PT.

KARTIKA BINA MEDIKATAMA

Beltway Office Park Tower C Lantai 2
Jl. Ampera Raya No 9-10 , Jakarta Selatan 12550
Phone +62 808 66088
Fax. +62 808 66089
www.medikaplaza.com

QUOTATION
No. Quot 011/QUOT/VII/2023
Project DANONE SITE CIANJUR
No Req Client Alkes Site Clinic Cianjur
Tanggal Permintaan 6-Jul-23
Tanggal Dibutuhkan 31-Jul-23
Tanggal Quotation 7/6/2023
Masa Berlaku Quotation 8/6/2023
Keterangan 0705/DANONE-CIANJUR/2023

No REQUEST DESCRIPTION ITEM NO MP DESCRIPTION QTY UOM CODE unit price SUB TOTAL REMARKS
1 Meja konsultasi MEJA KONSUL DOKTER UMUM 1 PCS 7,500,000.00 7,500,000.00
2 Bangku dokter Kursi dokter 1 PCS 770,000.00 770,000.00
3 Bangku pasien Kursi Pasien 1 PCS 325,000.00 325,000.00
4 Tempat tidur periksa 02-000369 EXAMINATION TABLE UNIT/1 1 UNIT 3,000,000.00 3,000,000.00
5 Tangga tempat tidur 02-000440 FOOT STEP P/C BFS-101 PCS/1 1 PCS 540,000.00 540,000.00
6 Lemari obat 02-000744 MEDICINE CABINET SINGLE DOOR PC BMC-101-1P UNIT/1 1 UNIT 5,800,000.00 5,800,000.00
7 Wound dressing tray Meja Wound dressing 1 PCS 1,850,000.00 1,850,000.00
8 Sterilization 02-001237 STERILISATOR ELITECH UNIT/1 1 PCS 6,630,000.00 6,630,000.00
9 Stetoscope 02-001246 STETOSCOPE LITMANN CLASSIC III PCS/1 1 PCS 2,400,000.00 2,400,000.00
10 Tensimeter 02-001430 TENSIMETER ANEROID RIESTER UNIT/1 1 PCS 2,250,000.00 2,250,000.00
11 Otoscope 02-000910 OTOSCOPE RIESTER UNIT/1 1 PCS 1,600,000.00 1,600,000.00
12 Hammer reflex 02-001032 REFLEX HAMMER PCS/1 1 PCS 70,000.00 70,000.00
13 Timbangan 02-003775 WEIGHT SCALE OMRON HBF 375 UNIT/1 1 PCS 4,000,000.00 4,000,000.00
14 Glucometer+strip Glucometer + Strip isi 50pcs 1 Box 210,000.00 210,000.00
15 Cholesterol check Cholesterol check 10 strip 1 box 200,000.00 200,000.00
16 Splints 02-001127 SAM SPLINT DYNAMED PCS/1 1 PCS 825,000.00 825,000.00
17 Manual/automatic suction 02-001284 SUCTION PORTABLE DEVILBISS WITH BATTERY 7305P-D AC/DC UNIT/1 1 UNIT 10,320,000.00 10,320,000.00
18 Nebulizer 02-000884 OMRON NEBULIZER COMPRESSOR ULTRASOUND NEC-28 UNIT/1 1 UNIT 1,242,000.00 1,242,000.00
19 X-ray reading glass OneMed Iluminator X-Ray Viewer 1 PCS 2,125,000.00 2,125,000.00
20 Minor set 02-000767 MINOR SURGERY SET/1 1 PCS 800,000.00 800,000.00
21 Ambu Mask Pocket CPR Ambu Mask Pocket 4 Pcs 120,000.00 480,000.00
22 Ambubag Ambu bag 1 Pcs 175,000.00 175,000.00
23 Analiktik syok Tool Box Analiktik syok Tool Box 1 Box 500,000.00 500,000.00
24 Asam Urat test Kit Easy Touch Uric Acid 25pcs 1 Box 125,000.00 125,000.00
25 Betadine 1000 ml 01-006065 BETADINE SOLUTION 1 L BOX/1 1 Btl 300,450.00 300,450.00
26 Betadine 500 ml 01-006065 BETADINE SOLUTION 1 L BOX/1 1 Btl 300,450.00 300,450.00
27 Betadine kom Betadine Kom 1 Bh 40,000.00 40,000.00
28 Blender kopi - 1 Pcs - -
29 Box Limbah Limbah Medis 12.5 ltr 2 Bh 100,000.00 200,000.00
30 Cairan Infus Dextrose 01-003406 INFUSAN D5 SOFTBAG 500ML SINGLE PORT KOLF/1 1 Kolav 300,000.00 300,000.00
31 Cairan Infus NaCl 0,9 % 01-003407 INFUSAN NS SOFTBAG 500ML SINGLE PORT KOLF/1 1 Kolav 30,000.00 30,000.00
32 Cat gut chromic exp 10/2023 08-000009 SUT. T-CHROMIC CATGUT 3/0 REV CUTING C67X TRITON BOX/12 1 box 1,100,000.00 1,100,000.00
33 Catgut Silk exp 05/2022 02-003816 SUT. T-SILK 3/0 REVCUT S23 TRITON BOX/12 1 box 729,000.00 729,000.00
34 Child Mask 02-000915 OXYGEN MASK ADULT PCS/1 1 Pcs 30,000.00 30,000.00
35 Dermafix 02-000253 DERMAFIX T 10 X 12 CM BOX/10 1 box 135,375.00 135,375.00
36 Disposible 1 ml 02-001409 SYRINGE 1ML TUBERCULIN TERUMO BOX/100 2 Pcs 8,000.00 16,000.00
37 Dressing drum stainless 02-003533 DRESSING DRUM/TROMOL 18 CM PCS/1 1 Bh 525,000.00 525,000.00
38 Dressing jar 12x16 cm 02-003750 DRESSING JAR SS 7,5 CM PCS/1 1 Bh 187,500.00 187,500.00
39 Extention tube Terumo NEW ITEM EXTENTION TUBE TERUMO 75 CM BOX/50 1 Pcs 22,500.00 22,500.00
40 Filter Nebulizer NEW ITEM FILTER NEBULIZER OMRON NEC-28 PCS/1 3 Pcs 675,000.00 2,025,000.00
41 Filter Udara Sharp Air Purifier 1 Unit 5,000,000.00 5,000,000.00
42 Gluko test Kit 02-000849 NESCO MULTICHECK 3in1 (GCU/N-01) BOX/1 1 Pkt 315,000.00 315,000.00
43 Gunting benang NEW ITEM GUNTING BENANG PCS/1 3 Bh 292,500.00 877,500.00
44 Gunting bengkok NEW ITEM GUNTING BENGKOK PCS/1 1 Bh 90,000.00 90,000.00
46 Handscoon steril uk. L 02-003602 GLOVES NITRILE EXAMINATION SENSI SIZE L CARTON/10 1 Box 114,000.00 114,000.00
47 Gunting operasi ujung tumpul NEW ITEM GUNTING OPERASI UJUNG TUMPUL PCS/1 2 Bh 225,000.00 450,000.00
48 Klam lurus NEW ITEM KLAMP LURUS PCS/1 4 Bh 330,000.00 1,320,000.00
49 Klamp bengkok NEW ITEM KLAMP BENGKOK PCS/1 2 Bh 180,000.00 360,000.00
50 Klamp Forcep 8 inch NEW ITEM KLAMP FORCEP 8 INCH PCS/1 5 Bh 950,000.00 4,750,000.00
51 Klem Anatomy 02-000442 FORCEP ANATOMY 14 CM PCS/1 1 Bh 82,500.00 82,500.00
52 Kolesterol test Kit 02-000846 NESCO CHOLESTEROL TEST STRIP BOX/10 1 Pkt 258,000.00 258,000.00
53 Kom + tutup 02-000291 DRESSING JAR SS 4 CM PCS/1 1 Bh 187,500.00 187,500.00
54 Kom kassa steril+ tutup 02-003750 DRESSING JAR SS 7,5 CM PCS/1 1 Bh 200,000.00 200,000.00
55 Korentang set 02-000655 KORENTANG 25 CM + PLUS TEMPAT SET/1 1 Pkt 300,000.00 300,000.00
56 Lampu tindakan 02-000368 EXAMINATION HALOGEN LAMP UNIT/1 1 Bh 1,900,000.00 1,900,000.00
57 Lidi Wotten Lidi Wotten 50 pcs 100 Stik 800.00 80,000.00
58 Masker Steril Masker Steril 1 Box 150,000.00 150,000.00
59 Meja Periksa + Tangga Meja Periksa + tangga 1 Pkt 1,700,000.00 1,700,000.00
60 Minor surgery tray uk. Besar + Tutup Minor surgery tray uk. Besar + Tutup 8 Bh 565,000.00 4,520,000.00
61 Mortir uk. Sedang Mortir 2 Pkt 75,000.00 150,000.00
62 Nebulizer 02-000884 OMRON NEBULIZER COMPRESSOR ULTRASOUND NEC-28 UNIT/1 1 Pkt 1,250,000.00 1,250,000.00
63 Neirbeken stainless uk. Besar Neirbeken stainless uk. Besar 6 Bh 49,000.00 294,000.00
64 Neirbeken stainless uk. Kecil Neirbeken stainless uk. Kecil 1 Bh 30,000.00 30,000.00
65 Pinset Anatomi Pinset Anatomi 3 Bh 12,000.00 36,000.00
66 Pinset chirugi Pinset chirugi 1 Bh 10,000.00 10,000.00
67 Pulse Oxymeter 02-002904 PULSE OXYMETER SONOSAT-F04T GC UNIT/1 15 Pcs 450,000.00 6,750,000.00
68 Reflek Hamer 02-001032 REFLEX HAMMER PCS/1 2 Bh 70,000.00 140,000.00
69 Resucitation face Mask Kit One med Resucitation Face Mask Kit 1 Pcs 300,000.00 300,000.00
70 Senter kecil Led senter kecil 2 Bh 195,000.00 390,000.00
71 Snake Bite Ekstractor 02-003532 SNAKE BITE KIT 4LIFE SET/1 1 Pcs 1,800,000.00 1,800,000.00
72 Steri strip Steri Strip 5 Lbr 16,000.00 80,000.00
73 Sterilisator 02-001237 STERILISATOR ELITECH UNIT/1 2 Bh 6,630,000.00 13,260,000.00
74 Stetoskop 02-001246 STETOSCOPE LITMANN CLASSIC III PCS/1 1 Bh 2,400,000.00 2,400,000.00
75 Tabung oksigen komplit 02-000912 OXYGEN CYLINDER 1.5 M3 STEEL + TROLLEY + REGULATOR UNIT/1 7 Bh 2,300,000.00 16,100,000.00
76 Temperatur infrared 02-002752 THERMOMETER IR KRISBOW #KW0600560 UNIT/1 2 Bh 2,200,000.00 4,400,000.00
77 Tensi digital omron 02-003156 OMRON AUTOMATIC BLOOD PRESSURE MONITOR HEM 7156 UNIT/1 1 Bh 1,575,000.00 1,575,000.00
78 Tensimeter Riester 02-001430 TENSIMETER ANEROID RIESTER UNIT/1 1 Bh 2,250,000.00 2,250,000.00
79 Timbangan carada scan 02-000875 OMRON BODY FAT MONITOR KARADA SCAN HBF-375 UNIT/1 1 Bh 5,000,000.00 5,000,000.00 harga sewa/bln
Harga jual 138,547,775.00 7,504,671.15

No. Formulir : FM-PR-004-01

No. Revisi : 00
Tanggal Terbit : 15 Agustus 2022
 PT. KARTIKA BINA MEDIKATAMA
Beltway Office Park Tower C Lantai 2
Jl. Ampera Raya No 9-10 , Jakarta Selatan 12550
Phone +62 808 66088
Fax. +62 808 66089
www.medikaplaza.com

QUOTATION
No. Quot 011/QUOT/VII/2023
Project DANONE SITE CIANJUR
No Req Client Alkes Site Clinic Cianjur
Tanggal Permintaan 6-Jul-23
Tanggal Dibutuhkan 31-Jul-23
Tanggal Quotation 7/6/2023
Masa Berlaku Quotation 8/6/2023
Keterangan 0705/DANONE-CIANJUR/2023

No REQUEST DESCRIPTION ITEM NO MP DESCRIPTION QTY UOM CODE unit price SUB TOTAL REMARKS CEKLIST
1 Meja konsultasi MEJA KONSUL DOKTER UMUM 1 PCS 7,500,000.00 7,500,000.00 Ada dari Pabrik
2 Bangku dokter Kursi dokter 1 PCS 770,000.00 770,000.00 Ada dari Pabrik
3 Bangku pasien Kursi Pasien 1 PCS 325,000.00 325,000.00 Ada dari Pabrik
4 Tempat tidur periksa 02-000369 EXAMINATION TABLE UNIT/1 1 UNIT 3,000,000.00 3,000,000.00
5 Tangga tempat tidur 02-000440 FOOT STEP P/C BFS-101 PCS/1 1 PCS 540,000.00 540,000.00
6 Lemari obat 02-000744 MEDICINE CABINET SINGLE DOOR PC BMC-101-1P UNIT/1 1 UNIT 5,800,000.00 5,800,000.00
7 Wound dressing tray Meja Wound dressing 1 PCS 1,850,000.00 1,850,000.00
8 Sterilization 02-001237 STERILISATOR ELITECH UNIT/1 1 PCS 6,630,000.00 6,630,000.00
9 Stetoscope 02-001246 STETOSCOPE LITMANN CLASSIC III PCS/1 1 PCS 2,400,000.00 2,400,000.00
10 Tensimeter 02-001430 TENSIMETER ANEROID RIESTER UNIT/1 1 PCS 2,250,000.00 2,250,000.00
11 Otoscope 02-000910 OTOSCOPE RIESTER UNIT/1 1 PCS 1,600,000.00 1,600,000.00
12 Hammer reflex 02-001032 REFLEX HAMMER PCS/1 1 PCS 70,000.00 70,000.00
13 Timbangan 02-003775 WEIGHT SCALE OMRON HBF 375 UNIT/1 PCS 4,000,000.00 -
14 Glucometer+strip Glucometer + Strip isi 50pcs 1 Box 210,000.00 210,000.00
15 Cholesterol check Cholesterol check 10 strip 1 box 200,000.00 200,000.00
16 Splints 02-001127 SAM SPLINT DYNAMED PCS/1 1 PCS 825,000.00 825,000.00
17 Manual/automatic suction 02-001284 SUCTION PORTABLE DEVILBISS WITH BATTERY 7305P-D AC/DC UNIT/1 1 UNIT 10,320,000.00 10,320,000.00
18 Nebulizer 02-000884 OMRON NEBULIZER COMPRESSOR ULTRASOUND NEC-28 UNIT/1 1 UNIT 1,242,000.00 1,242,000.00
19 X-ray reading glass OneMed Iluminator X-Ray Viewer 1 PCS 2,125,000.00 2,125,000.00
20 Minor set 02-000767 MINOR SURGERY SET/1 2 PCS 800,000.00 1,600,000.00
21 Ambu Mask Pocket CPR Ambu Mask Pocket 2 Pcs 120,000.00 240,000.00
22 Ambubag Ambu bag 1 Pcs 175,000.00 175,000.00
23 Analiktik syok Tool Box Analiktik syok Tool Box 1 Box 500,000.00 500,000.00
24 Asam Urat test Kit Easy Touch Uric Acid 25pcs 1 Box 125,000.00 125,000.00
25 Betadine 1000 ml 01-006065 BETADINE SOLUTION 1 L BOX/1 1 Btl 300,450.00 300,450.00
26 Betadine 500 ml 01-006065 BETADINE SOLUTION 1 L BOX/1 1 Btl 300,450.00 300,450.00
27 Betadine kom Betadine Kom 1 Bh 40,000.00 40,000.00
28 Blender kopi - 1 Pcs - -
29 Box Limbah Limbah Medis 12.5 ltr 2 Bh 100,000.00 200,000.00
30 Cairan Infus Dextrose 01-003406 INFUSAN D5 SOFTBAG 500ML SINGLE PORT KOLF/1 1 Kolav 300,000.00 300,000.00
31 Cairan Infus NaCl 0,9 % 01-003407 INFUSAN NS SOFTBAG 500ML SINGLE PORT KOLF/1 3 Kolav 30,000.00 90,000.00
32 Cat gut chromic exp 10/2023 08-000009 SUT. T-CHROMIC CATGUT 3/0 REV CUTING C67X TRITON BOX/12 1 box 1,100,000.00 1,100,000.00
33 Catgut Silk exp 05/2022 02-003816 SUT. T-SILK 3/0 REVCUT S23 TRITON BOX/12 1 box 729,000.00 729,000.00
34 Child Mask 02-000915 OXYGEN MASK ADULT PCS/1 1 Pcs 30,000.00 30,000.00
35 Dermafix 02-000253 DERMAFIX T 10 X 12 CM BOX/10 1 box 135,375.00 135,375.00
36 Disposible 1 ml 02-001409 SYRINGE 1ML TUBERCULIN TERUMO BOX/100 5 Pcs 8,000.00 40,000.00
37 Dressing drum stainless 02-003533 DRESSING DRUM/TROMOL 18 CM PCS/1 1 Bh 525,000.00 525,000.00
38 Dressing jar 12x16 cm 02-003750 DRESSING JAR SS 7,5 CM PCS/1 1 Bh 187,500.00 187,500.00
39 Extention tube Terumo NEW ITEM EXTENTION TUBE TERUMO 75 CM BOX/50 1 Pcs 22,500.00 22,500.00
40 Filter Nebulizer NEW ITEM FILTER NEBULIZER OMRON NEC-28 PCS/1 1 Pcs 675,000.00 675,000.00
41 Filter Udara Sharp Air Purifier 1 Unit 5,000,000.00 5,000,000.00
42 Gluko test Kit 02-000849 NESCO MULTICHECK 3in1 (GCU/N-01) BOX/1 1 Pkt 315,000.00 315,000.00
43 Gunting benang NEW ITEM GUNTING BENANG PCS/1 1 Bh 292,500.00 292,500.00
44 Gunting bengkok NEW ITEM GUNTING BENGKOK PCS/1 1 Bh 90,000.00 90,000.00
46 Handscoon steril uk. L 02-003602 GLOVES NITRILE EXAMINATION SENSI SIZE L CARTON/10 Box 114,000.00 - Ada dari Pabrik
47 Gunting operasi ujung tumpul NEW ITEM GUNTING OPERASI UJUNG TUMPUL PCS/1 2 Bh 225,000.00 450,000.00
48 Klam lurus NEW ITEM KLAMP LURUS PCS/1 2 Bh 330,000.00 660,000.00
49 Klamp bengkok NEW ITEM KLAMP BENGKOK PCS/1 2 Bh 180,000.00 360,000.00
50 Klamp Forcep 8 inch NEW ITEM KLAMP FORCEP 8 INCH PCS/1 3 Bh 950,000.00 2,850,000.00
51 Klem Anatomy 02-000442 FORCEP ANATOMY 14 CM PCS/1 3 Bh 82,500.00 247,500.00
52 Kolesterol test Kit 02-000846 NESCO CHOLESTEROL TEST STRIP BOX/10 1 Pkt 258,000.00 258,000.00
53 Kom + tutup 02-000291 DRESSING JAR SS 4 CM PCS/1 1 Bh 187,500.00 187,500.00
54 Kom kassa steril+ tutup 02-003750 DRESSING JAR SS 7,5 CM PCS/1 1 Bh 200,000.00 200,000.00
55 Korentang set 02-000655 KORENTANG 25 CM + PLUS TEMPAT SET/1 1 Pkt 300,000.00 300,000.00
56 Lampu tindakan 02-000368 EXAMINATION HALOGEN LAMP UNIT/1 1 Bh 1,900,000.00 1,900,000.00
57 Lidi Wotten Lidi Wotten 50 pcs 100 Stik 800.00 80,000.00
58 Masker Steril Masker Steril Box 150,000.00 - Ada dari Pabrik
59 Meja Periksa + Tangga Meja Periksa + tangga 1 Pkt 1,700,000.00 1,700,000.00
60 Minor surgery tray uk. Besar + Tutup Minor surgery tray uk. Besar + Tutup 3 Bh 565,000.00 1,695,000.00
61 Mortir uk. Sedang Mortir 2 Pkt 75,000.00 150,000.00
62 Nebulizer 02-000884 OMRON NEBULIZER COMPRESSOR ULTRASOUND NEC-28 UNIT/1 1 Pkt 1,250,000.00 1,250,000.00
63 Neirbeken stainless uk. Besar Neirbeken stainless uk. Besar 3 Bh 49,000.00 147,000.00
64 Neirbeken stainless uk. Kecil Neirbeken stainless uk. Kecil 3 Bh 30,000.00 90,000.00
65 Pinset Anatomi Pinset Anatomi 3 Bh 12,000.00 36,000.00
66 Pinset chirugi Pinset chirugi 3 Bh 10,000.00 30,000.00
67 Pulse Oxymeter 02-002904 PULSE OXYMETER SONOSAT-F04T GC UNIT/1 2 Pcs 450,000.00 900,000.00
68 Reflek Hamer 02-001032 REFLEX HAMMER PCS/1 1 Bh 70,000.00 70,000.00
69 Resucitation face Mask Kit One med Resucitation Face Mask Kit 1 Pcs 300,000.00 300,000.00
70 Senter kecil Led senter kecil 2 Bh 195,000.00 390,000.00
71 Snake Bite Ekstractor 02-003532 SNAKE BITE KIT 4LIFE SET/1 1 Pcs 1,800,000.00 1,800,000.00
72 Steri strip Steri Strip 5 Lbr 16,000.00 80,000.00
73 Sterilisator 02-001237 STERILISATOR ELITECH UNIT/1 1 Bh 6,630,000.00 6,630,000.00
74 Stetoskop 02-001246 STETOSCOPE LITMANN CLASSIC III PCS/1 Bh 2,400,000.00 - Ada di No.9
75 Tabung oksigen komplit 02-000912 OXYGEN CYLINDER 1.5 M3 STEEL + TROLLEY + REGULATOR UNIT/1 Bh 2,300,000.00 - Ada dari Pabrik ( 5 Unit + Troley + Reg
76 Temperatur infrared 02-002752 THERMOMETER IR KRISBOW #KW0600560 UNIT/1 2 Bh 2,200,000.00 4,400,000.00
77 Tensi digital omron 02-003156 OMRON AUTOMATIC BLOOD PRESSURE MONITOR HEM 7156 UNIT/1 1 Bh 1,575,000.00 1,575,000.00
78 Tensimeter Riester 02-001430 TENSIMETER ANEROID RIESTER UNIT/1 1 Bh 2,250,000.00 2,250,000.00
79 Timbangan carada scan 02-000875 OMRON BODY FAT MONITOR KARADA SCAN HBF-375 UNIT/1 1 Bh 5,000,000.00 5,000,000.00 harga sewa/bln
Harga jual 96,655,775.00 5,235,521.15
Ada dari Pabrik
Ada dari Pabrik
Ada dari Pabrik

Ada dari Pabrik

Ada dari Pabrik

Ada dari Pabrik ( 5 Unit + Troley + Regulator )Beli di Akang Angga 2 Unit , dari Bu Neng Siska DJ 2 Unit, Hibah dari Head Office 1 Unit
No REQUEST DESCRIPTION ITEM NO
1 Tempat tidur periksa 02-000369
2 Tangga tempat tidur 02-000440
3 Lemari obat 02-000744
4 Wound dressing tray
5 Sterilization 02-001237
6 Stetoscope 02-001246
7 Tensimeter 02-001430
8 Otoscope 02-000910
9 Hammer reflex 02-001032
10 Glucometer+strip
11 Cholesterol check
12 Nebulizer 02-000884
13 Ambubag
14 Analiktik syok Tool Box
15 Asam Urat test Kit
16 Betadine 1000 ml 01-006065
17 Betadine kom
18 Blender kopi
19 Box Limbah
20 Cairan Infus Dextrose 01-003406
21 Cairan Infus NaCl 0,9 % 01-003407
22 Cat gut chromic 08-000009
23 Catgut Silk 02-003816
24 Child Mask 02-000915
25 Hypafix 02-000253
26 Disposible 1 ml 02-001409
27 Disposible 3 ml
28 Disposible 5 ml
29 Dressing drum stainless 02-003533
30 Dressing jar 12x16 cm 02-003750
31 Filter Nebulizer NEW ITEM
32 Filter Udara
33 Gluko test Kit 02-000849
34 Gunting benang NEW ITEM
35 Gunting bengkok NEW ITEM
36 Handscoon steril uk. L 02-003602
37 Gunting operasi ujung tumpul NEW ITEM
38 Klam lurus NEW ITEM
39 Klamp bengkok NEW ITEM
40 Klamp Forcep 8 inch NEW ITEM
41 Klem Anatomy 02-000442
42 Kolesterol test Kit 02-000846
43 Kom + tutup 02-000291
44 Kom kassa steril+ tutup 02-003750
45 Korentang set 02-000655
46 Lampu tindakan 02-000368
47 Lidi Wotten
48 Meja Periksa + Tangga
49 Mortir uk. Kecil
50 Nebulizer 02-000884
51 Neirbeken stainless uk. Besar
52 Neirbeken stainless uk. Kecil
53 Pinset Anatomi
54 Pinset chirugi
55 Pulse Oxymeter 02-002904
56 Reflek Hamer 02-001032
57 Resucitation face Mask Kit
58 Senter kecil
59 Snake Bite Ekstractor 02-003532
60 Steri strip
61 Sterilisator 02-001237
62 Stetoskop 02-001246
63 Tabung oksigen komplit 02-000912
64 Temperatur infrared 02-002752
65 Tensi digital omron 02-003156
66 Tensimeter Riester 02-001430
67 Timbangan carada scan 02-000875
 MP DESCRIPTION QTY UOM CODE
EXAMINATION TABLE UNIT/1 1 UNIT
FOOT STEP P/C BFS-101 PCS/1 1 PCS
MEDICINE CABINET SINGLE DOOR PC BMC-101-1P UNIT/1 1 UNIT
Meja Wound dressing 1 PCS
STERILISATOR ELITECH UNIT/1 1 PCS
STETOSCOPE LITMANN CLASSIC III PCS/1 1 PCS
TENSIMETER ANEROID RIESTER UNIT/1 1 PCS
OTOSCOPE RIESTER UNIT/1 1 PCS
REFLEX HAMMER PCS/1 1 PCS
Glucometer + Strip isi 50pcs 1 Box
Cholesterol check 10 strip 1 box
OMRON NEBULIZER COMPRESSOR ULTRASOUND NEC-28 UNIT/1 1 UNIT
Ambu bag 1 Pcs
Analiktik syok Tool Box 1 Box
Easy Touch Uric Acid 25pcs 1 Box
BETADINE SOLUTION 1 L BOX/1 1 Btl
Betadine Kom 1 Bh
- 1 Pcs
Limbah Medis 12.5 ltr 2 Bh
INFUSAN D5 SOFTBAG 500ML SINGLE PORT KOLF/1 1 Kolav
INFUSAN NS SOFTBAG 500ML SINGLE PORT KOLF/1 3 Kolav
SUT. T-CHROMIC CATGUT 3/0 REV CUTING C67X TRITON BOX/12 1 box
SUT. T-SILK 3/0 REVCUT S23 TRITON BOX/12 1 box
OXYGEN MASK ADULT PCS/1 1 Pcs
DERMAFIX T 10 X 12 CM BOX/10 1 box
SYRINGE 1ML TUBERCULIN TERUMO BOX/100 5 Pcs

DRESSING DRUM/TROMOL 18 CM PCS/1 1 Bh

DRESSING JAR SS 7,5 CM PCS/1 1 Bh
FILTER NEBULIZER OMRON NEC-28 PCS/1 1 Pcs
Sharp Air Purifier 1 Unit
NESCO MULTICHECK 3in1 (GCU/N-01) BOX/1 1 Pkt
GUNTING BENANG PCS/1 1 Bh
GUNTING BENGKOK PCS/1 1 Bh
GLOVES NITRILE EXAMINATION SENSI SIZE L CARTON/10 Box
GUNTING OPERASI UJUNG TUMPUL PCS/1 2 Bh
KLAMP LURUS PCS/1 2 Bh
KLAMP BENGKOK PCS/1 2 Bh
KLAMP FORCEP 8 INCH PCS/1 3 Bh
FORCEP ANATOMY 14 CM PCS/1 3 Bh
NESCO CHOLESTEROL TEST STRIP BOX/10 1 Pkt
DRESSING JAR SS 4 CM PCS/1 1 Bh
DRESSING JAR SS 7,5 CM PCS/1 1 Bh
KORENTANG 25 CM + PLUS TEMPAT SET/1 1 Pkt
EXAMINATION HALOGEN LAMP UNIT/1 1 Bh
Lidi Wotten 50 pcs 100 Stik
Meja Periksa + tangga 1 Pkt
Mortir 2 Pkt
OMRON NEBULIZER COMPRESSOR ULTRASOUND NEC-28 UNIT/1 1 Pkt
Neirbeken stainless uk. Besar 3 Bh
Neirbeken stainless uk. Kecil 3 Bh
Pinset Anatomi 3 Bh
Pinset chirugi 3 Bh
PULSE OXYMETER SONOSAT-F04T GC UNIT/1 2 Pcs
REFLEX HAMMER PCS/1 1 Bh
One med Resucitation Face Mask Kit 1 Pcs
Led senter kecil 2 Bh
SNAKE BITE KIT 4LIFE SET/1 1 Pcs
Steri Strip 5 Lbr
STERILISATOR ELITECH UNIT/1 1 Bh
STETOSCOPE LITMANN CLASSIC III PCS/1 Bh
OXYGEN CYLINDER 1.5 M3 STEEL + TROLLEY + REGULATOR UNIT/1 Bh
THERMOMETER IR KRISBOW #KW0600560 UNIT/1 2 Bh
OMRON AUTOMATIC BLOOD PRESSURE MONITOR HEM 7156 UNIT/1 1 Bh
TENSIMETER ANEROID RIESTER UNIT/1 1 Bh
OMRON BODY FAT MONITOR KARADA SCAN HBF-375 UNIT/1 1 Bh
unit price SUB TOTAL REMARKS CEKLIST
3,000,000.00 3,000,000.00
540,000.00 540,000.00
5,800,000.00 5,800,000.00
1,850,000.00 1,850,000.00
6,630,000.00 6,630,000.00
2,400,000.00 2,400,000.00
2,250,000.00 2,250,000.00
1,600,000.00 1,600,000.00
70,000.00 70,000.00
210,000.00 210,000.00
200,000.00 200,000.00
1,242,000.00 1,242,000.00
175,000.00 175,000.00
500,000.00 500,000.00
125,000.00 125,000.00
300,450.00 300,450.00
40,000.00 40,000.00
- -
100,000.00 200,000.00
300,000.00 300,000.00
30,000.00 90,000.00
1,100,000.00 1,100,000.00
729,000.00 729,000.00
30,000.00 30,000.00
135,375.00 135,375.00
8,000.00 40,000.00

525,000.00 525,000.00
187,500.00 187,500.00
675,000.00 675,000.00
5,000,000.00 5,000,000.00
315,000.00 315,000.00
292,500.00 292,500.00
90,000.00 90,000.00
114,000.00 - Ada dari Pabrik
225,000.00 450,000.00
330,000.00 660,000.00
180,000.00 360,000.00
950,000.00 2,850,000.00
82,500.00 247,500.00
258,000.00 258,000.00
 187,500.00 187,500.00
200,000.00 200,000.00
300,000.00 300,000.00
1,900,000.00 1,900,000.00
800.00 80,000.00
1,700,000.00 1,700,000.00
75,000.00 150,000.00
1,250,000.00 1,250,000.00
49,000.00 147,000.00
30,000.00 90,000.00
12,000.00 36,000.00
10,000.00 30,000.00
450,000.00 900,000.00
70,000.00 70,000.00
300,000.00 300,000.00
195,000.00 390,000.00
1,800,000.00 1,800,000.00
16,000.00 80,000.00
6,630,000.00 6,630,000.00
2,400,000.00 - Ada di No.9
2,300,000.00 - Ada dari Pabrik ( 5 Unit + Troley + Regulator )Beli di Akang Angga
2,200,000.00 4,400,000.00
1,575,000.00 1,575,000.00
2,250,000.00 2,250,000.00
5,000,000.00 5,000,000.00 harga sewa/bln
Harga jual 70,932,825.00 3,842,194.69
Regulator )Beli di Akang Angga 2 Unit , dari Bu Neng Siska DJ 2 Unit, Hibah dari Head Office 1 Unit