A1.
Jumlah
1
1
2
1
1
1
1
2
1
Nomor
Gambar
219
221
232
295
296
105
106
107
5,000
9,000
1,500,000
3,000,000
70,000
4,500,000
10 U-16
11 U-18
12 U-21
13 U-22
14 U-26
15 U-27
16 U-28
17 U-29
18 U-38
19 U-40
20 U-41
21 U-43
22 U-45
23 U-46
24 U-49
25 U-53
26 U-54
27 U-57
28 U-58
29 M-15
30 U-79
31 M-151
1
5
2
1
1 111a
1 111b
1 111c
1 111d
1
1
1
1
3
1
2
2
2
2
1
2
1
1
32 M-152
33 U-80
34 S-40
35 S-41
36 U-72
2
1
1
1
2
37 N-13
HARGA
13,500,000
109
106
110
8,000,000
5,000,000
106
120
122
124
125
106
127
128
106
131
30,000
30,000
30,000
220,000
9,000
120,000
700,000
6,000
220,000
200,000
6,000
750,000
141
30,000
TOTAL
5,000
18,000
1,500,000
3,000,000
70,000
4,500,000
13,500,000
8,000,000
5,000,000
30,000
30,000
30,000
220,000
18,000
240,000
1,400,000
12,000
220,000
200,000
12,000
750,000
60,000
-
A2.
Jumlah
Nomor
Gambar
3
4
5
6
7
1
1
1
1
1
2
1
1
1 9a
1
1
1
1
1
2 21/22
10
1
1
5
1
1
8
9
11
12
14
16
18
24
25
27
28
30
HARGA
10,000,000
15,000
90,000
15,000
20,000
60,000
15,000
1,200,000
750,000
100,000
70,000
TOTAL
10,000,000
15,000
90,000
15,000
20,000
120,000
150,000
1,200,000
750,000
100,000
70,000
22 D-42
23 L-8
24 M-1
25 M-6
26 M-7
27 M-8
1
1
1
2
10
10
31
157
200
204
205
205
28 M-11
207
30,000
30,000
29 M-12
207
30,000
30,000
30 M-13
31 M-15
32 M-16
1
1
1
207
207
207
30,000
30,000
30,000
30,000
30,000
30,000
33 M-17
34 M-27
35 M-28
1
1
2
207
214
215
40,000
40,000
25,000
40,000
40,000
50,000
36 M-38
224
15,000
15,000
37 M-39
225
15,000
15,000
38 M-40
224
15,000
15,000
39 M-41
225
15,000
15,000
Nomor Nomor
Urut
Kode
40 M-44
41 M-46
42 M-47
43 M-48
44 M-49
45 M-50
46 M-59
47 M-60
48 M-61
49 M-62
50 M-64
51 M-70
52 M-72
Nama Alat
JARUM JAHIT UNTUK OPERASI MATA, 1/2 LINGKARAN
JARUM SUNTIK, HIPODERMIS (NO.02)
JARUM SUNTIK, HIPODERMIS (NO.12)
JARUM SUNTIK, HIPODERMIS (NO.14)
JARUM SUNTIK, HIPODERMIS (NO.18)
JARUM SUNTIK, HIPODERMIS(NO.20)
KATETER, KARET NO.10 (NELATON)
KATETER, KARET NO.12 (NELATON)
KATETER, KARET NO.14 (NELATON)
KATETER, LOGAM UNTUK WANITA, NO.12
KLEM AGRAVE, 14 MM (ISI 100)
KLEM ARTERI, LURUS (KELLY)
KLEM/PEMEGANG JARUM JAHIT, 18 CM (MAYO-HEGAR)
Jumlah
6
24
24
24
24
24
1
1
1
4
2
2
1
Nomor
Gambar
227
229
229
229
229
229
234
234
234
235
237
241
243
80,000
-
8,000
HARGA
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
TOTAL
15,000
40,000
40,000
40,000
40,000
40,000
7,000
7,000
7,000
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
25,000 Rp
25,000 Rp
30,000 Rp
90,000
960,000
960,000
960,000
960,000
960,000
7,000
7,000
7,000
50,000
50,000
30,000
53 M-73
54 M-74
55 M-79
1
1
1
244 Rp
245 Rp
250 Rp
30,000 Rp
30,000 Rp
85,000 Rp
30,000
30,000
85,000
56 M-83
57 M-95
58 M-96
59 M-98
60 M-99
61 M-100
1
1
1
1
1
1
254
265
265
266
266
267
Rp
Rp
Rp
Rp
Rp
Rp
85,000
25,000
25,000
25,000
25,000
25,000
Rp
Rp
Rp
Rp
Rp
Rp
85,000
25,000
25,000
25,000
25,000
25,000
62 M-106
63 M-109
64 M-111
65 M-113
66 M-117
67 M-118
68 M-119
69 M-120
70 M-125
71 M-126
72 M-128
73 M-131
74 M-132
75 M-134
76 M-138
1
2
1
1
2
2
2
2
1
1
1
1
1
1
1
273
276
278
279
280
281
281
281
283
284
286
289
290
292
296
Rp
25,000 Rp
Rp
8,500 Rp
130,000 Rp
130,000 Rp
130,000 Rp
130,000 Rp
130,000 Rp
130,000 Rp
130,000 Rp
Rp
70,000 Rp
25,000 Rp
Rp
3,000,000 Rp
25,000
8,500
130,000
260,000
260,000
260,000
260,000
130,000
130,000
70,000
25,000
3,000,000
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
77 S-4
78 S-10
79 S-22
80 S-22
81 S-24
82 U-2
83 U-31
84 U-32
85 U-34
86 U-37
87 U-52
88 U-55
89 U-66
90 U-68
91 U-69
92 U-72
93 U-73
94 U-74
2
4
4
4
4
1
1
1 112a
2
1
1
1
1
1
1
4
1
1
190
191
194
194
194
2
112
115
118
126
129
136
138
139
141
142
143
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
15,000
15,000
200,000
200,000
200,000
50,000
20,000
3,000,000
18,000
1,500,000
120,000
300,000
50,000
20,000
150,000
30,000
60,000
60,000
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
30,000
60,000
800,000
800,000
800,000
50,000
20,000
3,000,000
36,000
1,500,000
120,000
300,000
50,000
20,000
150,000
120,000
60,000
60,000
A4.
31 M-78
32 M-79
33 M-98
34 M-99
35 M-113
36 M-128
37 M-135
38 M-138
39 M-140
40 M-141
41 M-143
42 S-4
43 S-19
44 S-22
45 S-23
46 S-24
Nomor
Gambar
1
11
1
12
1
13
3 20a
2 20a
5 20a
1 20b
1 21/22
1
23
10
24
1
1
26
1
27
5
1
29
1
30
1
157
1
177
10
205
Jumlah
10
1
1
1
1
1
1
2
1
1
205
207
215
234
234
234
235
241
242
248
1
1
1
1
1
1
1
1
1
1
1
2
1
4
4
4
249
250
266
266
279
286
293
296
298
299
301
190
194
194
194
HARGA
12000
25000
90000
90000
90000
60000
165000
15000
1200000
190000
100000
400000
250000
70000
65000
8000
8000
30000
30000
7000
7000
7000
80000
25000
25000
25000
80000
30000
30000
130000
3000000
12000
30000
200000
200000
200000
TOTAL
12000
25000
0
270000
180000
450000
0
60000
165000
150000
1200000
190000
100000
2000000
250000
70000
0
65000
80000
0
0
30000
30000
7000
7000
7000
80000
50000
25000
25000
0
80000
30000
30000
130000
0
0
3000000
0
0
12000
0
30000
800000
800000
800000
47 U-2
48 U-32
Nomor Nomor
Urut
Kode
49 U-34
50 U-37
51 U-44
52 U-52
53 U-54
54 U-66
55 U-68
56 U-72
57 U-73
58 U-74
59 D-45
60 U-79
61 U-57
62 U-81
63 U-82
64 M-147
65 M-148
66 M-149
67 M-150
68 M-146
69 M-144
70 M-145
71 M-147
72 U-52
73 S-26
74 S-25
75 S-19
76 S-26
77 S-21
78 S-11
79 S-16
80 S-32
81 S-33
82 U-83
83 U-37
84 U-32
85 W-10
86 W-11
87 M-137
88 W-15
89 U-31
90 L-47
91 M-159
92 L-10
93 D-17
94 D-11/12
95 G-3
96 U-74
97 U-75
98 U-76
Nama Alat
MANGKOK UNTUK LARUTAN
MEJA INSTRUMEN/ALAT
POMPA PAYUDARA UNTUK ASI
SILINDER KORENTANG STERIL
STANDAR INFUS
TOPLES KAPAS/ KASA STERIL
TORNIKET KARET
WASKOM BENGKOK
WASKONG CEKUNG
WASKOM CUCI
DOPLER
AMBU BAG
TABUNG OKSIGEN BESAR/KECIL
LAMPU/SPOT LIGHT
TERMOS ES
JARUM SUNTIK, DIPOSABLE (NO.02)
JARUM SUNTIK, DIPOSABLE (NO.12)
JARUM SUNTIK, DIPOSABLE (NO.14)
JARUM SUNTIK, DIPOSABLE (NO.20)
DISPOSALE SYRINGE, 1 CC
DISPOSALE SYRINGE, 10 CC
DISPOSABLE SYRINGE, 3 CC
DISPOSABLE SYRINGE, 5 CC
SILINDER TABUNG/ TEMPAT KORINTANG
SPERSI
SELIMUT
PERLAK, TEBAL LUNAK ( 200 X 90 CM )
SPEREI KECIL / STEEK LAKEN
SARUNG BANTAL
HANDUK
WASLAP
FORMULIR ASKEP / KEBIDANAN
ALAT TULIS
TROMOL UNTUK ALAT STERIL
MEJA INSTRUMEN 2 RAK
LEMARI PERALATAN
MEJA TULIS
KURSI KERJA
STERILISATOR UAP
TEMPAT SAMPAH BASAH/ KERING, BERTUTUP
LAMPU SENTER
ALAT PEMERIKSAAN URINE ( URINOMETER )
PERALATAN IMUNISASI
HEMOGLOBINOMETER SET ( SAHLI )
PENGUKUR PANJANG BAYI
MANSET ANAK
MIKROMOTOOR
RESUSITATOR FOR INFANT
MASKER FOR INFANT
TABUNG / SUNGKUP UNTUK RESUSITASI
1
101
1 112a
Jumlah
Nomor
Gambar
115
118
123
126
128
136
138
141
142
143
45
2
1
1
1
1
1
1
4
1
1
1
1
1
1
1
12
12
12
12
5
5
5
5
1
3
3
3
3
3
3
6
1
1
1
2
1
1
4
1
2
1
1
1
1
1
18 & 9
1
1
1
1
106
165000
3000000
HARGA
18000
3000000
19000
120000
120000
20000
30000
60000
30000
550000
420000
700000
20000
40000
40000
40000
40000
90000
90000
90000
90000
126
80000
100000
50000
118
112
1500000
295
1300000
112
188
20000
60000
159
35000
35000
40000
65000
65000
165000
3000000
TOTAL
36000
3000000
19000
0
120000
120000
20000
120000
60000
30000
550000
420000
700000
0
20000
480000
480000
480000
480000
450000
450000
450000
450000
0
240000
300000
150000
0
0
0
0
0
0
0
3000000
0
0
0
1300000
0
20000
60000
0
35000
35000
40000
0
0
65000
65000
A5.
7 M-17
8 M-71
Nomor
Gambar
1
10
1 21/22
1
25
1
201
1
202
1
Jumlah
1
1
207
242
HARGA
2500000
30000
190000
150000
35000
45000
TOTAL
2500000
30000
190000
0
150000
0
35000
45000
9 M-77
10 M-79
11 M-95
12 M-96
13 M-98
14 M-99
15 M-118
16 M-119
17 M-120
18 M-131
19 M-132
20 M-135
21 S-4
22 S-10
23 S-14
24 S-22
25 S-23
26 S-24
27 U-2
28 U-32
29 U-52
30 U-55
31 U-66
32 U-69
33 U-70
34 U-72
35 u-73
36 D-26
37 D-27
38 D-28
39 D-29
40 D-8
41 M-59
42 M-60
43 M-61
44 M-61
45 M-65
1
1
1
1
1
1
2
2
2
6
1
1
2
3
1
4
4
4
1
1 112a
1
2
1
1
1
4
2
3 20a
2 20a
5 20a
1 20b
1
1
1
1
1
4
248
250
265
265
266
266
281
281
281
289
290
293
190
191
45000
45000
25000
25000
25000
25000
130000
130000
130000
70000
25000
194
194
194
101
200000
200000
200000
50000
3000000
120000
300000
50000
7
234
234
234
234
238
250000
7000
7000
7000
7000
30000
45000
45000
25000
25000
25000
25000
260000
260000
260000
420000
25000
0
30000
45000
0
800000
800000
800000
50000
3000000
120000
600000
50000
0
0
120000
120000
270000
180000
450000
0
250000
7000
7000
7000
7000
120000
47
239
30000
120000
Nomor Nomor
Urut
Kode
48 M-68
49 M-160
50 S-12
51 S-27
52 U-34
53 U-51
54 U-54
55 U-71
56 M-144
57 M-145
58 M-147
59 M-148
60 M-149
61 M-150
62 M-151
126
129
136
139
139
141
142
Nomor
Gambar
4
239
2
2
2
3
1
2
1
2
2
2
2
2
2
2
Nama Alat
TOTAL
Jumlah
15000
15000
30000
60000
90000
90000
90000
HARGA
TOTAL
0
192
192
115
90000
55000
128
140
120000
90000
90000
90000
40000
40000
40000
40000
0
180000
110000
0
0
240000
0
180000
180000
180000
80000
80000
80000
80000
112053500