DAFTAR KEBUTUHAN ALAT DAN BAHAN

SIE DHE
PRE EVENT
NO NAMA ALAT JUMLAH
1 KACA MULUT 160
2 SONDE 160
3 PINSET 160
4 BAKI 160
5 MODEL GIGI 6
6 FLIPCHART 6
7 SUPERVISOR 3

EVENT
NO NAMA ALAT JUMLAH
1 MODEL GIGI 20
2 FLIPCHART 10
3 FILM EDUKASI 1
4 LCD 3
5 LAYAR LCD 2
6 RUANG TUNGGU 3
 DAFTAR BAHAN DAN ALAT SCREENING BKGN 2015

No NAMA BAHAN
Jumlah Harga TOTAL
1 Tissue Wajah 10 IDR 8,000 IDR 80,000
2 Chlorethyl 2 IDR 95,000 IDR 190,000
3 Cotton Roll 10 IDR 55,000 IDR 550,000
4 Alkohol (botol 1 liter) 3 IDR 30,000 IDR 90,000
5 Cotton Pellet (botol) 1 IDR 25,000 IDR 25,000
6 Handscoon (dooz) XS 5 IDR 45,000 IDR 225,000
7 Handscoon (dooz) M 3 IDR 45,000 IDR 135,000
8 Masker karet (dooz) 4 IDR 23,000 IDR 92,000
9 Masker Tali (dooz) 2 IDR 23,000 IDR 46,000
10 Nametag Supervisor 6 IDR -
11 Nametag Asisten Operator 10 IDR -
12 Sabun cair cuci tangan (botol) 4 IDR 11,000 IDR 44,000
13 Kasa 2 IDR 5,000 IDR 10,000
14 Saflon (botol 1 liter) 1 IDR250,000 IDR 250,000
15 Gelas Kumur disposibel isi 50 20 IDR 15,000 IDR 300,000
SEWA FOSIKAGI IDR 450,000
16 TOTAL IDR 2,487,000
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 Sabun cuci alat/mama lemon (800 ml 2
 NAMA ATK DAN PERLENGKAPAN
Jumlah
Bolpoint hitam snowman 12
Spidol Merah 10
Taplak Meja Plastik 3
Trash Bag 10
Papan Dada 10
Wadah Alat Plastik 3
Baskom plastik 5
HandyTalky 9 (sejumlah Pj ruangan)
 NAMA BAHAN
Jumlah Harga
Baki 50 1,000 sewa mahasiswa
Kaca mulut dan handle @ 100 1,000 sewa mahasiswa
Pinset 100 18,000 sewa mahasiswa
Ekscavator 40 18,000 sewa mahasiswa
Petri dish / wadah cotton roll cotton pellet 10 7,000 sewa mahasiswa
Headlamp 2 200,000 sewa mahasiswa
Sterilisator 1 1,750,000 sewa mahasiswa
Handuk 10
Sikat alat 1
SEWA FOSIKAGI 450,000
EKSODONSIA

BEDAH MULUT
NO BAHAN JUMLAH SATUAN HARGA TOTAL HARGA
1 Povidone iodine 10% 5 LITER IDR 95,000 IDR 475,000
2 Alkohol 70% 4 LITER IDR 30,000 IDR 120,000
3 Saflon 3 LITER IDR 250,000 IDR 750,000
4 Sarung tangan S 7 BOX IDR 45,000 IDR 315,000
5 Sarung tangan M 7 BOX IDR 45,000 IDR 315,000
6 Tampon 30 PAK IDR 20,000 IDR 600,000
7 Slaber tali 3 PAK IDR 75,000 IDR 225,000
8 Masker tali 3 PAK IDR 23,000 IDR 69,000
9 Tissue 30 PAK IDR 8,000 IDR 240,000
10 dispossible syringe 3 cc 3 BOX IDR 120,000 IDR 360,000
11 chlor ethyl 5 BTL IDR 95,000 IDR 475,000
12 jarum citoject 16mm 2 BOX IDR 110,000 IDR 220,000
13 Ampul citoject adrenalin 2 BOX IDR 450,000 IDR 900,000
14 Ampul citoject non adrenalin 1 BOX IDR 450,000 IDR 450,000
15 lidokain 2% 1 BOX IDR 200,000 IDR 200,000
16 Pehacain 15 BOX IDR 75,000 IDR 1,125,000
17 citoject 2 BUAH IDR 600,000 IDR 1,200,000
18 sabun cuci tangan 3 LITER IDR 12,000 IDR 36,000
19 gelas kumur disposible 6 PAK IDR 15,000 IDR 90,000
20 tang ekstraksi dewasa 1 SET IDR 950,000 IDR 950,000
21 bein 8 BUAH IDR 65,000 IDR 520,000
22 cryer 1 PASANG IDR 120,000 IDR 120,000
23 kuret 4 BUAH IDR 65,000 IDR 260,000
24 bone file 2 BUAH IDR 65,000 IDR 130,000
25 Minosep gargle 60 ml 20 BTL IDR 35,000 IDR 700,000
26 Suction tip 1 PAK IDR 50,000 IDR 50,000
27 spongostan 5 BOX IDR 100,000 IDR 500,000
28 benang silk 3.0 (jarum round/tappered) 3 BOX IDR 20,000 IDR 60,000
29 NACL 0,9 10 FLACON IDR 10,000 IDR 100,000
30 Aquabidest 1lt widarta 6 LITER IDR 23,000 IDR 138,000
TOTAL IDR 11,555,000
NO ALAT/BAHAN JUMLAH SATUAN HARGA JUMLAH TOTALKETERANGAN
1 TAMBALAN SEMENTARA 5 BUAH 95000 475000
2 CHLORETHYL 5 BUAH 95000 475000
3 EUGENOL 3 BUAH 85000 255000
4 ALKOHOL 3 LITER 30000 90000
5 COTTON ROLL 10 BUNGKUS 55000 550000
6 COTTON PELLET 8 BOTOL 50000 400000
7 MASKER 2 IN 1 ISI 50 8 BOX 26000 208000
8 HAND SCOON L 2 BOX 45000 90000
9 HAND SCOON M 4 BOX 45000 180000
10 HAND SCOON S 6 BOX 45000 270000
11 KAPAS 1 KG 75000 75000
12 TISSUE 10 BOX 8000 80000
13 KOMPOSIT 15 SYRINGE 350000 5250000
14 ETSA 5 SYRINGE 75000 375000
15 BONDING ISI 5 ML 5 BOTOL 250000 1250000
16 MIKROBRUSH/APLIKATOR TIP ISI 100 2 PAK 75000 150000
17 ARTIKULATING PAPER 3 SET 25000 75000
18 bor diamond bundar sedang hs 40 pcs 20000 800000
19 BOR DIAMOND fissur HIGH SPEED 40 pcs 20000 800000
20 KARET POLES KOMPOSIT (ENHANZ) 40 BUAH 30000 1200000
21 Light curing unit 1 buah 600,000 600000
22 SEMEN GLASS IONOMER FUJI IX BESA 4 SET 781000 3124000
23 slaber disposible 3 pk 75,000 225000
24 calxyl blue 2 btl 500,000 1000000
25 seluloid strip 2 pak 120,000 240000
26 gelas kumur disposible 6 pak 15,000 90000
TOTAL 18327000
ETERANGAN
RADIOLOGI

SPESIFI
NO URAIAN JUMLAH SATUAN Harga Jumlah
KASI
Kodak
1 Film Dental Periapikal insight no 1 BOX ### ###
2
Kodak
2 Film Dental Oklusal insight no 1 BOX IDR 700,000 IDR 700,000
4
Pinjam
3 Alat foto radiofrafi 1 IDR -
RSGM
4 Cairan Fixer 1 BTL IDR 750,000 IDR 750,000
5 Cairan developer 1 BTL IDR 750,000 IDR 750,000
6 Hair dryer 1 BUAH IDR 265,000 IDR 265,000
7 Masker 2 BOX IDR 23,000 IDR 46,000
8 Sarng tangan (M dan S) 4 BOX IDR 45,000 IDR 180,000
A4 sinar
9 Informed consent 1 RIM IDR 22,500 IDR 22,500
dunia
10 Lembar interpretasi A4 sidu 1 RIM IDR 22,500 IDR 22,500
Snowman
ATK (pulpen pensil
11 dan fiber 1 BOX IDR -
penghapus tip x dan spidol)
castel
Biola dan
12 Map Biola dan coklat 1 PAK IDR 30,000 IDR 30,000
coklat
Karton
13 Frame foto interpretasi 100 1 PAK IDR 18,000 IDR 18,000
LEMBAR
Canon
14 Tinta refill 1 BUAH IDR 395,000 IDR 395,000
print b&W
Pinjam
15 printer BUAH IDR -
RSGM
Pinjam
16 Viewer BUAH IDR -
RSGM
17 Film Holder 1 set 1 BUAH IDR 1,500,000 ###
18 Hair dryer 1 buah 1 BUAH IDR 350,000 IDR 350,000
TOTAL ###
IPM

NO NAMA OBAT/ALAT kebutuhan SATUAN HARGA

Triamsinolone acetonide
2 tube 40000
1 0,1 % (Sinocort )
Chlorhexidine gluconate
2 tube (30 gram) 100000
2 0,2% (perio Kin) gel
Chlorhexidine gluconate
2 botol (250 ml) 150000
3 0,2% (perio Kin) gargle
Nystatin Oral Suspension
100.000 IU/ml 2 botol (30 ml) 44000
4 (Mycostatin)
Kasa steril
5 3 box 200000
16x16(Husada)
7 Cotton roll 1 plastik 55000
8 Tampon 1 plastik (isi 50) 20000
9 Vaseline album 10 tube (@10 gram) 10000
Total =
JUMLAH

80000

200000

300000

88000

600000
55000
20000
100000
1443000
PEDODONSIA

NAMA OBAT/ALAT kebutuhan SATUAN HARGA JUMLAH

Fuji IX ART BESAR 7 set IDR781,000 ###
Caviton 6 buah IDR 95,000 IDR 570,000
Chlorethyl 10 buah IDR 90,100 IDR 901,000
Eugenol 2 botol IDR 85,000 IDR 170,000
Alkohol 2 Liter IDR 30,000 IDR 60,000
CPP APF GC Tooh Moose 1 buah IDR153,700 IDR 153,700
Betadine 2 liter IDR 95,000 IDR 190,000
Scandonest 1 box IDR450,000 IDR 450,000
Tampon 20 bungkus IDR 20,000 IDR 400,000
Handscoon ukuran XS 10 box IDR 45,000 IDR 450,000
Handscoon ukuran S 10 box IDR 45,000 IDR 450,000
Handscoon ukuran M 5 box IDR 45,000 IDR 225,000
Masker Tali 5 box IDR 23,000 IDR 115,000
Masker karet 5 box IDR 23,000 IDR 115,000
Jarum cytoject 1 box IDR110,000 IDR 110,000
Cotton roll 10 bungkus IDR 55,000 IDR 550,000
Cotton pelet 13 botol IDR 50,000 IDR 650,000
Kapas 1 kg IDR 75,000 IDR 75,000
Komposit 5 syringe IDR350,000 ###
Etching 3 syringe IDR 75,000 IDR 225,000
Bonding 5 ml 2 botol IDR250,000 IDR 500,000
bonding brush 1 pax IDR 75,000 IDR 75,000
Suction cannul/ 100 pcs 1 box IDR 50,000 IDR 50,000
Minosep 0,2% 150 ml 7 botol IDR 35,000 IDR 245,000
Slabber disposible/ 50 pcs 5 box IDR 75,000 IDR 375,000
Spuit terumo 3cc 3 box IDR120,000 IDR 360,000
Pehacain ampul 10 box IDR 75,000 IDR 750,000
Kasa steril 20 box IDR 4,300 IDR 86,000
Savlon 3 botol IDR250,000 IDR 750,000
Disclosing 20 buah IDR 6,000 IDR 120,000
Sabun cuci tangan 10 buah IDR 15,900 IDR 159,000
Tissue 10 box IDR 21,000 IDR 210,000
ChKm 2 botol IDR 58,000 IDR 116,000
Cresophen 1 botol IDR445,200 IDR 445,200
Topikal fluor 1 botol IDR339,200 IDR 339,200
 Gelas kumur disposible 500 buah IDR 300 IDR 150,000
Alat poles komposit dan GI, ENHANZ 30 PCS IDR 30,000 IDR 900,000
Alat preparasi (bor diamond) 6 set IDR115,000 IDR 690,000
Lightcure 2 buah IDR600,000 ###
IDR 20,597,100
PROSTODONSIA

NO NAMA BAHAN JUMLAH Harga Satuan

1 ALGINAT 5 IDR 90,000 IDR 450,000
2 HANDSCOON 3 IDR 45,000 IDR 135,000
3 MASKER 1 IDR 23,000 IDR 23,000
4 SLABER 1 IDR 75,000 IDR 75,000
5 SENDOK CETAK RA 5 IDR 20,000 IDR 100,000
6 SENDOK CETAK RA 5 IDR 20,000 IDR 100,000
7 RUBBER BOWL 5 IDR 45,000 IDR 225,000
8 SPATEL ALGINAT 5 IDR 10,000 IDR 50,000
JUMLAH ###
PERIODONSIA

NO NAMA JUMLAH SATUAN HARGA TOTAL

1 Chlorhexidine gluconate 0,2% 3 liter IDR 150,000 IDR 450,000
2 Alkohol 70 % 6 liter IDR 30,000 IDR 180,000
3 Disclosing solution 15 botol IDR 6,000 IDR 90,000
4 Povidon iodine 2 liter IDR 95,000 IDR 190,000
5 Brush pemoles 100 buah IDR 10,000 IDR 1,000,000
6 pumice 2 kg IDR 50,000 IDR 100,000
7 kapas 2 kg IDR 75,000 IDR 150,000
8 tip scaler ultrasonic 10 pcs IDR 100,000 IDR 1,000,000
9 spuit terumo 5 cc 3 box IDR 150,000 IDR 450,000
10 suction tip/100 3 box IDR 55,000 IDR 165,000
11 HANDSCOON XS 3 box IDR 45,000 IDR 135,000
12 HANDSCOON S 3 box IDR 45,000 IDR 135,000
13 HANDSCOON M 3 box IDR 45,000 IDR 135,000
14 MASKER KARET 2 box IDR 23,000 IDR 46,000
15 MASKER TALI 2 box IDR 23,000 IDR 46,000
16 SLABER 3 pak IDR 75,000 IDR 225,000
17 SAVLON 2 botol IDR 250,000 IDR 500,000
18 HAND SOAP 2 botol IDR 12,000 IDR 24,000
19 Aquabides 1 lt 6 BOTOL IDR 23,000 IDR 138,000
JUMLAH IDR 5,159,000
FARMASI
JUMLAH HARGA
AMOXICILIN TABLET 500MG 5 60000 300000
AMOXICILIN SYRUP 125 MG 50 5000 250000
METRONIDAZOL TABLET 500 MG 3 60000 180000
METRONIDAZOL SYRUP 125 MG 50 8000 400000
CLINDAMYCIN CAPS 300MG ISI 50 5 60000 300000
IBUPROFEN TABLET 400 MG 5 30000 150000
IBUPROFEN SYRUP 200 MG 50 7000 350000
PARASETAMOL TABLET 500MG 3 20000 60000
PARASETAMOL SYRUP 500MG 50 5000 250000
ASAM MEFENAMAT TABLET 500 MG 5 25000 125000
PLASTIK KLIP (PAK) 5 12000 60000
KANTONG PLASTIK 5 5000 25000
SPIDOL HITAM MARKER 2 12000 24000
2450000
 NAMA ATK DAN PERLENGKAPAN
Jumlah
HandyTalky 3 buah
 NAMA ATK DAN PERLENGKAPAN
Jumlah
HandyTalky 3 buah
NAMA ATK DAN PERLENGKAPAN
Jumlah
Backdrop 1 Buah
Petunjuk Arah 10 buah