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Lampiran SPJ

Nomor SP : 086/e-katalog/Dikes/2017
Tanggal : 19 Juni 2017

Harga Kesepakatan
Harga Ongkos Total Harga
No Nama Alkes Kuantitas Penyedia
Satuan (Rp) Kirim (Rp)
(Rp)
1. STARDEC Nebulizer with 150 piece 28.300,00 0 4.245.000,00 PT. Anugrah
Mask (Adult Standard) Argon Medica
Cabang
Komoditas : Alat Kesehatan Denpasar
Manufaktur : STARDEC
No Produk : 42000000-AKS-
000052260
Nama Produk : Nebulizer with
Mask (Adult Standard)
Unit Pengukuran : piece
Nama Penyedia : PT.
Djembatan Dua
No Produk (Penyedia) :
STAR076
Jenis Produk : Impor
Harga : IDR 28,300.00 (16
November 2015)
Model / Type : -
Country of Origin : China
Factory of Origin : China
OEM : n/a
Product Certification : -
Product Registration :
20403311679
FDA Clearance : n/a
CE Mark : Available
IEC Compliance : n/a
Locally Content : n/a
Where Marketed :
INDONESIA
Green Features : n/a
Other Spesification : n/a
UMDNS Code (s) : n/a
Function : -
Supplier Footnote : n/a
Model Footnote : n/a
Data Footnote : n/a
Other Information : 100 pcs /
Box

2. STARDEC Nebulizer with 150 piece 28.300,00 0 4.245.000,00


Mask (Pediatric Standard)

Komoditas : Alat Kesehatan


Manufaktur : STARDEC
No Produk : 42000000-AKS-
000052482
Nama Produk : Nebulizer with
Mask (Pediatric Standard)
Unit Pengukuran : piece
Nama Penyedia : PT.
Djembatan Dua
No Produk (Penyedia) :
STAR077
Jenis Produk : Impor
Harga : IDR 28,300.00 (16
November 2015)
Model / Type : -
Country of Origin : China
Factory of Origin : China
OEM : n/a
Product Certification : -
Product Registration :
20403311679
FDA Clearance : n/a
CE Mark : Available
IEC Compliance : n/a
Locally Content : n/a
Where Marketed :
INDONESIA
Green Features : n/a
Other Spesification : n/a
UMDNS Code (s) : n/a
Function : -
Supplier Footnote : n/a
Model Footnote : n/a
Data Footnote : n/a
Other Information : 100 pcs /
Box

Total 8.490.000,00