RINCIAN PERHITUNGAN

NO URAIAN KEGIATAN/RINCIAN
JUMLAH SATUAN
A GAWAT DARURAT
a TRIASE
1 Kursi Roda 2 UT
2 Minor Set 8 UT
3 Hecting set 5 UT
4 Emergency Trolley 1 UT
5 Foot Step 5 UT
6 Infus Stand 5 UT
7 Kursi Tunggu Pasien IGD 2 UT
8 Matras Kursi Tunggu 8 UT
PENYAKIT DALAM
KLINIK RAWAT JALAN
1 Film Viewer 1 UT

2 Stethoscope 6 UT

3 Sphygmomanometer / Tensimeter Digital 3 UT

4 Sphygmomanometer / Tensimeter Anaeroid 3 UT

5 Termometer Digital 1 UT

6 Defibrillator 1 UT

7 Medical Pen Light 10 UT

8 Defibrilator Portable 1 unit

9 Kursi Tunggu Pasien IGD 2 UT

10 Matras Kursi Tunggu 8 UT

KAMAR TINDAKAN
6 Examination Table 2 UT
7 Lampu Periksa 1 UT
8 Minor Set 3 UT
9 Nebulizer 1 UT
10 Emergency Trolley 1 UT
11 Pulse Oxymetri 1 UT
12
A RAWAT INAP
1 Suction Pump Kecil 1 UT
2 Suction Pump Besar 1 UT
3 EKG 2 UT
4 Bed Dewasa 20 UT
5 Bed Anak 15 UT
6 Bed Elektrik 5 UT
7 Matras 35 UT
8 BEDSIDE CABINET 40 UT
9 EMERGENCY TROLLEY 2 UT
10 Instrumen Trolley 5 UT
11 Kursi Roda 5 UT
12 Lemari Instrument 5 UT
13 Lemari Karyawan 3 UT
14 Stretcher 1 UT
15 Medicine Trolley 4 UT
16 Nebulizer 2 UT
17 Defibrillator 1 UT
18 Film Viewer 1 UT
19 Minor set 1 UT
20 SOFA BED 99002 5
21 Pulse Oxymetri 2 UT

22 Medical Pen Light 3 UT

16 Syringe Pump 1 UT

C RUANG BEDAH/OPERASI

1 Meja Operasi 1 UT
2 Examination Lamp 1 UT
3 Patien Monitor 1 UT
4 Patien Monitor 1 UT
5 Mayo Table 2 UT
6 Lampu Operasi 1 UT
7 Ventilator 1 UT
8 Anasthesia 1 UT
9 Matras Decubitus 5 UT
10 Sphygmomanometer / Tensimeter Digital 5 UT
11 Sphygmomanometer / Tensimeter Anaeroid 5 UT
12 Stethoscope 5 UT
13 Trolley Anasthesi 2 UT
14 Flowmeter 0-15 LPM 5 UT
15 Flowmeter 0-1 LPM 5 UT
16 Hernia dan Appendik Set 3 UT
17 Basic Minor Set 2 UT
18 Partus Set 10 UT
19 Mayor Set 1 UT
20 Dillatation and Curratage Set 1 UT
21 Sectio Caessaria Set 1 UT
22 Histerektomy Set 1 UT
23 Laparotomy Set 1 UT
24 ENT Instrument Set 1 UT
25 Stretcher 2 UT
26 Emergency Trolley 2 UT
27 Instrumen Trolley 5 UT
28 Incubator Transport 2 UT
29 Infant Warmer 1 UT
30 UT

D LABORATORIUM

1 Centrifuge 1 UT
2 Blood Bank Refrigerator 1 UT
3 Kulkas Lab 2 UT
4 Hematologi Analyzer 1 UT
5 Alat Koagulasi 1
6 Alat Urine Analisis 1
7 Alat Elketrolit 1 UT

LAUNDRY

1 Mesin Press 1 UT
2 Mesin Setrika 1 UT
3 Trolley Linen Kotor 1 UT
4 Trolley Linen Bersih 1 UT
5 Hygrometer 1 UT
6 Timbangan Digital 2 UT
7 Lemari Linen Bersih 2 UT
8 Lemari Chemical & Baju Kerja 2 UT
UT

CSSD

1 Mesin Steam 1 UT
2 Mesin Washer 1 UT
3 Racking Table 1 UT
4 Work Table 1 UT
6 Transport Cart 2 UT
7 Solid Shelving 1 UT
8 Hepa Filter 1 UT

RADIOLOGI

1 PACS 1 UT
2 Kaset Radiologi 2 UT
3 Kacamata Radiologi 2 UT

KESEHATAN ANAK

KLINIK RAWAT JALAN

1 Kulkas Vaksin 1 UT
2 Kulkas Vaksin Kecil 1
3 ECG for Pediatric 1 UT
4 Lampu Periksa 1 UT
5 Sphygmomanometer / Tensimeter Digital 3 UT
6 Sphygmomanometer / Tensimeter Anaeroid 3 UT
7 Stethoscope 2 UT
8 Pemantau Suhu 2
9 Termometer Digital 1 UT
10 Timbangan 2 UT
11 Timbangan Digital Bayi 2 UT
PERAWATAN ANAK
1 Lampu Periksa 1 UT
2 Nebulizer 2 UT
3 Oksigen Konstentrat 1 UT
4 Infant Blending Resuscitator 1 UT
5 CPAP 1 UT
6 Emergency Trolley 1 UT
7 Stethoscope 2 UT
8 Tongue spatel 3 UT
9 Keranjang Bayi 9 UT
10 Vena Sectio 1 UT
11 Ventilator Neonatal 1 UT
12 Kursi Tunggu Pasien 3 UT
13 Matras Kursi Tunggu 12 UT
14 UPS 1 UT
22 Syringe Pump 1 UT
23 Infusion Pump 1 UT

KEBIDANAN

1 Dopler 4 UT
2 EKG 2 UT
3 NST/ECG 1 UT
4 USG 1 UT
5 UPS 1
6 Vakum Pump/Obstetric Vacuum Extractor 1 UT
7 Ginekolog Examination Table 2 UT
8 Gynecological Bed Elektrik 1 UT
9 Kursi Roda 2 UT
10 Stretcher 1 UT
11 Lampu Periksa 1 UT
12 Timbangan 2 UT
13 Busi Set 1 UT
14 Timbangan Digital Bayi 2 UT
15 Bed Pasien 9 UT
16 Matras 9 UT
17 Lemari Instrument 3 UT
18 Loker Karyawan 2 UT
19 Kursi Tunggu Pasien IGD 3 UT
20 Matras Kursi Tunggu 12 UT
21 Foot Step 9 UT
22 Syringe Pump 1 UT
23 Infusion Pump 1 UT
24 Biopsi Set 1 SET
25 Fenster Klem 4 UT
26 Sendok Kuret 2 UT

KEDOKTERAN GIGI

1 Dental Instrument set 1 UT

2 Electric Scaller 1 UT
3 Mata Bor High Speed 1 UT
4 Dental Diagnostic Set 3 UT
5 Kursi Tunggu Pasien IGD 3 UT
6 Matras Kursi Tunggu 12 UT
HARGA SATUAN ONGKIR TOTAL LOKASI

2,409,100 - 4,818,200
1,996,500 179,685 16,151,685
4,000,000 60,000 20,060,000
28,312,000 1,698,720 30,010,720
803,000 - 4,015,000
1,241,000 - 6,205,000
4,964,000 - 9,928,000
219,000 - 1,752,000

5,500,000 1,525,000 7,025,000

936,000 46,800 5,662,800

6,000,000 420,000 18,420,000

5,000,000 250,000 15,250,000

365,000 36,500 401,500

53,143,000 1,000,000 54,143,000

250,000 - 2,500,000

53,143,000 5,314,300 58,457,300

4,964,000 - 9,928,000

219,000 - 1,752,000

5,548,400 - 11,096,800
13,800,000 3,094,500 16,894,500
1,996,500 179,685 6,169,185
 938,000 - 938,000
7,008,500 - 7,008,500
5,995,000 179,850 6,174,850

14,014,000 770,770 14,784,770

19,695,000 1,083,225 20,778,225
85,000,000 3,850,000 173,850,000
18,441,000 1,014,255 369,834,255
13,200,000 726,000 198,726,000
31,855,000 1,752,025 161,027,025
1,780,000 97,900 62,397,900
3,431,249 - 137,249,960
7,008,500 - 14,017,000
7,300,500 - 36,502,500
2,409,100 - 12,045,500
5,183,300 - 25,916,500
10,366,700 - 31,100,100
24,970,000 1,373,350 26,343,350
12,994,900 - 51,979,600
938,000 - 1,876,000
113,719,000 - 113,719,000
5,500,000 1,525,000 7,025,000
64,700,000 296,250 64,996,250
5,548,000 - 27,740,000
5,995,000 179,850 12,169,850

250,000 - 750,000
17,019,200 1,100,000 18,119,200

388,100,000 7,298,250 395,398,250

13,800,000 3,094,500 16,894,500
82,000,000 1,589,072 83,589,072
90,000,000 673,160 90,673,160
24,500,000 2,441,250 51,441,250
394,766,000 3,095,315 397,861,315
640,000,000 6,397,028 646,397,028
325,000,000 6,448,000 331,448,000
2,438,000 134,090 12,324,090
6,000,000 420,000 30,420,000
5,000,000 250,000 25,250,000
 936,000 46,800 4,726,800
56,503,260 1,200,000 114,206,520
323,000 36,000 1,651,000
3,064,000 36,000 15,356,000
37,854,000 380,000 113,942,000
21,508,000 156,000 43,172,000
10,936,000 960,000 110,320,000
86,341,000 561,000 86,902,000
19,379,000 164,000 19,543,000
56,464,000 393,000 56,857,000
108,432,000 682,000 109,114,000
136,754,000 930,000 137,684,000
71,736,000 473,000 72,209,000
45,980,000 9,196,000 101,156,000
7,008,500 - 14,017,000
7,300,500 - 36,502,500
75,333,500 5,273,345 155,940,345
74,173,000 5,192,110 79,365,110

65,089,000 442,000 65,531,000

51,960,000 823,503 52,783,503
62,000,000 4,070,000 128,070,000
226,219,000 20,000,000 246,219,000
37,488,000 3,748,800 41,236,800
27,866,000 2,786,600 30,652,600
56,500,000 5,000,000 61,500,000

129,174,210 11,181,500 140,355,710

513,127,000 17,820,000 530,947,000
10,128,300 848,750 10,977,050
7,531,300 906,500 8,437,800
288,868 - 288,868
2,457,000 - 4,914,000
 5,183,300 - 10,366,600
5,183,300 - 10,366,600
-

1,067,536,000 21,350,720 1,088,886,720

1,120,913,000 22,418,260 1,143,331,260
26,400,000 1,000,000 27,400,000
26,400,000 1,000,000 27,400,000
29,100,000 1,000,000 59,200,000
29,100,000 1,000,000 30,100,000
50,039,000 1,410,585 51,449,585

522,174,000 26,108,700 548,282,700

30,000,000 400,000 60,400,000
4,025,000 300,000 8,350,000

106,514,048 3,195,421 109,709,469

44,300,000 4,430,000
19,713,519 700,000 20,413,519.00
13,800,000 3,094,500 16,894,500
6,000,000 420,000 18,420,000
5,000,000 250,000 15,250,000
1,700,000 255,000 3,655,000
1,336,000 267,200 2,939,200
365,000 36,500 401,500
5,149,760 514,976 10,814,496
11,880,000 2,009,020 25,769,020

13,800,000 3,094,500 16,894,500

938,000 100,000 1,976,000
25,775,225 460,250 26,235,475
32,462,500 376,250 32,838,750
88,298,000 575,750 88,873,750
28,312,000 1,698,720 30,010,720
1,700,000 255,000 3,655,000
220,366 51,000 712,098
6,947,472 - 62,527,248
 16,642,000 117,000 16,759,000
250,225,491 7,750,000 257,975,491
4,964,000 - 14,892,000
219,000 - 2,628,000
400,551,500 40,055,150 440,606,650
17,019,200 1,100,000 18,119,200
18,722,550 1,100,000 19,822,550

1,472,000 294,400 6,182,400

85,000,000 3,850,000 173,850,000
26,500,000 795,000 27,295,000
626,900,000 7,880,000 634,780,000
21,189,600 345,000 21,534,600
37,277,361 377,839 37,655,200
13,578,900 - 27,157,800
141,900,000 7,804,500 149,704,500
2,409,100 - 4,818,200
29,914,588 2,991,459 32,906,047
13,800,000 3,094,500 16,894,500
5,149,760 514,976 10,814,496
2,500,000 500,000 3,000,000
11,880,000 2,009,020 25,769,020
31,855,000 1,752,025 288,447,025
1,780,000 97,900 16,117,900
5,183,300 - 15,549,900
10,366,700 - 20,733,400
4,964,000 - 14,892,000
219,000 - 2,628,000
803,000 - 7,227,000
17,019,200 1,100,000 18,119,200
18,722,550 1,100,000 19,822,550
5,000,000 500,000 5,500,000
816,000 264,000 3,528,000
1,000,000 100,000

81,470,000 2,434,410 83,904,410

5,000,000 500,000 5,500,000
5,000,000 500,000 5,500,000
354,292 50,000 1,112,876
4,964,000 - 14,892,000
219,000 - 2,628,000
12,596,774,921