PT.

COBRA DENTAL INDONESIA

CABANG BOGOR
No : 002.SPH.CDI.BGR.VI.2023
Bogor : 11/06/2023
Perihal : Penawaran Harga
Nama Custumer : Klinik Pratama Paramita Dental

No Nama Barang Qty Kode Nama Barang Produsen Harga Subtotal

1 Ningbo Jiangbei Woson
1 1499 Woson Steam Sterilizer Tanzo Classic 23 L 51.060.000 51.060.000
Medical Instrument Co., Ltd
1
Ningbo Jiangbei Woson
2 STERILISATOR ALAT 1508 Pouch Sealer (Selin) 4.107.000 4.107.000
Medical Instrument Co., Ltd

1
Ningbo Jiangbei Woson
3 1507 Water Distiller (Drink 10) 2.442.000 2.442.000
Medical Instrument Co., Ltd

INTRAORAL CAMERA 1 FOSHAN DADE MEDICAL

4 1629 Intraoral Camera DA-500 Set TECHNOLOGY CO., LTD ( 4.844.000 4.844.000
DELAUDE )
5 SALIVA EJECTOR 1 2547 Saliva Ejector Svenska Svenska Dentorama AB 105.450 105.450
EXT.FORCEPS FIG.1 1 TCD Tooth Forcep Anterior RA / 2500.1
6 4357-2500-1 Medesy Medesy srl 1.093.350 1.093.350
EXT.FORCEPS FIG.4 1 TCD Tooth Forcep Anterior RB / 2500.4
7 4357-2500-4 Medesy Medesy srl 1.093.350 1.093.350
EXT.FORCEPS FIG.7 1 TCD Tooth Forcep Premolar RA / 2500.7
8 4357-2500-7 Medesy Medesy srl 1.093.350 1.093.350
EXT.FORCEPS FIG.13 1 TCD Tooth Forcep Premolar RB / 2500.13
9 4357-2500-13 Medesy Medesy srl 1.093.350 1.093.350
EXT.FORCEPS FIG.17 1 TCD Tooth Forcep Molar Kanan RA /
10 4357-2500-17 2500.17 Medesy Medesy srl 1.093.350 1.093.350
EXT.FORCEPS FIG.18 1 TCD Tooth Forcep Molar Kiri RA / 2500.18
11 4357-2500-18 Medesy Medesy srl 1.093.350 1.093.350
EXT.FORCEPS FIG.21/22 1 TCD Tooth Forcep Molar RB / 2500.22
12 4357-2500-22 Medesy Medesy srl 1.093.350 1.093.350
EXT.FORCEPS FIG.29 1 TCD Tooth Forcep Anterior RA / 2500.29
13 4357-2500-29 Medesy Medesy srl 1.093.350 1.093.350
EXT.FORCEPS FIG.33 1 TCD Tooth Forcep Radix RB / 2500.33
14 4357-2500-33 Medesy Medesy srl 1.093.350 1.093.350
EXT.FORCEPS FIG.67 1 TCD Tooth Forcep Molar 3 RA / 2500.67
15 4357-2500-67 Medesy Medesy srl 1.093.350 1.093.350
EXT.FORCEPS FIG.79 1 TCD Tooth Forcep Molar 3 RB / 2500.79
16 4357-2500-79 Medesy Medesy srl 1.093.350 1.093.350
BAYONET FORCEPS 1 TCD Tooth Forcep Bayonet / 2500.51
17 4357-2500-51 Medesy Medesy srl 1.093.350 1.093.350
18 TANG CABUT ANAK SET 1 4362-2600-Set TCA Set 6 / 2600.Set Pedo Medesy Medesy srl 7.187.250 7.187.250
19 ROOT ELEVATOR FIG.3F 1 4166-690-4 Bein / 690.4 Medesy Medesy srl 541.999 541.999
20 ROOT ELEVATOR FIG.1B 1 4157-680-1 Bein MM 2 /680.1 Medesy Medesy srl 523.999 523.999
21 ROOT ELEVATOR FIG.6B 1 4174-720-6 Bein / 720.6 Medesy Medesy srl 543.999 543.999
22 ROOT ELEVATOR FIG.34S 1 4175-720-9 Bein / 720.9 Medesy Medesy srl 493.950 493.950
23 RASPARATORIUM 1 4200-880 Raspatorium 880 Medesy Medesy srl 388.500 388.500
24 BONE FILE 1 4216-895-1 Bone File / 895.1 Medesy Medesy srl 638.999 638.999
25 SCALPEL 1 4468-3633 Handle Scalpel / 3633 Medesy Medesy srl 152.625 152.625
HAEMOSTATIC FORC. 118.1 1 Pean Lurus / Halstead Mosquito / 1519
26 4289-1519 Medesy Medesy srl 366.300 366.300
HAEMOSTATIC FORC. 118.1 1 Pean Bengkok / Halstead Mosquito / 1520
27 4289-1520 Medesy Medesy srl 384.999 384.999
NEEDLE HOLDER 1
28 4305-1740 Needle Holder MM.160 / 1740 Medesy Medesy srl 749.999 749.999
29 INTRALIGAMENT SYRINGE 1 4528-4964-EU Dental Syringe / 4964-EU Medesy Medesy srl 4.440.000 4.440.000
30 JARUM CITOJECT 1 22070.16 Disposable Dental Needle Isi 100 30x16 PT Intisumber Hasil Sempurna 94.350 94.350
TERUMO SYRINGE 3 CC 1 PT Anugerah Pharmindo
31 2586-3 Spuit Terumo 3cc Lestari 277.500 277.500
TERUMO SYRINGE 1 CC 1 PT Anugerah Pharmindo
32 2584 Spuit Terumo 1cc Lestari 321.900 321.900
APEX LOCATOR 1 Guilin Woodpecker Medical
33 1492 Endo Radar 14.097.000 14.097.000
Instrument Co., Ltd.
34 DIAMOND BUR SET 2 2948 Bur Diamond FG Set 6 Meisinger Hager & Meisinger Gmbh 293.999 587.998
35 STONE/ACRYLIC POLISHING 5 3014 Alpin CA / Jet Edenta AG 38.850 194.250
36 KACA MULUT 10 4514-4903-4 Kaca Mulut / 4903.4 Medesy Medesy srl 54.390 543.900
37 PINSET 10 4266-1026 Pincet Dental / 1026 Medesy Medesy srl 179.820 1.798.200
38 SONDE LURUS FIG 23 10 4049-555-6 Sonde SE / 555.6 Medesy Medesy srl 122.100 1.221.000
39 SONDE HALF MOON FIG 9 10 4049-555-23 Sonde SE / 555.23 Medesy Medesy srl 122.100 1.221.000
40 EKSKAVATOR 10 4147-670-1 Exavator / 670.1 Medesy Medesy srl 271.950 2.719.500
41 FILLING INSTRUMENT FIG 2 10 4036-518-1 Plastis Instrument / 518.1 Medesy Medesy srl 233.100 2.331.000
42 BURNISHER 5 4598-479-29 Burnisher SE / 479.29 Medesy Medesy srl 256.999 1.284.995
43 CEMENT SPATULA 10 4152-675-1 Cement Spatel / 675.1 Medesy Medesy srl 231.999 2.319.990
SPATULA PLASTIK 2 Huanghua Promisee Dental
44 31538 Gip Spatula Cotisen / Spatula Co.,Ltd ( Cotisen ) 11.100 22.200
45 SPATULA STAINLESS 1 3238 Gip Spatula Stainlless DN Aneka Logam 33.300 33.300
46 GLASS PLATE 2 3241 Glass Plate Prabu Kaca 5.550 11.100
TEMPAT BUR/DENTAL BOX 1 Bur Holder Box isi 60 Cotisen /Bur Holder Huanghua Promisee Dental
47 31545 Box Co.,Ltd ( Cotisen ) 77.700 77.700
TEMPAT KAPAS COTTON ROLL 1 Huanghua Promisee Dental
48 31536 Cotton Roll Dispenser Cotisen 99.900 99.900
PALETTE Co.,Ltd ( Cotisen )
TEMPAT SAMPAH STAINLESS 1 Tempat Kapas Kotor Green / 975-V
49 4088-975-V Medesy Medesy srl 585.998 585.998
 DAPPEN DISH 1 Huanghua Promisee Dental
50 3163 Dappen Disk / Glass Dappen dishes Co.,Ltd ( Cotisen ) 22.200 22.200
3M 7018 FILTEX Z350XT A2 1 7018A2B Z350 XT UNIV REST SYR 4G
51 21432.7000003219 PT 3M Indonesia 643.800 643.800
UNIVERSAL LA/APAC
3M FILTEX Z350XT A3 1 7018A3B Z350 XT UNIV REST SYR 4G
52 21432.7000003220 PT 3M Indonesia 643.800 643.800
UNIVERSAL LA/APAC
3M FILTEX Z350XT A3.5 1 7018A3.5B Z350 XT UNV RST SYR 4G
53 21432.7000003221 PT 3M Indonesia 643.800 643.800
UNIVERSAL LA/APAC
3M 7018D FILTEX Z350XT 1
54
UNIVERSAL DUAL SHADE KIT
21433.7000030609 7018D Z350 XT UR SYR DUAL KIT LA/APAC PT 3M Indonesia 2.425.350 2.425.350

3M 7032 ESPE FILTEK Z350XT 1 7032A2 Filtek Supreme Flowable Syringe

55 21434.7100219457 PT 3M Indonesia 693.750 693.750
FLOWABLE REST Refill - A2 APAC/LA
3M 7032 ESPE FILTEK Z350XT 1 7032A3 Filtek Supreme Flowable Syringe
56 21434.7100219456 PT 3M Indonesia 693.750 693.750
FLOWABLE REST Refill - A2 APAC/LA
BONDING 1 Biodinamica Quimica e
57 2821 Master Bond 5ml Farmaceutica Ltda 333.000 333.000
58 ETSA 1 21435.7000030404 7423 ETCHANT GEL VIAL 9ML PT 3M Indonesia 216.450 216.450
59 GIC 1 2243.Ext.A3 Fuji IX GP 1-1 # Extra A3 GC Asia Dental PTE. LTD 915.750 915.750
60 GIC Fuji 1 1 2227 Fuji I Mini Pack 15 gr/10 gr GC Asia Dental PTE. LTD 399.600 399.600
61 CAVITON 1 2076.P Caviton Pink GC Asia Dental PTE. LTD 183.150 183.150
CELLULOSE MATRIX STRIP 1 Cellulose Matrix Strip / Celluloid Strip
62 2080 Svenska Svenska Dentorama AB 205.350 205.350
63 ARTICULATING PAPER 1 2053 Articulating Paper Full Svenska Dentorama AB 199.800 199.800
MATRIX RETAINER BAND SET 1
64 3326 Matrix Holder dan Band Dentamerica Dentamerica Asia Inc 288.600 288.600
65 WEDGES 1 3616 Wedges Dentamerica Transparan Dentamerica Asia Inc 83.250 83.250
66 KAPAS STERIL 2 2406-B Kapas Bunda 250 Gram CV Ardhana Indo Putra 19.980 39.960
67 COTTON ROLL 2 2709-1 Cotton Roll Prodental # 1 NEW INDO 94.350 188.700
68 K FILE 15-40 1 31514-21 K File Svenska 15-40 L21 Svenska Dentorama AB 210.900 210.900
69 K-FILE 45-80 1 31515-21 K File Svenska 45-80 L21 Svenska Dentorama AB 210.900 210.900
70 K REAMER 1 3433-21 Reamers Svenska 15-40 L21 Svenska Dentorama AB 210.900 210.900
71 BAHAN SEALER 1 2941 Endoseal Denpro Prevest Denpro Limited 205.350 205.350
72 EUGENOL 1 22112 Maxgenol Prevest Denpro Limited 44.400 44.400
73 ZINC F+ 1 2848 Zinc F+ Denpro Prevest Denpro Limited 205.350 205.350
74 PULP CAPP 1 2828 CAL LC Denpro Prevest Denpro Limited 222.000 222.000
PAPPERPOINT 2
75 21456.15.40 Paper Point Dentplus #15-40 DiaDent Group International 53.280 106.560

76 TANG POTONG 1 4619-3000-87TC Tang Ortho / 3000.87 TC Medesy Medesy srl 2.411.998 2.411.998
77 BRACKET HOLDER 2 4249-1006 Bracket Holder / 1006 Medesy Medesy srl 357.999 715.998
SET KURET PERIO SET 1 Kit Curette Gracey Aluminium 625/KIT.AL
78 41441-625-KIT-AL Medesy Medesy srl 3.956.999 3.956.999
79 PROBE 1 4045-548-1 Dental Probe / 548.1 Medesy Medesy srl 266.400 266.400
SICKLE 1 Scaller / Strumento Levatartaro / 651 U15-
80 4133-651-U15-30-HL 30.HL8 Medesy srl 418.999 418.999
81 BENANG JAIT 5 2113-P Cut Gut GCare (Plan) + Jarum PT Karunia Lentera Abadi 16.650 83.250
GUNTING BIASA 1 Gum Scissors ECO - 539 / Fiq 1 /gunting
82 3247.539.1 operasi lurus Chugata Instrument (pvt) Ltd. 27.750 27.750
83 SENDOK CETAK SET 1 3477-RA-RB Sendok Cetak Stainlless Set RA/RB Aneka Logam 88.800 88.800
84 ALKOHOL 70% 2 2017 Alkohol 70% Literan PT Likuid Pharmalab Indonesia 44.400 88.800
CHLORETYL 1 Chloraetyl ( Harus dengan resep,
85 2089 pengiriman dari gudang PBF Jogja ) PT Duta Kaisar Pharmacy 194.250 194.250
86 ALGINATE 1 2049.N Aroma Normal GC Asia Dental PTE. LTD 127.650 127.650
87 STONE GIP BIRU 1 2336 Gip Stone 1kg DK Mungyo Corporation 33.300 33.300
RUBBER BOWL 2 Huanghua Promisee Dental
88 31540.1 Bowl Biru B MB01 Cotisen / Mixing Bowl Co.,Ltd ( Cotisen ) 33.300 66.600
MICROBRUSH 2 Huanghua Promisee Dental
89 21948 Brush Cotisen / Micro applicators Co.,Ltd ( Cotisen ) 49.950 99.900
KAWAT NITI 012 UPPER 1 Zhejiang Protect Medical
90 2998.Round.012 Niti Arch Round Upper 0.12 isi 10 Protect Equipment Co., Ltd 94.350 94.350
KAWAT NITI 014 UPPER 1 Zhejiang Protect Medical
91 2998.Round.014 Niti Arch Round Upper 0.14 isi 10 Protect Equipment Co., Ltd 94.350 94.350
KAWAT NITI 016 UPPER 1 Zhejiang Protect Medical
92 2998.Round.016 Niti Arch Round Upper 0.16 isi 10 Protect Equipment Co., Ltd 94.350 94.350
KAWAT NITI 018 UPPER 1 Zhejiang Protect Medical
93 2998.Round.018 Niti Arch Round Upper 0.18 isi 10 Protect Equipment Co., Ltd 94.350 94.350
KAWAT NITI 012 LOWER 1 Zhejiang Protect Medical
94 2765.Round.012 Niti Arch Round Lower 0.12 isi 10 Protect Equipment Co., Ltd 94.350 94.350
KAWAT NITI 014 LOWER 1 Zhejiang Protect Medical
95 2765.Round.014 Niti Arch Round Lower 0.14 isi 10 Protect Equipment Co., Ltd 94.350 94.350
KAWAT NITI 016 LOWER 1 Zhejiang Protect Medical
96 2765.Round.016 Niti Arch Round Lower 0.16 isi 10 Protect Equipment Co., Ltd 94.350 94.350
KAWAT NITI 018 LOWER 1 Zhejiang Protect Medical
97 2765.Round.018 Niti Arch Round Lower 0.18 isi 10 Protect Equipment Co., Ltd 94.350 94.350

Total 141.505.964

Harga sudah termasuk Ppn 11% , dan dapat berubah sewaktu-waktu tanpa adanya pemberitahuan khusus

Demikian surat penawaran ini kami buat ,dengan harapan bisa dapat segera menjalin kerjasama dalam Pengadaan Alat Kedokteran Gigi segera terlaksana,
Atas perhatian dan kerjasamanya, kami ucapkan terima kasih.

Hormat Kami,

Wahyu Ichsan Prabowo

Branch Manager