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PEMERINTAH KOTA SERANG

UPT PUSKESMAS BANTEN GIRANG


Jl. Raya Pandeglang Km. 4 Karundang Serang Tlp. (0254) 217024
DAFTAR USULAN
BAHAN MEDIS HABIS PAKAI GIGI (BMHP)

HARGA
NAMA HARGA
NO SATUAN SATUAN + JUMLAH
BARANG SATUAN PAJAK

1 Komposit Pcs Rp 950,000 Rp 962,500 2

2 Coco Bater Set Rp 90,000 Rp 93,390 2

Bur Set Rp 198,000 Rp 203,500 1


3 Set
Diamond

4 Bur Poles Pcs Rp 33,000 Rp 33,000 5

5 Chkm Pcs Rp 49,000 Rp 55,000 1

6 Spongostan Pcs Rp 83,200 Rp 83,200 1

Dentin
7 Pcs Rp 292,400 Rp 292,400 1
Conditoner

8 Ethyl chloride Botol Rp 103,000 Rp 105,000 5

9 Suction Pcs Rp 56,000 Rp 56,000 1


10 Gbond Botol Rp 913,000 Rp 913,000 1
Jumlah

Kepala Puskesmas Banten Girang Serang,05 April 2017


Petugas Obat

Hj. Yuheni, S.ST, M.Kes


NIP. 19670928 198902 2 003 Aas Aisyah
19671227 199203 2 008
RANG
217024

HP)

TOTAL HARGA

Rp 1,925,000

Rp 186,780

Rp 203,500

Rp 165,000

Rp 55,000

Rp 83,200

Rp 292,400

Rp 525,000

Rp 56,000
Rp 913,000
Rp 4,404,880

erang,05 April 2017


Petugas Obat

Aas Aisyah
671227 199203 2 008

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