Permintaan OK

REKOMENDASI PERMINTAAN PENGADAAN BARANG RUANG OK
KET E-catalog / non E-

No Nama Barang Harga Distributor OK BESAR OK OBGYN QTY Satuan JUMLAH
catalog
1 Bed Transportasi Pasien Rp37,600,000.00 PT. Sekarguna Medika 3 2 5 bh Rp188,000,000.00
2 Infant Warmer Rp64,034,855.00 PT Blesindo Indonesia 1 1 unit Rp64,034,855.00
3 Incubator Transport Rp216,955,164.00 PT IDS Medical Systems Indonesia 1 1 unit Rp216,955,164.00
4 Meja Mayo 60 x 200 cm Rp3,608,000.00 PT . Bumi Indah Putra 2 2 4 bh Rp14,432,000.00
5 Lampu UV 1 1 unit Rp19,611,358.00

Rp19,611,358.00 PT.POLY JAYA MEDIKAL
6 HEPA Filter PT. Megah Alkesindo 2 2 4 unit Rp180,000,000.00 Non e- catalog
Rp45,000,000.00
7 Trolly Instrumen Rp3,608,000.00 PT . Bumi Indah Putra 4 4 8 bh Rp28,864,000.00
8 Electrosurgical Unit Rp392,072,976.00 PT. Medtronic Indonesia 1 1 unit Rp392,072,976.00
9 Electrosurgical Unit Rp504,789,965.00 PT. Medtronic Indonesia 1 1 unit Rp504,789,965.00
10 Lampu Operasi Tunggal Celling Non Halogen Rp248,000,000.00 PT. D&V International Makmur Gemilang 1 1 unit Rp248,000,000.00
11 Suction portable 1 1 unit Rp10,821,779.00

Rp10,821,779.00 PT Surgika Alkesindo
12 Suction Unit 1 1 unit Rp11,002,862.00
Rp11,002,862.00 PT.BINTANG ANUGERAH CAHAYA ABADI
13 Ceiling Pendant 1 1 2 unit Rp240,177,338.00
14 Film Viewer 1 1 2 bh Rp4,312,246.00
15 Infus Standing Rp1,776,500.00 PT. Pradana Estiara Medical 5 4 9 bh Rp15,988,500.00
16 Monitor vital sign Rp81,563,438.00 PT Draeger Medical Indonesia 2 2 4 unit Rp326,253,752.00
17 Mesin anestesi Rp327,396,468.00 PT DOS NI ROHA 1 1 unit Rp327,396,468.00
18 Set Laryngoscope Macintosh with Blades No. 2, 3, and 4 Rp11,397,286.00 PT BINABAKTI NIAGAPERKASA 1 1 2 set Rp22,794,572.00
Set Laryngoscope Macintosh Baby with Blades No. 0, 1,
19 Rp7,031,645.00 PT.Fa Antares Medika 1 1 2 set Rp14,063,290.00
and 2
20 Set Laryngoscope Miller with Blades No. 2, 3, and 4 Rp11,045,814.00 PT Surgika Alkesindo 1 1 2 set Rp22,091,628.00
21 Set Laryngoscope Miller Baby with Blades No. 0, 1, and 2 Rp7,031,645.00 PT.Fa Antares Medika 1 1 2 set Rp14,063,290.00
22 Anesthetic Vaporizer Isoflurane Rp35,864,000.00 GE OPERATIONS INDONESIA 1 1 2 set Rp71,728,000.00

Rp1,334,664.00
23 Magil forcep besar PT. B Braun Medical Indonesia 1 1 2 bh Rp2,669,328.00
Rp1,334,664.00
24 Magil forcep kecil PT. B Braun Medical Indonesia 1 1 2 bh Rp2,669,328.00
25 Stetoskop adult Rp284,419.00 PT. GEBANG SURYA HARAPAN 1 1 2 set Rp568,838.00
26 Stetoskop infant/pediatric Rp973,737.00 PT. GEBANG SURYA HARAPAN 1 1 2 set Rp1,947,474.00
27 Jaksoon rees Rp2,050,000.00 Dytaindo Alda Abadi 1 1 2 set Rp4,100,000.00
28 Reusable blood pressure child Rp69,850.00 PT. TOTAL MEDIKA PERSADA 2 2 pcs Rp139,700.00
29 Reusable blood pressure infant Rp69,850.00 PT. TOTAL MEDIKA PERSADA 1 1 2 pcs Rp139,700.00
30 Reusable blood pressure neonates Rp81,455.00 PT. TOTAL MEDIKA PERSADA 1 1 2 pcs Rp162,910.00
31 Reusable blood pressure adult Rp93,115.00 PT. TOTAL MEDIKA PERSADA 3 3 6 pcs Rp558,690.00
32 Reusable blood pressure large adult Rp93,115.00 PT. TOTAL MEDIKA PERSADA 3 3 6 pcs Rp558,690.00
33 Warm blanket machine Rp41,512,200.00 PT.GLOBAL SYSTECH MEDIKA 1 1 unit Rp41,512,200.00
34 Blanket warmer dewasa 1 1 2 unit Rp500,312.00

Rp250,156.00 3M INDONESIA IMPORTAMA
35 Blanket warmer infat/pediatric 1 1 2 unit Rp2,563,120.00
Rp1,281,560.00 3M INDONESIA IMPORTAMA
36 Syringe pump Rp9,234,581.00 PT. INTISUMBER HASILSEMPURNA 2 2 4 unit Rp36,938,324.00
37 Infuse pump Rp11,113,850.00 PT. TRIGELS INDONESIA 2 2 4 unit Rp44,455,400.00
38 Anesthesia Trolley 1 1 2 bh Rp40,131,452.00

39 Pressure Infusion Cuff 500ml Rp300,000.00 1 1 2 set Rp600,000.00
40 Defibrillator 1 1 unit Rp138,380,569.00

41 1 1 2 Set Rp38,912,400.00
Minor Surgery Instrument Set Rp19,456,200.00 Daya Prima Mandiri Jaya PT
42 Forceps PT. Medtronic Indonesia 3 3 Set Rp11,027,415.00
Rp3,675,805.00
43 Rem Pollyhesive Adult PT. Medtronic Indonesia 10 10 Set Rp721,920.00
Rp72,192.00
44 Disposible Pencile PT. Medtronic Indonesia 20 20 Set Rp2,594,580.00
Rp129,729.00
45 International pentil Reuse PT. Medtronic Indonesia 1 1 Set Rp132,682.00
Rp132,682.00
46 Ligasure bluntip PT. Medtronic Indonesia 1 1 Set Rp5,006,384.00
Rp5,006,384.00
47 Ligasure Impact PT. Medtronic Indonesia 1 1 Set Rp4,291,997.00
Rp4,291,997.00
48 Ligasure Footswitch PT. Medtronic Indonesia 1 1 Set Rp5,324,855.00
Rp5,324,855.00
49 Bipolar Footswitch PT. Medtronic Indonesia 1 1 Set Rp6,729,085.00
Rp6,729,085.00
50 Bipolar Cable Valleylab PT. Medtronic Indonesia 1 1 Set Rp1,854,784.00
Rp1,854,784.00
51 Universal Adapter PT. Medtronic Indonesia 1 1 Set Rp1,277,325.00
Rp1,277,325.00
52 Force trivers PT. Medtronic Indonesia 5 5 Set Rp2,702,170.00
Rp540,434.00
53 Footswitch (monopolar) PT. Medtronic Indonesia 1 1 Set Rp6,729,085.00
Rp6,729,085.00
54 Force trivers 1450XEdge PT. Medtronic Indonesia 2 2 Set Rp108,088,868.00
Rp54,044,434.00
55 Footswitch (bipolar) PT. Medtronic Indonesia 1 1 Set Rp540,434.00
Rp540,434.00
56 Bipolar Cord VL ESU PIN 4.5M PT. Medtronic Indonesia 2 2 Set Rp3,709,568.00
Rp1,854,784.00
57 Cushing Bayonet Forceps PT. Medtronic Indonesia 3 3 Set Rp11,027,415.00
Rp3,675,805.00
58 Disposable Handswitch pencil with Holster PT. Medtronic Indonesia 10 10 Set Rp1,297,290.00
Rp129,729.00
59 Lectrobrasive tip cleaner PT. Medtronic Indonesia 5 5 Set Rp137,390.00
Rp27,478.00
60 Universal Monopolar adapter PT. Medtronic Indonesia 2 2 Set Rp2,554,650.00
Rp1,277,325.00
61 Monopolar Footswitch PT. Medtronic Indonesia 1 1 Set Rp6,729,085.00
Rp6,729,085.00
62 Tip Cleaner PT. Medtronic Indonesia 5 5 Set Rp137,890.00
Rp27,578.00
Total Rp3,477,577,350.00
No Nama Barang
1 Bed Transportasi Pasien
2 Infant Warmer
3 Incubator Transport
4 Meja Mayo 60 x 200 cm
5 Lampu UV
6 HEPA Filter
7 Trolly Instrumen
8 Electrosurgical Unit
9 Electrosurgical Unit
10 Lampu Operasi Tunggal Celling Non Halogen
11 Suction portable
12 Suction Unit
13 Ceiling Pendant
14 Film Viewer
15 Infus Standing
16 Monitor vital sign

17 Mesin anestesi
18 Set Laryngoscope Macintosh with Blades No. 2, 3, and 4

Set Laryngoscope Macintosh Baby with Blades No. 0, 1,
19
and 2
20 Set Laryngoscope Miller with Blades No. 2, 3, and 4
21 Set Laryngoscope Miller Baby with Blades No. 0, 1, and 2
22 Anesthetic Vaporizer Isoflurane
23 Magil forcep besar
24 Magil forcep kecil
25 Stetoskop adult
26 Stetoskop infant/pediatric
27 Jaksoon rees
28 Reusable blood pressure child
29 Reusable blood pressure infant
30 Reusable blood pressure neonates
31 Reusable blood pressure adult
32 Reusable blood pressure large adult
33 Warm blanket machine
34 Blanket warmer dewasa
35 Blanket warmer infat/pediatric

36 Syringe pump
37 Infuse pump
38 Anesthesia Trolley
39 Pressure Infusion Cuff 500ml
40 Defibrillator
41
Minor Surgery Instrument Set
42 Forceps
43 Rem Pollyhesive Adult
44 Disposible Pencile
45 International pentil Reuse
46 Ligasure bluntip
47 Ligasure Impact
48 Ligasure Footswitch
49 Bipolar Footswitch
50 Bipolar Cable Valleylab
51 Universal Adapter
52 Force trivers
53 Footswitch (monopolar)
54 Force trivers 1450XEdge

55 Footswitch (bipolar)
56 Bipolar Cord VL ESU PIN 4.5M
57 Cushing Bayonet Forceps
58 Disposable Handswitch pencil with Holster
59 Lectrobrasive tip cleaner
60 Universal Monopolar adapter
61 Monopolar Footswitch
62 Tip Cleaner
RUANG OK
Harga Distributor
Rp37,600,000.00 PT. Sekarguna Medika
Rp64,034,855.00 PT Blesindo Indonesia
Rp216,955,164.00 PT IDS Medical Systems Indonesia
Rp3,608,000.00 PT . Bumi Indah Putra

PT. Megah Alkesindo
Rp45,000,000.00
Rp3,608,000.00 PT . Bumi Indah Putra
Rp392,072,976.00 PT. Medtronic Indonesia
Rp504,789,965.00 PT. Medtronic Indonesia
Rp248,000,000.00 PT. D&V International Makmur Gemilang

Rp1,776,500.00 PT. Pradana Estiara Medical
Rp81,563,438.00 PT Draeger Medical Indonesia

Rp327,396,468.00 PT DOS NI ROHA
Rp11,397,286.00 PT BINABAKTI NIAGAPERKASA
Rp7,031,645.00 PT.Fa Antares Medika
Rp7,031,645.00 PT.Fa Antares Medika
Rp35,864,000.00 GE OPERATIONS INDONESIA

Rp1,334,664.00
PT. B Braun Medical Indonesia
Rp1,334,664.00
PT. B Braun Medical Indonesia
Rp284,419.00 PT. GEBANG SURYA HARAPAN
Rp973,737.00 PT. GEBANG SURYA HARAPAN
Rp2,050,000.00 Dytaindo Alda Abadi
Rp69,850.00 PT. TOTAL MEDIKA PERSADA
Rp41,512,200.00 PT.GLOBAL SYSTECH MEDIKA
Rp250,156.00 3M INDONESIA IMPORTAMA
Rp1,281,560.00 3M INDONESIA IMPORTAMA

Rp9,234,581.00 PT. INTISUMBER HASILSEMPURNA
Rp11,113,850.00 PT. TRIGELS INDONESIA

Rp300,000.00
Rp19,456,200.00 Daya Prima Mandiri Jaya PT

PT. Medtronic Indonesia
Rp3,675,805.00
Rp72,192.00
Rp129,729.00
Rp132,682.00
Rp5,006,384.00
Rp4,291,997.00
Rp5,324,855.00
Rp6,729,085.00
Rp1,854,784.00
Rp1,277,325.00
Rp540,434.00
Rp6,729,085.00
Rp54,044,434.00
Rp540,434.00
Rp1,854,784.00
Rp3,675,805.00
Rp129,729.00
Rp27,478.00
Rp1,277,325.00
Rp6,729,085.00
Rp27,578.00
OK BESAR OK OBGYN QTY Satuan
3 2 5 bh
1 1 unit
1 1 unit
2 2 4 bh
1 1 unit
2 2 4 unit
4 4 8 bh
1 1 unit
1 1 unit
1 1 unit
1 1 unit
1 1 unit
1 1 2 unit
1 1 2 bh
5 4 9 bh
2 2 4 unit
1 1 unit
1 1 2 set
1 1 2 set
1 1 2 set
1 1 2 set
1 1 2 set
1 1 2 bh
1 1 2 bh
1 1 2 set
1 1 2 set
1 1 2 set
2 2 pcs
1 1 2 pcs
1 1 2 pcs
3 3 6 pcs
3 3 6 pcs
1 1 unit
1 1 2 unit
1 1 2 unit
2 2 4 unit
2 2 4 unit
1 1 2 bh
1 1 2 set
1 1 unit
1 1 2 Set
3 3 Set
10 10 Set
20 20 Set
1 1 Set
1 1 Set
1 1 Set
1 1 Set
1 1 Set
1 1 Set
1 1 Set
5 5 Set
1 1 Set
2 2 Set
1 1 Set
2 2 Set
3 3 Set
10 10 Set
5 5 Set
2 2 Set
1 1 Set
5 5 Set
Total
KET E-catalog / non E-
JUMLAH
catalog
Rp188,000,000.00
Rp64,034,855.00
Rp216,955,164.00
Rp14,432,000.00
Rp19,611,358.00
Rp180,000,000.00 Non e- catalog
Rp28,864,000.00
Rp392,072,976.00
Rp504,789,965.00
Rp248,000,000.00
Rp10,821,779.00
Rp11,002,862.00
Rp240,177,338.00
Rp4,312,246.00
Rp15,988,500.00
Rp326,253,752.00
Rp327,396,468.00
Rp22,794,572.00
Rp14,063,290.00
Rp22,091,628.00
Rp14,063,290.00
Rp71,728,000.00
Rp2,669,328.00
Rp2,669,328.00
Rp568,838.00
Rp1,947,474.00
Rp4,100,000.00
Rp139,700.00
Rp139,700.00
Rp162,910.00
Rp558,690.00
Rp558,690.00
Rp41,512,200.00
Rp500,312.00
Rp2,563,120.00
Rp36,938,324.00
Rp44,455,400.00
Rp40,131,452.00
Rp600,000.00
Rp138,380,569.00
Rp38,912,400.00
Rp11,027,415.00
Rp721,920.00
Rp2,594,580.00
Rp132,682.00
Rp5,006,384.00
Rp4,291,997.00
Rp5,324,855.00
Rp6,729,085.00
Rp1,854,784.00
Rp1,277,325.00
Rp2,702,170.00
Rp6,729,085.00
Rp108,088,868.00
Rp540,434.00
Rp3,709,568.00
Rp11,027,415.00
Rp1,297,290.00
Rp137,390.00
Rp2,554,650.00
Rp6,729,085.00
Rp137,890.00
Rp3,477,577,350.00
No Nama Barang Harga Distributor RANAP ANAK RANAP DEWASA
1 Minor Set GV Rp225,000.00 1 1
2 Stetoskop adult Rp405,000.00 3
3 Stetoskop Pediatric Rp1,551,000.00 2
4 Tensi Meter Digital Rp8,833,000.00 2 2
5 Termometer Digital Rp595,620.00 2 2
6 Pen Light Rp580,000.00 2 2
7 Nebulizer Machine Rp3,289,969.00 1 1
8 Ambu Bag Adult Rp450,000.00 1
9 Ambu Bag Anak Rp879,000.00 1
10 Tabung O2 Kecil 2 2
Rp1,130,000.00
11 Regulator Oxygen 15 15
Rp270,000.00
12 Troli Tindakan 1 1
Rp1,300,000.00
13 Kulkas penyimpan Obat Rp1,150,000.00 1 1
14 Timbangan injak Rp326,000.00 1 1
15 Timbangan bayi Rp1,646,945.00 1
16 Bengkok Rp18,500.00 2 2
17 Bak instrumen Rp145,000.00 2 2
18 Kom kecil Rp75,000.00 2 2
19 Gunting perban Rp17,000.00 2 2
20 Lemari pasien Rp4,948,534.00 6 1
21 Lemari B3 Rp1,350,000.00 1 1
22 meja makan pasien Rp699,000.00 11 6
23 bed pasien anak Rp4,500,000.00 6
24 Bed Tindakan Rp1,750,000.00 1 1
25 infus pump Rp9,700,000.00 1 1
26 Bel Pasien Rp364,000.00 6 11
27 Ambu Bag Bayi Rp443,000.00 1
28 Syringe Pump Rp11,800,000 1 1

QTY Satuan JUMLAH KET E-catalog / non E-catalog
2 SET Rp450,000.00
3 bh Rp1,215,000.00
2 bh Rp3,102,000.00
4 bh Rp35,332,000.00
4 bh Rp2,382,480.00
4 bh Rp2,320,000.00
2 unit Rp6,579,938.00
1 unit Rp450,000.00
1 unit Rp879,000.00
4 unit Rp4,520,000.00
30 unit Rp8,100,000.00
2 bh Rp2,600,000.00
2 bh Rp2,300,000.00
2 bh Rp652,000.00
1 bh Rp1,646,945.00
4 bh Rp74,000.00
4 bh Rp580,000.00
4 bh Rp300,000.00
4 bh Rp68,000.00
7 bh Rp34,639,738.00
2 bh Rp2,700,000.00
17 bh Rp11,883,000.00
6 bh Rp27,000,000.00
2 bh Rp3,500,000.00
2 unit Rp19,400,000.00
17 unit Rp6,188,000.00
1 bh Rp443,000.00
2 unit Rp23,600,000.00
Total Rp202,905,101.00
KET E-catalog /
No Nama Barang Harga Distributor OK Besar OK OBGYN QTY Satuan JUMLAH
non E-catalog
1 Bak Linen Infeksius & Non Infeksius Rp70,000.00 PT.Bintang Anugerah Cahaya Abadi 2 2 4 bh Rp280,000.00 Non e- catalog
PT. HAGAMED PANCA ADI
2 Baju dan celana OK Overlapping 200,000.00 5 5 10 bh Rp2,000,000.00 Non e- catalog
SENTOSA
3 Baju dan celana OK leher bulat S 2 2 4 bh Rp640,000.00 Non e- catalog
Rp160,000.00 SENTOSA
4 Baju dan celana OK leher bulat M 3 3 6 bh Rp960,000.00 Non e- catalog
5 Baju dan celana OK leher bulat L 3 3 6 bh Rp1,200,000.00 Non e- catalog
6 Baju dan celana OK leher bulat XXL 3 3 6 bh Rp960,000.00 Non e- catalog
7 Jas Operasi (Hijau) Rp170,000.00 15 10 25 bh Rp4,250,000.00 Non e- catalog
SENTOSA
8 Baju pasien OK dewasa Rp170,000.00 10 10 20 bh Rp3,400,000.00 Non e- catalog
9 Baju pasien OK anak Rp50,000.00 10 10 bh Rp500,000.00 Non e- catalog
10 Bantal dewasa Rp130,000.00 3 3 6 bh Rp780,000.00 Non e- catalog
11 Bedongan Rp10,000.00 10 10 20 bh Rp200,000.00 Non e- catalog
12 Duk besar 90 x 125 cm, d 15 cm Rp95,000.00 10 10 20 bh Rp1,900,000.00 Non e- catalog
13 Duk kecil 50 x 60 cm Rp35,000 5 5 10 bh Rp350,000.00 Non e- catalog
14 Duk lubang mata Rp25,000.00 5 5 10 bh Rp250,000.00 Non e- catalog
15 Duk lubang kecil 50 x 60 cm Rp50,000.00 5 5 10 bh Rp500,000.00 Non e- catalog
Duk pembungkus tanpa lubang 85 x 75
16 Rp120,000.00 5 5 10 bh Rp1,200,000.00 Non e- catalog
cm
Duk pembungkus tanpa lubang 90 x
125 cm
Duk pembungkus tanpa lubang 145 x
170 cm
19 Topi tali OK Rp50,000.00 10 10 20 bh Rp1,000,000.00 Non e- catalog
20 Sarung meja mayo 50 x 90 cm Rp25,000.00 5 5 10 bh Rp250,000.00 Non e- catalog
21 Laken kecil 100 x 75 cm Rp165,000.00 10 10 20 bh Rp3,300,000.00 Non e- catalog
22 Laken sedang 150 x 100 cm Rp250,000.00 10 10 20 bh Rp5,000,000.00 Non e- catalog
23 Laken besar 250 x 180 cm Rp320,000.00 10 10 20 bh Rp6,400,000.00 Non e- catalog
24 Perlak mayo 50 x 40 cm Rp25,000 10 10 20 bh Rp500,000.00 Non e- catalog
25 Perlak besar 150 x 75 cm Rp25,000 10 10 20 bh Rp500,000.00 Non e- catalog
26 Pembungkus instrumen 100 x 100 cm Rp200,000.00 10 10 20 bh Rp4,000,000.00 Non e- catalog
27 Pembungkus linen 150 x 150 cm Rp280,000.00 10 10 20 bh Rp5,600,000.00 Non e- catalog
28 Slop sink Rp9,800,000.00 1 1 unit Rp9,800,000.00 Non e- catalog
29 Set Komputer Rp11,000,000.00 PT. Datascrip 1 1 unit Rp11,000,000.00 Non e- catalog
30 Lemari baju Pasien Rp7,533,000.00 PT. Datascrip 1 1 2 bh Rp15,066,000.00
31 Lemari Baju Petugas Rp7,533,000.00 PT Blesindo Indonesia 1 1 2 bh Rp15,066,000.00
32 Lemari BHP Rp5,753,000.00 2 2 4 bh Rp23,012,000.00
33 Jam Dinding Rp330,000.00 2 2 4 bh Rp1,320,000.00 Non e- catalog
34 Rak sepatu Rp1,720,500.00 PT Deka Sari Perkasa 1 1 2 bh Rp3,441,000.00
35 Papan tulis Rp1,283,600.00 CV. Singgasana Benderang Abadi 1 1 2 bh Rp2,567,200.00
36 Meja Rp817,900.00 PT. Timur Jaya Prestasi 2 3 5 bh 4089500
37 Kursi Rp363,000.00 PT. Elite Permai Metal Works 3 3 6 bh Rp2,178,000.00
38 Selimut Rp320,000.00 5 5 10 bh Rp3,200,000.00 Non e- catalog
39 Seprei Rp300,000.00 10 10 20 bh Rp6,000,000.00 Non e- catalog
Total Rp146,059,700.00
No Nama Barang Harga
1 Bed Transportasi Pasien Rp37,600,000.00

2 Infant Warmer Rp27,338,701.00
3 Incubator Transport Rp216,955,164.00
4 Meja Mayo 60 x 200 cm Rp3,608,000.00
5 Lampu UV Rp19,611,358.00
6 HEPA Filter Rp45,000,000.00
7 Bak Linen Infeksius & Non Infeksius 30L Rp60,000.00
8 Trolly Instrumen Rp3,506,000.00
9 Electrosurgical Unit Legasure Rp504,789,965.00
10 Lampu Operasi Tunggal Celling Non Halogen Rp248,000,000.00
11 Suction portable Rp11,040,985.00
12 Suction Unit
Rp11,002,862.00
13 Ceiling Pendant
Rp120,088,669.00
14 Film Viewer Rp5,800,000.00
15 Infus Standing Rp1,776,500.00
16 Sendal Operasi (Putih) Rp35,000.00
17 Apron kain Rp65,000
18 Apron plastik Rp4,015.00
19 Baju dan celana OK Overlapping 200,000.00
20 Baju dan celana OK leher bulat S

Rp160,000.00
21 Baju dan celana OK leher bulat M
Rp160,000.00
22 Baju dan celana OK leher bulat L
Rp200,000.00
23 Baju dan celana OK leher bulat XXL
Rp160,000.00
24 Jas Operasi (Hijau) Rp170,000.00
25 Baju pasien OK dewasa Rp170,000.00
26 Baju pasien OK anak Rp50,000.00
27 Bantal dewasa Rp130,000.00
28 Bedongan Rp10,000.00
29 Duk besar 90 x 125 cm, d 15 cm Rp95,000.00
30 Duk kecil 50 x 60 cm Rp35,000
31 Duk lubang mata Rp25,000.00
32 Duk lubang kecil 50 x 60 cm Rp50,000.00
33 Duk pembungkus tanpa lubang 85 x 75 cm Rp120,000.00

36 Topi karet OK Rp22,000.00
37 Topi OK pasien anak Rp22,000.00
38 Topi tali OK Rp50,000.00
39 Sarung meja mayo 50 x 90 cm Rp25,000.00
40 Laken kecil 100 x 75 cm Rp165,000.00
41 Laken sedang 150 x 100 cm Rp250,000.00
42 Laken besar 250 x 180 cm Rp320,000.00
43 Perlak mayo 50 x 40 cm Rp25,000
44 Perlak besar 150 x 75 cm Rp25,000
45 Pembungkus instrumen 100 x 100 cm Rp200,000.00
46 Pembungkus linen 150 x 150 cm Rp280,000.00
47 Sepatu Boots Rp75,000.00
48 Kacamata Gogle Rp100,000.00
49 Slop sink Rp9,800,000.00
50 Monitor vital sign Rp81,563,438.00
51 Mesin anestesi Rp327,396,468.00
Set Laryngoscope Macintosh with Blades No.
52 Rp11,397,286.00
2, 3, and 4
Set Laryngoscope Macintosh Baby with
53 Rp7,031,645.00
Blades No. 0, 1, and 2
Set Laryngoscope Miller with Blades No. 2, 3,
54 Rp11,045,814.00
and 4
Set Laryngoscope Miller Baby with Blades No.
55 Rp7,031,645.00
0, 1, and 2
56 Anesthetic Vaporizer Isoflurane Rp35,864,000.00
57 Magil forcep besar Rp1,334,664.00
58 Magil forcep kecil Rp1,334,664.00
59 Alat cuff ETT/LMA 2,0-2,5 Rp306,000.00
60 Alat cuff ETT/LMA 3,0-3,5
66 Alat cuff ETT/LMA 9,0-10
67 Stetoskop adult Rp284,419.00
68 Stetoskop infant/pediatric Rp973,737.00
69 Jaksoon rees Rp2,050,000.00
70 Face mask silicon No.5 Rp165,300.00
76 Manual bag mesin anestesi 2,0 L Rp350,000.00
77 Manual bag mesin anestesi 1,0 L Rp200,000.00
78 Reusable blood pressure child Rp69,850.00
79 Reusable blood pressure infant Rp69,850.00
80 Reusable blood pressure neonates Rp81,455.00
81 Reusable blood pressure adult Rp93,115.00
82 Reusable blood pressure large adult Rp93,115.00
83 Warm blanket machine Rp41,512,200.00
84 Blanket warmer dewasa Rp250,156.00
85 Blanket warmer infat/pediatric Rp1,281,560.00
86 Syringe pump Rp9,234,581.00
87 Infuse pump Rp11,113,850.00
88 Anesthesia Trolley
Rp20,065,726.00
89 Pressure Infusion Cuff 500ml Rp300,000.00
90 Defibrillator Rp138,380,569.00
Bag Valve Mask (BVM) / Breathing Bag /
91
Ambubag Dewasa Rp240,000.00
92 Rp280,000.00
Ambubag Anak
93
Ambubag Neonatus Rp310,000.00
94 Mandrin / Stylet 12Fr Rp42,600.00
97 Mandrin / Stylet 6 Fr Rp42,600.00
98 Minor Surgery Instrument Set Rp19,456,200.00
99 Handscoon steril 8
100 Handscoon steril 7,5
102 Handscoon steril 6,5
104 Handscoon L
105 Handscoon M
106 Handscoon S
107 Masker tali
108 Underpad
109 Orofaringeal / Gudel 40mm
118 Set Komputer Rp11,000,000.00
119 Lemari baju Pasien Rp7,533,000.00
120 Lemari Baju Petugas Rp7,533,000.00
121 Lemari BHP Rp5,753,000.00
122 Jam Dinding Rp330,000.00
123 Rak sepatu Rp1,720,500.00
124 Papan tulis Rp1,283,600.00
OK
Rekomendasi Jangka
Distributor Pendek (September
2019)
PT. Sekarguna Medika 4
PT Blesindo Indonesia 1
PT IDS Medical Systems Indonesia
PT . Bumi Indah Putra 2
PT.POLY JAYA MEDIKAL 1
2
2
PT . Bumi Indah Putra 5
PT. D&V International Makmur Gemilang
PT. SERENITY INDONESIA 1
1
PT.BINTANG ANUGERAH CAHAYA ABADI
1
1
PT. Pradana Estiara Medical 8
8
10
PT. GLOBAL PHARMA INDONESIA 15
PT. HAGAMED PANCA ADI SENTOSA 5

PT.Rasani karya mandiri 10
5
2
6
5
5
5
5
5
5
5
PT. ANUGRAHMITRA SELARAS 10
PT. ANUGRAHMITRA SELARAS 5
10
5
10
10
10
10
10
5
5
5
5
1
PT Draeger Medical Indonesia 1
PT DOS NI ROHA
PT BINABAKTI NIAGAPERKASA 1
PT.Fa Antares Medika 1
PT Surgika Alkesindo 1
PT.Fa Antares Medika 1

GE OPERATIONS INDONESIA 1
PT. B Braun Medical Indonesia 1
PT. B Braun Medical Indonesia 1
PT. Endo Indonesia
PT. GEBANG SURYA HARAPAN 1

PT. GEBANG SURYA HARAPAN 1
Dytaindo Alda Abadi 1
PT Madesa Sejahtera Utama 3
PT. TOTAL MEDIKA PERSADA 1

PT.GLOBAL SYSTECH MEDIKA
3M INDONESIA IMPORTAMA
3M INDONESIA IMPORTAMA
PT. INTISUMBER HASILSEMPURNA 1
PT. TRIGELS INDONESIA 1
1
PT Surgika Alkesindo
2
PT Madesa Sejahtera Utama
1
1
PT. RAJAWALI NUSINDO
Daya Prima Mandiri Jaya PT
PT. Datascrip 1
PT. Datascrip 1
PT Blesindo Indonesia 1
1
2
PT Deka Sari Perkasa 1
CV. Singgasana Benderang Abadi 1
Rekomendasi Jangka KET E-catalog / non
QTY Satuan JUMLAH
Panjang (2020) E-catalog
2 6 bh Rp225,600,000.00
1 2 unit Rp54,677,402.00
1 1 unit Rp216,955,164.00
3 5 bh Rp18,040,000.00
1 2 unit Rp39,222,716.00
1 3 unit Rp135,000,000.00 Non E-catalog
1 3 bh Rp180,000.00 Non E-catalog
3 8 bh Rp28,048,000.00
1 1 unit Rp504,789,965.00
1 1 unit Rp248,000,000.00
1 unit Rp11,040,985.00
1 2 unit Rp22,005,724.00
1 2 unit Rp240,177,338.00
1 2 bh Rp11,600,000.00
2 10 bh Rp17,765,000.00
5 13 bh Rp455,000.00
5 15 bh Rp975,000.00
30 45 box Rp180,675.00
5 10 bh Rp2,000,000.00
2 3 bh Rp480,000.00
3 5 bh Rp800,000.00
3 5 bh Rp1,000,000.00
2 4 bh Rp640,000.00
10 25 bh Rp4,250,000.00
10 20 bh Rp3,400,000.00
5 10 bh Rp500,000.00
2 4 bh Rp520,000.00
6 12 bh Rp120,000.00
5 10 bh Rp950,000.00
5 10 bh Rp350,000.00
5 10 bh Rp250,000.00
5 10 bh Rp500,000.00
5 10 bh Rp1,200,000.00
5 10 bh Rp1,500,000.00
5 10 bh Rp1,900,000.00
20 30 box Rp660,000.00
5 10 bh Rp220,000.00
5 15 bh Rp750,000.00
5 10 bh Rp250,000.00
10 20 bh Rp3,300,000.00
10 20 bh Rp5,000,000.00
10 20 bh Rp6,400,000.00
10 20 bh Rp500,000.00
10 20 bh Rp500,000.00
10 15 bh Rp3,000,000.00
10 15 bh Rp4,200,000.00
5 10 bh Rp750,000.00
5 10 bh Rp1,000,000.00
1 2 unit Rp19,600,000.00
3 4 unit Rp326,253,752.00
1 1 unit Rp327,396,468.00
1 2 set Rp22,794,572.00
1 2 set Rp14,063,290.00
1 2 set Rp22,091,628.00
1 2 set Rp14,063,290.00
1 2 set Rp71,728,000.00
1 2 bh Rp2,669,328.00
1 2 bh Rp2,669,328.00
1 2 set Rp568,838.00
1 2 set Rp1,947,474.00
2 3 set Rp6,150,000.00
3 6 pcs Rp991,800.00
3 6 pcs Rp991,800.00
3 6 pcs Rp991,800.00
3 5 pcs Rp826,500.00
2 3 pcs Rp360,000.00
2 3 pcs Rp360,000.00
1 1 unit Rp350,000.00
1 1 unit Rp200,000.00
2 3 pcs Rp209,550.00
1 2 pcs Rp139,700.00
1 2 pcs Rp162,910.00
3 6 pcs Rp558,690.00
3 6 pcs Rp558,690.00
1 1 unit Rp41,512,200.00
1 1 unit Rp250,156.00
1 1 unit Rp1,281,560.00
3 4 unit Rp36,938,324.00
3 4 unit Rp44,455,400.00
1 2 bh Rp40,131,452.00
2 2 set Rp600,000.00
1 1 unit Rp138,380,569.00
3 5 pcs Rp1,200,000.00
2 3 pcs Rp840,000.00
2 3 pcs Rp930,000.00
3 3 pcs Rp127,800.00
3 3 pcs Rp127,800.00
3 3 pcs Rp127,800.00
3 3 pcs Rp127,800.00
1 1 Set Rp19,456,200.00
1 2 unit Rp22,000,000.00
1 2 bh Rp15,066,000.00
1 2 bh Rp15,066,000.00
2 3 bh Rp17,259,000.00
2 4 bh Rp1,320,000.00
2 3 bh Rp5,161,500.00
1 2 bh Rp2,567,200.00
PERMINTAAN BARANG / JASA / PERLENGKAPAN
TAHUN ANGGARAN : 2020

NAMA INSTALASI : Instalasi Bedah Sentral
NO NAMA BARANG /JASA / PERLENGKAPAN KUANTITY

1 Sendal Operasi (Putih) 13
2 Apron plastik 15
3 Topi karet OK 20
4 Sepatu Boots 10
5 Kacamata Gogle 10
6 Alat cuff ETT/LMA 2,0-2,5 10
13 Alat cuff ETT/LMA 9,0-10 20
14 Orofaringeal / Gudel 40mm 2
23 Jaksoon rees 3
24 Face mask silicon No.5 6
30 Manual bag mesin anestesi 2,0 L 1
31 Manual bag mesin anestesi 1,0 L 1
32 Ambubag Dewasa 5
33 Ambubag Anak 3
34 Ambubag Neonatus 2
35 Mandrin / Stylet 12Fr 3
38 Mandrin / Stylet 6 Fr 3
39 Handscoon steril 8 200
40 Handscoon steril 7,5 200
44 Handscoon L 15
45 Handscoon M 25
46 Handscoon S 25
47 Masker tali 30
48 Underpad 70
Satuan
bh
box
box
bh
bh
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
bh
bh
bh
bh
bh
bh
bh
bh
bh
bh
bh
bh
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
box
box
box
box
pcs
TAHUN ANGGARAN
NAMA INSTALASI
NO NAMA BARANG / PERLENGKAPAN KUANTITY MERK

Banner
Komputer set
Printer
Poster pencegahan infeksi
Spanduk komitmen HH
Kran siku
Lemari berkas
Kursi
Meja
Renovasi Spoel Hoek
Renovasi ruang Isolasi
Renovasi Kran air
Pelatihan khusus lanjutan PPI
Seminar/workshop PPI
Pelatihan IPCD
Pelatihan IPCN
Lampu UV
TAHUN ANGGARAN
NAMA INSTALASI
NO NAMA BARANG /JASA / PERLENGKAPAN KUANTITY MERK

1 Pelatihan khusus lanjutan PPI
2 Seminar/workshop PPI
3 Pelatihan IPCD 1
4 Pelatihan IPCN 1
5 Spill Kit 15
6 Banner 4
7 Poster pencegahan infeksi 50
8 Spanduk komitmen HH 1
9 Plastik sampah infeksius (kuning) 100
10 Plastik sampah infeksius (kuning) 100
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

NAMA INSTALASI : PPI
NO NAMA BARANG /JASA / PERLENGKAPAN KUANTITY MERK

1 Kran siku 26
2 Lemari berkas 1
3 Kursi 3
4 Meja 1
5 Komputer set 1
6 Printer 1
7 flasdisk 64 1
8 Tempat sampah infeksius
9 Tempat Sampah Non infeksius
10 Wastafel 2
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

NAMA INSTALASI : UNIT PPI
NO NAMA BARANG /JASA / PERLENGKAPAN KUANTITY

6 Handscoon L 144
7 Handscoon M 312
8 Handscoon S 120
9 Masker tali 420
10 Handwash 396
11 Handrub 576
12 Masker N95 15
14 Sepatu boot 15
15 nurse cap 40
16 Pelindung mata / gogle 12
21 Apron plastik 20
Satuan
pcs
pcs
pcs
pcs
pcs
box (@ 100 pcs)
box (@ 100 pcs)
box (@ 100 pcs)
box (@ 50 pcs)
bh
bh
box (@ 20 pcs)
bh
box (@ 100 pcs)
pcs
box (@ 100 pcs)

NAMA INSTALASI : PPI
NAMA BARANG /JASA /

NO KUANTITY MERK
PERLENGKAPAN
1 Lampu UV
2 HEPA Filter
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

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REKOMENDASI PERMINTAAN PENGADAAN BARANG RUANG OK

KET E-catalog / non E-

1 Bed Transportasi Pasien Rp37,600,000.00 PT. Sekarguna Medika 3 2 5 bh Rp188,000,000.00

2 Infant Warmer Rp64,034,855.00 PT Blesindo Indonesia 1 1 unit Rp64,034,855.00

3 Incubator Transport Rp216,955,164.00 PT IDS Medical Systems Indonesia 1 1 unit Rp216,955,164.00

4 Meja Mayo 60 x 200 cm Rp3,608,000.00 PT . Bumi Indah Putra 2 2 4 bh Rp14,432,000.00

5 Lampu UV 1 1 unit Rp19,611,358.00

8 Electrosurgical Unit Rp392,072,976.00 PT. Medtronic Indonesia 1 1 unit Rp392,072,976.00

9 Electrosurgical Unit Rp504,789,965.00 PT. Medtronic Indonesia 1 1 unit Rp504,789,965.00

11 Suction portable 1 1 unit Rp10,821,779.00

16 Monitor vital sign Rp81,563,438.00 PT Draeger Medical Indonesia 2 2 4 unit Rp326,253,752.00

17 Mesin anestesi Rp327,396,468.00 PT DOS NI ROHA 1 1 unit Rp327,396,468.00

22 Anesthetic Vaporizer Isoflurane Rp35,864,000.00 GE OPERATIONS INDONESIA 1 1 2 set Rp71,728,000.00

26 Stetoskop infant/pediatric Rp973,737.00 PT. GEBANG SURYA HARAPAN 1 1 2 set Rp1,947,474.00

27 Jaksoon rees Rp2,050,000.00 Dytaindo Alda Abadi 1 1 2 set Rp4,100,000.00

33 Warm blanket machine Rp41,512,200.00 PT.GLOBAL SYSTECH MEDIKA 1 1 unit Rp41,512,200.00

34 Blanket warmer dewasa 1 1 2 unit Rp500,312.00

37 Infuse pump Rp11,113,850.00 PT. TRIGELS INDONESIA 2 2 4 unit Rp44,455,400.00

38 Anesthesia Trolley 1 1 2 bh Rp40,131,452.00

40 Defibrillator 1 1 unit Rp138,380,569.00

1 Bed Transportasi Pasien

4 Meja Mayo 60 x 200 cm

10 Lampu Operasi Tunggal Celling Non Halogen

16 Monitor vital sign

18 Set Laryngoscope Macintosh with Blades No. 2, 3, and 4

21 Set Laryngoscope Miller Baby with Blades No. 0, 1, and 2

22 Anesthetic Vaporizer Isoflurane

23 Magil forcep besar

24 Magil forcep kecil

28 Reusable blood pressure child

29 Reusable blood pressure infant

30 Reusable blood pressure neonates

31 Reusable blood pressure adult

32 Reusable blood pressure large adult

33 Warm blanket machine

34 Blanket warmer dewasa

35 Blanket warmer infat/pediatric

39 Pressure Infusion Cuff 500ml

43 Rem Pollyhesive Adult

45 International pentil Reuse

50 Bipolar Cable Valleylab

54 Force trivers 1450XEdge

56 Bipolar Cord VL ESU PIN 4.5M

57 Cushing Bayonet Forceps

58 Disposable Handswitch pencil with Holster

59 Lectrobrasive tip cleaner

60 Universal Monopolar adapter

Rp37,600,000.00 PT. Sekarguna Medika

Rp64,034,855.00 PT Blesindo Indonesia

Rp216,955,164.00 PT IDS Medical Systems Indonesia

Rp3,608,000.00 PT . Bumi Indah Putra

Rp19,611,358.00 PT.POLY JAYA MEDIKAL

Rp392,072,976.00 PT. Medtronic Indonesia

Rp504,789,965.00 PT. Medtronic Indonesia

Rp248,000,000.00 PT. D&V International Makmur Gemilang

Rp10,821,779.00 PT Surgika Alkesindo

Rp11,002,862.00 PT.BINTANG ANUGERAH CAHAYA ABADI

Rp120,088,669.00 PT.BINTANG ANUGERAH CAHAYA ABADI

Rp2,156,123.00 PT.POLY JAYA MEDIKAL

Rp81,563,438.00 PT Draeger Medical Indonesia

Rp11,397,286.00 PT BINABAKTI NIAGAPERKASA

Rp7,031,645.00 PT.Fa Antares Medika

Rp11,045,814.00 PT Surgika Alkesindo