Lap BMD 2017 Semester 2 Rsud Petala Bumi Sesuai Rekon

DAFTAR PENGADAAN BARANG
PER TANGGAL 1 JULI 2017 S.D. 31 DESEMBER 2017
OPD : RSUD PETALA BUMI

PROVINSI : Riau
SPK / KONTRAK BAST KWITANSI / SP2D JUMLAH

NO JENIS BARANG URAIAN BARANG DIPERGUNAKAN PADA UNIT KETERANGAN
NOMOR TANGGAL NOMOR TANGGAL NOMOR TANGGAL UNIT HARGA SATUAN TOTAL HARGA
1 2 3 3 4 5 6 7 8 9 10 11 12 13 14
1 BARANG PAKAI HABIS 2.00 - 495,000.00 990,000.00

a Alat Tulis Kantor - -
b Alat Listrik & Elektronik - -
-
c Material Kesehatan - -
d Bahan Logistik Rumah Tangga 2.00 - 495,000.00 990,000.00

1 Gantungan Baju Stainless 128/SPK-PER/IV/2017 27-Apr-2017 01/JP-PKU/V/2017 8-May-2017 00755 2.00 Buah 495,000.00 990,000.00 RSUD PETALA BUMI APBD
e Obat-Obatan -
2 BARANG INVENTARIS 292.00 - 6,584,699,672.17 7,827,753,780.00 7,862,984,030.00

a Alat Bengkel Bermesin 6.00 - 22,180,000.00 22,180,000.00
1 Mesin Kompresor Udara 485/SP-PM/VIII/2017 8-Aug-2017 168/RAA-SK/X/2017 19-Oct-2017 01198 1.00 Unit 6,750,000.00 6,750,000.00 IPSRS APBD
2 Mesin Las 900 Watt (lengkap dengan kabel dan tang las) 681/SP/XI/2017 27-Nov-2017 451/.220/MCK/XII/2017 6-Dec-2017 1.00 Buah 1,150,000.00 1,150,000.00 IPSRS APBDP
3 Bor Duduk 681/SP/XI/2017 27-Nov-2017 451/.220/MCK/XII/2017 6-Dec-2017 1.00 Unit 6,435,000.00 6,435,000.00 IPSRS APBDP
4 Gergaji Potong Listrik 681/SP/XI/2017 27-Nov-2017 451/.220/MCK/XII/2017 6-Dec-2017 1.00 Unit 2,150,000.00 2,150,000.00 IPSRS APBDP
5 Bor 681/SP/XI/2017 27-Nov-2017 451/.220/MCK/XII/2017 6-Dec-2017 1.00 Buah 3,345,000.00 3,345,000.00 IPSRS APBDP
6 Mesin Potong 681/SP/XI/2017 27-Nov-2017 451/.220/MCK/XII/2017 6-Dec-2017 1.00 Buah 2,350,000.00 2,350,000.00 IPSRS APBDP
b Alat Bengkel Tak Bermesin 3.00 - 4,220,000.00 4,220,000.00

1 Toolkit Box 681/SP/XI/2017 27-Nov-2017 451/.220/MCK/XII/2017 6-Dec-2017 1.00 Buah 850,000.00 850,000.00 IPSRS APBDP
2 Toolkit (Obeng Lengkap) 681/SP/XI/2017 27-Nov-2017 451/.220/MCK/XII/2017 6-Dec-2017 1.00 Set 1,620,000.00 1,620,000.00 IPSRS APBDP
3 Kunci Ring Lengkap 681/SP/XI/2017 27-Nov-2017 451/.220/MCK/XII/2017 6-Dec-2017 1.00 Set 1,750,000.00 1,750,000.00 IPSRS APBDP
c Alat Ukur 2.00 - 9,800,000.00 9,800,000.00

1 Timbangan + Ukuran Tinggi Badan 027/RSUD-PB/1909 29-May-2017 57/BBB-PKU/VI/2017 5-Jun-2017 00567 1.00 Unit 3,200,000.00 3,200,000.00 POLY RAWAT JALAN APBD
2 Timbangan Bayi 027/RSUD-PB/2004 31-May-2017 53/BBB-PKU/VI/2017 6-Jun-2017 00569 1.00 Unit 6,600,000.00 6,600,000.00 POLY RAWAT JALAN APBD
-
d Alat Kantor - - - -
e Alat Rumah Tangga 73.00 - 689,254,200.00 846,803,100.00

1 Kulkas 1 Pintu 557/SPK/XI/2017 17-Nov-2017 031/SN/XI/2017 21-Nov-2017 01158 7.00 Unit 2,420,000.00 16,940,000.00 RAWAT INAP APBD
2 Kursi Tunggu 554/SPK/XI/2017 21-Nov-2017 40/JP-PKU/XII-2017 4-Dec-2017 23.00 Buah 450,000.00 10,350,000.00 RSUD PETALA BUMI APBD
3 Kursi Tunggu Pasien 554/SPK/XI/2017 21-Nov-2017 40/JP-PKU/XII-2017 4-Dec-2017 5.00 Set 8,950,000.00 44,750,000.00 RAWAT INAP APBD
4 AC VRF/VRV Ceiling Concealed/Split Duct (76,400 btu) 344/KONTRAK/VII/2017 27-Jul-2017 2/ADT-PKU/IX/2017 22-Sep-2017 1.00 Unit 48,228,400.00 48,228,400.00 RSUD PETALA BUMI APBD
5 AC VRF/VRV Ceiling Concealed/Split Duct (95,500 btu) 344/KONTRAK/VII/2017 27-Jul-2017 2/ADT-PKU/IX/2017 22-Sep-2017 2.00 Unit 55,686,400.00 111,372,800.00 RSUD PETALA BUMI APBD
6 AC VRF/VRV Outdoor Unit (232,000 btu) 344/KONTRAK/VII/2017 27-Jul-2017 2/ADT-PKU/IX/2017 22-Sep-2017 1.00 Unit 255,883,100.00 255,883,100.00 RSUD PETALA BUMI APBD
7 Pengadaan Dan Pemasangan Ducting 344/KONTRAK/VII/2017 27-Jul-2017 2/ADT-PKU/IX/2017 22-Sep-2017 1.00 Unit 78,184,700.00 78,184,700.00 RSUD PETALA BUMI APBD
8 Pengadaan Dan Pemasangan Pipa AC VRF/VRV Lengkap 344/KONTRAK/VII/2017 27-Jul-2017 2/ADT-PKU/IX/2017 22-Sep-2017 1.00 Lot 171,293,100.00 171,293,100.00 RSUD PETALA BUMI APBD
9 Dandang / Kukus Besar (Bahan Aluminium Diameter 45cm) 329/SP/VII/2017 13-Jul-2017 057/JPR/VII/2017 14-Jul-2017 2.00 Buah 687,500.00 1,375,000.00 INSTALASI GIZI APBD
10 Kulkas Side by side 4 Pintu Menyamping, Type RQ-56WC (457L) 330/SP/VII/2017 2-Aug-2017 059/JPR/VIII/2017 14-Aug-2017 1.00 Unit 9,196,000.00 9,196,000.00 INSTALASI GIZI APBD
11 Dispenser Berdiri 682/SP/XI/2017 27-Nov-2017 455/220/MCK/XII/2017 4-Dec-2017 01240 2.00 Unit 3,125,000.00 6,250,000.00 RSUD PETALA BUMI APBDP
12 Exhaust Fan 529/PM-SP/X/2017 17-Oct-2017 173/RAA-SK/X/2017 27-Oct-2017 01200 5.00 Unit 1,350,000.00 6,750,000.00 RSUD PETALA BUMI APBD
13 Rak Sepatu Tertutup 126/SPK-PER/IV/2017 27-Apr-2017 29/MSJ-PKU/V/2017 16-May-2017 00686 1.00 Unit 2,486,000.00 2,486,000.00 RSUD PETALA BUMI APBD
14 Rak Gantung Bedside Monitor 126/SPK-PER/IV/2017 27-Apr-2017 29/MSJ-PKU/V/2017 16-May-2017 00686 3.00 Buah 5,720,000.00 17,160,000.00 RSUD PETALA BUMI APBD
15 Rak Pispot 126/SPK-PER/IV/2017 27-Apr-2017 29/MSJ-PKU/V/2017 16-May-2017 00686 1.00 Buah 715,000.00 715,000.00 RSUD PETALA BUMI APBD
16 Rak Alat Non Alkes 126/SPK-PER/IV/2017 27-Apr-2017 29/MSJ-PKU/V/2017 16-May-2017 00686 1.00 Buah 990,000.00 990,000.00 RSUD PETALA BUMI APBD
17 Rak Gantung Alkes 126/SPK-PER/IV/2017 27-Apr-2017 29/MSJ-PKU/V/2017 16-May-2017 00686 1.00 Unit 8,954,000.00 8,954,000.00 RSUD PETALA BUMI APBD
18 Rak Gantung Bedside Monitor 124/SPK-PER/IV/2017 27-Apr-2017 27/MSJ-PKU/V/2017 16-May-2017 00757 2.00 Buah 5,775,000.00 11,550,000.00 RSUD PETALA BUMI APBD
19 Rak Gantung 124/SPK-PER/IV/2017 27-Apr-2017 27/MSJ-PKU/V/2017 16-May-2017 00757 1.00 Buah 10,560,000.00 10,560,000.00 RSUD PETALA BUMI APBD
20 Dispenser Berdiri 673/SP/XI/2017 25-Nov-2017 179/RAA-SK/X/2017 27-Nov-2017 01244 1.00 Unit 1,850,000.00 1,850,000.00 CSSD APBDP
21 Exhaust Fan 674/SP/XI/2017 25-Nov-2017 180/RAA-SK/X/2017 14-Nov-2017 01243 2.00 Unit 1,350,000.00 2,700,000.00 RSUD PETALA BUMI APBDP
22 Rak Pispot 349/KPA-SP/IV/2017 1-Apr-2017 183/LK-BAST/V/2017 11-Apr-2017 00684 1.00 Buah 750,000.00 750,000.00 RSUD PETALA BUMI APBD
23 Rak Alat 349/KPA-SP/IV/2017 1-Apr-2017 183/LK-BAST/V/2017 11-Apr-2017 00684 1.00 Buah 1,000,000.00 1,000,000.00 RSUD PETALA BUMI APBD
24 Rak DIspenser 349/KPA-SP/IV/2017 1-Apr-2017 183/LK-BAST/V/2017 11-Apr-2017 00684 2.00 Buah 1,500,000.00 3,000,000.00 RSUD PETALA BUMI APBD
25 Trolley Linen 128/SPK-PER/IV/2017 27-Apr-2017 01/JP-PKU/V/2017 8-May-2017 00755 2.00 Buah 11,935,000.00 23,870,000.00 LONDRY APBD
26 Jam Dinding 602/PM-SP/X/2017 30-Oct-2017 222/XI/2017/K-BB 14-Nov-2017 01199 3.00 Buah 215,000.00 645,000.00 RSUD PETALA BUMI APBD
f Komputer & Kelengkapannya 7.00 - 28,065,062.33 52,525,729.00

Komputer 4.00 - 25,434,729.00 44,634,729.00
1 Komputer / PC 21,5 inch 258/SP/V/2017 24-May-2017 163/AMJM/VI/2017 6-Jun-2017 3.00 Unit 9,600,000.00 28,800,000.00 RSUD PETALA BUMI APBD
2 Notebook Asus Zenbook 13,3 Inchi 307/SP/III/2017 17-Mar-2017 BAST/160400002/AGT-P17 31-Mar-2017 01023 1.00 Unit 15,834,729.00 15,834,729.00 KASI PERENCAAN PENUNJANG MEDI APBD
Perlengkapan Komputer 3.00 - 2,630,333.33 7,891,000.00

1 Printer All In One 259/SP/V/2017 24-May-2017 6-Jun-2017 3.00 Unit 2,630,333.33 7,891,000.00 RSUD PETALA BUMI APBD
g Meja Dan Kursi Kerja / Rapat Pejabat 1.00 - 56,133,000.00 56,133,000.00

1 Meja Kerja (Meja Counter Farmasi) 111/SPK-TU/III/2017 17-Mar-2017 17/WAP-BAST/2017 15-Apr-2017 1.00 Set 56,133,000.00 56,133,000.00 INSTALASI FARMASI APBD
-
h Alat Studio - - - -
i Alat Komunikasi - - - -
j Alat Kedokteran & Kesehatan 173.00 - 3,409,755,080.83 4,444,488,027.00

Alat Kedokteran 167.00 - 2,997,368,940.83 4,032,101,887.00
1 Alat Kedokteran Bedah (Dexon Stool Chair) 85/SPK-YM/III/2017 25-Mar-2017 23/AUI-PKU/IV/2017 22-Apr-2017 01202 6.00 Unit 1,112,250.00 6,673,500.00 BEDAH SENTRAL APBD
2 Instrument Cabinet 618/SP/VIII/2017 22-Aug-2017 302/EPM-PBR/ABM/VIII/20 31-Aug-2017 01135 1.00 Unit 6,158,300.00 6,158,300.00 RSUD PETALA BUMI APBD
3 Anti Decubitus Alternating Air Pressure Mattres Comfort 2006 351/SP/VI/2017 17-Jun-2017 SK/KP/2017/IX/222 13-Sep-2017 01148 1.00 Unit 3,098,000.00 3,098,000.00 BEDAH SENTRAL APBD
4 Suction Pump With Troly (C-451) 2x3 L 325/SP/V/2017 27-May-2017 009/SK/SA/VII/17 8-Jul-2017 1.00 Unit 58,468,000.00 58,468,000.00 IGD APBD
5 Ultra Sonic Nebulizer 267/SPK-YM/IV/2017 18-Apr-2017 16-May-2017 2.00 Unit 814,000.00 1,628,000.00 RSUD PETALA BUMI APBD
6 Tensimeter Digital 78/SPK-YM/IV/2017 9-Apr-2017 124/MUPPKB/EXT/V/2017 29-May-2017 3.00 Unit 1,440,599.33 4,321,798.00 RSUD PETALA BUMI APBD
7 Suction Pump With Troly (C-451) 2x5 L 79/SPK-YM/IV/2017 24-Mar-2017 004/SK/SA/V/17 20-May-2017 2.00 Unit 59,500,000.00 119,000,000.00 R.INAP KEBIDANAN APBD
8 Infant Incubator 326/SP/VI/2017 19-Jun-2017 501/GSM-PKU/IX/2017 12-Sep-2017 2.00 Unit 152,402,147.50 304,804,295.00 PERINATOLOGI APBD
9 Tensimeter Berdiri 44/SPK-YM/III/2017 24-Mar-2017 154/BA/GSM/V/2017 29-May-2017 4.00 Unit 4,625,550.00 18,502,200.00 RSUD PETALA BUMI APBD
10 Tensimeter Berdiri 168/SPK/V/2017 19-May-2017 226/BA/GSM/VII/2017 5-Jul-2017 1.00 Unit 4,656,354.00 4,656,354.00 RSUD PETALA BUMI APBD
11 Mesin Anasthesi 111/KONTRAK-YM/2017 18-Apr-2017 078/USM-SKU/VI/2017 16-Jun-2017 1.00 Unit 750,000,000.00 750,000,000.00 BEDAH SENTRAL APBD
12 Blanket Warmer 418/SP/VI/2017 13-Jun-2017 484/NUS.05.29/VII/2017 14-Jul-2017 2.00 Unit 41,760,000.00 83,520,000.00 ICU APBD
13 Suction Pump Portable 350/SP/VI/2017 8-Jun-2017 905/MD-IX/2017 5-Sep-2017 3.00 Unit 12,322,333.33 36,967,000.00 RAWAT INAP APBD
14 Light Curing 441/SP/VI/2017 16-Jun-2017 1053/ETC/PKB/VIII/2017 12-Aug-2017 2.00 Unit 8,453,000.00 16,906,000.00 POLI GIGI APBD
15 Bed Side Monitor (Patient Monitor) 45/SPK-YANMED/III/2017 25-Mar-2017 21-Jun-2017 3.00 Unit 88,946,733.33 266,840,200.00 RAWAT INAP APBD
16 Instrument Cabinet (Lemari Obat) 76/SPK-YM/III/2017 30-Mar-2017 263/EPM-BAST/V/2017 10-May-2017 00685 1.00 Unit 6,159,300.00 6,159,300.00 BEDAH SENTRAL APBD
17 Emergency Mobile Stretcher 41/SPK-YM/III/2017 25-Mar-2017 148/EPM-PBR/ABM/V/2017 16-May-2017 2.00 Unit 11,502,700.00 23,005,400.00 BEDAH SENTRAL APBD
18 Emergency Mobile Stretcher 43/SPK-YM/III/2017 25-Mar-2017 154/EPM-PBR/ABM/V/2017 16-May-2017 1.00 Unit 11,780,700.00 11,780,700.00 BEDAH SENTRAL APBD
19 Emaled Lampu Operasi Mobile/Mobile Emergency Lamp With Battery/Emale 24/PEL-SPK/IV/2017 24-Mar-2017 132/SU-BA/MJM/V/2017 16-May-2017 2.00 Unit 116,148,800.00 232,297,600.00 BEDAH SENTRAL APBD
20 Operating Table Electric 151/kontrak/IV/2017 18-Apr-2017 224/BA/GSM/VII/2017 5-Jul-2017 1.00 Unit 296,671,540.00 296,671,540.00 BEDAH SENTRAL APBD
21 Infant Warmer 147/KONTRAK/IV/2017 4-Apr-2017 173/GI/DN/VI/2017 7-Jun-2017 1.00 Unit 130,900,000.00 130,900,000.00 PERINATOLOGI APBD
22 Babypuff Neonatal Resuscitation Device With Trolley 332/SP/VI/2017 10-Jun-2017 0830/BNP-Pry/VIII/17 2-Aug-2017 1.00 Unit 88,500,000.00 88,500,000.00 PERINATOLOGI APBD
23 Aesculap Partus Set 83/SPK-YM/IV/2017 4-Apr-2017 818/KEU/BMI/V/2017 30-May-2017 3.00 Set 23,873,000.00 71,619,000.00 R.INAP KEBIDANAN APBD
24 Aesculap Hernia And Appendix Set 81/SPK-YM/IV/2017 4-Apr-2017 831/KEU/BMI/V/2017 30-May-2017 2.00 Set 83,606,000.00 167,212,000.00 BEDAH SENTRAL APBD
25 Aesculap Hernia And Appendix For Children 80/SPK-YM/IV/2017 4-Apr-2017 833/KEU/BMI/V/2017 30-May-2017 1.00 Set 80,167,000.00 80,167,000.00 BEDAH SENTRAL APBD
26 Portable USG Probe Linear 477/SP/VI/2017 21-Jun-2017 541174/DMK/BAST/X/2017 4-Oct-2017 1.00 Unit 514,112,000.00 514,112,000.00 BEDAH SENTRAL APBD
27 Projection Vein Finder 503/SP/VII/2017 18-Jul-2017 001/BA/MI/X/2017 14-Oct-2017 1.00 Unit 84,000,000.00 84,000,000.00 IGD APBD
28 Projection Vein Finder 167/SPK/V/2017 22-May-2017 003/BA/MI/VII/2017 18-Jul-2017 1.00 Unit 80,594,100.00 80,594,100.00 IGD APBD
29 Aesculap Hernia and Appendix Set I (Set Hernia Dewasa) 511/SP/X/2017 19-Oct-2017 12/E-Katalog/WPI/XI/2017 8-Nov-2017 2.00 Set 83,254,500.00 166,509,000.00 BEDAH SENTRAL APBD
30 Amal Gamator 217/SP/V/2017 5-May-2017 002/S-CDI18/VI/2017 29-May-2017 1.00 Pc 6,280,000.00 6,280,000.00 POLI GIGI APBD
31 Bistos Medical Head Lamp 268/SPK-YM/IV/2017 9-Apr-2017 16-May-2017 1.00 Unit 1,100,000.00 1,100,000.00 RSUD PETALA BUMI APBD
32 Bistos Medical Head Lamp 169/SPK/V/2017 19-May-2017 12-Jun-2017 2.00 Unit 1,100,000.00 2,200,000.00 IGD APBD
33 Bistos Medical Head Lamp 224/SPK-YM/IV/2017 25-Mar-2017 16-May-2017 1.00 Unit 1,100,000.00 1,100,000.00 RSUD PETALA BUMI APBD
34 Pressure Infusion Cuff 500ml (Pressure Bag) 501/SP/VI/2017 10-Jun-2017 220/PAS/VII/2017 31-Jul-2017 2.00 Unit 1,210,000.00 2,420,000.00 ICU APBD
35 Mayo Stand 42/SPK-YM/III/2017 25-Mar-2017 146/EPM-PBR/ABM/V/2017 16-May-2017 3.00 Unit 3,829,533.33 11,488,600.00 BEDAH SENTRAL APBD
36 Examination Table 75/SPK-YM/III/2017 18-Apr-2017 150/EPM-PBR/ABM/V/2017 16-May-2017 2.00 Unit 8,321,500.00 16,643,000.00 RAWAT JALAN APBD
37 Aesculap IUD KIT 84/SPK-YM/IV/2017 4-Apr-2017 835/KEU/BMI/V/2017 30-May-2017 1.00 Set 14,374,000.00 14,374,000.00 RAWAT INAP APBD
38 Aesculap IUD KIT 82/SPK-YM/IV/2017 9-Apr-2017 836/KEU/BMI/V/2017 30-May-2017 1.00 Set 14,374,000.00 14,374,000.00 R.INAP KEBIDANAN APBD
39 Nierbekken Besar 505/SP/X/2017 13-Oct-2017 84/BBB-PKU/X/2017 25-Oct-2017 3.00 Bh 240,000.00 720,000.00 RSUD PETALA BUMI APBD
40 Termometer Digital 506/SP/X/2017 13-Oct-2017 85/BBB-PKU/X/2017 25-Oct-2017 2.00 Unit 420,000.00 840,000.00 RSUD PETALA BUMI APBD
41 Kacamata Kuda 507/SP/X/2017 13-Oct-2017 86/BBB-PKU/XI/2017 9-Nov-2017 3.00 Unit 300,000.00 900,000.00 RSUD PETALA BUMI APBD
42 Cup Vacum Silicon M/L 507/SP/X/2017 13-Oct-2017 86/BBB-PKU/XI/2017 9-Nov-2017 2.00 Unit 3,000,000.00 6,000,000.00 RSUD PETALA BUMI APBD
43 Trial Frame 646/SP/XI/2017 22-Nov-2017 87/BBB-PKU/XI/2017 23-Nov-2017 1.00 Unit 4,500,000.00 4,500,000.00 RSUD PETALA BUMI APBD
44 Alat Diagnostik Gigi (Terdiri dari : Sonde Halfmoon, Pincet, Excavator, Kaca 7316/SP/XI/2017 22-Nov-2017 020/S-CD118/XI/2017 27-Nov-2017 01242 30.00 Set 616,000.00 18,480,000.00 POLI GIGI APBDP
45 Transfer Stretcher Trolley 708/SP/XI/2017 14-Nov-2017 30/BASTP-ASM/2017 24-Nov-2017 2.00 Unit 46,980,000.00 93,960,000.00 IGD APBDP
46 Tabung Oksigen 298/SP/VII/2017 4-Jul-2017 8-Jul-2017 5.00 Unit 1,000,000.00 5,000,000.00 RSUD PETALA BUMI APBD
47 Regulator Oksigen 298/SP/VII/2017 4-Jul-2017 8-Jul-2017 5.00 Unit 400,000.00 2,000,000.00 RAWAT INAP APBD
48 Dorongan / Trolly 298/SP/VII/2017 4-Jul-2017 8-Jul-2017 5.00 Pcs 100,000.00 500,000.00 RAWAT INAP APBD
49 Lemari Obat 601/PM-SP/X/2017 30-Oct-2017 221/X/2017/K-BB 14-Nov-2017 01171 1.00 Unit 5,150,000.00 5,150,000.00 APOTEK APBD
50 Foot Step 463/SP/V/2017 18-May-2017 240/EPM-PBR/ABM/VIII/20 31-Aug-2017 4.00 Unit 1,028,000.00 4,112,000.00 IGD APBD
51 Foot Step 76/SPK-PER/III/2017 3-Apr-2017 259/EPM-BAST/V/2017 10-May-2017 00683 4.00 Unit 1,047,000.00 4,188,000.00 BEDAH SENTRAL APBD
52 Tip Scaler EMS 198/KPA.SP/2017 3-Apr-2017 15/TMS/V/2017 2-May-2017 00516 2.00 Pc 1,848,000.00 3,696,000.00 RSUD PETALA BUMI APBD
53 Tip Scaler Satelec 198/KPA.SP/2017 3-Apr-2017 15/TMS/V/2017 2-May-2017 00516 1.00 Pc 1,925,000.00 1,925,000.00 RSUD PETALA BUMI APBD
54 Set Hecting 027/RSUD-PB/2061 2-Jun-2017 00570 1.00 Set 2,800,000.00 2,800,000.00 RSUD PETALA BUMI APBD
55 Manikin CPR (Ambu Man Basic) 269/SP/IV/2017 4-Apr-2017 003/BASTP_MHJ06/MKT/V 2-May-2017 00523 1.00 Unit 11,880,000.00 11,880,000.00 IGD APBD
56 Gunting Perban 027/RSUD-PB/2159 5-Jun-2017 67/BBB-PKU/VI/2017 8-Jun-2017 00568 3.00 Buah 20,000.00 60,000.00 RSUD PETALA BUMI APBD
57 Torniquet 027/RSUD-PB/2159 5-Jun-2017 67/BBB-PKU/VI/2017 8-Jun-2017 00568 3.00 Buah 200,000.00 600,000.00 RSUD PETALA BUMI APBD
58 Reflex Hammer 027/RSUD-PB/2159 5-Jun-2017 67/BBB-PKU/VI/2017 8-Jun-2017 00568 2.00 Buah 100,000.00 200,000.00 RSUD PETALA BUMI APBD
59 Electric Gyn Examination Table 200/SPK-YM/IV/2017 9-Apr-2017 152/EPM-PBR/ABM/V/2017 16-May-2017 3.00 Unit 36,355,500.00 109,066,500.00 R.INAP KEBIDANAN APBD
60 Finger Bedside Monitor 027/RSUD-PB/2004 31-May-2017 53/BBB-PKU/VI/2017 6-Jun-2017 00569 4.00 Buah 5,900,000.00 23,600,000.00 RAWAT INAP APBD
61 Set Amblical 027/RSUD-PB/2004 31-May-2017 53/BBB-PKU/VI/2017 6-Jun-2017 00569 3.00 Set 5,900,000.00 17,700,000.00 RSUD PETALA BUMI APBD
62 Mobile Stretcher 39/SPK-YM/III/2017 17-Mar-2017 256/EPM-PBR/ABM/V/2017 12-May-2017 00681 1.00 Unit 8,873,500.00 8,873,500.00 RSUD PETALA BUMI APBD
63 Gunting Verban 027/RSUD-PB/2160 29-May-2017 65/BBB-PKU/VI/2017 8-Jun-2017 00366 3.00 Buah 25,000.00 75,000.00 RSUD PETALA BUMI
64 Termometer Digital 027/RSUD-PB/2160 29-May-2017 65/BBB-PKU/VI/2017 8-Jun-2017 00366 5.00 Pcs 45,000.00 225,000.00 RSUD PETALA BUMI
Alat Kesehatan 6.00 - 412,386,140.00 412,386,140.00

1 Shortwave Therapy Unit – DX 500 406/SP/VI/2017 19-Jun-2017 324/GSM-KEU/VIII/2017 1-Aug-2017 1.00 Unit 146,480,038.30 146,480,038.30 FISIOTERAPI APBD
2 Microwave Diathermy - Endosan 406/SP/VI/2017 19-Jun-2017 324/GSM-KEU/VIII/2017 1-Aug-2017 1.00 Unit 103,691,631.70 103,691,631.70 FISIOTERAPI APBD
3 Shoulder Wheel 435/SPK/IX/2017 7-Sep-2017 268/FM-YG/X/2017 26-Oct-2017 1.00 Unit 24,013,000.00 24,013,000.00 FISIOTERAPI APBD
4 Static Bycycle 435/SPK/IX/2017 7-Sep-2017 268/FM-YG/X/2017 26-Oct-2017 1.00 Unit 24,860,000.00 24,860,000.00 FISIOTERAPI APBD
5 Bed Therapy 435/SPK/IX/2017 7-Sep-2017 268/FM-YG/X/2017 26-Oct-2017 1.00 Unit 74,250,000.00 74,250,000.00 FISIOTERAPI APBD
6 Quad Ricep Setting 435/SPK/IX/2017 7-Sep-2017 268/FM-YG/X/2017 26-Oct-2017 1.00 Unit 39,091,470.00 39,091,470.00 FISIOTERAPI APBD
k Alat Laboratorium 27.00 - 2,365,292,329.00 2,391,603,924.00

1 Sentrifuge 24 Lobang 327/SP/V/2017 30-May-2017 1.00 Unit 70,294,979.00 70,294,979.00 LABORATORIUM APBD
2 K-Lite 5 112/KONTRAK/2017 3-May-2017 30-May-2017 1.00 Unit 47,915,600.00 47,915,600.00 LABORATORIUM APBD
3 CoaLAB 1000 112/KONTRAK/2017 3-May-2017 30-May-2017 1.00 Unit 321,956,000.00 321,956,000.00 LABORATORIUM APBD
4 Automated Erythrocyte Sedimentation Rate Analyzer 166/SPK/V/2017 18-May-2017 30-May-2017 1.00 Unit 32,740,000.00 32,740,000.00 LABORATORIUM APBD
5 Stethoscope Adult 393/SP/VI/2017 19-Jun-2017 407/GSM-KEU/IX/2017 5-Sep-2017 2.00 Unit 1,046,571.00 2,093,142.00 LABORATORIUM APBD
6 Tensimeter Desk Adult 393/SP/VI/2017 19-Jun-2017 407/GSM-KEU/IX/2017 5-Sep-2017 2.00 Unit 1,769,649.00 3,539,298.00 LABORATORIUM APBD
7 Pipette Reference 2 Singel-Channel Fixed 5 ul 197/SPK-PM/V/2017 12-May-2017 230/EPM-PBR/ABM/VII/201 3-Jul-2017 2.00 Unit 3,316,625.00 6,633,250.00 LABORATORIUM APBD
8 Pipette Reference 2 Singel-Channel Fixed 10 ul Yellow 197/SPK-PM/V/2017 12-May-2017 230/EPM-PBR/ABM/VII/201 3-Jul-2017 2.00 Unit 3,316,625.00 6,633,250.00 LABORATORIUM APBD
14 Microscope Binoculer dengan Lensa Obyektif Plan 218/SPK/V/2017 3-May-2017 0011/BS-TEKNISI/VII/2017 12-Jul-2017 1.00 Unit 34,298,000.00 34,298,000.00 LABORATORIUM APBD
15 Sterilisator Kering/Dry 260/SP/V/2017 3-May-2017 27-Sep-2017 1.00 Unit 19,850,000.00 19,850,000.00 LABORATORIUM APBD
16 Glucose Stater Kit 338/SP/VII/2017 18-May-2017 14-Jul-2017 2.00 Unit 279,000.00 558,000.00 LABORATORIUM APBD
17 Steam Sterilizer 382/SP/VI/2017 10-Jun-2017 IN/C/17.10.1124 5-Oct-2017 1.00 Unit 1,811,926,155.00 1,811,926,155.00 LABORATORIUM APBD
-
l Alat-Alat Persenjataan / Keamanan - - - -
3 GEDUNG DAN BANGUNAN - - 35,230,250.00 35,230,250.00

a Bangunan Gedung Tempat Kerja - - 35,230,250.00 35,230,250.00
1 Terali Ruang Outdoor AC Central 733/SPK/XI/2017 24-Nov-2017 90/BA-MC/XII/2017 14-Dec-2017 12,650,000.00 12,650,000.00 RSUD PETALA BUMI
2 Pagar Terali teras ruang IPAL + Pintu 733/SPK/XI/2017 24-Nov-2017 90/BA-MC/XII/2017 14-Dec-2017 6,957,500.00 6,957,500.00 RSUD PETALA BUMI
3 Pagar Terali samping gudang mushalla 733/SPK/XI/2017 24-Nov-2017 90/BA-MC/XII/2017 14-Dec-2017 2,972,750.00 2,972,750.00 RSUD PETALA BUMI
4 Pagar terali ruang mesin Cold Storage + Pintu 733/SPK/XI/2017 24-Nov-2017 90/BA-MC/XII/2017 14-Dec-2017 5,692,500.00 5,692,500.00 RSUD PETALA BUMI
5 Terali jendela ruang direktur 733/SPK/XI/2017 24-Nov-2017 90/BA-MC/XII/2017 14-Dec-2017 6,957,500.00 6,957,500.00 RSUD PETALA BUMI
b Bangunan Gedung Tempat Timggal - - - -
4 JALAN, JARINGAN DAN IRIGASI - - - -

a Jalan dan Jembatan - - - -
b Bangunan Air - - - -
c Instalasi - - - -
d Jaringan - - - -
5 ASET TETAP LAINNYA - - - -
6 ASET LAINNYA
a Kemitraan Dengan Pihak Ketiga
b Aset Tidak Berwujud
c Aset Lain-Lain
7 KONSTRUKSI DALAM PENGERJAAN - - - -
TOTAL 292.00 6,619,929,922.17 7,862,984,030.00
Pekanbaru, 08 Maret 2017

Penanggung jawab,
PENGGUNA BARANG PENGURUS BARANG
dr. SYLVANA ESTHERLITA, M.Kes AKMAL BUDIARSA, AMF

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
BUKU BARANG PAKAI HABIS

PROVINSI : Riau
PENERIMAAN PENGELUARAN
NO JUMLAH SPK / KONTRAK BERITA ACARA PEMERIKSAAN JUMLAH SERAH TERIMA
TANGGAL DITERIMA NAMA / URAIAN BARANG MERK / UKURAN TAHUN TANGGAL DIKELUARKAN
DISERAHKAN KEPADA KETERANGAN
UNIT HARGA SATUAN TOTAL HARGA NOMOR TANGGAL NOMOR TANGGAL UNIT HARGA SATUAN TOTAL HARGA NOMOR TANGGAL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 PERSEDIAAN TAHUN 2016 6,191,696.00 - 18,153,332,235.85 1,897,610.00 - 6,775,849,299.20
1 A BAHAN - - - - - -
B SUKU CADANG 2.00 - 1,000,700.00 2.00 - 1,000,700.00

1 Persediaan Alat bengkel 2.00 1,000,700.00 2.00 1,000,700.00 -
1 Mata bor besi set 2016 2 500,350.00 1,000,700.00 2.00 500,350.00 1,000,700.00
C ALAT/BAHAN UNTUK KEGIATAN KANTOR 1,225,208.00 - 8,186,503,422.77 544,847.00 - 2,813,344,284.77

1 Alat Tulis Kantor 1,933.00 10,004,706.67 1,933.00 10,004,706.67 -
1 Amplop Dinas (Padi) uk. 110x230 mm 2016 572.00 310.00 177,320.00 572.00 310.00 177,320.00
2 Amplop Folio F4 dinas (Padi) 2016 151.00 645.00 97,395.00 151.00 645.00 97,395.00
3 Amplop Putih Sinar Dunia uk. 110x230 mm 2016 110.00 275.00 30,250.00 110.00 275.00 30,250.00
4 Anak Pisau Cutter 2016 3.00 1,750.00 5,250.00 3.00 1,750.00 5,250.00
5 Buku Expedisi Cetak 3/4 2016 8.00 12,100.00 96,800.00 8.00 12,100.00 96,800.00
6 Binder Clips No. 111 2016 4.00 22,500.00 90,000.00 4.00 22,500.00 90,000.00
7 Binder Clips No. 260 2016 5.00 18,700.00 93,500.00 5.00 18,700.00 93,500.00
8 Isi Staples Max no. 10 2016 19.00 3,425.00 65,075.00 19.00 3,425.00 65,075.00
9 Isi Staples Max no. 3 2016 38.00 3,425.00 130,150.00 38.00 3,425.00 130,150.00
10 Isolasi Bening kecil 2016 2.00 14,750.00 29,500.00 2.00 14,750.00 29,500.00
11 Isolasi Bening besar 2016 2.00 16,500.00 33,000.00 2.00 16,500.00 33,000.00
12 Isolasi Coklat besar 2016 2.00 17,600.00 35,200.00 2.00 17,600.00 35,200.00
13 Kertas HVS Folio 70 Gram 2016 4.00 59,400.00 237,600.00 4.00 59,400.00 237,600.00
14 Kertas HVS Kwarto 70 Gram 2016 - 50,000.00 - - 50,000.00 -
15 Kertas Fax 2016 10.00 22,000.00 220,000.00 10.00 22,000.00 220,000.00
16 Kertas Thermal 2016 10.00 19,200.00 192,000.00 10.00 19,200.00 192,000.00
17 Kertas NCR 2016 4.00 41,800.00 167,200.00 4.00 41,800.00 167,200.00
18 Kartu Berobat 2016 800.00 8,200.00 6,560,000.00 800.00 8,200.00 6,560,000.00
19 Karet Penghapus Kecil Fabel Castel 2016 7.00 8,200.00 57,400.00 7.00 8,200.00 57,400.00
20 Klip Kertas Atom no. 1 2016 2.00 7,700.00 15,400.00 2.00 7,700.00 15,400.00
21 Pena Standar 2016 48.00 3,891.67 186,800.00 48.00 3,891.67 186,800.00
22 Pensil 2B Fabel Castel 2016 62.00 3,333.33 206,666.67 62.00 3,333.33 206,666.67
23 Post it kecil (mark warna warni) 2016 3.00 28,000.00 84,000.00 3.00 28,000.00 84,000.00
24 Post it Sedang / Stick note 2016 4.00 42,900.00 171,600.00 4.00 42,900.00 171,600.00
25 Spidol WB / Snowman 2016 33.00 8,333.33 275,000.00 33.00 8,333.33 275,000.00
26 Signo Refill Biru 2016 12.00 11,183.33 134,200.00 12.00 11,183.33 134,200.00
27 Tinta Stempel 2016 9.00 45,100.00 405,900.00 9.00 45,100.00 405,900.00
28 Tinta Canon Hitam 200 ml 2016 7.00 22,500.00 157,500.00 7.00 22,500.00 157,500.00
29 Tinta Canon Warna 200 ml 2016 2.00 25,000.00 50,000.00 2.00 25,000.00 50,000.00
2 Alat Listrik & Elektronik 2016 2,644.00 77,054,550.00 602.00 25,939,400.00 2,042.00 51,115,150.00
1 Isolasi Listrik 2016 6.00 19,500.00 117,000.00 6.00 19,500.00 117,000.00
2 Lampu Philips Ecotone 18 W 10pcs/ktk 2016 270.00 29,200.00 7,884,000.00 - 29,200.00 -
3 Lampu Philips Essential 23 W 12pcs/ktk 2016 29.00 38,900.00 1,128,100.00 13.00 38,900.00 505,700.00
4 Lampu Philips Fluoresen 32 W 12pcs/ktk 2016 156.00 38,900.00 6,068,400.00 - 38,900.00 -
5 Lampu Philips Lifemax 18 W 25pcs/ktk 2016 325.00 38,900.00 12,642,500.00 258.00 38,900.00 10,036,200.00
6 Lampu Philips Lifemax 22 W 25pcs/ktk 2016 30.00 38,900.00 1,167,000.00 8.00 38,900.00 311,200.00
7 Lampu Philips Lifemax 36 W 25pcs/ktk 2016 150.00 38,900.00 5,835,000.00 24.00 38,900.00 933,600.00
8 National Vinyl electrical tape 2016 1.00 21,000.00 21,000.00 - 21,000.00 -
9 Nylon Cable ties uk. 3,6 x 150 mm 2016 70.00 200.00 14,000.00 - 200.00 -
10 Panasonic Time Switch 2016 2.00 581,200.00 1,162,400.00 - 581,200.00 -
11 Panasonic Weatheproof Coverplate / WEJ 89911 2016 5.00 28,700.00 143,500.00 - 28,700.00 -
12 Panasonic WEJP 1121-7 20pcs/ktk (stop kontak) 2016 40.00 48,500.00 1,940,000.00 16.00 48,500.00 776,000.00
13 Philips Master 400 W /645 2016 3.00 174,400.00 523,200.00 1.00 174,400.00 174,400.00
14 Philips S10-P Perfomance starter 4-65W 2016 25.00 18,900.00 472,500.00 - 18,900.00 -
15 Philips Security Label / BTA 18W 220V 2016 9.00 15,200.00 136,800.00 - 15,200.00 -
16 Photo Controls Type:AS-2203EC 2016 2.00 198,000.00 396,000.00 - 198,000.00 -
17 Plastik terminal uk.10A 10mmm2 2016 8.00 15,000.00 120,000.00 1.00 15,000.00 15,000.00
18 Saklar tunggal 2016 2.00 24,400.00 48,800.00 - 24,400.00 -
19 Schneider Electric Clipsal E31/1/2AR 10pcs/ktk 2016 13.00 48,500.00 630,500.00 - 48,500.00 -
20 Schneider Electric Clipsal E426/16S 2016 4.00 58,200.00 232,800.00 4.00 58,200.00 232,800.00
21 Schneider Electric Domae /MCB 4 A 2016 9.00 48,500.00 436,500.00 4.00 48,500.00 194,000.00
26 Sony UPC-21L 2016 1.00 1,550,000.00 1,550,000.00 1.00 1,550,000.00 1,550,000.00
27 Stop kontak 2016 1.00 48,500.00 48,500.00 1.00 48,500.00 48,500.00
28 Tempat utk stop kontak merk Camry hitam 2016 10.00 15,000.00 150,000.00 - 15,000.00 -
29 Tempat utk stop kontak merk Superty putih 2016 3.00 15,000.00 45,000.00 1.00 15,000.00 15,000.00
30 Terminal kuningan 2016 1.00 27,250.00 27,250.00 - 27,250.00 -
31 Uninterrubtible Power System (UPS) 2016 6.00 700,000.00 4,200,000.00 1.00 700,000.00 700,000.00
32 Emergency Lamp EL-290 Toyosaki 2016 11.00 774,800.00 8,522,800.00 8.00 774,800.00 6,198,400.00
33 Baterai AA Panasonic 2016 860.00 14,700.00 12,642,000.00 - 14,700.00 -
34 Baterai AA Energizer 2016 256.00 7,000.00 1,792,000.00 - 7,000.00 -
35 Baterai Panasonic besar 2016 50.00 10,000.00 500,000.00 22.00 10,000.00 220,000.00
36 Baterai Akaline AAA 2016 3.00 7,000.00 21,000.00 3.00 7,000.00 21,000.00
37 Baterai Eveready besar 2016 4.00 10,000.00 40,000.00 2.00 10,000.00 20,000.00
38 Baterai Eveready sedang 2016 4.00 10,000.00 40,000.00 4.00 10,000.00 40,000.00
39 Baterai Dotori 2016 45.00 20,000.00 900,000.00 45.00 20,000.00 900,000.00
40 Baterai Akaline petak 2016 5.00 43,000.00 215,000.00 5.00 43,000.00 215,000.00
41 Baterai Eveready AAA 2016 132.00 7,000.00 924,000.00 132.00 7,000.00 924,000.00
42 Baterai Petak Panasonic 2016 50.00 43,000.00 2,150,000.00 25.00 43,000.00 1,075,000.00
43 Pipa Duk 2016 20.00 24,400.00 488,000.00 10.00 24,400.00 244,000.00
3 Alat kebersihan 2016 3,998.00 45,014,600.00 1,995.00 21,412,400.00 23,602,200.00

1 Apron Perlak / Skor 2016 6 125,000.00 750,000.00 6 125,000.00 750,000.00
2 Apron Plastik / Skor 2016 20 125,000.00 2,500,000.00 20 125,000.00 2,500,000.00
3 Cairan Pengkilat Logam 2016 4 119,500.00 478,000.00 - 119,500.00 -
4 Gayung Plastik 2016 19 14,000.00 266,000.00 - 14,000.00 -
5 Handsoap 4000ml 2016 82 42,900.00 3,517,800.00 17 42,900.00 729,300.00
6 Kaca mata Krisbow Safety 2016 6 65,000.00 390,000.00 6 65,000.00 390,000.00
7 Kaca mata Safety 2016 4 65,000.00 260,000.00 - 65,000.00 -
8 Kaca mata Safety Impact Goggle 2016 7 85,000.00 595,000.00 - 85,000.00 -
9 Pot Spuntum plastik (cangkir untuk dahak) 2016 10 25,000.00 250,000.00 10 25,000.00 250,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
10 PTFE Thread Seal Tape 2016 300 18,500.00 5,550,000.00 300 18,500.00 5,550,000.00
11 Sapu Plastik 2016 2 29,000.00 58,000.00 1 29,000.00 29,000.00
12 Sandal Pasien 2016 2,400 3,900.00 9,360,000.00 575 3,900.00 2,242,500.00
13 Sepatu Booth Karet Panjang kuning 2016 8 225,000.00 1,800,000.00 - 225,000.00 -
14 Sepatu Booth Pendek 2016 10 150,000.00 1,500,000.00 - 150,000.00 -
15 Sepatu Booth warna hijau lumut 2016 11 225,000.00 2,475,000.00 2 225,000.00 450,000.00
16 Sikat kawat 2016 3 30,000.00 90,000.00 - 30,000.00 -
17 Super Pell 2016 12 19,700.00 236,400.00 6 19,700.00 118,200.00
18 Tisu Toilet 2016 708 3,900.00 2,761,200.00 708 3,900.00 2,761,200.00
19 Wipol 2016 15 19,700.00 295,500.00 15 19,700.00 295,500.00
20 Vixal 2016 6 19,700.00 118,200.00 6 19,700.00 118,200.00
21 Sepatu Booth pendek kuning pakai tali 2016 10 280,000.00 2,800,000.00 - 280,000.00 -
22 Selang Hydran 2016 2 1,350,000.00 2,700,000.00 - 1,350,000.00 -
23 Plastik Sampah Medis (kuning) Jumbo (1kg/pack) 2016 4 34,500.00 138,000.00 4 34,500.00 138,000.00
24 Plastik Sampah Hitam Jumbo (1kg/pack) 2016 45 34,500.00 1,552,500.00 15 34,500.00 517,500.00
25 Kantong Plastik Hitam Kecil (0,5kg/pack) 2016 230 12,000.00 2,760,000.00 230 12,000.00 2,760,000.00
26 Kantong Plastik Hitam Sedang (1kg/pack) 2016 50 24,500.00 1,225,000.00 50 24,500.00 1,225,000.00
27 Kantong Plastik Pink Sedang (1kg/pack) 2016 9 24,500.00 220,500.00 9 24,500.00 220,500.00
28 Kantong Plastik Kuning Sedang (8 ons/pack) 2016 15 24,500.00 367,500.00 15 24,500.00 367,500.00
4 Barang cetakan 9,536.00 103,050,810.00 3,187.00 56,432,800.00 46,618,010.00

1 Cetak Keperluan Administrasi & Manajemen -
2 Amplop Radiologi besar (coklat) 2016 100.00 2,000.00 200,000.00 100.00 2,000.00 200,000.00
3 Daftar Permintaan Barang/Rangkap 2016 27.00 20,000.00 540,000.00 27.00 20,000.00 540,000.00
4 Form Survey Kepuasan Pasien 2016 1.00 102,000.00 102,000.00 - 102,000.00 -
5 Formulir Identitas Pasien Baru 2016 46.00 102,000.00 4,692,000.00 46.00 102,000.00 4,692,000.00
6 Formulir Produksi Linen 2016 10.00 87,200.00 872,000.00 - 87,200.00 -
7 Instalasi Patologi Anatomi / Rangkap 2016 16.00 102,000.00 1,632,000.00 15.00 102,000.00 1,530,000.00
8 Kertas HVS Folio kop surat RSUD PB 2016 13.00 150,000.00 1,950,000.00 13.00 150,000.00 1,950,000.00
9 Laporan Permohonan Pemeliharaan/Perbaikan / Rangkap 2016 7.00 12,000.00 84,000.00 7.00 12,000.00 84,000.00
10 Lembaran Disposisi 2016 6.00 14,000.00 84,000.00 6.00 14,000.00 84,000.00
11 Map Kertas RSPB 2016 93.00 3,000.00 279,000.00 93.00 3,000.00 279,000.00
12 Map Kertas Tulang RSPB 2016 110.00 4,000.00 440,000.00 110.00 4,000.00 440,000.00
13 Penelitian Kelengkapan Dokumen Spp/Rangkap 2016 23.00 70,000.00 1,610,000.00 - 70,000.00 -
14 Surat Keterangan Bebas Narkoba 2016 5.00 102,000.00 510,000.00 5.00 102,000.00 510,000.00
15 Surat Keterangan Dirawat RM.53 2016 26.00 12,000.00 312,000.00 3.00 12,000.00 36,000.00
16 Surat Keterangan Hamil 2016 2.00 102,000.00 204,000.00 2.00 102,000.00 204,000.00
17 Surat Keterangan Pemeriksaan Buta Warna 2016 13.00 102,000.00 1,326,000.00 5.00 102,000.00 510,000.00
18 Surat Keterangan Sakit 2016 21.00 13,000.00 273,000.00 21.00 13,000.00 273,000.00
19 Surat Pengambilan Jenazah 2016 8.00 13,000.00 104,000.00 - 13,000.00 -
20 Surgical Safety Checklist RM. 11.1 2016 3.00 102,000.00 306,000.00 - 102,000.00 -
21 Cetak Keperluan PONEK 2016 -
22 Vagina Toucher (Periksa Dalam) RM.2c3-2c.6 2016 7.00 105,000.00 735,000.00 7.00 105,000.00 735,000.00
23 Kartu Bayi 2016 9.00 25,000.00 225,000.00 9.00 25,000.00 225,000.00
24 Pengkajian Awal Kebidanan Pasien Rawat Inap RM 7.1-7.2 2016 9.00 104,000.00 936,000.00 9.00 104,000.00 936,000.00
25 Pengkajian Awal Kebidanan Pasien Rawat Jalan RM.4c.1-4c.2 2016 2.00 105,000.00 210,000.00 2.00 105,000.00 210,000.00
26 Pengkajian Awal Keperawatan Pasien IGD RM.2a.3-2a.4 2016 5.00 104,000.00 520,000.00 5.00 104,000.00 520,000.00
27 Pengkajian Awal Keperawatan Pasien Rawat Inap RM.6.3-6.4 2016 4.00 104,000.00 416,000.00 4.00 104,000.00 416,000.00
28 Pengkajian Awal Keperawatan Perinatologi RM.60.1 2016 4.00 103,000.00 412,000.00 4.00 103,000.00 412,000.00
29 Pengkajian Awal Medis Pasien IGD 2016 4.00 103,000.00 412,000.00 4.00 103,000.00 412,000.00
30 Pengkajian Awal Medis Pasien Kebidanan IGD RM.2b1 2016 5.00 103,000.00 515,000.00 5.00 103,000.00 515,000.00
31 Pengkajian Awal Medis Pasien Rawat Inap 2016 4.00 103,000.00 412,000.00 4.00 103,000.00 412,000.00
32 Pengkajian Awal Medis Pasien Rawat Jalan (Kebidanan) 2016 4.00 103,000.00 412,000.00 4.00 103,000.00 412,000.00
33 Pengkajian Awal Pasien Rawat Jalan 2016 4.00 103,000.00 412,000.00 4.00 103,000.00 412,000.00
34 Cetak Keperluan Jaminan Kesehatan 2016 -
35 Catatan Perawatan Pasien Pindah RM. 6e 2016 4.00 103,000.00 412,000.00 - 103,000.00 -
36 Resep Rangkap/Bpjs/Jamkesda/Jamkesmas 2016 31.00 14,000.00 434,000.00 31.00 14,000.00 434,000.00
37 Resep Umum 2016 35.00 14,000.00 490,000.00 35.00 14,000.00 490,000.00
38 Rincian Kunjungan Pasien Rawat Jalan Jamkesda RM. 63 2016 4.00 95,000.00 380,000.00 2.00 95,000.00 190,000.00
39 Surat Balasan Rujukan 2016 18.00 10,000.00 180,000.00 18.00 10,000.00 180,000.00
40 Surat Rujukan 2016 27.00 10,000.00 270,000.00 9.00 10,000.00 90,000.00
41 Surat Rujukan Pasien RM. 51 2016 17.00 103,000.00 1,751,000.00 17.00 103,000.00 1,751,000.00
42 Cetak Blangko Keperluan Keuangan 2016 -
43 Kwitansi IGD / Rangkap 2016 8.00 32,000.00 256,000.00 8.00 32,000.00 256,000.00
44 Perincian Biaya Kwitansi Rawat Jalan/Rangkap RM. 61 2016 35.00 20,000.00 700,000.00 35.00 20,000.00 700,000.00
45 Perincian Biaya Rawat Inap 2016 11.00 42,000.00 462,000.00 11.00 42,000.00 462,000.00
46 Rincian Biaya Kamar Operasi 2016 10.00 24,000.00 240,000.00 - 24,000.00 -
47 Rincian Biaya Pelayanan Kesehatan Pada Poli Gigi (Perda No. 6 Thn 2013) 2016 4.00 22,000.00 88,000.00 4.00 22,000.00 88,000.00
48 Tanda Bukti Pembayaran / Rangkap 2016 27.00 30,500.00 823,500.00 1.00 30,500.00 30,500.00
49 Cetak Blangko Pelayanan 2016 -
50 Anamesa Makan Sehari 2016 2.00 87,200.00 174,400.00 - 87,200.00 -
51 Asuhan Kebidanan RM 7d-7e 2016 2.00 104,000.00 208,000.00 2.00 104,000.00 208,000.00
52 Asuhan Keperawatan Kamar Operasi 2016 1.00 104,000.00 104,000.00 1.00 104,000.00 104,000.00
53 Berita Acara Cash Opname 2016 9.00 63,200.00 568,800.00 - 63,200.00 -
54 Catatan Edukasi Pasien / Keluarga 2016 5.00 104,000.00 520,000.00 5.00 104,000.00 520,000.00
55 Catatan Fisioterapi 2016 3.00 104,000.00 312,000.00 2.00 104,000.00 208,000.00
56 Catatan Medis Kasus Keracunan Di Instalasi Gawat Darurat 2016 6.00 104,000.00 624,000.00 - 104,000.00 -
57 Catatan Perkembangan (Implementasi & Evaluasi) 2016 3.00 110,000.00 330,000.00 3.00 110,000.00 330,000.00
58 Catatan Perkembangan Pasien Terintegrasi 2016 4.00 105,000.00 420,000.00 4.00 105,000.00 420,000.00
59 Curva List 2016 2.00 105,000.00 210,000.00 2.00 105,000.00 210,000.00
60 Daftar Check Pre.Operasi Dan Pemeriksaan Post. Operasi 2016 6.00 105,000.00 630,000.00 6.00 105,000.00 630,000.00
61 Daftar Kontrol Infus 2016 21.00 105,000.00 2,205,000.00 14.00 105,000.00 1,470,000.00
62 Daftar Pemakaian Obat Dan Alkes 2016 4.00 105,000.00 420,000.00 4.00 105,000.00 420,000.00
63 Data Umum Pasien 2016 2.00 105,000.00 210,000.00 2.00 105,000.00 210,000.00
64 Diagnosa Dan Intervensi Keperawatan RM.6a.1 2016 2.00 105,000.00 210,000.00 2.00 105,000.00 210,000.00
67 Diagnosa Dan Intervensi Keperawatan RM.6a.12 2016 3.00 105,000.00 315,000.00 - 105,000.00 -
69 Diagnosa Dan Intervensi Keperawatan RM.6a.14 2016 1,300.00 210.00 273,000.00 - 210.00 -
71 Diagnosa Dan Intervensi Keperawatan RM.6a.16 2016 3.00 210.00 630.00 - 210.00 -
75 Diagnosa Dan Intervensi Keperawatan RM.6a.2 2016 1,300.00 210.00 273,000.00 - 210.00 -
79 Diagnosa Dan Intervensi Keperawatan RM.6a.23 2016 300.00 210.00 63,000.00 - 210.00 -
81 Diagnosa Dan Intervensi Keperawatan RM.6a.25 2016 1,200.00 210.00 252,000.00 500.00 210.00 105,000.00
82 Diagnosa Dan Intervensi Keperawatan RM.6a.3 2016 550.00 210.00 115,500.00 - 210.00 -
87 Diagnosa Dan Intervensi Keperawatan RM.6a.8 2016 1,100.00 210.00 231,000.00 500.00 210.00 105,000.00
88 Diagnosa Dan Intervensi Keperawatan RM.6a.9 2016 1,050.00 210.00 220,500.00 1,050.00 210.00 220,500.00
89 Diagnosa Dan Rencana Keperawatan Neonatus 2016 4.00 105,000.00 420,000.00 4.00 105,000.00 420,000.00
90 Faktor Resiko Jatuh Skala Humpty Pumpty Untuk Anak-Anak 2016 5.00 105,000.00 525,000.00 5.00 105,000.00 525,000.00
91 Faktor Resiko Jatuh Skala Morse 2016 1.00 105,000.00 105,000.00 1.00 105,000.00 105,000.00
92 Flip Chart 2016 1.00 1,200,000.00 1,200,000.00 1.00 1,200,000.00 1,200,000.00
93 Form Permintaan Pelayanan Kerohanian 2016 4.00 105,000.00 420,000.00 2.00 105,000.00 210,000.00
94 Format Dokumentasi Pemberian Informasi 2016 2.00 87,200.00 174,400.00 - 87,200.00 -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
95 Format Pemakaian Obat & Bhp Kamar Ok 2016 4.00 104,000.00 416,000.00 - 104,000.00 -
96 Formulir Daftar DPJP 2016 5.00 104,000.00 520,000.00 5.00 104,000.00 520,000.00
97 Formulir Data Penyakit Pasien 2016 2.00 87,200.00 174,400.00 - 87,200.00 -
98 Formulir Identifikasi Bayi 2016 16.00 37,000.00 592,000.00 14.00 37,000.00 518,000.00
99 Formulir Pemantauan Pendokumentasian Asuhan Keperawatan 2016 1.00 87,200.00 87,200.00 - 87,200.00 -
100 Formulir Penerimaan Perintah Lisan / Telepon Untuk Hasil Tes Yang Kritikal 2016 3.00 104,000.00 312,000.00 3.00 104,000.00 312,000.00
101 Formulir Pengeluaran Obat Dan Bhp Gudang Farmasi 2016 6.00 63,200.00 379,200.00 - 63,200.00 -
102 Formulir Penundaan Pelayanan 2016 2.00 87,200.00 174,400.00 - 87,200.00 -
103 Formulir Penyimpanan Barang Berharga Milik Pasien 2016 2.00 104,000.00 208,000.00 - 104,000.00 -
104 Formulir Peresepan Dan Pengeluaran Barang / Rangkap 2016 21.00 63,000.00 1,323,000.00 - 63,000.00 -
105 Formulir Perintah Lisan / Melalui Telepon / Pelaporan Hasil Pemeriksaan Yang Kritis 2016 3.00 104,000.00 312,000.00 3.00 104,000.00 312,000.00
106 Formulir Permintaan Pemeriksaan Labor 2016 36.00 90,000.00 3,240,000.00 36.00 90,000.00 3,240,000.00
107 Formulir Permintaan Penterjemah RM. 68 2016 10.00 105,000.00 1,050,000.00 10.00 105,000.00 1,050,000.00
108 Formulir Rujukan / Pindah Pasien Tb 2016 2.00 87,200.00 174,400.00 - 87,200.00 -
109 Formulir Rujukan Pasien Dbd 2016 2.00 105,000.00 210,000.00 2.00 105,000.00 210,000.00
110 Formulir Sterilisasi 2016 10.00 87,200.00 872,000.00 - 87,200.00 -
111 Formulir Surveilans Infeksi Luka Operasi RM. 14 2016 4.00 105,000.00 420,000.00 4.00 105,000.00 420,000.00
112 Formulir Surveilans Infeksi Rsud Petala Bumi 2016 3.00 87,200.00 261,600.00 3.00 87,200.00 261,600.00
113 Formulir Terapi RM. 31 2016 3.00 105,000.00 315,000.00 3.00 105,000.00 315,000.00
114 Hasil Pemeriksaan Labor Paces Rutin 2016 2.00 87,200.00 174,400.00 2.00 87,200.00 174,400.00
115 Hasil Pemeriksaan Laboratorium (Elektrolit) 2016 2.00 105,000.00 210,000.00 2.00 105,000.00 210,000.00
116 Hasil Pemeriksaan Laboratorium (Hematologi) / Rangkap 2016 26.00 50,000.00 1,300,000.00 26.00 50,000.00 1,300,000.00
117 Hasil Pemeriksaan Laboratorium (Kimia Klinik) / Rangkap 2016 23.00 43,000.00 989,000.00 23.00 43,000.00 989,000.00
118 Hasil Rontgen 2016 4.00 20,000.00 80,000.00 - 20,000.00 -
119 Hasil Usg 2016 20.00 102,000.00 2,040,000.00 15.00 102,000.00 1,530,000.00
120 Identitas Pasien 2016 10.00 63,200.00 632,000.00 - 63,200.00 -
121 Indeks Kematian 2016 150.00 87,200.00 13,080,000.00 - 87,200.00 -
122 Indeks Penyakit Pasien rawat inap Lamp. 9 2016 2.00 87,200.00 174,400.00 2.00 87,200.00 174,400.00
123 Indeks Penyakit Pasien rawat jalan Lamp. 10 2016 2.00 87,200.00 174,400.00 - 87,200.00 -
124 Invoice IGD 2016 6.00 102,000.00 612,000.00 6.00 102,000.00 612,000.00
125 Jadwal Operasi 2016 29.00 102,000.00 2,958,000.00 11.00 102,000.00 1,122,000.00
126 Kartu Surat Keluar 2016 19.00 12,200.00 231,800.00 5.00 12,200.00 61,000.00
127 Kartu Surat Masuk 2016 16.00 12,200.00 195,200.00 - 12,200.00 -
128 Laporan Operasi RM. 10 2016 19.00 43,000.00 817,000.00 19.00 43,000.00 817,000.00
129 Layanan Rehabilitasi Medik 2016 5.00 103,000.00 515,000.00 4.00 103,000.00 412,000.00
130 Lembar Konsultasi 2016 6.00 103,000.00 618,000.00 4.00 103,000.00 412,000.00
131 Monev Komunikasi efektif Perintah lisan 2016 3.00 103,000.00 309,000.00 2.00 103,000.00 206,000.00
132 Monitoring Inisiasi Menyusui Dini (Imd) 2016 2.00 87,200.00 174,400.00 1.00 87,200.00 87,200.00
133 Pengkajian Awal Kebidanan Pasien IGD RM.2c.1-2c.2 2016 6.00 104,000.00 624,000.00 - 104,000.00 -
134 Pengkajian Gizi Lanjutan & Tindak Lanjut 2016 1.00 87,200.00 87,200.00 - 87,200.00 -
135 Pengkajian Kebidanan 2016 4.00 87,200.00 348,800.00 4.00 87,200.00 348,800.00
136 Pengkajian Perawatan Pasien Icu/Comprehensive Adminission Assessment 2016 1.00 102,000.00 102,000.00 1.00 102,000.00 102,000.00
137 Pengkajian Tahap Terminal 2016 3.00 102,000.00 306,000.00 - 102,000.00 -
138 Penolakan Tindakan Dokter RM. 28 2016 5.00 102,000.00 510,000.00 3.00 102,000.00 306,000.00
139 Perincian Harian Tindakan Perawatan / Kebidanan Rawat Inap / Irja/Ird/Anastesi Rsud Petala Bumi RM.42 2016 4.00 102,000.00 408,000.00 4.00 102,000.00 408,000.00
140 Perincian Pelayanan Medis Pasien Rawat Inap RSUD PB RM.67 2016 4.00 102,000.00 408,000.00 4.00 102,000.00 408,000.00
141 Permintaan Darah Utk Tranfusi 2016 5.00 102,000.00 510,000.00 5.00 102,000.00 510,000.00
142 Permintaan Gizi 2016 29.00 91,000.00 2,639,000.00 - 91,000.00 -
143 Persetujuan Tindakan Bedah 2016 1.00 87,200.00 87,200.00 1.00 87,200.00 87,200.00
144 Persetujuan Tindakan Kedokteran RM. 27 2016 5.00 102,000.00 510,000.00 5.00 102,000.00 510,000.00
145 Persetujuan Umum (General Concent) Rawat Inap RM.1b1 2016 6.00 102,000.00 612,000.00 6.00 102,000.00 612,000.00
146 Rawat Inap (10 Penyakit Terbesar) 2016 18.00 16,000.00 288,000.00 3.00 16,000.00 48,000.00
147 Rekap Pasien Bulanan Rawat Inap (Dinkes ) 2016 3.00 105,000.00 315,000.00 2.00 105,000.00 210,000.00
148 Rencana Keperawatan RM.6b 2016 5.00 102,000.00 510,000.00 - 102,000.00 -
149 Resume Keperawatan Pasien Pulang 2016 13.00 106,000.00 1,378,000.00 13.00 106,000.00 1,378,000.00
150 Resume Medis Pasien Pulang 2016 20.00 37,000.00 740,000.00 20.00 37,000.00 740,000.00
151 Resume Medis RM.8.1 2016 7.00 47,000.00 329,000.00 7.00 47,000.00 329,000.00
152 Resume Rawat Jalan RM. 4a 2016 4.00 106,000.00 424,000.00 4.00 106,000.00 424,000.00
153 Ringkasan Keluar (Resume) 2016 3.00 87,200.00 261,600.00 2.00 87,200.00 174,400.00
154 Ringkasan Masuk dan Keluar 2016 2.00 103,000.00 206,000.00 2.00 103,000.00 206,000.00
155 Ringkasan Pasien Pulang Rsud PB RM.29 2016 3.00 101,000.00 303,000.00 1.00 101,000.00 101,000.00
156 Salinan Resep 2016 14.00 63,200.00 884,800.00 14.00 63,200.00 884,800.00
157 Sensus Harian Kamar Operasi RM Lamp. 4 2016 2.00 105,000.00 210,000.00 - 105,000.00 -
158 Sensus Harian Pasien IGD 2016 3.00 87,200.00 261,600.00 2.00 87,200.00 174,400.00
159 Sensus Harian Pasien Rawat Inap (Dinkes) RM. Lap.1 2016 4.00 106,000.00 424,000.00 - 106,000.00 -
160 Sensus Harian Pasien Rawat Jalan RM. 43 2016 4.00 99,000.00 396,000.00 4.00 99,000.00 396,000.00
161 Serah Terima Darah 2016 9.00 63,200.00 568,800.00 - 63,200.00 -
162 Serah Terima Pasien IRD 2016 4.00 87,200.00 348,800.00 - 87,200.00 -
163 Skrining Asuhan Gizi Anak 2016 200.00 174.40 34,880.00 - 174.40 -
164 Status medis saat masuk kamar operasi 2016 1.00 87,200.00 87,200.00 1.00 87,200.00 87,200.00
165 Subjective Global Assesment 2016 4.00 99,000.00 396,000.00 - 99,000.00 -
166 Surat Elegibilitas Peserta / Sep Manual (Bpjs) 2016 10.00 63,200.00 632,000.00 - 63,200.00 -
167 Surat Keterangan Kematian 2016 8.00 63,200.00 505,600.00 7.00 63,200.00 442,400.00
168 Surat Keterangan Kesehatan (KIR) 2016 5.00 100,000.00 500,000.00 5.00 100,000.00 500,000.00
169 Surat Kontrol /Rangkap RM. 54 2016 24.00 16,000.00 384,000.00 24.00 16,000.00 384,000.00
170 Surat Pengantar Rontgen / Rangkap RM. 49 2016 22.00 25,000.00 550,000.00 22.00 25,000.00 550,000.00
171 Surat Perintah Tugas 2016 750.00 174.40 130,800.00 - 174.40 -
172 Surat Permintaan Dirawat/Operasi (Rangkap) 2016 18.00 25,000.00 450,000.00 10.00 25,000.00 250,000.00
173 Surat Permintaan Second Opinion RM. 62 2016 1.00 103,000.00 103,000.00 - 103,000.00 -
174 Surat Pernyataan Bersedia Dilakukan Resusitasi 2016 6.00 103,000.00 618,000.00 1.00 103,000.00 103,000.00
175 Surat Pernyataan Jangan Dilakukan Resusitasi (Do Not Resucitate/ Dnr) 2016 6.00 103,000.00 618,000.00 2.00 103,000.00 206,000.00
176 Surat Pernyataan Penolakan Pengobatan 2016 4.00 103,000.00 412,000.00 - 103,000.00 -
177 Surat Pernyataan Pertukaran Dinas 2016 5.00 87,200.00 436,000.00 - 87,200.00 -
178 Surat Pernyataan RM. 67 2016 2.00 103,000.00 206,000.00 2.00 103,000.00 206,000.00
179 Surat Rawat Jalan (10 Penyakit Terbesar) 2016 19.00 16,000.00 304,000.00 - 16,000.00 -
180 Surat Tanda Setoran / Rangkap 2016 29.00 91,000.00 2,639,000.00 - 91,000.00 -
5 Material Laboratorium 128,846.00 391,931,610.67 128,846.00 391,931,610.67 -

1 Anti HBs Rapid Test 2016 275.00 22770 6,261,750.00 275.00 22770 6,261,750.00
2 Asam Asetat 6 % 2016 19.00 88.55 1,682.45 19.00 88.55 1,682.45
3 Benedict 2016 10.00 28463 284,630.00 10.00 28463 284,630.00
4 Biocemistry Calibrator 2016 5.00 2149000 10,745,000.00 5.00 2149000 10,745,000.00
5 Blood Lancet 2016 20,000.00 316.25 6,325,000.00 20,000.00 316.25 6,325,000.00
6 Blue Tip 2016 30,000.00 458.563 13,756,890.00 30,000.00 458.563 13,756,890.00
7 Brus Tabung Reaksi Besar 2016 7.00 18975 132,825.00 7.00 18975 132,825.00
8 Brus Tabung Reaksi Kecil 2016 8.00 7590 60,720.00 8.00 7590 60,720.00
9 Buffer PH 7,2 2016 6.00 417.45 2,504.70 6.00 417.45 2,504.70
10 Calibrator Serum Chemistry 2016 6.00 2563143 15,378,858.00 6.00 2563143 15,378,858.00
11 Control Assayed level 2 2016 2.00 1958220 3,916,440.00 2.00 1958220 3,916,440.00
12 Control Hemotologi 2016 6.00 5615335 33,692,010.00 6.00 5615335 33,692,010.00
13 Deg Glass 22 x 22 mm 2016 2,000.00 885.5 1,771,000.00 2,000.00 885.5 1,771,000.00
14 Dengue Rapid NS1 Ag 2016 900.00 148556.54 133,700,886.00 900.00 148556.54 133,700,886.00
15 DHF IGG/IGM (GLORY) 2016 500.00 64000 32,000,000.00 500.00 64000 32,000,000.00
16 EDTA 10% 2016 2.00 1224.52 2,449.04 2.00 1224.52 2,449.04
17 EOSIN 2% 2016 5.00 313.0875 1,565.44 5.00 313.0875 1,565.44
18 Etil Alkohol 2016 3.00 63.25 189.75 3.00 63.25 189.75
19 Giemsa 2016 5.00 302600 1,513,000.00 5.00 302600 1,513,000.00
20 GRAM /PEWARNA GRAM 2016 6.00 138222.333333333 829,334.00 6.00 138222.333333333 829,334.00
21 IgM Anti HAV(SD HAV IGGM/IGM) 2016 125.00 93610 11,701,250.00 125.00 93610 11,701,250.00
22 Immersion Oil 2016 3.00 1308.01 3,924.03 3.00 1308.01 3,924.03
23 Iodium 1% 2016 5.00 1461.075 7,305.38 5.00 1461.075 7,305.38
24 Kapas Lidi Non steril 2016 5,150.00 500 2,575,000.00 5,150.00 500 2,575,000.00
25 Kartu Gol Darah 2016 1,800.00 253 455,400.00 1,800.00 253 455,400.00
26 Kertas Lakmus Merah 2016 4,000.00 1117.62 4,470,480.00 4,000.00 1117.62 4,470,480.00
27 Kertas Saring Whatman 2016 400.00 632.5 253,000.00 400.00 632.5 253,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
28 KOH 10% 2016 12.00 375.705 4,508.46 12.00 375.705 4,508.46
29 Korek Api 2016 500.00 1265 632,500.00 500.00 1265 632,500.00
30 Labu Semprot 2016 50.00 129.408 6,470.40 50.00 129.408 6,470.40
31 Lampu bunsen 2016 6.00 75900 455,400.00 6.00 75900 455,400.00
32 LED Disposibel laboraturium 2016 12,000.00 2941.125 35,293,500.00 12,000.00 2941.125 35,293,500.00
33 Lidi Tusuk Sate 2016 32,000.00 50.6 1,619,200.00 32,000.00 50.6 1,619,200.00
34 Lugol 2016 2.00 23.529 47.06 2.00 23.529 47.06
35 Methanol 2016 1.00 37.95 37.95 1.00 37.95 37.95
36 Nald Vacuitaner BD 2016 2,050.00 6364.9234 13,048,092.97 2,050.00 6364.9234 13,048,092.97
37 Objek Glass Hijau (TB) 2016 4,608.00 439.2361111111 2,024,000.00 4,608.00 439.2361111111 2,024,000.00
38 Objek Glass merah 2016 3,024.00 384.3333333333 1,162,224.00 3,024.00 384.3333333333 1,162,224.00
39 Pipet tetes Plastik 3 ml 2016 900.00 2530 2,277,000.00 900.00 2530 2,277,000.00
40 Plat widal 2016 1.00 126500 126,500.00 1.00 126500 126,500.00
41 Reagen APTT (APTTS dan TACL) 2016 2,000.00 3542 7,084,000.00 2,000.00 3542 7,084,000.00
42 Reagen PT 2016 800.00 4743.75 3,795,000.00 800.00 4743.75 3,795,000.00
43 Reagen Ziehl Neelsen 2016 21.00 333960 7,013,160.00 21.00 333960 7,013,160.00
44 Refill Stick Accuntrend Plus 2016 100.00 24490.4 2,449,040.00 100.00 24490.4 2,449,040.00
45 Repid test HIV 2016 100.00 43010 4,301,000.00 100.00 43010 4,301,000.00
46 Spritus 2016 8.00 50.6 404.80 8.00 50.6 404.80
47 Tabung non EDTA 2 ml (MERAH) 2016 2,400.00 3600 8,640,000.00 2,400.00 3600 8,640,000.00
48 Tabung reaksi 12 x 75 mm (DARAH) 2016 250.00 10278.125 2,569,531.25 250.00 10278.125 2,569,531.25
49 Tabung reaksi 16 x 100 mm (URIN) 2016 200.00 7906.25 1,581,250.00 200.00 7906.25 1,581,250.00
50 Tabung reaksi kaca tanpa ukuran 2016 500.00 13788.5 6,894,250.00 500.00 13788.5 6,894,250.00
51 Timer digital 2016 1.00 63250 63,250.00 1.00 63250 63,250.00
52 Tubex IgM Salmonella 2016 1.00 5041025 5,041,025.00 1.00 5041025 5,041,025.00
53 Tusuk Gigi 2016 39.00 5000 195,000.00 39.00 5000 195,000.00
54 Yellow tip 2016 2,000.00 458.5625 917,125.00 2,000.00 458.5625 917,125.00
55 ETANOL ASAM 3.0% 2016 6.00 650000 3,900,000.00 6.00 650000 3,900,000.00
56 Carbol Fuchsin 0,3 % 2016 7.00 60000 420,000.00 7.00 60000 420,000.00
57 METHYLENE BLUE 0,3% 2016 7.00 45000 315,000.00 7.00 45000 315,000.00
58 Asam Alkohol 2016 4.00 65000 260,000.00 4.00 65000 260,000.00
6 Material Kesehatan 2016 1,077,259.00 7,392,097,545.43 408,219.00 2,294,782,567.44 5,097,314,977.99

GUDANG FARMASI 2016 1,034,042 6,791,607,011 365,002 1,694,292,033
1 Actimove m 2016 3.00 105,000.00 315,000.00 - 105,000.00 -
2 Actimove s 2016 6.00 105,000.00 630,000.00 - 105,000.00 -
3 Alkohol 70% 2016 1,545.00 34,155.00 52,769,475.00 305.00 34,155.00 10,417,275.00
4 Alkohol 96% 2016 253.00 37,950.00 9,601,350.00 44.00 37,950.00 1,669,800.00
5 Alkohol swap 2016 45,500.00 379.50 17,267,250.00 45,500.00 379.50 17,267,250.00
6 Aquadest 20 L 2016 49.00 73,935.00 3,622,815.00 - 73,935.00 -
7 Aquadest 1L 2016 796.00 13,020.00 10,363,920.00 73.00 13,020.00 950,460.00
8 Askina Calgitrol Ag 10 x 10 cm 2016 17.00 120,000.00 2,040,000.00 15.00 120,000.00 1,800,000.00
9 Askina Clgitrol paste 15 g 2016 10.00 74,545.00 745,450.00 10.00 74,545.00 745,450.00
10 Askina derm 10 X 12 cm 2016 37.00 29,000.00 1,073,000.00 37.00 29,000.00 1,073,000.00
11 Askina Gel 15 g 2016 10.00 80,876.00 808,760.00 - 80,876.00 -
12 Askina Soft Clear I.V 8 X 6 cm 2016 99.00 10,500.00 1,039,500.00 99.00 10,500.00 1,039,500.00
13 Askina Sorb 10 X 10 cm 2016 15.00 70,000.00 1,050,000.00 15.00 70,000.00 1,050,000.00
14 Bayclin 2016 470.00 15,000.00 7,050,000.00 54.00 15,000.00 810,000.00
15 Benang Bedah Monosyn 2/0 HRT 37 2016 72.00 95,507.50 6,876,540.00 - 95,507.50 -
16 Benang Bedah Monosyn 3/0 DS 24 Undyed 2016 216.00 97,608.40 21,083,414.40 36.00 97,608.40 3,513,902.40
17 Benang Bedah Monosyn 3/0 DS 24 Violet cutting 2016 144.00 100,368.40 14,453,049.60 144.00 100,368.40 14,453,049.60
18 Benang Bedah Monosyn 4/0 DS 24 2016 102.00 153,697.50 15,677,145.00 - 153,697.50 -
19 Benang Bedah Atramat Chromic 2/0 cutting 2016 12.00 72,600.00 871,200.00 - 72,600.00 -
20 Benang Bedah Atramat Chromic 3/0 cutting 2016 12.00 97,608.40 1,171,300.80 12.00 97,608.40 1,171,300.80
21 Benang Bedah Atramat PGA 3/0 Cutting 2016 12.00 115,300.00 1,383,600.00 12.00 115,300.00 1,383,600.00
22 Benang Bedah Atramat PGA 3/0 tapper 2016 132.00 115,300.00 15,219,600.00 120.00 115,300.00 13,836,000.00
23 Benang Bedah Atramat PGA 5-0 CUTTING 2016 12.00 115,300.00 1,383,600.00 - 115,300.00 -
24 Benang Bedah Cat Gut 1 Tapper 2016 48.00 129,381.00 6,210,288.00 36.00 129,381.00 4,657,716.00
25 Benang Bedah Cat Gut Chromic 0 tapper 2016 396.00 380,000.00 150,480,000.00 48.00 380,000.00 18,240,000.00
26 Benang Bedah Cat Gut Chromic 1 HR 37 s 2016 48.00 129,381.00 6,210,288.00 48.00 129,381.00 6,210,288.00
27 Benang Bedah Cat Gut Chromic 1 roll 2016 8.00 2,032,800.00 16,262,400.00 - 2,032,800.00 -
28 Benang Bedah Cat Gut Chromic 2 Roll 2016 6.00 678,449.00 4,070,694.00 3.00 678,449.00 2,035,347.00
29 Benang Bedah Cat Gut Chromic 2 tapper 2016 564.00 94,242.50 53,152,770.00 192.00 94,242.50 18,094,560.00
30 Benang Bedah Cat Gut Chromic 2/0 Roll 2016 10.00 940,554.00 9,405,540.00 9.00 940,554.00 8,464,986.00
31 Benang Bedah Cat Gut Chromic 2/0 tapper 2016 228.00 91,712.50 20,910,450.00 228.00 91,712.50 20,910,450.00
32 Benang Bedah Cat Gut Chromic 3 roll 2016 12.00 717,750.00 8,613,000.00 - 717,750.00 -
33 Benang Bedah Cat Gut Chromic 3/0 DS 24 2016 84.00 86,254.00 7,245,336.00 36.00 86,254.00 3,105,144.00
34 Benang Bedah Cat Gut Chromic 3/0 roll 2016 15.00 911,328.00 13,669,920.00 1.00 911,328.00 911,328.00
35 Benang Bedah Cat gut Chromic 4/0 roll 2016 3.00 2,032,800.00 6,098,400.00 - 2,032,800.00 -
36 Benang Bedah Cat Gut Plain 0 Cutting 2016 24.00 75,800.00 1,819,200.00 24.00 75,800.00 1,819,200.00
37 Benang Bedah Cat Gut Plain 0 Tapper 2016 456.00 65,875.00 30,039,000.00 - 65,875.00 -
38 Benang Bedah Cat Gut Plain 1 HR 37s 2016 36.00 47,626.00 1,714,536.00 - 47,626.00 -
39 Benang Bedah Cat Gut Plain 2/0 HRT 37s 2016 48.00 47,626.00 2,286,048.00 12.00 47,626.00 571,512.00
40 Benang Bedah Cat Gut Plain 3/0 Cutting 2016 96.00 47,626.00 4,572,096.00 96.00 47,626.00 4,572,096.00
41 Benang Bedah Dafilon 10/0 2016 24.00 176,400.00 4,233,600.00 - 176,400.00 -
42 Benang Bedah Dafilon 5/0 DS 12 2016 36.00 176,400.00 6,350,400.00 - 176,400.00 -
43 Benang Bedah Premilene 3/0 DS 16 2016 156.00 51,988.73 8,110,241.88 84.00 51,988.73 4,367,053.32
44 Benang Bedah Premilene 4/0 DS 19 2016 36.00 51,988.73 1,871,594.28 36.00 51,988.73 1,871,594.28
45 Benang Bedah Premilene 5/0 HR 16 cutting 2016 144.00 103,333.33 14,880,000.00 36.00 103,333.33 3,720,000.00
46 Benang Bedah Premilene 6/0 DS 12 2016 127.00 57,185.66 7,262,578.82 - 57,185.66 -
47 Benang Bedah Safil 1 HRT 37s 2016 144.00 99,550.00 14,335,200.00 72.00 99,550.00 7,167,600.00
48 Benang Bedah Safil 3/0 cutting 2016 36.00 99,506.00 3,582,216.00 - 99,506.00 -
49 Benang Bedah Safil 3/0 tapper 2016 71.00 99,506.00 7,064,926.00 35.00 99,506.00 3,482,710.00
50 Benang Bedah Safil 4/0 HR 24 cutting 2016 720.00 105,916.67 76,260,000.00 72.00 105,916.67 7,626,000.00
51 Benang Bedah Safil 5/0 HR 16 cutting 2016 540.00 142,083.00 76,724,820.00 - 142,083.00 -
52 Benang Bedah Safil 8/0 violet 2016 60.00 176,400.00 10,584,000.00 - 176,400.00 -
53 Benang Bedah Silk black 0 roll 2016 10.00 2,032,800.00 20,328,000.00 - 2,032,800.00 -
54 Benang Bedah Silk black 0 tapper 2016 718.00 77,500.00 55,645,000.00 34.00 77,500.00 2,635,000.00
55 Benang Bedah Silk black 1 HR 37 2016 72.00 33,406.06 2,405,236.32 36.00 33,406.06 1,202,618.16
56 Benang Bedah Silk black 1 roll 2016 13.00 2,032,800.00 26,426,400.00 1.00 2,032,800.00 2,032,800.00
57 Benang Bedah Silk black 2/0 HR 24 Cutting 2016 612.00 64,583.33 39,525,000.00 41.00 64,583.33 2,647,916.67
58 Benang Bedah Silk black 2/0 HR 26 Tapper 2016 612.00 64,583.33 39,525,000.00 - 64,583.33 -
59 Benang Bedah Silk black 2/0 roll 2016 27.00 2,032,800.00 54,885,600.00 - 2,032,800.00 -
60 Benang Bedah Silk black 3/0 DS 24 2016 288.00 25,566.96 7,363,284.48 288.00 25,566.96 7,363,284.48
62 Benang Bedah Silk black 4/0 HR 17 Tapper 2016 576.00 77,500.00 44,640,000.00 36.00 77,500.00 2,790,000.00
64 Benang cat Gut 0 Surgiroll 2016 2.00 2,032,800.10 4,065,600.20 - 2,032,800.00 -
65 Benang catgut plain 0 ds 24 mm 2016 48.00 39,466.00 1,894,368.00 - 39,466.00 -
66 Benang Coroline 8/0 tupper 2016 72.00 529,320.00 38,111,040.00 - 529,320.00 -
67 Benang Monocryl und 70 cm 3/0 ps-1 prime cutting 2016 72.00 117,843.06 8,484,700.00 - 117,843.06 -
68 Benang optime 1 tupper 2016 144.00 78,961.00 11,370,384.00 70.00 78,961.00 5,527,270.00
69 Benang optime 2/0 tupper 2016 144.00 67,680.80 9,746,035.00 36.00 67,680.80 2,436,508.75
70 Benang Prolene 3/0 26 mm rev cutting 2016 60.00 68,960.58 4,137,635.00 - 68,960.58 -
71 Benang Soie/Silk 3/0 tupper 2016 144.00 41,361.00 5,955,984.00 - 41,361.00 -
72 Benang Vicryl plus suture 2/0 tupper 2016 36.00 62,020.00 2,232,720.00 36.00 62,020.00 2,232,720.00
73 Benang Vicryl plus vio 1 tupper 2016 72.00 105,131.69 7,569,482.00 - 105,131.69 -
74 Bisturi/Blade no. 11 2016 500.00 3,000.00 1,500,000.00 200.00 3,000.00 600,000.00
75 Bisturi/Blades no. 12 2016 1,400.00 3,000.00 4,200,000.00 400.00 3,000.00 1,200,000.00
76 Bisturi/Blades no.15 2016 300.00 3,000.00 900,000.00 100.00 3,000.00 300,000.00
77 Bisturi/Blades no.18 2016 1,000.00 3,000.00 3,000,000.00 200.00 3,000.00 600,000.00
78 Bisturi/Blades no.20 2016 700.00 3,000.00 2,100,000.00 300.00 3,000.00 900,000.00
80 Bisturi/Blades no.22 2016 600.00 3,000.00 1,800,000.00 300.00 3,000.00 900,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
82 Blood Set 2016 2,145.00 13,976.00 29,978,520.00 1,161.00 13,976.00 16,226,136.00
83 Blood Set Pump 2016 800.00 42,702.00 34,161,600.00 - 42,702.00 -
84 Blue tip 2016 30,000.00 2,264.35 67,930,500.00 - 2,264.35 -
85 Bone wax 2016 48.00 49,500.00 2,376,000.00 - 49,500.00 -
86 Botol Penyimpan Susu 2016 4,855.00 4,650.00 22,575,750.00 89.00 4,650.00 413,850.00
87 Botol THD 2016 4,000.00 3,255.00 13,020,000.00 4,000.00 3,255.00 13,020,000.00
88 Cairan desinfectant Ortho-phataldehyde 2016 38.00 782,339.00 29,728,882.00 38.00 782,339.00 29,728,882.00
89 Cairan Enzimatik 2016 72.00 925,277.00 66,619,944.00 17.00 925,277.00 15,729,709.00
90 Cannofix-PU 6 X 8 cm 2016 200.00 8,470.00 1,694,000.00 200.00 8,470.00 1,694,000.00
91 Cervical collar L 2016 5.00 221,100.00 1,105,500.00 - 221,100.00 -
92 Cervical collar M 2016 8.00 221,100.00 1,768,800.00 1.00 221,100.00 221,100.00
93 Cervical collar S 2016 8.00 221,100.00 1,768,800.00 - 221,100.00 -
94 Chloro ethyl 2016 112.00 99,998.00 11,199,776.00 19.00 99,998.00 1,899,962.00
95 Cuticell classic 10 cm x 10 cm 2016 100.00 9,519.10 951,910.00 100.00 9,519.10 951,910.00
96 Cuticell classic 5 cm x 5 cm 2016 10.00 4,465.50 44,655.00 10.00 4,465.50 44,655.00
97 CUTIMED GEL 15 GR 2016 66.00 41,446.00 2,735,436.00 54.00 41,446.00 2,238,084.00
98 CUTIMED SILTEC 10 X 10 CM 2016 16.00 28,869.00 461,904.00 16.00 28,869.00 461,904.00
99 Desinfectant Tablet 2016 7,900.00 3,720.52 29,392,108.00 2,650.00 3,720.52 9,859,378.00
100 Discofic -3 way + 10 tubing (panjang) 2016 200.00 35,376.00 7,075,200.00 172.00 35,376.00 6,084,672.00
101 Discofic -3 way with stopcock 2016 700.00 32,160.00 22,512,000.00 350.00 32,160.00 11,256,000.00
102 Doctor's Surgeon Cap (Tutup Kelapa) Pria 2016 2,800.00 1,058.80 2,964,640.00 1,400.00 1,058.80 1,482,320.00
103 Elastomull 10 cm x 4 m 2016 90.00 42,061.00 3,785,490.00 5.00 42,061.00 210,305.00
104 Elastomull 12 cm x 4 m 2016 100.00 49,070.00 4,907,000.00 5.00 49,070.00 245,350.00
105 Elastomull 8 cm x 4 m 2016 90.00 35,051.00 3,154,590.00 5.00 35,051.00 175,255.00
106 Elektrody EKG 2016 500.00 50,144.08 25,072,040.00 - 50,144.08 -
107 Eletroda dada 2228 2016 5,000.00 4,221.10 21,105,500.00 - 4,221.10 -
108 Eletroda dada 2258-3 2016 450.00 15,293.83 6,882,225.00 - 15,293.83 -
109 Eletroda dada 2560 2016 4,150.00 7,566.04 31,399,066.00 750.00 7,566.04 5,674,530.00
110 Endo Tracheal tube No. 3,0 kingking 2016 10.00 38,226.30 382,263.00 1.00 38,226.30 38,226.30
111 Endo Tracheal tube No. 3,0 nonkingking 2016 50.00 433,521.00 21,676,050.00 - 433,521.00 -
112 Endo Tracheal tube No. 3,5 kingking 2016 12.00 38,226.30 458,715.60 - 38,226.30 -
113 Endo Tracheal tube No. 3,5 nonkingking 2016 10.00 215,050.00 2,150,500.00 1.00 215,050.00 215,050.00
114 Endo Tracheal tube No. 4,0 kingking 2016 30.00 433,521.00 13,005,630.00 - 433,521.00 -
122 Endo Tracheal tube No. 6 kingking 2016 69.00 52,940.00 3,652,860.00 - 52,940.00 -
123 Endo Tracheal tube No. 6 nonkingking 2016 28.00 215,050.00 6,021,400.00 20.00 215,050.00 4,301,000.00
126 Endo Tracheal tube No. 7,0 kingking 2016 70.00 70,587.00 4,941,090.00 10.00 70,587.00 705,870.00
129 Endo Tracheal tube No. 7,5 nonkingking 2016 104.00 433,521.00 45,086,184.00 10.00 433,521.00 4,335,210.00
132 Extention Tube 150 cm - 1,5 cm 2016 400.00 38,329.50 15,331,800.00 400.00 38,329.50 15,331,800.00
133 Extention Tube 75 cm - 2,5 cm 2016 50.00 13,535.50 676,775.00 - 13,535.50 -
134 Feeding tube FR 5 - 40 cm 2016 300.00 8,841.00 2,652,300.00 150.00 8,841.00 1,326,150.00
135 Feeding tube FR 5 100 cm 2016 550.00 8,841.00 4,862,550.00 250.00 8,841.00 2,210,250.00
136 Feeding tube FR 3,5 35 cm 2016 400.00 8,841.00 3,536,400.00 200.00 8,841.00 1,768,200.00
137 Feeding tube FR 8 - 100 cm 2016 500.00 8,841.00 4,420,500.00 50.00 8,841.00 442,050.00
138 Feeding tube FR 8 - 40 cm 2016 500.00 8,841.00 4,420,500.00 100.00 8,841.00 884,100.00
139 Film IV Dress 6 x 7 P 2016 250.00 4,300.00 1,075,000.00 250.00 4,300.00 1,075,000.00
140 Film IV Dress 7 x 8 P 2016 300.00 5,800.00 1,740,000.00 300.00 5,800.00 1,740,000.00
141 Folley catheter two way no 10 2016 70.00 22,137.50 1,549,625.00 22.00 22,137.50 487,025.00
142 Folley catheter two way no 12 2016 170.00 53,130.00 9,032,100.00 30.00 53,130.00 1,593,900.00
143 Folley catheter two way no 14 2016 160.00 23,500.00 3,760,000.00 60.00 23,500.00 1,410,000.00
144 Folley catheter two way no 16 2016 1,720.00 8,000.00 13,760,000.00 430.00 8,000.00 3,440,000.00
145 Folley catheter two way no 18 2016 5,170.00 8,000.00 41,360,000.00 120.00 8,000.00 960,000.00
146 Folley catheter two way no 20 2016 170.00 17,078.77 2,903,390.05 - 17,078.77 -
147 Folley catheter two way no 6 2016 170.00 63,571.20 10,807,104.00 14.00 63,571.20 889,996.80
148 Folley catheter two way no 8 2016 70.00 7,173.00 502,110.00 10.00 7,173.00 71,730.00
149 Formalin cair 2016 2.00 48,070.00 96,140.00 1.00 48,070.00 48,070.00
150 Gelas Metadon 2016 14,550.00 279.00 4,059,450.00 14,550.00 279.00 4,059,450.00
151 Guedel Airway no.3 2016 50.00 175,835.00 8,791,750.00 50.00 175,835.00 8,791,750.00
152 Guedel Airway no.4 2016 80.00 175,835.00 14,066,800.00 77.00 175,835.00 13,539,295.00
153 Guedel Airway no.0 2016 48.00 181,496.00 8,711,808.00 7.00 181,496.00 1,270,472.00
154 Guedel Airway no.00 2016 9.00 181,496.00 1,633,464.00 - 181,496.00 -
155 Guedel Airway no.000 2016 40.00 181,496.00 7,259,840.00 18.00 181,496.00 3,266,928.00
156 Guedel Airway no.1 2016 36.00 181,496.00 6,533,856.00 10.00 181,496.00 1,814,960.00
157 Guedel Airway no.2 2016 50.00 181,496.00 9,074,800.00 30.00 181,496.00 5,444,880.00
158 Guedel Airway no.5 2016 80.00 181,496.00 14,519,680.00 7.00 181,496.00 1,270,472.00
159 Guedel Airway no.6 2016 33.00 181,496.00 5,989,368.00 13.00 181,496.00 2,359,448.00
160 Gypsona 3 2016 31.00 25,941.30 804,180.30 - 25,941.30 -
161 Gypsona 4 2016 10.00 25,942.30 259,423.00 - 25,942.30 -
162 Gypsona 6 2016 15.00 25,943.30 389,149.50 - 25,943.30 -
163 H202 2016 21.00 28,980.00 608,580.00 5.00 28,980.00 144,900.00
164 Handschoen Gynecology 2016 36.00 21,176.00 762,336.00 21.00 21,176.00 444,696.00
165 Handschoen non steril sz. L 2016 23,800.00 476.00 11,328,800.00 - 476.00 -
166 Handschoen non steril sz. M 2016 98,900.00 238.00 23,538,200.00 37,000.00 238.00 8,806,000.00
167 Handschoen non steril sz. S 2016 104,100.00 158.67 16,517,547.00 75,800.00 158.67 12,027,186.00
168 Handschoen non steril sz. XS 2016 26,000.00 476.00 12,376,000.00 11,000.00 476.00 5,236,000.00
169 Handschoen steril no 6 2016 4,000.00 14,547.50 58,190,000.00 1,400.00 14,547.50 20,366,500.00
170 Handschoen steril no 6,5 2016 3,200.00 14,547.50 46,552,000.00 3,200.00 14,547.50 46,552,000.00
171 Handschoen steril no 7 Free Powder 2016 6,200.00 20,705.50 128,374,100.00 885.00 20,705.50 18,324,367.50
172 Handschoen steril no 7,5 Free Powder 2016 7,080.00 20,705.50 146,594,940.00 560.00 20,705.50 11,595,080.00
173 Handschoen steril no 8 Free Powder 2016 4,560.00 20,705.50 94,417,080.00 1,840.00 20,705.50 38,098,120.00
174 Helizyme 1000 ml 2016 50.00 375,000.00 18,750,000.00 - 375,000.00 -
175 Hexaquart plus 1 L 2016 35.00 350,000.00 12,250,000.00 4.00 350,000.00 1,400,000.00
176 Hudson Prog Size 2 2016 10.00 1,594,325.00 15,943,250.00 - 1,594,325.00 -
177 Hudson Prog Size 3 2016 10.00 1,594,325.00 15,943,250.00 - 1,594,325.00 -
178 Hypavix 15 cm x 5 m 2016 366.00 160,173.00 58,623,318.00 52.00 160,173.00 8,328,996.00
179 Hypavix 20 cm x 5 m 2016 359.00 115,880.00 41,600,920.00 74.00 115,880.00 8,575,120.00
180 Hypavix 5 cm x 5 m 2016 492.00 60,822.00 29,924,424.00 17.00 60,822.00 1,033,974.00
181 ID-brand anak/anak (merah) 2016 5,900.00 1,117.62 6,593,958.00 - 1,117.62 -
182 ID-brand anak/bayi (kuning) 2016 5,700.00 1,117.62 6,370,434.00 - 1,117.62 -
183 ID-brand anak/bayi pria (blue) 2016 6,300.00 1,117.62 7,041,006.00 300.00 1,117.62 335,286.00
184 ID-brand anak/bayi wanita (pink) 2016 20,800.00 1,117.62 23,246,496.00 500.00 1,117.62 558,810.00
185 ID-brand dewasa (kuning) 2016 4,500.00 1,117.62 5,029,290.00 200.00 1,117.62 223,524.00
186 ID-brand dewasa (merah) 2016 5,300.00 1,117.62 5,923,386.00 900.00 1,117.62 1,005,858.00
187 ID-brand dewasa pria (blue) 2016 13,600.00 1,117.62 15,199,632.00 - 1,117.62 -
188 ID-brand dewasa wanita (pink) 2016 30,700.00 1,117.62 34,310,934.00 1,600.00 1,117.62 1,788,192.00
189 Identification band Ungu anak 2016 400.00 1,117.62 447,048.00 - 1,117.62 -
190 Identification band Ungu dewasa 2016 600.00 1,117.62 670,572.00 - 1,117.62 -
191 Infus set anak (micro) / Primeline 2016 790.00 17,391.00 13,738,890.00 380.00 17,391.00 6,608,580.00
192 Infus set dewasa (macro) / Primeline 2016 880.00 17,670.00 15,549,600.00 880.00 17,670.00 15,549,600.00
193 Infuset Safety (Intrafix) 2016 1,000.00 29,701.00 29,701,000.00 1,000.00 29,701.00 29,701,000.00
194 IV cateter no.14 2016 33.00 8,355.00 275,715.00 25.00 8,355.00 208,875.00
195 IV cateter no.16 safety (introcan) 2016 298.00 8,750.00 2,607,500.00 4.00 8,750.00 35,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
196 IV cateter no.18 2016 1,850.00 8,835.00 16,344,750.00 480.00 8,835.00 4,240,800.00
197 IV cateter no.18 safety (introcan) 2016 300.00 484.00 145,200.00 270.00 484.00 130,680.00
198 IV cateter no.20 2016 2,100.00 8,835.00 18,553,500.00 1,100.00 8,835.00 9,718,500.00
200 IV cateter no.22 2016 2,000.00 8,835.00 17,670,000.00 1,809.00 8,835.00 15,982,515.00
202 IV cateter no.24 2016 250.00 8,835.00 2,208,750.00 200.00 8,835.00 1,767,000.00
203 IV cateter no.24 safety (introcan) 2016 2,250.00 484.00 1,089,000.00 950.00 484.00 459,800.00
204 IV cateter no.26 G x 3 1/2 2016 1,050.00 37,620.00 39,501,000.00 250.00 37,620.00 9,405,000.00
205 IV plug 2016 5,850.00 11,385.00 66,602,250.00 250.00 11,385.00 2,846,250.00
206 Jarum Epidural 18 G 2016 115.00 223,547.00 25,707,905.00 1.00 223,547.00 223,547.00
207 Jarum Epidural sz 100 , G22 x 100 ml 2016 739.00 256,000.00 189,184,000.00 24.00 256,000.00 6,144,000.00
208 Jarum Epidural sz 50 , G22 x 50 ml 2016 550.00 256,000.00 140,800,000.00 1.00 256,000.00 256,000.00
209 Kapas pembalut 1000 g 2016 48.00 77,306.68 3,710,720.64 12.00 77,306.68 927,680.16
210 Kapas pembalut 500 g 2016 224.00 596,300.00 133,571,200.00 10.00 596,300.00 5,963,000.00
211 Kasa Gulung 36x80 DRC 2016 699.00 130,000.00 90,870,000.00 183.00 130,000.00 23,790,000.00
212 Kasa Hidrofil 36 m x 80 cm 2016 53.00 126,500.00 6,704,500.00 53.00 126,500.00 6,704,500.00
213 Kasa Kompres 40x40 cm 2016 4,800.00 1,800.00 8,640,000.00 - 1,800.00 -
214 Kasa Pembalut 4 x 15 cm DRC 2016 50.00 3,800.00 190,000.00 50.00 3,800.00 190,000.00
215 Kasa Steril 16 x 16 cm 2016 4,048.00 9,867.00 39,941,616.00 688.00 9,867.00 6,788,496.00
216 Kertas EKG 110 mm x 140 mm x 142 mm 2016 22,436.00 1,242.73 27,881,786.00 7,100.00 1,242.73 8,823,350.00
217 Kertas ekg 120,212015,170,250 and 250 2016 8,750.00 1,012.00 8,855,000.00 - 1,012.00 -
218 Kertas ekg 152 mm x 90 mm 2016 14,850.00 2,530.00 37,570,500.00 - 2,530.00 -
219 Kertas EKG 58 mm x 30 m x 17 mm 2016 39.00 41,175.00 1,605,825.00 - 41,175.00 -
220 Kertas EKG 60 mm x 30 m 2016 451.00 44,275.00 19,968,025.00 - 44,275.00 -
221 Kertas EKG tindakan 2016 61.00 59,425.00 3,624,925.00 1.00 59,425.00 59,425.00
222 Kertas USG 2016 234.00 279,736.00 65,458,224.00 11.00 279,736.00 3,077,096.00
223 KY Jeli / KLY 2016 78.00 44,275.00 3,453,450.00 21.00 44,275.00 929,775.00
224 Laminaria 2016 125.00 116,468.00 14,558,500.00 40.00 116,468.00 4,658,720.00
225 Laryngeal Mask Airways (LMA) No.1 2016 67.00 243,289.00 16,300,363.00 - 243,289.00 -
226 Laryngeal Mask Airways (LMA) No.1,5 2016 15.00 243,290.00 3,649,350.00 - 243,289.00 -
227 Laryngeal Mask Airways (LMA) No.2 2016 64.00 243,289.00 15,570,496.00 1.00 243,290.00 243,290.00
228 Laryngeal Mask Airways (LMA) No.2,5 2016 37.00 243,289.00 9,001,693.00 - 243,289.00 -
229 Laryngeal Mask Airways (LMA) No.3 2016 65.00 243,289.00 15,813,785.00 - 243,289.00 -
230 Laryngeal Mask Airways (LMA) No.4 2016 66.00 243,289.00 16,057,074.00 42.00 243,289.00 10,218,138.00
231 Laryngeal Mask Airways (LMA) No.5 2016 4.00 243,289.00 973,156.00 12.00 243,289.00 2,919,468.00
232 Leukomed IV 6 X 8 cm (2 3/8 x 3 1/8 inc) 2016 50.00 2,314.94 115,747.00 50.00 2,314.94 115,747.00
233 Leukomed IV film 6,8 x 2 3/8 inc (2 3/8 x 3 1/8) 2016 400.00 3,300.00 1,320,000.00 400.00 3,300.00 1,320,000.00
234 Leukoplast 2.50 x 4,5 cm 2016 146.00 14,646.00 2,138,316.00 35.00 14,646.00 512,610.00
235 Leukoplast 5.0 x 4,5 cm 2016 150.00 29,293.00 4,393,950.00 2.00 29,293.00 58,586.00
236 Leukoplast 7,5 x 4,5 cm 2016 147.00 42,587.00 6,260,289.00 23.00 42,587.00 979,501.00
237 Leukopore no.2,5 cm x 9,2 m 2016 79.00 194,766.00 15,386,514.00 - 194,766.00 -
238 Logicath CVC 3L 12F 20 cm 2016 90.00 772,445.00 69,520,050.00 - 772,445.00 -
239 Lyostip 3 x 5 cm 2016 48.00 62,618.00 3,005,664.00 - 62,618.00 -
240 Lyostip 5 x 8 cm 2016 48.00 92,460.00 4,438,080.00 - 92,460.00 -
241 Lysol 1 L 2016 955.00 52,070.00 49,726,850.00 129.00 52,070.00 6,717,030.00
242 Masker rebreting adult 2016 861.00 45,881.00 39,503,541.00 15.00 45,881.00 688,215.00
243 Masker rebreting pediatric 2016 50.00 44,116.00 2,205,800.00 5.00 44,116.00 220,580.00
244 Masker Karet (Tie On) 2016 4,000.00 540.70 2,162,800.00 4,000.00 540.70 2,162,800.00
245 Masker N-95 2016 3,620.00 20,925.00 75,748,500.00 140.00 20,925.00 2,929,500.00
246 Masker non rebreting adult 2016 1,127.00 45,881.00 51,707,887.00 128.00 45,881.00 5,872,768.00
247 Masker non rebreting pediatric 2016 529.00 56,469.00 29,872,101.00 20.00 56,469.00 1,129,380.00
248 Masker oxygen adult 2016 117.00 33,000.00 3,861,000.00 18.00 33,000.00 594,000.00
249 Masker oxygen pediatric 2016 346.00 33,000.00 11,418,000.00 - 33,000.00 -
250 Masker Tali (Earloop) 2016 191,050.00 531.00 101,447,550.00 51,650.00 531.00 27,426,150.00
251 Micropore 1" x 10 yds- dispenser 2,5 cm x 9,1 m 2016 77.00 277,200.00 21,344,400.00 70.00 277,200.00 19,404,000.00
252 Micropore 1/2" x 10 yds- dispenser 2016 402.00 277,200.00 111,434,400.00 21.00 277,200.00 5,821,200.00
253 Micropore 2" x 10 yds- dispenser 2016 48.00 277,200.00 13,305,600.00 7.00 277,200.00 1,940,400.00
254 Minoscrub 4 % 2016 218.00 299,805.00 65,357,490.00 62.00 299,805.00 18,587,910.00
255 Minoscub 2% 2016 59.00 164,390.00 9,699,010.00 11.00 164,390.00 1,808,290.00
256 Nald insulin 2016 13,900.00 3,200.00 44,480,000.00 1,500.00 3,200.00 4,800,000.00
257 Nebulizer mash adult 2016 216.00 37,646.00 8,131,536.00 216.00 37,646.00 8,131,536.00
258 Nebulizer mash child 2016 145.00 39,999.00 5,799,855.00 93.00 39,999.00 3,719,907.00
259 Needle 21G x1 1/2" 2016 2,300.00 3,200.45 7,361,035.00 200.00 3,200.45 640,090.00
260 Needle 26G x 1 1/2" 2016 1,550.00 3,200.45 4,960,697.50 650.00 3,200.45 2,080,292.50
261 Nurse cap (tutup kepala wanita) 2016 2,900.00 735.28 2,132,312.00 1,400.00 735.28 1,029,392.00
262 Oxigen (O2) Supplay anak 2016 1,150.00 20,872.50 24,003,375.00 101.00 20,872.50 2,108,122.50
263 Oxigen (O2) Supplay dewasa 2016 1,489.00 20,872.50 31,079,152.50 1,088.00 20,872.50 22,709,280.00
264 Oxigen (O2) Supplay Premature 2016 464.00 10,044.24 4,660,527.36 54.00 10,044.24 542,388.96
265 Parafilm 2016 50.00 1,900,000.00 95,000,000.00 - 1,900,000.00 -
266 Pembalut elastis 10 x 4.55 cm 2016 39.00 33,000.00 1,287,000.00 - 33,000.00 -
267 Pembalut elastis 15x 4.55 cm 2016 57.00 43,856.00 2,499,792.00 9.00 43,856.00 394,704.00
268 Pembalut elastis 7,5 x 4.55 cm 2016 406.00 27,830.00 11,298,980.00 11.00 27,830.00 306,130.00
269 Pembalut Pasca Melahirkan 2016 22,164.00 2,205.83 48,890,090.00 3,012.00 2,205.83 6,643,970.00
270 Perfusor Tubing 150 cm 2016 496.00 35,000.00 17,360,000.00 21.00 35,000.00 735,000.00
271 Perifix filter set no. 18 G x 3 1/4 2016 24.00 70,000.00 1,680,000.00 - 70,000.00 -
272 Pisau cukur disposable 2016 2,154.00 5,883.00 12,671,982.00 66.00 5,883.00 388,278.00
273 Pisau Cukur Operasi 2016 1,450.00 74,000.00 107,300,000.00 - 74,000.00 -
274 Plesterin 2016 52,800.00 347.87 18,367,536.00 6,400.00 347.87 2,226,368.00
275 Popok Bayi Sz. M 2016 1,071.00 1,002.00 1,073,142.00 1,071.00 1,002.00 1,073,142.00
276 Popok Bayi Sz. S 2016 1,294.00 1,002.00 1,296,588.00 821.00 1,002.00 822,642.00
277 Popok Dewasa Sz. L 2016 1,000.00 6,409.00 6,409,000.00 80.00 6,409.00 512,720.00
278 Popok Dewasa Sz. M 2016 1,080.00 6,409.00 6,921,720.00 218.00 6,409.00 1,397,162.00
279 Popok Dewasa Sz. XL 2016 668.00 12,819.00 8,563,092.00 76.00 12,819.00 974,244.00
280 Postofix-PU 10 X 10 CM 2016 196.00 15,950.00 3,126,200.00 196.00 15,950.00 3,126,200.00
281 Postofix-PU 10 X 15 CM 2016 140.00 20,350.00 2,849,000.00 140.00 20,350.00 2,849,000.00
282 Postofix-PU 10 X 25CM 2016 80.00 34,100.00 2,728,000.00 80.00 34,100.00 2,728,000.00
283 Pot Sputum 2016 1,220.00 3,162.50 3,858,250.00 623.00 3,162.50 1,970,237.50
284 Pot Urine 100 ml 2016 2,110.00 2,087.25 4,404,097.50 1,962.00 2,087.25 4,095,184.50
285 Pot Urine 50 ml 2016 2,000.00 1,000.00 2,000,000.00 2,000.00 1,000.00 2,000,000.00
286 Povidon iodone 10% 500 ml 2016 126.00 95,264.00 12,003,264.00 - 95,264.00 -
287 Povidon iodone 10%1000 ml 2016 588.00 95,264.00 56,015,232.00 70.00 95,264.00 6,668,480.00
288 Premilene mesh 15 x 15 cm 2016 7.00 224,031.60 1,568,221.20 2.00 224,031.60 448,063.20
289 Premilene mesh 15 x 7.5cm 2016 7.00 92,772.56 649,407.92 - 382,536.00 -
290 Premilene mesh 5 x 10 cm 2016 15.00 382,536.00 5,738,040.00 - 92,772.56 -
291 Safety box size.12.5 l 2016 876.00 49,335.00 43,217,460.00 169.00 49,335.00 8,337,615.00
292 Safety box size.2.5 l 2016 82.00 19,999.00 1,639,918.00 26.00 19,999.00 519,974.00
293 Safety box size.5 l 2016 552.00 32,940.00 18,182,880.00 223.00 32,940.00 7,345,620.00
294 SEPTALKAN 2016 189.00 314,050.00 59,355,450.00 87.00 314,050.00 27,322,350.00
295 Sirup Metadon 2016 242.00 14,880.00 3,600,960.00 242.00 14,880.00 3,600,960.00
296 Soffband 3 2016 13.00 14,694.90 191,033.70 5.00 14,694.90 73,474.50
297 Soffband 4 2016 7.00 18,538.30 129,768.10 5.00 18,538.30 92,691.50
298 Soffband 6 2016 25.00 13,325.40 333,135.00 - 13,325.40 -
299 Sofratulle 10 x 10 cm 2016 930.00 109,030.00 101,397,900.00 930.00 109,030.00 101,397,900.00
300 Soft cloth dressing with pad 6 x 8 m 2016 700.00 3,921.50 2,745,050.00 60.00 3,921.50 235,290.00
301 Softa-man 1000 ml 2016 271.00 153,000.00 41,463,000.00 227.00 153,000.00 34,731,000.00
302 Softa-man 500 ml 2016 200.00 113,850.00 22,770,000.00 139.00 113,850.00 15,825,150.00
303 Spalk tangan 2016 74.00 158,820.00 11,752,680.00 37.00 158,820.00 5,876,340.00
304 Spinal needle no. 23 (Spinocan 23 G) 2016 238.00 43,010.00 10,236,380.00 - 43,010.00 -
305 Spinal needle no. 25 (Spinocan 25 G) 2016 200.00 43,528.64 8,705,728.00 75.00 43,528.64 3,264,648.00
306 Spinal needle no. 26 (Spinocan 26 G) 2016 200.00 43,010.00 8,602,000.00 175.00 43,010.00 7,526,750.00
307 Spinal needle no. 27 (Spinocan 27 G) 2016 100.00 50,600.00 5,060,000.00 - 50,600.00 -
308 Spuit 1 cc 2016 3,700.00 1,540.00 5,698,000.00 3,700.00 1,540.00 5,698,000.00
309 Spuit 10 cc 2016 5,600.00 1,790.00 10,024,000.00 5,600.00 1,790.00 10,024,000.00
310 Spuit 20 cc 2016 1,450.00 6,160.00 8,932,000.00 850.00 3,080.00 2,618,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
311 Spuit 20 cc Lobang Samping 2016 1,100.00 3,080.00 3,388,000.00 340.00 6,160.00 2,094,400.00
312 Spuit 3 cc 2016 17,600.00 957.00 16,843,200.00 17,600.00 957.00 16,843,200.00
313 Spuit 5 cc 2016 10,100.00 1,348.00 13,614,800.00 10,100.00 1,348.00 13,614,800.00
314 Spuit 50 cc Irrigation 2016 4,500.00 28,000.00 126,000,000.00 120.00 28,000.00 3,360,000.00
315 Spuit 50 cc Lobang Samping 2016 1,876.00 15,000.00 28,140,000.00 466.00 15,000.00 6,990,000.00
316 Spuit 50 cc Lobang Tengah 2016 2,300.00 15,000.00 34,500,000.00 55.00 15,000.00 825,000.00
317 Stabimed 1000 ml 2016 73.00 682,000.00 49,786,000.00 2.00 682,000.00 1,364,000.00
318 Stomach tube No. 18 (safeed) 125 cm 2016 625.00 25,426.00 15,891,250.00 40.00 25,426.00 1,017,040.00
319 Stomach tube No.12 (safeed) 125 cm 2016 435.00 25,426.00 11,060,310.00 74.00 25,426.00 1,881,524.00
320 Stomach tube No.14 (safeed) 125 cm 2016 350.00 25,426.00 8,899,100.00 30.00 25,426.00 762,780.00
321 Stomach tube No.16 (safeed) 125 cm 2016 640.00 25,426.00 16,272,640.00 152.00 25,426.00 3,864,752.00
322 Suction catheter no 10 2016 81.00 8,981.00 727,461.00 - 8,981.00 -
323 Suction catheter no 12 2016 152.00 8,981.00 1,365,112.00 30.00 8,981.00 269,430.00
324 Suction catheter no 16 2016 202.00 8,981.00 1,814,162.00 9.00 8,981.00 80,829.00
325 Suction catheter no 6 2016 20.00 8,981.00 179,620.00 - 8,981.00 -
326 Suction catheter No. 14 2016 55.00 8,981.00 493,955.00 41.00 8,981.00 368,221.00
327 Suction catheter No. 8 2016 325.00 8,981.00 2,918,825.00 175.00 8,981.00 1,571,675.00
328 Sufratulle 2016 480.00 22,597.40 10,846,752.00 340.00 22,597.40 7,683,116.00
329 Surflo winged infusion set no. 23 G x 3/4" 2016 2,700.00 13,176.00 35,575,200.00 250.00 13,176.00 3,294,000.00
330 Surflo winged infusion set no. 25 G x 3/4" 2016 3,550.00 13,176.00 46,774,800.00 50.00 13,176.00 658,800.00
331 Surgical (Jarum Δ) no. 10 2016 528.00 4,216.67 2,226,400.00 - 4,216.67 -
334 Surgical (Jarum Δ) no. 13 2016 156.00 4,216.67 657,800.00 - 4,216.67 -
338 Surgical (Jarum○) no. 10 2016 120.00 4,216.67 506,000.00 12.00 4,216.67 50,600.00
339 Surgical (Jarum○) no. 11 2016 564.00 4,216.67 2,378,200.00 12.00 4,216.67 50,600.00
340 Surgical (Jarum○) no. 12 2016 12.00 4,216.67 50,600.00 - 4,216.67 -
341 Surgical (Jarum○) no. 13 2016 156.00 4,216.67 657,800.00 168.00 4,216.67 708,400.00
342 Surgical (Jarum○) no. 14 2016 864.00 4,216.67 3,643,200.00 - 4,216.67 -
345 Surgical Needles (Jarum ○) 40 1/2 Circle 2016 12.00 4,216.67 50,600.00 12.00 4,216.67 50,600.00
346 Surgical Needles (Jarum ○) 55 1/2 Circle 2016 228.00 4,216.67 961,400.00 - 4,216.67 -
347 Surgical Needles (Jarum ○) 60 1/2 Circle 2016 288.00 4,216.67 1,214,400.00 - 4,216.67 -
350 Surgical Needles (Jarum Δ) 55 1/2 Circle 2016 228.00 4,216.67 961,400.00 12.00 4,216.67 50,600.00
351 Surgical Needles (Jarum Δ) 60 1/2 Circle 2016 168.00 4,216.67 708,400.00 - 4,216.67 -
354 Tegaderm for general IV 1622 (5 cm x 5.7 cm) 2016 100.00 5,819.00 581,900.00 - 5,819.00 -
355 Thoracic catheter with trocard No.24 2016 140.00 215,878.00 30,222,920.00 - 215,878.00 -
356 Tounge spatel kayu 2016 300.00 176.46 52,938.00 300.00 176.46 52,938.00
357 T-Piece 2016 35.00 44,275.00 1,549,625.00 27.00 44,275.00 1,195,425.00
358 Trancheostomy Tube with Cuffed No.7 2016 5.00 373,965.00 1,869,825.00 - 373,965.00 -
359 Trancheostomy Tube with Cuffed No.7.5 2016 3.00 373,965.00 1,121,895.00 - 373,965.00 -
360 Transofix 2016 400.00 3,400.00 1,360,000.00 350.00 3,400.00 1,190,000.00
361 Transpore 1527-0 (1/2x1,25)/lecopor 2016 318.00 40,000.00 12,720,000.00 - 40,000.00 -
362 Ultrasound gel 2016 66.00 34,528.00 2,278,848.00 35.00 34,528.00 1,208,480.00
363 Umbilical swab 16 x 16 cm 2016 208.00 480.70 99,985.60 - 480.70 -
364 Umbilicard cord clamp 2016 13,500.00 1,000.00 13,500,000.00 250.00 1,000.00 250,000.00
365 Under pad 2016 3,224.00 4,583.40 14,776,881.60 934.00 4,583.40 4,280,895.60
366 Ureofix 500 ml 2016 60.00 264,000.00 15,840,000.00 60.00 264,000.00 15,840,000.00
367 Urinal 2016 40.00 5,000.00 200,000.00 - 5,000.00 -
368 Urine Bag steril 2000cc 2016 6,370.00 3,810.00 24,269,700.00 380.00 3,810.00 1,447,800.00
369 Vaseline 2016 3.00 100,750.00 302,250.00 2.00 100,750.00 201,500.00
370 Wash Gloves4 sheets non parfum 2016 132.00 2,058.77 271,757.75 132.00 2,058.77 271,757.75
371 Wash Gloves4 sheets non parfum sz.15 x 22 2016 3,140.00 1,013.00 3,180,820.00 3,140.00 1,013.00 3,180,820.00
372 Wings needle 23 G x 3/4" 2016 19.00 13,176.24 250,348.56 - 13,176.24 -
373 Wings needle 27 G x 3/4" 2016 119.00 13,176.24 1,567,972.56 - 13,176.24 -
374 Wound Gel 30 ml 2016 20.00 203,500.00 4,070,000.00 20.00 203,500.00 4,070,000.00
375 Wound Gel 50 g 2016 9.00 286,000.00 2,574,000.00 9.00 286,000.00 2,574,000.00
RADIOLOGI : -
1 Cairan Developer 2016 40 1,183,700.00 47,348,000.00 40 1,183,700.00 47,348,000.00
2 Cairan Fixer 2016 40 731,000.00 29,240,000.00 40 731,000.00 29,240,000.00
3 Film 18 x 24 cm 2016 200 12,590.00 2,518,000.00 200 12,590.00 2,518,000.00
4 Film 24 x 30 cm 2016 2000 21,826.00 43,652,000.00 2000 21,826.00 43,652,000.00
5 Film 35 x 35 cm 2016 3000 37,690.00 113,070,000.00 3000 37,690.00 113,070,000.00
6 Film Panoramic 30 x 15 cm 2016 800 12,899.00 10,319,200.00 800 12,899.00 10,319,200.00
7 Iopamiro 2016 35 326,000.00 11,410,000.00 35 326,000.00 11,410,000.00
8 Barium Sulfat 2016 49 914,000.00 44,786,000.00 49 914,000.00 44,786,000.00
9 Cassate 30 x 40 cm 2016 1 7,550,000.00 7,550,000.00 1 7,550,000.00 7,550,000.00
10 Cassete 35 x 35 2016 2 7,700,000.00 15,400,000.00 2 7,700,000.00 15,400,000.00
CSSD : -
1 Steril strip Sz. 1/2 inci x 4 inci(1547) 2016 535 7,446.92 3,984,102.20 535 7,446.92 3,984,102.20
2 Steril strip Sz. 1/4 inci x 11/2 inci(1542) 2016 395 3,857.70 1,523,789.53 395 3,857.70 1,523,789.53
3 Steril strip Sz. 1/4 inci x 4 inci (1546) 2016 495 2,520.57 1,247,682.15 495 2,520.57 1,247,682.15
4 Steril strip Sz. 1 inci x 5 inci 2016 25 7,446.92 186,173.00 25 7,446.92 186,173.00
5 Sterintech Gussette 40 x 8 cm 2016 24 1,879,840.00 45,116,160.00 24 1,879,840.00 45,116,160.00
2016
SPECIALISTIK :
1 Carbachlol Intraocular Solution 2016 280 84,165.00 23,566,200.00 - 84,165.00 -
2 Hydroxypropyl Methylcellulose(HPMC) IP 2% 2016 211 138,462.00 29,215,482.00 - 138,462.00 -
3 Crescent knife, size 2.2 mm 2016 156 246,154.00 38,400,024.00 6.00 246,154.00 1,476,924.00
4 Dop mata bening 2016 150 11,538.00 1,730,700.00 - 11,538.00 -
5 Keratome knife size 2.75 2016 150 246,154.00 36,923,100.00 6.00 246,154.00 1,476,924.00
6 Tripan blue ophthalmic solution 0,6 mg/ml 2016 210 84,165.00 17,674,650.00 84,165.00 -
7 Optika intraocular (IOL) lens no 22,5 2016 189 153,846.00 29,076,894.00 10.00 153,846.00 1,538,460.00
8 Stab knife, size 15 2016 150 200,000.00 30,000,000.00 6.00 200,000.00 1,200,000.00
9 Micro Cauter/Cautery 1000 fine tip 2016 20 200,000.00 4,000,000.00 - 200,000.00 -
10
APOTIK 43,217.00 600,490,534.83 43,217.00 600,490,534.83 -
1 SPUIT 1 CC 2016 92.00 6,000.00 552,000.00 92.00 6,000.00 552,000.00
2 SPUIT 5 CC 2016 115.00 5,000.00 575,000.00 115.00 5,000.00 575,000.00
3 SPUIT 10 CC 2016 161.00 8,000.00 1,288,000.00 161.00 8,000.00 1,288,000.00
4 SPUIT 20 CC 2016 40.00 10,000.00 400,000.00 40.00 10,000.00 400,000.00
5 SPUIT 50 CC LUBANG TENGAH 2016 36.00 25,000.00 900,000.00 36.00 25,000.00 900,000.00
6 SPUIT 50 CC LUBANG PINGGIR 2016 155.00 25,000.00 3,875,000.00 155.00 25,000.00 3,875,000.00
7 NASAL CANUL BAYI 2016 18.00 47,000.00 846,000.00 18.00 47,000.00 846,000.00
8 NASAL CANUL ANAK 2016 142.00 47,000.00 6,674,000.00 142.00 47,000.00 6,674,000.00
9 NASAL CANUL DEWASA 2016 172.00 47,000.00 8,084,000.00 172.00 47,000.00 8,084,000.00
10 BLOODSET (TERUMO) 2016 44.00 23,000.00 1,012,000.00 44.00 23,000.00 1,012,000.00
11 ABOCHAT NO. 14 2016 31.00 38,000.00 1,178,000.00 31.00 38,000.00 1,178,000.00
12 ABOCHAT NO. 18 TERUMO 2016 11.00 38,000.00 418,000.00 11.00 38,000.00 418,000.00
13 ABOCHAT NO. 18 B-BRAUN 2016 8.00 38,000.00 304,000.00 8.00 38,000.00 304,000.00
14 ABOCHAT NO. 20 2016 106.00 38,000.00 4,028,000.00 106.00 38,000.00 4,028,000.00
15 ABOCHAT NO. 22 2016 99.00 38,000.00 3,762,000.00 99.00 38,000.00 3,762,000.00
16 ABOCHAT NO. 24 2016 34.00 38,000.00 1,292,000.00 34.00 38,000.00 1,292,000.00
17 INFUS SET MACRO 2016 90.00 18,000.00 1,620,000.00 90.00 18,000.00 1,620,000.00
18 INFUS SET MICRO 2016 31.00 18,000.00 558,000.00 31.00 18,000.00 558,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
19 SUCTION CATHETER N0. 18 2016 9.00 16,000.00 144,000.00 9.00 16,000.00 144,000.00
23 EXTENTION TUBE 7,5 TERUMO 2016 4.00 20,000.00 80,000.00 4.00 20,000.00 80,000.00
24 EXTENTION TUBE 15 TERUMO 2016 76.00 20,000.00 1,520,000.00 76.00 20,000.00 1,520,000.00
25 URINE BAG 2016 55.00 20,000.00 1,100,000.00 55.00 20,000.00 1,100,000.00
26 WING NEEDLE NO. 21 2016 96.00 12,800.00 1,228,800.00 96.00 12,800.00 1,228,800.00
27 WING NEEDLE NO. 25 2016 41.00 12,800.00 524,800.00 41.00 12,800.00 524,800.00
28 FOLLEY CATHETER TWO WAY N0. 10 2016 10.00 22,138.00 221,380.00 10.00 22,138.00 221,380.00
33 STOMACH TUBE N0. 14 (SAFEED) 125 CM 2016 36.00 25,426.00 915,336.00 36.00 25,426.00 915,336.00
34 STOMACH TUBE N0. 18 (SAFEED) 125 CM 2016 44.00 25,426.00 1,118,744.00 44.00 25,426.00 1,118,744.00
35 BENANG BEDAH PREMILENE 3/0 DS 19 2016 36.00 51,988.73 1,871,594.28 36.00 51,988.73 1,871,594.28
36 BENANG BEDAH PREMILENE 4/0 DS 19 2016 12.00 51,988.73 623,864.76 12.00 51,988.73 623,864.76
37 BENANG BEDAH CAT GUT CHROMIC 2/0 TAPPER 2016 16.00 360,000.00 5,760,000.00 16.00 360,000.00 5,760,000.00
38 BENANG BEDAH CAT GUT CHROMIC 4/0 TAPPER 2016 5.00 366,000.00 1,830,000.00 5.00 366,000.00 1,830,000.00
39 BENANG BEDAH SILK BLACK 2/0 HR 26 TAPPER 2016 36.00 64,583.00 2,324,988.00 36.00 64,583.00 2,324,988.00
40 BENANG BEDAH SILK BLACK 3/0 DS 24 2016 6.00 25,566.96 153,401.76 6.00 25,566.96 153,401.76
41 NRM DEWASA 2016 26.00 60,000.00 1,560,000.00 26.00 60,000.00 1,560,000.00
42 NALD INSULIN/ NOVOTWIST 2016 90.00 5,000.00 450,000.00 90.00 5,000.00 450,000.00
43 BISTURI/ BLADES N0. 12 2016 89.00 1,500.00 133,500.00 89.00 1,500.00 133,500.00
44 BISTURI/ BLADES N0. 15 2016 82.00 1,500.00 123,000.00 82.00 1,500.00 123,000.00
45 BISTURI/ BLADES N0. 20 2016 88.00 1,500.00 132,000.00 88.00 1,500.00 132,000.00
46 BISTURI/ BLADES N0. 22 2016 88.00 1,500.00 132,000.00 88.00 1,500.00 132,000.00
47 UMBILICAL CORD CLAMP 2016 48.00 1,270.00 60,960.00 48.00 1,270.00 60,960.00
48 UNDER PAD 2016 7.00 4,583.00 32,081.00 7.00 4,583.00 32,081.00
49 CERVICAL COLLAR L 2016 1.00 221,100.00 221,100.00 1.00 221,100.00 221,100.00
50 GUDEL RUSCH N0. 0 2016 5.00 35,000.00 175,000.00 5.00 35,000.00 175,000.00
51 GUDEL RUSCH N0. 00 2016 3.00 35,000.00 105,000.00 3.00 35,000.00 105,000.00
52 GUDEL RUSCH N0. 000 2016 5.00 35,000.00 175,000.00 5.00 35,000.00 175,000.00
53 LATEX EXAMINATION GLOVES SIZE L 2016 500.00 32,000.00 16,000,000.00 500.00 32,000.00 16,000,000.00
54 LATEX EXAMINATION GLOVES SIZE M 2016 1,600.00 32,000.00 51,200,000.00 1,600.00 32,000.00 51,200,000.00
55 PEMBALUT ELASTIS 7,5 x 4.55 CM/ PROCREPE 2016 17.00 150.00 2,550.00 17.00 150.00 2,550.00
56 TORAX CATHETER 2016 19.00 216,000.00 4,104,000.00 19.00 216,000.00 4,104,000.00
57 DIAPERS ADULT SIZE XL 2016 32.00 11,500.00 368,000.00 32.00 11,500.00 368,000.00
BHP Kedokteran Gigi -

1 Amalgam Capsul 2016 7500 19,228.00 144,210,000.00 7500 19,228.00 144,210,000.00
2 Adhesive 2016 5 1,897,500.00 9,487,500.00 5 1,897,500.00 9,487,500.00
3 Adhesive 2016 5 1,897,500.00 9,487,500.00 5 1,897,500.00 9,487,500.00
4 Algirat (aroma fine) 2016 10 247.94 2,479.40 10 247.94 2,479.40
5 Anestetik agent 2% Spesial (SCANDONEST) 2016 200 7,084.00 1,416,800.00 200 7,084.00 1,416,800.00
6 Anestetik agent 4% Spesial (TURBOCAIN) 2016 1150 8,096.00 9,310,400.00 1150 8,096.00 9,310,400.00
7 Bor polisher for ceramics 2016 30 221,375.00 6,641,250.00 30 221,375.00 6,641,250.00
12 Bor precious alloy polishers 2016 12 221,375.00 2,656,500.00 12 221,375.00 2,656,500.00
13 Bor precious alloy polishers 2016 14 221,375.00 3,099,250.00 14 221,375.00 3,099,250.00
14 Bor Adhesive remover 2016 28 189,750.00 5,313,000.00 28 189,750.00 5,313,000.00
15 Bor surgery 2016 6 189,750.00 1,138,500.00 6 189,750.00 1,138,500.00
16 Bor diamond 2016 10 189,750.00 1,897,500.00 10 189,750.00 1,897,500.00
17 Bucal tube M1 2016 50 227,700.00 11,385,000.00 50 227,700.00 11,385,000.00
18 Bucal tube M2 2016 50 227,700.00 11,385,000.00 50 227,700.00 11,385,000.00
19 Devitec 2016 1 115,958.33 115,958.33 1 115,958.33 115,958.33
20 Closed coil Spring 2016 5 865,260.00 4,326,300.00 5 865,260.00 4,326,300.00
21 Elastomerik Elastic sz. 1/4' 4 Oz 2016 1000 10,752.50 10,752,500.00 1000 10,752.50 10,752,500.00
24 Elastomerik Power Chain 2016 5 379,500.00 1,897,500.00 5 379,500.00 1,897,500.00
25 Elastomerik Power O 2016 126 10,436.25 1,314,967.50 126 10,436.25 1,314,967.50
26 Elastomerik Separator 2016 2000 556.60 1,113,200.00 2000 556.60 1,113,200.00
27 Etsa 12 gr(acid etchant gel) 2016 12 139,150.00 1,669,800.00 12 139,150.00 1,669,800.00
28 Eugenol 2016 1 6,325.00 6,325.00 1 6,325.00 6,325.00
29 Eugenol (HIJAU) 2016 6 6,325.00 37,950.00 6 6,325.00 37,950.00
30 Gips 2016 10 139.15 1,391.50 10 139.15 1,391.50
31 Ligature wire 2016 5000 506.00 2,530,000.00 5000 506.00 2,530,000.00
32 Lingual button 2016 50 35,420.00 1,771,000.00 50 35,420.00 1,771,000.00
33 Superelastic round 0.016" upper 2016 30 45,540.00 1,366,200.00 30 45,540.00 1,366,200.00
34 Etching Gel 2016 5 208,725.00 1,043,625.00 5 208,725.00 1,043,625.00
35 Endomethasone N(Pengisi saluran akar) 2016 9 683,100.00 6,147,900.00 9 683,100.00 6,147,900.00
36 K-Reamers 45-80 L-21 2016 54 27,408.33 1,480,050.00 54 27,408.33 1,480,050.00
37 K-Reamers 45-80 L-25 2016 30 27,408.33 822,250.00 30 27,408.33 822,250.00
38 K-Reamers 15-40 L-25 2016 12 27,408.33 328,900.00 12 27,408.33 328,900.00
39 Mercury 2016 10 37,950.00 379,500.00 10 37,950.00 379,500.00
40 Paper point 15-40 2016 1400 221.00 309,400.00 1400 221.00 309,400.00
41 Paper point 15-40(absorbent ) 2016 1800 221.00 397,800.00 1800 221.00 397,800.00
42 Gutta Percha Points 45-80 2016 3600 400.00 1,440,000.00 3600 400.00 1,440,000.00
43 Bonding/Stae Refill 2016 8 43,700.00 349,600.00 8 43,700.00 349,600.00
44 Spongostan(galespon) 2016 1000 847.55 847,550.00 1000 847.55 847,550.00
45 Septoject 12 2016 1000 1,290.30 1,290,300.00 1000 1,290.30 1,290,300.00
46 Septoject 2016 100 1,290.30 129,030.00 100 1,290.30 129,030.00
47 Saliva Ejektor 2016 3800 733.70 2,788,060.00 3800 733.70 2,788,060.00
48 Multifix/Liquid 30 ml 2016 4 30,000.00 120,000.00 4 30,000.00 120,000.00
49 Multifix/Liquid 10 ml 2016 4 20,000.00 80,000.00 4 20,000.00 80,000.00
50 New Ultrafine Powder 2016 17 50,000.00 850,000.00 17 50,000.00 850,000.00
51 TRANSCODENT 30 G 0,3 x 16 mm 2016 1000 1,290.30 1,290,300.00 1000 1,290.30 1,290,300.00
52 ANA 2000 2016 15 90,000.00 1,350,000.00 15 90,000.00 1,350,000.00
53 Aux-510 Cellulose 2016 1600 10,000.00 16,000,000.00 1600 10,000.00 16,000,000.00
54 Double Check 2016 360 2,500.00 900,000.00 360 2,500.00 900,000.00
55 Hydcal 2016 13 145,000.00 1,885,000.00 13 145,000.00 1,885,000.00
56 W&H Service oil 2016 5 150,000.00 750,000.00 5 150,000.00 750,000.00
57 Sensi kill 2016 4 50,823.00 203,292.00 4 50,823.00 203,292.00
58 Endoseptone 2016 2 683,100.00 1,366,200.00 2 683,100.00 1,366,200.00
59 Saliva Ejektor 2016 2900 733.70 2,127,730.00 2900 733.70 2,127,730.00
60 Surgical ejektor 2016 599 733.70 439,486.30 599 733.70 439,486.30
61 Cresotin 25 G 2016 40 610,000.00 24,400,000.00 40 610,000.00 24,400,000.00
62 Reverse Curve round 0,016'' lower 2016 15 600,000.00 9,000,000.00 15 600,000.00 9,000,000.00
63 OCO(Pelunak Karang Gigi) 2016 5 135,000.00 675,000.00 5 135,000.00 675,000.00
64 Bor diamond inverted cone 2016 20 372,000.00 7,440,000.00 20 372,000.00 7,440,000.00
65 Cresophene/Cresotin 15 ml 2016 46 665,000.00 30,590,000.00 46 665,000.00 30,590,000.00
66 Therma- TI Round 014 (RA + RB)Lower 2016 9 580,000.00 5,220,000.00 9 580,000.00 5,220,000.00
67 Therma- TI Round 014 (RA + RB)Upper 2016 2 580,000.00 1,160,000.00 2 580,000.00 1,160,000.00
68 Therma- TI Round 016 (RA + RB)Upper 2016 8 580,000.00 4,640,000.00 8 580,000.00 4,640,000.00
69 Therma- TI Round 016 (RA + RB)Lower 2016 8 580,000.00 4,640,000.00 8 580,000.00 4,640,000.00
70 Therma- TI Rectangular 017 X 0,25 (RA + RT)LOWER 2016 3 726,000.00 2,178,000.00 3 726,000.00 2,178,000.00
71 Therma- TI Rectangular 017 X 0,25 (RA + RT)Upper 2016 3 726,000.00 2,178,000.00 3 726,000.00 2,178,000.00
72 Therma- TI Rectangular 016 X 0,22 (RA + RT)Lower 2016 3 726,000.00 2,178,000.00 3 726,000.00 2,178,000.00
73 Therma- TI Rectangular 016 X 0,22 (RA + RE)Upper 2016 3 726,000.00 2,178,000.00 3 726,000.00 2,178,000.00
74 Therma- TI Rectangular 016 X 0,16 (RA + RE)Upper 2016 3 726,000.00 2,178,000.00 3 726,000.00 2,178,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
75 Therma- TI Rectangular 016 X 0,16 (RA + RE)Lower 2016 3 726,000.00 2,178,000.00 3 726,000.00 2,178,000.00
76 Stainless Steel Round 0.014'' Lower 2016 3 600,000.00 1,800,000.00 3 600,000.00 1,800,000.00
77 Stainless Steel Round 0.014'' Upper 2016 3 600,000.00 1,800,000.00 3 600,000.00 1,800,000.00
82 Reverse Curve round 0,014'' lower 2016 3 600,000.00 1,800,000.00 3 600,000.00 1,800,000.00
83 Reverse Curve round 0,014'' upper 2016 3 600,000.00 1,800,000.00 3 600,000.00 1,800,000.00
84 Reverse Curve round 0,016'' upper 2016 3 600,000.00 1,800,000.00 3 600,000.00 1,800,000.00
85 Stainless steel regtangular 0.016 x 0,016 Lower 2016 3 300,000.00 900,000.00 3 300,000.00 900,000.00
86 Stainless steel regtangular 0.016 x 0,016 Upper 2016 3 300,000.00 900,000.00 3 300,000.00 900,000.00
88 Stainless steel regtangular 0.016 x 0,022 Upper 2016 3 300,000.00 900,000.00 3 300,000.00 900,000.00
90 Superelastic Regtangular 0,016 x 0,16 Lower 2016 3 580,000.00 1,740,000.00 3 580,000.00 1,740,000.00
91 Superelastic Regtangular 0,016 x 0,16 Upper 2016 3 580,000.00 1,740,000.00 3 580,000.00 1,740,000.00
96 Superelastic Round 0,012 Lower 2016 3 435,000.00 1,305,000.00 3 435,000.00 1,305,000.00
97 Superelastic Round 0,012 Upper 2016 3 435,000.00 1,305,000.00 3 435,000.00 1,305,000.00
7 Bahan Logistik Rumah Tangga 992.00 167,349,600.00 65.00 12,840,800.00 927.00 154,508,800.00
1 Alas kasur putih 2016 119 100,000.00 11,900,000.00 - 100,000.00 -
2 Alas meja operasi hijau 2016 24 133,000.00 3,192,000.00 - 133,000.00 -
3 Alas meja operasi hijau uk. 60 x 20 2016 9 133,000.00 1,197,000.00 - 133,000.00 -
4 Alas meja operasi hijau uk. 60 x 60 2016 20 133,000.00 2,660,000.00 - 133,000.00 -
5 Alas Trolly Instrumen Hijau 2016 9 175,000.00 1,575,000.00 - 175,000.00 -
6 Baju & Celana OK uk. XXL 2016 5 125,000.00 625,000.00 - 125,000.00 -
7 Baju & Celana OK uk. XL 2016 9 125,000.00 1,125,000.00 - 125,000.00 -
8 Baju Tidur anak 2016 12 140,000.00 1,680,000.00 - 140,000.00 -
9 Bantal Petak 2016 3 190,000.00 570,000.00 2.00 190,000.00 380,000.00
10 Bantal Guling 2016 9 195,000.00 1,755,000.00 6.00 195,000.00 1,170,000.00
11 Duk bolong besar uk. 125 x 325 2016 12 548,000.00 6,576,000.00 12.00 548,000.00 6,576,000.00
12 Duk bolong bulat uk. 50 x 60 2016 2 50,000.00 100,000.00 - 50,000.00 -
13 Duk bolong belah uk. 90 x 14 2016 13 50,000.00 650,000.00 - 50,000.00 -
14 Duk bolong bulat persegi 2016 6 50,000.00 300,000.00 - 50,000.00 -
15 Duk bolong bulat sedang uk. 125 x 90 2016 3 548,000.00 1,644,000.00 - 548,000.00 -
16 Duk bolong bulat uk. 125 x 90 2016 21 548,000.00 11,508,000.00 - 548,000.00 -
17 Duk bolong persegi hijau uk. 60 x 60 2016 14 50,000.00 700,000.00 - 50,000.00 -
18 Duk bolong persegi uk. 85 x 60 2016 3 50,000.00 150,000.00 - 50,000.00 -
19 Duk Kaki hijau uk. 50 x 100 2016 28 253,000.00 7,084,000.00 - 253,000.00 -
20 Duk lubang mata 2016 20 50,000.00 1,000,000.00 - 50,000.00 -
21 Handuk Abu-abu 2016 3 55,000.00 165,000.00 2.00 55,000.00 110,000.00
22 Handuk anak Spiderman 2016 8 33,000.00 264,000.00 3.00 33,000.00 99,000.00
23 Handuk Putih RSPB 2016 2 130,000.00 260,000.00 1.00 130,000.00 130,000.00
24 Jas Operasi 2016 10 465,000.00 4,650,000.00 - 465,000.00 -
25 Jas Operasi 2 warna 2016 5 465,000.00 2,325,000.00 - 465,000.00 -
26 Jas Operasi Overlapping allsize 2016 45 465,000.00 20,925,000.00 - 465,000.00 -
27 Keset Handuk 2016 38 79,200.00 3,009,600.00 24.00 79,200.00 1,900,800.00
28 Kimono dewasa hijau uk. L 2016 15 310,000.00 4,650,000.00 - 310,000.00 -
29 Kimono dewasa hijau uk. M 2016 10 310,000.00 3,100,000.00 - 310,000.00 -
30 Kimono dewasa hijau uk. XL 2016 11 310,000.00 3,410,000.00 - 310,000.00 -
31 Selimut bludru 2016 15 165,000.00 2,475,000.00 15.00 165,000.00 2,475,000.00
32 Sprei 2016 1 150,000.00 150,000.00 - 150,000.00 -
33 Sprei Biru & sarung bantal petak 2016 32 200,000.00 6,400,000.00 - 200,000.00 -
34 Sprei Pink tidak berkaret 2016 40 150,000.00 6,000,000.00 - 150,000.00 -
35 Sprei putih berkaret 2016 161 175,000.00 28,175,000.00 - 175,000.00 -
36 Sprei putih tidak berkaret 2016 30 150,000.00 4,500,000.00 - 150,000.00 -
37 Stik laken putih 2016 205 100,000.00 20,500,000.00 - 100,000.00 -
38 Waslap 2016 20 20,000.00 400,000.00 - 20,000.00 -
D OBAT - OBATAN 4,966,486.00 - 9,965,828,113 1,352,761 - 3,961,504,314 3,613,725 6,004,323,798.66

OBAT NON GENERIK 2,036,905.00 6,973,231,639.46 621,817.00 2,923,197,557.40
GUDANG FARMASI 1,882,167.00 5,962,707,483.43 467,079.00 1,912,673,401.38
1 ACETIN 600 mg 2016 760.00 10,000.00 7,600,000.00 760.00 10,000.00 7,600,000.00
2 ACTOS 15 MG 2016 2,562.00 257.00 658,434.00 2,562.00 257.00 658,434.00
3 ADALAT OROS 20 MG 2016 9,600.00 2,999.00 28,790,400.00 2,400.00 2,999.00 7,197,600.00
4 ADALAT OROS 30 MG 2016 7,290.00 3,500.00 25,515,000.00 1,290.00 3,500.00 4,515,000.00
5 AGGRAVAN (CILOSTAZOL 50 mg) 2016 4,050.00 7,100.00 28,755,000.00 2,700.00 7,100.00 19,170,000.00
6 ALBOTHYL SOL 2016 113.00 27,577.00 3,116,201.00 95.00 27,577.00 2,619,815.00
7 ALBUMAN 200 2016 120.00 466,577.00 55,989,240.00 120.00 466,577.00 55,989,240.00
8 ALBUMAS 2016 330.00 6,735.70 2,222,781.00 330.00 6,735.70 2,222,781.00
9 ALDISA SR 2016 4,000.00 4,717.04 18,868,160.42 4,000.00 4,717.04 18,868,160.42
10 AMINO HEPAR 2016 200.00 82,418.00 16,483,600.00 - 82,418.00 -
11 AMINOFLUID 2016 20.00 103,500.00 2,070,000.00 20.00 103,500.00 2,070,000.00
12 AMINOLEBAN INF 2016 288.00 187,000.00 53,856,000.00 24.00 187,000.00 4,488,000.00
13 AMINOPHHYLINE INJ 2016 870.00 3,150.00 2,740,500.00 360.00 3,150.00 1,134,000.00
14 AMIPAREN 2016 524.00 126,500.00 66,286,000.00 - 126,500.00 -
15 AMVAR 2016 2,400.00 5,888.57 14,132,560.01 2,400.00 5,888.57 14,132,560.01
16 ANTIDIA 2 MG 2016 10,000.00 398.03 3,980,300.00 5,000.00 398.03 1,990,150.00
17 ARIXTRA INJ 2,5 MG (2 FLS) 2016 78.00 253,750.00 19,792,500.00 - 253,750.00 -
18 ARTEM 2016 60.00 23,100.00 1,386,000.00 - 23,100.00 -
19 ASERING 2016 160.00 9,000.00 1,440,000.00 20.00 9,000.00 180,000.00
20 ATROVENT 2016 480.00 90,000.00 43,200,000.00 30.00 90,000.00 2,700,000.00
21 AVOGIN 2016 1,200.00 3,099.23 3,719,080.00 600.00 3,099.23 1,859,540.00
22 BDM SYR 2016 168.00 33,149.00 5,569,032.00 144.00 33,149.00 4,773,456.00
23 BDM TAB 2016 7,400.00 2,762.00 20,438,800.00 2,550.00 2,762.00 7,043,100.00
24 BENODON INJ 2016 1,950.00 14,876.40 29,008,980.00 80.00 14,876.40 1,190,112.00
25 BENOXICAM 20 MG 2016 10,000.00 909.78 9,097,800.00 - 909.78 -
26 BETABLOK 100 MG 2016 20,010.00 700.00 14,007,000.00 210.00 700.00 147,000.00
27 BIO ATP 2016 32,400.00 2,700.00 87,480,000.00 3,600.00 2,700.00 9,720,000.00
28 BIO CURLIV 2016 26,880.00 8,183.00 219,959,040.00 13,440.00 8,183.00 109,979,520.00
29 BIOCAL-95 2016 4,800.00 4,091.00 19,636,800.00 1,200.00 4,091.00 4,909,200.00
30 BIOPLACENTON GEL 30 G 2016 330.00 10,632.00 3,508,560.00 120.00 10,632.00 1,275,840.00
31 BIOPREXUM 2016 3,000.00 2,420.00 7,260,000.00 - 2,420.00 -
32 BIORALIT 2016 3,000.00 1,120.00 3,360,000.00 - 1,120.00 -
33 BIOSAVE (VAKSIN SABU) 2016 20.00 145,475.00 2,909,500.00 15.00 145,475.00 2,182,125.00
34 BISOLVON INJ 2 mg/ml 2016 190.00 12,500.00 2,375,000.00 40.00 12,500.00 500,000.00
35 BISOLVON SOL 10 MG/5ML 2016 90.00 64,595.00 5,813,550.00 30.00 64,595.00 1,937,850.00
36 CARDURA DOXAZOSIN 2 MG 2016 2,500.00 5,480.00 13,700,000.00 - 5,480.00 -
37 CEPHALEXIN 500 2016 5,000.00 1,100.00 5,500,000.00 - 1,100.00 -
38 CHROMALUX TAB 200 MCG 2016 640.00 9,500.00 6,080,000.00 640.00 9,500.00 6,080,000.00
39 CISPLATIN 50 MG 2016 72.00 97,000.00 6,984,000.00 - 97,000.00 -
40 CLINEX 300 MG 2016 7,560.00 6,466.67 48,888,000.00 3,150.00 6,466.67 20,370,000.00
41 COMBIVENT UDV 2.5 ML 2016 680.00 6,990.00 4,753,200.00 680.00 6,990.00 4,753,200.00
42 COUGH EN SYR 2016 850.00 14,876.00 12,644,600.00 600.00 14,876.00 8,925,600.00
43 CROME TAB 10 MG 2016 12,800.00 199.02 2,547,404.80 - 199.02 -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
44 CYCLOPROGYNOVA 2016 4,032.00 5,773.43 23,278,463.99 1,260.00 5,773.43 7,274,520.00
45 DEPAKENE SYR 120 ml 2016 80.00 38,000.00 3,040,000.00 80.00 38,000.00 3,040,000.00
46 DEPAKOTE 250 TAB 2016 6,400.00 1,680.00 10,752,000.00 - 1,680.00 -
47 DEPAKOTE ER 250 TAB 2016 2,000.00 1,680.00 3,360,000.00 900.00 1,680.00 1,512,000.00
48 DEPTRAL 2016 4,050.00 11,333.33 45,900,000.00 - 11,333.33 -
49 DEXIGEN CREAM 2016 13.00 6,150.00 79,950.00 13.00 6,150.00 79,950.00
50 DEXTAMIN TAB 2016 100,800.00 2,010.83 202,691,999.66 14,400.00 2,010.83 28,955,999.95
51 DIAMICRON 30 MG TAB 2016 2,940.00 638.00 1,875,720.00 1,500.00 638.00 957,000.00
52 DIAMICRON MR 60 MG 2016 1,200.00 5,500.00 6,600,000.00 - 5,500.00 -
53 DIUREFO TAB 2016 12,000.00 887.04 10,644,480.00 6,000.00 887.04 5,322,240.00
54 DIUVAR INJ 2016 4,615.00 9,097.80 41,986,347.00 1,675.00 9,097.80 15,238,815.00
55 DOBURAN 2016 30.00 28,035.00 841,050.00 - 28,035.00 -
56 DOPAMET 250 MG (METHYCLOPA) 2016 1,000.00 840.00 840,000.00 - 840.00 -
57 DULCOLAX SUPP 10 MG 2016 3,500.00 10,000.00 35,000,000.00 950.00 10,000.00 9,500,000.00
58 DULCOLAX SUPP 5 MG 2016 774.00 4,990.00 3,862,260.00 318.00 4,990.00 1,586,820.00
59 DUMIN RECTAL 250 MG 2016 460.00 17,786.20 8,181,652.00 95.00 17,786.20 1,689,689.00
60 DUVADILAN INJ 2016 144.00 24,640.00 3,548,160.00 144.00 24,640.00 3,548,160.00
61 D-VIT 2016 2,520.00 680.00 1,713,600.00 - 680.00 -
62 ECOSOL GLUKOSA 10 % 2016 80.00 10,437.00 834,960.00 10.00 10,437.00 104,370.00
63 ECRON INJ 4 MG 2016 950.00 75,000.00 71,250,000.00 - 75,000.00 -
64 ENZYFLEX 2016 10,000.00 940.00 9,400,000.00 - 940.00 -
65 ERICAF TAB 2016 2,400.00 6,027.42 14,465,808.00 - 6,027.42 -
66 ESTIN SYR 2016 72.00 51,175.00 3,684,600.00 72.00 51,175.00 3,684,600.00
67 FARBION 5000 INJ 2016 1,800.00 5,117.20 9,210,960.00 1,550.00 5,117.20 7,931,660.00
68 FARGOXIN 0,25 INJ 2016 75.00 23,150.00 1,736,250.00 - 23,150.00 -
69 FARMALAT 10 mg 2016 14,400.00 454.89 6,550,416.00 2,400.00 454.89 1,091,736.00
70 FARNORMIN 50 MG 2016 14,400.00 454.89 6,550,416.00 2,400.00 454.89 1,091,736.00
71 FARSORBID 10 ML 2016 180.00 34,980.00 6,296,400.00 - 34,980.00 -
72 FARSORBID 5 ML 2016 26,400.00 244.00 6,441,600.00 4,800.00 244.00 1,171,200.00
73 FENAREN TAB 50 MG 2016 20,000.00 1,137.23 22,744,600.00 - 1,137.23 -
74 FIXOTIDE NEBULES 0,5 MG 2016 100.00 90,000.00 9,000,000.00 - 90,000.00 -
75 FLAMICORT IB 2016 90.00 153,679.00 13,831,110.00 20.00 153,679.00 3,073,580.00
76 FLUDANE SYR 2016 1,728.00 25,359.00 43,820,352.00 360.00 25,359.00 9,129,240.00
77 FLUIMUCIL 10 % 300 MG / 3 ML 2016 200.00 11,240.00 2,248,000.00 200.00 11,240.00 2,248,000.00
78 FLUTAMOL TAB 2016 25,000.00 1,053.74 26,343,500.00 - 1,053.74 -
79 FOLDA 2016 12,600.00 4,400.00 55,440,000.00 9,000.00 4,400.00 39,600,000.00
80 FORELAX 2016 93,500.00 3,547.60 331,700,600.00 29,700.00 3,547.60 105,363,720.00
81 GARABIOTIC SALEP 2016 50.00 6,198.00 309,900.00 50.00 6,198.00 309,900.00
82 GELOFUSINE INF 2016 220.00 185,141.00 40,731,020.00 20.00 185,141.00 3,702,820.00
83 GENOINT 0,3% SM 2016 4,944.00 2,660.00 13,151,040.00 192.00 2,660.00 510,720.00
84 GENOINT SK 2016 48.00 6,600.00 316,800.00 34.00 6,600.00 224,400.00
85 GERIAVITA 2016 10,500.00 2,247.77 23,601,550.00 10,500.00 2,247.77 23,601,550.00
86 GLAUCON TAB 2016 4,600.00 5,775.00 26,565,000.00 - 5,775.00 -
87 GLUCOTROL XL 2016 1,500.00 3,207.00 4,810,500.00 - 3,207.00 -
88 GLYBOTIK 500 2016 60.00 50,500.00 3,030,000.00 - 50,500.00 -
89 GORET TAB 80 MG 2016 10,000.00 1,705.85 17,058,500.00 1,000.00 1,705.85 1,705,850.00
90 GOVOTIL 5 MG 2016 1,260.00 2,230.00 2,809,800.00 - 2,230.00 -
91 HEMAFORT 2016 14,400.00 750.57 10,808,208.00 10,800.00 750.57 8,106,156.00
92 HEPA-Q 2016 2,130.00 5,207.00 11,090,910.00 2,130.00 5,207.00 11,090,910.00
93 HERBESER CD 100 MG 2016 2,280.00 4,216.00 9,612,480.00 2,280.00 4,216.00 9,612,480.00
94 HERBESER CD 200 MG 2016 4,020.00 3,850.00 15,477,000.00 3,990.00 3,850.00 15,361,500.00
95 HEXBIO 2016 1,550.00 13,636.70 21,136,885.00 1,550.00 13,636.70 21,136,885.00
96 HUSTAB TAB 2016 24,000.00 187.64 4,503,360.00 - 187.64 -
97 HYDROYUREA MEDAC 500 mg 2016 100.00 5,670.00 567,000.00 - 5,670.00 -
98 HYPOBAC 100 2016 75.00 162,522.00 12,189,150.00 25.00 162,522.00 4,063,050.00
99 IMBOOS FORtE SYR 2016 950.00 60,500.00 57,475,000.00 900.00 60,500.00 54,450,000.00
100 IMUFOR TAB 2016 10,000.00 3,967.00 39,670,000.00 4,500.00 3,967.00 17,851,500.00
101 INTUNAL 2016 22,100.00 511.75 11,309,675.00 1,500.00 511.75 767,625.00
102 INTUNAL F TAB 2016 19,200.00 818.20 15,709,440.00 14,400.00 818.20 11,782,080.00
103 INVICLOT INJ 2016 400.00 75,057.00 30,022,800.00 10.00 75,057.00 750,570.00
104 IRBOSYD TAB 135 mg 2016 2,880.00 4,128.00 11,888,640.00 2,880.00 4,128.00 11,888,640.00
105 ISONAT 2016 5,000.00 195.00 975,000.00 - 195.00 -
106 ITROSOL OBH 2016 80.00 6,198.00 495,840.00 - 6,198.00 -
107 KA EN - 1B 2016 280.00 19,102.00 5,348,560.00 20.00 19,102.00 382,040.00
108 KA EN 3 A INFUS 2016 180.00 19,102.00 3,438,360.00 40.00 19,102.00 764,080.00
109 KA EN 3 B INFUS 2016 100.00 19,102.00 1,910,200.00 100.00 19,102.00 1,910,200.00
110 KA EN MG3 2016 400.00 19,102.00 7,640,800.00 - 19,102.00 -
111 KA-EN 4B 500 ML 2016 80.00 19,102.00 1,528,160.00 - 19,102.00 -
112 KALIPAR 2016 4,400.00 719.00 3,163,600.00 4,400.00 719.00 3,163,600.00
113 KETOACID FILM-COATED CAPLET 2016 14,000.00 7,833.00 109,662,000.00 8,000.00 7,833.00 62,664,000.00
114 KLIRAN 4 MG 2016 3,000.00 15,136.00 45,408,000.00 - 15,136.00 -
115 KSR 2016 11,000.00 2,770.30 30,473,300.00 - 2,770.30 -
116 KTM 1000 MG/10 ML INJEKSI 2016 13.00 200,153.00 2,601,989.00 13.00 200,153.00 2,601,989.00
117 LACTO B 2016 400.00 5,381.00 2,152,400.00 400.00 5,381.00 2,152,400.00
118 LANAKELOID CREAM 2016 190.00 63,000.00 11,970,000.00 35.00 63,000.00 2,205,000.00
119 LANSICLAV 2016 3,000.00 12,233.00 36,699,000.00 2,670.00 12,233.00 32,662,110.00
120 LANTIFLAM 100 (KETOFROFEN 100 mg) 2016 1,500.00 1,500.00 2,250,000.00 - 1,500.00 -
121 LANTUROL 400 MG 2016 20,000.00 4,710.86 94,217,200.00 - 4,710.86 -
122 LAXAREC RECTAL TUBE (NA LAURYL SULFATE) 2016 144.00 20,470.00 2,947,680.00 144.00 20,470.00 2,947,680.00
123 LESVATIN 10 MG (SIMVASTATIN) 2016 4,620.00 6,823.40 31,524,108.00 4,620.00 6,823.40 31,524,108.00
124 LEVEMIR FLEXPEN 2016 250.00 197,691.00 49,422,750.00 250.00 197,691.00 49,422,750.00
125 LEVOPAR (ANTIPARKINSON) 2016 1,200.00 1,575.00 1,890,000.00 1,200.00 1,575.00 1,890,000.00
126 LEXACORTON CREAM 2016 36.00 4,718.00 169,848.00 30.00 4,718.00 141,540.00
127 LEXAPROFEN 200 2016 6,000.00 379.50 2,277,000.00 4,000.00 379.50 1,518,000.00
128 LEXICAM 20 MG 2016 7,900.00 215.05 1,698,895.00 - 215.05 -
129 LIDOCAINE 2% INJ 2016 700.00 3,163.00 2,214,100.00 600.00 3,163.00 1,897,800.00
130 LIDOX INJ 2 % 2016 10.00 2,843.00 28,430.00 10.00 2,843.00 28,430.00
131 LODOMER 2 MG 2016 10,000.00 130.00 1,300,000.00 - 130.00 -
132 LYTACUR 2016 4,800.00 11,000.00 52,800,000.00 1,295.00 11,000.00 14,245,000.00
133 MAGALAT SYR 2016 2,400.00 30,992.00 74,380,800.00 1,824.00 30,992.00 56,529,408.00
134 MAGALAT TAB 2016 27,000.00 786.57 21,237,300.00 9,000.00 786.57 7,079,100.00
135 MARCAIN 0,5 % INJ 2016 275.00 32,000.00 8,800,000.00 - 32,000.00 -
136 MARTOS 2016 60.00 30,625.00 1,837,500.00 - 30,625.00 -
137 MEFOXA 200 MG TAB 2016 5,700.00 11,385.00 64,894,500.00 - 11,385.00 -
138 MINIASPI 80 2016 15,900.00 155.00 2,464,500.00 8,000.00 155.00 1,240,000.00
139 MOLAFLAM 100 MG 2016 3,300.00 1,800.57 5,941,870.00 3,300.00 1,800.57 5,941,870.00
140 MOLASMA 2016 4,000.00 100.00 400,000.00 - 100.00 -
141 MOLINFA 2016 5,400.00 2,789.30 15,062,220.00 - 2,789.30 -
142 MOLOCO B12 2016 960.00 3,178.23 3,051,104.00 - 3,178.23 -
143 MOMETASONE 0,1% 2016 20.00 17,820.00 356,400.00 20.00 17,820.00 356,400.00
144 MYOMERGIN 2016 260.00 9,487.50 2,466,750.00 100.00 9,487.50 948,750.00
145 NEO DIAFORM 2016 49,000.00 214.16 10,493,644.00 - 214.16 -
146 NEO K INJ 2016 25.00 10,000.00 250,000.00 25.00 10,000.00 250,000.00
147 NEUROSANBE 5000 2016 2,800.00 2,590.97 7,254,716.00 2,800.00 2,590.97 7,254,716.00
148 NICAFER(NICARDIPINE) 1 mg/ml 2016 10.00 140,800.00 1,408,000.00 10.00 140,800.00 1,408,000.00
149 NIFUDIAR SYR 2016 75.00 43,389.00 3,254,175.00 25.00 43,389.00 1,084,725.00
150 NITROKAF FORTE 5 mg 2016 4,700.00 2,171.00 10,203,700.00 - 2,171.00 -
151 NITROKAF RETARD 2,5 mg 2016 100.00 1,493.00 149,300.00 - 1,493.00 -
152 NONFLAMIN KAP 2016 15,000.00 4,819.72 72,295,750.00 4,200.00 4,819.72 20,242,810.00
153 NORAGES INJ 2016 350.00 8,756.40 3,064,740.00 350.00 8,756.40 3,064,740.00
154 NOREPINEPHRINE INJ 4 mg/ml 2016 150.00 118,800.00 17,820,000.00 30.00 118,800.00 3,564,000.00
155 NOVAMAG 2016 3,000.00 506.00 1,518,000.00 - 506.00 -
156 NOVAMOX 2016 3,000.00 510.00 1,530,000.00 1,300.00 510.00 663,000.00
157 NOVAXIFEN TAB 200 MG 2016 13,200.00 409.40 5,404,080.00 - 409.40 -
158 NOVAXIFEN TAB 400 MG 2016 13,200.00 727.83 9,607,356.00 - 727.83 -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
159 NOVOMIX 2016 285.00 106,000.00 30,210,000.00 285.00 106,000.00 30,210,000.00
160 NOVORAPID FLEXPEN 2016 135.00 85,345.00 11,521,575.00 135.00 85,345.00 11,521,575.00
161 NTG 10 ML INJ 2016 160.00 65,000.00 10,400,000.00 - 65,000.00 -
162 NUFAFLOQO 400 MG 2016 285.00 15,369.80 4,380,393.00 - 15,369.80 -
163 NUTRI MAMA 1 2016 120.00 7,577.73 909,328.00 120.00 7,577.73 909,328.00
164 NYNDIA DROP 2016 108.00 39,670.00 4,284,360.00 108.00 39,670.00 4,284,360.00
165 OBH INDOPLUS SYR 2016 240.00 6,198.00 1,487,520.00 48.00 6,198.00 297,504.00
166 OCTALBIN 25% 50 ML 2016 4.00 77,500.00 310,000.00 4.00 77,500.00 310,000.00
167 ONBREZ BREEZHALER 300 mcg cap 2016 450.00 11,750.00 5,287,500.00 450.00 11,750.00 5,287,500.00
168 OPTIMAX 2016 5,700.00 7,272.90 41,455,530.00 210.00 7,272.90 1,527,309.00
169 OPTIMAX FOR G 2016 2,520.00 9,669.63 24,367,476.00 - 9,669.63 -
170 ORIXAL TAB 2016 25,470.00 3,011.00 76,690,170.00 1,470.00 3,011.00 4,426,170.00
171 OTSU D40 2016 120.00 4,554.00 546,480.00 - 4,554.00 -
172 OTSU MANITOL 20% 2016 60.00 92,303.00 5,538,180.00 60.00 92,303.00 5,538,180.00
173 OTSU MEYLON INF 84 2016 360.00 6,437.00 2,317,320.00 - 6,437.00 -
174 OTSU MGSO4 20% 2016 290.00 6,958.00 2,017,820.00 - 6,958.00 -
175 OTSU MGSO4 40% BOTOL 2016 125.00 6,958.00 869,750.00 - 6,958.00 -
176 OTSU SALIN 3% 2016 140.00 13,283.00 1,859,620.00 100.00 13,283.00 1,328,300.00
177 OTSU-KCL 7-46 2016 165.00 2,153.00 355,245.00 160.00 2,153.00 344,480.00
178 OXORIL SYR 2016 800.00 25,000.00 20,000,000.00 800.00 25,000.00 20,000,000.00
179 PAN-AMIN G 2016 177.00 39,375.00 6,969,375.00 - 39,375.00 -
180 PEDIALYT 2016 1,896.00 1,100.00 2,085,600.00 - 1,100.00 -
181 PEHACHLOR 2016 60,000.00 80.65 4,839,120.00 4,500.00 80.65 362,934.00
182 PEHAMOXIL FORTE 2016 9,600.00 1,009.86 9,694,656.00 4,800.00 1,009.86 4,847,328.00
183 PHAPROXIN 500 MG 2016 3,600.00 1,707.52 6,147,072.00 1,800.00 1,707.52 3,073,536.00
184 PHAROLIT 200 mg 2016 2,880.00 1,120.00 3,225,600.00 2,160.00 1,120.00 2,419,200.00
185 PHENOBIOTIC 500 MG 2016 5,000.00 1,819.57 9,097,850.00 5,000.00 1,819.57 9,097,850.00
186 PHINEV INJ 2016 1,200.00 11,430.50 13,716,600.00 - 11,430.50 -
187 PHISOHEX REFORMULATED 2016 3.00 16,488.00 49,464.00 - 16,488.00 -
188 PLASBUMIN 5% (ALBUMIN 5%) 2016 70.00 297,150.00 20,800,500.00 70.00 297,150.00 20,800,500.00
189 PRADAXA 75 MG 2016 1,500.00 12,936.00 19,404,000.00 - 12,936.00 -
190 PRIMOLUT-N TAB 2016 3,000.00 2,353.00 7,059,000.00 1,200.00 2,353.00 2,823,600.00
191 PRITALINC 500 KAP 2016 14,400.00 1,990.15 28,658,160.00 6,720.00 1,990.15 13,373,808.00
192 PROBENID 2016 5,000.00 1,730.00 8,650,000.00 1,700.00 1,730.00 2,941,000.00
193 PRODIVA GEL 2016 7.00 247,940.00 1,735,580.00 7.00 247,940.00 1,735,580.00
194 PRONALGES SUPP 2016 2,820.00 11,884.00 33,512,880.00 930.00 11,884.00 11,052,120.00
195 PRONOVIR SYR 2016 20.00 71,929.00 1,438,580.00 20.00 71,929.00 1,438,580.00
196 PROPOFOL LIPURO 1 % / (FRESOPOL) 2016 75.00 107,452.00 8,058,900.00 75.00 107,452.00 8,058,900.00
197 PROPYRETIC PARACETAMOL 80 mg 2016 4,260.00 7,500.17 31,950,710.00 1,080.00 7,500.17 8,100,180.00
198 PRORIS SUPP 125 MG 2016 280.00 4,150.00 1,162,000.00 270.00 4,150.00 1,120,500.00
199 PROSOGAN 30 Mg 2016 145.00 82,042.00 11,896,090.00 145.00 82,042.00 11,896,090.00
200 PROSTIGMIN (NEOSTIGMINE) 0.5 MG/ML 2016 75.00 13,185.00 988,875.00 65.00 13,185.00 857,025.00
201 PROVAMED 500 TAB 2016 2,600.00 5,572.44 14,488,344.00 - 5,572.44 -
202 PROVITAL 2016 4,200.00 5,268.72 22,128,624.00 - 5,268.72 -
203 PULAREX 2016 2,000.00 210.00 420,000.00 1,000.00 210.00 210,000.00
204 PULMICORT 0,25 MG/2ML 2016 4,800.00 8,900.00 42,720,000.00 400.00 8,900.00 3,560,000.00
205 PULMICORT BUDESONIDE TURBE 200 MG/DOSE 2016 120.00 93,000.00 11,160,000.00 - 93,000.00 -
206 PULNA FORTE 500 MG 2016 28,800.00 2,789.32 80,332,416.00 - 2,789.32 -
207 PULNA 250 MG 2016 8,400.00 1,023.51 8,597,484.00 - 1,023.51 -
208 PURUBEX 50 mg 2016 5,000.00 4,757.60 23,788,000.00 - 4,757.60 -
209 RAIVAS INJN 4 ml/ VASCON 2016 150.00 48,996.00 7,349,400.00 70.00 48,996.00 3,429,720.00
210 RECODRYL 15 ML 2016 430.00 13,810.00 5,938,300.00 80.00 13,810.00 1,104,800.00
211 RECUSTEIN 300 2016 2,000.00 4,029.00 8,058,000.00 - 4,029.00 -
212 RENABETIC TAB 5 MG 2016 72,000.00 170.58 12,281,760.00 20,000.00 170.58 3,411,600.00
213 RENADINAC 25 MG 2016 7,200.00 625.47 4,503,384.00 - 625.47 -
214 RENADINAC TAB 50 MG 2016 19,200.00 695.75 13,358,400.00 - 695.75 -
215 REQRESOR 2016 2,400.00 10,120.00 24,288,000.00 2,400.00 10,120.00 24,288,000.00
216 RETAPHYL SR (THEOPHYLINE) 2016 500.00 1,103.00 551,500.00 500.00 1,103.00 551,500.00
217 RHODIUM TAB 2016 900.00 5,200.00 4,680,000.00 900.00 5,200.00 4,680,000.00
218 RINGER FUDIN 500 ML 2016 65.00 18,785.00 1,221,025.00 65.00 18,785.00 1,221,025.00
219 RONAZOL 60 ml 2016 188.00 43,783.00 8,231,204.00 - 43,783.00 -
220 SANADRYL DMP SYR 2016 1,128.00 10,835.00 12,221,880.00 288.00 10,835.00 3,120,480.00
221 SANDIMMUM NEORAL 25 MG 2016 1,500.00 12,000.00 18,000,000.00 - 12,000.00 -
222 SCABIMITE CREAM 10 MG 2016 246.00 3,500.00 861,000.00 - 3,500.00 -
223 SCANTOMA 2016 2,400.00 1,822.97 4,375,128.00 - 1,822.97 -
224 SEBIVO 600 MG 2016 532.00 28,500.00 15,162,000.00 532.00 28,500.00 15,162,000.00
225 SERENACE 1.5 MG 2016 24,700.00 1,245.47 30,763,109.00 - 1,245.47 -
226 SERETIDE DISCUS 100 MCG 2016 200.00 105,871.00 21,174,200.00 48.00 105,871.00 5,081,808.00
227 SESDEN ( TIMEPPIDIUM BROMIDE) TAB 2016 1,800.00 2,091.36 3,764,448.00 1,800.00 2,091.36 3,764,448.00
228 SIFROL 0.375 mg 2016 3,720.00 8,000.00 29,760,000.00 720.00 8,000.00 5,760,000.00
229 SIMZEN DROP 2016 40.00 58,000.00 2,320,000.00 40.00 58,000.00 2,320,000.00
230 SMECTA 2016 2,820.00 4,123.97 11,629,586.00 270.00 4,123.97 1,113,471.00
231 SOFT U DERM SALP 40 gr 2016 5.00 6,720.00 33,600.00 5.00 6,720.00 33,600.00
232 SOJOURN 250 ML (SEVOFLURANE) 2016 24.00 1,320,000.00 31,680,000.00 9.00 1,320,000.00 11,880,000.00
233 SPASMOMEN 2016 1,440.00 8,454.73 12,174,816.00 1,440.00 8,454.73 12,174,816.00
234 SPICA SPINAL 0,5 HEAVY 2016 2,870.00 65,049.80 186,692,926.00 130.00 65,049.80 8,456,474.00
235 SPIRAMYCIN 2016 500.00 18,074.00 9,037,000.00 100.00 18,074.00 1,807,400.00
236 SPIRIVA 18 MCG + HANDIHALLER 2016 20.00 152,543.00 3,050,860.00 20.00 152,543.00 3,050,860.00
237 SPIRIVA 18 MCG REFILL 2016 660.00 13,867.00 9,152,220.00 420.00 13,867.00 5,824,140.00
238 SPIRIVA 18 MCG REFILL COMBO 2016 690.00 13,867.00 9,568,230.00 690.00 13,867.00 9,568,230.00
239 STOMICA TAB 10 mg 2016 6,600.00 4,958.80 32,728,080.00 3,300.00 4,958.80 16,364,040.00
240 SULFITIS TAB 2016 8,640.00 4,548.93 39,302,784.00 1,440.00 4,548.93 6,550,464.00
241 SULTRIMMIX SYR 2016 100.00 9,097.00 909,700.00 50.00 9,097.00 454,850.00
242 SUPRALYSIN BABY DROP 2016 800.00 22,314.00 17,851,200.00 350.00 22,314.00 7,809,900.00
243 SUPRAMOX DROP 2016 338.00 22,517.00 7,610,746.00 270.00 22,517.00 6,079,590.00
244 SUPRAMOX FORTE SYR 2016 338.00 22,770.00 7,696,260.00 - 22,770.00 -
245 SYMBICORT 160/4,5 MCG 120 DOSIS 2016 500.00 117,600.00 58,800,000.00 499.00 117,600.00 58,682,400.00
246 TAMAPROFEN SYR 2016 150.00 5,500.00 825,000.00 150.00 5,500.00 825,000.00
247 TANAPRES 10 MG 2016 150.00 4,104.00 615,600.00 - 4,104.00 -
248 TAPROS INJ 2016 18.00 550,000.00 9,900,000.00 - 550,000.00 -
249 TEOSAL TAB 2016 7,600.00 216.07 1,642,132.00 7,600.00 216.07 1,642,132.00
250 TERREL 100 ML 2016 18.00 270,000.00 4,860,000.00 18.00 270,000.00 4,860,000.00
251 TETRASPAN 130 INF 2016 460.00 193,329.00 88,931,340.00 - 193,329.00 -
252 TETRIN 2016 2,500.00 1,023.51 2,558,775.00 - 1,023.51 -
253 THYROZOL 2016 17,600.00 2,095.91 36,888,016.00 13,200.00 2,095.91 27,666,012.00
254 TIARYT TAB 200 mg (AMIODARON) 2016 690.00 2,060.00 1,421,400.00 690.00 2,060.00 1,421,400.00
255 TOPSY CREAM 5 GR 2016 262.00 43,782.00 11,470,884.00 - 43,782.00 -
256 TRAMUS INJ 25 MG/2.5 ML 2016 105.00 52,800.00 5,544,000.00 105.00 52,800.00 5,544,000.00
257 TRAMUS INJ 50 MG/5 ML 2016 35.00 82,500.00 2,887,500.00 15.00 82,500.00 1,237,500.00
258 TROMBOPOP GEL 2016 70.00 51,971.00 3,637,970.00 54.00 51,971.00 2,806,434.00
259 ULCUMAG TAB 2016 6,000.00 1,733.81 10,402,860.00 6,000.00 1,733.81 10,402,860.00
260 ULSAFATE SIRUP`/ SUCRALFATE 2016 350.00 13,850.00 4,847,500.00 350.00 13,850.00 4,847,500.00
261 ULSIDEX 2016 10,000.00 466.00 4,660,000.00 - 466.00 -
262 UROCTRACTIN 2016 6,360.00 1,631.00 10,373,160.00 - 1,631.00 -
263 UTROGESTAN 100 MG (MICRONISED PTOGESTERONE) BOX/ 30 TAB 2016 3,870.00 9,297.73 35,982,228.00 1,500.00 9,297.73 13,946,600.00
264 UTROGESTAN 200 MG 2016 1,680.00 17,975.60 30,199,008.00 - 17,975.60 -
265 VAKSIN SABU 2016 5.00 139,150.00 695,750.00 - 139,150.00 -
266 VAKSIN T.T 2016 230.00 8,693.40 1,999,482.00 - 8,693.40 -
267 VANCEP INJ 2016 50.00 227,447.00 11,372,350.00 - 227,447.00 -
268 VAPRIL 12,5 MG 2016 7,400.00 125.09 925,666.00 - 125.09 -
269 VAPRIL 25 MG 2016 70,000.00 227.44 15,920,800.00 15,000.00 227.44 3,411,600.00
270 V-BLOCK 2016 4,980.00 1,428.00 7,111,440.00 30.00 1,428.00 42,840.00
271 VENOSMIL CAPSUL 2016 1,000.00 9,900.00 9,900,000.00 - 9,900.00 -
272 VENTOLIN NEBULIZER 0,1 % 2016 1,180.00 9,097.85 10,735,463.00 1,180.00 9,097.85 10,735,463.00
273 VENTOLIN ROTACAPS 2016 3,900.00 452.00 1,762,800.00 3,900.00 452.00 1,762,800.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
274 VENTOLIN ROTAHALER 2016 180.00 6,160.00 1,108,800.00 - 6,160.00 -
275 VERMOX TAB 500 mg 2016 52.00 7,497.00 389,844.00 - 7,497.00 -
276 VIP ALBUMIN 2016 225.00 65,300.00 14,692,500.00 225.00 65,300.00 14,692,500.00
277 VIRPES 400 MG 2016 20,000.00 2,843.08 56,861,600.00 5,000.00 2,843.08 14,215,400.00
278 VITACHOL 2016 3,000.00 4,958.80 14,876,400.00 - 4,958.80 -
279 VOLUVEN INF 6% 2016 50.00 33,000.00 1,650,000.00 - 33,000.00 -
280 VOSSECAL 2016 1,740.00 3,099.23 5,392,666.00 1,740.00 3,099.23 5,392,666.00
281 VOSTEON TAB 2016 88,830.00 3,223.20 286,316,856.00 28,350.00 3,223.20 91,377,720.00
282 WIDA 2 A 2016 340.00 7,263.00 2,469,420.00 - 7,263.00 -
283 WIDA D5 1/2 NS 2016 560.00 8,085.00 4,527,600.00 - 8,085.00 -
284 WIDA D5 1/4 NS 2016 367.00 8,085.00 2,967,195.00 - 8,085.00 -
285 WIDA-WI UNICAP STERIL 1 L 2016 7,810.00 7,079.00 55,286,990.00 660.00 7,079.00 4,672,140.00
286 XARELTO 10 MG 2016 570.00 23,500.00 13,395,000.00 480.00 23,500.00 11,280,000.00
287 XARELTO 15 MG 2016 1,232.00 23,500.00 28,952,000.00 280.00 23,500.00 6,580,000.00
288 XARELTO 20 MG 2016 728.00 23,500.00 17,108,000.00 - 23,500.00 -
289 XEPABET 2016 4,500.00 2,204.14 9,918,630.00 - 2,204.14 -
290 XEPANEURON TAB 2016 18,000.00 1,208.70 21,756,600.00 15,600.00 1,208.70 18,855,720.00
291 XEPAZYM 2016 12,750.00 3,099.24 39,515,310.00 2,250.00 3,099.24 6,973,290.00
292 XYLOCAIN SPRAY 10 mg/dosis 2016 240.00 149,100.00 35,784,000.00 6.00 149,100.00 894,600.00
293 ZEMAN (CARNITINE + ZINK POWER) 2016 1,170.00 2,541.38 2,973,414.60 - 2,541.38 -
294 ZINK KID 2016 168.00 7,700.00 1,293,600.00 120.00 7,700.00 924,000.00
295 ZINNAT 2016 4,900.00 7,200.00 35,280,000.00 - 7,200.00 -
296 ZYFLOX 200 TAB 2016 6,000.00 5,686.17 34,117,000.00 - 5,686.17 -
297 ZYFLOX 400 TAB 2016 4,020.00 6,325.00 25,426,500.00 - 6,325.00 -
Obat Narkotik /Psikotropik : -

1 BRAXIDIN 2016 66,000.00 979.00 64,614,000.00 33,000 979.00 32,307,000.00
2 CODIPRONT 2016 5,000.00 9,677.00 48,385,000.00 5,000 9,677.00 48,385,000.00
3 MEPROSETIL TAB 100 mg 2016 39,600.00 1,075.00 42,570,000.00 - 1,075.00 -
4 MERLOPAM 2 mg 2016 400.00 1,381.00 552,400.00 - 1,381.00 -
5 PRONEURON 200 MG 2016 62,000.00 1,240.00 76,880,000.00 7,070 1,240.00 8,766,800.00
6 SIBITAL INJ 200 2016 400.00 2,600.00 1,040,000.00 - 2,600.00 -
7 STESOLID INJ 10 MG/2 ML 2016 75.00 17,604.00 1,320,300.00 17,604.00 -
8 STESOLID RECTAL TUBE 5 MG 2016 105.00 12,159.00 1,276,695.00 35 12,159.00 425,565.00
9 VALISANBE 2 MG TAB 2016 36,000.00 171.00 6,156,000.00 - 171.00 -
Obat Mata : -
1 CENDO ASTEHENOF TM 2016 200.00 5,082.60 1,016,520.00 100.00 5,082.60 508,260.00
2 CENDO AUGENTONIK 2016 300.00 4,918.20 1,475,460.00 100.00 4,918.20 491,820.00
3 CENDO CENFRESH 2016 200.00 4,414.00 882,800.00 200.00 4,414.00 882,800.00
4 CENDO DEXATON TM 2016 50.00 3,958.00 197,900.00 - 3,958.00 -
5 CENDO LYTEERS TM 2016 1,200.00 4,870.25 5,844,300.00 400.00 4,870.25 1,948,100.00
6 CENDO MYDRIATIL 1% 2016 45.00 7,381.00 332,145.00 - 7,381.00 -
7 CENDO PANTOCAIN 0,5 % TM 2016 300.00 3,096.00 928,800.00 5.00 3,096.00 15,480.00
8 CENDO PANTOCAIN 2 % TM 2016 50.00 3,444.09 172,204.45 - 3,444.09 -
9 CENDO POLYGRAN SM 2016 125.00 20,827.00 2,603,375.00 - 20,827.00 -
10 CENDO POLYGRAN TM 2016 1,850.00 4,782.00 8,846,700.00 200.00 4,782.00 956,400.00
11 CENDO POLYGRAN TM BTL 2016 1,750.00 23,168.00 40,544,000.00 550.00 23,168.00 12,742,400.00
12 CENDO PROTAGENTA 0,6 ML BTL 2016 4.00 9,076.38 36,305.50 - 9,076.38 -
13 CENDO TIMOL TM 0.5% 2016 200.00 6,450.00 1,290,000.00 200.00 6,450.00 1,290,000.00
14 CENDO TIMOL TM BTL 0.25% 2016 5.00 6,450.00 32,250.00 - 6,450.00 -
15 CENDO TOBROSON TM 2016 200.00 6,595.80 1,319,160.00 200.00 6,595.80 1,319,160.00
16 CENDO TROPIN 0.5 % 2016 50.00 3,568.60 178,430.00 - 3,568.60 -
17 CENDO VASACON 2016 100.00 3,124.00 312,400.00 - 3,124.00 -
18 CENDO XITROL 0,5 % 2016 1,500.00 4,696.00 7,044,000.00 400.00 4,696.00 1,878,400.00
19 CHLORAMPHENICOL SM 1% 2016 552.00 1,600.00 883,200.00 - 1,600.00 -
20 FLUMETHOLON 2016 40.00 99,935.00 3,997,400.00 10.00 99,935.00 999,350.00
21 HIALIT 2016 25.00 87,285.00 2,182,125.00 25.00 87,285.00 2,182,125.00
22 KARY UNI 2016 20.00 43,010.00 860,200.00 - 43,010.00 -
23 OPTIFLOX TM (LEVOFLOXACIN) 2016 24.00 13,365.00 320,760.00 24.00 13,365.00 320,760.00
24 TAFLOTAN TM 0.0015% 2016 90.00 366,850.00 33,016,500.00 10.00 366,850.00 3,668,500.00
25 TARIVID 2016 90.00 67,045.00 6,034,050.00 90.00 67,045.00 6,034,050.00
APOTIK 2016 154,738.00 1,010,524,156.02 154,738.00 1,010,524,156.02 1,010,524,156.02

1 ACETIN 600 2016 422.00 10,000.00 4,220,000.00 422.00 10,000.00 4,220,000.00
2 ALBUMAN 200 G/ G VIAL 2016 17.00 476,099.00 8,093,683.00 17.00 476,099.00 8,093,683.00
3 ALBUMAS 2016 150.00 6,735.70 1,010,355.00 150.00 6,735.70 1,010,355.00
4 NITROKAF RETACT 2,5 MG 2016 3,850.00 1,675.00 6,448,750.00 3,850.00 1,675.00 6,448,750.00
5 AMVAR 2016 303.00 5,888.57 1,784,235.70 303.00 5,888.57 1,784,235.70
6 ANVOMER B6 2016 949.00 2,403.00 2,280,447.00 949.00 2,403.00 2,280,447.00
7 ARIXTRA INJ 2,5 Mg/ 0,5 2016 20.00 253,750.00 5,075,000.00 20.00 253,750.00 5,075,000.00
8 ATROVEN SOLUTION FOR INHALATION 0,025 % (IP.BROM) 2016 1.00 172,500.00 172,500.00 1.00 172,500.00 172,500.00
9 BDM SYR 2016 22.00 33,522.50 737,495.00 22.00 33,522.50 737,495.00
10 BECEFORT TAB 2016 2,340.00 1,781.00 4,167,540.00 2,340.00 1,781.00 4,167,540.00
11 BENODON INJ 2016 15.00 14,876.40 223,146.00 15.00 14,876.40 223,146.00
12 BEROTEC/ FENOTEROL HBR 0,1 % 2016 8.00 242,048.00 1,936,384.00 8.00 242,048.00 1,936,384.00
13 BIO ATP 2016 2,727.00 2,700.00 7,362,900.00 2,727.00 2,700.00 7,362,900.00
14 BIO CURLIV 2016 980.00 8,183.33 8,019,666.67 980.00 8,183.33 8,019,666.67
15 BIOCAL-95 2016 1,110.00 4,091.00 4,541,010.00 1,110.00 4,091.00 4,541,010.00
16 BIOPLACENTON GEL 30 G 2016 7.00 16,000.00 112,000.00 7.00 16,000.00 112,000.00
17 BISOLVON INJ 2016 68.00 12,500.00 850,000.00 68.00 12,500.00 850,000.00
18 BISOLVON SOL 10 MG/5ML 2016 29.00 71,852.00 2,083,708.00 29.00 71,852.00 2,083,708.00
19 CATAPRES 150 MCG/ML INJ 2016 22.00 50,710.00 1,115,620.00 22.00 50,710.00 1,115,620.00
20 CHROMALUX TAB/ MISOPROSTOL 200 MCG 2016 864.00 7,272.90 6,283,785.60 864.00 7,272.90 6,283,785.60
21 CISPLATIN 50 MG INJ 2016 28.00 97,000.00 2,716,000.00 28.00 97,000.00 2,716,000.00
22 CLINEX/ CLINDAMYCIN 300 MG 2016 438.00 2,520.00 1,103,760.00 438.00 2,520.00 1,103,760.00
23 COMBIVENT UDV 2.5 ML 2016 130.00 7,419.00 964,470.00 130.00 7,419.00 964,470.00
24 COUGH - EN SYR 2016 108.00 15,000.00 1,620,000.00 108.00 15,000.00 1,620,000.00
25 CRAVIT 2016 24.00 139,150.00 3,339,600.00 24.00 139,150.00 3,339,600.00
26 CURVIT TAB 2016 7,286.00 1,898.00 13,828,828.00 7,286.00 1,898.00 13,828,828.00
27 DEPAKENE SYR 2016 25.00 186,450.00 4,661,250.00 25.00 186,450.00 4,661,250.00
28 DEPAKOTE ER 250 TAB 2016 11,000.00 2,792.00 30,712,000.00 11,000.00 2,792.00 30,712,000.00
29 DEXACEF D.S 125 MG/5 MG SYR 2016 5.00 44,275.00 221,375.00 5.00 44,275.00 221,375.00
30 DEXIGEN CREAM/ DESOXIMETASONE 2016 2.00 6,150.00 12,300.00 2.00 6,150.00 12,300.00
31 DOBURAN/ DOBUTAMINE 50 MG/ ML INJ 2016 40.00 28,035.00 1,121,400.00 40.00 28,035.00 1,121,400.00
32 DOBUTAMINE GIULINI HCL 50 MG/ ML INJ 2016 42.00 64,033.00 2,689,386.00 42.00 64,033.00 2,689,386.00
33 DOLSIC INJ/ TRAMADOL 2016 228.00 18,409.00 4,197,252.00 228.00 18,409.00 4,197,252.00
34 DULCOLAX SUPP 5 MG 2016 115.00 12,039.00 1,384,485.00 115.00 12,039.00 1,384,485.00
35 DUMIN RECTAL 250 MG 2016 182.00 17,000.00 3,094,000.00 182.00 17,000.00 3,094,000.00
36 DUVADILAN/ ISOKSUPRIN HIDROKLORIDA 10 MG/ 2ML 2016 126.00 27,408.00 3,453,408.00 126.00 27,408.00 3,453,408.00
37 D-VIT FT 2016 430.00 680.00 292,400.00 430.00 680.00 292,400.00
38 ENZYFLEX 2016 3,500.00 940.00 3,290,000.00 3,500.00 940.00 3,290,000.00
39 ERLAMYCETIN SM 2016 5.00 5,000.00 25,000.00 5.00 5,000.00 25,000.00
40 ESTIN SYR/ CETIRIZINE HCL 2016 13.00 56,925.00 740,025.00 13.00 56,925.00 740,025.00
41 FARGOXIN INJ 2016 25.00 23,150.00 578,750.00 25.00 23,150.00 578,750.00
42 FARMALAT / NIFEDIPIN 2016 2,162.00 506.00 1,093,972.00 2,162.00 506.00 1,093,972.00
43 FASORBID INJ 10 MG/ ML 2016 140.00 34,980.00 4,897,200.00 140.00 34,980.00 4,897,200.00
44 FLAMICORT/ TRIAMCINOLONE ACETONIDE 10 MG/ ML 2016 28.00 170,950.00 4,786,600.00 28.00 170,950.00 4,786,600.00
45 FLIXOTIDE NEBULES 0,5 mg 2016 50.00 13,563.00 678,150.00 50.00 13,563.00 678,150.00
46 FLUDANE SYR 2016 131.00 25,880.00 3,390,280.00 131.00 25,880.00 3,390,280.00
47 FLUIMUCIL 10 % 300 mg / 3 ml 2016 30.00 12,480.00 374,400.00 30.00 12,480.00 374,400.00
48 FLUMETHOLON 0,1 % 2016 7.00 99,935.00 699,545.00 7.00 99,935.00 699,545.00
49 FOLDA 30 Mg 2016 96.00 4,400.00 422,400.00 96.00 4,400.00 422,400.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
50 FORUMEN TT 2016 12.00 29,391.00 352,692.00 12.00 29,391.00 352,692.00
51 FRESOFOL 1%/ PROPOFOL 2016 12.00 99,000.00 1,188,000.00 12.00 99,000.00 1,188,000.00
52 FUCOBAC 100 MG 2016 559.00 12,650.00 7,071,350.00 559.00 12,650.00 7,071,350.00
53 GARABIOTIK KRIM 1%/ GENTAMISIN 2016 11.00 6,198.00 68,178.00 11.00 6,198.00 68,178.00
54 GENOINT 3% SM/ GENTAMISIN SALEP MATA 2016 106.00 10,800.00 1,144,800.00 106.00 10,800.00 1,144,800.00
55 GLAUCON TAB 2016 193.00 5,775.00 1,114,575.00 193.00 5,775.00 1,114,575.00
56 GLUCOBAY 100 MG 2016 22.00 3,127.00 68,794.00 22.00 3,127.00 68,794.00
57 GLYBOTIC 500 MG/ 2 ML / AMIKACIN INJ 2016 7.00 50,500.00 353,500.00 7.00 50,500.00 353,500.00
58 HAEMOCAINE OINTMENT 2016 103.00 58,665.00 6,042,495.00 103.00 58,665.00 6,042,495.00
59 HEMAFORT 2016 2,770.00 835.00 2,312,950.00 2,770.00 835.00 2,312,950.00
60 HEPTAMYL/ HEPTAMINOL 150 MG 2016 107.00 9,108.00 974,556.00 107.00 9,108.00 974,556.00
61 HEXBIO 2016 120.00 13,636.70 1,636,404.00 120.00 13,636.70 1,636,404.00
62 HIALID 0,1 % TM 2016 12.00 87,285.00 1,047,420.00 12.00 87,285.00 1,047,420.00
63 IMBOOST FORCE SYRUP 60 ML 2016 24.00 38,788.00 930,912.00 24.00 38,788.00 930,912.00
64 INTERHISTIN SYR 2016 43.00 12,500.00 537,500.00 43.00 12,500.00 537,500.00
65 INTUNAL 300 2016 228.00 569.00 129,732.00 228.00 569.00 129,732.00
66 INTUNAL F TAB 2016 1,119.00 835.00 934,365.00 1,119.00 835.00 934,365.00
67 IRBOSYD TAB 2016 932.00 4,091.00 3,812,812.00 932.00 4,091.00 3,812,812.00
68 ISONIAZID 300 MG 2016 112.00 350.00 39,200.00 112.00 350.00 39,200.00
69 ITRACONAZOLE 100 MG 2016 200.00 53,851.00 10,770,200.00 200.00 53,851.00 10,770,200.00
70 KARYUNI 0,005 % 2016 2.00 43,010.00 86,020.00 2.00 43,010.00 86,020.00
71 KOMBIPAK 2016 552.00 3,350.00 1,849,200.00 552.00 3,350.00 1,849,200.00
72 KSR 2016 1,244.00 1,580.00 1,965,520.00 1,244.00 1,580.00 1,965,520.00
73 KTM INJEKSI/ KETAMINE 2016 13.00 222,640.00 2,894,320.00 13.00 222,640.00 2,894,320.00
74 LACTO B 2016 298.00 5,500.00 1,639,000.00 298.00 5,500.00 1,639,000.00
75 LANSICLAV 2016 183.00 12,233.33 2,238,700.00 183.00 12,233.33 2,238,700.00
76 LANTUROL 400 MG 2016 1,995.00 4,710.86 9,398,165.70 1,995.00 4,710.86 9,398,165.70
77 LEVEMIR FLEXPEN 2016 46.00 197,691.00 9,093,786.00 46.00 197,691.00 9,093,786.00
78 LEVOPAR (ANTIPARKINSON) 2016 2,070.00 5,060.00 10,474,200.00 2,070.00 5,060.00 10,474,200.00
79 LEXACORTON CREAM/ HIDROCORTISONE ACETAT 2016 6.00 5,250.00 31,500.00 6.00 5,250.00 31,500.00
80 LEXICAM 20 MG/ PIROXICAM 2016 2,100.00 22.00 46,200.00 2,100.00 22.00 46,200.00
81 LUTENYL 2016 4,118.00 92,385.00 380,441,430.00 4,118.00 92,385.00 380,441,430.00
82 MAGALAT SYR 2016 55.00 25,000.00 1,375,000.00 55.00 25,000.00 1,375,000.00
83 MAGALAT TAB 2016 5,234.00 875.00 4,579,750.00 5,234.00 875.00 4,579,750.00
84 MEFUROSAN CREAM 2016 1.00 77,760.00 77,760.00 1.00 77,760.00 77,760.00
85 MEROPENEM 0,5 GR 2016 32.00 151,800.00 4,857,600.00 32.00 151,800.00 4,857,600.00
86 MEROPENEM 1 GR 2016 40.00 57,000.00 2,280,000.00 40.00 57,000.00 2,280,000.00
87 METOCLOPRAMIDE TAB 10 MG 2016 249.00 105.00 26,145.00 249.00 105.00 26,145.00
88 METOLON INJ/ PRIMPERAN 2016 3.00 11,385.00 34,155.00 3.00 11,385.00 34,155.00
89 MICARDIS 40 MG 2016 473.00 3,900.00 1,844,700.00 473.00 3,900.00 1,844,700.00
90 MINIASPI 80 MG 2016 5,772.00 155.00 894,660.00 5,772.00 155.00 894,660.00
91 MOLINFA VIT/ DHA...... 2016 450.00 2,846.00 1,280,700.00 450.00 2,846.00 1,280,700.00
92 MOLOCO B12 2016 982.00 3,535.00 3,471,370.00 982.00 3,535.00 3,471,370.00
93 MYOMERGIN/ METHYLERGOMETRIN 2016 100.00 9,487.00 948,700.00 100.00 9,487.00 948,700.00
94 N-ACE/ N-ACETYLCYSTEINE 100 MG/ 3 ML 2016 80.00 13,750.00 1,100,000.00 80.00 13,750.00 1,100,000.00
95 NEBACETIN POWDER 2016 16.00 22,138.00 354,208.00 16.00 22,138.00 354,208.00
96 NEUROSANBE 5000 2016 3,347.00 2,591.00 8,672,077.00 3,347.00 2,591.00 8,672,077.00
97 NIFUDIAR SYR 2016 42.00 43,389.00 1,822,338.00 42.00 43,389.00 1,822,338.00
98 NONFLAMIN KAP 2016 2,529.00 4,819.72 12,189,063.45 2,529.00 4,819.72 12,189,063.45
99 NORAGES INJ/ METAMIZOLE 2016 258.00 9,740.00 2,512,920.00 258.00 9,740.00 2,512,920.00
100 NOVOMIX FLEXPEN 2016 47.00 106,000.00 4,982,000.00 47.00 106,000.00 4,982,000.00
101 NOVORAPID FLEXPEN 2016 37.00 85,345.00 3,157,765.00 37.00 85,345.00 3,157,765.00
102 NTG INJ/ NITROGLYCERIN 1 MG/ 10 ML 2016 110.00 65,000.00 7,150,000.00 110.00 65,000.00 7,150,000.00
103 NYNDIA DROP 2016 41.00 39,670.00 1,626,470.00 41.00 39,670.00 1,626,470.00
104 OBH INDOPLUS SYR 2016 26.00 6,325.00 164,450.00 26.00 6,325.00 164,450.00
105 OCTALBIN 25% 2016 5.00 775,000.00 3,875,000.00 5.00 775,000.00 3,875,000.00
106 OPTIFLOX TM 2016 6.00 13,365.00 80,190.00 6.00 13,365.00 80,190.00
107 OPTIMAX 2016 200.00 7,272.90 1,454,580.00 200.00 7,272.90 1,454,580.00
108 OPTIMAX FOR G 2016 480.00 9,669.63 4,641,424.00 480.00 9,669.63 4,641,424.00
109 ORIXAL TAB 2016 480.00 3,350.00 1,608,000.00 480.00 3,350.00 1,608,000.00
110 OXORIL SYR 2016 29.00 25,000.00 725,000.00 29.00 25,000.00 725,000.00
111 PEDIALYT 2016 24.00 13,915.00 333,960.00 24.00 13,915.00 333,960.00
112 PEHACHLOR/ CTM 2016 2,988.00 90.00 268,920.00 2,988.00 90.00 268,920.00
113 PHAROLIT 200 MG 2016 622.00 1,265.00 786,830.00 622.00 1,265.00 786,830.00
114 PLASBUMIN 5% / ALBUMIN (HUMAN) 2016 10.00 297,150.00 2,971,500.00 10.00 297,150.00 2,971,500.00
115 PONDEX SYRUP/ ASAM MEFENAMAT 2016 57.00 18,671.00 1,064,247.00 57.00 18,671.00 1,064,247.00
116 PRIMPERAN DROP 2016 5.00 31,625.00 158,125.00 5.00 31,625.00 158,125.00
117 PRITANOL 300 MG/ ALLUPURINOL 2016 2,769.00 380.00 1,052,220.00 2,769.00 380.00 1,052,220.00
118 PRONALGES/ KETOPROFEN 100 2016 354.00 24,086.00 8,526,444.00 354.00 24,086.00 8,526,444.00
119 PROPIRETIC SUPP 80 MG/ PARASETAMOL 2016 106.00 7,653.00 811,218.00 106.00 7,653.00 811,218.00
120 PROSOGAN INJ/ LANSOPRAZOLE 2016 10.00 82,042.00 820,420.00 10.00 82,042.00 820,420.00
121 PROSTIGMIN (NEOSTIGMINE) 0.5 MG/ML 2016 50.00 16,679.00 833,950.00 50.00 16,679.00 833,950.00
122 PROVITAL PLUS 2016 665.00 4,250.00 2,826,250.00 665.00 4,250.00 2,826,250.00
123 PULMICORT 0,25 mg/ml 2016 14.00 32,000.00 448,000.00 14.00 32,000.00 448,000.00
124 PULMICORT BUDESONIDE TURBE 200 MG/DOSE 2016 29.00 93,000.00 2,697,000.00 29.00 93,000.00 2,697,000.00
125 PULNA 250 MG 2016 1,711.00 1,139.00 1,948,829.00 1,711.00 1,139.00 1,948,829.00
126 PURUBEX 50/ TEPRENONE 2016 1,799.00 4,757.60 8,558,922.40 1,799.00 4,757.60 8,558,922.40
127 RECODRYL/ DIPHENHYDRAMINE HCL 10 MG/ 15 ML 2016 18.00 5,793.00 104,274.00 18.00 5,793.00 104,274.00
128 REGRESOR 2016 594.00 2,479.40 1,472,763.60 594.00 2,479.40 1,472,763.60
129 RENABETIC/ GLIBENCLAMID TAB 5 MG 2016 12.00 190.00 2,280.00 12.00 190.00 2,280.00
130 RENADINAC TAB 50 MG 2016 4,662.00 696.00 3,244,752.00 4,662.00 696.00 3,244,752.00
131 RETAPHYL 2016 1,380.00 1,103.00 1,522,140.00 1,380.00 1,103.00 1,522,140.00
132 RONAZOL/ METRONIDAZOLE SYR 2016 23.00 44,275.00 1,018,325.00 23.00 44,275.00 1,018,325.00
133 SANADRYL DMP SYR 120 ML 2016 18.00 18,855.00 339,390.00 18.00 18,855.00 339,390.00
134 SANTOCYN INJ/ OXYTOCIN 2016 3.00 9,643.00 28,929.00 3.00 9,643.00 28,929.00
135 SCABIMITE CREAM 10 MG 2016 19.00 3,500.00 66,500.00 19.00 3,500.00 66,500.00
136 SEBIVO 600 MG 2016 304.00 28,500.00 8,664,000.00 304.00 28,500.00 8,664,000.00
137 SERETIDE DISCUS 250 mcg 2016 12.00 119,000.00 1,428,000.00 12.00 119,000.00 1,428,000.00
138 SESDEN ( TIMEPPIDIUM BROMIDE) TAB 2016 1,488.00 2,120.00 3,154,560.00 1,488.00 2,120.00 3,154,560.00
139 SIMEXTAM/ CEFOPERAZONE 0,5 - SULBACTAM 0,5 2016 35.00 140,000.00 4,900,000.00 35.00 140,000.00 4,900,000.00
140 SIMZEN DROP/ CETIRIZINE DI-HCL 10 MG/ ML 2016 23.00 46,000.00 1,058,000.00 23.00 46,000.00 1,058,000.00
141 SPASMOMEN 2016 1,266.00 8,454.73 10,703,692.40 1,266.00 8,454.73 10,703,692.40
142 SPIRIVA 18 MCG 10 CAPS + HANDIHALLER/ COMBOPACK 2016 14.00 152,543.00 2,135,602.00 14.00 152,543.00 2,135,602.00
143 SPIRIVA 18 MCG REFILL (30 CAPS) 2016 660.00 13,867.00 9,152,220.00 660.00 13,867.00 9,152,220.00
144 STOLAX SUPP/ BISACODYL 10 MG 2016 38.00 6,045.00 229,710.00 38.00 6,045.00 229,710.00
145 STOMICA TAB 2016 1,944.00 4,948.38 9,619,644.24 1,944.00 4,948.38 9,619,644.24
146 SULFITIS/ SULFASALAZINE 500 TAB 2016 550.00 5,060.00 2,783,000.00 550.00 5,060.00 2,783,000.00
147 SUPRAMOX DROP/ AMOXICILLIN 2016 24.00 22,770.00 546,480.00 24.00 22,770.00 546,480.00
148 SYMBICORT 160/4,5 MCG 120 DOSIS 2016 15.00 117,600.00 1,764,000.00 15.00 117,600.00 1,764,000.00
149 SYMBICORT 80 MG 2016 33.00 110,500.00 3,646,500.00 33.00 110,500.00 3,646,500.00
150 TAFLOTAN 2,5 ML TM 2016 7.00 366,850.00 2,567,950.00 7.00 366,850.00 2,567,950.00
151 TARIVID 0,3 % TM 2016 7.00 67,045.00 469,315.00 7.00 67,045.00 469,315.00
152 TIARYT INJ/ AMIODARONE 50 MG/ ML 2016 30.00 28,463.00 853,890.00 30.00 28,463.00 853,890.00
153 TOPSY CREAM 2016 11.00 48,703.00 535,733.00 11.00 48,703.00 535,733.00
154 TRIZEDON MR 2016 1,740.00 4,545.00 7,908,300.00 1,740.00 4,545.00 7,908,300.00
155 ULCUMAG TAB 2016 3,425.00 1,929.00 6,606,825.00 3,425.00 1,929.00 6,606,825.00
156 UROTRACTIN 2016 1,800.00 1,815.00 3,267,000.00 1,800.00 1,815.00 3,267,000.00
157 UTROGESTAN 100 MG 2016 1,253.00 9,297.73 11,650,059.87 1,253.00 9,297.73 11,650,059.87
158 VENTOLIN NEBULIZER 0,1 % 2016 67.00 11,880.00 795,960.00 67.00 11,880.00 795,960.00
159 VENTOLIN SERB INH 200 MCG ROTACAPS 2016 245.00 800.00 196,000.00 245.00 800.00 196,000.00
160 VITACHOL 2016 1,495.00 4,958.80 7,413,406.00 1,495.00 4,958.80 7,413,406.00
161 VOSSECAL 2016 480.00 3,099.23 1,487,632.00 480.00 3,099.23 1,487,632.00
162 VOSTEON TAB 2016 1,060.00 3,795.00 4,022,700.00 1,060.00 3,795.00 4,022,700.00
163 XARELTO 10 Mg 2016 95.00 23,500.00 2,232,500.00 95.00 23,500.00 2,232,500.00
164 XARELTO 15 Mg 2016 455.00 23,500.00 10,692,500.00 455.00 23,500.00 10,692,500.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
165 XARELTO 20 Mg 2016 443.00 23,500.00 10,410,500.00 443.00 23,500.00 10,410,500.00
166 XEPANEURON TAB 2016 6,121.00 1,093.00 6,690,253.00 6,121.00 1,093.00 6,690,253.00
167 XEPAZYM 2016 306.00 1,531.00 468,486.00 306.00 1,531.00 468,486.00
168 ZIRCUM KID 2O MG/ ML 2016 18.00 7,700.00 138,600.00 18.00 7,700.00 138,600.00
169 ZYFLOX 400 TAB 2016 660.00 6,325.00 4,174,500.00 660.00 6,325.00 4,174,500.00
170 DIUVAR INJ 10 MG/ ML / FUROSEMIDE 2016 27.00 10,120.00 273,240.00 27.00 10,120.00 273,240.00
171 ECRON INJ 4 MG 2016 50.00 85,387.00 4,269,350.00 50.00 85,387.00 4,269,350.00
172 FARBION 5000 INJ 2016 157.00 5,693.00 893,801.00 157.00 5,693.00 893,801.00
173 VENTOLIN ROTAHALER 2016 20.00 11,000.00 220,000.00 20.00 11,000.00 220,000.00
174 GERIAVITA 2016 1,350.00 2,500.00 3,375,000.00 1,350.00 2,500.00 3,375,000.00
175 XYLOCAINE SPRAY 10 mg 2016 10.00 149,100.00 1,491,000.00 10.00 149,100.00 1,491,000.00
176 LYTACUR SYRUP 2016 54.00 28,950.00 1,563,300.00 54.00 28,950.00 1,563,300.00
177 SUPRALYSINE DROP 2016 60.00 27,000.00 1,620,000.00 60.00 27,000.00 1,620,000.00
178 HUSTAB TAB 2016 2,786.00 350.00 975,100.00 2,786.00 350.00 975,100.00
179 LESVATIN 10 MG/ SIMVASTATIN 2016 664.00 7,590.00 5,039,760.00 664.00 7,590.00 5,039,760.00
180 TAPROS INJ 2016 26.00 202,400.00 5,262,400.00 26.00 202,400.00 5,262,400.00
181 MOLAFLAM 100 MG/ KETOPROFEN 2016 1,129.00 2,003.00 2,261,387.00 1,129.00 2,003.00 2,261,387.00
182 NOVAMAG TAB 2016 1,418.00 506.00 717,508.00 1,418.00 506.00 717,508.00
183 NOVAMOX 500 MG 2016 400.00 511.00 204,400.00 400.00 511.00 204,400.00
184 NOVAXIFEN TAB 200 MG/ IBUPROFEN 2016 193.00 456.00 88,008.00 193.00 456.00 88,008.00
185 OTSU MEYLON INF 2016 30.00 6,510.00 195,300.00 30.00 6,510.00 195,300.00
186 RAIVAS/ NOREPINEPHRINE 1 MG/ 4 ML 2016 71.00 118,800.00 8,434,800.00 71.00 118,800.00 8,434,800.00
187 PRIMOLUT N 2016 352.00 2,618.00 921,536.00 352.00 2,618.00 921,536.00
188 PRITALINC 500/ LINCOMYCIN 2016 1,354.00 2,214.00 2,997,756.00 1,354.00 2,214.00 2,997,756.00
189 PROVAMED/ SPIRAMYCIN 500 MG TAB 2016 2,084.00 3,100.00 6,460,400.00 2,084.00 3,100.00 6,460,400.00
190 PYTOGIN INJ (OKSITOSIN) 2016 19.00 6,085.00 115,615.00 19.00 6,085.00 115,615.00
191 SCANTOMA 2016 5,925.00 350.00 2,073,750.00 5,925.00 350.00 2,073,750.00
192 SERENACE 1.5 MG/ HALOPERIDOL 2016 147.00 1,385.00 203,595.00 147.00 1,385.00 203,595.00
193 SULTRIMMIX SYR 2016 97.00 10,120.00 981,640.00 97.00 10,120.00 981,640.00
194 TEOSAL TAB 2016 2,096.00 240.00 503,040.00 2,096.00 240.00 503,040.00
195 TETRIN 500 CAP 2016 322.00 1,138.00 366,436.00 322.00 1,138.00 366,436.00
196 THYROZOL 10 MG 2016 1,300.00 2,331.00 3,030,300.00 1,300.00 2,331.00 3,030,300.00
197 VAKSIN VERORAB 2016 10.00 145,475.00 1,454,750.00 10.00 145,475.00 1,454,750.00
198 XEPABET 2016 3,700.00 2,204.00 8,154,800.00 3,700.00 2,204.00 8,154,800.00
199 TUBERCULIN PPD RT 23 SSI 2016 10.00 624,840.00 6,248,400.00 10.00 624,840.00 6,248,400.00
200 LEXATRANS 500 MG/ AS. TRANEX 2016 446.00 1,560.00 695,760.00 446.00 1,560.00 695,760.00
201 ZEMAN CAP/ L CARNITINE - ZINC 2016 210.00 2,594.00 544,740.00 210.00 2,594.00 544,740.00
202 PROVERA 100/ MEDROXYPROGESTERONE ACETATE 2016 240.00 15,350.00 3,684,000.00 240.00 15,350.00 3,684,000.00
203 PULAREX/ ACTIVATED ATTAPULGITE 630 2016 307.00 1,105.00 339,235.00 307.00 1,105.00 339,235.00
204 FARMABES INJ 5 MG/ DILTIAZEM 2016 18.00 137,147.00 2,468,646.00 18.00 137,147.00 2,468,646.00
205 SOLATHIM/ THIAMPHENICOL 125/ 5 SYRUP 2016 52.00 9,900.00 514,800.00 52.00 9,900.00 514,800.00
206 TAMAPROFEN/ IBUPROFEN SYRUP 125 ML 2016 49.00 16,500.00 808,500.00 49.00 16,500.00 808,500.00
207 VIGAMOX/ MOKSIFLOKSASIN HCL 0,5 % TETES MATA 2016 20.00 68,850.00 1,377,000.00 20.00 68,850.00 1,377,000.00
208 ONBREZ/ INDACATEROL 300 MCG (30 CAP+ INHALER) 2016 5.00 587,984.00 2,939,920.00 5.00 587,984.00 2,939,920.00
209 SIFROL ER 0,375 MG 2016 478.00 21,147.00 10,108,266.00 478.00 21,147.00 10,108,266.00
210 NEO-K/ PHYTONADIONE 2 MG/ ML 2016 20.00 15,004.00 300,080.00 20.00 15,004.00 300,080.00
211 NICAFER/ NICARDIPINE HCL 1 MG/ ML 2016 6.00 206,558.00 1,239,348.00 6.00 206,558.00 1,239,348.00
212 ZINKID/ ZINC 10 MG/ 5 ML SYRUP 2016 22.00 35,493.00 780,846.00 22.00 35,493.00 780,846.00
213 LOPAMIRO 300 2016 7.00 288,870.00 2,022,090.00 7.00 288,870.00 2,022,090.00
214 ETOPUL 20 MG/ 5 ML / ETOPOSIDE 2016 20.00 167,789.00 3,355,780.00 20.00 167,789.00 3,355,780.00
215 BIOSAVE/ SERUM ANTI BISA ULAR 2016 5.00 520,300.00 2,601,500.00 5.00 520,300.00 2,601,500.00
216 BIOSAT 1,5 / SERUM ANTI TETANUS KUDA 2016 37.00 139,150.00 5,148,550.00 37.00 139,150.00 5,148,550.00
OBAT MATA -
1 CENDO ASTEHENOF TM 2016 117.00 5,082.00 594,594.00 117.00 5,082.00 594,594.00
2 CENDO AUGENTONIK 2016 189.00 4,918.00 929,502.00 189.00 4,918.00 929,502.00
3 CENDO CARPIN 2% 2016 161.00 29,027.00 4,673,347.00 161.00 29,027.00 4,673,347.00
4 CENDO CENFRESH 2016 170.00 4,414.00 750,380.00 170.00 4,414.00 750,380.00
5 CENDO CORTHON TM 2016 50.00 2,420.60 121,030.00 50.00 2,420.60 121,030.00
6 CENDO DEXATON TM 2016 108.00 3,958.00 427,464.00 108.00 3,958.00 427,464.00
7 CENDO FLOXA TM 2016 108.00 6,083.80 657,050.40 108.00 6,083.80 657,050.40
8 CENDO LFX TM 2016 25.00 15,729.00 393,225.00 25.00 15,729.00 393,225.00
9 CENDO LYTEERS TM 2016 56.00 4,870.25 272,734.00 56.00 4,870.25 272,734.00
10 CENDO POLYGRAN TM 2016 363.00 4,782.00 1,735,866.00 363.00 4,782.00 1,735,866.00
11 CENDO PROTAGENTA 0,6 ML TM 2016 389.00 7,796.00 3,032,644.00 389.00 7,796.00 3,032,644.00
12 CENDO TIMOL TM 2016 44.00 6,450.00 283,800.00 44.00 6,450.00 283,800.00
13 CENDO TROPIN TM 0,5 % 2016 190.00 3,568.00 677,920.00 190.00 3,568.00 677,920.00
14 CENDO VASACON TM 2016 86.00 3,124.00 268,664.00 86.00 3,124.00 268,664.00
15 CENDO XITROL 0,5 % 2016 59.00 4,696.00 277,064.00 59.00 4,696.00 277,064.00
16 CENDO XITROL SALF MATA 2016 11.00 40,797.00 448,767.00 11.00 40,797.00 448,767.00
OBAT GENERIK 2,929,581.00 2,992,596,473.63 730,944.00 1,038,306,757.03

GUDANG FARMASI 2,762,846.00 2,792,008,285.07 564,209.00 837,718,568.47 1,954,289,716.60
1 ACETOSAL 2016 3,800.00 122.00 463,600.00 3,400.00 122.00 414,800.00
2 ACYCLOVIR 200 MG 2016 20,000.00 406.00 8,120,000.00 500.00 406.00 203,000.00
3 ACYCLOVIR 400 MG 2016 15,800.00 600.00 9,480,000.00 - 600.00 -
4 ACYCLOVIR 5% SALEP 2016 400.00 4,050.00 1,620,000.00 275.00 4,050.00 1,113,750.00
5 ALBENDAZOL 400 mg 2016 1,500.00 350.00 525,000.00 - 350.00 -
6 ALBENDAZOL 400 mg 2016 1,000.00 350.00 350,000.00 1,000.00 350.00 350,000.00
7 ALLOPURINOL 100 MG 2016 17,000.00 150.00 2,550,000.00 7,000.00 150.00 1,050,000.00
8 ALLOPURINOL 300 MG 2016 9,900.00 214.00 2,118,600.00 9,900.00 214.00 2,118,600.00
9 AMBROXOL 30 MG 2016 95,800.00 87.00 8,334,600.00 38,100.00 87.00 3,314,700.00
10 AMBROXOL SYR 15 MG/5 ML 2016 4,100.00 2,598.00 10,651,800.00 700.00 2,598.00 1,818,600.00
11 AMINOPHYLLIN 200 mg TAB 2016 6,000.00 82.00 492,000.00 3,800.00 82.00 311,600.00
12 AMINOPHYLLIN INJ 24 mg/ml 2016 870.00 3,150.00 2,740,500.00 180.00 3,150.00 567,000.00
13 AMITRIPTYLIN 25 MG TAB 2016 7,000.00 135.00 945,000.00 7,000.00 135.00 945,000.00
14 AMLODIPIN 10 MG 30 tab 2016 390,600.00 341.00 133,194,600.00 32,460.00 341.00 11,068,860.00
15 AMLODIPINE 5 MG 2016 19,800.00 192.00 3,801,600.00 19,800.00 192.00 3,801,600.00
16 AMOXICILLIN 125 MG SYR 2016 4,500.00 3,900.00 17,550,000.00 300.00 3,900.00 1,170,000.00
17 AMOXICILLIN 250 mg 2016 1,000.00 182.00 182,000.00 1,000.00 182.00 182,000.00
18 AMOXICILLIN 500 MG 2016 22,500.00 220.00 4,950,000.00 - 220.00 -
19 AMOXICILLIN FDS SYR 2016 600.00 4,212.00 2,527,200.00 50.00 4,212.00 210,600.00
20 AMOXICILLIN INJ 1000 mg 2016 30.00 8,591.00 257,730.00 30.00 8,591.00 257,730.00
21 AMPICILIN INJ 1 GR 2016 10.00 11,000.00 110,000.00 10.00 11,000.00 110,000.00
22 ANTALGIN 500 mg/2 ML INJ 2016 1,470.00 1,750.00 2,572,500.00 - 1,750.00 -
23 ANTASIDA DOEN SUSP 60 ml 2016 650.00 4,428.00 2,878,200.00 200.00 4,428.00 885,600.00
24 ANTASIDA DOEN TAB 2016 16,400.00 74.00 1,213,600.00 - 74.00 -
25 ANTI HEMOROID DOEN SUPP/SUPERHOID 2016 1,260.00 2,300.00 2,898,000.00 180.00 2,300.00 414,000.00
26 AQUA PRO INJEKSI 20 ML 2016 23,370.00 2,100.00 49,077,000.00 2,090.00 2,100.00 4,389,000.00
27 ASAM TRANEKSAMAT 500 2016 2,040.00 12,650.00 25,806,000.00 810.00 12,650.00 10,246,500.00
28 ASAM TRANEKSAMAT 500 TAB 2016 5,000.00 197.00 985,000.00 5,000.00 197.00 985,000.00
29 ATORVASTATIN 10 MG 2016 4,320.00 3,333.00 14,398,560.00 4,320.00 3,333.00 14,398,560.00
30 ATORVASTATIN 20 MG 2016 18,000.00 5,000.00 90,000,000.00 4,320.00 5,000.00 21,600,000.00
31 ATROPINE 0.25 MG/ML 100 amp 2016 200.00 1,300.00 260,000.00 - 1,300.00 -
32 AZITROMISIN 250 MG TAB 2016 1,200.00 3,500.00 4,200,000.00 - 3,500.00 -
33 AZITROMISIN 500 MG INJ 2016 96.00 115,000.00 11,040,000.00 - 115,000.00 -
34 AZITROMISIN 500 MG TAB 2016 43,800.00 4,500.00 197,100,000.00 2,920.00 4,500.00 13,140,000.00
35 BETAHISTINE MESILAT 6 mg 2016 19,000.00 100.00 1,900,000.00 10,000.00 100.00 1,000,000.00
36 BISOPROLOL 5 MG 2016 12,960.00 2,670.00 34,603,200.00 3,240.00 2,670.00 8,650,800.00
37 BUVIPACAIN INJ 2016 332.00 26,880.00 8,924,160.00 - 26,880.00 -
38 CA GLUCONAS 2016 168.00 7,800.00 1,310,400.00 48.00 7,800.00 374,400.00
39 CANDESARTAN 16 MG 2016 990.00 5,145.00 5,093,550.00 990.00 5,145.00 5,093,550.00
40 CANDESARTAN 8 MG 2016 1,440.00 3,255.00 4,687,200.00 1,440.00 3,255.00 4,687,200.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
41 CAPTOPRIL 12,5 2016 12,000.00 62.00 744,000.00 - 62.00 -
42 CAPTOPRIL 25 2016 10,000.00 89.00 890,000.00 - 89.00 -
43 CAPTOPRIL 50 (100 TAB) 2016 9,600.00 135.00 1,296,000.00 - 135.00 -
44 CEFADROXIL 250 MG 2016 14,400.00 539.00 7,761,600.00 11,400.00 539.00 6,144,600.00
45 CEFADROXIL 500 MG (100 tab) 2016 12,000.00 519.00 6,228,000.00 5,000.00 519.00 2,595,000.00
46 CEFADROXIL DS 125 MG/5 ML 2016 650.00 5,064.00 3,291,600.00 300.00 5,064.00 1,519,200.00
47 CEFADROXIL DS 250 sirup FORTE 2016 150.00 6,149.00 922,350.00 100.00 6,149.00 614,900.00
48 CEFEPIME 2016 200.00 50,296.00 10,059,200.00 - 50,296.00 -
49 CEFIXIME KAP 2016 4,100.00 1,508.59 6,185,212.44 4,100.00 1,508.59 6,185,212.44
50 CEFIXIME SYR 100 mg/5 2016 48.00 8,181.00 392,688.00 48.00 8,181.00 392,688.00
51 CEFOPERAZONE INJ 2016 56.00 13,330.00 746,480.00 56.00 13,330.00 746,480.00
52 CEFOPERAZONE INJ + SULBACTAM 2016 336.00 87,000.00 29,232,000.00 56.00 87,000.00 4,872,000.00
53 CEFOTAXIM INJ 2016 3,228.00 5,247.00 16,937,316.00 2,940.00 5,247.00 15,426,180.00
54 CEFTRIAXON INJ 1 G 2016 4,530.00 2,578.00 11,678,340.00 2,078.00 2,578.00 5,357,084.00
55 CETIRIZINE TAB 10 Mg (50 TAB) 2016 3,600.00 145.00 521,999.28 3,600.00 145.00 521,999.28
56 CHLORAMPENICOL 250 2016 2,500.00 3,978.00 9,945,000.00 - 3,978.00 -
57 CHLORAMPHENICOL SM 1% 2016 761.00 1,600.00 1,217,600.00 - 1,600.00 -
58 CHLORAMPHENICOL SYR 2016 200.00 3,865.00 773,000.00 200.00 3,865.00 773,000.00
59 CHLOROQUIN 150 MG BOTOL 2016 1,000.00 14.00 14,000.00 - 14.00 -
60 CHLOROQUIN 150 MG BOX 2016 3,800.00 41.00 155,800.00 - 41.00 -
61 CHLOROQUIN 250 MG 2016 1,000.00 150.00 150,000.00 - 150.00 -
62 CIPROFLOKSASIN 500 MG (50 TAB) 2016 13,200.00 260.00 3,432,000.00 7,050.00 260.00 1,833,000.00
63 CIPROFLOKSASIN INF 2016 208.00 15,000.00 3,120,000.00 144.00 15,000.00 2,160,000.00
64 CITICOLIN 1000 Mg 2016 5,010.00 11,068.00 55,450,680.00 4,950.00 11,068.00 54,786,600.00
65 CITICOLIN 250 INJ 2016 250.00 11,999.00 2,999,750.00 - 11,999.00 -
66 CITICOLIN 500 INJ 2016 3,060.00 23,595.00 72,200,700.00 900.00 23,595.00 21,235,500.00
67 Citicoline 500 mg 2016 6,000.00 7,200.00 43,200,000.00 6,000.00 7,200.00 43,200,000.00
68 CLINDAMYCIN TAB 300 MG 2016 1,000.00 1,400.00 1,400,000.00 500.00 1,400.00 700,000.00
69 CLONIDINE 0,15 mg 2016 7,700.00 214.00 1,647,800.00 - 214.00 -
70 CLOPIDOGREL 2016 4,440.00 10,000.00 44,400,000.00 4,440.00 10,000.00 44,400,000.00
71 COTRIMAXOZOL 480 mg 2016 1,000.00 160.00 160,000.00 1,000.00 160.00 160,000.00
72 CYANOCOBALAMIN INJ 2016 1,300.00 1,168.00 1,518,402.60 - 1,168.00 -
73 DEXAMETASON TAB 0.5 mg (100 tab) 2016 10,000.00 64.00 640,000.00 10,000.00 64.00 640,000.00
74 DEXAMETHASON INJ 5 MG/ML 2016 6,300.00 1,659.00 10,451,700.00 1,600.00 1,659.00 2,654,400.00
75 DEXKETOPROPEN 25 2016 1,080.00 3,795.00 4,098,600.00 1,080.00 3,795.00 4,098,600.00
76 DEXKETOPROPEN TROMETAMOL 50/2 mg 2016 150.00 30,360.00 4,554,000.00 150.00 30,360.00 4,554,000.00
77 DIETHYLCARBAMAZINE 100 MG 2016 14,400.00 332.00 4,780,800.00 - 332.00 -
78 DIGOXIN 0,25 MG 2016 30,000.00 100.00 3,000,000.00 - 100.00 -
79 DILTIAZEM HCL 30 MG 2016 16,600.00 123.00 2,041,800.00 - 123.00 -
80 DIMENHIDRINAT 50 MG 2016 11,900.00 101.00 1,201,900.00 1,000.00 101.00 101,000.00
81 DIPHENHYDRAMINE 10 MG/ML INJ 2016 450.00 1,008.00 453,600.00 150.00 1,008.00 151,200.00
82 DOBUTAMINE 50 mg 2016 25.00 35,000.00 875,000.00 25.00 35,000.00 875,000.00
83 DOMPERIDON SYR 2016 400.00 3,410.00 1,364,000.00 100.00 3,410.00 341,000.00
84 EPINEPHRINE INJ 1 mg 2016 1,300.00 1,992.00 2,589,600.00 - 1,992.00 -
85 EPINEPHRINE INJ 1 mg 2016 420.00 1,992.00 836,640.00 420.00 1,992.00 836,640.00
86 ERYTROMYCIN TAB 500 MG 2016 4,000.00 455.00 1,820,000.00 - 455.00 -
87 ETAMBUTOL TAB 500 MG 2016 1,000.00 800.00 800,000.00 - 800.00 -
88 FERROSUS SULFAT 2016 8,000.00 80.00 640,000.00 - 80.00 -
89 FLUNARIZINE - 5 TAB 2016 10,000.00 4,200.00 42,000,000.00 8,000.00 4,200.00 33,600,000.00
90 FLUNARIZINE - 5 TAB 2016 5,760.00 6,250.00 36,000,000.00 1,920.00 6,250.00 12,000,000.00
91 FOLIC ACID 1 MG (ASAM FOLAT) 2016 10,000.00 46.00 460,000.00 10,000.00 46.00 460,000.00
92 FOSFOMYCIN 1 G 2016 50.00 79,340.00 3,967,000.00 12.00 79,340.00 952,080.00
93 FOSFOMYCIN 2 G 2016 50.00 77,481.00 3,874,050.00 - 77,481.00 -
94 FUROSEMIDA 40 MG (200 tab) 2016 7,200.00 632.00 4,550,400.00 4,800.00 632.00 3,033,600.00
95 FUROSEMIDE INJ 10 mg 2016 2,400.00 1,920.00 4,608,000.00 2,000.00 1,920.00 3,840,000.00
96 GABAPENTIN 300 2016 35,200.00 1,953.00 68,745,600.00 17,600.00 1,953.00 34,372,800.00
97 GEMFIBROZIL 600 MG 2016 5,000.00 713.00 3,565,000.00 2,000.00 713.00 1,426,000.00
98 GENTAMICIN 40 MG/ML INJ 2016 1,260.00 3,569.00 4,496,940.00 40.00 3,569.00 142,760.00
99 GENTAMISIN 0.1% SALEP KULIT 2016 48.00 1,469.00 70,512.00 48.00 1,469.00 70,512.00
100 GLIBENCLAMIDE 5 mg 2016 72,000.00 58.00 4,176,000.00 - 58.00 -
101 GLIMEPIRIDE 1 MG 2016 18,900.00 265.00 5,008,500.00 5,500.00 265.00 1,457,500.00
102 GLIMEPIRIDE 2 MG 2016 3,500.00 436.00 1,526,000.00 3,500.00 436.00 1,526,000.00
103 GLIMEPIRIDE 3 MG 2016 19,100.00 404.00 7,716,400.00 6,300.00 404.00 2,545,200.00
104 GLIMEPIRIDE 4 MG 2016 6,300.00 430.00 2,709,000.00 - 430.00 -
105 GLIQUIDONE 30 mg 2016 5,000.00 997.00 4,985,000.00 1,800.00 997.00 1,794,600.00
106 GLISERIL GUAIACOLAT 100 MG 2016 1,000.00 50.00 50,000.00 1,000.00 50.00 50,000.00
107 GLUKOSA 10% (D10) 2016 200.00 4,967.00 993,400.00 200.00 4,967.00 993,400.00
108 GLUKOSA 5% (D5) 2016 420.00 7,000.00 2,940,000.00 420.00 7,000.00 2,940,000.00
109 GLYSEROL 100 ml 2016 40.00 6,600.00 264,000.00 40.00 6,600.00 264,000.00
110 GRISEOFULVIN 125 MG 2016 6,000.00 2,320.00 13,920,000.00 - 2,320.00 -
111 HALOPERIDOL 5 MG 2016 7,600.00 100.00 760,000.00 - 100.00 -
112 HIDROKORTISON CREAM 2.5% 2016 48.00 2,399.00 115,152.00 48.00 2,399.00 115,152.00
113 IBUPROFEN 200 2016 2,000.00 122.00 244,000.00 - 122.00 -
114 IMEPENEM CILASTATIN 1 G 2016 300.00 253,000.00 75,900,000.00 50.00 253,000.00 12,650,000.00
115 ISONIAZID 100 MG 2016 3,500.00 6,800.00 23,800,000.00 1,200.00 6,800.00 8,160,000.00
116 ISONIAZID 300 MG 2016 3,700.00 350.00 1,295,000.00 1,500.00 350.00 525,000.00
117 ISOSORBID DINITRATE (ISDN) TAB 0.5 mg 2016 2,000.00 110.00 220,000.00 - 110.00 -
118 ITRACONAZOLE 100 MG 2016 9,900.00 531.00 5,256,900.00 - 531.00 -
119 KALSIUM LAKTAT 2016 4,000.00 73.00 292,000.00 4,000.00 73.00 292,000.00
120 KANAMICIN MEIJI INJ 2016 130.00 9,373.00 1,218,490.00 - 9,373.00 -
121 KETEROLAC 30 MG/1 ML 2016 480.00 14,000.00 6,720,000.00 480.00 14,000.00 6,720,000.00
122 KETOCONAZOL 200 mg 2016 2,500.00 470.00 1,175,000.00 2,500.00 470.00 1,175,000.00
123 KETOCONAZOL KRIM 5 MG 2 % 2016 72.00 2,993.00 215,496.00 - 2,993.00 -
124 LANSOPRAZOLE 30 mg (BOX/20 ) 2016 19,460.00 430.00 8,367,800.00 - 430.00 -
125 LANSOPRAZOLE 30 mg (BOX/20 ) 2016 5,000.00 1,200.00 6,000,000.00 5,000.00 1,200.00 6,000,000.00
126 LEVOFLOXASIN INF (1 BTL) 2016 146.00 41,905.00 6,118,130.00 146.00 41,905.00 6,118,130.00
127 LEVOFLOXASIN TAB 500 MG (50 tab) 2016 7,500.00 554.00 4,155,000.00 7,500.00 554.00 4,155,000.00
128 LISINOPRIL 10 mg 2016 1,080.00 630.00 680,400.00 - 630.00 -
129 LOSARTAN 50 MG 2016 8,400.00 5,313.00 44,629,200.00 1,200.00 5,313.00 6,375,600.00
130 MELOXICAM 15 MG 100 TAB 2016 56,000.00 1,655.00 92,680,000.00 20,000.00 1,655.00 33,100,000.00
131 MELOXICAM 7,5 MG 2016 72,000.00 954.80 68,745,600.00 20,000.00 954.80 19,096,000.00
132 MEROPENEM 0,5 GR 2016 56.00 47,460.00 2,657,760.00 56.00 47,460.00 2,657,760.00
133 MEROPENEM INJ 1 G 2016 50.00 57,000.00 2,850,000.00 50.00 57,000.00 2,850,000.00
134 METFORMIN HCL TAB 500 MG 2016 5,600.00 115.00 644,000.00 5,600.00 115.00 644,000.00
135 METFORMIN HCL TAB 850 MG 2016 7,500.00 215.00 1,612,500.00 7,500.00 215.00 1,612,500.00
136 METHOTREXAT 2.5 mg 2016 7,500.00 1,764.00 13,230,000.00 100.00 1,764.00 176,400.00
137 METIL PREDNISOLON INJ 125 ML 2016 1,260.00 22,490.00 28,337,400.00 840.00 22,490.00 18,891,600.00
138 METOKLOPERAMID INJ 10 mg 2016 1,000.00 4,400.00 4,400,000.00 660.00 4,400.00 2,904,000.00
139 METOKLOPRAMIDE TAB 10 MG 2016 6,200.00 150.00 930,000.00 - 150.00 -
140 METRONIDAZOL INFUS 2016 3,100.00 26,000.00 80,600,000.00 1,150.00 26,000.00 29,900,000.00
141 METRONIDAZOL TAB 500 mg 2016 16,000.00 171.00 2,736,000.00 - 171.00 -
142 MICONAZOL KRIM 2016 624.00 3,150.00 1,965,600.00 245.00 3,150.00 771,750.00
143 NACL 0,9 % (NATIRUM CLORIDA) 2016 1,400.00 6,410.00 8,974,000.00 1,400.00 6,410.00 8,974,000.00
144 NATRIUM DIKLOFENAK 50 MG 2016 19,950.00 300.00 5,985,000.00 - 300.00 -
145 NYSTATIN VAGINAL TAB 2016 18,600.00 70.00 1,302,000.00 - 70.00 -
146 OMEPRAZOL INJ 40Mg 2016 192.00 38,000.00 7,296,000.00 192.00 38,000.00 7,296,000.00
147 OMEPRAZOLE TAB 2016 10,500.00 335.00 3,517,500.00 7,510.00 335.00 2,515,850.00
148 ONDANSENTRON 4 MG/2 ML (BOX/ 10 AMP) 2016 1,040.00 7,700.00 8,008,000.00 - 7,700.00 -
149 ONDANSENTRON 4 MG/2 ML (BOX/ 5 AMP) 2016 1,040.00 2,400.00 2,496,000.00 1,040.00 2,400.00 2,496,000.00
150 ONDANSENTRON TAB 2016 650.00 3,795.00 2,466,750.00 650.00 3,795.00 2,466,750.00
151 ORALIT 2016 46,800.00 513.00 24,008,400.00 - 513.00 -
152 PANTOPRAZOL 40 MG INJ 2016 100.00 49,588.00 4,958,800.00 100.00 49,588.00 4,958,800.00
153 PARACETAMOL DROP 2016 168.00 5,488.00 921,984.00 168.00 5,488.00 921,984.00
154 PARACETAMOL INFUS 2016 1,780.00 23,625.00 42,052,500.00 750.00 23,625.00 17,718,750.00
155 PARACETAMOL SYR 2016 1,398.00 1,496.00 2,091,408.00 1,398.00 1,496.00 2,091,408.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
156 PHENOL GLYSEROL 10 % BTL 5 ml 2016 26.00 2,499.20 64,979.20 26.00 2,499.20 64,979.20
157 PHENYTOIN SODIUM 2016 276,000.00 350.00 96,600,000.00 14,400.00 350.00 5,040,000.00
158 PHYTOMENADIONE INJ 2 MG/ML 2016 2,400.00 3,582.00 8,596,800.00 330.00 3,582.00 1,182,060.00
159 PHYTOMENADIONE TAB 2016 25,000.00 666.00 16,650,000.00 5,000.00 666.00 3,330,000.00
160 PIRACETAM 1200 2016 144,000.00 815.00 117,360,000.00 3,600.00 815.00 2,934,000.00
161 PIRACETAM 1200 2016 10,800.00 1,075.00 11,610,000.00 - 1,075.00 -
162 PIRACETAM 3 G/15 ML INJ 2016 1,936.00 6,000.00 11,616,000.00 1,120.00 6,000.00 6,720,000.00
163 PIRACETAM 400 2016 5,800.00 622.00 3,607,600.00 - 622.00 -
164 PIRACETAM 800 2016 144,000.00 1,108.00 159,552,000.00 7,300.00 1,108.00 8,088,400.00
165 PIRACETAM INF 2016 80.00 86,770.00 6,941,600.00 - 86,770.00 -
166 PIRAZINAMID 500 2016 10,000.00 220.00 2,200,000.00 4,500.00 220.00 990,000.00
167 PRAVASTATIN TAB 20 MG 2016 5,000.00 2,400.00 12,000,000.00 - 2,400.00 -
168 PRENISON 5 MG BOTOL 2016 4,000.00 119.00 476,000.00 4,000.00 119.00 476,000.00
169 PROPANOLOL 10 MG 2016 9,000.00 367.50 3,307,500.00 - 367.50 -
170 PROPANOLOL 40 mg 2016 5,000.00 110.00 550,000.00 - 110.00 -
171 PROPANOLOL 40 mg BOTOL 2016 3,500.00 130.00 455,000.00 - 130.00 -
172 PROPRANOLOL 10 2016 9,000.00 80.00 720,000.00 - 80.00 -
173 PYRANTEL 125 mg 2016 5,000.00 308.00 1,540,000.00 - 308.00 -
174 PYRIDOXINE HCL 2016 4,900.00 1,050.00 5,145,000.00 200.00 1,050.00 210,000.00
175 QUININ INJ 250 MG/ML 2016 200.00 6,510.00 1,302,000.00 - 6,510.00 -
176 QUININE 222 MG 2016 7,000.00 740.00 5,180,000.00 - 740.00 -
177 QUININE 222 MG 2016 6,000.00 704.00 4,224,000.00 - 704.00 -
178 RANITIDIN INJ 50 MG/ML 2016 8,640.00 3,470.00 29,980,800.00 8,400.00 3,470.00 29,148,000.00
179 RANITIDIN TAB 150 MG 2016 72,400.00 126.00 9,122,400.00 61,300.00 126.00 7,723,800.00
180 RIMFAMICIN 450 MG 2016 4,100.00 814.00 3,337,400.00 - 814.00 -
181 RIMFAMPICIN 300 2016 3,600.00 800.00 2,880,000.00 - 800.00 -
182 RINGER LAKTAT 500 ML (1 DUS/20 BOTOL) 2016 9,700.00 6,279.00 60,906,300.00 2,830.00 6,279.00 17,769,570.00
183 SALEP 2-4 2016 20.00 1,720.00 34,400.00 - 1,720.00 -
184 SODIUM BIGNAT(BICARBONAT) 2016 1,000.00 250.00 250,000.00 - 250.00 -
185 SPIRONOLACTONE TAB 100 MG 2016 8,800.00 798.00 7,022,400.00 2,700.00 798.00 2,154,600.00
186 SPIRONOLACTONE TAB 25 mg 2016 35,000.00 392.00 13,720,000.00 2,000.00 392.00 784,000.00
187 STREPTOMYCIN 1 G 2016 168.00 3,832.00 643,776.00 - 3,832.00 -
188 SULFADOKSIN 500 MG 2016 13,000.00 150.00 1,950,000.00 5,000.00 150.00 750,000.00
189 SULFASALAZINE 500 MG 2016 5,000.00 2,530.00 12,650,000.00 5,000.00 2,530.00 12,650,000.00
190 TABLET TAMBAH DARAH 2016 6,000.00 43.00 258,000.00 - 43.00 -
191 THIAMIN 2016 1,000.00 40.00 40,000.00 1,000.00 40.00 40,000.00
192 TRAMADOL 50 mg 2016 166,500.00 380.00 63,270,000.00 22,500.00 380.00 8,550,000.00
193 TRIAMCINOLONE 4 mg 2016 22,400.00 3,500.00 78,400,000.00 - 3,500.00 -
194 URSODEOXYCHOLIC ACID 250 2016 14,580.00 5,313.00 77,463,540.00 3,240.00 5,313.00 17,214,120.00
195 VALSARTAN 80 mg 2016 8,400.00 1,816.36 15,257,454.55 8,400.00 1,816.36 15,257,454.55
196 VITAMIN A 100000 UI BIRU 2016 100.00 242.00 24,200.00 - 242.00 -
197 VITAMIN B COMPLEX 2016 19,200.00 200.00 3,840,000.00 - 200.00 -
198 VITAMIN B12 50 MG 2016 1,000.00 50.00 50,000.00 1,000.00 50.00 50,000.00
199 VITAMIN C 250 MG (100 ) 2016 8,300.00 150.00 1,245,000.00 2,500.00 150.00 375,000.00
200 VITAMIN C 50 MG 2016 5,000.00 50.00 250,000.00 2,000.00 50.00 100,000.00
201 ZINC PRO 10 mg/ml 2016 101.00 12,840.00 1,296,840.00 - 12,840.00 -
202 ZINC TAB 20 mg 2016 28,600.00 534.00 15,272,400.00 7,200.00 534.00 3,844,800.00
Obat Narkotik /Psikotropik : -

1 ALPRAZOLAM 1 MG 2016 5,800.00 1,118.00 6,484,400.00 5,800 1,118.00 6,484,400.00
2 CHORPROMAZINE 100 mg 2016 4,000.00 153.00 612,000.00 - 153.00 -
3 CODEIN 10 MG (100 tab) 2016 11,200.00 494.00 5,532,800.00 - 494.00 -
4 CODEIN 10 MG (250 tab) 2016 750.00 500.00 375,000.00 - 500.00 -
5 CODEIN 15 MG (100 tab) 2016 10,600.00 800.00 8,480,000.00 - 800.00 -
6 CODEIN 15 MG (250 tab) 2016 250.00 850.00 212,500.00 - 850.00 -
7 DIAZEPAM 2 MG BOTOL 2016 3,000.00 350.00 1,050,000.00 - 350.00 -
8 DIAZEPAM 2 MG TABLET 2016 20,000.00 45.00 900,000.00 5,000 45.00 225,000.00
9 EPHEDRINE INJ 50 mg/ml 2016 100.00 22,000.00 2,200,000.00 10 22,000.00 220,000.00
10 FENTANYL INJ 2016 515.00 50,871.00 26,198,565.00 515 50,871.00 26,198,565.00
11 MORFIN INJ 10 MG/ML 2016 50.00 11,050.00 552,500.00 11,050.00 -
12 PETHIDINE 2016 20.00 15,225.00 304,500.00 15,225.00 -
13 PHENOBARBITAL INJ 50 mg/ml 2016 600.00 1,890.00 1,134,000.00 180 1,890.00 340,200.00
14 PHENOBARBITAL TAB 30 mg 2016 8,700.00 129.00 1,122,300.00 2,000 129.00 258,000.00
APOTIK 166,735.00 200,588,188.56 166,735.00 200,588,188.56 -

1 ACARBOSE 100 2016 3,545.00 990.00 3,509,550.00 3,545.00 990.00 3,509,550.00
2 ACYCLOVIR 400 MG 2016 172.00 600.00 103,200.00 172.00 600.00 103,200.00
3 ACYCLOVIR CR 5 % 2016 15.00 4,050.00 60,750.00 15.00 4,050.00 60,750.00
4 AMBROXOL SYR 15 MG/5 ML 2016 9.00 2,598.00 23,382.00 9.00 2,598.00 23,382.00
5 AMOXICILLIN 500 MG 2016 1,520.00 220.00 334,400.00 1,520.00 220.00 334,400.00
6 ANTASIDA DOEN SUSP 2016 123.00 4,428.00 544,644.00 123.00 4,428.00 544,644.00
7 ANTIHEMOROID DOEN SUPP 2016 190.00 2,300.00 437,000.00 190.00 2,300.00 437,000.00
8 ATROPINE 0.25 MG/ML 100 amp 2016 80.00 1,300.00 104,000.00 80.00 1,300.00 104,000.00
9 AZITROMYCIN 250 2016 288.00 3,500.00 1,008,000.00 288.00 3,500.00 1,008,000.00
10 AZITROMYCIN 500 2016 8,532.00 4,500.00 38,394,000.00 8,532.00 4,500.00 38,394,000.00
11 AZITROMYCIN INJ 0,5 G 2016 76.00 144,000.00 10,944,000.00 76.00 144,000.00 10,944,000.00
12 CEFADROXIL SYRUP 125 MG/5 ML 2016 97.00 5,064.00 491,208.00 97.00 5,064.00 491,208.00
13 CEFADROXIL 500 MG (100 tab) 2016 1,845.00 521.00 961,245.00 1,845.00 521.00 961,245.00
14 CEFIXIME 100 mg 2016 459.00 1,509.00 692,631.00 459.00 1,509.00 692,631.00
15 CEFTRIAXON INJ 1 GR 2016 181.00 2,578.00 466,618.00 181.00 2,578.00 466,618.00
16 CHLORAMFENICOL 125 MG/5 ML SYRUP 2016 60.00 3,865.00 231,900.00 60.00 3,865.00 231,900.00
17 CHLORAMFENICOL 250 MG 2016 2,575.00 3,978.00 10,243,350.00 2,575.00 3,978.00 10,243,350.00
18 CHLORAMPHENICOL SM 1% 2016 31.00 1,600.00 49,600.00 31.00 1,600.00 49,600.00
19 CIPROFLOXACIN 500 Mg 2016 690.00 260.00 179,400.00 690.00 260.00 179,400.00
20 DEXAMETHASON INJ 5 MG/ML 2016 384.00 1,659.00 637,056.00 384.00 1,659.00 637,056.00
21 DIPHENHYDRAMINE 10 MG/ML INJ 2016 18.00 1,008.00 18,144.00 18.00 1,008.00 18,144.00
22 DOMPERIDON SYR 2016 41.00 3,410.00 139,810.00 41.00 3,410.00 139,810.00
23 FLUTAMOL P KAPSUL 2016 4,920.00 107.00 526,440.00 4,920.00 107.00 526,440.00
24 FOLIC ACID 1 MG 2016 3,600.00 46.00 165,600.00 3,600.00 46.00 165,600.00
25 FUROSEMIDE 10 MG/ML INJ 2016 2.00 1,920.00 3,840.00 2.00 1,920.00 3,840.00
26 GABAPENTIN 300 Mg 2016 3,339.00 1,811.00 6,046,929.00 3,339.00 1,811.00 6,046,929.00
27 GLIQUIDONE 30 Mg 2016 784.00 997.00 781,648.00 784.00 997.00 781,648.00
28 HIDROKORTISON CREAM 2.5% 2016 6.00 2,399.00 14,394.00 6.00 2,399.00 14,394.00
29 IRBESARTAN 150 2016 2,553.00 1,496.00 3,819,288.00 2,553.00 1,496.00 3,819,288.00
30 IRBESARTAN 300 2016 20.00 2,593.00 51,860.00 20.00 2,593.00 51,860.00
31 KETOCONAZOL KRIM 2% 15 GR 2016 7.00 2,993.00 20,951.00 7.00 2,993.00 20,951.00
32 KETOROLAC 3% (30 MG/ ML) 2016 344.00 14,000.00 4,816,000.00 344.00 14,000.00 4,816,000.00
33 LEVOFLOXACIN TAB 500 MG (50 tab) 2016 1,268.00 554.00 702,472.00 1,268.00 554.00 702,472.00
34 LIDOCAINE HCL INJ 40 MG/ 2 ML 2016 871.00 879.00 765,609.00 871.00 879.00 765,609.00
35 LOSARTAN 50 MG 2016 558.00 5,313.00 2,964,654.00 558.00 5,313.00 2,964,654.00
36 MECOBALAMIN 500 TAB 2016 730.00 885.50 646,415.00 730.00 885.50 646,415.00
37 MELOXICAM 15 MG 2016 3,715.00 1,655.00 6,148,325.00 3,715.00 1,655.00 6,148,325.00
38 MELOXICAM 7,5 MG 2016 3,566.00 954.80 3,404,816.80 3,566.00 954.80 3,404,816.80
39 METFORMIN HCL TAB 850MG 2016 3,818.00 215.00 820,870.00 3,818.00 215.00 820,870.00
40 METIL PREDNISOLON 4 MG 2016 5,803.00 420.00 2,437,260.00 5,803.00 420.00 2,437,260.00
41 METIL PREDNISOLON INJ 125 ML 2016 25.00 22,490.00 562,250.00 25.00 22,490.00 562,250.00
42 NYSTATIN VAGINAL 2016 1,008.00 72.00 72,576.00 1,008.00 72.00 72,576.00
43 OMEPRAZOLE INJ 40 MG/ 10 ML 2016 59.00 38,000.00 2,242,000.00 59.00 38,000.00 2,242,000.00
44 ONDANSETRON HCL INJEKSI 4 MG/ 2 ML 2016 178.00 7,700.00 1,370,600.00 178.00 7,700.00 1,370,600.00
45 PHYTOMENADION 2 MG// ML INJ 2016 145.00 3,582.00 519,390.00 145.00 3,582.00 519,390.00
46 PIRACETAM 1200 2016 2,930.00 815.00 2,387,950.00 2,930.00 815.00 2,387,950.00
47 PIRACETAM 400 2016 2,477.00 622.00 1,540,694.00 2,477.00 622.00 1,540,694.00
48 PIRACETAM 800 2016 727.00 1,108.00 805,516.00 727.00 1,108.00 805,516.00
49 PYRAZINAMIDE 500 2016 926.00 220.00 203,720.00 926.00 220.00 203,720.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
50 PREDNISON 5 MG Botol 2016 721.00 119.00 85,799.00 721.00 119.00 85,799.00
51 PREDNISON 5 MG Strip 2016 880.00 119.00 104,720.00 880.00 119.00 104,720.00
52 RAMIPRIL 5 MG 2016 970.00 655.91 636,230.76 970.00 655.91 636,230.76
53 RANITIDIN INJ 25 MG/ 2 ML 2016 910.00 3,547.00 3,227,770.00 910.00 3,547.00 3,227,770.00
54 RANITIDIN TAB 150 MG 2016 3,202.00 126.00 403,452.00 3,202.00 126.00 403,452.00
55 RIFAMPICIN 450 MG 2016 1,365.00 814.00 1,111,110.00 1,365.00 814.00 1,111,110.00
56 SALBUTAMOL 2 MG 2016 2,220.00 67.00 148,740.00 2,220.00 67.00 148,740.00
57 URSODEOXYCHOLICACID 250 2016 436.00 5,313.00 2,316,468.00 436.00 5,313.00 2,316,468.00
58 STREPTOMYCIN SULFATE INJ 1000 mg/ml 2016 56.00 3,832.00 214,592.00 56.00 3,832.00 214,592.00
59 TRAMADOL 50 MG (100 tab) 2016 1,514.00 380.00 575,320.00 1,514.00 380.00 575,320.00
60 VIT. B COMPLEX 2016 3,903.00 200.00 780,600.00 3,903.00 200.00 780,600.00
61 VITAMIN C 250 MG (100 ) 2016 1,335.00 150.00 200,250.00 1,335.00 150.00 200,250.00
62 CEFADROXYL 250 2016 1,300.00 539.00 700,700.00 1,300.00 539.00 700,700.00
63 ZINC PRO DROP 2016 48.00 12,840.00 616,320.00 48.00 12,840.00 616,320.00
64 AMINOPHYLLIN INJ/ 24 MG/ 10 ML 2016 59.00 3,150.00 185,850.00 59.00 3,150.00 185,850.00
65 AMOXICILLIN 125 MG SYR 2016 117.00 3,900.00 456,300.00 117.00 3,900.00 456,300.00
66 TRIAMCINOLONE 4 2016 4,200.00 3,500.00 14,700,000.00 4,200.00 3,500.00 14,700,000.00
67 CALSIUM LAKTAT 2016 1,793.00 100.00 179,300.00 1,793.00 100.00 179,300.00
68 PHENYTOIN SODIUM 100 mg 2016 2,400.00 350.00 840,000.00 2,400.00 350.00 840,000.00
69 PROPANOLOL 10 STRIP 2016 1,290.00 80.00 103,200.00 1,290.00 80.00 103,200.00
70 PROPANOLOL 40 STRIP 2016 2,390.00 130.00 310,700.00 2,390.00 130.00 310,700.00
71 DOMPERIDON DROP 5 MG/ML 2016 91.00 16,350.00 1,487,850.00 91.00 16,350.00 1,487,850.00
72 ALBENDAZOL 400 MG 2016 73.00 350.00 25,550.00 73.00 350.00 25,550.00
73 DIMENHIDRINAT 50 mg 2016 3,230.00 101.00 326,230.00 3,230.00 101.00 326,230.00
74 GLIMEPIRIDE 1 MG 2016 166.00 265.00 43,990.00 166.00 265.00 43,990.00
75 GLIMEPIRIDE 2 MG 2016 1,763.00 436.00 768,668.00 1,763.00 436.00 768,668.00
76 GLIMEPIRIDE 3 MG 2016 510.00 404.00 206,040.00 510.00 404.00 206,040.00
77 GLIMEPIRIDE 4 MG 2016 10,003.00 430.00 4,301,290.00 10,003.00 430.00 4,301,290.00
78 VITAMIN B6 INJ (PIRIDOKSIN) 100 MG/ML 2016 100.00 1,050.00 105,000.00 100.00 1,050.00 105,000.00
79 CEFOPERAZONE 2016 99.00 38,800.00 3,841,200.00 99.00 38,800.00 3,841,200.00
80 AQUA PRO INJEKSI 20 ML 2016 113.00 2,100.00 237,300.00 113.00 2,100.00 237,300.00
81 GENTAMICIN 40 MG/ML INJ 2016 437.00 3,569.00 1,559,653.00 437.00 3,569.00 1,559,653.00
82 CEFIXIM DS SYR 2016 39.00 10,588.00 412,932.00 39.00 10,588.00 412,932.00
83 CHLOROQUIN 150 MG 2016 190.00 41.00 7,790.00 190.00 41.00 7,790.00
84 CITICOLIN 125 MG/4 ML 2016 463.00 23,595.00 10,924,485.00 463.00 23,595.00 10,924,485.00
85 CITICOLIN INJ 125 MG/2 ML 2016 242.00 11,999.00 2,903,758.00 242.00 11,999.00 2,903,758.00
86 CYANOCOBALAMINE 500 MCG 2016 382.00 1,168.00 446,176.00 382.00 1,168.00 446,176.00
87 ERYTHROMYCIN 500 MG 2016 4,843.00 455.00 2,203,565.00 4,843.00 455.00 2,203,565.00
88 GLIBENCLAMID TAB 5 2016 2,367.00 56.00 132,552.00 2,367.00 56.00 132,552.00
89 NATRIUM PHENYTOIN 2016 30.00 59,000.00 1,770,000.00 30.00 59,000.00 1,770,000.00
90 GRISEOFULVIN 125 MG 2016 730.00 500.00 365,000.00 730.00 500.00 365,000.00
91 HALOPERIDOL 1,5 MG 2016 999.00 72.00 71,928.00 999.00 72.00 71,928.00
92 HALOPERIDOL 5 MG 2016 501.00 350.00 175,350.00 501.00 350.00 175,350.00
93 KETOCONAZOLE 200 MG 2016 963.00 430.00 414,090.00 963.00 430.00 414,090.00
94 LANSOPRAZOLE TAB 2016 85.00 473.00 40,205.00 85.00 473.00 40,205.00
95 SUCRALFATE 2016 53.00 15,000.00 795,000.00 53.00 15,000.00 795,000.00
96 LORATADINE TAB 2016 4,149.00 160.00 663,840.00 4,149.00 160.00 663,840.00
98 NATRIUM BICARBONAT 2016 2,982.00 75.00 223,650.00 2,982.00 75.00 223,650.00
99 CALCII GLUCONAS 100 MG/ 10 ML 2016 31.00 15,050.00 466,550.00 31.00 15,050.00 466,550.00
100 OFLOXACIN 400 MG 2016 2,529.00 1,100.00 2,781,900.00 2,529.00 1,100.00 2,781,900.00
101 PARASETAMOL SYRUP 120 2016 90.00 5,000.00 450,000.00 90.00 5,000.00 450,000.00
102 PARASETAMOL DROP 2016 7.00 5,488.00 38,416.00 7.00 5,488.00 38,416.00
103 PIRACETAM 200 MG/15 ML (4 amp) 2016 34.00 23,604.00 802,536.00 34.00 23,604.00 802,536.00
104 PIROXICAM 10 MG 2016 2,400.00 97.00 232,800.00 2,400.00 97.00 232,800.00
105 PIROXICAM 20 MG 2016 3,786.00 121.00 458,106.00 3,786.00 121.00 458,106.00
106 PROPILTHIOURASIL TAB 100 MG (PTU) 2016 5,700.00 277.00 1,578,900.00 5,700.00 277.00 1,578,900.00
107 RIFAMPICIN 300 MG 2016 700.00 829.00 580,300.00 700.00 829.00 580,300.00
108 DEXKETOPROFEN TROMETAMOL 25 MG/ ML 2016 20.00 30,976.00 619,520.00 20.00 30,976.00 619,520.00
109 SULFADOXINE PYRIMETAMINE 2016 804.00 150.00 120,600.00 804.00 150.00 120,600.00
110 VITAMIN B1 100 MG 2016 1,500.00 50.00 75,000.00 1,500.00 50.00 75,000.00
111 VITAMIN K4 2016 2,077.00 105.00 218,085.00 2,077.00 105.00 218,085.00
112 ZINC TAB 2016 1,259.00 534.00 672,306.00 1,259.00 534.00 672,306.00
113 KANAMICIN HEXAPAM INJ 2016 17.00 19,102.00 324,734.00 17.00 19,102.00 324,734.00
114 CEFOTAXIME INJ 2016 174.00 12,000.00 2,088,000.00 174.00 12,000.00 2,088,000.00
115 OBH (OBAT BATUK HITAM) SURYA 2016 48.00 8,812.00 422,976.00 48.00 8,812.00 422,976.00
116 METOCLOPRAMIDE HCL 10 MG/ 2 ML 2016 54.00 6,585.00 355,590.00 54.00 6,585.00 355,590.00
117 ACETYLCYSTEIN 200 MG/ 25 ML 2016 1.00 232,320.00 232,320.00 1.00 232,320.00 232,320.00
118 METRONIDAZOLE 500 2016 1,777.00 300.00 533,100.00 1,777.00 300.00 533,100.00
119 TRANEXAMIC ACID INJ 100 MG/ 5 ML 2016 20.00 7,500.00 150,000.00 20.00 7,500.00 150,000.00
120 PYRANTEL 125 MG/ 5 ML 2016 92.00 7,300.00 671,600.00 92.00 7,300.00 671,600.00
121 RAMIPRIL 2,5 MG 2016 839.00 430.00 360,770.00 839.00 430.00 360,770.00
122 MOMETASONE FUROATE 0,1 % 2016 14.00 27,000.00 378,000.00 14.00 27,000.00 378,000.00
123 VALSARTAN 80 MG 2016 1,380.00 5,166.00 7,129,080.00 1,380.00 5,166.00 7,129,080.00
124 PARASETAMOL 500 MG 2016 6,763.00 150.00 1,014,450.00 6,763.00 150.00 1,014,450.00
125 CEFEPIME INJ 1000 MG/ ML 2016 10.00 154,880.00 1,548,800.00 10.00 154,880.00 1,548,800.00
126 PHENOL GLYCEROL 10% TT 2016 17.00 6,150.00 104,550.00 17.00 6,150.00 104,550.00
127 ETHAMBUTOL 500 MG 2016 210.00 673.00 141,330.00 210.00 673.00 141,330.00
2 PERSEDIAAN TAHUN 2017 3,133,512.00 6,549,854,846.10 2,843,690,702
1 A BAHAN - - - -
B Suku Cadang - - - -
a Persediaan Alat bengkel
C ALAT / BAHAN UNTUK KEGIATAN KANTOR 334,161.00 2,473,977,925.74 113,319.00 738,280,302.04

a Alat Tulis Kantor 5,039.00 207,869,276.70 4,571.00 199,541,063.82 8,328,213
1 Flash Disk 2017 5 154,000.00 770,000.00
199/KPA.SP/2017 2-May-17 336/BAPHP /V/.2017 5-May-17 5 154,000.00 770,000.00
2 Amplop F4 Coklat 310 E- Paper (Jaya) 24X35 CM 2017 30 49,383.18 1,481,495.40 30 49,383.18 1,481,495.40
3 Amplop Kertas Kraft Ukuran : 11 x 24 cm isi 100 buah 2017 50 20,200.00 1,010,000.00 50 20,200.00 1,010,000.00
4 Pena faster 2017 37 28,044.00 1,037,628.00 37 28,044.00 1,037,628.00
5 Pena Uniball Signo 2017 10 114,660.00 1,146,600.00 10 114,660.00 1,146,600.00
6 Papan Clips (Penjepit Kertas) Merk Atom Type No. 1 2017 48 33,604.00 1,612,992.00 48 33,604.00 1,612,992.00
7 Papan Clips (Penjepit Kertas) Merk Atom Type No. 3 2017 24 16,846.00 404,304.00 24 16,846.00 404,304.00
8 Box File Merk : Bindex 2017 108 36,964.62 3,992,178.96 108 36,964.62 3,992,178.96
9 Buku Folio Kiky 100 2017 2 89,258.40 178,516.80 2 89,258.40 178,516.80
10 Buku Tulis Double Kwarto Ukuran : 29,7 x 42 cm Isi :100 lbr 2017 30 34,539.12 1,036,173.60 30 34,539.12 1,036,173.60
11 Buku Tulis Kwarto Bahan : HVS 70 gram Warna : Putih Ukuran : Kwarto Isi : 100 halaman/Buku 2017 60 12,418.56 745,113.60 60 12,418.56 745,113.60
12 Buku Tulis Folio Merk : AA Ukuran : 21 x 32 cm Isi : 100 lbr/Buku 2017 100 17,851.68 1,785,168.00 100 17,851.68 1,785,168.00
13 Buku Tulis Kwarto Merk : AA Ukuran : 20 x 16 cm Isi : 100 lbr/Buku 2017 100 9,216.90 921,690.00 100 9,216.90 921,690.00
14 Isolatif (Cello Tape) Merk : Fanfix Ukuran : 1” x 72 yard 2017 44 20,277.18 892,195.92 44 20,277.18 892,195.92
15 Pisau Cutter 2017 24 11,290.00 270,960.00 24 11,290.00 270,960.00
16 Anak Cutter Kecil A-Loof kenko 2017 1 34,932.00 34,932.00 1 34,932.00 34,932.00
17 Flashdisk 32 GB 2017 19 132,300.00 2,513,700.00 19 132,300.00 2,513,700.00
18 Gunting Kertas Merk : Kenko Ukuran : Besar 2017 21 14,164.92 297,463.32 21 14,164.92 297,463.32
19 Stapler Kangoro No. 10 HD 10 Star 2017 30 12,418.56 372,556.80 30 12,418.56 372,556.80
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
20 Stapler Kangoro No. 10 HS 45 P 2017 11 28,329.84 311,628.24 11 28,329.84 311,628.24
21 Isi Stapler Kangaroo No 10 2017 339 1,764.00 597,996.00 124 1,764.00 218,736.00
22 Isi Stapler Kangaroo No 24/6 2017 50 3,352.00 167,600.00 50 3,352.00 167,600.00
23 Pensil Isi : warna hitam dengan penghapus Steadler 2B Merk : Faber Castelle 2017 10 44,920.26 449,202.60 10 44,920.26 449,202.60
24 Kertas Faximile Merk : Fax Ukuran : 210 mm x 30 m 2017 5 19,757.00 98,785.00 5 19,757.00 98,785.00
25 Kertas HVS 70 gram (Kwarto) Ukuran : 21 x 28 cm Isi : 500 lbr 2017 70 36,427.00 2,549,890.00 70 36,427.00 2,549,890.00
26 Kertas HVS 70 gram (Folio) Ukuran : 21,5 x 33 cm Isi : 500 lbr 2017 225 41,542.00 9,346,950.00 150 41,542.00 6,231,300.00
27 Kertas HVS 80 gram (Folio) Ukuran : 21,5 x 33 cm Isi : 500 lbr 2017 30 51,808.68 1,554,260.40 30 51,808.68 1,554,260.40
28 Klep Atom/penjepit kertas 2017 40 53,800.00 2,152,000.00 40 53,800.00 2,152,000.00
29 Isolatif (Cello Tape) Merk : Sehati Ukuran : 2” 2017 35 12,903.66 451,628.10 35 12,903.66 451,628.10
30 Isolatif (Cello Tape) Merk : Daimaru Ukuran : 2” 2017 10 16,590.42 165,904.20 10 16,590.42 165,904.20
31 Map Plastik Type : 802 2017 9 269,016.00 2,421,144.00 9 269,016.00 2,421,144.00
32 Map Plastik 2017 115 5,627.16 647,123.40 115 5,627.16 647,123.40
33 Map Plastik Type : 803 2017 50 295,911.00 14,795,550.00 50 295,911.00 14,795,550.00
34 Map Ordner Folio Merk : Olympic 2017 46 19,986.12 919,361.52 46 19,986.12 919,361.52
35 Penggaris Besi Ukuran : 60 cm 2017 30 36,964.62 1,108,938.60 30 36,964.62 1,108,938.60
36 Pensil Hitam Merk Steadler Type HB 100 FC 2017 20 38,196.00 763,920.00 20 38,196.00 763,920.00
37 Kertas Post-it Nomor 653 2017 23 5,627.16 129,424.68 23 5,627.16 129,424.68
38 Kertas Post-it Nomor 654 2017 23 12,903.66 296,784.18 23 12,903.66 296,784.18
39 Kertas Post-it Nomor 655 2017 60 19,792.08 1,187,524.80 60 19,792.08 1,187,524.80
40 Spidol White Board 2017 10 78,408.00 784,080.00 10 78,408.00 784,080.00
41 Spidol Snowman Permanent 2017 9 65,004.00 585,036.00 9 65,004.00 585,036.00
42 Spidol Water Colour Merk Snowman Isi 12 Buah, 12 warna 2017 5 25,904.34 129,521.70 5 25,904.34 129,521.70
43 Stabilo Boos Super Plus Model 70/6 Ujung Besar, Isi 6 buah 2017 6 66,652.74 399,916.44 6 66,652.74 399,916.44
44 Fujitsu Black Refill Ribbon With Casing For DL3750+/DL3850+/ DL7400 2017 60 156,493.26 9,389,595.60 60 156,493.26 9,389,595.60
45 Refill - Dye Ink (1 Warna/3 Warna) 2017 75 12,418.56 931,392.00 75 12,418.56 931,392.00
46 Tipe Ex 2017 4 33,277.86 133,111.44 4 33,277.86 133,111.44
47 Tinta Stempel YAMURA Merk Artline Ukuran 50 cc 2017 11 28,557.00 314,127.00 11 28,557.00 314,127.00
48 Kertas Mesin Hitung Merk : Hero Ukuran : 7,5 x 6,5 cm 2017 55 44,894.00 2,469,170.00 55 44,894.00 2,469,170.00
49 Gunting Kertas Merk : Kenko Ukuran : Sedang LL 2017 9 9,216.90 82,952.10 9 9,216.90 82,952.10
50 Pelubang Kertas kenko 2017 20 42,009.66 840,193.20 20 42,009.66 840,193.20
51 Ink Cartridge Merk : Canon Type : CL 811 2017 20 297,172.26 5,943,445.20 20 297,172.26 5,943,445.20
52 Ink Cartridge Merk : Canon Type : Canon 830 Black 2017 20 265,155.66 5,303,113.20 20 265,155.66 5,303,113.20
53 Pita Printer Merk Epson (SO15086) Type : LQ - 2080 2017 25 184,823.10 4,620,577.50 25 184,823.10 4,620,577.50
54 Tinta Spidol Merk : Snowman Type : 20 cc 2017 10 13,776.84 137,768.40 10 13,776.84 137,768.40
55 Serutan pensil Ukuran Kecil, Model Budar 2017 10 24,643.08 246,430.80 10 24,643.08 246,430.80
56 Double Tape 2" DAIMARU/POLAR 2017 12 12,418.56 149,022.72 12 12,418.56 149,022.72
57 Lem Kertas Merk : U. Glue stok Ukuran : 40 gram 2017 4 74,026.26 296,105.04 4 74,026.26 296,105.04
58 Penggaris Plastik Segitiga Merk Butterfly No. 10 2017 5 24,643.08 123,215.40 5 24,643.08 123,215.40
59 Penghapus Papan Tulis (White Board) 2017 3 10,055.00 30,165.00 3 10,055.00 30,165.00
60 Tape Dispenser KENKO TD 323 2017 5 22,993.74 114,968.70 5 22,993.74 114,968.70
61 Spidol OHP Merk : Standler Gixarna 1 Set = 4 warna SNOW 2017 50 43,756.02 2,187,801.00 50 43,756.02 2,187,801.00
62 Karbon hitam (Folio) Merk : Daito, Uk. Folio Type : 100 lbr 2017 35 49,383.18 1,728,411.30 35 49,383.18 1,728,411.30
63 Box File Bahan : Plastik, Merk : Inco 2017 10 17,269.56 172,695.60 10 17,269.56 172,695.60
64 Stamp Pad merk : JOYKO 2017 - 22,050.00 - - 22,050.00 -
65 Pensil Merah - Biru 2017 40 9,216.90 368,676.00 40 9,216.90 368,676.00
66 Clear Holder Isi 60 Topla Zipper 2017 15 56,007.00 840,105.00 15 56,007.00 840,105.00
67 DVD Blank 2017 100 4,851.00 485,100.00 100 4,851.00 485,100.00
68 Pena Wireless Logitech 2017 15 15,876.00 238,140.00 15 15,876.00 238,140.00
69 Amplop Kertas Samson Ukuran : 11 x 24 cm Isi : 100 buah/pak 2017 30 18,530.82 555,924.60 30 18,530.82 555,924.60
70 Kwitansi Mini SIDU 2017 50 2,231.46 111,573.00 50 2,231.46 111,573.00
71 Kwitansi Sedang SIDU 2017 50 3,686.76 184,338.00 50 3,686.76 184,338.00
72 Continuous Form HVS Merk Sinar Dunia Uk. 9 1/2 x 11” 3 Ply – 1000 Sets 2017 12 431,447.94 5,177,375.28 12 431,447.94 5,177,375.28
73 Pita Mesin Ketik Elektronik Merk : Brother Type : CE 7020 2017 5 78,198.12 390,990.60 5 78,198.12 390,990.60
74 Toner Catridge (Tinta Printer) Merk : HP Laser Jet III Type : 92298A 2017 5 1,424,059.56 7,120,297.80 5 1,424,059.56 7,120,297.80
75 Ink Cartridge merk Canon Type CL-811 2017 1 279,600.00 279,600.00 RSUD 1 279,600.00 279,600.00
76 Map Plastik Bening Folio 2017 12 14,025.00 168,300.00 RSUD 12 14,025.00 168,300.00
77 Map Ordener Folio 2017 4 35,700.00 142,800.00 RSUD 4 35,700.00 142,800.00
78 Paper Clips Type 3 2017 2 26,275.00 52,550.00 RSUD 2 26,275.00 52,550.00
79 Tinta Printer (1x4 warna/botol) 2017 4 50,000.00 200,000.00 RSUD 4 50,000.00 200,000.00
80 Ink Cartridge merk HP Type HP 802 2017 5 279,600.00 1,398,000.00 RSUD 5 279,600.00 1,398,000.00
81 Ink Cartridge merk Canon Type CL-57 2017 5 279,600.00 1,398,000.00 RSUD 5 279,600.00 1,398,000.00
82 Kertas HVS 70 Gram Uk. Folio 2017 5 64,525.00 322,625.00 RSUD 5 64,525.00 322,625.00
89 Ball Point 2017 1 153,500.00 153,500.00 RSUD 1 153,500.00 153,500.00
90 Ink Cartridge merk Canon Type CL-811 2017 1 279,600.00 279,600.00 RSUD 1 279,600.00 279,600.00
95 Stabillo Boss Super Plus 2017 3 68,700.00 206,100.00 RSUD 3 68,700.00 206,100.00
99 Map Plastik Type 802 2017 2 305,000.00 610,000.00 RSUD 2 305,000.00 610,000.00
102 Kertas Post it 76 x 76 mm 2017 1 12,000.00 12,000.00 RSUD 1 12,000.00 12,000.00
103 Pena Faster 2017 10 1,933.00 19,330.00 RSUD 10 1,933.00 19,330.00
105 Ink Cartridge merk Canon Type 830 2017 18 273,300.00 4,919,400.00 RSUD 18 273,300.00 4,919,400.00
106 Kertas Pembatas F4 2017 2 45,800.00 91,600.00 RSUD 2 45,800.00 91,600.00
110 Ink Cartridge merk CANON Type CL 831 2017 10 279,600.00 2,796,000.00 RSUD 10 279,600.00 2,796,000.00
111 Ball Point 2017 1 153,500.00 153,500.00 RSUD 1 153,500.00 153,500.00
112 Ink Cartridge merk Canon Type 830 2017 10 273,300.00 2,733,000.00 RSUD 10 273,300.00 2,733,000.00
113 Stabillo Boss 2017 1 38,225.00 38,225.00 RSUD 1 38,225.00 38,225.00
120 Ball Point 2017 1 153,500.00 153,500.00 RSUD 1 153,500.00 153,500.00
122 Map Plastik Type 802 2017 5 305,000.00 1,525,000.00 RSUD 5 305,000.00 1,525,000.00
125 Pena Uniball Signo 2017 2 130,000.00 260,000.00 RSUD 2 130,000.00 260,000.00
128 Ink Cartridge merk Canon Type PG-830 2017 5 273,300.00 1,366,500.00 RSUD 5 273,300.00 1,366,500.00
129 Pena Faster 2017 6 1,833.33 11,000.00 RSUD 6 1,833.33 11,000.00
130 Amplop Kertas Kraft Ukuran : 11 x 24 cm isi 100 buah 2017 30 20,200 606,000.00
20/TU-SPK/II/201718-Feb-2017 RSUD 28 20,200 565,600.00
131 Pena faster 2017 48 28,044 1,346,112.00
20/TU-SPK/II/201718-Feb-2017 RSUD 46 28,044 1,290,024.00
132 Pena Uniball Signo 2017 24 114,660 2,751,840.00
20/TU-SPK/II/201718-Feb-2017 RSUD 24 114,660 2,751,840.00
133 Papan Clips (Penjepit Kertas) Merk Atom Type No. 1 2017 102 33,604 3,427,608.00
20/TU-SPK/II/201718-Feb-2017 RSUD 80 33,604 2,688,320.00
134 Papan Clips (Penjepit Kertas) Merk Atom Type No. 3 2017 136 16,846 2,291,056.00
20/TU-SPK/II/201718-Feb-2017 RSUD 129 16,846 2,173,134.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
135 Box File Merk : Bindex 2017 42 36,965 1,552,514.04
20/TU-SPK/II/201718-Feb-2017 RSUD 42 36,965 1,552,514.04
136 Buku Tulis Kwarto Bahan : HVS 70 gram Warna : Putih Ukuran : Kwarto Isi : 100 halaman/Buku 2017 40 12,419 496,742.40
20/TU-SPK/II/201718-Feb-2017 RSUD 40 12,419 496,742.40
137 Isolatif (Cello Tape) Merk : Fanfix Ukuran : 1” x 72 yard 2017 16 20,277 324,434.88
20/TU-SPK/II/201718-Feb-2017 RSUD 16 20,277 324,434.88
138 Pisau Cutter 2017 36 11,290 406,440.00
20/TU-SPK/II/201718-Feb-2017 RSUD 18 11,290 203,220.00
139 Anak Cutter Kecil A-Loof kenko 2017 38 34,932 1,327,416.00
20/TU-SPK/II/201718-Feb-2017 RSUD 33 34,932 1,152,756.00
140 Flashdisk 32 GB 2017 36 132,300 4,762,800.00
20/TU-SPK/II/201718-Feb-2017 RSUD 35 132,300 4,630,500.00
141 Gunting Kertas Merk : Kenko Ukuran : Besar 2017 14 14,165 198,308.88
20/TU-SPK/II/201718-Feb-2017 RSUD - 14,165 -
142 Stapler Kangoro No. 10 HD 10 Star 2017 20 12,419 248,371.20
20/TU-SPK/II/201718-Feb-2017 RSUD 20 12,419 248,371.20
143 Stapler Kangoro No. 10 HS 45 P 2017 19 28,330 538,266.96
20/TU-SPK/II/201718-Feb-2017 RSUD 19 28,330 538,266.96
144 Isi Stapler Kangaroo No 24/6 2017 250 1,764 441,000.00
20/TU-SPK/II/201718-Feb-2017 RSUD 226 1,764 398,664.00
145 Kertas Faximile Merk : Fax Ukuran : 210 mm x 30 m 2017 25 19,757 493,925.00
20/TU-SPK/II/201718-Feb-2017 RSUD 20 19,757 395,140.00
146 Kertas HVS 70 gram (Kwarto) Ukuran : 21 x 28 cm Isi : 500 lbr 2017 50 36,427 1,821,350.00
20/TU-SPK/II/201718-Feb-2017 RSUD 33 36,427 1,202,091.00
147 Kertas HVS 70 gram (Folio) Ukuran : 21,5 x 33 cm Isi : 500 lbr 2017 75 41,542 3,115,650.00
20/TU-SPK/II/201718-Feb-2017 RSUD 58 41,542 2,409,436.00
148 Kertas HVS 80 gram (Folio) Ukuran : 21,5 x 33 cm Isi : 500 lbr 2017 10 51,809 518,086.80
20/TU-SPK/II/201718-Feb-2017 RSUD 10 51,809 518,086.80
149 Klep Atom/penjepit kertas 2017 60 53,800 3,228,000.00
20/TU-SPK/II/201718-Feb-2017 RSUD 44 53,800 2,367,200.00
150 Map Plastik Type : 802 2017 2 269,016 538,032.00
20/TU-SPK/II/201718-Feb-2017 RSUD 2 269,016 538,032.00
151 Map Ordner Folio Merk : Olympic 2017 119 19,986 2,378,348.28
20/TU-SPK/II/201718-Feb-2017 RSUD 119 19,986 2,378,348.28
152 Penggaris Besi Ukuran : 60 cm 2017 30 36,965 1,108,938.60
20/TU-SPK/II/201718-Feb-2017 RSUD 30 36,965 1,108,938.60
153 Pensil Hitam Merk Steadler Type HB 100 FC 2017 10 38,196 381,960.00
20/TU-SPK/II/201718-Feb-2017 RSUD 10 38,196 381,960.00
154 Kertas Post-it Nomor 653 2017 77 5,627 433,291.32
20/TU-SPK/II/201718-Feb-2017 RSUD 77 5,627 433,291.32
155 Kertas Post-it Nomor 654 2017 37 12,904 477,435.42
20/TU-SPK/II/201718-Feb-2017 RSUD 37 12,904 477,435.42
156 Spidol White Board 2017 25 78,408 1,960,200.00
20/TU-SPK/II/201718-Feb-2017 RSUD 25 78,408 1,960,200.00
157 Spidol Snowman Permanent 2017 21 65,004 1,365,084.00
20/TU-SPK/II/201718-Feb-2017 RSUD 21 65,004 1,365,084.00
158 Stabilo Boos Super Plus Model 70/6 Ujung Besar, Isi 6 buah 2017 24 66,653 1,599,665.76
20/TU-SPK/II/201718-Feb-2017 RSUD 24 66,653 1,599,665.76
159 Refill - Dye Ink (1 Warna/3 Warna) 2017 275 12,419 3,415,104.00
20/TU-SPK/II/201718-Feb-2017 RSUD 275 12,419 3,415,104.00
160 Tipe Ex 2017 26 33,278 865,224.36
20/TU-SPK/II/201718-Feb-2017 RSUD 26 33,278 865,224.36
161 Tinta Stempel YAMURA Merk Artline Ukuran 50 cc 2017 39 28,557 1,113,723.00
20/TU-SPK/II/201718-Feb-2017 RSUD 30 28,557 856,710.00
162 Kertas Mesin Hitung Merk : Hero Ukuran : 7,5 x 6,5 cm 2017 45 44,894 2,020,230.00
20/TU-SPK/II/201718-Feb-2017 RSUD 35 44,894 1,571,290.00
163 Gunting Kertas Merk : Kenko Ukuran : Sedang LL 2017 11 9,217 101,385.90
20/TU-SPK/II/201718-Feb-2017 RSUD 11 9,217 101,385.90
164 Pelubang Kertas kenko 2017 15 42,010 630,144.90
20/TU-SPK/II/201718-Feb-2017 RSUD 15 42,010 630,144.90
165 Serutan pensil Ukuran Kecil, Model Budar 2017 60 24,643 1,478,584.80
20/TU-SPK/II/201718-Feb-2017 RSUD 60 24,643 1,478,584.80
166 Double Tape 2" DAIMARU/POLAR 2017 3 12,419 37,255.68
20/TU-SPK/II/201718-Feb-2017 RSUD 3 12,419 37,255.68
167 Lem Kertas Merk : U. Glue stok Ukuran : 40 gram 2017 46 74,026 3,405,207.96
20/TU-SPK/II/201718-Feb-2017 RSUD 46 74,026 3,405,207.96
168 Penghapus Papan Tulis (White Board) 2017 12 10,055 120,660.00
20/TU-SPK/II/201718-Feb-2017 RSUD 9 10,055 90,495.00
169 Stamp Pad merk : JOYKO 2017 5 22,050 110,250.00
20/TU-SPK/II/201718-Feb-2017 RSUD 3 22,050 66,150.00
170 Pena Wireless Logitech 2017 35 15,876 555,660.00
20/TU-SPK/II/201718-Feb-2017 RSUD 31 15,876 492,156.00
171 Continuous Form HVS Merk Sinar Dunia Uk. 9 1/2 x 11” 3 Ply – 1000 Sets 2017 3 431,448 1,294,343.82
20/TU-SPK/II/201718-Feb-2017 RSUD 3 431,448 1,294,343.82 227,648,677.42
56432800
b Cetak Keperluan Administrasi & Manajemen 4,377.00 184,901,372.00 2,772.00 171,215,877.42 13,685,494.58
1 Amplop Dinas berkop 2017 50 50,715.00 2,535,750.00 20 50,715.00 1,014,300.00
2 Amplop Film 30 x 35 cm 2017 1 91,287.00 91,287.00 1 1,940.40 1,940.40
3 Amplop Film 32 x 17 cm 2017 1 91,287.00 91,287.00 1 3,686.76 3,686.76
4 Amplop Film 45 x 38 cm 2017 1 91,287.00 91,287.00 1 44,920.26 44,920.26
5 Anamesa Kebidanan Pasien IGD 2017 8 50,715.00 405,720.00 3 21,732.48 65,197.44
6 Anamesa Keperawatan Pasien IGD 2017 8 50,715.00 405,720.00 3 40,069.26 120,207.78
7 Anamesa Medis Pasien IGD 2017 8 50,715.00 405,720.00 3 45,696.42 137,089.26
8 Perincian Biaya Rawat Inap 2017 12 50,715.00 608,580.00 12 51,808.68 621,704.16
9 Asuhan Kebidanan 2017 8 91,287.00 730,296.00 8 59,182.20 473,457.60
10 Formulir Permintaan Pemeriksaan Labor 2017 38 50,715.00 1,927,170.00 20 12,903.66 258,073.20
11 Catatan Perkembangan Pasien Terintegrasi (CPPT) 2017 28 91,287.00 2,556,036.00 28 16,590.42 464,531.76
12 Daftar Permintaan Barang/Rangkap 2017 13 50,715.00 659,295.00 8 295,911.00 2,367,288.00
13 Surat Pernyataan Jangan Dilakukan Resusitasi (Do Not Resucitate/ Dnr) 2017 50 50,715.00 2,535,750.00 15 5,627.16 84,407.40
14 Catatan Fisioterapi 2017 8 50,715.00 405,720.00 5 295,911.00 1,479,555.00
15 Hasil Pemeriksaan Laboratorium (Elektrolit) 2017 5 91,287.00 456,435.00 - 19,986.12 -
16 Hasil Pemeriksaan Labor Paces Rutin 2017 10 91,287.00 912,870.00 3 36,964.62 110,893.86
17 Hasil Pemeriksaan Laboratorium (Hematologi) / Rangkap 2017 10 91,287.00 912,870.00 15 42,009.66 630,144.90
18 Hasil Pemeriksaan Laboratorium (Kimia Klinik) / Rangk 2017 38 91,287.00 3,468,906.00 2 5,627.16 11,254.32
19 Hasil Pemeriksaan Laboratorium (Serologi) / Rangkap 2017 5 91,287.00 456,435.00 - 12,903.66 -
20 Surat Keterangan Bebas Narkoba 2017 3 91,287.00 273,861.00 1 19,792.08 19,792.08
21 Formulir Identifikasi Bayi 2017 3 91,287.00 273,861.00 3 86,250.78 258,752.34
22 Surat Keterangan Dirawat 2017 3 91,287.00 273,861.00 10 71,503.74 715,037.40
23 Kwitansi IGD / Rangkap 2017 13 50,715.00 659,295.00 - 25,904.34 -
24 Formulir Permintaan Pemeriksaan Labor 2017 8 50,715.00 405,720.00 25 66,652.74 1,666,318.50
25 Laporan Operasi 2017 75 50,715.00 3,803,625.00 - 156,493.26 -
26 Blangko PA 2017 6 91,287.00 547,722.00 6 12,418.56 74,511.36
27 Surat Pernyataan Pulang Atas Permintaan Sendiri (PAPS) 2017 6 91,287.00 547,722.00 3 33,277.86 99,833.58
28 Formulir Pemakaian Obat dan Alkes Anasthesi 2017 3 91,287.00 273,861.00 9 31,434.48 282,910.32
29 Surat Keterangan Pemeriksaan Buta Warna 2017 13 91,287.00 1,186,731.00 5 49,383.18 246,915.90
30 Laporan Permohonan Pemeliharaan/Perbaikan / Rangkap 2017 5 50,715.00 253,575.00 3 9,216.90 27,650.70
31 Daftar Permintaan Barang/Rangkap 2017 3 50,715.00 152,145.00 8 42,009.66 336,077.28
32 Formulir Permintaan Pemeriksaan Labor 2017 8 50,715.00 405,720.00 5 297,172.26 1,485,861.30
33 Formulir Permintaan Penterjemah 2017 5 50,715.00 253,575.00 1 265,155.66 265,155.66
34 Resep Rangkap/Bpjs/Jamkesda/Jamkesmas 2017 1 91,287.00 91,287.00 75 184,823.10 13,861,732.50
35 Surat Pengantar Rontgen / Rangkap 2017 175 50,715.00 8,875,125.00 55 13,776.84 757,726.20
36 Formulir Rujukan / Pindah Pasien Tb 2017 125 50,715.00 6,339,375.00 2 24,643.08 49,286.16
37 Surat Keterangan Hamil 2017 2 91,287.00 182,574.00 3 12,418.56 37,255.68
38 Surat Keterangan Kematian 2017 3 50,715.00 152,145.00 - 74,026.26 -
39 Surat Keterangan Kesehatan (KIR) 2017 3 50,715.00 152,145.00 1 24,643.08 24,643.08
40 Form Permintaan Pelayanan Kerohanian 2017 5 26,460.00 132,300.00 1 11,060.28 11,060.28
41 Formulir Perintah Lisan / Melalui Telepon / Pelaporan Hasil Pemeriksaan Yang Kritis 2017 1 91,287.00 91,287.00 - 22,993.74 -
42 Perincian Biaya Kwitansi Rawat Jalan/Rangkap 2017 1 91,287.00 91,287.00 7 43,756.02 306,292.14
44 Surat Rujukan 2017 5 50,715.00 253,575.00 3 17,269.56 51,808.68
45 Blanko Stok Reagen 2017 3 91,287.00 273,861.00 2 24,255.00 48,510.00
46 Blanko TB 04 2017 2 91,287.00 182,574.00 2 9,216.90 18,433.80
47 Permintaan Darah Utk Tranfusi 2017 2 50,715.00 101,430.00 - 61,607.70 -
48 Brosur pencegahan TB 2017 2 50,715.00 101,430.00 2 4,851.00 9,702.00
49 Buku IST 2017 2 91,287.00 182,574.00 5 261,954.00 1,309,770.00
50 Buku Nomor Surat 2017 5 91,287.00 456,435.00 5 18,530.82 92,654.10
51 Buku Registrasi Kamar Operasi 2017 5 91,287.00 456,435.00 3 2,231.46 6,694.38
52 Catatan Perawatan Pasien Pindah 2017 3 91,287.00 273,861.00 1 3,686.76 3,686.76
53 Catatan Perawatan Pasien Pindah 2017 1 91,287.00 91,287.00 - 431,447.94 -
54 Catatan Perkembangan (Implementasi & Evaluasi) 2017 2 50,715.00 101,430.00 2 78,198.12 156,396.24
55 Surat Keterangan Kematian 2017 2 91,287.00 182,574.00 - 1,424,059.56 -
56 Cetak fprm serah terima alat CSSD 2017 2 91,287.00 182,574.00 3 50,715.00 152,145.00
57 Daftar Check Pre.Operasi Dan Pemeriksaan Post. Operasi 2017 3 91,287.00 273,861.00 1 91,287.00 91,287.00
58 Daftar Pemakaian Obat Dan Alkes 2017 1 91,287.00 91,287.00 1 91,287.00 91,287.00
59 Catatan Perkembangan (Implementasi & Evaluasi) 2017 1 91,287.00 91,287.00 32 91,287.00 2,921,184.00
60 Daftar Check Pre.Operasi Dan Pemeriksaan Post. Operasi 2017 65 50,715.00 3,296,475.00 18 50,715.00 912,870.00
61 Format Dokumentasi Pemberian Informasi 2017 38 50,715.00 1,927,170.00 15 50,715.00 760,725.00
62 Hasil Pemeriksaan Laboratorium / Rontgen (lekatkan disini) 2017 38 50,715.00 1,927,170.00 15 50,715.00 760,725.00
63 Daftar Pemakaian Obat Dan Alkes 2017 18 91,287.00 1,643,166.00 - 50,715.00 -
64 Pengkajian Awal Keperawatan Pasien Rawat Inap rm. 6.1 2017 38 50,715.00 1,927,170.00 17 91,287.00 1,551,879.00
65 Pengkajian Awal Keperawatan Pasien Rawat Inap rm. 6.3 2017 38 50,715.00 1,927,170.00 17 50,715.00 862,155.00
66 Perincian Harian Tindakan Perawatan / Kebidanan Rawat Inap / Irja/Ird/Anastesi Rsud Petala Bumi 2017 38 50,715.00 1,927,170.00 15 91,287.00 1,369,305.00
67 Perincian Pelayanan Medis Pasien Rawat Inap RSUD PB 2017 38 50,715.00 1,927,170.00 19 50,715.00 963,585.00
68 Form permintaan makan minum 2017 1 50,715.00 50,715.00 1 50,715.00 50,715.00
69 Persetujuan Tindakan Bedah 2017 25 50,715.00 1,267,875.00 11 50,715.00 557,865.00
70 Persetujuan Tindakan Kedokteran 2017 38 50,715.00 1,927,170.00 20 91,287.00 1,825,740.00
71 Rencana Keperawatan 2017 38 50,715.00 1,927,170.00 10 91,287.00 912,870.00
72 Resume Keperawatan Pasien Pulang 2017 38 50,715.00 1,927,170.00 10 91,287.00 912,870.00
73 Resume Medis 2017 38 50,715.00 1,927,170.00 20 91,287.00 1,825,740.00
74 Form 4a Data Keadaan Morbilitas Pasien Rawat Inap 2017 13 50,715.00 659,295.00 5 91,287.00 456,435.00
75 Sensus Harian Pasien Rawat Jalan 2017 13 50,715.00 659,295.00 3 91,287.00 273,861.00
76 Faktor Resiko Jatuh Skala Humpty Pumpty Untuk Anak-Anak 2017 38 50,715.00 1,927,170.00 20 91,287.00 1,825,740.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
77 Faktor Resiko Jatuh Skala Morse 2017 38 50,715.00 1,927,170.00 20 50,715.00 1,014,300.00
78 Surat Pernyataan 2017 50 50,715.00 2,535,750.00 20 50,715.00 1,014,300.00
79 Formulir Terapi 2017 38 50,715.00 1,927,170.00 25 50,715.00 1,267,875.00
80 Asuhan Kebidanan 2017 38 50,715.00 1,927,170.00 - 91,287.00 -
81 Catatan Perkembangan Pasien Terintegrasi (CPPT) 2017 50 50,715.00 2,535,750.00 - 91,287.00 -
82 Formulir Daftar DPJP 2017 2 91,287.00 182,574.00 - 91,287.00 -
83 Formulir Pengeluaran Obat Dan Bhp Gudang Farmasi 2017 8 50,715.00 405,720.00 - 91,287.00 -
84 Data Umum Pasien 2017 45 50,715.00 2,282,175.00 15 50,715.00 760,725.00
85 Diagnosa Dan Intervensi Keperawatan 2017 6 50,715.00 304,290.00 3 50,715.00 152,145.00
86 Formulir Identifikasi Bayi 2017 3 91,287.00 273,861.00 3 50,715.00 152,145.00
87 Form Implementasi Keperawatan 2017 6 50,715.00 304,290.00 6 50,715.00 304,290.00
88 Jadwal Operasi 2017 3 91,287.00 273,861.00 3 91,287.00 273,861.00
89 Kartu Bayi 2017 2 50,715.00 101,430.00 2 50,715.00 101,430.00
90 Form Kontrol Istimewa Pasien 2017 2 50,715.00 101,430.00 2 50,715.00 101,430.00
91 Form Kontrol tanda-tanda Vital Pasien 2017 3 50,715.00 152,145.00 3 91,287.00 273,861.00
92 Form laporan anasthesi 2017 4 91,287.00 365,148.00 4 50,715.00 202,860.00
93 Laporan Operasi 2017 15 91,287.00 1,369,305.00 15 50,715.00 760,725.00
94 Monitoring Inisiasi Menyusui Dini (Imd) 2017 1 50,715.00 50,715.00 - 50,715.00 -
95 Form pendaftaran 2017 40 50,715.00 2,028,600.00 40 91,287.00 3,651,480.00
96 Pengkajian Awal Kebidanan Pasien Rawat Inap 2017 35 50,715.00 1,775,025.00 35 91,287.00 3,195,045.00
97 Pengkajian Awal Keperawatan Pasien IGD rm. 2a.1 2017 35 50,715.00 1,775,025.00 15 50,715.00 760,725.00
98 Pengkajian Awal Keperawatan Pasien IGD rm. 2a.3 2017 35 50,715.00 1,775,025.00 15 50,715.00 760,725.00
99 Pengkajian Awal Medis Pasien IGD 2017 35 50,715.00 1,775,025.00 18 91,287.00 1,643,166.00
100 Pengkajian Awal Medis Pasien Rawat Inap 2017 3 50,715.00 152,145.00 3 91,287.00 273,861.00
101 Pengkajian Awal Pasien Rawat Jalan 2017 35 50,715.00 1,775,025.00 10 50,715.00 507,150.00
102 Pengkajian Awal Medis Pasien Rawat Inap 2017 4 50,715.00 202,860.00 - 50,715.00 -
103 Asuhan Keperawatan Kamar Operasi 2017 3 91,287.00 273,861.00 1 91,287.00 91,287.00
104 Pengkajian Kebidanan 2017 35 50,715.00 1,775,025.00 10 91,287.00 912,870.00
105 Form pengkajian medis 2017 33 91,287.00 3,012,471.00 33 91,287.00 3,012,471.00
106 Rincian Biaya Pelayanan Kesehatan Pada Poli Gigi (Perda No. 6 Thn 2013) 2017 20 50,715.00 1,014,300.00 20 91,287.00 1,825,740.00
107 Penolakan Tindakan Dokter 2017 2 91,287.00 182,574.00 - 91,287.00 -
108 Formulir Penundaan Pelayanan 2017 2 91,287.00 182,574.00 2 50,715.00 101,430.00
109 Perincian Biaya Rawat Inap 2017 15 50,715.00 760,725.00 - 91,287.00 -
110 Formulir Penerimaan Perintah Lisan / Telepon Untuk Hasil Tes Yang Kritikal 2017 3 91,287.00 273,861.00 3 91,287.00 273,861.00
111 surat keterangan Kelahiran 2017 2 50,715.00 101,430.00 2 91,287.00 182,574.00
112 Form Permintaan Pelayanan Kerohanian 2017 1 91,287.00 91,287.00 1 91,287.00 91,287.00
113 Surat Permintaan Second Opinion 2017 2 91,287.00 182,574.00 2 91,287.00 182,574.00
114 Permintaan Darah Utk Tranfusi 2017 2 91,287.00 182,574.00 - 50,715.00 -
115 Persetujuan Tindakan Bedah 2017 3 91,287.00 273,861.00 3 50,715.00 152,145.00
116 Persetujuan Tindakan Kedokteran 2017 2 91,287.00 182,574.00 - 50,715.00 -
117 Form Register Pengesahan 2017 2 91,287.00 182,574.00 2 50,715.00 101,430.00
118 Rekap Pasien Bulanan Rawat Inap (Dinkes ) 2017 4 50,715.00 202,860.00 1 91,287.00 91,287.00
119 Form Rencana Operasi 2017 10 91,287.00 912,870.00 10 50,715.00 507,150.00
120 Faktor Resiko Jatuh Skala Morse 2017 3 91,287.00 273,861.00 3 50,715.00 152,145.00
121 Resume Medis Pasien Pulang 2017 10 50,715.00 507,150.00 10 50,715.00 507,150.00
122 Resume Keperawatan Pasien Pulang 2017 10 50,715.00 507,150.00 - 50,715.00 -
123 Resume Medis 2017 10 50,715.00 507,150.00 10 50,715.00 507,150.00
124 Resume Rawat Jalan 2017 35 50,715.00 1,775,025.00 19 50,715.00 963,585.00
125 Perincian Biaya Rawat Inap 2017 30 50,715.00 1,521,450.00 - 50,715.00 -
126 Form Rincian Dokter Visite 2017 3 50,715.00 152,145.00 3 50,715.00 152,145.00
127 Perincian Harian Tindakan Perawatan / Kebidanan Rawat Inap / Irja/Ird/Anastesi Rsud Petala Bumi 2017 3 50,715.00 152,145.00 3 50,715.00 152,145.00
128 Ringkasan Masuk dan Keluar 2017 35 50,715.00 1,775,025.00 20 50,715.00 1,014,300.00
129 Form 4b Data Keadaan Morbilitas Pasien Rawat Jalan 2017 4 50,715.00 202,860.00 4 50,715.00 202,860.00
130 Surat Rujukan Pasien 2017 3 91,287.00 273,861.00 3 50,715.00 152,145.00
131 Pengkajian Awal Kebidanan Pasien Rawat Inap rm. 7.3 2017 35 50,715.00 1,775,025.00 35 50,715.00 1,775,025.00
132 Sensus Harian Pasien Rawat Inap (Dinkes) 2017 25 91,287.00 2,282,175.00 25 50,715.00 1,267,875.00
133 Surat Kontrol /Rangkap 2017 3 91,287.00 273,861.00 - 50,715.00 -
134 Surgical Safety Checklist 2017 3 91,287.00 273,861.00 3 50,715.00 152,145.00
135 Formulir Surveilans Infeksi Luka Operasi 2017 3 91,287.00 273,861.00 - 50,715.00 -
136 Form Survey Kepuasan Pasien 2017 6 91,287.00 547,722.00 1 50,715.00 50,715.00
137 Form tes kraepplin 2017 1 91,287.00 91,287.00 1 91,287.00 91,287.00
138 Buku IST 2017 1 91,287.00 91,287.00 1 50,715.00 50,715.00
139 Curva List 2017 1 50,715.00 50,715.00 - 50,715.00 -
140 Formulir Permintaan Pemeriksaan Labor 2017 8 50,715.00 405,720.00 8 50,715.00 405,720.00
141 Formulir Terapi 2017 3 91,287.00 273,861.00 3 91,287.00 273,861.00
142 Form Transfer Pasien 2017 2 50,715.00 101,430.00 2 50,715.00 101,430.00
143 Invoice IGD 2017 8 50,715.00 405,720.00 1 91,287.00 91,287.00
144 Jaminan Pelayanan Canggih 2017 2 91,287.00 182,574.00 1 50,715.00 50,715.00
145 Flip Chart (intensive care unit) 2017 2 91,287.00 182,574.00 2 50,715.00 101,430.00
147 Kertas HVS Folio kop surat RSUD PB 2017 13 50,715.00 659,295.00 13 91,287.00 1,186,731.00
148 Formulir Permintaan Pemeriksaan Labor 2017 8 50,715.00 405,720.00 8 91,287.00 730,296.00
149 Partograf 2017 1 91,287.00 91,287.00 - 50,715.00 -
150 Format Dokumentasi Pemberian Informasi 2017 2 91,287.00 182,574.00 2 50,715.00 101,430.00
151 Surat Pernyataan 2017 2 91,287.00 182,574.00 2 50,715.00 101,430.00
153 Map Kertas RSPB 2017 750 2,959.00 2,219,250.00 750 50,715.00 38,036,250.00
154 Map Kertas Tulang RSPB 2017 500 4,942.00 2,471,000.00 500 50,715.00 25,357,500.00
155 Partograf 2017 1 91,287.00 91,287.00 - 50,715.00 -
156 Pengkajian Awal Keperawatan Pasien IGD 2017 2 91,287.00 182,574.00 2 50,715.00 101,430.00
157 Pengkajian Awal Keperawatan Perinatologi 2017 1 91,287.00 91,287.00 1 50,715.00 50,715.00
158 Pengkajian Perawatan Pasien Icu/Comprehensive Adminission Assessment 2017 2 50,715.00 101,430.00 1 91,287.00 91,287.00
159 Pengkajian Tahap Terminal 2017 2 91,287.00 182,574.00 2 50,715.00 101,430.00
160 Pengkajian Tahap Terminal 2017 50 91,287.00 4,564,350.00 20 91,287.00 1,825,740.00
161 Penolakan Tindakan Dokter 2017 2 91,287.00 182,574.00 - 50,715.00 -
162 Perincian Biaya Kwitansi Rawat Jalan/Rangkap 2017 35 50,715.00 1,775,025.00 - 91,287.00 -
163 Daftar Permintaan Barang/Rangkap 2017 8 50,715.00 405,720.00 8 91,287.00 730,296.00
164 Permintaan Gizi 2017 2 91,287.00 182,574.00 2 50,715.00 101,430.00
165 Persetujuan Tindakan Bedah 2017 2 91,287.00 182,574.00 2 91,287.00 182,574.00
166 Persetujuan Tindakan Kedokteran 2017 2 91,287.00 182,574.00 - 50,715.00 -
167 Resep Rangkap/Bpjs/Jamkesda/Jamkesmas 2017 9 50,715.00 456,435.00 91,287.00 -
168 Resep Umum 2017 15 50,715.00 760,725.00 - 91,287.00 -
169 Salinan Resep/ Resep Luar 2017 2 50,715.00 101,430.00 - 91,287.00 -
170 Perincian Biaya Kwitansi Rawat Jalan/Rangkap 2017 5 50,715.00 253,575.00 - 91,287.00 -
171 Perincian Harian Tindakan Perawatan / Kebidanan Rawat Inap / Irja/Ird/Anastesi Rsud Petala Bumi 2017 3 50,715.00 152,145.00 3 91,287.00 273,861.00
173 Ringkasan Masuk dan Keluar 2017 3 91,287.00 273,861.00 3 50,715.00 152,145.00
174 Ringkasan Pasien Pulang Rsud PB 2017 35 50,715.00 1,775,025.00 10 91,287.00 912,870.00
175 Sensus Harian Kamar Operasi 2017 3 91,287.00 273,861.00 3 91,287.00 273,861.00
176 Monitoring Inisiasi Menyusui Dini (Imd) 2017 1 91,287.00 91,287.00 1 50,715.00 50,715.00
177 Surat Permintaan Dirawat/Operasi (SPDO Rangkap) 2017 10 91,287.00 912,870.00 - 50,715.00 -
178 Stiker pewarnaan penomoran berkas rekam medis. 8 warna merah 2017 3 50,715.00 152,145.00 3 50,715.00 152,145.00
179 Stiker pewarnaan penomoran berkas rekam medis. 0 warna kuning 2017 3 50,715.00 152,145.00 3 50,715.00 152,145.00
180 Stiker pewarnaan penomoran berkas rekam medis. 1 warna hijau 2017 3 50,715.00 152,145.00 3 50,715.00 152,145.00
181 Stiker pewarnaan penomoran berkas rekam medis. 2 warna coklat 2017 3 50,715.00 152,145.00 3 50,715.00 152,145.00
182 Stiker pewarnaan penomoran berkas rekam medis. 3 warna hitam 2017 3 50,715.00 152,145.00 3 50,715.00 152,145.00
183 Stiker pewarnaan penomoran berkas rekam medis. 4 warna biru muda 2017 3 50,715.00 152,145.00 3 50,715.00 152,145.00
184 Stiker pewarnaan penomoran berkas rekam medis. 5 warna abu-abu 2017 3 50,715.00 152,145.00 3 50,715.00 152,145.00
185 Stiker pewarnaan penomoran berkas rekam medis. 6 warna dongker 2017 3 50,715.00 152,145.00 3 91,287.00 273,861.00
186 Stiker pewarnaan penomoran berkas rekam medis. 7 warna ungu 2017 3 50,715.00 152,145.00 3 50,715.00 152,145.00
187 Stiker pewarnaan penomoran berkas rekam medis. 9 warna putih 2017 3 50,715.00 152,145.00 3 91,287.00 273,861.00
188 Surat Rujukan Pasien 2017 8 50,715.00 405,720.00 3 91,287.00 273,861.00
189 Surat Balasan Rujukan 2017 25 91,287.00 2,282,175.00 10 91,287.00 912,870.00
191 surat keterangan Kelahiran 2017 2 50,715.00 101,430.00 - 91,287.00 -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
192 Surat Keterangan Sakit 2017 15 50,715.00 760,725.00 5 91,287.00 456,435.00
193 Surat Kontrol /Rangkap 2017 50 91,287.00 4,564,350.00 15 91,287.00 1,369,305.00
194 Surat Pengantar Rontgen / Rangkap 2017 8 50,715.00 405,720.00 - 50,715.00 -
195 Surat permintaan nomor kartu akses 2017 1 91,287.00 91,287.00 1 50,715.00 50,715.00
197 Surat Pernyataan 2017 1 91,287.00 91,287.00 - 50,715.00 -
198 Amplop Dinas berkop 2017 10 50,715.00 507,150.00
36/TU-SPK/II/201718-Feb-2017 RSUD 10 50,715.00 507,150.00 -
199 Daftar Permintaan Barang/Rangkap 2017 5 50,715.00 253,575.00
36/TU-SPK/II/201718-Feb-2017 RSUD 5 50,715.00 253,575.00 -
200 Hasil Pemeriksaan Laboratorium (Hematologi) / Rangkap 2017 5 91,287.00 456,435.00
36/TU-SPK/II/201718-Feb-2017 RSUD 5 50,715.00 253,575.00 -
201 Hasil Pemeriksaan Laboratorium (Kimia Klinik) / Rangk 2017 5 91,287.00 456,435.00
36/TU-SPK/II/201718-Feb-2017 RSUD 2 50,715.00 101,430.00 3
202 Resep Rangkap/Bpjs/Jamkesda/Jamkesmas 2017 38 50,715.00 1,927,170.00
36/TU-SPK/II/201718-Feb-2017 RSUD 16 50,715.00 811,440.00 22
203 Surat Pengantar Rontgen / Rangkap 2017 5 50,715.00 253,575.00
36/TU-SPK/II/201718-Feb-2017 RSUD 5 50,715.00 253,575.00 -
204 Catatan Perawatan Pasien Pindah 2017 50 50,715.00 2,535,750.00
36/TU-SPK/II/201718-Feb-2017 RSUD 2 50,715.00 101,430.00 48
205 Catatan Perkembangan (Implementasi & Evaluasi) 2017 8 50,715.00 405,720.00
36/TU-SPK/II/201718-Feb-2017 RSUD 8 50,715.00 405,720.00 -
206 Daftar Check Pre.Operasi Dan Pemeriksaan Post. Operasi 2017 10 50,715.00 507,150.00
36/TU-SPK/II/201718-Feb-2017 RSUD 10 91,287.00 912,870.00 -
207 Hasil Pemeriksaan Laboratorium / Rontgen (lekatkan disini) 2017 3 50,715.00 152,145.00
36/TU-SPK/II/201718-Feb-2017 RSUD 3 91,287.00 273,861.00 -
208 Daftar Pemakaian Obat Dan Alkes 2017 13 91,287.00 1,186,731.00
36/TU-SPK/II/201718-Feb-2017 RSUD 12 50,715.00 608,580.00 1
209 Pengkajian Awal Keperawatan Pasien Rawat Inap rm. 6.1 2017 75 50,715.00 3,803,625.00
36/TU-SPK/II/201718-Feb-2017 RSUD 16 50,715.00 811,440.00 59
210 Pengkajian Awal Keperawatan Pasien Rawat Inap rm. 6.3 2017 6 50,715.00 304,290.00
36/TU-SPK/II/201718-Feb-2017 RSUD 6 91,287.00 547,722.00 -
211 Perincian Harian Tindakan Perawatan / Kebidanan Rawat Inap / Irja/Ird/Anastesi Rsud Petala Bumi 2017 3 50,715.00 152,145.00
36/TU-SPK/II/201718-Feb-2017 RSUD 3 91,287.00 273,861.00 -
212 Perincian Pelayanan Medis Pasien Rawat Inap RSUD PB 2017 13 50,715.00 659,295.00
36/TU-SPK/II/201718-Feb-2017 RSUD 13 91,287.00 1,186,731.00 -
213 Persetujuan Tindakan Kedokteran 2017 5 50,715.00 253,575.00
36/TU-SPK/II/201718-Feb-2017 RSUD 5 50,715.00 253,575.00 -
214 Resume Keperawatan Pasien Pulang 2017 8 50,715.00 405,720.00
36/TU-SPK/II/201718-Feb-2017 RSUD 8 50,715.00 405,720.00 -
215 Faktor Resiko Jatuh Skala Humpty Pumpty Untuk Anak-Anak 2017 5 50,715.00 253,575.00
36/TU-SPK/II/201718-Feb-2017 RSUD 5 50,715.00 253,575.00 -
216 Faktor Resiko Jatuh Skala Morse 2017 1 50,715.00 50,715.00
36/TU-SPK/II/201718-Feb-2017 RSUD 1 91,287.00 91,287.00 -
217 Surat Pernyataan 2017 2 50,715.00 101,430.00
36/TU-SPK/II/201718-Feb-2017 RSUD 2 91,287.00 182,574.00 -
218 Formulir Terapi 2017 1 50,715.00 50,715.00
36/TU-SPK/II/201718-Feb-2017 RSUD 1 91,287.00 91,287.00 -
219 Asuhan Kebidanan 2017 5 50,715.00 253,575.00
36/TU-SPK/II/201718-Feb-2017 RSUD 5 50,715.00 253,575.00 -
220 Catatan Perkembangan Pasien Terintegrasi (CPPT) 2017 3 50,715.00 152,145.00
36/TU-SPK/II/201718-Feb-2017 RSUD 3 91,287.00 273,861.00 -
221 Data Umum Pasien 2017 2 50,715.00 101,430.00
36/TU-SPK/II/201718-Feb-2017 RSUD 2 91,287.00 182,574.00 -
222 Pengkajian Awal Keperawatan Pasien IGD rm. 2a.1 2017 2 50,715.00 101,430.00
36/TU-SPK/II/201718-Feb-2017 RSUD 2 50,715.00 101,430.00 -
223 Pengkajian Awal Keperawatan Pasien IGD rm. 2a.3 2017 2 50,715.00 101,430.00
36/TU-SPK/II/201718-Feb-2017 RSUD 2 91,287.00 182,574.00 -
224 Pengkajian Awal Medis Pasien IGD 2017 5 50,715.00 253,575.00
36/TU-SPK/II/201718-Feb-2017 RSUD 5 91,287.00 456,435.00 -
225 Pengkajian Awal Pasien Rawat Jalan 2017 5 50,715.00 253,575.00
36/TU-SPK/II/201718-Feb-2017 RSUD 5 91,287.00 456,435.00 -
226 Pengkajian Awal Medis Pasien Rawat Inap 2017 3 50,715.00 152,145.00
36/TU-SPK/II/201718-Feb-2017 RSUD 1 91,287.00 91,287.00 2
227 Pengkajian Kebidanan 2017 3 50,715.00 152,145.00
36/TU-SPK/II/201718-Feb-2017 RSUD 3 91,287.00 273,861.00 -
228 Resume Rawat Jalan 2017 38 50,715.00 1,927,170.00
36/TU-SPK/II/201718-Feb-2017 RSUD 10 50,715.00 507,150.00 28
229 Perincian Biaya Rawat Inap 2017 1 50,715.00 50,715.00
36/TU-SPK/II/201718-Feb-2017 RSUD 1 50,715.00 50,715.00 -
230 Ringkasan Masuk dan Keluar 2017 25 50,715.00 1,267,875.00
36/TU-SPK/II/201718-Feb-2017 RSUD 12 50,715.00 608,580.00 13
231 Resep Rangkap/Bpjs/Jamkesda/Jamkesmas 2017 38 50,715.00 1,927,170.00
36/TU-SPK/II/201718-Feb-2017 RSUD 9 50,715.00 456,435.00 29
232 surat keterangan Kelahiran 2017 38 50,715.00 1,927,170.00
36/TU-SPK/II/201718-Feb-2017 RSUD 2 50,715.00 101,430.00 36
233 Surat Keterangan Sakit 2017 13 50,715.00 659,295.00
36/TU-SPK/II/201718-Feb-2017 RSUD 4 50,715.00 202,860.00 9
c Alat Listrik & Elektronik 100.00 2,000,000.00 68.00 1,360,000.00 640,000.00

Baterai Dotori 2017 100 20,000.00 2,000,000.00 68 20,000.00 1,360,000.00
d Alat Kebersihan 2,852.00 36,246,300.00 260.00 20,583,800.00 2,592 15,662,500.00

1 LIVI EVO Multifoold 2017 240 37,000.00 8,880,000.00 240.00 37,000.00 8,880,000.00
2 Cairan Pengkilat Logam 2017 4 119,500.00 478,000.00 4.00 119,500.00 478,000.00
3 Gayung Plastik 2017 19 14,000.00 266,000.00 19.00 14,000.00 266,000.00
4 Handsoap 4000ml 2017 76 42,900.00 3,260,400.00 52.00 42,900.00 2,230,800.00
5 Kaca mata Safety 2017 3 65,000.00 195,000.00 3.00 65,000.00 195,000.00
6 Kaca mata Safety Impact Goggle 2017 7 85,000.00 595,000.00 7.00 85,000.00 595,000.00
7 Plastik Sampah Hitam Jumbo (1kg/pack) 2017 45 34,500.00 1,552,500.00 45.00 34,500.00 1,552,500.00
8 Sandal Pasien 2017 2,400 3,900.00 9,360,000.00 100.00 3,900.00 390,000.00
9 Sapu Plastik 2017 2 29,000.00 58,000.00 2.00 29,000.00 58,000.00
10 Selang Hydran 2017 2 1,350,000.00 2,700,000.00 - 1,350,000.00 1,350,000.00
11 Sepatu Booth Karet Panjang kuning 2017 8 225,000.00 1,800,000.00 5.00 225,000.00 1,125,000.00
12 Sepatu Booth Pendek 2017 10 150,000.00 1,500,000.00 5.00 150,000.00 750,000.00
13 Sepatu Booth pendek kuning pakai tali 2017 10 280,000.00 2,800,000.00 5.00 280,000.00 1,400,000.00
14 Sepatu Booth warna hijau lumut 2017 11 225,000.00 2,475,000.00 5.00 225,000.00 1,125,000.00
15 Sikat kawat 2017 3 30,000.00 90,000.00 3.00 30,000.00 90,000.00
16 Super Pell 2017 12 19,700.00 236,400.00 5.00 19,700.00 98,500.00
e Material Kesehatan 313,826.00 1,990,047,477.04 98,049.00 306,223,060.80 1,683,824,416.24

GUDANG FARMASI 167,178.00 1,175,779,064.01 18,939.00 132,800,080.98
1 ALKACIDE 2017 3.00 2,702,700.00 8,108,100.00 3.00 2,702,700.00 8,108,100.00
2 ALKACIDE 2017 5.00 2,702,700.00 13,513,500.00 4.00 2,702,700.00 10,810,800.00
3 ALKACIDE 2017 20.00 2,702,700.00 54,054,000.00 2,702,700.00 -
4 ALKAZYME 2017 10.00 800,978.20 8,009,782.00 1.00 800,978.20 800,978.20
5 ALKAZYME 2017 20.00 801,000.00 16,020,000.00 801,000.00 -
6 ALKOHOL SWAP 2017 50,000.00 196.80 9,840,000.00 1,000.00 196.80 196,800.00
7 ASKINA FOAM 10 X 10 CM 2017 300.00 67,500.40 20,250,120.00 - 67,500.40 -
8 BENANG BEDAH CAT GUT PLAIN 3/0 CUTTING 2017 180.00 57,750.00 10,395,000.00 60.00 57,750.00 3,465,000.00
9 BENANG COROLENE 3/0 TUPPER 2017 200.00 106,410.00 21,282,000.00 - 106,410.00 -
10 BENANG COROLENE 5/0TUPPER 2017 240.00 167,699.00 40,247,760.00 - 167,699.00 -
11 BENANG COROLINE 2/0 TUPER 2017 6.00 97,609.54 585,657.25 6.00 97,609.54 585,657.25
12 BENANG COROLINE 2/0 TUPER 2017 36.00 90,240.09 3,248,643.20 36.00 90,240.09 3,248,643.20
13 BENANG COROLINE 4/0 TUPPER 2017 35.00 116,160.00 4,065,600.00 14.00 116,160.00 1,626,240.00
14 BENANG COROLINE 4/0 TUPPER 2017 14.00 116,160.00 1,626,240.00 116,160.00 -
15 BENANG FILAPEAU 4/0 CUTTING 2017 300.00 42,113.00 12,633,900.00 - 42,113.00 -
16 BENANG OPTIME 1 TUPPER 2017 250.00 74,073.00 18,518,250.00 74,073.00 -
17 BENANG OPTIME 1 TUPPER 2017 600.00 78,961.00 47,376,600.00 78,961.00 -
18 BENANG OPTIME 2/0 TUPPER 2017 200.00 67,681.00 13,536,200.00 67,681.00 -
19 BENANG OPTIME 3/0 CUTTING 2017 150.00 12,100.00 1,815,000.00 - 12,100.00 -
20 BENANG SILKAM 4/0 CUTTING SOIE/SILK 2017 144.00 48,400.00 6,969,600.00 108.00 48,400.00 5,227,200.00
21 BISTURI/BLADE NO. 11 2017 1,500.00 3,000.00 4,500,000.00 3,000.00 -
22 BISTURI/BLADES NO.15 2017 300.00 5,115.00 1,534,500.00 200.00 5,115.00 1,023,000.00
23 BISTURI/BLADES NO.15 2017 1,500.00 3,000.00 4,500,000.00 - 3,000.00 -
24 BLOOD SET (SANGOFIX) 2017 250.00 13,970.00 3,492,500.00 13,970.00 -
25 BONE WAX 2017 1,007.00 51,800.00 52,162,600.00 - 51,800.00 -
26 CANNOFIX-PU 6 X 8 CM 2017 400.00 6,849.69 2,739,875.60 257.00 6,849.69 1,760,370.07
27 CANNOFIX-PU 6 X 8 CM 2017 250.00 6,850.00 1,712,500.00 6,850.00 -
28 CATHEJELL 12,5 G 2017 800.00 41,600.00 33,280,000.00 41,600.00 -
29 CLOSE SUCTION 2017 20.00 341,555.50 6,831,110.00 20.00 341,555.50 6,831,110.00
30 CPAC DELIVERY SYSTEM SIRCUIT 2017 10.00 3,437,500.00 34,375,000.00 10.00 3,437,500.00 34,375,000.00
31 CUTICELL CLASSIC 10 CM X 10 CM 2017 500.00 5,198.00 2,599,000.00 - 5,198.00 -
32 DARYANT-TULLE STERILE 2017 250.00 16,200.00 4,050,000.00 60.00 16,200.00 972,000.00
33 DISCOFIC -3 WAY + 10 TUBING (PANJANG) 2017 250.00 27,225.00 6,806,250.00 27,225.00 -
34 EXTENTION TUBE 150 CM - 1,5 CM 2017 150.00 48,500.00 7,275,000.00 50.00 48,500.00 2,425,000.00
35 FOLLY CHATTER NO.14 2017 285.00 12,100.00 3,448,500.00 - 12,100.00 -
36 FOLLY CHATTER NO.14 2017 15.00 12,100.00 181,500.00 - 12,100.00 -
37 GUEDEL AIRWAY NO.3 2017 50.00 22,500.00 1,125,000.00 - 22,500.00 -
38 GUEDEL AIRWAY NO.3 2017 100.00 14,200.00 1,420,000.00 14,200.00 -
39 GUEDEL AIRWAY NO.4 2017 20.00 22,500.00 450,000.00 22,500.00 -
40 GUEDEL AIRWAY NO.2 2017 100.00 14,200.00 1,420,000.00 14,200.00 -
41 HANDRUB 5 L 2017 120.00 580,000.00 69,600,000.00 - 580,000.00 -
42 HANDRUB 500 ML 2017 200.00 60,800.00 12,160,000.00 - 60,800.00 -
43 HANDSCHOEN NON STERIL SZ. M 2017 1,600.00 627.00 1,003,200.00 627.00 -
44 HANDSCHOEN NON STERIL SZ. M 2017 48,400.00 627.00 30,346,800.00 627.00 -
45 HANDSCHOEN NON STERIL SZ. S 2017 12,800.00 627.00 8,025,600.00 11,200.00 627.00 7,022,400.00
46 HANSCOON STERIL GLOVES 6 2017 500.00 7,793.50 3,896,750.00 - 7,793.50 -
47 HANSCOON STERIL GLOVES 6,5 2017 250.00 7,781.50 1,945,375.00 - 7,781.50 -
48 HANSCOON STERIL GLOVES 6,5 2017 50.00 7,793.50 389,675.00 7,793.50 -
49 HANSCRUB 5 L 2017 120.00 640,800.00 76,896,000.00 - 640,800.00 -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
50 INFUSET MAKRO (TROGE) 2017 1,900.00 5,445.00 10,345,500.00 240.00 5,445.00 1,306,800.00
51 INFUSET MAKRO (TROGE) 2017 2,000.00 5,445.00 10,890,000.00 5,445.00 -
52 INFUSET MAKRO (TROGE) 2017 1,000.00 5,445.00 5,445,000.00 5,445.00 -
53 KASA PEMBALUT 4 X 15 CM DRC 2017 2,000.00 3,800.00 7,600,000.00 - 3,800.00 -
54 KONDOM 2017 24.00 25,000.00 600,000.00 24.00 25,000.00 600,000.00
55 LOGICATH CVC 3L 12F 20 CM 2017 9.00 772,445.00 6,952,005.00 772,445.00 -
56 MASKER KARET (TIE ON) 2017 10,000.00 438.90 4,389,000.00 50.00 438.90 21,945.00
57 MASKER KARET (TIE ON) 2017 4,000.00 550.00 2,200,000.00 550.00 -
58 MASKER TALI (EARLOOP) 2017 2,000.00 438.90 877,800.00 438.90 -
59 NASAL TUBING 100 MM 2017 5.00 682,000.00 3,410,000.00 5.00 682,000.00 3,410,000.00
60 NASAL TUBING 50 MM 2017 2.00 682,000.00 1,364,000.00 2.00 682,000.00 1,364,000.00
61 NEBULIZER MASH ADULT 2017 500.00 28,300.00 14,149,998.96 20.00 28,300.00 565,999.96
62 NEBULIZER MASH CHILD 2017 110.00 28,300.00 3,113,000.00 28,300.00 -
63 OXIGEN (O2) SUPPLAY ANAK/NASAL CANUL A 2017 500.00 10,000.00 5,000,000.00 10,000.00 -
64 OXIGEN (O2) SUPPLAY DEWASA/NASAL CANUL D 2017 500.00 10,000.00 5,000,000.00 10,000.00 -
65 PEMBALUT ELASTIS 10 X 4.55 CM 2017 200.00 21,406.00 4,281,200.00 21,406.00 -
66 PEMBALUT ELASTIS 15X 4.55 CM 2017 600.00 29,189.00 17,513,400.00 29,189.00 -
67 PEMBALUT ELASTIS 7,5 X 4.55 CM 2017 200.00 17,515.00 3,503,000.00 17,515.00 -
68 POSTOFIX-PU 10 X 10 CM 2017 300.00 30,284.87 9,085,461.00 - 30,284.87 -
69 POSTOFIX-PU 10 X 15 CM 2017 350.00 8,051.59 2,818,057.00 - 8,051.59 -
70 POSTOFIX-PU 10 X 25CM 2017 300.00 29,379.41 8,813,823.00 80.00 29,379.41 2,350,352.80
71 POSTOFIX-PU 10 X 25CM 2017 400.00 29,379.41 11,751,764.00 29,379.41 -
72 SAFETY BOX SIZE.12,5 L 2017 200.00 32,861.00 6,572,200.00 32,861.00 -
73 SPINAL NEEDLE NO. 25 (SPINOCAN 25 G) 2017 1,049.00 32,000.00 33,568,000.00 32,000.00 -
74 SPINAL NEEDLE NO. 26 (SPINOCAN 26 G) 2017 1,000.00 32,000.00 32,000,000.00 32,000.00 -
75 SPUIT 1 CC 2017 1,000.00 1,613.99 1,613,990.00 500.00 1,613.99 806,995.00
76 SPUIT 10 CC 2017 1,600.00 1,999.97 3,199,952.00 - 1,999.97 -
77 SPUIT 3 CC 2017 7,000.00 1,137.99 7,965,930.00 3,400.00 1,137.99 3,869,166.00
78 SPUIT 5 CC 2017 2,000.00 1,600.00 3,200,000.00 1,400.00 1,600.00 2,240,000.00
79 STOMACH TUBE NO.12 (SAFEED) 125 CM 2017 100.00 15,373.00 1,537,300.00 15,373.00 -
80 SUCTION CATHETER NO. 14 2017 50.00 6,638.50 331,925.00 11.00 6,638.50 73,023.50
81 BENANG COROLINE 0 CUTTING 2017 6.00 82,280.00 493,680.00 82,280.00 -
Poli Gigi :
Glass Ionomer Kapsul 2017 30 1,883,000.00 56,490,000.00 0 1,883,000.00 -
Glass Ionomer Powder 2017 25 889,000.00 22,225,000.00 0 889,000.00 -
Bonding Agent 2017 15 1,016,600.00 15,249,000.00 0 1,016,600.00 -
Dental Pulp Devitalization tanpa Arseni 2017 15 571,700.00 8,575,500.00 0 571,700.00 -
Antiseptic dan Pengisian Saluran Akar Gigi 2017 20 631,000.00 12,620,000.00 0 631,000.00 -
Pengisi Saluran Akar Gigi 2017 3 779,000.00 2,337,000.00 1 779,000.00 779,000.00
Eugenol 2017 15 68,800.00 1,032,000.00 0 68,800.00 -
Ecthing Gel 2017 14 250,400.00 3,505,600.00 11 250,400.00 2,754,400.00
Glass Ionomer 2017 15 889,000.00 13,335,000.00 0 889,000.00 -
Gutha Percha no. 45 2017 1 83,000.00 83,000.00 0 83,000.00 -
Gutha Percha no. 50 2017 1 83,000.00 83,000.00 0 83,000.00 -
Jarum Endodontik K-File no. 15-40 2017 15 441,000.00 6,615,000.00 0 441,000.00 -
Komposit A2 2017 20 350,600.00 7,012,000.00 10 350,600.00 3,506,000.00
Komposit A3 2017 20 350,600.00 7,012,000.00 10 350,600.00 3,506,000.00
Komposit A3.5 2017 20 350,600.00 7,012,000.00 5 350,600.00 1,753,000.00
Komposit Flow A3.5 2017 20 350,600.00 7,012,000.00 5 350,600.00 1,753,000.00
Matrix Band 2017 25 86,000.00 2,150,000.00 0 86,000.00 -
Micro Brush 2017 40 213,000.00 8,520,000.00 0 213,000.00 -
Paper Point no. 40 2017 15 38,800.00 582,000.00 3 38,800.00 116,400.00
Saliva Ejector 2017 20 97,800.00 1,956,000.00 0 97,800.00 -
Anestetic Agent 2017 35 112,000.00 3,920,000.00 0 112,000.00 -
Steril Surgical Aspirator 2017 100 32,350.00 3,235,000.00 0 32,350.00 -
Temporaly Filling Pink 2017 40 140,000.00 5,600,000.00 0 140,000.00 -
Temporaly Filling White 2017 25 140,000.00 3,500,000.00 1 140,000.00 140,000.00
Laboratorium :
Apron Terpal Hitam 2017 3 160,600.00 481,800.00 0 160,600.00 -
Baki Plastik Pink 2017 4 27,500.00 110,000.00 0 27,500.00 -
Baki Stainless 2017 4 104,500.00 418,000.00 0 104,500.00 -
Bengkok 2017 1 62,700.00 62,700.00 0 62,700.00 -
Body bag 2017 2 324,500.00 649,000.00 1 324,500.00 324,500.00
Brus tabung besar 2017 12 13,530.00 162,360.00 7 13,530.00 94,710.00
Brus tabung kecil 2017 12 11,550.00 138,600.00 2 11,550.00 23,100.00
Com Kecil 2017 8 64,130.00 513,040.00 0 64,130.00 -
Ember Bertutup 2017 4 51,150.00 204,600.00 0 51,150.00 -
Gantung Jas Lab 2017 3 24,200.00 72,600.00 0 24,200.00 -
Gel Ice pack 2017 10 34,760.00 347,600.00 0 34,760.00 -
Gelas Plastik sedang 2017 6 17,160.00 102,960.00 0 17,160.00 -
Gelas Ukur 100ml 2017 2 192,500.00 385,000.00 0 192,500.00 -
Handuk Kecil Putih 2017 4 47,300.00 189,200.00 0 47,300.00 -
Holder Vacutainer 2017 4 269,830.00 1,079,320.00 0 269,830.00 -
Kain Kafan (12 bulan x 4 org x 12.5 m) 2017 600 26,950.00 16,170,000.00 0 26,950.00 -
Kapur Barus 2017 24 10,780.00 258,720.00 12 10,780.00 129,360.00
Alat P3K Labor 2017 2 65,340.00 130,680.00 0 65,340.00 -
Karet Gelang yang besar 2017 2 53,130.00 106,260.00 0 53,130.00 -
Keset Lantai 2017 5 38,060.00 190,300.00 0 38,060.00 -
Korek Api / Mancis 2017 4 4,180.00 16,720.00 0 4,180.00 -
Koren tang 2017 2 166,100.00 332,200.00 0 166,100.00 -
Lidi Kipas 2017 5 59,400.00 297,000.00 0 59,400.00 -
Lidi Tusuk Sate 2017 5 22,000.00 110,000.00 0 22,000.00 -
Masker 2017 24 26,950.00 646,800.00 0 26,950.00 -
Mortir + Stamper ukuran besar 2017 1 167,200.00 167,200.00 0 167,200.00 -
Mortir + Stamper ukuran kecil 2017 1 80,080.00 80,080.00 0 80,080.00 -
Nierbekken 2017 6 75,350.00 452,100.00 0 75,350.00 -
Pen Lancet 2017 8 43,560.00 348,480.00 0 43,560.00 -
Penjepit tabung dari besi 2017 8 45,760.00 366,080.00 0 45,760.00 -
Pipet tetes plastik dengan ukuran volume 2017 10 93,830.00 938,300.00 0 93,830.00 -
Pispot Urinal Stainless 2017 2 356,400.00 712,800.00 0 356,400.00 -
Plastik Putih 1 Kg 2017 10 41,250.00 412,500.00 0 41,250.00 -
Plat Kertas pemeriksaan golongan darah 2017 7 455,730.00 3,190,110.00 0 455,730.00 -
Plat Widal 2017 2 152,460.00 304,920.00 0 152,460.00 -
Rak Tabung reaksi dari stainless 2017 12 45,430.00 545,160.00 0 45,430.00 -
Rak Tabung reaksi kecil 2017 5 230,230.00 1,151,150.00 0 230,230.00 -
Sarung tangan karet 2017 6 79,200.00 475,200.00 0 79,200.00 -
Selimut 2017 3 38,500.00 115,500.00 0 38,500.00 -
Sepatu Booth ukuran sedang 2017 2 325,160.00 650,320.00 0 325,160.00 -
Stop Watch 2017 3 65,780.00 197,340.00 0 65,780.00 -
Tang Buaya 2017 2 83,160.00 166,320.00 0 83,160.00 -
Tempat Tissue 2017 2 31,900.00 63,800.00 0 31,900.00 -
Thermometer suhu kulkas 2017 6 302,500.00 1,815,000.00 0 302,500.00 -
Timer 2017 8 53,900.00 431,200.00 0 53,900.00 -
Tisu Gulung 2017 25 78,100.00 1,952,500.00 0 78,100.00 -
Tong Sampah Plastik 2017 4 245,300.00 981,200.00 0 245,300.00 -
Tourniquiet 2017 13 36,080.00 469,040.00 0 36,080.00 -
Tusuk Gigi 2017 240 19,800.00 4,752,000.00 40 19,800.00 792,000.00
Tutup Kepala 2017 6 52,250.00 313,500.00 0 52,250.00 -
Tong Sampah Kecil 2017 5 59,950.00 299,750.00 5 59,950.00 299,750.00
Sapu Tangan / serbet 2017 2 12,100.00 24,200.00 2 12,100.00 24,200.00
Resiguard @100ml 2017 36 194,260.00 6,993,360.00 36 194,260.00 6,993,360.00
Labu Semprot 500ml 2017 6 131,780.00 790,680.00 6 131,780.00 790,680.00
Rak Reagnesa 8 Lobang 2017 3 601,260.00 1,803,780.00 3 601,260.00 1,803,780.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Thermometer suhu minus untuk freezer 2017 6 293,260.00 1,759,560.00 6 293,260.00 1,759,560.00
Slang 2017 10 22,000.00 220,000.00 10 22,000.00 220,000.00
Baki rak Khusus pengambilan specimen (bahan stainless) 2017 2 75,350.00 150,700.00 2 75,350.00 150,700.00
Material CSSD :
APOTIK 146,648.00 814,268,413.03 79,110.00 173,422,979.82

1 ALKOHOL SWAP 2017 49,000 196.80 9,643,200.00 49,000 196.80 9,643,200.00
2 BENANG BEDAH CAT GUT PLAIN 3/0 CUTTING 2017 120 57,750.00 6,930,000.00 120 57,750.00 6,930,000.00
3 BLOOD SET (SANGOFIX) 2017 250 13,970.00 3,492,500.00 250 13,970.00 3,492,500.00
4 BONE WAX 2017 1,007 51,800.00 52,162,600.00 51,800.00 -
5 DARYANT-TULLE STERILE 2017 190 16,200.00 3,078,000.00 190 16,200.00 3,078,000.00
6 EXTENTION TUBE 150 CM - 1,5 CM 2017 100 48,500.00 4,850,000.00 100 48,500.00 4,850,000.00
7 HANDSCHOEN NON STERIL SZ. M 2017 1,600 627.00 1,003,200.00 1,600 627.00 1,003,200.00
8 HANDSCHOEN NON STERIL SZ. M 2017 48,400 627.00 30,346,800.00 4,700 627.00 2,946,900.00
9 HANDSCHOEN NON STERIL SZ. S 2017 1,600 627.00 1,003,200.00 1,600 627.00 1,003,200.00
10 NEBULIZER MASH CHILD 2017 110 28,300.00 3,113,000.00 110 28,300.00 3,113,000.00
11 OXIGEN (O2) SUPPLAY DEWASA/NASAL CANUL D 2017 500 10,000.00 5,000,000.00 500 10,000.00 5,000,000.00
12 SPUIT 1 CC 2017 500 1,613.99 806,995.00 500 1,613.99 806,995.00
13 SPUIT 10 CC 2017 1,600 1,999.97 3,199,952.00 1,600 1,999.97 3,199,952.00
14 SPUIT 3 CC 2017 3,600 1,137.99 4,096,764.00 3,600 1,137.99 4,096,764.00
15 SPUIT 5 CC 2017 600 1,600.00 960,000.00 600 1,600.00 960,000.00
16 HANSCOON STERIL GLOVES 6,5 2017 250 7,781.50 1,945,375.00 250 7,781.50 1,945,375.00
17 HANSCOON STERIL GLOVES 6,5 2017 50 7,793.50 389,675.00 50 7,793.50 389,675.00
18 HANSCOON STERIL GLOVES 6 2017 500 7,793.50 3,896,750.00 150 7,793.50 1,169,025.00
19 MASKER KARET (TIE ON) 2017 9,950 438.90 4,367,055.00 9,950 438.90 4,367,055.00
20 MASKER KARET (TIE ON) 2017 4,000 550.00 2,200,000.00 350 550.00 192,500.00
21 INFUSET MAKRO (TROGE) 2017 1,660 5,445.00 9,038,700.00 1,110 5,445.00 6,043,950.00
22 INFUSET MAKRO (TROGE) 2017 2,000 5,445.00 10,890,000.00 5,445.00 -
23 INFUSET MAKRO (TROGE) 2017 1,000 5,445.00 5,445,000.00 5,445.00 -
24 KASA PEMBALUT 4 X 15 CM DRC 2017 2,000 3,800.00 7,600,000.00 150 3,800.00 570,000.00
25 MASKER TALI (EARLOOP) 2017 2,000 438.90 877,800.00 - 438.90 -
26 BISTURI/BLADES NO.15 2017 100 5,115.00 511,500.00 100 5,115.00 511,500.00
27 BISTURI/BLADES NO.15 2017 1,500 3,000.00 4,500,000.00 200 3,000.00 600,000.00
28 BISTURI/BLADE NO. 11 2017 1,500 3,000.00 4,500,000.00 3,000.00 -
29 SPINAL NEEDLE NO. 25 (SPINOCAN 25 G) 2017 1,049 32,000.00 33,568,000.00 32,000.00 -
30 SPINAL NEEDLE NO. 26 (SPINOCAN 26 G) 2017 1,000 32,000.00 32,000,000.00 50 32,000.00 1,600,000.00
31 BENANG OPTIME 1 TUPPER 2017 250 74,073.00 18,518,250.00 74,073.00 -
32 BENANG OPTIME 1 TUPPER 2017 600 78,961.00 47,376,600.00 78,961.00 -
33 CATHEJELL 12,5 G 2017 800 41,600.00 33,280,000.00 - 41,600.00 -
34 POSTOFIX-PU 10 X 25CM 2017 220 29,379.41 6,463,470.20 219 29,379.41 6,434,090.79
35 POSTOFIX-PU 10 X 25CM 2017 400 29,379.41 11,751,764.00 29,379.41 -
36 CANNOFIX-PU 6 X 8 CM 2017 143 6,849.69 979,505.53 143 6,849.69 979,505.53
37 CANNOFIX-PU 6 X 8 CM 2017 250 6,850.00 1,712,500.00 250 6,850.00 1,712,500.00
38 PEMBALUT ELASTIS 15X 4.55 CM 2017 600 29,189.00 17,513,400.00 - 29,189.00 -
39 CUTICELL CLASSIC 10 CM X 10 CM 2017 500 5,198.00 2,599,000.00 102 5,198.00 530,196.00
40 NEBULIZER MASH ADULT 2017 480 28,300.00 13,583,999.00 336 28,300.00 9,508,799.30
41 OXIGEN (O2) SUPPLAY ANAK/NASAL CANUL A 2017 500 10,000.00 5,000,000.00 - 10,000.00 -
42 POSTOFIX-PU 10 X 15 CM 2017 350 8,051.59 2,818,057.00 70 8,051.59 563,611.40
43 POSTOFIX-PU 10 X 10 CM 2017 300 30,284.87 9,085,461.00 210 30,284.87 6,359,822.70
44 ASKINA FOAM 10 X 10 CM 2017 300 67,500.40 20,250,120.00 119 67,500.40 8,032,547.60
45 BENANG FILAPEAU 4/0 CUTTING 2017 300 42,113.00 12,633,900.00 36 42,113.00 1,516,068.00
46 FOLLY CHATTER NO.14 2017 285 12,100.00 3,448,500.00 285 12,100.00 3,448,500.00
47 DISCOFIC -3 WAY + 10 TUBING (PANJANG) 2017 250 27,225.00 6,806,250.00 250 27,225.00 6,806,250.00
48 BENANG COROLENE 5/0TUPPER 2017 240 167,699.00 40,247,760.00 24 167,699.00 4,024,776.00
49 BENANG OPTIME 2/0 TUPPER 2017 200 67,681.00 13,536,200.00 20 67,681.00 1,353,620.00
50 PEMBALUT ELASTIS 10 X 4.55 CM 2017 200 21,406.00 4,281,200.00 - 21,406.00 -
51 PEMBALUT ELASTIS 7,5 X 4.55 CM 2017 200 17,515.00 3,503,000.00 - 17,515.00 -
52 SAFETY BOX SIZE.12,5 L 2017 200 32,861.00 6,572,200.00 - 32,861.00 -
53 HANDRUB 500 ML 2017 200 60,800.00 12,160,000.00 - 60,800.00 -
54 BENANG COROLENE 3/0 TUPPER 2017 200 106,410.00 21,282,000.00 - 106,410.00 -
55 GUEDEL AIRWAY NO.3 2017 50 22,500.00 1,125,000.00 50 22,500.00 1,125,000.00
56 GUEDEL AIRWAY NO.3 2017 100 14,200.00 1,420,000.00 65 14,200.00 923,000.00
57 BENANG OPTIME 3/0 CUTTING 2017 150 12,100.00 1,815,000.00 - 12,100.00 -
58 BENANG SILKAM 4/0 CUTTING SOIE/SILK 2017 36 48,400.00 1,742,400.00 - 48,400.00 -
59 HANSCRUB 5 L 2017 120 640,800.00 76,896,000.00 2 640,800.00 1,281,600.00
60 HANDRUB 5 L 2017 120 580,000.00 69,600,000.00 8 580,000.00 4,640,000.00
61 GUEDEL AIRWAY NO.2 2017 100 14,200.00 1,420,000.00 20 14,200.00 284,000.00
62 STOMACH TUBE NO.12 (SAFEED) 125 CM 2017 100 15,373.00 1,537,300.00 - 15,373.00 -
63 SUCTION CATHETER NO. 14 2017 39 6,638.50 258,901.50 39 6,638.50 258,901.50
64 BENANG COROLINE 4/0 TUPPER 2017 21 116,160.00 2,439,360.00 - 116,160.00 -
65 BENANG COROLINE 4/0 TUPPER 2017 14 116,160.00 1,626,240.00 116,160.00 -
66 ALKAZYME 2017 9 800,978.20 7,208,803.80 - 800,978.20 -
67 ALKAZYME 2017 20 801,000.00 16,020,000.00 801,000.00 -
68 ALKACIDE 2017 1 2,702,700.00 2,702,700.00 1 2,702,700.00 2,702,700.00
69 ALKACIDE 2017 20 2,702,700.00 54,054,000.00 16 2,702,700.00 43,243,200.00
70 GUEDEL AIRWAY NO.4 2017 20 22,500.00 450,000.00 - 22,500.00 -
71 FOLLY CHATTER NO.14 2017 15 12,100.00 181,500.00 15 12,100.00 181,500.00
72 LOGICATH CVC 3L 12F 20 CM 2017 9 772,445.00 6,952,005.00 - 772,445.00 -
f Bahan Logistik Rumah Tangga 7,967.00 52,913,500.00 7,599.00 39,356,500.00 13,557,000.00

1 5-May-17 Tang Kombinasi 2017 2.00 88,000.00 199/KPA.SP/2017
176,000.00 2-May-2017 336/BAPHP /V/.2017 5-May-2017 2.00 88,000.00 176,000.00
2 5-May-17 Tang Runcing 2017 2.00 88,000.00 176,000.00
199/KPA.SP/2017 2-May-17 336/BAPHP /V/.2017 5-May-17 2.00 88,000.00 176,000.00
3 5-May-17 Tang Potong 2017 2.00 88,000.00 176,000.00
4 5-May-17 Obeng Kecil Set 6 pcs 2017 1.00 154,000.00 154,000.00
5 5-May-17 Tang Potong Kecil 2017 1.00 71,500.00 71,500.00
6 5-May-17 Tang Runcing Kecil 2017 1.00 71,500.00 71,500.00
7 5-May-17 Tang Alicate Klipper 2017 1.00 192,500.00 192,500.00
8 5-May-17 Tang Stripper And Cutter 2017 1.00 275,000.00 275,000.00
9 5-May-17 Obeng Tool Set 7 pcs 2017 1.00 187,000.00 187,000.00
10 5-May-17 Kikir 6 pcs 2017 1.00 93,500.00 93,500.00
11 5-May-17 Pinset 4 pcs 2017 1.00 93,500.00 93,500.00
12 5-May-17 Kunci L 8 pcs 2017 1.00 253,000.00 253,000.00
13 5-May-17 Obeng HP 31 pcs 2017 1.00 82,500.00 82,500.00
14 5-May-17 Obeng Plus Minus 2017 2.00 44,000.00 88,000.00
15 5-May-17 Test Pen Standart 2017 2.00 16,500.00 33,000.00
16 5-May-17 Test Pen Cable Tester 2017 1.00 66,000.00 66,000.00
17 5-May-17 Multi Tester Analog 2017 1.00 302,500.00 302,500.00
18 5-May-17 Cutter + Blades 2017 1.00 93,500.00 93,500.00
19 5-May-17 Solder Analog Dekko 2017 1.00 302,500.00 302,500.00
20 5-May-17 Penyedot Timah Dekko 2017 1.00 247,500.00 247,500.00
21 5-May-17 Martil Kecil Genggam 2017 1.00 49,500.00 49,500.00
22 5-May-17 Timah Solder + Lotfett 2017 1.00 264,000.00 264,000.00
23 5-May-17 Contact Cleaner 2017 1.00 137,500.00 137,500.00
24 5-May-17 Kabel Ties 2017 4.00 19,250.00 77,000.00
25 5-May-17 Boks Alat Plastik 2017 1.00 170,500.00 170,500.00
26 5-May-17 Baut + Viser 2017 1.00 27,500.00 27,500.00
27 5-May-17 Paku Klem 2017 1.00 27,500.00 27,500.00
28 5-May-17 LAN Tester Standart 2017 2.00 121,000.00 242,000.00
29 5-May-17 Toll Tang Krimping Konektor LAN 2017 2.00 264,000.00 528,000.00
30 5-May-17 Toll Gun Lem Bakar 2017 2.00 242,000.00 484,000.00
31 5-May-17 Batangan Lem Bakar 2017 2.00 181,500.00 363,000.00
32 5-May-17 LAN Tester Tracker Cable 2017 1.00 2,651,000.00 2,651,000.00
199/KPA.SP/2017 2-May-17 336/BAPHP /V/.2017 5-May-17 1.00 2,651,000.00 2,651,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
33 Baskom Plastik 2017 4 68,000.00 272,000.00 - 68,000.00 -
34 Dispenser Sharp 2017 2 3,125,000.00 6,250,000.00 - 3,125,000.00 -
35 Gelas Disposible 2017 7500 340.00 2,550,000.00 7,500.00 340.00 2,550,000.00
36 Gelas plastik untuk dahak 2017 250 5,000.00 1,250,000.00 - 5,000.00 -
37 Jam Dinding Pioner 2017 3 215,000.00 645,000.00 - 215,000.00 -
38 Plastik 2017 2 100,000.00 200,000.00 - 100,000.00 -
39 Pot Sputum 2017 100 11,000.00 1,100,000.00 - 11,000.00 -
40 Rak Pispot 2017 30 750,000.00 22,500,000.00 27.00 750,000.00 20,250,000.00
41 Spel Kit 2017 30 300,000.00 9,000,000.00 28.00 300,000.00 8,400,000.00
42 Gantungan Baju Stainless 2017 2 495,000.00 990,000.00
D Obat-Obatan 2,799,351.00 4,075,876,920.36 1,102,454.00 2,105,410,400.22

a Obat Generik 2,344,069.00 1,668,289,680.57 795,818.00 724,525,474.37
GUDANG FARMASI 877,908.00 932,355,978.45 347,027.00 364,770,762.56
1 ACARBOSE 100 MG 2017 5,500.00 908.14 4,994,787.80 5,500.00 908.14 4,994,787.80
2 ACARBOSE 100 MG 2017 4,500.00 908.14 4,086,644.56 4,500.00 908.14 4,086,644.56
3 ACARBOSE 100 MG 2017 7,300.00 904.24 6,600,924.75 7,300.00 904.24 6,600,924.75
4 ACARBOSE 100 MG 2017 27,200.00 904.24 24,595,226.46 3,200.00 904.24 2,893,556.05
5 ACARBOSE 100 MG 2017 35,500.00 904.24 32,100,387.47 904.24 -
6 ACETYLCYSTEIN KAPSUL 200 mg 2017 3,000.00 447.00 1,341,000.00 3,000.00 447.00 1,341,000.00
7 ALLOPURINOL 300 MG 2017 5,600.00 550.00 3,080,000.00 5,600.00 550.00 3,080,000.00
8 ALLOPURINOL 300 MG 2017 4,400.00 550.00 2,420,000.00 2,000.00 550.00 1,100,000.00
9 AMIKACIN 500mg / 12.5 % 2 ml 2017 50.00 29,714.45 1,485,722.70 25.00 29,714.45 742,861.35
10 AMITRIPTYLIN 25 MG TAB 2017 10,000.00 149.99 1,499,927.00 149.99 -
11 AMITRIPTYLIN 25 MG TAB 2017 67,000.00 150.00 10,050,000.00 7,000.00 150.00 1,050,000.00
12 AMITRIPTYLIN 25 MG TAB 2017 3,000.00 150.00 450,000.00 3,000.00 150.00 450,000.00
13 AMLODIPIN 10 MG 30 tab 2017 2,040.00 592.67 1,209,040.00 592.67 -
14 AMLODIPIN 10 MG 30 tab 2017 540.00 592.67 320,040.00 592.67 -
15 AMLODIPIN 10 MG 30 tab 2017 420.00 592.67 248,920.00 592.67 -
16 AMLODIPINE 5 MG 2017 3,000.00 336.00 1,008,000.00 336.00 -
17 ASAM MEFENAMAT 500 MG 2017 10,000.00 121.77 1,217,700.00 10,000.00 121.77 1,217,700.00
18 ASAM TRANEKSAMAT 500 INJ 2017 1,000.00 2,525.49 2,525,488.08 2,525.49 -
19 ASAM TRANEKSAMAT 500 TAB 2017 2,500.00 1,155.00 2,887,500.00 2,500.00 1,155.00 2,887,500.00
20 BEROTEC 0.1 mg MDI 2017 200.00 80,000.00 16,000,000.00 80,000.00 -
21 BEROTEC 0.1 mg MDI 2017 100.00 80,000.00 8,000,000.00 80,000.00 -
22 CANDESARTAN 16 MG 2017 1,500.00 5,575.07 8,362,604.25 1,440.00 5,575.07 8,028,100.08
23 CANDESARTAN 8 MG 2017 1,500.00 3,660.08 5,490,119.25 1,500.00 3,660.08 5,490,119.25
24 CANDESARTAN 8 MG 2017 9,450.00 3,644.83 34,443,634.09 9,450.00 3,644.83 34,443,634.09
25 CANDESARTAN 8 MG 2017 2,880.00 3,644.83 10,497,107.53 3,644.83 -
26 CANDESARTAN 8 MG 2017 2,670.00 3,644.83 9,731,693.44 570.00 3,644.83 2,077,552.53
27 CEFADROXIL 500 MG (100 tab) 2017 5,000.00 534.00 2,669,999.20 534.00 -
28 CEFIXIME DRY SYR 600 mg/30 Ml 2017 125.00 19,057.50 2,382,187.50 125.00 19,057.50 2,382,187.50
29 CEFIXIME DRY SYR 600 mg/30 Ml 2017 75.00 19,057.50 1,429,312.50 75.00 19,057.50 1,429,312.50
30 CEFOPERAZONE INJ 2017 350.00 25,300.00 8,855,000.00 350.00 25,300.00 8,855,000.00
31 CEFOTAXIM INJ 1000 MG 2017 2,000.00 5,635.00 11,270,001.60 5,635.00 -
32 CEFTAZIDIM INJ 1 gr 2017 100.00 17,050.21 1,705,020.90 100.00 17,050.21 1,705,020.90
33 CETIRIZINE 5 MG/ 5 ML SIRUP 2017 300.00 6,438.18 1,931,454.00 50.00 6,438.18 321,909.00
34 CETIRIZINE TAB 10 Mg (50 TAB) 2017 60,000.00 145.00 8,700,000.00 4,200.00 145.00 609,000.00
35 CETIRIZINE TAB 10 Mg (50 TAB) 2017 5,000.00 172.43 862,125.00 5,000.00 172.43 862,125.00
36 CLOPIDOGREL 2017 5,760.00 2,365.90 13,627,595.52 3,990.00 2,365.90 9,439,948.98
37 CLOPIDOGREL 2017 4,230.00 2,365.90 10,007,765.46 2,365.90 -
38 CLOPIDOGREL 2017 10,020.00 2,000.00 20,040,000.00 2,000.00 -
39 DEXKETOPROPEN TROMETAMOL 50/2 mg 2017 250.00 22,440.00 5,610,000.00 250.00 22,440.00 5,610,000.00
40 DOMPERIDON 10 MG TAB 2017 27,400.00 118.00 3,233,200.00 16,000.00 118.00 1,888,000.00
41 DOMPERIDON 10 MG TAB 2017 2,600.00 118.00 306,800.00 2,600.00 118.00 306,800.00
42 DOMPERIDON SYR 2017 500.00 3,090.00 1,545,000.00 200.00 3,090.00 618,000.00
43 EPINEPHRINE INJ 1 mg 2017 200.00 2,354.00 470,800.00 100.00 2,354.00 235,400.00
44 ERITROMISIN SIRUP 200 MG/ 5 ML 2017 500.00 6,867.00 3,433,500.00 20.00 6,867.00 137,340.00
45 FENOFIBRAT KAPS 100 MG 2017 2,010.00 1,073.00 2,156,730.00 1,073.00 -
46 FENOFIBRAT KAPS 300 MG 2017 5,070.00 1,303.00 6,606,209.32 1,303.00 -
47 FENOFIBRAT KAPS 300 MG 2017 2,940.00 1,303.00 3,830,819.61 1,620.00 1,303.00 2,110,859.78
48 FLUCONAZOL 150 MG 2017 1,000.00 18,900.00 18,900,000.00 360.00 18,900.00 6,804,000.00
49 FLUNARIZINE - 5 TAB 2017 10,760.00 920.00 9,899,197.81 920.00 -
50 FOSFOMYCIN 1 G 2017 20.00 25,979.63 519,592.55 25,979.63 -
51 GENTAMICIN 40 MG/ML INJ 2017 300.00 3,237.00 971,100.00 3,237.00 -
52 GENTAMISIN 0.1% SALEP KULIT 2017 300.00 1,860.10 558,030.00 152.00 1,860.10 282,735.20
53 GLIMEPIRIDE 1 MG 2017 5,000.00 220.00 1,100,000.00 220.00 -
54 GLIMEPIRIDE 2 MG 2017 10,000.00 290.00 2,900,000.00 3,700.00 290.00 1,073,000.00
55 GLIMEPIRIDE 4 MG 2017 3,450.00 363.00 1,252,350.00 363.00 -
56 GLIMEPIRIDE 4 MG 2017 3,450.00 330.00 1,138,500.00 330.00 -
57 GLIMEPIRIDE 4 MG 2017 1,550.00 330.00 511,500.00 330.00 -
58 GLUKOSA 10% (D10) 2017 500.00 7,500.00 3,750,000.00 20.00 7,500.00 150,000.00
59 GLUKOSA 5% (D5) 2017 120.00 6,273.00 752,760.00 120.00 6,273.00 752,760.00
60 GLUKOSA 5% (D5) 2017 200.00 6,900.00 1,380,000.00 200.00 6,900.00 1,380,000.00
61 GLUKOSA 5% (D5) 2017 400.00 6,900.30 2,760,120.00 300.00 6,900.30 2,070,090.00
62 HIDROKORTISON CREAM 2.5% 2017 1,000.00 2,650.00 2,650,000.00 144.00 2,650.00 381,600.00
63 IMEPENEM CILASTATIN 1 G 2017 10.00 73,547.96 735,479.59 10.00 73,547.96 735,479.59
64 IRBESARTAN 150 2017 10,020.00 708.00 7,094,159.67 1,740.00 708.00 1,231,919.94
65 IRBESARTAN 300 2017 10,020.00 1,152.00 11,543,040.00 3,360.00 1,152.00 3,870,720.00
66 KETEROLAC 30 MG/1 ML 2017 750.00 5,613.30 4,209,975.00 750.00 5,613.30 4,209,975.00
67 KETEROLAC 30 MG/1 ML 2017 4,284.00 1,308.00 5,603,472.00 684.00 1,308.00 894,672.00
68 KETEROLAC 30 MG/1 ML 2017 240.00 1,308.00 313,920.00 1,308.00 -
69 KETOCONAZOL KRIM 15 GR 2 % 2017 240.00 6,650.00 1,596,000.00 44.00 6,650.00 292,600.00
70 KLORFENIRAMINA MALEAT (CTM) TA 2017 9,000.00 43.00 387,000.00 43.00 -
71 KLORFENIRAMINA MALEAT (CTM) TA 2017 1,000.00 43.00 43,000.00 43.00 -
72 LANSOPRAZOLE 30 mg (BOX/20 ) 2017 8,900.00 904.18 8,047,158.68 8,900.00 904.18 8,047,158.68
73 LANSOPRAZOLE 30 mg (BOX/20 ) 2017 6,000.00 743.24 4,459,455.00 6,000.00 743.24 4,459,455.00
74 LANSOPRAZOLE 30 mg (BOX/20 ) 2017 6,000.00 1,486.49 8,918,910.00 6,000.00 1,486.49 8,918,910.00
75 LANSOPRAZOLE 30 mg (BOX/20 ) 2017 2,000.00 743.25 1,486,500.00 320.00 743.25 237,840.00
76 LANSOPRAZOLE 30 mg (BOX/20 ) 2017 1,680.00 743.25 1,248,660.00 743.25 -
77 LANSOPRAZOLE 30 mg (BOX/20 ) 2017 320.00 743.25 237,840.00 743.25 -
78 LEVOFLOXACIN 500 MG 2017 11,250.00 807.58 9,085,230.00 11,250.00 807.58 9,085,230.00
79 LEVOFLOXACIN 500 MG 2017 3,750.00 807.58 3,028,410.00 3,750.00 807.58 3,028,410.00
82 LIDOKAIN INJ 2% + EPINEFRIN 2017 990.00 1,937.00 1,917,630.00 1,937.00 -
83 LORATADINE TAB 10 mg 2017 10,000.00 366.39 3,663,880.00 366.39 -
84 MECOBALAMIN 500 TAB 2017 2,400.00 847.00 2,032,800.00 847.00 -
85 MECOBALAMIN 500 TAB 2017 2,400.00 693.00 1,663,200.00 2,400.00 693.00 1,663,200.00
86 MECOBALAMIN 500 TAB 2017 2,000.00 693.00 1,386,000.00 2,000.00 693.00 1,386,000.00
87 MECOBALAMIN INJ 2017 180.00 9,680.00 1,742,400.00 180.00 9,680.00 1,742,400.00
88 MECOBALAMIN INJ 2017 60.00 9,680.00 580,800.00 60.00 9,680.00 580,800.00
89 MECOBALAMIN INJ 2017 294.00 7,920.00 2,328,480.00 294.00 7,920.00 2,328,480.00
90 MEROPENEM 0,5 GR 2017 50.00 38,503.08 1,925,154.00 50.00 38,503.08 1,925,154.00
91 MEROPENEM 0,5 GR 2017 61.00 43,909.23 2,678,463.00 61.00 43,909.23 2,678,463.00
92 MEROPENEM INJ 1 G 2017 40.00 231,000.00 9,240,000.00 40.00 231,000.00 9,240,000.00
93 MEROPENEM INJ 1 G 2017 60.00 231,000.00 13,860,000.00 60.00 231,000.00 13,860,000.00
94 MEROPENEM INJ 1 G 2017 30.00 242,000.00 7,260,000.00 30.00 242,000.00 7,260,000.00
95 MEROPENEM INJ 1 G 2017 99.00 75,011.60 7,426,148.43 85.00 75,011.60 6,375,986.03
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
101 METFORMIN HCL TAB 500 MG 2017 38,600.00 115.00 4,439,000.50 115.00 -
103 METHYL ERGOMETRINE MAL INJ 0.2 mg/100'S 2017 200.00 3,500.00 700,000.40 200.00 3,500.00 700,000.40
104 METHYL ERGOMETRINE MAL INJ 0.2 mg/100'S 2017 200.00 2,684.00 536,800.00 120.00 2,684.00 322,080.00
105 METHYL ERGOMETRINE MAL INJ 0.2 mg/100'S 2017 1,500.00 2,684.00 4,026,000.00 2,684.00 -
106 METILPREDNISOLONE 4 MG 2017 6,600.00 440.55 2,907,630.00 6,600.00 440.55 2,907,630.00
108 METILPREDNISOLONE 4 MG 2017 7,200.00 352.44 2,537,568.00 1,400.00 352.44 493,416.00
109 METILPREDNISOLONE 4 MG 2017 7,200.00 352.44 2,537,568.00 352.44 -
111 METOKLOPRAMIDE TAB 10 MG 2017 15,000.00 95.00 1,425,000.00 6,200.00 95.00 589,000.00
112 METRONIDAZOL TAB 500 mg 2017 5,000.00 133.00 665,000.60 133.00 -
113 METRONIDAZOLE SIRUP 125 mg/5ml 2017 250.00 3,800.00 950,000.00 50.00 3,800.00 190,000.00
114 MICONAZOL KRIM 2017 600.00 3,410.00 2,046,000.00 134.00 3,410.00 456,940.00
115 MISOPIOSTOL 200 mcg 2017 180.00 4,950.00 891,000.00 4,950.00 -
116 MISOPROSTOL 200 mcg 2017 1,110.00 4,950.00 5,494,500.00 4,950.00 -
117 MISOPROSTOL 200 mcg 2017 90.00 4,950.00 445,500.00 4,950.00 -
118 NACL 0,9 % (NATIRUM CLORIDA) 2017 1,000.00 6,409.70 6,409,700.00 1,000.00 6,409.70 6,409,700.00
119 NACL 0,9 % (NATIRUM CLORIDA) 2017 3,000.00 6,410.00 19,230,000.00 825.00 6,410.00 5,288,250.00
120 NICARDIPINE HCL 10 MG 2017 100.00 44,564.96 4,456,496.00 100.00 44,564.96 4,456,496.00
121 NYSTATIN DROP 2017 50.00 24,200.00 1,210,000.00 50.00 24,200.00 1,210,000.00
122 NYSTATIN DROP 2017 100.00 24,200.00 2,420,000.00 100.00 24,200.00 2,420,000.00
123 OMEPRAZOL INJ 40Mg 2017 500.00 17,435.88 8,717,940.00 17,435.88 -
124 OMEPRAZOL INJ 40Mg 2017 855.00 17,657.00 15,096,735.00 17,657.00 -
125 OMEPRAZOL INJ 40Mg 2017 145.00 17,657.00 2,560,265.00 17,657.00 -
126 ONDANSENTRON 4 MG/2 ML (BOX/ 5 AMP) 2017 2,000.00 9,975.00 19,950,000.00 1,280.00 9,975.00 12,768,000.00
127 OXYTOCIN INJ 10 IU 100 AMP (SANTOCIN) 2017 100.00 2,750.00 275,000.00 100.00 2,750.00 275,000.00
130 OXYTOCIN INJ 10 IU 100 AMP (SANTOCIN) 2017 1,600.00 1,900.00 3,039,995.20 1,900.00 -
131 OXYTOCIN INJ 10 IU 100 AMP (SANTOCIN) 2017 1,600.00 1,900.00 3,039,995.20 1,900.00 -
132 OXYTOCIN INJ 10 IU 100 AMP (SANTOCIN) 2017 700.00 1,900.00 1,329,996.80 1,900.00 -
133 OXYTOCIN INJ 10 IU 100 AMP (SANTOCIN) 2017 100.00 1,900.00 189,999.70 1,900.00 -
134 PARACETAMOL 500 MG (BOTOL) 2017 3,000.00 60.00 180,000.00 3,000.00 60.00 180,000.00
135 PARACETAMOL 500 MG (BOTOL) 2017 5,000.00 62.00 310,000.00 5,000.00 62.00 310,000.00
136 PARACETAMOL 500 MG (BOX) 2017 20,000.00 132.00 2,640,000.00 20,000.00 132.00 2,640,000.00
139 PARACETAMOL 500 MG (BOX) 2017 2,100.00 217.80 457,380.00 2,100.00 217.80 457,380.00
140 PARACETAMOL DROP 2017 1,200.00 5,460.00 6,552,004.80 168.00 5,460.00 917,280.67
141 PARACETAMOL SYR 2017 500.00 3,493.60 1,746,800.00 500.00 3,493.60 1,746,800.00
142 PHENYTOIN SODIUM INJ 50 mg 2017 90.00 56,005.40 5,040,486.00 90.00 56,005.40 5,040,486.00
143 PHENYTOIN SODIUM INJ 50 mg 2017 100.00 55,213.40 5,521,340.00 100.00 55,213.40 5,521,340.00
144 PROPANOLOL 10 mg 2017 20,000.00 66.00 1,320,000.00 20,000.00 66.00 1,320,000.00
145 PROPILTHIOURASIL TAB 100 MG (PTU) 2017 7,800.00 453.22 3,535,131.60 7,800.00 453.22 3,535,131.60
146 PROPILTHIOURASIL TAB 100 MG (PTU) 2017 2,200.00 453.22 997,088.40 2,200.00 453.22 997,088.40
147 RANITIDIN INJ 50 MG/2ML 2017 6,550.00 14,400.10 94,320,655.00 14,400.10 -
148 RANITIDIN INJ 50 MG/2ML 2017 3,450.00 14,400.10 49,680,345.00 14,400.10 -
149 RINGER LAKTAT 500 ML (1 DUS/20 BOTOL) 2017 6,000.00 7,150.00 42,900,000.00 4,040.00 7,150.00 28,886,000.00
150 SALBUTAMOL 2 MG 2017 20,000.00 66.99 1,339,888.00 14,000.00 66.99 937,921.60
151 SALBUTAMOL 4 MG 2017 5,000.00 102.85 514,250.00 102.85 -
152 SALISIL TALC 2 2017 450.00 1,046.00 470,700.00 50.00 1,046.00 52,300.00
153 SALISIL TALC 2 2017 50.00 1,046.00 52,300.00 50.00 1,046.00 52,300.00
154 TRAMADOL 100MG/2 ML INJ 2017 500.00 7,681.96 3,840,980.00 500.00 7,681.96 3,840,980.00
155 VALSARTAN 80 mg 2017 19,980.00 1,792.54 35,814,926.32 4,950.00 1,792.54 8,873,067.33
156 ZINC PRO 10 mg/ml 2017 38.00 10,709.66 406,967.08 10,709.66 -
157 ZINC PRO 10 mg/ml 2017 462.00 10,709.66 4,947,862.96 101.00 10,709.66 1,081,675.67
narkotika
1 CLOBAZAM 10 MG 2017 2,000.00 1,122.19 2,244,374.00 2,000.00 1,122.19 2,244,374.00
2 CLOBAZAM 10 MG 2017 2,000.00 1,005.81 2,011,626.94 1,005.81 -
3 FENTANYL INJ 2017 150.00 40,000.40 6,000,060.00 150.00 40,000.40 6,000,060.00
4 FENTANYL INJ 2017 100.00 40,000.00 4,000,000.00 20.00 40,000.00 800,000.00
5 FENTANYL INJ 2017 500.00 40,000.00 20,000,000.00 40,000.00 -
6 MORFIN INJ 10 MG/ML 2017 50.00 10,499.39 524,969.50 10.00 10,499.39 104,993.90
APOTIK 1,466,161 735,933,702 448,791 359,754,712

1 AMIKACIN 500mg / 12.5 % 2 ml 2017 40 66,131 2,645,257.42 40.00 66,131 2,645,257.42
2 AMINOPHYLLIN 200 mg TAB 2017 6,800 92 625,599.70 92 -
3 AMINOPHYLLIN 200 mg TAB 2017 13,200 92 1,214,401.10 92 -
4 AMINOPHYLLIN INJ 24 mg/ml 2017 600 2,998 1,798,808.00 2,998 -
5 AMINOPHYLLIN INJ 24 mg/ml 2017 600 3,382 2,029,055.60 3,382 -
6 AMLODIPIN 10 MG 30 tab 2017 3,000 167 501,000.00 3,000.00 167 501,000.00
7 AMLODIPIN 10 MG 30 tab 2017 1,470 1,693 2,489,200.00 1,470.00 1,693 2,489,200.00
8 AMLODIPIN 10 MG 30 tab 2017 1,530 677 1,036,320.00 1,530.00 677 1,036,320.00
9 AMLODIPIN 10 MG 30 tab 2017 1,530 1,007 1,540,846.85 1,530.00 1,007 1,540,846.85
10 AMLODIPIN 10 MG 30 tab 2017 9,000 312 2,805,000.00 9,000.00 312 2,805,000.00
11 AMLODIPIN 10 MG 30 tab 2017 15,000 167 2,505,000.00 15,000.00 167 2,505,000.00
12 AMLODIPIN 10 MG 30 tab 2017 2,370 312 738,650.00 1,740.00 312 542,300.00
13 AMLODIPIN 10 MG 30 tab 2017 12,630 312 3,936,350.00 312 -
14 AMLODIPINE 5 MG 2017 3,000 116 348,000.00 1,500.00 116 174,000.00
15 AMLODIPINE 5 MG 2017 2,340 436 1,021,000.80 2,340.00 436 1,021,000.80
16 AMLODIPINE 5 MG 2017 2,340 960 2,246,400.00 2,340.00 960 2,246,400.00
17 AMLODIPINE 5 MG 2017 660 384 253,440.00 660.00 384 253,440.00
18 AMLODIPINE 5 MG 2017 660 571 376,533.57 660.00 571 376,533.57
19 AMLODIPINE 5 MG 2017 9,000 220 1,980,000.00 220 -
20 AMLODIPINE 5 MG 2017 30,000 116 3,480,000.00 116 -
21 AMLODIPINE 5 MG 2017 30,000 183 5,500,000.00 183 -
22 AMLODIPINE 5 MG 2017 18,600 88 1,636,800.00 88 -
23 AMLODIPINE 5 MG 2017 27,300 88 2,402,400.00 88 -
24 AMOXICILLIN 100 mg/ml DROP 2017 180 4,765 857,710.45 60.00 4,765 285,903.48
25 AMOXICILLIN 100 mg/ml DROP 2017 220 15,400 3,388,000.00 15,400 -
26 ANTASIDA DOEN SUSPENSI 2017 73 5,968 435,627.50 73.00 5,968 435,627.50
27 ATORVASTATIN 10 MG 2017 1,200 1,845 2,214,000.00 1,200.00 1,845 2,214,000.00
28 ATORVASTATIN 10 MG 2017 1,800 1,845 3,321,000.00 1,800.00 1,845 3,321,000.00
29 ATORVASTATIN 10 MG 2017 1,620 1,845 2,988,900.00 1,620.00 1,845 2,988,900.00
30 ATORVASTATIN 10 MG 2017 1,980 1,845 3,653,100.00 1,980.00 1,845 3,653,100.00
31 ATORVASTATIN 20 MG 2017 540 2,819 1,522,125.00 540.00 2,819 1,522,125.00
32 ATORVASTATIN 20 MG 2017 960 2,819 2,706,000.00 960.00 2,819 2,706,000.00
33 ATORVASTATIN CALCIUM TAB 10 mg 2017 3,000 2,204 6,613,143.55 3,000.00 2,204 6,613,143.55
34 AZITROMICIN SERBUK INFUS 500 MG/ML 2017 48 121,220 5,818,560.00 48.00 121,220 5,818,560.00
35 BETAHISTINE MESILAT 6 mg 2017 5,010 162 811,620.00 5,010.00 162 811,620.00
36 BETAMETASON 0.1 % KRIM 2017 800 1,349 1,079,200.00 1,349 -
37 BIOSAT 1,5 2017 100 160,875 16,087,500.00 50.00 160,875 8,043,750.00
38 BISOPROLOL 5 MG 2017 800 363 290,400.00 800.00 363 290,400.00
39 BISOPROLOL 5 MG 2017 4,200 363 1,524,600.00 4,200.00 363 1,524,600.00
40 BISOPROLOL 5 MG 2017 20,000 138 2,750,000.00 20,000.00 138 2,750,000.00
41 BISOPROLOL 5 MG 2017 2,500 275 687,500.00 2,500.00 275 687,500.00
42 CA GLUCONAS 2017 144 9,955 1,433,520.00 9,955 -
43 CA GLUCONAS 2017 456 9,955 4,539,480.00 9,955 -
44 CANDESARTAN 16 MG 2017 15,000 1,155 17,325,000.00 8,280.00 1,155 9,563,400.00
45 CARBAMAZEPINE 200 MG 2017 1,000 280 280,000.01 1,000.00 280 280,000.01
46 CEFADROXIL 125 MG/5 ML 2017 100 4,586 458,600.00 100.00 4,586 458,600.00
47 CEFADROXIL 125 MG/5 ML 2017 250 4,100 1,025,000.00 250.00 4,100 1,025,000.00
48 CEFADROXIL 500 MG (50 tab) 2017 5,000 1,290 6,450,950.00 2,700.00 1,290 3,483,513.00
49 CEFADROXIL DS 125 MG/5 ML 2017 500 5,000 2,500,000.00 5,000 -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
50 CEFIXIME DRY SYR 100 mg/5 Ml 2017 300 2,569 770,617.65 300.00 2,569 770,617.65
51 CEFIXIME DRY SYR 100 mg/5 Ml 2017 1,500 6,150 9,225,000.00 108.00 6,150 664,200.00
52 CEFIXIME KAP 2017 300 1,197 359,187.00 300.00 1,197 359,187.00
53 CEFIXIME KAP 2017 1,000 1,197 1,197,290.00 1,000.00 1,197 1,197,290.00
54 CEFIXIME KAP 2017 2,100 1,197 2,514,309.00 2,100.00 1,197 2,514,309.00
55 CEFIXIME KAP 2017 1,600 1,916 3,065,080.96 1,600.00 1,916 3,065,080.96
56 CEFIXIME KAP 2017 30,000 1,250 37,499,000.00 1,200.00 1,250 1,499,960.00
57 CEFOPERONE SULBACTAM SERBUK INJ 1 GR 2017 628 27,000 16,955,997.00 196.00 27,000 5,291,999.06
58 CETIRIZINE 5 MG/ 5 ML SIRUP 2017 100 9,918 991,809.50 100.00 9,918 991,809.50
59 CETIRIZINE 5 MG/ 5 ML SIRUP 2017 58 10,440 605,525.80 58.00 10,440 605,525.80
60 CETIRIZINE 5 MG/ 5 ML SIRUP 2017 442 10,440 4,614,524.20 62.00 10,440 647,286.20
61 CETIRIZINE 5 MG/ 5 ML SIRUP 2017 240 3,200 767,976.00 3,200 -
62 CETIRIZINE 5 MG/ 5 ML SIRUP 2017 560 3,200 1,791,944.00 3,200 -
63 CETIRIZINE DROPS 2017 49 26,125 1,280,125.00 49.00 26,125 1,280,125.00
64 CETIRIZINE DROPS 2017 56 26,125 1,463,000.00 56.00 26,125 1,463,000.00
65 CETIRIZINE DROPS 2017 83 26,125 2,168,375.00 28.00 26,125 731,500.00
66 CETIRIZINE DROPS 2017 112 26,125 2,926,000.00 26,125 -
67 CETIRIZINE DROPS 2017 29 26,552 770,000.00 26,552 -
68 CHLORAMPHENICOL SYR 2017 300 7,783 2,334,750.00 108.00 7,783 840,510.00
69 CIPROFLOKSASIN INF 2017 200 10,230 2,046,000.00 200.00 10,230 2,046,000.00
70 CIPROFLOKSASIN INF 2017 400 10,230 4,092,000.00 400.00 10,230 4,092,000.00
71 CITICOLIN 1000 Mg 2017 1,500 13,200 19,800,000.00 1,500.00 13,200 19,800,000.00
72 Citicoline 500 mg 2017 1,500 6,600 9,900,000.00 1,500.00 6,600 9,900,000.00
73 CLINDAMYCIN TAB 300 MG 2017 1,000 630 630,000.00 1,000.00 630 630,000.00
74 CLINDAMYCINE 150 mg 2017 3,000 532 1,596,029.23 3,000.00 532 1,596,029.23
75 CO AMOXICLAV 625 MG 2017 30 5,227 156,820.40 30.00 5,227 156,820.40
76 CO AMOXICLAV 625 MG 2017 1,530 5,227 7,997,818.40 1,530.00 5,227 7,997,818.40
77 DEXAMETASON TAB 0.5 mg (100 tab) 2017 25,000 43 1,075,000.00 8,500.00 43 365,500.00
78 DIPHENHYDRAMINE 10 MG/ML INJ 2017 1,140 1,780 2,029,048.00 150.00 1,780 266,980.00
79 DOMPERIDON 10 MG TAB 2017 10,000 371 3,712,500.00 6,000.00 371 2,227,500.00
80 DOMPERIDON 10 MG TAB 2017 30,000 387 11,624,184.00 387 -
81 EPINEPHRINE INJ 1 mg 2017 300 3,167 949,999.30 300.00 3,167 949,999.30
82 EPINEPHRINE INJ 1 mg 2017 1,000 1,848 1,848,000.00 300.00 1,848 554,400.00
83 FLUCONAZOL 150 MG 2017 10 18,900 188,999.80 10.00 18,900 188,999.80
84 FLUCONAZOL 150 MG 2017 90 19,800 1,782,026.00 90.00 19,800 1,782,026.00
85 FOLIC ACID 1 MG (ASAM FOLAT) 2017 11,900 77 916,300.00 77 -
86 FOLIC ACID 1 MG (ASAM FOLAT) 2017 28,100 77 2,163,700.00 77 -
87 FOLIC ACID 1 MG (ASAM FOLAT) 2017 60,000 77 4,620,000.00 77 -
88 FUROSEMIDA 40 MG (100 tab) 2017 30,000 182 5,451,930.00 30,000.00 182 5,451,930.00
89 FUROSEMIDA 40 MG (200 tab) 2017 20,000 81 1,619,970.00 81 -
90 FUROSEMIDE INJ 10 mg 2017 300 2,689 806,603.11 2,689 -
91 GENTAMYCIN 0,1 % SALEP KULIT 2017 300 1,807 542,206.50 300.00 1,807 542,206.50
92 GLIMEPIRIDE 1 MG 2017 10,000 200 2,000,000.00 200 -
93 GLIMEPIRIDE 4 MG 2017 4,400 295 1,298,000.00 295 -
94 GLIMEPIRIDE 4 MG 2017 5,600 295 1,652,000.00 295 -
95 GLUKOSA 5% (D5) 2017 600 6,900 4,140,180.00 600.00 6,900 4,140,180.00
96 GLUKOSA 5% (D5) 2017 1,000 6,900 6,900,000.00 80.00 6,900 552,000.00
97 GLYCERIL GUAIACOLAT 100 MG 2017 10,000 108 1,079,980.00 108 -
98 HYDROCLOROTIAZID 25 MG 2017 10,000 156 1,560,000.00 156 -
99 IRBESARTAN 150 2017 2,050 450 922,541.00 2,050.00 450 922,541.00
100 IRBESARTAN 150 2017 2,600 450 1,170,052.00 1,890.00 450 850,537.80
101 IRBESARTAN 150 2017 2,600 450 1,170,052.00 450 -
102 IRBESARTAN 150 2017 2,600 450 1,170,052.00 450 -
103 KALSIUM LAKTAT 2017 10,000 66 660,000.00 10,000.00 66 660,000.00
104 KALSIUM LAKTAT 2017 10,000 57 570,000.00 10,000.00 57 570,000.00
105 KETEROLAC 30 MG/1 ML 2017 312 1,308 408,096.00 1,308 -
106 KETOCONAZOL KRIM 10 GR 2 % 2017 366 2,547 932,202.00 46.00 2,547 117,162.00
107 KETOCONAZOL KRIM 10 GR 2 % 2017 134 2,547 341,298.00 134.00 2,547 341,298.00
108 LANSOPRAZOLE 30 mg (BOX/20 ) 2017 25,520 331 8,447,120.00 1,040.00 331 344,240.00
109 LANSOPRAZOLE 30 mg (BOX/20 ) 2017 14,960 331 4,951,760.00 14,960.00 331 4,951,760.00
110 LANSOPRAZOLE 30 mg (BOX/20 ) 2017 10,000 1,289 12,891,727.16 10,000.00 1,289 12,891,727.16
113 LANSOPRAZOLE 30 mg (BOX/20 ) 2017 2,720 331 900,320.00 2,720.00 331 900,320.00
114 LANSOPRAZOLE 30 mg (BOX/20 ) 2017 2,000 480 959,970.00 2,000.00 480 959,970.00
118 LEVOFLOXASIN INF (1 BTL) 2017 187 24,035 4,494,545.00 37.00 24,035 889,295.00
119 LEVOFLOXASIN INF (16 BTL) 2017 156 33,000 5,148,000.00 124.00 33,000 4,092,000.00
122 LEVOFLOXASIN TAB 500 MG (50 tab) 2017 400 1,038 415,324.80 400.00 1,038 415,324.80
123 LEVOFLOXASIN TAB 500 MG (50 tab) 2017 3,100 1,038 3,218,767.20 3,100.00 1,038 3,218,767.20
124 LOPERAMIDE HCL 2 MG 2017 5,000 87 435,000.00 87 -
125 LYNCOMYCIN 500 MG 2017 5,000 1,701 8,505,000.00 5,000.00 1,701 8,505,000.00
126 MAGASIDA TAB 2017 10,000 908 9,079,950.00 6,600.00 908 5,992,767.00
127 MECOBALAMIN 500 TAB 2017 4,800 693 3,326,400.00 4,800.00 693 3,326,400.00
128 MECOBALAMIN 500 TAB 2017 7,600 693 5,266,800.00 7,600.00 693 5,266,800.00
129 MECOBALAMIN INJ 2017 120 8,800 1,056,000.00 120.00 8,800 1,056,000.00
130 MECOBALAMIN INJ 2017 180 8,800 1,584,000.00 180.00 8,800 1,584,000.00
131 MECOBALAMIN INJ 2017 198 8,800 1,742,400.00 198.00 8,800 1,742,400.00
132 MEFENAMIC ACID 2017 15,000 125 1,875,000.00 8,000.00 125 1,000,000.00
133 MEFENAMIC ACID 2017 30,000 112 3,360,000.00 112 -
134 MEFENAMIC ACID 2017 50,000 102 5,100,000.00 102 -
135 MEROPENEM INJ 1 G 2017 400 39,990 15,996,024.00 160.00 39,990 6,398,409.60
136 METFORMIN HCL TAB 500 MG 2017 21,100 99 2,088,900.00 99 -
139 METIL PREDNISOLON 16 MG 2017 1,500 651 976,500.00 1,500.00 651 976,500.00
140 METIL PREDNISOLON 8 MG 2017 20,000 316 6,320,000.00 4,000.00 316 1,264,000.00
141 METIL PREDNISOLON INJ 125 ML 2017 100 26,005 2,600,500.00 100.00 26,005 2,600,500.00
142 METIL PREDNISOLON INJ 125 ML 2017 300 26,005 7,801,500.00 264.00 26,005 6,865,320.00
143 METIL PREDNISOLON INJ 125 ML 2017 10 15,997 159,969.81 15,997 -
144 METIL PREDNISOLON INJ 125 ML 2017 290 15,997 4,639,124.39 15,997 -
145 METILPREDNISOLONE 4 MG 2017 5,700 160 911,972.00 5,700.00 160 911,972.00
146 METILPREDNISOLONE 4 MG 2017 114,300 160 18,287,429.00 30,300.00 160 4,847,848.63
147 METOKLOPERAMID INJ 10 mg 2017 600 3,565 2,139,060.00 600.00 3,565 2,139,060.00
148 METOKLOPERAMID INJ 10 mg 2017 310 3,300 1,023,000.00 310.00 3,300 1,023,000.00
149 METOKLOPERAMID INJ 10 mg 2017 1,690 3,300 5,577,000.00 190.00 3,300 627,000.00
150 METOKLOPRAMIDE TAB 5 MG GENERIK 2017 50,000 127 6,325,000.00 127 -
151 MISOPROSTOL 200 mcg 2017 270 4,950 1,336,500.00 270.00 4,950 1,336,500.00
152 NACL 0,9 % (NATIRUM CLORIDA) 2017 2,000 6,410 12,819,400.00 1,380.00 6,410 8,845,386.00
153 NYSTATIN DROP 2017 20 23,100 462,000.00 23,100 -
154 NYSTATIN DROP 2017 200 23,100 4,620,000.00 100.00 23,100 2,310,000.00
155 OMEPRAZOL INJ 40Mg 2017 450 28,931 13,018,819.35 162.00 28,931 4,686,774.97
156 OMEPRAZOL INJ 40Mg 2017 120 18,008 2,160,972.00 120.00 18,008 2,160,972.00
157 OMEPRAZOLE TAB 2017 480 148 71,039.94 148 -
158 OMEPRAZOLE TAB 2017 7,530 148 1,114,439.00 148 -
159 OMEPRAZOLE TAB 2017 9,090 148 1,345,318.79 148 -
160 OMEPRAZOLE TAB 2017 42,900 148 6,349,194.28 148 -
161 ONDANSENTRON 4 MG/2 ML (BOX/ 10 AMP) 2017 1,500 4,400 6,600,000.00 4,400 -
162 ONDANSENTRON 4 MG/2 ML (BOX/ 5 AMP) 2017 2,000 1,254 2,508,000.00 1,180.00 1,254 1,479,720.00
163 ONDANSENTRON 8 MG/4 ML 2017 110 6,400 704,011.00 110.00 6,400 704,011.00
164 ONDANSENTRON 8 MG/4 ML 2017 190 6,400 1,216,019.00 190.00 6,400 1,216,019.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
165 ONDANSENTRON TAB 2017 1,000 1,232 1,232,000.00 1,000.00 1,232 1,232,000.00
166 PARACETAMOL SYR 2017 2,000 1,013 2,026,000.02 400.00 1,013 405,200.00
167 PHENYTOIN SODIUM INJ 50 mg 2017 100 8,010 801,000.20 100.00 8,010 801,000.20
168 PHYTOMENADIONE INJ 2 MG/ML 2017 150 4,660 698,984.00 150.00 4,660 698,984.00
169 PHYTOMENADIONE INJ 2 MG/ML 2017 1,260 4,083 5,144,580.00 450.00 4,083 1,837,350.00
170 PIOGLITAZONE 15 MG 2017 1,500 2,805 4,207,500.00 2,805 -
171 PIOGLITAZONE 30 MG 2017 1,500 4,675 7,012,500.00 4,675 -
172 PREDNISON 5 MG BOX 2017 20,000 316 6,320,000.00 316 -
173 PREGABALIN kap 75 mg 2017 120 5,427 651,294.44 120.00 5,427 651,294.44
174 PREGABALIN kap 75 mg 2017 1,860 5,427 10,095,063.82 1,860.00 5,427 10,095,063.82
175 PROPILTHIOURASIL TAB 100 MG (PTU) 2017 10,000 328 3,276,512.03 10,000.00 328 3,276,512.03
176 RANITIDINE 150 MG 2017 5,600 253 1,415,383.20 5,600.00 253 1,415,383.20
177 RANITIDINE 150 MG 2017 14,400 253 3,639,556.80 14,400.00 253 3,639,556.80
178 RANITIDINE 150 MG 2017 50,000 100 4,999,500.00 20,000.00 100 1,999,800.00
179 SALBUTAMOL 2 MG 2017 4,800 78 374,404.00 4,800.00 78 374,404.00
180 SALBUTAMOL 4 MG 2017 50,000 89 4,450,000.50 20,000.00 89 1,780,000.20
181 SIMVASTATIN 10 mg 2017 5,000 124 621,500.00 5,000.00 124 621,500.00
182 SIMVASTATIN 10 MG 2017 15,000 124 1,864,500.00 5,400.00 124 671,220.00
183 TRAMADOL 100MG/2 ML INJ 2017 1,500 6,914 10,370,700.00 140.00 6,914 967,932.00
184 TRAMADOL 100MG/2 ML INJ 2017 500 1,890 945,000.00 500.00 1,890 945,000.00
185 TRIHEXYPHENIDYL 2 MG 2017 600 92 55,199.99 600.00 92 55,199.99
186 TRIHEXYPHENIDYL 2 MG 2017 24,400 92 2,244,800.02 4,400.00 92 404,800.00
187 VALSARTAN 160 mg TAB 2017 3,000 5,169 15,507,010.48 3,000.00 5,169 15,507,010.48
188 VITAMIN B COMPLEX 2017 600 120 71,999.40 600.00 120 71,999.40
189 VITAMIN B COMPLEX 2017 9,400 120 1,127,990.60 9,400.00 120 1,127,990.60
190 VITAMIN B6 10 MG (SUPLEMEN MAKANAN) 2017 10,000 124 1,240,030.00 10,000.00 124 1,240,030.00
NARKOTIKA 2017 -
1 ALPRAZOLAM 0,5 MG 2017 4,000 585 2,340,008.00 4,000.00 585 2,340,008.00
2 ALPRAZOLAM 0,5 MG 2017 5,000 585 2,925,010.00 585 -
3 ALPRAZOLAM 0,5 MG 2017 20,000 135 2,700,000.01 135 -
4 ALPRAZOLAM 1 MG 2017 400 900 359,999.20 400.00 900 359,999.20
5 ALPRAZOLAM 1 MG 2017 7,600 900 6,839,984.80 7,600.00 900 6,839,984.80
6 ALPRAZOLAM 1 MG 2017 5,000 900 4,499,990.00 900 -
7 CODEIN 10 MG 2017 10,000 605 6,050,000.00 605 -
8 EPHEDRINE INJ 50 mg/ml 2017 20 9,878 197,560.00 20.00 9,878 197,560.00
9 EPHEDRINE INJ 50 mg/ml 2017 480 9,878 4,741,440.00 80.00 9,878 790,240.00
10 FENTANYL INJ 2017 800 40,000 32,000,000.00 50.00 40,000 2,000,000.00
11 MORFINA 10 MG/ML 2017 50 10,499 524,969.50 50.00 10,499 524,969.50
12 PETHIDIN HCL 50 MG/ML INJ 2017 50 13,191 659,571.00 13,191 -
b Obat Non Generik 455,282.00 2,407,587,239.79 306,636.00 1,380,884,925.84 1,026,702,313.95

GUDANG FARMASI 94,809.00 640,935,336.97 94,589.00 633,270,439.51
1 ALPHAMOL DROPS (paracetamol) 2017 80 7,140.63 571,250.63 80 7,140.63 571,250.63
2 ALPHAMOL KAPLET (paracetamol) 2017 198.99 - 198.99 -
5 AMINOFLUID 2017 20 64,990.20 1,299,804.00 20 64,990.20 1,299,804.00
6 AMINOFLUID 2017 30 64,990.20 1,949,706.00 30 64,990.20 1,949,706.00
7 AMINOFLUID 2017 64,990.20 - 64,990.20 -
8 AMINOFLUID 2017 64,990.00 - 64,990.00 -
9 AMINOSTERIL INFANT 6 % 2017 3 20,190.31 60,570.93 3 20,190.31 60,570.93
10 APIDRA SOLOSTAR 2017 25 86,999.88 2,174,997.00 25 86,999.88 2,174,997.00
11 ARICEPT EVESS 10 mg 2017 728 12,381.71 9,013,886.23 728 12,381.71 9,013,886.23
12 ARICEPT EVESS 10 mg 2017 672 12,381.71 8,320,510.36 672 12,381.71 8,320,510.36
13 ASERING 2017 9,275.00 - 9,275.00 -
14 ASERING 2017 9,275.00 - 9,275.00 -
15 AVAMYS NASAL SPRAY 2017 27 102,147.88 2,757,992.84 27 102,147.88 2,757,992.84
16 AVAMYS NASAL SPRAY 2017 102,147.88 - 102,147.88 -
17 AVODART 0,5 MG 2017 7,750.01 - 7,750.01 -
18 AVODART 0,5 MG 2017 300 7,750.01 2,325,004.00 300 7,750.01 2,325,004.00
19 AVODART 0,5 MG 2017 6,610.31 - 6,610.31 -
20 BUFACETIN SALEP 2017 68 3,545.30 241,080.40 68 3,545.30 241,080.40
21 BUNASCAN SPINAL 0.5 PCT HEAVY 4 ML 2017 100 38,280.00 3,828,000.00 100 38,280.00 3,828,000.00
22 BUNASCAN SPINAL 0.5 PCT HEAVY 4 ML 2017 63,800.00 - 63,800.00 -
23 BURNAZIN CR 10 G 2017 43 44,500.00 1,913,500.00 43 44,500.00 1,913,500.00
24 BURNAZIN CR 10 G 2017 52,376.50 - 52,376.50 -
25 BURNAZIN CR 10 G 2017 52,376.50 - 52,376.50 -
26 BUSCOPAN 20 MG/ML AMP 2017 50 32,920.50 1,646,025.00 50 32,920.50 1,646,025.00
27 CATAPRES 150 MCG/ML INJ 2017 50 32,600.00 1,630,000.00 50 32,600.00 1,630,000.00
28 CATAPRES 150 MCG/ML INJ 2017 20 32,600.00 652,000.00 20 32,600.00 652,000.00
29 CATAPRES 150 MCG/ML INJ 2017 32,600.00 - 32,600.00 -
30 CATAPRES 150 MCG/ML INJ 2017 180 32,600.00 5,868,000.00 180 32,600.00 5,868,000.00
31 CETADOP INJ 200 mg 2017 - 7,418.12 - - 7,418.12 -
32 CLATATIN TAB (LORATADINE) 2017 1,200 283.36 340,032.00 1,200 283.36 340,032.00
33 CLATATIN TAB (LORATADINE) 2017 1,193.50 - 1,193.50 -
34 COMBIVENT UDV 2.5 ML 2017 2,700 4,995.00 13,486,500.00 2,700 4,995.00 13,486,500.00
35 COMBIVENT UDV 2.5 ML 2017 4,995.00 - 4,995.00 -
36 COMBIVENT UDV 2.5 ML 2017 5,700.00 - 5,700.00 -
37 COTRIMAXOZOL 480 mg 2017 154.00 - 154.00 -
38 COTRIMAXOZOL SUSPENSI 2017 50 2,183.00 109,150.00 50 2,183.00 109,150.00
39 DENOMIX CREAM 10 gram 2017 20 7,337.79 146,755.76 20 7,337.79 146,755.76
40 DENOMIX CREAM 10 gram 2017 7,337.79 - 7,337.79 -
41 DEPAKENE SYR 120 ml 2017 5 172,370.00 861,850.00 5 172,370.00 861,850.00
42 DEPAKENE SYR 120 ml 2017 140 41,454.19 5,803,586.52 140 41,454.19 5,803,586.52
43 DEPAKOTE ER 250 TAB 2017 2,965.26 - 2,965.26 -
44 DULCOLAX SUPP 10 MG (5 SUPP) 2017 5,800.00 - 5,800.00 -
45 DUROGESIC 25 MU MATRIX 2017 5 187,999.90 939,999.50 5 187,999.90 939,999.50
46 DUVADILAN INJ 2017 6 28,416.67 170,500.00 6 28,416.67 170,500.00
47 DUVADILAN TAB 2017 300 5,500.00 1,650,000.00 300 5,500.00 1,650,000.00
48 EUTHYROX 100 MG 2017 716.02 - 716.02 -
49 EUTHYROX 50 Mcg 2017 716.02 - 716.02 -
50 FARTISON INJ VIAL 100 MG 2017 20 99,000.00 1,980,000.00 20 99,000.00 1,980,000.00
51 FLUIMUCIL 10 % 300 MG / 3 ML 2017 13,066.00 - 13,066.00 -
52 FLUIMUCIL 10 % 300 MG / 3 ML 2017 13,066.00 - 13,066.00 -
53 FLUIMUCIL 10 % 300 MG / 3 ML 2017 1,000 13,066.00 13,066,003.49 1,000 13,066.00 13,066,003.49
54 FORTANEST 15mg/3ml 2017 80 5,137.00 410,960.00 80 5,137.00 410,960.00
55 FORTANEST 15mg/3ml 2017 5,137.00 - 5,137.00 -
56 FORTANEST 5mg/5ml 2017 50 8,910.00 445,500.00 50 8,910.00 445,500.00
57 FURAMIN INJ 2017 50 9,025.00 451,250.00 50 9,025.00 451,250.00
58 FURAMIN INJ 2017 300 10,188.75 3,056,625.00 300 10,188.75 3,056,625.00
59 FURAMIN INJ 2017 100 10,188.75 1,018,875.00 100 10,188.75 1,018,875.00
60 FURAMIN INJ 2017 100 6,618.33 661,833.33 100 6,618.33 661,833.33
61 FURAMIN INJ 2017 4,963.75 - 4,963.75 -
62 GALVUSMET 2017 90 6,187.50 556,875.00 90 6,187.50 556,875.00
63 GALVUSMET 2017 900 6,187.50 5,568,750.00 900 6,187.50 5,568,750.00
64 GENOINT 0,3% SM 2017 - 2,830.00 - - 2,830.00 -
65 HARNAL 2017 2,370 6,743.74 15,982,672.66 2,370 6,743.74 15,982,672.66
66 HEPA-Q 2017 1,740 5,400.00 9,396,000.00 1,740 5,400.00 9,396,000.00
67 HERBESER 50 MG INJ 2017 10 297,000.00 2,970,000.00 10 297,000.00 2,970,000.00
68 HERBESER 50 MG INJ 2017 40 147,884.46 5,915,378.22 40 147,884.46 5,915,378.22
69 JANUMET 50/500 mg 2017 56 7,466.54 418,126.50 56 7,466.54 418,126.50
70 KA EN 3 B INFUS 2017 200 10,049.60 2,009,920.00 200 10,049.60 2,009,920.00
71 KA EN 3 B INFUS 2017 10,050.00 - 10,050.00 -
72 KA EN 3 B INFUS 2017 140 10,050.00 1,407,000.00 140 10,050.00 1,407,000.00
73 KABIVEN 2017 8 308,000.00 2,464,000.00 8 308,000.00 2,464,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
74 KABIVEN 2017 10 308,000.00 3,080,000.00 10 308,000.00 3,080,000.00
75 KABIVEN 2017 34 355,633.31 12,091,532.52 34 355,633.31 12,091,532.52
76 KABIVEN 2017 355,633.31 - 355,633.31 -
77 KABIVEN 2017 95,391.89 - 95,391.89 -
78 KAMADOL INJ 2017 90 4,121.17 370,905.00 90 4,121.17 370,905.00
79 KAMADOL INJ 2017 60 12,494.17 749,650.00 60 12,494.17 749,650.00
80 KTM 1000 MG/10 ML INJEKSI 2017 2 190,190.00 380,380.00 2 190,190.00 380,380.00
81 KTM 1000 MG/10 ML INJEKSI 2017 8 190,190.00 1,521,520.00 8 190,190.00 1,521,520.00
82 KTM 1000 MG/10 ML INJEKSI 2017 10 190,190.00 1,901,900.00 10 190,190.00 1,901,900.00
83 LANTUS SOLOSTAR 2017 25 85,000.08 2,125,002.00 25 85,000.08 2,125,002.00
84 LANTUS SOLOSTAR 2017 25 87,000.00 2,175,000.00 25 87,000.00 2,175,000.00
85 LESVATIN 10 MG (SIMVASTATIN) 2017 8,760 133.00 1,165,079.12 8,760 133.00 1,165,079.12
86 LEVEMIR FLEXPEN 2017 84,647.67 - 84,647.67 -
87 LEVEMIR FLEXPEN 2017 84,647.67 - 84,647.67 -
88 LEVEMIR FLEXPEN 2017 84,647.67 - 84,647.67 -
89 LEVOPAR (ANTIPARKINSON) 2017 3,900 1,298.00 5,062,200.00 3,900 1,298.00 5,062,200.00
90 LEVOSOL 8 mg/8 ml 2017 62,843.00 - 62,843.00 -
91 LEVOSOL 8 mg/8 ml 2017 62,843.00 - 62,843.00 -
92 LEVOSOL 8 mg/8 ml 2017 90 62,843.00 5,655,870.00 90 62,843.00 5,655,870.00
93 LEXACORT TAB (PREDNISONE) 2017 5,000 116.33 581,647.00 5,000 116.33 581,647.00
94 LEXACORT TAB (PREDNISONE) 2017 200.51 - 200.51 -
95 LEXACORT TAB (PREDNISONE) 2017 200.51 - 200.51 -
96 LIDOKAIN INJ 2% 2017 870.00 - 870.00 -
97 MICARDIS 80 MG 2017 6,500.00 - 6,500.00 -
98 MICARDIS 80 MG 2017 1,000 6,500.00 6,500,000.00 1,000 6,500.00 6,500,000.00
99 MOLASIC 500 MG 2017 195.01 - 195.01 -
100 MOLASIC 500 MG 2017 409.20 - 409.20 -
101 MOMETASONE FUROATE KRIM 10 GR 2017 50 15,517.70 775,885.00 50 15,517.70 775,885.00
102 MOMETASONE FUROATE KRIM 10 GR 2017 350 17,600.00 6,160,000.00 350 17,600.00 6,160,000.00
103 MOMETASONE FUROATE KRIM 10 GR 2017 19,360.00 - 19,360.00 -
104 MOMETASONE FUROATE KRIM 5 GR 2017 20 15,517.70 310,354.00 20 15,517.70 310,354.00
105 MYOCONIC FILCO TAB 2017 400 2,842.13 1,136,850.00 400 2,842.13 1,136,850.00
106 MYOCONIC FILCO TAB 2017 2,842.13 - 2,842.13 -
107 NEO K INJ 2017 50 13,640.00 682,000.00 50 13,640.00 682,000.00
108 NEO K INJ 2017 250 13,640.00 3,410,000.00 250 13,640.00 3,410,000.00
109 NOTRIXUM 2,5 MG 2017 60,863.64 - 60,863.64 -
110 NOVOMIX 2017 100 110,000.00 11,000,000.00 100 110,000.00 11,000,000.00
111 NOVORAPID FLEXPEN 2017 100 87,000.00 8,700,000.00 100 87,000.00 8,700,000.00
112 OBH MOLEX SIRUP 2017 60 5,115.00 306,900.00 60 5,115.00 306,900.00
113 ONBREZ BREEZHALER 300 mcg cap 2017 450 11,652.79 5,243,756.62 450 11,652.79 5,243,756.62
114 ONBREZ BREEZHALER 300 mcg cap 2017 1,230 11,652.79 14,332,934.76 1,230 11,652.79 14,332,934.76
115 ONBREZ BREEZHALER 300 mcg cap 2017 11,652.79 - 11,652.79 -
116 OTSU MANITOL 20% 2017 40 92,400.00 3,696,000.00 40 92,400.00 3,696,000.00
117 OTSU SALIN 3% 2017 - 23,046.40 - - 23,046.40 -
118 OTSU-KCL 7-46 2017 - 8,690.00 - - 8,690.00 -
119 OXORIL SIRUP 2017 50 27,692.50 1,384,625.00 50 27,692.50 1,384,625.00
120 PERDIPINE INJ 10 MG 2017 263,504.92 - 263,504.92 -
121 PLASBUMIN 25% (ALBUMIN 25%) 2017 146 750,000.00 109,500,000.00 146 750,000.00 109,500,000.00
125 PRADAXA 2017 14,250.00 - 14,250.00 -
126 PRADAXA 2017 14,250.00 - 14,250.00 -
127 PRITASMA 2017 122.76 - 122.76 -
128 PRONOVIR SYR 2017 80 65,000.00 5,200,000.00 80 65,000.00 5,200,000.00
129 PROPOFOL LIPURO 1 % / (FRESOPOL) 2017 11,552.63 - 11,552.63 -
130 PROPOFOL LIPURO 1 % / (FRESOPOL) 2017 135 11,552.63 1,559,604.79 135 11,552.63 1,559,604.79
131 PROVERA 10 mg 2017 2,511.55 - 2,511.55 -
132 PULMICORT 0,25 MG/2ML 2017 1,620 9,644.55 15,624,163.34 1,620 9,644.55 15,624,163.34
133 RECOLFAR TAB 2017 1,380 3,845.00 5,306,100.00 1,380 3,845.00 5,306,100.00
134 RECOLFAR TAB 2017 3,845.00 - 3,845.00 -
135 RETAPHYL SR (THEOPHYLINE) 2017 5,000 2,142.80 10,714,000.00 5,000 2,142.80 10,714,000.00
136 RETAPHYL SR (THEOPHYLINE) 2017 1,128.00 - 1,128.00 -
137 RINGER FUDIN 500 ML 2017 30 14,547.50 436,425.00 30 14,547.50 436,425.00
138 RINGER FUDIN 500 ML 2017 20 14,547.50 290,950.00 20 14,547.50 290,950.00
139 SALGEN SKIN OINTMENT 15 GR/D.2.5 (GENTAMICIN SK) 2017 91 4,450.00 404,950.00 91 4,450.00 404,950.00
140 SIFROL 0.375 mg 2017 8,000.00 - 8,000.00 -
141 SPASMOLIT TAB 2017 500 2,090.00 1,045,000.00 500 2,090.00 1,045,000.00
142 SPASMOLIT TAB 2017 4,600 2,145.00 9,867,000.00 4,600 2,145.00 9,867,000.00
143 SPASMOLIT TAB 2017 400 2,145.00 858,000.00 400 2,145.00 858,000.00
144 SPASMOLIT TAB 2017 2,900 2,145.00 6,220,500.00 2,900 2,145.00 6,220,500.00
145 SPASMOLIT TAB 2017 3,100 2,420.00 7,502,000.00 3,100 2,420.00 7,502,000.00
146 SPASMOLIT TAB 2017 5,100 2,090.00 10,659,000.00 5,100 2,090.00 10,659,000.00
147 SPIRIVA 18 MCG + HANDIHALLER 2017 17 162,000.00 2,754,000.00 17 162,000.00 2,754,000.00
148 SPIRIVA 18 MCG + HANDIHALLER 2017 5 162,000.00 810,000.00 5 162,000.00 810,000.00
151 STALEVO 100 mg JKN 2017 8,727.20 - 8,727.20 -
152 STALEVO 100 mg JKN 2017 450 8,727.20 3,927,239.00 450 8,727.20 3,927,239.00
153 SUPER TETRA SOFT CAPS 120 2017 1,200 980.01 1,176,010.00 1,200 980.01 1,176,010.00
154 SUPRAFENID 100 mg 2017 2,789.00 - 2,789.00 -
155 SUPRAMOX DROP 2017 22,000.00 - 22,000.00 -
156 SYMBICORT 80 MG 2017 160 119,998.97 19,199,835.11 160 119,998.97 19,199,835.11
157 TAKELIN TAB 1000 Mg 2017 930 12,135.29 11,285,821.25 930 12,135.29 11,285,821.25
158 TAKELIN TAB 1000 Mg 2017 570 12,135.29 6,917,116.25 570 12,135.29 6,917,116.25
159 TAKELIN TAB 1000 Mg 2017 150 12,135.31 1,820,296.50 150 12,135.31 1,820,296.50
160 TAKELIN TAB 1000 Mg 2017 1,020 12,135.31 12,378,016.20 1,020 12,135.31 12,378,016.20
161 TAKELIN TAB 500 Mg 2017 510 6,911.67 3,524,950.00 510 6,911.67 3,524,950.00
162 TAKELIN TAB 500 Mg 2017 990 6,911.67 6,842,550.00 990 6,911.67 6,842,550.00
163 TERREL 100 ML 2017 53 310,195.00 16,440,335.00 53 310,195.00 16,440,335.00
164 TERREL 100 ML 2017 310,195.00 - 310,195.00 -
165 TETAGAM P. PREFILLED SYRINGE 1 ml 2017 25 169,295.34 4,232,383.41 25 169,295.34 4,232,383.41
166 THYROZOL 2017 2,000 1,190.05 2,380,093.26 2,000 1,190.05 2,380,093.26
167 TIARYT INJ 3 ML 2017 120 13,200.00 1,584,000.00 120 13,200.00 1,584,000.00
168 TIARYT TAB 200 mg (AMIODARON) 2017 1,197.00 - 1,197.00 -
169 TIARYT TAB 200 mg (AMIODARON) 2017 1,197.00 - 1,197.00 -
170 TRIFASTAN 500 mg 2017 9,500 24.75 235,125.00 9,500 24.75 235,125.00
171 TRIMFAMOL POT 2017 10,000 87.53 875,278.80 10,000 87.53 875,278.80
172 ULSAFATE 500 mg TAB 2017 1,680 369.91 621,455.82 1,680 369.91 621,455.82
173 ULSAFATE 500 mg TAB 2017 369.91 - 369.91 -
174 ULSAFATE SIRUP`/ SUCRALFATE 2017 50 9,975.00 498,750.00 50 9,975.00 498,750.00
175 VAGIZOLE OVULA 2017 10 6,867.00 68,670.00 10 6,867.00 68,670.00
176 VAGIZOLE OVULA 2017 90 6,867.00 618,030.00 90 6,867.00 618,030.00
177 VAKSINTUBERCULIN PPD RT 23 SSI 2017 5 150,632.57 753,162.85 5 150,632.57 753,162.85
178 VASCON INJ 2017 64,350.00 - 64,350.00 -
179 VASCON INJ 2017 64,350.00 - 64,350.00 -
180 VASCON INJ 2017 64,350.00 - 64,350.00 -
181 VENTOLIN NEBULIZER 2.5 mg 2017 3,999.99 - 3,999.99 -
186 VERMOX TAB 500 mg 2017 366.67 - 366.67 -
187 VERMOX TAB 500 mg 2017 366.67 - 366.67 -
188 VIP ALBUMIN 2017 450 62,700.00 28,215,000.00 450 62,700.00 28,215,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
189 VIP ALBUMIN 2017 300 62,700.00 18,810,000.00 300 62,700.00 18,810,000.00
190 VIP ALBUMIN 2017 62,700.00 - 62,700.00 -
191 VITKA INFANT 2017 52,800.00 - 52,800.00 -
192 XARELTO 15 MG 2017 23,500.00 - 23,500.00 -
193 XARELTO 20 MG 2017 23,500.00 - 23,500.00 -
194 ZIRCUM KID 2017 6,290.00 - 6,290.00 -
MATA
1 CENDO CATERLENT TM 2017 100.00 4,000.00 400,000.00 100 4,000.00 400,000.00
2 TARIVID 2017 250.00 45,089.00 11,272,250.00 100 45,089.00 4,508,900.00
NARKOTIKA
1 CODIPRONT 2017 2,500 7,937.60 19,844,000.00 2,500 7,937.60 19,844,000.00
2 STESOLID INJ 10 MG/2 ML 2017 50 17,527.05 876,352.33 40 17,527.05 701,081.86
3 STESOLID RECTAL TUBE 5 MG 2017 95 12,104.62 1,149,938.57 35 12,104.62 423,661.58
4 STESOLID RECTAL TUBE 5 MG 2017 5 12,104.62 60,523.08 5 12,104.62 60,523.08
APOTIK 360,473.00 1,766,651,902.82 212,047.00 747,614,486.33

1 ACDAT KRIM 2017 500 6,745 3,372,602.75 50.00 6,745 337,260.28
2 ADALAT OROS 20 MG 2017 3,000 3,285 9,855,000.00 1,320.00 3,285 4,336,200.00
3 ALPHAMOL DROPS (paracetamol) 2017 180 8,030 1,445,400.00 180.00 8,030 1,445,400.00
4 ALPHAMOL KAPLET (paracetamol) 2017 17,700 249 4,404,114.00 17,700.00 249 4,404,114.00
5 ALPHAMOL KAPLET (paracetamol) 2017 300 249 74,646.00 300.00 249 74,646.00
8 ALPHAMOL KAPLET (paracetamol) 2017 12,000 199 2,387,906.40 199 -
9 AMINOSTERIL INFANT 6 % 2017 20 43,450 869,000.00 43,450 -
10 APIDRA SOLOSTAR 2017 800 87,000 69,600,000.00 150.00 87,000 13,050,000.00
11 ARICEPT EVESS 10 mg 2017 2,688 12,485 33,559,680.00 448.00 12,485 5,593,280.00
12 ARICEPT EVESS 10 mg 2017 112 12,485 1,398,320.00 112.00 12,485 1,398,320.00
13 ARIXTRA INJ 2,5 MG 2017 20 253,750 5,075,000.00 20.00 253,750 5,075,000.00
14 ARKINE 250 2017 2,500 622 1,555,125.00 2,500.00 622 1,555,125.00
15 ARKINE 250 2017 4,750 622 2,954,737.50 622 -
16 ARKINE 250 2017 250 622 155,512.50 622 -
17 ASIMAT 500MG 2017 9,500 226 2,147,290.06 9,500.00 226 2,147,290.06
18 BENZOLAC-CL GEL 10 gr 2017 25 27,588 689,700.00 25.00 27,588 689,700.00
19 BEROTEC 0.1 mg MDI 2017 80 80,000 6,400,000.00 80.00 80,000 6,400,000.00
20 BEROTEC 0.1 mg MDI 2017 200 80,000 16,000,000.00 200.00 80,000 16,000,000.00
21 BRONSOLVAN 150 MG 2017 3,000 285 855,000.00 3,000.00 285 855,000.00
22 BUNASCAN SPINAL 0.5 PCT HEAVY 4 ML 2017 25 38,280 957,000.00 25.00 38,280 957,000.00
23 BUNASCAN SPINAL 0.5 PCT HEAVY 4 ML 2017 225 49,190 11,067,775.95 205.00 49,190 10,083,973.64
24 BUNASCAN SPINAL 0.5 PCT HEAVY 4 ML 2017 200 38,280 7,656,000.00 38,280 -
25 BUSCOPAN 10 MG 2017 2,700 2,894 7,814,793.89 2,700.00 2,894 7,814,793.89
26 BUSCOPAN 20 MG/ML AMP 2017 50 31,274 1,563,724.00 50.00 31,274 1,563,724.00
27 BUSCOPAN 20 MG/ML AMP 2017 450 35,626 16,031,530.91 100.00 35,626 3,562,562.43
28 CHLORAMEX SYRUP 2017 40 14,706 588,231.07 14,706 -
29 COMBIVENT UDV 2.5 ML 2017 2,000 5,700 11,400,000.00 5,700 -
30 COMBIVENT UDV 2.5 ML 2017 560 5,552 3,108,862.06 5,552 -
31 COMBIVENT UDV 2.5 ML 2017 440 5,552 2,442,677.33 5,552 -
32 COUGH EN SYR 2017 250 14,193 3,548,153.71 250.00 14,193 3,548,153.71
33 CURCUMA FCT BLISTER 2017 11,600 734 8,509,889.95 11,600.00 734 8,509,889.95
37 CURCUMA FCT BLISTER 2017 10,000 856 8,563,500.00 856 -
38 DEPAKOTE 250 TAB 2017 6,000 1,750 10,500,000.00 6,000.00 1,750 10,500,000.00
39 DEPAKOTE ER 250 TAB 2017 2,100 2,840 5,964,004.00 2,100.00 2,840 5,964,004.00
40 DEXOCORT SALEP 2017 800 7,976 6,380,880.00 50.00 7,976 398,805.00
41 DIPSAMOL INHALER 100 MCG 2017 265 41,250 10,931,250.00 165.00 41,250 6,806,250.00
42 DIPSAMOL INHALER 100 MCG 2017 35 41,250 1,443,750.00 35.00 41,250 1,443,750.00
43 DOBURAN INJ 2017 50 28,030 1,401,510.85 50.00 28,030 1,401,510.85
44 DOBURAN INJ 2017 100 28,030 2,803,021.10 100.00 28,030 2,803,021.10
45 DOPAMIN CIULINI 200 2017 150 78,100 11,715,000.00 5.00 78,100 390,500.00
46 DUMIN RECTAL 125 MG 2017 250 13,403 3,350,792.50 250.00 13,403 3,350,792.50
47 DUMIN RECTAL 125 MG 2017 400 13,473 5,389,036.93 80.00 13,473 1,077,807.39
48 DUMIN RECTAL 250 MG 2017 100 18,714 1,871,386.00 100.00 18,714 1,871,386.00
49 DUVADILAN INJ 2017 120 28,417 3,410,000.00 60.00 28,417 1,705,000.00
50 ETAGESIC SYR 2017 1,000 2,687 2,687,047.00 1,000.00 2,687 2,687,047.00
51 ETAGESIC SYR 2017 1,000 2,687 2,687,047.00 2,687 -
52 EXFORGE 5 Mg/ 80 Mg 2017 280 13,027 3,647,471.58 280.00 13,027 3,647,471.58
53 FARTISON INJ VIAL 100 MG 2017 100 94,050 9,405,000.00 70.00 94,050 6,583,500.00
54 FURAMIN INJ 2017 100 9,987 998,739.56 9,987 -
55 GALVUSMET 2017 3,990 6,122 24,425,032.93 3,990.00 6,122 24,425,032.93
56 HARNAL 2017 3,584 7,041 25,235,882.45 3,584.00 7,041 25,235,882.45
57 HARNAL 2017 420 7,041 2,957,329.97 420.00 7,041 2,957,329.97
58 HELIATECH LOTION SPF 45, 30 ml 2017 50 68,813 3,440,662.50 50.00 68,813 3,440,662.50
59 HERBESER 50 MG INJ 2017 50 148,500 7,425,000.00 50.00 148,500 7,425,000.00
60 HUSTAB SYR 2017 500 11,550 5,775,000.00 200.00 11,550 2,310,000.00
61 HYPERHEP 0.5 ML/ SYRINGE 2017 10 1,300,000 13,000,000.00 1.00 1,300,000 1,300,000.00
62 INTERZOL SS 2% 2017 210 29,038 6,097,891.80 29,038 -
63 INTERZOL SS 2% 2017 90 29,038 2,613,382.20 60.00 29,038 1,742,254.80
64 KABIVEN 2017 14 358,600 5,020,400.00 14.00 358,600 5,020,400.00
65 KABIVEN 2017 8 358,600 2,868,800.00 8.00 358,600 2,868,800.00
66 KABIVEN 2017 3 358,600 1,075,800.00 3.00 358,600 1,075,800.00
67 KALIPAR 2017 11,550 677 7,819,350.00 677 -
68 KALIPAR 2017 6,000 677 4,062,000.00 677 -
69 KALIPAR 2017 2,450 677 1,658,650.00 2,450.00 677 1,658,650.00
70 KALXETIN 20 MG 2017 150 6,233 935,000.00 150.00 6,233 935,000.00
71 KIDMIN INFUS 2017 300 49,220 14,766,000.00 49,220 -
72 KSR 2017 7,000 1,700 11,900,000.42 4,000.00 1,700 6,800,000.24
73 LACBON GRANUL 2017 3,000 3,630 10,890,000.00 3,000.00 3,630 10,890,000.00
74 LACTO B 2017 800 5,225 4,180,000.00 800.00 5,225 4,180,000.00
75 LACTO B 2017 120 5,225 627,000.00 120.00 5,225 627,000.00
76 LACTULAX SIRUP 3.336G/5 ML 2017 60 104,500 6,270,000.00 36.00 104,500 3,762,000.00
77 LANTUS SOLOSTAR 2017 45 87,000 3,915,000.00 87,000 -
78 LANTUS SOLOSTAR 2017 5 87,000 435,000.00 87,000 -
79 LAXADINE EMULSI 2017 460 7,700 3,542,000.00 7,700 -
80 LAXADINE EMULSI 2017 340 7,700 2,618,000.00 224.00 7,700 1,724,800.00
81 LEVEMIR FLEXPEN 2017 150 85,000 12,750,000.00 85,000 -
82 MEDIQUIN CREAM 15 gr 2017 75 27,588 2,069,100.00 27,588 -
83 MEDIQUIN CREAM 15 gr 2017 25 27,588 689,700.00 15.00 27,588 413,820.00
84 MEPTIN INHALATION SOL 0,3 ML 2017 252 6,000 1,511,999.50 6,000 -
87 MEPTIN INHALATION SOL 0,5 ML 2017 112 6,000 672,000.00 6,000 -
89 MEPTIN SWINGHALER 2017 34 84,000 2,856,000.00 19.00 84,000 1,596,000.00
90 MEPTIN SWINGHALER 2017 16 84,000 1,344,000.00 16.00 84,000 1,344,000.00
91 MERSIBION 5000 INJ 2017 300 4,840 1,452,000.00 300.00 4,840 1,452,000.00
92 MICARDIS 80 MG 2017 2,000 5,268 10,536,237.39 1,200.00 5,268 6,321,742.43
93 MINIASPI 80 2017 20,000 94 1,880,000.00 94 -
94 MINIASPI 80 2017 1,000 118 118,000.00 1,000.00 118 118,000.00
95 NEBACETIN 2017 71 19,129 1,358,159.00 16.00 19,129 306,064.00
96 NEBACETIN 2017 4 19,129 76,516.00 4.00 19,129 76,516.00
97 NICARFION INJ 1 MG/ML 2017 50 99,000 4,950,000.00 99,000 -
98 NICARFION INJ 1 MG/ML 2017 25 93,383 2,334,574.47 93,383 -
99 NORFION INJ 4 MG/4ML 2017 100 48,400 4,840,000.00 48,400 -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
100 NORFION INJ 4 MG/4ML 2017 65 48,400 3,146,000.00 48,400 -
101 NORFION INJ 4 MG/4ML 2017 35 48,400 1,694,000.00 48,400 -
102 NORFION INJ 4 MG/4ML 2017 100 48,400 4,840,000.00 48,400 -
103 NORFION INJ 4 MG/4ML 2017 50 49,804 2,490,212.77 49,804 -
104 NORFION INJ 4 MG/4ML 2017 40 49,804 1,992,170.21 49,804 -
105 NORFION INJ 4 MG/4ML 2017 10 49,804 498,042.55 49,804 -
106 NOTRIXUM 10 MG INJ 2017 500 14,729 7,364,500.44 500.00 14,729 7,364,500.44
107 NOVALGIN 5X2 ML 2017 300 10,729 3,218,609.63 300.00 10,729 3,218,609.63
108 NOVOMIX 2017 300 110,000 33,000,000.00 110,000 -
109 NOVORAPID FLEXPEN 2017 300 87,000 26,100,000.00 87,000 -
110 OBUCORT SWINGHALER 2017 20 105,000 2,100,000.00 105,000 -
111 ONBREZ BREEZHALER 300 mcg cap 2017 3,000 11,750 35,250,000.00 3,000.00 11,750 35,250,000.00
112 OTSU D40 2017 600 8,690 5,214,000.00 120.00 8,690 1,042,800.00
113 OTSU D40 2017 75 8,690 651,750.00 75.00 8,690 651,750.00
114 OTSU D40 2017 45 8,690 391,050.00 45.00 8,690 391,050.00
115 OTSU MEYLON INF 84 2017 500 6,200 3,100,000.00 6,200 -
116 OTSU MEYLON INF 84 2017 500 6,200 3,100,000.00 6,200 -
117 OTSU-KCL 7-46 2017 500 3,099 1,549,500.00 3,099 -
118 OXORIL SIRUP 2017 20 27,693 553,860.00 20.00 27,693 553,860.00
119 OXORIL SIRUP 2017 125 27,693 3,461,625.00 125.00 27,693 3,461,625.00
120 OXORIL SIRUP 2017 55 27,693 1,523,115.00 55.00 27,693 1,523,115.00
121 OXORIL SIRUP 2017 100 27,860 2,785,957.73 100.00 27,860 2,785,957.73
122 OXORIL SIRUP 2017 51 27,860 1,420,838.44 51.00 27,860 1,420,838.44
123 OXORIL SIRUP 2017 50 27,860 1,392,978.86 50.00 27,860 1,392,978.86
124 PICYN 750 INJ 2017 20 49,940 998,806.60 20.00 49,940 998,806.60
125 PICYN 750 INJ 2017 50 49,700 2,485,000.00 50.00 49,700 2,485,000.00
126 PLASBUMIN 25% (ALBUMIN 25%) 2017 238 750,000 178,500,000.00 750,000 -
128 PLASBUMIN 25% (ALBUMIN 25%) 2017 50 750,000 37,500,000.00 11.00 750,000 8,250,000.00
130 PLETAAL TAB 100 MG 2017 1,800 6,583 11,849,310.00 1,350.00 6,583 8,886,982.50
131 PROSOGAN 30 Mg 2017 200 88,500 17,700,000.00 200.00 88,500 17,700,000.00
132 RECANSA 10 mg TAB 2017 6,000 1,700 10,200,000.00 6,000.00 1,700 10,200,000.00
133 REFAQUIN 15 gr 2017 100 59,461 5,946,050.00 30.00 59,461 1,783,815.00
134 RETAPHYL SR (THEOPHYLINE) 2017 1,800 1,128 2,030,400.00 1,128 -
135 RETAPHYL SR (THEOPHYLINE) 2017 30,000 1,050 31,500,000.00 1,050 -
136 RHODIUM TAB 2017 2,790 5,748 16,035,525.00 2,790.00 5,748 16,035,525.00
137 RHODIUM TAB 2017 1,440 5,748 8,276,400.00 1,440.00 5,748 8,276,400.00
138 RHODIUM TAB 2017 360 5,748 2,069,100.00 360.00 5,748 2,069,100.00
139 RINGER FUDIN 500 ML 2017 540 11,000 5,940,000.00 11,000 -
140 RINGER FUDIN 500 ML 2017 60 11,000 660,000.00 40.00 11,000 440,000.00
141 RINGER FUDIN 500 ML 2017 200 11,000 2,200,000.00 - 11,000 -
142 SALBRON SIRUP 2017 100 10,989 1,098,900.00 100.00 10,989 1,098,900.00
143 SEBIVO 600 MG 2017 1,288 31,130 40,095,440.00 588.00 31,130 18,304,440.00
144 SEBIVO 600 MG 2017 112 31,130 3,486,560.00 112.00 31,130 3,486,560.00
145 SIFROL 0.375 mg 2017 750 8,000 6,000,000.00 210.00 8,000 1,680,000.00
146 SKIZON CREAM 5 G 2017 800 3,727 2,981,440.00 152.00 3,727 566,473.60
147 SOFT U DERM SALP 40 gr 2017 200 6,809 1,361,800.00 140.00 6,809 953,260.00
148 SOHOBION INJ 5000 mcg 2017 500 4,897 2,448,624.85 500.00 4,897 2,448,624.85
149 SPASMOLIT TAB 2017 2,000 2,090 4,180,000.00 2,000.00 2,090 4,180,000.00
150 SPASMOLIT TAB 2017 8,000 2,090 16,720,000.00 8,000.00 2,090 16,720,000.00
151 SPASMOLIT TAB 2017 5,000 2,103 10,513,048.03 5,000.00 2,103 10,513,048.03
152 SPASMOLIT TAB 2017 4,000 2,090 8,360,000.00 4,000.00 2,090 8,360,000.00
153 SPIRIVA 18 MCG + HANDIHALLER 2017 80 162,000 12,960,000.00 162,000 -
154 SPIRIVA 18 MCG + HANDIHALLER 2017 8 442,500 3,540,000.00 8.00 442,500 3,540,000.00
155 STARFOLAT (ASAM FOLAT) 2017 3,600 123 442,774.73 3,600.00 123 442,774.73
158 STARFOLAT (ASAM FOLAT) 2017 10,000 123 1,229,929.80 10,000.00 123 1,229,929.80
159 STIMUNO SYRUP ORANGE BERRY 60 ML 2017 300 21,340 6,402,000.00 300.00 21,340 6,402,000.00
162 SUPRALYSIN BABY DROP 2017 120 22,517 2,702,040.00 120.00 22,517 2,702,040.00
163 SYMBICORT 160/4,5 MCG 120 DOSIS 2017 233 134,500 31,338,500.00 233.00 134,500 31,338,500.00
164 SYMBICORT 160/4,5 MCG 120 DOSIS 2017 167 134,500 22,461,500.00 167.00 134,500 22,461,500.00
165 SYNARCUS KRIM 0.25 MG/G 2017 500 2,670 1,334,847.80 50.00 2,670 133,484.78
166 TAKELIN TAB 1000 Mg 2017 1,200 12,135 14,562,372.00 1,200.00 12,135 14,562,372.00
167 TAKELIN TAB 1000 Mg 2017 600 12,135 7,281,186.00 600.00 12,135 7,281,186.00
168 TAKELIN TAB 1000 Mg 2017 600 13,305 7,983,134.23 600.00 13,305 7,983,134.23
169 TAKELIN TAB 1000 Mg 2017 600 13,305 7,983,134.23 600.00 13,305 7,983,134.23
170 TAKELIN TAB 1000 Mg 2017 480 13,305 6,386,507.38 480.00 13,305 6,386,507.38
171 TAKELIN TAB 1000 Mg 2017 270 13,305 3,592,410.40 270.00 13,305 3,592,410.40
172 TAKELIN TAB 1000 Mg 2017 150 13,305 1,995,783.56 150.00 13,305 1,995,783.56
173 TAPROS INJ 2017 13 750,000 9,750,000.00 3.00 750,000 2,250,000.00
174 TAPROS INJ 2017 2 750,000 1,500,000.00 2.00 750,000 1,500,000.00
175 VAKSIN T.T 2017 50 14,498 724,900.00 10.00 14,498 144,980.00
176 VALDINEX INJ (DIAZEPAM) 2017 125 12,100 1,512,500.00 125.00 12,100 1,512,500.00
177 VALESCO 160 mg 2017 6,000 2,688 16,130,400.00 6,000.00 2,688 16,130,400.00
178 VALESCO 80 mg 2017 9,000 1,795 16,156,800.00 9,000.00 1,795 16,156,800.00
179 VASCON INJ 2017 270 64,350 17,374,500.00 270.00 64,350 17,374,500.00
180 VASCON INJ 2017 205 64,350 13,191,750.00 205.00 64,350 13,191,750.00
181 VASCON INJ 2017 15 64,350 965,250.00 15.00 64,350 965,250.00
182 VICCILLIN SX 1500mg 2017 300 39,500 11,850,000.00 300.00 39,500 11,850,000.00
183 VICCILLIN SX 1500mg 2017 167 42,002 7,014,400.80 167.00 42,002 7,014,400.80
184 VICCILLIN SX 1500mg 2017 133 42,002 5,586,319.20 3.00 42,002 126,007.20
185 VIP ALBUMIN 2017 450 62,700 28,215,000.00 62,700 -
186 VIP ALBUMIN 2017 150 62,700 9,405,000.00 150.00 62,700 9,405,000.00
187 VIP ALBUMIN 2017 300 62,700 18,810,000.00 62,700 -
188 VIP ALBUMIN (kapsul) 2017 900 5,246 4,721,678.51 900.00 5,246 4,721,678.51
189 VITACID 0.025% CREAM 15 gr 2017 100 21,841 2,184,050.00 30.00 21,841 655,215.00
190 VITACID 0.05% CREAM 15 gr 2017 100 32,029 3,202,925.00 30.00 32,029 960,877.50
191 VITKA INFANT 2017 200 6,270 1,254,000.00 50.00 6,270 313,500.00
192 WIDA KN-1 2017 120 11,011 1,321,320.00 11,011 -
193 WIDA KN-2 2017 120 11,011 1,321,320.00 40.00 11,011 440,440.00
194 ZOMEPRAZOLE 20 MG 2017 1,500 245 368,152.94 1,500.00 245 368,152.94
-
MATA -
1 CENDO CARPIN 2% 2017 400 3,684 1,473,450.00 3,684 -
2 CENDO CATERLENT TM 2017 500 418 209,000.00 500.00 418 209,000.00
3 CENDO CATERLENT TM 2017 400 3,135 1,254,000.00 100.00 3,135 313,500.00
4 CENDO FLOXA TM 2017 400 559 223,630.00 400.00 559 223,630.00
5 CENDO LYTEERS TM 2017 800 402 321,860.00 402 -
6 CENDO POLYGRAN TM 2017 500 366 182,875.00 366 -
7 CENDO TOBROSON TM 2017 500 606 303,050.00 500.00 606 303,050.00
8 CENDO TROPIN 0.5 % 2017 200 321 64,267.50 200.00 321 64,267.50
9 CENDO XITROL 0,5 % 2017 1,000 5,094 5,094,375.00 5,094 -
10 GENTAMICIN 0,3% TM 2017 500 4,380 2,190,000.00 4,380 -
- -
NARKOTIKA -
1 BAMGETOL 200 mg KAP 2017 500 1,892 946,174.32 500 1,892 946,174.32
2 BAMGETOL 200 mg KAP 2017 2,500 1,680 4,199,768.11 2,500 1,680 4,199,768.11
3 CODIPRONT CUM EXPECT 2017 500 10,503 5,251,400.00 500 10,503 5,251,400.00
4 CODIPRONT KAPSUL 2017 4,000 905 3,619,000.00 4,000 905 3,619,000.00
5 MELIDOX TAB 2017 2,200 1,051 2,312,870.57 2,200 1,051 2,312,870.57
6 MELIDOX TAB 2017 2,200 1,051 2,312,870.57 2,200 1,051 2,312,870.57
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
7 PROCLOZAM 2017 1,300 1,829 2,377,375.00 1,300 1,829 2,377,375.00
8 PROCLOZAM 2017 3,700 1,829 6,766,375.00 1,700 1,829 3,108,875.00
9 STESOLID RECTAL TUBE 5 MG 2017 200 26,136 5,227,200.00 25 26,136 653,400.00
TOTAL
PENGADAAN TAHUN 2016 6,191,696.00 - 18,153,332,235.85 6,775,849,299.20
PENGADAAN TAHUN 2017 3,133,512.00 6,549,854,846.10 2,843,690,702.26

TOTAL 9,325,208.00 24,703,187,081.94 4,013,212.00 9,619,540,001.45
Pekanbaru, 30 Desember 2017
Penanggung jawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
BUKU BARANG INVENTARIS

PROVINSI : Riau
TANGGAL DITERIMA NAMA / URAIAN BARANG MERK / UKURAN TAHUN TANGGAL DIKELUARKAN DISERAHKAN KEPADA KETERANGAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 TANAH - - - -
1 a Tanah Bangunan Kantor Pemerintah - - -
b
c
2 PERALATAN MESIN 292.00 6,584,699,672.17 7,827,753,780.00 - 5,449,202.00 292.00 6,584,699,672.17 7,827,753,780.00

a Alat-Alat Besar - - - - - - - -
b Alat-Alat Besar Darat - - - - - - - -
c Alat-Alat Besar Apung - - - - - - - -
d Alat-Alat Bantu - - - - - - - -
e Alat-Alat Angkutan - - - - - - - -
f Alat Angkutan Darat Bermotor - - - - - - - -
g Alat Angkutan Darat Tak Bermotor - - - - - - - -
h Alat Angkut Apung Bermotor - - - - - - - -
i Alat Angkut Apung Tak Bermotor - - - - - - - -
j Alat Angkut Bermotor Udara - - - - - - - -
k Alat Bengkel Bermesin 6.00 22,180,000.00 22,180,000.00 - 258,285.00 6.00 22,180,000.00 22,180,000.00
1 Mesin Kompresor Udara Lakoni / Fresco 130 SN : 200800 2017 1.00 6,750,000.00 6,750,000.00 485/SP-PM/VIII/2017 8-Aug-2017 027/RSUD-PB/X/2017/6 19-Oct-2017 IPSRS 1.00 6,750,000.00 6,750,000.00
2 6-Dec-2017 Mesin Las 900 Watt (lengkap dengan kabel dan tang las) REDFOX / MME-120 2017 1.00 1,150,000.00 1,150,000.00 681/SP/XI/2017 27-Nov-2017 027/RSUD-PB/XII/2017/ 6-Dec-2017 6-Dec-2017 IPSRS 1.00 1,150,000.00 1,150,000.00
3 6-Dec-2017 Bor Duduk H.T.S / ZJQ4116 2017 1.00 6,435,000.00 6,435,000.00 681/SP/XI/2017 27-Nov-2017 027/RSUD-PB/XII/2017/ 6-Dec-2017 6-Dec-2017 IPSRS 1.00 6,435,000.00 6,435,000.00
4 6-Dec-2017 Gergaji Potong Listrik Maktec by Thakita / MT583 2017 1.00 2,150,000.00 2,150,000.00 681/SP/XI/2017 27-Nov-2017 027/RSUD-PB/XII/2017/ 6-Dec-2017 6-Dec-2017 IPSRS 1.00 2,150,000.00 2,150,000.00
5 6-Dec-2017 Bor Cordless Makita / BL1016 2017 1.00 3,345,000.00 3,345,000.00 681/SP/XI/2017 27-Nov-2017 027/RSUD-PB/XII/2017/ 6-Dec-2017 6-Dec-2017 IPSRS 1.00 3,345,000.00 3,345,000.00
6 6-Dec-2017 Mesin Potong Maktec / MT24D 2017 1.00 2,350,000.00 2,350,000.00 681/SP/XI/2017 27-Nov-2017 027/RSUD-PB/XII/2017/ 6-Dec-2017 6-Dec-2017 IPSRS 1.00 2,350,000.00 2,350,000.00
l Alat Bengkel Tak Bermesin 3.00 4,220,000.00 4,220,000.00 - 129,198.00 3.00 4,220,000.00 4,220,000.00
1 6-Dec-2017 Toolkit Box Tekiro 2017 1.00 850,000.00 850,000.00 681/SP/XI/2017 27-Nov-2017 027/RSUD-PB/XII/2017/ 6-Dec-2017 6-Dec-2017 IPSRS 1.00 850,000.00 850,000.00
2 6-Dec-2017 Toolkit (Obeng Lengkap) Tekiro / Screw DriverSet 2017 1.00 1,620,000.00 1,620,000.00 681/SP/XI/2017 27-Nov-2017 027/RSUD-PB/XII/2017/ 6-Dec-2017 6-Dec-2017 IPSRS 1.00 1,620,000.00 1,620,000.00
3 6-Dec-2017 Kunci Ring Lengkap Tekiro / Ring Pass 2017 1.00 1,750,000.00 1,750,000.00 681/SP/XI/2017 27-Nov-2017 027/RSUD-PB/XII/2017/ 6-Dec-2017 6-Dec-2017 IPSRS 1.00 1,750,000.00 1,750,000.00
mAlat Ukur 2.00 9,800,000.00 9,800,000.00 - 85,770.00 2.00 9,800,000.00 9,800,000.00

1 Timbangan + Ukuran Tinggi Badan 2017 1.00 3,200,000.00 3,200,000.00 027/RSUD-PB/1909 29-May-2017 POLY RAWAT JALAN 1.00 3,200,000.00 3,200,000.00
2 Timbangan Bayi 2017 1.00 6,600,000.00 6,600,000.00 027/RSUD-PB/2004 31-May-2017 POLY RAWAT JALAN 1.00 6,600,000.00 6,600,000.00
n Alat Kantor - - - - - - - -
-
o Alat Rumah Tangga 73.00 689,254,200.00 846,803,100.00 - 1,073,282.00 73.00 689,254,200.00 846,803,100.00
1 Kulkas 1 Pintu Aqua / AQR-D-190 2017 7.00 2,420,000.00 16,940,000.00 557/SPK/XI/2017 17-Nov-2017 027/RSUD-PB/XI/2017/ 21-Nov-2017 RAWAT INAP 7.00 2,420,000.00 16,940,000.00
2 Kursi Tunggu Leopard Kulit 2017 23.00 450,000.00 10,350,000.00 554/SPK/XI/2017 21-Nov-2017 027/RSUD-PB/XII/2017/ 4-Dec-2017 RSUD PETALA BUMI 23.00 450,000.00 10,350,000.00
3 Kursi Tunggu Pasien Sofa Tamu 3.1.1 / 501-8 2017 5.00 8,950,000.00 44,750,000.00 554/SPK/XI/2017 21-Nov-2017 027/RSUD-PB/XII/2017/ 4-Dec-2017 RAWAT INAP 5.00 8,950,000.00 44,750,000.00
4 AC VRF/VRV Ceiling Concealed/Split Duct (76,400 btu) Mitsubishi/PEFY-P 200VMHS-E 2017 1.00 48,228,400.00 48,228,400.00 344/KONTRAK/VII/2017 27-Jul-2017 027/RSUD-PB/IX/2017/ 22-Sep-2017 RSUD PETALA BUMI 1.00 48,228,400.00 48,228,400.00
5 AC VRF/VRV Ceiling Concealed/Split Duct (95,500 btu) Mitsubishi/PEFY-P 250VMHS-E 2017 2.00 55,686,400.00 111,372,800.00 344/KONTRAK/VII/2017 27-Jul-2017 027/RSUD-PB/IX/2017/ 22-Sep-2017 RSUD PETALA BUMI 2.00 55,686,400.00 111,372,800.00
6 AC VRF/VRV Outdoor Unit (232,000 btu) Mitsubishi/PUCYP350YKA. TH, PUCY-P 2017 1.00 255,883,100.00 255,883,100.00 344/KONTRAK/VII/2017 27-Jul-2017 027/RSUD-PB/IX/2017/ 22-Sep-2017 RSUD PETALA BUMI 1.00 255,883,100.00 255,883,100.00
7 Pengadaan Dan Pemasangan Ducting Lokal 2017 1.00 78,184,700.00 78,184,700.00 344/KONTRAK/VII/2017 27-Jul-2017 027/RSUD-PB/IX/2017/ 22-Sep-2017 RSUD PETALA BUMI 1.00 78,184,700.00 78,184,700.00
8 Pengadaan Dan Pemasangan Pipa AC VRF/VRV Lengkap Lokal 2017 1.00 171,293,100.00 171,293,100.00 344/KONTRAK/VII/2017 27-Jul-2017 027/RSUD-PB/IX/2017/ 22-Sep-2017 RSUD PETALA BUMI 1.00 171,293,100.00 171,293,100.00
9 Dandang / Kukus Besar (Bahan Aluminium Diameter 45cm) Lokal 2017 2.00 687,500.00 1,375,000.00 329/SP/VII/2017 13-Jul-2017 INSTALASI GIZI 2.00 687,500.00 1,375,000.00
10 Kulkas Side by side 4 Pintu Menyamping, Type RQ-56WC (457L) Type RQ-56WC (457L) 2017 1.00 9,196,000.00 9,196,000.00 330/SP/VII/2017 2-Aug-2017 INSTALASI GIZI 1.00 9,196,000.00 9,196,000.00
11 Dispenser Berdiri Sharp / SWD-72EHL-WH 2017 2.00 3,125,000.00 6,250,000.00 682/SP/XI/2017 27-Nov-2017 RSUD PETALA BUMI 2.00 3,125,000.00 6,250,000.00
12 Exhaust Fan Maspion / MV-300 Nex 2017 5.00 1,350,000.00 6,750,000.00 529/PM-SP/X/2017 17-Oct-2017 027/RSUD-PB/X/2017/6 27-Oct-2017 RSUD PETALA BUMI 5.00 1,350,000.00 6,750,000.00
13 Rak Sepatu Tertutup LOKAL 2017 1.00 2,486,000.00 2,486,000.00 126/SPK-PER/IV/2017 27-Apr-2017 RSUD PETALA BUMI 1.00 2,486,000.00 2,486,000.00
14 Rak Gantung Bedside Monitor LOKAL 2017 3.00 5,720,000.00 17,160,000.00 126/SPK-PER/IV/2017 27-Apr-2017 RSUD PETALA BUMI 3.00 5,720,000.00 17,160,000.00
15 Rak Pispot LOKAL 2017 1.00 715,000.00 715,000.00 126/SPK-PER/IV/2017 27-Apr-2017 RSUD PETALA BUMI 1.00 715,000.00 715,000.00
16 Rak Alat Non Alkes LOKAL 2017 1.00 990,000.00 990,000.00 126/SPK-PER/IV/2017 27-Apr-2017 RSUD PETALA BUMI 1.00 990,000.00 990,000.00
17 Rak Gantung Alkes LOKAL 2017 1.00 8,954,000.00 8,954,000.00 126/SPK-PER/IV/2017 27-Apr-2017 RSUD PETALA BUMI 1.00 8,954,000.00 8,954,000.00
18 Rak Gantung Bedside Monitor LOKAL 2017 2.00 5,775,000.00 11,550,000.00 124/SPK-PER/IV/2017 27-Apr-2017 RSUD PETALA BUMI 2.00 5,775,000.00 11,550,000.00
19 Rak Gantung LOKAL 2017 1.00 10,560,000.00 10,560,000.00 124/SPK-PER/IV/2017 27-Apr-2017 RSUD PETALA BUMI 1.00 10,560,000.00 10,560,000.00
20 Dispenser Berdiri MIYAKO / WDP-300 2017 1.00 1,850,000.00 1,850,000.00 673/SP/XI/2017 25-Nov-2017 027/RSUD-PB/XI/2017/ 27-Nov-2017 CSSD 1.00 1,850,000.00 1,850,000.00
21 Exhaust Fan Maspion / MV-300 Nex 2017 2.00 1,350,000.00 2,700,000.00 674/SP/XI/2017 25-Nov-2017 027/RSUD-PB/XI/2017/ 27-Nov-2017 RSUD PETALA BUMI 2.00 1,350,000.00 2,700,000.00
22 Rak Pispot LOKAL 2017 1.00 750,000.00 750,000.00 349/KPA-SP/IV/2017 1-Apr-2017 RSUD PETALA BUMI 1.00 750,000.00 750,000.00
23 Rak Alat LOKAL 2017 1.00 1,000,000.00 1,000,000.00 349/KPA-SP/IV/2017 1-Apr-2017 RSUD PETALA BUMI 1.00 1,000,000.00 1,000,000.00
24 Rak DIspenser LOKAL 2017 2.00 1,500,000.00 3,000,000.00 349/KPA-SP/IV/2017 1-Apr-2017 RSUD PETALA BUMI 2.00 1,500,000.00 3,000,000.00
25 Trolley Linen 2017 2.00 11,935,000.00 23,870,000.00 128/SPK-PER/IV/2017 27-Apr-2017 LONDRY 2.00 11,935,000.00 23,870,000.00
Jam Dinding 3.00 215,000.00 645,000.00 RSUD PETALA BUMI 3.00 215,000.00 645,000.00
- -
p Komputer Unit 4.00 25,434,729.00 44,634,729.00 - 85,690.00 4.00 25,434,729.00 44,634,729.00
1 Komputer / PC 21,5 inch 2017 3.00 9,600,000.00 28,800,000.00 258/SP/V/2017 24-May-2017 RSUD PETALA BUMI 3.00 9,600,000.00 28,800,000.00
2 Notebook Asus Zenbook/ 13,3 Inchi 2017 1.00 15,834,729.00 15,834,729.00 307/SP/III/2017 17-Mar-2017 47/RSUD-PB/III/2017 31-Mar-2017 KASI PERENCAAN PENUNJ 1.00 15,834,729.00 15,834,729.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
q Peralatan Komputer 3.00 2,630,333.33 7,891,000.00 - 42,879.00 3.00 2,630,333.33 7,891,000.00

1 Printer All In One 2017 3.00 2,630,333.33 7,891,000.00 259/SP/V/2017 24-May-2017 RSUD PETALA BUMI 3.00 2,630,333.33 7,891,000.00
-
r Meja Dan Kursi Kerja / Rapat Pejabat Dan Meubelair Lainnya 1.00 56,133,000.00 56,133,000.00 - 42,811.00 1.00 56,133,000.00 56,133,000.00
1 Meja Kerja (Meja Counter Farmasi) LOKAL 2017 1.00 56,133,000.00 56,133,000.00 111/SPK-TU/III/2017 17-Mar-2017 INSTALASI FARMASI 1.00 56,133,000.00 56,133,000.00
s Alat Studio - - - - - - - -
t Alat Komunikasi - - - - - - - -
u Alat Kedokteran 167.00 2,997,368,940.83 4,032,101,887.00 - 2,744,699.00 167.00 2,997,368,940.83 4,032,101,887.00

1 Alat Kedokteran Bedah (Dexon Stool Chair) Dexon Stool Chair / DX05-102 2017 6.00 1,112,250.00 6,673,500.00 85/SPK-YM/III/2017 25-Mar-2017 615/BAPHP/IV/2017 22-Apr-2017 BEDAH SENTRAL 6.00 1,112,250.00 6,673,500.00
2 Instrument Cabinet MAK / 32901 2017 1.00 6,158,300.00 6,158,300.00 618/SP/VIII/2017 22-Aug-2017 027/RSUD-PB/VIII/2017 31-Aug-2017 RSUD PETALA BUMI 1.00 6,158,300.00 6,158,300.00
3 Anti Decubitus Alternating Air Pressure Mattres Comfort 2006 Suzric / SR-303 2017 1.00 3,098,000.00 3,098,000.00 351/SP/VI/2017 17-Jun-2017 027/RSUD-PB/IX/2017/ 13-Sep-2017 BEDAH SENTRAL 1.00 3,098,000.00 3,098,000.00
4 Suction Pump With Troly (C-451) 2x3 L Atmos Germany / C-451 2x3 liter 2017 1.00 58,468,000.00 58,468,000.00 325/SP/V/2017 27-May-2017 027/RSUD-PB/VII/2017/ 8-Jul-2017 IGD 1.00 58,468,000.00 58,468,000.00
5 Ultra Sonic Nebulizer GEA / 402 AI 2017 2.00 814,000.00 1,628,000.00 267/SPK-YM/IV/2017 18-Apr-2017 RSUD PETALA BUMI 2.00 814,000.00 1,628,000.00
6 Tensimeter Digital Omron / HBP - 1100 2017 3.00 1,440,599.33 4,321,798.00 78/SPK-YM/IV/2017 9-Apr-2017 RSUD PETALA BUMI 3.00 1,440,599.33 4,321,798.00
7 Suction Pump With Troly (C-451) 2x5 L Atmos Germany / C-451 2x5 liter 2017 2.00 59,500,000.00 119,000,000.00 79/SPK-YM/IV/2017 24-Mar-2017 027/RSUD-PB/V/2017/1 20-May-2017 R.INAP KEBIDANAN 2.00 59,500,000.00 119,000,000.00
8 Infant Incubator Tosan / 111 2017 2.00 152,402,147.50 304,804,295.00 326/SP/VI/2017 19-Jun-2017 027/RSUD-PB/IX/2017/ 12-Sep-2017 PERINATOLOGI 2.00 152,402,147.50 304,804,295.00
9 Tensimeter Berdiri ADC / 972-11 ABK 2017 4.00 4,625,550.00 18,502,200.00 44/SPK-YM/III/2017 24-Mar-2017 RSUD PETALA BUMI 4.00 4,625,550.00 18,502,200.00
10 Tensimeter Berdiri ADC / 972-11 ABK 2017 1.00 4,656,354.00 4,656,354.00 168/SPK/V/2017 19-May-2017 027/RSUD-PB/VII/2017/ 5-Jul-2017 RSUD PETALA BUMI 1.00 4,656,354.00 4,656,354.00
11 Mesin Anasthesi GE healthcare -USA / Avance CS2 2017 1.00 750,000,000.00 750,000,000.00 111/KONTRAK-YM/2017 18-Apr-2017 027/RSUD-PB/VI/2017/ 16-Jun-2017 BEDAH SENTRAL 1.00 750,000,000.00 750,000,000.00
12 Blanket Warmer SMITHS MEDICAL / EQ-5000 2017 2.00 41,760,000.00 83,520,000.00 418/SP/VI/2017 13-Jun-2017 027/RSUD-PB/VII/2017/ 14-Jul-2017 ICU 2.00 41,760,000.00 83,520,000.00
13 Suction Pump Portable Simex - Germany / S - 20 2017 3.00 12,322,333.33 36,967,000.00 350/SP/VI/2017 8-Jun-2017 027/RSUD-PB/IX/2017/ 5-Sep-2017 RAWAT INAP 3.00 12,322,333.33 36,967,000.00
14 Light Curing Mectron / Starlight Pro 2017 2.00 8,453,000.00 16,906,000.00 441/SP/VI/2017 16-Jun-2017 027/RSUD-PB/VIII/2017 12-Aug-2017 POLI GIGI 2.00 8,453,000.00 16,906,000.00
15 Bed Side Monitor (Patient Monitor) Philips/Intellivue MX400 2017 3.00 88,946,733.33 266,840,200.00 45/SPK-YANMED/III/2017 25-Mar-2017 027/RSUD-PB/VI/2017/ 21-Jun-2017 RAWAT INAP 3.00 88,946,733.33 266,840,200.00
16 Instrument Cabinet (Lemari Obat) MAK 2017 1.00 6,159,300.00 6,159,300.00 76/SPK-YM/III/2017 30-Mar-2017 BEDAH SENTRAL 1.00 6,159,300.00 6,159,300.00
17 Emergency Mobile Stretcher MAK / 31208 2017 2.00 11,502,700.00 23,005,400.00 41/SPK-YM/III/2017 25-Mar-2017 027/RSUD-PB/V/2017/1 16-May-2017 BEDAH SENTRAL 2.00 11,502,700.00 23,005,400.00
18 Emergency Mobile Stretcher MAK / 31208 2017 1.00 11,780,700.00 11,780,700.00 43/SPK-YM/III/2017 25-Mar-2017 027/RSUD-PB/V/2017/1 16-May-2017 BEDAH SENTRAL 1.00 11,780,700.00 11,780,700.00
19 Emaled Lampu Operasi Mobile/Mobile Emergency Lamp With Battery/Emaled Emaled Germany / Emaled 300 2017 2.00 116,148,800.00 232,297,600.00 24/PEL-SPK/IV/2017 24-Mar-2017 027/RSUD-PB/V/2017/1 16-May-2017 BEDAH SENTRAL 2.00 116,148,800.00 232,297,600.00
20 Operating Table Electric FARAFAN – IRAN / OT 93IE 2017 1.00 296,671,540.00 296,671,540.00 151/kontrak/IV/2017 18-Apr-2017 027/RSUD-PB/VII/2017/ 5-Jul-2017 BEDAH SENTRAL 1.00 296,671,540.00 296,671,540.00
21 Infant Warmer GRAHA TEKNO MEDIKA / AB1212 APF 2017 1.00 130,900,000.00 130,900,000.00 147/KONTRAK/IV/2017 4-Apr-2017 027/RSUD-PB/VI/2017/ 7-Jun-2017 PERINATOLOGI 1.00 130,900,000.00 130,900,000.00
22 Babypuff Neonatal Resuscitation Device With Trolley Fanem / 1020 2017 1.00 88,500,000.00 88,500,000.00 332/SP/VI/2017 10-Jun-2017 027/RSUD-PB/VIII/2017 2-Aug-2017 PERINATOLOGI 1.00 88,500,000.00 88,500,000.00
23 Aesculap Partus Set Aesculap 2017 3.00 23,873,000.00 71,619,000.00 83/SPK-YM/IV/2017 4-Apr-2017 027/RSUD-PB/V/2017/1 30-May-2017 R.INAP KEBIDANAN 3.00 23,873,000.00 71,619,000.00
24 Aesculap Hernia And Appendix Set BBRAUN Aesculap 2017 2.00 83,606,000.00 167,212,000.00 81/SPK-YM/IV/2017 4-Apr-2017 BEDAH SENTRAL 2.00 83,606,000.00 167,212,000.00
25 Aesculap Hernia And Appendix For Children BBRAUN Aesculap 2017 1.00 80,167,000.00 80,167,000.00 80/SPK-YM/IV/2017 4-Apr-2017 027/RSUD-PB/V/2017/1 30-May-2017 BEDAH SENTRAL 1.00 80,167,000.00 80,167,000.00
26 Portable USG Probe Linear Ezono 4000 2017 1.00 514,112,000.00 514,112,000.00 477/SP/VI/2017 21-Jun-2017 027/RSUD-PB/X/2017/5 4-Oct-2017 BEDAH SENTRAL 1.00 514,112,000.00 514,112,000.00
27 Projection Vein Finder Vivo / 500S 2017 1.00 84,000,000.00 84,000,000.00 503/SP/VII/2017 18-Jul-2017 027/RSUD-PB/X/2017/6 14-Oct-2017 IGD 1.00 84,000,000.00 84,000,000.00
28 Projection Vein Finder Vivo / 500S 2017 1.00 80,594,100.00 80,594,100.00 167/SPK/V/2017 22-May-2017 027/RSUD-PB/VII/2017/ 18-Jul-2017 IGD 1.00 80,594,100.00 80,594,100.00
29 Aesculap Hernia and Appendix Set I (Set Hernia Dewasa) Aesculap 2017 2.00 83,254,500.00 166,509,000.00 511/SP/X/2017 19-Oct-2017 027/RSUD-PB/XI/2017/ 6-Nov-2017 BEDAH SENTRAL 2.00 83,254,500.00 166,509,000.00
30 Amal Gamator 2017 1.00 6,280,000.00 6,280,000.00 217/SP/V/2017 5-May-2017 POLI GIGI 1.00 6,280,000.00 6,280,000.00
31 Bistos Medical Head Lamp Bistos 2017 1.00 1,100,000.00 1,100,000.00 268/SPK-YM/IV/2017 9-Apr-2017 RSUD PETALA BUMI 1.00 1,100,000.00 1,100,000.00
32 Bistos Medical Head Lamp Bistos 2017 2.00 1,100,000.00 2,200,000.00 169/SPK/V/2017 19-May-2017 IGD 2.00 1,100,000.00 2,200,000.00
33 Bistos Medical Head Lamp Bistos 2017 1.00 1,100,000.00 1,100,000.00 224/SPK-YM/IV/2017 25-Mar-2017 RSUD PETALA BUMI 1.00 1,100,000.00 1,100,000.00
34 Pressure Infusion Cuff 500ml (Pressure Bag) ERKA 500ml 2017 2.00 1,210,000.00 2,420,000.00 501/SP/VI/2017 10-Jun-2017 027/RSUD-PB/VII/2017/ 31-Jul-2017 ICU 2.00 1,210,000.00 2,420,000.00
35 Mayo Stand MAK / 35103 2017 3.00 3,829,533.33 11,488,600.00 42/SPK-YM/III/2017 25-Mar-2017 027/RSUD-PB/V/2017/1 16-May-2017 BEDAH SENTRAL 3.00 3,829,533.33 11,488,600.00
36 Examination Table 2017 2.00 8,321,500.00 16,643,000.00 75/SPK-YM/III/2017 18-Apr-2017 027/RSUD-PB/V/2017/1 16-May-2017 RAWAT JALAN 2.00 8,321,500.00 16,643,000.00
37 Aesculap IUD KIT Aesculap 2017 1.00 14,374,000.00 14,374,000.00 84/SPK-YM/IV/2017 4-Apr-2017 027/RSUD-PB/V/2017/1 30-May-2017 RAWAT INAP 1.00 14,374,000.00 14,374,000.00
38 Aesculap IUD KIT Aesculap 2017 1.00 14,374,000.00 14,374,000.00 82/SPK-YM/IV/2017 9-Apr-2017 027/RSUD-PB/V/2017/1 30-May-2017 R.INAP KEBIDANAN 1.00 14,374,000.00 14,374,000.00
39 Nierbekken Besar Lokal 2017 3.00 240,000.00 720,000.00 505/SP/X/2017 13-Oct-2017 027/RSUD-PB/X/2017/6 25-Oct-2017 RSUD PETALA BUMI 3.00 240,000.00 720,000.00
40 Termometer Digital 2017 2.00 420,000.00 840,000.00 506/SP/X/2017 13-Oct-2017 027/RSUD-PB/X/2017/6 25-Oct-2017 RSUD PETALA BUMI 2.00 420,000.00 840,000.00
41 Kacamata Kuda Goggle 2017 3.00 300,000.00 900,000.00 507/SP/X/2017 13-Oct-2017 027/RSUD-PB/XI/2017/ 9-Nov-2017 RSUD PETALA BUMI 3.00 300,000.00 900,000.00
42 Cup Vacum Silicon M/L Bestmed 2017 2.00 3,000,000.00 6,000,000.00 507/SP/X/2017 13-Oct-2017 027/RSUD-PB/XI/2017/ 9-Nov-2017 RSUD PETALA BUMI 2.00 3,000,000.00 6,000,000.00
43 Trial Frame Cruise Ophthalmic / 674 2017 1.00 4,500,000.00 4,500,000.00 646/SP/XI/2017 22-Nov-2017 027/RSUD-PB/XI/2017/ 23-Nov-2017 RSUD PETALA BUMI 1.00 4,500,000.00 4,500,000.00
44 Alat Diagnostik Gigi (Terdiri dari : Sonde Halfmoon, Pincet, Excavator, Kaca M Medesy 2017 30.00 616,000.00 18,480,000.00 7316/SP/XI/2017 22-Nov-2017 027/RSUD-PB/XI/2017/ 27-Nov-2017 POLI GIGI 30.00 616,000.00 18,480,000.00
45 Transfer Stretcher Trolley Paramount / KK-728E 2017 2.00 46,980,000.00 93,960,000.00 708/SP/XI/2017 14-Nov-2017 027/RSUD-PB/XI/2017/ 24-Nov-2017 IGD 2.00 46,980,000.00 93,960,000.00
46 Tabung Oksigen 2017 5.00 1,000,000.00 5,000,000.00 298/SP/VII/2017 4-Jul-2017 RSUD PETALA BUMI 5.00 1,000,000.00 5,000,000.00
47 Regulator Oksigen 2017 5.00 400,000.00 2,000,000.00 298/SP/VII/2017 4-Jul-2017 RAWAT INAP 5.00 400,000.00 2,000,000.00
48 Dorongan / Trolly 2017 5.00 100,000.00 500,000.00 298/SP/VII/2017 4-Jul-2017 RAWAT INAP 5.00 100,000.00 500,000.00
49 Lemari Obat Lokal 2017 1.00 5,150,000.00 5,150,000.00 601/PM-SP/X/2017 30-Oct-2017 027/RSUD-PB/XI/2017/ 14-Nov-2017 RSUD PETALA BUMI 1.00 5,150,000.00 5,150,000.00
50 Foot Step MAK / 34152 2017 4.00 1,028,000.00 4,112,000.00 463/SP/V/2017 18-May-2017 027/RSUD-PB/VIII/2017 31-Aug-2017 IGD 4.00 1,028,000.00 4,112,000.00
51 Foot Step MAK / 34152 2017 4.00 1,047,000.00 4,188,000.00 76/SPK-PER/III/2017 3-Apr-2017 BEDAH SENTRAL 4.00 1,047,000.00 4,188,000.00
52 Tip Scaler EMS 2017 2.00 1,848,000.00 3,696,000.00 198/KPA.SP/2017 3-Apr-2017 RSUD PETALA BUMI 2.00 1,848,000.00 3,696,000.00
53 Tip Scaler Satelec 2017 1.00 1,925,000.00 1,925,000.00 198/KPA.SP/2017 3-Apr-2017 RSUD PETALA BUMI 1.00 1,925,000.00 1,925,000.00
54 Set Hecting 2017 1.00 2,800,000.00 2,800,000.00 027/RSUD-PB/2061 2-Jun-2017 RSUD PETALA BUMI 1.00 2,800,000.00 2,800,000.00
55 Manikin CPR (Ambu Man Basic) 2017 1.00 11,880,000.00 11,880,000.00 269/SP/IV/2017 4-Apr-2017 IGD 1.00 11,880,000.00 11,880,000.00
56 Gunting Perban Lokal 2017 3.00 20,000.00 60,000.00 027/RSUD-PB/2159 5-Jun-2017 RSUD PETALA BUMI 3.00 20,000.00 60,000.00
57 Torniquet Lokal 2017 3.00 200,000.00 600,000.00 027/RSUD-PB/2159 5-Jun-2017 RSUD PETALA BUMI 3.00 200,000.00 600,000.00
58 Reflex Hammer Lokal 2017 2.00 100,000.00 200,000.00 027/RSUD-PB/2159 5-Jun-2017 RSUD PETALA BUMI 2.00 100,000.00 200,000.00
59 Electric Gyn Examination Table MAK / 34107 2017 3.00 36,355,500.00 109,066,500.00 200/SPK-YM/IV/2017 9-Apr-2017 027/RSUD-PB/V/2017/1 16-May-2017 R.INAP KEBIDANAN 3.00 36,355,500.00 109,066,500.00
60 Finger Bedside Monitor 2017 4.00 5,900,000.00 23,600,000.00 027/RSUD-PB/2004 31-May-2017 RAWAT INAP 4.00 5,900,000.00 23,600,000.00
61 Set Amblical Lokal 2017 3.00 5,900,000.00 17,700,000.00 027/RSUD-PB/2004 31-May-2017 RSUD PETALA BUMI 3.00 5,900,000.00 17,700,000.00
62 Mobile Stretcher MAK / 31203 2017 1.00 8,873,500.00 8,873,500.00 39/SPK-YM/III/2017 17-Mar-2017 RSUD PETALA BUMI 1.00 8,873,500.00 8,873,500.00
63 Gunting Verban Lokal 2017 3.00 25,000.00 75,000.00 027/RSUD-PB/2160 29-May-2017 RSUD PETALA BUMI 3.00 25,000.00 75,000.00
64 Termometer Digital 2017 5.00 45,000.00 225,000.00 027/RSUD-PB/2160 29-May-2017 RSUD PETALA BUMI 5.00 45,000.00 225,000.00
v Alat Kesehatan 6.00 412,386,140.00 412,386,140.00 - 257,750.00 6.00 412,386,140.00 412,386,140.00

1 Shortwave Therapy Unit – DX 500 Pagani / DX 500 2017 1.00 146,480,038.30 146,480,038.30 406/SP/VI/2017 19-Jun-2017 027/RSUD-PB/VIII/2017 1-Aug-2017 FISIOTERAPI 1.00 146,480,038.30 146,480,038.30
2 Microwave Diathermy - Endosan Pagani / Endosan 2017 1.00 103,691,631.70 103,691,631.70 406/SP/VI/2017 19-Jun-2017 027/RSUD-PB/VIII/2017 1-Aug-2017 FISIOTERAPI 1.00 103,691,631.70 103,691,631.70
3 Shoulder Wheel Fisiomobility / AN 120 2017 1.00 24,013,000.00 24,013,000.00 435/SPK/IX/2017 7-Sep-2017 027/RSUD-PB/X/2017/6 26-Oct-2017 FISIOTERAPI 1.00 24,013,000.00 24,013,000.00
4 Static Bycycle Fisiomobility / X2Fit 2017 1.00 24,860,000.00 24,860,000.00 435/SPK/IX/2017 7-Sep-2017 027/RSUD-PB/X/2017/6 26-Oct-2017 FISIOTERAPI 1.00 24,860,000.00 24,860,000.00
5 Bed Therapy Fisiomobility 2017 1.00 74,250,000.00 74,250,000.00 435/SPK/IX/2017 7-Sep-2017 027/RSUD-PB/X/2017/6 26-Oct-2017 FISIOTERAPI 1.00 74,250,000.00 74,250,000.00
6 Quad Ricep Setting FIsiomobility / AN 771 2017 1.00 39,091,470.00 39,091,470.00 435/SPK/IX/2017 7-Sep-2017 027/RSUD-PB/X/2017/6 26-Oct-2017 FISIOTERAPI 1.00 39,091,470.00 39,091,470.00
w Alat Laboratorium 27.00 2,365,292,329.00 2,391,603,924.00 - 728,838.00 27.00 2,365,292,329.00 2,391,603,924.00

1 Sentrifuge 24 Lobang NF 800 2017 1.00 70,294,979.00 70,294,979.00 327/SP/V/2017 30-May-2017 027/RSUD-PB/VII/2017/ 17-Jul-2017 LABORATORIUM 1.00 70,294,979.00 70,294,979.00
2 K-Lite 5 2017 1.00 47,915,600.00 47,915,600.00 112/KONTRAK/2017 3-May-2017 LABORATORIUM 1.00 47,915,600.00 47,915,600.00
3 CoaLAB 1000 2017 1.00 321,956,000.00 321,956,000.00 112/KONTRAK/2017 3-May-2017 LABORATORIUM 1.00 321,956,000.00 321,956,000.00
4 Automated Erythrocyte Sedimentation Rate Analyzer 2017 1.00 32,740,000.00 32,740,000.00 166/SPK/V/2017 18-May-2017 LABORATORIUM 1.00 32,740,000.00 32,740,000.00
5 Stethoscope Adult ADC-USA/603BK 2017 2.00 1,046,571.00 2,093,142.00 393/SP/VI/2017 19-Jun-2017 027/RSUD-PB/IX/2017/ 5-Sep-2017 LABORATORIUM 2.00 1,046,571.00 2,093,142.00
6 Tensimeter Desk Adult 2017 2.00 1,769,649.00 3,539,298.00 393/SP/VI/2017 19-Jun-2017 027/RSUD-PB/IX/2017/ 5-Sep-2017 LABORATORIUM 2.00 1,769,649.00 3,539,298.00
7 Pipette Reference 2 Singel-Channel Fixed 5 ul Epedrof / 5 ul 2017 2.00 3,316,625.00 6,633,250.00 197/SPK-PM/V/2017 12-May-2017 027/RSUD-PB/VII/2017/ 3-Jul-2017 LABORATORIUM 2.00 3,316,625.00 6,633,250.00
8 Pipette Reference 2 Singel-Channel Fixed 10 ul Yellow Epedrof / 10 ul 2017 2.00 3,316,625.00 6,633,250.00 197/SPK-PM/V/2017 12-May-2017 027/RSUD-PB/VII/2017/ 3-Jul-2017 LABORATORIUM 2.00 3,316,625.00 6,633,250.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
14 Microscope Binoculer dengan Lensa Obyektif Plan Leica / DM 750 2017 1.00 34,298,000.00 34,298,000.00 218/SPK/V/2017 3-May-2017 027/RSUD-PB/VII/2017/ 12-Jul-2017 LABORATORIUM 1.00 34,298,000.00 34,298,000.00
15 Sterilisator Kering/Dry Elitech / GET-80C 2017 1.00 19,850,000.00 19,850,000.00 260/SP/V/2017 3-May-2017 027/RSUD-PB/IX/2017/ 27-Sep-2017 LABORATORIUM 1.00 19,850,000.00 19,850,000.00
16 Glucose Stater Kit 2017 2.00 279,000.00 558,000.00 338/SP/VII/2017 18-May-2017 027/RSUD-PB/VII/2017/ 14-Jul-2017 LABORATORIUM 2.00 279,000.00 558,000.00
17 Steam Sterilizer Gettinge / 53HC-E 2017 1.00 1,811,926,155.00 1,811,926,155.00 382/SP/VI/2017 10-Jun-2017 027/RSUD-PB/X/2017/6 5-Oct-2017 LABORATORIUM 1.00 1,811,926,155.00 1,811,926,155.00
x Alat-Alat Persenjataan / Keamanan - - - - - - - -
3 GEDUNG DAN BANGUNAN - 35,230,250.00 35,230,250.00 - 35,230,250.00 35,230,250.00

a Bangunan Gedung - 35,230,250.00 35,230,250.00 - 35,230,250.00 35,230,250.00
Terali Ruang Outdoor AC Central 2017 12,650,000.00 12,650,000.00 733/SPK/XI/2017 24-Nov-2017 027/RSUD-PB/XII/2017/ 14-Dec-2017 RSUD PETALA BUMI 12,650,000.00 12,650,000.00
Pagar Terali teras ruang IPAL + Pintu 2017 6,957,500.00 6,957,500.00 733/SPK/XI/2017 24-Nov-2017 027/RSUD-PB/XII/2017/ 14-Dec-2017 RSUD PETALA BUMI 6,957,500.00 6,957,500.00
Pagar Terali samping gudang mushalla 2017 2,972,750.00 2,972,750.00 733/SPK/XI/2017 24-Nov-2017 027/RSUD-PB/XII/2017/ 14-Dec-2017 RSUD PETALA BUMI 2,972,750.00 2,972,750.00
Pagar terali ruang mesin Cold Storage + Pintu 2017 5,692,500.00 5,692,500.00 733/SPK/XI/2017 24-Nov-2017 027/RSUD-PB/XII/2017/ 14-Dec-2017 RSUD PETALA BUMI 5,692,500.00 5,692,500.00
Terali jendela ruang direktur 2017 6,957,500.00 6,957,500.00 733/SPK/XI/2017 24-Nov-2017 027/RSUD-PB/XII/2017/ 14-Dec-2017 RSUD PETALA BUMI 6,957,500.00 6,957,500.00
b Monumen - - - - - - - -
c Bangunan Menara - - - - - - - -
d Tugu Titik Kontrol/Pasti - - - - - - - -
4 JALAN, JARINGAN DAN IRIGASI - - - - - - - -

a Jalan dan Jembatan - - - - - - - -
b Bangunan Air - - - - - - - -
c Instalasi - - - - - - -
d Jaringan - - - - - - - -
5 ASET TETAP LAINNYA - - - - - - - -

a Bahan Perpustakaan - - - - - - - -
b Barang Bercorak Kesenian/Kebudayaan/Olahraga - - - - - - - -
c Hewan - - - - - - - -
d Ikan - - - - - - - -
e Tanaman - - - - - - - -
f Barang Koleksi Non Budaya - - - - - - - -
g Aset Tetap Dalam Renovasi - - - - - - - -
6 ASET LAINNYA
2016
2017
2016
2017
b Aset Tidak Berwujud

2016
2017
1
c Aset Lain-Lain
2016
2017
7 KONSTRUKSI DALAM PENGERJAAN - - - - - - - -
TOTAL 292.00 6,619,929,922.17 7,862,984,030.00 - 5,449,202.00 - - - - 292.00 6,619,929,922.17 7,862,984,030.00
7,862,984,030.00 -
- Pekanbaru, 08 Maret 2017
Penanggung jawab,

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022

PROVINSI : Riau
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Software (Customisasi Aplikasi SIM-RS) 2017 - 103,205,920.00 103,205,920.00 699/SPK/ 22-Nov-17 - 103,205,920.00 103,205,920.00 DANA BLUD
TOTAL - 103,205,920.00 - 103,205,920.00

Penanggung jawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
BUKU BARANG BUKAN KATEGORI ASET TETAP

PROVINSI : Riau

NO URAIAN BARANG DIPERGUNAKAN PADA UNIT KETERANGAN
1 2 3 4 5 6 7 8 9 10 11 12 13
NIHIL
`

Penanggung jawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
KETERANGAN
1 X disesuaikan untuk pelaporan semester I / semester II
2 XX
disesuaikan untuk pelaporan tahunan
LAPORAN MUTASI BARANG
SEMESTER II
TAHUN 2017
136,696,344,553.10
127,366,609,430.10
OPD : RSUD PETALA BUMI 9,329,735,123.00
PROVINSI : Riau
UKURAN
BARANG / JUMLAH AWAL JUMLAH AKHIR
SPESIFIKASI KONDISI MUTASI PERUBAHAN
ASAL / CARA TAHUN KONSTRUK 01 JULI 2017 31 DESEMBER 2017
NO KODE BARANG REGISTER SI SATUAN KET
PEROLEHAN PEROLEHAN
P, SP, D / BERKURANG BERTAMBAH
NAMA / JENIS BARANG BARANG MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI B, KB, RB UNIT RUPIAH UNIT RUPIAH
M2 / CC UNIT RUPIAH UNIT RUPIAH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 TANAH 7,750.00 6,200,000,000.00 - - - - 7,750.00 6,200,000,000.00
2 PERALATAN MESIN #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
a Alat-Alat Besar
b Alat-Alat Besar Darat
c Alat-Alat Besar Apung
d Alat-Alat Bantu
e Alat-Alat Angkutan
f Alat Angkutan Darat Bermotor 9.00 1,807,138,484.10 - - - - 9.00 1,807,138,484.10
g Alat Angkutan Darat Tak Bermotor
h Alat Angkut Apung Bermotor
i Alat Angkut Apung Tak Bermotor
j Alat Angkut Bermotor Udara
k Alat Bengkel Bermesin 19.00 49,108,900.00 - - 7.00 221,020,791.00 26.00 270,129,691.00

10 02.04.01.01.18 0001 Mesin Kompresor Udara Lakoni / Fresco 130 SN : 200800 Pembelian 2017 30 Liter Unit Baik 1.00 6,750,000.00 1.00 6,750,000.00
11 02.04.01.01.19 0001 Mesin Las 900 Watt (lengkap dengan kabel dan tang las) REDFOX / MME-120 Pembelian 2017 900 Watt Unit Baik 1.00 1,150,000.00 1.00 1,150,000.00
12 02.04.01.01.05 0001 Bor Duduk H.T.S / ZJQ4116 Pembelian 2017 375 Watt Unit Baik 1.00 6,435,000.00 1.00 6,435,000.00
13 02.04.01.06.01 0001 Gergaji Potong Listrik Maktec by Thakita / MT583 Pembelian 2017 1050 Watt Unit Baik 1.00 2,150,000.00 1.00 2,150,000.00
14 02.04.01.01.05 0002 Bor Cordless Makita / BL1016 Pembelian 2017 17 Watt Unit Baik 1.00 3,345,000.00 1.00 3,345,000.00
15 02.04.01.01.29. 0001 Mesin Potong Maktec / MT24D Pembelian 2017 Diameter 33 Unit Baik 1.00 2,350,000.00 1.00 2,350,000.00
16 02.04.01.05.03 0001 Cold Storage (Peralatan Teknik) Pembelian 2017 Unit Baik 1.00 198,840,791.00 1.00 198,840,791.00
l Alat Bengkel Tak Bermesin 27.00 18,843,900.00 - - 3.00 4,220,000.00 30.00 23,063,900.00
19 02.04.02.08.21 0001 Toolkit Box Tekiro Pembelian 2017 Buah Baik 1.00 850,000.00 1.00 850,000.00
20 02.04.02.08.21 0002 Toolkit (Obeng Lengkap) Tekiro / Screw DriverSet Pembelian 2017 Set Baik 1.00 1,620,000.00 1.00 1,620,000.00
21 02.04.02.08.21 0003 Kunci Ring Lengkap Tekiro / Ring Pass Pembelian 2017 Set Baik 1.00 1,750,000.00 1.00 1,750,000.00
m Alat Ukur #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! -
9 02.04.03.10.39 0001 Timbangan Anak Leica Pembelian 2017 Unit Baik 1.00 1,600,000.00 1.00 1,600,000.00
10 02.04.03.10.39 0002 Timbangan + Ukuran Tinggi Badan Serenity ZT 120 White Colour Pembelian 2017 Unit Baik 1.00 1,040,000.00 1.00 1,040,000.00
11 02.04.03.10.39 0003 Timbangan + Ukuran Tinggi Badan Pembelian 2017 Unit Baik 1.00 3,200,000.00 1.00 3,200,000.00
12 02.04.03.10.06 0001 Timbangan Bayi Pembelian 2017 Unit Baik 1.00 6,600,000.00 1.00 6,600,000.00
n Alat Kantor #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
56 02.06.01.04.04 0001 Filling Kabinet (Roll Opack) Pembelian 2017 Buah Baik 1.00 94,600,000.00 1.00 94,600,000.00
58 02.06.01.04.12 0001-0007 Lemari File Cabinet Up Swing Glass Door Pembelian 2017 Unit Baik 7.00 27,335,000.00 7.00 27,335,000.00
59 02.06.01.04.12 0008-0009 Lemari File Bahan Besi Lion Pembelian 2017 Unit Baik 2.00 6,933,900.00 2.00 6,933,900.00
60 02.06.01.04.12 0010-0016 Lemari File Pembelian 2017 Unit Baik 7.00 30,049,250.00 7.00 30,049,250.00
64 02.06.01.02.12 0001 Mesin Penghitung Type Spindle Pembelian 2017 Unit Baik 1.00 39,965,763.00 1.00 39,965,763.00
65 02.06.01.04.12 0019 Lemari Gredenza Pembelian 2017 Unit Baik 1.00 24,063,597.00 1.00 24,063,597.00
62 02.06.01.04.12 0017 Almari Cupboard FC B20 (2 pintu kaca tarik + 2 laci) Pembelian 2017 Unit Baik 1.00 4,300,000.00 1.00 4,300,000.00
61 02.06.01.04.14 0001-0005 Lemari Linen Pembelian 2017 Unit Baik 5.00 48,781,250.00 5.00 48,781,250.00
62 02.06.01.05.05 0001 Mesin Penghancur Kertas Ideal / 2245 Pembelian 2017 Unit Baik 1.00 4,670,480.00 1.00 4,670,480.00
63 02.06.01.04.14 0006 Lemari (Pelayanan Gawat Darurat) Lokal Pembelian 2017 Paket Baik 1.00 850,000.00 1.00 850,000.00
64 02.06.01.04.14 0007 Lemari (Pelayanan Rawat Inap) Lokal Pembelian 2017 Paket Baik 1.00 850,000.00 1.00 850,000.00
65 02.06.01.04.14 0008 Lemari (Pelayanan ICU) Lokal Pembelian 2017 Paket Baik 1.00 850,000.00 1.00 850,000.00
o Alat Rumah Tangga #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! -
404 02.06.02.06.50 0001-0002 Rak Dispenser Lokal Pembelian 2017 Unit Baik 2.00 3,000,000.00 2.00 3,000,000.00
405 02.06.02.06.39 0001-0002 Dispenser Sharp SWD T29ED Warna Putih Pembelian 2017 Unit Baik 2.00 4,900,000.00 2.00 4,900,000.00
406 02.06.02.06.50 0003-0052 Tong Sampah Informa, Krisbow Pembelian 2017 Unit Baik 50.00 28,875,000.00 50.00 28,875,000.00
407 02.06.02.06.50 0053-0054 Trolley Instrument Pembelian 2017 Unit Baik 2.00 19,599,800.00 2.00 19,599,800.00
408 02.06.02.04.06 0001-0009 Kipas Angin Berdiri Powerfan PF18PW452 Warna Hitam Pembelian 2017 Unit Baik 9.00 6,750,000.00 9.00 6,750,000.00
409 02.06.02.01.01 0001-0003 Rak Sepatu Tertutup Lokal Pembelian 2017 Buah Baik 3.00 7,200,000.00 3.00 7,200,000.00
410 02.06.02.06.50 0055-0064 Rak Dispenser Lokal Pembelian 2017 Buah Baik 10.00 14,500,000.00 10.00 14,500,000.00
411 02.06.02.06.50 0065-0094 Rak Pispot Lokal Pembelian 2017 Buah Baik 30.00 21,000,000.00 30.00 21,000,000.00
412 02.06.02.06.39 0003-0012 Dispenser Sharp / SWD T29ED-WH Pembelian 2017 Unit Baik 10.00 23,650,000.00 10.00 23,650,000.00
413 02.06.02.06.50 0095-0100 Trolley Linen Tertutup HANO PLUS HLTRN 101 Pembelian 2017 Unit Baik 6.00 89,997,600.00 6.00 89,997,600.00
414 02.06.02.06.50 0101 Rantai Oksigen Lokal Pembelian 2017 Paket Baik 1.00 1,500,000.00 1.00 1,500,000.00
415 02.06.02.06.39 0013-0014 Dispenser Pembelian 2017 Unit Baik 2.00 4,900,000.00 2.00 4,900,000.00
416 02.06.02.04.06 0010 Kipas Angin Panasonic F.EP 404 Stand Fan Pembelian 2017 Unit Baik 1.00 850,000.00 1.00 850,000.00
417 02.06.02.01.49 0001-0002 Kursi Sofa Pembelian 2017 Set Baik 2.00 29,986,000.00 2.00 29,986,000.00
418 02.06.02.06.39 0015 Dispenser Galon Bawah Sharp Pembelian 2017 Unit Baik 1.00 3,400,000.00 1.00 3,400,000.00
419 02.06.02.04.06 0011 Kipas Angin Panasonic F.EP 404 Stand Fan Pembelian 2017 Unit Baik 1.00 850,000.00 1.00 850,000.00
420 02.06.02.06.50 0102 Mesin Pengering (Dryer Trumbler Economy) Image / DE-75 Pembelian 2017 34 Kg Unit Baik 1.00 184,000,000.00 1.00 184,000,000.00
421 02.06.02.03.04 0001 Washer Extractor Hard Mount Image / HE-60 Pembelian 2017 Unit Baik 1.00 196,500,000.00 1.00 196,500,000.00
422 02.06.02.06.03 0001-0015 Televisi 32" Toshiba Pembelian 2017 Unit Baik 15.00 73,829,250.00 15.00 73,829,250.00
423 02.06.02.01.48 0001-0005 Meja Kerja Pembelian 2017 Buah Baik 5.00 14,553,000.00 5.00 14,553,000.00
424 02.06.02.01.44 0001 Meja Nurse Station Pembelian 2017 Unit Baik 1.00 29,106,000.00 1.00 29,106,000.00
425 02.06.02.01.30 0001-0020 Kursi Kerja (Kursi Putar) Pembelian 2017 Unit Baik 20.00 39,380,000.00 20.00 39,380,000.00
426 02.06.02.01.48 0006-0011 Meja Kerja Desain Khusus Pembelian 2017 Unit Baik 6.00 57,514,640.00 6.00 57,514,640.00
428 02.06.02.04.06 0012 Kipas Angin Tegak Cosmos Warna Putih Biru Pembelian 2017 Unit Baik 1.00 450,000.00 1.00 450,000.00
432 02.06.02.01.05 0001-0006 Kursi Tangga (Kursi Susun) Pembelian 2017 Buah Baik 6.00 2,983,200.00 6.00 2,983,200.00
433 02.06.02.01.05 0007-0009 Kursi Tangga (Kursi Rendah) Pembelian 2017 Buah Baik 3.00 1,316,700.00 3.00 1,316,700.00
436 02.06.02.04.01 0001-0007 Kulkas 1 Pintu Aqua / AQR-D-190 Pembelian 2017 Unit Baik 7.00 16,940,000.00 7.00 16,940,000.00
437 02.06.02.01.65 0001-0023 Kursi Tunggu Leopard Kulit Pembelian 2017 Buah Baik 23.00 10,350,000.00 23.00 10,350,000.00
UKURAN
PEROLEHAN PEROLEHAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
438 02.06.02.01.65 0024-0028 Kursi Tunggu Pasien Sofa Tamu 3.1.1 / 501-8 Pembelian 2017 Set Baik 5.00 44,750,000.00 5.00 44,750,000.00
439 02.06.02.04.02 0001 AC VRF/VRV Ceiling Concealed/Split Duct (76,400 btu) Mitsubishi/PEFY-P 200VMHS-E Pembelian 2017 Unit Baik 1.00 48,228,400.00 1.00 48,228,400.00
440 02.06.02.04.02 0002-0003 AC VRF/VRV Ceiling Concealed/Split Duct (95,500 btu) Mitsubishi/PEFY-P 250VMHS-E Pembelian 2017 Unit Baik 2.00 111,372,800.00 2.00 111,372,800.00
441 02.06.02.04.02 0004 AC VRF/VRV Outdoor Unit (232,000 btu) Mitsubishi/PUCYP350YKA. TH, PUCY-P250YKA.TH Pembelian 2017 Unit Baik 1.00 255,883,100.00 1.00 255,883,100.00
442 02.06.02.04.02 0005 Pengadaan Dan Pemasangan Ducting Lokal Pembelian 2017 Unit Baik 1.00 78,184,700.00 1.00 78,184,700.00
443 02.06.02.04.02 0006 Pengadaan Dan Pemasangan Pipa AC VRF/VRV Lengkap Lokal Pembelian 2017 Lot Baik 1.00 171,293,100.00 1.00 171,293,100.00
444 02.06.02.05.07 0001-0002 Dandang / Kukus Besar (Bahan Aluminium Diameter 45cm) lokal Pembelian 2017 Buah Baik 2.00 1,375,000.00 2.00 1,375,000.00
445 02.06.02.04.01 0008 Kulkas Side by side 4 Pintu Menyamping, Type RQ-56WC (457L) Type RQ-56WC (457L) Pembelian 2017 Unit Baik 1.00 9,196,000.00 1.00 9,196,000.00
446 02.06.02.06.39 0016-0017 Dispenser Berdiri Sharp / SWD-72EHL-WH Pembelian 2017 Unit Baik 2.00 6,250,000.00 2.00 6,250,000.00
448 02.06.02.04.07 0001-0005 Exhaust Fan Maspion / MV-300 Nex Pembelian 2017 Unit Baik 5.00 6,750,000.00 5.00 6,750,000.00
449 02.06.02.06.50 0163 Rak Sepatu Tertutup Pembelian 2017 Unit Baik 1.00 2,486,000.00 1.00 2,486,000.00
450 02.06.02.06.50 0164-0166 Rak Gantung Bedside Monitor Pembelian 2017 Buah Baik 3.00 17,160,000.00 3.00 17,160,000.00
451 02.06.02.06.50 0167 Rak Pispot Pembelian 2017 Buah Baik 1.00 715,000.00 1.00 715,000.00
452 02.06.02.06.50 0168 Rak Alat Non Alkes Pembelian 2017 Buah Baik 1.00 990,000.00 1.00 990,000.00
453 02.06.02.06.50 0169 Rak Gantung Alkes Pembelian 2017 Unit Baik 1.00 8,954,000.00 1.00 8,954,000.00
454 02.06.02.06.50 0170-0171 Rak Gantung Bedside Monitor Pembelian 2017 Buah Baik 2.00 11,550,000.00 2.00 11,550,000.00
455 02.06.02.06.50 0172 Rak Gantung Pembelian 2017 Buah Baik 1.00 10,560,000.00 1.00 10,560,000.00
456 02.06.02.06.39 0018 Dispenser Berdiri MIYAKO / WDP-300 Pembelian 2017 Unit Baik 1.00 1,850,000.00 1.00 1,850,000.00
457 02.06.02.04.07 0006-0007 Exhaust Fan Maspion / MV-300 Nex Pembelian 2017 Unit Baik 2.00 2,700,000.00 2.00 2,700,000.00
458 02.06.02.06.50 0173 Rak Pispot Pembelian 2017 Buah Baik 1.00 750,000.00 1.00 750,000.00
459 02.06.02.06.50 0174 Rak Alat Pembelian 2017 Buah Baik 1.00 1,000,000.00 1.00 1,000,000.00
460 02.06.02.06.50 0175-0176 Rak DIspenser Pembelian 2017 Buah Baik 2.00 3,000,000.00 2.00 3,000,000.00
461 02.06.02.06.50 0177-0178 Trolley Linen Pembelian 2017 Buah Baik 2.00 23,870,000.00 2.00 23,870,000.00
463 02.06.02.04.03 0001-0003 AC 2 PK Pembelian 2017 Unit Baik 3.00 22,800,000.00 3.00 22,800,000.00
464 02.06.02.04.03 0004-0009 AC 1 PK Pembelian 2017 Unit Baik 6.00 28,380,000.00 6.00 28,380,000.00
465 02.06.02.04.03 0010 AC ½ PK Pembelian 2017 Unit Baik 1.00 4,000,000.00 1.00 4,000,000.00
466 02.06.02.01.65 0029-0031 Kursi tunggu double side Pembelian 2017 Unit Baik 3.00 37,950,000.00 3.00 37,950,000.00
467 02.06.02.01.65 0032-0035 Kursi tunggu single side Pembelian 2017 Unit Baik 4.00 30,800,000.00 4.00 30,800,000.00
468 02.06.02.06.50 0181 Rak Besi (Pelayanan Logistik) Pembelian 2017 Paket Baik 1.00 78,282,600.00 1.00 78,282,600.00
469 02.06.02.06.50 0182 Rak Mainan (Renovasi bangunan Rumah Sakit Lantai I) Pembelian 2017 Buah Baik 1.00 5,981,952.00 1.00 5,981,952.00
470 02.06.02.01.65 0036 Kursi Tunggu Pembatas (Renovasi Bangunan Rumah Sakit Lantai 1) Pembelian 2017 Set Baik 1.00 9,389,099.00 1.00 9,389,099.00
471 02.06.02.06.03 0016 Televisi (Pelayanan Rawat Jalan) Pembelian 2017 Unit Baik 1.00 8,800,000.00 1.00 8,800,000.00
472 02.06.02.06.61 0001-0002 Blender Obat Pembelian 2017 Unit Baik 2.00 4,700,000.00 2.00 4,700,000.00
473 02.06.02.06.50 0183-0184 Papan Kapsul lokal Pembelian 2017 Buah Baik 2.00 640,000.00 2.00 640,000.00
p Komputer Unit #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
155 02.06.03.02.01 0001-0010 Komputer / PC Pembelian 2017 Unit Baik 10.00 70,400,000.00 10.00 70,400,000.00
156 02.06.03.02.01 0011-0013 Komputer / PC 21,5 inch Pembelian 2017 Unit Baik 3.00 28,800,000.00 3.00 28,800,000.00
157 02.06.03.02.02 0001 Notebook Asus Zenbook 13,3 Inchi Pembelian 2017 Unit Baik 1.00 15,834,729.00 1.00 15,834,729.00
158 02.06.03.02.01 0014-0016 Komputer / PC Asus / ZN2401CGT-RA055T Pembelian 2017 Unit Baik 3.00 42,494,000.00 3.00 42,494,000.00
159 02.06.03.02.02 0002 Notebook Asus UX360CA (M-6Y30, 8GB,512 GB SSD, WIN 10) [C4116T] - Gold ASUS / Zenbook Flip UX360UA Pembelian 2017 Unit Baik 1.00 13,417,870.00 1.00 13,417,870.00
160 02.06.03.02.01 0017-0018 Komputer All In One Asus / ZN2401CGT-RA055T Pembelian 2017 Unit Baik 2.00 28,046,000.00 2.00 28,046,000.00
161 02.06.03.02.01 0019-0022 Komputer All In One Pembelian 2017 Unit Baik 4.00 55,200,000.00 4.00 55,200,000.00
q Peralatan Komputer #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! -
156 02.06.03.05.03 0001-0009 Printer Multi Fungsi Pembelian 2017 Unit Baik 9.00 22,275,000.00 9.00 22,275,000.00
157 02.06.03.05.03 0010 Printer Portable Pembelian 2017 Unit Baik 1.00 2,475,000.00 1.00 2,475,000.00
158 02.06.03.06.06 0001-0003 Stand Alone Access Point Pembelian 2017 Unit Baik 3.00 2,475,000.00 3.00 2,475,000.00
159 02.06.03.06.06 0004 LAN Tester Tracker Cable Pembelian 2017 Set Baik 1.00 2,651,000.00 1.00 2,651,000.00
160 02.06.03.06.06 0005 Mikrotik Router Pembelian 2017 Unit Baik 1.00 902,000.00 1.00 902,000.00
161 02.06.03.05.03 Printer All In One Pembelian 2017 Unit Baik 3.00 7,891,000.00 3.00 7,891,000.00
162 02.06.03.05.03 Printer Canon / Pixma G4000 Pembelian 2017 Unit Baik 3.00 11,701,440.00 3.00 11,701,440.00
163 02.06.03.05.03 Printer Canon / Pixma G4000 Pembelian 2017 Unit Baik 2.00 11,951,440.00 2.00 11,951,440.00
164 02.06.03.05.03 Printer Multi Fungsi Pembelian 2017 Unit Baik 4.00 15,600,000.00 4.00 15,600,000.00
165 02.06.03.05.03 Printer dot matrix Pembelian 2017 Unit Baik 1.00 3,900,000.00 1.00 3,900,000.00
166 02.06.03.01.04 Peningkatan Instalasi Jaringan Internet (Pembangunan/Pengembangan Sistem Informasi) Pembelian 2017 Paket Baik 1.00 17,915,000.00 1.00 17,915,000.00
r Meja Dan Kursi Kerja / Rapat Pejabat Dan Meubelair Lainnya #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
65 02.06.04.02.14 0001 Meja Kerja (Meja Counter Farmasi) Pembelian 2017 Baik 1.00 56,133,000.00 1.00 56,133,000.00
66 02.06.04.01.09 0001-0009 Meja 1/2 Biro Pembelian 2017 Unit Baik 9.00 31,160,000.00 9.00 31,160,000.00
67 02.06.04.03.09 0001-0013 Kursi Kerja Jabatan Pembelian 2017 Unit Baik 13.00 43,940,000.00 13.00 43,940,000.00
68 02.06.04.02.14 0002 Meja Informasi Pembelian 2017 Set Baik 1.00 9,469,909.00 1.00 9,469,909.00
s Alat Studio #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
t Alat Komunikasi #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
u Alat Kedokteran #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! -
Hernia Instrument Set (Anak) :
416 02.08.01.01.68 0001-0011 Paramount Bed Qualitas Alpha Plus 3 Motor Electric Bed Paramount / Type PA-6315 Pembelian 2017 Unit Baik 11.00 483,536,200.00 11.00 483,536,200.00
417 02.08.01.01.68 0012-0022 Paramount Bed I.V Hanger Rod Type KC-56A Pembelian 2017 Unit Baik 11.00 11,707,105.00 11.00 11,707,105.00
418 02.08.01.01.68 0023-0033 Paramount Bed Urethane Foam Mattress Width 910mm Pembelian 2017 Unit Baik 11.00 19,196,520.00 11.00 19,196,520.00
419 02.08.01.01.68 0034-0046 Paramount Bed I.V hanger Rod Type KC-56A Pembelian 2017 Unit Baik 13.00 13,835,669.00 13.00 13,835,669.00
420 02.08.01.01.68 0047-0059 Paramount Bed Pediatric Bed Paramount / Crank Pediactric Bed/PB-2100:PB-2200 Pembelian 2017 Unit Baik 13.00 221,657,800.00 13.00 221,657,800.00
421 02.08.01.08.53 0001-0006 Alat Kedokteran Bedah (Dexon Stool Chair) Dexon Stool Chair / DX05-102 Pembelian 2017 Unit Baik 6.00 6,673,500.00 6.00 6,673,500.00
422 02.08.01.01.19 0001 Instrument Cabinet MAK / 32901 Pembelian 2017 Unit Baik 1.00 6,158,300.00 1.00 6,158,300.00
423 02.08.01.01.68 0060 Anti Decubitus Alternating Air Pressure Mattres Comfort 2006 Suzric / SR-303 Pembelian 2017 Unit Baik 1.00 3,098,000.00 1.00 3,098,000.00
424 02.08.01.05.11 0001 Suction Pump With Troly (C-451) 2x3 L Atmos Germany / C-451 2x3 liter Pembelian 2017 Unit Baik 1.00 58,468,000.00 1.00 58,468,000.00
425 02.08.01.10.48 0001-0002 Ultra Sonic Nebulizer GEA / 402 AI Pembelian 2017 Unit Baik 2.00 1,628,000.00 2.00 1,628,000.00
426 02.08.01.01.05 0001-0003 Tensimeter Digital Omron / HBP - 1100 Pembelian 2017 Unit Baik 3.00 4,321,798.00 3.00 4,321,798.00
427 02.08.01.05.11 0002-0003 Suction Pump With Troly (C-451) 2x5 L Atmos Germany / C-451 2x5 liter Pembelian 2017 Unit Baik 2.00 119,000,000.00 2.00 119,000,000.00
428 02.08.01.12.15 0001-0002 Infant Incubator Tosan / 111 Pembelian 2017 Unit Baik 2.00 304,804,295.00 2.00 304,804,295.00
429 02.08.01.01.05 0004-0007 Tensimeter Berdiri ADC / 972-11 ABK Pembelian 2017 Unit Baik 4.00 18,502,200.00 4.00 18,502,200.00
430 02.08.01.01.05 0008 Tensimeter Berdiri ADC / 972-11 ABK Pembelian 2017 Unit Baik 1.00 4,656,354.00 1.00 4,656,354.00
431 02.08.01.13.48 0001 Mesin Anasthesi GE healthcare -USA / Avance CS2 Pembelian 2017 Unit Baik 1.00 750,000,000.00 1.00 750,000,000.00
432 02.08.01.01.68 0061-0062 Blanket Warmer SMITHS MEDICAL / EQ-5000 Pembelian 2017 Unit Baik 2.00 83,520,000.00 2.00 83,520,000.00
433 02.08.01.08.17 0001-0003 Suction Pump Portable Simex - Germany / S - 20 Pembelian 2017 Unit Baik 3.00 36,967,000.00 3.00 36,967,000.00
434 02.08.01.13.62 0001-0002 Light Curing Mectron / Starlight Pro Pembelian 2017 Unit Baik 2.00 16,906,000.00 2.00 16,906,000.00
435 02.08.01.20.03 0001-0003 Bed Side Monitor (Patient Monitor) Philips/Intellivue MX400 Pembelian 2017 Unit Baik 3.00 266,840,200.00 3.00 266,840,200.00
436 02.08.01.01.19 0002 Instrument Cabinet (Lemari Obat) MAK Pembelian 2017 Unit Baik 1.00 6,159,300.00 1.00 6,159,300.00
437 02.08.01.08.53 0007-0008 Emergency Mobile Stretcher MAK / 31208 Pembelian 2017 Unit Baik 2.00 23,005,400.00 2.00 23,005,400.00
438 02.08.01.08.53 0009 Emergency Mobile Stretcher MAK / 31208 Pembelian 2017 Unit Baik 1.00 11,780,700.00 1.00 11,780,700.00
439 02.08.01.08.13 0001-0002 Emaled Lampu Operasi Mobile/Mobile Emergency Lamp With Battery/Emaled 300Emaled Germany / Emaled 300 Pembelian 2017 Unit Baik 2.00 232,297,600.00 2.00 232,297,600.00
440 02.08.01.08.14 0001 Operating Table Electric FARAFAN – IRAN / OT 93IE Pembelian 2017 Unit Baik 1.00 296,671,540.00 1.00 296,671,540.00
UKURAN
PEROLEHAN PEROLEHAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
441 02.08.01.12.82 0001 Infant Warmer GRAHA TEKNO MEDIKA / AB1212 APF Pembelian 2017 Unit Baik 1.00 130,900,000.00 1.00 130,900,000.00
442 02.08.01.12.73 0001 Babypuff Neonatal Resuscitation Device With Trolley Fanem / 1020 Pembelian 2017 Unit Baik 1.00 88,500,000.00 1.00 88,500,000.00
443 02.08.01.09.74 0001-0003 Aesculap Partus Set Aesculap Pembelian 2017 Set Baik 3.00 71,619,000.00 3.00 71,619,000.00
444 02.08.01.09.74 0004-0005 Aesculap Hernia And Appendix Set BBRAUN Aesculap Pembelian 2017 Set Baik 2.00 167,212,000.00 2.00 167,212,000.00
445 02.08.01.09.74 0006 Aesculap Hernia And Appendix For Children BBRAUN Aesculap Pembelian 2017 Set Baik 1.00 80,167,000.00 1.00 80,167,000.00
446 02.08.01.10.56 0001 Portable USG Probe Linear Ezono 4000 Pembelian 2017 Unit Baik 1.00 514,112,000.00 1.00 514,112,000.00
447 02.08.01.12.82 0002 Projection Vein Finder VIVOLIGHT / VIVO 500 Pembelian 2017 Unit Baik 1.00 84,000,000.00 1.00 84,000,000.00
448 02.08.01.12.82 0003 Projection Vein Finder VIVOLIGHT / VIVO 500 Pembelian 2017 Unit Baik 1.00 80,594,100.00 1.00 80,594,100.00
449 02.08.01.09.74 0007-0008 Aesculap Hernia and Appendix Set I (Set Hernia Dewasa) Aesculap Pembelian 2017 Set Baik 2.00 166,509,000.00 2.00 166,509,000.00
450 02.08.01.02.55 0001 Amal Gamator Pembelian 2017 Pc Baik 1.00 6,280,000.00 1.00 6,280,000.00
451 02.08.01.10.73 0001 Bistos Medical Head Lamp Bistos Pembelian 2017 Unit Baik 1.00 1,100,000.00 1.00 1,100,000.00
452 02.08.01.10.73 0002-0003 Bistos Medical Head Lamp Bistos Pembelian 2017 Unit Baik 2.00 2,200,000.00 2.00 2,200,000.00
453 02.08.01.10.73 0004 Bistos Medical Head Lamp Bistos Pembelian 2017 Unit Baik 1.00 1,100,000.00 1.00 1,100,000.00
454 02.08.01.20.16 0001-0002 Pressure Infusion Cuff 500ml (Pressure Bag) ERKA 500ml Pembelian 2017 Unit Baik 2.00 2,420,000.00 2.00 2,420,000.00
455 02.08.01.08.53 0010-0012 Mayo Stand MAK / 35103 Pembelian 2017 Unit Baik 3.00 11,488,600.00 3.00 11,488,600.00
456 02.08.01.13.62 0003-0004 Examination Table Pembelian 2017 Unit Baik 2.00 16,643,000.00 2.00 16,643,000.00
457 02.08.01.01.68 0063 Aesculap IUD KIT Aesculap Pembelian 2017 Set Baik 1.00 14,374,000.00 1.00 14,374,000.00
458 02.08.01.01.68 0064 Aesculap IUD KIT Aesculap Pembelian 2017 Set Baik 1.00 14,374,000.00 1.00 14,374,000.00
459 02.08.01.01.56 0001-0003 Nierbekken Besar Lokal Pembelian 2017 Bh Baik 3.00 720,000.00 3.00 720,000.00
460 02.08.01.01.68 0065-0066 Termometer Digital Pembelian 2017 Unit Baik 2.00 840,000.00 2.00 840,000.00
461 02.08.01.01.68 0067-0069 Kacamata Kuda Goggle Pembelian 2017 Unit Baik 3.00 900,000.00 3.00 900,000.00
462 02.08.01.08.53 0013-0014 Cup Vacum Silicon M/L Bestmed Pembelian 2017 Unit Baik 2.00 6,000,000.00 2.00 6,000,000.00
463 02.08.01.01.68 0070 Trial Frame Cruise Ophthalmic / 674 Pembelian 2017 Unit Baik 1.00 4,500,000.00 1.00 4,500,000.00
464 02.08.01.02.55 0002-0031 Alat Diagnostik Gigi (Terdiri dari : Sonde Halfmoon, Pincet, Excavator, Kaca Mulu Medesy Pembelian 2017 Set Baik 30.00 18,480,000.00 30.00 18,480,000.00
465 02.08.01.20.16 0003-0004 Transfer Stretcher Trolley Paramount / KK-728E Pembelian 2017 Unit Baik 2.00 93,960,000.00 2.00 93,960,000.00
466 02.08.01.01.62 0001-0005 Tabung Oksigen Lokal Pembelian 2017 Unit Baik 5.00 5,000,000.00 5.00 5,000,000.00
467 02.08.01.09.27 0001-0005 Regulator Oksigen Pembelian 2017 Unit Baik 5.00 2,000,000.00 5.00 2,000,000.00
468 02.08.01.01.68 0071-0075 Dorongan / Trolly Pembelian 2017 Pcs Baik 5.00 500,000.00 5.00 500,000.00
469 02.06.01.04.12 0020 Lemari Obat Lokal Pembelian 2017 Unit Baik 1.00 5,150,000.00 1.00 5,150,000.00
470 02.08.01.01.68 0076-0079 Foot Step MAK / 34152 Pembelian 2017 Unit Baik 4.00 4,112,000.00 4.00 4,112,000.00
471 02.08.01.01.68 0080-0083 Foot Step MAK / 34152 Pembelian 2017 Unit Baik 4.00 4,188,000.00 4.00 4,188,000.00
472 02.08.01.01.68 0084-0085 Tip Scaler EMS Pembelian 2017 Pc Baik 2.00 3,696,000.00 2.00 3,696,000.00
473 02.08.01.01.68 0086 Tip Scaler Satelec Pembelian 2017 Pc Baik 1.00 1,925,000.00 1.00 1,925,000.00
474 02.08.01.01.68 0087 Set Hecting Pembelian 2017 Set Baik 1.00 2,800,000.00 1.00 2,800,000.00
475 02.08.01.01.68 0088 Manikin CPR (Ambu Man Basic) Pembelian 2017 Unit Baik 1.00 11,880,000.00 1.00 11,880,000.00
476 02.08.01.01.21 0001-0003 Gunting Perban Lokal Pembelian 2017 Buah Baik 3.00 60,000.00 3.00 60,000.00
477 02.08.01.01.68 0089-0091 Torniquet Lokal Pembelian 2017 Buah Baik 3.00 600,000.00 3.00 600,000.00
478 02.08.01.10.27 0001-0002 Reflex Hammer Lokal Pembelian 2017 Buah Baik 2.00 200,000.00 2.00 200,000.00
479 02.08.01.09.74 0009-0011 Electric Gyn Examination Table MAK / 34107 Pembelian 2017 Unit Baik 3.00 109,066,500.00 3.00 109,066,500.00
480 02.08.01.20.03 0004-0007 Finger Bedside Monitor Pembelian 2017 Buah Baik 4.00 23,600,000.00 4.00 23,600,000.00
481 02.08.01.09.74 0012-0014 Set Amblical Lokal Pembelian 2017 Set Baik 3.00 17,700,000.00 3.00 17,700,000.00
482 02.08.01.08.53 0015 Mobile Stretcher MAK / 31203 Pembelian 2017 Unit Baik 1.00 8,873,500.00 1.00 8,873,500.00
483 02.08.01.01.21 0004-0006 Gunting Verban Lokal Pembelian 2017 Buah Baik 3.00 75,000.00 3.00 75,000.00
484 02.08.01.01.68 0093-0097 Termometer Digital Pembelian 2017 Pcs Baik 5.00 225,000.00 5.00 225,000.00
485 02.08.01.08.13 0003 Minor Surgical Lamp Pembelian 2017 Set Baik 1.00 155,700,000.00 1.00 155,700,000.00
Otoscope Fiber Optik Heine Pembelian 2017 Buah Baik 2.00 5,082,000.00 2.00 5,082,000.00
Alligator Ear (8,5cm) Soll + CO Pembelian 2017 Buah Baik 2.00 1,694,000.00 2.00 1,694,000.00
Mouth Gag 13cm (Kecil) Soll + CO Pembelian 2017 Buah Baik 2.00 2,728,000.00 2.00 2,728,000.00
Mouth Gag 15cm (Besar) Soll + CO Pembelian 2017 Buah Baik 2.00 2,728,000.00 2.00 2,728,000.00
Mouth Gag With Tonsil Plates Adult 5 Blade Soll + CO Pembelian 2017 Buah Baik 1.00 8,239,000.00 1.00 8,239,000.00
Mikro Aligator Ear Forcep (8,5cm) Soll + CO Pembelian 2017 Buah Baik 1.00 1,061,500.00 1.00 1,061,500.00
Spekulum Telinga Set Soll + CO Pembelian 2017 Buah Baik 2.00 611,600.00 2.00 611,600.00
Pinset Telinga 12cm Soll + CO Pembelian 2017 Buah Baik 2.00 198,000.00 2.00 198,000.00
Pinset Bayonet Hidung Soll + CO Pembelian 2017 Buah Baik 2.00 198,000.00 2.00 198,000.00
Spekulum Nasal Hidung (Type Lurus) Soll + CO Pembelian 2017 Buah Baik 1.00 368,500.00 1.00 368,500.00
Spekulum Nasal Hidung (Type Bengkok) Soll + CO Pembelian 2017 Buah Baik 1.00 368,500.00 1.00 368,500.00
Pincet Pin /Endo Soll + CO Pembelian 2017 Buah Baik 15.00 891,000.00 15.00 891,000.00
Bone File Soll + CO Pembelian 2017 Buah Baik 2.00 198,000.00 2.00 198,000.00
Plastis Instrumen Soll + CO Pembelian 2017 Buah Baik 2.00 50,600.00 2.00 50,600.00
Bein Lurus Soll + CO Pembelian 2017 Buah Baik 2.00 154,000.00 2.00 154,000.00
Knabel Tang /Bone Rongeur Soll + CO Pembelian 2017 Buah Baik 1.00 313,500.00 1.00 313,500.00
Pencil Cutter Soll + CO Pembelian 2017 Buah Baik 10.00 1,452,000.00 10.00 1,452,000.00
Pelilit Kapas Soll + CO Pembelian 2017 Buah Baik 2.00 159,500.00 2.00 159,500.00
Serumen Hook Soll + CO Pembelian 2017 Buah Baik 2.00 453,200.00 2.00 453,200.00
v Alat Kesehatan #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
30 02.08.02.02.01 0001 Shortwave Therapy Unit – DX 500 Pagani / DX 500 Pembelian 2017 Unit Baik 1.00 146,480,038.30 1.00 146,480,038.30
31 02.08.02.02.02 0001 Microwave Diathermy - Endosan Pagani / Endosan Pembelian 2017 Unit Baik 1.00 103,691,631.70 1.00 103,691,631.70
32 02.08.02.02.26 0001 Shoulder Wheel Fisiomobility / AN 120 Pembelian 2017 Unit Baik 1.00 24,013,000.00 1.00 24,013,000.00
33 02.08.02.02.26 0002 Static Bycycle Fisiomobility / X2Fit Pembelian 2017 Unit Baik 1.00 24,860,000.00 1.00 24,860,000.00
34 02.08.02.02.26 0003 Bed Therapy Fisiomobility Pembelian 2017 Unit Baik 1.00 74,250,000.00 1.00 74,250,000.00
35 02.08.02.02.26 0004 Quad Ricep Setting FIsiomobility / AN 771 Pembelian 2017 Unit Baik 1.00 39,091,470.00 1.00 39,091,470.00
w Alat Laboratorium #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
33 02.09.01.14.01 0001 Sentrifuge 24 Lobang NF 800 Pembelian 2017 Unit Baik 1.00 70,294,979.00 1.00 70,294,979.00
34 02.09.01.14.78 0001 K-Lite 5 Pembelian 2017 Unit Baik 1.00 47,915,600.00 1.00 47,915,600.00
35 02.09.01.14.78 0002 CoaLAB 1000 Pembelian 2017 Unit Baik 1.00 321,956,000.00 1.00 321,956,000.00
36 02.09.06.03.40 0001 Automated Erythrocyte Sedimentation Rate Analyzer Pembelian 2017 Unit Baik 1.00 32,740,000.00 1.00 32,740,000.00
37 02.09.06.03.45 0001-0002 Stethoscope Adult ADC-USA/603BK Pembelian 2017 Unit Baik 2.00 2,093,142.00 2.00 2,093,142.00
38 02.09.06.03.33 0001-0002 Tensimeter Desk Adult Pembelian 2017 Unit Baik 2.00 3,539,298.00 2.00 3,539,298.00
39 02.09.01.60.65. 0001-0002 Pipette Reference 2 Singel-Channel Fixed 5 ul Epedrof / 5 ul Pembelian 2017 Unit Baik 2.00 6,633,250.00 2.00 6,633,250.00
40 02.09.01.60.65. 0003-0004 Pipette Reference 2 Singel-Channel Fixed 10 ul Yellow Epedrof / 10 ul Pembelian 2017 Unit Baik 2.00 6,633,250.00 2.00 6,633,250.00
46 02.09.01.20.06 0001 Microscope Binoculer dengan Lensa Obyektif Plan Leica / DM 750 Pembelian 2017 Unit Baik 1.00 34,298,000.00 1.00 34,298,000.00
47 02.09.01.62.12 0001 Sterilisator Kering/Dry Elitech / GET-80C Pembelian 2017 Unit Baik 1.00 19,850,000.00 1.00 19,850,000.00
48 02.09.01.12.100 0001-0002 Glucose Stater Kit Pembelian 2017 Unit Baik 2.00 558,000.00 2.00 558,000.00
49 Steam Sterilizer Gettinge / 53HC-E Pembelian 2017 Unit Baik 1.00 1,811,926,155.00 1.00 1,811,926,155.00
x Alat-Alat Persenjataan / Keamanan #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
9 Pekerjaan Pemasangan CCTV (Instalasi Access Control Dan CCTV Manajemen) terdiri dari : Pembelian 2017
a 02.10.02.02.13 0001 Camera CCTV AHD 1080P Outdoor HIKVISION Unit Baik 1.00 910,800.00 1.00 910,800.00
b 02.10.02.02.13 0002 Distributor 1 x 4ch Unit Baik 1.00 1,320,000.00 1.00 1,320,000.00
c- Coaxial Cable RG Meter Baik 150.00 1,650,000.00 150.00 1,650,000.00
d 02.10.02.02.13 0003 PSU 12 V 2 A Unit Baik 1.00 420,200.00 1.00 420,200.00
e- Bahan Instalasi (Pipa & peralatan lainnya) Lusin Baik 1.00 700,700.00 1.00 700,700.00
f- Biaya Penarikan Kabel Titik Baik 1.00 420,200.00 1.00 420,200.00
UKURAN
PEROLEHAN PEROLEHAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
g 02.10.02.02.13 0004 Pengadaan TV 32" Samsung + Bracket Samsung LED / UA32FH4003 Unit Baik 1.00 4,764,100.00 1.00 4,764,100.00
h 02.10.02.02.13 0005 Access Door Solution x 105id (Data bisa ditarik access keluar masuk connect to PC) Unit Baik 1.00 4,904,900.00 1.00 4,904,900.00
i- Electric Magnet Lock Pasang Baik 1.00 2,102,100.00 1.00 2,102,100.00
j- Bracket ZL for em Alloy 600lbs Pasang Baik 1.00 1,051,050.00 1.00 1,051,050.00
k- Card RFID Include Design Identitas Pegawai Pcs Baik 50.00 5,225,000.00 50.00 5,225,000.00
l 02.10.02.02.13 0006 UPS 600 Watt Unit Baik 1.00 1,891,890.00 1.00 1,891,890.00
m- Biaya Pemasangan Lusin Baik 1.00 700,700.00 1.00 700,700.00
3 GEDUNG DAN BANGUNAN #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
a Bangunan Gedung #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
5 03.11.01.01.04 0001 Terali Ruang Outdoor AC Central Pembelian 2017 Meter Baik - 12,650,000.00 - 12,650,000.00
6 03.11.01.01.04 0002 Pagar Terali teras ruang IPAL + Pintu Pembelian 2017 Meter Baik - 6,957,500.00 - 6,957,500.00
7 03.11.01.01.04 0003 Pagar Terali samping gudang mushalla Pembelian 2017 Meter Baik - 2,972,750.00 - 2,972,750.00
8 03.11.01.01.04 0004 Pagar terali ruang mesin Cold Storage + Pintu Pembelian 2017 Meter Baik - 5,692,500.00 - 5,692,500.00
9 03.11.01.01.04 0005 Terali jendela ruang direktur Pembelian 2017 Meter Baik - 6,957,500.00 - 6,957,500.00
10 03.11.01.01.04 0006 Landscape Taman Dan Area Parkir Pembelian 2017 Paket Baik - 78,944,149.00 - 78,944,149.00
b Monumen
c Bangunan Menara
d Tugu Titik Kontrol/Pasti
4 JALAN, JARINGAN DAN IRIGASI #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
a Jalan dan Jembatan
b Bangunan Air
c Instalasi #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!

4 04.15.02.02.04 0001 Intalasi Jaringan Saluran IPAL Pembelian 2017 Paket Baik 1.00 103,558,714.00 1.00 103,558,714.00
d Jaringan #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
5 ASET TETAP LAINNYA #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
a Bahan Perpustakaan #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
b Barang Bercorak Kesenian/Kebudayaan/Olahraga
c Hewan
d Ikan
e Tanaman
f Barang Koleksi Non Budaya
g Aset Tetap Dalam Renovasi
6 ASET LAINNYA #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Kemitraan Dengan Pihak Ketiga
b Aset Tidak Berwujud #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1 06.17.04.01.02 0001 Software (Customisasi Aplikasi SIM-RS) Pembelian 2017 Paket Baik - 103,205,920.00 - 103,205,920.00
c Aset Lain-Lain
7 KONSTRUKSI DALAM PENGERJAAN #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
1 07.20.01.01.03 0001 Penyusunan Dokumen evaluasi fisik dan study kelayakan pengembangan RSUD Petala Bumi 2016 Baik 1.00 737,000,000.00 1.00 737,000,000.00
TOTAL

Penanggung jawab,
UKURAN
PEROLEHAN PEROLEHAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
( FORM 01 )
PERHITUNGAN RINCIAN KAPITALISASI BELANJA BARANG


PROVINSI : Riau
BAST KWITANSI / SP2D JUMLAH

NO JENIS BARANG URAIAN BARANG BELANJA PEGAWAI BELANJA BARANG DAN JASA BELANJA LAINNYA NILAI PEROLEHAN
NOMOR TANGGAL NOMOR TANGGAL UNIT HARGA SATUAN TOTAL HARGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Alat Bengkel Bermesin

Mesin Kompresor Udara 168/RAA-SK/X/2017 19-Oct-17 01198 1 6,750,000.00 6,750,000.00 6,750,000.00
Mesin Las 900 Watt (lengkap dengan kabel dan tang las) 451/.220/MCK/XII/2017 6-Dec-17 1 1,150,000.00 1,150,000.00 1,150,000.00
Bor Duduk 451/.220/MCK/XII/2017 6-Dec-17 1 6,435,000.00 6,435,000.00 6,435,000.00
Gergaji Potong Listrik 451/.220/MCK/XII/2017 6-Dec-17 1 2,150,000.00 2,150,000.00 2,150,000.00
Bor 451/.220/MCK/XII/2017 6-Dec-17 1 3,345,000.00 3,345,000.00 3,345,000.00
Mesin Potong 451/.220/MCK/XII/2017 6-Dec-17 1 2,350,000.00 2,350,000.00 2,350,000.00
Alat Bengkel Tak Bermesin A a

Toolkit Box 451/.220/MCK/XII/2017 6-Dec-17 1 850,000.00 850,000.00 850,000.00
Toolkit (Obeng Lengkap) 451/.220/MCK/XII/2017 6-Dec-17 1 1,620,000.00 1,620,000.00 1,620,000.00
Kunci Ring Lengkap 451/.220/MCK/XII/2017 6-Dec-17 1 1,750,000.00 1,750,000.00 1,750,000.00
Alat Ukur
Timbangan + Ukuran Tinggi Badan 57/BBB-PKU/VI/2017 5-Jun-17 00567 1 3,200,000.00 3,200,000.00 3,200,000.00
Timbangan Bayi 53/BBB-PKU/VI/2017 6-Jun-17 00569 1 6,600,000.00 6,600,000.00 6,600,000.00
Alat Rumah Tangga

Kulkas 1 Pintu 031/SN/XI/2017 21-Nov-17 01158 7 2,420,000.00 16,940,000.00 16,940,000.00
Kursi Tunggu 40/JP-PKU/XII-2017 4-Dec-17 23 450,000.00 10,350,000.00 10,350,000.00
Kursi Tunggu Pasien 40/JP-PKU/XII-2017 4-Dec-17 5 8,950,000.00 44,750,000.00 44,750,000.00
AC VRF/VRV Ceiling Concealed/Split Duct (76,400 btu) 2/ADT-PKU/IX/2017 22-Sep-17 1 48,228,400.00 48,228,400.00 48,228,400.00
AC VRF/VRV Ceiling Concealed/Split Duct (95,500 btu) 2/ADT-PKU/IX/2017 22-Sep-17 2 55,686,400.00 111,372,800.00 111,372,800.00
AC VRF/VRV Outdoor Unit (232,000 btu) 2/ADT-PKU/IX/2017 22-Sep-17 1 255,883,100.00 255,883,100.00 255,883,100.00
Pengadaan Dan Pemasangan Ducting 2/ADT-PKU/IX/2017 22-Sep-17 1 78,184,700.00 78,184,700.00 78,184,700.00
Pengadaan Dan Pemasangan Pipa AC VRF/VRV Lengkap 2/ADT-PKU/IX/2017 22-Sep-17 1 171,293,100.00 171,293,100.00 171,293,100.00
Dandang / Kukus Besar (Bahan Aluminium Diameter 45cm) 057/JPR/VII/2017 14-Jul-17 2 687,500.00 1,375,000.00 1,375,000.00
Kulkas Side by side 4 Pintu Menyamping, Type RQ-56WC (457L) 059/JPR/VIII/2017 14-Aug-17 1 9,196,000.00 9,196,000.00 9,196,000.00
Dispenser Berdiri 455/220/MCK/XII/2017 4-Dec-17 01240 2 3,125,000.00 6,250,000.00 6,250,000.00
Exhaust Fan 173/RAA-SK/X/2017 27-Oct-17 01200 5 1,350,000.00 6,750,000.00 6,750,000.00
Rak Sepatu Tertutup 29/MSJ-PKU/V/2017 16-May-17 00686 1 2,486,000.00 2,486,000.00 2,486,000.00
Rak Gantung Bedside Monitor 29/MSJ-PKU/V/2017 16-May-17 00686 3 5,720,000.00 17,160,000.00 17,160,000.00
Rak Pispot 29/MSJ-PKU/V/2017 16-May-17 00686 1 715,000.00 715,000.00 715,000.00
Rak Alat Non Alkes 29/MSJ-PKU/V/2017 16-May-17 00686 1 990,000.00 990,000.00 990,000.00
Rak Gantung Alkes 29/MSJ-PKU/V/2017 16-May-17 00686 1 8,954,000.00 8,954,000.00 8,954,000.00
Rak Gantung Bedside Monitor 27/MSJ-PKU/V/2017 16-May-17 00757 2 5,775,000.00 11,550,000.00 11,550,000.00
Rak Gantung 27/MSJ-PKU/V/2017 16-May-17 00757 1 10,560,000.00 10,560,000.00 10,560,000.00
Dispenser Berdiri 179/RAA-SK/X/2017 27-Nov-17 01244 1 1,850,000.00 1,850,000.00 1,850,000.00
Exhaust Fan 180/RAA-SK/X/2017 14-Nov-17 01243 2 1,350,000.00 2,700,000.00 2,700,000.00
Rak Pispot 183/LK-BAST/V/2017 11-Apr-17 00684 1 750,000.00 750,000.00 750,000.00
Rak Alat 183/LK-BAST/V/2017 11-Apr-17 00684 1 1,000,000.00 1,000,000.00 1,000,000.00
Rak DIspenser 183/LK-BAST/V/2017 11-Apr-17 00684 2 1,500,000.00 3,000,000.00 3,000,000.00
Trolley Linen 01/JP-PKU/V/2017 8-May-17 00755 2 11,935,000.00 23,870,000.00 23,870,000.00
Jam Dinding 222/XI/2017/K-BB 14-Nov-17 01199 3 215,000.00 645,000.00 645,000.00
Komputer Unit
Komputer / PC 21,5 inch 163/AMJM/VI/2017 6-Jun-17 3 9,600,000.00 28,800,000.00 28,800,000.00
Notebook Asus Zenbook 13,3 Inchi BAST/160400002/AGT-P17 31-Mar-17 01023 1 15,834,729.00 15,834,729.00 15,834,729.00
Peralatan Komputer
Printer All In One 6-Jun-17 3 2,630,333.33 7,891,000.00 7,891,000.00
Meja Dan Kursi Kerja / Rapat Pejabat Dan Meubelair Lainnya

Meja Kerja (Meja Counter Farmasi) 17/WAP-BAST/2017 15-Apr-17 1 56,133,000.00 56,133,000.00 56,133,000.00
Alat Kedokteran
Alat Kedokteran Bedah (Dexon Stool Chair) 23/AUI-PKU/IV/2017 22-Apr-17 01202 6 1,112,250.00 6,673,500.00 6,673,500.00
Instrument Cabinet 302/EPM-PBR/ABM/VIII/20 31-Aug-17 01135 1 6,158,300.00 6,158,300.00 6,158,300.00
Anti Decubitus Alternating Air Pressure Mattres Comfort 2006 SK/KP/2017/IX/222 13-Sep-17 01148 1 3,098,000.00 3,098,000.00 3,098,000.00
Suction Pump With Troly (C-451) 2x3 L 009/SK/SA/VII/17 8-Jul-17 1 58,468,000.00 58,468,000.00 58,468,000.00
Ultra Sonic Nebulizer 16-May-17 2 814,000.00 1,628,000.00 1,628,000.00
Tensimeter Digital 124/MUPPKB/EXT/V/2017 29-May-17 3 1,440,599.33 4,321,798.00 4,321,798.00
Suction Pump With Troly (C-451) 2x5 L 004/SK/SA/V/17 20-May-17 2 59,500,000.00 119,000,000.00 119,000,000.00
Infant Incubator 501/GSM-PKU/IX/2017 12-Sep-17 2 152,402,147.50 304,804,295.00 304,804,295.00
Tensimeter Berdiri 154/BA/GSM/V/2017 29-May-17 4 4,625,550.00 18,502,200.00 18,502,200.00
Tensimeter Berdiri 226/BA/GSM/VII/2017 5-Jul-17 1 4,656,354.00 4,656,354.00 4,656,354.00
Mesin Anasthesi 078/USM-SKU/VI/2017 16-Jun-17 1 750,000,000.00 750,000,000.00 750,000,000.00
Blanket Warmer 484/NUS.05.29/VII/2017 14-Jul-17 2 41,760,000.00 83,520,000.00 83,520,000.00
Suction Pump Portable 905/MD-IX/2017 5-Sep-17 3 12,322,333.33 36,967,000.00 36,967,000.00
Light Curing 1053/ETC/PKB/VIII/2017 12-Aug-17 2 8,453,000.00 16,906,000.00 16,906,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Bed Side Monitor (Patient Monitor) 21-Jun-17 3 88,946,733.33 266,840,200.00 266,840,200.00

Instrument Cabinet (Lemari Obat) 263/EPM-BAST/V/2017 10-May-17 00685 1 6,159,300.00 6,159,300.00 6,159,300.00
Emergency Mobile Stretcher 148/EPM-PBR/ABM/V/2017 16-May-17 2 11,502,700.00 23,005,400.00 23,005,400.00
Emergency Mobile Stretcher 154/EPM-PBR/ABM/V/2017 16-May-17 1 11,780,700.00 11,780,700.00 11,780,700.00
Emaled Lampu Operasi Mobile/Mobile Emergency Lamp With Battery/Emaled 300 M 132/SU-BA/MJM/V/2017 16-May-17 2 116,148,800.00 232,297,600.00 232,297,600.00
Operating Table Electric 224/BA/GSM/VII/2017 5-Jul-17 1 296,671,540.00 296,671,540.00 296,671,540.00
Infant Warmer 173/GI/DN/VI/2017 7-Jun-17 1 130,900,000.00 130,900,000.00 130,900,000.00
Babypuff Neonatal Resuscitation Device With Trolley 0830/BNP-Pry/VIII/17 2-Aug-17 1 88,500,000.00 88,500,000.00 88,500,000.00
Aesculap Partus Set 818/KEU/BMI/V/2017 30-May-17 3 23,873,000.00 71,619,000.00 71,619,000.00
Aesculap Hernia And Appendix Set 831/KEU/BMI/V/2017 30-May-17 2 83,606,000.00 167,212,000.00 167,212,000.00
Aesculap Hernia And Appendix For Children 833/KEU/BMI/V/2017 30-May-17 1 80,167,000.00 80,167,000.00 80,167,000.00
Portable USG Probe Linear 541174/DMK/BAST/X/2017 4-Oct-17 1 514,112,000.00 514,112,000.00 514,112,000.00
Projection Vein Finder 001/BA/MI/X/2017 14-Oct-17 1 84,000,000.00 84,000,000.00 84,000,000.00
Projection Vein Finder 003/BA/MI/VII/2017 18-Jul-17 1 80,594,100.00 80,594,100.00 80,594,100.00
Aesculap Hernia and Appendix Set I (Set Hernia Dewasa) 12/E-Katalog/WPI/XI/2017 8-Nov-17 2 83,254,500.00 166,509,000.00 166,509,000.00
Amal Gamator 002/S-CDI18/VI/2017 29-May-17 1 6,280,000.00 6,280,000.00 6,280,000.00
Bistos Medical Head Lamp 16-May-17 1 1,100,000.00 1,100,000.00 1,100,000.00
Bistos Medical Head Lamp 12-Jun-17 2 1,100,000.00 2,200,000.00 2,200,000.00
Bistos Medical Head Lamp 16-May-17 1 1,100,000.00 1,100,000.00 1,100,000.00
Pressure Infusion Cuff 500ml (Pressure Bag) 220/PAS/VII/2017 31-Jul-17 2 1,210,000.00 2,420,000.00 2,420,000.00
Mayo Stand 146/EPM-PBR/ABM/V/2017 16-May-17 3 3,829,533.33 11,488,600.00 11,488,600.00
Examination Table 150/EPM-PBR/ABM/V/2017 16-May-17 2 8,321,500.00 16,643,000.00 16,643,000.00
Aesculap IUD KIT 835/KEU/BMI/V/2017 30-May-17 1 14,374,000.00 14,374,000.00 14,374,000.00
Aesculap IUD KIT 836/KEU/BMI/V/2017 30-May-17 1 14,374,000.00 14,374,000.00 14,374,000.00
Nierbekken Besar 84/BBB-PKU/X/2017 25-Oct-17 3 240,000.00 720,000.00 720,000.00
Termometer Digital 85/BBB-PKU/X/2017 25-Oct-17 2 420,000.00 840,000.00 840,000.00
Kacamata Kuda 86/BBB-PKU/XI/2017 9-Nov-17 3 300,000.00 900,000.00 900,000.00
Cup Vacum Silicon M/L 86/BBB-PKU/XI/2017 9-Nov-17 2 3,000,000.00 6,000,000.00 6,000,000.00
Trial Frame 87/BBB-PKU/XI/2017 23-Nov-17 1 4,500,000.00 4,500,000.00 4,500,000.00
Alat Diagnostik Gigi (Terdiri dari : Sonde Halfmoon, Pincet, Excavator, Kaca Mulut, Handle Kaca Mulut020/S-CD118/XI/2017 27-Nov-17 30 616,000.00 18,480,000.00 18,480,000.00
Transfer Stretcher Trolley 30/BASTP-ASM/2017 24-Nov-17 2 46,980,000.00 93,960,000.00 93,960,000.00
Tabung Oksigen 8-Jul-17 5 1,000,000.00 5,000,000.00 5,000,000.00
Regulator Oksigen 8-Jul-17 5 400,000.00 2,000,000.00 2,000,000.00
Dorongan / Trolly 8-Jul-17 5 100,000.00 500,000.00 500,000.00
Lemari Obat 221/X/2017/K-BB 14-Nov-17 01171 1 5,150,000.00 5,150,000.00 5,150,000.00
Foot Step 240/EPM-PBR/ABM/VIII/20 31-Aug-17 4 1,028,000.00 4,112,000.00 4,112,000.00
Foot Step 259/EPM-BAST/V/2017 10-May-17 00683 4 1,047,000.00 4,188,000.00 4,188,000.00
Tip Scaler EMS 15/TMS/V/2017 2-May-17 00516 2 1,848,000.00 3,696,000.00 3,696,000.00
Tip Scaler Satelec 15/TMS/V/2017 2-May-17 00516 1 1,925,000.00 1,925,000.00 1,925,000.00
Set Hecting 00570 1 2,800,000.00 2,800,000.00 2,800,000.00
Manikin CPR (Ambu Man Basic) 003/BASTP_MHJ06/MKT/V 2-May-17 00523 1 11,880,000.00 11,880,000.00 11,880,000.00
Gunting Perban 67/BBB-PKU/VI/2017 8-Jun-17 00568 3 20,000.00 60,000.00 60,000.00
Torniquet 67/BBB-PKU/VI/2017 8-Jun-17 00568 3 200,000.00 600,000.00 600,000.00
Reflex Hammer 67/BBB-PKU/VI/2017 8-Jun-17 00568 2 100,000.00 200,000.00 200,000.00
Electric Gyn Examination Table 152/EPM-PBR/ABM/V/2017 16-May-17 3 36,355,500.00 109,066,500.00 109,066,500.00
Finger Bedside Monitor 53/BBB-PKU/VI/2017 6-Jun-17 00569 4 5,900,000.00 23,600,000.00 23,600,000.00
Set Amblical 53/BBB-PKU/VI/2017 6-Jun-17 00569 3 5,900,000.00 17,700,000.00 17,700,000.00
Mobile Stretcher 256/EPM-PBR/ABM/V/2017 12-May-17 00681 1 8,873,500.00 8,873,500.00 8,873,500.00
Gunting Verban 65/BBB-PKU/VI/2017 8-Jun-17 00366 3 25,000.00 75,000.00 75,000.00
Termometer Digital 65/BBB-PKU/VI/2017 8-Jun-17 00366 5 45,000.00 225,000.00 225,000.00
Alat Kesehatan
Shortwave Therapy Unit – DX 500 324/GSM-KEU/VIII/2017 1-Aug-17 1 146,480,038.30 146,480,038.30 146,480,038.30
Microwave Diathermy - Endosan 324/GSM-KEU/VIII/2017 1-Aug-17 1 103,691,631.70 103,691,631.70 103,691,631.70
Shoulder Wheel 268/FM-YG/X/2017 26-Oct-17 1 24,013,000.00 24,013,000.00 24,013,000.00
Static Bycycle 268/FM-YG/X/2017 26-Oct-17 1 24,860,000.00 24,860,000.00 24,860,000.00
Bed Therapy 268/FM-YG/X/2017 26-Oct-17 1 74,250,000.00 74,250,000.00 74,250,000.00
Quad Ricep Setting 268/FM-YG/X/2017 26-Oct-17 1 39,091,470.00 39,091,470.00 39,091,470.00
Alat Laboratorium
Sentrifuge 24 Lobang 1 70,294,979.00 70,294,979.00 70,294,979.00
K-Lite 5 30-May-17 1 47,915,600.00 47,915,600.00 47,915,600.00
CoaLAB 1000 30-May-17 1 321,956,000.00 321,956,000.00 321,956,000.00
Automated Erythrocyte Sedimentation Rate Analyzer 30-May-17 1 32,740,000.00 32,740,000.00 32,740,000.00
Stethoscope Adult 407/GSM-KEU/IX/2017 5-Sep-17 2 1,046,571.00 2,093,142.00 2,093,142.00
Tensimeter Desk Adult 407/GSM-KEU/IX/2017 5-Sep-17 2 1,769,649.00 3,539,298.00 3,539,298.00
Pipette Reference 2 Singel-Channel Fixed 5 ul 230/EPM-PBR/ABM/VII/20 3-Jul-17 2 3,316,625.00 6,633,250.00 6,633,250.00
Pipette Reference 2 Singel-Channel Fixed 10 ul Yellow 230/EPM-PBR/ABM/VII/20 3-Jul-17 2 3,316,625.00 6,633,250.00 6,633,250.00
Microscope Binoculer dengan Lensa Obyektif Plan 0011/BS-TEKNISI/VII/2017 12-Jul-17 1 34,298,000.00 34,298,000.00 34,298,000.00
Sterilisator Kering/Dry 27-Sep-17 1 19,850,000.00 19,850,000.00 19,850,000.00
Glucose Stater Kit 14-Jul-17 2 279,000.00 558,000.00 558,000.00
Steam Sterilizer IN/C/17.10.1124 5-Oct-17 1 1,811,926,155.00 1,811,926,155.00 1,811,926,155.00
Bangunan Gedung
Terali Ruang Outdoor AC Central 90/BA-MC/XII/2017 14-Dec-17 12,650,000.00 12,650,000.00 12,650,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Pagar Terali teras ruang IPAL + Pintu 90/BA-MC/XII/2017 14-Dec-17 6,957,500.00 6,957,500.00 6,957,500.00
Pagar Terali samping gudang mushalla 90/BA-MC/XII/2017 14-Dec-17 2,972,750.00 2,972,750.00 2,972,750.00
Pagar terali ruang mesin Cold Storage + Pintu 90/BA-MC/XII/2017 14-Dec-17 5,692,500.00 5,692,500.00 5,692,500.00
Terali jendela ruang direktur 90/BA-MC/XII/2017 14-Dec-17 6,957,500.00 6,957,500.00 6,957,500.00
TOTAL 292 6,619,929,922 7,862,984,030 - - - 7,862,984,030
292 7,862,984,030.00
-
KASUBBAG KEUANGAN, PERLENGKAPAN PENGURUS BARANG
DAN PENGELOLAAN BMD
RONI INDRA KESUMA, SE, M.Si AKMAL BUDIARSA, AMF

NIP. 19741022 200112 1 002 NIP. 19850923 201001 1 022
DAFTAR RINCIAN BELANJA BARANG DIBAWAH NILAI KAPITALISASI

PROVINSI : Riau

NO URAIAN BARANG DIPERGUNAKAN PADA UNIT KETERANGAN
1 2 3 4 5 6 7 8 9 10 11 12 13
Alat Rumah Tangga

Kursi Tunggu 23 450,000.00 10,350,000.00 APBD 23 10350000
Jam Dinding 3 215,000.00 645,000.00 APBD 3 645000
Papan Kapsul 2 320,000.00 640,000.00 BLUD 2 640000
28 11635000
Alat Kedokteran
Nierbekken Besar 3 240,000.00 720,000.00 APBD
Termometer Digital 2 420,000.00 840,000.00 APBD
Kacamata Kuda 3 300,000.00 900,000.00 APBD
Regulator Oksigen 5 400,000.00 2,000,000.00 APBD
Dorongan / Trolly 5 100,000.00 500,000.00 APBD
Gunting Perban 3 20,000.00 60,000.00 APBD
Torniquet 3 200,000.00 600,000.00 APBD
Reflex Hammer 2 100,000.00 200,000.00 APBD
Gunting Verban 3 25,000.00 75,000.00 APBD
Termometer Digital 5 45,000.00 225,000.00 APBD
Alat Laboratorium
Glucose Stater Kit 2 279,000.00 558,000.00 APBD
ALAT KESEHATAN
Spekulum Telinga Set 2 305,800.00 611,600.00 BLUD
Pinset Telinga 12cm 2 99,000.00 198,000.00 BLUD
Pinset Bayonet Hidung 2 99,000.00 198,000.00 BLUD
Spekulum Nasal Hidung (Type Lurus) 1 368,500.00 368,500.00 BLUD
Spekulum Nasal Hidung (Type Bengkok) 1 368,500.00 368,500.00 BLUD
Pincet Pin /Endo 15 59,400.00 891,000.00 BLUD
Bone File 2 99,000.00 198,000.00 BLUD
Plastis Instrumen 2 25,300.00 50,600.00 BLUD
Bein Lurus 2 77,000.00 154,000.00 BLUD
Knabel Tang /Bone Rongeur 1 313,500.00 313,500.00 BLUD
Pencil Cutter 10 145,200.00 1,452,000.00 BLUD
Pelilit Kapas 2 79,750.00 159,500.00 BLUD
Serumen Hook 2 226,600.00 453,200.00 BLUD
GEDUNG DAN BANGUNAN

Pagar Terali teras ruang IPAL + Pintu 6,957,500.00 6,957,500.00
Pagar Terali samping gudang mushalla 2,972,750.00 2,972,750.00
Pagar terali ruang mesin Cold Storage + Pintu 5,692,500.00 5,692,500.00
Terali jendela ruang direktur 6,957,500.00 6,957,500.00 22,580,250.00
TOTAL 108 27,960,800.00 46,309,650.00

Penanggung jawab,
1 2 3 4 5 6 7 8 9 10 11 12 13

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR PENERIMAAN BARANG DARI PEROLEHAN LAIN

PROVINSI : Riau
SPESIFIKASI TAHUN NPHD BAST KONDISI BARANG JUMLAH

ASAL USUL / CARA NAMA PENYUMBANG /
NO KODE BARANG REGISTER PEMBELIAN SATUAN KETERANGAN
NAMA / JENIS BARANG BARANG MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI PEROLEHAN PIHAK KETIGA NOMOR TANGGAL NOMOR TANGGAL (B, KB, RB) UNIT HARGA SATUAN TOTAL HARGA
/PENGADAAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
PIHAK LAIN
1
2
3
4
5
DANA BLUD
ALAT BENGKEL BERMESIN
1 02.04.01.01.31 0001 Cold Storage (Peralatan Teknik) 2017 Pembelian BA/XII/2017/103 14-Dec-17 Paket Baik 1 198,840,791.00 198,840,791.00
ALAT KANTOR
2 Mesin Penghancur Kertas Ideal / 2245 2017 Pembelian CV. SOLUSI ARYA PRIMA 029/BAST-SAP/VIII/17 9-Aug-17 Unit Baik 1 4,670,480.00 4,670,480.00
6 Lemari (Pelayanan Gawat Darurat) Lokal 2017 Pembelian CV. RASYID CAHAYA GEMILANG 125/BA-RCG/2017 27-Dec-17 Paket Baik 1 850,000.00 850,000.00
7 Lemari (Pelayanan Rawat Inap) Lokal 2017 Pembelian CV. RASYID CAHAYA GEMILANG 125/BA-RCG/2017 27-Dec-17 Paket Baik 1 850,000.00 850,000.00
8 Lemari (Pelayanan ICU) Lokal 2017 Pembelian CV. RASYID CAHAYA GEMILANG 125/BA-RCG/2017 27-Dec-17 Paket Baik 1 850,000.00 850,000.00
ALAT RUMAH TANGGA
3 AC 2 PK 2017 Pembelian 34/CUM-BA/XII/2017 4-Dec-17 Unit Baik 3 7,600,000.00 22,800,000.00
4 AC 1 PK 2017 Pembelian 34/CUM-BA/XII/2017 4-Dec-17 Unit Baik 6 4,730,000.00 28,380,000.00
5 AC ½ PK 2017 Pembelian 34/CUM-BA/XII/2017 4-Dec-17 Unit Baik 1 4,000,000.00 4,000,000.00
9 Kursi tunggu double side 2017 Pembelian 104/AD/BA/XII/2017 5-Dec-17 Unit Baik 3 12,650,000.00 37,950,000.00
10 Kursi tunggu single side 2017 Pembelian 104/AD/BA/XII/2017 5-Dec-17 Unit Baik 4 7,700,000.00 30,800,000.00
11 Rak Besi (Pelayanan Logistik) 2017 Pembelian BA/XII-2017/68 8-Dec-17 Paket Baik 1 78,282,600.00 78,282,600.00
12 Rak Mainan (Renovasi bangunan Rumah Sakit Lantai I) 2017 Pembelian 40/BA-AD/IX/2017 12-Sep-17 Buah Baik 1 5,981,952.00 5,981,952.00
13 Kursi Tunggu Pembatas (Renovasi Bangunan Rumah Sakit Lantai 1) 2017 Pembelian Set Baik 1 9,389,099.00 9,389,099.00
14 Televisi (Pelayanan Rawat Jalan) 2017 Pembelian Unit Baik 1 8,800,000.00 8,800,000.00
28 Blender Obat 2017 Pembelian Unit Baik 2 2,350,000.00 4,700,000.00
38 Papan Kapsul Lokal 2017 Pembelian Buah Baik 2 320,000.00 640,000.00
MEJA KERJA MEUBELAIR
24 Meja 1/2 Biro 2017 Pembelian 103/AD/BA/XII/2017 5-Dec-17 Unit Baik 9 3,462,222.22 31,160,000.00
25 Kursi Kerja Jabatan 2017 Pembelian CV. BERKARYA BERSAMA 127/BB-BA/XII/2017 6-Dec-17 Unit Baik 13 3,380,000.00 43,940,000.00
26 Meja Informasi 2017 Pembelian Baik 1 9,469,909.00 9,469,909.00
KOMPUTER UNIT
15 Komputer / PC Asus / ZN2401CGT-RA055T 2017 Pembelian CV. SOLUSI ARYA PRIMA 031/BAST-SAP/VIII/17 9-Aug-17 Unit Baik 3 14,164,666.67 42,494,000.00
16 Notebook Asus UX360CA (M-6Y30, 8GB,512 GB SSD, WIN 10) [C4116T] - Gold 2017 Pembelian 30-May-17 Unit Baik 1 13,417,870.00 13,417,870.00
17 Komputer All In One Asus / ZN2401CGT-RA055T 2017 Pembelian CV. SOLUSI ARYA PRIMA 028/BAST-SAP/VIII/17 9-Aug-17 Unit Baik 2 14,023,000.00 28,046,000.00
18 Komputer All In One 2017 Pembelian 34/CUM-BA/XII/2017 4-Dec-17 Unit Baik 4 13,800,000.00 55,200,000.00
PERLENGKAPAN KOMPUTER
19 Printer Canon / Pixma G4000 2017 Pembelian CV. SOLUSI ARYA PRIMA 031/BAST-SAP/VIII/17 9-Aug-17 Unit Baik 3 3,900,480.00 11,701,440.00
20 Printer Canon / Pixma G4000 2017 Pembelian CV. SOLUSI ARYA PRIMA 030/BAST-SAP/VIII/17 9-Aug-17 Unit Baik 2 5,975,720.00 11,951,440.00
21 Printer Multi Fungsi 2017 Pembelian 34/CUM-BA/XII/2017 4-Dec-17 Unit Baik 4 3,900,000.00 15,600,000.00
22 Printer dot matrix 2017 Pembelian 34/CUM-BA/XII/2017 4-Dec-17 Unit Baik 1 3,900,000.00 3,900,000.00
23 Peningkatan Instalasi Jaringan Internet (Pembangunan/Pengembangan Sistem Informasi) 2017 Pembelian 054/VII-2017 24-Jul-17 Paket Baik 1 17,915,000.00 17,915,000.00
ALAT KEDOKTERAN
27 Minor Surgical Lamp 2017 Pembelian 38/RM-BA /XII/2017 5-Dec-17 Set Baik 1 155,700,000.00 155,700,000.00
ALAT KESEHATAN
29 Otoscope Fiber Optik 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 2 2,541,000.00 5,082,000.00
30 Alligator Ear (8,5cm) 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 2 847,000.00 1,694,000.00
31 Mouth Gag 13cm (Kecil) 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 2 1,364,000.00 2,728,000.00
32 Mouth Gag 15cm (Besar) 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 2 1,364,000.00 2,728,000.00
33 Mouth Gag With Tonsil Plates Adult 5 Blade 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 1 8,239,000.00 8,239,000.00
34 Mikro Aligator Ear Forcep (8,5cm) 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 1 1,061,500.00 1,061,500.00
39 Spekulum Telinga Set 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 2 305,800.00 611,600.00
40 Pinset Telinga 12cm 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 2 99,000.00 198,000.00
41 Pinset Bayonet Hidung 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 2 99,000.00 198,000.00
42 Spekulum Nasal Hidung (Type Lurus) 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 1 368,500.00 368,500.00
43 Spekulum Nasal Hidung (Type Bengkok) 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 1 368,500.00 368,500.00
44 Pincet Pin /Endo 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 15 59,400.00 891,000.00
45 Bone File 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 2 99,000.00 198,000.00
46 Plastis Instrumen 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 2 25,300.00 50,600.00
47 Bein Lurus 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 2 77,000.00 154,000.00
48 Knabel Tang /Bone Rongeur 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 1 313,500.00 313,500.00
49 Pencil Cutter 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 10 145,200.00 1,452,000.00
50 Pelilit Kapas 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 2 79,750.00 159,500.00
51 Serumen Hook 2017 Pembelian 82/BBB-PKU/IX/2017 28-Sep-17 Buah Baik 2 226,600.00 453,200.00
35 SENJATA NON API Pekerjaan Pemasangan CCTV (Instalasi Access Control Dan CCTV Manajemen) terdiri dari :
a 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Unit Baik 1 26,061,640.00 26,061,640.00 Camera CCTV AHD 1080P Outdoor HIKVISION 910.800
b 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Unit Baik Distributor 1 x 4ch 1.320.000
c 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Meter Baik Coaxial Cable RG 1650000
d 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Unit Baik PSU 12 V 2 A 420200
e 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Lusin Baik Bahan Instalasi (Pipa & peralatan lainnya) 700.700
f 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Titik Baik Biaya Penarikan Kabel 420.200
g 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Unit Baik Pengadaan TV 32" Samsung + Bracket 4.764.100
h 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Unit Baik Access Door Solution x 105id (Data bisa ditarik access keluar masu
i 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Pasang Baik Electric Magnet Lock 2.102.100
j 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Pasang Baik Bracket ZL for em Alloy 600lbs 1.051.050
k 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Pcs Baik Card RFID Include Design Identitas Pegawai 5.225.000
l 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Unit Baik UPS 600 Watt 1.891.890
m 2017 Pembelian CV. RODENCIA MITRA ABADI 52/BA-RMA/2017 30-Nov-17 Lusin Baik Biaya Pemasangan 700.700
SPESIFIKASI TAHUN NPHD BAST KONDISI BARANG JUMLAH
ASAL USUL / CARA NAMA PENYUMBANG /
NO KODE BARANG REGISTER PEMBELIAN SATUAN KETERANGAN
NAMA / JENIS BARANG BARANG MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI PEROLEHAN PIHAK KETIGA NOMOR TANGGAL NOMOR TANGGAL (B, KB, RB) UNIT HARGA SATUAN TOTAL HARGA
/PENGADAAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
GEDUNG & BANGUNAN KANTOR
52 Landscape Taman Dan Area Parkir 2017 Pembelian 105/BA-HSA/2017 6-Dec-17 Paket Baik 0 78,944,149.00 78,944,149.00
INSTALASI
36 Intalasi Jaringan Saluran IPAL 2017 Pembelian CV. INDOARTHA BA/XII-2017/235 6-Dec-17 Paket Baik 1 103,558,714.00 103,558,714.00
131.00 837,121,342.89 1,113,793,984.00

5
Pekanbaru, 31 Desember 2017

Penanggung jawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
LAPORAN BARANG PERSEDIAAN
[KUASA] PENGGUNA BARANG
SEMESTER : KEDUA
TAHUN ANGGARAN : 2017
ORGANISASI PERANGKAT DAERAH : RSUD PETALA BUMI
NILAI NILAI
MUTASI
NO RINCIAN S.D 01 JULI 2017 S.D 31 DESEMBER 2017
JUMLAH RUPIAH UNIT (+) RUPIAH (+) UNIT (-) RUPIAH (-) JUMLAH RUPIAH
1 2 3 4 5 6 7 8 9 10
BARANG PAKAI HABIS - - - - - - - -
A Bahan
1 ATK
2 Alat Listrik & Elektronik
3 Material Kesehatan
4 Bahan Logistik Rumah Tangga
B Suku Cadang - - - - -
1 - - - - - - - -
2 - -
3 - -
4 - -
C Alat/Bahan Untuk Kegiatan Kantor - - - - -
1 - - - -
2 - -
3 - -
4 - -
D Obat-Obatan
1 Generik
2 Non Generik
3
4
E Persediaan Untuk Dijual/Diserahkan - - - - -
1 - - - - - - -
2 - -
3 - -
4 - -
F Persediaan Untuk Tujuan Strategis/Berjaga-Jaga - - - - -
1 - - - - - - - -
2 - -
3 - -
4 - -
G Natura dan Pakan - - - - -
1 - - - - - - - -
2 - -
3 - -
4 - -
H Persediaan Penelitian - - - - -
1 - - - - - - - -
2 - -
3 - -
4 - -
I Persediaan Dalam Proses - - - - -
1
I 2 3 4 5 6 7 8 9 10
1 - - - - - - - -
2 - -
3 - -
4 - -
BARANG TAK HABIS PAKAI - - - - -
A Komponen - - - - -
1 - - - - - - - -
2 - -
3 - -
4 - -
B Pipa - - - - -
1 - - - - - - - -
2 - -
3 - -
4 - -
BARANG BEKAS PAKAI - - - - -
A Komponen Bekas dan Pipa Bekas - - - - -
1 - - - - - - - -
2 - -
3 - -
4 - -
JUMLAH - - - - - - - -

Penanggung jawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
REKAPITULASI BARANG PERSEDIAAN
[KUASA] PENGGUNA BARANG
SEMESTER : KEDUA
TAHUN ANGGARAN : 2017
ORGANISASI PERANGKAT DAERAH : RSUD PETALA BUMI
KELOMPOK
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
URAIAN UNIT NILAI
1 1 7 01 BARANG PAKAI HABIS 0 -

1 1 7 01 01 Bahan 0 -
1 1 7 01 02 Suku Cadang 0 -
1 1 7 01 03 Alat/Bahan Untuk Kegiatan Kantor 0 -
1 1 7 01 04 Obat-Obatan 0 -
1 1 7 01 05 Persediaan Untuk Dijual/Diserahkan 0 -
1 1 7 01 06 Persediaan Untuk Tujuan Strategis/Berjaga-Jaga 0 -
1 1 7 01 07 Natura dan Pakan 0 -
1 1 7 01 08 Persediaan Penelitian 0 -
1 1 7 01 09 Persediaan Dalam Proses 0 -
1 1 7 02 BARANG TAK HABIS PAKAI 0 -
1 1 7 02 01 Komponen 0 -
1 1 7 02 02 Pipa 0 -
1 1 7 03 BARANG BEKAS PAKAI 0 -
1 1 7 03 01 Komponen Bekas dan Pipa Bekas 0 -
JUMLAH 0 -
KETERANGAN :
1. Rusak : …….. unit, dengan nilai Rp. …….,-
2. Menguap : …….. unit, dengan nilai Rp. …….,-
3. Kadaluarsa : …….. unit, dengan nilai Rp. …….,-

Penanggung jawab, PENGURUS BARANG
PENGGUNA BARANG
AKMAL BUDIARSA, AMF

dr. SYLVANA ESTHERLITA, M.Kes NIP. 19850923 201001 1 022
NIP. 19680808 200212 2 004
BERITA ACARA OPNAME FISIK (STOCK OPNAME) PERSEDIAAN
RSUD PETALA BUMI PROVINSI RIAU
Nomor : 800/RSUDPB/9068
Pada hari ini Kamis tanggal Delapan bulan Maret tahun Dua Ribu Delapan Belas, kami yang
bertandatangan dibawah ini:
1 Nama : RONI INDRA KESUMA, SE, M.Si

NIP : NIP. 19741022 200112 1 002
Jabatan : Kasubbag Keuangan, Perlengkapan dan Pengelolaan BMD
2 Nama : AKMAL BUDIARSA, AMF

NIP : 19850923 201001 1 022
Jabatan : Pengurus Barang
Menyatakan bahwa telah melakukan STOCK OPNAME barang persediaan Semester I Tahun
2017. Adapun total nilai barang persediaan barang meliputi:
NO URAIAN UNIT NILAI
BARANG PAKAI HABIS 0 -
a. Bahan 0 -
b. Suku Cadang 0 -
c. Alat/Bahan Untuk Kegiatan Kantor 0 -
d. Obat-Obatan 0 -
e. Persediaan Untuk Dijual/Diserahkan 0 -
f. Persediaan Untuk Tujuan Strategis/Berjaga-Jaga 0 -
g. Natura dan Pakan 0 -
h. Persediaan Penelitian 0 -
i. Persediaan Dalam Proses 0 -
BARANG TAK HABIS PAKAI 0 -
a. Komponen 0 -
b. Pipa 0 -
BARANG BEKAS PAKAI 0 -
a. Komponen Bekas dan Pipa Bekas 0 -
TOTAL 0 -
Demikian Berita Acara Opname Fisik (Stock Opname) Persediaan ini dibuat untuk dapat
diketahui dan dipergunakan sebagaimana mestinya.
1 RONI INDRA KESUMA, SE, M.Si :

…………………………………
2 AKMAL BUDIARSA, AMF :

…………………………………
Mengetahui,
PENGGUNA BARANG
dr. SYLVANA ESTHERLITA, M.Kes

NIP. 19680808 200212 2 004
( FORM 02 )
KERTAS KERJA UTAMA (LEAD SCHEDULE)
NILAI KOREKSI PEMERIKSAAN NILAI

S.D. 30 JUNI 2017 NILAI SETELAH DIPERIKSA
PENYESUAIAN REKLASIFIKASI S.D. 31 DESEMBER 2016
NO URAIAN
DEBET KREDIT DEBET KREDIT
UNIT RUPIAH UNIT RUPIAH UNIT RUPIAH
UNIT RUPIAH UNIT RUPIAH UNIT RUPIAH UNIT RUPIAH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Bahan - - - - - -
2 Suku Cadang
3 Alat/Bahan Untuk Kegiatan Kantor
4 Obat-Obatan - - - -
5 Persediaan Untuk Dijual/Diserahkan
6 Persediaan Untuk Tujuan Strategis/Berjaga-Jaga
7 Natura dan Pakan
8 Persediaan Penelitian
9 Persediaan Dalam Proses
10 Komponen
11 Pipa
12 Komponen Bekas dan Pipa Bekas
Jumlah - - - - - - - - - - - - - -

KEPALA SUB BAGIAN KEUANGAN, PENGURUS BARANG
PERLENGKAPAN DAN PENGELOLAAN BMD

NIP. 19741022 200112 1 002 NIP. 19850923 201001 1 022
( FORM 02.01 )
REKAPITULASI PERSEDIAAN PER JENIS PERSEDIAAN
Fluktuasi
No. Jenis Persediaan Saldo 31 DESEMBER 2016 Saldo 30 JUNI 2017
Nilai (Rp) %
1 Bahan - -
2 Suku Cadang
3 Alat/Bahan Untuk Kegiatan Kantor
4 Obat-Obatan - -
5 Persediaan Untuk Dijual/Diserahkan
6 Persediaan Untuk Tujuan Strategis/Berjaga-Jaga
7 Natura dan Pakan
8 Persediaan Penelitian
9 Persediaan Dalam Proses
10 Komponen
11 Pipa
12 Komponen Bekas dan Pipa Bekas
Jumlah - - -


NIP. 19741022 200112 1 002 NIP. 19850923 201001 1 022
( FORM 02.02 )
BARANG YANG DISERAHKAN PADA PIHAK KETIGA
AUDITED TH 2016
APAKAH SISANYA
AUDITED TH 2016 NASKAH PERJANJIAN HIBAH DAERAH (NPHD) BERITA ACARA SERAH TERIMA (BAST) NAMA SISA PERSEDIAAN DICATAT SEBAGAI
NO JENIS PERSEDIAAN PERSEDIAAN TH 2017 KETERANGAN
PENERIMA
UNIT RUPIAH NOMOR TANGGAL UNIT RUPIAH NOMOR TANGGAL UNIT RUPIAH UNIT RUPIAH YA (Y) TIDAK (T)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Persediaan Barang Yang Akan di Berikan Kepada Pihak Ketiga
NIHIL
1
RSUD PETALA BUMI 0 - Y
(Ket: Diisi rinciaan itemnya apa saja?)
a.
b.
c.
d.
e.
PENAMBAHAN TH 2017
`
APAKAH SISANYA
PENAMBAHAN TH 2017 NASKAH PERJANJIAN HIBAH DAERAH (NPHD) BERITA ACARA SERAH TERIMA (BAST) NAMA SISA PERSEDIAAN DICATAT SEBAGAI
NO JENIS PERSEDIAAN PERSEDIAAN TH 2017 KETERANGAN
PENERIMA
UNIT RUPIAH NOMOR TANGGAL UNIT RUPIAH NOMOR TANGGAL UNIT RUPIAH UNIT RUPIAH YA (Y) TIDAK (T)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Persediaan Barang Yang Akan di Berikan Kepada Pihak Ketiga
1
RSUD PETALA BUMI 0 - Y
NIHIL
(Ket: Diisi rinciaan itemnya apa saja?)
a.
b.
c.
d.
e.
TOTAL (AUDITED TH 2016 + PENAMBAHAN TH 2017)


NIP. 19741022 200112 1 002 NIP. 19850923 201001 1 022
REKAPITULASI BUKU INVENTARIS
SEMESTER II 2017
PROVINSI : RIAU
KELOM
OBJEK
JENIS
AKUN
POK
URAIAN UNIT NILAI KETERANGAN
1 2 3 4 5 6 7 8
1 3 ASET TETAP 4,426.00 138,460,505,188.10 4426 138,460,505,188.10
1 3 1 Tanah 1.00 6,200,000,000.00 - -
1 3 1 01 Tanah 1.00 6,200,000,000.00
1 3 2 Peralatan dan Mesin 4,413.00 52,848,877,715.10
1 3 2 01 Alat Besar
1 3 2 02 Alat Angkutan 9.00 1,807,138,484.10
1 3 2 03 Alat Bengkel dan Alat Ukur 77.00 336,727,538.00
1 3 2 04 Alat Pertanian
1 3 2 05 Alat Kantor dan Rumah Tangga 2,203.00 11,068,371,765.23
1 3 2 06 Alat Studio, Komunikasi dan Pemancar 82.00 315,534,504.91
1 3 2 07 Alat Kedokteran dan Kesehatan 1,565.00 31,563,898,997.81
1 3 2 08 Alat Laboratorium 62.00 5,344,715,086.36
1 3 2 09 Alat Perenjataan 25.00 297,004,489.00
1 3 2 10 Komputer dan Kelengkapan 390.00 2,115,486,849.69
1 3 2 11 Alat Eksplorasi
1 3 2 12 Alat Pengeboran
1 3 2 13 Alat Produksi, Pengolahan dan Pemurnian
1 3 2 14 Alat Bantu Eksplorasi

KELOM
OBJEK
JENIS
AKUN
POK
1 2 3 4 5 6 7 8
1 3 ASET TETAP 4,426.00 138,460,505,188.10 4426 138,460,505,188.10
1 3 2 15 Alat Keselamatan Kerja
1 3 2 16 Alat Peraga
1 3 2 17 Peralatan Proses/Produksi
1 3 2 18 Rambu-Rambu
1 3 2 19 Peralatan Olahraga
1 3 3 Gedung dan Bangunan 4.00 78,086,299,999.00
1 3 3 01 Bangunan Gedung 3.00 77,878,123,549.00
1 3 3 02 Monumen
1 3 3 03 Bangunan Menara 1.00 208,176,450.00
04 Tugu Titik Kontrol/Pasti
1 3 4 Jalan, Jaringan dan Irigasi 5.00 577,781,474.00
1 3 4 01 Jalan dan Jembatan
1 3 4 02 Bangunan Air
1 3 4 03 Instalasi 4.00 572,852,874.00
1 3 4 04 Jaringan 1.00 4,928,600.00
1 3 5 Aset Tetap Lainya 2.00 10,546,000.00
1 3 5 01 Bahan Perpustakaan 2.00 10,546,000.00
1 3 5 02 Barang Bercorak Kesenian/Kebudayaan/Olahraga
1 3 5 03 Hewan
1 3 5 04 Ikan
1 3 5 05 Tanaman
1 3 5 06 Barang Koleksi Non Budaya
1 3 5 07 Aset Tetap Dalam Renovasi
1 3 6 Konstruksi Dalam Pengerjaan 1.00 737,000,000.00

KELOM
OBJEK
JENIS
AKUN
POK
1 2 3 4 5 6 7 8
1 3 ASET TETAP 4,426.00 138,460,505,188.10 4426 138,460,505,188.10
1 3 6 01 Konstruksi Dalam Pengerjaan 1.00 737,000,000.00
1 3 7 Akumulasi Penyusutan - -
1 3 7 01 Akumulasi Penyusutan Peralatan dan Mesin
1 3 7 02 Akumulasi Penyusutan Gedung dan Bangunan
1 3 7 03 Akumulasi Penyusutan Jalan, Jaringan dan Irigasi
1 3 7 04 Akumulasi Penyusutan Aset Tetap Lainnya
1 5 ASET LAINNYA - -
1 5 2 Kemitraan Dengan Pihak Ketiga - -
1 5 2 01 Kemitraan Dengan Pihak Ketiga
1 5 3 Aset Tidak Berwujud - -
1 5 3 01 Aset Tidak Berwujud - -
1 5 4 Aset Lain-Lain - -
1 5 4 01 Aset Lain-Lain
1 5 5 Akumulasi Amortisasi Aset Tidak Berwujud - -
1 5 5 01 Akumulasi Amortisasi Aset Tidak Berwujud
1 5 6 Akumulasi Penyusutan Aset Lainnya - -
1 5 6 01 Akumulasi Penyusutan Aset Lainnya

Penanggung jawab, PENGURUS BARANG
PENGGUNA BARANG
KELOM
OBJEK
JENIS
AKUN
POK
1 2 3 4 5 6 7 8
1 3 ASET TETAP 4,426.00 138,460,505,188.10 4426 138,460,505,188.10

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
REKAPITULASI RINCIAN BUKU INVENTARIS
SEMESTER II TAHUN 2017
PROVINSIKELOMP : Riau
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8
TOTAL
1 3 ASET TETAP 4,426.00 138,460,505,188.10
1 3 1 Tanah 1.00 6,200,000,000.00 4,426.00 138,460,505,188.10
1 3 1 01 Tanah 1.00 6,200,000,000.00 - - -
1 3 1 01 01 Tanah Persil 1.00 6,200,000,000.00
1 3 1 01 02 Tanah Non Persil
1 3 1 01 03 Lapangan
1 3 2 01 Alat-Alat Besar -
1 3 2 01 01 Alat-Alat Besar Darat
1 3 2 01 02 Alat-Alat Besar Apung
1 3 2 01 03 Alat-Alat Bantu
1 3 2 02 Alat-Alat Angkutan 9.00 1,807,138,484.10
1 3 2 02 01 Alat Angkutan Darat Bermotor 9.00 1,807,138,484.10
1 3 2 02 02 Alat Angkutan Darat Tak Bermotor

1 3 2 02 03 Alat Angkut Apung Bermotor
1 3 2 02 04 Alat Angkut Apung Tak Bermotor
1 3 2 02 05 Alat Angkut Bermotor Udara
1 3 2 03 01 Alat Bengkel Bermesin 26.00 270,129,691.00

1 3 2 03 02 Alat Bengkel Tak Bermesin 30.00 23,063,900.00
1 3 2 03 03 Alat Ukur 21.00 43,533,947.00

KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8
TOTAL
1 3 2 04 Alat Pertanian -
1 3 2 04 01 Alat Pengolahan
1 3 2 05 01 Alat Kantor 160.00 1,057,526,898.07
1 3 2 05 02 Alat Rumah Tangga 1,719.00 9,498,124,657.86
1 3 2 05 03 Meja dan Kursi Kerja / Rapat Pejabat 324.00 512,720,209.30
1 3 2 06 01 Alat Studio 50.00 229,231,390.91

1 3 2 06 02 Alat Komunikasi 32.00 86,303,114.00
1 3 2 06 03 Peralatan Pemancar
1 3 2 06 04 Peralatan Komunikasi Navigasi
1 3 2 07 01 Alat Kedokteran 1,381.00 30,026,270,392.81
1 3 2 07 02 Alat Kesehatan Umum 184.00 1,537,628,605.00

1 3 2 08 01 Unit Alat Laboratorium 62.00 5,344,715,086.36
1 3 2 08 02 Unit Alat Laboratorium Kimia Nuklir

1 3 2 08 03 Alat Peraga Praktek Sekolah
1 3 2 08 04 Alat Laboratorium Fisika Nuklir / Elektronika
1 3 2 08 05 Alat Proteksi Radiasi / Proteksi Lingkungan
1 3 2 08 06 Radiation Application and Non Destructive Testing Laboratory Lainnya (BATAM)
1 3 2 08 07 Alat Laboratorium Lingkungan Hidup
1 3 2 08 08 Peralatan Laboratorium Hidrodinamika

1 3 2 08 09 Alat Laboratorium Standarisasi Kalibrasi dan Instrumentasi
1 3 2 09 Alat Persenjataan 25.00 297,004,489.00
1 3 2 09 01 Senjata Api
1 3 2 09 02 Persenjataan Non Senjata Api 25.00 297,004,489.00
1 3 2 09 03 Senjata Sinar
1 3 2 09 04 Alat Khusus Kepolisian
1 3 2 10 Komputer 390.00 2,115,486,849.69
1 3 2 10 01 Komputer Unit 155.00 1,405,235,231.30

1 3 2 10 02 Peralatan Komputer 235.00 710,251,618.39
1 3 2 11 01 Alat Eksplorasi Topografi

1 3 2 11 02 Alat Eksplorasi Geofisika
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8
TOTAL
1 3 2 12 Alat Pengeboran
1 3 2 12 01 Alat Pengeboran Mesin

1 3 2 12 02 Alat Pengeboran Non Mesin
1 3 2 13 Alat Produksi, Pengolahan dan Pemurnian
1 3 2 13 01 Sumur
1 3 2 13 02 Produksi
1 3 2 13 03 Pengolahan dan Pemurnian
1 3 2 14 Alat Bantu Eksplorasi

1 3 2 14 01 Alat Bantu Eksplorasi
1 3 2 14 02 Alat Bantu Produksi
1 3 2 15 Alat Keselamatan Kerja
1 3 2 15 01 Alat Deteksi
1 3 2 15 02 Alat Pelindung
1 3 2 15 03 Alat SAR
1 3 2 15 04 Alat Kerja Penerbangan
1 3 2 16 Alat Peraga
1 3 2 16 01 Alat Peraga Pelatihan dan Percontohan

1 3 2 17 Peralatan Proses/Produksi
1 3 2 17 01 Unit Peralatan Proses/Produksi
1 3 2 18 Rambu-Rambu
1 3 2 18 01 Rambu-Rambu Lalu Lintas Darat
1 3 2 18 02 Rambu-Rambu Lalu Lintas Udara
1 3 2 18 03 Rambu-Rambu Lalu Lintas Laut

1 3 2 19 Peralatan Olahraga
1 3 2 19 01 Peralatan Olahraga
1 3 3 01 Bangunan Gedung 3.00 77,878,123,549.00

1 3 3 01 01 Bangunan Gedung Tempat Kerja 3.00 77,878,123,549.00
1 3 3 01 02 Bangunan Gedung Tempat Timggal
1 3 3 02 Monumen -
1 3 3 02 01 Candi/Tugu Peringatan/Prasasti
1 3 3 03 Bangunan Menara 1.00 208,176,450.00
1 3 3 03 01 Bangunan Menara Perambulan 1.00 208,176,450.00

1 3 3 04 Tugu Titik Kontrol/Pasti -
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8
TOTAL
1 3 3 04 01 Tugu/Tanda Batas
1 3 4 01 Jalan dan Jembatan
1 3 4 01 01 Jalan
1 3 4 01 02 Jembatan
1 3 4 02 Bangunan Air - -
1 3 4 02 01 Bangunan Air Irigasi

1 3 4 02 02 Bangunan Pengairan Pasang Surut
1 3 4 02 03 Bangunan Air Pengembangan Rawa dan Poder
1 3 4 02 04 Bangunan Pengaman Sungai/Pantai dan Penanggulan Bencana Alam
1 3 4 02 05 Bangunan Pengembangan Sumber Air dan Air Tanah
1 3 4 02 06 Bangunan Air Bersih/Air Baku
1 3 4 02 07 Bangunan Air Kotor

1 3 4 03 Instalasi 4.00 572,852,874.00
1 3 4 03 01 Instalasi Air Bersih/Air Baku 4.00 572,852,874.00
1 3 4 03 02 Instalasi Air Kotor

1 3 4 03 03 Instalasi Pengolahan Sampah
1 3 4 03 04 Instalasi Pengolahan Bahan Bangunan
1 3 4 03 05 Instalasi Pembangkit Listrik
1 3 4 03 06 Instalasi Gardu Listrik
1 3 4 03 07 Instalasi Pertahanan
1 3 4 03 08 Instalasi Gas
1 3 4 03 09 Instalasi Pengaman
1 3 4 03 10 Instalasi Lain
1 3 4 04 Jaringan 1.00 4,928,600.00
1 3 4 04 01 Jaringan Air Minum
1 3 4 04 02 Jaringan Listrik
1 3 4 04 03 Jaringan Telepon 1.00 4,928,600.00
1 3 4 04 04 Jaringan Gas
1 3 5 01 01 Bahan Perpustakaan Tercetak 2.00 10,546,000.00

1 3 5 01 02 Bahan Perpustakaan Terekamdan Bentuk Mikro
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8
TOTAL
1 3 5 01 03 Kartografi, Naskah dan Lukisan
1 3 5 01 04 Musik
1 3 5 01 05 Karya Grafika (Graphic Material)
1 3 5 01 06 Three Dimensional Artefacs and Realita
1 3 5 01 07 Tarscalt
1 3 5 02 Barang Bercorak Kesenian/Kebudayaan/Olahraga - -
1 3 5 02 01 Barang Bercorak Kesenian
1 3 5 02 02 Alat Bercorak Kebudayaan

1 3 5 02 03 Tanda Penghargaan
1 3 5 03 Hewan - -
1 3 5 03 01 Hewan Piaraan
1 3 5 03 02 Ternak
1 3 5 03 03 Hewan Lainnya
1 3 5 04 Biota Perairan/Ikan - -
1 3 5 04 01 Ikan Bersirip (Pisces)
1 3 5 04 02 Crustea (Udang, Rajungan, Kepiting dan Sebangsanya)
1 3 5 04 03 Mollusca (Kerang, Tiram, Cumi-Cumi, Gurita, Siput dan Sebangsanya)

1 3 5 04 04 Coelenterata (Ubur-Ubur dan Sebangsanya)
1 3 5 04 05 Echinodermata (Tripang, Bulu Babi dan Sebangsanya)
1 3 5 04 06 Amphibia (Kodok dan Sebangsanya)
1 3 5 04 07 Reptilia (Buaya, Penyu, Kura-Kura, Biawak, Ular Air dan Sebangsanya)
1 3 5 04 08 Mammalia (Paus, Lumba-Lumba, Pesut, Duyung dan Sebangsanya)
1 3 5 04 09 Algae (Rumput Laut dan Tumbuh-Tumbuhan Lain Yang Hidup Di Dalam Air)
1 3 5 04 10 Biota Perairan Lainnya
1 3 5 05 Tanaman - -
1 3 5 05 01 Tanaman
1 3 5 06 Barang Koleksi Non Budaya - -
1 3 5 06 01 Barang Koleksi Non Budaya

1 3 5 07 Aset Tetap Dalam Renovasi - -
1 3 5 07 01 Aset Tetap Dalam Renovasi
1 3 6 01 01 Konstruksi Dalam Pengerjaan 1.00 737,000,000.00

KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8
TOTAL
1 3 7 01 Akumulasi Penyusutan Peralatan dan Mesin - -

1 3 7 01 01 Akumulasi Penyusutan Alat Besar
1 3 7 01 02 Akumulasi Penyusutan Alat Angkutan
1 3 7 01 03 Akumulasi Penyusutan Alat Bengkel dan Alat Ukur
1 3 7 01 04 Akumulasi Penyusutan Alat Pertanian
1 3 7 01 05 Akumulasi Penyusutan Alat Kantor dan Rumah Tangga
1 3 7 01 06 Akumulasi Penyusutan Alat Studio, Komunikasi dan Pemancar

1 3 7 01 07 Akumulasi Penyusutan Alat Kedokteran dan Kesehatan
1 3 7 01 08 Akumulasi Penyusutan Alat Laboratorium
1 3 7 01 09 Akumulasi Penyusutan Alat Persenjataan
1 3 7 01 10 Akumulasi Penyusutan Alat Komputer
1 3 7 01 11 Akumulasi Penyusutan Alat Eksplorasi
1 3 7 01 12 Akumulasi Penyusutan Alat Pengeboran

1 3 7 01 13 Akumulasi Penyusutan Alat Produksi, Pengolahan dan Pemurnian
1 3 7 01 14 Akumulasi Penyusutan Alat Bantu Eksplorasi
1 3 7 01 15 Akumulasi Penyusutan Alat Keselamatan Kerja

1 3 7 01 16 Akumulasi Penyusutan Alat Peraga
1 3 7 01 17 Akumulasi Penyusutan Alat Peralatan Proses/Produksi
1 3 7 01 18 Akumulasi Penyusutan Alat Rambu-Rambu
1 3 7 01 19 Akumulasi Penyusutan Alat Peralatan Olahraga
1 3 7 02 Akumulasi Penyusutan Gedung dan Bangunan - -
1 3 7 02 01 Akumulasi Penyusutan Bangunan Gedung

1 3 7 02 02 Akumulasi Penyusutan Monumen
1 3 7 02 03 Akumulasi Penyusutan Bangunan Menara
1 3 7 02 04 Akumulasi Penyusutan Tugu Titik Kontrol/Pasti
1 3 7 03 Akumulasi Penyusutan Jalan, Jaringan dan Irigasi - -
1 3 7 03 01 Akumulasi Penyusutan Jalan dan Jembatan

1 3 7 03 02 Akumulasi Penyusutan Bangunan Air
1 3 7 03 03 Akumulasi Penyusutan Instalasi
1 3 7 03 04 Akumulasi Penyusutan Jaringan

1 3 7 04 Akumulasi Penyusutan Aset Tetap Lainnya - -
1 3 7 04 01 Akumulasi Penyusutan Aset Tetap Lainnya
1 5 ASET LAINNYA
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8
TOTAL
1 5 2 Kemitraan Dengan Pihak Ketiga - -

1 5 2 01 Kemitraan Dengan Pihak Ketiga - -
1 5 2 01 01 Kemitraan Dengan Pihak Ketiga
1 5 3 Aset Tidak Berwujud
1 5 3 01 Aset Tidak Berwujud
1 5 3 01 01 Aset Tidak Berwujud
1 5 4 Aset Lain-Lain - -
1 5 4 01 Aset Lain-Lain - -
1 5 4 01 01 Aset Lain-Lain
1 5 5 Akumulasi Amortisasi Aset Tidak Berwujud - -

1 5 5 01 Akumulasi Amortisasi Aset Tidak Berwujud - -
1 5 5 01 01 Akumulasi Amortisasi Aset Tidak Berwujud
1 5 6 Akumulasi Penyusutan Aset Lainnya - -
1 5 6 01 Akumulasi Penyusutan Aset Lainnya - -
1 5 6 01 01 Akumulasi Penyusutan Aset Lainnya

Penanggung jawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
REKAPITULASI DAFTAR BARANG INTRACOMPTABLE
SEMESTER II TAHUN 2017
PROVINSI : Riau
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 3,105.00 138,085,326,372.25
1 3 1 Tanah 1.00 6,200,000,000.00
1 3 1 01 Tanah 1.00 6,200,000,000.00
1 3 1 01 01 Tanah Persil 1.00 6,200,000,000.00
1 3 1 01 02 Tanah Non Persil

1 3 1 01 03 Lapangan
1 3 2 01 Alat-Alat Besar - -
1 3 2 02 Alat-Alat Angkutan 9.00 1,807,138,484.10
1 3 2 02 01 Alat Angkutan Darat Bermotor 9.00 1,807,138,484.10

KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 3,105.00 138,085,326,372.25
1 3 2 03 01 Alat Bengkel Bermesin 26.00 270,129,691.00
1 3 2 03 03 Alat Ukur 21.00 43,533,947.00
1 3 2 04 Alat Pertanian -
1 3 2 05 01 Alat Kantor 137.00 1,050,237,598.07

1 3 2 05 02 Alat Rumah Tangga 926.00 9,272,520,030.09
1 3 2 06 01 Alat Studio 50.00 229,231,390.91
1 3 2 06 02 Alat Komunikasi 32.00 86,303,114.00
1 3 2 06 03 Peralatan Pemancar - -
1 3 2 06 04 Peralatan Komunikasi Navigasi - -
1 3 2 07 01 Alat Kedokteran 1,134.00 29,962,510,226.84
1 3 2 07 02 Alat Kesehatan Umum 131.00 1,530,378,805.00

KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 3,105.00 138,085,326,372.25
1 3 2 08 01 Unit Alat Laboratorium 58.00 5,343,263,986.36
1 3 2 09 Alat Persenjataan 25.00 297,004,489.00

1 3 2 09 02 Persenjataan Non Senjata Api 25.00 297,004,489.00
1 3 2 10 Komputer 358.00 2,110,344,349.69
1 3 2 10 01 Komputer Unit 155.00 1,405,235,231.30
1 3 2 11 Alat Eksplorasi -

KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 3,105.00 138,085,326,372.25
1 3 2 12 Alat Pengeboran -
1 3 2 13 Alat Produksi, Pengolahan dan Pemurnian -
1 3 2 13 01 Sumur
1 3 2 14 Alat Bantu Eksplorasi -
1 3 2 15 Alat Keselamatan Kerja -

1 3 2 15 03 Alat SAR
1 3 2 16 Alat Peraga -
1 3 2 17 Peralatan Proses/Produksi -
1 3 2 18 Rambu-Rambu -

KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 3,105.00 138,085,326,372.25
1 3 2 19 Peralatan Olahraga -
1 3 3 01 Bangunan Gedung 3.00 77,878,123,549.00
1 3 3 01 01 Bangunan Gedung Tempat Kerja 3.00 77,878,123,549.00
1 3 3 01 02 Bangunan Gedung Tempat Timggal - -
1 3 3 02 Monumen -
1 3 3 03 Bangunan Menara 1.00 208,176,450.00
1 3 3 03 01 Bangunan Menara Perambulan 1.00 208,176,450.00
1 3 4 01 Jalan dan Jembatan -
1 3 4 01 01 Jalan
1 3 4 02 Bangunan Air -
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 3,105.00 138,085,326,372.25
1 3 4 03 Instalasi 4.00 572,852,874.00
1 3 4 03 01 Instalasi Air Bersih/Air Baku 2.00 184,949,434.00

1 3 4 03 08 Instalasi Gas 1.00 190,052,440.00
1 3 4 03 10 Instalasi Lain 1.00 197,851,000.00
1 3 4 04 Jaringan 1.00 4,928,600.00
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 3,105.00 138,085,326,372.25
1 3 4 04 03 Jaringan Telepon 1.00 4,928,600.00
1 3 5 01 01 Bahan Perpustakaan Tercetak 2.00 10,546,000.00
1 3 5 01 04 Musik

1 3 5 02 Barang Bercorak Kesenian/Kebudayaan/Olahraga -
1 3 5 03 Hewan -
1 3 5 03 02 Ternak
1 3 5 04 Biota Perairan/Ikan -
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 3,105.00 138,085,326,372.25
1 3 5 05 Tanaman -
1 3 5 05 01 Tanaman
1 3 5 06 Barang Koleksi Non Budaya -
1 3 5 07 Aset Tetap Dalam Renovasi -
1 3 6 01 01 Konstruksi Dalam Pengerjaan 1.00 737,000,000.00

KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 3,105.00 138,085,326,372.25
1 3 7 Akumulasi Penyusutan -
1 3 7 01 Akumulasi Penyusutan Peralatan dan Mesin -


KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 3,105.00 138,085,326,372.25
1 3 7 02 Akumulasi Penyusutan Gedung dan Bangunan -
1 3 7 03 Akumulasi Penyusutan Jalan, Jaringan dan Irigasi -
1 3 7 03 01 Akumulasi Penyusutan Jalan dan Jembatan
1 3 7 03 02 Akumulasi Penyusutan Bangunan Air
1 3 7 03 03 Akumulasi Penyusutan Instalasi
1 3 7 03 04 Akumulasi Penyusutan Jaringan
1 3 7 04 Akumulasi Penyusutan Aset Tetap Lainnya -

1 3 7 04 01 Akumulasi Penyusutan Aset Tetap Lainnya

Penanggung jawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 3,105.00 138,085,326,372.25

REKAPITULASI DAFTAR BARANG EKSTRACOMPTABLE
SEMESTER II TAHUN ANGGARAN 2017
PROVINSI : Riau
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 1,321.00 375,178,815.85
1 3 2 Peralatan dan Mesin 1,321.00 375,178,815.85
1 3 2 01 Alat-Alat Besar
1 3 2 02 Alat-Alat Angkutan
1 3 2 02 01 Alat Angkutan Darat Bermotor
1 3 2 03 01 Alat Bengkel Bermesin
1 3 2 03 03 Alat Ukur
1 3 2 04 Alat Pertanian
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 1,321.00 375,178,815.85
1 3 2 05 Alat Kantor dan Rumah Tangga 966.00 293,091,949.88
1 3 2 05 01 Alat Kantor 23.00 7,289,300.00
1 3 2 05 02 Alat Rumah Tangga 793.00 225,604,627.77
1 3 2 06 Alat Studio, Komunikasi dan Pemancar
1 3 2 06 01 Alat Studio
1 3 2 06 02 Alat Komunikasi
1 3 2 06 03 Peralatan Pemancar
1 3 2 06 04 Peralatan Komunikasi Navigasi
1 3 2 07 Alat Kedokteran dan Kesehatan 300.00 71,009,965.97
1 3 2 07 01 Alat Kedokteran 247.00 63,760,165.97
1 3 2 07 02 Alat Kesehatan Umum 53.00 7,249,800.00
1 3 2 08 Alat Laboratorium 4.00 1,451,100.00
1 3 2 08 01 Unit Alat Laboratorium 4.00 1,451,100.00

KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 1,321.00 375,178,815.85
1 3 2 09 Alat Persenjataan
1 3 2 09 02 Persenjataan Non Senjata Api
1 3 2 10 Komputer 32.00 5,142,500.00
1 3 2 10 01 Komputer Unit
1 3 2 12 Alat Pengeboran -
1 3 2 13 Alat Produksi, Pengolahan dan Pemurnian -
1 3 2 13 01 Sumur
1 3 2 14 Alat Bantu Eksplorasi -
1 3 2 15 Alat Keselamatan Kerja -
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 1,321.00 375,178,815.85
1 3 2 15 03 Alat SAR
1 3 2 16 Alat Peraga -
1 3 2 17 Peralatan Proses/Produksi -
1 3 2 18 Rambu-Rambu -
1 3 2 19 Peralatan Olahraga -
1 3 3 Gedung dan Bangunan - -
1 3 3 01 Bangunan Gedung - -
1 3 3 01 01 Bangunan Gedung Tempat Kerja
1 3 3 01 02 Bangunan Gedung Tempat Timggal
1 3 3 02 Monumen -
1 3 3 03 Bangunan Menara
1 3 3 03 01 Bangunan Menara Perambulan

KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 1,321.00 375,178,815.85
1 3 4 Jalan, Jaringan dan Irigasi - -
1 3 4 01 Jalan dan Jembatan -
1 3 4 01 01 Jalan
1 3 4 02 Bangunan Air -
1 3 4 03 Instalasi - -
1 3 4 03 01 Instalasi Air Bersih/Air Baku
1 3 4 03 08 Instalasi Gas
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 1,321.00 375,178,815.85
1 3 4 03 10 Instalasi Lain
1 3 4 04 Jaringan - -
1 3 4 04 03 Jaringan Telepon
1 3 5 Aset Tetap Lainya - -
1 3 5 01 Bahan Perpustakaan - -
1 3 5 01 01 Bahan Perpustakaan Tercetak
1 3 5 01 04 Musik
1 3 5 02 Barang Bercorak Kesenian/Kebudayaan/Olahraga -
1 3 5 03 Hewan -
KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 1,321.00 375,178,815.85
1 3 5 03 02 Ternak
1 3 5 04 Biota Perairan/Ikan -
1 3 5 05 Tanaman -
1 3 5 05 01 Tanaman
1 3 5 06 Barang Koleksi Non Budaya -
1 3 5 07 Aset Tetap Dalam Renovasi -
1 3 6 Konstruksi Dalam Pengerjaan - -
1 3 6 01 Konstruksi Dalam Pengerjaan - -
1 3 6 01 01 Konstruksi Dalam Pengerjaan

KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 1,321.00 375,178,815.85
1 3 7 01 Akumulasi Penyusutan Peralatan dan Mesin -
1 3 7 02 Akumulasi Penyusutan Gedung dan Bangunan -

KELOMP
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
OK
1 2 3 4 5 6 7 8 9
JUMLAH 1,321.00 375,178,815.85

Penanggung jawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
LAPORAN MUTASI BARANG
SEMESTER II
TAHUN 2017
OPD : RSUD PETALA BUMI 2,126,044,244.00
PROVINSI : Riau 2,126,044,244.00

UKURAN
BARANG
JUMLAH AWAL JUMLAH AKHIR
SPESIFIKASI / KONDISI MUTASI PERUBAHAN
ASAL / TAHUN KONSTR 01 JANUARI 2017 30 JUNI 2017
NO KODE BARANG REGISTER CARA PEROL P, UKSI
SP, D / SATUAN BERKURANG BERTAMBAH KET
NAMA / JENIS BARANG BARANG MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI PEROLEHAN EHAN B, KB, RB UNIT RUPIAH UNIT RUPIAH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 TANAH 1.00 6,200,000,000.00 - - - 1.00 6,200,000,000.00
1 Tanah Bangunan Kantor Pemerintah 1989 1.00 6,200,000,000.00 1.00 6,200,000,000.00
2 PERALATAN MESIN 3,991.00 44,089,832,814.10 - - 422.00 8,759,044,901.00 4,413.00 52,848,877,715.10
a Alat-Alat Besar
b Alat-Alat Besar Darat
c Alat-Alat Besar Apung
d Alat-Alat Bantu
e Alat-Alat Angkutan
f Alat Angkutan Darat Bermotor 9.00 1,807,138,484.10 - - - - 9.00 1,807,138,484.10
1 02.03.01.02.02 0175 Micro Bus (Penumpang 15-30 orang) Toyota / Kijang Innova G MT MHFXW42G8F2309649 1TR-8001369 L- 06556983 BM 1426 T Pembelian 2015 1.998 Unit Baik 1.00 273,513,504.10 1.00 273,513,504.10
2 02.03.01.01.03 0297 Station Wagon Avanza New Veloz Lux MHKM1CA4JEK 086319 3SZ DEU 7150 L- 02550514BM 1000 T Pembelian 2014 1,495 Unit Baik 1.00 198,500,000.00 1.00 198,500,000.00
3 02.03.01.01.03 0399 Station Wagon Avanza New Veloz Lux MHKM1CA4JEK087679 3SZ DEV3857 L- 0255047 BM 1248 T Pembelian 2014 1,495 Unit Baik 1.00 198,500,000.00 1.00 198,500,000.00
4 02.03.01.01.03 0416 Station Wagon Avanza New Veloz Lux MHKM1CA4JEK077882 3SZ DEP7336 L- 0255050 BM 1282 T Pembelian 2014 1,495 Unit Baik 1.00 198,500,000.00 1.00 198,500,000.00
5 02.03.01.01.03 0430 Station Wagon Avanza New Veloz Lux MHKM1CA4JEK084404 3SZ DET4209 L- 02550559BM 1302 T Pembelian 2014 1,495 Unit Baik 1.00 198,500,000.00 1.00 198,500,000.00
6 02.03.01.04.02 0009 Mobil Jenazah Ford Ranger / Hitam Metalik MNBBSBD305W477725 WLAT620438 D7782101-D BM 9002 AP Pembelian 2005 2500 CC Unit Baik 1.00 195,724,980.00 1.00 195,724,980.00
7 02.03.01.04.01 0037 Mobil Ambulance MITSUBISHI / L 300 MHML 300 DBYR- 23468 4 D 56 C-069926 AD 9831623-BM 7207 AP Pembelian 2000 2.477 Unit Baik 1.00 75,000,000.00 1.00 75,000,000.00
8 02.03.01.04.01 0038 Mobil Ambulance HYUNDAI / H 100 KMFGB27BP4K586 D4BB3848714 D1794065-D BM 8962 AP Pembelian 2004 2000 Unit Baik 1.00 269,250,000.00 1.00 269,250,000.00
9 02.03.01.04.01 0030 Mobil Ambulance Ford Ranger / Putih MNBBSBD305W478866 WLAT6262707 D7782105-D BM 9011 AP Pembelian 2005 2500 CC Unit Baik 1.00 199,650,000.00 1.00 199,650,000.00
g Alat Angkutan Darat Tak Bermotor
h Alat Angkut Apung Bermotor

UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
i Alat Angkut Apung Tak Bermotor
j Alat Angkut Bermotor Udara
k Alat Bengkel Bermesin 19.00 49,108,900.00 - - 7.00 221,020,791.00 26.00 270,129,691.00
1 02.04.01.03.04 0001 Solder uap BEKKO APBDP 2016 Baik 1.00 1,801,350.00 1.00 1,801,350.00
2 02.04.01.03.04 0002 Solder uap BEKKO APBDP 2016 Baik 1.00 1,801,350.00 1.00 1,801,350.00
3 02.04.01.02.01 0001 Gerinda tangan BOSS APBDP 2016 Baik 1.00 1,451,100.00 1.00 1,451,100.00
4 02.04.01.01.19 0001 Mesin las 1300 V RED ANT APBDP 2016 Baik 1.00 4,353,200.00 1.00 4,353,200.00
5 02.04.01.03.04 0003-0004 Solder biasa LOKAL APBDP 2016 Baik 2.00 1,000,700.00 2.00 1,000,700.00
6 02.04.01.01.18 0001 Air Compressor 2HP Michellin 10028 MICHELLIN APBDP 2015 Baik 1.00 2,016,200.00 1.00 2,016,200.00
7 02.04.01.01.18 0001-0005 Kompresor AC 1 ½ PK APBDP 2015 Baik 5.00 14,547,500.00 5.00 14,547,500.00
8 02.04.01.01.18 0006-0010 Kompresor AC 2 PK APBDP 2015 Baik 5.00 18,342,500.00 5.00 18,342,500.00
9 02.04.01.01.18 0011-0012 Kompresor AC 1 PK APBDP 2015 Baik 2.00 3,795,000.00 2.00 3,795,000.00
10 Mesin Kompresor Udara 2017 Baik 1.00 6,750,000.00 1.00 6,750,000.00
11 Mesin Las 900 Watt (lengkap dengan kabel dan tang las) 2017 Baik 1.00 1,150,000.00 1.00 1,150,000.00
12 Bor Duduk 2017 Baik 1.00 6,435,000.00 1.00 6,435,000.00
13 Gergaji Potong Listrik 2017 Baik 1.00 2,150,000.00 1.00 2,150,000.00
14 Bor 2017 Baik 1.00 3,345,000.00 1.00 3,345,000.00
15 Mesin Potong 2017 Baik 1.00 2,350,000.00 1.00 2,350,000.00
16 02.04.01.01.31 0001 Cold Storage (Peralatan Teknik) BLUD 2017 Baik 1.00 198,840,791.00 1.00 198,840,791.00
l Alat Bengkel Tak Bermesin 27.00 18,843,900.00 - - 3.00 4,220,000.00 30.00 23,063,900.00
1 02.04.02.07.09 0001 Tang ampera digital TEQIDO APBDP 2016 Baik 1.00 2,251,650.00 1.00 2,251,650.00
2 02.04.02.07.09 0002 Tang ampera digital TEQIDO APBDP 2016 Baik 1.00 2,251,650.00 1.00 2,251,650.00
3 02.04.02.07.09 0003 Tang komplit TEQIDO APBDP 2016 Baik 1.00 625,450.00 1.00 625,450.00
4 02.04.02.07.09 0004 Tang komplit TEQIDO APBDP 2016 Baik 1.00 625,450.00 1.00 625,450.00
5 02.04.02.05.12 0001 Kunci pas ring TEQIDO APBDP 2016 Baik 1.00 1,801,350.00 1.00 1,801,350.00
6 02.04.02.05.12 0002 Kunci pas ring TEQIDO APBDP 2016 Baik 1.00 1,801,350.00 1.00 1,801,350.00
7 02.04.02.05.14 0001 Kunci Shok TEQIDO APBDP 2016 Baik 1.00 2,501,850.00 1.00 2,501,850.00
8 02.04.02.05.14 0002 Kunci Shok TEQIDO APBDP 2016 Baik 1.00 2,501,850.00 1.00 2,501,850.00
9 02.04.02.07.08 0001-0002 Martil lunak LOKAL APBDP 2016 Baik 2.00 120,100.00 2.00 120,100.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
10 02.04.02.07.08 0003-0004 Martil biasa LOKAL APBDP 2016 Baik 2.00 300,200.00 2.00 300,200.00
11 02.04.02.07.08 0005-0006 Ragum/penjepit/bais LOKAL APBDP 2016 Baik 2.00 500,400.00 2.00 500,400.00
12 02.04.02.07.01 0001-0002 Gergaji besi LOKAL APBDP 2016 Baik 2.00 170,100.00 2.00 170,100.00
13 02.04.02.07.01 0003-0004 Gergaji kayu LOKAL APBDP 2016 Baik 2.00 120,100.00 2.00 120,100.00
14 02.04.02.07.06 0001-0002 Water pas LOKAL APBDP 2016 Baik 2.00 600,400.00 2.00 600,400.00
15 02.04.02.08.19 0001-0002 Jangka sorong/sigmat LOKAL APBDP 2016 Baik 2.00 800,600.00 2.00 800,600.00
16 02.04.02.07.11 0003-0004 Mata bor tembok LOKAL APBDP 2016 Baik 2.00 500,400.00 2.00 500,400.00
17 02.04.02.07.11 0005-0006 Obeng ketok LOKAL APBDP 2016 Baik 2.00 920,700.00 2.00 920,700.00
18 02.04.02.07.11 0007 Obeng biasa LOKAL APBDP 2016 Baik 1.00 450,300.00 1.00 450,300.00
19 Toolkit Box APBDP 2017 Baik 1.00 850,000.00 1.00 850,000.00
20 Toolkit (Obeng Lengkap) APBDP 2017 Baik 1.00 1,620,000.00 1.00 1,620,000.00
21 Kunci Ring Lengkap APBDP 2017 Baik 1.00 1,750,000.00 1.00 1,750,000.00
m Alat Ukur 19.00 33,733,947.00 - - 2.00 9,800,000.00 21.00 43,533,947.00

1 02.04.03.10.39 0001 Timbangan bayi dengan pengukur panSerenity APBD 2016 Baik 1.00 951,800.00 1.00 951,800.00
2 02.04.03.01.17 0001 Multi tester digital MMA-120 APBDP 2016 Baik 1.00 2,451,800.00 1.00 2,451,800.00
3 02.04.03.01.17 0002 Multi tester digital MMA-120 APBDP 2016 Baik 1.00 2,451,800.00 1.00 2,451,800.00
4 02.04.03.10.39 0001-0010 Timbangan dengan Alat Ukur Tinggi Serenity APBDP 2015 Baik 10.00 16,531,799.00 10.00 16,531,799.00
5 02.04.03.10.04 0001 Timbangan Gizi (ukuran 100 Kg) APBDP 2015 Baik 1.00 3,431,601.00 1.00 3,431,601.00
6 02.04.03.09.13 0001 Flow Meter APBDP 2015 Baik 1.00 2,880,541.00 1.00 2,880,541.00
7 02.04.03.10.39 0001 Timbangan Sampah APBDP 2015 Baik 1.00 1,542,968.00 1.00 1,542,968.00
8 02.04.03.09.13 0001 PH Meter APBDP 2015 Baik 1.00 851,638.00 1.00 851,638.00
9 02.04.03.10.39 0001 Timbangan Anak Leica Pembelian 2017 Unit Baik 1.00 1,600,000.00 1.00 1,600,000.00
10 02.04.03.10.39 0002 Timbangan + Ukuran Tinggi Badan Serenity ZT 120 White Colour Pembelian 2017 Unit Baik 1.00 1,040,000.00 1.00 1,040,000.00
11 Timbangan + Ukuran Tinggi Badan 2017 1.00 3,200,000.00 1.00 3,200,000.00
12 Timbangan Bayi 2017 1.00 6,600,000.00 1.00 6,600,000.00
n Alat Kantor 156.00 1,050,306,418.07 - - 4.00 7,220,480.00 160.00 1,057,526,898.07

1 02.06.01.05.40 0001 Mesin penghancur kertas SECURE MAXI 3SECURE MAXI 34CCM APBD 2016 Baik 1.00 6,404,750.00 1.00 6,404,750.00
2 02.06.01.05.40 0002 Mesin penghancur kertas SECURE MAXI 3SECURE MAXI 34CCM APBD 2016 Baik 1.00 6,404,750.00 1.00 6,404,750.00
3 02.06.01.05.17 0001 Alat Absensi Finger Print FINGER FINGER APBD 2016 Baik 1.00 9,607,100.00 1.00 9,607,100.00
4 02.06.01.05.17 0002 Alat Absensi Finger Print Mobile FINGER FINGER APBD 2016 Baik 1.00 3,902,900.00 1.00 3,902,900.00
5 02.06.01.01.07 0001 Mesin tik merk Brother Type 6x - 825BROTHER BROTHER APBDP 2016 Baik 1.00 2,902,150.00 1.00 2,902,150.00
6 02.06.01.01.07 0002 Mesin tik merk Brother Type 6x - 825BROTHER BROTHER APBDP 2016 Baik 1.00 2,902,150.00 1.00 2,902,150.00
7 02.06.01.03.07 0001 Mesin Fotocopy MP2501SP MP2501SP APBDP 2016 Baik 1.00 84,362,200.00 1.00 84,362,200.00
8 02.06.01.05.17 0003 Alat absensi finger print mobile untu FINGER FINGER APBDP 2016 Baik 1.00 3,967,933.33 1.00 3,967,933.33
11 02.06.01.04.11 0001 Lemari pojok spiritual Lokal Lokal APBD 2016 Baik 1.00 2,977,200.00 1.00 2,977,200.00
15 02.06.01.04.04 0001 filling kabinet Lokal Warna AbuLokal Warna Abu-Abu APBD 2016 Baik 1.00 3,222,380.00 1.00 3,222,380.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
25 02.06.01.05.52 0001 Pengadaan Terali untuk di ruang Pel LOKAL LOKAL APBD 2016 Baik 1.00 76,696,600.00 1.00 76,696,600.00
26 02.06.01.04.02 0001 Rak Piring lokal lokal APBD 2016 Baik 1.00 1,943,700.00 1.00 1,943,700.00
27 02.06.01.04.12 0001 Lemari Kasa Sesudah di Pouches APBD 2016 Baik 1.00 7,730,900.00 1.00 7,730,900.00
28 02.06.01.04.12 0004-0006 Lemari Kaca VIP. Indonesia VIP. Indonesia APBD 2008 Baik 3.00 6,014,519.64 3.00 6,014,519.64
29 02.06.01.04.14 0003-0004 Lemari Nakotika Type.V.602 Lkl Type.V.602 Lkl APBD 2008 Baik 2.00 9,021,779.45 2.00 9,021,779.45
30 02.06.01.04.03 0072-0073 Lemari Arsip VIP Indonesia VIP Indonesia APBD 2008 Baik 2.00 5,012,099.70 2.00 5,012,099.70
31 02.06.01.05.40 0001 Proyektor Toshiba Toshiba APBD 2008 Baik 1.00 9,315,177.37 1.00 9,315,177.37
32 02.06.01.05.06 0002-0016 Papan Data Lokal Lokal APBD 2009 Baik 15.00 13,779,631.21 15.00 13,779,631.21
33 02.06.01.04.03 0001 Lemari Arsip (Mechanical Compaqtor) Brother Brother APBD 2009 Baik 1.00 91,196,104.70 1.00 91,196,104.70
34 02.06.01.04.12 0001-0003 Sliding glass door cupboard/lemari Lokal Lokal APBD 2010 Baik 3.00 17,603,902.00 3.00 17,603,902.00
35 02.06.01.04.03 0001-0010 Lemari Buku/Indonesia Lokal Lokal APBD 2011 Baik 10.00 35,037,574.00 10.00 35,037,574.00
36 02.06.01.04.03 0001-0004 Rak Obat Lokal Lokal APBD 2011 Baik 4.00 8,007,014.00 4.00 8,007,014.00
37 02.06.01.04.03 0001-0002 Lemari Lokal Lokal APBD 2011 Baik 2.00 1,202,338.00 2.00 1,202,338.00
38 02.06.01.04.03 0001 Lemari Narkotika Lokal Lokal APBD 2011 Baik 1.00 3,436,298.00 1.00 3,436,298.00
39 02.06.01.04.04 0001-0005 Filling Cabinet Lion Lion APBD 2011 Baik 5.00 9,666,052.00 5.00 9,666,052.00
40 02.06.01.04.04 0001-0002 Filling kabinet Royal Royal APBD 2013 Baik 2.00 9,900,000.00 2.00 9,900,000.00
41 02.06.01.01.07 0003-0004 Mesin Tik Elektronik APBDP 2015 Baik 2.00 5,988,115.00 2.00 5,988,115.00
42 02.06.01.03.07 0005 Mesin Foto Copy APBDP 2015 Baik 1.00 84,982,849.00 1.00 84,982,849.00
43 02.06.01.04.12 0007 Lemari KRISBOW KRISBOW APBDP 2015 Baik 1.00 1,905,309.00 1.00 1,905,309.00
44 02.06.01.04.04 0001-0002 Pengadaan Filling Kabinet APBDP 2015 Baik 2.00 18,936,003.00 2.00 18,936,003.00
45 02.06.01.04.05 0001-0002 Loker/Lemari Untuk ruang TB.Dots 4 Pintu APBDP 2015 Baik 2.00 5,881,313.00 2.00 5,881,313.00
46 02.06.01.04.05 0003-0007 Loker/Lemari Untuk ruang 6 Pintu APBDP 2015 Baik 5.00 14,527,945.00 5.00 14,527,945.00
47 02.06.01.04.12 0008-0009 Lemari File APBDP 2015 Baik 2.00 19,637,773.00 2.00 19,637,773.00
48 02.06.01.04.05 0008-0009 lemari Linen APBDP 2015 Baik 2.00 9,057,422.00 2.00 9,057,422.00
49 02.06.01.04.05 0010-0011 Lemari Penyimpan Barang Pasien APBDP 2015 Baik 2.00 10,009,253.00 2.00 10,009,253.00
50 02.06.01.05.10 0001-0002 White Board LOKAL LOKAL APBDP 2015 Baik 2.00 2,923,491.00 2.00 2,923,491.00
51 02.06.01.04.03 0001-0003 Rak besi untuk dapur Lokal Lokal APBD 2011 Baik 3.00 4,639,705.00 3.00 4,639,705.00
52 02.06.01.05.52 0001-0002 Terali Pintu Double Besi Ukuran 12 APBDP 2015 Baik 2.00 6,463,489.00 2.00 6,463,489.00
53 02.06.01.05.52 0003-0004 Terali Pintu Single Besi Ukuran 12 APBDP 2015 Baik 2.00 5,049,601.00 2.00 5,049,601.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
54 02.06.01.02.11 0001-0020 Kalkulator CITIZEN CITIZEN APBD 2016 Baik 20.00 5,804,300.00 20.00 5,804,300.00
55 02.06.01.05.10 0001-0003 White Board Ruangan Lokal Lokal APBD 2013 Baik 3.00 1,485,000.00 3.00 1,485,000.00
58 02.06.01.04.12 0001-0007 Lemari File Cabinet Up Swing Glass Door Pembelian 2017 Unit Baik 7.00 27,335,000.00 7.00 27,335,000.00
59 02.06.01.04.12 0008-0009 Lemari File Bahan Besi Lion Pembelian 2017 Unit Baik 2.00 6,933,900.00 2.00 6,933,900.00
60 02.06.01.04.12 0010-0016 Lemari File Pembelian 2017 Unit Baik 7.00 30,049,250.00 7.00 30,049,250.00
64 02.06.01.02.12 0001 Mesin Penghitung Pembelian 2017 Unit Baik 1.00 39,965,763.00 1.00 39,965,763.00
65 02.06.01.04.12 0019 Lemari Gredenza Pembelian 2017 Unit Baik 1.00 24,063,597.00 1.00 24,063,597.00
61 02.06.02.01.61 0001-0005 Lemari Linen Pembelian 2017 Unit Baik 5.00 48,781,250.00 5.00 48,781,250.00
59 Mesin Penghancur Kertas BLUD 2017 1.00 4,670,480.00 1.00 4,670,480.00
57 Lemari (Pelayanan Gawat Darurat) BLUD 2017 1.00 850,000.00 1.00 850,000.00
55 Lemari (Pelayanan Rawat Inap) BLUD 2017 1.00 850,000.00 1.00 850,000.00
53 Lemari (Pelayanan ICU) BLUD 2017 1.00 850,000.00 1.00 850,000.00
o Alat Rumah Tangga 1,621.00 8,419,597,906.86 - - 98.00 1,078,526,751.00 1,719.00 9,498,124,657.86

1 02.06.02.06.50 0001 Infokus + Scren merk infokus IN 220 INFOKUS IN 220 CURRENT 2.7A APBDP 2016 Baik 1.00 6,354,700.00 1.00 6,354,700.00
2 02.06.02.01.01 0001 Lemari sepatu Lokal Warna Coklat APBD 2016 Baik 1.00 1,976,450.00 1.00 1,976,450.00
6 02.06.02.04.06 0011 Kipas angin plafon Type SEY - 1511 Panasonic Type SEY - 1511 APBDP 2016 Baik 1.00 999,240.00 1.00 999,240.00
11 02.06.02.06.18 0011 UPS/Stabilizer + Instalasi untuk poli gICA SIN7501C3 10KVA APBD 2016 Baik 1.00 133,902,700.00 1.00 133,902,700.00
12 02.06.02.06.18 0012 UPS MINAMOTO (SM 60K3) MINAMOTO SM 60K3 APBDP 2016 Baik 1.00 34,181,300.00 1.00 34,181,300.00
13 02.06.02.06.50 0002 Pemasangan dan instalasi Stabilizer uMINAMOTO 2016 Baik 1.00 13,700,100.00 1.00 13,700,100.00
14 02.06.02.01.48 0001 Meja kerja 1/2 biro HIGHPOINT APBD 2016 Baik 1.00 2,922,158.33 1.00 2,922,158.33
26 02.06.02.01.61 0001 Meja IGD APBD 2016 Baik 1.00 4,053,000.00 1.00 4,053,000.00
27 02.06.02.01.37 0001 Meja Komputer LOKAL APBDP 2016 Baik 1.00 2,487,830.00 1.00 2,487,830.00
37 02.06.02.01.61 0002 Meja Nurse Station ICU LOKAL APBDP 2016 Baik 1.00 14,090,400.00 1.00 14,090,400.00
38 02.06.02.01.48 0013 Meja Kerja Ruangan High Point APBDP 2016 Baik 1.00 2,944,670.00 1.00 2,944,670.00
48 02.06.02.06.39 0001 Dispenser ruang pelayanan MIYAKO WD-380 HC APBD 2016 Baik 1.00 600,445.00 1.00 600,445.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
68 02.06.02.04.04 0001 AC 1/2 PK PANASONIC APBD 2016 Baik 1.00 5,670,718.00 1.00 5,670,718.00
73 02.06.02.04.04 0006 AC 1 PK PANASONIC CS-YN9RKJ APBD 2016 Baik 1.00 6,073,553.43 1.00 6,073,553.43
74 02.06.02.04.04 0007 AC 1 PK PANASONIC CS-YN9SKJ APBD 2016 Baik 1.00 6,073,553.43 1.00 6,073,553.43
75 02.06.02.04.04 0008 AC 1 PK PANASONIC APBD 2016 Baik 1.00 6,073,553.43 1.00 6,073,553.43
80 02.06.02.04.04 0013 AC 1 1/2 PK PANASONIC CS-PN12RKJ APBD 2016 Baik 1.00 8,044,361.60 1.00 8,044,361.60
81 02.06.02.04.04 0014 AC 1 1/2 PK PANASONIC CS-PN12RKP APBD 2016 Baik 1.00 8,044,361.60 1.00 8,044,361.60
82 02.06.02.04.04 0015 AC 1 1/2 PK PANASONIC CS-PN18RKP APBD 2016 Baik 1.00 8,044,361.60 1.00 8,044,361.60
83 02.06.02.04.04 0016 AC 1 1/2 PK PANASONIC CS-PN18RKJ APBD 2016 Baik 1.00 8,044,361.60 1.00 8,044,361.60
84 02.06.02.04.04 0017 AC 1 1/2 PK PANASONIC CS-PN12SKP APBD 2016 Baik 1.00 8,044,361.60 1.00 8,044,361.60
85 02.06.02.04.04 0018 AC 1 1/2 PK PANASONIC CS-PN12SKJ APBD 2016 Baik 1.00 8,044,361.60 1.00 8,044,361.60
86 02.06.02.04.04 0019 AC 1 1/2 PK PANASONIC APBD 2016 Baik 1.00 8,044,361.60 1.00 8,044,361.60
90 02.06.02.04.04 0023 AC 2 PK PANASONIC CS-PN18PKP APBD 2016 Baik 1.00 9,593,744.00 1.00 9,593,744.00
95 02.06.02.04.04 0028 AC 1 PK PANASONIC APBDP 2016 Baik 1.00 5,994,700.00 1.00 5,994,700.00
103 02.06.02.04.04 0036 AC 1 1/2 PK PANASONIC APBDP 2016 Baik 1.00 7,656,600.00 1.00 7,656,600.00
122 02.06.02.06.50 0003 Pengadaan water heater + kelengkapan HSE PRIME APBDP 2016 Baik 1.00 147,605,300.00 1.00 147,605,300.00
123 02.06.02.01.01 0005 Lemari Tempel Obat High Alert LION APBD 2016 Baik 1.00 2,905,500.00 1.00 2,905,500.00
126 02.06.02.01.01 0008 Lemari Tempel Obat High Alert OK LION APBD 2016 Baik 1.00 3,094,900.00 1.00 3,094,900.00
127 02.06.02.01.01 0009 Lemari Tempel Obat High Alert KhusuLION APBD 2016 Baik 1.00 3,094,900.00 1.00 3,094,900.00
128 02.06.02.01.01 0010 Lemari Tempel Obat High Alert ICU LION APBD 2016 Baik 1.00 3,094,900.00 1.00 3,094,900.00
129 02.06.02.01.01 0011 Lemari Besar Obat High Alert LION APBD 2016 Baik 1.00 5,053,000.00 1.00 5,053,000.00
130 02.06.02.06.35 0001 Setrika Laundry press (AQUASTAR I AQUASTAR APBDP 2016 Baik 1.00 228,169,800.00 1.00 228,169,800.00
131 02.06.02.01.01 0012 Lemari narkotik 6 rak MAK/32903K APBD 2016 Baik 1.00 7,464,100.00 1.00 7,464,100.00
132 02.06.02.01.01 0013 Lemari narkotik 6 rak MAK/32903K APBD 2016 Baik 1.00 7,464,100.00 1.00 7,464,100.00
133 02.06.02.01.01 0014 Lemari linen dan alkes Krisbow/swing 90x39x180 cm APBD 2016 Baik 1.00 3,431,500.00 1.00 3,431,500.00
136 02.06.02.01.63 0001 Rak Farmasi KLS TACTIX 10009890 APBD 2016 Baik 1.00 9,818,600.00 1.00 9,818,600.00
137 02.06.02.01.63 0002 Rak Farmasi KLS TACTIX 10009890 APBD 2016 Baik 1.00 9,818,600.00 1.00 9,818,600.00
138 02.06.02.05.02 0001 Kompor gas 2 tungku RINAI APBD 2016 Baik 1.00 670,250.00 1.00 670,250.00
139 02.06.02.05.02 0002 Kompor gas 2 tungku RINAI APBD 2016 Baik 1.00 670,250.00 1.00 670,250.00
140 02.06.02.04.01 0001 Kulkas (dengan pengukur suhu) 1 pinGEA APBD 2016 Baik 1.00 13,926,350.00 1.00 13,926,350.00
145 02.06.02.01.62 0001 Gorden (Rawat Inap Anak, IGD, Poli, Isolasi dan VK, Rawat Inap lt. 2 & lt. 3 APBD 2016 Baik 1.00 188,444,100.00 1.00 188,444,100.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
146 02.06.02.06.50 0004 BLENDER PHILIPS 2 IN 1 APBD 2016 Baik 1.00 811,533.33 1.00 811,533.33
149 02.06.02.06.50 0007 MIXER PHILIPS HR1559 APBD 2016 Baik 1.00 806,533.33 1.00 806,533.33
152 02.06.02.06.50 0010 MICROWAVE OXONE OX-76D APBD 2016 Baik 1.00 1,953,700.00 1.00 1,953,700.00
153 02.06.02.06.50 0011 OVEN RODA MAS APBD 2016 Baik 1.00 5,911,200.00 1.00 5,911,200.00
154 02.06.02.06.50 0012 RICE COOKER YONG MA MC25000 APBD 2016 Baik 1.00 791,500.00 1.00 791,500.00
155 02.06.02.06.50 0013 RICE COOKER YONG MA MC25000 APBD 2016 Baik 1.00 791,500.00 1.00 791,500.00
156 02.06.02.01.61 0003 TROLLY BARANG Oxford 300 Warna Hitam APBD 2016 Baik 1.00 1,492,826.67 1.00 1,492,826.67
171 02.06.02.01.61 0018 TROLLY BARANG FLAT METAL Oxford 300 Warna Biru APBD 2016 Baik 1.00 981,866.67 1.00 981,866.67
174 02.06.02.06.50 0015 Blender Obat APBD 2016 Baik 1.00 1,502,850.00 1.00 1,502,850.00
175 02.06.02.06.50 0016 Blender Obat APBD 2016 Baik 1.00 1,502,850.00 1.00 1,502,850.00
176 02.06.02.06.50 0020 Bartec utama mandiri food trolley 20 Bartec APBD 2016 Baik 1.00 13,203,900.00 1.00 13,203,900.00
177 02.06.02.01.01 0017 Lemari Tempat Pouches, Kasa Gulung, BHP APBD 2016 Baik 1.00 4,099,000.00 1.00 4,099,000.00
178 02.06.02.01.03 0001 Meja Dudukan MesinSteril APBD 2016 Baik 1.00 3,239,750.00 1.00 3,239,750.00
179 02.06.02.01.03 0002 Meja Dudukan MesinSteril APBD 2016 Baik 1.00 3,239,750.00 1.00 3,239,750.00
180 02.06.02.01.03 0003 Meja Stainless Tempat Set Linen APBD 2016 Baik 1.00 4,570,350.00 1.00 4,570,350.00
181 02.06.02.01.03 0004 Meja Pouces 6 tiang APBD 2016 Baik 1.00 9,198,500.00 1.00 9,198,500.00
182 02.06.02.01.03 0005 Meja Pouces 6 tiang APBD 2016 Baik 1.00 9,198,500.00 1.00 9,198,500.00
183 02.06.02.06.50 0021 Dosing Pump INVIKTA series 635 220V 15W - SEKO APBD 2016 Baik 1.00 4,865,000.00 1.00 4,865,000.00
184 02.06.02.06.50 0022 Dosing Pump INVIKTA series 635 220V 15W - SEKO APBD 2016 Baik 1.00 4,865,000.00 1.00 4,865,000.00
185 02.06.02.04.13 0001 king blower mesin IPAL 340 Volt + instKING BLOWER 340VOLT 2016 Baik 1.00 21,175,000.00 1.00 21,175,000.00
186 02.06.02.04.13 0002 king blower mesin IPAL 340 Volt + instKING BLOWER 340VOLT 2016 Baik 1.00 21,175,000.00 1.00 21,175,000.00
187 02.06.02.06.50 0001 Alat pompa laundry APBD 2016 Baik 1.00 5,071,400.00 1.00 5,071,400.00
188 02.06.02.06.50 0002 Pompa pendorong reservoar Y2-90L-2 NFD APBD 2016 Baik 1.00 20,256,850.00 1.00 20,256,850.00
189 02.06.02.06.50 0003 Pompa pendorong reservoar Y2-90L-2 NFD APBD 2016 Baik 1.00 20,256,850.00 1.00 20,256,850.00
190 02.06.02.04.04 0167-0169 AC LG APBD 2008 Baik 3.00 14,585,210.45 3.00 14,585,210.45
191 02.06.02.04.04 0030 AC LG/S12.LFG APBD 2012 Baik 1.00 4,922,500.00 1.00 4,922,500.00
201 02.06.02.04.04 0001 Ac Split (termasuk kabel , pipa dan dPANASONIC - CS-PC5PKJ APBD 2013 Baik 1.00 4,727,500.00 1.00 4,727,500.00
202 02.06.02.04.04 0002 Ac Split (termasuk kabel , pipa dan dPANASONIC - CS-PC5PKJ APBD 2013 Baik 1.00 4,727,500.00 1.00 4,727,500.00
203 02.06.02.04.04 0001 Ac Split (termasuk kabel , pipa dan dLGS09LFG-2 APBD 2013 Baik 1.00 4,977,500.00 1.00 4,977,500.00
209 02.06.02.01.61 0001 Lemari roll opeck rekam medik APBD 2013 Baik 1.00 74,900,000.00 1.00 74,900,000.00
210 02.06.02.01.61 0001-0005 Loker bedah central, ICU, IGD dan Bangsal APBD 2013 Baik 5.00 15,800,000.00 5.00 15,800,000.00
211 02.06.02.01.61 0001-0005 Instrumen Cabinet APBD 2013 Baik 5.00 14,750,000.00 5.00 14,750,000.00
212 02.06.02.06.50 0001 Mesin Cetak Kartu Pasien ZEBRA/MODEL. P330i APBD 2014 Baik 1.00 44,450,000.00 1.00 44,450,000.00
213 02.06.02.06.50 0001 Mesin antrian Primatech APBD 2014 Baik 1.00 49,790,000.00 1.00 49,790,000.00
214 02.06.02.04.04 0006 AC LG/Model. SN05LTG APBD 2014 Baik 1.00 4,795,000.00 1.00 4,795,000.00
215 02.06.02.04.04 0007 AC LG/Model. SN18LGS APBD 2014 Baik 1.00 7,495,000.00 1.00 7,495,000.00
216 02.06.02.04.04 0008 AC LG/Model. SN18LGS APBD 2014 Baik 1.00 7,495,000.00 1.00 7,495,000.00
217 02.06.02.01.54 0001-0004 Lemari loundry dan CSSD APBDP 2015 Baik 4.00 19,637,773.00 4.00 19,637,773.00
218 02.06.02.06.50 0001-0004 Medicine cabinet APBDP 2015 Baik 4.00 19,437,388.00 4.00 19,437,388.00
219 02.06.02.06.50 0005-0006 Roll Opack (Mobile File) APBDP 2015 Baik 2.00 177,224,019.00 2.00 177,224,019.00
220 02.06.02.04.03 0001-0006 AC 1/2 PK APBDP 2015 Baik 6.00 37,767,169.00 6.00 37,767,169.00
221 02.06.02.04.03 0007-0009 AC 1 PK APBDP 2015 Baik 3.00 20,257,309.00 3.00 20,257,309.00
222 02.06.02.04.03 0010-0017 AC 1,5 PK APBDP 2015 Baik 8.00 70,094,116.00 8.00 70,094,116.00
223 02.06.02.04.03 0018-0023 AC 2 PK APBDP 2015 Baik 6.00 63,888,435.00 6.00 63,888,435.00
224 02.06.02.04.13 0013-0015 Indoor AC APBDP 2015 Baik 3.00 1,518,000.00 3.00 1,518,000.00
225 02.06.02.04.13 0016-0019 Talang AC APBDP 2015 Baik 4.00 23,023,000.00 4.00 23,023,000.00
226 02.06.02.04.10 0001-0002 Heavy Buddy Blander Blendtec U.S.A APBD 2008 Baik 2.00 19,142,216.03 2.00 19,142,216.03
227 02.06.02.04.09 0001 Rrach In Cheler Porka Indonesia APBD 2008 Baik 1.00 59,984,824.42 1.00 59,984,824.42
228 02.06.02.05.14 0001 Rrach In Frezer Porka Indonesia APBD 2008 Baik 1.00 61,749,083.96 1.00 61,749,083.96
229 02.06.02.05.14 0001-0002 Electrik Ricc Cooker Maspion Indonesia APBD 2008 Baik 2.00 16,539,933.20 2.00 16,539,933.20
230 02.06.02.05.14 0001 CSSD Gentinge swadia APBD 2008 Baik 1.00 798,297,470.26 1.00 798,297,470.26
231 02.06.02.07.17 0001-0015 Tabung Pemadam Optimas APBD 2008 Baik 15.00 12,029,039.55 15.00 12,029,039.55
232 02.06.02.05.02 0004-0006 Kompor Gas Medona/Italy APBD 2008 Baik 3.00 45,160,976.11 3.00 45,160,976.11
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
233 02.06.02.05.02 0001-0003 Penghisap Asap ( Corker hood ) Medona/Italy APBD 2008 Baik 3.00 6,615,974.99 3.00 6,615,974.99
234 02.06.02.05.09 0006-0008 Tabung Gas Lokal APBD 2008 Baik 3.00 3,552,778.57 3.00 3,552,778.57
235 02.06.02.04.01 0030 Lemari ES Shapp/Jepog APBD 2008 Baik 1.00 2,940,570.33 1.00 2,940,570.33
236 02.06.02.01.33 0001-0014 Kursi Panjang Ruang Tunggu Rokuda B2 APBD 2008 Baik 14.00 27,065,353.85 14.00 27,065,353.85
237 02.06.02.01.09 0001-0003 Sofa Kantor Import 9053 APBD 2008 Baik 3.00 30,954,745.44 3.00 30,954,745.44
238 02.06.02.07.05 0001 Pemasangan Peralatan Penghiasan RuLokal APBD 2008 Baik 1.00 531,405,000.00 1.00 531,405,000.00
239 02.06.02.01.61 0001-0002 Rak Piring Kecil Lokal APBD 2009 Baik 2.00 2,620,078.56 2.00 2,620,078.56
240 02.06.02.01.61 0001-0003 Rak Piring Lokal APBD 2009 Baik 3.00 9,153,015.64 3.00 9,153,015.64
241 02.06.02.04.01 0031 Kulkas Ukuran Kecil Thosiba APBD 2009 Baik 1.00 1,558,907.77 1.00 1,558,907.77
268 02.06.02.04.01 0001 Kulkas 1 Pintu Panasonic APBD 2009 Baik 1.00 2,115,660.55 1.00 2,115,660.55
295 02.06.02.04.01 0001 Kulkas 2 Pintu Display Cooler GEA APBD 2009 Baik 1.00 15,366,376.62 1.00 15,366,376.62
296 02.06.02.04.09 0001 Chest Freezer GEA APBD 2009 Baik 1.00 6,681,033.31 1.00 6,681,033.31
297 02.06.02.04.09 0002 Chest Freezer GEA APBD 2009 Baik 1.00 6,681,033.31 1.00 6,681,033.31
298 02.06.02.01.01 0001-0003 Trolley Kain Kotor Mak, 35301 APBD 2009 Baik 3.00 15,132,540.44 3.00 15,132,540.44
299 02.06.02.01.01 0001-0002 Trolley Sampah (Cleaner Trolly) Mak, 35310 APBD 2009 Baik 2.00 16,279,451.17 2.00 16,279,451.17
300 02.06.02.06.50 0001 Perlengkapan Rumah Mak, 35310 APBD 2009 Baik 1.00 1,054,095,245.69 1.00 1,054,095,245.69
301 02.06.02.06.50 0001 Washer/Extractor.Ridgit mount Norma MWCS50(P-RS22) APBD 2009 Baik 1.00 133,397,965.12 1.00 133,397,965.12
302 02.06.02.01.49 0001-0009 Sofa bed Lokal APBD 2010 Baik 9.00 53,527,996.00 9.00 53,527,996.00
303 02.06.02.01.33 0011-0014 Kursi tunggu pasien RICIWA APBD 2010 Baik 4.00 84,918,990.00 4.00 84,918,990.00
304 02.06.02.01.33 0015-0017 Kursi tunggu pasien RICIWA APBD 2010 Baik 3.00 6,295,336.00 3.00 6,295,336.00
305 02.06.02.06.50 0001-0002 Baby basket karixa APBD 2010 Baik 2.00 13,209,113.00 2.00 13,209,113.00
306 02.06.02.06.50 0001 Bed screen 3 panel karixa APBD 2010 Baik 1.00 15,163,522.00 1.00 15,163,522.00
307 02.06.02.01.38 0001-0003 Matrass baby mak APBD 2010 Baik 3.00 3,167,491.00 3.00 3,167,491.00
308 02.06.02.01.42 0001-0002 Kelambu Anak untuk Kasus DBD Lokal APBD 2011 Baik 2.00 1,016,316.00 2.00 1,016,316.00
309 02.06.02.01.61 0001 Dryer 16 Kg elektrik (pengering pakaian) APBD 2011 Baik 1.00 112,678,544.00 1.00 112,678,544.00
310 02.06.02.06.03 0001 Televisi LG/Korea APBD 2011 Baik 1.00 15,063,976.50 1.00 15,063,976.50
311 02.06.02.06.03 0002 Televisi LG/Korea APBD 2011 Baik 1.00 15,063,976.50 1.00 15,063,976.50
312 02.06.02.06.50 0001-0002 Blender Obat Philip APBD 2011 Baik 2.00 5,744,396.00 2.00 5,744,396.00
313 02.06.02.01.48 0001-0010 Meja Utama Lokal APBD 2011 Baik 10.00 15,015,450.00 10.00 15,015,450.00
314 02.06.02.01.61 0001 Mesin Pemotong Rumput Stihl APBD 2011 Baik 1.00 4,192,578.00 1.00 4,192,578.00
315 02.06.02.01.61 0002 Mesin Pemotong Rumput Stihl APBD 2011 Baik 1.00 4,192,578.00 1.00 4,192,578.00
316 02.06.02.01.61 0001 Kichen Tool Set plato APBD 2011 Baik 1.00 15,016,731.00 1.00 15,016,731.00
317 02.06.02.06.35 0001 Setrika loundry besar APBD 2012 Baik 1.00 36,351,150.00 1.00 36,351,150.00
318 02.06.02.06.50 0001-0002 Loundry trolly bulat @oly-052 APBD 2012 Baik 2.00 8,270,570.00 2.00 8,270,570.00
319 02.06.02.06.50 0001 Linen trolly poly-053 SS APBD 2012 Baik 1.00 12,836,450.00 1.00 12,836,450.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
320 02.06.02.01.61 0001-0002 Rak untuk Radiologi APBD 2013 Baik 2.00 1,590,000.00 2.00 1,590,000.00
321 02.06.02.03.04 0001 Mesin Cuci Loundry Electrolux APBD 2014 Baik 1.00 19,500,000.00 1.00 19,500,000.00
322 02.06.02.03.04 0002 Mesin Cuci Loundry Electrolux APBD 2014 Baik 1.00 19,500,000.00 1.00 19,500,000.00
323 02.06.02.06.35 0001 Sterika Loundry Pony APBD 2014 Baik 1.00 19,500,000.00 1.00 19,500,000.00
324 02.06.02.06.44 0001 Mesin Pengering Loundry Aliance APBD 2014 Baik 1.00 49,500,000.00 1.00 49,500,000.00
325 02.06.02.01.38 0001-0006 Kasur Latek APBDP 2015 Baik 6.00 29,817,354.00 6.00 29,817,354.00
326 02.06.02.01.49 0001-0002 Sofa Untuk Ruang VIP APBDP 2015 Baik 2.00 19,838,159.00 2.00 19,838,159.00
327 02.06.02.01.49 0003-0004 Sofa untuk ruang tunggu rawat Inap dengan meja APBDP 2015 Baik 2.00 32,512,538.00 2.00 32,512,538.00
328 02.06.02.01.49 0005-0007 Sofa ruang tunggu APBDP 2015 Baik 3.00 19,342,205.00 3.00 19,342,205.00
329 02.06.02.04.06 0001 Kipas Angin MIYAKO APBDP 2015 Baik 1.00 695,589.00 1.00 695,589.00
334 02.06.02.03.04 0001 Mesin Cuci APBDP 2015 Baik 1.00 198,852,495.00 1.00 198,852,495.00
335 02.06.02.06.37 0001-0002 Tangga Alumunium APBDP 2015 Baik 2.00 13,004,493.00 2.00 13,004,493.00
336 02.06.02.06.37 0003 Tangga APBDP 2015 Baik 1.00 740,953.00 1.00 740,953.00
337 02.06.02.04.07 0001-0003 Exhaust Fan Toilet & Ruangan MIYAKO APBDP 2015 Baik 3.00 1,801,191.00 3.00 1,801,191.00
338 02.06.02.04.07 0004-0008 Exhaust Fan Toilet & Ruangan PANASONIC APBDP 2015 Baik 5.00 3,001,988.00 5.00 3,001,988.00
339 02.06.02.04.07 0009-0060 Exhaust Fan Toilet & Ruangan SEKAI APBDP 2015 Baik 52.00 31,220,672.00 52.00 31,220,672.00
340 02.06.02.04.07 0061 Exhaust Fan Ruang Genset APBDP 2015 Baik 1.00 3,002,190.00 1.00 3,002,190.00
341 02.06.02.04.07 0062-0063 Exhaust Fan Lift APBDP 2015 Baik 2.00 7,409,784.00 2.00 7,409,784.00
342 02.06.02.04.13 0020-0021 Gulung Fan Motor Out Door APBDP 2015 Baik 2.00 1,012,000.00 2.00 1,012,000.00
343 02.06.02.04.13 0022 Thermistor Pipe APBDP 2015 Baik 1.00 506,000.00 1.00 506,000.00
344 02.06.02.04.13 0023 Ducting IGD APBDP 2015 Baik 1.00 5,376,250.00 1.00 5,376,250.00
345 02.06.02.06.34 0001 Door operator side opening(1100 x 2100) APBDP 2015 Baik 1.00 41,000,000.00 1.00 41,000,000.00
346 02.06.02.06.34 0002-0004 Landing door device (1100 x 2100) APBDP 2015 Baik 3.00 73,500,000.00 3.00 73,500,000.00
347 02.06.02.06.34 0005 Car door panel APBDP 2015 Baik 1.00 9,880,000.00 1.00 9,880,000.00
348 02.06.02.06.34 0006-0008 Landing door panel APBDP 2015 Baik 3.00 29,640,000.00 3.00 29,640,000.00
349 02.06.02.06.34 0009-0011 Landing door jump APBDP 2015 Baik 3.00 22,950,000.00 3.00 22,950,000.00
350 02.06.02.06.20 0001 Stabilizer APBD 2013 Baik 1.00 14,850,000.00 1.00 14,850,000.00
351 02.06.02.06.18 0004 UPS/Stabilizer EATON/9155-15-N-0-64x0AH APBD 2014 Baik 1.00 176,000,000.00 1.00 176,000,000.00
352 02.06.02.06.50 0011 UPS Lift KENIKA APBDP 2015 Baik 1.00 25,182,343.50 1.00 25,182,343.50
353 02.06.02.06.50 0012 UPS Lift KENIKA APBDP 2015 Baik 1.00 25,182,343.50 1.00 25,182,343.50
354 02.06.02.06.50 0013 UPS ICA APBDP 2015 Baik 1.00 800,000.00 1.00 800,000.00
355 02.06.02.06.50 0014 UPS ICA APBDP 2015 Baik 1.00 800,000.00 1.00 800,000.00
356 02.06.02.06.50 0015 UPS KVA 1 Phase ICA APBDP 2015 Baik 1.00 49,274,681.67 1.00 49,274,681.67
359 02.06.02.01.17 0001 Meja Resepsionis Lokal APBD 2014 Baik 1.00 1,600,000.00 1.00 1,600,000.00
360 02.06.02.01.48 0053-0062 Meja 1/2 Biro Expo MP APBD 2008 Baik 10.00 8,861,397.33 10.00 8,861,397.33
361 02.06.02.01.10 0001 Meja Rapat Mdl.U Import 9053 APBD 2008 Baik 1.00 21,241,290.73 1.00 21,241,290.73
362 02.06.02.01.11 0001-0010 Meja Kerja 1 Biro Lokal APBD 2009 Baik 10.00 12,248,561.07 10.00 12,248,561.07
363 02.06.02.01.11 0001-0013 Meja Kerja 1 Biro dgn meja samping Lokal APBD 2009 Baik 13.00 23,160,915.48 13.00 23,160,915.48
364 02.06.02.01.48 0063-0077 Meja Kerja 1/2 Biro Lokal APBD 2009 Baik 15.00 12,506,691.90 15.00 12,506,691.90
365 02.06.02.01.48 0001 Meja rapat Lokal APBD 2010 Baik 1.00 6,010,055.00 1.00 6,010,055.00
366 02.06.02.01.30 0001-0005 Kursi rapat Lokal APBD 2010 Baik 5.00 6,375,980.00 5.00 6,375,980.00
367 02.06.02.01.48 0001-0005 Meja 1/2 Biro Lokal APBD 2011 Baik 5.00 7,007,515.00 5.00 7,007,515.00
368 02.06.02.01.04 0001-0005 meja kerja Lokal APBD 2013 Baik 5.00 4,750,000.00 5.00 4,750,000.00
369 02.06.02.01.04 0001-0003 Meja kerja Lokal APBD 2014 Baik 3.00 2,700,000.00 3.00 2,700,000.00
370 02.06.02.01.04 0001 Meja kerja Lokal APBD 2014 Baik 1.00 1,400,000.00 1.00 1,400,000.00
371 02.06.02.01.05 0001-0080 Kursi Ruang Aula Donati APBD 2014 Baik 80.00 39,600,000.00 80.00 39,600,000.00
372 02.06.02.01.28 0001-0030 Kursi Tunggu Pasien Donati APBD 2014 Baik 30.00 134,850,000.00 30.00 134,850,000.00
373 02.06.02.01.05 0001-0010 Kursi Kerja 78 APBD 2014 Baik 10.00 14,700,000.00 10.00 14,700,000.00
374 02.06.02.01.10 0001-0002 Meja Kerja ( 1 Set terdiri 6 Meja ) lokal APBD 2014 Baik 2.00 160,095,662.00 2.00 160,095,662.00
375 02.06.02.01.04 0001-0003 Meja Flip Cart ICU APBDP 2015 Baik 3.00 10,369,947.00 3.00 10,369,947.00
376 02.06.02.01.12 0001 - 0002 Meja Makan Ruangan VIP APBDP 2015 Baik 2.00 5,861,274.00 2.00 5,861,274.00
377 02.06.02.01.04 0004-0014 Meja Kerja APBDP 2015 Baik 12.00 29,272,535.00 12.00 29,272,535.00
378 02.06.02.04.06 0001-0010 Kipas angin standing Miyako KSB - 18 APBD 2016 Baik 10.00 4,610,900.00 10.00 4,610,900.00
379 02.06.02.01.31 0001-0080 Kursi AULA Futura APBD 2016 Baik 80.00 39,629,200.00 80.00 39,629,200.00
380 02.06.02.06.15 0001-0003 Stand Mic APBDP 2016 Baik 3.00 1,170,900.00 3.00 1,170,900.00
381 02.06.02.06.50 0001-0003 Bracket Spekaer dinding APBDP 2016 Baik 3.00 1,471,000.00 3.00 1,471,000.00
382 02.06.02.02.01 0001-0025 Jam dinding APBD 2016 Baik 25.00 3,757,100.00 25.00 3,757,100.00
383 02.06.02.05.14 0001-0010 Gelas 212 212 APBD 2016 Baik 10.00 1,001,900.00 10.00 1,001,900.00
384 02.06.02.05.14 0011-0015 Mangkuk vezena Vezena APBD 2016 Baik 15.00 751,400.00 15.00 751,400.00
385 02.06.02.05.14 0016-0058 Talenan Claris CLARIS APBD 2016 Baik 43.00 1,406,700.00 43.00 1,406,700.00
386 02.06.02.05.14 0059-0064 Talenan Lion Star LION STAR APBD 2016 Baik 6.00 559,100.00 6.00 559,100.00
387 02.06.02.05.14 0065-0074 Cangkir APBD 2016 Baik 10.00 1,803,400.00 10.00 1,803,400.00
388 02.06.02.05.14 0075-0084 Sendok Makan APBD 2016 Baik 10.00 250,500.00 10.00 250,500.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
389 02.06.02.05.14 0085-0094 Sendok Teh APBD 2016 Baik 10.00 330,600.00 10.00 330,600.00
390 02.06.02.05.14 0095-0112 Pisau warna APBD 2016 Baik 18.00 1,406,700.00 18.00 1,406,700.00
391 02.06.02.05.14 0113-0114 Loyang APBD 2016 Baik 2.00 400,700.00 2.00 400,700.00
392 02.06.02.05.14 0015-0120 Pisau Roti APBD 2016 Baik 106.00 468,900.00 106.00 468,900.00
393 02.06.02.05.14 0121 kuali teflon APBD 2016 Baik 1.00 279,250.00 1.00 279,250.00
394 02.06.02.05.14 0122-0123 panci steel APBD 2016 Baik 2.00 400,800.00 2.00 400,800.00
395 02.06.02.06.50 0001 TOASTER PHILIPS HD4825 APBD 2016 Baik 1.00 480,900.00 1.00 480,900.00
396 02.06.02.06.50 0002 Papan capsul obat ukuran 0 APBD 2016 Baik 1.00 245,500.00 1.00 245,500.00
397 02.06.02.06.50 0003-0004 Papan capsul obat ukuran 00 APBD 2016 Baik 2.00 500,900.00 2.00 500,900.00
398 02.06.02.02.01 0004-0054 Jam Dinding Seiko APBD 2009 Baik 51.00 17,208,722.17 51.00 17,208,722.17
399 02.06.02.01.05 0001-0060 Kursi Putura Futura 405 APBD 2008 Baik 60.00 9,613,212.72 60.00 9,613,212.72
400 02.06.02.01.54 0001-0020 Lemari Kain Lokal APBD 2009 Baik 20.00 2,984,194.88 20.00 2,984,194.88
401 02.06.02.01.42 0001-0015 Selimut Quilted (150 X 200cm) Lokal APBD 2011 Baik 15.00 7,290,965.00 15.00 7,290,965.00
402 02.06.02.06.35 0001-0002 Setrika Laundry APBD 2011 Baik 2.00 773,284.00 2.00 773,284.00
403 02.06.02.01.31 0001-0100 Kursi Susun R818NK/Indonesia APBD 2011 Baik 100.00 44,972,999.00 100.00 44,972,999.00
404 02.06.02.06.50 0001-0002 Rak Dispenser Lokal Pembelian 2017 Unit Baik 2 3,000,000.00 2.00 3,000,000.00
405 02.06.02.06.39 0001-0002 Dispenser Sharp SWD T29ED Warna Putih Pembelian 2017 Unit Baik 2 4,900,000.00 2.00 4,900,000.00
406 02.06.02.06.50 0003-0052 Tong Sampah Informa, Krisbow Pembelian 2017 Unit Baik 50 28,875,000.00 50.00 28,875,000.00
407 02.06.02.06.50 0053-0054 Trolley Instrument Pembelian 2017 Unit Baik 2 19,599,800.00 2.00 19,599,800.00
408 02.06.02.04.06 0001-0009 Kipas Angin Berdiri Powerfan PF18PW452 Warna Hitam Pembelian 2017 Unit Baik 9 6,750,000.00 9.00 6,750,000.00
409 02.06.02.01.01 0001-0003 Rak Sepatu Tertutup Lokal Pembelian 2017 Buah Baik 3 7,200,000.00 3.00 7,200,000.00
410 02.06.02.06.50 0055-0064 Rak Dispenser Lokal Pembelian 2017 Buah Baik 10 14,500,000.00 10.00 14,500,000.00
411 02.06.02.06.50 0065-0094 Rak Pispot Lokal Pembelian 2017 Buah Baik 30 21,000,000.00 30.00 21,000,000.00
412 02.06.02.06.39 0003-0012 Dispenser Sharp SWD T29ED-WH Pembelian 2017 Unit Baik 10 23,650,000.00 10.00 23,650,000.00
413 02.06.02.06.50 0095-0100 Trolley Linen Tertutup HANO PLUS HLTRN 101 Pembelian 2017 Unit Baik 6 89,997,600.00 6.00 89,997,600.00
414 02.06.02.06.50 0101 Rantai Oksigen Lokal Pembelian 2017 Paket Baik 1 1,500,000.00 1.00 1,500,000.00
415 02.06.02.06.39 0013-0014 Dispenser Pembelian 2017 Unit Baik 2 4,900,000.00 2.00 4,900,000.00
416 02.06.02.04.06 0010 Kipas Angin Panasonic F.EP 404 Stand Fan Pembelian 2017 Unit Baik 1 850,000.00 1.00 850,000.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
417 02.06.02.01.49 0001-0002 Kursi Sofa Pembelian 2017 Set Baik 2 29,986,000.00 2.00 29,986,000.00
418 02.06.02.06.39 0015 Dispenser Galon Bawah Sharp Pembelian 2017 Unit Baik 1 3,400,000.00 1.00 3,400,000.00
419 02.06.02.04.06 0011 Kipas Angin Panasonic F.EP 404 Stand Fan Pembelian 2017 Unit Baik 1 850,000.00 1.00 850,000.00
420 02.06.02.01.61 0001 Mesin Pengering (Dryer Trumbler Eco Image DE-75 Pembelian 2017 Unit Baik 1 184,000,000.00 1.00 184,000,000.00
421 02.06.02.03.04 0001 Washer Extractor Hard Mount Image HE-60 Pembelian 2017 Unit Baik 1 196,500,000.00 1.00 196,500,000.00
422 02.06.02.06.03 0001-0015 Televisi 32" Toshiba Pembelian 2017 Unit Baik 15 73,829,250.00 15.00 73,829,250.00
423 02.06.04.01.09 0001-0005 Meja Kerja Pembelian 2017 Buah Baik 5 14,553,000.00 5.00 14,553,000.00
424 02.06.04.01.09 0002 Meja Nurse Station Pembelian 2017 Unit Baik 1 29,106,000.00 1.00 29,106,000.00
425 02.06.04.03.07 0001-0020 Kursi Kerja (Kursi Putar) Pembelian 2017 Unit Baik 20 39,380,000.00 20.00 39,380,000.00
426 02.06.04.01.09 0001-0006 Meja Kerja Desain Khusus Pembelian 2017 Unit Baik 6 57,514,640.00 6.00 57,514,640.00
427 02.06.02.02.01 0001-0004 Penunjuk Waktu (Jam Dinding) Seiko Pembelian 2017 Buah Baik 4 1,400,000.00 4.00 1,400,000.00
428 02.06.02.04.06 0012 Kipas Angin Tegak Cosmos Warna Putih Biru Pembelian 2017 Unit Baik 1 450,000.00 1.00 450,000.00
429 02.06.02.06.50 0101-0121 Rak Rak Handuk Lokal Pembelian 2017 Unit Baik 20 9,500,000.00 20.00 9,500,000.00
430 02.06.02.06.50 0122-0161 Rantai Tabung Lokal Pembelian 2017 Buah Baik 40 13,200,000.00 40.00 13,200,000.00
431 02.06.02.02.01 0005-0006 Penunjuk Waktu (Jam Dinding) Mirado 8201 Pembelian 2017 Buah Baik 2 700,000.00 2.00 700,000.00
432 02.06.02.01.05 0001-0002 Kursi Tangga (Kursi Susun) Pembelian 2017 Unit Baik 6 2,983,200.00 6.00 2,983,200.00
02.06.02.01.05 0003-0004 Kursi Tangga (Kursi Rendah) Pembelian 2017 Unit Baik 3 1,316,700.00 3.00 1,316,700.00
433 02.06.02.02.01 0007-0008 Penunjuk Waktu (Jam Dinding) Mirado 8201 Pembelian 2017 Buah Baik 2 700,000.00 2.00 700,000.00
434 02.06.02.02.01 0009 Penunjuk Waktu (Jam Dinding) Mirado 8201 Pembelian 2017 Buah Baik 1 350,000.00 1.00 350,000.00
435 Kulkas 1 Pintu Pembelian 2017 7 16,940,000.00 7.00 16,940,000.00
436 Kursi Tunggu Pembelian 2017 23 10,350,000.00 23.00 10,350,000.00
437 Kursi Tunggu Pasien Pembelian 2017 5 44,750,000.00 5.00 44,750,000.00
438 AC VRF/VRV Ceiling Concealed/Split Duct (76,400 btu) Pembelian 2017 1 48,228,400.00 1.00 48,228,400.00
439 AC VRF/VRV Ceiling Concealed/Split Duct (95,500 btu) Pembelian 2017 2 111,372,800.00 2.00 111,372,800.00
440 AC VRF/VRV Outdoor Unit (232,000 btu) Pembelian 2017 1 255,883,100.00 1.00 255,883,100.00
441 Pengadaan Dan Pemasangan Ducting Pembelian 2017 1 78,184,700.00 1.00 78,184,700.00
442 Pengadaan Dan Pemasangan Pipa AC VRF/VRV Lengkap Pembelian 2017 1 171,293,100.00 1.00 171,293,100.00
443 Dandang / Kukus Besar (Bahan Aluminium Diameter 45cm) Pembelian 2017 2 1,375,000.00 2.00 1,375,000.00
444 Kulkas Side by side 4 Pintu Menyamping, Type RQ-56WC (457L) Pembelian 2017 1 9,196,000.00 1.00 9,196,000.00
445 Dispenser Berdiri Pembelian 2017 2 6,250,000.00 2.00 6,250,000.00
446 Exhaust Fan Pembelian 2017 5 6,750,000.00 5.00 6,750,000.00
447 Rak Sepatu Tertutup Pembelian 2017 1 2,486,000.00 1.00 2,486,000.00
448 Rak Gantung Bedside Monitor Pembelian 2017 3 17,160,000.00 3.00 17,160,000.00
449 Rak Pispot Pembelian 2017 1 715,000.00 1.00 715,000.00
450 Rak Alat Non Alkes Pembelian 2017 1 990,000.00 1.00 990,000.00
451 Rak Gantung Alkes Pembelian 2017 1 8,954,000.00 1.00 8,954,000.00
452 Rak Gantung Bedside Monitor Pembelian 2017 2 11,550,000.00 2.00 11,550,000.00
453 Rak Gantung Pembelian 2017 1 10,560,000.00 1.00 10,560,000.00
454 Dispenser Berdiri Pembelian 2017 1 1,850,000.00 1.00 1,850,000.00
455 Exhaust Fan Pembelian 2017 2 2,700,000.00 2.00 2,700,000.00
456 Rak Pispot Pembelian 2017 1 750,000.00 1.00 750,000.00
457 Rak Alat Pembelian 2017 1 1,000,000.00 1.00 1,000,000.00
458 Rak DIspenser Pembelian 2017 2 3,000,000.00 2.00 3,000,000.00
459 Trolley Linen Pembelian 2017 2 23,870,000.00 2.00 23,870,000.00
460 0001-0003 Jam Dinding Pembelian 2017 3 645,000.00 3.00 645,000.00
461 AC 2 PK BLUD 2017 3 22,800,000.00 3.00 22,800,000.00
462 AC 1 PK BLUD 2017 6 28,380,000.00 6.00 28,380,000.00
463 AC ½ PK BLUD 2017 1 4,000,000.00 1.00 4,000,000.00
464 Kursi tunggu double side BLUD 2017 3 37,950,000.00 3.00 37,950,000.00
465 Kursi tunggu single side BLUD 2017 4 30,800,000.00 4.00 30,800,000.00
466 Rak Besi (Pelayanan Logistik) BLUD 2017 1 78,282,600.00 1.00 78,282,600.00
467 Rak Mainan (Renovasi bangunan Rumah Sakit Lantai I) BLUD 2017 1 5,981,952.00 1.00 5,981,952.00
468 Kursi Tunggu Pembatas (Renovasi Bangunan Rumah Sakit Lantai 1) BLUD 2017 1 9,389,099.00 1.00 9,389,099.00
469 Televisi (Pelayanan Rawat Jalan) BLUD 2017 1 8,800,000.00 1.00 8,800,000.00
470 Blender Obat BLUD 2017 2 4,700,000.00 2.00 4,700,000.00
471 Papan Kapsul BLUD 2017 2 640,000.00 2.00 640,000.00
p Komputer Unit 141.00 1,221,442,632.30 - - 14.00 183,792,599.00 155.00 1,405,235,231.30

1 02.06.03.02.01 0001 Komputer untuk e-Office LENOVO C-SERIES 19,5INCHI APBD 2016 Baik 1.00 9,256,825.00 1.00 9,256,825.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
9 02.06.03.02.02 0001 Laptop LENOVO INTEL i5, RAM 4G, HDD 500G APBD 2016 Baik 1.00 9,962,340.00 1.00 9,962,340.00
14 02.06.03.02.01 0009 Komputer intel core i5 LENOVO APBD 2016 Baik 1.00 12,189,300.00 1.00 12,189,300.00
15 02.06.03.02.01 0010 Komputer SIMRS LENOVO APBD 2016 Baik 1.00 9,279,900.00 1.00 9,279,900.00
22 02.06.03.02.01 0017 Komputer Acer all in one AZ3-705 (A ACER APBDP 2016 Baik 1.00 8,659,244.71 1.00 8,659,244.71
39 02.06.03.02.03 0004 Noot Book Hp. Pavikon OV.3019 APBD 2008 Baik 1.00 19,825,215.16 1.00 19,825,215.16
40 02.06.03.02.01 0001-0002 Komputer /PC Lenovo H.150 APBD 2008 Baik 2.00 20,123,574.44 2.00 20,123,574.44
41 02.06.03.02.01 0001-0002 Kelengkapan Komputer - APBD 2008 Baik 2.00 4,675,285.24 2.00 4,675,285.24
42 02.06.03.02.03 0004 Note Book Sony Vaio CW 13 APBD 2009 Baik 1.00 19,950,000.00 1.00 19,950,000.00
43 02.06.03.02.03 0001 Komputer Note Book Thosiba Portage APBD 2009 Baik 1.00 15,767,089.46 1.00 15,767,089.46
44 02.06.03.02.01 0009 KOMPUTER/PC Acer/Aspire M 3910 APBD 2010 Baik 1.00 7,391,029.25 1.00 7,391,029.25
48 02.06.03.02.03 0007 NOTE BOOK Toshiba/Satelite L645 APBD 2010 Baik 1.00 9,854,706.00 1.00 9,854,706.00
49 02.06.03.02.03 0008 NOTE BOOK Toshiba/Satelite L645 APBD 2010 Baik 1.00 9,854,706.00 1.00 9,854,706.00
50 02.06.03.02.01 0007 Komputer HPP2-1150L APBD 2012 Baik 1.00 7,969,500.00 1.00 7,969,500.00
56 02.06.03.02.01 0014 Komputer HP431 APBD 2012 Baik 1.00 9,108,000.00 1.00 9,108,000.00
57 02.06.03.02.01 0015 Komputer HP431 APBD 2012 Baik 1.00 9,108,000.00 1.00 9,108,000.00
58 02.06.03.02.02 0006 Notebook HP431 APBD 2012 Baik 1.00 9,108,000.00 1.00 9,108,000.00
59 02.06.03.02.02 0007 Notebook HP431 APBD 2012 Baik 1.00 9,108,000.00 1.00 9,108,000.00
60 02.06.03.02.02 0008 Notebook APBD 2012 Baik 1.00 9,108,000.00 1.00 9,108,000.00
61 02.06.03.02.02 0009 Notebook APBD 2012 Baik 1.00 9,108,000.00 1.00 9,108,000.00
62 02.06.03.02.01 0016 Komputer Philips/BV819R APBD 2012 Baik 1.00 5,882,372.00 1.00 5,882,372.00
66 02.06.03.02.01 0001 Komputer PC ( g645, led 15,5") PC ACER AMC605 APBD 2013 Baik 1.00 5,990,000.00 1.00 5,990,000.00
71 02.06.03.02.01 0032 Komputer/PC AZUS/BP6820 APBD 2014 Baik 1.00 8,700,000.00 1.00 8,700,000.00
75 02.06.03.02.01 0001 PC SIMRS LENOVO APBDP 2015 Baik 1.00 9,126,860.29 1.00 9,126,860.29
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
96 02.06.03.02.01 0022 Komputer all in one untuk e-office LENOVO APBDP 2015 Baik 1.00 9,173,712.00 1.00 9,173,712.00
111 02.06.03.02.01 0037 Komputer HP APBDP 2015 Baik 1.00 7,930,000.00 1.00 7,930,000.00
112 02.06.03.02.01 0038 Komputer HP APBDP 2015 Baik 1.00 7,930,000.00 1.00 7,930,000.00
113 02.06.03.02.01 0039 Komputer/PC HP APBDP 2015 Baik 1.00 7,928,708.25 1.00 7,928,708.25
117 02.06.03.02.02 0001 Laptop ASUS APBDP 2015 Baik 1.00 8,468,041.90 1.00 8,468,041.90
130 02.06.03.02.01 0001-0010 Komputer / PC Pembelian 2017 Unit Baik 10.00 70,400,000.00 10.00 70,400,000.00
131 Komputer / PC 21,5 inch BLUD 2017 Baik 3.00 28,800,000.00 3.00 28,800,000.00
132 Notebook Asus Zenbook 13,3 Inchi BLUD 2017 Baik 1.00 15,834,729.00 1.00 15,834,729.00
133 Komputer / PC BLUD 2017 Baik 3.00 42,494,000.00 3.00 42,494,000.00
134 Notebook Asus UX360CA (M-6Y30, 8GB,512 GB SSD, WIN 10) [C4116T] - Gold BLUD 2017 Baik 1.00 13,417,870.00 1.00 13,417,870.00
135 Komputer All In One BLUD 2017 Baik 2.00 28,046,000.00 2.00 28,046,000.00
136 Komputer All In One BLUD 2017 Baik 4.00 55,200,000.00 4.00 55,200,000.00
q Peralatan Komputer 221.00 641,292,738.39 - - 14.00 68,958,880.00 235.00 710,251,618.39

1 02.06.03.05.03 0001 printer multi fungsi Pixma Ink Efficient E460 APBD 2016 Baik 1.00 2,691,990.00 1.00 2,691,990.00
11 02.06.03.05.03 0011 Printer mesin antrian PRIMA TECH APBDP 2016 Baik 1.00 14,861,000.00 1.00 14,861,000.00
12 02.06.03.05.10 0001 UPS untuk komputer ENLIGHT EN-650P APBD 2016 Baik 1.00 770,570.00 1.00 770,570.00
22 02.06.03.04.08 0001 Printer SIMRS Pixma Ink Efficient E460 APBD 2016 Baik 1.00 2,698,700.00 1.00 2,698,700.00
29 02.06.03.04.08 0008 Printer Canon Pixma (G2000) CANON PIXMA G2000 APBDP 2016 Baik 1.00 2,355,493.75 1.00 2,355,493.75
33 02.06.03.05.07 0001 Eksternal Harddisk Seagate USB 3.0 NA7Q4535 APBD 2016 Baik 1.00 1,906,100.00 1.00 1,906,100.00
34 02.06.03.06.06 0001 peralatan jaringan komputer LOKAL APBD 2016 Baik 1.00 20,045,400.00 1.00 20,045,400.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
35 02.06.03.06.06 0002 peralatan jaringan komputer LOKAL APBD 2016 Baik 1.00 41,876,000.00 1.00 41,876,000.00
36 02.06.03.05.03 0108 Printer HP APBD 2009 Baik 1.00 4,760,159.39 1.00 4,760,159.39
37 02.06.03.05.03 0003 Printer Brother MFC 795-CW APBD 2010 Baik 1.00 4,479,411.83 1.00 4,479,411.83
43 02.06.03.05.03 0006 Printer CANNON PIXMA MP 287 APBD 2012 Baik 1.00 853,875.00 1.00 853,875.00
50 02.06.03.05.03 0001 Printer Laser Jet Multi Fungsi BROTHER APBD 2013 Baik 1.00 3,160,000.00 1.00 3,160,000.00
51 02.06.03.05.03 0002 Printer Laser Jet Multi Fungsi BROTHER APBD 2013 Baik 1.00 3,160,000.00 1.00 3,160,000.00
52 02.06.03.05.03 0001 Toner Laser Jet Multi Fungsi APBD 2013 Baik 1.00 495,000.00 1.00 495,000.00
53 02.06.03.05.03 0001 Printer Laser Jet HP Laser Jet Pro 1102 APBD 2013 Baik 1.00 1,478,000.00 1.00 1,478,000.00
57 02.06.03.05.03 0010 Printer HP LASER JET P1102 APBD 2014 Baik 1.00 1,200,000.00 1.00 1,200,000.00
61 02.06.03.03.14 0001 Main Rack Server APBDP 2015 Baik 1.00 19,773,214.00 1.00 19,773,214.00
62 02.06.03.03.14 0002 Secondary Rack Server APBDP 2015 Baik 1.00 8,238,839.00 1.00 8,238,839.00
63 02.06.03.03.14 0003 Main Server LENOVO APBDP 2015 Baik 1.00 119,463,167.00 1.00 119,463,167.00
64 02.06.03.03.14 0004 Data Back Up APBDP 2015 Baik 1.00 11,534,375.00 1.00 11,534,375.00
65 02.06.03.03.14 0005 Remote PC APBDP 2015 Baik 1.00 15,653,795.00 1.00 15,653,795.00
66 02.06.03.03.14 0006-0026 Client Server Application APBDP 2015 Baik 21.00 17,301,562.00 21.00 17,301,562.00
67 02.06.03.06.03 0001-0002 Switch hub 24 port APBDP 2015 Baik 2.00 43,000,566.00 2.00 43,000,566.00
68 02.06.03.06.03 0004-0005 Patch panel 24 port APBDP 2015 Baik 2.00 17,678,011.00 2.00 17,678,011.00
69 02.06.03.06.03 0003 Switch HUB 24 Port APBDP 2015 Baik 1.00 21,058,206.00 1.00 21,058,206.00
70 02.06.03.05.03 0001 Printer Multifungsi CANON APBDP 2015 Baik 1.00 1,965,795.40 1.00 1,965,795.40
80 02.06.03.05.03 0011 Printer Deskjet DESKJET APBDP 2015 Baik 1.00 1,159,315.30 1.00 1,159,315.30
90 02.06.03.05.03 0021 Printer DESKJET APBDP 2015 Baik 1.00 1,300,000.00 1.00 1,300,000.00
91 02.06.03.05.03 0022 Printer DESKJET APBDP 2015 Baik 1.00 1,300,000.00 1.00 1,300,000.00
92 02.06.03.05.03 0023 Printer SIMRS PIXMA APBDP 2015 Baik 1.00 2,707,969.52 1.00 2,707,969.52
113 02.06.03.05.03 0001 Scanner PLUSTEK APBDP 2015 Baik 1.00 3,503,148.50 1.00 3,503,148.50
114 02.06.03.05.03 0002 Scanner PLUSTEK APBDP 2015 Baik 1.00 3,503,148.50 1.00 3,503,148.50
115 02.06.03.05.10 0001 UPS Komputer END LIGHT APBDP 2015 Baik 1.00 705,670.20 1.00 705,670.20
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
125 02.06.03.05.03 0001 External Disc TOSHIBA APBDP 2015 Baik 1.00 1,108,910.23 1.00 1,108,910.23
156 02.06.03.05.03 0001-0009 Printer Multi Fungsi Pembelian 2017 Unit Baik 9 22,275,000.00 9.00 22,275,000.00
157 02.06.03.05.03 0010 Printer Portable Pembelian 2017 Unit Baik 1 2,475,000.00 1.00 2,475,000.00
158 02.06.03.06.06 0001-0003 Stand Alone Access Point Pembelian 2017 Unit Baik 3 2,475,000.00 3.00 2,475,000.00
160 02.06.03.06.06 0005 Mikrotik Router Pembelian 2017 Unit Baik 1 902,000.00 1.00 902,000.00
189 02.06.03.06.06 0043-0045 Konektor Plastik RG45 AMP Pembelian 2017 Bungkus Baik 3 495,000.00 3.00 495,000.00
190 02.06.03.06.06 0046 Konektor Boks RG45 3COM Pembelian 2017 Box Baik 1 137,500.00 1.00 137,500.00
195 02.06.03.06.06 0058-0062 Switch HUB 8 Port Pembelian 2017 Unit Baik 5 962,500.00 5.00 962,500.00
196 02.06.03.06.06 0063 Grase Pasta IC Prosesor CPU Pembelian 2017 Set Baik 1 165,000.00 1.00 165,000.00
197 02.06.03.06.06 0064 Head Cleaner Printer Pembelian 2017 Set Baik 1 137,500.00 1.00 137,500.00
198 02.06.03.06.06 0065-0084 Module RG45 FP Pembelian 2017 Unit Baik 20 2,750,000.00 20.00 2,750,000.00
199 Printer All In One BLUD 2017 Baik 3.00 7,891,000.00 3.00 7,891,000.00
200 Printer BLUD 2017 Baik 3.00 11,701,440.00 3.00 11,701,440.00
201 Printer BLUD 2017 Baik 2.00 11,951,440.00 2.00 11,951,440.00
202 Printer Multi Fungsi BLUD 2017 Baik 4.00 15,600,000.00 4.00 15,600,000.00
203 Printer dot matrix BLUD 2017 Baik 1.00 3,900,000.00 1.00 3,900,000.00
204 Peningkatan Instalasi Jaringan Internet (Pembangunan/Pengembangan Sistem Informasi) BLUD 2017 Baik 1.00 17,915,000.00 1.00 17,915,000.00
r Meja Dan Kursi Kerja / Rapat Pejabat Dan Meubelair Lainnya 300.00 372,017,300.30 - - 24.00 140,702,909.00 324.00 512,720,209.30
1 02.06.04.07.06 0001 Lemari arsip administrasi Prospek APBD 2016 Baik 1.00 3,477,560.00 1.00 3,477,560.00
11 02.06.04.07.06 0011 Lemari arsip akreditasi Lokal APBD 2016 Baik 1.00 4,903,600.00 1.00 4,903,600.00
12 02.06.04.07.06 0012 Lemari Arsip Ruangan Lokal Warna Abu-Abu APBDP 2016 Baik 1.00 3,484,060.00 1.00 3,484,060.00
17 02.06.04.03.07 0001 Kursi kerja staff CHAIRMAN KURSI SECRETARY SC1208 warna Hitam APBD 2016 Baik 1.00 1,451,070.00 1.00 1,451,070.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
37 02.06.04.03.06 0001 Kursi Pejabat GRESCO KURSI DIRECTOR GC202H warna Hitam APBD 2016 Baik 1.00 1,976,457.14 1.00 1,976,457.14
51 02.06.04.07.07 0001 Buffet Ruangan Direktur RRC/MDF 631 APBD 2008 Baik 1.00 12,530,249.24 1.00 12,530,249.24
52 02.06.04.07.05 0001-0003 Lemari buku Lokal APBD 2010 Baik 3.00 10,782,948.00 3.00 10,782,948.00
53 02.06.04.07.06 0001-0002 Lemari Arsip Lokal APBD 2011 Baik 2.00 6,618,609.00 2.00 6,618,609.00
54 02.06.04.07.06 0001-0005 Lemari Arsip APBDP 2015 Baik 5.00 18,784,515.00 5.00 18,784,515.00
55 02.06.04.07.06 0006-0010 Pengadaan Lemari Loker APBDP 2015 Baik 5.00 24,995,524.00 5.00 24,995,524.00
56 02.06.04.03.04 0001-0010 Kursi Pimpinan Lokal APBD 2009 Baik 10.00 10,881,986.08 10.00 10,881,986.08
57 02.06.04.05.05 0001-0015 Kursi Kerja Beroda Lokal APBD 2009 Baik 15.00 38,719,624.87 15.00 38,719,624.87
58 02.06.04.03.05 0001-0012 Kursi kerja 1 Lokal APBD 2010 Baik 12.00 15,169,290.00 12.00 15,169,290.00
59 02.06.04.03.05 0001-0012 Kursi kerja 2 Lokal APBD 2010 Baik 12.00 15,302,353.00 12.00 15,302,353.00
60 02.06.04.01.09 0001-0008 Meja Kerja Kepala Instalasi APBDP 2015 Baik 8.00 19,838,159.00 8.00 19,838,159.00
61 02.06.04.03.07 0001-0018 Kursi Kerja Nikel Krom APBDP 2015 Baik 18.00 11,452,494.00 18.00 11,452,494.00
62 02.06.04.03.07 0019-0027 Kursi Kerja Hydrolic APBDP 2015 Baik 9.00 12,952,226.00 9.00 12,952,226.00
63 02.06.04.06.11 0001-0050 Kursi penunggu pasien APBD 2016 Baik 50.00 24,768,300.00 50.00 24,768,300.00
64 02.06.04.06.11 0001-0100 Kursi Tunggu Pasien Lokal APBD 2009 Baik 100.00 35,429,722.11 100.00 35,429,722.11
65 Meja Kerja (Meja Counter Farmasi) 2017 Baik 1.00 56,133,000.00 1.00 56,133,000.00
66 Meja 1/2 Biro 2017 Baik 9.00 31,160,000.00 9.00 31,160,000.00
67 Kursi Kerja Jabatan 2017 Baik 13.00 43,940,000.00 13.00 43,940,000.00
68 Meja Informasi 2017 Baik 1.00 9,469,909.00 1.00 9,469,909.00
s Alat Studio 50.00 229,231,390.91 - - - - 50.00 229,231,390.91

1 02.07.01.01.82 0001 Mesin penjawab telepon otomatis YOSIN EVM2006A-3E APBDP 2016 Baik 1.00 8,976,600.00 1.00 8,976,600.00
2 02.07.01.01.82 0002 Telepon wireless PANASONIC APBDP 2016 Baik 1.00 825,600.00 1.00 825,600.00
3 02.07.01.01.82 0003 Telepon wireless PANASONIC APBDP 2016 Baik 1.00 825,600.00 1.00 825,600.00
4 02.07.01.01.82 0004 Blling system APBDP 2016 Baik 1.00 3,927,900.00 1.00 3,927,900.00
5 02.07.01.01.82 0005 Perangkat Card PABX PANASONIC KXTDA1178X APBDP 2016 Baik 1.00 24,893,400.00 1.00 24,893,400.00
6 02.07.01.01.82 0007 Radio panggil mobile / Handy talkie KENWOOD THK20A APBDP 2016 Baik 1.00 2,967,180.00 1.00 2,967,180.00
11 02.07.01.01.82 0012 Mic Wired SHURE BETA58A APBDP 2016 Baik 1.00 1,586,166.67 1.00 1,586,166.67
14 02.07.01.01.82 0018 Mic wirelless + Clip on SHURE BETA58A APBDP 2016 Baik 1.00 6,574,800.00 1.00 6,574,800.00
15 02.07.01.01.82 0019 Mixer 12 ch YAMAHA MG12XU APBDP 2016 Baik 1.00 5,073,700.00 1.00 5,073,700.00
16 02.07.01.01.82 0020 Feedsback Destroyer APBDP 2016 Baik 1.00 6,064,500.00 1.00 6,064,500.00
17 02.07.01.01.82 0021 Efek Vokal Fb4 ALESIS AFS224 APBDP 2016 Baik 1.00 6,324,700.00 1.00 6,324,700.00
18 02.07.01.01.82 0022 Power 2240 TOA ZP2240 APBDP 2016 Baik 1.00 6,905,100.00 1.00 6,905,100.00
19 02.07.01.01.82 0023 Power cs 4000 PEAVEY CS4000 APBDP 2016 Baik 1.00 11,138,200.00 1.00 11,138,200.00
20 02.07.01.01.82 0024 Speaker pasif 15 NEXCO 16071201 APBDP 2016 Baik 1.00 9,046,650.00 1.00 9,046,650.00
21 02.07.01.01.82 0025 Speaker pasif 15 NEXCO 16071201 APBDP 2016 Baik 1.00 9,046,650.00 1.00 9,046,650.00
22 02.07.01.01.82 0026 Stand Speaker LOKAL APBDP 2016 Baik 1.00 850,650.00 1.00 850,650.00
23 02.07.01.01.82 0027 Stand Speaker LOKAL APBDP 2016 Baik 1.00 850,650.00 1.00 850,650.00
24 02.07.01.01.82 0028 Speaker pasif dinding NEXCO APBDP 2016 Baik 1.00 2,802,066.67 1.00 2,802,066.67
27 02.07.01.01.82 0034 Fligcase + accesoris + spicon LOKAL APBDP 2016 Baik 1.00 6,955,100.00 1.00 6,955,100.00
28 02.07.01.01.82 0035 UPS APBDP 2016 Baik 1.00 1,090,800.00 1.00 1,090,800.00
29 02.07.01.01.82 0036 Kabel mic CANARE APBDP 2016 Baik 1.00 2,992,200.00 1.00 2,992,200.00
30 02.07.01.01.82 0037 Kabel speaker CANARE APBDP 2016 Baik 1.00 2,992,200.00 1.00 2,992,200.00
31 02.07.01.01.82 0038 Settup LOKAL APBDP 2016 Baik 1.00 8,706,400.00 1.00 8,706,400.00
32 02.07.01.01.82 0039 DVD Player APBDP 2016 Baik 1.00 5,103,800.00 1.00 5,103,800.00
33 02.07.01.01.82 0040 Mic wirelless handle SHURE BETA58A APBDP 2016 Baik 1.00 6,604,900.00 1.00 6,604,900.00
34 02.07.01.01.01 0003 Kamera Canon/EF.S.18.55.IS APBD 2014 Baik 1.00 5,000,000.00 1.00 5,000,000.00
35 02.07.01.01.03 0003 Infocus portable Infocus APBD 2014 Baik 1.00 8,400,000.00 1.00 8,400,000.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
36 02.07.01.01.01 0001 Kamera Sony Cybershot DSC-W810 SONY APBDP 2015 Baik 1.00 1,764,175.00 1.00 1,764,175.00
37 02.07.01.01.03 0001 Infokus APBDP 2015 Baik 1.00 6,451,841.00 1.00 6,451,841.00
38 02.07.01.01.82 0001-0010 Televisi TOSHIBA APBDP 2015 Baik 10.00 41,836,160.91 10.00 41,836,160.91
39 02.07.01.01.43 0001-0003 Stand Microphone BLACKSPIDER APBDP 2015 Baik 3.00 2,008,514.00 3.00 2,008,514.00
t Alat Komunikasi 32.00 86,303,114.00 - - - - 32.00 86,303,114.00

1 02.07.02.01.11 0001 Pesawat telepon ruangan + instalasi PANASONIC KX-TS505MX APBDP 2016 Baik 1.00 935,688.00 1.00 935,688.00
26 02.07.02.01.24 0001 Pemasangan Instalasi Wi-Fi Indihome APBDP 2015 Baik 1.00 3,029,760.00 1.00 3,029,760.00
27 02.07.02.01.12 0001-0006 Perangkat Mobile e-office SAMSUNG APBDP 2015 Baik 6.00 59,881,154.00 6.00 59,881,154.00
u Alat Kedokteran 1,213.00 25,838,468,505.81 - - 168.00 4,187,801,887.00 1,381.00 30,026,270,392.81

1 02.08.01.01.68 0001 Mesin barcode printer nama pasien ARGOX OS-214NU APBDP 2016 Baik 1.00 6,742,150.00 1.00 6,742,150.00
2 02.08.01.01.68 0002 Mesin barcode printer nama pasien ARGOX OS-214NU APBDP 2016 Baik 1.00 6,742,150.00 1.00 6,742,150.00
3 02.08.01.01.68 0043 Jaket Tahan Api LOKAL APBD 2016 Baik 1.00 7,800,000.00 1.00 7,800,000.00
4 02.08.01.01.68 0054 Aspirasi vocum manual (AVM) APBDP 2016 Baik 1.00 1,847,000.00 1.00 1,847,000.00
5 02.08.01.01.19 0001 A Class Instrument / Medicine Cabine50 drawers APBDP 2016 Baik 1.00 8,125,000.00 1.00 8,125,000.00
6 02.08.01.01.19 0002 A Class Instrument / Medicine Cabine50 drawers APBDP 2016 Baik 1.00 8,125,000.00 1.00 8,125,000.00
7 02.08.01.01.68 0055 A Class Instrument / Trolley with drawer APBDP 2016 Baik 1.00 7,185,000.00 1.00 7,185,000.00
8 02.08.01.01.68 0056 A Class Instrument / Trolley with drawer APBDP 2016 Baik 1.00 7,185,000.00 1.00 7,185,000.00
9 02.08.01.01.68 0057 Flow meter oksigen Neonatus (Ukuran 0,1 - 1 liter) APBDP 2016 Baik 1.00 9,343,000.00 1.00 9,343,000.00
12 02.08.01.05.59 0001 Laryngoskop Bayi RIESTER 707 APBDP 2016 Baik 1.00 2,227,000.00 1.00 2,227,000.00
15 02.08.01.01.68 0060 Cup Vacum FORTUNE MEDICAL APBDP 2016 Baik 1.00 3,694,000.00 1.00 3,694,000.00
16 02.08.01.01.68 0061 Cup Vacum FORTUNE MEDICAL APBDP 2016 Baik 1.00 3,694,000.00 1.00 3,694,000.00
17 02.08.01.01.68 0069 Alat pengukur kecepatan angin APBD 2016 Baik 1.00 981,800.00 1.00 981,800.00
18 02.08.01.01.68 0070 Termometer dan higrometer APBD 2016 Baik 1.00 981,860.00 1.00 981,860.00
28 02.08.01.10.08 0001 Waskom besar LOKAL APBD 2016 Baik 1.00 961,820.00 1.00 961,820.00
38 02.08.01.01.68 0080 Emergency Trolley Merk MAK/36603 APBD 2016 Baik 1.00 7,694,385.71 1.00 7,694,385.71
45 02.08.01.01.68 0087 Medicine Trolley 50 drawers APBD 2016 Baik 1.00 13,531,637.50 1.00 13,531,637.50
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
53 02.08.01.10.33 0001 Tesena X Ray Film Viewer Double TS Tesena / model TSN 014-D APBDP 2016 Baik 1.00 3,878,471.43 1.00 3,878,471.43
60 02.08.01.01.68 0095 Kursi Roda wheel chair APBD 2016 Baik 1.00 2,810,862.50 1.00 2,810,862.50
68 02.08.01.01.19 0003 Medicine Cabinet MAK/31811 APBD 2016 Baik 1.00 4,581,300.00 1.00 4,581,300.00
69 02.08.01.01.19 0004 Medicine Cabinet MAK/31811 APBD 2016 Baik 1.00 4,581,300.00 1.00 4,581,300.00
70 02.08.01.01.68 0103 Bedside Cabinet MAK/31811 APBD 2016 Baik 1.00 3,695,153.33 1.00 3,695,153.33
85 02.08.01.01.68 0118 Schiller Argus OXM-C SCHILLER APBD 2016 Baik 1.00 14,212,550.00 1.00 14,212,550.00
86 02.08.01.01.68 0119 Schiller Argus OXM-C SCHILLER APBD 2016 Baik 1.00 14,212,550.00 1.00 14,212,550.00
87 02.08.01.01.68 0120 Philips Goldway G3 Pulse Oximetry Philips Goldway G3 APBD 2016 Baik 1.00 11,596,733.33 1.00 11,596,733.33
90 02.08.01.01.36 0001 Tesena Infusion Stand TSN 017 A1 Tesena / model TSN 017 A1 APBD 2016 Baik 1.00 1,478,063.00 1.00 1,478,063.00
115 02.08.01.01.05 0001 Tensimeter (Raksa) RIESTER APBD 2016 Baik 1.00 1,481,330.00 1.00 1,481,330.00
125 02.08.01.01.68 0123 SMITHS MEDICAL Equator Convectiv SMITHS APBD 2016 Baik 1.00 41,797,400.00 1.00 41,797,400.00
126 02.08.01.10.48 0001 PRIZMA Ultrasonic Nebulizer Type Prof
PRIZMA / PROFISONIC APBD 2016 Baik 1.00 13,196,300.00 1.00 13,196,300.00
127 02.08.01.10.48 0002 PRIZMA Ultrasonic Nebulizer Type Prof
PRIZMA / PROFISONIC APBD 2016 Baik 1.00 13,196,300.00 1.00 13,196,300.00
128 02.08.01.01.04 0001 ADC-USA Stethhoscope Infant-AdscopADC-USA Adscope 605 BK APBDP 2016 Baik 1.00 1,469,066.67 1.00 1,469,066.67
134 02.08.01.01.04 0007 ADC-USA Stethhoscope Pediatric Ads ADC-USA Adscope 604 BK APBDP 2016 Baik 1.00 1,100,900.00 1.00 1,100,900.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
140 02.08.01.01.04 0013 ADC-USA Stethhoscope Adult Adscop ADC-USA Adscope 603 BK APBDP 2016 Baik 1.00 1,268,775.00 1.00 1,268,775.00
152 02.08.01.08.53 0001 MEDICON laparatomy Instrument SetMEDICON APBDP 2016 Baik 1.00 129,288,600.00 1.00 129,288,600.00
153 02.08.01.08.01 0001 Minor Basic Instrument Set (AesculapBBRAUN APBD 2016 Baik 1.00 40,769,500.00 1.00 40,769,500.00
154 02.08.01.08.02 0001 Mayor Surgery Instrument Set (BBRAU BBRAUN APBD 2016 Baik 1.00 71,469,000.00 1.00 71,469,000.00
155 02.08.01.08.53 0002 Hecting Set (Aesculap Hechting set) BBRAUN APBD 2016 Baik 1.00 4,525,050.00 1.00 4,525,050.00
Hernia Instrument Set (Anak) :
159 02.08.01.08.53 0006 Maier dress feps 26 cm cvd BBRAUN APBDP 2016 Baik 1.00 2,402,200.00 1.00 2,402,200.00
160 02.08.01.08.53 0007 Backhause towel clamp 10,5 cm BBRAUN APBDP 2016 Baik 1.00 825,750.00 1.00 825,750.00
161 02.08.01.08.53 0008 Backhause towel clamp 10,5 cm BBRAUN APBDP 2016 Baik 1.00 825,750.00 1.00 825,750.00
162 02.08.01.08.53 0009 Backhause towel clamp w ball 11 cm BBRAUN APBDP 2016 Baik 1.00 2,101,900.00 1.00 2,101,900.00
163 02.08.01.08.53 0010 Diss sers cvd 12 cm BBRAUN APBDP 2016 Baik 1.00 1,601,400.00 1.00 1,601,400.00
164 02.08.01.08.53 0011 Metzenbaum slim scrs cvd 14 cm BBRAUN APBDP 2016 Baik 1.00 1,901,700.00 1.00 1,901,700.00
165 02.08.01.08.53 0012 HM lig sers 14,5 cm BBRAUN APBDP 2016 Baik 1.00 6,305,600.00 1.00 6,305,600.00
166 02.08.01.08.53 0013 Oper scrs str 14,5 cm sh/bl BBRAUN APBDP 2016 Baik 1.00 900,800.00 1.00 900,800.00
167 02.08.01.08.53 0018 Debakery AT vasc feps 15 cm 1,5 mmBBRAUN APBDP 2016 Baik 1.00 3,348,000.00 1.00 3,348,000.00
168 02.08.01.08.53 0019 Halsted Mosquito feps 12,5 cm cvd BBRAUN APBDP 2016 Baik 1.00 1,000,900.00 1.00 1,000,900.00
172 02.08.01.08.53 0023 Crile baby hemost 14 cm cvd BBRAUN APBDP 2016 Baik 1.00 1,726,550.00 1.00 1,726,550.00
176 02.08.01.08.53 0027 Dress feps 17,5 cm cvd del BBRAUN APBDP 2016 Baik 1.00 4,779,300.00 1.00 4,779,300.00
177 02.08.01.08.53 0028 Adson baby feps 14 cm BBRAUN APBDP 2016 Baik 1.00 2,502,200.00 1.00 2,502,200.00
178 02.08.01.08.53 0029 Mixter baby feps 14 cm BBRAUN APBDP 2016 Baik 1.00 2,502,200.00 1.00 2,502,200.00
179 02.08.01.08.53 0030 Derf Converse nh 12,5 cm BBRAUN APBDP 2016 Baik 1.00 2,802,500.00 1.00 2,802,500.00
180 02.08.01.08.53 0003 Baby Crile wood nh 15 cm BBRAUN APBDP 2016 Baik 1.00 2,502,200.00 1.00 2,502,200.00
181 02.08.01.13.40 0001 Mayo Hegar nh 16 cm BBRAUN APBDP 2016 Baik 1.00 980,900.00 1.00 980,900.00
182 02.08.01.08.53 0032 Langenbeck retr 10 x 28 mm 21 cm BBRAUN APBDP 2016 Baik 1.00 2,502,200.00 1.00 2,502,200.00
183 02.08.01.08.53 0033 Trach retr 2t sh 5 mm 16 cm BBRAUN APBDP 2016 Baik 1.00 1,201,100.00 1.00 1,201,100.00
184 02.08.01.08.53 0034 Desmarres lid retr 14mm 14 cm fig 2 BBRAUN APBDP 2016 Baik 1.00 1,201,100.00 1.00 1,201,100.00
185 02.08.01.08.04 0001 RUDOLF Circumsision Instrument SetRUDOLF APBD 2016 Baik 1.00 4,930,323.00 1.00 4,930,323.00
186 02.08.01.12.73 0001 DRAEGERWERK AG & CO.KGAA Transpo DRAEGERWERK AG & CO.KGAA APBD 2016 Baik 1.00 229,037,100.00 1.00 229,037,100.00
187 02.08.01.09.74 0001 Doppler fetus KD-250 NAKAMURA N- NAKAMURA KD-250 APBD 2016 Baik 1.00 32,008,700.00 1.00 32,008,700.00
190 02.08.01.03.16 0001 RUDOLF Dilatation and currete abbortRUDOLF APBD 2016 Baik 1.00 30,338,648.67 1.00 30,338,648.67
193 02.08.01.08.34 0001 MEDGYN DIGITAL COLPOSCOPE - ALMEDGYN AL106 APBDP 2016 Baik 1.00 300,908,500.00 1.00 300,908,500.00
194 02.08.01.08.30 0001 USG 2 D GE Voluson P6 (Sumber DanGE VOLUSON P6 APBD 2016 Baik 1.00 508,768,100.00 1.00 508,768,100.00
195 02.08.01.09.03 0001 RUDOLF Sectio Caesarian (Sumber DaRUDOLF APBD 2016 Baik 1.00 100,598,320.00 1.00 100,598,320.00
196 02.08.01.09.69 0001 Bed Partus (MAK ELECTIC GYN EXAMMAK APBD 2016 Baik 1.00 36,388,100.00 1.00 36,388,100.00
197 02.08.01.09.74 0004 BBRAUN Aesculap Pap Smear Set BBRAUN APBD 2016 Baik 1.00 39,115,000.00 1.00 39,115,000.00
198 02.08.01.09.69 0002 Mak Electric Gyn Examination Table MAK APBD 2016 Baik 1.00 36,388,100.00 1.00 36,388,100.00
199 02.08.01.10.81 0001 FUKUDA DENSHI Electrocardiograph FUKUDA DENSHI APBDP 2016 Baik 1.00 40,035,840.00 1.00 40,035,840.00
204 02.08.01.10.34 0001 BTL Spirometer BTL-08 Spiro BTL / 08 SPIRO APBDP 2016 Baik 1.00 34,030,500.00 1.00 34,030,500.00
205 02.08.01.10.81 0006 Trolly 20 Tray SS/25053 2016 Baik 1.00 10,009,000.00 1.00 10,009,000.00
206 02.08.01.10.81 0077 Flow meter 2016 Baik 1.00 7,006,300.00 1.00 7,006,300.00
207 02.08.01.10.01 0001 JOHNSON & JOHNSON STERRAD 100S ASPS STERRAD APBD 2016 Baik 1.00 1,420,366,500.00 1.00 1,420,366,500.00
208 02.08.01.10.68 0001 GRAHA TEKNO MEDIKA Gris UV Room GRIS
S APBD 2016 Baik 1.00 13,490,475.00 1.00 13,490,475.00
209 02.08.01.08.53 0014-0015 Dress feps 14,5 cm 1 x 2t slim BBRAUN APBDP 2016 Baik 2.00 1,040,900.00 2.00 1,040,900.00
210 02.08.01.08.53 0016-0017 Tissue feps 14,5 cm 1 x 2t slim BBRAUN APBDP 2016 Baik 2.00 1,161,000.00 2.00 1,161,000.00
211 02.08.01.01.65 0001-0003 Food distribusi trolley Max Load APBD 2009 Baik 3.00 31,734,908.23 3.00 31,734,908.23
212 02.08.01.01.65 0004-0009 Food distribusi trolley Max Load APBD 2009 Baik 6.00 64,806,023.12 6.00 64,806,023.12
213 02.08.01.13.02 0001-0005 Tempat Tidur Anak, Small Stainless Max Load APBD 2009 Baik 5.00 62,675,330.25 5.00 62,675,330.25
214 02.08.01.13.02 0006-0010 Tempat Tidur Anak, Big Stainless Dharma - CB - 22S APBD 2009 Baik 5.00 62,423,121.24 5.00 62,423,121.24
215 02.08.01.13.03 0001-0007 Tempat Tidur Pasien,Dewasa Fowler HPoly Medical poly - 006 - Dix APBD 2009 Baik 7.00 94,313,920.25 7.00 94,313,920.25
216 02.08.01.13.03 0008-0013 Tempat Tidur Pasien, Dewasa Fowler Poly Medical Poly - 006 APBD 2009 Baik 6.00 77,179,296.81 6.00 77,179,296.81
217 02.08.01.13.03 0001-0010 Matras Dewasa Rubber/Latex APBD 2009 Baik 10.00 8,351,291.64 10.00 8,351,291.64
218 02.08.01.13.02 0001-0005 Matras Children - Bed Big Rubber/Latex APBD 2009 Baik 5.00 3,065,651.71 5.00 3,065,651.71
219 02.08.01.13.02 0001-0005 Matras Children - Bed Small Rubber/Latex APBD 2009 Baik 5.00 2,922,952.07 5.00 2,922,952.07
220 02.08.01.01.68 0001 Alat Kedokteran - 2009 Baik 1.00 5,034,062,370.80 1.00 5,034,062,370.80
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
221 02.08.01.09.73 0001-0010 X-Ray Film Viewer/Light - Gase Tesena, TSN 014 S APBD 2009 Baik 10.00 25,053,874.57 10.00 25,053,874.57
222 02.08.01.01.68 0001-0050 Over Bad Table Mak, 31812 APBD 2009 Baik 50.00 139,188,194.34 50.00 139,188,194.34
223 02.08.01.01.68 0001-0002 Dreasing Trolly Mak, 35102 APBD 2009 Baik 2.00 16,279,451.17 2.00 16,279,451.17
224 02.08.01.01.68 0001 Medicine Trolly Mak, 36602 APBD 2009 Baik 1.00 14,664,868.12 1.00 14,664,868.12
225 02.08.01.01.68 0001 Icu Bed Elektronik Dharma - BE 33 APBD 2009 Baik 1.00 28,618,256.80 1.00 28,618,256.80
226 02.08.01.09.74 0001-0003 Baby Basket Alat Kesehatan Non MediDharma - 10S APBD 2009 Baik 3.00 37,246,760.71 3.00 37,246,760.71
227 02.08.01.01.19 0001-0002 INSTRUMENT CABINET MAK 35101 APBD 2010 Baik 2.00 11,131,148.00 2.00 11,131,148.00
228 02.08.01.07.06 0001-0003 MEDICINE CABINET MAK 35101 APBD 2010 Baik 3.00 16,696,722.00 3.00 16,696,722.00
229 02.08.01.11.06 0001 MORTUARY 1 BODY Herry Alters APBD 2010 Baik 1.00 315,305,782.00 1.00 315,305,782.00
230 02.08.01.11.06 0001 MORTUARY CARRIAGE Herry Alters APBD 2010 Baik 1.00 24,469,431.00 1.00 24,469,431.00
231 02.08.01.01.68 0001-0003 TROLLEY KAIN KOTOR MAK 35101 APBD 2010 Baik 3.00 20,032,698.00 3.00 20,032,698.00
232 02.08.01.01.68 0001-0002 TROLLEY KAIN BERSIH MAK 5302A APBD 2010 Baik 2.00 20,049,546.00 2.00 20,049,546.00
233 02.08.01.01.68 0001-0003 DRESSING TROLEY MAK 35102 APBD 2010 Baik 3.00 27,412,278.00 3.00 27,412,278.00
234 02.08.01.01.68 0001-0002 MEDICINE TROLLEY MAK 36602 APBD 2010 Baik 2.00 22,273,529.00 2.00 22,273,529.00
235 02.08.01.01.68 0001-0004 OXYGEN TROLLEY 6 m³ APBD 2010 Baik 4.00 2,695,738.00 4.00 2,695,738.00
236 02.08.01.01.68 0001-0003 INSTRUMENT TROLLEY MAK 35101 APBD 2010 Baik 3.00 13,360,747.00 3.00 13,360,747.00
237 02.08.01.01.68 0001-0002 SECTIO CAESARIA SET APBD 2010 Baik 2.00 163,643,313.00 2.00 163,643,313.00
238 02.08.01.01.68 0001-0002 HERNITOMI & APPENDECTOMI SET APBD 2010 Baik 2.00 114,671,806.00 2.00 114,671,806.00
239 02.08.01.01.68 0001 TUBECTOMY SET APBD 2010 Baik 1.00 63,706,559.00 1.00 63,706,559.00
240 02.08.01.01.68 0001 AMPUTATION SET APBD 2010 Baik 1.00 126,143,640.00 1.00 126,143,640.00
241 02.08.01.01.68 0001 CURETASE SET APBD 2010 Baik 1.00 41,381,565.00 1.00 41,381,565.00
242 02.08.01.01.68 0001 HYSTERECTOMY SET APBD 2010 Baik 1.00 91,737,535.00 1.00 91,737,535.00
243 02.08.01.01.68 0001 MAYOR BASIC SET APBD 2010 Baik 1.00 80,768,837.00 1.00 80,768,837.00
244 02.08.01.01.68 0001 LAPARATOMI SET APBD 2010 Baik 1.00 130,736,938.00 1.00 130,736,938.00
245 02.08.01.01.68 0001 ELECTROCOUTER APBD 2010 Baik 1.00 259,036,408.00 1.00 259,036,408.00
246 02.08.01.02.02 0001 DENTAL UNIT APBD 2011 Baik 1.00 179,333,342.00 1.00 179,333,342.00
247 02.08.01.10.56 0001 USG 2 Dimensi APBD 2011 Baik 1.00 253,600,922.00 1.00 253,600,922.00
248 02.08.01.10.56 0001 USG 3 Dimensi APBD 2011 Baik 1.00 620,684,511.00 1.00 620,684,511.00
249 02.08.01.16.31 0001 Treadmill B FIT/B-888 APBD 2012 Baik 1.00 49,284,000.00 1.00 49,284,000.00
250 02.08.01.01.68 0001 Central Oxigen Generator OXYMAT APBD 2012 Baik 1.00 2,529,263,500.00 1.00 2,529,263,500.00
251 02.08.01.01.68 0001-0005 Infuse pump TERUMO/TE 172 CW3 APBD 2012 Baik 5.00 212,185,053.00 5.00 212,185,053.00
252 02.08.01.10.47 0001-0002 Nebulizer DEVILBISS/PULMO AIDE APBD 2012 Baik 2.00 6,613,560.00 2.00 6,613,560.00
253 02.08.01.19.04 0001 Inkubator TESENA/TSN 910-SC -ehl APBD 2012 Baik 1.00 108,572,612.00 1.00 108,572,612.00
254 02.08.01.01.68 0001-0002 Syringe pump terumo/TE 331 NW3S APBD 2012 Baik 2.00 78,811,591.00 2.00 78,811,591.00
255 02.08.01.01.68 0001 Patient monitor portable INFINIUM/OMNI AITUS APBD 2012 Baik 1.00 103,061,311.00 1.00 103,061,311.00
256 02.08.01.01.68 0001-0003 Oxigen portable YAZUMI APBD 2012 Baik 3.00 14,880,510.00 3.00 14,880,510.00
257 02.08.01.01.68 0001-0005 Oxyhood bulat neonatus FANEM APBD 2012 Baik 5.00 22,045,200.00 5.00 22,045,200.00
258 02.08.01.01.68 0001 Ambubag neonatus TOPSTER APBD 2012 Baik 1.00 43,539,271.00 1.00 43,539,271.00
259 02.08.01.01.68 0001 Laryngoskop bayi DISPOSCOPE APBD 2012 Baik 1.00 46,094,510.00 1.00 46,094,510.00
260 02.08.01.01.68 0001 Patient monitor ALPRO/ALP 6000 A8 APBD 2012 Baik 1.00 219,900,873.00 1.00 219,900,873.00
261 02.08.01.01.68 0001 Suction portable FANEM/R2D2 APBD 2012 Baik 1.00 58,419,781.00 1.00 58,419,781.00
262 02.08.01.01.68 0001-0003 Lampu rontgen TESENA/TSN 014D APBD 2012 Baik 3.00 12,731,103.00 3.00 12,731,103.00
263 02.08.01.01.68 0001-0005 Gluco test ARKRAY APBD 2012 Baik 5.00 11,849,296.00 5.00 11,849,296.00
264 02.08.01.01.68 0001-0005 Troley emergency MAK/36603 APBD 2012 Baik 5.00 64,206,646.00 5.00 64,206,646.00
265 02.08.01.01.68 0001 Resusitation FANEM APBD 2012 Baik 1.00 344,456,255.00 1.00 344,456,255.00
266 02.08.01.01.68 0001 Lampu sorot BURTON APBD 2012 Baik 1.00 53,660,022.00 1.00 53,660,022.00
267 02.08.01.01.68 0001 Pulse oxymetri INFINIUM APBD 2012 Baik 1.00 37,752,406.00 1.00 37,752,406.00
268 02.08.01.01.68 0001-0002 KIA-KB Set APBD 2013 Baik 2.00 37,725,669.00 2.00 37,725,669.00
269 02.08.01.01.68 0001-0032 Sungkup APBD 2013 Baik 32.00 22,718,672.00 32.00 22,718,672.00
270 02.08.01.01.68 0001-0032 Bidan KIT APBD 2013 Baik 32.00 56,837,163.00 32.00 56,837,163.00
271 02.08.01.01.68 0001-0016 HB Elektrik APBD 2013 Baik 16.00 52,627,003.00 16.00 52,627,003.00
272 02.08.01.01.68 0001-0016 Timbangan+ukuran tinggi badan APBD 2013 Baik 16.00 35,028,533.00 16.00 35,028,533.00
273 02.08.01.01.68 0001-0032 Timbangan bayi APBD 2013 Baik 32.00 37,865,533.00 32.00 37,865,533.00
274 02.08.01.01.68 0001-0003 Lemari vaksin APBD 2013 Baik 3.00 217,532,704.00 3.00 217,532,704.00
275 02.08.01.01.68 0001-0008 Hospital Bed APBD 2013 Baik 8.00 106,336,101.00 8.00 106,336,101.00
276 02.08.01.01.68 0001-0008 Bedside Cabinet APBD 2013 Baik 8.00 29,030,160.00 8.00 29,030,160.00
277 02.08.01.01.68 0001-0008 Rebounded Latex Matras APBD 2013 Baik 8.00 42,453,577.00 8.00 42,453,577.00
278 02.08.01.01.68 0001-0008 Full Latex Pillow APBD 2013 Baik 8.00 4,124,062.00 8.00 4,124,062.00
279 02.08.01.01.68 0001 Larryngeal +Handle Set APBD 2013 Baik 1.00 1,456,853.00 1.00 1,456,853.00
280 02.08.01.01.68 0001 Tuning Fork Set APBD 2013 Baik 1.00 8,540,176.00 1.00 8,540,176.00
281 02.08.01.01.68 0001 Suction Pump APBD 2013 Baik 1.00 6,380,012.00 1.00 6,380,012.00
282 02.08.01.01.68 0001 Kursi THT Eletrik APBD 2013 Baik 1.00 52,245,768.00 1.00 52,245,768.00
283 02.08.01.01.68 0001 Trial Frame APBD 2013 Baik 1.00 4,722,214.00 1.00 4,722,214.00
284 02.08.01.01.68 0001 Trial Lens Set APBD 2013 Baik 1.00 49,432,535.00 1.00 49,432,535.00
285 02.08.01.01.68 0001 Ophtalmoscope Diretct APBD 2013 Baik 1.00 9,494,664.00 1.00 9,494,664.00
286 02.08.01.01.68 0001 Buku Buta Warna Ishihara APBD 2013 Baik 1.00 4,722,214.00 1.00 4,722,214.00
287 02.08.01.01.68 0001 Tonometer Schiotz APBD 2013 Baik 1.00 2,963,943.00 1.00 2,963,943.00
288 02.08.01.01.68 0001-0006 Koher forcep STR 1X2 140 MM APBD 2013 Baik 6.00 5,751,003.00 6.00 5,751,003.00
289 02.08.01.01.68 0001-0004 Crice forcep CVD 140MM APBD 2013 Baik 4.00 3,529,962.00 4.00 3,529,962.00
290 02.08.01.01.68 0001 Mayo heegar needle holder 185 mm APBD 2013 Baik 1.00 1,087,332.00 1.00 1,087,332.00
291 02.08.01.01.68 0001 Doyen intestinal forceps STR 240MM APBD 2013 Baik 1.00 4,599,258.00 1.00 4,599,258.00
292 02.08.01.01.68 0001 Doyen intestinal forceps CVD 240MM APBD 2013 Baik 1.00 4,952,254.00 1.00 4,952,254.00
293 02.08.01.01.68 0001-0002 Volkmen bone curete F2 8,5MM 172 MM APBD 2013 Baik 2.00 3,988,601.00 2.00 3,988,601.00
294 02.08.01.01.68 0001-0002 Volkmen bone curete F2 11,5MM 172 MM APBD 2013 Baik 2.00 3,988,601.00 2.00 3,988,601.00
295 02.08.01.01.68 0001-0002 Haeney Hysterectomy Forcep CVD 215MM APBD 2013 Baik 2.00 13,473,122.00 2.00 13,473,122.00
296 02.08.01.01.68 0001-0002 Haeney Hysterectomy Forcep CVD 220MM APBD 2013 Baik 2.00 13,473,122.00 2.00 13,473,122.00
297 02.08.01.01.68 0001-0002 Werthem Parametrium Clumphuy CVD 230 APBD 2013 Baik 2.00 15,031,975.00 2.00 15,031,975.00
298 02.08.01.01.68 0001-0002 Werthem Parametrium Clumphuy CVD 220MM APBD 2013 Baik 2.00 14,374,935.00 2.00 14,374,935.00
299 02.08.01.01.68 0001-0002 Werthem Parametrium Clumphuy CVD 245MM APBD 2013 Baik 2.00 14,374,935.00 2.00 14,374,935.00
300 02.08.01.01.68 0001 Patient monitor portable APBD 2013 Baik 1.00 104,855,518.00 1.00 104,855,518.00
301 02.08.01.01.68 0001 Nebulizer APBD 2013 Baik 1.00 3,368,087.00 1.00 3,368,087.00
302 02.08.01.01.68 0001-0004 Crafoord delicate forceps CVD 245 MM APBD 2013 Baik 4.00 17,464,301.00 4.00 17,464,301.00
303 02.08.01.01.68 0001 TC Suture Wavecut Scissor CVD 180mm APBD 2013 Baik 1.00 5,756,159.00 1.00 5,756,159.00
304 02.08.01.01.68 0001-0002 Mayo scissor CVD 140MM APBD 2013 Baik 2.00 1,525,356.00 2.00 1,525,356.00
305 02.08.01.01.68 0001-0004 Baby senn-Miller Rctor SH 8X7/22X7MM APBD 2013 Baik 4.00 3,452,665.00 4.00 3,452,665.00
306 02.08.01.01.68 0001-0004 Ragnel DB Wound Hook 5x3/14x6,3mm APBD 2013 Baik 4.00 5,400,584.00 4.00 5,400,584.00
307 02.08.01.01.68 0001-0002 US-ARMY Retrac 26x15/43x5-23x15/40x15 APBD 2013 Baik 2.00 2,517,355.00 2.00 2,517,355.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
308 02.08.01.01.68 0001 ELETRIC GYN EXAMINATION TABLE APBD 2013 Baik 1.00 55,762,310.00 1.00 55,762,310.00
309 02.08.01.01.68 0001 EXAMINATION STOOL APBD 2013 Baik 1.00 3,717,478.00 1.00 3,717,478.00
310 02.08.01.01.68 0001 Peralatan pelayanan darurat (DAK) 12 lead APBD 2013 Baik 1.00 180,448,846.00 1.00 180,448,846.00
311 02.08.01.01.68 0020 Tiang infus APBD 2013 Baik 1.00 8,960,000.00 1.00 8,960,000.00
312 02.08.01.01.68 0021 Foot step APBD 2013 Baik 1.00 9,900,000.00 1.00 9,900,000.00
313 02.08.01.01.68 0001-0003 Fettal Doppler APBD 2013 Baik 3.00 3,450,000.00 3.00 3,450,000.00
314 02.08.01.10.38 0001-0002 Autoclave APBD 2013 Baik 2.00 3,700,000.00 2.00 3,700,000.00
315 02.08.01.01.68 0001-0005 Beside Cabinet APBD 2013 Baik 5.00 9,750,000.00 5.00 9,750,000.00
316 02.08.01.01.68 0001-0003 Tensi Meter Standing APBD 2013 Baik 3.00 5,940,000.00 3.00 5,940,000.00
317 02.08.01.01.04 0001-0005 Stetoskop dewasa APBD 2013 Baik 5.00 4,750,000.00 5.00 4,750,000.00
318 02.08.01.01.04 0001-0005 Stetoskop anak-anak APBD 2013 Baik 5.00 4,750,000.00 5.00 4,750,000.00
319 02.08.01.01.68 0001 Pompa dispensing metadon farmasi APBD 2013 Baik 1.00 12,950,000.00 1.00 12,950,000.00
320 02.08.01.10.47 0001-0003 Nebulizer APBD 2013 Baik 3.00 4,350,000.00 3.00 4,350,000.00
321 02.08.01.01.68 0001-0003 Suction pump APBD 2013 Baik 3.00 7,554,000.00 3.00 7,554,000.00
322 02.08.01.01.68 0001-0020 Bowl stand double stainles APBD 2013 Baik 20.00 19,400,000.00 20.00 19,400,000.00
323 02.08.01.01.68 0001-0005 Medicine cabinet APBD 2013 Baik 5.00 14,950,000.00 5.00 14,950,000.00
324 02.08.01.01.68 0001-0002 Dessing trolly APBD 2013 Baik 2.00 3,980,000.00 2.00 3,980,000.00
325 02.08.01.01.68 0001-0002 Timbangan dengan alat ukur APBD 2013 Baik 2.00 1,960,000.00 2.00 1,960,000.00
326 02.08.01.01.68 0001-0002 Lampu sorot beroda APBD 2013 Baik 2.00 2,000,000.00 2.00 2,000,000.00
327 02.08.01.10.73 0001-0002 Head lamp APBD 2013 Baik 2.00 1,230,000.00 2.00 1,230,000.00
328 02.08.01.01.68 0001 Lampu sorot infrared APBD 2013 Baik 1.00 980,000.00 1.00 980,000.00
329 02.08.01.01.68 0001-0010 Tensi meter air raksa APBD 2013 Baik 10.00 8,450,000.00 10.00 8,450,000.00
330 02.08.01.01.68 0001-0002 Examination stool APBD 2013 Baik 2.00 6,560,000.00 2.00 6,560,000.00
331 02.08.01.01.68 0001-0002 Sterilsator kering APBD 2013 Baik 2.00 3,960,000.00 2.00 3,960,000.00
332 02.08.01.01.68 0001 Finger SP02 Neonates PHILIPE APBD 2014 Baik 1.00 6,246,034.00 1.00 6,246,034.00
335 02.08.01.01.68 0001 Alat pemeriksa kolesterol, glukosa, as ROCHE APBD 2014 Baik 1.00 4,317,998.00 1.00 4,317,998.00
336 02.08.01.01.68 0001 Amalgamator GNATUS APBD 2014 Baik 1.00 7,611,726.00 1.00 7,611,726.00
337 02.08.01.01.68 0001-0003 Aspirasi vakum manual WOMANCASE GLOOD APBD 2014 Baik 3.00 1,702,094.00 3.00 1,702,094.00
338 02.08.01.01.68 0001-0004 Bein gigi MEDESY APBD 2014 Baik 4.00 4,016,742.00 4.00 4,016,742.00
339 02.08.01.01.68 0001 Bumbble CPAP System Fisher FISHER FAYKEL APBD 2014 Baik 1.00 1,958,162.00 1.00 1,958,162.00
340 02.08.01.01.68 0001 Continuous band sealer/sriking SERAFIM APBD 2014 Baik 1.00 10,152,316.00 1.00 10,152,316.00
341 02.08.01.01.68 0001 Light curing WOOD PECKER APBD 2014 Baik 1.00 4,056,910.00 1.00 4,056,910.00
342 02.08.01.01.68 0001-0020 Regilator Oksigen SHARP APBD 2014 Baik 20.00 41,874,537.00 20.00 41,874,537.00
343 02.08.01.01.04 0001-0010 Stetoskop RIESTER APBD 2014 Baik 10.00 15,163,201.00 10.00 15,163,201.00
344 02.08.01.01.68 0001 Tensimeter RIESTER APBD 2014 Baik 1.00 22,192,500.00 1.00 22,192,500.00
345 02.08.01.01.68 0001-0002 Tensimeter + Kaki RIESTER APBD 2014 Baik 2.00 14,460,272.00 2.00 14,460,272.00
346 02.08.01.01.68 0001-0020 Tiang Imfus IBS APBD 2014 Baik 20.00 38,861,980.00 20.00 38,861,980.00
347 02.08.01.01.10 0001 Timbangan Bayi digital APBD 2014 Baik 1.00 950,964.00 1.00 950,964.00
348 02.08.01.01.09 0001 Timbangan Dewasa APBD 2014 Baik 1.00 1,333,558.00 1.00 1,333,558.00
349 02.08.01.01.68 0001 Nurse Call Ruang Kedokteran APBD 2014 Baik 1.00 61,032,388.00 1.00 61,032,388.00
350 02.08.01.01.68 0001 Peralatan Pununjang Keperawatan APBD 2014 Baik 1.00 40,739,807.00 1.00 40,739,807.00
351 02.08.01.01.68 0001 nurse call APBD 2014 Baik 1.00 97,000,000.00 1.00 97,000,000.00
352 02.08.01.01.68 0001 / 0060Fisik APBD 2014 Baik 60.00 980,845,000.00 60.00 980,845,000.00
353 02.08.01.04.43 0001 Mikroskop mata Moller- type Hi R APBD 2014 Baik 1.00 1,408,709,500.00 1.00 1,408,709,500.00
354 02.08.01.08.53 0001 Laparatomy Set b Braun APBD 2014 Baik 1.00 215,108,340.00 1.00 215,108,340.00
355 02.08.01.08.53 0001 Hysterectomy set b braun APBD 2014 Baik 1.00 182,091,711.00 1.00 182,091,711.00
356 02.08.01.18.30 0001 Automatic Processing Colenta Type 937 APBD 2014 Baik 1.00 396,199,547.00 1.00 396,199,547.00
357 02.08.01.18.30 0001 Autoclave CSSD, Jenis sterilizer, Tuttnaver, Tipe 3870 EA, APBD 2014 Baik 1.00 279,760,216.00 1.00 279,760,216.00
358 02.08.01.01.68 0001 RUDOLF Sectio Caesarian / HysterectRUDOLF APBD 2015 Baik 1.00 100,571,526.00 1.00 100,571,526.00
359 02.08.01.03.01 0001 (GYNAEC) MAK GYNEACOLOG EXAMIMAK APBDP 2015 Baik 1.00 36,726,489.00 1.00 36,726,489.00
360 02.08.01.04.43 0001 Slit Lamp ZEISS APBD 2015 Baik 1.00 272,771,484.00 1.00 272,771,484.00
361 02.08.01.04.43 0002 Set Cataract Mata APBD 2015 Baik 1.00 85,053,471.00 1.00 85,053,471.00
362 02.08.01.04.43 0003 Set Tonsilitis APBD 2015 Baik 1.00 92,057,874.00 1.00 92,057,874.00
363 02.08.01.04.43 0004 Set Hernia dan Appendict Utk Anak APBD 2015 Baik 1.00 62,039,002.00 1.00 62,039,002.00
364 02.08.01.04.43 0005 ENT Unit ATMOS APBD 2015 Baik 1.00 792,498,221.00 1.00 792,498,221.00
365 02.08.01.04.43 0006 Biometri NIDEX APBD 2015 Baik 1.00 240,150,976.00 1.00 240,150,976.00
366 02.08.01.01.68 0001 (PATIENCE WARMING) WEBSINGER WEBSINGER APBD 2015 Baik 1.00 53,689,553.00 1.00 53,689,553.00
367 02.08.01.08.53 0001 Curretage Set APBDP 2015 Baik 1.00 23,114,531.00 1.00 23,114,531.00
368 02.08.01.08.53 0002 Placenta Curretage Set APBDP 2015 Baik 1.00 15,910,003.00 1.00 15,910,003.00
369 02.08.01.01.68 0002-0005 RUDOLF Partus Instrument set RUDOLF APBDP 2015 Baik 4.00 74,129,547.00 4.00 74,129,547.00
370 02.08.01.10.56 0004 Ultrasonography (PHILIPS Affiniti 50 PHILIPS APBDP 2015 Baik 1.00 950,244,392.00 1.00 950,244,392.00
371 02.08.01.02.54 0001 Instrument set Orthodontie APBDP 2015 Baik 1.00 79,299,854.00 1.00 79,299,854.00
372 02.08.01.02.54 0002 Motor suction Dental Unit DURR DENTAL APBDP 2015 Baik 1.00 48,280,352.00 1.00 48,280,352.00
373 02.08.01.09.74 0001 Nakamura N-Ideal Diana Doppler Fet NAKAMURA APBDP 2015 Baik 1.00 29,840,660.00 1.00 29,840,660.00
377 02.08.01.09.55 0001 PHILIPS FETAL MONITOR Avalon FM PHILIPS APBDP 2015 Baik 1.00 73,253,999.00 1.00 73,253,999.00
378 02.08.01.10.13 0001 Tensimeter berdiri APBDP 2015 Baik 1.00 1,525,959.40 1.00 1,525,959.40
383 02.08.01.01.05 0001 Tensimeter digital OMRON APBDP 2015 Baik 1.00 510,320.80 1.00 510,320.80
388 02.08.01.01.68 0006 Argus OXM- C SCHILLER APBDP 2015 Baik 1.00 16,616,346.00 1.00 16,616,346.00
389 02.08.01.01.68 0007 Argus OXM- C SCHILLER APBDP 2015 Baik 1.00 16,616,346.00 1.00 16,616,346.00
390 02.08.01.14.02 0002-0007 Kursi Roda APBDP 2015 Baik 6.00 11,722,549.00 6.00 11,722,549.00
391 02.08.01.01.45 0001-0010 Bed side Cabinet APBDP 2015 Baik 10.00 32,813,116.00 10.00 32,813,116.00
392 02.08.01.08.13 0001-0002 Lampu Sorot APBDP 2015 Baik 2.00 3,757,227.00 2.00 3,757,227.00
393 02.08.01.01.68 0003-0032 Over Bed Table APBDP 2015 Baik 30.00 100,092,529.00 30.00 100,092,529.00
394 02.08.01.01.65 0001 Trolly Pembawa piring kotor Gizi APBDP 2015 Baik 1.00 5,009,636.00 1.00 5,009,636.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
395 02.08.01.03.65 0001 Dometic Medical Vaccine carrier DOMETIC RCW 2 APBDP 2015 Baik 1.00 2,195,237.50 1.00 2,195,237.50
399 02.08.01.08.36 0001 b. Id- Centrifuge Biorad/Diamed APBD 2012 Baik 1.00 85,224,940.00 1.00 85,224,940.00
400 02.08.01.13.62 0001-0010 Safety shoes (Std.ANZI Z-41) B-SAFE APBD 2016 Baik 10.00 2,800,000.00 10.00 2,800,000.00
401 02.08.01.13.62 0011-0020 Safety boots (Std ANZI Z -41) Petropad APBD 2016 Baik 10.00 2,750,000.00 10.00 2,750,000.00
402 02.08.01.13.62 0021-0030 Safety Glass (Clear) KRISBOW APBD 2016 Baik 10.00 650,000.00 10.00 650,000.00
403 02.08.01.13.62 0031-0040 Safety Google AO Safty for Lab KRISBOW APBD 2016 Baik 10.00 850,000.00 10.00 850,000.00
404 02.08.01.13.62 0041-0050 Karpet/Keramik Anti Licin APBD 2016 Baik 10.00 700,000.00 10.00 700,000.00
405 02.08.01.10.81 0001-0050 ECG Paper 112 mm APBDP 2016 Baik 50.00 5,004,500.00 50.00 5,004,500.00
406 02.08.01.10.81 0051-0070 Mouthpiece paper APBDP 2016 Baik 20.00 8,007,200.00 20.00 8,007,200.00
407 02.08.01.13.01 0001-0002 Matras Baby Rubber/Latex APBD 2009 Baik 2.00 556,752.78 2.00 556,752.78
408 02.08.01.01.10 0001-0002 Timbangan BB Bayi Lokal APBD 2009 Baik 2.00 779,453.89 2.00 779,453.89
409 02.08.01.01.64 0001-0015 Pispot Sleper Type Lokal APBD 2009 Baik 15.00 6,681,033.31 15.00 6,681,033.31
410 02.08.01.01.68 0001-0032 Timbangan dacin+ sarung APBD 2013 Baik 32.00 13,407,741.00 32.00 13,407,741.00
411 02.08.01.01.68 0001-0032 Alat ukur panjang balita APBD 2013 Baik 32.00 11,788,448.00 32.00 11,788,448.00
412 02.08.01.01.68 0001-0003 Nose Speculum Hidung APBD 2013 Baik 3.00 904,256.00 3.00 904,256.00
413 02.08.01.01.68 0001-0002 Standard Tissue Forceps 1x2 145mm APBD 2013 Baik 2.00 726,948.00 2.00 726,948.00
414 02.08.01.01.68 0001-0002 Adson Forceps Serr 120MM APBD 2013 Baik 2.00 767,833.00 2.00 767,833.00
415 02.08.01.01.10 0001-0003 Timbangan bayi APBD 2013 Baik 3.00 1,266,000.00 3.00 1,266,000.00
30 02.08.01.01.68 0001-0011 Paramount Bed Qualitas Alpha Plus 3Type PA-6315 Pembelian 2017 Unit Baik 11.00 483,536,200.00 11.00 483,536,200.00
31 02.08.01.01.68 0012-0022 Paramount Bed I.V Hanger Rod Type KC-56A Pembelian 2017 Unit Baik 11.00 11,707,105.00 11.00 11,707,105.00
32 02.08.01.01.68 0023-0033 Paramount Bed Urethane Foam Mattress Width 910mm Pembelian 2017 Unit Baik 11.00 19,196,520.00 11.00 19,196,520.00
33 02.08.01.01.68 0034-0046 Paramount Bed I.V hanger Rod Type KC-56A Pembelian 2017 Unit Baik 13.00 13,835,669.00 13.00 13,835,669.00
34 02.08.01.01.68 0047-0059 Paramount Bed Pediatric Bed Pembelian 2017 Unit Baik 13.00 221,657,800.00 13.00 221,657,800.00
Alat Kedokteran Bedah (Dexon Stool Chair) Pembelian 6.00 6,673,500.00 6.00 6,673,500.00
Instrument Cabinet Pembelian 2017 1.00 6,158,300.00 1.00 6,158,300.00
Anti Decubitus Alternating Air Pressure Mattres Comfort 2006 Pembelian 2017 1.00 3,098,000.00 1.00 3,098,000.00
Suction Pump With Troly (C-451) 2x3 L Pembelian 2017 1.00 58,468,000.00 1.00 58,468,000.00
Ultra Sonic Nebulizer Pembelian 2017 2.00 1,628,000.00 2.00 1,628,000.00
Tensimeter Digital Pembelian 2017 3.00 4,321,798.00 3.00 4,321,798.00
Suction Pump With Troly (C-451) 2x5 L Pembelian 2.00 119,000,000.00 2.00 119,000,000.00
Infant Incubator Pembelian 2017 2.00 304,804,295.00 2.00 304,804,295.00
Tensimeter Berdiri Pembelian 2017 4.00 18,502,200.00 4.00 18,502,200.00
Tensimeter Berdiri Pembelian 2017 1.00 4,656,354.00 1.00 4,656,354.00
Mesin Anasthesi Pembelian 2017 1.00 750,000,000.00 1.00 750,000,000.00
Blanket Warmer Pembelian 2017 2.00 83,520,000.00 2.00 83,520,000.00
Suction Pump Portable Pembelian 3.00 36,967,000.00 3.00 36,967,000.00
Light Curing Pembelian 2017 2.00 16,906,000.00 2.00 16,906,000.00
Bed Side Monitor (Patient Monitor) Pembelian 2017 3.00 266,840,200.00 3.00 266,840,200.00
Instrument Cabinet (Lemari Obat) Pembelian 2017 1.00 6,159,300.00 1.00 6,159,300.00
Emergency Mobile Stretcher Pembelian 2017 2.00 23,005,400.00 2.00 23,005,400.00
Emergency Mobile Stretcher Pembelian 2017 1.00 11,780,700.00 1.00 11,780,700.00
Emaled Lampu Operasi Mobile/Mobile Emergency Lamp With Battery/Emaled 300 M Pembelian 2.00 232,297,600.00 2.00 232,297,600.00
Operating Table Electric Pembelian 2017 1.00 296,671,540.00 1.00 296,671,540.00
Infant Warmer Pembelian 2017 1.00 130,900,000.00 1.00 130,900,000.00
Babypuff Neonatal Resuscitation Device With Trolley Pembelian 2017 1.00 88,500,000.00 1.00 88,500,000.00
Aesculap Partus Set Pembelian 2017 3.00 71,619,000.00 3.00 71,619,000.00
Aesculap Hernia And Appendix Set Pembelian 2017 2.00 167,212,000.00 2.00 167,212,000.00
Aesculap Hernia And Appendix For Children Pembelian 1.00 80,167,000.00 1.00 80,167,000.00
Portable USG Probe Linear Pembelian 2017 1.00 514,112,000.00 1.00 514,112,000.00
Projection Vein Finder Pembelian 2017 1.00 84,000,000.00 1.00 84,000,000.00
Projection Vein Finder Pembelian 2017 1.00 80,594,100.00 1.00 80,594,100.00
Aesculap Hernia and Appendix Set I (Set Hernia Dewasa) Pembelian 2017 2.00 166,509,000.00 2.00 166,509,000.00
Amal Gamator Pembelian 2017 1.00 6,280,000.00 1.00 6,280,000.00
Bistos Medical Head Lamp Pembelian 1.00 1,100,000.00 1.00 1,100,000.00
Bistos Medical Head Lamp Pembelian 2017 2.00 2,200,000.00 2.00 2,200,000.00
Bistos Medical Head Lamp Pembelian 2017 1.00 1,100,000.00 1.00 1,100,000.00
Pressure Infusion Cuff 500ml (Pressure Bag) Pembelian 2017 2.00 2,420,000.00 2.00 2,420,000.00
Mayo Stand Pembelian 2017 3.00 11,488,600.00 3.00 11,488,600.00
Examination Table Pembelian 2017 2.00 16,643,000.00 2.00 16,643,000.00
Aesculap IUD KIT Pembelian 1.00 14,374,000.00 1.00 14,374,000.00
Aesculap IUD KIT Pembelian 2017 1.00 14,374,000.00 1.00 14,374,000.00
Nierbekken Besar Pembelian 2017 3.00 720,000.00 3.00 720,000.00
Termometer Digital Pembelian 2017 2.00 840,000.00 2.00 840,000.00
Kacamata Kuda Pembelian 2017 3.00 900,000.00 3.00 900,000.00
Cup Vacum Silicon M/L Pembelian 2017 2.00 6,000,000.00 2.00 6,000,000.00
Trial Frame Pembelian 1.00 4,500,000.00 1.00 4,500,000.00
Alat Diagnostik Gigi (Terdiri dari : Sonde Halfmoon, Pincet, Excavator, Kaca Mulut, Handle Kaca Mulut) Pembelian 2017 30.00 18,480,000.00 30.00 18,480,000.00
Transfer Stretcher Trolley Pembelian 2017 2.00 93,960,000.00 2.00 93,960,000.00
Tabung Oksigen Pembelian 2017 5.00 5,000,000.00 5.00 5,000,000.00
Regulator Oksigen Pembelian 2017 5.00 2,000,000.00 5.00 2,000,000.00
Dorongan / Trolly Pembelian 2017 5.00 500,000.00 5.00 500,000.00
Lemari Obat Pembelian 1.00 5,150,000.00 1.00 5,150,000.00
Foot Step Pembelian 2017 4.00 4,112,000.00 4.00 4,112,000.00
Foot Step Pembelian 2017 4.00 4,188,000.00 4.00 4,188,000.00
Tip Scaler EMS Pembelian 2017 2.00 3,696,000.00 2.00 3,696,000.00

Tip Scaler Satelec Pembelian 2017 1.00 1,925,000.00 1.00 1,925,000.00
Set Hecting Pembelian 2017 1.00 2,800,000.00 1.00 2,800,000.00
Manikin CPR (Ambu Man Basic) Pembelian 1.00 11,880,000.00 1.00 11,880,000.00
Gunting Perban Pembelian 2017 3.00 60,000.00 3.00 60,000.00
Torniquet Pembelian 2017 3.00 600,000.00 3.00 600,000.00
Reflex Hammer Pembelian 2017 2.00 200,000.00 2.00 200,000.00
Electric Gyn Examination Table Pembelian 2017 3.00 109,066,500.00 3.00 109,066,500.00
Finger Bedside Monitor Pembelian 2017 4.00 23,600,000.00 4.00 23,600,000.00
Set Amblical Pembelian 3.00 17,700,000.00 3.00 17,700,000.00
Mobile Stretcher Pembelian 2017 1.00 8,873,500.00 1.00 8,873,500.00
Gunting Verban Pembelian 2017 3.00 75,000.00 3.00 75,000.00
Termometer Digital Pembelian 2017 5.00 225,000.00 5.00 225,000.00
Minor Surgical Lamp BLUD 2017 1.00 155,700,000.00 1.00 155,700,000.00
v Alat Kesehatan 124.00 1,098,293,565.00 - - 60.00 439,335,040.00 184.00 1,537,628,605.00

1 02.08.02.01.02 0001 Alat kedokteran dan anasthesi APBD 2010 Baik 1.00 654,238,659.00 1.00 654,238,659.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
2 02.08.02.01.02 0001-0004 Ambu Bag M.O.W APBDP 2015 Baik 4.00 4,689,019.00 4.00 4,689,019.00
3 02.08.02.01.02 0007-0009 Matras Dekubitus APBDP 2015 Baik 3.00 8,139,657.00 3.00 8,139,657.00
4 02.08.02.02.26 0001 Nebulizer OMRON APBDP 2015 Baik 1.00 2,534,876.00 1.00 2,534,876.00
7 02.08.02.02.26 0008 Oxymetri Portable BEURER APBDP 2015 Baik 1.00 1,011,946.50 1.00 1,011,946.50
13 02.08.02.01.02 0008-0024 Set Oral hygiene (1 klem arteri bengkok, 1 com kecil, 1 nerbeken besar, 1 bak instrument) APBDP 2015 Baik 17.00 9,350,987.00 17.00 9,350,987.00
14 02.08.02.01.02 0025-0027 Set pemasangan CVP (1 bak instrumen, 1 nerbeken besar, 1 pinset anatomis, 1 pinset cirugis, 1 gunting hecting, 1 naldfuder, 2 arteri klem) APBDP 2015 Baik 2.00 2,476,764.00 2.00 2,476,764.00
15 02.08.02.01.02 0028-0052 Set Perawatan luka (pinset anatomis 2, gunting aff hecting 1, gunting jaringan 1, bak instrumen 1) APBDP 2015 Baik 25.00 15,930,643.00 25.00 15,930,643.00
16 02.08.02.01.02 0001-0008 Tabung Oksigen Kecil (Tabung Oksigen Portable) APBDP 2015 Baik 8.00 7,983,356.00 8.00 7,983,356.00
17 02.08.02.01.02 0053-0055 Tromol Besar APBDP 2015 Baik 3.00 1,520,925.00 3.00 1,520,925.00
18 02.08.02.01.02 0056-0059 Baterai Infus Pump TE 172 Terumo APBDP 2015 Baik 4.00 11,440,000.00 4.00 11,440,000.00
19 02.08.02.01.02 0060-0088 Baterai Syringe Pump TE 331 NW 3S Terumo APBDP 2015 Baik 29.00 51,040,000.00 29.00 51,040,000.00
20 02.08.02.01.02 0089-0090 Infant Warmer Merk Fisher & Paykel, Fisher & Paykel, New Zealand APBDP 2015 Baik 2.00 55,000,000.00 2.00 55,000,000.00
21 02.08.02.02.26 0014-0015 Electrosurgery MERK Eschmann, EngEschmann, England APBDP 2015 Baik 2.00 55,000,000.00 2.00 55,000,000.00
22 02.08.02.02.26 0016-0017 Bubble CPAP Merk Fisher & Paykel, Fisher & Paykel, New Zealand APBDP 2015 Baik 2.00 48,400,000.00 2.00 48,400,000.00
23 02.08.02.01.02 0091 Blood/Fluid Warmer merk Gaymar, UGaymar, USA APBDP 2015 Baik 1.00 24,200,000.00 1.00 24,200,000.00
24 02.08.02.02.26 0001 Infra red 6 lampu FISIOMOBILITY APBDP 2015 Baik 1.00 43,527,364.00 1.00 43,527,364.00
25 02.08.02.02.04 0001 Btl Eletroterapi BTL APBDP 2015 Baik 1.00 48,225,318.00 1.00 48,225,318.00
26 02.08.02.02.03 0001 Btl Ultrasound System Btl 5000 Sono BTL APBDP 2015 Baik 1.00 41,621,166.00 1.00 41,621,166.00
27 02.08.02.01.02 0001-0004 Body bag APBD 2016 Baik 4.00 1,122,100.00 4.00 1,122,100.00
28 02.08.02.01.02 0005-0007 Irogator chlisma APBD 2016 Baik 3.00 571,000.00 3.00 571,000.00
29 02.08.02.01.02 0008-0009 Reflex hamer APBD 2016 Baik 2.00 140,300.00 2.00 140,300.00
30 Shortwave Therapy Unit – DX 500 2017 Baik 1.00 146,480,038.30 1.00 146,480,038.30
31 Microwave Diathermy - Endosan 2017 Baik 1.00 103,691,631.70 1.00 103,691,631.70
32 Shoulder Wheel 2017 Baik 1.00 24,013,000.00 1.00 24,013,000.00
33 Static Bycycle 2017 Baik 1.00 24,860,000.00 1.00 24,860,000.00
34 Bed Therapy 2017 Baik 1.00 74,250,000.00 1.00 74,250,000.00
35 Quad Ricep Setting 2017 Baik 1.00 39,091,470.00 1.00 39,091,470.00
36 Otoscope Fiber Optik BLUD 2017 Baik 2.00 5,082,000.00 2.00 5,082,000.00
37 Alligator Ear (8,5cm) BLUD 2017 Baik 2.00 1,694,000.00 2.00 1,694,000.00
38 Mouth Gag 13cm (Kecil) BLUD 2017 Baik 2.00 2,728,000.00 2.00 2,728,000.00
39 Mouth Gag 15cm (Besar) BLUD 2017 Baik 2.00 2,728,000.00 2.00 2,728,000.00
40 Mouth Gag With Tonsil Plates Adult 5 Blade BLUD 2017 Baik 1.00 8,239,000.00 1.00 8,239,000.00
41 Mikro Aligator Ear Forcep (8,5cm) BLUD 2017 Baik 1.00 1,061,500.00 1.00 1,061,500.00
42 Spekulum Telinga Set BLUD 2017 Baik 2.00 611,600.00 2.00 611,600.00
43 Pinset Telinga 12cm BLUD 2017 Baik 2.00 198,000.00 2.00 198,000.00
44 Pinset Bayonet Hidung BLUD 2017 Baik 2.00 198,000.00 2.00 198,000.00
45 Spekulum Nasal Hidung (Type Lurus) BLUD 2017 Baik 1.00 368,500.00 1.00 368,500.00
46 Spekulum Nasal Hidung (Type Bengkok) BLUD 2017 Baik 1.00 368,500.00 1.00 368,500.00
47 Pincet Pin /Endo BLUD 2017 Baik 15.00 891,000.00 15.00 891,000.00
48 Bone File BLUD 2017 Baik 2.00 198,000.00 2.00 198,000.00
49 Plastis Instrumen BLUD 2017 Baik 2.00 50,600.00 2.00 50,600.00
50 Bein Lurus BLUD 2017 Baik 2.00 154,000.00 2.00 154,000.00
51 Knabel Tang /Bone Rongeur BLUD 2017 Baik 1.00 313,500.00 1.00 313,500.00
52 Pencil Cutter BLUD 2017 Baik 10.00 1,452,000.00 10.00 1,452,000.00
53 Pelilit Kapas BLUD 2017 Baik 2.00 159,500.00 2.00 159,500.00
54 Serumen Hook BLUD 2017 Baik 2.00 453,200.00 2.00 453,200.00
55
w Alat Laboratorium 35.00 2,953,111,162.36 - - 27.00 2,391,603,924.00 62.00 5,344,715,086.36

1 02.09.01.10.22 0001 Immunology Analizer (BIOMERIEUX SA BIOMERIEUX IVD 5207586 APBD 2016 Baik 1.00 404,016,800.00 1.00 404,016,800.00
2 02.09.01.62.06 0001 Clinical Chemistry Analizer (THERMO THERMO SCIENTIFIC "Indiko Plus APBD 2016 Baik 1.00 479,217,200.00 1.00 479,217,200.00
3 02.09.01.15.76 0001 Hematology Analizer XS-500i APBD 2016 Baik 1.00 252,026,000.00 1.00 252,026,000.00
4 02.09.01.15.76 0001 Haematology Analyzer - APBD 2009 Baik 1.00 149,089,443.33 1.00 149,089,443.33
5 02.09.01.07.10 0001 Microscope - APBD 2009 Baik 1.00 12,030,539.52 1.00 12,030,539.52
6 02.09.01.14.01 0001-0002 Haematocrit Centrifuge - APBD 2009 Baik 2.00 58,759,687.76 2.00 58,759,687.76
7 02.09.01.12.100 0001 Kimia Klinik Dan Elektro litanalzer - APBD 2009 Baik 1.00 258,340,006.55 1.00 258,340,006.55
8 02.09.01.14.78 0001 Urine Analyzer Spesification. - APBD 2009 Baik 1.00 45,589,412.92 1.00 45,589,412.92
9 02.09.01.12.100 0001 Transferpette Acura - APBD 2009 Baik 1.00 13,372,894.46 1.00 13,372,894.46
10 02.09.01.12.100 0001 BBS Apparatus Wester green 10 Tabu- APBD 2009 Baik 1.00 1,519,647.10 1.00 1,519,647.10
11 02.09.01.17.07 0001-0002 Blood Cell Counter 8 Key - APBD 2009 Baik 2.00 5,065,490.32 2.00 5,065,490.32
12 02.09.01.02.02 0001 a. Id- Incubator Biorad/Diamed APBD 2012 Baik 1.00 85,224,940.00 1.00 85,224,940.00
13 02.09.01.12.100 0001 c. Id-Dispenser Biorad/Diamed APBD 2012 Baik 1.00 15,436,305.00 1.00 15,436,305.00
14 02.09.01.12.100 0001 Blood bank refrigerator Helmer APBD 2012 Baik 1.00 240,365,313.00 1.00 240,365,313.00
15 02.09.01.12.100 0001 Blood bank centrifuge Biorad/Diamed APBD 2012 Baik 1.00 59,209,254.00 1.00 59,209,254.00
16 02.09.01.12.100 0001 Electric tube sealler Centron APBD 2012 Baik 1.00 62,847,811.00 1.00 62,847,811.00
17 02.09.01.12.100 0001 Transport boxes APBD 2012 Baik 1.00 27,013,533.00 1.00 27,013,533.00
18 02.09.01.12.100 0001 Dry incubator APBD 2012 Baik 1.00 23,816,013.00 1.00 23,816,013.00
19 02.09.01.12.100 0001 Hand sealer APBD 2012 Baik 1.00 3,638,557.00 1.00 3,638,557.00
20 02.09.01.12.100 0001 Plasma Separator Centron APBD 2012 Baik 1.00 23,374,975.00 1.00 23,374,975.00
21 02.09.01.12.100 0001 Ukuran 5 ul Socorex/Acura APBD 2012 Baik 1.00 3,307,780.00 1.00 3,307,780.00
24 02.09.01.12.100 0001 Blood Gas Analyzer Socorex/Acura APBD 2012 Baik 1.00 387,837,151.00 1.00 387,837,151.00
25 02.09.01.12.100 0001 Platelet Agitators Socorex/Acura APBD 2012 Baik 1.00 115,772,284.00 1.00 115,772,284.00
26 02.09.01.12.100 0001 Coagulation analyzer Socorex/Acura APBD 2012 Baik 1.00 101,438,572.00 1.00 101,438,572.00
27 02.09.01.12.100 0001 Pipet tetes Socorex/Acura APBD 2012 Baik 1.00 606,426.00 1.00 606,426.00
28 02.09.01.12.100 0001 Transport boxes Socorex/Acura APBD 2012 Baik 1.00 10,805,413.00 1.00 10,805,413.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
29 02.09.01.16.99 0001 Blood Roller Mixer APBDP 2015 Baik 1.00 19,112,015.00 1.00 19,112,015.00
30 02.09.01.16.99 0002 Urine Analyzel APBDP 2015 Baik 1.00 57,135,920.00 1.00 57,135,920.00
31 02.09.01.12.100 0001-0002 Tbg. Reaksi Pyrex Socorex/Acura APBD 2012 Baik 2.00 893,100.00 2.00 893,100.00
32 02.09.07.05.23 0001 Haematocrit Centrifuge APBD 2009 Baik 1.00 29,633,118.39 1.00 29,633,118.39
33 Sentrifuge 24 Lobang 2017 1.00 70,294,979.00 1.00 70,294,979.00
34 K-Lite 5 2017 1.00 47,915,600.00 1.00 47,915,600.00
35 CoaLAB 1000 2017 1.00 321,956,000.00 1.00 321,956,000.00
36 Automated Erythrocyte Sedimentation Rate Analyzer 2017 1.00 32,740,000.00 1.00 32,740,000.00
37 Stethoscope Adult 2017 2.00 2,093,142.00 2.00 2,093,142.00
38 Tensimeter Desk Adult 2017 2.00 3,539,298.00 2.00 3,539,298.00
39 Pipette Reference 2 Singel-Channel Fixed 5 ul 2017 2.00 6,633,250.00 2.00 6,633,250.00

40 Pipette Reference 2 Singel-Channel Fixed 10 ul Yellow 2017 2.00 6,633,250.00 2.00 6,633,250.00
46 Microscope Binoculer dengan Lensa Obyektif Plan 2017 1.00 34,298,000.00 1.00 34,298,000.00
47 Sterilisator Kering/Dry 2017 1.00 19,850,000.00 1.00 19,850,000.00
48 Glucose Stater Kit 2017 2.00 558,000.00 2.00 558,000.00
49 Steam Sterilizer 2017 1.00 1,811,926,155.00 1.00 1,811,926,155.00
x Alat-Alat Persenjataan / Keamanan 24.00 270,942,849.00 - - 1.00 26,061,640.00 25.00 297,004,489.00

1 02.10.02.02.13 0001-0004 Pemadam Kebakaran Pyromax APBD 2009 Baik 4.00 5,126,177.00 4.00 5,126,177.00
2 02.10.02.02.13 0001 CCTV DVR-XD1616DH7 APBD 2014 Baik 1.00 27,900,000.00 1.00 27,900,000.00
3 02.10.02.01.11 0010 Splitter Induksi Petir Thomas THOMAS APBDP 2015 Baik 1.00 93,922,574.00 1.00 93,922,574.00
4 02.10.02.01.11 0001-0009 A25 (Kamera Indoor) APBDP 2015 Baik 9.00 35,190,537.00 9.00 35,190,537.00
5 02.10.02.01.11 0010-0015 A30 (Kamera Outdoor) APBDP 2015 Baik 6.00 27,061,997.00 6.00 27,061,997.00
6 02.10.02.01.11 0016 N1600 (16 CH 720p real-time) / DVR APBDP 2015 Baik 1.00 26,969,019.00 1.00 26,969,019.00
7 02.10.02.01.11 0017 Kamera AHD speed dome APBDP 2015 Baik 1.00 48,047,242.00 1.00 48,047,242.00
8 02.10.02.01.11 0018 Key borad 3 dimensi APBDP 2015 Baik 1.00 6,725,303.00 1.00 6,725,303.00
9 Pekerjaan Pemasangan CCTV (Instalasi Access Control Dan CCTV Manajemen) terdiri dari : BLUD 2017 Baik 1.00 26,061,640.00 1.00 26,061,640.00
3 GEDUNG DAN BANGUNAN 4.00 77,972,125,600.00 - - - 114,174,399.00 4.00 78,086,299,999.00
a Bangunan Gedung 3.00 77,779,571,900.00 - - - 98,551,649.00 3.00 77,878,123,549.00

1 03.11.01.01.01 0002 Bangunan Gedung Kantor Permanen Bertingkat Pembelian 1963 80,440 Baik 1.00 75,287,275,500.00 1.00 75,287,275,500.00
2 03.11.01.01.01 0003 Bangunan Gedung Kantor Permanen Tidak Pembelian 1997 2,200 Baik 1.00 2,136,954,200.00 1.00 2,136,954,200.00
3 03.11.01.01.04 0004 Bangunan Gedung Kantor Lain-lain Tidak Pembelian 2015 Baik 1.00 355,342,200.00 1.00 355,342,200.00
4 Terali Ruang Outdoor AC Central 2017 Baik 12,650,000.00 - 12,650,000.00
5 Terali jendela ruang direktur 2017 Baik 6,957,500.00 - 6,957,500.00

6 Landscape Taman Dan Area Parkir BLUD 2017 Baik 78,944,149.00 78,944,149.00
b Monumen
c Bangunan Menara 1.00 192,553,700.00 15,622,750 1 208,176,450
7 03.11.01.01.04 0001 (Bangunan Pagar) Pembuatan pagar t Tidak APBDP 2016 Baik 1.00 192,553,700.00 1.00 192,553,700.00
8 Pagar Terali teras ruang IPAL + Pintu 2017 Baik 6,957,500.00 - 6,957,500.00
9 Pagar Terali samping gudang mushalla 2017 Baik 2,972,750.00 - 2,972,750.00
10 Pagar terali ruang mesin Cold Storage + Pintu 2017 Baik 5,692,500.00 - 5,692,500.00
d Tugu Titik Kontrol/Pasti
4 JALAN, JARINGAN DAN IRIGASI 4.00 474,222,760.00 - - 1.00 103,558,714.00 5.00 577,781,474.00
a Jalan dan Jembatan
b Bangunan Air
c Instalasi 3.00 469,294,160.00 - - 1.00 103,558,714.00 4.00 572,852,874.00

Pengadaan Pemasangan Instalasi air
1 - 0001 APBDP 2007 Baik 1.00 81,390,720.00 1.00 81,390,720.00
bersih
2 04.14.01.02.07 0001 Pembuatan Sumur Dalam APBD 2016 Baik 1.00 197,851,000.00 1.00 197,851,000.00
3 - 0001 Instalasi gas medik APBDP 2007 Baik 1.00 190,052,440.00 1.00 190,052,440.00
UKURAN
BARANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
4 Intalasi Jaringan Saluran IPAL BLUD 2017 Baik 1.00 103,558,714.00 1.00 103,558,714.00
d Jaringan 1.00 4,928,600.00 - - - - 1.00 4,928,600.00
1 04.15.09.01.02 0001 Anti petir PABX APBDP 2016 Baik 1.00 4,928,600.00 1.00 4,928,600.00
5 ASET TETAP LAINNYA 2.00 10,546,000.00 - - - - 2.00 10,546,000.00
a Bahan Perpustakaan 2.00 10,546,000.00 - - - - 2.00 10,546,000.00
1 Pengadaan buku-buku kesehatan dan manajemen rumah 2016 Paket Baik 1.00 4,896,000.00 1.00 4,896,000.00
2 Buku Perundang-Undangan (18 Jenis) 2016 Paket Baik 1.00 5,650,000.00 1.00 5,650,000.00
b Barang Bercorak Kesenian/Kebudayaan/Olahraga
c Hewan
d Ikan
e Tanaman
f Barang Koleksi Non Budaya
g Aset Tetap Dalam Renovasi
6 KONSTRUKSI DALAM PENGERJAAN 1.00 737,000,000.00 - - - - 1.00 737,000,000.00

1 Penyusunan Dokumen evaluasi fisik dan study kelay 2016 2016 Baik 1.00 737,000,000.00 1.00 737,000,000.00
TOTAL 4,003.00 129,483,727,174.10 - - 423.00 8,976,778,014.00 4,426.00 138,460,505,188.10
APBD 292 7,862,984,030.00
Pekanbaru, 08 Maret 2017 BLUD 131 1,113,793,984.00
Penanggung jawab, 423 8,976,778,014.00
PENGGUNA BARANG PENGURUS BARANG - -
4,426.00 138,460,505,188.10
- -
NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022 tanah 6,200,000,000.00 6,200,000,000.00 -
peraltan mesin 41,972,715,070.10 41,972,715,070.10 0.00

PROVINSI : Riau
SPES
NO KODE BARANG REGISTER
NAMA / JENIS BARANG BARANG MERK / TYPE
1 2 3 4 5
TANAH
1
2
PERALATAN MESIN
1
2
GEDUNG DAN BANGUNAN
1
2
JALAN, JARINGAN DAN IRIGASI
1
2
ASET TETAP LAINNYA
1
2
KONSTRUKSI DALAM PENGERJAAN
1
2
Penanggungjawab,
PENGGUNA BARANG

NIP. 19680808 200212 2 004
DAFTAR MUTASI BARANG
TAHUN 2017
SPESIFIKASI
NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI
6 7 8 9 10 11
DAFTAR MUTASI BARANG
TAHUN 2017
UKURAN
JUMLAH AWAL
BARANG /
KONDISI 31 DESEMBER
ASAL / CARA TAHUN KONSTRUK
SATUAN 2016 / 30 JUNI 2017
PEROLEHAN PEROLEHAN SI
P, SP, D /
B, KB, RB UNIT RUPIAH
M2 / CC
12 13 14 15 16 17 18
JUMLAH AKHIR
MUTASI PERUBAHAN 30 JUNI 2017 / 31
DESEMBER 2017 KETERANGAN
BERKURANG BERTAMBAH
UNIT RUPIAH
UNIT RUPIAH UNIT RUPIAH
19 20 21 22 23 24 25

PENGURUS BARANG
AKMAL BUDIARSA, AMF

NIP. 19850923 201001 1 022
PROVINSI : Riau
KELOMPOK
RINCIAN
OBJEK
OBJEK
JENIS
AKUN
1 2 3 4 5
1 3 1
1 3 1 01
1 3 1 01 01
1 3 1 01 02
1 3 1 01 03
1 3 2
1 3 2 01
1 3 2 01 01
1 3 2 01 02
1 3 2 01 03
1 3 2 02
1 3 2 02 01
1 3 2 02 02
1 3 2 02 03
1 3 2 02 04
1 3 2 02 05
1 3 2 03
1 3 2 03 01
1 3 2 03 02
1 3 2 03 03
1 3 2 04
1 3 2 04 01
1 3 2 05
1 3 2 05 01
1 3 2 05 02
1 3 2 05 03
1 3 2 06
1 3 2 06 01
1 3 2 06 02
1 3 2 06 03
1 3 2 06 04
1 3 2 07
1 3 2 07 01
1 3 2 07 02
1 3 2 08
1 3 2 08 01
1 3 2 08 02
1 3 2 08 03
1 3 2 08 04
1 3 2 08 05
1 3 2 08 06
1 3 2 08 07
1 3 2 08 08
1 3 2 08 09
1 3 2 09
1 3 2 09 01
1 3 2 09 02
1 3 2 09 03
1 3 2 09 04
1 3 2 10
1 3 2 10 01
1 3 2 10 02
1 3 2 11
1 3 2 11 01
1 3 2 11 02
1 3 2 12
1 3 2 12 01
1 3 2 12 02
1 3 2 13
1 3 2 13 01
1 3 2 13 02
1 3 2 13 03
1 3 2 14
1 3 2 14 01
1 3 2 14 02
1 3 2 15
1 3 2 15 01
1 3 2 15 02
1 3 2 15 03
1 3 2 15 04
1 3 2 16
1 3 2 16 01
1 3 2 17
1 3 2 17 01
1 3 2 18
1 3 2 18 01
1 3 2 18 02
1 3 2 18 03
1 3 2 19
1 3 2 19 01
1 3 3
1 3 3 01
1 3 3 01 01
1 3 3 01 02
1 3 3 02
1 3 3 02 01
1 3 3 03
1 3 3 03 01
1 3 3 04
1 3 3 04 01
1 3 4
1 3 4 01
1 3 4 01 01
1 3 4 01 02
1 3 4 02
1 3 4 02 01
1 3 4 02 02
1 3 4 02 03
1 3 4 02 04
1 3 4 02 05
1 3 4 02 06
1 3 4 02 07
1 3 4 03
1 3 4 03 01
1 3 4 03 02
1 3 4 03 03
1 3 4 03 04
1 3 4 03 05
1 3 4 03 06
1 3 4 03 07
1 3 4 03 08
1 3 4 03 09
1 3 4 03 10
1 3 4 04
1 3 4 04 01
1 3 4 04 02
1 3 4 04 03
1 3 4 04 04
1 3 5
1 3 5 01
1 3 5 01 01
1 3 5 01 02
1 3 5 01 03
1 3 5 01 04
1 3 5 01 05
1 3 5 01 06
1 3 5 01 07
1 3 5 02
1 3 5 02 01
1 3 5 02 02
1 3 5 02 03
1 3 5 03
1 3 5 03 01
1 3 5 03 02
1 3 5 03 03
1 3 5 04
1 3 5 04 01
1 3 5 04 02
1 3 5 04 03
1 3 5 04 04
1 3 5 04 05
1 3 5 04 06
1 3 5 04 07
1 3 5 04 08
1 3 5 04 09
1 3 5 04 10
1 3 5 05
1 3 5 05 01
1 3 5 06
1 3 5 06 01
1 3 5 07
1 3 5 07 01
1 3 6
1 3 6 01
1 3 6 01 01
Penanggungjawab,
PENGGUNA BARANG

NIP. 19680808 200212 2 004
REKAPIT
RSUD PETALA BUMI

Riau
URAIAN
Tanah
Tanah
Tanah Persil
Tanah Non Persil
Lapangan
Peralatan dan Mesin

Alat-Alat Besar
Alat-Alat Besar Darat
Alat-Alat Besar Apung
Alat-Alat Bantu
Alat-Alat Angkutan
Alat Angkutan Darat Bermotor
Alat Angkutan Darat Tak Bermotor
Alat Angkut Apung Bermotor
Alat Angkut Apung Tak Bermotor
Alat Angkut Bermotor Udara
Alat Bengkel dan Alat Ukur
Alat Bengkel Bermesin
Alat Bengkel Tak Bermesin
Alat Ukur
Alat Pertanian
Alat Pengolahan
Alat Kantor dan Rumah Tangga
Alat Kantor
Alat Rumah Tangga
Meja dan Kursi Kerja / Rapat Pejabat
Alat Studio, Komunikasi dan Pemancar
Alat Studio
Alat Komunikasi
Peralatan Pemancar
Peralatan Komunikasi Navigasi
Alat Kedokteran dan Kesehatan
Alat Kedokteran
Alat Kesehatan Umum
Alat Laboratorium
Unit Alat Laboratorium
Unit Alat Laboratorium Kimia Nuklir
Alat Peraga Praktek Sekolah
Alat Laboratorium Fisika Nuklir / Elektronika
Alat Proteksi Radiasi / Proteksi Lingkungan
Radiation Application and Non Destructive Testing Laboratory Lainnya (BATAM)
Alat Laboratorium Lingkungan Hidup
Peralatan Laboratorium Hidrodinamika
Alat Laboratorium Standarisasi Kalibrasi dan Instrumentasi
Alat Persenjataan
Senjata Api
Persenjataan Non Senjata Api
Senjata Sinar
Alat Khusus Kepolisian
Komputer
Komputer Unit
Peralatan Komputer
Alat Eksplorasi
Alat Eksplorasi Topografi
Alat Eksplorasi Geofisika
Alat Pengeboran
Alat Pengeboran Mesin
Alat Pengeboran Non Mesin
Alat Produksi, Pengolahan dan Pemurnian
Sumur
Produksi
Pengolahan dan Pemurnian
Alat Bantu Eksplorasi
Alat Bantu Eksplorasi
Alat Bantu Produksi
Alat Keselamatan Kerja
Alat Deteksi
Alat Pelindung
Alat SAR
Alat Kerja Penerbangan
Alat Peraga
Alat Peraga Pelatihan dan Percontohan
Peralatan Proses/Produksi
Unit Peralatan Proses/Produksi
Rambu-Rambu
Rambu-Rambu Lalu Lintas Darat
Rambu-Rambu Lalu Lintas Udara
Rambu-Rambu Lalu Lintas Laut
Peralatan Olahraga
Peralatan Olahraga
Gedung dan Bangunan

Bangunan Gedung
Bangunan Gedung Tempat Kerja
Bangunan Gedung Tempat Timggal
Monumen
Candi/Tugu Peringatan/Prasasti
Bangunan Menara
Bangunan Menara Perambulan
Tugu Titik Kontrol/Pasti
Tugu/Tanda Batas
Jalan, Jaringan dan Irigasi

Jalan dan Jembatan
Jalan
Jembatan
Bangunan Air
Bangunan Air Irigasi
Bangunan Pengairan Pasang Surut
Bangunan Air Pengembangan Rawa dan Poder
Bangunan Pengaman Sungai/Pantai dan Penanggulan Bencana Alam
Bangunan Pengembangan Sumber Air dan Air Tanah
Bangunan Air Bersih/Air Baku
Bangunan Air Kotor
Instalasi
Instalasi Air Bersih/Air Baku
Instalasi Air Kotor
Instalasi Pengolahan Sampah
Instalasi Pengolahan Bahan Bangunan
Instalasi Pembangkit Listrik
Instalasi Gardu Listrik
Instalasi Pertahanan
Instalasi Gas
Instalasi Pengaman
Instalasi Lain
Jaringan
Jaringan Air Minum
Jaringan Listrik
Jaringan Telepon
Jaringan Gas
Aset Tetap Lainya
Bahan Perpustakaan
Bahan Perpustakaan Tercetak
Bahan Perpustakaan Terekamdan Bentuk Mikro
Kartografi, Naskah dan Lukisan
Musik
Karya Grafika (Graphic Material)
Three Dimensional Artefacs and Realita
Tarscalt
Barang Bercorak Kesenian/Kebudayaan/Olahraga
Barang Bercorak Kesenian
Alat Bercorak Kebudayaan
Tanda Penghargaan
Hewan
Hewan Piaraan
Ternak
Hewan Lainnya
Biota Perairan/Ikan
Ikan Bersirip (Pisces)
Crustea (Udang, Rajungan, Kepiting dan Sebangsanya)
Mollusca (Kerang, Tiram, Cumi-Cumi, Gurita, Siput dan Sebangsanya)
Coelenterata (Ubur-Ubur dan Sebangsanya)
Echinodermata (Tripang, Bulu Babi dan Sebangsanya)
Amphibia (Kodok dan Sebangsanya)
Reptilia (Buaya, Penyu, Kura-Kura, Biawak, Ular Air dan Sebangsanya)
Mammalia (Paus, Lumba-Lumba, Pesut, Duyung dan Sebangsanya)
Algae (Rumput Laut dan Tumbuh-Tumbuhan Lain Yang Hidup Di Dalam Air)
Biota Perairan Lainnya

Tanaman
Tanaman
Barang Koleksi Non Budaya
Aset Tetap Dalam Renovasi
Konstruksi Dalam Pengerjaan

Penanggungjawab,
PENGGUNA BARANG

NIP. 19680808 200212 2 004
REKAPITULASI DAFTAR MUTASI BARANG
TAHUN 2017
KONDISI AWAL MUTASI

PER 31 DESEMBER 2016 / 30 JUNI
BERKURANG BERTAMBAH
2017
UNIT NILAI UNIT NILAI UNIT
7 8 9 10 11
1 6,200,000,000.00
1 6,200,000,000.00
1 6,200,000,000.00
3991 44,089,832,814.10 422.00

0
9 1,807,138,484.10
9 1,807,138,484.10
65 101,686,747.00 12.00
19 49,108,900.00 7.00
27 18,843,900.00 3.00
19 33,733,947.00 2.00
0
2077 9,841,921,625.23 126.00

156 1,050,306,418.07 4.00
1621 8,419,597,906.86 98.00
300 372,017,300.30 24.00
82 315,534,504.91
50 229,231,390.91
32 86,303,114.00
1337 26,936,762,070.81 228.00
1213 25,838,468,505.81 168.00
124 1,098,293,565.00 60.00
35 2,953,111,162.36 27.00
35 2,953,111,162.36 27.00
24 270,942,849.00 1.00
24 270,942,849.00 1.00
362 1,862,735,370.69 28.00

141 1,221,442,632.30 14.00
221 641,292,738.39 14.00
0
0
0
4 77,972,125,600.00
3 77,779,571,900.00
3 77,779,571,900.00
1 192,553,700.00
1 192,553,700.00
0
4 474,222,760.00 1.00
0
3 469,294,160.00 1.00
3 469,294,160.00 1.00
1 4,928,600.00
1 4,928,600.00
2 10,546,000.00
2 10,546,000.00
2 10,546,000.00
1 737,000,000.00
1 737,000,000.00
1 737,000,000.00
4,003.00 129,483,727,174.10 423.00
4,003.00 129,483,727,174.10 - - 423.00
- - - - -
Pekanbaru, 08 Ma
PENGURUS BA
AKMAL BUDIARS
NIP. 19850923 201
TASI KONDISI AKHIR
PER 30 JUNI 2017 / 31 DESEMBER
BERTAMBAH 2017 KETERANGAN
NILAI UNIT NILAI
12 13 14 15
1.00 6,200,000,000.00
1.00 6,200,000,000.00
1.00 6,200,000,000.00
8,759,044,901.00 4,413.00 52,848,877,715.10
9.00 1,807,138,484.10
9.00 1,807,138,484.10
235,040,791.00 77.00 336,727,538.00

221,020,791.00 26.00 270,129,691.00
4,220,000.00 30.00 23,063,900.00
9,800,000.00 21.00 43,533,947.00
1,226,450,140.00 2,203.00 11,068,371,765.23

7,220,480.00 160.00 1,057,526,898.07
1,078,526,751.00 1,719.00 9,498,124,657.86
140,702,909.00 324.00 512,720,209.30
82.00 315,534,504.91
50.00 229,231,390.91
32.00 86,303,114.00
4,627,136,927.00 1,565.00 31,563,898,997.81
4,187,801,887.00 1,381.00 30,026,270,392.81
439,335,040.00 184.00 1,537,628,605.00
2,391,603,924.00 62.00 5,344,715,086.36
2,391,603,924.00 62.00 5,344,715,086.36
26,061,640.00 25.00 297,004,489.00
26,061,640.00 25.00 297,004,489.00
252,751,479.00 390.00 2,115,486,849.69

183,792,599.00 155.00 1,405,235,231.30
68,958,880.00 235.00 710,251,618.39
114,174,399.00 4.00 78,086,299,999.00
98,551,649.00 3.00 77,878,123,549.00
98,551,649.00 3.00 77,878,123,549.00
15,622,750.00 1.00 208,176,450.00

15,622,750.00 1.00 208,176,450.00
103,558,714.00 5.00 577,781,474.00
103,558,714.00 4.00 572,852,874.00

103,558,714.00 4.00 572,852,874.00
1 4,928,600.00
1 4,928,600.00
2 10,546,000.00
2 10,546,000.00
2 10,546,000.00
1 737,000,000.00
1 737,000,000.00
1 737,000,000.00
8,976,778,014.00 4,426.00 138,460,505,188.10
8,976,778,014.00 4,426.00 138,460,505,188.10
- - -
PENGURUS BARANG
AKMAL BUDIARSA, AMF
NIP. 19850923 201001 1 022
422 8759044901 4413 52848877715.0977
- - - -
422.00 8,759,044,901.00 4,413.00 52,848,877,715.10
RINCIAN MUTASI BMD ANTAR PENGGUNA BARANG
SEMESTER II
TAHUN 2017

PROVINSI : Riau
UKURAN
BARANG /
SPESIFIKASI KONDISI JUMLAH MUTASI DARI MUTASI KE
NO KODE BARANG REGISTER SI SATUAN PENGGUNA PENGGUNA KETERANGAN
PEROLEHAN PEROLEHAN
BARANG BARANG
P, SP, D /
NAMA / JENIS BARANG BARANG MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI B, KB, RB UNIT RUPIAH
M2 / CC
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
NIHIL
1

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
RINCIAN REKLASIFIKASI ANTAR JENIS ASET
SEMESTER II
TAHUN 2017

PROVINSI : Riau
UKURAN
BARANG /
SPESIFIKASI KONDISI JUMLAH REKLASIFIKASI DASAR
NO KODE BARANG REGISTER SI SATUAN DOKUMEN KETERANGAN
PEROLEHAN PEROLEHAN
REKLASIFIKASI
P, SP, D /
NAMA / JENIS BARANG BARANG MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI B, KB, RB UNIT RUPIAH AWAL AKHIR
M2 / CC
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
NIHIL
-

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
RINCIAN REKLASIFIKASI ANTAR JENIS ASET TETAP
SEMESTER II
TAHUN 2017

PROVINSI : Riau
UKURAN
BARANG /
SPESIFIKASI KONDISI JUMLAH REKLASIFIKASI
NO KODE BARANG REGISTER SI SATUAN KETERANGAN
PEROLEHAN PEROLEHAN
P, SP, D / AWAL AKHIR
NAMA / JENIS BARANG BARANG MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI B, KB, RB UNIT RUPIAH
M2 / CC (A,B,C,D,E,F) (A,B,C,D,E,F)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
NIHIL
1

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
RINCIAN REKLASIFIKASI KE ASET TAK BERWUJUD
SEMESTER II
TAHUN 2017

PROVINSI : Riau
UKURAN
BARANG /
ASAL / CARA TAHUN KONDISI JUMLAH
NO KODE BARANG REGISTER NAMA / JENIS BARANG BARANG MERK / TYPE SPESIFIKASI KONSTRUK SATUAN KETERANGAN
PEROLEHAN PEROLEHAN
SI
P, SP, D /
B, KB, RB UNIT RUPIAH
M2 / CC
1 2 3 4 5 6 12 13 14 15 16 17 18 19
NIHIL
1

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR PEMELIHARAAN BARANG

PROVINSI : Riau
DPA - OPD BAST KWITANSI / SP2D JUMLAH

NO JENIS BARANG URAIAN PEMELIHARAAN NAMA BMD YG DIPELIHARA LOKASI KETERANGAN
REKENING NAMA KEGIATAN NOMOR TANGGAL NOMOR TANGGAL UNIT HARGA SATUAN TOTAL HARGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 TANAH - - -
a
2 PERALATAN MESIN 549.00 260,165,980.00 329,642,580.00

a Peralatan Kantor - - -
b Alat Kantor Lainnya 20.00 16,950,000.00 19,650,000.00
Spare part : IC rate array, IC kontrol,

Service dan suku cadang UPS Pemeliharaan Rutin/Berkala Transistor, Diode, IC Chips, IC bias, JL. DR. SOETOMO
1 5.2.2.03.13 00966 17-Nov-17 1 1,350,000.00 1,350,000.00
ruang server SIM-RS Perlengkapan Gedung Kantor Elco, trafo bias, Trafo reg, Varistor, NO.65 PEKANBARU
Mika Resistance
Spare part : service trafo konvert (Roll

00966 17-Nov-17 2 2,300,000.00 4,600,000.00
dan Insulasi)
Jasa service : Ongkos service (termasuk

00966 17-Nov-17 1 1,250,000.00 1,250,000.00
antar jemput barang)
Service dan suku cadang printer Pemeliharaan Rutin/Berkala JL. DR. SOETOMO
2 5.2.2.03.13 00967 17-Nov-17 1 1,350,000.00 1,350,000.00 Spare part : IC prosesor
mesin antrian Perlengkapan Gedung Kantor NO.65 PEKANBARU
00967 17-Nov-17 1 1,850,000.00 1,850,000.00 Spare part : IC mikrokontroller
00967 17-Nov-17 2 150,000.00 300,000.00 Spare part : LED sensor
00967 17-Nov-17 1 400,000.00 400,000.00 Spare part : Filamen
00967 17-Nov-17 1 1,400,000.00 1,400,000.00 Spare part : Board receive
00967 17-Nov-17 1 300,000.00 300,000.00 Jasa Service : Ongkos service
Jasa service dan suku cadang

Pemeliharaan Rutin/Berkala JL. DR. SOETOMO
3 mesin antrian untuk RSUD 5.2.2.03.13 01136 11-Dec-17 1 1,250,000.00 1,250,000.00 IC micro 16bit
Perlengkapan Gedung Kantor NO.65 PEKANBARU
Petala Bumi
01136 11-Dec-17 1 1,900,000.00 1,900,000.00 IC sound prosesor
01136 11-Dec-17 1 600,000.00 600,000.00 IC memori
01136 11-Dec-17 3 125,000.00 375,000.00 IC power
01136 11-Dec-17 1 75,000.00 75,000.00 Diode dan resistance
01136 11-Dec-17 1 2,250,000.00 2,250,000.00 Inject program dan data voice
01136 11-Dec-17 1 400,000.00 400,000.00 Ongkos service
JL. DR. SOETOMO

NO.65 PEKANBARU
c Peralatan Rumah Tangga 461.00 117,783,500.00 179,824,100.00

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Belanja service dan suku Pemeliharaan Rutin/Berkala JL. DR. SOETOMO

1 5.2.2.03.13 00511 24-Jul-17 1 300,000.00 300,000.00 Biaya pembongkaran mesin air
cadang mesin air Perlengkapan Gedung Kantor NO.65 PEKANBARU
00511 24-Jul-17 1 500,000.00 500,000.00 Biaya pemeriksaan mesin
Biaya suku cadang pompa sumur

dalam/submersible pump : 3 hp daya
00511 24-Jul-17 1 13,500,000.00 13,000,000.00
2.2 kw, max head 84m, kabel tembaga
super label SNI 3x2,5mm
00511 24-Jul-17 1 5,000,000.00 5,000,000.00 Biaya instalasi dan pemasangan
Pembayaran belanja service dan Pemeliharaan Rutin/Berkala Perbaikan televisi ruang rawat inap DP- JL. DR. SOETOMO
2 5.2.2.03.13 00530 25-Jul-17 2 450,000.00 900,000.00
suku cadang jaringan televisi Perlengkapan Gedung Kantor 2 dan DP-5 NO.65 PEKANBARU
Belanja Jasa Service Peralatan Pemeliharaan Rutin/Berkala Pemasangan Bracket TV Ruangan JL. DR. SOETOMO
3 5.2.2.03.13 00137 5-Apr-17 1 1,092,700.00 1,092,700.00
dan Perlengkapan Kantor Perlengkapan Gedung Kantor Direktur NO.65 PEKANBARU
150,000.00 Upah pasang
Belanja bahan kelengkapan

4 teknisi mesin (kelengkapan AC) 5.2.2.01.16 4 50,000.00 200,000.00 HCB 10 Ampere
Peralatan Gedung Kantor NO.65 PEKANBARU
split untuk bulan januari 2017
1 250,000.00 250,000.00 Ganti offer loud

5 80,000.00 400,000.00 Pipa tembaga 1/4 x 1/2
1 300,000.00 300,000.00 Kapasitor
10 25,000.00 250,000.00 Kabel
Jasa service dan perbaikan

pekerjaan pemeliharaan
Jasa perbaikan compressor AC R. JL. DR. SOETOMO
5 rutin/berkala air conditioner 5.2.2.03.13 00118 31-Mar-2017 1 484,500.00 484,500.00
Radiologi NO.65 PEKANBARU
dilingkungan RSUD Petala Bumi
untuk bulan Februari TA 2017
Jasa perbaikan fan motor outdoor AC 2

1 336,600.00 336,600.00
PK R. Farmasi
Jasa bongkar outdoor AC yang rusak

2 102,000.00 204,000.00
(lokasi halaman parkir ambulance)
2 81,600.00 163,200.00 R. Kasir Cuci AC split

1 81,600.00 81,600.00 R. Penyimpanan Alkes Cuci AC split
3 81,600.00 244,800.00 R. Medical Record Cuci AC split
1 81,600.00 81,600.00 R. Logistik Cuci AC split
1 81,600.00 81,600.00 Mushalla Cuci AC split
1 81,600.00 81,600.00 R. Instalasi Gizi Cuci AC split
2 81,600.00 163,200.00 R. CSSD Cuci AC split
6 81,600.00 489,600.00 R. Tata Usaha Cuci AC split
1 81,600.00 81,600.00 R. Farmasi Cuci AC split
1 510,000.00 510,000.00 Service AC Central (R. IGD)
Bongkar + Pasang AC (R. Mushalla ke
1 459,000.00 459,000.00
R. Kasir)
1 357,000.00 357,000.00 Tambah freon AC Control
5 153,000.00 765,000.00 Tambah freon AC Split
Penggantian suku cadang AC Pemeliharaan Rutin/Berkala Suku cadang compressor AC 2PK R. Penggantian suku
6 5.2.2.01.16 1 2,801,700.00 2,801,700.00
untuk bulan februari 2017 Peralatan Gedung Kantor Radiologi cadang
Suku cadang fan motor outdoor AC Penggantian suku

1 900,900.00 900,900.00
2PK R. Farmasi cadang
Penggantian suku
20 93,500.00 1,870,000.00 Suku cadang pipa AC 2PK
cadang
Penggantian suku
20 25,300.00 506,000.00 Suku cadang kabel pipa AC 2PK
cadang
Penggantian suku
3 82,500.00 247,500.00 Suku cadang MCB
cadang
Suku cadang pipa pembuangan + Penggantian suku
5 82,500.00 412,500.00
elbow + klem cadang

7 Bahan kelengkapan AC 5.2.2.01.16 00775 9-Sep-2017 1 3,003,000.00 3,003,000.00 Talang AC central ruang OK
00775 9-Sep-2017 1 192,500.00 192,500.00 Sensor AC ruang komite medik

00775 9-Sep-2017 1 269,500.00 269,500.00 Overload AC ruang poli tindakan
00775 9-Sep-2017 1 1,980,000.00 1,980,000.00 Kompresor AC ruang perina
00775 9-Sep-2017 1 385,000.00 385,000.00 Kapasitor fan motor AC ruang PONEK
Belanja jasa service peralatan
8 dan perlengkapan kantor (Mesin 5.2.2.03.13 00777 9-Sep-2017 1 850,000.00 850,000.00 Biaya service mesin cuci
cuci & Dryer)
00777 9-Sep-2017 1 630,000.00 630,000.00 Biaya service mesin dryer
Penggantian selenoid water valve 3 way
00777 9-Sep-2017 1 4,800,000.00 4,800,000.00
electric heating
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Belanja bahan kelengkapan Pemeliharaan Rutin/Berkala Tambah freon AC Split (R. DM 14, DM JL. DR. SOETOMO
9 5.2.2.01.16 00192 26-Apr-2017 5 150,000.00 750,000.00
teknis mesin (kelengkapan AC) Peralatan Gedung Kantor 13, DM 1, DM 3, DM 5) NO.65 PEKANBARU
Pasang armaplex + balut pipa AC

00192 26-Apr-2017 5 100,000.00 500,000.00
(Samp. Laundry)
00192 26-Apr-2017 2 75,000.00 150,000.00 Paralon + elbow + T
00192 26-Apr-2017 1 50,000.00 50,000.00 Stop kontak

Pemeliharaan Rutin/Berkala Ganti kompresor AC 2PK (R. Dang JL. DR. SOETOMO
10 teknis mesin (kelengkapan AC) 5.2.2.01.16 00193 26-Apr-2017 2 2,800,000.00 5,600,000.00
Peralatan Gedung Kantor purnama 7 & 2) NO.65 PEKANBARU
untuk bulan maret 2017
Ganti kapasitor (R. Dang merdu lt 3 +

00193 26-Apr-2017 2 350,000.00 700,000.00
R. perawat)
00193 26-Apr-2017 1 350,000.00 350,000.00 Ganti overload 2PK R. Dang purnama 6
00193 26-Apr-2017 1 75,000.00 75,000.00 Ganti MCB 2PK R. Dang purnama 6
AC central 10PK lt. 3 (perbaiki tidak

00193 26-Apr-2017 1 1,500,000.00 1,500,000.00
dingin + isi freon full)
00193 26-Apr-2017 1 350,000.00 350,000.00 AC central 10PK (R. IGD tambah freon)
00193 26-Apr-2017 1 350,000.00 350,000.00 MCB 3phase AC 10PK
Belanja bahan kelengkapan Pemeliharaan Rutin/Berkala JL. DR. SOETOMO

11 5.2.2.01.16 00425 14-Jun-2017 16 150,000.00 2,400,000.00 Tambah freon split
teknis mesin (kelengkapan AC) Peralatan Gedung Kantor NO.65 PEKANBARU
00425 14-Jun-2017 7 300,000.00 2,100,000.00 AC split ganti overload

00425 14-Jun-2017 2 2,800,000.00 5,600,000.00
Ganti kompresor 2PK diruang persediaan dan DM 13
00425 14-Jun-2017 3 250,000.00 750,000.00 Bola & BHC 250 watt
00425 14-Jun-2017 2 750,000.00 1,500,000.00 Ganti ducting

12 Bahan kelengkapan AC 5.2.2.01.16 00639 12-Aug-2017 1 458,000.00 458,000.00 Sensor indoor AC kabid. Keperawatan
00639 12-Aug-2017 1 330,000.00 330,000.00 Kapasitor AC ruang dokter Lt.2

00639 12-Aug-2017 1 194,000.00 194,000.00 Thermistor AC ruang apotik
00639 12-Aug-2017 1 600,000.00 600,000.00 Fan motor indoor AC ruang apotik

13 Bahan kelengkapan AC 5.2.2.01.16 00972 17-Nov-2017 1 80,000.00 80,000.00 Mata sensor AC DP 6
00972 17-Nov-2017 1 45,000.00 45,000.00 MCB AC DP 5

14 Bahan kelengkapan AC 5.2.2.01.16 00973 17-Nov-2017 2 75,000.00 150,000.00 Tambah freon AC perinatologi

15 Bahan kelengkapan AC 5.2.2.01.16 00974 17-Nov-2017 1 935,000.00 935,000.00 Freon AC central IGD
00974 17-Nov-2017 1 1,795,200.00 1,795,200.00 Expansi valve AC central IGD

16 Bahan kelengkapan AC 5.2.2.01.16 00975 17-Nov-2017 1 150,000.00 150,000.00 Freon AC Bangsal Bedah

17 Bahan kelengkapan AC 5.2.2.01.16 00976 17-Nov-2017 1 80,000.00 80,000.00 Mata sensor AC DP 6
00976 17-Nov-2017 1 150,000.00 150,000.00 Kapasitor motor AC Ruang Bidan
Pemeliharaan Rutin/Berkala Perbaikan pipa AC bocor Bangsal JL. DR. SOETOMO

18 Bahan kelengkapan AC 5.2.2.01.16 00977 17-Nov-2017 1 120,000.00 120,000.00
Peralatan Gedung Kantor Bedah NO.65 PEKANBARU
Belanja bahan kelengkapan Pemeliharaan Rutin/Berkala JL. DR. SOETOMO

19 5.2.2.01.16 01261 28-Dec-2017 1 2,420,000.00 2,420,000.00
Penggantian kompresor AC ruang perawat bangsal bedah
teknisi mesin (AC) Peralatan Gedung Kantor NO.65 PEKANBARU
AC ruangan dokter
01261 28-Dec-2017 1 2,420,000.00 2,420,000.00 Penggantian compressor
kebidanan lantai 2
AC ruangan dokter
01261 28-Dec-2017 1 204,600.00 204,600.00 Overload protector
kebidanan lantai 2
AC ruangan Medical
01261 28-Dec-2017 1 2,420,000.00 2,420,000.00 Penggantian compressor
Record
AC ruangan Medical
01261 28-Dec-2017 1 204,600.00 204,600.00 Overload protector
Record
01261 28-Dec-2017 1 9,075,000.00 9,075,000.00 Penggantian compressor AC central lantai 3
01261 28-Dec-2017 1 1,498,200.00 1,498,200.00 Overload protector AC central lantai 4
01261 28-Dec-2017 1 690,800.00 690,800.00 Kipas outdoor AC central lantai 5

20 Service berkala AC 5.2.2.03.13 00987 17-Nov-2017 11 82,500.00 907,500.00 Cuci AC split ruang TU
00987 17-Nov-2017 2 82,500.00 165,000.00 Cuci AC split ruang Mushalla

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
00987 17-Nov-2017 2 82,500.00 165,000.00 Cuci AC split ruang Gizi

00987 17-Nov-2017 2 82,500.00 165,000.00 Cuci AC split ruang Logistik
00987 17-Nov-2017 3 82,500.00 247,500.00 Cuci AC split ruang Gudang Farmasi
00987 17-Nov-2017 2 82,500.00 165,000.00 Cuci AC split ruang CSSD

00987 17-Nov-2017 2 82,500.00 165,000.00 Cuci AC split ruang Radiologi
00987 17-Nov-2017 3 82,500.00 247,500.00 Cuci AC split ruang Apotek
00987 17-Nov-2017 1 82,500.00 82,500.00 Cuci AC split ruang Poli Tindakan
00987 17-Nov-2017 1 82,500.00 82,500.00 Cuci AC split ruang Fisioterapi
00987 17-Nov-2017 1 82,500.00 82,500.00 Cuci AC split ruang PKRS
00987 17-Nov-2017 3 82,500.00 247,500.00 Cuci AC split ruang MR
00987 17-Nov-2017 1 82,500.00 82,500.00 Cuci AC split ruang Poli Bedah
00987 17-Nov-2017 1 82,500.00 82,500.00 Cuci AC split ruang Syaraf
00987 17-Nov-2017 2 82,500.00 165,000.00 Cuci AC split ruang Penyakit Dalam
00987 17-Nov-2017 3 82,500.00 247,500.00 Cuci AC split ruang Poli Gigi
00987 17-Nov-2017 1 82,500.00 82,500.00 Cuci AC split ruang Poli Kebidanan
00987 17-Nov-2017 1 82,500.00 82,500.00 Cuci AC split ruang Poli THT

00987 17-Nov-2017 1 82,500.00 82,500.00 Cuci AC split ruang Poli Anak
00987 17-Nov-2017 1 82,500.00 82,500.00 Cuci AC split ruang Kasir

21 Service berkala AC 5.2.2.03.13 00988 17-Nov-2017 1 680,000.00 680,000.00 Penggantian compressor AC ruang DP 6

22 Service berkala AC 5.2.2.03.13 00776 9-Sep-2017 4 82,500.00 330,000.00 Service AC Ruang OK
00776 9-Sep-2017 4 82,500.00 330,000.00 Service AC Ruang DM 13, 10, 9 dan 8
00776 9-Sep-2017 1 275,000.00 275,000.00 Service AC Ruang kasir + freon

00776 9-Sep-2017 1 82,500.00 82,500.00 Service AC ruang BPJS
00776 9-Sep-2017 2 82,500.00 165,000.00 Service AC ruang Logistik
00776 9-Sep-2017 2 275,000.00 550,000.00 Service AC ruang apotik + freon
00776 9-Sep-2017 2 82,500.00 165,000.00 Service AC Mushalla
00776 9-Sep-2017 2 82,500.00 165,000.00 Service AC ruang Aula
00776 9-Sep-2017 7 82,500.00 577,500.00 Service AC ruang TU
00776 9-Sep-2017 2 82,500.00 165,000.00 Service AC ruang DP 1 & 3
00776 9-Sep-2017 1 275,000.00 275,000.00 Service AC ruang PONEK + freon
00776 9-Sep-2017 3 82,500.00 247,500.00 Service AC ruang Laboratorium
00776 9-Sep-2017 1 82,500.00 82,500.00 Service AC ruang Akreditasi
00776 9-Sep-2017 2 82,500.00 165,000.00 Service AC ruang EDP & ruang Panel
00776 9-Sep-2017 2 82,500.00 165,000.00 Service AC ruang rawat anak

Service AC ruang PDA pasien wanita +
00776 9-Sep-2017 1 275,000.00 275,000.00
freon
00776 9-Sep-2017 1 82,500.00 82,500.00 Service AC ruang perawat jaga PDA
00776 9-Sep-2017 1 82,500.00 82,500.00 Service AC ruang Poli Tindakan
00776 9-Sep-2017 1 935,000.00 935,000.00 Service AC central lantai III + freon
00776 9-Sep-2017 1 165,000.00 165,000.00 Pemasangan Drain AC di poli tindakan
Bongkar pasang AC dari ruangan kasir

00776 9-Sep-2017 1 440,000.00 440,000.00
ke ruangan fisioterapi
00776 9-Sep-2017 1 825,000.00 825,000.00 Repair talang AC central di OK
Pemeliharaan Rutin/Berkala Jasa perbaikan kompresor AC ruang JL. DR. SOETOMO

23 Service berkala AC 5.2.2.03.13 00989 17-Nov-2017 1 160,000.00 160,000.00
Peralatan Gedung Kantor DP 6 NO.65 PEKANBARU
Jasa service AC ruang kebidanan

00989 17-Nov-2017 1 75,000.00 75,000.00
(ruang dokter)

24 Service berkala AC 5.2.2.03.13 00990 17-Nov-2017 1 120,000.00 120,000.00 Capasitor AC ruang Poli Anak

25 Service berkala AC 5.2.2.03.13 00991 17-Nov-2017 1 650,000.00 650,000.00 Jasa perbaikan AC central IGD
Pemeliharaan Rutin/Berkala Perbaikan dan service AC ruang DP 6, JL. DR. SOETOMO

Peralatan Gedung Kantor DP 5, DP 7 dan ruang Dokter lantai 2 NO.65 PEKANBARU
Pemeliharaan Rutin/Berkala Jasa perbaikan dan service AC JL. DR. SOETOMO

Peralatan Gedung Kantor Perinatologi NO.65 PEKANBARU

28 Service berkala AC 5.2.2.03.13 00994 17-Nov-2017 1 80,000.00 80,000.00 Jasa perbaikan AC Poli Anak
Pemeliharaan Rutin/Berkala Service AC ruang DP 2, DP 6, ruang JL. DR. SOETOMO

Peralatan Gedung Kantor bidan dan ruang VK NO.65 PEKANBARU
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Service berkala Lift Periode Pemeliharaan Rutin/Berkala JL. DR. SOETOMO

30 5.2.2.03.13 01134 7-Dec-2017 2 2,500,000.00 5,000,000.00 Service berkala Lift
bulan Juni 2017 Peralatan Gedung Kantor NO.65 PEKANBARU

31 5.2.2.03.13 01133 7-Nov-2017 2 2,500,000.00 5,000,000.00 Service berkala Lift
bulan Juli 2017 Peralatan Gedung Kantor NO.65 PEKANBARU

bulan Agustus 2017 Peralatan Gedung Kantor NO.65 PEKANBARU

bulan September 2017 Peralatan Gedung Kantor NO.65 PEKANBARU

bulan Oktober 2017 Peralatan Gedung Kantor NO.65 PEKANBARU

bulan November 2017 Peralatan Gedung Kantor NO.65 PEKANBARU

bulan Desember 2017 Peralatan Gedung Kantor NO.65 PEKANBARU
Belanja Jasa Service Peralatan Pemeliharaan Rutin/Berkala JL. DR. SOETOMO

37 5.2.2.03.13 01262 28-Dec-2017 1 165,000.00 165,000.00 Pembongkaran saluran pipa AC ruang Logistik
dan Perlengkapan Kantor (AC) Peralatan Gedung Kantor NO.65 PEKANBARU
01262 28-Dec-2017 1 165,000.00 165,000.00 Biaya pemasangan + bobok jalur pipa
01262 28-Dec-2017 1 82,500.00 82,500.00 Jasa cuci AC

01262 28-Dec-2017 1 165,000.00 165,000.00 Pembongkaran pipa drain AC ruang CSSD
Biaya pemasangan + bobok jalur pipa
01262 28-Dec-2017 1 165,000.00 165,000.00
drain
01262 28-Dec-2017 1 220,000.00 220,000.00 Pembuatan ruang pembuangan drain
AC ruang Poli
01262 28-Dec-2017 1 165,000.00 165,000.00 Pembongkaran pipa drain
Tindakan
Biaya pemasangan + bobok jalur pipa
01262 28-Dec-2017 1 165,000.00 165,000.00
drain
01262 28-Dec-2017 1 220,000.00 220,000.00 Pembuatan ruang pembuangan drain

bulan Mei 2017 Peralatan Gedung Kantor NO.65 PEKANBARU

bulan April 2017 Peralatan Gedung Kantor NO.65 PEKANBARU

40 Service berkala AC 5.2.2.03.13 00640 12-Aug-2017 8 75,000.00 600,000.00 Service AC ruang TU
00640 12-Aug-2017 1 75,000.00 75,000.00 Service AC ruang PKRS

00640 12-Aug-2017 1 50,000.00 50,000.00 Perbaikan remote AC PKRS
00640 12-Aug-2017 2 75,000.00 150,000.00 Service AC ruang DP 2 & DP 7
00640 12-Aug-2017 1 75,000.00 75,000.00 Service AC ruang dokter lt. 2
00640 12-Aug-2017 2 75,000.00 150,000.00 Service AC ruang Apotik
00640 12-Aug-2017 1 300,000.00 300,000.00 Service AC central ruang OK
00640 12-Aug-2017 1 75,000.00 75,000.00 Service AC ruang Radiologi

41 5.2.2.03.13 2 2,500,000.00 5,000,000.00 Service berkala Lift
bulan Maret 2017 Peralatan Gedung Kantor NO.65 PEKANBARU

bulan Februari 2017 Peralatan Gedung Kantor NO.65 PEKANBARU

bulan Januari 2017 Peralatan Gedung Kantor NO.65 PEKANBARU

44 Jasa Service Perbaikan AC 5.2.2.03.13 00426 14-Jun-2017 24 60,000.00 1,440,000.00 Cuci AC Split
00426 14-Jun-2017 2 500,000.00 1,000,000.00 Cuci AC Control 5 PK

Service AC (ruang DM 14, DM 13, DM
Jasa Service dan Perbaikan AC Pemeliharaan Rutin/Berkala JL. DR. SOETOMO
45 5.2.2.03.13 00194 26-Apr-2017 9 60,000.00 540,000.00 6, DM 4, DM 12, DM 3, DM 1, DM 5,
untuk bulan Maret 2017 Peralatan Gedung Kantor NO.65 PEKANBARU
ruang perawat)
00194 26-Apr-2017 1 500,000.00 500,000.00 Perbaiki jalur-jalur kabel instalasi AC

dan perlengkapan kantor Pemeliharaan Rutin/Berkala JL. DR. SOETOMO
46 5.2.2.03.13 44 75,000.00 3,300,000.00 Service AC split
(service berkala AC) split untuk Peralatan Gedung Kantor NO.65 PEKANBARU
bulan Januari 2017
33 100,000.00 3,300,000.00 Penambahan freon

2 300,000.00 600,000.00 Pengisian full freon
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
2 250,000.00 500,000.00 Bongkar pasang AC

1 125,000.00 125,000.00 Perbaikan kebocoran
d Kendaraan Bermotor 66.00 121,214,480.00 125,950,480.00

Jasa service kendaraan dinas Pemeliharaan Rutin/Berkala JL. DR. SOETOMO
1 5.2.2.05.01 00179 26-Apr-2017 1 480,890.00 480,890.00 Ganti master kopling atas bawah
BM 9011 AP Kendaraan Dinas/Operasional NO.65 PEKANBARU
00179 26-Apr-2017 1 550,000.00 550,000.00 Service radiator
00179 26-Apr-2017 1 300,000.00 300,000.00 Perbaikan lampu-lampu sen

2 5.2.2.05.01 00180 26-Apr-2017 1 150,000.00 150,000.00 Perbaikan kontak AC
BM 1492 SHX Kendaraan Dinas/Operasional NO.65 PEKANBARU
00180 26-Apr-2017 1 75,000.00 75,000.00 Perbaikan lampu stop Lh

00180 26-Apr-2017 1 200,000.00 200,000.00 Perbaikan besi palang belakang supir
00180 26-Apr-2017 1 367,150.00 367,150.00 Perbaikan / Stel pintu Lh
00180 26-Apr-2017 1 75,000.00 75,000.00 Ganti lampu plafond
Jasa service kendaraan dinas Pemeliharaan Rutin/Berkala Ganti kacamata, simpang empat dan JL. DR. SOETOMO
3 5.2.2.05.01 00181 26-Apr-2017 1 550,000.00 550,000.00
BM 7207 AP Kendaraan Dinas/Operasional lahar gantungn NO.65 PEKANBARU
00181 26-Apr-2017 1 681,250.00 681,250.00 Centre propler shaft

Perbaikan bodi : ketok dan cat kedok
00181 26-Apr-2017 1 650,000.00 650,000.00
front
Perbaikan bodi : repair dan cat bumper
00181 26-Apr-2017 1 650,000.00 650,000.00
front
Perbaikan bodi : ketok dan cat ulang
00181 26-Apr-2017 1 650,000.00 650,000.00
bumper front
Jasa service kendaraan dinas Pemeliharaan Rutin/Berkala Perbaikan AC : semprot system by JL. DR. SOETOMO
4 5.2.2.05.01 00182 26-Apr-2017 1 357,000.00 357,000.00
BM 9002 AP Kendaraan Dinas/Operasional nitrogen NO.65 PEKANBARU
Perbaikan AC : service evaporator

00182 26-Apr-2017 1 561,000.00 561,000.00
double blower
00182 26-Apr-2017 1 805,000.00 805,000.00 Perbaikan AC : set ulang AC
00182 26-Apr-2017 1 663,000.00 663,000.00 Perbaikan AC : vacuum, li, freon R134a
00182 26-Apr-2017 1 982,000.00 982,000.00 Perbaikan AC : ongkos kerja

00182 26-Apr-2017 1 255,000.00 255,000.00 Perbaikan lampu-lampu

5 5.2.2.05.01 00183 26-Apr-2017 1 165,000.00 165,000.00 Stel kopling
BM 8962 AP Kendaraan Dinas/Operasional NO.65 PEKANBARU
00183 26-Apr-2017 1 350,000.00 350,000.00 Perbaikan kabel-kabel lampu

00183 26-Apr-2017 1 250,000.00 250,000.00 Buat / pasang plat lemari

6 5.2.2.05.01 00184 26-Apr-2017 1 250,000.00 250,000.00 Service kecil
BM 1426 T Kendaraan Dinas/Operasional NO.65 PEKANBARU
00184 26-Apr-2017 1 100,000.00 100,000.00 Ganti stop lampu Lh

00184 26-Apr-2017 1 318,100.00 318,100.00 Perbaikan AC : ganti filter dryer
Belanja jasa service dan

penggantian suku cadang Pemeliharaan Rutin/Berkala JL. DR. SOETOMO
7 5.2.2.05.01 BA-ABS/XII/2017/32 20-Dec-17 1 50,491,000.00 50,491,000.00 Biaya belanja jasa service
kendaraan operasional (mobil Kendaraan Dinas/Operasional NO.65 PEKANBARU
dinas dan ambulance)
Penggantian spare part Pemeliharaan Rutin/Berkala JL. DR. SOETOMO

8 5.2.2.05.02 00185 26-Apr-2017 1 1,449,250.00 1,449,250.00 Batterai NS 60
kendaraan dinas BM 1302 T Kendaraan Dinas/Operasional NO.65 PEKANBARU

9 5.2.2.05.02 00186 26-Apr-2017 2 356,500.00 713,000.00 Kaca mata simpang empat
kendaraan dinas BM 7207 AP Kendaraan Dinas/Operasional NO.65 PEKANBARU
00186 26-Apr-2017 1 324,000.00 324,000.00 Kaca mata las simpang empat

00186 26-Apr-2017 8 17,500.00 140,000.00 baut propeler
00186 26-Apr-2017 2 306,500.00 613,000.00 Simpang empat
00186 26-Apr-2017 1 622,250.00 622,250.00 karet gantungan

10 5.2.2.05.02 00187 26-Apr-2017 1 481,000.00 481,000.00 Master kopling atas
00187 26-Apr-2017 1 306,500.00 306,500.00 Master kopling bawah

00187 26-Apr-2017 1 88,000.00 88,000.00 Minyak kopling
00187 26-Apr-2017 1 673,190.00 673,190.00 otomatis sen

11 5.2.2.05.02 00188 26-Apr-2017 4 1,116,000.00 4,464,000.00 B/L 185 70 R14
kendaraan dinas BM 1492 SHX Kendaraan Dinas/Operasional NO.65 PEKANBARU
00188 26-Apr-2017 1 546,150.00 546,150.00 Lampu plafond

12 5.2.2.05.02 00189 26-Apr-2017 1 9,659,000.00 9,659,000.00 Compresor AC
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
00189 26-Apr-2017 1 516,000.00 516,000.00 Filter dryer AC

00189 26-Apr-2017 1 223,000.00 223,000.00 High pressure switch AC
00189 26-Apr-2017 1 400,000.00 400,000.00 Idle pulley + stelan AC
00189 26-Apr-2017 1 725,000.00 725,000.00 Flaser sign

13 5.2.2.05.02 00190 26-Apr-2017 1 95,000.00 95,000.00 Filter oli
kendaraan dinas BM 1426 T Kendaraan Dinas/Operasional NO.65 PEKANBARU
00190 26-Apr-2017 1 581,500.00 581,500.00 Filter bensin

00190 26-Apr-2017 6 120,500.00 723,000.00 Toyota oil syntetic
00190 26-Apr-2017 1 1,075,000.00 1,075,000.00 Stop Lamp Lh

14 5.2.2.05.02 00191 26-Apr-2017 1 85,000.00 85,000.00 Minyak kopling
Belanja jasa service dan

penggantian suku cadang Pemeliharaan Rutin/Berkala JL. DR. SOETOMO
15 5.2.2.05.02 BA-ABS/XII/2017/32 20-Dec-17 1 40,521,250.00 40,521,250.00 Belanja penggantian suku cadang
kendaraan operasional (mobil Kendaraan Dinas/Operasional NO.65 PEKANBARU
dinas dan ambulance)
e Alat Kedokteran - - -
f Alat Laboratorium - - -
g Alat Persenjataan Non Senjata Api 2.00 4,218,000.00 4,218,000.00
Pembayaran belanja service dan Pemeliharaan Rutin/Berkala JL. DR. SOETOMO

1 5.2.2.03.13 00774 9-Sep-2017 1 3,422,000.00 3,422,000.00 HDD Seagate 4TB
suku cadang CCTV Perlengkapan Gedung Kantor NO.65 PEKANBARU
00774 9-Sep-2017 1 796,000.00 796,000.00 VGA Cable
3 GEDUNG DAN BANGUNAN 1,151.50 380,438,828.12 856,751,811.00

Perawatan/Pemeliharaan
a
Gedung
Belanja pemeliharaan gedung Pemeliharaan rutini/berkala
Pekerjaan pengadaan dan pemasangan JL. DR. SOETOMO
1 (penggantian dan pengecatan 5.2.2.20.05 instalasi pengolahan limbah 21/JPR/IV/2017 22-Apr-17 00362 22-May-17 25 748,000.00 18,700,000.00
plat 2,3 mm NO.65 PEKANBARU
plat baja) rumah sakit
21/JPR/IV/2017 22-Apr-17 00362 22-May-17 1 4,785,000.00 4,785,000.00 Pekerjaan pengecatan plat 2,3 mm

pertukangan untuk keperluan Pemeliharaan rutin/berkala JL. DR. SOETOMO
2 5.2.2.01.15 00475 21-Jun-17 2 150,000.00 300,000.00 Shower cebok
ruang hang lekir dan ruang rumah sakit NO.65 PEKANBARU
dahak
00475 21-Jun-17 2 85,000.00 170,000.00 Kran air
00475 21-Jun-17 1 165,000.00 165,000.00 Saringan wastafel
00475 21-Jun-17 1 187,000.00 187,000.00 Kran wastafel
00475 21-Jun-17 1 80,000.00 80,000.00 Stop kran
Perbaikan pipa bocor di dinding Pemeliharaan rutin/berkala JL. DR. SOETOMO

3 5.2.2.03.20 00477 21-Jun-17 1 6,000.00 6,000.00 Soket 3/4
ruang dahak rumah sakit NO.65 PEKANBARU
00477 21-Jun-17 1 15,000.00 15,000.00 Lem pipa
00477 21-Jun-17 1 65,000.00 65,000.00 Semen
00477 21-Jun-17 1 150,000.00 150,000.00 Biaya pembobokan dinding
00477 21-Jun-17 1 100,000.00 100,000.00 Biaya perbaikan pipa

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
00477 21-Jun-17 1 150,000.00 150,000.00 Biaya merapikan dinding
Pemeliharaan tangki penampungan

Pemeliharaan rutin/berkala JL. DR. SOETOMO
4 Pemeliharaan Gedung 5.2.2.20.05 01269 28-Dec-17 2 275,000.00 550,000.00 limbah rumah sakit (pengurasan
rumah sakit NO.65 PEKANBARU
septitank)
Perbaikan pipa air tempat tidur periksa

01269 28-Dec-17 1 1,100,000.00 1,100,000.00
poli gigi
01269 28-Dec-17 1 1,320,000.00 1,320,000.00 Perbaikan panel terbakar lantai 2
01269 28-Dec-17 1 60,500.00 60,500.00 Kran air Dp 5
01269 28-Dec-17 2 261,800.00 523,600.00 Pipa wastafel dank ran air poli gigi
01269 28-Dec-17 1 60,500.00 60,500.00 Kran air ruang rawat inap kebidanan
01269 28-Dec-17 1 261,800.00 261,800.00 Shower closet rawat inap kebidanan
01269 28-Dec-17 1 261,800.00 261,800.00 Kran wastafel poli penyakit dalam
01269 28-Dec-17 1 60,500.00 60,500.00 Kran air kamar jenazah
01269 28-Dec-17 1 261,800.00 261,800.00 Pipa wastafel dank ran air DM 8
01269 28-Dec-17 1 261,800.00 261,800.00 Kran closet rawat inap lantai 3
01269 28-Dec-17 3 60,500.00 181,500.00 Kran ruang IGD
01269 28-Dec-17 1 1,430,000.00 1,430,000.00 Perbaikan dam saluran air
Perbaikan keramik lantai teras

01269 28-Dec-17 1 330,000.00 330,000.00
belakang
Perbaikan keramik depan Pemeliharaan rutin/berkala JL. DR. SOETOMO

5 5.2.2.20.05 00480 21-Jun-17 2 90,000.00 180,000.00 Keramik
tangga darurat lantai 2 rumah sakit NO.65 PEKANBARU
00480 21-Jun-17 1 65,000.00 65,000.00 Semen
00480 21-Jun-17 1 135,000.00 135,000.00 Pasir
00480 21-Jun-17 1 35,000.00 35,000.00 Tepung nat
00480 21-Jun-17 1 350,000.00 350,000.00 Upah bongkar pasang keramik
Belanja jasa perawatan

bangunan rutin/berkala rumah
6 sakit (pembuatan wastafel 5.2.2.03.20 00983 17-Nov-17 2 418,000.00 836,000.00 Wastafel
ruang poli tindakan dan poli
paru)
00983 17-Nov-17 1 66,000.00 66,000.00 Semen
00983 17-Nov-17 1 44,000.00 44,000.00 Pasir
00983 17-Nov-17 1 52,800.00 52,800.00 Pipa 3/4
00983 17-Nov-17 4 8,800.00 35,200.00 Elbo

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
00983 17-Nov-17 2 8,800.00 17,600.00 Socket
00983 17-Nov-17 2 880,000.00 1,760,000.00 Upah
Belanja jasa perawatan

bangunan rutin/berkala rumah Pemeliharaan rutin/berkala JL. DR. SOETOMO
7 5.2.2.03.20 01139 11-Dec-17 1 385,000.00 385,000.00 Pembongkaran keramik
sakit (perbaikan meja mandi rumah sakit NO.65 PEKANBARU
bayi ruang perina)
01139 11-Dec-17 1.20 528,000.00 633,600.00 Cor lantai dan kaki meja
01139 11-Dec-17 5 732,600.00 3,663,000.00 Pasang granit uk. 60x60 cm
01139 11-Dec-17 1 1,980,000.00 1,980,000.00 Pembuatan pinggul sudut granit
Pembuatan rak meja (Bahan multiplex

01139 11-Dec-17 1 5,720,000.00 5,720,000.00
6mm, 9mm dan 12mm; finishing HPL
01139 11-Dec-17 1 957,000.00 957,000.00 Bak mandi bayi
Pembuatan lantai keramik teras

8 lobby dan taman RSUD Petala 5.2.2.20.05 00646 12-Aug-17 68 143,000.00 9,724,000.00 Keramik uk. 60x60cm
Bumi
00646 12-Aug-17 20 99,000.00 1,980,000.00 Keramik uk. 15x30cm
00646 12-Aug-17 1 495,000.00 495,000.00 Pasir
00646 12-Aug-17 30 71,500.00 2,145,000.00 Semen
00646 12-Aug-17 7 82,500.00 577,500.00 Semen keramik
00646 12-Aug-17 88 55,000.00 4,840,000.00 Upah
Perbaikan keramik lantai 2 dan Pemeliharaan rutin/berkala JL. DR. SOETOMO

9 5.2.2.20.05 00978 17-Nov-17 8 99,000.00 792,000.00 Keramik 40x40
depan poli gigi rumah sakit NO.65 PEKANBARU
00978 17-Nov-17 1 66,000.00 66,000.00 Semen
00978 17-Nov-17 1 44,000.00 44,000.00 Pasir
00978 17-Nov-17 1 52,800.00 52,800.00 Sika
00978 17-Nov-17 1 880,000.00 880,000.00 Upah
Bongkar pasang pintu kaca Pemeliharaan rutin/berkala JL. DR. SOETOMO

10 5.2.2.20.05 00979 17-Nov-17 2 1,892,000.00 3,784,000.00 Pintu kaca
toilet umum lantai 2 rumah sakit NO.65 PEKANBARU
00979 17-Nov-17 2 495,000.00 990,000.00 Engsel tanam
00979 17-Nov-17 2 132,000.00 264,000.00 Sticker
00979 17-Nov-17 2 330,000.00 660,000.00 Upah
Perbaikan plafond, vinyl dan Pemeliharaan rutin/berkala JL. DR. SOETOMO

11 5.2.2.20.05 00980 17-Nov-17 1 71,500.00 71,500.00 Gypsum
pintu ruang bedah rumah sakit NO.65 PEKANBARU
00980 17-Nov-17 3 33,000.00 99,000.00 Caornice

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
00980 17-Nov-17 1 16,500.00 16,500.00 Kain kasa
00980 17-Nov-17 6 203,500.00 1,221,000.00 Sika top
00980 17-Nov-17 1 110,000.00 110,000.00 Cat
00980 17-Nov-17 1 1,100,000.00 1,100,000.00 Upah
00980 17-Nov-17 2 82,500.00 165,000.00 Lem kuning
00980 17-Nov-17 1 132,000.00 132,000.00 Upah

12 Perbaikan plafond lantai 3 5.2.2.20.05 00982 17-Nov-17 1 65,000.00 65,000.00 Gypsum
00982 17-Nov-17 5 30,000.00 150,000.00 Cornice
00982 17-Nov-17 1 15,000.00 15,000.00 Kain kasa
00982 17-Nov-17 1 250,000.00 250,000.00 Upah
surat pesanan
tidak sesuai harga
Sekat dinding ruangan kepala Pemeliharaan rutin/berkala JL. DR. SOETOMO & harga di invoice
13 5.2.2.20.05 00986 17-Nov-17 2 71,500.00 143,000.00 Gypsum
bidang rumah sakit NO.65 PEKANBARU tidak sama
jumlahnya1.754.50
0 selisih 220.000
00986 17-Nov-17 5 33,000.00 165,000.00 Cornice

00986 17-Nov-17 1 16,500.00 16,500.00 Kain kasa
00986 17-Nov-17 1 110,000.00 110,000.00 Cat
00986 17-Nov-17 1 1,320,000.00 1,320,000.00 Upah
Pemasangan keramik lantai Pemeliharaan rutin/berkala JL. DR. SOETOMO

14 5.2.2.20.05 01130 7-Dec-17 26.06 16,500.00 429,990.00 Pembongkaran keramik lantai
teras tata usaha rumah sakit NO.65 PEKANBARU
01130 7-Dec-17 26.06 55,000.00 1,433,300.00 Cor lantai beton

01130 7-Dec-17 26.06 479,600.00 12,498,376.00 Pasang lantai granit 60x60 cm
01130 7-Dec-17 15.35 205,700.00 3,157,495.00 Grill besi saluran
01130 7-Dec-17 1 2,420,000.00 2,420,000.00 Tanah hitam + bunga
Pembuatan sekat dinding kaca Pemeliharaan rutin/berkala JL. DR. SOETOMO

15 5.2.2.20.05 01140 11-Dec-17 8.35 1,600,000.00 13,360,000.00 Pembuatan sekat kaca
lantai II rumah sakit NO.65 PEKANBARU
01140 11-Dec-17 1 2,359,000.00 2,359,000.00 Pintu kaca engsel tanam

Belanja pemeliharaan gedung
16 (pembuatan kanopi teras lantai 5.2.2.03.20 68/P7A/VII/2017 15-Jul-17 15-Jul-17 144.5 350,000.00 50,575,000.00 Pembuatan Kanopi
III)
Belanja Pemeliharaan Gedung Pemeliharaan rutin/berkala JL. DR. SOETOMO

17 5.2.2.20.05 118/AD/BA/XII/2017 15-Dec-17 30.09 2,915,000.00 87,712,350.00 Partisi Lemari (uk. 9.80x3.07 m)
(Pembuatan Partisi) rumah sakit NO.65 PEKANBARU
Partisi Meja (uk. 4.00 x 0.70 m x 0.75

118/AD/BA/XII/2017 15-Dec-17 2.1 5,500,000.00 11,550,000.00
m)
Belanja Pemeliharaan Gedung

Pemeliharaan rutin/berkala JL. DR. SOETOMO Pekerjaan
18 Pekerjaan Pembongkaran Dan 5.2.2.20.05 53/CV.NN/BA/2017 30-Nov-17 1 1,100,000.00 1,100,000.00 Mobilisasi dan demobilisasi
rumah sakit NO.65 PEKANBARU Persiapan
Pemasangan Pintu Frameles
53/CV.NN/BA/2017 30-Nov-17 1 550,000.00 550,000.00 Pembersihan lahan proyek

53/CV.NN/BA/2017 30-Nov-17 1 330,000.00 330,000.00 Alat Bantu
53/CV.NN/BA/2017 30-Nov-17 1 1,320,000.00 1,320,000.00 Bongkar kusen, pintu danfloorhinge Pekerjaan Bongkar
Pekerjaan
53/CV.NN/BA/2017 30-Nov-17 7.97 4,290,000.00 34,191,300.00 Pekerjaan pemasangan pintu depan Pemasangan Pintu
Kaca
53/CV.NN/BA/2017 30-Nov-17 3.64 4,290,000.00 15,615,600.00 Pekerjaan pemasangan pintu tengah 1
53/CV.NN/BA/2017 30-Nov-17 3.64 4,290,000.00 15,615,600.00 Pekerjaan pemasangan pintu tengah 2
Pekerjaan pemasangan pintu masuk

53/CV.NN/BA/2017 30-Nov-17 4.1 4,290,000.00 17,589,000.00
apotik
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
53/CV.NN/BA/2017 30-Nov-17 3.21 4,290,000.00 13,770,900.00 Pekerjaan pemasangan pintu belakang
Pemasangan
53/CV.NN/BA/2017 30-Nov-17 3.07 2,970,000.00 9,117,900.00 Frameless pintu depan
Frameless
53/CV.NN/BA/2017 30-Nov-17 4.62 2,970,000.00 13,721,400.00 Frameless pintu tengah 1
53/CV.NN/BA/2017 30-Nov-17 4.62 2,970,000.00 13,721,400.00 Frameless pintu tengah 2
53/CV.NN/BA/2017 30-Nov-17 1.28 2,970,000.00 3,801,600.00 Frameless pintu belakang
Belanja modal pada BLUD
JL. DR. SOETOMO
19 (Pembuatan Kanopi Teras 5.2.3.37.01 Pelayanan Kesehatan BA-MC/2017/39 13-Dec-17 22-Dec-17 48.6 625,000.00 30,375,000.00 Kanopi
NO.65 PEKANBARU
Belakang)
BA-MC/2017/39 13-Dec-17 22-Dec-17 30.16 980,000.00 29,556,800.00 ACP (Aluminium Composite)
BA-MC/2017/39 13-Dec-17 22-Dec-17 48.6 750,000.00 36,450,000.00 Plafon PVC
BA-MC/2017/39 13-Dec-17 22-Dec-17 4 25,000.00 100,000.00 Pekerjaan Listrik Lampu Downlight

20 Pengadaan sparepart lift 5.2.2.01.16 108/BAST-RA/2017 20-Apr-17 1 40,350,000.00 40,350,000.00 Ceiling Mirror stainless steel frame
108/BAST-RA/2017 20-Apr-17 1 9,850,000.00 9,850,000.00 Biaya pengiriman Car Ceiling

108/BAST-RA/2017 20-Apr-17 1 8,240,000.00 8,240,000.00 Light gate Elektrik
108/BAST-RA/2017 20-Apr-17 1 19,500,000.00 19,500,000.00 UPS lift 3 phase 8,2KW
Pekerjaan
Belanja Pemeliharaan Gedung Pemeliharaan rutin/berkala JL. DR. SOETOMO
21 5.2.2.20.05 008/BAST/ARN/V/2017 10-May-17 1 2,200,000.00 2,200,000.00 Pekerjaan Bongkaran Instalasi Air Lama Kelengkapan
(Renovasi Toilet) rumah sakit NO.65 PEKANBARU
KM/WC Umum
008/BAST/ARN/V/2017 10-May-17 1 96,743,866.70 96,743,866.70 Pekerjaan Renovasi Closet
Pekerjaan Pembongkaran Lantai dan
008/BAST/ARN/V/2017 10-May-17 1 1,320,000.00 1,320,000.00 Pekerjaan Keramik
Dinding Lama
008/BAST/ARN/V/2017 10-May-17 1 50,171,619.67 50,171,619.67 Pekerjaan Renovasi Lantai KM/WC
008/BAST/ARN/V/2017 10-May-17 1 880,000.00 880,000.00 Pekerjaan Bongkaran Plafon Lama Pekerjaan Plafon
Pekerjaan Renovasi Plafon Dan Titik

008/BAST/ARN/V/2017 10-May-17 1 26,962,741.74 26,962,741.74
Lampu
Dikurangi
008/BAST/ARN/V/2017 10-May-17 (78,228.12)
(Pembulatan)
Pemeliharaan rutin/berkala JL. DR. SOETOMO RENOVASI

22 Belanja Pemeliharaan Gedung 5.2.2.20.05 61/MC/VIII/2017 21-Aug-17 21-Aug-17 13.20 300,000.00 3,960,000.00 Pekerjaan plafond (4 x 3.30 m)
rumah sakit NO.65 PEKANBARU RUANGAN PARU
61/MC/VIII/2017 21-Aug-17 21-Aug-17 16 250,000.00 4,000,000.00 Pekerjaan listrik
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 1,500,000.00 1,500,000.00 Pekerjaan bongkar jendela dan pintu
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 1,500,000.00 1,500,000.00 Pengecatan

Pembuatan tirai pembatas ruang
61/MC/VIII/2017 21-Aug-17 21-Aug-17 2 1,750,000.00 3,500,000.00
periksa pasien
RENOVASI
61/MC/VIII/2017 21-Aug-17 21-Aug-17 13.80 300,000.00 4,140,000.00 Pekerjaan plafond (4 x 3.45 m) RUANGAN
FISIOTERAPI
61/MC/VIII/2017 21-Aug-17 21-Aug-17 16 250,000.00 4,000,000.00 Pekerjaan listrik
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 1,800,000.00 1,800,000.00 Pekerjaan bongkar dinding
61/MC/VIII/2017 21-Aug-17 21-Aug-17 11.91 400,000.00 4,764,000.00 Pekerjaan partisi gypsum (3.97 x 3 m)
61/MC/VIII/2017 21-Aug-17 21-Aug-17 8.31 1,500,000.00 12,465,000.00 Pekerjaan dinding kaca (2.77 x 3 m)
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 2,100,000.00 2,100,000.00 Pekerjaan pintu kaca engsel tanam
Pembuatan tirai pembatas ruang

61/MC/VIII/2017 21-Aug-17 21-Aug-17 2 1,750,000.00 3,500,000.00
periksa pasien
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 1,500,000.00 1,500,000.00 Pengecatan
PERBAIKAN
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 350,000.00 350,000.00 Ruang poli gigi
WASTAFEL
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 350,000.00 350,000.00 Ruang PDA
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 350,000.00 350,000.00 Ruang IGD
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 350,000.00 350,000.00 Ruang laboratorium
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 350,000.00 350,000.00 Ruang ICU
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 350,000.00 350,000.00 Ruang kebidanan
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 350,000.00 350,000.00 Ruang hang lekir 1
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 350,000.00 350,000.00 Ruang hang lekir 6
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 350,000.00 350,000.00 Ruang dang purnama 2
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 350,000.00 350,000.00 Ruang metadon
PERBAIKAN
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 400,000.00 400,000.00 Ruang nurse station lantai III
CLOSET + SHOWER
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 400,000.00 400,000.00 Ruang kebidanan

61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 400,000.00 400,000.00 Ruang farmasi
61/MC/VIII/2017 21-Aug-17 21-Aug-17 2 400,000.00 800,000.00 Ruang toilet umum lantai II
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 400,000.00 400,000.00 Ruang metadon
PERBAIKAN JENDELA KACA RUANG
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 1,800,000.00 1,800,000.00
METADON + TERALI
PERBAIKAN PINTU KACA RUANG MR +
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 620,000.00 620,000.00
STIKER ONE WAY
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
PERBAIKAN GRANDEL JENDELA

61/MC/VIII/2017 21-Aug-17 21-Aug-17 187 120,000.00 22,440,000.00
ALUMINIUM LANTAI 1, 2 & 3
PERBAIKAN
61/MC/VIII/2017 21-Aug-17 21-Aug-17 9 330,000.00 2,970,000.00 Ruang OK (3 x 3 m)
PLAFOND
61/MC/VIII/2017 21-Aug-17 21-Aug-17 4 330,000.00 1,320,000.00 Ruang Ponek lantai II (2 x 2 m)
61/MC/VIII/2017 21-Aug-17 21-Aug-17 4 330,000.00 1,320,000.00 Ruang Cuci Alat IGD (2 x 2 m)
PERBAIKAN
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 1,000,000.00 1,000,000.00 Lantai keramik lorong lorong laundry
LANTAI KERAMIK
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 700,000.00 700,000.00 Ruang tunggu Poli Rawat Jalan
PEMBONGKARAN LANTAI PARTISI
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 1,000,000.00 1,000,000.00
RUANG JAMKESDA
PEMBONGKARAN PARTISI RUANG

KASIR DAN PEMINDAHAN COUNTER
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 2,750,000.00 2,750,000.00
INFORMASI + PERBAIKAN PLAFOND
DAN PENGECATAN
PEMBUANGAN SAMPAH SISA

61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 1,350,000.00 1,350,000.00
PEMBONGKARAN
61/MC/VIII/2017 21-Aug-17 21-Aug-17 17 35,000.00 595,000.00 PERBAIKAN KRAN AIR
PERBAIKAN SALURAN PEMBUANGAN
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 1,300,000.00 1,300,000.00
GIZI
PERBAIKAN SEPTIK TANK TOILET
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 2,150,000.00 2,150,000.00
MUSHALLA
PERBAIKAN PIPA PEMBUANGAN
61/MC/VIII/2017 21-Aug-17 21-Aug-17 1 1,350,000.00 1,350,000.00
RUANG MR
4 JALAN, JARINGAN DAN IRIGASI 1,520.00 20,256,700.00 57,872,600.00

a Jalan dan Jembatan - - -
JL. DR. SOETOMO

NO.65 PEKANBARU
b Bangunan Air - - -
c Instalasi 67.00 11,168,300.00 15,747,600.00

Instalasi Air Bersih

1 Perbaikan pipa air bersih 5.2.2.03.20 00981 17-Nov-17 2 342,100.00 684,200.00 Pipa besi 3 inch
00981 17-Nov-17 4 82,500.00 330,000.00 Resin
00981 17-Nov-17 4 22,000.00 88,000.00 Katalis
00981 17-Nov-17 8 16,500.00 132,000.00 Kain kasa

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
00981 17-Nov-17 7 13,200.00 92,400.00 Kuas
00981 17-Nov-17 2 82,500.00 165,000.00 Papan gypsum
00981 17-Nov-17 10 33,000.00 330,000.00 Cornice
00981 17-Nov-17 1 110,000.00 110,000.00 Cat
00981 17-Nov-17 1 3,850,000.00 3,850,000.00 Biaya las dan pendempulan pipa
00981 17-Nov-17 1 550,000.00 550,000.00 Biaya perbaikan plafond

2 Pekerjaan pipa dan talang air 5.2.2.03.20 01141 11-Dec-17 1 698,500.00 698,500.00 Corong aluminium
01141 11-Dec-17 6 467,500.00 2,805,000.00 Pipa 5"
01141 11-Dec-17 1 60,500.00 60,500.00 Lem
01141 11-Dec-17 6 88,000.00 528,000.00 Elbo 5"
01141 11-Dec-17 2 88,000.00 176,000.00 Dop 5"
01141 11-Dec-17 2 88,000.00 176,000.00 T 5"
01141 11-Dec-17 7 66,000.00 462,000.00 Sewa scaffolding
01141 11-Dec-17 1 990,000.00 990,000.00 Transportasi
01141 11-Dec-17 1 3,520,000.00 3,520,000.00 Upah
d Jaringan 1,453.00 9,088,400.00 42,125,000.00
Pemindahan jaringan mesin Pemeliharaan Rutin/Berkala JL. DR. SOETOMO

1 5.2.2.03.13 00965 17-Nov-17 115 9,900.00 1,138,500.00 Kabel mesin antrian
antrian Medical Record Perlengkapan Gedung Kantor NO.65 PEKANBARU
00965 17-Nov-17 65 16,500.00 1,072,500.00 Kabel power mesin antrian
Jasa pemindahan nomor loket mesin

00965 17-Nov-17 4 275,000.00 1,100,000.00
antrian
00965 17-Nov-17 30 8,800.00 264,000.00 Kabel speaker antrian
00965 17-Nov-17 1 110,000.00 110,000.00 Jasa pemindahan speaker antrian
Pemindahan dan perbaikan

2 jaringan telepon dari ruang 5.2.2.03.13 00968 17-Nov-17 65 7,500.00 487,500.00 Kabel telepon
informasi ke ruang TB
00968 17-Nov-17 3 100,000.00 300,000.00 Jasa instalasi

jaringan SIM-RS diruangan MR
3 dan Ruang Kebidanan, Ruang 5.2.2.03.13 01138 11-Dec-17 45 17,500.00 787,500.00 Kabel listrik UPS Ruang MR
Perina dan lantai III di RSUD
Petala Bumi
01138 11-Dec-17 195 12,500.00 2,437,500.00 Kabel UTP LAN Ruang MR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
01138 11-Dec-17 7 50,000.00 350,000.00 Stop kontak listrik Ruang MR

01138 11-Dec-17 6 240,000.00 1,440,000.00 Boks LAN RG 45 patch Ruang MR
01138 11-Dec-17 7 175,000.00 1,225,000.00 Jasa instalasi kabel listrik UPS Ruang MR
01138 11-Dec-17 6 175,000.00 1,050,000.00 Jasa instalasi kabel UTP LAN Ruang MR
Alat lainnya (ducting lantai, pipa,
01138 11-Dec-17 1 600,000.00 600,000.00 Ruang MR
soket, dll)
Ruang Rawat
01138 11-Dec-17 33 17,500.00 577,500.00 Kabel listrik UPS Kebidanan Perina,
Lt.3
Ruang Rawat
01138 11-Dec-17 35 12,500.00 437,500.00 Kabel UTP LAN Kebidanan Perina,
Lt.4
Ruang Rawat
01138 11-Dec-17 3 175,000.00 525,000.00 Jasa instalasi kabel listrik UPS Kebidanan Perina,
Lt.5
Ruang Rawat
01138 11-Dec-17 3 175,000.00 525,000.00 Jasa instalasi kabel UTP LAN Kebidanan Perina,
Lt.6

dan perlengkapan kantor Pemeliharaan Rutin/Berkala JL. DR. SOETOMO
4 5.2.2.03.13 00424 14-Jun-17 3 45,000.00 135,000.00 Stop kontak panasonic
(belanja jasa service dan suku Perlengkapan Gedung Kantor NO.65 PEKANBARU
cadang jaringan listrik)
00424 14-Jun-17 30 20,000.00 600,000.00 Kabel etherna

00424 14-Jun-17 7 35,000.00 245,000.00 Pipa Listrik
00424 14-Jun-17 3 300,000.00 900,000.00 Upah
Pembayaran belanja service dan Pemeliharaan Rutin/Berkala JL. DR. SOETOMO

5 5.2.2.03.13 00529 25-Jul-17 1 125,000.00 125,000.00 Penambahan jaringan listrik ruang ICU
suku cadang jaringan listrik Perlengkapan Gedung Kantor NO.65 PEKANBARU
Perbaikan instalasi lampu ruang teras

00529 25-Jul-17 37 125,000.00 4,625,000.00
utama
Pemindahan jaringan mesin Pemeliharaan Rutin/Berkala JL. DR. SOETOMO

6 5.2.2.03.13 00965 17-Nov-17 115 9,900.00 1,138,500.00 Kabel mesin antrian
antrian Medical Record Perlengkapan Gedung Kantor NO.65 PEKANBARU
00965 17-Nov-17 65 16,500.00 1,072,500.00 Kabel power mesin antrian
Jasa pemindahan nomor loket mesin

00965 17-Nov-17 4 275,000.00 1,100,000.00
antrian
00965 17-Nov-17 30 8,800.00 264,000.00 Kabel speaker antrian
00965 17-Nov-17 1 110,000.00 110,000.00 Jasa pemindahan speaker antrian
Pemindahan dan perbaikan

7 jaringan telepon dari ruang 5.2.2.03.13 00968 17-Nov-17 65 7,500.00 487,500.00 Kabel telepon
informasi ke ruang TB
00968 17-Nov-17 3 100,000.00 300,000.00 Jasa instalasi
Perbaikan jaringan listrik ruang Pemeliharaan Rutin/Berkala JL. DR. SOETOMO

8 5.2.2.03.13 00969 17-Nov-17 30 17,500.00 525,000.00 Ruang BPJS : Kabel listrik
BPJS dan EDP Perlengkapan Gedung Kantor NO.65 PEKANBARU
00969 17-Nov-17 6 50,000.00 300,000.00 Ruang BPJS : Stop kontak listrik
00969 17-Nov-17 5 27,500.00 137,500.00 Ruang BPJS : Steker
00969 17-Nov-17 4 115,000.00 460,000.00 Ruang BPJS : Jasa instalasi
00969 17-Nov-17 15 17,500.00 262,500.00 Ruang EDP : Kabel listrik
00969 17-Nov-17 3 50,000.00 150,000.00 Ruang EDP : Stop kontak listrik
00969 17-Nov-17 4 27,500.00 110,000.00 Ruang EDP : Steker
00969 17-Nov-17 2 115,000.00 230,000.00 Ruang EDP : Jasa instalasi

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Pemeliharaan Rutin/Berkala JL. DR. SOETOMO Perbaikan TV dan
9 jaringan televisi dan telepon 5.2.2.03.13 01137 11-Dec-17 1 2,250,000.00 2,250,000.00 Spare part TV plasma (Apotik)
Perlengkapan Gedung Kantor NO.65 PEKANBARU Jaringan Listrik TV
untuk RSUD Petala Bumi
Perbaikan TV dan
01137 11-Dec-17 1 350,000.00 350,000.00 Jasa service TV plasma (Apotik)
Jaringan Listrik TV
Perbaikan TV dan
01137 11-Dec-17 1 175,000.00 175,000.00 Kabel VGA 15 meter
Jaringan Listrik TV
Perbaikan TV dan
01137 11-Dec-17 45 8,000.00 360,000.00 Kabel antena TV (R Tunggu Poli)
Jaringan Listrik TV
Perbaikan TV dan
01137 11-Dec-17 1 30,000.00 30,000.00 Jack TV + T sambungan Coaxial
Jaringan Listrik TV
Jasa instalasi kabel antena TV (R Perbaikan TV dan

01137 11-Dec-17 1 150,000.00 150,000.00
Tunggu Poli) Jaringan Listrik TV
Perbaikan Jaringan
01137 11-Dec-17 2 350,000.00 700,000.00 Instalasi kabel telepon outdoor
Telepon
Perbaikan jaringan telepon (Komite Perbaikan Jaringan

01137 11-Dec-17 2 100,000.00 200,000.00
perawat & NS Lt. 3) Telepon
Perbaikan Jaringan
01137 11-Dec-17 1 250,000.00 250,000.00 Instalasi kabel telepon Indoor (MR)
Telepon

jaringan SIM-RS diruangan MR
10 dan Ruang Kebidanan, Ruang 5.2.2.03.13 01138 11-Dec-17 45 17,500.00 787,500.00 Kabel listrik UPS Ruang MR
Perina dan lantai III di RSUD
Petala Bumi
01138 11-Dec-17 195 12,500.00 2,437,500.00 Kabel UTP LAN Ruang MR

01138 11-Dec-17 7 50,000.00 350,000.00 Stop kontak listrik Ruang MR
01138 11-Dec-17 6 240,000.00 1,440,000.00 Boks LAN RG 45 patch Ruang MR
01138 11-Dec-17 7 175,000.00 1,225,000.00 Jasa instalasi kabel listrik UPS Ruang MR
01138 11-Dec-17 6 175,000.00 1,050,000.00 Jasa instalasi kabel UTP LAN Ruang MR
Alat lainnya (ducting lantai, pipa,
01138 11-Dec-17 1 600,000.00 600,000.00 Ruang MR
soket, dll)
Ruang Rawat
01138 11-Dec-17 33 17,500.00 577,500.00 Kabel listrik UPS Kebidanan Perina,
Lt.3
Ruang Rawat
01138 11-Dec-17 35 12,500.00 437,500.00 Kabel UTP LAN Kebidanan Perina,
Lt.4
Ruang Rawat
01138 11-Dec-17 3 175,000.00 525,000.00 Jasa instalasi kabel listrik UPS Kebidanan Perina,
Lt.5
Ruang Rawat
01138 11-Dec-17 3 175,000.00 525,000.00 Jasa instalasi kabel UTP LAN Kebidanan Perina,
Lt.6
5 ASET TETAP LAINNYA - - -

a - - -
TOTAL 3,220.50 660,861,508.12 1,244,266,991.00

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
BUKU PEMELIHARAAN BARANG

PROVINSI : Riau
BELANJA PEMELIHARAAN DATA BARANG MILIK DAERAH KAPITALISASI
UKURAN
BERITA ACARA
TANGGAL BELANJA PENAMBAHAN SPESIFIKASI BARANG / NILAI KETERANG
NO NAMA / URAIAN BARANG BELANJA BELANJA NILAI PEMERIKSAAN TAHUN MASA KAPITALISAS TOTAL MASA
DITERIMA BELANJA SP2D BARANG DAN MASA NAMA BMD YANG DIPELIHARA KODE BARANG REGISTER LOKASI KONSTRUKSI PEROLEHA AN
PEGAWAI LAINNYA PEMELIHARAAN PEROLEHAN MANFAAT I NILAI BMD MANFAAT
JASA MANFAAT N
NO. NO. NO. NO. P, SP, D / M2 /
NOMOR TANGGAL MERK / TYPE NO. PABRIK BPKB
SERTIFIKAT RANGKA MESIN POLISI CC
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
1 TANAH
a
b
c
2 PERALATAN MESIN 329,642,580.00

a Peralatan Kantor -
b Alat Kantor Lainnya 19,650,000.00

1 Service dan suku cadang UPS ruang se 1,350,000.00 Spare part : IC rate array, IC kontrol, Transistor, Diode, IC Chips, IC bias, E 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4,600,000.00 Spare part : service trafo konvert (Roll dan Insulasi) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,250,000.00 Jasa service : Ongkos service (termasuk antar jemput barang) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2 Service dan suku cadang printer mesin 1,350,000.00 Spare part : IC prosesor 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,850,000.00 Spare part : IC mikrokontroller 2017 JL. DR. SOETOMO NO.65 PEKANBARU
300,000.00 Spare part : LED sensor 2017 JL. DR. SOETOMO NO.65 PEKANBARU
400,000.00 Spare part : Filamen 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,400,000.00 Spare part : Board receive 2017 JL. DR. SOETOMO NO.65 PEKANBARU
300,000.00 Jasa Service : Ongkos service 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3 Jasa service dan suku cadang mesin a 1,250,000.00 IC micro 16bit 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,900,000.00 IC sound prosesor 2017 JL. DR. SOETOMO NO.65 PEKANBARU
600,000.00 IC memori 2017 JL. DR. SOETOMO NO.65 PEKANBARU
375,000.00 IC power 2017 JL. DR. SOETOMO NO.65 PEKANBARU
75,000.00 Diode dan resistance 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,250,000.00 Inject program dan data voice 2017 JL. DR. SOETOMO NO.65 PEKANBARU
400,000.00 Ongkos service 2017 JL. DR. SOETOMO NO.65 PEKANBARU
c Peralatan Rumah Tangga 179,824,100.00

1 Belanja service dan suku cadang mesin 300,000.00 Biaya pembongkaran mesin air 2017 JL. DR. SOETOMO NO.65 PEKANBARU
500,000.00 Biaya pemeriksaan mesin 2017 JL. DR. SOETOMO NO.65 PEKANBARU
13,000,000.00 Biaya suku cadang pompa sumur dalam/submersible pump : 3 hp daya 2.2 2017 JL. DR. SOETOMO NO.65 PEKANBARU
5,000,000.00 Biaya instalasi dan pemasangan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2 Pembayaran belanja service dan suku ca 900,000.00 Perbaikan televisi ruang rawat inap DP-2 dan DP-5 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3 Belanja Jasa Service Peralatan dan Pe 1,092,700.00 Pemasangan Bracket TV Ruangan Direktur 2017 JL. DR. SOETOMO NO.65 PEKANBARU
150,000.00 Upah pasang 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4 Belanja bahan kelengkapan teknisi mesi 200,000.00 HCB 10 Ampere 2017 JL. DR. SOETOMO NO.65 PEKANBARU
250,000.00 Ganti offer loud 2017 JL. DR. SOETOMO NO.65 PEKANBARU
400,000.00 Pipa tembaga 1/4 x 1/2 2017 JL. DR. SOETOMO NO.65 PEKANBARU
300,000.00 Kapasitor 2017 JL. DR. SOETOMO NO.65 PEKANBARU
250,000.00 Kabel 2017 JL. DR. SOETOMO NO.65 PEKANBARU
5 Jasa service dan perbaikan pekerjaan 484,500.00 Jasa perbaikan compressor AC R. Radiologi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
336,600.00 Jasa perbaikan fan motor outdoor AC 2 PK R. Farmasi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
204,000.00 Jasa bongkar outdoor AC yang rusak (lokasi halaman parkir ambulance) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
163,200.00 R. Kasir 2017 JL. DR. SOETOMO NO.65 PEKANBARU
81,600.00 R. Penyimpanan Alkes 2017 JL. DR. SOETOMO NO.65 PEKANBARU
244,800.00 R. Medical Record 2017 JL. DR. SOETOMO NO.65 PEKANBARU
81,600.00 R. Logistik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
81,600.00 Mushalla 2017 JL. DR. SOETOMO NO.65 PEKANBARU
81,600.00 R. Instalasi Gizi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
163,200.00 R. CSSD 2017 JL. DR. SOETOMO NO.65 PEKANBARU
489,600.00 R. Tata Usaha 2017 JL. DR. SOETOMO NO.65 PEKANBARU
81,600.00 R. Farmasi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
510,000.00 Service AC Central (R. IGD) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
459,000.00 Bongkar + Pasang AC (R. Mushalla ke R. Kasir) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
357,000.00 Tambah freon AC Control 2017 JL. DR. SOETOMO NO.65 PEKANBARU
765,000.00 Tambah freon AC Split 2017 JL. DR. SOETOMO NO.65 PEKANBARU
6 Penggantian suku cadang AC untuk bul 2,801,700.00 Suku cadang compressor AC 2PK R. Radiologi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
900,900.00 Suku cadang fan motor outdoor AC 2PK R. Farmasi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,870,000.00 Suku cadang pipa AC 2PK 2017 JL. DR. SOETOMO NO.65 PEKANBARU
506,000.00 Suku cadang kabel pipa AC 2PK 2017 JL. DR. SOETOMO NO.65 PEKANBARU
247,500.00 Suku cadang MCB 2017 JL. DR. SOETOMO NO.65 PEKANBARU
412,500.00 Suku cadang pipa pembuangan + elbow + klem 2017 JL. DR. SOETOMO NO.65 PEKANBARU
7 Bahan kelengkapan AC 3,003,000.00 Talang AC central ruang OK 2017 JL. DR. SOETOMO NO.65 PEKANBARU
192,500.00 Sensor AC ruang komite medik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
269,500.00 Overload AC ruang poli tindakan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,980,000.00 Kompresor AC ruang perina 2017 JL. DR. SOETOMO NO.65 PEKANBARU
385,000.00 Kapasitor fan motor AC ruang PONEK 2017 JL. DR. SOETOMO NO.65 PEKANBARU
8 Belanja jasa service peralatan dan per 850,000.00 Biaya service mesin cuci 2017 JL. DR. SOETOMO NO.65 PEKANBARU
630,000.00 Biaya service mesin dryer 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4,800,000.00 Penggantian selenoid water valve 3 way electric heating 2017 JL. DR. SOETOMO NO.65 PEKANBARU
9 Belanja bahan kelengkapan teknis mesi 750,000.00 Tambah freon AC Split (R. DM 14, DM 13, DM 1, DM 3, DM 5) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
500,000.00 Pasang armaplex + balut pipa AC (Samp. Laundry) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
150,000.00 Paralon + elbow + T 2017 JL. DR. SOETOMO NO.65 PEKANBARU
50,000.00 Stop kontak 2017 JL. DR. SOETOMO NO.65 PEKANBARU
10 Belanja bahan kelengkapan teknis mes 5,600,000.00 Ganti kompresor AC 2PK (R. Dang purnama 7 & 2) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
700,000.00 Ganti kapasitor (R. Dang merdu lt 3 + R. perawat) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Ganti overload 2PK R. Dang purnama 6 2017 JL. DR. SOETOMO NO.65 PEKANBARU
75,000.00 Ganti MCB 2PK R. Dang purnama 6 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,500,000.00 AC central 10PK lt. 3 (perbaiki tidak dingin + isi freon full) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 AC central 10PK (R. IGD tambah freon) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 MCB 3phase AC 10PK 2017 JL. DR. SOETOMO NO.65 PEKANBARU
11 Belanja bahan kelengkapan teknis mesi 2,400,000.00 Tambah freon split 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,100,000.00 AC split ganti overload 2017 JL. DR. SOETOMO NO.65 PEKANBARU
5,600,000.00 Ganti kompresor 2PK diruang persediaan dan DM 13 2017 JL. DR. SOETOMO NO.65 PEKANBARU
750,000.00 Bola & BHC 250 watt 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,500,000.00 Ganti ducting 2017 JL. DR. SOETOMO NO.65 PEKANBARU
12 Bahan kelengkapan AC 458,000.00 Sensor indoor AC kabid. Keperawatan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
330,000.00 Kapasitor AC ruang dokter Lt.2 2017 JL. DR. SOETOMO NO.65 PEKANBARU
194,000.00 Thermistor AC ruang apotik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
600,000.00 Fan motor indoor AC ruang apotik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
13 Bahan kelengkapan AC 80,000.00 Mata sensor AC DP 6 2017 JL. DR. SOETOMO NO.65 PEKANBARU
45,000.00 MCB AC DP 5 2017 JL. DR. SOETOMO NO.65 PEKANBARU
14 Bahan kelengkapan AC 150,000.00 Tambah freon AC perinatologi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
UKURAN
BERITA ACARA
JASA MANFAAT N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
15 Bahan kelengkapan AC 935,000.00 Freon AC central IGD 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,795,200.00 Expansi valve AC central IGD 2017 JL. DR. SOETOMO NO.65 PEKANBARU
16 Bahan kelengkapan AC 150,000.00 Freon AC Bangsal Bedah 2017 JL. DR. SOETOMO NO.65 PEKANBARU
17 Bahan kelengkapan AC 80,000.00 Mata sensor AC DP 6 2017 JL. DR. SOETOMO NO.65 PEKANBARU
150,000.00 Kapasitor motor AC Ruang Bidan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
18 Bahan kelengkapan AC 120,000.00 Perbaikan pipa AC bocor Bangsal Bedah 2017 JL. DR. SOETOMO NO.65 PEKANBARU
19 Belanja bahan kelengkapan teknisi mes 2,420,000.00 Penggantian kompresor AC ruang perawat bangsal bedah 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,420,000.00 Penggantian compressor 2017 JL. DR. SOETOMO NO.65 PEKANBARU
204,600.00 Overload protector 2017 JL. DR. SOETOMO NO.65 PEKANBARU
204,600.00 Overload protector 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,498,200.00 Overload protector 2017 JL. DR. SOETOMO NO.65 PEKANBARU
690,800.00 Kipas outdoor 2017 JL. DR. SOETOMO NO.65 PEKANBARU
20 Service berkala AC 907,500.00 Cuci AC split ruang TU 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Cuci AC split ruang Mushalla 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Cuci AC split ruang Gizi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Cuci AC split ruang Logistik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
247,500.00 Cuci AC split ruang Gudang Farmasi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Cuci AC split ruang CSSD 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Cuci AC split ruang Radiologi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
247,500.00 Cuci AC split ruang Apotek 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Cuci AC split ruang Poli Tindakan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Cuci AC split ruang Fisioterapi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Cuci AC split ruang PKRS 2017 JL. DR. SOETOMO NO.65 PEKANBARU
247,500.00 Cuci AC split ruang MR 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Cuci AC split ruang Poli Bedah 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Cuci AC split ruang Syaraf 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Cuci AC split ruang Penyakit Dalam 2017 JL. DR. SOETOMO NO.65 PEKANBARU
247,500.00 Cuci AC split ruang Poli Gigi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Cuci AC split ruang Poli Kebidanan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Cuci AC split ruang Poli THT 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Cuci AC split ruang Poli Anak 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Cuci AC split ruang Kasir 2017 JL. DR. SOETOMO NO.65 PEKANBARU
21 Service berkala AC 680,000.00 Penggantian compressor AC ruang DP 6 2017 JL. DR. SOETOMO NO.65 PEKANBARU
22 Service berkala AC 330,000.00 Service AC Ruang OK 2017 JL. DR. SOETOMO NO.65 PEKANBARU
330,000.00 Service AC Ruang DM 13, 10, 9 dan 8 2017 JL. DR. SOETOMO NO.65 PEKANBARU
275,000.00 Service AC Ruang kasir + freon 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Service AC ruang BPJS 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Service AC ruang Logistik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
550,000.00 Service AC ruang apotik + freon 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Service AC Mushalla 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Service AC ruang Aula 2017 JL. DR. SOETOMO NO.65 PEKANBARU
577,500.00 Service AC ruang TU 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Service AC ruang DP 1 & 3 2017 JL. DR. SOETOMO NO.65 PEKANBARU
275,000.00 Service AC ruang PONEK + freon 2017 JL. DR. SOETOMO NO.65 PEKANBARU
247,500.00 Service AC ruang Laboratorium 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Service AC ruang Akreditasi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Service AC ruang EDP & ruang Panel 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Service AC ruang rawat anak 2017 JL. DR. SOETOMO NO.65 PEKANBARU
275,000.00 Service AC ruang PDA pasien wanita + freon 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Service AC ruang perawat jaga PDA 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Service AC ruang Poli Tindakan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
935,000.00 Service AC central lantai III + freon 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Pemasangan Drain AC di poli tindakan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
440,000.00 Bongkar pasang AC dari ruangan kasir ke ruangan fisioterapi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
825,000.00 Repair talang AC central di OK 2017 JL. DR. SOETOMO NO.65 PEKANBARU
23 Service berkala AC 160,000.00 Jasa perbaikan kompresor AC ruang DP 6 2017 JL. DR. SOETOMO NO.65 PEKANBARU
75,000.00 Jasa service AC ruang kebidanan (ruang dokter) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
24 Service berkala AC 120,000.00 Capasitor AC ruang Poli Anak 2017 JL. DR. SOETOMO NO.65 PEKANBARU
25 Service berkala AC 650,000.00 Jasa perbaikan AC central IGD 2017 JL. DR. SOETOMO NO.65 PEKANBARU
26 Service berkala AC 480,000.00 Perbaikan dan service AC ruang DP 6, DP 5, DP 7 dan ruang Dokter lantai 2017 JL. DR. SOETOMO NO.65 PEKANBARU
27 Service berkala AC 290,000.00 Jasa perbaikan dan service AC Perinatologi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
28 Service berkala AC 80,000.00 Jasa perbaikan AC Poli Anak 2017 JL. DR. SOETOMO NO.65 PEKANBARU
29 Service berkala AC 300,000.00 Service AC ruang DP 2, DP 6, ruang bidan dan ruang VK 2017 JL. DR. SOETOMO NO.65 PEKANBARU
30 Service berkala Lift Periode bulan Juni 5,000,000.00 Service berkala Lift 2017 JL. DR. SOETOMO NO.65 PEKANBARU
31 Service berkala Lift Periode bulan Juli 5,000,000.00 Service berkala Lift 2017 JL. DR. SOETOMO NO.65 PEKANBARU
32 Service berkala Lift Periode bulan Agus 5,000,000.00 Service berkala Lift 2017 JL. DR. SOETOMO NO.65 PEKANBARU
33 Service berkala Lift Periode bulan Sep 5,000,000.00 Service berkala Lift 2017 JL. DR. SOETOMO NO.65 PEKANBARU
34 Service berkala Lift Periode bulan Okto 5,000,000.00 Service berkala Lift 2017 JL. DR. SOETOMO NO.65 PEKANBARU
35 Service berkala Lift Periode bulan Nov 5,000,000.00 Service berkala Lift 2017 JL. DR. SOETOMO NO.65 PEKANBARU
36 Service berkala Lift Periode bulan Des 5,000,000.00 Service berkala Lift 2017 JL. DR. SOETOMO NO.65 PEKANBARU
37 Belanja Jasa Service Peralatan dan Per 165,000.00 Pembongkaran saluran pipa 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Biaya pemasangan + bobok jalur pipa 2017 JL. DR. SOETOMO NO.65 PEKANBARU
82,500.00 Jasa cuci AC 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Pembongkaran pipa drain 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Biaya pemasangan + bobok jalur pipa drain 2017 JL. DR. SOETOMO NO.65 PEKANBARU
220,000.00 Pembuatan ruang pembuangan drain 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Pembongkaran pipa drain 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Biaya pemasangan + bobok jalur pipa drain 2017 JL. DR. SOETOMO NO.65 PEKANBARU
220,000.00 Pembuatan ruang pembuangan drain 2017 JL. DR. SOETOMO NO.65 PEKANBARU
38 Service berkala Lift Periode bulan Mei 5,000,000.00 Service berkala Lift 2017 JL. DR. SOETOMO NO.65 PEKANBARU
39 Service berkala Lift Periode bulan April 5,000,000.00 Service berkala Lift 2017 JL. DR. SOETOMO NO.65 PEKANBARU
40 Service berkala AC 600,000.00 Service AC ruang TU 2017 JL. DR. SOETOMO NO.65 PEKANBARU
75,000.00 Service AC ruang PKRS 2017 JL. DR. SOETOMO NO.65 PEKANBARU
50,000.00 Perbaikan remote AC PKRS 2017 JL. DR. SOETOMO NO.65 PEKANBARU
150,000.00 Service AC ruang DP 2 & DP 7 2017 JL. DR. SOETOMO NO.65 PEKANBARU
75,000.00 Service AC ruang dokter lt. 2 2017 JL. DR. SOETOMO NO.65 PEKANBARU
150,000.00 Service AC ruang Apotik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
300,000.00 Service AC central ruang OK 2017 JL. DR. SOETOMO NO.65 PEKANBARU
75,000.00 Service AC ruang Radiologi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
41 Service berkala Lift Periode bulan Mare 5,000,000.00 Service berkala Lift 2017 JL. DR. SOETOMO NO.65 PEKANBARU
42 Service berkala Lift Periode bulan Febr 5,000,000.00 Service berkala Lift 2017 JL. DR. SOETOMO NO.65 PEKANBARU
43 Service berkala Lift Periode bulan Janu 5,000,000.00 Service berkala Lift 2017 JL. DR. SOETOMO NO.65 PEKANBARU
44 Jasa Service Perbaikan AC 1,440,000.00 Cuci AC Split 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,000,000.00 Cuci AC Control 5 PK 2017 JL. DR. SOETOMO NO.65 PEKANBARU
45 Jasa Service dan Perbaikan AC untuk 540,000.00 Service AC (ruang DM 14, DM 13, DM 6, DM 4, DM 12, DM 3, DM 1, DM 5, 2017 JL. DR. SOETOMO NO.65 PEKANBARU
500,000.00 Perbaiki jalur-jalur kabel instalasi AC 2017 JL. DR. SOETOMO NO.65 PEKANBARU
46 Belanja jasa service peralatan dan perl 3,300,000.00 Service AC split 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3,300,000.00 Penambahan freon 2017 JL. DR. SOETOMO NO.65 PEKANBARU
600,000.00 Pengisian full freon 2017 JL. DR. SOETOMO NO.65 PEKANBARU
500,000.00 Bongkar pasang AC 2017 JL. DR. SOETOMO NO.65 PEKANBARU
125,000.00 Perbaikan kebocoran 2017 JL. DR. SOETOMO NO.65 PEKANBARU
UKURAN
BERITA ACARA
JASA MANFAAT N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
d Kendaraan Bermotor 125,950,480.00

1 Jasa service kendaraan dinas BM 9011 480,890.00 Ganti master kopling atas bawah 2017 JL. DR. SOETOMO NO.65 PEKANBARU
550,000.00 Service radiator 2017 JL. DR. SOETOMO NO.65 PEKANBARU
300,000.00 Perbaikan lampu-lampu sen 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2 Jasa service kendaraan dinas BM 1492 150,000.00 Perbaikan kontak AC 2017 JL. DR. SOETOMO NO.65 PEKANBARU
75,000.00 Perbaikan lampu stop Lh 2017 JL. DR. SOETOMO NO.65 PEKANBARU
200,000.00 Perbaikan besi palang belakang supir 2017 JL. DR. SOETOMO NO.65 PEKANBARU
367,150.00 Perbaikan / Stel pintu Lh 2017 JL. DR. SOETOMO NO.65 PEKANBARU
75,000.00 Ganti lampu plafond 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3 Jasa service kendaraan dinas BM 7207 550,000.00 Ganti kacamata, simpang empat dan lahar gantungn 2017 JL. DR. SOETOMO NO.65 PEKANBARU
681,250.00 Centre propler shaft 2017 JL. DR. SOETOMO NO.65 PEKANBARU
650,000.00 Perbaikan bodi : ketok dan cat kedok front 2017 JL. DR. SOETOMO NO.65 PEKANBARU
650,000.00 Perbaikan bodi : repair dan cat bumper front 2017 JL. DR. SOETOMO NO.65 PEKANBARU
650,000.00 Perbaikan bodi : ketok dan cat ulang bumper front 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4 Jasa service kendaraan dinas BM 9002 357,000.00 Perbaikan AC : semprot system by nitrogen 2017 JL. DR. SOETOMO NO.65 PEKANBARU
561,000.00 Perbaikan AC : service evaporator double blower 2017 JL. DR. SOETOMO NO.65 PEKANBARU
805,000.00 Perbaikan AC : set ulang AC 2017 JL. DR. SOETOMO NO.65 PEKANBARU
663,000.00 Perbaikan AC : vacuum, li, freon R134a 2017 JL. DR. SOETOMO NO.65 PEKANBARU
982,000.00 Perbaikan AC : ongkos kerja 2017 JL. DR. SOETOMO NO.65 PEKANBARU
255,000.00 Perbaikan lampu-lampu 2017 JL. DR. SOETOMO NO.65 PEKANBARU
5 Jasa service kendaraan dinas BM 8962 165,000.00 Stel kopling 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Perbaikan kabel-kabel lampu 2017 JL. DR. SOETOMO NO.65 PEKANBARU
250,000.00 Buat / pasang plat lemari 2017 JL. DR. SOETOMO NO.65 PEKANBARU
6 Jasa service kendaraan dinas BM 1426 250,000.00 Service kecil 2017 JL. DR. SOETOMO NO.65 PEKANBARU
100,000.00 Ganti stop lampu Lh 2017 JL. DR. SOETOMO NO.65 PEKANBARU
318,100.00 Perbaikan AC : ganti filter dryer 2017 JL. DR. SOETOMO NO.65 PEKANBARU
7 Belanja jasa service dan penggantian 50,491,000.00 Biaya belanja jasa service 2017 JL. DR. SOETOMO NO.65 PEKANBARU
8 Penggantian spare part kendaraan din 1,449,250.00 Batterai NS 60 2017 JL. DR. SOETOMO NO.65 PEKANBARU
9 Penggantian spare part kendaraan din 713,000.00 Kaca mata simpang empat 2017 JL. DR. SOETOMO NO.65 PEKANBARU
324,000.00 Kaca mata las simpang empat 2017 JL. DR. SOETOMO NO.65 PEKANBARU
140,000.00 baut propeler 2017 JL. DR. SOETOMO NO.65 PEKANBARU
613,000.00 Simpang empat 2017 JL. DR. SOETOMO NO.65 PEKANBARU
622,250.00 karet gantungan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
10 Penggantian spare part kendaraan din 481,000.00 Master kopling atas 2017 JL. DR. SOETOMO NO.65 PEKANBARU
306,500.00 Master kopling bawah 2017 JL. DR. SOETOMO NO.65 PEKANBARU
88,000.00 Minyak kopling 2017 JL. DR. SOETOMO NO.65 PEKANBARU
673,190.00 otomatis sen 2017 JL. DR. SOETOMO NO.65 PEKANBARU
11 Penggantian spare part kendaraan din 4,464,000.00 B/L 185 70 R14 2017 JL. DR. SOETOMO NO.65 PEKANBARU
546,150.00 Lampu plafond 2017 JL. DR. SOETOMO NO.65 PEKANBARU
12 Penggantian spare part kendaraan din 9,659,000.00 Compresor AC 2017 JL. DR. SOETOMO NO.65 PEKANBARU
516,000.00 Filter dryer AC 2017 JL. DR. SOETOMO NO.65 PEKANBARU
223,000.00 High pressure switch AC 2017 JL. DR. SOETOMO NO.65 PEKANBARU
400,000.00 Idle pulley + stelan AC 2017 JL. DR. SOETOMO NO.65 PEKANBARU
725,000.00 Flaser sign 2017 JL. DR. SOETOMO NO.65 PEKANBARU
13 Penggantian spare part kendaraan din 95,000.00 Filter oli 2017 JL. DR. SOETOMO NO.65 PEKANBARU
581,500.00 Filter bensin 2017 JL. DR. SOETOMO NO.65 PEKANBARU
723,000.00 Toyota oil syntetic 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,075,000.00 Stop Lamp Lh 2017 JL. DR. SOETOMO NO.65 PEKANBARU
14 Penggantian spare part kendaraan din 85,000.00 Minyak kopling 2017 JL. DR. SOETOMO NO.65 PEKANBARU
15 Belanja jasa service dan penggantian 40,521,250.00 Belanja penggantian suku cadang 2017 JL. DR. SOETOMO NO.65 PEKANBARU
e Alat Kedokteran -
f Alat Laboratorium -
g Alat Persenjataan Non Senjata Api 4,218,000.00

1 Pembayaran belanja service dan suku 3,422,000.00 HDD Seagate 4TB 2017 JL. DR. SOETOMO NO.65 PEKANBARU
796,000.00 VGA Cable 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3 GEDUNG DAN BANGUNAN 856,751,811.00

a Perawatan/Pemeliharaan Gedung
1 Belanja pemeliharaan gedung (penggant 18,700,000.00 Pekerjaan pengadaan dan pemasangan plat 2,3 mm 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4,785,000.00 Pekerjaan pengecatan plat 2,3 mm 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2 Belanja bahan kelengkapan pertukanga 300,000.00 Shower cebok 2017 JL. DR. SOETOMO NO.65 PEKANBARU
170,000.00 Kran air 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Saringan wastafel 2017 JL. DR. SOETOMO NO.65 PEKANBARU
187,000.00 Kran wastafel 2017 JL. DR. SOETOMO NO.65 PEKANBARU
80,000.00 Stop kran 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3 Perbaikan pipa bocor di dinding ruang 6,000.00 Soket 3/4 2017 JL. DR. SOETOMO NO.65 PEKANBARU
15,000.00 Lem pipa 2017 JL. DR. SOETOMO NO.65 PEKANBARU
65,000.00 Semen 2017 JL. DR. SOETOMO NO.65 PEKANBARU
150,000.00 Biaya pembobokan dinding 2017 JL. DR. SOETOMO NO.65 PEKANBARU
100,000.00 Biaya perbaikan pipa 2017 JL. DR. SOETOMO NO.65 PEKANBARU
150,000.00 Biaya merapikan dinding 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4 Pemeliharaan Gedung 550,000.00 Pemeliharaan tangki penampungan limbah rumah sakit (pengurasan septit 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,100,000.00 Perbaikan pipa air tempat tidur periksa poli gigi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,320,000.00 Perbaikan panel terbakar lantai 2 2017 JL. DR. SOETOMO NO.65 PEKANBARU
60,500.00 Kran air Dp 5 2017 JL. DR. SOETOMO NO.65 PEKANBARU
523,600.00 Pipa wastafel dank ran air poli gigi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
60,500.00 Kran air ruang rawat inap kebidanan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
261,800.00 Shower closet rawat inap kebidanan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
261,800.00 Kran wastafel poli penyakit dalam 2017 JL. DR. SOETOMO NO.65 PEKANBARU
60,500.00 Kran air kamar jenazah 2017 JL. DR. SOETOMO NO.65 PEKANBARU
261,800.00 Pipa wastafel dank ran air DM 8 2017 JL. DR. SOETOMO NO.65 PEKANBARU
261,800.00 Kran closet rawat inap lantai 3 2017 JL. DR. SOETOMO NO.65 PEKANBARU
181,500.00 Kran ruang IGD 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,430,000.00 Perbaikan dam saluran air 2017 JL. DR. SOETOMO NO.65 PEKANBARU
330,000.00 Perbaikan keramik lantai teras belakang 2017 JL. DR. SOETOMO NO.65 PEKANBARU
5 Perbaikan keramik depan tangga darurat 180,000.00 Keramik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
135,000.00 Pasir 2017 JL. DR. SOETOMO NO.65 PEKANBARU
35,000.00 Tepung nat 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Upah bongkar pasang keramik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
UKURAN
BERITA ACARA
JASA MANFAAT N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
6 Belanja jasa perawatan bangunan rutin/ 836,000.00 Wastafel 2017 JL. DR. SOETOMO NO.65 PEKANBARU
52,800.00 Pipa 3/4 2017 JL. DR. SOETOMO NO.65 PEKANBARU
35,200.00 Elbo 2017 JL. DR. SOETOMO NO.65 PEKANBARU
17,600.00 Socket 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,760,000.00 Upah 2017 JL. DR. SOETOMO NO.65 PEKANBARU
7 Belanja jasa perawatan bangunan rutin 385,000.00 Pembongkaran keramik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
633,600.00 Cor lantai dan kaki meja 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3,663,000.00 Pasang granit uk. 60x60 cm 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,980,000.00 Pembuatan pinggul sudut granit 2017 JL. DR. SOETOMO NO.65 PEKANBARU
5,720,000.00 Pembuatan rak meja (Bahan multiplex 6mm, 9mm dan 12mm; finishing HP 2017 JL. DR. SOETOMO NO.65 PEKANBARU
957,000.00 Bak mandi bayi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
8 Pembuatan lantai keramik teras lobby 9,724,000.00 Keramik uk. 60x60cm 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,980,000.00 Keramik uk. 15x30cm 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,145,000.00 Semen 2017 JL. DR. SOETOMO NO.65 PEKANBARU
577,500.00 Semen keramik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
9 Perbaikan keramik lantai 2 dan depan po 792,000.00 Keramik 40x40 2017 JL. DR. SOETOMO NO.65 PEKANBARU
52,800.00 Sika 2017 JL. DR. SOETOMO NO.65 PEKANBARU
880,000.00 Upah 2017 JL. DR. SOETOMO NO.65 PEKANBARU
10 Bongkar pasang pintu kaca toilet umum 3,784,000.00 Pintu kaca 2017 JL. DR. SOETOMO NO.65 PEKANBARU
990,000.00 Engsel tanam 2017 JL. DR. SOETOMO NO.65 PEKANBARU
264,000.00 Sticker 2017 JL. DR. SOETOMO NO.65 PEKANBARU
11 Perbaikan plafond, vinyl dan pintu rua 71,500.00 Gypsum 2017 JL. DR. SOETOMO NO.65 PEKANBARU
99,000.00 Caornice 2017 JL. DR. SOETOMO NO.65 PEKANBARU
16,500.00 Kain kasa 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,221,000.00 Sika top 2017 JL. DR. SOETOMO NO.65 PEKANBARU
110,000.00 Cat 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Lem kuning 2017 JL. DR. SOETOMO NO.65 PEKANBARU
12 Perbaikan plafond lantai 3 65,000.00 Gypsum 2017 JL. DR. SOETOMO NO.65 PEKANBARU
150,000.00 Cornice 2017 JL. DR. SOETOMO NO.65 PEKANBARU
13 Sekat dinding ruangan kepala bidang 143,000.00 Gypsum 2017 JL. DR. SOETOMO NO.65 PEKANBARU
14 Pemasangan keramik lantai teras tata 429,990.00 Pembongkaran keramik lantai 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,433,300.00 Cor lantai beton 2017 JL. DR. SOETOMO NO.65 PEKANBARU
12,498,376.00 Pasang lantai granit 60x60 cm 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3,157,495.00 Grill besi saluran 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,420,000.00 Tanah hitam + bunga 2017 JL. DR. SOETOMO NO.65 PEKANBARU
15 Pembuatan sekat dinding kaca lantai II 13,360,000.00 Pembuatan sekat kaca 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,359,000.00 Pintu kaca engsel tanam 2017 JL. DR. SOETOMO NO.65 PEKANBARU
16 Belanja pemeliharaan gedung (pembuatan 50,575,000.00 Pembuatan Kanopi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
17 Belanja Pemeliharaan Gedung (Pembuata 87,712,350.00 Partisi Lemari (uk. 9.80x3.07 m) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
11,550,000.00 Partisi Meja (uk. 4.00 x 0.70 m x 0.75 m) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
18 Belanja Pemeliharaan Gedung Pekerja 1,100,000.00 Mobilisasi dan demobilisasi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
550,000.00 Pembersihan lahan proyek 2017 JL. DR. SOETOMO NO.65 PEKANBARU
330,000.00 Alat Bantu 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,320,000.00 Bongkar kusen, pintu danfloorhinge 2017 JL. DR. SOETOMO NO.65 PEKANBARU
34,191,300.00 Pekerjaan pemasangan pintu depan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
15,615,600.00 Pekerjaan pemasangan pintu tengah 1 2017 JL. DR. SOETOMO NO.65 PEKANBARU
15,615,600.00 Pekerjaan pemasangan pintu tengah 2 2017 JL. DR. SOETOMO NO.65 PEKANBARU
17,589,000.00 Pekerjaan pemasangan pintu masuk apotik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
13,770,900.00 Pekerjaan pemasangan pintu belakang 2017 JL. DR. SOETOMO NO.65 PEKANBARU
9,117,900.00 Frameless pintu depan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
13,721,400.00 Frameless pintu tengah 1 2017 JL. DR. SOETOMO NO.65 PEKANBARU
13,721,400.00 Frameless pintu tengah 2 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3,801,600.00 Frameless pintu belakang 2017 JL. DR. SOETOMO NO.65 PEKANBARU
19 Belanja modal pada BLUD (Pembuatan K 30,375,000.00 Kanopi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
29,556,800.00 ACP (Aluminium Composite) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
36,450,000.00 Plafon PVC 2017 JL. DR. SOETOMO NO.65 PEKANBARU
100,000.00 Pekerjaan Listrik Lampu Downlight 2017 JL. DR. SOETOMO NO.65 PEKANBARU
20 Pengadaan sparepart lift 40,350,000.00 Ceiling Mirror stainless steel frame 2017 JL. DR. SOETOMO NO.65 PEKANBARU
9,850,000.00 Biaya pengiriman Car Ceiling 2017 JL. DR. SOETOMO NO.65 PEKANBARU
8,240,000.00 Light gate Elektrik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
19,500,000.00 UPS lift 3 phase 8,2KW 2017 JL. DR. SOETOMO NO.65 PEKANBARU
21 Belanja Pemeliharaan Gedung (Renovasi 2,200,000.00 Pekerjaan Bongkaran Instalasi Air Lama 2017 JL. DR. SOETOMO NO.65 PEKANBARU
96,743,866.70 Pekerjaan Renovasi Closet 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,320,000.00 Pekerjaan Pembongkaran Lantai dan Dinding Lama 2017 JL. DR. SOETOMO NO.65 PEKANBARU
50,171,619.67 Pekerjaan Renovasi Lantai KM/WC 2017 JL. DR. SOETOMO NO.65 PEKANBARU
880,000.00 Pekerjaan Bongkaran Plafon Lama 2017 JL. DR. SOETOMO NO.65 PEKANBARU
26,962,741.74 Pekerjaan Renovasi Plafon Dan Titik Lampu 2017 JL. DR. SOETOMO NO.65 PEKANBARU
(78,228.12) Dikurangi (Pembulatan) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
22 Belanja Pemeliharaan Gedung 3,960,000.00 Pekerjaan plafond (4 x 3.30 m) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4,000,000.00 Pekerjaan listrik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,500,000.00 Pekerjaan bongkar jendela dan pintu 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,500,000.00 Pengecatan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3,500,000.00 Pembuatan tirai pembatas ruang periksa pasien 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4,140,000.00 Pekerjaan plafond (4 x 3.45 m) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4,000,000.00 Pekerjaan listrik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,800,000.00 Pekerjaan bongkar dinding 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4,764,000.00 Pekerjaan partisi gypsum (3.97 x 3 m) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
12,465,000.00 Pekerjaan dinding kaca (2.77 x 3 m) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,100,000.00 Pekerjaan pintu kaca engsel tanam 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3,500,000.00 Pembuatan tirai pembatas ruang periksa pasien 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,500,000.00 Pengecatan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Ruang poli gigi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Ruang PDA 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Ruang IGD 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Ruang laboratorium 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Ruang ICU 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Ruang kebidanan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Ruang hang lekir 1 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Ruang hang lekir 6 2017 JL. DR. SOETOMO NO.65 PEKANBARU
UKURAN
BERITA ACARA
JASA MANFAAT N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
350,000.00 Ruang dang purnama 2 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Ruang metadon 2017 JL. DR. SOETOMO NO.65 PEKANBARU
400,000.00 Ruang nurse station lantai III 2017 JL. DR. SOETOMO NO.65 PEKANBARU
400,000.00 Ruang kebidanan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
400,000.00 Ruang farmasi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
800,000.00 Ruang toilet umum lantai II 2017 JL. DR. SOETOMO NO.65 PEKANBARU
400,000.00 Ruang metadon 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,800,000.00 PERBAIKAN JENDELA KACA RUANG METADON + TERALI 2017 JL. DR. SOETOMO NO.65 PEKANBARU
620,000.00 PERBAIKAN PINTU KACA RUANG MR + STIKER ONE WAY 2017 JL. DR. SOETOMO NO.65 PEKANBARU
22,440,000.00 PERBAIKAN GRANDEL JENDELA ALUMINIUM LANTAI 1, 2 & 3 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,970,000.00 Ruang OK (3 x 3 m) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,320,000.00 Ruang Ponek lantai II (2 x 2 m) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,320,000.00 Ruang Cuci Alat IGD (2 x 2 m) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,000,000.00 Lantai keramik lorong lorong laundry 2017 JL. DR. SOETOMO NO.65 PEKANBARU
700,000.00 Ruang tunggu Poli Rawat Jalan 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,000,000.00 PEMBONGKARAN LANTAI PARTISI RUANG JAMKESDA 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,750,000.00 PEMBONGKARAN PARTISI RUANG KASIR DAN PEMINDAHAN COUNTER IN 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,350,000.00 PEMBUANGAN SAMPAH SISA PEMBONGKARAN 2017 JL. DR. SOETOMO NO.65 PEKANBARU
595,000.00 PERBAIKAN KRAN AIR 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,300,000.00 PERBAIKAN SALURAN PEMBUANGAN GIZI 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,150,000.00 PERBAIKAN SEPTIK TANK TOILET MUSHALLA 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,350,000.00 PERBAIKAN PIPA PEMBUANGAN RUANG MR 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4 JALAN, JARINGAN DAN IRIGASI 57,872,600.00

a Jalan Dan Jembatan -
b Bangunan Air -
c Instalasi Air Bersih 15,747,600.00

1 Perbaikan pipa air bersih 684,200.00 Pipa besi 3 inch 2017 JL. DR. SOETOMO NO.65 PEKANBARU
330,000.00 Resin 2017 JL. DR. SOETOMO NO.65 PEKANBARU
88,000.00 Katalis 2017 JL. DR. SOETOMO NO.65 PEKANBARU
92,400.00 Kuas 2017 JL. DR. SOETOMO NO.65 PEKANBARU
165,000.00 Papan gypsum 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3,850,000.00 Biaya las dan pendempulan pipa 2017 JL. DR. SOETOMO NO.65 PEKANBARU
550,000.00 Biaya perbaikan plafond 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2 Pekerjaan pipa dan talang air 698,500.00 Corong aluminium 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,805,000.00 Pipa 5" 2017 JL. DR. SOETOMO NO.65 PEKANBARU
60,500.00 Lem 2017 JL. DR. SOETOMO NO.65 PEKANBARU
528,000.00 Elbo 5" 2017 JL. DR. SOETOMO NO.65 PEKANBARU
176,000.00 Dop 5" 2017 JL. DR. SOETOMO NO.65 PEKANBARU
176,000.00 T 5" 2017 JL. DR. SOETOMO NO.65 PEKANBARU
462,000.00 Sewa scaffolding 2017 JL. DR. SOETOMO NO.65 PEKANBARU
990,000.00 Transportasi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
d Jaringan 42,125,000.00
1 Pemindahan jaringan mesin antrian Med 1,138,500.00 Kabel mesin antrian 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,072,500.00 Kabel power mesin antrian 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,100,000.00 Jasa pemindahan nomor loket mesin antrian 2017 JL. DR. SOETOMO NO.65 PEKANBARU
264,000.00 Kabel speaker antrian 2017 JL. DR. SOETOMO NO.65 PEKANBARU
110,000.00 Jasa pemindahan speaker antrian 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2 Pemindahan dan perbaikan jaringan tel 487,500.00 Kabel telepon 2017 JL. DR. SOETOMO NO.65 PEKANBARU
300,000.00 Jasa instalasi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
3 Jasa service dan suku cadang jaringan 787,500.00 Kabel listrik UPS 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,437,500.00 Kabel UTP LAN 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Stop kontak listrik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,440,000.00 Boks LAN RG 45 patch 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,225,000.00 Jasa instalasi kabel listrik UPS 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,050,000.00 Jasa instalasi kabel UTP LAN 2017 JL. DR. SOETOMO NO.65 PEKANBARU
600,000.00 Alat lainnya (ducting lantai, pipa, soket, dll) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
577,500.00 Kabel listrik UPS 2017 JL. DR. SOETOMO NO.65 PEKANBARU
437,500.00 Kabel UTP LAN 2017 JL. DR. SOETOMO NO.65 PEKANBARU
525,000.00 Jasa instalasi kabel listrik UPS 2017 JL. DR. SOETOMO NO.65 PEKANBARU
525,000.00 Jasa instalasi kabel UTP LAN 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4 Belanja jasa service peralatan dan perl 135,000.00 Stop kontak panasonic 2017 JL. DR. SOETOMO NO.65 PEKANBARU
600,000.00 Kabel etherna 2017 JL. DR. SOETOMO NO.65 PEKANBARU
245,000.00 Pipa Listrik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
5 Pembayaran belanja service dan suku ca 125,000.00 Penambahan jaringan listrik ruang ICU 2017 JL. DR. SOETOMO NO.65 PEKANBARU
4,625,000.00 Perbaikan instalasi lampu ruang teras utama 2017 JL. DR. SOETOMO NO.65 PEKANBARU
6 Pemindahan jaringan mesin antrian Med 1,138,500.00 Kabel mesin antrian 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,072,500.00 Kabel power mesin antrian 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,100,000.00 Jasa pemindahan nomor loket mesin antrian 2017 JL. DR. SOETOMO NO.65 PEKANBARU
264,000.00 Kabel speaker antrian 2017 JL. DR. SOETOMO NO.65 PEKANBARU
110,000.00 Jasa pemindahan speaker antrian 2017 JL. DR. SOETOMO NO.65 PEKANBARU
7 Pemindahan dan perbaikan jaringan tel 487,500.00 Kabel telepon 2017 JL. DR. SOETOMO NO.65 PEKANBARU
300,000.00 Jasa instalasi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
8 Perbaikan jaringan listrik ruang BPJS 525,000.00 Ruang BPJS : Kabel listrik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
300,000.00 Ruang BPJS : Stop kontak listrik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
137,500.00 Ruang BPJS : Steker 2017 JL. DR. SOETOMO NO.65 PEKANBARU
460,000.00 Ruang BPJS : Jasa instalasi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
262,500.00 Ruang EDP : Kabel listrik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
UKURAN
BERITA ACARA
JASA MANFAAT N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
150,000.00 Ruang EDP : Stop kontak listrik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
110,000.00 Ruang EDP : Steker 2017 JL. DR. SOETOMO NO.65 PEKANBARU
230,000.00 Ruang EDP : Jasa instalasi 2017 JL. DR. SOETOMO NO.65 PEKANBARU
9 Jasa service dan suku cadang jaringan 2,250,000.00 Spare part TV plasma (Apotik) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Jasa service TV plasma (Apotik) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
175,000.00 Kabel VGA 15 meter 2017 JL. DR. SOETOMO NO.65 PEKANBARU
360,000.00 Kabel antena TV (R Tunggu Poli) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
30,000.00 Jack TV + T sambungan Coaxial 2017 JL. DR. SOETOMO NO.65 PEKANBARU
150,000.00 Jasa instalasi kabel antena TV (R Tunggu Poli) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
700,000.00 Instalasi kabel telepon outdoor 2017 JL. DR. SOETOMO NO.65 PEKANBARU
200,000.00 Perbaikan jaringan telepon (Komite perawat & NS Lt. 3) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
250,000.00 Instalasi kabel telepon Indoor (MR) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
10 Jasa service dan suku cadang jaringan 787,500.00 Kabel listrik UPS 2017 JL. DR. SOETOMO NO.65 PEKANBARU
2,437,500.00 Kabel UTP LAN 2017 JL. DR. SOETOMO NO.65 PEKANBARU
350,000.00 Stop kontak listrik 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,440,000.00 Boks LAN RG 45 patch 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,225,000.00 Jasa instalasi kabel listrik UPS 2017 JL. DR. SOETOMO NO.65 PEKANBARU
1,050,000.00 Jasa instalasi kabel UTP LAN 2017 JL. DR. SOETOMO NO.65 PEKANBARU
600,000.00 Alat lainnya (ducting lantai, pipa, soket, dll) 2017 JL. DR. SOETOMO NO.65 PEKANBARU
577,500.00 Kabel listrik UPS 2017 JL. DR. SOETOMO NO.65 PEKANBARU
437,500.00 Kabel UTP LAN 2017 JL. DR. SOETOMO NO.65 PEKANBARU
525,000.00 Jasa instalasi kabel listrik UPS 2017 JL. DR. SOETOMO NO.65 PEKANBARU
525,000.00 Jasa instalasi kabel UTP LAN 2017 JL. DR. SOETOMO NO.65 PEKANBARU
5 ASET TETAP LAINNYA

a
b
c
6 KONSTRUKSI DALAM PENGERJAAN

a
b
c
TOTAL 1,244,266,991.00

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR BMD YANG BERNILAI Rp. 0,- / Rp. 1,-

PROVINSI : Riau
UKURAN BARANG /
SPESIFIKASI
TAHUN KONSTRUKSI
NO NAMA / JENIS BARANG KODE BARANG REGISTER NILAI PEROLEHAN KETERANGAN
PEROLEHAN
MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI P, SP, D / M2 / CC
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
TANAH
1
2
PERALATAN MESIN
1
2
NIHIL
GEDUNG DAN BANGUNAN
1
2

1
2
ASET TETAP LAINNYA

1
2

1
2

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR BMD YANG TIDAK DIKETAHUI TAHUN PEROLEHAN

PROVINSI : Riau
UKURAN BARANG /
SPESIFIKASI
TAHUN KONSTRUKSI
PEROLEHAN
MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI P, SP, D / M2 / CC
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
TANAH
1
2
PERALATAN MESIN
1
NIHIL
2
GEDUNG DAN BANGUNAN

1
2

1
2
ASET TETAP LAINNYA

1
2

1
2

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
KETERANGAN
1 X disesuaikan untuk pelaporan semester I / semester II
2 XX
disesuaikan untuk pelaporan tahunan
REVALUASI / APPRAISAL TERHADAP BMD BERNILAI Rp. 0,- / Rp. 1,- DAN TIDAK DIKETAHUI TAHUN PEROLEHAN

PROVINSI : Riau
UKURAN BARANG /
SPESIFIKASI KOREKSI
TAHUN KONSTRUKSI DASAR
PEROLEHAN PENETAPAN
MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI P, SP, D / M2 / CC NILAI TH PEROLEHAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TANAH
1
2
PERALATAN MESIN
1
NIHIL
2
GEDUNG DAN BANGUNAN

1
2

1
2
ASET TETAP LAINNYA

1
2

1
2

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
RINCIAN UTANG ATAS ASET TETAP

PROVINSI : Riau
UKURAN BARANG /
SPESIFIKASI DASAR
TAHUN KONSTRUKSI UTANG ASET
NO NAMA / JENIS BARANG KODE BARANG REGISTER NILAI PEROLEHAN PENETAPAN KETERANGAN
PEROLEHAN TETAP
MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI P, SP, D / M2 / CC UTANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
TANAH
1
2
PERALATAN MESIN
1
NIHIL
2
GEDUNG DAN BANGUNAN

1
2

1
2
ASET TETAP LAINNYA

1
2

1
2

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
( FORM 03 )
KERTAS KERJA UTAMA (LEAD SCHEDULE)
NILAI NILAI
NILAI SETELAH DIPERIKSA
S.D. 31 DESEMBER 2017 S.D. 30 JUNI 2017
NO URAIAN
1 2 3 4 13 14 15 16
1 Tanah 1.00 6,200,000,000.00 1.00 6,200,000,000.00 1.00 6,200,000,000.00

2 Peralatan dan Mesin 4,413.00 52,848,877,715.10 4,413.00 52,848,877,715.10 3,991.00 44,089,832,814.10
3 Gedung dan Bangunan 4.00 78,086,299,999.00 4.00 78,086,299,999.00 4.00 77,972,125,600.00
4 Jalan, Irigasi, dan Jaringan 5.00 577,781,474.00 5.00 577,781,474.00 4.00 474,222,760.00
5 Aset Tetap Lainnya 2.00 10,546,000.00 2.00 10,546,000.00 2.00 10,546,000.00
6 Konstruksi dalam Pekerjaan 1.00 737,000,000.00 1.00 737,000,000.00 1.00 737,000,000.00
7 Aset Tidak Berwujud
Jumlah 4,426.00 138,460,505,188.10 4,426.00 138,460,505,188.10 4,003.00 129,483,727,174.10
4,426.00 138,460,505,188.10 4,003.00 129483727174.098
- - - -

NIP. 19741022 200112 1 002 NIP. 19850923 201001 1 022
( FORM 03.01 )
KERTAS KERJA PENDUKUNG (SUB LEAD SCHEDULE)
AKUN : TANAH
KOREKSI PEMERIKSAAN
NILAI NILAI
S.D. 31 DESEMBER 2017 PENYESUAIAN REKLASIFIKASI S.D. 30 JUNI 2017
NO URAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
TANAH PERSIL 1.00 6,200,000,000.00 1.00 6,200,000,000.00 1.00 6,200,000,000.00
1 Tanah Bangunan Perumahan/G.Tempat Tinggal
Tanah Untuk Bangunan Gedung

2 Perdagangan/Perusahaan Tanah Untuk Bangunan
Industri
3 Tanah Untuk Bangunan Tempat Kerja 1.00 6,200,000,000.00 1.00 6,200,000,000.00 1.00 6,200,000,000.00
4 Tanah Untuk Bangunan Gedung Sarana Olahraga
5 Tanah Untuk Bangunan Tempat Ibadah
6 Tanah Persil Lainnya
TANAH NON PERSIL

7 Tanah Basah
8 Tanah Kering
9 Tanah Perkebunan
10 Tanah Hutan
11 Tanah Tandus
12 Tanah Padang Alang-Alang / Rumput
13 Tanah Pertanian
14 Tanah Pertambangan
15 Tanah Non Persil Lainnya
LAPANGAN
16 Tanah Lapangan Olahraga
17 Tanah Lapangan Parkir
18 Tanah Lapangan Penimbunan Barang
19 Tanah Lapangan Pemancar dan Studio Alam
20 Tanah Lapangan Pengujian/Pengolahan
21 Tanah Lapangan Terbang
22 Tanah Untuk Jalan
23 Tanah Untuk Bangunan Air
24 Tanah Untuk Bangunan Instalasi
25 Tanah Untuk Bangunan Jaringan
26 Tanah Untuk Bangunan Bersejarah
27 Tanah Untuk Makam
28 Tanah Untuk Taman
29 Tanah Untuk Latihan
30 Tanah Daerah Pertahanan
31 Tanah Lapangan PBB
32 Tanah Kampung
33 Tanah Emplasmen
34 Lapangan Lainnya
Jumlah 1.00 6,200,000,000.00 - - - - - - - - 1.00 6,200,000,000.00 1.00 6,200,000,000.00


NIP. 19741022 200112 1 002 NIP. 19850923 201001 1 022
( FORM 03.02 )
AKUN : PERALATAN MESIN
KOREKSI PEMERIKSAAN
NILAI NILAI
NO URAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
ALAT BESAR
1 ALAT BESAR DARAT
2 ALAT BESAR APUNG
3 ALAT BANTU
ALAT ANGKUTAN 9.00 1,807,138,484.10 - - - - - - - - 9.00 1,807,138,484.10 9.00 1,807,138,484.10
4 ALAT ANGKUTAN DARAT BERMOTOR 9.00 1,807,138,484.10 9.00 1,807,138,484.10 9.00 1,807,138,484.10
5 ALAT ANGKUTAN DARAT TAK BERMOTOR
6 ALAT ANGKUTAN APUNG BERMOTOR
7 ALAT ANGKUTAN APUNG TAK BERMOTOR
8 ALAT ANGKUTAN BERMOTOR UDARA
ALAT BENGKEL DAN ALAT UKUR 77.00 336,727,538.00 77.00 336,727,538.00 65.00 101,686,747.00
9 ALAT BENGKEL BERMESIN 26.00 270,129,691.00 26.00 270,129,691.00 19.00 49,108,900.00
10 ALAT BENGKEL TAK BERMESIN 30.00 23,063,900.00 30.00 23,063,900.00 27.00 18,843,900.00
11 ALAT UKUR 21.00 43,533,947.00 21.00 43,533,947.00 19.00 33,733,947.00
ALAT PERTANIAN
12 ALAT PENGOLAHAN
ALAT KANTOR DAN RUMAH TANGGA 2,203.00 11,068,371,765.23 - - - - - - - - 2,203.00 11,068,371,765.23 2,077.00 9,841,921,625.23
13 ALAT KANTOR 160.00 1,057,526,898.07 160.00 1,057,526,898.07 156.00 1,050,306,418.07
14 ALAT RUMAH TANGGA 1,719.00 9,498,124,657.86 1,719.00 9,498,124,657.86 1,621.00 8,419,597,906.86
15 MEJA DAN KURSI KERJA/RAPAT PEJABAT 324.00 512,720,209.30 324.00 512,720,209.30 300.00 372,017,300.30
ALAT STUDIO, KOMUNIKASI DAN PEMANCAR 82.00 315,534,504.91 82.00 315,534,504.91 82.00 315,534,504.91
16 ALAT STUDIO 50.00 229,231,390.91 50.00 229,231,390.91 50.00 229,231,390.91
17 ALAT KOMUNIKASI 32.00 86,303,114.00 32.00 86,303,114.00 32.00 86,303,114.00
18 PERALATAN PEMANCAR
19 PERALATAN KOMUNIKASI NAVIGASI
ALAT KEDOKTERAN DAN KESEHATAN 1,565.00 31,563,898,997.81 1,565.00 31,563,898,997.81 1,337.00 26,936,762,070.81
20 ALAT KEDOKTERAN 1,381.00 30,026,270,392.81 1,381.00 30,026,270,392.81 1,213.00 25,838,468,505.81
21 ALAT KESEHATAN UMUM 184.00 1,537,628,605.00 184.00 1,537,628,605.00 124.00 1,098,293,565.00
ALAT LABORATORIUM 62.00 5,344,715,086.36 62.00 5,344,715,086.36 35.00 2,953,111,162.36
22 UNIT ALAT LABORATORIUM 62.00 5,344,715,086.36 62.00 5,344,715,086.36 35.00 2,953,111,162.36
23 UNIT ALAT LABORATORIUM KIMIA NUKLIR
24 ALAT PERAGA PRAKTEK SEKOLAH
25 ALAT LABORATORIUM FISIKA NUKLIR/ELEKTRONIKA
26 ALAT PROTEKSI RADIASI/PROTEKSI LINGKUNGAN
RADIATION APPLICATION AND NON DESTRUCTIVE
27
TESTING LABORATORY
28 ALAT LABORATORIUM LINGKUNGAN HIDUP
29 PERALATAN LABORATORIUM HYDRODINAMICA
ALAT LABORATORIUM STANDARISASI KALIBRASI DAN
30
INSTRUMENTASI
ALAT PERSENJATAAN 25.00 297,004,489.00 25.00 297,004,489.00 24.00 270,942,849.00
31 SENJATA API
32 PERSENJATAAN NON SENJATA API 25.00 297,004,489.00 25.00 297,004,489.00 24.00 270,942,849.00
33 SENJATA SINAR
34 ALAT KHUSUS KEPOLISIAN
KOMPUTER 390.00 2,115,486,849.69 390.00 2,115,486,849.69 362.00 1,862,735,370.69
35 KOMPUTER UNIT 155.00 1,405,235,231.30 155.00 1,405,235,231.30 141.00 1,221,442,632.30
36 PERALATAN KOMPUTER 235.00 710,251,618.39 235.00 710,251,618.39 221.00 641,292,738.39
ALAT EKSPLORASI
37 ALAT EKSPLORASI TOPOGRAFI
38 ALAT EKSPLORASI GEOFISIKA
ALAT PENGEBORAN
39 ALAT PENGEBORAN MESIN
40 ALAT PENGEBORAN NON MESIN
ALAT PRODUKSI, PENGOLAHAN DAN PEMURNIAN
41 SUMUR
42 PRODUKSI
43 PENGOLAHAN DAN PEMURNIAN
ALAT BANTU EKSPLORASI
44 ALAT BANTU EKSPLORASI
45 ALAT BANTU PRODUKSI
ALAT KESELAMATAN KERJA
46 ALAT DETEKSI
47 ALAT PELINDUNG
KOREKSI PEMERIKSAAN
NILAI NILAI
NO URAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
48 ALAT SAR
49 ALAT KERJA PENERBANGAN
ALAT PERAGA
50 ALAT PERAGA PELATIHAN DAN PERCONTOHAN
PERALATAN PROSES/PRODUKSI
51 UNIT PERALATAN PROSES/PRODUKSI
RAMBU-RAMBU
52 RAMBU-RAMBU LALU LINTAS DARAT
53 RAMBU-RAMBU LALU LINTAS UDARA
54 RAMBU-RAMBU LALU LINTAS LAUT
PERALATAN OLAH RAGA
55 PERALATAN OLAH RAGA
Jumlah 4,413.00 52,848,877,715.10 - - - - - - - - 4,413.00 52,848,877,715.10 3,991.00 44,089,832,814.10

4413 52,848,877,715 4,413.00 52,848,877,715.10 3,991.00 44,089,832,814.10
- - - - - -

NIP. 19741022 200112 1 002 NIP. 19850923 201001 1 022
( FORM 03.03 )
AKUN : GEDUNG DAN BANGUNAN
KOREKSI PEMERIKSAAN
NILAI NILAI
NO URAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
BANGUNAN GEDUNG 3.00 77,878,123,549.00 3.00 77,878,123,549.00 3.00 77,779,571,900.00

1 Bangunan Gedung Tempat Kerja
2 Bangunan Gedung Tempat Tinggal 3.00 77,878,123,549.00 3.00 77,878,123,549.00 3.00 77,779,571,900.00
MONUMEN
3 Candi / Tugu Peringatan
BANGUNAN MENARA 1.00 208,176,450.00 1.00 208,176,450.00 1.00 192,553,700.00
4 Bangunan Menara Perambuan 1.00 208,176,450.00 1.00 208,176,450.00 1.00 192,553,700.00
TUGU TITIK KONTROL / PASTI
5 Tugu / Tanda Batas
Jumlah 4.00 78,086,299,999.00 - - - - - - - - 4.00 78,086,299,999.00 4.00 77,972,125,600.00

4 78086299999 4.00 77972125600
- - - -

NIP. 19741022 200112 1 002 NIP. 19850923 201001 1 022
( FORM 03.04 )
AKUN : JALAN, JARINGAN DAN IRIGASI
KOREKSI PEMERIKSAAN
NILAI NILAI
S.D.31 DESEMBER 2017 PENYESUAIAN REKLASIFIKASI S.D. 30 JUNI 2017
NO URAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Jalan dan Jembatan

1 Jalan
2 Jembatan
Bangunan Air
3 Bangunan Air Irigasi
4 Bangunan Pengairan Pasang Surut
5 Bangunan Air Pengembangan Rawa dan Poder
Bangunan Pengaman Sungai/Pantai dan
6
Penanggulangan Bencana Alam
7 Bangunan Pengembangan Sumber Air dan Air Tanah
8 Bangunan Air Bersih/Air Baku
9 Bangunan Air Kotor
Instalasi 4.00 572,852,874.00 4.00 572,852,874.00 3.00 469,294,160.00
10 Instalasi Air Bersih/Air Baku 4.00 572,852,874.00 4.00 572,852,874.00 3.00 469,294,160.00
11 Instalasi Air Kotor
12 Instalasi Pengolahan Sampah
13 Instalasi Pengolahan Bahan Bangunan
14 Instalasi Pembangkit Listrik
15 Instalasi Gardu Listrik
16 Instalasi Pertahanan
17 Instalasi Gas
18 Instalasi Pengaman
19 Instalasi Lain
Jaringan 1.00 4,928,600.00 1.00 4,928,600.00 1.00 4,928,600.00
20 Jaringan Air Minum
21 Jaringan Listrik
22 Jaringan Telepon 1.00 4,928,600.00 1.00 4,928,600.00 1.00 4,928,600.00
23 Jaringan Gas
Jumlah 5.00 577,781,474.00 5.00 577,781,474.00 4.00 474,222,760.00

5 577781474 4.00 474222760
- - - -

NIP. 19741022 200112 1 002 NIP. 19850923 201001 1 022
AKUN : JALAN, JARINGAN DAN IRIGASI
NILAI
S.D. 31 DESEMBER 20
NO URAIAN
UNIT
1 2 3
Bahan Perpustakaan 2.00

1 Bahan Perpustakaan Tercetak 2.00
2 Bahan Perpustakaan Terekamdan Bentuk Mikro
3 Kartografi, Naskah dan Lukisan
4 Musik
5 Karya Grafika (Graphic Material)
6 Three Dimensional Artefacs and Realita
7 Tarscalt
Barang Bercorak Kesenian/Kebudayaan/Olahraga
8 Barang Bercorak Kesenian
9 Alat Bercorak Kebudayaan
10 Tanda Penghargaan
Hewan
11 Hewan Piaraan
12 Ternak
13 Hewan Lainnya
Biota Perairan/Ikan
14 Ikan Bersirip (Pisces)
15 Crustea (Udang, Rajungan, Kepiting dan Sebangsanya)
Mollusca (Kerang, Tiram, Cumi-Cumi, Gurita, Siput dan

16
Sebangsanya)
17 Coelenterata (Ubur-Ubur dan Sebangsanya)
18 Echinodermata (Tripang, Bulu Babi dan Sebangsanya)
19 Amphibia (Kodok dan Sebangsanya)

Reptilia (Buaya, Penyu, Kura-Kura, Biawak, Ular Air dan
20
Sebangsanya)
Mammalia (Paus, Lumba-Lumba, Pesut, Duyung dan
21
Sebangsanya)
Algae (Rumput Laut dan Tumbuh-Tumbuhan Lain Yang
22
Hidup Di Dalam Air)
23 Biota Perairan Lainnya
Tanaman
24 Tanaman
25 Barang Koleksi Non Budaya
26 Aset Tetap Dalam Renovasi
Jumlah 2.00
KEPALA SUB BAGIAN KEUANGAN,

RONI INDRA KESUMA, SE, M.Si

NIP. 19741022 200112 1 002
KERTAS KERJA PENDUK
NILAI
S.D. 31 DESEMBER 2017 PENYESUAIAN
DEBET KREDIT
RUPIAH
UNIT RUPIAH UNIT
4 5 6 7
10,546,000.00
10,546,000.00
10,546,000.00
KEUANGAN,
NGELOLAAN BMD
MA, SE, M.Si

112 1 002
KOREKSI PEMERIKSAAN
ENYESUAIAN REKLASIFIKASI
KREDIT DEBET KREDIT

RUPIAH UNIT RUPIAH UNIT
8 9 10 11
( FORM 03.05
NILAI
EKLASIFIKASI S.D. 30 JUNI 20
KREDIT
UNIT RUPIAH UNIT
RUPIAH
12 13 14 15
2.00 10,546,000.00 2.00

2.00 10,546,000.00 2.00
2.00 10,546,000.00 2.00
2 10546000 2.00
- - -
PENGURUS BARANG
AKMAL BUDIARSA, AMF

NIP. 19850923 201001 1 022
( FORM 03.05 )
NILAI
S.D. 30 JUNI 2017
RUPIAH
16
10,546,000.00
10,546,000.00
10,546,000.00
10546000
-
( FORM 03.06 )
RINCIAN DAFTAR KONTRUKSI DALAM PENGERJAAN SAMPAI DENGAN 31 DESEMBERI TAHUN 2017
REALISASI REALISASI REALISASI

REALISASI FISIK
MASA PEMBAYARAN KEUANGAN S/D 31 KEUANGAN S/D 31
NO SKPD S/D 31 DESEMBER
JENIS KDP URAIAN LOKASI NOMOR KONTRAK NILAI KONTRAK PELAKSAN TAHUN 2017 DESEMBER TAHUN DESEMBER TAHUN
TAHUN 2017 (%)
AAN (berdasarkan SP2D) 2017 2016
1 2 3 4 5 6 7 9 10 11 12 13
RSUD PETALA BUMI
Penyusunan
Dokumen evaluasi
fisik dan study JLN. DR. SOETOMO
1 737,000,000.00 0 - 737,000,000.00 0
kelayakan NO 65 PEKANBARU
pengembangan
RSUD Petala Bumi
TOTAL - 737,000,000.00 -


NIP. 19741022 200112 1 002 NIP. 19850923 201001 1 022
( FORM 03.07 )
RINCIAN DAFTAR KDP YANG TELAH SELESAI DAN DIHAPUSKAN TAHUN ANGGARAN 2017
KEGIATAN KONSTRUKSI DALAM PENGERJAAN YANG TELAH SELESAI

NILAI KDP YG
NO SKPD MASA
JENIS KDP URAIAN KDP LOKASI NOMOR KONTRAK NILAI KONTRAK DIREKLASIFIKASI NO DAN TGL BAST
PELAKSANAAN
SBG ASET TETAP
1 2 3 4 5 6 7 8 9 10
RSUD PETALA BUMI
NIHIL
1
TOTAL 0.00


NIP. 19741022 200112 1 002 NIP. 19850923 201001 1 022
KEMITRAAN DENGAN PIHAK KETIGA

PROVINSI : Riau
UKURAN
BARANG / KONDISI DASAR Kpts.
SPESIFIKASI BAST / PERJANJIAN
KONSTRUK BARANG GUBERNUR JANGKA BESARAN ALAMAT
TAHUN BENTUK PIHAK KETERANGAN
NO NAMA / JENIS BARANG KODE BARANG REGISTER SI NILAI PEROLEHAN WAKTU KONTRIBUSI PIHAK
PEROLEHAN KEMITRAAN KETIGA *****
NO. *** **** KETIGA
MERK / NO. NO. NO. NO. P, SP, D /
SERTIFI BPKB B, KB, RB NOMOR TANGGAL NOMOR TANGGAL
TYPE PABRIK RANGKA MESIN POLISI M2 / CC
KAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
TANAH
1 0 0 0
2 0 0 0
PERALATAN MESIN
1 0 0 0
NIHIL
2 0 0 0
GEDUNG DAN BANGUNAN

1 0 0 0
2 0 0 0

1 0 0
2 0 0
ASET TETAP LAINNYA

1 0 0 0
2 0 0 0

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
ASET TAK BERWUJUD

PROVINSI : Riau
SPESIFIKASI KONDISI BARANG

TAHUN
NO NAMA / JENIS BARANG REGISTER NOMOR NILAI PEROLEHAN PENGGUNAAN KETERANGAN
PEROLEHAN MERK / TYPE NO. PABRIK B, KB, RB
LAINNYA
1 2 3 4 5 6 7 8 9 10 11
1 Software (Customisasi Aplikasi SIM-RS) 2017 BAIK 103,205,920.00

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
ASET LAIN-LAIN

PROVINSI : Riau
UKURAN BARANG /
SPESIFIKASI KONDISI BARANG DASAR
TAHUN KONSTRUKSI
NO NAMA / JENIS BARANG KODE BARANG REGISTER NILAI PEROLEHAN DIHENTIKAN DARI KETERANGAN
PEROLEHAN
MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI P, SP, D / M2 / CC B, KB, RB / HILANG PENGGUNAAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
TANAH
1
2
PERALATAN MESIN
1
NIHIL
2
GEDUNG DAN BANGUNAN

1
2

1
2
ASET TETAP LAINNYA

1
2

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR BARANG BUKAN KATEGORI ASET TETAP

PROVINSI : Riau
NOMOR SPESIFIKASI JUMLAH PENCATATAN
NO URAIAN BARANG MERK / NO. NOMOR BELANJA BARU DIPERGUNAKAN PADA UNIT KETERANGAN
KODE BARANG REGISTER UNIT HARGA SATUAN TOTAL HARGA A, B, C, D, E, F
TYPE PABRIK LAINNYA (Y)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
NIHIL
1

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR BMD MILIK PENGGUNA BARANG LAINNYA

PROVINSI : Riau
UKURAN BARANG /
SPESIFIKASI KONDISI BMD ASAL BMD /
TAHUN KONSTRUKSI DASAR
NO NAMA / JENIS BARANG KODE BARANG REGISTER NILAI PEROLEHAN TERCATAT PADA KETERANGAN
PEROLEHAN PENGGUNAAN
MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI P, SP, D / M2 / CC B, KB, RB KIB
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TANAH
1
2
PERALATAN MESIN
1
NIHIL
2
GEDUNG DAN BANGUNAN

1
2

1
2
ASET TETAP LAINNYA

1
2

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR BMD YANG DIPINJAMPAKAIKAN KE INSTANSI LAIN

PROVINSI : Riau
UKURAN
BARANG
KONDISI DASAR Kpts. PINJAM
SPESIFIKASI / BERITA ACARA
BMD PAKAI
TAHUN KONSTR JANGKA INSTANSI
PEROLEHAN UKSI WAKTU PEMINJAM PAKAI
NO.
SERTIFI BPKB B, KB, RB NOMOR TANGGAL NOMOR TANGGAL
KAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
TANAH
1
2
PERALATAN MESIN
1
NIHIL
2
GEDUNG DAN BANGUNAN

1
2

1
2
ASET TETAP LAINNYA

1
2

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR BMD YANG DIHAPUSKAN

PROVINSI : Riau
UKURAN
BARANG / KONDISI DASAR Kpts.
SPESIFIKASI SEBAB DIHAPUSKAN
KONSTRU BMD PENGHAPUSAN
TAHUN
NO NAMA / JENIS BARANG KODE BARANG REGISTER KSI NILAI PEROLEHAN KETERANGAN
PEROLEHAN
NO.
MERK / NO. NO. NO. NO. P, SP, D / PEMINDAHTANGA PUTUSAN
SERTIFI BPKB B, KB, RB NOMOR TANGGAL KETENTUAN UU PEMUSNAHAN SEBAB LAIN
TYPE PABRIK RANGKA MESIN POLISI M2 / CC NAN PENGADILAN
KAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
TANAH
1
2
PERALATAN MESIN
1
2
GEDUNG DAN BANGUNAN
NIHIL
1
2

1
2
ASET TETAP LAINNYA

1
2

1
2

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR BMD YANG DIKUASAI PIHAK LAIN

PROVINSI : Riau
UKURAN
BARANG
KONDISI
SPESIFIKASI /
BMD
TAHUN KONSTR NAMA YANG ALAMAT YANG
NO NAMA / JENIS BARANG KODE BARANG REGISTER UKSI NILAI PEROLEHAN KETERANGAN
PEROLEHAN MENGUASAI MENGUASAI
NO.
SERTIFI BPKB B, KB, RB
KAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TANAH
1
2
PERALATAN MESIN
NIHIL
1
2
GEDUNG DAN BANGUNAN

1
2

1
2
ASET TETAP LAINNYA

1
2

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR BMD YANG BELUM DITETAPKAN STATUS PENGGUNAANNYA

PROVINSI : Riau
UKURAN BARANG /
SPESIFIKASI KONDISI BMD
TAHUN KONSTRUKSI
PEROLEHAN
MERK / TYPE NO. SERTIFIKAT NO. PABRIK NO. RANGKA NO. MESIN BPKB NO. POLISI P, SP, D / M2 / CC B, KB, RB
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
TOTAL 8,976,778,014.00 7,862,984,030.00

1 TANAH -
2 PERALATAN MESIN 8,759,044,901.00 423.00 8,976,778,014.00

Alat-Alat Besar
-
Alat-Alat Besar Darat
Alat-Alat Besar Apung
Alat-Alat Bantu
Alat-Alat Angkutan
Alat Angkutan Darat Bermotor
Alat Angkutan Darat Tak Bermotor
Alat Angkut Apung Bermotor
Alat Angkut Apung Tak Bermotor
Alat Angkut Bermotor Udara
Alat Bengkel Bermesin 221,020,791.00

1 Mesin Kompresor Udara 02.04.01.01.18 0001 2017 Lakoni / Fresco 130 SN : 200800 Baik 6,750,000.00
2 Mesin Las 900 Watt (lengkap dengan02.04.01.01.19 0001 2017 Baik 1,150,000.00
3 Bor Duduk 02.04.01.01.05 0001 2017 Baik 6,435,000.00
4 Gergaji Potong Listrik 02.04.01.06.01 0001 2017 Baik 2,150,000.00
5 Bor 02.04.01.02.02 0001 2017 Baik 3,345,000.00
6 Mesin Potong 02.04.01.01.29. 0001 2017 Baik 2,350,000.00
Cold Storage (Peralatan Teknik) 0001 2017 Baik 198,840,791.00
Alat Bengkel Tak Bermesin 4,220,000.00

1 Toolkit Box 1.00 2017 Baik 850,000.00
2 Toolkit (Obeng Lengkap) 1.00 2017 Baik 1,620,000.00
3 Kunci Ring Lengkap 1.00 2017 Baik 1,750,000.00
Alat Ukur 9,800,000.00

1 Timbangan + Ukuran Tinggi Badan 2017 Baik 3,200,000.00
2 Timbangan Bayi 2017 Baik 6,600,000.00
Alat Kantor 7,220,480.00

1 Mesin Penghancur Kertas 2017 Baik 4,670,480.00
2 Lemari (Pelayanan Gawat Darurat) 2017 Baik 850,000.00
3 Lemari (Pelayanan Rawat Inap) 2017 Baik 850,000.00
4 Lemari (Pelayanan ICU) 2017 Baik 850,000.00
Alat Rumah Tangga 1,078,526,751.00
1 Kulkas 1 Pintu 7.00 2017 Baik 16,940,000.00 423 8976778014
2 Kursi Tunggu 23.00 2017 Baik 10,350,000.00
3 Kursi Tunggu Pasien 5.00 2017 Baik 44,750,000.00 -
4 AC VRF/VRV Ceiling Concealed/Split Duct (76,400 btu) 1.00 2017 Baik 48,228,400.00
5 AC VRF/VRV Ceiling Concealed/Split Duct (95,500 btu) 2.00 2017 Baik 111,372,800.00
6 AC VRF/VRV Outdoor Unit (232,000 btu) 1.00 2017 Baik 255,883,100.00
7 Pengadaan Dan Pemasangan Ducting 1.00 2017 Baik 78,184,700.00
8 Pengadaan Dan Pemasangan Pipa AC VRF/VRV Lengkap 1.00 2017 Baik 171,293,100.00
9 Dandang / Kukus Besar (Bahan Aluminium Diameter 45cm) 2.00 2017 Baik 1,375,000.00
10 Kulkas Side by side 4 Pintu Menyamping, Type RQ-56WC (4 1.00 2017 Baik 9,196,000.00
11 Dispenser Berdiri 2.00 2017 Baik 6,250,000.00
12 Exhaust Fan 5.00 2017 Baik 6,750,000.00
13 Rak Sepatu Tertutup 1.00 2017 Baik 2,486,000.00
14 Rak Gantung Bedside Monitor 3.00 2017 Baik 17,160,000.00
15 Rak Pispot 1.00 2017 Baik 715,000.00
16 Rak Alat Non Alkes 1.00 2017 Baik 990,000.00
17 Rak Gantung Alkes 1.00 2017 Baik 8,954,000.00
18 Rak Gantung Bedside Monitor 2.00 2017 Baik 11,550,000.00
19 Rak Gantung 1.00 2017 Baik 10,560,000.00
20 Dispenser Berdiri 1.00 2017 Baik 1,850,000.00
21 Exhaust Fan 2.00 2017 Baik 2,700,000.00
22 Rak Pispot 1.00 2017 Baik 750,000.00
23 Rak Alat 1.00 2017 Baik 1,000,000.00
24 Rak DIspenser 2.00 2017 Baik 3,000,000.00
25 Trolley Linen 2.00 2017 Baik 23,870,000.00
26 Jam Dinding 3.00 2017 Baik 645,000.00
27 AC 2 PK 2017 Baik 22,800,000.00
28 AC 1 PK 2017 Baik 28,380,000.00
29 AC ½ PK 2017 Baik 4,000,000.00
30 Kursi tunggu double side 2017 Baik 37,950,000.00
31 Kursi tunggu single side 2017 Baik 30,800,000.00
32 Rak Besi (Pelayanan Logistik) 2017 Baik 78,282,600.00
33 Rak Mainan (Renovasi bangunan Rumah Sakit Lantai I) 2017 Baik 5,981,952.00
34 Kursi Tunggu Pembatas (Renovasi Bangunan Rumah Sakit Lantai 1 2017 Baik 9,389,099.00
35 Televisi (Pelayanan Rawat Jalan) 2017 Baik 8,800,000.00
36 Blender Obat 2017 Baik 4,700,000.00
37 Papan Kapsul 2017 Baik 640,000.00
Komputer Unit 183,792,599.00

1 Komputer / PC 21,5 inch 3 2017 Baik 28,800,000.00
2 Notebook Asus Zenbook 13,3 Inchi 1 2017 Baik 15,834,729.00
3 Komputer / PC 3 2017 Baik 42,494,000.00 42,494,000.00
4 Notebook Asus UX360CA (M-6Y30, 8 1 2017 Baik 13,417,870.00 13,417,870.00
5 Komputer All In One 2 2017 Baik 28,046,000.00 28,046,000.00
6 Komputer All In One 4.00 2017 Baik 55,200,000.00 55,200,000.00
Peralatan Komputer 68,958,880.00

1 Printer All In One 3 2017 Baik 7,891,000.00
2 Printer 2017 Baik 11,701,440.00
3 Printer 2017 Baik 11,951,440.00
4 Printer Multi Fungsi 2017 Baik 15,600,000.00
5 Printer dot matrix 2017 Baik 3,900,000.00
6 Peningkatan Instalasi Jaringan Internet (Pembangunan/Pengemban 2017 Baik 17,915,000.00
Meja Dan Kursi Kerja / Rapat Pejabat Dan Meubelair Lainnya 140,702,909.00
1 Meja Kerja (Meja Counter Farmasi) 1.00 2017 Baik 56,133,000.00
2 Meja 1/2 Biro 9.00 2017 Baik 31,160,000.00
3 Kursi Kerja Jabatan 13.00 2017 Baik 43,940,000.00
4 Meja Informasi 1.00 2017 Baik 9,469,909.00
Alat Studio -
Alat Komunikasi -
Alat Kedokteran 4,187,801,887.00
1 Alat Kedokteran Bedah (Dexon Stool Chair) 6 2017 Baik 6,673,500.00
2 Instrument Cabinet 1 2017 Baik 6,158,300.00
3 Anti Decubitus Alternating Air Pressure Mattres Comf 1 2017 Baik 3,098,000.00
4 Suction Pump With Troly (C-451) 2x3 L 1 2017 Baik 58,468,000.00
5 Ultra Sonic Nebulizer 2 2017 Baik 1,628,000.00
6 Tensimeter Digital 3 2017 Baik 4,321,798.00
7 Suction Pump With Troly (C-451) 2x5 L 2 2017 Baik 119,000,000.00
8 Infant Incubator 2 2017 Baik 304,804,295.00
9 Tensimeter Berdiri 4 2017 Baik 18,502,200.00
10 Tensimeter Berdiri 1 2017 Baik 4,656,354.00
11 Mesin Anasthesi 1 2017 Baik 750,000,000.00
12 Blanket Warmer 2 2017 Baik 83,520,000.00
13 Suction Pump Portable 3 2017 Baik 36,967,000.00
14 Light Curing 2 2017 Baik 16,906,000.00
15 Bed Side Monitor (Patient Monitor) 3 2017 Baik 266,840,200.00
16 Instrument Cabinet (Lemari Obat) 1 2017 Baik 6,159,300.00
17 Emergency Mobile Stretcher 2 2017 Baik 23,005,400.00
18 Emergency Mobile Stretcher 1 2017 Baik 11,780,700.00
19 Emaled Lampu Operasi Mobile/Mobile Emergency La 2 2017 Baik 232,297,600.00
20 Operating Table Electric 1 2017 Baik 296,671,540.00
21 Infant Warmer 1 2017 Baik 130,900,000.00
22 Babypuff Neonatal Resuscitation Device With Trolley 1 2017 Baik 88,500,000.00
23 Aesculap Partus Set 3 2017 Baik 71,619,000.00
24 Aesculap Hernia And Appendix Set 2 2017 Baik 167,212,000.00
25 Aesculap Hernia And Appendix For Children 1 2017 Baik 80,167,000.00
26 Portable USG Probe Linear 1 2017 Baik 514,112,000.00
27 Projection Vein Finder 1 2017 Baik 84,000,000.00
28 Projection Vein Finder 1 2017 Baik 80,594,100.00
29 Aesculap Hernia and Appendix Set I (Set Hernia Dewa 2 2017 Baik 166,509,000.00
30 Amal Gamator 1 2017 Baik 6,280,000.00
31 Bistos Medical Head Lamp 1 2017 Baik 1,100,000.00
34 Pressure Infusion Cuff 500ml (Pressure Bag) 2 2017 Baik 2,420,000.00
35 Mayo Stand 3 2017 Baik 11,488,600.00
36 Examination Table 2 2017 Baik 16,643,000.00
37 Aesculap IUD KIT 1 2017 Baik 14,374,000.00
38 Aesculap IUD KIT 1 2017 Baik 14,374,000.00
39 Nierbekken Besar 3 2017 Baik 720,000.00
40 Termometer Digital 2 2017 Baik 840,000.00
41 Kacamata Kuda 3 2017 Baik 900,000.00
42 Cup Vacum Silicon M/L 2 2017 Baik 6,000,000.00
43 Trial Frame 1 2017 Baik 4,500,000.00
44 Alat Diagnostik Gigi (Terdiri dari : Sonde Halfmoon, 30 2017 Baik 18,480,000.00
45 Transfer Stretcher Trolley 2 2017 Baik 93,960,000.00
46 Tabung Oksigen 5 2017 Baik 5,000,000.00
47 Regulator Oksigen 5 2017 Baik 2,000,000.00
48 Dorongan / Trolly 5 2017 Baik 500,000.00
49 Lemari Obat 1 2017 Baik 5,150,000.00
50 Foot Step 4 2017 Baik 4,112,000.00
51 Foot Step 4 2017 Baik 4,188,000.00
52 Tip Scaler EMS 2 2017 Baik 3,696,000.00
53 Tip Scaler Satelec 1 2017 Baik 1,925,000.00
54 Set Hecting 1 2017 Baik 2,800,000.00
55 Manikin CPR (Ambu Man Basic) 1 2017 Baik 11,880,000.00
56 Gunting Perban 3 2017 Baik 60,000.00
57 Torniquet 3 2017 Baik 600,000.00
58 Reflex Hammer 2 2017 Baik 200,000.00
59 Electric Gyn Examination Table 3 2017 Baik 109,066,500.00
60 Finger Bedside Monitor 4 2017 Baik 23,600,000.00
61 Set Amblical 3 2017 Baik 17,700,000.00
62 Mobile Stretcher 1 2017 Baik 8,873,500.00
63 Gunting Verban 3 2017 Baik 75,000.00
64 Termometer Digital 5 2017 Baik 225,000.00
66 Minor Surgical Lamp 2017 Baik 155,700,000.00
Alat Kesehatan 439,335,040.00

1 Shortwave Therapy Unit – DX 500 2017 Baik 146,480,038.30
2 Microwave Diathermy - Endosan 2017 Baik 103,691,631.70
3 Shoulder Wheel 2017 Baik 24,013,000.00
4 Static Bycycle 2017 Baik 24,860,000.00
5 Bed Therapy 2017 Baik 74,250,000.00
6 Quad Ricep Setting 2017 Baik 39,091,470.00
7 Otoscope Fiber Optik 2017 Baik 5,082,000.00
8 Alligator Ear (8,5cm) 2017 Baik 1,694,000.00
9 Mouth Gag 13cm (Kecil) 2017 Baik 2,728,000.00
10 Mouth Gag 15cm (Besar) 2017 Baik 2,728,000.00
11 Mouth Gag With Tonsil Plates Adult 5 Blade 2017 Baik 8,239,000.00
12 Mikro Aligator Ear Forcep (8,5cm) 2017 Baik 1,061,500.00
13 Spekulum Telinga Set 2017 Baik 611,600.00
14 Pinset Telinga 12cm 2017 Baik 198,000.00
15 Pinset Bayonet Hidung 2017 Baik 198,000.00
16 Spekulum Nasal Hidung (Type Lurus) 2017 Baik 368,500.00
17 Spekulum Nasal Hidung (Type Bengkok) 2017 Baik 368,500.00
18 Pincet Pin /Endo 2017 Baik 891,000.00
19 Bone File 2017 Baik 198,000.00
20 Plastis Instrumen 2017 Baik 50,600.00
21 Bein Lurus 2017 Baik 154,000.00
22 Knabel Tang /Bone Rongeur 2017 Baik 313,500.00
23 Pencil Cutter 2017 Baik 1,452,000.00
24 Pelilit Kapas 2017 Baik 159,500.00
25 Serumen Hook 2017 Baik 453,200.00
Alat Laboratorium 2,391,603,924.00

1 Sentrifuge 24 Lobang 1.00 2017 Baik 70,294,979.00
2 K-Lite 5 1.00 2017 Baik 47,915,600.00
3 CoaLAB 1000 1.00 2017 Baik 321,956,000.00
4 Automated Erythrocyte Sedimentation Rate Analyzer 1.00 2017 Baik 32,740,000.00
5 Stethoscope Adult 2.00 2017 Baik 2,093,142.00
6 Tensimeter Desk Adult 2.00 2017 Baik 3,539,298.00
7 Pipette Reference 2 Singel-Channel Fixed 5 ul 2.00 2017 Baik 6,633,250.00
8 Pipette Reference 2 Singel-Channel Fixed 10 ul Yellow 2.00 2017 Baik 6,633,250.00
14 Microscope Binoculer dengan Lensa Obyektif Plan 1.00 2017 Baik 34,298,000.00
15 Sterilisator Kering/Dry 1.00 2017 Baik 19,850,000.00
16 Glucose Stater Kit 2.00 2017 Baik 558,000.00
17 Steam Sterilizer 1.00 Baik 1,811,926,155.00
Alat-Alat Persenjataan / Keamanan 26,061,640.00

1 Pekerjaan Pemasangan CCTV (Instalasi Access Control Dan CCTV 2017 Baik 26,061,640.00
3 GEDUNG DAN BANGUNAN 114,174,399.00

Bangunan Gedung 114,174,399.00
1 Terali Ruang Outdoor AC Central 2017 Baik 12,650,000.00
2 Pagar Terali teras ruang IPAL + Pintu 2017 Baik 6,957,500.00
3 Pagar Terali samping gudang mushalla 2017 Baik 2,972,750.00
4 Pagar terali ruang mesin Cold Storage + Pintu 2017 Baik 5,692,500.00
5 Terali jendela ruang direktur 2017 Baik 6,957,500.00
6 Landscape Taman Dan Area Parkir 2017 Baik 78,944,149.00
Monumen -
Bangunan Menara -
Tugu Titik Kontrol/Pasti -
4 JALAN, JARINGAN DAN IRIGASI 103,558,714.00

Jalan dan Jembatan -
Bangunan Air -
Instalasi 103,558,714.00
1 Intalasi Jaringan Saluran IPAL 2017 Baik 103,558,714.00
Jaringan -
5 ASET TETAP LAINNYA - 1,113,793,984.00

Bahan Perpustakaan -
8,976,778,014.00
Barang Bercorak Kesenian/Kebudayaan/Olahraga - -
-
Hewan -
Ikan -
Tanaman -
Barang Koleksi Non Budaya -
Aset Tetap Dalam Renovasi -
6 ASET LAINNYA -
Kemitraan Dengan Pihak Ketiga -
-
-
103,430,920.00
(103,430,920.00)
Aset Lain-Lain -
7 KONSTRUKSI DALAM PENGERJAAN -

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR BARANG HASIL INVENTARISASI YANG BELUM TERCATAT SEBAGAI BMD

PROVINSI : Riau
UKURAN BARANG /
TAHUN KONSTRUKSI DASAR INV. / DOK.
NO NAMA / JENIS BARANG NILAI PEROLEHAN KETERANGAN
PEROLEHAN KEPEMILIKAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
TANAH
1
2
PERALATAN MESIN
NIHIL
1
2
GEDUNG DAN BANGUNAN

1
2

1
2
ASET TETAP LAINNYA

1
2

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR BMD YANG BELUM MEMILIKI PENGAMANAN FISIK DAN PENGAMANAN HUKUM

PROVINSI : Riau
UKURAN BARANG /
TAHUN KONSTRUKSI
PEROLEHAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
TANAH
1
2
PERALATAN MESIN
1
2 NIHIL
GEDUNG DAN BANGUNAN
1
2

1
2

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
DAFTAR DOKUMEN KEPEMILIKAN BMD YANG BELUM a.n. PEMERINTAH PROVINSI RIAU

PROVINSI : Riau
UKURAN BARANG /
TAHUN KONSTRUKSI
PEROLEHAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
TANAH
1
NIHIL
2
PERALATAN MESIN
1
2
GEDUNG DAN BANGUNAN

1
2

Penanggungjawab,

NIP. 19680808 200212 2 004 NIP. 19850923 201001 1 022
BERITA ACARA REKONSILIASI INTERNAL
BARANG MILIK DAERAH
RSUD PETALA BUMI PROVINSI RIAU
Nomor : 800/RSUDPB/9069
Pada hari ini Kamis tanggal Delapan bulan Maret tahun Dua Ribu Delapan Belas, kami yang
bertandatangan dibawah ini:
1 Nama : RONI INDRA KESUMA, SE, M.Si

NIP : NIP. 19741022 200112 1 002
Jabatan : Kasubbag Keuangan, Perlengkapan dan Pengelolaan BMD
2 Nama : AKMAL BUDIARSA, AMF

NIP : 19850923 201001 1 022
Jabatan : Pengurus Barang
Menyatakan bahwa telah melakukan Rekonsiliasi Data Barang Milik Daerah pada lingkup
internal RSUD Petala Bumi Provinsi Riau dengan cara membandingkan
Data BMD yang disusun oleh Pengurus Barang Perangkat Daerah dengan Laporan Keuangan
yang disusun oleh akutansi keuangan untuk periode (Semester II ) Tahun Anggaran
2017, dengan hasil sebagai berikut:
NO URAIAN LAP. BMD LAP. KEU SELISIH
A ASET LANCAR - -
1 Persediaan - - -
B ASET TETAP 138,460,505,188.10 138,128,630,372.25 331,874,815.85
1 Tanah 6,200,000,000.00 6,200,000,000.00 -
2 Peralatan Mesin 52,848,877,715.10 52,517,002,899.25 331,874,815.85
3 Gedung dan Bangunan 78,086,299,999.00 78,086,299,999.00 -
4 Jalan, Jaringan dan Irigasi 577,781,474.00 577,781,474.00 -
5 Aset Tetap Lainnya 10,546,000.00 10,546,000.00 -
6 Konstruksi Dalam Pengerjaan 737,000,000.00 737,000,000.00 -
C ASET LAINNYA
1 Kemitraan Dengan Pihak Ketiga - - -
2 Aset Tak Berwujud 103,205,920.00 103,205,920.00 -
3 Aset Lain-Lain - - -
D EKSTRAKOMPTABLE - 341,791,315.85 - 341,791,315.85
E BMD RUSAK BERAT - - -
F BMD HILANG - - -
TOTAL 138,460,505,188.10 138,470,421,688.10 - 9,916,500.00
Terdapat selisih laporan keuangan di Peralatan dan mesin, keuangan mencatat nilai Rp 9,916,500,- ke peralatan
mesin sedangkan BMD mencatat ke persediaan. Adapun item barang sebagai berikut :
1 alat - alat perlengkapan rumah tangga 990,000.00
2 Tang Kombinasi (2 pcs) 176,000.00
3 Tang Runcing (2 pcs) 176,000.00
4 Tang Potong (2 pcs) 176,000.00
5 Obeng Kecil Set 6Pcs (1 set) 154,000.00
6 Tang Potong Kecil (1 pcs) 71,500.00
7 Tang Runcing Kecil (1 pcs) 71,500.00
8 Tang Alicate Klipper (1 pcs) 192,500.00
9 Tang Stripper and Cutter (1 pcs) 275,000.00
10 Obeng Tool Set 7Pcs (1 set) 187,000.00
11 Kikir 6Pcs (1 set) 93,500.00
12 PinSet 4Pcs (1 set) 93,500.00
13 Kunci L 8Pcs (1 set) 253,000.00
14 Obeng HP 31Pcs (1 set) 82,500.00
15 Obeng Plus Minus (2 pcs) 88,000.00
16 TestPen Standart (2 pcs) 33,000.00
17 TestPen Cable Tester (1 pcs) 66,000.00
18 Multi Tester Analog (1 pcs) 302,500.00
19 Cutter + Blades (1 set) 93,500.00
20 Solder Analog Dekko (1 pcs) 302,500.00
21 Penyedot Timah Dekko (1 pcs) 247,500.00
22 Martil Kecil Genggam (1 pcs) 49,500.00
23 Timah Solder + Lotfett (1 set) 264,000.00
24 Contact Cleaner (1 pcs) 137,500.00
25 Kabel Ties (4 bungkus) 77,000.00
26 Boks Alat Plastik (1 pcs) 170,500.00
27 Baut + Viser 27,500.00
28 Paku Klem (1 bungkus) 27,500.00
29 LAN Tester Standart (2 unit) 242,000.00
30 Toll Tang Krimping Konektor LAN (2 unit) 528,000.00
31 Toll Gun Lem Bakar ( 2 unit) 484,000.00
32 Batangan Lem Bakar (2 bungkus) 363,000.00
33 Flash Disk (5 pcs) 770,000.00
34 LAN Tester Tracker Cable (1 set) 2,651,000.00
Demikian Berita Acara ini dibuat untuk dapat sebagai bahan penyusunan Laporan Barang Milik
Daerah dan Laporan Keuangan RSUD Petala Bumi Provinsi Riau
periode Semester I Tahun Anggaran 2017.
1 RONI INDRA KESUMA, SE, M. :

…………………………………
2 AKMAL BUDIARSA, AMF :

…………………………………
Mengetahui,
PENGGUNA BARANG

NIP. 19680808 200212 2 004

Lap BMD 2017 Semester 2 Rsud Petala Bumi Sesuai Rekon

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DAFTAR PENGADAAN BARANG

PER TANGGAL 1 JULI 2017 S.D. 31 DESEMBER 2017

OPD : RSUD PETALA BUMI

SPK / KONTRAK BAST KWITANSI / SP2D JUMLAH

1 BARANG PAKAI HABIS 2.00 - 495,000.00 990,000.00

b Alat Listrik & Elektronik - -

d Bahan Logistik Rumah Tangga 2.00 - 495,000.00 990,000.00

2 BARANG INVENTARIS 292.00 - 6,584,699,672.17 7,827,753,780.00 7,862,984,030.00

b Alat Bengkel Tak Bermesin 3.00 - 4,220,000.00 4,220,000.00

c Alat Ukur 2.00 - 9,800,000.00 9,800,000.00

e Alat Rumah Tangga 73.00 - 689,254,200.00 846,803,100.00

f Komputer & Kelengkapannya 7.00 - 28,065,062.33 52,525,729.00

Perlengkapan Komputer 3.00 - 2,630,333.33 7,891,000.00

g Meja Dan Kursi Kerja / Rapat Pejabat 1.00 - 56,133,000.00 56,133,000.00

j Alat Kedokteran & Kesehatan 173.00 - 3,409,755,080.83 4,444,488,027.00

Alat Kesehatan 6.00 - 412,386,140.00 412,386,140.00

k Alat Laboratorium 27.00 - 2,365,292,329.00 2,391,603,924.00

3 GEDUNG DAN BANGUNAN - - 35,230,250.00 35,230,250.00

b Bangunan Gedung Tempat Timggal - - - -

4 JALAN, JARINGAN DAN IRIGASI - - - -

5 ASET TETAP LAINNYA - - - -

b Aset Tidak Berwujud

7 KONSTRUKSI DALAM PENGERJAAN - - - -

TOTAL 292.00 6,619,929,922.17 7,862,984,030.00

Pekanbaru, 08 Maret 2017

dr. SYLVANA ESTHERLITA, M.Kes AKMAL BUDIARSA, AMF

OPD : RSUD PETALA BUMI

1 PERSEDIAAN TAHUN 2016 6,191,696.00 - 18,153,332,235.85 1,897,610.00 - 6,775,849,299.20

B SUKU CADANG 2.00 - 1,000,700.00 2.00 - 1,000,700.00

C ALAT/BAHAN UNTUK KEGIATAN KANTOR 1,225,208.00 - 8,186,503,422.77 544,847.00 - 2,813,344,284.77

3 Alat kebersihan 2016 3,998.00 45,014,600.00 1,995.00 21,412,400.00 23,602,200.00

4 Barang cetakan 9,536.00 103,050,810.00 3,187.00 56,432,800.00 46,618,010.00

5 Material Laboratorium 128,846.00 391,931,610.67 128,846.00 391,931,610.67 -

6 Material Kesehatan 2016 1,077,259.00 7,392,097,545.43 408,219.00 2,294,782,567.44 5,097,314,977.99

BHP Kedokteran Gigi -

D OBAT - OBATAN 4,966,486.00 - 9,965,828,113 1,352,761 - 3,961,504,314 3,613,725 6,004,323,798.66

Obat Narkotik /Psikotropik : -

APOTIK 2016 154,738.00 1,010,524,156.02 154,738.00 1,010,524,156.02 1,010,524,156.02

OBAT GENERIK 2,929,581.00 2,992,596,473.63 730,944.00 1,038,306,757.03

Obat Narkotik /Psikotropik : -

APOTIK 166,735.00 200,588,188.56 166,735.00 200,588,188.56 -

2 PERSEDIAAN TAHUN 2017 3,133,512.00 6,549,854,846.10 2,843,690,702

C ALAT / BAHAN UNTUK KEGIATAN KANTOR 334,161.00 2,473,977,925.74 113,319.00 738,280,302.04

c Alat Listrik & Elektronik 100.00 2,000,000.00 68.00 1,360,000.00 640,000.00

d Alat Kebersihan 2,852.00 36,246,300.00 260.00 20,583,800.00 2,592 15,662,500.00

e Material Kesehatan 313,826.00 1,990,047,477.04 98,049.00 306,223,060.80 1,683,824,416.24

APOTIK 146,648.00 814,268,413.03 79,110.00 173,422,979.82

f Bahan Logistik Rumah Tangga 7,967.00 52,913,500.00 7,599.00 39,356,500.00 13,557,000.00

D Obat-Obatan 2,799,351.00 4,075,876,920.36 1,102,454.00 2,105,410,400.22

APOTIK 1,466,161 735,933,702 448,791 359,754,712

b Obat Non Generik 455,282.00 2,407,587,239.79 306,636.00 1,380,884,925.84 1,026,702,313.95

APOTIK 360,473.00 1,766,651,902.82 212,047.00 747,614,486.33

PENGADAAN TAHUN 2017 3,133,512.00 6,549,854,846.10 2,843,690,702.26

Pekanbaru, 30 Desember 2017

dr. SYLVANA ESTHERLITA, M.Kes AKMAL BUDIARSA, AMF

OPD : RSUD PETALA BUMI

2 PERALATAN MESIN 292.00 6,584,699,672.17 7,827,753,780.00 - 5,449,202.00 292.00 6,584,699,672.17 7,827,753,780.00

b Alat-Alat Besar Darat - - - - - - - -

c Alat-Alat Besar Apung - - - - - - - -

f Alat Angkutan Darat Bermotor - - - - - - - -

g Alat Angkutan Darat Tak Bermotor - - - - - - - -

h Alat Angkut Apung Bermotor - - - - - - - -

i Alat Angkut Apung Tak Bermotor - - - - - - - -