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RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed

KAURJANGUMMED Nomor : B/ND- / XI /2015


Tanggal : November 2015

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN DESEMBER

NO NAMA SATUAN JUMLAH PBF


1 2 3 4 5
1 Alkohol swab Box 48 CV Anugerah Palma Medilab
2 Bisturi No 11 Box 1 CV Anugerah Palma Medilab
3 Bisturi No 15 Box 1 CV Anugerah Palma Medilab
4 Hypavix 10x5 Roll 6 CV Anugerah Palma Medilab
5 Bethadin plester Box 10 CV Anugerah Palma Medilab
6 Bethadin solution 1 liter Btl 4 CV Anugerah Palma Medilab
7 Bethadin solution 60 ml Btl 10 CV Anugerah Palma Medilab
8 Alkohol 70% 1liter Btl 20 CV Anugerah Palma Medilab
9 Alkohol 96% 1 Liter Btl 6 CV Anugerah Palma Medilab
10 Folley cath no 18 Pcs 20 CV Anugerah Palma Medilab
11 Gagang Bisturi No 3 Pcs 2 CV Anugerah Palma Medilab
12 Boisolvon Drop Btl 5 CV Anugerah Palma Medilab
13 Botol selang plastik Pcs 3 CV Anugerah Palma Medilab
14 Choloroetyl spray Btl 7 CV Anugerah Palma Medilab
15 Com Bethadine Pcs 2 CV Anugerah Palma Medilab
16 Folley cath no 16 Pcs 10 CV Anugerah Palma Medilab
17 Hypavix 5x5 Roll 11 CV Anugerah Palma Medilab
18 Kapas 250gr Roll 5 CV Anugerah Palma Medilab
19 Gagang Bisturi No 4 Pcs 2 CV Anugerah Palma Medilab
20 Gunting Anatomis 14 cm Pcs 1 CV Anugerah Palma Medilab
21 Gunting Jaringan 14 cm Pcs 1 CV Anugerah Palma Medilab
22 Gunting Lancip 14 cm Pcs 1 CV Anugerah Palma Medilab
23 Pehacain inj box 3 CV Anugerah Palma Medilab
24 Pispot Sodok Plastik Pcs 8 CV Anugerah Palma Medilab
25 Pot 50cc Pcs 200 CV Anugerah Palma Medilab
26 Kasa hydrofil 40x80 gasindo Roll 11 CV Anugerah Palma Medilab
27 KY Jelly Tube 4 CV Anugerah Palma Medilab
28 Leucoplast 2x5 Box 2 CV Anugerah Palma Medilab
29 Leucoplast 3x5 Box 2 CV Anugerah Palma Medilab
30 Leukomed transparan dressing Box 4 CV Anugerah Palma Medilab
31 Lidocain inj Box 2 CV Anugerah Palma Medilab
32 Masker nebulizer anak Pcs 15 CV Anugerah Palma Medilab
33 Masker nebulizer dewasa Pcs 30 CV Anugerah Palma Medilab
34 Micropore 1inch Box 3 CV Anugerah Palma Medilab
35 Mnorset set 1 CV Anugerah Palma Medilab
36 Needle no 23 Box 1 CV Anugerah Palma Medilab
37 Needle no 25 Box 1 CV Anugerah Palma Medilab
38 Oxycan Btl 16 CV Anugerah Palma Medilab
39 Oxymeter Pcs 1 CV Anugerah Palma Medilab
40 Three Way Stop Cock Pcs 10 CV Anugerah Palma Medilab
41 Tiang Infus Unit 8 CV Anugerah Palma Medilab
42 Toxoid inj Box 1 CV Anugerah Palma Medilab
1 2 3 4 5
43 Umbilical Cord Box 2 CV Anugerah Palma Medilab
44 Urinal laki laki Pcs 2 CV Anugerah Palma Medilab
45 Urine bag Pack 1 CV Anugerah Palma Medilab
46 Tabung EDTA 3 ml Box 1 CV Anugerah Palma Medilab
47 Tensimeter Anak Unit 1 CV Anugerah Palma Medilab
48 Tensocrape 4' Roll 2 CV Anugerah Palma Medilab
49 Tensocrape 6' Roll 3 CV Anugerah Palma Medilab
50 Termometer digital pcs 5 CV Anugerah Palma Medilab
51 Termometer safety Box 5 CV Anugerah Palma Medilab
52 Stetoscope Anak Unit 1 CV Anugerah Palma Medilab
53 Surflo IV No 18 Pcs 20 CV Anugerah Palma Medilab
54 Syntocinon 1 ml @10 amp Box 2 CV Anugerah Palma Medilab
55 Cholesterol Kit 2 CV Sumber Wangi Rejeki
56 Creatinin unit 1 CV Sumber Wangi Rejeki
57 Diab Check box 10 CV Sumber Wangi Rejeki
58 Ventolin Nebulizer @ 20 Box 3 CV Anugerah Palma Medilab
59 Verban 10cm Pack 4 CV Anugerah Palma Medilab
60 Verban 5cm Pack 4 CV Anugerah Palma Medilab
61 WWZ pcs 5 CV Anugerah Palma Medilab
62 Ring As Btl 48 PT Bina San Prima
63 Santagesic Inj Box 50 PT Bina San Prima
64 Tridex 27A Btl 144 PT Bina San Prima
65 Tridex 27B Btl 192 PT Bina San Prima
66 Desmanol 1 L Btl 2 PT Parit Padang Global
67 Epinephrine inj Box 1 PT Parit Padang Global
68 Methylgometrine inj @ 100 amp Box 1 PT Parit Padang Global
69 Mikrozid AF 5 L Btl 1 PT Parit Padang Global
70 Exam Gloves M Box 20 PT Megah Medika Pharma
71 Exam Gloves S Box 25 PT Megah Medika Pharma
72 Face Mask Karet Box 15 PT Megah Medika Pharma
73 Face Mask Tali Box 6 PT Megah Medika Pharma
74 Folley catheter No 16 Pcs 10 PT Megah Medika Pharma
75 Folley catheter No 18 10 PT Megah Medika Pharma
76 Gammex gloves no 7 Pcs 40 PT Megah Medika Pharma
77 Medicdent gloves no 6,5 Pcs 50 PT Megah Medika Pharma
78 Medicdent gloves no 7,5 Pcs 50 PT Megah Medika Pharma
79 Nursing cap Box 2 PT Megah Medika Pharma
80 Surgical cap Box 2 PT Megah Medika Pharma
81 Underpad hijau pack Box 5 PT Megah Medika Pharma
82 Ondansetron inj 4 mg @ 10 amp Box 10 PT Dos Ni Roha
83 Ondansetron inj 4 mg @ 10 amp Box 20 PT Daya Muda Agung
84 Tramadol inj 100 mg @ 5 amp Box 10 PT Daya Muda Agung
85 Albumin Kit 1 CV Sumber Wangi Rejeki
86 Bilirubin Kit 1 CV Sumber Wangi Rejeki
87 Blue Tip Pack 1 CV Sumber Wangi Rejeki
88 Glucose Test Strip Box 10 CV Sumber Wangi Rejeki
89 Precinirm Control Btl 2 CV Sumber Wangi Rejeki
90 SGOT Kit 1 CV Sumber Wangi Rejeki
91 SGPT Kit 1 CV Sumber Wangi Rejeki
1 2 3 4 5
92 Descoderm 5 L Btl 4 PT Mitrasamaya Sejati
93 Perfectan Endo 2 L Btl 1 PT Mitrasamaya Sejati
94 Adona AC inj 10 ml @ 10 box 5 PT Anugrah Argon Medica
95 Golongan Darah Fortress kit 1 CV Sumber Wangi Rejeki
96 Lancet Box 2 CV Sumber Wangi Rejeki
97 Multistix Pack 2 CV Sumber Wangi Rejeki
98 Total protein Kit 1 CV Sumber Wangi Rejeki
99 Triglycerides Kit 1 CV Sumber Wangi Rejeki
100 Urea Kit 1 CV Sumber Wangi Rejeki
101 Uric acid Kit 1 CV Sumber Wangi Rejeki
102 Widal AIM Set 4 CV Sumber Wangi Rejeki
103 Yellowtip Pack 1 CV Sumber Wangi Rejeki
104 Ziehlneelsen Set 1 CV Sumber Wangi Rejeki
105 Assering Btl 40 PT Merapi Utama Pharma
106 Glucose 5% unicap Btl 60 PT Merapi Utama Pharma
107 Otsu D 40 Btl 120 PT Merapi Utama Pharma
108 Otsu NS 100ml Btl 15 PT Merapi Utama Pharma
109 Otsuwater inj Ampul 360 PT Merapi Utama Pharma
110 Ringer Lactat Unicap Btl 2000 PT Merapi Utama Pharma
111 Sod Chlorid 0,9% unicap Btl 140 PT Merapi Utama Pharma
112 Wida RL Btl 600 PT Merapi Utama Pharma
113 Blood Set Pcs 50 CV Aldi Cipta Perdana
114 Infusion Set Pcs 50 CV Aldi Cipta Perdana
115 OI-34 Microset Pcs 100 CV Aldi Cipta Perdana
116 OI-64 Macroset Pcs 800 CV Aldi Cipta Perdana
117 Otsucath no 22 Pcs 50 CV Aldi Cipta Perdana
118 Spuit 10cc Box 3 CV Aldi Cipta Perdana
119 Spuit 1cc Box 6 CV Aldi Cipta Perdana
120 Spuit 3cc Box 35 CV Aldi Cipta Perdana
121 Spuit 50cc Box 1 CV Aldi Cipta Perdana
122 Spuit 5cc Box 18 CV Aldi Cipta Perdana
123 Surflo no 20 Box 9 CV Aldi Cipta Perdana
124 Surflo no 24 Box 12 CV Aldi Cipta Perdana
125 Assucryl 1 HRG-45 Pcs 14 PT Bintang Shafwan
126 Chromic 1/0 HRG-38 Pcs 5 PT Bintang Shafwan
127 Chromic 2/0 HRG-38 Pcs 3 PT Bintang Shafwan
128 Chromic 2/0 HRG-40 Pcs 5 PT Bintang Shafwan
129 Chromic 2/0 HRG-40 Pcs 5 PT Bintang Shafwan
130 Chromic 3/0 TS-24 Pcs 10 PT Bintang Shafwan
131 Chromic 4/0 TS-19 Pcs 3 PT Bintang Shafwan
132 Plain 4/0 HR-17 Pcs 3 PT Bintang Shafwan
133 Polypropylene 3/0 HR-22 Pcs 3 PT Bintang Shafwan
134 Polypropylene 3/0 TS-27 Pcs 3 PT Bintang Shafwan
135 MQA box 1 PT Timur Raya Lestari
136 C Hyal Visco Yodium Pcs 5 PT Timur Raya Lestari
137 Benang 10.0 Pcs 5 PT Timur Raya Lestari
138 Ketorolac inj 30 mg @ 6 amp Box 10 PT Enseval Putera Megatrading
139 Cauter stik operasi katarak Pcs 2 CV Tri Jasa Kusuma Jaya
140 Developer Liq Box 2 CV Tri Jasa Kusuma Jaya
1 2 3 4 5
141 Flixotide neb box 5 PT Multi Husada Farma
142 Stesolid rectal 5 mg box 5 PT Multi Husada Farma
143 Stesolid inj box 2 PT Multi Husada Farma
144 Suprafenid Suppos @10 supp Box 10 PT Kallista Prima
145 ODR inj 4 mg @ 5 amp Box 10 PT Enseval Putera Megatrading
146 Ranitidin inj 25 mg/ml @10 amp Box 20 PT Enseval Putera Megatrading
147 Film Xray 18x24cm Box 1 CV Tri Jasa Kusuma Jaya
148 Film Xray 24x30cm Box 2 CV Tri Jasa Kusuma Jaya
149 Film Xray 30x40cm Box 2 CV Tri Jasa Kusuma Jaya
150 Film Xray 35x35cm Box 2 CV Tri Jasa Kusuma Jaya
151 Fixer Liq Box 2 CV Tri Jasa Kusuma Jaya
152 UPS Stabilizer untuk alat mata pcs 1 CV Tri Jasa Kusuma Jaya
153 Neo - K inj box 10 PT Sentraco
154 Halotane 250 fls 1 PT Sentraco
155 Lensa C Thw Pcs 25 PT Timur Raya Lestari
156 Silk 4/0 TS-19 Pcs 5 PT Bintang Shafwan
157 Silk 4/0 TS-19 Pcs 5 PT Bintang Shafwan
158 Silk 5/0 TS-15 Pcs 3 PT Bintang Shafwan

Jakarta, November 2015


Kaurjangummed
Satrias Apgar, S.Farm, Apt
Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / XII /2015
Tanggal : Desember 2015

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN JANUARI 2016

NO NAMA SATUAN JUMLAH PBF


1 2 3 4 5
1 Hypavix 5x5 Roll 5 CV Anugerah Palma Medilab
2 Kasa hydrofil 40x80 gasindo Roll 11 CV Anugerah Palma Medilab
3 KY Jelly Tube 3 CV Anugerah Palma Medilab
4 Leucoplast 2x5 Box 1 CV Anugerah Palma Medilab
5 Alkohol 70% 1liter Btl 10 CV Anugerah Palma Medilab
6 Alkohol swab Box 48 CV Anugerah Palma Medilab
7 Bethadin plester Box 20 CV Anugerah Palma Medilab
8 Choloroetyl spray Btl 2 CV Anugerah Palma Medilab
9 Folley cath no 18 Pcs 20 CV Anugerah Palma Medilab
10 Gelang Anak Biru Box 3 CV Anugerah Palma Medilab
11 Gelang Anak Pink Box 3 CV Anugerah Palma Medilab
12 Gelang Dewasa Biru Box 3 CV Anugerah Palma Medilab
13 Gelang Dewasa Pink Box 3 CV Anugerah Palma Medilab
14 Urine Colector Pcs 300 CV Anugerah Palma Medilab
15 Urine bag Pack 6 CV Anugerah Palma Medilab
16 Vaksin Anti Bisa Ular vial 1 CV Anugerah Palma Medilab
17 Verban 10cm Pack 2 CV Anugerah Palma Medilab
18 Leucoplast 3x5 Box 1 CV Anugerah Palma Medilab
19 Leukomed transparan dressing Box 5 CV Anugerah Palma Medilab
20 Lidocain inj Box 2 CV Anugerah Palma Medilab
21 Lomatuell Box 5 CV Anugerah Palma Medilab
22 Masker Karet sensi Box 5 CV Anugerah Palma Medilab
23 Masker Tali Sensi Box 5 CV Anugerah Palma Medilab
24 Micropore 1inch Box 2 CV Anugerah Palma Medilab
25 Nasal O2 dewasa Pcs 40 CV Anugerah Palma Medilab
26 Needle no 23 Box 1 CV Anugerah Palma Medilab
27 Needle no 25 Box 1 CV Anugerah Palma Medilab
28 Sensi gloves M Box 5 CV Anugerah Palma Medilab
29 Silk 2-0 dr sella Box 2 CV Anugerah Palma Medilab
30 Silk 3-0 dr sella Box 10 CV Anugerah Palma Medilab
31 Spinocan 27 Box 1 CV Anugerah Palma Medilab
32 Spiritus bakar liter 2 CV Anugerah Palma Medilab
33 Surflo IV No 18 Pcs 10 CV Anugerah Palma Medilab
34 Syntocinon 1 ml @10 amp Box 20 CV Anugerah Palma Medilab
35 Tabung EDTA 3 ml Box 2 CV Anugerah Palma Medilab
36 Tensocrape 4' Roll 5 CV Anugerah Palma Medilab
37 Termometer safety Box 4 CV Anugerah Palma Medilab
38 Torniquet Pcs 5 CV Anugerah Palma Medilab
39 Verban 5cm Pack 2 CV Anugerah Palma Medilab
1 2 3 4 5
40 Acran inj Box 20 PT Bina San Prima
41 Neurosanbe inj Box 10 PT Bina San Prima
42 Ring As Btl 72 PT Bina San Prima
43 Exam Gloves M Box 5 PT Megah Medika Pharma
44 Exam Gloves S Box 5 PT Megah Medika Pharma
45 Face Mask Karet Box 15 PT Megah Medika Pharma
46 Face Mask Tali Box 15 PT Megah Medika Pharma
47 Tridex 27A Btl 96 PT Bina San Prima
48 Tridex 27B Btl 168 PT Bina San Prima
49 Chroma Ballon Catheter pcs 10 PT Megah Medika Pharma
50 Spuit 10cc Box 3 CV Aldi Cipta Perdana
51 Spuit 1cc Box 6 CV Aldi Cipta Perdana
52 Spuit 3cc Box 47 CV Aldi Cipta Perdana
53 Spuit 5cc Box 13 CV Aldi Cipta Perdana
54 Gammex gloves no 6 Pcs 40 PT Megah Medika Pharma
55 Gammex gloves no 7,5 Pcs 80 PT Megah Medika Pharma
56 Gammex gloves no 8 Pcs 40 PT Megah Medika Pharma
57 Hypafix 5x5 box 10 PT Megah Medika Pharma
58 Hypafix 5x6 box 5 PT Megah Medika Pharma
59 Medicdent gloves no 7 Pcs 50 PT Megah Medika Pharma
60 Ondansetron inj 4 mg @ 10 amp Box 20 PT Daya Muda Agung
61 AMP Box 1 CV Sumber Wangi Rejeki
62 Bilirubin Kit 1 CV Sumber Wangi Rejeki
63 Cholesterol Kit 1 CV Sumber Wangi Rejeki
64 Creatinin unit 1 CV Sumber Wangi Rejeki
65 Diab Check box 10 CV Sumber Wangi Rejeki
66 HCG Box 4 CV Sumber Wangi Rejeki
67 HBsAg Box 2 CV Sumber Wangi Rejeki
68 MOP Box 1 CV Sumber Wangi Rejeki
69 Multistix Pack 1 CV Sumber Wangi Rejeki
70 Object glass box 10 CV Sumber Wangi Rejeki
71 SGOT Kit 1 CV Sumber Wangi Rejeki
72 SGPT Kit 1 CV Sumber Wangi Rejeki
73 Tabung Hematrokrit Superior Box 2 CV Sumber Wangi Rejeki
74 THC Box 1 CV Sumber Wangi Rejeki
75 Triglycerides Kit 1 CV Sumber Wangi Rejeki
76 Urea Kit 1 CV Sumber Wangi Rejeki
77 Uric acid Kit 1 CV Sumber Wangi Rejeki
78 Widal AIM Set 12 CV Sumber Wangi Rejeki
79 Yellowtip Pack 1 CV Sumber Wangi Rejeki
80 Ziehlneelsen Set 1 CV Sumber Wangi Rejeki
81 Otsu NS 100ml Btl 20 PT Merapi Utama Pharma
82 Otsuwater inj Ampul 600 PT Merapi Utama Pharma
83 Ringer Lactat Unicap Btl 2540 PT Merapi Utama Pharma
84 Sod Chlorid 0,9% unicap Btl 160 PT Merapi Utama Pharma
85 Wida RL Btl 160 PT Merapi Utama Pharma
1 2 3 4 5
86 OI-34 Microset Pcs 50 CV Aldi Cipta Perdana
87 OI-64 Macroset Pcs 800 CV Aldi Cipta Perdana
88 Surflo no 20 Box 11 CV Aldi Cipta Perdana
89 Surflo no 24 Box 13 CV Aldi Cipta Perdana
90 Nylon 10/O 2xTSP 6 Pcs 5 PT Bintang Shafwan
91 Silk 2/0 HR-27 Pcs 5 PT Bintang Shafwan
92 ODR inj 4 mg @ 5 amp Box 10 PT M P I
93 Descoderm 5 L Btl 6 PT Mitrasamaya Sejati
94 Assucryl 3/0 HR-27 Pcs 5 PT Bintang Shafwan
95 Assucryl 8/0 2xTSP 6 Pcs 10 PT Bintang Shafwan
96 Chromic 2/0 HRG-38 Pcs 10 PT Bintang Shafwan
97 Chromic 3/0 HR-27 Pcs 10 PT Bintang Shafwan
98 Chromic 3/0 TS-24 Pcs 20 PT Bintang Shafwan
99 Silk 2/0 TS-27 Pcs 5 PT Bintang Shafwan
100 Silk 3/0 HR-27 Pcs 5 PT Bintang Shafwan
101 Silk 4/0 TS-19 Pcs 5 PT Bintang Shafwan
102 Silk 4/0 HR-17 Pcs 5 PT Bintang Shafwan
103 Silk 8/0 2xTSP 6 Pcs 5 PT Bintang Shafwan
104 Pot Obat 50 cc pcs 1000 CV. Una Abadi Jaya
105 Dexamethason inj @100 amp box 1 PT. Metro Drug Indonesia
106 Suprafenid Suppos @10 supp Box 10 PT Kallista Prima
107 Developer Liq Box 2 CV Tri Jasa Kusuma Jaya
108 Film Xray 18x24cm Box 1 CV Tri Jasa Kusuma Jaya
109 Film Xray 24x30cm Box 1 CV Tri Jasa Kusuma Jaya
110 Film Xray 30x40cm Box 1 CV Tri Jasa Kusuma Jaya
111 Film Xray 35x35cm Box 2 CV Tri Jasa Kusuma Jaya
112 Fixer Liq Box 2 CV Tri Jasa Kusuma Jaya
113 Jelly USG 5 liter Galon 1 CV Tri Jasa Kusuma Jaya
114 Paper USG Collor Doppler Sony Box 1 CV Tri Jasa Kusuma Jaya
115 Paper USG 5 roll Box 1 CV Tri Jasa Kusuma Jaya
116 Alat Pasien Monitor unit 1 CV Tri Jasa Kusuma Jaya
117 Ranitidin inj 50 mg/2ml @100 amp unit 2 PT. Dos Ni Roha

Jakarta, Desember 2015


Kaurjangummed
Satrias Apgar, S.Farm, Apt
Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / I /2016
Tanggal : Januari 2016

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN FEBRUARI

NO NAMA SATUAN JUMLAH PBF


1 2 3 4 5
1 ETT No 2,5 Pcs 3 CV Anugerah Palma Medilab
2 ETT No 3,0 Pcs 3 CV Anugerah Palma Medilab
3 ETT No 3,5 Pcs 3 CV Anugerah Palma Medilab
4 ETT No 4,0 Pcs 3 CV Anugerah Palma Medilab
5 ETT No 4,5 Pcs 3 CV Anugerah Palma Medilab
6 ETT No 5 Pcs 3 CV Anugerah Palma Medilab
7 ETT No 5,5 Pcs 6 CV Anugerah Palma Medilab
8 ETT No 6,0 Pcs 6 CV Anugerah Palma Medilab
9 ETT No 6,5 Pcs 6 CV Anugerah Palma Medilab
10 ETT No 7,0 Pcs 6 CV Anugerah Palma Medilab
11 ETT No 7,5 Pcs 3 CV Anugerah Palma Medilab
12 ETT No 8,0 Pcs 3 CV Anugerah Palma Medilab
13 Alkohol 70% 1liter Btl 20 CV Anugerah Palma Medilab
14 Alkohol swab Box 24 CV Anugerah Palma Medilab
15 Bethadin plester Box 20 CV Anugerah Palma Medilab
16 Bethadin solution 1 liter Btl 2 CV Anugerah Palma Medilab
17 Bisturi No 15 Box 1 CV Anugerah Palma Medilab
18 Choloroetyl spray Btl 2 CV Anugerah Palma Medilab
19 Disposible Neutral Ele4ctroda Pcs 2 CV Anugerah Palma Medilab
20 Folley cath no 16 Pcs 10 CV Anugerah Palma Medilab
21 H2O2 1 liter Btl 4 CV Anugerah Palma Medilab
22 Hypavix 10x5 Roll 6 CV Anugerah Palma Medilab
23 Hypavix 5x5 Roll 3 CV Anugerah Palma Medilab
24 Kapas 250gr Roll 10 CV Anugerah Palma Medilab
25 Kasa hydrofil 40x80 gasindo Roll 7 CV Anugerah Palma Medilab
26 KY Jelly Tube 2 CV Anugerah Palma Medilab
27 Lampu operasi box 1 CV Anugerah Palma Medilab
28 Leucoplast 2x5 Box 1 CV Anugerah Palma Medilab
29 Leucoplast 3x5 Box 2 CV Anugerah Palma Medilab
30 Leukomed transparan dressing Box 5 CV Anugerah Palma Medilab
31 Lidocain inj Box 2 CV Anugerah Palma Medilab
32 Lomatuell Box 5 CV Anugerah Palma Medilab
33 Micropore 1/2 inch Box 1 CV Anugerah Palma Medilab
34 Micropore 1inch Box 2 CV Anugerah Palma Medilab
35 Nasal O2 dewasa Pcs 20 CV Anugerah Palma Medilab
36 Needle no 24 Box 1 CV Anugerah Palma Medilab
37 NGT NO 16 Pcs 10 CV Anugerah Palma Medilab
38 Spinocan 27 Box 1 CV Anugerah Palma Medilab
39 Plain 4-0 dr sella Box 1 CV Anugerah Palma Medilab
40 Silk 3-0 dr sella Box 1 CV Anugerah Palma Medilab
41 Syntocinon 1 ml @10 amp Box 40 CV Anugerah Palma Medilab
1 2 3 4 5
42 Tabung EDTA 3 ml Box 1 CV Anugerah Palma Medilab
43 Tensimeter Dewasa Unit 1 CV Anugerah Palma Medilab
44 Termometer digital pcs 5 CV Anugerah Palma Medilab
45 Surflo IV No 16 box 2 CV Anugerah Palma Medilab
46 Stetoscope REISTER Unit 2 CV Anugerah Palma Medilab
47 Surflo IV No 18 Pcs 1 CV Anugerah Palma Medilab
48 Termometer safety Box 5 CV Anugerah Palma Medilab
49 Toxoid inj Box 1 CV Anugerah Palma Medilab
50 Urine bag Pack 4 CV Anugerah Palma Medilab
51 Verban 5cm Pack 4 CV Anugerah Palma Medilab
52 Acran inj Box 10 PT Bina San Prima
53 Desmanol 1 L Btl 1 PT Parit Padang Global
54 Primasept Med Btl 2 PT Parit Padang Global
55 Exam Gloves L Box 10 PT Megah Medika Pharma
56 Exam Gloves M Box 10 PT Megah Medika Pharma
57 Exam Gloves S Box 15 PT Megah Medika Pharma
58 Face Mask Karet Box 15 PT Megah Medika Pharma
59 Gammex gloves no 7,5 Pcs 40 PT Megah Medika Pharma
60 Medicdent gloves no 6,5 Pcs 50 PT Megah Medika Pharma
61 Medicdent gloves no 7,5 Pcs 50 PT Megah Medika Pharma
62 Nursing cap Box 2 PT Megah Medika Pharma
63 Polywin IV 26G Pcs 15 PT Megah Medika Pharma
64 Surgical cap Box 2 PT Megah Medika Pharma
65 Ondansetron inj 4 mg @ 10 amp Box 20 PT Daya Muda Agung
66 Anti Hbs Box 1 CV Sumber Wangi Rejeki
67 Bilirubin Kit 2 CV Sumber Wangi Rejeki
68 Cholesterol Kit 1 CV Sumber Wangi Rejeki
69 Creatinin unit 1 CV Sumber Wangi Rejeki
70 Diab Check box 20 CV Sumber Wangi Rejeki
71 Deck Glass Box 1 CV Sumber Wangi Rejeki
72 HBsAg Box 1 CV Sumber Wangi Rejeki
73 Multistix Pack 3 CV Sumber Wangi Rejeki
74 Pot Obat tutup kuning pcs 50 CV Sumber Wangi Rejeki
75 Rak tabung pcs 1 CV Sumber Wangi Rejeki
76 SGOT Kit 1 CV Sumber Wangi Rejeki
77 SGPT Kit 1 CV Sumber Wangi Rejeki
78 Torniquet Pcs 1 CV Sumber Wangi Rejeki
79 Triglycerides Kit 1 CV Sumber Wangi Rejeki
80 Urea Kit 1 CV Sumber Wangi Rejeki
81 Uric acid Kit 1 CV Sumber Wangi Rejeki
82 Widal AIM Set 4 CV Sumber Wangi Rejeki
83 Yellowtip Pack 1 CV Sumber Wangi Rejeki
84 Ziehlneelsen Set 1 CV Sumber Wangi Rejeki
85 Glucose 5% unicap Btl 40 PT Merapi Utama Pharma
86 Otsuwater inj Ampul 240 PT Merapi Utama Pharma
87 Ringer Lactat Unicap Btl 1900 PT Merapi Utama Pharma
88 Sod Chlorid 0,9% unicap Btl 80 PT Merapi Utama Pharma
89 Wida NS Btl PT Merapi Utama Pharma
90 Blood Set Pcs 50 CV Aldi Cipta Perdana
1 2 3 4 5
91 Otsucath no 22 Pcs 50 CV Aldi Cipta Perdana
92 Surflo no 20 Box 6 CV Aldi Cipta Perdana
93 Surflo no 24 Box 9 CV Aldi Cipta Perdana
94 Spuit 1cc Box 4 CV Aldi Cipta Perdana
95 Spuit 3cc Box 45 CV Aldi Cipta Perdana
96 Spuit 5cc Box 11 CV Aldi Cipta Perdana
97 Infusion Set Pcs 600 CV Aldi Cipta Perdana
98 Assucryl 0 HRG-38 Pcs 5 PT Bintang Shafwan
99 Assucryl 2/0 TS-27 Pcs 5 PT Bintang Shafwan
100 Assucryl 3/0 HR-27 Pcs 5 PT Bintang Shafwan
101 Assucryl 3/0 TS-24 Pcs 5 PT Bintang Shafwan
102 Chromic 0 HRG-38 Pcs 5 PT Bintang Shafwan
103 Chromic 1 HRG-50 Pcs 5 PT Bintang Shafwan
104 Chromic 2/0 HRG-38 Pcs 5 PT Bintang Shafwan
105 Chromic 3/0 TS-24 Pcs 5 PT Bintang Shafwan
106 Polypropylene 4/0 HR-16 Pcs 5 PT Bintang Shafwan
107 Polypropylene 5/0 HR-17 Pcs 5 PT Bintang Shafwan
108 Silk 1 HRG-38 Pcs 9 PT Bintang Shafwan
109 Silk 1 TS-30 Pcs 5 PT Bintang Shafwan
110 Silk 2/0 HR-27 Pcs 5 PT Bintang Shafwan
111 Silk 3/0 TS-27 Pcs 5 PT Bintang Shafwan
112 Silk 4/0 TS-19 Pcs 5 PT Bintang Shafwan
113 Norages inj Box 10 PT Millennium Pharmacon International
114 ODR inj 4 mg @ 5 amp Box 10 PT Millennium Pharmacon International
115 Descoderm 5 L Btl 2 PT Mitrasamaya Sejati
116 Perfectan Endo 2 L Btl 1 PT Mitrasamaya Sejati
117 Dobutamin Hcxl Inj vial 5 PT Antar Mitra Sembada
118 Ranitidin inj 25 mg/ml @10 amp Box 10 PT Enseval Putera Megatrading
119 Developer Liq Box 2 CV Tri Jasa Kusuma Jaya
120 Film Xray 18x24cm Box 1 CV Tri Jasa Kusuma Jaya
121 Film Xray 24x30cm Box 1 CV Tri Jasa Kusuma Jaya
122 Film Xray 30x40cm Box 1 CV Tri Jasa Kusuma Jaya
123 Film Xray 35x35cm Box 1 CV Tri Jasa Kusuma Jaya
124 Fixer Liq Box 2 CV Tri Jasa Kusuma Jaya
125 Paper USG Roll 5 CV Tri Jasa Kusuma Jaya
126 Neo - K inj box 4 PT Sentraco
127 Recofol inj box 4 PT Sentraco
128 Docare safety box pcs 12 PT Mensa Bina Sukses
129 Stesolid rectal 5 mg Box 5 PT Mensa Bina Sukses
130 Stesolid rectal 10 mg Box 5 PT Mensa Bina Sukses
131 Stesolid inj Box 10 PT Mensa Bina Sukses
132 Ranitidin inj 50 mg/2ml @100 amp unit 1 PT. Dos Ni Roha
133 Lasix inj box 5 PT APL

1 2 3 4 5
134 Pot 50cc Pcs 1000 CV. Una Abadi
135 Catapres inj box 1 PT Tempo
136 Tridex27 A softbag 24 PT Bina San Prima
137 Tridex27 B softbag 96 PT Bina San Prima
138 Ring As softbag 97 PT Bina San Prima

Jakarta, 31 Januari 2016


Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / II /2016
Tanggal : Februari 2016

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN MARET 2016

NO NAMA SATUAN JUMLAH PBF


1 2 3 4 5
1 Alkohol 96% 1 Liter Btl 5 CV Anugerah Palma Medilab
2 Alkohol swab Box 36 CV Anugerah Palma Medilab
3 Bethadin plester Box 10 CV Anugerah Palma Medilab
4 Bethadin solution 1 liter Btl 6 CV Anugerah Palma Medilab
5 Choloroetyl spray Btl 2 CV Anugerah Palma Medilab
6 Disp.syringe 3 cc Box 10 CV Anugerah Palma Medilab
7 Hypavix 10x5 Roll 4 CV Anugerah Palma Medilab
8 Hypavix 5x5 Roll 5 CV Anugerah Palma Medilab
9 Isoflurane 250 ml Roll 1 CV Anugerah Palma Medilab
10 Kasa hydrofil 40x80 gasindo Roll 4 CV Anugerah Palma Medilab
11 Leucoplast 3x5 Box 1 CV Anugerah Palma Medilab
12 Masker Karet sensi Box 10 CV Anugerah Palma Medilab
13 Masker nebulizer dewasa Pcs 20 CV Anugerah Palma Medilab
14 Masker Tali Sensi Box 5 CV Anugerah Palma Medilab
15 Micropore 1inch Box 2 CV Anugerah Palma Medilab
16 Nasal O2 dewasa Pcs 40 CV Anugerah Palma Medilab
17 Nasal O2 anak Pcs 10 CV Anugerah Palma Medilab
18 Nasal O2 bayi Pcs 10 CV Anugerah Palma Medilab
19 Needle no 23 Box 2 CV Anugerah Palma Medilab
20 Needle no 25 Box 1 CV Anugerah Palma Medilab
21 Stature meter 2M Pcs 1 CV Anugerah Palma Medilab
22 Tabung EDTA 3 ml Box 3 CV Anugerah Palma Medilab
23 Tensimeter digital unit 2 CV Anugerah Palma Medilab
24 Tensocrape 4' Roll 5 CV Anugerah Palma Medilab
25 Tensocrape 6' Roll 2 CV Anugerah Palma Medilab
26 Timbangan dewasa manual Unit 1 CV Anugerah Palma Medilab
27 Timbangan bayi manual Unit 1 CV Anugerah Palma Medilab
28 Verban 10cm Pack 4 CV Anugerah Palma Medilab
29 Verban 5cm Pack 4 CV Anugerah Palma Medilab
30 xilocain 2% tube 2 CV Anugerah Palma Medilab
31 Acran inj Box 10 PT Bina San Prima
32 Neurosanbe inj Box 5 PT Bina San Prima
33 Tridex 27A Btl 72 PT Bina San Prima
34 Tridex 27B Btl 72 PT Bina San Prima
35 Desmanol 1 L Btl 1 PT Parit Padang Global
36 Mikrozid AF 5 L Btl 1 PT Parit Padang Global
37 Poro supp 250 mg 100 supp/box box 1 PT Parit Padang Global
38 Exam Gloves M Box 20 PT Megah Medika Pharma
39 Exam Gloves S Box 10 PT Megah Medika Pharma
40 Face Mask Karet Box 10 PT Megah Medika Pharma
41 Hypafix 5x5 Pcs 5 PT Megah Medika Pharma
42 Hypafix 5x10 box 1 PT Megah Medika Pharma
1 2 3 4 5
43 Folley catheter No 16 Pcs 10 PT Megah Medika Pharma
44 Folley catheter No 18 Pcs 20 PT Megah Medika Pharma
45 Kasa hydrofil 40x80 box 2 PT Megah Medika Pharma
46 Medicdent gloves no 7 Pcs 50 PT Megah Medika Pharma
47 Medicdent gloves no 7,5 Pcs 50 PT Megah Medika Pharma
48 Micropore 1inch Box 1 PT Megah Medika Pharma
49 Surgical cap Box 1 PT Megah Medika Pharma
50 Bilirubin Kit 1 CV Sumber Wangi Rejeki
51 Blue Tip Pack 1 CV Sumber Wangi Rejeki
52 Cholesterol Kit 1 CV Sumber Wangi Rejeki
53 Creatinin unit 1 CV Sumber Wangi Rejeki
54 Diab Check box 10 CV Sumber Wangi Rejeki
55 dengue Ns1 Ag box 1 CV Sumber Wangi Rejeki
56 HCG Box 1 CV Sumber Wangi Rejeki
57 HDL Cholesterol kit 1 CV Sumber Wangi Rejeki
58 HIV Box 1 CV Sumber Wangi Rejeki
59 Multistix Pack 2 CV Sumber Wangi Rejeki
60 Precinirm Control Btl 2 CV Sumber Wangi Rejeki
61 SGOT Kit 1 CV Sumber Wangi Rejeki
62 SGPT Kit 1 CV Sumber Wangi Rejeki
63 Tabung Hematrokrit Superior Box 1 CV Sumber Wangi Rejeki
64 Triglycerides Kit 1 CV Sumber Wangi Rejeki
65 Urea Kit 1 CV Sumber Wangi Rejeki
66 Uric acid Kit 1 CV Sumber Wangi Rejeki
67 Widal AIM Set 4 CV Sumber Wangi Rejeki
68 Yellowtip Pack 1 CV Sumber Wangi Rejeki
69 Ziehlneelsen Set 1 CV Sumber Wangi Rejeki
70 Glucose 5% unicap Btl 40 PT Merapi Utama Pharma
71 Nacl 1liter unicap Btl 10 PT Merapi Utama Pharma
72 Ondansetron inj 4 mg @ 10 amp Box 20 PT Merapi Utama Pharma
73 Otsu NS 100ml Btl 20 PT Merapi Utama Pharma
74 Otsuwater inj Ampul 480 PT Merapi Utama Pharma
75 Ringer Lactat Unicap Btl 3500 PT Merapi Utama Pharma
76 Sod Chlorid 0,9% unicap Btl 120 PT Merapi Utama Pharma
77 Wida WI Twist off Btl 10 PT Merapi Utama Pharma
78 OI-34 Microset Pcs 45 CV Aldi Cipta Perdana
79 OI-64 Macroset Pcs 800 CV Aldi Cipta Perdana
80 Spuit 10cc Box 3 CV Aldi Cipta Perdana
81 Spuit 1cc Box 5 CV Aldi Cipta Perdana
82 Spuit 3cc Box 49 CV Aldi Cipta Perdana
83 Spuit 5cc Box 20 CV Aldi Cipta Perdana
84 Surflo no 20 Box 10 CV Aldi Cipta Perdana
85 Surflo no 24 Box 18 CV Aldi Cipta Perdana
86 Assucryl 1 HRG-45 Pcs 5 PT Bintang Shafwan
87 Chromic 2/0 HRG-38 Pcs 5 PT Bintang Shafwan
88 Chromic 2/0 TS-24 Pcs 5 PT Bintang Shafwan
89 Chromic 3/0 HR-27 Pcs 5 PT Bintang Shafwan
90 Chromic 5/0 TS-19 Pcs 10 PT Bintang Shafwan
91 Silk 2/0 HR-27 Pcs 5 PT Bintang Shafwan
1 2 3 4 5
92 Silk 2/0 TS-27 Pcs 5 PT Bintang Shafwan
93 Assucryl 1 TS-40 Pcs 5 PT Bintang Shafwan
94 Assucryl 3/0 HR-27 Pcs 5 PT Bintang Shafwan
95 Silk 3/0 HR-27 Pcs 5 PT Bintang Shafwan
96 Silk 3/0 TS-27 Pcs 5 PT Bintang Shafwan
97 Silk 4/0 TS-19 Pcs 10 PT Bintang Shafwan
98 Silk 4/0 HR-17 Pcs 10 PT Bintang Shafwan
99 Silk 5/0 TS-15 Pcs 15 PT Bintang Shafwan
100 Norages inj Box 51 PT M P I
101 Descoderm 5 L Btl 4 PT Mitrasamaya Sejati
102 Ranitidine inj box 10 PT Anugrah Argon Medica
103 Fenthanyl inj Ampul 50 PT Kimia Farma
104 Norages inj Box 51 PT Kallista Prima
105 ODR inj 4 mg @ 5 amp Box 10 PT Kallista Prima
106 Developer Liq Box 2 CV Tri Jasa Kusuma Jaya
107 Film Xray 18x24cm Box 1 CV Tri Jasa Kusuma Jaya
108 Film Xray 24x30cm Box 1 CV Tri Jasa Kusuma Jaya
109 Film Xray 30x40cm Box 1 CV Tri Jasa Kusuma Jaya
110 Film Xray 35x35cm Box 1 CV Tri Jasa Kusuma Jaya
111 Fixer Liq Box 2 CV Tri Jasa Kusuma Jaya
112 Paper EKG 12 channel Roll 1 CV Tri Jasa Kusuma Jaya
113 Flixotide neb box 5 PT Multi Husada Farma
114 Lasix inj box 5 PT Multi Husada Farma
115 Ventolin Nebulizer @ 20 box 5 PT Multi Husada Farma
116 Buscopan inj box 5 PT Multi Husada Farma
117 Ranitidin inj 50 mg/2ml @100 amp unit 2 PT. Dos Ni Roha
118 Bupivacain spinal unit 2 PT. Dos Ni Roha
119 Safety Box pcs 12 PT. Mensa Binasukses
120 Alkohol SWAB one med Box 72 PT. Inti Sumber Hasil Sempurna
121 Alkohol 70 % I liter Btl 20 PT. Inti Sumber Hasil Sempurna
122 Tramadol inj 100 mg @ 5 amp Box 20 PT. Metro drug Indonesia
123 Suprafenid Suppos @10 supp Box 10 PT. Penta valent

Jakarta, Februari 2016


Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / III /2016
Tanggal : Maret 2016

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN APRIL 2016

NO NAMA SATUAN JUMLAH PBF


1 2 3 4 5
1 Bethadin plester Box 20 CV Anugerah Palma Medilab
2 Bethadin solution 1 liter Btl 2 CV Anugerah Palma Medilab
3 Bisturi No 23 Box 1 CV Anugerah Palma Medilab
4 Boisolvon Drop Btl 5 CV Anugerah Palma Medilab
5 Choloroetyl spray Btl 2 CV Anugerah Palma Medilab
6 Chromic 2-0 dr sella Box 1 CV Anugerah Palma Medilab
7 Disp.syringe 1 cc Box 3 CV Anugerah Palma Medilab
8 Disp.syringe 3 cc Box 20 CV Anugerah Palma Medilab
9 Disp.syringe 5 cc Box 5 CV Anugerah Palma Medilab
10 Decamidon inj Box 1 CV Anugerah Palma Medilab
11 GuntingVerband 14 cm Pcs 1 CV Anugerah Palma Medilab
12 Hypavix 10x5 Roll 6 CV Anugerah Palma Medilab
13 Hypavix 5x5 Roll 4 CV Anugerah Palma Medilab
14 Kassa steril husada Box 10 CV Anugerah Palma Medilab
15 KY Jelly Tube 6 CV Anugerah Palma Medilab
16 Leucoplast 2x5 Box 1 CV Anugerah Palma Medilab
17 Leucoplast 3x5 Box 1 CV Anugerah Palma Medilab
18 Leukomed transparan dressing Box 5 CV Anugerah Palma Medilab
19 Lidocain inj Box 1 CV Anugerah Palma Medilab
20 Lomatuell Box 10 CV Anugerah Palma Medilab
21 Masker nebulizer anak Pcs 20 CV Anugerah Palma Medilab
22 Nasal O2 dewasa Pcs 20 CV Anugerah Palma Medilab
23 Needle no 23 Box 2 CV Anugerah Palma Medilab
24 Oxycan Btl 2 CV Anugerah Palma Medilab
25 Spinocan 26 Box 2 CV Anugerah Palma Medilab
26 Suction catheter no 6 Pcs 10 CV Anugerah Palma Medilab
27 Termometer digital pcs 12 CV Anugerah Palma Medilab
28 Termometer safety Box 3 CV Anugerah Palma Medilab
29 Neurosanbe inj Box 10 PT Bina San Prima
30 Ring As Btl 96 PT Bina San Prima
31 Tridex 27A Btl 48 PT Bina San Prima
32 Tridex 27B Btl 48 PT Bina San Prima
33 Leukoplas 7,5 cm x 4,5 m Roll 10 PT Bina San Prima
34 Leukoplas 5 cm x 4,5 m Roll 10 PT Bina San Prima
35 Aminophyllin inj 24amp Box 1 PT Parit Padang Global
36 Ca Gluconas 24 amp box 1 PT Parit Padang Global
37 Desmanol 1 L Btl 1 PT Parit Padang Global
38 Infusion Set Troge Pcs 300 PT Parit Padang Global
39 IV Catheter Troge 24G Pcs 200 PT Parit Padang Global
40 Mikrozid AF 5 L Btl 1 PT Parit Padang Global
41 Primasept Med Btl 1 PT Parit Padang Global
42 Xilocain 10 % spray Btl 1 PT Parit Padang Global
1 2 3 4 5
43 Exam Gloves M Box 15 PT Megah Medika Pharma
44 Exam Gloves S Box 10 PT Megah Medika Pharma
45 Face Mask Karet Box 15 PT Megah Medika Pharma
46 Face Mask Tali Box 5 PT Megah Medika Pharma
47 Gammex gloves no 7,5 Pcs 40 PT Megah Medika Pharma
48 Kasa hydrofil 40x80 box 11 PT Megah Medika Pharma
49 Medicdent gloves no 6,5 Pcs 50 PT Megah Medika Pharma
50 Medicdent gloves no 7,5 Pcs 50 PT Megah Medika Pharma
51 Micropore 1inch Box 4 PT Megah Medika Pharma
52 Nursing cap Box 3 PT Megah Medika Pharma
53 Surgical cap Box 2 PT Megah Medika Pharma
54 Underpad hijau pack Box 3 PT Megah Medika Pharma
55 AMP Box 1 CV Sumber Wangi Rejeki
56 Bilirubin Kit 1 CV Sumber Wangi Rejeki
57 Cholesterol Kit 1 CV Sumber Wangi Rejeki
58 Creatinin unit 1 CV Sumber Wangi Rejeki
59 Diab Check box 5 CV Sumber Wangi Rejeki
60 HBsAg Box 2 CV Sumber Wangi Rejeki
61 MOP Box 1 CV Sumber Wangi Rejeki
62 Object glass Box 10 CV Sumber Wangi Rejeki
63 Precinirm Control Btl 3 CV Sumber Wangi Rejeki
64 THC Box 1 CV Sumber Wangi Rejeki
65 Triglycerides Kit 1 CV Sumber Wangi Rejeki
66 Urea Kit 2 CV Sumber Wangi Rejeki
67 Uric acid Kit 1 CV Sumber Wangi Rejeki
68 Widal AIM Set 4 CV Sumber Wangi Rejeki
69 Yellowtip Pack 1 CV Sumber Wangi Rejeki
70 Glucose 5% unicap Btl 40 PT Merapi Utama Pharma
71 Otsu NS 100ml Btl 120 PT Merapi Utama Pharma
72 Otsuwater inj Ampul 240 PT Merapi Utama Pharma
73 Ringer Lactat Unicap Btl 3600 PT Merapi Utama Pharma
74 Sod Chlorid 0,9% unicap Btl 120 PT Merapi Utama Pharma
75 Blood Set Pcs 50 CV Aldi Cipta Perdana
76 OI-34 Microset Pcs 50 CV Aldi Cipta Perdana
77 OI-64 Macroset Pcs 800 CV Aldi Cipta Perdana
78 Otsucath no 22 Pcs 50 CV Aldi Cipta Perdana
79 Spuit 10cc Box 2 CV Aldi Cipta Perdana
80 Spuit 1cc Box 5 CV Aldi Cipta Perdana
81 Spuit 3cc Box 25 CV Aldi Cipta Perdana
82 Spuit 5cc Box 18 CV Aldi Cipta Perdana
83 Surflo no 20 Box 15 CV Aldi Cipta Perdana
84 Surflo no 24 Box 12 CV Aldi Cipta Perdana
85 Assucryl 0 HRG-38 Pcs 6 PT Bintang Shafwan
86 Assucryl 1 HRG-45 Pcs 11 PT Bintang Shafwan
87 Assucryl 2/0 HR-27 Pcs 6 PT Bintang Shafwan
88 Assucryl 3/0 HR-27 Pcs 11 PT Bintang Shafwan
89 Chromic 3/0 TS-24 Pcs 5 PT Bintang Shafwan
90 Chromic 5/0 TS-19 Pcs 5 PT Bintang Shafwan
91 Plain 4/0 HR-17 Pcs 5 PT Bintang Shafwan
1 2 3 4 5
92 Plain 5/0 TS-15 Pcs 5 PT Bintang Shafwan
93 Silk 0 HRG-38 Pcs 6 PT Bintang Shafwan
94 Silk 0 TS-30 Pcs 6 PT Bintang Shafwan
95 Silk 2/0 HR-27 Pcs 5 PT Bintang Shafwan
96 Silk 2/0 TS-27 Pcs 5 PT Bintang Shafwan
97 Silk 3/0 TS-27 Pcs 5 PT Bintang Shafwan
98 Silk 4/0 TS-19 Pcs 5 PT Bintang Shafwan
99 Silk 5/0 TS-15 Pcs 5 PT Bintang Shafwan
100 Descoderm 5 L Btl 4 PT Mitrasamaya Sejati
101 Perfectan Endo 2 L Btl 1 PT Mitrasamaya Sejati
102 Ketorolac inj 30 mg @ 10 amp Box 10 PT Anugrah Argon Medica
103 Glucocard sigma test strip @ 50 strip Btl 15 PT Anugrah Argon Medica
104 Protofen supp @20 supp Box 20 PT Kimia Farma
105 Asam Traneksamat inj @5 amp Box 10 PT Antar Mitra Sembada
106 Developer Liq Box 2 CV Tri Jasa Kusuma Jaya
107 Film Xray 24x30cm Box 1 CV Tri Jasa Kusuma Jaya
108 Film Xray 30x40cm Box 1 CV Tri Jasa Kusuma Jaya
109 Film Xray 35x35cm Box 2 CV Tri Jasa Kusuma Jaya
110 Fixer Liq Box 2 CV Tri Jasa Kusuma Jaya
111 ODR inj 4 mg @ 5 amp box 10 PT Multi Husada Farma
112 Halotane 250 fls 1 PT Sentraco
113 Recofol inj Box 4 PT Sentraco
114 Ranitidin inj 50 mg/2ml @100 amp unit 3 PT. Dos Ni Roha
115 Safety Box pcs 12 PT. Mensa Binasukses
116 Alkohol SWAB one med Box 48 PT. Inti Sumber Hasil Sempurna
117 Alkohol 70 % I liter Btl 20 PT. Inti Sumber Hasil Sempurna
118 Silk 3/0 Box 1 PT. Inti Sumber Hasil Sempurna
119 Kasa hydrofil 40x80 Roll 2 PT. Inti Sumber Hasil Sempurna
120 Ondansetron inj 4 mg @ 10 amp Box 50 PT. Metro drug Indonesia
121 Ringer Lactat OGB Btl 500 PT. Indofarma Global Medika
122 GOT (ASAT) IFCC MOD.LIQUI UV 8x50 kit 1 PT. Wacana Indo Mitra
123 GPT (ALAT) IFCC MOD.LIQUI UV 8x51 kit 1 PT. Wacana Indo Mitra

Jakarta, 31 Maret 2016


Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / IV /2016
Tanggal : April 2016

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN MEI 2016

NO NAMA SATUAN JUMLAH PBF


1 2 3 4 5
1 Alkohol 96% 1 Liter Btl 5 CV Anugerah Palma Medilab
2 Auto Clave tape Roll 2 CV Anugerah Palma Medilab
3 Bethadin plester Box 20 CV Anugerah Palma Medilab
4 Bethadin solution 1 liter Btl 5 CV Anugerah Palma Medilab
5 Bisturi No 15 Box 1 CV Anugerah Palma Medilab
6 Boisolvon Drop Btl 5 CV Anugerah Palma Medilab
7 Choloroetyl spray Btl 4 CV Anugerah Palma Medilab
8 Disp.syringe 1 cc Box 3 CV Anugerah Palma Medilab
9 Disp.syringe 3 cc Box 15 CV Anugerah Palma Medilab
10 Disp.syringe 5 cc Box 10 CV Anugerah Palma Medilab
11 Disp.syringe 50 cc Box 1 CV Anugerah Palma Medilab
12 ETT 2,5 Pcs 5 CV Anugerah Palma Medilab
13 ETT 4 Pcs 5 CV Anugerah Palma Medilab
14 ETT 5 Pcs 5 CV Anugerah Palma Medilab
15 ETT 6 Pcs 5 CV Anugerah Palma Medilab
16 ETT 7 Pcs 5 CV Anugerah Palma Medilab
17 ETT 7,5 Pcs 5 CV Anugerah Palma Medilab
18 Hypavix 10x5 Roll 8 CV Anugerah Palma Medilab
19 Hypavix 5x5 Roll 8 CV Anugerah Palma Medilab
20 Kapas 250gr Roll 5 CV Anugerah Palma Medilab
21 KY Jelly Tube 3 CV Anugerah Palma Medilab
22 Leucoplast 2x5 Box 1 CV Anugerah Palma Medilab
23 Leucoplast 3x5 Box 1 CV Anugerah Palma Medilab
24 Lidocain inj Box 2 CV Anugerah Palma Medilab
25 Nasal O2 dewasa Pcs 30 CV Anugerah Palma Medilab
26 Needle no 25 Box 1 CV Anugerah Palma Medilab
27 Pot 50cc Pcs 200 CV Anugerah Palma Medilab
28 Pot 100cc Pcs 50 CV Anugerah Palma Medilab
29 Surflo IV No 14 Pcs 20 CV Anugerah Palma Medilab
30 Surflo IV No 24 Box 2 CV Anugerah Palma Medilab
31 Suction catheter no 12 Pcs 5 CV Anugerah Palma Medilab
32 Suction catheter no 14 Pcs 5 CV Anugerah Palma Medilab
33 Tabung EDTA 3 ml Box 2 CV Anugerah Palma Medilab
34 Tensocrape 3' Roll 6 CV Anugerah Palma Medilab
35 Tensocrape 4' Roll 5 CV Anugerah Palma Medilab
36 Termometer digital pcs 10 CV Anugerah Palma Medilab
37 Termometer safety Box 4 CV Anugerah Palma Medilab
38 Toxoid inj Box 1 CV Anugerah Palma Medilab
39 Urine bag Pack 2 CV Anugerah Palma Medilab
40 Ventolin Nebulizer @ 20 Box 3 CV Anugerah Palma Medilab
41 Verban 5cm Pack 4 CV Anugerah Palma Medilab
42 Leukoplas 7,5 cm x 4,5 m Roll 1 PT Bina San Prima
1 2 3 4 5
43 Leukoplas 5 cm x 4,5 m Roll 1 PT Bina San Prima
44 RL bag 240 PT Bina San Prima
45 Tridex 27B Btl 144 PT Bina San Prima
46 Acran inj Box 40 PT Bina San Prima
47 Ansel 6,5 Box 5 PT Parit Padang Global
48 Canovix PU 6x8 cm Pcs 100 PT Parit Padang Global
49 Desmanol 5 L Btl 2 PT Parit Padang Global
50 Epinephrine inj @10 amp Box 10 PT Parit Padang Global
51 Infusion Set Troge Pcs 600 PT Parit Padang Global
52 IV Catheter Troge 24G Pcs 400 PT Parit Padang Global
53 IV Catheter Troge 20G Pcs 250 PT Parit Padang Global
54 Ondansetron inj 4 mg Ampul 100 PT Parit Padang Global
55 Primperan inj Box 10 PT Parit Padang Global
56 Urine bag Pcs 50 PT Parit Padang Global
57 Ballon Catheter 2 way 18 Pcs 10 PT Megah Medika Pharma
58 Exam Gloves M Box 30 PT Megah Medika Pharma
59 Exam Gloves S Box 15 PT Megah Medika Pharma
60 Exam Gloves L Box 5 PT Megah Medika Pharma
61 Face Mask Karet Box 15 PT Megah Medika Pharma
62 Face Mask Tali Box 5 PT Megah Medika Pharma
63 Gammex gloves no 7,5 Pcs 40 PT Megah Medika Pharma
64 Kasa hydrofil 40x80 box 2 PT Megah Medika Pharma
65 Mas Gynecological Steril M pcs 6 PT Megah Medika Pharma
66 Micropore 1inch Box 1 PT Megah Medika Pharma
67 Micropore 1/2 inch Box 1 PT Megah Medika Pharma
68 Micropore with dispenser Box 3 PT Megah Medika Pharma
69 Ceftriaxon inj 1 gr @100 Box 1 PT Dos Ni Roha
70 AMP Box 2 CV Sumber Wangi Rejeki
71 Bilirubin Kit 1 CV Sumber Wangi Rejeki
72 Blue Tip Pack 1 CV Sumber Wangi Rejeki
73 Cholesterol Kit 1 CV Sumber Wangi Rejeki
74 Creatinin unit 1 CV Sumber Wangi Rejeki
75 HCG Box 1 CV Sumber Wangi Rejeki
76 Larutan EDTA Btl 1 CV Sumber Wangi Rejeki
77 Methanol 500 ml Btl 1 CV Sumber Wangi Rejeki
78 MOP Box 1 CV Sumber Wangi Rejeki
79 Multistix Pack 2 CV Sumber Wangi Rejeki
80 Object glass Box 10 CV Sumber Wangi Rejeki
81 Tabung Hematrokrit Superior Box 1 CV Sumber Wangi Rejeki
82 THC Box 1 CV Sumber Wangi Rejeki
83 Triglycerides Kit 1 CV Sumber Wangi Rejeki
84 Urea Kit 1 CV Sumber Wangi Rejeki
85 Uric acid Kit 1 CV Sumber Wangi Rejeki
86 Weigh Marc Btl 1 CV Sumber Wangi Rejeki
87 Widal AIM Set 5 CV Sumber Wangi Rejeki
88 Yellowtip Pack 2 CV Sumber Wangi Rejeki
89 Ziehlneelsen Set 1 CV Sumber Wangi Rejeki
90 Ringer Lactat Unicap Btl 2580 PT Merapi Utama Pharma
91 Sod Chlorid 0,9% unicap Btl 120 PT Merapi Utama Pharma
1 2 3 4 5
92 Glucose 5% unicap Btl 80 PT Merapi Utama Pharma
93 Otsuwater inj Ampul 960 PT Merapi Utama Pharma
94 OI-34 Microset Pcs 50 CV Aldi Cipta Perdana
95 OI-64 Macroset Pcs 400 CV Aldi Cipta Perdana
96 Spuit 10cc Box 2 CV Aldi Cipta Perdana
97 Spuit 1cc Box 2 CV Aldi Cipta Perdana
98 Spuit 3cc Box 25 CV Aldi Cipta Perdana
99 Spuit 5cc Box 7 CV Aldi Cipta Perdana
100 Surflo no 20 Box 3 CV Aldi Cipta Perdana
101 Surflo no 24 Box 9 CV Aldi Cipta Perdana
102 Assucryl 2/0 HR-27 Pcs 10 PT Bintang Shafwan
103 Assucryl 3/0 HR-27 Pcs 10 PT Bintang Shafwan
104 Plain 3/0 TS-24 Pcs 6 PT Bintang Shafwan
105 Polypropylene 2/0 TS-27 Pcs 10 PT Bintang Shafwan
106 Polypropylene 3/0 TS-27 Pcs 10 PT Bintang Shafwan
107 Polypropylene 4/0 TS-19 Pcs 5 PT Bintang Shafwan
108 Silk 1 HRG-38 Pcs 5 PT Bintang Shafwan
109 Silk 2/0 HR-27 Pcs 10 PT Bintang Shafwan
110 Descoderm 5 L Btl 4 PT Mitrasamaya Sejati
111 Perfectan Endo 2 L Btl 1 PT Mitrasamaya Sejati
112 Ranitidine inj box 10 PT Anugrah Argon Medica
113 Glucocard sigma test strip @ 50 strip Btl 10 PT Anugrah Argon Medica
114 Fenthanyl inj Ampul 25 PT Kimia Farma
115 Norages inj Box 51 PT Kallista Prima
116 Ranitidin inj 25 mg/ml @10 amp Box 40 PT Enseval Putera Megatrading
117 Developer Liq Box 2 CV Tri Jasa Kusuma Jaya
118 Film Xray 18x24cm Box 1 CV Tri Jasa Kusuma Jaya
119 Film Xray 24x30cm Box 1 CV Tri Jasa Kusuma Jaya
120 Film Xray 30x40cm Box 1 CV Tri Jasa Kusuma Jaya
121 Film Xray 35x35cm Box 2 CV Tri Jasa Kusuma Jaya
122 Fixer Liq Box 2 CV Tri Jasa Kusuma Jaya
123 Jelly USG 5 liter Galon 1 CV Tri Jasa Kusuma Jaya
124 Paper USG Roll 1 CV Tri Jasa Kusuma Jaya
125 Flixotide neb box 5 PT Multi Husada Farma
126 Recofol inj Box 2 PT Sentraco
127 Safety Box pcs 12 PT. Mensa Binasukses
128 Dumin rectal 125 mg Box 5 PT. Mensa Binasukses
129 Ketorolac inj Box 10 PT. Mensa Binasukses
130 Alkohol SWAB one med Box 48 PT. Inti Sumber Hasil Sempurna
131 Alkohol 70 % I liter Btl 10 PT. Inti Sumber Hasil Sempurna
132 Asam Traneksamat inj @5 amp Box 5 PT. Metro drug Indonesia
133 Polynel minidose 5 x 0.6 ml fls 2 PT. Penta valent
134 Tobroson minidose 5 x 0.6 ml fls 2 PT. Penta valent
135 LFX minidose 5 x 0.6 ml fls 2 PT. Penta valent
136 Floxa minidose 5 x 0.6 ml fls 2 PT. Penta valent
137 Cendo Liters ED fls 2 PT. Penta valent
138 Cendo Vernacel ED fls 2 PT. Penta valent
139 Cendo Mydiatril ED fls 2 PT. Penta valent
140 Cendo Fenicol EO tube 2 PT. Penta valent
1 2 3 4 5
141 Cendo Xytrol EO tube 2 PT. Penta valent
142 Cendo Polygran EO tube 2 PT. Penta valent
143 GOT (ASAT) IFCC MOD.LIQUI UV 8x50 kit 1 PT. Wacana Indo Mitra
144 GPT (ALAT) IFCC MOD.LIQUI UV 8x51 kit 1 PT. Wacana Indo Mitra
145 Nokoba inj Ampul 5 PT. Kebayoran Pharma
146 catapres inj 0,15 mg / ml amp 10's Box 5 PT. Tempo

Jakarta, 30 April 2016


Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / V /2016
Tanggal : Mei 2016

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN JUNI 2016

NO NAMA SATUAN JUMLAH PBF


1 2 3 4 5
1 Bethadin plester Box 20 CV Anugerah Palma Medilab
2 Bethadin solution 1 liter Btl 2 CV Anugerah Palma Medilab
3 Bisturi No 23 Box 1 CV Anugerah Palma Medilab
4 Boisolvon Drop Btl 5 CV Anugerah Palma Medilab
5 Choloroetyl spray Btl 2 CV Anugerah Palma Medilab
6 Chromic 2-0 dr sella Box 1 CV Anugerah Palma Medilab
7 Disp.syringe 1 cc Box 3 CV Anugerah Palma Medilab
8 Disp.syringe 3 cc Box 20 CV Anugerah Palma Medilab
9 Disp.syringe 5 cc Box 5 CV Anugerah Palma Medilab
10 Decamidon inj Box 1 CV Anugerah Palma Medilab
11 GuntingVerband 14 cm Pcs 1 CV Anugerah Palma Medilab
12 Hypavix 10x5 Roll 6 CV Anugerah Palma Medilab
13 Hypavix 5x5 Roll 4 CV Anugerah Palma Medilab
14 Kassa steril husada Box 10 CV Anugerah Palma Medilab
15 KY Jelly Tube 6 CV Anugerah Palma Medilab
16 Leucoplast 2x5 Box 1 CV Anugerah Palma Medilab
17 Leucoplast 3x5 Box 1 CV Anugerah Palma Medilab
18 Leukomed transparan dressing Box 5 CV Anugerah Palma Medilab
19 Lidocain inj Box 1 CV Anugerah Palma Medilab
20 Lomatuell Box 10 CV Anugerah Palma Medilab
21 Masker nebulizer anak Pcs 20 CV Anugerah Palma Medilab
22 Nasal O2 dewasa Pcs 20 CV Anugerah Palma Medilab
23 Needle no 23 Box 2 CV Anugerah Palma Medilab
24 Oxycan Btl 2 CV Anugerah Palma Medilab
25 Spinocan 26 Box 2 CV Anugerah Palma Medilab
26 Suction catheter no 6 Pcs 10 CV Anugerah Palma Medilab
27 Termometer digital pcs 12 CV Anugerah Palma Medilab
28 Termometer safety Box 3 CV Anugerah Palma Medilab
29 Neurosanbe inj Box 10 PT Bina San Prima
30 Ring As Btl 96 PT Bina San Prima
31 Tridex 27A Btl 48 PT Bina San Prima
32 Tridex 27B Btl 48 PT Bina San Prima
33 Leukoplas 7,5 cm x 4,5 m Roll 10 PT Bina San Prima
34 Leukoplas 5 cm x 4,5 m Roll 10 PT Bina San Prima
35 Aminophyllin inj 24amp Box 1 PT Parit Padang Global
36 IV Catheter Troge 24G Pcs 400 PT Parit Padang Global
37 IV Catheter Troge 20G Pcs 100 PT Parit Padang Global
38 Ca Gluconas 24 amp box 1 PT Parit Padang Global
39 Desmanol 1 L Btl 1 PT Parit Padang Global
40 Infusion Set Troge Pcs 600 PT Parit Padang Global
41 Mikrozid AF 5 L Btl 1 PT Parit Padang Global
42 Primasept Med Btl 1 PT Parit Padang Global
1 2 3 4 5
43 Xilocain 10 % spray Btl 1 PT Parit Padang Global
44 Exam Gloves M Box 15 PT Megah Medika Pharma
45 Exam Gloves S Box 10 PT Megah Medika Pharma
46 Face Mask Karet Box 15 PT Megah Medika Pharma
47 Face Mask Tali Box 5 PT Megah Medika Pharma
48 Gammex gloves no 7,5 Pcs 40 PT Megah Medika Pharma
49 Kasa hydrofil 40x80 box 11 PT Megah Medika Pharma
50 Medicdent gloves no 6,5 Pcs 50 PT Megah Medika Pharma
51 Medicdent gloves no 7,5 Pcs 50 PT Megah Medika Pharma
52 Micropore 1inch Box 4 PT Megah Medika Pharma
53 Nursing cap Box 3 PT Megah Medika Pharma
54 Surgical cap Box 2 PT Megah Medika Pharma
55 Underpad hijau pack Box 3 PT Megah Medika Pharma
56 AMP Box 1 CV Sumber Wangi Rejeki
57 Bilirubin Kit 1 CV Sumber Wangi Rejeki
58 Cholesterol Kit 1 CV Sumber Wangi Rejeki
59 Creatinin unit 1 CV Sumber Wangi Rejeki
60 Diab Check box 5 CV Sumber Wangi Rejeki
61 HBsAg Box 2 CV Sumber Wangi Rejeki
62 MOP Box 1 CV Sumber Wangi Rejeki
63 Object glass Box 10 CV Sumber Wangi Rejeki
64 Precinirm Control Btl 3 CV Sumber Wangi Rejeki
65 THC Box 1 CV Sumber Wangi Rejeki
66 Triglycerides Kit 1 CV Sumber Wangi Rejeki
67 Urea Kit 2 CV Sumber Wangi Rejeki
68 Uric acid Kit 1 CV Sumber Wangi Rejeki
69 Widal AIM Set 4 CV Sumber Wangi Rejeki
70 Yellowtip Pack 1 CV Sumber Wangi Rejeki
71 Glucose 5% unicap Btl 40 PT Merapi Utama Pharma
72 Otsu NS 100ml Btl 120 PT Merapi Utama Pharma
73 Otsuwater inj Ampul 240 PT Merapi Utama Pharma
74 Ringer Lactat Btl 2600 PT Merapi Utama Pharma
75 Sod Chlorid 0,9% unicap Btl 120 PT Merapi Utama Pharma
76 Blood Set Pcs 50 CV Aldi Cipta Perdana
77 OI-34 Microset Pcs 50 CV Aldi Cipta Perdana
78 OI-64 Macroset Pcs 800 CV Aldi Cipta Perdana
79 Otsucath no 22 Pcs 50 CV Aldi Cipta Perdana
80 Spuit 10cc Box 2 CV Aldi Cipta Perdana
81 Spuit 1cc Box 5 CV Aldi Cipta Perdana
82 Spuit 3cc Box 25 CV Aldi Cipta Perdana
83 Spuit 5cc Box 18 CV Aldi Cipta Perdana
84 Surflo no 20 Box 15 CV Aldi Cipta Perdana
85 Surflo no 24 Box 12 CV Aldi Cipta Perdana
86 Plain 4/0 HR-17 Pcs 5 PT Bintang Shafwan
87 Plain 5/0 TS-15 Pcs 5 PT Bintang Shafwan
88 Assucryl 0 HRG-38 Pcs 6 PT Bintang Shafwan
89 Assucryl 1 HRG-45 Pcs 11 PT Bintang Shafwan
90 Assucryl 2/0 HR-27 Pcs 6 PT Bintang Shafwan
91 Assucryl 3/0 HR-27 Pcs 11 PT Bintang Shafwan
92 Assucryl 8-0 Pcs 5 PT Bintang Shafwan
93 Chromic 3/0 TS-24 Pcs 5 PT Bintang Shafwan
94 Chromic 5/0 TS-19 Pcs 5 PT Bintang Shafwan
95 Silk 0 HRG-38 Pcs 6 PT Bintang Shafwan
96 Silk 0 TS-30 Pcs 6 PT Bintang Shafwan
97 Silk 2/0 HR-27 Pcs 5 PT Bintang Shafwan
98 Silk 2/0 TS-27 Pcs 5 PT Bintang Shafwan
99 Silk 3/0 TS-27 Pcs 5 PT Bintang Shafwan
100 Silk 4/0 TS-19 Pcs 5 PT Bintang Shafwan
101 Silk 5/0 TS-15 Pcs 10 PT Bintang Shafwan
102 Descoderm 5 L Btl 4 PT Mitrasamaya Sejati
103 Perfectan Endo 2 L Btl 1 PT Mitrasamaya Sejati
104 Ketorolac inj 30 mg @ 10 amp Box 10 PT Anugrah Argon Medica
105 Glucocard sigma test strip @ 50 strip Btl 15 PT Anugrah Argon Medica
106 Protofen supp @20 supp Box 20 PT Kimia Farma
107 Asam Traneksamat inj @5 amp Box 10 PT Antar Mitra Sembada
108 Developer Liq Box 2 CV Tri Jasa Kusuma Jaya
109 Film Xray 24x30cm Box 1 CV Tri Jasa Kusuma Jaya
110 Film Xray 30x40cm Box 1 CV Tri Jasa Kusuma Jaya
111 Film Xray 35x35cm Box 2 CV Tri Jasa Kusuma Jaya
112 Fixer Liq Box 2 CV Tri Jasa Kusuma Jaya
113 ODR inj 4 mg @ 5 amp box 10 PT Multi Husada Farma
114 Halotane 250 fls 1 PT Sentraco
115 Recofol inj Box 4 PT Sentraco
116 Ranitidin inj 50 mg/2ml @100 amp unit 3 PT. Dos Ni Roha
117 Safety Box pcs 12 PT. Mensa Binasukses
118 Ondansetron inj 4 mg @ 10 amp Box 50 PT. Metro drug Indonesia
119 Ringer Lactat OGB Btl 500 PT. Indofarma Global Medika
120 GOT (ASAT) IFCC MOD.LIQUI UV 8x50 kit 1 PT. Wacana Indo Mitra
121 GPT (ALAT) IFCC MOD.LIQUI UV 8x51 kit 1 PT. Wacana Indo Mitra
122 Alkohol SWAB one med Box 48 PT. Inti Sumber Hasil Sempurna
123 Alkohol 70 % I liter Btl 20 PT. Inti Sumber Hasil Sempurna
124 Silk 3/0 Box 1 PT. Inti Sumber Hasil Sempurna
125 Kasa hydrofil 40x80 Roll 2 PT. Inti Sumber Hasil Sempurna
126 Lasix inj box 10 PT. A P L
127 Syntocinon 1 ml @10 amp Box 5 PT. A P L
128 Tracium inj Box 1 PT. A P L

Jakarta, 31 Mei 2016


Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / VI /2016
Tanggal : Juni 2016

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN JULI 2016

NO NAMA SATUAN JUMLAH PBF


1 Alkohol 70% 1liter Btl 10 CV Anugerah Palma Medilab
2 Alkohol swab Box 96 CV Anugerah Palma Medilab
3 Bethadin plester Box 20 CV Anugerah Palma Medilab
4 Bethadin solution 1 liter Btl 2 CV Anugerah Palma Medilab
5 Bisolvon Drop Btl 5 CV Anugerah Palma Medilab
6 Choloroetyl spray Btl 5 CV Anugerah Palma Medilab
7 Chromic 2-0 dr sella Box 3 CV Anugerah Palma Medilab
8 Disp.syringe 1 cc Box 4 CV Anugerah Palma Medilab
9 Disp.syringe 3 cc Box 15 CV Anugerah Palma Medilab
10 Disp.syringe 5 cc Box 4 CV Anugerah Palma Medilab
11 Gelang Anak Biru Box 2 CV Anugerah Palma Medilab
12 Gelang Anak Pink Box 2 CV Anugerah Palma Medilab
13 Gelas ukur plastik 100 ml Pcs 1 CV Anugerah Palma Medilab
14 Hypavix 10x5 Roll 9 CV Anugerah Palma Medilab
15 Kapas 250gr Roll 15 CV Anugerah Palma Medilab
16 Leucoplast 2x5 Box 1 CV Anugerah Palma Medilab
17 Leucoplast 3x5 Box 3 CV Anugerah Palma Medilab
18 Masker nebulizer anak Pcs 10 CV Anugerah Palma Medilab
19 Masker nebulizer dewasa Pcs 20 CV Anugerah Palma Medilab
20 Micropore 1inch Box 1 CV Anugerah Palma Medilab
21 Micropore 0,5 inch Box 1 CV Anugerah Palma Medilab
22 Nasal O2 dewasa Pcs 20 CV Anugerah Palma Medilab
23 Needle no 23 Box 1 CV Anugerah Palma Medilab
24 Needle no 25 Box 1 CV Anugerah Palma Medilab
25 Oxycan Btl 5 CV Anugerah Palma Medilab
26 Pispot Sodok Plastik Pcs 1 CV Anugerah Palma Medilab
27 Pot 50cc Pcs 150 CV Anugerah Palma Medilab
28 Pot 100cc Pcs 50 CV Anugerah Palma Medilab
29 Regulator O2 unit 4 CV Anugerah Palma Medilab
30 Senter Medis Pcs 1 CV Anugerah Palma Medilab
31 Spinocan 26 Box 2 CV Anugerah Palma Medilab
32 Spinocan 27 Box 1 CV Anugerah Palma Medilab
33 Steril Water Btl 15 CV Anugerah Palma Medilab
34 Stetoscope Dewasa Unit 2 CV Anugerah Palma Medilab
35 Surflo IV No 18 Pcs 1 CV Anugerah Palma Medilab
36 Surflo IV No 20 Box 2 CV Anugerah Palma Medilab
37 Surflo IV No 24 Box 4 CV Anugerah Palma Medilab
38 Tabung EDTA 3 ml Box 1 CV Anugerah Palma Medilab
39 Tensimeter digital unit 2 CV Anugerah Palma Medilab
40 Termometer safety Box 5 CV Anugerah Palma Medilab
41 Umbilical Cord Box 1 CV Anugerah Palma Medilab
42 Urinal laki laki Pcs 1 CV Anugerah Palma Medilab
43 Santagesic Inj Box 10 PT Bina San Prima
44 RL Btl 1680 PT Bina San Prima
45 Tridex 27A Btl 48 PT Bina San Prima
46 Tridex 27B Btl 48 PT Bina San Prima
47 Desmanol 1 L Btl 2 PT Parit Padang Global
48 Exam Gloves M Box 27 PT Megah Medika Pharma
49 Exam Gloves S Box 10 PT Megah Medika Pharma
50 Face Mask Karet Box 15 PT Megah Medika Pharma
51 Face Mask Tali Box 13 PT Megah Medika Pharma
52 Gammex gloves no 7,5 Pcs 40 PT Megah Medika Pharma
53 Gammex gloves no 8 Pcs 40 PT Megah Medika Pharma
54 Kasa hydrofil 40x80 box 5 PT Megah Medika Pharma
55 Mask gynecological steril M pcs 5 PT Megah Medika Pharma
56 Micropore 1inch Box 3 PT Megah Medika Pharma
57 Nursing cap Box 2 PT Megah Medika Pharma
58 Polywin IV 26G Pcs 20 PT Megah Medika Pharma
59 Surgical cap Box 2 PT Megah Medika Pharma
60 Underpad hijau pack Box 4 PT Megah Medika Pharma
61 AMP Box 1 CV Sumber Wangi Rejeki
62 Bilirubin Kit 1 CV Sumber Wangi Rejeki
63 Blue Tip Pack 1 CV Sumber Wangi Rejeki
64 Cholesterol Kit 1 CV Sumber Wangi Rejeki
65 Creatinin unit 1 CV Sumber Wangi Rejeki
66 Glucocard Test Strip Box 10 CV Sumber Wangi Rejeki
67 HCG Box 2 CV Sumber Wangi Rejeki
68 MOP Box 1 CV Sumber Wangi Rejeki
69 Multistix Pack 3 CV Sumber Wangi Rejeki
70 Pot Urine sterile Pcs 50 CV Sumber Wangi Rejeki
71 THC Box 1 CV Sumber Wangi Rejeki
72 Triglycerides Kit 1 CV Sumber Wangi Rejeki
73 Urea Kit 1 CV Sumber Wangi Rejeki
74 Uric acid Kit 1 CV Sumber Wangi Rejeki
75 Widal AIM Set 8 CV Sumber Wangi Rejeki
76 Yellowtip Pack 1 CV Sumber Wangi Rejeki
77 Ziehlneelsen Set 1 CV Sumber Wangi Rejeki
78 Otsuwater inj Ampul 480 PT Merapi Utama Pharma
79 Spuit 10cc Box 2 CV Aldi Cipta Perdana
80 Spuit 1cc Box 5 CV Aldi Cipta Perdana
81 Spuit 3cc Box 38 CV Aldi Cipta Perdana
82 Spuit 5cc Box 10 CV Aldi Cipta Perdana
83 Surflo no 20 Box 6 CV Aldi Cipta Perdana
84 Surflo no 24 Box 7 CV Aldi Cipta Perdana
85 Assucryl 2/0 HR-27 Pcs 5 PT Bintang Shafwan
86 Assucryl 2/0 TS-27 Pcs 5 PT Bintang Shafwan
87 Chromic 2/0 HRG-38 Pcs 10 PT Bintang Shafwan
88 Chromic 2/0 TS-24 Pcs 10 PT Bintang Shafwan
89 Chromic 3/0 HR-27 Pcs 5 PT Bintang Shafwan
90 Chromic 3/0 TS-24 Pcs 5 PT Bintang Shafwan
91 Silk 2/0 HR-27 Pcs 5 PT Bintang Shafwan
92 Silk 2/0 TS-27 Pcs 5 PT Bintang Shafwan
93 Silk 3/0 HR-27 Pcs 5 PT Bintang Shafwan
94 Polypropylene 5/0 HR-17 Pcs 5 PT Bintang Shafwan
95 Polypropylene 5/0 TS-17 Pcs 5 PT Bintang Shafwan
96 Silk 3/0 TS-27 Pcs 5 PT Bintang Shafwan
97 Silk 4/0 TS-19 Pcs 5 PT Bintang Shafwan
98 Silk 4/0 HR-17 Pcs 5 PT Bintang Shafwan
99 Silk 5/0 TS-15 Pcs 5 PT Bintang Shafwan
100 Norages inj Box 51 PT Millennium Pharmacon International
101 Silk 2/0 Pcs 5 PT Millennium Pharmacon International
102 Urine bag Pcs 20 PT Millennium Pharmacon International
103 Descoderm 5 L Btl 2 PT Mitrasamaya Sejati
104 Perfectan Endo 2 L Btl 1 PT Mitrasamaya Sejati
105 Fenthanyl inj Ampul 50 PT Kimia Farma
106 Asam Traneksamat inj @5 amp Box 10 PT Antar Mitra Sembada
107 Ranitidin inj Box 20 PT Antar Mitra Sembada
108 Ondansetron inj 4 mg @ 5 amp Box 60 PT Antar Mitra Sembada
109 Norages inj Box 260 PT Kallista Prima
110 Developer Liq Box 2 CV Tri Jasa Kusuma Jaya
111 Film Xray 24x30cm Box 1 CV Tri Jasa Kusuma Jaya
112 Film Xray 30x40cm Box 1 CV Tri Jasa Kusuma Jaya
113 Film Xray 35x35cm Box 1 CV Tri Jasa Kusuma Jaya
114 Fixer Liq Box 2 CV Tri Jasa Kusuma Jaya
115 Paper USG Roll 1 CV Tri Jasa Kusuma Jaya
116 Neo - K inj box 10 PT Sentraco
117 Lidocain inj Box 1 PT Sentraco
118 Epinephrine inj Box 1 PT Sentraco
119 Alinamin F inj Box 4 PT Sentraco
120 Dexamethason inj Box 1 PT Sentraco
121 Ecosol NaCl 0,9 % 500 ml Btl 180 PT. Dos Ni Roha
122 Pot 50cc Pcs 1000 CV. Una Abadi Jaya
123 Pot 100 cc Pcs 100 CV. Una Abadi Jaya
124 Catapres inj Box 2 PT. Tempo
125 Safety Box pcs 24 PT. Mensa Binasukses
126 Dumin 125 mg Box 10 PT. Mensa Binasukses
127 Dumin 250 mg Box 10 PT. Mensa Binasukses
128 GOT (ASAT) IFCC MOD.LIQUI UV 8x50 kit 1 PT. Wacana Indo Mitra
129 GPT (ALAT) IFCC MOD.LIQUI UV 8x51 kit 1 PT. Wacana Indo Mitra
130 Tracium inj Box 1 PT. A P L
131 Marcain inj Box 1 PT. A P L
132 Xylocain gell Box 1 PT. A P L
133 Xylocain spray Pcs 1 PT. A P L

Jakarta, 30 Juni 2016


Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / VII /2016
Tanggal : Juli 2016

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN AGUSTUS 2016

NO NAMA SATUAN JUMLAH PBF


1 Ring As Btl 96 PT Bina San Prima
2 RL Btl 600 PT Bina San Prima
3 Santagesic Inj Box 10 PT Bina San Prima
4 Tridex 27B Btl 96 PT Bina San Prima
5 Alkohol 70% 1liter Btl 10 CV Anugerah Palma Medilab
6 Alkohol swab Box 24 CV Anugerah Palma Medilab
7 Bethadin solution 1 liter Btl 4 CV Anugerah Palma Medilab
8 Bisturi No 11 Box 1 CV Anugerah Palma Medilab
9 Choloroetyl spray Btl 3 CV Anugerah Palma Medilab
10 Disp.syringe 3 cc Box 20 CV Anugerah Palma Medilab
11 Disp.syringe 50 cc Box 1 CV Anugerah Palma Medilab
12 Disp.syringe catheter tip 100 cc Box 5 CV Anugerah Palma Medilab
13 Folley cath no 18 Pcs 10 CV Anugerah Palma Medilab
14 Hypavix 5x5 Roll 8 CV Anugerah Palma Medilab
15 Kasa hydrofil 40x80 gasindo Roll 2 CV Anugerah Palma Medilab
16 KY Jelly Tube 5 CV Anugerah Palma Medilab
17 Lidocain inj Box 2 CV Anugerah Palma Medilab
18 Micropore 1inch Box 1 CV Anugerah Palma Medilab
19 Nasal O2 dewasa Pcs 20 CV Anugerah Palma Medilab
20 Otsu RL 500 ml Btl 18 CV Anugerah Palma Medilab
21 Oxycan Btl 3 CV Anugerah Palma Medilab
22 Pehacain inj box 1 CV Anugerah Palma Medilab
23 Ringer lactate Braun Btl 150 CV Anugerah Palma Medilab
24 Silk 2-0 dr sella Box 3 CV Anugerah Palma Medilab
25 Surflo IV No 22 Box 3 CV Anugerah Palma Medilab
26 Tabung EDTA 3 ml Box 2 CV Anugerah Palma Medilab
27 Tensocrape 3' Roll 3 CV Anugerah Palma Medilab
28 Termometer digital pcs 12 CV Anugerah Palma Medilab
29 Termometer safety Box 3 CV Anugerah Palma Medilab
30 Verban 5cm Pack 5 CV Anugerah Palma Medilab
31 Water for inj 25 ml Btl 240 CV Anugerah Palma Medilab
32 Exam Gloves M Box 20 PT Megah Medika Pharma
33 Face Mask Karet Box 10 PT Megah Medika Pharma
34 Face Mask Tali Box 10 PT Megah Medika Pharma
35 Kasa hydrofil 40x80 box 5 PT Megah Medika Pharma
36 Medicdent gloves no 7,5 Pcs 50 PT Megah Medika Pharma
37 Nursing cap Box 2 PT Megah Medika Pharma
38 Polywin IV 26G Pcs 20 PT Megah Medika Pharma
39 Surgical cap Box 1 PT Megah Medika Pharma
40 Underpad hijau pack Box 2 PT Megah Medika Pharma
41 Ecosol NaCl 0,9 % 500 ml Btl 50 PT Dos Ni Roha
42 Ecosol NaCl 0,9 % 100 ml Btl 50 PT Dos Ni Roha
43 AMP Box 1 CV Sumber Wangi Rejeki
44 Bilirubin Kit 1 CV Sumber Wangi Rejeki
45 Cholesterol Kit 1 CV Sumber Wangi Rejeki
46 Creatinin unit 1 CV Sumber Wangi Rejeki
47 Methanol 500 ml Btl 1 CV Sumber Wangi Rejeki
48 MOP Box 1 CV Sumber Wangi Rejeki
49 Multistix Pack 2 CV Sumber Wangi Rejeki
50 SGOT Kit 1 CV Sumber Wangi Rejeki
51 SGPT Kit 1 CV Sumber Wangi Rejeki
52 THC Box 1 CV Sumber Wangi Rejeki
53 Triglycerides Kit 1 CV Sumber Wangi Rejeki
54 Uric acid Kit 1 CV Sumber Wangi Rejeki
55 OI-34 Microset Pcs 100 CV Aldi Cipta Perdana
56 OI-64 Macroset Pcs 300 CV Aldi Cipta Perdana
57 Spuit 10cc Box 3 CV Aldi Cipta Perdana
58 Spuit 1cc Box 3 CV Aldi Cipta Perdana
59 Spuit 5cc Box 8 CV Aldi Cipta Perdana
60 Surflo no 20 Box 2 CV Aldi Cipta Perdana
61 Surflo no 24 Box 7 CV Aldi Cipta Perdana
62 Assucryl 0 HRG-38 Pcs 5 PT Bintang Shafwan
63 Assucryl 1 HRG-45 Pcs 5 PT Bintang Shafwan
64 Assucryl 1 TS-40 Pcs 5 PT Bintang Shafwan
65 Assucryl 2/0 HR-27 Pcs 5 PT Bintang Shafwan
66 Assucryl 2/0 TS-27 Pcs 5 PT Bintang Shafwan
67 Assucryl 3/0 HR-27 Pcs 5 PT Bintang Shafwan
68 Chromic 0 HRG-38 Pcs 5 PT Bintang Shafwan
69 Chromic 2/0 HRG-38 Pcs 5 PT Bintang Shafwan
70 Chromic 2/0 TS-24 Pcs 5 PT Bintang Shafwan
71 Plain 0 HRG - 38 Pcs 5 PT Bintang Shafwan
72 Plain 2/0 HRG - 38 Pcs 5 PT Bintang Shafwan
73 Plain 2/0 TS-24 Pcs 5 PT Bintang Shafwan
74 Plain 4/0 HR-17 Pcs 5 PT Bintang Shafwan
75 Plain 4/0 TS - 19 Pcs 5 PT Bintang Shafwan
76 Polypropylene 0 HRG-38 Pcs 5 PT Bintang Shafwan
77 Polypropylene 1 HS - 38 Pcs 5 PT Bintang Shafwan
78 Polypropylene 2/0 HR-27 Pcs 5 PT Bintang Shafwan
79 Polypropylene 2/0 TS-27 Pcs 5 PT Bintang Shafwan
80 Polypropylene 4/0 TS-19 Pcs 5 PT Bintang Shafwan
81 Polypropylene 4/0 HR-17 Pcs 5 PT Bintang Shafwan
82 Silk 1 HRG-38 Pcs 5 PT Bintang Shafwan
83 Developer Liq Box 2 CV Tri Jasa Kusuma Jaya
84 Film Xray 18x24cm Box 1 CV Tri Jasa Kusuma Jaya
85 Film Xray 24x30cm Box 1 CV Tri Jasa Kusuma Jaya
86 Film Xray 30x40cm Box 1 CV Tri Jasa Kusuma Jaya
87 Film Xray 35x35cm Box 2 CV Tri Jasa Kusuma Jaya
88 Film Xray panoramic Box 1 CV Tri Jasa Kusuma Jaya
89 Fixer Liq Box 2 CV Tri Jasa Kusuma Jaya
90 Lampu tindakan unit 1 CV Tri Jasa Kusuma Jaya
91 Paper EKG 12 channel Roll 5 CV Tri Jasa Kusuma Jaya
92 Paper USG Roll 5 CV Tri Jasa Kusuma Jaya
93 Dumin 125 mg Box 5 PT. Mensa Binasukses
94 Dumin 250 mg Box 5 PT. Mensa Binasukses
95 Stesolid rectal 5 mg Box 5 PT. Mensa Binasukses
96 Stesolid rectal 10 mg Box 5 PT. Mensa Binasukses
97 Infusion Set Pcs 200 PT Millennium Pharmacon International
98 Descoderm 5 L Btl 4 PT Mitrasamaya Sejati
99 Ondancetron inj @5 amp Box 96 PT Anugrah Argon Medica
100 Ranitidine inj @25 amp box 9 PT Anugrah Argon Medica
101 Miloz Box 5 PT Antar Mitra Sembada
102 Flixotide neb box 5 PT Multi Husada Farma

Jakarta, 30 Juli 2016


Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / VIII /2016
Tanggal : Agustus 2016

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN SEPTEMBER 2016

NO NAMA SATUAN JUMLAH PBF


1 Duk polos biasa 50x50 Pcs 60 CV Anugerah Palma Medilab
2 ETT non-kingking no.6 Pcs 5 CV Anugerah Palma Medilab
3 ETT non-kingking no.6,5 Pcs 5 CV Anugerah Palma Medilab
4 ETT non-kingking no.7 Pcs 5 CV Anugerah Palma Medilab
5 ETT non-kingking no.7,5 Pcs 5 CV Anugerah Palma Medilab
6 Folley cath no 18 Pcs 10 CV Anugerah Palma Medilab
7 Gelang Anak Biru Box 5 CV Anugerah Palma Medilab
8 Gelang Anak Pink Box 5 CV Anugerah Palma Medilab
9 Gelang Dewasa Biru Box 5 CV Anugerah Palma Medilab
10 Gelang Dewasa Pink Box 5 CV Anugerah Palma Medilab
11 Gelang Dewasa Merah Box 5 CV Anugerah Palma Medilab
12 Guedel Red no.2 Rush Pcs 2 CV Anugerah Palma Medilab
13 Micropore 1inch Box 2 CV Anugerah Palma Medilab
14 Nasal O2 dewasa Pcs 20 CV Anugerah Palma Medilab
15 Needle no 23 Box 1 CV Anugerah Palma Medilab
16 Oxycan Btl 12 CV Anugerah Palma Medilab
17 Povidone Iodine 60ml Btl 48 CV Anugerah Palma Medilab
18 Spiritus bakar liter 3 CV Anugerah Palma Medilab
19 Surflo IV No 18 Box 1 CV Anugerah Palma Medilab
20 Surflo IV No 22 Box 6 CV Anugerah Palma Medilab
21 Guedel Red no.4 Rush Pcs 2 CV Anugerah Palma Medilab
22 H2O2 1 liter Btl 2 CV Anugerah Palma Medilab
23 Hypavix 10x5 Roll 10 CV Anugerah Palma Medilab
24 Hypavix 5x5 Roll 10 CV Anugerah Palma Medilab
25 Infuset dewasa Terumo Box 6 CV Anugerah Palma Medilab
26 Kasa hydrofil 40x80 gasindo Roll 5 CV Anugerah Palma Medilab
27 Kassa steril husada Box 6 CV Anugerah Palma Medilab
28 KY Jelly Tube 4 CV Anugerah Palma Medilab
29 Leucoplast 2x5 Box 1 CV Anugerah Palma Medilab
30 Leucoplast 3x5 Box 2 CV Anugerah Palma Medilab
31 Masker nebulizer dewasa Pcs 20 CV Anugerah Palma Medilab
32 Alkohol 70% 100ml Btl 24 CV Anugerah Palma Medilab
33 Alkohol 70% 1liter Btl 10 CV Anugerah Palma Medilab
34 Alkohol swab Box 48 CV Anugerah Palma Medilab
35 Balon tensimeter Reister Pcs 1 CV Anugerah Palma Medilab
36 Bethadin plester Box 20 CV Anugerah Palma Medilab
37 Bethadin solution 1 liter Btl 8 CV Anugerah Palma Medilab
38 Bisturi No 15 Box 1 CV Anugerah Palma Medilab
39 Choloroetyl spray Btl 8 CV Anugerah Palma Medilab
40 Disp.syringe 1 cc Box 6 CV Anugerah Palma Medilab
41 Disp.syringe 3 cc Box 25 CV Anugerah Palma Medilab
42 Disp.syringe 5 cc Box 15 CV Anugerah Palma Medilab
43 Duk lobang 50x50 Pcs 5 CV Anugerah Palma Medilab
44 Syntocinon 1 ml @10 amp Box 5 CV Anugerah Palma Medilab
45 Tensocrape 3' Roll 5 CV Anugerah Palma Medilab
46 Tensocrape 4' Roll 4 CV Anugerah Palma Medilab
47 Termometer digital pcs 13 CV Anugerah Palma Medilab
48 Termometer safety Box 6 CV Anugerah Palma Medilab
49 Torniquet Pcs 6 CV Anugerah Palma Medilab
50 Umbilical Cord Box 2 CV Anugerah Palma Medilab
51 Urine bag Pack 4 CV Anugerah Palma Medilab
52 Water for inj 25 ml Btl 360 CV Anugerah Palma Medilab
53 Desmanol 1 L Btl 2 PT Parit Padang Global
54 Primasept Med Btl 2 PT Parit Padang Global
55 Exam Gloves M Box 20 PT Megah Medika Pharma
56 Exam Gloves S Box 20 PT Megah Medika Pharma
57 Face Mask Karet Box 15 PT Megah Medika Pharma
58 Face Mask Tali Box 5 PT Megah Medika Pharma
59 Folley catheter No 16 Pcs 10 PT Megah Medika Pharma
60 Folley catheter No 18 Pcs 20 PT Megah Medika Pharma
61 Gammex gloves no 7,5 Pcs 40 PT Megah Medika Pharma
62 Kasa hydrofil 40x80 box 3 PT Megah Medika Pharma
63 Medicdent gloves no 7,5 Pcs 50 PT Megah Medika Pharma
64 Nursing cap Box 2 PT Megah Medika Pharma
65 Polywin IV 26G Pcs 25 PT Megah Medika Pharma
66 Surgical cap Box 2 PT Megah Medika Pharma
67 Tabung Hematrokrit Superior Box 1 CV Sumber Wangi Rejeki
68 THC Box 3 CV Sumber Wangi Rejeki
69 Uric acid Kit 1 CV Sumber Wangi Rejeki
70 Widal AIM Set 4 CV Sumber Wangi Rejeki
71 Yellowtip Pack 2 CV Sumber Wangi Rejeki
72 Ziehlneelsen Set 1 CV Sumber Wangi Rejeki
73 AMP Box 2 CV Sumber Wangi Rejeki
74 Bilirubin Kit 1 CV Sumber Wangi Rejeki
75 Creatinin Kit 1 CV Sumber Wangi Rejeki
76 MOP Box 2 CV Sumber Wangi Rejeki
77 Multistix Pack 2 CV Sumber Wangi Rejeki
78 Precinorm Control Btl 3 CV Sumber Wangi Rejeki
79 SGOT Kit 1 CV Sumber Wangi Rejeki
80 SGPT Kit 1 CV Sumber Wangi Rejeki
81 Neurosanbe inj Box 20 PT Bina San Prima
82 Proanes 1% Box 5 PT Bina San Prima
83 Ring As Btl 72 PT Bina San Prima
84 RL Btl 5000 PT Bina San Prima
85 Tridex 27A Btl 48 PT Bina San Prima
86 Tridex 27B Btl 48 PT Bina San Prima
87 Otsu D5 Btl 40 PT Merapi Utama Pharma
88 Otsu NS Btl 80 PT Merapi Utama Pharma
89 Assering Btl 100 PT Merapi Utama Pharma
90 Otsuwater inj Ampul 600 PT Merapi Utama Pharma
91 Assucryl 1 HRG-45 Pcs 15 PT Bintang Shafwan
92 Assucryl 1 TS-40 Pcs 4 PT Bintang Shafwan
93 Assucryl 2/0 HR-27 Pcs 10 PT Bintang Shafwan
94 Assucryl 2/0 TS-27 Pcs 10 PT Bintang Shafwan
95 Assucryl 3/0 HR-27 Pcs 20 PT Bintang Shafwan
96 Assucryl 3/0 TS-27 Pcs 20 PT Bintang Shafwan
97 Chromic 2/0 HRG-38 Pcs 20 PT Bintang Shafwan
98 Chromic 3/0 HR-27 Pcs 10 PT Bintang Shafwan
99 Chromic 3/0 TS-24 Pcs 10 PT Bintang Shafwan
100 Plain 4/0 HR-17 Pcs 10 PT Bintang Shafwan
101 Plain 4/0 TS - 19 Pcs 10 PT Bintang Shafwan
102 Polypropylene 2/0 HR-27 Pcs 10 PT Bintang Shafwan
103 Polypropylene 2/0 TS-27 Pcs 10 PT Bintang Shafwan
104 Polypropylene 3/0 HR-22 Pcs 10 PT Bintang Shafwan
105 Polypropylene 3/0 TS-27 Pcs 10 PT Bintang Shafwan
106 Polypropylene 4/0 TS-19 Pcs 10 PT Bintang Shafwan
107 Polypropylene 4/0 HR-17 Pcs 10 PT Bintang Shafwan
108 Silk 2/0 HR-27 Pcs 10 PT Bintang Shafwan
109 Silk 2/0 TS-27 Pcs 10 PT Bintang Shafwan
110 Silk 3/0 HR-27 Pcs 10 PT Bintang Shafwan
111 Silk 3/0 TS-27 Pcs 5 PT Bintang Shafwan
112 Silk 4/0 TS-19 Pcs 10 PT Bintang Shafwan
113 Silk 4/0 HR-17 Pcs 10 PT Bintang Shafwan
114 Descoderm 5 L Btl 5 PT Mitrasamaya Sejati
115 Perfectan Endo 2 L Btl 2 PT Mitrasamaya Sejati
116 Dumin rectal tube 125mg Box 15 PT Anugrah Argon Medica
117 dumin rectal tube 250mg Box 15 PT Anugrah Argon Medica
118 Glucocard sigma test strip @ 50 strip Btl 10 PT Anugrah Argon Medica
119 Ketorolac inj 30 mg @ 10 amp Box 10 PT Anugrah Argon Medica
120 Ondancetron inj @5 amp Box 100 PT Anugrah Argon Medica
121 Asam Traneksamat inj @5 amp Box 5 PT Antar Mitra Sembada
122 Regivell inj Box 5 PT Antar Mitra Sembada
123 Suprafenid Suppos @10 supp Box 10 PT Kallista Prima
124 Blood Set Pcs 50 CV Aldi Cipta Perdana
125 OI-64 Macroset Pcs 300 CV Aldi Cipta Perdana
126 Spuit 3cc Box 10 CV Aldi Cipta Perdana
127 Surflo no 20 Box 6 CV Aldi Cipta Perdana
128 Surflo no 24 Box 6 CV Aldi Cipta Perdana
129 Safety Box pcs 24 PT. Mensa Binasukses
130 Ranitidin inj Box 30 PT. Mensa Binasukses
131 Penanda Resiko Alergi Merah Box 1 PT. Mensa Binasukses
132 Penanda Resiko DNR Box 1 PT. Mensa Binasukses
133 Methylprednisolon 125mg inj Box 30 PT. Metro drug Indonesia
134 Cholesterol kit 1 PT. Wacana Indo Mitra
135 Triblyceride kit 1 PT. Wacana Indo Mitra
136 Syntocinon 1 ml @10 amp Box 10 PT. A P L
137 Xylocain spray Pcs 5 PT. A P L
138 Halotane 250 fls 5 PT Sentraco
139 Recofol inj Box 3 PT Sentraco
140 Lidocain inj Box 2 PT Sentraco
141 Vit K inj Box 1 PT Sentraco
142 Developer Liq Box 2 CV Tri Jasa Kusuma Jaya
143 Film Xray 18x24cm Box 2 CV Tri Jasa Kusuma Jaya
144 Film Xray 24x30cm Box 2 CV Tri Jasa Kusuma Jaya
145 Film Xray 30x40cm Box 2 CV Tri Jasa Kusuma Jaya
146 Film Xray 35x35cm Box 2 CV Tri Jasa Kusuma Jaya
147 Fixer Liq Box 2 CV Tri Jasa Kusuma Jaya
148 Jelly USG 5 liter Galon 2 CV Tri Jasa Kusuma Jaya
149 Paper USG Roll 5 CV Tri Jasa Kusuma Jaya
150 Paper CTG Fetal Monitor Pack 5 CV Tri Jasa Kusuma Jaya

Jakarta, 31 Agustus 2016


Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / IX /2016
Tanggal : September 2016

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN OKTOBER 2016

NO NAMA SATUAN JUMLAH PBF


1 Assucryl 1 HRG-45 Pcs 10 PT Bintang Shafwan
2 Assucryl 2/0 HR-27 Pcs 15 PT Bintang Shafwan
4 Assucryl 2/0 TS-27 Pcs 15 PT Bintang Shafwan
5 Assucryl 3/0 HR-27 Pcs 15 PT Bintang Shafwan
6 Assucryl 3/0 TS-24 Pcs 15 PT Bintang Shafwan
11 Chromic 2/0 HRG-38 Pcs 12 PT Bintang Shafwan
13 Chromic 2/0 TS-24 Pcs 15 PT Bintang Shafwan
16 Chromic 3/0 HR-27 Pcs 10 PT Bintang Shafwan
17 Chromic 3/0 TS-24 Pcs 10 PT Bintang Shafwan
18 Chromic 4/0 TS-19 Pcs 10 PT Bintang Shafwan
19 Polypropylene 3/0 TS-27 Pcs 10 PT Bintang Shafwan
20 Silk 1 HRG-38 Pcs 10 PT Bintang Shafwan
40 Silk 2/0 HR-27 Pcs 10 PT Bintang Shafwan
41 Silk 2/0 TS-27 Pcs 15 PT Bintang Shafwan
44 Silk 3/0 TS-27 Pcs 10 PT Bintang Shafwan
45 Silk 4/0 TS-19 Pcs 10 PT Bintang Shafwan
49 Silk 5/0 TS-15 Pcs 5 PT Bintang Shafwan
50 Descoderm 5 L Btl 10 PT Mitrasamaya Sejati
51 Dumin rectal tube 125mg box 5 PT Anugrah Argon Medica
52 Dumin rectal tube 250mg box 5 PT Anugrah Argon Medica
53 Ketorolac inj 30 mg @ 10 amp Box 20 PT Anugrah Argon Medica
54 Ranitidine inj @25 amp box 20 PT Anugrah Argon Medica
55 Fenthanyl inj Ampul 25 PT Kimia Farma
59 Norages inj Box 20 PT Kallista Prima
60 Developer Liq Box 2 CV Tri Jasa Kusuma Jaya
62 Film Xray 18x24cm Box 2 CV Tri Jasa Kusuma Jaya
65 Film Xray 24x30cm Box 2 CV Tri Jasa Kusuma Jaya
69 Film Xray 30x40cm Box 2 CV Tri Jasa Kusuma Jaya
75 Film Xray 35x35cm Box 2 CV Tri Jasa Kusuma Jaya
89 Fixer Liq Box 2 CV Tri Jasa Kusuma Jaya
96 Paper USG Roll 5 CV Tri Jasa Kusuma Jaya
98 Lactopain inj Box 10 PT Multi Husada Farma
99 Vit K3 inj Box 2 PT Sentraco
100 Dumin 125 mg Box 5 PT. Mensa Binasukses
103 Dumin 250 mg Box 5 PT. Mensa Binasukses
110 Gentamycin inj Box 10 PT. Indofarma Global Medika
122 Cholesterol kit 2 PT. Wacana Indo Mitra
123 Triglycerides kit 2 PT. Wacana Indo Mitra
124 Methergin inj Box 5 PT. A P L
133 Catapres inj Box 5 PT. Tempo
135 RL Btl 2500 PT Bina San Prima
149 Tridex 27A Btl 48 PT Bina San Prima
150 Exam Gloves M Box 20 PT Megah Medika Pharma
151 Exam Gloves S Box 10 PT Megah Medika Pharma
152 Exam Gloves L Box 5 PT Megah Medika Pharma
153 Face Mask Karet Box 10 PT Megah Medika Pharma
155 Face Mask Tali Box 15 PT Megah Medika Pharma
157 Folley catheter No 18 Pcs 10 PT Megah Medika Pharma
160 Gammex gloves no 7,5 Pcs 40 PT Megah Medika Pharma
165 Hypafix 5x10 box 5 PT Megah Medika Pharma
168 Medicdent gloves no 7,5 Pcs 50 PT Megah Medika Pharma
170 Polywin IV 26G Pcs 50 PT Megah Medika Pharma
172 Underpad hijau pack Box 4 PT Megah Medika Pharma
179 Ecosol NaCl 0,9 % 500 ml Btl 100 PT Dos Ni Roha
181 Assering Btl 200 PT Merapi Utama Pharma
184 Otsu D5 Btl 100 PT Merapi Utama Pharma
187 Otsu NS 100ml Btl 10 PT Merapi Utama Pharma
189 Otsuwater inj Ampul 480 PT Merapi Utama Pharma
195 Leucoplast 2x5 Box 2 CV Anugerah Palma Medilab
198 Leucoplast 3x5 Box 2 CV Anugerah Palma Medilab
199 Leukomed transparan dressing Box 10 CV Anugerah Palma Medilab
203 Lidocain inj Box 2 CV Anugerah Palma Medilab
204 Lomatuell Box 2 CV Anugerah Palma Medilab
207 Masker Karet sensi Box 10 CV Anugerah Palma Medilab
209 Masker nebulizer anak Pcs 20 CV Anugerah Palma Medilab
210 Micropore 1inch Box 3 CV Anugerah Palma Medilab
211 Micropore 0,5 inch Box 2 CV Anugerah Palma Medilab
212 Nasal O2 dewasa Pcs 20 CV Anugerah Palma Medilab
213 Needle no 23 Box 2 CV Anugerah Palma Medilab
214 Oxycan Btl 4 CV Anugerah Palma Medilab
219 Pot 50cc Pcs 100 CV Anugerah Palma Medilab
220 Spinocan 26 Box 2 CV Anugerah Palma Medilab
221 Surflo IV No 14 Box 2 CV Anugerah Palma Medilab
240 Surflo IV No 20 Box 6 CV Anugerah Palma Medilab
242 Surflo IV No 22 Box 7 CV Anugerah Palma Medilab
243 Surflo IV No 24 Box 10 CV Anugerah Palma Medilab
244 Tabung EDTA 3 ml Box 2 CV Anugerah Palma Medilab
245 Termometer safety Box 5 CV Anugerah Palma Medilab
251 Ventolin Nebulizer @ 20 Box 3 CV Anugerah Palma Medilab
254 Verban 10cm Pack 3 CV Anugerah Palma Medilab
255 Verban 5cm Pack 5 CV Anugerah Palma Medilab
256 Abbocath no 26 Pcs 20 CV Anugerah Palma Medilab
257 Alkohol 70% 1liter Btl 10 CV Anugerah Palma Medilab
272 Alkohol swab Box 84 CV Anugerah Palma Medilab
280 Bethadin plester Box 10 CV Anugerah Palma Medilab
281 Bethadin solution 1 liter Btl 2 CV Anugerah Palma Medilab
282 Bisolvon Drop Btl 10 CV Anugerah Palma Medilab
284 Choloroetyl spray Btl 9 CV Anugerah Palma Medilab
285 Cyclofem inj Box 1 CV Anugerah Palma Medilab
287 Disp.syringe 1 cc Box 4 CV Anugerah Palma Medilab
293 Disp.syringe 3 cc Box 30 CV Anugerah Palma Medilab
296 Disp.syringe 5 cc Box 20 CV Anugerah Palma Medilab
297 Disp.syringe 10 cc Box 5 CV Anugerah Palma Medilab
300 Hypavix 5x5 Roll 10 CV Anugerah Palma Medilab
302 Infusion Set Terumo Box 15 CV Anugerah Palma Medilab
303 Kapas 250gr Roll 5 CV Anugerah Palma Medilab
311 Kasa hydrofil 40x80 gasindo Roll 5 CV Anugerah Palma Medilab
317 Albumin Kit 1 CV Sumber Wangi Rejeki
318 Bilirubin Kit 1 CV Sumber Wangi Rejeki
319 Creatinin unit 1 CV Sumber Wangi Rejeki
320 Glucocard Test Strip Box 20 CV Sumber Wangi Rejeki
321 HCG Box 1 CV Sumber Wangi Rejeki
323 Malaria box 1 CV Sumber Wangi Rejeki
327 Multistix Pack 2 CV Sumber Wangi Rejeki
334 Object glass Box 10 CV Sumber Wangi Rejeki
344 SGOT Kit 2 CV Sumber Wangi Rejeki
352 SGPT Kit 2 CV Sumber Wangi Rejeki
353 Total protein Kit 1 CV Sumber Wangi Rejeki
363 Urea Kit 1 CV Sumber Wangi Rejeki
367 Uric acid Kit 1 CV Sumber Wangi Rejeki
368 Widal AIM Set 4 CV Sumber Wangi Rejeki
372 Yellowtip Pack 2 CV Sumber Wangi Rejeki
378 Ziehlneelsen Set 1 CV Sumber Wangi Rejeki

Jakarta, 30 September 2016


Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / X /2016
Tanggal : Oktober 2016

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN NOVEMBER 2016

NO NAMA SATUAN JUMLAH PBF


1 Surflo IV No 22 Box 10 CV Anugerah Palma Medilab
2 Surflo IV No 24 Box 5 CV Anugerah Palma Medilab
3 Suction catheter no 6 Pcs 10 CV Anugerah Palma Medilab
4 Tensocrape 3' Roll 15 CV Anugerah Palma Medilab
5 Tensocrape 4' Roll 5 CV Anugerah Palma Medilab
6 Urine Colector Pcs 150 CV Anugerah Palma Medilab
7 Urine bag Pack 3 CV Anugerah Palma Medilab
8 Verban 5cm Pack 5 CV Anugerah Palma Medilab
9 Water for inj 25 ml Btl 480 CV Anugerah Palma Medilab
10 Lidocain inj Box 5 CV Anugerah Palma Medilab
11 Lomatuell Box 5 CV Anugerah Palma Medilab
12 Micropore 1inch Box 3 CV Anugerah Palma Medilab
13 Microzid AF Galon 1 CV Anugerah Palma Medilab
14 Nasal O2 dewasa Pcs 30 CV Anugerah Palma Medilab
15 Needle no 23 Box 2 CV Anugerah Palma Medilab
16 Oxycan Btl 10 CV Anugerah Palma Medilab
17 Pot 50cc Pcs 300 CV Anugerah Palma Medilab
18 Primasept Med Btl 1 CV Anugerah Palma Medilab
19 Regulator O2 unit 2 CV Anugerah Palma Medilab
20 Silk 3-0 dr sella Box 2 CV Anugerah Palma Medilab
21 Folley cath no 20 Pcs 20 CV Anugerah Palma Medilab
22 GuntingVerband 14 cm Pcs 3 CV Anugerah Palma Medilab
23 Hypavix 10x5 Roll 9 CV Anugerah Palma Medilab
24 Hypavix 5x5 Roll 10 CV Anugerah Palma Medilab
25 Infusion Set Terumo Box 13 CV Anugerah Palma Medilab
26 Kassa steril husada Box 20 CV Anugerah Palma Medilab
27 Kertas EKG 6 channel Roll 4 CV Anugerah Palma Medilab
28 Kertas USG 4 dimensi Pack 2 CV Anugerah Palma Medilab
29 KY Jelly Tube 5 CV Anugerah Palma Medilab
30 Lampu Operasi 24 volt Box 2 CV Anugerah Palma Medilab
31 Leucoplast 2x5 Box 1 CV Anugerah Palma Medilab
32 Leucoplast 3x5 Box 2 CV Anugerah Palma Medilab
33 Disp.syringe 3 cc Box 40 CV Anugerah Palma Medilab
34 Disp.syringe 5 cc Box 10 CV Anugerah Palma Medilab
35 Film Rontgen 18x24 cm Box 1 CV Anugerah Palma Medilab
36 Film Rontgen 24x30 cm Box 1 CV Anugerah Palma Medilab
37 Film Rontgen 30x40 cm Box 1 CV Anugerah Palma Medilab
38 Film Rontgen 35x35 cm Box 1 CV Anugerah Palma Medilab
39 Fixer automatic Box 1 CV Anugerah Palma Medilab
40 Developer automatic Box 1 CV Anugerah Palma Medilab
41 USG paper 1100HG Box 2 CV Anugerah Palma Medilab
42 USG jelly 5 liter Galon 1 CV Anugerah Palma Medilab
43 Folley cath no 16 Pcs 10 CV Anugerah Palma Medilab
44 Alkohol 70% 1liter Btl 10 CV Anugerah Palma Medilab
45 Alkohol 96% 1 Liter Btl 5 CV Anugerah Palma Medilab
46 Alkohol swab Box 72 CV Anugerah Palma Medilab
47 Bethadin plester Box 15 CV Anugerah Palma Medilab
48 Bethadin solution 1 liter Btl 7 CV Anugerah Palma Medilab
49 Choloroetyl spray Btl 6 CV Anugerah Palma Medilab
50 Collar neck makida S Pcs 1 CV Anugerah Palma Medilab
51 Collar neck makida M Pcs 1 CV Anugerah Palma Medilab
52 Disp.syringe 1 cc Box 5 CV Anugerah Palma Medilab
53 RL Btl 720 PT Bina San Prima
54 Desmanol 1 L Btl 1 PT Parit Padang Global
55 Primasept Med Btl 1 PT Parit Padang Global
56 Exam Gloves M Box 20 PT Megah Medika Pharma
57 Exam Gloves S Box 10 PT Megah Medika Pharma
58 Face Mask Karet Box 15 PT Megah Medika Pharma
59 Face Mask Tali Box 5 PT Megah Medika Pharma
60 Folley catheter No 18 Pcs 10 PT Megah Medika Pharma
61 Gammex gloves no 8 Pcs 40 PT Megah Medika Pharma
62 Kasa hydrofil 40x80 box 5 PT Megah Medika Pharma
63 Medicdent gloves no 6,5 Pcs 50 PT Megah Medika Pharma
64 Medicdent gloves no 7,5 Pcs 50 PT Megah Medika Pharma
65 Nursing cap Box 1 PT Megah Medika Pharma
66 Surgical cap Box 1 PT Megah Medika Pharma
67 Underpad hijau pack Box 2 PT Megah Medika Pharma
68 Ecosol RL Btl 2000 PT Dos Ni Roha
69 AMP Box 2 CV Sumber Wangi Rejeki
70 Bilirubin Kit 1 CV Sumber Wangi Rejeki
71 Blue Tip Pack 1 CV Sumber Wangi Rejeki
72 Cholesterol Kit 1 CV Sumber Wangi Rejeki
73 Creatinin unit 1 CV Sumber Wangi Rejeki
74 EDTA cair 500ml Btl 1 CV Sumber Wangi Rejeki
75 Glucocard Test Strip Box 10 CV Sumber Wangi Rejeki
76 HDL Cholesterol kit 1 CV Sumber Wangi Rejeki
77 Lampu Halogen Pcs 1 CV Sumber Wangi Rejeki
78 Lancet Box 2 CV Sumber Wangi Rejeki
79 MOP Box 2 CV Sumber Wangi Rejeki
80 Multistix Pack 2 CV Sumber Wangi Rejeki
81 Object glass Box 10 CV Sumber Wangi Rejeki
82 Precinorm Control Btl 3 CV Sumber Wangi Rejeki
83 SGOT Kit 1 CV Sumber Wangi Rejeki
84 SGPT Kit 1 CV Sumber Wangi Rejeki
85 Tabung Hematrokrit Superior Box 1 CV Sumber Wangi Rejeki
86 THC Box 1 CV Sumber Wangi Rejeki
87 Triglycerides Kit 1 CV Sumber Wangi Rejeki
88 Urea Kit 1 CV Sumber Wangi Rejeki
89 Uric acid Kit 1 CV Sumber Wangi Rejeki
90 Widal AIM Set 8 CV Sumber Wangi Rejeki
91 Yellowtip Pack 1 CV Sumber Wangi Rejeki
92 Ziehlneelsen Set 1 CV Sumber Wangi Rejeki
93 Ondansetron inj 4 mg @ 10 amp Box 20 PT Merapi Utama Pharma
94 Otsu D40 Btl 60 PT Merapi Utama Pharma
95 Otsuwater inj Ampul 240 PT Merapi Utama Pharma
96 Wida D10 Btl 40 PT Merapi Utama Pharma
97 Wida NS Btl 60 PT Merapi Utama Pharma
98 Wida RL Btl 500 PT Merapi Utama Pharma
99 Adona AC inj 10 ml @ 10 box 1 PT Anugrah Argon Medica
100 Regivell inj Box 10 PT Antar Mitra Sembada
101 Suprafenid Suppos @10 supp Box 10 PT Kallista Prima
102 Indexon inj (dexamethason) Box 10 PT Enseval Putera Megatrading
103 Ranitidin inj 25 mg/ml @10 amp Box 20 PT Enseval Putera Megatrading
104 Flixotide neb box 5 PT Multi Husada Farma
105 Lasix inj box 5 PT Multi Husada Farma
106 Neo - K inj box 5 PT Sentraco
107 Dumin 125 mg Box 10 PT. Mensa Binasukses
108 Dumin 250 mg Box 10 PT. Mensa Binasukses
109 Tramadol inj 100 mg @ 5 amp Box 30 PT. Sakyo Putra Pratama
110 Vaksin Toxoid Tetanus Vial 10 PT. Sagi Capri
111 Film Xray 18x18cm Box 1 CV. Talino Medical Mandiri
112 Film Xray 24x24cm Box 1 CV. Talino Medical Mandiri
113 Film Xray 30x30cm Box 1 CV. Talino Medical Mandiri
114 Film Xray 35x35cm Box 1 CV. Talino Medical Mandiri
115 Developer Liq Box 1 CV. Talino Medical Mandiri
116 Fixer Liq Box 1 CV. Talino Medical Mandiri
117 Kertas printer USG Roll 5 CV. Talino Medical Mandiri
118 Iopamiro Vial 2 CV. Talino Medical Mandiri
119 Silk 3/0 TS-27 Pcs 10 PT Bintang Shafwan
120 Silk 4/0 TS-19 Pcs 5 PT Bintang Shafwan
121 Silk 5/0 TS-15 Pcs 5 PT Bintang Shafwan
122 Assucryl 1 HRG-45 Pcs 25 PT Bintang Shafwan
123 Assucryl 2/0 HR-27 Pcs 15 PT Bintang Shafwan
124 Assucryl 4/0 HR-17 Pcs 5 PT Bintang Shafwan
125 Assucryl 4/0 TS-19 Pcs 5 PT Bintang Shafwan
126 Chromic 2/0 HRG-38 Pcs 15 PT Bintang Shafwan
127 Chromic 2/0 TS-24 Pcs 5 PT Bintang Shafwan
128 Chromic 3/0 HR-27 Pcs 5 PT Bintang Shafwan
129 Chromic 3/0 TS-24 Pcs 15 PT Bintang Shafwan
130 Chromic 5/0 TS-19 Pcs 5 PT Bintang Shafwan
131 Silk 1 TS-30 Pcs 5 PT Bintang Shafwan
132 Silk 2/0 HR-27 Pcs 5 PT Bintang Shafwan
133 Silk 2/0 TS-27 Pcs 5 PT Bintang Shafwan
134 Silk 3/0 HR-27 Pcs 10 PT Bintang Shafwan

Jakarta, 31 Oktober 2016


Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / XI /2016
Tanggal : November 2016

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN DESEMBER 2016

NO NAMA SATUAN JUMLAH PBF


1 Softban 3" Roll 5 CV Anugerah Palma Medilab
2 Softban 4" Roll 5 CV Anugerah Palma Medilab
3 Surflo IV No 20 Box 4 CV Anugerah Palma Medilab
4 Surflo IV No 22 Box 10 CV Anugerah Palma Medilab
5 Surflo IV No 24 Box 8 CV Anugerah Palma Medilab
6 Tabung EDTA 3 ml Box 2 CV Anugerah Palma Medilab
7 Termometer safety Box 12 CV Anugerah Palma Medilab
8 Torniquet Pcs 5 CV Anugerah Palma Medilab
9 Urine bag Pack 3 CV Anugerah Palma Medilab
10 Ventolin Nebulizer @ 20 Box 2 CV Anugerah Palma Medilab
11 Water for inj 25 ml Btl 240 CV Anugerah Palma Medilab
12 Gypsona 3" Roll 4 CV Anugerah Palma Medilab
13 Gypsona 4" Roll 4 CV Anugerah Palma Medilab
14 Hypavix 5x5 Roll 5 CV Anugerah Palma Medilab
15 Infusion Set Terumo Anak Box 1 CV Anugerah Palma Medilab
16 Infusion Set Terumo Dewasa Box 13 CV Anugerah Palma Medilab
17 Leucoplast 3x5 Box 1 CV Anugerah Palma Medilab
18 Leukomed transparan dressing Box 5 CV Anugerah Palma Medilab
19 Lomatuell Box 5 CV Anugerah Palma Medilab
20 Masker nebulizer dewasa Pcs 10 CV Anugerah Palma Medilab
21 Micropore 1inch Box 2 CV Anugerah Palma Medilab
22 Micropore 0,5 inch Box 1 CV Anugerah Palma Medilab
23 Microzid AF Galon 1 CV Anugerah Palma Medilab
24 Nasal O2 dewasa Pcs 50 CV Anugerah Palma Medilab
25 Needle no 23 Box 2 CV Anugerah Palma Medilab
26 Needle no 25 Box 2 CV Anugerah Palma Medilab
27 Oxycan Btl 5 CV Anugerah Palma Medilab
28 Pehacain inj box 3 CV Anugerah Palma Medilab
29 Pot 50cc Pcs 300 CV Anugerah Palma Medilab
30 Alkohol 70% 1liter Btl 20 CV Anugerah Palma Medilab
31 Alkohol 96% 1 Liter Btl 10 CV Anugerah Palma Medilab
32 Alkohol swab Box 72 CV Anugerah Palma Medilab
33 Bethadin plester Box 15 CV Anugerah Palma Medilab
34 Bethadin solution 1 liter Btl 10 CV Anugerah Palma Medilab
35 Bisolvon Drop Btl 6 CV Anugerah Palma Medilab
36 Blood Set Terumo Pcs 50 CV Anugerah Palma Medilab
37 Choloroetyl spray Btl 5 CV Anugerah Palma Medilab
38 Chromic 2-0 dr sella Box 2 CV Anugerah Palma Medilab
39 Chromic 3-0 dr sella Box 2 CV Anugerah Palma Medilab
40 Disp.syringe 1 cc Box 5 CV Anugerah Palma Medilab
41 Disp.syringe 3 cc Box 40 CV Anugerah Palma Medilab
42 Disp.syringe 5 cc Box 10 CV Anugerah Palma Medilab
43 Gelang Anak Biru Box 2 CV Anugerah Palma Medilab
44 Gelang Anak Pink Box 2 CV Anugerah Palma Medilab
45 Gelang Dewasa Biru Box 2 CV Anugerah Palma Medilab
46 Gelang Dewasa Pink Box 2 CV Anugerah Palma Medilab
47 Acran inj Box 10 PT Bina San Prima
48 Neurosanbe inj Box 10 PT Bina San Prima
49 RL Btl 1992 PT Bina San Prima
50 Aminophyllin inj 24amp Box 1 PT Parit Padang Global
51 Desmanol 1 L Btl 1 PT Parit Padang Global
52 Primasept Med Btl 1 PT Parit Padang Global
53 Exam Gloves M Box 20 PT Megah Medika Pharma
54 Face Mask Karet Box 15 PT Megah Medika Pharma
55 Face Mask Tali Box 10 PT Megah Medika Pharma
56 Gammex gloves no 7,5 Pcs 40 PT Megah Medika Pharma
57 Hypafix 5x10 box 5 PT Megah Medika Pharma
58 Kasa hydrofil 40x80 box 8 PT Megah Medika Pharma
59 Medicdent gloves no 7,5 Pcs 50 PT Megah Medika Pharma
60 Surgical cap Box 2 PT Megah Medika Pharma
61 Ecosol RL Btl 400 PT Dos Ni Roha
62 Ketorolac inj Box 10 PT Dos Ni Roha
63 Ranitidin inj 50 mg/2ml @100 amp unit 3 PT Dos Ni Roha
64 SGOT Kit 2 CV Sumber Wangi Rejeki
65 SGPT Kit 2 CV Sumber Wangi Rejeki
66 Tabung Hematrokrit Superior Box 1 CV Sumber Wangi Rejeki
67 THC Box 4 CV Sumber Wangi Rejeki
68 Triglycerides Kit 1 CV Sumber Wangi Rejeki
69 Urea Kit 1 CV Sumber Wangi Rejeki
70 Uric acid Kit 1 CV Sumber Wangi Rejeki
71 Widal AIM Set 8 CV Sumber Wangi Rejeki
72 Yellowtip Pack 2 CV Sumber Wangi Rejeki
73 AMP Box 4 CV Sumber Wangi Rejeki
74 Bilirubin Kit 2 CV Sumber Wangi Rejeki
75 Blue Tip Pack 2 CV Sumber Wangi Rejeki
76 Cholesterol Kit 2 CV Sumber Wangi Rejeki
77 Creatinin unit 2 CV Sumber Wangi Rejeki
78 Glucocard Test Strip Box 20 CV Sumber Wangi Rejeki
79 MOP Box 4 CV Sumber Wangi Rejeki
80 Multistix Pack 3 CV Sumber Wangi Rejeki
81 Pot Urine Pcs 100 CV Sumber Wangi Rejeki
82 Precinorm Control Btl 3 CV Sumber Wangi Rejeki
83 Ondansetron inj 4 mg @ 10 amp Box 10 PT Merapi Utama Pharma
84 Otsu D5 Btl 40 PT Merapi Utama Pharma
85 Otsu Salin 3% Btl 40 PT Merapi Utama Pharma
86 Wida NS Btl 140 PT Merapi Utama Pharma
87 Wida RL Btl 800 PT Merapi Utama Pharma
88 Assucryl 2/0 TS-27 Pcs 5 PT Bintang Shafwan
89 Assucryl 3/0 HR-27 Pcs 5 PT Bintang Shafwan
90 Assucryl 3/0 TS-27 Pcs 5 PT Bintang Shafwan
91 Chromic 2/0 TS-24 Pcs 5 PT Bintang Shafwan
92 Chromic 3/0 HR-27 Pcs 5 PT Bintang Shafwan
93 Chromic 3/0 TS-24 Pcs 5 PT Bintang Shafwan
94 Plain 2/0 TS-24 Pcs 5 PT Bintang Shafwan
95 Plain 3/0 HR-27 Pcs 5 PT Bintang Shafwan
96 Plain 4/0 TS - 19 Pcs 5 PT Bintang Shafwan
97 Polypropylene 2/0 TS-27 Pcs 5 PT Bintang Shafwan
98 Silk 2/0 TS-27 Pcs 5 PT Bintang Shafwan
99 Silk 4/0 HR-17 Pcs 5 PT Bintang Shafwan
100 Eugenol 20gr Biodinamica Pcs 1 PT. Cobra Dental Indonesia
101 Camphenol 15ml Denpro Pcs 1 PT. Cobra Dental Indonesia
102 Dentin Conditioner MP 6gr Pcs 1 PT. Cobra Dental Indonesia
103 Fuji IX GP 1-1 Pcs 1 PT. Cobra Dental Indonesia
104 Exterpatie /Barbed Broach Pcs 2 PT. Cobra Dental Indonesia
105 Film Xray 18x24cm Box 1 CV. Talino Medical Mandiri
106 Film Xray 24x30cm Box 1 CV. Talino Medical Mandiri
107 Film Xray 30x40cm Box 1 CV. Talino Medical Mandiri
108 Film Xray 35x35cm Box 2 CV. Talino Medical Mandiri
109 Developer Liq Box 2 CV. Talino Medical Mandiri
110 Fixer Liq Box 2 CV. Talino Medical Mandiri
111 Kertas printer USG Roll 5 CV. Talino Medical Mandiri
112 Syntocinon 1 ml @10 amp Box 5 PT. A P L
113 Formalin Tablet @ 100 Botol 2 PT. Brataco
114 Tabung K3 EDTA 3ml Videlab Pack 2 PT. Rejeki Prima Anugerah
115 Needle Flashback Vacutainer 22G Box 3 PT. Rejeki Prima Anugerah
116 Tabung Clot Activator 4ml box 1 PT. Rejeki Prima Anugerah
117 Holder Pcs 4 PT. Rejeki Prima Anugerah
118 Sarung Tangan Nitrile size M box 1 PT. Rejeki Prima Anugerah
119 Norages inj Box 40 PT Millennium Pharmacon Int
120 ODR inj 4 mg @ 5 amp Box 10 PT Millennium Pharmacon Int
121 Descoderm 5 L Btl 6 PT Mitrasamaya Sejati
122 Botol Descoderm Kosong 500 ml Btl 12 PT Mitrasamaya Sejati
123 Matering Pump Pcs 12 PT Mitrasamaya Sejati
124 Perfectan Endo 2 L Btl 1 PT Mitrasamaya Sejati
125 Glucocard sigma test strip @ 50 strip Btl 10 PT Anugrah Argon Medica
126 Flixotide neb box 5 PT Multi Husada Farma
127 Ventolin Nebulizer @ 20 box 2 PT Multi Husada Farma
128 Buscopan inj box 5 PT Multi Husada Farma
129 Halotane 250 Btl 1 PT Sentraco
130 Safety Box Box 2 PT. Mensa Binasukses

Jakarta, 30 November 2016


Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / XII /2016
Tanggal : Desember 2016

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN JANUARI 2017

NO NAMA SATUAN JUMLAH PBF


1 Exam Gloves M Box 15 PT Megah Medika Pharma
2 Exam Gloves S Box 11 PT Megah Medika Pharma
3 Face Mask Karet Box 3 PT Megah Medika Pharma
4 Face Mask Tali Box 2 PT Megah Medika Pharma
5 Gammex gloves no 7,5 Pcs 40 PT Megah Medika Pharma
6 Gammex gloves no 8 Pcs 40 PT Megah Medika Pharma
7 Hypafix 5x10 box PT Megah Medika Pharma
8 Kasa hydrofil 40x80 box 5 PT Megah Medika Pharma
9 Medicdent gloves no 7,5 Pcs 50 PT Megah Medika Pharma
10 Surgical cap Box PT Megah Medika Pharma
11 Polymed microfusion set Pcs 40 PT Megah Medika Pharma
12 Chroma ballon catheter Pcs 10 PT Megah Medika Pharma
13 Alkohol 70% 1liter Btl 6 CV Anugerah Palma Medilab
14 Alkohol swab Box 60 CV Anugerah Palma Medilab
15 Bethadin plester Box 10 CV Anugerah Palma Medilab
16 Choloroetyl spray Btl 4 CV Anugerah Palma Medilab
17 Disp.syringe 3 cc Box 10 CV Anugerah Palma Medilab
18 Disp.syringe 5 cc Box 10 CV Anugerah Palma Medilab
19 Disp.syringe 10 cc Box 100 CV Anugerah Palma Medilab
20 Hypavix 5x5 Roll 3 CV Anugerah Palma Medilab
21 Hypavix 10x5 Roll 5 CV Anugerah Palma Medilab
22 Infusion Set Terumo Anak Box 1 CV Anugerah Palma Medilab
23 Infusion Set Terumo Dewasa Box 15 CV Anugerah Palma Medilab
24 Leucoplast 2X5 Box 1 CV Anugerah Palma Medilab
25 Leukomed transparan dressing Box 2 CV Anugerah Palma Medilab
26 Lomatuell Box 2 CV Anugerah Palma Medilab
27 Masker tali box 7 CV Anugerah Palma Medilab
28 Masker karet box 8 CV Anugerah Palma Medilab
29 Micropore 1inch Box 2 CV Anugerah Palma Medilab
30 Nasal O2 dewasa Pcs 30 CV Anugerah Palma Medilab
31 Plain 2-0 dr sella box 12 CV Anugerah Palma Medilab
32 Plain 3-0 dr sella box 12 CV Anugerah Palma Medilab
33 Pot 50cc Pcs 200 CV Anugerah Palma Medilab
34 Spiritus bakar Botol 1 CV Anugerah Palma Medilab
35 Surflo IV No 20 Box 5 CV Anugerah Palma Medilab
36 Surflo IV No 22 Box 7 CV Anugerah Palma Medilab
37 Surflo IV No 24 Box 10 CV Anugerah Palma Medilab
38 Tabung EDTA 3 ml Box 6 CV Anugerah Palma Medilab
39 Termometer digital Pcs 12 CV Anugerah Palma Medilab
40 Verban 5 cm Pack 5 CV Anugerah Palma Medilab
41 Water for inj 25 ml Btl 240 CV Anugerah Palma Medilab
42 Ondansetron inj 4 mg @ 10 amp Box 10 PT Merapi Utama Pharma
43 sodium chloride 0,9 % 500 ml Btl 100 PT Merapi Utama Pharma
44 Wida RD Btl 20 PT Merapi Utama Pharma
45 Ranitidin inj 50 mg/2ml @100 amp unit 2 PT Dos Ni Roha
46 Albumin Kit 1 CV Sumber Wangi Rejeki
47 AMP Box 1 CV Sumber Wangi Rejeki
48 MOP Box 1 CV Sumber Wangi Rejeki
49 Needle Flashback BD box 5 CV Sumber Wangi Rejeki
50 Tabung EDTA BD 3 ml Box 2 CV Sumber Wangi Rejeki
51 THC Box 1 CV Sumber Wangi Rejeki
52 Total protein human kit 1 CV Sumber Wangi Rejeki
53 Uric acid Kit 1 CV Sumber Wangi Rejeki
54 Widal AIM Set 4 CV Sumber Wangi Rejeki
55 Ziechnelzen set 1 CV Sumber Wangi Rejeki
56 Assucryl 2/0 TS-27 Pcs 5 PT Bintang Shafwan
57 Assucryl 2/0 HR-27 Pcs 5 PT Bintang Shafwan
58 Assucryl 3/0 HR-27 Pcs 5 PT Bintang Shafwan
59 Chromic 2/0 HRG 38 Pcs 12 PT Bintang Shafwan
60 Chromic 3/0 TS-24 Pcs 5 PT Bintang Shafwan
61 Silk 2/0 TS-27 Pcs 5 PT Bintang Shafwan
62 Silk 2/0 HR-27 Pcs 5 PT Bintang Shafwan
63 Silk 5/0 TS 15 Pcs 5 PT Bintang Shafwan
64 Silk 4/0 TS 19 Pcs 5 PT Bintang Shafwan
65 Norages inj Box 55 PT Millennium Pharmacon Int
66 ODR inj 4 mg @ 5 amp Box 10 PT Millennium Pharmacon Int
67 Descoderm 5 L Btl 3 PT Mitrasamaya Sejati
68 Halotane 250 Btl 2 PT Sentraco
69 Recofol inj box 2 PT Sentraco
70 Safety Box Box 36 PT. Mensa Binasukses
71 Dumin 125 mg rectal box 5 PT. Mensa Binasukses
72 Dumin 250 mg rectal box 5 PT. Mensa Binasukses
73 Alphamed Pcs 25 PT. Cipta Medika Indonesia
74 Humapette smartline unit 1 PT. Wacana Indomitra
75 Suprafenid supp box 10 PT. Kallista Prima
76 Valdimex inj box 5 PT. Tiara Kencana
77 RL Btl 1440 PT Bina San Prima
78 Fixomul 5 cm pcs 10 PT Anugrah Argon Medica
79 Leukomed IV box 1 PT Anugrah Argon Medica
80 Leukoplas 5 cm x 4,5 m Roll 10 PT Anugrah Argon Medica
81 Leukoplas 7,5 cm x 4,5 m Roll 10 PT Anugrah Argon Medica
82 ondancetron inj box 20 PT Anugrah Argon Medica
83 Nitrile gloves S box 2 PT Anugrah Argon Medica
84 Nitrile gloves M box 3 PT Anugrah Argon Medica
85 Stardex urinebag pcs 50 PT Anugrah Argon Medica
Jakarta, 31 Desember 2016
Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990
RUMKITDIK PUSDIKKES KODIKLAT TNI AD Lampiran Nota Dinas Kaurjangummed
KAURJANGUMMED Nomor : B/ND- / I /2017
Tanggal : Januari 2017

DAFTAR RENCANA PENGADAAN BARANG BEKKES BULAN FEBRUARI 2017

NO NAMA SATUAN JUMLAH PBF


1 Disp.syringe 1 cc Box 5 PT. Rejeki Prima Anugerah
2 Disp.syringe 3 cc Box 20 PT. Rejeki Prima Anugerah
3 Disp.syringe 5 cc Box 8 PT. Rejeki Prima Anugerah
4 Surflo no 22 Box 4 PT. Rejeki Prima Anugerah
5 Infusion set terumo Box 2 PT. Rejeki Prima Anugerah
6 Surflo no 18 box 4 PT. Rejeki Prima Anugerah
7 Surflo no 20 box 6 PT. Rejeki Prima Anugerah
8 Surflo no 22 box 5 PT. Rejeki Prima Anugerah
9 Surflo no 24 box 10 PT. Rejeki Prima Anugerah
10 Micropore 1/2 inchi box 10 PT. Rejeki Prima Anugerah
11 Micropore 1 inchi box 10 PT. Rejeki Prima Anugerah
12 Tabung activator box 5 PT. Rejeki Prima Anugerah
13 cresotin Pcs 1 PT. Cobra Dental Indonesia
15 Alkohol 70% 1liter Btl 15 CV Anugerah Palma Medilab
16 Alkohol 96% 1 Liter Btl 2 CV Anugerah Palma Medilab
17 Alkohol swab Box 48 CV Anugerah Palma Medilab
18 Arteri klem Pcs 1 CV Anugerah Palma Medilab
19 Bethadin plester Box 17 CV Anugerah Palma Medilab
20 Kom kecil Pcs 1 CV Anugerah Palma Medilab
21 Disp.syringe 1 cc Box 2 CV Anugerah Palma Medilab
22 Disp.syringe 3 cc Box 23 CV Anugerah Palma Medilab
23 Disp.syringe 5 cc Box 3 CV Anugerah Palma Medilab
24 Disp.syringe 10 cc Box 1 CV Anugerah Palma Medilab
25 Folley cath no 16 pcs 10 CV Anugerah Palma Medilab
26 Folley cath no 18 pcs 10 CV Anugerah Palma Medilab
27 Folley cath no 20 pcs 4 CV Anugerah Palma Medilab
28 Gunting jaringan Pcs 1 CV Anugerah Palma Medilab
29 Infusion Set Terumo Dewasa Box 4 CV Anugerah Palma Medilab
30 Kapas 250 gr Roll 5 CV Anugerah Palma Medilab
31 KY gell tube 5 CV Anugerah Palma Medilab
32 Lidocain inj 2% @100 amp Box 2 CV Anugerah Palma Medilab
33 Lomatuell Box 5 CV Anugerah Palma Medilab
34 Micropore 1inch Box 2 CV Anugerah Palma Medilab
35 Pot 50cc Pcs 500 CV Anugerah Palma Medilab
36 Termometer safety Box 5 CV Anugerah Palma Medilab
37 Termometer digital Pcs 12 CV Anugerah Palma Medilab
38 Verban 5 cm Pack 5 CV Anugerah Palma Medilab
39 Xilocain gel Btl 10 CV Anugerah Palma Medilab
40 Acran inj Box 10 PT Bina San Prima
41 Neurosanbe inj Box 10 PT Bina San Prima
42 RL Btl 1032 PT Bina San Prima
43 tridex 27 B Btl 24 PT Bina San Prima
44 Infusan NS Btl 120 PT Bina San Prima
45 Spinocan 26 box 1 PT Parit Padang Global
46 Ranitidin inj 50 mg/2ml @100 amp unit 2 PT Dos Ni Roha
47 Glucosa 5 % btl 80 PT Merapi Utama Pharma
48 Otsu water 25 ml 360 PT Merapi Utama Pharma
49 sodium chloride 0,9 % 500 ml Btl 80 PT Merapi Utama Pharma
50 Ringer Lactate Btl 1700 PT Merapi Utama Pharma
51 Widahes Btl 10 PT Merapi Utama Pharma
52 Garamycin oint tube 10 PT Merapi Utama Pharma
53 Assucryl 0 TS-40 Pcs 5 PT Bintang Shafwan
54 Chromic 2/0 HRG 38 Pcs 12 PT Bintang Shafwan
55 Chromic 3/0 TS-24 Pcs 12 PT Bintang Shafwan
56 Chromic 4/0 TS-19 5 PT Bintang Shafwan
57 Polypropylene 3/0 TS-27 Pcs 5 PT Bintang Shafwan
58 Silk 2/0 TS-27 Pcs 5 PT Bintang Shafwan
59 Silk 4/0 TS 19 Pcs 5 PT Bintang Shafwan
60 Silk 3/0 TS 27 Pcs 5 PT Bintang Shafwan
61 Suprafenid supp box 10 PT Millennium Pharmacon Int
62 ODR inj 4 mg @ 5 amp Box 20 PT Millennium Pharmacon Int
63 Descoderm 5 L Btl 3 PT Mitrasamaya Sejati
64 Perfectan Endo 2 L Btl 2 PT Mitrasamaya Sejati
65 Asam tranexamat inj box 10 PT Anugrah Argon Medica
66 Dumin 125 mg supp box 15 PT Anugrah Argon Medica
67 Dumin 250 mg supp box 15 PT Anugrah Argon Medica
68 Ketorolac inj box 10 PT Anugrah Argon Medica
69 Glucocard sigma test strip @ 50 stri Btl 10 PT Anugrah Argon Medica
70 Macroset stardex box 20 PT Anugrah Argon Medica
71 Masker O2 dewasa pcs 20 PT Anugrah Argon Medica
72 Leukomed IV box 5 PT Anugrah Argon Medica
73 Tabung EDTA pack 15 PT Anugrah Argon Medica
74 Flixotide neb box 5 PT Multi Husada Farma
75 Ventolin Nebulizer @ 20 box 2 PT Multi Husada Farma
76 Halotane 250 Btl 1 PT Sentraco
77 Recofol inj box 1 PT Sentraco
78 Stesolid 5 mg supp box 5 PT. Mensa Binasukses
79 Stesolid 10 mg supp box 5 PT. Mensa Binasukses
80 Albumin Kit CV Sumber Wangi Rejeki
81 AMP Box 1 CV Sumber Wangi Rejeki
82 Blue Tip Pack 1 CV Sumber Wangi Rejeki
83 Lancet Box 2 CV Sumber Wangi Rejeki
84 MOP Box 1 CV Sumber Wangi Rejeki
85 Multistix Pack 1 CV Sumber Wangi Rejeki
86 Precinorm Control Btl 3 CV Sumber Wangi Rejeki
87 Tabung Hematrokrit Superior Box 1 CV Sumber Wangi Rejeki
88 Tabung EDTA BD 3 ml Box 7 CV Sumber Wangi Rejeki
89 THC Box 1 CV Sumber Wangi Rejeki
90 Wright merk btl 1 CV Sumber Wangi Rejeki
91 Yellowtip Pack 1 CV Sumber Wangi Rejeki
92 Film Xray 18x24cm Box 1 CV. Talino Medical Mandiri
93 Film Xray 24x30cm Box 1 CV. Talino Medical Mandiri
94 Film Xray 30x40cm Box 1 CV. Talino Medical Mandiri
95 Developer Liq Box 1 CV. Talino Medical Mandiri
96 Fixer Liq Box 1 CV. Talino Medical Mandiri
97 Kertas printer USG Roll 5 CV. Talino Medical Mandiri
98 PEGM box 5 PT. Amarta Mitra Selaras
99 Infusion set pcs 100 PT. Amarta Mitra Selaras
100 Kassa Hydrophyle roll 2 PT. Amarta Mitra Selaras
101 Humapette smartline unit 1 PT. Wacana Indomitra
102 Glucosa liquid color kit 1 PT. Wacana Indomitra
103 GOT kit 1 PT. Wacana Indomitra
104 GPT kit 1 PT. Wacana Indomitra
105 Urea kit 1 PT. Wacana Indomitra
106 Norages inj box 26 PT. Kallista Prima
107 ondancetron inj @ 10 amp box 75 PT. Daya Muda agung
108 Notrixum 50 mg inj box 5 PT. Antar Mitra Sembada
109 Regivell 4 ml inj box 5 PT. Antar Mitra Sembada
110 catapres inj box 2 PT. Tempo
111 Vaksin TT vial 20 PT. Sagi Japri
112 Exam Gloves L Box 5 PT Megah Medika Pharma
113 Exam Gloves M Box 10 PT Megah Medika Pharma
114 Exam Gloves S Box 10 PT Megah Medika Pharma
115 Face Mask Karet Box 10 PT Megah Medika Pharma
116 Face Mask Tali Box 10 PT Megah Medika Pharma
117 Kasa hydrofil 40x80 box 4 PT Megah Medika Pharma
118 Medicdent gloves no 7 Pcs 50 PT Megah Medika Pharma
119 Nursing cap Box 2 PT Megah Medika Pharma
120 Surgical cap Box 1 PT Megah Medika Pharma

Jakarta, 31 Januari 2017


Kaurjangummed

Satrias Apgar, S.Farm, Apt


Lettu Ckm NRP 11120034290990

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