SK Standar Satuan Harga Barang & Jasa Kota Gorontalo Tahun 2017

ilTANDAR SATUAN HARGA
B A R A N G DAN JASA
PEMERINfAHIKOMIElRSNpDS
WALIKOTA GORONTALO
PROVINSI GORONTALO
KEPUTUSAN WALIKOTA GORONTALO
NOMOR: 25-' / ''1 / VII)f2016
TENTANG
S T A N D A R S A T U A N PLU^GA B A R A N G D A N J A S A
PEMERINTAH KOTA GORONTALO
TAHUN ANGGARAN 2017
WALIKOT/x G O R O N T A L O ,
Menimbang : a. bahwa guna mendukung terlaksananya tertib
administrasi perencanaan dan pelaksanaan Anggaran
Pendapatan dan Belanja Daerah, dilakukan upaya-upaya
y a n g efektif dar. efisien;
b. bahwa untulc mewujudkan tertib administrasi
perencanaan dan Pelaksanaan Anggaran Pendapatan
d a n Belanja Daerah, perlu ditetapkan Standar Satuan
Harga;
c. bahwa berdasarkan pertimbangan sebagaimana
dimaksud dalam h u r u f a dan h u r u f b perlu menetapkan
K e p u t u s a n Walikota Gorontalo tentang S t a n d a r S a t u a n
Harga Barang dan Jasa Pemerintah Kota Gorontalo
T a h u n Anggaran 2017;
Wengingat : 1. Undang-Undar g Nomor 29 Tahun 1959 tentang
Pembentukan Daerah-daerah Tingkat 11 di Sulawesi
(Lembaran Nfgara Republik Indonesia Tahun 1959
Nomor 74, '"ambahan Lembaran Negara Republik
I n d o n e s i a N o m o r 1822);
2. Undang-Undaiig Nomor 38 Tahun 2000 tentang
Pembentukan Provinsi Gorontalo (Lembaran Negara
Republik Indonesia T a h u n 2 0 0 0 Nomor 2 5 8 , T a m b a h a n
T ^û^,.r^r^ M*.nraT-o P*>niil-i1ili- Trjrinnpsia Nomor 40601:

-2-
3. Undang-Undang Nomor 33 Tahun 2004 tentang

Perimbangan Keuangan antara Pemerintah Pusat dan
Pemerintahan Daerah (Lembaran Negara Republik
I n d o n e s i a T a h u r . 2 0 0 4 Nomor 126, T a m b a h a n L e m b a r a n
N e g a r a R e p u b l i k I n d o n e s i a Nomor 4 4 3 8 ) ;
I n d o n e s i a T a h u n 2 0 1 4 Nomor 2 4 4 , T a m b a h a n L e m b a r a n
N e g a r a R e p u b l i c I n d o n e s i a Nomor 5587) sebagaimana
telah beberapa kali diubah terakhir dengan
U n d a n g - U n d a n g Nomor 9 T a h u n 2 0 1 5 ( L e m b a r a n N e g a r a
Republik Indonesia T a h u n 2015 Nomor 58, T a m b a h a n
L e m b a r a n Negai a R e p u b l i k I n d o n e s i a Nomor 5 6 7 9 ) ;
5. P e r a t u r a n Pemi^rintah Nomor 58 T a h u n 2005 tentang
Pengelolaan Keuangan Daerah (Lembaran Negara
R e p u b l i k I n d o n e s i a T a h u n 2 0 0 5 N o m o r 140, T a m b a h a n
L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a Nomor 4 5 7 8 ) ;
6. P e r a t u r a n P e m e r i n t a h Nomor 27 T a h u n 2014 tentang
Pengelolaan Biirang Milik Negara/Daerah (Lembaran
Negara Republik Indonesia Tahun 2014 Nomor 92,
Tambahan Lembaran Negara Republik Indonesia
Nomor 5 5 3 3 ) ;
7. Peraturan Presiden Nomor 54 Tahun 2010 tentang
Pengadaan B a r a n g / J a s a Pemerintah sebagaimana telah
beberapa kali diubah terakhir dengan Peraturan Presiden
Nomor 70 T a h u n 2012;
8. P e r a t u r a n M e n t e r i D a l a m Negeri Nomor 19 T a h u n 2 0 1 6
tentang Pedoman Teknis Pengelolaan Barang Milik
Daerah;
MEMUTUSKAN :
Menetapkan :
KESATU : Standar S a t u a n Harga B a r a n g dan J a s a Pemerintah Kota
Gorontalo T a h u n Anggaran 2017 sebagaimana tercantum
dalam Lampirai yang merupakan bagian yang tidak

*
-3-
KEDUA Pelaksanaan Anjjgaran Pendapatan dan Belanja Daerah

Kota Gorontalo T a h u n Anggaran 2 0 1 7 berpedoman pada
Standar Satuari Harga dan Jasa Pemerintah Kota
Gorontalo T a h u r Anggaran 2017.
KISTIGA Pada saat Keputusan ini mulai berlaku, Keputusan
Walikota Gorontalo Nomor :313/ll/Xll/2015 tentang
Penetapan Standar Satuan Harga Barang dan Jasa
Pemerintah Kota Gorontalo Tahun Anggaran 2016
dinyatakan tidak berlaku.
KEEMPAT Keputusan Walikota ini mulai berlaku pada tanggal
ditetapkan.
D i t e t a p k a n di G o r o n t a l o
p a d a tanggal 1 kt;uatue 2016
WALUfflTA G O R O N T A L O ,
M A R T E N A. T A H A
Tembusan disampaikan kepada Yth :
1. K e t u a D e w a n Perwakilan R a k y a t Daerah Kota Gorontalo.
2. I n s p e k t u r K o t a Gorontalo.
3. K e p a l a B a d a n P e r e n c a n a a n P e m b a n g u n a n D a e r a h Kota Gorontalo.
4. P a r a C a m a t se K o t a G o r o n t a l o di G o r o n t a l o .
WALIKOT A G O R O N T A L O
PROVINSI GORONTALO
KEPUTUSAN WALIKOTA GORONTALO
NOMOR : 2 5 . /11 /viil/2016
TENTANG
STANDAR SATUAN HARGA BARANG DAN JASA
PEMERINTAH KOTA GORONTALO
TAHUN ANGGARAN 2017
WALIKOTA GORONTALO,
Menimbang : a. bahwa guna mendukung terlaksananya tertib
administrasi perencanaan dan pelaksanaan Anggaran
Pendapatan dan Belanja Daerah, dilakukan upaya-upaya
y a n g efektif d a n efisien;
b. bahwa untuk mewujudkan tertib administrasi
perencanaan dan Pelaksanaan Anggaran Pendapatan
d a n B e l a n j a E'aerah, perlu ditetapkan Standar S a t u a n
Harga;
c. bahwa berdasarkan pertimbangan sebagaimana
dimaksud dalam h u r u f a dan huruf b perlu menetapkan
K e p u t u s a n Walikota Gorontalo tentang S t a n d a r S a t u a n
Harga Barang dan Jasa Pemerintah Kota Gorontalo
T a h u n Anggaran 2017;
Mengingat : 1. Undang-Undang Nomor 29 Tahun 1959 tentang
Pembentukan Daerah-daerah Tingkat 11 d i Sulawesi
(Lembaran Negara Republik Indonesia Tahun 1959
Nomor 74, Tambahan Lembaran Negara Republik
I n d o n e s i a N o m g r 1822);
2. Undang-Undar g Nomor 38 Tahun 2000 tentang
Pembentukan Provinsi Gorontalo (Lembaran Negara
R e p u b l i k I n d o n e s i a T a h u n 2 0 0 0 Nomor 2 5 8 , T a m b a h a n
T 1 AT T-> l - l X l - T 1 T_ AT A r\rz r\\ .
-2-
3. Undang-Undarg Nomor 33 Tahun 2004 tentang

Perimbangan Keuangan antara Pemerintah Pusat dan
I n d o n e s i a T a h u n 2 0 0 4 Nomor 126, T a m b a h a n L e m b a r a n
Negara Republik Indonesia Nomor 4438);
Indonesia T a h u n 2014 Nomor 244, T a m b a h a n L e m b a r a n
N e g a r a R e p u b l i k I n d o n e s i a Nomor 5587) sebagaimana
telah beberapa kali diubah terakhir dengan
U n d a n g - U n d a n g Nomor 9 T a h u n 2 0 1 5 ( L e m b a r a n N e g a r a
Republik Indonesia T a h u n 2015 Nomor 58, T a m b a h a n
L e m b a r a n Neg.ra R e p u b l i k I n d o n e s i a Nomor 5 6 7 9 ) ;
5. P e r a t u r a n P e n e r i n t a h Nomor 58 T a h u n 2005 tentang
Pengelolaan Keuangan Daerah (Lembaran Negara
R e p u b l i k I n d o n e s i a T a h u n 2 0 0 5 N o m o r 140, T a m b a h a n
L e m b a r a n Negexa R e p u b l i k I n d o n e s i a Nomor 4 5 7 8 ) ;
6. P e r a t u r a n Perrerintah Nomor 27 T a h u n 2014 tentang
Pengelolaan Barang Milik Negara/Daerah (Lembaran
Negara Republik Indonesia Tahun 2014 Nomor 92,
Tambahan D^mbaran Negara Republik Indonesia
Nomor 5533);
7. Peraturan Presiden Nomor 54 Tahun 2010 tentang
Pengadaan B a r a n g / J a s a Pemerintah sebagaimana telah
beberapa kali c iubah terakhir dengan Peraturan Presiden
Nomor 70 T a h u n 2012;
8. P e r a t u r a n M e n t e r i D a l a m Negeri N o m o r 19 T a h u n 2 0 1 6
tentang Pedoman Teknis Pengelolaan Barang Milik
Daerah;
MEMUTUSKAN :
Menetapkan
KESATU Standar Satuan Harga Barang dan J a s a Pemerintah Kota
Gorontalo T a h u n Anggaran 2017 sebagaimana tercantum
dalam Lampiran yang merupakan bagian yang tidak

-3-
R.EDUA : Pelaksanaan Anggaran Pendapatan dan Belanja Daerah

Kota Gorontalo T a h u n Anggaran 2 0 1 7 berpedoman pada
Standar Satuan Harga dan Jasa Pemerintah Kota
Gorontalo T a h u n Anggaran 2017.
KETIGA : Pada saat Keputusan ini mulai berlaku, Keputusan
Walikota Gorontalo Nomor :313/ll/XII/2015 tentang
Penetapan Stajidar Satuan Harga Barang dan Jasa
Pemerintah Kcta Gorontalo Tahun Anggaran 2016
d i n y a t a k a n tida^c b e r l a k u .
KEEMPAT : Keputusan Walikota ini mulai berlaku pada tanggal
ditetapkan.
Ditetapkan di Gorontalo
p a d a tanggal 1 i4.i,astas 2016
" ^ W A L I K O T A GORONTALO,
Tembusan disampaikan kepada Yth :
1. K e t u a D e w a n Perwakilan R a k y a t D a e r a h Kota Gorontalo.
2. I n s p e k t u r Kota Gorontalo.
3. K e p a l a B a d a n P e r e n c a n a a n P e m b a n g u n a n D a e r a h Kota Gorontalo.
4. P a r a C a m a t se K o t a G o r o n t a l o di G o r o n t a l o .
LAMPIRAN
KEPUTUSAN WALIKOTA GGRONl AUG
NOMOR: 2 5 / 1 1 /VII12016
TENTANG
STANDAR SATUAN HARGA BARAMG DAN JASA
PEMERINRAH KOTA GORONTALC
TAHUN ANGGARAN 2017
D A F l A R I S I
L TENGADAAN 1
A. GOLONGAN BARANG PAKAI HABIS 1
A . I . Alat Tulis Menulis Kantor 1
A.2 Barang Cetakan 4
A.3. Obat-Obatan 6
A. 4. Peralatan Listrik 36
B. GOLONGAN BARANG INVENTARIS 41
B. I . Bangunan Gedung dan Bangunan Paga- 41
B.2. Daftar Satuan Bahan Bangunan, Upah, Peralatan dan Pekerjaan 42
B.3. Suku Cadang Kendaraan Bermotor 45
B.4. Alat Kantor dan Alat Riunah Tangga 58
B.5 Projector, Camera dan Peralatan Komp jter 63
B.6 Barang - Barang Elektronik 69
B.7. Alat Berat dan Alat Bantunya 79
B.8. Alat - Alat Angkutan 80
B.9 Alat Bengkel dan Alat Ukur 87
B.IO.AIatPertanian 89
B. 11 .Alat Studio Dan Alat Komuuikasi 91
B. 12. Alat - Alat Kesehatan (PMK No. 75 Ta run 2014) 92
B. 13.Alat - Alat Kesehatan 96

I [. ]> E M E L I H A R A A N D A N P E R A W A T A N K I NDERAAN
U E R M O T O R D A N A L A T - A L A T K A N T O R 110
. Suku Cadangau Alat Pendingiu Ruangan /A<r 110
2. Pemeliharaan dan Perawatan Alat Pendingin Ruangan /AC 112

:. Lampiran Pemeliharaan dan Perawatan AC UT
Daftar Layanan Klaim Kendaraan Bermotor 114
a. Layanan Klaim Honda 114
b. Layanan Klaim Suzuki 115
c. Layanan Klaim Yamalia 116
IK. LAIN-LAINNYA 117
1. Tarif Angkutan 117

1.1. Tarif Angkutan Darat 117
1.2. Tarif Angkutan Umum AKAP Dan AKDP 118
1.3. Tarif Angkutan Laut 119
2. Perlengkapan Olahraga 123
3. Pelengkapan Pegawai 124
3.1. Bahan Pakaian Dinas Pegawai Dan Jasa Jahit 125
4. Sewa Perlengkapan 128
I. P E N G A D A A N
A. G O L O N G A N B A R A N G PAKAI HABIS
A.I. ALAT TULIS MENULIS KANTOR
HARGA
NO. JENIS BARANG DAN P E R A L A T A N SATUAN K E T
Rp
/ 2 3 4 5
1 BUKU
- Agenda M/K 100 Lbr Buali 26,235
- Folio 100 Lbr Buah 25,652
- Kas Folio 100 Lbr Buah 21,730
- Expedisi 100 Lbr Buah 14,109
- KasKwartolOOLbr Buah 14,109
- Kas Folio 50 Lbr Buah 15,391
- Kwarto 100 Lbr Buah 14,109
- Kwarto 50 Lbr Buah 9,620
- Kwitansi 50 Lbr Buah 5,130
2 PULPEN
- H e r 0 2221 Buah 205,216
- Parker Standar Buah 83,369
3 BALLPOINT
- Pilot Super Buah 18,598
- Pilot BP - T Buah 3,207
- Castelo Buah 1,924
- Zebra B - Pen Buah 21,163
4 AM P L O P
- Mambo Kabinet Buah 24,369
- Mambo Sedang Buah 15,391
- Kasing 28 x 49 Buah 2,650
- Kaing Airmail Buah 1,924
S BAVTAL CAP
- Artline No. 1 Buah 51,304
- Artline No. 1 Kecil No. 00 Buah 32,065
- Hero Besar Cadwell Buah 10,261
- Hero Kecil Buah 7,696
6 BATTEREY
- ABC Besar Pasang 22,446
- ABC Sedang /AA Pasang 12,185
- ABC Kecil/AAA Pasang 12,185
- Alkaline Sedang /AA Pasang 15,741
- Alkaline Kecil /AAA Pasang 12,826
- Panasonic Sedang / AA Pasang 11,660
- Panasonic Kecil/ AAA Pasang 5,830
7 BLINDER CLIPS
- Clips 107 Buah 3,848
- Clips 111 Buah 5,772
- Clips 200 Buah 12,826
- Clips 260 Buah 19,880
S BLOK NOTE
- Ukuran Kecil Buah 4,489
9 BISURKAYU Buah 10,902
IC HEKTER
2
H A R G A
NO. JENIS B A R A N G D A N P E R A L A T A N SATUAN K E T
Rp
1 z Jji J
12 IS J I L K I L K
- Max 2010 r>uali Ot 087
7 7 87/?
- Max 1213 Duati Z /,OJO
- Max 1215 ouan 7 7 o/?s;

- Max 1217 Tîiolv 7 1 474
t>uan 4 48Q
- Max 10 DUafl
Great Wall No. 3 13 U all 4 740
Hand 10 j3uail Z , JO J
I J WOT n A TITZIT'T*
ISl PARKER 35 777
Diasa / oalpen 13UCUi
J J,Z. / z
Ti O D udli 77 637
- R. B. ZZ,OJ /
14 JANGKA
- Compas Super 13 1 1 TV tv 177 <:eQ
13iinlv 1J1 Q
/,JOO
- Kayu 7 7 Q
15 KA PUR TULIS
- Madya Putin 1 T3iic S 830
- Madya Wama 1 uus /? 7/?0
16 K 4 R BUN
Duan 117
1 I Z j7
Z7Z8S
- Daito Double Folio Office Make
- Daito Engkel TA t- ^ 7 7 1 7
Huah
17 m _H . VTrT^-VTT
KARTON
- Manila Putih 1 T J V * M *VTV S 747
7 AAI
- Manila Wama 1 1 TVTTV TV ATI*
t 1.6111001
Is KL K1 As
- Casing nuoti 101 7 7 ^
lU 1,JZ J
- Stenlis CD Berlian e.f. jKjm 48 767
r-* fl f\r\ I L -1 iP ivirn J38o , O600
l7U
- Bergans 200 Lmbr d.f. 36 SS4
- Dorslag 400 Lmbr d.f. IvIIIl
JO, J JM-
TA 1 A A A T i. H. 47 ivim 36 SS4
- Dorslag 400 Lmbr e.f. JO,J Jv
7 / ? e,OA
- Dorslag 400 Lmbr Wama l?1TM
JO, J J7-
Kim A7
- FIVS 400 Lbr 60 Gr. E.f. (Sinar Duma) Run 77/;
4 Z , J Z O
T TT T O T* O O X If T\ 1 /T
Kim A < 7 7
- HVS 500 Lbr 70 Gr d.f. 4 J , J J Z
- HVS 500 Lbr 70 Gr e.f. X>t-^ AZ 1 7A
Kim 4^ o1 , OA
l / 4^
T TT T/-^ A /- (-\ T 1 ^ /"\ TO T* T T
Kim
- HVS 400 Lbr 60 Gr. e.f. Wama J i,y4j
T y J-T* TV TV ' '
Lembar Z,JU1
7 Â1
- KafFRRT 7S Z Q I
- Kalkir 60 / 65 KOU 1
izj,oyj
TT 11 /V TV / J"V f
Koll 1 Z7 7AQ
- Kalkir 90 / 95 iDZ,Z4y
- Milimeter Roll Koll f:7 7 1 7
no /I/
J / , 7zrv
- Shet Daito Uus
ys, /OU
<A ^ 1 1
TV 1 V A ^ TV TV T 1
Uus
- Stenlis Mangum 500 Lmbr J4,J1 1
19 L I M
TiKi 1 787Z
- Castol Besar 1Z,OZO
lube noz
- Castol Kecil lube T
7,696
T-v t
- Glukol Besar Buah
Buan 7 OA8
- Glukol Sedang
- Glukol Kecil Buah 1,924
- UHU Buah 24,369
20 LA G B A T A N G P E L I K A N Btg 22,446
21 M A P
3
C HARGA
NO IFIVIS KARA NC l i AIV PITR A A T AIV S AAlTTT A IVI
UAlN \C V
JV J!i T
1
Rp
/ 2 3 4 5
22 MISTAR SABLON
- Rotring 0,6 Buali 98,760
- SegiTigaNo. 10 Buah 16,033
- SegiTigaNo. 12 Buah 22,446
23 ORDNER Buah 25,652
24 P A l i U P A Y U N G WARNA Dus 2,857
25 PENA S H E E T Buah 18,550
26 PEPfSlL
- Biasa Buah 5,300
- Rotring 2 B 0,5 Buah 76,315
- Steadier HB Buah 4,489
- Steadier 2B Buali 3,710
- Faber Castle 2B Buah 3,021
- Artline Buah 2,120
- Merah / Biru Buah 3,848
27 PEb GHAPUS PAPAN TULIS
- Biasa (Kayu) Buah 7,696
_ _ - _A =" i ,
- White Board Buah 10,600

28 PITA MESIN TIK
- Daito Cotton Roll 24,486
- Daito Nilon Roll 26,935
29 PITA COMPUTER
- LX300 Buah 47,700
- LQR180 Buah 63,600
30 REITBL
- Rotring Pencil Buah 22,446
- Rotring Bolpoint _____ Buah 80,163
r ... .
.. . .frf. . ,
31 SPIDOL
- Snowman Board Market Buah 9,620
- Snowman Market G Buah 8,337
- Snowman 12 Wama Dus 15,370
- Snowman Jumbo Besar Buah 19,239
32 STA BILG BOSS Buah 10,902
33 STABILO ARTLINE Buah 5,300
34 TEISTROK
- 5/8 HVS Richi Roll 4,681
- 6/8 CD Roll 6,413
35 TINTA
- Cap Stempel Btl 14,310
, ,
- Parker
r _ A Btl 50,021
- Rotring Btl 80,163
- Stensil Tube 90,100
- WB Snowman Btl 19,239
- Tinta Komnuter tHitam + Putih) Set 33,989
-M- iX.*X-V* X. v.v_TiV VXV. W \ i vx VU.XXX A- U . LXX A f
- Tinta Komputer (Suntik Canon) 100 ml Tabung 49,380

- 1 inta Komputer (Suntik Canon) 200 ml laoung 76 QS6
/o,yjo
- Tinta Epson Hitam Btl 116,600
- Tinta Epson Wama Btl 111,300
36 TIP * EX
St 41 340
4
A.2. BARANG C E T A K A N
HARGA
NO J ENIS BARANG C E T A K A N SPESIFIKASI SATUAN KET
(Rp.)
1 2 3 4 5 6
1 ArioloD C O D Dinas Ca.sine Uk Ma 7 Pak 524,700

X &A AL/.AXykT V..'VT LT A.A A tiîVJ
Ca.sine Uk Kabinet Pak 291,500

V ^ AAVXAAA AA.A A V W * T AA AVT L
Bufalow Tinis Cabinet Lembar 4,489

A A ' A A A AAX-VT r v A ALxAvx vAAAxAAAVrV X1 VTA X A AT AAA
2 Mi I D C O D Dinas Beicard/Manila kartu uk Man Lembar 18,365

A T A.1 l-fcT VT AHT XT *A-A.vl'A.f A_T VTA VTAAA VAT X r A VAA AAA AJ AV AAA A AA AAAIV. X T A AAA.T 1 T VTA A A AT VI X
3 Bliineko C O D Snrat Dinas HVS Putih 60 to- folio Rim 293,832

1 T C1 U A jii .A V_- VT L T VUA VA-A _1_T A A AVAVX A A T A AAAAAA VT AT f AVTAAVHT
4 Kartu Kendali Surat Keluar NCR 1/4 folio sânekao 3 Set 24,486
A A- A V VA A V - V T A A V A IHAAA V . VA V VA V A AVT A VA VAX X 1 V-TAV AT I AV/AAVHT . V AAAA VVA-VAAAA *.T
5 Kartu Kendali Surat Masuk NCR 1/4 folio Set 88,150

A 1 W A V VA A A A. . A VA VA .fc_xVA A VA V X A * AAV. VA V V X ' V-' P V A/ . AVTAAVT
6 Kartu Piaaam Penahareaan Bufalow tebal folio Lembar 17,490

A A V. V V VA A X V1 .1VA" A A. /"V VA ' JMÂ A#x A .X.X A A A AAA VT T T AVT AT AAA. A AT A A A T A_T VT A A A VT W A
7 Kvdtansi Rangkap Dua HVS / dorslag Buku 36,729 250 hnbr

g Kvdtansi Rangkap Lima HVS / dorslag Wama Buku 97,944 250 lmbr
9 Bliuigko SPPD HVS Wama 60 er 5 rangkap Set 183,645
A A . VHT ' AAA A AAA VT VT VT A VAX AÂÂ VVAHAT
IC Daftar Penpatar Oaii HVS Wama 60 pr 3 ranpkan Blok 100,170

11 ICjirtii tCfnfoflwaifiii I fmbar 3,673
1 1
12 Riikii TCfirtii Pf*r r>a*:al

L J I J X U IXCUltt 1 Krl LZdOCU
HVS Piirih 60 I T f o l i o Riikii 183 645 250 lmbr
13 Kartu Izin Trayek HVS / dorslag Buku 73,458 250 lmbr

Fo -mulir Izin Trayek HVS Putih 60 i j folio Lembar 307
15 Bliuigko Bend. 20 A HVS Putih 60 jx folio Lembar 307
16 BliingkoBend. 26 A HVS Putih 60 ij folio Lembar 36,040
17 Bliingko Gaji Berkala HVS Putih 60 j j folio Lembar 307
Daftar Penerimaan dan
18 Peiigesahan SPJ Penetapan Sisa HVS Putih 60 j J folio Lembar 307
UUDP
IS Kartu B VIII Kertas Kwarto -olio Lembar 919
20 Kartu Undangan Linen 1/2 folio dan Amplop Lembar 17,490
21 Kartu Pembayaran Gaji Pegawai Brief Card df(BB) Lembar 10,653
7 7
Kulit/Jilid Buku Laporan Ken. LT TVA*'TVT-I T 3 1 1 - r V v 1 T V V A / X X T7II1TII 4 9 8 / ?
Z/ Anggaran dan Sejenisnya Kenas tjuiaiow a i D U K U
23 Daftar Perincian Rencana UUDP HVS Putih 60 ix folio Block 32,322

Buku Rekap Penrm. & Pengir.
24 HVS Putih 60 ix folio Buku 220,374
UUDP
25 Buku Persediaan HVS Putih 60 ix folio Buku 220,374
A_T AX 1V VA A VTA VXVTVAAVAAAAA A A T VT A AAAAAA VT VT P AVTAAVT
26 Buku Penerimaan per pasal/digit HVS Putih 60 ^r folio Buku 220,374

27 Buku Pengeluaran per pasal/digit HVS Putih 60 j r folio Buku 220,374
28 Recapitulasi Daftar Gaji HVS Putih 60 ix folio Lembar 307

29 Buku Penerimaan Sejenis HVS dorslag Folio Buku 67,337
30 Foimulir Daftai- Inventaris HVS Putih 60 g r df Buku 32,322
5
H A R G A
NO JENIS B A R A N G C E T A K A N SPESIFIKASI SATUAN K E T
(Kp.)
1 2 3 4 5 6
34 Diiftar RKBU HVS Putih 60 gr d f Buku 32,322

35 Diiftar RTPBU HVS Putih 60 gr df Buku 32,322
3< Blangko Bend. 27 HVS Putih 60 gr d f 1/3 pin Lembar 613
3'' Blangko Bend. 28 HVS Putih 60 n- d f 1/3 pin Lembar 613
A A ' .y A UVAAA VT VT ^ A vAA A ' vT ATAAA
38 Biiku Kas B I HVS Wama 6( gr ef Buku 220,374

39 BiJku Umum Bend. X HVS dorslag V/ama Buku 73,458 250 lmbr
4(1 Bi kuBend. X V I I HVS dorslag 1 '4 folio Buku 101,760
4: B i k u Bend. 16 HVS dorslag 1 '2 folio Buku 102,078
4:; BikuBend. 26 HVS dorslag wama 1/2 folio Buku 102,078
43 Model KIB A, B, C, D Karton Double Polio Lembar 11,660
4^- K i i t u B n Register UUDP Karton Double Polio Lembar 11,660
43 Kirtu B IV Penerimaan Karton Double Polio Lembar 11,660
4(i Kirtu B V Pengeluaran Karton Double Polio Lembar 11,660

A A.V -A VIA A-T * A VTAA>.vV-A VAAAA VAl A A vvAii VvTAA A _ T V T A A V T A V T A \J AA\^ A./VT A A A AT VAA
47 Kartu B V I Karton Double Polio Lembar 11,660

48 Karcis Retribusi Temak CD. Wama 1/4 folio Buku 10,203
49 Karcis Retiibusi Kebersihan CD. Wama 1/4 folio Buku 10,203
5(1 Karcis Retribusi Bea Pasar CD. Wama 1/4 folio Buku 10,203
5] Karcis Retribusi PJKP CD. Wama 1/4 folio Buku 10,203
5: Karcis Tagihan Kebersihan Kwarto 1/2 folio Lembar 17,490
52 Karcis Tagihan Sewa Pajak Kwarto 1/2 folio Lembar 17,490
54 Karcis Bea Pasar Kwarto 1/2 folio Lembar 17,490
5f Karcis Retribusi Parkir CD. Wama 1/8 folio Buku 19,080
Catatar, : Harga Belum Termasuk Pajak

6
A.3. O B A T - O B A T A N
nXUPA 8ATI!AN
NC' NAMA O B A T G E N E R I K NAMA PENYEDIA KEMASAN n / \ i v i j / \ o/\ 1 u A i i K E T
T E R K E C I L (Rp.)
/ 2 J 4 5 6
ACT (Artesunate tablet 50 mg +

1 PT. Kimia Farma 1 blister(g24 tablet 1,764
Amc diaqumc anhydrida tablet 200 mg)
PT. SmithKline Beecham

2 Adel bvir 17inivoksil tablet/kanlct 10 ma Dus 3 Blister 47) lOkansul 35,272
Phamaceuticals
3 Air I ntuk Injeksi 25 ml PT Otsuka Indonesia Dus, 120 ampul PE @ 25ML 2,565
4 Air I ntuk irigasi lar infus 1000 ml PT. Widatra Bhalcti BlKg: 1000 ml 9,620
5 Akai bose lablet/kaplet 100 mg PT. Dexa Medica Dus, 10strip(3;10tablet 1,154
6 Akai bose tablet/kaplet 50 mg PT. Dexa Medica Dus, 10 strip @10tablet 909
7 Albe idazol suspensi 200 mg/5 ml PT. Indofarma Dus, 10 dus @ 1 botol (@ 10 ml 4,937
8 Albe idazol tablet/kapsul/kaplet 400 mg PT. Holi Pharma Dus, 5 strip Ca 6 tablet 423
Albumin serum normal (human

9 PT. Ikapharmindo Vial 100 ml 961,950
albumin) injeksi 20%, 100 ml
Albu min serum normal (human

10 PT. Ikapharmindo Vial 50 ml 442,497
albui lin) injeksi 20%, 50 ml
Albu nin serum normal (human

11 PT. Graha Farma 100 ml 961,037
albumin) mjeksi 20%, 100 ml
Albu nin scnim noraial (human

12 PT. Dipa Pharmalab botol (g 100 ml 1,956,281
albumin) injeksi 25%, 100 ml
Albu nin scrum normal (human

13 PT. ITipa Pharmalab botol (g 20 ml 412,638
albur lin) injeksi 25%, 20 ml
Albu nm senim nonnal (human

14 PT. Dankos Farma botol (g 50 ml 932,800
albur un) injeksi 25%, 50 ml
Albu nm serum normal (human

15 PT. Dipa Pharmalab botol (g 250 ml 1,123,907
albumin) injeksi 5% 250 ml
Albu nin serum normal (human T>T TA;.- T31- icy csif
iO Ixitoi iw. 50 ml
albur un) injeksi 5% 50 ml 11. Uipa 1 namialab
17 Alop irinol tablet/kapsul/kaplet 100 mg PT. Pertiwi Agung Box, 10 strips (g 10 tablets 20,522
18 Alop irinol tablet/kapsul/kaplet 300 mg PT. Bemofarm Dus, 10 blister (g 10 tablet 25,395
/uprtzoiaiTi laDieuKapsui/Kapici U , Z J
19 PT. Dexa Medica Dus, 10 Strip tg: 10 tablet 61,437
20 Alpri zolam tablet/kapsul/kaplet 0,5 rag P1. Otto Pharmaceuticals

1 1 1 /\ /7 1/ 1 /V A 1 1 A
141,086
1 box 10 Strip X 10 tablet
21 A1 Tirr'7nlnm tanlt^l/k'nnijiil/k'flnlct
tAJS<X\\\
t\l\ji.C luUiCuIvatJoUl/tVuL/lkI 1 1moI'lK IT I KimiJi Karma Ktk 1 Ov 10 tablet 211 629
1 C/\ c
22 Alter lase injeksi 50 mg/vial PT. Boehnnger Ingelheim
1 I 1 " 1 1 A V
4,430,800
, 1 \ial(g50mg + 1 vial pelarut rg 5
23 Amfcterisin B salep mata 1% PT. Cendo Industri Farmasi tube 3.5 gr 21,571
24 Amils asin injeksi 250 mg/ml PT. Sanbe Farma Vial 2 ml 58,883
25 Amirofilin injeksi 24 mg/ml FI . Lucas Djaja dus 30 ampul (glO ml 4,902
26 Amir ofilin tablet scored 200 mg PL. Erela Botol 282,172
27 Amir ofilin tablet/kapsul/kaplet 150 mg PT, Erela Botol 282,172
28 Amic (laron injeksi 150 mg/3 ml PT. Aventis Pharma Dus, 6 ampul fg 3 ml 16,511
PT. Novell Pharmaeutical
29 Amic Jaron tablet/kaplet 200 mg Box, 3 blister (g 10 tablet 1,667
Ixiboratories
30 Amitj iptilin tablet salut 25 mg (HCl) PT. Indotarma Dus, 10 stop (g lOtss 35,272
3 1 A _ l . 31_,_ +,.U1..t lO . TW T..:a A
7
HARGA SATUAN
NAMA OBAT G E N E R I K NAMA PENYEDIA KEMASAN K E T
1 2 3 4 5 6
Am pisilin serbuk mjeksi i.v. 1000
y PT Bemofarm Dus, 10 rial (a: 1 g 7,195
me/ rial
Ani log insulin long acting inj 100
31 Ul/inl, vial/cartridge disposiblc/penfill PT. Aventis Pharma dus, 5 solostar pen @ 3ml 109,021
cart idge (Insulin glargine 100 llJ/ml)
Ana log insulin mix acting inj 100

KJUl til, / A l l d l U ^ l l l a U l I I l I l l l X dGlIIlU 111] mjcKsi 1 uu iu/rm, r lexpen
3S 100 Ul/ml (Premix 30% Insulm Aspart PT Perron Par Pharmaceutii als disposible 3 ml (T box isi 5 flexpen 135,956
+ 7( % Protaminated Insulin Aspart disposible)
(An iloguel)
Ana log Insulin Mix Insulm Inj 100

40 PT. Baver Indonesia Dus, 5 Prefilled pen (2! 3 ml 120,086
Ana og insulin mix insulininj 100

tlT/nl \inl/efiTiridffe HisrvisiHlp/fienfill
41 carh idge (25% insulm lispro, 75% PT. Baver Indonesia Penlill cartridge 137,559
insu in lispro protamine suspension,
(rDMA))
Ana og Insulin Rapid Acting Inj 100

42 PT. Baver Indonesia Dus, 5 Prefilled pen (; 3 ml 96,189
Ul/nJ
Anai og insulin rapid acting inj 100 Injeksi 100 iU/ml, Flexpen
43 Ul/n ll,rial/cartridgedisposible/peiifill PT. Perron Par PharmaceuUc ils disposible 3 ml (1 box isi 5 flexpen 109,464
cartr dge (Insulin Aspart (Analogue)) disposible)
Anal ug insulin rapid acting inj 100

44 Ul/n 1rial/cartrtdcedisDosible/nenfill PT Perron Par Pbarmaceiitie ils Dns Hal 10 ml 256 520
, , - 1 V l l V H I U l 1 U U l llLUUS'Ullw. I l u
cartr: dge (Insulin Aspart (Analogue))
Anal ig insulin rapid actinginj 100

45 Ul/rr 1, vial/cartridge disposible/penfiU PT. Aventis Phamia dus, 5 solostar pen (a) 3nil 111,689
cartridge (Insulin glulisine 100 lU/ml)
Anal )g insulin rapid actinginj 100

46 Ul/m 1,rial/cartridgedisposible/penfill PT. Baver Indonesia Penfill cartridge 111,681
cartri Jge (Insulin lispro (rDNA origin))
47 Anas rozol tablet/kapsul/kaplet 1 mg PT. AstraZeneca indonesia Dus, 2 blister (g 14 Tablet 41,043
Anta: ida DOENI tablet kunyah,

komt inasi : Aluminium Hidroksida
48 PT. Erela Stipis 10,028
200 r ig Magnesium Hidroksida 200
mg
Antai ida DOEN 11 suspensi, kombinasi

49 : Aluminium Hidroksida 200 mg/5 ml PT. Novapharin btl @ 60 ml 6,349
Magresium Hidroksida 200 mg/5 ml
Anti 1 iakten DOEN salep kombinasi:

50 Basitiasin 500 lU/g Polimiksin 10.000 PT. Indofarma Dus, 25 tube (g: 5 g 3,549
lU/g
Antih imoroid, kombinasi: bismut

51 subga at 150 mg heksaklorofen 2.5 mg PT Kimia Farma DUS, 10 SUPP @ 2 GRAM 3,906
lidokain 10 mg seng oksida 120 mg
Antirr alaria DOEN kombinasi :

52 Piiimi tamin 25 mg Sulfadoksin 500 PT. Kimia Farma Kotak 73,341
mg
Antini igren: Ergotamin 'I'artrat 1 mg +

53 PT. Kimia Farma Botol 19,122
Kofeii 50 mg
AnUpi rkinson DOEN tablet kombmasi PT Menrnfarm nric

54
8
HARGA SATUAN
NO NAMA rDt rnNIJLUIA
Is/VIVIA vmiA KTMACAN K I?
IV F T
1
/ 2 3 4 5 6
Asa Ti Aselilsalisilat (asetosal) tablet

51 PT. Phapros, Tbk DUS 16,324
100 mg
Asa n Asetilsalisilat (asetosal) PT. Mersifarma Tiimaku
58 DUS 208.714
tablot/kaplet/kapsul 80 mg Mercusana
Asa n Askorbat (Vitamin C) tablet 250
5S PT. Kimia Farma DUS 21,454
mg
Asa n Askorbat (Vitamin C) tablet 50

6C PT. Kimia Farma DUS 13,526
mg
PT. Rama Emerald Multi

61 Asa n Folat tablet/kapsul/kaplet 0,4 mg DUS 13,292
Sukses
62 Asa: n Folatteblet/kapsul/kaplet1 mg PT. Marin Liza Farmasi Botol 6,646
63 Asa: n Ibandronat injeksi 6mg/6ml PT. Boehringer Ingelheim Boks, 1 ampul 2,575,694
Asa;n Mefenamal kapsul/kaplet 250

64 PT. Afifarma DUS 22,504
mg
Asai n Mefenamat kapsul/kaplet 500 PT. Hexpharm Java

65 DUS 13,526
mg Laboratories
66 Asai a pipemidat kapsul 400 mg PT. Sanbe Farma Strip 2,329
67 Asai n zoledronat injeksi 4mg/5mL PT. Novartis Indonesia Dus, 1 vial plastik @ 5ml 1,049,400
68 Asiflovir salep mata 3% PT. Sanbe Farma Tube 3,5 gram 28,859
69 Asili lovir tablet/kapsul/kaplet 200 mg PT. Kimia Farma ktk 10x10 tablet 32,182
70 Asili lorir tablet/kapsul/kaplet 400 mg PT. Kimia Famia ktk 10x10 tablet 46,174
71 Aspi iraginase serbuk injeksi 10.000 1717

r 1. w loaira tondKU lu.uuu Ul/ viai C\^l
Uf/Yiill
72 Atafulgit tablet 600 mg IT. Zenith Pharmaceutical i Dus 5 strip @ 10 tablet 14,109
73 Aterolol tablet/kapsul/kaplet 100 mg PTKalbe Farma strip 102,608
74 Aten olol tablet/kapsul/kaplet 50 mg PT. Pratapa Nirmala Box 49,672

75 Atra (urium injeksi 25 mg/2,5 ml ampul (2! 2,5 ml 16,857
Laboratories
76 Atrojin injeksi i.v./i.m./s.k. 0,25 mg/ml PT. Ethica Industri Farmas ampul @ 1 ml 1,632
77 Atro ym Sulfat tablet 0,5 mg PT. Indofarma Dus, 10 strip 10 tablet 10,377
78 Atro lin Sulfat tetes mata 0,5% PT. Cendo Industri Farmas Botol 5ml 15,741
79 Atropin Sulfat teles mata 1% PT. Cendo Industri Farmas Botol 5ml 15,974
80 AziU omisin sir kering 200 mg/ 5 mL PT. Soho Industri Pharmas botol @ 60 ml 43,725
81 Aziti omisin tablet 500 mg PT. Kimia Farma ktk 2x10 tablet 5,509
82 Azib omisin tablet 250 mg PT. Soho Industri Pharmas Strip 4,276
Ff. Rama Emerald Multi

83 Beda k salisi! serbuk 2% Dus @ 50 gram 1,574
Sukses
9
N il NAMA H R A T vjC/lilLKUv
PPNFDflZ HARGA SATUAN
11'J iiAlVlA \Jo/\l iNAMA P t i N Y t D i A KEMASAN
ly W T
T E R K E C I L (Rp.) K E T
1 2 3 4 5 6
8( Ber ictant injeksi / suspensi 25 mg/mL PT. Abbott Indonesia Vial 3,731,200
8: Ber. iprost sodium tablet 20 meg PT. Combiphar Box/3 blister 10 Tablet 4,198
or Beti metason krim 0,1% (sebagai
8? PT. Kimia Farma Tube 5 gr 1,861
Valorat)
8? Beti metason tetes mata 1 mg/ml PT. Sanbe Farma botol (2: 5 ml 29,274
Bevisizumab injeksi 25 mg/ml (Skema
9C Risl Sharing sesuai Kepmenkes RI PT. Boehringer Ingelhem Dus, 1 vial 4 ml 5,601,111
Non lor HK,02.02/Menkes/223/2014)
91 Rikf liitfliTiiH taVilct saint I Sf) mcF \ry A cf f 7 *n w d ir/4/-n*>e;i' Uiic 7 Vilitr*r <7h Id TnKlf.! gd dig
U U S , _ unsier (tx, 14 laoiei
r t . /\siraz.enecd muonesi. o4,4 1 o
92 Rika iiitamiH talilt*t saint SO mo uus, L uiisici 14 laoici S7 d70

74,4 /O
93 Risa C(v1tl siinnositnna 10 mo Ri

X 1 . Ovjinrv* Kdn J
UIILTC C t rIaInItdi Supp 7 Adg
94 Risa rtviil snnrxisitcina S mo X X. U v / C l U l l l K d liltiC'lllCilii 1 Rov fti) 6'c 3 gig

1 O O A \Ui O S 7,0 IO
95 RJiI R
X O V/ nZ wZlVZivZl
r \ I r \ i tni-ilf^t
L a U i d , / *i ^-^'K
m o PT Mprflf ThV rill in IsltClpT f?7> 10 Iflhlpt a7A
U U S lo uiisiei lu UiUtei o/u
96 Biso] irolol tablet 5 mg PT. Pratapa Nirmala Box 3 X 10 tab 810
97 Bleoiaisin serbuk injeksi 15 mg/ampul PT Kalbe Farma Vial 389,444
98 Bronr okriptin tablet 2,5 mg Ff. Capritarmindo Box 3 X lO'S 288,106
OQ Bude ionid mhaler 200 meg/puff, 100 r>iic I TiirKiiViilcrt- / J ? , 1 OR Ji-vciio log dig
dosis L/us, 1 1 ufDunaier (o^ luoaosis
Bude ;omd inhaler 200 mcg/pulT 200

100 PT Otsuka Indonesia Unit, 200 dosis 123,596
dosis
Bude: onid respules / cairan inhaler

101 PT. AstraZeneca indonesia Dus, 4 pak ! 5 respules @ 2 ml 10,377
0,25nig/mL
Bude: onid-formoterol (fixed

102 PT. AstraZeneca indonesia ITus, 1 Turbuhaler @ 120 dosis 137,122
comb: nation) inhaler 160/4,5 meg
Budes onid-formoterol (fixed

103 PT. AstraZeneca indonesia Dus, 1 Turbulialer @ 60 dosis 128,843
combiaation) mhaler 80/4,5 meg
ina Bupiv ikain injeksi 0,50% (HCl) -i- rj'P rYcû-n \/fre.4?nr.
UUS, J ampul (aj 4 mi JZ,OJ_)
lU4 gluko: a 8% F l . Dexa Medica
ins tJUplviKain injeKSl U , J U / O yr, v) PT. AstraZeneca Indonesia Lms, -> poijamp auoiu(a! zu mi 11 IM
1 irarvi/T ll il il-dz lml L

UdLHU,. xstol/'cs
t c K d l i1'1
d l K
L-ssTvcjiil
d U a U l //N
J mn
m^ I^J. DuCllIlIlgcl UlgcUlcUU UUb, J U l l a l c l (U.I l U JVdpaUi
111/
Ttfslvi/T> i F m w .vtaKxsi I ' l 4 L - a n o i i T 1 111 rw/v
r 1, ooennntier inaeineim L/US, .7 Diisier (a; lu Kapsui
L/aoigiiuau eieKsuui Kapsui j lu mg
I A 1 l o L-'iT-l \ n * * v t7s#'r\nL'' it-sixsl/'tii 7 j l i i t T 7 n / \ n o i XYi ' 1 xiAw-rv/v xl/*o*7 vJorviT*/^

v l d l \w L\J mi jOZ,OZO
udKdri wzm seiDUK inicKsi zuu mg/\7di r 1. lempo .scan raciiic
1 ' ' S 1 ' 1 ' l\/\ 1 1 PT. Novell Pharmaeutical

109
TV
vial 352,715
Daimo Tibism serbuk injeksi 20 mg/vial Laboratories
no Defera ;iroks tablet disp/ eff 250 mg PT. Novartis Indonesia Dus, 4 blister @ 7 tablet 93,280
in ITefera: liroks tablet disp/ eff 500 mg PT. Novartis Indonesia Dus, 4 blister @ 1 tablet 180,730
1 17
10
HARGA SATUAN
NAMA O B A T G E N E R I K NAMA PENYEDIA KEMASAN K E T
1 2 3 4 5 6
Defe 'oksainin Mesilat serbuk injeksi
114 PT. Novartis Indonesia Dus, iOvialf/i?500mg 130,592
500 ;ng
115 Dekiametason mjeksi i.v /i.m. 5 mg/ml PT. Phapros, Tbk Dus@ 100 Ampul 1,800
PT. Promedrahardio Farma; i

116 Deks ametason tablet 0,5 mg DiLS 10 Strint'fl^! 0 Tablet 8,745
Industri
PT. Merck Sharp Dohme

117 Deso ijêstrel tablet 75 meg Dns 1 Rlistpr fn) 78 tablet 81,620
Pharma Tbk
PT. Ifars Pharmaceutical

118 Deso isimetason krim 0,25% Dus tub** (o, 5 Q 7,579
Laboratories
119 Deso ;simetason krim 0,25% PT Dexa Medica Kotak tube (a) J S tzrain 11,640
1 W W X V , XXXI-^4 \\ky, X -7 IXXXXXXX
120 Desol :simetason salep 0,25% PT Kimia Farma Dus Tube 10 eram 12,593
X-7 V O X XX X7V 1V XXi XX
121 Diazepam larutan rektal 5 mg/2,5 mL PT Actavis Indonesia Dus 5 aliibae (a) 1 tube (S) 7 5ml 14 868
122 X^l<i/!.vLnlill niipl'ci i m S

Tiifl'ZP'"unn I i l | v J v & l I . iv/. //Ii . I l l -t T nlilgjnil
fT/iTii r i . muojarmd TTilo
Ulib,
TR dllipui
j\}
Qmr\iil f7i\
lU/ L
1 rtil
illl 7,JO 1
123 riiii"7P-viim
iîiXJLKi jalli IInriitnn
d l U l a l i rplrtnl IR
I C K l d l l\J lmciH
Ug/Z.D ^ Itnt
lLL. Jr 1 . /YCldVlS muoiicsid uus, J aiuDag i.tii 1 luue \w, z,jmi 71
Z 1,740
124 Diaze lam tablet 2 mo PT Kimia Farma

L 1. iNJiiiia A g u i l d Btl 100 6 063
125 Diaze lam tablet/kaDsul/kaolet 5 mo PT Indofarma DiLS 10 strin fS; 10 tablet 22,970
k^ kk\t-n^ 7UUX VUVLV^W XW4L7tJ4.XU 1VUL7XW4 U A X . XX XVXXJXXXX IX XXX
126 Dietill nrbamazin tablet scored 100 mg PT Hnli Pharma Fhis 10 blister 1^7)10 tablet 19 239
Ditenl idramin injeksi i. v./i.m. 10

127 PT Lucas Diaia amnul (o) 1 ml 1,353
mg/ml (HCl) UXiXvXXX 1IHX7 1 XXll
128 Digok lin injeksi 0,25 mg/ml PT Pratar\n hJiTmnisi

T 1. 1 I d l a L z d i i l i l l i d i d Prtv
D O A //T)
(U7 S n
-J d lm 7
l lnUiUi ll A. WW
tnl , 28 334
129 Digok iin tablet 0,25 mg PT YarinHo Farmatama Box 10 X 10 Tab 13,176
1 1 . 1 d i iiikiVf 1 d i i i i d i d i i i d OVA I V J\. I V 1x111
130 Dilbazsm HCl tablet 30 mg PT Kimia Farma Ktk 10X10 TAR 18,073
I 1. Pvlllild 1 dllild PvlA iV/AlV I r\lCi
131 Diltiaz 3m infus mjeksi 50 mg PT

r 1 . Tnnnrv
1 d i i d c c i ii incni v
n jriiiPc &
Q it ad 10 vial (a) SOma 163 745
IV V I d l (Ml d v l l l l t
132 Diltiazjm mjeksi 25 mg/5 mL PT

I 1. P rdRu tI Ql rA\ ! il
d Ml
I N dr m
l l i dnli d
n Vial
V i d i 5fjml
nil./ 59 854
133 Diltiaz rm Kapsul SR 100 mg r i . 1 anaoe muonesia v

7 IriMct**!" / / I ) In
' l l S l C I 'W; ivflL'SllJ.
IV k nnci'il 4 702
134 Diltiaz- an Kapsul SR 200 mg PT Tanahe Indonesia 3 blister f2) 10 kansul 5,150
L X . X XXXXXXXZv XXXXXWIXvOXXX u vixoxwi \yAft I V xvxxûux
135 Dimenl lidrinat tablet 50 mg PT Kimia Farma Btl 100 tablet 13,992
X X . XV.XXXXIU X XXIXXLCX
136 Dinatri un edetat tetes mata 0,35% PI. Cenao inaustn rarmasi (xitol 10 ml d 7 77 s
4.1,/47
Dinatri un klodronat infus kons 60 Ids ZQS

137 PT. Baver Indonesia ampul 143,070
ng/ml.
138 \ Dobuta nin injeksi 50 mg/mL PT. Ferron Par Pharmaceuticals Dus, 5 ampul % 5 ml 33,814
139 IToksaz )sin mesilat tablet I mg PT. Ptizer Indonesia Dus. 5 blister (aTO's tab 4,058
1 7lA 1
11
Net IZr M A C A N HARGA SATUAN 17 17 T

fNAMA PtINYtUlA
ll7 T E R K E C I L (Rp.) R t. 1
I 2 J c
J
Dolsorubisin serbuk injeksi i.v. 50

14! PT. Kimia Farma Dus 1 vial @ 50 mg 366,824
mg,'rial
141 Dor iperidon suspensi/sirup 5 mg/5 ml PT. Novapharin btl @ 60 ml 4,069

14) Doriperidon tablet 10 mg PT. Novanharin dus 10 X lO'S 203
14) Dof amin injeksi 40 mg/ml PT. Kimia Farma Dus 5 amp (3) 10 ml 11,998
Dus, 1 vial @0,5 ml+ 1 vial
14' Dosjtaksel injeksi 20 mg/0,5 ml PT. Sanbe Farma 1,131,253
pelarut @1,5 ml
DTI A (diethylene triamine pentaacetic
14i! acid) 2,06-2,5 mg pentetate calcium PT. Kimia Farma Dus @ 5 vial 530,530
txiczdium/ml
PT. SmithKline Beecham
14" Dutiisterid kaps lunak 0,5 mg Dus, Botol Plastik @ 30 Tablet 9,106
Phamaceuticals
150 Efar irens tablet salut 600 mg PT Kimia Farma Botol 30 tab 7,433
15 Efec rin Inj 50 mg/ml PT. Bemofarm Ampul @ 1 ml 17,082
15; Eksf mestan tablet 25 mg PT. Pfizer Indonesia Dus, 2 blister 15 tablet 49,672
15/ End :saparin sodium inj 20 mg/0,2 ml. PT. Aventis Pharma Dus, 2 prefilled syringe @ 0,2 ml 52,237
15/ End aapaiin sodium inj 40 mg/0,4 mL PT. AvenUs Pharma Dus, 2 prefilled syringe @ 0,4 ml 92,184
151 End saparin sodium inj 60 mg/0,6 mL PT. Aventis Pharma Du.s, 2 prefilled syringe @ 0,6 ml 128,260
Epin ifrin (Adrenalin) injeksi

15f PT. Phapros, Tbk Dus @ 30 Ampul 10,389
i.v/s. k./i.m 1 mg/ml
Epiribisin serb injeksi 50 mg/25ml

157 (Proiluk Kosong s/d awal Agustus PT Kalbe Farma Vial (ffi 25 ml 699,600
2015)
158 Epinibisin serb mjeksi 10 mg/5 ml PT. Sanbe Farma Dus, 1 vial @5 ml 149,248
Ergo calsil'erol (vitamin D3/D2) kapsul

159 C A A / I A I TT PT. Gracia Pharmindo Dus 3 strip @ 10 Flash tablet 793
50.0110 Ul
Ergo calsifcrol (vitamin D3/D2)
160 _ . _ TA A A A T IT/ 1 PT. Gracia Phaimindo Ehis, Botol Plastik @ 100 mL 9,328
suspnsi 10.000 Ul/ml
161 Eritn imisin kapsul/kaplet 250 mg PT. Kimia Farma k-tk 10 X 10 kapsul 609
162 Eritromisin kapsul/kaplet 500 mg PT. Indofarma Dus, 10 blister @ 10 kss 1,193
163 Eritn imisin simp kering 200 mg/ 5 ml PT. Phvto Kemo Agung Fam la Botol @60 ml 9,433
164 Eritn poetin-alfa inj 10000 UI/mL PT Kalbe Farma \ial/ampul (Prefilled Syringe) 327,646
165 Eritn poetin-alfa inj 2000 UI/mL PT. Soho Industri Phamiasi Dus, 6 prefilled syrenge . 0.5 ml 171,707
166 Eritrc poetin-alfa raj 3000 UI/mL PT Kalbe Farma Prefilled Syringe @ 1ml 149,248
167 Eritrcpoetin-beta inj 2000 Ul/0,3 mL Ff. Boehringer Ingelheim Boks, 6 ampul 162,657
Estro 'en terkonjugasi tablet salut 0,625 Dus, 1 blister @ 28 kaptab salut
168 PT SUNTHI SEPURl 105,412
mg gula
169 Etam lutol tablet 250 mg (UCl) PT. Kimia Farma ktk 20 X 10 tablet 42,326
170 Etam )utol tablet salut 500 mg (HCl) PT. Kimia Farma ktk 10 X 10 tablet 61,332
12
HARGA SATUAN
NO NAMA OBAT G E N E R I K NAMA PENYEDIA KEMASAN K E T
/ 2 J 4 5
PT. Merck Sharp Dohmi Dus, 1 blister @ 1 subdermal

173 Eto logestrel implan 68 meg 150,156
Pharma Tbk implant
PT. Novell Pharmaeutica 1

171 Eto xjsid injeksi 20 mg/ml ampul @ 5ml 117,649
Laboratories
175 nug Clio] call ill] Rofol 1 A ml Zl,.l /o

DOioi J o mi
175 Evemlimus tab 0,25 mg P"!. Novartis indonesia Dus, 6 blister (a>. 10 tablet 13,774
171 Eve -oliraus tab 0,5 mg PT. Novartis Indonesia Dus, 6 blister @ 10 tablet 27,110
Fak or IX kompleks serbuk injeksi Dus, 1 vial (5) 1000 lU-l- 1 vial
17! FF. Graha Farma 9,911,000
1.010 UIAial + pelarut 10 ml pelarut (w, 10ml
Fak or IX kompleks serbuk injeksi 500 Uus, 1 viai [W J U U 1 U + 1 vial

17) PT. Graha Farma 5,1.57,801
Ul/i ial + pelarut 5 ml pelarut @ 5 ml
Fak or Koagulasi 11 14-35 Ul, Faktor
Koagulasi VUl 7-20 Ul, Faktor Dus vial (a) 250 111+ I vial nelarut
180 PT. Graha Farma 1_7 CX^, XUl XV ' X 4 XU X J^TVXXXX U L 2,442,770
Koagulasi IX 25 Ul, Faktor Koagulasi
@10 mL+ transfer needle-l-swab
X 14-35 UI (250 lU/lOml)
Fak or Vila (rekombinan) serb inj 1 KOTAK @ 1 VIAI, SERBUK

18 PT. Ferron Par Pharmaceutii als 10,727,200
mg/ rial + pelarut untuk injeksi OBAT & INFUSION KIT
Fakior VIII (konsentrat) serb inj 230 -

18:; PT. Kimia Farma vial 1,453,186
340 UI
Fakior VIII (konsentrat) serb mj 250

18' PT. Ikapharmindo Vial 10 mil 1,280,035
Ul/\ lal 4 pelarut 5 mL
FakI or Vlll (konsentrat) serb inj 480 -

18: PT. Dipa Pharmalab vial 2,757,590
600 Ul
Fakior VIII (konsentrat) serb mj 500

18( PT. Ikapharmindo Vial 10 mil 1,862,335
Ul/\ ial + pelamt 5 ml.
Fakt or VIII (konsentrat) serb mj 500

is: PT. Graha Farma 500 lU 2,496,568
UlA ial + pelarut 5 ml
PT. Mersifarma Tirmaku

181 Feni ;oin injeksi 50 mg/ml KOTAK (gl 10 ampul 24,319
Mercusana
185 Feni oin kapsul/kaplet 100 mg PT. Ikapharmindo Botol @ 100 18,773

19C Feni oin Na Inj 100 mg/2 ml KOTAK 10 ampul 24,319
Mercusana
191 Fenc barbital injeksi i.m./i.v. 50 mg/ml PT. Phapros. Tbk Dus ; 30 Ampul 2,309
Fenc barbital tablct/kapsul/kaplct 100

192 PT. Indofarma Dus, 10 strip 10 tablet 28,684
mg
193 Fenc barbital tablet/kapsul/kaplet 30 mg PT. Indofarma Dus, 10 strip 10 tablet 19,122
PT. Hexpharm Java

19'! Fencfibratkaps 100 mg Dus, 3 strip @ 10 kapsul 1,253
I .aboratones
PT. Hexpharm Java

195 Fenofibratkaps 300 mg Dus, 3 strip @ 10 kapsul 1,603
Ua LXJI tx lones
Feno icsimetil penisilin (penisilin V)

1% InVilp PT. Phapros. Tbk Dus @ 10 X 10's 40,927
UlUIC. OSO
400mo
lug
Feno csimetil penisilin (penisilin V) tab

197 PT. Actavis Indonesia Dus 45x12 tab 30,199
125 mg
Feno csimetil penisilin (penisilin

198 PT. Phapros. Tbk Dus 10 X 10's 71,942
V)ta1ilet500 mg
199 Feno erol HBr ih lOOmcg/putT PT. Boehrinaer Ingelheim Box, canister I OraL 85.001
13
HARGA SATUAN
NO NAMA O B A T G E N E R I K NAMA PENYEDIA KEMASAN K E T
X IX AX* AX A A A4X * A Mm* mr AX A T E R K E C I L (Rp.)
/ 2 3 4 5 6
Feni anil injeksi i.m/i.v 0,05 mg/nil,

20:; TV T |I J
KViiTl lTl li xi nx Ih/nui T
l lTxiuRl I jLAN J a l l i U U k l ^ U Z A.xill 43,499
amp ul 2 ml
20:. Feni anil patch 12,5 meg/jam PT. Kimia Farma Dus fo; 5 patch 99,402
7A Feni anil patch 25 meg/jam Fl. Kimia Farma Y\*IYI4/^*N C rtnty-*!-
Dusftt 5 paten
20:. Feni anil patch 50 meg/jam PT. Kimia Farma ^ Dus 5 patch 365,541
20(. Filg astim inj 300 mcg/mL PT Kalbe Farma pfs 0,5 ml 466,400
2()" Fina sterid tab 5 mg PT. Combiphar Box, isi 3 Strip 10 tab 3,760
Fito nenadion (Vit.Kl) tablet salut gula
201; PT. Marin Liza Farmasi Botol 100 tablet salut gula 89,549
10 noi g
1 0 11
Fito: nenadion (Vitamin KI) injeksi i m.

200 PT. Phapros. Tbk dus @ 30 ampul 4,377
7 TYii r / r n l
21(1 Flue arabin inj 50 mg PT. Aventis Pharma Dus, 5 vial (gj 50 mg 1,455,540
Dus, 4 blister @ 5 tablet salut

21: Flue arabin tab 10 mg PT. Avenbs Pharma 320,650
ctCIaUlil

21: Fluf inazin injeksi i.m. 25 mg/ml Dus, 5 ampul 1ml 64,130
Mercusana

21: Flukanazol injeksi 2 mg/ml Botol 48,528
T .rfiboratones
XIX XZVZl XXXVX 1W k7
21/ Fluk onazol tablet/kaplet/kapsu! 50 mg PT. Pfizer Indonesia Blister 5,669
211 Fluk onazol tablet/kapsul 150 mg PT. Kimia Farma ktk 1 x 10 kapsul 28,217
2U Fluoisetin tablet 10 mg PT. Gracia Pharmindo strip 59,233
21'; Flue esetin tablet 20 mg PT. Dexa Medica DUS, 30 TABLET 60,982
218 Fluo ometolon tetes mata 0,1 % PT. Sanbe Farma botol 5 ml 35,555
21s Fluo -ourasil inj 250 mg/mL PT Kalbe Farma vial @ 1 ml 31,424
22c Fluo ourasil inj 500 mg/ 5 ml. PT Kalbe Farma rial @ 10 ml 41,393

221 Plus; nolon asetonid krim 0,025% 1 atT/iT*'it/'n0
Dus, Tube 5 g 3,148
i.aooiaLoiies
222 flusi; lolon asetonid salep 0,025% PT. Ikapharmindo Dus, tube @ 10 g 6,400
223 Fluti cason furoat intranasal spray PT. Glaxo Wellcome Indone; ia Dus, Botol 120 Dosis Spay 119,704
Dus, 2 flow wrap 5 nebules (ffi 1

224 Flutieason propionat iiebules 0,5 mg PT. Glaxo Wellcome hidone: ia 16,567
225 Fonc aparinuks inj 2,5 mg/0,5 niL PT. Glaxo Wellcome Indone: la Dus, 2 pfs 0.5 ml 309,961
226 Frak ;i protein plasma lar inf 5% PT. Dipa Pharmalab dus, rial @ 250 ml 1,133,352
227 Euro lemid injeksi i.v./i.m. 10 mg/ml PT. Indofarma Dus, 25 ampul fg) 2 ml 2,346
228 Furo lemid tablet 40 mg PT. Sampharindo Perdana Dus, 10 strip @ 10 tablet 10,727
229 Gadc butrol macrocyclic 5 mg PT. Bayer Indonesia Prefilled Syringe 320,650
230 Gadc butrol macrocyclic 7,5 mg PT. Baver Indonesia Prefilled Syringe 480,975
Gadc ksetat disodium 0,25 mmol
231 PT. Baver Indonesia Prefilled Syringe 2,996,620
gado cetate disodium/mL
14
HAKGA sA 1UAIN
/ 2 3 4 5 6
23 5 Ger ifibrozil kapsul/kaplet 300 mg PT. Indofarma Dus, 10 blister (ff 12 kapsul 4,081
233 Get ifibrozil tablet 600 mg PT. Indofarma Dus, 10 blister (ff 10 kaptab 95,845
23 7 Ger isitabin inj lOOOmg/rial PT. Baver Indonesia vial 1,359,323
23! Ger isitabin inj 200 mg/vial PT. Sanbe Farma Dus, 1 vial (ff200 mg 384,780
23) Ger tamisin injeksi 40 mg/ ml PT. Indofarma Dus, 5 ampul 2 ml 4,360
24) Geiitamisin salep mata 0,3% PT. Erela Tube (ff 3,5 gr 3,248
241 Gen tamisin tetes mata 0,3% PT. Indofarma Dus, botol plastik 5 ml 4,096
241! Glilenklamid tablet 5 mg PT. Indofarma Dus, 10 blister @ 10 kaptab 7,812
24:: Glii lazid tab 80 mg PT. Dexa Medica DUS, 100 TABLET 39,411
Dus, 6 strip @ 10 tablet lepas

24.- Glik lazid tab 30 mg PT. Pradia Pharin 81,853
lambat
24;: Glik lazid tablet lepas lambat 60 Mg PT. Darva Varia Box, 30 Tablet 6,413
24(. Glik uidon tab 30 mg PT. Dexa Medica Dus, 10 Strip @ 10 tablet 1,218
24" Glin lepiride tablet 1 mg PT. Kimia Farma ktk 5x10 tablet 17,840
24} Glimepiride tablet 2 mg PT. Kimia Farma ktk 5x10 tablet 29,383
24} Glin lepiride tablet 3 mg PT. Kimia Farma ktk 5x10 tablet 27,168
25( Glin epiride tablet 4 mg PT. Kimia Farma ktk 5x10 tablet 289,751
251 Glip zid tablet/kaplet/kapsul 10 mg PT. Pfizer Indonesia Dus, botol(2!TAB lOMG 30 3,739
252 Glip Zid tablet/kaplet/kapsul 5 mg PT. Pfizer Indonesia Dus, botolfffTAB 10MG31 3,498
253 Glisi ril trinitrat inj 50 mg/10 mL PT. Tempo Scan Pacific 1 box isi 5 ampul 10 ml 139,803
254 Glist ril trinitrat kaps SR 2,5 mg PT. Kimia Farma Dus 10x10 1,741
255 Glisi ril trinitrat kaps SR 5 mg PT. Kimia Farma Dus 10x10 2,531
256 Gliscril trinitrat tab sublingual 0,5 mg PT. Actavis Indonesia Btl (ff 30 tablet 1,924
257 Glist tin lar 50% PT. Lucas Diaia Glycerin 100 ml 6,841
258 Glukisa lamtan inllis 10 % steril PT. Widatra Bhakti botol @ 500 ml 7,311
259 Gluk isa larutan infus 5 % steril PT. Widatra Bhakti botol (ff 500 ml 6,670
260 Gose 'elin asetat mj 10,8 mg/\ial PT. AstraZeneca Indonesia fXis, 1 syringe 10.8 mg 2,681,800
261 Gose elin asetat inj 3,6 mg PT. AstraZeneca indonesia Dus, 1 syringe @ 3.6 mg 979,440
262 Grise oflilvin tablet 125 mg Ff. Kimia Farma ktk 10x10 tablet 29,500
263 Haloi leridol inj 50 mg/ml. PT. Soho Industri Pharmasi Dus 5 Ampul'ff 1ml., 106,884
15
TV X n v-* A Ay A m v T x A T'
NC' SAMA OBAT G E N E R I K NAMA PENYEDIA KEMASAN H A R G A SATUAN K E T

AA /A0k r M-i AX *
I 2 J C X
J u
269 Halo leiidol tts 2 mg/mL PT. Mersifarma Tirmaku

BOTOL @ 15 ML 20,411
Mercusana
270 Halo an Inhalasi PT. Dexa Medica Botol 822,613
271 Heps rm mjeksi i.v./s.k. 5000 IJT/ml PT. Pratapa Nirmala vial 56,434
272 Hepatitis B imunoglobulin (human) PT. Dipa Pharmalab Dus, 1 syringe ( g 0.5 ml. 1,548,448
273 hidro clorotiazid tab 25 mg PT. Kimia Farma dus, 10 strip 10 tablet 20,871
274 Hidrc kortison krim 1% PT. Marin Liza Farmasi tube 5 ml 3,296
275 Hidro kortison krim 2,5 % PT. Kimia Farma Tube5gr 3,426
Hidrotsi Urea tablet/kaplet/kapsul 500

276 PT. Dipa Pharmalab vial 6,926
mg
277 Hiosii 1 butilbromid injeksi 20 mg/ml PT. Otto Pharmaceubcals box 5ampul @1 ml 5,772
278 Homa ropin tetes mata 2% PT. Cendo Indastri Fannasi Botol 5ml 20,988
Huma 1 Insulin Intermediate Acting Inj

279 PT. Baver Indonesia Dus, 5 Prefilled pen 3 ml 88,762
100 Ul/ml
Huma 1 insulin intermediate acting inj

280 100 U /ml, vial (Human Insulin PT. Ferron Par Pharmaceutical > Dus. rial 10 ml 160,908
(Interr lediate-Acting))
2^ 1 Humai 1 insulin intermediate acting mj

PT. Baver Indonesia E>us, vial 10 ml 160,908
100 LT /ml, vial (Insulin human Basal)
Humai 1 insulin intermediate acting inj

282 100 U]/ml,penfill cartridge (Human PT Ferron Par Pharmaceutical nenfill disnosihle 3 ml (1 box isi 5 88.762
L L . L \mL 1\J1L 1 U l 1 I I I U I l l U l i - U U U U U l . >
Insulin (Intermediate-Acting))
Humat insulin intermediate acting inj

283 100 Ul'ml,penlill cartridge (Insubn PT Sanbe Farma nenfillcartndQe iff 3ml 87,450
1 1 . '.lUllWU 1 U l l l l U
human Basal)
Huraar insulin intermediate acting inj

284 100 UI 'ml.penfiU cartridge (Insulin PT. Baver Indonesia Dus Isi 5 penfill/eartiidge @ 3ml 88,762
luman Basal)
duman insulin intermediate acting inj

285 PT. Aventis Pharma Dus, 1 Vial (ff 5 ml 83,952
lOOiu/ril, vial (Insulin Human Basal)
; Juman insulin mix inj lOOiu/ml, nal

286 PT. Aventis Pharma I3us, 1 Vial (ff 5 ml 83,952
1 Insulit Human Comb 25)
] luman Insulin Mix Insulm Irij 100

287 PT. Baver Indonesia Dus, 5 Prefilled pen fd! 3 ml 88,762
Ul/ml
1 luman insulin mix insulin inj 100
Injeksi 100 IU/ml, penfill
Ul/ml, jienfill cartridge (Human Insulin
288 PT, Ferron Par Pharmaceuticals disposible 3 ml (1 box isi 5 penfill 88,762
(Premix: 30% Soluble + 70 % NPH
disposible)
lasplm)!
1 luman insulin mix insulin inj 100
289 1 n/ml, I enfiU cartridge (Insulin humim PT. Baver Indonesia Dus Isi 5 penfiU/cartridge @ 3ml 88,762
Uonib)
Human nsulin mix insulm mj 100
290 I d/nil, \ ial (Human [nsulin (Premix: PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 160,908
3 3% Soi uble + 70 % NPH Insulm))
7Q1 L uman nsulin mix insulin inj 100
16
HARGA SATUAN
1 2 3 4 5 6
Hur lan insulin short acting inj 100 Injeksi 100 IU/ml, penfill
291 Ul/iril, penfill cartridge (Human Insulin PT. Ferron Par Pharmaceutii als disposible 3 ml (1 box isi 5 penfill 88,762
/StKaa-Acliuiiii
T T _ . _ _ _ _ ' _ul" L L, X' ' 'A
rtii-nnrihlaV
294 Hur tan insulm snort acting mj 100 PT. Baver Indonesia Dus Isi 5 penfill/cartridge @ 3ml 88,762
UI/i rl, penfill cartridge (Insulin human
Rani)
Hur lan insulin short acting inj 100
29. i Ul/i l l , penfill cartridge (Insulin hiunan PT. Sanbe Farma penfill cartridge (3! 3ml 87,450
Rapi)
Hur lan insulin short acting mj 100

29() UI/i l l , vial (Human Insulin (Short PT. Ferron Par Pharmaceutii als Dus, vial 10 ml 160,908
Acting))
Hun lan insulm short acting inj 100

29' PT. Baver Indonesia Dus, vial 10 ml 160,908
Ul/r ll, vial (Insulin human Rapd)
Hun lan insulin short acting mj

291; PT. Aventis Pharma Dus, 1 Vial @ 5 ml 83,952
100: u/nJ, vial (Insulin Hiunan Rapid)
Hun lan tetanus iraunoglobulinn injeksi

29" PT. Dexa Medica Prefilled syringe 198,220
i.m. 250 UI
30(1 Ibuf rofen sirup 100 mg/5 ml PT. Indofarma Dus, botol 60 ml 4,488
30 Ibuf rofen suspensi 200 mg/5 ml PT. Indofarma Dus, botol 60 ml 5,771
3o:; Ibuf rofen tablet 200 mg PT. Yarindo Farmatama botol @ 100 tablet 141
302 Ibuf rofen tablet 400 mg Ff. Novapharin dus 10 X ICS 183
30' Ifosiamid serbuk injeksi 1000 mg/vial PT. Mugi Laboratories Dus, 1 vial {ff 1 g 1,549,804
Imai litib Mesilat tablet salut selaput

100 mg (Skema Risk Sharing sesuai Dus, 6 blister @ 10 tablet salut
3o; PT. Novartis Indonesia 246,026
*C *iV^ WXA-rtL'tAC U 1 KiX\tW/\T ISCldpUl
xs-cp ncnKcb rs.i iNomor
HK.12.02/Menkes/223/2014)
30(- Imicapriltab 10 mg PT. Tanabe Indonesia 3 blister (ff 10 tablet 5,013
30" Imic april tab 5 mg PT. Tanabe Indonesia 3 blister 10tablet 2,720
lopa tnidol 200-300 mg lodiiun/mL

30i. PT. Dipa Pharmalab Dus, botol @ 100 ml 408,100
(30Cmg@ vial 100ml)
TonaTiidol 200-^00 me Todium/mT

30} AV/|rZU .XiXViV* X*UY ' VY XX^ XV/VXXVUXJU A 1XL> PT. Dipa Pharmalab Dus, vial fff 30 ml 142,252
(30Cmg@ vial 30ml)
Tona nido) 200-^00 me lodiiirn/mT

3K' XVZXZU .XlXu-V'L X* Y Y Y Y Y XJ-JibX A\J\mkL\*tHl kxlX-J PT. Dipa Pharmalab Dus, vial (ff 50 ml 193,556
(30Cmg(ffvial 50ml)
looa tiidol 300-370 mc lodium/mL

311 XYXyC* .XXXAAYl Y Y Y ^ 1 \J AlLfA X V.X\.XJ. Xl 11U LXJl-J PT. Dipa Pharmalab Dus, botol (ff 100 ml 430,254
(37Cmg@vial 100ml)
lopa nidol 300-370 mg lodium/mL

3i; PT, Dipa Pharmalab Dus, vial @ 30 ml 171,402
(37Cmg(oi vial 30ml)
lopa nidol 300-370 mg lodium/ml,

31} PT. Dipa Pharmalab Dus, vial @ 50 ml 232.034
(370tng@ vial 50ml)
lopn >mide 300-370 mg lodium/mL

31/ PT. Baver Indonesia Botol 285,670
(.300 mg/100ml)
17
HARGA SATUAN
1 2 3 4 5 6
lopr Dinide 300-370 mg lodium/ml^

31' PT. Baver Indonesia Botol 175,250
(37( mg / 50 ml)
Ipra ropium bromida inhalasi 20

311! PT. Boehringer Ingelhem Box, canister lOmL 93,280
meg 'semprot
31" Ipra ropium bromida nebulizer 0,025% PT. Boehrinaer Inaelhein Box, bottle 20mL 104,940
320 Irbe saltan tab 150 mg Ff Indofarma Dus, 5 bhster (w. 10 kss 1,827
32 Irbe saltan tab 300 mg PT. Indofarma Dus, 5 blister @ 10 kss 3,168
322 Irini tekan inf 20 mg/ml PT. Sanbe Farma Dus, 1 vial @2 ml 594,660
322 Isofl uran inhalasi PT. Pratapa Nirmala Botol 100 ml- 314,820
32'. Isomazid tablet/kapsul/kaplet 100 mg PT. Phvto Kemo Agimg Far na Botol 100 tablet 9,211
322 Isoniazid tabletAapsul/kaplet 300 mg PT. Phvto Kemo Agtmg Far na Botol 100 tablet 22,271
IsoS'irbid Dinitrat injeksi i.v 10 mg/10

320 PT. Pratapa Nirmala vial 43,095
ml
Isosi irbid Dinitiat tablet sublingual 5

32" PT. Indofarma Dus, 10 strip @ 10 tablet 12,593
mg
Isosi irbid dinitrat tablet/kaplet/kapsul

322 PT. Kimia Farma Dus, 5 strip @ 10 tablet 13,001
10 mg
32} Kali jm aspartat tab 300 mg PT. Tempo Scan Pacific Strip 100,393
33(' Kali rm Klorida tablet 600 mg PT. Merck Tbk Dus, 10 strip (ff 10 tablet 1,842
Kals ium Folinat (Leukovorin Ca) inj 50

33: PT. Combiphar Vial 50mg/5ml 163,240
mg/inl
Kals ium Glukonat injeksi i.v 10% (100

33: PT. Ethica Industri Farmas i Ampul 9,095
mg/ml)
Kals ium Karbonat tablet/kapsul/kaplet PT. Mersifarma Tirmakn

33: Dus, 3 blister @10kaplet 171,985
500 Bg Mercusana
Kals ium Inktat (Kalk)

33/ PT. Afifarma Dus, 10 Strip 10 tablet 9,794
tabk t/kapsul/kaplet 500 mg

33; Kals ium polistirena sulfonat ktg 5 g kantong 5 g 10,544
Laboratories
PT. Hexpharm Java

33( Kan: imisin inj 1000 mg/ vial vial 5,947
Laboratories
33: Kan lesartan tab 16 mg PT. Dexa Medica Dus, 3 Blister @ 10 tablet 6,285
33f Kan lesartan tab 8 mg PT. Dexa Medica Dus, 3 Blister @ 10 tablet 3,976
33} Kap isitabin tab 500 mg PT. Boehringer Inaelheim Boks, 120 tablet 32,065
44f Kani onril tablet 50 mo PT TnHnfarma Dii.s in sfrln Ini 10 taVilet 18 074
18
HARGA SATUAN
1 2 3 4 5 6
34! Kaplopril tablet scored 12,5 rag PT. Indofarma Dus, 10 strip @ 10 tablet 88,616
341 Kar taniazepm sirup 100 mg/5 ml PT. Novartis Indonesia Dus, botol @ 120 ml 52,202
344 Kar tamazepin tablet 200 mg PT. Indofarma Dus, 10 blister 10 tablet 34,514
PT. Nicholas 1 aboratorie

34 i Kar timazol tab 5 mg Dus,botol 100 tablet 112,286
Indonesia
34i) Kar Ktgliserin tetes telinga 10% PT. Lucas Djaja Fenol 100 mg / 1 ml 2,619
34" Karl toplatin 150 mg /15 ml PT. Tempo Scan Pacific vial @. 15 ml 223,872
341! Karl toplatin 450 mg / 45 ml PT. Tempo Scan Pacific vial (ff 45 ml 481,558
34" Kar 'ediol tablet/kaplet/kapsul 6,25 mg PT Kalbe Farma strip 1,744
350 Keti min injeksi i.v. 100 mg/ml PT. Guardian Pharmatami Vial @ 10 ml 128,260
35 Ketf min injeksi i.v. 50 mg/ml PT. Combiphar Box, isi 1 vial @ 10 ml 73,924
35:: Ket( .konazol krim 2% PT. Kimia Fanna tube 10 gr 3,145
PT. Hexpharm Java

35:1 Ket( .konazol krim 2% tube 5 gr 3,655
Laboratories
PT. Novell Pharmaeutica

352 Kelt .konazol krim 2% Box isi 1 Tube 15 g 6.005
Laboratories
35:. Keti 'konazol scalp sol 2% PT. Ikapharmindo Botol 80 ml 35,913
35" Ket< konazol tablet 200 mg PT. Novapharin dus 10X5'S 20,522
35" Ketoprofen supositoria 100 mg PT. Kimia Farma dus 2's (ff 10 supp 3,332
35!i Ket( Tolac injeksi 30 mg/ml Ff. Indofarma Dus, 6 ampul (ff 1 ml 3,107
PT. Ifars Phamiaceutical Dus, 3 Strip @ 10 Kaplet salut

35" Klai itromisin tab 500 mg 4,198
ITj t lnUnv n
/ Jm f / A n 1C&
. tllxjk p'; dCldLzul
360 Kliii damisin kapstil/kaplet 150 mg PT. Indofarma Dus, 5 blister @ 10 kapsul 26,002
36 Kliiidamism kapsul/kaplet 300 mg PT. Indofarma Dus, 5 blister (ff 10 kapsul 39,702
36:; Klol Kizam tab 10 mg PT. Dexa Medica Dus, 10 Strip @ 10 tablet 121,847
Kloi tiifen sitrat tablet/kapsul/kaplet 150

36: PT SUNTHI SEPURl dus, 2 strip (ff 10 tablet 2,089
mc
Kloiiidininjeksi i.v0,15 mg/ml (HCL)

36" n(tot)
sr V PT. Boehringer Ingelheiti Box, 10 ampoules @ ImL 35,680
36:. Kloiiidin tablet 0,15 mg PT. Kimia Farma Ktk 10X10 TAB 24,719
PT. Hexpharm Java

36<. Klo] ndogrel tab 75 mg Dus, 3 strip 10 tab 4,163
Laboratories
36" Kloiamfenikol kapsul/kaplet 250 mg PT. Kimia Farma ktk 10x10 tablet 33,464
19
HARGA SATUAN
NC NAMA O B A T G E N E R I K NAMA PENYEDIA KEMASAN K E T
1 2 3 4 5 6
Klor imfenikol tablet/kapsul/kaplet 500

371 PT. Actavis Indonesia Dus, 10 Strip (ff 10 Kapsul 1,090
me
37."" Klor imfenikol tetes mata 0,5 % PT. Erela botol @ 10 ml 23,740
Klor :eniramina Maleat (CTM) PT. Rama Emerald Multi

21A kotak, 1 Ostripfff 10 tablet 6,879
table t/kapsulAaplet 4 mg Sukses
Klor iromazin tablet salut 100 mg

31t P f. Kimia Farma ktk 10x10 tablet 20,055
(HC)
Klor iromazin injeksi i.m. 25 mg/ml

376 PT. Phapros, Tbk Dus (g 30 Ampul 1,411
(HC)
Klor iromazin injeksi i.m 5 mg/ral - 2

37- PT. Phapros, Tbk Dus (g 30 Ampul 1,347
ml (HCl)
378 Klor jromazin tablet salut 25 mg (HCl) PT. Phapros. Tbk 10X10 9,678

37S Kloz ipin 100 mg KOTAK (ff 5 x 10 TAB 5,830
Mercusana

38C Kloz spin 25 mg KOTAK @ 5 X 10 TAB 1,807
Mercusana
381 Kod( an tablet 10 mg PT. Kimia Faima ktk 10x10 tablet 70,543
382 Kodi an tablet 15 mg PT. Kimia Farma ktk 10x10 tablet 119,981
383 Kodi an tablet 20 mg PT. Kimia Farma ktk 10x10 tablet 141,100
Kolekalsiferol (vitamin D3) kapsul

384 PT. Pratapa Nirmala Btl @ 30 kapsul 3,148
luna:; 0,25 meg
385 Kolk isiu tablet/kaplet/kapsul 500 meg PT. Pratapa Ninnala Box @ 3 strip 10 tab 5,066
386 Kolc id HES BM 130 000 lar inf 6% PT. Fresenius Kabi Combipl ar Botol Plastik @ 500 ml 38,478
Koin binasi: Ipratropium bromida

387 PT. Boehringer Ingelheim 1 dus @ 20 vial 6,984
inhaiasi 0,5 mg Salbutamol 2,5 mg
Kom binasi injeksi depot: Medroksi

388 prog ;steron asetat 25 mg Estradiol PT. Trivasa Nagamas Farm a Vial 6,862
sipic oat 5 mg
Kom binasi suspensi: Parafin + gliserin PT. Galenium Pharmasia

385 Botol (ff 60 ml 14,517
+ fei olftalein Laboratories
Kom binasi tetes mata 2,5 mg/mL:

39C Natr um klorida 8,664 mg; Kalium PT. Cendo Industri Farmasi botol 15 ml 18,365
kloriia 1,32 mg
Kom binasi: Artemether 20 mg;

391 PT. Novartis Indonesia Dus, 4 blister (ff 6 tablet 3,755
Lumifantrin 120 mg
Kombmasi: Levodopa 100mg; Dus, botol plastik @ 30 tablet

392 PT. Novartis Indonesia 10,377
Kart idopa 25 mg, Entekapon 200 mg salut selaput
Kombinasi: Lopinavir 200 rag;

393 PT. Abbott Indonesia hotaX @ 120 tablet 7,113
Ritoi lavir (LPV/r) 50 mg
Kombinasi: Salmeterol 25 meg;

394 PT. Glaxo Wellcome Indone; ;ia Dus, Botol 120 Dosis 116,289
Fluti cason propionat 50 meg
20
H A R G A SATUAN
/ 2 3 4 5 6
Kortrasepsi pil oral, kombinasi :*

39' Lev morgestiel 150 meg Etinilcstradiol PT. Kimia Famia Dus, 100 blister @ 28 tablet 2,679
30ricg
Koti imoksazol DOEN I (dewasa)
PT. Promedrahardio Famu si
39! kon binasi : Sulfametoksazol 400 mg Dus, 10 Strip 10 Tablet 19,472
hidustri
Trin letoorim 80 ms
Kob imoksazol Suspensi komb;
r~X.
39 ' Sulf imetoksazol 200 mg + Trimetoprim PT. Holi Phamia 1 x 1 /FFi cry 1
2,679
Dus, Ixitol (g) 60 ml
40 r i g / 5 ml
40O Kuiuin (Kma) tablet 200 mg PT. Kimia Farma ktk 60 tablet 859
40 Kuinin injeksi i.v. 25% (sebagai 2 HCl) PT. Kimia Farma ktk 100 amp 2 ml 7,952
4o:; Kuii lin tablet 222 mc (H2S04 IWG) 1PT1 KiTTiia
fviima Farma
rciiiiia ktk 10 \ 10 tablet 693
XxmtAtl mi i.uL/XwL JX'X' * T llr \XXxkZV-'Y. t X X.x^X-/1 IXUV X Y /V X Y LXXYIYL
40:i I,ak;uIosa sir 3,335 g/5 ml. PT. Ikapharmindo Botol 60 ml 18,598
40.- Lair ivudin tablet/kaplet/kapsu 100 mg PT. Kimia Farma Botol 30 tab 2,565
40-; i-aii ivuuuic uluici ijyj mn 1 t Kunia rarma 1 796
40(. Lansoprazol inj 30 mg/ml PT. Takeda Indonesia Serbuk rial 95,661
40" Lan/oprazol kapsul/kaplet 30 mg PT. Indofarma Dus, 2 strip 10 kapsul 13.362
Fl SmithKline Beecham.
401; Lapi itinib tab 250 mg Dus, 7 Blister 10 tablet 82,273
Phamaceuticals
Lan tan mengandung Asam Amino PT. Finusolprima Farma
40" botol 500 ml 65,646
(Ast m Amino iU%) Intemasional
Lan tan mengandung Asam Amino
4!(' (Asi m Amino 100 g. Total N 15,7 g, PT Otsuka Indonesia Softbag 500 ML 65,646
Mai 2 miN, Asriat 120 niLM)
41 (Asi m Anuno 27 g, Sorbitol 50 g, Cl- PT Otsuka Indonesia Softbag 500 ML 48,098

Double Chamber Softbag 1000
4i; (As m Amino 30 g, Glukosa 7,3 % dan PT Otsuka Indonesia 134,673
ML
elekrolifl 1000 ml
Lan. tan mengandung Asam Amino
41; (_rt.Scm Amino J O g, cjiUKOsa / , j /o uan 1PTi iVi t/1?>iijs.a
Q i i l t R TtiH
iiiLik'iiCdia
ATif**;ia Doiihlp Chamber Snfihao 50(1 Ml 79,008
ekkrolit) 5Wvt2
Lani tan mengandung Asam Amino
(As m Amino 5% dengan BCAA 45%,
41/ PT Kalbe Farma botol 500 mL 87,858
L-Oi nithine L Aspartate 8.03 gr/I,,
Sorbitol 50 gr/L, Xylitol 50 gr/l.)
Lam tan mengandung Asam Amino
4i; (Asu m Amino 6%, mengandung PT. Fresenius Kabi Combipl lar Botol Gelas 100 ml 42,754
TatwmO.24 9x3)
/A A ' ffi / xr ' A
41C (Asam Ammo 7%, Komposisi: Asam PT. Fresenius Kabi Combipl ar Botol Gelas 250 ml 59,256
Ami lo esensial: Asam Amino non
esenijal=r)0;40)
(Asam Ammo 72.05 g. Total N 11.53
417 PT Otsuka Indonesia Softbag 200 MI- 53,636
g, A \E/AANE ratio 2.6, Na+ 2 mEq,
A set it 46 mF.nt
Lam an mengandung Asam Amino
418 (Asam Amino 79.9 g, Total N 12.2 g, PT Otsuka Indonesia Softbag 500 ML 75,790
Na+ 14 ml-'n Ct 94 mF.fil
Laru tan mengandung Asam Amino
419 PT. Fresenius Kabi Combipl ar Botol Gelas 500 ml 100,948
(Asa m amino 8%)
Laru an mengandung Asam Amino
PT. Finusolprima Farma hfitfil 750 1111
ml
/ A rt r n A * n *n/"s t^ca-ry oI / " A * - I - x r '1 iY/"\l I I I ixjiei xj\3 59,769
(^/\sarn/\rnino cseiisidi //OT^ZNYIIIOI lu Intemasional
gd-)
(BC VA 25 gr/I-, L-Omithine 1. PT. Finusolprima Farma
421 botol 500 ml 75,673
Aspi rtate 10 gr/I., Xylitol 50 gr/L, Intemasional
"kit!', A ^ I J T n TX'.~ mi 1 A 1 _/! \
Mall 1 Acid 7 gr/L, Findoxm 0.12 gr/L)

(Kor ibinasi Asam aminno 50 g/L,
Sorb tol 50 g/L, Xylitol 50 g/L, Asam
422 Askc rbat (Vit C) 0.4 g/L. Inositol 0.5 PT Kalbe Farma botol 500 mL 48,972
g/I-, slikotinamida (Niasinamida) 0.06
21
HARGA SATUAN
1 2y 3 4 5 6
Lamtan mengandung Asam Amino
(Konbinasi Asam Amino: 34gr,
421 Glucosa: 97gr, Lipid: 51gr dan PT. Fresenius Kabi Combip lar Bag (3 Chamber) 1440 ml 344,250
Eleltrolit (Kalon = 1000 kkal, Akses
peri iheral))
Lari itan mengandung Asam Amino

(Ko nbinasi Asam Amino: 45gr,
42 i Glucosa: 130gr, Lipid: 68grdan PT. Fresenius Kabi Combip rar Bag (3 Chamber) 1920 ml 400,920
Eleltrolit (Kalori = 1400 kkal, Akses
peri ^heral))
Lanttan mengantliing Asam Amino

(Ko: nbinasi Glukosa dan elektrolit 150 Bag Double chamber (Dua
42" PT. Phapros, Tbk 375,452
QT + Asam Ammo 48 cr dim akses eomnartemptiti 1000 ml
sent -al)

Bag Double chamber (Dua
42' (Ko: nbinasi Glukosa dan elektrolit 80 PT. Phapros, Tbk 255,004
compartement), 1000 mL
QT 4 Asam Amino 40 or t
gl ' /ASdilt ruiiiilo O gl /
Lan tan mengandung Elektrolit
42!; PT Otsuka Indonesia Ampoel 25 MI.. 2,629
(Kal ium Klorida)
42" PT. "Widatra Bhakti Botol 1000 ml 9,328
(Lar rtan Ringer 1-aktat)
Lan tan mengandung Elektrolit (Na
43(1 130 mEq, CI 109 mEq, Ca 3 mEq, PT Otsuka Indonesia Plastic Bottle 500 ML 10,494
Aseiat 28 mEq)
LnTl Itul IlIcIlgalKJllulK IjlcKirolU fI\aV_.i
43 PI" Otsuka Indonesia Plastic Bottle 500 ML 10,494
1.125 gr.Dekstrosa 18.75 gr)
(Soc ium Lactate sol (50%) 113 gr/L,
43: PT Kalbe Farma flexybag 250 mL 101,442
Potassium Chloride 0.3 gr/L, Calcium
Chlcride 0.2 gr/l elektrolit)
Lan tan mengandung Elektrolit (Tiap
loot 1 ml mengandung clcctrolit:
Sodium 145 mmol/1. Potassium 4.0
43; mmol/1. Calcium 2.5 mmol/1, PT. Phapros, Tbk (Low Density Poly Ethilene), botol 14,750
Mag nesium 1.0 mmol/1, Chloride 118
mmot/1, Acetate 24 mmoi/1, Malate 5.0
mmol/l)
Lam tan mengandung Karbohidrat

43/ (Fru itose 120 g, glucose 66 g, Xylitol PT Kalbe Farma botol 500 mL 58,883
60 g'L +elektrolit)
l-aru tan mengandung Karbohidrat

43; (T'm ;tose 60 g, glucose 33 g. Xvlitol 30 PT Kalbe Farma Flexy bag 500 ml. 49.380
g/L;
Laru tan mengandung Karboliidrat

43e PT Otsuka Indonesia Piastre Bottle 500 Ml, 37,409
(Maltose 100 gr)
Lam ian mengandung Karbohidrat +

Elekrolit (25.00g maltose, 3.00 g
437 sodii im chloride, 0.15 g potassium FF Otsuka Indonesia Plastic Bottle 500 ML 64,713
rbloi idp 0 10 o raleium ehlonde
dihy Irate dan 1.55 g sodium lactate)
Laru an mengandung Karbohidrat +

438 Elek rolit (Acetate, Na, K, CI, Ca, Mg, PT Kalbe Farma botol 500 ml. 43,725
Sorb tol 50 gr/L)
Lam an mengandung Karbohidrat +

439 Elek rolit (Asam amino 28 gi/L, PTKalbe Fauna Botol Plastik 1000 niL 244,860
Glukosa 100 gr/I., elektrolit)
Lam an mengandung Karbohidrat +

22
HARGA SATUAN
I 2 3 4 5 6
Lan tan mengandung Karbohidrat +

44 Elel trolit (Fructose 60 g, glucose 33 g, PT Kalbe Fanna botol 500 mL 65,296
Vvti (ol 40 o/11

Eleltrolit (Glukosa 25 g, NaCl 2.0 g,
44:; PT. Widatra Bhakti Botol 500 ml 11,077
KCl 1,3 g. Natrium Laktat 3,1 g, air
untt k injeksi ad 1000 ml)
I.an tan mengandrmg Karbohidrat +

Elel trolit (Glukosa 55 g ; Natrium
44: PT. Widatra Bhakb Botol 500 ml 7,929
Chl( ride 9 g, air untuk injeksi ad 1000
ml)
Lan tan mengandung BCarbohidiat +

44' Elektrolit (Gluko.sa: 25,0 g, NaCl: 4,5 PT. WidaUa Bhakti Botol 500 ml 8,871
g)

44; Elektrolit (Glukosa: 55,0 g; NaCl: 2.25 PT. Widatra Bhakti Botol 500 ml 9,876
g)
Lan tail merigaudimg Karlxrhidrat +

44( Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 PT. Widatra Bhakti Botol 500 ml 9,876
g)

Elek dolit (Lamtan nutrisi kombinasi
44: iniri: perL: Na. lOOmEQ, K 18mEQ, PT. Sanbe Farma softbag 500ml 41,685
Ca ImEO Ma 6mE0 CT90mEO
WU- n JI1 ^ (S YIXII '*^f^ Xmmf L YY111X.AV^^
Asetat 38mEQ, Sorbitol 50g)
Laru tan mengandrmg Karbohidrat +
44} Elek rolit (Lamtan Ringer & (ilukosa PT. Widatra Bhakti Botol 500 ml 8,080
5%)
Lam tan mengandung Karbohidrat +

445 Elek rolit (NaCl 1.75 g, KCL 15g. PT Otsuka Indonesia Plastic Bottle 500 ML 11,757
Glulosa 100 gr)
Lam tan mengandung Karbohidrat +

45C Elek rolit (Nacl 1.75 gr, KCl 1 5 giv Na PT Otsuka Indonesia Plastic Bottle 500 ML 11,660
l..act.it 2.24 gr, Dekstrosa 27 gij
I.am tan mengandung Karbohidrat +

451 Elek rolit (Nacl 2.34 gr, Na Inktat 2.24 PT Otsuka Indonesia Plastic Bottle 500 ML 11,660
gr, K CL 0.75 gr Dekstrosa 27 gr)
Lam an mengandung Lipid (Infus 20%, Botol Kaca (ffilOO ml, single
452 PT. Phapros, Tbk 123,013
Lipi.l Emulsi MCT/LCT 20% 100 ml) bottle
Lam an merândung Lipid (Emulsi

453 PT. Fresenius Kabi Combipl ar Botol Gelas 100 ml 70,543
lemak20%)
l.am an mengandrmg Lipid (Infus 1 ,ipid 20%, Botol Kaca @250 ml, single
Emu isi MCT/LCT 20% 250 ml) bottle
lam an mengandung Lipid (Kombinasi

Gluk osa dan elektrolit 180 gr + Asam Bag, 3 chamber ( 3 kompartemen),
Ami: lo 71.8 gr + Lipid 50 gr dgn akses 1250 ml
sen trill
Lam an mengandung Lipid (Kombinasi
Bag, 3 chamber ( 3 kompartemen),
456 Glukosa dan elektrolit 80 gr + Asam PT. Phapros. Ibk 595,826
1 ltf\ m l
Amr lo 40 gr + Lipid MCT/LCT 50 gr) izju mi
Lam an mengandrmg Lipid (Kombinasi
Gluk osa dan elektrolit 90 gr + Asam Bag, 3 chamber ( 3 kompartemen),
457 PT. Phapros. Tbk 417,428
Amii 10 35.9 gr + Lipid 25 gr dgn akses 625 ml
senti il)
23
H A R G A SATUAN
1 2 3 4 5 6
Dus, 1 vial (3) 263 meg + 1

45" Leni igrastim inj 263 mcg/mL PT. Aventis Pharma 641,300
prefilled syringe pelarut @ 1 ml
460 LetDzol tablet/kaplet/kapsul 2,5 mg PT. Novartis Indonesia Dus, 3 blister @ 10 tablet 20,405
46 Leu| irorelin asetat inj depot 1,88 mg PT. Takeda Indonesia Vial 816,200
46:; Leu] fforelin asetat inj depot 11,25 mg PT. Takeda bidonesia Vial 3,148,200
46; Leu] irorelin asetat inj depot 3,75 mg PT. Takeda Indonesia Vial 775,973

46' Levi ifloksasin inf 5 mg/mL Botol 100 ml 51,081
LjaiJUl a l{Ji lea
PT. Promedrahardio Fanna si

465 Levi ifloksasin tablet 500 mg Dus, 5 Strip@10 Tablet 677
j.i ISA u,a u. I
46(i Levi ifloksasin tts mata 0,5% PT. Erela Btl @ 5 ml 16,330
Levi tiroksin tablet/kaplet/kapsul 100

465 PT. Merck Tbk Dus 4 blister @ 25 tablet 109,021
meg
Levi tiroksin tablet/kaplet/kapsul 50

46i PT. Merck Tbk Dus 4 blister @ 25 tablet 92,231
meg
46< Lidc kain injeksi 2% (HCL) PT. Bemofarm Dus, 100 ampul 2 ml 119,165
Lidc kain injeksi 2% (HCl) + Epineftin

47( 1 - 8 1 OOA 7ml
PT. Indofarma Dus, 30 ampul @ 2 ml 1,748
1 . o j.uuu - zmi
47; Lidc kain jeli 2% PT. AstraZeneca indonesii. Dus, 10 syringe @ 10 g 46,640
47: Lidokain semprot 10% PT. AstraZeneca indonesii Dus,Botol @. 50 ml (500 dosis) 182,129

47; Lisiiiopril tablet 10 mg Box ,3 Strip @ 10 tablet 25,395
Laboratories

47/ Lisii lopril tablet 5 mg Box ,3 Strip (ff. 10 tablet 14,832
Dora lones

47; Litii m karbonat tablet 200 mg n nartyy y cy ryr\ o
KOTAK 10x10 TAB 1,224
mercusana
47( Litii m karbonat tablet 400 mg KOTAK (ff. 10x10 TAB 2,157
Mercusana
Ff. Ifars Pharmaceutical

47: Lopi ramid tablet 2 mg Dus, 10 Strip (ff 10 Tablet 12,476
Laboratories
PT. Promedrahardio Farma li

478 Lora tadin tablet 10 mg Dus, 5Strip(fflOTablet 21,804
Industri

47S Lora zepam tablet 0,5 mg KOTAK 10 X 10 TAB 93,280
Mercusana
PT. Mersifarma Tirmakm

48C Lora tepam tablet 2 mg KOTAK (ff 10 X 10 TAB 1,659
Mercusana
Low molecule feri sucrose inj amp 100 PT. Novell Pharmaeutical
481 ampul 66,847
mg/; mL Laboratories
482 Mag aesium sulfat injeksi 20% PT Otsuka Indonesia Dus, 120 ampul plastik @ 25 ml 3,265
483 Magiesium sultat injeksi 40% PT Otsuka Indonesia Dus, 120 ampul plastik @ 25 ml 4,081
PT. Finusolprima Farma K I A C A I SflA m l 77 7Q7

24
HARGA SATUAN
I 2 }
.7 J c X
PT. Taisho Pharmaceutica I

48" Mel endazol tablet 500 mg Dus,24 Catch @ 1 tablet 9,158
Indonesia Tbk
XXXuYXXwOXXX X YxX
Ma roksi Progesteron Asetat

48!: PT. Pfizer Indonesia Dus, 10 blister @10 tablet 7,142
tabli 't/kanlel/kaDsul 100 mc
Mec roksi Progesteron asetat

48" PT SUNTHI SEPURl dus, 3 blister @ 10 tablet 3,265
tablot/kapiet/kapsiil 10 mg
49(1 Mel alan tablet 2 mg PI. Ulaxo Wellcome Indonesia Box, fablet 2 mg/25's 14,237
49 Mer jpenem inj 1 g PT. Yarindo Farmatama Box 2 Vial @ lOOOmg 84,543
49; Mer rpenem serb inj 500 mg/vial PT. Bemofarm Dus, 1 vial @ 0,5 g 67,033
AO'- Mes ra inj 100 mg/mL PT. Muci Laboratories Dus, 15 Ampul OT A AO
o/,44o
49' Mel idon sir 50mg/5ml PT. Kimia Farma Botol 1000 ml 325,909
49; Met: brmin HCl tablet 500 mg PT. Phapros, Tbk Dus(ff lOX ID'S 16,324
49f Met; 'ormin HCl tablet 850 mg PT. Bemofarm Dus, 10 blister @ 10 kaptab 35,913
Dus, 10 Stnp @ 10 tablet salut

49: Met Idopa tablet salut 250 mg PT. Actavis Indonesia 112,869
selaput
Met] lergometrin Maleat

498 PT. Kimia Farma ktk 10 X 10 tablet salut 21,688
(Mei ilergometrin) tablet salut 0,125 mg
Metilergometrin Maleat injeksi 0,200

49< PT. Ethica Industri Farmasi ampul @ 1 ml 3,207
mg- ml
Dus, botol plastik @ 30 kapsul

5()( Met Ifenidat kapsul LA 20 mg PT. Novartis Indonesia 7,622
nelenasan lambat
501 Metiltenidat tablet SR 10 mg IH". Novartis Indonesia Dus, 2 blister @ 15 tablet 2,274
Dus, 1 Vial @125mg + 1 ampul

5o; Metilprednisolon inj 125 mg/2 ml. PT. Dexa Medica 25,652
nelanit (o^ Jml
X/YIXXXLXX tXc-; X11XX
503 Metilprednisolon inj 500 mg/8 mL PT. Phapros, Tbk Dus (a). 1 vial 119,787
PT. Hexpharm Java

504 Metilprednisolon tablet 16 mg Dus, 3 stnp @ 10 tab 32,706
i-aoordLories
505 Meti Iprednisolon tablet 4 mg PT. Natura Laboratoria Prin la Dus, 10 Blister 10 Tablet 29,500
50C Meti Iprednisolon tablet 8 mg PT. Dexa Medica Dus, 10 Blister @ 10 tablet 50,021
507 Met( klopramid drop botol 10 mL PT. Meprofarm I>us, Botol 10 ml 6,798
508 Meti klopramide sirup 5 mg/ 5 ml PT. Molex Avns BOTOL 60 ML 3,381
50S Met( klopramide tablet 10 mg PT. Phapros, Tbk Dus 10 X 10's 12,826
51C Meti klopramide tablet 5 mg PT. Kimia Farma ktk 10 X 10 tablet 14,458
511 Meti treksat serb inj 50 mg/2 ml. PT Kalbe Fanna vial (5! 2 ml 37,312
Meti treksat serbuk mjeksi i.v/i.m./i.t. 5

512 PT. Sandoz Indonesia Box 10 ampul @ 1 ml 27,089
mg
25
HARGA SATUAN
N( NAMA O B A T G E N E R I K NAMA PENYEDIA KEMASAN K E T
I 2 3 4 5 6
5i; Met onidazol ovula 500 mg PT. Kimia Fanna dus I's @ 5 ovula 4,938

51(- Met onidazol sirup 125 mg/5 Ml Dus. botol 60ml 5,072
Laboratories
51' Met onidazol supositoria 500 mg PT. Aventis Pharma Dus, 2 blister 5 suppositoria 4,262
51} Met onidazol tablet 250 mg Pf. Phvto Kemo Agung Fan na 10 strip 10 tab 14,925
511 Met) onidazol tablet 500 mg PT. Phvto Kemo Agung Fanna 10 strip @ 10 tab 21,688
52( MIB G (meta-iodobenzylguanidine) PT. Kimia Farma vial 2,469,005
MIE 1 (metoxy iso butyl iso mtnl) 5-mL o

JX 1 r 1. MUiud r dima 1111 f'/l) '\ 1 / I {11 1 gar 97s
reaci ion vial 1 YIJ2> lU; J Vlcli 1 ,*+tZ,T'Z J
TVT "K T 11 Til- x 1
52: Mid izolam injeksi i.v. 1 mg/ml Pi. Novell Pharmaeutical ampul 7,024
Laboratories
523 Midiznlam mjeksi i.v. 5 mg/ml PT. Boehringer Inaelheim Boks 5 amp 14,062
524 Mik; ifungin Na serb inj 50 mg PT. Combiphar Dus,l vial@50mg 303,160
52; Miki ifenolat Moletil 500 mg PT. Boehrineer Inaelheun Boks, 50 tablet 18,656
526 Miki inazol krim/salep 2 % (Nitrat) PT. Kimia Farma Tube 10 gram 3,673
Modified fluid gelatme BM 30 000 lar
521 PT. Phapros, Tbk Btl @ 500 ml 83,952
inlNZo
528 Moksifloksasin tetes mata 0,5% PT. Tempo Scan Pacific botol, tetes mata 3 ml 89,782
529 Men letason fiiroat krim 0,1% PT. Guardian Pharmatami tube 10 gram 23,376
53C Mor in IICL inj 10 mg/ml PT. Kimia Farma Dus 10 amp : 1 ml 10,774
531 Morin HCL tablet SR 10 mg PT. Mahakam Beta Farma Dus, 6 strip 10 tablet 18,213
532 Mor! in HCL tablet SR 15 mg PT. Mahakam Beta Farma Dus, 6 strip @ 10 tablet 26,806
533 Mori in HCL tablet SR 30 mg PT. Mahakam Beta Fanna Dus, 6 Strip @ 10 Tablet 48,354
534 Merlin mjeksi i.m./s.k./i.v. 10 mg/ml PT. Kimia Farma Ktk 10ampul IML 13,466
535 Mori in tablet 10 mg PT. Kimia Farma Botol 30 tablet 1,667
536 N-as;til sistein inj. nebules 100 mg PT. Pratapa Nirmala Box @ 5 ampul 17,199
537 N-asatil sistein tablet/kaplet/kapsul 200 PT. Indofarma Dus, 6 strip @ 10 kapsul 69,890
538 Nacl 0,9% PT. Widatra Bhakti Botol 500 ml 6,028
Nadi oparin inj 9500 Axa/mL svringe

539 PT. Glaxo Wellcome Indone: la Dus, 5 blister @ 2 pfs 0.3 ml 69,446
0 3 ril-
iNaui opann inj yjuu /\xa/niL, synnge

540 PT. Glaxo Wellcome Indone: ia Dus, 5 blister @ 2 pfs 0.4 ml 85,472
0,4 ml-
Nadi oparin inj 9500 Axa/mL, syringe
541 PT Glaxo Wellcome Indone: ia Dus, 5 blister @ 2 pfs 0.6 ml 121,798
0,6 ml,
547 TX..- ^ A , 1 Z-Tl T - , : -70 nm

26
HARGA SATUAN
N( NAMA O B A T G E N E R I K NAMA PENYEDIA KEMASAN f Am s r A r^ /TN \ K E T
/ 2 3 4 5 6
54' Natl ium Diklofenak tablet 50 mg PT. Phapros, Tbk Dus @ 5 X 10's 24,719
54; Natl ium Diklofenak tablet 25 mg PT. Phapros. Tbk Dus @ 5 X 10's 12,360
54(. Natl ium fosfat btl, 133 mL PT. Combiphar Botol, 133 ml 47,223
54: Natl ium fostat lar oral 45 mi- Pf. Combiphar Botol, 45 ml 39,527

54f Natl ium fusidat krim 20 mg/g Dus, tube (2 5 g 7,896
Laboratories
54< Natrium fusidat salep 20 mg/g PT. Molex Avus Tube 5 gr 7,871
55( Neo: itigmin injeksi 0,5 mg/ml PT. Pharma Health Care Box, isi 5 ampul (3) 1 ml 11,543
551 Nev rapin tablet 200 mg PT. Kimia Farma btl 60 tablet 3,591
JJm Nife lipin tab 20 mg, slow release; oros PT. Baver Indonesia blister
55: Nife lipin tab 30 mg, oros PT. Baver Indonesia bhster 4,081
55' Nife lipin tablet/kapsul 10 mg PT. Kimia Farma ktk 10 X 10 tablet 148
55; Nikf rdipin inj 10 mg/vial PT. Pratapa Nirmala Box @ 1 vial 89,782
55( Nilo inib kapsul 200 mg (Skema Risk S PT. Novartis Indonesia Dus, 2 blister (ff 14 kapsul 444,100
55: Nist, itin tablet salut 500.000 107 g PT. Phapros. Tbk Dus@ lOX lO's 90,248
558 Nislitm vagmal tablet 100.000 lU/ g PT. Phapros, Tbk Dus rff 10 X 10's 67,745
559 Nort pinefrin mjeksi 1 mg/ml PT. Kimia Farma Dus 5 amp (ff' 8 ml 65,990
56C Nort tisteron tablet 5 mg PT. Baver Indonesia blister 3,053
561 Obai Antituberkulosis FDC Kategori 1 PT. Phapros. Tbk Paket 461,619
562 Obal AnUtuberkulosis FDC Kategori 2 PT. Indofarma Paket 1,539,108
OHdl Antitntvd-lnilmi*: rutm

FDC Kateonri
YUtti r u L u i u u c i i A u i o s i s
JS-aieglUi
563 PT. Phapros. Tbk Paket 275,642
Anal:
564 Obal Antituberkulosis FDC Sisipan PT. Indotarma Paket(ff 84 tablet 205,204
Dus, 1 dus (ff 60 blister @ 8 tablet

Obai Antituberkulosis Kategori 1 tahap intensif kategori 1 + 1 Dus
565 PT. Indofarma 369,639
dewi sa (ff 54 blister (ff 3 tablet tahap
lanjutan kategori 1
Dus, 60 sachet tahap intensif (1

tablet Isomazid, 2 kapsul
Rifampicin, 2 tablet Pyrazinamide)
566 Obal Antituberkulosis Kategon anak PT. Indofarma 220,601
+ 120 sachet tahap lanjutan (1
tablet Isoniazid, 2 kapsul
Rifampicin")
567 Octreotide AcetateO,05 - 6 mg/ml. PT. Novartis Indonesia Dus, 5 ampul (ff 1ml 96,195
27
HARGA SATUAN
f 7
I
7
X J * C A
V
PT. No\êll Pharmaeutical

57(1 Oflc xacin tablet 400 mg Box ,5 Strip 10 tablet 49,380
T ahoratories
Oks iliplatin serbuk injeksi 100 mg /

57 PT. Aventis Pharma Dus, I vial (ff 20 ml 1,282,600
vial
577 Oks iliplatin serbuk injeksi 50 rag / vial PT. Aventis Pharma Dus, 1 vialfff 10 ml 641,300
C-t'
O K S metazolm tetes nidung 0,U2>yo P1. Merck 1 bk botol ; 10 ml 35,336
jf:
57' Oks metazolin tetes hidung 0,050% PT. Merck Tbk botol 15 ml 37,312
57; Oks tosin injeksi 10 RJ/ml PT. Tunaaal Idaman Abd: Dus, 10 ampul @ 1 ml 2,215
Dus, vial 355m + 1 prefilled

57( Oktisotid 10 mg PT. Novartis Indonesia syringe pelarut 2,5 ml + 2 jaram 3,439,700
suntik
57: Olat zapin inj 10 mg/\ial PT. Baver Indonesia Vial 139,920
578 Olar zapin kapl salut 5 mg F l . Sandoz Indonesia 3 X 10 fee 8,273
579 Olar zapin tab 10 mg PT. Sandoz Indonesia 3 X 10 fee 14,365
58C Oloi atadin tts mata 0,1% PT. Tempio Scan Pacific botol, tetes mata 5 ml 79,288
581 Omtprazol mjeksi 40 mg/ 10 ml TTIT" X T T 1_ X Ti_' TX- 1 XT' 1 I'FF. Af\
48,972
F1. Natura Laboratona Pnn la Dus, 1 Vial 40 mg
58: Omt prazol kapsul/kaplet 20 mg PT. Novapharin dus 10 X 3'S 258
583 onda nsetron inj 4 mg/ 2 mL PT. Indofarma Dus, 5 Ampul (ff; 2ml 2,798
584 Ond msetron tab 4 mg PT. Yarindo Farmatama Box 3 X 10 Tab 942
58; Ond insetron tablet 8 mg PT. Yarindo Farmatama Box 3 X 10 Tab 1,566
Transfer Set: Set; Ultaclam:

Kantong Plastik; Tenckoff
586 Paket CAPD Awal (Komposisi: 1 unit 7 PTKalbe Farma 2,218,012
Catheter: Box; Titanium Adaptor:
Kantong Plastik
587 Paket CAPD Pergantian Transler Set pie PT Kallie Farma Set 255,984
Pake [ CAPD Rutin 120 ( 4x ganti

Laratan Dialisa 1.5 %: 2.000 ml:
cairaa perhari daigan komposisi
Uratan Dialisa 2.5 %: 2.000 ml;
588 Inru an Dialisa 1.5 %, Laratan Dialisa PT Kalbe Farma 6,439,328
Larutan Dialisa 4.25 %: 2.000 ml;
2.5 %, Laratan Dialisa 4.25 %,
Minicap: Kantong Plastik
Mini cap)
589 Pakl taksel inj 100 mg/vial PT. Actavis Indonesia Vial 6mg/ml (100mg/16.67ml) 1,440,010
590 Pakl: taksel inj 300 mg/vial PT. Actavis Indonesia Vial 6mg/ml (260mg/43.33ml) 3,731,200
rdRr uiKsei uijeivsi JD lug/vidi I 1. /ACiuvis iiiuuiicsia V I d ! D l l i ^ I l l l l^JGllliit/Jllllj 355 630
592 Parai elamol drop 100 mg/ml btl 15ml PT. Indofarma Dus, 15 botol 6,670
593 Parai etamol sirup 120 mg / 5 ml PT. Novapharm btl (ff 60 ml 1,790
28
HARGA SATUAN
NAMA O B A T G E N E R I K NAMA PENYEDIA KEMASAN K E T
1 2 3 4 s
Peg5 lated interferon alfa-2a inj 135

596 PT. Boehringer Inaelheim Boks, 1 pfs 1,256,732
meg 0,5 ml
Peg5 lated interferon alfa-2a inj 180

59: PT. Boehringer Inaelheim Boks, 1 pfs 1,455,425
meg 0,5 ml
TX T " I T r\r\ 1 T 1
Peg\ lated Interferon alfa-2b serb inj PT . Merck Sharp Dohme Dus, 1 vial 100 meg + 1 ampul
598 1,135,101
100 ncg Pharma 7bk pelarut 0,7 ml + 1 syringe + 2
rx 1 f l ljarum
1 " z 1_ 1
Peg\ lated Interferon alfa-2b serb inj PT. Merck Sharp Dohme Dus, 1 preuUed synnge (serbuk
599 1,323,410
120 ncg Pharma Tbk mjeksi 120mcg + pelarut 0.5 ml) +
1 jarum
uus, 1 viai j u meg T i ampui
Peg\ lated Interteron alfa-2b serb inj 50 PT. Merck Sharp Dohme
60C pelamt 0,7 ml + 1 syringe + 2 1,066,890
meg Pharma Tbk
jarum
Dus, 1 vial 80 meg + 1 ampul
Peg) latcd Interferon alfa-2b scrb inj 80 PT. Merck Sharp Dohme
601 pelamt 0,7 ml + 1 syringe + 2 1,067,834
meg Phamia Tbk
jarum
60: Pera c sulfadiazin krim 1% PT. Dan'a Varia tube @ 35 gram 29,558
Dus, botol plastik @ 30 tablet

603 Peril doprilarginin tab 5 mg PT. Pradja Pharin 2,822
salut selaput
PT. Galenium Pharmasia

604 Pern etrin krim 5% Tube @ 10 g 13,380
Laboratories
Petic in injeksi i.m/s.k/i.v lambat 50

605 PT. Kimia Farma Ktk 10 ampx2ml 18,598
mg/ril(HCl)
506 Piog itazon tab 15 mg PT. Dexa Medica 30 TAB/BOX 4,617
603 Piog itazon tab 30 mg PT. Sanbe Farma Strip 6,092
608 Pirai tel suspensi 125 mg/5 ml PT. Holi Pharma Botol 60 ml 10,611
609 Pirai tel tablet score (base) 125 mg PT. Holi Pharma Dus, 25 Blister @ 4 tablet 40,810
61C Pirfl^ inflTniH tabtpt 500 mo r 1. noil Ellalllla This

LJUis1 nl Uctrir\
Strip/7?1 1 fll\J
{w, InKlz^t
utOlCl 19. Q17
lo,yi /
Pind rksm (Vitarmn B6)

611 PT. Kimia Farma dus, 10 strip @ 10 tablet 15,508
table f/kapsul/kaplet 10 mg (HCl)
612 Pirid rksin (vitamin B6) inj 100 mg/mL PT. Ikapharmindo Ampul 1 ml 1,283
613 Polil resulen cairan PT. Pratapa Ninnala Dus, Botol @ 10ml 21,728
614 Povidon lodida larutan 10% 1000 ml PT. Afifarma botol @ 1000 ml 46,876
615 Povii Ion lodida larutan 10% 30 ml PT. Afifarma botol @ 30 ml 2,733
616 Povii Ion lodida larutan 10% 300 ml PT. Afifarma botol @ 300 ml 17,940
617 Povii bn lodida lamtan 10% 60 ml PT. Ikapharmindo Botol 60 ml 7,579
618 Pran ipeksol tab ER 0,375 mg PT. Boehringer Ingelheim Dus, 3 alu blister @ 10 tablet 8,395
619 I X ' 1 1 x 1 - T"TX r\ "icfy TVT* TX I T H TX X 1 11". I I L X J I I L

13,138
Prair ipeksol tab LR 0,750 mg PT. Boehnnger Ingelheim Dus, 3 alu blister (ff 10 tablet

620 Pravi (Statin tablet 20 mg Box ,5 Strip 10 tablet 2.915
Laboratories
621 Predi lison tablet/kapsul/kaplet 5 mg PT. Holi Phaima Dus, 10 strip @ 10 tablet 16,091
29
HARGA SATUAN
1 2 3 4 5 6
62:: Pro) enesid tablet/kapsul/kaplet 500 mg PT. Dexa Medica Dus, 10 strip @ 10 tablet 2,116
62. Proj anolol tablet 10 mg (HCl) PT. Dexa Medica Dus, 10 Stnp (2! 10 tablet 10,261
Prof iltiourasil tablet/kapsul/kaplet 100

62: i PT. Indofarma Botol 100 Tablet 45,008
mg
626 Pro{otbl injeksi i.v., bolus 1% Ff. Fresemus Kabi Combip lar Ampul 18,931
62" Prof ranolol tablet 40 mg (HCl) PT. Holi Pharma Dus, 10 strip (ff 10 tablet 14,575
62}. Que iapin tab 200 mg PT. Astra2:eneca indonesii. Dus, 1 blister 10 tablet 20,278
629' Que iapin tab 300 mg PT. AstraZeneca indonesii; Dus, 1 blister} 10 tablet 22,737
63( Que iapin tab 400 mg PT. AstraZeneca indonesii Dus, 1 blister (ff 10 tablet 27,034
631 Ranipril tablet 2,5 mg PT. Actavis Indonesia Dus, 100 blister @ 10 tablet 1,454
63: Ran ipril tablet 5 mg FT. Dexa Medica Dus, 10 Strip @ 10 kaptab 81,503

63: Ran ipnl tablet/kaplet/kapsul lOmg Dus, 10 strip (ff 10 tablet 1,300
Laboratories
634 Rani tidin injeksi 25 mg/ml PT. Natura 1-aboratoria Prin la Dus, 10 Ampul @ 2 ml 1,562
63; Rani lidin tablet 150 mg PT. Erela Dus, 10 Strip 10 Tablet 16,441
63f Retinol (Vitamin A) 100.000 lU PT. Kimia Farma Botol 50 kapsul lunak 18,365
Retiiiol (Vitamin A) 200.000 lU kapsul

63: PT. Kimia Farma Botol 50 Kapsul 32,415
lunai:
638 Rifai npisin tablet/kapsul/kaplet 300 mg PT. Indofarma Dus, 10 Strip) 10Kapsul 85,934
639 Rifai npisin tablet/kapsul/kaplet 600 mg Pf. Indofarma Dus, 10 Strip (ff 10 Kaplet 1,410
64C Rifai npisin tablet salut 450 mg PT. Indofarma Dus, 10 Strip (ff 10 Kapsul 111,353
64! Ring ;r Laktat larutan infus PT. Widatra Bhakti botol 500 ml 6.670
642 Risp iridon fablet I mg PT. Dexa Medica Dus, 5 Blister (ff 10 tablet 1,749
Pf. Mersifarma Tirmaku

643 Risn'ridfin tablet 2 mo KOTAK fff) 5 V 10 TAB 1,246
Mercusana
644 Rispiridon tablet 3 mg PT. Dexa Medica Dus, 5 Blister 10 tablet 2,682
645 Riva oksaban tab 10 mg PT. Baver Indonesia Blister 27,401
646 Riva oksaban tab 15 mg PT. Baver Indonesia Blister 27.401
647 IHva: oksaban tab 20 mg PT. Baver Indonesia Blister 27,401

648 Rokironium injeksi i.v. 50 mg/5ml Dus, 10 vial ( 5 ml 54,264
Pharma Tbk
Dus, 7 blister (ff 4 Tablet lepas

649 Ropitirol Tablet Salut 2 mg PT. Glaxo Wellcome Indonei la 6,730
I-ambat
30
HARGA SATUAN
2 3 4 5 6
65;: Salb utamol cairan ih 0,1% PT. Glaxo Wellcome Indonesia Dus, 4x5 Botol Plastik@2.5 ml 8,465
Salb utamol inhalasi/aerosol 1 (10

65!' PT. Glaxo Wellcome Indone sia Dus, botol 200 dosis 81,766
meg 'dosis
65'- oSnlT i i t n m n l oCi

a i L Ulcuilvjl 1/ linn
cfTrx /ilO lll\tijJ
i U l C\J\J moiT/L;ITXC
ftiiLio Il-T1. CJlaAO
m v r i W C l i1
COf"Am.. Tn/trinpLiQ
n i C UlUOIlCMd TXinj 10
uus, T41i l Si lnC tl e!t,r 1J 0O JVdpSUl
iO O Knrtniil 60 749
C5 ll. . A - 1
t ' L n/x/"i /I, I
65.' Salr utamol serb mn 200 mcg/kaps + P f. Glaxo Wellcome Indone sia Dus, 1 Rotahaler 7,524
rotalialer
65(' Salbutamol tablet 2 mg (sebagai Sulfat) PT. Yarindo Farmatama strip 10 tablet 8,395
65' Salb utamol tablet 4 mg (sebagai Sulfat) PT. Kimia Farma ktk 10 x 10 tablet 11,893
Sale 5 2-4 , Kombinasi: Asam Salisilat

65) PT. Marin Liza Farmasi Pot @ 30 gram 2,565
2% ( Belerang endap 4%
65" Sefa Jroksil sirup kering 125 mg/5ml PT. Holi Pharma Dus, Botol 60 ml 6,163
PT. Hexpharm Java

66( Sefa Iroksil kapsul/kaplet 250 mg strip 69,144
Laboratories
Pf. Hexpharm Java

66 i Sefa Iroksil kapsul/kaplet 500 mg Dus, 10 strip @ 10 kapsul 69,727
Laboratories
66; .Sefa Iroksil sir kering 250 mg/5 ml- PT. Holi Pharma Dus, Botol 60 ml 7,328
PT, Ifars Pharmaceutical

66; Sefa elcsin kapsul/kaplet 500 mg Dus, 5 Strip @ 10 Kapsul 1,632
Laboratories
66' Sefa wlin serbuk mjeksi 1 g/vnal PT. Dexa Medica Dus, 2 Vial 1 gram 21,163
PT Novell Pharmaeutical
66; Sefe rim inj 1 g vial 54,913
T ntvArariLnAC
idlLOldlOl ICS
PT. Hexpharm Java

66f Sefil ;sim kapsul/kaplet 100 mg Dus, 5 strip @ 10 kapsul 56,143
Laboratories
PT. Itars Pharmaceutical
66'; Sefil sim sinip kering 100 rag' 5 ml Dus, Botol 30 ml 10,960
Laboratories
66) Sefo rerazon inj 1 g PT. Holi Phaima Dus, 2 vial 1 g 16,283
PT. Hexpharm Java
669 Sefo aksim injeksi 0,5 g vial 5,830
Laboratories
67{ Selb aksim injeksi 1 g PT. Natura Laboratoria Pnn la Dus, 10 Vial @ 1 g 4,081
671 Sefp xloksim prokseUl tab 100 nig PT. Sandoz Indonesia Dus, 3 blister 10 tablet 4,314
PT. Hexpharm Java

67: Sefti zidim injeksi 1 g Dus, 2 vial @ 1 g 20,887
Laboratories
67; Selb iakson serbuk injeksi 1 g/vial PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g 4,547
fill 1 x1_1x/l 1/1 liXCZI T X T ' /"TI Hrll T - J Dus, 1 Blister @ 10 Tablet salut -r AOS
674
Sem oksun tablet/kapsul/kaplel 250 mg F1. Glaxo Wellcome Indone ;ia selaput 6,095
/72i -X - 1
67; Setu oksim serbuk mjeksi 750 mg/vial P1. Pratapa Numala TX
Box 2 vral
Dus, 1 Blister @ 10 Tablet salut
61C Sefu oksim tab 500 mg PT. Glaxo Wellcome Indone lia 8,395
selaput
67: Serti alin tab 50 mg PT. Pratapa Nirmala strip 10 tab 4,361
678 Selinzm sirun 5 m2/5 mi PT Indoiiimra Botol i 60 ml 10,260
679 Setinzin tablet 10 mg PT. Pertiwi Agung Box. 10 strips (a) 10 capsules 2,437
Setu csimab infus 5 mg/ml (Skema Risk

68C Shar ng sesuai Kepmenkes RI Nomor PT. Merck Tbk Dus, 1 vial @ 20 ml 4,255,900
HK.I l2.O2/Menkes/223/2014)
681 Sevcfluranih, btl PT. Pratapa Numala tabung/botol 1,539,120

31
HARGA SATUAN
m NAMA O B A T G E N E R I K NAMA PENYEDIA KEMASAN K E T
I 2 3 4 5 6
Sikl' ifosfaniid serbuk injeksi i.v. 1000 PT. NoveU Pharmaeutical
68' Vial 328,346
mg Laboratories
Sikl ifosfamid serbuk mjeksi i.v. 200 PT. Novell PharmaeuUcal

68; vial 105.173
mg Laboratories
Sikl ifosfamid serbuk injeksi i.v. 500 PT. Novell Pharmaeutical

686 via] 153,912
mg Laboratories
687 Sikli isporin kaps 100 mg P f. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak 50,138
68f Sikl isporin kapsul lunak 25 mg PT. Novartis Indonesia Dus, 10 bUster @ 5 kapsul lunak 13,992
689 Silo; tazol tablet/kapsul/kaplet 100 mg PT. Dankos Farma strip 9,328
Dus, 3 Strip @ 10 Kaplet salut

69( Sim- -astatin scored tablet 10 mg PT. Natura Laboratoria Prir la 6,821
selaput
Dus, 3 Strip @ 10 Kaplet salut

691 Sim- 'astatin tablet 20 mg PT. Natura Laboratoria Pnria 16,790
selaput
PT. Hexpharm Java

69: Sipri ifloksasin infus 2% Dus, vial @ 100 ml 24,983
Laboratories
Sipr ifloksasin tablet 500 mg (sebagai PT. Hexpharm Java

69; Dus, 10 strip/ 10 tablet 36,263
Hci; Laboratories
69/ Sisp atin serbuk injeksi 10 mg PTKalbe Farma vial 27,984
69; Sisp atin serbuk injeksi 50 mg PT Kalbe Farma vial 115,434
Silai abin serbuk injeksi i.m./i.v./s.k.

69f PT. Tempo Scan Pacific dus, 1 vial @ 10 ml 670,450
Igr/ 0ml
69: Spin unisin tablet 500 mg PT. Indofarma Dus, 5 strip 10 tablet 1,923
698 Spin molakton tablet 100 mg PT. Dexa Medica Dus, 10 Strip @ 10 tablet 1,166
699 Spin inolakton tablet 25 mg PT. Dexa Medica Dus, 10 Strip 10 tablet 44,891
70C Stav rdin tablet/kapsul/kaplet 30 mg PT. Kimia Farma Botol (a), 60 tablet 1,193
701 Strq itokinase irrjeksi 1,5 juta IJl/vial PT. Dexa Medica Vial 3,836,140
Stre]tomisinserbuk injeksi i.v 1000

7o: PT. Phapros, Tbk Dus @ 56 Vial 4,681
mg/ril
703 Sufe Itanil injeksi iv, epidural 5 mcg/ml PT. Kimia Farma dus 5 amp dus 10 162,890
704 Sukr ilfat susp 500 mg/5 mL PT. Combiphar Botol, 100 ml 16,849
7o; Sukrdfat tab 500 mg PT. Dexa Medica DUS, 10 STRIP @ 10 TAB 61,215
7oe Takr rlimus kaps 0.5 mg PT. Combiphar Pounch @ 5 blister @ 10 capsule 13,671
7o: Takr rlimus kaps 1 mg PT. Combiphar Dus, 1 pouch (a>5 blister 10 kaps 25,069
708 Tarn iksifen tatilei 20 mg PT. Sandoz Indonesia Botol (ff.tOtablet 3,376
70S Tam iulosin tab 0,2 mg PT. Combiphar Box 2 blister @ 14 tablet 6,763
32
HARGA SATUAN
1 2 3 4 5 6
IV.'. Telt ivudin tab 600 rag PT. Novartis Indonesia Dus, 2 blister @ 14 tablet 33,231
717 Telr lisartan tab 40mg PT. Boehringer Ingelheiir Dus, 2 alu-blister (2! 10 tablet 4,547
71-- Telr lisartan tab 80 mg PT. Boehrinaer Inaelheiir Box, 2 blisters @10 tablets 7,579

717 l eraozolamidkaps 100 mg Dus, 5 sachet @ 1 kapsul 1,305,920
Pharma Tbk

71(. Tem ozolamid kaps 20 mg Dus, 5 sachet @ 1 kapsul 260,018
Pharma Tbk
71: Tem ifovir tab 300 mg PT. Kimia Farma Botol 30 tab 9,445
71). TeotilintabSR300mg PT. Kimia Farma Dus 10-s@ 10 Kaptab 1,347
71< Teolilin tablet 150 mg PTKalbe Farma strip 38,478
Tera zosin HCl tablet/kapsul/kaplet 1

72( PT. Abbott Indonesia strip/blister 2,215
mg
Terazosin HCl tablet/kapsul/kaplel 2

721 PT. Dexa Medica DUS, 10 BLISTER @ 10 TAB 4,266
mg
72: Terbutalin cairan ih 2,5 mg/mL PT. AstraZeneca indonesii Dus, 2 pak @ 5 respules 7,288
723 Terbutalin tablet 2,5 mg PT. Molex Avus Box 50's 120
724 Terbutalin turbu (serbuk ih) 0,50 mg PT. AstraZeneca indonesii Dus, 1 Turbuhaler @ 200 dosis 82,903

72; Test toon soft capsul 40 mg Dus, 6 blister @ 10 kapsul lunak 7,229
Pharma Tbk
72f Tetri kain HCl tetes mata 0,5% PT. Cendo Industri Farmas i botol 5 ml 13,409
72: Tetri siklin kapsul/kaplet 250 mg PT. Holi Pharma Dus, 10 strip (ff 10 kapsul 20,755
728 Tctn siklin tablct/kapsul/kaplct 500 mg PT. Afifarma DUS.IO STRIP (ff 10 BCAPSUL 41,743
729 Tian azol tab 10 mg PT. Merck Tbk Dus, 10blister 10 tablet 1,323
73C Tian azol tab 5 mg PT. Merck Tbk Dus, 10 blister 10 tablet 72,175
Tian in (Vitamin Bl) tablet 50 mg

731 PT. Indofarma Dus, 10 strip (ff 10 tablet 4,781
(HCl/Nitrat)
732 Timi lot tetes mata 0,25% PT. Pratapa Nirmala Dus, Botol Plastik @ 5ml 11,289
733 Timi lot tetes mata 0,5% PT. Pratapa Nirmala Dus, Botol Plastik (ff 5ml 11,993
734 Tiotiapium 18 meg refill PT. Boehringer Ingelheim Box, 3 blisters @10 capsules 16,169
Dus, 1 blister 10 kapsul +

735 Tioti apium kaps 18 meg + handihaller PT. Boeliringer Ingelheim 177,865
iiaiiuindiei
736 Tran adol injeksi .50 mg/mi FT. Natura Latxiraloria Prin a Dus, 10 Ampul @ 2 ml 3,125
Trasl uzumab serbuk injeksi 440

mg/v ial (Skema Risk Sharing sesuai Dus, 1 vial @ 440 mg + 1 vial
737 PT. Boehringer Ingelheim 22,862,968
Kepi lenkes RI Nomor pelarut (ff 20 ml
33
HARGA SATUAN
I 2 3 4 5 6
74 Tnflaoperazin tablet 5 mg PT.Dan'a Varia strip 57,134

74: Trof ikamid tetes mata 1% PT. Cendo Industri Famia; i Botol 5ml 42,559
PT. Galenium Pharmasia
74: Urei krim 10% tube 8,209
Laboratories
Vak iin BCG (Harga pengadaan di
74' Ken enterian Kesehatan Pusat franco PT. Bio Farma 20 ds / amp / vial 69,902
ibuK 3ta provinsi (DIPA Kemkes))

74; Ken enterian Kesehatan Pusat franco PT. Bio Farma 20 ds / amp / vial 69,902
ibuk Ota provinsi (DIPA Kemkes))
Vak lin BCG (Harga pengadaan di

74< Ken enterian Kesehatan Pusat franco PT. Bio Farma 20 ds / amp / vial 69,902
ibuk 3ta provinsi (DIPA Kemkes))

74: Prov insi franco ibukota Provinsi (Non PT. Bio Farma 20 ds / amp / vial 82,227
PIPAKqiJikcs))
748 Prov msifrancoibukota Provinsi (Non PT. Bio Farma 20 ds / amp / vial 82,227
DIPA Kemkes))

749 Prov insifrancoibukota Provinsi (Non PT. Bio Farma 20 ds / amp / vial 82,227
DIP.? Kemkes))
Vak; ;m BCG Kenng (BF) (Harga
75( penf adaan di Kementerian Kesehatan PT. Bio Farma 20 ds / amp / vial 69,902
Pusc tfrancoibukota provinsi (DIPA
Vorr Irpsll
Vak; lin BCG Kering (BF) (Harga
751 pengadaan di Provinsi franco ibukota PT. Bio Farma 20 ds / amp / vial 82,227
Provinsi (Non DIPA Kemkes))
Vaki .in Campak Kering (Harga

peng adaan di Kementerian Kesehatan
752 PT. Bio Farma 10 ds / vial 32,886
Pusa tfrancoibukota provinsi (DIPA
Kem kesri
Vaki in Campak Kering (Harga

753 peng adaan di Provinsifrancoibukota PT. Bio Farma 10 ds/vial 38,683
Prov nsi (Non DIPA Kemkes))
Vaki m DTP-IB3-Hib (Harga

754 PT, Bio Farma 5 ds / vial 88,948
Pusa Ifrancoibukota provinsi (DIPA
Kem kes))
Vak; in DTP-HB-Hib (Harga

755 peng adaan di Provinsifrancoibukota PT Bio Farma 5ds/vial 104,635
Vak; in Hepatitis B Rekombinan (Harga
peng adaan di Kementerian Kesehatan 24,369
756 PT. Bio Farma 1 ds / pouch
Pusal franco ibukota provinsi (DIPA
Vak; in Hepatitis B Rekombinan (Harga

757 pens adaan di Provinsifrancoibukota PT. Bio Farma 1 ds / pouch 28,666
Vak; in Jerap DT (Adsorbed DT

Vact ine) (Harga pengadaan di
758 PT. Bio Farma 10 ds/vial 20,752
Kem anterian Kesehatan Pusat franco
ibuk' ita provinsi (DIPA Kemkes))
Vak: in Jerap DT (Adsorbed D f
Vacc me) (Harga pengadaan di Provinsi PT. Bio Farma 10 ds/vial 24,408
759
franco ibukota Provinsi (Non DIPA
Kemves))
34
HARGA SATUAN
N(l NAMA O B A T G E N E R I K NAMA PENYEDIA KEMASAN K E T
2 s 4 5 6
Vak sin Jerap Td (Adsorbed Td
Vao line) (Harga pengadaan di Provinsi
76: PT. Bio Farma 10 ds/vial 22,625
frani 'xs ibukota Provinsi (Non DTPA
Ken kes))
Dus, 1 dosis @ (1 vial serbuk

76:, Vak iin Meningitis Meningokokus PT. Novartis Indonesia injeksi + 1 vial lamtan mjeksi @ 358,428
0,6 ml)
Vak iin polio inj (Vaksin Poliomyelitis

76; PT. Aventis Pharma 1 vial of 10ml (10 d's) 332,310
yang diinaktifkan)
Vak sin Poliomyelitis Oral (Harga

76' PT. Bio Famia 10 ds/vial 23,266
Pust t franco ibukota provinsi (DIPA
Ken kes))
Vak iin Poliomyelitis Oral (Harga

76; peng adaan di Provinsifrancoibukota PT. Bio Farma lOds/vial 27,371
T>. i-i IXT U T O A IA,!,,,\A
rrov msi (JNOU Oli-'A Kemxes))
lfy( Vak lin rabies, untuk manusia serbuk PT. Bio Farma
Dus, 1 vial@ 1 dosis + 1 Syringe
injel si s.k./i.k. + booster @ 0,5 ml NaCl 4%
Dus, 1 vial serbuk + 1 ampul @ 1

Vak iin rabies, untuk manusia serbuk
76: PT. Novartis Indonesia ml pelamt + 1 syringe & jamm 91,531
injel si s.k./i.k. + booster
suntik
Vak lin TT (Harga grengadaan di

768 Kerr enterian Kesehatan Pusat franco PT. Bio Farma lOds/vial 16,905
ibuk jta provinsi (DIPA Kemkes))
Vak im 1 i (Harga piengadaan di

769 Provinsifrancoibukota Provinsi (Non PT, Bio Farma lOds/vial 19,880
DIPA Kemkes))
77C Vala siklovir tablet/kapsul/kaplet 500 mg PT. Soho Industri Pharmas i 5 strip 10kaptab 6,285
771 Valg ansiklovir tab 450 mg PT. Boehrmger Ingelheim Boks, 60 tablet 198,220
77: Valf roat sirup 250 mg/5 ml PT. Abbott Indonesia botol 48,739
773 ValfroattabSR250mg PT. Abbott Indonesia Tablet 3,257
774 Valf roat tab SR 500 mg PT. Abbott Indonesia Tablet 6,355
77; Valf roat tablet salut 250 mg PT. Abbott Indonesia Tablet salut 250 mg 1,959
DUS, 3 ALU-ALU STRIP f 10

77f Vals3rtantab80mg PT. Novartis Indonesia 4,093
tablet salut selaput.
DUS, 3 ALU-ALU STRIP @ 10

77: Vals irtan tab 160 mg PT. Novartis Indonesia 6,821
tablet salut selaput.
778 Vanlromisin serbuk injeksi 500 mg/vial PT. Pratafo Nirmala Box @ 2 vial 165,572
779 Vera pamil tab 240 mg PT. Abbott Indonesia Tablet 7,229
78C Vera pamU tablet 80 mg (HCl) Pi. Kimia Farma Ktk 10X10 TAB 287
781 Vinl lastin serbuk injeksi 10 mg PT. Combiphar Vial lOmg/lOml 262,350
35
HARGA SATUAN
NO NAMA O B A T G E N E R I K NAMA PENYEDIA KEMASAN TFDK'irr'Ti (Xin \ K E T
1 I I . I \ I V I L > \ Y 1 1 Y (îvp.j
1 2 3 4 J 6
78? Vinlcristin serbuk injeksi i.v. 1 mg PT Kalbe Farma vial @ 1 ml 53,636
78? Vin orelbin inj. 10 mg/ml PT. Mugi Laboratories Dus, 1 vial (ot 1 ml 1,434,178
785 Viti min B Kompleks tablet PT. Kimia Farma Dus 10 strip X 10 tab 131
78) Zidotiidin 100 mg FL Kimia Farma Botol 60 Kapsul 2,021
Zidi >vudin 300 mg + Lamivudinc 150

78/ PT. Kimia Farma Botol 60 tablet 4,398
mg
78! Zin< drop 10 mg/mL PT. Combiphar Drops 10 mg/ml, Botol @15 ml 16,511
78 Zini sir 10 mg/ml- PT. Indofarma Dus, botol (ff 100 ml 19,213
790 Zini sir 20 mg/5 Ml PT. Meprofarm Dus, botol 60 ml 9,491
Dus, 10 strip @ 10 tablet

79 Zim tablet dispersible20 mg PT. Indofarma 66,812
dispersible
Cati 'tan : i iarga Belum Termasuk Pajak

36
A.4. I ' E R A L A T A N L I S T R I K
HARGA
NC' JENIS L I S T R I K SPESIFIICASI SATUAN KET
(Rp.)
] 2 3 4 5 6
1 LAIMPU PIJAR ( M E R K PHILIPS)
Lam juPijar 115/220 Watt 15 Watt Clear (Gls Bening) Buah 6,996
15 Watt Clear (Gls Bcntng) Buah 7,113
40 Watt Clear (Gls Bening) Buah 7,113
)0 Watt Clear (Gls Bening) Buah 7,346
/5 Watt Clear (Gls Bening) Buah 7,346
DO Watt Clear (Gls Beiung) Buah 9,561
'.5 Watt Clear (Gls Susu) Buah 10,844
40 Watt Clear (Gls Susu) Buali 11,660
oO Watt Clear (Gls Susu) Buah 11,952
'5 Watt Clear (Gls Susu) Buah 12,535
DO Watt Clear (Gls Susu) Buah 12,826
.0 WattTLD/54 (Stater/SN
2 L A M P U T L / T L D ( M E R E K PHILIPS) Wama Putih Sejuk) Set 63,430
20 Watt " Set 119,224
36 Watt " Set 150.706
3 LAMPU H E L O G E N (MERK PHILIPS) 500 Watt Buah 163,240
1000 Watt Buah 396,440
1500 Watt Buah 550,352
4 KAF H E L O G E N 500 Watt Buah 41,685
1000 Watt Buah 57,717
1500 Watt Buah 60.924
5 PETENG
Peteiig Dexta No. 512 Buah 4,664
6 SAKLAR OUTBOW (MERK BROKO)
Sakli IT Engkel No. Buah 16,674
7 STOP K O N T A K ( M E R K B R O K O )
Stop Kontak No. Buah 18,598
Stop Kontak Arde hitam No. 6730 Buah 8,978
8 STOP K O N T A K INBOW ( M E R K B R O K O )
Stop Kontak AC - 2 PK No. 2310 Buah 76,956
Stektr No. 810 Buali 13,409
Stekt T Arde No. 3340 Buah 12,826
Stekt r Tiga Ease Arde No. 4320 Buah 185,977
Stekt r Arde No. 4430 Buali 17.164
Stekt r A C No. 7110 Buah 33.406
9 FUSJBOX
Fuse Blok 1 Grup No. 7110 Buah 33,231
Fuse Blok 2 Gnip No. 742 Buah 38,595
Fuse Blok 3 Grup No. 713 Buah 71,709
10 T E S J E N (Masku)
Tesp;n Kecil No. 63 Buah 8,745
Tespai Besar No. 93 Buali 14.575
11 K N C P B E L L
Knot Bell Bulat No. 6117 Buah 6,413
l-Xl.VrL, MA\AH LmrKkk%H
Knop Bell Persegi No. 618 Buah 6,413
Raiiets Nenn Sinar 20 Watt/220 Buah 51,304
L Y U x i w eo L y wvyxi. tj LILW AxyJ TT %AAl/ AxAtaV
40 Watt/220 Buah 51,304
f \ j yy oliJÂx\j
Avo vtete Hels SP- 38 D Buah 76,956
X k. w VZ * W W X X.VXXX
12 T L E ambo 20 Watt/SN + P H 20 Watt/220 Buah 180,730

TLBambo 40 Watt/SN+ PH 40 Watt/220 Buah 237,281
13 K A B E L
Kabei NYA Uk. 1.5 mm Rol 254,771
Uk. 2,5 mm Rol 423,258
Uk. 4 mm Rol 705.430
Kabel NYM (Putih) Uk. 2x1,5 mm Meter 8,593
37
C A TTT T A M HARGA
JENIS L I S T R I K SPESIFIKASI KEl
SATUAN (Rp.)
/ 2 3 4 5 6
Uk. 3 x4mm Meter 32,065
Uk. 3 X 6mm Meter 43,608
Uk. 4 X 1,5 mm Meter 16,353
Uk. 4 X 2,5 mm Meter 24,369
Uk. 4 x 4 mm Meter 40,810
Uk. 4x6mm Meter 57,717
Kabd N Y Y Uk. 4 x 10 mm Meter 105,815
Uk. 4 X 16 mm Meter 170,586
Uk. 4 X 25 nun Meter 269,346
Uk. 4 x 5 0 mm Meter 455.323
Uk. 2 x 1,5 mm Meter 11,194
Uk. 2 X 2,5 mm Meter 18,773
Uk. 2 x 1 0 mm Meter 55,152
KalKl N Y Y (Hitam) Uk. 4 X 50 mm Meter 455,323
Uk. 4 X 35 mm Meter 333,476
Uk. 2 x 1.5mm(100mtr) Rol 1,212,057
Uk. 2x2.5mm(100mtr) Rol 1 616 076
Y X. yJ m, yJ 1 yJ
Kab<l N Y Y (Hitam) Uk. 2 x25 mm Meter 15,158
Kabtl Aiphone Uk. 1 X 6 X 06 mm Meter 5,259
Uk. 1 X 8 x 06 mm Meter 7,439
Uk. 1 X 9 X 06 mm Meter 8.850
Uk. 1 X 12 X 06 mm Meter 15.391
Kabsl BC Uk 6 -10 mm Meter 19,239
Kabd BC Uk. 16mm Meter 31,424
Kabd Shcoun Uk. 16 mm Meter 2,693
Uk. 25 mm Meter 4,489
Uk. 120 mm Meter 218,042
Uk. 150 mm Meter 31,365
Kabd Snur RTT Strika Uk. 2 Tali Meter 7,054
Kabd Snur Strika Uk. 3 Tali Meter 11.159
KakI Ovael Uk. 2 x 2 5 x 0 1 4 nun Meter 1,924
Kakl Snur Uk. 2x30xx014mm Meter 2,565
Kabd Twin Uk. 2 x 10x014mm Meter 1.283
Feteii Down Light / Al Keci Buah 54,511
Feteii Down Light / Al Bessr Buali 76,956
Fetei Down Light Philips Uk. 3,5 Inch Buah 70,543
Feteii Down Light Philips Uk. 4 Inch Buah 86,576
Feteii Down Light Daeco Uk. 3.5 Inch Buah 32,065
Feteii Down Light Daeco Uk. 4 Inch Buah 41,685
Fetei Plafon Putih PVB Perscgi Buah 10,902
Feteii Down Light Vacolux Uk. 3.5 Inch Buah 57,717
Fetei; Down Light Vacolux Uk. 4 Inch Buah 76,956
Fetei Plafon Putih PVB Uk. Buah 8,978
14 PIPA L I S T R I K DAN SAMBUNGAN
Pipa Paralon Uk. 5/8 mch Rfttanp
uatcui^ 11 543
Pipa Clipsal Uk. 20 mm Rnfnno 15 741
T D c s Plastik Uk. 5/8 inch Z-irtlV 1 166
Landsdop Uk. 2.5 inch Buah 292
Isola ii Plastik Unihal Sedang Dos 8,745
Ohm Saklar/CZ RRT Uk. 15 AmperRRT Buah 38,478
Uk. 30 Amper RRT Buah 64.130
Ohm Saklar GZ NK Uk. 25 Amper Buah 373,120
Uk. 32 Amper Buah 419,760
Uk. 40 Amper JJUclil 585 000
Uk. 63 Amper DUaxi
Uk. 125 Amper DUoIl z jv,zyo
Uk. 250 Amper JJUCUl 1.457.500
Uk. 400 Amper Buah 1,836,450
HekhonSaklarOARRT Uk. 30 Amper Buah 528.198
Uk. 63 Amper Buah 1,020,250
Uk. 100 Amper Buah 1,463,330
Uk. 200 Amper Buah 1.894,750
38
ry X rwTT T A U T HARGA TX- 1.1X1

NC JENIS L I S T R I K SPESIFIKASI SATUAN KET
(Rp.)
/ 2 J 4 5 6
Sekr n Saklar HH Uk 1 GruD Buah 29,150
' XX. 1 v x 1 L*|X
Uk 2 GruD Buah 1.924
Xf IX . Wi XJX x*\J
Uk 3 GruD Buah 30,782
VX^. Y Vxl UL'
Uk 6 GruD Buah 147,499
xjfx.
Uk \J
12v xGruD
l U|X Buah 198,803
vx IV, X In v x 1 y*r
Sekr n Batu Uk. 20 A Buah 6,413
Uk. 25 A Buah 6,413
Uk. 35 A Buah 6,413
Uk 63 Aiiiner Buah 6,413
XJ XX. XJ nA X L I I I I X W I
Sekr n Otomatis Uk. 6 A/10 A Buah 25,652
Uk. 16 A Buah 25,652
Uk. 20 A Buah 25,652
Pasri :ng Uk. 6 A/10 A Buah 3,207
Uk. 16 A Buah 3,207
Uk. 20 A Buah 3,207
Uk. 25 A Buah 6,413
Uk. 35 A Buah 6,413
Uk. 63 A Buah 6,413
Uk. 25 A Buah 25,652
15 TRA F O / T R A N S P O R M A T O R
Trafn Ral/Kit Mf*nn Sinar Uk 10 W/220 V Buah 38,478
xjTX. I Vx V T f -wi-Vx V
Uk 15 W/220 V Buah 38,478
Uk
Vx l \ .
20 V2I22Q V
1 Y T T ' A^*mn yJ T
Buah 51,304
Vx IX . In VX T T / In In VX T
Uk 40 W/220 V Buah 51,304
C_X IX . J \J In In
TT ' XX T
TrafdBSN Uk 125 Watt Buah 209,880
Uk 150 Watt Buah 271,678
vx IV. X Y \J TI U L L
TrafdBHL Uk 150 Watt Buah 218,042
J. 1 flJ.T ' U l M.U XX IV. 1 Y vy I T U L L
Uk 125 Watt Buah 137.005
VXlV. T T (XLX
Trafd Philios BTA Uk
xJIX. LnnJyJ
18 Watt TV ULL
Buah 51,304
M. X m x ' X liXilL/ftJ U XIX X.XIV. 1 XI T T U L L
\JTx. YXX V* (ILI
Sakli r Fuse BoxlFiber") Uk 111 GniD Buah 19.239
C-zCUVl* A i UOVz U V / X \ X IL/Wl / vxR. I l l V J l LlfX
Uk IV GruD Buah 32,065
VXIV. I T V X I LlfX
Sakli T Fuse Box Uk VI GruD Buah 32.065
VXIX. T 1 VXI LILX
Sekri ti Koo Uk 25 Aniner Buah 3,207
\ Y IX . X* Y X L I I I I X W I
Sekri n Batu Uk 2 Amner Buah 1,924
XJ Y VI J IX XJ VI \ XI XYIX . In 1 V I I I I X W I
Sekri n Batu t Jk 4 Amner Buah 1,924
XJXAEXI i Vx ' ' Vl X VI XY IX. T XVIIII/WI
Lamim T L Kas Biasa SN - PH 20 V7220 Volt Sinar Buah 70,543
40 V7220 Volt Sinar Buali 76,956
Iâmiiii T F Neon Riilat 20 V 7520 Volt Sinar
Zn\J V / _ Y . XX T V l I. x X l l l t U
Buah 51.304
XYIUXII lU X XY iT\jVXtI L X U l C l l
Famini T F Neon Riilat 40 V /250 Volt Sinar Buah 55,152
Raloi! MemiTv Philins 125
f\}
'XI1110 Volt HPLN
" / Y YXX V V i v c x U i i U
Buah 83,369
Ralnii Mernirv Philins 160 N/120 Volt ML Buah 60,924
i-XOlVYl L i V X ^ X ^ U i V 1 11111X13 I xJxx < V / Y Z . V X V VxlL i V l l Y
Raloii A/fernirv Philins 250 'N/220 Volt HPl N Buah 83 369
UAIVJJ 1 l V J t ' l \ ' L u \ 1 I1111U3
Baloi 1 Mercuri PH 400 'N/220 Volt Sinar
i Y x x iy 1 ini,yJ V Cxi I 1 1 1 1 Y J N
Buah 113,102
lYUJiVJ t i VI WI X X- l K 1 \J \j FT t Y ^n Y T VXIL X X I I I L I I
Balak IVIercun 250 'N/220 Volt Sinar Buah 609,235
XJ \x 1 XXx L IT I W l W X u 1 Y Y vx FT / Y Y Y V V l l kX i l l C U
Ralal' Nferciin 400 'N/220 Volt Sinar Buah 609,235
XX CXI CXI . I V X V ' l w U l l
Stiivcil Malsiinapa TR Uk 500 Watt Buali 307,824
Stave ll Matsunaua TR Uk
v7 rx.
1000T Watt
_' YVX TLlLl
Buah 371,954
xj XXA r X X xr XXX XOXXxxXXXm.KX XXX. XY IV. l Y Y Y TTULL
Stave ll Matsunaya TR Uk 1500 Watt Buah 705.430
LJ XXX T V 1 CTXUXlX CXI lUXiyU 1. I V XY IV. 1 Y Y Y TT ULL
Staved Matsunaua TR Uk 7000 Watt Buah 1,378,795
xj m T X 1 xrxxxxuxxxxxxy^xx x xx VXIV . nn X X Y Y IT V U l
Staved Matsunaua TR Uk 3000 Watt Buah 1,603,250
xj t-u y x'x I Txuir Y u i i u L - j C i i XY IV. YYXXVX VIUVV
Baloii Neon Bundar PhilliDS Uk 32 Watt Buah 51,304
JxrXXXXrm 1 1 * WV/ > 1 X X XXX IXlXtX X XXXX XXXA U XY IV. Y Y T T ULL
Baloii BeAvama Phillins Uk 5 Watt Buah 8,162
L X U I V / l C LYWI 1 T L l l 1 l U 1 l l l l l l LXhJ XYIV. Y TT U L L
T ami 111 Selanp Meter 41.685
Lami lu Sorot HPIT Buah 275,759
l - l l l l I I I L l XAXfX \JX X I I 1 1
1 yam?ill Fssensial Phillins Uk 5 Watt Buah 27,110
i-iOXllL'U Iw30wli3llll 1 iIIiitL/3 XY IV. nl TT L(ll
UK. o W all JxUall to (\25
T Tlx I x l Woft ouan JJ77xt/ .,OU1
(tCiA
IXZX
UK. 14 vvati 78 77n

UK. lo Wau ixuan
UK. ADJ VTalL RlIFlIx 46 077
OUall
Buah 253,022
Uk. 45 Watt
Uk. 65 Watt Buah 326.480
Lamf u Temado Phillips Uk. 23 Watt Buah 56,260
16 S A K L A R / S T O P K O N T A K
c_i.i__ l i n . : * - r7
39
C 4 TTT T 4 14T HARGA

NC' JEMS LISTRIK SPESIFIKASI KeaI
SATUAN (Rp.)
1 2 3 4 5
Sakl ir White S/Stop 2F CP T 11
l.B Panasonic Buah 50,663
Uk
Sakl IT Dexta Engkel Uk I B Dexta Buah 7,696
Sakl ir Dexta Sen T TI
I B Dexta Buah 9,299
Uk
T TI T D T-\ +
Sakl ir Dexta E/Stop I F Buah 9,299
Uk I B Dexta
Sakl ir Dexta E/Stop 2F Uk I B Dexta Buah 10,902
T TI
Sakl ir Panasonic Engkel O B Panasonic Buah 16,674
Uk
Sakl ir Panasonic Seri Uk O B Panasonic Buah 21,804
Sakl ir Dexta Engkel Uk O B Dexta Buah 6,413
T TI /^N n TN_ .A
Sakl ir Dexta Seri Buali 8,016
Uk O.B L)exta
Sakl.ir Dexta E/Stop I F T TI /-Vri TN A Buah 9.620
Uk O.B Dexta
Stop Kontak Panasonic T n O.B 2F Buah 17,956
Uk r\ THT2
Stop Kontak Meet Uk Buah 16,674
0.B2F
Uk 4L Buah 4,664
Stop Kontak Dexta Uk I.B2F Buah 7,579
Stop Kontak Camry (Terminal Kuningan) Uk 2L Buah 26.818
Uk 3L Buah 30,782
Uk 4L Buah 34,630
MCH A B B Uk. 6 Amper Buah 54,511
Uk. 10 Amper Buah 54.511
Uk 32 Amper Buah 55,385
MCBHager Uk 6 Amper Buah 55,385
MCI 1 Schneider Uk. 6 Amper Buah 65.413
Stater Philips Uk. 20 Watt Buah 5,772
Stater Philips Uk. 40 Watt Buali 5,772
17 A L A T - A L A T L A I N
Bel Listrik Ning Nong Buah 16,033
Bout Solder RRT Uk. 40 Watt Buah 12,826
Mult Tester Sanvva Uk. D - 10 Buah 128,260
Lam| )u Hemat Energi Phillips Uk 8 Watt Buah 45,532
Lampu Hemat Energi Phillips Uk. 14 Watt Buah 37,604
Lami lu Hemat Energi Tornado PH Uk 15 Watt Buah 46,290
Lamim Hemat Energi Uk. 18 Watt Buah 38.770
Kap Vlercury Ijo E-27 Buali 37.895
Kap Vlercury \\o F-40 Buah 60,924
Kap Vlercury Ivvata Uk. 250 Watt Buah 224.455
Baloi 1 Mercury Phiips Uk. 250 Watt Buah 92,406
Balai ids Mercury Philips Uk. 400 Watt Buah 298,205
Susp ;nsion Set Lengkap H-C Set 47,700
Baloi 1 Philips ML Uk. 160 Watt Buah 60,924
Baloi 1 Philips Kuning SON Uk. 250 Watt Buah 153.912
Rela" Lampu Kuning Uk 250 Watt Buah 57,717
IfaKrl rvoii
rvduxi Rnll IFiiUl
jruiij 10 Meter Ril nil 54 51 1
A3U1U1
15 Meter Buah jyr,J
60.924II
1 C O b T A K T O R MITSUBISHI
SN 10 Buah 235,066
SN 12 Buah 328.112
SN 23 Buah 628,124
IS C O > T A K T O R H A C E R
FN 9 Buah 165,339
17117 1 1 n 1- 1fif rue
40
HARGA
NC JENIS L I S T R I K SPESIFIKASI SATUAN KET
(Rp.)
1 2 3 4 5 6
211 C O N T A K T O R S C H I N E I D E R
9A Buah 220,374
12A Buah 251,040
18A Buah 348,984
25A Buah 342,571
Catutan : Harga Belum Termasuk Pajak

HARGA SATUAN BANGUNAN GEDUNG NEGARA
Od o
> r
KOTA GORONTALO
PROVINSI GORONTALO
@|
TAHUN ANGGARAN 2017
(DALAM RUPIAH)
GEDUNG PER-M^ 1
GEDUNG NEGARA RUMAH N E G A R A

74,
ioSiHwA SEDERHANA TIPE C TIPE B TIPE A

6,200,000 4,870,000 4,130.000 4,830,000 5,660,000
T
PAGAR PER-M
GEDUNG NEGARA RUMAH N E G A R A
3EPAN BELAKANG SAMPING DEPAN BELAKANG SAMPING
T.1,50 M T.3IVI T.2M T . 1,50 M T . 2,5 M T.2M

2,940,000 2,220,000 2.130,000 2,790,000 1,410,000 1,370,000
42
B.2 D A F T A R SATUAN BAHAN BANGUNAff, UPAH, P E R A L A T A N DAN P E K E R J A A N
Km nJDiVHAlAI
k ur A KT DnA IAAxrriTTM A M
VJIUIT AIM a A l LAIN H A R G A (Rp.) JVJill
/ 2 3 4 5
I. BJHAN
a B A T A , B A T U DAN P A S m
- Bata Merah Bh Rp 850
- Bata beton ringan ex Celcon Bh Rp 14,000
- Batu Kali/Gunung Rp 198,000
- Batu Kerikil Rp 150,000
- Pasir Beton M' Rp 132,000
- Pasir Pasang Rp 132,000
- Pasir Urug Rp 99,000
- Tanah Urug Rp 165,000
b. BAHAN P E R E K A T
- Semen (50 Kg) Sak Rp 82,500
- Semen Wama Kg Rp 20,000
c. BAHAN BAJA
- Besi Beton U-24 (Polos) Kg Rp 20,000
- Besi Beton U-39 (Ulir) Kg Rp 24,000
- Besi Plat rata2 Kg Rp 24,000
- Besi Tempa Rp 250,000
- Rangka Atap Baja Ringan M^ Rp 250,000
- Kawat Beton Kg Rp 25,652
d. BAHAN K A Y U
- Kayu Klas 1 Rp 5,500,000
- Kayu Klas 11 Rp 5,000,000
- Kayu Klas III M' Rp 3,300,000
- Kayu Klas I V Rp 2,500,000
- Dolken dia 8 s/d 10 cm Btg Rp 40,000
e. BAHAN ALUMINIUM
- Kusen Aluminium M' Rp 135,000
- Rangka Jendela Aluminium M' Rp 135,000
- Rangka Pintu Aluminiixm M' Rp 135,000
- Kusen & Pintu PVC Toilet Unit Rp 500,000
- Engsel Bh Rp 30,000
- Handle Pintu Bh Rp 1,155,000
- Selinder Bh Rp 250,000
- Door Stoper Bh Rp 29,150
- Door Closer Bh Rp 250,000
- Slot tanam Bh Rp 87,450
- Kait Angin Bh Rp 30,000
- Grendel Bh Rp 30,000
f. BAHAN P E L A P I S
- Triplek t. 3 mm Lbr Rp 61,798
- triplex t. 4 mm Lbr Rp 80,000
THnlpv t Q mm T hr Rp 150,000
1 i l L ) l L " X i . y 111111
g. BAHAN L A N T A I & BINDING K E R A M I K
- Keramik 30/30 Rp 85,000
- Granite Tile 40/40 Rp 64,130
- Plint Keramik 10/30 cm Bh Rp 12,826
- Plint Granitetile 10/40 cm Bh Rp 25,652
U H A H A M PirXrilTTTD A T A D
43
NO BilHAN BANGUNAN SATUAN H A R G A (Rp.) KET

JUFI K M . .M_A ^ i y JAM *. * VM V Y . I I A M. X 1
1 2 3 4 5
i.BAHAN K A C A
- Kaca Polos 3 mm W Rp 116,600
- Kaca Polos 5 mm W Rp 157,410
- Kaca Polos 8 mm M^ Rp 318,000
j . BAHAN P A K U DAN MUR B A U T
- Paku 1 s/d 3 cm Kg Rp 2,650
- Paku 5 s/d 10 cm Kg Rp 14,840
- Paku 8 s/d 12 cm Kg Rp 14,840
- Paku Skrup Bh Rp 15,900
k. BAHAN FINISHING
- Cat Kayu/besi Kg Rp 75,790
- Plamir Kayu Kg Rp 34,980
- Meni kayu Kg Rp 40,810
- Wood Filler Kg Rp 34,980
- Thiner Ltr Rp 32,065
- Amplas Kayu Lbr Rp 5,830
- Kwas Cat Bh Rp 18,550
- Cat Tembok k w l Kg Rp 106,000
- Cat Tembok kw2 Kg Rp 79,500
- Plamir Tembok Kg Rp 53,000
- Lem kayu Kg Rp 44,520
- seal tape Bh Rp 10,600
- Minyak Bekisting Ltr Rp 29,150
1. BAHAN SANITARI
- Wastafel Unit Rp 397,500
- Kloset Duduk Unit Rp 795,000
- Kloset Jongkok Unit Rp 318,000
- Urinoir Unit Rp 1,961,000
- Bak air fibreglass Bh Rp 641,300
- shower Spray Unit Rp 79,500
- Shower Set Unit Rp 583,000
- Floordrain Bh Rp 79,500
- Tempat sabun Bh Rp 84,800
- Kran zink Bh Rp 132,500
- Kitchen zink Unit 212.000-450.000
- Kran dinding Bh Rp 53,000
m BAHAN PARTISI DINDING / P L A F O N D
- Gypsmnboard t.9 mm Lbr Rp 99,110
- List Profil 5 cm Gypsum m Rp 79,500
- Rangka Plafond Metal Furing M^ Rp 134,090
n BAHAN S A L U R A N A I R
- Pipa PVC dia 1/2" m' Rp 21,200
- Pipa PVC dia 3/4" m' Rp 26,500
- Pipa PVC d i a l " m' Rp 39,220
- Pipa PVC dia 2" m' Rp 60,420
- Stop Kran dia 1" Bh Rp 26,500
- Klep diameter 3/4" Bh Rp 15,900
- Tangki Air 1000 liter Bh Rp 2,052,160
T o n A?yôni;+o.- 1 /I AO l A O
44
NO R CHAN RANGTINAN NATf

Ljt\ 1 UTATV
Ai* HARGA (Rp.) KFT
J 2 3 4 5
- Mesin Pompa tekan kap. 150 watt Unit Rp 1,340,900
0 Peralatan Elektrikal
- Box panel PVC isi 4 MCB Bh Rp 186,560
- MCB 6 A Bh Rp 58,300
- MCB 4 A Bh Rp 58,300
- Kabel N Y M 2 x 2,5 mm2 m' Rp 100,700
- Kabel NYU 3 x 2,5 mm2 m' Rp 12,720
- Kabel Thelephone 4 x 0,5 mm m' Rp 11,077
- Isolasi Bh Rp 11,660
- Saklar tanggal Bh Rp 12,720
- Saklar Ganda Bh Rp 18,020
- Stop kontak Bh Rp 16,324
- Outlet TV Bh Rp 49,820
- Outlet Telephone Bh Rp 45,580
- Down Light/PLC 13 W Bh Rp 44,520
- Fitting plafond + lampu SL Bh Rp 151,580
- Lampu TL 2 X 18 watt grille Bh Rp 128,260
- Lampu TL 2 X 36 watt grille Bh Rp 139,920
p LAIN-LAIN
- Aspal Kg Rp 17,490
- Kawat bronjong Kg Rp 29,150
- 1MB M^ Rp 18,656
WW UPAH
II.
1 uKdii^ ocsi rvunsiTUKSi vjrg/rian Rp 128,260
Tiikan2 Besi tiilanQ[aii Ore/Hari Rp 128,260
VY t Ky7 1. A.CU 1.
- Kepala Tukang Besi Org/Hari Rp 151,580
^-^ tz ****
- Tukang Kayu Kasar Org/Hari Rp 116,600
- Tukang Kayu halus Org/Hari Rp 128,260
- Kepala Tukang Kayu Org/Hari Rp 151,580
- Tukang Batu Kasar Org/Hari Rp 116,600
- Tukang Batu Halus Org/Hari Rp 128,260
- Kepala Tukang Batu Org/Hari Rp 151,580
- Tukang Cat Biasa Org/Hari Rp 116,600
- Kepala Tukang Cat Org/Hari Rp 151,580
- Tukang Listrik Org/Hari Rp 116,600
- Kepala Tukang Listrik Org/Hari Rp 151,580
- Pekerja Org/Hari Rp 84,800
- Mandor Org/Hari Rp 106,000
Catatan : Harga BelumTermasuk Pajak

45
B.3 S U K U CADANG K E N D E R A A N B E I I M O T O R
HARGA
NO JENIS S U K U C A D A N G / S P E S I F I K A S I SATUAN KET
(Rp)
I 2 4 5
I S U K U CADANG S U Z U K I
A. Smash F D 110 X C D
1 As Stater Buah Dn AO OO/I
K A IXA Y V V * V XA A
Rp AS -7A7
2 As Fersinelene Buah Rp
05,/Oz
1 n c\Ai A
3 Busi Buah Rp i7,0z4
4 Velee Deoan Buah Rp aoa OAO
4yz,9UU
1 T XAlXApx Y Y V ^ | Y 1 F L J H
5 Veleti Belakaiitt Buah Rp ACyy OAA
492,900
TO SAA
6 Gir Besar Buah T>*K
Rp TA SAA
7 Gir Kecil Buah Rp
79,500
Al TTS
8 Kanvas Rem Denan Set Rp
V I
SY
D MAX 45,/25
TT ATA
Q TCanvas Rem Relakano Set
Rp
10 Tali Gas Set Rp 30,666
11 T,ahar Kruk As Kiri Buah Rp CI 1 C A
X I -L-/CU1UJ. i - X X LrV Z X i J X X . X X 1. XY U U X i 62,264
C^ ^CA
12 Lahar Kruk As Kanan Buah Rp
62,264
TiCO 1 OA
13 Kabel Body Set Rp
Mm AmA A AA XmmAXmMJ
26o,l6U
14 Coil Buah Rp 93,280
15 Kabel Assv C O ÂA
Buah Rp
X w Mm K MX-MY J IXAImA J
58,300
A C CAC\
16 Persenelan Riiah Rp
X VZ X OX/I.IKI'LVU.I 46,640
A C\ AOA
17 Klakson Buah Rp
M 1 I V . A XM-Mx v_7VJ 4 ' XY U C X l l
49,089
18 Karburator set Rp 431,420
19
X X>
Lahar Stand Seher
X X . C U X/ U l CIL v/X
Rp 1 '> A C AA
XY
20
XYUXICU k J L C U l x X
Gasket Kenala Silinder
kJwllwl
IJ2,500
XY U.CU1 Rp 60,950
VJUiSIVWl IX-X/L/uXCl kXllXlLVlL/i
21 Gasket Blok Silinder Buah Rp 60,950
22 Gasket Bak Maehnet Buah Rp c(\ ncA
60,950
YM iMvf V J V * XJ MX XA V *A XA A X I A X XXXmmmA AM A XA X
23 Gasket Bak Konline Buah Rp cr\ ncA

60,950
MmA xA XnmA XmUmXAHXA X ' XA A X X K 1 Y XA A A 1 A J1
24 Rine Piston Set Rp 1143,100

ji 1 nn
m 9 X XXAAXmm, X IXAXXmAM-A
25 Piston Set Rp \ A"! 1 AA

1143,100
Y . xA X AX X XX A
AAA
A,
26 Kamnas Konline Buah Rp 106,000

27 Stand Piston Buah Rp 1 A A C AA
Y> / V J ICIXXXI 1 l O l X j X t X Y IXCXI1
132,500
28 Shockbreaker Relakane Buah Rp 290,334
YMxJ V J l l V y w l V L 7 1 VMUJVV'I XY W1C1XVCIX1M.
29 SihnekHreaker Denan Raoian fCiri Set Rp 308,990
VYW
^0 Shockbreaker Denan Raoian Kanan Set Rp 308,990
Y V/ V Y I I V / W I V X / I WUEVWI X Y v / X / U X l X Y Cl.tl,lCIX1 X X . C X 1 1 C U 1
31 Snaboard Denan Rae A Buah Rp 139,920
xJ I Xj xJ xXxJxJ xxk VJ X Y V L / C 4 X 1 X Y t l t X . / V
32 Snakhoard Denan Rae R Buah Rp 46,640
33 Snakhoard Relakane Rnah Rp 46,640
XY LlCXll
34 Tromol Denan Rnah Rp 153,562
J ^ AX\JtllVJl lYWL/CUX X Y U-CXIl
3S Tromol T3elakane Rnah Rp 174,900
36
j\) T? Q t i f Q i DCacU
xvoIUal Recixr R
DUi i ad tl il Rp 80,104
DLUill Rp 90,100
DV) 1 ump 1 angKi lîioTi Rp 13,759
jjuaji
39 Lampu Kepala Set Rp 204,050
l:. Smash F D 110 X C S D - F
1 As Stater Buah Rp 68,094
2 As Persenelan Buah Rp 65,762
3 Busi Buah Rp 17,024
4 Veleg Depan (biasa) Buah Rp 492,900
5 Veleg Belakang (biasa) Buah Rp 492,900
46
HARGA
NO JENIS S U K U CADANG/SPESIFIKASI SATUAN KET
(Rp)
/ 2 3 4 5
9 Kanvas Rem Belakang Set Rp 37,079
11 Laher Kruk As Bagian Kiri Buah Rp 62,264
12 Laher Kruk As Bagian Kanan Buah Rp 62,264
13 Kabel Body Set Rp 290,217
15 Kabel Assy Buah Rp 53,986
16 Persenelan Buah Rp 56,085
17 Klakson Buah Rp 49,089
19 Lahar Stand Seher Buah Rp 132,500
20 Gasket Kepala Silinder Buah Rp 60,950
XV|Y

22 Gasket Bak Maghnet Buah Rp 60,950
23 Gasket Bak Kopling Buah Rp 60,950
24 Ring Piston Set Rp 143,100
25 Piston Set Rp 143,100
26 Kampas Kopling Buah Rp 106,000
27 Stand Piston Buah Rp 132,500
28 Shockbreaker Belakang Buah Rp 287,302
29 Shockbreaker Depan Bagian Kiri Set Rp 322,166
30 Shockbreaker Depan Bagian Kanan Set Rp 322,166
31 Spaboard Depan Bag. A Buah Rp 139,920
32 Spakboard Depan Bag. B Buah Rp 33,231
33 Spakboard Belakang Buah Rp 45,707
34 Tromol Depan Buah Rp 153,562
35 Tromol Belakang Buah Rp 174,900
36 Rantai Besar Buah Rp 80,104
37 Rantai Kecil Buah Rp 90,100
38 Tutup Tangki Buah Rp 13,759
40 Saringan Karburator (Udara) Set Rp 141,669
(:. Smash F D 110 XCSD-CW
4 Veleg Depan (bintang) Buah Rp 722,920
5 Veleg Belakang (bintang) Buah Rp 853,395
6 Gir Besar Buah Rp 70,426
7 Gir Kecil Buah Rp 29,150
8 Kanvas Rem Depan Set Rp 43,725
11 Lahar Kruk As Bagian K i i i Buah Rp 62,264
12 Lahar Kruk As Bagian Kanan Buah Rp 51,071
47
HARGA
NO JENIS SUKU CADANG/SPESIFIKASI SATUAN KET
(Rp)
1 2 3 4 5
D. ShogunFD125XD
4 Veleg Depan Buah Rp 728,750
5 Veleg Belakang Buah Rp 859,342
11 Lahar Kruk As Bagian Kiri Buah Rp 62,275
19 Lahar Stand Seher set Rp 132,500
ni 1-1 1 - . r-v _
48
HARGA
N(3 JENIS S U K U CADANG/SPESIFIKASI SATUAN KET
(Rp)
/ 2 3 4 5
34 Tromol Dqjan Buah Rp 174,900
35 Tromol Belakang Buali Rp 198,220
IC. ARASHI FHI 25 M.D
4 Veleg Depan (biasa) Buah Rp 101,559 bintang
5 Veleg Belakang (biasa) Buah Rp 127,094 bintang
IT

11 Lahar Kruk As Bagian Kiri Buah Rp 62,264
23 Ring Piston Set RD 90,100
1. Satria R U 120 L S C M
49
HARGA
(Rp)
/ 2 3 4 5
11 Tali Kopling Set Rp 64,130
12 Lahai- Kruk As Buah Rp 110,770
13 Kabel Body Buah Rp 285,670
23 Gasket Bak Magnet Buah Rp 68,900
27 Stand Piston Buali Rp 289,168
29 Spakboard Depan Bag. A Buah Rp 187,726
THUNDER EN125
8 Tali Kopling Set Rp 47,700
9 Lahar Kruk As Kiri Buah Rp 160,675
10 Lahar Kruk As Kanan Buah Rp 128,027
19 Gasket Bak Magnet Buah Rp 71,550
50
HARGA
NO JENIS SUKU CADANG/SPESIFIKASI SATUAN M.MJt m J I V V J X K KET
(Rp)
/ 2 3 4 5
27 Rantai Besar Buali Rp 148,432
30 Lampu Kepala set Rp 278,674
I] S U K U CADANG YAMAHA
A. R X K I N G
1 As Stater Unit Rp 104,940
2 As Fersineleng Buah Rp 104,940
4 Pelek Buah Rp 722,920
7 Kanvas Rem Depan Buah Rp 81,620
9 Kabel Gas Set Rp 84,800
10 Kabel Kopling Buah Rp 47,700
12 Coil Rp 88,616
14 Kick Porsineling Buah Rp 104,940
15 Karburator Buah Rp 722,920
16 Lager Stang Seher Buah Rp 137,800
17 Packing Set Rp 68,900
18 Piston Ring Set Rp 212,000
19 Piston Assy Buah Rp 212,000
20 Plat Kopling Buah Rp 46,640
21 Stang Pistone Buah Rp 249,100
23 Shockbreaker Depan Buah Rp 583,000
24 Spedboard Depan Buah Rp 104,940
25 Spedboard Belakang Buah Rp 58,300
26 Tromol Roda Set Rp 209,880
l\. SCORPIO Z
4 Pelek (depan) Buah Rp 932,800
C. MIO
3 Kabel Gas Buah Rp 74,200
4 Karbirator Buah Rp 769,560
o oiang risione ouan Kp Z03,UUU
8 Spedboard Depan Set Rp 101,442
9 Spedboard Belakang Set Rp 78,122
i n T AnZ lA nnll 1- T* r\e r-1 t^
51
HARGA
(Rp)
1 2 3 4 5
4 Kaibiralor Buali Rp 769,560
6 Stang Pistone Buah Rp 265,000
8 Shockbreaker Depan Set Rp 104,940
9 Spedboaid Depan Set Rp 101,442
IC. JUPITER Z
10 Lager Kreak As Buah Rp 137,800
21 Shockbreaker Belakang Set Rp 384,780
25 Tromol Roda Buah Rp 209,880
28 Tutup Bensin Buah Rp 11,660
29 Lampu Besar Depan Buah Rp 270,512
V. J U P I T E R MX
4 Pelek (depan) Buah Rp 746,240
7 Kanvas Rem Depan Set D _ OA T O T
Rp s9,72
ry
52
HARGA
(Rp)
V W/
I 2 3 4 5
16 Kaibiiator Buah Rp 874,500
18 Plat Kopling Set Rp 127,200
20 Shockbreaker Depan Buah Rp 279,840
21 Spedboard Depan Set Rp 104,940
22 Tromol Roda Set Rp 221,540
<;. V E G A R
10 Lager Kreak As Buah Rp 137,800
15 Lager Stang Seher Buah Rp 81,620
18 Piston Assy Set Rp 153,700
11. ModelV. 100
1 As Stater 296- 15660-00 Buah Rp 198,220
2 As Persmeling 58 H - 18101 -02 Buah Rp 617,980
3 Bussy Buah Rp 14,808
4 Balon Lampu Buah Rp 42,559
5 Cylinder Cop 1LH-E1635-00 Buah Rp 326,480
6 Condensor Buah Rp 198,220
7 Pelek 04414-17489-93 Buah Rp 174,900
8 Gir Besar 3AY-FS443-00-9 Buah Rp 75,790
9 Gir Kecil 93812-15063 Buah Rp 46,640
in 1o.q - T O M ! 7y.XFAT/l l - O l d T< nzo
53
HARGA
(Rp)
1 2 3 4 5
14 Kabel Body Assy Buah Rp 199,269
15 KoilSTl-H2310-VO Buah Rp 61,798
16 Kabel Kilometer ZE1-H3550-00 Buah Rp 31,482
17 Kilometer Assy Set Rp 416,262
18 Kick Stater Buah Rp 454,740
19 Kick Persmeling SGI-E8111 -00-93 Buah Rp 58,300
21 Karbulator Set Rp 588,830
22 Kaca Spion Set Rp 93,280
23 Kiprocks Buah Rp 128,260
24 Lager Roda Buah Rp 33,814
25 Platina Buali Rp 93,280
26 Rante Besar Buah Rp 326,480
27 Stang Piston Set Rp 340,472
28 Shock Breker Belakang Set Rp 222,706
29 Shock Breker Depan Set Rp 419,760
[. Model R X - S
1 Felek 94414-18805-93 Buah Rp 192,390
2 Kabel Kopling 1TN-F6335-01 Buah Rp 50,138
3 Bussy Buah Rp 14,808
m S U K U CADANG HONDA
A. SUPRA X 100 cc (NT 100 D)
15 Pistone Ring Set Rp 122,430
16 Pistone Assy Buali Rp 152,746
23 Rante Kecil Buah Rp 54,219
25 Tensioner Kecil Buah Rp 157,410
27 Key Set Set Rp 113,685
28 Batok Depan Buah Rp 169,070
29 Batok Belakang Buah Rp 33,814
1 JT / I irirx
54
HARGA
(Rp)
J 2 3 4 5
R N F W ST i p r a F I T ( N F i n n NT I
4 rx rx j ^ rx rx
16 Pistone Assy Buah Rp 227,370
25 Tensioner Kecil Buah Rp 157,410
26 Tensioner Besar Buah Rp 16,907
30 Sayap Dalam Set Rp 128,260
31 Sayap Luar Set Rp 128,260
32 Body Set Rp 198,220
C. Kharisma X (NF 125 DX)
16 Shockbreaker Belakang Set Rd 447.744
55
HARGA
(Rp)
1 2 3 4 5
21 Rante Kecil Buali Rp 201,718
23 Battrey Buah Rp 261,184
D. Supra X 125 (NF 125 SD)
24 Key Set Buah Rp 235,532
29 Body Set Rp 367,290
E . Win
in fioUo/iz. 13,. nV. 0 Itt 1 AC
56
"g-'MTT IM T wry ry w T~W rw r r~', A W A ^ _ n~n ^ - - - M _ . __ _ HARGA

(Rp)
2 3 4 5
15 Sliockbieakei- Belakang Set Rp 381,282
GLMax
8 Karbirator Buah Rp 2,506,900
(r. Kirana
. _
II. Tiger
4 Gir Besar Set Rp 848,000
5 Gir Kecil Set Rp 848,000
D U T>_ T Cfl/: flAA
57
HARGA
NO JENIS SUKU CADANG/SPESIFIKASI SATUAN KET
(Rp)
I 2 3 4 5
1. Mega Pro
4 Pelek (belakang) Buah Rp 396,440
8 Klackson Buah Rp 46,640
9 Karbirator Buah Rp 2,506,900
11 Pistone Assy Set Rp 178,398
IV BAN K E D E R A A N (Mobil dan motor)
A. Ban Mobil
:. LIHGT TRUGE (LARGE)
- 700- 16 1 2 p r m r G T Buah Rp 1,387,540
2. LIHGT TRUGL (AMAIL)
- 550 - 13 6 p r m r G T Buah Rp 419,760
- 660- 13 6 p r m r G T Buah Rp 524,700
- 640- 13 prmr extra GT Buah Rp 495,550
- 700 - 14 c 8 pr mt GT 246.500 Buah Rp 594,660
: i . REGNO 70 G H A
- 175/70 R 13 84 II G-11 A CORSA Buah Rp 367,290
4. D-102 (HITAM)
- 185/70 sr 13 D- 102 CORSA Buah Rp 367,290
- 185/70 sr 14 D- 102 CORSA Buah Rp 466,400
- 195/70 sr 14 D- 102 CORSA Buah Rp 524,700
ll. Ban Motor
TipeCab
- Depan Buah Rp 160,908
- Belakang Buah Rp 207,548
2. Tipe Matic
Depan Buah Rp 152,746
Belakang Buah Rp 192,390
2. Tipe Sport
Depan Buah Rp 239,030
Belakang Buah Rp 367,290
frntrnmlm.., Ll. Dlm,n .. . . 7. r>.U

58
B,4. A L A T K A N T O R D A N A L A T R U M A H T A N G G A
HARGA
NO. JENIS B A R A N G DAN PERALATAN SATUAN K E T
(Kp)
J 2 3 4 5
1. Al J A T K A N T O R D A N A L A T R U M A H TANGGA
1 Alat Kantor
- Mesin Ketik Manual Portable (11-13) Buah 2,098,800
Mesin Ketik Manual Standar (14-16) Buah 3,019,940
- Mesin Ketik Manual Royal R-13 OLX Buah 3,078,240
- Mesin Ketik Manual Royal R-13 DLX Buah 3,334,760
- Deluxe 750 Buah 1,859,770
- Brother 13" Buah 3,174,435
- Sander 22/Standar 18 Inch Buah 7,952,120
- Sander 22/Standar 27 Inch Buah 8,208,640
- Royal 775 18 Inch Buah 7,182,560
- Royal 775 26 Inch Buah 9,234,720
- Royal Express 13 Inch Buah 2,244,550
- Olivety Linea 98 - 15 Inch Buah 3,014,110
Mesin Ketik Elektronik Buah 6,063,200
- Sander 66 /Erika 13 Inch Buah 5,130,400
- Royal SE 400 DS - 32 K 14, 5Inch Buah 7,870,500
- Royal SE 500 17 Inch Buah 14,866,500
- Olimpia Portable Carera 13 Inch Buah 10,727,200
- Brother CE - 600 14 5 Inch Buah 2 740 100
YM^ / 1 XJ n A XJ XJ
- Sham Portable PA-31000 II13 Inch Buah 5 305 300

XJ IIWI Ly A XJ A m w A W A i A xJ JL \A Xr XJ U L xJ xJxxJ\JxJxxJ\J\J
- Rohotrom 3004 12 Inch Buah 4 809 750
A^XJxJjy 1 xJXJ
- Rohotrom 6007 13 Inch Buah 8 016 250
.A. WXJXJXJ A A \J 1 AJ XJ XJ XJ 1 I xJ A-A AWL A
- Rohotrom S 6130 V (150 CHI 17 Inch Buah 8 978 200
A V W XJ XJ LA WA AA XJ XJ A xJ XJ T 1 1 - xJ XJ \ J l If A. 1 A.LAW11
- Canon AP 1000 14 Inch Buah 1 182 560

1 X A XJ Ux xJ XJ XJ
- Canon AP 6000 15 Inch Buah 7 054 300
A X XJ xJ t xxJ XJ XJ
- Olivety ET Compact 65 13 Inch Buah 8,016,250
- Olivety ET 2200 15 Inch Buah 9 106 460
J X A XJ Wm XJ XJ
- Olivetv ET 2500 (32KI 17 " Buah 15 070 550
Vyil VWl y A-J A iMxJXjXj \xJ4trA/\.f A 1 A xJ xXJ t xJ xxJ xJXJ
- Nakajima AX 90 13 Inch Buah 7,182,560

2 Mesin Hitung/Jumlah
Mesin Hitung Manual Buah 151,580
Mesin Hitung Elektronik Buah 1,049,400
- Mesin Pencatat Hadir Merek Amano Buah 3,789,500
Mesin Calculator Buah 2,273,700
Mesin Penghitung Uang Buah 4,255,900
3 Alat Reproduksi (Pengganda)
Mesin Foto Copy dengan kertas biasa dohle folio Buah 40,810,000
4 A l a t Fenyimpanan Perlengkapan K a n t o r
Lemari Besi Buah 2,915,000
- Lemari Besi Merk Elite 2 Pintu Buah 4,081,000
- Rak Besi/Metal Buah 1,224,300
RakKayu Buah 1,106,534
Filling Besi/Metal Buah 2,856,700
Filling Kayu Buah 2,551,208
5 Alat K a n t o r L a i n n y a
Alat Detektor Uang Palsu Buah 244,860
Alat Penghancur Kertas Buah 2,157,100
59
HARGA
NO. JENIS BARANG DAN PERALATAN SATUAN K E T
(Rp)
r 2 3 / 5
t Meubilair
- Meja Tik Buah 3,206,500
Kursi Putar Buah 2,157,100
Kursi Lipat Buah 787,050
" Alat Pembersih
Mesin Penghisap Debu Buah 1,864,434
Mesin Pel Buah 348,634
Power Conditioner Buah 4,547,400
Kipas Angin Buah 232,034
Exhause Fan Buah 1,367,718
Reach in Frezzer Buah 3,550,470
Reach in Chiller Buah 3,550,470
8 Alat D a p u r
Kompor Listrik
Maspion S - 301 Buah 227,370
Kompor Gas Buah 2,738,934
Kompor Minyak
Hock Buah 378,950
Butterfly Buah 212,000
Teko L i s t r i k
Airlux 200,552
- Sendok M a k a n Stenlessteel
Star Spoon 13,992
- G a r p u M a k a n Stenlessteel
Dool 13,992
Oven L i s t r i k
MT500 383,614
- K i t c h e n Set
Royal 1,982,200
Mesin Parutan K e l a p a
Star SCO - 12A 2,215,400
K o m p o r Kompresor Buah 4,081,000
9 Alat R u m a h Tangga L a i n n y a (Home Use)
Alat Pemanas Buah 1,970,540
Radio Buah 612,150
Televisi Buah 3,264,800
Amplifiler Buah 2,670,140
Equalizer Buah 1,743,170
- Speaker Active SIMBADDA CST 2218N Set 308,990
- Speaker Active SIMBADDA CST 8200N Set 1,253,450
- Speaker Active ADVANCE M-80 Set 332,310
- Speaker Active POWER UP BOI,R Set 1,119,360
Compact Disc Buah 1,469,160
Karaoke Buah 4,244,240
I[ M e j a D a n K u r s i K e r j a / R a p a t Pejabat
1 M e j a K e r j a Pejabat
Rangka Kayu Kelas I Buah 4,430,800
Rangka Kayu Kelas II Buah 3,614,600
- Meja Biro Sedang buatan lokal uk. 150 x 75 x 75 cm
6 laci kanan dan kiri pakai kunci dengan b ihan Teak
Ply Wood 4 mm Melamic Finish .
60
HARGA
IFIVTSI R A R A V I " ' r i A M PFRAT A T A N 5A 1 \J A l l K F T
(Rp)
r 2 / 5
Meja Biro Sedang buatan lokal uk, 141 x 70 x 75 cm
uri lavi
ljif*i n.auaii
IffiTiPiti uan
nfliT mK I Ti * !l paNai
tiftictii KUiiUi
Ifimfi VJviiâii
n^noflti ll Oiuiii
iilmTi ivaiv
TPSIK
Plv
I T l y AA/nnH
vv vYuu 4' tniTi \/f^*lamip iFiniQli
iiuii iviviaiiiiu . i J i i j i i .
tvangKa ivayu ixeias i xxuan 1 (y\A 600

OnrtlyX It O L n i Ic A f a o T T
D Rnah 1 177 ISO
ivangKa jvayu ivcias i i
ivicjd i / z Diiu ocudng uudidii iOKdi UKura 1 i z u x ou \
JJ vlll c LaUl Nalldii pdJvai A-UllVl Uvllgdll UdluUl
Rangka Kayu Kelas I >uan 0 o 1 s ofin
Rangka Kayu Kelas 11 Duan Z , 6 J D , /UV
ivieja i i K Duaidn ijOKai uKuran i z u x .X OV cm pdxdi

Vara rvhpn 8 mm
KangKa is.ayu js.eias i Rnah 1 irtfi. son
j,i.yj\j,j\j\j
ouan
MJ n MY rx trn mi r\ 1 n 1 mi ix \ n c\ T 1
ijuan 7 7 4 0 1 0 0
KangKa Kayu Keias i i z, / to, lUU
K n JVM n 1 "t I,- / T AIJVMYJYMY rYiiyvI'jvw Ijvljnl iMljMM**yvv T flfi xr C f l xr (x' /
ivieja 1 IK / I eiepon ouatan loxai uKuran i ou x 3U x o /

cm
V Hf*noaii hahan
l l l uvticYaii uaiiuii Tf*ak
i van. i.Plv
ly WnnH
VT U V Y U 4
mm
iiiiii, vinltv
vxuiiy iPIPX
ivn
15 mm

Rangka Kayu Kelas 1 RI jaK 7 Z 7 7

Z , O Z J , J U U
son
Rjanrjlro It Q\ni
J\.dllgK.d JVdyU It A I Q C T I
JVvIdd il Rnah 7 040 500
tm,\fy\J,J\J\J
\WCT T O P MK - 101 R 10S Y riS X SO rm 3 031 600

xJ X XJ xJ A X XJ XJ XJ
. Meja Komputer SONG'S M K - 03 abu-abu kwalitas A 372 500

T^,Y / Z , Y V V
export dengan ukuran 125 x 59 x 99 cm
Meia Gambar Kualitas Baik Buah 14,924,800
N/fpia Oamhar Kiialitac Raik IVTfrk 1\4iitn Buah 17,198,500
ivLvia v j a i i i i z a i a v L i a i i i a o L / a i i v i . v x v i i v I V I U L V
? ICiirî Kprisi Ppiiihat
Z, XTkUl iSI T W l J n XvjctlYMT
Kiir<ii Keria Stel Oval karet husa dibiinffkii*; Tllnhostv
ukuran 50 x 48 x 80 cm import pakai tan an
Buatan 1 ôkal Pakai Tanean Buah 2,098,800
j L j u a i M i i jzvyivcn J . C l i v a l i a i i K j a i i
Buatan Tôkal Tanna Tansan Buah 2,040,500
a-JYiacai.L ajvjiviYL A uaaijLi A Y\ i VL i * 11
1 K u r s i Ffadan Denan M e i a K e r i a Peiahat

nj M,Â%AM \Am M.M.AM\mMMmM MrAoAmmM, ..m.WL 1 * M- MrMmAAimJAM
Kiirci Oiretrci t-rvHrnlir Stel Oval karet biria Hihiinirkn^

iVUi L/IlVPval l i y u i V J l l V VYIVI V Y V O I A a i V l U U . K I UlL/UllglVlia
Ulphosty pakai tangan
Sandaran Tineei Buah 4,372,500
*JV*M.*Mi*MM A VVAA. A. AAAX^^yA
Sandaran Rendah Buah 4,081,000

kYaiiuai till x w i i v i a i i
4 fCiirKi T f i i n i i Hi R i i a n p a n Peiahat
Kiir<vi Tamil di Riianean Tâin-lain
~ x v L i i a i A ciiiivi v i i .iv-ciaii&cu 1 v j a i i i icuii
Kiirîi Tamil Kater hiisa dihunskus lJlnho*;tv ukuran 75
x a i i i c i i - x a i v i L/cioa viHYciiittivcia
XV.V11 3 1 VYIL/IIV>.IJ' ciivciiaii /Y
X S S em <?atii stel 4 huah
A. -r xj Vlll a a i u oivi ~ IYLICUI
Ranoka
j v a i i ^ " rICavii
v a y U iICelac 1
v v i a a x Buah 6 646 200
XJ X XJ I XJ X U XJ XJ
x v a i i ^ A a Jvayu r v v i a a xi Buah 5,771,700

V jvXrv I n MYY* 1 1 M-ZYI VVM m rxn JM M IYM I MY JMI I n T i IMYTY J\ nl-x r i v 1 j-v mm v\ t V 1
30Ta tamu Karet Dusa uiDungKus uipnosty uKuran l o i

V 9(\ Ai " 7 ^ r>*yy
X oU X / 3 cm T* v Z.CC 1 C\C\
Rangka Kayu Kelas I Buah 4,556,300
Rangka Kayu Kelas I I Buah 5,655,100
Kursi kerja tamu karet busa dibungkus Ul])hosty 2,915,000
iikiircin
UKUldil SOY UV
A JS52
O vA ORO cxw KiiafQn
V Y VUl UUdldll Inkal
lUKal
TCiirci tamii rntan nnlec dan hiica diidiikan ctel 4 huah S 810 000
i V U l al LalUU ILfiaiL UGllva U a l l LfUaa u U U U I V a l l alVl ^ lYUOll
tdiiiUdll Illvjd KdVd

Duan 131 son
- Kursi tamu rotan anyaman stel 2 buah tambah meja
0, iZ 1,3UU
kaca
T J m -r T-v 1 1 1 O 1 I . J I 1 . 1 1 T-v I
- Kursi Tamu Ligna Busa dudukan Stel 4 buah tambah Buah 6,996,000
meja kaca
- Kursi Lipat Chitose dengan kode
A&NN 757,900
NA&N 1,807,300
HNN&HAA g^2 ROD
61
HARGA
NO. JENIS BARANG DAN PERALATA> SATUAN K E T
(Rp)
f 2 3 4 5
- Kursi Putar Chitose dengan Kode
NA Buah 1,749,000
N B K Buah 1,923,900
NAC Buah 1,399,200
- Kursi Hidrolic Chitose dengan Kode

N A - HD Buah 1,807,300
NEK-HD Buah 1,515,800
- Kursi Susun Futura dengan kode :
405 Vinyl Buah 2,040,500
405 A T L Buah 2,040,500
405 Bludru Buah 1,574,100
- Kursi Lipat Futura dengan Kode
501 A Buah 757,900
401 A Buah 787,050
407 A Buah 787,050
407 A / T T L Buah 641,300
402 A Buah 757,900
- Kursi Putar Futura dengan Kode
353 N F Kaki Lima Buah 874,500
303 N A Kaki Empat Buah 1,836,450
353 N F K Kaki Empat Buah 2,157,100
303 N B K Kaki Empat Buah 874,500
7 L e m a r i dan Arsip Pejabat
Lemari Arsip untuk arsip Dinamis
- Filling Kabinet Merk Lion
2 Laci Buah 2,623,500
3 Laci Buah 2,856,700
4 Laci Buah 2,973,300
- Filling Kabinet Merk Asahi
2 Laci Buah 3,789,500
3 Laci Buah 3,789,500
4 Laci Buah 4,372,500
- Filling Kabinet Merk Broder
3 Laci Buah 1,953,050
4 Laci Buah 2,186,250
- Filling Kabinet buatan lokal ukuran 47 x i 32 x 60 cm Buah 3,498,000
Rangka Kayu Cempaka
- Lemari Arsip Buatan Lokal ukuran 95 x i 85 x 50 cm Buah 6,704,500
Rangka Kayu Cempaka
- Lemari Tempat Kartu bahan Kayu Linegua Tipio 18 Buah 6,704,500
mm dengan ukuran 140 x 100 x 35 cm
- Lemari Arsip buatan iokai ukuran 200 x i 35 x 50 cm, Buah 6,996,000
pakai kaca rangka kayu cempaka dan mirrnti
8 Alat Pendingin
* MerkLG
- i/2 P K Unit 4,770,000
- 3/4 P K Unit 4,982,000
- IPK Unit 5,194,000
- 1,5 P K Unit 6,890,000
- 2 PK Unit 7 950 000
/ x}\J n\J\J\J
- 3PK Unit 23,850,000
- 5PK Unit 30,210,000
* SAMSUNG
- 1/2 P K Unit 4 oiQ nnn
62
T T A TTX~* A
NO. JENIS BARANG DAN PERALATAN SATUAN HARGA K E T
(Rp)
2 3 4 5
- 2PK Unit 9,010,000
- 3PK Unit 26,818,000
- SPK Unit 30,210,000
* PANASONIC
- 1/2 PK Unit 5,300,000
- 3/4 PK Unit 5,830,000
- 1 PK Unit 7,261,000
- 1,5 PK Unit 7,420,000
- 2PK Unit 10,070,000
- 3PK Unit 31,482,000
- SPK Unit 37,312,000
* SHARP
- 1/2 PK Unit 4,770,000
- 3/4 PK Unit 5,141,000
- 1 PK Unit 6,360,000
- 1,5 PK Unit 7,261,000
- 2PK Unit 8,745,000
- 3PK Unit 24,486,000
- SPK Unit 31,482,000
* POLYTRON
- 1/2 PK Unit 4,081,000
- 3/4 PK Unit 4,505,000
- IPK Unit 4,770,000
- 1,5 PK Unit 5,300,000
- 2PK Unit 7,420,000
- 3 PK Standing Floor Unit 17,490,000
- 5PK Unit 22,260,000
* LEMARI ES
Merk LG Unit 2,681,800
MERK SAMSUNG Unit 2,565,200
* MESIN CUCI
MerkLG Unit 3,731,200
MERK SAMSUNG Unit 3,672,900
PANASONIC Unit 3,672,900
Cc tatan : Harga Belum Termasuk Pajak

63
B.5. P R O J E C T O R , C A M E R A DAN P E R A L A T A N K O M P U T E R
HARGA
NC. JENIS BARANG / M E R E K DAN SPES (FIKASI SATUAN K E T
(Rp)
m
1 z1 4 5
3
I
I
- 0\'erhead Projektor
- HITACHI CP-EX300
î A TV 1 J' .-V i~x *x ' . 1 f n r\i\ A w J C T M T T- mryw T rm n j \ j \ jv M
X G A Resolution^ L C D Technology,3200 ANSI LUMENS,2.000:1 f\ f r rm i\Ci rm
ry J TV _ j . ! _ y/"i/\fviT_ T T-'l T Trv #Tfv J A M vr ir i r\' Unit 9,362,980
Contrast Ratio, 6.000 Hours Lamp File, HDMI Port, Auto V Ke>stone,Pin
- Lock,Ke>'pad
HITACHI Lock,USB Type B,Wifi L A N 802. 1 b/g/N
CP-RX250
XGA Re<!nliitinn 3 I C D Tprhnnlnov 2700 Ansi I iimpns 2000-1 Prmfrnst
Ratio 5000/6()()()H Lamn Life (Enco Mode) 50 )0H fUrethane) Filter Unit 6 179 800
vy J i # J 3
M. m\mxj X xjxjxj\ji\jx'\'*'m.A r V^"^ A wvy * * * w v* w / ^ xj \j j vy A A \ u i w LA AAAAA vy / A AA L W A
Cleaning Time, 215 Watt Lamp.

- HITACHI CP-X3030WN
Y G A Rpsnliilinn 7 1 P D Tprhnnlnov 7200 Ansi T nmpns dOOO-1 Pnntrast

Ratio 4000H Lamn Life Auto V-Kevstone Instint On/Off 16 Watt Unit 11,426,800
Speaker, Wifi L A N 802.11 b/gflM
- HITACHI CP-X2521WN
X G A Resolution, 3 L C D Technology, 2700 Ansi Lumens, 2000:1 Contrast

rm X rm r A r rm
Ratio, 4000H Lamp Life, Auto V-Keystone, PIN Lock, USB Type A, USB Unit
9,106,460
Type B, Wifi L A N 802.11 b/g/N
- HITACHI CP-EX400
YPIA 7 1 P F l T u r h n n l n m ' 4700 A n c i I itmunc l O O O - 1 f n n t r a e t

Racnllltinn
Umt \ 1 C di OAA
Avj/\ ivesoiuiion, A L V ^ L I lecnnoiogy, i z u u Ansi Lumens, zuuu.i Lonirasi 13,642,200
- Ratio, 6000H
HITACHI Lamp Life, Auto V-Keystone, PIN Lock, 4 Lamp Mode
CP-X2530WN
X G A Resolution, 3 L C D Technology, 2700 Ansi Lumens, 4000:1 Contrast

rm r f rm y rmrm
Ratio, 6000H Lamp Life, Auto V-Keystone, PIN Lock, USB Type A, USB Unit 8,570,100
Type B, WiFi L A N 802.11b/g/N
- BriteCam V S 501 D
Complete Stand-Alone MP4 Video, audio, recorc ing, and-playback, Buiil-
in SD Card, USB. Microphone, 3" Color L C D W ndow Preview-and Unit 6,704,500
Backlight and Speaker
- NECVE281G
DLP Technology? S V G A (800X600), 2800 Ansi ..umens. Contrast Ratio
3000:1, Lamp Life 6000 Jam, Power Consumptic n 206W Leo Mode, Unit 7,182,560
HDMI, Berat 2,3 Kg
- NECVE281XG
I-vT TV T ' 1 1_ VT /~y A /1 cy A f m \ rmnf\t\ A ' T y-i , . rv .
DLP Technology, X G A (1024x768), 2800 Ansi I umens, Contrast Ratio

r\ r\ l\/X I T 1 ' J2 /l\i~mi\ T V rx ." rmrxrXAT rm * A J Unit 8,080,380
3000:1, Lamp Life 6000 Jam, Power Consumptic n 206W Leo Mode,
- N E C M 3Berat
HDMI, 1 1 X 2,3 Kg
'V J11Y < 1 * 1 1 wr r~x A f V / \ y* A f r rm\ fx rm rm A T ry j A TV . '
3 L C D Technology, X G A (1024x768), 3100 Ansi Lumens, ConPast Ratio

aArtA.I T M I ',Cn 1 AAAA T _ T A XT AATT,...!., I TXT A , I T C D A P. T T O O T \n'.X 11 AA7 A AO
3000:1, Lamp Lile 10000 Jam, LAN, Wireless L.vN Port, USB A & USB
Unit 11,544,400
- B, HDMI,
SONY V P Berat
L - E X 22,9
2 6 Kg
X G A Resolution 2700 Ansi Lumens Contranst Ratio 3000 1 7000 Hours
ZV V J / V X W O V Y I U l l v f i ix ^ 1 XJmJ f U i a i J _ y U i l l V l l 0 ^ V ' V J i l l l Cll XLJ A 1 x t l L l V J V/V/X/. 1 , / \J\jmJ 1 X V / U l O
Unit 7,439,080
Lamp Life, Wireless, Auto Keytone Adjustment, nput RGB, USB Type A-
B, Audio Video, HDMI, L A N Speaker 16 Watt
- SONY V P L - E X 2 4 6
'\7 A TV _ _ _ 1 , . i f Hf\f\ A Mna T xxnixAX. fxxnxrx C rxxxAmnrxArmrmA T ' yx4-i yx T / V A d 1 T A A A UIyx..>-n
AOA Kesoiution, izuu Ansi Eumens, coniranst ixatio J U U U . i, /uuu Hours

x^cuixp X y i x c , v v i i c i c a a , Tv,utv/ r v c y i u i i c T r v u j u a i i i i c i i i , xiûi ivvjXJ, VLJXJ lyj/c tlx Unit 10,785,500
TV A A'xrx \T\Anm.ox LTTVAAT T A X T C.yA.y.1 -x 1 . WT,X.A*
B, Audio Video, HDMI, L A N Speaker 16 Watt

- SONYVPL-DW120
X G A Resolution, 2500 Ansi Lumens, Contranst faitio 2500:1, 7000 Hours

Lamp Life, Auto Keylone Adjustment, Input Conxlion RGB, Audio Unit 7,952,120
Video, HDMI, Speaker 1 Watt
- S O N Y VPL-DX140
64
HARGA
NC. J E N I S B A R A N G / M E R E K D A N SPES i n K A S I SATUAN M.MJL IX JI V V_M I K. K E T
1 Z J
f
4
I C
J
T n Xitkiirx
\-\J r A / Lt \ j 1
T-v F TV MY T T V FT r J V A T V f * MYyxxjkM JV TV T JX JX
DLP Technology, L E D , W X G A Resolution, 15000:1 Contrast Ratio, 700

A T I T O r T T TA A T - X IfT f fmrmfmiyrt I T ' 1* T T T V A AT TV . I I F ' J ' O T T ' J T TfTV T T^z n 1 i\r Am
ANSI L U M E N S , 30000H
/ / N C V _ _ r?*i_ o \ K I+"
Lamp Life,
. J ' n ' \
HDMI Foil, Widi, S Video, USB Unit 9,106,460
(Onice File & Multimedia Viewer)
- EPSON EB-X300
X G A Resolution, 2800 Ansi Lumens, 15000:lCc nPast Ratio, Auto V
Kzeystone, H-Keystone Slider, 1 Comp In, AV, HDMI, USB-A, USB B, Unit 6,996,000
TI/;!?' /x4-iyx /n T* A n A ' T \
- WiFi
EPSONOption (ELPAP07)
EB-S300
S V G A Resolution 3000 Ansi Lumens 15000'1 f ontrast Ratio Auto V
K/ex^stone H-Kevstone Slider 1 rnmn In AV HDMI IISR-A t I S R R 1 [nit 6 170 son
WiFi Ootion tELPAPO?)
T T %.M 1 XJ Vj frx\JSL 1 \ ' U J. jl vX \ J t /
- OPTOMA S31 OF
~ XxJ I l T J i M X y V VJ xJ R X'M_/
TVl n T * . . yl...y. yI y.. yx. t - x - T " y . . . yx y. 1 n^ nxi- .-M-n nxnn. 1 n. 'T'VA/\ A X O l T 1 O lZ A
DLP I echnology by Texas Instruments, 3200 AN SI Limens, S V G A

' Q A A v l C A A ? f/.M+yoo* D n t i y , A A A A A . l S A A A 1 C P I 1 J y , , , y y T n m y , OOIWI D y x . i . a y Tlnit 5 017 son
touuxDUUj,
O
/VV
vonirasi
r W T v h ZVTl
11 \7fiA f Katio
TlTVIlT
zyjwKj.i, J U U U L t u Hours Lamp, iLivt rower y , u i J.oxfyj
VyOnsumpiion, vvr/vinpui
- PANASONIC PT-LB300
~ R. A RL Xi RVJ^xJl y RU R I .RJ R-J xJ\J mj
A.OA ji_,cu iccnnoiogy, j i u u /vnsi jyiimCTis, oonirast ivano

IÎUZHX/UO>,
Unit 8,453,500
lOOOn-l
ivv/vv/.i, soon
ow/v/ HmirQ
ouuio T nmn i 1s Z9Z 7AAm
i-<aiiip, l^nc 11 VVflA
y U U U i iciJax Inniit
V J A liipul
PAMAQnXtTP PT T R980
T r ry i TV f j' i r-rm i i yvjxyxjxA ' T ry , TV '
X G A Resolution,
M jxjx/xyx y JXJXJXJX
LedTechnology, 2800 AnsiyLu
y x T-V M J T yv y ry R
nens. Contrast Ratio
T T JX Unit 7,823,860
10000:1, 8000 Hours
Vl " ! y \
Lamp, HDMI, 2 V G A , 1 W Speaker
i l l
V" V
- Philips Picopix (mini) Portable Unit 6,762,800

A T-V XT" 1 A A
- Sony DX102 Unit 6,179,800

A rxxz 1 A f Unit 8,278,600
- Sony DX142
Bena M A O U O Unit
r 1 T/v n rm rm
6,179,800
1 CAMERA
- CAMERA
JV TXF T A 1 A r
Canon LXUS 145 : Buah 1,539,120

ioivLr,oA upticai Loom, ou card, LCu uvplay J,u
rv r n rm A ivrm
SONY W69(): Buah
_T_ 1
1,632,400
/A A/fP WY Drtti/^nl 7nnm C/irtl T C P i n,cn}ni> ^ O"
iuivir,iuA KjpiHrUt coufii, VJU K-JUIU, L/K^ U uizipiuy J,U
oUlN I W / l U . Hi,.,!, 1 HAQ A A A
/ yf S jfr> C\4 nxmomti ^, 1 "7 .X y , C T A Z^y - J F Z" / A 7V._I '7/'

rsuan
ry A IR
i6MP,5Xoptical
ar wy xrv rm v w / ' K M *
A
Zoom,SD Cara,LcD Displcy 2.7
- C A M E R A S L R / Mirrorless
Canon E O S 1100 K i t : Buah 5,899,960
frrx i i - v i T /"T / I f - r f i r y x r v T'X i -v ^ / i T C t' A i n
SLR, J 2.2 Mpx, Sd card Slot, LCD Display 2 5 wl Lensa EF-S18-

c C u . u , r j r z r rc
55mm p 3.5-5.6 IS
Canon E O S 700D K i t l : Buah 9,491,240
SLR, 18Mpx, Sd card .Full HD, LCD Display 3.0" wl Lensa EF-S 18-
55mm
SLR. 18 Mpx. Sd card Slot, Full HD.LCD Di: play 3.0" wl Lensa EF-
ry in r r f y r r r m
S 18-55mm pS.5-5.6 IS
SLR, 18.7 Mpx, CompactFlash Card Slot, Fu'l HD. LCD Display
y r\ 9t I T T T~* f ' 9 n r r *y r r r j /'
3.0 wl Lensa EF-S 18- 55mmp3.5-5.6 'S

N I K O N D3100 K i t V R : Buah 5,830,000
r-r w v t y Y M J y T1 1 J n ry jV I jvl r ry ry 1' 9 or rm 99 9
SLR, 14.2 Mpx. Compact Flash / SD Card Sh it, LCD display 3.0 " wl
T A J- o 9 C9 c c - t' Ii c c r T / T V
Le,ya AF-S 18-5 5mm p 3.5-5.6GVR

N I K O N D3200 K i t V R : Buah 6 762 800
SLR,24 Mpx. Compact Flash/SD Card Sloi. LCD display 3.0" wl
Lensa 18-55 VR
N I K O N DSlOO K i t V R Buah 7,823,860
SLR,16.2Mpx, Compact Flash / SD CZard Siot, LCD display 3.0" wl
Lensa AF-S 18-55mm fi 3.5-5.6G VR
N I K O N D7000 K i t V R : Buah 16,032,500
SLR, 16.2 Mpx, Compact Flash / SD Card SI ot, LCD display 3.0" wl
i I en nr. d Z T C JQ ; / . Y r/ i> s: z tc T2T\ Tm
65
HARGA
NO. J E N I S B A R A N G / M E R E K DAN SPES; F I K A S I SATUAN K E T
(Rp)
1 2 3 4 5
IxllVVlX Ll/ lUU V K IVIl 1: Buah 19 239 000
SLR, 24 Mpx, SD Card, Full HD, LCD disp lay 3.0" wl Lensa FFS
J 8-105 mm
Fenilatan Komputer
1 S erver Komputer
- Personal Komputer Lain-lain
PovverEdge T2(), Dell PowerEdge T20/Intel Xeoii Procesor E3-1225 v3

- 3.2GHz 8M/4 G B U D I M M / I T B 7.2K Entry SAT A 3.5/Ke>board and Unit 14,117,753
Mouse/Single Power Supply 290W/NO OS
PowerEdge T420/Intel Xeon ES-2407 2.20GHz OM Cache, 6.4GT/s, No

Turbo, 4C, 80W/Chassis Wih up to 8x3.5" Hot P ig Hard Drives/LCD
display for T420/Besel/4GB Memory (lx4GB), 1333 Hz, Dual Rank L V
RDIMMs/ No Additional Processor/2x500GB 7.::K RPM S A T A 3.5" Hot
Plug Hard Drive/PERC H310 Integrated RAID C jntroller. Full Hegh
Support Raid 0,1,10,5,50/16xSATA DVD+/-RW Drive for Ms 2008 37,348,438
Unit
R2/Dual,Hot-plug, Redundant Power Supply (!+[). 495w/ perc c A B L E
FOR 3.5IN 8HD Hot plug Chassis/ No Monitor/> o Operating
Systim/Elek-tronic System Dokumentation and OpenManage D V D Kit Dell
PowerEdge T420/Basebiard Management Contol er (12G)
PovverEdge R430 Server/Intel Xeon E5-2609 v3 1.9GHz, 15M Cache,

6,40GT/ Sqpi, No HT,6C/6T/(85W) Max Men If 00 MHz/3.5" Chassis
with up to 4 Hard Drives /2 X 8GB RDIMM, 2133MT./S, Dual Rank, x8
Data Width/ No Additional Processor /135W Heatsink for PowerEdge
r430/300GB lOK. RPM SAS 6Gbps 2.5in Hot-pli g Hard Dnve, 3.5in
- H Y B C A R R / P E R C H330 Integrated RAID Contr Diler /DVD+/RW /Dual- Umt 46,167,945
Plug, Reduddant Power Supply (1+1). 550W/ USB Optical Mouse+
keyboard/No OS/ On-Board L O M I G B E (Dual Port for Towers, Quad
Port for Racks)
PowerEdge R430 Server/Intel Xeon E5-2630 v3 :'..4GHz, 20M Cache,

8,00GT/ Sqpi, Turbo, HT,8C/16T(85W) /Chassis with up to 8,25" Hard
Dnves/ 16GB RDIMM, 2133 MT/s, Dual Rank, > 4 Data With /No
Additional Processor/ Idrac8 Enterprise, integrated Dell Remote Acces
Controller, Enteprise/300GB 15K RPM SAS 6Gtps 2.5in Hot-Plug Hard
Drive, 13G/PERC H730P Integrated RAID Contr oiler, 2GB
Umt 63,579,648
Cache/DVD+/RW ROM, SATA, Intenal/ Dual, H ot-Plug, Reduddant
Power Supply (1+1), 750W/ Broadcom 5720 QP 1GB Network Daughter
Card/USB Desktop Keyboard and Mouse /No Operting Systim /No
Monitor / ReadyRails Sliding Rails Without Cable Management Arm.
2 Personal Komputer
- P C Unit
- P A K F T AMD Af)-740nK R E N O I F D M n n i t n r 1 1 S " 6 C O R F Unit 7,941,230
- P A K E T A M D A6-7400K MimPC+TV L G L E D Monitor 19,5 umt 1 ,y 1 i,lyj
TV A r J A V TTX T - x z r f i\i\ i~m A V TTV1 if T if T T-TX rv ^ 1 IJVfVJJ AX A
Unit
- P A K E T AA AMT TDV FX-6300
T* * T J T-irr-
G A M I N G L G L E 'Di 19,5
A A"l f f I" JX TV T 'AA T J V T T"1 TV A T AV /"II
12,866,414
i\ J ZV J l IV TV
Unit
- P A K E T AMD A8-7650 B E N Q L E D Monitor 19,5" 8,608,182
IV A T J A A ATX k \ i\ fCRC /VTJ" T V A T J X T T-FX XJT IA IfV^tl
Unit 9,364,916
- PAKET A
TV A T J - " 7 -
M D A10-7850K ABA EA TN
A A A T X T - X Z i X Z V / V if
Q LT Eif DT Monitor
A S if I ' TX A A
19,5 i t\ f i t
'A
Umt 13,635,974
- P A K E T A M D FX-6300 G A M I N G L G L E D Monitor
V A y I 1. I 1 A A T X A LV .* i f ZV A A * * TV J X TVT-iX T J V T T T X A A "j
19,5
1 f\ ^11
Unit 8,351,662
- P A K E T AMD A8-7650 MmiPC BENQ L E D Mo iitor 19,5"
- P A K E T A M D A10-7850K MiniPC L G L E D Monitor 19,5" Unit 9,236,656
- P A K E T A M D FX-9370 G A M I N G L G L E D Monitor 19,5" Unit 15,194,333
- P A K E T I N T E L Z97-i3-4150 B E N Q L E D Monitor 19,5" Unit 10,215,279
- PAKET I N T E L Z97-i3-4150 V G A BENQ L E D Monitor 19,5" Unit 11,626,139
- PAKET I N T E L Z97-i3-4I50 G A M I N G L G L E D Monitor 19,5" Unit 13,152,433
- PAKET A M D A6-7400K E C O L G L E D Monitor 15,6" Unit 7,120,366
- PAKET I N T E L Z97-i5-4460 BENQ L E D Monitc r 19,5 " Unit 11,583,814
- PAKET I N T E L Z97-i5-4460 V G A B E N Q L E D Monitorl9,5" Unit 12.994.674
66
HARGA
NO. J E N I S B A R A N G / M E R E K DAN S P E S H K A S I SATUAN K E T
i* 2 3 4 5
H W/ C T T X T T C I 70*7 \ 1 A Tlf\ /~i Alt ATKJ/~i 1/^1 TT t A A * 1 f v C ) f f y A A f rm
Unit
- F A K b l IN I b L zy7-i7-4770-GAMING L G L E I ' Monitor 19,5 17,314.470
- P A K E T AMD A8-7650+TV L G L E D Monitor 1 ?,5" Unit 8,621,008
r A l v b l IIN I b L INUb rSZ82U-I L O L b U MonitO) 19,5 Unit 7,569,276
D A !" CT TXTTCI XTT IC X n Q O A 1 T C T CTA \Xfn*if, - 11 Z " T T^4 n /\ i t\ f,J
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R A;*n/~'_L'nz I /"^ I OTA \ M ^x.^' 11 / " t i
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Unit 8,306,771
- FD AAKf x bCT
i ATXTTCr
M U Ao-740UK-MimPC+TV
CtHAO 'CCCi
L O L E D 1Monitor
J C 1 cr\ \Af.*yR*fr
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r A l v b 1 iJN 1 b L 0524U b L U L O L b U Monitor i i . b T 1-,;. t t\ c fmf Arm A
D A 1^ CT TXTTCI XTItrîl AAIA 1 T/~'TCTA RAzvi-tit^j 1 A x" Unit 10,597,494
rDAAJ VI^CT
b l UNrXTTCF XTT ]C IJ-4U1U-1
I L L INUL H A A I A 1 J C J CV\
L O L b U MOnitCT r19,5 11 Z " T;. 1 1 rm A i" A rm 4
l v b l lTXTTCI
rnAAl^CT l N I L L >JT
INUL 1J-4U1U-Z L O L b U MOnitC r 2J.0 Unit 11,046,404
1 1 C 1 CTA XAnrmi**- .--i.**- TO" T;. 1 1 J O I "/\
r A J X b l UN I L L IN U ]C H Af\M1
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Unit 11,687,704
D
r AAkTCT UN 1 b L ni1Af\
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I J J Z H U IVlinirL L O L b U MOnitO, 15.0
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6,674,021
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f f A rm rm f f
rD AAVCT
l v b l UN ILL X JNUL 12,249,833
TXTTCT TT ]C 15-4Z5U-1
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1 J C 1 CTA XAfnitr 11 Z "
Unit 12,702,241
rD AAl^CT
K b 1 TXTTCT
UN 1 b L XJN
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L 15-4Z5U-2
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1 1 C 1 CTA R A n / v n j - nr 1Q"
unit 13,343,541
rD AAl V b l UN I L L iNUL
IT CT rXTTCT i l / I 1 15-4Z5U-3 b O b b U Mnoni or^ 2o
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rPAkTCT
AfVbl UN I L L CÎIAO
15-415URCXTTA bLvJ L1OCTA L b AArvnitrvi-
U IVlOriltOr 5.6 7,714,209
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rPAJTCT
AJVbi UN I L
TXTTCT L V T 5 Z 4 U B L I N O L L U Moniior iy,.>
RSi-v 1 Q ^" 7,078,040
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9,157,134
1 A A O A 0 A
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rD AAl^CT
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TXTTCT RS^ H Ad fyfi Cv oAARTTXT/ DbiNO""' TL1L^ UT Cvioniior 19,51 A
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10,984,839
Unit 12,511,133
rP AAl V b l UN I L L D0S5-13-415U-OAMUNO
li^CT TXTTCT ClUACi
L O LbL'Monitor 19,5
T \ / X C J CTA RA/v-i<i-/v>> lA 5 "
Unit 7,366,625
rP AJVb
A f CT 1 UN 1L L
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rP AA Ji V b l UN I LL Do5-15-44oU Unit 10,523,669

r C T TXTTCT RC 4^ A 1 AA AIC A DCXT/A T CTA 1 19,5
l3bJN(2 L L U MOTUtor ! A
Unit 12,353,374
rP AAl V
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TXTTCT V O A i3bJNi2 E b U Monitor 19,5
A A CO C A RTIXT/^ X C X C C \X frm'.i-fr- 1 A 1 1 cmurm r r cm
D C ^
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r A K b l TXTTCI
UN I L L >t>o5-l5-44oU-OAMliNO L O L b L Monitor 19,5 13,879,668
DCCCT 1 A d Ô DCXT/A T CTA RTjxwvWy,,. IA C i '
Unit
rm 1 / 1 1 rx
- F b K b l IN I L L 1-34150 B E N Q L E U Monitor 19.5^ IA C i ' 8,118,228

PAlf^CT TXTTCT D & ^ il ATlf\ DCXTTA 7 CTA \Af.my'.* Unit
1 f r\ 1
1 r f
rD AAKIf^CT
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N I L L 13o5-l/-4//U D b N y L b U Monitor 19.5 12,722,762
RC^ il AH(\ \TC A DCXICi T CTA 'xAf,yi*fT- 1 A
Unit 14,550,467
rP AAKI fbClT IN 1 b L Rft^
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X C X XIT^ \Afr*itn.r 1 A ^ "
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r A K b l UN
ACTTC TAocOrvrv PP I L L D 0 5 - 1 / - 4 / / U - O A M I N O L O L b L Monitor 19,5
A o UVldo uesKiop UL
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5,642,274
K"?! A n Tnni5T5/Q0Pnri i KAnziôn T Ti+ 1 I d 0(\1
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R A T A A T A TTAA I 1 TA/O/TDTAA/TT T'2 RTACIAA
Unit 11,623,621
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12,578,575
11 i i f r v n i n
M 5 2 D L - 1 U 0 0 4 U / y O r U O 141 -MOOyZO Unit 12,459,818
MS? A n - i n n n i n / O A P n n n 1 MnAQ?A unit 1 /,tl4,OUO
tVlYZ/\jL/-ll_/OU
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s/onpnnnR4-MA?7QA unit 111 7fiS 1 S
- Lap Top ASUS

I nn/nM A rm,xn A A Z Z1 XT TITVA'A 1 TA T!>1y,y,l 1 /I M 1_IT\
Unit 10,752,444
- Laptop Asus A455LN-WX031D Black 14 HD
- Laptop Asus A455LJ-WX028D-BlueAVX029D-IledAVX030D-White Unit 8,824,055
- Laptop Asus UX303LB-R4043H Unit 17,645,953
- Laptop Asus A455LU-WX076U Black/WX058D BIueAVX059D
Da4 AlfYAZAn WXriaAX/YAZI TA Vall/xîf Unit 12,879,053
Kea/WAUouu wniie/WAOoiu leiiow 1 rm rrmf act
r nnirmn Anrrn V < < A 7 C W A Z C T A
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10,693,678
ILaptop Asus X 5 5 0 Z b - X A 0 6 5 U
n H i j . A j . . , n X T C < A fV /"'MAOCILT
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1 rmfrm
fcmf
- Laptop Asus N550JX-LN()25H 17,939,785

I nM-fjxn A n i . n V ZZ1WT A CVAT/TTA lAly,y,1y/C V A T T T A ÎZUii.,
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- Laptop Asus X552WA-SX076U BIack/SX077U Vhite
I n n - t / v n A nrm AA^^TXT T l / V A A C T A D l n / , ! . - T Il4- 11 c f e 11/\
- Laptop Asus A455LN-WX005U Black Umt 12,525,230

- Laptop Asus GL552JX-X0139D Unit 15,775,747
IbcipiUp
anlAn rVaUb A c n e XISS
lAYY 1 7TT_PXinAm
lJLjb-V.iNl.'*TiO I Intl
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- Laptop Asus X550ZE-XX033D Unit 9,984,808
- Lanton Asus X455I A - W X l 29D-RFDAVX130D-WHITE Unit
Willi 8 nQ7 Q73
o,\jyA/,y IJ
- Laptop Asus X455LA-WX063D Red/WX080D ElueAVXOSID
Unit 7,867,935
wnite/WAUoziJ leiiow
- Laptop Asus X20()MA-BING-KX672B White Black/KX674B
-x t It r w T r f r rm rm Unit 4,241,908
Blue/KX675B Red
- Laptop Asus A455LD-WX050D-BlueAVX05ID-R.edAVX052D-
Unit 8,599,017
WhiteAVX053D-YelIow
- Laptop Asus A453MA-BrNG-WX320B BlackAVK321B WhiteAVX322B
Unit 4,859,888
PurpleAVX323B Pink
- Laptop Asus A455LB-WX003D Unit 12 882 726
67
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- Laptop Asus PU301 L A - R O 158D Unit 11 986 538
R. R ^J RR Vy^W MA W
- Laptop Asus P45 3 MA-BING-WX326B Black Unit 5,416,070
- Laptop Asus P2420LJ-WO001 OD Unit 11,753,921
- LantOD Asus J20()TA-CP011P Unit 8 788 r;98
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A A , \y 1 1 , \j xy vy
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3 Peralatan Komputer Mainframe
- Keyboard Votre Buah 174,900
4 Peralatan Pei'sonal Komputer
- CPU
- UPS ICA CN650 Unit 757,900
- UPS ICA CP700 Unit 874,500
- UPS I C A 1300VA Unit 1,399,200
- UPS Prolink TOOSFC Unit 816,200
- UPS Prolink 700SFT Unit 874,500
v_/ A KA R I WI-AJLUV / w V'x-z a. R
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rm jR r\ R rm rm
- Momtor L C D L G L E D 16M35 16 Unit 1,049,400
- Monitor L C D L G L E D 20M35 19,5" Unit 1,457,500
- Momtor L C D BenQ DL2215 21,5" Unit 1,865,600
- Monitor L C D BenQ GL2460 24" Unit 2,856,700
- Monitor L C D Samsung 18,5" Unit 1,515,800
i - Monitor L C D Samsung LS22D300 22" Unit 2,215,400
I R/fy^:iy.. T y^ T 1 AT\1 f\t\ lAll
68
IX A D/^ A
NC'. JENIS BARANG / M E R E K DAN SPES [FIKASI SATUAN K E T
(Bp)
1 2 3 4 5
- Printer Canon PIXMA iX6560 (A3) Inkjet Unit 4,104.320
TX y, m * w r ys y. y , ry . _.
- Pnnter Canon MX397 +Scan,Copy,Fax Unit 1,749,000

TX J-t T T T X i r X I 1 Jl
- Printer Canon MP287+Scan,Copy Unit 1,183,490

TX J ym T i T x i i i . JI ym T i . R yt T JV
Unit 1,218,470
- Printer Canon MP237+Scan, Copy Inkjet All In One
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TX . s wr fr\r\ i TT T-X . .
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- Printer L Q 2190 Unit 8,745,000
- Printer L Q 310 Unit 3,031,600
TX * T XtT f 1 J\ T-x . .
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TX J. _ _ T TTV T : _* TV! 1 / M 1 1/"x/v yx n r\
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Viewer Unit Q77 800
5 Ferlatan Jaringan
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- Hub Buah 174,900
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Catc tan : Harga Belum Termasuk Pajak

69
B. >. B A R A N G - BARANG E L E K T R O N I K
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rNli. SFLSHIKASI SA1UAN
1 2 3 4 5 6
N/iTIONAL PANASONIC
1 R a d i o Cassete Polytion FSC-612NR Unit Rp 705,430
NîTIONAL PANASONIC
1 Stereo System S C \ K 660 G C S K Rp 3,847,800
MINI C O M P O V C D
1 M i n i C o m p o V C D Polytron Beo 1900 Unit Rp 2,565,200
2 M i l l Compo D V D L G DM-5540 Unit Rp 3,783,670
DM)
1 D \ 'D K a r a o k e G e i s l e r O K 7000 Unit Rp 8,336,900
HOME T H E A T R E
1 H o m e Theatre L G DH-7530 Unit Rp 4,489,100
2 HotiieTlieatreLG JDH6320H Unit Rp 3,463,020
TA P E D E C K
1 Ta])e D e c k Polytron I;B3501RC Unit Rp 3,323,100
2 Ta])e D e c k Polytron B B 3201 Unit Rp 2,915,000
AMPLIFIER
1 Amplifier / D S 400 R Unit Rp 1,749,000
2 Amplifier B M B DA1600SE Unit Rp 2,436,940
3 AnplifierBMB DA2000 Unit Rp 3,206,500
EC UALISSER TECHNICS
1 Equalisser T e c h n i c s SH-GE50 Unit Rp 2,411,055
2 Eqiialisser T e c h n i c s SH-GE70 Unit Rp 3,577,638
3 Equalisser T e c h n i c s SH-GE90 Unit Rp 5,055,310
SPEAKER
1 Spe aker Polytron P A S 300 Unit Rp 1,923,900
2 Speaker B M B CS450 Unit Rp 2,885,850
3 Speaker B M B C S 460 Unit Rp 3,206,500
ACTIVE SPEAKER
1 A c t i v e Speaker S H A R P C - B O X 1200 Unit Rp 2,276,615
2 A c t i v e Speaker Polytion P A S 68 Unit Rp 1,923,900
3 A c t i v e Speaker Polytron P A S 78 Unit Rp 2,116,290
4 A c t i v e Speaker Polytron P A S 79 Unit Rp 2,276,615
5 A c t i v e Speaker Poljrtron P A S 67 Unit Rp 1,731,510
6 A c t i v e Speaker D A T MGM321 MP3X Unit Rp 1,637,880
7 A c t i v e Speaker D A T M G M 822 M P 3 X Unit Rp 1,905,944
COLOR TV
1 Pol/tron PI>1 2 0 P 123 Unit Rp 1,539,120
2 Polytron 14123 Unit Rp 1,090,210
3 Polytron M X 5102 Unit Rp 1,539,120
4 Polytron M>: T Z 3 0 V F S Unit Rp 2,917,915
5 Polytron P N 52 U P 123 Unit Rp 2,180,420
6 Polytron PS 14U03 Unit Rp 1,410,860
7 Polytron l\X 52 01 Unit Rp 2,244,550
8 Polytron 32T700 Unit Rp 4,168,450
9 Polytron PLD40T851 Unit Rp 6,733,650
10 Pol;/tron PI D 24T605 Unit Rp 3,498,000
11 Polytron PLD32D700 Unit Rp 4,104,320
12 Pol'/tron PID 28T655 Unit Rp 3,591,280
13 Pol'/tron PI n t ^ n o n s w Unit Rn 4 104 'PyCl
70
INv'. i l / \ i V l / \ l>/\lv/\lvjr / IVlCjfVliilV Sr t S l r ilvASl A 1TU

oC A IA AN 11A KVj A (ivpj JVIL
TA K'FT1
1 2 3 4 5 6
1/ Po ytron PLD32D900W Unit Rp 4,040,190
n Po ytron P_D32T710 Unit Rp 4,232,580
IS Po ytron P . D 24D800 Unit Rp 2,693,460
2C Po ytron PLD 24T800W Unit Rp 2,949,980
21 Po ytron PS-52UM210 Unit Rp 2,244,550
22 Po ytron PS-52UM70 Unit Rp 2,244,550
23 Po ytron PS-52UV53M Unit Rp 1,865,600
24 Poi ytron PS-52UV53W Unit Rp 1,923,900
25 Poi ytron PN-52UV123 Unit Rp 2,180,420
26 Poi ytron PS52UV81 Unit Rp 1,865,600
27 Polytron PS52UV03 Unit Rp 1,923,900
28 Polytron PS52UV60BM Unit Rp 2,244,550
29 Polytron PS52UV60R Unit Rp 2,244,550
30 Polytron PS52UV222 Unit Rp 1,865,600
31 Akui IC 1439CJ2 Unit Rp 801,625
32 Akiri .E32D59 Unit Rp 3,847,800
Akari LE32AK30
1 1
Unit Rp 3,847,800
3j
34 Akari LE32P58 Unit Rp 3,719,540
35 A k i r i LE24P58 Unit Rp 2,565,200
36 Akari IC21U90DA Unit Rp 1,811,964
37 Akari IC-21U86CL Unit Rp 1,795,640
38 Shirp 5 I DXF 200 Unit Rp 1,649,744
"39 Shjrp LC-24LE5071 Unit Rp 2,885,850
40 Ship LC-32LE340M Unit Rp 4,360,840
41 Shrp LC32LE340MWH Unit Rp 4,104,320
42 Shfrp LC-32LE3471 Unit Rp 4,104,320
43 Sherp LC40M500MBK Unit Rp 6,348,870
44 Shrp LC32LDX2881 Unit Rp 4,617,360
45 Shfrp LC32LE155M Unit Rp 3,976,060
46 Sherp 50LE361 Unit Rp 34,630,200
47 Shfrp 21JS250EB Unit Rp 2,052,160
48 Sherp >1KS253 Unit Rp 2,116,290
49 Sherp 21JS255 Unit Rp 1,988,030
50 Sherp :!1" JS350 Unit Rp 2,180,420
51 San ken 14B97M Unit Rp 1,127,718
52 Dig itec 1407 Unit Rp 1,259,193
53 Digitec 5106 Unit Rp 3,577,589
54 Dig itec 5107 Unit Rp 3,266,494
55 Toshiba 20AIE Unit Rp 3,476,483
56 Toshiba 21 A3E Unit Rp 1,851,754
57 Toshiba 24P2300VJ Unit Rp 2,693,460
60 Panasonic 321402G Unit Rp 4,040,190
61 Panasonic TH.L 32C4G Unit Rp 3,847,800
62 Panasonic TILL 32C3G Unit Rp 4,136,385
63 Panasonic TH.L37U30G Unit Rp 8,657,550
64 Panasonic TE.P42X30G Unit Rp 6,238,100
65 Panasonic TH.P42ET5G Unit Rp 13,467,300
66 Panasonic TH-L29XM6G Unit Rp 3,334,760
67 Panasonic 32" T n - i T2Rf?n ITnit R n A l-\7 S8n
71
IN v . Sr t S l r llAASl cSA* 1TIUTAA

A N riAivxjA (ivpj IVI? 1
1 2 3 4 5 6
7] Panasonic THL 24A402G Unit Rp 3,976,060
11 Pajiasonic TL-50A410AG Unit Rp 12,569,480
11 LC 614FUFAB Unit Rp 994,015
74 LC (.29FL1RL Unit Rp 2,693,460
It LC 22LN4000 Unit Rp 2,308,680
li LC :i2LN4050 Unit Rp 2,372,810
11 LC 24LN4100 Unit Rp 2,757,590
LC :i6LN4100 Unit Rp 3,591,280
7S LC :;2LN5100 Unit Rp 4,232,580
8C LC Plasma 42PN4500 Unit Rp 6,121,500
81 LG 42LN5100 Unit Rp 7,823,860
82 LG 32'32LB563D Unit Rp 4,489,100
83 LG :4LB452A Unit Rp 2,693,460
84 LG 42B550A Unit Rp 8,336,900
85 LG 20LB450 Unit Rp 2,244,550
86 LG ::2LN4100 Unit Rp 2,565,200
87 LG 2 2LB550A Unit Rp 4,168,450
88 LG 32B550A Unit Rp 4,360,840
8S LG :-2LB530A Unit Rp 4,040,190
9C LG :!4MT44A Unit Rp 2,565,200
91 LG :7LN5100 Unit Rp 17,315,100
92 LG 28MT45A Unit Rp 3,398,890
93 Samsung Plasma PA-43H4000AW Unit Rp 6,284,740
94 Samsung UV-22F5000 Unit Rp 2,565,200
95 Samsung UV-32F4000 Unit Rp 4,232,580
96 Samsung :.2LH4003 Unit Rp 3,976,060
97 Samsung 32F5000 Unit Rp 5,002,140
98 Samsung LA32F4510 Unit Rp 5,771,700
99 Samsung 21" 22H5000 Unit Rp 2,693,460
100 Samsung Plasma 43H4500 Unit Rp 6,797,780
10 Saiasung UA 24H4003 Unit Rp 2,693,460
io:i Samsung UA40H4200 Unit Rp 6,284,740
103 TCL :ilM83US Unit Rp 1,731,510
104 Co or TV 23 EC 1 RG Unit Rp 2,962,806
105 Co or TV TX-29S 100 X Unit Rp 15,943,600
10<. Co or TV T>;-33 GF85X Unit Rp 42,324,424
VIDEO TAPE R E C .
1 Video Tape Rec. TI-RLC ICD-88 Unit Rp 1,603,250
VENTILATING FAN
1 Ventilating Fan F\-25TGUl/2 Unit Rp 416,845
2 Ventilating Fan FV-25RUN1/2 Unit Rp 545,105
3 Vejitilating Fan F\-30TGUl/2 Unit Rp 387,345
4 Ventilating Fan FV-25TGU Unit Rp 480,975
5 Ventilating Fan FV-25RUN Unit Rp 513,040
6 Veiitilating Fan FV-30TGU Unit Rp 577,170
7 Ventilating Fan FV-40AFU Unit Rp 897,820
8 Ventilating Fan FV-25AUN1/2 Unit Rp 955,537
9 Ventilating Fan FV-25RUN3 Unit Rp 416,845
10 Ventilating Fan FV-30RUN3 Unit Rp 609,235
REFRIGERATOR
1 Lemari F.s Panasonic MR A IFAn Unit Rn 7 MS
72
AvI. C A T I TAM rUI A

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f II?T IT
1 2 3 4 5 6
5 Le nari Es Panasomc MR-A 192 Unit Rp 2,565,200
6 Le iiari Es Panasonic NR-A 192MG Unit Rp 2,501,070
7 Le nari Es Panasonic MR-A 198 Unit Rp 2,565,200
8 Le nari Es Panasonic NR-B 20 AF Unit Rp 3,966,457
9 Lenari Ls Panasomc NR-B 23 CP Unit Rp 4,168,450
IC Lenari Ls Panasonic NR-B25GF Unit Rp 4,873,880
11 Lenari Ls Panasonic hfR-B 243G Unit Rp 5,066,270
12 Lemari Ls Panasonic 1^RA172S Unit Rp 2,501,070
13 Lemari Ls Panasonic 14RA192S Unit Rp 2,725,525
U Lemari Ls Panasonic 1^RA170F Unit Rp 2,597,265
15 Lemari Ls Panasonic l^R A198F Unit Rp 2,815,307
16 Lei nail Ls Panasonic B222L Unit Rp 4,636,599
17 Lemari Ls Panasomc NR B291L Unit Rp 6,464,304
18 Lemari Ls Panasonic NR B 228F Unit Rp 4,700,729
IS Lemari Ls Panasonic NR B 268L Unit Rp 4,636,599
20 Lemari Ls Panasonic NR B222GH Unit Rp 3,976,060
21 Lemari Ls Panasonic NRA192SH Unit Rp 2,436,940
22 Lemari Ls Panasonic 2 Pintu NFLB291G-ST Unit Rp 5,771,700
23 Lemari Ls Panasonic NA 172SH Unit Rp 2,308,680
24 Lemari Ls Panasonic N^BW415V Unit Rp 11,222,750
25 Lemari Ls Panasonic NRA178F Unit Rp 2,565,200
26 Lemari Ls LG 191 SL Unit Rp 2,308,680
27 Lemari Ls LG 201 SL Unit Rp 2,757,590
28 Lemari Ls LG 191 RLK Unit Rp 2,180,420
29 Lemari Ls LG 2 21 QVPR Unit Rp 2,613,195
30 Lemari Ls LG 202 SLC Unit Rp 4,040,190
31 Lemari Ls LG GN-V212RLT Unit Rp 3,847,800
32 Lemari Ls LG GN-Y201SP Unit Rp 2,949,980
33 Lemari Ls LG GN-Y331SL Unit Rp 3,014,110
34 Lemari Ls LG GN-V212SLT Unit Rp 3,463,020
35 Lemari Ls LG GN-B252RPCL Unit Rp 5,130,400
36 Lemari Ls LG GN-B222SLCH Unit Rp 4,873,880
37 Lemari Ls L G Gh-M602GPC Unit Rp 8,657,550
38 Lemari Ls LG GN-Y201SL Unit Rp 2,949,980
39 Lemari Ls Toshiba < j R H 170 Unit Rp 2,372,810
40 Lemari Ls Toshiba GR G 9 P Unit Rp 1,603,250
41 Lemari Ls Toshiba G R H 151 BC Unit Rp 2,020,095
42 Lemari Ls Sharp S. 19BHBL Unit Rp 2,584,439
43 Leinari Ls Sharp SJ 1 7 M K I I Unit Rp 2,359,984
44 Lemari Ls Sharp SJ F231SBKK Unit Rp 3,976,060
45 Leinari Ls Sharp SJ K172TZS Unit Rp 2,693,460
46 Lemari Ls Sharp SJ M172TTS Unit Rp 2,436,940
47 Lemari Ls Sharp SJ M190TFW Unit Rp 2,436,940
48 Lemari Ls Sharp SJ-P 571 NLVBK Unit Rp 9,747,760
49 Lemari Ls Sharp SJ-K200T-ZS Unit Rp 2,821,720
50 Lemari Ls Sharp SJ-K230T-ZS Unit Rp 3,206,500
51 Lemari Ls Sharp SJF236GSSK Unit Rp 4,104,320
52 Lemari Ls Sharp SJ-F190MTS Unit Rp 3,206,500
53 Lemari Ls Sharp SJG174T-US Unit Rp 2,565,200
54 Lemari Ls Sharp SJ-M170TFP Unit Rp 2,436,940
<;*; T enmri F c Q t i a m CI.FIQIXAFC TltiU
73
NAMA RARANP / M F U F I f i i ' FCCi S

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Si c AT I IA N H A R P A ( R n t IVI? I
1 2 3 4 5 6
59 Le nari Ls Sharp SJ-M180D FP/FW Unit Rp 2,693,460
6(1 Le nari Ls Sharp SJ-M190D FB Unit Rp 2,949,980
6] Lenari Ls Sharp SJ-F232K Unit Rp 4,104,320
62 Le nari Ls Sharp SJ-K192TZS Unit Rp 2,949,980
62 Le nari Ls Sharp S1-G180CSS Unit Rp 2,821,720
64 Le nari Ls Sharp SJ-17MKIII Unit Rp 2,693,460
6f Lenari Ls Sharp SJ-M180 DLP Unit Rp 2,501,070
6( Lenari Ls Sharp S1G180CSS Unit Rp 2,116,290
6' Lenari Ls Polytron PR-16BG Unit Rp 2,565,200
6 Lenari Ls Polytron PR-18BG Unit Rp 2,821,720
6S Leinari Ls Polytron FR-21KHG Unit Rp 3,976,060
7C Lemaii Ls Polytron PRG-21 LMR Unit Rp 3,847,800
71 Lemari Ls Polytron PR 18BGRIN Unit Rp 2,885,850
72 Lemari Ls Polytron FR-16LMR Unit Rp 2,693,460
73 Lemari Ls Polytron PR21BGR Unit Rp 3,976,060
74 Lemari Ls Polytron PR 18 A Unit Rp 2,821,720
75 Lemari Ls Polytron FR 16LMX Unit Rp 2,565,200
76 Lemari Ls Polytron PRG-18KTR/KTV Unit Rp 2,821,720
77 Lemari Ls Polytron ]>RG 16 A Unit Rp 2,565,200
78 Lemari Ls Samsung RT23FARWDSA Unit Rp 4,617,360
79 Lemari Ls Samsung RT22FAJBDSA Unit Rp 5,258,660
80 Lemari Ls Samsung rt::9 farbdpi Unit Rp 6,156,480
81 Leinari Ls Samsung RT32 FARCDSA Unit Rp 6,541,260
82 Lemari Ls Samsung RTr:;2 f a j c c d s p Unit Rp 6,669,520
FREEZER
1 Pre ;zer SHARP FRG189TS Unit Rp 3,591,280
2 Freszer Box SHARP FRV200 Unit Rp 3,783,670
3 Freszer Box SHARP FRW210 Unit Rp 4,296,710
4 Fre;zer LG GNV204RL Unit Rp 3,398,890
5 Frejzer Panasonic NRS16G Unit Rp 4,040,190
AC WINDOW
1 AC Sharp AT-A5MLY Unit Rp 4,104,320
2 AC Sharp AH A5NCY L V Unit Rp 3,847,800
3 AC Sharp AH-AP 5RSL Unit Rp 4,745,620
4 AC Sharp AH-AP5MHL Unit Rp 5,322,790
5 AC Sharp AH-AP5RHL Unit Rp 5,066,270
6 AC LG S05LTG Unit Rp 4,168,450
7 ACLG SN-05LPBX-R2 Unit Rp 4,873,880
8 ACLG SN09LTG Unit Rp 4,360,840
9 AC LG T-05NL Unit Rp 4,040,190
10 AC L G T-09NL Unit Rp 4,296,710
11 ACLG S09 LPBXR-2 Unit Rp 5,322,790
12 AC LG S-05DLX Unit Rp 4,745,620
13 ACLG 1/2 PK Unit Rp 4,168,450
14 AC L G 1 PK Unit Rp 4,424,970
15 ACLG 2PK Unit Rp 7,567,340
16 AC Polytron PAC 05 V D Unit Rp 3,783,670
17 AC Polytron PAC05LAW Unit Rp 3,847,800
18 AC Panasonic CS-KC 5QKJ Unit Rp 5,258,660
19 AC Panasonic CU-PC 5PKJ Unit Rp 4,424,970
20 AC Panasonic rS-KPONKT TlnJt Rn s 4S1 nsn
74
Nf ) NAMA RARANr; /MFRFkT l?aiJrliw\oi c* 1

T IUT A
A lNl H A R G A (Rnt f FT
I1VI?1
1 YV
1 2 3 4 5 6
2^- AC Panasomc CS/CU PC 5QKJ Unit Rp 4,424,970
25 A(! Panasonic CS C U PC7QKJ Unit Rp 4,553,230
2f. AC Panasonic CS C U PC9QKJ Unit Rp 4,809,750
27 A(! Panasonic CS/CU KC7QKJ Unit Rp 5,386,920
2{i AC Samsung AR 05HCFSW Unit Rp 4,489,100
29 AC Samsung AR 09HCFSTW Unit Rp 4,745,620
3( AC Akari Ar-055FLWT Unit Rp 3,847,800
3] AC! Akari A:-095FLWI Unit Rp 4,104,320
MLSIN C U C I
1 Mesin Cuci Panasonic NAW 60 BB2 Unit Rp 1,988,030
2 Me sin Cuci Panasonic NAW 60 BB4 Unit Rp 1,731,510
3 Me sin Cuci Panasomc NAW 70 BB4 Unit Rp 1,859,770
4 Me sin Cuci Panasonic NAW 70 BB2 Unit Rp 2,244,550
5 Mesin Cuci Panasonic NAF 60 A5 Unit Rp 3,270,630
6 Mesin Cuci Panasonic NAW 96 PC Unit Rp 2,821,720
7 Mesin Cuci Panasonic NAW 86 BC Unit Rp 2,693,460
8 Mesin Cuci Panasonic MAP 953 B Unit Rp 4,489,100
9 Mesin Cuci Panasonic NAW 76 PC Unit Rp 2,693,460
10 Mesin Cuci Panasonic iNfA 107 V Unit Rp 8,336,900
11 Mesin Cuci Panasonic 75BCI Unit Rp 2,244,550
12 Mesin Cuci Panasonic >fAF 903 B Unit Rp 3,976,060
13 Mesin Cuci Panasonic Manual NAW 995 FCl Unit Rp 4,104,320
14 Mesin Cuci LG ^VP 700 N Unit Rp 2,821,720
15 Mesin Cuci LG W ' L 7000 TC Unit Rp 2,501,070
16 Mesin Cuci LG W F L 700 TC Unit Rp 2,693,460
17 Mesin Cuci LG W F L 777 TC Unit Rp 2,693,460
18 Mesin Cuci LG W P S 850 CR Unit Rp 4,232,580
19 Mesin Cuci LG W F S 950 CR Unit Rp 4,489,100
20 Mesin Cuci LG V/P 1060 R Unit Rp 3,142,370
21 Mesin Cuci LG V/P 1460 R Unit Rp 4,617,360
22 Mesin Cuci LG VDM 8860/8861 li Unit Rp 5,451,050
23 Mesin Cuci LG V T S 10 CR Unit Rp 5,515,180
24 Mesin Cuci LG WFL 705 T C Unit Rp 3,206,500
25 Mesin Cuci L G WI S 8005 C M Unit Rp 3,463,020
26 Mesin Cuci LG >VP 905 R Unit Rp 2,949,980
27 Me sin Cuci LG WFL 805 T C Unit Rp 3,591,280
28 Me sin Cuci LG WFS 14 D6 Unit Rp 8,657,550
29 Me sin Cuci LG V T S 16 D6 Unit Rp 9,619,500
30 Me sin Cuci LG V T S 90 D6 Unit Rp 5,451,050
31 Mesin Cuci LG \VP 850 R Unit Rp 2,821,720
32 Me; sin Cuci LG W I S 8001 C M Unit Rp 3,591,280
33 Me sin Cuci LG WFL 100 T C Unit Rp 4,104,320
34 Me sin Cuci LG Front Loading WDM 1060D6 Unit Rp 5,643,440
35 Me; sin Cuci LG Front Loading WDM 1070D6 Unit Rp 6,348,870
36 Me; sin Cuci Polytron PAW 9009 Unit Rp 3,591,280
37 Me; sin Cuci Polytron P\VM 7556 Unit Rp 2,180,420
38 Mesin Cuci Polytron P\VM 8556 Unit Rp 2,436,940
39 Mesin Cuci Polytron PWM 7056 CC Unit Rp 2,052,160
40 Mesin Cuci Polytron PAW 7003 Unit Rp 2,949,980
41 Mesin Cuci Polytron PAW 7009 Unit Rp 2,949,980
42 Mesin Cuci Samsiino WASnVAPF TTnSt
75
X O A T'T A TWTTT A T/~r A

1VT/
NAMA BARANG / M E R E K SPESIFIKASI T iX\ \
KLI
NO. SATUAN HARGA (Rp)
/ 2 3 4 5 6
40 Mesin Cuci SHARP ESQ 70EYG Unit Rp 3,398,890
4'' Mesin Cuci SHARP EST 77 FPBK Unit Rp 2,436,940
4i; Mesin Cuci SHARP EST 95CLP Unit Rp 2,565,200
4f> M<;sin Cuci SHARP ESFL1070SWG Unit Rp 4,745,620
5(1 Mesin Cuci SHARP EST 96CAVK Unit Rp 2,693,460
5] M(!sin Cuci SHARP E3T85CRBK Unit Rp 2,629,330
51 M(isin Cuci SHARP ES-I'866SB/865SF Unit Rp 2,885,850
1:- M(;sin Cuci SHARP ES-T75EHK Unit Rp 2,180,420
54 Mosin Cuci SHARP ES-F800H Unit Rp 2,821,720
5f Mfisin Cuci SHARP ES-T65 Unit Rp 1,923,900
5f Mosin Cuci SHARP E5-T70SWK Unit Rp 2,180,420
5-; Mesin Cuci Toshiba AW880SN Unit Rp 3,591,280
58 Mesin Cuci Akari AWM 1280 Unit Rp 2,180,420
5 Me sin Cuci Akari / . W M 1078 Unit Rp 1,923,900
6C Me sin Cuci Dome DM 3902 Unit Rp 1,923,900
61 Mesin Cuci Dome DW 3802 Unit Rp 1,859,770
62 Me sin Cuci Dome DW 5760 Unit Rp 2,821,720
FAN (KIPAS ANGIN)
1 Fan (Kipas Angin) FEK 306 Unit Rp 448,910
2 Fan (Kipas Angin) FEP 405 Unit Rp 577,170
3 Fan (Kipas Angin) PER 303 Unit Rp 448,910
4 Fat ! (Kipas Angin) FEU 309 Unit Rp 416,845
5 Fai: (Kipas Angin) FEU 409 Unit Rp 513,040
6 Far (Kipas Angin) FEQ 405 Unit Rp 737,495
7 Far (Kipas Angin) FES 404 Unit Rp 769,560
8 Far (Kipas Angin) FES 405 Unit Rp 637,744
9 Far (Kipas Angin) FEP 404 Unit Rp 769,560
10 Far (Kipas Angin) FEP 405 Unit Rp 673,365
rr Far (Kipas Angin) FEY 153 Unit Rp 897,820
12 Far (Kipas Angin) F-S40L Unit Rp 1,252,156
13 Far (Kipas Angin) F-EU303 Unit Rp 816,623
14 Far (Kipas Angin) F-EU405 Unit Rp 1,011,058
15 Far (Kipas Angin) F-EQ403 Unit Rp 999,206
16 Far (Kipas Angin) -EY129 Unit Rp 1,127,718
17 Far (Kipas Angin) --FY 149 Unit Rp 1,166,605
18 Fan (Kipas Angin) -EY141 Unit Rp 1,213,269
19 Kipas Angin Wallfan Miyako K/T.W1689RC Unit Rp 622,061
20 Kipas Angin Miyako FJR-lOl Unit Rp 638,094
21 Kipas Angin Kirin WF-3 Unit Rp 509,834
22 Kipas Angin Regency 18" Unit Rp 897,820
23 Kipas Angin Regency 20" Unit Rp 1,026,080
W 4 . T E R PUMP (POMPA AIR)
1 Wa :er Pump (Pompa Air) GP129JX Unit Rp 568,488
2 Wa er Pump (Pompa Air) GAllOJBE Unit Rp 659,898
3 Wa er Pump (Pompa Air) CP125JBE Unit Rp 875,375
4 Wa er Pump (Pompa Air) (JP200JA Unit Rp 707,033
5 Wa er Pump (Pompa Air) GA125JBCN Unit Rp 983,652
6 Wa er Pump (Pompa Air) GA200JAE Unit Rp 861,907
7 Wa er Pump (Pompa Air) GF-125HC Unit Rp 4,666,419
8 Waver Pump (Pompa Air) GF250HC Unit Rp 3,110,946
9 WflVftr Piimn fPomnn Air? SlIiimi'Tii 17S Watt IKJ.IIS P D -ICQ i.f.(\
76
NAMA RADANG / MFDFIf CATl TA N H A R G A (Rp) IVI? I

i i \ l T l / \ U / \ l V / \ l l v / iTlll(fVj?IV
1 2 3 4 5 6
2 Kcmpor Gas f j 712BGX Unit Rp 673,365
' 3 " Kc mpor Gas TI 522 CE Unit Rp 416,845
4 Kcmpor Gas KGS718 Unit Rp 451,155
5 Kcmpor Gas KGS728 Unit Rp 451,155
6 Kcmpor Gas GT-5MB Unit Rp 2,840,294
E I E C T . HOME SHOWER
1 Elect Home Shower DH-93W Unit Rp 1,283,265
2 Elect Home Shower DH-98 W Unit Rp 1,392,148
3 Ele ct Home Shower 3H-351W Unit Rp 1,882,123
FOOD P R O C E S S O R
RI C E C O O K E R
1 Riee Cooker Super Star Unit Rp 557,638
2 Rie e Cooker Tecstar Unit Rp 269,346
3 Rie e Cooker Yong Ma Unit Rp 525,225
4 Rie e Cooker KRC 308 Unit Rp 484,823
5 Rie e Cooker KRC289 Unit Rp 480,975
6 Rie e Cooker KRC 138 Unit Rp 370,351
7 Riee Cooker M C M 636 Unit Rp 505,024
8 Rice Cooker M C M 762 Unit Rp 397,285
11 Rice Cooker SR-42GHN Unit Rp 4,433,098
12 Rice Cooker SR-WDIOLN Unit Rp 1,283,265
13 Rice Cooker SR-WD18LN Unit Rp 1,415,481
14 Rice Cooker SR-\VD10GHLN Unit Rp 1,322,541
15 Rice Cooker SR-DVD18GHLN Unit Rp 1,119,941
16 Rice Cooker SR-W18LEN Unit Rp 1,229,990
17 Rice Cooker 5R-SF10N Unit Rp 3,010,953
18 Rice Cooker SR-SF15N Unit Rp 3,655,362
_____
Rice Cooker SR-SF18N Unit Rp 4,549,759
22 Rice Cooker SR-FU15N Unit Rp 5,210,835
23 Rice Cooker SR-FU18N Unit Rp 5,444,156
24 Rice Cooker SR-FAION Unit Rp 5,016,401
25 Rice Cooker SR-FA18N Unit Rp 6,377,440
26 Rice Cooker SR-GF15N Unit Rp 5,210,835
27 Rice Cooker SR-GF18N Unit Rp 707,033
DISPENSER
1 Dispenser Modena DD 10 Unit Rp 2,087,432
2 Dispenser Modena DD 12 Unit Rp 2,020,095
3 Disaenser Modena DD35 Unit Rp 3,110,946
4 Dis Denser Miyako 289 HC Unit Rp 410,432
5 Dis Denser Miyako 289 Unit Rp 567,377
6 Dis Denser Miyako V/D 19 F X Unit Rp 545,105
7 Dis Denser Kirin 125 HC Unit Rp 491,556
8 Dis Denser Kiiin 125 WD Unit Rp 256,520
9 Dis Denser Kirin 506 HN Unit Rn 279 985
77
NO. NAMA BARANG / M E R E K SF F S I F I K A S I SATUAN HARGA (Rn? KET
1 2 3 4 5 6
Di>penser SHARP SWD 73 EHBK Unit Rp 3,206,500
MkGIC JAR
1 Miigic Jar Miyako 709/762 Unit Rp 349,981
2 Mjigic Jar Kirin KRW 729 Unit Rp 349,981
3 Mjtgic Com Kirin 138/158 Unit Rp 352,715
IRDN ( S E T R I K A )
1 Iron (setrika) NI-436E Unit Rp 1,283,265
2 Iron (setrika) NI-1500Z Unit Rp 3,966,457
H/JND M I X E R
1 Hand Mixer Autech Unit Rp 661,076
2 Hand Mixer Miyako 650 Unit Rp 813,512
0> EN TOASTER
1 Oven Toaster Electrolux E19T Unit Rp 6,192,339
2 Oven Toaster Electrolux E2456 Unit Rp 6,610,761
3 Oven Toaster Miyako 708 Unit Rp 3,266,494
4 Oven Toaster Miyako 808 Unit Rp 3,655,362
5 Oven Toaster Sharp 2M240H Unit Rp 3,453,150
6 Oven Toaster Sharp NB-7600N Unit Rp 5,210,835
OVEN
THERMOS PCT
1 Thermos NC-22HIN Unit Rp 3,110,946
2 Thermos JJC-30HIN Unit Rp 3,079,837
3 Thermos MK-20NR Unit Rp 3,096,558
MEAT GRINDER
BLENDER
1 Blender Kirin 210GL Unit Rp 370,351
2 Blender Panasonic KiX 1 5 1 SG Unit Rp 641,300
3 Blender Panasonic Unit Rp 699,963
4 Blender Phillips 1791 Unit Rp 572,360
5 Blender Nos Omega Unit Rp 155,547
6 Blender Miyako 709/762 Unit Rp 349,981
JU] C E R B L E N D E R
1 Juieer Blender MJ-68M Unit Rp 897,820
2 Juieer Blender MJ-171NR Unit Rp 3,437,596
3 Juieer Blender MJ-176NR Unit Rp 3,655,362
VACUM C L E A N E R
1 Va( mn Cleaner Panasonic Unit Rp 1,178,389
2 Vac um Cleaner Miyako MC-3300 R/G Unit Rp 3,616,475
3 Vac um Cleaner MC-3500 Unit Rp 3,030,143
4 Vacmn Cleaner Ii4C-4850 Unit Rp 1,346,730
5 Vac um Cleaner MC-4860 Unit Rp 538,692
6 Vac um Cleaner MC-4870 Unit Rp 3,546,479
7 Vacum Cleaner National 4500 Unit Rp 4,277,551
HAND H E L D MASSAGER
1 Har d Held Massager EV-236 Unit Rp 699,963
4 Har d Held Massager EV-247 Unit Rp 1,119,941
MA S S A G E R L O U N G E R
1 Ma;;sager Lounger EP-578 Unit Rp 11,666,049
2 Ma;;sager Lounger EP-569 Unit Rn 12 599 333
78
NO. NAMA R A R A N G / M F R F K VI'FSfFIlf AVI VATTIAN HARGA IRn? KFT

I D X l?oir IJVAoX oA Ai
i i z v i T i / v X A G v X V r v i VJ / lTJ.X2fXvll( J V
1 U
1 2 3 4 5 6
2 Shaver Dry ES-573 Unit Rp 279,985
3 Shaver Dry ES-843 Unit Rp 287,763
4 Sh aver Dry ES-329 Unit Rp 816,623
M [CROWAVE O V E N
1 Microwave Oven Electrolux E199 Unit Rp 673,365
2 Microwave Oven Electrolux E5416 Unit Rp 909,043
3 Microwave Oven Miyako 708 Unit Rp 1,212,057
4 Microwave Oven Miyako 808 Unit Rp 1,144,721
5 Microwave Oven Sharp 2M240H Unit Rp 3,460,928
BIOOD PRESSURE
1 Blood Pressure EW-243 Unit Rp 2,255,436
""2 Blood Pressur e EW-272 Unit Rp 3,033,173
3 Blood Pressure EW-274 Unit Rp 3,655,362
H/.IR S T Y L E R
1 Ha r Styler EH-7971 Unit Rp 544,416
2 Ha r Styler EH-7974 Unit Rp 637,744
HA m D R Y E R
1 Har Dryer EH-5011G/RAV Unit Rp 235,678
2 Ha r Dryer EH-5012 Unit Rp 80,804
3 Har Dryer EH-5141 Unit Rp 101,005
4 Har Dryer EH-5151 Unit Rp 699,963
____ Har Dryer HR-6031 Unit Rp 256,520
6 Hair Dryer HL-3538 Unit Rp 192,390
PANASHAVER
1 Parashaver ES-876 Unit Rp 1,011,058
2 Par ashaver BS-724K Unit Rp 1,477,699
3 Parashaver ES-743SK Unit Rp 3,499,815
4 Parashaver ES-761SK Unit Rp 4,643,477
LADY SHAVER
1 Lacy Shaver ES-177 Unit Rp 699,963
2 Lacy Shaver ES-232 Unit Rp 816,623
3 Lacy Shaver ER-115 Unit Rp 370,586
NOSE HAIR T R I M E R
MB SEV POTONG RUMPUT
1 Tanaka TN-210 Unit Rp 7,948,468
2 Tanaka SUM -328 Unit Rp 7,816,642
3 Tanaka T-180 Unit Rp 7,808,475
4 Tanaka 2(1 (Dorong) Unit Rp 7,831,807
7 Yasuka 328 Unit Rp 1,122,275
8 Sthil 'R 3000 Unit Rp 1,955,965
9 Dai sin SBK31L Unit Rp 3,206,500
10 H O I ida GX35 Unit Rp 4,168,450
MESIN S T E N S I L
1 Horli / Manual 105 Unit Rp 11,043,859
'l Horli / Manual / Elektrik 105 Unit Rp 12,327,125
3 Gestetner / Manual 1550 Unit Rp 12,614,887
4 Gestetner / Manual / Elektrik 1550 Unit Rp 15,881,381
5 Daii 0 / Century / Manual Unit Rn 9 062 965
79
B.7. A L A T B E R A T DAN A L A T BANTUNYA
HARGA
MEREK/JENIS/TIPE SATUAN K F T
I L/r\i (Rp)
2 3 4 5
I ALAT - ALAT BERAT DARAT
1 Tractor
- Mahindra Farm Tractor MM800()-4WE 1 unit 456,500,000
- Mahindra Farm Tractor MM402:i - 4WE 1 unit 346,500,000
- Mahindra Farm Tractor MM603() - 4WE 1 unit 412,500,000
- Mahindra Farm Tractor MM950()-4WE 1 unit 506,000,000
2 Motor Grader
- Motor Grader GD511A-1 1 unit 2,300,000,000
3 Bulldozer
- Bulldozer D85ESS-2 1 unit 429,000,000
- Bulldozer D65ESS-12EO 1 unit
- Bulldozer D39EX-22 1 unit 715,000,000
- Bulldozer D31EX-22 1 unit
4 Excavator
- Excavator PC200-8MO 1 unit 1,750,000,000
- Excavator PCI60LC-8 1 unit 1,480,000,000
5 Wheel Loader
- Wheel Loader WA200-5 1 unit 2,100,000,000
- Wheel Loader WAl 50-5 1 unit 1,850,000,000
- Backhoe Loader WB93R-5 1 unit 1,350,000,000
6 Hauler
- Dump Truck 1 unit 355,453,000
7 Asphalt Equipment
- Asphalt Finisher BF223C 1 unit 1,900,000,000
- Asphalt Distributor (LMT5251 Gl >Q) 1 unit 1,899,500,000
- Asphalt Sprayer 1 unit 125,000,000
- Col Milling Machine 1 unit 7,567,890,000
8 Compacting Equipment
- BomagVibroBW211D-40 1 unit 1,150,000,000
- BomagBW131AD-3 1 unit 700,000,000
- BomagBWlOOAD-5 1 unit 480,000,000
- Stamper Honda GX-160HCR80K 1 unit 20,000,000
- Bomag Plate Compactor 1 unit 93,000,000
9 Aggregate Concrete Equipment
- Concrate Cutter 1 unit 43,873,000
- Concrate Mixer 1 unit 15,000,000
10 Alat Pengangkat
- Truck Crane 1 unit 1,000,000,000
Cat; Itan Harga Belum Termasuk Pajak

80
B.8. A L A T - A L A T ANGKUTAN
NO M F R F K / IFNIV / T I P F VATTIAN HARGA IRn ? K F T

orV X j / \ l I v L? 1
1 2 3 4 5
I A . A T A N G K U T A N DARAT
1. Kendaraan Bennotor Penumpang
- Micro Bus (Penumpang 15-30 orang) Unit 169,070,000
2. Kendaraan Bennotor Angkutan Barang
- Pick Up Unit 13,992,000
3. Kendaraan Bennotor Khusus
- Mobil Ambulance Unit 272,424,240
- Mobil Jenazah Unit 247,734,190
Mobil Toyota A L L New Hilux D-CAB 2.5

Unit 498,165,338
E (4x4) Box Aumunium -2015

Unit 514,396,058
E (4x4) Canopy Model B K K B N 2015
Mobil Toyota A L L New Hilux D-CAB 2 .5

Unit 511,341,138
E (4x4) Patroli Terpal - 2015

Unit 468,382,200
E (4x4) M / T - 2 0 1 5

Unit 520,517,558
C (4x4)BOX A L U M U N I U M - 2 0 1 5

Unit 538,613,878
C (4x4)CANOPY M O D E L BKKBN-201 5
Mobil Toyota A L L New Hilux D-CAB 2.5 ^ f M ma r\ f. ma V n

Unit 534,509,558
C (4x4)PATROLI TERPAL - 2015
Mobil Toyota A l l New Hilux Extra Cabin

Unit 395,627,298
4x4-2015
Mobil Toyota A l l New Hilux S-Cab 2,5 L
Unit 267,367,298
Diesel M / T - 2 0 1 5
Mobil Toyota A l l New Hilux S.Cab Ben; in

Unit 304 326 000
Angkutan Kota (Microlet) - 2015 fcy \J Rma VJ ^ mj W VJ

Unit 297,380,138
Angkutan Pedesaan - 2015
Unit 378,950,000
Box Freezer-2015

Unit 299,105,818
Patroli Terpal-2015
- Mobil Toyota Avanza 1.3 E M / T [2015] Unit 219,575,290
- Mobil Toyota Avanza 1.3 E M/T [2015] Unit 207,781,200

81
NO. MEREK/JENIS/TIPE SATUAN H A R G A (Rp.) K E T
1 2 3 4 5
Mobil Toyota New Hilux S-Cab 2.0 L N T
Unit 247,673,558
Gasoline - 2015
Mobil Toyota New Hilux S-Cab 2.5 L
Unit 267,367,298
Diesel M / T - 2 0 1 5
Mobil Toyota New Hilux S-Cab Bensin
Unit 304,959,138
Angkutan Kota (Microlet) - 2015
Mobil Tovota New Hilux S-Cab Bensin
Unit 297,380,138
Angkutan Pedesaan -2015
Mobil Toyota New Hilux S-Cab Bensin ICdd K\C\ HO
Umt
Box Alumunium - 2015 291,200,338
Mobil Toyota New Hilux S-Cab Bensin

Unit 3 3 ,i3i3o
3mo/ y , i2 m o
Box Freezer - 2015
Mobil Tovota New Hilux S-Cab Bensin

R J - V J RJ RR R- VJ T VJ VV* R VJ ' R R 3. 1 R.R J V RJ V_J V* VJ XJ v/XAkJ J I 1 Unit 299,105,818
Patroli Terpal-2015
- Mobil Toyota Avanza 1.3 E A/T [2015] Unit 219,575,290

R W 1 *1 . 1 * . * V V V T** JV J ^ yV K V
Mobil Toyota A l l New Hilux S.Cab 2.5 L Unit 267,367,298

Diesel r~rm
*"
M/T-2015
1 "1 \ A 1 1 - A T T T ' I J~l jv T-v
Mobil Toyota A l l New Hilux S.Cab Ben<;in Unit 304,959,138

Angkutan Kota (Microlet) - 2015
*" 1 ' 1 rri rm y\ \, A 1 1 T T T ' I T-V
Mobil Toyota A l l New Hilux S.Cab Bensin Unit 297,380,138

Angkutan Pedesaan - 2015
Mobil Toyota A l l New Hilux S.Cab Bensin
Unit 291,200,338
Box Alumunium - 2015
A- 1 "1 r f A l i -V T T T - i rm ji i -r-
Mobil Toyota A l l New Hilux S.Cab Bensm Unit 378,950,000

Box Freezer-2015
A >f j v l v v l C^ rmXm.
T ' y - v v >jv/-yv A l l KTyvvvj lU*1.*vy C T ) jvy
Mobil loyota A l l New Hilux S.Cab Ben; in Unit 299,105,818

- Patroli Terpal-2015
- Mobil Avanza 1.3 G A T [2015] Unit 239,452,092
Mobil Abulance Hyundai Startex Mover

Unit 616,405,900
Ambulance Pusling CRDI M T 2015
Mobil Abulance Startex Mover Abulance

Unit 561,603,900
Deluxe 1 CRDi M T 2015

- Ambulance Deluxe 2 CRDi M T - H I G H Unit 596,583,900
K O I I zU 1J
Mobil Ambulace Hyundai Startex Mover

Unit 825,119,900
Ambulance Emergenchy 2 CRDi M T 2015
82
NO. MEREK/JENIS/TIPE SATUAN HARGA (Rp.) KET
1 2 3 5

Unit 505,635,900
Ambulance Jenajah CRDi M T 2015
Mobil Ambulance Hyundai Startex Mover

- Ambulance Pusling CRDi M T - M T - Hig i Unit 569,765,900
Roof2015
Mobil Ambulance Hyundai Startex Mover
- Ambulance Transport CRDi M T - HIGH Unit 559,271,900
ROOF 2015
Mobil Ambulance Starex Mover
Unit 506 801 900
Ambulance Transport CRDI M T 2015 vJ Vy VJ ^ VJ Vy R ^y VJ VJ
Mobil Ambulance Suzuki APV CE PS

- Ambulance Pusling Medium 2015- Unit 275,986,370
Karoseri: Akindo , Cakra Kejora
Mobil Ambulance Suzuki APV PS
- Ambulance Pusling Medium 2015- Unit 249,885,460
Karesori: Akindo , Cakra Kejora
Mobil Ambulance suzuki APV CE

- Ambulance pusling Standard - 2015 Unit 265,148,400
Karoseri: Akindo , Cakra Kejora .

- Ambulance Pusling Medium 2015 - Unit 287,273,250
l^nmcp^Ti Al2"innn râlzra \^(^xtwcx
JVCllCSCfil . CViVUlLlW y V^CUSJa JVCJUlCl
- Ambulance Pusling VIP 2015 0 Karoseri; Unit 225,195,410
Arkindo, Cakra Kejora
Mobil Ambulance Suzuki Arena GL

Unit 298,525,150
Ambulance Pusline Medium 2015 - 256
A Rill VJ W VJ vy . * .-J ' . z5 J-vy v*i XARRR MJ vy M. vy MJ vy vy
Mobil Ambulance Suzuki Arena G L

- Ambulance Pusling Standart 2015- Unit 272,424,240
Karoseri: Akindo Cakra Kejora
Mobil Ambulance Arena G L Ambulance
P i i c l i n a 9t5inrlrtrt -!- 701 S - K a r n s p r i Unit 287 687 180
Akindo Cakra Kejora w lilt
Mobil Ambulance Pusling VIP 2015 -

Unit 309,812,030
Karoseri : Akindo , Cakra Kejora
Mobil Ambulance Suzuki Arena GL Mobil
- Jenasah 2015 - Karoseri: Akindo , Cakrc I Ty.U 0/17
Z 4 / , 77/1
/ 3 4 , i1yQA
U
unit
Kejora
Mobil Truk Grace Self Loader Wmch 10
Unit 1,550,974,004
Ton - Hino Ranger FG 235 JW
Mobil Truk Grace Road Maitenance Truck
Unit 1,505,162,439
TTMO n r i T P r ? i i n p<\ L m
xxiNw visxj 1 _>u rj nu
Mobil Truk Crane 3,2 Ton
VJKJ
- HINO
Unit 849,044,062
DUTRO 130 PS H D
Mobil Truk Grace Tmck Penyapu Jalan
Unit 1.678.661.774
83
NO. MEREK/JENIS/TIPE SATUAN HARGA (Rp.) KET
1 2 3 4 5
Mobil HINO 300 DUTRO 110 SD PS DOO QQl ACiC

Unit
Chasis(VIN2015) zoo,ooD,4yo
Mobil Truk HINO 300 Dutro 110 SDBL

Unit 322,523,762
OHASTS ( V I N 201 5?
V j X L f X L j l t J I V I X T C M \ J X aJ I
Mobil Truk Hmo 300 Dutro 130 H D 6,4

- PS A R M Roll 6 M3 + container Terbuke Unit 493,180,455
Mega Trukindo (VIN2015)
Mobil Truk H I N O 300 Dutro 130 H D , f ,4
- PS A R M Roll 6 M3 Container Tertutup Unit 499,010,455
Mpffa
LVlcgd TniUnHn
J I U K I I I U O /tVVT >UN
J 201 S?
Z U I J )
Truk HINO 300 Dutro 130 H D , 6,4 PS

- A R M Roll 6 M3 Mega Trukindo ( V I N Unit 452,370,455
2015 )
Mobil Truk Hio 300 Dutro 130 H D 6,4 I S
- A R M Roll 8 M3 Cotainer Terbuka Mega Unit 536,905,455
Trukindo ( V N 2015)
Mobil Truk Hino 300 Dutro 130 H D PS

- A R M Roll Container Tertutup Mega Unit 542,735,455
Trukindo ( V I N 2015)
Mobil Truk H I N O Dutro 130 H D 6,4 PS

- A R M Roll 8 M3 Mega Trukindo ( V I N Unit 493,180,455
2015)
Mobil Truk H I N O 300 Dutro 130 H D 6,!!

- A R M Roll 6 M3 + Container Terbuka Unit 495,722,451
Mpfffl TniWinHn ( V I N 201 S ?
Mobil Tuk 300 DUTRO 130 H D 6,8 B A K

Unit 396,311,295
Besi 8 M3 Mega Trukindo ( V N 2015)
Mobil Tnik H I N O 300 Dutro 130 H D 6.K

- PS A R M Roll 8 M3 + Container Tertutui) Unit 501,552,451
A/f./*. T-....l.:..d/. /AITXT Dm C A
Mega irukmao (ViiN Z U I J )
Mobil Truk Hino 300 Dutro 130 H D 6,8
- A R M Roll 8 M 3 + Container Tertutup Unit 545,277,451
X if 1 J /"\ J~KX lot C \
Mega Trukindo ( V N 2015 )

Mobil Truk Hmo 300 Dutro 130 H D 6,8
- A R M Roll 8 M3 Container Terbuka Mega Unit 539,447,451
Tmkindo ( V N 2015)

- PS A r m Roll 8 M3 Mega Trikindo ( V I N Unit 495,722,451
2015)

- PS Annroll 6 M3 Mega Trukindo ( V I N Unit 454,912,451
2015)
4 Kendaraan Bermotor Beroda Dua

84
JNO. H / T ? N 7^ j ^ / 11XTTCN / T>xXT WW A v yy* A J w v

SATUAN HARGA (Rp.) KET
M E R E K / JENIS / T I P E
/ 2 3 4 5
A / f^ m L* r\ 1 \*i I*AV
Vega roice lyruni Unit 16,642,000

Vpoti Vnrpp TVR
^ V Cgct V Ul UC LJL>
Unit 17,490,000
_ V Ul UC UIJ vv
Unit 18,338,000
C^CI 1 1..
_ I UlUC XJlCUcUl Unit 17,490,000

tznrfxc . . / . y + T /
rorce oporiy Unit 18,815,000

JupiierZ/i/ri
Unit 19,716,000
Tiii-iiloj 71 PW Ft
Unit 21,253,000
Jupiierill r I
_ Jupiter Z l CW Furious TTnit 90 109 non
W i l l i
ZU, 1 70,U0U
. Jupiter M X CW Unit 24,698,000
- Jupiter MX AT CW Unit 25,228,000
- MX King 150 Unit 23,108,000
- MX King 150 GP Unit 17 013 000

A- 1 . VJ A vJ . V VJ VJ
\/fY IZ 7 _ 1 CA X , J . IryRra y n f A /\c\/\

Unit 16,854,000
" M A King 150 Movistar
Tiiii+3i- \yfY 1 KCi
Unit 23,108,000
jupueriviA i3u
MO T P W
^ iVlVY J V-j W Unit 17,013,000
M T O T P W Tppn
Unit 16,854,000
iVliVY J Vj VV 1 CvlI
MTO MlPW
Unit 18,550,000
\^Tll T-jiNU T7f r< I D
iviiv-/ rtno jTasnion Unit 17,119,000

t j D JV tf JV I ' l r L l I
rino sporiy r i Unit 19,027,000

r mo r remium r i Unit 19,292,000
oOUl Vjl Unit 18,709,000
Smil VPT
uUUl J l Strppt
oLieei Unit 18,709,000
Npw spit TT PT
Unit 20,034,000
JR- JvlUe Unit 19,027,000
YpiDTl RP Unit 20,458,000
PT IZO
VJl IDS
Unit 20,882,000
PT 1 DS Paniria
Unit 20,988,000
VJl i z j vjaruua
V -lj\lVJiN fvo Unit 28,620,000
iNcw V lAion/vuvdJice Unit 30,316,000
_ New Vixion Advance GP Unit 30 952 000
VFJ VJ ^ y vJ Au ^ VJ \ J Vj
New Vixion Advance Movist Unit 30,952,000
- Byson Unit 25,493,000
- Byson F l Unit 26,288,000
- Scorpion Z C W Unit 28,726,000
- N-lUnv TTnit DO i F i nnn

85
TA M XD T V X D W i 1 XXlkTXfV I rn v w w
NO. M E R E K / JENIS / TIPE SATUAN HARGA (Rp.) KET
1 2 i 4 5
R 1 S PR \/../ici..
Unit 38,690,000
R 1 S PR TaixU 1
_ K 1 J vjr 1 ecn i
Unit 38,690,000
M l DS
\/CT
AJ
Unit 55,756,000
- R25 Unit 61,904,000
- R 25 GP Movistar Unit 62,540,000
- R25GPTech3 Unit 62,540,000

R DS AARC
K . AJ d S Unit 69 112 000
W i l l i
5 Kendaraan Bermotor Roda Dua Lain-lain

Motor Honda Beat Pop C W
Unit 18,656,000
(Y1G02N02L0 A / T ) 2015
Motor Honda Beat Pop C W CBS
Unit 19,064,100
(Y1G02L0A A/T) 2015
X X . X X I n > XV y-TX T J-NX-V J-*
Motor Honda Beat Pop CW CBS Unit 19,588,800

(Y1G02L0A
X jr . TX A/T)
TV 2015
JN J*T T T
Motor Honda Beat Sporty CW Unit 19,122,400

(ACH1M21B04S A/T) 2015
A/Tjv+jv*- t l J j v j J i Duf- Qn.f.*UMa.r^\\7 r^TiC
Motor Honda Beat SportyCW CBS Unit 19,472,200

(X1B02N04L0AA/T)
Motor Honda Beat Sporty CW CBS ISS T T*v.ii. 1n C\C\C A A A
(X1B02N04L0A A/T) 2015 Umt 19,996,900
Motor Honda Blade R 125 F I
Unit 20,568,240
(AFP12W21C08 M / T ) 2015
Mntnr HnnH;! OiaUC
iViUlUl nuilUa TllaHA O^ 1I ZD
9 S PI
FT
Unit 20,568,240
(AFPI2W21C03 M/T) 2015
N/lntz-vr rj/vn/lo Rlnrlo C 1 DS FT
Motor rionua rsiaoe o i / j r i Unit 20,171,800
(AFPI2W21C03
AiTp\fG- YXr\r\Ark PR1 M^flD
/ T ) 2015
C-*x-cfif 'K/TKAC^
Unit 29,802,960
(CB15A1RRF1 M / T ) 2015
A/Tnfrr TTr\n/lQ XT/a^xr Y/ot-iPi 1 0^ oQD PT3C
Unit 22,620,400
ISS (E1F02N12M2 A/T) 2015
ivioior xionua jncw vano i z j Qor Kyoo
Unit 23,320,000
ISS (E1F02N12M2 A/T) 2015
ivioior rioima incw vano i z j c o r w o o
Unit 26,759,700
ISS (E1F02N12N2 A/T) 2015
Motor iNew v a n o r i ( A i i i i z i r s u i a / i j
Unit 19,985,240
2015
Mntnr Hnnrlci R a u d PW FI /WF1 1T1 IPflD
ivioior nonud rvevo v. w r i înt 1 1 1 1 iV/UZ Unit 18,656,000
M/T)2015
A Ar,*-^*. T l J . / 4 . D . . . . F.'+ FT / T . T F 1 1 T I 1 f Al
Motor Honda Kevo r i t r l (Nr 111 l l C O l Unit 16,848,700
M/T)2015
X X . XX 1 X\ PI t X-DX PV I TD -t m y~ / 1 1
Motor Honda Revo Spk F I ( N F l I T l 1C02 Unit 17 723 200

R 1 ^ 1 Aj aJ ^^"^ VJ VJ
M/T)2015
Motor Honda Scoopy Sporty
Unit 20,043,540
(ACF1L21B06S A/T) 2015
MntAr LTnnrla SmAnv SWiioli
86
NO. MEREK/JENIS/TIPE SATUAN H A R G A (Rp.) K E T
1 2 3 4 5
Motor Yamaha A l l New Soul GT 125,

Unit 21,337,800
Produksi Tahun 2015
Motor Yamalia FINO Premium F I ,
Unit 20,638,200
Produksi Tahun 2015
X X y XT" 1 /~m ' T ' 1 'X C TX J 1 " 1
Motor Yamalia GT 125, Produksi Tahun Unit 20,346,700

2015
\ M A. X ICO T\
XT' 1 T 'A. J 1
Motor Yamalia Jupiter M X 150, Produksi Unit 24,835,800

Talmn2015
~K M A. XT" 1 T 'A / I X X 7 T"'T
Motor Yamalia Jupiter Z CW F I , Unit 21,046,300

Produksi Taliun 2015
- Motor Yamaha N-Max, Produksi Tahun Unit 20,055,200
X . XT" I X T X X TX J 1 * T* 1
Motor Yamaha N-Max , Produksi Tahun Unit 31,715,200

2015
H X i X 7 1 X T TX TNT TX 1 *
Motor Yamaha New Byson F l , Produksi Unit 28,100,600

Tahun
X .
Ik
2015 "v T X X* X X J^
X 7 1 n TX 1
Motor Yamaha New M i o M3 Blue Core Unit 19,763,700

C W , Produksi TahunX X2015
T X . XT' X XJN
1 yf X T XX
Motor Yamaha New M i o M3 Blue Core Unit 18,597,700

(Spoke), Produksi Tahu 2015
x # . x r 1 _ ' \ / * ' TX.- J 1 TD
Motor Yamaha Vixion , Produksi Taun Unit 32,706,300

2015
Motor Yamaha X-RIDE , Produksi Tahui
Unit 20,346,700
2015
Cc tatan : Harga Belum Termasuk Pajak

87
B,9. A L A T B E N G K E L DAN A L A T U K U R
CAT rAM
HARGA 1^ IT
Nil I T"
(Rp) JV IL 1
J 2 J 4 5
] A lat Bengkel Bermesin
1 Perkakas Konstruksi Logam Terpasang pada Pc ndasi
Mesin Bubut I unit 44,308,000
Mesin Press 1 unit 4,780,600
Mesin Ketam 1 bh 1,729,178
- Mesin Pres Hidrolik & Punsh 1 set 75,790,000
Mesin Bor Bosh 1 bh 609,500
Mesin Gergaji Logam Ibh 334,642
Mesin Gerinda Bosh 1 bh 2,326,700
M e s i n Rol 1 unit 38 894 262
1 UIUl
A A a c m R y . . " 1 \7liTi/1/iy
1 unit 18 zi78 nnn
ivicsui Dui v/yiiiiuci 0 0 , 4 /o,UUU
C\C\ 1 1 A f\{\C\
Mesin Milling 1 unit
yy, 110,UOU
V/lpQif. I C A T T i A r p C A r 1 unit
I V I C a l l l XvL/IIlL/l C o U l
Mesin L a s Listrik 1,574,100
A AVy.JAXl RJ RM XJ R4 RiJ\.R 1 AV
Mesin Dynamo Kron 1 PK 1,049,400

Mesin Pemotong Fiberglas/Polyster 1 set 30,316,000
Mesin Gulung Listrik 1 set 75,790,000
Mesin Penekuk Plat 1 set 59,116,200
Mesin Amplas Plat Ibh 52,026,920
Mesin Pemotong Plat 924,638
2 Perkakas Konstruksi Logam Terpasang yang Berpindah
- Mesin Gerinda Tangan 1 set 739,244
- Mesin Bor 1 angan 1 set 623,810
- Mesin Cylinder 1 set 39,644,000
3 Perkakas Bengkel Listrik
- Batteray Charger Ibh 30,316
- Transformator 1 set 1,515,800
- Solder Listrik 58,300
4 Perkakas Bengkel Service 1 set 22,737,000
- Auto Lift 2 set 18,189,600
Car Washer Ibh 507,210
5 Perkakas Bengkel Kayu
Mesin Gergaji 1 bh 334,642
- Mesin Ketam 1 bh 1,729,178
Mesin Bor Ibh 623,810
Mesin Penghaius 1 bh 29,150
Mesin Penyambung Papan 1 bh 17,490
- Perkakas Bengkel Kayu Lain-lain 1 bh 66,462
5 Perkakas Bengkel Khusus 1 bh 29,150
Mesin Jahit Terpal 1 bh 29,150
Perkakas Vulkansir Ban 1 bh 40,810
Perkakas Bongkar/Pasang Ban 1 bh 15,158
Mesin Tenun Textil 1 set 90,948,000
- Mesin Celup 1 unit 1,048,234
7 Peralatan L a s
- Peralatan L a s Listrik 125 A M P 1 unit 4,346,000
I] A lat Bengkel T a k Bermesin
- Perkakas Bengkel Kerja
Gergaji 1 bh 87,450
Ketam 1 bh 116,600
88
HARGA
NO. JENIS BARANG DAN PERALATJN SATUAN KET
mm m~r *. . m r myR R m mt m / . Vm my R Ik R * X Jk_y V< ,IX IR R I . - I-JR X M. WJ A- WR m
(Rp)
1 2 3 4 5
Water Pas Ibh 66,462
- Siku 1 bh 29,150
- Palu Ibh 53,000
- Tang 1 bh 42,400
Ayakan Pasir 1 bh 15,158
- Peralatan Ukur, Gip & Feting
- Rol Meter 30 M Ibh 265,000
Jangka Berkala 1 bh 64,130
Catatan : Harga Telah Termasuk Pajak

89
B.10. A L A T PERT A N I A N
IDIVI iM
V lF
I LK
J VFl LkJV/
' / TJ VI PJl^lL
F . 5 A J LAIN HARGA (Rp) I f
IV
IT
1?
T
1
I 2 3 4 5
1
1 HIIQP Rp 52,470
DUail
L 1 inCTOic RitoVi Rp 81,620
Duan
3 TrJimil Rf*Ql /Trfiril") DiXdll Rp 43,725
1 alat Pprnntnk PaHi RiiaP
L>uaii Rp 6,413,000
T
a tClt 1 I j l L T l l l U J V 1 c l U l
s k anino
- tCaniTKT ICpcil Ral

uai Rp 2,448,600
*_ Ic'ani'nor
rvoJ t i i i ^ Upcar
ucaai Ral
oai Rp 2,040,500
r^ dial
lat PpncjiliTiQ
I C l i ^ i l l l I ^PaHi
r
!) L a\Xi
V otoljii
Duaii Rp 17,490,000
- VaniTiarYM?0
1 aiuiiclL 1 1 V 1 Z . U DUdll Rp 26,235,000
7 Traktnr nTancan
- niOOO Rovpr RD RSni95 RiiaP Rp 29,733,000

- 02000 zeva RD 850125 Rnah Rp 30,899,000
VJ A - \ J \ J \ J C\r V CI IVL/ OYL/XCY
- M 1000 Aina Rnah Rp 32,065,000
P atiil SnravPT Rnah Rp 991,100
1. . C U l v l lYL/icly LI iVILalll
1) P anil ^nravpr Tanoan
OOlU JCIlIldll Riioh

oUdil Rp 378,950
~ o Wall Rnah Rp 524,700
JVldopiOIl RiiaP
DUdll Rp 757,900
N A ryn 7*/-v o RiiaP
DUdll Rp 991,100
JVllVrdCUa
lu L uwci opidycr
Harry RllQp Rp 1,923,900

N ll rrn
DUaii Rp 2,040,500
Wntx^rc\ Rl oil
1
Rp 1,807,300
w iipro
1 0 If O Rnah
DUdll Rp 1,923,900
1 dIUKd
11
V. QiTi V
t ~ nllOill aAJir
oaw
OlllJl VJ / V/ Rnah Rp 17,490,000

CtVid 170 Riioli Rp 3,789,500
Duan
- ^thil ISO Rnah Rp 3,906,100
Olllll I OVJ
- Sthil 381 Buah Rp 9,328,000
12 Alat Serut/ Sekap
- Narita Buah Rp 408,100
- Mactek Buah Rp 1,107,700

13 P jmotong Rumput Unit Rp 4,605,700
14 Tl ans Plenter ( Mesin Penanam Pad!) Unit Rp 82,033,930
15 Cool Box Viber

90
NO MEREKUTYPE SATUAN HARGA (Rp) KET
I 2 3 4 5
16 ^1esin Tempel
- 15 PK Unit Rp 26,818,000
- SPK Unit Rp 8,162,000
- 5.5 PK Unit Rp 4,664,000
17 JaketTuna Buah Rp 524,700
18 / Jat Ubinan Unit Rp 4,104,320
19 Pompa Air Niagara
- 4 inci Buah Rp 6,996,000
- 3 inci Buah Rp 5,247,000
10 Mesin Kubota PD85mly Unit Rp 23,850,000
:i Mesin Perontok Padi Unit Rp 16,673,800
12 Timbangan Buah Rp 3,089,900
23 Pwer Wider Unit Rp 11,158,620
24 Hand Sprayer Elecktrik Miura FX16 Unit Rp 901,000
25 Pres Packing Unit Rp 5,247,000
C atatan : Harga Belum Termasuk Pajak

91
B.11. A L A T STUDIO DAN A L A T KOMUNIKASI
HARGA
NO. lENIS BARANG DAN P F R A I ATAN SATUAN K F T
(Rp)
1 2 i 4 J
I Peralatan Studio Visual
- Microphone/Wireless Mic Shure PG78 Set 650,000
- Microphone/Boom Stand Set 174,900
- Microphone Floor Stand Set 204,050
- automatic Volatge Regulator (AVR) Set 274,010
- Hum/Cable Conpensator Set 81,620
- Battery Charger Set 40,810
- Power Amplifier Marcopollo 8800 Set 798,710
- Moimting Breaken Set 306,075
- Microphone Table stand Set 116,600
D. Peralatan Studio Video dau Film
- Power Supply Set 498,465
- Remote Control Unit Unit 26,235
ni Alat Komuuikasi
J . Alat Komuuikasi Telephone
- Unit Transcaiwer/Transmiter UHF Unit 1,049,400
- Amplifier Set 1,336,819
- Microphone Set 128,260
- Loudspeaker Set 306,075
- Megaphone Set 332,310
- Pesawat Telephone Panasonic Set 87,450
i>' P ;ralatau Pemaucar
I Peralatan Auteua V H F / F M
- Antena VHF/FM Portable Prostard Buah 104,940
- Antena VHF/FM Stationary Buah 227,370
Catalan : Harga Belum Termasuk Pajak

92
B. 12 Al .AT - A L A T K E S E H A T A N (PMK NO. 75 TAHUN 2014)
MERK HARGA
Xvn<* / A r t
No. NAMA B A R A N G COUNTRY OF SATUAN KET
Nn
ORIGIN (Rp)
1 2 3 4 5 6
A R JANC AN P E M E R I K S A A N UMUM
1 Set êmeriksaan Umum
1 Baki logam tempat
; alat
steril bertutup
z. 508 57J17
J Buku Ishihara Tes 76j956
3 Coron^telinga/Speculum telinga ukuran kecii^ besarj_seda ig SS RENZ 32^065
4
Garputala
k 512 Hz^. 1024 Hz. 2084 Hz . SS 38^478
? Lampu kepala/Head Lamp + Adaptor AC/DC RINE ^ 384^780
6 Lamgu senter untuk_periksa/pen light SELLA 25^652
7 Lup binokuler (lensa pembesai) 3-5 Dioptji MAGNIFIER 64^30
8 Metline (_pcngukurlingkarpinggang_) 15^91
9 Dtoscope KECIL 57J17
10 Palu reflex 57J17
11 Snellen Chart 2_iems]E Chart + Alphabet Chart) 12^826
12 Spekulum hidung_dewasa SSRENZ 153j912
13 Sphygmomanometer untuk dewasa GC JARUM 128,260
14 Stetoskqg untuk dewasa GC 89J82
15 Sudig lidah logam/spatula lidah Iogam_ganjang 12 cm SPATEL POLOS 19j.239
SPATEL
16 Sudip lidah logam/spatula lidah logam panjang 16,5 cm 23,087
LUBANG
17 Timbangan dewasa SELLA 14ij086
r?_J;s_t__------- . ,
LOTUS
18 rermometer untuk dewasa 12.826
/CORONA
B RUANG T I N D A K A N DAN RUANGAN G A W A T D A R U R A T

; Set' "indakan Medis / Gawat Darurat
"
1 3aki logam tempat alat steril bertutup 509 83j369
2 Collar Brace/Neck Collar anak JASPER 192P90
3 Sollar Brace/Neck Collar dewasa JASPER f 192.390
4 Torong telinga/Spekulum tclinga ukuran kecil, besar, seda ig PLAsIlK 19,239
5 Doppler LOTUS 929j885

FLEKSIB
6 ' juedel Airway (Oropharingeal Airway) 83,369
EL. "
7 ' junting Bedah Standar^ Lengkungj Ujung Tajam/Tumpul 32jP65
8 ' jujiiuig Bcuali Staiidai. Lui usj Ujuiig Ta|aiii-Ta[aiii ii.oosi
. . 9 ijtmting
1_ Bedah Standar, Lurus, Ujune , Tajam/Tumpul
_; i 32^065
! (i 1 junting pembalut 38^478
11 ' junting pembuka jahitan lurus 38^478
.X SJZZZzzJ-" 19^39
12 Canula hidung anak

13 Canula hidung
..
dewasa 19j239
1 i ;Gem arteri, 12 cm lengkimg, dengangigi 1x2 (Halstead-N osquito) 28,217
15 !Clem arteri, 12 cm lengkung, tanpa gigi (Halstead-Mosqui.o) 28j217
. *^ f J . U
i ll Clem arteri, 12 cm lurus, dengan gigi 1x2 (Halstead-Mosgjitq) 28,217
. . . . . . .17
. . . . idem arteri, 12 cm lurus.tanpa L .gigi
(Halstead-Mosquito)
;' ............................ 28,217
18 idem arterp lurus (Kelly) 32^065
19 idem/pemegane jarum jahit. 18 a n (Mavo-Hegar) 32jP65j
. r.... ..!trjl..Jla..&.!..3 r......\...?ti......AL . . . . . . . . 102^608

20 iCorentang, lengkung. penjepit alat steril (27 cm)
21 iJ__i:a__j2_L__ Jji_?__Z____SZR
t z _ _ _ _ Xkepala
X . : 1..airipu 3843,780j
22 ] âringoskop anak U,859J70
23 j jarineoskoD dewasa 1,859J70
tja' ' r RK 4 < i-., RJ U V VJ X X V ' ' R%ZJ V
74 1 Iltrasnnir Nf*hiiii7er NESCO 769j560
X.~ J IRA l l o V / X l l v 1 Vf 1 / U l t Z ' v l
7^ OfoQkniT KEau 57,717
A.-} /ivjorxvjL/
A.\) J a l U i C i l C A 57J17
27 Pinset anatomis 14 5 cm 19,239

MM 9 9 RR RJ V R %RR RRR RRA R R RRKJ y R 1 âJ V * *
28 I'inset anatomis5_18 cm 35^913
29 1'inset bedah. 14^5 cm 19,239
30 1'inset telinga 32jP65
31 ! ikalpel. tangkaijgisau ciperasi 25,652
32 Jipekulum hidung 153j^912
33 Steteskqpjanin/Laenac KAYU 21j^804
34 Iludip iidali logam/Spatula lidah Iqgafu paiiiaiig 12 cm POLOS 19^239
35 Sudip lidah logam/Spatula lidah logam panpang 16^5 cm LUBANG 23^087
93
\JlftDtC
Na \r A I dA D A D A M/ /-"./"\f 'X"'T"IJ\' f\T' Type / Art C A "T-l TAM 1 J"17T
I N A M A B A K A J N G COUNTRY OF No. SATUAN
yy n t ym WTRT
(Rp)
ORIGIN
38 Timbangan dewasa j SELLA I4Ij^086
39 Tomiket karet 25^652
c PI M E R [KSAAN K E S E H A T A N IBUj ANAK,^ K B DAN IMUTS iSASf S E T j
1 Set!'emeriksaan Kesehatan Ibu
I 1/2 Klem Korcher 25^,652
2 3ak Instrumen dengan tutug 508 51 {111
3 3aki Logam Tempat Alat Steril Bertutup 509 83^69
4 Qoppler LOTUS 929,885
5 Glinting Verband 38.478
6 i'aluRefleks 57,717
7 i'en Lancet SELLA PENCET 38,478
8 : 'inset Anatomi Panjang 35,913
9 j 'inset Anatomi Pendek 19,239
10 1 Jphygnomanometer imtuk dewasa GC 'JARUM' 'l'2'8,26b"
11 litetoskqgmituk dewasa GC 89,782
12 iiudig lidah logam / Spatula Lidah Logam panjang 12 cm 'POLO'S 19,239
13 lliidin lidah loiiain / Soaliila 1 ,idah T noam naniana I ft 5 rrr BERLUB
AD,VO 1
L J i l U U l L f l i U d l l I W ^ l l t l l / J L f C l L U l l l i _ i l U t U l 1 - A l t ? u l l l U C U l l u l t l ^ X VJ, J eil
. . . M G . . .
14 rermometer Dewasa 12,826
15 Timbangan Dewasa SELIA 141,086
16 Tomiket Karet 25,652 ]
2 Set I emeriksaan Kesehatan Anak

I . Uat Pengukur Panjang Bay i 15^91
2 ] 'engukur tinggi badan anak 57,717^
3 Stetoskqgpediatric GC 320,650
4 "ennometer Anak 12,826 J
5 Timbangan bapi SELLA JARUM 577,170
3 Set I elayanan K B
1 ] )aki Logam Tempat Alat Steril Bertutup 509 83P69
2 IrnplantKit 173,151
1 Stetoskop GC 89,78'2'j
2 Tensimeter Air Raksa Desk Type CORONA 410,432
3 Timbangan Dewasa SELLA" 141.086
4 Lampu Kepala + Adaptor RINE 384,780
5 Pinset Anatomis 14,5 C M 19,239
6 Pinset Anatomis 18 C M 35,913
7 Pinset Bedah 14_j5 C M 19,239
8 Pinset Bedah 18 C M 35,913
9 Skalpel Mata Pisau Bedah ( No 10 } 25,652
10 Klem Alien 12 CM LeiiûngDengan Gigiyvlosquiti) 1 28,217]
11 Klem Arteri 12 CM LenûngTanpa Gigi (Mosquito) 28,217
12 Alat Pemasang Irnplan, Trokard Dan Mandrin (Norplaat)_ 32,065
13 SarangTangan No. 6 1/2 7,696
14 SanmgTanganNo.7 7,696
15 SarungTanganNo 7 1/2 7,696
16 Topi Operasi Wama Hijau 102,608
17 Tromol Kasa/Kain Steril I5CM 256.520
18 Pinset Anatomis 18 C M 35,913
19 Pinset Bedah 18 CM 35,913
20 GuntingLums Ujung Tumpul 18 cm 32,065
"D' R l ANG VN P E R S A L I N A N
1 Set (Ibstetri & Ginekoiogi

1 1 Jak instrumen tertutup besar (Obgin) 512 173,151
2 ] lak instrumen tertutup kecil 508 57,717
3 ] Jak instrumen tertutup Medium 509 83,369
4 Doppler LOTUS 929,885
5 (junting Tali Pusat 34,630
6 IClem Kasa (Korentang) 102,608
7 1 dem Kelly/Klem Kocher Lums 32,065
8 Klem Mosquito Halsted Lenîmg 28,217
9 Idem Mosquito Halsted Lums 28,217
10 1 ,ampu Periksa Halogen DYNA 1,474,990
11 Pinset Jaringan (Sirurgis) 19,239
T> <;X*.XrtcCrt rX.ivx;(VOO fir- Q 7 7 1
94
MERK HARGA
Na A AA Type / Art C5 k T ' T T k TVT 1 '"W?1
IVI A D A D A AT/-"
COUNTRY OF
I N A M A BARAING
No. SATUAN K E l
ORIGIN
(Rp)
14 Tensimeter dewasa GC JARUM i28]26b
15 '"ermometer Dewasa 12,826^
2 Set ILesusitasi Bayi

1 lindotracheal Tube 2.5 21 CM 44,891
2 1 indotracheal Tube 3 26CM 44,891
3 1 indotracheal Tube 3 5 29CM 44,891
E RlfANGVN
1 Set I eralatan Pasca Salin
1 liphYgnomanometer Dewasa GC JARUM 128,260^
2 Stetoskqg Anak GC 320,650
KO
3 ' "abung Oksigen dan Regulator IKUBIK
JL M.XR Rj RJ R R xR MP
LIT
LOTUS/CORO 17 fi7a
4 ' "ermometer Anak HG
NA
5 ' "ermometer Dewasa HG 12,826
6 "imbangan Bayi SELLA 577,170
F KIlSEHitTAN GIGI SET

1 Bein Lurus Besar 147,499
2 Gunt iiig Operasi Gusi (Wagier) ( 1 2 cmj_ 57,717
3 Spatula Pengaduk Semen 15,391
4 Set 1 ang Pencabutan Dewasa (_setj 448,910
5 Tang kai kaca mulut 64,130
G L4B0RVT0RIUM
1 Bataiig Pengaduk PENDEK 10,261
2 Beaker Glass 100 ml 44,891
3 Erler meyer Flask, Gelas 100 ml 64,130

4 Gelai; Pengukur 100 M L 102,608
PANJAN
5 Pipel Teles (Pipet Pasteui)
.......
6 Pot S pesimcn Dahak Mulut Lebar BESAR 5,130
7 Pot S pesimen Urine (Mulut Lebar) 12,826
8 TabungReaksi 12.\75 mm 7,696
9 Tabu ngReaksi deiigan tutup karet gabus EDTA '3,848"
10 Urini meter (Alat Pengukur Berat Jenis Urine) 3.F 96,195
H JA RING AN PELAYANAN PUSKESMAS

I Puskesmas Keliling
1 Alat Pemasang lUD 89,782
2 Baki Logam Tempat Alat Steril Bertutup 509 83^69
3 Bein Lurus Besar 147,499
4 1 Caca Mulut Datar No.4 + Tangkai 96,195
5 1 Clem Arteri, Lurus (Kellv) 32,065
6 1 Clem/PemegangJarum Jahit, 18 cm (Mayo- Hegar) 32,065
7 ICorentang Lengkung, Penjepit Alat Steril, 2 7 cm (Cheattk) 102,608
8 Meteran 15^91
9 1'en Lancet SELLA 38,478
10 Pinset Anatomis, 14,5 cm 19,239
11 Pinset Anatomis, 18 35,913]
12 llonde Bengkok 76,956
13 iltetoskqg Dewasa GC 89,782
14 Stetoskqg Anak GC 320,650
15 Stetoskqg Janin "KAYU" "2L804
16 Sudip Lidah Lqgam, Panjang 12 cm POLOS 19,239
BERLUB
17 Sudip Lidah Logam, Panjang 16,5 cm
..AUG...
18 "andu Lipat 1,667,380
19 "ermometer Anak LOTUS/COROj HG 12,8261
20 "ermometer Dewasa HARMED DIGITAL 25,652
21 ' "imbangan Bayi / Timbangan Dacin DACIN 994,015]
11 "": 1 , TN
95
MERK HARGA
Type / Art
No. NAMA BARANG COUNTRY OF SATUAN KET
No.
ORIGIN (Rp)
I PERALATAN UNTUK PELAYANAN LUAR GEDUNG PUSICESMAS
1 KIT KEPERAWATAN KESEHATAN MASYARAKATjl'HN KITJ
1 Vlat Test Darah Portable (pula darah, Asam Urat, KolesU rol) EASYTO_UCH GCU 500,214
2 Bak Instrumen dilengkagi Tutup ""sbsT"" 83^69"
3 GuntingJaringan 32,065
4 Gunting Verband 38,478
5 kom Kapas Steril 32,065
6 kom dilengkapi tutup 70,543
7 'alu Reflex 57.717
8 'en laneet SELLA PENCET 38,478
1 9 'enlight MAGIC STAR 25,652
10 'inset Anatomis 19,239

11 'inset Cirurgis 19,239
12 stetoskqg Anak GC 320,650
13 stetoskqg Dewasa GC 89,782
14 Termometer HG 12,826
15 Timbangan Badan Dewasa SELLA 141,086
2 KITUKS
1 ' jarpu Tala 512HZ/1()24HZ/2084HZ RENZ 44,891
2 'alu pengukur refleks 57,717
3 I speculum hidimg(_Lempert) 153.912
j_ 4 ; speculum telinga dengan ukuran kecil, sedang besar 32,065
5 Stetoskqg GC 89,782
6 ; Sudip lidah, logam paigang 12 cm -POLOS. 19,239
- ~ : --^^gjSj^g (ISHIHARAj" 76,956
[ 8 Timbangan dewasa SELLA 141,086
^ 9 Tomiket Karet 25,652
3 KITUKGS
1 Sonde Leirgkimg RENZ 76,956
2 : Spatula Pengaduk Semen 15,391
3 Tangkai kaca mulut 64,130
4 KITBIDAN
1 1 lak Instrumen dengan tutup 508 57,717
2 Bengkok Kecil 38,478
3 Benôk Besar 44,891
4 ] loppler LOTUS 929,885
5 GuntingVerband 38,478
6 Gunting Tali Pusat 34,630
7 1'emeriksaan Hb QUIK CHEK 1,058,145
8 Klem Tali Pusat NESCO 2,5651
9 11 Klem Korcher/ Pemecah Ketuban 25,652
10 Lancet AVICO 32,065
11 Meteran 15,391
12 I'aluRefleks 57,7171
13 1 'engukur Tinggi Badan (Microtoise) 57,717
14 Pinset Anatomi Pendek 19.239
15 Pinset Anatomi Panjaiig 35,913
16 I'itaPengiikurLila 10,261 J
17 Stetoskqg Janin KAYU 21,804^
18 Sudip lidah logam_ganjang 12 cm POLOS 19,239
19 Sudip lidah logam_panjang 16,5 cm LUBANG 23,087 J
20 Stetoskop GC 89.782
21 "emiometei Dalii dan Teiiiga HARJMED 320,650
22 "hermometer digital HARMED 25,652
"
23 "ermometer Dewasa HG 12,826
"
24 '"ensimeter Dewasa GC JARUM 128,260
25 ' "imbangan Dewasa SELLA 141,086
26 ' "imbangan Bavi SELLA 577,170
. 27
Z . . ""omiket
-- Z-ZL
Karet __ 25,652
28 ' 'romol Kasa / Kain Steril I5CM 256^520
29 Waskom Bengkok BESAR 32,065
30 Waskom Cekung TUTUM 70,543
5 KIT POSYANDU
1 < juntingVerban j 38,478
96
B. 13 A L A T - A L A T K E S E H A T A N
Nf > N A M A PROnillf IVl.i/\oIF Ilv/\ijl r Ivvzizu Iv 11 / \ I X V AV r\ ii. If F T

l/iTl/. riXVZUUJtV
/ 2 3 4 5 6
1 11428 MAXTER E X A M G NO POWDER L GLOVES 64,130
2 UMI MAXTER E X A M G NO POWDER M GLOVES 64,130
3 11426 MAXTER E X A M G NO POWDER S GLOVES 64,130
4 11425 MAXTER E X A M G NO POWDER X GLOVES 64,130
5 11424 MAXTER E X A M G PEP W/TEX L GLOVES 83,369
6 11423 MAXTER E X A M G PEP W/TEX M GLOVES 83,369
/ 11422 MAXTER E X A M G PEP W/TEX S GLOVES 83,369
8 LH21 MAXTER E X A M G PEP W T E X X GLOVES 83,369
9 1H20 MAXTER E X A M GLOVE L GLOVES 62,847
10 1H19 MAXTER E X A M GLOVE M GLOVES 62,847
11 11418 MAXTER E X A M GLOVE S GLOVES 62,847
12 11429 MAXTER SURGICAL G STR 6 GLOVES 4,874
13 11430 MAXTER SURGICAL G STR 6.5 GLOVES 4,874
18 11408 ONEMED MEDIGLOVE NS 6.5 GLOVES 3,976
19 11409 ONEMED MEDIGLOVE NS 7 GLOVES 3,976
20 11410 ONEMED MEDIGLOVE NS 7.5 GLOVES 3,976
21 11411 ONEMED MEDIGLOVE NS 8 GLOVES 3,976
22 11483 SAFEGLOVE EXAM PF ISI 20 GLOVES 23,087
23 11451 SAFEGLOVE SURGICAL PF 6 GLOVES 12,569
24 11452 SAFEGLOVE SURGICAL PF 6,5 GLOVES 12,569
26 11454 SAFEGLOVE SURGICAL PF 7.5 GLOVES 12,569
28 11456 SAFEGLOVE SURGICAL PF 8.5 GLOVES 12,569
29 11463 SAFEGLOVE SURGICAL PP 6 GLOVES 7,567
30 11464 SAFEGLOVE SURGICAL PP 6.5 GLOVES 7,567
35 11182 SARUNG TANGAN INDUSTRI L GLOVES 12,569
36 11481 SARUNG TANGAN INDUSTRI M GLOVES 12,569
37 11416 SENS] GLOVE L GLOVES 66,695
38 11415 SENSl GLOVE M GLOVES 66,695
39 11414 SENSI GLOVE S GLOVES 66,695
C T " / ^ V X l KTir^rW /~VKd'C\4T\
40 11 1 1 1 f~\TD/'^"\/XT
GLOVES i 1,545
11412 SI GYNAECOLOG ONEMD OBGYN
41 12003 ALKOHOL 70 % 1 LITER OM ODES 39,761
42 12001 ALKOHOL 70 % 100 CC OM ODES 4,938
43 12002 ALKOHOL 70 % 300 CC O M ODES 12,826
44 12018 ALKOHOL SWAB ONEMED ODES 18,854
45 12078 ASEPTAN 400CC REFILL BTL ODES 35,913
46 12079 ASEPTAN 400CC+DISP BOX@10 ODES 487,388
47 12072 ASEPTAN 400CC+DISP BTL ODES 50,021
97
Nf> N A M A PROTJITIf If I A s ; i F f i f ASii P R f i n i i i f H/lRnA Rn If F T

1 V f lr\iTl/ F I V V Z I Z U I V I V L j / \ o i F l I V / \ i 3 i n V v Z l z U I V 11 / V I x V J J \ I x II* i V 111 1
/ 2 3 4 5 6
52 12012 ASEPTIC GEL 90 CC ODES 5,900
53 12015 ASEPTIC GEL 5 LT ODES 218,042
54 12075 ASEPTIC GEL 5 LT PINK ODES 218,042
55 12013 ASEPTIC GEL 500 CC + DISP ODES 41,043
56 12014 ASEPTIC GEL 500 CC REFILL ODES 28,217
57 12070 ASEPTIC GEL 500CC GREEN+D ODES 32,065
58 12071 ASEPTIC GEL 5LT GREEN TE ODES 218,042
59 12074 ASEPTIC GEL500CC GTEA RLE ODES 24,369
60 12073 ECODINE 6 (BOX) X 10 M L ODES 7,696
61 12019 GENTIAN VIOLET 10 CC ODES 1,924
62 12036 H202 3 % 800 CC, KARTON/2 ODES 26,935
63 12035 H202 3% 100 CC, KARTON/24 ODES 4,617
64 12061 LYSOL CON+KRESOL S 50% IE ODES 64,130
65 11579 MASK 3PLY EARLOOP +'50 JI ODES 29,500
66 11580 MASK 3PLY EARLOOP PINK'50 ODES 57,717
67 11190 ONE CATGUT CHROMIC 2/0 ODES 173,151
68 11I9I ONE CATGUT CHROMIC 3/0 ODES 173,151
69 11192 ONE CATGUT CHROMIC 4/0 ODES 173,151
70 11187 ONE CATGUT PLAIN 2/0 B'12 ODES 173,151
71 11189 ONE CATGUT PLAIN 4/0 B'12 ODES 173,151
72 11156 ONE SILK 2/0,5M,B'12 ODES 64,643
73 11581 ONE SWAB - ODES 12,826
74 12025 POVIDINE 15 CC, BOX/48 ODES 3,399
75 12027 POVIDINE 60 CC, BOX/48 ODES 6,413
76 12032 POVIDINE VAGINAL D + ALAT ODES 21,804
77 12031 POVIDINE VAGINAL D REFILL ODES 28,217
78 12029 PO VIDONE IODINE I LT OM ODES 84,652
79 12026 POVIDONE IODINE 30 CC OM ODES 4,361
80 12028 POVIDONE IODINE 300 CC OM ODES 28,859
81 1203O POVIDONE IODINE 5 LTR O M ODES 384,780
82 12034 RIVANOL 100 CC, KARTON/24 ODES 2,501
83 12033 RIVANOL 300 CC, KARTON/24 ODES 5,002
84 12052 SABUN CAIR AB ONEMED 500 ODES 22,446
85 11075 UMBICAL CORD K L E M NYLON ODES 3,207
86 11266 AUTO LANCET DEVICES BROWN SYRINGE 17,315
87 11052 BLOOD LANCET MISAWA 26 G SYRINGE 17,700
88 11019 BLOOD I RAN SFUSION SE F SYRINGE 6,285
89 11012 ENEMA SYRINGE BOX/20 SYRINGE 11,543
90 11331 INFLO I.V CATHETER NO 18 SYRINGE 4,553
91 11032 INFLO I.V CATHETER NO20 SYRINGE 4,553
92 11033 INFLO I.V CATHETER N022 SYRINGE 4,553
93 11034 INFLO I.V CATHETER N024 SYRINGE 4,553
94 11035 INFLO I.V CATHETER N026G SYRINGE 7,696
95 11036 INFLO P I.V CATHETER N O l 8 SYRINGE 4,810
96 11037 INFLO P L V CATHETER NO20 SYRINGE 4,810
97 11038 INFLO P I.V CATHETER N022 SYRINGE 4,810
98 11 039 INFLO P I.V CATHETER N024 SYRINGE 4,810
99 1104O INFLO PEN TYPE 18G SYRINGE 4,810
IOC 11)42 INFLO PEN TYPE 22G SYRINGE 4,810
101 11043 INFLO PEN TYPE 24 G SYRINGE 4,810
98
NO K O D E N A M A P R O D U K KLASIFIKASI P R O D U K H A R G A RD. K E T
m. M-x. m-M.^R Ry Am R >#
1 2 3 4 5 6
lOo 11022 JARUM 2 2 G X 1-1/4" ONEME SYRINGE 21,804
10? 11023 JARUM 23 G X 1-1/4" ONEME SYREvGE 21,804
10!5 11024 JARUM 24 G X 1" ONEMED SYRINGE 21,804
109 11025 JARUM 25 G X 1" ONEMED SYRINGE 21,804
110 11026 JARUM 26 G X 1/2" ONEMED SYRINGE 21,804
11 11027 JARUM 27 G X 1/2" ONEMED SYRINGE 21,804
ny
ii:: 11264 SAFETY LANCET ONEMED 100 r T > T X Tf~<
121,847
113 11015 SAFETY SYRINGE 3CCX23G SYRINGE 346,302
11+ 11002 SPUIT INSULIN 1 C C 40 U SYRINGE 87,217
113 11011 SPUIT 50 C C CATH TIP B30 SYRINGE 7,952
IK. 11013 SPUIT ADS 0.5CCX26GX1 SYRINGE 1,796
iir 11006 SPUIT DISP 1 0 C C X 2 1 G SYRINGE 125,695
ik; 110O3 SPUIT DISP 2.5 X 23 G SYRINGE 128,260
119 11004 SPUIT DISP 3 C C X 23 G SYRINGE 83,369
12(1 11005 SPUIT DISP 5 C C X 22 G SYRINGE 87,217
12] 11009 SPUIT DISPO 20 C C E C T I P SYRINGE 1,924
122 110X8 SPUIT DISPO 20CC B O X IPC SYRENGE 3,848
123 110O8 SPUIT DISPO 20CC B O X 50PC SYRINGE 2,052
124 llOOl SPUIT DISPOSIBLE 1 C CT U B SYRINGE 83,369
12f 11)10 SPUIT DISPOSIBLE 50 C C SYRINGE 5,387
12C in68 S P U I T D I S P O S I B L E 50 C C L L SYRINGE 5,772
121 1 1 045 T H R E E W A Y STOP C O C K SYRINGE 14,109
12S 12269 T H R E E W A Y STOP W/TB lOCM SYRINGE 21,804
12 11)46 W I N G N E E D L E 19 O N E M E D SYRINGE 2,950
13C 11047 W I N G NEEDLE 21 G O N E M E D SYRINGE 2,950
131 11048 W I N G N E E D L E 23 G O N E M E D SYRINGE 2,950
132 19)49 W I N G N E E D L E 25 G O N E M E D SYRINGE 2,950
133 11050 W I N G N E E D L E 27 G O N E M E D SYRINGE 2,950
134 11335 I S O P L A S T 1.25 C M X 1 M WOUND CARE 36,939
135 11336 }[SOPLAST 1.25 C M X 4 . 5 M WOUND CARE 55,408
136 11337 ISOPLAST 2.5 C M X 4 . 5 M WOUND CARE 7,952
137 11338 ISOPLAST 5 C M X 4.5 M WOUND CARE 18,341
138 11339 ISOPLAST 7.5 C M X 4.5 M WOUND CARE 24,369
139 11367 IV ONE 01 (TRANSP IV DRS) WOUND CARE 89,782
140 11368 IV ONE 02 (TRANSP IV DRS) WOUND CARE 80,163
141 11!107 MEDIBAN 3", PAK/12 ROLL WOUND CARE 8,145
142 11308 MEDIBAN 4", PAK/12 ROLL WOUND CARE 10,261
143 11!109 MEDIBAN 6", PAK/12 ROLL WOUND CARE 15,391
144 11300 MEDICREPE 3", PAK/12 ROLL WOUND CARE 19,239
145 l l i i O l MEDICREPE 4", PAK/12 ROLL WOUND CARE 23,087
146 11302 MEDICREPE 6", PAK/12 ROLL WOUND CARE 37,388
147 11303 MEDIGYPS 3", PAK/12 ROLL WOUND CARE 9,812
148 l l i i 0 4 MEDIOYPS 4", PAK/12 ROLL WOUND CARE 12,185
149 11305 MEDIGYPS 6", PAK/12 ROLL WOUND CARE 17,315
150 11JS81 O M N I F I X 1 0 C M X 5 M WOUND CARE 83,369
151 11382 O M N I F I X 1 5 C M X 5 M WOUND CARE 141,086
152 11383 OMNIFIX 20 CM X 5 M WOUND CARE 211,629
153 11384 OMNIFIX 5 CM X 1 M WOUND CARE 9,620
154 l l i ; 8 0 OMNIFIX 5 CM X 5 M WOUND CARE 46,815
155 11320 ONEMED DERMAFIX 10 X lOCM WOUND CARE 24,369
Iff 1 151-71 nMP\/rT7n r n p \ , i A P T V in Y I fn\x wrrw Txm n S.T>-C 1 1 1 AO
99
m ax. R ' mm, m. m J ' mRaj M. * Ry my R J R m. R R L mM-RRyX. R M.RRM4
1 2 3 4 5 6
160 11819 ONEMED DERMAFIX 5 X 7CM WOUND CARE 32,065
tr 1 11825 ONEMED DERMAFIX IV 6X8CM WOUND CARE 48,098
16;> 11829 ONEMED DERMAFIX T 10X12CM WOUND CARE 11,351
163 11830 ONEMED DERMAFIX T 10X25CM WOUND CARE 25,011
164 11828 ONEMED DERMAFIX T 5X7CM WOUND CARE 2,950
164 11834 PLESTERIN AMPLOP ISI 10 WOUND CARE 21,163
16() 11833 PLESTERIN BOX ISi 100 WOUND CARE 21,163
16'' 11826 PLESTERIN BULAT STANDARD WOUND CARE 28,217
16!! 11827 PLESTERIN BULAT TRANSPARA WOUND CARE 38,478
16') 11831 PLESTERIN WP, BOX/100 WOUND CARE 49,380
17(1 11832 PLESTERIN WP AMPLOP ISIIO WOUND CARE 38,478
17: 11810 ULTRAFIX 5 X I , BOX/10 WOUND CARE 38,478
172 11811 ULTRAFIX 5 X 5 WOUND CARE 19,880
172 11812 ULTRAFIX 10 X 1, BOX/5 WOUND CARE 35,913
17/- 11813 ULTRAFIX 1 0 X 5 , ROLL WOUND CARE 34,630
17! 11814 ULTRAFIX 1 5 X 5 , ROLL WOUND CARE 52,587
i7t. 11515 ULTRAFIX 20 X 5, ROLL WOUND CARE 64,130
177 11518 ULTRAFIX T 10 CM X 2M WOUND CARE 50,021
17b 1181A ULTRAFIX T lOCM X 5M WOUND CARE 115,434
170 11516 ULTRAFIX T 5 CM X 2 M WOUND CARE 26,935
18( 11517 ULTRAFIX T 5 CM X 5M WOUND CARE 62,847
181 11509 JARUM STERAJECT 23G STERRA 57,717
184 11530 SAFETY BOX 5.0 LITER STERRA 25,652
185 11526 SHARP CONTAINER 1.0 LITER STERRA 34,630
]8fc 11529 SHARP CON 1 AINLR 13 L l l E K STERRA 128,260
18- 11527 SHARP CONTAINER 5.0 LITER STERRA 64,130
18S 11528 SHARP CONTAINER 7.0 LITER STERRA 96,195
18S 11:523 STERA INF SET ANAK ST 01A STERRA 12,826
19C ll;520 STERA INF SET DEWASA STOl STERRA 7,696
191 11:521 S I ERA I N I Sb l DEWASA S I02 SIERRA 8,978
192 11:522 STERA INF SET DEWASA ST03 STERRA 9,620
193 117X6 STERACATH IV CATH 18G PCS STERRA 12,826
196 117X9 S I E R A C A I H IV CA I H 24G PCS SIERRA 12,826
197 11:516 STERACATH IV CATHETER I8G STERRA 641,300
198 11:517 STERACATH IV CATHETER 20G STERRA 641,300
199 ii:;i8 STERACATH IV CATHETER 22G STERRA 641,300
200 ii:!i9 STERACATH IV CATHETER 24G STERRA 641,300
201 ii:;o3 SYRINGE DISP 10 CC X 21 G STERRA 265,498
202 ii:!Oi SYRINGE DISP 3 CC X 23G STERRA 166,738
203 ii:!02 SYRINGE DISP 5 CC X 22G STERRA 211,629
204 17 54 AMPITAMINE TEST STRIP RAPID TEST 20,522
205 17 41 BABY TEST ( OVULATION ) RAPID TEST 64,130
206 17 62 COCAIN STRIP ONEMED RAPID TEST 20,522
207 1765 COMBI 10 TEST URINE BOTOL RAPID TEST 147,499
208 17 : 44 DETECTO ANTI HB S TEST 10 RAPID TEST 160,325
209 17:47 DETECTO ANTI HCV STRIP 50 RAPID TEST 1,077,384
210 17 42 nFTFrTO H R S A n T F K T i n K R A Pin TVS.T
100
NO K O D E NAMA P R O D U K KLASIFIKASI PRODUK H A R G A Rp. KET
1 2 3 4 5 6
214 \'i\A9 GLUCOTEST URINE ONEMEDTO RAPID TEST 14,109
21:5 1-150 GLUCOTEST URINE ONEMED'50 RAPID TEST 29,500
216 1-167 MENAPAUSE OM TEST STRIP RAPID TEST 34,630
21? 17156 METHAMPITAMINE TEST STRIP RAPID TEST 20,522
218 17158 MORPHINE STRIP ONEMED RAPID TEST 20,522
219 17138 PRO HAMIL TEST STRIP RAPID TEST 192,390
220 17139 SIKLUS TEST KEHATvIILAN RAPID TEST 10,261
22 17140 TEST HAMIL ONEMED 3 ++ RAPID TEST 12,826
222 17136 TEST KEHAMILAN STRIP ONEM RAPID TEST 88,499
222 17160 THC STRIP ONEMED, STRIP RAPID TEST 20,522
22z 17137 ULTRA ONE TES HAMIL lOMIU RAPID TEST 179,564
22.1 17178 VACULAB FOR ESR DETECTOR VACULAB BLOOD 3,463
22(. 17187 VACULAB MICROTAINER EDTA VACULAB BLOOD 2,180
227 17182 VAULAB CITRAT 1.8 M L PEAS VACULAB BLOOD 2,309
22b 11355 GAUZE SWAB S 7.5 X 7.5 KASA & MASKER 12,185
229 11366 KAPAS PEMBALUT 25 GR KASA & MASKER 1,924
23(' 11 565 KAPAS PEMBALUT 50 GR KASA & MASKER 3,784
231 11361 KAPAS PEMBALUT 1 KG KASA & MASKER 70,543
23) 11364 KAPAS PEMBALUT 100 GR KASA & MASKER 7,567
235 11357 KASA HEXAHUSADA 16 X 16 KASA & MASKER 3,655
23e 11340 KASA HYDROPHIL 40 X 80 C M KASA & MASKER 176,999
23- 11375 KASA HYDROPHIL 4MX10CM KASA & MASKER 115,434
23? 11:343 KASA HYDROPHIL SG 40X16 O KASA & MASKER 38,478
23S 11841 KASA HYDROPHIL SG 40X80 0 KASA & MASKER 196,238
24C 11:356 KASA STERIL 16X 16 KASA & MASKER 7,952
241 11858 LAP SPONGE ABDOMINAL KASA & MASKER 44,891
242 11889 MASKER N 95 OM8810 KASA & MASKER 173,151
243 11:)18 MASKER SURGICAL EAR LOOP KASA & MASKER 24,241
244 11:; 17 MASKER SURGICAL TIE ON 50 KASA & MASKER 25,652
245 11848 M I I E L L A / PEMBALUT SIKU KASA & MASKER 12,826
246 11888 NURSE CAP OM '100 BLUE KASA & MASKER 39,761
247 11!!85 NURSE CAP OM '100 GREEN KASA & MASKER 39,761
248 11886 NURSE CAP OM '100 PINK KASA & MASKER 39,761
249 llil87 NURSE CAP OM '100 WHITE KASA & MASKER 39,761
250 ll!i59 ONEMED BASIC DRESSING SEl KASA & MASKER 14,109
251 11872 SET ANGKAT JAHITAN SET KASA & MASKER 23,087
252 115:69 STERILE PADS 5X5 C M 8 PLY KASA fe MASKER 4,489
253 11846 VERBAND 4 YARD X lOCM KASA & MASKER 110,304
254 115:47 VERBAND 4 YARD X 15CM KASA & MASKER 153,912
255 115:45 VERBAND 4 YARD X 5CM KASA & MASKER 110,304
256 10135 TENSIONE 1 A TENSI DIGITAL 480,975
257 10046 TENSIONE OM2 TENSI DIGITAL 455,323
258 16779 USG GEL GALON 5 LT BLUE URIT MEDICAL 182,129
259 10(49 BOLA TENSI + PENTIL DELUX DIAGNOSTIC 25,011
260 10(47 BOLA TENSI TANPA PENTIL DIAGNOSTIC 11,543
261 10(;52 MANSET ANAK GAMBAR DIAGNOSTIC 48,739
262 10(51 MANSET DEWASA + TALI OM DIAGNOSTIC 52,587
263 10('50 MANSET DEWASA VELCRO OM DIAGNOSTIC 48,739
264 10(82 NURSE KIT niArrNOSTir Iff, flO
101
NO K O D E NAMA PRODUK KLASIFIKASI PRODUK HARGA Rp. KET
1 2 3 4 5 6
268 1C063 PENLIGHT RED + BATERAI DIAGNOSTIC 57,717
269 K064 PENLIGHT WHITE + BATERAI DIAGNOSTIC 57,717
270 1C057 REFLEX HAiMMER BUCK DIAGNOSTIC 91,706
271. 1C056 REFLEX HAMMER TYLOR OM DIAGNOSTIC 46,174
272 1C012 STETOSCOPE DLX ANAK BURGU DIAGNOSTIC 115,434
272 10132 STETOSCOPE DLX ANAK UNGU DIAGNOSTIC 115,434
27+1 10003 STETOSCOPE DLX DEWASA BUR DIAGNOSTIC 115,434
27:; 10006 STETOSCOPE DLX DEWASA HIJ DIAGNOSTIC 115,434
27(. 10007 STETOSCOPE DLX DEWASA UNO DIAGNOSTIC 115,434
27'' 10017 STETOSCOPE STAINLESS BAYI DIAGNOSTIC 320,650
275: 10030 STETOSCOPE STD DEWASA A B U DIAGNOSTIC 64,130
27<! 10029 STETOSCOPE STD DEWASA HIT DIAGNOSTIC 64,130
280 10001 STETOSKOP DELUXE DEWASA DIAGNOSTIC 115,434
28: 10137 STETOSKOP DELUXE DEWASA DIAGNOSTIC 96,195
287 10022 STETOSKOP STAINLESS DEW H DIAGNOSTIC 320,650
287 10039 TENSI ANEROID 200 DIAGNOSTIC 112,228
28- 10044 TENSI HG BERODA OM DIAGNOSTIC 1,667,380
28! 10042 TENSI HG BLUE OM DIAGNOSTIC 448,910
286 11197 OM CATGUT CHROMIC 2/0+JRM SUTURE PRECUT 230,868
287 11198 OM CATGUT CHROMIC 3/0+JRM SUTURE PRECUT 230,868
28b 11199 OM CATGUT CHROMIC 4/0+JRM SUTURE PRECUT 230,868
28b 11193 OM CATGUT PLAIN 2/0+JARUM SUTURE PRECUT 230,868
29( 11195 OM CATGUT PLAIN 3/0+JARUM SUTURE PRECUT 230,868
291 11196 C M CATGUT PLAIN 4/0+JARUM SUTURE PRECUT 230,868
29) 11188 ONEMED CATGUT PLAIN 3/0 SUTURE PRECUT 173,151
293 11158 ONEMED SILK 2/0 + JARUM SUTURE PRECUT 177,768
294 11160 ONEMED SILK 3/0 + JARUM SuiUREPRLCUl 177,768
29f 11157 ONEMED SILK 3/0, 5 M SUTURE PRECUT 64,643
29e 11715 JARUM HECTING KULIT BT 11 HECTING NALD 32,065
29-; 11 712 JARUM HECTING KULIT BT 8 HECTING NALD 32,065
298 11707 JARUM HECTING KULIT GT 12 HECTING N A L D 32,065
29S 11710 JARUM H E C I I N G KULIT G l 15 HECTING NALD 32,065
30C 11701 JARUM HECTING KULIT GT 6 HECTING NALD 32,065
301 11732 JARUM HECTING OTOT BR 10 HECTING NALD 32,065
302 11 735 JARUM HECTING OTOT BR 13 HECTING NALD 32,065
303 11 737 JARUM HECTING OTOT BR 15 HECTING NALD 32,065
304 11729 JARUM HEC U N O O l O i BR 7 HECTING NALD 32,065
305 11723 JARUM HECTING OTOT GR 10 HECTING NALD 32,065
306 11726 JARUM HECTING OTOT GR 13 HECTING NALD 32,065
307 n 7 2 8 JARUM HECTING OTOT GR 15 HECTING NALD 32,065
308 ll'?21 JARUM HECTING OTOT GR 8 HECTING NALD 32,065
309 ll'?05 ONE MED HECT NALD G/T 10 HECTING NALD 32,065
310 ll'?06 ONE MED HECT NALD G/T 11 HECTING NALD 32,065
311 i r ' 0 8 ONEMED HECT NALD G/T 13 HECTING NALD 32,065
312 13 26 KRUK KETIAK L KURSI RODA 262,933
313 13 25 KRUK KETIAK M KURSI RODA 262,933
314 13 24 KRUK KETIAK S KURSI RODA 262,933
315 13 03 KURSI RODA CORONA B M A T l KURSI RODA 1,244,122
316 13 16 KURSI RODA I CARE B MATl KURSI RODA 1,410,860
317 13 04 KURSI RODA KORONA BAN HID KURSI RODA 1,410,860
318 13 00 KURSI RODA SPIRIT R MATT ifTTRs;! RnnA 1 d74 Qon
102
NO K O D E NAMA P R O D U K KLASIFIKASI PRODUK H A R G A Rp. KET
/ 2 3 4 5 6
322 11051 AUTO LANCET DEVICE ONEMED BLOOD LANCET 20,522
TCvlBANGAN & TINGI
323 1G113 METLINE ONEMED 12,826
BDN
TIMBANGAN & TNGI
324 10126 STATUR METER / MICROTOISE 57,717
BDN
TIMBANGAN & TNGI
32:; 10088 TIBMANGAN BADAN BODY SCAN 397,606
BDN
TIMBANGAN & TNGI
32(. 10092 TIMBANGAN + TINGGI BADAN 1,112,014
BDN
TIMBANGAN & TNGI
32'' 10089 TIMBANGAN BADAN ELEGANCE 161,608
BDN
TIMBANGAN & TNGI
32K 10103 TIMBANGAN B A Y I 20KG OD230 448,910
BDN
'UMBANGAN & TNGI
329 10087 TIMBANGAN BDN DWS B-2016 98,760
BDN
33(1 10200 FLEXITHERM 8 DETIK THERMOMETER 76,956
33; 10205 THERMO ONEALPHA 2 THERMOMETER 42,326
332, 10214 THERMOMETER ALPHA 1 THERMOMETER 18,598
332 10203 THERMOMETER DIGITAL K I D THERMOMETER 89,782
33+ 10208 THERMOMETER JUMBO HP THERMOMETER 11,543
33! 10213 THERMOMETER R U A N G PLASTIK THERMOMETER 14,109
53(. 11063 M U C O U S t,A 1RACTOR DISPOSIBLE LAIN 12,826
337 11570 S T O M A C H T B S I L L I C O N E N O 14 DISPOSIBLE LAIN 76,956
33b 11571 S T O M A C H T B S I L L I C O N E N O 16 DISPOSIBLE LAIN 76,956
339 11572 S T O M A C H T B S I L L I C O N E N O 18 DISPOSIBLE LAIN 76,956
34(' 1108O SUCTION C A T H + FINGER 12B DISPOSIBLE LAIN 5,259
34] 11079 SUCTION CATH CHIO 25 P C DISPOSIBLE LAIN 5,259
34) 11081 S U C T I O N C A T H C H 1 4 25 P C DISPOSIBLE LAIN 5,259
34) 11082 S U C T I O N C A T H C H I 6 25 P C DISPOSIBLE LAIN 5,259
34+ 11083 S U C T I O N C A T H C H I 8 25 P C DISPOSIBLE LAIN 5,259
34! 11077 SUCTION CATH CH6 50 PCS DISPOSIBLE LAIN 5,259
34f 11078 s u e HON CATH CHS 25 PCS DISPOSIBLE LAIN 5,259
34) 11076 UMBILICAL CORD K L E M BIRU DISPOSIBLE LAIN 3,207
34b 11151 ULTRASONIC GEL 250 GR MEDICAL PAPER 32,065
349 11152 ULTRASONIC GEL 5 LT MEDICAL PAPER 141,086
35C 11177 BIST MESS 12 ONEMED SURGICAL BLADE 67,978
35] 11178 BIS 1 MESS 13 ONEMED SURGICAL BLADE 67,978
35) 11284 BIST MESS 14 ONEMED SURGICAL BLADE 89,782
35/ 11181 BIST MESS 19 ONEMED SURGICAL BLADE 67,978
35f 11182 BIST MESS 20 ONEMED SURGICAL BLADE 67,978
35f 11183 BIST MESS 21 ONEMED SURGICAL BLADE 67,978
358 11185 BIST MESS 23 ONEMED SURGICAL BLADE 89,782
359 11186 BIST MESS 24 ONEMED SURGICAL BLADE 67,978
36C 11175 SURGICAL BLADE NO. 10 SURGICAL BLADE 89,782
361 11176 SURGICAL BLADE NO. 11 SURGICAL BLADE 89,782
362 11179 SURGICAL BLADE NO. 15 SURGICAL BLADE 89,782
363 11521 FACE MASK PAPER 2 PLY NON WOVEN 23,087
36/ 11506 SOFT PAD 60 X 90 C M STERI NON WOVEN 60,924
Iff 11 ; n / i 1T P A n 7 n V 7 n r\A xinxT u / r i A / n x T Iff -701
103
NO K O D E N A M A PROD!JK If I ASIFIIf AST PRODUK HARGA Rn K F T

l l i T k . i t . / ^ A AW./1.A1JAV Er*.r\.vjfA. j;v|i IV mLi 1
1 2 3 4 5 6
369 13014 MEJA PERIKSA GYNEC STD+TR HOSPITAL FURNITURE 4,489,100
370 13024 MEJA PERIKSA PASIEN DELUZ HOSPITAL FURNITURE 2,436,940
371 13025 MEJA PERIKSA PASIEN STAIN HOSPITAL FURNITURE 4,809,750
372 13029 STANDART INFUS BESI HOSPITAL FURNITURE 224,455
373 0)201 COMB EES TUTUP 10 C M HOSPITAL WARE 67,337
374 15006 INSTRUMEN BAX 508 HOSPITAL WARE 76,956
373 15016 NIERBEKEN 20 CM / BENGKOK HOSPITAL WARE 38,478
37() 15017 NIERBEKEN 23 CM / BENGKOK HOSPITAL WARE 46,558
37'' 15033 STIK PAN PES DELUXE BLUE HOSPITAL WARE 64,130
374 15022 TEMPAT KORENTANG 17.5 C M HOSPITAL WARE 173,151
379 15030 URINAL PLASTIK L K HOSPITAL WARE 10,261
38(i 15031 URuNAL PLASTIK PR HOSPITAL WARE 10,261
38; 15028 WASKOM 36 C M HOSPITAL WARE 134,673
SURGICAL
38:: 14015 GUNTING AJ 13CM 44,891
INSTRUMENT
SURGICAL
38; 14013 GUNTING EPISIOTOMI 14 C M 57,717
INSTR'UMENT
SURGICAL
38+ 140O1 GUNTING OPERASI LURUS 14C 44,891
INSTRUMENT
SURGICAL
38! 14314 GUNTING TALI PUSER 16 C M 60,924
INSTRUMENT
SURGICAL
38( 14340 KOCHER LURUS16 C M 64,130
INSTRUMENT
SURGICAL
38-; 14119 PINSET ANATOMI 14 C M 23,087
INSTRUMENT
SURGICAL
38? 14032 PINSET AN ATOMI 18 C M 32,065
INSTRUMENT
SURGICAL
38S 14120 PINSET CHIRUGIS 14 CM 23,087
INSTRUMENT
SURGICAL
39C 14034 PINSET CHIRUGIS 18 C M 32,065
INSTRUMENT
SURGICAL
391 14099 SET JAHITAN HEACTING SET 448,910
INSTRUMENT
SURGICAL
392 14101 SET PARTUS 1,026,080
INSTRUMENT
SURGICAL
393 14036 SUP SONDE 20,522
INSIRUMENI
SURGICAL
394 14069 VAGINAL SPECULUM GRAVE L 185,977
INSTRUMENT
SURGICAL
jyj 14070 VALITNAT SPFPI IT TTM OR AVF IVI 185 977
INSTRUMENT X O J, 7 11
SURGICAL
396 14071 VAGINAL SPECULUM GRAVE S 185,977
aJ y\J V / 11 1 1 \ 1 I O X 1 ' v . - / X J \ _ / i vx V J X V z V V ' ' o INSTRUMENT
397 16:i28 NEBULIZER COMPRESSOR ION OXYCARE 577,170
398 16400 REGULATOR 0 2 NEW O M OXYCARE 480,975
399 16409 TABUNG OXYGEN 1 M? + ISI OXYCARE 1,154,340
400 16407 TABUNG OXYGEN 6 M3 + ISI OXYCARE 3,463,020
401 16412 TROLY OXYGEN BESAR OXYCARE 833,690
402 16413 TROLY OXYGEN KECIL OXYCARE 237,281
403 11 (.23 M RES SILICONE INFANT #01 BESMED RESPIRATORY 115,434
AÔA. \ M 1 A \H P P C QR i r r i M P FMP A M T U ( \ l lie MA
104
M- M.JL mM.R9.R-M R M MR WJ *
2 3 4 5 6
403 1J696 MASKER NEBULIZER SET DWS BESMED RESPIRATORY 33,348
40? MAXIFLOW ANAK D c o m c u ixuorijv/y i vjix i 14,109
41) 11694 MAXIFLOW B A Y I BESMED RESPIRATORY 15,391
411 11601 OXYFLOW SOFT (BUBBLE) A N BESMED RESPIRATORY 9,876
412 11600 OXYFLOW SOFT (BUBBLE) DWS BESMED RESPIRATORY 9,876
413 1(266 LAMPU PERIKSA LED LAMPU MEDICAL 1,410,860
DISP & INSTRUMENT
414 1)303 L l L L l I b l b b rfclNUEK (KALA) 192,390
LB
41:> 19012 FOLEY CATH 2- W UC 22 UROCARE 15,391
41i) 15009 FOLEY CATH 2-WUC 16 UROCARE 15,391
41' 19011 FOLEY CATH 2-W UC 20 UROCARE 15,391
411! 19014 FOLEY CATH 3 W UC 20 UROCARE 57,717
410 19007 FOLLEY CATH 2 WAY NO 12 UROCARE 16,033
420 19010 FOLLEY CATH 2 WAY NO 18 UROCARE 16,033
42 11902 FOLLEY CATH 2 WAY SIL N16 UROCARE 84,652
422, 19023 FOLLEY CATH 2 WAY SIL N18 UROCARE 84,652
422 19019 FOLLEY CATH PED NO 10 UROCARE 57,717
42^- 19018 FOLLEY CATH PED NO 8 UROCARE 57,717
42!: 19042 URINE BAG STERIL 2 LITER UROCARE 5,195
42(. 19045 URINE BAG TYPE LEG 800 CC UROCARE 19,239
42)' 11259 POMPA SUSU NEW MIMI CONSUMER MEDICAL 184,694
BLOOD GLUCO
42? 17119 GLUCO M SET 230 868
MONITOR
BLOOD GLUCO
429 17122 G L U C O M S I RIP ISI 10 128,260
MONITOR
43C 16211 STERIL LIS STAINLESS 42CM STERILISATOR 2,436,940
43] ECAOi Thenno Scientific Excesior AS 925,339,730
Semi Enclosed Tisue Processor Citadel
432 EC\02 361,293,060
2000
Semi Enclosed Tisue Processor With
433 EC \03 379 061 727
Fume Control aJ 1 ma al am Ral Rm 1
Semi Enclosed lisue Processor With

434 ECA04 459,423,186
vacuum Fume Control
435 ECA05 Clod Plate 49,426,676
436 ECA06 Hot Embendding System 173,954,028
Fully motorized rotary microtome cool
437 ECA07 443,390,733
clamp
Manual Rotary Microtomes (With
438 EC.\08 202,222,370
Precision orienting)
Manual Rotary Microtomes (With
430 F r \09 164 387 659
Retiaction) R vZ 1 a' am 1 aJ y
motorized rotary microtome low &

440 ECAIO 375 738 992
High profile mJ 1 am a 1 ay am a y y Rm
441 E C A l l Cryostat with uy desinfection 457,769,064

Crvostat with double compressor and
449 FP V 19 r- * r u URRMR ' * *' * V ' %Rmj Rr mm aJ * RJ R Rm Rjumj R. RRR RRR 484 9 i 8 871
C \ _ j \ I z formalin fumigaton
443 ECA13 Thermo sientifi multistainer 476,044,946

444 ECA14 Thermo sientifi coperslipper 624,614,702
445 99088 immunology analizer 424,000,000
446 98(.32 Automated Chemistry Analizer 419,903,771
447 27!60 Microbioloev ID dan AST antomaric 1 94? Q1Q 550
105
NO K O D E NAMA P R O D U K KLASIFIKASI PRODUK HARGA Rn K FT

4 z V V V F z V %|J XV ML* M
; 2 3 4 5 6
Alat Automatis Untuk Pewamaan
45 3 29551 llR R55 879
Gaiam JZ,0,0 J J,O.^Z
451 H0301 Urine Analizer 661,020,357

45> H(I601 Urine Sediment Analizer 14,961,070
45? CPTIO Chemistry Analizer 63,872,261
454 HCTOA Hematology Analizer 134,392,205
45? AIBiO Immunology IB 10 57,542,577
TiL Ti~' A Tl T T " r-v rz~tT T If A rnyfiR n mf t
451) TEOOl INFANT INCUBATOR, Seivo Control, 102,714,000

With Drawer and Adjustable Height
INFANT INCUBATOR, Servo Control,
45'' TE004 64.223.280
With Cabinet
INFANT INCUBATOR, Servo Control,
455; TE005 50,286,400
Cabinet
INFANT INCUBATOR, Manual
459 TE007 36,067,560
Control Digital, Cabinet
INFANT INCUBATOR, Manual
469 TE009 38,902,000
Control, Cabinet
INFANT INCUBATOR, Portable
461 lEOlO 18,550,000
Manual Control
INFANT INCUBATOR, Simple
462 lEOl 1 8 898 700
Incubator With stand trolley
Trasport Incubator SERVO Control
463 TE312 Lengkap (Inci. Adj. IV pole & 127,518,000
Insti-ument Tray)
Trasport Incubator Manual Control
464 I t-J J laJ 54 477 400
Lengkap (Incl. Std. IV pole)
465 TE)18 Infant Warmer Manual Control 33,983,600
Infant Warmer Servo Control, Standar
TE)19 102,131,000
466 Type
Phototherapy Unit, Swivel Type With 4
TB)20 13,197,000
467 Lamps
Phototherapy Unit, Tilt Type With 4
TFi??"? 10 779 000
468 i LZ'JZJ Lamps, ABS 1 VI,Z.X-Z,VIWVJ
Phototherapy Unit, Stand Type With 4

8 363 400
469 Lamps, ABS
470 TE027 Portable Phototherapy 2 Lamps 6,890,000
Gynecological Examination &
TE029 45,580,000
471 Treatment Unit
472 TE()30 Ultrasonic Doppler Fetus Detector 11,108,800
473 TE()31 Manual vacuum Extrator 9,559,080
Scrub Station 1 Person 3 UV Lamp,
TE034 83,846,000
474 Filter : 1 u & 0,2 u
Scrub Station 2 Person 6 UV Lamp,
TE035 136,316,000
475 Filter : 1 u & 0,2 u
Operating Lamp Halogen Stand Type, 4
TE037 51,282,800
476 Bulbs
Operating Lamp Halogen, Ceiling Type,
TE(i38 44,785,000
477 4 Bulbs
X-RAY FILM VIEWER / LIGHT
4,491,220
478 CASE. 3 nhreel Films
106
NO K O D E NAMA PRODUK KLASIFIKASI PRODUK H A R G A RD. K E T
/ 2 3 4 5 ' 6
X-RAY FILM VIEWER / LIGHT
FA'HS 2,968,000
48) CASE, Single Films
481 TE;039 Halogent Examination Lamp 4,930,272
482 te;041 General Examination Lamp 2,714,660
Suction Unit, Mobile, Cabinet Steel, 2
48:) te:043 22 0 4 8 000
Bottle, X 2 Litter
484 TE,044 Portable Suet on Unit, 1 bottle x 2 Litter 11,416,200
48:i T E 0 4 5 Tliorax Suction Unit, 1 Bottle x 2 Litter 6,190,400
4 8 0 T E 0 4 7 Mortuary 2 Bodies 243,800,000
INCENERATOR, Capacity 0,3 ra3, 2
48'' TE052 176,320,400
Burner
INCENERATOR, Capacity I m3, 3
488 11054 411 780 000
l i \J D t
Burner *T 1 I ,AO\J,\J\J\J
INCENERATOR, Portable, cab: 0,03

489 TE056 104 677 000
m3, 1 Burner
49(1 NEi241 Needle Destroyer 2,544,000
SIRO PLUS, EMERGENCY
491 SRPOl 271 247 640
VENTILATOR j 1 1 ,Zi^ / ,C 1 V/
492 SR400 VENTILATOR 395,804,000

492 SAMPM ANESTHESl 646,892,560
49/ SRIdLT ANESTHESI 518,858,340
49f C S \ / M 1 X RAY CEILING SYSTEM 1,011,377,800
496 BHETA X RAY FLOOR SYSTEM 674,962,420
49'; JO .30 MOBILE X RAY KONVETIONAL 372,805,180
49? N4D<JM> DDR U ARM 3,040,043,960
495 AS14U SUCTION PUMP 18,858,460
50C AS.IOU SUCTION PUMP MOBILE 37,020,500
ELEKTRO SURGERY UNIT
501 MP3SU 154,293,600
MEGAPOWER
Catatan Harga Belum Termasuk Pajak

107
B.14. A L A T - A L A T P E R A G A / P R A K T E K S E K O I A H
" l -fc T W r\ ~WR R WR A "MT y~m WR A my WR-m-\WR A W A rwm A Ry HARGA

NC. JENIS BARANG DAN PERALATAN SATUAN K E T
(Rp)
/ 2 i 4 5
1. Bidang Studi B a h a s a Indonesia
- .\iat Peraga Bahasa Indonesia Lain Jain 1 set 553,850
2. Bidang S t u d i : Matematika
- Penggaris Plastik 1 Buah 11,077
- Busur Derajat Kayu I Buah 9,911
- Busur Derajat (POP 1) 1 Buah 26,235
- Penggaris Siku-siku No. 8 1 set 11,660
- Penggaris Siku-siku No. 10 1 set 27,984
- Jangka Kayu 1 Buah 57,134
- Model Kubus 1 Buah 116,600
- Model Balok 1 Buah 131,175
- Model Prisma Segitiga Siku-siku 1 Buah 116,600
- Kit Matematika S D 1 set 771,309
- Mistar Papan tulis 100 cm 59,466
3. Bid tng S t u d i : I P A Dasar
- Pemegang Batera 1 Buah 69,377
- Sklar 1 Buah 21,571
- Piling 1 Buah 8,745
- Kabel Listril 1 meter 5,247
- Pembakar Spirtus 1 Buah 63,547
- Gelas Kimia 100 ml 1 Buah 45,474
- Gelas Kimia 250 ml 1 Buah 43 142
1 XJUCUl
i>*w'ira L'ilja 1 R u a h 11R Q39
1 dUUng IvcaKSl IWdKI 1 >Udn

TaKuntj Rfâlfci TTinimn 1 ^ v ISO mm 1 R n a h J , J Z O
1 aUUll^ JVCaKM UICUICUI lU A IJV/ lillll

^Qraa+ I X Q + Q a f f 1 cat
ividgnei D d i d n g 1 set
A R S[|-iiHi
O il rUl iMl li li ga k j i U u i TPA
Xxr^T
J - aniiii-gn
iHllJUlall
\ ^ i - x f l f i l Tan if/A ran OF 1 Qat 41 1 SOS

IVIUUCI I d i K U l O l l ^ t111X X , 877
J70
\yff\Hal T iHaVi 1 dos
\AnHf*l Tl Uni ra dU AA/ânita
iviCIUCl VVaillla 1 Hoc 1 17S lOS
- lV/lr\Hal Tantiino
iVlUuCi JalUUll^ 1 Hnc 770 S40
Z / 37,OHL/
\i^r\fial JVailall^
iVlUUCl R aTrancT rrini I dos 787 448
iVlUUCl IVlala 11 Hr\G
UOS 770 S40
\^f\/iAl T ^ / V f O f X X^*l 1 Hnc 47 S41
iVi*_"iCI 1 A"? IViMll
X/fio+ar Raci TTVnran ^0 cm 11 XXxaii
Riiah 74 486
- Gelas T Jkur ukuran 100 ml 1 Ruah 53,053
~ VJVlCla C I V U I UlVUiail \ . \ J \ J 111!
Gelas TTkur ukuran 7S0 ml 1 Buah 116,017
~ V J v l u a C / l C U l U I V U K U l Mja)\J Illl 1 JJUCUl
Rri|JCt
l net Tetec
X ClCa 1 Buah 9 911
Pinet Tetes nak 10 1 Buah 51,304
f ahu XFrien
X-fCiULt J I I C U iX/faver
v x c i y d tikiiran 9S0 ml
u i v t x i a i i zjv/ iiii 1 Buah 60,049
1 IJUCUl
FnronQ haea ukuran 7 S r m 1 Buah 43,259
1 X/UCUl
Lilin 1 pak 11,660
I ,ilin Sniral 1 pdk 40,810
L.1IIIII 0 L/Il dl
- Buku 1 Buah 5,300

Thermometer Kamar J Buah 20,988
Thermometer ICamar HinHinff/nianff 1 Buah 53,636
X liVil lllVllllV'VV'l Xv.CUlldl V l l l l U l l l K r 1 IXClllA
- Pengaduk bahan baca 1 Buah 25,652
- Thermometer Badan kaca 1 Buah 20,405
- Silinder Berkait 1 Buah 1,590
- Kaki Tiga 1 Buah 104,357
- Penjepit Tabung Reaksi Jembatan bahan kayu 1 Buah 37,429
- Lampu Spirtus ukuran 150 ml bahan kaca 1 Buah 51,887
- Kertas Karton 1 Buah 2,650
108
Ml" t HARGA
JENIS BARANG DAN PERALATAN SATUAN K E T
(Rp)
1 2 3 4 5
- Kompas 1 Buah 79,288
Cav/an Patri 1 Buah 58,883
- Pensil Kaca " Mitsubihi" 1 Buah 13,992
- Pisau 1 Buah 7,579
- Pinset + Pensil 1 pak 17,490
- Lilin Mainan 1 pak 9,911
- Jamm Pentul 1 set 1,749
- Penjepit Kertas No 5 1 Buah 4,081
- Pipa Bentuk Y ukuran besar 1 Buah 45,474
5. Bid mg Studi; IPAMenengah
- Bejana Berhubungan 1 Buah 79,288
- Cermin Datar dan Skala skala model cembung 1 Buah 28,101
Magnit Batang ! Buah 20,405
- Sebuk Besi ukuran 250 gram 1 botol 87,450
- Lensa tangan "Joyko" 1 Buah 20,405
- Kertas Minyak 1 bungkus 3,710
- Gelas Penutup 1 Buah 2,650
- Mikroskop"XSP 12" 1 Buah 1,577,831
- Gunting 1 Buah 9,328
- Mortir/Ulu ukuran sedang 1 Buah 106,689
- Rak Tabunga Reaksi kayu 1 Buah 99,110
- Kawat Kasa ukuran besar 1 Buah 14,575
- Thermos Kecil ukuran 1 L 1 Buah 366,707
6. Bidi ng Studi . I P A Atas
- Model Kepala dan Otak 1 dos 411,598
- Model Kulit 1 dos 262,350
- Model Mata 1 dos 279,840
- Model Telinga 1 dos 279,840
- Model G i s i 1 dos 381,600
- Model Lambung 1 dos 262,350
- Model Ginjal 1 dos 291,500
- Foto Meter 1 dos 60,632
A- aj %.aj Ay A-R/\,amA
- Lampu Spirtus bahan kaca ukuran 150 ml 1 Buah 51,887

- Jepitan Tabung Reaksi bahan kayu 1 Buah 37,429
- Sikat i abung Reaksi Besar Kecil ukuran 15 cm 1 Buah 8,862
7. Bidang Studi: I P S
- Peta 1 Buah 31,482
8 Bidang Studi: Ketrampilan
- Garpu 1 iusin 11,077
- Pisau Buah (E-Liehtl 1 Buah 15.741
9 Bidang Studi ; Kesenian
- Gitar Spanish 1 Buah 227,370
- Organ/Electone 1 Buah 2,856,700
Recorder 1 Buah 55,385
Pianika 1 Buah 237,864
A A VAA AAAAAA
Harmonika besar i Buah 61,215

A AAAA A A AAA A AAA* VA- am VIVAVAA
- Suling/Semline " Y A M A H A " 1 Buah 34,397

aj VAAAA aâ^ AlVIA V+AAAA^K * * JAR A
10 RiHanc StiiHi Olah Raca
XV Rola Kasti 1 pak 27,984
~ avii X
Evayu Prtniikiil
difLiiv.ui 1 pak 32,065
Ctart Rlnlf
ijlan DlOK 11 Ucth-
nak 285 670
- Stop Watch 1 Buah 433,752
11 Bidaig Studi: PMP
- Lambang Negara (Garuda) 1 Buah 173,151
- Bendera Merah Putih ukuran 120 cm x 180 cm 1 Buah 58,300
1 D..nl, 1 -71 n
109
HARGA
NCi. JENIS BARANG DAN PERALATAN SATUAN K E T
V mj A * May My A MMRA Ml A RM MM i. MX M BVP^'TM ll M M AMX
(Rp)
/ 2 3 4 5
12 Unit Alat Laboratorium Nuklir
a General Laboratory Tool
- Stop Watch 1 Buah 433,752
b Alat Peraga Sekolah Lainnya
- Kit I P A S D Lengkap Set 1,690,700
- Alat Peraga Matematika S D Set 771,309

- Kit Listrik S M P Set 4,081,000
- Kit I P A SMP Set 4,081,000
- Kit Mekanika S M P Set 4,197,600
- Kit Optika SMP Set 2,273,700
- Gelombang dan Termodinamika Set 10,674,147
- Kit Mekanika I P A S M A Set 3,381,400
- Kit Hidrostatika Set 5,940,770
- Kit Mekanika S M A Set 5,940,770
Catitan : Harga Belum Termasuk Pajak

110
n. P E M E L f f l A R A A N DAN P E R A W A T A N K E N D E R A A N B E R M O T O R
DAN A L A T - A L A T K A N T O R
1. S U K U CADANG A L A T PENDINGIN RUANGAN / A C ,
-m W * TT * w r 9 m m '* T ywn 9t mmm m R-j-a . m- HARGA

NO MEREK/JENIS/TIPE AC SATUAN KET
(Rp)
1 2 3 4 5
1, K O M P O N E N A C 1/2 P K
E V A P O R A T O R ASSY PEE 688 Unit 1,166,000
C O M P R E S S O R PEE 688 R O T A R Y Unit 1,894,750
COMPRESSOR PLE-686 Unit 1,894,750
FAN M O T O R OUTDOOR Unit 874,500
F1 vN MO 1 OR OU 1 uOOR ( D Q O i - 0 ) Unit 874,500
FAN MOTOR OUTDOOR P L E 6 8 6 Unit 874,500
FAN MOTOR OUTDOOR P L E - 6 8 8 Unit 874,500
2, K O M P O N E N A C 3/4 P K
COMPRESSOR CAPACITOR Unit 291,500
COMPRESSOR CAPACITOR (7K) Unit 291,500
P R O P E L I PR (KIPAS) Unit 437,250
IF DOOR F A N M O T O R Unit 874,500
C O N T R O L PCB ASSEMBLY Unit 728,750
EVAPORATOR ASSY (7K B T U ) Unit 1,166,000
EVAPORATOR ASSY 7 K B T U 810 Unit 1,166,000
E V A P O R A T O R PLE-886 Unit 1,457,500
COMPRESSOR 7K B T U Unit 1,894,750
COMPRESSOR 7K B T U PA810 Unit 1,894,750
COMPRESSOR ASSEMBLY Unit 1,894,750
M A I N C T R L B O A R D (7 K,9K B T ) Unit 816,200
3, KOMPONEN AC 1 P K
PROPELLER (KIPAS) Unit 437,250
INDOOR FAN MOTOR Unit 728,750
MAIN C T R L B O A R D K E L O N Unit 728,750
M A I N CTRL BOARD ( 1 2 K BTU Unit 816,200
M A I N CTRL BOARD P E L 1 1 9 9 Unit 816,200
M D L DISPLAY R A 3 P A 1109 Unit 728,750
EA'AIÔRATOR ASSY PLE-llSS Unit 1,166,000
EVAPORATOR ASSY ( 9 K BTU Unit 1,166,000
COMPRESSOR OD PLEl 199 Unit 1,749,000
COMPRESSOR PA 1 1 1 0 Unit 1,749,000

T T
Ill
HARGA
NO MEREK/JENIS/TIPE AC SATUAN 11/\iVV-l/V KET
(Rp)
/ 2 5 4 5
FAN MOTOR OUTDOOR P A l 110 Unit 728,750
CONTROL PCB ASSEMBLY Unit 728,750
M A I N CTRL BOARD (7 K,9K BT) Unit 816,200
4 K O M P O N E N A C 1.5 P K
M A I N CONTROL BOARD PA 1807M Unit 1,020,250
EVAPORATOR ASSY (12K BTU) Unit 1,457,500
COMPRESSOR PA-1807M Unit 2,915,000
FAN MOTOR 0UTD00R(12K BT Unit 874,500
FAN MOTOR OUTEX)0R 12K Unit 874,500
PROPELLER (KIPAS) Unit 583,000
INDOOR FAN MOTOR Unit 1 020 250
5, KOMPONEN A C 5 P K
M A I N CTRL INDOOR PSF5000 Unit 1,590,000
COMPRESSOR PSF 5001/5001 Unit 8,745,000
INDOOR FAN MOTOR PSF5000 Unit 1,590,000
Catitan Harga Belum Termasuk Pajak

112
2. Femeliharan dan Perawatan Alat Pendin;;in Ruangan / A C
Harga
No Type Unit A C Kapasitas HP/PK KET
Satuan (Rp)
1. Ma itance ( Cuci) Tanpa Sparepart
Split 1/2-1 Pk 87,450
Split 1,5-2 Pk 139,920
Star ding Floor 3-5PK 291,500
2. Perbaikan Kebocoran Pipa Refrigerant
Split 1/2-1 Pk 159,000 Pertitik
Split 1.5-2 PK 174,900 Pertitik
Standing Floor 3-5 PK 265,000 Pertitik
3 Per jaikan Kebocoran Unit A C
Split l-2Pk 233,200 Pertitik
Standing Floor 3-5 Pk 349,800 Pertitik
Catatan : Harga belum termasuk pajak

113
3. IJAMPIRAN p e m e l i h a r a a n d a n PERIWATAN AC
No URAIAN KAPASITASHP/PK SATUAN HARGA (Rp.) KET
J Pengisian Freon 1/2 PK (500-600 gr) 106,000.00

3/4 PK (800 gr) 132,500.00
1 PK (1000-1100 gr 1 Kg) 159,000.00
1,5 PK (2200gr) 174,900.00
2PK (1400 gr 1.4 Kg) 190,800.00
3 PK (2800-2900gi-) 212,000.00
Bongkar 1/2 -1 PK PerUnit 265,000.00
1,5-2 PK PerUnit 318,000.00
2,5-3 PK PerUnit 318,000.00
5 PK PerUnit 318,000.00
Pasang 1/2-1 PK PerUnit 159,000.00
1.5-2 PK PerUnit 212,000.00
2,5-3 PK PerUnit 901,000.00
5 PK PerUnit 1,590,000.00
4 Pcnambahan Pipa
- 'ipa Biasa 0.4 mm 1/2-1 PK Permeter 79,500.00
1,5 -2 PK Permeter 90,100.00
3-5 PK Permeter 212,000.00
- fipa Daesung 0.5 mm 1/2-lPK Penneter 84,800.00
1.5-2 PK Permeter 95,400.00
2-5PK Permeter 233,200.00
-F ipa Saeky 0.6 mm 1/2-IPK Permeter 87,450.00
1.5-2PK Permeter 104,940.00
3-5PK Permeter 233,200.00
5 Kjpasitor MF 1/2PK- 15 Mikro Perbuah 93,280.00
1 PK - 35 Mikro Perbuah 159,000.00
1.5-2 P K - 4 5 Perbuah 215,710.00
6 B acket 1/2-1 PK Perset 106,000.00
2PK Perset 159,000.00
3-5 PK Perset 212,000.00
7 MCB Kotak Perbuah 63,600.00
8 Lacban AC Perbuah 23,320.00
Cat itan Harga Belum Termasuk Pajak

114
4. OAFTAR LAYANAN KLAIM KENDERAAN 3ERMOTOR

s. LAYANAN KLAIM HONDA
LEGENDA SUPRA F I T KHARISMA MEGA PRO
TYPE MOTOR / ASTREA SUPRA KHARISMA X GL PRO

NO WIN TIGER
HARGA JASA GREND SUPRA > KIRANA GLMAX
ASTREA STAR GLIOO
1 Sf'fvice TiiDft T Jn RD 51 304 Rp 51,304 Rn 40 810 R n 52 470 R n 88 616 R n 88 616

1 Vi W X W-I IV/ V/ L/ 1 VL/ aJ 1 - -J W J XX L/ ~V/sJ X \ J XVJJ ajRMÎ 1 \ J XVJJ o o , v / i v / XVJJ Oij^Kfl \ J
2 VJl H i l l X V C l i l l C l l XVVlVltl Rn 32 065 Rn 32 0(i5 Rn 32 065 Rn 32 065 R n 39 119 Rn 38 478

IVLJ -J RM . \ J W w/ XVJJ aJ ^{zjyj a> IVJJ J Z < , V / V J J XVJJ aJ 7 J J 1 37 XVJJ J O j ^ / O
3 Giinti Kampas R e m
Rn 20 988 Rn
r\.p 70
zu,37<)o Rn 70 Rn 70 Rn 70 1 60 R n 76 667
J
Tromol XVp ZOjTzOO xVp Zv/jTzOO IVp Z-7,
4 G m t i Kampas R e m
Rn 25 65? Rn 7S 6S7 Rn
rvjj 76
z j , v667
/jz Rn 76 667 Rn 76 667 Rn 76 667
Cacram XVU dMaJ { J aJ AM Xv^ ZJ,Vl.'Z IVLJ Zw7,VJw/Z XVJJ Z-aJiyKjJ^M ivp Z J , U J Z
G'lnfi Ran Rn 1Q9^0 Rn 1Q7';0 Rn 10 77Q Rn

Ivp IQ
1 ! 7 770
,ZJ7 Rn 70 ORS R n
ivp 70 1I J60
zy, U
IVp 1",Z.'" JVU 1 J , Z J J
LJ ITJinti TCanfî Rf*tn Rn '2S 01 1 Rn 76 0^ 1 Rn 76 01 1 R n 76 011 R n 76 011 Rn

rvp 77
z j ^770
jzv
VJilllll fVflUCl XvClIl âJ y\J 1 1
IVL/ IVJJ Z - J ^ V J I X XVJJ Z - J , \ J 1 1
Q n t i Kabel
7 Rp 19 239 Rp 19,2; 9 Rn 19 239 Rn 19 239 Rn 25 652 Rn 25 652
SpeedoiTieter *- ^ f./ y JRM aM m JL **ff 9 * *^ L-l * m a RM a-T m R aaj Rjaj ay am Rj
8 Be iah Mesin Rp 256,520 Rp 256,520 Rp 256,520 R p 256,520 R p 291,500 Rp 349,800
9 Gsnti Rantai K e c i ! Rp 69,960 Rp 69,960 Rp 69,960 Rp 69,960 Rp 87,450 R p 116,600
Catatan : Harga Belum Termasuk Pajak

lis
4. D A F T A R L A Y A N A N K L A I M K E N D A R A A N B E R M O T O R
b. L A Y A N A N K L A I M S U Z U K I
I Y P E MOT OR/
NO HARGA JASA SHOGUN SMASH TUNDER MATIC SATRIA F U G W 250
I RETVICP Rutin Rn Ad ROI Rn

IVp 44 07l
ftOl Rn
Kp S7717
J/ , / 1 / J\.p JljjOt Rn
jvp '^7/, 717
J / 1 / Rn 160 77S
Kp 10D,JZJ
?
OC 1 VIGC UCaoJ Rn 171 R47 ivp
Rn I171 ft47
Z 1 oH / Rn 71 1 670 Rn
Kp 7ns 716
ZUJ,Z ID Rn
Kp 44R 01 n
44o,VlU
Kp Z 1 I , U Z "
I T I run A/Tacin Rn *+*to,"iu
rvp AA51 01 n Rn
rvp 44ftHio.yiKJ
010 Rn 46ft 140 Rrv aas 010 Rn
Kp 44R QI n
44o,VJ.U Pn 061 Qsn
. /
Kp 400,147 jvp y i o , y I yj Kp yoi,y7u
iIVl
Vd irvrjafciril"iM
,iIIlUCIal[lK.dII Votirtfroti
OOlHI^dJl Vjll
I 1 M Rn
ivp 1 7 87A Rrv
IZjOZO 1 7 ft7A Kp
Rn 17 ft76 Rrv
lZ,oZO rvp 17 Q7A
1Z,(SZ0 Rn
Kp
1 7 ft76 Pn
IZ,OZD
AAftO1
Kp IZ.OzD Kp 44,<SV 1
V<r .nniifxr MQCour* I?//Q Rn
ivp JS7/, 71
/1 7/ Rn ^7 717 Rn R7 760 Rn If. Qff, Pn 76 QS6 P
Kpn 1 77 1J IS I
I /4,1
Dt TlgKaT raSoilg IVOQa Kp J/. / 1 / rvp /o,yjo Kp /o,yjo
DC ngKai raSoiig owing A n n R* 91 1(aQ Pn 91 IfiaQ Pn 171
Kp l z J , ft/17
o 4 / Rn Pn 17ft 76n Pn 77'7 70 1
Kp OD.JDb' Rp Kp z4/,zoJ
7 Uf r\ntmnr MJnnnrm/R 1 rra<v 1 Tfn 91 1(aQ Pn ft7 7AO Pn ft7 760 Rn Q7 IfQ Pn 07 76Q Dn 1 11 1 ^ I
ocngKar Hasang i. rorno! Kp ?s>,7oy Kp >A,>07 Kp o j j j o y Kp i/.>,ir>i
< >
(> OCSVIGC JCVCIII LÔISJaill
vOr*ri'*o I? jiY i ^ o l r o r Y i Rn
IVp 7A 7Q1
ZD,Z37j Rn
Kp 7A
Z D 707
,Z73 Rn
Kp 44 ftOl
44,07 1 Rn
jvp 801
AAHilyOyi Rn
Kp 44 ftOl
44,07l Pn
Kp 64 1 70
04,14U
<) Po ""onrr I I orvAi Tjarvi Rn

iVp /17ft
Jo,H-/o Rn
Kp J7ft
o, 47ft
4 /o Rn
Kp 7ft 47ft
-)o,4/o Rn
Kp AA
4H,OV1801 Rn
Kp 44 ftOl
44,oyi P
Kpn 4S
4J,1
I 7S6
0
rasoIlg FvaUCi IVciIi
Id U o ^ ot n U orÊo i ^v nX Rr
Kp
7A 707
Z O , Z V J
Rn 7A 707 Pn 7^ 777 Rn Rn
Kp AA ftOl Kp
44,oVl Pn 1
I /77 1 S1
4,1J i
ra>ang ivaniai oei Kp zo,zyj Kp JJ,Z/Z Kp
I Gf nti Kabei Bodv rVLF O J , J VJ 7 Rn 87 169 Rn 109 021 Rn 109 021 Rn 109 021 Rn 352 715
1VLl Oi-f . J\Jy rvLi 1 yf 7 , \ J R . 1 IVLl i W 7 , \ J Ra 1
rVL/ 1V / 7 , \/Rt 1 IVLr aJ a' Rl, 1 R -J
i:: Priis Rangka Motor Rp 577,170 Rp 577,170 Rp 897,820 Rp 833,690 Rp 961,950 Rp 961,950
i; Se -vice Pompa Oli Rp 76,956 ^ 76,956 Rp 76,956 Rp 76,956 Rp 76,956 Rp 1,026,080
1/ Mombersihkan Tangki Bensin Rp 76,956 Rp 76,?56 Rp 96,195 Rp 76,956 Rp 109,021 Rp 160,325
It StdJari -jari Rp 64,130 Rp 64,130 Rp 64,130 Rp 64,130 Rp 64,130 Rp 116,600

116
4. D A F T A R L A Y A N A N K L A I M K E N D A R 4 A N BERMOTOR
c. L A Y A N A N K L A I M Y A M A H A
Jl!zlNl^ r^JliJLA I AlNl A l l 2 TAK 4 TAK

I !pit*l/11-*P' T?in<TQTI Rf*t"kQlQ Rp T>wa on / I C A
k l C l V i C C IVulgdIl JjCIKala Rp 87,450

r, 1 .' nwm im nma T3 nnnw T_Tl-Vl\ 1 1 Z
A,
(O n*-- * my
Rp Z A A
Rp l A / l A A A
kicrvicc ocsar ocnu vjvcr riouij 174,900

ra 1 A A
'"''iiTTim X^ncm 77~\\T09-r X-Imi1\
Rp
'7'?A O Z O
Rp Z C A
urun ivicsui ^vjvcr nouij 230,860 320,650

ra Z >l 1 ^ A 1 A
/.
H ( 7n4X-f ~\7 ma*a y in n 1 T maaRR ( C i U y* rd ra\
Rp Rp Z >l A
vjanti Kanvas Kem (Satu Koaa) 64,130 64,130

Z 4 "^rawm^-m raRa-a rra r, U ^ yx*^1 * wa ra
Rp /I Z Z /I A
Rp c n 1 d n
vjanti Kanvas Kopimg 46,640 57,717

f C ' r* rara i' 1 ra t t A / ^ * i-m
Rp Z A A Z A
Rp Z A A Z A
service uarpu uepan 69,960 69,960

/ viann Kaniai, vjear oei Rp A Z I A C
Rp A Z 1 A C
96,195 96,195
cc ciervice / vjann Pvompsur Rp 1 A A Z A O
Rp 1AA 1 C1
102,608 173,151
c V ranu oiang King / Dermg r ision / i urun iviesm Rp A 7 Z Z A O
Rp 307,524
256,698
N rawa ra rara \ n\fiVi%î\'f I lll-n \7 ^tin KAo+/l
Kp Z A A Z A
Kp
2 cr\TCC ivaoirator v-up, vega, iviauc^ o",you
1 1 L. W X V l G w X V a U l i CllAll ujj-iviyv oc OGVJipiVjy Rp 96,195 Rp 109,021
12 Cuci Cylinder Head Rp 76,956 Rp 237,281
L! Stel Klep/Valve (Jup, Vega, Matic) Rp 57,717 Rp 57,717
14 Stel Klep/Valve (Jup-MX & Scorpio) Rp 83,369 Rp 83,369
14 (ranti Oli Mesin Rp 19,239 Rp 19,239
1(. Fasang Kabel Speedometer Rp 44,891 Rp 44,891
Catitan Harga Belum Termasuk Pajak

117
in. L A I N - L A I N N Y A
1. T A R I F A N G K U T A N
l . l . T A R I F A N G K U T A N DARAT
TXT, TARIF TARIF

TRAYEK KET
N(i LAMA BARU
/ 2 s 4
1 TML LEATO - TOMBULILATO 30,800 26,500
2 yx JT
1IVJ C
T 4
l^JZfV 1
yn
yj - TALUDAA 33,000 31,800
3 TML LEATO - MILANGODAA 44,000 42,400
4 TML PUSAT KOTA - BONGO ( B A T U D A A PANTAI) 11,000 10 600
5 TML PUSAT KOTA - BATUDAA 6 160 5 936
VJ, 1 \J\J
6 TML PUSAT KOTA - BONGOMEME 11,000 10,600

7 PUSAT KOTA - LIMBOTO 7,700 7,420
8 PUSAT KOTA - ISIMU 16,500 15,900
9 TML 42 - PAGUYAMAN ( T A N G K O B U ) 27,500 26,500
10 TML 42 - MUTIARA 27,500 26,500
11 TML 42 - LAKEYA 27,500 26,500
12 TML 42 - BULULl 27,500 26,500
13 TML 42 - MOHIYOLO 27,500 26,500
14 TML 42 - BONGO NOL 27,500 26,500
15 TML 42 - DULUPl 27,500 26,500
16 TML 42 - TILAMUTA 38,500 37,100
17 TML 42 - BUMBULAN 38 500 37,100
18 TML 42 - PAGUAT 38 500 37,100
xJ aj^Rf\J\J
19 TML 42 - MARISA 55 000 53 000
mi mJ {lJ\f\J
20 TML 42 - RANDANGAN 55,000 53,000
21 TML 42 - LEMITO 77,000 74,200
22 T M L 42 - POPAYATO 11,666 74 200
Z.Z> 1 n yRm\f\J
23 T M 42 rv V> r \ l L / y V l N V J 22 000 21 200
RMJ{U\J\J
Z. 1 ,LM\J\J
24 - GENTUMA 33 000 31 800

J 1
25 TUmM - ATINGGOLA 44,000 42,400

26 T M . 4 2 - ANGREK 27,500 26,500
27 TM_.42 - MONANO 33,000 31,800
H 1 1
A O
TML. 42 - SUMALATA ( BULONTIO 1 A A A OAA
28 33,000 31,800
29 T M . 4 2 - TOLINGGULA ULU 33,000 31,800
30 T M L . 42 - PAPUALANGl SP2 33,000 31,800
31 T M . 4 2 - BULONTIO 38,500 37,100
32 L M . 4 2 - KWANDANG 22,000 21,200
33 T M : . 4 2 - ANGGREK 27,500 26,500
34 T M . 4 2 - GENTUMA 30,140 31,800
35 TML 42 - SUMALATA 38,500 31,800
36 I M L 42 - BONGO ( B A I IJDAA PAN 1 Al) 11,000 10,600
37 TM].42 - KAYUBULAN 11,000 10,600
38 TMJ.42 - BATUDAA 5,500 5,936

118
1. T A R I F A N G K T T A N
1.2. T A R I F ANGKUTAN UMUM AKAP DAN AKDP
r ANJANLr
NO JURUSAN / T R A Y E K TARIF KET
(KM)
/ 2 5 4 5
1 G3R0NTAL0 - MANADO 480 Rp 106,000
2 GORONTALO - BITUNG 527 Rp 116,600
3 GORONTALO - K O T A M O B A G U 292 Rp 95,400
4 GORONTALO - TONDANO 526 Rp 116,600
5 GDRONTALO-PALU 611 Rp 265,000
6 GimONTALO - MAKASSAR 13II Rp 371,000
7 T12RMINAL 42 - P O P A Y A T O 242 Rp 74,200
8 T H R M I N A L 42 - M A R I S A 164 Rp 47,700
9 TLIvRNAL 42 - PAG u A T 145 Rp 37,100
1(1 T H R M I N A L 42 - T I L A M U T A 104 Rp 31,800
11 T H R M I N A L 42 - P A G U Y A M A N 71 Rp 26,500
12 T I ' R M I N A L 42 - A T I N G G O L A 102 Rp 31,800
12 T H R M I N A L 42 - B U R O K O 162 Rp 42,400
1/ T I t R M I N A L 42 - B I N T A U N A 239 Rp 53,000
Cctatan : Harga Belum Termasuk Pajak

119
1. T A R I F A N G K U T A N
1.3. T A R I F A N G K U T A N L A U T
URAIAN ASURANSI
NO TARIF
P.V TJP JUMLAH TOTAL
GC RONTALO - PAGIMANA
I PENUMPANG
1 BISNIS DEWASA 88,030 2,000 1,750 3,750 91,780
2 BISNIS ANAK 51,265 2,000 1,750 3,750 55,015
3 EKONOMI DEWASA 63,000 2,000 3,000 5,000 68,000

JL_/l V . J i V J i. V J . J. LMC I1 I I JTaVj ia
4 EKONOMI ANAK 41,000 2,000 3,000 5 000 46 000

5 EKONOMI KE BISNIS DEWASA 20,000 on nnn
6 EKONOMI KE BISNIS ANAK 9,000 9,000
J(IN V / l VJlVXX iN,J_( U X t J l N I L J /T,ijrviN.
n KINDARAAN
1 GC'LONGAN 1 100,410 2,000 3,090 5,090 105,500
2 GC LONG AN 11 175,800 2,000 3,700 5,700 181,500
3 GCLONGAN 111 340,090 2,000 7,410 9,410 349,500
4 GC LONG AN IV PENUMPANG 1,414,125 10,000 22,875 32,875 1,447,000
5 GCLONGAN IV BARANG 1,273,105 2,000 13,395 15,395 1,288,500
6 GC LONGAN V PENUMPANG 2,624,680 32,000 56,820 88,820 2,713,500
7 GC LONGA N V BARANG 2 109 6 0 0 A nnn IS Qnn

V J V^ J _ / V j i V J Z ^ 1 V ImfJ. \ 1 V i M VJ Rr - J. V. ,y \y \y \m 4,UUU
Q i^f^ I ZAXTi^ A xr \ 7 T DETXIT fXAD A X T Z ^ 1 m o aoz
60,000 100,395 160,395 3,931,000
o VJLLUJNLTAN V I rblNUMrANU
9 GCLONUAN VltJARAiNG Z, / 8 U , y 4 5 4,000 36,555 40,555 2,821,500
y. ma a a X i a X a XXI
10 GCLONGAN V l l 4,554,145 4,000 42,855 46,855 4,601,000
11 GCLONGAN V l l l 6,512,805 4,000 54,195 58,195 6,571,000
12 GC LONGAN IX 9,857,707 4,000 66,795 70,795 9,928,502
AMPANA - W A K A I
I PETvIUMPANG
1 BISNIS 1 DEWASA 51,250 2,000 1,750 3,750 55,000
2 BIS N I S I ANAK 33,250 2,000 1,750 3,750 37,000
3 EKONOMI 11 DEWASA 44,250 2,000 1,750 3,750 48,000
4 EKONOMI 11 ANAK 29,250 2,000 1,750 3,750 33,000
5 EKONOMI DEWASA 53,000 2,000 3,000 5,000 58,000
6 EKONOMI ANAK 35,000 2,000 3,000 5,000 40,000
n KENDARAAN
1 GOLONGAN1 73,910 2,000 3,090 5,090 79,000
2 GOLONGAN 11 134,300 2,000 3,700 5,700 140,000
3 GOLONGAN 111 289,590 2,000 7,410 9,410 299,000
4 GOLONGAN IV PENUMPANG 834,125 10,000 22,875 32,875 867,000
5 GOLONGAN IV BARANG 801,605 2,000 13,395 15,395 817,000
6 GOLONGAN V PENUMPANG 1,615,180 32,000 56,820 88,820 1,704,000
7 GOLONGAN IV PENUMPANG 1,268,100 4,000 24,900 28,900 1,297,000
8 Golongan V Barang 2,095,605 60,000 100,395 160,395 2,256,000
9 Golongan V I Penumpang 1,671,445 4,000 36,555 40,555 1,712,000
10 Golongan V l l 2,341,145 4,000 42,855 46,855 2,388,000
11 Golongan V l l l 3,310,805 4,000 54,195 58,195 3,369,000
12 Golongan IX 4,845,805 4,000 54,195 58,195 4,904,000
GO R O N T A L O - W A K A I
I PENUMPANG
120
URAIAN ASURANSI
NO TARIF
IW TJP JUMLAH TOTAL
4 Ri'iniQ IT Atialc 2,000 1,750 3,750 44,000
n
5 Pknnomi Dewasa SS 2S0 2,000 2,750 4,750 63,000

J'IV JI i v l l 1 U U w W d J d DO,ZDV/
y
O bkanomi Anak 35,250 0 f\C\C\
Z, / J U
AO Ann
z,uuu
7 Bisnis 11 Ke Bisnis 1 Dewasa 20,000 - - - 20,000
8 Bisnis 11 Ke Bisnis 1 Anak 11,000 _ _ _ 11,000

9 Ek ynomi Ke Bisnis I Dewasa 27,000 27,000
1( Ek ynomi Ke Bisnis 11 Anak 15,000 - - - 15,000
11 Ekjnomi Ke Bisnis Dewasa 12,000 - - - 12,000
U Ekonomi Ke Bisnis 11 Anak 7,000 - - - 7,000
II KI;NDARAAIN
1 Golongan 1 99,160 1 n A A 1 O /I A
4,840 T /\ A A A A
2,000 2,840 104,000

2 Golongan 11 165,550 2,000 3,450 5,450 171,000
3 Golongan 111 233,800 2,000 7,200 9,200 243,000
4 Golongan IV Penumpang 927,875 10,000 23,125 33,125 961,000

5 Golongan IV Barang 983,475 2,000 13,525 15,525 999,000
6 Golongan V Penumpang 2,177,100 32,000 56,900 1 Tzz nnn
7 Golongan V Barang 1,596,000 4,000 25,000 r\r\ r\r\i\ I yi\ C A A A
29,000 1,625,000
8 Golongan IV Penumpang 2,860,725 60 000 TOO 775 160 775 3 071 000
1 V/V,Z, / J 1 \J\J,Z. 1 J J,\JZ, 1 ,\J\J\J
9 Golongan V i Barang 2,194,525 A fino 36 475 40 475

i \ j , i 1J 7 735 nnn
i,\j\j\j Z.,Z.J J,\J\J\J
10 Go longan V l l 3,108,025 4,000 42,975 46,975 3,155,000
11 Go longan V l l l 4,190,725 4,000 54,275 58,275 4,249,000
12 Go longan I X 6,285,725 4,000 61,215 71,275 6,357,000
1 PENUMPANG
1 EKONOMI 11 DEWASA 88,030 2,000 3,020 5,020 93,050
2 EKONOMI 11 ANAK 51,265 2,000 2,965 4,985 56,250
3 EKONOMI DEWASA 70,000 2,000 3,000 5,000 75,000
4 EKONOMI ANAK 45,000 2,000 3,000 5,000 50,000
II K I NDARAAN
1 Go ongan 1 111,410 2,000 3,090 5,090 116,500

2 Go ongan 11 194,800 2,000 3,700 5,700 200,500
3 Go ongan 111 379,090 2,000 7,410 9,410 388,500
4 Go ongan IV
Kendaraan Penumpang 1,528,125 10,000 22,875 32,875 1,561,000
Kendaiaan Barang 1,400,105 2,000 13,395 15,395 1,415,500
5 Go ongan V
Kendaraan Barang 2,322,600 4,000 24,900 28,900 2,351,500
6 Go ongan V I
Kendaraan Barang 3,092,945 4,000 36,555 40,555 3,133,500
7 Go ongan V l l 5,066,145 4,000 42,855 46,855 5,113,000
8 Go ongan V l l l 7,264,805 4,000 54,195 58,195 7,323,000
9 Go ongan I X 10,895,705 4,000 66,795 70,795 10,966,500
121
URAIAN ASURANSI
NO TARIE
IW TJP JUMLAH TOTAL
c Bayi 16,500 _ _ 16,500
I] Gt rontalo - Poso
a Dewasa 117,500 _ 117,500
b Anak 92,500 - - 92,500
c Bayi 21,500 - - - 21,500
111 Gorontalo - Bitung
a Dewasa 110,500 - - - 110,500
b Anak QZ C A A
OKJ,xJ\J\J - - - 86,500
c Bavi 21,000 - _ - 21,000
IV Gorontalo - Temate
a De wasa 215,500 _
215,500
b Anik 165,500 _ _ 165,500
c Bsd 31,500 _ _ 31,500
V Gorontalo - Sanana
a De vasa 313,500 - - _ 313,500
b Anik 239,000 - - - 239,000
c Bavi 41,000 - - - 41,000
VI Gorontalo - Namlea
a Dewasa 363,500 - - 363,500
b Anak 276,500 - - - 276,500
c Bari 46,000 - - - 46,000
Vll" Go i-ontalo - Ambon
a Dewasa 401,500 - - - 401,500
b Aniik 305,000 - - - 305,000
c Baji 50,000 - - - 50,000
KM. TILONG KABILA K L S EKONOMI

I Goi'ontalo - Bitung
a Deivasa 110,500 _ _ _ 110,500
b Anjik 86,500 _ - - 86,500
c Ba>i 21,000 _ 21,000
II Goi'ontalo - Luwuk
a Dewasa 94,500 - - - 94,500
b Antk 74,500 - - - 74,500
c Ba>i 19,000 - - - 19,000
m Gorontalo - Kolonodale
a Der/asa 195,500 - - - 195,500
b Ank 150,500 - - - 150,500
c Bayi 32,500 - - - 32,500
IV Gorontalo - Kendari
a De\/asa 282,500 - - - 282,500
b Anfk 215,500 - - - 215,500
c Bayi 38,000 _ _ 38,000
V Gorontalo - Raha
a De\/asa 323,500 _ 323,500
_ 245,500
b Anek 245,500 _
c Bayi 43,500 43 son

VI G n i nntaln - Ban hau
a Dev/asa 338,500 338,500
b Anak 257,500 257,500
c Bayi 43,500 43,500

tfii i"* ram raw4:aira 1%/f mat r rarxrx ra wr
122
URAIAN ASURANSI
NO TARIF
IW TJP JUMLAH TOTAL
VI [I Gdrontalo - Labuanbajo
a Dewasa 439,500 - - - 439,500
b Anak 333,500 - - - 333,500
c Bayi 54,000 - - - 54,000
D: Gc rontalo - Bima
a Dewasa 465,500 - - - 465,500
b Anak 353,000 - - - 353,000
c Bayi 56,500 - - - 56,500
X Gorontalo - Lembar
a Dewasa 543,500 - - - 543,500
b Anak 411,500 - - - 411,500
c Bavi 64,000 64,000
X] Gorontalo - Benoa
a Dewasa 552,500 552,500
b Anak 418,500 418,500
c Bavi 65,000 65,000
Ca atan : Harga Belum Termasuk Pajak

123
2.1 E R L E N G K A P A N OLAHRAGA
HARGA
NO. JENIS B A R A N G DAN P E R A L A T A N SP i S I F I K A S I SATUAN K E T
Rn
/ 2 J 4 5 6
1 Bol a Basket Mikasa Buah 699,600
Dunloc Buah 460,570
ay anXMR ar aj
Spalding Buah 583,000

2 R a l et Bulu Tangkis Yonex Car 8 Buah 291,500
Yonex Car 9 Buah 349,800

Yonex Car 21 Buah 1 166 000
R amRRarra -J\RR RJ m R arary \r ar Kr
Yonex Car 25 Buah 1 282 600

* ar R R a/ i a XRR RJ XJ R yRj \jRjy ar ar ar
3 Bola Bulu Tangkis Indo Cciak Slop / 2 103,774

4 Net Bulu Tangkis Biasa Buah 58,300
5 Rakrt Tenis Lapangan Wilson Buah 1,457,500
Wilson Original Buah 1,749,000
6 Bola Tenis Lapangan Dunlop KIg / 4 bh 98,527
Dunlop Forat Klg / 4 bh 74,200
7 Mejii Pimpong Buttherly Buah 4,372,500
8 Net Tenis Meja Biasa Buah 43,725
9 Bolt Tenis Meja DHS * Buah 46,640
D H S *** Buah 81,620
10 Bets Tenis Meia Sthil Buah 279,840

R-mar%,xj M. aritvu J . V J L ^ / I U F
Buttherily Buah 58,300

11 Bola VoUev Mikasa Biasa Buah 262,350
Rr RRRaawiyaR .y RRRarRR
KMaJM.\) T amar I
Mikasa Oneinal Buah 991,100
Rr RMxaaRaraR -y ji****.*R RJ
12 Sena tu Bola Kaki Adidas Buah 816,200

kJVy|J< XU- XJv/lU XVUIVl
Biasa Buah 349,567
13 Net 3ola Vollev Biasa Buah 58,300

i a^mXf .M\jt.%R T v/i-AXy y
14 Bola Kaki Mikasa Biasa Buah 174,900
Mikasa Original Buah 466,400
Molten Buah 693,770
15 Sena tu Olah Raua Adidas Psg 699,600

JvyvL/x^ A-v* ay R\RH jL.a%RfRaw
Eagle Royal Psg 198,220
16 Skit) na Kettle Buah 58,300
Askot Buah 14,575
STO Buah 17,490
Rflinhnvx Buah 75,207

XVXUlIL/VJ V>
1/ oIGp V alvil LrXiiRit 227,370
lo T A A J OioK TJarra Rnah 58,300

UUtlll
19 Training Spack Merk Rotto I Psg 291,500
MerkRottoII Psg 349,800
20 Kaca Mata Renang Dunlop Buah 174,900
21 Snekel Yang Baik Buah 291,500
Yang Biasa Buah 174,900

11
TX 1
124
3. ]>ERLENGKAPAN P E G A W A I
NO. JENIS BARANG SATUAN H A R G A SATUAN KET
1 2 3 4 5
T T f yI y
1 Lambang Kota Gorontalo (Bordir)
1 1 -1 V
buah Rp 10,261
T A y-*-V f y-B w
2 Lainbang ASN Golongan 11
1 *
set Rp 69,960
T T y* m
3 Lainbang ASN Golongan 111
A t-V
set Rp 75,790
T tW if T TT r
4 set Rp 75,790
A -V
Lambang ASN Golongan IV

5 Sabuk Hitam Nilon Kepala Beringin Sapu Mas buah Rp 26.818
6 Lambang Kopri ASN buah Rp 38,478
7 Topi Korpri laken buah Rp 35,913
o xy Tf * ^ TV rat 1 (T>.,2 .. V 1 C .,4.
stel Rp 247,775
6 Kam Uinas Keki (Pna) 2,5 meter
9 Kai 1 Dinas Keki (Waniia) 3 meter stel Rp 297,330
10 K a i l Korpri 2 meter stel Rp 104,940
11 Lambang Hansip set Rp 13,992
Caiatan : Harga Belum Termasuk Pajak

125
2.1. BAHAN PAKAIAN DINAS P E G A W A I DAN JASA J A H I T
HARGA
NO. JENIS BARANG DAN P E R A L A T A N MERK SATUAN KET
/ 2 3 4 5
I BAHAN P A K A I A N DINAS
B A T l i : KORPRI BARU
1 lS.1 IJVIE, J A Meter 34,980.00
40 S
2 If
lS-1i ;uVUi
A / f mJ AA D A T T T ' 1 A " / " X D D D T C A C
Meter 52,470.00
3 A f AAA T X T A T A C Uf A X T C T D _L U'Cl/'A A X I A T X A 1 T X T T X T T T T T
\AexlRv
-J GRANADA + DUNHIL
TARGET
4 SERAGAM DINAS HANSIP + KEKI GARIS+STARLET+BUG Meter 55,968.00
ATI
KREATOR JET
5 S E R A G A M DCNAS H A N S I P + K E K I TXT A /"'I/' rj~'\/~^ I TT> T"* / D Z X T D / ~ \
Meter 69,960.00
BLACK/blGURE/POTRO
6 SERAGAM DINAS HANSIP + K E K I GUCCI TRW ST.281 Meter 93,280.00
7 T ASM ANI AN PAL
SERAGAM DINAS HANSIP + K E K I iVlClCl Qo 0 4 8 on
ZlLERf PAL WOOL J\J,JXO .\J\J
Q BELLI STAR GARIS BAY

o SERAGAM DINAS HANSIP + KEKI ivicier S8 tnn nn
BELINI jo,J\j\) .yjyj
CASHIdERE
9 SERAGAM DINAS HANSIP + KEKI DAVIDOFFF/TUXEDO Meter 83,952.00
EMP.T
10 SEtlAGAM DINAS HANSIP + KEKI STANAvELL Meter 79,288.00
ZENG/UGUCCl/BULGAR
11 SE RAGAM DINAS HANSIP + KEKI Meter 69,960.00
1/ZOFIVPOTRO
TRUSS ARDIL/LOUIS/GI
12 SERAGAM DINAS HANSIP + KEKI Meter 75,790.00
ORGIC' ARMANI
HUGO BOSS STRIPE+TR

13 SE RAGAM DINAS HANSIP Meter 99,110.00
12388 KILAP
14 KiAIN CELANA
r r 1 'O' I ' A / 1 Z A T T TTX T T Z T T T X T
Meter 72,292.00
ZESTY + CALVIN KLEIN
VIGRA SS/AN ALISA/TO Y
15 K A I N CELANA Meter 53,636.00
AMA
ROYAL
16 KAIN CELANA CROU'VN+CONFIDENT Meter 40,810.00
+PRIVAT
J U A N ROMAN/ELllE Meter 677 nn
1 n
K A I N CELANA f(\
VICTORIA
OSCAf: SUPER Meter
18 KAIN CELANA 87,450.00
WOOL'BURBERY
LUCEN881 +ZENGA Meter
19 K A I N CELANA 74,62400
3088
AMERICAN
20 KAIN CELANA Meter 32,648.00
DRILL/BURBERY
VEGAS,
21 KAIN CELANA POLOS +LORENG+BURB Meter 54,802.00
ERRY
126
HARGA
NO. JENIS BARANG DAN P E R A L A T A N MERK SATUAN KET
(Rp)
1 2 3 4 5
FERNANDO
2) K A I N CELANA Meter 65,296.00
2728/TADYS 1678
ENGLAND
24 K A I N CELANA WOOL IEX+BELLAGIO+ Meter 45,474.00
GENER
UP
25 K/UN CELANA GRAE E+OKEYMAN+AR Meter 48,972.00
IVAL
Ty . T X T V. -g r . a t .
26 K/HN CELANA BLIZZARD/MILFI-888 Meter 64,130.00
DELA
2)' K / J N CELANA ROSA t-DEL AFINO+MON Meter 50,138.00
T BLANK
2? K / J N KORPRI 40 S Meter 37,312.00
2S Ki'JN PILIPO HANSIP PILIPO Meter 58,300.00
3C K / J N PlLlPO KEKI PILIPO Meter 58,300.00
31 K / J N CELANA HANSIP SIERGE Meter 75,790.00
32 K/JiN CELANA KEKI SIERGE Meter 75,790.00
33 K / i I N CELANA KEKI D0LC12 GABANA Meter 116,600.00
34 K / J N CELANA HANSIP DOLCE GABANA Meter 116,600.00
35 K / . I N CLEAN A KEKI BRONES Meter 55,385.00
36 KA JN CELANA HANSIP BRONES Meter 55,385.00
37 KAEN CELANA KEKI PIPRO Meter 69,960.00
38 Yx4m CELANA HANSIP PIPRO Meter 69,960.00
39 K / i l N CELANA K E K I ABSOLUT Meter 58,300.00
40 K/ÎN CELANA HANSIP ABSOLUT Meter 58,300.00
41 K A I N CELANA KEKI JON MORIS Meter 75,790.00
42 K A I N CELANA HANSIP JON MORIS Meter 75,790.00
43 K A I N CELANA KEKI ROKERS Meter 43,142.00
44 K A I N CELANA HANSIP ROKERS Meter 43,142.00
45 K A I N CELANA K E K I INDEX Meter 43,142.00
46 KAIN CELANA HANSIP INDEX Meter 43,142.00
47 KAIN CELANA KEKI HUGO AMO Meter 87,450.00
48 K A I N CELANA HANSIP HUGO AMO Meter 87,450.00
49 KAIN CELANA K E K I TETB Meter 69,960.00
y yv yx y y* yv y-\
50 KAIN CELANA HANSIP TETB Meter 69,960.00
51 K A I N CELANA KEKI JORDAN Meter 75,790.00
52 KAIN CELANA HANSIP JORDAN Meter 75,790.00
53 K A I N CELANA HANSIP SERGIO R. Meter 87,450.00
54 K A I N CELANA KEKI SERGIO R. Meter 87,450.00
55 K A I N CELANA HANSIP MILFI Meter 52,470.00
56 K A I N CELANA KEKI MILFI Meter 52,470.00
57 KAIN CELANA HANSIP BELZI/vNO Meter 58,300.00
58 KAIN CELANA KEKI BELZI/tNO Meter 58,300.00
59 DINAS HANSIP HFE STYLE Meter 104,940.00
60 DINAS HANSIP SUPER FELL Meter 97,944.00
61 DIE AS HANSIP STAFF Meter 73,458.00
62 DIE AS HANSIP OPTIMIS Meter yr\ ixZ/A f\f\
69,960.00
63 DIE AS KEKI JOHN CAVENDISH Meter 104,940.00
64 DIE AS KEKI GRANDEFELL Meter 104,940.00
65 DIE AS SAFARI COLLDJ FAREN Meter 65.296 00
127
H A R G A
NO. JENIS BARANG D A N PERALATAN M E R K SATUAN M.M,*- X W.X X_V A X
K E T
(Rp)
i 2 3 4 5
70 DINAS KEKI LOUIS GERALDU Meter 65,296.00
71 DINAS K E K I EMORIS Meter 69,960.00
72 DINAS SAFARI PRIMO MODELO Meter 452,408.00
E:. JASA JAHIT PAKAIAN DINAS
] I sTELPDH 265,000.00
2 I STEL PDF 318,000.00
. I STEL PDF DOMPET 371,000.00
/ I !>TEL PSH 238,500.00
5 I STEL PSR 689,000.00
6 I STEL TAKOA 689,000.00
7 I STEL JAS 848,000.00
8 1 S i E L BLUS 159,000.00
9 P/.KAI A N DINAS TERUSAN 212,000.00
10 I STEL SERAGAM SEKOLAH 185,500.00
11 I ROK 116,600.00
I GELANA 132,500.00
1 BLASER 212,000.00
1/ I KEMEJA TDK DI ALAS 132,500.00
1<
I I:EMEJADI ALAS 159,000.00
Catalan : Harga Belum Termasuk Pajak

128
4. S EWA PERLENGKAPAN
MM MM MM VHfl m M M MM
NO. JENIS SPESIFIKASI SATUAN HARGA KET
1 2 3 4 5 6
rf _
1 Tunda Biasa Ukuran 4 x 8 Unit 320,650
Rp
yt J yt yx / o%
Plafon Ukuran 4 x 8 Unit Rp
641,300
Oval Biasa Ukuran 4 x 8 Unit Rp 641,300
ma ra ma ma ma ma
Oval Plafon Ukuran 4 >; 8
R
Unit Rp 1,282,600
ma m\ ma ma ma ma
2 Penggung Ukuran 4 x 8
R
Unit Rp 1,282,600
3 Kursi Pernekel Buah Rp 6,413
Plastik Buah Rp 1,924
4 La Tipu Sorot Buah Rp 96,195
A ia/a ia ma A
Mercuri Buah Rp 109,021
C A A OD
Hemat Energi Buah Rp
64,130
5 So j n d System Orgen Tunggal Set Rp 2,040,500
6 Pe ndingin Ruangan AC Standing 3 PK Unit Rp 1,090,210
A L bpiit 2 r i \ unit Rp 897,820
Kipas Angin Unit Rp 513,040
7 Kendaraan Roda Empat Buah/Hari Rp 384,780
Catatan . Harga Belum Termasuk Pajak
Ditetapkan di Gorontalo
pada tanggal, 1 Ai.ustus 2OI6

SK Standar Satuan Harga Barang & Jasa Kota Gorontalo Tahun 2017

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ilTANDAR SATUAN HARGA

KEPUTUSAN WALIKOTA GORONTALO

NOMOR: 25-' / ''1 / VII)f2016

PEMERINTAH KOTA GORONTALO

TAHUN ANGGARAN 2017

Menimbang : a. bahwa guna mendukung terlaksananya tertib

administrasi perencanaan dan pelaksanaan Anggaran

Pendapatan dan Belanja Daerah, dilakukan upaya-upaya

y a n g efektif dar. efisien;

b. bahwa untulc mewujudkan tertib administrasi

perencanaan dan Pelaksanaan Anggaran Pendapatan

d a n Belanja Daerah, perlu ditetapkan Standar Satuan

c. bahwa berdasarkan pertimbangan sebagaimana

dimaksud dalam h u r u f a dan h u r u f b perlu menetapkan

K e p u t u s a n Walikota Gorontalo tentang S t a n d a r S a t u a n

Harga Barang dan Jasa Pemerintah Kota Gorontalo

Wengingat : 1. Undang-Undar g Nomor 29 Tahun 1959 tentang

Pembentukan Daerah-daerah Tingkat 11 di Sulawesi

(Lembaran Nfgara Republik Indonesia Tahun 1959

Nomor 74, '"ambahan Lembaran Negara Republik

2. Undang-Undaiig Nomor 38 Tahun 2000 tentang

Pembentukan Provinsi Gorontalo (Lembaran Negara

Republik Indonesia T a h u n 2 0 0 0 Nomor 2 5 8 , T a m b a h a n

T ^^u^,.r^r^ M*.nraT-o P*>niil-i1ili- Trjrinnpsia Nomor 40601:

3. Undang-Undang Nomor 33 Tahun 2004 tentang

Pemerintahan Daerah (Lembaran Negara Republik

4. Undang-Undang Nomor 23 Tahun 2014 tentang

Pemerintahan Daerah (Lembaran Negara Republik

N e g a r a R e p u b l i c I n d o n e s i a Nomor 5587) sebagaimana

telah beberapa kali diubah terakhir dengan

Republik Indonesia T a h u n 2015 Nomor 58, T a m b a h a n

5. P e r a t u r a n Pemi^rintah Nomor 58 T a h u n 2005 tentang

Pengelolaan Keuangan Daerah (Lembaran Negara

6. P e r a t u r a n P e m e r i n t a h Nomor 27 T a h u n 2014 tentang

Pengelolaan Biirang Milik Negara/Daerah (Lembaran

Negara Republik Indonesia Tahun 2014 Nomor 92,

Tambahan Lembaran Negara Republik Indonesia

7. Peraturan Presiden Nomor 54 Tahun 2010 tentang

Pengadaan B a r a n g / J a s a Pemerintah sebagaimana telah

beberapa kali diubah terakhir dengan Peraturan Presiden

tentang Pedoman Teknis Pengelolaan Barang Milik

KESATU : Standar S a t u a n Harga B a r a n g dan J a s a Pemerintah Kota

Gorontalo T a h u n Anggaran 2017 sebagaimana tercantum

dalam Lampirai yang merupakan bagian yang tidak

KEDUA Pelaksanaan Anjjgaran Pendapatan dan Belanja Daerah

Standar Satuari Harga dan Jasa Pemerintah Kota

Gorontalo T a h u r Anggaran 2017.

KISTIGA Pada saat Keputusan ini mulai berlaku, Keputusan

Walikota Gorontalo Nomor :313/ll/Xll/2015 tentang

Penetapan Standar Satuan Harga Barang dan Jasa

Pemerintah Kota Gorontalo Tahun Anggaran 2016

dinyatakan tidak berlaku.

KEEMPAT Keputusan Walikota ini mulai berlaku pada tanggal

p a d a tanggal 1 kt;uatue 2016

Tembusan disampaikan kepada Yth :

1. K e t u a D e w a n Perwakilan R a k y a t Daerah Kota Gorontalo.

KEPUTUSAN WALIKOTA GORONTALO

NOMOR : 2 5 . /11 /viil/2016

STANDAR SATUAN HARGA BARANG DAN JASA

PEMERINTAH KOTA GORONTALO

TAHUN ANGGARAN 2017

Menimbang : a. bahwa guna mendukung terlaksananya tertib

administrasi perencanaan dan pelaksanaan Anggaran

T ^^u^,.r^r^ M.nraT-o P>niil-i1ili- Trjrinnpsia Nomor 40601: