No

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

Nama
Alkohol 300
ml
Betadine
Kassa
Lidocain
injeksi (ampal)
Jarum hecting
Benang
Obat
sirkumsisi
Handscoen
Jarum suntik
Hipafix
Kasa
Hydrophile
(box)
Kantong Obat
13x8 (box)
Tisu
Kertas HVS
(rim)
Kantong
Plastik 10 Kg
Minor set
Fotocopy
lembar
informed
consent

Jumlah

Harga satuan

Total

20

Rp20,000.00

Rp400,000.00

20
10

Rp245,000.00
Rp15,000.00

Rp4,900,000.00
Rp150,000.00

40

Rp3,000.00

Rp120,000.00

40
40

Rp12,000.00
Rp5,500.00

Rp480,000.00
Rp220,000.00

40

Rp20,000.00

Rp800,000.00

5
70
10

Rp50,000.00
Rp15,000.00
Rp25,000.00

Rp250,000.00
Rp1,050,000.00
Rp250,000.00

20

Rp3,000.00

Rp60,000.00

Rp8,500.00

Rp25,000.00

10

Rp4,000.00

Rp40,000.00

Rp40,000.00

Rp40,000.00

Rp10,000.00

Rp10,000.00

Rp250,000.00

Rp1,250,000.00

40

Rp200.00

Rp8,000.00

Total
DAFTAR OBAT SIRKUMSISI

Rp10,053,000.00