Purcase Order

Tanggal : 2 Maret 2020

Dari : Order Ke :
PT. WIHARTATI CAHAYA MANDIRI PT. CARMELLA GUSTAVINDO

Jalan Ki Ageng Tepak, Blok Sikasur Jalan Lawanggada No. 39

Desa Semplo, Kecamatan Palimanan Cirebon. Jawa Barat
Kabupaten Cirebon. 45161 Indonesia
Jawa Barat. Indonesia Telp / Fax : 0231 - 211574
Telp : 0231 - 8826939

CV. SAHABAT
NO NAMA ALKES UNIT HARGA (termasuk PPN
MEREK TOTAL
10%)
1 Emergency Trolley 8 Unit GEA Rp 15,000,000 Rp 120,000,000
Rp 120,000,000

Subtotal : Rp 120,000,000
Pajak (include) : Rp -
Diskon : Rp -
Total : Rp 120,000,000
Pajak Include : Rp -

Jumlah Tertagih : Rp 120,000,000

Cirebon, 2 Maret 2020

 Mengetahui,

Maria Christina Merlinda

Direktur
 KEBUTUHAN ANGGARAN PROJECT PEMBANGUNAN MEDIS
RS PASAR MINGGU CIREBON
TAHUN 2019

CV. SAHABAT
NO INSTALASI ITEM UNIT DISKON NETTO
MEREK HARGA TOTAL
1 INSTALASI IGD TRIASE Stretcher Mobile 5 Unit Arbatec type 101 Rp 7,000,000 Rp 35,000,000 10% Rp 31,500,000
2 RESUSITASI Bed Gyn 1 Unit Arbatech Rp 2,800,000 Rp 2,800,000 10% Rp 2,520,000
3 OBSERVASI Foot Step Double Step 5 Unit ERA Rp 225,000 Rp 1,125,000 10% Rp 1,012,500
4 R. TINDAKAN Infuse Stand 5 Unit ERA Rp 170,000 Rp 850,000 10% Rp 765,000
5 R. ISOLASI Bed Side Cabinet 5 Unit Arbatech Rp 2,400,000 Rp 12,000,000 10% Rp 10,800,000
6 R. PONEX Overside Table 5 Unit Arbatech Rp 1,600,000 Rp 8,000,000 10% Rp 7,200,000
7 Monitor Pasien 1 Unit Rp - 10% Rp -
8 Infuse Pump 1 Unit JMS (OT-701) Rp 45,000,000 Rp 45,000,000 10% Rp 40,500,000
9 Syringe Pump 1 Unit JMS (SP-500) Rp 32,000,000 Rp 32,000,000 10% Rp 28,800,000
10 Suction Pump Dewasa 1 Unit ABN Rp 3,200,000 Rp 3,200,000 10% Rp 2,880,000
11 Suction Pump Anak 1 Unit ABN Rp 3,200,000 Rp 3,200,000 10% Rp 2,880,000
12 Defribilator 1 Unit Rp - 10% Rp -
13 ECG 1 Unit Bionet Rp 24,000,000 Rp 24,000,000 10% Rp 21,600,000
14 CTG 1 Unit Rp - 10% Rp -
15 Film Viewer 1 Unit (DOUBLE) Rp 1,700,000 Rp 1,700,000 10% Rp 1,530,000
16 Nebulizer 1 Unit OMRON (C28) Rp 1,000,000 Rp 1,000,000 10% Rp 900,000
17 Lemari Instrumen 4 Unit ERA (2 PINTU) Rp 4,250,000 Rp 17,000,000 10% Rp 15,300,000
18 Emergency Trolley 1 Unit Arbatech Rp 4,200,000 Rp 4,200,000 10% Rp 3,780,000
19 Meja Instrument Trolley Tindakan 3 Unit ERA (2 SHAFT) Rp 1,600,000 Rp 4,800,000 10% Rp 4,320,000
20 Laringoscope Dewasa 1 Unit RENZ Rp 1,500,000 Rp 1,500,000 10% Rp 1,350,000
21 Laringoscope Anak 1 Unit RENZ Rp 1,700,000 Rp 1,700,000 10% Rp 1,530,000
22 Tromol Kasa 1 Unit (SIZE 18 CM) Rp 245,000 Rp 245,000 10% Rp 220,500
23 Doppler LCD 1 Unit BISTOS Rp 1,350,000 Rp 1,350,000 10% Rp 1,215,000
24 Korentang + Wadah s/s 4 Set - Rp 122,000 Rp 488,000 10% Rp 439,200
25 Penlight 1 Pcs RRC Rp 25,000 Rp 25,000 10% Rp 22,500
26 Reflex Hammer 1 Pcs General Care Rp 27,000 Rp 27,000 10% Rp 24,300
27 Oxymeter 1 Unit Choice Med Rp 500,000 Rp 500,000 10% Rp 450,000
28 Thermometer IR 1 Unit BEURER (IR FT 65) Rp 635,000 Rp 635,000 10% Rp 571,500
29 Timbangan + Tinggi Badan 1 Unit GEA Rp 1,000,000 Rp 1,000,000 10% Rp 900,000
30 Timbangan Bayi Jarum 1 Unit ONEMED Rp 435,000 Rp 435,000 10% Rp 391,500
31 Ambubag Dewasa 1 Unit MPM Rp 675,000 Rp 675,000 10% Rp 607,500
32 Ambubag Anak 1 Unit MPM Rp 675,000 Rp 675,000 10% Rp 607,500
33 Easy Move 1 Unit Rp - 10% Rp -
34 Medikasi Set 1 Set Rp 295,500 Rp 295,500 10% Rp 265,950
35 Hecting Set 1 Set - Rp 256,000 Rp 256,000 10% Rp 230,400
36 Minor Set 1 Set - Rp 423,000 Rp 423,000 10% Rp 380,700
37 Kursi Roda 3 Unit SHELLA Rp 1,500,000 Rp 4,500,000 10% Rp 4,050,000
38 Tandu Emergency 1 Unit - Rp 1,500,000 Rp 1,500,000 10% Rp 1,350,000