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RAB DAN SPESI

[BELANJA MODAL] 5.2.3.19.01 Belanja Modal Pengadaan Alat - Alat Kedokteran Umum

NO NAMA ALAT
Automated External Defibrator

1
Automatic Blood Pressure Monitor
2
3 Bak Instrumen
4 Breast Pump
Cerevilar Collar Neck

5
Cryo Therapy
6
Defibrilator

7
8 Defibrilator
ECG 12 Channel With Network System

9
Echocardiologiography

10
Flowmeter

11
12 Gunting Verband
Hecting Set

13
14 Hepa Filter
15 High Power Laser Therapy
Instrumen Trolley

16
Intra Osseos Vasculer Acces
17
Lampu Penghangat (Sorot)

18
Laringoscope Atraumatic

19
Medical Oxygen Theraphy Complete Set
20
Monitor Pasien 12,1 Inc

21
Pad Defibrilator Anak
22
Pad Defibrilator Dewasa
23
Patient Transport Easy Move
24
25 Portable O2
26 Pressure Infusion
27 Probe USG
28 Pulse Oximeter Finertrip
Pulse Oxymeter
29
Regulator Oksigen (Flowmeter)
30
31 Room Decontaminator Unit
Scoop Scretcher
32
Standar Infus Roda 5

33
Stetoskop Anak

34
Stetoskop Bayi

35
Stetoskop Dewasa

36
Tensimeter Digital with Stand
37
38 Tensimeter / Sphygmomanometer
39 Tensimeter Standing Manual
Thermometer (ear)

40
Timbangan Bayi / Baby Scale
41
Timbangan Bayi Digital
42
43 Tracheostomy
Transcranial Doppler
44
Trolley Emergency
45
Trolley Emergency

46
47 Trolley Instrument (Trolly EKG)
48 Vena Sectie Set
TOTAL
RAB DAN SPESIFIKASI TEKNIS

Modal Pengadaan Alat - Alat Kedokteran Umum

SPESIFIKASI TEKNIS QTY HARGA SATUAN

AED or PAD automated external defibillator with manual


override, visual aid or prompts to guide rescuer proper recue
steps with visual prompts to guide rescuer steps. Audio aid or
prompts to guide rescue proper rescue steps. 4 Unit 142,633,590
peralatan kardiologi pemantau, mengikur tekanan darah secara
otomatis dalam waktu 30 detik,hasil dapat di print 1 Unit 31,350,000
stainless steel ukuran 325 x 260 x 63 5 Buah 1,210,000
electric brestpump 0 Unit 36,236,250

rigit injection molded polupropylene,the heigt designed with 4


different levels : tall, regular, short,low. X-ray translucent.
Designed with hole on throth position, it is convebiebt for the
treatment of throat and trachea 36 Unit 156,750
room themperatur air cooled down to 30 C, quick cooling,
therapy air flow 9 level max 1000L/min, include acessories 1 Unit 280,717,500

Bifasik, withreusable adult defibrillator pads with feedback on


dept and rate of CPR (real time rate, depth and relese display of
chest compression) to assist rescuer chieve high quality CPR
according to the AHA guideline, code ready defibrilator :
Automatic daily self test and visual readiness indicator 2 Buah 359,187,290
- 0 Unit 450,000,000

Records ECG in automatic,manual and preset mode;storge Up to


200 recording ;Diagnostic program : Parameter Calculation/ ECG
interpretation ; keyboard soft touch with 47 function keys,
Display of 12 ECG Channels ; TFT Colour Graphic 480 x 272 pixel
LCD 2 Unit 101,000,000

layar display resolusi tinggi, flat 15 inch layar LCD ukuran display
1024 x 768 pixeldengan 260000 warna simultan, scanner
software resolusi layar 800 x 600 pixel. Driver 120 GB external
storage, port probe. Input dan output VGA video LAN ethernet.
USB port 2 ukuran 31x35x6,4cm. berat %8kg. 1 Unit 2,674,134,540
Timeter Oxigen Flowmeter 15 LPM Brassset Autoclavable, ;
flowmeter) 2,1/8 FNPT 15 LPMSOPSI humidifier autoclavable,
adapter 146 Unit 3,567,901
Lister Bandage scissors 140mm 5 1/2" 13 Unit 984,233
Debakey ATR.FCR 2,8mm STR 150, Tissu forceps 2x3x130mm,
Artic clamp, halsey nedlle del serr, Laboratori dish 0,4L, mayo
scissor CVD 215mm, Spencer suture scissor 90mm, glass box
w.18/8lid 300x 180 x 65. 30 Set 11,341,666
Pre-max filter, V5-cell filter & hyper HEPE filter. 27 Unit 26,992,500
Laser diodes wavelengths 2 x 810nm / 2x 980nm max 7 W 1 Unit 311,685,000

manufaktured using the latest manufacturing techniques from


medical grade stainless steel throughout, 2inch castor +
bumpers, approx. 15kg,dimensi kurang lebih L630 x W470 x
7835mm 0 Unit 4,526,300
untuk vascullar access power driver termasuk needle, stabilizer,
carrying bag, direction dan syringe. 1 Unit 10,626,000
menghangatkan dan sinarnya menyebar, tiang terbuat stenles
steel, roda 5, lampu bolam 60 watt dengan cover, swicht on/off
dan kabel power. 20 Unit 1,925,000

F.O - Laryn. BL,Mcintosh, No. 0,55MM, F.O - Laryn.BL, Mcintosh,


No. 1,70MM, F.O - Laryn.BL,Mcintosh, No. 2,80MM, F.O - Laryn.
BL, Mcintosh, No. 3,105MM, F.O - Laryn. BL, Mcintosh, No.
4,130MM. 14 Unit 40,496,000
Tabung Oksigen ukuran 25x35x97 Regulator, Nasal Canul, Trolly
roda 4" 15 Set 2,658,700

Size : 12.1 in, patient monitor - active matrix color Tft LCD
resolution : Svga (800x600) number of traces : up to 6 Display
Layout and colors : user-configurable weight : 6 Kg controls :
comwheel,function keys and menu keys frame : extension
module : mini - C (optional), I/O Conections : Rs-232 computer
serial output, defibrilation Synch, Ecg and Ibp analog output,
nurse call. network : compatible with S/5 network and icentral
for centralized viewing and remote alrm management. Power :
power requirement : 100 to 240V +/- 10%, 50/60 Hz, protection
class I, Battery : Type : exchangeble lithium - ion, 2 Pcs ( max )
Operating Time : Up to 4.5 hours, charging time : 2 hours per
Battery. 9 Unit 281,600,000

Pad untuk pasangan defibrilator,dapat digunakan untuk dc shock. 10 Buah 3,900,000


Pad untuk pasangan defibrilator, dapat digunakan untuk dc shock
dan pacing. 20 Buah 3,000,000
cover terbuat dari nilon berkualitas tinggi, papannya berbahan PP
beratnya 2-4kg 14 Unit 5,390,000
medical oxygen theraphy complete set ( 1m3 ) 0 Unit 2,417,000
bahan terbuat dari latex dan aman untuk kulit 3 Buah 1,320,000
prob USG untuk ukuran dewasa 0 Unit 80,549,460
adult reusable SpO2 sensor 4 Buah 1,317,910
Radical-7 docking stasion,patient cable, adult reusable SpO2
sensor with continous monitoring 35 Buah 65,461,000
flowmeter oxygen lowflow 200 CC digunakan untuk kebutuhan
lowflow ekstrim pada pasien perinatal 0 Unit 10,543,380
sistem 3 lapis e+ 6 Unit 41,800,000
unfolded size 214x42x7cm folded size 167x42x7cm N.W 8kg
mainly used for ambulance,hospitals, emergency centers. 1 Unit 2,973,300

infuses stand standar 23011. stanless steel pipe,two hooks,


ajustable heigh with locking screw, made of steel pipes, foot
plastic star with five castor 2" swivel 360 degree, dimension
overall 500 (W_ x 1200-2200 (H)mm 20 Buah 2,373,800

binaural construction : singel lumen, occupations :


anesthesiologist, cardiologist, emergency physician, EEMT/EMS,
family practitioner, internist, medical student, nurse, pediatrician,
respiratory specialist. Chestpiece technology : singel sided,
diaphtagm material : polyurerhane - coated silicone, diaphragm
type : digital electronic filtering - ambient noise reduction (ANR),
headset material : wide diameter aerospace alloy/anodized
alumunium, peformance : 10+, type of hose : one hose, eartip
type : soft sealing, patients : pediatric. 9 Buah 1,955,000

binaural construction : singel lumen, occupations :


anesthesiologist, cardiologist, emergency physician, EEMT/EMS,
family practitioner, internist, medical student, nurse, pediatrician,
respiratory specialist. Chestpiece technology : singel sided,
diaphtagm material : polyurerhane - coated silicone, diaphragm
type : digital electronic filtering - ambient noise reduction (ANR),
headset material : wide diameter aerospace alloy/anodized
alumunium, peformance : 10+, type of hose : one hose, eartip
type : soft sealing, patients : infant. 21 Buah 1,955,000

28 in/71cm,binaural construction : singel lumen, occupations :


anesthesiologist, cardiologist, emergency physician, EEMT/EMS,
family practitioner, internist, medical student, nurse, pediatrician,
respiratory specialist. Chestpiece technology : singel sided,
diaphtagm material : polyurerhane - coated silicone, diaphragm
type : digital electronic filtering - ambient noise reduction (ANR),
headset material : wide diameter aerospace alloy/anodized
alumunium, peformance : 10+, type of hose : one hose, eartip
type : soft sealing, patients : adult. 24 Buah 1,955,000
Alat periksa tekanan darah diaslotic, sytolic,MAP (tekanan arteri
rata rata )dan denyut nadi 22 Unit 11,700,000
mobile stand 0 Unit 5,000,000
85% relative humidity max, alumunium anodize 10 Buah 4,125,000

mengukur temperatur secara instan (1 detik), multiple use/ dapat


digunakan untuk berbagai pengukuran temperatur,rentang
pengukuran lebar : 0 C - 100 C atau 32 F - 212 F, berbunyi beep
ketika termometer diaktifkan dan ketika pengukuran selesai. 25 Buah 495,000
mobile digital baby scale, sensitive detecting even the slightest
weight changes 0 Unit 23,087,307
kapasitas 20kg, menggunakan adaptor dan dapat di charge ulang.
Berat 7-15kg. Incld : charger battery adaptor 7 Buah 25,303,638
stainless steel 1 Set 66,894,300
size 26x39x30cm, weight 25.1 lbs display 15' color LCD
minimum 1 Unit 725,000,000
ergonomis,penguncian inovatif yang central lock, sistem kontrol
yang stabil 3 Unit 50,435,220

Trolley emergency dibuat dari bahan polimer canggih, dengan


sudut di bulatkan dan microban perlindungan produk
antimikroba, yang membantu menjaga troli bersih untuk
meningkatkan pengendalian infeksi. Memiliki lima roda kemudi
menjamin kontrol yang maksimum dalam perjalanan dan
manuver situasi darurat. konfigurasi trolley memungkinkan
berbagai aksesoris untuk di masukan untuk kebutuhan anda,
termasuk : tinggi adjustable IV pole ; dan coded keamanan
stempel (pack of 100), Tilt-out side bins untuk sesuscitation
devices,top rongga tray dan laci pembagi. 0 Unit 60,000,000
stainless steel, beroda 7 Unit 4,978,930
stainless steel. 2 Set 25,245,000
TOTAL
JUMLAH HARGA SATUAN PPN 10% JUMLAH HARGA (+PPN)

570,534,360 57,053,436 627,587,796

31,350,000 3,135,000 34,485,000


6,050,000 605,000 6,655,000
- - -

5,643,000 564,300 6,207,300

280,717,500 28,071,750 308,789,250

718,374,580 71,837,458 790,212,038


- - -

202,000,000 20,200,000 222,200,000

2,674,134,540 267,413,454 2,941,547,994

520,913,546 52,091,355 573,004,901


12,795,029 1,279,503 14,074,532
340,249,980 34,024,998 374,274,978
728,797,500 72,879,750 801,677,250
311,685,000 31,168,500 342,853,500

- - -

10,626,000 1,062,600 11,688,600

38,500,000 3,850,000 42,350,000

566,944,000 56,694,400 623,638,400

39,880,500 3,988,050 43,868,550

2,534,400,000 253,440,000 2,787,840,000

39,000,000 3,900,000 42,900,000

60,000,000 6,000,000 66,000,000

75,460,000 7,546,000 83,006,000


- - -
3,960,000 396,000 4,356,000
- - -
5,271,640 527,164 5,798,804
2,291,135,000 229,113,500 2,520,248,500

- - -
250,800,000 25,080,000 275,880,000

2,973,300 297,330 3,270,630

47,476,000 4,747,600 52,223,600

17,595,000 1,759,500 19,354,500

41,055,000 4,105,500 45,160,500

46,920,000 4,692,000 51,612,000

257,400,000 25,740,000 283,140,000


- - -
41,250,000 4,125,000 45,375,000

12,375,000 1,237,500 13,612,500

- - -

177,125,466 17,712,547 194,838,013


66,894,300 6,689,430 73,583,730

725,000,000 72,500,000 797,500,000

151,305,660 15,130,566 166,436,226

- - -
34,852,510 3,485,251 38,337,761
50,490,000 5,049,000 55,539,000
15,391,127,852
RAB DAN SPESIFIK

[BELANJA MODAL] 5.2.3.19.02 Belanja Modal Pengadaan Alat - Alat Kedokteran Gigi

NO NAMA ALAT
Dental Unit

Dental Unit and Chair

Dental Unit & Chair


3

Micromotor Surgery
4

TOTAL
RAB DAN SPESIFIKASI TEKNIS

dal Pengadaan Alat - Alat Kedokteran Gigi

SPESIFIKASI TEKNIS QTY HARGA SATUAN


Alat bur kecepatan tinggi, sinar LED 10 buah, coupling titanium,
bearing bola keramik, semprot air quattro (4 buah),tombol tekan
chuck,coupling cepat berputar 360 derajat, berputar bebas,
sistem kepala bersih dan mekanisme tidak hisap kembali, bisa 0 Unit 708,950,000
autoclave, kecepatan maximum 400.000rpm

terdiri dari 2pc. Alat bur kecepatan tinggi 4 lubang, 1 set. Alat
motor angin kecepatan rendah 4 lubang, 1 set. Ultrasonik scaler
lengkap, X-ray film viewer, three way syringe, tangki air
transparan kapasitas 1.5 liter, kompressor tanpa oli, dan motor 1 Unit 242,000,000
penghisap system terpusat.

high speed air turbine with highly effective LED, ultrasonic scaler
frequency 30Khz with 3 tips, three way syringe, panoramic size x- 0 Unit 644,628,182
ray viewer, medicine bottles.
untuk operasi mulut, dengan kekuatan torsi hingga 80 N Cm,
kontrol kaki multifungsi, pengurangan tubuh stainless steel, 1 Unit 52,750,000
pendingin eksternal dan internal.

TOTAL
JUMLAH HARGA SATUAN PPN 10% JUMLAH HARGA (+PPN)

- - -

242,000,000 24,200,000 266,200,000

- - -

52,750,000 5,275,000 58,025,000

324,225,000
RAB DAN SPESI

[BELANJA MODAL] 5.2.3.19.03 Belanja Modal Pengadaan Alat - Alat Kedokteran THT

NO NAMA ALAT
1 Audiometer & Tympanometer

2 Audiometri + Tympanometer

3 Head Lamp

4 Instrument Kecil THT


5 Lampu Sorot

6 Oto Acustic Emition (OAE)


7 Ottologi Surgery Set
8 Ottologi Surgery Set
9 Ottologi Surgery Set
TOTAL
RAB DAN SPESIFIKASI TEKNIS

Modal Pengadaan Alat - Alat Kedokteran THT

SPESIFIKASI TEKNIS QTY HARGA SATUAN


Combined audiometer & tympanometer 1 Unit 333,960,000
Audio traveller ( Audiometer/middle ear analizer combination)
with speech and CD 0 Set 289,795,000
Solid state procedure head light (without bag), with direct power
supply, with battery pack 1 Set 60,197,500
ear specula, nasal specula infant, nasal specula children, nasal
specula adult, ear dressing specula, curette blunt size 0,1,2, ear
polyppus forceps 8.5cm, tongue depressor, paracentesis needle,
ear hook, laryng mirror + handle, nasal specula 50mm, nasal
specula 75mm, pocket junior otoscope with 4 reusable specula
with spare lamp, suction cannula, cotton applicator.

0 Set 124,630,000
- 0 Buah 1,650,000
portable hearing screener of choice for pediatric patients,
designed to meet the standards IEC 601-1 class II, UL 2601-1 CSA-
C22.2 No 601.1, AAMI-ESI
1 Unit 196,774,600
Telepack X 1 Set 467,618,800
ENT BasicPoli set 1 Set 483,767,000
Otoplasty set 1 Set 52,984,800
TOTAL
JUMLAH HARGA SATUAN PPN 10% JUMLAH HARGA (+PPN)
333,960,000 33,396,000 367,356,000

- - -

60,197,500 6,019,750 66,217,250

- - -
- - -

196,774,600 19,677,460 216,452,060


467,618,800 46,761,880 514,380,680
483,767,000 48,376,700 532,143,700
52,984,800 5,298,480 58,283,280
1,754,832,970
RAB DAN SPESI

[BELANJA MODAL] 5.2.3.19.04 Belanja Modal Pengadaan Alat - Alat Kedokteran Mata

NO NAMA ALAT

1 Fundus Imaging

2 Laser PRP

3 Non Contact Tonometer

4 Optical Coherence Tomography


5 Tonometer
6 USG Biometry and Pachymtri
TOTAL
RAB DAN SPESIFIKASI TEKNIS

Modal Pengadaan Alat - Alat Kedokteran Mata

SPESIFIKASI TEKNIS QTY HARGA SATUAN


High resolution fundus imaging, fully featured camera, simple
design 1 Unit 1,761,606,000
micropulse, TxCell scanning slip lamp adapter, slit lamp, electric
table, safety glasses 0 Unit 3,392,928,000
Measuring range : 7-60 mmhg monitor range : 4" - 10" LCD TFT
include : printer paper, spare fuses, dust covet, power cord dan
electrik cable. 1 Unit 212,175,776
Touch screen monitor, OCT plus devoce, footswitch, ART
software, isolator transformer, PC+monitor+printer. 1 Unit 2,765,100,000
Non contact tonometer autofocus measurement. Jepang 0 Buah 267,000,000
probe Bscan, Biometry, Pachymetry, Color LCD. 1 Unit 243,210,000
TOTAL
JUMLAH HARGA SATUAN PPN 10% JUMLAH HARGA (+PPN)

1,761,606,000 176,160,600 1,937,766,600

- - -

212,175,776 21,217,578 233,393,354

2,765,100,000 276,510,000 3,041,610,000


- - -
243,210,000 24,321,000 267,531,000
5,480,300,954
RAB DAN SPESI

[BELANJA MODAL] 5.2.3.19.05 Belanja Modal Pengadaan Alat - Alat Kedokteran Bedah

NO NAMA ALAT
Defibrilator Biphasic-AED Pro

TOTAL
RAB DAN SPESIFIKASI TEKNIS

Modal Pengadaan Alat - Alat Kedokteran Bedah

SPESIFIKASI TEKNIS QTY HARGA SATUAN


Memenuhi izin peredaran oleh FDA atau 510(K) clearance,
memiliki kemampuan dialihkan ke mode manual/ manual
override, unit AED dapat dialihkan ke mode manual oleh dokter
atau tenaga medis ahli yang kompeten. Panjang atau durasi
gelombang defibrillasi : < 12.5 mili detik, Jangkauan impedansi
pasien : hingga 250 Ohm impedansi pasien, sistem umpan balik
dan pemantauan RJP, memiliki sistem umpan balik berupa pesan
visual dan suara yang dapat memandu/membantu penolong
dalam pemberian RJP dalam kedalaman dan kecepatan kompresi
yang optimal. kesesuaian dengan panduan AHA 2010, sistem
umpan balik memiliki kesesuaian dengan panduan AHA
( American Heart Association ) 2010. koneksi atau akuisisi EKG
pasien : melalui pads defibrilasi dewasa/pediatrik, dan melalui
kabel EKG 3-lead, usia penyimpanan elektroda ( shelf life ) :> 4
tahun, Ambang batas takikardi (V tach) untuk pediatrik/anak
anak, bpm : > 200 bpm untuk pasien pediatrik/anak, kapasitas : >
5 jam data EKG dan kompresi dada, memiliki port USB, memiliki
port USB, memiliki port IrDA, tingkat ketahanan terhadap cairan :
> IP 55, Getaran : Memenuhi standart 810 MIL,std.

0 Unit 139,955,000
TOTAL
JUMLAH HARGA SATUAN PPN 10% JUMLAH HARGA (+PPN)

- - -
-
RAB DAN SPESI

[BELANJA MODAL] 5.2.3.19.07 Belanja Modal Pengadaan Alat - Alat Kebidanan dan Penyakit Kandungan

NO NAMA ALAT
1 Set Partus
2 USG
TOTAL
RAB DAN SPESIFIKASI TEKNIS

Modal Pengadaan Alat - Alat Kebidanan dan Penyakit Kandungan

SPESIFIKASI TEKNIS QTY HARGA SATUAN


Belanja modal alat kebidanan dan penyakit kandungan 3 Buah 38,133,900
Probe pelengkap untuk USG 2 Dimensi, model CONVEX PROBE 0 Unit 112,500,000
TOTAL
JUMLAH HARGA SATUAN PPN 10% JUMLAH HARGA (+PPN)
114,401,700 11,440,170 125,841,870
- - -
125,841,870
RAB DAN SPESI

[BELANJA MODAL] 5.2.3.19.08 Belanja Modal Pengadaan Alat - Alat Kedokteran Kulit dan Kelamin

NO NAMA ALAT
UV Therapy System

1
TOTAL
RAB DAN SPESIFIKASI TEKNIS

Modal Pengadaan Alat - Alat Kedokteran Kulit dan Kelamin

SPESIFIKASI TEKNIS QTY HARGA SATUAN


42 x TL 01 100 Watt NB UVB lamps Pcs control with dermamate
software programmable dosage limits, Dialog-controlled
operation patient alarm 1xgoogle patient
1 Unit 1,424,775,000
TOTAL
JUMLAH HARGA SATUAN PPN 10% JUMLAH HARGA (+PPN)

1,424,775,000 142,477,500 1,567,252,500


1,567,252,500
RAB DAN SPESI

[BELANJA MODAL] 5.2.3.19.09 Belanja Modal Pengadaan Alat - Alat Kardiologi

NO NAMA ALAT
Ambulatory Blood Pressure Monitoring

1
Digital Holter ECG Set

2
Pletismografi

3
4 Probe Ukuran Dewasa
TOTAL
RAB DAN SPESIFIKASI TEKNIS

Modal Pengadaan Alat - Alat Kardiologi

SPESIFIKASI TEKNIS QTY HARGA SATUAN


Batteries power supply 2 mignon batteries or rechargeable,
compatibel with ABPMs of other manufacturers, Oszillometric
measurrement methode, measurrement of systole, distole and
pulse
1 Unit 62,915,642
Full Time pacemaker pulse detection, movement intensity
sensor, bussiness cars size,durable solid casing without LCD
compatible dengan holter monitor.
2 Unit 95,645,000
Vascular screening plethysmograph, Display color LCD display 640
480 dots, recorder recording method thermal print head 8
dot/mm, ECG test : standart 12 lead ECG (option).

1 Unit 247,500,000
M4S untuk ECHO vivid 7, 3S PROBE 1 Buah 126,171,298
TOTAL
JUMLAH HARGA SATUAN PPN 10% JUMLAH HARGA (+PPN)

62,915,642 6,291,564 69,207,206

191,290,000 19,129,000 210,419,000

247,500,000 24,750,000 272,250,000


126,171,298 12,617,130 138,788,428
690,664,634
RAB DAN SPESI

[BELANJA MODAL] 5.2.3.19.14 Belanja Modal Pengadaan Alat - Alat Penyakit Dalam / Internis

NO NAMA ALAT

1 Imaging and Reporting System


2 Stiching Set

3 Video Gastroscope
TOTAL
RAB DAN SPESIFIKASI TEKNIS

Modal Pengadaan Alat - Alat Penyakit Dalam / Internis

SPESIFIKASI TEKNIS QTY HARGA SATUAN


Gastroview TM software would, recording module, reporting
module 1 Unit 121,000,000
Stainless Steel 30 Set 5,702,400
Insertion tube diameter,instrumen channel diameter, distal and,
working legth, field of view 1 Unit 739,200,000
TOTAL
JUMLAH HARGA SATUAN PPN 10% JUMLAH HARGA (+PPN)

121,000,000 12,100,000 133,100,000


171,072,000 17,107,200 188,179,200

739,200,000 73,920,000 813,120,000


1,134,399,200
RA

[BELANJA MODAL] 5.2.3.19.17 Belanja Modal Pengadaan Alat - Alat Kamar Operasi

NO NAMA ALAT

1 Alat Bedah Traumatologi Tangan dan Kaki

2 Ambulatory Blood Pressure


3 Bedah Plastik Set
4 Bedah Plastik Set
5 Camera System Duo 165 Portable Set Sopro Comeg
6 Connector beetwen Head Resting and Flexible Arm

7 Cordless Dermatomes Small and Maouverable Skin Cutting Instrument


8 Craniotome Cutter II
9 Flexible Arm Complete Set
10 Gel Pad Headresting

11 General Instrument Orthopedi


12 Granulasi Telinga
13 Head Resting System

14 High Speed Motor Drill


15 Instrument Set, Basic Orthopaedic
16 Instrument Set, Craniotomy
17 Instrument Set, Tracheostomy
18 LCP Large Fragment (Orthopedi)
19 LCP Small Fragment (Orthopedi)
20 Lithoclast Master
21 Mastoidectomy Set
22 Micro Instrument Set 1 (Bedah Syaraf)
23 Multipurpose Headframe (Bedah Syaraf)
24 Neurosurgical Instrument Set
25 Non Stick Forceps
26 Oscillating Saw Attachment, for Nos. 532.001 and 532.010

27 Phaco and Vitrectomy Machine


28 S Curve Dilator Set
29 Set General Instrument Orthopedi

30 Set Large Fragment Orthopedi

31 Set Small Fragment Orthopedi

32 Surgical Dopler Bedah Syaraf

33 Ultrasonic Disector Aspiration with Irigation


34 URS Set (Urologi)

35 UV Room Sterilizer Kecil


TO
RAB DAN SPESIFIKASI TEKNIS

mar Operasi

SPESIFIKASI TEKNIS QTY HARGA SATUAN


Universal batteri power tool system for us in traumatologi, hand
and foot surgery. 1 Unit 932,987,924
Blood pressure monitoring recorder measuring systolic, distolic
0 Unit 75,735,000
Elektrik dermatome set 1 Set 294,372,000
Carniofasial set 1 Set 273,602,816
for all size catheters 5 Pcs 1,375,000
Connector beetwen head 1 Unit 50,700,000
Cordless dermatomes small and maouverable skin cutting
instrumen 0 Unit 386,363,636
Rosen Burr diameter 4,0 MM 36 Unit 4,510,000
Flexible Arm complete 1 Unit 85,847,850
With Traction, Bahan Alumunium 1 Unit 140,000,000
Berisi instrumen-instrumen dasar pendukung operasi orthopedi
termasuk diantaranya hammer, periosteal elevator, bone hook,
chisel, bone lever dan berbagai forceps.

1 Set 289,849,035
Stainless Steel 1 Set 35,719,120
Horse Shoe head rest 1 Set 250,250,000
Electric Highspeed motor 80.000 rpm integrated cable 3,5 m,
electric control unit highspeed/trepan 220V Version. 1 Unit 665,500,000
Made in eropa, USE, Japan 0 Set 311,955,000
Made in eropa, USE, Japan 0 Set 301,206,000
Made in eropa, USE, Japan 0 Set 87,812,000
Stainless Steel 1 Set 596,745,423
Stainless Steel 1 Set 812,810,699
Combined Ultrasound and pneumatic lithotripsy. 1 Unit 1,083,599,149
Periosteal knife, 13 cmsurgical handle, fig. 3,12.5 cmblade, srerile
100 pcsblade, sterile, 100 pcsnasal speculum, for adults, 13
cmretractor, 3 x 4 prongs, 16 cmretractor, 3 x 4 prons, 13
cmretractor, 3 x 3 prongs, length 11 cmvolkmann retractor, 3
prongslangenbeck retractor, 33 x 14 mmfarabeuf raspatory, width
11 mmlempert raspatory, 7 Mm, 18 cmfree elevator, double-
endedtratmenn mastoid gouge,14 cmtrautmann mastoid gouge,
14 cmtraumann mastoid gouge, 14 cmtrautmann mastoid gouge,
14 cmtrautmann mastoid chisel, 3 Mm widetrautmann mastoid
chisel, 5Mm widetrautmann mastoid chisel, 7 Mm widecottle
metal mallet, 18 cmkerrison rongeur, size 2, 11cmjansen ronger,
bayonet, 17 cmcurette, largemastoid curette, size 0000 Sparatt
mastoid curette, size 0 Spratt mastoid curette, size 1 mosquito
artery forceps, curvedatery forceps, Straight, 14 Cmhaemostatic
forcepsartery forceps, 1 x 2 teeth, 14 cmforceps, 4 x 5 teeth, 15
cmadson dressing forceps, 12 cmadson tissue forceps, 1 x 2 teeth
tissue forceps atraumatic, 12 Cmdressing forceps, 14.5 Cm,
standarddresing forceps, 14.5cm, narrowtissue forceps,standard,
14.5 Cmtissue forceps, medium, 14.5 Cmtissue forceps,narrow,
14.5 Cmjobson-horne probe, 18 Cmseeker, 45 derajat, 15.5
Cmscissors, extra delicate, curved, 10 Cmscissors, curved, 10.5
Cmscissors, curved, 14 Cmscissors, curved, 14 Cmscissors,
staight, 14.5Cmscissors, curve, 15Cmsuntion tube, angular, 1
Mmsuction tube,angular, 1.7 Mmsuction tube, angular, 2.3
Mmsuction tube, 6 Fr.suction tube, 9 Fr.suction tube, 12
Fr.Zoellner suction tube, 13 Cmsuction Tip, outer dia. 0.5
Mmsution tip, outer dia. 0.7 Mmsution tip, outer dia. 0.9
Mmsuction Tip, Outer Dia. 1.2 Mmneedle holder, Tungsten
Carbide, 13 Cmneedle holder, 15 Cmtowel Forceps, 11
Cmdressing & Sponge Holding Forceps, 21 Cmcup Medicin.

0 Set 269,741,325
Frazier suction tube, tumor forceps, adson dura forceps 1 Set 44,412,500
Head pin, short tip for pediatric to adult, stainless steel 1 Set 649,000,000
Stainless Steel 1 Set 226,875,000
Stainless Steel 1 Set 63,800,000
Colibri II ( Bor Ortopedi-Baterai ). 0 Unit 132,300,000
Phaco emulsification hanpiece, infusion/irrigation Gravity
(cmH2O) Automatic infusion pole range : 30-140 (hook 0-110),
VGPC (mmHg) 0-150, Vitrectomy module pneumatic cutting
range 20-8000 cuts perminute linier,maximum velocity of tip 100
persen, diathermy module type bipolar conggulation, HF output
0-10 watts, maximum HF voltage 200Vp-pmax, frequency 1 to 10
persen.

0 Unit 2,792,950,000
Dilator Size 8,0; 10,0 ; 12,0; 14,0; 16,0; 18,0 dan 20,0 3 Set 6,558,200
Berisi instrumen-instrumen dasar pendukung operasi orthopedi
termasuk diantaranya hammer, periosteal elevator, bone hook,
chisel, bone lever dan berbagai forceps. General instrumen
terdiri kurang lebih 16 item dan bone forceps set terdiri kurang
lebih 6 item.
0 Set 249,126,500
Instrumen set digunakan pada operasi orthopedi untuk fiksasi
patahan,osteotomy, non-union pada tulang tulang besar seperti
femur, proximal dan shaft tibia, serta shaft humeru, terdiri kurang
lebih 34 item large fragment locking compression plates (LCP)
and standart instrumen.
0 Set 512,905,000
Instrumen set digunakan pada operasi orthopedi untuk fiksasi
patahan,osteotomy, non-union pada tulang tulang besar seperti
femur, proximal dan shaft tibia, serta shaft humeru, terdiri kurang
lebih 34 item LCP small fragment system.

0 Set 698,614,000
Box dimension 4,25in x 3.75in x 5.25in weight of box 1,4 lbs
(0,6kg) probe : packagend four to a box, sterile disposable 140
mm working legth.
1 Unit 165,000,000
Featuring sonastar & osteosclupt tissue ablation, adaptive RF
capability, wireless footswitch control 1 Unit 946,000,000
Rigid no. 6F 1 Set 496,761,027
+/- 700 cfm (19.8cm/m) air-flow capacity, heavy duty 2m
alumunium case, 99.99 0.3 uM fibreglass HEPA filter, patented
UV (ultraviolet) lamp/HEPA configuration, rapid change pre/HEPA
filter assembly, create negative or positive pressure
environments. made in Eropa,Japan,USA
0 Buah 61,000,000
TOTAL
JUMLAH HARGA SATUAN PPN 10% JUMLAH HARGA (+PPN)

932,987,924 93,298,792 1,026,286,716

- - -
294,372,000 29,437,200 323,809,200
273,602,816 27,360,282 300,963,098
6,875,000 687,500 7,562,500
50,700,000 5,070,000 55,770,000

- - -
162,360,000 16,236,000 178,596,000
85,847,850 8,584,785 94,432,635
140,000,000 14,000,000 154,000,000

289,849,035 28,984,904 318,833,939


35,719,120 3,571,912 39,291,032
250,250,000 25,025,000 275,275,000

665,500,000 66,550,000 732,050,000


- - -
- - -
- - -
596,745,423 59,674,542 656,419,965
812,810,699 81,281,070 894,091,769
1,083,599,149 108,359,915 1,191,959,064
- - -
44,412,500 4,441,250 48,853,750
649,000,000 64,900,000 713,900,000
226,875,000 22,687,500 249,562,500
63,800,000 6,380,000 70,180,000
- - -

- - -
19,674,600 1,967,460 21,642,060
- - -

- - -

- - -

165,000,000 16,500,000 181,500,000

946,000,000 94,600,000 1,040,600,000


496,761,027 49,676,103 546,437,130

- - -
9,122,016,357
RAB DAN S

[BELANJA MODAL] 5.2.3.19.18 Belanja Modal Pengadaan Alat - Alat Ruang HCU / ICCU

NO NAMA ALAT
Bak Instrument
1
Bedside Monitor
2
Blue Light / Photo Therapy Lamp

3
Bubble CPAP with Oxygen Mixer

4
Capnograph

5
6 Carescape Central Station
Central Monitor

7
8 CPAP
Electric Breast Pump

9
Incubator

10
Incubator Transport

11
12 IX5 ICU Ventilator
13 Lampu Blue Light
14 Neonatal Ventilator
Neopuff Infant Resuscitation

15
Oxymetri Pulse

16
Oxymetri Pulse

17
Patslide Easy Move

18
Tende Medical / Baby Blue with Skin Sensor

19
Tende Medical / Care Blue with Skin Sensor

20
T Piece Resusitator (Neopuff Infant Resuscitator Set)

21
Ventilator for Neonatus
22
23 Ventilator HFO Neonatal and Pediatric
Ventilator High Frequency Oscillation (HFO)

24
25 Ventilator Paediatric
TOTAL
RAB DAN SPESIFIKASI TEKNIS

gadaan Alat - Alat Ruang HCU / ICCU

SPESIFIKASI TEKNIS QTY HARGA SATUAN


+/- 260 x 160 x 63 mm ( stainless steel ), made of stainless steel,
+/- 310 x 196 x 65 0 Buah 431,244
Parameter : HR/PR,ECG,RR,DpO2,Temp,IBP,EtCO2,LCD TFT Display
: 9 inch WVGA 0 Unit 157,470,000
Power LCD usefull lifetime >_ 20.000 hours, electronik control
panel, electrik control panl, power consumption 75 W, power
consumption 75 W.
0 Buah 140,000,000
Model : Buble CPAP,humidifier base,infant delivery system :
humidification chamber, pressure manifold, single heated
breathing circuit,CPAP generator.
0 Buah 106,000,000
Monitoring Spo2 ETCO2 heart rate,capnograph and
plethysmograph display, audible and visual alarms, Spo2 sesor.
1 Unit 88,000,000
Graphic and numeric trends for current moitoring sessions. 1 Unit 396,748,000
Monitoring parameters : ECG,ST segment,HR,RESP,NIBP,SPO2,
PR,TEMP IBP and ETCO2, realize key monitoring, maximum 9
waveforms displayed (4 channel of ECG, SPO2, RESP ; double IBP
and ETCO2), the central station display monitoring waveform for
> 8 beds at the same time,BI - directional communication control,
Function : from the central monitoring system, it is to adjust the
alarm limit of the alarm limit of the bedside machine, to start the
specified parameter for measurement, and to adjust the
corresponding setup, realize key monitoring, maximum 9
waveforms displayed ( 4 channels of ECG,SPO2, RESP; double IBP
and ETCO2.

0 Buah 386,000,000
Complete set bubble CPAP with air-O2 mixer 10 Unit 94,930,000
Cycle range : stimulation 71-120 cycless/minutes express 30-60
cycles/minutes vacum range stimulation 60-150 mbar express
30-330mbar connection 230 V.50/60Hz.
4 Unit 39,600,000
height specification, 4 casters, vol +/- 80 I,mekanisme pintu : soft-
stop hinges, tipe algoritma : propotional differential integral
contol olgarithm, Kontrol LCD : brightness control, 24 jam :
temperatur udara, temperatur tubuh, kelembaban relatif,
konsentrasi oksigen,heater power.
0 Buah 310,000,000
High temperatur,Actuates if incubator air temp. >39 +/- 0.5 C,
Power fail actuates if AC fail and no DC power present , and
activates if unit, switches from AC to DC current,air flow actuates
for fan failure, low DC actuaues if DC<10.5 Vdc, or external 28
Vdc falls below 25.5 Vdc nominal, operating range sea level to 3
km (10,000 ft) non --pressurized environment. Sea level to, 12 km
(40,000 ft)- pressurize environment, observation lamp 35
footcandles - 4 inches above mattress 376 lux - 10cm above
mattress.

0 Buah 410,000,000
infant,pediatric,aldult ICU ventilator 2 Unit 487,658,600
The combination of blue and white light 20 Unit 52,800,000
Neonatal & pediatric ventilator for NICU & PICU 2 Unit 545,600,000
Neopuff infant resuscitator set : main unit neopuff infant
resuscitator, air-oxygen mixer + tabung udara tekan + tabung
oxigen air oxygen mixer unit, eeropa .
0 Buah 87,500,000
touch screen;continious and non-invasive; arterial O2 saturation
and pulse rate monitor; SpO2 ; pulse rate ; alarm;trend perfusion
index ; signal IQ and plethysmographic.

0 Set 54,100,000
Toch screen ; continious and non-invasive ; arterial O2 saturation
and pulse rate monitor ; SpO2; pulse rate ; alarm ; trend
perfusion index ; signal IQ and plethysmographic
0 Set 54,100,000
it is compact an slim and may be easily stowed in a vehicle.
Simple to clean and maintain and may be completely dismantled
for thoroug disinfaction, minimum thickness to enable simple
placement under a patient.
0 Buah 4,752,000
LED phototheraphy unit, for infafnts applicable with baby
incubator, open beds, warmers and bassinets High density light
power with fanless LED Tecnology.
2 Unit 70,400,000
Level of light intensity 5 level, horizontal angel adjusment 360
derajat,light source blue LED ( 24 Pcs,super bright LED ).
2 Unit 96,250,000
Europe, manometer range : -10 to 80 cm H2O (-2.0 to 7.8kPa);
max.pressure relief : masing2 8 LPM (5 to 7 cm H2O); peak
inspiratory pressure masing2 8 LPM (4 to 73cm H2O); Delivered
oxygen concetration : Up to 100 persen depending on gas supply;

0 Unit 33,500,000
invasive dan non-invasive ventilation made in eropa, Japanm=,
USA 0 Unit 889,091,000
For neonatal and pediatric ; made in europe 0 Unit 453,514,091
Bisa di gunakan untuk neonatus (0.3kg 20kg), mode tekanan
lengkap, mode KFO, konsep valveless menkasilkan flow konstan
15 lpm.
0 Unit 384,849,455
2 Buah 1,200,000,000
TOTAL
JUMLAH HARGA SATUAN PPN 10% JUMLAH HARGA (+PPN)

- - -

- - -

- - -

- - -

88,000,000 8,800,000 96,800,000


396,748,000 39,674,800 436,422,800

- - -
949,300,000 94,930,000 1,044,230,000

158,400,000 15,840,000 174,240,000

- - -
- - -
975,317,200 97,531,720 1,072,848,920
1,056,000,000 105,600,000 1,161,600,000
1,091,200,000 109,120,000 1,200,320,000

- - -

- - -

- - -

- - -

140,800,000 14,080,000 154,880,000

192,500,000 19,250,000 211,750,000

- - -

- - -
- - -

- - -
2,400,000,000 240,000,000 2,640,000,000
8,193,091,720
RAB DAN

[BELANJA MODAL] 5.2.3.19.19 Belanja Modal Pengadaan Alat - Alat Ruang Kamar Perawatan

NO NAMA ALAT
Automatic Blood Preassure Monitor

BLANKET (HIPO / HYPERTERMIA MACHINE SYSTEM)

BLANKET (HIPO / HYPERTERMIA MACHINE SYSTEM)

Box Bayi
4

Box Bayi
5

6 Collapsible Bedside Raills


7 Cup Medicine
Electric Hospital Bed 3 Crank
8
9 Gunting Verband
Head Cap Saline Pad Electrode Kit for EEG

10

11 I.V Hanger Rod


Kasur Decubitus

12

Kasur Decubitus

13

14 Lemari Obat 2 Pintu


Manometer O2 Sentral Set

15

16 Matras Tempat Tidur


17 Mattress
Meja Mayo
18
19 Meja Mayo
20 Nier Bekken Kecil
21 Nier Bekken Sedang
Oxygen Flowmeter
22

Partus Set

23

24 Scope Strecher
Standar Infus
25

Tempat Tidur
26
Tempat Tidur Electric + Matras + Tiang Infus

27

28 Tong Spatel
29 Tong Spatel
30 Trolley Linen Kotor
Vena Sectio Set

31

TOTAL
RAB DAN SPESIFIKASI TEKNIS

adaan Alat - Alat Ruang Kamar Perawatan

SPESIFIKASI TEKNIS QTY HARGA SATUAN


Power supply : AC 100-220V 50/60Hz 40 VA electrik protrction
type : Class IB safety standar : JIS T 1115:2005, JIS T 0601-1:2005
IEC 6061-1-2;2004 Measurement method : riva rocci and
oscillometric Measurement range : 10 to 300 mmHg/1mmHg
Display : LED digital auto paper cutter : partial cut/full cut
printer : Line termal printer with printing 3 size paper audio
Guidance : ADPCM audio comunication : RS-223C Operation
Environment : Temperatur : 10 to 40 C Humidity 30 to 85% RH
Storage Environment : Temperatur : 10 to 60 Humidity 30 to 95%
RH Dimension : W242 X D534 X H338 (mm) Weight : Approx. 0 Unit 62,000,000
5.0kg Emergency stop function : Pressure > 301 mmHg or
measuremen period > 2,5 minutes limit 220 mmHg : Limiter can
be adjusted up to 300 mmHg.

Pendingin dan pemanas dengan presisi,modus otomatis untuk


intervensi perawatan,sistem lengkap dengan eaproround body
wraps/jaket baju optimal,umpan balik pasien/suhu optimal,
Dimensi : +/- 94cm H, x36cm W,x46cm D., control 0 Unit 327,256,000
microprocessor, Distilled water, (9.5L), Water range : 4 C-42 C.

Pendingin dan pemanas dengan presisi,modus otomatis untuk


intervensi perawatan,sistem lengkap dengan eaproround body
wraps/jaket baju optimal,umpan balik pasien/suhu optimal,
Dimensi : +/- 94cm H, x36cm W,x46cm D., control 4 Unit 327,256,000
microprocessor, Distilled water, (9.5L), Water range : 4 C-42 C.

Rangka terbuat dari stainless stell, ukuran : L : 755mm, W :


438mm, H :250mm, box terbuat dari bahan clear plastik bassinet, 0 Unit 7,900,000
sudah termasuk matras. PB 1100
Acrylic & Stainless steel, berat max : 25kg - 30kg. Can be adjusted
manually to normal position, trendelenburg & Anti 40 Unit 7,147,219
trendelenburg.
Dimensins 1,474mm (L) x 422mm (H) x 2 100 Unit 2,752,187
Cup medicine 60 cm3, diameter 70mm, height 33mm 30 Buah 246,400
sef locking system, max load 200kg, full ABS head and panel and
with multi coloured bumper 0 Unit 30,064,910
Stenless Steel UK.145 MM. 0 Unit 1,945,000
Pengikat kepala 1 buah pengikat dagu 1 buah electroda dengan
pegangan plastik 23 buah kabel electroda ECG 1 set (30 kabel)
kabel electroda ECG 1 set ( 2 kabel ) electroda telinga 3 set
penjepit telinga bantalan electroda 100 buah ring pemandu 50 1 Unit 17,500,000
buah.

Stainless pipe rod 100 Unit 1,035,410


Double layered (dua camber), Overlay terbuat dari polyurethane,
elastis,awet,tidak panas, Automatically adjusted dengan berat
pasien 30-110kg,tidak bersuara & tidak bergetar,tahan hingga 12
jam bila listrik mati, mudah dibersihkan (dengan disinfectan),
pengeluaran udara sangat cepat, safety alarm, dimensi 195 x 90 x
11,230 volt/50 Hz, Control unit : 1 pc (36 x 27 x 23cm) Overlay : 1 0 Buah 48,200,000
pc (195 x 90 x 11cm ), cover for overlay : 1 pc, Cryimg bag : 1pc,
power consumes : 100 mA/20 watt.

Double layered (dua camber), Overlay terbuat dari polyurethane,


elastis,awet,tidak panas, Automatically adjusted dengan berat
pasien 30-110kg,tidak bersuara & tidak bergetar,tahan hingga 12
jam bila listrik mati, mudah dibersihkan (dengan disinfectan),
pengeluaran udara sangat cepat, safety alarm, dimensi 195 x 90 x
11,230 volt/50 Hz, Control unit : 1 pc (36 x 27 x 23cm) Overlay : 1 10 Buah 36,575,000
pc (195 x 90 x 11cm ), cover for overlay : 1 pc, Cryimg bag : 1pc,
power consumes : 100 mA/20 watt.

Dimensi 90 x 40 x 170cm plat MS 2 Unit 10,360,000


For very low flow situation where accuracy is critical, oxygen flow
range 0-1 liter per menute, Accuracy +/- 5% of full scale, the
front block, is check for accuracy at critical point, the silk-
screened backscale is aligned mirror-perfect with the front, five
year warranty for flowmeter, back fitting 3/4 & apos;&apos;fitting
1/8 &apos; &apos;x1/8 &apos;&apos;, Autoclavable Humidifier
integral audible alarm which is activated at approximately 2 PSIG
and " whistles" if the tubing to the patient becomes 5 Unit 9,200,000
occluded,pressure relief valve, Unbrekable polypropylene jar,
adaptor.

Vinyl leather, Urethane foam 0 Unit 1,563,400


Urethane foam mattress with standarrd features 100 Unit 1,719,652
Made of stanless steel 2mm and table is made of stanless steel
sheet 1mm, dimension L570 x W430x H870-1095mm. 0 Unit 3,504,200
The leg and table is made of stanless steel. 6 Unit 3,854,620
Stanless steel kidney dish, size 204 x 130mm, shallow thype 5 Buah 104,060
Stanless steel kidney dish, size 243 x 125mm, deep thype 20 Buah 192,390
Laju aliran 0 15liter per menit, body flowmeter dari bahan
kuningan padat dilapisi nikel, menghasilkan flowmeter dengan 0 Unit 3,243,600
durabilitas tinggi type. Tancap/ulir
Halsted mosquito forceps delstr 125mm, Standard forceps serr
145mm, standard tissue forceps 1x2 145mm, beacham
amniotome 250mm, brau stadler episiotomy scissors 145mm, 0 Buah 6,832,200
Umblical cord scissirs lat CVD 135mm.

Tempat tidur transfer pasien W/ posisi trendelenberg 0 Unit 26,910,000


Tiang infus terbuat dari stainless steel Ni 8 persen,dengan 2
kaitan,dengan 5 kaki dan roda, tinggi dapat di setel dari 165 0 Unit 2,520,000
to250cm, roda 2 inch hidup.
Electric bed,handlheld controller, detachable boards and color
variations 100 Unit 35,404,600
Electrical operated bacrest,height and legrest adjustable IV pole,
with 4 hooks. Easy adjustable knee break position, ower in : 1.5A
max At 230v AC 50-60 Hz, safe working load : 200kg + natural
latex mattress covered with vynil water proofing. 0 Buah 50,000,000

BRUENINGS tongue depressor, length 19cm. 8 Buah 806,300


Stenless Steel UK.190 MM. 0 Unit 640,000
Steel sheet, steel, pipe 6 Buah 10,128,300
Aesculap vena sectio set, manufaktur braun, no produk
42000000AKS000066980, unit pengukur set no produk
BB073R,BC1105R,BC605R,BD565R,BF431R,BH111R, BN004R,
BT114R, JK095, JK389, Model/type Aesculap, country of origin 0 Buah 22,590,000
jerman

TOTAL
JUMLAH HARGA SATUAN PPN 10% JUMLAH HARGA (+PPN)

- - -

- - -

1,309,024,000 130,902,400 1,439,926,400

- - -

285,888,760 28,588,876 314,477,636

275,218,700 27,521,870 302,740,570


7,392,000 739,200 8,131,200
- - -
- - -
17,500,000 1,750,000 19,250,000

103,541,000 10,354,100 113,895,100

- - -

365,750,000 36,575,000 402,325,000

20,720,000 2,072,000 22,792,000

46,000,000 4,600,000 50,600,000

- - -
171,965,200 17,196,520 189,161,720
- - -
23,127,720 2,312,772 25,440,492
520,300 52,030 572,330
3,847,800 384,780 4,232,580
- - -

- - -

- - -

- - -

3,540,460,000 354,046,000 3,894,506,000

- - -

6,450,400 645,040 7,095,440


- - -
60,769,800 6,076,980 66,846,780

- - -

6,861,993,248
REKAP KEGIATAN PENGADAAN ALKES

NO NAMA KEGIATAN
1 BELANJA MODAL PENGADAAN ALAT - ALAT KEDOKTERAN UMUM
2 BELANJA MODAL PENGADAAN ALAT - ALAT KEDOKTERAN GIGI
3 BELANJA MODAL PENGADAAN ALAT ALAT - ALAT KEDOKTERAN THT
4 BELANJA MODAL PENGADAAN ALAT - ALAT KEDOKTERAN MATA
5 BELANJA MODAL PENGADAAN ALAT - ALAT KEDOKTERAN BEDAH
6 BELANJA MODAL PENGADAAN ALAT - ALAT KEBIDANAN DAN PENYAKIT KANDUNGAN
7 BELANJA MODAL PENGADAAN ALAT - ALAT KEDOKTERAN KULIT DAN KELAMIN
8 BELANJA MODAL PENGADAAN ALAT - ALAT KARDIOLOGI
9 BELANJA MODAL PENGADAAN ALAT - ALAT PENYAKIT DALAM / INTERNIS
10 BELANJA MODAL PENGADAAN ALAT - ALAT KAMAR OPERASI
11 BELANJA MODAL PENGADAAN ALAT - ALAT RUANG HCU / ICCU
12 BELANJA MODAL PENGADAAN ALAT - ALAT KAMAR PERAWATAN
TOTAL PAGU
ES

KODE REKENING NILAI PAGU


5.2.3.19.01 15,391,127,852
5.2.3.19.02 324,225,000
5.2.3.19.03 1,754,832,970
5.2.3.19.04 5,480,300,954
5.2.3.19.05 -
5.2.3.19.07 125,841,870
5.2.3.19.08 1,567,252,500
5.2.3.19.09 690,664,634
5.2.3.19.14 1,134,399,200
5.2.3.19.17 9,122,016,357
5.2.3.19.18 8,193,091,720
5.2.3.19.19 6,861,993,248
50,645,746,305

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