DAFTAR KEBUTUHAN BARANG

KLINIK PRATAMA PMI BOYOLALI

BULAN AGUSTUS 2018

NO DESCRIPTION GUANTITY UNIT PRICE AMOUNT

ATK
1 AMPLOP TANGGUNG 2 BOX Rp 12,500.00 Rp 25,000.00
2 AMPLOP KECIL 3 BOX Rp 7,000.00 Rp 21,000.00
3 AMPLOP BESAR 1 BOX Rp 20,000.00 Rp 20,000.00
4 KWITANSI 3 BUAH Rp 5,000.00 Rp 15,000.00
5 BOLPOINT 2 BOX Rp 9,000.00 Rp 18,000.00
6 BOLPOINT MERAH 1 BOX Rp 9,000.00 Rp 9,000.00
7 SPIDOL PERMANEN 2 BUAH Rp 9,000.00 Rp 18,000.00
8 KERTAS F4 3 RIM Rp 48,000.00 Rp 144,000.00
9 KERTAS A4 3 RIM Rp 44,000.00 Rp 132,000.00
10 KLIP HITAM 1 BOX Rp 7,500.00 Rp 7,500.00
12 ISI CUTTER 1 BIX Rp 10,000.00 Rp 10,000.00
13 SNALL HALTER 10 BUAH Rp 3,500.00 Rp 35,000.00
14 MAP BENIK 12 BUAH Rp 3,000.00 Rp 36,000.00
15 MAP BATIK 12 BUAH Rp 2,500.00 Rp 30,000.00
16 MATERAI 3000 5 BUAH Rp 3,000.00 Rp 15,000.00
17 MATERI 6000 30 BUAH Rp 6,000.00 Rp 180,000.00
18 BATERAI AAA 4 PACK Rp 9,500.00 Rp 38,000.00
19 NOTA 4 BUAH Rp 2,500.00 Rp 10,000.00
20 DOUBLE TIP 2 BUAH Rp 5,000.00 Rp 10,000.00
21 SOLASI PUTIH 1 BUAH Rp 12,500.00 Rp 12,500.00

Boyolali, 25 Juli 2018

Klinik Pratama
PALANG MERAH INDONESIA
Kabupaten Boyolali

dr. ISNA RIFANA FITRIANI

 DAFTAR KEBUTUHAN BARANG
KLINIK PRATAMA PMI BOYOLALI
BULAN AGUSTUS 2018

NO DESCRIPTION GUANTITY UNIT PRICE AMOUNT

RUMAH TANGGA
1 PLASTIK PUTIH 1 PAK Rp 39,000.00 Rp 39,000.00
2 PLASTIK 1/2KGNAN 1 PAK Rp 30,000.00 Rp 30,000.00
3 PLASTIK SAMPAH KUNING 1 PAK Rp 20,000.00 Rp 20,000.00
4 PLASTIK LOREK 1 PAK Rp 12,000.00 Rp 12,000.00
5 PLASTIK KLIP 10" 1 PAK Rp 10,500.00 Rp 10,500.00
6 PLASTIK 13" 1 PAK Rp 15,500.00 Rp 15,500.00
7 GELAS PLASTIK 6 PAK Rp 60,000.00 Rp 360,000.00
8 ISI ULANG AIR GALON 12 BUAH Rp 16,500.00 Rp 198,000.00
9 TISU 900 GR 5 PACK Rp 36,000.00 Rp 180,000.00
10 HAND SOAP 1 BUAH Rp 13,000.00 Rp 13,000.00
11 PEMBERSIH LANTAI 5 BUAH Rp 10,500.00 Rp 52,500.00
12 SABUN CUCI PIRING 800ML 1 BUAH Rp 14,000.00 Rp 14,000.00
13 KARBOL 800ML 3 BUAH Rp 14,500.00 Rp 43,500.00
14 VIXAL PORSELEN 800ML 1 BUAH Rp 15,000.00 Rp 15,000.00
15 PEMBERSIH KACA 425ML 1 BUAH Rp 16,000.00 Rp 16,000.00
16 PENGHARUM RUANGAN 3 BUAH Rp 15,000.00 Rp 45,000.00
17 GULA PASIR 6 KG Rp 12,750.00 Rp 76,500.00
18 KECAP 135ML 1 BOTOL Rp 7,500.00 Rp 7,500.00
19 TEH CELUP 2 DUS Rp 5,000.00 Rp 10,000.00
20 SAOS TOMAT 1 BOTOL Rp 5,000.00 Rp 5,000.00
21 TEH AWUR 3 PACK Rp 35,000.00 Rp 105,000.00

Boyolali, 25 Juli 2018

Klinik Pratama
PALANG MERAH INDONESIA
Kabupaten Boyolali

dr. ISNA RIFANA FITRIANI

 DAFTAR KEBUTUHAN BARANG
KLINIK PRATAMA PMI BOYOLALI
BULAN AGUSTUS 2018

NO DESCRIPTION GUANTITY UNIT PRICE AMOUNT

OBAT
1 AMBROXOL 10 BOX Rp 20,000.00 Rp 200,000.00
2 ASAM MEFENAMAT 4 BOX Rp 23,000.00 Rp 92,000.00
3 DIVOLTAR 10 BOX Rp 21,500.00 Rp 215,000.00
4 BROCHIFAR 10 BOX Rp 29,500.00 Rp 295,000.00
5 CALORTUSIN 10 BOX Rp 44,000.00 Rp 440,000.00
6 CAVIPLEK 5 BOX Rp 51,000.00 Rp 255,000.00
7 CEFADROXIL 10 BOX Rp 74,800.00 Rp 748,000.00
8 COPARCETIN 10 BOX Rp 42,500.00 Rp 425,000.00
9 ETABION 5 BOX Rp 24,000.00 Rp 120,000.00
10 DEXANTA 10 BOX Rp 21,000.00 Rp 210,000.00
11 DEXTRAL 3 BOX Rp 75,000.00 Rp 225,000.00
12 LERZIN 5 BOX Rp 26,500.00 Rp 132,500.00
13 GASELA 10 BOX Rp 23,000.00 Rp 230,000.00
14 ETAMOX 5 BOX Rp 48,000.00 Rp 240,000.00
15 FLOXIGRA 10 BOX Rp 48,500.00 Rp 485,000.00
16 FLUCADEX 3 BOX Rp 43,000.00 Rp 129,000.00
17 FLEXOTIDE 1 BOX Rp 229,680.00 Rp 229,680.00
18 FLUTAMOL 10 BOX Rp 34,000.00 Rp 340,000.00
19 GLUDEPATIC 2 BOX Rp 30,000.00 Rp 60,000.00
20 GRANTUSIF 3 BOX Rp 40,000.00 Rp 120,000.00
21 ALLERON 5 BOX Rp 18,500.00 Rp 92,500.00
22 GRATHASONE 10 BOX Rp 28,000.00 Rp 280,000.00
23 IBUPROFEN 5 BOX Rp 36,000.00 Rp 180,000.00
24 INJ. DEXAMETHASONE 1 BOX Rp 200,000.00 Rp 200,000.00
25 INJ. TRICLOFEM 1 BOX Rp 160,000.00 Rp 160,000.00
26 INAMID 10 BOX Rp 24,000.00 Rp 240,000.00
27 KADITIC 10 BOX Rp 15,000.00 Rp 150,000.00
28 LOKEV 10 BOX Rp 26,000.00 Rp 260,000.00
29 LORATADIN 5 BOX Rp 19,000.00 Rp 95,000.00
30 MOLEXFLU 10 BOX Rp 69,000.00 Rp 690,000.00
31 MOLAGIT 5 BOX Rp 85,000.00 Rp 425,000.00
32 OMEPRAZOLE 10 BOX Rp 12,500.00 Rp 125,000.00
33 PRIMADEX 3 BOX Rp 25,000.00 Rp 75,000.00
34 PACETIK 10 BOX Rp 19,500.00 Rp 195,000.00
35 RANITIDINE 5 BOX Rp 24,500.00 Rp 122,500.00
36 SPASMINAL 10 BOX Rp 61,000.00 Rp 610,000.00
37 STIK AU 3 BOX Rp 95,000.00 Rp 285,000.00
38 STIK CHOLES 5 BOX Rp 160,000.00 Rp 800,000.00
39 STIK GDS 5 BOX Rp 90,000.00 Rp 450,000.00
DAFTAR KEBUTUHAN BARANG
KLINIK PRATAMA PMI BOYOLALI
BULAN AGUSTUS 2018

NO DESCRIPTION GUANTITY UNIT PRICE AMOUNT

OBAT
40 STIK HB 4 BOX Rp 155,000.00 Rp 620,000.00
41 SYR COPARCETIN 10 BOX Rp 7,000.00 Rp 70,000.00
42 SYR COPARCETIN KIDS 5 BOX Rp 6,500.00 Rp 32,500.00
43 SYR PACETIK 10 BOX Rp 4,500.00 Rp 45,000.00
44 SYR SELTIFORT 10 BOX Rp 5,000.00 Rp 50,000.00
45 SYR TRIOCID 10 BOX Rp 6,000.00 Rp 60,000.00
46 SYR YUSIMOX 15 BOX Rp 4,500.00 Rp 67,500.00
47 TEOSAL 5 BOX Rp 12,000.00 Rp 60,000.00
48 RECO TM 10 BOX Rp 9,500.00 Rp 95,000.00
49 VENTOLIN 1 BOX Rp 237,300.00 Rp 237,300.00
50 VESPERUM 5 BOX Rp 26,000.00 Rp 130,000.00
51 VIT C LOS 5 BOX Rp 35,000.00 Rp 175,000.00
52 ZALF DEXYGEN 10 BOX Rp 8,500.00 Rp 85,000.00
53 ZALF GENTAMYCIN 5 BOX Rp 4,000.00 Rp 20,000.00
54 HYDROCORTISON 10 BOX Rp 8,000.00 Rp 80,000.00
55 ZALF KETOCONAZOLE 10 BOX Rp 6,500.00 Rp 65,000.00
56 ZALF ACYCLOVIR 10 BOX Rp 4,500.00 Rp 45,000.00
57 ALLETROL TM 5 BOX Rp 14,000.00 Rp 70,000.00
58 ZALF SOLINFEC 5 BOX Rp 7,000.00 Rp 35,000.00
59 ZALF ACIFAR 10 BOX Rp 5,000.00 Rp 50,000.00
60 BIOMEGA 10 BOX Rp 58,000.00 Rp 580,000.00
61 INFLASON 10 BOX Rp 40,000.00 Rp 400,000.00
62 ELTAZON 10 BOX Rp 17,000.00 Rp 170,000.00
63 TRIFED 1 BOX Rp 150,000.00 Rp 150,000.00
64 LICOCALK 5 BOX Rp 25,000.00 Rp 125,000.00
ALAT KESEHATAN
1 TERMOMETER DIGITAL 1 BUAH Rp 30,000.00 Rp 30,000.00

Boyolali, 25 Juli 2018

Klinik Pratama
PALANG MERAH INDONESIA
 Kabupaten Boyolali

dr. ISNA RIFANA FITRIANI

DAFTAR KEBUTUHAN BARANG

KLINIK PRATAMA PMI BOYOLALI
BULAN AGUSTUS 2018

NO DESCRIPTION GUANTITY UNIT PRICE AMOUNT

PERLENGKAPAN PENUNJANG REKOMENDASI DINKES
1 SET LAKTASI 1 SET Rp 200,000.00 Rp 200,000.00
2 TEMPAT SAMPAH 4 BUAH Rp 87,500.00 Rp 350,000.00
3 PLASTIK SAMPAH ( KUNING , HITAM 2 PAK Rp 40,000.00 Rp 80,000.00
4 SARUNG PUTIH OKSIGEN 4 BUAH Rp 12,000.00 Rp 48,000.00
5 BUKU REGISTRASI 2 BUAH Rp 17,500.00 Rp 35,000.00
6 ROL KABEL 3 BUAH Rp 50,000.00 Rp 150,000.00
7 KANEBO 1 BUAH Rp 22,500.00 Rp 22,500.00
8 PERLAK (1,5X2M) 6 BUAH Rp 25,000.00 Rp 150,000.00
9 MAP REGISTRASI 300 BUAH Rp 2,000.00 Rp 600,000.00
10 LAMPU 4 BUAH Rp 35,000.00 Rp 140,000.00
12 SENDAL KAMAR MANDI 2 PASANG Rp 15,000.00 Rp 30,000.00
13 SET FORSEF DEWASA 1 SET Rp 3,850,000.00 Rp 3,850,000.00
14 SET DIAGNOSTIK GIGI 2 SET Rp 656,000.00 Rp 1,312,000.00
15 KUKUSAN STERILISATOR 1 BUAH Rp 500,000.00 Rp 500,000.00
16 LEMARI ALAT 1 BUAH Rp 1,300,000.00 Rp 1,300,000.00
17 REGULATOR 3 BUAH Rp 226,250.00 Rp 678,750.00
18 MEJA KANTOR 2 BUAH Rp 1,300,000.00 Rp 2,600,000.00
19 KURSI CHEETOS 3 BUAH Rp 320,000.00 Rp 960,000.00
20 WASTAFEL 3 BUAH Rp 1,700,000.00 Rp 5,100,000.00
22 PENGEMBANGAN KLINIK (LAKTASI) 1 RUANG Rp 5,227,500.00 Rp 5,227,500.00
TOTAL Rp 23,333,750.00

Boyolali, 25 Juli 2018

Klinik Pratama
PALANG MERAH INDONESIA
Kabupaten Boyolali
dr. ISNA RIFANA FITRIANI
 DAFTAR KEBUTUHAN BARA
KLINIK PRATAMA PMI BOYO
BULAN JUNI 2018
 EBUTUHAN BARANG
ATAMA PMI BOYOLALI
LAN JUNI 2018