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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 Pressure32.6833.0132.8932.8232,732.5332.6532.4332.5732.1132.4032.4132.2532.5332.2932.1532.2132.15
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VARIAN/TRUE BEAM/5592
Temperature Chiller15.7217.1616.5716.2317,2616.0817.6615.8216.0615.7516.7816.4015.9015.9315.8816.6417.415.76
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Facility Supply6.005.745.995.767,785.955.775.885.8342.295.785.825.805.845.925.725.855.95
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Water LevelNormalNormalNormalNormalNormalNormalNormalNormalNormalNormalNormalNormalNormalNormalNormalNormalNormalNormal
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MPC 6X & Geometry XXXXXXXXXXXXXXXXPassPass
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MPC 10XPassPassPassPassPassPassPassPassXXPassPassPassPassPassPassPassPass
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Temp Ruangan (Dinding)18.518.518.718.51818.117.617.617.517.517.618.91918.418.918.918.418.5
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Humidity Ruangan (Dinding)535353525456565656615654525755615656
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Temp Ruangan (Rak)19.419.519.719.618,71918.819.818.719.219.819.519.419.719.720.219.719.8
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Humidity Ruangan (Rak)565654545859585958615956565757605757
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Temp Ruangan (modulator)23.323.223.523.119,519.119.319.319.119.319.319.719.320.119.921.120.319.6
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Humidity Ruangan (Modulator)454544445657545957565654565156555456
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Humidity58576464636161615771.86060626162616359
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2BRAKHITERAPIQA TestPassPassPassPassPassPassPassPassPassPassPassPassPassPassPassPassPassPass
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BEBIG SAGINOVA/Door Lock/Door SensorPassPassPassPassPassPassPassPassPassPassPassPassPassPassPassPassPassPass
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HDR AFTER LOADER 191Temperature17.517.816.516.517,517.217.517.117.617.817.217.217.117.317.217.516.917.6
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3CT SIMULATORWarming Tube27315718181912162921201392824111312
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CANON // VAREX IMAGING TSX-201A // MCS7078D 3CF2262455 // 667592PLaser Check (Internal)OkOkOkOkOkOkOkOkOkOkOkOkOkOkOkOkOkOk
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Laser Check (Eksternal)OkOkOkOkOkOkOkOkOkOkOkOkOkOkOkOkOkOk
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Temperature23.422.420.019.518,518.221.319.119.418.018.218.518.823.419.118.819.021.6
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Humidity373838394344394041414242413844454240
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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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