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No.

: 0071/P/MM/III/18
Hal : Penawaran harga
Lampiran :- Jakarta, 06 Maret 2018

Kepada Yth:
Dr. Farid, Sp.U
Di Tempat

Dengan hormat,

Bersama ini kami PT. Multipard Mandiri menawarkan Alat Endo-Urology Merk
Stema – Germany, dengan rincian sebagai berikut :

Rincian harga terlampir.

Kondisi penawaran sebagai berikut :


o Harga belum termasuk PPN 10%.
o Garansi 1 tahun untuk kesalahan produksi, tidak termasuk kerusakan akibat
pemakaian.
o Pembayaran: 40% uang muka pada saat konfirmasi order.
60% pada saat barang selesai dipasang.
o Masa berlaku penawaran 3 (tiga) bulan terhitung dari tanggal penawaran ini.
o Waktu pengiriman barang 3 (tiga) bulan terhitung dari tanggal diterima uang
muka (down payment).

Demikian penawaran ini kami sampaikan, atas perhatiannya kami ucapkan terima
kasih.

Hormat kami,
PT. Multipard Mandiri

Lili
Marketing Director

PT. Multipard Mandiri Telp : +62 (021) 93184871 Bank : Bank Mandiri
Jl. Balai Pustaka Timur Blok J No. 225E Lt.2 : +62 (021) 47864053 Account : 0060005425958
Jakarta 13220, Indonesia Fax : +62 (021) 47861707 NPWP : 02.545.303.6-003.000
Email : Info@multipard.com Website : www.multipard.com
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Lampiran Penawaran No. 0071/P/MM/III/18

No Description Qty Unit Price (Rp) Amount (Rp)


A Camera System Digit 3-MOS HD 1 set 520,130,000.00 520,130,000.00
Comprising :
- Digital 1-MOS high resolution HD-Video Camera, incl. 1 pc
Electronical zoom STEMA-HD III
- ZOOM TV-Adaptor, f=15-25mm 1 pc
- TV Monitor HD 32" Comersial 1 pc
- Video Recorder LG 1 pc
- Trolley Local 1 pc
Subtotal 520,130,000.00
B Light Source Stema LED 2 1 set 139,960,000.00 139,960,000.00
Comprising :
- XENON Cold Light Source, 180 Watt, manuell STEMA- 1 pc
XENON 180M
- Glass Fibre Light Guide, Ø 4,5mm, Length 2300mm 1 pc
Subtotal 139,960,000.00
C Autoclavable HD Scopes
- HD-Cystoscope Ø 4,0mm, 0° viewing angle, autoclavable 1 pc 79,915,000.00 79,915,000.00

- HD-Cystoscope Ø 4,0mm, 30° viewing angle, autoclavable 1 pc 81,235,000.00 81,235,000.00

Sub Total 161,150,000.00


D Cysto-Urethroscope sheaths
- Cysto-Urethroscope sheath 21 Fr. with 2 fixed stopcock w. 1 pc 17,205,000.00 17,205,000.00
Obturator
- Cysto-Urethroscope sheath 25 Fr. with 2 fixed stopcock w. 1 pc 17,205,000.00 17,205,000.00
Obturator
- Endoscope bridge with 1 instrument channel 1 pc 6,735,000.00 6,735,000.00
- Working element with ALBARRAN deflector and 2 1 pc 24,015,000.00 24,015,000.00
instrument channels
- Biopsy forceps (down), double action, for 12° and 1 pc 23,840,000.00 23,840,000.00
30°endoscopes
- Forceps, double action, forremoval fo stents 1 pc 22,245,000.00 22,245,000.00
- Optical Stone punch (Losley) 1 pc 29,225,000.00 29,225,000.00
Sub Total 140,470,000.00
E Lithotripsy Punch (optional 1) 1 set 68,535,000.00 68,535,000.00
Comprising :
- Lithotripsy sheath used for AB-004-011 1 pc
- Obturator used for AB-002-010 1 pc
- Adaptor for use wit Ellik 1 pc
- Working element used for Punch lithotripsy 1 pc
Sub Total 68,535,000.00
F Urethroscope (Sache) 1 set 38,345,000.00 38,345,000.00
Comprising :
- Urethrotome sheath 21 Fr., with instrument channel 5 Fr. 1 pc

- Endoscope bridge with 1 instrument channel 1 pc


- Sheath open side for AI--001-001 1 pc
- Standardobturator for Urethrotome sheath 21 Fr. 1 pc
- Cold knive straight 1 pc
- Cold knive round 1 pc
Sub Total 38,345,000.00

PT. Multipard Mandiri Telp : +62 (021) 93184871 Bank : Bank Mandiri
Jl. Balai Pustaka Timur Blok J No. 225E Lt.2 : +62 (021) 47864053 Account : 0060005425958
Jakarta 13220, Indonesia Fax : +62 (021) 47861707 NPWP : 02.545.303.6-003.000
Email : Info@multipard.com Website : www.multipard.com
Page 2 of 3
No Description Qty Unit Price (Rp) Amount (Rp)
G TUR-SET 1 set 106,960,000.00 106,960,000.00
Comprising :
- Outer sheath 26 Fr. with perforation, rotatable 1 pc
- Inner sheath 26 Fr. with ceramic isolation, rotatable 1 pc
- Standard Obturator, 24 Fr. 1 pc
- Working element used for resectoscopes, passive cutting, 1 pc
handle closed, TITANIUM VERSION
- Cutting loop electrode 30° angled, 24 Fr., 1 pc
- Rollerball electrode 3mm, 24 Fr., 5 pc
- Knife electrode , 24 Fr., 1 pc
- HF-Monopolar connecting cable for Berthcold, Martin, 1 pc
Aesculap, Ø 4mm
- HF-Monopolar connecting cable for Erbe, ACC/ICC, Storz, 1 pc
Ø 5mm
- HF-Monopolar connecting cable suitable for 1 pc
Valleylab/Conmed, Ø 8mm
- HF-Monopolar connecting cable suitable for units with 4mm 1 pc
banana plug
- Ellik evacuator, complete 2 pc
Sub Total 106,960,000.00
H Dilating bougies Set 8Fr - 30Fr 1 set 11,360,000.00 11,360,000.00
Sub Total 11,360,000.00
I Uretero-Renoscopes (URS) 1 set
- Semirigid HD uretero-renoscope with 45° angled ocular, Ø 1 pc 216,265,000.00 216,265,000.00
steps by 7,5 / 6 Fr., viewing angle 5°,working length
425mm, instrument channel 1x4 Fr. , 2x2,4 Fr
- HD Semirigid uretero-renoscope with 45° angled ocular, Ø 1 pc 216,265,000.00 216,265,000.00
steps by 7,5 - 13,2 Fr., viewing angle 5°,working length
425mm, instrument channel 1x5 Fr. or 2x3 Fr, 40.000 pixel

- Grasping forceps alligator jaw, semit rigid, double action, Ø 1 pc 10,730,000.00 10,730,000.00
5 Fr., WL 60cm, take apart
- Grasping forceps for big stones, rigid, double action, Ø 4 1 pc 11,905,000.00 11,905,000.00
Fr., WL 60cm, take apart
- Dormia Stone extractor / 4 wires, Ø 3 Fr., WL 60cm , 1 pc 10,475,000.00 10,475,000.00
complete with handle
Sub Total 465,640,000.00
J HD nephroscopes 1 set 234,580,000.00 234,580,000.00
Comprising :
- HD Nephroscope with 45° angled ocular, Ø 18,8 fr., viewing 1 pc
angle 30°, working length 220mm, working channel Ø 12,9
fr.
- Nephroscope sheath without perforation, continous flow , 1 pc
rotatable stopcock, 23 Fr. (220mm SCOPE 30°)
- Obturator hollow 23 Fr. used for 23 Fr. nephroscopy sheath 1 pc
(220mm, 30°)
- Set of Telescope bougies consisting of: 6 Dilating bougies 1 set
9, 12, 15, 18 ,21 and 24 Fr., incl. 1 each of flexible and
rigid guide sonden
- Alligator grasping forceps with ring handle, Ø 9 fr. WL 36cm 1 pc

- 3-Prongs retriever for larger stones, coil handle, Ø 9 fr. WL 1 pc


50cm
Sub Total 234,580,000.00
K Tray inserts
- Tray insert for resectoscopy 1 pc 10,475,000.00 10,475,000.00
- Tray insert for cystoscopy 1 pc 10,475,000.00 10,475,000.00
Sub Total 20,950,000.00
Total 1,908,080,000.00

PT. Multipard Mandiri Telp : +62 (021) 93184871 Bank : Bank Mandiri
Jl. Balai Pustaka Timur Blok J No. 225E Lt.2 : +62 (021) 47864053 Account : 0060005425958
Jakarta 13220, Indonesia Fax : +62 (021) 47861707 NPWP : 02.545.303.6-003.000
Email : Info@multipard.com Website : www.multipard.com
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