PEMERINTAH KABUPATEN PULAU MOROTAI

RUMAH SAKIT UMUM DAERAH MOROTAI

Jalan Nakamura Desa Dehegila 97771
MOROTAI SELATAN
RENCANA KEBUTUHAN ANGGARAN UNTUK PENGADAAN LABORATIORIUM
TAHUN ANGGARAN 2018

NO NAMA BAHAN SATUAN HARGA SATUAN VOL TOTAL ( Rp ) (IV +

(Rp) DIMINTA V)
I II III IV V VII
1 Cleaner BCC-3000 1 x 10 liter Rp 1,287,000 2 Rp 2,574,000
Reagen Quality Control Dirui (CBC
2 1 x 2,5 ml Rp 1,092,000 1 Rp 1,092,000
ST Plus - Control 3 Dif
3 Seriescan Normal 1 x 5 ml Rp 686,700 5 Rp 3,433,500
4 Glucose Liquid QCA 3 x 100 ml Rp 1,190,700 5 Rp 5,953,500
5 Urea UV 12 x 16 ml Rp 2,352,000 2 Rp 4,704,000
6 GOT/AST u.v. IFCC Method 12 x 16 ml Rp 1,904,700 2 Rp 3,809,400
7 GPT/ALT u.v. IFCC Method 12 x 16 ml Rp 1,904,700 2 Rp 3,809,400
8 Triglycerides Liquid 1 x 3 ml Rp 4,853,100 1 Rp 4,853,100
JUMLAH Rp 30,228,900
PPN 10% Rp 3,022,890
TOTAL Rp 33,251,790
 PEMERINTAH KABUPATEN PULAU MOROTAI
RUMAH SAKIT UMUM DAERAH MOROTAI
Jalan Nakamura Desa Dehegila 97771
MOROTAI SELATAN
: RUMAH SAKIT UMUM DAERAH PULAU MOROTAI
: RENCANA KEBUTUHAN ANGGARAN UNTUK PENGADAAN UNIT TRANSFUSI DARAH
TAHUN ANGGARAN 2018

NAMA BAHAN
NO SATUAN HARGA SATUAN VOL TOTAL ( Rp )
VOL
(Rp) DIMINTA (IV*V) DATANG
I II III IV V VI VII
1 Anti A Monoclonal 10 ml flc Rp 150,000 8 Rp 1,200,000 5
2 Anti B Monoclonal 10 ml flc Rp 150,000 8 Rp 1,200,000 5
3 Anti HCV Box / 25 pcs Rp 1,162,500 10 Rp 11,625,000 10
4 Anti Syphillis Strip Box / 25 pcs Rp 900,000 10 Rp 9,000,000 10
5 Anti-D monoklonal Ig-M 10 ml Flc Rp 300,000 8 Rp 2,400,000 5
6 Coombs Serum 10 ml Flc Rp 400,000 8 Rp 3,200,000 8
7 HBsAg Test (biocare) strip Box Rp 1,257,500 Rp - 0
7 HBsAg Test (Serum) Casette Box / 25 pcs Rp 810,000 50 Rp 40,500,000 50
8 HIV Test casette Box / 25 pcs Rp 1,312,500 50 Rp 65,625,000 0
Kantong Darah Single Bag 350 ml
9 Kantong Rp 88,400 750 Rp 66,300,000 750
CPDA JMS

10 Kantong Darah Double Bag 350 ml Kantong Rp 177,000 50 Rp 8,850,000 50

CPDA JMS
11 Lancet Box / 100 pcs Rp 60,000 50 Rp 3,000,000 40
12 Object Glass Box / 72 pcs Rp 40,000 100 Rp 4,000,000 50
13 Pipet Pasteur Plastik Pcs Rp 4,400 50 Rp 220,000 50
14 Tabung EDTA K3 Glass 3 ml Box / 100 pcs Rp 280,700 21 Rp 5,894,700 21
15 Dengue IgI/IgM Card Biocare box/25 card Rp 3,375,000
16 Tabung Reaksi Pyrex Box / 100 pcs Rp 1,243,000 10 Rp 12,430,000 8
JUMLAH Rp 235,444,700
PPN 10% Rp 23,544,470
TOTAL Rp 258,989,170
PAGU ANGGARAN Rp 350,000,000
SISA ANGGARAN Rp 91,010,830
 PENAMBAHAN Asumsi Pendonor
VOL TOTAL (Rp) (IV+IX) Jumlah Perbulan
TOTAL (Rp) (IV*VII) Pemeriksaan Pertahun
VIII IX X 50 600
Rp 750,000 10 Rp 1,500,000 1,000
Rp 750,000 10 Rp 1,500,000 1,000
Rp 11,625,000 Rp - -
Rp 9,000,000 Rp - -
Rp 1,500,000 10 Rp 3,000,000 1,000
Rp 3,200,000 20 Rp 8,000,000 300
Rp - Rp -
Rp 40,500,000 Rp - -
Rp - Rp - -
0
Rp 66,300,000 Rp - 750
0
Rp 8,850,000 Rp - 50
Rp 2,400,000 Rp - -
Rp 2,000,000 Rp - -
Rp 220,000 0 Rp -
Rp 5,894,700 9 Rp 2,526,300 2,100
Rp -
Rp 9,944,000 2 Rp 2,486,000
Rp 162,933,700 Rp 19,012,300
Rp 16,293,370 Rp 1,901,230
Rp 179,227,070 Rp 20,913,530
Rp 261,783,760
Rp 261,783,760 Rp 240,870,230
1 tetes = 100 mikron 10
1 ml = 1000 mikron
1 ml = 10 tetes
10 ml = 100 tetes
1 vial = 100 pasien

6 tetes = 600 mikron'

Rp 170,258,130