%!%" &%!%%! ! %!'





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NIP. 1961!"" 19!9" " 1






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1 2 3 4


PI5AK KEDA

dr. 'ANDA MUSTIKA, S&.KR

KEPA(A INSTA(ASI REHAB MEDIK

PI5AK PERTA9A

CITRA PUTRA PERDANA


9EN7ETA5I,


dr. SUPARTINI

NIP. 1961!"" 19!9" " 1






TANJUNGPINANG

Jalan W.R Supratman No.100 KM. 8 Tanjungpinang Telp/ Fax. 0771- 733 E-mail:[email protected] Kode






NIP : !"#$%!%" &%!%%! ! %!'





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NIP. 1961!"" 19!9" " 1






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1 2 3 4

1 .T# S"erilier .T# 10 / S"eri(i!$/A!s"ralia 1 !ni"


3 >ierbeken/ ben%kok 20 c$ / eal"h/*n(ia 10 !ni"

Pirin% lasen"a S"einless s"eel / C<&/*"al, !ni"

7 @asko$ kecil s"ainless 12 c$ / eal"h/*n(ia 10 !ni"

6 &inor basic se" / G8 Se" 8ario!s / 8ario!s/Pakis"an 9 !ni"

&inor se" 8ario!s / Ta:i$o/Pakis"an ; !ni"

;G!n"in% verban EG!n"in%

<en%kokF

S"einless s"eel / Ta:i$aco/Pakis"an 17

!ni"9

Par"!s Se"8ario!s /

8ario!s/Pakis"an/China/*n(ia

1!ni"

10 oren"an% (an <ak koren"an% S"einless s"eel / Ta:i$aco / eal"h 20 !ni"

11 Pinse" ana"o$is 8ario!s / Ta:i$aco/Pakis"an ; !ni"

12 Pinse" chir!r%is 8ario!s / Ta:i$aco/Pakis"an ; !ni"

13 Ton%!e 5eresor/ Sa"el besi 8ario!s / Ta:i$aco/Pakis"an 10 !ni"

1 Tro$ol kecil I 17 x 17 C$ / eal"h/*n(ia 7 !ni"

17 Tro$ol besar I 347 x 30 C$ / eal"h/*n(ia 7 !ni"

16 @asko$ besar s"ainless 0 c$ / eal"h/*n(ia 10 !ni"

1 @asko$ se(an% s"ainless 36 c$ / eal"h/*n(ia 10 !ni"



@asko$ se(an% s"ainless !ni"

1; aca $a"a Goo%le P8C / )okal/*n(onesia !ni"

19 <ak *ns"r!$en" besar 7x30x7 c$ / eal"h/*n(ia 17 !ni"

20 <ak *ns"r!$en" kecil 27x1347x64 c$ / eal"h/*n(ia 17 !ni"

21 <ak *ns"r!$en" se(an% 31x1947x643 c$ / eal"h/*n(ia 17 Uni"

PI5AK KEDA

S$APRIA(, AMK

NIP. !"#$%'!0 &%!!%! ! %%>

KEPA6A RAN7AN CSSD

PI5AK PERTA9A

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PENI9PAN BARAN7

9EN7ETA5I,


dr. SUPARTINI

NIP. 1961!"" 19!9" " 1





TANJUNGPINANG




NOMOR : 4613.1*/BA-STB/APBN/RSUD




NIP : !"#$%!%" &%!%%! ! %!'



Dalam hal ini bertinda* untu* dan atas nama Kuasa )engguna barang )ada Rumah Sa*it mum Daerah Pr+insi Ke)ulauan Riau, Selan-utny

di b PIHAK PERTAMA


N898R : /$!'.!01BA<STB1APBN1RSD







1 2 3 4

1 )!$an% oba" Porcelain / .x4 China 1 !ni"

PI5AK KEDA

DINA MU($ANA S$AITRI, S.rm, A&0

NIP. !"#/%"&0 &%!%%! & %&$

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PI5AK PERTA9A

CITRA PUTRA PERDANA

NIP.!"#$%!%" &%!%%! ! %!'

PENI9PAN BARAN7

9EN7ETA5I,


dr. SUPARTINI

NIP. 1961!"" 19!9" " 1





TANJUNGPINANG








NIP : !"#$%!%" &%!%%! ! %!'




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N898R : /$!' !$1BA<STB1APBN1RSD



N898R : /$!'.!$1BA<STB1APBN1RSD TAN77A6 : !$ DESE9BER &%!'


1 2 3 4

1 Te$a" kaas alkohol S"einless s"eel / C<&/*"al, 27 !ni"

2 Ter$o$e"er air raksa &erc!r, / Sa'e",/Jaan 10 !ni"

3 Ter$o$e"er 5i%i"al 8ario!s / enaco/China 30 !ni"

Ter$o$e"er S"an(ar / Sa'e",/Jaan 10 !ni"


PI5AK KEDA

AIRUS, AMK

NIP. !"$"!&'! !"#"!& & %%/

KEPA6A SEKSI BIDAN7 KEPERA=ATAN

PI5AK PERTA9A

CITRA PUTRA PERDANA

NIP.!"#$%!%" &%!%%! ! %!'

PENI9PAN BARAN7

9EN7ETA5I,

KASA PEN77NA BARAN7


dr. SUPARTINI

NIP. 1961!"" 19!9" " 1





TANJUNGPINANG




NOMOR : 4613.1/BA-STB/APBN/RSUD




NIP : !"#$%!%" &%!%%! ! %!'




di b PIHAK PERTAMA







N898R : /$!'.!>1BA<STB1APBN1RSD


No Nama Alat Type/Merek-brandQuantitas/

Satuan

1 2 3 4

1 &inor basic se" / G8 Se" 8ario!s / 8ario!s/Pakis"an 1 !ni"

2 aca $a"a Goo%le P8C / )okal/*n(onesia 3 !ni"

PI5AK KEDA

dr. E'I DIANA ITRI, SH, S&

NIP. !">#%>%0 &%!!%! & %%&KEPA6A INSTA6ASI KA9AR (ENA@A5

PI5AK PERTA9A

CITRA PUTRA PERDANA




dr. SUPARTINI

NIP. 1961!"" 19!9" " 1

Documents

BASTB apbn alkes 2013