Survei Harga Standar Permenkes 75 Tahun 2014 5f2d37
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PEMERINTAH KABUPATEN TABANAN DINAS KESEHATAN Jl. Gunung Agung No.82 Telp.0361-811419 TABANAN
DAFTAR SURVEI HARGA Program Pekerjaan No
: Dukungan Biaya Oprasional Pelayanan Kesehatan (JKN) : Belanja Bahan Pakai Habis Kedokteran ( Infus, Jarum Suntik, Perban dll) Nama Barang
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
ongkir
SET PEMERIKSAAN UMUM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Anuskop Baki logam tempat alat steril bertutup Bingkai uji-coba untuk pemeriksaan refraksi Buku Ishihara Tes Corong telinga/Speculum telinga ukuran kecil, besar, sedang Emesis basin /Nierbeken besar Garputala 512 Hz, 1024 Hz, 2084 Hz Handle kaca laring Handle kaca nasopharing Kaca laring ukuran 2,4,5,6 Kaca nasopharing ukuran 2,4,5,6 Kaca pembesar untuk diagnostik Lampu kepala/ Head Lamp + Adaptor AC/DC Lampu senter untuk periksa/ pen light Lensa uji-coba untuk pemeriksaan refraksi Lup binokuler (lensa pembesar) 3-5 Dioptri Metline ( pengukur lingkar pinggang ) Opthalmoscope Otoscope Palu reflex Pelilit kapas/ Cotton applicator Skinfold calliper Snellen Chart 2 jenis (E Chart + Alphabet Chart) Spekulum vagina (cocor bebek) sedang Spekulum hidung dewasa Sphygmomanometer untuk dewasa Stetoskop untuk dewasa Sudip lidah logam/spatula lidah logam panjang 12 cm
A&D
Pcs Pcs Pcs Pcs
583,660.00 291,500.00 790,570.00 99,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
77,000.00 352,000.00 135,740.00
Pcs
31,240.00 346,500.00 93,500.00 4,668,180.00 11,000.00 2,464,000.00 1,680,000.00 66,000.00 33,000.00 55,000.00 220,000.00 303,600.00 2,446,840.00 489,500.00 66,000.00
360,000.00
No 29
Nama Barang Sudip lidah logam/spatula lidah logam panjang 16,5 cm
30 Tempat tidur periksa dan perlengkapannya 31 Termometer untuk dewasa 32 Timbangan dewasa 33 Tonometer Schiotz Perlengkapan 1 Bantal 2 Baskom cuci tangan 3 Kasur 4 Lampu spiritus 5 Lemari alat 6 Meja instrumen 7 Meteran tinggi badan 8 Perlak 9 Pispot 10 Sarung bantal 11 Seprei 12 Sikat untuk ihkan peralatan 13 Stop Watch Tempat sampah tertutup yang dilengkapi dengan 14 injakan pembuka penutup Set Tindakan Medis/Gawat Darurat 1 Baki logam tempat alat steril tertutup 2 Collar Brace/Neck Collar anak 3 Collar Brace/Neck Collar dewasa Corong telinga/Spekulum telinga ukuran kecil, besar, 4 sedang 5 Doppler 6 Dressing Forceps 7 EKG* 8 Emesis Basin/ Nierbeken besar 9 Forceps Aligator 10 Forceps Bayonet 11 Guedel Airway (Oropharingeal Airway) 12 Gunting bedah standar, lengkung Gunting bedah standar, lengkung, ujung tajam/tajam 13 14
Kemasan/Spesifikasi/ Merk
Gunting bedah standar, lengkung, ujung tajam/tumpul
Karixa
Karixa Ersa Ersa
Elitech Elitech
Satuan
Jumlah
Harga
Pcs Unit Pcs Pcs Pcs
66,000.00 5,300,000.00 192,500.00 165,000.00 1,354,760.00
Pcs Pcs Pcs Pcs Unit Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs
110,000.00 220,000.00 3,025,000.00 77,000.00 7,637,000.00 3,028,000.00 49,500.00 97,900.00 60,000.00 55,000.00 300,000.00 60,500.00 110,000.00
Pcs
313,500.00
Pcs Pcs Pcs
291,500.00 77,440.00 77,440.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
77,000.00 2,310,000.00 23,100.00 34,650,000.00 352,000.00 220,000.00 37,400.00 156,420.00 22,000.00
Pcs
22,000.00
Pcs
22,000.00
ongkir
1,800,000.00
1,800,000.00 1,950,000.00 1,056,000.00
189,240.00 1,338,600.00
No
Nama Barang
Kemasan/Spesifikasi/ Merk
15
Gunting bedah standar, lengkung, ujung tumpul/tumpul
16 17 18 19 20 21 22 23 24 25 26 27 28 29
33
Gunting bedah standar, lurus ujung tumpul/tumpul Gunting bedah standar, lurus, ujung tajam/tajam Gunting bedah standar, lurus, ujung tajam/tumpul Gunting pembalut Gunting pembuka jahitan lurus Handle kaca laring Handle kaca nasopharing Hooked probes Kaca laring ukuran 2,4,5,6 Kaca nasopharing ukuran 2,4,5,6 Kait dan kuret serumen Remedi Kanula hidung anak Remedi Kanula hidung dewasa Klem arteri 14 cm (Kocher) Klem arteri, 12 cm lengkung, dengan gigi 1x2 (Halstead-Mosquito) Klem arteri, 12 cm lengkung, tanpa gigi (Halsteosquito) Klem arteri, 12 cm lurus, dengan gigi 1x2 (Halsteosquito) Klem arteri, 12 cm lurus,tanpa gigi (Halstead-Mosquito)
34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
Klem arteri, lurus (Kelly) Klem/pemegang jarum jahit, 18 cm (Mayo- Hegar) Korentang, lengkung, penjepit alat steril (23 cm) Korentang, penjepit sponge Kursi roda Lampu kepala Laringoskop anak Laringoskop dewasa Laringoskop neonatus bilah lurus Magill Forceps Nebulizer Otoskop Palu reflex Pinset alat, bengkok (Remky) Pinset anatomis, 14,5 cm Pinset anatomis, 18 cm Pinset bedah, 14,5 cm
30 31 32
Elitech
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
22,000.00 22,000.00 22,000.00 22,000.00 28,600.00 28,600.00
Pcs
30,800.00
Pcs
25,960.00
Pcs
30,800.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
25,960.00 25,300.00 46,420.00 65,120.00 65,120.00 1,815,000.00 346,500.00 3,620,100.00 3,620,100.00 3,620,100.00 163,340.00 1,287,000.00 1,680,000.00 66,000.00
84,260.00 10,900.00 10,900.00 33,440.00
23,100.00 33,000.00 18,700.00
ongkir
1,199.00 1,199.00
525,000.00
No 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72
Nama Barang
73
Pinset bedah, 18 cm Pinset epilasi Pinset telinga Pinset insisi Hordeolum/ Chalazion Resusitator anak-anak & sungkup Resusitator dewasa & sungkup Resusitator neonatus & sungkup Retraktor, pembuka kelopak mata Semprit gliserin Silinder korentang steril Skalpel, tangkai pisau operasi Spalk Spekulum hidung Spekulum mata Sphygmomanometer untuk anak Sphygmomanometer untuk dewasa Stand lamp untuk tindakan Standar infus Steteskop anak Steteskop dewasa Steteskop janin/Laenac Suction pump ( alat penghisap) Sudip lidah logam/Spatula lidah logam panjang 12 cm
74
Sudip lidah logam/Spatula lidah logam panjang 16,5 cm
75 76 77 78 79 80 81 82 83
Tabung oksigen dan regulator Tempat tidur periksa dan perlengkapannya Termometer anak Termometer dewasa Timbangan anak Timbangan dewasa Tissue Forceps Torniket karet Usungan (brankar )
Perlengkapan 1 Bak instrument tertutup 2 Bantal 3 Celemek plastic
Kemasan/Spesifikasi/ Merk
A&D A&D Karixa Karixa
Elitech
Karixa
Karixa
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Set Set Set Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
27,500.00 28,600.00 21,780.00 440,000.00 1,023,000.00 1,023,000.00 1,023,000.00 121,660.00 149,160.00 108,020.00 16,500.00 84,700.00 303,600.00 220,000.00 2,446,840.00 2,446,840.00 2,850,000.00 1,000,000.00 494,890.00 496,980.00 2,310,000.00 2,750,000.00
Pcs
66,000.00
Pcs Pcs Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Pcs Pcs Pcs
66,000.00 1,419,000.00 5,300,000.00 165,000.00 192,500.00 165,000.00 165,000.00 18,700.00 33,000.00 8,300,000.00
291,500.00 110,000.00 5,500.00
ongkir
360,000.00 360,000.00 1,800,000.00 1,800,000.00
189,240.00
1,800,000.00
1,800,000.00
No 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
Nama Barang Dorongan tabung oksigen dengan tali pengaman Duk bolong, sedang Jam/ timer Kain balut segitiga ( mitella ) Kasur Kotak penyimpan jarum bekas Lemari alat Lemari obat Mangkok untuk larutan Meja instrumen/alat Perlak plastic Pispot Sarung bantal Seprei Sikat tangan Sikat untuk ihkan peralatan Stop Watch Tempat sampah tertutup yang dilengkapi dengan injakan pembuka penutup Toples kapas/Kasa steril Tromol kasa/Kain steril 25 X 120 mm Waskom bengkok Waskom cekung Waskom cuci
Set Pemeriksaan Kesehatan Ibu 1. 1/2 Klem Korcher 2. Anuskop 3. Bak Instrumen dengan tutup 4. Baki Logam Tempat Alat Steril Bertutup 5. Doppler 6. Gunting Benang 7. Gunting Verband 8. Korcher Tang 9. Mangkok untuk Larutan 10 Meja Instrumen / Alat 11 Meja Periksa Ginekologi dan kursi pemeriksa 12 Palu Refleks 13. Pen Lancet 14 Pinset Anatomi Panjang 15 Pinset Anatomi Pendek
Kemasan/Spesifikasi/ Merk Ersa
Karixa Ersa Ersa Ersa
Satuan Pcs Pcs Pcs Pcs Pcs Pcs Unit Unit Pcs Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Elitech
Ersa Karixa
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Unit Unit Pcs Pcs Pcs Pcs
Jumlah
Harga 983,367.00 165,000.00 110,000.00 16,940.00 3,025,000.00 30,800.00 7,637,000.00 7,637,000.00 52,525.00 3,028,000.00 97,900.00 60,000.00 55,000.00 300,000.00 60,500.00 60,500.00 110,000.00
ongkir 1,188,000.00
1,800,000.00 1,950,000.00 1,950,000.00 1,056,000.00
313,500.00 514,250 514,250 352,000 253,000 253,000 55,000.00 583,660.00 291,500.00 291,500.00 2,310,000.00 28,600.00 25,300.00 33,440.00 52,525.00 3,028,000.00 9,600,000.00 66,000.00 29,700.00 33,000.00 23,100.00
189,240.00
1,056,000.00 1,800,000.00
No 16 17 18 19 20 21 22 23. 24 25 26 27. 28. 29 30 31 32 33
Nama Barang
Kemasan/Spesifikasi/ Merk
Pinset Bedah Silinder Korentang Steril Sonde mulut Spekulum Vagina (Cocor Bebek) Besar Spekulum Vagina (Cocor Bebek) Kecil Spekulum Vagina (Cocor Bebek) Sedang Spekulum Vagina (Sims) Sphygmomanometer Dewasa A&D Stand Lamp untuk tindakan Karixa Stetoskop Dewasa Stetoskop Janin / Fetoscope Elitech Sudip lidah logam / Spatula Lidah Logam panjang 12 cm Sudip lidah logam / Spatula Lidah Logam panjang 16,5 cm Tampon Tang Tempat Tidur Periksa Karixa Termometer Dewasa Timbangan Dewasa Torniket Karet
Set Pemeriksaan Kesehatan Anak 1. Alat Pengukur Panjang Bayi 2. Flowmeter anak (high flow) 3. Flowmeter neonatus (low flow) 4. Lampu periksa 5. Pengukur lingkar kepala 6. Pengukur tinggi badan anak 7. Sphygmomanometer dan manset anak 8. Stetoskop pediatric 9. Termometer Anak 10 Timbangan Anak 11 Timbangan bayi
Satuan
Jumlah
Harga
Pcs Pcs
18,700.00 108,020.00
Pcs Pcs Pcs Pcs
220,000.00 220,000.00 220,000.00 220,000.00 2,446,840.00 2,850,000.00 489,500.00 2,310,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Unit Pcs Pcs Pcs
Pcs
66,000.00 121,000.00 5,300,000.00 192,500.00 165,000.00 33,000.00
189,240.00
1,800,000.00
462,000.00
2,850,000.00 5,500.00 49,500.00 2,446,840.00 494,890.00 101,750.00 165,000.00 1,386,000.00
Set Pelayanan KB 1. Baki Logam Tempat Alat Steril Bertutup 2. Implant Kit 3. IUD Kit
Pcs Pcs Pcs
291,500.00 442,200.00 63,797,355.00
Set Imunisasi 1. Vaccine carrier
Pcs
325,000.00
A&D
360,000.00 1,800,000.00
66,000.00
Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Karixa
ongkir
1,800,000.00
360,000.00
No 2.
Nama Barang
Kemasan/Spesifikasi/ Merk
Set Obstetri & Ginekologi 1. Bak instrumen tertutup besar (Obgin) 2. Bak instrumen tertutup kecil 3. Bak instrumen tertutup Medium 4. Doppler 5. Doyeri Probe Lengkung 6. Endotracheal Tube Dewasa 2,5 7. Endotracheal Tube Dewasa 3 8. Endotracheal Tube Dewasa 4 9. Gunting Benang 10 Gunting Episiotomi
Jumlah
Harga
ongkir
Pcs
21,000,000.00
Karixa
Pcs Pcs Pcs Pcs Pcs Pcs
Ersa Ersa
Pcs Pcs Pcs
110,000 110,000.00 253,000.00 5,500.00 165,000.00 3,025,000.00 30,800.00 7,637,000.00 7,637,000.00 49,500.00 97,900.00 60,000.00 5,500.00 687,500.00 55,000.00 136,400.00 300,000.00
Vaccine Refrigerator
Perlengkapan 1. Ari timer 2. Bantal 3. Baskom Cuci Tangan 4. Celemek Plastik 5. Duk Bolong, Sedang 6. Kasur 7. Kotak Penyimpan Jarum Bekas 8. Lemari Alat 9. Lemari Obat 10 Meteran (untuk mengukur tinggi Fundus) 11 Perlak 12 Pispot 13 Pita Pengukur Lila 14 Pompa Payudara untuk ASI 15 Sarung Bantal 16 Selimut 17 Seprei 18 Set Tumbuh Kembang Anak 19 Sikat untuk ihkan Peralatan 20. Tempat Sampah Tertutup yang dilengkapi dengan injakan pembuka penutup 21 Tirai 22 Toples Kapas / Kasa Steril 23 Tromol Kasa / Kain Steril 24 Waskom Bengkok Kecil
Satuan
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Ersa
Elitech Remedi Remedi Remedi
1,800,000.00 1,950,000.00 1,950,000.00
60,500.00 313,500.00 4,564,000.00
Pcs Pcs Pcs Pcs
4,894,982.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
550,000 88,000 291,500 2,310,000.00
189,240.00
11,400 11,400 11,400
1,254.00 1,254.00 1,254.00
514,250 514,250 83,050.00
28,600.00 55,000.00
No 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
Nama Barang Gunting Iris Lengkung Gunting Operasi Lurus Gunting Tali Pusat Klem Fenster/Klem Ovum Klem Kasa (Korentang) Klem Kelly/Klem Kocher Lurus Klem Linen Backhauss Klem Mosquito Halsted Lengkung Klem Mosquito Halsted Lurus Klem Pemasang Klip Hegenbarth Lampu Periksa Halogen Masker Oksigen Kanula Nasal Dewasa Meja Instrumen Needle Holder Matheiu Pelvimeter Obstetrik Pinset Jaringan (Sirurgis) Pinset Jaringan Semken Pinset Kasa (Anatomis) Resusitator Dewasa Retraktor Finsen Tajam Setengah Kocher Skalpel No. 3 Skalpel No. 4 Spekulum (Sims) Besar Spekulum (Sims) Kecil Spekulum (Sims) Medium Spekulum Cocor Bebek Grave Besar Spekulum Cocor Bebek Grave Kecil Spekulum Cocor Bebek Grave Medium Standar infus Stetoskop Dewasa Stetoskop Janin/ Fetoscope Stilet untuk Pemasangan ETT Tabung Oksigen dan Regulator Tempat Klem Kasa (Korentang) Tempat Tidur Periksa (examination bed ) Tempat Tidur untuk Persalinan Tensimeter dewasa Termometer Dewasa
Kemasan/Spesifikasi/ Merk
Karixa Remedi Remedi Ersa
Karixa Elitech
Karixa Karixa A&D
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
27,940.00 22,000.00 28,820.00 70,180.00 65,120.00 33,440.00 38,060.00 24,860.00 25,960.00 25,960.00 2,850,000.00 11,500.00 10,900.00 3,028,000.00 27,500.00
Pcs Pcs Pcs Set
18,700.00 18,700.00 23,100.00 1,023,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
55,000.00 16,500.00 16,500.00 220,000.00 220,000.00 220,000.00 220,000.00 220,000.00 220,000.00 1,000,000.00 489,500.00 2,310,000.00
Pcs Pcs Pcs Pcs Pcs Pcs
1,419,000.00 108,020.00 5,300,000.00 9,600,000.00 2,446,840.00 192,500.00
ongkir
1,800,000.00 1,265.00 1,199.00 1,056,000.00
1,800,000.00 189,240.00
1,800,000.00 1,800,000.00 360,000.00
No
Nama Barang
Kemasan/Spesifikasi/ Merk
Set Insersi dan Ekstraksi AKDR 1. Aligator Ekstraktor AKDR 2. Gunting Mayo CVD 3. Klem Kasa Lurus (Sponge Foster Straight) 4. Klem Penarik Benang AKDR 5. Sonde Uterus Sims 6. Tenakulum Schroeder
Set Resusitasi Bayi 1. Baby Suction Pump portable 2. Endotracheal Tube 2,5 3. Endotracheal Tube 3 4. Endotracheal Tube 3,5 5. Endotracheal Tube 4 6. Infant T piece resuscitator dengan PEEP 7. Infant T piece System 8. Laringoskop Neonatus Bilah Lurus (3 ukuran) 9. Meja Resusitasi dengan Pemanas (Infant Radiant Warmer) 10. Oxygen Concentrator Penghisap Lendir DeLee (neonatus) 11 12 13
Remedi Remedi Remedi Remedi
Set Perawatan Pasca Persalinan
Jumlah
Harga
ongkir
Pcs Pcs Pcs Pcs Pcs Pcs
220,000.00 30,140.00 65,120.00 28,600.00 44,770.00 78,540.00
Pcs Pcs Pcs Pcs Pcs
2,750,000.00
Pcs
3,620,100.00
11,400 11,400 11,400 11,400
1,254.00 1,254.00 1,254.00 1,254.00
Elitech
Unit Pcs Pcs Pcs Pcs
150,975,000.00 374,000.00 55,000.00 2,750,000.00 487,300.00
166,979,000.00
Ersa Ersa
Unit Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
7,637,000.00 7,637,000.00 52,525.00 462,000.00 49,500.00 10,000.00 1,386,000.00 165,000.00 514,250 83,050.00 352,000.00
1,950,000.00 1,950,000.00
Pompa Penghisap Lendir Elektrik Stetoskop Duplex Neonatus
Perlengkapan 1. Lemari Alat 2. Lemari Obat 3. Mangkok Iodin 4. Pengukur panjang bayi 5. Pengukur Tinggi Badan (microtoise) 6. Pisau Pencukur 7. Timbangan bayi 8. Timbangan Dewasa 9. Tromol Kasa 10 Waskom Bengkok Ukuran 30 cm 11 Waskom Bengkok Ukuran 23 cm
Satuan
Elitech
1,545,500.00
No 1. 2. 3. 4. 5. 6. 7. 8. 9. 10
Nama Barang ARI Timer Boks Bayi Sphygmomanometer Dewasa Standar infus Stetoskop Anak Tabung Oksigen dan Regulator Tempat Tidur Dewasa Termometer Anak Termometer Dewasa Timbangan Bayi
Perlengkapan 1. Bantal 2. Baskom Kecil 3. Handuk Pembungkus Neonatus 4. Kantong Metode Kanguru sesuai ukuran neonatus 5. Kasur 6. Kotak Penyimpan Jarum Bekas 7. Lemari Obat 8. Lemari Alat 9. Lemari Kecil Pasien Perlak 10 11 Pispot Pompa Payudara untuk ASI 12 13 14 15 16 17 18 19. 20 21 22
Sarung Bantal Selimut Bayi Selimut Dewasa Seprei Set Tumbuh Kembang Anak Sikat untuk ihkan Peralatan Tempat Sampah Tertutup yang dilengkapi dengan injakan pembuka penutup Toples Kapas / Kasa Steril Tromol Kasa / Kain Steril Waskom Bengkok Kecil
Set Kesehatan Gigi & Mulut 1. Atraumatic Restorative Treatment (ART) Enamel Access Cutter
Kemasan/Spesifikasi/ Merk Ersa A&D Karixa
Karixa
Elitech
Karixa Ersa Ersa Ersa
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
110,000 4,502,960 2,446,840.00 2,850,000.00 494,890.00 1,419,000.00 5,300,000.00 101,750.00 192,500.00 1,386,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Unit Unit Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs
110,000.00 220,000.00 137,500.00 330,000.00 3,025,000.00 30,800.00 7,637,000.00 7,637,000.00 2,956,000.00 97,900.00 60,000.00 687,500.00 55,000.00 136,400.00 136,400.00 300,000.00
Pcs
60,500.00
Pcs Pcs Pcs Pcs
313,500.00 514,250 514,250 83,050.00
Pcs
484,000.00
ongkir
1,298,000 360,000.00 1,800,000.00
1,800,000.00
1,545,500.00
1,800,000.00 1,950,000.00 1,950,000.00 792,000.00
No
2. 3. 4.
5. 6. 7. 8. 9. 10 11 12. 13
14 15 16 17 18 19 20 21 22. 23.
Nama Barang Eksavator Berbentuk Sendok Ukuran Kecil (Spoon Excavator Small) Eksavator Berbentuk Sendok Ukuran Sedang (Spoon Excavator Medium) Eksavator Berbentuk Sendok Ukuran Besar (Spoon Excavator Large) Double Ended Applier and Carver Spatula Plastik Hatchet Batu Asah Bein Lurus Besar Bein Lurus Kecil Bor Intan (Diamond Bur Assorted) untuk Air Jet Hand Piece (Kecepatan Tinggi) (round, inverted dan fissure) Bor Intan Kontra Angle Hand Piece Conventional (Kecepatan Rendah) (round, inverted dan fissure) Ekskavator Berujung Dua (Besar) Ekskavator Berujung Dua (Kecil) Gunting Operasi Gusi (Wagner) (12 cm ) Handpiece Contra Angle Handpiece Straight Kaca Mulut Datar No.4 Tanpa Tangkai Klem/Pemegang Jarum Jahit (Mathieu Standar) Set Kursi Gigi Elektrik yang terdiri dari: Kursi Gigi Cuspidor Unit Meja Instrumen Foot Controller untuk Hand Piece Kompresor Oilless 1 PK Jarum exterpasi Jarum K-File (15-40) Jarum K-File (45-80) Light Curing Mikromotor dengan Straight dan Contra Angle Hand Piece (Low Speed Micro Motor portable) Pelindung Jari Pemegang Matriks (Matrix Holder) Penahan Lidah Pengungkit Akar Gigi Kanan Mesial (Cryer Distal) Pengungkit Akar Gigi Kanan Mesial (Cryer Mesial)
Kemasan/Spesifikasi/ Merk
Otto Otto
Otto Otto Otto
Otto Otto Yovistra
Otto Otto
Satuan
Jumlah
Harga
Pcs
440,000.00
Pcs
440,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs
440,000.00 220,000.00 198,000.00 264,000.00 638,000.00 366,803.00 366,803.00
Pcs
330,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Unit
330,000.00 119,424.00 119,424.00 277,804.00 2,600,000.00 2,600,000.00 354,292.00 272,117.00 73,835,000.00
Pcs Pcs Pcs Pcs
831,600.00 187,000.00 187,000.00 3,300,000.00
Pcs Pcs Pcs Pcs Pcs Pcs
22,770,000.00 272,250.00 261,596.00 220,366.00 383,864.00 383,864.00
ongkir
71,000.00 71,000.00
71,000.00 71,000.00 65,000.00
65,000.00 71,000.00 11,509,000.00
71,000.00 71,000.00
No 24 25 26 27 28 29. 30. 31 32. 33. 34 35 36 37 38 39
Nama Barang Penumpat Plastis Periodontal Probe Penumpat Semen Berujung Dua Pinset Gigi Polishing Bur Skeler Standar , Bentuk Cangkul Kiri (Type Chisel/Mesial) Skeler Standar , Bentuk Cangkul Kanan (Type Chisel/Mesial) Skeler Standar, Bentuk Tombak (Type Hook) Skeler Standar, Black Kiri dan Kanan (Type Chisel/Mesial) Skeler Standar, Black Kiri dan Kiri (Type Chisel/Mesial)
Skeler Ultrasonik Sonde Lengkung Sonde Lurus Spatula Pengaduk Semen Spatula Pengaduk Semen Ionomer Set Tang Pencabutan Dewasa (set) Tang gigi anterior rahang atas dewasa Tang gigi premolar rahang atas Tang gigi molar kanan rahang atas Tang gigi molar kiri rahang atas Tang molar 3 rahang atas Tang sisa akar gigi anterior rahang atas Tang sisa akar gigi posterior rahang atas Tang gigi anterior dan premolar rahang bawah Tang gigi molar rahang bawah kanan/kiri Tang gigi molar 3 rahang bawah Tang sisa akar rahang bawah 40 Set Tang pencabutan gigi anak Tang gigi anterior rahang atas Tang molar rahang atas Tang molar susu rahang atas Tang sisa akar rahang atas Tang gigi anterior rahang bawah Tang molar rahang bawah Tang sisa akar rahang bawah 41. Skalpel, Mata Pisau Bedah (Besar) 42. Skalpel, Mata Pisau Bedah (Kecil)
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
ongkir
Pcs Pcs Pcs Pcs Pcs
673,750.00 167,763.00 22,909.00 109,757.00 119,000.00
Pcs
275,000.00
Pcs Pcs
275,000.00 275,000.00
Pcs
330,000.00
Otto Otto
Pcs Pcs Pcs Pcs Pcs Pcs
330,000.00 167,763.00 167,763.00 132,000.00 137,907.00 137,907.00
71,000.00 71,000.00
Otto Otto Otto Otto Otto Otto Otto Otto Otto Otto Otto
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00
147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00
Otto Otto Otto Otto Otto Otto Otto Otto Otto
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 109,757.00 109,757.00
147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 65,000.00 65,000.00
Otto
64,000.00
No
Nama Barang
43. Skalpel, Tangkai Pisau Operasi 44. Tangkai kaca mulut
Kemasan/Spesifikasi/ Merk Otto Otto
Perlengkapan 1. Baki Logam Tempat Alat Steril Bertutup 2. Korentang, Penjepit Sponge (Foerster) 3. Lampu Spiritus Isi 120 cc Ersa 4. Lemari peralatan 5. Lempeng Kaca Pengaduk Semen Elitech 6. Needle Destroyer 7. Silinder Korentang Steril Elitech 8. Sterilisator kering 9. Tempat Alkohol (Dappen Glas) 10. Toples Kapas Logam dengan Pegas dan Tutup (50 x 70 mm) 11 Toples Pembuangan Kapas (50 x 75 mm) 12 Waskom Bengkok (Neirbeken)
Set Promosi Kesehatan 1. Alat Peraga Cara Menyusui yang Benar (Boneka dan fantom payudara) 2. Alat Permainan Edukatif (APE) 3. Biblioterapi 4. Boneka Bayi 5. Buletin Board / Papan Informasi 6. Cetakan Jamban 7. Cetakan Sumur Gali (Cicin) 8. Komputer dan Printer 9. Fantom Gigi Anak 10 Fantom Gigi Dewasa 11 Fantom Mata Ukuran Asli 12 Fantom Mata Ukuran Besar (Fiberglass) 13 Fantom Panggul Wanita 14. Flip Chart dan Stand 15 Food Model 16 Gambar Anatomi Gigi 17 Gambar Anatomi Mata 18 Gambar Anatomi Mata 60 x 90 19 Gambar Panggul Laki-Laki
Satuan Pcs Pcs
Pcs Pcs Pcs Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Jumlah
Harga 109,757.00 44,073.00
291,500.00 65,120 77,000.00 7,637,000.00 25,850.00 6,930,000.00 108,020 3,410,000.00 52,525.00 514,250 514,250 83,050.00
ongkir 65,000.00 21,000.00
1,950,000.00 543,000.00 1,543,140.00
No 20 21 22 23 24 25 26 27 28 29 30 31. Set ASI 1.
Nama Barang
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
Kamera Foto / Handy Camp Laptop Layar ukuran 1 x 1,5 M / Screen Leaflet-Leaflet Megaphone / Public Address System Papan Tulis Putih Poster-Poster Proyektor / LCD Proyektor Radio Kaset/ Tape Recorder Televisi dan Antena VCD/ DVD Player Wireless System / Amplifier & Wireless Microphone Breast pump
Set Laboratorium 1. Batang Pengaduk 2. Beker, Gelas 3. Botol Pencuci 4. Corong Kaca (5 cm) 5. Erlenmeyer, Gelas 6. Fotometer 7. Gelas Pengukur (100 cc) 8. Gelas Pengukur (16 Oz / 500 ml) 9. Hematology Analizer (HA) 10. Hemositometer Set /Alat Hitung Manual 11. Lemari Es 12. Mikroskop Binokuler 13. Pipet Mikro 5-50, 100-200, 500-1000 ul 14. Pipet Berskala (Vol 1 cc) 15. Pipet Berskala (Vol 10 cc) 16. Pipet Tetes (Pipet Pasteur) 17. Pot Spesimen Dahak Mulut Lebar 18. Pot Spesimen Urine (Mulut Lebar) 19. Rotator Plate 20. Sentrifuse Listrik 21. Sentrifuse Mikrohematokrit 22. Tip Pipet (Kuning ) Tip Pipet ( Biru) 23. Tabung Kapiler Mikrohematokrit
Pcs
687,500.00
Pcs Pcs
25,850.00 24,640.00
Pcs Pcs
18,260.00 28,820.00
Pcs Pcs
44,000.00 118,580.00
Pcs Pcs Unit
487,740.00 2,475,000.00 30,855,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Box Box
25,960.00 1,870.00 3,630.00 2,420.00 18,150,000.00 39,930,000.00 8,470,000.00 309,650.00 297,000.00
ongkir
No 24. 25. 26. 27. 28. 29. 30. 31.
Nama Barang Tabung Reaksi (12 mm) Tabung Reaksi dengan tutup karet gabus Tabung Sentrifus Tanpa Skala Telly Counter Termometer 0-5 C Urinometer (Alat Pengukur Berat Jenis Urine) Wadah Aquades Westergren Set (Tabung Laju Endap Darah)
Perlengkapan 1. Kaki Tiga 2. Lampu Spiritus 3. Pembendung 4. Penjepit Tabung dari Kayu 5. Pensil Kaca 6. Pemanas/Penangas dengan Air 7. Rak Pengering 8. Rak Pewarna Kaca Preparat 9. Rak Tabung Reaksi 10 Stopwatch 11 Sengkelit / Ose 12 Sikat Tabung Reaksi 13 Timer Set Farmasi 1. Analitical Balance (Timbangan Mikro) 2. Batang Pengaduk 3. Corong 4. Cawan Penguap Porselen (d.5-15cm) 5. Gelas Pengukur 10mL, 100mL dan 250mL 6. Gelas Piala 100mL, 500mL dan 1L 7. Higrometer 8. Mortir (d. 5-10cm ) + stamper 10-15cm) + stamper 9. Pipet Berskala 10 Spatel logam 11 Shaker 12 Termometer skala 100 Set Rawat Inap 1. Ari Sound Timer
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
Pcs
119,680.00
Pcs Pcs
6,870.00 40,700.00
Pcs
11,000.00
Pcs
77,000.00
Pcs Pcs
214,500.00 110,000.00
Pcs Pcs
16,500.00 110,000.00
Pcs
25,850
Pcs Pcs Pcs
71,280.00 60,940.00 125,840.00
Pcs
110,000.00
ongkir
No
Nama Barang
Kemasan/Spesifikasi/ Merk
2. 3. 4. 5. 6.
Baki Instrumen Bertutup Bak Instrumen Bertutup 30 X 30 Cm Bisturi No 10 Karixa Brankar Gunting Lengkung, Ujung Tajam (Metzenbaum) (18 Cm)
7. 8.
Gunting Lengkung, Ujung Tumpul (Metzenbaum) (18 Cm) (Metzenbaum) (18 Cm) Gunting Lurus, Ujung Tajam (Metzenbaum) (18 Cm)
9.
Gunting Lurus, Ujung Tumpul (Metzenbaum) (18 Cm)
10. 11. 12. 13. 14. 15. 16. 17.
Gunting Mayo Lurus/Lengkung Gunting Pembuka Jahitan, Lurus Kaca Pembesar Remedi Kanula Hidung Kateter, Selang Penghisap Lendir Bayi Kauter Klem Agrave, 14 Mm (Isi 100) Klem Arteri, 12 Cm, Lengkung Dengan Gigi 1 X 2 ( Halstead-Mosquito ) Klem Arteri, 12 Cm, Lengkung Tanpa Gigi ( Halsteosquito ) Klem Arteri, 12 Cm, Lurus Dengan Gigi 1 X 2 ( Halsteosquito ) Klem Arteri, 12 Cm, Lurus Tanpa Gigi 1 X 2 ( Halsteosquito ) Klem Arteri, Lurus (Kelly) Klem/Pemegang Jarum Jahit Dengan Kunci (Baraquer)
18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32.
Klem/Pemegang Jarum Jahit (Mathieu Standar) Klem/Pemegang Silet (Barraquer) Klem/Penjepit Kain (Kocher-Backhaus)/Duk Klem Klep Pengatur Oksigen Dengan Humidifer Korentang, Lengkung, Penjepit Alat Steril, 23 Cm (Cheattle) Korentang, Penjepit Sponge (Foerster) Inkubator Bayi Lampu Periksa Lampu Senter Manset Anak; Dengan Velecro
Ersa Karixa
Satuan Pcs Pcs Pack Pcs
Jumlah
Harga 291,500.00 550,000.00 300,000.00 8,300,000.00
Pcs
55,000.00
Pcs
55,000.00
Pcs
55,000.00
Pcs Pcs Pcs Pcs Pcs
55,000.00 30,140.00 28,600.00 31,240.00 10,900.00
Pcs
30,800.00
Pcs
25,960.00
Pcs
30,800.00
Pcs Pcs
25,960.00 25,300.00
Pcs
122,100.00
Pcs Pcs
38,060.00 402,380.00
Pcs Pcs Unit Unit Pcs Pcs
65,120.00 65,120.00 4,502,960.00 2,850,000.00 93,500.00 416,020.00
ongkir
1,800,000.00
1,199.00
1,298,000.00 1,800,000.00
No 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70.
Nama Barang Manset Dewasa Meja Instrumen, Mayo Berstandar Meja Instrumen/Alat Nebulizer Pinset Anatomis, 14,5 Cm Pinset Anatomis, 18 Cm Pinset Anatomis (Untuk Specimen) Pinset Bedah, 14,5 Cm Pinset Bedah, 18 Cm Resusitator Untuk Dewasa Resusitator For Infant Selang Oksigen Skalpel, Tangkai Pisau Operasi Spalk Sphygmomanometer Standar Infus Standar Waskom, Tunggal Standar Waskom, Ganda Stetoskop Infant Stetoskop Anak Stetoskop Dewasa Suction Pump Sonde Dengan Mata, 14,5 Cm Sonde Pengukur Dalam Luka Tabung Oksigen 6 Meterkubik Dan Regulato Tabung Oksigen 1 Meterkubik Dan Regulator Tabung/Sungkup Untuk Resusitasi Termometer Infant Termometer Dewasa Tempat Tidur Rawat Inap Tempat Tidur Rawat Inap Untuk Anak Torniket Karet Tromol Kasa/Kain Steril (125 X 120 Mm) Tromol Kasa/Kain Steril (150 X 150 Mm) Waskom Bengkok Waskom Cekung Waskom Cuci Wing Needle
Perlengkapan 1. Bantal
Kemasan/Spesifikasi/ Merk Ersa Ersa Elitech
Remedi
A&D Karixa Ersa Ersa
Karixa Ersa
Satuan Pcs Unit Unit Pcs Pcs Pcs Pcs Pcs Pcs Set Set Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Set Pcs Pcs Unit Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Pcs
Jumlah
Harga 400,290.00 3,028,000.00 3,028,000.00 1,287,000.00 23,100.00 33,000.00 23,100.00 18,700.00 27,500.00 1,023,000.00 1,023,000.00 10,900.00 16,500.00 84,700.00 2,446,840.00 1,000,000.00 1,580,000.00 2,097,850.00 487,300.00 494,890.00 489,500.00 2,750,000.00 44,770.00 44,770.00 4,097,500.00 1,419,000.00 1,023,000.00 101,750.00 192,500.00 25,200,000.00 9,830,000.00 33,000.00 514,250.00 514,250.00 352,000.00 253,000.00 253,000.00 12,320.00
110,000.00
ongkir 1,056,000.00 1,056,000.00 525,000.00
1,199.00
360,000.00 1,800,000.00 1,056,000.00 1,320,000.00
1,800,000.00 1,755,000.00
No 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25.
Nama Barang Dorongan Untuk Tabung Oksigen Duk Biasa, Besar (274 X 183 Cm) Duk Biasa, Kecil (91 X 114 Cm) Duk Biasa, Sedang (91 X 98 Cm) Duk Bolong, Besar (274 X 183 Cm) Letak Lubang Di Tengah (23 X 10) Duk Bolong, Kecil Duk Bolong, Sedang Handuk Bayi Handuk Kecil (60 X 40 Cm) Kain Penutup Meja Mayo Kasur Kursi Roda Lap Untuk Mandi Pasien Pispot Anak Pispot Dewasa Pispot Fraktur/Immobilisasi Pispot Pria/Urinal Perlak, Tebal Lunak (200 X 90 Cm) Sarung Bantal Selimut Selimut Bayi Sikat Tangan Sprei Sprei Kecil/Steek Laken Tempat Sampah Tertutup Dengan Injakan
Set Sterilisasi 1. Autoclave 2. Korentang, Lengkung, Penjepit Alat Steril, 23 Cm (Cheattle) Perlengkapan 1. Apron/Celemek Karet 2. Duk Pembungkus Alat 3. Ember Plastik Untuk Merendam Alat 4. Lemari Alat Untuk Alat Yang Sudah Steril 5. Sikat Pembersih Alat 6. Tempat Sampah Tertutup Dengan Injakan
Kemasan/Spesifikasi/ Merk Ersa
Karixa
Elitech
Ersa
Satuan Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Unit
Jumlah
Harga 983,367.00
77,000.00 165,000.00 137,500.00 110,000.00 330,000.00 3,025,000.00 1,815,000 24,200.00 10,000.00 10,000.00 60,000.00 60,000.00 97,900.00 55,000.00 136,400.00 136,400.00 60,500.00 300,000.00 137,500.00 313,500.00
3,410,000
Pcs
65,120.00
Pcs Pcs Pcs Pcs Pcs Pcs
5,500.00 165,000.00 253,000.00 7,637,000.00
60,500.00 313,500.00
ongkir 1,188,000.00
1,800,000.00
1,543,140
2,000,000.00
No
Nama Barang
Kemasan/Spesifikasi/ Merk
Set Puskesmas Keliling 1. Alat Pemasang IUD 2. Alat Pemasang, Norplant 3. Baki Logam Tempat Alat Steril Bertutup 4. Bein Lurus Besar 5. Bein Lurus Kecil 6. Ekskavator Berujung Dua (Besar) 7. Ekskavator Berujung Dua (Kecil) 8. Generator Set mini dengan daya Output Maks. 0.85 KVA/850 Watt, Voltase AC 220 V/1 Phase/DC 12V/8.3A, Kapasitas Tangki Bahan Bakar 4,5 L 9. Gunting Bedah Standar, Lengkung 10. Gunting Pembalut (Lister) 11. Irigator Dengan Konektor Nilon, Lurus Otto 12. Kaca Mulut Datar No.4 13. Klem Arteri, Lurus (Kelly) 14. Klem/Pemegang Jarum Jahit, 18 cm (Mayo-Hegar) 15. Klem/Penjepit Porsio, 25 cm (Schroder) 16. Korentang, Lengkung, Penjepit Alat Steril, 23 cm (Cheattle) 17. Korentang, Penjepit Sponge (Foerster) 18. LCD Projector dengan Pencahayaan Minimal 2000 Lumen 19. Mangkok untuk Larutan 20. Mangkuk untuk larutan (Dappen glas) 21. Meteran 22. Microphone Tanpa Kabel 23. Palu Pengukur Reflek 24. Pemutar VCD/DVD dan Karaoke yang Kompatibel dengan Berbagai Media 25. Pengukur Panjang Bayi dan Tinggi Badan Anak 26. Pengungkit Akar Gigi (Cryer Distal) 27. Pengungkit Akar Gigi (Cryer Mesial) 28. Penumpat Plastis 29. Pen Lancet 30. Pinset Anatomis, 14,5 cm 31. Pinset Anatomis, 18 32. Pinset Gigi 33. Pompa Payudara / Breast Pump 34. Scaller , Black Kiri dan Kanan (Type Hoe)
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs
352,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs
28,600.00 25,300.00 247,940.00 354,292.00 25,300.00 137,500.00 65,120.00
Pcs Pcs
65,120.00 65,120.00
Pcs Pcs Pcs
52,525.00 19,250.00 49,500.00
Pcs
66,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
462,000.00 825,000.00 825,000.00 673,750.00 29,700.00 23,100.00 24,860.00 26,400.00 687,500.00 48,840.00
ongkir
291,500.00 715,000.00 715,000.00 253,000.00 253,000.00
65,000.00
No 35. 36.
Nama Barang
38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65.
Scaller , Standar, Bentuk Bulan Sabit (Type Sickle) Scaller , Standar, Bentuk Cangkul Kanan (Type Chisel/Mesial) Scaller , Standar, Bentuk Cangkul Kiri (Type Chisel/Distal) Scaller Standar, Bentuk Tombak (Type Hoe) Semprit Untuk Telinga dan Luka Semprit, Air Semprit, Gliserin Silinder Korentang Kecil Skalpel Tangkai Pisau Operasi Skalpel, Mata Pisau Bedah (No.10) Sonde Bengkok Sonde lurus Sonde Uterus/ Penduga Spalk Spatula Pengaduk Semen Gigi Spekulum Vagina (Cocor Bebek) Besar Spekulum Vagina (Cocor Bebek) Kecil Spekulum Vagina (Cocor Bebek) Sedang Sphygmomanometer dewasa Sphygmomanometer anak Sterilisator Portable Stetoskop Dewasa Stetoskop Anak Stetoskop Janin Stereo Sound System Sudip Lidah Logam, Panjang 12 cm Sudip Lidah Logam, Panjang 16,5 cm Tandu Lipat Tang Pencabut Akar Gigi Atas Bentuk Bayonet Tang Pencabut Akar Gigi Depan Atas Tang Pencabut Akar Gigi Seri dan Sisa Akar Bawah
66. 67. 68. 69. 70. 71.
Tang Tang Tang Tang Tang Tang
37.
Pencabut Pencabut Pencabut Pencabut Pencabut Pencabut
Akar Gigi Terakhir Atas Akar Gigi Terakhir Bawah Gigi Geraham Atas Kanan Gigi Geraham Atas Kiri Gigi Geraham Besar Bawah Gigi Geraham Kecil Atas
Kemasan/Spesifikasi/ Merk
A&D A&D Elitech
Satuan
Jumlah
Harga
Pcs
32,560.00
Pcs
275,000.00
Pcs Pcs
32,560.00 275,000.00
Pcs Pcs Pcs Pack Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
129,800.00 39,600.00 16,500.00 300,000.00 44,770.00 24,200.00 44,770.00 84,700.00 55,000.00 220,000.00 220,000.00 220,000.00 2,446,840 2,446,840 3,410,000
ongkir
360,000 360,000 1,543,140
489,500.00 494,890.00 487,300.00
Otto Otto
Pcs Pcs Pcs Pcs Pcs
66,000.00 66,000.00 1,411,080.00 545,940.00 545,940.00
147,000.00 147,000.00
Otto Otto Otto Otto Otto Otto Otto
Pcs Pcs Pcs Pcs Pcs Pcs Pcs
545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00
147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00
No 72. 73. 74. 75. 76. 77. 78. 79. 80.
Nama Barang Tang Pencabut Gigi Geraham Kecil Kecil dan Taring Bawah Tangkai untuk Kaca Mulut Termometer Anak Termometer Dewasa Timbangan Bayi / Timbangan Dacin Timbangan Dewasa Torniket Karet Waskom Bengkok Waskom Cekung
Perlengkapan 1. Botol Mulut Lebar 2. Botol Mulut Sempit dengan Tutup Ulir 3. Celemek Plastik Lampu senter Penggerus Obat 4. Gelas Pengukur (16 Oz/500 ml) 5. Penjepit Tabung dari Kayu 6. Pompa Payudara untuk Asi 7. Standar Waskom, Tunggal 8. Tempat Alkohol (Dappen Glas) 9. Toples Kapas Logam 10. Toples Kapas/Kasa Steril 11. Waskom Cuci Set Pemeriksaan Umum di Puskesmas Pembantu 1. Aligator Forsceps P.247 2. Baki Logam Tempat Alat Steril Bertutup 3. Corong Telinga/Spekulum Telinga P.241, Ukuran Kecil, Besar, Sedang 4. Duk Bolong, Sedang 5. Emesis basin/Nierbeken besar 6. Gunting Bedah Standar, Lurus 7. Gunting Benang 8. Gunting Pembalut, Lister 9. Klem Arteri, Lurus (Kelly) 10. Klem/Pemegang Jarum Jahit, 18 cm (Mayo-Hegar) 11. Korentang, Penjepit Sponge (Foerster) 12. Lampu senter untuk periksa/ pen light 13. Meja Instrumen/Alat 14. Pengukur tinggi badan
Kemasan/Spesifikasi/ Merk
Otto
Elitech
Ersa
Ersa
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
545,940.00 44,073.00 101,750.00 192,500.00 1,386,000.00 165,000.00 33,000.00 352,000.00 253,000.00
Pcs Pcs Pcs Pcs Pcs Pcs
687,500.00
Pcs Pcs
220,000.00 291,500.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Unit Pcs
1,354,672.00
ongkir
19,000.00
1,545,500.00
1,596,000.00
52,525.00 514,250 514,250 253,000.00
77,000.00 165,000.00 352,000.00 22,000.00 28,600.00 25,300.00 66,000.00 137,500.00 65,120.00 93,500.00 3,028,000.00 49,500.00
1,056,000.00
No 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34.
Nama Barang Pengukur panjang badan Pinset Anatomis (Untuk Specimen) Pinset Anatomis, 14,5 cm Pinset Anatomis, 18 cm Pinset Bayonet P.245 Pinset Bedah 18 cm Pinset Bedah, 14,5 cm Silinder Korentang Steril Skalpel, Tangkai Pisau Operasi Sphygmomanometer dewasa Standar infus Sterilisator Stetoskop Sudip Lidah, Logam, Panjang 12 cm Tempat Tidur Periksa Dan Perlengkapannya Termometer Timbangan Dewasa Timbangan Bayi Torniket karet Tromol Kasa/Kain Steril (125 x 120 mm)
Kemasan/Spesifikasi/ Merk
A&D Karixa Elitech
Karixa
Elitech
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Unit Pcs Pcs Pcs Pcs Pcs
462,000.00 23,100.00 23,100.00 27,500.00 37,400.00 27,500.00 18,700.00 1,080,220.00 16,500.00 2,446,840.00 1,000,000.00 3,410,000.00 489,500.00 66,000.00 5,300,000.00 192,500.00 165,000.00 1,386,000.00 33,000.00 514,250.00
Pcs Box Box
4,400,000.00 385,000.00 75,000.00
Unit
40,000,000.00
Pcs Pcs Pcs Pcs Pcs
50,000.00 3,025,000.00 30,800.00 60,000.00 60,500.00
ongkir
360,000.00 1,800,000.00 1,543,140.00
1,800,000.00
1,545,500.00
II. Set Pemeriksaan Kesehatan Ibu* III. Set Pemeriksaan Kesehatan Anak* IV. Set Pelayanan KB* V. Set Pemeriksaan Laboratorium Sederhana 1 Alat pemeriksaan Hb POCT 2 Tes Celup Glucoprotein Urin 3 Tes Celup hCG (tes kehamilan) 4 Tes Golongan Darah 5 Kulkas (penyimpan reagen, vaksin dan obat)
Perlengkapan 1. Handuk Kecil untuk Lap Tangan 2. Kasur 3. Kotak Penyimpan Jarum Bekas 4. Pispot 5. Sikat Tangan
Karixa
1,800,000.00
No
Nama Barang
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs
60,500.00 137,500.00 313,500.00 514,250.00
Pcs
605,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
291,500.00 28,600.00 82,500.00 28,600.00 25,300.00 66,000.00 52,525.00 52,525.00 52,525.00 83,050.00 66,000.00 390,500.00 33,000.00 93,500.00 23,100.00 18,700.00 2,446,840.00 494,890.00 489,500.00 192,500.00 165,000.00
Perlengkapan 1. Duk Biasa 2. Duk Bolong 3. Meteran Gulung 4. Perlak Besar 5. Perlak Kecil 6. Tas Kanvas tempat kit
Pcs Pcs Pcs Pcs Pcs Pcs
165,000.00 165,000.00 49,500.00 97,900.00 97,900.00 300,000.00
Kit Imunisasi 1. Vaksin Carrier
Pcs
325,000.00
6. 7. 8. 9.
Sikat untuk ihkan Peralatan Steek Laken (Sprei Kecil) Tempat Sampah Tertutup Toples Kapas/Kasa Steril
Set Keperawatan Kesehatan Masyarakat 1. Alat Test Darah Portable / rapid diagnostic test ( Hb, Gula darah, Asam Urat, Kolesterol) 2. Bak Instrumen dilengkapi Tutup 3. Gunting Angkat Jahitan 4. Gunting Iris Lurus 5. Gunting Jaringan 6. Gunting Verband 7. Klem Arteri 8. Kom Iodine 9. Kom Kapas Steril 10. Kom dilengkapi tutup 11. Nierbeken 12. Palu Reflex 13. Peak Flow Meter 14. Pen lancet 15. Penlight 16. Pinset Anatomis 17. Pinset Cirurgis 18. Sphygmomanometer Dewasa dan anak 19. Stetoskop Anak 20. Stetoskop Dewasa 21. Termometer 22. Timbangan Badan Dewasa
A&D
ongkir
360,000.00
No
Nama Barang
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
Kit UKS 1. 2. 3. 4. 5. 6. 7. 8.
Garpu Tala 512 HZ/ 1024 HZ / 2084 HZ Palu pengukur refleks Pengait serumen Pengukur tinggi badan Pinhole Snellen, alat untuk pemeriksaan visus Speculum hidung (Lempert) Speculum telinga dengan ukuran kecil, sedang, besar
Pcs Pcs Pcs Pcs
135,740.00 66,000.00 84,260.00 49,500.00
Pcs Pcs Pcs
55,000.00 303,600.00
9. 10. 11.
Stetoskop Sudip lidah, logam panjang 12 cm Sphygmomanometer dengan manset anak dan dewasa
Pcs Pcs Pcs
12. 13. 14. 15.
Thermometer klinis Tes buta warna (ISHIHARA) Timbangan dewasa Torniket Karet
NO
A&D
Pcs Pcs Pcs Pcs
ongkir
77,000.00 489,500.00 66,000.00 2,446,840.00 22,000.00 99,000.00 165,000.00 33,000.00
360,000.00
JENIS PERALATAN
I. Kit UKGS 1 Atraumatic Restorative Treatmen (ART) Enamel Access Cutter 2 Eksavator Berbentuk Sendok Ukuran Kecil ( Spoon Excavator Small) 3 Eksavator Berbentuk Sendok Ukuran Sedang ( Spoon Excavator Medium ) 4 Eksavator Berbentuk Sendok Ukuran Besar ( Spoon Excavator Large) 5 Double Ended Applier and Carver 6 Spatula Plastik 7 Hatchet 8 Batu Asah 9 Ekskavator Berujung Dua (Besar) 10 Ekskavator Berujung Dua (Kecil) 11 Kursi Gigi Lapangan 12 Kaca mulut nomor 4 tanpa tangkai 13 Penumpat Plastis 14 Pinset Gigi
Pcs Pcs Pcs Pcs
Otto Otto Otto Otto
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
484,000.00 440,000.00 440,000.00 440,000.00 220,000.00 198,000.00 264,000.00 638,000.00 119,424.00 119,424.00 8,360,000.00 354,292.00 673,750.00 109,757.00
71,000.00 71,000.00 65,000.00 71,000.00
No 15 16 17 18
Nama Barang
19
Skeler Standar, Bentuk Tombak (Type Hoe) Skeler, Black Kiri dan Kanan (Type Hoe) Skeler, Standar, Bentuk Bulan Sabit (Type Sickle) Skeler, Standar, Bentuk Cangkul Kanan (Type Chisel/Mesial) Skeler, Standar, Bentuk Cangkul Kiri (Type Chisel/Distal)
20 21 22 23 24 25 26 27 28 29 30 31
Sonde Lengkung Sonde Lurus Spatula Pengaduk Semen Tang Pencabutan Anak (1 Set) Tang Gigi Anterior Rahang Atas Tang Molar Rahang Atas Tang Molar Susu Rahang Atas Tang Gigi Anterior Rahang Bawah Tang Molar Rahang Bawah Tang Sisa Akar Rahang Bawah Sterilisator (Pressure Cooker) Tangkai untuk Kaca Mulut
Kemasan/Spesifikasi/ Merk
Satuan Pcs Pcs Pcs Pcs Pcs
Otto
Otto Otto Otto Otto Otto Otto Otto Elitech Otto
Perlengkapan 1. Tempat Alkohol (Dappen Glas) 2. Toples Kapas Logam dengan Pegas dan Tutup (50 x 75 mm) 3. Toples Kapas/Kasa Steril 4. Toples Pembuangan Kapas (50 x 75 mm) 5. Pantom Model Gigi 6. Gambar Anatomi Gigi 7. Baki Logam Tempat Alat Steril Bertutup 8. Tas Kanvas tempat kit Kit Bidan 1. Alat Penghisap Lendir DeLee / Bulb 2. Alat Penghisap Lendir Elektrik 3. Bak Instrumen dengan tutup 4. Baki Logam Tempat Alat Steril Bertutup 5. Bengkok Kecil 6. Bengkok Besar 7. Doppler Elitech 8. Gunting Benang 9. Gunting Episiotomi 10. Gunting Verband
Pcs Pcs Pcs Set Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Pcs Pcs
Jumlah
Harga
ongkir
32,560.00 48,840.00 32,560.00 275,000.00 32,560.00 167,763.00 132,000.00 137,907.00 3,275,640.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 3,410,000.00 44,073.00
65,000.00
882,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 1,543,140.00 19,000.00
52,525.00
Pcs Pcs
514,250.00 514,250.00 514,250.00
Pcs Pcs
219,500.00 300,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
55,000 2,750,000.00 291,500.00 291,500.00 83,050.00 352,000.00 2,310,000.00 28,600.00 55,000.00 25,300.00
189,240.00
No 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51.
Nama Barang Gunting Tali Pusat Pemeriksaan Hb Klem Pean/ Klem Tali Pusat Korcher Tang 1/2 Klem Korcher/ Pemecah Ketuban Lancet Mangkok untuk Larutan Meteran Palu Refleks Penjepit Uterus Pelvimeter Obstetrik Pengukur Panjang Badan Bayi Pengukur Lingkar Kepala Pengukur Panjang Badan Bayi Pengukur Tinggi Badan (Microtoise) Pinset Anatomi Pendek Pinset Anatomi Panjang Pinset Bedah Pisau Pencukur Pita Pengukur Lila Penutup Mata (Okluder) Stetoskop Janin Stetoskop Neonatus Sudip lidah logam panjang 12 cm Sudip lidah logam panjang 16,5 cm Sonde mulut Sonde Uterus/Penduga Spekulum Vagina (Cocor Bebek) Besar Spekulum Vagina (Cocor Bebek) Kecil Spekulum Vagina (Cocor Bebek) Sedang Stetoskop Silinder Korentang Steril Spekulum Vagina (Sims) Tabung untuk bilas vagina Tampon Tang Termometer Dahi dan Telinga Thermometer digital Termometer Dewasa Tensimeter Dewasa Timbangan Dewasa Timbangan Bayi
Kemasan/Spesifikasi/ Merk
Elitech
A&D Elitech
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
28,820.00 4,400,000.00 66,000.00 33,440.00 55,000.00 18,150.00 52,525.00 49,500.00 66,000.00 66,000.00 519,750.00 462,000.00 5,500.00 462,000.00 49,500.00 23,100.00 23,100.00 18,700.00 18,700.00 5,500.00 38,500.00 2,310,000.00 487,300.00 66,000.00 66,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs
44,770.00 220,000.00 220,000.00 220,000.00 489,500.00 108,020.00 220,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs
121,000.00 918,500.00 192,500.00 192,500.00 2,446,840.00 165,000.00 1,386,000.00
ongkir
189,240.00
360,000.00 1,545,500.00
No 52. 53. 54. 55. 56. 57. 58. 59.
Nama Barang Toples Kapas / Kasa Steril Torniket Karet Tromol Kasa / Kain Steril Resusitasi Dewasa beserta masker Resusitasi Bayi beserta masker Waskom Bengkok Waskom Cekung Weight baby scale + tray for 20 kg
Perlengkapan 1. Duk steril kartun 2. Kotak Penyimpan Jarum atau Pisau Bekas 3. Senter + baterai besar 4. Sarung Tangan Karet untuk Mencuci Alat 5. Sikat untuk ihkan Peralatan 6. Stop Watch 7. Tas tahan air tempat kit 8. Tempat Kain Kotor 9. Tempat Plasenta Kit Posyandu 1 Alat Permainan Edukatif 2 Food Model 3 Gunting perban 4 Timbangan Bayi 5 Timbangan Dacin dan perlengkapannya 6 Timbangan Dewasa 7 Termometer Anak Perlengkapan 1. Tas kanvas tempat kit Set Kesehatan Lingkungan 1. 5000 photo meter 2. Botol sampel air bermulut lebar 3. Botol sampel air berpemberat 4. Cakram (kekeruhan kolam renang) 5. Comparator untuk mengukur (iron, magnese,nitrat, nitrit, total hardness, total dissolved,solid) 6.
Digital chlorin test kit
Kemasan/Spesifikasi/ Merk
Elitech
Remedi
Elitech
Satuan Pcs Pcs Pcs Set Set Pcs Pcs Pcs
Jumlah
Harga 514,250.00 33,000.00 514,250.00 1,023,000.00 1,023,000.00 352,000.00 253,000.00 1,386,000.00
Pcs Pcs Pcs Pasang Pcs Pcs Pcs
165,000.00 30,800.00 93,500.00 17,400.00 60,500.00 110,000.00 325,000.00
Pcs
220,000.00
Pcs Pcs
25,300.00 1,386,000.00
Pcs Pcs
165,000.00 101,750.00
Pcs
300,000.00
ongkir
1,545,500.00
1,914
1,545,500.00
No 7. 8. 9. 10. 11. 12. 13. 14.
Nama Barang
17. 18. 19. 20.
Digital Ph meter Thermometer Turbidity meter Tabung pengukur kekeruhan Komparator untuk mengukur chlor chlor Pengukur meter Pengukur kelembaban (hygrometer) Alat untuk pengukur jumlah cacing dalam tanah (Soil test kit) Alat pengukur kebutuhan nutrisi rumah tangga Alat pengukur kontaminasi makanan dan minuman ( food sanitation kit) Fly sweep net fly griil Pipet tetes Pisau pemotong yang steril Penangkap nyamuk dan larva ( surveillance ) vector kit
21.
Alat pemberantasan sarang nyamuk
15. 16.
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
ongkir
RINTAH KABUPATEN TABANAN DINAS KESEHATAN
Agung No.82 Telp.0361-811419 TABANAN
Total Harga
Keterangan
583,660.00 291,500.00 790,570.00 99,000.00 77,000.00 352,000.00 135,740.00 31,240.00 346,500.00 93,500.00 4,668,180.00 11,000.00 2,464,000.00 1,680,000.00 66,000.00 33,000.00 55,000.00 220,000.00 303,600.00 2,806,840.00 E Katalog 489,500.00 66,000.00
Total Harga
Keterangan
66,000.00 7,100,000.00 E Katalog 192,500.00 165,000.00 1,354,760.00 110,000.00 220,000.00 4,825,000.00 E katalog 77,000.00 9,587,000.00 E katalog 4,084,000.00 E katalog 49,500.00 97,900.00 60,000.00 55,000.00 300,000.00 60,500.00 110,000.00 313,500.00 291,500.00 77,440.00 77,440.00 77,000.00 2,499,240.00 E Katalog 23,100.00 35,988,600.00 E Katalog 352,000.00 220,000.00 37,400.00 156,420.00 22,000.00 22,000.00 22,000.00
Total Harga
Keterangan
22,000.00 22,000.00 22,000.00 22,000.00 28,600.00 28,600.00 84,260.00 12,099.00 E Katalog 12,099.00 E Katalog 33,440.00 30,800.00 25,960.00 30,800.00 25,960.00 25,300.00 46,420.00 65,120.00 65,120.00 1,815,000.00 346,500.00 3,620,100.00 3,620,100.00 3,620,100.00 163,340.00 1,812,000.00 E Katalog 1,680,000.00 66,000.00 23,100.00 33,000.00 18,700.00
Total Harga 27,500.00 28,600.00 21,780.00 440,000.00 1,023,000.00 1,023,000.00 1,023,000.00 121,660.00 149,160.00 108,020.00 16,500.00 84,700.00 303,600.00 220,000.00 2,806,840.00 2,806,840.00 4,650,000.00 2,800,000.00 494,890.00 496,980.00 2,499,240.00 2,750,000.00
Keterangan
E E E E
Katalog Katalog Katalog Katalog
E Katalog
66,000.00 66,000.00 1,419,000.00 7,100,000.00 E Katalog 165,000.00 192,500.00 165,000.00 165,000.00 18,700.00 33,000.00 10,100,000.00 E Katalog
291,500.00 110,000.00 5,500.00
Total Harga 2,171,367.00 165,000.00 110,000.00 16,940.00 4,825,000.00 30,800.00 9,587,000.00 9,587,000.00 52,525.00 4,084,000.00 97,900.00 60,000.00 55,000.00 300,000.00 60,500.00 60,500.00 110,000.00
Keterangan E Katalog
E Katalog E Katalog E Katalog E Katalog
313,500.00 514,250.00 514,250.00 352,000.00 253,000.00 253,000.00
55,000.00 583,660.00 291,500.00 291,500.00 2,499,240.00 E Katalog 28,600.00 25,300.00 33,440.00 52,525.00 4,084,000.00 E Katalog 11,400,000.00 E Katalog 66,000.00 29,700.00 33,000.00 23,100.00
Total Harga
Keterangan
18,700.00 108,020.00 220,000.00 220,000.00 220,000.00 220,000.00 2,806,840.00 E Katalog 4,650,000.00 E Katalog 489,500.00 2,499,240.00 E Katalog 66,000.00 66,000.00 121,000.00 7,100,000.00 E Katalog 192,500.00 165,000.00 33,000.00
462,000.00 4,650,000.00 E Katalog 5,500.00 49,500.00 2,806,840.00 E Katalog 494,890.00 101,750.00 165,000.00 1,386,000.00
291,500.00 442,200.00 63,797,355.00
325,000.00
Total Harga
Keterangan
21,000,000.00
110,000.00 110,000.00 253,000.00 5,500.00 165,000.00 4,825,000.00 E Katalog 30,800.00 9,587,000.00 E Katalog 9,587,000.00 E Katalog 49,500.00 97,900.00 60,000.00 5,500.00 687,500.00 55,000.00 136,400.00 300,000.00 60,500.00 313,500.00 9,458,982.00 E Katalog 514,250.00 514,250.00 83,050.00
550,000.00 88,000.00 291,500.00 2,499,240.00 12,654.00 12,654.00 12,654.00 28,600.00 55,000.00
E Katalog E Katalog E Katalog E Katalog
Total Harga 27,940.00 22,000.00 28,820.00 70,180.00 65,120.00 33,440.00 38,060.00 24,860.00 25,960.00 25,960.00 4,650,000.00 12,765.00 12,099.00 4,084,000.00 27,500.00 18,700.00 18,700.00 23,100.00 1,023,000.00
Keterangan
E E E E
Katalog Katalog Katalog Katalog
55,000.00 16,500.00 16,500.00 220,000.00 220,000.00 220,000.00 220,000.00 220,000.00 220,000.00 2,800,000.00 E Katalog 489,500.00 2,499,240.00 E Katalog 1,419,000.00 108,020.00 7,100,000.00 E Katalog 11,400,000.00 E Katalog 2,806,840.00 E Katalog 192,500.00
Total Harga
Keterangan
220,000.00 30,140.00 65,120.00 28,600.00 44,770.00 78,540.00
2,750,000.00 12,654.00 12,654.00 12,654.00 12,654.00 3,620,100.00
E E E E
Katalog Katalog Katalog Katalog
317,954,000.00 E Katalog 374,000.00 55,000.00 2,750,000.00 487,300.00
9,587,000.00 E Katalog 9,587,000.00 E Katalog 52,525.00 462,000.00 49,500.00 10,000.00 2,931,500.00 E Katalog 165,000.00 514,250.00 83,050.00 352,000.00
Total Harga 110,000.00 5,800,960.00 2,806,840.00 4,650,000.00 494,890.00 1,419,000.00 7,100,000.00 101,750.00 192,500.00 2,931,500.00
110,000.00 220,000.00 137,500.00 330,000.00 4,825,000.00 30,800.00 9,587,000.00 9,587,000.00 3,748,000.00 97,900.00 60,000.00 687,500.00 55,000.00 136,400.00 136,400.00 300,000.00 60,500.00 313,500.00 514,250.00 514,250.00 83,050.00
484,000.00
Keterangan E Katalog E Katalog E Katalog
E Katalog
E Katalog
E Katalog E Katalog E Katalog E Katalog
Total Harga
Keterangan
440,000.00 440,000.00 440,000.00 220,000.00 198,000.00 264,000.00 638,000.00 437,803.00 E Katalog 437,803.00 E Katalog
330,000.00 330,000.00 190,424.00 190,424.00 342,804.00 2,600,000.00 2,600,000.00 419,292.00 343,117.00 85,344,000.00
E Katalog E Katalog E Katalog
E Katalog E Katalog E Katalog
831,600.00 187,000.00 187,000.00 3,300,000.00 22,770,000.00 272,250.00 261,596.00 220,366.00 454,864.00 E Katalog 454,864.00 E Katalog
Total Harga
Keterangan
673,750.00 231,763.00 E Katalog 22,909.00 109,757.00 119,000.00 275,000.00 275,000.00 275,000.00 330,000.00 330,000.00 167,763.00 167,763.00 132,000.00 208,907.00 E Katalog 208,907.00 E Katalog 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00
E E E E E E E E E E E
Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog
692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 174,757.00 174,757.00
E E E E E E E E E
Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog
Total Harga
Keterangan
174,757.00 E Katalog 65,073.00 E Katalog
291,500.00 65,120.00 77,000.00 9,587,000.00 E Katalog 25,850.00 7,473,000.00 E Katalog 108,020.00 4,953,140.00 E Katalog 52,525.00 514,250.00 514,250.00 83,050.00
-
Total Harga 687,500.00
25,850.00 24,640.00 18,260.00 28,820.00 44,000.00 118,580.00 487,740.00 2,475,000.00 30,855,000.00 25,960.00 1,870.00 3,630.00 2,420.00 18,150,000.00 39,930,000.00 8,470,000.00 309,650.00 297,000.00 -
Keterangan
Total Harga 119,680.00 6,870.00 40,700.00 11,000.00
77,000.00 214,500.00 110,000.00 16,500.00 110,000.00
25,850.00 71,280.00 60,940.00 125,840.00 110,000.00
Keterangan
Total Harga
Keterangan
291,500.00 550,000.00 300,000.00 10,100,000.00 E Katalog 55,000.00 55,000.00 55,000.00 55,000.00 30,140.00 28,600.00 31,240.00 12,099.00 E Katalog 30,800.00 25,960.00 30,800.00 25,960.00 25,300.00 122,100.00 38,060.00 402,380.00 65,120.00 65,120.00 5,800,960.00 E Katalog 4,650,000.00 E Katalog 93,500.00 416,020.00
Total Harga 400,290.00 4,084,000.00 4,084,000.00 1,812,000.00 23,100.00 33,000.00 23,100.00 18,700.00 27,500.00 1,023,000.00 1,023,000.00 12,099.00 16,500.00 84,700.00 2,806,840.00 2,800,000.00 2,636,000.00 3,417,850.00 487,300.00 494,890.00 489,500.00 2,750,000.00 44,770.00 44,770.00 4,097,500.00 1,419,000.00 1,023,000.00 101,750.00 192,500.00 27,000,000.00 11,585,000.00 33,000.00 514,250.00 514,250.00 352,000.00 253,000.00 253,000.00 12,320.00
110,000.00
Keterangan E Katalog E Katalog E Katalog
E Katalog
E E E E
Katalog Katalog Katalog Katalog
E Katalog E Katalog
Total Harga
Keterangan
2,171,367.00 E Katalog 77,000.00 165,000.00 137,500.00 110,000.00 330,000.00 4,825,000.00 E Katalog 1,815,000.00 24,200.00 10,000.00 10,000.00 60,000.00 60,000.00 97,900.00 55,000.00 136,400.00 136,400.00 60,500.00 300,000.00 137,500.00 313,500.00
4,953,140.00 E Katalog 65,120.00
5,500.00 165,000.00 253,000.00 9,637,000.00 E Katalog 60,500.00 313,500.00
Total Harga
Keterangan
352,000.00 291,500.00 715,000.00 715,000.00 253,000.00 253,000.00
28,600.00 25,300.00 247,940.00 419,292.00 E Katalog 25,300.00 137,500.00 65,120.00 65,120.00 65,120.00 52,525.00 19,250.00 49,500.00 66,000.00 462,000.00 825,000.00 825,000.00 673,750.00 29,700.00 23,100.00 24,860.00 26,400.00 687,500.00 48,840.00
Total Harga
Keterangan
32,560.00 275,000.00 32,560.00 275,000.00 129,800.00 39,600.00 16,500.00 300,000.00 44,770.00 24,200.00 44,770.00 84,700.00 55,000.00 220,000.00 220,000.00 220,000.00 2,806,840.00 2,806,840.00 4,953,140.00 489,500.00 494,890.00 487,300.00 66,000.00 66,000.00 1,411,080.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00
E Katalog E Katalog E Katalog
E Katalog E Katalog E E E E E E E
Katalog Katalog Katalog Katalog Katalog Katalog Katalog
Total Harga
Keterangan
545,940.00 63,073.00 E Katalog 101,750.00 192,500.00 2,931,500.00 E Katalog 165,000.00 33,000.00 352,000.00 253,000.00
687,500.00 2,950,672.00 E Katalog 52,525.00 514,250.00 514,250.00 253,000.00
220,000.00 291,500.00 77,000.00 165,000.00 352,000.00 22,000.00 28,600.00 25,300.00 66,000.00 137,500.00 65,120.00 93,500.00 4,084,000.00 E Katalog 49,500.00
Total Harga 462,000.00 23,100.00 23,100.00 27,500.00 37,400.00 27,500.00 18,700.00 1,080,220.00 16,500.00 2,806,840.00 2,800,000.00 4,953,140.00 489,500.00 66,000.00 7,100,000.00 192,500.00 165,000.00 2,931,500.00 33,000.00 514,250.00
Keterangan
E Katalog E Katalog E Katalog
E Katalog
E Katalog
4,400,000.00 385,000.00 75,000.00 40,000,000.00
50,000.00 4,825,000.00 E Katalog 30,800.00 60,000.00 60,500.00
Total Harga
Keterangan
60,500.00 137,500.00 313,500.00 514,250.00
605,000.00 291,500.00 28,600.00 82,500.00 28,600.00 25,300.00 66,000.00 52,525.00 52,525.00 52,525.00 83,050.00 66,000.00 390,500.00 33,000.00 93,500.00 23,100.00 18,700.00 2,806,840.00 E Katalog 494,890.00 489,500.00 192,500.00 165,000.00
165,000.00 165,000.00 49,500.00 97,900.00 97,900.00 300,000.00
325,000.00
Total Harga
Keterangan
135,740.00 66,000.00 84,260.00 49,500.00 55,000.00 303,600.00 77,000.00 489,500.00 66,000.00 2,806,840.00 E Katalog 22,000.00 99,000.00 165,000.00 33,000.00
484,000.00 440,000.00 440,000.00 440,000.00 220,000.00 198,000.00 264,000.00 638,000.00 190,424.00 190,424.00 8,360,000.00 419,292.00 673,750.00 180,757.00
E Katalog E Katalog E Katalog E Katalog
Total Harga
Keterangan
32,560.00 48,840.00 32,560.00 275,000.00 32,560.00 232,763.00 132,000.00 137,907.00 4,157,640.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 4,953,140.00 63,073.00
E Katalog
E E E E E E E E E
Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog
52,525.00 514,250.00 514,250.00 514,250.00 219,500.00 300,000.00 55,000.00 2,750,000.00 291,500.00 291,500.00 83,050.00 352,000.00 2,499,240.00 E Katalog 28,600.00 55,000.00 25,300.00
Total Harga
Keterangan
28,820.00 4,400,000.00 66,000.00 33,440.00 55,000.00 18,150.00 52,525.00 49,500.00 66,000.00 66,000.00 519,750.00 462,000.00 5,500.00 462,000.00 49,500.00 23,100.00 23,100.00 18,700.00 18,700.00 5,500.00 38,500.00 2,499,240.00 E Katalog 487,300.00 66,000.00 66,000.00 44,770.00 220,000.00 220,000.00 220,000.00 489,500.00 108,020.00 220,000.00 121,000.00 918,500.00 192,500.00 192,500.00 2,806,840.00 E Katalog 165,000.00 2,931,500.00 E Katalog
Total Harga
Keterangan
514,250.00 33,000.00 514,250.00 1,023,000.00 1,023,000.00 352,000.00 253,000.00 2,931,500.00 E Katalog
165,000.00 30,800.00 93,500.00 19,314.00 E Katalog 60,500.00 110,000.00 325,000.00 220,000.00
25,300.00 2,931,500.00 E Katalog 165,000.00 101,750.00 300,000.00
-
-
Total Harga
Keterangan -
PEMERINTAH KABUPATEN TABANAN DINAS KESEHATAN Jl. Gunung Agung No.82 Telp.0361-811419 TABANAN
DAFTAR SURVEY HARGA Program : Dukungan Biaya Oprasional Pelayanan Kesehatan (JKN) Pekerjaan : Belanja Bahan Pakai Habis Kedokteran ( Infus, Jarum Suntik, Perban dl
No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33
Nama Barang Sarung Tangan Steril Wing Needle No. 23 Wing Needle No. 25 Wing Needle No 27 Kapas pembalut 250 gram Benang wajah Underpad IV with port No. 16, 18, 20,22,24,26 Silk 2/0 Sutra Silk 3/0 Sutra Silk 3/0 Roll Cat gut 3/0 chromic Cat gut 2/0 chromic Catgut 2/0 Chromic roll Catgut 3/0 Chromic Roll Catgut 1/0 Chromic Catgut plain 2/0 Catgut 3/0 Plain Spuit 3 ml Spuit 5 ml Spuit 1 ml Spuit 10 ml Jelly Ultrasonic Folley Catheter No. 18 Handscoon on M Handschoen on M Sarung Tangan L Sarung Tangan M Sarung Tangan S Sarung tangan Gynaecolog Sarung Tangan Latex Etanol 70% 1000 ml Etanol 70% 100 ml
Kemasan/Spes ifikasi/Merk Euroderm
Bbraun
TP TP TP TP Remedi Supercare Supercare Supercare Supercare Supercare Remedi
Satuan Pasang Pcs Pcs Pcs Roll Pcs Pcs pcs Pcs Pcs Roll Pcs Pcs Roll Roll Roll Roll Roll Pcs Pcs Pcs Pcs Tube Pcs Box Box Box Box Box Pasang Pasang Botol Botol
34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79
Infusion set Anak Infusion Set Dewasa Kasa Gulung 40 x 80 Kasa Hidrofil 4 x 10 Kasa pembalut hidrofil 4m x 15 cm Kasa pembalut hidrofil 4m x 3 cm Kasa steril ( 18 x 22 ) Plester 5 yard x 2 inch Daryantulle Hypafix (Ultrafix ) 15 x 5 Hypafix (Ultrafix ) 10 x 5 Hypafix (Ultrafix ) 5 x 5 Hypafix (Ultrafix ) 5 x 1 Klip kecil Klip Tanggung Masker Masker N95 Spalk tungkai atas anak spalk tungkai atas dewasa spalk tungkai bawah anak spalk tungkai bawah dewasa IV Cath dengan katup Sendok takar Pot salep 30CC Alkohol Swab Jarum kulit Jarum Jahit Jarum inj Bisturi Cotton Aplicator (Lidi Kapas) Antiseptik Hand Gel Antiseptik Ruangan Gelang Bayi Kertas Lakmus Alkohol Swab Umbillical Cord Kateter Penghisap Lendir no 8 dan 10 Kain Balut Segitiga (Mitella) Nasogastric tube dewasa Blood Glukosa Test strip Uric Acid test strip Chlolesterol test strip tes combur Hemoglobin Test Strip Three Way M Y Jelly
TP TP Biokasa Biokasa Biokasa
Box
Remedi
Pcs Pcs Roll Roll Roll Roll Pack Roll Box Roll Roll Roll Roll Pack Pack Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pack Pcs Pcs Box Box
Fresco
Pcs
Remedi
Box Pcs Pack
Remedi
Pcs Pcs Pcs Box Box Box box Box Pcs Tube
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94
Reagen Control Serum Kimia Klinik Dilluent Rinse Lyse EZ Cleanser Probe Cleanser Perkamen Kantong Puyer Nasal Cannula Rivanol bayclean Dermalon Blood lancet Pot urine Widal
Pcs Pcs Remedi
lorne
botol 1 lt Pcs BOX PCS vial
ABANAN
19 TABANAN
m Suntik, Perban dll)
HARGA 11,332.40 12,320.00 12,320.00 12,320.00 12,500.00 100,210.00 4,042.00 8,750.00 5,600.00 5,600.00 396,000.00 13,600.00 13,600.00 1,507,000.00 1,457,500.00 1,375,000.00 1,507,000.00 1,430,000.00 685.14 815.15 679.29 978.77 29,040.00 10,212.00 89,117.22 89,117.22 89,117.22 89,117.22 89,117.22 19,314.00 58,850.00 26,300.00 3,900.00
Keterangan E Katalog
E Katalog
E E E E
Katalog Katalog Katalog Katalog
E E E E E E E
Katalog Katalog Katalog Katalog Katalog Katalog Katalog
12,636.00 6,465.00 112,297.50 1,573.25 2,279.00 770.00 5,900.00 41,015.00 178,200.00 154,259.00 111,601.00 58,577.00 12,011.00 12,700.00 13,300.00 35,742.00
E E E E E
Katalog Katalog Katalog Katalog Katalog
E Katalog
54,450.00 54,450.00 54,450.00 54,450.00 8,750.00 1,100.00 2,200.00 E Katalog 135,960.00 135,960.00 99,000.00 300,000.00 106,700.00 E Katalog 165,000.00 113,100.00 13,653.00 E Katalog E Katalog 3,552.00 E Katalog 24,200.00 46,600.00 418,000.00 156,000.00 946,220.00 490,050.00 965,000.00 28,400.00 35,100.00
1,320,000.00 2,902,680.00 2,902,680.00 2,978,800.00 957,000.00 566,500.00 16,500.00 96,300.00 E Katalog 4,850.00 18,150.00 72,600.00 18,150.00 2,420.00 416,660.00 E Katalog
DAFTAR SURVEI HARGA Program Pekerjaan No
: Dukungan Biaya Oprasional Pelayanan Kesehatan (JKN) : Belanja Bahan Pakai Habis Kedokteran ( Infus, Jarum Suntik, Perban dll) Nama Barang
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
ongkir
SET PEMERIKSAAN UMUM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Anuskop Baki logam tempat alat steril bertutup Bingkai uji-coba untuk pemeriksaan refraksi Buku Ishihara Tes Corong telinga/Speculum telinga ukuran kecil, besar, sedang Emesis basin /Nierbeken besar Garputala 512 Hz, 1024 Hz, 2084 Hz Handle kaca laring Handle kaca nasopharing Kaca laring ukuran 2,4,5,6 Kaca nasopharing ukuran 2,4,5,6 Kaca pembesar untuk diagnostik Lampu kepala/ Head Lamp + Adaptor AC/DC Lampu senter untuk periksa/ pen light Lensa uji-coba untuk pemeriksaan refraksi Lup binokuler (lensa pembesar) 3-5 Dioptri Metline ( pengukur lingkar pinggang ) Opthalmoscope Otoscope Palu reflex Pelilit kapas/ Cotton applicator Skinfold calliper Snellen Chart 2 jenis (E Chart + Alphabet Chart) Spekulum vagina (cocor bebek) sedang Spekulum hidung dewasa Sphygmomanometer untuk dewasa Stetoskop untuk dewasa Sudip lidah logam/spatula lidah logam panjang 12 cm
A&D
Pcs Pcs Pcs Pcs
583,660.00 291,500.00 790,570.00 99,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
77,000.00 352,000.00 135,740.00
Pcs
31,240.00 346,500.00 93,500.00 4,668,180.00 11,000.00 2,464,000.00 1,680,000.00 66,000.00 33,000.00 55,000.00 220,000.00 303,600.00 2,446,840.00 489,500.00 66,000.00
360,000.00
No 29
Nama Barang Sudip lidah logam/spatula lidah logam panjang 16,5 cm
30 Tempat tidur periksa dan perlengkapannya 31 Termometer untuk dewasa 32 Timbangan dewasa 33 Tonometer Schiotz Perlengkapan 1 Bantal 2 Baskom cuci tangan 3 Kasur 4 Lampu spiritus 5 Lemari alat 6 Meja instrumen 7 Meteran tinggi badan 8 Perlak 9 Pispot 10 Sarung bantal 11 Seprei 12 Sikat untuk ihkan peralatan 13 Stop Watch Tempat sampah tertutup yang dilengkapi dengan 14 injakan pembuka penutup Set Tindakan Medis/Gawat Darurat 1 Baki logam tempat alat steril tertutup 2 Collar Brace/Neck Collar anak 3 Collar Brace/Neck Collar dewasa Corong telinga/Spekulum telinga ukuran kecil, besar, 4 sedang 5 Doppler 6 Dressing Forceps 7 EKG* 8 Emesis Basin/ Nierbeken besar 9 Forceps Aligator 10 Forceps Bayonet 11 Guedel Airway (Oropharingeal Airway) 12 Gunting bedah standar, lengkung Gunting bedah standar, lengkung, ujung tajam/tajam 13 14
Kemasan/Spesifikasi/ Merk
Gunting bedah standar, lengkung, ujung tajam/tumpul
Karixa
Karixa Ersa Ersa
Elitech Elitech
Satuan
Jumlah
Harga
Pcs Unit Pcs Pcs Pcs
66,000.00 5,300,000.00 192,500.00 165,000.00 1,354,760.00
Pcs Pcs Pcs Pcs Unit Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs
110,000.00 220,000.00 3,025,000.00 77,000.00 7,637,000.00 3,028,000.00 49,500.00 97,900.00 60,000.00 55,000.00 300,000.00 60,500.00 110,000.00
Pcs
313,500.00
Pcs Pcs Pcs
291,500.00 77,440.00 77,440.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
77,000.00 2,310,000.00 23,100.00 34,650,000.00 352,000.00 220,000.00 37,400.00 156,420.00 22,000.00
Pcs
22,000.00
Pcs
22,000.00
ongkir
1,800,000.00
1,800,000.00 1,950,000.00 1,056,000.00
189,240.00 1,338,600.00
No
Nama Barang
Kemasan/Spesifikasi/ Merk
15
Gunting bedah standar, lengkung, ujung tumpul/tumpul
16 17 18 19 20 21 22 23 24 25 26 27 28 29
33
Gunting bedah standar, lurus ujung tumpul/tumpul Gunting bedah standar, lurus, ujung tajam/tajam Gunting bedah standar, lurus, ujung tajam/tumpul Gunting pembalut Gunting pembuka jahitan lurus Handle kaca laring Handle kaca nasopharing Hooked probes Kaca laring ukuran 2,4,5,6 Kaca nasopharing ukuran 2,4,5,6 Kait dan kuret serumen Remedi Kanula hidung anak Remedi Kanula hidung dewasa Klem arteri 14 cm (Kocher) Klem arteri, 12 cm lengkung, dengan gigi 1x2 (Halstead-Mosquito) Klem arteri, 12 cm lengkung, tanpa gigi (Halsteosquito) Klem arteri, 12 cm lurus, dengan gigi 1x2 (Halsteosquito) Klem arteri, 12 cm lurus,tanpa gigi (Halstead-Mosquito)
34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
Klem arteri, lurus (Kelly) Klem/pemegang jarum jahit, 18 cm (Mayo- Hegar) Korentang, lengkung, penjepit alat steril (23 cm) Korentang, penjepit sponge Kursi roda Lampu kepala Laringoskop anak Laringoskop dewasa Laringoskop neonatus bilah lurus Magill Forceps Nebulizer Otoskop Palu reflex Pinset alat, bengkok (Remky) Pinset anatomis, 14,5 cm Pinset anatomis, 18 cm Pinset bedah, 14,5 cm
30 31 32
Elitech
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
22,000.00 22,000.00 22,000.00 22,000.00 28,600.00 28,600.00
Pcs
30,800.00
Pcs
25,960.00
Pcs
30,800.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
25,960.00 25,300.00 46,420.00 65,120.00 65,120.00 1,815,000.00 346,500.00 3,620,100.00 3,620,100.00 3,620,100.00 163,340.00 1,287,000.00 1,680,000.00 66,000.00
84,260.00 10,900.00 10,900.00 33,440.00
23,100.00 33,000.00 18,700.00
ongkir
1,199.00 1,199.00
525,000.00
No 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72
Nama Barang
73
Pinset bedah, 18 cm Pinset epilasi Pinset telinga Pinset insisi Hordeolum/ Chalazion Resusitator anak-anak & sungkup Resusitator dewasa & sungkup Resusitator neonatus & sungkup Retraktor, pembuka kelopak mata Semprit gliserin Silinder korentang steril Skalpel, tangkai pisau operasi Spalk Spekulum hidung Spekulum mata Sphygmomanometer untuk anak Sphygmomanometer untuk dewasa Stand lamp untuk tindakan Standar infus Steteskop anak Steteskop dewasa Steteskop janin/Laenac Suction pump ( alat penghisap) Sudip lidah logam/Spatula lidah logam panjang 12 cm
74
Sudip lidah logam/Spatula lidah logam panjang 16,5 cm
75 76 77 78 79 80 81 82 83
Tabung oksigen dan regulator Tempat tidur periksa dan perlengkapannya Termometer anak Termometer dewasa Timbangan anak Timbangan dewasa Tissue Forceps Torniket karet Usungan (brankar )
Perlengkapan 1 Bak instrument tertutup 2 Bantal 3 Celemek plastic
Kemasan/Spesifikasi/ Merk
A&D A&D Karixa Karixa
Elitech
Karixa
Karixa
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Set Set Set Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
27,500.00 28,600.00 21,780.00 440,000.00 1,023,000.00 1,023,000.00 1,023,000.00 121,660.00 149,160.00 108,020.00 16,500.00 84,700.00 303,600.00 220,000.00 2,446,840.00 2,446,840.00 2,850,000.00 1,000,000.00 494,890.00 496,980.00 2,310,000.00 2,750,000.00
Pcs
66,000.00
Pcs Pcs Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Pcs Pcs Pcs
66,000.00 1,419,000.00 5,300,000.00 165,000.00 192,500.00 165,000.00 165,000.00 18,700.00 33,000.00 8,300,000.00
291,500.00 110,000.00 5,500.00
ongkir
360,000.00 360,000.00 1,800,000.00 1,800,000.00
189,240.00
1,800,000.00
1,800,000.00
No 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
Nama Barang Dorongan tabung oksigen dengan tali pengaman Duk bolong, sedang Jam/ timer Kain balut segitiga ( mitella ) Kasur Kotak penyimpan jarum bekas Lemari alat Lemari obat Mangkok untuk larutan Meja instrumen/alat Perlak plastic Pispot Sarung bantal Seprei Sikat tangan Sikat untuk ihkan peralatan Stop Watch Tempat sampah tertutup yang dilengkapi dengan injakan pembuka penutup Toples kapas/Kasa steril Tromol kasa/Kain steril 25 X 120 mm Waskom bengkok Waskom cekung Waskom cuci
Set Pemeriksaan Kesehatan Ibu 1. 1/2 Klem Korcher 2. Anuskop 3. Bak Instrumen dengan tutup 4. Baki Logam Tempat Alat Steril Bertutup 5. Doppler 6. Gunting Benang 7. Gunting Verband 8. Korcher Tang 9. Mangkok untuk Larutan 10 Meja Instrumen / Alat 11 Meja Periksa Ginekologi dan kursi pemeriksa 12 Palu Refleks 13. Pen Lancet 14 Pinset Anatomi Panjang 15 Pinset Anatomi Pendek
Kemasan/Spesifikasi/ Merk Ersa
Karixa Ersa Ersa Ersa
Satuan Pcs Pcs Pcs Pcs Pcs Pcs Unit Unit Pcs Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Elitech
Ersa Karixa
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Unit Unit Pcs Pcs Pcs Pcs
Jumlah
Harga 983,367.00 165,000.00 110,000.00 16,940.00 3,025,000.00 30,800.00 7,637,000.00 7,637,000.00 52,525.00 3,028,000.00 97,900.00 60,000.00 55,000.00 300,000.00 60,500.00 60,500.00 110,000.00
ongkir 1,188,000.00
1,800,000.00 1,950,000.00 1,950,000.00 1,056,000.00
313,500.00 514,250 514,250 352,000 253,000 253,000 55,000.00 583,660.00 291,500.00 291,500.00 2,310,000.00 28,600.00 25,300.00 33,440.00 52,525.00 3,028,000.00 9,600,000.00 66,000.00 29,700.00 33,000.00 23,100.00
189,240.00
1,056,000.00 1,800,000.00
No 16 17 18 19 20 21 22 23. 24 25 26 27. 28. 29 30 31 32 33
Nama Barang
Kemasan/Spesifikasi/ Merk
Pinset Bedah Silinder Korentang Steril Sonde mulut Spekulum Vagina (Cocor Bebek) Besar Spekulum Vagina (Cocor Bebek) Kecil Spekulum Vagina (Cocor Bebek) Sedang Spekulum Vagina (Sims) Sphygmomanometer Dewasa A&D Stand Lamp untuk tindakan Karixa Stetoskop Dewasa Stetoskop Janin / Fetoscope Elitech Sudip lidah logam / Spatula Lidah Logam panjang 12 cm Sudip lidah logam / Spatula Lidah Logam panjang 16,5 cm Tampon Tang Tempat Tidur Periksa Karixa Termometer Dewasa Timbangan Dewasa Torniket Karet
Set Pemeriksaan Kesehatan Anak 1. Alat Pengukur Panjang Bayi 2. Flowmeter anak (high flow) 3. Flowmeter neonatus (low flow) 4. Lampu periksa 5. Pengukur lingkar kepala 6. Pengukur tinggi badan anak 7. Sphygmomanometer dan manset anak 8. Stetoskop pediatric 9. Termometer Anak 10 Timbangan Anak 11 Timbangan bayi
Satuan
Jumlah
Harga
Pcs Pcs
18,700.00 108,020.00
Pcs Pcs Pcs Pcs
220,000.00 220,000.00 220,000.00 220,000.00 2,446,840.00 2,850,000.00 489,500.00 2,310,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Unit Pcs Pcs Pcs
Pcs
66,000.00 121,000.00 5,300,000.00 192,500.00 165,000.00 33,000.00
189,240.00
1,800,000.00
462,000.00
2,850,000.00 5,500.00 49,500.00 2,446,840.00 494,890.00 101,750.00 165,000.00 1,386,000.00
Set Pelayanan KB 1. Baki Logam Tempat Alat Steril Bertutup 2. Implant Kit 3. IUD Kit
Pcs Pcs Pcs
291,500.00 442,200.00 63,797,355.00
Set Imunisasi 1. Vaccine carrier
Pcs
325,000.00
A&D
360,000.00 1,800,000.00
66,000.00
Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Karixa
ongkir
1,800,000.00
360,000.00
No 2.
Nama Barang
Kemasan/Spesifikasi/ Merk
Set Obstetri & Ginekologi 1. Bak instrumen tertutup besar (Obgin) 2. Bak instrumen tertutup kecil 3. Bak instrumen tertutup Medium 4. Doppler 5. Doyeri Probe Lengkung 6. Endotracheal Tube Dewasa 2,5 7. Endotracheal Tube Dewasa 3 8. Endotracheal Tube Dewasa 4 9. Gunting Benang 10 Gunting Episiotomi
Jumlah
Harga
ongkir
Pcs
21,000,000.00
Karixa
Pcs Pcs Pcs Pcs Pcs Pcs
Ersa Ersa
Pcs Pcs Pcs
110,000 110,000.00 253,000.00 5,500.00 165,000.00 3,025,000.00 30,800.00 7,637,000.00 7,637,000.00 49,500.00 97,900.00 60,000.00 5,500.00 687,500.00 55,000.00 136,400.00 300,000.00
Vaccine Refrigerator
Perlengkapan 1. Ari timer 2. Bantal 3. Baskom Cuci Tangan 4. Celemek Plastik 5. Duk Bolong, Sedang 6. Kasur 7. Kotak Penyimpan Jarum Bekas 8. Lemari Alat 9. Lemari Obat 10 Meteran (untuk mengukur tinggi Fundus) 11 Perlak 12 Pispot 13 Pita Pengukur Lila 14 Pompa Payudara untuk ASI 15 Sarung Bantal 16 Selimut 17 Seprei 18 Set Tumbuh Kembang Anak 19 Sikat untuk ihkan Peralatan 20. Tempat Sampah Tertutup yang dilengkapi dengan injakan pembuka penutup 21 Tirai 22 Toples Kapas / Kasa Steril 23 Tromol Kasa / Kain Steril 24 Waskom Bengkok Kecil
Satuan
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Ersa
Elitech Remedi Remedi Remedi
1,800,000.00 1,950,000.00 1,950,000.00
60,500.00 313,500.00 4,564,000.00
Pcs Pcs Pcs Pcs
4,894,982.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
550,000 88,000 291,500 2,310,000.00
189,240.00
11,400 11,400 11,400
1,254.00 1,254.00 1,254.00
514,250 514,250 83,050.00
28,600.00 55,000.00
No 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
Nama Barang Gunting Iris Lengkung Gunting Operasi Lurus Gunting Tali Pusat Klem Fenster/Klem Ovum Klem Kasa (Korentang) Klem Kelly/Klem Kocher Lurus Klem Linen Backhauss Klem Mosquito Halsted Lengkung Klem Mosquito Halsted Lurus Klem Pemasang Klip Hegenbarth Lampu Periksa Halogen Masker Oksigen Kanula Nasal Dewasa Meja Instrumen Needle Holder Matheiu Pelvimeter Obstetrik Pinset Jaringan (Sirurgis) Pinset Jaringan Semken Pinset Kasa (Anatomis) Resusitator Dewasa Retraktor Finsen Tajam Setengah Kocher Skalpel No. 3 Skalpel No. 4 Spekulum (Sims) Besar Spekulum (Sims) Kecil Spekulum (Sims) Medium Spekulum Cocor Bebek Grave Besar Spekulum Cocor Bebek Grave Kecil Spekulum Cocor Bebek Grave Medium Standar infus Stetoskop Dewasa Stetoskop Janin/ Fetoscope Stilet untuk Pemasangan ETT Tabung Oksigen dan Regulator Tempat Klem Kasa (Korentang) Tempat Tidur Periksa (examination bed ) Tempat Tidur untuk Persalinan Tensimeter dewasa Termometer Dewasa
Kemasan/Spesifikasi/ Merk
Karixa Remedi Remedi Ersa
Karixa Elitech
Karixa Karixa A&D
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
27,940.00 22,000.00 28,820.00 70,180.00 65,120.00 33,440.00 38,060.00 24,860.00 25,960.00 25,960.00 2,850,000.00 11,500.00 10,900.00 3,028,000.00 27,500.00
Pcs Pcs Pcs Set
18,700.00 18,700.00 23,100.00 1,023,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
55,000.00 16,500.00 16,500.00 220,000.00 220,000.00 220,000.00 220,000.00 220,000.00 220,000.00 1,000,000.00 489,500.00 2,310,000.00
Pcs Pcs Pcs Pcs Pcs Pcs
1,419,000.00 108,020.00 5,300,000.00 9,600,000.00 2,446,840.00 192,500.00
ongkir
1,800,000.00 1,265.00 1,199.00 1,056,000.00
1,800,000.00 189,240.00
1,800,000.00 1,800,000.00 360,000.00
No
Nama Barang
Kemasan/Spesifikasi/ Merk
Set Insersi dan Ekstraksi AKDR 1. Aligator Ekstraktor AKDR 2. Gunting Mayo CVD 3. Klem Kasa Lurus (Sponge Foster Straight) 4. Klem Penarik Benang AKDR 5. Sonde Uterus Sims 6. Tenakulum Schroeder
Set Resusitasi Bayi 1. Baby Suction Pump portable 2. Endotracheal Tube 2,5 3. Endotracheal Tube 3 4. Endotracheal Tube 3,5 5. Endotracheal Tube 4 6. Infant T piece resuscitator dengan PEEP 7. Infant T piece System 8. Laringoskop Neonatus Bilah Lurus (3 ukuran) 9. Meja Resusitasi dengan Pemanas (Infant Radiant Warmer) 10. Oxygen Concentrator Penghisap Lendir DeLee (neonatus) 11 12 13
Remedi Remedi Remedi Remedi
Set Perawatan Pasca Persalinan
Jumlah
Harga
ongkir
Pcs Pcs Pcs Pcs Pcs Pcs
220,000.00 30,140.00 65,120.00 28,600.00 44,770.00 78,540.00
Pcs Pcs Pcs Pcs Pcs
2,750,000.00
Pcs
3,620,100.00
11,400 11,400 11,400 11,400
1,254.00 1,254.00 1,254.00 1,254.00
Elitech
Unit Pcs Pcs Pcs Pcs
150,975,000.00 374,000.00 55,000.00 2,750,000.00 487,300.00
166,979,000.00
Ersa Ersa
Unit Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
7,637,000.00 7,637,000.00 52,525.00 462,000.00 49,500.00 10,000.00 1,386,000.00 165,000.00 514,250 83,050.00 352,000.00
1,950,000.00 1,950,000.00
Pompa Penghisap Lendir Elektrik Stetoskop Duplex Neonatus
Perlengkapan 1. Lemari Alat 2. Lemari Obat 3. Mangkok Iodin 4. Pengukur panjang bayi 5. Pengukur Tinggi Badan (microtoise) 6. Pisau Pencukur 7. Timbangan bayi 8. Timbangan Dewasa 9. Tromol Kasa 10 Waskom Bengkok Ukuran 30 cm 11 Waskom Bengkok Ukuran 23 cm
Satuan
Elitech
1,545,500.00
No 1. 2. 3. 4. 5. 6. 7. 8. 9. 10
Nama Barang ARI Timer Boks Bayi Sphygmomanometer Dewasa Standar infus Stetoskop Anak Tabung Oksigen dan Regulator Tempat Tidur Dewasa Termometer Anak Termometer Dewasa Timbangan Bayi
Perlengkapan 1. Bantal 2. Baskom Kecil 3. Handuk Pembungkus Neonatus 4. Kantong Metode Kanguru sesuai ukuran neonatus 5. Kasur 6. Kotak Penyimpan Jarum Bekas 7. Lemari Obat 8. Lemari Alat 9. Lemari Kecil Pasien Perlak 10 11 Pispot Pompa Payudara untuk ASI 12 13 14 15 16 17 18 19. 20 21 22
Sarung Bantal Selimut Bayi Selimut Dewasa Seprei Set Tumbuh Kembang Anak Sikat untuk ihkan Peralatan Tempat Sampah Tertutup yang dilengkapi dengan injakan pembuka penutup Toples Kapas / Kasa Steril Tromol Kasa / Kain Steril Waskom Bengkok Kecil
Set Kesehatan Gigi & Mulut 1. Atraumatic Restorative Treatment (ART) Enamel Access Cutter
Kemasan/Spesifikasi/ Merk Ersa A&D Karixa
Karixa
Elitech
Karixa Ersa Ersa Ersa
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
110,000 4,502,960 2,446,840.00 2,850,000.00 494,890.00 1,419,000.00 5,300,000.00 101,750.00 192,500.00 1,386,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Unit Unit Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs
110,000.00 220,000.00 137,500.00 330,000.00 3,025,000.00 30,800.00 7,637,000.00 7,637,000.00 2,956,000.00 97,900.00 60,000.00 687,500.00 55,000.00 136,400.00 136,400.00 300,000.00
Pcs
60,500.00
Pcs Pcs Pcs Pcs
313,500.00 514,250 514,250 83,050.00
Pcs
484,000.00
ongkir
1,298,000 360,000.00 1,800,000.00
1,800,000.00
1,545,500.00
1,800,000.00 1,950,000.00 1,950,000.00 792,000.00
No
2. 3. 4.
5. 6. 7. 8. 9. 10 11 12. 13
14 15 16 17 18 19 20 21 22. 23.
Nama Barang Eksavator Berbentuk Sendok Ukuran Kecil (Spoon Excavator Small) Eksavator Berbentuk Sendok Ukuran Sedang (Spoon Excavator Medium) Eksavator Berbentuk Sendok Ukuran Besar (Spoon Excavator Large) Double Ended Applier and Carver Spatula Plastik Hatchet Batu Asah Bein Lurus Besar Bein Lurus Kecil Bor Intan (Diamond Bur Assorted) untuk Air Jet Hand Piece (Kecepatan Tinggi) (round, inverted dan fissure) Bor Intan Kontra Angle Hand Piece Conventional (Kecepatan Rendah) (round, inverted dan fissure) Ekskavator Berujung Dua (Besar) Ekskavator Berujung Dua (Kecil) Gunting Operasi Gusi (Wagner) (12 cm ) Handpiece Contra Angle Handpiece Straight Kaca Mulut Datar No.4 Tanpa Tangkai Klem/Pemegang Jarum Jahit (Mathieu Standar) Set Kursi Gigi Elektrik yang terdiri dari: Kursi Gigi Cuspidor Unit Meja Instrumen Foot Controller untuk Hand Piece Kompresor Oilless 1 PK Jarum exterpasi Jarum K-File (15-40) Jarum K-File (45-80) Light Curing Mikromotor dengan Straight dan Contra Angle Hand Piece (Low Speed Micro Motor portable) Pelindung Jari Pemegang Matriks (Matrix Holder) Penahan Lidah Pengungkit Akar Gigi Kanan Mesial (Cryer Distal) Pengungkit Akar Gigi Kanan Mesial (Cryer Mesial)
Kemasan/Spesifikasi/ Merk
Otto Otto
Otto Otto Otto
Otto Otto Yovistra
Otto Otto
Satuan
Jumlah
Harga
Pcs
440,000.00
Pcs
440,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs
440,000.00 220,000.00 198,000.00 264,000.00 638,000.00 366,803.00 366,803.00
Pcs
330,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Unit
330,000.00 119,424.00 119,424.00 277,804.00 2,600,000.00 2,600,000.00 354,292.00 272,117.00 73,835,000.00
Pcs Pcs Pcs Pcs
831,600.00 187,000.00 187,000.00 3,300,000.00
Pcs Pcs Pcs Pcs Pcs Pcs
22,770,000.00 272,250.00 261,596.00 220,366.00 383,864.00 383,864.00
ongkir
71,000.00 71,000.00
71,000.00 71,000.00 65,000.00
65,000.00 71,000.00 11,509,000.00
71,000.00 71,000.00
No 24 25 26 27 28 29. 30. 31 32. 33. 34 35 36 37 38 39
Nama Barang Penumpat Plastis Periodontal Probe Penumpat Semen Berujung Dua Pinset Gigi Polishing Bur Skeler Standar , Bentuk Cangkul Kiri (Type Chisel/Mesial) Skeler Standar , Bentuk Cangkul Kanan (Type Chisel/Mesial) Skeler Standar, Bentuk Tombak (Type Hook) Skeler Standar, Black Kiri dan Kanan (Type Chisel/Mesial) Skeler Standar, Black Kiri dan Kiri (Type Chisel/Mesial)
Skeler Ultrasonik Sonde Lengkung Sonde Lurus Spatula Pengaduk Semen Spatula Pengaduk Semen Ionomer Set Tang Pencabutan Dewasa (set) Tang gigi anterior rahang atas dewasa Tang gigi premolar rahang atas Tang gigi molar kanan rahang atas Tang gigi molar kiri rahang atas Tang molar 3 rahang atas Tang sisa akar gigi anterior rahang atas Tang sisa akar gigi posterior rahang atas Tang gigi anterior dan premolar rahang bawah Tang gigi molar rahang bawah kanan/kiri Tang gigi molar 3 rahang bawah Tang sisa akar rahang bawah 40 Set Tang pencabutan gigi anak Tang gigi anterior rahang atas Tang molar rahang atas Tang molar susu rahang atas Tang sisa akar rahang atas Tang gigi anterior rahang bawah Tang molar rahang bawah Tang sisa akar rahang bawah 41. Skalpel, Mata Pisau Bedah (Besar) 42. Skalpel, Mata Pisau Bedah (Kecil)
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
ongkir
Pcs Pcs Pcs Pcs Pcs
673,750.00 167,763.00 22,909.00 109,757.00 119,000.00
Pcs
275,000.00
Pcs Pcs
275,000.00 275,000.00
Pcs
330,000.00
Otto Otto
Pcs Pcs Pcs Pcs Pcs Pcs
330,000.00 167,763.00 167,763.00 132,000.00 137,907.00 137,907.00
71,000.00 71,000.00
Otto Otto Otto Otto Otto Otto Otto Otto Otto Otto Otto
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00
147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00
Otto Otto Otto Otto Otto Otto Otto Otto Otto
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 109,757.00 109,757.00
147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 65,000.00 65,000.00
Otto
64,000.00
No
Nama Barang
43. Skalpel, Tangkai Pisau Operasi 44. Tangkai kaca mulut
Kemasan/Spesifikasi/ Merk Otto Otto
Perlengkapan 1. Baki Logam Tempat Alat Steril Bertutup 2. Korentang, Penjepit Sponge (Foerster) 3. Lampu Spiritus Isi 120 cc Ersa 4. Lemari peralatan 5. Lempeng Kaca Pengaduk Semen Elitech 6. Needle Destroyer 7. Silinder Korentang Steril Elitech 8. Sterilisator kering 9. Tempat Alkohol (Dappen Glas) 10. Toples Kapas Logam dengan Pegas dan Tutup (50 x 70 mm) 11 Toples Pembuangan Kapas (50 x 75 mm) 12 Waskom Bengkok (Neirbeken)
Set Promosi Kesehatan 1. Alat Peraga Cara Menyusui yang Benar (Boneka dan fantom payudara) 2. Alat Permainan Edukatif (APE) 3. Biblioterapi 4. Boneka Bayi 5. Buletin Board / Papan Informasi 6. Cetakan Jamban 7. Cetakan Sumur Gali (Cicin) 8. Komputer dan Printer 9. Fantom Gigi Anak 10 Fantom Gigi Dewasa 11 Fantom Mata Ukuran Asli 12 Fantom Mata Ukuran Besar (Fiberglass) 13 Fantom Panggul Wanita 14. Flip Chart dan Stand 15 Food Model 16 Gambar Anatomi Gigi 17 Gambar Anatomi Mata 18 Gambar Anatomi Mata 60 x 90 19 Gambar Panggul Laki-Laki
Satuan Pcs Pcs
Pcs Pcs Pcs Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Jumlah
Harga 109,757.00 44,073.00
291,500.00 65,120 77,000.00 7,637,000.00 25,850.00 6,930,000.00 108,020 3,410,000.00 52,525.00 514,250 514,250 83,050.00
ongkir 65,000.00 21,000.00
1,950,000.00 543,000.00 1,543,140.00
No 20 21 22 23 24 25 26 27 28 29 30 31. Set ASI 1.
Nama Barang
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
Kamera Foto / Handy Camp Laptop Layar ukuran 1 x 1,5 M / Screen Leaflet-Leaflet Megaphone / Public Address System Papan Tulis Putih Poster-Poster Proyektor / LCD Proyektor Radio Kaset/ Tape Recorder Televisi dan Antena VCD/ DVD Player Wireless System / Amplifier & Wireless Microphone Breast pump
Set Laboratorium 1. Batang Pengaduk 2. Beker, Gelas 3. Botol Pencuci 4. Corong Kaca (5 cm) 5. Erlenmeyer, Gelas 6. Fotometer 7. Gelas Pengukur (100 cc) 8. Gelas Pengukur (16 Oz / 500 ml) 9. Hematology Analizer (HA) 10. Hemositometer Set /Alat Hitung Manual 11. Lemari Es 12. Mikroskop Binokuler 13. Pipet Mikro 5-50, 100-200, 500-1000 ul 14. Pipet Berskala (Vol 1 cc) 15. Pipet Berskala (Vol 10 cc) 16. Pipet Tetes (Pipet Pasteur) 17. Pot Spesimen Dahak Mulut Lebar 18. Pot Spesimen Urine (Mulut Lebar) 19. Rotator Plate 20. Sentrifuse Listrik 21. Sentrifuse Mikrohematokrit 22. Tip Pipet (Kuning ) Tip Pipet ( Biru) 23. Tabung Kapiler Mikrohematokrit
Pcs
687,500.00
Pcs Pcs
25,850.00 24,640.00
Pcs Pcs
18,260.00 28,820.00
Pcs Pcs
44,000.00 118,580.00
Pcs Pcs Unit
487,740.00 2,475,000.00 30,855,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Box Box
25,960.00 1,870.00 3,630.00 2,420.00 18,150,000.00 39,930,000.00 8,470,000.00 309,650.00 297,000.00
ongkir
No 24. 25. 26. 27. 28. 29. 30. 31.
Nama Barang Tabung Reaksi (12 mm) Tabung Reaksi dengan tutup karet gabus Tabung Sentrifus Tanpa Skala Telly Counter Termometer 0-5 C Urinometer (Alat Pengukur Berat Jenis Urine) Wadah Aquades Westergren Set (Tabung Laju Endap Darah)
Perlengkapan 1. Kaki Tiga 2. Lampu Spiritus 3. Pembendung 4. Penjepit Tabung dari Kayu 5. Pensil Kaca 6. Pemanas/Penangas dengan Air 7. Rak Pengering 8. Rak Pewarna Kaca Preparat 9. Rak Tabung Reaksi 10 Stopwatch 11 Sengkelit / Ose 12 Sikat Tabung Reaksi 13 Timer Set Farmasi 1. Analitical Balance (Timbangan Mikro) 2. Batang Pengaduk 3. Corong 4. Cawan Penguap Porselen (d.5-15cm) 5. Gelas Pengukur 10mL, 100mL dan 250mL 6. Gelas Piala 100mL, 500mL dan 1L 7. Higrometer 8. Mortir (d. 5-10cm ) + stamper 10-15cm) + stamper 9. Pipet Berskala 10 Spatel logam 11 Shaker 12 Termometer skala 100 Set Rawat Inap 1. Ari Sound Timer
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
Pcs
119,680.00
Pcs Pcs
6,870.00 40,700.00
Pcs
11,000.00
Pcs
77,000.00
Pcs Pcs
214,500.00 110,000.00
Pcs Pcs
16,500.00 110,000.00
Pcs
25,850
Pcs Pcs Pcs
71,280.00 60,940.00 125,840.00
Pcs
110,000.00
ongkir
No
Nama Barang
Kemasan/Spesifikasi/ Merk
2. 3. 4. 5. 6.
Baki Instrumen Bertutup Bak Instrumen Bertutup 30 X 30 Cm Bisturi No 10 Karixa Brankar Gunting Lengkung, Ujung Tajam (Metzenbaum) (18 Cm)
7. 8.
Gunting Lengkung, Ujung Tumpul (Metzenbaum) (18 Cm) (Metzenbaum) (18 Cm) Gunting Lurus, Ujung Tajam (Metzenbaum) (18 Cm)
9.
Gunting Lurus, Ujung Tumpul (Metzenbaum) (18 Cm)
10. 11. 12. 13. 14. 15. 16. 17.
Gunting Mayo Lurus/Lengkung Gunting Pembuka Jahitan, Lurus Kaca Pembesar Remedi Kanula Hidung Kateter, Selang Penghisap Lendir Bayi Kauter Klem Agrave, 14 Mm (Isi 100) Klem Arteri, 12 Cm, Lengkung Dengan Gigi 1 X 2 ( Halstead-Mosquito ) Klem Arteri, 12 Cm, Lengkung Tanpa Gigi ( Halsteosquito ) Klem Arteri, 12 Cm, Lurus Dengan Gigi 1 X 2 ( Halsteosquito ) Klem Arteri, 12 Cm, Lurus Tanpa Gigi 1 X 2 ( Halsteosquito ) Klem Arteri, Lurus (Kelly) Klem/Pemegang Jarum Jahit Dengan Kunci (Baraquer)
18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32.
Klem/Pemegang Jarum Jahit (Mathieu Standar) Klem/Pemegang Silet (Barraquer) Klem/Penjepit Kain (Kocher-Backhaus)/Duk Klem Klep Pengatur Oksigen Dengan Humidifer Korentang, Lengkung, Penjepit Alat Steril, 23 Cm (Cheattle) Korentang, Penjepit Sponge (Foerster) Inkubator Bayi Lampu Periksa Lampu Senter Manset Anak; Dengan Velecro
Ersa Karixa
Satuan Pcs Pcs Pack Pcs
Jumlah
Harga 291,500.00 550,000.00 300,000.00 8,300,000.00
Pcs
55,000.00
Pcs
55,000.00
Pcs
55,000.00
Pcs Pcs Pcs Pcs Pcs
55,000.00 30,140.00 28,600.00 31,240.00 10,900.00
Pcs
30,800.00
Pcs
25,960.00
Pcs
30,800.00
Pcs Pcs
25,960.00 25,300.00
Pcs
122,100.00
Pcs Pcs
38,060.00 402,380.00
Pcs Pcs Unit Unit Pcs Pcs
65,120.00 65,120.00 4,502,960.00 2,850,000.00 93,500.00 416,020.00
ongkir
1,800,000.00
1,199.00
1,298,000.00 1,800,000.00
No 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70.
Nama Barang Manset Dewasa Meja Instrumen, Mayo Berstandar Meja Instrumen/Alat Nebulizer Pinset Anatomis, 14,5 Cm Pinset Anatomis, 18 Cm Pinset Anatomis (Untuk Specimen) Pinset Bedah, 14,5 Cm Pinset Bedah, 18 Cm Resusitator Untuk Dewasa Resusitator For Infant Selang Oksigen Skalpel, Tangkai Pisau Operasi Spalk Sphygmomanometer Standar Infus Standar Waskom, Tunggal Standar Waskom, Ganda Stetoskop Infant Stetoskop Anak Stetoskop Dewasa Suction Pump Sonde Dengan Mata, 14,5 Cm Sonde Pengukur Dalam Luka Tabung Oksigen 6 Meterkubik Dan Regulato Tabung Oksigen 1 Meterkubik Dan Regulator Tabung/Sungkup Untuk Resusitasi Termometer Infant Termometer Dewasa Tempat Tidur Rawat Inap Tempat Tidur Rawat Inap Untuk Anak Torniket Karet Tromol Kasa/Kain Steril (125 X 120 Mm) Tromol Kasa/Kain Steril (150 X 150 Mm) Waskom Bengkok Waskom Cekung Waskom Cuci Wing Needle
Perlengkapan 1. Bantal
Kemasan/Spesifikasi/ Merk Ersa Ersa Elitech
Remedi
A&D Karixa Ersa Ersa
Karixa Ersa
Satuan Pcs Unit Unit Pcs Pcs Pcs Pcs Pcs Pcs Set Set Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Set Pcs Pcs Unit Unit Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Pcs
Jumlah
Harga 400,290.00 3,028,000.00 3,028,000.00 1,287,000.00 23,100.00 33,000.00 23,100.00 18,700.00 27,500.00 1,023,000.00 1,023,000.00 10,900.00 16,500.00 84,700.00 2,446,840.00 1,000,000.00 1,580,000.00 2,097,850.00 487,300.00 494,890.00 489,500.00 2,750,000.00 44,770.00 44,770.00 4,097,500.00 1,419,000.00 1,023,000.00 101,750.00 192,500.00 25,200,000.00 9,830,000.00 33,000.00 514,250.00 514,250.00 352,000.00 253,000.00 253,000.00 12,320.00
110,000.00
ongkir 1,056,000.00 1,056,000.00 525,000.00
1,199.00
360,000.00 1,800,000.00 1,056,000.00 1,320,000.00
1,800,000.00 1,755,000.00
No 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25.
Nama Barang Dorongan Untuk Tabung Oksigen Duk Biasa, Besar (274 X 183 Cm) Duk Biasa, Kecil (91 X 114 Cm) Duk Biasa, Sedang (91 X 98 Cm) Duk Bolong, Besar (274 X 183 Cm) Letak Lubang Di Tengah (23 X 10) Duk Bolong, Kecil Duk Bolong, Sedang Handuk Bayi Handuk Kecil (60 X 40 Cm) Kain Penutup Meja Mayo Kasur Kursi Roda Lap Untuk Mandi Pasien Pispot Anak Pispot Dewasa Pispot Fraktur/Immobilisasi Pispot Pria/Urinal Perlak, Tebal Lunak (200 X 90 Cm) Sarung Bantal Selimut Selimut Bayi Sikat Tangan Sprei Sprei Kecil/Steek Laken Tempat Sampah Tertutup Dengan Injakan
Set Sterilisasi 1. Autoclave 2. Korentang, Lengkung, Penjepit Alat Steril, 23 Cm (Cheattle) Perlengkapan 1. Apron/Celemek Karet 2. Duk Pembungkus Alat 3. Ember Plastik Untuk Merendam Alat 4. Lemari Alat Untuk Alat Yang Sudah Steril 5. Sikat Pembersih Alat 6. Tempat Sampah Tertutup Dengan Injakan
Kemasan/Spesifikasi/ Merk Ersa
Karixa
Elitech
Ersa
Satuan Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Unit
Jumlah
Harga 983,367.00
77,000.00 165,000.00 137,500.00 110,000.00 330,000.00 3,025,000.00 1,815,000 24,200.00 10,000.00 10,000.00 60,000.00 60,000.00 97,900.00 55,000.00 136,400.00 136,400.00 60,500.00 300,000.00 137,500.00 313,500.00
3,410,000
Pcs
65,120.00
Pcs Pcs Pcs Pcs Pcs Pcs
5,500.00 165,000.00 253,000.00 7,637,000.00
60,500.00 313,500.00
ongkir 1,188,000.00
1,800,000.00
1,543,140
2,000,000.00
No
Nama Barang
Kemasan/Spesifikasi/ Merk
Set Puskesmas Keliling 1. Alat Pemasang IUD 2. Alat Pemasang, Norplant 3. Baki Logam Tempat Alat Steril Bertutup 4. Bein Lurus Besar 5. Bein Lurus Kecil 6. Ekskavator Berujung Dua (Besar) 7. Ekskavator Berujung Dua (Kecil) 8. Generator Set mini dengan daya Output Maks. 0.85 KVA/850 Watt, Voltase AC 220 V/1 Phase/DC 12V/8.3A, Kapasitas Tangki Bahan Bakar 4,5 L 9. Gunting Bedah Standar, Lengkung 10. Gunting Pembalut (Lister) 11. Irigator Dengan Konektor Nilon, Lurus Otto 12. Kaca Mulut Datar No.4 13. Klem Arteri, Lurus (Kelly) 14. Klem/Pemegang Jarum Jahit, 18 cm (Mayo-Hegar) 15. Klem/Penjepit Porsio, 25 cm (Schroder) 16. Korentang, Lengkung, Penjepit Alat Steril, 23 cm (Cheattle) 17. Korentang, Penjepit Sponge (Foerster) 18. LCD Projector dengan Pencahayaan Minimal 2000 Lumen 19. Mangkok untuk Larutan 20. Mangkuk untuk larutan (Dappen glas) 21. Meteran 22. Microphone Tanpa Kabel 23. Palu Pengukur Reflek 24. Pemutar VCD/DVD dan Karaoke yang Kompatibel dengan Berbagai Media 25. Pengukur Panjang Bayi dan Tinggi Badan Anak 26. Pengungkit Akar Gigi (Cryer Distal) 27. Pengungkit Akar Gigi (Cryer Mesial) 28. Penumpat Plastis 29. Pen Lancet 30. Pinset Anatomis, 14,5 cm 31. Pinset Anatomis, 18 32. Pinset Gigi 33. Pompa Payudara / Breast Pump 34. Scaller , Black Kiri dan Kanan (Type Hoe)
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs
352,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs
28,600.00 25,300.00 247,940.00 354,292.00 25,300.00 137,500.00 65,120.00
Pcs Pcs
65,120.00 65,120.00
Pcs Pcs Pcs
52,525.00 19,250.00 49,500.00
Pcs
66,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
462,000.00 825,000.00 825,000.00 673,750.00 29,700.00 23,100.00 24,860.00 26,400.00 687,500.00 48,840.00
ongkir
291,500.00 715,000.00 715,000.00 253,000.00 253,000.00
65,000.00
No 35. 36.
Nama Barang
38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65.
Scaller , Standar, Bentuk Bulan Sabit (Type Sickle) Scaller , Standar, Bentuk Cangkul Kanan (Type Chisel/Mesial) Scaller , Standar, Bentuk Cangkul Kiri (Type Chisel/Distal) Scaller Standar, Bentuk Tombak (Type Hoe) Semprit Untuk Telinga dan Luka Semprit, Air Semprit, Gliserin Silinder Korentang Kecil Skalpel Tangkai Pisau Operasi Skalpel, Mata Pisau Bedah (No.10) Sonde Bengkok Sonde lurus Sonde Uterus/ Penduga Spalk Spatula Pengaduk Semen Gigi Spekulum Vagina (Cocor Bebek) Besar Spekulum Vagina (Cocor Bebek) Kecil Spekulum Vagina (Cocor Bebek) Sedang Sphygmomanometer dewasa Sphygmomanometer anak Sterilisator Portable Stetoskop Dewasa Stetoskop Anak Stetoskop Janin Stereo Sound System Sudip Lidah Logam, Panjang 12 cm Sudip Lidah Logam, Panjang 16,5 cm Tandu Lipat Tang Pencabut Akar Gigi Atas Bentuk Bayonet Tang Pencabut Akar Gigi Depan Atas Tang Pencabut Akar Gigi Seri dan Sisa Akar Bawah
66. 67. 68. 69. 70. 71.
Tang Tang Tang Tang Tang Tang
37.
Pencabut Pencabut Pencabut Pencabut Pencabut Pencabut
Akar Gigi Terakhir Atas Akar Gigi Terakhir Bawah Gigi Geraham Atas Kanan Gigi Geraham Atas Kiri Gigi Geraham Besar Bawah Gigi Geraham Kecil Atas
Kemasan/Spesifikasi/ Merk
A&D A&D Elitech
Satuan
Jumlah
Harga
Pcs
32,560.00
Pcs
275,000.00
Pcs Pcs
32,560.00 275,000.00
Pcs Pcs Pcs Pack Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
129,800.00 39,600.00 16,500.00 300,000.00 44,770.00 24,200.00 44,770.00 84,700.00 55,000.00 220,000.00 220,000.00 220,000.00 2,446,840 2,446,840 3,410,000
ongkir
360,000 360,000 1,543,140
489,500.00 494,890.00 487,300.00
Otto Otto
Pcs Pcs Pcs Pcs Pcs
66,000.00 66,000.00 1,411,080.00 545,940.00 545,940.00
147,000.00 147,000.00
Otto Otto Otto Otto Otto Otto Otto
Pcs Pcs Pcs Pcs Pcs Pcs Pcs
545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00
147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00
No 72. 73. 74. 75. 76. 77. 78. 79. 80.
Nama Barang Tang Pencabut Gigi Geraham Kecil Kecil dan Taring Bawah Tangkai untuk Kaca Mulut Termometer Anak Termometer Dewasa Timbangan Bayi / Timbangan Dacin Timbangan Dewasa Torniket Karet Waskom Bengkok Waskom Cekung
Perlengkapan 1. Botol Mulut Lebar 2. Botol Mulut Sempit dengan Tutup Ulir 3. Celemek Plastik Lampu senter Penggerus Obat 4. Gelas Pengukur (16 Oz/500 ml) 5. Penjepit Tabung dari Kayu 6. Pompa Payudara untuk Asi 7. Standar Waskom, Tunggal 8. Tempat Alkohol (Dappen Glas) 9. Toples Kapas Logam 10. Toples Kapas/Kasa Steril 11. Waskom Cuci Set Pemeriksaan Umum di Puskesmas Pembantu 1. Aligator Forsceps P.247 2. Baki Logam Tempat Alat Steril Bertutup 3. Corong Telinga/Spekulum Telinga P.241, Ukuran Kecil, Besar, Sedang 4. Duk Bolong, Sedang 5. Emesis basin/Nierbeken besar 6. Gunting Bedah Standar, Lurus 7. Gunting Benang 8. Gunting Pembalut, Lister 9. Klem Arteri, Lurus (Kelly) 10. Klem/Pemegang Jarum Jahit, 18 cm (Mayo-Hegar) 11. Korentang, Penjepit Sponge (Foerster) 12. Lampu senter untuk periksa/ pen light 13. Meja Instrumen/Alat 14. Pengukur tinggi badan
Kemasan/Spesifikasi/ Merk
Otto
Elitech
Ersa
Ersa
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
545,940.00 44,073.00 101,750.00 192,500.00 1,386,000.00 165,000.00 33,000.00 352,000.00 253,000.00
Pcs Pcs Pcs Pcs Pcs Pcs
687,500.00
Pcs Pcs
220,000.00 291,500.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Unit Pcs
1,354,672.00
ongkir
19,000.00
1,545,500.00
1,596,000.00
52,525.00 514,250 514,250 253,000.00
77,000.00 165,000.00 352,000.00 22,000.00 28,600.00 25,300.00 66,000.00 137,500.00 65,120.00 93,500.00 3,028,000.00 49,500.00
1,056,000.00
No 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34.
Nama Barang Pengukur panjang badan Pinset Anatomis (Untuk Specimen) Pinset Anatomis, 14,5 cm Pinset Anatomis, 18 cm Pinset Bayonet P.245 Pinset Bedah 18 cm Pinset Bedah, 14,5 cm Silinder Korentang Steril Skalpel, Tangkai Pisau Operasi Sphygmomanometer dewasa Standar infus Sterilisator Stetoskop Sudip Lidah, Logam, Panjang 12 cm Tempat Tidur Periksa Dan Perlengkapannya Termometer Timbangan Dewasa Timbangan Bayi Torniket karet Tromol Kasa/Kain Steril (125 x 120 mm)
Kemasan/Spesifikasi/ Merk
A&D Karixa Elitech
Karixa
Elitech
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Unit Pcs Pcs Pcs Pcs Pcs
462,000.00 23,100.00 23,100.00 27,500.00 37,400.00 27,500.00 18,700.00 1,080,220.00 16,500.00 2,446,840.00 1,000,000.00 3,410,000.00 489,500.00 66,000.00 5,300,000.00 192,500.00 165,000.00 1,386,000.00 33,000.00 514,250.00
Pcs Box Box
4,400,000.00 385,000.00 75,000.00
Unit
40,000,000.00
Pcs Pcs Pcs Pcs Pcs
50,000.00 3,025,000.00 30,800.00 60,000.00 60,500.00
ongkir
360,000.00 1,800,000.00 1,543,140.00
1,800,000.00
1,545,500.00
II. Set Pemeriksaan Kesehatan Ibu* III. Set Pemeriksaan Kesehatan Anak* IV. Set Pelayanan KB* V. Set Pemeriksaan Laboratorium Sederhana 1 Alat pemeriksaan Hb POCT 2 Tes Celup Glucoprotein Urin 3 Tes Celup hCG (tes kehamilan) 4 Tes Golongan Darah 5 Kulkas (penyimpan reagen, vaksin dan obat)
Perlengkapan 1. Handuk Kecil untuk Lap Tangan 2. Kasur 3. Kotak Penyimpan Jarum Bekas 4. Pispot 5. Sikat Tangan
Karixa
1,800,000.00
No
Nama Barang
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs
60,500.00 137,500.00 313,500.00 514,250.00
Pcs
605,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
291,500.00 28,600.00 82,500.00 28,600.00 25,300.00 66,000.00 52,525.00 52,525.00 52,525.00 83,050.00 66,000.00 390,500.00 33,000.00 93,500.00 23,100.00 18,700.00 2,446,840.00 494,890.00 489,500.00 192,500.00 165,000.00
Perlengkapan 1. Duk Biasa 2. Duk Bolong 3. Meteran Gulung 4. Perlak Besar 5. Perlak Kecil 6. Tas Kanvas tempat kit
Pcs Pcs Pcs Pcs Pcs Pcs
165,000.00 165,000.00 49,500.00 97,900.00 97,900.00 300,000.00
Kit Imunisasi 1. Vaksin Carrier
Pcs
325,000.00
6. 7. 8. 9.
Sikat untuk ihkan Peralatan Steek Laken (Sprei Kecil) Tempat Sampah Tertutup Toples Kapas/Kasa Steril
Set Keperawatan Kesehatan Masyarakat 1. Alat Test Darah Portable / rapid diagnostic test ( Hb, Gula darah, Asam Urat, Kolesterol) 2. Bak Instrumen dilengkapi Tutup 3. Gunting Angkat Jahitan 4. Gunting Iris Lurus 5. Gunting Jaringan 6. Gunting Verband 7. Klem Arteri 8. Kom Iodine 9. Kom Kapas Steril 10. Kom dilengkapi tutup 11. Nierbeken 12. Palu Reflex 13. Peak Flow Meter 14. Pen lancet 15. Penlight 16. Pinset Anatomis 17. Pinset Cirurgis 18. Sphygmomanometer Dewasa dan anak 19. Stetoskop Anak 20. Stetoskop Dewasa 21. Termometer 22. Timbangan Badan Dewasa
A&D
ongkir
360,000.00
No
Nama Barang
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
Kit UKS 1. 2. 3. 4. 5. 6. 7. 8.
Garpu Tala 512 HZ/ 1024 HZ / 2084 HZ Palu pengukur refleks Pengait serumen Pengukur tinggi badan Pinhole Snellen, alat untuk pemeriksaan visus Speculum hidung (Lempert) Speculum telinga dengan ukuran kecil, sedang, besar
Pcs Pcs Pcs Pcs
135,740.00 66,000.00 84,260.00 49,500.00
Pcs Pcs Pcs
55,000.00 303,600.00
9. 10. 11.
Stetoskop Sudip lidah, logam panjang 12 cm Sphygmomanometer dengan manset anak dan dewasa
Pcs Pcs Pcs
12. 13. 14. 15.
Thermometer klinis Tes buta warna (ISHIHARA) Timbangan dewasa Torniket Karet
NO
A&D
Pcs Pcs Pcs Pcs
ongkir
77,000.00 489,500.00 66,000.00 2,446,840.00 22,000.00 99,000.00 165,000.00 33,000.00
360,000.00
JENIS PERALATAN
I. Kit UKGS 1 Atraumatic Restorative Treatmen (ART) Enamel Access Cutter 2 Eksavator Berbentuk Sendok Ukuran Kecil ( Spoon Excavator Small) 3 Eksavator Berbentuk Sendok Ukuran Sedang ( Spoon Excavator Medium ) 4 Eksavator Berbentuk Sendok Ukuran Besar ( Spoon Excavator Large) 5 Double Ended Applier and Carver 6 Spatula Plastik 7 Hatchet 8 Batu Asah 9 Ekskavator Berujung Dua (Besar) 10 Ekskavator Berujung Dua (Kecil) 11 Kursi Gigi Lapangan 12 Kaca mulut nomor 4 tanpa tangkai 13 Penumpat Plastis 14 Pinset Gigi
Pcs Pcs Pcs Pcs
Otto Otto Otto Otto
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
484,000.00 440,000.00 440,000.00 440,000.00 220,000.00 198,000.00 264,000.00 638,000.00 119,424.00 119,424.00 8,360,000.00 354,292.00 673,750.00 109,757.00
71,000.00 71,000.00 65,000.00 71,000.00
No 15 16 17 18
Nama Barang
19
Skeler Standar, Bentuk Tombak (Type Hoe) Skeler, Black Kiri dan Kanan (Type Hoe) Skeler, Standar, Bentuk Bulan Sabit (Type Sickle) Skeler, Standar, Bentuk Cangkul Kanan (Type Chisel/Mesial) Skeler, Standar, Bentuk Cangkul Kiri (Type Chisel/Distal)
20 21 22 23 24 25 26 27 28 29 30 31
Sonde Lengkung Sonde Lurus Spatula Pengaduk Semen Tang Pencabutan Anak (1 Set) Tang Gigi Anterior Rahang Atas Tang Molar Rahang Atas Tang Molar Susu Rahang Atas Tang Gigi Anterior Rahang Bawah Tang Molar Rahang Bawah Tang Sisa Akar Rahang Bawah Sterilisator (Pressure Cooker) Tangkai untuk Kaca Mulut
Kemasan/Spesifikasi/ Merk
Satuan Pcs Pcs Pcs Pcs Pcs
Otto
Otto Otto Otto Otto Otto Otto Otto Elitech Otto
Perlengkapan 1. Tempat Alkohol (Dappen Glas) 2. Toples Kapas Logam dengan Pegas dan Tutup (50 x 75 mm) 3. Toples Kapas/Kasa Steril 4. Toples Pembuangan Kapas (50 x 75 mm) 5. Pantom Model Gigi 6. Gambar Anatomi Gigi 7. Baki Logam Tempat Alat Steril Bertutup 8. Tas Kanvas tempat kit Kit Bidan 1. Alat Penghisap Lendir DeLee / Bulb 2. Alat Penghisap Lendir Elektrik 3. Bak Instrumen dengan tutup 4. Baki Logam Tempat Alat Steril Bertutup 5. Bengkok Kecil 6. Bengkok Besar 7. Doppler Elitech 8. Gunting Benang 9. Gunting Episiotomi 10. Gunting Verband
Pcs Pcs Pcs Set Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
Pcs Pcs
Jumlah
Harga
ongkir
32,560.00 48,840.00 32,560.00 275,000.00 32,560.00 167,763.00 132,000.00 137,907.00 3,275,640.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 545,940.00 3,410,000.00 44,073.00
65,000.00
882,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 147,000.00 1,543,140.00 19,000.00
52,525.00
Pcs Pcs
514,250.00 514,250.00 514,250.00
Pcs Pcs
219,500.00 300,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
55,000 2,750,000.00 291,500.00 291,500.00 83,050.00 352,000.00 2,310,000.00 28,600.00 55,000.00 25,300.00
189,240.00
No 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51.
Nama Barang Gunting Tali Pusat Pemeriksaan Hb Klem Pean/ Klem Tali Pusat Korcher Tang 1/2 Klem Korcher/ Pemecah Ketuban Lancet Mangkok untuk Larutan Meteran Palu Refleks Penjepit Uterus Pelvimeter Obstetrik Pengukur Panjang Badan Bayi Pengukur Lingkar Kepala Pengukur Panjang Badan Bayi Pengukur Tinggi Badan (Microtoise) Pinset Anatomi Pendek Pinset Anatomi Panjang Pinset Bedah Pisau Pencukur Pita Pengukur Lila Penutup Mata (Okluder) Stetoskop Janin Stetoskop Neonatus Sudip lidah logam panjang 12 cm Sudip lidah logam panjang 16,5 cm Sonde mulut Sonde Uterus/Penduga Spekulum Vagina (Cocor Bebek) Besar Spekulum Vagina (Cocor Bebek) Kecil Spekulum Vagina (Cocor Bebek) Sedang Stetoskop Silinder Korentang Steril Spekulum Vagina (Sims) Tabung untuk bilas vagina Tampon Tang Termometer Dahi dan Telinga Thermometer digital Termometer Dewasa Tensimeter Dewasa Timbangan Dewasa Timbangan Bayi
Kemasan/Spesifikasi/ Merk
Elitech
A&D Elitech
Satuan
Jumlah
Harga
Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs
28,820.00 4,400,000.00 66,000.00 33,440.00 55,000.00 18,150.00 52,525.00 49,500.00 66,000.00 66,000.00 519,750.00 462,000.00 5,500.00 462,000.00 49,500.00 23,100.00 23,100.00 18,700.00 18,700.00 5,500.00 38,500.00 2,310,000.00 487,300.00 66,000.00 66,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs
44,770.00 220,000.00 220,000.00 220,000.00 489,500.00 108,020.00 220,000.00
Pcs Pcs Pcs Pcs Pcs Pcs Pcs
121,000.00 918,500.00 192,500.00 192,500.00 2,446,840.00 165,000.00 1,386,000.00
ongkir
189,240.00
360,000.00 1,545,500.00
No 52. 53. 54. 55. 56. 57. 58. 59.
Nama Barang Toples Kapas / Kasa Steril Torniket Karet Tromol Kasa / Kain Steril Resusitasi Dewasa beserta masker Resusitasi Bayi beserta masker Waskom Bengkok Waskom Cekung Weight baby scale + tray for 20 kg
Perlengkapan 1. Duk steril kartun 2. Kotak Penyimpan Jarum atau Pisau Bekas 3. Senter + baterai besar 4. Sarung Tangan Karet untuk Mencuci Alat 5. Sikat untuk ihkan Peralatan 6. Stop Watch 7. Tas tahan air tempat kit 8. Tempat Kain Kotor 9. Tempat Plasenta Kit Posyandu 1 Alat Permainan Edukatif 2 Food Model 3 Gunting perban 4 Timbangan Bayi 5 Timbangan Dacin dan perlengkapannya 6 Timbangan Dewasa 7 Termometer Anak Perlengkapan 1. Tas kanvas tempat kit Set Kesehatan Lingkungan 1. 5000 photo meter 2. Botol sampel air bermulut lebar 3. Botol sampel air berpemberat 4. Cakram (kekeruhan kolam renang) 5. Comparator untuk mengukur (iron, magnese,nitrat, nitrit, total hardness, total dissolved,solid) 6.
Digital chlorin test kit
Kemasan/Spesifikasi/ Merk
Elitech
Remedi
Elitech
Satuan Pcs Pcs Pcs Set Set Pcs Pcs Pcs
Jumlah
Harga 514,250.00 33,000.00 514,250.00 1,023,000.00 1,023,000.00 352,000.00 253,000.00 1,386,000.00
Pcs Pcs Pcs Pasang Pcs Pcs Pcs
165,000.00 30,800.00 93,500.00 17,400.00 60,500.00 110,000.00 325,000.00
Pcs
220,000.00
Pcs Pcs
25,300.00 1,386,000.00
Pcs Pcs
165,000.00 101,750.00
Pcs
300,000.00
ongkir
1,545,500.00
1,914
1,545,500.00
No 7. 8. 9. 10. 11. 12. 13. 14.
Nama Barang
17. 18. 19. 20.
Digital Ph meter Thermometer Turbidity meter Tabung pengukur kekeruhan Komparator untuk mengukur chlor chlor Pengukur meter Pengukur kelembaban (hygrometer) Alat untuk pengukur jumlah cacing dalam tanah (Soil test kit) Alat pengukur kebutuhan nutrisi rumah tangga Alat pengukur kontaminasi makanan dan minuman ( food sanitation kit) Fly sweep net fly griil Pipet tetes Pisau pemotong yang steril Penangkap nyamuk dan larva ( surveillance ) vector kit
21.
Alat pemberantasan sarang nyamuk
15. 16.
Kemasan/Spesifikasi/ Merk
Satuan
Jumlah
Harga
ongkir
RINTAH KABUPATEN TABANAN DINAS KESEHATAN
Agung No.82 Telp.0361-811419 TABANAN
Total Harga
Keterangan
583,660.00 291,500.00 790,570.00 99,000.00 77,000.00 352,000.00 135,740.00 31,240.00 346,500.00 93,500.00 4,668,180.00 11,000.00 2,464,000.00 1,680,000.00 66,000.00 33,000.00 55,000.00 220,000.00 303,600.00 2,806,840.00 E Katalog 489,500.00 66,000.00
Total Harga
Keterangan
66,000.00 7,100,000.00 E Katalog 192,500.00 165,000.00 1,354,760.00 110,000.00 220,000.00 4,825,000.00 E katalog 77,000.00 9,587,000.00 E katalog 4,084,000.00 E katalog 49,500.00 97,900.00 60,000.00 55,000.00 300,000.00 60,500.00 110,000.00 313,500.00 291,500.00 77,440.00 77,440.00 77,000.00 2,499,240.00 E Katalog 23,100.00 35,988,600.00 E Katalog 352,000.00 220,000.00 37,400.00 156,420.00 22,000.00 22,000.00 22,000.00
Total Harga
Keterangan
22,000.00 22,000.00 22,000.00 22,000.00 28,600.00 28,600.00 84,260.00 12,099.00 E Katalog 12,099.00 E Katalog 33,440.00 30,800.00 25,960.00 30,800.00 25,960.00 25,300.00 46,420.00 65,120.00 65,120.00 1,815,000.00 346,500.00 3,620,100.00 3,620,100.00 3,620,100.00 163,340.00 1,812,000.00 E Katalog 1,680,000.00 66,000.00 23,100.00 33,000.00 18,700.00
Total Harga 27,500.00 28,600.00 21,780.00 440,000.00 1,023,000.00 1,023,000.00 1,023,000.00 121,660.00 149,160.00 108,020.00 16,500.00 84,700.00 303,600.00 220,000.00 2,806,840.00 2,806,840.00 4,650,000.00 2,800,000.00 494,890.00 496,980.00 2,499,240.00 2,750,000.00
Keterangan
E E E E
Katalog Katalog Katalog Katalog
E Katalog
66,000.00 66,000.00 1,419,000.00 7,100,000.00 E Katalog 165,000.00 192,500.00 165,000.00 165,000.00 18,700.00 33,000.00 10,100,000.00 E Katalog
291,500.00 110,000.00 5,500.00
Total Harga 2,171,367.00 165,000.00 110,000.00 16,940.00 4,825,000.00 30,800.00 9,587,000.00 9,587,000.00 52,525.00 4,084,000.00 97,900.00 60,000.00 55,000.00 300,000.00 60,500.00 60,500.00 110,000.00
Keterangan E Katalog
E Katalog E Katalog E Katalog E Katalog
313,500.00 514,250.00 514,250.00 352,000.00 253,000.00 253,000.00
55,000.00 583,660.00 291,500.00 291,500.00 2,499,240.00 E Katalog 28,600.00 25,300.00 33,440.00 52,525.00 4,084,000.00 E Katalog 11,400,000.00 E Katalog 66,000.00 29,700.00 33,000.00 23,100.00
Total Harga
Keterangan
18,700.00 108,020.00 220,000.00 220,000.00 220,000.00 220,000.00 2,806,840.00 E Katalog 4,650,000.00 E Katalog 489,500.00 2,499,240.00 E Katalog 66,000.00 66,000.00 121,000.00 7,100,000.00 E Katalog 192,500.00 165,000.00 33,000.00
462,000.00 4,650,000.00 E Katalog 5,500.00 49,500.00 2,806,840.00 E Katalog 494,890.00 101,750.00 165,000.00 1,386,000.00
291,500.00 442,200.00 63,797,355.00
325,000.00
Total Harga
Keterangan
21,000,000.00
110,000.00 110,000.00 253,000.00 5,500.00 165,000.00 4,825,000.00 E Katalog 30,800.00 9,587,000.00 E Katalog 9,587,000.00 E Katalog 49,500.00 97,900.00 60,000.00 5,500.00 687,500.00 55,000.00 136,400.00 300,000.00 60,500.00 313,500.00 9,458,982.00 E Katalog 514,250.00 514,250.00 83,050.00
550,000.00 88,000.00 291,500.00 2,499,240.00 12,654.00 12,654.00 12,654.00 28,600.00 55,000.00
E Katalog E Katalog E Katalog E Katalog
Total Harga 27,940.00 22,000.00 28,820.00 70,180.00 65,120.00 33,440.00 38,060.00 24,860.00 25,960.00 25,960.00 4,650,000.00 12,765.00 12,099.00 4,084,000.00 27,500.00 18,700.00 18,700.00 23,100.00 1,023,000.00
Keterangan
E E E E
Katalog Katalog Katalog Katalog
55,000.00 16,500.00 16,500.00 220,000.00 220,000.00 220,000.00 220,000.00 220,000.00 220,000.00 2,800,000.00 E Katalog 489,500.00 2,499,240.00 E Katalog 1,419,000.00 108,020.00 7,100,000.00 E Katalog 11,400,000.00 E Katalog 2,806,840.00 E Katalog 192,500.00
Total Harga
Keterangan
220,000.00 30,140.00 65,120.00 28,600.00 44,770.00 78,540.00
2,750,000.00 12,654.00 12,654.00 12,654.00 12,654.00 3,620,100.00
E E E E
Katalog Katalog Katalog Katalog
317,954,000.00 E Katalog 374,000.00 55,000.00 2,750,000.00 487,300.00
9,587,000.00 E Katalog 9,587,000.00 E Katalog 52,525.00 462,000.00 49,500.00 10,000.00 2,931,500.00 E Katalog 165,000.00 514,250.00 83,050.00 352,000.00
Total Harga 110,000.00 5,800,960.00 2,806,840.00 4,650,000.00 494,890.00 1,419,000.00 7,100,000.00 101,750.00 192,500.00 2,931,500.00
110,000.00 220,000.00 137,500.00 330,000.00 4,825,000.00 30,800.00 9,587,000.00 9,587,000.00 3,748,000.00 97,900.00 60,000.00 687,500.00 55,000.00 136,400.00 136,400.00 300,000.00 60,500.00 313,500.00 514,250.00 514,250.00 83,050.00
484,000.00
Keterangan E Katalog E Katalog E Katalog
E Katalog
E Katalog
E Katalog E Katalog E Katalog E Katalog
Total Harga
Keterangan
440,000.00 440,000.00 440,000.00 220,000.00 198,000.00 264,000.00 638,000.00 437,803.00 E Katalog 437,803.00 E Katalog
330,000.00 330,000.00 190,424.00 190,424.00 342,804.00 2,600,000.00 2,600,000.00 419,292.00 343,117.00 85,344,000.00
E Katalog E Katalog E Katalog
E Katalog E Katalog E Katalog
831,600.00 187,000.00 187,000.00 3,300,000.00 22,770,000.00 272,250.00 261,596.00 220,366.00 454,864.00 E Katalog 454,864.00 E Katalog
Total Harga
Keterangan
673,750.00 231,763.00 E Katalog 22,909.00 109,757.00 119,000.00 275,000.00 275,000.00 275,000.00 330,000.00 330,000.00 167,763.00 167,763.00 132,000.00 208,907.00 E Katalog 208,907.00 E Katalog 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00
E E E E E E E E E E E
Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog
692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 174,757.00 174,757.00
E E E E E E E E E
Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog
Total Harga
Keterangan
174,757.00 E Katalog 65,073.00 E Katalog
291,500.00 65,120.00 77,000.00 9,587,000.00 E Katalog 25,850.00 7,473,000.00 E Katalog 108,020.00 4,953,140.00 E Katalog 52,525.00 514,250.00 514,250.00 83,050.00
-
Total Harga 687,500.00
25,850.00 24,640.00 18,260.00 28,820.00 44,000.00 118,580.00 487,740.00 2,475,000.00 30,855,000.00 25,960.00 1,870.00 3,630.00 2,420.00 18,150,000.00 39,930,000.00 8,470,000.00 309,650.00 297,000.00 -
Keterangan
Total Harga 119,680.00 6,870.00 40,700.00 11,000.00
77,000.00 214,500.00 110,000.00 16,500.00 110,000.00
25,850.00 71,280.00 60,940.00 125,840.00 110,000.00
Keterangan
Total Harga
Keterangan
291,500.00 550,000.00 300,000.00 10,100,000.00 E Katalog 55,000.00 55,000.00 55,000.00 55,000.00 30,140.00 28,600.00 31,240.00 12,099.00 E Katalog 30,800.00 25,960.00 30,800.00 25,960.00 25,300.00 122,100.00 38,060.00 402,380.00 65,120.00 65,120.00 5,800,960.00 E Katalog 4,650,000.00 E Katalog 93,500.00 416,020.00
Total Harga 400,290.00 4,084,000.00 4,084,000.00 1,812,000.00 23,100.00 33,000.00 23,100.00 18,700.00 27,500.00 1,023,000.00 1,023,000.00 12,099.00 16,500.00 84,700.00 2,806,840.00 2,800,000.00 2,636,000.00 3,417,850.00 487,300.00 494,890.00 489,500.00 2,750,000.00 44,770.00 44,770.00 4,097,500.00 1,419,000.00 1,023,000.00 101,750.00 192,500.00 27,000,000.00 11,585,000.00 33,000.00 514,250.00 514,250.00 352,000.00 253,000.00 253,000.00 12,320.00
110,000.00
Keterangan E Katalog E Katalog E Katalog
E Katalog
E E E E
Katalog Katalog Katalog Katalog
E Katalog E Katalog
Total Harga
Keterangan
2,171,367.00 E Katalog 77,000.00 165,000.00 137,500.00 110,000.00 330,000.00 4,825,000.00 E Katalog 1,815,000.00 24,200.00 10,000.00 10,000.00 60,000.00 60,000.00 97,900.00 55,000.00 136,400.00 136,400.00 60,500.00 300,000.00 137,500.00 313,500.00
4,953,140.00 E Katalog 65,120.00
5,500.00 165,000.00 253,000.00 9,637,000.00 E Katalog 60,500.00 313,500.00
Total Harga
Keterangan
352,000.00 291,500.00 715,000.00 715,000.00 253,000.00 253,000.00
28,600.00 25,300.00 247,940.00 419,292.00 E Katalog 25,300.00 137,500.00 65,120.00 65,120.00 65,120.00 52,525.00 19,250.00 49,500.00 66,000.00 462,000.00 825,000.00 825,000.00 673,750.00 29,700.00 23,100.00 24,860.00 26,400.00 687,500.00 48,840.00
Total Harga
Keterangan
32,560.00 275,000.00 32,560.00 275,000.00 129,800.00 39,600.00 16,500.00 300,000.00 44,770.00 24,200.00 44,770.00 84,700.00 55,000.00 220,000.00 220,000.00 220,000.00 2,806,840.00 2,806,840.00 4,953,140.00 489,500.00 494,890.00 487,300.00 66,000.00 66,000.00 1,411,080.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00
E Katalog E Katalog E Katalog
E Katalog E Katalog E E E E E E E
Katalog Katalog Katalog Katalog Katalog Katalog Katalog
Total Harga
Keterangan
545,940.00 63,073.00 E Katalog 101,750.00 192,500.00 2,931,500.00 E Katalog 165,000.00 33,000.00 352,000.00 253,000.00
687,500.00 2,950,672.00 E Katalog 52,525.00 514,250.00 514,250.00 253,000.00
220,000.00 291,500.00 77,000.00 165,000.00 352,000.00 22,000.00 28,600.00 25,300.00 66,000.00 137,500.00 65,120.00 93,500.00 4,084,000.00 E Katalog 49,500.00
Total Harga 462,000.00 23,100.00 23,100.00 27,500.00 37,400.00 27,500.00 18,700.00 1,080,220.00 16,500.00 2,806,840.00 2,800,000.00 4,953,140.00 489,500.00 66,000.00 7,100,000.00 192,500.00 165,000.00 2,931,500.00 33,000.00 514,250.00
Keterangan
E Katalog E Katalog E Katalog
E Katalog
E Katalog
4,400,000.00 385,000.00 75,000.00 40,000,000.00
50,000.00 4,825,000.00 E Katalog 30,800.00 60,000.00 60,500.00
Total Harga
Keterangan
60,500.00 137,500.00 313,500.00 514,250.00
605,000.00 291,500.00 28,600.00 82,500.00 28,600.00 25,300.00 66,000.00 52,525.00 52,525.00 52,525.00 83,050.00 66,000.00 390,500.00 33,000.00 93,500.00 23,100.00 18,700.00 2,806,840.00 E Katalog 494,890.00 489,500.00 192,500.00 165,000.00
165,000.00 165,000.00 49,500.00 97,900.00 97,900.00 300,000.00
325,000.00
Total Harga
Keterangan
135,740.00 66,000.00 84,260.00 49,500.00 55,000.00 303,600.00 77,000.00 489,500.00 66,000.00 2,806,840.00 E Katalog 22,000.00 99,000.00 165,000.00 33,000.00
484,000.00 440,000.00 440,000.00 440,000.00 220,000.00 198,000.00 264,000.00 638,000.00 190,424.00 190,424.00 8,360,000.00 419,292.00 673,750.00 180,757.00
E Katalog E Katalog E Katalog E Katalog
Total Harga
Keterangan
32,560.00 48,840.00 32,560.00 275,000.00 32,560.00 232,763.00 132,000.00 137,907.00 4,157,640.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 692,940.00 4,953,140.00 63,073.00
E Katalog
E E E E E E E E E
Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog Katalog
52,525.00 514,250.00 514,250.00 514,250.00 219,500.00 300,000.00 55,000.00 2,750,000.00 291,500.00 291,500.00 83,050.00 352,000.00 2,499,240.00 E Katalog 28,600.00 55,000.00 25,300.00
Total Harga
Keterangan
28,820.00 4,400,000.00 66,000.00 33,440.00 55,000.00 18,150.00 52,525.00 49,500.00 66,000.00 66,000.00 519,750.00 462,000.00 5,500.00 462,000.00 49,500.00 23,100.00 23,100.00 18,700.00 18,700.00 5,500.00 38,500.00 2,499,240.00 E Katalog 487,300.00 66,000.00 66,000.00 44,770.00 220,000.00 220,000.00 220,000.00 489,500.00 108,020.00 220,000.00 121,000.00 918,500.00 192,500.00 192,500.00 2,806,840.00 E Katalog 165,000.00 2,931,500.00 E Katalog
Total Harga
Keterangan
514,250.00 33,000.00 514,250.00 1,023,000.00 1,023,000.00 352,000.00 253,000.00 2,931,500.00 E Katalog
165,000.00 30,800.00 93,500.00 19,314.00 E Katalog 60,500.00 110,000.00 325,000.00 220,000.00
25,300.00 2,931,500.00 E Katalog 165,000.00 101,750.00 300,000.00
-
-
Total Harga
Keterangan -
PEMERINTAH KABUPATEN TABANAN DINAS KESEHATAN Jl. Gunung Agung No.82 Telp.0361-811419 TABANAN
DAFTAR SURVEY HARGA Program : Dukungan Biaya Oprasional Pelayanan Kesehatan (JKN) Pekerjaan : Belanja Bahan Pakai Habis Kedokteran ( Infus, Jarum Suntik, Perban dl
No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33
Nama Barang Sarung Tangan Steril Wing Needle No. 23 Wing Needle No. 25 Wing Needle No 27 Kapas pembalut 250 gram Benang wajah Underpad IV with port No. 16, 18, 20,22,24,26 Silk 2/0 Sutra Silk 3/0 Sutra Silk 3/0 Roll Cat gut 3/0 chromic Cat gut 2/0 chromic Catgut 2/0 Chromic roll Catgut 3/0 Chromic Roll Catgut 1/0 Chromic Catgut plain 2/0 Catgut 3/0 Plain Spuit 3 ml Spuit 5 ml Spuit 1 ml Spuit 10 ml Jelly Ultrasonic Folley Catheter No. 18 Handscoon on M Handschoen on M Sarung Tangan L Sarung Tangan M Sarung Tangan S Sarung tangan Gynaecolog Sarung Tangan Latex Etanol 70% 1000 ml Etanol 70% 100 ml
Kemasan/Spes ifikasi/Merk Euroderm
Bbraun
TP TP TP TP Remedi Supercare Supercare Supercare Supercare Supercare Remedi
Satuan Pasang Pcs Pcs Pcs Roll Pcs Pcs pcs Pcs Pcs Roll Pcs Pcs Roll Roll Roll Roll Roll Pcs Pcs Pcs Pcs Tube Pcs Box Box Box Box Box Pasang Pasang Botol Botol
34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79
Infusion set Anak Infusion Set Dewasa Kasa Gulung 40 x 80 Kasa Hidrofil 4 x 10 Kasa pembalut hidrofil 4m x 15 cm Kasa pembalut hidrofil 4m x 3 cm Kasa steril ( 18 x 22 ) Plester 5 yard x 2 inch Daryantulle Hypafix (Ultrafix ) 15 x 5 Hypafix (Ultrafix ) 10 x 5 Hypafix (Ultrafix ) 5 x 5 Hypafix (Ultrafix ) 5 x 1 Klip kecil Klip Tanggung Masker Masker N95 Spalk tungkai atas anak spalk tungkai atas dewasa spalk tungkai bawah anak spalk tungkai bawah dewasa IV Cath dengan katup Sendok takar Pot salep 30CC Alkohol Swab Jarum kulit Jarum Jahit Jarum inj Bisturi Cotton Aplicator (Lidi Kapas) Antiseptik Hand Gel Antiseptik Ruangan Gelang Bayi Kertas Lakmus Alkohol Swab Umbillical Cord Kateter Penghisap Lendir no 8 dan 10 Kain Balut Segitiga (Mitella) Nasogastric tube dewasa Blood Glukosa Test strip Uric Acid test strip Chlolesterol test strip tes combur Hemoglobin Test Strip Three Way M Y Jelly
TP TP Biokasa Biokasa Biokasa
Box
Remedi
Pcs Pcs Roll Roll Roll Roll Pack Roll Box Roll Roll Roll Roll Pack Pack Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pcs Pack Pcs Pcs Box Box
Fresco
Pcs
Remedi
Box Pcs Pack
Remedi
Pcs Pcs Pcs Box Box Box box Box Pcs Tube
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94
Reagen Control Serum Kimia Klinik Dilluent Rinse Lyse EZ Cleanser Probe Cleanser Perkamen Kantong Puyer Nasal Cannula Rivanol bayclean Dermalon Blood lancet Pot urine Widal
Pcs Pcs Remedi
lorne
botol 1 lt Pcs BOX PCS vial
ABANAN
19 TABANAN
m Suntik, Perban dll)
HARGA 11,332.40 12,320.00 12,320.00 12,320.00 12,500.00 100,210.00 4,042.00 8,750.00 5,600.00 5,600.00 396,000.00 13,600.00 13,600.00 1,507,000.00 1,457,500.00 1,375,000.00 1,507,000.00 1,430,000.00 685.14 815.15 679.29 978.77 29,040.00 10,212.00 89,117.22 89,117.22 89,117.22 89,117.22 89,117.22 19,314.00 58,850.00 26,300.00 3,900.00
Keterangan E Katalog
E Katalog
E E E E
Katalog Katalog Katalog Katalog
E E E E E E E
Katalog Katalog Katalog Katalog Katalog Katalog Katalog
12,636.00 6,465.00 112,297.50 1,573.25 2,279.00 770.00 5,900.00 41,015.00 178,200.00 154,259.00 111,601.00 58,577.00 12,011.00 12,700.00 13,300.00 35,742.00
E E E E E
Katalog Katalog Katalog Katalog Katalog
E Katalog
54,450.00 54,450.00 54,450.00 54,450.00 8,750.00 1,100.00 2,200.00 E Katalog 135,960.00 135,960.00 99,000.00 300,000.00 106,700.00 E Katalog 165,000.00 113,100.00 13,653.00 E Katalog E Katalog 3,552.00 E Katalog 24,200.00 46,600.00 418,000.00 156,000.00 946,220.00 490,050.00 965,000.00 28,400.00 35,100.00
1,320,000.00 2,902,680.00 2,902,680.00 2,978,800.00 957,000.00 566,500.00 16,500.00 96,300.00 E Katalog 4,850.00 18,150.00 72,600.00 18,150.00 2,420.00 416,660.00 E Katalog
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