RENCANA USULAN PEMBELIAN ALAT KESEHATAN BERDASARKAN E
BERSUMBER DANA JKN 2019
PUSKESMAS DTP SUMBERJAYA TAHUN 2019
NO NAMA BARANG SPESIFIKASI SATUAN HARGA SATUAN
(+ PPn 10%)
1 Aneroid Shygmomanometer - Trimed Regina Combi Aneroid Unit 555,060
Stethoscope Kit) Shygmomanometer (The Ideal
Aneroid-Stethoscope Kit)
2 Aneroid Spygmomanometer Serenity Aneroid Unit 550,000
Spygmomanometer SR-112P
(Palm Type)
3 Autoclave Elite Fuji High Pressure Sterilizer / Unit 37,006,113
EAC 1500
4 Body Scale Serenity Dial Body Scale ZT-150A Unit 808,923
5 Digital Height Scale Serenity Digital Height Scale SR- Unit 471,500
H02
6 Hecting Set Solid Hecting Set Unit 3,523,530
7 High Speed Handpieces MK-Dent High Speed Handpieces Piece 3,195,190
8 Matrixs & Pemegang Matrixs / Matrix Primamed Schwert Dental Matrix Set 697,800
Holder Band & Retainer Set / Set Matrixs
& Pemegang Matrixs / Matrix
Holder
9 Medical Oxygen Regulator General Care Medical Oxygen Buah 325,000
Regulator
10 Mobile Aneroid Sphymomanometer MDF Mobile Aneroid Unit 2,000,000
Sphymomanometer
11 Mouth Mirror Chugata Dental Surgical Piece 11,000
Instrument Mouth Mirrors Type
ECO-1211/Fiq 4
12 Partus Set General Care Partus Set Dus 388,650
13 Pipet Fix Volume Socorex Acura Fix (All Volume) Unit 2,560,506.57
Oximeter Rossmax Pulse Oximeter Sa210 Unit 5,541,400
Child Palpus Hanheld
Oxygen Device Tesena Oxygen Device TSN 019 SC Unit 5,705,370
Stetoscope Infant ADC-USA Stetoscope Infant Unit 726,000
Adscope - Adscope 605 BK
14 Stetoscope Adult ADC-USA Stetoscope Adult Unit 783,000
Adscope (Stainless Steel) -
Adscope 603 BK
HARGA SATUAN
NO NAMA BARANG SPESIFIKASI SATUAN (+ PPn 10%)
15 Stetoscope Infant ADC-USA Stetoscope Paediatric Unit 783,000
(Stainless Steel Scope) - Adscope
604BK
16 Tensimeter Merkuri ABN Sphygmed Mercurial Unit 650,000
Sphygmomanometer (Tensimeter
Merkuri)
TOTAL
Mengetahui,
Kepala Puskesmas DTP Sumberjaya
dr. Hj. Nina Nurainy Syarief
NIP. 19711110 200212 2 003
N ALAT KESEHATAN BERDASARKAN E-CATALOG
UMBER DANA JKN 2019
DTP SUMBERJAYA TAHUN 2019
ONGKOS KEBUTUHAN JUMLAH DISTRIBUTOR
KIRIM
18,000 2 1,146,120.00 PT. Trimitra Garmedindo
Interbuana
0 5 2,750,000.00 PT. Serenity Indonesia
553,454.47 1 37,559,567.47 PT. Jema Indo Mandiri
0 2 1,617,846.00 PT. Serenity Indonesia
0 2 943,000.00 PT. Serenity Indonesia
450,000 1 3,973,530.00 PT. Aritek Karya Mandiri
45,000 1 3,240,190.00 PT. Bintang Saudara
Semesta Jaya
66,000 2 1,527,600.00 PT. Daya Prima Mandiri
Jaya
44,100 2 738,200.00 Graha Megatama
Indonesia
323,000 1 2,323,000.00 PT. Fa Antares Medika
22,000 13 429,000.00 PT. Cobra Dental
Indonesia
27,000 3 1,246,950.00 Graha Megatama
Indonesia
0 2 5,121,013.14 PT. Abadinusa
Usahasemesta
0 1 5,541,400.00 PT. Jembatan Dua
926,263 1 6,631,633.43 PT. Tesena Inovindo
252,000 3 2,934,000.00 PT. Global Systech
Medika
252,000 2 2,070,000.00 PT. Global Systech
Medika
ONGKOS
KIRIM KEBUTUHAN JUMLAH DISTRIBUTOR
252,000 2 2,070,000.00 PT. Global Systech
Medika
48,000 5 3,490,000.00 PT. Sugih Instrumendo
Abadi
85,353,050.04
Sumberjaya, 31 Januari 2018
Pengelola Barang
Luzy Raudho Meilani, SKM
NIP. 19770530 200604 2 008
RENCANA USULAN PEMBELIAN ALAT KESEHATAN BERDASARKAN E
BERSUMBER DANA BLUD 2023
UPTD PUSKESMAS JATIWANGI TAHUN 2023
HARGA
NO NAMA BARANG SPESIFIKASI SATUAN SATUAN (+
PPn 10%)
1 Tensimeter Digital Unit 441,780
Digital Tensimeter Onemed
2 Thermometer Infrared Infrared Thermometer Unit 454,090
Polyhealth
3 Partus Set Unit 999,020
4 Timbangan Digital Dewasa Timbangan Badan Digital Unit 299,700
5 Timbangan Bayi Timbangan Bayi Digital Sehat Unit 320,790
6 Fetal Dopler Fetal Doppler BT-220C Unit 1,698,300
7 Reflek Hammer Reflex Hammer Taylor Unit 23,310
8 Pengukur Tinggi Unit 148,000
Alat ukur tiinggi badan ( microtoise )
9 Meja Periksa Meja Periksa Gynekologi dan kursi
Unit 9,550,000
periksa
10 Lampu periksa Unit 2,063,600
Stand lamp untuk tindakan
11 Stetoskop Dewasa Buah 545,000
Stethoscope Pregtige
12 Torniquet Buah 24,420
Pembendung / torniket
13 Timer
14 Thermometer Kulkas Pcs 264,000
Thermometer Kulkas Digital LCLG
15 Timbangan Barang Unit 3,470,500
Timbangan Barang Digital (300 kg)
16 Set Bedah Mayor
17 Set Bedah Minor
18 Penlight Pcs 125,000
HARGA
NO NAMA BARANG SPESIFIKASI SATUAN SATUAN (+
PPn 10%)
19 Metlin Pcs 107,100
20 Diagnostic set gigi Dental Care Set (Dental Kit) Unit 165,730
21 DENTAL AEROSOL SUCTION
SYSTEM
22 ROOT ELEVATOR APEXO SET
735/SET
23 Cryer kanan dan kiri
24 Scalpel handle
25 Kuret bedah
26 Citoject
27 Needle holder
28 Gunting jaringan (12 cm)
29 Dappen glass (tempat alcohol)
31 Spatula GIC
32 Baki instrument dan tutup untuk tempat
alat steril (ukuran sedang)
33 STERILIZER MEDICAL
34 Diamond bur (untuk hand piece high
speed)
35 Diamond bur kontra angle hand piece
(low speed)
37 Bur poles GIC (alpin: Round, fissure )
38 Glass plate
39 Brush scalling
40 Batu arkansas
41 Bein Lurus
42 Tang ekstraksi Dewasa
43 Tang Ekstraksi Anak Anterior Rahang
bawah
44 Tang Ekstraksi Anak Anterior Rahang
Atas
45 Bengkok Nierbeken Stainless Steel 23 cm Unit 37,518
46 Digital Multi-Channel Unit 35,184,700
ECG
Electrocardiograph iMAC 120
TOTAL
Mengetahui,
Kepala Puskesmas DTP Sumberjaya
dr. H. Apuh Alifuchin
HARGA
NO NAMA BARANG SPESIFIKASI SATUAN SATUAN (+
PPn 10%)
NIP.
DASARKAN E-CATALOG
2023
ONGKOS KEBUT DISTRIBUTO LINK
JUMLAH KETERANGAN
KIRIM UHAN R
10,577 5 2,261,785.00 ALPATIRTA BP, KIA,
PERAWATAN,
PONED,
PUSLING https://e-katalog.lkpp.go.id/katalog/produk/de
38,000 4 1,968,360.00 ALPATIRTA BP, KIA, PONED,
PERAWATAN
4815000028-AK1-001963140
0 3 2,997,060.00 PT. CITRA PONED
MADAKARIPU
RA PERSADA
14,985 1 314,685.00 ALPATIRTA KIA 4815000033-FKS-005107166
16,040 2 673,659.00 ALPATIRTA KIA, MTBS 4815000033-FKS-005108478
40,000.00 2 3,476,600.00 ALPATIRTA KIA, PONED 4815000265-AK1-001047271
699 1 24,009.00 ALPATIRTA KIA 4815007999-FKS-102585114
0 1 148,000.00 MUARA SAKTI
KIA
0 1 9,550,000.00 MUARA SAKTI
KIA
0 1 2,900,000.00 MUARA SAKTI
KIA
40,000 4 2,340,000.00 ALPATIRTA BP, KIA,
PERAWATAN, https://e-katalog.lkpp.go.id/katalog/produk/deta
PONED
0 3 73,260.00 MUARA SAKTI LAB
3,200 3 801,600.00 PT. Katalis
Datesa Prima
LAB, Farmasi
0 1 3,470,500.00 CV. Elmindo
Karya
Kesling
0.00
0.00
0 3 375,000.00 MUARA SAKTI
BP, MTBS, Perawatan
ONGKOS KEBUT DISTRIBUTO LINK
JUMLAH KETERANGAN
KIRIM UHAN R
0 1 107,100.00 MUARA SAKTI
0.00 GIGI 4813002020-AK1-002000331
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1,126 2 77,288.00 ALPATIRTA KIA 4815000083-FKS-003561327
262,500 1 35,447,200.00 RAJAWALI https://e-katalog.lkpp.go.id/katalog/
produk/detail/1408958?
lang=id&type=general
67,006,106.00
Jatiwangi, 31 Januari 2023
Pengelola Barang
apt. Vitananda Tiara Maharani, S.Farm
ONGKOS KEBUT DISTRIBUTO LINK
JUMLAH KETERANGAN
KIRIM UHAN R
NIP. 19960501 202203 2 022
