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NO.

INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 PERALATAN KESEHATAN

5 . 12 . 1 ALAT MEDIK
5 . 12 . 1 . 3 Adult LaryngoScope unit 9,138,982
5 . 12 . 1 . 4 Adult Resuscitator unit 25,768,933
5 . 12 . 1 . 5 Alat tes psikologi set 60,038,750
5 . 12 . 1 . 8 Amputation Instrument Set set 119,331,133
5 . 12 . 1 . 9 Abdominal Surgery Instrument Set set 262,783,185
5 . 12 . 1 . 11 Agaat Spatel buah 9,139
5 . 12 . 1 . 12 Alginate spatel/Paistik buah 10,038
5 . 12 . 1 . 13 Amalgam pistol buah 356,570
5 . 12 . 1 . 14 Amalgam stoper buah 674,187
5 . 12 . 1 . 15 Angle Blade Plate Set buah 294,619,803
5 . 12 . 1 . 16 Anaesthesia Pump unit 293,496,157
5 . 12 . 1 . 17 Anesthesia Machine unit 806,250,000
5 . 12 . 1 . 18 Anesthesia Machine + Ventilator unit 892,518,750
5 . 12 . 1 . 20 Anesthesia Machine with Two Vaporizer + Ventilator unit 1,491,227,158
5 . 12 . 1 . 23 Anaesthesi Machine with MAHD unit 1,678,651,197
5 . 12 . 1 . 25 Anaesthesi Syringe Pump unit 26,842,750
5 . 12 . 1 . 26 Anaesthesi ventilator touch screen unit 1,614,813,161
5 . 12 . 1 . 28 Anesthesia APP, Model FO-20S unit 226,164,333
5 . 12 . 1 . 30 Anesthesia APP, Model D-5F unit 285,525,767
5 . 12 . 1 . 31 Anesthesia PP, Model D-5F, Modified Type unit 384,704,695
5 . 12 . 1 . 32 Anesthesia APP, Model PH-3F unit 458,791,875
5 . 12 . 1 . 33 Anesthesia APP, Model PH-5F II Rail unit 604,116,669
5 . 12 . 1 . 34 Anesthesia APP, Model PH-5FII, Rail W/ Low Flow Rate Flowmeter unit 777,952,091
5 . 12 . 1 . 35 Anesthesia APP, Model PH-5FII, Block unit 666,816,078
5 . 12 . 1 . 36 Anesthesia APP, Model PH-5FII, Block W/ Low Flow Rate Flowmeter unit 846,344,636
5 . 12 . 1 . 37 Anesthesia APP, Model PRO-45 With Low Flow Rate Flowmeter unit 812,021,017
5 . 12 . 1 . 38 Anesthesia APP, Model PRO-45 unit 649,721,687
5 . 12 . 1 . 39 Anesthesia APP, Model PRO-55 With Low Flow Rate Flowmeter unit 914,737,181
5 . 12 . 1 . 40 Anesthesia APP, Model VIGOR 21 DX unit 418,895,065
5 . 12 . 1 . 41 Anesthetic Ventilator, Model PRO-45 V unit 410,352,274
5 . 12 . 1 . 42 Anesthetic Ventilator, Model 'PRO-55V unit 444,544,052
5 . 12 . 1 . 43 Anesthetic Ventilator, Model PRO-V MK II unit 478,747,816
5 . 12 . 1 . 44 Anesthetic Ventilator, Model ARF-900 II unit 384,704,695
5 . 12 . 1 . 45 AnoScope buah 55,635,425
5 . 12 . 1 . 46 Aplanoplasti tonometri non contact unit 316,628,269
5 . 12 . 1 . 50 Aparatus Microcobra Smoker paket 71,158,211
5 . 12 . 1 . 51 Appendictomy Instrument Set unit 359,115,546
5 . 12 . 1 . 54 Arteri Klern Bengkok unit 43,297,800
5 . 12 . 1 . 57 Arteri Klem lurus unit 43,297,800
5 . 12 . 1 . 58 Arthoscopy Instrument Set set 1,063,717,569
5 . 12 . 1 . 59 Aroma Alginate buah 113,863
5 . 12 . 1 . 63 Automatic Hematologi Analizer Sysmex/XT-1800 i buah 1,413,395,992
5 . 12 . 1 . 64 Audiometer unit 83,197,696
5 . 12 . 1 . 65 Auto Refracto-Keratometer unit 348,030,410
5 . 12 . 1 . 68 Autorefractometer unit 305,256,978
5 . 12 . 1 . 70 Autoclave unit 376,250,000
5 . 12 . 1 . 71 Asoseris Bragiterapi set 434,925,648
5 . 12 . 1 . 72 Broncoscopy Portable Pentax/FB-15BS unit 763,302,675
5 . 12 . 1 . 73 Bak instrumen besar bertutup buah 1,075,000
5 . 12 . 1 . 74 Bak Instrumen besar buah 1,028,510
5 . 12 . 1 . 77 Bak Instrumen kecil + tutup set 537,500
5 . 12 . 1 . 78 Bak Instrumen kecil buah 364,061
5 . 12 . 1 . 79 Bak Instrumen Sedang buah 913,750
5 . 12 . 1 . 81 Bak Instrumen Sedang bertutup buah 1,500,000
5 . 12 . 1 . 84 Bak Instrumen Sedang tak bertutup buah 1,000,000
5 . 12 . 1 . 87 Bak Instrument unit 717,635
5 . 12 . 1 . 88 Bak Instrument 30x20x5 unit 1,147,616
5 . 12 . 1 . 90 Bandage Instrument Set set 41,634,805
5 . 12 . 1 . 91 Band seater buah 425,487
5 . 12 . 1 . 95 Band komplit+ M Tube + Clear buah 1,648,013
5 . 12 . 1 . 96 Basic Amputation Instrument Set unit 290,739,481
5 . 12 . 1 . 97 Basic Amputation bhg 291,069,083
5 . 12 . 1 . 99 Basic Cardiovascular Instrument Set set 949,348,454
5 . 12 . 1 . 100 Basic Instrumen Bedah Anak set 159,556,137
5 . 12 . 1 . 102 Basic set set 274,019,639
5 . 12 . 1 . 107 Basic instrumen set buah 306,380,624
5 . 12 . 1 . 108 Basic Intrumen Set/ Mayor set 253,494,384
5 . 12 . 1 . 112 Basic Intrumen Set Abdominal set 412,632,525
5 . 12 . 1 . 113 Basic Kidney Instrument Set set 82,685,314
5 . 12 . 1 . 114 Basic Orthopedic Instrument Set set 888,878,357
5 . 12 . 1 . 116 Basic Rectal Instrument Set set 104,094,502
5 . 12 . 1 . 117 Baskom steinless buah 224,729
5 . 12 . 1 . 118 Baskom steinless steel ukuran besar buah 2,139,421
5 . 12 . 1 . 119 Baskom berstandard unit 4,490,087
5 . 12 . 1 . 120 Bedah mulut set/gigi set set 376,250,000
5 . 12 . 1 . 121 Bed Pasien unit 20,525,254
5 . 12 . 1 . 122 Bed Pasien Monitor buah 135,691,409

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NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 1 . 123 Bed Side Monitor 4 Parameter buah 119,555,862


5 . 12 . 1 . 124 Bed Side Monitor 4 Parameter bisa Exspan buah 307,129,721
5 . 12 . 1 . 125 Bed Side Monitor 5 Parameter unit 271,173,070
5 . 12 . 1 . 127 Bedside Monitor unit 198,061,215
5 . 12 . 1 . 132 Bedside Monitor, Model DS-7101L unit- 217,462,824
5 . 12 . 1 . 137 Bedside Monitor, Model DS-7101 LT/elemetri unit 416,497,865
5 . 12 . 1 . 138 Bein buah 2,019,565
5 . 12 . 1 . 139 Bein Bengkok -buah.- 2,145,413
5 . 12 . 1 . 140 Bengkok besar 27 crn buah 185,776
5 . 12 . 1 . 143 Bengkok sedang 24 cm buah 124,350
5 . 12 . 1 . 144 Bengkok kecil buah 883,934
5 . 12 . 1 . 146 Bengkok besar unit 853,970
5 . 12 . 1 . 147 Bengkok sedang unit 636,732
5 . 12 . 1 . 149 Boor jet Fissure unit 187,274
5 . 12 . 1 . 150 Boor jet Inverted unit 187,274
5 . 12 . 1 . 151 Boor jet Round unit 187,274
5 . 12 . 1 . 152 Boor poles jet putih unit 187,274
5 . 12 . 1 . 153 Boor tulang Fissure unit 187,274
5 . 12 . 1 . 154 Bouginasi urethra GUYON unit 32,660,624
5 . 12 . 1 . 155 Bondable lingual bottom flat unit 906,407
5 . 12 . 1 . 156 Bowl Stand Dauble unit 6,027,233
5 . 12 . 1 . 157 Blood Warmer unit 34,458,456
5 . 12 . 1 . 161 Bone Densitometri unit 1,221,282,607
5 . 12 . 1 . 163 BronchovideoScope buah 1,058,998,259
5 . 12 . 1 . 164 Bracket holder + director buah 951,353
5 . 12 . 1 . 165 Biopsy of Cervix Fine Needles Instrument Set buah 120,739,435
5 . 12 . 1 . 166 Bur poles/polisheng machine buah 15,029,880
5 . 12 . 1 . 167 BSM 230 IK buah 192,239,234
5 . 12 . 1 . 168 Bleparoplasti set (bedah mata) set 58,384,611
5 . 12 . 1 . 169 Cardiac Stethoscope buah 7,423,550
5 . 12 . 1 . 170 Cardiac Catheterization Instrument Set buah 90,940,361
5 . 12 . 1 . 171 Carpue 30 G buah 540,848
5 . 12 . 1 . 172 Cataract, Phaco Instrument Set set 410,355,271
5 . 12 . 1 . 174 Cavitron/Scaller set 5,477,396
5 . 12 . 1 . 175 Cement spatel buah 266,678
5 . 12 . 1 . 176 Cerumen haak DN buah 50,189
5 . 12 . 1 . 177 Cervical collar S/M/L buah 735,014
5 . 12 . 1 . 178 Chalazion Instrument Set set 80,752,644
5 . 12 . 1 . 179 Cheeck retractor buah 492,906
5 . 12 . 1 . 181 CHKM pot 392,527
5 . 12 . 1 . 182 Citojeck buah 7,341,149
5 . 12 . 1 . 183 Circumcission intrument set set 52,286,962
5 . 12 . 1 . 185 Color Doppler Scanner with Cardiac Transducer unit 264,281,379
5 . 12 . 1 . 188 Comedo Extractor unit 5,375,000
5 . 12 . 1 . 191 Computerized Spirometer unit 441,448,784
5 . 12 . 1 . 194 Container W Lid 85 X 50 0,25 It unit 69,815,829
5 . 12 . 1 . 195 Continuous and Pulsed Short Wave unit 332,159,950
5 . 12 . 1 . 198 Continues Suction buah 84,797,767
5 . 12 . 1 . 201 Contra angle handpiece buah 2,374,637
5 . 12 . 1 . 202 Coren tang/sterilizing Forcep buah 4,449,635
5 . 12 . 1 . 203 Cool Touch 3 Laser unit 3,337,376,417
5 . 12 . 1 . 204 Corpus Alienurn set unit 12,734,647
5 . 12 . 1 . 205 Corong Sonde unit 281,660
5 . 12 . 1 . 206 Corong 10 cm buah 46,444
5 . 12 . 1 . 208 CPAP buah 277,928,000
5 . 12 . 1 . 209 Cresophate buah 554,332
5 . 12 . 1 . 210 Crimpable hook buah 681,678
5 . 12 . 1 . 211 Crimpable hook placement pilier TD buah 1,348,374
5 . 12 . 1 . 212 Cryer buah 2,621,839
5 . 12 . 1 . 213 Crown bride GC puder &Iiq botol 1,633,031
5 . 12 . 1 . 214 Cresopen buah 1,965,630
5 . 12 . 1 . 215 Cresophate buah 554,332
5 . 12 . 1 . 216 Currete voikrnann buah 2,828,590
5 . 12 . 1 . 217 Clinipette yellow tip box 1,688,464
5 . 12 . 1 . 218 Clinipette blue tip box 1,688,464
5 . 12 . 1 . 219 CT Injector unit 848,112,505
5 . 12 . 1 . 220 CystoScope buah 263,007,914
5 . 12 . 1 . 221 Cytospin set 554,032,052
5 . 12 . 1 . 222 Colposcopy unit 218,736,289
5 . 12 . 1 . 223 Cryo Surgery unit 321,512,381
5 . 12 . 1 . 224 Curretage Set set 34,083,908
5 . 12 . 1 . 228 Curretage Suction Pump unit 150,718,292
5 . 12 . 1 . 229 Dapen glass buah 13,484
5 . 12 . 1 . 230 Dappen glass alkohol kecil buah 13,484
5 . 12 . 1 . 231 Defibrilator buah 350,442,502
5 . 12 . 1 . 232 Defibrilator w/monitor unit 583,501,523
5 . 12 . 1 . 240 Dental Set unit 6,442,233
5 . 12 . 1 . 241 Dental Unit unit 91,375,000
5 . 12 . 1 . 242 Dental Unit - Electric unit 562,225,000
5 . 12 . 1 . 244 Dental Unit Electro With Kompresor unit 923,425,000

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NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 1 . 245 Dentrorit biru botol 377,545


5 . 12 . 1 . 246 Developer Powder Manual unit 8,062,500
5 . 12 . 1 . 247 Developer box 1,612,500
5 . 12 . 1 . 248 Diamendo buah 90,341
5 . 12 . 1 . 249 Dilatation and Curettage Instrument Set set 138,358,194
5 . 12 . 1 . 250 Digital Sphygmomanometer set 3,385,918
5 . 12 . 1 . 252 Diagnostic Audiometer set 119,855,501
5 . 12 . 1 . 253 Diamendo 21 mm for dentis buah 112,365
5 . 12 . 1 . 254 Diamendo buah 89,892
5 . 12 . 1 . 255 Direct bond bracket holder kit of 6 pcs buah 449,458
5 . 12 . 1 . 256 Doppler unit 44,646,174
5 . 12 . 1 . 257 Double end ligature ditector unit 659,205
5 . 12 . 1 . 258 Doeklem hegar 13 cm unit 70,415
5 . 12 . 1 . 259 Dry Heat Sterilisator unit 365,500,000
5 . 12 . 1 . 260 Dual Temp. Steam Sterilizer 16 L Multicontiol unit 69,875,000
5 . 12 . 1 . 261 Dual Temp Stearn Sterilizer 18 L Multicontrol Unit 314,620,689
5 . 12 . 1 . 262 Dynamic Hips Scew set set 285,480,821
5 . 12 . 1 . 263 Dycal unit 510,884
5 . 12 . 1 . 264 Dermobeam 2000 pulse dye laser unit 2,397,110,014
5 . 12 . 1 . 265 Dishwasher Table unit 10,187,718
5 . 12 . 1 . 266 Dishwasher Sink w/ Scrap Hole unit 19,925,977
5 . 12 . 1 . 267 Double bowl stand + bowl (set) set 6,292,414
5 . 12 . 1 . 271 Ear Forcep unit 13,034,286
5 . 12 . 1 . 273 Ear Wash System unit 17,828,506
5 . 12 . 1 . 274 ECG set 141,504,401
5 . 12 . 1 . 275 ECG Denshude set 390,579,113
5 . 12 . 1 . 277 ECG 1/2 Channel Manual. Automatic set 68,467,455
5 . 12 . 1 . 281 ECG 3 chanel unit 68,317,635
5 . 12 . 1 . 285 EGG Anak unit 62,474,680
5 . 12 . 1 . 286 ECG 1 channel set 32,250,000
5 . 12 . 1 . 288 ECG Monitor 1-3 chanel Type Alpha 1000 set 88,917,800
5 . 12 . 1 . 289 ECG Monitor 1-3 chanel Type 310 A set 81,801,379
5 . 12 . 1 . 290 ECG Multi Channel with Monitor unit 295,743,448
5 . 12 . 1 . 291 ECG 3/6 CHANNEL, model FX-3010 unit 130,942,135
5 . 12 . 1 . 292 ECG 3/6 CHANNEL, model PC-3012 fr FX-3010 unit 27,267,126
5 . 12 . 1 . 293 ECG 6/12 CHANNEL, Model FX-4010 unit 176,637,044
5 . 12 . 1 . 294 ECG 6/12 CHANNEL, Model PC-4011 fr FX-4010 unit 27,386,982
5 . 12 . 1 . 295 ECG 1/3 ANALYZER, Model FCP-2155 unit 81,951,199
5 . 12 . 1 . 296 ECG 1 CHANNEL, Model FX-7102 unit 65,541,482
5 . 12 . 1 . 297 ECG ANALYZER, FCP-7101 unit 113,862,726
5 . 12 . 1 . 298 ECT unit 650,216
5 . 12 . 1 . 299 ECT Monitor + 4 Printer unit 652,313,563
5 . 12 . 1 . 300 ECT Monitor tanpa printer unit 656,209
5 . 12 . 1 . 301 Ecthing tube 356,570
5 . 12 . 1 . 302 EEG Brainmapping 32 Chanel + Epilepsi Monitor unit 1,612,500,000
5 . 12 . 1 . 303 EEG Brainmapping 32 Channel unit 483,750,000
5 . 12 . 1 . 304 EEG Elektro Encephalograph +Brain Maping unit 880,638,292
5 . 12 . 1 . 305 EEG Elektro Encephalograph/EEG + Brain Atlas and Sleep Analysis unit 1,028,959,474
5 . 12 . 1 . 306 Electric Traction Table with Machine unit 305,182,069
5 . 12 . 1 . 307 Elektrik Operating Table buah 332,175,000
5 . 12 . 1 . 308 Electrical stimulation combinaton/Stimulator unit 254,775,000
5 . 12 . 1 . 309 Electro Surgical Unit Medium unit 300,238,029
5 . 12 . 1 . 310 Electrosurgical Unit unit 1,496,449,450
5 . 12 . 1 . 311 Electro surgical Minor unit 94,086,568
5 . 12 . 1 . 312 Electro surgical Unit Minor unit 172,256,326
5 . 12 . 1 . 313 Elevator/bein buah 2,019,565
5 . 12 . 1 . 314 Elastic ligature /power O buah 853,970
5 . 12 . 1 . 315 Elastic singe separator buah 1,451,750
5 . 12 . 1 . 316 Ernbryotorny Instrument Set set 219,335,566
5 . 12 . 1 . 317 Embryotomy Instrument Set set 102,551,363
5 . 12 . 1 . 318 Emergency Stretcher buah 30,825,337
5 . 12 . 1 . 319 Emergency Care Computer interactive Adult unit 492,531,198
5 . 12 . 1 . 320 EMG 4 Channel with Evoked Potential unit 1,120,831,711
5 . 12 . 1 . 321 EMG unit 1,130,686,830
5 . 12 . 1 . 322 EMG 2 channel unit 904,609,392
5 . 12 . 1 . 323 Endotracheal Intubation Set @ 9 buah set 21,573,990
5 . 12 . 1 . 324 Endotracheal Intubation Set set 824,007
5 . 12 . 1 . 325 Intubation Set Adult set 60,182,443
5 . 12 . 1 . 326 ENT Basic Instrument Set set 326,156,781
5 . 12 . 1 . 327 ENT Chair buah 43,000,000
5 . 12 . 1 . 328 ENT Treatment Unit unit 48,375,000
5 . 12 . 1 . 329 ENT Instrument Set set 75,250,000
5 . 12 . 1 . 330 ENT set set 304,807,520
5 . 12 . 1 . 331 Enucleation Eviceration Instrument Set set 52,436,782
5 . 12 . 1 . 332 Episotomy Suturing Simulator, set 3 unit 40,001,773
5 . 12 . 1 . 333 Ergometer unit 187,573,859
5 . 12 . 1 . 334 EKB 3/6 W auto arrtyhmia and interpretive unit 88,842,890
5 . 12 . 1 . 335 EKB portable sciler 3 Chanel unit 84,423,218
5 . 12 . 1 . 336 Extracting Forceps for Adult buah 16,322,821
5 . 12 . 1 . 337 Exacavator buah 732,617

166
NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 1 . 338 Exaflex hydrophilic aditiv buah 410,505


5 . 12 . 1 . 339 Exaflex putty buah 1,038,248
5 . 12 . 1 . 340 Exaflex catalis GC tube 1,143,122
5 . 12 . 1 . 341 Exaflex base 100g tube 1,215,035
5 . 12 . 1 . 342 Examination table set 7,000,000
5 . 12 . 1 . 343 Food trolly cabinet unit 11,825,000
5 . 12 . 1 . 344 Excavator buah 518,375
5 . 12 . 1 . 345 Excavator Double Ended for dentin buah 194,765
5 . 12 . 1 . 346 Exavator 384 tube 157,310
5 . 12 . 1 . 347 Explorer buah 662,202
5 . 12 . 1 . 348 Extention tube 75 cm pcs 80,902
5 . 12 . 1 . 349 Extention tube 150 cm pcs 92,888
5 . 12 . 1 . 350 Extention suction connection tube 3 m pcs 74,910
5 . 12 . 1 . 351 Extention tube yankuer pcs 41,949
5 . 12 . 1 . 352 Extention tube closed system bag pcs 113,863
5 . 12 . 1 . 353 Ezcura distal and cutter with safety hold buah 2,696,749
5 . 12 . 1 . 354 Manometer unit 2,247,291
5 . 12 . 1 . 355 Flow meter (manometer) buah 1,498,194
5 . 12 . 1 . 356 Flow meter central buah 2,711,731
5 . 12 . 1 . 357 Feeding pump K324 unit 27,162,253
5 . 12 . 1 . 358 Fetal doppler colour unit 5,842,956
5 . 12 . 1 . 359 Fetal doppler colour/USG Colour Doppler unit 2,271,711,197
5 . 12 . 1 . 360 Fergusan canula buah 2,247,291
5 . 12 . 1 . 361 Fetal monitor CTG buah 41,000,000
5 . 12 . 1 . 362 Fixer Powder manual unit 809,025
5 . 12 . 1 . 363 Finger protector buah 3,355,954
5 . 12 . 1 . 364 Fissura bur buah 89,892
5 . 12 . 1 . 365 Fissure boor pak/100 295,144
5 . 12 . 1 . 366 Freegenol/temporary cement temp band buah 599,278
5 . 12 . 1 . 367 Freeser bur/tungstan carbid cutter buah 85,397
5 . 12 . 1 . 368 Forceps Delivery Instrument set set 432,153,990
5 . 12 . 1 . 369 Functional Endoscopy for Sinus Surgery unit 2,909,791,919
5 . 12 . 1 . 370 Fiberoptic Examination Lamp unit 9,429,632
5 . 12 . 1 . 371 Gates glidden drill buah 292,148
5 . 12 . 1 . 372 Gall Bladder Instrument Set set 201,057,602
5 . 12 . 1 . 373 Gastrointestinal Instrument Set set 117,683,120
5 . 12 . 1 . 374 GC fujirock set 338,592
5 . 12 . 1 . 375 GC Fuji II puder dan liquid buah 1,498,194
5 . 12 . 1 . 376 Gergaji tulang tengkorak buah 85,621,773
5 . 12 . 1 . 377 Gilles set 1,367,851
5 . 12 . 1 . 378 Glaucoma Trabeculectomy Instrument Set set 278,514,220
5 . 12 . 1 . 379 Glucometer buah 2,389,619
5 . 12 . 1 . 380 Glass beat sterilisator buah 1,648,013
5 . 12 . 1 . 381 Gudel besar/sedang/kecil set 3,311,008
5 . 12 . 1 . 382 Gudel Set buah 717,635
5 . 12 . 1 . 383 Gunting bedah ujung tajam tumpul buah 134,837
5 . 12 . 1 . 384 Gunting bengkok 18 cm buah 599,278
5 . 12 . 1 . 385 Gunting bengkok 11 cm buah 53,935
5 . 12 . 1 . 386 Gunting Epis buah 3,595,665
5 . 12 . 1 . 387 Gunting Hecting Up unit 2,981,406
5 . 12 . 1 . 388 Gunting Hecting Up 14 cm unit 113,863
5 . 12 . 1 . 389 Gunting Kecil buah 205,253
5 . 12 . 1 . 390 Gunting Lancip buah 3,287,037
5 . 12 . 1 . 391 Gunting Lurus buah 232,220
5 . 12 . 1 . 392 Gunting Lurus 18 cm buah 573,808
5 . 12 . 1 . 393 Gunting Lurus 11 cm buah 56,931
5 . 12 . 1 . 394 Gunting Perban unit 1,474,223
5 . 12 . 1 . 395 Gunting Plester buah 170,794
5 . 12 . 1 . 396 Gunting Verban buah 5,174,761
5 . 12 . 1 . 397 Gunting jaring kecil buah 1,668,988
5 . 12 . 1 . 398 Gunting Episiomi buah 9,336,744
5 . 12 . 1 . 399 Gunting Tali pusat buah 3,071,297
5 . 12 . 1 . 400 Gunting episiotomy bergigi 14 cm buah 62,924
5 . 12 . 1 . 401 Gunting episiotomy 14 cm buah 149,819
5 . 12 . 1 . 402 Gunting episiotomy 18 cm buah 500,000
5 . 12 . 1 . 403 Gunting lurus 11 cm buah 500,000
5 . 12 . 1 . 404 Gunting mayo lurus 14 cm buah 186,525
5 . 12 . 1 . 405 Gunting mayo lurus 16 cm buah 188,772
5 . 12 . 1 . 406 Gunting mayo lurus 18 cm buah 217,238
5 . 12 . 1 . 407 Gunting mayo bengkok 14 cm buah 193,267
5 . 12 . 1 . 408 Gunting mayo bengkok 16 cm buah 209,747
5 . 12 . 1 . 409 Gunting mayo bengkok 18 cm buah 224,729
5 . 12 . 1 . 410 Gunting runcing 18 cm buah 608,267
5 . 12 . 1 . 411 Gunting verban 14 cm buah 608,267
5 . 12 . 1 . 412 Gunting verban 18 cm buah 608,267
5 . 12 . 1 . 413 Geneus thermometer unit 14,682,299
5 . 12 . 1 . 414 Gum scissor durotip buah 9,363,711
5 . 12 . 1 . 415 Gutta percha buah 35,957
5 . 12 . 1 . 416 Gilles unit 2,000,000
5 . 12 . 1 . 417 Gunting Verban 18 cm buah 1,000,000

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NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 1 . 418 Gynecology Examination table unit 19,925,977


5 . 12 . 1 . 419 Gynecology Examination elektrik unit 75,284,236
5 . 12 . 1 . 420 Haemorrroid Instrument Set unit 29,963,875
5 . 12 . 1 . 421 Helliometolar LC Pak 12,509,918
5 . 12 . 1 . 422 Hand Surgery Instrument Set set 387,732,545
5 . 12 . 1 . 423 Hand Surgery Set set 57,051,218
5 . 12 . 1 . 424 Halfmoon sonde buah 28,466
5 . 12 . 1 . 425 buah 2,996,388
Hand piece
5 . 12 . 1 . 426 Hanging bur buah 12,435,008
5 . 12 . 1 . 427 Hanging engine buah 12,435,008
5 . 12 . 1 . 428 Hard wire cutter (black) buah 2,582,886
5 . 12 . 1 . 429 Haemorrhoidectomy set. I set 108,693,957
5 . 12 . 1 . 430 Hematologi Analizer unit 1,413,515,848
5 . 12 . 1 . 431 Head strom buah 124,350
5 . 12 . 1 . 432 Hedstroem File Colorinox for dentis buah 154,314
5 . 12 . 1 . 433 Heater/kasur hangat/heat blangket buah 17,551,340
5 . 12 . 1 . 434 Heat Probe Unit unit 1,054,054,219
5 . 12 . 1 . 435 Herniotomy Instrument Set buah 176,037,767
5 . 12 . 1 . 436 Homajed vol 0,5-5 ml unit 23,971,100
5 . 12 . 1 . 437 Hordeolum set set 17,453,957
5 . 12 . 1 . 438 Hospital Electric Drive buah 156,860,887
5 . 12 . 1 . 439 Halogen Examination Lamp buah 11,985,550
5 . 12 . 1 . 440 Examination Lamp Mobile unit 94,236,387
5 . 12 . 1 . 441 Hammer for Orthopedi unit 2,148,410
5 . 12 . 1 . 442 Head lamp buah 39,102,857
5 . 12 . 1 . 443 HSG (Hysterosalphyngography) buah 12,135,369
5 . 12 . 1 . 444 Hysterectomy Instrument Set set 171,033,800
5 . 12 . 1 . 445 Hysterectomy Set set 29,283,000
5 . 12 . 1 . 446 3 In flow adaptor indoplas PCs 80,902
5 . 12 . 1 . 447 ID Camera unit 226,227,258
5 . 12 . 1 . 448 Implant Mini Instrument Set unit 210,945,681
5 . 12 . 1 . 449 Immunologi Analizer unit 1,457,742,527
5 . 12 . 1 . 450 Incubator transfusi set + oksigen buah 132,290,509
5 . 12 . 1 . 451 Incubator unit 116,821,325
5 . 12 . 1 . 452 Inkubator unit 49,755,015
5 . 12 . 1 . 453 Infant care warmer unit 286,604,466
5 . 12 . 1 . 454 Infant Fibrelight LaryngoScope Miler unit 17,946,863
5 . 12 . 1 . 455 Infant Incubator unit 170,194,811
5 . 12 . 1 . 456 Laryngoscope Infant unit 15,731,034
5 . 12 . 1 . 457 Infant Resuscitator buah 4,794,220
5 . 12 . 1 . 458 Infant Warmer unit 76,108,243
5 . 12 . 1 . 459 Infra Red Lamp unit 124,050,443
5 . 12 . 1 . 460 Infra Red Lamp for Fisiotherapy unit 133,998,450
5 . 12 . 1 . 461 Infusion Pump unit 16,125,000
5 . 12 . 1 . 462 Instrumen Bedah Toraks set 407,958,161
5 . 12 . 1 . 463 Intrument Pediatric Bladder set set 291,073,578
5 . 12 . 1 . 464 Instrumen Set for Surg Ward set 43,447,619
5 . 12 . 1 . 465 Instrument bak metal SH 412 set 1,143,122
5 . 12 . 1 . 466 Instrument bak metal SH 508 set 1,500,000
5 . 12 . 1 . 467 Intergrated diagnostic system buah 4,753,769
5 . 12 . 1 . 468 Intrument troly nop cat 35101 buah 10,785,497
5 . 12 . 1 . 469 Troly instrument buah 5,000,000
5 . 12 . 1 . 470 Integrated Diagnostic System unit 4,749,274
5 . 12 . 1 . 471 Introducer LMA unit 2,247,291
5 . 12 . 1 . 472 Irigator omron buah 1,210,541
5 . 12 . 1 . 473 Irigator lengkap 1 lt (stainless) buah 7,131,402
5 . 12 . 1 . 474 Inqator lengkap Email, 2 Itr buah 243,456
5 . 12 . 1 . 475 Ingator lengkap, 1 Itr buah 1,258,483
5 . 12 . 1 . 476 Ivory brain maping botol 286,155
5 . 12 . 1 . 477 Kaca mulut bush 128,845
5 . 12 . 1 . 478 Kaca larryng buah 154,314
5 . 12 . 1 . 479 Keratoplasty Instrument Set set 114,896,479
5 . 12 . 1 . 480 Kom unit 1,057,725
5 . 12 . 1 . 481 Kom Besar bertutup set 1,618,049
5 . 12 . 1 . 482 Kom cuci tangan set set 773,068
5 . 12 . 1 . 483 Kom kecil bertutup unit 689,169
5 . 12 . 1 . 484 Kom sedang bertutup unit 988,808
5 . 12 . 1 . 485 Kom sedang bertutup 12 cm buah 94,386
5 . 12 . 1 . 486 Kom Kecil Tak bertutup buah 888,429
5 . 12 . 1 . 487 Konservasi gigi set set 268,750,000
5 . 12 . 1 . 488 Korentang buah 542,346
5 . 12 . 1 . 489 Korentang + tempat unit 5,243,678
5 . 12 . 1 . 490 Korentang Besar unit 2,097,471
5 . 12 . 1 . 491 Klem kocher bengkok 12 cm buah 128,845
5 . 12 . 1 . 492 Klem kocher bengkok 14 cm buah 128,845
5 . 12 . 1 . 493 Klem kocher bengkok 16 cm buah 154,314
5 . 12 . 1 . 494 Klem kocher bengkok 18 cm buah 173,790
5 . 12 . 1 . 495 Klem kocher lurus 12 cm buah 128,845
5 . 12 . 1 . 496 Klem kocher lurus 14 cm buah 128,845
5 . 12 . 1 . 497 Klem kocher lurus 16 cm buah 137,684

168
NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 1 . 498 Krematorium unit 4,476,603


5 . 12 . 1 . 499 Lachrymal & Intubation Instrument Set se 82,808,165
5 . 12 . 1 . 500 Laparatomy Pediatric Instrument Set set 452,978,883
5 . 12 . 1 . 501 Laparatomy Obsgyn Instrument Set set 111,191,446
5 . 12 . 1 . 502 LaparosCope bush 4,616,684,068
5 . 12 . 1 . 503 Large Suture Instrument Set set 42,923,251
5 . 12 . 1 . 504 LaryngopharyngoScope buah 140,156,026
5 . 12 . 1 . 505 LaryngoScope adult, Mc Intosh buah 8,689,524
5 . 12 . 1 . 506 Laringoscopy buah 50,189,491
5 . 12 . 1 . 507 Laringoscopy pediatric 20,000,000
5 . 12 . 1 . 508 Lavement set, email, 2 Itr tuah 245,704
5 . 12 . 1 . 509 Le crown B porcelain madeling buah 134,837
5 . 12 . 1 . 510 Le crown D hylin-lecron D buah 134,837
5 . 12 . 1 . 511 Lentulo buah 184,278
5 . 12 . 1 . 512 lentulo for Dentis Box 232,220
5 . 12 . 1 . 513 Lipo Suction set unit 307,579,179
5 . 12 . 1 . 514 Light curing 10 carbon unit unit 87,914,010
5 . 12 . 1 . 515 Light pen / senter buah 139,332
5 . 12 . 1 . 516 Lipo Suction set 146,673,169
5 . 12 . 1 . 517 Lister bandage set buah 346,682,036
5 . 12 . 1 . 518 Ligatur scissor letteraner buah 1,573,103
5 . 12 . 1 . 519 Ligature plier (mathieu style) buah 4,869,130
5 . 12 . 1 . 520 Light cure enligt bonding agent buah 1,707,941
5 . 12 . 1 . 521 Light curing unit buah 15,820,926
5 . 12 . 1 . 522 LMA (size 1,5 / 2 / 2,5 /3) set 10,172,736
5 . 12 . 1 . 523 Lumbal Punction Instrument Set set 35,357,373
5 . 12 . 1 . 524 Long handle distal end cuuter with safety buah 2,397,110
5 . 12 . 1 . 525 Largo/Peeso Reamer for dentis Box 359,567
5 . 12 . 1 . 526 Matrix system Complete starter Kit Set 5,795,013
5 . 12 . 1 . 527 Maksiofasial set unit 307,579,179
5 . 12 . 1 . 528 Mayor set set 99,030,607
5 . 12 . 1 . 529 Major Coronary Bypass Instrument Set set 108,319,409
5 . 12 . 1 . 530 Major Surgery Instrument Set set 162,823,698
5 . 12 . 1 . 531 Major Basic Set set/ (69 unit) 84,498,128
5 . 12 . 1 . 532 Mayor Surgery Set set/ (50 unit) 103,000,821
5 . 12 . 1 . 533 Manual resusitasi buah 27,566,765
5 . 12 . 1 . 534 Manometer 02 buah 2,007,580
5 . 12 . 1 . 535 Masker set oksigen dewasa set 79,105
5 . 12 . 1 . 536 Mastoidectomy Instrument Set set 96,783,317
5 . 12 . 1 . 537 Martil buah 1,692,959
5 . 12 . 1 . 538 Matras anti decubitus buah 24,570,378
5 . 12 . 1 . 539 Medical Emergency Kit, Infant unit 36,555,928
5 . 12 . 1 . 540 Medilink Dual Frequency Ultrasound unit 545,791,986
5 . 12 . 1 . 541 Medilink Laser Module unit 171,842,824
5 . 12 . 1 . 542 Medilink Biofeedback 2 Channel Module unit 108,544,138
5 . 12 . 1 . 543 Medilink Interferential Therapy unit 49,755,015
5 . 12 . 1 . 544 Medilink Stimulation Therapy Module unit 99,510,029
5 . 12 . 1 . 545 Meja Operasi unit 1,947,651,887
5 . 12 . 1 . 546 Mesin Anestesi 2 Vaporisier buah 800,000,000
5 . 12 . 1 . 547 Microscop trinoculair with TV and Camera 33 mm unit 388,556,551
5 . 12 . 1 . 548 MicroScope Binoculer buah 45,694,910
5 . 12 . 1 . 549 MikroScope Binokuler CH 10 unit 38,803,218
5 . 12 . 1 . 550 MikroScope Binokuler CH 20 unit 56,481,905
5 . 12 . 1 . 551 Microscope surgery mata unit 1,017,723,020
5 . 12 . 1 . 552 Micro brush unit 483,917
5 . 12 . 1 . 553 Microwave diathermy unit 241,059,376
5 . 12 . 1 . 554 Minor Surgery Instrument Set set 42,174,154
5 . 12 . 1 . 555 Minor set unit 29,814,056
5 . 12 . 1 . 556 Minor Basic Set set/ (46 unit) 49,440,394
5 . 12 . 1 . 557 Minor Surgery Set set 28,465,681
5 . 12 . 1 . 558 Mini twiste kobayashl buah 973,826
5 . 12 . 1 . 559 Mini Laparatomy Set set/ (34unit) 70,340,197
5 . 12 . 1 . 560 Mini Endobloc for dentis Buah 498,899
5 . 12 . 1 . 561 Miracle buah 1,221,028
5 . 12 . 1 . 562 Mixing bowl unit 26,967
5 . 12 . 1 . 563 Mixing slap/glass plate buah 4,495
5 . 12 . 1 . 564 Muller buah 958,844
5 . 12 . 1 . 565 Mucus extractor CH 10 unoplast PCs 35,957
5 . 12 . 1 . 566 Mount mirror + handle b uah 4,959,021
5 . 12 . 1 . 567 Mounth piece spirometer buah 22,473
5 . 12 . 1 . 568 Mouth GAG set (TonsiIectomy) 1 set 64,683,017
5 . 12 . 1 . 569 Mobile pulse oxymetry + NIBP unit 59,073,780
5 . 12 . 1 . 570 Mobile Shygmomanometer buah 19,476,519
5 . 12 . 1 . 571 Mobile Stretcher With Bracket Oxygen unit 9,828,151
5 . 12 . 1 . 572 Nail poeder unit 171,843
5 . 12 . 1 . 573 Nd: YAG Laser unit 2,111,853,923
5 . 12 . 1 . 574 Nearbeken, unit 570,812
5 . 12 . 1 . 575 Needle holder buah 154,314
5 . 12 . 1 . 576 Nebulaizer unit 11,970,568
5 . 12 . 1 . 577 Nebulezer Fortable Ultra unit 3,424,871

169
NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 1 . 578 Nebulaizer comfort kv 400 unit 11,985,550


5 . 12 . 1 . 579 Nephrectomy / Urology Instrument Set set 471,631,395
5 . 12 . 1 . 580 Neopuff infant resuscitator set buah 44,100,831
5 . 12 . 1 . 581 Nierbekken L buah 28,466
5 . 12 . 1 . 582 Nierbekken M buah 35,957
5 . 12 . 1 . 583 Occuludator buah 94,386
5 . 12 . 1 . 584 Occo botol 292,148
5 . 12 . 1 . 585 Operating microScope unit 278,664,039
5 . 12 . 1 . 586 Operating microScope (fortable) buah 158,284,171
5 . 12 . 1 . 587 Operating OtoScope unit 2,771,658
5 . 12 . 1 . 588 Ophthalmic basic instrument set set 116,035,107
5 . 12 . 1 . 589 Ophthalmic Diagnostic Set set 60,200,000
5 . 12 . 1 . 590 Open Heart Surgery Instrumen Set buah 125,923,185
5 . 12 . 1 . 591 Open coil spring buah 1,066,714
5 . 12 . 1 . 592 Ostro buah 1,048,811
5 . 12 . 1 . 593 OtoScope buah 16,629,951
5 . 12 . 1 . 594 Otomatic Syncrhonizer unit 339,246,500
5 . 12 . 1 . 595 Otorefiactometer unit 113,082,167
5 . 12 . 1 . 596 Oto acustic Emission (OAE) Standart set 289,489,987
5 . 12 . 1 . 597 Orthopedic Operating Table unit 1,994,770,080
5 . 12 . 1 . 598 Orthopedic Set unit 355,773,076
5 . 12 . 1 . 599 One third tubular plates 6 hol buah 1,748,392
5 . 12 . 1 . 600 Ovarian Cystectomy Set set 103,588,113
5 . 12 . 1 . 601 Oksigen set set 2,872,037
5 . 12 . 1 . 602 Oksigen Regulator for CIG buah 3,044,330
5 . 12 . 1 . 603 Oxygen Concentrator unit 19,430,075
5 . 12 . 1 . 604 Oxygen Therapy unit 6,632,504
5 . 12 . 1 . 605 Oxygen Therapy Set, 6 M3 buah 6,993,568
5 . 12 . 1 . 606 Oxymetri unit 192,239,234
5 . 12 . 1 . 607 Pad electro, short wave diatermi unit 129,354,049
5 . 12 . 1 . 608 Panoptic Ophthalmoscope buah 34,247,211
5 . 12 . 1 . 609 Panoramic dental kadiograph unit 1,066,937,187
5 . 12 . 1 . 610 Panoramic Dental unit 791,575,167
5 . 12 . 1 . 611 Partus Instrument Set set 59,911,270
5 . 12 . 1 . 612 Partus Set set 26,107,524
5 . 12 . 1 . 613 Patient monitor set 247,276,880
5 . 12 . 1 . 614 Patient stretcher set 21,211,427
5 . 12 . 1 . 615 Peak Flow meter mini bell set 1,253,988
5 . 12 . 1 . 616 Pesawat X-Ray Mobile set 1,630,993,654
5 . 12 . 1 . 617 Pesawat X-Ray Stationer set 2,152,910,424
5 . 12 . 1 . 618 Pediatric Abdominal Refractor set 43,305,291
5 . 12 . 1 . 619 Pediatric LaryngoScope, Miller buah 17,091,394
5 . 12 . 1 . 620 Pentri disk + compartment buah 179,783
5 . 12 . 1 . 621 Pentri disk buah 70,415
5 . 12 . 1 . 622 Pengarah unit 1,017,274
5 . 12 . 1 . 623 Pensso reamers buah 292,148
5 . 12 . 1 . 624 Pemanas darah buah 17,551,340
5 . 12 . 1 . 625 Pembuka Gip Electri unit 45,231,968
5 . 12 . 1 . 626 Photometer type 5020 unit 646,639,903
5 . 12 . 1 . 627 Phototherapy unit 28,708,389
5 . 12 . 1 . 628 Phototherapy Unit unit 9,705,299
5 . 12 . 1 . 629 Phototherapy with baby cot unit 80,184,828
5 . 12 . 1 . 630 Phaco Emulsivikasi unit 870,732,234
5 . 12 . 1 . 631 Pisau Humby buah 43,492,565
5 . 12 . 1 . 632 Pisau buah i'l h 3,391,911
5 . 12 . 1 . 633 Pisau pisturi kecil boxil 00 786,552
5 . 12 . 1 . 634 Pisau pisturi sedang bOX11 GO 786,552
5 . 12 . 1 . 635 Pinset buah 536,353
5 . 12 . 1 . 636 Pinset anatomis buah 689,169
5 . 12 . 1 . 637 Pinset chirurgis buah 858,465
5 . 12 . 1 . 638 Pinset chirurgis adson buah 1,379,836
5 . 12 . 1 . 639 Pinset endo buah 958,844
5 . 12 . 1 . 640 Pinset gigi/dental pinset buah 315
5 . 12 . 1 . 641 Pinset gigi siku buah 77,906
5 . 12 . 1 . 642 Plastic Surgery Instrument Set set 83,588,724
5 . 12 . 1 . 643 Pleural Biopsy Instrument Set buah 10,692,609
5 . 12 . 1 . 644 Plastik instrumen buah 888,429
5 . 12 . 1 . 645 Polypectomy Instrument Set set 27,079,852
5 . 12 . 1 . 646 Portable Pulse Oxymeter unit 40,202,531
5 . 12 . 1 . 647 Portable Ventilator unit 474,943,902
5 . 12 . 1 . 648 Polish untuk resin komposiUpogo buah 124,350
5 . 12 . 1 . 649 Power chain (E-chain) medium buah 1,279,457
5 . 12 . 1 . 650 Power chain (E-chain) small buah 1,279,457
5 . 12 . 1 . 651 Preparation set set 2,275,756
5 . 12 . 1 . 652 Prostatectomy Inst. Set set 271,170,074
5 . 12 . 1 . 653 Protecting glasses set 65,975,959
5 . 12 . 1 . 654 Pterigium Instrument Set set 77,754,758
5 . 12 . 1 . 655 Purizon Ultraviolet Ozon unit 39,147,803
5 . 12 . 1 . 656 Pulperil unit 275,668
5 . 12 . 1 . 657 Putrex unit 570,812

170
NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 1 . 658 Pulse oksimetri unit 40,230,997


5 . 12 . 1 . 659 Raspatoriurn bucks unit 1,703,446
5 . 12 . 1 . 660 Raspatoritirn Freer unit 2,077,995
5 . 12 . 1 . 661 F4a s-p-ator i wnVVi11i get unit 1,703,446
5 . 12 . 1 . 662 Rectal KELLY specula unit 10,891,869
5 . 12 . 1 . 663 Rectal SIMS specula unit 10,891,869
5 . 12 . 1 . 664 Rectangular ASL unit 554,332
5 . 12 . 1 . 665 Reflex Hammer unit 2,148,410
5 . 12 . 1 . 666 Resin k a mp osit unit 304,133
5 . 12 . 1 . 667 Respond unit 843,483
5 . 12 . 1 . 668 ResectoScope unit 1,014,690,676
5 . 12 . 1 . 669 Resusitasi set unit 37,222,624
5 . 12 . 1 . 670 Retinal Detachment Instrument Set set 78,730,082
5 . 12 . 1 . 671 Reusable Hot Pack/Cold Pack unit 62,924
5 . 12 . 1 . 672 Rol Incot Strecher unit 35,072,716
5 . 12 . 1 . 673 Round boor unit 349,079
5 . 12 . 1 . 674 Rosin luxator unit 3,726,008
5 . 12 . 1 . 675 Rhinology Instrumen set set 111,543,522
5 . 12 . 1 . 676 Rhinoplasty Instrumen set set 215,127,140
5 . 12 . 1 . 677 Rhino surgery set with camera set 840,200,544
5 . 12 . 1 . 678 Saliva ejector tin set 67,419
5 . 12 . 1 . 679 Scalple set 67,419
5 . 12 . 1 . 680 Scaller cavitton SLI 108 set 18,453,253
5 . 12 . 1 . 681 Scissor set 2,463,031
5 . 12 . 1 . 682 Screw and Plate Instrument Set set 483,904,599
5 . 12 . 1 . 683 Screw Cutter set 38,565,006
5 . 12 . 1 . 684 Set Bedah Jantung set 717,920,966
5 . 12 . 1 . 685 Scctio Caesarean Instrument Set set 44,069,369
5 . 12 . 1 . 686 Sensor Pulse Oxymetri set 12,996,831
5 . 12 . 1 . 687 Sentral monitor set 944,100,281
5 . 12 . 1 . 688 Sealent set 1,176,082
5 . 12 . 1 . 689 Set Vena secsi set 23,506,660
5 . 12 . 1 . 690 Set Medikasi set 16,057,641
5 . 12 . 1 . 691 Set minor lengkap set 38,651,901
5 . 12 . 1 . 692 Servical Cella set 901,913
5 . 12 . 1 . 693 Sinuscope set 723,669,535
5 . 12 . 1 . 694 Sinus Surgery Instrument Set set 84,647,947
5 . 12 . 1 . 695 Sinuscopy Observasi Set set 417,080,662
5 . 12 . 1 . 696 Shelax lranspiiran set 35,957
5 . 12 . 1 . 697 Skin Graft Instrument Set set 88,664,605
5 . 12 . 1 . 698 Sketsel Beroda unit 9,234,866
5 . 12 . 1 . 699 Slim posterior band remover plier buah 2,481,009
5 . 12 . 1 . 700 Slim weigart utility plier (long handle) buah 2,481,009
5 . 12 . 1 . 701 Sleep apnea sederhana buah 42,971,193
5 . 12 . 1 . 702 Small Operating Instrument Se set 13,064,250
5 . 12 . 1 . 703 Small Vascular Instrument Set set 1,075,882,904
5 . 12 . 1 . 704 Smaha straight slim sure grip forcep buah 1,153,609
5 . 12 . 1 . 705 Snaha straight slimline sure grip force/masquito buah 1,153,609
5 . 12 . 1 . 706 Soft linen buah 903,411
5 . 12 . 1 . 707 Sonde buah 286,155
5 . 12 . 1 . 708 Sonde lurus buah 344,585
5 . 12 . 1 . 709 Sonde halfmoon buah 143,827
5 . 12 . 1 . 710 Sonde uterus buah 160,307
5 . 12 . 1 . 711 Spektropotometer unit 163,099,365
5 . 12 . 1 . 712 Sphygmomanometer Infant unit 1,585,089
5 . 12 . 1 . 713 Sphygmomanometer Mobile Stand unit 6,783,821
5 . 12 . 1 . 714 Sphygmomanometer Mobile unit 4,349,256
5 . 12 . 1 . 715 Stand Lamp unit 23,529,133
5 . 12 . 1 . 716 Srynge pump buah 39,143,308
5 . 12 . 1 . 717 Surgical Suctions Pump unit 116,363,211
5 . 12 . 1 . 718 Spot Vital Sign Lint 98,124,200
5 . 12 . 1 . 719 Spot Vital Sign (NIBP/SP02) unit 149,187,138
5 . 12 . 1 . 720 Spuit glicerin buah 215,740
5 . 12 . 1 . 721 Spreafer set 564,819
5 . 12 . 1 . 722 Spongostan 10x10x10 mm box 892,923
5 . 12 . 1 . 723 Sponge click brain mapping box 1,688,464
5 . 12 . 1 . 724 Stainless Steel Ware Set set 579,801
5 . 12 . 1 . 725 SteriLisator basah unit 66,148,251
5 . 12 . 1 . 726 SteriLisator keying unit 68,450,975
5 . 12 . 1 . 727 SteriLisator buah 66,148,251
5 . 12 . 1 . 728 STEAM STERILIZER, EO-GAS set 366,160,053
5 . 12 . 1 . 729 STEAM STERILIZER, (Auto water supply) set 317,094,357
5 . 12 . 1 . 730 STEAM STERILIZER, (Manual water supply) set 1,327,867,107
5 . 12 . 1 . 731 STEAM STERILIZER, CHS-AC250 (both) set 1,276,198,899
5 . 12 . 1 . 732 STEAM STERILIZER, CHS-AC250 (with generator) set 1,169,269,814
5 . 12 . 1 . 733 Stetoskop model Clasic II SE buah 1,195,559
5 . 12 . 1 . 734 Stetoskop buah 542,346
5 . 12 . 1 . 735 Stetoskop model Spectrum Lines buah 179,783
5 . 12 . 1 . 736 Stetoskop Model 120 buah 77,906
5 . 12 . 1 . 737 Stethoscope anak buah 954,349

171
NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 1 . 738 Stethoscope Bayi buah 782,057


5 . 12 . 1 . 739 Stethoscope dewasa buah 403,014
5 . 12 . 1 . 740 StetoScope Lighman unit 2,452,543
5 . 12 . 1 . 741 Strabismus Instrument Set set 91,112,653
5 . 12 . 1 . 742 Stress Analyser unit 533,481,328
5 . 12 . 1 . 743 Stress Test with Treadmill unit 853,093,999
5 . 12 . 1 . 744 Store boor poles buah 178,285
5 . 12 . 1 . 745 Stop (V-Bend) piler buah 2,203,843
5 . 12 . 1 . 746 Suction duduk buah 7,610,824
5 . 12 . 1 . 747 Suction Pump unit 37,757,479
5 . 12 . 1 . 748 Suction Pump Model SU-510 (portable) unit 14,845,602
5 . 12 . 1 . 749 Supra + RetropUblIC Prostatectorny Inst. Set set 119,849,508
5 . 12 . 1 . 750 Swaddling Table buah 993,302
5 . 12 . 1 . 751 Systo Rhinostomy Surgery set (bedah mata) set 71,110,269
5 . 12 . 1 . 752 Syringe Pump with Stand unit 96,663,461
5 . 12 . 1 . 753 Syringe Pump unit 40,440,744
5 . 12 . 1 . 754 SUCTION UNIT, Model SB-5 unit 59,840,855
5 . 12 . 1 . 755 SUCTION UNIT, SB-5 +STAND Acoma unit 71,811,423
5 . 12 . 1 . 756 SUCTION UNIT Model SB-6III unit 73,925,375
5 . 12 . 1 . 757 SUCTION UNIT Model SB 10MKII unit 98,028,316
5 . 12 . 1 . 758 Tang akar bawah PCs 6,220,500
5 . 12 . 1 . 759 Tang sisa akar pcs 5,005,465
5 . 12 . 1 . 760 'fang sisa akar Lokal PCs 642,725
5 . 12 . 1 . 761 Tang anak bun 3,726,008
5 . 12 . 1 . 762 Tang C & P bawah buah 4,245,881
5 . 12 . 1 . 763 Tang ekstraksi buah 4,644,414
5 . 12 . 1 . 764 Tang klamer buah 265,180
5 . 12 . 1 . 765 Tang M3 alas buah 3,726,008
5 . 12 . 1 . 766 Tang molar alas buah 3,913,282
5 . 12 . 1 . 767 Tang molar bawah buah 4,245,881
5 . 12 . 1 . 768 Tang premolar atas buah 3,726,008
5 . 12 . 1 . 769 Tang sisa akar alas buah 4,245,881
5 . 12 . 1 . 770 Tang sisa akar bawah buah 2,019,565
5 . 12 . 1 . 771 Tang upper incisors&caines buah 3,726,008
5 . 12 . 1 . 772 Tabung 02 besar buah 6,948,623
5 . 12 . 1 . 773 Tabung 02 kecil buah 3,916,278
5 . 12 . 1 . 774 Ternpron buah 744,602
5 . 12 . 1 . 775 Tens set unit 577,057,792
5 . 12 . 1 . 776 Tens Unit unit 11,306,868
5 . 12 . 1 . 777 Tensi air raksa buah 2,019,565
5 . 12 . 1 . 778 Tensimeter anak buah 8,694,018
5 . 12 . 1 . 779 Tensimeter duduk buah 2,064,511
5 . 12 . 1 . 780 Tensimeter berdiri unit 8,694,018
5 . 12 . 1 . 781 Tensimeter beroda uni 7,610,824
5 . 12 . 1 . 782 Tensimeter buah 2,761,171
5 . 12 . 1 . 783 Termometer buah 161,250
5 . 12 . 1 . 784 Termometer Digital unit 683,176
5 . 12 . 1 . 785 Titanium adhesive remover plier unit 3,069,799
5 . 12 . 1 . 786 Timbangan buah 2,077,995
5 . 12 . 1 . 787 Timbangan Bayi buah 868,952
5 . 12 . 1 . 788 Timbangan Sample unit 33,923,601
5 . 12 . 1 . 789 Thoracocentesis/Paracentesis unit 102,323,637
5 . 12 . 1 . 790 Thoracotomy Instrument Set set 716,172,573
5 . 12 . 1 . 791 Tounge Spatula buah 979,819
5 . 12 . 1 . 792 Tourniquet buah 77,906
5 . 12 . 1 . 793 Thorax Drainage Pump (VISD) unit 150,722,787
5 . 12 . 1 . 794 Trantion hook buah 383,538
5 . 12 . 1 . 795 TKF botol 356,570
5 . 12 . 1 . 796 Trantion therapy buah 203,547,600
5 . 12 . 1 . 797 Tranduser Infra Rectal unit 411,618,248
5 . 12 . 1 . 798 Tranduser Infra Vaginal unit 137,959,674
5 . 12 . 1 . 799 Tranduser Perifer (9 MHz) unit 67,848,701
5 . 12 . 1 . 800 Transducer for Laparascopic unit 646,830,173
5 . 12 . 1 . 801 Trans Cranial Dopler unit 1,176,576,505
5 . 12 . 1 . 802 Tracheotomy Instrument Set set 102,137,861
5 . 12 . 1 . 803 Tracheotomy Instrument Set pediatric set 60,733,779
5 . 12 . 1 . 804 Traksi lumbal unit 384,704,695
5 . 12 . 1 . 805 Tromol Kassa steril, 27 cm buah 2,469,023
5 . 12 . 1 . 806 Tromol Ukuran Besar unit 30,603,604
5 . 12 . 1 . 807 Tromol Ukuran Kecil unit 10,673,132
5 . 12 . 1 . 808 Tromol Ukuran sedang unit 15,491,323
5 . 12 . 1 . 809 Tromol Sedang buah 2,160,395
5 . 12 . 1 . 810 Treadmill with Computer Control unit 1,453,758,830
5 . 12 . 1 . 811 Treadmill with Computer Control (stress test) unit 853,093,999
5 . 12 . 1 . 812 Treedmill Strees unit 729,596,390
5 . 12 . 1 . 813 Treatment Table Electric Three Section unit 115,342,941
5 . 12 . 1 . 814 Try way buah 187,274
5 . 12 . 1 . 815 Tweed loop forming plier buah 2,481,009
5 . 12 . 1 . 816 Tweed weingard utility plier buah 2,481,009
5 . 12 . 1 . 817 Tympanome try unit 248,034,966

172
NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 1 . 818 Tympanoplasty Set set 754,431,947


5 . 12 . 1 . 819 Ultrasonic Nebulizer buah 31,312,250
5 . 12 . 1 . 820 Ultrasonic Nebulizer, Stand & Mask unit 117,212,687
5 . 12 . 1 . 821 Ultraviolet unit 86,203,073
5 . 12 . 1 . 822 Ultrasound terapi unit 91,959,133
5 . 12 . 1 . 823 Urinalyzer unit 108,732,910
5 . 12 . 1 . 824 USG 3 D unit 1,359,161,378
5 . 12 . 1 . 825 USG unit 1,022,488,775
5 . 12 . 1 . 826 USG 3 dimensi buah 2,020,678,345
5 . 12 . 1 . 827 USG Color Doppler unit 5,674,052,292
5 . 12 . 1 . 828 USG Mata unit 973,698,597
5 . 12 . 1 . 829 USG Monochrome unit 5,326,528,273
5 . 12 . 1 . 830 USG Multi frequency unit 358,511,774
5 . 12 . 1 . 831 USG with obstetric tranducer + vaginal trand. unit 930,612,043
5 . 12 . 1 . 832 Uterus set 3,730,502
5 . 12 . 1 . 833 Vacum Extractor unit 174,232,443
5 . 12 . 1 . 834 Vacum currette no 6 pcs 76,408
5 . 12 . 1 . 835 Vacum currette no 8 unit 76,408
5 . 12 . 1 . 836 Vacum currette no 10 pcs 76,408
5 . 12 . 1 . 837 Vasculair doppler buah 35,072,716
5 . 12 . 1 . 838 Vena Secti Instrument Set set 60,672,353
5 . 12 . 1 . 839 Vena Section Set set 10,271,616
5 . 12 . 1 . 840 Ventilator unit 678,493,000
5 . 12 . 1 . 841 Ventilator Infant-Pediatric w/Nasal CPAP unit 1,026,100,920
5 . 12 . 1 . 842 Ventilator Multipurpose unit 904,657,334
5 . 12 . 1 . 843 Ventilator with BIPAP, Autoflow & Mask unit 684,460,306
5 . 12 . 1 . 844 Ventilator Anak unit 1,583,150,334
5 . 12 . 1 . 845 Ventilator Dewasa unit 1,032,000,000
5 . 12 . 1 . 846 Ventilator non invasif unit 135,697,402
5 . 12 . 1 . 847 Ventilator, Model ART-1000 unit 970,597,336
5 . 12 . 1 . 848 Ventilator, Model ICV-60 unit 1,004,793,608
5 . 12 . 1 . 849 Ventilator, Model ART-21 EX unit 917,594,237
5 . 12 . 1 . 850 Vibrator unit 8,371,907
5 . 12 . 1 . 851 Wax merah unit 112,365
5 . 12 . 1 . 852 Wall Sphygmomanometer buah 3,319,997
5 . 12 . 1 . 853 Waskom stainless steel 40c unit 233,718
5 . 12 . 1 . 854 WSD Set set 71,874,347
5 . 12 . 1 . 855 Wick bracket height gauges buah 2,069,006
5 . 12 . 1 . 856 Wire Set buah 1,467,895,787
5 . 12 . 1 . 857 Wire Instrument Set set 117,744,546
5 . 12 . 1 . 858 Wire Cutter buah 1,710,937
5 . 12 . 1 . 859 Wire twister buah 4,708,823
5 . 12 . 1 . 860 Xylestesin kaleng 1,358,862
5 . 12 . 1 . 861 X-Smart for Dentis set 20,495,291
5 . 12 . 1 . 862 X-Smart for Dentis set 217,356,452
5 . 12 . 2 PERALATAN NON-MEDIK
5 . 12 . 2 . 1 Advanced Childbirth Simulator unit 36,932,000
5 . 12 . 2 . 2 Alat permainan edukasi dan stimulasi set 1,265,000
5 . 12 . 2 . 3 Almari instrumen unit 4,000
5 . 12 . 2 . 4 Almari obat kaca unit 1,890,000
5 . 12 . 2 . 5 Anti decubitus matrass buah 7,450,000
5 . 12 . 2 . 6 Anti decubitus mattress unit 2,107,000
5 . 12 . 2 . 7 Anti decubitus mattress buah 102,000
5 . 12 . 2 . 8 Anti decubitus mattress unit 21,888,000
5 . 12 . 2 . 9 Anti decubitus mattress unit 1,861,000
5 . 12 . 2 . 10 Anti decubitus mattress unit 3,310,000
5 . 12 . 2 . 11 Apex Locater/Propex set 7,728,000
5 . 12 . 2 . 12 Bantal angin buah 70,000
5 . 12 . 2 . 13 Bantal Angin buah 77,000
5 . 12 . 2 . 14 Baskom 36 cm unit 55,000
5 . 12 . 2 . 15 Baskom 40 cm unit 90,000
5 . 12 . 2 . 16 Baskom berstandard unit 1,300,000
5 . 12 . 2 . 17 Bed gynekologi unit 735,000
5 . 12 . 2 . 18 Bed side cabinet unit 3,487,000
5 . 12 . 2 . 19 Bed side Pasien 3 crank with matras and standar infus unit 25,201,000
5 . 12 . 2 . 20 Bladder Trocar 6.0 mm buah 2,229,000
5 . 12 . 2 . 21 Brancard buah 2,991,000
5 . 12 . 2 . 22 Brancard buah 4,686,000
5 . 12 . 2 . 23 Brancard buah 2,204,000
5 . 12 . 2 . 24 Brancard buah 6,193,000
5 . 12 . 2 . 25 Brancard unit 7,747,000
5 . 12 . 2 . 26 Brancard unit 9,274,000
5 . 12 . 2 . 27 Buli-buli panas buah 11,000
5 . 12 . 2 . 28 Children bed buah 709,000
5 . 12 . 2 . 29 Children bed buah 9,163,000

5 . 12 . 2 . 30 Children bed + matrass set 3,293,000


5 . 12 . 2 . 31 Children bed + matrass set 3,162,000
5 . 12 . 2 . 32 Children bed + matrass set 11,251,000

173
NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 2 . 33 Comprimeter unit 2,420,000


5 . 12 . 2 . 34 Curet Set unit 24,996,000
5 . 12 . 2 . 35 Dorongan oksigen kecil 1 m3 buah 119,000
5 . 12 . 2 . 36 Dish Washing Maachine unit 155,370,000
5 . 12 . 2 . 37 Double bowl stand + bowl buah 1,846,000
5 . 12 . 2 . 38 Double bowl stand + bowl buah 4,053,000
5 . 12 . 2 . 39 Double bowl stand + bowl (set) set 2,573,000
5 . 12 . 2 . 40 Emergency Kit set 8,771,000
5 . 12 . 2 . 41 Emergency Lamp unit 1,716,000
5 . 12 . 2 . 42 Emergency Lamp unit 3,420,000
5 . 12 . 2 . 43 Emergency Lamp buah 135,000
5 . 12 . 2 . 44 Emergency troly buah 4,988,000
5 . 12 . 2 . 45 Emergency Trolley unit 3,369,000
5 . 12 . 2 . 46 Emergency Trolley unit 4,700,000
5 . 12 . 2 . 47 Emergency Trolley unit 6,217,000
5 . 12 . 2 . 48 Endo block buah 124,000
5 . 12 . 2 . 49 Endo stand buah 308,000
5 . 12 . 2 . 50 Endo Access Bur for dentis buah 36,000
5 . 12 . 2 . 51 Endo stand for dentis buah 385,000
5 . 12 . 2 . 52 ESU 400 W unit 60,801,000
5 . 12 . 2 . 53 Foot Step buah 531,000
5 . 12 . 2 . 54 Foot Step unit 642,000
5 . 12 . 2 . 55 Generator 46,005,000
5 . 12 . 2 . 56 Gynaecological chair buah 6,843,000
5 . 12 . 2 . 57 Gynaecological chair buah 7,359,000

5 . 12 . 2 . 58 Gynaecology Examination table buah 35,399,000


5 . 12 . 2 . 59 Gynaecology Examination Set set 32,063,000
5 . 12 . 2 . 60 Gynaecology Examination Set set 2,548,000
5 . 12 . 2 . 61 Gynaecology Examination Set set 15,852,000
5 . 12 . 2 . 62 Gynaecology Examination Set set 5,072,000
5 . 12 . 2 . 63 Gynaecological Bed unit 3,978,000
5 . 12 . 2 . 64 Gynaecological Bed unit 5,128,000
5 . 12 . 2 . 65 Gynecolog bed buah 7,337,000
5 . 12 . 2 . 66 Gynecolog bed buah 7,359,000

5 . 12 . 2 . 67 Ganti Balut Set set 135,000


5 . 12 . 2 . 68 Gastrointestinal Instrument Set set 184,158,000
5 . 12 . 2 . 69 Gastrointestinal Instrument Set set 28,915,000
5 . 12 . 2 . 70 Gastro Intestinal set set 36,531,000
5 . 12 . 2 . 71 Haemorroid Instrument Set set 44,452,000
5 . 12 . 2 . 72 Haemorroid Instrument Set set 13,579,000
5 . 12 . 2 . 73 Hospital Bed + mattrass unit 15,493,000
5 . 12 . 2 . 74 Hospital Bed + mattrass unit 10,824,000
5 . 12 . 2 . 75 Hospital Bed buah 8,780,000

5 . 12 . 2 . 76 Hospital Bed buah 21,648,000


5 . 12 . 2 . 77 Halogen Examination Lamp buah 66,777,000
5 . 12 . 2 . 78 Halogen Examination Lamp buah 7,602,000
5 . 12 . 2 . 79 Halogen Examination Lamp unit 2,060,000
5 . 12 . 2 . 80 Halogen Penlite buah 76,000
5 . 12 . 2 . 81 Halogen Penlite buah 472,000
5 . 12 . 2 . 82 Pen Light Buah 41,000
5 . 12 . 2 . 83 He Ne laser buah 78,742,000
5 . 12 . 2 . 84 Hospital Bed elektrik buah 25,675,000

5 . 12 . 2 . 85 Hospital Bed buah 8,780,000


5 . 12 . 2 . 86 Hospital Bed MAX buah 9,660,000

5 . 12 . 2 . 87 ICU Bed buah 9,133,000


5 . 12 . 2 . 88 ICU Bed buah 11,411,000

5 . 12 . 2 . 89 ICU Bed buah 50,012,000


5 . 12 . 2 . 90 ICU-ICCU Bed buah 9,530,000
5 . 12 . 2 . 91 Infus stand buah 214,000
5 . 12 . 2 . 92 Infus stand buah 845,000

5 . 12 . 2 . 93 Infus stand buah 1,657,000


5 . 12 . 2 . 94 Instrument cabinet buah 3,806,000
5 . 12 . 2 . 95 Instrument trolley buah 3,604,000
5 . 12 . 2 . 96 Instrument trolley buah 402,000
5 . 12 . 2 . 97 Instrument trolley buah 6,377,000
5 . 12 . 2 . 98 Instrument trolley buah 3,350,000

174
NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 2 . 99 Instrument trolley unit 2,212,000


5 . 12 . 2 . 100 Instrument trolley unit 2,393,000
5 . 12 . 2 . 101 Incenerator buah 290,226,000
5 . 12 . 2 . 102 Kaca mulut buah 15,000
5 . 12 . 2 . 103 Kursi roda buah 1,680,000
5 . 12 . 2 . 104 Kursi roda buah 3,350,000
5 . 12 . 2 . 105 Kursi roda buah 923,000
5 . 12 . 2 . 106 Kursi roda unit 2,267,000
5 . 12 . 2 . 107 Kursi Roda Ban Hidup/solid unit 1,315,000
5 . 12 . 2 . 108 Kursi tindakan buah 2,014,000

5 . 12 . 2 . 109 Kursi tindakan buah 3,295,000


5 . 12 . 2 . 110 Kursi roda buah 1,315,000
5 . 12 . 2 . 111 Kursi roda ban hidup/solid unit 1,315,000
5 . 12 . 2 . 112 Kruk Alumunium buah 57,000
5 . 12 . 2 . 113 Kruk besi buah 38,000
5 . 12 . 2 . 114 Lampu Halogen 6 v / 20 watt buah 176,000
5 . 12 . 2 . 115 Lampu Halogen 12 v / 20 watt buah 176,000
5 . 12 . 2 . 116 Lampu Baca Rontgen unit 3,885,000
5 . 12 . 2 . 117 Lampu halogen pcs 444,000
5 . 12 . 2 . 118 Lampu baca foto buah 3,885,000
5 . 12 . 2 . 119 Lampu Operasi Ceiling unit 34,453,000
5 . 12 . 2 . 120 Linen Trolley unit 3,589,000
5 . 12 . 2 . 121 Linen Trolley unit 6,591,000
5 . 12 . 2 . 122 Linen Trolley unit 6,233,000
5 . 12 . 2 . 123 Lemari Linen 3,162,000
5 . 12 . 2 . 124 Lemari Pendingin unit 2,027,000
5 . 12 . 2 . 125 Loundry Troly buah 3,231,000
5 . 12 . 2 . 126 Matras 10 cm latek buah 1,689,000
5 . 12 . 2 . 127 Matras Bed unit 2,726,000

5 . 12 . 2 . 128 Matras Dewasa unit 2,296,000


5 . 12 . 2 . 129 Mattress Adult unit 1,523,000
5 . 12 . 2 . 130 Masker buah 41,000
5 . 12 . 2 . 131 Mayo Stand unit 2,011,000
5 . 12 . 2 . 132 Medicine Trolley unit 7,012,000
5 . 12 . 2 . 133 Medicine Trolley unit 9,887,000
5 . 12 . 2 . 134 Medicine Trolley unit 16,459,000
5 . 12 . 2 . 135 Medicine Trolley ( 50 drawer) unit 9,532,000
5 . 12 . 2 . 136 Medicine Trolly unit 5,123,000
5 . 12 . 2 . 137 Medicine cabinet unit 4,301,000
5 . 12 . 2 . 138 Medicine cabinet unit 5,472,000

5 . 12 . 2 . 139 Medicine cabinet unit 4,208,000


5 . 12 . 2 . 140 Medicine Cabinet 2,943,000
5 . 12 . 2 . 141 Medical Emergency Kit, Adult 87,261,000
5 . 12 . 2 . 142 Mesin Anesthesi buah 439,104,000
5 . 12 . 2 . 143 Mesin Jilid Coolator unit 55,000
5 . 12 . 2 . 144 Meja Instrumen buah 4,110,000

5 . 12 . 2 . 145 Meja Instrumen unit 3,556,000


5 . 12 . 2 . 146 Meja Konter UGD unit 2,197,000
5 . 12 . 2 . 147 Meja Makan untuk Pasien unit 2,973,000
5 . 12 . 2 . 148 Meja Mayo unit 1,940,000
5 . 12 . 2 . 149 Meja Operasi unit 25,067,000
5 . 12 . 2 . 150 Meja Periksa unit 1,315,000
5 . 12 . 2 . 151 Meja Troli unit 1,074,000
5 . 12 . 2 . 152 Meja untuk memandikan bayi unit 4,270,000
5 . 12 . 2 . 153 Mixer Besar buah 35,000
5 . 12 . 2 . 154 Palpation Module for leopold manuvers unit 6,112,000
5 . 12 . 2 . 155 Patient Stretcher unit 4,686,000

5 . 12 . 2 . 156 Patient Stretcher unit 6,590,000


5 . 12 . 2 . 157 Pengait IUD Buah 14,000
5 . 12 . 2 . 158 Pispot s/s buah 289,000
5 . 12 . 2 . 159 Pispot buah 1,849,000
5 . 12 . 2 . 160 Pispot buah 488,000
5 . 12 . 2 . 161 Pispot steinless steel unit 692,000
5 . 12 . 2 . 162 Phaco Emulsivikasi unit 270,494,000
5 . 12 . 2 . 163 Plaster Cast Removal unit 19,672,000
5 . 12 . 2 . 164 Plastik filling buah 92,000
5 . 12 . 2 . 165 Pressure Infusor buah 772,000
5 . 12 . 2 . 166 Recovery bed buah 8,780,000

5 . 12 . 2 . 167 Recovery bed buah 24,866,000


5 . 12 . 2 . 168 Recovery bed buah 47,632,000

175
NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 2 . 169 Recovery Bed buah 9,865,000


5 . 12 . 2 . 170 Recovery Bed buah 47,632,000
5 . 12 . 2 . 171 Sikat tangan biji 3,000
5 . 12 . 2 . 172 Slit Lamp unit 147,109,000
5 . 12 . 2 . 173 Stand the Standar Skeleton unit 7,038,000
5 . 12 . 2 . 174 Standar infus buah 209,000
5 . 12 . 2 . 175 Standar infus unit 1,453,000
5 . 12 . 2 . 176 Standart Infuse unit 733,000
5 . 12 . 2 . 177 Standart makan unit 327,000
5 . 12 . 2 . 178 Strecher buah 9,246,000
5 . 12 . 2 . 179 Stretcher buah 9,363,000
5 . 12 . 2 . 180 Tas Obat besar ikat 42,000
5 . 12 . 2 . 181 Tas Obat Kecil ikat 14,000
5 . 12 . 2 . 182 Tas Obat Sedang ikat 23,000
5 . 12 . 2 . 183 Tabung O2 unit 1,380,000
5 . 12 . 2 . 184 Tabung O2 besar unit 2,269,000
5 . 12 . 2 . 185 Tabung O2 kecil unit 1,265,000
5 . 12 . 2 . 186 Tempat Korentang buah 169,000
5 . 12 . 2 . 187 Tempat tidur Mekanik unit 6,789,000
5 . 12 . 2 . 188 Ternpat tidur lansia pegangan kanan kiri unit 407,000
5 . 12 . 2 . 189 Tempat tidur pasien(Crank Hi Lo PA121) unit 6,638,000
5 . 12 . 2 . 190 Timbangan badan buah 739,000
5 . 12 . 2 . 191 Timbangan badan 120 kg unit 71,000
5 . 12 . 2 . 192 Timbangan badan dewasa unit 219,000
5 . 12 . 2 . 193 Timbangan badan dewasa unit 1,880,000
5 . 12 . 2 . 194 Timbangan badan/tinggi badan unit 672,000
5 . 12 . 2 . 195 Timbangan badan/tinggi badan unit 1,880,000
5 . 12 . 2 . 196 Timbangan badan/tinggi badan unit 872,000
5 . 12 . 2 . 197 Timbangan bayi 20 kg unit 299,000
5 . 12 . 2 . 198 Timbangan bayi buah 290,000
5 . 12 . 2 . 199 Troli Makanan unit 10,000,000
5 . 12 . 2 . 200 Trolley buah 5,188,000
5 . 12 . 2 . 201 Trolley buah 9,071,000
5 . 12 . 2 . 202 Trolley buah 5,610,000
5 . 12 . 2 . 203 Trolley buah 3,986,000

5 . 12 . 2 . 204 Trolley Obat 25 Drower unit 7,357,000


5 . 12 . 2 . 205 Troley O2 unit 7,283,000
5 . 12 . 2 . 206 Troley instrumen buah 4,506,000
5 . 12 . 2 . 207 Tranportation Patient Bed 7,303,000
5 . 12 . 2 . 208 UPS 30 KVA buah 202,624,000
5 . 12 . 2 . 209 Urinal Plastik buah 20,000
5 . 12 . 2 . 210 Stikpan Plastik buah 25,000
5 . 12 . 3 KEBUTUHAN RUMAH SAKIT
5 . 12 . 3 . 1 Alas meja OP (200X140) 90,000
5 . 12 . 3 . 2 Baju Operasi Dokter ( Cotton ) buah 100,000
5 . 12 . 3 . 3 Baju Operasi Pasien ( Oxford ) buah 500,000
5 . 12 . 3 . 4 Baju Operasi Pasien besar/kecil Stel 150,000
5 . 12 . 3 . 5 Baju Operasi Perawat ( Cotton ) buah 150,000
5 . 12 . 3 . 6 Baju dan topi pasien (b/k) buah 500,000
5 . 12 . 3 . 7 Baju celana dokter jaga IGD stel 150,000
5 . 12 . 3 . 8 Benang jahit lusin 250,000
5 . 12 . 3 . 9 Benang obras (1 set 3 gulung) set 5,000
5 . 12 . 3 . 10 Baju kerja paramedis dan perawat stel 100,000
5 . 12 . 3 . 11 Baju kerja dokter dan apoteker stel 350,000
5 . 12 . 3 . 12 Baju kerja ICPH & IPL stel 350,000
5 . 12 . 3 . 13 Benik hem gross 2,000
5 . 12 . 3 . 14 Bed Patien for HCU buah 165,000
5 . 12 . 3 . 15 BH buah 25,000
5 . 12 . 3 . 16 Blus potong 75,000
5 . 12 . 3 . 17 Celana Dalam buah 75,000
5 . 12 . 3 . 18 Celana Operasi ( Cotton ) Ukuran M, L & XL buah 50,000
5 . 12 . 3 . 19 Doek (VK) buah 50,000
5 . 12 . 3 . 20 Duk / Drape 50 x 60 cm Cotton buah 65,000
5 . 12 . 3 . 21 Duk / Drape 60 x 90 cm Cotton buah 75,000
5 . 12 . 3 . 22 Duk / Drape 90 x 125 cm Cotton buah 100,000
5 . 12 . 3 . 23 Duk Besar Lubang 125 x 325 cm Cotton buah 150,000
5 . 12 . 3 . 24 Duk Besar (250x140) IBS IGD buah 150,000
5 . 12 . 3 . 25 Duk Bungkus B (140X140) IBS IGD buah 100,000
5 . 12 . 3 . 26 Duk Bungkus intrumen (90x90) buah 85,000
5 . 12 . 3 . 27 Duk Bunkus S (100x100) IBS IGD buah 100,000
5 . 12 . 3 . 28 Duk Kecil (70x70) IBS IGD buah 65,000
5 . 12 . 3 . 29 Duk Kaki 50 x 100 cm Cotton buah 50,000
5 . 12 . 3 . 30 Duk Lubang Belah 50 x 60 cm Cotton buah 50,000
5 . 12 . 3 . 31 Duk Lubang Belah 60 x 90 cm Cotton buah 60,000
5 . 12 . 3 . 32 Duk Lubang Belah 90 x 125 cm Cotton buah 90,000

176
NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 3 . 33 Duk Lubang Bulat 50 x 60 cm Cotton buah 50,000


5 . 12 . 3 . 34 Duk Lubang Bulat 60 x 90 cm Cotton buah 60,000
5 . 12 . 3 . 35 Duk Lubang Bulat 90 x 125 cm Cotton buah 90,000
5 . 12 . 3 . 36 Duk Lubang Mata 60 x 90 cm Cotton buah 100,000
5 . 12 . 3 . 37 Duk Lubang B (275x140) IBS IGD buah 75,000
5 . 12 . 3 . 38 Duk Lubang K (70x70) IBS IGD buah 60,000
5 . 12 . 3 . 39 Duk Lubang S (70x70) IBS IGD buah 60,000
5 . 12 . 3 . 40 Duk Lubang K (70x70) IBS IGD buah 60,000
5 . 12 . 3 . 41 Duk Lubang Obsgyn B (140x200) buah 100,000
5 . 12 . 3 . 42 Duk sedang (140x200) IBS IGD buah 100,000
5 . 12 . 3 . 43 Duk sedang (140x200) IBS IGD buah 100,000
5 . 12 . 3 . 44 Duk Persegi 125 x 125 cm Cotton buah 75,000
5 . 12 . 3 . 45 Duk Persegi 50 x 50 cm Cotton buah 50,000
5 . 12 . 3 . 46 Handuk mandi buah 100,000
5 . 12 . 3 . 47 Handuk Instrumen buah 10,000
5 . 12 . 3 . 48 Handuk cuci tangan buah 5,000
5 . 12 . 3 . 49 Waslap buah 10,000
5 . 12 . 3 . 50 Elastik rol 17,000
5 . 12 . 3 . 51 Elastik buah 22,000
5 . 12 . 3 . 52 Gunting kain buah 85,000
5 . 12 . 3 . 53 Kain dril abu-abu meter 30,000
5 . 12 . 3 . 54 Kain gabardyn tosca meter 150,000
5 . 12 . 3 . 55 Kain mori meter 20,000
5 . 12 . 3 . 56 Kain mori meter 20,000
5 . 12 . 3 . 57 Kain mori (15mx30orgx12bln) meter 20,000
5 . 12 . 3 . 58 Kain kodryn sekat (7x3 m) meter 30,000
5 . 12 . 3 . 59 Kain oxfort merah dan putih meter 30,000
5 . 12 . 3 . 60 Kain oxfort meter 35,000
5 . 12 . 3 . 61 Kaos manset kg 37,000
5 . 12 . 3 . 62 Kereta Jenasah buah 8,107,000
5 . 12 . 3 . 63 Kereta barang unit 3,022,000
5 . 12 . 3 . 64 Klambu bayi meter 25,000
5 . 12 . 3 . 65 Kulot stel 60,000
5 . 12 . 3 . 66 Kusi tindakan buah 1,005,000
5 . 12 . 3 . 67 Lift Penumpang unit 715,000,000
5 . 12 . 3 . 68 Lift Pasien (bed lift) unit 975,000,000
5 . 12 . 3 . 69 Dumb Waiter unit 390,000,000
5 . 12 . 3 . 70 Meja periksa unit 1,468,000
5 . 12 . 3 . 71 Mesin Pengering, kapasitas 30 kg unit 88,400,000
5 . 12 . 3 . 72 Mesin cuci kap. 30 kg. unit 298,239,000
5 . 12 . 3 . 73 Masker IBS IGD buah 5,000
5 . 12 . 3 . 74 Masker buah 3,000
5 . 12 . 3 . 75 Patient Strecther unit 5,178,000
5 . 12 . 3 . 76 Sungkup Muka Dewasa unit 727,000
5 . 12 . 3 . 77 Topi Pasien Operasi ( Oxford ) buah 25,000
5 . 12 . 3 . 78 Topi Tali Operasi( Cotton ) buah 25,000
5 . 12 . 3 . 79 Topi operasi pasien besar buah 35,000
5 . 12 . 3 . 80 Topi operasi pasien sedang buah 25,000
5 . 12 . 3 . 81 Topi operasi pasien kecil buah 15,000
5 . 12 . 3 . 82 Baju Operasi Pasien IBS,R.Inap buah 150,000
5 . 12 . 3 . 83 Baju Pasien Kelas dan VIP buah 200,000
5 . 12 . 3 . 84 Baju Petugas IBS,IGD,VK,Laborat,Gizi buah 150,000
5 . 12 . 3 85 Bju Tindakan dokter buah 350,000
5 . 12 . 3 86 Bantal Pasir HD ( 15X15cm ) buah 50,000
5 . 12 . 3 87 Bantal Rawat Inap, IGD buah 85,000
5 . 12 . 3 88 Celemek kerja ( gizi ) buah 125,000
5 . 12 . 3 89 Cempal buah 10,000
5 . 12 . 3 90 Duk Lubang HD buah 60,000
5 . 12 . 3 91 Duk Partus buah 60,000
5 . 12 . 3 92 Handuk Cuci tangan R.Inap,R.Jalan,R.ICU buah 6,000
5 . 12 . 3 93 Handuk Instrumen VK,IRJ buah 11,000
5 . 12 . 3 94 Handuk Tindakan Poli Kulit buah 15,000
5 . 12 . 3 95 Handuk Perekat Kepala buah 18,000
5 . 12 . 3 96 Klambu ( 40x50x80cm ) peristi buah 45,000
5 . 12 . 3 97 Klambu bok bayi peristi buah 65,000
5 . 12 . 3 98 Perlak Besar VK,IGD,ICU buah 100,000
5 . 12 . 3 99 Perlak Bok Bayi Peristi buah 35,000
5 . 12 . 3 100 Perlak Kecil ( 30x50 cm ) Peristi buah 55,000
5 . 12 . 3 101 Perlak Besar VK,IGD,ICU buah 100,000
5 . 12 . 3 102 Perlak Rawat Inap buah 50,000
5 . 12 . 3 103 Perlak bancard IGD,IRJ buah 60,000
5 . 12 . 3 104 Sarung Bantal R.Inap,R.Jalan,R.ICU buah 30,000
5 . 12 . 3 105 Sarung Guling Kelas I,VIP buah 30,000
5 . 12 . 3 106 Sarung Inkubator IBS,Peristi buah 125,000
5 . 12 . 3 107 Selimut R. Inap,IGD,ICU,R.Jalan buah 100,000
5 . 12 . 3 108 Serbet Makan lusin 150,000
5 . 12 . 3 109 Set Meja operasi IBS buah 300,000

177
NO. INDEKS JENIS / NAMA BARANG SATUAN HARGA

5 . 12 . 3 110 Set Sprei ICU Bertali buah 165,000


5 . 12 . 3 111 Skort Perlak VK,IGD,IBS buah 125,000
5 . 12 . 3 112 Sprei Brandcard IGD dan IRJ buah 90,000
5 . 12 . 3 113 Sprei R. Inap ,R.Jalan,HD buah 165,000
5 . 12 . 3 114 Sprei Anak buah 100,000
5 . 12 . 3 115 Sprei box bayi ( 100X80 cm ) Peristi buah 60,000
5 . 12 . 3 116 Sprei Bok Bayi NVK buah 60,000
5 . 12 . 3 117 Stik Laken R.Inap,R.Jalan,ICU buah 50,000
5 . 12 . 3 118 Taplak Meja Prasmanan buah 500,000
5 . 12 . 3 119 Taplak Trolly buah 50,000
5 . 12 . 3 120 Topi Perawat buah 30,000
5 . 12 . 3 121 Tutup fototerapi peristi ( 60X70X100cm ) buah 75,000
5 . 12 . 3 122 Tutup Inkubator ( 40X50 cm ) warna gelap buah 75,000
5 . 12 . 3 123 Tutup alat Laser poli kulit buah 125,000
5 . 12 . 3 124 Tutup kepala IBS,IGD,Rawat Inap buah 35,000
5 . 12 . 3 125 Tutup Meja Tamu VIP 80 X 50 buah 150,000
5 . 12 . 3 126 Tutup Meja TV VIP 102 X 60 buah 150,000
5 . 12 . 3 127 Tutup Sketsel / tabir VK ,R.Inap,R.Jalan buah 75,000
5 . 12 . 3 128 Tutup Ventilator ICU buah 150,000
5 . 12 . 3 129 Waslap R.Inap,IGD buah 10,000
5 . 12 . 3 130 Baju Kerja Petugas CSSD set 250,000
5 . 12 . 3 131 Baju Kerja Petugas Gizi buah 250,000
5 . 12 . 3 132 Celemek + topi buah 150,000
5 . 12 . 3 133 Topi Gizi buah 50,000

178

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