LAMPIRAN BERITA ACARA PEMERIKSAAN BARANG

NO : JKASJA;LK;LK;LK;LAK;LMK;LK;LK;LK;LK;LK;K;ALSK;L

NO NAMA DAN SPESIFIKASI ALAT KUANTITAS

I UNIT GAWAT DARURAT (UGD)
1 VENTILATOR TRANSPORT 1 Unit
Merek : NEWPORT - USA
Model : HT-70

Specifications :
Patient range : Infant / Pediatric (≥5 kg) - Adult

Controls/Settings
Modes (Pressure or Volume) : A/CMV
SIMV
SPONT
NIV (non-invasive ventilation) : available in all modes
Tidal Volume : 50 to 2.200 ml
RR (Respiratory Rate) : 1 to 99 b/min
i Time (Inspiratory Time) : 0.1 to 3.0 sec
PEEP/CPAP : 0 to 30 cmH₂O/0 to 30 mbar
Flow : 5 to 100 L/min
I:E Ratio : 1:99 to 3:1
Pressure Control (Target Pressure) : 5 to 60 cmH₂O/5 to 60 mbar
Ptrig (sensitivity) : -9.9 to 0 cmH₂O/-9.9 to 0 mbar
Manual Inflation : 3 sec maximum
Slop Rise : 0-10
Flow Wave Pattern : square or descending
Auto lock function : ON / OFF
Language Selection : multiple language options
Remote Alarm Option : Normally Open/Closed

MONITOR PARAMETERS
Paw (Peak, Mean, Base)
Mvı (insp. Minute volume)
Integrated Battery Pack
Back Up internal battery
: Vтı (insp. tidal volume)
: Peak Insp. Flow
: RR tot (total respiratory rate)
: I:E Ratio

ALARMS
High Airway Pressure
Low Airway Pressure
High Baseline Pressure
Low Baseline Pressure
High Resp. Rate
High Insp. Minute Volume
Low Insp. Minuet Volume
Back-Up Ventilation Alert
Apnea
Device Alert
Low Battery
Silence/Reset
: 4 to 99 cmH₂O/4 to 99 mbar
: 3 to 98 cmH₂O/3 to 98 mbar
: automatically set
: automatically set
: off, 30-100 b/min
: 1.1 to 50 L
: 0.1 tp 49.0 L
: 20-60 sec
: malfunction alert
: min. 30 minutes battery remains
: 60 sec

PNEUMATICS
Gas Delivery System : internal dual micro-piston

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POWER REQUIREMENTS
100-240 VAC, max.2A
50/60/400 Hz
12-30 VDC, mx 12A

INTEGRATED BATTERY PACK

Lithium ion-provides up to 10 hours operation

INTERNAL BACK UP BATTERY

Lithium ion - min.30 minutes

DIMENSIONS
Width : 9 in (23 cm)
Depth : 10 in (25 cm)
Height : 9 in (23 cm)
Weight : 17 lbs (7.8 kg)

MISCELLANEOUS
Operating Temperature : -18⁰C to 50⁰C
Operating Altitude : 0 to 15.000 ft (0 to 4.572 m)
Operating Humidity : 15 to 95% non -condensing
Storage Temperature : -40⁰ C to 65⁰C
RS-232 : 8 pin Semconn connector 19.200 Baud
USB : 2 ports, to upload or download data
Remote Alarm : RJ-435, to connect to nurse call or remote system

SPECIALTY SCREENS
Events : Records up to 600 events Parameter settings for each event are recorded
Download data : Capture and download Events and screens
Patient Presets : Customized or Default
Customized Back Up Ventilation : Link with Apnea and/or Low Mvı and customize settings
Iincluded Calibration

2 OXYGEN CONCENTRATOR 1 Unit

Merk : AIRSEPT - USA
Model : NEWLIFE INTENSITY

Spesification :
Operating system : Pressure Swing Absorbtion Cycle on Time
Concentration level : 92% ±3% ( 2 -7 LPM )
90% ±3% ( 8 LPM )
Performance : Two flowmeter with operating range 0 - 8 LPM for each flowmeter
Oxygen outlet high pressure : 20 psig ( 138 kPa ).
It is possible to use O2 Masker & Jet Nebulizer Kit.
Operating environment : 50°C to 40ºC .
Compressor :
- Can be operated for 24 hours non
- stop completed with overheat safety mechanism
- alarm warning.
- Alarm : Audible & visual alarm on PCB with
- indicator lamp for high/low pressure,
- power failure,High temperature,
- Weak battery test, Network breakdown.
Filtration : Cabinet air inlet and Outlet Bacteria Filter must be replaced at every
50.000 hours of use ( factory recommendation enclosed )
Electrical requirement : 220 VAC, 50 Hz, 2 amp
Power consumption : 410 W
Sound level : 50 dB ( average ) at one meter International Standard Quality
Certificate : ISO 13485, CE 0459, ISO 8359, FDA
Dimension : 69,9 H x 41,9 W x 36,8 D ( cm )

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Weight : ± 24,5 Kg
Accessories
: Humidifier bottle
Adult Oxygen Cannulla
Pediatric Oxygen Cannula
Adult Oxygen Masker
Jet Nebulizer Kit
Auto Volt Regulator 1000 W
Oxygen Concentration : % 90 ~ %92 ±3
Maximum Outlet Pressure : 8 PSI ±1
Noise Level : Below 55 dBA
Voltage : AC 230V / 50 Hz
Current : 1.60 AMP ± %10
Operating temperature range : 10°C ~ 40°C
Operating Humidity Range : 10 ~ 90% RH
Weight : 17 Kg
Electrical Safety : Type B - Class II
Included Calibration

3 ECG 3 CHANNEL 2 Unit

Merk : CARDIOLINE - ITALY
Model : ar600adv

Specifications :
Power Supply : A.C mains with external power supply 230V ± 10% 50/60 Hz, available also :
115V ± 10%, 50/60 Hz; rechargeable NiMH batteries, 8x1, 2 Volt, 1500 mAh
Battery Power Cappacity : 3 hours, 200 recordings
Writing System : Thermal printer, 8 dot/mm, useable print height 50 mm
Thermosensitive Paper
Rolls : length 15 m, page 60 x 75 mm, gridded
Z - Fold : length 18 m, page 60 x 75 mm, gridded
Monitor : Backlit graphic display 32 x 120 pixels (61 x 16 mm), 2,5 inches
Keyboard : Membrane, with functional and alphanumeric keyboard semplified

Leads : 12 standart leads

Signal memory : 10 seconds each lead in automatic mode
Print Channels : 3
Print format : 1, 2, 2 + R and 3

Operating Modes
Manual : acquisition and printing in real time
Automatic : Simultaneous acquisition
Pre- programed : Simultaneous acquisitions at programmable intervals

Recording Sensitivity
Manual : 5 - 10 - 20 mm/mV + 5 %
Automatic : according to number of channels printed
Paper Transport speed : 25 - 50 mm/s + 5 %
Defibrillator Protection : Internal
Input Dinamics : + 300 mV @ 0 Hz + 5 mV in pass band
Input Impedance : > 100 MΩ o each electrode
Common Mode Rejection : > 100 dB
Frequency Response : 0,05 + 150 Hz (-3dB)
time constant : 3,3 S
Acquisition : 11 bit
1000 samples/s/channels printings and filetrs
500 samples/s/channels in calculations and filters
Resulotions 5 microV/bit
Pace maker recognition : Recognizes pulse in accordance with current IEC standart
Filter : Mains and muscle interference : modified digital notch 50 - 60 HZ, Switch on / switch off filters
Anti - drift : Digital high pass 0,5 HZ, linier phase, always enabls and without

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morpological distortion
Serials Interface : Infrared
Diagnostics programs : Parameter calculation
Electrocardiogram interpretation
Dimension : 250 x 60 x 185 mm (length x height x depth)
Weight : 1000 grams with batteries, without paper
Safety and conformity : Class II, type
to standard CF, Ref : EN 60601 - 1, EN 60601 - 2 - 25, IEC 60601-2-51
According to : 93/42 CEE : Class Iia
Included Calibration

II POLI KEBIDANAN
1 FOTOTHERAPY LAMP 1 Unit
Merk : ARDO - SWITZERLAND
Model : AMELUX

Specifications :
- Light unit with 6 compact : 4 blue therapy compact flourescent lamp 18 W each
flourescent lamps and 2 white compact flourescent lamp 18 W each

- Height adjustment : From 1150 to 1600 mm above floor level

- Voltage / frequency : 230 Volts, 50 Hz
- Rated current/power consumption : 1.95A, 108 Watts
- Dimensions of light unit : 470mm(L) x 400mm(W) x 90mm(H)
- Weight including stand : 17.8 kg
- Protection class, grounded /protection level : Protection class I, B
- Trolley with three antistatic wheels, two with brakes
- Certifications and conformity :
* MDD 93/42 EEC, EN 60601-1, EN 60601-2-50,
* EN 60601-1-2 (2001), EN ISO 9001
Included Calibration

2 INFANT WARMER 2 Unit

Merk : ARDO - SWITZERLAND
Model : AMENIC E SERVO

Technical Data :

Accessories :
X-ray tray : Yes

Miscellaneous :
- Heating power : 500 W Quartz
- Skin temperature setting range : 34°C - 37.9°C
- Setting heating power manuel : 0% - 100%
- Display range LCDisplay : 0.0°C - 99.9°C
- Warm-up time accordin to IEC : 45 minutes
- Bed tilting : ± 10°
- Horizontal swiveling : ± 60°
- Observation lamp : 12V / 50W / 40°

ALARMS
- Power Failure : Yes
- Set point deviation controlled with skin temperature : ± 0.8°C
- High temperature : 39°C - 39.5°C
Skin probe defect, broken or not plugged : Yes

INSTALLATIONS
- Power supply : 115/120V ±10%, 220/230V ± 10%
- Frequency : 50/60Hz
- Power consumption : 1150VA

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- Ambient temperature : 18°C - 30°C
- Humidity : 30% - 50% rel. h.
DIMENSIONS / WEIGHT
- Width (cm) : 75 cm
- Depth (cm) : 120 cm
- Height minimum : 194 cm
- Height maximum : 194 cm
- Minimum Mattress level : 99 cm
- Maximum Mattress level : 99 cm
- Bed dimensions (w x d) : 60 x 76 cm
- Distance mattress / heater : 80 cm
- Ground clearance (cm) : 16 cm
- Basic unit weight approx. : 115 Kg

Compositions :
Skin Temperature Probe 1
Stand 1
X-Ray Tray 1
Compartement with 2 drawer 1
Mattress 1
Included Calibration for Electric Equipment

III POLI ANAK

1 ULTRASONIC NEBULIZER 1 Unit
Merk : ELMASLAR - TURKEY
Model : UN 600A

Specifications :
• NEBTIME ultrasonic nebulizers is a device which produced to be used in the sick person's therapy
by being vapourised of liquids and in solution condition madicines.
• during the liquid turn into vapor, frequency uses instead of heating technique. The frequency
which is made up by the microprocessor electronic system is turned into mechanical vibration.
By piezo -ceramic crystal. By courtesy of vibration, the liquid into pot is vapor rized without heating.
Besides a fan which is filtering from the bacterium is pushed (provided) into the liquid pot.
The vapor, which is vaporized continually, which is into liquid pot is run out by this air pressure
and then the vapor reaches to sick person by tube. This vapor which is vaporized, when it wants,
can be treat to sick person by turning into hot vapour.

SPECIFICATION
VOLTAGE : 230 VAC±%10,50Hz
POWER : 40 W -70 W (with heater)
ELECTRICAL CLASS : type B-CLASS 1
CRYSTAL OPERATING FREQUENCY : 1,68 MHz ± %5
PARTICLE SIZE : 0,5-6 µm
AVERAGE NEBULIZATION RATE : 0-5 ml/ min± %10
AEROSOL TANK : 600 ml (maximum)
HEATER : MAX 38°C (with heater)
WEIGHT : 4 kg
OPERATING TEMPERATURE RANGE : + 10 - + 40°C
STORAGE TEMPERATURE RANGE : +10 - '+ 40°C
OPERATION TYPE : CONTINUOUS
Included Calibration

IV POLI PENYAKIT DALAM

1 SPIROMETERI W/ PULSE OXYMETRI 1 Unit
Merk : UNITEHPROM - BELARUSIA
Model : MAS-1

Specifications :
RF parameters : VC test :
(Adjusted for BTPS conditions) VC, IRV, ERV, TV, MTV, BF

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FVC test :
FVC; FEV1; FEV1/VC; FEV1/FVC; PEF; MEF75; MEF50; MEF25;
FEF25-75, MMEF; PIF;
MVV test :
MVV, MTV; BF/min; Air Velocity Index (AVI).
Additionally in extended protocol :
EVC, IVC, FEV0.5, FEV0.75, 1C, FET, FEV3, FEV6, FIVC, FEV0, 75/VC,
FEV0, 75/FVC, FEV3/FVC, FEV3/VC, FEV0, 75/FEV6, FEV1/FEV6, MEF/VC,
MEF/FVC, FEF50/VC, FEF50/FVC, FIF50/MEF50, PIF, MIF75%, MIF50%,
MIF25%, FIV1, FIV1/FIVC, FEV0.75, MET, FET, MTT, TPEF, TPEF/FET
and others

Proper values : Up to 11 systems for ages of 4 to 90 (Clement, European Coal and

Steel Community, Knudson adults; Shiryaeva, Knudson, Qanjer,
Zapletal children). Automatic selection of the systems depending
on the age and national preferences
Protocols of bronchomotor tests : - bronchodilation
- provocation (up to 8 concentrations)
- exercises-test
Automatic control of the quality
of tests : Available (in compliance with ATS/ERS-2005)
Dialog and prompt system : Available
Test comparison system : Available (built-in dynamic observation program ASTHMA and COLD Monitor)
Respiration sensor : Fleisch tube with thermostating (dead space under 100 ml)
Meusurable volume, flow : Up to 10 l
Up to ±18 l/sec
Accuracy : 3%
Screen : Color TFT VGA
Capacity of nonvolatile archive : 256 Mb (not less than 50 000 studies)
Power : 230 V, 50 Hz, 40 W
Printing device : A4 printer
Completed with :
- Spirometer with SpiroExpert Profesional Testing System. 1
- Statistic data analysis soft wear "COPD-Monitor".
- Statistic data analysis soft wear for children.
- Computer-based ACT and CAT test.
- Animation for children.
- Flow sensor (Fleis tube) 1
- Reusable mouthpiece 10
- Noseclip 2
- Pasport 1
- Manual 1
- Pulseoximeter 1
- Interface cable 1
- Power Cable 1
Included Calibration for Electric Equipment

V POLI MATA
1 OPTHALMOSCOPE 2 Unit
Merk : REDA - GERMANY
Model : 03161-01

Specifications :
a. Opthalmoscope from 0 to +20 and 0 to -20 dioptres with screw fitting
b. Battery handle for 2 batteries

VI RADIOLOGI
1 X-RAY ACCESSORIES : 1 Set
Consisting of :
X-Ray Cassette…………
Merk : HYUNDAI - KOREA

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Model : 30 x 40 cm 1
Model : 35 x 35 cm 1
Model : 24 x 30 cm 1

2 Intensifying Screen……………… 2 Set

Merk : HYUNDAI - KOREA
Model : 30 x 40 cm
Model : 35 x 35 cm
Model : 24 x 30 cm

VII REHABILITASI MEDIK

1 INTERFERENCE LOW FREQUENCY 1 Unit
THERAPY EQUIPMENT
Merk : OG GIKEN - JAPAN
Model : EF-250

Specifications :
Power input : 320 VA
Number of channel : 4 channels
Weight : Approx. 34 kg
Dimensions : 440 W x 450 D x 1250 H mm
Waveform : sine wave
Max. output current : 50mArms (at 500 ohm)
Max.output voltage : 75 Vrms (at 10k ohm)
Fundamental frequency : 2140-2500 Hz or 4640-5000 Hz
Treatment frequency : 0-360 Hz
Treatment time : 1 - 60 min. or continuous
Electric poles : 4-pole or 8-pole
Stimulation mode : MIX, RHYTHM, WIDE, MOVE
Frequency : 1 - 100 Hz
Safety device : Overcurrent protection, Zero-start protection

Accessories :
ELR-370 : Sponge 4 Bags (16 pcs.)
ELR-371 : Suction Electrode (RD) 1 pc.
ELR-372 : Suction Electrode (BL) 1 pc.
ELR-373 : Suction Electrode (GR) 1 pc.
ELR-374 : Suction Electrode (BR) 1 pc.
ELR-510 : Water bottle 1 pc.

2 SHORTWAVE THERAPY 1 Unit

Merk : COSMOGAMMA - ITALY
Model : SW 500 (touch screen)

Specifications :
Features :
- Continous and pulsed ouput with automatic tuning
- Power in continous mode : 500 W
- Max. peak power in pulsed mode :1000 W
- Control panel with easy-to read display
- Adjustable arms for easy electrode application
- Generator Frequency : 27,12 MHz
- Output mode : Continous and pulsed, automatic tuning
- Output Power : Adjustable within the range 0 - 500 W in continuous mode
and 0-1000 W (peak to peak power) in pulsed mode.
- Pulse duration : 400 µs
- Frequency : Adjustable within the range 20-200Hz in 10 Steps.
- Time : Adjustable within the range 1 - 30 min.
- Power supply : 230 V or 110 V, 60 Hz or 50 Hz
- Power input : 1300 VA
- Safety Class : I type BF

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- Dimensions weight : 56 x 38 x 83 cm / 50 Kg

Acessories :
Electrode Support Arm 2
Shortwave Cable for SW-500 2
Disk Electrode 150 mm 2
Power cable 1
Hexagon wrench 1

3 ULTRASOUND THERAPY 2 Unit

Merk : COSMOGAMMA - ITALY
Model : US13

* Spesification
- S.E.C System : "Surface Emission Control"
- High power head with advance no contact spesifications
- M.P.P system : "Multy Parameters Protocols"
- Output frequency for the ultrasound heads is 1 and 3 MHz
- Continous output with a maximum power of 3W/cm²
- Pulse output with a maximum power of 3W/cm²
- Ample graphic display showing all output parameters
- Large library of pre-set programs for common pathologies
- Free program allows user defined parameters
- Possibility of storing user defined programs/parameters
- Pulse and continous output
- No contact indication is both visual and acoustic
- Real treatment time means that timer will stop in case of bad contact with skin
- Excellent choice of different treatment heads
- The unit can be used in combination with all cosmogamma stimulators
- Patients database
- Possibility of creating and saving complex sequence of programs

* Technical Data
- Supply Voltage : 115 - 230 V
- Rated Frequency : 1 MHz/3 MHz
- Pulse Frequency : 100 Hz with duty cycle from 10% to 100%, step 10%
- Output modes : Continous and pulse
- Intensity : 0-3W/cm² continous
0-3W/cm² pulsed
- Output heads : 1 MHz/3MHz, 1cm²
1 MHz/3MHz, 5cm²
1 MHz/3MHz, 10cm²
with no contact indication, suitable for underwater treatment
- Time : 0-30 min
- Weight : 4,6 Kg
- Power Input : 45 VA
- Safety Class : 1 Type BF

Specifications :
* Accessories included
- 1 MHz/5 cm² sound head : 1 pcs
- 260 gr gel tube : 1 pcs
- Power Cable : 1 pcs

4 ELECTRO THERAPHY 1 Unit

Merk : COSMOGAMMA - ITALY
Model : Firing EVO

Specifications :
* Accessories Included
- Electro Stimulation Cable : 2 pcs

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- Electrodes 60 x 40 mm : 4 pcs
- Electrodes 60 x 60 mm : 2 pcs
- Electodes 60 x 120 mm : 2 pcs
- Pads for Elecrodes 60 x 40 mm : 4 pcs
- Pads for Elecrodes 60 x 60 mm : 2 pcs
- Pads for Elecrodes 60 x 120 mm : 2 pcs
- Elastic straps 50 cm : 2 pcs
- Elastic straps 100 cm : 2 pcs
- Spliting Cables : 2 pcs
- Power Cable : 1 pcs
- CD Manual : 1 pcs

* Spesification
- Diagnostic analysis with Intensity/time curve
- Widest selection of currents/waveforms used in rehabilitation and pain therapy
- MPP system :Extreme complex programs and protocols that will change frequency duration pulse, sweep,
rest/action frequency, intensity and relax tim All these parameters are automatically changed during the
program without operator invention.
- 13 Stimulations modes (types of current)
- Simple of combined pre-set treatment protocols
- User programmable protocols for each of the 13 mode emissions
- Possibility to sequance programs belonging to the same stimulation mode
- Pre-Set programs for common pathologies
- Constant-current or constant voltage operation
- User freindly system
- Ample graphic display showing all output parameters
- Patient database
- Possibility to store modified programs and protocol sequence

* Technical Data
- Power supply : 115 ÷ 230 V - 50-6- Hz
- Power Input : 45 VA
- Safety Clas : I - BF Type
- Type : (CEI EN 60601-1, CEI EN 60601-2-10)
- Weight : 3,8 Kg
- Dimensions : L x W x H : 27 x 32 x 23 cm
Included Calibration

JUMLAH
Terbilang : Empat Milyar Tujuh Ratus Delapan Puluh Delapan Juta Enam Ratus
Delapan Ribu Rupiah.
Catatan :Harga sudah termasuk Pajak

Panitia Pemeriksa Bar

1. Ketua

Tanda Tangan

2. Sekretaris

Tanda Tangan

3. Anggota

Tanda Tangan

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4. Anggota

Tanda Tangan

5. Anggota

Tanda Tangan

Spesifikasi Hal. 10 dari 9

HARGA SATUAN TOTAL HARGA

Rp 903,340,539 Rp 903,340,539

Spesifikasi Hal. 11 dari 9

HARGA SATUAN TOTAL HARGA

Rp 160,066,782 Rp 160,066,782

Spesifikasi Hal. 12 dari 9

HARGA SATUAN TOTAL HARGA

Rp 83,157,069 Rp 166,314,138

Spesifikasi Hal. 13 dari 9

HARGA SATUAN TOTAL HARGA

Rp 118,424,013 Rp 118,424,013

Rp 752,259,211 Rp 1,504,518,422

Spesifikasi Hal. 14 dari 9

HARGA SATUAN TOTAL HARGA

Rp 60,768,031 Rp 60,768,031

Rp 155,364,375 Rp 155,364,375

Spesifikasi Hal. 15 dari 9

HARGA SATUAN TOTAL HARGA

Rp 5,097,781 Rp 10,195,562

Rp 10,444,748 Rp 10,444,748

Spesifikasi Hal. 16 dari 9

HARGA SATUAN TOTAL HARGA

Rp 25,611,837 Rp 51,223,674

Rp 367,504,276 Rp 367,504,276

Rp 807,960,092 Rp 807,960,092

Spesifikasi Hal. 17 dari 9

HARGA SATUAN TOTAL HARGA

Rp 159,836,424 Rp 319,672,847

Rp 152,810,501 Rp 152,810,501

Spesifikasi Hal. 18 dari 9

 HARGA SATUAN TOTAL HARGA

Rp 4,788,608,000

anitia Pemeriksa Barang / Jasa

: Syafrul A Tuwo, AMKL

: Roland F,S.STP,M.Si

: Pertru Tandi Bunga,SKM

Spesifikasi Hal. 19 dari 9

 HARGA SATUAN TOTAL HARGA

: Stevanus

: Ardjumat,S.Sos

Spesifikasi Hal. 20 dari 9

Lampiran

Pengadaan Alat Kedokteran, Kesehatan dan KB (Base Line)

Tahun Anggaran 2012

Satuan
No Jenis Barang Kuantitas Harga Satuan (Rp) Jumlah (Rp)
Ukuran
I UNIT GAWAT DARURAT (UGD)
1 VENTILATOR TRANSPORT Unit 1 903,340,539 903,340,539
2 OXYGEN CONCENTRATOR Unit 1 160,066,782 160,066,782
3 ECG 3 CHANNEL Unit 2 83,157,069 166,314,138

II POLI KEBIDANAN
1 FOTOTHERAPY LAMP Unit 1 118,424,013 118,424,013
2 INFANT WARMER Unit 2 752,259,211 1,504,518,422

III POLI ANAK

1 ULTRASONIC NEBULIZER Unit 1 60,768,031 60,768,031

IV POLI PENYAKIT DALAM

1 SPIROMETERI W/ PULSE OXYMETRI Unit 1 155,364,375 155,364,375

V POLI MATA
1 OPTHALMOSCOPE Unit 2 5,097,781 10,195,562

VI RADIOLOGI
1 X-Ray Cassette………… Set 1 10,444,748 10,444,748
2 Intensifying Screen……………… Set 2 25,611,837 51,223,674

VII REHABILITASI MEDIK

1 INTERFERENCE LOW FREQUENCY
THERAPY EQUIPMENT Unit 1 367,504,276 367,504,276
2 SHORTWAVE THERAPY Unit 1 807,960,092 807,960,092
3 ULTRASOUND THERAPY Unit 2 159,836,424 319,672,847
4 ELECTRO THERAPHY Unit 1 152,810,501 152,810,501

Total Harga Rp. 4,788,608,000

Terbilang :
EMPAT MILYAR TUJUH RATUS DELAPAN PULUH DELAPAN JUTA ENAM RATUS
DELAPAN RIBU RUPIAH

Kuantitas dan Harga 21