DAFTAR BARANG KEBUTUHAN DASAR KLINIK PRATAMA

I. UNIT BISNIS KLINIK

No. Nama Produk Qty UOM Unit Price Line Price
MEBELAIR KLINIK
1 TEMPAT TIDUR PERIKSA 2 PCS 2,500,000 5,000,000
2 KURSI DOKTER 2 PCS 750,000 1,500,000
3 KURSI PASIEN 4 PCS 350,000 1,400,000
4 MEJA KONSUL DOKTER 2 PCS 1,500,000 3,000,000
5 LEMARI RUANG PRAKTEK 2 PCS 2,000,000 4,000,000
6 LEMARI OBAT & ALAT KESEHATAN 1 PCS 1,500,000 1,500,000
7 LEMARI PERALATAN DENTAL UNIT 1 PCS 1,500,000 1,500,000
8 LEMARI ARSIP MED REC 1 PCS 3,000,000 3,000,000
9 KURSI PETUGAS RESEPSIONIS 2 PCS 300,000 600,000
10 KURSI PENDAFTARAN PASIEN 2 PCS 200,000 400,000
11 KURSI TUNGGU PASIEN 3 PCS 1,750,000 5,250,000
12 KURSI RUANG LAKTASI 2 PCS 300,000 600,000
13 MEJA BERMATRAS 1 PCS 1,000,000 1,000,000
14 MEJA TIMBANG BAYI 1 PCS 750,000 750,000
15 MEJA RESEPSIONIS 1 PCS 1,500,000 1,500,000
SUB TOTAL : 31,000,000
PERALATAN MEDIS
15 STATESCOPE 3 PCS 250,000 750,000
16 TENSIMETER DIGITAL (OMRON) 1 PCS 650,000 650,000
17 SPHYNGMOMANOMETER ANEROID 2 PCS 400,000 800,000
18 NEBULIZER (OMRON) 1 PCS 1,000,000 1,000,000
19 TIMBANGAN DEWASA 2 PCS 100,000 200,000
20 TIMBANGAN BAYI 1 PCS 300,000 300,000
21 PENGUKUR TINGGI BADAN 1 PCS 50,000 50,000
22 STERILLISATOR 2 PCS 1,400,000 2,800,000
23 LAMPU OPERASI 1 PCS 1,400,000 1,400,000
24 MINOR SET 1 PCS 150,000 150,000
25 TIANG INFUS 1 PCS 200,000 200,000
26 TABUNG OXYGEN 1 Kg 1 PCS 1,100,000 1,100,000
SUB TOTAL : 9,400,000
PERALATAAN PENUNJANG
27 COMPUTER SET 1 SET 7,000,000 7,000,000
28 PRINTER LASER (EPSON L SERIES) 1 PCS 2,000,000 2,000,000
29 AC 3/4 PK (INC. INSTAL) 3 PCS 5,000,000 15,000,000
30 KIPAS ANGIN DINDING (KRISBOW) 2 PCS 450,000 900,000
31 LED TV 42' 1 PCS 5,500,000 5,500,000
32 APAR 3 Kg 2 PCS 750,000 1,500,000
33 DISPENSER AIR MINUM 1 PCS 2,200,000 2,200,000
SUB TOTAL : 34,100,000

Catatan : Harga Estimasi Tertinggi GRAND TOTAL : 74,500,000

 DAFTAR BARANG KEBUTUHAN DASAR KLINIK PRATAMA
II. UNIT BISNIS APOTIK
No. Nama Produk Qty UOM Unit Price Line Price
MEBELAIR APOTIK
1 KURSI ASISTEN 4 PCS 300,000 1,200,000
2 KURSI APOTEKER 1 PCS 750,000 750,000
3 KURSI KONSULTASI PASIEN 1 PCS 200,000 200,000
4 KURSI TUNGGU PASIEN 2 PCS 1,750,000 3,500,000
5 KURSI KASIR 1 PCS 250,000 250,000
6 ETALASE OBAT - KACA (300 Cm) 3 METER 850,000 2,550,000
7 LEMARI PAJANG OBAT- KACA (250 Cm) 2.5 SET 1,700,000 4,250,000
8 RAK OBAT RESEP (ACUAN KICHEN SET) 6 METER 1,900,000 11,400,000
9 LEMARI PENDINGIN 1 PCS 2,500,000 2,500,000
10 LEMARI OKT 1 PCS 1,500,000 1,500,000
11 MEJA RACIK OBAT 1 PCS 1,000,000 1,000,000
12 MEJA ADMINISTRASI 1 PCS 500,000 500,000
13 MEJA APOTEKER 1 PCS 500,000 500,000
14 MEJA KONSULTASI 1 PCS 500,000 500,000
SUB TOTAL : 30,600,000
PERALATAN KEFARMASIAN
15 TIMBANGAN OBAT MILIGRAM 1 PCS 2,000,000 2,000,000
16 TIMBANGAN OBAT GRAM 1 PCS 2,000,000 2,000,000
17 GELAS UKUR (250, 500, 1 000) 1 SET 300,000 300,000
18 MORTAR (KECIL, SEDANG, BESAR) 1 SET 300,000 300,000
19 CORONG (KECIL, SEDANG, BESAR) 1 SET 200,000 200,000
20 KOMPOR LISTRIK 1 PCS 175,000 175,000
21 BUKU FARMAKOPE 1 PCS 250,000 250,000
22 BUKU - BUKU UU KESEHATAN 1 PCS 250,000 250,000
23 BUKU - BUKU ISO & MIMS 1 ALL 300,000 300,000
24 KERTAS PERKAMEN 1 PACK 100,000 100,000
25 THERMOMETER RUANGAN 1 PCS 75,000 75,000
26 THERMOMETER LEMARI PENDINGIN 1 PCS 75,000 75,000
SUB TOTAL : 6,025,000
PERALATAAN PENUNJANG
27 COMPUTER SET 1 SET 7,000,000 7,000,000
28 PRINTER LASER (EPSON L SERIES) 1 PCS 2,000,000 2,000,000
29 DISPENSER AIR MINUM 1 PCS 2,200,000 2,200,000
30 KIPAS ANGIN DINDING (KRISBOW) 3 PCS 450,000 1,350,000
31 LED TV 42' 1 PCS 5,500,000 5,500,000
32 APAR 3 Kg 2 PCS 750,000 1,500,000
SUB TOTAL : 19,550,000
34 STOCK AWAL OBAT 1 ALL 90,000,000 90,000,000
SUB TOTAL : 90,000,000

Note : Harga Estimasi Tertinggi GRAND TOTAL : 146,175,000

 DAFTAR BARANG KEBUTUHAN DASAR KLINIK PRATAMA
III. UNIT BISNIS LABORATORIUM KLINIK
No. Nama Produk Qty UOM Unit Price Line Price
MEBELAIR LABORATORIUM
1 KURSI AHLI TEKHNOLOGI LAB. MEDIS) 1 PCS 300,000 300,000
2 KURSI PENGAMBILAN SAMPLE DARAH 1 PCS 300,000 300,000
3 KURSI TUNGGU PASIEN 2 PCS 1,750,000 3,500,000
4 LEMARI PENYIMPANAN (ACUAN K S) 3 METER 1,900,000 5,700,000
5 LEMARI PENDINGIN 1 PCS 2,000,000 2,000,000
6 MEJA PELAYANAN 1 PCS 2,000,000 2,000,000
7 MEJA PENGAMBILAN SAMPLE DARAH 1 PCS 300,000 300,000
8 MEJA ADMINISTRASI 1 PCS 500,000 500,000
SUB TOTAL : 14,600,000
PERALATAN LABORATORIUM SET
9 PERALATAN LABORATORIUM 1 SET 160,000,000 160,000,000
SUB TOTAL : 160,000,000
PERALATAAN PENUNJANG
10 COMPUTER SET 1 SET 7,000,000 7,000,000
11 PRINTER LASER (EPSON L SERIES) 1 PCS 2,000,000 2,000,000
12 DISPENSER AIR MINUM 1 PCS 2,200,000 2,200,000
13 KIPAS ANGIN DINDING (KRISBOW) 1 PCS 450,000 450,000
14 AC 3/4 PK 9INC. INSTAL) 1 PCS 5,000,000 5,000,000
SUB TOTAL : 16,650,000
34 LAIN - LAIN 1 ALL 3,000,000 3,000,000
SUB TOTAL : 3,000,000

Note : Harga Estimasi Tertinggi GRAND TOTAL : 194,250,000

 DAFTAR BARANG KEBUTUHAN DASAR KLINIK PRATAMA
IV. RESUME KEBUTUHAN BIAYA PERLENGKAPAN KLINIK TERPADU
No. Nama Produk Qty UOM Unit Price Line Price
1 MEBELAIR KLINIK 1 ALL 31,000,000 31,000,000
2 PERALATAN MEDIS 1 ALL 9,400,000 9,400,000
3 PERALATAN PENUNJANG 1 ALL 34,100,000 34,100,000
4 LAIN - LAIN KLINIK 1 ALL 5,000,000 5,000,000
5 MEBELAIR APOTIK 1 ALL 30,600,000 30,600,000
6 PERALATAN KEFARMASIAN 1 ALL 6,025,000 6,025,000
7 PERALATAN PENUNJANG 1 ALL 19,550,000 19,550,000
8 STOCK AWAL OBAT 1 ALL 90,000,000 90,000,000
9 MEBELAIR LABORATORIUM 1 ALL 14,600,000 14,600,000
10 PERALATAN LABORATORIUM SET 1 ALL 160,000,000 160,000,000
11 PERALATAN PENUNJANG 1 ALL 16,650,000 16,650,000
12 LAIN - LAIN LABORATORIUM 1 ALL 3,000,000 3,000,000
13 PAPAN NAMA & ASSESORIES 1 ALL 15,000,000 15,000,000
14 KUMULATIF BIAYA PERIJINAN 1 ALL 31,450,000 31,450,000
15 KUMULATIF BIAYA RUTIN SEMESTER I 1 ALL 280,860,000 280,860,000

Asumsi : Bangunan kelas menengah sedang TOTAL : 747,235,000

DENGAN BIAYA TERSEBUT DI ATAS

NO SARANA WAJIB YANG BISA DISEDIAKAN
1 RUANG PERIKSA PASIEN UMUM
2 RUANG PERIKSA PASIEN GIGI
3 RUANG TINDAKAN KEGAWAT DARURATAN
4 RUANG POJOK LAKTASI
5 RUANG TUNGGU PASIEN
6 RUANG PENYULUHAN / EDUKASI
7 TOILET
8 MUSHOLA
9 RUANG ADMINISTRASI DAN KEARSIPAN
10 AREAL LAYANAN LABORATORIUM
11 AREAL LAYANAN KEFARMASIAN /APOTIK
 DAFTAR PERIJINAN TERKAIT PENDIRIAN KLINIK PRATAMA
NO NAMA SURAT IJIN QTY UNIT PRICE LINE PRICE
1 AKTA PENDIRIAN BADAN HUKUM (CV) 1 5,000,000 5,000,000
2 SIUP 1 500,000 500,000
3 TDP 1 500,000 500,000
4 IJIN GANGGUAN 1 2,000,000 2,000,000
5 SURAT IJIN PRAKTEK APOTEKER 1 2,000,000 2,000,000
6 SURAT IJIN KERJA ASISTEN APOTEKER 1 750,000 750,000
7 SURAT IJIN APOTIK 1 1,000,000 1,000,000
8 SPPL (PENGELOLAAN LIMBAH) 1 2,500,000 2,500,000
9 KERJA SAMA PEMBUANGAN LIMBAH MEDIS -
DENGAN PIHAK KETIGA MOU) 1 1,500,000 1,500,000
10 IJIN PENDIRIAN KLINIK 1 2,500,000 2,500,000
11 SURAT IJIN PRAKTEK DOKTER UMUM 3 100,000 300,000
12 SURAT IJIN PRAKTEK DOKTER GIGI 1 100,000 100,000
13 SURAT IJIN PRAKTEK PERAWAT 2 100,000 200,000
14 SURAT IJIT PARKATEK AHLI TEKHNOLOGI -
LABORATORIUM MEDIS 1 100,000 100,000
15 SURAT IJIN OPERASIONAL KLINIK 1 1,000,000 1,000,000
16 AKTA NOTARIS PERUSAHAAN DGN APOTEKER 1 1,500,000 1,500,000
17 AKTA NOTARIS PERUSAHAAN DGN DOKTER -
PENANGGUNG JAWAB KLINIK 1 1,500,000 1,500,000
18 AKTA NOTARIS PERUSAHAAN DGN DOKTER GIGI 1 1,500,000 1,500,000
19 KOMPENSASI PEMAKAIAN IJIN PERAWAT KEDUA 1 5,000,000 5,000,000
TOTAL : 29,450,000

DAFTAR BIAYA OPERASIONAL BULANAN TAHAP AWAL (I SEMESTER)

NO MATA ANGGARAN QTY UNIT PRICE LINE PRICE
1 BIAYA KOMPENSASI DOKTER PENANGGUNG JWB 1 2,000,000 2,000,000
2 BIAYA UANG KEHADIRAN DOKTER UMUM -
3 (Rp. 130.000 X 52 SATUAN KERJA) 52 130,000 6,760,000
4 BIAYA UANG KEHADIRAN DOKTER GIGI -
5 (Rp. 100.000 X 26 SATUAN KERJA) 26 100,000 2,600,000
6 GAJI PERAWAT 1 2,500,000 2,500,000
7 GAJI ATLM 1 2,500,000 2,500,000
8 GAJI PEMBANTU PERAWAT (SMK) 1 1,750,000 1,750,000
9 GAJI APOTEKER 1 4,000,000 4,000,000
10 GAJI ASSISTEN APOTEKER BERSERTIFIKAT 1 2,000,000 2,000,000
11 GAJI ASISTEN APOTEKER TANPA SERTIFIKAT 2 1,750,000 3,500,000
12 GAJI ADMINISTRASI 2 1,500,000 3,000,000
13 GAJI PENJAGA MALAM 1 2,000,000 2,000,000
14 LISTRIK 1 1,200,000 1,200,000
15 BIAYA PROMOSI & MARKETING (6 BULAN) 1 10,000,000 10,000,000
16 LAIN - LAIN 1 3,000,000 3,000,000
TOTAL BIAYA RUTIN BULANAN SUB TOTAL : 46,810,000
TOTAL BIAYA RUTIN KUMULATIV 1 SEMESTER GRAND TOTAL : 280,860,000
Asumsi : Selama 6 bulan pertama perusahaan tidak
mendapatkan pendapatan sama sekali