Perdir Pengukuran Budaya Keselamanta Pasien

CONTOH DAFTAR PENGADAAN BARANG
PER TANGGAL 1 JANUARI 2017 S.D. 30 JUNI 2017
OPD : RSUD PETALA BUMI KHUSUS PENGADAAN DALAM 1 TAHUN / SEMESTER

PROVINSI : Riau
SPK / KONTRAK BAST KWITANSI / SP2D JUMLAH

NO JENIS BARANG URAIAN BARANG DIPERGUNAKAN PADA UNIT KETERANGAN
NOMOR TANGGAL NOMOR TANGGAL NOMOR TANGGAL UNIT HARGA SATUAN TOTAL HARGA
1 2 3 4 5 6 7 8 9 10 Rp 11.00 Rp 12 13 14
A BAHAN MATERIAL KESEHATAN
B BHP MEDIS
I BHP MEDIS 2016 6,203,668,853.72
1
1 ACTIMOVE M 3.00 PCS Rp 105,000.00 Rp 315,000
2 ACTIMOVE S 6.00 PCS Rp 105,000.00 Rp 630,000
3 ALKOHOL 70% 1,545.00 BOTOL 1000 ML Rp 34,155.00 Rp 52,769,475
4 ALKOHOL 96% 253.00 BOTOL 1000 ML Rp 37,950.00 Rp 9,601,350
5 ALKOHOL SWAP 45,500.00 BOX @ 100 SAC Rp 379.50 Rp 17,267,250
6 AQUADEST 20 L 49.00 GALON 20 L Rp 73,935.00 Rp 3,622,815
7 AQUADEST 1L 796.00 BOTOL 1000 ML Rp 13,020.00 Rp 10,363,920
8 ASKINA CALGITROL AG 10 X 10 CM 17.00 BOX/10 BTL Rp 120,000.00 Rp 2,040,000
9 ASKINA CLGITROL PASTE 15 G 10.00 BOX/10 BTL Rp 74,545.00 Rp 745,450
10 ASKINA DERM 10 X 12 CM 37.00 BOX @ 10 LEMBAR Rp 29,000.00 Rp 1,073,000
11 ASKINA GEL 15 G 10.00 TUBE 15 G Rp 80,876.00 Rp 808,760
12 ASKINA SOFT CLEAR I.V 8 X 6 CM 99.00 BOX @ 50 LEMBAR Rp 10,500.00 Rp 1,039,500
13 ASKINA SORB 10 X 10 CM 15.00 BOX @ 3 LEMBAR Rp 70,000.00 Rp 1,050,000
14 BAYCLIN 470.00 BOTOL 1000 ML Rp 15,000.00 Rp 7,050,000
15 BENANG BEDAH MONOSYN 2/0 HRT 37 72.00 BOX @ 36 SACHET Rp 95,507.50 Rp 6,876,540
16 BENANG BEDAH MONOSYN 3/0 DS 24 UNDYED 216.00 BOX @ 36 SACHET Rp 97,608.40 Rp 21,083,414
17 BENANG BEDAH MONOSYN 3/0 DS 24 VIOLET CUTTING 144.00 BOX @ 36 SACHET Rp 100,368.40 Rp 14,453,050
18 BENANG BEDAH MONOSYN 4/0 DS 24 102.00 BOX @ 36 SACHET Rp 153,697.50 Rp 15,677,145
19 BENANG BEDAH ATRAMAT CHROMIC 2/0 CUTTING 12.00 BOX @ 12 SACHET Rp 72,600.00 Rp 871,200
20 BENANG BEDAH ATRAMAT CHROMIC 3/0 CUTTING 12.00 BOX @12 SACHET Rp 97,608.40 Rp 1,171,301
21 BENANG BEDAH ATRAMAT PGA 3/0 CUTTING 12.00 BOX @ 12 SACHET Rp 115,300.00 Rp 1,383,600
22 BENANG BEDAH ATRAMAT PGA 3/0 TAPPER 132.00 BOX @ 12 SACHET Rp 115,300.00 Rp 15,219,600
23 BENANG BEDAH ATRAMAT PGA 5-0 CUTTING 12.00 BOX @ 12 SACHET Rp 115,300.00 Rp 1,383,600
24 BENANG BEDAH CAT GUT 1 TAPPER 48.00 BOX @ 24 SACHET Rp 129,381.00 Rp 6,210,288
25 BENANG BEDAH CAT GUT CHROMIC 0 TAPPER 396.00 BOX @ 12 SAC Rp 380,000.00 Rp 150,480,000
26 BENANG BEDAH CAT GUT CHROMIC 1 HR 37 S 48.00 BOX @ 36 SACHET Rp 129,381.00 Rp 6,210,288
27 BENANG BEDAH CAT GUT CHROMIC 1 ROLL 8.00 ROLL 50 M Rp 2,032,800.00 Rp 16,262,400
28 BENANG BEDAH CAT GUT CHROMIC 2 ROLL 6.00 ROLL 50 M Rp 678,449.00 Rp 4,070,694
29 BENANG BEDAH CAT GUT CHROMIC 2 TAPPER 564.00 BOX @ 12 SAC Rp 94,242.50 Rp 53,152,770
30 BENANG BEDAH CAT GUT CHROMIC 2/0 ROLL 10.00 ROLL 100 M Rp 940,554.00 Rp 9,405,540
31 BENANG BEDAH CAT GUT CHROMIC 2/0 TAPPER 228.00 BOX @ 12 SAC Rp 91,712.50 Rp 20,910,450
32 BENANG BEDAH CAT GUT CHROMIC 3 ROLL 12.00 ROLL 40 M Rp 717,750.00 Rp 8,613,000
33 BENANG BEDAH CAT GUT CHROMIC 3/0 DS 24 84.00 BOX @ 36 SACHET Rp 86,254.00 Rp 7,245,336
34 BENANG BEDAH CAT GUT CHROMIC 3/0 ROLL 15.00 ROLL 100 M Rp 911,328.00 Rp 13,669,920
35 BENANG BEDAH CAT GUT CHROMIC 4/0 ROLL 3.00 ROLL 50 M Rp 2,032,800.00 Rp 6,098,400
36 BENANG BEDAH CAT GUT PLAIN 0 CUTTING 24.00 BOX @ 24 SACHET Rp 75,800.00 Rp 1,819,200
37 BENANG BEDAH CAT GUT PLAIN 0 TAPPER 456.00 BOX @ 24 SACHET Rp 65,875.00 Rp 30,039,000
38 BENANG BEDAH CAT GUT PLAIN 1 HR 35S TAPPER 36.00 BOX @ 24 SACHET Rp 47,626.00 Rp 1,714,536
39 BENANG BEDAH CAT GUT PLAIN 2/0 HRT 35S CUTTING 48.00 BOX @ 24 SACHET Rp 47,626.00 Rp 2,286,048
40 BENANG BEDAH CAT GUT PLAIN 3/0 CUTTING 96.00 BOX @ 12 SAC Rp 47,626.00 Rp 4,572,096
41 BENANG BEDAH DAFILON 10/0 24.00 BOX @ 36 SACHET Rp 176,400.00 Rp 4,233,600
42 BENANG BEDAH DAFILON 5/0 DS 12 36.00 BOX @ 36 SACHET Rp 176,400.00 Rp 6,350,400
43 BENANG BEDAH PREMILENE 3/0 DS 19 CUTTING 156.00 BOX @ 36 SACHET Rp 51,988.73 Rp 8,110,242
44 BENANG BEDAH PREMILENE 4/0 DS 19 (CUTTING) 36.00 BOX @ 36 SACHET Rp 51,988.73 Rp 1,871,594
45 BENANG BEDAH PREMILENE 5/0 HR 16 CUTTING 144.00 BOX @ 36 SACHET Rp 103,333.33 Rp 14,880,000
46 BENANG BEDAH PREMILENE 6/0 DS 12 CUTTING 127.00 BOX @ 36 SACHET Rp 57,185.66 Rp 7,262,579
47 BENANG BEDAH SAFIL 1 HRT 37S TAPPER 144.00 BOX @ 36 SACHET Rp 99,550.00 Rp 14,335,200
48 BENANG BEDAH SAFIL 3/0 CUTTING 36.00 BOX @ 36 SACHET Rp 99,506.00 Rp 3,582,216
49 BENANG BEDAH SAFIL 3/0 TAPPER 71.00 BOX @ 36 SACHET Rp 99,506.00 Rp 7,064,926
50 BENANG BEDAH SAFIL 4/0 HR 24 CUTTING 720.00 BOX @ 36 SACHET Rp 105,916.67 Rp 76,260,000
51 BENANG BEDAH SAFIL 5/0 HR 16 CUTTING 540.00 BOX @ 36 SACHET Rp 142,083.00 Rp 76,724,820
52 BENANG BEDAH SAFIL 8/0 VIOLET 60.00 BOX @ 36 SACHET Rp 176,400.00 Rp 10,584,000
53 BENANG BEDAH SILK BLACK 0 ROLL 10.00 ROLL 50 M Rp 2,032,800.00 Rp 20,328,000
54 BENANG BEDAH SILK BLACK 0 TAPPER 718.00 BOX @ 36 SACHET Rp 77,500.00 Rp 55,645,000
55 BENANG BEDAH SILK BLACK 1 HR 37 TAPPER 72.00 BOX @ 36 SACHET Rp 33,406.06 Rp 2,405,236
56 BENANG BEDAH SILK BLACK 1 ROLL 13.00 ROLL Rp 2,032,800.00 Rp 26,426,400
57 BENANG BEDAH SILK BLACK 2/0 HR 24 CUTTING 612.00 BOX @ 36 SACHET Rp 64,583.33 Rp 39,525,000
58 BENANG BEDAH SILK BLACK 2/0 HR 26 TAPPER 612.00 BOX @ 36 SACHET Rp 64,583.33 Rp 39,525,000
59 BENANG BEDAH SILK BLACK 2/0 ROLL 27.00 ROLL 50 M Rp 2,032,800.00 Rp 54,885,600
60 BENANG BEDAH SILK BLACK 3/0 DS 24 CUTTING 288.00 BOX @ 36 SACHET Rp 25,566.96 Rp 7,363,284
62 BENANG BEDAH SILK BLACK 4/0 HR 17 TAPPER 576.00 BOX @ 36 SACHET Rp 77,500.00 Rp 44,640,000
64 BENANG CAT GUT 0 SURGIROLL 2.00 ROLL Rp 2,032,800.00 Rp 4,065,600
65 BENANG CATGUT PLAIN 0 DS 24 MM 48.00 PCS Rp 39,466.00 Rp 1,894,368
66 BENANG COROLINE 8/0 TUPPER 72.00 PCS Rp 529,320.00 Rp 38,111,040
67 BENANG MONOCRYL UND 70 CM 3/0 PS-1 PRIME CUTTING 72.00 BOX/36 PCS Rp 117,843.06 Rp 8,484,700
68 BENANG OPTIME 1 TUPPER 144.00 BOX/36 PCS Rp 78,961.00 Rp 11,370,384
69 BENANG OPTIME 2/0 TUPPER 144.00 BOX/36 PCS Rp 67,680.80 Rp 9,746,035
70 BENANG PROLENE 3/0 26 MM REV CUTTING 60.00 BOX/12 PCS Rp 68,960.58 Rp 4,137,635
71 BENANG SOIE/SILK 3/0 TUPPER 144.00 BOX/36 PCS Rp 41,361.00 Rp 5,955,984
72 BENANG VICRYL PLUS SUTURE 2/0 TUPPER 36.00 BOX/36 PCS Rp 62,020.00 Rp 2,232,720
73 BENANG VICRYL PLUS VIO 1 TUPPER 72.00 BOX/36 PCS Rp 105,131.69 Rp 7,569,482
74 BISTURI/BLADE NO. 11 500.00 BOX @ 100 SAC Rp 3,000.00 Rp 1,500,000
75 BISTURI/BLADES NO. 12 1,400.00 BOX @ 100 SAC Rp 3,000.00 Rp 4,200,000
76 BISTURI/BLADES NO.15 300.00 BOX @ 100 SAC Rp 3,000.00 Rp 900,000
77 BISTURI/BLADES NO.18 1,000.00 BOX @ 100 SAC Rp 3,000.00 Rp 3,000,000
78 BISTURI/BLADES NO.20 700.00 BOX @ 100 SAC Rp 3,000.00 Rp 2,100,000
80 BISTURI/BLADES NO.22 600.00 BOX @ 100 SAC Rp 3,000.00 Rp 1,800,000
82 BLOOD SET (SANGOFIX) 2,145.00 BOX @ 100 PCS Rp 13,976.00 Rp 29,978,520
83 BLOOD SET PUMP 800.00 BOX @ 100 PCS Rp 42,702.00 Rp 34,161,600
84 BLUE TIP 30,000.00 BUNGKUS @ 1000 Rp 2,264.35 Rp 67,930,500
85 BONE WAX 48.00 BOX @ 12 SAC Rp 49,500.00 Rp 2,376,000
86 BOTOL PENYIMPAN SUSU 4,855.00 BOTOL 100 ML Rp 4,650.00 Rp 22,575,750
87 BOTOL THD 4,000.00 BOTOL 80 ML Rp 3,255.00 Rp 13,020,000
88 CAIRAN DESINFECTANT ORTHO-PHATALDEHYDE (CIDEZYM) 38.00 BOTOL 5 L Rp 782,339.00 Rp 29,728,882
89 CAIRAN ENZIMATIK (SIDEX OPA) 72.00 BOTOL 5 L Rp 925,277.00 Rp 66,619,944
90 CANNOFIX-PU 6 X 8 CM 200.00 PCS Rp 8,470.00 Rp 1,694,000
91 CERVICAL COLLAR L 5.00 PCS Rp 221,100.00 Rp 1,105,500
92 CERVICAL COLLAR M 8.00 PCS Rp 221,100.00 Rp 1,768,800
93 CERVICAL COLLAR S 8.00 PCS Rp 221,100.00 Rp 1,768,800
94 CHLORO ETHYL 112.00 BOTOL 100 ML Rp 99,998.00 Rp 11,199,776
95 CUTICELL CLASSIC 10 CM X 10 CM 100.00 PCS Rp 9,519.10 Rp 951,910
96 CUTICELL CLASSIC 5 CM X 5 CM 10.00 PCS Rp 4,465.50 Rp 44,655
97 CUTIMED GEL 15 GR 66.00 TUBE Rp 41,446.00 Rp 2,735,436
98 CUTIMED SILTEC 10 X 10 CM 16.00 PCS Rp 28,869.00 Rp 461,904
99 DESINFECTANT TABLET (PRESSEP) 7,900.00 BOTOL 50 TABLET Rp 3,720.52 Rp 29,392,108
100 DISCOFIC -3 WAY + 10 TUBING (PANJANG) 200.00 BOX @ 50 PCS Rp 35,376.00 Rp 7,075,200
101 DISCOFIC -3 WAY WITH STOPCOCK 700.00 BOX @ 50 PCS Rp 32,160.00 Rp 22,512,000
102 DOCTOR'S SURGEON CAP (TUTUP KELAPA) PRIA 2,800.00 BOX @ 100 PCS Rp 1,058.80 Rp 2,964,640
103 ELASTOMULL 10 CM X 4 M 90.00 PCS Rp 42,061.00 Rp 3,785,490
106 ELEKTRODY EKG 500.00 PCS Rp 50,144.08 Rp 25,072,040
107 ELETRODA DADA 2228 5,000.00 BAG @ 50 PCS Rp 4,221.10 Rp 21,105,500
108 ELETRODA DADA 2258-3 450.00 BAG @ 30 PCS Rp 15,293.83 Rp 6,882,225
109 ELETRODA DADA 2560 4,150.00 BAG @ 50 PCS Rp 7,566.04 Rp 31,399,066
110 ENDO TRACHEAL TUBE NO. 3,0 KINGKING 10.00 PCS Rp 38,226.30 Rp 382,263
111 ENDO TRACHEAL TUBE NO. 3,0 NONKINGKING 50.00 PCS Rp 433,521.00 Rp 21,676,050
114 ENDO TRACHEAL TUBE NO. 4,0 KINGKING 30.00 PCS Rp 433,521.00 Rp 13,005,630
122 ENDO TRACHEAL TUBE NO. 6 KINGKING 69.00 PCS Rp 52,940.00 Rp 3,652,860
123 ENDO TRACHEAL TUBE NO. 6 NONKINGKING 28.00 PCS Rp 215,050.00 Rp 6,021,400
132 EXTENTION TUBE 150 CM - 1,5 CM 400.00 PCS Rp 38,329.50 Rp 15,331,800
133 EXTENTION TUBE 75 CM - 2,5 CM 50.00 PCS Rp 13,535.50 Rp 676,775
134 FEEDING TUBE FR 5 - 40 CM 300.00 BOX @ 50 PCS Rp 8,841.00 Rp 2,652,300
135 FEEDING TUBE FR 5 100 CM 550.00 BOX @ 50 PCS Rp 8,841.00 Rp 4,862,550
136 FEEDING TUBE FR 3,5 35 CM 400.00 BOX @ 50 PCS Rp 8,841.00 Rp 3,536,400
139 FILM IV DRESS 6 X 7 P 250.00 PCS Rp 4,300.00 Rp 1,075,000
140 FILM IV DRESS 7 X 8 P 300.00 PCS Rp 5,800.00 Rp 1,740,000
141 FOLLEY CATHETER TWO WAY NO 10 70.00 BOX @ 10 PCS Rp 22,137.50 Rp 1,549,625
144 FOLLEY CATHETER TWO WAY NO 16 1,720.00 BOX @ 10 PCS Rp 8,000.00 Rp 13,760,000
145 FOLLEY CATHETER TWO WAY NO 18 5,170.00 BOX @ 10 PCS Rp 8,000.00 Rp 41,360,000
148 FOLLEY CATHETER TWO WAY NO 8 70.00 BOX @ 10 PCS Rp 7,173.00 Rp 502,110
149 FORMALIN CAIR 2.00 BOTOL 1000 ML Rp 48,070.00 Rp 96,140
150 GELAS METADON 14,550.00 CUP Rp 279.00 Rp 4,059,450
151 GUEDEL AIRWAY NO.3 50.00 PCS Rp 175,835.00 Rp 8,791,750
160 GYPSONA 3 31.00 ROLL 7,5 CM X 3,5 M Rp 25,941.30 Rp 804,180
161 GYPSONA 4 10.00 ROLL Rp 25,942.30 Rp 259,423
162 GYPSONA 6 15.00 ROLL Rp 25,943.30 Rp 389,150
163 H202 21.00 BOTOL 1000 ML Rp 28,980.00 Rp 608,580
164 HANDSCHOEN GYNECOLOGY 36.00 PCS Rp 21,176.00 Rp 762,336
165 HANDSCHOEN NON STERIL SZ. L 23,800.00 BOX @ 50 PASANG Rp 476.00 Rp 11,328,800
166 HANDSCHOEN NON STERIL SZ. M 98,900.00 BOX @ 50 PASANG Rp 238.00 Rp 23,538,200
167 HANDSCHOEN NON STERIL SZ. S 104,100.00 BOX @ 50 PASANG Rp 158.67 Rp 16,517,547
168 HANDSCHOEN NON STERIL SZ. XS 26,000.00 BOX @ 50 PASANG Rp 476.00 Rp 12,376,000
169 HANDSCHOEN STERIL NO 6 4,000.00 BOX @ 100 PASANG Rp 14,547.50 Rp 58,190,000
170 HANDSCHOEN STERIL NO 6,5 3,200.00 BOX @ 100 PASANG Rp 14,547.50 Rp 46,552,000
171 HANDSCHOEN STERIL NO 7 FREE POWDER 6,200.00 BOX @ 40 PASANG Rp 20,705.50 Rp 128,374,100
172 HANDSCHOEN STERIL NO 7,5 FREE POWDER 7,080.00 BOX @ 40 PASANG Rp 20,705.50 Rp 146,594,940
173 HANDSCHOEN STERIL NO 8 FREE POWDER 4,560.00 BOX @ 40 PASANG Rp 20,705.50 Rp 94,417,080
174 HELIZYME 1000 ML 50.00 BOTOL 1000 ML Rp 375,000.00 Rp 18,750,000
175 HEXAQUART PLUS 1 L 35.00 BOTOL 1000 ML Rp 350,000.00 Rp 12,250,000
176 HUDSON PROG SIZE 2 10.00 PCS Rp 1,594,325.00 Rp 15,943,250
177 HUDSON PROG SIZE 3 10.00 PCS Rp 1,594,325.00 Rp 15,943,250
178 HYPAVIX 15 CM X 5 M 366.00 ROLL Rp 160,173.00 Rp 58,623,318
181 ID-BRAND ANAK WANITA (UNGU) 400.00 BOX/100 PCS Rp 1,117.62 Rp 447,048
182 ID-BRAND ANAK/ANAK (MERAH) 5,900.00 BOX @ 100 PCS Rp 1,117.62 Rp 6,593,958
183 ID-BRAND ANAK/BAYI (KUNING) 5,700.00 BOX @ 100 PCS Rp 1,117.62 Rp 6,370,434
184 ID-BRAND ANAK/BAYI PRIA (BLUE) 6,300.00 BOX @ 100 PCS Rp 1,117.62 Rp 7,041,006
185 ID-BRAND ANAK/BAYI WANITA (PINK) 20,800.00 BOX @ 100 PCS Rp 1,117.62 Rp 23,246,496
186 ID-BRAND DEWASA (KUNING) 4,500.00 BOX @ 100 PCS Rp 1,117.62 Rp 5,029,290
187 ID-BRAND DEWASA (MERAH) 5,300.00 BOX @ 100 PCS Rp 1,117.62 Rp 5,923,386
188 ID-BRAND DEWASA PRIA (BLUE) 13,600.00 BOX @ 100 PCS Rp 1,117.62 Rp 15,199,632
189 ID-BRAND DEWASA WANITA (PINK) 30,700.00 BOX @ 100 PCS Rp 1,117.62 Rp 34,310,934
190 ID-BRAND DEWASA WANITA (UNGU) 600.00 BOX/100 PCS Rp 1,117.62 Rp 670,572
191 INFUS SET ANAK (MICRO) / PRIMELINE 790.00 BOX @ 100 PCS Rp 17,391.00 Rp 13,738,890
192 INFUS SET DEWASA (MACRO) / PRIMELINE 880.00 BOX @ 100 PCS Rp 17,670.00 Rp 15,549,600
193 INFUSET SAFETY (INTRAFIX) 1,000.00 BOX @ 100 PCS Rp 29,701.00 Rp 29,701,000
194 IV CATETER NO.14 33.00 BOX/50 PCS Rp 8,355.00 Rp 275,715
195 IV CATETER NO.16 SAFETY (INTROCAN) 298.00 BOX/50 PCS Rp 8,750.00 Rp 2,607,500
196 IV CATETER NO.18 1,850.00 BOX @ 50 PCS Rp 8,835.00 Rp 16,344,750
197 IV CATETER NO.18 INSYTE 300.00 BOX @ 50 PCS Rp 484.00 Rp 145,200
199 IV CATETER NO.20 SAFETY (INTROCAN) 300.00 BOX @ 50 PCS Rp 484.00 Rp 145,200
201 IV CATETER NO.22 SAFETY (INTROCAN) 300.00 BOX @ 50 PCS Rp 484.00 Rp 145,200
202 IV CATETER NO.24 250.00 BOX @ 50 PCS Rp 8,835.00 Rp 2,208,750
203 IV CATETER NO.24 SAFETY (INTROCAN) 2,250.00 BOX @ 50 PCS Rp 484.00 Rp 1,089,000
204 IV CATETER NO.26 G X 3 1/2 1,050.00 BOX/50 PCS Rp 37,620.00 Rp 39,501,000
205 IV PLUG 5,850.00 PCS Rp 11,385.00 Rp 66,602,250
206 JARUM EPIDURAL 18 G 115.00 BOX @ 25 PCS Rp 223,547.00 Rp 25,707,905
207 JARUM EPIDURAL SZ 100 , G22 X 100 ML 739.00 BOX @ 25 PCS Rp 256,000.00 Rp 189,184,000
208 JARUM EPIDURAL SZ 50 , G22 X 50 ML 550.00 BOX @ 25 PCS Rp 256,000.00 Rp 140,800,000
209 KAPAS PEMBALUT 1000 G 48.00 PACK 1000 G Rp 77,306.68 Rp 3,710,721
210 KAPAS PEMBALUT 500 G 224.00 PACK 500 G Rp 596,300.00 Rp 133,571,200
211 KASA GULUNG 36X80 DRC 699.00 GULUNG 36 X 80 CM Rp 130,000.00 Rp 90,870,000
212 KASA HIDROFIL 36 M X 80 CM 53.00 ROLL 36 M X 80 CM Rp 126,500.00 Rp 6,704,500
213 KASA KOMPRES 40X40 CM 4,800.00 BUNGKUS Rp 1,800.00 Rp 8,640,000
214 KASA PEMBALUT 4 X 15 CM DRC 50.00 BUNGKUS 4 X 15 CM Rp 3,800.00 Rp 190,000
215 KASA STERIL 16 X 16 CM 4,048.00 BOX/16 PAD Rp 9,867.00 Rp 39,941,616
216 KERTAS EKG 110 MM X 140 MM X 142 MM 22,436.00 BOX/142 PCS Rp 1,242.73 Rp 27,881,786
217 KERTAS EKG 120,212015,170,250 AND 250 8,750.00 BOX/250 PCS Rp 1,012.00 Rp 8,855,000
218 KERTAS EKG 152 MM X 90 MM 14,850.00 BOX/50 PCS Rp 2,530.00 Rp 37,570,500
219 KERTAS EKG 58 MM X 30 M X 17 MM 39.00 ROLL Rp 41,175.00 Rp 1,605,825
220 KERTAS EKG 63 X 30 451.00 ROLL Rp 44,275.00 Rp 19,968,025
221 KERTAS EKG TINDAKAN 61.00 ROLL Rp 59,425.00 Rp 3,624,925
222 KERTAS USG 234.00 GULUNG 110 X 80 M Rp 279,736.00 Rp 65,458,224
223 KY JELI / KLY 78.00 TUBE Rp 44,275.00 Rp 3,453,450
224 LAMINARIA 125.00 PCS Rp 116,468.00 Rp 14,558,500
225 LARYNGEAL MASK AIRWAYS (LMA) NO 5 4.00 PCS Rp 243,289.00 Rp 973,156
226 LARYNGEAL MASK AIRWAYS (LMA) NO.1 67.00 PCS Rp 243,289.00 Rp 16,300,363
227 LARYNGEAL MASK AIRWAYS (LMA) NO.1,5 15.00 PCS Rp 243,290.00 Rp 3,649,350
229 LARYNGEAL MASK AIRWAYS (LMA) NO.2,5 37.00 PCS Rp 243,289.00 Rp 9,001,693
232 LEUKOMED IV 6 X 8 CM 23/8X3/1/8 INC 50.00 BOX/50 LEMBAR Rp 2,314.94 Rp 115,747
233 LEUKOMED IV FILM 6,8 X 23/8/8 INC (2 3/8 X31/8) 400.00 BOX/50 LEMBAR Rp 3,300.00 Rp 1,320,000
234 LEUKOPLAST 2.50 X 4,5 CM 146.00 ROLL Rp 14,646.00 Rp 2,138,316
235 LEUKOPLAST 5.0 X 4,5 CM 150.00 ROLL Rp 29,293.00 Rp 4,393,950
236 LEUKOPLAST 7,5 X 4,5 CM 147.00 ROLL Rp 42,587.00 Rp 6,260,289
237 LEUKOPORE/TRANSPORE NO.2,5 CM X 9,1 M 79.00 BOX/12 ROLL Rp 194,766.00 Rp 15,386,514
238 LOGICATH CVC 3L 12F 20 CM 90.00 BOX @ 10 PCS Rp 772,445.00 Rp 69,520,050
239 LYOSTIP 3 X 5 CM 48.00 BOX @ 12 PCS Rp 62,618.00 Rp 3,005,664
240 LYOSTIP 5 X 8 CM 48.00 BOX @ 6 PCS Rp 92,460.00 Rp 4,438,080
241 LYSOL 1 L 955.00 BOTOL 1000 ML Rp 52,070.00 Rp 49,726,850
242 MASKER REBRETING ADULT 861.00 PCS Rp 45,881.00 Rp 39,503,541
243 MASKER REBRETING PEDIATRIC 50.00 PCS Rp 44,116.00 Rp 2,205,800
244 MASKER KARET (TIE ON) 4,000.00 BOX @ 50 PCS Rp 540.70 Rp 2,162,800
245 MASKER N-95 3,620.00 BOX @ 20 PCS Rp 20,925.00 Rp 75,748,500
246 MASKER NON REBRETING ADULT 1,127.00 PCS Rp 45,881.00 Rp 51,707,887
247 MASKER NON REBRETING PEDIATRIC 529.00 PCS Rp 56,469.00 Rp 29,872,101
248 MASKER OXYGEN ADULT 117.00 BOX/50 PCS Rp 33,000.00 Rp 3,861,000
249 MASKER OXYGEN PEDIATRIC 346.00 BOX/50 PCS Rp 33,000.00 Rp 11,418,000
250 MASKER TALI (EARLOOP) 191,050.00 BOX @ 50 PCS Rp 531.00 Rp 101,447,550
251 MICROPORE 1" X 10 YDS- DISPENSER 2,5 CM X 9,1 M 77.00 BOX/12 ROLL Rp 277,200.00 Rp 21,344,400
252 MICROPORE 1/2" X 10 YDS- DISPENSER 402.00 BOX/12 ROLL Rp 277,200.00 Rp 111,434,400
253 MICROPORE 2" X 10 YDS- DISPENSER 48.00 BOX/12 ROLL Rp 277,200.00 Rp 13,305,600
254 MINOSCRUB 4% 218.00 BOTOL 1000 ML Rp 299,805.00 Rp 65,357,490
255 MINOSCUB 2% 59.00 BTL Rp 164,390.00 Rp 9,699,010
256 NALD INSULIN 13,900.00 BOX @ 100 PCS Rp 3,200.00 Rp 44,480,000
257 NEBULIZER MASH ADULT 216.00 PCS Rp 37,646.00 Rp 8,131,536
258 NEBULIZER MASH CHILD 145.00 PCS Rp 39,999.00 Rp 5,799,855
259 NEEDLE 21G X1 1/2" 2,300.00 BOX/100 PCS Rp 3,200.45 Rp 7,361,035
260 NEEDLE 26G X 1 1/2" 1,550.00 BOX/100 PCS Rp 3,200.45 Rp 4,960,698
261 NURSE CAP (TUTUP KEPALA WANITA) 2,900.00 BOX @ 100 PCS Rp 735.28 Rp 2,132,312
262 OXIGEN (O2) SUPPLAY ANAK/NASAL CANUL A 1,150.00 PCS Rp 20,872.50 Rp 24,003,375
263 OXIGEN (O2) SUPPLAY DEWASA/NASAL CANUL D 1,489.00 PCS Rp 20,872.50 Rp 31,079,153
264 OXIGEN (O2) SUPPLAY PREMATURE/NASAL CANUL BY 464.00 PCS Rp 10,044.24 Rp 4,660,527
265 PARAFILM 50.00 ROLL 10 M Rp 1,900,000.00 Rp 95,000,000
266 PEMBALUT ELASTIS 10 X 4.55 CM 39.00 GULUNG 10 X 4.55 CM Rp 33,000.00 Rp 1,287,000
267 PEMBALUT ELASTIS 15X 4.55 CM 57.00 GULUNG 15X 4.55 CM Rp 43,856.00 Rp 2,499,792
268 PEMBALUT ELASTIS 7,5 X 4.55 CM 406.00 GULUNG 7,5 X 4.55 CM Rp 27,830.00 Rp 11,298,980
269 PEMBALUT PASCA MELAHIRKAN 22,164.00 PACK @ 12 PCS Rp 2,205.83 Rp 48,890,090
270 PERFUSOR TUBING 150 CM 496.00 PCS Rp 35,000.00 Rp 17,360,000
271 PERIFIX FILTER SET NO. 18 G X 3 1/4 24.00 PCS Rp 70,000.00 Rp 1,680,000
272 PISAU CUKUR DISPOSABLE 2,154.00 PCS Rp 5,883.00 Rp 12,671,982
273 PISAU CUKUR OPERASI 1,450.00 BOX @ 50 PCS Rp 74,000.00 Rp 107,300,000
274 PLESTERIN 52,800.00 BOX/200 PCS Rp 347.87 Rp 18,367,536
275 POPOK BAYI SZ. M 1,071.00 PCS Rp 1,002.00 Rp 1,073,142
276 POPOK BAYI SZ. S 1,294.00 BOX/PCS Rp 1,002.00 Rp 1,296,588
277 POPOK DEWASA SZ. L 1,000.00 BOX/10 PCS Rp 6,409.00 Rp 6,409,000
278 POPOK DEWASA SZ. M 1,080.00 BOX/10 PCS Rp 6,409.00 Rp 6,921,720
279 POPOK DEWASA SZ. XL 668.00 BOX/8 PCS Rp 12,819.00 Rp 8,563,092
280 POSTOFIX-PU 10 X 10 CM 196.00 PCS Rp 15,950.00 Rp 3,126,200
281 POSTOFIX-PU 10 X 15 CM 140.00 PCS Rp 20,350.00 Rp 2,849,000
282 POSTOFIX-PU 10 X 25CM 80.00 PCS Rp 34,100.00 Rp 2,728,000
283 POT SPUTUM 1,220.00 POT Rp 3,162.50 Rp 3,858,250
284 POT URINE 100 ML 2,110.00 POT Rp 2,087.25 Rp 4,404,098
285 POT URINE 50 ML 2,000.00 POT Rp 1,000.00 Rp 2,000,000
286 POVIDON IODONE 10% 500 ML 126.00 BTL Rp 95,264.00 Rp 12,003,264
287 POVIDON IODONE 10%1000 ML 588.00 BOTOL 500 ML Rp 95,264.00 Rp 56,015,232
288 PREMILENE MESH 15 X 15 CM 7.00 BOX/5 PCS Rp 224,031.60 Rp 1,568,221
289 PREMILENE MESH 5 X 10 CM 15.00 BOX/5 PCS Rp 382,536.00 Rp 5,738,040
290 PREMILENE MESH 7,5 X 15 CM 7.00 BOX/5 PCS Rp 92,772.56 Rp 649,408
291 SAFETY BOX SIZE.12,5 L 876.00 PCS Rp 49,335.00 Rp 43,217,460
292 SAFETY BOX SIZE.2.5 L 82.00 PCS Rp 19,999.00 Rp 1,639,918
293 SAFETY BOX SIZE.5 L 552.00 PCS Rp 32,940.00 Rp 18,182,880
294 SEPTALKAN 189.00 BTL Rp 314,050.00 Rp 59,355,450
295 SIRUP METADON 242.00 BOTOL 600 ML Rp 14,880.00 Rp 3,600,960
296 SOFFBAND 3 13.00BOX/48 ROLL (7.5 CM X 2.75 M) Rp 14,694.90 Rp 191,034
297 SOFFBAND 4 7.00 BOX/48 ROLL (10 CM X 2.75 M) Rp 18,538.30 Rp 129,768
298 SOFFBAND 6 25.00BOX/48 ROLL (7.5 CM X 2.75 M) Rp 13,325.40 Rp 333,135
299 SOFRATULLE 10 X 10 CM SALAH 930.00 BOX @ 10 LEMBAR Rp 109,030.00 Rp 101,397,900
300 SOFT CLOTH DRESSING WITH PAD 6 X 8 M 700.00 BOX/50 PCS Rp 3,921.50 Rp 2,745,050
301 SOFTA-MAN 1000 ML 271.00 BOTOL 1000 ML Rp 153,000.00 Rp 41,463,000
302 SOFTA-MAN 500 ML 200.00 BOTOL 500 ML Rp 113,850.00 Rp 22,770,000
303 SPALK TANGAN 74.00 SET Rp 158,820.00 Rp 11,752,680
304 SPINAL NEEDLE NO. 23 (SPINOCAN 23 G) 238.00 BOX @ 25 PCS Rp 43,010.00 Rp 10,236,380
308 SPUIT 1 CC 3,700.00 BOX @ 100 PCS Rp 1,540.00 Rp 5,698,000
310 SPUIT 20 CC LOBANG SAMPING 1,100.00 BOX @ 100 PCS Rp 3,080.00 Rp 3,388,000
311 SPUIT 20 CC LOBANG TENGAH 1,450.00 BOX @ 100 PCS Rp 6,160.00 Rp 8,932,000
312 SPUIT 3 CC 17,600.00 BOX @ 100 PCS Rp 957.00 Rp 16,843,200
314 SPUIT 50 CC IRRIGATION 4,500.00 BOX @ 100 PCS Rp 28,000.00 Rp 126,000,000
315 SPUIT 50 CC LOBANG SAMPING 1,876.00 BOX @ 100 PCS Rp 15,000.00 Rp 28,140,000
316 SPUIT 50 CC LOBANG TENGAH 2,300.00 BOX @ 100 PCS Rp 15,000.00 Rp 34,500,000
317 STABIMED 1000 ML 73.00 BOTOL 1000 ML Rp 682,000.00 Rp 49,786,000
318 STOMACH TUBE NO. 18 (SAFEED) 125 CM 625.00 PCS Rp 25,426.00 Rp 15,891,250
319 STOMACH TUBE NO.12 (SAFEED) 125 CM 435.00 PCS Rp 25,426.00 Rp 11,060,310
322 SUCTION CATHETER NO 10 81.00 PCS Rp 8,981.00 Rp 727,461
323 SUCTION CATHETER NO 12 152.00 PCS Rp 8,981.00 Rp 1,365,112
324 SUCTION CATHETER NO 16 202.00 PCS Rp 8,981.00 Rp 1,814,162
325 SUCTION CATHETER NO 6 20.00 PCS Rp 8,981.00 Rp 179,620
326 SUCTION CATHETER NO. 14 55.00 PCS Rp 8,981.00 Rp 493,955
327 SUCTION CATHETER NO. 8 325.00 PCS Rp 8,981.00 Rp 2,918,825
328 SUFRATULLE (BIOPLASENTON) 480.00 BOX/10 PCS Rp 22,597.40 Rp 10,846,752
329 SURFLO WINGED INFUSION SET NO. 23 G X 3/4" 2,700.00 PCS Rp 13,176.00 Rp 35,575,200
330 SURFLO WINGED INFUSION SET NO. 25 G X 3/4" 3,550.00 PCS Rp 13,176.00 Rp 46,774,800
331 SURGICAL (JARUM Δ) NO. 10 528.00 BOX/12 PCS Rp 4,216.67 Rp 2,226,400
334 SURGICAL (JARUM Δ) NO. 13 156.00 BOX/12 PCS Rp 4,216.67 Rp 657,800
338 SURGICAL (JARUM○) NO. 11 564.00 BOX/12 PCS Rp 4,216.67 Rp 2,378,200
339 SURGICAL (JARUM○) NO. 12 12.00 BOX/12 PCS Rp 4,216.67 Rp 50,600
345 SURGICAL NEEDLES (JARUM ○) 40 1/2 CIRCLE 12.00 BOX/12 PCS Rp 4,216.67 Rp 50,600
347 SURGICAL NEEDLES (JARUM ○) 60 1/2 CIRCLE 288.00 BOX/12 PCS Rp 4,216.67 Rp 1,214,400
350 SURGICAL NEEDLES (JARUM Δ) 55 1/2 CIRCLE 228.00 BOX/12 PCS Rp 4,216.67 Rp 961,400
354 TEGADERM FOR GENERAL IV 1622 (5 CM X 5.7 CM) 100.00 BOX/100 PCS Rp 5,819.00 Rp 581,900
355 THORACIC CATHETER WITH TROCARD NO.24 140.00 PCS Rp 215,878.00 Rp 30,222,920
356 TOUNGE SPATEL KAYU 300.00 BOX @ 100 PCS Rp 176.46 Rp 52,938
357 T-PIECE 35.00 PCS Rp 44,275.00 Rp 1,549,625
358 TRANCHEOSTOMY TUBE WITH CUFFED NO.7 5.00 PCS Rp 373,965.00 Rp 1,869,825
359 TRANCHEOSTOMY TUBE WITH CUFFED NO.7.5 3.00 PCS Rp 373,965.00 Rp 1,121,895
360 TRANSOFIX 400.00 BOX @ 100 PCS Rp 3,400.00 Rp 1,360,000
361 TRANSPORE 1527-0 (1/2X1,25)/LECOPOR 318.00 ROLL Rp 40,000.00 Rp 12,720,000
362 ULTRASOUND GEL 66.00 BOTOL 82 G Rp 34,528.00 Rp 2,278,848
363 UMBILICAL SWAB 16 X 16 CM 208.00 BOX/16 SACHET Rp 480.70 Rp 99,986
364 UMBILICARD CORD CLAMP 13,500.00 BOX @ 50 PCS Rp 1,000.00 Rp 13,500,000
365 UNDER PAD 3,224.00 BOX @ 10 PCS Rp 4,583.40 Rp 14,776,882
366 UREOFIX 500 ML 60.00 BOX @ 10 PCS Rp 264,000.00 Rp 15,840,000
367 URINAL 40.00 PCS Rp 5,000.00 Rp 200,000
368 URINE BAG STERIL 2000CC 6,370.00 BOX @ 10 PCS Rp 3,810.00 Rp 24,269,700
369 VASELINE 3.00 BOTOL 3 KG Rp 100,750.00 Rp 302,250
370 WASH GLOVES4 SHEETS NON PARFUM 132.00 PACK @ 12SHEETS Rp 2,058.77 Rp 271,758
371 WASH GLOVES4 SHEETS NON PARFUM SZ.15 X 22 3,140.00 PACK @ 18 SHEETS Rp 1,013.00 Rp 3,180,820
372 WINGS NEEDLE 23 G X 3/4" 19.00 BOX @ 50 Rp 13,176.24 Rp 250,349
373 WINGS NEEDLE 27 G X 3/4" 119.00 BOX @ 50 Rp 13,176.24 Rp 1,567,973
374 WOUND GEL 30 ML 20.00 TUBE 30 ML Rp 203,500.00 Rp 4,070,000
375 WOUND GEL 50 G 9.00 TUBE 50 G Rp 286,000.00 Rp 2,574,000
II BHP SPESIALISTIK 2016 Rp 210,587,050

BHP SPESIALISTIK 2016
1 CARBACHLOL INTRAOCULAR SOLUTION 280.00 ML Rp 84,165.00 Rp 23,566,200
2 CRESCENT KNIFE, SIZE 2.2 MM 156.00 PCS Rp 246,154.00 Rp 38,400,024
3 DOP MATA BENING 150.00 PCS Rp 11,538.00 Rp 1,730,700
4 HYDROXYPROPYL METHYLCELLULOSE(HPMC) IP 2% (APAVIS) 211.00 3 ML Rp 138,462.00 Rp 29,215,482
5 KERATOME KNIFE SIZE 2.75(SLIT ANGLED SAFETY KNIFE) 150.00 PCS Rp 246,154.00 Rp 36,923,100
6 MICRO CAUTER/CAUTERY 1000 FINE TIP 20.00 PCS Rp 200,000.00 Rp 4,000,000
7 OPTIKA INTRAOCULAR (IOL) LENS NO 22,5 189.00 PCS Rp 153,846.00 Rp 29,076,894
8 STAB KNIFE, SIZE 15 150.00 PCS Rp 200,000.00 Rp 30,000,000
9 TRIPAN BLUE OPHTHALMIC SOLUTION 0,6 MG/ML 210.00 ML Rp 84,165.00 Rp 17,674,650
BHP SPESIALISTIK 2017 Rp 5,404,990

1 TRIPAN BLUE OPHTHALMIC SOLUTION 0,6 MG/ML - - - - - 6.00 ML Rp 84,165.00 Rp 504,990
2 SURGICAL SKIN MARKER - - - - - 50.00 PCS Rp 98,000.00 Rp 4,900,000
BHP MEDIS 2017

Rp 919,848,674
1 ALKACIDE 3.00 BTL Rp 2,702,700.00 Rp 8,108,100 PT. PARIT PADANG GLOBAL BLUD
2 ALKACIDE 0052/IFRS/RSPB/IV/2017 30-Mar-2017 5.00 BTL Rp 2,702,700.00 Rp 13,513,500 PT. PARIT PADANG GLOBAL BLUD
3 ALKACIDE 343/SP/V/2017 4-May-2017 20.00 BTL Rp 2,702,700.00 Rp 54,054,000 PT.PARIT PADANG GLOBAL APBD
4 ALKAZYME 10.00 SACHET Rp 800,978.20 Rp 8,009,782 PT.PARIT PADANG GLOBAL BLUD
5 ALKAZYME 343/SP/V/2017 4-May-2017 20.00 SACHET Rp 801,000.00 Rp 16,020,000 PT.PARIT PADANG GLOBAL APBD
6 ALKOHOL SWAP 027/RSUD-PB/VI/2017/2961 21-Jun-2017 - - 50,000.00 BOX @ 100 SAC Rp 196.80 Rp 9,840,000 PT.ENSEVAL PUTERA APBD
7 ASKINA FOAM 10 X 10 CM 340/SP/V/2017 4-May-2017 300.00 BOX/10 PCS Rp 67,500.40 Rp 20,250,120 PT.DOS NI ROHA APBD
8 BENANG BEDAH CAT GUT PLAIN 3/0 CUTTING 0038/IFRS/RSPB/IV/2017 6-May-2017 180.00 BOX @ 12 SAC Rp 57,750.00 Rp 10,395,000 PT.DANVI MEDILAB PERKASA
9 BENANG COROLENE 3/0 TUPPER 343/SP/V/2017 4-May-2017 200.00 BOX/36 PCS Rp 106,410.00 Rp 21,282,000 PT.PARIT PADANG GLOBAL APBD
10 BENANG COROLENE 5/0TUPPER 343/SP/V/2017 4-May-2017 240.00 BOX/36 PCS Rp 167,699.00 Rp 40,247,760 PT.PARIT PADANG GLOBAL APBD
11 BENANG COROLINE 2/0 TUPER 0003/ifrs/rspb/II/2017 6-Jan-2017 - - 6.00 PCS Rp 97,609.54 Rp 585,657 PT.MILENIUM PHARMACON INTERNASIONAL BLUD
12 BENANG COROLINE 2/0 TUPER - - - - 36.00 PCS Rp 90,240.09 Rp 3,248,643 PT. PARIT PADANG GLOBAL BLUD
13 BENANG COROLINE 4/0 TUPPER 0003/IFRS/RSPB/II/2017 4-Jan-2017 35.00 BOX @ 36 SAC Rp 116,160.00 Rp 4,065,600 PT.MILENIUM PHARMACON INTERNASIONAL BLUD
14 BENANG COROLINE 4/0 TUPPER 0036/IFRS/RSPB/IV/2017 5-Apr-2018 14.00 Rp 116,160.00 Rp 1,626,240 PT.PARIT PADANG GLOBAL BLUD
15 BENANG FILAPEAU 4/0 CUTTING 343/SP/V/2017 4-May-2017 300.00 BOX/36 PCS Rp 42,113.00 Rp 12,633,900 PT.PARIT PADANG GLOBAL APBD
16 BENANG OPTIME 1 TUPPER 343/SP/V/2017 4-May-2017 250.00 BOX/36 PCS Rp 74,073.00 Rp 18,518,250 PT.PARIT PADANG GLOBAL APBD
17 BENANG OPTIME 1 TUPPER 343/SP/V/2017 4-May-2017 600.00 BOX/36 PCS Rp 78,961.00 Rp 47,376,600 PT.PARIT PADANG GLOBAL APBD
18 BENANG OPTIME 2/0 TUPPER 343/SP/V/2017 4-May-2017 200.00 BOX/36 PCS Rp 67,681.00 Rp 13,536,200 PT.PARIT PADANG GLOBAL APBD
19 BENANG OPTIME 3/0 CUTTING 343/SP/V/2017 4-May-2017 150.00 BOX/36 PCS Rp 12,100.00 Rp 1,815,000 PT.PARIT PADANG GLOBAL
20 BENANG SILKAM 4/0 CUTTING SOIE/SILK 0003/IFRS/RSPB/II/2017 4-Jan-2017 144.00 BOX/36 PCS Rp 48,400.00 Rp 6,969,600 PT.MILLENNIUM PHARMACON INTERNATIONAL BLUD
21 BISTURI/BLADE NO. 11 320/SPK-PM/V/2017 29-May-2017 1,500.00 BOX @ 100 SAC Rp 3,000.00 Rp 4,500,000 PT.PARIT PADANG GLOBAL APBD
22 BISTURI/BLADES NO.15 0038/IFRS/RSPB/IV/2017 6-May-2017 300.00 BOX @ 100 SAC Rp 5,115.00 Rp 1,534,500 PT.DANVI MEDILAB PERKASA
23 BISTURI/BLADES NO.15 320/SPK-PM/V/2017 29-May-2017 1,500.00 BOX @ 100 SAC Rp 3,000.00 Rp 4,500,000 PT.PARIT PADANG GLOBAL APBD
24 BLOOD SET (SANGOFIX) 0064/IFRS/RSPB/V/2017 30-May-2017 24-Aug-2017 250.00 BOX @ 100 PCS Rp 13,970.00 Rp 3,492,500 PT.MENSA BINA SUKSES BLUD
25 BONE WAX 340/SP/V/2017 4-May-2017 1,007.00 BOX @ 12 SAC Rp 51,800.00 Rp 52,162,600 PT.DOS NI ROHA APBD
26 CANNOFIX-PU 6 X 8 CM 400.00 PCS Rp 6,849.69 Rp 2,739,876 PT. PARIT PADANG GLOBAL BLUD
27 CANNOFIX-PU 6 X 8 CM 343/SP/V/2017 4-May-2017 250.00 PCS Rp 6,850.00 Rp 1,712,500 PT.PARIT PADANG GLOBAL APBD
28 CATHEJELL 12,5 G 027/RSUD-PB/VI/2017/2961 21-Jun-2017 800.00 TUBE Rp 41,600.00 Rp 33,280,000 PT.ENSEVAL PUTERA APBD
29 CLOSE SUCTION 20.00 PCS Rp 341,555.50 Rp 6,831,110 PT.SURGIKA ALKES BLUD
30 CPAC DELIVERY SYSTEM SIRCUIT 359/KPA-SPK/VI/2017 7-Jun-2017 10-Oct-2017 10.00 PCS Rp 3,437,500.00 Rp 34,375,000 PT.DANVI MEDILAB PERKASA BLUD
31 CUTICELL CLASSIC 10 CM X 10 CM 319/SPK-PM/V/2017 16-May-2017 00657 16-Aug-2017 500.00 PCS Rp 5,198.00 Rp 2,599,000 PTANUGRAH ARGON MEDICA APBD
32 DARYANT-TULLE STERILE 0059/IFRS/RSPB/IV/2017 18-Apr-2017 24-Aug-2017 250.00 BOX/10 PCS Rp 16,200.00 Rp 4,050,000 PT.KIMIA FARMA BLUD
33 DISCOFIC -3 WAY + 10 TUBING (PANJANG) 365/KPA-SPK/VI/2017 8-Jun-2017 10-Oct-2017 250.00 BOX @ 50 PCS Rp 27,225.00 Rp 6,806,250 PT.MILLENNIUM PHARMACON INTERNATIONAL BLUD
34 EXTENTION TUBE 150 CM - 1,5 CM 359/KPA-SPK/VI/2017 7-Jun-2017 10-Oct-2017 150.00 PCS Rp 48,500.00 Rp 7,275,000 PT.DANVI MEDILAB PERKASA BLUD
35 FOLLY CHATTER NO.14 319/SPK-PM/V/2017 16-May-2017 00657 16-Aug-2017 285.00 BOX/10 PCS Rp 12,100.00 Rp 3,448,500 PTANUGRAH ARGON MEDICA APBD
36 FOLLY CHATTER NO.14 319/SPK-PM/V/2017 16-May-2017 657 15.00 BOX/10 PCS Rp 12,100.00 Rp 181,500 PTANUGRAH ARGON MEDICA APBD
37 GUEDEL AIRWAY NO.3 359/KPA-SPK/VI/2017 7-Jun-2017 10-Oct-2017 50.00 PCS Rp 22,500.00 Rp 1,125,000 PT.DANVI MEDILAB PERKASA BLUD
38 GUEDEL AIRWAY NO.3 365/KPA-SPK/VI/2017 8-Jun-2017 10-Oct-2017 100.00 PCS Rp 14,200.00 Rp 1,420,000 PT.MILLENNIUM PHARMACON INTERNATIONAL BLUD
39 GUEDEL AIRWAY NO.4 359/KPA-SPK/VI/2017 7-Jun-2017 10-Oct-2017 20.00 PCS Rp 22,500.00 Rp 450,000 PT.DANVI MEDILAB PERKASA BLUD
40 GUEDEL AIRWAY NO.2 365/KPA-SPK/VI/2017 8-Jun-2017 10-Oct-2017 100.00 PCS Rp 14,200.00 Rp 1,420,000 PT.MILLENNIUM PHARMACON INTERNATIONAL BLUD
41 HANDRUB 5 L 027/RSUD-PB/VI/2017/2961 21-Jun-2017 - - 120.00 5L Rp 580,000.00 Rp 69,600,000 PT.ENSEVAL PUTERA APBD
42 HANDRUB 500 ML 027/RSUD-PB/VI/2017/2961 21-Jun-2017 - - 200.00 BTL 500 ML Rp 60,800.00 Rp 12,160,000 PT.ENSEVAL PUTERA APBD
43 HANDSCHOEN NON STERIL SZ. M - - - - 1,600.00 BOX @ 50 PASANG Rp 627.00 Rp 1,003,200 PT.ANUGRAH ARGON MEDICA APBD
44 HANDSCHOEN NON STERIL SZ. M 48,400.00 BOX @ 50 PASANG Rp 627.00 Rp 30,346,800 PT.ANUGRAH ARGON MEDICA APBD
45 HANDSCHOEN NON STERIL SZ. S - - - - 12,800.00 BOX @ 50 PASANG Rp 627.00 Rp 8,025,600 PT.ANUGRAH ARGON MEDICA APBD
46 HANSCOON STERIL GLOVES 6 365/KPA-SPK/VI/2017 8-Jun-2017 10-Oct-2017 500.00 BOX/50 PCS Rp 7,793.50 Rp 3,896,750 PT.MILLENNIUM PHARMACON INTERNATIONAL BLUD
47 HANSCOON STERIL GLOVES 6,5 0078/IFRS/RSPB/VI/2017 21-Jun-2017 24-Aug-2017 250.00 BOX/50 PCS Rp 7,781.50 Rp 1,945,375 PT.PARIT PADANG BLUD
48 HANSCOON STERIL GLOVES 6,5 365/KPA-SPK/VI/2017 8-Jun-2017 10-Oct-2017 50.00 BOX/50 PCS Rp 7,793.50 Rp 389,675 PT.MILLENNIUM PHARMACON INTERNATIONAL BLUD
49 HANSCRUB 5 L 027/RSUD-PB/VI/2017/2961 21-Jun-2017 - - 120.00 5L Rp 640,800.00 Rp 76,896,000 PT.ENSEVAL PUTERA APBD
50 INFUSET MAKRO (TROGE) 365/KPA-SPK/VI/2017 8-Jun-2017 10-Oct-2017 1,900.00 PCS Rp 5,445.00 Rp 10,345,500 PT.MILLENNIUM PHARMACON INTERNATIONAL BLUD
51 INFUSET MAKRO (TROGE) 343/SP/V/2017 4-May-2017 2,000.00 PCS Rp 5,445.00 Rp 10,890,000 PT.PARIT PADANG GLOBAL APBD
52 INFUSET MAKRO (TROGE) 0066/IFRS/RSPB/52017 10-May-2017 24-Aug-2017 1,000.00 PCS Rp 5,445.00 Rp 5,445,000 PT.PARIT PADANG GLOBAL BLUD
53 KASA PEMBALUT 4 X 15 CM DRC 027/RSUD/PB/V/2017/2929 20-Jun-2017 01021 23-Nov-2017 2,000.00 BUNGKUS 4 X 15 CM Rp 3,800.00 Rp 7,600,000 PT.RAJAWALI APBD
54 KONDOM 24.00 PCS Rp 25,000.00 Rp 600,000
55 LOGICATH CVC 3L 12F 20 CM 9.00 BOX @ 10 PCS Rp 772,445.00 Rp 6,952,005
56 MASKER KARET (TIE ON) 027/RSUD-PB/VI/2017/2961 21-Jun-2017 - - 10,000.00 BOX @ 50 PCS Rp 438.90 Rp 4,389,000 PT.ENSEVAL PUTERA APBD
57 MASKER KARET (TIE ON) 503/SP/V/2017 4-May-2017 01022 23-Nov-2017 4,000.00 BOX @ 50 PCS Rp 550.00 Rp 2,200,000 PT.ALEXA MEDIXA APBD
58 MASKER TALI (EARLOOP) 027/RSUD-PB/VI/2017/2961 21-Jun-2017 - - 2,000.00 BOX @ 50 PCS Rp 438.90 Rp 877,800 PT.ENSEVAL PUTERA APBD
59 NASAL TUBING 100 MM 0066/ifrs/rspb/vi/2017 20-Jun-2017 24-Aug-2017 5.00 PCS Rp 682,000.00 Rp 3,410,000 PT.MISTI NIAGA MANDIRI BLUD
60 NASAL TUBING 50 MM 0066/ifrs/rspb/vi/2017 20-Jun-2017 24-Aug-2017 2.00 PCS Rp 682,000.00 Rp 1,364,000 PT.MISTI NIAGA MANDIRI BLUD
61 NEBULIZER MASH ADULT 337/SPK-PM/V/2017 12-May-2017 - - 500.00 PCS Rp 28,300.00 Rp 14,149,999 PT.ANUGRAH ARGON MEDIKA APBD
62 NEBULIZER MASH CHILD 337/SPK-PM/V/2017 12-May-2017 110.00 PCS Rp 28,300.00 Rp 3,113,000 PT.ANUGRAH ARGON MEDIKA APBD
63 OXIGEN (O2) SUPPLAY ANAK/NASAL CANUL A 337/SPK-PM/V/2017 12-May-2017 - - 500.00 PCS Rp 10,000.00 Rp 5,000,000 PT.ANUGRAH ARGON MEDIKA APBD
64 OXIGEN (O2) SUPPLAY DEWASA/NASAL CANUL D 337/SPK-PM/V/2017 12-May-2017 500.00 PCS Rp 10,000.00 Rp 5,000,000 PT.ANUGRAH ARGON MEDIKA APBD
65 PEMBALUT ELASTIS 10 X 4.55 CM 319/SPK-PM/V/2017 16-May-2017 00657 16-Aug-2017 200.00 GULUNG 10 X 4.55 CM Rp 21,406.00 Rp 4,281,200 PTANUGRAH ARGON MEDICA APBD
66 PEMBALUT ELASTIS 15X 4.55 CM 319/SPK-PM/V/2017 16-May-2017 00657 16-Aug-2017 600.00 GULUNG 15X 4.55 CM Rp 29,189.00 Rp 17,513,400 PTANUGRAH ARGON MEDICA APBD
67 PEMBALUT ELASTIS 7,5 X 4.55 CM 319/SPK-PM/V/2017 16-May-2017 00657 16-Aug-2017 200.00 GULUNG 7,5 X 4.55 CM Rp 17,515.00 Rp 3,503,000 PTANUGRAH ARGON MEDICA APBD
68 POSTOFIX-PU 10 X 10 CM - - - - 300.00 PCS Rp 30,284.87 Rp 9,085,461 PT. PARIT PADANG GLOBAL BLUD
69 POSTOFIX-PU 10 X 15 CM - - - - 350.00 PCS Rp 8,051.59 Rp 2,818,057 PT. PARIT PADANG GLOBAL BLUD
70 POSTOFIX-PU 10 X 25CM 027/RSUD-PB/V/2017/2012 31-May-2017 300.00 PCS Rp 29,379.41 Rp 8,813,823 PT.PARIT PADANG GLOBAL APBD
71 POSTOFIX-PU 10 X 25CM 400.00 PCS Rp 29,379.41 Rp 11,751,764
72 SAFETY BOX SIZE.12,5 L 200.00 PCS Rp 32,861.00 Rp 6,572,200 PT.MEDIBEST INDONESIA APBD
73 SPINAL NEEDLE NO. 25 (SPINOCAN 25 G) 320/SPK-PM/V/2017 29-May-2017 1,049.00 BOX @ 25 PCS Rp 32,000.00 Rp 33,568,000 PT.PARIT PADANG GLOBAL APBD
74 SPINAL NEEDLE NO. 26 (SPINOCAN 26 G) 320/SPK-PM/V/2017 29-May-2017 1,000.00 BOX @ 25 PCS Rp 32,000.00 Rp 32,000,000 PT.PARIT PADANG GLOBAL APBD
75 SPUIT 1 CC 0089/IFRS/RSPB/VI/2017 5-Jun-2017 28-Nov-2017 1,000.00 BOX @ 100 PCS Rp 1,613.99 Rp 1,613,990 PT. ANUGRAH PAHMINDO LESTARI BLUD
79 STOMACH TUBE NO.12 (SAFEED) 125 CM 341/SP/V/2017 4-May-2017 00704 6-Sep-2017 100.00 PCS Rp 15,373.00 Rp 1,537,300 PT.MENSA BINA SUKSES APBD
80 SUCTION CATHETER NO. 14 50.00 PCS Rp 6,638.50 Rp 331,925 PT.TIRTA MEDICAL INDONESIA APBD
81 BENANG COROLINE 0 CUTTING 6.00 PCS Rp 82,280 Rp 493,680 PT.MILLENNIUM PHARMACON INTERNATIONAL BLUD
Pekanbaru, 08 Maret 2017

Penanggung jawab,
PENGGUNA BARANG PENGURUS BARANG
dr. SYLVANA ESTHERLITA, M.Kes AKMAL BUDIARSA, AMF

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
CONTOH BUKU BARANG PAKAI HABIS
PER TANGGAL 1 JANUARI 2017 S.D. 30 JUNI 2017
OPD : RSUD PETALA BUMI

PROVINSI : Riau
PENERIMAAN PENGELUARAN
NO JUMLAH JUMLAH SERAH TERIMA
TANGGAL DITERIMA NAMA / URAIAN BARANG MERK / UKURAN TAHUN KETERANGAN
UNIT HARGA SATUAN TOTAL HARGA UNIT HARGA SATUAN TOTAL HARGA NOMOR TANGGAL
1 2 3 4 5 6 Rp 7 Rp 8 15 Rp 16.00 Rp 17 18 19 13
- Rp - Rp -
1 BAHAN MATERIAL KESEHATAN - Rp - Rp -
TAHUN 2016 - Rp - Rp - - Rp - Rp -
1 Rp - - Rp - Rp -
2 Rp - - Rp - Rp -
3 Rp - - Rp - Rp -
4 Rp - - Rp - Rp -
Rp - - Rp - Rp -
Rp - - Rp - Rp -
Rp - - Rp - Rp -
TAHUN 2017 - Rp - Rp - - Rp - Rp -
1 Rp - - Rp - Rp -
2 Rp - - Rp - Rp -
3 Rp - - Rp - Rp -
4 Rp - - Rp - Rp -
5 Rp - - Rp - Rp -
6 Rp - - Rp - Rp -
7 Rp - - Rp - Rp -
8 Rp -
Rp - - Rp -
2 BHP MEDIS
a BHP MEDIS
TAHUN 2016
BHP MEDIS 6,203,668,853.72 3,683.00 Rp 1,311,248,618
1 ACTIMOVE M 2016 3.00 Rp 105,000 Rp 315,000 - Rp 105,000.00 Rp -

2 ACTIMOVE S 2016 6.00 Rp 105,000 Rp 630,000 - Rp 105,000.00 Rp -
3 ALKOHOL 70% 2016 1,545.00 Rp 34,155 Rp 52,769,475 305.00 Rp 34,155.00 Rp 10,417,275
4 ALKOHOL 96% 2016 253.00 Rp 37,950 Rp 9,601,350 44.00 Rp 37,950.00 Rp 1,669,800
5 ALKOHOL SWAP 2016 45,500.00 Rp 380 Rp 17,267,250 45,500.00 Rp 379.50 Rp 17,267,250
6 AQUADEST 20 L 2016 49.00 Rp 73,935 Rp 3,622,815 - Rp 73,935.00 Rp -
7 AQUADEST 1L 2016 796.00 Rp 13,020 Rp 10,363,920 73.00 Rp 13,020.00 Rp 950,460
8 ASKINA CALGITROL AG 10 X 10 CM 2016 17.00 Rp 120,000 Rp 2,040,000 15.00 Rp 120,000.00 Rp 1,800,000
9 ASKINA CLGITROL PASTE 15 G 2016 10.00 Rp 74,545 Rp 745,450 10.00 Rp 74,545.00 Rp 745,450
10 ASKINA DERM 10 X 12 CM 2016 37.00 Rp 29,000 Rp 1,073,000 37.00 Rp 29,000.00 Rp 1,073,000
11 ASKINA GEL 15 G 2016 10.00 Rp 80,876 Rp 808,760 - Rp 80,876.00 Rp -
12 ASKINA SOFT CLEAR I.V 8 X 6 CM 2016 99.00 Rp 10,500 Rp 1,039,500 99.00 Rp 10,500.00 Rp 1,039,500
13 ASKINA SORB 10 X 10 CM 2016 15.00 Rp 70,000 Rp 1,050,000 15.00 Rp 70,000.00 Rp 1,050,000
14 BAYCLIN 2016 470.00 Rp 15,000 Rp 7,050,000 54.00 Rp 15,000.00 Rp 810,000
15 BENANG BEDAH MONOSYN 2/0 HRT 37 2016 72.00 Rp 95,508 Rp 6,876,540 - Rp 95,507.50 Rp -
16 BENANG BEDAH MONOSYN 3/0 DS 24 UNDYED 2016 216.00 Rp 97,608 Rp 21,083,414 36.00 Rp 97,608.40 Rp 3,513,902
17 BENANG BEDAH MONOSYN 3/0 DS 24 VIOLET CUTTING 2016 144.00 Rp 100,368 Rp 14,453,050 144.00 Rp 100,368.40 Rp 14,453,050
18 BENANG BEDAH MONOSYN 4/0 DS 24 2016 102.00 Rp 153,698 Rp 15,677,145 - Rp 153,697.50 Rp -
19 BENANG BEDAH ATRAMAT CHROMIC 2/0 CUTTING 2016 12.00 Rp 72,600 Rp 871,200 - Rp 72,600.00 Rp -
20 BENANG BEDAH ATRAMAT CHROMIC 3/0 CUTTING 2016 12.00 Rp 97,608 Rp 1,171,301 12.00 Rp 97,608.40 Rp 1,171,301
21 BENANG BEDAH ATRAMAT PGA 3/0 CUTTING 2016 12.00 Rp 115,300 Rp 1,383,600 12.00 Rp 115,300.00 Rp 1,383,600
22 BENANG BEDAH ATRAMAT PGA 3/0 TAPPER 2016 132.00 Rp 115,300 Rp 15,219,600 120.00 Rp 115,300.00 Rp 13,836,000
23 BENANG BEDAH ATRAMAT PGA 5-0 CUTTING 2016 12.00 Rp 115,300 Rp 1,383,600 - Rp 115,300.00 Rp -
24 BENANG BEDAH CAT GUT 1 TAPPER 2016 48.00 Rp 129,381 Rp 6,210,288 36.00 Rp 129,381.00 Rp 4,657,716
25 BENANG BEDAH CAT GUT CHROMIC 0 TAPPER 2016 396.00 Rp 380,000 Rp 150,480,000 48.00 Rp 380,000.00 Rp 18,240,000
26 BENANG BEDAH CAT GUT CHROMIC 1 HR 37 S 2016 48.00 Rp 129,381 Rp 6,210,288 48.00 Rp 129,381.00 Rp 6,210,288
27 BENANG BEDAH CAT GUT CHROMIC 1 ROLL 2016 8.00 Rp 2,032,800 Rp 16,262,400 - Rp 2,032,800.00 Rp -
28 BENANG BEDAH CAT GUT CHROMIC 2 ROLL 2016 6.00 Rp 678,449 Rp 4,070,694 3.00 Rp 678,449.00 Rp 2,035,347
29 BENANG BEDAH CAT GUT CHROMIC 2 TAPPER 2016 564.00 Rp 94,243 Rp 53,152,770 192.00 Rp 94,242.50 Rp 18,094,560
30 BENANG BEDAH CAT GUT CHROMIC 2/0 ROLL 2016 10.00 Rp 940,554 Rp 9,405,540 9.00 Rp 940,554.00 Rp 8,464,986
31 BENANG BEDAH CAT GUT CHROMIC 2/0 TAPPER 2016 228.00 Rp 91,713 Rp 20,910,450 228.00 Rp 91,712.50 Rp 20,910,450
32 BENANG BEDAH CAT GUT CHROMIC 3 ROLL 2016 12.00 Rp 717,750 Rp 8,613,000 - Rp 717,750.00 Rp -
33 BENANG BEDAH CAT GUT CHROMIC 3/0 DS 24 2016 84.00 Rp 86,254 Rp 7,245,336 36.00 Rp 86,254.00 Rp 3,105,144
34 BENANG BEDAH CAT GUT CHROMIC 3/0 ROLL 2016 15.00 Rp 911,328 Rp 13,669,920 1.00 Rp 911,328.00 Rp 911,328
1 2 3 4 5 6 Rp 7 Rp 8 15 Rp 16.00 Rp 17 18 19 13
35 BENANG BEDAH CAT GUT CHROMIC 4/0 ROLL 2016 3.00 Rp 2,032,800 Rp 6,098,400 - Rp 2,032,800.00 Rp -
36 BENANG BEDAH CAT GUT PLAIN 0 CUTTING 2016 24.00 Rp 75,800 Rp 1,819,200 24.00 Rp 75,800.00 Rp 1,819,200
37 BENANG BEDAH CAT GUT PLAIN 0 TAPPER 2016 456.00 Rp 65,875 Rp 30,039,000 - Rp 65,875.00 Rp -
38 BENANG BEDAH CAT GUT PLAIN 1 HR 35S TAPPER 2016 36.00 Rp 47,626 Rp 1,714,536 - Rp 47,626.00 Rp -
39 BENANG BEDAH CAT GUT PLAIN 2/0 HRT 35S CUTTING 2016 48.00 Rp 47,626 Rp 2,286,048 12.00 Rp 47,626.00 Rp 571,512
40 BENANG BEDAH CAT GUT PLAIN 3/0 CUTTING 2016 96.00 Rp 47,626 Rp 4,572,096 96.00 Rp 47,626.00 Rp 4,572,096
41 BENANG BEDAH DAFILON 10/0 2016 24.00 Rp 176,400 Rp 4,233,600 - Rp 176,400.00 Rp -
42 BENANG BEDAH DAFILON 5/0 DS 12 2016 36.00 Rp 176,400 Rp 6,350,400 - Rp 176,400.00 Rp -
43 BENANG BEDAH PREMILENE 3/0 DS 19 CUTTING 2016 156.00 Rp 51,989 Rp 8,110,242 84.00 Rp 51,988.73 Rp 4,367,053
44 BENANG BEDAH PREMILENE 4/0 DS 19 (CUTTING) 2016 36.00 Rp 51,989 Rp 1,871,594 36.00 Rp 51,988.73 Rp 1,871,594
45 BENANG BEDAH PREMILENE 5/0 HR 16 CUTTING 2016 144.00 Rp 103,333 Rp 14,880,000 36.00 Rp 103,333.33 Rp 3,720,000
46 BENANG BEDAH PREMILENE 6/0 DS 12 CUTTING 2016 127.00 Rp 57,186 Rp 7,262,579 - Rp 57,185.66 Rp -
47 BENANG BEDAH SAFIL 1 HRT 37S TAPPER 2016 144.00 Rp 99,550 Rp 14,335,200 72.00 Rp 99,550.00 Rp 7,167,600
48 BENANG BEDAH SAFIL 3/0 CUTTING 2016 36.00 Rp 99,506 Rp 3,582,216 - Rp 99,506.00 Rp -
49 BENANG BEDAH SAFIL 3/0 TAPPER 2016 71.00 Rp 99,506 Rp 7,064,926 35.00 Rp 99,506.00 Rp 3,482,710
50 BENANG BEDAH SAFIL 4/0 HR 24 CUTTING 2016 720.00 Rp 105,917 Rp 76,260,000 72.00 Rp 105,916.67 Rp 7,626,000
51 BENANG BEDAH SAFIL 5/0 HR 16 CUTTING 2016 540.00 Rp 142,083 Rp 76,724,820 - Rp 142,083.00 Rp -
52 BENANG BEDAH SAFIL 8/0 VIOLET 2016 60.00 Rp 176,400 Rp 10,584,000 - Rp 176,400.00 Rp -
53 BENANG BEDAH SILK BLACK 0 ROLL 2016 10.00 Rp 2,032,800 Rp 20,328,000 - Rp 2,032,800.00 Rp -
54 BENANG BEDAH SILK BLACK 0 TAPPER 2016 718.00 Rp 77,500 Rp 55,645,000 34.00 Rp 77,500.00 Rp 2,635,000
55 BENANG BEDAH SILK BLACK 1 HR 37 TAPPER 2016 72.00 Rp 33,406 Rp 2,405,236 36.00 Rp 33,406.06 Rp 1,202,618
56 BENANG BEDAH SILK BLACK 1 ROLL 2016 13.00 Rp 2,032,800 Rp 26,426,400 1.00 Rp 2,032,800.00 Rp 2,032,800
57 BENANG BEDAH SILK BLACK 2/0 HR 24 CUTTING 2016 612.00 Rp 64,583 Rp 39,525,000 41.00 Rp 64,583.33 Rp 2,647,917
58 BENANG BEDAH SILK BLACK 2/0 HR 26 TAPPER 2016 612.00 Rp 64,583 Rp 39,525,000 - Rp 64,583.33 Rp -
59 BENANG BEDAH SILK BLACK 2/0 ROLL 2016 27.00 Rp 2,032,800 Rp 54,885,600 - Rp 2,032,800.00 Rp -
60 BENANG BEDAH SILK BLACK 3/0 DS 24 CUTTING 2016 288.00 Rp 25,567 Rp 7,363,284 288.00 Rp 25,566.96 Rp 7,363,284
62 BENANG BEDAH SILK BLACK 4/0 HR 17 TAPPER 2016 576.00 Rp 77,500 Rp 44,640,000 36.00 Rp 77,500.00 Rp 2,790,000
64 BENANG CAT GUT 0 SURGIROLL 2016 2.00 Rp 2,032,800 Rp 4,065,600 - Rp 2,032,800.00 Rp -
65 BENANG CATGUT PLAIN 0 DS 24 MM 2016 48.00 Rp 39,466 Rp 1,894,368 - Rp 39,466.00 Rp -
66 BENANG COROLINE 8/0 TUPPER 2016 72.00 Rp 529,320 Rp 38,111,040 - Rp 529,320.00 Rp -
67 BENANG MONOCRYL UND 70 CM 3/0 PS-1 PRIME CUTTING 2016 72.00 Rp 117,843 Rp 8,484,700 - Rp 117,843.06 Rp -
68 BENANG OPTIME 1 TUPPER 2016 144.00 Rp 78,961 Rp 11,370,384 70.00 Rp 78,961.00 Rp 5,527,270
69 BENANG OPTIME 2/0 TUPPER 2016 144.00 Rp 67,681 Rp 9,746,035 36.00 Rp 67,680.80 Rp 2,436,509
70 BENANG PROLENE 3/0 26 MM REV CUTTING 2016 60.00 Rp 68,961 Rp 4,137,635 - Rp 68,960.58 Rp -
71 BENANG SOIE/SILK 3/0 TUPPER 2016 144.00 Rp 41,361 Rp 5,955,984 - Rp 41,361.00 Rp -
72 BENANG VICRYL PLUS SUTURE 2/0 TUPPER 2016 36.00 Rp 62,020 Rp 2,232,720 36.00 Rp 62,020.00 Rp 2,232,720
73 BENANG VICRYL PLUS VIO 1 TUPPER 2016 72.00 Rp 105,132 Rp 7,569,482 - Rp 105,131.69 Rp -
74 BISTURI/BLADE NO. 11 2016 500.00 Rp 3,000 Rp 1,500,000 200.00 Rp 3,000.00 Rp 600,000
75 BISTURI/BLADES NO. 12 2016 1,400.00 Rp 3,000 Rp 4,200,000 400.00 Rp 3,000.00 Rp 1,200,000
76 BISTURI/BLADES NO.15 2016 300.00 Rp 3,000 Rp 900,000 100.00 Rp 3,000.00 Rp 300,000
77 BISTURI/BLADES NO.18 2016 1,000.00 Rp 3,000 Rp 3,000,000 200.00 Rp 3,000.00 Rp 600,000
78 BISTURI/BLADES NO.20 2016 700.00 Rp 3,000 Rp 2,100,000 300.00 Rp 3,000.00 Rp 900,000
80 BISTURI/BLADES NO.22 2016 600.00 Rp 3,000 Rp 1,800,000 300.00 Rp 3,000.00 Rp 900,000
82 BLOOD SET (SANGOFIX) 2016 2,145.00 Rp 13,976 Rp 29,978,520 1,161.00 Rp 13,976.00 Rp 16,226,136
83 BLOOD SET PUMP 2016 800.00 Rp 42,702 Rp 34,161,600 - Rp 42,702.00 Rp -
84 BLUE TIP 2016 30,000.00 Rp 2,264 Rp 67,930,500 - Rp 2,264.35 Rp -
85 BONE WAX 2016 48.00 Rp 49,500 Rp 2,376,000 - Rp 49,500.00 Rp -
86 BOTOL PENYIMPAN SUSU 2016 4,855.00 Rp 4,650 Rp 22,575,750 89.00 Rp 4,650.00 Rp 413,850
87 BOTOL THD 2016 4,000.00 Rp 3,255 Rp 13,020,000 4,000.00 Rp 3,255.00 Rp 13,020,000
88 CAIRAN DESINFECTANT ORTHO-PHATALDEHYDE (CIDEZYM) 2016 38.00 Rp 782,339 Rp 29,728,882 38.00 Rp 782,339.00 Rp 29,728,882
89 CAIRAN ENZIMATIK (SIDEX OPA) 2016 72.00 Rp 925,277 Rp 66,619,944 17.00 Rp 925,277.00 Rp 15,729,709
90 CANNOFIX-PU 6 X 8 CM 2016 200.00 Rp 8,470 Rp 1,694,000 200.00 Rp 8,470.00 Rp 1,694,000
91 CERVICAL COLLAR L 2016 5.00 Rp 221,100 Rp 1,105,500 - Rp 221,100.00 Rp -
92 CERVICAL COLLAR M 2016 8.00 Rp 221,100 Rp 1,768,800 1.00 Rp 221,100.00 Rp 221,100
93 CERVICAL COLLAR S 2016 8.00 Rp 221,100 Rp 1,768,800 - Rp 221,100.00 Rp -
94 CHLORO ETHYL 2016 112.00 Rp 99,998 Rp 11,199,776 19.00 Rp 99,998.00 Rp 1,899,962
95 CUTICELL CLASSIC 10 CM X 10 CM 2016 100.00 Rp 9,519 Rp 951,910 100.00 Rp 9,519.10 Rp 951,910
96 CUTICELL CLASSIC 5 CM X 5 CM 2016 10.00 Rp 4,466 Rp 44,655 10.00 Rp 4,465.50 Rp 44,655
97 CUTIMED GEL 15 GR 2016 66.00 Rp 41,446 Rp 2,735,436 54.00 Rp 41,446.00 Rp 2,238,084
98 CUTIMED SILTEC 10 X 10 CM 2016 16.00 Rp 28,869 Rp 461,904 16.00 Rp 28,869.00 Rp 461,904
99 DESINFECTANT TABLET (PRESSEP) 2016 7,900.00 Rp 3,721 Rp 29,392,108 2,650.00 Rp 3,720.52 Rp 9,859,378
100 DISCOFIC -3 WAY + 10 TUBING (PANJANG) 2016 200.00 Rp 35,376 Rp 7,075,200 172.00 Rp 35,376.00 Rp 6,084,672
101 DISCOFIC -3 WAY WITH STOPCOCK 2016 700.00 Rp 32,160 Rp 22,512,000 350.00 Rp 32,160.00 Rp 11,256,000
102 DOCTOR'S SURGEON CAP (TUTUP KELAPA) PRIA 2016 2,800.00 Rp 1,059 Rp 2,964,640 1,400.00 Rp 1,058.80 Rp 1,482,320
103 ELASTOMULL 10 CM X 4 M 2016 90.00 Rp 42,061 Rp 3,785,490 5.00 Rp 42,061.00 Rp 210,305
1 2 3 4 5 6 Rp 7 Rp 8 15 Rp 16.00 Rp 17 18 19 13
106 ELEKTRODY EKG 2016 500.00 Rp 50,144 Rp 25,072,040 - Rp 50,144.08 Rp -
107 ELETRODA DADA 2228 2016 5,000.00 Rp 4,221 Rp 21,105,500 - Rp 4,221.10 Rp -
108 ELETRODA DADA 2258-3 2016 450.00 Rp 15,294 Rp 6,882,225 - Rp 15,293.83 Rp -
109 ELETRODA DADA 2560 2016 4,150.00 Rp 7,566 Rp 31,399,066 750.00 Rp 7,566.04 Rp 5,674,530
110 ENDO TRACHEAL TUBE NO. 3,0 KINGKING 2016 10.00 Rp 38,226 Rp 382,263 1.00 Rp 38,226.30 Rp 38,226
111 ENDO TRACHEAL TUBE NO. 3,0 NONKINGKING 2016 50.00 Rp 433,521 Rp 21,676,050 - Rp 433,521.00 Rp -
112 ENDO TRACHEAL TUBE NO. 3,5 KINGKING 2016 12.00 Rp 38,226 Rp 458,716 - Rp 38,226.30 Rp -
113 ENDO TRACHEAL TUBE NO. 3,5 NONKINGKING 2016 10.00 Rp 215,050 Rp 2,150,500 1.00 Rp 215,050.00 Rp 215,050
114 ENDO TRACHEAL TUBE NO. 4,0 KINGKING 2016 30.00 Rp 433,521 Rp 13,005,630 - Rp 433,521.00 Rp -
122 ENDO TRACHEAL TUBE NO. 6 KINGKING 2016 69.00 Rp 52,940 Rp 3,652,860 - Rp 52,940.00 Rp -
123 ENDO TRACHEAL TUBE NO. 6 NONKINGKING 2016 28.00 Rp 215,050 Rp 6,021,400 20.00 Rp 215,050.00 Rp 4,301,000
126 ENDO TRACHEAL TUBE NO. 7,0 KINGKING 2016 70.00 Rp 70,587 Rp 4,941,090 10.00 Rp 70,587.00 Rp 705,870
129 ENDO TRACHEAL TUBE NO. 7,5 NONKINGKING 2016 104.00 Rp 433,521 Rp 45,086,184 10.00 Rp 433,521.00 Rp 4,335,210
132 EXTENTION TUBE 150 CM - 1,5 CM 2016 400.00 Rp 38,330 Rp 15,331,800 400.00 Rp 38,329.50 Rp 15,331,800
133 EXTENTION TUBE 75 CM - 2,5 CM 2016 50.00 Rp 13,536 Rp 676,775 - Rp 13,535.50 Rp -
134 FEEDING TUBE FR 5 - 40 CM 2016 300.00 Rp 8,841 Rp 2,652,300 150.00 Rp 8,841.00 Rp 1,326,150
135 FEEDING TUBE FR 5 100 CM 2016 550.00 Rp 8,841 Rp 4,862,550 250.00 Rp 8,841.00 Rp 2,210,250
136 FEEDING TUBE FR 3,5 35 CM 2016 400.00 Rp 8,841 Rp 3,536,400 200.00 Rp 8,841.00 Rp 1,768,200
137 FEEDING TUBE FR 8 - 100 CM 2016 500.00 Rp 8,841 Rp 4,420,500 50.00 Rp 8,841.00 Rp 442,050
138 FEEDING TUBE FR 8 - 40 CM 2016 500.00 Rp 8,841 Rp 4,420,500 100.00 Rp 8,841.00 Rp 884,100
139 FILM IV DRESS 6 X 7 P 2016 250.00 Rp 4,300 Rp 1,075,000 250.00 Rp 4,300.00 Rp 1,075,000
140 FILM IV DRESS 7 X 8 P 2016 300.00 Rp 5,800 Rp 1,740,000 300.00 Rp 5,800.00 Rp 1,740,000
141 FOLLEY CATHETER TWO WAY NO 10 2016 70.00 Rp 22,138 Rp 1,549,625 22.00 Rp 22,137.50 Rp 487,025
142 FOLLEY CATHETER TWO WAY NO 12 2016 170.00 Rp 53,130 Rp 9,032,100 30.00 Rp 53,130.00 Rp 1,593,900
143 FOLLEY CATHETER TWO WAY NO 14 2016 160.00 Rp 23,500 Rp 3,760,000 60.00 Rp 23,500.00 Rp 1,410,000
144 FOLLEY CATHETER TWO WAY NO 16 2016 1,720.00 Rp 8,000 Rp 13,760,000 430.00 Rp 8,000.00 Rp 3,440,000
145 FOLLEY CATHETER TWO WAY NO 18 2016 5,170.00 Rp 8,000 Rp 41,360,000 120.00 Rp 8,000.00 Rp 960,000
146 FOLLEY CATHETER TWO WAY NO 20 2016 170.00 Rp 17,079 Rp 2,903,390 - Rp 17,078.77 Rp -
147 FOLLEY CATHETER TWO WAY NO 6 2016 170.00 Rp 63,571 Rp 10,807,104 14.00 Rp 63,571.20 Rp 889,997
148 FOLLEY CATHETER TWO WAY NO 8 2016 70.00 Rp 7,173 Rp 502,110 10.00 Rp 7,173.00 Rp 71,730
149 FORMALIN CAIR 2016 2.00 Rp 48,070 Rp 96,140 1.00 Rp 48,070.00 Rp 48,070
150 GELAS METADON 2016 14,550.00 Rp 279 Rp 4,059,450 14,550.00 Rp 279.00 Rp 4,059,450
151 GUEDEL AIRWAY NO.3 2016 50.00 Rp 175,835 Rp 8,791,750 50.00 Rp 175,835.00 Rp 8,791,750
154 GUEDEL AIRWAY NO.00 2016 9.00 Rp 181,496 Rp 1,633,464 - Rp 181,496.00 Rp -
160 GYPSONA 3 2016 31.00 Rp 25,941 Rp 804,180 - Rp 25,941.30 Rp -
163 H202 2016 21.00 Rp 28,980 Rp 608,580 5.00 Rp 28,980.00 Rp 144,900
164 HANDSCHOEN GYNECOLOGY 2016 36.00 Rp 21,176 Rp 762,336 21.00 Rp 21,176.00 Rp 444,696
165 HANDSCHOEN NON STERIL SZ. L 2016 23,800.00 Rp 476 Rp 11,328,800 - Rp 476.00 Rp -
166 HANDSCHOEN NON STERIL SZ. M 2016 98,900.00 Rp 238 Rp 23,538,200 37,000.00 Rp 238.00 Rp 8,806,000
167 HANDSCHOEN NON STERIL SZ. S 2016 104,100.00 Rp 159 Rp 16,517,547 75,800.00 Rp 158.67 Rp 12,027,186
168 HANDSCHOEN NON STERIL SZ. XS 2016 26,000.00 Rp 476 Rp 12,376,000 11,000.00 Rp 476.00 Rp 5,236,000
169 HANDSCHOEN STERIL NO 6 2016 4,000.00 Rp 14,548 Rp 58,190,000 1,400.00 Rp 14,547.50 Rp 20,366,500
170 HANDSCHOEN STERIL NO 6,5 2016 3,200.00 Rp 14,548 Rp 46,552,000 3,200.00 Rp 14,547.50 Rp 46,552,000
171 HANDSCHOEN STERIL NO 7 FREE POWDER 2016 6,200.00 Rp 20,706 Rp 128,374,100 885.00 Rp 20,705.50 Rp 18,324,368
172 HANDSCHOEN STERIL NO 7,5 FREE POWDER 2016 7,080.00 Rp 20,706 Rp 146,594,940 560.00 Rp 20,705.50 Rp 11,595,080
173 HANDSCHOEN STERIL NO 8 FREE POWDER 2016 4,560.00 Rp 20,706 Rp 94,417,080 1,840.00 Rp 20,705.50 Rp 38,098,120
174 HELIZYME 1000 ML 2016 50.00 Rp 375,000 Rp 18,750,000 - Rp 375,000.00 Rp -
175 HEXAQUART PLUS 1 L 2016 35.00 Rp 350,000 Rp 12,250,000 4.00 Rp 350,000.00 Rp 1,400,000
176 HUDSON PROG SIZE 2 2016 10.00 Rp 1,594,325 Rp 15,943,250 - Rp 1,594,325.00 Rp -
1 2 3 4 5 6 Rp 7 Rp 8 15 Rp 16.00 Rp 17 18 19 13
177 HUDSON PROG SIZE 3 2016 10.00 Rp 1,594,325 Rp 15,943,250 - Rp 1,594,325.00 Rp -
178 HYPAVIX 15 CM X 5 M 2016 366.00 Rp 160,173 Rp 58,623,318 52.00 Rp 160,173.00 Rp 8,328,996
181 ID-BRAND ANAK WANITA (UNGU) 2016 400.00 Rp 1,118 Rp 447,048 - Rp 1,117.62 Rp -
182 ID-BRAND ANAK/ANAK (MERAH) 2016 5,900.00 Rp 1,118 Rp 6,593,958 - Rp 1,117.62 Rp -
183 ID-BRAND ANAK/BAYI (KUNING) 2016 5,700.00 Rp 1,118 Rp 6,370,434 300.00 Rp 1,117.62 Rp 335,286
184 ID-BRAND ANAK/BAYI PRIA (BLUE) 2016 6,300.00 Rp 1,118 Rp 7,041,006 500.00 Rp 1,117.62 Rp 558,810
185 ID-BRAND ANAK/BAYI WANITA (PINK) 2016 20,800.00 Rp 1,118 Rp 23,246,496 200.00 Rp 1,117.62 Rp 223,524
186 ID-BRAND DEWASA (KUNING) 2016 4,500.00 Rp 1,118 Rp 5,029,290 900.00 Rp 1,117.62 Rp 1,005,858
187 ID-BRAND DEWASA (MERAH) 2016 5,300.00 Rp 1,118 Rp 5,923,386 - Rp 1,117.62 Rp -
188 ID-BRAND DEWASA PRIA (BLUE) 2016 13,600.00 Rp 1,118 Rp 15,199,632 1,600.00 Rp 1,117.62 Rp 1,788,192
189 ID-BRAND DEWASA WANITA (PINK) 2016 30,700.00 Rp 1,118 Rp 34,310,934 - Rp 1,117.62 Rp -
190 ID-BRAND DEWASA WANITA (UNGU) 2016 600.00 Rp 1,118 Rp 670,572 - Rp 1,117.62 Rp -
191 INFUS SET ANAK (MICRO) / PRIMELINE 2016 790.00 Rp 17,391 Rp 13,738,890 380.00 Rp 17,391.00 Rp 6,608,580
192 INFUS SET DEWASA (MACRO) / PRIMELINE 2016 880.00 Rp 17,670 Rp 15,549,600 880.00 Rp 17,670.00 Rp 15,549,600
193 INFUSET SAFETY (INTRAFIX) 2016 1,000.00 Rp 29,701 Rp 29,701,000 1,000.00 Rp 29,701.00 Rp 29,701,000
194 IV CATETER NO.14 2016 33.00 Rp 8,355 Rp 275,715 25.00 Rp 8,355.00 Rp 208,875
195 IV CATETER NO.16 SAFETY (INTROCAN) 2016 298.00 Rp 8,750 Rp 2,607,500 4.00 Rp 8,750.00 Rp 35,000
196 IV CATETER NO.18 2016 1,850.00 Rp 8,835 Rp 16,344,750 480.00 Rp 8,835.00 Rp 4,240,800
197 IV CATETER NO.18 INSYTE 2016 300.00 Rp 484 Rp 145,200 270.00 Rp 484.00 Rp 130,680
198 IV CATETER NO.20 2016 2,100.00 Rp 8,835 Rp 18,553,500 1,100.00 Rp 8,835.00 Rp 9,718,500
199 IV CATETER NO.20 SAFETY (INTROCAN) 2016 300.00 Rp 484 Rp 145,200 300.00 Rp 484.00 Rp 145,200
200 IV CATETER NO.22 2016 2,000.00 Rp 8,835 Rp 17,670,000 1,809.00 Rp 8,835.00 Rp 15,982,515
201 IV CATETER NO.22 SAFETY (INTROCAN) 2016 300.00 Rp 484 Rp 145,200 300.00 Rp 484.00 Rp 145,200
202 IV CATETER NO.24 2016 250.00 Rp 8,835 Rp 2,208,750 200.00 Rp 8,835.00 Rp 1,767,000
203 IV CATETER NO.24 SAFETY (INTROCAN) 2016 2,250.00 Rp 484 Rp 1,089,000 950.00 Rp 484.00 Rp 459,800
204 IV CATETER NO.26 G X 3 1/2 2016 1,050.00 Rp 37,620 Rp 39,501,000 250.00 Rp 37,620.00 Rp 9,405,000
205 IV PLUG 2016 5,850.00 Rp 11,385 Rp 66,602,250 250.00 Rp 11,385.00 Rp 2,846,250
206 JARUM EPIDURAL 18 G 2016 115.00 Rp 223,547 Rp 25,707,905 1.00 Rp 223,547.00 Rp 223,547
207 JARUM EPIDURAL SZ 100 , G22 X 100 ML 2016 739.00 Rp 256,000 Rp 189,184,000 24.00 Rp 256,000.00 Rp 6,144,000
208 JARUM EPIDURAL SZ 50 , G22 X 50 ML 2016 550.00 Rp 256,000 Rp 140,800,000 1.00 Rp 256,000.00 Rp 256,000
209 KAPAS PEMBALUT 1000 G 2016 48.00 Rp 77,307 Rp 3,710,721 12.00 Rp 77,306.68 Rp 927,680
210 KAPAS PEMBALUT 500 G 2016 224.00 Rp 596,300 Rp 133,571,200 10.00 Rp 596,300.00 Rp 5,963,000
211 KASA GULUNG 36X80 DRC 2016 699.00 Rp 130,000 Rp 90,870,000 183.00 Rp 130,000.00 Rp 23,790,000
212 KASA HIDROFIL 36 M X 80 CM 2016 53.00 Rp 126,500 Rp 6,704,500 53.00 Rp 126,500.00 Rp 6,704,500
213 KASA KOMPRES 40X40 CM 2016 4,800.00 Rp 1,800 Rp 8,640,000 - Rp 1,800.00 Rp -
214 KASA PEMBALUT 4 X 15 CM DRC 2016 50.00 Rp 3,800 Rp 190,000 50.00 Rp 3,800.00 Rp 190,000
215 KASA STERIL 16 X 16 CM 2016 4,048.00 Rp 9,867 Rp 39,941,616 688.00 Rp 9,867.00 Rp 6,788,496
216 KERTAS EKG 110 MM X 140 MM X 142 MM 2016 22,436.00 Rp 1,243 Rp 27,881,786 7,100.00 Rp 1,242.73 Rp 8,823,350
217 KERTAS EKG 120,212015,170,250 AND 250 2016 8,750.00 Rp 1,012 Rp 8,855,000 - Rp 1,012.00 Rp -
218 KERTAS EKG 152 MM X 90 MM 2016 14,850.00 Rp 2,530 Rp 37,570,500 - Rp 2,530.00 Rp -
219 KERTAS EKG 58 MM X 30 M X 17 MM 2016 39.00 Rp 41,175 Rp 1,605,825 - Rp 41,175.00 Rp -
220 KERTAS EKG 63 X 30 2016 451.00 Rp 44,275 Rp 19,968,025 - Rp 44,275.00 Rp -
221 KERTAS EKG TINDAKAN 2016 61.00 Rp 59,425 Rp 3,624,925 1.00 Rp 59,425.00 Rp 59,425
222 KERTAS USG 2016 234.00 Rp 279,736 Rp 65,458,224 11.00 Rp 279,736.00 Rp 3,077,096
223 KY JELI / KLY 2016 78.00 Rp 44,275 Rp 3,453,450 21.00 Rp 44,275.00 Rp 929,775
224 LAMINARIA 2016 125.00 Rp 116,468 Rp 14,558,500 40.00 Rp 116,468.00 Rp 4,658,720
225 LARYNGEAL MASK AIRWAYS (LMA) NO 5 2016 4.00 Rp 243,289 Rp 973,156 - Rp 243,289.00 Rp -
226 LARYNGEAL MASK AIRWAYS (LMA) NO.1 2016 67.00 Rp 243,289 Rp 16,300,363 - Rp 243,289.00 Rp -
227 LARYNGEAL MASK AIRWAYS (LMA) NO.1,5 2016 15.00 Rp 243,290 Rp 3,649,350 1.00 Rp 243,290.00 Rp 243,290
228 LARYNGEAL MASK AIRWAYS (LMA) NO.2 2016 64.00 Rp 243,289 Rp 15,570,496 - Rp 243,289.00 Rp -
229 LARYNGEAL MASK AIRWAYS (LMA) NO.2,5 2016 37.00 Rp 243,289 Rp 9,001,693 - Rp 243,289.00 Rp -
230 LARYNGEAL MASK AIRWAYS (LMA) NO.3 2016 65.00 Rp 243,289 Rp 15,813,785 42.00 Rp 243,289.00 Rp 10,218,138
231 LARYNGEAL MASK AIRWAYS (LMA) NO.4 2016 66.00 Rp 243,289 Rp 16,057,074 12.00 Rp 243,289.00 Rp 2,919,468
232 LEUKOMED IV 6 X 8 CM 23/8X3/1/8 INC 2016 50.00 Rp 2,315 Rp 115,747 50.00 Rp 2,314.94 Rp 115,747
233 LEUKOMED IV FILM 6,8 X 23/8/8 INC (2 3/8 X31/8) 2016 400.00 Rp 3,300 Rp 1,320,000 400.00 Rp 3,300.00 Rp 1,320,000
234 LEUKOPLAST 2.50 X 4,5 CM 2016 146.00 Rp 14,646 Rp 2,138,316 35.00 Rp 14,646.00 Rp 512,610
235 LEUKOPLAST 5.0 X 4,5 CM 2016 150.00 Rp 29,293 Rp 4,393,950 2.00 Rp 29,293.00 Rp 58,586
236 LEUKOPLAST 7,5 X 4,5 CM 2016 147.00 Rp 42,587 Rp 6,260,289 23.00 Rp 42,587.00 Rp 979,501
237 LEUKOPORE/TRANSPORE NO.2,5 CM X 9,1 M 2016 79.00 Rp 194,766 Rp 15,386,514 - Rp 194,766.00 Rp -
238 LOGICATH CVC 3L 12F 20 CM 2016 90.00 Rp 772,445 Rp 69,520,050 - Rp 772,445.00 Rp -
239 LYOSTIP 3 X 5 CM 2016 48.00 Rp 62,618 Rp 3,005,664 - Rp 62,618.00 Rp -
240 LYOSTIP 5 X 8 CM 2016 48.00 Rp 92,460 Rp 4,438,080 - Rp 92,460.00 Rp -
241 LYSOL 1 L 2016 955.00 Rp 52,070 Rp 49,726,850 129.00 Rp 52,070.00 Rp 6,717,030
242 MASKER REBRETING ADULT 2016 861.00 Rp 45,881 Rp 39,503,541 15.00 Rp 45,881.00 Rp 688,215
243 MASKER REBRETING PEDIATRIC 2016 50.00 Rp 44,116 Rp 2,205,800 5.00 Rp 44,116.00 Rp 220,580
244 MASKER KARET (TIE ON) 2016 4,000.00 Rp 541 Rp 2,162,800 4,000.00 Rp 540.70 Rp 2,162,800
245 MASKER N-95 2016 3,620.00 Rp 20,925 Rp 75,748,500 140.00 Rp 20,925.00 Rp 2,929,500
246 MASKER NON REBRETING ADULT 2016 1,127.00 Rp 45,881 Rp 51,707,887 128.00 Rp 45,881.00 Rp 5,872,768
247 MASKER NON REBRETING PEDIATRIC 2016 529.00 Rp 56,469 Rp 29,872,101 20.00 Rp 56,469.00 Rp 1,129,380
1 2 3 4 5 6 Rp 7 Rp 8 15 Rp 16.00 Rp 17 18 19 13
248 MASKER OXYGEN ADULT 2016 117.00 Rp 33,000 Rp 3,861,000 18.00 Rp 33,000.00 Rp 594,000
249 MASKER OXYGEN PEDIATRIC 2016 346.00 Rp 33,000 Rp 11,418,000 - Rp 33,000.00 Rp -
250 MASKER TALI (EARLOOP) 2016 191,050.00 Rp 531 Rp 101,447,550 51,650.00 Rp 531.00 Rp 27,426,150
251 MICROPORE 1" X 10 YDS- DISPENSER 2,5 CM X 9,1 M 2016 77.00 Rp 277,200 Rp 21,344,400 70.00 Rp 277,200.00 Rp 19,404,000
252 MICROPORE 1/2" X 10 YDS- DISPENSER 2016 402.00 Rp 277,200 Rp 111,434,400 21.00 Rp 277,200.00 Rp 5,821,200
253 MICROPORE 2" X 10 YDS- DISPENSER 2016 48.00 Rp 277,200 Rp 13,305,600 7.00 Rp 277,200.00 Rp 1,940,400
254 MINOSCRUB 4% 2016 218.00 Rp 299,805 Rp 65,357,490 62.00 Rp 299,805.00 Rp 18,587,910
255 MINOSCUB 2% 2016 59.00 Rp 164,390 Rp 9,699,010 11.00 Rp 164,390.00 Rp 1,808,290
256 NALD INSULIN 2016 13,900.00 Rp 3,200 Rp 44,480,000 1,500.00 Rp 3,200.00 Rp 4,800,000
257 NEBULIZER MASH ADULT 2016 216.00 Rp 37,646 Rp 8,131,536 216.00 Rp 37,646.00 Rp 8,131,536
258 NEBULIZER MASH CHILD 2016 145.00 Rp 39,999 Rp 5,799,855 93.00 Rp 39,999.00 Rp 3,719,907
259 NEEDLE 21G X1 1/2" 2016 2,300.00 Rp 3,200 Rp 7,361,035 200.00 Rp 3,200.45 Rp 640,090
260 NEEDLE 26G X 1 1/2" 2016 1,550.00 Rp 3,200 Rp 4,960,698 650.00 Rp 3,200.45 Rp 2,080,293
261 NURSE CAP (TUTUP KEPALA WANITA) 2016 2,900.00 Rp 735 Rp 2,132,312 1,400.00 Rp 735.28 Rp 1,029,392
262 OXIGEN (O2) SUPPLAY ANAK/NASAL CANUL A 2016 1,150.00 Rp 20,873 Rp 24,003,375 101.00 Rp 20,872.50 Rp 2,108,123
263 OXIGEN (O2) SUPPLAY DEWASA/NASAL CANUL D 2016 1,489.00 Rp 20,873 Rp 31,079,153 1,088.00 Rp 20,872.50 Rp 22,709,280
264 OXIGEN (O2) SUPPLAY PREMATURE/NASAL CANUL BY 2016 464.00 Rp 10,044 Rp 4,660,527 54.00 Rp 10,044.24 Rp 542,389
265 PARAFILM 2016 50.00 Rp 1,900,000 Rp 95,000,000 - Rp 1,900,000.00 Rp -
266 PEMBALUT ELASTIS 10 X 4.55 CM 2016 39.00 Rp 33,000 Rp 1,287,000 - Rp 33,000.00 Rp -
267 PEMBALUT ELASTIS 15X 4.55 CM 2016 57.00 Rp 43,856 Rp 2,499,792 9.00 Rp 43,856.00 Rp 394,704
268 PEMBALUT ELASTIS 7,5 X 4.55 CM 2016 406.00 Rp 27,830 Rp 11,298,980 11.00 Rp 27,830.00 Rp 306,130
269 PEMBALUT PASCA MELAHIRKAN 2016 22,164.00 Rp 2,206 Rp 48,890,090 3,012.00 Rp 2,205.83 Rp 6,643,970
270 PERFUSOR TUBING 150 CM 2016 496.00 Rp 35,000 Rp 17,360,000 21.00 Rp 35,000.00 Rp 735,000
271 PERIFIX FILTER SET NO. 18 G X 3 1/4 2016 24.00 Rp 70,000 Rp 1,680,000 - Rp 70,000.00 Rp -
272 PISAU CUKUR DISPOSABLE 2016 2,154.00 Rp 5,883 Rp 12,671,982 66.00 Rp 5,883.00 Rp 388,278
273 PISAU CUKUR OPERASI 2016 1,450.00 Rp 74,000 Rp 107,300,000 - Rp 74,000.00 Rp -
274 PLESTERIN 2016 52,800.00 Rp 348 Rp 18,367,536 6,400.00 Rp 347.87 Rp 2,226,368
275 POPOK BAYI SZ. M 2016 1,071.00 Rp 1,002 Rp 1,073,142 1,071.00 Rp 1,002.00 Rp 1,073,142
276 POPOK BAYI SZ. S 2016 1,294.00 Rp 1,002 Rp 1,296,588 821.00 Rp 1,002.00 Rp 822,642
277 POPOK DEWASA SZ. L 2016 1,000.00 Rp 6,409 Rp 6,409,000 80.00 Rp 6,409.00 Rp 512,720
278 POPOK DEWASA SZ. M 2016 1,080.00 Rp 6,409 Rp 6,921,720 218.00 Rp 6,409.00 Rp 1,397,162
279 POPOK DEWASA SZ. XL 2016 668.00 Rp 12,819 Rp 8,563,092 76.00 Rp 12,819.00 Rp 974,244
280 POSTOFIX-PU 10 X 10 CM 2016 196.00 Rp 15,950 Rp 3,126,200 196.00 Rp 15,950.00 Rp 3,126,200
281 POSTOFIX-PU 10 X 15 CM 2016 140.00 Rp 20,350 Rp 2,849,000 140.00 Rp 20,350.00 Rp 2,849,000
282 POSTOFIX-PU 10 X 25CM 2016 80.00 Rp 34,100 Rp 2,728,000 80.00 Rp 34,100.00 Rp 2,728,000
283 POT SPUTUM 2016 1,220.00 Rp 3,163 Rp 3,858,250 623.00 Rp 3,162.50 Rp 1,970,238
284 POT URINE 100 ML 2016 2,110.00 Rp 2,087 Rp 4,404,098 1,962.00 Rp 2,087.25 Rp 4,095,185
285 POT URINE 50 ML 2016 2,000.00 Rp 1,000 Rp 2,000,000 2,000.00 Rp 1,000.00 Rp 2,000,000
286 POVIDON IODONE 10% 500 ML 2016 126.00 Rp 95,264 Rp 12,003,264 - Rp 95,264.00 Rp -
287 POVIDON IODONE 10%1000 ML 2016 588.00 Rp 95,264 Rp 56,015,232 70.00 Rp 95,264.00 Rp 6,668,480
288 PREMILENE MESH 15 X 15 CM 2016 7.00 Rp 224,032 Rp 1,568,221 2.00 Rp 224,031.60 Rp 448,063
289 PREMILENE MESH 5 X 10 CM 2016 15.00 Rp 382,536 Rp 5,738,040 - Rp 382,536.00 Rp -
290 PREMILENE MESH 7,5 X 15 CM 2016 7.00 Rp 92,773 Rp 649,408 - Rp 92,772.56 Rp -
291 SAFETY BOX SIZE.12,5 L 2016 876.00 Rp 49,335 Rp 43,217,460 169.00 Rp 49,335.00 Rp 8,337,615
292 SAFETY BOX SIZE.2.5 L 2016 82.00 Rp 19,999 Rp 1,639,918 26.00 Rp 19,999.00 Rp 519,974
293 SAFETY BOX SIZE.5 L 2016 552.00 Rp 32,940 Rp 18,182,880 223.00 Rp 32,940.00 Rp 7,345,620
294 SEPTALKAN 2016 189.00 Rp 314,050 Rp 59,355,450 87.00 Rp 314,050.00 Rp 27,322,350
295 SIRUP METADON 2016 242.00 Rp 14,880 Rp 3,600,960 242.00 Rp 14,880.00 Rp 3,600,960
296 SOFFBAND 3 2016 13.00 Rp 14,695 Rp 191,034 5.00 Rp 14,694.90 Rp 73,475
297 SOFFBAND 4 2016 7.00 Rp 18,538 Rp 129,768 5.00 Rp 18,538.30 Rp 92,692
298 SOFFBAND 6 2016 25.00 Rp 13,325 Rp 333,135 - Rp 13,325.40 Rp -
299 SOFRATULLE 10 X 10 CM SALAH 2016 930.00 Rp 109,030 Rp 101,397,900 930.00 Rp 109,030.00 Rp 101,397,900
300 SOFT CLOTH DRESSING WITH PAD 6 X 8 M 2016 700.00 Rp 3,922 Rp 2,745,050 60.00 Rp 3,921.50 Rp 235,290
301 SOFTA-MAN 1000 ML 2016 271.00 Rp 153,000 Rp 41,463,000 227.00 Rp 153,000.00 Rp 34,731,000
302 SOFTA-MAN 500 ML 2016 200.00 Rp 113,850 Rp 22,770,000 139.00 Rp 113,850.00 Rp 15,825,150
303 SPALK TANGAN 2016 74.00 Rp 158,820 Rp 11,752,680 37.00 Rp 158,820.00 Rp 5,876,340
304 SPINAL NEEDLE NO. 23 (SPINOCAN 23 G) 2016 238.00 Rp 43,010 Rp 10,236,380 - Rp 43,010.00 Rp -
305 SPINAL NEEDLE NO. 25 (SPINOCAN 25 G) 2016 200.00 Rp 43,529 Rp 8,705,728 75.00 Rp 43,528.64 Rp 3,264,648
306 SPINAL NEEDLE NO. 26 (SPINOCAN 26 G) 2016 200.00 Rp 43,010 Rp 8,602,000 175.00 Rp 43,010.00 Rp 7,526,750
307 SPINAL NEEDLE NO. 27 (SPINOCAN 27 G) 2016 100.00 Rp 50,600 Rp 5,060,000 - Rp 50,600.00 Rp -
308 SPUIT 1 CC 2016 3,700.00 Rp 1,540 Rp 5,698,000 3,700.00 Rp 1,540.00 Rp 5,698,000
310 SPUIT 20 CC LOBANG SAMPING 2016 1,100.00 Rp 3,080 Rp 3,388,000 850.00 Rp 3,080.00 Rp 2,618,000
311 SPUIT 20 CC LOBANG TENGAH 2016 1,450.00 Rp 6,160 Rp 8,932,000 340.00 Rp 6,160.00 Rp 2,094,400
312 SPUIT 3 CC 2016 17,600.00 Rp 957 Rp 16,843,200 17,600.00 Rp 957.00 Rp 16,843,200
314 SPUIT 50 CC IRRIGATION 2016 4,500.00 Rp 28,000 Rp 126,000,000 120.00 Rp 28,000.00 Rp 3,360,000
315 SPUIT 50 CC LOBANG SAMPING 2016 1,876.00 Rp 15,000 Rp 28,140,000 466.00 Rp 15,000.00 Rp 6,990,000
316 SPUIT 50 CC LOBANG TENGAH 2016 2,300.00 Rp 15,000 Rp 34,500,000 55.00 Rp 15,000.00 Rp 825,000
317 STABIMED 1000 ML 2016 73.00 Rp 682,000 Rp 49,786,000 2.00 Rp 682,000.00 Rp 1,364,000
318 STOMACH TUBE NO. 18 (SAFEED) 125 CM 2016 625.00 Rp 25,426 Rp 15,891,250 40.00 Rp 25,426.00 Rp 1,017,040
1 2 3 4 5 6 Rp 7 Rp 8 15 Rp 16.00 Rp 17 18 19 13
319 STOMACH TUBE NO.12 (SAFEED) 125 CM 2016 435.00 Rp 25,426 Rp 11,060,310 74.00 Rp 25,426.00 Rp 1,881,524
320 STOMACH TUBE NO.14 (SAFEED) 125 CM 2016 350.00 Rp 25,426 Rp 8,899,100 30.00 Rp 25,426.00 Rp 762,780
321 STOMACH TUBE NO.16 (SAFEED) 125 CM 2016 640.00 Rp 25,426 Rp 16,272,640 152.00 Rp 25,426.00 Rp 3,864,752
322 SUCTION CATHETER NO 10 2016 81.00 Rp 8,981 Rp 727,461 - Rp 8,981.00 Rp -
323 SUCTION CATHETER NO 12 2016 152.00 Rp 8,981 Rp 1,365,112 30.00 Rp 8,981.00 Rp 269,430
324 SUCTION CATHETER NO 16 2016 202.00 Rp 8,981 Rp 1,814,162 9.00 Rp 8,981.00 Rp 80,829
325 SUCTION CATHETER NO 6 2016 20.00 Rp 8,981 Rp 179,620 - Rp 8,981.00 Rp -
326 SUCTION CATHETER NO. 14 2016 55.00 Rp 8,981 Rp 493,955 41.00 Rp 8,981.00 Rp 368,221
327 SUCTION CATHETER NO. 8 2016 325.00 Rp 8,981 Rp 2,918,825 175.00 Rp 8,981.00 Rp 1,571,675
328 SUFRATULLE (BIOPLASENTON) 2016 480.00 Rp 22,597 Rp 10,846,752 340.00 Rp 22,597.40 Rp 7,683,116
329 SURFLO WINGED INFUSION SET NO. 23 G X 3/4" 2016 2,700.00 Rp 13,176 Rp 35,575,200 250.00 Rp 13,176.00 Rp 3,294,000
330 SURFLO WINGED INFUSION SET NO. 25 G X 3/4" 2016 3,550.00 Rp 13,176 Rp 46,774,800 50.00 Rp 13,176.00 Rp 658,800
331 SURGICAL (JARUM Δ) NO. 10 2016 528.00 Rp 4,217 Rp 2,226,400 - Rp 4,216.67 Rp -
334 SURGICAL (JARUM Δ) NO. 13 2016 156.00 Rp 4,217 Rp 657,800 - Rp 4,216.67 Rp -
338 SURGICAL (JARUM○) NO. 11 2016 564.00 Rp 4,217 Rp 2,378,200 12.00 Rp 4,216.67 Rp 50,600
339 SURGICAL (JARUM○) NO. 12 2016 12.00 Rp 4,217 Rp 50,600 12.00 Rp 4,216.67 Rp 50,600
340 SURGICAL (JARUM○) NO. 13 2016 156.00 Rp 4,217 Rp 657,800 - Rp 4,216.67 Rp -
341 SURGICAL (JARUM○) NO. 14 2016 864.00 Rp 4,217 Rp 3,643,200 168.00 Rp 4,216.67 Rp 708,400
342 SURGICAL (JARUM○) NO. 7 2016 120.00 Rp 4,217 Rp 506,000 - Rp 4,216.67 Rp -
343 SURGICAL (JARUM○) NO. 8 2016 444.00 Rp 4,217 Rp 1,872,200 - Rp 4,216.67 Rp -
344 SURGICAL (JARUM○) NO. 9 2016 384.00 Rp 4,217 Rp 1,619,200 - Rp 4,216.67 Rp -
345 SURGICAL NEEDLES (JARUM ○) 40 1/2 CIRCLE 2016 12.00 Rp 4,217 Rp 50,600 12.00 Rp 4,216.67 Rp 50,600
346 SURGICAL NEEDLES (JARUM ○) 55 1/2 CIRCLE 2016 228.00 Rp 4,217 Rp 961,400 - Rp 4,216.67 Rp -
347 SURGICAL NEEDLES (JARUM ○) 60 1/2 CIRCLE 2016 288.00 Rp 4,217 Rp 1,214,400 - Rp 4,216.67 Rp -
350 SURGICAL NEEDLES (JARUM Δ) 55 1/2 CIRCLE 2016 228.00 Rp 4,217 Rp 961,400 12.00 Rp 4,216.67 Rp 50,600
351 SURGICAL NEEDLES (JARUM Δ) 60 1/2 CIRCLE 2016 168.00 Rp 4,217 Rp 708,400 - Rp 4,216.67 Rp -
354 TEGADERM FOR GENERAL IV 1622 (5 CM X 5.7 CM) 2016 100.00 Rp 5,819 Rp 581,900 - Rp 5,819.00 Rp -
355 THORACIC CATHETER WITH TROCARD NO.24 2016 140.00 Rp 215,878 Rp 30,222,920 - Rp 215,878.00 Rp -
356 TOUNGE SPATEL KAYU 2016 300.00 Rp 176 Rp 52,938 300.00 Rp 176.46 Rp 52,938
357 T-PIECE 2016 35.00 Rp 44,275 Rp 1,549,625 27.00 Rp 44,275.00 Rp 1,195,425
358 TRANCHEOSTOMY TUBE WITH CUFFED NO.7 2016 5.00 Rp 373,965 Rp 1,869,825 - Rp 373,965.00 Rp -
359 TRANCHEOSTOMY TUBE WITH CUFFED NO.7.5 2016 3.00 Rp 373,965 Rp 1,121,895 - Rp 373,965.00 Rp -
360 TRANSOFIX 2016 400.00 Rp 3,400 Rp 1,360,000 350.00 Rp 3,400.00 Rp 1,190,000
361 TRANSPORE 1527-0 (1/2X1,25)/LECOPOR 2016 318.00 Rp 40,000 Rp 12,720,000 - Rp 40,000.00 Rp -
362 ULTRASOUND GEL 2016 66.00 Rp 34,528 Rp 2,278,848 35.00 Rp 34,528.00 Rp 1,208,480
363 UMBILICAL SWAB 16 X 16 CM 2016 208.00 Rp 481 Rp 99,986 - Rp 480.70 Rp -
364 UMBILICARD CORD CLAMP 2016 13,500.00 Rp 1,000 Rp 13,500,000 250.00 Rp 1,000.00 Rp 250,000
365 UNDER PAD 2016 3,224.00 Rp 4,583 Rp 14,776,882 934.00 Rp 4,583.40 Rp 4,280,896
366 UREOFIX 500 ML 2016 60.00 Rp 264,000 Rp 15,840,000 60.00 Rp 264,000.00 Rp 15,840,000
367 URINAL 2016 40.00 Rp 5,000 Rp 200,000 - Rp 5,000.00 Rp -
368 URINE BAG STERIL 2000CC 2016 6,370.00 Rp 3,810 Rp 24,269,700 380.00 Rp 3,810.00 Rp 1,447,800
369 VASELINE 2016 3.00 Rp 100,750 Rp 302,250 2.00 Rp 100,750.00 Rp 201,500
370 WASH GLOVES4 SHEETS NON PARFUM 2016 132.00 Rp 2,059 Rp 271,758 132 Rp 2,058.77 Rp 271,758
371 WASH GLOVES4 SHEETS NON PARFUM SZ.15 X 22 2016 3,140.00 Rp 1,013 Rp 3,180,820 3,140 Rp 1,013.00 Rp 3,180,820
372 WINGS NEEDLE 23 G X 3/4" 2016 19.00 Rp 13,176 Rp 250,349 - Rp 13,176.24 Rp -
373 WINGS NEEDLE 27 G X 3/4" 2016 119.00 Rp 13,176 Rp 1,567,973 - Rp 13,176.24 Rp -
374 WOUND GEL 30 ML 2016 20.00 Rp 203,500 Rp 4,070,000 20.00 Rp 203,500.00 Rp 4,070,000
375 WOUND GEL 50 G 2016 9.00 Rp 286,000 Rp 2,574,000 9.00 Rp 286,000.00 Rp 2,574,000
BHP SPESIALISTIK 2016 Rp 210,587,050 Rp 5,692,308

1 CARBACHLOL INTRAOCULAR SOLUTION 280 Rp 84,165 Rp 23,566,200 - Rp 84,165.00 Rp -
2 HYDROXYPROPYL METHYLCELLULOSE(HPMC) IP 2% (APAVIS) 211 Rp 138,462 Rp 29,215,482 - Rp 138,462.00 Rp -
3 CRESCENT KNIFE, SIZE 2.2 MM 156 Rp 246,154 Rp 38,400,024 6.00 Rp 246,154.00 Rp 1,476,924
4 DOP MATA BENING 150 Rp 11,538 Rp 1,730,700 - Rp 11,538.00 Rp -
5 KERATOME KNIFE SIZE 2.75(SLIT ANGLED SAFETY KNIFE) 150 Rp 246,154 Rp 36,923,100 6.00 Rp 246,154.00 Rp 1,476,924
6 TRIPAN BLUE OPHTHALMIC SOLUTION 0,6 MG/ML 210 Rp 84,165 Rp 17,674,650 Rp 84,165.00 Rp -
7 OPTIKA INTRAOCULAR (IOL) LENS NO 22,5 189 Rp 153,846 Rp 29,076,894 10.00 Rp 153,846.00 Rp 1,538,460
8 STAB KNIFE, SIZE 15 150 Rp 200,000 Rp 30,000,000 6.00 Rp 200,000.00 Rp 1,200,000
9 MICRO CAUTER/CAUTERY 1000 FINE TIP 20 Rp 200,000 Rp 4,000,000 - Rp 200,000.00 Rp -
1 2 3 4 5 6 Rp 7 Rp 8 15 Rp 16.00 Rp 17 18 19 13
TAHUN 2017
BHP MEDIS
Rp 919,848,674
Rp 105,086,581
1 ALKACIDE 3.00 Rp 2,702,700 Rp 8,108,100 3 Rp 2,702,700.00 Rp 8,108,100 BLUD
2 ALKACIDE 5.00 Rp 2,702,700 Rp 13,513,500 4 Rp 2,702,700.00 Rp 10,810,800 BLUD
3 ALKACIDE 20.00 Rp 2,702,700 Rp 54,054,000 Rp 2,702,700.00 Rp - APBD
4 ALKAZYME 10.00 Rp 800,978 Rp 8,009,782 1 Rp 800,978.20 Rp 800,978 BLUD
5 ALKAZYME 20.00 Rp 801,000 Rp 16,020,000 Rp 801,000.00 Rp - APBD
6 ALKOHOL SWAP 50,000.00 Rp 197 Rp 9,840,000 1,000 Rp 196.80 Rp 196,800 APBD
7 ASKINA FOAM 10 X 10 CM 300.00 Rp 67,500 Rp 20,250,120 - Rp 67,500.40 Rp - APBD
8 BENANG BEDAH CAT GUT PLAIN 3/0 CUTTING 180.00 Rp 57,750 Rp 10,395,000 60 Rp 57,750.00 Rp 3,465,000
9 BENANG COROLENE 3/0 TUPPER 200.00 Rp 106,410 Rp 21,282,000 - Rp 106,410.00 Rp - APBD
10 BENANG COROLENE 5/0TUPPER 240.00 Rp 167,699 Rp 40,247,760 - Rp 167,699.00 Rp - APBD
11 BENANG COROLINE 2/0 TUPER 6.00 Rp 97,610 Rp 585,657 6 Rp 97,609.54 Rp 585,657 BLUD
12 BENANG COROLINE 2/0 TUPER 36.00 Rp 90,240 Rp 3,248,643 36 Rp 90,240.09 Rp 3,248,643 BLUD
13 BENANG COROLINE 4/0 TUPPER 35.00 Rp 116,160 Rp 4,065,600 14 Rp 116,160.00 Rp 1,626,240 BLUD
14 BENANG COROLINE 4/0 TUPPER 14.00 Rp 116,160 Rp 1,626,240 Rp 116,160.00 Rp - BLUD
15 BENANG FILAPEAU 4/0 CUTTING 300.00 Rp 42,113 Rp 12,633,900 - Rp 42,113.00 Rp - APBD
16 BENANG OPTIME 1 TUPPER 250.00 Rp 74,073 Rp 18,518,250 Rp 74,073.00 Rp - APBD
17 BENANG OPTIME 1 TUPPER 600.00 Rp 78,961 Rp 47,376,600 Rp 78,961.00 Rp - APBD
18 BENANG OPTIME 2/0 TUPPER 200.00 Rp 67,681 Rp 13,536,200 Rp 67,681.00 Rp - APBD
19 BENANG OPTIME 3/0 CUTTING 150.00 Rp 12,100 Rp 1,815,000 - Rp 12,100.00 Rp -
20 BENANG SILKAM 4/0 CUTTING SOIE/SILK 144.00 Rp 48,400 Rp 6,969,600 108 Rp 48,400.00 Rp 5,227,200 BLUD
21 BISTURI/BLADE NO. 11 1,500.00 Rp 3,000 Rp 4,500,000 Rp 3,000.00 Rp - APBD
22 BISTURI/BLADES NO.15 300.00 Rp 5,115 Rp 1,534,500 200 Rp 5,115.00 Rp 1,023,000
23 BISTURI/BLADES NO.15 1,500.00 Rp 3,000 Rp 4,500,000 - Rp 3,000.00 Rp - APBD
24 BLOOD SET (SANGOFIX) 250.00 Rp 13,970 Rp 3,492,500 Rp 13,970.00 Rp - BLUD
25 BONE WAX 1,007.00 Rp 51,800 Rp 52,162,600 - Rp 51,800.00 Rp - APBD
26 CANNOFIX-PU 6 X 8 CM 400.00 Rp 6,850 Rp 2,739,876 257 Rp 6,849.69 Rp 1,760,370 BLUD
27 CANNOFIX-PU 6 X 8 CM 250.00 Rp 6,850 Rp 1,712,500 Rp 6,850.00 Rp - APBD
28 CATHEJELL 12,5 G 800.00 Rp 41,600 Rp 33,280,000 Rp 41,600.00 Rp - APBD
29 CLOSE SUCTION 20.00 Rp 341,556 Rp 6,831,110 20 Rp 341,555.50 Rp 6,831,110 BLUD
30 CPAC DELIVERY SYSTEM SIRCUIT 10.00 Rp 3,437,500 Rp 34,375,000 10 Rp 3,437,500.00 Rp 34,375,000 BLUD
31 CUTICELL CLASSIC 10 CM X 10 CM 500.00 Rp 5,198 Rp 2,599,000 - Rp 5,198.00 Rp - APBD
32 DARYANT-TULLE STERILE 250.00 Rp 16,200 Rp 4,050,000 60 Rp 16,200.00 Rp 972,000 BLUD
33 DISCOFIC -3 WAY + 10 TUBING (PANJANG) 250.00 Rp 27,225 Rp 6,806,250 Rp 27,225.00 Rp - BLUD
34 EXTENTION TUBE 150 CM - 1,5 CM 150.00 Rp 48,500 Rp 7,275,000 50 Rp 48,500.00 Rp 2,425,000 BLUD
35 FOLLY CHATTER NO.14 285.00 Rp 12,100 Rp 3,448,500 - Rp 12,100.00 Rp - APBD
36 FOLLY CHATTER NO.14 15.00 Rp 12,100 Rp 181,500 - Rp 12,100.00 Rp - APBD
37 GUEDEL AIRWAY NO.3 50.00 Rp 22,500 Rp 1,125,000 - Rp 22,500.00 Rp - BLUD
38 GUEDEL AIRWAY NO.3 100.00 Rp 14,200 Rp 1,420,000 Rp 14,200.00 Rp - BLUD
39 GUEDEL AIRWAY NO.4 20.00 Rp 22,500 Rp 450,000 Rp 22,500.00 Rp - BLUD
40 GUEDEL AIRWAY NO.2 100.00 Rp 14,200 Rp 1,420,000 Rp 14,200.00 Rp - BLUD
41 HANDRUB 5 L 120.00 Rp 580,000 Rp 69,600,000 - Rp 580,000.00 Rp - APBD
42 HANDRUB 500 ML 200.00 Rp 60,800 Rp 12,160,000 - Rp 60,800.00 Rp - APBD
43 HANDSCHOEN NON STERIL SZ. M 1,600.00 Rp 627 Rp 1,003,200 Rp 627.00 Rp - APBD
44 HANDSCHOEN NON STERIL SZ. M 48,400.00 Rp 627 Rp 30,346,800 Rp 627.00 Rp - APBD
45 HANDSCHOEN NON STERIL SZ. S 12,800.00 Rp 627 Rp 8,025,600 11,200 Rp 627.00 Rp 7,022,400 APBD
46 HANSCOON STERIL GLOVES 6 500.00 Rp 7,794 Rp 3,896,750 - Rp 7,793.50 Rp - BLUD
47 HANSCOON STERIL GLOVES 6,5 250.00 Rp 7,782 Rp 1,945,375 - Rp 7,781.50 Rp - BLUD
48 HANSCOON STERIL GLOVES 6,5 50.00 Rp 7,794 Rp 389,675 Rp 7,793.50 Rp - BLUD
49 HANSCRUB 5 L 120.00 Rp 640,800 Rp 76,896,000 - Rp 640,800.00 Rp - APBD
50 INFUSET MAKRO (TROGE) 1,900.00 Rp 5,445 Rp 10,345,500 240 Rp 5,445.00 Rp 1,306,800 BLUD
51 INFUSET MAKRO (TROGE) 2,000.00 Rp 5,445 Rp 10,890,000 Rp 5,445.00 Rp - APBD
52 INFUSET MAKRO (TROGE) 1,000.00 Rp 5,445 Rp 5,445,000 Rp 5,445.00 Rp - BLUD
53 KASA PEMBALUT 4 X 15 CM DRC 2,000.00 Rp 3,800 Rp 7,600,000 - Rp 3,800.00 Rp - APBD
54 KONDOM 24.00 Rp 25,000 Rp 600,000 24 Rp 25,000.00 Rp 600,000
55 LOGICATH CVC 3L 12F 20 CM 9.00 Rp 772,445 Rp 6,952,005 Rp 772,445.00 Rp -
56 MASKER KARET (TIE ON) 10,000.00 Rp 439 Rp 4,389,000 50 Rp 438.90 Rp 21,945 APBD
57 MASKER KARET (TIE ON) 4,000.00 Rp 550 Rp 2,200,000 Rp 550.00 Rp - APBD
58 MASKER TALI (EARLOOP) 2,000.00 Rp 439 Rp 877,800 Rp 438.90 Rp - APBD
59 NASAL TUBING 100 MM 5.00 Rp 682,000 Rp 3,410,000 5 Rp 682,000.00 Rp 3,410,000 BLUD
60 NASAL TUBING 50 MM 2.00 Rp 682,000 Rp 1,364,000 2 Rp 682,000.00 Rp 1,364,000 BLUD
61 NEBULIZER MASH ADULT 500.00 Rp 28,300 Rp 14,149,999 20 Rp 28,300.00 Rp 566,000 APBD
62 NEBULIZER MASH CHILD 110.00 Rp 28,300 Rp 3,113,000 Rp 28,300.00 Rp - APBD
63 OXIGEN (O2) SUPPLAY ANAK/NASAL CANUL A 500.00 Rp 10,000 Rp 5,000,000 Rp 10,000.00 Rp - APBD
64 OXIGEN (O2) SUPPLAY DEWASA/NASAL CANUL D 500.00 Rp 10,000 Rp 5,000,000 Rp 10,000.00 Rp - APBD
65 PEMBALUT ELASTIS 10 X 4.55 CM 200.00 Rp 21,406 Rp 4,281,200 Rp 21,406.00 Rp - APBD
66 PEMBALUT ELASTIS 15X 4.55 CM 600.00 Rp 29,189 Rp 17,513,400 Rp 29,189.00 Rp - APBD
67 PEMBALUT ELASTIS 7,5 X 4.55 CM 200.00 Rp 17,515 Rp 3,503,000 Rp 17,515.00 Rp - APBD
68 POSTOFIX-PU 10 X 10 CM 300.00 Rp 30,285 Rp 9,085,461 - Rp 30,284.87 Rp - BLUD
69 POSTOFIX-PU 10 X 15 CM 350.00 Rp 8,052 Rp 2,818,057 - Rp 8,051.59 Rp - BLUD
1 2 3 4 5 6 Rp 7 Rp 8 15 Rp 16.00 Rp 17 18 19 13
70 POSTOFIX-PU 10 X 25CM 300.00 Rp 29,379 Rp 8,813,823 80 Rp 29,379.41 Rp 2,350,353 APBD
71 POSTOFIX-PU 10 X 25CM 400.00 Rp 29,379 Rp 11,751,764 Rp 29,379.41 Rp -
72 SAFETY BOX SIZE.12,5 L 200.00 Rp 32,861 Rp 6,572,200 Rp 32,861.00 Rp - APBD
73 SPINAL NEEDLE NO. 25 (SPINOCAN 25 G) 1,049.00 Rp 32,000 Rp 33,568,000 Rp 32,000.00 Rp - APBD
74 SPINAL NEEDLE NO. 26 (SPINOCAN 26 G) 1,000.00 Rp 32,000 Rp 32,000,000 Rp 32,000.00 Rp - APBD
75 SPUIT 1 CC 1,000.00 Rp 1,614 Rp 1,613,990 500 Rp 1,613.99 Rp 806,995 BLUD
76 SPUIT 10 CC 1,600.00 Rp 2,000 Rp 3,199,952 - Rp 1,999.97 Rp - BLUD
77 SPUIT 3 CC 7,000.00 Rp 1,138 Rp 7,965,930 3,400 Rp 1,137.99 Rp 3,869,166 BLUD
78 SPUIT 5 CC 2,000.00 Rp 1,600 Rp 3,200,000 1,400 Rp 1,600.00 Rp 2,240,000 BLUD
79 STOMACH TUBE NO.12 (SAFEED) 125 CM 100.00 Rp 15,373 Rp 1,537,300 Rp 15,373.00 Rp - APBD
80 SUCTION CATHETER NO. 14 50.00 Rp 6,639 Rp 331,925 11 Rp 6,638.50 Rp 73,024 APBD
81 BENANG COROLINE 0 CUTTING 6.00 Rp 82,280 Rp 493,680 Rp 82,280.00 Rp -
BHP SPESIALISTIK 2017 Rp 504,990

1 CARBACHLOL INTRAOCULAR SOLUTION Rp 84,165 Rp - Rp 84,165.00 Rp -
2 CRESCENT KNIFE, SIZE 2.2 MM Rp 246,154 Rp - Rp 246,154.00 Rp -
3 DOP MATA BENING Rp 11,538 Rp - Rp 11,538.00 Rp -
4 HYDROXYPROPYL METHYLCELLULOSE(HPMC) IP 2% (APAVIS) Rp 138,462 Rp - Rp 138,462.00 Rp -
5 KERATOME KNIFE SIZE 2.75(SLIT ANGLED SAFETY KNIFE) Rp 246,154 Rp - Rp 246,154.00 Rp -
6 MICRO CAUTER/CAUTERY 1000 FINE TIP Rp 200,000 Rp - Rp 200,000.00 Rp -
7 OPTIKA INTRAOCULAR (IOL) LENS NO 22,5 Rp 153,846 Rp - Rp 153,846.00 Rp -
8 OPTIKA INTRAOCULAR (IOL) LENS NO 22,5 Rp - Rp - Rp -
9 STAB KNIFE, SIZE 15 Rp 200,000 Rp - Rp 200,000.00 Rp -
10 SURGICAL SKIN MARKER 50.00 Rp 98,000 Rp 4,900,000 Rp 98,000.00 Rp -
11 TRIPAN BLUE OPHTHALMIC SOLUTION 0,6 MG/ML 6.00 Rp 84,165 Rp 504,990 6 Rp 84,165.00 Rp 504,990
Pekanbaru, 08 Maret 2017 Pekanbaru, 08 Maret 2017

Penanggung jawab,
PENGGUNA BARANG PENGURUS BARANG PENGURUS BARANG
dr. SYLVANA ESTHERLITA, M.Kes AKMAL BUDIARSA, AMF AKMAL BUDIARSA, AMF
NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022 NIP. 19850923 201001 1 022
CONTOH LAPORAN BARANG PERSEDIAAN
[KUASA] PENGGUNA BARANG
SEMESTER : PERTAMA
TAHUN ANGGARAN : 2017
ORGANISASI PERANGKAT DAERAH : RSUD PETALA BUMI
NILAI NILAI
MUTASI
NO RINCIAN S.D 31 DESEMBER 2016 S.D 31JUNI 2017
JUMLAH RUPIAH RUPIAH UNIT (+) RUPIAH RUPIAH (+) UNIT (-) RUPIAH (-) RUPIAH UNIT (-)ED RUPIAH (-)ED JUMLAH RUPIAH
1 2 3.00 4 5 6 7 8.00 9.00 10
1 Material Kesehatan
BHP SPESIALISTIK 2016 210,587,050.00 Rp 5,692,308 Rp 49,208,706 Rp 155,686,036

CARBACHLOL INTRAOCULAR SOLUTION 280.00 84,165 23,566,200.00 - Rp 84,165.00 Rp - 10.00 Rp 841,650 270.00 Rp 22,724,550
SURGICAL SKIN MARKER 98,000 - - Rp 98,000.00 Rp - -
BHP MEDIS 2016

BHP MEDIS 2016 6,203,668,853.72 357,334.00 Rp 1,311,248,618 Rp 386,484,259 Rp 4,505,935,977
1 ACTIMOVE M 3.00 105,000 315,000.00 - 105,000 Rp - 3.00 Rp 315,000 - Rp -

2 ACTIMOVE S 6.00 105,000 630,000.00 - 105,000 Rp - 6.00 630,000.00 - Rp -
3 ALKOHOL 70% 1,545.00 34,155 52,769,475.00 305.00 34,155 Rp 10,417,275 - - 1,240.00 Rp 42,352,200.00
4 ALKOHOL 96% 253.00 37,950 9,601,350.00 44.00 37,950 Rp 1,669,800 - - 209.00 Rp 7,931,550.00
5 ALKOHOL SWAP 45,500.00 380 17,267,250.00 45,500.00 380 Rp 17,267,250 - - - Rp -
6 AQUADEST 20 L 49.00 73,935 3,622,815.00 - 73,935 Rp - - - 49.00 Rp 3,622,815.00
7 AQUADEST 1L 796.00 13,020 10,363,920.00 73.00 13,020 Rp 950,460 - - 723.00 Rp 9,413,460.00
8 ASKINA CALGITROL AG 10 X 10 CM 17.00 120,000 2,040,000.00 15.00 120,000 Rp 1,800,000 - - 2.00 Rp 240,000.00
9 ASKINA CLGITROL PASTE 15 G 10.00 74,545 745,450.00 10.00 74,545 Rp 745,450 - - - Rp -
10 ASKINA DERM 10 X 12 CM 37.00 29,000 1,073,000.00 37.00 29,000 Rp 1,073,000 - - - Rp -
11 ASKINA GEL 15 G 10.00 80,876 808,760.20 - 80,876 Rp - 10.00 808,760.00 - Rp -
12 ASKINA SOFT CLEAR I.V 8 X 6 CM 99.00 10,500 1,039,500.00 99.00 10,500 Rp 1,039,500 - - - Rp -
13 ASKINA SORB 10 X 10 CM 15.00 70,000 1,050,000.00 15.00 70,000 Rp 1,050,000 - - - Rp -
14 BAYCLIN 470.00 15,000 7,050,000.00 54.00 15,000 Rp 810,000 - - 416.00 Rp 6,240,000.00
15 BENANG BEDAH MONOSYN 2/0 HRT 37 72.00 95,508 6,876,540.00 - 95,508 Rp - - - 72.00 Rp 6,876,540.00
16 BENANG BEDAH MONOSYN 3/0 DS 24 UNDYED 216.00 97,608 21,083,414.40 36.00 97,608 Rp 3,513,902 - - 180.00 Rp 17,569,512.00
17 BENANG BEDAH MONOSYN 3/0 DS 24 VIOLET CUTTING 144.00 100,368 14,453,049.60 144.00 100,368 Rp 14,453,050 - - - Rp -
18 BENANG BEDAH MONOSYN 4/0 DS 24 102.00 153,698 15,677,145.00 - 153,698 Rp - - - 102.00 Rp 15,677,145.00
19 BENANG BEDAH ATRAMAT CHROMIC 2/0 CUTTING 12.00 72,600 871,200.00 - 72,600 Rp - - - 12.00 Rp 871,200.00
20 BENANG BEDAH ATRAMAT CHROMIC 3/0 CUTTING 12.00 97,608 1,171,300.80 12.00 97,608 Rp 1,171,301 - - - Rp -
21 BENANG BEDAH ATRAMAT PGA 3/0 CUTTING 12.00 115,300 1,383,600.00 12.00 115,300 Rp 1,383,600 - - - Rp -
22 BENANG BEDAH ATRAMAT PGA 3/0 TAPPER 132.00 115,300 15,219,600.00 120.00 115,300 Rp 13,836,000 - - 12.00 Rp 1,383,600.00
23 BENANG BEDAH ATRAMAT PGA 5-0 CUTTING 12.00 115,300 1,383,600.00 - 115,300 Rp - - - 12.00 Rp 1,383,600.00
24 BENANG BEDAH CAT GUT 1 TAPPER 48.00 129,381 6,210,288.00 36.00 129,381 Rp 4,657,716 - - 12.00 Rp 1,552,572.00
25 BENANG BEDAH CAT GUT CHROMIC 0 TAPPER 396.00 380,000 150,480,000.00 48.00 380,000 Rp 18,240,000 - - 348.00 Rp 132,240,000.00
26 BENANG BEDAH CAT GUT CHROMIC 1 HR 37 S 48.00 129,381 6,210,288.00 48.00 129,381 Rp 6,210,288 - - - Rp -
27 BENANG BEDAH CAT GUT CHROMIC 1 ROLL 8.00 2,032,800 16,262,400.00 - 2,032,800 Rp - - - 8.00 Rp 16,262,400.00
28 BENANG BEDAH CAT GUT CHROMIC 2 ROLL 6.00 678,449 4,070,694.00 3.00 678,449 Rp 2,035,347 - - 3.00 Rp 2,035,347.00
29 BENANG BEDAH CAT GUT CHROMIC 2 TAPPER 564.00 94,243 53,152,770.00 192.00 94,243 Rp 18,094,560 - - 372.00 Rp 35,058,210.00
30 BENANG BEDAH CAT GUT CHROMIC 2/0 ROLL 10.00 940,554 9,405,540.00 9.00 940,554 Rp 8,464,986 - - 1.00 Rp 940,554.00
31 BENANG BEDAH CAT GUT CHROMIC 2/0 TAPPER 228.00 91,713 20,910,450.00 228.00 91,713 Rp 20,910,450 - - - Rp -
32 BENANG BEDAH CAT GUT CHROMIC 3 ROLL 12.00 717,750 8,613,000.00 - 717,750 Rp - - - 12.00 Rp 8,613,000.00
33 BENANG BEDAH CAT GUT CHROMIC 3/0 DS 24 84.00 86,254 7,245,336.00 36.00 86,254 Rp 3,105,144 - - 48.00 Rp 4,140,192.00
34 BENANG BEDAH CAT GUT CHROMIC 3/0 ROLL 15.00 911,328 13,669,920.00 1.00 911,328 Rp 911,328 - - 14.00 Rp 12,758,592.00
35 BENANG BEDAH CAT GUT CHROMIC 4/0 ROLL 3.00 2,032,800 6,098,400.00 - 2,032,800 Rp - - - 3.00 Rp 6,098,400.00
36 BENANG BEDAH CAT GUT PLAIN 0 CUTTING 24.00 75,800 1,819,200.00 24.00 75,800 Rp 1,819,200 - - - Rp -
37 BENANG BEDAH CAT GUT PLAIN 0 TAPPER 456.00 65,875 30,039,000.00 - 65,875 Rp - - - 456.00 Rp 30,039,000.00
38 BENANG BEDAH CAT GUT PLAIN 1 HR 35S TAPPER 36.00 47,626 1,714,536.00 - 47,626 Rp - - - 36.00 Rp 1,714,536.00
39 BENANG BEDAH CAT GUT PLAIN 2/0 HRT 35S CUTTING 48.00 47,626 2,286,048.00 12.00 47,626 Rp 571,512 - - 36.00 Rp 1,714,536.00
40 BENANG BEDAH CAT GUT PLAIN 3/0 CUTTING 96.00 47,626 4,572,096.00 96.00 47,626 Rp 4,572,096 - - - Rp -
41 BENANG BEDAH DAFILON 10/0 24.00 176,400 4,233,600.00 - 176,400 Rp - 12.00 2,116,800.00 12.00 Rp 2,116,800.00
42 BENANG BEDAH DAFILON 5/0 DS 12 36.00 176,400 6,350,400.00 - 176,400 Rp - - - 36.00 Rp 6,350,400.00
43 BENANG BEDAH PREMILENE 3/0 DS 19 CUTTING 156.00 51,989 8,110,241.88 84.00 51,989 Rp 4,367,053 - - 72.00 Rp 3,743,188.56
44 BENANG BEDAH PREMILENE 4/0 DS 19 (CUTTING) 36.00 51,989 1,871,594.28 36.00 51,989 Rp 1,871,594 - - - Rp -
45 BENANG BEDAH PREMILENE 5/0 HR 16 CUTTING 144.00 103,333 14,880,000.00 36.00 103,333 Rp 3,720,000 - - 108.00 Rp 11,160,000.00
46 BENANG BEDAH PREMILENE 6/0 DS 12 CUTTING 127.00 57,186 7,262,578.82 - 57,186 Rp - - - 127.00 Rp 7,262,578.82
47 BENANG BEDAH SAFIL 1 HRT 37S TAPPER 144.00 99,550 14,335,200.00 72.00 99,550 Rp 7,167,600 - - 72.00 Rp 7,167,600.00
48 BENANG BEDAH SAFIL 3/0 CUTTING 36.00 99,506 3,582,216.00 - 99,506 Rp - - - 36.00 Rp 3,582,216.00
49 BENANG BEDAH SAFIL 3/0 TAPPER 71.00 99,506 7,064,926.00 35.00 99,506 Rp 3,482,710 - - 36.00 Rp 3,582,216.00
50 BENANG BEDAH SAFIL 4/0 HR 24 CUTTING 720.00 105,917 76,260,000.00 72.00 105,917 Rp 7,626,000 - - 648.00 Rp 68,634,000.00
51 BENANG BEDAH SAFIL 5/0 HR 16 CUTTING 540.00 142,083 76,724,820.00 - 142,083 Rp - - - 540.00 Rp 76,724,820.00
52 BENANG BEDAH SAFIL 8/0 VIOLET 60.00 176,400 10,584,000.00 - 176,400 Rp - - - 60.00 Rp 10,584,000.00
53 BENANG BEDAH SILK BLACK 0 ROLL 10.00 2,032,800 20,328,000.00 - 2,032,800 Rp - - - 10.00 Rp 20,328,000.00
54 BENANG BEDAH SILK BLACK 0 TAPPER 718.00 77,500 55,645,000.00 34.00 77,500 Rp 2,635,000 - - 684.00 Rp 53,010,000.00
55 BENANG BEDAH SILK BLACK 1 HR 37 TAPPER 72.00 33,406 2,405,236.32 36.00 33,406 Rp 1,202,618 - - 36.00 Rp 1,202,618.16
56 BENANG BEDAH SILK BLACK 1 ROLL 13.00 2,032,800 26,426,400.00 1.00 2,032,800 Rp 2,032,800 - - 12.00 Rp 24,393,600.00
57 BENANG BEDAH SILK BLACK 2/0 HR 24 CUTTING 612.00 64,583 39,525,000.00 41.00 64,583 Rp 2,647,917 - - 571.00 Rp 36,877,083.33
58 BENANG BEDAH SILK BLACK 2/0 HR 26 TAPPER 612.00 64,583 39,525,000.00 - 64,583 Rp - - - 612.00 Rp 39,525,000.00
59 BENANG BEDAH SILK BLACK 2/0 ROLL 27.00 2,032,800 54,885,600.00 - 2,032,800 Rp - - - 27.00 Rp 54,885,600.00
60 BENANG BEDAH SILK BLACK 3/0 DS 24 CUTTING 288.00 25,567 7,363,284.48 288.00 25,567 Rp 7,363,284 - - - Rp -
62 BENANG BEDAH SILK BLACK 4/0 HR 17 TAPPER 576.00 77,500 44,640,000.00 36.00 77,500 Rp 2,790,000 - - 540.00 Rp 41,850,000.00
1 2 3.00 4 5 6 7 8.00 9.00 10
64 BENANG CAT GUT 0 SURGIROLL 2.00 2,032,800 4,065,600.00 - 2,032,800 Rp - - - 2.00 Rp 4,065,600.00
65 BENANG CATGUT PLAIN 0 DS 24 MM 48.00 39,466 1,894,368.00 - 39,466 Rp - - - 48.00 Rp 1,894,368.00
66 BENANG COROLINE 8/0 TUPPER 72.00 529,320 38,111,040.00 - 529,320 Rp - - - 72.00 Rp 38,111,040.00
67 BENANG MONOCRYL UND 70 CM 3/0 PS-1 PRIME CUTTING 72.00 117,843 8,484,700.00 - 117,843 Rp - - - 72.00 Rp 8,484,700.00
68 BENANG OPTIME 1 TUPPER 144.00 78,961 11,370,384.00 70.00 78,961 Rp 5,527,270 - - 74.00 Rp 5,843,114.00
69 BENANG OPTIME 2/0 TUPPER 144.00 67,681 9,746,035.00 36.00 67,681 Rp 2,436,509 - - 108.00 Rp 7,309,526.25
70 BENANG PROLENE 3/0 26 MM REV CUTTING 60.00 68,961 4,137,635.00 - 68,961 Rp - - - 60.00 Rp 4,137,635.00
71 BENANG SOIE/SILK 3/0 TUPPER 144.00 41,361 5,955,984.00 - 41,361 Rp - - - 144.00 Rp 5,955,984.00
72 BENANG VICRYL PLUS SUTURE 2/0 TUPPER 36.00 62,020 2,232,720.00 36.00 62,020 Rp 2,232,720 - - - Rp -
73 BENANG VICRYL PLUS VIO 1 TUPPER 72.00 105,132 7,569,482.00 - 105,132 Rp - - - 72.00 Rp 7,569,482.00
74 BISTURI/BLADE NO. 11 500.00 3,000 1,500,000.00 200.00 3,000 Rp 600,000 - - 300.00 Rp 900,000.00
75 BISTURI/BLADES NO. 12 1,400.00 3,000 4,200,000.00 400.00 3,000 Rp 1,200,000 100.00 300,000.00 900.00 Rp 2,700,000.00
76 BISTURI/BLADES NO.15 300.00 3,000 900,000.00 100.00 3,000 Rp 300,000 200.00 600,000.00 - Rp -
77 BISTURI/BLADES NO.18 1,000.00 3,000 3,000,000.00 200.00 3,000 Rp 600,000 - - 800.00 Rp 2,400,000.00
78 BISTURI/BLADES NO.20 700.00 3,000 2,100,000.00 300.00 3,000 Rp 900,000 - - 400.00 Rp 1,200,000.00
79 BISTURI/BLADES NO.21 1,300.00 3,000 3,900,000.00 200.00 3,000 Rp 600,000 - - 1,100.00 Rp 3,300,000.00
80 BISTURI/BLADES NO.22 600.00 3,000 1,800,000.00 300.00 3,000 Rp 900,000 - - 300.00 Rp 900,000.00
81 BISTURI/BLADES NO.24 1,000.00 3,000 3,000,000.00 247.00 3,000 Rp 741,000 - - 753.00 Rp 2,259,000.00
82 BLOOD SET (SANGOFIX) 2,145.00 13,976 29,978,520.00 1,161.00 13,976 Rp 16,226,136 - - 984.00 Rp 13,752,384.00
83 BLOOD SET PUMP 800.00 42,702 34,161,600.00 - 42,702 Rp - 800.00 34,161,600.00 - Rp -
84 BLUE TIP 30,000.00 2,264 67,930,500.00 - 2,264 Rp - - - 30,000.00 Rp 67,930,500.00
85 BONE WAX 48.00 49,500 2,376,000.00 - 49,500 Rp - 48.00 2,376,000.00 - Rp -
86 BOTOL PENYIMPAN SUSU 4,855.00 4,650 22,575,750.00 89.00 4,650 Rp 413,850 - - 4,766.00 Rp 22,161,900.00
87 BOTOL THD 4,000.00 3,255 13,020,000.00 4,000.00 3,255 Rp 13,020,000 - - - Rp -
88 CAIRAN DESINFECTANT ORTHO-PHATALDEHYDE (CIDEZYM) 38.00 782,339 29,728,882.00 38.00 782,339 Rp 29,728,882 - - - Rp -
89 CAIRAN ENZIMATIK (SIDEX OPA) 72.00 925,277 66,619,944.00 17.00 925,277 Rp 15,729,709 - - 55.00 Rp 50,890,235.00
90 CANNOFIX-PU 6 X 8 CM 200.00 8,470 1,694,000.00 200.00 8,470 Rp 1,694,000 - - - Rp -
91 CERVICAL COLLAR L 5.00 221,100 1,105,500.00 - 221,100 Rp - - - 5.00 Rp 1,105,500.00
92 CERVICAL COLLAR M 8.00 221,100 1,768,800.00 1.00 221,100 Rp 221,100 - - 7.00 Rp 1,547,700.00
93 CERVICAL COLLAR S 8.00 221,100 1,768,800.00 - 221,100 Rp - - - 8.00 Rp 1,768,800.00
94 CHLORO ETHYL 112.00 99,998 11,199,776.00 19.00 99,998 Rp 1,899,962 - - 93.00 Rp 9,299,814.00
95 CUTICELL CLASSIC 10 CM X 10 CM 100.00 9,519 951,910.00 100.00 9,519 Rp 951,910 - - - Rp -
96 CUTICELL CLASSIC 5 CM X 5 CM 10.00 4,466 44,655.00 10.00 4,466 Rp 44,655 - - - Rp -
97 CUTIMED GEL 15 GR 66.00 41,446 2,735,436.00 54.00 41,446 Rp 2,238,084 - - 12.00 Rp 497,352.00
98 CUTIMED SILTEC 10 X 10 CM 16.00 28,869 461,904.00 16.00 28,869 Rp 461,904 - - - Rp -
99 DESINFECTANT TABLET (PRESSEP) 7,900.00 3,721 29,392,108.00 2,650.00 3,721 Rp 9,859,378 - - 5,250.00 Rp 19,532,730.00
100 DISCOFIC -3 WAY + 10 TUBING (PANJANG) 200.00 35,376 7,075,200.00 172.00 35,376 Rp 6,084,672 - - 28.00 Rp 990,528.00
101 DISCOFIC -3 WAY WITH STOPCOCK 700.00 32,160 22,512,000.00 350.00 32,160 Rp 11,256,000 - - 350.00 Rp 11,256,000.00
102 DOCTOR'S SURGEON CAP (TUTUP KELAPA) PRIA 2,800.00 1,059 2,964,640.00 1,400.00 1,059 Rp 1,482,320 - - 1,400.00 Rp 1,482,320.00
103 ELASTOMULL 10 CM X 4 M 90.00 42,061 3,785,490.00 5.00 42,061 Rp 210,305 - - 85.00 Rp 3,575,185.00
106 ELEKTRODY EKG 500.00 50,144 25,072,040.00 - 50,144 Rp - 500.00 25,072,040.00 - Rp -
107 ELETRODA DADA 2228 5,000.00 4,221 21,105,500.00 - 4,221 Rp - - - 5,000.00 Rp 21,105,500.00
108 ELETRODA DADA 2258-3 450.00 15,294 6,882,225.00 - 15,294 Rp - - - 450.00 Rp 6,882,225.00
109 ELETRODA DADA 2560 4,150.00 7,566 31,399,066.00 750.00 7,566 Rp 5,674,530 - - 3,400.00 Rp 25,724,536.00
110 ENDO TRACHEAL TUBE NO. 2,5 KINGKING 5.00 - - 1.00 - Rp - 4.00 - - Rp -
111 ENDO TRACHEAL TUBE NO. 3,0 KINGKING 10.00 38,226 382,263.00 1.00 38,226 Rp 38,226 9.00 344,036.70 - Rp -
112 ENDO TRACHEAL TUBE NO. 3,0 NONKINGKING 50.00 433,521 21,676,050.00 - 433,521 Rp - - - 50.00 Rp 21,676,050.00
113 ENDO TRACHEAL TUBE NO. 3,5 KINGKING 12.00 38,226 458,715.60 - 38,226 Rp - - - 12.00 Rp 458,715.60
114 ENDO TRACHEAL TUBE NO. 3,5 NONKINGKING 10.00 215,050 2,150,500.00 1.00 215,050 Rp 215,050 8.00 1,720,400.00 1.00 Rp 215,050.00
115 ENDO TRACHEAL TUBE NO. 4,0 KINGKING 30.00 433,521 13,005,630.00 - 433,521 Rp - 30.00 13,005,630.00 - Rp -
116 ENDO TRACHEAL TUBE NO. 4,0 NONKINGKING 49.00 433,521 21,242,529.00 - 433,521 Rp - 4.00 1,734,084.00 45.00 Rp 19,508,445.00
117 ENDO TRACHEAL TUBE NO. 4,5 KINGKING 11.00 38,226 420,489.30 - 38,226 Rp - 11.00 420,489.30 - Rp -
118 ENDO TRACHEAL TUBE NO. 4,5 NONKINGKING 12.00 215,050 2,580,600.00 - 215,050 Rp - 8.00 1,720,400.00 4.00 Rp 860,200.00
119 ENDO TRACHEAL TUBE NO. 5,0 KINGKING 20.00 38,266 765,325.00 - 38,266 Rp - 3.00 114,798.75 17.00 Rp 650,526.25
120 ENDO TRACHEAL TUBE NO. 5,0 NONKINGKING 16.00 215,050 3,440,800.00 - 215,050 Rp - 13.00 2,795,650.00 3.00 Rp 645,150.00
121 ENDO TRACHEAL TUBE NO. 5,5 KINGKING 10.00 38,226 382,263.00 - 38,226 Rp - 10.00 382,263.00 - Rp -
123 ENDO TRACHEAL TUBE NO. 6 KINGKING 69.00 52,940 3,652,860.00 - 52,940 Rp - 13.00 688,220.00 56.00 Rp 2,964,640.00
124 ENDO TRACHEAL TUBE NO. 6 NONKINGKING 28.00 215,050 6,021,400.00 20.00 215,050 Rp 4,301,000 8.00 1,720,400.00 - Rp -
125 ENDO TRACHEAL TUBE NO. 6,5 KINGKING 88.00 52,940 4,658,720.00 - 52,940 Rp - 4.00 211,760.00 84.00 Rp 4,446,960.00
127 ENDO TRACHEAL TUBE NO. 7,0 KINGKING 70.00 70,587 4,941,090.00 10.00 70,587 Rp 705,870 25.00 1,764,675.00 35.00 Rp 2,470,545.00
128 ENDO TRACHEAL TUBE NO. 7,0 NONKINGKING 51.00 433,521 22,109,571.00 - 433,521 Rp - - - 51.00 Rp 22,109,571.00
129 ENDO TRACHEAL TUBE NO. 7,5 KINGKING 41.00 52,940 2,170,540.00 - 52,940 Rp - 15.00 794,100.00 26.00 Rp 1,376,440.00
130 ENDO TRACHEAL TUBE NO. 7,5 NONKINGKING 104.00 433,521 45,086,184.00 10.00 433,521 Rp 4,335,210 2.00 867,042.00 92.00 Rp 39,883,932.00
131 ENDO TRACHEAL TUBE NO. 8,0 KINGKING 9.00 38,226 344,036.70 - 38,226 Rp - 1.00 38,226.30 8.00 Rp 305,810.40
132 ENDO TRACHEAL TUBE NO. 8,0 NONKINGKING 11.00 215,050 2,365,550.00 - 215,050 Rp - 11.00 2,365,550.00 - Rp -
133 EXTENTION TUBE 150 CM - 1,5 CM 400.00 38,330 15,331,800.00 400.00 38,330 Rp 15,331,800 - - - Rp -
134 EXTENTION TUBE 75 CM - 2,5 CM 50.00 13,536 676,775.00 - 13,536 Rp - - - 50.00 Rp 676,775.00
135 FEEDING TUBE FR 5 - 40 CM 300.00 8,841 2,652,300.00 150.00 8,841 Rp 1,326,150 - - 150.00 Rp 1,326,150.00
136 FEEDING TUBE FR 5 100 CM 550.00 8,841 4,862,550.00 250.00 8,841 Rp 2,210,250 - - 300.00 Rp 2,652,300.00
137 FEEDING TUBE FR 3,5 35 CM 400.00 8,841 3,536,400.00 200.00 8,841 Rp 1,768,200 - - 200.00 Rp 1,768,200.00
138 FEEDING TUBE FR 8 - 100 CM 500.00 8,841 4,420,500.00 50.00 8,841 Rp 442,050 250.00 2,210,250.00 200.00 Rp 1,768,200.00
139 FEEDING TUBE FR 8 - 40 CM 500.00 8,841 4,420,500.00 100.00 8,841 Rp 884,100 150.00 1,326,150.00 250.00 Rp 2,210,250.00
140 FILM IV DRESS 6 X 7 P 250.00 4,300 1,075,000.00 250.00 4,300 Rp 1,075,000 - - - Rp -
141 FILM IV DRESS 7 X 8 P 300.00 5,800 1,740,000.00 300.00 5,800 Rp 1,740,000 - - - Rp -
142 FOLLEY CATHETER TWO WAY NO 10 70.00 22,138 1,549,625.00 22.00 22,138 Rp 487,025 - - 48.00 Rp 1,062,600.00
143 FOLLEY CATHETER TWO WAY NO 12 170.00 53,130 9,032,100.00 30.00 53,130 Rp 1,593,900 140.00 7,438,200.00 - Rp -
144 FOLLEY CATHETER TWO WAY NO 14 160.00 23,500 3,760,000.00 60.00 23,500 Rp 1,410,000 30.00 705,000.00 70.00 Rp 1,645,000.00
145 FOLLEY CATHETER TWO WAY NO 16 1,720.00 8,000 13,760,000.00 430.00 8,000 Rp 3,440,000 - - 1,290.00 Rp 10,320,000.00
146 FOLLEY CATHETER TWO WAY NO 18 5,170.00 8,000 41,360,000.00 120.00 8,000 Rp 960,000 - - 5,050.00 Rp 40,400,000.00
147 FOLLEY CATHETER TWO WAY NO 20 170.00 17,079 2,903,390.05 - 17,079 Rp - 170.00 2,903,390.05 - Rp -
148 FOLLEY CATHETER TWO WAY NO 6 170.00 63,571 10,807,104.00 14.00 63,571 Rp 889,997 156.00 9,917,107.20 - Rp -
149 FOLLEY CATHETER TWO WAY NO 8 70.00 7,173 502,110.00 10.00 7,173 Rp 71,730 60.00 430,380.00 - Rp -
1 2 3.00 4 5 6 7 8.00 9.00 10
150 FORMALIN CAIR 2.00 48,070 96,140.00 1.00 48,070 Rp 48,070 - - 1.00 Rp 48,070.00
151 GELAS METADON 14,550.00 279 4,059,450.00 14,550.00 279 Rp 4,059,450 - - - Rp -
152 GUEDEL AIRWAY NO.3 50.00 175,835 8,791,750.00 50.00 175,835 Rp 8,791,750 - - - Rp -
153 GUEDEL AIRWAY NO.4 80.00 175,835 14,066,800.00 77.00 175,835 Rp 13,539,295 - - 3.00 Rp 527,505.00
154 GUEDEL AIRWAY NO.0 48.00 181,496 8,711,808.00 7.00 181,496 Rp 1,270,472 - - 41.00 Rp 7,441,336.00
155 GUEDEL AIRWAY NO.00 9.00 181,496 1,633,464.00 - 181,496 Rp - - - 9.00 Rp 1,633,464.00
161 GYPSONA 3 31.00 25,941 804,180.30 - 25,941 Rp - 10.00 259,413.00 21.00 Rp 544,767.30
162 GYPSONA 4 10.00 25,942 259,423.00 - 25,942 Rp - 2.00 51,884.60 8.00 Rp 207,538.40
163 GYPSONA 6 15.00 25,943 389,149.50 - 25,943 Rp - - - 15.00 Rp 389,149.50
164 H202 21.00 28,980 608,580.00 5.00 28,980 Rp 144,900 - - 16.00 Rp 463,680.00
165 HANDSCHOEN GYNECOLOGY 36.00 21,176 762,336.00 21.00 21,176 Rp 444,696 - - 15.00 Rp 317,640.00
166 HANDSCHOEN NON STERIL SZ. L 23,800.00 476 11,328,800.00 - 476 Rp - - - 23,800.00 Rp 11,328,800.00
167 HANDSCHOEN NON STERIL SZ. M 98,900.00 238 23,538,200.00 37,000.00 238 Rp 8,806,000 4,000.00 952,000.00 57,900.00 Rp 13,780,200.00
168 HANDSCHOEN NON STERIL SZ. S 104,100.00 159 16,517,547.00 75,800.00 159 Rp 12,027,186 28,300.00 4,490,361.00 - Rp -
169 HANDSCHOEN NON STERIL SZ. XS 26,000.00 476 12,376,000.00 11,000.00 476 Rp 5,236,000 - - 15,000.00 Rp 7,140,000.00
170 HANDSCHOEN STERIL NO 6 4,000.00 14,548 58,190,000.00 1,400.00 14,548 Rp 20,366,500 100.00 1,454,750.00 2,500.00 Rp 36,368,750.00
171 HANDSCHOEN STERIL NO 6,5 3,200.00 14,548 46,552,000.00 3,200.00 14,548 Rp 46,552,000 - - - Rp -
172 HANDSCHOEN STERIL NO 7 FREE POWDER 6,200.00 20,706 128,374,100.00 885.00 20,706 Rp 18,324,368 - - 5,315.00 Rp 110,049,732.50
173 HANDSCHOEN STERIL NO 7,5 FREE POWDER 7,080.00 20,706 146,594,940.00 560.00 20,706 Rp 11,595,080 - - 6,520.00 Rp 134,999,860.00
174 HANDSCHOEN STERIL NO 8 FREE POWDER 4,560.00 20,706 94,417,080.00 1,840.00 20,706 Rp 38,098,120 - - 2,720.00 Rp 56,318,960.00
175 HELIZYME 1000 ML 50.00 375,000 18,750,000.00 - 375,000 Rp - 50.00 18,750,000.00 - Rp -
176 HEXAQUART PLUS 1 L 35.00 350,000 12,250,000.00 4.00 350,000 Rp 1,400,000 31.00 10,850,000.00 - Rp -
177 HUDSON PROG SIZE 2 10.00 1,594,325 15,943,250.00 - 1,594,325 Rp - - - 10.00 Rp 15,943,250.00
178 HUDSON PROG SIZE 3 10.00 1,594,325 15,943,250.00 - 1,594,325 Rp - - - 10.00 Rp 15,943,250.00
179 HYPAVIX 15 CM X 5 M 366.00 160,173 58,623,318.00 52.00 160,173 Rp 8,328,996 - - 314.00 Rp 50,294,322.00
182 ID-BRAND ANAK WANITA (UNGU) 400.00 1,118 447,048.00 - 1,118 Rp - - - 400.00 Rp 447,048.00
183 ID-BRAND ANAK/ANAK (MERAH) 5,900.00 1,118 6,593,958.00 - 1,118 Rp - - - 5,900.00 Rp 6,593,958.00
184 ID-BRAND ANAK/BAYI (KUNING) 5,700.00 1,118 6,370,434.00 300.00 1,118 Rp 335,286 - - 5,400.00 Rp 6,035,148.00
185 ID-BRAND ANAK/BAYI PRIA (BLUE) 6,300.00 1,118 7,041,006.00 500.00 1,118 Rp 558,810 - - 5,800.00 Rp 6,482,196.00
186 ID-BRAND ANAK/BAYI WANITA (PINK) 20,800.00 1,118 23,246,496.00 200.00 1,118 Rp 223,524 - - 20,600.00 Rp 23,022,972.00
187 ID-BRAND DEWASA (KUNING) 4,500.00 1,118 5,029,290.00 900.00 1,118 Rp 1,005,858 - - 3,600.00 Rp 4,023,432.00
188 ID-BRAND DEWASA (MERAH) 5,300.00 1,118 5,923,386.00 - 1,118 Rp - - - 5,300.00 Rp 5,923,386.00
189 ID-BRAND DEWASA PRIA (BLUE) 13,600.00 1,118 15,199,632.00 1,600.00 1,118 Rp 1,788,192 - - 12,000.00 Rp 13,411,440.00
190 ID-BRAND DEWASA WANITA (PINK) 30,700.00 1,118 34,310,934.00 - 1,118 Rp - - - 30,700.00 Rp 34,310,934.00
191 ID-BRAND DEWASA WANITA (UNGU) 600.00 1,118 670,572.00 - 1,118 Rp - - - 600.00 Rp 670,572.00
192 INFUS SET ANAK (MICRO) / PRIMELINE 790.00 17,391 13,738,890.00 380.00 17,391 Rp 6,608,580 - - 410.00 Rp 7,130,310.00
193 INFUS SET DEWASA (MACRO) / PRIMELINE 880.00 17,670 15,549,600.00 880.00 17,670 Rp 15,549,600 - - - Rp -
194 INFUSET SAFETY (INTRAFIX) 1,000.00 29,701 29,701,000.00 1,000.00 29,701 Rp 29,701,000 - - - Rp -
195 IV CATETER NO.14 33.00 8,355 275,715.00 25.00 8,355 Rp 208,875 - - 8.00 Rp 66,840.00
196 IV CATETER NO.16 SAFETY (INTROCAN) 298.00 8,750 2,607,500.00 4.00 8,750 Rp 35,000 - - 294.00 Rp 2,572,500.00
197 IV CATETER NO.18 1,850.00 8,835 16,344,750.00 480.00 8,835 Rp 4,240,800 - - 1,370.00 Rp 12,103,950.00
198 IV CATETER NO.18 INSYTE 300.00 484 145,200.00 270.00 484 Rp 130,680 - - 30.00 Rp 14,520.00
199 IV CATETER NO.20 2,100.00 8,835 18,553,500.00 1,100.00 8,835 Rp 9,718,500 - - 1,000.00 Rp 8,835,000.00
200 IV CATETER NO.20 SAFETY (INTROCAN) 300.00 484 145,200.00 300.00 484 Rp 145,200 - - - Rp -
201 IV CATETER NO.22 2,000.00 8,835 17,670,000.00 1,809.00 8,835 Rp 15,982,515 - - 191.00 Rp 1,687,485.00
202 IV CATETER NO.22 SAFETY (INTROCAN) 300.00 484 145,200.00 300.00 484 Rp 145,200 - - - Rp -
203 IV CATETER NO.24 250.00 8,835 2,208,750.00 200.00 8,835 Rp 1,767,000 - - 50.00 Rp 441,750.00
204 IV CATETER NO.24 SAFETY (INTROCAN) 2,250.00 484 1,089,000.00 950.00 484 Rp 459,800 - - 1,300.00 Rp 629,200.00
205 IV CATETER NO.26 G X 3 1/2 1,050.00 37,620 39,501,000.00 250.00 37,620 Rp 9,405,000 - - 800.00 Rp 30,096,000.00
206 IV PLUG 5,850.00 11,385 66,602,250.00 250.00 11,385 Rp 2,846,250 1,000.00 11,385,000.00 4,600.00 Rp 52,371,000.00
207 JARUM EPIDURAL 18 G 115.00 223,547 25,707,905.00 1.00 223,547 Rp 223,547 - - 114.00 Rp 25,484,358.00
208 JARUM EPIDURAL SZ 100 , G22 X 100 ML 739.00 256,000 189,184,000.00 24.00 256,000 Rp 6,144,000 - - 715.00 Rp 183,040,000.00
209 JARUM EPIDURAL SZ 50 , G22 X 50 ML 550.00 256,000 140,800,000.00 1.00 256,000 Rp 256,000 - - 549.00 Rp 140,544,000.00
210 KAPAS PEMBALUT 1000 G 48.00 77,307 3,710,720.64 12.00 77,307 Rp 927,680 - - 36.00 Rp 2,783,040.48
211 KAPAS PEMBALUT 500 G 224.00 596,300 133,571,200.00 10.00 596,300 Rp 5,963,000 - - 214.00 Rp 127,608,200.00
212 KASA GULUNG 36X80 DRC 699.00 130,000 90,870,000.00 183.00 130,000 Rp 23,790,000 - - 516.00 Rp 67,080,000.00
213 KASA HIDROFIL 36 M X 80 CM 53.00 126,500 6,704,500.00 53.00 126,500 Rp 6,704,500 - - - Rp -
214 KASA KOMPRES 40X40 CM 4,800.00 1,800 8,640,000.00 - 1,800 Rp - - - 4,800.00 Rp 8,640,000.00
215 KASA PEMBALUT 4 X 15 CM DRC 50.00 3,800 190,000.00 50.00 3,800 Rp 190,000 - - - Rp -
216 KASA STERIL 16 X 16 CM 4,048.00 9,867 39,941,616.00 688.00 9,867 Rp 6,788,496 - - 3,360.00 Rp 33,153,120.00
217 KERTAS EKG 110 MM X 140 MM X 142 MM 22,436.00 1,243 27,881,786.00 7,100.00 1,243 Rp 8,823,350 - - 15,336.00 Rp 19,058,436.00
218 KERTAS EKG 120,212015,170,250 AND 250 8,750.00 1,012 8,855,000.00 - 1,012 Rp - - - 8,750.00 Rp 8,855,000.00
219 KERTAS EKG 152 MM X 90 MM 14,850.00 2,530 37,570,500.00 - 2,530 Rp - - - 14,850.00 Rp 37,570,500.00
220 KERTAS EKG 58 MM X 30 M X 17 MM 39.00 41,175 1,605,825.00 - 41,175 Rp - - - 39.00 Rp 1,605,825.00
221 KERTAS EKG 63 X 30 451.00 44,275 19,968,025.00 - 44,275 Rp - - - 451.00 Rp 19,968,025.00
222 KERTAS EKG TINDAKAN 61.00 59,425 3,624,925.00 1.00 59,425 Rp 59,425 - - 60.00 Rp 3,565,500.00
223 KERTAS USG 234.00 279,736 65,458,224.00 11.00 279,736 Rp 3,077,096 - - 223.00 Rp 62,381,128.00
224 KY JELI / KLY 78.00 44,275 3,453,450.00 21.00 44,275 Rp 929,775 - - 57.00 Rp 2,523,675.00
225 LAMINARIA 125.00 116,468 14,558,500.00 40.00 116,468 Rp 4,658,720 - - 85.00 Rp 9,899,780.00
226 LARYNGEAL MASK AIRWAYS (LMA) NO 5 4.00 243,289 973,156.00 - 243,289 Rp - - - 4.00 Rp 973,156.00
227 LARYNGEAL MASK AIRWAYS (LMA) NO.1 67.00 243,289 16,300,363.00 - 243,289 Rp - - - 67.00 Rp 16,300,363.00
228 LARYNGEAL MASK AIRWAYS (LMA) NO.1,5 15.00 243,290 3,649,350.00 1.00 243,290 Rp 243,290 - - 14.00 Rp 3,406,060.00
229 LARYNGEAL MASK AIRWAYS (LMA) NO.2 64.00 243,289 15,570,496.00 - 243,289 Rp - 1.00 243,289.00 63.00 Rp 15,327,207.00
230 LARYNGEAL MASK AIRWAYS (LMA) NO.2,5 37.00 243,289 9,001,693.00 - 243,289 Rp - - - 37.00 Rp 9,001,693.00
231 LARYNGEAL MASK AIRWAYS (LMA) NO.3 65.00 243,289 15,813,785.00 42.00 243,289 Rp 10,218,138 - - 23.00 Rp 5,595,647.00
232 LARYNGEAL MASK AIRWAYS (LMA) NO.4 66.00 243,289 16,057,074.00 12.00 243,289 Rp 2,919,468 8.00 1,946,312.00 46.00 Rp 11,191,294.00
233 LEUKOMED IV 6 X 8 CM 23/8X3/1/8 INC 50.00 2,315 115,747.00 50.00 2,315 Rp 115,747 - - - Rp -
234 LEUKOMED IV FILM 6,8 X 23/8/8 INC (2 3/8 X31/8) 400.00 3,300 1,320,000.00 400.00 3,300 Rp 1,320,000 - - - Rp -
235 LEUKOPLAST 2.50 X 4,5 CM 146.00 14,646 2,138,316.00 35.00 14,646 Rp 512,610 20.00 292,920.00 91.00 Rp 1,332,786.00
1 2 3.00 4 5 6 7 8.00 9.00 10
236 LEUKOPLAST 5.0 X 4,5 CM 150.00 29,293 4,393,950.00 2.00 29,293 Rp 58,586 14.00 410,102.00 134.00 Rp 3,925,262.00
237 LEUKOPLAST 7,5 X 4,5 CM 147.00 42,587 6,260,289.00 23.00 42,587 Rp 979,501 100.00 4,258,700.00 24.00 Rp 1,022,088.00
238 LEUKOPOR/TRANSPORE 1/2 INC 12,5 CM(1527-0) 211.00 - - - - Rp - 211.00 - - Rp -
239 LEUKOPORE/TRANSPORE NO.2,5 CM X 9,1 M 79.00 194,766 15,386,514.00 - 194,766 Rp - 79.00 15,386,514.00 - Rp -
240 LOGICATH CVC 3L 12F 20 CM 90.00 772,445 69,520,050.00 - 772,445 Rp - - - 90.00 Rp 69,520,050.00
241 LYOSTIP 3 X 5 CM 48.00 62,618 3,005,664.00 - 62,618 Rp - - - 48.00 Rp 3,005,664.00
242 LYOSTIP 5 X 8 CM 48.00 92,460 4,438,080.00 - 92,460 Rp - - - 48.00 Rp 4,438,080.00
243 LYSOL 1 L 955.00 52,070 49,726,850.00 129.00 52,070 Rp 6,717,030 - - 826.00 Rp 43,009,820.00
244 MASKER REBRETING ADULT 861.00 45,881 39,503,541.00 15.00 45,881 Rp 688,215 311.00 14,268,991.00 535.00 Rp 24,546,335.00
245 MASKER REBRETING PEDIATRIC 50.00 44,116 2,205,800.00 5.00 44,116 Rp 220,580 - - 45.00 Rp 1,985,220.00
246 MASKER KARET (TIE ON) 4,000.00 541 2,162,800.00 4,000.00 541 Rp 2,162,800 - - - Rp -
247 MASKER N-95 3,620.00 20,925 75,748,500.00 140.00 20,925 Rp 2,929,500 - - 3,480.00 Rp 72,819,000.00
248 MASKER NON REBRETING ADULT 1,127.00 45,881 51,707,887.00 128.00 45,881 Rp 5,872,768 189.00 8,671,509.00 810.00 Rp 37,163,610.00
249 MASKER NON REBRETING PEDIATRIC 529.00 56,469 29,872,101.00 20.00 56,469 Rp 1,129,380 22.00 1,242,318.00 487.00 Rp 27,500,403.00
250 MASKER OXYGEN ADULT 117.00 33,000 3,861,000.00 18.00 33,000 Rp 594,000 - - 99.00 Rp 3,267,000.00
251 MASKER OXYGEN PEDIATRIC 346.00 33,000 11,418,000.00 - 33,000 Rp - - - 346.00 Rp 11,418,000.00
252 MASKER TALI (EARLOOP) 191,050.00 531 101,447,550.00 51,650.00 531 Rp 27,426,150 - - 139,400.00 Rp 74,021,400.00
253 MICROPORE 1" X 10 YDS- DISPENSER 2,5 CM X 9,1 M 77.00 277,200 21,344,400.00 70.00 277,200 Rp 19,404,000 - - 7.00 Rp 1,940,400.00
254 MICROPORE 1/2" X 10 YDS- DISPENSER 402.00 277,200 111,434,400.00 21.00 277,200 Rp 5,821,200 225.00 62,370,000.00 156.00 Rp 43,243,200.00
255 MICROPORE 2" X 10 YDS- DISPENSER 48.00 277,200 13,305,600.00 7.00 277,200 Rp 1,940,400 2.00 554,400.00 39.00 Rp 10,810,800.00
256 MINOSCRUB 4% 218.00 299,805 65,357,490.00 62.00 299,805 Rp 18,587,910 - - 156.00 Rp 46,769,580.00
257 MINOSCUB 2% 59.00 164,390 9,699,010.00 11.00 164,390 Rp 1,808,290 - - 48.00 Rp 7,890,720.00
258 NALD INSULIN 13,900.00 3,200 44,480,000.00 1,500.00 3,200 Rp 4,800,000 - - 12,400.00 Rp 39,680,000.00
259 NEBULIZER MASH ADULT 216.00 37,646 8,131,536.00 216.00 37,646 Rp 8,131,536 - - - Rp -
260 NEBULIZER MASH CHILD 145.00 39,999 5,799,855.00 93.00 39,999 Rp 3,719,907 - - 52.00 Rp 2,079,948.00
261 NEEDLE 21G X1 1/2" 2,300.00 3,200 7,361,035.00 200.00 3,200 Rp 640,090 - - 2,100.00 Rp 6,720,945.00
262 NEEDLE 26G X 1 1/2" 1,550.00 3,200 4,960,697.50 650.00 3,200 Rp 2,080,293 - - 900.00 Rp 2,880,405.00
263 NURSE CAP (TUTUP KEPALA WANITA) 2,900.00 735 2,132,312.00 1,400.00 735 Rp 1,029,392 - - 1,500.00 Rp 1,102,920.00
264 OXIGEN (O2) SUPPLAY ANAK/NASAL CANUL A 1,150.00 20,873 24,003,375.00 101.00 20,873 Rp 2,108,123 - - 1,049.00 Rp 21,895,252.50
265 OXIGEN (O2) SUPPLAY DEWASA/NASAL CANUL D 1,489.00 20,873 31,079,152.50 1,088.00 20,873 Rp 22,709,280 - - 401.00 Rp 8,369,872.50
266 OXIGEN (O2) SUPPLAY PREMATURE/NASAL CANUL BY 464.00 10,044 4,660,527.36 54.00 10,044 Rp 542,389 - - 410.00 Rp 4,118,138.40
267 PARAFILM 50.00 1,900,000 95,000,000.00 - 1,900,000 Rp - - - 50.00 Rp 95,000,000.00
268 PEMBALUT ELASTIS 10 X 4.55 CM 39.00 33,000 1,287,000.00 - 33,000 Rp - - - 39.00 Rp 1,287,000.00
269 PEMBALUT ELASTIS 15X 4.55 CM 57.00 43,856 2,499,792.00 9.00 43,856 Rp 394,704 - - 48.00 Rp 2,105,088.00
270 PEMBALUT ELASTIS 7,5 X 4.55 CM 406.00 27,830 11,298,980.00 11.00 27,830 Rp 306,130 - - 395.00 Rp 10,992,850.00
271 PEMBALUT PASCA MELAHIRKAN 22,164.00 2,206 48,890,090.00 3,012.00 2,206 Rp 6,643,970 - - 19,152.00 Rp 42,246,120.00
272 PERFUSOR TUBING 150 CM 496.00 35,000 17,360,000.00 21.00 35,000 Rp 735,000 - - 475.00 Rp 16,625,000.00
273 PERIFIX FILTER SET NO. 18 G X 3 1/4 24.00 70,000 1,680,000.00 - 70,000 Rp - - - 24.00 Rp 1,680,000.00
274 PISAU CUKUR DISPOSABLE 2,154.00 5,883 12,671,982.00 66.00 5,883 Rp 388,278 - - 2,088.00 Rp 12,283,704.00
275 PISAU CUKUR OPERASI 1,450.00 74,000 107,300,000.00 - 74,000 Rp - - - 1,450.00 Rp 107,300,000.00
276 PLESTERIN 52,800.00 348 18,367,536.00 6,400.00 348 Rp 2,226,368 - - 46,400.00 Rp 16,141,168.00
277 POPOK BAYI SZ. M 1,071.00 1,002 1,073,142.00 1,071.00 1,002 Rp 1,073,142 - - - Rp -
278 POPOK BAYI SZ. S 1,294.00 1,002 1,296,588.00 821.00 1,002 Rp 822,642 - - 473.00 Rp 473,946.00
279 POPOK DEWASA SZ. L 1,000.00 6,409 6,409,000.00 80.00 6,409 Rp 512,720 - - 920.00 Rp 5,896,280.00
280 POPOK DEWASA SZ. M 1,080.00 6,409 6,921,720.00 218.00 6,409 Rp 1,397,162 - - 862.00 Rp 5,524,558.00
281 POPOK DEWASA SZ. XL 668.00 12,819 8,563,092.00 76.00 12,819 Rp 974,244 - - 592.00 Rp 7,588,848.00
282 POSTOFIX-PU 10 X 10 CM 196.00 15,950 3,126,200.00 196.00 15,950 Rp 3,126,200 - - - Rp -
283 POSTOFIX-PU 10 X 15 CM 140.00 20,350 2,849,000.00 140.00 20,350 Rp 2,849,000 - - - Rp -
284 POSTOFIX-PU 10 X 25CM 80.00 34,100 2,728,000.00 80.00 34,100 Rp 2,728,000 - - - Rp -
285 POT SPUTUM 1,220.00 3,163 3,858,250.00 623.00 3,163 Rp 1,970,238 - - 597.00 Rp 1,888,012.50
286 POT URINE 100 ML 2,110.00 2,087 4,404,097.50 1,962.00 2,087 Rp 4,095,185 - - 148.00 Rp 308,913.00
287 POT URINE 50 ML 2,000.00 1,000 2,000,000.00 2,000.00 1,000 Rp 2,000,000 - - - Rp -
288 POVIDON IODONE 10% 500 ML 126.00 95,264 12,003,264.00 - 95,264 Rp - 126.00 12,003,264.00 - Rp -
289 POVIDON IODONE 10%1000 ML 588.00 95,264 56,015,232.00 70.00 95,264 Rp 6,668,480 116.00 11,050,624.00 402.00 Rp 38,296,128.00
290 PREMILENE MESH 15 X 15 CM 7.00 224,032 1,568,221.20 2.00 224,032 Rp 448,063 - - 5.00 Rp 1,120,158.00
291 PREMILENE MESH 5 X 10 CM 15.00 382,536 5,738,040.00 - 382,536 Rp - - - 15.00 Rp 5,738,040.00
292 PREMILENE MESH 7,5 X 15 CM 7.00 92,773 649,407.92 - 92,773 Rp - 1.00 92,772.56 6.00 Rp 556,635.36
293 SAFETY BOX SIZE.12,5 L 876.00 49,335 43,217,460.00 169.00 49,335 Rp 8,337,615 - - 707.00 Rp 34,879,845.00
294 SAFETY BOX SIZE.2.5 L 82.00 19,999 1,639,918.00 26.00 19,999 Rp 519,974 - - 56.00 Rp 1,119,944.00
295 SAFETY BOX SIZE.5 L 552.00 32,940 18,182,880.00 223.00 32,940 Rp 7,345,620 - - 329.00 Rp 10,837,260.00
296 SEPTALKAN 189.00 314,050 59,355,450.00 87.00 314,050 Rp 27,322,350 - - 102.00 Rp 32,033,100.00
297 SIRUP METADON 242.00 14,880 3,600,960.00 242.00 14,880 Rp 3,600,960 - - - Rp -
298 SOFFBAND 3 13.00 14,695 191,033.70 5.00 14,695 Rp 73,475 - - 8.00 Rp 117,559.20
299 SOFFBAND 4 7.00 18,538 129,768.10 5.00 18,538 Rp 92,692 - - 2.00 Rp 37,076.60
300 SOFFBAND 6 25.00 13,325 333,135.00 - 13,325 Rp - - - 25.00 Rp 333,135.00
301 SOFRATULLE 10 X 10 CM SALAH 930.00 109,030 101,397,900.00 930.00 109,030 Rp 101,397,900 - - - Rp -
302 SOFT CLOTH DRESSING WITH PAD 6 X 8 M 700.00 3,922 2,745,050.00 60.00 3,922 Rp 235,290 590.00 2,313,685.00 50.00 Rp 196,075.00
303 SOFTA-MAN 1000 ML 271.00 153,000 41,463,000.00 227.00 153,000 Rp 34,731,000 - - 44.00 Rp 6,732,000.00
304 SOFTA-MAN 500 ML 200.00 113,850 22,770,000.00 139.00 113,850 Rp 15,825,150 - - 61.00 Rp 6,944,850.00
305 SPALK TANGAN 74.00 158,820 11,752,680.00 37.00 158,820 Rp 5,876,340 - - 37.00 Rp 5,876,340.00
306 SPINAL NEEDLE NO. 23 (SPINOCAN 23 G) 238.00 43,010 10,236,380.00 - 43,010 Rp - - - 238.00 Rp 10,236,380.00
307 SPINAL NEEDLE NO. 25 (SPINOCAN 25 G) 200.00 43,529 8,705,728.00 75.00 43,529 Rp 3,264,648 - - 125.00 Rp 5,441,080.00
308 SPINAL NEEDLE NO. 26 (SPINOCAN 26 G) 200.00 43,010 8,602,000.00 175.00 43,010 Rp 7,526,750 - - 25.00 Rp 1,075,250.00
309 SPINAL NEEDLE NO. 27 (SPINOCAN 27 G) 100.00 50,600 5,060,000.00 - 50,600 Rp - - - 100.00 Rp 5,060,000.00
310 SPUIT 1 CC 3,700.00 1,540 5,698,000.00 3,700.00 1,540 Rp 5,698,000 - - - Rp -
311 SPUIT 10 CC 5,600.00 1,790 10,024,000.00 5,600.00 1,790 Rp 10,024,000 - - - Rp -
312 SPUIT 20 CC LOBANG SAMPING 1,100.00 3,080 3,388,000.00 850.00 3,080 Rp 2,618,000 - - 250.00 Rp 770,000.00
313 SPUIT 20 CC LOBANG TENGAH 1,450.00 6,160 8,932,000.00 340.00 6,160 Rp 2,094,400 - - 1,110.00 Rp 6,837,600.00
314 SPUIT 3 CC 17,600.00 957 16,843,200.00 17,600.00 957 Rp 16,843,200 - - - Rp -
315 SPUIT 5 CC 10,100.00 1,348 13,614,800.00 10,100.00 1,348 Rp 13,614,800 - - - Rp -
316 SPUIT 50 CC IRRIGATION 4,500.00 28,000 126,000,000.00 120.00 28,000 Rp 3,360,000 - - 4,380.00 Rp 122,640,000.00
317 SPUIT 50 CC LOBANG SAMPING 1,876.00 15,000 28,140,000.00 466.00 15,000 Rp 6,990,000 - - 1,410.00 Rp 21,150,000.00
318 SPUIT 50 CC LOBANG TENGAH 2,300.00 15,000 34,500,000.00 55.00 15,000 Rp 825,000 - - 2,245.00 Rp 33,675,000.00
319 STABIMED 1000 ML 73.00 682,000 49,786,000.00 2.00 682,000 Rp 1,364,000 71.00 48,422,000.00 - Rp -
320 STOMACH TUBE NO. 18 (SAFEED) 125 CM 625.00 25,426 15,891,250.00 40.00 25,426 Rp 1,017,040 - - 585.00 Rp 14,874,210.00
321 STOMACH TUBE NO.12 (SAFEED) 125 CM 435.00 25,426 11,060,310.00 74.00 25,426 Rp 1,881,524 - - 361.00 Rp 9,178,786.00
322 STOMACH TUBE NO.14 (SAFEED) 125 CM 350.00 25,426 8,899,100.00 30.00 25,426 Rp 762,780 - - 320.00 Rp 8,136,320.00
1 2 3.00 4 5 6 7 8.00 9.00 10
323 STOMACH TUBE NO.16 (SAFEED) 125 CM 640.00 25,426 16,272,640.00 152.00 25,426 Rp 3,864,752 10.00 254,260.00 478.00 Rp 12,153,628.00
324 SUCTION CATHETER NO 10 81.00 8,981 727,461.00 - 8,981 Rp - 11.00 98,791.00 70.00 Rp 628,670.00
325 SUCTION CATHETER NO 12 152.00 8,981 1,365,112.00 30.00 8,981 Rp 269,430 62.00 556,822.00 60.00 Rp 538,860.00
326 SUCTION CATHETER NO 16 202.00 8,981 1,814,162.00 9.00 8,981 Rp 80,829 116.00 1,041,796.00 77.00 Rp 691,537.00
327 SUCTION CATHETER NO 6 20.00 8,981 179,620.00 - 8,981 Rp - - - 20.00 Rp 179,620.00
328 SUCTION CATHETER NO. 14 55.00 8,981 493,955.00 41.00 8,981 Rp 368,221 14.00 125,734.00 - Rp -
329 SUCTION CATHETER NO. 8 325.00 8,981 2,918,825.00 175.00 8,981 Rp 1,571,675 32.00 287,392.00 118.00 Rp 1,059,758.00
330 SUFRATULLE (BIOPLASENTON) 480.00 22,597 10,846,752.00 340.00 22,597 Rp 7,683,116 140.00 3,163,636.00 - Rp -
331 SURFLO WINGED INFUSION SET NO. 23 G X 3/4" 2,700.00 13,176 35,575,200.00 250.00 13,176 Rp 3,294,000 - - 2,450.00 Rp 32,281,200.00
332 SURFLO WINGED INFUSION SET NO. 25 G X 3/4" 3,550.00 13,176 46,774,800.00 50.00 13,176 Rp 658,800 - - 3,500.00 Rp 46,116,000.00
333 SURGICAL (JARUM Δ) NO. 10 528.00 4,217 2,226,400.00 - 4,217 Rp - - - 528.00 Rp 2,226,400.00
336 SURGICAL (JARUM Δ) NO. 13 156.00 4,217 657,800.00 - 4,217 Rp - - - 156.00 Rp 657,800.00
340 SURGICAL (JARUM○) NO. 11 564.00 4,217 2,378,200.00 12.00 4,217 Rp 50,600 - - 552.00 Rp 2,327,600.00
341 SURGICAL (JARUM○) NO. 12 12.00 4,217 50,600.00 12.00 4,217 Rp 50,600 - - - Rp -
342 SURGICAL (JARUM○) NO. 13 156.00 4,217 657,800.00 - 4,217 Rp - - - 156.00 Rp 657,800.00
343 SURGICAL (JARUM○) NO. 14 864.00 4,217 3,643,200.00 168.00 4,217 Rp 708,400 - - 696.00 Rp 2,934,800.00
344 SURGICAL (JARUM○) NO. 7 120.00 4,217 506,000.00 - 4,217 Rp - - - 120.00 Rp 506,000.00
345 SURGICAL (JARUM○) NO. 8 444.00 4,217 1,872,200.00 - 4,217 Rp - - - 444.00 Rp 1,872,200.00
346 SURGICAL (JARUM○) NO. 9 384.00 4,217 1,619,200.00 - 4,217 Rp - - - 384.00 Rp 1,619,200.00
347 SURGICAL NEEDLES (JARUM ○) 40 1/2 CIRCLE 12.00 4,217 50,600.00 12.00 4,217 Rp 50,600 - - - Rp -
348 SURGICAL NEEDLES (JARUM ○) 55 1/2 CIRCLE 228.00 4,217 961,400.00 - 4,217 Rp - - - 228.00 Rp 961,400.00
349 SURGICAL NEEDLES (JARUM ○) 60 1/2 CIRCLE 288.00 4,217 1,214,400.00 - 4,217 Rp - - - 288.00 Rp 1,214,400.00
352 SURGICAL NEEDLES (JARUM Δ) 55 1/2 CIRCLE 228.00 4,217 961,400.00 12.00 4,217 Rp 50,600 - - 216.00 Rp 910,800.00
353 SURGICAL NEEDLES (JARUM Δ) 60 1/2 CIRCLE 168.00 4,217 708,400.00 - 4,217 Rp - - - 168.00 Rp 708,400.00
356 TEGADERM FOR GENERAL IV 1622 (5 CM X 5.7 CM) 100.00 5,819 581,900.00 - 5,819 Rp - 100.00 581,900.00 - Rp -
357 THORACIC CATHETER WITH TROCARD NO.24 140.00 215,878.00 30,222,920.00 - 215,878.00 - - - 140.00 30,222,920.00
358 TOUNGE SPATEL KAYU 300.00 176 52,938.00 300.00 176 Rp 52,938 - - - Rp -
359 T-PIECE 35.00 44,275 1,549,625.00 27.00 44,275 Rp 1,195,425 - - 8.00 Rp 354,200.00
360 TRANCHEOSTOMY TUBE WITH CUFFED NO.7 5.00 373,965 1,869,825.00 - 373,965 Rp - 1.00 373,965.00 4.00 Rp 1,495,860.00
361 TRANCHEOSTOMY TUBE WITH CUFFED NO.7.5 3.00 373,965 1,121,895.00 - 373,965 Rp - - - 3.00 Rp 1,121,895.00
362 TRANSOFIX 400.00 3,400 1,360,000.00 350.00 3,400 Rp 1,190,000 - - 50.00 Rp 170,000.00
363 TRANSPORE 1527-0 (1/2X1,25)/LECOPOR 318.00 40,000 12,720,000.00 - 40,000 Rp - 318.00 12,720,000.00 - Rp -
364 ULTRASOUND GEL 66.00 34,528 2,278,848.00 35.00 34,528 Rp 1,208,480 - - 31.00 Rp 1,070,368.00
365 UMBILICAL SWAB 16 X 16 CM 208.00 481 99,985.60 - 481 Rp - 208.00 99,985.60 - Rp -
366 UMBILICARD CORD CLAMP 13,500.00 1,000 13,500,000.00 250.00 1,000 Rp 250,000 - - 13,250.00 Rp 13,250,000.00
367 UNDER PAD 3,224.00 4,583 14,776,881.60 934.00 4,583 Rp 4,280,896 - - 2,290.00 Rp 10,495,986.00
368 UREOFIX 500 ML 60.00 264,000 15,840,000.00 60.00 264,000 Rp 15,840,000 - - - Rp -
369 URINAL 40.00 5,000 200,000.00 - 5,000 Rp - - - 40.00 Rp 200,000.00
370 URINE BAG STERIL 2000CC 6,370.00 3,810 24,269,700.00 380.00 3,810 Rp 1,447,800 - - 5,990.00 Rp 22,821,900.00
371 VASELINE 3.00 100,750 302,250.00 2.00 100,750 Rp 201,500 - - 1.00 Rp 100,750.00
372 WASH GLOVES4 SHEETS NON PARFUM 132.00 2,059 271,757.75 132.00 2,059 Rp 271,758 - - - Rp -
373 WASH GLOVES4 SHEETS NON PARFUM SZ.15 X 22 3,140.00 1,013 3,180,820.00 3,140.00 1,013 Rp 3,180,820 - - - Rp -
374 WINGS NEEDLE 23 G X 3/4" 19.00 13,176 250,348.56 - 13,176 Rp - 19.00 250,348.56 - Rp -
375 WINGS NEEDLE 27 G X 3/4" 119.00 13,176 1,567,972.56 - 13,176 Rp - - - 119.00 Rp 1,567,972.56
376 WOUND GEL 30 ML 20.00 203,500 4,070,000.00 20.00 203,500 Rp 4,070,000 - - - Rp -
377 WOUND GEL 50 G 9.00 286,000 2,574,000.00 9.00 286,000 Rp 2,574,000 - - - Rp -
-
BHP MEDIS 2017

BHP MEDIS 2017 Rp 919,848,674 Rp 105,086,581 Rp 814,762,093
1 ALKOHOL SWAP 50,000.00 197 Rp 9,840,000 1,000.00 197 Rp 196,800 49,000.00 Rp 9,643,200
2 BENANG BEDAH CAT GUT PLAIN 3/0 CUTTING 180.00 57,750 Rp 10,395,000 60.00 57,750 Rp 3,465,000 120.00 6,930,000.00
3 BLOOD SET (SANGOFIX) 250.00 13,970 Rp 3,492,500 13,970 Rp - 250.00 3,492,500.00
4 BONE WAX 1,007.00 51,800 Rp 52,162,600 - 51,800 Rp - 1,007.00 52,162,600.00
5 DARYANT-TULLE STERILE 250.00 16,200 Rp 4,050,000 60.00 16,200 Rp 972,000 190.00 3,078,000.00
6 EXTENTION TUBE 150 CM - 1,5 CM 150.00 48,500 Rp 7,275,000 50.00 48,500 Rp 2,425,000 100.00 4,850,000.00
7 HANDSCHOEN NON STERIL SZ. M 1,600.00 627 Rp 1,003,200 627 Rp - 1,600.00 1,003,200.00
8 HANDSCHOEN NON STERIL SZ. M 48,400.00 627 Rp 30,346,800 627 Rp - 48,400.00 30,346,800.00
9 HANDSCHOEN NON STERIL SZ. S 12,800.00 627 Rp 8,025,600 11,200.00 627 Rp 7,022,400 1,600.00 1,003,200.00
10 NEBULIZER MASH CHILD 110.00 28,300 Rp 3,113,000 28,300 Rp - 110.00 3,113,000.00
11 OXIGEN (O2) SUPPLAY DEWASA/NASAL CANUL D 500.00 10,000 Rp 5,000,000 10,000 Rp - 500.00 5,000,000.00
12 SPUIT 1 CC 1,000.00 1,614 Rp 1,613,990 500.00 1,614 Rp 806,995 500.00 806,995.00
13 SPUIT 10 CC 1,600.00 2,000 Rp 3,199,952 - 2,000 Rp - 1,600.00 3,199,952.00
14 SPUIT 3 CC 7,000.00 1,138 Rp 7,965,930 3,400.00 1,138 Rp 3,869,166 3,600.00 4,096,764.00
15 SPUIT 5 CC 2,000.00 1,600 Rp 3,200,000 1,400.00 1,600 Rp 2,240,000 600.00 960,000.00
16 HANSCOON STERIL GLOVES 6,5 250.00 7,782 Rp 1,945,375 - 7,782 Rp - 250.00 1,945,375.00
17 HANSCOON STERIL GLOVES 6,5 50.00 7,794 Rp 389,675 7,794 Rp - 50.00 389,675.00
18 HANSCOON STERIL GLOVES 6 500.00 7,794 Rp 3,896,750 - 7,794 Rp - 500.00 3,896,750.00
19 NASAL TUBING 100 MM 5.00 682,000 Rp 3,410,000 5.00 682,000 Rp 3,410,000 - -
20 MASKER KARET (TIE ON) 10,000.00 439 Rp 4,389,000 50.00 439 Rp 21,945 9,950.00 4,367,055.00
21 MASKER KARET (TIE ON) 4,000.00 550 Rp 2,200,000 550 Rp - 4,000.00 2,200,000.00
22 INFUSET MAKRO (TROGE) 1,900.00 5,445 Rp 10,345,500 240.00 5,445 Rp 1,306,800 1,660.00 9,038,700.00
23 INFUSET MAKRO (TROGE) 2,000.00 5,445 Rp 10,890,000 5,445 Rp - 2,000.00 10,890,000.00
24 INFUSET MAKRO (TROGE) 1,000.00 5,445 Rp 5,445,000 5,445 Rp - 1,000.00 5,445,000.00
25 KASA PEMBALUT 4 X 15 CM DRC 2,000.00 3,800 Rp 7,600,000 - 3,800 Rp - 2,000.00 7,600,000.00
26 MASKER TALI (EARLOOP) 2,000.00 439 Rp 877,800 439 Rp - 2,000.00 877,800.00
27 BISTURI/BLADES NO.15 300.00 5,115 Rp 1,534,500 200.00 5,115 Rp 1,023,000 100.00 511,500.00
1 2 3.00 4 5 6 7 8.00 9.00 10
28 BISTURI/BLADES NO.15 1,500.00 3,000 Rp 4,500,000 - 3,000 Rp - 1,500.00 4,500,000.00
29 BISTURI/BLADE NO. 11 1,500.00 3,000 Rp 4,500,000 3,000 Rp - 1,500.00 4,500,000.00
30 SPINAL NEEDLE NO. 25 (SPINOCAN 25 G) 1,049.00 32,000 Rp 33,568,000 32,000 Rp - 1,049.00 33,568,000.00
31 SPINAL NEEDLE NO. 26 (SPINOCAN 26 G) 1,000.00 32,000 Rp 32,000,000 32,000 Rp - 1,000.00 32,000,000.00
32 BENANG OPTIME 1 TUPPER 250.00 74,073 Rp 18,518,250 74,073 Rp - 250.00 18,518,250.00
33 BENANG OPTIME 1 TUPPER 600.00 78,961 Rp 47,376,600 78,961 Rp - 600.00 47,376,600.00
34 CATHEJELL 12,5 G 800.00 41,600 Rp 33,280,000 41,600 Rp - 800.00 33,280,000.00
35 POSTOFIX-PU 10 X 25CM 300.00 29,379 Rp 8,813,823 80.00 29,379 Rp 2,350,353 220.00 6,463,470.20
36 POSTOFIX-PU 10 X 25CM 400.00 29,379 Rp 11,751,764 29,379 Rp - 400.00 11,751,764.00
37 CANNOFIX-PU 6 X 8 CM 400.00 6,850 Rp 2,739,876 257.00 6,850 Rp 1,760,370 143.00 979,505.53
38 CANNOFIX-PU 6 X 8 CM 250.00 6,850 Rp 1,712,500 6,850 Rp - 250.00 1,712,500.00
39 PEMBALUT ELASTIS 15X 4.55 CM 600.00 29,189 Rp 17,513,400 29,189 Rp - 600.00 17,513,400.00
40 CUTICELL CLASSIC 10 CM X 10 CM 500.00 5,198 Rp 2,599,000 - 5,198 Rp - 500.00 2,599,000.00
41 NEBULIZER MASH ADULT 500.00 28,300 Rp 14,149,999 20.00 28,300 Rp 566,000 480.00 13,583,999.00
42 OXIGEN (O2) SUPPLAY ANAK/NASAL CANUL A 500.00 10,000 Rp 5,000,000 10,000 Rp - 500.00 5,000,000.00
43 POSTOFIX-PU 10 X 15 CM 350.00 8,052 Rp 2,818,057 - 8,052 Rp - 350.00 2,818,057.00
44 POSTOFIX-PU 10 X 10 CM 300.00 30,285 Rp 9,085,461 - 30,285 Rp - 300.00 9,085,461.00
45 ASKINA FOAM 10 X 10 CM 300.00 67,500 Rp 20,250,120 - 67,500 Rp - 300.00 20,250,120.00
46 BENANG FILAPEAU 4/0 CUTTING 300.00 42,113 Rp 12,633,900 - 42,113 Rp - 300.00 12,633,900.00
47 FOLLY CHATTER NO.14 285.00 12,100 Rp 3,448,500 - 12,100 Rp - 285.00 3,448,500.00
48 DISCOFIC -3 WAY + 10 TUBING (PANJANG) 250.00 27,225 Rp 6,806,250 27,225 Rp - 250.00 6,806,250.00
49 BENANG COROLENE 5/0TUPPER 240.00 167,699 Rp 40,247,760 - 167,699 Rp - 240.00 40,247,760.00
50 BENANG OPTIME 2/0 TUPPER 200.00 67,681 Rp 13,536,200 67,681 Rp - 200.00 13,536,200.00
51 PEMBALUT ELASTIS 10 X 4.55 CM 200.00 21,406 Rp 4,281,200 21,406 Rp - 200.00 4,281,200.00
52 PEMBALUT ELASTIS 7,5 X 4.55 CM 200.00 17,515 Rp 3,503,000 17,515 Rp - 200.00 3,503,000.00
53 SAFETY BOX SIZE.12,5 L 200.00 32,861 Rp 6,572,200 32,861 Rp - 200.00 6,572,200.00
54 HANDRUB 500 ML 200.00 60,800 Rp 12,160,000 - 60,800 Rp - 200.00 12,160,000.00
55 BENANG COROLENE 3/0 TUPPER 200.00 106,410 Rp 21,282,000 - 106,410 Rp - 200.00 21,282,000.00
56 GUEDEL AIRWAY NO.3 50.00 22,500 Rp 1,125,000 - 22,500 Rp - 50.00 1,125,000.00
57 GUEDEL AIRWAY NO.3 100.00 14,200 Rp 1,420,000 14,200 Rp - 100.00 1,420,000.00
58 BENANG OPTIME 3/0 CUTTING 150.00 12,100 Rp 1,815,000 - 12,100 Rp - 150.00 1,815,000.00
59 BENANG SILKAM 4/0 CUTTING SOIE/SILK 144.00 48,400 Rp 6,969,600 108.00 48,400 Rp 5,227,200 36.00 1,742,400.00
60 HANSCRUB 5 L 120.00 640,800 Rp 76,896,000 - 640,800 Rp - 120.00 76,896,000.00
61 HANDRUB 5 L 120.00 580,000 Rp 69,600,000 - 580,000 Rp - 120.00 69,600,000.00
62 GUEDEL AIRWAY NO.2 100.00 14,200 Rp 1,420,000 14,200 Rp - 100.00 1,420,000.00
63 STOMACH TUBE NO.12 (SAFEED) 125 CM 100.00 15,373 Rp 1,537,300 15,373 Rp - 100.00 1,537,300.00
64 SUCTION CATHETER NO. 14 50.00 6,639 Rp 331,925 11.00 6,639 Rp 73,024 39.00 258,901.50
65 BENANG COROLINE 4/0 TUPPER 35.00 116,160 Rp 4,065,600 14.00 116,160 Rp 1,626,240 21.00 2,439,360.00
66 BENANG COROLINE 4/0 TUPPER 14.00 116,160 Rp 1,626,240 116,160 Rp - 14.00 1,626,240.00
67 BENANG COROLINE 2/0 TUPER 6.00 97,610 Rp 585,657 6.00 97,610 Rp 585,657 - -
68 BENANG COROLINE 2/0 TUPER 36.00 90,240 Rp 3,248,643 36.00 90,240 Rp 3,248,643 - -
69 ALKAZYME 10.00 800,978 Rp 8,009,782 1.00 800,978 Rp 800,978 9.00 7,208,803.80
70 ALKAZYME 20.00 801,000 Rp 16,020,000 801,000 Rp - 20.00 16,020,000.00
71 ALKACIDE 3.00 2,702,700 Rp 8,108,100 3.00 2,702,700 Rp 8,108,100 -
72 ALKACIDE 5.00 2,702,700 Rp 13,513,500 4.00 2,702,700 Rp 10,810,800 1.00 2,702,700.00
73 ALKACIDE 20.00 2,702,700 Rp 54,054,000 2,702,700 Rp - 20.00 54,054,000.00
74 KONDOM 24.00 25,000 Rp 600,000 24.00 25,000 Rp 600,000 - -
75 CLOSE SUCTION 20.00 341,556 Rp 6,831,110 20.00 341,556 Rp 6,831,110 - -
76 GUEDEL AIRWAY NO.4 20.00 22,500 Rp 450,000 22,500 Rp - 20.00 450,000.00
77 FOLLY CHATTER NO.14 15.00 12,100 Rp 181,500 - 12,100 Rp - 15.00 181,500.00
78 LOGICATH CVC 3L 12F 20 CM 9.00 772,445 Rp 6,952,005 772,445 Rp - 9.00 6,952,005.00
79 NASAL TUBING 50 MM 2.00 682,000 Rp 1,364,000 2.00 682,000 Rp 1,364,000 - -
80 CPAC DELIVERY SYSTEM SIRCUIT 10.00 3,437,500 Rp 34,375,000 10.00 3,437,500 Rp 34,375,000 -
81 BENANG COROLINE 0 CUTTING 6.00 82,280.00 Rp 493,680 6.00 493,680.00
BHP SPESIALISTIK 2017 Rp 5,404,990.00 Rp 504,990.00 Rp 4,900,000.00
1 CARBACHLOL INTRAOCULAR SOLUTION 84,165.00 Rp - 84,165.00 Rp - Rp -

2 HYDROXYPROPYL METHYLCELLULOSE(HPMC) IP 2% (APAVIS) 138,462.00 Rp - 138,462.00 Rp - Rp -
3 CRESCENT KNIFE, SIZE 2.2 MM 246,154.00 Rp - 246,154.00 Rp - Rp -
4 DOP MATA BENING 11,538.00 Rp - 11,538.00 Rp - Rp -
5 KERATOME KNIFE SIZE 2.75(SLIT ANGLED SAFETY KNIFE) 246,154.00 Rp - 246,154.00 Rp - Rp -
6 TRIPAN BLUE OPHTHALMIC SOLUTION 0,6 MG/ML 6.00 84,165.00 Rp 504,990.00 6.00 84,165.00 Rp 504,990.00 Rp -
7 OPTIKA INTRAOCULAR (IOL) LENS NO 22,5 153,846.00 Rp - 153,846.00 Rp - Rp -
8 OPTIKA INTRAOCULAR (IOL) LENS NO 22,6 Rp - - Rp - Rp -
9 STAB KNIFE, SIZE 15 200,000.00 Rp - 200,000.00 Rp - Rp -
10 MICRO CAUTER/CAUTERY 1000 FINE TIP 200,000.00 Rp - 200,000.00 Rp - Rp -
11 SURGICAL SKIN MARKER 50.00 98,000.00 Rp 4,900,000.00 98,000.00 Rp - 50.00 Rp 4,900,000.00
JUMLAH
Pekanbaru, 08 Maret 2017

Penanggung jawab,
PENGGUNA BARANG PENGURUS BARANG
dr. SYLVANA ESTHERLITA, M.Kes AKMAL BUDIARSA, AMF

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022

Perdir Pengukuran Budaya Keselamanta Pasien

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CONTOH DAFTAR PENGADAAN BARANG

PER TANGGAL 1 JANUARI 2017 S.D. 30 JUNI 2017

OPD : RSUD PETALA BUMI KHUSUS PENGADAAN DALAM 1 TAHUN / SEMESTER

SPK / KONTRAK BAST KWITANSI / SP2D JUMLAH

A BAHAN MATERIAL KESEHATAN

II BHP SPESIALISTIK 2016 Rp 210,587,050

BHP SPESIALISTIK 2017 Rp 5,404,990

BHP MEDIS 2017

Pekanbaru, 08 Maret 2017

dr. SYLVANA ESTHERLITA, M.Kes AKMAL BUDIARSA, AMF

OPD : RSUD PETALA BUMI

1 ACTIMOVE M 2016 3.00 Rp 105,000 Rp 315,000 - Rp 105,000.00 Rp -

BHP SPESIALISTIK 2016 Rp 210,587,050 Rp 5,692,308

BHP SPESIALISTIK 2017 Rp 504,990

Pekanbaru, 08 Maret 2017 Pekanbaru, 08 Maret 2017

BHP SPESIALISTIK 2016 210,587,050.00 Rp 5,692,308 Rp 49,208,706 Rp 155,686,036

BHP MEDIS 2016

1 ACTIMOVE M 3.00 105,000 315,000.00 - 105,000 Rp - 3.00 Rp 315,000 - Rp -

BHP MEDIS 2017

BHP SPESIALISTIK 2017 Rp 5,404,990.00 Rp 504,990.00 Rp 4,900,000.00

1 CARBACHLOL INTRAOCULAR SOLUTION 84,165.00 Rp - 84,165.00 Rp - Rp -

Pekanbaru, 08 Maret 2017

dr. SYLVANA ESTHERLITA, M.Kes AKMAL BUDIARSA, AMF

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