PT.

CALIBRAMED
@
CALIBRAMED

llqryHidHN,riwMtW

SERTIFIKAT KALIBRASI
CA LI BRATION CERTI FICATE

I{a&4t ,f4t

,{t . ; X-Rry Mobilc

: Medrif
',trt4e66tj{

fEt KoDtrol l0O mA

t,. Trbuns
,lo.d S.ri Kortrol 2008 3
Trbutrg 4t259

If,6dit4t Qt'iio(

ll{tso : CV Rumsh Tigr pitsr

th4t i Jrho Mrlrbsr 2 No. 19, l("rrrry Teogah, Citcduk

Sarif@ U t r6ti {di 4 14t4tll

,t iottndt .dpti*,of

oiutitlgwgA fi tvi m22

M.et&gt 13 Jt6 2023

rru orpr !.izin PT.CALIBRAMED

Addrer5 Phon€ Far E-l,Hl WGb6ltc

Jl. D. Sahario No.41€lak na S€latan -hdon€sia (021) 28542554 (o2r) 2E543537 calibrarn€d@trnuil.co.n lw.BlibEmed.co.d
 Noord.r: CN- 22 I 07 | 373-l
Lcober kc 2 drri 4 hmbar

Dsi, Alat pelrDggatr :

awon ,\ Egrilnrnt

I Ntms Alta l rm.oftaiF@l

X-R.y Mobitc
2. N|.rkPrb'ik ! \!tuf-!,,*,
Mednif
3. TiW Kora"ol I rrF
"Ic.,n"r 100 mA
4. No.Seri Kontmt / &,a/ tumb.t of(.mol
2008 3
5. TipcTsbnng I ryrp ofrube
6. No.Sari Tabudg /.v riat v.nb.. oJ.t h.
4t2s9
PelsLsansan Krlibrasi :
IdpL n. n tu io n o! ta. ti h raio
1.Temptt I t'tee"
CV RuE h Tig. piI*I
2. Rusngen / n&,,
Radiologi
3 Tanggal penarimisn I p@iyr nre t2 luli 2022
4. T.rggrl lGlibt.{si / ( alibr't @ Dd.
t2 Jl.JJi 2022
5. Tcknii I r".ui"i-
Ardi OktaDs pur4 ANfTE

Strnd8r P€r8latatr Xalibrasi :

srdk&l of C.,l i br d t@ Eq, qn.n t

No Tipe
Tertelusur

Full FuctioD meter / piranha 657

cB2-09050245 09-08-2900 1.40-9951 RTt Electronisc AB,
kV mcer
Sw€de|l
mA / rrlAs meter Pirada MAS- t DM r -0so40058 0944-30005-0G27797 RTI Electronisc AB,
Sweden
Themohygrometer Blue Gzno/ BG-IIT- tN V/THGlrt0o t (A)
s 21 015 r75 LK-O]2-TDN

Kotrdisi Ruongstr
tetMdtn (-otttition

No Ptfameter I pon-,@, Tentkltrr I uauna

Awal / A|,hir I
l(c|fiib'bs\ | Retad|. H"-,rtr. (t) 24,4
Alt",

(%Rr|) 54 55

Kondisi Filikdan Fuossi Alat *t :

tr^\mt .o,'&nd an Fe tw .itq",-,,,,

No Diskl-ipi I o"*"p,i- Kondisi Fisik Furgei Alat

I. Badrr d||f Pemrukrrn I F^.r,ere drJ it t ,,Jn,

Baik Baik
2. Kontrof dsn indiLator I cdbot a,t in rnabr
Baik Bait
3. IabuDg dan Kolimrto r I catindor d,t Trbt
Baik Bait
4. XAbef drn ekse3ori / n nc ad rc.i\on{
Baik Baik
No.Ordcrt CAL 22 I 07 t 373_l

Lemblr kr 3 drrl ,l lcqbrr

HASIL KALIBRASI I c,umt,-"- nant

No Prrrm€tcr Tenhr Tolclrrd S.tolr

t Tqaogr! Cstu Daya
220,O 220 xlo Vac
, Teg,Nng€! Jotuh pads Titik S€ttitg T€|'titggi
220,5 x7 0/o
Vac

Pemboc.rn Abt Pclhc|.r Strndrr

No Koret i
tvp 6A ! kvp DA t kv
60 20 100 58,54 2t,3
l
103,2 -t,46 1,1 3,2
60 25 180 5&55 262 t84 -t,45 l2 4,0
60 15 160 5E,56 16,0 I5S,S -t,44 l,o -t,2
70 20 lo0 68,63 21,3 103,2 -1,37 1,3 17
2 70 25 6t,5,1 26,2
180
184 -1,36 12 4,0
70 l5 68,65 t6,o
160
15s,8 -r,35 1,0 -1,2
90 20 89,61 21,3
3
100
t03,2 4,39 1,3
90 25 r80 89,62 26,2 ru -o,38 t2 4,0
90 15 t60 89,63 t6,0 158,8 4,37 t,0 -1,2
No.OdGl: cN /2. | 07 I 3n-l

Lrbbor kt 4 drri 4 Lnbrr

S.tur PrEhcrt[ Alrt P.nbq! StDdrr lftrr*d l(.dd.lp.!drD

gndod kdng
( 9s% cI4 k=2)

kVp 90 89,5 4,4 q63

DA 23 262 r2 I,O7
I tE0 rE4,0 4,0 t,07

Keienngrn l
L Hasil K€fidskpastian Peogukurgtr roempunyai
tilgtd k.pqcay€e 950,6 dcoge faltor eakuper (k) = 2
Ihe ReeI M.er.b.tt tr'tA o q,f*tr k l1Cr,1o!9t%,x1, h. c*.4. !d@ (t) or2.
oJ Ltur,ttuV
2, lfuF&n = P(mbacaa Strndr - P€@beae Alit
or.fit = g-de.dttE - Wtp,.'d R.eg
3. Hasil Kalibrasi hslya b€rlaku ulnrk ahl dedge nooor seri s*agaimaro ta.csrtuo diaras
Calibroti@ rehh @ otlt wlidlu dt vitt @id Mb.r u ttt e.t eov
4. Hasil kalihEsi t€rielusur ke Siste.n Sdre ttrt.msEiooal (Sl) Delalui LK{I!2.IDN
7h. R'NX otcdibtdiq tt ta.db b hEdbid g*,' of u"it M dtust LraHItN

5. H.sil Pcdguturm p€meitA6{a'r fisif de fiugsi sliis fcairnDule hasil talibrsi dicorturln sesuai
P.|mart ! Rl No. 54 Trhu! 20lS d.n k pululrd Itrl.o yrnll'r loEor HK_ Ut Clhr'0dlzn0]2L
Tcatmg Mctodr K€rja Peoguji& de Kalib.asi Atd K€!ch@-
n R.nttof?bscddtdJwdadcl'cl' 6eer6 iecoAbtkrol!,eedtb.d6nfuhdt b.U. dNortuAb W N
Ih. Y 6 nU d b- 6tb Di* M.f EJ, W t* AEa2tz6ttutt (ffituta Vdba M.dad.
Oft ttt A d.t cdttrdii, otM..li.el Mt
6. KcsiEpulan : Berdasa*an hasil peoodtsaan keseluruhu kinerja masih ms$* dalu! bdrs tolqaoli,
bdzdnnE nnltolt btq.cddt aI p.tt@@ pa.EB @ tn[,iltd/t b. d.tuR hn.
AII\T I,1UK
;rkfi'sffiiikaid-,/i#;- -;--1ilf ---
F{.cAilmstD