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USULAN BARANG PUSKESMAS TABANAN II

DANA JKN 2019 CMC

NO NAMA BARANG VOLUME SATUAN HARGA SATUAN ONGKIR


ALAT KEDOKTERAN GIGI
Tang Pencabutan Anak (1 set)
1 Tang Gigi Anterior Rahang Atas 1 buah 857,833.00 40,000.00
2 Tang Molar Rahang Atas 1 buah 857,833.00 40,000.00
3 Tang Molar Susu Rahang Atas 1 buah 857,833.00 40,000.00
4 Tang Gigi Anterior Rahang Bawah 1 buah 857,833.00 40,000.00
5 Tang Molar Rahang Bawah 1 buah 857,833.00 40,000.00
6 Tang Sisa Akar Rahang Bawah 1 buah 857,833.00 40,000.00

BELANJA BAHAN OBAT-OBATAN


1 Ethylchloride 10 botol 198,000.00

BELANJA BMHP
1 Klip Plastik Obat 13 x 8,7 100 pack 12,100.00
2 Alkohol Swab 30 kotak 12,300.00 1,353.00
3 Hypafix 15 x 5cm 24 Roll 187,550.00
4 Disposable Syringe 1 cc 100 Pcs 646.94 32.35
BIOKASA Kasa Hidrofil Non Steril 15cm x
5 4m 100 ROLL 2,900.00
UNOLAB EURODERM LATEX
300 PASANG
6 POWDERED SURGICAL GLOVE 7.5 9,941.20 1,491.18
7 Povidon Iodida larutan 10% 300 ml 20 botol 18,450.00 280.00
8 Blood Lancet 20 kotak 18,150.00
HARGA + ONGKIR TOTAL NILAI MEREK

DERBY
897,833.00 897,833.00 DERBY
897,833.00 897,833.00 DERBY
897,833.00 897,833.00 DERBY
897,833.00 897,833.00 DERBY
897,833.00 897,833.00 DERBY
897,833.00 897,833.00 DERBY
5,386,998.00

198,000.00 1,980,000.00 WALTER HILTER

12,100.00 1,210,000.00 LOKAL


13,653.00 409,590.00 REMEDI
187,550.00 4,501,200.00 BSN
679.29 67,929.00 TP

2,900.00 290,000.00 BIOKASA

11,432.38 3,429,714.00 EURODERM


3,080.00 372,360.00 Afifarma
18,150.00 363,000.00 Autoclick
10,643,793.00