KEBUTUHAN BHP PUSKESMAS PINTU ANGIN e-KATALOG

Jumlah Jumlah
No Nama Barang Nama Dagang Nama Penyedia Kemasan Harga Satuan Total
Kemasan permintaan

1 Antiseptik dan Disinfektan - Lysol 1 liter ONEMED Lysol 1 liter Penyedia: PT. Jayamas Medica Industri
Liter 50 50 Rp 41,000.00 Rp 2,050,000.00

2 Bahan Habis Pakai Lain - Umbilical Cord ONEMED Umbilical Cord Klem Steril Nylon
Penyedia: PT. Jayamas Medica Industri
Pcs 25 25 Rp 50,000.00 Rp 1,250,000.00
Klem Steril Nylon

3 Sarung Tangan - Examination Glove SAFEGLOVE Examination Glove Penyedia: PT. Jayamas Medica Industri
Pcs 500 500 Rp 32,500.00 Rp 16,250,000.00

4 Benang Operasi - Silk 2/0 + jarum 1/2 GT ONEMED Silk 2/0 + jarum 1/2 GT 35 mmPenyedia: PT. Jayamas Medica Industri
Pcs 1 1 Rp 110,000.00 Rp 110,000.00
35 mm

5 Benang Operasi - Catgut Plain 3/0 + jarum ONEMED Catgut Plain 3/0 + jarum 1/2 GT
Penyedia:
35 mm PT. Jayamas Medica Industri
Pcs 1 1 Rp 134,000.00 Rp 134,000.00
1/2 GT 35 mm

6 Benang Operasi - Catgut Chromic 3/0 + ONEMED Catgut Chromic 3/0 + jarum 1/2
Penyedia:
GT 35 mm
PT. Jayamas Medica Industri
Pcs 1 1 Rp 134,000.00 Rp 134,000.00
jarum 1/2 GT 35 mm

7 Alat Suntik Sekali Pakai - 50 cc ec STERA 50 cc ec Tip Penyedia: PT. Jayamas Medica Industri
Pcs 10 10 Rp 68,000.00 Rp 680,000.00

8 Lubricating Jelly AQUAGEL STERILE JELY 82gr Penyedia: PT. Rajawali Nusindo Tube 50 50 Rp 34,528.00 Rp 1,726,400.00

9 IV Catheter JELCO 1 (18G) Penyedia: PT. Rajawali Nusindo Pcs 5 5 Rp 7,334.00 Rp 36,670.00

10 IV Catheter JELCO 1 (20G) Penyedia: PT. Rajawali Nusindo Pcs 5 5 Rp 7,334.00 Rp 36,670.00

11 IV Catheter JELCO 1 (22G) Penyedia: PT. Rajawali Nusindo Pcs 5 5 Rp 7,334.00 Rp 36,670.00

12 Alat Suntik Sekali Pakai - 20 cc ec STERA 20 cc ec Penyedia: PT. Jayamas Medica Industri
ml 10 10 Rp 75,000.00 Rp 750,000.00

13 Antiseptik dan Disinfektan - Rivanol 300 cc ONEMED Rivanol 300 cc Penyedia: PT. Jayamas Medica Industri
ml 500 500 Rp 2,550.00 Rp 1,275,000.00

14 NGT no 14 Terumo SAFEED Stomach Tube 14 fr (125

Penyedia:
cm) PT. Terumo Indonesia Pcs 10 10 Rp 10,010.00 Rp 100,100.00

Jumlah Total Rp 24,569,510.00

 KEBUTUHAN OBAT PATEN PUSKESMAS (BUKAN e-KATALOG)

Permintaan Puskesmas
No Nama Alat Kesehatan Satuan Jumlah Total Keterangan
Aek Habil Parombunan Pintu Angin Pel.Sambas Sambas
1 planotes Kotak 0 0 10 0 0 10
2 Set Infus Dewasa Mikro Pcs 0 0 5 0 0 5
3 Set Infus Dewasa Makro Pcs 0 0 10 0 0 10
4 Stik KGD Kotak 0 0 10 0 0 10
5 Blood Lanset Kotak 0 0 5 0 0 5
6 Pot Sputum Pot 0 0 500 0 0 500
7 Dariantulle Box 0 0 100 0 0 100
8 Hipapix Roll 0 0 100 0 0 100
9 Objek Glass Kotak 0 0 10 0 0 10
10 Betadine Kumur Botol 0 0 250 0 0 250
13 Bisturi (Pisau Bedah) Pcs 0 0 0 0 50 50
14 Hypafix 10 cm x 5 m Roll 0 0 0 0 25 25
15 Nald Hecting Set 0 0 0 0 20 20
16 Plester Leukoplast Roll 0 0 0 0 60 60
17 Supratule Pcs 0 0 0 0 60 60
18 Leukoplast Pcs 0 0 0 60 0 60
19 Hypafix 10 X 5 Pcs 0 0 0 25 0 25
20 Bisturi Pcs 0 0 0 200 0 200
21 Supratul Pcs 0 0 0 60 0 60
22 Nal Hecting Pcs 0 0 0 20 0 20
 KEBUTUHAN BHP PUSKESMAS PELABUHAN SAMBAS e-KATALOG
Jumlah Jumlah
No Nama Barang Nama Dagang Nama Penyedia Kemasan Harga Satuan Total
Kemasan permintaan

Alat Suntik Sekali Pakai - 1 cc Tuberculin

1 Stera 1 cc Tuberculin 27G x 1/2" Penyedia: PT. Jayamas Medica Industri Pcs 500 500 Rp 65,000.00 Rp 32,500,000.00
27G x 1/2"
Alat Suntik Sekali Pakai - 3 cc x 23G x 1
2 Stera 3 cc x 23G x 1 1/4" Penyedia: PT. Jayamas Medica Industri Pcs 2000 2000 Rp 65,000.00 Rp 130,000,000.00
1/4"
Alat Suntik Sekali Pakai - 5 cc x 22G x 1
3 Stera 5 cc x 22G x 1 1/4" Penyedia: PT. Jayamas Medica Industri Pcs 500 500 Rp 75,000.00 Rp 37,500,000.00
1/4"

4 IV Catheter Ukuran 18 JELCO 1 (18G) Penyedia: PT. Rajawali Nusindo Pcs 60 60 Rp 7,334.00 Rp 440,040.00

5 IV Catheter Ukuran 20 JELCO 1 (20G) Penyedia: PT. Rajawali Nusindo Pcs 60 60 Rp 7,334.00 Rp 440,040.00

Infus Set, IV, Wing needle - Infusion Set

6 NIPRO NIPRO Infusion Set Penyedia: PT. Sinar Roda Utama Pcs 60 60 Rp 4,975.00 Rp 298,500.00
Dewasa (20 drops/ml)
Urologi - Urine Bag Standard Steril 2 Lt (T Onemed Urine Bag Standard Steril 2 Lt (T
7 Penyedia:
Valve) PT. Jayamas Medica Industri Pcs 60 60 Rp 3,000.00 Rp 180,000.00
Valve)

8 Kasa, Verband, Kapas - Kasa Sterile AHMADARIS Kasa Steril DRC / 16 pad 16Penyedia:
x 16 cm PT. AHMADARIS Pcs 500 500 Rp 7,900.00 Rp 3,950,000.00

Kasa, Verband, Kapas - Kasa Pembalut

9 AHMADARIS Kasa pembalut DRC 4 x 15 Penyedia:
cm PT. AHMADARIS Pcs 500 500 Rp 3,800.00 Rp 1,900,000.00
Hydrophil 4 x 15 cm

10 Benang Operasi - Catgut Chromic 2/0 + Onemed Catgut Chromic 2/0 + jarum 1/2
Penyedia:
GT 35 mmPT. Jayamas Medica Industri Pcs 200 200 Rp 134,000.00 Rp 26,800,000.00
jarum 1/2 GT 35 mm

11 Benang Operasi - Catgut Chromic 3/0 + Onemed Catgut Chromic 3/0 + jarum 1/2
Penyedia:
GT 35 mmPT. Jayamas Medica Industri Pcs 200 200 Rp 134,000.00 Rp 26,800,000.00
jarum 1/2 GT 35 mm

12 Benang Operasi - Silk 3/0 + jarum 1/2 GT Benang Operasi - Silk 3/0 + jarum 1/2 Penyedia: PT. Jayamas Medica Industri Pcs
35 mm GT 35 mm 200 200 Rp 110,000.00 Rp 22,000,000.00

13 Sarung Tangan - Examination Glove Sarung Tangan - Examination Glove Penyedia: PT. Jayamas Medica Industri Pcs 40 40 Rp 32,500.00 Rp 1,300,000.00

14 Surgical Mask - 3 ply Earloop Surgical Mask - 3 ply Earloop Penyedia: PT. Jayamas Medica Industri Pcs 60 60 Rp 16,500.00 Rp 990,000.00
15 Bahan Habis Pakai Lain - Umbilical Cord Bahan Habis Pakai Lain - Umbilical Penyedia: PT. Jayamas Medica Industri Pcs 150 150 Rp 50,000.00 Rp 7,500,000.00
Klem Steril Nylon Cord Klem Steril Nylon

16 Antiseptik dan Disinfektan - Alkohol Swab Antiseptik dan Disinfektan - Alkohol Penyedia: PT. Jayamas Medica Industri Pcs 50 50 Rp 10,000.00 Rp 500,000.00
Swab

17 Antiseptik dan Disinfektan - alkohol 70% 1 Antiseptik dan Disinfektan - alkohol Penyedia: PT. Jayamas Medica IndustriBotol 40 40 Rp 21,500.00 Rp 860,000.00
liter 70% 1 liter

18 Antiseptik dan Disinfektan - Povidone Antiseptik dan Disinfektan - Povidone Penyedia: PT. Jayamas Medica IndustriBotol 50 50 Rp 3,700.00 Rp 185,000.00
Iodine 60 cc Iodine 60 cc

19 Antiseptik dan Disinfektan - Onescrub Antiseptik dan Disinfektan - Onescrub Penyedia: PT. Jayamas Medica Industri Pcs 12 12 Rp 62,500.00 Rp 750,000.00
500 cc + Dispenser 500 cc + Dispenser

20 Antiseptik dan Disinfektan - Rivanol 300 Antiseptik dan Disinfektan - Rivanol Penyedia: PT. Jayamas Medica IndustriBotol 70 70 Rp 2,550.00 Rp 178,500.00
cc 300 cc
Antiseptik dan Disinfektan - Lysol 1
21 Antiseptik dan Disinfektan - Lysol 1 liter Penyedia: PT. Jayamas Medica IndustriBotol 100 100 Rp 41,000.00 Rp 4,100,000.00
liter
Jumlah Total Rp 299,172,080.00
 KEBUTUHAN BHP PUSKESMAS SAMBAS e-KATALOG
Jumlah Jumlah
No Nama Barang Nama Dagang Nama Penyedia Kemasan Kemasan Harga Satuan
permintaan

1 Alat Suntik Sekali Pakai - 3 cc x Stera 3 cc x 23G x 1 1/4" Penyedia: PT. Jayamas MedicaPcs
Industri 2000 2000 Rp 65,000.00
23G x 1 1/4"

2 Alat Suntik Sekali Pakai - 5 cc x Stera 5 cc x 22G x 1 1/4" Penyedia: PT. Jayamas MedicaPcs
Industri 200 200 Rp 75,000.00
22G x 1 1/4"

3 IV Catheter INTROCAN G18X1.25" 1,3 XPenyedia:

32 MM PT. B Braun Medical
PcsIndonesia 30 30 Rp 8,750.00

4 IV Catheter INTROCAN G20X1.25" Penyedia: PT. B Braun Medical

PcsIndonesia 30 30 Rp 8,750.00

Infus Set, IV, Wing needle -

5 Infusion Set Dewasa (20 NIPRO NIPRO Infusion Set Penyedia: PT. Sinar Roda Utama
Pcs 30 30 Rp 4,975.00
drops/ml)

6 Urologi - Urine Bag Standard Onemed Urine Bag Standard

Penyedia:
Steril 2 Lt
PT.(TJayamas
Valve) MedicaPcs
Industri 30 30 Rp 3,000.00
Steril 2 Lt (T Valve)

7 Kasa, Verband, Kapas - Kasa

Pembalut Hydrophil 4 x 15 cm Onemed Kasa Pembalut Hydrophil
Penyedia:
4 xPT.
15Jayamas
cm MedicaPcs
Industri 500 500 Rp 2,100.00

Benang Operasi - Catgut

8 Chromic 2/0 + jarum 1/2 GT 35 Onemed Catgut Chromic 2/0
Penyedia:
+ jarum PT.
1/2Jayamas
GT 35 mm
MedicaPcs
Industri 200 200 Rp 134,000.00
mm

9 Benang Operasi - Silk 3/0 + Onemed Silk 3/0 + jarum 1/2

Penyedia:
GT 35 mm
PT. Jayamas MedicaPcs
Industri 200 200 Rp 110,000.00
jarum 1/2 GT 35 mm
10 Sarung Tangan - Examination Safeglove Examination Glove
Penyedia: PT. Jayamas MedicaPcs
Industri 40 40 Rp 32,500.00
Glove

11 Surgical Mask - Plus 3 Ply Plus Onemed Surgical Mask - Plus

Penyedia:
3 Ply Plus
PT.Earloop
Jayamas MedicaPcs
Industri 40 60 Rp 22,000.00
Earloop

Bahan Habis Pakai Lain -

12 Umbilical Cord Klem Steril Onemed Umbilical Cord Klem
Penyedia:
Steril Nylon
PT. Jayamas MedicaPcs
Industri 30 30 Rp 50,000.00
Nylon

13 Antiseptik dan Disinfektan - Onemed Alkohol Swab Penyedia: PT. Jayamas MedicaPcs
Industri 50 50 Rp 10,000.00
Alkohol Swab

14 Antiseptik dan Disinfektan - Onemed alkohol 70% 1 literPenyedia: PT. Jayamas Medica
Liter
Industri 40 40 Rp 21,500.00
alkohol 70% 1 liter

15 Antiseptik dan Disinfektan - Onemed Povidone Iodine 60

Penyedia:
cc PT. Jayamas Medica
Liter
Industri 50 50 Rp 3,700.00
Povidone Iodine 60 cc

16 Antiseptik dan Disinfektan - Onemed Onescrub 500 cc +Penyedia:

DispenserPT. Jayamas MedicamlIndustri 12 12 Rp 62,500.00
Onescrub 500 cc + Dispenser

17 Antiseptik dan Disinfektan - Onemed Rivanol 300 cc Penyedia: PT. Jayamas MedicamlIndustri 1500 1500 Rp 2,550.00
Rivanol 300 cc

18 Antiseptik dan Disinfektan - Onemed Lysol 1 liter Penyedia: PT. Jayamas Medica
Liter
Industri 100 100 Rp 41,000.00
Lysol 1 liter

Jumlah Total
 Total

Rp 130,000,000.00

Rp 15,000,000.00

Rp 262,500.00

Rp 262,500.00

Rp 149,250.00

Rp 90,000.00

Rp 1,050,000.00

Rp 26,800,000.00

Rp 22,000,000.00
Rp 1,300,000.00

Rp 1,320,000.00

Rp 1,500,000.00

Rp 500,000.00

Rp 860,000.00

Rp 185,000.00

Rp 750,000.00

Rp 3,825,000.00

Rp 4,100,000.00

Rp 209,954,250.00
DAFTAR : KEBUTUHAN BHP PUSKESMAS AEK HABIL (E-KATALOG)
DINAS KESEHATAN KOTA SIBOLGA TAHUN ANGGARAN 2015

Harga Satuan
Jumlah Biaya
No. Nama Alat Nama E-Katalog Kemasan Volume Harga
E-Katalog Biaya Distribusi E-Katalog
complete
1 Alkohol 70 % 1 liter Onemed alkohol 70% 1 liter Botol 72 botol Rp 21,500 Rp 5,805 27,305 Rp 1,965,960
2 Alkohol Swab Onemed Alkohol Swab Box/100 12 Box Rp 10,000 Rp 2,700 12,700 Rp 152,400
3 Benang Operasi - Silk Onemed Silk 3/0 + jarum 1/2 GT 35 mm Box/24 36 Box Rp 110,000 Rp 29,700 139,700 Rp 5,029,200
4 Sarung Tangan Periksa Safeglove Examination Glove Box/100 72 Box Rp 32,500 Rp 8,775 41,275 Rp 2,971,800
5 Rivanol Onemed Rivanol 300 cc Botol 60 Botol Rp 2,550 Rp 689 3,239 Rp 194,340
6 Povidone Iodine Onemed Povidone Iodine 60 cc Botol 144 Botol Rp 3,700 Rp 999 4,699 Rp 676,656
7 Lysol 1 liter Onemed Lysol 1 liter Botol 72 Botol Rp 41,000 Rp 11,070 52,070 Rp 3,749,040
8 Kapas Pembalut Hydrophil 4x5 onemed Kapas Pembalut Hydrophil 4 x 5 cm Roll 50 Roll Rp 750 Rp 203 953 Rp 47,650
9 Kapas Pembalut Hydrophil 4x10 onemed Kapas Pembalut Hydrophil 4 x 10 cm Roll 42 Roll Rp 1,500 Rp 405 1,905 Rp 80,010
10 Kapas Hydrofil Steril 16 x16 Onemed Kasa Hydrophil Steril Uk 16x16 Box/16 12 Box/16 Rp 5,800 Rp 1,566 7,366 Rp 88,392
11 Kasa Kompres Steril 40 x 40 cm Onemed Kasa Kompress Steril 40x40 Pcs 100 Pcs Rp 1,600 Rp 432 2,032 Rp 203,200
12 Kapas Onemed Kapas 500 gram Roll 50 Roll Rp 27,280 Rp 1,364 28,644 Rp 1,432,200
13 Antiseptik Onemed OneScrub 500 cc + dispenser Botol 42 Botol Rp 62,500 Rp 16,875 79,375 Rp 3,333,750
14 Folley Catheter No. 16 onemed-Urocare Folley Catheter 2 Way No. 16 Box/10 3 Box/10 Rp 80,000 Rp 21,600 101,600 Rp 304,800
15 Folley Catheter No. 18 onemed-Urocare Folley Catheter 2 Way No. 18 Box/10 3 Box/10 Rp 80,000 Rp 21,600 101,600 Rp 304,800
16 Alat Suntik Sekali Pakai Stera 1 cc Tuberculin 27G x 1/2" Box/100 10 Box/100 Rp 65,000.00 Rp 17,550.00 82,550 Rp 825,500
Jumlah Total Rp 21,359,698
Terbilang: Dua Puluh Satu Juta Tiga Ratus Lima Puluh Sembilan Ribu Enam Ratus Sembilan Puluh Delapan Rupiah
Rp 21,360,000

Mengetahui,
Ka. UPTD. Puskesmas Aek Habil
Kota Sibolga

dr. IVONNA HASFIKA

NIP. 19771001 200701 2 002