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RUMAH SAKIT UMUM DAERAH dr. MOHAMMAD SOEWANDHIE
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CHECKLIST HARIAN PENGECEKAN ALAT KESEHATAN
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RUANG ONKOLOGI RADIASI
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TAHUN 2026
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Bulan : September
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NoNama Alat Medis (Merk/Type/SN)Item yang diperiksaTanggal
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123456789101112131415161718192021222324252627282930
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1LINEAR ACCELERATORSF6 Gas Pressure32.6833.01
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VARIAN/TRUE BEAM/5592
Temperature Chiller15.7217.16
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Facility Supply6.005.74
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Water LevelNormalNormal
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MPC 6X & Geometry XX
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MPC 10XPassPass
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Temp Ruangan (Dinding)18.518.5
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Humidity Ruangan (Dinding)5353
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Temp Ruangan (Rak)19.419.5
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Humidity Ruangan (Rak)5656
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Temp Ruangan (modulator)23.323.2
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Humidity Ruangan (Modulator)4545
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Humidity5857
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2BRAKHITERAPIQA TestPassPass
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BEBIG SAGINOVA/Door Lock/Door SensorPassPass
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HDR AFTER LOADER 191Temperature17.517.8
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3CT SIMULATORWarming Tube2731
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CANON // VAREX IMAGING TSX-201A // MCS7078D 3CF2262455 // 667592PLaser Check (Internal)OkOk
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Laser Check (Eksternal)OkOk
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Temperature23.422.4
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Humidity3738
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Dilaksanakan oleh : Nopa & All Adin
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Diketahui oleh,
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Koordinator Onkologi Radiasi
KEPALA IPS
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AHMAD ZAKI DZULFIKAR
(Fitria Putri Rahayu, A.Md. TEM)
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NIP. 19870302 200902 2 008
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