BUKU STANDAR HARGA BARANG JASA TAHUN 2018 Ok Cover PDF

KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

TANGGAL : 28 SEPTEMBER 2017 M
08 MUHARRAM 1439 H
TENTANG
PENETAPAN STANDAR HARGA BARANG/JASA

PEMERINTAH ACEH
TAHUN 2018
BADAN PENGELOLAAN KEUANGAN ACEH

DAFTAR ISI
STANDAR HARGA BARANG / JASA
TAHUN ANGGARAN 2018
I. BIDANG PERINDUSTRIAN DAN PERDAGANGAN
A. KELOMPOK BARANG ALAT TULIS KANTOR...............................1 - 9

B. KELOMPOK BARANG CETAKAN.............................................10 -15
C. KELOMPOK BARANG ALAT RUMAH TANGGA ....................... 16 - 27
D. KELOMPOK BARANG PAKAIAN DINAS .................................28 - 30
E. KELOMPOK BARANG PERLENGKAPAN OLAH RAGA ...............31 - 35
F. KELOMPOK BARANG ALAT PEMADAM ..................................36 - 42
G. KELOMPOK BARANG PEMELIHARAAN................................. 43 - 44
H. KELOMPOK BARANG ALAT LISTRIK.....................................45 - 51
I. KELOMPOK BARANG ELEKTRONIK.......................................52 – 67
J.KELOMPOK BARANG COMPUTER ................................... ... 68 – 72
II. BIDANG PERTANIAN, PERKEBUNAN, KEHUTANAN,
PETERNAKAN,PERIKANAN
A. KELOMPOK BARANG PERTANIAN.........................................73– 77

B. KELOMPOK BARANG PERKEBUNAN......................................78 –85
C. KELOMPOK BARANG KEHUTANAN........................................86 -91
D. KELOMPOK BARANG PERIKANAN........................................92 -104
E. KELOMPOK BARANG PETERNAKAN.....................................105-114
III. BIDANG OBAT OBATAN, BAHAN MEDIS HABIS PAKAI, ALAT

KESEHATAN
A. KELOMPOK BARANG OBAT- OBATAN..............................115-140

B. KELOMPOK BARANG BARANG MEDIS HABIS PAKAI.........141-205
C. KELOMPOK BARANG ALAT KESEHATAN..........................206-293
D. KELOMPOK BARANG OBAT- OBATAN NON E CATALOG....294-333
LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
ALAT TULIS KANTOR
LAMPIRAN
KEPUTUSAN GUBERNUR ACEH
NOMOR : 028 / 994 / 2017
08 MUHARRAM 1439 H
TENTANG PENETAPAN STANDAR HARGA BARANG / JASA
PEMERINTAH ACEH TAHUN 2018----------------------------------
A. KELOMPOK BARANG ALAT TULIS KANTOR
NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA
1 2 3 4 5
A. KEBUTUHAN KANTOR
1 Alat Nomorator 1 Nomor 31 Buah 97.256
4 Amplop Cassing 1 Folio(F4) Pack 54.099
5 Amplop Cassing 2 Kwarto(A4) Pack 44.981
6 Amplop Cassing 3 Kecil Dinas/Kabinet Pack 22.490
7 Amplop Cassing 4 Besar Pack 72.942
8 Amplop Cassing 5 Besar Map /AA Pack 82.060
9 Amplop Coklat bertali 1 Folio/ 310 Lembar 2.431
10 Amplop Coklat bertali 2 Map/312 Lembar 3.647
11 Amplop Coklat bertali 3 Kwarto/309 Lembar 1.824
12 Amplop Coklat bertali 4 B-4/311 Lembar 3.039
13 Amplop Coklat bertali 5 Super Kabinet 307 Lembar 6.079
14 Amplop Linen Putih Besar No 90 Kotak 34.040
15 Amplop Linen Putih Kecil kwarto no.0 Kotak 17.020
16 Amplop Linen Putih Sedang No. 1105 Kotak 24.314
17 Alat Penjilid 1 Nomor 3 Unit 33.432
18 Alat Penjilid 2 Nomor 10 Unit 15.804
19 Binder Clips 1 No. 1210 Kotak 19.451
23 Anak penjilid sedang MAX No. 3 Kotak 6.079
24 Anak penjilid kecil MAX No. 10 Kotak 3.647
25 Bak Surat Plastik Deluxe paper tray Buah 91.178
26 Bak Surat Steel 2 susun Venica paper tray Buah 79.021
27 Bak Surat Steel 3 susun Venica paper tray v -tec Buah 127.649
28 Bak Surat Steel Engkel Venica Buah 139.806
29 Ballpoint 1 Bic Buah 6.079
30 Ballpoint 2 kenko- K I Buah 6.079
31 Ballpoint 3 Bic Cristal Buah 4.255
32 Ballpoint 4 Pilot BPT.P Buah 2.431
33 Ballpoint 5 Pentel (M) Buah 2.431
34 Ballpoint 6 TOP B-3000 Buah 4.863
SHB ATK 1
1 2 3 4 5
35 Ballpoint 7 TOP 4 warna Reddot 3B Buah 6.079
36 Ballpoint 8 4 warna reddot 3B kenko Buah 9.726
37 Ballpoint 9 5 warna reddot 310 c Buah 9.726
38 Ballpoint 10 Mitsubishi Boxi Uniball Buah 9.726
39 Ballpoint 11 Jupiter Gel Joyko Buah 6.079
40 Ballpoint 12 Pilot BPRK Buah 15.804
41 Ballpoint 13 Pilot G-1 0,7 Buah 12.157
42 Ballpoint 14 Pilot G-2 0,7 Buah 12.157
43 Ballpoint 15 Pentel Japan MG 8 Buah 6.079
44 Ballpoint 16 Drawing Pen 01,02,03 Snowman Buah 6.079
45 Ballpoint 17 Ballpoint Faster Buah 3.039
46 Ballpoint 18 Ballpoint My Jell Buah 6.079
47 Ballpoint 19 Ballpoint Pilot Baliner Buah 18.236
48 BallPoint Transparan Ohp1 4 btg/Set Set 115.492
49 BallPoint Transparan Ohp 2 6 btg/Set Set 145.884
50 BallPoint Transparan Ohp 3 8 btg/Set Set 151.963
51 Marker 1 Stabilo Buah 4.863
52 Marker 2 Pronto Liner 90 Buah 9.726
53 Marker 3 Pronto Rolla 06 Buah 12.157
54 Marker 4 Snowman VI-V2 Batang 3.647
55 Bantal Stempel Besar Bertinta 1 Artline / Hero Buah 8.510
56 Bantal Stempel Besar Bertinta 2 Hero 1460 Buah 9.726
57 Bantal Stempel Besar Biasa 1 Artline / Joyko Buah 9.726
58 Bantal Stempel Besar Biasa 2 Artline / Joyko/kenko Buah 9.726
59 Bantal Stempel Besar Biasa 3 joyco no.2 Buah 17.628
60 Bantal Stempel Kecil Bertinta 1 Hero Buah 8.510
61 Bantal Stempel Kecil Bertinta 2 Hero 2460 Buah 10.941
62 Bantal Stempel Kecil Biasa 1 Hero Buah 8.510
63 Bantal Stempel Kecil Biasa 2 Hero 1460 Buah 10.941
64 Baterai Mic 12.157
65 Baterai AA 12.157
66 Baterai Camera 12.157
67 Baterai Computer 13.373
73 Benang Pengikat 51.059
74 Block Note 1 Isi 25 lembar Buah 3.039
75 Block Note 2 Isi 50 lembar Paperline A5 Buah 4.255
76 Block Note PPL A5 4.255
77 Bor kertas 1 Drill Unsh CD.30 Buah 42.550
78 Bor kertas 2 Drill Unsh CD.30 C2 H Buah 55.922
79 Box Arsip L=18,P=38,T27cm(bhn karton) Buah 15.804
SHB ATK 2
1 2 3 4 5
80 Box File Plastik Lucky No. 902 Buah 15.804
81 Brief Ordener Karton 401/402/403 G & R / PAKAR Buah 21.883
82 Brief Ordener Plastik 1 Combo Buah 27.961
83 Brief Ordener Plastik 2 Bantex No. 403 Buah 34.040
84 Brief Ordener Plastik 3 Bantex No. 8522 Buah 34.040
85 Brief Ordener Plastik 4 Bantex No. 8562-07 Buah 34.040
86 Brief Ordener Plastik 5 No. 4011 Buah 24.314
87 Buku Agenda 1 Folio Isi 200 Lembar Buah 36.471
88 Buku Agenda 2 Folio, Isi 100 lembar (90 Lbr) Buah 21.883
89 Buku Agenda 3 Folio, Isi 500 lembar Buah 145.884
90 Buku Ekspedisi bercetak 1 10 x 31 cm, isi 50 lbr Buah 10.941
91 Buku Ekspedisi bercetak 2 10 x 31cm,isi 100 lbr (90 Lmbr) Buah 20.667
Kombinasi (Pirimetamin 25 mg +
92 Buku Folio bergaris 1 Buah 15.804
Sulfadoksin 500 mg)
93 Buku Folio bergaris 2 Isi 500 lembar Buah 79.021
94 Buku Folio Klaper 1 AA Isi 200 Lembar Buah 35.255
95 Buku Folio Klaper 2 AA Isi 100 lembar Buah 19.451
96 Buku Kas 1 Kwarto, Isi 100 lbr Buah 17.020
97 Buku Kas 2 Kwarto, Isi 200 lbr Buah 30.393
98 Buku Kas 3 Folio, Isi 100 lembar Buah 27.961
99 Buku Kas 4 Folio, Isi 200 lembar Buah 30.393
100 Buku Kas Standar 1 Kwarto, Isi 100 lbr Buah 14.588
101 Buku Kas Standar 2 Folio, Isi 100 lembar Buah 21.883
102 Buku Klaper kecil Isi 50 lembar Buah 3.647
103 Buku Kwarto bergaris 1 Isi 100 lembar Buah 18.236
104 Buku Kwarto bergaris 2 Isi 100 lembar AA Buah 23.098
105 Buku Kwarto bergaris 3 Isi 200 lembar Buah 34.040
106 Buku Kwarto bergaris 4 Isi 200 lembar AA Buah 42.550
107 Buku Kwitansi Ukr. 9,5 x 24,5 cm (AA) Buah 9.726
108 Buku Kwitansi Dinas Ukr. ½ Folio Blok 47.412
109 Buku Milimeter Block Note D/F 1 Isi 25 lembar Buah 18.236
110 Buku Milimeter Block Note D/F 2 Isi 50 lembar Buah 20.667
111 Buku Milimeter Block Note Folio 1 Isi 25 lembar Buah 7.294
112 Buku Milimeter Block Note Folio 2 Isi 50 lembar Buah 14.588
113 Buku Tulis 1 Isi 40 Lembar AA Buah 3.039
114 Buku Tulis 2 Isi 50 Lembar DoDo Buah 1.824
115 Buku Tulis 3 Isi 60 Lembar AA Buah 3.647
116 Buku Tulis 4 Isi 18 lembar Buah 3.647
118 Buku Tulis 6 Isi 32 Lembar (dodo) Buah 6.079
120 Buku Tulis 8 Isi 100 Lembar (AA) Buah 7.294
122 Buku Tulis Big Boss Isi 42 Lembar Buah 4.255
123 Buku Disposisi Buah 42.550
124 Busur Kayu Buah 7.294
SHB ATK 3
1 2 3 4 5
125 Correction 1 Tipp - Ex 20 ml Set 6.079
126 Correction 2 Tipp - Ex 30 ml Set 7.294
127 Correction 3 Re - Type Set 7.294
128 Correction 4 Pelikan Set 18.236
129 Correction 5 Pentel Buah 7.294
130 CD Blank / Kosong 103.335
131 Flash Disk 1 4 GB Buah 72.942
132 Flash Disk 2 8 GB Buah 108.197
133 Jangka Kayu Buah 24.314
134 Karbon 1 Ukuran F4 (Folio) kotak/100 lbr 58.354
135 Karbon 2 Ukuran F4 (Folio) kanggoro kotak/100 lbr 66.864
136 Karbon 3 Ukuiran A3 (Double folio) kotak/100 lbr 115.492
137 Karton Alas Meja Ukr. 50 x 65 cm Lembar 2.431
138 Kertas bergaris 1 Ukr. Double Folio Rim/Paks 23.098
139 Kertas bergaris 2 Ukr. Double Folio biasa Rim 23.098
140 Kertas bergaris 3 Ukr. Double Folio biasa paks 3.647
141 Kertas Buffalo Ukr. Plano Lembar 6.079
142 Kertas Calkuer 1 Canson, ukr 60/65 gr 1x10m Rol 7.294
147 Kertas Cassing Ukr. Plano Lembar 21.883
148 Kertas Computer (HVS) 1 147/8 x 11 1 Ply Kotak 158.041
158 Kertas Computer (NCR) 1 147/8 x 11 2 Ply Kotak 218.826
166 Kertas Dorslag 1 Folio, 28 gram Rim 24.314
167 Kertas Dorslag 2 Duoble Folio, 28 gram Rim 48.628
168 Kertas Dorslag berwarna 1 Folio, 28 gram Rim 24.314
169 Kertas Dorslag berwarna 2 Duoble Folio, 28 gram Rim 48.628
SHB ATK 4
1 2 3 4 5
170 Kertas Duplikator 1 Folio Rim 34.040
171 Kertas Duplikator 2 Double Folio Rim 68.079
172 Kertas Faximile 210 mm x 3 m Gulung 21.883
173 Kertas Faximile kecil Gulung 15.804
174 Kertas HVS 1 F4 (Folio), 60 gram Rim 46.197
175 Kertas HVS 2 F4 (Folio), 60 gram mirage Rim 46.197
176 Kertas HVS 3 A4 (kwarto), 60 gram Rim 43.765
177 Kertas HVS 4 A3 (double folio), 60 gram Rim 44.981
179 Kertas HVS 6 F4 (Folio), 70 gram BD Rim 42.550
181 Kertas HVS 8 A4 (kwarto), 70 gram BD Rim 36.471
183 Kertas HVS 10 A3 (double folio), 70 gram BD Rim 79.021
187 Kertas HVS berwarna 1 F4, 60 gram Rim 60.785
188 Kertas HVS berwarna 2 A3, 60 gram Rim 103.335
189 Kertas Map Binder 1 Loose Leaf 50 Lbr Blok 7.294
190 Kertas Map Binder 2 Loose Leaf 50 Lbr A5 Blok 4.255
191 Kertas Memo Tempel 1 Pronto,Mark & Note 20x50 mm pad 18.236
192 Kertas Memo Tempel 2 Pronto, Stdr Yellow, 40x50 mm pad 21.883
195 Kertas Memo Tempel 5 Yellow, 76x76 mm hopax 18.236
196 Kertas Mesin Kira 1 HVS 5,8 Gulung 15.804
197 Kertas Mesin Kira 2 HVS 6,8 Gulung 19.451
198 Kertas Milimeter Paper S t a r / Drupa Rol 36.471
199 Kertas Sampul Licin Ukr. Plano Lembar 1.216
200 Kertas Stensil Koran 1 Folio Aladin / Badah Rim 30.393
201 Kertas Stensil Koran 2 Double Folio Rim 58.354
202 Kertas Stensil Koran berwarna1 Folio Rim 48.628
203 Kertas Stensil Koran berwarna2 Double Folio Rim 94.825
204 Kertas Komputer P Play 389.024
205 Kertas NCR A4 340.396
206 Lotto Map Walet Folio Buah 3.647
207 Map Binder Campus Loose Leaf / Kenko AS Buah 15.804
208 Map Folder 1 Folio Buah 30.393
209 Map Folder 2 Folio 40 l Buah 31.608
210 Map Gantung 1 Folio Buah 4.255
211 Map Gantung 2 Folio miero Buah 4.863
212 Map Kantong (Pocket) Garda Buah 3.647
213 Map Lucky Folio Buah 17.020
214 Map Lucky lobang Folio Buah 17.020
SHB ATK 5
1 2 3 4 5
215 Map Mica Folio Buah 6.079
216 Map Mica lobang Folio Buah 6.079
217 Map Odner berlabel Karton Asahi Buah 20.667
218 Map Pakai Tali Pronto, Folio / Folder One Buah 3.039
219 Map Plastik pakai kancing Folio Buah 3.647
220 Map Plastik Pidato Pronto, Folio Buah 3.647
221 Map Report File Pronto, Folio Buah 3.647
222 Map Swingrip File Pronto, Folio Buah 7.294
223 Mata Pinsil Mecanic 0,3 s/d1,0 Staedtler/Faber Castel Kotak 79.021
224 Mata Pisau Cutter Kenko L-500 Kotak 82.668
225 Map Gungyu Combo No. 403 Buah 26.745
226 Map Gungyu Combo No. 401 Buah 26.745
227 Paku Tekan/Payung 1 Square Kotak 10.941
228 Paku Tekan/Payung 2 shilin Kotak 9.726
229 Paper Clips Atom 303 Kotak 21.883
230 Pelobang Kertas 1 Kenko No. 40 Buah 30.393
231 Pelobang Kertas 2 Kenko No. 85 Buah 47.412
232 Pelobang Kertas 3 General 220 / kangan Buah 48.628
233 Pelobang Kertas 4 Pronto Mini 2 Hole Punch Buah 34.040
234 Pelubang Kertas Pronto 4 Hole Punch Adjustable Punch Buah 27.961
235 Pemotong Isolasi 1 31.608
236 Pemotong Isolasi 2 DR-50 Buah 6.079
237 Pemotong Isolasi 3 kenjoy Buah 2.431
238 Pencabut Anak Klip 1 Buah 18.236
239 Pencabut Anak Klip 2 SR 45T Buah 91.178
240 Pencabut Anak Klip 3 kanggoro Buah 9.726
241 Penghapus Papan Tulis 1 Buah 4.863
242 Penghapus Papan Tulis 2 Kenjoy Kel Buah 2.431
243 Penghapus White Board Kenjor bsr Buah 6.079
244 Penjilid Besar/Staples 1 MAX HD 12 L / 17 Buah 1.762.765
245 Penjilid Besar/Staples 2 MAX HD 12 N / 24 Buah 2.249.045
246 Penjilid Besar/Staples 3 MAX HD 12N / 17 MAX Buah 2.005.905
247 Penjilid Besar/Staples 4 MAX HD 3D Buah 972.560
248 Penjilid Besar/Staples 5 Guntecker MAX TG-A Buah 1.580.410
249 Penjilid Besar Novus HD 12 L Buah 1.033.345
250 Penjilid Kecil Kenko No. 3 Buah 711.185
251 Penjilid sedang/Staples Kangaro HD 23 S 20 FL Buah 496.006
252 Penjilid Sedang 1 MAX Nomor 10 Buah 16.412
253 Penjilid Sedang 2 Pronto, Nomor 10 Buah 13.373
254 Pensil biasa Great Wall Batang 17.020
255 Pensil Copy Ribbon Batang 3.647
256 Pensil Gambar Steadlear 2 B Batang 42.550
257 Pensil Graphite 1 Stabilo Opera 2B Batang 6.079
258 Pensil Graphite 2 Stabilo Trio Pencil, HB,2B,4B Batang 8.510
259 Pensil Isi Ulang Stabilo, Leads 2B (isi 12 pcs 0,5 mm) Tube 7.902
SHB ATK 6
1 2 3 4 5
260 Pensil Isi Ulang kenko Leads 2B (isi 12 pcs 0,5 mm) 4.863
261 Pensil Merah Biru 1 Vivester Batang 2.431
262 Pensil Merah Biru 2 Ribbon Batang 4.863
263 Pinsil Mecanic 0,3 s.d 1,0 Staedtler Batang 18.236
264 Pisau Cutter 1 Plastik L-500 Buah 3.647
265 Pisau Cutter 2 Kenko L-500 Buah 18.236
266 Pita Komputer 1 Epson 7754 Original Buah 115.492
267 Pita Komputer 2 Epson 8750 Buah 109.413
268 Pita Komputer 3 Epson 8750 Original Buah 60.785
269 Pita Printer (Cartridge) Original LQ-2170, 2180, 2070, 2080, Buah 255.297
270 Pita Letter Dymo Gulung 6.079
271 Pita Mesin Tulis Swallow Gulung 29.177
272 Pembatas Sheet Protector 109.413
273 Refill Pita Computer Full Mark 7754 Buah 17.020
274 Refill/Tinta Suntik 1 Dataprint Black Kotak 34.040
275 Refill/Tinta Suntik 2 Dataprint Colour Kotak 34.040
276 Refill/Tinta Suntik 3 e print Black Botol 69.295
277 Refill/Tinta Suntik 4 e print Color Botol 69.295
278 Rol Besi 1 Bona 30 cm Batang 4.863
279 Rol Besi 2 30 cm Batang 4.863
280 Rol Besi 3 Bona 50 cm Batang 8.510
281 Rol Kayu Biasa 100 cm Batang 10.941
282 Rol Plastik Tebal 1 Butterfly 30 cm Buah 6.686
283 Rol Plastik Tebal 2 Butterfly 60 cm Buah 8.510
284 Spidol 12 warna 1 Melody kenko Kotak 20.667
285 Spidol 12 warna 2 Staedtler B-20 Buah 3.039
286 Stop Map Folio Batik Buah 18.236
287 Stop Map Folio Tebal Asahi/Garda Buah 7.294
288 Stopmap Licin Folio Buah 2.431
289 T o n e r Gestetner 2130 Set 151.963
290 Tinta Ball point Parker Batang 21.883
291 Catridge 1 Canon 24 Black Botol 303.925
292 Catridge 2 Canon 24 Color Botol 340.396
293 Catridge 3 Canon PG 40 Botol 277.544
294 Catridge 4 Canon CL 41 Botol 229.767
295 Catridge 5 Canon 830 (black) Botol 234.144
296 Catridge 6 Canon 831 (color) Botol 310.004
297 Catridge 7 Canon 810xl Botol 249.219
298 Catridge 8 Canon 811 Botol 307.572
299 Catridge 9 Hp60 Black Botol 267.454
300 Catridge 10 HP 60 Color Botol 291.768
301 Catridge 11 HP 21 Botol 279.611
302 Catridge 12 HP 22 Botol 291.768
303 Tinta Cair 1 Epson T0493 Botol 115.492
SHB ATK 7
1 2 3 4 5
306 Tinta Cair 4 Catridge Hp Lasetjet 85 A 972.560
307 Tinta Cair 5 Catridge Hp no. 803 Black 212.748
308 Tissue Gulung Nice 2 Ply Gulung 7.294
309 Tissue Kotak 60 x 2 Ply Kotak 14.588
310 Tinta Printer Black 65.648
311 Tinta Printer Colour 65.648
312 Toner/Cartridge 1 Cartridge HP 12A Buah 668.635
313 Toner/Cartridge 2 Cartridge HP 35A Buah 668.635
314 Writing Pad bergaris 1 Isi 50 lembar Paperline A4 Buah 7.902
315 Writing Pad bergaris 2 Isi 50 lembar writing pad Buah 4.255
B. ALAT-ALAT KEBUTUHAN LAINNYA

1 Batu Bateray Besar ABC A Buah 8.510
2 Batu Bateray Kecil 1 Alkaline AAA Buah 18.236
3 Batu Bateray Kecil 2 ABC AAA Buah 7.294
4 Batu Bateray sedang 1 Alkalin AA Buah 18.236
5 Batu Bateray sedang 2 ABC AA Buah 3.039
6 Benang pengikat Cap Jangkar Ramie Gulung 10.941
7 Cleaning Kit (Pembersih) Biosol 15.804
8 Driehock Butterfly No. 10 Rule Set 15.196
9 Butterfly No. 10 R u l e segitiga Set 18.236
10 Driehock Butterfly No. 8 Rule Set 12.765
11 Butterfly No. 12 Rule Segitiga Set 20.059
12 Eksternal hardisk 1 500 GB Buah 765.891
13 Eksternal hardisk 2 1 TB Buah 1.009.031
14 Flashdisk 1 4 GB Toshiba Buah 66.864
15 Flashdisk 2 8 GB Toshiba Buah 54.707
16 Flashdisk 3 8 GB HP Buah 97.256
17 Flashdisk 4 16 GB Buah 133.727
18 Flashdisk 5 16 GB HP Buah 133.727
19 Flashdisk 6 32 GB Buah 194.512
20 Flashdisk 7 64 GB Sandisk Buah 486.280
21 Flashdisk 8 128 GB PNY Buah 729.420
22 Gunting 1 Joyco Kecil Buah 8.510
23 Gunting 2 Kecil KA 818 Buah 9.726
24 Gunting 3 sedang KA 838 Buah 9.726
25 Gunting 4 Joyco Besar Buah 14.588
26 Gunting 5 OLL Buah 7.294
27 Gunting 6 besar kc 888 Buah 14.588
28 Isolasi Bening 1 1/2 x 72 Gulung 3.647
29 Isolasi Bening 2 1/2x72 tebal Gulung 9.118
30 Isolasi Bening 3 1/2 x 72 ashton Gulung 11.549
31 Isolasi Lakban 1 2 x 70 Gulung 9.726
32 Isolasi Lakban 2 2x 70 HJ GP Gulung 18.236
SHB ATK 8
1 2 3 4 5
33 Isolasi Lakban 3 2 x 70 90 y ashton Gulung 25.530
34 Kapur Tulis Cap Camel Kotak 7.294
35 Kapur Tulis Berwarna Cap Camel Kotak 8.510
36 Karbol Wangi Botol Botol 12.157
37 Karton Bufallo Folio Lembar 304
38 Karton Duplex Folio Lembar 729
39 Karton Linen Folio Lembar 729
40 Karton Manila (BC) Plano Lembar 1.824
41 L e m 1 Pronto, Gluestick 9 gr Buah 7.294
42 L e m 2 Gluestick 8 gr kenko Buah 4.255
43 L e m 1 Pronto, Gluestick 15 gr Buah 6.079
44 L e m 2 Gluestick 15 gr kenko Buah 6.079
45 Lem UHU Besar Buah 34.040
46 Mouse 1 Hp Buah 121.570
47 Mouse 2 Acer Buah 48.628
48 Mouse 3 Eyota Buah 18.236
49 Plastik Sampul Nanya 35 Y Gulung 91.178
50 Rautan Pinsil Meja Kenko/Angel-5 Buah 103.335
SHB ATK 9
LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
CETAKAN
B. KELOMPOK BARANG CETAKAN
HARGA SATUAN
CETAK TIMBAL
CETAK SEBELAH
NO JENIS BARANG MERK / UKURAN / MODEL BALIK
s/d 1000 1001 lbr s/d 1000 1001 lbr

lembar ke atas lembar ke atas
1 2 3 4 5 6 7
A. CETAKAN BLANKO/FORMULIR
1 Bahan HVS 60 gram ¼ Folio 243 219 486 438
½ Folio 486 243 973 608
Folio 486 243 486 438
Double Folio 729 608 1.459 1.216
½ Folio 486 243 973 608
Folio 365 231 547 486
Double Folio 875 340 2.067 1.580
½ Folio 365 304 1.094 729
Folio 304 267 547 425
Double Folio 1.763 377 2.188 2.188
4 Bahan Kertas Dorslag ¼ Folio 243 219 486 438
½ Folio 365 195 547 425
Folio 365 207 547 486
Double Folio 547 255 1.155 973
5 Bahan NCR 2 ply (Top + Bottom) ¼ Folio 365 340 608 559
½ Folio 608 462 912 729

Folio 547 231 851 669
Double Folio 1.702 438 2.310 2.188
6 Bahan NCR 3 ply ( Top + 1 ¼ Folio 547 316 2.796 1.580
Middle +1 Bottom ) ½ Folio 729 669 2.796 1.580

Kombinasi Pirimetamin 25 mg
851 438 2.371 2.067
+ Sulfadoksin 500 mg)
Double Folio 973 912 1.824 2.918
Middle + 1 Bottom ) ½ Folio 760 760 851 851

Folio 243 182 365 425
Double Folio 486 425 973 973
SHB CETAKAN 10
CETAK TIMBAL
CETAK SEBELAH
s/d 1000 1001 lbr s/d 1000 1001 lbr

1 2 3 4 5 6 7
Middle + 1 Bottom ) ½ Folio 669 608 1.824 1.216
Folio 851 851 1.945 1.398
Double Folio 2.675 2.431 4.620 4.012
Middle + 1 Bottom ) ½ Folio 912 912 0 0
Folio 1.459 1.459 3.526 2.796
Double Folio 2.431 2.431 6.686 5.471
10 Bahan Kertas Koran H I ¼ Folio 243 219 304 304
½ Folio 243 243 304 304
Folio 304 304 365 365
Double Folio 365 365 425 425
11 Bahan Art Paper 150 gram ¼ Folio 1.216 1.094 1.824 1.459
½ Folio 1.520 1.520 1.945 1.945
Folio 1.824 1.824 3.039 3.039
B. CETAKAN BLANKO/KARTU
1 Bahan Karton Manila atau ¼ Folio 1.216 1.216 2.188 2.188

sejenis ½ Folio 1.216 1.216 2.188 2.188
Folio 1.216 1.094 1.824 1.702
Double Folio 3.526 2.796 9.726 6.686
2 Bahan Linen/Glory Post atau ¼ Folio 2.431 2.188 3.039 2.796
sejenis ½ Folio 1.824 1.641 6.565 5.471
Folio 2.675 2.675 4.863 4.863
Double Folio 2.188 2.188 4.620 4.620
C. CETAK KOP SURAT/AMPLOP
1 Bahan HVS 60 gram Berwarna Folio 1.216 973 1.824 1.580

Folio 1.216 705 365 425
2 Bahan HVS 70 gram Berwarna Folio 1.216 973 1.824 1.580
Folio 1.702 1.155 425 425
3 Amplop Berwarna 10 x 23 cm 1.824 1.459 1.580 1.824
10 x 23 cm 2.431 2.188 2.310 2.431
4 Amplop Cassing Berwarna 26 x 40 cm 3.647 3.039 1.459 1.580
26 x 40 cm 3.647 3.039 2.188 2.431
SHB CETAKAN 11
CETAK TIMBAL
CETAK SEBELAH
s/d 1000 1001 lbr s/d 1000 1001 lbr

1 2 3 4 5 6 7
D. CETAK UNDANGAN/AMPLOP
1 Undangan Resmi biasa Folio 9.118 8.510 4.012 3.404

2 Undangan Resmi Standard ½ Folio 9.118 8.510 5.957 3.404
3 Kertas Wangi + HVS 60/Dorslag Folio 4.012 2.188 4.741 4.012
4 Amplop Linen/Kulit Jeruk/Buffalo 17 x 23 cm 2.431 2.431 4.863 4.863
5 Amplop Linen wangi 17 x 23 cm 1.216 1.216 2.431 2.431
6 Amplop Gaji Cassing ½ Folio 2.431 2.431 3.647 3.647
E. CETAK
SERTIFIKAT/LEAFLET/BROSUR
1 Kertas Linen 26 x 36 cm 6.079 4.863 2.188 2.310
2 Kertas Linen berlatar belakang semu 26 x 36 cm 6.079 4.863 3.647 4.012
3 Kertas Linen cetak Timbul 26 x 36 cm 6.079 4.863 3.769 5.471

4 Pamflet berwarna 80 gram Folio 1.216 1.216 2.918 3.404
5 Pamflet berwarna 80 gram Double Folio 2.188 2.188 6.626 9.118
6 Pamflet berwarna 80 gram Luks Folio 2.431 2.431 3.647 5.471
7 Pamflet berwarna 80 gram Luks Double Folio 3.039 3.039 4.377 5.471
8 Leaflet/brosur berwarna Folio 6.079 4.863 7.294 6.079
Epinefrina HCL/ Bitartrat
9 Leaflet/brosur berwarna 8.510 7.294 8.510 7.294
(epinefrina /Adrenalin) Inj. 0,1
10 Leaflet/brosur berwarna Luks Folio 5.471 4.863 8.510 7.294
11 Leaflet/brosur berwarna Luks Double Folio 10.698 8.510 14.588 13.373
12 Majalah Dinding (berwarna) 4 Folio/1/2 Plano 43.765 46.197 35.255 37.687
13 Majalah (berwarna) plano 6.565 7.537 3.647 3.647
14 Harian Suara Aceh (berwarna) - 7.294 7.294 7.902 7.902
F. CETAK MAP
1 Stopmap biasa
- Bahan kertas Linen Buah 3.647 3.404 5.471 7.902
- Bahan kertas Manila Buah 1.216 1.216 4.012 5.471
2 Stopmap Cetak
- Bahan kertas Linen Buah 3.647 3.404 9.179 11.549
- Bahan kertas Manila Buah 6.079 6.079 7.173 10.333
SHB CETAKAN 12
CETAK TIMBAL
CETAK SEBELAH
s/d 1000 1001 lbr s/d 1000 1001 lbr

1 2 3 4 5 6 7
G. CETAK COVER/KULIT BUKU
1 Bahan Karton Manila Folio 3.647 3.404 16.412 17.628

Double Folio 18.114 20.059 23.706 27.961
Cetak Timbul Folio 30.393 30.393 17.628 20.059
Double Folio 17.506 20.059 30.393 33.432
2 Bahan Karton Manila berwarna Folio 6.079 6.079 11.549 12.765
Double Folio 7.902 10.090 15.196 20.059
Double Folio 22.734 25.894 23.706 25.530
3 Bahan Linen/Glory Post/Buffalo Folio 30.393 30.393 13.981 15.196
Double Folio 23.706 25.894 23.098 25.530
Double Folio 26.745 29.177 26.745 28.569
Bahan Linen/Glory Post/Buffalo
4 Folio 42.550 42.550 17.020 31.608
berwarna
Double Folio 22.734 25.530 23.706 26.745
Double Folio 26.745 29.177 27.353 29.177
5 Bahan Luks, sampul plastik Folio 30.393 30.393 17.628 19.451
Double Folio 24.800 29.177 25.530 27.961
6 Ivory Doff 260 Gram/full colour folio 32.216 33.432
Double folio 68.930 72.334
H. CETAK BLANKO KHUSUS
1 Daftar Penguji SPMU (Bend XI) HVS 60, 3 x Folio 1.702 2.857 3.039 3.039
2 Daftar Penguji SPMU (Bend XII) HVS 60, Fol 8 Lbr/Set 4.012 4.255 4.498 4.133
3 Model Bend 1 s/d 5 HVS 60, Ukr. Folio 377 547 547 425
4 Model Bend 10 NCR, Folio 1 Set 6 Lbr 6.322 6.565 7.173 6.443
5 Model Bend 24 HVS 60, Ukr. Folio 389 486 608 608
6 Model Bend 24 NCR, Folio 1 Set 6 Lbr 6.929 7.051 7.416 7.902
7 Model Bend 24 HVS 60, Double Folio 1.276 1.337 1.459 1.824
8 Model Bend 24 NCR, D/F 6 Lbr/Set 9.361 9.969 10.090 10.333
HVS 60, ½ Folio 100 Lbr /
9 Kwitansi SPPD 243 243 243 243
Blok
10 Kwitansi SPPD NCR, ½ Fol / 1 Set 6 Lbr 3.647 4.133 6.929 6.686
11 Perincian SPPD HVS 60, Fol / 100 Lbr / Blok 243 243 425 425
SHB CETAKAN 13
CETAK TIMBAL
CETAK SEBELAH
s/d 1000 1001 lbr s/d 1000 1001 lbr

1 2 3 4 5 6 7
Daftar Pengeluaran yang tidak HVS 60, Ukr. ½ Folio 100

12 31.912 32.216 33.432 31.608
memperoleh Tanda Bukti Lbr/Blok
Daftar Pengeluaran yang tidak

13 NCR, ½ Fol / 1 Set 6 Lbr 6.565 7.173 7.902 7.294
memperoleh Tanda Bukti
14 Kartu Penjaga Kredit Karton BC D/F 7.294 7.294 4.498 4.012
15 Daftar Keluarga Form DK HVS 60, Ukr. Folio 8.510 8.510 608 425
16 Kartu Gaji Pegawai (Timbal balik) Karton BC D/F 7.294 7.294 7.051 6.200
17 Kartu Pensiunan Otonom Karton BC D/F 7.294 7.294 3.769 3.647
18 Kartu Register Gaji HVS 60, D/F 912 973 1.337 1.216
19 Kartu Realisasi HVS 60/Folio 389 425 729 608
20 Surat Kelahiran A-3 HVS 60/Folio 608 608 729 608
21 Laporan Bulanan Desa HVS 60/Folio 389 425 729 608
22 Laporan Bulanan Kecamatan
- Untuk WNRI HVS 60/Folio 389 425 729 608
- Untuk WNRI + Orang Aceh HVS 60/Folio 389 425 729 608
- Untuk Orang Asing HVS 60/Folio 389 425 729 608
23 Buku Model Bend B-XIII Dorslag/Fol 1 set 8 lbr 3.039 3.161 3.526 3.161
24 Buku Model Bend B-XVI HVS 60, Double Folio 3.124 3.161 4.255 4.255
25 Daftar Penguji HVS 60, Double Folio 1.824 1.033 1.094 1.094
26 Daftar Himpunan HVS 60, Double Folio 973 851 1.094 1.094
Berita Acara Pengambilan Sumpah
27 HVS 60, Double Folio 973 851 1.094 1.094
PNS
28 Blanko SPPD HVS 60, Fol / 100 Lbr/Blok 36.471 36.471 53.005 51.059
HVS 60, Ukr. 2/3 Folio/100
29 Lembar Disposisi dengan Logo Daerah 48.628 48.628 45.589 43.765
lbr/Blok
30 Lembar Disposisi dengan Logo Daerah NCR, 2/3 Fol / 2x50 lb/Blok 72.942 72.942 82.060 77.805
31 Kartu Kendali Kearsipan HVS 60, Fol/100 Lbr/Blok 243 243 486 486
32 Kartu Kendali Kearsipan NCR, Folio /3x50 Lbr/Blok 547 547 147.379 135.551
Memo dengan Lambang Garuda/ HVS 60, Ukr. ½ Folio 100
33 36.471 36.471 35.681 31.000
Daerah Lbr/Blok
Memo dengan Lambang Garuda/
34 NCR, ½ Fol /2x50 Lbr / Blok 36.471 36.471 76.741 68.565
Daerah
Memo dengan Lambang Garuda/
35 NCR, Folio /2x50 Lbr/Blok 36.471 36.471 14.862 135.551
Daerah
36 Daftar Laporan Pendidikan untuk SD HVS 60, Fol 12 Lbr/Buku 14.588 14.588 15.075 13.130
37 Kwitansi Dinas/Tanda Terima NCR, ½ Fol /6x25 Lb/Blok 425 425 39.322 44.981
38 Cover States Asahi D/F 8.510 8.510 15.804 15.804
SHB CETAKAN 14
CETAK TIMBAL
CETAK SEBELAH
s/d 1000 1001 lbr s/d 1000 1001 lbr

1 2 3 4 5 6 7
39 Cover States BC Biasa D/F 8.510 8.510 15.804 15.804
40 Amplop Rontgen Cassing 36 x 41 cm 2.431 2.431 3.039 3.039
41 Blanko Cuti Dokter isi 2001/Blok ½ Folio 14.588 14.588 15.075 15.196
Blanko Tanda Pembayaran Lab.Isi 100

42 1/6 F 7.902 7.902 10.212 9.118
L
43 Buku Cuti Tahunan HVS isi 300 L Folio 365 365 164.727 203.022
44 Buku Nama Obat Lux isi 500 L A3 608 608 450.417 478.986
Buku Dokter Kamar Bedah isi 500 L
45 D/F 608 608 462.574 492.359
Lux
46 Etiket Obat HVS 1/10 F 60,785 109,413 60,785 109,413
SHB CETAKAN 15
LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
ALAT KANTOR/RUMAH TANGGA
C. KELOMPOK BARANG ALAT KANTOR/RUMAH TANGGA
NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA
1 2 3 4 5
I. ALAT KANTOR/RUMAH TANGGA
A. LEMARI
Indachi, Bahan besi pintu kaca sliding type EL-
1 Lemari Arsip Buah 4.437.312
438
2 Lemari Arsip (high Filing cabinet) Buah 3.361.600
3 Lemari Arsip Bahan Kayu 3 pt Atas dan Bawah Buah 6.050.880
4 Lemari Arsip (SM 53650 K 20) Buah 7.933.376
5 Lemari Arsip Gredenza CRD 2-2 Uk. 120x43x83cm, Wood-wood Frame Buah 4.975.168
6 Lemari Arsip Gredenza CRD 3-3 Buah 4.033.920
7 Lemari Arsip Topix - Cradenza CR 540 / 120 x 40 x 83 cm Buah 2.016.960
8 Lemari Arsip pintu dorong Topix - Cradenza CR 541 / 120 x 40 x 83 cm Buah 2.420.352
9 Lemari Arsip (besi pintu buka) Daiko - CD 202 Ukr.H 915 x w 915 x D 460 mm) Buah 2.823.744
10 Lemari Arsip (besi pintu buka) Daiko - CD 302 Ukr.H 1830 x w 915 x D 460 mm) Buah 3.764.992
Daiko - CD 303, Ukr. H 1830 x w 915 x D 460
11 Lemari Arsip (besi pintu sliding) Buah 4.975.168
mm)
12 Lemari Arsip (besi pintu kaca sliding) Daiko - CD 301 Buah 5.109.632
13 Lemari Arsip besi pintu buka Lion - Type L 33, Ukr. 915 x 457 x 1830 Buah 3.899.456
14 Lemari Arsip besi pintu sorong Lion - Type L 33AK, Ukr. 915 x 457 x 1830 Buah 4.437.312
15 Lemari Arsip besi pintu sorong Lion - Type L 33A, Ukr. 915 x 457 x 1830 Buah 4.437.312
16 Lemari Arsip 2 Pintu Yunica Buah 3.496.064
17 Lemari Arsip 2 Pintu Unital Buah 3.764.992
18 Lemari Arsip 2 Pintu Bostinco Buah 4.033.920
19 Lemari 2 pintu Biasa Datascrip Buah 11.429.440
20 Lemari 2 pintu Biasa Dinamika Datascrip Buah 12.101.760
21 Lemari 2 pintu Kaca Datascrip Buah 6.050.880
22 Lemari Pintu Kaca Sliding Datascrip Buah 4.033.920
23 Lemari 2 Pintu Retracting Door Datascrip Buah 47.062.400
24 Lemari Kartu Kendali Unital Buah 2.420.352
25 Lemari Pakaian 1 pintu Ukr. 175 x 55 x 80 cm Buah 2.200.320
26 Lemari Pakaian 2 pintu Ukr. 175 x 55 x 80 cm Buah 4.278.400
27 Lemari Kayu 3 pintu, 3 tingkat Ukr. 180 x 160 x 45 cm Buah 3.056.000
28 Lemari locker 20 pintu Ukr. 346 x 50 x 192 cm Buah 7.945.600
29 Lemari Pakaian Ukiran Ukr. 175 x 55 x 80 cm Buah 2.689.280
30 Lemari Arsip 2 Pintu Biasa 100 x 40 x 240 Cat Impra Tempahan Buah 1.344.640
31 Lemari Arsip 2 Pintu Jati 100 x 40 x 240 Cat Impra Tempahan Buah 3.667.200
33 Lemari Arsip 4 Pintu Biasa 200 x 40 x 240 Cat Impra Tempahan Buah 4.889.600
35 Lemari Kartu Kendali 250 x 40 x 240 Cat Impra Tempahan Buah 7.334.400
36 Lemari Pustaka Biasa 300 x 40 x 240 Cat Impra Tempahan Buah 7.945.600
37 Lemari Buku Tinggi BC 519 (80 x 40 x203 CM) Buah 1.100.160
38 Lemari Buku 4 Rak Alto BC 60 Buah 366.720
39 Lemari Buku 8 Rak Alto BC 80 Buah 672.320
40 Lemari Buku Alto BCD 80 Buah 1.100.160
41 Lemari Pakaian 1 Pintu Biasa 50 x 50 x 210 Cat Impra Tempahan Buah 2.444.800
42 Lemari Pakaian 1 Pintu Jati 50 x 50 x 210 Cat Impra Tempahan Buah 1.711.360
SHB ALAT KANTOR & RT 16

1 2 3 4 5
49 Lemari Pakaian 4 Pintu Tk.Jati 200 x 50 x 240 Cat Impra Tempahan Buah 8.923.520
50 Lemari Pakain 4 Pintu Ukiran 200 x 50 x 210 Cat Impra Tempahan Buah 7.089.920
51 Lemari dua pintu +cermin Thunder LP 202 Buah 1.833.600
52 Lemari Tiga Pintu+cermin Thunder Lp 302 Buah 2.200.320
53 Lemari Serba guna 4 pintu Retro LSG 4 Buah 550.080
54 Lemari Serba Guna 5 pintu Retro LSG 5 Buah 611.200
55 Lemari Penyekat Ruangan Biasa 400 x 40 x 240 Cat Impra Tempahan Buah 9.779.200
56 Lemari Penyekat Ruangan Jati 400 x 40 x 240 Cat Impra Tempahan Buah 11.612.800
57 Lemari Dapur Biasa 400 x 40 x 70 Cat Impra Tempahan Buah 14.668.800
58 Lemari Dapur Jati 400 x 40 x 70 Cat Impra Tempahan Buah 16.869.120
59 Lemari Makan Biasa 200 x 40 x 240 Cat Impra Tempahan Buah 6.723.200
60 Lemari Makan Jati 200 x 40 x 240 Cat Impra Tempahan Buah 11.612.800
61 Lemari Arsip 2 Pintu 220 x 50 x 100 Kayu Buah 2.444.800
64 Lemari Buku Tinggi (Pintu Kaca) BC 510 (80 x 40 x 203 CM) Buah 2.200.320
65 Lemari Buku Tinggi (tanpa Pintu Kaca) BC 511 (80 x 40 x 203 CM) Buah 1.833.600
66 Lemari Buku Tinggi (Pintu Panel) BC 512 (80 x 40 x 203 CM) Buah 1.711.360
67 Lemari Buku Rendah (Pintu Kaca) BC 514 (80 x40 x83 CM) Buah 1.344.640
68 Lemari Buku Rendah (Pintu Panel) BC 515 (80 x 40 x 83 CM) Buah 1.222.400
B. KURSI
1 Kursi Guru tanpa lengan Rangka Kayu Seumantok, pakai Spon Buah 488.960
2 Kursi Guru pakai lengan Rangka Besi, Alas/Sandaran Spon dibalut plastik Buah 733.440
3 Kursi Kerja pakai lengan Rangka Besi, Alas/Sandaran Spon dibalut plastik Buah 488.960
4 Kursi Kerja tanpa lengan 1 Rangka Besi, Alas/Sandaran Spon dibalut plastik Buah 733.440
5 Kursi Kerja tanpa lengan 2 Ergonomic, Casanova CO 206 400 Buah 1.161.280
6 Kursi Kerja tanpa lengan 3 Ergomatic, Casanova CO 306 400 Buah 550.080
10 Kursi Direktur/Pimpinan pakai lengan (Sandaran Tinggi) 1 Hegen, Type Spingel D 414 Buah 1.283.520
11 Kursi Direktur/Pimpinan pakai lengan (Sandaran Tinggi) 2 Hegen, type Lubke D 403 DX Buah 1.405.760
12 Kursi Direktur/Pimpinan pakai lengan (Sandaran Tinggi) 3 Savello, Type Bravo HA Buah 1.589.120
13 Kursi Direktur/Pimpinan pakai lengan (Sandaran Tinggi) 4 Savello, Type Bravo L Buah 1.589.120
14 Kursi Direktur/Pimpinan pakai lengan (Sandaran Tinggi) 5 Savello, Type Waldo HTO Buah 1.833.600
15 Kursi Manager/Kabag Pakai Lgn 1 Hegen, Type Denzco D 412 (sandaran tinggi) Buah 1.711.360
16 Kursi Manager/Kabag Pakai Lgn 2 Hegen, Type Deyes D 413 (sandaran tinggi) Buah 1.711.360
17 Kursi Manager/Kabag Pakai Lgn 3 Hegen, Type Vicall D 411 (sandaran sedang) Buah 2.016.960
18 Kursi Manager/Kabag Pakai Lgn 4 Chitose, Type Medix 611 Buah 4.522.880
19 Kursi Manager/Kabag Pakai Lgn 5 Ergomatic, Casanova CO 207 A 300 Buah 3.667.200
22 Kursi Staff/Karyawan Pakai Lgn 1 Hegen, Type Sento S 121 Buah 488.960
23 Kursi Staff/Karyawan Pakai Lgn 2 Indachi, Type D 210 Buah 733.440

1 2 3 4 5
24 Kursi Staff/Karyawan Pakai Lgn 3 Indachi, Type D 220 Buah 855.680
25 Kursi Staff/Karyawan Pakai Lgn 4 Chitose, Type NBK Buah 1.014.592
26 Kursi Staff/Karyawan Pakai Lgn 5 Chitose, Type ET-170 Buah 3.300.480
27 Kursi Staff/Karyawan Tanpa Lengan 1 Hegen, Type Ceka M 300 Buah 488.960
28 Kursi Staff/Karyawan Tanpa Lengan 2 Hegen, Type Sento S 101 L Buah 806.784
29 Kursi Staff/Karyawan Tanpa Lengan 3 Chitose, Type NAN Buah 806.784
30 Kursi Staff/Karyawan Tanpa Lengan 4 Chitose, Type NA Buah 849.568
31 Kursi Staff/Karyawan Tanpa Lengan 5 Chitose, Type ET-171 Buah 2.933.760
32 Kursi Tunggu (Public Seating) / visitor 1 Hegen, Type Twins ST 333A (Kursi gandeng tiga) Set 3.300.480
Hegen, Type Lista ST 322 (pakai lengan, kaki
33 Kursi Tunggu (Public Seating) / visitor 2 Buah 855.680
besi)
34 Kursi Direktur/Pimpinan pakai lengan 1 Ergonomic, Inti EPC 801 HD Buah 4.706.240
42 Kursi Manager/Kabag Pakai Lengan Ergonomic, Inti EPC 701 HD Buah 2.420.352
43 Kursi Rapat / Vistor Hegen, Type Ceka M 320 Buah 1.277.408
44 Kursi Bar Stool / Drawing 1 Ergonomic, Inti EPC 331 HD Footring Buah 1.613.568
45 Kursi Bar Stool / Drawing 2 Ergonomic, Inti EPC 332 HD Footring Buah 1.949.728
46 Kursi Bar Stool / Drawing 3 Ergonomic, Inti EPC 333 HD armrest Footring Buah 2.285.888
47 Kursi Tunggu (Public Seating) 1 Ergonomic, Inti EPC 502 Without armrest Set 4.437.312
50 Kursi Sekretaris 1 Ergonomic, Inti EPC 101 Manual adjustment Buah 806.784
Ergonomic, Inti EPC 111 Manual adjustment,
51 Kursi Sekretaris 2 Buah 1.210.176
armrest
52 Kursi Sekretaris 3 Ergonomic, Inti EPC 102 Manual adjustment Buah 1.210.176
53 Kursi Sekretaris 4 Ergonomic, Inti EPC 112 Manual adjustment Buah 1.210.176
54 Kursi Kerja pakai lengan Bahan kayu, Model Ligna Buah 739.552
55 Kursi Lipat 1 Chitose, Type Yasuka SL Buah 416.838
56 Kursi Lipat 2 Chitose, Type Yamato HAA Buah 564.749
57 Kursi Lipat 3 Chitose, Type Cosmos 941 Buah 558.026
58 Kursi Lipat 4 Futura FTR AG Buah 672.320
59 Kursi Lipat 5 Futura FTR 509 Buah 403.392
62 Kursi Lipat 8 Indachi DCL-01 Buah 470.624
68 Kursi Lipat 14 chitose Yamato AA Buah 551.302
69 Kursi Lipat 15 chitose Yamato HAA Buah 564.749
70 Kursi Lipat 16 chitose Yamato HN Buah 537.856

1 2 3 4 5
74 Kursi Putar 1 Uchiwa MC 78 HD Buah 470.624
75 Kursi Putar 2 Uchiwa MC 660 HA Buah 1.277.408
76 Z i c e 1 Ligna Lotus Set 376.499
77 Z i c e 2 Ligna Yordan Set 470.624
78 Kursi guru pakai lengan 1 Rangka kayu, alas/sandaran Spon dibalut plastik Buah 874.016
81 Kursi guru pakai lengan 4 Bahan kayu, model Ligna Buah 1.075.712
82 Kursi belajar + meja Rangka kayu seumantok Buah 2.016.960
83 Kursi tamu (1 meja + 4 kursi) Bahan rotan Set 11.429.440
C. MEJA
1 Meja Biro 1 Uk. 180 x 90 x 75 cm, Tripleks Jati Buah 5.916.416
2 Meja Biro 2 Uk. 150 x 80 x 75 cm, Tripleks Jati Buah 3.899.456
3 Meja Biro Bahan Kayu 1 Uk. 180 x 90 x 75 cm, bahan Kayu Buah 4.840.704
4 Meja Biro Bahan Kayu 2 Uk. 150 x 80 x 75 cm, bahan Kayu Buah 3.361.600
5 Meja ½ Biro 1 Topix OD 520 Buah 1.613.568
6 Meja ½ Biro 2 Topix OD 520 (Laci) Buah 2.016.960
7 Meja 1 Biro 1 Topix OD 560 Buah 2.016.960
8 Meja 1 Biro 2 Topix OD 560 (Laci) Buah 3.764.992
9 Meja 1 Biro 3 Topix OD 561 Buah 2.151.424
10 Meja ½ Biro 1 120 x 60 x 75 cm, bahan Kayu Buah 2.285.888
11 Meja ½ Biro 2 120 x 60 x 75 cm, Tripleks Jati Buah 1.479.104
12 Meja Makan + 6 kursi Bahan Kayu Buah 3.361.600
13 Meja Makan + 6 kursi Jati Bahan Kayu Buah 6.319.808
14 Meja Sidang 1 Bahan Kayu untuk 15 Peserta Set 4.706.240
15 Meja Sidang 2 Bahan Kayu untuk 30 Peserta Set 9.412.480
16 Meja belajar + kursi 1 Rangka Kayu Seumantok Set 1.748.032
17 Meja Biro Exclusive 190 x 90 x 75 Cat Impra Tempahan Buah 4.889.600
18 Meja Biro Biasa 1 180 x 90 x 75 Cat Impra Tempahan Buah 3.056.000
19 Meja Biro Biasa 2 150 x 90 x 75 Cat Impra Tempahan Buah 2.444.800
20 Meja Biro Jati 1 180 x 90 x 75 Cat Impra Tempahan Buah 7.334.400
21 Meja Biro Jati 2 150 x 90 x 75 Cat Impra Tempahan Buah 5.500.800
22 Meja Biro Bahan kayu Biasa 1 180 x 90 x 75 Cat Impra Tempahan Buah 3.056.000
23 Meja Biro Bahan kayu Biasa 2 150 x 80 x 75 Cat Impra Tempahan Buah 4.889.600
24 Meja Biro Bahan Kayu Jati 1 180 x 90 x 75 Cat Impra Tempahan Buah 7.334.400
25 Meja Biro Bahan Kayu Jati 2 150 x 80 x 75 Cat Impra Tempahan Buah 5.867.520
26 Meja 1/2 Brio Biasa 120 x 60 x 75 Cat Impra Tempahan Buah 1.833.600
27 Meja 1/2 Biro Jati 120 x 60 x 75 Cat Impra Tempahan Buah 1.222.400
28 Meja 1/2 Biro Model Ligna Biasa 120 x 60 x 75 Cat Impra Tempahan Buah 2.689.280
29 Meja 1/2 Biro Model Ligna Jati 120 x 60 x 75 Cat Impra Tempahan Buah 1.222.400
30 Meja 1/2 Biro Model Palma Biasa 120 x 60 x 75 Cat Impra Tempahan Buah 1.222.400
31 Meja 1/2 Biro Model Palma Jati 120 x 60 x 75 Cat Impra Tempahan Buah 1.711.360
32 Meja makan + 6 kursi Bahan kayu Buah 4.889.600
34 Meja Rapat Persegi p.240 cm ST 500 (240 x 120 x 75 Cm) Buah 1.955.840
41 Meja 1/2 Biro 1 Olympic Set 1.222.400
42 Meja 1/2 Biro 2 Ramin Set 1.344.640
43 Meja 1/2 Biro 3 Metro Set 1.222.400

1 2 3 4 5
44 Meja 1/2 Biro 4 Ligna Set 1.466.880
45 Meja 1/2 Biro Tempahan 1 Biasa Berkaki Set 1.711.360
46 Meja 1/2 Biro Tempahan 2 Kaki Penuh Set 2.200.320
47 Meja 1/2 Biro Tempahan 3 Yang Lux Set 3.056.000
48 Meja Biro 1 Olympic Set 2.200.320
49 Meja Biro 2 Ramin Set 1.833.600
50 Meja Biro 3 Metro Set 1.833.600
51 Meja Biro 4 Ligna Set 1.833.600
52 Meja Kantor 1/2 biro Activ-Galant MTO 120 Set 1.100.160
53 Meja Kantor 1 biro Activ-Galant MTO 161 Set 1.589.120
54 Meja Tulis 1/2 biro Activ Vino MT 120 Set 1.100.160
55 Meja kantor 1 biro laci panjang Galant MTO 162 Set 1.711.360
56 Meja Biro Tempahan Kaki Gantung Set 2.016.960
57 Meja Biro Tempahan Kaki Penuh Set 2.016.960
58 Meja Biro Tempahan Yang Lux Set 2.016.960
59 Meja Komputer Topix CD 550 Set 2.218.656
60 Meja Komputer (monitor bawah) 1 Topix CD 551 Set 3.227.136
61 Meja Komputer (monitor bawah) 2 Topix CD 555 (120 x 60x75 CM) Set 2.151.424
62 Meja Komputer new CD 552 (120 x60x75CM) Set 2.554.816
63 Meja Komputer Sucitra Set 1.344.640
64 Meja Ketik Tanpa Rak SD 580 (100 x 40 x 63 cm) 1.210.176
65 Meja Komputer Olympic Set 672.320
66 Meja Tulis 1/2 Biro MT 016 Buah 537.856
67 Meja Tulis 1/2 Biro + Laci (set) MTA 114 Buah 806.784
68 Meja Tulis 1 Biro MT 017 Buah 1.613.568
69 Meja Tulis 1 Biro + 1 Laci (set) Buah 1.748.032
70 Meja Tulis 1 Biro + 2 Laci (set) MTB 114 Buah 1.815.264
71 Meja Penyambung 1/4 Lingkaran (OD 520 ) JT 575 B (60 x 60 x2,5 CM) Buah 739.552
72 Meja Penyambung 1/4 Lingkaran (OD 560 ) JT 574 (72 x72 x2,5 CM) Buah 1.075.712
73 Meja Penyambung 1/4 Lingkaran (OD 520 & OD 560) JT 574 B (60 x 72 x 2,5 CM) Buah 806.784
Meja Penyambung (khusus OD sebagai Meja Rapat) +
74 JT 578 (180 x 48 x75 CM) Buah 1.613.568
Tiang
G. FILLING KABINET
1 Filing Kabinet 4 Laci 1 Yunica Unit 2.689.280
2 Filing Kabinet 4 Laci 2 Mustang Unit 2.689.280
3 Filing Kabinet 4 Laci 3 Brother Unit 3.092.672
4 Filing Kabinet 4 Laci 4 Lion Type L-44E Unit 2.958.208
5 Fillig Kabinet 3 Laci 1 Lion, type L-43E Unit 2.750.400
6 Fillig Kabinet 3 Laci 2 Brother Unit 2.689.280
7 Filling Kabinet 2 Laci Lion, type L-42E Unit 2.725.952
8 Rak Tv LCD 14" - 21" Nexa 600 Unit 537.856
9 Rak Tv LCD 21"-32" Nexa 800 Unit 1.075.712
10 Rak Tv LCD 21"- 42" Nexa 1200 Unit 1.210.176
11 Rak TV LCD 21' - 42" Nexa 1201 Unit 1.277.408
H. CALCULATOR
1 Casio Model DR 8620 Buah 2.264.360
Model DM 1400 Buah 262.185
Model DM 1600 Buah 289.716
Model DC -750 Buah 626.589

1 2 3 4 5
Model PB - 2000C Buah 606.823
Model DN - 10 Buah 56.334
Model FX 3650 P Buah 457.447
2 Karce Model Buah 51.816
3 Citizen SDL 868 L Buah 137.234
4 Calculator Besar Casio/Citizen 12 digit Buah 197.662
5 Calculator Besar Casio/Citizen 14 digit 6 x - 14 W Buah 458.858
6 Calculator Check Besar Citizen 14 digit Buah 465.918
7 Calculator Check Besar Citizen 12 digit CT - 612 Buah 139.352
8 Calculator Check Sedang Citizen 14 digit Buah 423.562
9 Calculator Check Sedang Citizen 12 digit CT - 512 Buah 91.772
10 Calculator Kecil Casio/Citizen 12 digit Buah 52.945
11 Calculator Lengkap Casio Fx 301 Buah 261.196
12 Calculator Lengkap Casio Fx 3600 PV Buah 254.137
13 Calculator Lengkap Casio Model DR 8620 Buah 2.117.808
14 Calculator Lengkap Casio Model DM 1400 Buah 257.667
15 Calculator Lengkap Casio Model DM 1600 Buah 282.374
16 Calculator Lengkap Casio Model DC-750 Buah 564.749
17 Calculator Lengkap Casio model PB-2000C Buah 585.927
18 Calculator Lengkap Casio Model DN-10 Buah 70.594
19 Calculator Lengkap Casio Model FX 3650 P Buah 232.959
22 Calculator sedang Karce Buah 68.476
23 Calculator Sedang Casio/Citizen 12 digit Buah 168.719
24 Calculator Sedang Casio/Citizen 14 digit SDC - 344 Buah 176.484
H LAIN-LAIN KEBUTUHAN KANTOR/RUMAH TANGGA

1 Asbak Rokok Kaca 1 Besar Buah 201.696
2 Asbak Rokok Kaca 2 Kecil Buah 100.237
3 Tilam bahan Kapuk 1 Ukr. Lajang isi 10 Kg Buah 336.160
4 Tilam bahan Kapuk 2 Ukr. Besar Buah 605.088
5 Spring Bed 1 Alga, Model Single Buah 2.420.352
6 Spring Bed 2 Alga, Model Double Buah 5.109.632
7 Seprei 1 Ukr. Lajang Lembar 242.035
8 Seprei Ukr. Besar Lembar 470.624
9 Rak Handuk Stainles Steel Buah 228.589
10 Kursi tunggu Bahan Fiber glass Buah 336.160
11 Kursi tunggu besi 4 orang Bahan Besi Buah 2.078.080
LIGNA FURNITURE
RUANG TAMU
1 Sofa Aprilia SF-029 Buah 6.992.128
2 Sofa Ivori SF-030 Buah 8.067.840
3 Sofa Natalia SF-032 Buah 5.886.094
4 Sofa Parlemo SF-617 Buah 10.757.120
5 Sofa Santiago SF-618 Buah 8.735.958
6 Sofa Victoria SF-620 Buah 8.237.426
7 Sofa Julia SF 611 Buah 14.025.536
8 Sofa Valencia SF 609 Buah 13.505.968

1 2 3 4 5
9 Kursi 1 Seater KT 609A Buah 2.926.811
10 Kursi 3 Seter KT 609C Buah 5.702.551
11 Meja Sudut MKT609A Buah 4.574.465
12 Meja Tengah MKT609B Buah 1.074.435
13 Sofa Kyoto (dgn meja) SFLN 04 Buah 13.562.866
14 Sofa Kyoto (tnp meja) SFLN 04 Buah 15.908.974
15 Kursi 1 Seater Kyota KTLN 04.1 Buah 2.706.982
18 Kursi Direktur oc S1 KD 100 Buah 2.013.329
19 Kursi Direktur oc S1 KD 101 Buah 1.924.583
20 Kursi Direktur OC S1-KD102 Buah 1.344.640
21 Kursi Hadap (2 biji) 1 OC S1-KH 100 Buah 2.719.938
24 Kursi Manager OC S1-KM 100 Buah 1.210.176
27 Kursi Sekretaris (2 biji) OC S1-KS 101 Buah 1.277.408
28 Puff PF.LN 04 Buah 1.794.489
29 Meja Tengah MKT 606B Buah 2.016.960
30 Sofa Baru (dgn meja) SFLN 05 Buah 10.757.120
31 Sofa Baru (tnp meja) SFLN 05 Buah 9.779.200
32 Kursi 1 Seater KTLN 05.1 Buah 3.557.917
33 Kursi 2 Seater KTLN 05.2 Buah 6.244.710
34 Meja Tengah MKTLN 05B Buah 759.587
35 Sofa Divina (dgn meja) SFLN 06 Buah 4.033.920
36 Sofa Divina (tnp meja) SFLN 06 Buah 4.437.312
37 Kursi 1 seater KTLN 06.1 Buah 2.388.605
40 Meja Tamu Divina MKTLN06B Buah 4.302.848
41 Sofa Krakatau (tnp M. Sudut) SF 110 Buah 3.764.992
42 Sofa Krakatau (dgn M. Sudut) SF 110 Buah 3.966.688
43 Meja Sudut Krakatau MKT 110A Buah 321.907
44 Sofa Murano (tnp M. Sudut) SF 106 Buah 3.687.810
45 Sofa Murano (dgn M. Sudut) SF 106 Buah 4.002.657
46 Meja Sudut Murano MKT 106A Buah 304.964
47 Sofa Lily SF 106M Buah 3.374.798
48 Sofa Cemara SF 113 Buah 806.784
49 Sofa Tulip (2 KTA+1KTB+MKTB) SF 111 Buah 4.033.920
50 Kursi 1 Seater Tulip KT 111A Buah 1.211.386
51 Kursi 2 Seater Tulip KT 111B Buah 1.858.024
52 Meja Tengah Murano MKT 106B Buah 306.376
RUANG MAKAN
1 K. Makan Spiza KM 015 Buah 1.348.338
2 MK + 6 KM Corsica Buah 3.953.242
3 MK + 6 KM Spiza Buah 10.377.259
4 MK + 4 KM Corsica Buah 2.837.439

1 2 3 4 5
5 MK + 4 KM Spiza Buah 7.242.903
6 M.Makan Martini (persegi) MK 801 Buah 2.958.208
7 M.Makan Martini Buah 2.381.828
8 K.Makan Martini KM 802 Buah 984.640
9 MKB 001 + 4 KM Martini Buah 7.242.903
10 MK 801 + 6 KM Martini Buah 8.394.285
11 M.Makan Delluca (dgn daun) MK 809 Buah 3.630.528
12 M.Makan Delluca (tnp daun) MK 808 Buah 2.689.280
13 M.Makan Delucca MK 810 Buah 4.706.240
14 Kursi Makan Delucca KM 808 Buah 1.613.568
15 MK 808 + 6 KM Delucca Buah 9.063.653
18 M.Makan Corsica (4 org) MK 114A Buah 2.420.352
19 M.Makan Corsica (6 org) MK 114B Buah 2.958.208
20 K.Makan Loreine KM 101 Buah 672.320
21 K.Makan Baru KM 102 Buah 4.412.100
22 MK Corsica + 6 KM Loreine Buah 4.581.525
23 MK Corsica + 6 KM Baru Buah 3.100.471
24 MK Corsica + 4 KM Loreine Buah 2.957.872
25 MK Corsica + KM Baru Buah 1.589.120
26 Kursi Makan Activ 2 BIJI DF S2-DC 200 Buah 1.748.032
27 Kursi Makan Activ 2 Biji DF S2-DC 201 Buah 1.613.568
RUANG TIDUR
Model Torino
1 Tempat Tidur 3 Kaki 190 x 90 Buah 2.016.960
4 Tempat Tidur 6 Kaki 200 x 200 cm Buah 4.033.920
5 Tempat Tidur 3 Kaki Tingkat Tempahan Buah 6.050.880
6 Bed Single Torino BS 036 Buah 2.689.280
7 Bed Double Torino BD 036 Buah 4.033.920
8 Rak Nackast Torino RNK 036 Buah 8.633.597
9 Meja Rias Torino MR 036 Buah 1.210.176
10 Meja Rias +Puff Thunder MR Buah 998.664
11 Al.Pak.Inti Rak Torino (1 pnt) APA 036 Buah 3.049.644
12 Al.Pak.Tamb.Gant Torino (1 pnt) APB 036 Buah 2.477.835
13 Laci Al.Pak Torino L 036 Buah 310.612
14 Al Pak.2 pnt Torino AP.2 036 Buah 5.627.722
15 Al Pak.3 pnt Torino AP.3 )36 Buah 8.195.917
16 Set Khusus Torino SET 036 Buah 16.165.934
17 Matras Homeland Type Celine Uk.5K Buah 1.882.496
18 Matras Homeland Type Celine Uk.6K Buah 2.420.352
19 Matras Complete set Type celine Uk.5k Buah 3.630.528
20 Matras Complete set Type celine Uk.6k Buah 4.571.776
21 Matrtres Caisar Type Cleossy ukuran 120x200 Buah 28.081.462
22 Matras Caisar Wando hongdo 100x 200 Buah 1.277.408
23 Matras Caisar Wando hongdo 120x 200 Buah 1.344.640

1 2 3 4 5
Model Estoria
1 Bed Single Estoria BS 038 Buah 1.976.621
2 Bed Double Estoria BD 038 Buah 2.859.041
3 Rak Nackast Estoria RNK 038 Buah 2.986.109
4 Meja Rias Estoria MR 038 Buah 6.050.880
5 Al Pak.Estoria (2 pnt)+Laci APB 038 Buah 5.146.273
6 Al Pak.Estoria (3 pnt)+Laci APA 038 Buah 6.671.095
Model Romano
1 Bed Single Romano (uk. 90) BS 023 Buah 2.146.045
2 Bed Double Romano (uk. 160) BD 009 Buah 3.812.054
3 Rak Nackast Romano RNK 009 Buah 1.238.212
4 Meja Rias Romano MR 010 Buah 1.810.020
5 Al Pak. Inti Rak Romano (1 pnt) APA 007 Buah 2.668.438
6 Al Pak Tamb Gant Romano (1pnt) APB 007 Buah 2.668.438
7 Laci Al Pak. Romano L 007 Buah 381.205
8 Al. Pak 2 pnt Romano AP.2 007 Buah 4.955.671
12 Set Khusus Romano Set 009 Buah 14.676.409
Model Etonia
1 Al Pak.Etonia (3 pnt) APA 034 Buah 8.767.725
2 Set Khusus Etonia Set 034 Buah 174.126.174
Model Bergamo
1 Bed Double Bergamo (uk. 160) BD 040 Buah 1.226.917
2 Rak Nackast Bergamo RNK 040 Buah 1.928.617
1 Meja Rias + Puff Bergamo MR 040 Buah 4.706.240
4 Al Pak Inti Rak Bergamo (1 pnt) APA 040 Buah 2.453.834
5 Al Pak Tamb Gant Bergamo (1pnt) APB 040 Buah 1.753.545
6 Laci Al Pak Bergamo L 040 Buah 350.144
7 Al Pak 2 pnt Bergamo AP.2 040 Buah 4.207.379
11 Set Khusus Bergamo Set 040 Buah 13.676.804
Model Miami
1 Bed Medium Miami (uk. 120) BM 037 Buah 3.764.992
2 Bed Double Miami (uk. 160) BD 037 Buah 3.899.456
3 Meja Rias Miami (tnp puff) MR 037 Buah 4.033.920
4 Nachkast Miami NK 037 Buah 787.825
5 Puff Miami PF 037 Buah 525.216
Model Samas
1 Bed Medium Samas (uk.120) BM 039 Buah 2.113.572
2 Bed Single Samas (uk. 90) BS 039 Buah 1.577.061
3 Bed Sorong Samas BSR 14 Buah 1.139.381

1 2 3 4 5
4 Bed Susun Samas BSN 039 Buah 3.857.234
5 Bed Double Smas (uk. 160) BD 039 Buah 2.453.834
Model Bolero
1 Bed Double Bolero (uk. 160) BD 035 Buah 8.416.169
2 Rak Nackast Bolero RNK 035 Buah 2.980.462
1 Meja Rias + Cermin Bolero MR 035 Buah 6.050.880
4 Toper Meja Rias Bolero TMR 035 Buah 2.278.761
5 Meja Rias + Cermin + Toper MR 035 Set Buah 10.521.270
6 Set Model Bolero (tnp AP) Set 035 Buah 24.724.702
Model Manor
1 Bed Double Manor (uk. 160) BD 041 Buah 6.837.696
2 Rak Nackast Manor RNK 041 Buah 2.366.297
3 Tiang Kelambu Manor 847/4 Buah 1.139.381
4 Set Model Manor (Tnp. AP & MR) Set 041 Buah 12.449.887
Model Siena
1 Bed Single Siena BS 114 Buah 1.577.061
2 Bed Double Siena BD 114 Buah 2.453.834
3 Rak Nackast Siena RNK 114 Buah 612.752
4 Meja Rias Siena MR 114 Buah 1.051.845
5 Al Pak Siena (2 pnt) + Laci AP.2 114 Buah 3.507.090
6 Al Pak Siena (3 pnt) + Laci AP.3 114 Buah 4.383.863
7 Set Khusus Siena Set 114 Buah 8.855.261
RUANG KELUARGA
1 WU Inti Besar T.70 cm WU 601-70A Buah 1.051.845
2 WU Inti Tamb. Besar T.70 cm WU 601-70B Buah 964.309
3 WU Inti Tamb. Kecil T.70 cm WU 601-70C Buah 700.289
4 WU Inti Besar T.180 cm WU 601-180A Buah 2.103.689
5 WU Inti Tamb. Besar T.180 cm WU 601-180B Buah 1.664.597
6 WU Inti Tamb. Kecil T.180 cm WU 601-180C Buah 1.226.917
7 Papan Letak dalam besar PL 709/390 Buah 175.072
8 Pintu panil pendek T.36 cm PP 1 Buah 183.543
9 Pintu panil sedang T.61,8 cm PP 2 Buah 262.608
10 Pintu panil sedang T.103,4 cm PP 3 Buah 314.847
11 Laci 2 susun kecil L 2 Buah 314.847
12 Laci 3 susun besar L 3 Buah 612.752
13 Laci 4 susun besar L 4 Buah 2.420.352
14 Laci 5 susun kecil L 5
Laci Gantung Single Lock HD 501 (40 x 40x 40 cm) Buah 806.784
Laci Gantung Sentral Lock HD 502 (40 x 40 x 40 cm) Buah 1.210.176
Laci Sorong susun 3 MD 503 (40 x45x54 cm) Buah 1.546.336
15 Rangka pintu kaca PK 1 Buah 350.144
Konfigurasi WU 601-070
1 WU 601 - 70 K2 Buah 3.936.299
2 WU 601 - 70 K3 Buah 3.769.698
3 WU 601 - 70 K4 Buah 3.646.865
4 WU 601 - 70 K5 Buah 4.119.842
5 WU 601 - 70 K6 Buah 3.507.090
6 WU 601 - 70 K7 Buah 2.453.834

1 2 3 4 5
7 WU 601 - 70 K8 Buah 2.630.318
8 WU 601 - 70 K9 Buah 3.780.993
9 WU 601 - 70 K10 Buah 4.060.544
Konfigurasi WU 601-180
1 WU 601 - 180 K1 Buah 8.066.025
2 WU 601 - 180 K2 Buah 7.539.396
3 WU 601 - 180 K3 Buah 7.014.180
4 WU 601 - 180 K4 Buah 8.416.169
5 WU 601 - 180 K5 Buah 7.329.028
6 WU 601 - 180 K6 Buah 6.837.696
7 WU 601 - 180 K7 Buah 6.487.552
8 WU 601 - 180 K8 Buah 8.503.705
9 WU 601 - 180 K9 Buah 7.802.005
10 WU 601 - 180 K10 Buah 7.890.953
11 WU 601 - 180 K11 Buah 7.189.252
12 WU 601 - 180 K12 Buah 7.855.656
13 Wall Unit Avalon WU 602 6.452.255
1 Kursi Goyang KG 002 2.554.816
KASUR LIGNA
Standart
1 Kasur Single FSS 001 Buah 403.392
2 Kasur Sorong FSS 002 Buah 2.420.352
3 Kasur Double FDS 001 Buah 2.689.280
4 Kasur Double Long Size FDLS 001 Buah 3.361.600
5 Kasur Medium FMS 001 Buah 2.016.960
6 Kasur Single Siro KBS 101 Buah 1.748.032
7 Kasur Sorong Siro KBSR 101 Buah 2.420.352
8 Kasur Double Siro KBD 101 Buah 1.344.640
9 Kasur Double Long Size Siro KBDL 101 Buah 2.420.352
10 Bantal Siro DBS 101 Buah 161.357
11 Guling Siro DGS 101 Buah 201.696
Jumbo
1 Kasur Single FSJ 001 Buah 6.723.200
2 Kasur Sorong FSJ 002 Buah 4.033.920
3 Kasur Double FDJ 001 Buah 2.689.280
4 Kasur Dauble Long Size FDLJ 001 Buah 3.496.064
Dacron
1 Bantal Ligna DBS 001 228.589
2 Guling Ligna DGS 001 282.374
SPRING BED LIGNA
Matras
1 Deluxe 180 SBD 002 Buah 3.682.162
2 Deluxe 160 SBD 001 Buah 3.243.070
3 Deluxe 120 SBM 001 Buah 2.191.225
4 Deluxe 90 SBS 001 Buah 876.773

1 2 3 4 5
Matras + Divan
1 Deluxe 180 6.400.016
2 Deluxe 160 5.960.924
3 Deluxe 90 3.418.142
4 Kompor Gas 855.680
5 Papan Nama 1.222.400
6 Tangga Multi Fungsi 1.650.240
7 Background Front Office 366.720

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
SERAGAM DINAS DAN KELENGKAPANNYA
LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
PEMELIHARAAN KANTOR
LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
ALAT C O M P U T E R
LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
KELENGKAPAN OLAH RAGA
D. KELOMPOK BARANG PAKAIAN DINAS DAN KELENGKAPANNYA
1 2 3 4 5
1 Pakaian Dinas Harian (PDH)
~ Bahan Tetrex 2020 Segala warna + Badge Stel 435.400
~ Bahan Varena Drill Segala warna + Badge Stel 435.400
~ Bahan Japan Drill Segala warna + Badge Stel 559.800
~ Aspira Segala warna + Badge Stel 559.800
~ Bahan Vitara Segala warna + Badge Stel 559.800
~ Bahan Semi Woll Segala warna + Badge Stel 808.600
2 Pakaian seragam HANSIP
~ Bahan Varena Drill Warna hijau muda + Badge Stel 435.400
~ Bahan Japan Drill Warna hijau muda + Badge Stel 559.800
~ Bahan Vitana Drill Warna hijau muda + Badge Stel 435.400
~ Bahan Vitara Warna hijau muda + Badge Stel 435.400
3 Baju seragam KORPRI

~ Polisma Motif Korpri Lembar 435.400
~ Terpira Motif Korpri Lembar 435.400
~ Paris Motif Korpri Lembar 435.400
~ Katun Motif Korpri Lembar 373.200
4 Celana seragam KORPRI -
~ Bahan Varena USA Drill Warna biru Lembar 373.200
~ Bahan Japan Drill Warna biru Lembar 248.800
~ Bahan Vitara Warna biru Lembar 311.000
~ Bahan Semi Woll Warna biru Lembar 373.200
5 Pakaian Sipil Resmi (PSR) -
~ Bellini Segala warna Stel 559.800
~ Bellini Accura Segala warna Stel 497.600
~ Friendship Segala warna Stel 746.400
~ Wool England No. 1 Segala warna Stel 3.732.000
~ Rapillo Segala warna Stel 3.097.560
SHB SERAGAM DINAS 28

1 2 3 4 5
6 Pakaian Safari
~ Bellini Segala warna Stel 746.400
~ Rapillo Segala warna Stel 1.368.400
7 Pakaian Sipil lengkap
~ Wool England kw 1 Segala warna Stel 4.354.000
~ Wool England kw 2 Segala warna Stel 3.732.000
~ Bellini Accura Segala warna Stel 559.800
8 Pakaian Dinas lapangan
Warna Khaki, Lbr 1,50 m
~ Bahan Suiting Japan T 7960 Stel 622.000
/Pjg 2,75 m
9 Kain - kain
~ Varena USA Drill segala warna Meter 37.320
~ Japan Drill segala warna Meter 55.980
~ Vitara segala warna Meter 37.320
~ Istem Tetrex segala warna Meter 46.028
Bahan Dyed Casting,
10 Ikat pinggang besar (Kopel Rim) Kepala Kuning emas, Logo Buah 62.200
Depdagri/ Polisi Pamong
Bahan Dyed Casting,
11 Ikat pinggang kecil warna hitam Kepala Kuning emas, Logo Buah 43.540
Depdagri/ Polisi Pamong
Lambang Depdagri, Polisi
12 Badge Pamong Praja+ Lambang Stel 18.660
KORPRI
Panca Cita, sulaman
13 Badge lambang 1 Buah 6.220
Komputer
KORPRI/Satuan Kerja,
14 Badge lambang 2 Buah 12.440
sulaman Komputer
Warna Hitam, bahan Katun
15 Kaos Kaki Tebal Pasang 24.880
Initial Polisi Pamong Praja
Standar TNI, Hitam initial
16 Sepatu Lars (Boots) / PDL bahan sintetis Pasang 373.200
Polisi Pamong Praja, segala
17 Sepatu PDL bahan kulit Type TNI Pasang 472.720
18 Sepatu PDH sintetis Type TNI Pasang 435.400
19 Sepatu PDH kulit Type TNI Pasang 472.720
20 Topi Pamong Praja Buah 62.200
21 Topi Korpri Buah 62.200
22 Bendera Merah Putih 1 Ukr. 80 x 120 Lembar 93.300

1 2 3 4 5
27 Papan Nama seragam dinas 1 TNI/POLRI Buah 43.540
28 Papan Nama seragam dinas 2 PNS Buah 43.540

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
KELENGKAPAN OLAH RAGA
E. KELOMPOK BARANG PERLENGKAPAN OLAH RAGA
1 2 3 4 5
1 Bola Badminton (Shuttle Cock) 1 Garuda Slop/12 Bh 124.400

2 Bola Badminton (Shuttle Cock) 2 Garuda Export Slop/12 Bh 1.866.000
3 Bola Badminton (Shuttle Cock) 3 Nine Slop/12 Bh 118.180
4 Bola Basket 1 Mikasa Buah 373.200
5 Bola Basket 2 Mikasa Power Buah 373.200
6 Bola Basket 3 Mikasa / Karet 1/2 Kulit Buah 497.600
7 Bola Basket 4 Mikasa PBSI Buah 622.000
8 Bola Basket 5 Spalding Kings Buah 1.119.600
9 Bola Basket 6 Molten B7R Buah 995.200
10 Bola Basket 7 Molten BG-G7x Buah 1.492.800
11 Bola Basket 8 Molten BGE7 Buah 1.119.600
12 Bola Basket 9 Spalding Buah 746.400
13 Bola Kaki 1 Molten Napoli Buah 435.400
14 Bola Kaki 2 Adidas Lokal Buah 435.400
15 Bola Kaki 3 Adidas Soccer Tango 12 Buah 622.000
16 Bola Kaki 4 Adidas LN / Piala Dunia Buah 622.000
17 Bola Kaki 5 Mikasa Soccer FX5 Buah 435.400
18 Bola Kaki 6 Mikasa Type ZEA Buah 497.600
19 Bola Kaki 7 Nike soccer minor Buah 622.000
20 Bola Tennis 1 Tens Slop/4 Bh 124.400
21 Bola Tennis 2 Dunlop isi 3 Slop/3 Bh 87.080
22 Bola Tennis 3 Dunlop isi 4 Slop/3 Bh 111.960
23 Bola Tennis 4 Nassau Slop/4 Bh 124.400
24 Bola Tennis 5 Nassau Hitam Slop/4 Bh 124.400
25 Bola Tennis 6 Wilson 62.200
26 Bola Tenis Meja 1 Butterfly Slop/3 Bh 62.200
27 Bola Tenis Meja 2 Paradiso Slop/6 Bh 149.280
28 Bola Tenis Meja 3 DHS Slop/6 Bh 55.980
29 Bola Volley 1 Mikasa Volly MVA 310 Buah 870.800
30 Bola Volley 2 Mikasa Volly MG Super Gold Buah 746.400
SHB PERLENGKAPAN OLAH RAGA 31

1 2 3 4 5
31 Bola Volley 3 Mikasa MVA 330 Buah 746.400
32 Bola Volley 4 Mikasa Type MVA 410 (Size:5) Buah 870.800
33 Bola Volley 5 Molten V48SL size:4 Buah 497.600
34 Bola Volley 6 Molten Type V5M5000 size:5 Buah 622.000

35 Bola Volley 7 Molten Type V5M3500 size:5 Buah 622.000
36 Bola Futsal 1 Nassau Buah 373.200
37 Bola Futsal 2 Molten VGI 5000 Buah 870.800
38 Bola Futsal 3 Molten Futsal PFI 750A Buah 373.200
39 Bola Takrow 1 Rotan Buah 99.520
40 Bola Takrow 2 Sintetis Buah 149.280
41 Net Badminton 1 DHS Set 124.400
42 Net Badminton 2 Yonex Set 248.800
43 Net Badminton 3 Toalson Set 223.920
44 Net Badminton 4 RS Set 186.600
45 Net Badminton 5 Merk Sheill/GTO Taiwan Set 161.720
46 Net Badminton 6 Merk Sheill/GTO Taiwan (Asli) Set 323.440
47 Net Volley 1 Molten Set 373.200

48 Net Volley 2 GTO Taiwan (Asli) Set 497.600
49 Net Tennis Lapangan 1 GTO Taiwan Set 2.239.200
50 Net Tennis Lapangan 2 GTO Taiwan (Super) Set 2.114.800
51 Net Tennis Meja 1 Paradiso Set 149.280
52 Net Tennis Meja 2 DHS Set 186.600
53 Net Tennis Meja 3 Butterfly Set 248.800
54 Raket Badminton 1 Pro Kennex Buah 622.000
55 Raket Badminton 2 Pro Kennex / 601 Buah 497.600
58 Raket Badminton 5 Carbonex 8 Buah 1.492.800
59 Raket Badminton 6 Carbonex 9SP Buah 1.119.600
60 Raket Badminton 7 Carbonex 10 Buah 497.600
61 Raket Badminton 8 Forza 2.239.200
62 Raket Tennis 1 Yonex MP 33 - Jepang Buah 1.492.800

1 2 3 4 5
65 Raket Tennis 4 Yonex TI 2 Light - Taiwan Buah 2.114.800
66 Raket Tennis 5 Yonex TI 6 - Jepang Buah 2.239.200
67 Raket Tennis 6 Head (Djokovic) Buah 1.492.800
68 Raket Tennis 7 Head ( Titanio ) Buah 1.119.600
69 Raket Tennis 8 Head ( Interlegen) Buah 870.800
70 Raket Tennis 9 Pro Kennex Black Ace Buah 1.492.800
71 Raket Tennis 10 Pro Kennex Buah 870.800
72 Raket Tennis 11 Wilson/Cina Buah 870.800
73 Raket Tennis 12 Wilson K-Zero Buah 746.400
74 Raket Tennis 13 Wilson asli Buah 2.239.200
75 Raket Tennis 14 Wilson Buah 870.800
76 Raket Tennis 15 Babolat Buah 1.492.800
77 Bed Tennis Meja 1 Merk China (Paradiso) Buah 995.200
78 Bed Tennis Meja 2 RITC 802 Buah 870.800
81 Bed Tennis Meja 5 DHS Buah 1.517.680
82 Bed Tennis Meja 6 DHS Cloud n Fog III Buah 995.200
83 Bed Tennis Meja 7 Friendship Buah 870.800
84 Bed Tennis Meja 8 Yasaka Mark V Buah 622.000
85 Bed Tennis Meja 9 Butterfly Silver Buah 1.492.800
86 Bed Tennis Meja 10 Butterfly Bryce FX Buah 995.200
87 Bed Tennis Meja 11 Butterfly Tackines chop Buah 1.119.600
88 Bed Tennis Meja 12 Butterfly Bryce Speed Buah 995.200
89 Bed Tennis Meja 13 Butterfly Tenergy 25 Buah 870.800
Butterfly bahan partikel plus
90 Meja Tenis Buah 870.800
rangka besi
91 Pakaian Olah Raga 1 Atlit ½ Lusin 2.239.200
92 Pakaian Olah Raga 2 1 Lusin 5.224.800
93 Pakaian Karate/Silat Set 1.492.800
94 Training Spack 1 Adidas Pasang 373.200
95 Training Spack 2 Adidas (Lokal) Pasang 497.600
96 Sepatu Bola 1 Adidas Lokal Pasang 497.600
Adidas Adipure III TRX FG
97 Sepatu Bola 2 Pasang 870.800
Original

1 2 3 4 5
98 Sepatu Bola 3 Eagle Pasang 435.400
99 Sepatu Bola 4 Eagle ( Studio) Pasang 497.600
Lotto- Fuerzapurra L 300 FG

100 Sepatu Bola 5 Pasang 870.800
Original
101 Sepatu Bola 6 Mizuno (original) Pasang 2.239.200
Nike - CTR 360 Libretto FG

102 Sepatu Bola 7 Pasang 1.492.800
Original
Nike - CTR 360 Trequartista FG
103 Sepatu Bola 8 Pasang 1.492.800
Original
104 Sepatu Bola 9 Adidas Pasang 497.600
105 Sepatu Olah Raga 1 Eagle ( All Enggland) Pasang 497.600
106 Sepatu Olah Raga 2 Eagle ( Super X) Pasang 559.800
107 Sepatu Olah Raga 3 Eagle ( Run Net) Pasang 373.200
108 Sepatu Olah Raga 4 Eagle ( Pro Mash) Pasang 497.600
109 Sepatu Olah Raga 5 Adidas (Asli Volly) Pasang 870.800
110 Sepatu Olah Raga 6 Adidas (Asli Tennis ) Pasang 1.492.800
111 Sepatu Olah Raga 7 Nike T3 Original Pasang 1.492.800
112 Sepatu Olah Raga 8 Puma Power Cat3 Original Pasang 1.741.600
113 Sepatu Olah Raga 9 Puma V5. 10 Original Pasang 622.000
114 Sepatu Olah Raga 10 Panther (Kodachi) Pasang 497.600
115 Sepatu Olah Raga 11 Nike Running Pasang 995.200
116 Sepatu Olah Raga 12 Reebok Pasang 1.119.600
117 Skipping 1 Paradiso Set 62.200
118 Skipping 2 DHS Set 62.200
119 Skipping 3 ROX Set 124.400
120 Stopwatch 1 Seiko Buah 435.400
121 Stopwatch 2 Seiko (Digital) Buah 622.000
122 Stopwatch 3 Seiko ( Diamond) Buah 497.600
123 Stopwatch 4 Alba Buah 497.600
124 Stopwatch 5 FOX (standar) Buah 622.000
125 Stopwatch 6 FOX Buah 746.400
126 Kaos kaki tebal 1 Fila / Adidas / Nike Pasang 62.200
127 Kaos kaki tebal 2 Yonex Pasang 62.200
128 Piala (Trophy) 1 Ukr. Besar 4 kaki Buah 1.866.000
129 Piala (Trophy) 2 Ukr. Sedang 2 kaki Buah 1.368.400

1 2 3 4 5
130 Piala (Trophy) 3 Ukr. Kecil (3 buah) Buah 995.200
131 Topi Olah raga 1 Adidas (Taiwan) Buah 149.280
132 Topi Olah raga 2 Lokal Buah 99.520
133 Kaca Mata Renang 1 Speedo Set 435.400
134 Kaca Mata Renang 2 Swim Set 248.800
135 Kaca Mata Renang 3 Sea Lion Set 124.400
136 Kaca Mata Renang 4 Durin Japan (Phonia) Set 497.600
137 Kaca Mata Renang 5 Durin Japan (Phonia) Swan Set 622.000
138 Kaca Mata Renang 6 Durin Japan (Phonia) Slikon Set 622.000
139 Kaca Mata Renang 7 Lokal (Phonia) Set 746.400

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
ALAT PEMADAM
F. KELOMPOK BARANG ALAT PEMADAM
1 2 3 4 5
TABUNG RACUN API (Alat Yamato Baroda YA-100 /Multi Purpose

1 Unit 13.749.148
Pemadam) 1 Cartridge/40 Kg
TABUNG RACUN API (Alat Yamato Baroda YA - 50 /Multi Purpose
Unit 10.557.208
Pemadam) 2 Cartridge/20 Kg
TABUNG RACUN API (Alat
YA - 4 EL /Multi Purpose Cartridge/1,2 Kg Unit 1.094.340
Pemadam) 3
YAM - 4 EL /Multi Purpose Cartridge/2 Kg Unit 1.318.590
Pemadam) 4
YA - 10 ES /Multi Purpose Cartridge/3 Kg Unit 1.704.300
Pemadam) 5
YA - 10 L /Multi Purpose Cartridge/3,5 Kg Unit 2.139.208
Pemadam) 6
YA /Multi Purpose Cartridge/ 4,5 Kg Unit 2.553.208
Pemadam) 7
YA - 20 L /Multi Purpose Cartridge/6 Kg Unit 2.967.208
Pemadam) 8
YC - 5 /Carbon Dioxide/2,3 Kg Unit 3.801.900
Pemadam) 9
Pemadam) 10
Pemadam) 11
Pemadam) 12
TABUNG RACUN API (Alat Miyata CA - 50 W - 2 /Catrige Type Origin
Unit 7.948.800
Pemadam) 13 Japan/20 Kg
TABUNG RACUN API (Alat Miyata CA - 100 W - 2 /Catrige Type Origin
Unit 17.664.000
Pemadam) 14 Japan/40 Kg
Concord /Dry Chemical Powder/ 2 Kg Unit 731.400
Pemadam) 15
Concord /Dry Chemical Powder/ 6 Kg Unit 1.062.600
Pemadam) 16
Concord /Dry Chemical Powder/ 9 Kg Unit 1.300.650
Pemadam) 17
Concord /Dry Chemical Powder/4,5 Kg Unit 993.600
Pemadam) 18
SQUAD INDO/ABC 3 /Dry Chemical Powder/
2 SQUAD INDO/ABC -3 Unit 655.500
3 Kg
SQUAD INDO/ABC -6 Unit 897.000
6 Kg
SQUAD INDO/ABC 9/Dry Chemical Powder/
SQUAD INDO/ABC -9 Unit 1.311.208
9 Kg
SHB ALAT PEMADAM 36

1 2 3 4 5
ABC SM - 2 /Dry Chemical Powder/2 Kg Unit 607.964
ABC SM - 0,5 /Dry Chemical Powder/0,5 Kg Unit 414.000
ABC SM - 70 /Dry Chemical Powder/70 Kg Unit 10.419.208
ABC ST - 2 /Carbon Dioxida (CO2)/ 2 Kg Unit 1.270.636
Chubb EP 3/ABC Dry Chemical Powder/ 3 Kg Unit 2.896.592
Chubb EP 4,5 /ABC Dry Chemical Powder/

Unit 3.690.727
4,5 Kg
Chubb EP 6 /ABC Dry Chemical Powder/ 6
Unit 3.928.777
Kg
Unit 4.166.827
Kg
Chubb EHL 3,5 /Alotron/ 3,5 Kg Unit 20.942.328
Chubb EHL 5 /Alotron/ 5 Kg Unit 26.668.776
Chubb EF 6 /Foam AFFF 6 %/ 6 Ltr Unit 1.518.898

Minimax MEP 2 /ABC Dry Chemical Powder/
Unit 876.646
2 Kg
Unit 993.600
3 Kg
Minimax MEP 4,5 /ABC Dry Chemical
Unit 1.104.773
Powder/ 4,5 Kg
Unit 1.227.317
6 Kg
Unit 1.398.236
9 Kg
SHB ALAT PEMADAM 37

1 2 3 4 5
Minimax MEP 6 C /Power Cartridge/ 6 Kg Unit 2.099.298

Appron AP - 10 P /Dry Chemical Powder/ 1,0
Unit 667.920
Kg
Appron AP - 15 /Dry Chemical Powder/ 1,5
Unit 690.000
Kg
Unit 747.960
Kg
Unit 841.800
Kg
Unit 966.000
Kg
Appron AP - 90 P /Serbuk Kimia Kering/ 9,0
Unit 1.131.600
Kg
Appron AP - 200 S /Serbuk Kimia Kering/ 20
Unit 5.271.600
Kg
Unit 7.176.000
Kg
Unit 8.997.600
Kg
Unit 10.488.000
Kg
Unit 12.972.000
Kg
Appron AC - 5 /Carbon Dioxide (CO2)/ 2.3 Kg Unit 883.200
Appron AC - 7 /Carbon Dioxide (CO2)/ 3 Kg Unit 1.090.200
Appron AC - 10 /Carbon Dioxide (CO2)/ 4,6

Unit 1.421.400
Kg
Unit 1.828.500
Kg
Red Guard RGP 3 C /Serbuk Kimia Kering +
Unit 676.200
CO2/ 1.8 Kg
Unit 765.900
CO2/ 2,5 Kg
Unit 855.600
CO2/ 3,5 Kg
Unit 1.035.000
CO2/ 4,5 Kg
Unit 2.696.520
CO2/ 6 Kg
Unit 2.917.320
CO2/ 9 Kg
SHB ALAT PEMADAM 38

1 2 3 4 5
Krakatau Protek 5 P /Serbuk Kimia Kering +
Unit 1.181.350
N2/ 5 Lbs
Unit 6.280.104
N2/ 20 Lbs
Krakatau Protek 2 P /Carbon Dioxide (CO2)/
Unit 3.105.000
2 Kg
REFILING/Isi Ulang Tabung Yamato Baroda YA - 100 /Multi Purpose

3 Unit 6.709.781
Racun Api (Alat Pemadam) 1 Cartridge/40 Kg
REFILING/Isi Ulang Tabung Yamato Baroda YA - 50 /Multi Purpose

Unit 5.279.155
Racun Api (Alat Pemadam) 2 Cartridge/20 Kg
REFILING/Isi Ulang Tabung

YA - 4 EL /Multi Purpose Cartridge/1,2 Kg Unit 396.750
Racun Api (Alat Pemadam) 3

YAM - 4 EL /Multi Purpose Cartridge/2 Kg Unit 431.250

YA - 10 ES /Multi Purpose Cartridge/3 Kg Unit 560.626

YA - 10 L /Multi Purpose Cartridge/3,5 Kg Unit 582.187

YA /Multi Purpose Cartridge/4,5 Kg Unit 848.700

YA - 20 L /Multi Purpose Cartridge/6 Kg Unit 1.163.167

YC - 5 /Carbon Dioxide/2,3 Kg Unit 483.000
Racun Api (Alat Pemadam) YC - 7 /Carbon Dioxide/3,2 Kg Unit 683.100
10
Racun Api (Alat Pemadam) YC - 10 /Carbon Dioxide/4,6 Kg Unit 821.100
11
Racun Api (Alat Pemadam) YC - 15 /Carbon Dioxide/6,8 Kg Unit 1.097.100
12
Miyata CA - 50 W - 2 /Catrige Type Origin
Racun Api (Alat Pemadam) Unit 1.863.346
Japan/20 Kg
13
Miyata CA - 100 W - 2 /Catrige Type Origin
Racun Api (Alat Pemadam) Unit 3.588.346
Japan/40 Kg
14
Racun Api (Alat Pemadam) Concord /Dry Chemical Powder/2 Kg Unit 207.000
15
SHB ALAT PEMADAM 39

1 2 3 4 5
16
17
Racun Api (Alat Pemadam) Concord /Dry Chemical Powder/4,5 Kg Unit 569.250
18
4 SQUAD INDO/ABC -3 Unit 386.400
3 Kg
6 Kg
9 Kg
ABC SM - 0,5 /Dry Chemical Powder/0,5 Kg Unit 138.000
ABC ST - 2 /Carbon Dioxida (CO2)/ 2 Kg Unit 276.000
ABC ST - 5 /Carbon Dioxida (CO2)/ 5 Kg Unit 828.000
E C O /Cartridge/ 12 Kg Unit 1.339.049
E C O /Cartridge/ 50 Kg Unit 6.900.000
ABC - 15 /Cartridge/ 4,5 Kg Unit 993.600
ABC - 20 /Cartridge/ 6 Kg Unit 1.255.800
SHB ALAT PEMADAM 40

1 2 3 4 5
Gunung Mas /Cartridge/ 9 Ltr Unit 1.242.000
Chubb/ABC Dry Chemical Powder/ 68 Kg Unit 7.038.000
Chubb EP 3/ABC Dry Chemical Powder/ 3 Kg Unit 560.626
Chubb EP 4,5 /ABC Dry Chemical Powder/

Unit 848.700
4,5 Kg
Unit 1.163.167
Kg
Unit 1.346.190
Kg
Chubb EHL 3,5 /Alotron/ 3,5 Kg Unit 3.036.000
Chubb EHL 5 /Alotron/ 5 Kg Unit 4.071.000
Chubb EF 6 /Foam AFFF 6 %/ 6 Ltr Unit 814.200

Unit 386.400
2 Kg
Unit 510.600
3 Kg
Minimax MEP 4,5 /ABC Dry Chemical
Unit 527.850
Powder/ 4,5 Kg
Unit 810.268
6 Kg
Unit 944.128
9 Kg
Minimax MEP 6 C /Power Cartridge/ 6 Kg Unit 677.374

Unit 207.690
Kg
Unit 289.800
Kg
Unit 442.980
Kg
Unit 445.740
Kg
Unit 566.008
Kg
Appron AP - 90 P /Serbuk Kimia Kering/ 9,0
Unit 875.128
Kg
Unit 1.449.690
Kg
SHB ALAT PEMADAM 41

1 2 3 4 5
Unit 2.277.346
Kg
Unit 2.622.000
Kg
Unit 3.146.676
Kg
Unit 3.974.676
Kg
Appron AC - 5 /Carbon Dioxide (CO2)/ 2.3 Kg Unit 483.000
Appron AC - 7 /Carbon Dioxide (CO2)/ 3 Kg Unit 517.500

Unit 552.346
Kg
Unit 814.408
Kg
Unit 386.400
CO2/ 1.8 Kg
Unit 455.400
CO2/ 2,5 Kg
Unit 507.840
CO2/ 3,5 Kg
Unit 628.246
CO2/ 4,5 Kg
Unit 1.255.800
CO2/ 6 Kg
Unit 1.587.690
CO2/ 9 Kg
Unit 628.108
N2/ 5 Lbs
Unit 1.289.610
N2/ 20 Lbs
Krakatau Protek 2 P /Carbon Dioxide (CO2)/
Unit 289.800
2 Kg
SHB ALAT PEMADAM 42

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
PEMELIHARAAN KANTOR
G. KELOMPOK BARANG PEMELIHARAAN
1 2 3 4 5
I PEMELIHARAAN AC SENTRAL, AC SPLIT DAN AC WINDOW

1 Service1 AC Sentral Paket 960.000
2 Service2 AC Standing Unit 480.000
3 Service3 AC Split Unit 72.000
4 Service4 AC Split Multi Unit 72.000
5 Isi, Tambah dan Ganti Freon 1 Freon R 22 Per Kg 180.000
6 Isi, Tambah dan Ganti Freon 2 Freon R 134 Per Kg 480.000
7 Ganti Kompressor AC Split 1 Panasonic 5 PK Buah 42.000.000
10 Ganti Kompressor AC Split 4 Panasonic 1 1/2 PK Buah 3.000.000
12 Pemasangan Baru AC 1 pada lantai dasar Unit 240.000
13 Pemasangan Baru AC 2 pada lantai dua Unit 360.000
14 Pemasangan Baru AC 3 pada lantai tiga Unit 480.000
15 Pergantian Pipa AC 1 - Meter 84.000
16 Pergantian Pipa AC 2 - Unit 480.000
II PEMELIHARAAN MESIN TULIS

Service dan Perbaikan Mesin Ketik, tidak
1 Manual Unit 960.000
termasuk Spare Part 1
Service dan Perbaikan Mesin Ketik, tidak
2 Elektrik Unit 1.440.000
termasuk Spare Part 2
III PEMELIHARAAN MESIN FOTOCOPY
Service perbaikan ( 1 kali

1 Kerusakan ringan Unit 1.200.000
pemanggilan/service, diluar spare part) 1

2 Kerusakan sedang Unit 1.800.000

3 Kerusakan berat (over houl) Unit 3.000.000
SHB PEMELIHARAAN 43
1 2 3 4 5
IV PEMELIHARAAN TELEPON, KOMPUTER, FILLING KABINET/LEMARI BESI
1 Service Telepon Unit 120.000
2 Service Komputer, diluar Spare Part: Set 600.000
3 Service printer, diluar spare part Set 720.000
4 Service/Perbaikan Filling 4 Laci Unit 840.000
5 Pengecatan Filling Kabinet Cat Duco Unit 1.800.000
6 Service Televisi 1 Ringan Unit 360.000
7 Service Televisi 2 Berat Unit 360.000
VI PEMELIHARAAN MESIN ABSENSI

Servis mesin absensi 5 jari Unit 180.000
Servis mesin absensi 1 jari Unit 180.000
VI PEMELIHARAAN KEBERSIHAN
Pemeliharaan Kebersihan Gedung/ Kantor
1
(Cleaning Service)
- Membersihkan Kaca Jendela/Pintu M2 960
- Menyapu Lantai M2 1.200
- Mengepel Lantai M2 1.200
- Membersihkan Ruang WC/Toilet M2 1.800
Pemeliharaan Kebersihan Halaman
2 M2 7.200
Keras/Aspal
3 Menyapu Halaman M2 7.200
4 Pemeliharaan Taman M2 7.200
5 Pemeliharaan dan Memotong Rumput M2 8.000
SHB PEMELIHARAAN 44
LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
ALAT LISTRIK
H. KELOMPOK BARANG ALAT LISTRIK
1 2 3 4
A. LAMPU
1 Lampu TL Fluotone 1 PHILIPS TLD 33/18 watt Buah 17.789
8 Lampu TL Super Deluxe 1 PHILIPS Super 80/18 watt Buah 29.856
9 Lampu TL Super Deluxe 2 PHILIPS Super 80/36 watt Buah 35.454
10 Lampu TL Super Deluxe 3 PHILIPS Deluxe 80/18 watt Buah 43.540
11 Lampu TL Super Deluxe 4 PHILIPS Deluxe 80/36 watt Buah 49.760
12 Lampu Hemat Energi Wide Voltage 1 PHILIPS SL*E 11 watt Buah 80.860
13 Lampu Hemat Energi Wide Voltage 2 PHILIPS SL*E 15 watt Buah 90.812
14 Lampu Hemat Energi Wide Voltage 3 PHILIPS SL*E DECO 15 watt Buah 90.812
15 Lampu Hemat Energi Wide Voltage 4 PHILIPS SL*E DECO 20 watt Buah 105.740
16 Lampu Hemat Energi Wide Voltage 5 PHILIPS PLEU 11 watt Buah 90.812
19 Lampu Hemat Energi Wide Voltage 8 PHILIPS PLEC 5 watt Buah 68.420
22 Lampu Hemat Energi Wide Voltage 11 HITACHI 11 W Buah 34.832
28 Lampu Mercury 1 125 watt Buah 45.344
29 Lampu Mercury 2 160 watt Buah 61.516
30 Lampu Mercury 3 250 watt ML Buah 89.133
31 Lampu Pijar 1 PHILIPS Clear 10 watt Buah 9.952
SHB ALAT LISTRIK 45

1 2 3 4
40 Lampu Pijar 10 PHILIPS Superlux 25 watt Buah 10.512
45 Lampu Pijar 15 PHILIPS Softone 25 watt Buah 10.947
50 Lampu Taman 1 Lengkap Buah 435.400
51 Lampu Sorot 1 Halogen 500 watt Buah 38.315
54 Lampu sorot philip + bola philip 1 Halogen 500 watt Buah 240.901
55 Lampu sorot philip + bola philip 2 Halogen 1000 watt Buah 456.237
56 Lampu Slide 3M Buah 456.237
B. BALLAST, STARTER & SEKERING
1 Ballast TL 1 Sinar 20 watt Buah 43.540

2 Ballast TL 2 Sinar 40 watt Buah 48.516
3 Starter TL 1 Phillips Buah 6.220
4 Starter TL 2 Star Buah 6.220
5 Starter TL 3 Sinar Buah 7.464
6 Sekering biasa Buah 6.220
7 Sekering Otomatis 1 6 s/d 20 Amp Buah 37.320
8 Sekering Otomatis 2 25 s/d 30 Amp Buah 37.320
9 M C B 1 Phase 1 Stuz 2 s/d 10 Amp Buah 73.894
10 M C B 1 Phase 2 Merlin Gerrit 2 - 4 Amp Buah 85.525
11 M C B 3 Phase Merlin Gerrit 6 - 20 Amp Buah 73.894
12 Fuse Box 1 Group Broco Buah 55.980
SHB ALAT LISTRIK 46

1 2 3 4
C. KABEL
1 Kabel NYM - O 1 2 x 1,5 Sqmm Meter 9.952
3 Kabel NYM - O 3 2 x 4 Sqmm Meter 23.014
24 Kabel NYY - O 1 2 x 1,5 Sqmm Meter 14.928
26 Kabel NYY - O 3 2 x 4 Sqmm Meter 21.148
SHB ALAT LISTRIK 47

1 2 3 4
63 Kabel NYY - O 40 7 x1,5 Sqmm Meter 84.592
65 Kabel NYA merek Metal (SNI-SPIN-LMK) 1 1,5 Sqmm Gulung 242.580
66 Kabel NYA merek Metal (SNI-SPIN-LMK) 2 2,5 Sqmm Gulung 391.860
67 Kabel NYA merek Metal (SNI-SPIN-LMK) 3 4, Sqmm Gulung 709.080
SHB ALAT LISTRIK 48

1 2 3 4
68 Kabel NYA merek Metal (SNI-SPIN-LMK) 4 6, Sqmm Gulung 870.800
69 Kabel NYA merek Metal (SNI-SPIN-LMK) 5 10, Sqmm Meter 24.880

Kabel NYA merek Metal (SNI-SPIN-LMK)
74 70, Sqmm Meter 136.840
10
75 Twin Wires 1 10/0,14 x 2c Gepeng 90 Meter 93.300
76 Twin Wires 2 23/0,14 x 2c bersegi 90 Meter 143.060
77 Twin Wires 3 23/0,14 x 2c bulat 90 Meter 186.600
83 N Y Z 2 x 0,75 Sqmm 90 Meter 223.920
D. LAIN - LAIN ALAT KELISTRIKAN

BROCO STANDARD
1 Fitting 1 Plafon 210 L Buah 5.038
2 Fitting 2 Gantung 216 L Buah 4.727
3 Fitting 3 Kombinasi 226 Buah 9.106
4 Fitting 4 Plafon Besar 1210 Buah 14.244
5 Saklar Engkel New Gee Urea 1 6621U Buah 17.366
6 Saklar Engkel New Gee Urea 2 Mahagony 6621U22 Buah 24.880
7 Saklar Engkel New Gee Urea 3 Brazil 6621U33 Buah 24.880
8 Saklar Engkel New Gee Urea 4 Grey 6621U44 Buah 29.234
9 Saklar Seri New Gee Urea 1 6622U Buah 23.599
10 Saklar Seri New Gee Urea 2 Mahagoni 6622U22 Buah 37.320
11 Saklar Seri New Gee Urea 3 Brazil 6622U33 Buah 6.220
12 Saklar Seri New Gee Urea 4 Grey 6622U44 Buah 37.320
13 Saklar Engkel IB 1 6611 Buah 14.978
14 Saklar Engkel IB 2 Radium 6611R Buah 31.100
15 Saklar Seri IB 1 6612 Buah 20.775
16 Saklar Seri IB 2 Radium 6612R Buah 43.540
17 Saklar Triple IB 1 6613 Buah 30.777
18 Saklar Triple IB 2 Radium 6613R Buah 55.980
19 Saklar Engkel Outbow 1 630 Buah 10.885
20 Saklar Engkel Outbow 2 Persegi Cream 1621011 Buah 23.014
SHB ALAT LISTRIK 49

1 2 3 4
21 Saklar Engkel Outbow 3 Persegi Mahagony 1621022 Buah 100.142
22 Saklar Seri Outbow 1 632 Buah 14.679
23 Saklar Seri Outbow 2 Persegi Cream 1622011 Buah 31.100
24 Saklar Seri Outbow 3 Persegi Mahagony 1622022 Buah 37.320
26 Stop Kontak Arde Outbow 1 Putih 6130 Buah 18.660
27 Stop Kontak Arde Outbow 2 Hitam 6130B Buah 15.550
28 Stop Kontak Arde Outbow 3 Persegi Cream 1541011 Buah 24.880
29 Stop Kontak Arde Outbow 4 Persegi Mahagony 1541022 Buah 27.990
30 Stop Kontak Arde IB New Gee Urea 1 5511U Buah 19.382
31 Stop Kontak Arde IB New Gee Urea 2 Mahagony 5511U22 Buah 29.856
32 Stop Kontak Arde IB New Gee Urea 3 Brazil 5511U33 Buah 31.100
33 Stop Kontak Arde IB New Gee Urea 4 Grey 5511U44 Buah 34.832
34 Stop Kontak Arde IB 1 6100 Buah 17.565
35 Stop Kontak Arde IB 2 Tutup 6122 Buah 55.980
36 Stop Kontak Arde Putar NG 1 Cream 515411 Buah 47.894
37 Stop Kontak Arde Putar NG 2 Mahagony 515422 Buah 43.540
38 Stop Kontak Arde Putar NG 3 Grey 515444 Buah 43.540
39 Steker Biasa 344L Buah 3.446
40 Steker Arde 1 New Gee Cream 1331011 Buah 18.660
41 Steker Arde 2 Baru 3300 Buah 18.660
42 Steker T 1 Putih 810L Buah 24.880
43 Steker T 2 Hitam 810LH Buah 9.952
44 Steker T 3 Arde 4330 Buah 31.100
45 Kontak Steker Biasa 334N Buah 4.541
46 Over Steker Bulat 844 Buah 9.952
47 Telephone Socket New Gee Cream 517111 Buah 12.440
48 Outbow Doos AC Buah 9.952
49 Elemen Sterika Listrik Buah 18.660
50 Stecker 1 Cabang Biasa Buah 12.440
51 Stecker 2 Order Voltana Buah 12.440
52 Stabilizer 1 Biasa stavol 500 Watt Buah 311.000
53 Stabilizer 2 Japan Stavol 500 Watt Buah 684.200
54 Step Up Step Down 1000 Watt Buah 248.800
E. NATIONAL (LOKAL)
1 Sakelar National Buah 18.660
SHB ALAT LISTRIK 50

1 2 3 4
2 Stop Kontak National Buah 16.172
3 Stop Kontak Arder National Buah 47.894
4 Plat 1 Lubang National Buah 16.172
7 Plat Stop Kontak Arder National Buah 18.660
8 Plat Stop Saklar
9 Sakelar Seri (impor) National Buah 93.300
10 Box National Buah 9.952
11 Box Besi National Buah 18.660
SHB ALAT LISTRIK 51

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
ALAT ELEKTRONIK
I. KELOMPOK BARANG ALAT ELEKTRONIK
1 2 3 4 5
ALAT ELEKTRONIK
1 Hifi Midi Series 1 LG DM5360 Unit 1.992.600

Hifi Midi Series 2 LG DM5330 Unit 2.130.975
Hifi Midi Series 4 LG CJ98 Unit 8.413.200
Hifi Midi Series 8 LG DM5660K Unit 2.687.550
Hifi Midi Series 9 LG SJ2 Unit 1.986.450
Hifi Midi Series 10 LG DMS230 Unit 1.908.345
Hifi Midi Series 11 LG FH2 Unit 2.337.000
2 Stereo Karaoke POLYTRON PAS 28 Unit 1.720.770
3 MIXER 1 SHARP EMH-15L(W) Unit 320.255
MIXER 2 SHARP EMS-51L(W) Unit 419.024
MIXER 3 SHARP EM-S53-WH Unit 431.607
4 DVD 1 SAMSUNG BD-J5500 Unit 1.475.999
DVD 2 SAMSUNG BD-H6500 Unit 2.335.770
DVD 3 SAMSUNG BD-J4500 Unit 1.033.199
DVD 4 LG DP132 Unit 399.750
DVD 7 LG DP542H Unit 612.454
DVD 8 LG BP250 Unit 1.199.250
DVD 9 PANASONIC DVD-S500 Eg-K Unit 1.032.143
5 TV Colour LED 1 SONY 14" Unit 3.321.000
TV Colour LED 2 SONY 40" Unit 5.781.000
TV Colour LED 3 SONY 49" Unit 10.209.000
TV Colour LED 4 TOSHIBA 24" Unit 2.091.000
TV Colour LED 5 PANASONIC TH-65EZ1000G Unit 138.938.628
TV Colour LED 6 PANASONIC TH-65EX750G Unit 49.796.588
SHB ALAT ELEKTRONIK 52

1 2 3 4 5
TV Colour LED 14 PANASONIC TH-55E630G Unit 11.680.681
TV Colour LED 17 PANASONIC TH-40ES500G Unit 7.133.798
TV Colour LED 18 PANASONIC TH-32ES500G Unit 4.626.215
TV Colour LED 31 LG 22MT48AF.PT.ATI Unit 1.795.800
TV Colour LED 32 LG 24MT48AF.PT.ATI Unit 1.894.200
TV Colour LED 33 LG 28MT49VF-PT.ATI Unit 2.244.750
TV Colour LED 34 LG 32LJ550D Unit 5.166.000
TV Colour LED 35 LG 49LJ510T Unit 9.225.000
TV Colour LED 37 LG 32LJ500D Unit 3.136.500
TV Colour LED 38 LG LH511T Unit 5.412.000
TV Colour LED 42 LG 43UJ632T Unit 8.733.000
TV Colour LED 48 LG UH615T Unit 25.830.000
TV Colour LED 49 LG UJ632T Unit 29.397.000
TV Colour LED 52 LG 55SJ800T Unit 24.477.000
TV Colour LED 54 LG 55UH770T Unit 27.060.000

1 2 3 4 5
TV Colour LED 58 LG 55EG910T Unit 43.480.500
TV Colour LED 59 LG65EG965T Unit 86.100.000
TV Colour LED 60 LG OLED65E6T Unit 73.800.000
TV Colour LED 61 LG OLED55B6T Unit 46.740.000
TV Colour LED 62 SHARP LC-19LE150M Unit 1.665.543
TV Colour LED 64 SHARP LC-24LE170I Unit 2.242.462
TV Colour LED 65 SHARP LC-24LE175I Unit 2.350.432
TV Colour LED 66 SHARP LC-24LE175I-TT Unit 2.350.432
TV Colour LED 67 SHARP LC-32DX288I-BYZ Unit 3.534.036
TV Colour LED 68 SHARP LC-32DX288I-Y Unit 3.644.576
TV Colour LED 69 SHARP LC-32LE2601 Unit 3.204.581
TV Colour LED 70 SHARP LC-32LE2602-TT Unit 3.204.581
TV Colour LED 72 SHARP LC-32LE2651-TT Unit 3.304.297
TV Colour LED 75 SHARP LC-40LE275X Unit 5.944.406
TV Colour LED 89 SHARP LC-40UA330X Unit 17.957.016
TV Colour LED 90 SHARP LC-50UE630X Unit 16.455.727
TV Colour LED 93 SHARP LC-70XU830X Unit 145.349.272
TV Colour LED 94 SHARP LC-80XU930X Unit 211.128.885
TV Colour LED 95 SAMSUNG UA40M5000AKPXD Unit 5.412.000

1 2 3 4 5
TV Colour LED 103 SAMSUNG UA40MU6100KPXD Unit 8.487.043
TV Colour LED 119 SAMSUNG UA24H4150ARXD Unit 2.583.000
TV Colour LED 120 SAMSUNG UA32FH400BRXXD Unit 3.382.500
TV Colour LED 121 SAMSUNG UA32J4003ARXXD Unit 3.444.000
TV Colour LED 122 SAMSUNG UA32J4005AKXXD Unit 3.567.000
TV Colour LED 123 SAMSUNG UA43K5002 Unit 6.273.026
TV Colour LED 124 SAMSUNG UA43J5100AKPXD Unit 6.642.000
TV Colour LED 125 SAMSUNG UAS5K5100AKPXD Unit 12.300.000
TV Colour LED 126 SAMSUNG UA32J4303 Unit 4.305.000
TV Colour LED 127 SAMSUNG UA40J5200 Unit 6.273.000
TV Colour LED 132 SAMSUNG UA40KU6000 Unit 8.610.000

1 2 3 4 5
TV Colour LED 142 SAMSUNG UA55KS7000 Unit 29.274.223
TV Colour LED 145 SAMSUNG UA48JU7500KPXD Unit 22.139.905
TV Colour LED 146 SAMSUNG YA49KS7500 Unit 23.001.196
6 AUDIO 1 PANASONIC SC-MAX9000GS Unit 11.522.148
AUDIO 2 PANASONIC SC-MAX5000GS Unit 8.494.675
AUDIO 3 PANASONIC SC-UA7GS-K Unit 6.289.082
AUDIO 4 PANASONIC SC-UX100GSK Unit 2.306.189
AUDIO 7 PANASONIC SC-MAX770GSK Unit 10.762.653
AUDIO 8 PANASONIC SC-MAX370GSK Unit 9.118.011
AUDIO 9 PANASONIC SC-BTT465GAK Unit 5.095.398
AUDIO 10 PANASONIC SC-XH385GAK Unit 4.581.799
AUDIO 11 PANASONIC SC-XH166GA-K Unit 2.699.776
AUDIO 12 PANASONIC SC-BTT433GAK Unit 4.135.850
AUDIO 13 PANASONIC SC-XH315LJ-K Unit 2.555.343
AUDIO 14 PANASONIC SC-XH333LJ-K Unit 3.053.304
AUDIO 15 PANASONIC SC-XH105GA-K Unit 1.653.493
AUDIO 16 PANASONIC SC-HTB18EG-K Unit 1.936.143
AUDIO 17 PANASONIC DMP-BDT160GA-K Unit 1.594.183
AUDIO 18 PANASONIC DMP-BDT370GA Unit 1.838.305
AUDIO 19 PANASONIC DVD-S570LJ-K Unit 440.837
AUDIO 20 PANASONIC DMP-UB400GAK Unit 4.499.131
AUDIO 21 PANASONIC DMP-BDT180GA Unit 1.489.139
AUDIO 22 SHARP CBOX-LW600B Unit 710.866
AUDIO 23 SHARP CBOX-WF2150 Unit 813.153
AUDIO 24 SHARP CBOX-MTB210BB/SW Unit 1.318.769
AUDIO 25 SHARP CBOX-MT215 Unit 990.802
AUDIO 26 SHARP CBOX-BM2100SB Unit 1.831.150
AUDIO 27 SHARP CBOX-RA2150B Unit 2.197.407
AUDIO 28 SHARP CBOX-RA400BO Unit 2.049.795
AUDIO 29 SHARP CBOX-ASP1001BO Unit 1.428.092
AUDIO 30 SHARP CBOX-BFM1001UW Unit 2.349.079
AUDIO 31 SHARP CBOX-B805BO Unit 1.503.183
AUDIO 32 SHARP CBOX-B808UBO Unit 1.806.526
AUDIO 33 SHARP CBOX-B880UBL Unit 1.859.834

1 2 3 4 5
AUDIO 34 SHARP CBOX-1200UBL Unit 2.017.052
AUDIO 35 SHARP CBOX-G600UBL Unit 1.098.636
AUDIO 36 SHARP CBOX-ASP250BL Unit 512.516
AUDIO 37 SHARP CBOX-ASP350BL Unit 588.961
ADLER 300 + LAYAR GILKON 70 3 METER +
7 OVER HEAD PROJECTOR Unit 5.509.170
LAYAR
8 FAXCIMILE 1 SHARP KX-MB2061 Unit 3.933.540
FAXCIMILE 2 SHARP KX-MB2090 Unit 3.296.400
FAXCIMILE 3 SHARP KX-FT501 Unit 1.605.150
FAXCIMILE 4 SHARP KXFP701 Unit 2.815.470
FAXCIMILE 5 SHARP KXFT983 Unit 2.589.150
FAXCIMILE 6 SHARP KXFT987 Unit 2.164.800
FAXCIMILE 7 SHARP KXMB2085 Unit 3.173.400
9 AC SPLIT 1 PANASONIC CS/CU-VU10SKP Unit 8.979.000
AC SPLIT 2 PANASONIC CS/CU-VU13SKP Unit 10.455.000
AC SPLIT 3 PANASONIC CS/CU-VU18SKP Unit 15.867.000
AC SPLIT 4 PANASONIC CS/CU-U10RKP Unit 7.011.000
AC SPLIT 8 PANASONIC CS/CU-PU9TKP Unit 6.150.000
AC SPLIT 12 PANASONIC CS/CU-XN5SKJ Unit 4.305.000
AC SPLIT 15 PANASONIC CS/CU-KN5SKJ Unit 4.095.900
AC SPLIT 18 PANASONIC CS/CU-PN5SKJ Unit 3.616.200
AC SPLIT 24 PANASONIC CS/CU-UV5SKP Unit 3.603.900
AC SPLIT 25 PANASONIC CS/CU-UV9SKP Unit 3.923.700
AC SPLIT 26 TOSHIBA RAS--10N3KPX Unit 3.807.219
AC SPLIT 27 TOSHIBA RAS-13S3KS-ID 11/2 PK Unit 5.596.500
AC SPLIT 28 TOSHIBA RAS-18S3KS-ID 2 PK Unit 7.441.500
AC SPLIT 29 SHARP AH-A5SCY Unit 2.925.051

1 2 3 4 5
AC SPLIT 33 SHARP AH-18SCY Unit 6.951.173
AC SPLIT 35 SHARP AH-A5SEY Unit 3.519.153
AC SPLIT 37 SHARP AH-A9SEY2 Unit 3.836.567
AC SPLIT 38 SHARP AH-AP5SSY Unit 3.933.171
AC SPLIT 40 SHARP AH-AP9SSY2 Unit 4.250.585
AC SPLIT 42 SHARP AH-AP5SHL Unit 4.416.192
AC SPLIT 46 SHARP CV-PIOTCY PORTABLE Unit 7.802.616
AC SPLIT 47 SHARP AX-X9SEY Unit 4.960.910
AC SPLIT 48 SHARP AH-X12SEY Unit 5.856.325
AC SPLIT 49 SHARP AH-X18SEY Unit 9.524.308
AC SPLIT 50 SHARP AH-XP6SHY Unit 5.402.529
AC SPLIT 53 SHARP GS-A24SCY Unit 14.890.847
AC SPLIT 54 SHARP GS-A48SCY Unit 25.662.216
AC SPLIT 55 SHARP AH-A5TEY Unit 2.789.751
AC SPLIT 56 SHARP AH-A7TEY Unit 3.143.966
AC SPLIT 57 SHARP-A9TEY Unit 3.386.288
AC SPLIT 61 SHARP AH-A5SDL Unit 3.382.500
AC SPLIT 65 SAMSUNG AR05KRFLAWK Unit 3.628.500
AC SPLIT 66 SAMSUNG AR09KRFLAWK Unit 3.874.500
AC SPLIT 67 SAMSUNG AR12KRFSWWK Unit 5.535.000
AC SPLIT 68 SAMSUNG AR18KRFSWWK Unit 7.626.000
AC SPLIT 69 SAMSUNG AR05KRFSVUR Unit 4.858.500
AC SPLIT 70 SAMSUNG AR09KRFSVUR Unit 5.104.500
AC SPLIT 71 SAMSUNG AR05KRSDUWK Unit 5.473.500

1 2 3 4 5
AC SPLIT 72 SAMSUNG AR09KRSDUWK Unit 5.719.500
AC SPLIT 73 SAMSUNG AR10KVFNAWK Unit 6.088.500
AC SPLIT 77 SAMSUNG AR10KVSDBWKNSE Unit 7.810.500
AC SPLIT 78 SAMSUNG AR12KVSDBWKNSE Unit 9.532.500
10 POMPA AIR 1 SANYO PH 137 Unit 756.450
POMPA AIR 2 SANYO PH 151 Unit 1.009.830
POMPA AIR 3 SANYO PH 260 Unit 2.416.950
POMPA AIR 4 PANASONIC GA-130 Unit 803.190
POMPA AIR 5 PANASONIC GA-130FJACK-P Unit 1.157.430
POMPA AIR 6 PANASONIC GA-130JAK-P Unit 784.125
POMPA AIR 7 PANASONIC GA-GP200JXK Unit 760.140
POMPA AIR 8 PANASONIC GF-205HCX Unit 3.351.750
POMPA AIR 9 PANASONIC GF-255HCX Unit 4.114.350
POMPA AIR 10 PANASONIC GN-130JACK Unit 1.260.750
POMPA AIR 11 PANASONIC GN-205HX-P Unit 2.060.250
POMPA AIR 12 PANASONIC GP-200JXK-P Unit 848.700
WIRELESS 1 TOA TYPE ZM520 Unit 833.940
WIRELESS 3 TOA TYPE ZM-260 Unit 325.950
11 KOMPOR GAS 2 MATA 1 ELECTRO LUX7226AIAL2TR Unit 3.846.210
KOMPOR GAS 2 MATA 2 HITACHI BUTTERFLY 858 Unit 590.400
KOMPOR GAS 2 MATA 3 RINNAI R-712BGX Unit 601.470
12 RICE COOKER 1 SHARP KS-P8MY-WH Unit 529.023
RICE COOKER 2 SHARP KS-N18ME-C/L Unit 331.350
RICE COOKER 3 SHARP KS-R18MS-BR/PK Unit 350.833
RICE COOKER 4 SHARP KS-T18TL-GR/RD Unit 439.996
RICE COOKER 5 SHARP KS-TH18-RD Unit 1.133.273
RICE COOKER 6 SHARP KS-A18TTR Unit 565.283
RICE COOKER 7 SHARP KS-R19ST Unit 535.788
RICE COOKER 8 SHARP KS-R18MS-BR/PK Unit 350.833
RICE COOKER 9 SHARP KS-T18TL-GR/RD Unit 439.996
RICE COOKER 10 SHARP KS-T18TL-ST Unit 439.996
RICE COOKER 11 SHARP KS-TH18-RD Unit 1.133.273
RICE COOKER 12 SHARP KS-A18TTR Unit 565.283
RICE COOKER 13 SHARP KS-R19ST Unit 535.788
13 BLENDER 1 SHARP EM-PO1-BK Unit 292.383
BLENDER 2 SHARP EM-120-WH Unit 361.928

1 2 3 4 5
BLENDER 3 SHARP EM-121-BK Unit 361.928
BLENDER 4 SHARP EM-110-B/G Unit 334.191
BLENDER 5 SHARP EM-T115LP(PK) Unit 513.734
BLENDER 6 SHARP EM-125L(W) Unit 406.577
BLENDER 7 SHARP EMTI172G Unit 484.509
BLENDER 8 SHARP EJ-150LP (K) Unit 832.501
BLENDER 9 PANASONIC MX-AC400WSR Unit 1.722.000
BLENDER 10 PANASONIC MX-GX2062WSR Unit 645.750
BLENDER 12 PANASONIC MK-F800SSR Unit 4.305.000
14 SETRIKA 1 PANASONIC NI-22AWTSR Unit 338.250
SETRIKA 2 PANASONIC NI-317TXSR/TVSR/TASR Unit 257.070
SETRIKA 3 PANASONIC NI-P300TASR/TRSR Unit 300.120
SETRIKA 4 PANASONIC NI-V100NPSR/NASR Unit 246.000
SETRIKA 5 PHILIPS Unit -
LEMARI ES SHARP 1 DOOR KIREI NEW -
LEMARI ES 1 SHARP SJ-M165F-SS Unit 1.896.365
LEMARI ES 2 SHARP SJ-M165F-FW Unit 1.914.360
LEMARI ES 3 SHARP SJ-M175F-US Unit 1.945.073
LEMARI ES 4 SHARP SJ-M180F-SS Unit 2.084.567
LEMARI ES 5 SHARP SJ-M180F-TB Unit 2.112.980
LEMARI ES 6 SHARP SJ-M180D-FW/FP/FB Unit 2.175.218
LEMARI ES 7 SHARP SJ-M190D-FW/FP/FB Unit 2.300.777
LEMARI ES 8 SHARP SJ-G180C-SS/SP/SD Unit 2.279.805
LEMARI ES 9 SHARP SJ-G190C-SS/SP/SD Unit 2.370.591
SHARP 1 DOOR MAGNEGLAS
SHARP SJ-X185MG-FB Unit 2.209.990
SHARP SJ-X185MG-GR Unit 2.209.990
SHARP 2 DOOR FLOWER
SHARP SJ-F191M-FS Unit 2.851.312
SHARP 2 DOOR REFRIGEERATOR
SHARP SJ-F190G-ZSK Unit 2.913.956
SHARP SJ-F190G-TSK Unit 2.796.922
SHARP 2 DOOR REF WITH SAMURAI HANDLE
SHARP SJ-F206G-SSK Unit 3.558.390
SHARP SJ-F236G-SSK Unit 3.697.884
SHARP SJ-420FF-SSK Unit 5.020.712
SHARP SJ-420KD-RDK Unit 5.228.804
SHARP SJ-421KP-PKK Unit 5.507.792
SHARP SJ-450FF-SSK Unit 5.577.205
SHARP SJ-450KD-RDK Unit 5.717.102

1 2 3 4 5
SHARP SJ-451KP-PKK Unit 5.994.872
BIG SERIES PLASMACLUSTER
SHARP SJ-420GP-SD Unit 4.921.943
SHARP SJ-420GD-FW Unit 4.712.634
SHARP SJ-450GP-SD Unit 5.437.031
SHARP SJ-450GD-FW Unit 5.131.253
FLOWER SERIES 2 DOOR
SHARP SJ-315SC-ST Unit 4.552.304
SHARP SJ-315GC-SD Unit 4.273.451
SHARP SJ-315MD-FB/FW/FV Unit 3.995.274
SHARP SJ-235SC-ST Unit 3.786.235
SHARP SJ-235GC-SP Unit 3.576.791
SHARP SJ-235MD-FB Unit 3.297.938
SHARP SJ-235MF-US 3.158.443
SHARP SJ-195MD-FB/FP/FW Unit 2.900.020
SHARP SJ-195MD-US Unit 2.879.184
FREEZER
SHARP FJ-M189K-SS Unit 3.687.872
SHARP FJ-M195K-SS Unit 4.176.035
SHARP FJ-M189N-SS Unit 3.646.064
SHARP FJ-M195N-SS Unit 4.134.227
CHEST FREEZER
SHARP FRV-127 Unit 3.121.912
SHARP FRW-210 Unit 3.950.649
SHOWCASE Unit
SHARP SCH-250PS Unit 4.976.875
SHARP SCH-212PW-BK Unit 3.642.817
SHARP SCH-212PBV Unit 3.619.410
REF 6 DOOR
SHARP SJ-GF60A-R Unit 46.685.265
VETRO INVERTER
SHARP SJ-1470NLV-SL Unit 7.922.627
SHARP SJ-IP471NLV-BK Unit 8.757.600
SHARP SJ-1570NLV-SL Unit 8.375.476
SHARP SJ-IP760NLV-SL Unit 10.660.964

1 2 3 4 5
SHARP SJ-IP860NLV-SL Unit 11.113.948
REF IMPORT SERIES
QUEEN SERIES
SHARP SJ-F85PM-SL Unit 22.887.754
SHARP SJ-F85PM-BK Unit 23.029.954
SHARP SJ-IF5PB-SL Unit 16.977.579
SHARP SJ-IF90PB-SL Unit 17.701.570
SHARP SJ-F90PM-SL Unit 17.306.555
SHARP SJ-F90PM-BK Unit 23.456.555
SHARP SJ-F90PG-BK Unit 29.856.380
SHARP SJ-BW30D-BK Unit 5.992.437
SHARP SJ-BW30D-BK Unit 6.201.476
SHARP SJ-BW30P-SL Unit 6.410.514
SHARP SJ-BW30P-BK Unit 6.619.553
SMILE SERIES
SHARP SJ-360IP-SL Unit 6.689.232
SHARP SJ-360IS-SL Unit 6.306.062
LG FREZEER
LG LG GN-304SL.APZPEIN Unit 3.751.500
1 DOOR
LG LG GN-Y201CH.ASHPEIN Unit 2.552.250
LG GN-Y201SL.APZPEIN Unit 2.675.250
LG GN-Y201SP.ASFPEIN Unit 2.736.750
2 DOOR
LG GN-V212SLK.AGSPEIN Unit 3.800.700
LG GN-B202SLCL.APZPEIN Unit 4.335.750
LG GN-B202RLCL.APZPEIN Unit 4.520.250
2 DOOR BIG
LG GN-B372SLCL.APPEIN Unit 6.414.450
LG GN-B372SPCT.AHSPEIN 6.967.950
LG GN-B372RLNL.APZSPEIN Unit 6.660.450
LG GN-B492GLCH.APZPEIN Unit 7.011.000
LG GC-B512HLCL.APZPEIN Unit 8.382.450
LG GC-B572HLCL.APZPGSA Unit 8.874.450
LG GC-D572HLAL.APZPGSA Unit 9.858.450
LG GN-B602HLCL.APZPEIN Unit 9.243.450
LG GN-M602HPHG.ADWPEIN Unit 9.981.450
LG GN-M602HLHL.APZPEIN Unit 9.981.450

1 2 3 4 5
LG GN-B702HLCL.APZPEIN Unit 10.227.450
LG GN-M702HLHL.APZPEIN Unit 10.842.450
LG GC-D513HLAL.APZPEIN Unit 8.382.450
LG GN-D702HLAL.APZPEIN Unit 11.826.450
SIDE BY SIDE
LG GC-B207GLQV.APZPGSA Unit 15.030.600
LG GC-A207GPQV.ADWPGSA Unit 18.622.200
LG GC-M237JSNN.ANSPGSA Unit 24.255.600
LG GC-M237JGNN.AKWPGSA Unit 28.314.600
LG GC-J237JSXN.ANSPGSA Unit 30.282.600
LG GR-J24FWCHL.AVMPEIN Unit 49.698.150
LG GC-B247SLUV.APZPGSA Unit 15.793.200
LG GC-M247SLUV.APZPGSA Unit 18.849.750
LG GC-M247UGUV.AAWPGSA Unit 21.832.500
LG GC-L247SLLV.APZPGSA Unit 21.322.050
LG GC-M247UGBV.ALBPGSA Unit 24.950.550
LG GC-J247CKAV.ASBPGSA Unit 31.796.730
LG GR-D35FBGHL.ALBPGSA Unit 58.923.150
SAMSUNG REF 2 DOOR NON HANDLE
SAMSUNG RT19M300BGS/SE Unit 4.115.597
SAMSUNG RT20FARWDSA Unit 5.041.770
SAMSUNG RT22M4133587SE Unit 5.199.804
SAMSUNG RT25M4133587SE Unit 5.418.765
SAMSUNG RT20FARWDWW Unit 5.041.629
SAMSUNG RT20FARBDSA Unit 5.411.999
SAMSUNG RT25FARBDSA Unit 5.595.270
SAMSUNG REF 2 DOOR NEW
SAMSUNG RT29K5032UT/SE Unit 6.562.050
SAMSUNG RT32K503258/SE Unit 6.765.011
SAMSUNG RT35K5032GL/SE Unit 8.523.914
SAMSUNG RT38K5032LJ/SE Unit 8.929.815
SAMSUNG RT38K5032BS/SE Unit 7.662.946
SAMSUNG RT43K6231UT/SE Unit 9.065.115
SAMSUNG RTS807011SB/SE Unit 11.119.587
SAMSUNG RTS207011BS/SE Unit 12.041.700
SAMSUNG RTA15TSL Unit 14.512.839

1 2 3 4 5
SAMSUNG RS554NRUASL Unit 16.665.345
SAMSUNG 55ANRUAI Unit 20.293.866
SAMSUNG RS554NRUA9 Unit 21.880.470
SAMSUNG RS542ZNCAESL/SE Unit 12.917.460
SAMSUNG RF50OKS960SB/SE Unit 20.799.300
SAMSUNG RM58K6467 Unit 34.907.400
SAMSUNG RM62K6217 Unit 29.630.700
SAMSUNG RS51K54F02C Unit 23.925.960
SAMSUNG RS55K50A02C/SE Unit 16.967.850
SAMSUNGWA7CH4000SG Unit 2.680.596
SAMSUNG WASCH4000SW Unit 3.156.286
SAMSUNG WA1CM5120SG Unit 4.105.070
15 MICROWAVE OVEN 1 SAMSUNG ME731K Unit 1.025.820
MICROWAVE OVEN 2 SAMSUNG ME83M Unit 1.291.500
MICROWAVE OVEN 3 SAMSUNG MS23H312SFK/SE Unit 1.413.270
MICROWAVE OVEN 4 SAMSUNG MS28J5255UB/SE Unit 2.091.000
MICROWAVE OVEN 5 SAMSUNG MG23H3185DK/SE Unit 1.843.770
MICROWAVE OVEN 6 SAMSUNG MG28J5285US/SE Unit 2.638.350
MICROWAVE OVEN 7 PANASONIC NN-CF770MTTE Unit 5.608.800
MICROWAVE OVEN 8 PANASONIC NN-DF383BTTE Unit 3.949.530
MICROWAVE OVEN 9 PANASONIC NN-CD875MTTE Unit 2.952.000
MICROWAVE OVEN 10 PANASONIC NN-CT655MTTE Unit 2.583.000
MICROWAVE OVEN 11 PANASONIC NN-GF574MTTE Unit 3.001.200
MICROWAVE OVEN 12 PANASONIC NN-GD6928TTE Unit 2.736.750
MICROWAVE OVEN 13 PANASONIC NN-GD371MTTE Unit 2.281.650
MICROWAVE OVEN 14 PANASONIC NN-GT353MTTE Unit 1.825.320
MICROWAVE OVEN 15 PANASONIC NN-SF564WTTE Unit 2.441.550
MICROWAVE OVEN 16 PANASONIC NN-ST651MTTE Unit 2.103.300
MICROWAVE OVEN 19 PANASONIC NN-SM322MTTE Unit 1.303.800
MICROWAVE OVEN 20 PANASONIC NU-SC 100 Unit 3.382.500
MICROWAVE OVEN 21 PANASONIC NN- DS596 Unit 6.088.500
MICROWAVE OVEN 22 SHARP R-222Y(S) Unit 1.184.822
MICROWAVE OVEN 23 SHARP R-222Y(W) Unit 1.184.822
MICROWAVE OVEN 24 SHARP R-230R(S) Unit 1.388.449
MICROWAVE OVEN 25 SHARP R-2525C1S(IN) Unit 1.298.204
MICROWAVE OVEN 26 SHARP R-21DOS(S)-IN Unit 1.093.224
MICROWAVE OVEN 27 SHARP R-249IN(W) Unit 838.860
MICROWAVE OVEN 28 SHARP R-299IN(S) Unit 1.561.903
MICROWAVE OVEN 29 SHARP R-380IN(S) Unit 2.090.791
MICROWAVE OVEN 30 SHARP R-R21A(W)IN Unit 1.570.157

1 2 3 4 5
MICROWAVE OVEN 31 SHARP R-728(W)-IN Unit 1.475.852
MICROWAVE OVEN 32 SHARP R-728(S)-IN Unit 1.515.495
16 MESIN CUCI 1 PANASONIC NA-W69BBZIH Unit 1.617.450
MESIN CUCI 2 PANASONIC NA-W70BB5H Unit 1.692.480
MESIN CUCI 3 PANASONIC NA-W75FBZIH Unit 1.704.780
MESIN CUCI 4 PANASONIC NA-W75BBZIH Unit 1.660.500
MESIN CUCI 5 PANASONIC NA-W75BC1A/G/D Unit 1.808.100
MESIN CUCI 6 PANASONIC NA-W76FC2A/G/N Unit 1.869.600
MESIN CUCI 7 PANASONIC NA-W85BBYIV Unit 1.986.450
MESIN CUCI 8 PANASONIC NA-W87BC1A/R Unit 2.121.750
MESIN CUCI 9 PANASONIC NA-W87FC1A/R Unit 2.183.250
MESIN CUCI 10 PANASONIC NA-W95FBY1A Unit 2.143.890
MESIN CUCI 11 PANASONIC NA-W97BC1AR Unit 2.275.500
MESIN CUCI 12 PANASONIC NA-W97FC1A/R 2.337.000
MESIN CUCI 13 PANASONIC NA-W120BBX2H Unit 2.706.000
MESIN CUCI 14 PANASONIC NA-W120FCX2H Unit 2.779.800
MESIN CUCI 15 PANASONIC NA-W140BBX2H Unit 2.908.950
MESIN CUCI 16 PANASONIC NA-W140FCX2H Unit 2.970.450
MESIN CUCI 17 PANASONIC NA-127VE5WNE Unit 4.987.650
MESIN CUCI 18 PANASONIC NA-128VK5WNE Unit 6.199.200
MESIN CUCI 19 PANASONIC NA-148VG4WNE Unit 10.525.725
MESIN CUCI 20 PANASONIC NA-140VS4WNE Unit 11.978.663
MESIN CUCI 21 PANASONIC NA-D106X1WNE Unit 18.985.050
MESIN CUCI 22 PANASONIC NA-F70B5V/SG Unit 2.583.000
MESIN CUCI 23 PANASONIC NA-F8085WSG Unit 2.706.000
MESIN CUCI 24 PANASONIC NA-F80A1WSG Unit 4.649.400
MESIN CUCI 25 PANASONIC NA-F90X1LSG Unit 6.002.400
MESIN CUCI 26 PANASONIC NA-F100A1WSG Unit 5.940.900
MESIN CUCI 27 PANASONIC NA-F115X11SG Unit 7.232.400
MESIN CUCI 28 PANASONIC NA-F135X1SSG Unit 8.717.625
MESIN CUCI 29 PANASONIC NA-FS16X3SSG Unit 9.815.400
MESIN CUCI 30 SAMSUNG WT35H3210MB/SE Unit 2.595.300
MESIN CUCI 31 SAMSUNG WT12J4200MB/SE Unit 2.988.900
MESIN CUCI 32 SAMSUNG WA85H400MA Unit 3.998.638
MESIN CUCI 33 SAMSUNG WA90J5711SW/SE Unit 4.428.000
MESIN CUCI 34 SAMSUNG WW65J3033LW/SE Unit 4.843.740
MESIN CUCI 35 SAMSUNG WW70J423KW/SE Unit 5.025.780
MESIN CUCI 36 SAMSUNG WA95J5720SG Unit 4.652.105
MESIN CUCI 37 SAMSUNG WW75K521OYW Unit 6.768.220
MESIN CUCI 38 SAMSUNG WW85K5410WW/SE Unit 8.839.968
MESIN CUCI 39 SAMSUNG WW10K6410QW/SE Unit 11.001.324

1 2 3 4 5
MESIN CUCI 41 SAMSUNG VC15K4110VR Unit 1.906.500
MESIN CUCI 42 SAMSUNG VC21K5130VB Unit 2.152.500
MESIN CUCI 43 SAMSUNG V560K6050CW Unit 3.173.400
MESIN CUCI 44 SAMSUNG VR20K9350WK Unit 14.760.119
MESIN CUCI 45 SAMSUNG WA70H4000SG Unit 2.680.596
MESIN CUCI 46 SAMSUNG WA80H4000SW Unit 3.156.286
MESIN CUCI 47 SAMSUNG WA10MS120SG Unit 4.105.070
MESIN CUCI 48 SAMSUNG WA85H4000HA Unit 3.998.638
MESIN CUCI 49 SAMSUNG WA90J5711SW/SE Unit 4.428.000
MESIN CUCI 50 SAMSUNG WW65J3033LW/SE Unit 5.494.410
MESIN CUCI 51 SAMSUNG WW40J423KW/SE Unit 5.844.960
MESIN CUCI 54 SAMSUNG WA13J5730SV/SE Unit 7.675.567
MESIN CUCI 55 SAMSUNG WA14J6750SV Unit 9.222.514
MESIN CUCI 56 SAMSUNG WA16J6750SV Unit 10.357.781
MESIN CUCI 57 SAMSUNG WW12H8420EW Unit 14.758.755
MESIN CUCI 58 SAMSUNG WW75J4213W/SE Unit 7.363.481
MESIN CUCI 59 SAMSUNG WW85H5290EW Unit 7.969.182
MESIN CUCI 60 SAMSUNG WW80J4233GW Unit 7.342.193
MESIN CUCI 61 SAMSUNG WD75J5410AW/SE Unit 10.404.575
MESIN CUCI 62 SAMSUNG WD70M4453MW/SE Unit 8.937.888
MESIN CUCI 63 SAMSUNG WD10J6410AX/SE Unit 14.783.370
MESIN CUCI 64 SAMSUNG WD10K64100X/SE Unit 14.106.503
MESIN CUCI 65 SAMSUNG WW75K5210YW Unit 6.665.070
MESIN CUCI 66 SAMSUNG WW85K5410WW/SE Unit 8.705.351
MESIN CUCI 68 SAMSUNG WW12K8412OW/SE Unit 12.798.534
MESIN CUCI 69 SAMSUNG VC15K4110VR Unit 1.906.500
MESIN CUCI 70 SAMSUNG VC21K5130VB Unit 2.152.500
MESIN CUCI 71 SAMSUNG VS60K6050KW Unit 3.173.423
MESIN CUCI 72 SAMSUNG VR20K9350WK Unit 14.760.119
17 RADIO TALK 1 MOTOROLA CP-1660VHF Unit 2.767.500
RADIO TALK 2 MOTOROLA CP-1300VHF Unit 2.890.500
RADIO TALK 3 MOTOROLA GP-3188UHF 403 Unit 2.029.500
RADIO TALK 4 MOTOROLA CP-1660VHF Unit 2.952.000
RADIO TALK 5 MOTOROLA GP-328 PLUS VHF Unit 6.888.000
RADIO TALK 6 I COM IC-U80L Unit 1.697.400
RADIO TALK 7 I COM IC-V80 LITHIUM RAPID Unit 1.599.000
RADIO TALK 8 ALINCO DJ-196 Unit 1.783.500
RADIO TALK 9 ALINCO DJ-175 Unit 1.500.600
RADIO TALK 10 KENWOOD TH-255A (VHF) Unit 1.426.800

1 2 3 4 5
RADIO TALK 11 KENWOOD TH-K20A (VHF) Unit 2.066.400

18 GPS 1 GARMIN GPSMAP 62 S Unit 4.674.000
GPS 2 GARMIN GPSMAP 64 SC Unit 5.756.400
GPS 3 GARMIN GPSMAP 78 SC Unit 4.280.400
GPS 4 GARMIN OREGAN 550 Unit 4.118.040

19 HANDYCAM SONY HDR-CX405 Unit 2.704.770
20 CAMERA D700 CANON Unit 8.856.000
21 SOFWARE MESIN ABSENSI SOLUTION Unit 1.230.000
22 MESIN PENGHANCUR KERTAS SECURE EZSC-10A Unit 1.845.000
23 ROUTER Unit 516.600
24 SWITCH HUB 4 Unit 61.500

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
ALAT C O M P U T E R
J. KELOMPOK BARANG KOMPUTER DAN LAPTOP
1 2 3 4 5
KOMPUTER DAN LAPTOP
1
Asus TRANSFORMER 3 PRO T303UA ASUS Unit 19.299.000
2 Asus VIVOBOOK PRO 15 N580VD ASUS 15.299.000
Unit
3 Asus VIVOBOOK S-S510 ASUS 9.799.000
Unit
4 Asus EeeBook E202SA ASUS 3.399.000
Unit
5 Asus EeeBook E202SA ASUS 3.399.000
Unit
6 Asus X200MA Dual-Core ASUS 2.949.000
Unit
7 Asus Zen AiO ZN241IC-i7 ASUS 15.699.000
Unit
8 Asus Zein AiO ZN241IC-i5 ASUS 13.499.000
Unit
9 Asus Vivo AiO V221IC - i5 ASUS 9.399.000
Unit
10 Asus Vivo AiO V221ID ASUS 5.899.000
Unit
11 Asus Vivo PC M32CD - i7 ASUS 13.099.000
Unit
12 Asus Vivo PC K20 ASUS 6.899.000
Unit
13 Asus Vivo PC K31CD - i3/Pentium ASUS 6.099.000
Unit
14 Asus Zenbook Pro UX550V ASUS 33.299.000
Unit
15 Asus Zenbook 3 Deluxe UX490UA ASUS 25.299.000
Unit
16 Asus Zenbook 3 Deluxe UX390UA ASUS 24.299.000
Unit
17 Asus Rog Zephyrus GX501VI G-SYNC ASUS 50.299.000
Unit
18 Asus PRO D320MT ASUS 8.749.000
Unit
19 ASUSPRO D320SF-i7 ASUS 13.499.000
Unit
20 ASUSPRO D320SF-i3 ASUS 8.749.000
Unit
21 ASUS A6421-i5 ASUS 11.599.000
Unit
22 ASUS A6421-i3 ASUS 10.499.000
Unit
23 ASUSPRO AiO PC A4110-Touch ASUS 6.799.000
Unit
Unit
Unit
26 Asus Vivo AiO V221ICGK-i5 ASUS 10.299.000
Unit
27 Asus Vivo AiO V221IC-i5 ASUS 9.399.000
Unit
SHB COMPUTER 68
1 2 3 4 5
28 Asus Vivo PC K20CD - i3 ASUS 7.599.000

Unit
29 Asus Vivo PC M32CD - i7 ASUS 13.099.000
Unit
30 Asus Vivo PC K31CD ASUS 6.999.000
Unit
31 Asus Vivo PC K31AM-J ASUS 4.799.000
Unit
32 Acer ASPIRE C20-720 ACER 4.549.000
Unit
Unit
34 Acer ASPIRE Z20-780 ACER 7.699.000
Unit
Unit
36 Acer ASPIRE Z3-715 ACER 12.699.000
Unit
37 HP Spectre 13-V022tu HP 22.299.000
Unit
38 HP Spectre x360 13-4124TU HP 18.999.000
Unit
39 HP Spectre x360 13-4125TU HP 20.999.000
Unit
40 HP Envy Notebook 13-do27TU HP 14.199.000
Unit
41 HP ENVY Notebook 15-ae126TX HP 14.099.000
Unit
42 HP x360 Convertible 11-ab006TU/ 11-ab007TU HP 4.799.000
Unit
43 HP Pavillion x360 Convertible/ 11-U037TU HP 5.599.000
Unit
Unit
Unit
46 HP Pavillion 14-al168TX HP 9.199.000
Unit
47 HP Pavillion 14-al170TX HP 11.699.000
Unit
48 HP Pavillion 15-bc045TX HP 11.899.000
Unit
49 HP 14-an004AU HP 4.099.000
Unit
50 HP 14-an002AX HP 5.099.000
Unit
51 HP 15-ba026AX HP 6.049.000
Unit
52 HP 15-ba004AX HP 6.399.000
Unit
53 HP Pavilion Gaming 15-ak050TX HP 10.899.000
Unit
54 HP Pavilion Gaming 15-bc028TX HP 17.199.000
Unit
55 HP Notebook 11-F105tu HP 2.799.000
Unit
56 HP 14-am008TU HP 3.399.000
Unit
57 HP 14-am016TU HP 4.199.000
Unit
SHB COMPUTER 69
1 2 3 4 5
58 HP 14-am072TU HP 5.499.000
Unit
59 HP 14-am015TX HP 5.999.000
Unit
60 HP 14-am130TX HP 8.599.000
Unit
61 HP 22-b020d HP 8.650.000
Unit
62 HP 22-b021d HP 10.100.000
Unit
63 HP Pavilion 24-b123d HP 15.400.000
Unit
64 HP Pavilion 27-a172d HP 19.800.000
Unit
65 HP X 1012 G1 HP 17.990.000
Unit
66 HP Elite X2 1012 G1 HP 14.990.000
Unit
67 HP EliteBook Folio G1 HP 19.990.000
Unit
68 HP EliteBook Folio 1040 G3 HP 21.999.000
Unit
69 HP ProBook 430 G3 HP 12.599.000
Unit
70 HP ProBook 440 G3 HP 10.799.000
Unit
71 HP ProDesk 400 G3 (V1J20PT) HP 9.699.000
Unit
72 HP ProDesk 400 G3 (V1J21PT) HP 10.899.000
Unit
73 HP ProDesk 400 G2 Dekstop mini (X9K85PA) HP 8.149.000
Unit
74 HP ProOne 400G2 All-In-One (T8V69PA) HP 11.799.000
Unit
75 HP 280 G2 MicroTower (V8N63PT) HP 7.049.000
Unit
76 HP 280 G2 MicroTower (W6C28PA) HP 8.299.000
Unit
77 HP ProDesk 400 G3 Small Form Factor (V1J20PT) HP 9.699.000
Unit
78 HP ProDesk 490 G3 Micro Tower (T9Z21PA) HP 11.549.000
Unit
79 HP ProDesk 490 G3 Micro Tower (V6G22PA) HP 14.349.000
Unit
80 HP ProOne 400 G2 All-In-One (T8V72PA) HP 8.149.000
Unit
81 HP ProOne 400 G2 All-In-One (T6U09PT) HP 10.149.000
Unit
Unit
83 HP ProOne 400 G2 All-In-One (T8V70P) HP 12.799.000
Unit
Unit
85 Lenovo Y27g Curved Gaming Monitor Lenovo 10.999.000
Unit
86 Lenovo IdeaCentre AIO Y910 Lenovo 36.999.000
Unit
87 Lenovo IdeaPad Y900 Lenovo 35.199.000
Unit
SHB COMPUTER 70
1 2 3 4 5
88 Lenovo IdeaPad Y700 Lenovo 16.799.000

Unit
89 Lenovo Legion Y520 Laptop Lenovo 16.199.000
Unit
90 Lenovo IdeaCentre 300-201SH IntelCore i7-6700 Lenovo 11.999.000
Unit
91 Lenovo IdeaCentre 300-201SH IntelCore i5-6400 Lenovo 8.749.000
Unit
92 Lenovo IdeaCentre 310S-081AP Lenovo 4.999.000
Unit
93 Lenovo IdeaCentre 510S Prosesor (3.9GHz) Lenovo 7.149.000
Unit
94 Lenovo IdeaCentre 510S Prosesor (3 GHz) Lenovo 6.699.000
Unit
95 Lenovo IdeaCentre 510S Prosesor (3,5 GHz) Lenovo 5.249.000
Unit
Lenovo IdeaCentre AIO 310 AMD A9-9400
96 Lenovo 5.799.000
Processor Unit
Lenovo IdeaCentre AIO 310 AMD E2-9000
97 Lenovo 4.449.000
Processor Unit
98 Lenovo IdeaCentre AIO 310 J3355 Processor Lenovo 4.649.000
Unit
99 Lenovo IdeaCentre AIO 300 i3-6100T Processor Lenovo 6.899.000
Unit
Lenovo IdeaCentre AIO 510 Core i7-6700T
100 Lenovo 10.899.000
Processor Unit
101 Lenovo 9.299.000
Processor Unit
102 Lenovo 8.199.000
Processor Unit
103 Lenovo 11.299.000
Processor Unit
104 Lenovo 14.599.000
Processor Unit
Lenovo IdeaCentre AIO 520S Core i7-7500U
105 Lenovo 14.499.000
Processor Unit
Lenovo IdeaCentre AIO 520S Core i5-6200U
106 Lenovo 12.799.000
Processor Unit
Lenovo IdeaCentre AIO 720 Core i7-7700
107 Lenovo 15.499.000
Processor Unit
Lenovo IdeaCentre AIO 720 Core i7-7400
108 Lenovo 13.499.000
Processor Unit
109 Lenovo 27.499.000
Processor Unit
Lenovo IDEAPAD 310 i5-7200 Processor Windows
110 Lenovo 8.599.000
10 Unit
111 Lenovo IDEAPAD 310S N3350 Processor Lenovo 3.299.000
Unit
112 Lenovo IDEAPAD 500 Intel i5-6200U Processor Lenovo 8.299.000
Unit
Unit
Unit
115 Lenovo IDEAPAD 500 Intel i7-6500U Processor Lenovo
Unit 9.799.000
116 Lenovo IDEAPAD 110 Intel N3160 Processor Lenovo
Unit 3.699.000
117 Lenovo IDEAPAD 110 Intel N3160 Windows 10 Lenovo
Unit 4.099.000
SHB COMPUTER 71
1 2 3 4 5
118 Lenovo IDEAPAD 110 Intel N3060 Processor Lenovo

Unit 3.799.000
119 Lenovo IDEAPAD 110 Intel N3060 Windows 10 Lenovo
Unit 4.099.000
120 Lenovo IDEAPAD 110 AMD A9-9400 Processor Lenovo
Unit 4.399.000
121 Lenovo IDEAPAD Intel DualCore N3060 Processor Lenovo
Unit 3.799.000
SHB COMPUTER 72
LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
PERTANIAN
NO
JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA
1 2 3 4 5
A. KELOMPOK BARANG PERTANIAN

a. Bibit
1. Benih/Bibit/Palawija
a. Padi Hibrida Kg 99.520
b. Padi Berlabel In Hibrida Varitas Unggul Sertifikat
- Label Putih Unggul Kg 43.416
- Label Ungu Unggul Kg 34.832
- Label Biru Unggul (Ciherang/IR 64) Kg 15.550
- Label Ungu Unggul (Ciherang/IR 64) Kg 186.600
c. Padi Gogo Kg 15.550
d. Padi Ketan Kg 30.478
e. Kedele
- Label Biru Unggul Kg 18.660
f. Jagung Komposit Unggul (Bisma, Arjuna, Hanoman) Kg 27.368
g. Jagung Hibrida Bisi 816 Kg 80.860
Bisi 16 Kg 73.396
Bisi 2 Kg 74.640
Pertiwi 3 Kg 70.908
Pioneer Kg 92.056
Supra 1 Kg 82.104
h. Kacang Tanah
- Label Biru Unggul Kg 36.947
2. Sayuran
a. Cabe Standar 10 gr/Sachet 169.184
PM 99 10 gr/Sachet 167.940
Lado 10 gr/Sachet 17.229
Tanamo 10 gr/Sachet 133.730
Serambi 10 gr/Sachet 130.620
CK 100 10 dr/Sachet 136.840
Djimat 99 F1 10 gr/Sachet 134.352
Karomah F1 10 gr/Sachet 134.352
Dharmas F1 (Sindo F1) 10 gr/Sachet 101.386
b. Tomat Hibrida
- Lentana 5 gr/Sachet 105.740
- Petoseed 5 gr/Sachet 111.960
- Fortuna 5 gr/Sachet 105.740
- TM 001 5 gr/Sachet 111.960
- Supernova 5 gr/Sachet 149.280
SHB KR- PERTANIAN Hal - 73

NO
1 2 3 4 5
- Sahara F1 5 gr/Sachet 84.592
- Sherly 5 gr/Sachet 89.568
- Citra Asia F1 ( Alary F1 ) 5 gr/Sachet 178.825
- Swadehi ( cita F1 ) 5 gr/Sachet 116.625
- Natama Super ( vena F1) 5 gr/Sachet 116.625
c. Kentang
- Label Putih (G1) Granola 2 Kg 68.420
- Label Ungu (G2) Granola Kg 47.272
d. Bawang Bima Brebes

- Label Ungu Kg 87.080
- Label Biru Kg 62.200
e. Bayam - Samudra 500 gr 49.760

- Samudra 50 gr 18.349
- Merah Brata 500 gr 53.492
- Merah Brata 50 gr 14.928
- Hijau Merah Jelita 500 gr 53.492
- Hijau Merah Jelita 50 gr 14.928
- Amarin 500 gr 54.425
f. Selada - Grand Rapis 15 gr 18.660
g. Kangkung Darat Unggul

-Sejati 1 Kg 37.320
- Haiyan 1 Kg 33.588
- Shanghai 1 Kg 41.985
h. Terong - Mustang/Bimbi 5 gr/Sachet 37.320

- Ungu F1 5 gr/Sachet 19.282
- Tp 601 10 gr/Sachet 31.100
- Gaston 10 gr/Sachet 62.200
- Ungu F1 Graha 5 gr/Sachet 24.880
i. Kacang Panjang - MP Super 1 Kg 87.080

- Cory 500 gr 49.760
- Kp 801 100 gr 38.564
- Sergap 500 gr 97.188
j. Timun - Roman 25 gr/sachet 43.540

- TI 101 10 gr/sachet 37.320
- Aqso F1 10 gr/sachet 24.880
- Harkulas 20 gr/sachet 55.980
k. Buncis - Perancis+D99 500 gr 124.400

NO
1 2 3 4 5
- Gayoes 500 gr 47.272
- Dati 500 gr 47.272
- Elastis (Selendang) 500 gr 57.535
3. a. Mangga
- Unggul/berlabel (60 - 100 cm) Batang 87.080
b. Rambutan
- Unggul/berlabel (60 - 100 cm) Batang 80.860
c. Jeruk :
- Giri Matang Batang 74.018
- Manis/ Madu Batang 55.980
- Nipis Batang 39.186
- Keprok Batang 72.774
d. Durian Lokal Varietas Unggul Batang 161.720
e. Salak Pondoh Batang 55.980
f. Pisang Barangan Bonggol Batang 5.349
Anakan Batang 8.459
g. Nenas Lokal Tunas Batang 7.713
h. Sirsak Ratu Batang 69.415
- Unggul 1 tahun, 100 cm
i. Lengkeng 1 tahun, 100 cm Batang 122.534
j. Manggis 1 tahun Batang 64.688
Di atas 1 tahun. di atas 100 cm Batang 84.965
k. Melinjo 1 tahun, 100 cm Batang 55.980
l. Jambu 1 tahun, 100 cm Batang 50.382
m. Alpukat 1 tahun, 100 cm Batang 59.214
n. Belimbing 1 tahun, 100 cm Batang 59.214
o. Semangka
- Hibrida
-Biji (Baginda) 20 gr 49.138
-Super Dragon 20 gr 49.138
- Yelllow king 20 gr 84.592
- Non Bijik Red Sweet 20 gr 134.352
- Bulus F1 20 gr 116.625
q. Duku 70 - 80 cm 44.535
100-120 cm 49.138
4. Tanaman Obat
a. Jahe / Alia Kg 43.540
c. Kunyit Kg 2.675
B. PERALATAN PERTANIAN DAN OBAT-OBATAN

1 SAPRODI :
a. Pupuk - Agrodiyke Kg 80.000
- Urea Tabur Kg 8.708
- NPK (16:16:16) Kg 14.928
- NPK (15:15:15) Kg 13.062

NO
1 2 3 4 5
- KCL (Belavesia) Kg 14.928
- TSP (P2O5 - 46%) Kg 8.708
- Organik/Kandang/Bokasi Kg 3.421
- Kapur Kg 2.426
- EM4 Kg 28.197
- Pupuk Pelengkap Cair (PPC) Ltr 130.620
- Mikroba Multi Guna (PPMG) Kg
- Pupuk Organik Cair Bintang Kuda
Kg
Laut
- Pupuk Organik Granuler Bintang
Kg
Kuda Laut
- SP - 36 kg 13.124
- ZA Kg 6.904
- PPC Supergrand Ltr
- PPC Herbafarm Ltr
- Frestan Ltr 48.516
b. Pestisida
* Insektisida Samite 1 Liter 373.200
Pegasus 1 Liter 1.011.185
80 Ml
Sidacis 25 EC 1 Liter 142.127
Decis 50 Ml 18.660
Curacron 1 Liter 373.200
Polydon 25 EC 1 Liter 232.317
100 Ml 37.320
Ken Fas 100 EC 1 Liter 217.700
Brocis 2,5 EC 1 Liter 268.704
Buzzztar 50 EC 1 Liter 193.566
Manuver 400 SL 1 Liter 211.480
Trisula 1 Liter 223.920
Biocron 500 EC 1 Liter 248.800
Starban 585 EC 1 Liter 194.064
Dursban 1 Liter 186.600
100 Ml 18.660
Sidametrin 1 Liter 105.740
Sidabas 1 Liter 149.280
Sidatan 1 Liter 149.280
Debest 200/20 Ec 1 Liter 472.720
Tamabas 500 Ec 1 Liter 105.740
* Fungisida Victory 1 Kg 111.960

Cozene 70/10 WP Kg 248.800
Zifio 90 WP Kg 203.207
Remedy 80 WP Kg 131.242
Cadilac 80 WP Kg 123.778
Nefos 45 WP Kg 267.460
Dithane W1 45 1 Kg 130.620
200 Gram 3.110
Satgas Kg 186.600
Multifor Kg 111.960

NO
1 2 3 4 5
Megazeb 80wb Kg 74.640
Sidazeb Kg 149.280
* Rodentisida Petrokum RMB Kg 55.980

15 Gram 6.220
Klerat Kg 58.468
Kovinplus 80 P Kg 136.840
Sidarat Kg 74.640
* Herbisida Sidaxone 276 SL Kg 83.970

Servaxone Kg 68.420
Laris 250 SL/ Proris Kg 48.516
Sapu Bersih Kg 67.487
Sweeper 480SL Kg 83.970
Sistemik 240 SL Kg 56.602
Rengger Kg 55.171
Serbu 16 SL Kg 47.894
Roundup Kg 85.836
Bulma Kg 149.280
Obin Kg 99.520
Lutop Kg 93.300
Tamaris 240 SL Kg 37.320
* Pestisida Hayati Pestona 500 cc 93.300
* Pestisida Nabati Trichoderma 200 gram 61.578

Beauveria Ltr 54.736
Metarhizium Ltr 61.578
c. Moloskisida Seldena 250 EC Ltr 193.940

Kresnacid 250 EC 500 ml 136.840
Kresnoid 60 WP 100 gram 55.980
Anti Keong 65 WP 100 gram 62.200
d. Atraktan Petrogenol 15 ml /Ltr 1.803.800

5 Ml 11.196
e. Mulsa Plastik Gayo Tani Pergulung 497.600
Milikron 250 mtr 280.031
Milikron 250 mtr 553.549
f. Sprayer Ultra CBA Elektrik 16 Ltr 808.600

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
PERKEBUNAN
1 2 3 4 5
B. KELOMPOK BARANG PERKEBUNAN
A. BAHAN
I. B E N I H / KECAMBAH
1. Karet Biji 183
2 Kelapa Dalam Biji 5.747
3. Kelapa Hibrida Biji 6.270
4. Kelapa Sawit Biji 13.966
5. Pinang Biji 1.306
6 Kopi Arabica Biji 627
7 Kopi Robusta Biji 627
8 Kakao Biji 1.306
9 Kemiri Biji 914
10 Cengkeh Biji 1.829
11 Pala Biji 1.750
12 Kunyit Kg 16.981
13 Tembakau Gram 176.337
14 Tebu Stek 2.612
- Tebu Kultur Jaringan G2 Mata 1.959
- Tebu Kultur Jaringan G3 Mata 653
- Konvensional Kwintal 130.620
15 Nilam stek 1.242
16 Lada stek 3.396
17 Jambu Mete Biji 301
18 Kayu Manis (Cassiavera) Kg 175.449
19 Entres karet Meter 15.800
20 Entres Kopi Arabica Ruas 3.396
21 Entres Kopi Robusta Ruas 3.135
22 Entres Kakao Meter 5.225
23 Stum Karet/Mata Tidur Batang 13.964
24 LCC-PJ Kg 243.829
25 LCC-Cm Kg 68.314
26 LCC-CP Kg 58.518
II. BIBIT SIAP SALUR

1 Karet Berpayung Satu Batang 19.044
Berpayung Dua Batang 21.552
2 Kelapa Dalam Umur 8-12 Bln Batang 21.552
3 Kelapa Sawit Umur 7-12 Bln Batang 57.133
Umur 4-6 Bln Batang 46.971
Umur 3 Bln Batang 38.089
4 Pinang Umur 8-12 Bln Batang 8.752
5 Kopi Arabica Umur 5-6 Bln Batang 7.289
- Konvensional Umur 7-8 Bln Batang 8.752
- Somatic Embryogenesis (SE) Batang 15.674
Kopi Robusta
SHB PERKEBUNAN Hal - 78

1 2 3 4 5
- Konvensional Batang 15.674
6 Kakao Umur 4-5 Bln Batang 10.058
Somatic Embryogenesis Batang 19.089
7 Kakao Okulasi Batang 23.355
8 Kemiri Umur 1 tahun Batang 16.850
9 Cengkeh Siap Salur Batang 18.548
10 Pala Siap Salur Batang 17.833
11 Kapok/Randu Siap Salur Batang 3.919
12 Jambu Mete Siap Salur Batang 6.531
13 Cassiavera Kayu Manis Siap Salur Batang 6.531
14 Nilam Siap Salur Batang 5.486
15 Lada Siap Salur Batang 15.152
16 Gambir Siap Salur Batang 11.756
17 Pisang Abaca Siap Salur Batang 31.349
18 Jarak Pagar Siap Salur Batang 4.441
III. PUPUK
- Kieserit/Magnesium (Mgo) Granular Kg 14.012
- Rock Phosphat Kg 4.983
IV. BAHAN - BAHAN LAIN

1. Polibag Kg 45.717
2. Tiang Pagar Batang 18.287
3. Tiang Naungan Batang 18.287
4. Atap Naungan Helai 10.841
5. Bambu Batang 130.620
B. PERALATAN/ PERKEBUNAN
1. Parang Buah 117.558
2. Cangkul Cap Buaya Buah 182.868
3. Garpu Buah 78.372
4. Koret Buah 52.248
5. Gunting Pangkas Buah 113.639
6. Gergaji Pangkas Buah 113.639
7. Pisau Okulasi Buah 87.515
8. Gelas Ukur Buah 121.738
9. Ayakan Buah 87.515
10. Mesin Bor Unit 14.368.200
11. Mata Bor Buah 348.755
12. Mist Blower Unit 12.800.760
13. Power Sprayer TF 200 Unit 14.498.820
14. Destilator Unit 14.498.820
15. Cold Box Unit 5.094.180
16. Selang Plastik Semprot Meter 56.167
17. Hand Sprayer Buah 783.720
18. Gembor Buah 87.515
19. Dodos Buah 96.006

1 2 3 4 5
20. Pisau Deres Buah 52.248
21. Mangkok Latex Buah 6.139
22. Ember Lateks Buah 31.349
23. Timbangan Duduk Unit 2.938.950
24. Kereta Sorong Buah 543.706
25. Egrek Buah 165.234
26. Gergaji dan Gunting Pangkas SLPHT Set 470.232
-
MESIN ALSINBUN -
Pengadaan Alat dan Mesin Bengkel
C. -
(Alsinbun)
Alat dan Mesin Pengolah Kopi -
a. Mesin pengupas kulit buah Kap. 50 Kg/jam Unit 23.642.220
Kap. 200 Kg/jam tanpa
b. Mesin pengupas kulit buah (hand pulper) Unit 39.839.100
penggerak
Kap. 1 Ton/jam, Mesin diesel
c. Mesin pengupas kulit buah (pulper) 1 Unit 57.472.800
china 5 HP
Kap. 200 Kg/jam, Penggerak
d. Mesin pengupas kulit buah (pulper) 2 motor bakar honda 5,5 PK, Unit 69.228.600
Transmisi pulley, Sabuk Karet V
Kap. 50 Kg/jam, tanpa
e. Mesin pengupas kulit buah (pulper) 3 Unit 50.158.080
penggerak
Kap. I Ton / jam mesin diesel
f. Mesin pengupas kulit buah (pulper) 4 Unit 137.934.720
China 8 HP sabuk karet V
Panjang 600 mm, Lebar 400 mm,
g. Mesin Pulper Kopi 1 Tinggi 950 mm, Kapasitas 100 Unit 17.463.894
kg/jam
Kap. 1,5 Ton HS/batch, Sumber
g. Mesin Pengering (dryer) 1 panas minyak tanah, penggerak Unit 57.472.800
mesin dieseleks china 7 PK
Kap.4 Ton HS/Batch sumber
panas teuku kayu penggerak
h. Mesin Pengering (dryer) 2 Unit 225.972.600
motorlistrik @1/4HP, 3
kipasaksial
Kap. 4000 Kg/Batch sumber
panas teuku kayu penggerak
i. Mesin Pengering (dryer) 3 Unit 225.972.600
motor diesel 7 PK eks China 8
HP transmisi pulley
Kap. 500 Kg/jam, Motor bakar
j. Mesin Pencuci kopi HS (Washer) 1 Unit 57.472.800
honda 4 HP
Kap. 30 Kg / jam penggerak,
Mesin Pencuci kopi HS (Washer) 2 Unit 16.980.600
Motor bakar honda 5,5 HP
Kap. 500 Kg/jam (HS Kering),
g. Mesin pengupas kulit kopi (Huller) 1 Unit 79.025.100
Mesin diesel china 24 PK
Kap. 200 Kg / jam (HS Kering),
Mesin pengupas kulit kopi (Huller) 2 Unit 75.759.600
Kap. 100 Kg / jam (HS Kering),

Mesin pengupas kulit kopi (Huller) 3 Unit 45.847.620
Kap. 400 Kg/jam Transmisi puller

h. Mesin sortasi biji kopi Unit 93.393.300
Motor listrik 1/2 PK, sabuk karet V

1 2 3 4 5
Kap. 1200 Kg/jam Transmisi
puller Motor listrik 5,5 PK, sabuk Unit 105.149.100
karet V
i. Mesin sangrai kopi (roaster) Kap 50 Kg/batch Unit 258.627.600
Kap 30 Kg/batch Unit 202.461.000
Kap 10 Kg/batch (1 batch=45
Unit 78.372.000
menit)
j. Mesin pencampur (blender) Kap. 30Kg/batch Unit 103.189.800
k. Mesin pembubuk kopi sangrai (grinder) - Kap. 60 Kg/jam Unit 112.333.200
- Kap. 30 Kg/jam Unit 86.209.200
- Kap. 15 Kg/jam Unit 73.147.200
Mesin Grinder Latina 207 N 12.552.582
Kap. 100 Kg/jam (1 batch = 7
l. Alat uji citarasa kopi (grinder) Unit 65.310.000
menit)(1 batch = 7
Kap. 100 Kg/jam
Alat uji citarasa kopi (roaster) Unit 141.069.600
menit)
m. Sealing manual Tipe injak P=20 cm Unit 14.368.200
Band Sealer Model : Fr 900 11.494.560
n. Kemasan alumunium (min.5.000 lbr) Max isi kemasan @ 250 g Unit 18.548.040
o Peralatan Lantai Jemur Kopi Unit 4.179.840
Alat dan Mesin Pengolahan Kakao

Kap.3 Ton/jam penggerak motor
Mesin pemecah buah kakao dan
a. listrik 3 KVA atau motor bakar Unit 135.844.800
pemisah (podbreaker)
honda 5 HP
Kap. 1 Ton/jam biji kakao basah
b. Mesin pemeras lendir kakao (depulper) penggerak motor listrik 3 KVA Unit 91.434.000
atau motor bakar Honda 5 HP
Kap. 1,5 ton HS/batch (1 batch =

50 jam) bahan bakar minyak
c. Mesin pengering (dryer) Unit 102.536.700
tanah, kipas aksial 2 unit,
penggerak motor listrik @1/4 HP
Kap. 4 ton HS/batch (1 batch = 50

jam) bahan bakar minyak tanah,
Unit 225.972.600
kipas aksial 6 unit, penggerak
motor listrik @1/4 HP
Kap. 400 Kg/jam penggerak
d. Mesin sortasi biji kakao Unit 45.717.000
Motor listrik 1 HP, 1 phase
Kap. 1.200 Kg/jam penggerak
motor listrik 3 HP, 3 phase atau Unit 56.819.700
motor bakar Honda 4HP
Kap.30 Kg/batch (1 batch = 30-45
e. Mesin sangrai (roaster) menit) penggerak motor listrik 1 Unit 169.806.000
HP bahan bakar minyak tanah

menit) penggerak motor listrik 1/2 Unit 91.434.000
HP bahan bakar minyak tanah.

menit) penggerak motor listrik 1/2 Unit 67.922.400
HP bahan bakar minyak tanah.

1 2 3 4 5
Mesin pemisah dan pemisah kulit kakao Kap. 80 Kg/jam, penggerak motor
f. Unit 101.883.600
kokoa(desheller) listrik 1 HP
Kap. 500 gr/batch (1 batch = 5
g. Pengempa lemak Unit 29.389.500
menit manual)
Hidroulik, penggerak motor listrik
3 KVA, 3 phase, kapasitas 3 kg/3 Unit 103.189.800
menit.
Kap. 20 Kg/jam, penggerak motor
h. Pemasta kasar listrik 1/2 HP, pemanas listrik Unit 45.717.000
500W
Kap. 50 Kg/jam, penggerak motor
listrik 2 HP, pemanas listrik 500 Unit 79.678.200
W
Kap. 4 Kg/batch (1 batch=20
i. Pemasta halus dan pembubuk coklat jam), Kap. 2 Kg/batch (1 batch=3 Unit 151.519.200
mn)
Kap. 8 Kg/batch (1batch=20 jam)
Unit 193.970.700
Kap. 4 Kg/batch (1 batch=3 mn)
Peralatan Penjemuran Biji Kakao Pipa Besi : 01 1/2" Unit 3.134.880
Pipa Besi : 01 1/4"
Pipa Besi : 01 1/4"
Besi : L 40/40
Baut + Mor : 8 mm
Plat tapak kaki : 0.8 x 8
Plastik putih : 4 m x 5.30 m
Fermentasi Biji Kakao Ukuran Kerangka Meja 1.306.200
Kayu : 4.5 cm x 6.5 cm
Ukuran Kayu Alas/Jari
Kayu : 3 cm x 4.5 cm x 90 cm
Kotak Fermentasi Kapasitas : 40 - 50 kg 757.596
Type : Bak Kayu
Bahan Papan : Kayu
Ukuran (pxlxt) : 40x40x50 cm
Tebal Papan : 15-20 mm
Pengukuran Kadar Air Biji Kakao Display Digital LCD 4 Digit 5.747.280
Rentang Pengukuran 7% - 28%
Temperatur Operasional 0-60° C
Humadity Operasional 5%-90%
Resolusi Pengukuran 0,1
Power Supply 4 x 1,5 AAA size
(UM4) Battery
Dimensi Alat 460 mm x 75 mm x
35 mm
Biji-Bijian yang dapat diukur 25
jenis biji-bijian
Input Sensitivity : User Selectable
Pengukur Suhu Unit 1.044.960
0,1 °C
Temperatur Range : 40.0 ºC-250
°F
Sumber Daya : Baterai LR44 (1,5)

1 2 3 4 5
Alat Pengolah Kelapa
a. Alat Pengolah Minyak Kelapa Kapasitas 1.750 butir kelapa/hari Unit 783.720.000
b. Alat Pengolah serat Sabut Kelapa Kapasitas 1.750 butir kelapa/hari Unit 339.612.000
c. Alat Pengolah Arang Tempurung Kapasitas 1.750 butir kelapa/hari Unit 94.046.400
d. Alat Pengolah Nata de Coco Kapasitas 1.750 butir kelapa/hari Unit 339.612.000
e. Alat Pengolah Batok
1. Mesin Penghancur Batok Skala besar Unit 313.488.000
2. Mesin Penepung Batok Skala besar Unit 313.488.000
3. Mesin Pembakar Batok Skala kecil Unit 39.186.000
Tungku Pyrolisis Kapasitas : 120 Kg Unit 78.933.044
Bahan Bakar : Kayu, Tempurung
Dimensi Alat : Diameter 0,9 m
Bahan : Baja Stainless steel
Pendingin : Air
Sistem : Manual (Batch)
Penepung Arang Kapasitas : 20 kg/Jam Unit 15.674.400
Mesin : Tenaga Diesel
Bahan Bakar : Solar
Bahan Penopang : Besi
Pencetak Briquete Kapasitas : 1 kg/Press Unit 39.969.720
Bahan : Baja SS
sistem : Manual
Oven Briket Kapasitas : 50 kg/Jam Unit 22.285.078
Bahan : Baja SS
Bahan Bakar : Tempurung
Kelapa, Gas
Ukuran (PxLxT) : 60x120x140
mm
Alat Pengolahan Kelapa Sawit
1. Pabrik Kelapa Sawit Kapasitas Olah 3 ton TBS/Jam Unit 25.395.702.066
( 3 Ton TBS/Jam)
( 5 Ton TBS/Jam)
( 10 Ton TBS/Jam)
Alat-Alat Penyulingan
1. Alat Penyuling Pala Skala Sedang Unit 246.312.000
2. Alat Penyuling Sere Wangi Skala Sedang Unit 235.116.000
3. Alat Penyuling Daun Cengkeh Skala Sedang Unit 235.116.000
4. Alat Penyuling Nilam Skala Sedang Buah 235.116.000
-
Alat-Alat Pengolahan Nilam -
1 Ketel Stainless Kap 30 kg Ketel Suling Unit 92.165.472
type : bejana Vertikal

1 2 3 4 5
Material : Stainless Steel 304
tebal : 3 mm
Diameter : 0,55 m
Tinggi Total : 1,2 m
Kapasitas Total Terpasang : 40
kg
Separator
type : Pemisah Minyak dan Air
Material : Stainless Steel
Tebal : 1,2 mm
Diameter : 0,25 m
Tinggi Total : 0,4 m
Volume Total : 35 liter
Kondensor
Type : Spiral Condensor
Material Pipa : Stainless Steel 1"
Tebal Pipa : 1,2 mm
Tinggi Total : 1,2 mm
Diameter Spiral : 0,55 m/bentuk
disesuaikan
Panjang total Pipa : 24 m
Boiler
Type : Bejana Horizontal, Fire
tube
Material : Mild Steel
Bahan Bakar : Kayu bakar, Solar,
Minyak tanah, Gas
Tebal : 5 mm
Diameter : 0.5 m
Tinggi total : 1 m
Volume Total :170 liter
Jenis pipa : Pipa Api WLD 1"
Mesin Cincang Nilam Type : BEJE -200 E 41.380.416
Panjang : 1100 mm
Lebar : 550 mm
Tinggi : 900 mm
Kapasitas : 300-500 kg/Jam
Penggerak : Motor Diesel Yanmar
6,5 Hp
Alat Pengolahan Gambir

1. Alat Pompa Hidrolik Kapasitas 300 Kg/hari Set 113.639.400
2. Bak Pengendapan Alumunium Kapasitas 300 Kg/hari Set 129.313.800
3. Alat cetak Kapasitas 300 Kg/hari Set 15.674.400
4. Tangki Perebus dan Tungku Kapasitas 300 Kg/hari Set 3.134.880
Alat Pengolahan Tebu
1. Huler 18 PK Setara Antarlina Model Bf 8 83.596.800
Panjang cylinder 24 cm
Jumlah cylinder 28 cm
Daya 18 PK
Rpm Rulban 300

1 2 3 4 5
Chasis UNP 15
Panjang mesin 120 cm
Lebar Mesin 140 cm
Tinggi Mesin 90 cm
Berat Mesin + 1.100 Kg
2 Mesin Penggerak 23 PK Model ZS 1115 19.971.798
Tenaga Maksimum 25/2.200
hp/pm
Tenaga Kontinyu 21/2.200 hp/pm
Diameter x pjg langkah 115x115
ltr
Volume langkah 1.195 liter
Konsumsi bahan bakar 175
gr/hp/hr
Berat 185 kg
Jenis mesin diesel horizontal 4
langkah
Jumlah silinder 1
Sistem star tangan/engkol
Sistem pendingin Hopper/radiator
Sistem pelumas sistem kombinasi

tekanan dan penyebaran
Sistem pembakaran: langsung

Mesin Pakai: SNI
3. Kuali (Belanga) Diameter 100 cm Diameter Kuali: 100cm 3.134.880

Tebal plat: 5 mm
Tebal dinding: 2 mm
Kapasitas: 6 kaleng (120 liter)
4. Tali kipas 4 inch 241.647
5. Selang plastik Diameter 1,5 inch 2.612.400
6. Bak pendingin gula Bahan: papam ketam/sporing 1.567.440
Ukuran: 120 cmx200cm
7. Drum 522.480
8. Drum serubung 287.364

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
KEHUTANAN
NO JENIS BARANG MEREK/MODEL/ UKURAN SATUAN HARGA
1 2 3 4 5
C. KELOMPOK BARANG LINGKUNGAN HIDUP DAN KEHUTANAN
1. Benih Tanaman Kehutanan

- Jati/Tectona grandis Sertifikat Kg 361.568
- Mahoni/Swietenia mahagoni Sertifikat Kg 271.176
- Sengon/Paraserianthes falcataria Sertifikat Kg 2.259.800
- Gmelina/Gmelina arbore Sertifikat Kg 406.764
- Jabon /Anthpcephalus spp Sertifikat Kg 9.508.109
- Akasia/Acacia mangium Sertifikat Kg 451.960
- Ampupu/Eucalyptus alba Sertifikat Kg 5.649.500
- Suren/Toona sureni Sertifikat Kg 1.694.850
- Pinus/Pinus merkusii Jungh et de Vr Sertifikat Kg 2.711.760
2. Bibit Tanaman Kehutanan

a. MPTS Tinggi : 30-50 cm
- Duku/Lansium domesticum Batang 24.858
- Rambe/Baccaurea motleyana Batang 20.338
- Jambu Kaca/Psidium spp Batang 36.157
- Jambu Kleng Batang 11.299
- Jambu Bol/Syzygium malaccense Batang 22.598
- Klayu Batang 15.819
- Mancang/Mangifera foetida Batang 25.988
- Kuini/Mangifera odorata Batang 21.468
- Serba Batang 9.604
- Sukun/Artocarpus altilis Batang 18.078
- Cempedak/Artocarpus integer Batang 24.858
- Kulu/Artocarpus Communis Batang 14.689
- Petai/Parkia speciosa Tinggi : 30-50 cm Batang 12.429
- Asam Jawa/Tamarindhus indica Batang 11.299
- Asam Thailand/Tamarindus spp Batang 20.338
- Batok Batang 19.208
- Sentul/Sandoricum koetjape Batang 11.299
- Jengkol/Archidendron pauciflorum Tinggi : 30-50 cm Batang 12.429
- Randu/kapuk/Ceiba pentandra Batang 12.429
- Aren/Arenga pinnata Tinggi : 30-50 cm Batang 18.078
- Sagu/Metroxylon sagu Rottb. Batang 21.468
- Bacang/Mangifera foetida Batang 28.248
- Kluwih/Artocarpus camansi Batang 16.949
- Srikaya/Annona squamosa Batang 21.468
- Rotan/Calameae Tinggi : 30-50 cm Batang 15.819
- Jernang/Daemonorops draco Tinggi : 30-50 cm Batang 27.118
- Durian/Durio zibethinus Batang 14.689
- Nangka/Artocarpus heterophyllus Batang 18.078
- Pala/Myristica fragrans Tinggi : 30-50 cm Batang 18.078
- Alpukat/Persea americana Batang 13.559
- Sere Wangi/Cymbopogon nardus Batang 1.130
- Suren/Toona sinensis Batang 19.208
SHB KEHUTANAN 86
- Kemiri/Aleuritas mollucana Willd Batang 11.299

- Rambutan/Nephelium lappaceum Batang 20.338
- Asam Gelugur/Garcinia atroviridis Batang 18.078
b. Pertukangan/Pulpl/Endemik Tinggi : 30-50 cm

'- Salam/ Syzygium polyanntum Batang 15.819
- Gmelina/Gmelina arbore Batang 11.299
- Trembesi/Samanea saman Batang 10.169
- Angsana/Sono kembang Batang 15.819
- Bungur/Lagerstroemia speciosa Pey Batang 10.169
c. Kayu Bakar Tinggi : 30 - 50 cm

- Lamtoro/Leucaena glauca Benth Batang 6.779
- Akasia/Acacia mangium Batang 7.909
- Gamal/Gliricidia sepium Batang 6.779
- Turi/Sesbania grandiflora Batang 6.779
- Kaliandra/Calliandra Batang 6.779
d. Tanaman Pantai Tinggi : 30 - 50 cm

- Cemara Laut/Casuarina equisetifolia Batang 13.559
- Waru/Hibiscus tiliaceus Batang 15.819
- Pandan/Pandanus Batang 13.559
- Sawo kecik/Manilkara kauki Batang 19.208
- Ketapang/Terminalia cattapa Batang 9.039
- Nyamplung/Callophylum inophylum Batang 6.779
- Kelapa/Cocos nucifera Batang 16.949
- Rumbai/Baccaurea motleyana Batang 21.468
- Keben/Barringtonia asiatica Batang 6.779
e. Tanaman Komersil Tinggi : 30 - 50 cm

- Punak/Tetramerista glabra Miq Batang 13.559
- Mahoni/Swetenia mahagoni Jacq Batang 10.169
- Jati Kultur Jaringan//Tectona grandis L Batang 16.949
- Medang/Blumeodendron kurzii Batang 22.598
- Gaharu/Aquilaria malaccensis Tinggi 25 - 40 cm Batang 21.468
- Meranti/Shorea spp Batang 20.338
- Kruing/Dipterocarpus Batang 19.208
- Semantok/Parashorea sp Batang 27.118
- Merbau/ Intsia bijuga Batang 20.338
- Damar/Agathis alba Batang 22.598
- Kayu Hitam/Diospyros celebica Batang 21.468
- Puno Batang 9.039
- Sentang/Melia excelsa Batang 9.039
- Kayu Manis/Cinnamomum verum Batang 11.299
- Sono Keling/Dalbergia latifolia Batang 12.429
- Spatodea/Spathodefa spp Batang 11.299
- Seulanga/Cananga Odorata Batang 15.819
- Tanjung/Mimusps Elengi Batang 11.299
- Bayur/Pterospermum javanicum Batang 9.039
SHB KEHUTANAN 87
- Jabon /Anthpcephalus spp Tinggi 25 - 40 cm Batang 9.039

'- Flamboyan/Delonix regia Batang 16.949
- Saga/Adenanthera pavonina. Batang 7.909
- Soga/Peltophorum pterocarpum Batang 6.779
- Kayu Putih/Eucalyptus spp Batang 12.429
- Beringin/Ficus benjamina Batang 15.819
- Sengon/Albizia chinensis Tinggi 25 - 40 cm Batang 7.909
- Laban/Vitex pinnata Batang 7.909
- Ketapang/Terminalia Katapa Batang 9.039
- Damar Minyak/Agathis dammara (Lamb.) Rich. Batang 21.468
- Sungkai/Albertisia papuana Becc Batang 7.909
- Dadap/Erythrina variegata Tinggi 25 - 40 cm Batang 22.598
- Mimba/Azadirachta indica A. Juss Batang 7.909
- Nyantoh/Palaquium rostratum Batang 10.169
'- Sawo kecik/Manilkara kauki Batang 19.208
- Johar/Cassia siamea Lamk Batang 11.299
- Puspa/Schima walichii Batang 11.299
- Mindi/Melia azedarach Batang 12.429
- Rasamala/Altingia excelsa Noronha Batang 14.689
- Benot Batang 9.039
- Kapur/Dryobalanops camphora Tinggi 30 - 50 cm Batang 22.598
- Jati/Tectona grandis L Tinggi 25 - 40 cm Batang 12.429
- Cendana/Sentalum album L Batang 32.767
- Pinus/Pinus merkusii Tinggi : 15-20 Cm / Ekor Bajing Batang 7.909
f. Tanaman Palmae Tinggi 30-50 cm

- Palem Raja/Oreodoxa regia Batang 37.287
- Palem Puteri/Roystonea regia Batang 36.157
- Pinang/Areca catechu Batang 22.598
- Cycas/Cycas revoluta Batang 73.444
- Palem Merah/Cyrtostachys renda Batang 47.456
- Sagu/Rumbia Batang 22.598
- Palem Ekor Bajing/Wodyetia bifurcata Batang 29.377
- Palem Botol/Hyophorbe lagenicaulis Batang 50.846
- Lontar/Borassus flabellifer Batang 20.338
- Pinang Merah/Cyrtostachys lakka Becc. Batang 33.897
- Palem Segitiga/Dypsis lutescens Batang 47.456
- Palem Backtris/Phonix Batang 37.287
- Corypha/Corypha gebanga Batang 67.794
- Palem Hijau/Kuning/Orpha Batang 29.377
- Palem Udang/Arecaceae Batang 22.598
- Palem Jari/Cyrtostachys renda Batang 24.858
- Palem Kipas//Livistona saribus Batang 24.858
- Pandan Bali/Cordyline australis Batang 59.885
- Kelapa Geujah Hijau (u kee) Batang 11.299
- Kelapa Geujah Kuning Batang 11.299
- Kelapa Dalam/Cocos nucifera Batang 14.689
- Kelapa Hybrida/Cocos nucifera Batang 22.598
- Pandan Gunung/Pandanus Batang 49.716
SHB KEHUTANAN 88
- Rambong Merah Batang 33.897
g. Tanaman Konifer Tinggi : 25 - 40 cm

- Cemara Laut/Casuarina equisetifolia Batang 12.429
- Cemara Gunung/Casuarina junghuniana Batang 18.078
- Cemara Northfolk/Araucaria heterophylla Batang 18.078
- Cemara Udang/Casuarina equisetifolia Batang 22.598
- Cemara Kipas/Casuarina equisetifolia Batang 27.118
- Cemara lilin/Gymnospermae Batang 35.027
- Cemara Tingkat/Casuarina sp Batang 36.157
h. Tanaman Khas Aceh Tinggi : 30 - 40 cm

- Cokok/Karieng Batang 14.689
- Jeumpa/Michelia champaka Batang 16.949
- Seulanga/ Cananga Odorata Batang 18.078
- Cengklek/Keranji/Dialium indum Batang 24.858
- Kumbang/ Batang 48.586
- Hagu/Kelor/Moringa oleifera Batang 47.456
- Batoh Batang 29.377
- Kelayuh Batang 14.689
i. Tanaman Bambu Tinggi : 40 - 60 cm

- Bambu Putong/Hias Pagar/Bambusa spp Rumpun 22.598
- Bambu Kuning/Bambusa multiplex Rumpun 27.118
- Bambu Buluh/Bambusa venticosa Rumpun 29.377
- Bambu Jepang/Phyllosstachis adrea Rumpun 30.507
- Bambu Roma/Hitam Rumpun 28.248
- Bambu Besar/Bambussa spp Rumpun 28.248
- Bambu Batu/Duri/Phyllosstachis adrea Rumpun 19.208
- Bambu Kultur Jaringan/Bambusa spp Rumpun 28.248
j. Tanaman Turus Jalan/Hutan Kota Tinggi 100 - 200 cm

- Angsana/Pterocarpus indicus Batang 23.728
- Mahoni/Switenia macrophylla King Batang 30.507
- Asam/Tamarindis indica Batang 25.988
- Trembesi/Samanea Saman Batang 24.858
- Ketapang/Terminalis cattapa Batang 12.429
- Cemara Gunung/Casuarina equisetifolia Batang 33.897
- Cemara laut/Casuarina spp Batang 24.858
- Flamboyan/Delonix regia Batang 31.637
- Beringin/Ficus spp Batang 45.196
- Tanjung/Mimusops elengi Batang 16.949
- Pulai/Alsonia scholaris Batang 22.598
- Sawo Kecik/Manilkara kauki Batang 28.248
- Glodokan Tiang Batang 31.637
- Bungur/Lagerstroemia speciosa Batang 50.846
- Kupu-kupu/Bauhinia purpurea Batang 45.196
- Spatodea/Spathodea campanulata Batang 28.248
SHB KEHUTANAN 89
- Dadap merah/Erythrina varigata Batang 79.093

- Gelinggem Batang 79.093
- Pandan gunung Batang 88.132
- Darsena/Allamanda cathartica Batang 89.262
- Tombak raja/Yunka Batang 73.444
- Agape postar Batang 101.691
- Rambong merah Batang 44.066
- Saga/Abrus frutex rumph Batang 45.196
- Johar/Casia siamea Lamk Batang 39.547
- Kayu manis hutan/Cinnamomum verum Batang 47.456
- Kiara payung/Fillcum decipiens Batang 61.015
- Khaya/Khaya Sinegalensis Batang 82.483
- Asam lendi/Tamarindus sp Batang 50.846
- Asam jawa/Tamanrindus indica Batang 36.157
'- Flamboyan/Delonix regia Batang 76.833
- Tapak kuda/Ipomoea pes-caprae Batang 146.887
- Jakaranda/Jakaranda filicifolia Batang 51.975
- Jintan cina Batang 51.975
- Jati laut/Tectona spp Batang 44.066
- Pohon terompet/Brugmansia Batang 62.145
k. Tanaman Mangrove Tinggi 40 - 60 cm

- Bakau/Rhizopora appiculata Batang 4.520
- Tancang/Bruguera gymnorhiza Batang 3.390
- Seriop/Ceriops tagal Batang 3.390
- Api-api/Avecennia Batang 3.390
- Nyirih bunga/Bruguera sp Batang 4.520
- Nipah/Nypa fruticans Batang 16.949
RTH (RUANG TERBUKA HIJAU)

a. Median Jalan /Jalur Pejalan Kaki Tinggi 100 - 200 cm
- Puring/Codiaeum varigatum Batang 73.444
- Pujuk merah/Syzygium oleana Batang 46.326
- Kembang sepatu/Hibiscus rosa sinensis Batang 57.625
- Olender/Nerium oleander L Batang 49.716
- Nusa indah/Musaenda erytthrophylla Batang 54.235
- Bambu/Bambusa sp Batang 50.846
- Cemara /Casuarina junghuniana Batang 32.767
- Angsana/Pthecarpus indicus Batang 28.248
- Glodokan Tiang/Polyathea longifolia Batang 33.897
- Tanjung/Mimusops elengi Batang 32.767
- Bunga pukul empat Batang 36.157
- Bunga Saputangan Batang 28.248
- Bunga Kupu-kupu/Bauhinia purpurea Batang 59.885
- Bunga Kupu-kupu ungu Batang 54.235
- Trenguli Batang 56.495
- Kayu manis/Cinnamommum iners Batang 56.495
- Tanjung/Mimosups elengi Batang 36.157
- Salam/ Syzygium polyanntum Batang 31.637
SHB KEHUTANAN 90
- Melinjo/Gnetum gnemon Batang 40.676

- Tanjung/Mimosups elengi Batang 36.157
- Cempaka/Michelia champaca Batang 56.495
b. Vegetasi Taman Kota/ Hutan Kota/ Pemakaman Tinggi 100 - 200 cm

- Sikat botol/Red Bottlebrush Batang 61.015
- Kamboja merah/Plumeria Batang 79.093
- Jambu batu/Psidium guajava Batang 42.936
- Bunga saputangan/Amherstia nobilis Batang 62.145
- Lengkeng/Euphoria longan Batang 48.586
- Akasia/Acacia mangium Batang 33.897
- Jambu air/Syzygium aqueum Batang 46.326
- Kenari/Canarium commune Batang 70.054
- Kiara /Filicium decipiens Batang 62.145
- Dadap kuning/Erythrina varigata Batang 50.846
- Aren/Arenga pinatta Tinggi 100 - 200 cm Batang 36.157
- Serut/Streblus asper Batang 42.936
- Bougenvil/Bougenvilia sp Batang 45.196
- Kamboja putih/Plumeria alba Batang 93.782
- Puring/Codeium varigatum Batang 28.248
c. Vegetasi Sempadan Sungai Tinggi 30 - 50 cm

'- Khaya/Khaya Sinegalensis Batang 24.858
- Puspa/Schima wallichii Batang 11.299
- Kenanga/Cananga odorata Batang 16.949
- Johar/Cassia siamea Lamk Batang 11.299
- Cemara sumatera/Casuarina equisetifolia Batang 16.949
- Sungkai/Peronema canescens Batang 14.689
- Matoa/pometia pinnata Batang 18.078
- Ebony/kayu hitam Batang 16.949
'- Sawo kecik/Manilkara kauki Batang 19.208
d. Vegetasi Sumber Air Baku/ Mata Air Tinggi 30 - 50 cm

- Karet Munding/Ficus elastica Batang 13.559
- Kelapa/Coucos nucivera Batang 16.949
- Kiara payung/Fillcum decipiens Batang 18.078
'- Manggis/ Garcinia mangostana Batang 20.338
SHB KEHUTANAN 91
LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
KELAUTAN DAN PERIKANAN
NO JENIS BARANG MEREK/MODEL/UKURAN SATUAN HARGA
1 2 3 4 5
D. KELOMPOK BARANG KELAUTAN DAN PERIKANAN
A BUDIDAYA
a. INDUK
1 Induk ikan mas Ginogenesis (Luar Daerah) 12-18 bulan Kg 576.963
2 Induk ikan mas lokal ≥ 350 gram Kg 142.630

3 Benih calon induk ikan mas 5-8 cm Ekor 3.208
4 Benih ikan mas 2-3 cm Ekor 698
5 Benih ikan mas 3-5 cm Ekor 1.395
8 Induk ikan nila ≥250s/d300 Gram Kg 240.240
9 Benih ikan nila merah/gift 2-3 cm Ekor 698
10 Benih ikan nila merah/gift 3-5 cm Ekor 967
11 Benih ikan nila merah/gift 5-8 cm Ekor 2.094
14 Induk ikan lele dumbo ≥300 Gram Kg 240.240
15 Benih ikan lele dumbo 3-5 cm Ekor 1.395
18 Induk ikan gurami lebih dari 10 kg Ekor 275.198
19 Induk kakap merah jantan Lebih dari 6 kg Ekor 509.874
20 Induk kakap merah betina Lebih dari 8 kg Ekor 509.874
21 Induk kakap putih jantan Lebih dari 5 kg Ekor 449.729
22 Induk kakap putih betina Lebih dari 8 kg Ekor 449.729
23 Benih ikan kakap putih 2-3 inc Ekor 9.884
24 Benih ikan kakap putih 3-5 cm Ekor 11.701
25 Benih ikan kakap putih 5-8 cm Ekor 13.158
26 Induk kerapu tikus / bebek jantan 12 Kg Ekor 747.490
27 Induk kerapu tikus / bebek betina 8 Kg Ekor 747.490
28 Induk kerapu macan jantan 8 Kg Ekor 747.490
29 Induk kerapu macan betina 12 Kg Ekor 747.490
30 Benih ikan kerapu bebek 6-8 inc Ekor 19.151
31 Benih kerapu lumpur 2-3 cm Ekor 6.474
35 Benih ikan kerapu macan 2-3 cm Ekor 6.512
39 Induk udang windu jantan lebih 14 cm Ekor 662.971
40 Induk udang windu betina 12-14 cm Ekor 1.223.833
41 induk Ikan Kerling Lokal 1-2 Kg Ekor 450.965
SHB KELAUTAN PERIKANAN 92

1 2 3 4 5
42 induk Ikan Kerling Lokal 2-3 Kg Ekor 601.698
43 benih Ikan Kerling Lokal 5-8 cm Ekor 9.724
44 benih Ikan Kerling Lokal 8-10 cm Ekor 10.868
45 Induk udang windu betina matang gonad Lebih 12 cm Ekor 2.039.901
46 Benur Udang windu PL 15 Ekor 100
49 Benih udang windu tokolan 2 bln Ekor 967
50 Nener Bandeng 1-1,5 cm Ekor 698
51 Nener Bandeng gelondongan 6-8 cm Ekor 1.946
52 Bandeng umpan 8-10 cm Ekor 3.623
53 Benih kepiting 50 s/d 100 gram Kg 101.840
54 Benih ikan Bawal air tawar 3-5 cm Ekor 2.791
57 Bibit/benih rumput laut 1000 Gram Kg 57.200
58 Gelondongan Ikan Bandeng Air Tawar 5-8 cm Ekor 3.354
59 Rumput Laut glaseria 1000 Gram Kg 34.320
60 Induk ikan nila merah/gift dari BBAT ≥200 s/d 350 Gram Kg 257.400
61 Benih calon induk ikan nila merah/gift 3-5 cm Ekor 2.791
62 Benih calon induk ikan nila JICA 3-5 cm Ekor 3.489
63 Benih calon induk ikan nila JICA 8-10 cm Ekor 14.223
64 Benih ikan nila gesit 3-5 cm Ekor 2.094
65 Benih calon induk ikan nila gesit Luar Daerah 3-5 cm Ekor 35.557
66 Benih calon induk ikan lele dumbo 3-5 cm Ekor 3.489

67 Induk ikan patin 100 Gram Kg 171.600
68 Benih calon induk ikan patin 3-5 cm Ekor 3.059
69 Benih ikan patin 3-5 cm Ekor 4.004
72 Benih ikan Grasscrap 1 3-5 cm Ekor 2.509
75 Benih Ikan Kerling 1 3-5 cm Ekor 7.000
78 Benih Ikan Gurami 1 1-3 cm Ekor 4.696
82 Benih Belut/Sidat 100 gram Kg 469.621
b. PERALATAN
1 Serok Besar Buah 128.656
2 Ember plastik kecil < 10 Liter Buah 21.886
3 Ember plastik sedang 10 s/d 15 Liter Buah 44.209

1 2 3 4 5
4 Ember plastik besar bertutup > 15 Liter Buah 120.519
5 Keranjang plastik benih 80 Liter Buah 135.286
6 Timba plastik kecil 5 - 10 Liter Buah 44.209
7 Timba plastik besar 10 - 30 Liter Buah 66.387
8 Hand counter Kenko Buah 133.066
9 Petridish Pyrex Buah 182.383
10 Sentrifuge listrik dgn pengatur kecepatan Biomedical/Toster 8.157.488
11 Gelas ukur Pyrex 10 cc Buah 186.323
14 Pin-set Chirurcies 714.357
15 Kertas PH Lakmus Kotak 98.633
16 Hapa pembenihan 2x4x1 m Unit 495.205
17 Hapa penampungan 2x4x1 m Unit 456.541
18 Hapa pendederan 1,5x2x1 m Unit 456.541
19 Kakaban 05x1 m² Unit 100.529
20 Baskom plastik kecil 10 Liter Buah 18.385
21 Disecting Set Gold Cross Unit 512.422
22 Corong plastik Ø 20 Buah 15.467
23 Gayung plastik 1 Liter Buah 665.332
24 Kertas saring Kotak 155.098
25 Termometer minimum 50 cc Buah 365.934
26 Termometer maksimum 300 cc Buah 16.331.124
27 Root blower 3 pas Buah 49.287.798
28 Hi blower Takatsuki Unit 16.504.335
29 Genset 2200 watt/Honda Unit 10.647.802
30 Genset 600 watt/Yamakoyo Unit 3.471.111
31 Kincir Tambak Lengkap Nanrong Set 14.928.000
32 Pompa submersibel dan dynamo 2 inc Set 35.593.559
37 Pompa Air 3/4 inc Buah 704.144
38 Drum (logam)/200 L Buah 1.006.024
39 Drum (plastik)/200 L Buah 502.939
40 Jaring Panen Bandeng Benang Samsi 50 M Set 834.583
41 Alat Panen tambak Cro Kantong 6M Unit 4.552.276
42 Jang Bambu Panen 1,5x4 M Set 2.276.138
43 Jang bambu Pintu Air 2,5x2 M Set 1.972.653
44 Pompa Centrifugal Matsuko/8 inc Buah 51.004.000
45 Sampan tanpa mesin 1 4 x 0,7 m/Kecil Buah 6.842.000
46 Sampan tanpa mesin 2 5 x 0,7 m/Besar Buah 8.086.000

1 2 3 4 5
c. SAPROKAN
1 Pakan Ikan Kerapu :
- Pakan ikan starter 1 pokphan FE 2 25 % UP Kg 8.351
- Pakan ikan starter 2 HI PRO VIT 783 Kg 10.225
- Pakan ikan Grower 1 pokphan FE 3 25 % UP Kg 8.237
- Pakan ikan Grower 2 HI PRO VIT 784 Kg 9.996
- Pakan ikan finisher 1 pokphan FE 4 25 % UP Kg 8.122
- Pakan ikan finisher 2 HI PRO VIT 785 Kg 9.825
2 Pakan Ikan Bandeng : -
- Pakan ikan starter 1 FE 2 25 % UP Kg 8.351
- Pakan ikan starter 2 HI PRO VIT 783 Kg 10.225
- Pakan ikan Grower 1 FE 3 25 % UP Kg 8.237
- Pakan ikan Grower 2 HI PRO VIT 784 Kg 9.996
- Pakan ikan finisher FE 4 25 % UP Kg 8.122
HI PRO VIT 785 Kg 9.825
3 Pakan Ikan Nila : -
- Pakan ikan starter FN 2 30 % UP Kg 10.410
HI PRO VITE 788-2 Kg 10.900
- Pakan ikan Grower FN 3 30 % UP Kg 10.296
- Pakan ikan finisher FN 4 30 % UP Kg 10.296
HI PRO VITE 789 Kg 10.523
4 Pakan Ikan Lele: -
- Pakan ikan starter FL 2 30 % UP Kg 10.410
HI PRO VITE 781-2(25) Kg 12.057
- Pakan ikan Grower FN 2 30 % UP Kg 10.296
HI PRO VITE 781-3(25) Kg 11.828
- Pakan ikan finisher FN 3 30 % UP Kg 10.296
5 Pakan Ikan mas: -
- Pakan ikan starter FS 2 28 % UP Kg 9.610
S99-2 Kg 10.328
- Pakan ikan Grower FS 3 28 % UP Kg 9.495
S99-3 Kg 10.271
- Pakan ikan finisher FS 4 28 % UP Kg 9.495
S99-4 Kg 10.271
6 Pakan Ikan Patin : -
- Pakan ikan starter 9.731
- Pakan ikan Grower 9.599
- Pakan ikan finisher 9.467
7 Pakan Induk Nila 10.296
Pakan Induk Mas 9.495
Pakan Induk Lele 10.296
Pakan Induk Kerapu 8.122
Pakan Induk Bandeng 8.122
Pakan Induk Patin 8.132

1 2 3 4 5
8 Pakan udang (intensif) starter MB-SQ 3P 38 % - 40 % Kg 18.533
MB-SQ 01 38 % - 40 % 18.876
9 Pakan udang (intensif) Grower MB-SQ 10 38 % - 40 % Kg 18.304
MB-SQ 02 38 % - 40 % 18.762
10 Pakan udang (intensif) finisher MB-SQ 11 34 % - 36 % Kg 19.334
MB-SQ 03 38 % - 40 % 18.647
11 Pakan Benih Udang :
- Babyplankton Kg 1.597.091
- Monodon Kg 798.399
- Flex Kg 1.197.744
- Chlorella Kg 1.197.744
12 Artemia Pounds 931.612
13 Kapur dolomit Kg 12.256
14 Brestan 60 (Bentan ) Kg 2.661.768
15 Hormon Ova prim 10 mg Ampul 744.122
16 Saponin Kg 11.196
17 Moluskisida 100 Gram Gram/saset 119.643
18 Pakan pelet pokphan Kg 18.660
19 Ikan rucah Kg 13.861
20 Galian Tanah Saluran manual M3 30.932
21 Galian Tanah Saluran ( Alat Berat) M3 24.657
22 Perataan dan memadatkan tanah pematang M3 13.715
23 Pipa Paralon Tambak Tipe AW/8 inc btg 3.186.593

27 Pakan Ikan Air Tawar
- Pakan ikan starter Proton 30 % - 30 % Provit Kg 28.612
- Pakan ikan finisher Vit 30 % - 30 % Provit Kg 21.148
B PENANGKAPAN
Sarana dan Peralatan
1 Mesin Kapal Motor 1 Honda/5,5 PK Unit 3.296.600
2 Mesin Kapal Motor 2 Honda/5,5 PK/Thailand Unit 3.234.400
3 Mesin Kapal Motor 3 Honda/6,5 PK Unit 3.794.200
4 Mesin Kapal Motor 4 Honda/6,5 PK/Thailand Unit 3.700.900
5 Mesin Kapal Motor 5 Donfeng/Jiandong 12 PK (PT.Merpati Workshop) Unit 6.468.800
6 Mesin Kapal Motor 6 Donfeng/Jiandong 12 PK (PT.Gunung Mas) Unit 6.717.600
7 Mesin Kapal Motor 7 Donfeng/Jiandong 16 PK (PT.Merpati Workshop) Unit 6.593.200
8 Mesin Kapal Motor 8 Donfeng/Jiandong 16 PK (PT.Gunung Mas) Unit 6.966.400
9 Mesin Kapal Motor 9 Donfeng/ 20 PK (PT.Merpati Workshop) Unit 7.464.000
10 Mesin Kapal Motor 10 Donfeng/ 20 PK (PT.Gunung Mas) Unit 7.401.800
11 Mesin Kapal Motor 11 Donfeng 23 PK (PT.Merpati Workshop) Unit 7.588.400
12 Mesin Kapal Motor 12 Donfeng 23 PK (PT.Gunung Mas) Unit 7.775.000
13 Mesin Kapal Motor 13 Jiang Dong/ 24 PK Unit 8.086.000

1 2 3 4 5
14 Mesin Kapal Motor 14 Jiang Dong/ 24 PK /ZH1115 Unit 8.459.200
15 Mesin Kapal Motor 15 Yanmar/10,5 PK (PT.Merpati Workshop) Unit 19.219.800
16 Mesin Kapal Motor 16 Yanmar/10,5 PK (PT.Gunung Mas) Unit 17.291.600
17 Mesin Kapal Motor 17 Yanmar/23 PK (PT.Merpati Workshop) Unit 35.765.000
18 Mesin Kapal Motor 18 Yanmar/23 PK (PT.Gunung Mas) Unit 32.468.400
19 Mesin Kapal Motor 19 Yanmar/30 PK (PT.Merpati Workshop) Unit 49.262.400
20 Mesin Kapal Motor 20 Yanmar/30 PK (PT.Gunung Mas) Unit 44.908.400
21 Mesin Kapal Motor 21 Marine engine/120 PK Unit 223.920.000
22 Mesin Kapal Motor 22 Marine engine/220 PK Unit 267.460.000
23 Mesin Tempel 1 Yamaha / 25 PK (PT.Merpati Workshop) Unit 45.406.000
24 Mesin Tempel 2 Yamaha / 25 PK (PT.Gunung Mas) Unit 45.406.000
25 Mesin Tempel 3 Yamaha / 40 PK Unit 69.664.000
26 Gear Box 1 Model 0,6 Ratio 2,5 Set 3.980.800
27 Gear Box 2 Model 0,6 Ratio 2,5/marine Set 3.980.800
28 Gear Box 3 Model 16 Ratio 1,3 Set 5.846.800
29 Gear Box 4 Model 16 Ratio 1,3/marine Set 5.287.000
30 Gear Box 3 : 1 Marine/1500-2000 rpm Unit 20.526.000
31 Gear Box 4 : 1 Marine/1500-2000 rpm Unit 23.014.000
32 As Well/As Propeller 1 Ø 1,25 ; 1,8 M (PT.Merpati Workshop) Batang 1.990.400
33 As Well/As Propeller 2 Ø 1,25 ; 1,8 M (PT.Gunung Mas) Batang 1.866.000
34 As Well/As Propeller 3 Ø 1,25 ; 2,2 M (PT.Merpati Workshop) Batang 2.239.200
35 As Well/As Propeller 4 Ø 1,25 ; 2,2 M (PT.Gunung Mas) Batang 2.145.900
36 Sarung As Ø 1,25 ; 1,0 M (PT.Merpati Workshop) Batang 3.421.000
37 Jaring PE 1 Madang (PT.Merpati Workshop) Kg 62.200
38 Jaring PE 2 Madang (PT.Gunung Mas) Kg 62.200
40 Jaring Nilon/Karet 1 Mesh 1", D/30 (50x500 M) (PT.Merpati Workshop) Bal 13.684.000
41 Jaring Nilon/Karet 2 Mesh 1", D/30 (50x500 M) (PT.Gunung Mas) Bal 14.306.000
46 Jaring Nilon 1 Mesh 1.5", D/21 (100x400 M) (PT.Merpati Workshop) Bal 13.062.000
47 Jaring Nilon 2 Mesh 1.5", D/21 (100x400 M) (PT.Gunung Mas) Bal 11.818.000
48 Jaring Nilon 3 Mesh 2", D/21 (100x400 M) (PT.Merpati Workshop) Bal 11.569.200
49 Jaring Nilon 4 Mesh 2", D/21 (100x400 M) (PT.Gunung Mas) Bal 11.196.000
56 Jaring Nilon 11 Mesh 1.5", D/15 (100x400 M) (PT.Merpati Workshop) Bal 8.832.400
57 Jaring Nilon 12 Mesh 1.5", D/15 (100x400 M) (PT.Gunung Mas) Bal 8.708.000

1 2 3 4 5
64 Jaring Nylon 1 Mesh 1", D/9 (100x400 M) (PT.Merpati Workshop) Bal 5.598.000
65 Jaring Nylon 2 Mesh 1", D/9 (100x400 M) (PT.Gunung Mas) Bal 4.976.000
66 Jaring Nylon 3 Mesh 1,5", D/9 (100x400 M) (PT.Merpati Workshop) Bal 4.976.000
67 Jaring Nylon 4 Mesh 1,5", D/9 (100x400 M) (PT.Gunung Mas) Bal 4.851.600
72 Jaring Nylon 9 Mesh 4", D/9 (100x400 M) Bal 4.105.200
75 Jaring Nylon 12 Mesh 1,5", D/12 (100x400 M) (PT.Merpati Workshop) Bal 6.842.000
76 Jaring Nylon 13 Mesh 1,5", D/12 (100x400 M) (PT.Gunung Mas) Bal 6.593.200
83 Jaring Nylon 20 L22, mesh 5"(P100,50MD) Bal 18.660.000
84 Jaring PA 1 Mesh : 0,1-0,5 Inch( 50 x1,5 M) Bal 472.720
85 Jaring PA 2 Perlon .(Ø 0,26, MS. 2") (PT.Merpati Workshop) Pis 242.580
86 Jaring PA 3 Perlon .(Ø 0,26, MS. 2") (PT.Gunung Mas) Pis 242.580
87 Jaring PA Samsi/Perlon(No. 0,35/Ms.5") (PT.Merpati Workshop)Pics 292.340
Samsi/Perlon(No. 0,35/Ms.5") (PT.Gunung Mas) Pics 292.340
Arida/United (PA Ø 0,07 mm, MS.152,4
88 Outer Net Pics 348.320
mm).
Arida/United (PA Ø 0,035 mm, MS.50,8
89 Inner Net Pics 311.000
mm)
90 Selvedge Madang PE Kg 236.360
91 Pelampung Y3 Cap Ayam Biji 3.483
92 Pelampung Tanda Fiber Biji 622.000
93 Pelampung Angin G6 Biji 37.320
94 Pelampung Y 8 Cap Ayam Biji 9.952
95 Pelampung Pukat G 35 Biji 43.540
96 Pelampung Apolo Cap Ayam Buah 3.110
97 Pelampung Tanda Cap Ayam Buah 37.320
98 Tali PE <5 mm Kg 80.860
99 Tali PE >5 mm Kg 74.640
100 Tali Pancing Samsi No. 100 Pak 348.320
103 Tali Branch line/prambot PA. Samsi/Perlon (No.500) Kg 497.600

1 2 3 4 5
104 Mata Pancing No. 14 ( 100 biji) Kotak 93.300
106 Mata Pancing N0. 4 (100 biji) Kotak 472.720
109 Padok Plastik (penggulung) Dragon/Ayam Buah 87.080
110 Padok Rotan (penggulung) Dragon/Ayam Buah 111.960
111 Timah Timah Pukat Kg 62.200
112 Timah Jala Timah Rantai Kg 111.960
113 Timah Tipis Timah Lempengan Kg 80.860
114 Jarum Coban Cap Ayam Biji 8.708
115 Jangkar 25 Kg Besi Ulir Buah 2.239.200
116 Jangkar ( 50 GT) Besi Ulir Buah 7.464.000
117 Jala Tebar 5 m 5m Buah 3.483.200
118 Jala Tebar 7 m 7m Buah 4.478.400
119 Benang Nylon Arida/United Kg 248.800
120 Benang Nylon L30 Pak 273.680
123 Benang PA Samsi/Perlon (No. 150) Rol 348.320
124 Lampung Angin (kapal) Ø 8 cm / Fiber Buah 186.600
125 Lampung Besar Ø 12" / Fiber Buah 435.400
126 Lampung Pukat DS 02 / Dragon/Ayam Buah 31.100
127 Pelampung Y8 / Cap Ayam Buah 3.110
128 Pelampung Tanda Ø 12" Fiber / Cap Ayam Buah 311.000
129 Pelampung Dragon/Ayam / Y-3H Buah 3.732
130 Pelampung Belimbing Gabus Buah 4.976
131 Lampung Pukat bahan PVC / G35 Buah 49.760
132 Fish Fender GPSMAP Sounder Unit 19.904.000
133 GPS Garmin Unit 12.440.000
134 Water Lamp LACUDA Unit 2.239.200
135 Line Hauler Hidroulic 200 m / min Penggerak Ac 380 V, 7, 5 Kw Unit 94.419.600
136 Life Jacket 1 SNI (PT.Merpati Workshop) Buah 186.600
137 Life Jacket 2 SNI (PT.Gunung Mas) 186.600
138 Kili-Kili 06 Stenless Stell Kotak 68.420
139 Kili-Kili Kodok Stenless Stell Biji 31.100
140 Rumpon Laut Dalam > 600 m kedalaman laut Unit 118.180.000
141 Rumpon Laut Dangkal 300 s/d 600 m kedalaman laut Unit 93.300.000
142 Rumpon laut 0 s/d 300 m kedalaman laut Unit 87.080.000
143 Cool Box Fiber OCEAN / 100 Ltr Buah 933.000
144 Cool Box Fiber OCEAN / 200 Ltr Buah 995.200
145 Cool Box Fiber OCEAN / 220 Ltr Buah 1.119.600
146 Dawai Waja No.16 Cap Ikan Terbang Kg 348.320
147 Kili-Kili Kodok Besar Steinless Stell Biji 31.100
148 Lampu Tanda Buah 99.520
149 Keranjang rotan Ø 70 cm x T. 70 cm Bahan Rotan buah 746.400

1 2 3 4 5
150 Cincin Ө8" Besi Putih Bh 223.920
151 Cincin Ө2" Besi Putih Bh 74.640
152 Cincin Ө3" Besi Putih Buah 111.960
153 Surat dan dokumen kapal Grosse Akte berkas 14.928.000
154 Sea Trial Uji Layar Kali 9.952.000
155 Fishing Trial Uji Tangkap Kali 18.660.000
PEMBANGUNAN KAPAL IKAN (KAYU)

1. KASKO LAMBUNG DAN ANJUNGAN KAPAL
1 Kepala Tukang Kapal Kayu OH OH 248.800
2 Tukang Kapal Kayu OH OH 186.600
3 Pekerja Kapal OH OH 124.400
4 Mandor OH OH 149.280
5 Kepala Tukang Fiberglass OJ OJ 62.200
6 Tukang Fiber Glass OJ OJ 31.100
7 Pekerja Fiber Glass OJ OJ 18.660
8 Kayu Kuat I-II, Awet I-II (Khusus Kapal) Kuat I/Awet I M3 9.330.000
9 Kayu Kuat II-III, Awet II-III (Khusus Kapal) Kuat II/Awet II M3 8.086.000
10 Resin BQNT 157 yucalak Kg 99.520
11 Resin BQNT 235 yucalak Kg 93.300
12 Matt dan Roving China China Kg 55.980
13 Matt dan Roving Taiwan Taiwan Kg 49.760
14 Katalis SNI 100 cc 43.540
15 Acetone SNI 100 cc 4.354
16 Gelcoat Yucalak Kg 105.740
17 Polyurethane A+B, 40 Kg/m3 Kg 111.960
18 Pewarna yucalak Kg 223.920
19 Paku Galvanish 2"-6" inch Galvanish Kg 43.540
20 Paku Kuningan 2"-6" inch Kuningan Kg 68.420
21 Mur+Baut 12 mm Galvanish Batang 23.636
26 Baut 12 mm (STUT) Stantless Steal Batang 174.160
31 Mur+Ring 12 mm Stantless Steal Biji 21.148

1 2 3 4 5
Penyetelan Dudukan Mesin, , Cek

36 Instalasi Mesin induk Kapal Ikan Batang 211.480
Kelurusan Saft Propeller, Center Mesin
Penyetelan dudukan mesin, Center

37 Instalasi Mesin Bantu PK/KW 62.200
Dinamoe
38 Damar Lokal standart Kg 24.880
39 Lem epoxi resin Alvian, Fox, Dll Set 933.000
40 Tali Pakal Lambung Tali Goni, Tali Rami Kg 37.320
41 Paku Seng Lambung Galvanish Kg 31.100
42 Bantalan Poli Katrol (0,30x0,30x2)m Bungur / Meranti Merah / Merbau (1,08) Batang 5.598.000
43 Tiang penahan Katrol (0,22 x 0,20 x5)m Bungur / Meranti Merah / Merbau (2) Batang 2.114.800
44 Tiang Lampu Depan (0,20 x 0,20 x 5) m Bungur / Meranti Merah / Merbau (1) Batang 2.488.000
45 Tiang Lewang (0,22x 0,22 x 6)m Bungur / Meranti Merah / Merbau (1) Batang 6.220.000
46 Tangan Lewang Pipa Besi ϴ3" x 5mm Batang 4.354.000

47 Rantai Lewang Besi Kg 149.280
48 Pintu Kamar Nahkoda (0,80 x 0,03 x2 m) Lokal standart buah 1.990.400
49 Pintu Kamar Mesin (0,80 x 0,03 x 0,90m) Lokal standart buah 1.244.000
2
50 Karpet Atap Standar (Karet/Plastik) M 199.040
51 Cat Diatas Garis Air SNI Kaleng 118.180
52 Cat Anti Foulling SNI liter 348.320
53 Penopang Lunas Besi Ulir (Kapal 20 s/d 30 GT) unit 3.483.200
54 Seacock (prok air) 1 Inch Kuningan (lokal Std) unit 559.800
55 Seacock (prok air) 2 Inch Kuningan (lokal Std) unit 1.057.400
56 Seacock (prok air) 3 Inch Kuningan (lokal Std) unit 1.555.000
57 Sistem Pendingin Mesin Cooler Ps.120 Set 14.928.000
58 Remote (handle) Mesin Induk Singgle Engine unit 4.354.000
59 Kabel Remote 4 meter Set 995.200
60 Kabel Remote 6 meter Set 1.492.800
61 Kabel Remote 8 meter Set 1.990.400
B. Propulsi dan sistem Kemudi
1 Propeller empat daun 32 x 34 " inch Kuningan (lokal Std) unit 11.196.000
2 Propeller empat daun 20/22 " Inch Kuningan (lokal Std) unit 3.732.000

1 2 3 4 5
10 As Propeller Jadi Standless Steal 304 Kg 2.736.800

11 Sarung As Propeller Lengkap Besi Baja Kg 995.200
12 Sarung As Propeller Lengkap Kuningan Kg 286.120
13 Kepala Babi + stentif Kuningan ship set 9.330.000
14 Pelat Daun kemudi Pelat Baja tebal 12 mm M2 2.239.200
15 Pelat Daun kemudi Pelat Baja tebal 8 mm M3 1.492.800
16 Pelat Daun kemudi Pelat Baja tebal 5 mm M4 995.200
17 Batang As Kemudi Besi Baja Batangan Kg 55.980
18 Sarung As kemudi Lengkap Pipa Baja Galvanish Kg 80.860
19 Jantra Lokal (Untuk Kapal Tradisional) unit 2.488.000
3. MESIN BANTU DAN ALAT BANTU PENANGKAPAN IKAN

1 Mesin Diesel Genset 5 Kw Rakitan Unit 18.660.000
4 Mesin Diesel Genset 20 Kw Marine Genset Unit 87.080.000
8 Sistem Pendinginn Mesin Genset Lokal standart shipset 9.330.000
9 ex Gardan Fuso Modifikasi Set 17.416.000
10 ex Gardan Ps 120 Modifikasi Set 9.952.000
11 ex Gardan L 300 Modifikasi Set 6.220.000
12 Poli katrol samping (winch) AlumInium (ϴ5") Kg 286.120
13 Sistem Penggerak Gardan Rakitan Shipset 6.842.000
14 Poli Tegak (Lengkap) Alumanium Lokal Standar Kg 223.920
15 Poli Tidur Standless Steal 304 Kg 311.000
16 Flansdesk 8 inci unit 3.110.000
17 Simpang Empat 8 inci unit 4.976.000
18 Handle Katrol Pukat 1 inci unit 1.057.400
19 Pompa Keong 1.5 inch Kuningan (lokal Std) unit 2.239.200
20 Pompa Keong 2 inch Kuningan (lokal Std) unit 2.985.600
21 Pompa Keong 2,5 inch Kuningan (lokal Std) unit 3.980.800
22 Clam Selang Pc 311.000
5. KELISTRIKAN KAPAL
1 Lampu Sorot Kapal Waterprof (anti Air ) / 1000 watt Set 4.851.600
2 Baterai (ACCU) / AKI SNI / 120 A Buah 2.861.200
3 Batteray Charger SNI / 220 Vt Buah 2.488.000

1 2 3 4 5
4 Trafo lilin SNI buah 55.980
6. Alat Navigasi
1 Radio VHF all band buah 16.172.000
2 Lampu Navigasi (Marine Ligth) SNI Bal 597.120
3 Sistem Monitoring Kapal Perikanan SNI Bal 37.320.000
4 Lampu Tanda kapal Ikan SNI Bal 186.600
5
7. Perlengkapan Keselamatan Bal
1 Life Boy ( FRP ) SNI buah 559.800
2 Life Raft SNI, Kapasitas 15 Orang buah 31.100.000
8. Perlengkapan Geladak
1 Meja Dapur Standar Kapal set 1.866.000
2 Kompor Gas Standar Buah 2.114.800
3 Tabung Gas LPG 12 Kg Buah 1.119.600
4 Kotak P3K lengkap obat (standard) SNI buah 435.400
5 Serok Pukat Standar buah 4.354.000
6 Bak Air Plastik / Kapasitas 200 Ltr PE unit 995.200
9. Palkah dan Tanki-Tanki

1 Tanki Bahan Bakar (500,Fiberglass) Buah 4.727.200
5 Palkah Ikan (8.0 ton, fiberglass) Buah 47.272.000
6 Palkah Ikan (6,5 ton,Fiberglass) Buah 31.100.000
7 Palkah Ikan (5,0 ton, Fiberglass) Buah 24.880.000
10. Bahan Laboratorium

1 Formalin 40% ltr 24.669
2 Malachite green kg 1.837.687
3 Copper sulphate kg 1.607.459
4 Larutan Edta kg 516.633
5 Larutan Na2 So4 kg 516.633
6 Rotenon kg 209.664
7 Larutan FeCl2 kg 343.966
8 Larutan Na2 Sio3 ltr 102.779

1 2 3 4 5
9 Vitamin B12 (cyanovit) Ampul 13.149
10 Saponin kg 12.739
11 Termometer minimum Whiz Digital Unit 433.036
12 Timbangan digital KD-810 Unit 509.779
13 Hand Refraktometer RHH-52ATC Buah 13.917.685
11. Ongkos Perakitan

Jasa Perakitan Alat Tangkap Purse Seine
1 Jasa Perakitan LS 38.000.000
diatas 30 GT
2 Jasa Pembuatan Jaring Insang Jasa Perakitan Ls 400.000
3 Jasa Pembuatan Alat Tangkap Gill Net Tukang LS 1.800.000
4 Jasa Pembuatan Tramel Net Tukang LS 3.000.000
5 Jasa Perakitan Alat Tangkap Jaring Pari Tukang LS 2.200.000
6 Ongkos Rakit Pukat Darat Tukang Ls 8.000.000
7 Ongkos rakit Jaring Rawai Hiu Tukang Ls 2.800.000
8 Jasa Perakitan Rawe Hanyut Tukang LS 1.500.000
9 Surat dan Dukumen Kapal Grosse Akte berkas 12.000.000
Nama Tim Pembahas dan Survey Dinas Kelautan dan Perikanan Aceh
1. Erwandi, S.Pi ...............................

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
PETERNAKAN
1 2 3 4 5
E. KELOMPOK BARANG BIDANG PETERNAKAN
A. Bibit
1. Sapi
Sapi Perah Bibit Jantan FH FH 18 - 24 bln Ekor 31.525.200
Sapi Perah Bibit Betina FH FH 18 - 24 bln Ekor 29.273.400
Sapi PO Jantan Bakalan 12-18 bln Ekor 18.014.400
Sapi PO Betina 18 - 24 bln Ekor 16.888.500
Sapi PO Jantan Pemacek 24-36 bln Ekor 22.518.000
Sapi Hasil IB Jantan Bakalan 12-18 bln Ekor 18.577.350
Sapi Hasil IB Betina 18 - 24 bln Ekor 12.947.850
Sapi Lokal Jantan Bakalan 12-18 bln Ekor 15.762.600
Sapi Lokal Betina 18 - 24 bln Ekor 12.384.900
Sapi Lokal Jantan Pemacek 24-36 bln Ekor 20.266.200
Sapi Bali Jantan Bakalan 12-18 bln Ekor 15.762.600
Sapi Bali Betina 18-24 bln Ekor 12.384.900
Sapi Bali Jantan Pemacek 24 - 36 bln Ekor 20.266.200
Sapi Aceh Jantan Bakalan 12-18 bln Ekor 14.636.700
Sapi Aceh Betina 18-24 bln Ekor 11.259.000
Sapi Aceh Jantan Pemacek 24-36 bln Ekor 18.014.400
2. Kuda
Kuda Jantan/Betina Peranakan Kelas A 36-48 bln (141-150 cm) Ekor 225.180.000
Kuda Jantan/Betina Peranakan Kelas B 36-48 bln (141-140 cm) Ekor 97.953.300
Kuda Jantan/Betina Peranakan Kelas C 36-48 bln (126-130 cm) Ekor 73.183.500
Kuda Jantan /Betina KPI Kelas A Super 36-48 bln (151-165 cm) Ekor 292.734.000
Kuda Jantan/ Betina Lokal 36-48 bln (117-125 cm) Ekor 48.413.700
Induk Kuda Pacu Jantan/Betina Impor
36-48 bln (> 165 cm) Ekor 878.202.000
(Thorugbreed Autralia/Perancis)
Induk Kuda Jantan Pacu Indonesia
36-48 bln Ekor 607.986.000
(thorougbreed)
3. Kerbau
Kerbau Bibit Jantan 18 - 36 bln Ekor 18.014.400
Kerbau Bibit Betina 18-24 bln Ekor 15.199.650
4. Kambing
Kambing Kacang Bibit Betina 12 - 18 bln Ekor 2.082.915
Kambing Kacang Bibit Jantan 12 - 18 bln Ekor 2.927.340
Kambing PE Bibit Jantan 12-18 bln,BB 20-35 kg Ekor 4.053.240
Kambing PE Bibit Betina 12-18 bln, 15-25 Kg Ekor 3.152.520
5. Domba
Domba Bibit Jantan 12 - 18 bln, BB 10-20 Kg Ekor 2.476.980
Domba Bibit Betina 12 - 18 bln, BB 10-15 Kg Ekor 2.026.620
6. Unggas
Ayam Buras DOC (satu hari setelah penetasan) Ekor 10.133
SHB KR- KESEHATAN HEWAN PETERNAKAN Hal - 105

1 2 3 4 5
Ayam Ras Petelur DOC (satu hari setelah penetasan) Ekor 14.074
Ayam Ras Pedaging DOC (satu hari setelah penetasan) Ekor 12.385
Ayam Ras Petelur Pullet 3-4 Bulan Ekor 84.443
Ayam Ras Petelur Dewasa Dewasa Ekor 112.590
Itik Dewasa umum Ekor 95.702
Ayam Buras Dewasa Jantan umum Ekor 112.590
Ayam Buras Dewasa Betina umum Ekor 101.331
Itik Lokal DOD (satu hari setelah penetasan) Ekor 11.034
Itik Alobio DOD (satu hari setelah penetasan) Ekor 15.763
Itik Manila (Entok) Dewasa umum Ekor 185.774
Puyuh Dewasa umum Ekor 15.763
Semen Beku (Frozen Semen) Straw 30.399
B. Bahan, Peralatan dan Obat-obatan

1. Bahan
- Hydrogen Peroxyde GR for Analysis JT Baker 2186 Botol 2.049.810
- Tryptone Soys Broth - Oxoid, CM. 131 Botol 1.404.309
- Scharlau 02-200 Botol 1.229.641
- A. Napthol M. 6223 Botol 1.034.604
- Brilian Green Agar - Oxoid, CM. 263 Botol 4.509.618
- Scharlau 01-203 Botol 3.279.452
- SS Agar Oxoid, CM. 99 Botol 2.322.617
- Spiritus Lokal Botol 24.116
- Ethanol Absolute GR for Analysis ACS, ISO M. 983 Botol 770.360
- Ethanol Absolute for Synthesis ACS, ISO Meck Botol 781.786

- Kovac Indol Reagen M. 9293 Botol 1.103.811
- Sabouraud 4% Dextrose Agar (SDA) M. 5438 Botol 1.871.725
Scharlau 01-165 Botol 1.639.590
- Aceton GR for Analysis ACS, ISO Scharlau AC 314 Botol 1.257.078
- Xylene GR for Analysis ACS, ISO - M. 8681 1.060.120
- JTB. 9490 1.320.978
- Xylene BAR,ACS Reagent 9490-03 liter 1.357.071
- Chloroform GR for Analysis ACS, ISO M. 2445 803.391
- Brucella Rose Bengal Test Made In USA Vial 1.165.678
- Brucella Rose Bengal Test pusvetma Botol 367.770
- Serum Aglutinasi Test Balitvet Vial 202.688
DHL (Deso Xycholate Hydrogen Sulfide
- M. 111435 Botol 6.513.942
Lactose Agar
- Antigen Micoplasma Galli Septicum (CRD) Pusvetma Vial 612.950
- Antigen ND Pusvetma Vial 107.266

- Antigen Pullorum Pusvetma Botol 306.475
- Antigen Avian Influenza Pusvetma Vial 91.943
Antigen Complement Fixation Test (CFT)
- Pusvetma Vial 395.841
Brucella
- Serum Spesifik Avian Influenza Balitvet Vial 204.951
- Serum Positif ND pusvetma Botol 61.295
- Serum Positif Al pusvetma Botol 76.619
- Serum Negatif Al pusvetma Botol 76.619

1 2 3 4 5
- Serum Positif Pullorum pusvetma Botol 61.295
- Serum Negatif Pullorum pusvetma Botol 61.295
- Serum Positif Mycoplasma pusvetma Botol 61.295
- Serum Negatif Mycoplasma pusvetma Botol 61.295
- Serum Positif Brucella pusvetma Botol 61.295
- Serum Negatif Brucella pusvetma Botol 61.295
- Pelarut PBS pusvetma Botol 24.518
- Kit Elisa Rabies Biorad Kit 37.189.515
- Kit Elisa lBR ldexx Kit 17.530.370
- Kit Elisa lBV ldexx Kit 9.772.875
- Kit CATT (Surra) Balitvet Kit 6.129.500
- Kit Elisa TBA ldexx Kit 30.647.500
- Kit Elisa Brucella ldexx Kit 30.647.500
- Kit Elisa SE ldexx Kit 30.647.500
- Kit Toxo Biorad Kit 12.996.992
- Aquadest Lokal Botol 31.775
- Aquadestilata 20 l jerigen 196.144
Giemsa’s Azur Eosin Methylen Blue
- M. 9204 Botol/500 ml 1.072.663
Solution for Mocroscopy
- Parafin Block 57 - 60 M. 7158 Kg 1.771.475
- Formaldehyde Sol. Min 37% Free Acid Mallincrotdth Botol 2.008.873
- Glycerin Mallincrotdth Botol 3.018.656
- Tawas Lokal Kg 21.495
- Methylen Ph Eur M. 5943 Botol 4.236.286
- PBS (Phosphate Buffer Saline) Oxoid, BR 14 Botol 1.965.086
- Rapid Test Avian Influenza Made In USA Kotak 9.633.008
- Desinfectan Virkons Antec. 2,5 Kg Tube 2.796.229
- Desinfectan Virkons Antec. 10 Kg Tube 9.067.470
- Eosin B. M. 115934 Botol 3.367.184
- Garam Dapur Pharma Grade Kg 177.942
Sodium Phosphate, Monobasic, H2O, MB
- Mallincrotdth 7892 Botol 2.186.143
Grade
- Sodium Phosphate, Dibasic, MB Grade Mallincrotdth 7817 Botol 2.160.141
- Mercury Acid Red GR Botol 6.764.490
- Picric acid (Naturated Aquehos Solution) Scharlau AC 1768 Botol 5.329.358
Acetic Acid (Glacial) 100% GR for Analysis
- M. 63 Botol 931.652
ACS, ISO
- Nitric Acid 10 mol / l M. 9964 Botol 879.858
Potasium Aluminium Sulfat GR for Analysis
- M. 5153 Kg 1.781.897
ACS, ISO
- Benzene GR for Analysis ACS, ISO M. 1783 Botol 4.281.725
- Hemotoxyline Cristal M. 115938 Botol 4.561.348
- Basic Fuchin M. 115937 Botol 1.218.806
- Acid Fuchin M. 105231 Botol 2.973.534
- Phenol Cristal Scharlau FE 452 Botol 2.322.935
- Gentian Violet M.1594525 Botol 1.076.547
- N2 Cair Liter 36.100
- KaryoMAX®Giemsa Stain Solution Invitrogen®/10092013 x 100 ml 2.084.030
- Purelink Genomic DNA Mini Kit Invitrogen®/k182001 x 50 rxn 5.516.550
- Platinum PCR Supermix Invitrogen®/1130616 x 100 rxn 6.570.824

1 2 3 4 5
- 100 bp DNA Ladder Invitrogen®/15628019 x 50 ug 4.615.514
- 1 kb DNA Ladder Invitrogen®/10787018 x 250 ug 7.692.523
- PNS Tablet Invitrogen®/003-002 x 100's 2.721.498
- Purelink RNA Mini Kit Invitrogen®/12183018A x 50 rxn 9.586.538
- Purelink Viral DNA/RNA Mini Kit Invitrogen®/12280050 x 50 rxn 8.777.444
- Alsever Solution Invitrogen®/HFH11 x 100 ml 3.309.930
- Ttc Solution (1%) Oxoid/SR0229K 10 x 5 ml 1.501.728
- Buffered Peptone Water Oxoid/CM0509B 500 g 858.130
- Plate Count Agar Oxoid/CM0325B 500 g 1.225.900
- Mueller Hitton Agar Oxoid/CM0337B 500 g 1.225.900
- Blank CT0998B/oxoid 5 x 50 Discs 471.972
- Kanamycin K30 CT0026B/oxoid 5 x 50 Discs 398.418
- Tetracyline Te 300 CT0054B/ 5 x 50 Discs 398.418
- Penicillin G P 10 CT0043B 5 x 50 Discs 398.418
- Plate Count Agar CM0325B 500 g 1.225.900
- Buffered Peptone Water CM1049B 500 g 1.225.900
- Glicerol, Anhyrous, BAR, ACS Reagent 2136-03 liter 3.616.405
- Phosphate Buffered Saline Tablet BR0014E Tabs 858.130
Sodium Cloride, Crystal, BAR, ACC
- 3624-69 kg 470.746
Reagent
- Formaldehyde Tes Box 2.738.661
- Acetonitrille Gradien HPLC Grade A0627/AP4 Botol 1.066.533
- Parafin wax, pure, granular 416770020 kg 2.635.685
- Bacillus Cereus ATCC®9541™* Remel/R4601220 5 loops 1.525.387
- Bacillus Subtilis ATCC®6633™* Remel/R4601221 5 loops 1.525.387
2. Peralatan
- Alat cukur Electric 413731 Devasa-Spanyol Pc 2.512.439
- Alat cukur Manual 85411 Hauptner-Jerman Pc 1.832.960
- Alat Pencabut Bulu Ayam Elsaric Devasa-Spanyol Unit 20.178.286
- Bull Holder (4130513) Devasa-Spanyol Pc 714.945
- Bull Ring 52 mm (H05762) Hauptner-Jerman P 334.435
- Buyrometer 0-6%, 0,1 Scneider-Jerman Pc 922.755
- Calf Nipple (Nursing) 416607 Devasa-Spanyol Pc 263.576
- Calf Nipple for NP Nursing Bottle Hauptner-Jerman Pc 57.196
- Calf Pail Nipple 413870 Devasa-Spanyol Pc 90.560
- Calf Rubber nipple for Galvanized Pail Devasa-Spanyol Pc 61.962
- Castrator (Tang untuk Kastrasi) 35 cm Devasa-Spanyol Unit 2.835.948
- Centiuge (3670) 8 tabung, Nova Safety F. Gerber-Jerman Unit 52.964.546
- Claw Side Cutter 60 cm (413297) Devasa-Spanyol Pc 3.495.604
- Container Type 3 XTL Taylor-Warton-USA Unit 22.639.921
- Container Type 10 XT Taylor-Warton-USA Unit 25.023.071
- Copper (Pencacah rumput 1000 kg/jam) Lokal Unit 42.499.501
- Coustic Stick 413208 Devasa-Spanyol Pc 390.200
- Cover Glass 20 x 20 mm (50 pcs/box) Lokal Box 70.223
- Cream Separator 125L/jam (Elecrem-1) Elecrem-Perancis Unit 50.100.000

1 2 3 4 5
- Dehorning Shars H.33350 Hauptner-Jerman Pcs 30.372.923
- Drawing Knife (4130510) Devasa-Spanyol Pcs 508.881
- Drenching Gun 10 ml (416134) Devasa-Spanyol Pc 2.825.778
- Drenching Gun 30 ml (413724) Devasa-Spanyol Pc 3.055.198
- Drenching Gun 70 ml (H. 16427) Hauptner-Jerman Pc 3.564.397
- Drenssing Forcep s/s 14 cm Import Pcs 244.034
- Ear Tag Medium Lokal Psg 19.860
- Ear Tag Medium (impor) Allflex-New Zealand Psg 38.925
- Ear Tag Small Bulat Lokal Psg 16.682
- Electric Dehoder 12 Volt Devasa-Spanyol Unit 26.357.635
- Electric Rapide Clipper Devasa-Spanyol Unit 16.036.054
- Embriotomy Wire Saw Introducer Hauptner-Jerman Pc 1.018.240
- Eye Hook ukuran 5 cm (44410) Hauptner-Jerman Pc 1.425.599
- Goblet Dia. 2,7 cm IMV-Prancis Pc 29.233
- Gun ET untuk Sapi / Mini Gun IMV-Prancis Pc 1.987.387
- Gun IB untuk Sapi (Inseminasi Gun) IMV-Prancis Pc 1.032.698
- Gun IB untuk Kambing IMV-Prancis Pc 1.191.575
- Gunting Straw 14 cm Ex. Pakistan Pc 84.999
- Heat Detector Hauptner-Jerman Unit 13.902.818
- Hoof Plier 41 cm (413298) Devasa-Spanyol Pc 2.158.974
- Inner Linier untuk Kambing JK-Denmark Pc 1.429.890
- Inner Linier untuk Sapi JK-Denmark Pc 834.102
Lactodensitometer Ex. Funke 1.751.138
- Lamb for Galvanized Pail 413662 Devasa-Spanyol Pc 65.537
- Lamb Nipple (Nursing) 416605 Devasa-Spanyol Pc 191.446
- Lamb Nipple for Feeder 413667 Devasa-Spanyol Pc 50.841
- Mastities Plat JK-Denmark Pcs 1.033.174
- Mastities Test (CMT) Kit Devasa-Spanyol Set 1.065.903
- Mastities Test (Paddle) Devasa-Spanyol Pc 382.098
- Mastities Test (Reagent CMT) Liter Devasa-Spanyol Botol 597.057
- Measuring Stick 150 Devasa-Spanyol Pc 595.787
- Measuring Tape (Pita Ukur) Devasa-Spanyol Pc 398.383
- Medata Pregnancy Detector, Series-5 Medata-Inggris Unit 42.778.965
- Mesin Tetas Telur Cap. 3000 butir Ex. Lokal Unit 42.778.965
- Milk Can 10 Liter Lokal Unit 1.406.058
- Milking Machine Double (B/2 SL-S) OMC-Italy Unit 84.702.538
- Milking Machine Double, Mini (B/1) OMC-Italy Unit 57.751.659
- Mini Straw 1000 pcs/pak Minitube Pak 2.673.417
- Mixer (Alat Pengaduk) Lokal Unit 16.092.615
- Nipple for NP Nursing Bottle 413352 Devasa-Spanyol Pc 52.747
- Nipple Holder for Galvanized Pail Devasa-Spanyol Pc 137.904
- Nipple Holding Set for 7 Litre Pail Devasa-Spanyol Pc 66.251
- NP Floating Nipple 413351 Devasa-Spanyol Pc 96.120
- Object Glass (72 pcs/box) Ex. RRC Box 143.425
- Outher Sheet ET Minitube Pc 715.739
- Picador Electric Shock 29 cm Devasa-Spanyol Pc 2.362.496

1 2 3 4 5
- Picador Electric Shock 59 cm Devasa-Spanyol Pc 2.647.997
- Pin Applicator Devasa-Spanyol Pc 135.680
- Pinset 14 cm Import Pc 71.494
- Pinset 20 cm Ex. Pakistan Pc 96.120
- Pisau Kastrasi (39100) Hauptner-Jerman Pc 795.495
- Plastik Glove 2 Jari (100/pak) Lokal Pak 142.989
- Plastik Glove 5 Jari (100/pak) Lokal Pak 319.342
- Plastik Glove 5 Jari (100/pak) Europlex Devasa-Spanyol Pak 890.504
- Plastik Sheet (50/pak) IMV-Prancis Pak 103.270
- Pregnancy Detector Medata-Inggris Unit 42.516.659
- Ring Bull Dia. 52 (1105762) Hauptner-Jerman Pc 214.483
- Ring Bull Dia. 55 Devasa-Spanyol Pc 357.472
- Rubber Ring (100/pak) Devasa-Spanyol Pak 285.978
- Rubber Stopper Butyrometer Gerber-Jerman Pc 72.289
- Sepatu untuk Sapi, Kuda (42743.500) Ex. Hauptner Pc 1.351.563
- Sharp Eye Hook (44351/44352) Devasa-Spanyol Pc 1.670.111
- Sharp Obstetric Hook (44491) Devasa-Spanyol Pc 278.034
- Sonda (413548) Devasa-Spanyol Pc 262.941
- Socorex 1 ml Swiss Unit 2.734.797
- Special Cone Devasa-Spanyol Pc 1.032.856
- Special Rubber Ring Devasa-Spanyol Pc 384.474
- Sperma Glass IMV-Prancis Pc 390.837
- Straw Cutter Devasa-Spanyol Pc 417.527
- Stretching Forcep Devasa-Spanyol Pc 568.778
- Stretching Forceps (413422) Devasa-Spanyol Pc 568.778
- Syringe Luer Lock 10 cc Devasa-Spanyol Pc 239.744
- Syringe Luer Lock 50 cc Devasa-Spanyol Pak 318.548
- Syringer Neddle Luer Lock (12/pak) Pc 286.772
- Tabung Sperma (C06161N) Nasco Set 946.297
- Tang Applicator Allflex-New Zealand Pc 1.907.632
- Tang Bordizzo (413374) 23 cm Devasa-Spanyol Pc 3.259.195
- Tang Bordizzo (413375) 35 cm Devasa-Spanyol Pc 3.666.396
- Tattoing Ink (Ukuran Kecil) IMV-Prancis Pc 128.054
- Thawing Electric England Pc 7.378.866
- Thermos ½ Liter Ex. England Unit 413.079
- Thermos III, dengan Thermometer Iconix-New Zealand Unit 3.971.916
- Timbangan Sapi FX 21 Cap. 3 Ton Iconix-New Zealand Pc 66.728.189
- Timbangan Sapi FX Cap. 2 Ton Iconix-New Zealand Pc 50.840.525
- Tissue Forcep s/s 14 cm Import Pc 288.219
- Tongkat Ukur Tinggi 216 cm ex. Lokal Lokal Pc 7.027.749
- Trocar Dia. + 5 mm (413069) Devasa-Spanyol Pc 565.601
- Trocar Dia. + 5 mm (413548) Devasa-Spanyol Set 338.248
- Trocar Dia. + 5 mm 4 pcs/set (405443) Devasa-Spanyol Set 715.262
- Trocar Gagang Metal Dia.7m/m x 12 cm Devasa-Spanyol Pc 633.410
- Vagina Buatan untuk Kambing (340650) JK-Denmark Pc 5.081.281
- Vagina Buatan untuk Kambing (43842) Hauptner-Jerman Pc 6.518.390

1 2 3 4 5
- Vagina Buatan untuk Sapi JK-Denmark Unit 4.277.435
- Vagina Buatan untuk Sapi C06180N Nasco Set 5.907.192
- Vagina F/Bull panjang +33 cm (340284) JK-Denmark Set 3.482.893
- Vagina Speculum Domba 16 cm JK-Denmark Unit 5.031.615
- Vagina Speculum 25 cm (42840) Hauptner-Jerman Pc 20.778.363
- Vagina Speculum (Kuda & Sapi) 27 cm JK-Denmark Pcs 4.130.793
- Vagina Speculum 16 cm (43772) Hauptner-Jerman Pc 8.759.027
- Vagina Speculum Polansky’s 27 cm JK-Denmark Unit 9.090.285
- Vagina Speculum Polansky’s 35 cm JK-Denmark Pc 10.644.735
- Vagina Speculum untuk Sapi 27 cm JK-Denmark Pc 10.326.982
- Wire Saw 10 Meter (46140) Hauptner-Jerman Roll 630.263
- Cone Vagina Buatan Pc 639.478
- Inner Linner Vagina Buatan Pc 754.664
- Alat Deteksi Kebuntingan Pc 79.438.320
lentovet Unit
Chopper
- Mikropipet Single Channel Uk 100- 1000 µl Eppendorf Unit 6.566.975
- Mikropipet Single Channel Uk O,5-5 ml Eppendorf Unit 6.594.925
- Mikropipet Single Channel Uk 0,5-10 µl Eppendorf Unit 6.594.925
- Mikropipet Single Channel Uk 10-100 µl Eppendorf Unit 6.566.975
- Mikropipet Single Channel Uk 20-200 µl Eppendorf Unit 6.566.975
- Mikropipet Multi Channel (8) Uk 10-100 µl Eppendorf Unit 21.083.445
- Mikropipet Multi Channel (12) Uk 0,5-10 µl Eppendorf Unit 22.811.596
- Pipet Stand Eppendorf Unit 3.677.700
- Incubator Memmert/lN 55 Unit 44.132.400
- Centrifuge Hematokrit 210 Hettich Unit 22.829.139
Weather Forecast Clock + Thermo + Hygro
- WFG Unit 183.885
+ Calender
- Temperatur n Huminity Data Longger RC4HC Unit 882.648
- Thermohygrometer HTC/CTH-680 Unit 674.245
- Microwave Sharp/R-230R Unit 1.678.257
- Media Storage Chamber Liebherr Unit 32.834.873
- Analitical Balances Kern/ABS 220-4 Unit 31.199.155
- Biomedical Refrigation Dometic/MP 155 SG Unit 104.743.348
- Biomedical Refrigation Dometic/MP 580 SG Unit 194.149.461
- Mikrobiologikal Safety Cabinet Class ll Thermo Scientific/1386 Unit 186.064.282
- Microplate Sorenson case 5.760.504
- Transport Box Dometic Unit 13.454.253
- Mikroskop Binokuler Digital CX 22 + Kamera Olympus Unit 34.325.200
- Mikroskop Trinokuler CX 31 + Kamera Olympus Unit 73.554.000
Pack (1000)
- Microtips Uk 0,1-10 µl Eppendorf 1.843.361
Tips)
Pack (1000)
- Microtips Uk 2-200 µl Eppendorf 1.843.361
Tips)
Pack (1000)
- Microtips Uk 50-1000 µl Eppendorf 1.843.361
Tips)
- Mikrotube Racks Biologix Rack 232.921
- Mikrotube Racks Rack (6 Rack) 1.685.613

1 2 3 4 5
Pack (1000)
- 1000 µl Pipet Tips-Bulk Axigen 220.662
Tips)
- Autoclave Tomy/ES-125 Unit 76.532.741
- Elisa Reader Thermo Unit 239.050.500
- Elisa Washer Thermo Unit 187.562.700
- Fume Hood Thermo Unit 263.568.500
- Acid Crrosive Chemical StrorageCabinet Securall/C345 Unit 67.179.320
- Flammable Chemical Storage Cabinet Securall/A245 Unit 61.233.705
- Vortex Mixer Thermo Unit 7.355.400
- Stomacher InterScience Unit 119.525.250
- Sarung Tangan Sensi Gloves Kotak 61.295
- Surgical Gloves Latex Kotak 196.144
- Masker Ear Loop 3 PLY Kotak 61.295
- Masker BSA Safety Kotak 122.590
Bahan stailess steel, ukuran 7x8x14
- Bracket tempat antiseptik Buah 119.525
cm
- Magnetic stirrer PTFE poligon, ukuran 3 cm Buah 36.777
- Magnetic stirrer PTFE Poligon, ukuran 5 cm Buah 49.036
- Tutup Botol laboratorium Duran; dari bahan plastik, tahan panas. Buah 27.951
SCHOTT Duran.1000 ml, terbuat dari
- Botol media 1 Buah 129.945
kaca.
kaca.
kaca.
kaca.
kaca.
Ukuran 100 ml, Duran, low form, kaca,
- Beaker Glass Buah 53.940
cat no 2110624
Merk netral, bahan kaca borosilikat,
- Botol kultur Buah 49.036
botol kaca botol kultur jaringan kultur
Merk netral, bahan kaca, ukuran 6 x 30
- Tabung kaca fermentasi durham Buah 26.970
mm, 6 x 20 mm, 100 piece per
BS 16,5-50 Test Tube Rack, for tube
- Rak tabung stainless Buah 377.577
dia 16,5 mm 50 hole
- Gelas Ukur Plastik Bentuk Kerucut Uk 100 ml Buah 208.403
- Kamar hitung mc master Made in Jepang LOT 16112000 Buah 1.838.850
Merk Effendrof, Mfr no 022265806,
- Reagen reservoir Buah 768.468
Use with 8 or 12 channel multi-channel
Ujung lurus, lokal, gagang dari kaca,
- Ose Buah 12.259
ujung
- Ose Ujung bulat, lokal, gagang dari kaca, Buah 12.259
Merk Kicute, klasifikasi test tube,
- rak mikrocup Buah 107.879
nomor model test tube rask, bahan
- Batang pengaduk kaca perata bentuk l, lokal Buah 42.907
- Laminar Air Flow Alpha Clean 1300 Buah 80.757.388
- Fume Hood FH 120 PP ACT, USA Buah 288.917.660
- Mikrotom KD 1508 R, Trade Buah 107.310.382
- Hormon Penyerentak Birahi Dosis 356.161

- Anthravet (Anthrax) 125 ds/botol Dosis 1.167
- Brucivet (Brucella Str. 19) 10 ds/botol Dosis 15.014
- Kolravet (Fowl Cholera) 250 ds/botol Dosis 667

1 2 3 4 5
- Korivet (H. Gallinarum) 40 ds/botol Dosis 1.334
- Rabivet Supra 10 ds/botol Dosis 15.014
- Rabivet Supra (*) 1 ds/botol Dosis 25.023
- Septivet 100 ds/botol Dosis 3.336
- Telovet (ND Inaktif) 20 ds/botol Dosis 1.167
- Koksivet 100 ds/botol Dosis 642
- Hydrovet 750 ds/botol Dosis 251
- Lentovet 50 ds/botol Dosis 417
- Lentovet 100 ds/botol Dosis 679
- Orivet 100 ds/botol Dosis 2.668
- Gumbovet 1000 ds/botol Dosis 333
- Bursalvet 1000 ds/botol Dosis 409
- Hogsivet 20 ds/botol Dosis 4.336
- Aflufet (AI) 1000 ds/botol Dosis 417
- Rabisin 10 ds/botol Dosis 100.092
- Rabvak 10 ds/vial Dosis 26.690
- Vaksiflu 200 ds/botol Dosis 1.000
- Gallimune Flu 1000 ds/botol Dosis 1.667
- Septivak 50 ds/botol Dosis 2.836
- Kemavet 50 ds/botol Dosis 667
- Medivak 100 ds/botol Dosis 1.167
- Strichnine Kg Dosis 61.295
bahan habis pakai

Merk Sorenson Germany, Bentuk U,
- Mikroplate 5.760.504
96 well, 100 plate/case, non steril,
Corning(R) (R) Costar (R) Stripette (R)
- Serological pipets 825.031
Serological Pipets, Steril, Individually
Ukuran 10-100 µl , effendrof, non filter
- Microtip 1 1.023.627
@1000 pcs
Ukuran 1 ml, effendrof, non filter
- Microtip 2 1.023.627
@1000 pcs
Ukuran 0,1-2,5 µl, effendrof, non filter
- Microtip 3 1.023.627
@1000 pcs
Ukuran 0,1-10 µl, effendrof, non filter
- Microtip 4 1.023.627
@1000 pcs
Biologix, 12-1299 12 mm plug caps
- Sumbat tabung reaksi 1 695.698
plug cap closure, for 12 mm diameter
Biologix, 12-1399 13 mm plug caps
- Sumbat tabung reaksi 2 904.101
plug cap closure, for 13 mm diameter
Merk Sensi gloves medical latex
- Sarung tangan 1 91.943
examination, isi 100 pcs, ukuran S
examination, isi 100 pcs, ukuran M
examination, isi 100 pcs, ukuran L
Merk Suntouch, Free Powder, latex, isi
100 pcs, ukuran S
100 pcs, ukuran M
100 pcs, ukuran L
Merk total wrap ukuran 7,6 m x 450
- Aluminium foil 166.722
mm

1 2 3 4 5
D. Alat -Alat
Alat Ukur Kadar Air Daging (Meat
- Unit 3.187.340
Moisturemeter)
Alat Ukur pH dan Suhu susu, daging (Dairy
- Unit 3.677.700
& Meat pH Temparatur Meter)
- Pisau Potong Hewan (Butcher Knife) Unit 1.961.440
- Pisau Pengulitan (Skinning Knife) Unit 1.838.850
- Pisau Lepas Tulang (Boning Knife) Unit 1.838.850
- Pisau Cincang (Breaking Knife) Unit 1.716.260
- Pisau Penyayat (Slicer Knife) Unit 1.716.260
- Pengasah Pisau (Rapid Steele) Unit 858.130
d. Pakan Unggas
1. Ayam Petelur
- Starter Kg 9.007
- Grower Kg 9.007
- Layer Kg 9.007
2. Ayam Potong / Broiler
- Starter Kg 9.570
- Finiser Kg 9.711
D.Pakan Ternak/Bibit Rumput

1. Dedak Halus Kg 3.941
2. Jagung Giling terima ditempat Kg 7.881
3. Rumput Gajah Stek 788
4. Rumput B.H Pull 1.126
5. Rumput King Grass kg 6.981
6. Kulit Kopi kg 1.126
7. Kulit Coklat kg 1.914
8. Jerami Padi kg 563
9. Jerami Jagung kg 788
10. Bungkil Kedelai kg 7.318
11. Molases Liter 2.702
12. Indogefera (Legum) kg 3.378
13. Konsentrat kg 3.828

LAMPIRAN KEPUTUSAN
GUBERNUR ACEH
NOMOR : 028 / 994 / 2017

08 MUHARRAM 1439 H
KELOMPOK BARANG
KESEHATAN
A. KELOMPOK BARANG OBAT - OBATAN (E-CATALOG)
NO NAMA OBAT KEMASAN HARGA
1 2 3 4
1 Generik Klorfeniramina Maleat (CTM) Tablet/Kapsul/Kaplet 4 Mg Tablet 39

2 Generik Deksametason Tablet/Kapsul/Kaplet 0,5 Mg Tablet 45
3 Generik Parasetamol Tablet/Kapsul/Kaplet 500 Mg Tablet 51
4 Generik Sianokobalamin (Vitamin B12) Tablet/Kapsul/Kaplet 50 Mcg Tablet 55
5 Generik Kalsium Laktat (Kalk) Tablet/Kapsul/Kaplet 500 Mg Tablet 57
6 Generik Propranolol Tablet/Kapsul/Kaplet 10 Mg Tablet 59
Generik Antasida DOEN I Tablet Kunyah, Kombinasi: Aluminium
7 Tablet 59
Hidroksida 200 Mg + Magnesium Hidroksida 200 Mg
8 Generik Haloperidol Tablet/Kapsul/Kaplet 0,5 Mg Tablet 60
9 Profolat Asam Folat Tablet/Kapsul/Kaplet 0,4 Mg Tablet 62
10 Generik Haloperidol Tablet/Kapsul/Kaplet 1,5 Mg Tablet 65
11 Generik Kaptopril Tablet/Kaplet Scored 12,5 Mg Tablet 67
12 Generik Haloperidol Tablet/Kapsul/Kaplet 5 Mg Tablet 74
13 Generik Asam Folat Tablet/Kapsul/Kaplet 1 Mg Tablet 77
14 Generik Triheksifenidil Tablet/Kapsul/Kaplet 2 Mg Tablet 80
15 Generik Salbutamol Tablet/Kapsul/Kaplet 2 Mg (Sebagai Sulfat) Tablet 82
16 Generik Propranolol Tab 40 Mg Tablet 82
17 Generik Furosemid Tablet/Kapsul/Kaplet 40 Mg Tablet 84
18 Generik Loperamid Tablet/Kapsul/Kaplet 2 Mg Tablet 85
19 Generik Isoniazid Tablet/Kapsul/Kaplet 100 Mg Tablet 85
20 Generik Prednison Tablet/Kapsul/Kaplet 5 Mg Tablet 85
21 Generik Kaptopril Tablet/Kaplet Scored 25 Mg Tablet 86
22 Generik Tiamin (Vitamin B1) Tablet/Kapsul/Kaplet 50 Mg (Hcl/ Nitrat) Tablet 87
23 Generik Salbutamol Tablet/Kapsul/Kaplet 4 Mg (Sebagai Sulfat) Tablet 89
24 Generik Amlodipin Tablet/Kapsul/Kaplet 5 Mg Tablet 90
25 Generik Metronidazol Tablet/Kapsul/Kaplet 250 Mg Tablet 94
26 Miniaspi 80 Asam Asetilsalisilat (Asetosal) Tablet/Kaplet/Kapsul 80 Mg Tablet 94
27 Lodomer Haloperidol Tablet/Kapsul/Kaplet 2 Mg Tablet 94
28 Generik Isosorbid Dinitrat Tablet/Kaplet Sublingual 5 Mg Tablet 95
29 Generik Aminofilin Tablet/Kapsul/Kaplet 200 Mg Tablet 97
SHB OBAT- OBATAN 115

1 2 3 4
30 Neosma Terbutalin Tablet/Kapsul/Kaplet 2,5 Mg Kaplet 101
31 Generik Asam Mefenamat Tablet/Kapsul/Kaplet 500 Mg DUS 102
32 Generik Diazepam Tablet/Kapsul/Kaplet 5 Mg Tablet 105
33 Generik Metoklopramide Tablet/Kapsul/Kaplet 10 Mg Tablet 106
34 Generik Amlodipin Tablet/Kapsul/Kaplet 10 Mg Tablet 107
35 Generik Ibuprofen Tablet/Kapsul/Kaplet 200 Mg Tablet 108
36 Generik Digoksin Tablet/Kapsul/Kaplet 0,25 Mg Tablet 109
37 Generik Ranitidin Tablet/Kapsul/Kaplet 150 Mg Tablet 110
38 Generik Alprazolam Tablet/Kapsul/Kaplet 0,5 Mg Tablet 110
39 Generik Ibuprofen Tablet/Kapsul/Kaplet 400 Mg Tablet 113
40 Generik Simvastatin Tablet/Kaplet/Salut 10 Mg Tablet 113
41 Generik Dimenhidrinat Tablet/Kapsul/Kaplet 50 Mg Tablet 114
42 Generik Setirizin Tablet/Kapsul/Kaplet 10 Mg Tablet 115
43 Generik Metronidazol Tablet/Kapsul/Kaplet 500 Mg Tablet 115
44 Generik Domperidon Tablet/Kapsul/Kaplet 10 Mg Tablet 116
45 Generik Alopurinol Tablet/Kapsul/Kaplet 100 Mg Tablet 117
46 Generik Nifedipin Tablet/Kapsul/Kaplet 10 Mg Tablet 120
47 Generik Asam Askorbat (Vitamin C) Tab 50 Mg Tablet 120
48 Generik Asam Askorbat (Vitamin C) Tablet/Kapsul/Kaplet 250 Mg Tablet 124
Generik Kotrimoksazol (Dewasa) Kombinasi: Sulfametoksazol 400 Mg

49 Tablet 131
+ Trimetoprim 80 Mg
50 Generik Metoklopramide Tablet/Kapsul/Kaplet 5 Mg Tablet 132
51 Generik Vitamin B Kompleks Tablet Tablet 132
52 Generik Loratadin Tablet/Kapsul/Kaplet 10 Mg Tablet 134
53 Generik Kaptopril Tablet/Kapsul/Kaplet 50 Mg Tablet 134
54 Generik Natrium Diklofenak Tablet/Kapsul/Kaplet 50 Mg Tablet 135
55 Generik Piridoksin (Vitamin B6) Tab/Kap/Kapl 10 Mg (Hcl) Tablet 136
56 Decatona Fenitoin Na 30 Mg capsule 142
57 Generik Diltiazem Hcl Tablet/Kapsul/Kaplet 30 Mg Tablet 143
58 Generik Alprazolam Tablet/Kapsul/Kaplet 1 Mg Tablet 146
59 Generik Omeprazol Tablet/Kapsul/Kaplet 20 Mg capsule 148
60 Generik Klorpromazin Tablet/Kaplet Salut 100 Mg (Hcl) Tablet 148
61 Generik Natrium Diklofenak Tablet/Kapsul/Kaplet 25 Tablet 150

1 2 3 4
62 Generik Betahistin Tablet/Kapsul/Kaplet 6 Mg Tablet 151
63 Generik Fenitoin Kapsul 100 Mg capsule 152
64 Generik Asam Asetilsalisilat (Asetosal) Tablet/Kapsul/Kaplet 100 Mg Tablet 154
65 Pularex Attapulgit Tab 630 Mg Tablet 159
66 Generik Metilprednisolon Tablet/Kapsul/Kaplet 4 Mg Tablet 165
67 New Antides Atapulgit Tablet/Kapsul/Kaplet 600 Mg Tablet 166
68 Generik Metformin Hcl Tablet/Kapsul/Kaplet 850 Mg Tablet 170
69 Generik Hidroklorotiazid Tab 25 Mg Tablet 171
70 Generik Kombinasi: Ergotamin 1 Mg + Kafein 50 Mg Tablet 179
71 Generik Tetrasiklin Tablet/Kapsul/Kaplet 250 Mg capsule 181
72 Generik Isoniazid Tablet/Kapsul/Kaplet 300 Mg Tablet 182
73 Generik Klonidin Tablet/Kapsul/Kaplet 0,15 Mg Tablet 182
74 Generik Dietilkarbamazin Tablet Scored 100 Mg Tablet 183
75 Generik Amoksisilin Tablet/Kapsul/Kaplet 250 Mg capsule 191
76 Generik Amoksisilin Kapsul/Kaplet/Tablet Scored 500 Mg Tablet 191
77 Farsorbid 10 Isosorbid Dinitrat Tablet/Kapsul/Kaplet 10 Mg Tablet 198
78 Generik Glimepiride Tablet/Kapsul/Kaplet 1 Mg Tablet 200
79 Gored Gliklazid Tablet/Kapsul/Kaplet 80 Mg Tablet 218
80 Elizac 20 Fluoksetin Tablet/Kaplsul/Kaplet 20 Mg Tablet 225
81 Neo Diagon Attapulgit Tab 650 Mg Tablet 230
82 Generik Alopurinol Tablet/Kapsul/Kaplet 300 Mg Tablet 230
83 Generik Karbamazepin Tablet/Kapsul/Kaplet 200 Mg kaplet salut selaput 230
85 Generik Pirazinamid Tablet/Kapsul/Kaplet 500 Mg Kaplet 239
86 Generik Simvastatin Tablet/Kaplet/Salut 20 Mg Tablet 250
87 Generik Siprofloksasin Tab Scored 500 Mg Tablet 254
88 Generik PrimakUIn Tablet 15 Mg Tablet 258
89 Generik Asiklovir Tablet/Kapsul/Kaplet 200 Mg Tablet 259
90 Generik Griseofulvin (Micronized) Tablet/Kapsul/Kaplet 125 Mg Tablet 263

Generik Garam Oralit I Serbuk, Kombinasi: Natrium Klorida 0,52 G +
91 Kalium Klorida 0,30 G + Trinatrium Sitrat Dihidrat 0,58 G + Glukosa Shachet 273
Anhidrat 2,70 G
92 Generik Spironolakton Tablet/Kapsul/Kaplet 25 Mg Tablet 277
94 Generik Lisinopril Tablet/Kapsul/Kaplet 5 Mg Tablet 294

1 2 3 4
95 Generik Trifluoperazin Tablet/Kaplet/Salut 5 Mg Tablet 294
96 Generik Bisoprolol Tablet/Kapsul/Kaplet 5 Mg Tablet 296
97 Ulsidex Tablet 500 Mg Sukralfat Tablet/Kapsul/Kaplet 500 Mg Tablet 296
98 Generik Sulfadiazin Tablet 500 Mg Tablet 297
100 Generik Ketokonazol Tablet/Kapsul/Kaplet 200 Mg Tablet 297
101 Generik Doksisiklin Tablet/Kapsul/Kaplet 100 Mg capsule 299
102 Generik Pirantel Pamoat Tablet/Kapsul/Kaplet 125 Mg Tablet 303

Fenocin Fenoksimetil Penisilin (Penisilin V) Tablet/Kapsul/Kaplet 125
103 Tablet 307
Mg
104 Generik Risperidon Tablet/Kapsul/Kaplet 1 Mg Tablet 308
105 Betablok Atenolol Tablet/Kapsul/Kaplet 50 Mg Tablet 310
106 Generik Bisakodil Tablet/Kapsul/Kaplet 5 Mg Tablet 317
107 Generik Metilprednisolon Tablet/Kapsul/Kaplet 8 Mg Tablet 319
108 Generik Verapamil Tablet/Kapsul/Kaplet 80 Mg (Hcl) Tablet 325
109 Generik Ramipril Tablet 2,5 Mg kaptab 325

Generik Kotrimoksazol Forte Kombinasi: Sulfametoksazol 800 Mg +
110 Kaplet 327
Trimetoprim 160 Mg
111 Generik Retinol (Vitamin A) 100.000 Soft Capsule 327
112 Bronsolvan Teofilin Tablet/Kapsul/Kaplet 150 Mg Tablet 328
113 Generik Alprazolam Tablet/Kapsul/Kaplet 0,25 Mg Tablet 336
115 Generik Ramipril Tablet/Kapsul/Kaplet 5 Mg Kaplet 348
116 Generik Lisinopril Tablet/Kapsul/Kaplet 10 Mg Tablet 357
117 Generik Lansoprazol Tablet/Kapsul/Kaplet 30 Mg capsule 360
118 Generik Etambutol Tablet/Kapsul/Kaplet 250 Mg (Hcl) Tablet 385
119 Generik Fenoksimetil Penisilin (Penisilin V) Tab 250 Mg Tablet 403

120 Merlopam Lorazepam Tablet/Kapsul/Kaplet 0,5 Mg Tablet 405
Generik Kombinasi: Ferro Fumarat 60 Mg + As. Folat 0,4 Mg Tablet
121 Tablet 406
Salut Gula (Tablet Tambah Darah)
122 Generik Asiklovir Tablet/Kapsul/Kaplet 400 Mg Tablet 415
123 Generik Gemfibrozil Tablet/Kapsul/Kaplet 300 Mg capsule 427
124 Calporosis D 500 Kalsium Karbonat Tablet/Kapsul/Kaplet 500 Mg Kaplet 430
125 Ventolin Rotacaps Salbutamol Serb Ih 200 Mcg/Kapsul capsule 450
126 Generik Albendazol Tablet/Kapsul/Kaplet 400 Mg Tablet 451

1 2 3 4
127 Generik Sefadroksil Tablet/Kapsul/Kaplet 500 Mg capsule 455
128 Generik Ondansetron Tablet/Kapsul/Kaplet 8 Mg Tablet Salut Selaput 464
129 Generik Irbesartan Tablet/Kapsul/Kaplet 150 Mg Tablet Salut Selaput 505
130 Generik Ofloksasin Tablet/Kapsul/Kaplet 200 Mg Tablet Salut Selaput 508
131 Generik Ondansetron Tablet/Kapsul/Kaplet 4 Mg Tablet Salut Selaput 523
132 Generik Levofloksasin Tablet/Kapsul/Kaplet 500 Mg Tablet Salut Selaput 531

134 Generik Etambutol Tablet/Kaplet Salut 500 Mg (Hcl) Tablet Salut Selaput 543
135 Generik Retinol (Vitamin A) Kaps Lunak 200.000 UI capsule 585
136 Generik Klindamisin Tablet/Kapsul/Kaplet 300 Mg Tablet 589

137 Generik Zinc Tablet Dispersible 20 Mg Tablet 591
138 Thyrozol 5 Tiamazol Tab 5 Mg Tablet 610
139 Generik Nistatin Vaginal Tablet 100.000 Iu/ G Tablet 627
140 Generik Kodein Tablet/Kapsul/Kaplet 10 Mg Tablet 632
141 Generik Akarbose Tablet 50 Mg Tablet 636

Generik Antimalaria DOEN Kombinasi: Pirimetamin 25 Mg +
142 Tablet 637
Sulfadoksin 500 Mg
143 Generik Eritromisin Tablet/Kapsul/Kaplet 250 Mg capsule 647
144 Generik Metilprednisolon Tablet/Kapsul/Kaplet 16 Mg Caplet 648
145 Beta-One Bisoprolol Tablet/Kapsul/Kaplet 2,5 Mg Tablet Salut Selaput 649
146 Kalipar Kalium Aspartat Tablet/Kapsul/Kaplet 300 Mg kaptab salut selaput 682
147 Generik Fenoksimetil Penisilin (Penisilin V) Tab 500 Mg Tablet 696
148 Generik Ofloksasin Tablet/Kapsul/Kaplet 400 Mg Tablet Salut Selaput 698
149 Generik Sefaleksin Tablet/Kapsul/Kaplet 500 Mg capsule 708
150 Betablok Atenolol Tablet/Kapsul/Kaplet 100 Mg Tablet 710
151 Hytroz Tablet 1 Mg Terazosin Hcl Tablet/Kapsul/Kaplet 1 Mg Tablet 713
152 Euthyrox 50 Levotiroksin Tablet/Kaplet/Kapsul 50 Mcg Tablet 719
153 Generik KUInin Tab Salut Selaput 200 Mg (222 Mg Sebagai Garam) Tablet Salut Selaput 737
154 Generik Spironolakton Tablet/Kapsul/Kaplet 100 Mg Tablet 745
155 Generik Sefiksim Tablet/Kapsul/Kaplet 100 Mg Capsule 750
156 Generik Eritromisin Tablet/Kapsul/Kaplet 500 Mg Kaplet 766
157 Generik Kandesartan Tablet/Kapsul/Kaplet 8 Mg Tablet 770
158 Generik Fitomenadion (Vit.K1) Tablet/Kaplet Salut Gula 10 Mg Tablet Salut Selaput 790
159 Generik Ramipril Tablet/Kapsul/Kaplet 10 Mg Tablet 815

1 2 3 4
160 Generik Irbesartan Tablet/Kapsul/Kaplet 300 Mg kaplet salut selaput 829
161 Generik Rifampisin Tablet/Kapsul/Kaplet 300 Mg Capsule 862
162 Generik Akarbose Tablet 100 Mg Tablet 878
163 Generik Nistatin Tablet/Kaplet Salut 500.000 Iu/ G Tablet 881
164 Generik Gemfibrozil Tablet/Kapsul/Kaplet 600 Mg Tablet 887

165 Generik Lorazepam Tablet/Kapsul/Kaplet 2 Mg Tablet 896
166 Frimania 200 Mg Litium Karbonat Tablet 200 Mg Tablet 949
167 Ativan 1 Mg Lorazepam Tablet/Kapsul/Kaplet 1 Mg Tablet 950
168 Simarc Warfarin Tablet 2 Mg Tablet 950

169 Generik Rifampisin Tablet/Kapsul/Kaplet 450 Mg kaplet salut selaput 979
170 Generik Warfarin Tablet/Kapsul/Kaplet 1 Mg Tablet 979
171 Generik Parasetamol Sirup 120 Mg / 5 Ml Bottle 1.013
172 Dopamet Metildopa Tablet/Kaplet/Salut 250 Mg Tablet 1.050
173 Generik Bedak Salisil Serbuk 2% Dus 1.071
174 Generik Fenofibrat Kaps 100 Mg Capsule 1.073
175 Kendaron Tablet Amiodaron Tablet 200 Mg Tablet 1.088
176 Generik Kodein Tablet/Kapsul/Kaplet 15 Mg Tablet 1.092
177 Hytroz Tablet 2 Mg Terazosin Hcl Tablet/Kapsul/Kaplet 2 Mg Tablet 1.099
178 Generik Klobazam Tablet/Kapsul/Kaplet 10 Mg Tablet 1.110
179 Generik Sianokobalamin (Vitamin B12) Injeksi 500 Mcg Ampul 1.117
180 Retaphyl Sr Teofilin Tab Sr 300 Mg kaplet 1.128
181 Euthyrox 100 Levotiroksin Tablet/Kapsul/Kaplet 100 Mcg tablet 1.129
182 Thyrozol 10 Tiamazol Tab 10 Mg tablet 1.195
183 Generik Atorvastatin Tablet/Kapsul/Kaplet 20 Mg Tablet Salut Selaput 1.199
184 Generik Klomifen Sitrat Tablet/Kapsul/Kaplet 50 Mg Tablet 1.199
185 Chloramex Kloramfenikol Tablet/Kapsul/Kaplet 500 Mg Capsule 1.205
186 Generik GlikUIdon Tablet/Kapsul/Kaplet 30 Mg Tablet 1.209
187 Generik Kandesartan Tablet/Kapsul/Kaplet 16 Mg Tablet 1.210
188 Generik Difenhidramin Injeksi I.V./I.M. 10 Mg/Ml (Hcl) Ampul 1.222
Levopar Antiparkinson DOEN Tablet Kombinasi: Benserazid 25 Mg +
189 Tablet
Levodopa 100 Mg 1.240
190 Generik Gabapentin Tablet/Kapsul/Kaplet 300 Mg Capsule 1.254
191 Generik Ondansetron Inj 2 Mg/Ml (4 Mg/ 2 Ml) Ampul 1.254
192 Generik Rifampisin Tablet/Kapsul/Kaplet 600 Mg Tablet Salut Selaput 1.274

1 2 3 4
193 Generik Lidokain Injeksi 2% (Hcl) Ampul 1.280

194 Generik Fenofibrat Kaps 300 Mg capsule 1.303
195 Urinter Asam Pipemidat Tablet/Kapsul/Kaplet 400 Mg capsule 1.348
196 Generik Klorpromazin Injeksi I.M. 25 Mg/Ml (Hcl) Ampul 1.349
197 Generik Kombinasi: Levonogestrel 150 Mcg + Etinilestradiol 30 Mcg Tablet 1.350
198 Generik Ketorolak Inj 30 Mg/Ml Ampul 1.383
199 Alpentin Gabapentin Tablet/Kapsul/Kaplet 100 Mg Capsule 1.396
200 Generik Kodein Tablet/Kapsul/Kaplet 20 Mg Tablet 1.437
201 Generik Betametason Krim 0,1% (Sebagai Valerat) Tube 1.450
202 Nitral Gliseril Trinitrat Tab Sublingual 0,5 Mg Tablet 1.485
203 Generik Atropin Inj 0,25 Mg/Ml (I.M./I.V./S.K) Ampul 1.540
204 Generik Klozapin 25 Mg Tablet 1.550
205 Prohiper 10 Metilfenidat Tablet Lepas Lambat 10 Mg Tablet 1.600
206 Generik Morfin Tablet 10 Mg Tablet 1.610
207 Generik Klopidogrel Tablet/Kapsul/Kaplet 75 Mg Tablet Salut Selaput 1.650
208 Generik Klorpromazin Injeksi I.M 5 Mg/Ml - 2 Ml (Hcl) Ampul 1.672
209 Frimania 400 Mg Litium Karbonat Tablet 400 Mg Tablet 1.672
210 Generik Ranitidin Injeksi 25 Mg/Ml Ampul 1.677
211 Recansa 10 Rosuvastatin Tablet/Kapsul/Kaplet 10 Mg Tablet 1.700
212 Ksr Kalium Klorida Tablet Lepas Lambat 600 Mg Tablet 1.700
213 Mycostop Tab. 250 Griseofulvin Tablet/Kapsul/Kaplet 250 Mg Tablet 1.705
214 Generik Tramadol Injeksi 50 Mg/Ml Ampul 1.720
215 Nitrokaf Retard Gliseril Trinitrat Kaps Lepas Lambat 2,5 Mg Capsule 1.725
216 Generik Lamivudine Tablet 150 Mg Tablet 1.725
217 Depakote Valproat Tab Salut 250 Mg Tablet 1.750
218 Tamofen Tamoksifen 10 Mg Tablet Salut Selaput 1.790
219 V-Bloc Karvedilol Tablet/Kapsul/Kaplet 6,25 Mg Tablet 1.800
220 Generik Deksametason Injeksi I.V./I.M. 5 Mg/Ml Ampul 1.805
221 Concor 1.25 Bisoprolol Tab 1,25 Mg tablet 1.808
222 Generik Epinefrin (Adrenalin) Injeksi I.V/S.K./I.M 1 Mg/Ml (0,1%) Ampul 1.848
223 Generik Kloramfenikol Salep Mata 1 % Tube 1.850
224 Ostovel Kalsitriol (Vitamin D3) Kapsul Lunak 0,25 Mcg kapsul 1.859
225 Generik Azitromisin Tablet/Kapsul/Kaplet 500 Mg Kaplet 1.888

1 2 3 4
226 Generik Oksitosin Inj 10 UI/Ml Ampul 1.900

227 Finpro 5 Mg Finasterid Tablet/Kapsul/Kaplet 5 Mg Tablet Salut Selaput 1.920
228 Generik Amoksisilin Sirup Kering 125 Mg/ 5 Ml Bottle 1.920
229 Generik Fenobarbital Injeksi I.M./I.V. 50 Mg/Ml Ampul 1.925
230 Generik Zidofudin Kapsul 100 Mg Capsule 1.955
231 Generik Sertralin Tablet/Kapsul/Kaplet 50 Mg Tablet 1.960
Generik Antasida DOEN Ii Suspensi, Kombinasi: Aluminium Hidroksida
232 Bottle
200 Mg/5 Ml + Magnesium Hidroksida 200 Mg/5 Ml 1.962
233 Norestil Noretisteron Tablet/Kapsul/Kaplet 5 Mg Tablet 1.980
234 Generik Donepezil Tablet/Kapsul/Kaplet 5 Mg Tablet 1.980
235 Probenid Tablet 500 Mg Probenesid Tablet/Kapsul/Kaplet 500 Mg Tablet 2.030
236 Generik Asam Traneksamat Injeksi 50 Mg/Ml Ampul 2.045
Dhp - Frimal Kombinasi (Dhp): Dihidroartemisin 40 Mg + PiperakUIn
237 Tablet Salut Selaput 2.160
320 Mg Tab Sal Selaput
238 Generik Pravastatin Tablet/Kapsul/Kaplet 20 Mg Tablet 2.200
239 Generik Lidokain Injeksi 2% (Hcl) + Epinefrin 1: 80.000 - 2 Ml Ampul 2.227
240 Prothyra Medroksi Progesteron Asetat Tablet/Kapsul/Kaplet 10 Mg Tablet 2.300
241 Generik Lamivudin Tab 100 Mg Tablet 2.300
242 Tanapress 5 Imidapril Tab 5 Mg Tablet 2.442
243 Sandepril 50 Maprotilin Hcl Tablet/Kapsul/Kaplet 50 Mg Tablet Salut Selaput 2.450
Generik Kotrimoksazol (Anak) Kombinasi Tiap 5 Ml Suspensi:
244 Bottle
Sulfametoksazol 200 Mg + Trimetoprim 40 Mg 2.462
245 Generik Karbogliserin Tetes Telinga 10% Bottle 2.500
246 Synarcus Flusinolon Asetonid Krim 0,025% Tube 2.512
247 Generik Sefiksim Tablet/Kapsul/Kaplet 200 Mg Capsule 2.529
248 Generik Asam Traneksamat Injeksi 100 Mg/Ml Ampul 2.530
249 Generik Ibuprofen Susp 100 Mg/5 Ml Bottle 2.560
250 Otsu - Wi Air Untuk Injeksi 25Ml Ampul 2.750
251 Lamictal Lamotrigin Tab Dispersible 25 Mg tablet 2.756
252 Generik Ketokonazol Krim 2% Tube 2.790
253 Blorec Karvedilol Tablet/Kapsul/Kaplet 25 Mg Tablet 2.800
254 Generik Klaritromisin 500 Mg kaptab salut selaput 2.830
255 Generik Hidrokortison Krim 2,5% Tube 2.838
256 Depakote Valproat Tab Sr 250 Mg Tablet Salut Selaput 2.840
257 Topamax Topiramat Tablet 25 Mg Tablet 2.840

1 2 3 4
258 Concor 10 Bisoprolol Tab 10 Mg Tablet 2.848

259 L-Cisin Kolkisin Tablet/Kapsul/Kaplet 500 Mcg Tablet 2.900
260 Generik Salep 2-4, Kombinasi: Asam Salisilat 2% + Belerang Endap 4% Tablet 2.907
261 Lexapram Sirup Metoklopramide Sirup 5 Mg/ 5 Ml Bottle 2.950
262 Diamicron Mr 60 Gliklazid Tab Lepas Lambat 60 Mg Tablet 2.992
263 Lamictal Lamotrigin Tab 50 Mg Tablet 2.996
264 Generik Metamizol Inj 500 Mg/Ml Ampul 3.050
265 Generik Aminofilin Inj 24 Mg/Ml Ampul 3.080
266 Otsu Kcl 7,46% Kalium Klorida 7,46% 25 Ml Ampul 3.099
267 Generik Nevirapin Tablet/Kapsul/Kaplet 200 Mg Tablet 3.164
268 Otsu - Mgso4 20 Magnesium Sulfat Injeksi 20% Ampul 3.200
269 Generik Metilergometrin Inj 0,2 Mg/Ml Ampul 3.278
270 Adalat Oros 20 Nifedipin Tab 20 Mg, Slow Release; Oros tablet 3.285
271 Generik Hidrokortison Krim 1% Tube 3.294
272 Generik Setirizin Sirup 5 Mg/5 Ml Bottle 3.300
273 Bufacetine Kloramfenikol Salep Kulit 2% Tube 3.327
Generik Anti Bakteri DOEN Salep Kombinasi: Basitrasin 500 Iu/G +
274 Tube 3.365
Polimiksin 10.000 Iu/G
275 Cardura 1Mg Doksazosin Mesilat Tablet 1 Mg tablet 3.395
276 Genoint Salep Mata Gentamisin Salep Mata 0,3% Tube 3.400
277 Skizon Betametason Krim 0,5 Mg/G Tube 3.454
278 Nimotop Nimodipine Tablet/Kapsul/Kaplet 30 Mg Tablet 3.520
279 Adalat Oros 30 Nifedipin Tab 30 Mg, Sr, Oros Tablet 3.645
280 Otsu - Mgso4 40 Magnesium Sulfat Injeksi 40% Ampul 3.650
281 Generik Amoksisilin Sirup Kering Forte 250 Mg/5 Ml Bottle 3.797
282 Generik Metronidazol Sirup 125 Mg/5 Ml Bottle 3.800
283 Decacetin Tetes Mata 0.5% Kloramfenikol Tetes Mata 0,5 % Bottle 3.850
284 Generik Gentamisin Injeksi 40 Mg/ Ml Ampul 3.896
285 Generik Metoklopramide Inj 5 Mg/Ml Ampul 3.904
286 Hydroxyurea Medac Hidroksi Urea Tablet/Kapsul/Kaplet 500 Mg Capsule 3.927
287 Rebetol Ribavirin Tab 200 Mg Capsule 3.992
288 Lodomer Haloperidol Injeksi I.M 5 Mg/Ml Ampul 4.050
289 Generik Fitomenadion (Vitamin K1) Injeksi I.M. 2 Mg/Ml Ampul 4.083
290 Generik Sefadroksil Sirup Kering 125 Mg/5Ml Bottle 4.133

1 2 3 4
291 Generik Fitomenadion (Vitamin K1) Inj 10 Mg/Ml (I.M) Ampul 4.167
292 Generik Zidovudin 300 Mg + Lamivudine 150 Mg Kaplet 4.255
293 Herbesser Cd 100 Diltiazem Kapsul Sr 100 Mg Capsule 4.290
294 Miloz 5 Midazolam Injeksi I.V. 1 Mg/Ml Ampul 4.400
295 Dorner Beraprost Sodium Tablet 20 Mcg Tablet 4.400
296 Keppra Levetirasetam Tab 250 Mg Tablet Salut Selaput 5.374
297 Generik Sefadroksil Sir Kering 250 Mg/5 Ml Bottle 5.449
298 Generik Ibuprofen Susp 200 Mg/5 Ml Bottle 5.687
Combivent Udvkombinasi: Ipratropium Bromida Inhalasi 0,5 Mg +
299 Vial (Ampul) 5.700
Salbutamol 2,5 Mg
300 Depakote Valproat Tab Sr 500 Mg Bottle 5.700
302 ReqUIp Pd 24 Hourropinirol Tab Lepas Lambat 2 Mg Tablet Salut Selaput 5.750
303 Dulcolax Supp Adult Bisakodil Suppositoria 10 Mg Suppositoria 5.800
304 Dulcolax Supp Infant Bisakodil Suppositoria 5 Mg Suppositoria 5.800
305 Harnal Ocastamsulosin Tab Sr 0,4 Mg Tablet 5.900
306 Meptin Inhalation Solution 0,3 Mlprokaterol Cairan Inh 30 Mcg Ampul 6.000
307 Meptin Inhalation Solution 0,5 Mlprokaterol Cairan Inh 50 Mcg Ampul 6.000
Provera 100 Mg Medroksi Progesteron Asetat Tablet/Kapsul/Kaplet 100
308 Tablet 6.100
Mg
309 Generik Medroksi Progesteron Asetat Injeksi 150 Mg/3Ml (50 Mg/Ml) Ampul 6.150
310 Meylon 84 Natrium Bikarbonat Inj I.V 8,4% Ampul 6.200
311 Andriol Testocaps Testosteron Kapsul Lunak 40 Mg Soft Capsule 6.200
312 Generik Fenitoin Injeksi 50 Mg/Ml (100 Mg/2 Ml) Ampul 6.231
313 Acdat Natrium Fusidat Krim 20 Mg/G Tube 6.241
Generik Kombinasi Injeksi Depot: Medroksi Progesteron Asetat 25 Mg
314 Ampul 6.342
+ Estradiol Sipionat 5 Mg
315 Generik Sefiksim Sirup Kering 100 Mg/ 5 Ml Bottle 6.350
316 Generik Nacl 0,9% Bottle 6.410
317 Generik Eritromisin Sirup Kering 200 Mg/ 5 Ml Bottle 6.461
318 Cetadop Dopamin Injeksi 40 Mg/Ml Ampul 6.468

Ventolin Rotahalerventolin Rotahaler (Alat Hirup Salbutamol 200
319 Box 6.550
Mcg/Kapsul)
320 Generik Sefotaksim Serb Inj 1.000 Mg Ampul 6.600
321 Interzinc Syr Zinc Sirup 10 Mg/Ml Bottle 6.600
322 Aluvia Kombinasi: Lopinavir 200 Mg + Ritonavir (LPV/r) 50 Mg Tablet 6.600
323 Isoptin Verapamil Tablet Lepas Lambat 240 Mg Tablet Salut Selaput 6.680

1 2 3 4
324 Generik Sefotaksim Serb Inj 500 Mg Ampul 6.771
325 Soft U Derm Hydrourea Krim 10% Tube 6.809
326 ReqUIp Pd 24 Hourropinirol Tab Lepas Lambat 4 Mg Tablet Salut Selaput 6.850
327 Bricasma Respulesterbutalin Cairan Ih 2,5 Mg/Ml Nebule 6.850
328 Generik Glukosa Larutan Infus 5 % Bottle 6.900
329 Onzapin 10 Mgolanzapin Tablet/Kaplet/Salut 10 Mg Tablet Salut Selaput 6.995
330 Harnal D Tamsulosin Tab 0,2 Mg tablet dispersibe 7.100
331 Generik Ringer Laktat Bottle 7.150
332 Coralan Tab 5 Mg Ivabradin Tab 5 Mg Tablet Salut Selaput 7.260
333 Generik Efavirens Tablet Salut 600 Mg Tablet Salut Selaput 7.331
334 Diflucan 50Mg Flukonazol Kaps 50 Mg Capsule 7.360
335 Mestinon Tablet Piridostigmin Tablet 7.447
336 Imuran Azatioprin Tablet 50 Mg Tablet 7.489
337 Brilinta Tikagrelor Tablet 90 Mg tablet 7.500
338 Generik Glukosa Larutan Infus 10% Bottle 7.500
339 Generik Valasiklovir Tablet/Kapsul/Kaplet 500 Mg kaplet salut selaput 7.665

Laxadine Emulsi 30 Ml Kombinasi: Parafin + Gliserin + Fenolftalein
340 Bottle 7.700
Susp
341 Avodart Dutasterid 0,5 Mg Capsule 7.750
342 Dexocort Desoksimetason Salep 0,25% Tube 7.793
343 Lebrest Letrozole Tab 2,5 Mg Tablet Salut Selaput 7.889
344 Sifrol Er 0,375 Mg Pramipeksol Tab Lepas Lambat 0,375 Mg Tablet 8.000
345 ReqUIp Pd 24 Hour Ropinirol Tab Lepas Lambat 8 Mg Tablet Salut Selaput 8.000
346 Myfortic Mikofenolat Sodium Tab Sal 180 Mg Tablet Salut Selaput 8.000
347 Wida D5Ns Larutan Mengandung Karbohidrat + Elektrolit (D5Ns) Bottle 8.025
348 Wida 2A Larutan Mengandung Karbohidrat + Elektrolit (2A) Bottle 8.100
349 Wida Rd Larutan Mengandung Karbohidrat + Elektrolit (Rd) Bottle 8.550
350 Generik Amiodaron Inj 150 Mg/ 3 Ml Ampul 8.649
351 Arimidex 1 Mg Anastrozol Tablet Salut Selaput 1 Mg Tablet 8.800
352 Fortanest Midazolam Injeksi I.V. 5 Mg/Ml Ampul 8.800
353 Vermox Mebendazol Tablet 500 Mg Tablet 8.800

Stalevo Kombinasi: Levodopa 100 Mg + Karbidopa 25 Mg + Entekapon
354 Tablet Salut Selaput 8.800
200 Mg
355 Daryant Tulle Framisetin Sulfat Tulle 1% Piece 9.158
356 Generik Sukralfat Susp 500 Mg/5 Ml, 100 Ml Bottle 9.192

1 2 3 4
358 Ka-En 1B Injection Larutan Mengandung Elektrolit (Ka-En 1B Injection) Bottle Plastik 9.273
359 Asering Asetat Ringer (Plabot) Bottle Plastik 9.275
360 Asering Asetat Ringer (Softbag) Soft bag 9.275
361 Generik Tenofovir Tab 300 Mg Tablet Salut Selaput 9.315

Wida D5-1/4Ns Larutan Mengandung Karbohidrat + Elektrolit (D5-
362 bottle 9.350
1/4Ns)
Wida D5-1/2Ns Larutan Mengandung Karbohidrat + Elektrolit (D5-
363 bottle 9.400
1/2Ns)
Ka-En Mg3 Injection Larutan Mengandung Karbohidrat + Elektrolit (Ka-
364 Bottle Plastik 9.600
En Mg3 Injection)
365 Melavita Cream 0.1 Asam Retinoat Krim 0,1 % Tube 9.750
366 Generik Efedrin Inj 50 Mg/Ml tube 9.878
367 Generik Kalsium Glukonat Inj I.V 10 % Ampul 9.955
368 Generik Metronidazol Infus 5 Mg/ Ml bottle 10.100
369 Ka-En 3A Injection Larutan Mengandung Elektrolit (Ka-En 3A Injection) Bottle Plastik 10.285
370 Ka-En 3B Injection Larutan Mengandung Elektrolit (Ka-En 3B Injection) Bottle Plastik 10.285
371 Ka-En 3B Larutan Mengandung Elektrolit (Ka-En 3B) (Softbag) Soft bag 10.285
372 Isotic Adretor 0,25% Timolol Tetes Mata 0,25% Bottle 10.645
373 Generik Pirantel Pamoat Susp 125 Mg/5 Ml Bottle 10.835
374 Wida Hsd Larutan Mengandung Karbohidrat + Elektrolit (Hsd) Bottle 10.850
375 Generiksi Profloksasin Inf 2 Mg/Ml (2%) Ampul 10.890

Ringerfundin Larutan Mengandung Elektrolit (Tiap 1 L Mengandung:
376 Nacl 145 Mmol/L, Kcl 4.0 Mmol/L, Ca 2.5 Mmol/L, Mg 1.0 Mmol/L, Cl Bottle 11.000
118 Mmol/L, Acetate 24 Mmol/L, Malate 5.0 Mmol/L)
377 Wida KN1 Larutan Mengandung Elektrolit (Kcl 0,15% + Nacl 0,9% Bottle 11.011
378 Wida KN2 Larutan Mengandung Elektrolit (Kcl 0,3% + Nacl 0,9%) Bottle 11.011
379 Fresofol 1% Mct/Lct Propofol Injeksi I.V., Bolus 1 Ampul 11.330

Infusan D5 (250 Ml)Larutan Mengandung Karbohidrat (Glukosa 12,5
380 Soft bag 11.400
G/250 Ml)
Wida KDN1 Larutan Mengandung Karbohidrat + Elektrolit (D2,5 %+ Kcl
381 Bottle 11.435
0,15 %+ Nacl 0,45 %) 500 Ml
Wida KDN2 Larutan Mengandung Karbohidrat + Elektrolit (D2,5 %+ Kcl
382 Bottle 11.435
0,3 %+ Nacl 0,45 %) 500 Ml
Nfusan D5 (100 Ml) Larutan Mengandung Karbohidrat (Glukosa 5G/100
383 Soft bag 11.450
Ml)
384 Bricasma 0,5 Mg/Ml Terbutalin Injeksi S.K./I.V. 0,5 Mg/Ml Ampul 11.500
385 Generik Desoksimetason Krim 0,25% Tube 1.500
386 Spica Spinal Bupivakain Inj 0,50% (P.V) Ampul 11.505
387 Notrixum Atrakurium Injeksi 25 Mg/2,5 Ml (10Mg/Ml) Ampul 11.552

1 2 3 4
388 Onbrez Breezhaler Indakaterol Serbuk Ih 150 Mcg Capsule 11.750
389 Onbrez Breezhaler Indakaterol Serbuk Ih 300 Mcg Capsule 11.750
390 Sandimmun Neoral Siklosporin Kapsul Lunak 25 Mg Capsule 11.800
391 Certican Everolimus Tab 0,25 Mg Capsule 11.813
392 Alkeran Melphalan 2 Mg Tablet 11.880
393 Scabimite Cream 10 Permetrin Krim 5% Tube 12.155
394 Nerilon Krim Diflukortolon Valerat Salep Berlemak 0,1% Tube 12.250
395 Generik Benzatin Penisilin 1,2 UI/Ml Ampul 12.305
396 Isotic Adretor 0,5%Timolol Tetes Mata 0,5% Bottle 12.405
397 Aricept Evess 10 Mg Donepezil Tablet Effervescent 10 Mg Tablet 12.485
398 FlUImucil N-Asetil Sistein Inj. Nebules 100 Mg Ampul 12.535
399 Visanne Dienogest Tab 2 Mg Tablet 12.700
400 Sifrol Er 0,750Mg Pramipeksol Tab Lepas Lambat 0,750 Mg Tablet 12.700
401 Generik Metilprednisolon Inj 125 Mg/Ml Ampul 12.801
402 Prograf 0,5 Mg Takrolimus Kaps 0.5 Mg Capsule 12.850
403 Prograf Xl Takrolimus Kaps Lepas Lambat 0,5 Mg Capsule 12.850
404 Stesolid 5 Mg Diazepam Enema 5 Mg/2,5 Ml Tube 13.384
405 Generik Mometason Furoat Krim 0,1% Tube 13.715
406 Seroquel Xr Quetiapin Tab Sr 200 Mg Tablet 13.750
407 Pradaxa 110 Mg Dabigatran Eteksilat Kapsul 110 Mg Capsule 14.250
408 Pradaxa 75Mg Dabigatran Eteksilat Kapsul 75 Mg Capsule 14.250
409 Generik Seftazidim Serb Inj 1.000 Mg Ampul 14.400
410 Generik Parasetamol Drips (Infus) 1000 Mg/100 Ml bottle 14.440

Flixotide Flutikason Propionat (Micronized) 0,5 Mg/Dosis (Flutikason
411 bottle 14.500
Propionat Nebules 0,5 Mg)
412 Spiriva Tiotropium 18 Mcg Refill Capsule 14.750
413 Generik Omeprazol Injeksi 40 Mg/ 10 Ml tablet 14.924
414 Seroquel Xr Quetiapin Tab Sr 300 Mg Ampul 14.950
415 Generik Dobutamin Injeksi 50 Mg/Ml Ampul 15.087
416 Mst Continus 10 Mgmorfin Hcl Tablet Lepas Lambat 10 Mg Tablet 15.620
417 Myfortic Mikofenolat Sodium Tab Sal 360 Mg Tablet Salut Selaput 16.000
418 Plavix Klopidogrel Tab Salut Selaput 300 Mg Tablet Salut Selaput 16.393
419 Generik Vaksin Jerap Difteri Tetanus (Td) Cairan Inj I.M 4/15 If Per Ml Bottle 16.500
420 Bicastra Bikalutamid Tablet Salut 50 Mg Tablet Salut Selaput 16.528

1 2 3 4
421 Generik Benzatin Penisilin 2,4 UI/Ml Ampul 16.675
422 Cellcept Mikofenolat Mofetil Tab 500 Mg Tablet 17.500
423 Generik Vaksin Jerap Difteri Tetanus (Dt) Cairan Inj I.M 40/15 If Per Ml Ampul 17.798
424 Seroquel Xr Quetiapin Tab Sr 400 Mg Tablet 17.900
425 Lodomer Haloperidol Tts 2 Mg/Ml Bottle 18.100
426 Stesolid 10 Mg Diazepam Enema 10 Mg/2,5 Ml Tube 19.378
427 Generik Sefazolin Serbuk Injeksi 1 G Ampul 19.676
428 Sandimmun Neoral Siklosporin Kaps Lunak 50 Mg Soft Capsule 20.075
429 Optiflox Levofloksasin Tts Mata 0,5% bottle 20.560
430 Generik Flukonazol Tab/Kaps 150 Mg Capsule 20.700
431 Generik Perak Sulfadiazin Krim 1% Tube 20.700
432 Abilify Discmelt 10 Mg Aripiprazol Tab Discmelt 10 Mg Tablet 22.148
433 Voluven Koloid Hes Bm 130 000 Lar Inf 6% Bottle 22.319
434 Cisteen Sisplatin Serb Inj 10 Mg Ampul 22.725
435 Mst Continus 15 Mg Morfin Hcl Tablet Lepas Lambat 15 Mg Tablet 22.990
436 Certican Everolimus Tab 0,5 Mg Tablet 23.000
437 Generik Vaksin Hepatitis B Rekombinan Prefilled Syringe/PFS 23.320
438 Arava Leflunomid Tab Sal Selaput 20 Mg Tablet Salut Selaput 23.322
439 Xarelto Rivaroksaban Tab 10 Mg Tablet Salut Selaput 23.500

Vitalipid N-Infant Larutan Mengandung Lipid (Vitamin Larut Lemak: A,
442 Ampul 23.749
D, E, K) Untuk Bayi & Anak
443 Maxiflon Moksifloksasin Tab 400 Mg Kaplet 23.980
444 Generik Fluorourasil Inj 50 Mg/Ml (5 Ml) Ampul 24.200
445 Generik Sisplatin Serb Inj 10 Mg Ampul 25.250
446 Prograf 1 Mg Takrolimus Kaps 1 Mg Capsule 25.800
447 Prograf Xl Takrolimus Kaps Lepas Lambat 1 Mg Capsule 25.800
448 Generik Sefoperazon Serb Inj 1.000 Mg Ampul 25.900
449 Interzol Ss 2% Ketokonazol Scalp Sol 2% Bottle 26.400
450 Generik Levofloksasin Inf 5 Mg/Ml Bottle 26.879
451 Mycorine Powder Mikonazol Serbuk 2% Bottle 26.950
452 Generik Valproat Sirup 250 Mg/5 Ml Ampul 26.987
453 Generik Vaksin Campak Inj S.K + Pelarut Tablet Salut Selaput 28.232

1 2 3 4
454 Sebivo Telbivudin Tab 600 Mg Tablet Salut Selaput 28.300
455 Fargoxin Digoksin Injeksi 0,25 Mg/Ml Ampul 28.765

Generik Kombinasi: (Sefoperazon 500 Mg + Sulbaktam 500 Mg) Serb
456 Dus 29.000
Inj 1000 Mg
457 Generik Meropenem Serb Inj 500 Mg Ampul 29.226
458 Generik Flukonazol Injeksi 2 Mg/Ml bottle 29.540
459 Generik Amikasin Injeksi 250 Mg/Ml Ampul 29.700

Vitalipid N-Adult Larutan Mengandung Lipid (Vitamin Larut Lemak: A,
460 Ampul 29.975
D, E, K) Untuk Dewasa
461 Generik Kombinasi: Sefiksim 400 Mg + Azythromycin 1000 Mg Paket 30.030
462 Comtro Klaritromisin Sir Kering 125 Mg/5 Ml Bottle 30.734
463 Xeloda Kapesitabin Tab 500 Mg Capsule 31.000
464 Martos - 10 Larutan Mengandung Karbohidrat Bottle Plastik 31.100
465 Generik Azitromisin Sir Kering 200 Mg/ 5 Ml Bottle 31.669
466 Farsorbid Isosorbid Dinitrat Injeksi I.V 10 Mg/10 Ml Ampul 31.890
467 Catapres 150Mcg Klonidin Injeksi I.V 0,15 Mg/Ml (Hcl) (150 Mcg/Ml) Ampul 32.600
468 Oxtercid Injeksi Sefuroksim Serbuk Injeksi 750 Mg Ampul 32.973
469 Ferriprox Deferipron Tablet Salut 500 Mg Tablet 33.000
470 Casodex 150Mg Bikalutamid Tablet Salut 150 Mg Tablet 33.988
471 Dialifer Low Molecule Feri Sucrose Inj Amp 100 Mg/5 Ml Ampul 34.815
472 Generik Nikardipin Inj 10 Mg Ampul 34.979
473 Generik Esomeprazol Serbuk Inj. 40 Mg Ampul 35.789
474 Iliadin Oksimetazolin Tetes Hidung 0,025% Bottle 36.000
475 Curacil Fluorourasil Inj 50 Mg/Ml (10 Ml) Ampul 36.050
476 Generik Fluorourasil Inj 50 Mg/Ml (10 Ml) Ampul 36.050

477 Tarivid Ofloksasin Tets Telinga 3% Bottle 36.900
478 Generik Sefepim Serb Inj 1000 Mg Capsule 37.113
Viccillin Sx Kombinasi: Ampisilin 1000 Mg + Sulbaktam 500 Mg Serb Inj
479 Ampul 37.500
1500 Mg
480 Jurnista Hidromorfon Hcl Tablet Oros 8 Mg Tablet 37.500
481 Iliadin Oksimetazolin Tetes Hidung 0,050% Bottle 37.900
482 Generik Metotreksat Inj 25 Mg/Ml Ampul 38.500
483 Generik Metotreksat Inj 25 Mg/Ml Ampul 38.500

Tutofusin Ops Larutan Mengandung Karbohidrat + Elektrolit (Larutan
484 Flexy bag 39.327
Nutrisi Kombinasi Infus Na, K, Ca, Mg, Cl, Asetat, Sorbitol)
485 Xylocaine Lidokain Jeli 2% Syiringe 40.000

1 2 3 4
486 Dipsamol Salbutamol Aerosol/Inhalasi 100Mcg/Dosis Can 41.250
487 Generik Meropenem Serb Inj 1000 Mg Ampul 41.990
488 Aromasin Eksemestan Tablet 25 Mg Tablet 42.129
489 Sandimmun Neoral Siklosporin Kaps 100 Mg Capsule 42.500
490 Artesunate Artesunate Injeksi I.V./I.M. 60 Mg/Ml Ampul 42.900

Aminosteril Infant 6% Larutan Mengandung Asam Amino (Asam Amino
491 Bottle 43.450
6%)
492 DBL Vincristine Sulfate Vinkristin Inj 1 Mg/Ml (I.V.) Ampul 43.650
493 Inviclot Heparin Injeksi I.V./S.K. 5000 UI/Ml Ampul 43.995
494 Generik Manitol Lar Infus 20% Bottle 44.000

495 Naprodox 10 Doksorubisin Serb Inj 10 Mg (I.V.) Ampul 44.550
Nephrosteril Larutan Mengandung Asam Amino (Asam Amino 7%,
496 Bottle 45.870
Komposisi: Asam Amino Esensial: Asam Amino Non Esensial = 60 : 40)
497 Pan Amin - G Larutan Mengandung Asam Amino (Pan Amin-G) Soft bag 45.950
498 Trilac Triamsinolon Inj 10 Mg/Ml Ampul 46.420
499 Triofusin 500 Larutan Mengandung Karbohidrat 12% bottle 47.000
500 Lovenox Enoksaparin Sodium Inj 20 Mg/0,2 Ml Syiringe 48.000
501 Kemodoxin Doksorubisin Serb Inj 10 Mg (I.V.) Ampul 48.400

502 Generik Vinkristin Inj 1 Mg/Ml (I.V.) Ampul 48.500
503 Vincristine Kalbe Vinkristin Inj 1 Mg/Ml (I.V.) Ampul 48.500
504 Kidmin Larutan Mengandung Asam Amino (Kidmin) Soft Bag 49.220
505 Doxotil Doksorubisin Serb Inj 10 Mg (I.V.) Ampul 49.500
506 Hydromal Larutan Mengandung Karbohidrat + Elektrolit Soft bag 49.500
507 Generik Doksorubisin Serb Inj 10 Mg (I.V.) Ampul 49.500
508 Generik Doksorubisin Serb Inj 10 Mg (I.V.) Ampul 49.500

Pycin Kombinasi: Ampisilin 500 Mg + Sulbaktam 250 Mg Serb Inj 750
509 Ampul 49.700
Mg
510 Jurnista Hidromorfon Hcl Tablet Oros 16 Mg Ampul 50.000
511 Generik Vaksin Hepatitis B Rekombinan Dewasa Prefilled Syringe/PFS 50.050
512 Ivanes Ketamin Injeksi I.V. 100 Mg/Ml Ampul 51.750

Aminofusin Paed Larutan Mengandung Asam Amino (Kombinasi Asam
513 Bottle 52.000
Amino 50 Gr/L, Vitamin Dan Elektronik)
Eas Pfrimmer Larutan Mengandung Asam Amino (Asam Amino
514 Bottle 53.000
Esensial 7%+Xylitol 10 G/L+ Histidine)
Seretide 50 Kombinasi: Salmeterol 25 Mcg + Flutikason Propionat 50
515 Can 55.000
Mcg
516 Farmabes Diltiazem Injeksi 25 Mg/5 Ml (Inj 5Mg/Ml) Ampul 55.000
517 Generik Sefpirom Serb Inj 1000 Mg Ampul 55.388

1 2 3 4
518 Bricasma Terbutalin Serbuk Ih 0,50 Mg Can 56.012

Aminofusin L 600 Larutan Mengandung Asam Amino (Kombinasi Aa 50
519 G/L, Sorbitol 50 G/L, Xylitol 50 G/L, Vit C 0,4 G/L, Inositol 0,5 G/L, Bottle 56.200
Niasinamid 0,06 G/L, Vit B6 0,04 G/L, Riboplavin Na Fosfat 2,5 Mg/L,
520 Sikzonoate Injeksi Flufenazin Injeksi I.M 25 Mg/Ml Ampul 57.500
521 Triofusin E 1000 Larutan Mengandung Karbohidrat 24% + Elektrolit Bottle 57.750
522 Generik Kalsium Folinat Inj 10 Mg/Ml Ampul 59.664
523 Generik Vaksin Bcg (Gs) Ampul 59.950
524 Bcg Vaccine Vaksin Bcg (Sii) Ampul 59.950
525 Generik Vaksin Bcg Kering (Bf) Ampul 59.950
526 Bcg Vaccine Ssi Vaksin Bcg Inj. Ik 0,75 Mg/Ml + Pelarut Ampul 59.950
527 Tykerb Lapatinib 250 Mg Tablet selaput salut 60.500

Soluvit N Larutan Mengandung Lipid (Vitamin Larut Air: B Komplek Dan
528 Vitamin C) Kombinasi Dengan Vitamin Larut Lemak Untuk Bayi, Anak Ampul 61.490
Dan Dewasa
529 Sandostatin Octreotide Acetate 0,05 - 6 Mg/Ml Ampul 63.000
530 AminoflUId Larutan Mengandung Asam Amino (AminoflUId 500 Ml) Soft bag 64.990
Aminoleban Inj Larutan Mengandung Asam Amino (Aminoleban, 500
531 Soft bag 71.100
Ml)
532 Cyclovid 200 Siklofosfamid Serb Inj 200 Mg (I.V.) Ampul 71.280
Aminosteril N-Hepa 8% Larutan Mengandung Asam Amino (Asam
533 Bottle 71.500
Amino 8%)
Smoflipid 20% Larutan Mengandung Lipid (Lipomed 20%, Lipofudin
534 Bottle 71.500
20%, Clinololeic, Smoflipi), Kemasan 100 Ml
Lipofundin Mct / Lct 20 % Larutan Mengandung Lipid (Infus Lipid
535 Bottle 71.500
Emulsi Mct/Lct 20% 100 Ml)
536 Naropin Ropivakain Inj 7,5 Mg/Ml Ampul 71.865
537 Intralipid 20% Larutan Mengandung Lipid (Infus Emulsi Lipid 20%) Bottle 71.995
538 Patanol Olopatadin Tts Mata 0,1% Bottle 72.500
539 Generik Metilprednisolon Inj 500 Mg/Vial Ampul 74.721
540 Cerazette Desogestrel Tablet 75 Mcg Tablet 75.000
541 Insulatard Hm Penfill Human Insulin Intermediate Catridge/Penvil Pen 75.000
542 Mixtard 30 Hm Penfill Human Insulin Mix Catridge/Penvil Pen 75.000
543 Sansulin M30 Human Insulin Mix Catridge/Penvil Cartridge 75.000
544 Actrapid Hm Penfill Human Insulin Short Penvil/Catridge 100 UI Pen 76.000
545 Generik Vaksin DTP-HB-Hib Ampul 76.285
546 Farpresin Vasopresin injeksi i.m/s.k. 20 UI/ml Ampul 77.000
547 Humulin R Kwikpen Human Insulin Short Penvil/Catridge 100 UI Ampul 79.800
548 Sansulin R Human Insulin Short Penvil/Catridge 100 UI Catridge 79.800
549 Berotec MDI Fenoterol Hbr Ih 100 Mcg/Puff Dus 80.000

1 2 3 4
550 Travatan Travoprost Tetes Mata 0,004% (Botol 1,5 Ml) Bottle 80.000
551 Exjade Deferasiroks Tablet Disp/ Eff 250 Mg tablet dispersibel 80.000
552 Uromitexan Mesna Inj 100 Mg/Ml Ampul 80.443
553 Vigamox Moksifloksasin Tts Mata 0,5% Bottle 81.000

Comafusin Hepar Larutan Mengandung Asam Amino (Asam Amino 5%
554 Dengan Bcaa 50%, L-Ornithine L Aspartate 10 Gr/L, Sorbito 50 Gr/L, Bottle 81.750
Xylitol 50 Gr/L)
555 Nokoba Nalokson Injeksi 0,4 Mg/Ml Ampul 82.060
556 Atrovent Ipratropium Bromida Inhalasi 20 Mcg/Semprot Dus 83.500
557 Meptin Swinghaler Prokaterol Serb Inh 10 Mcg Unit 84.000

558 Vincristine Kalbe Vinkristin Inj 2 Mg/Ml (I.V.) Ampul 84.250
559 Generik Vinkristin Inj 2 Mg/Ml (I.V.) Ampul 84.250
560 Epodion 2000 IU Eritropoetin Alfa 2000 Iu/Ml Prefilled Syringe/PFS 84.700
561 Epirol Epirubisin Inj 10Mg/5Ml Ampul 85.000
562 Levemir Flexpen Analog Long Insulin 100 Iu Pen/Flexpen pen 85.000
563 Ezelin Analog Long Insulin 100 Iu Pen/Flexpen Cartridge 85.000
564 Ezelin Analog Long Insulin 100 Iu Pen/Flexpen Cartridge 85.000
566 Endoxan Ser Inj 200 Mg Siklofosfamid Serb Inj 200 Mg (I.V.) Ampul 85.000
567 Lantus Analog Long Insulin 100 Iu Pen/Flexpen (Solostar Pen) Solostar Pen 85.000
568 Amiparen Inj Larutan Mengandung Asam Amino (Aminparen Injeksi) Softbag 86.275
569 Humalog Kwikpen Rapid Insulin Pen/Flexpen/Catridge Pen 87.000

570 Novorapid Flexpen Rapid Insulin Pen/Flexpen/Catridge Pen 87.000
571 Apidra Rapid Insulin Pen/Flexpen/Catridge Solostar Pen 87.000
572 Prosogan Inj 30Mg Lansoprazol Inj 30 Mg/Ml Ampul 88.500

Aminofusin Hepar Larutan Mengandung Asam Amino (Asam Amino
573 Bottle 88.500
5% Dengan Bcaa 45%, L-Ornithine L Aspartate 8,03 G/L, Sorbitol 50
574 Ciazil Epirubisin Inj 10Mg/5Ml Ampul 89.000
575 Epotrex 2000 Eritropoetin-Alfa Inj 2000 UI/Ml Prefilled Syringe/PFS 89.100
Totilac Larutan Mengandung Elektrolit (Sodium Lactate Sol (50%) 113
576 Ampul 90.000
Gr/L, Potassium Chloride 0,3 Gr/L, Calcium Chloride 0,2 Gr/L, Elektrolit)
577 Episindan Epirubisin Inj 10Mg/5Ml Ampul 93.578
578 4-Epeedo-10 Epirubisin Inj 10Mg/5Ml Bottle 93.578
579 Triofusin 1600 Larutan Mengandung Karbohidrat 40% Ampul 95.250
580 Haldol Decanoas Haloperidol Inj 50 Mg/Ml Pacth 97.500
581 Durogesic 12 Mcg/H Fentanil Patch 12,5 Mcg/Jam Ampul 97.725

1 2 3 4
582 Bonefos Infus 60 Mg/Ml Dinatrium Klodronat Infus Kons 60 Mg/Ml Ampul 98.500
583 Cisteen Sisplatin Serb Inj 50 Mg Ampul 99.000
584 Generik Siklofosfamid Serb Inj 200 Mg (I.V.) Ampul 99.000
585 Kemopirin Epirubisin Inj 10Mg/5Ml Ampul 102.900
586 Etopul Etoposid Inj 20 Mg/Ml Ampul 102.983

Avamys Flutikason Furoat 27,5 Mcg/Spray (Flutikason Furoat
587 Bottle 103.000
Intranasal Spray)
588 Generik Epirubisin Inj 10Mg/5Ml Ampul 103.975
589 Generik Epirubisin Inj 10Mg/5Ml Ampul 103.975
590 Obucort Swinghaler Budesonid Inhaler 200 Mcg/Puff, 200 Dosis Unit 105.000
591 Nasacort Triamsinolon Asetonid Nasal Spray 55 Mcg/Puff Bottle 106.750
592 Epodion 3000 Iu Eritropoetin Alfa 3000 Iu/Ml Prefilled Syringe/PFS 108.900
593 Eprex 2000 Eritropoetin-Alfa Inj 2000 UI/Ml Prefilled Syringe/PFS 110.000
594 Humalog Mix 25 Kwikpen Mix Insulin Flexpen/Catridge (Mix 25) Pen 110.000
595 Humalog Mix 50 Kwikpen Mix Insulin Flexpen/Catridge (Mix 50) Pen 110.000
596 Novomix 30 Flexpen Mix Insulin Flexpen/Catridge Pen 110.000
597 Generik Sisplatin Serb Inj 50 Mg Ampul 110.000

Seretide Diskus Kombinasi: Salmeterol 50 Mcg + Flutikason 100 Mcg +
598 Bottle 110.917
Ih 100Mcg/Puff
599 Recormon Pfs, 2,000 Iu Inj. Eritropoetin-Beta Inj 2000 UI/0,3 Ml Ampul 115.650
601 Desferal Deferoksamin Mesilat Serbuk Injeksi 500 Mg Ampul 117.500
602 AminoflUId Larutan Mengandung Asam Amino (AminoflUId 1000 Ml) Softbag 118.250
603 Xalatan Latanoprost Tts Mata 0,005% Botol @2,5 Ml Bottle 120.696
Symbicort Budesonid-Formoterol (Fixed Combination) Inhaler 80/4,5
604 Can 121.000
Mcg
605 Can 121.000
Mcg, 60 Dosis
606 Cyclovid 500 Siklofosfamid Serb Inj 500 Mg (I.V.) Ampul 121.004
607 Vancep Vankomisin Serbuk Injeksi 500 Mg Ampul 121.995
608 Niflec Polietilen Glikol Polietilen Glikol 123.200

Seretide Diskus Kombinasi: Salmeterol 50 Mcg + Flutikason 500 + Ih
609 Bottle 123.948
500 Mcg/Puff
Seretide Diskus Kombinasi: Salmeterol 50 Mcg + Flutikason 250 + Ih
610 Bottle 124.667
250 Mcg/Puff
611 Berotec Solution Fenoterol Hbr Inh Solution 0,1% Bottle 125.750
612 Biosat 1,5 Serum Antitetanus (A.T.S) Cairan Inj 1500 Iu/Amp (I.M) Ampul 126.500
613 Azopt Brinzolamid Tetes Mata 1% Bottle 127.000

1 2 3 4
DBL Glyceryl Trinitrate Concentrate Gliseril Trinitrat Inj 50Mg/10Ml (5
614 Ampul 127.500
Mg/Ml)
615 DBL Carboplatin Karboplatin Inj 150 Mg/15Ml Ampul 129.000
616 Zyprexa Im Olanzapin Inj 10 Mg/Vial Ampul 130.000
617 Anzatax Paklitaksel Inj 6 Mg/Ml (Inj 30 Mg/Ml) Ampul 130.500

618 can 134.500
Mcg, 120 Dosis
619 Hemapo Eritropoetin-Alfa Inj 3000 UI/Ml Prefilled Syringe/PFS 139.950
620 Ultravist 300 Iopromid 300 -370 Mg Iodium/Ml (300 Mg / 50 Ml) Bottle 141.530
621 Humulin R Human Insulin Short Vial 10 Ml Ampul 143.500
622 Actrapid Hm Human Insulin Short Vial 10 Ml Pen 143.500

Formening Vaksin Meningitis Meningococcoal Polysacharide Group
623 Ampul 144.000
A.C.Y.W135
624 Citabol Gemsitabin Serb Inj 200 Mg Ampul 145.000
625 Herbesser Injeksi 50 Mg Diltiazem Injeksi 50 Mg Ampul 148.500
626 Measles And Rubella Vaccine Vaksin Measles Rubella (Mr) Ampul 149.820
627 Generik Fentanil Injeksi I.M/I.V 0,05 Mg/Ml, Ampul 10 Ml Ampul 151.000
628 Shan IPV Vaksin Polio IPV Inj 0,5 Ml 5 Dosis Ampul 153.736
629 Exjade Deferasiroks Tablet Disp/ Eff 500 Mg tablet dispersibe 155.000
630 Gemedac Gemsitabin Serb Inj 200 Mg Ampul 157.500
631 Abingem 200 Gemsitabin Serb Inj 200 Mg Ampul 157.500
632 Sufenta Sufentanil Injeksi 5 Mcg/Ml Ampul 160.000
633 Spiriva Tiotropium Kaps 18 Mcg + Handihaller Dus 162.000
634 Paxomed Paklitaksel Inj 6 Mg/Ml (Inj 30 Mg/Ml) Vial Ampul 165.000
635 Actoplatin Karboplatin Inj 150 Mg/15Ml Ampul 165.375

Lipomed 20% Mct/Lct Larutan Mengandung Lipid (Lipomed 20%,
636 Bottle 169.125
Lipofudin 20%, Clinololeic, Smoflipi), Kemasan 250 Ml
Lipofundin Mct / Lct 20 % Larutan Mengandung Lipid (Infus Lipid
637 Bottle 169.125
Emulsi Mct/Lct 20% 250 Ml)
Clinoleic 20% Larutan Mengandung Lipid (Lipomed 20%, Lipofudin
638 Flexy bag 169.125
20%, Clinololeic, Smoflipi), Kemasan 250 Ml
639 Gemtan Gemsitabin Serb Inj 200 Mg Vial Ampul 169.500
640 Valcyte Valgansiklovir Tab 450 Mg Tablet 169.500
641 Tetagam Human Tetanus Imunoglobulin Inj 250 Iu (I.M.) Prefilled Syringe/PFS 170.000
642 Xylocaine Lidokain Spray 10% Bottle 170.400
644 Fonkogem Gemsitabin Serb Inj 200 Mg Vial Ampul 174.500
645 Kemocarb Karboplatin Inj 150 Mg/15Ml Vial Ampul 174.900

1 2 3 4
646 Gemfix 200 Gemsitabin Serb Inj 200 Mg Vial Ampul 175.000
647 DBL Gemcitabine Gemsitabin Serb Inj 200 Mg Vial Ampul 175.000
648 Gemcikal Gemsitabin Serb Inj 200 Mg Vial Ampul 175.000
649 Generik Gemsitabin Serb Inj 200 Mg Vial Ampul 175.000
650 Icunes Deksmedetomidin Inj 100 Mcg/Ml Vial Ampul 179.878
651 Sindaxel 30 Mg/5 Ml Paklitaksel Inj 6 Mg/Ml (Inj 30 Mg/Ml) Vial Ampul 180.000
652 Napro-Tax Paklitaksel Inj 6 Mg/Ml (Inj 30 Mg/Ml) Vial Ampul 180.000
653 Kemobotin Karboplatin Inj 150 Mg/15Ml Vial Ampul 182.650
654 Generik Karboplatin Inj 150 Mg/15Ml Vial Ampul 183.700
655 Durogesic 25 Mcg/H Fentanil Patch 25 Mcg/Jam Vial Ampul 188.000
656 Generik Obat Anti Tuberculosis Fdc Kategori Sisipan Vial Ampul 191.343
657 Fonkopac Paklitaksel Inj 6 Mg/Ml (Inj 30 Mg/Ml) Vial Ampul 199.500
658 Paclon 30 Paklitaksel Inj 6 Mg/Ml (Inj 30 Mg/Ml) Vial Ampul 200.000
659 Paclimedac Paklitaksel Inj 6 Mg/Ml (Inj 30 Mg/Ml) Vial Ampul 200.000
660 Generik Paklitaksel Inj 6 Mg/Ml (Inj 30 Mg/Ml) Vial Ampul 200.000
662 Glivec Imatinib Tab 100 Mg Tablet Salut Selaput 211.000
663 Tasigna Nilotinib Kapsul 150 Mg Capsule 211.000

Menivax Acyw Vaksin Meningitis Meningococcoal Polysacharide Group
664 Vial Ampul 214.500
A.C.Y.W135
665 Leucogen Filgrastim Inj 300 Mcg/Ml Vial Ampul 215.000
Combiflex Peri Larutan Mengandung Asam Amino (Kombinasi Glukosa
& Elektrolit 80 Gram + Asam Amino 40 Gr)
667 Temodal Temozolamid Kaps 20 Mg Capsule 225.000
Clinimix N9G15E Larutan Mengandung Asam Amino Kombinasi
668 Botol Plastik 225.000
(Kombinasi Glukosa 75 G Dan Elektrolit + Asam Amino 28 G)
669 Sindroxocin Doksorubisin Serb Inj 50 Mg (I.V.) Vial (Ampul) 227.700
670 Naprodox 50 Doksorubisin Serb Inj 50 Mg (I.V.) Vial (Ampul) 227.700
671 Dipeptiven Larutan Mengandung Asam Amino (Glutamine 20Gr) Bottle 229.900
Clinimix N9G20E Larutan Mengandung Asam Amino Kombinasi
672 Botte Plastik 230.000
(Kombinasi Glukosa 100 G Dan Elektrolit + Asam Amino 28 G)
673 Cyclovid 1.000 Siklofosfamid Serb Inj 1.000 Mg (I.V.) Vial Ampul 231.116
674 Cyclovid 1.000 Siklofosfamid Serb Inj 1.000 Mg (I.V.) Vial Ampul 231.116
675 Daunocin 20 Mg Daunorubisin Serb Inj 20 Mg/Vial Vial Ampul 237.600
676 Avelox Moksifloksasin Infus 400Mg/250Ml (Inf 1,6 Mg/Ml) Bottle 240.000
677 DBL Dacarbazine Dakarbazin Serb Inj 200 Mg Vial Ampul 247.500

1 2 3 4
678 DBL Oxaliplatin Oksaliplatin Serb Inj 50 Mg Vial Ampul 250.000
679 Endoxan Ser Inj 1000 Mg Siklofosfamid Serb Inj 1.000 Mg (I.V.) Vial Ampul 250.000
680 Kemodoxin Doksorubisin Serb Inj 50 Mg (I.V.) Vial Ampul 251.700
681 Generik Doksorubisin Serb Inj 50 Mg (I.V.) Vial Ampul 253.000
682 Generik Doksorubisin Serb Inj 50 Mg (I.V.) Vial Ampul 253.000
683 Generik Siklofosfamid Serb Inj 1.000 Mg (I.V.) Vial Ampul 256.750
684 Generik Obat Anti Tuberculosis Fdc Kategori Anak Paket 257.125
685 Arixtra Fondaparinuks Sodium 2,5 Mg/0,5 Ml Prefilled Syringe/PFS 265.833
686 Dacarbazine Medac Dakarbazin Serb Inj 200 Mg Vial Ampul 275.000
688 Plasbumin 5 Albumin 5% 50 Ml Vial Ampul 283.000
689 Omniscan Gadodiamid Inj 287 Mg/Ml Vial Ampul 287.000
690 Gadovist Gadobutrol Macrocyclic 5 Mg Prefilled Syringe/PFS 292.000
691 Stamaril Vaksin Yellow Fever Vial Ampul 296.000
692 DBL Carboplatin Karboplatin Inj 450 Mg/45Ml Vial Ampul 297.000
Kabiven Peripheral Larutan Mengandung Asam Amino (Kombinasi
693 Bag 308.000
Asam Amino: 34Gr, Glukosa: 97Gr, Lipid: 51Gr Dan Elektrolit (Kalori =
694 Generik Metadon Sir 50Mg/5Ml Bottle 316.250
695 Mycamine Mikafungin Serb Inj 50 Mg Vial Ampul 320.000
Nutriflex Lipid Special Larutan Mengandung Asam Amino (Kombinasi
697 Bag 340.000
Glukosa & Elektrolit 90 Gram + Asam Amino 35.9 Gr Dan Lipid 25 Gr
698 Bleocin Bleomisin Serb Inj 15 Mg/Ml Vial Ampul 345.000
699 Durogesic 50 Mcg/H Fentanil Patch 50 Mcg/Jam Patch 350.000
700 Daxotel Dosetaksel Inj 20 Mg/ 0.5 Ml Vial Ampul 352.000
701 Terrell 100 Isofluran Inhalasi Botol 100 Ml Bottle 353.700

Kabiven Peripheral Larutan Mengandung Asam Amino (Kombinasi
702 Bag 358.600
Asam Amino: 45Gr, Glukosa: 130Gr, Lipid: 68Gr Dan Elektrolit (Kalori =
703 Oxaliplatin Medac Oksaliplatin Serb Inj 50 Mg Vial Ampul 360.000
704 Plaxat Oksaliplatin Serb Inj 50 Mg Vial Ampul 360.000
706 Docetaxel Actavis Dosetaksel Inj 20 Mg/ 0.5 Ml Vial Ampul 379.125
707 Taceedo 20 Dosetaksel Inj 20 Mg/ 0.5 Ml Vial Ampul 379.125
708 Campto 40Mg/2Ml Irinotekan Inj 20 Mg/Ml Vial Ampul 380.843
709 Asigna Nilotinib Kapsul 200 Mg Capsule 380.875
710 Belloxa Oksaliplatin Serb Inj 50 Mg Vial Ampul 394.500

1 2 3 4
711 Oxitel Oksaliplatin Serb Inj 50 Mg Vial Ampul 400.000
712 Generik Oksaliplatin Serb Inj 50 Mg Vial Ampul 400.000
713 Rexta Oksaliplatin Serb Inj 50 Mg Vial Ampul 400.000
714 Actoplatin Karboplatin Inj 450 Mg/45Ml Vial Ampul 404.100
716 Human Albumin 20% Biotest Albumin 20% 50 Ml Bottle 409.200
717 Kemocarb Karboplatin Inj 450 Mg/45Ml Vial Ampul 414.040
718 Paxomed Paklitaksel Inj 6 Mg/Ml (Inj 100 Mg/Ml) Vial Ampul 415.000
719 Epirol Epirubisin Serb 50 Mg/25Ml Vial Ampul 420.000
720 Brexel Dosetaksel Inj 20 Mg/ 0.5 Ml Vial Ampul 421.250
721 Generik Dosetaksel Inj 20 Mg/ 0.5 Ml Vial Ampul 421.250
722 Generik Irinotekan Inj 20 Mg/Ml Vial Ampul 423.159
723 Kemobotin Karboplatin Inj 450 Mg/45Ml Vial Ampul 426.900
724 Ciazil Epirubisin Serb 50 Mg/25Ml Vial Ampul 427.500
725 Episindan Epirubisin Serb 50 Mg/25Ml Vial Ampul 427.500
726 4-Epeedo-50 Epirubisin Serb 50 Mg/25Ml Vial Ampul 427.500
727 Generik Karboplatin Inj 450 Mg/45Ml Vial Ampul 427.875
728 Generik Obat Anti Tuberculosis Fdc Kategori I Paket 430.539
729 Gadovist Gadobutrol Macrocyclic 7,5 Mg Prefilled Syringe/PFS 440.000
730 Cymevene Gansiklovir Serb Inj 500 Mg Ampul 445.000
731 Biosave Serum Anti Bisa Ular (A.B.U) I Cairan Inj (I.M./I.V) Vial Ampul 462.000
Nutriflex Lipid Peri Larutan Mengandung Asam Amino (Kombinasi
732 Glukosa & Elektrolit 80 Gram + Asam Amino 40 Gr + Lipid Mct/Lct 50 Bag 470.000
Gr)
733 Kemopirin Epirubisin Serb 50 Mg/25Ml Vial Ampul 473.700
734 Generik Epirubisin Serb 50 Mg/25Ml Vial Ampul 475.000
735 Generik Epirubisin Serb 50 Mg/25Ml Vial Ampul 475.000
736 Sindaxel 100 Mg/16,67 Ml Paklitaksel Inj 6 Mg/Ml (Inj 100 Mg/Ml) Vial Ampul 495.000
737 Fonkopac Paklitaksel Inj 6 Mg/Ml (Inj 100 Mg/Ml) Vial Ampul 499.500
738 Paclimedac Paklitaksel Inj 6 Mg/Ml (Inj 100 Mg/Ml) Vial Ampul 500.000
739 DBL Oxaliplatin Oksaliplatin Serb Inj 100 Mg Vial Ampul 500.000
742 Tarceva 100 Erlotinib Tablet Salut Selaput 100 Mg Tablet 555.000
Nutriflex Lipid Special Larutan Mengandung Asam Amino (Kombinasi
743 Bag 560.000
Glukosa & Elektrolit 180 Gram + Asam Amino 71.8 Gr + Lipid 50 Gr

1 2 3 4
744 Iressa Gefitinib Tab 250 Mg Tablet 560.000
745 Giotrif 40Mg Afatinib Tab Salselaput 40 Mg Tablet 560.000
746 Tarceva 150 Erlotinib Tablet Salut Selaput 150 Mg Tablet 560.000
747 Renalscan Kaef DTPA 2,06-2,5 Mg Pantetate Calsium Trisodium Vial Ampul 570.000
748 DBL Cytarabine Injection Sitarabin Inj 100 Mg/Vial Vial Ampul 573.500
Bonescan Kaef MDP (Methylene Diphosphonate) 1 Mg Methylene
Diphosphonic Acid/Ml
750 Vinorelsin Vinorelbin Inj 10 Mg/Ml Vial Ampul 617.175
751 Endrolin Leuprorelin Asetat Inj Depot 3,75 Mg Vial Ampul 619.300
752 Terrell 250 Isofluran Inhalasi Botol 250 Ml Bottle 649.000
753 Generik Vinorelbin Inj 10 Mg/Ml Vial Ampul 685.000
754 Navelbine Inj 10 Mg Vinorelbin Inj 10 Mg/Ml Vial Ampul 685.750
755 Citabol Gemsitabin Serb Inj 1000 Mg Vial Ampul 695.000
756 Actatecan Irinotekan Inf 20 Mg/Ml Vial Ampul 715.500
757 Campto 100Mg/5Ml Irinotekan Inf 20 Mg/Ml Vial Ampul 715.500
758 Gemedac Gemsitabin Serb Inj 1000 Mg Vial Ampul 720.000
759 Oxaliplatin Medac Oksaliplatin Serb Inj 100 Mg Vial Ampul 720.000
760 Plaxat Oksaliplatin Serb Inj 100 Mg Vial Ampul 720.000
761 Abingem 1000 Gemsitabin Serb Inj 1000 Mg Vial Ampul 720.000
762 Albunorm 25% Albumin 25% 50 Ml Bottle 750.000
763 Octalbin 25% Albumin 25% 50 Ml Bottle 750.000
765 Tapros 1,88 Mg Leuprorelin Asetat Inj Depot 1,88 Mg Vial Ampul 750.000
766 Granocyte Lenogastrim Inj 263 Mcg/Mi Vial Ampul 760.000
767 Glivec Imatinib Tab 400 Mg Tablet Salut Selaput 786.500
768 Gemtan Gemsitabin Serb Inj 1000 Mg Vial Ampul 794.500
769 Belloxa Oksaliplatin Serb Inj 100 Mg Vial Ampul 794.500
770 Generik Irinotekan Inf 20 Mg/Ml Vial Ampul 795.000
771 Fonkogem Gemsitabin Serb Inj 1000 Mg Vial Ampul 799.500
772 Gemfix 1.000 Gemsitabin Serb Inj 1000 Mg Vial Ampul 800.000
773 DBL Gemcitabine Gemsitabin Serb Inj 1000 Mg Vial Ampul 800.000
774 Gemcikal Gemsitabin Serb Inj 1000 Mg Vial Ampul 800.000
775 Eloxatin Oksaliplatin Serb Inj 100 Mg Vial Ampul 800.000

1 2 3 4
777 Albapure 20 Albumin 20% 100 Ml Vial Ampul 850.000
778 Human Albumin 20% Biotest Albumin 20% 100 Ml Bottle 850.000
779 Zoladex Goserelin Asetat Inj 3,6 Mg Syiringe 882.000
780 Plasmanate Fraksi Protein Plasma Lar Inf 5% Vial Ampul 900.000
781 Octalbin 5% Albumin 5% 250 Ml Bottle 900.000
783 Octanate 250 Iu Faktor VIII Konsentrat 250 IU/vial Vial Ampul 925.000
784 Koate Dvi Faktor VIII Konsentrat 250 IU/vial Vial Ampul 925.000
785 Haemoctin 250 Faktor VIII Konsentrat 230-340 IU/vial Vial Ampul 925.000
786 Haemoctin 250 Faktor VIII Konsentrat 250 IU/vial Vial Ampul 925.000
787 Daxotel Dosetaksel Inj 80 Mg/2 Ml Vial Ampul 990.000
788 Peg Intron Pegylated Interferon Alfa-2B Inj Serb Inj 50 Mcg Vial Ampul 1.030.000
789 Pegasys Pegylated Interferon Alfa-2A Inj 135 Mcg/0,5 Ml Prefilled Syringe/PFS 1.050.000
791 Temodal Temozolamid Kaps 100 Mg Capsule 1.150.000
792 Sojourn Sevofluran Ih Bottle 1.165.560
793 Leunase Asparaginase Serb Inj 10.000 Iu Bottle 1.175.000
794 Docetaxel Actavis Dosetaksel Inj 80 Mg/2 Ml Vial Ampul 1.192.500
795 Taceedo 80 Dosetaksel Inj 80 Mg/2 Ml Vial Ampul 1.192.500
796 Pegasys Pegylated Interferon Alfa-2A Inj 180 Mcg/0,5 Ml Vial Ampul 1.200.000
798 Hyperhep B S/D Hepatitis B Imunoglobullin Syiringe 1.300.000
799 Brexel Dosetaksel Inj 80 Mg/2 Ml Vial Ampul 1.325.000
800 Generik Dosetaksel Inj 80 Mg/2 Ml Vial Ampul 1.325.000
801 Peg Intron Pen Pegylated Interferon Alfa-2B Inj Serb Inj 120 Mcg Vial Ampul 1.400.000
802 Holoxan Inj 1000 Mg Ifosfamid Serb Inj 1000 Mg/Vial Vial Ampul 1.413.500
803 Generik Obat Anti Tuberculosis FDC Kategori II Paket 1.435.182
804 Fonkopac Paklitaksel Inj 6 Mg/Ml (Inj 300 Mg/Ml) Vial Ampul 1.499.500
805 Octalbin 25% Albumin 25% 100 Ml Bottle 1.500.000
806 Albunorm 25% Albumin 25% 100 Ml Bottle 1.500.000
807 Paclimedac Paklitaksel Inj 6 Mg/Ml (Inj 300 Mg/Ml) Vial Ampul 1.500.000
808 Plasbumin 25 Albumin 25% 100 Ml Vial Ampul 1.500.000
809 Albuminar 25 Albumin 25% 100 Ml Vial Ampul 1.500.000

1 2 3 4
810 Fludara Fludarabin Serb Inj 50 Mg Vial Ampul 1.500.000
811 Zometa Asam Zoledronat Inf 4Mg/100 Ml Bottle 1.500.000
812 Ferriprox Deferipron Larutan Oral 100 Mg/Ml Bottle 1.680.000
813 Nebido Testosteron Inj 250 Mg/Ml Vial Ampul 1.696.845
814 Koate Dvi Faktor VIII Konsentrat 500 IU/vial Vial Ampul 1.850.000
815 Octanate 500 Iu Faktor VIII Konsentrat 500 IU/vial Vial Ampul 1.850.000
816 Haemoctin 500 Faktor VIII Konsentrat 480 -600 IU/vial Vial Ampul 1.850.000
817 Haemoctin 500 Faktor VIII Konsentrat 500 IU/vial Vial Ampul 1.850.000
818 Intratect Imunoglobulin Intravena Inj 50 Mg/Ml Vial Ampul 1.950.000
819 Holoxan Inj 2000 Mg Ifosfamid Serb Inj 2000 Mg/Vial Vial Ampul 2.011.038
820 Bondronat Asam Ibandronat Inj 6Mg/6Ml Vial Ampul 2.150.000
821 Zoladex La Goserelin Asetat Inj 10,8 Mg/Vial Syiringe 2.467.000
822 Primovist Gadoksetat Disodium 0,25 Mmol Gadoxetate Disodium/Ml Prefilled Syringe/PFS 2.720.000
823 Tapros 11,25Mg Leuprorelin Asetat Inj Depot 11,25 Mg Vial Ampul 2.916.000
824 Survanta Surfaktan Susp 25 Mg/Ml (Intratekal) Vial Ampul 3.450.000
825 Erbitux Setuximab Infus 5 Mg/Ml Vial Ampul 3.550.000
826 Octanate 1000 IU Faktor VIII Konsentrat 1000 IU/vial Vial Ampul 3.600.000
827 Koate Dvi Faktor VIII Konsentrat 1000 IU/vial Vial Ampul 3.600.000
828 Haemoctin 1000 Faktor VIII Konsentrat 1000 IU/vial Vial Ampul 3.600.000
829 Actilyse Alteplase Serb Inj 50 Mg/Vial Vial Ampul 4.125.000
830 Octanine F Faktor Ix Kompleks 500 IU/vial Vial Ampul 4.620.000
831 Sandostatin Lar Oktreotid Lar Serb Inj 20 Mg Prefilled Syringe/PFS 7.451.885
832 Sandostatin Lar Oktreotid Lar Serb Inj 30 Mg Prefilled Syringe/PFS 9.687.450
833 Novoseven Rt Faktor VIIa Rekombinan 1Mg/Vial Vial Ampul 9.749.993
834 Alimta Pemetrekset Ser Binj 500 Mg Vial Ampul 10.582.000

B. KELOMPOK BARANG PERALATAN RSU DAN PEMANTAUAN
NO NAMA BARANG KEMASAN HARGA

1 2 3 4
1 ABN ABN Digital Thermometer unit 46.424
ALLIED HEALTHCARE B&F DISPOSABLE DUBBLE
2 HUMIDIFIER W/ METAL NUT Blue Cop, 6psi, 50/case White unit 62.770
Cop, 3 psi
3 STERINTECH Bowie Dick Test Pack unit 67.100
4 ALLIED HEALTHCARE BRACKET,WALL MNT,FOR DCU unit 126.125
5 ALLIED HEALTHCARE BACTERIA FILTER unit 182.600
6 ALLIED HEALTHCARE DCU,1500ml DISS INLET unit 197.491
7 SANI-INDONESIA Timbangan Dewasa BR3010 unit 237.475
8 MPM ERKA Stethoscope Erkaphon Child unit 305.000
9 MPM ERKA Stethoscope Erkaphon Adult unit 325.000
10 ABADINUSA HUBDIC Non Contact Infrared Thermofinder, FS 300 unit 360.000
11 MPM ICARE Thermometer Non Contact ( Infra Red ) DT - Pen unit 365.000
12 MICROLIFE Digital Ear Thermometer FR1DL1 unit 429.600
13 ALLIED HEALTHCARE BOTTLE HOLDER WITHOUT LOCK unit 451.739
14 LOGTAG Temperature Recorder / Pemantau Suhu - TICT / ISO TAG unit 492.400
15 ALLIED HEALTHCARE BRACKET,BOTTLE,POLYMER unit 516.231
16 ALLIED HEALTHCARE ADPT,VAC,OHIO QC 1/8" MPT unit 530.668
17 ALLIED HEALTHCARE FLWMTR,O2,15LPM,1/8FPT,ALUM unit 545.782
18 ALLIED HEALTHCARE FLOWMETER ALUMINUM AIR unit 566.773
19 STERINTECH Steam Integrator Class 5 unit 590.520
20 LOGTAG Temperature Recorder / Pemantau Suhu - SRIC-4 unit 590.800
21 LOGTAG Temperature Recorder / Pemantau Suhu - TIC-20 unit 590.800

ELITECH - INDONESIA ELITECH PATIENT SCALE /
22 unit 603.900
TIMBANGAN BADAN DIGITAL DIGIT-PRO
23 LOGTAG Temperature Recorder / Pemantau Suhu - USRIC-4 unit 640.100
MDF INSTRUMEN USA, INC Professional Aneroid
24 unit 656.450
Sphygmomanometer
25 STERINTECH Steam Indicator Class 4 unit 658.000
26 LOGTAG Temperature Recorder / Pemantau Suhu - USRIC-8 unit 689.300
27 LOGTAG Temperature Recorder / Pemantau Suhu - UTRIX-16 unit 738.600

28 STERINTECH Steam Emulator unit 747.600
SECA HEAD CIRCUMFERENCE MEASURING TAPE FOR
29 unit 772.000
BABIES - SECA 212
30 MPM ERKA Stethoscope Finesse Adult unit 795.000
31 MPM ERKA Stethoscope Finesse Child unit 795.000
32 LOGTAG Temperature Recorder / Pemantau Suhu - TRIX-8 unit 837.000
MDF INSTRUMEN USA, INC Desk Mercury
33 unit 852.150
Sphygmomanometer
SHB PERALATAN RSU 141

1 2 3 4
34 LOGTAG Temperature Recorder / Pemantau Suhu - TRIX-16 unit 861.700

35 ALLIED HEALTHCARE ALUMINUM BOTTLE BRACKET unit 873.671
LOGTAG Temperature Recorder Interface / Interface Cradle -
36 unit 910.900
USB/LTI
37 MPM ERKA Stethoscope Finesse Duo Adult & Child unit 936.000
38 MPM ERKA Stethoscope Double Membran unit 1.000.000
39 ALLIED HEALTHCARE JAR 1/2 GAL POLY CARBO unit 1.108.077
ALLIED HEALTHCARE 15 LPM FLOWMETER WITH 1
40 unit 1.126.409
POWER TAKE OFF 3/4" FITTING 1/8" z 1/8"
41 SERENITY Serenity Body Fat / Hydration Monitor Scale unit 1.128.428
42 ALLIED HEALTHCARE JAR GAL POLY CARBO 6/CASE unit 1.199.530
43 STERINTECH Bowie Dick Helix Test unit 1.275.400
44 MPM MPM PWB Breastlight / Alat Deteksi Dini Kanker Payudara unit 1.300.000
LOGTAG Temperature Recorder / Pemantau Suhu - VAXTAG
45 unit 1.366.400
(TRID 30-7 FW)
46 SANI-INDONESIA Baby Weighing Scale unit 1.374.250
LOGTAG Temperature Recorder / Pemantau Suhu - TRID 30-7
47 unit 1.378.700
F
ELITECH - INDONESIA ELITECH TIMBANGAN BAYI
48 unit 1.386.000
MEKANIK BABY DIGIT-ONE
LOGTAG Temperature Recorder / Pemantau Suhu - TRID 30-7
49 unit 1.403.300
R
ALLIED HEALTHCARE TIMETER Oxygen Flowmeter 15 LPM
50 unit 1.487.661
Brass Set-Disposable
51 LOGTAG Temperature Recorder / Pemantau Suhu - TREX-8 unit 1.538.700
52 LOGTAG Temperature Recorder / Pemantau Suhu - TREL-8 unit 1.538.700

53 SECA STADIOMETER – SECA 213 unit 1.564.826
54 MPM ERKA Stethoscope Cardiology unit 1.600.000
ALLIED HEALTHCARE CHEMETRON REUSABLE DUBBLE
55 unit 1.604.248
HUMIDIFIER
LOGTAG Temperature Recorder / Pemantau Suhu - TRED 30-7
56 unit 1.624.900
F
LOGTAG Temperature Recorder / Pemantau Suhu - TRED 30-7
57 unit 1.649.500
R
58 LOGTAG Temperature Recorder / Pemantau Suhu - HAXO-8 unit 1.686.400
59 MPM ERKA Stethoscope Finesse Duo Child & Infant unit 1.700.000
60 SECA FLAT SCALE MECHANIC – SECA 762 unit 1.851.316
61 LOGTAG Temperature Recorder / Pemantau Suhu - TRIL-8 unit 1.920.300
ALLIED HEALTHCARE 0-15LPM, DISS OUTLET, WITH
62 unit 2.048.781
GAUGE
63 MDF INSTRUMEN USA, INC Mobile Aneroid Sphygmomanometer unit 2.282.850
ALLIED HEALTHCARE 15 LPM DUAL FLOWMETER W/T BAR
64 unit 3.031.188
3/4" FITTING 1/8"X1/8"
65 ALLIED HEALTHCARE CAP & FLOAT ASSY unit 3.042.523

1 2 3 4
ALLIED HEALTHCARE TIMETER Oxygen Flowmeter 15 LPM
66 unit 3.243.546
Brass Set-Autoclavable
67 SECA Baby Scale Mechanical – SECA 725 unit 3.872.938
ALLIED HEALTHCARE TIMETER Oxygen Flowmeter Classic
68 unit 4.357.937
Lowflow 3LPM Set-Disposable
69 SECA INFANTOMETER- SECA 416 unit 4.700.000
70 ALLIED HEALTHCARE MINI-VAC,CONT,FNPT X DS ML unit 4.974.590
71 ALLIED HEALTHCARE MINI-VACUTRON,HI-VAC,FNPT X ML unit 5.596.361
72 ALLIED HEALTHCARE MINI VAC, LOW-VAC,FNPT X DISS unit 5.867.573
DELTATRAK, INC Thermotrace - Waterproof Infrared
73 unit 6.000.000
Thermometer
74 unit 6.113.821
Lowflow 3LPM Set-Autoclavable
75 ALLIED HEALTHCARE MINI-VAC,PED,FPT X DISS BLACK unit 6.218.133
76 unit 6.270.497
Lowflow 1000CC Set-Disposable
77 MAK CHILDREN BED 33605 B unit 7.227.000
78 SECA MECHANICAL COLUMN SCALE - SECA 755 & 224 unit 7.300.000
79 unit 8.026.382
Lowflow 1000CC Set-Autoclavable
80 SECA FLAT SCALE DIGITAL + Adaptor – SECA 869 unit 9.326.743
81 TANITA Digital Weighing Scale with BMI Function - WB 380 unit 9.495.200
82 MAK CHILDREN BED 33606 B unit 9.563.000
ALLIED HEALTHCARE CHEMETRON Vacutron Suction
83 unit 9.666.664
Regulator Continuous Set-Disposable
84 unit 10.543.380
Lowflow 200CC Set-Disposable
SECA Baby Scale Digital Measuring Rod + Adaptor - Seca 334
85 unit 10.617.222
& Seca 232
86 ELITECH - INDONESIA ELITECH Baby Scale/Baby One unit 11.880.000
87 unit 12.299.265
Lowflow 200CC Set-Autoclavable
88 TANITA Digital Baby Scale - BD 815 unit 12.375.000
SECA COLUMN SCALE DIGITAL & MEASURING ROD– SECA
89 unit 14.039.212
769 & SECA 220
SECA COLUMN SCALE DIGITAL & MEASURING ROD– SECA
90 unit 16.227.540
703 & SECA 220
91 SECA SECA Baby Scale Digital 727 unit 23.003.307
SARANDI KARYA NUGRAHA SKNMEDICAL ICU/ICCU Bed
92 unit 33.000.000
Electric SKN 01-14CE
93 SIBELMED Spirometry Diagnostic T unit 60.723.000
94 SIBELMED Audiometer 400 AOM unit 74.172.000
95 SIBELMED Audiometer 400 AOM+ unit 81.711.000
96 RGB- SPAIN Patient Monitor - Omicrom Vision unit 85.544.403
BERLINGER CO. AG SWITZERLAND Freeze Tag - Freeze
97 unit 88.223.601
Indicator Monitor - Indikator Pembekuan Rantai Dingin
DEKONINGH Vascuminator/ DEKONINGH Medical Product -
98 unit 153.520.132
Vasculuminator

1 2 3 4
99 SECA MEDICAL BODY COMPOSION ANALYZER unit 195.000.000
99 ARDO - SWITZERLAND Infant Warmer with Servo Control unit 333.150.000
ARDO - SWITZERLAND Infant Incubator with Air, Servo,
100 unit 428.923.000
Humidity Control and Oxygen Servo Control

1 2 3 4
1 CHANG GUNG Bed Side Cabinet - ABS (EDCA) unit 201
2 D & V Overbed Table Tiltable Eating Board - Linet Solido unit 380
3 D & V Antidecubitus Mattress - Linet Effecta unit 391

EQUITRON Autoclave Portable Standard Sterilizer -
4 unit 580
7407ST
5 CHANG GUNG Dining Table unit 585
D & V Bedside Cabinet With Eating Board - Linet
6 Piece 660
Eleganza Classic
7 OGSI OGS ID Patient Adult / Dewasa Biru Piece 850
8 OGSI OGS ID Patient Adult / Dewasa Pink Piece 850
9 OGSI OGS ID Patient Adult / Dewasa Kuning Piece 850
10 OGSI OGS ID Patient Adult / Dewasa Merah Piece 850
11 OGSI OGS ID Patient Child / Anak Biru Piece 850
12 OGSI OGS ID Patient Child / Anak Pink Piece 850
13 OGSI OGS ID Patient Child / Anak Kuning Piece 850
14 OGSI OGS ID Patient Child / Anak Merah Piece 850
15 D & V Mayo Table - CFS CFS/Serv unit 903
16 BRAUN - UK LED Examination Lamp - 32.0082 Piece 991
17 D & V Antidecubitus Mattress - Linet Ergomatt unit 1.032
HOSPITECH HOSPITECH ID BAND ADULT / CHILD
18 Piece 1.078
(BLUE, PINK, YELLOW, RED, WHITE)
19 D & V Medicine Trolley - CFS Alfa 01 unit 1.104
20 SUCHATZKI Ultrasonic Nebulizer M800 unit 1.506
21 EQUITRON Concentric Ring Bath - 6824DI unit 1.590
22 D & V Medicine Trolley - CFS Alfa 23 unit 1.839
23 D & V Emergency Trolley - CFS Genius unit 1.869
24 D & V Anaesthesia Trolley - CFS Omega Plus unit 2.251

CHANG GUNG Clinical Trolley /Clinical Cart dan
25 unit 2.255
Aksesoris
26 ZULMAND POT URINE bottle 2.331
D & V AC - Powered Adjustable Hospital Bed - Linet
27 unit 2.562
Eleganza 1
28 ECOLAB AQUAGEL STERILE JELY 5gr Sachet 2.566
29 SUCHATZKI Ultrasonic Nebulizer M802 Uhz unit 2.572

1 2 3 4
30 D & V Active Decubitus Mattress - Linet Preciosso unit 2.592

31 COSMOMED Suction Catheter Piece 2.600
32 DENTAL X Steam Sterilizer - DX-17 N unit 2.720
33 ZULMAND POT SPUTUM bottle 2.740
34 JAYAMAS Onemed Kasa Steril 5 x 5 cm, 8ply 1x5's pack 2.892
35 JAYAMAS Onemed Kasa Steril 7.5 x 7.5 cm, 8 ply, 1x5's pack 3.144
EQUITRON Autoclave Front Loading TableTOP
36 unit 3.160
Sterilizer - 7471-16
REMEDI Suction Catheter Sterile w/Finger Tube Control
37 Piece 3.200
No.6
38 Piece 3.200
No.8
39 Piece 3.200
No.10
40 Piece 3.200
No.12
41 Piece 3.200
No.14
42 Piece 3.200
No.16
HOSPITECH HOSPITECH SUCTION CATHETER
43 Piece 3.597
(06,08,10,12,14,16 FR/CH)
44 unit 3.735
Eleganza 3
ZHEJIANG YUSHENG MEDICAL INSTRUMENT Skifa
45 Piece 4.018
Infusion Set Dewasa
46 OGSI OGS DISPOGLOVE PLUS 8 Piece 4.125
47 OGSI OGS DISPLOGLOVE PLUS 7.5 Piece 4.125
48 OGSI OGS DISPLOGLOVE PLUS 7 Piece 4.125
49 OGSI OGS DISPOGLOVE PLUS 6.5 Piece 4.125
IDEALCARE Suction Catheter with Finger Tip Control,
50 Piece 4.150
sterile 8 fr
51 Piece 4.150
sterile 10 fr
52 IDEALCARE Suction Catheter with Finger Tip Control, Piece 4.150

sterile 12 fr
53 Piece 4.150
sterile 14 fr
54 Piece 4.150
sterile 16 fr
55 JAYAMAS Safeglove PP no. 6 Pasang 4.180
56 JAYAMAS Safeglove PP No. 6,5 Pasang 4.180

1 2 3 4
58 JAYAMAS Safeglove PP no. 7,5 Pasang 4.180
60 JAYAMAS Safeglove PP no. 8,5 Pasang 4.180
TIANCHANG KANGHUI PROTECTIVE PRODUCTS
61 Piece 4.247
INDUSTRY & TRADING PD UNDERPAD 60X90 CM
62 JAYAMAS Onemed Suction Catheter FR. 6 Piece 4.345
STARDEC Surgical powdered gloves size 6, 6.5, 7, 7.5,
69 pasang 4.600
8, 8.5(1Psg)
70 CARMELTON ENTERPRISE LTD Nice Care Underpad unit 4.620
71 INDOREAGEN Pot Dahak Steril (Pot Sputum Steril) buah 4.850
72 MEDIPLUS (INDIA) LTD WIN FLON 18 G Piece 4.884
75 CHANG GUNG HYDRAULIC STRETCHER unit 4.935
77 JAYAMAS Kasa Steril 10 x 10 cm, 8 ply 1x5's pack 5.178
TROGE MEDICAL GMBH, GERMANY INFUSION SET
78 piece 5.445
TROSOLUSET
79 OGSI OGS GRAFUSET SOL.ADM.SET piece 5.525
80 VIVOLIGHT Projection Vein Finder - VIVO 300 unit 5.580
82 VIVOLIGHT Projection Vein Finder - VIVO 500 unit 5.960
83 PD UNDERPAD PREMIUM Underpad 60x90 CM Piece 6.000
EQUITRON Autoclave Vertical SLEDD Series Sterilizer -
84 unit 6.010
7410-4072
85 STERIS Warming Cabinet-STERIS unit 6.237
86 unit 6.396
Eleganza 3XC
JAYAMAS Onemed Kasa Steril 7.5 x 7.5 cm, 8 ply,
87 pack 6.476
1x10's
TROGE MEDICAL GMBH, GERMANY TRO-
88 pair 6.595
SENSOSURGE STERIL GLOVE 6.5
89 pair 6.595
90 pair 6.595
91 pair 6.595

1 2 3 4
92 pair 6.595
93 pair 6.595
EQUITRON Autoclave SLEFA Series Sterilizer -
[ unit 6.610
7451SLEFA
PHARMAPLAST S.A.E,EGYPT CANNOFIX-PU ( 6 CM
95 piece 6.850
X 8 CM )
96 SERENITY Mucus Extractor 25 ml Piece 6.900
97 JAYAMAS Safeglove PF no. 6,5 pasang 6.985
98 JAYAMAS Safeglove PF no. 6 pasang 6.985
103 ACCUVEIN AV400 unit 7.025
104 AXIMED SUCTION CATHETER, no. 6 Piece 7.370
110 STARDEC Surgical powder free glove size 6.5, 7, 7.5 Piece 7.370
111 JAYAMAS Onemed U Pad Steril 60 x 90 cm blister 7.626
MMP MAS LATEX EXAMINATION GLOVES NON
112 pair 7.700
STERILE 6
113 pair 7.700
STERILE 6,5
114 pair 7.700
STERILE 7
115 pair 7.700
STERILE 7,5
116 pair 7.700
STERILE 8
117 OTSUKA Otsucath 16G - IV Catheter piece 7.700
122 D & V Active Decubitus Mattress - Linet Virtuosso unit 7.717
123 COSMOMED Underpad piece 7.800
124 OGSI OGS BLOOD ADM.SET piece 7.900
OTSUKA OI-34 Infus Set, IV, Wing needle - Infusion Set
125 piece 7.920
Pediatric (60 drops/ml)

1 2 3 4
OTSUKA Otsu Y Set Infus Set, IV, Wing needle -
126 piece 7.920
Infusion Set Dewasa (20 drops/ml)
TROGE MEDICAL GMBH, GERMANY URIN BAG TRO
127 piece 8.070
UROCOL PLUS
128 CRISTIE CRISTIE Vein Viewer Flex unit 9.216
129 D & V Wheeled Stretcher - Linet Sprint (Full X-Ray) unit 9.417
130 JAYAMAS Onemed Kasa Steril 10 x 10 cm, 8 ply, 1x10's pack 9.431
131 ESKAMED Yankauer Tip Piece 9.500
EQUITRON Autoclave TableTOP Class B Sterilizer -
132 unit 9.800
7472B
133 JAYAMAS Onemed Alcohol Swab box 10.000
PHARMAPLAST S.A.E,EGYPT POSTOFIX-PU ( 6 CM X
134 Piece 10.068
7 CM )
135 AXIMED SWAB, 2-ply dus 11.000
JAYAMAS Onemed Kasa Steril 7.5 x7.5 cm, 16 ply,
136 pack 11.317
1x10's
137 GP CARE Clinical Thermometer unit 11.500
138 REMEDI Alcohol Swab box 12.300
139 JAYAMAS Onemed USG Gel 250ml bottle 12.584
TROGE MEDICAL GMBH, GERMANY IV CATHETER
140 Piece 12.631
TROVENOCATH SINE 18G
141 Piece 12.631
142 Piece 12.631
143 Piece 12.631
144 Piece 12.631
VENOFLOW 3-WAY
145 STERIS Amsco Flexmatic Scrub Station-STERIS unit 13.178
146 Piece 13.476
TROVENOCATH PLUS 26G
147 Piece 13.560
MMPPOLYMED-Polyway-Pro THREE WAY STOP
148 Piece 14.025
COCK
PHARMAPLAST S.A.E,EGYPT POSTOFIX-PU ( 10 CM
149 Piece 14.089
X 10 CM )
150 JAYAMAS Onemed OneClean 1L bottle 14.520
151 Piece 14.625
TRO VENOCATH PLUS 18G
152 Piece 14.625
153 Piece 14.625

1 2 3 4
154 Piece 14.625
TROVENOCATH PLUS 24G
155 ZULMAND MICROSCOPE SLIDE pack 14.946
156 JAYAMAS Onemed Water One 1L bottle 14.960
157 MINDRAY ICU Pendant Hyport 8000 unit 15.000
MMP MAS SUCTION CONNECTING TUBE WITH
158 Piece 16.500
HEXAGON CONNECTOR (SCT) 3 M
159 TRILUX Ceiling Pendant Medant A123 for Anasthesia unit 16.651
160 Piece 17.306
X 15 CM )
161 JAYAMAS Onemed Bracket Hand Wash Plastik buah 17.600
TRILUX Ceiling Pendant Medant E223 for Endoscopy
162 unit EUR 18,387.98
and Surgery
163 JAYAMAS Onemed Kasa Steril 10 x10 cm, 16 ply, 1x10's pack 18.610
164 MINDRAY Anesthesia Pendant Hyport 9000 unit USD 18,900.00

165 unit EUR 19,155.75
MULTICARE
166 KONIX Lubricating Gel 82 Gram carton 19.400
PT. ERACITA ASTAMIDA E-CARE ALCOHOL SWAB
167 box 19.680
CHG + 0.5% (EMPAC)
168 STARDEC Oxygen Mask (Adult Standard) piece 19.800
169 STARDEC Oxygen Mask (Pediatric Standard) piece 19.800
170 AXIMED CONNECTING TUBE piece 19.800
MEDICOPLAST INTERNATIONAL GMBH, GERMANY
171 piece 19.924
REDON DRAIN FG10
172 piece 19.924
REDON DRAIN FG14
173 AXIMED SWAB, 4-ply box 20.000
174 KONIX ECG Gel 1000 ml dus 21.900
175 JAYAMAS Onemed Nierbeken Stainless 20cm buah 22.000
176 JAYAMAS Onemed Onescrub 2% 100ml bottle 22.000
177 JAYAMAS Onemed Onescrub 4% 100ml bottle 22.000
JAYAMAS Onemed Kasa Steril 10 x 10 cm, 16 ply,
178 pack 22.005
1x10's with x ray line
179 piece 22.193
TROVENSITE SAFETY SINE 18G
180 piece 22.193
181 piece 22.193
182 piece 22.193
183 piece 22.193
TROVENSITE SAFETY PLUS 18G

1 2 3 4
184 piece 23.100
185 piece 23.100
186 piece 23.100
187 piece 23.843
188 piece 24.668
189 JAYAMAS Onemed Apron One Plastik bag 25.256
JAYAMAS Onemed Nierbeken Disposable 25cm,
190 pax 26.400
pak/10pcs
PHARMAPLAST S.A.E,EGYPT PHARMAFIX ( 5 CM X
191 box 27.000
500 CM )
AXIMED CONNECTING TUBE WITH YANKEUR
192 Piece 27.500
HANDLE, 2 funnel
193 JAYAMAS Onemed urinal Plastik + Tutup buah 28.160
194 STARDEC Nebulizer with Mask (Adult Standard) Piece 28.300
195 STARDEC Nebulizer with Mask (Pediatric Standard) Piece 28.300
196 D & V Brithing Bed - Borcad AVE With Massage unit EUR 28,344.89
197 ESKAMED Suction Connecting Tube Piece 29.000
198 JAYAMAS Onemed Nierbeken Stainless 23cm buah 29.040
199 Piece 29.379
X 25 CM )
200 3M Surgical Mask Earloop box 29.700
201 3M Surgical Mask Tie On box 30.000
NANTONG STRIP MEDICAL SUPPLY PD ALKOHOL
202 box 30.762
SWAB
203 COSMOMED Alcohol Swab box 32.100
204 AYAMAS Onemed Stikpan Plastik buah 35.200
205 JAYAMAS Safeglove Examination Gloves S box 35.620
206 JAYAMAS Safeglove Examination Gloves M box 35.620
207 JAYAMAS Safeglove Examination Gloves L box 35.620
PETERS SURGICAL,FRANCE PETER SILK 0, 3/8 RC
208 Piece 37.209
30mm, 75cm - 2PTR5436E
PETERS SURGICAL,FRANCE ADVANTIME 2/0, 3/8
209 Piece 38.625
XC, 24mm, 70cm Incolore/Undyed - 2PTRD30DE
PETERS SURGICAL,FRANCE PETER SILK 2/0, 1/2TP
210 Piece 38.729
30mm, 75cm - 2PTR5340E
211 Piece 39.481
18mm, 75cm - 2PTR5261E
212 Piece 39.481
25mm, 75cm - 2PTR5339E

1 2 3 4
PETERS SURGICAL,FRANCE PETER SILK 2/0, 3/8 RC
213 Piece 39.481
25mm, 75cm - 2PTR5363E
214 MPM MPM Examination Glove, size XS box 40.000
215 MPM MPM Examination Glove, size S box 40.000
216 MPM MPM Examination Glove, size M box 40.000
217 MPM MPM Examination Glove, size L box 40.000
218 MPM MPM Examination Glove, size XL box 40.000
TG MEDICAL Examination Glove Powder, Latex, Non
219 40.150
Sterile Uk. XS, S, M, L
220 piece 41.361
25mm, 75cm - 2PTR5266E
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H
221 tube 41.600
CATHEJELLLIDOCAIN 2% & CHG 0.05% (CA125)
JAYAMAS Onemed Softpad ( Underpad ) 60 x 90 cm
222 bag 41.624
Non Steril
PETERS SURGICAL,FRANCE FILAPEAU 4/0, 3/8 RC
223 piece 42.113
16mm, 90cm - 2PTR7003E
HALONI JANE PROTOS Examination Powder Glove
224 box 42.200
(XS)
225 HALONI JANE PROTOS Examination Powder Glove (S) box 42.200
226 HALONI JANE PROTOS Examination Powder Glove (M) box 42.200
227 HALONI JANE PROTOS Examination Powder Glove (L) box 42.200
228 ECOLAB AQUAGEL STERILE JELY 82gr tube 42.588
229 Piece 43.480
16mm, 75cm - 2PTR5192E
ASAP (Gloves) Sarung Tangan Latex POWDERED size
230 box 43.500
XS isi 100
ASAP (Gloves) Sarung Tangan Latex POWDERED isi
231 box 43.500
100 size S
232 box 43.500
M isi 100
233 box 43.500
L isi 100
234 Piece 43.993
20mm, 90cm - 2PTR7300E
235 Piece 43.993
25mm, 75cm - 2PTR5290E
236 Piece 44.745
16mm, 90cm - 2PTR7001E
237 Piece 44.745
20mm, 75cm - 2PTR5217E
238 MMP MAS EXAMINATION GLOVES S box 46.200
239 MMP MAS EXAMINATION GLOVES M box 46.200

1 2 3 4
240 MMP MAS EXAMINATION GLOVES L box 46.200
MMP MAS PRE-POWDERED LATEX EXAMINATION
241 box 46.200
GLOVES S
242 box 46.200
GLOVES M
243 box 46.200
GLOVES L
MMP MAS LATEX EXAMINATION GLOVES LIGHTLY
244 box 46.200
POWDERED S
245 box 46.200
POWDERED M
246 box 46.200
POWDERED L
247 AXIMED EXAMINATION GLOVES, size XS box 46.200
248 AXIMED EXAMINATION GLOVES, size S box 46.200
249 AXIMED EXAMINATION GLOVES, size M box 46.200
250 AXIMED EXAMINATION GLOVES, size L box 46.200
WONDERMED Wound Management System -
251 unit 46.440
WOUNDHUB II
252 Piece 47.001
25mm, 90cm - 2PTR7499E
TOP GLOVE SENTRA ASIA Win Glove Examination
253 box 47.300
Powdered/ Ukuran XS, S, M, L, XL
254 Piece 47.377
25mm, 90cm - 2PTR7305E
STARDEC Latex exam powdered gloves-
255 box 47.600
S,M,L,XS,XL(Box/100s)
PETERS SURGICAL,FRANCE PETER SILK 1, 3/8 TC
256 Piece 47.753
35mm, 75cm - 2PTR5509E
PETERS SURGICAL,FRANCE ADVANTIME 1, 1/2TP,
257 Piece 48.018
40mm, 90cm - 2PTRS40AE
PETERS SURGICAL,FRANCE ADVANTIME 0, 1/2 taper
258 Piece 48.018
40mm, 90cm - 2PTRS35FE
259 OGSI OGS INFUSION SET WITH BURETTE Piece 48.150
PETERS SURGICAL,FRANCE PETER SILK 1, 3/8 TC
260 Piece 48.881
40mm, 75cm - 2PTR5510E
261 GENERAL CARE Latex Examination Gloves dus 49.000
262 Piece 49.257
16mm, 75cm - 2PTR5215E
TG MEDICAL Examination Gloves Powder Free, Latex,
263 box 49.500
Non Sterile
264 COSMOMED Gloves Non Sterile Exam ( Xs,S,M,L ) box 49.900
PHARMAPLAST S.A.E,EGYPT PHARMAFIX ( 10 CM X
265 box 51.305
500 CM )
HALONI JANE PROTOS Examination Powder Free
266 box 51.700
Glove (XS)

1 2 3 4
267 box 51.700
Glove (S)
268 box 51.700
Glove (M)
269 box 51.700
Glove (L)
ASAP (Gloves) Sarung Tangan Latex POWDER FREE
270 box 53.500
size S isi 100
ASAP (Gloves) Sarung Tangan Latex POWDER FREE
271 box 53.500
size M isi 100
272 piece 53.769
12mm, 90cm - 2PTR7004E
ASAP (Gloves)Sarung Tangan Latex POWDER FREE
273 box 53.500
size L isi 100
274 TRASTI AID Sarung Tangan Nitrile box 54.000
TOP GLOVE WIN GLOVE NON STERILE FREE
275 box 57.200
POWDER (XS, S, M, L, XL)
276 JAYAMAS Superlife Nitrile S box 57.200
277 JAYAMAS Superlife Nitrile M box 57.200
278 JAYAMAS Superlife Nitrile L box 57.200
279 JAYAMAS Superlife Nitrile XS box 57.200
PETERS SURGICAL,FRANCE COROLENE 0, 3/8 RC
280 piece 57.697
26mm, 75cm single armed - 2PTRS35AE
281 piece 58.281
12mm, 90cm - 2PTR7000E
282 JAYAMAS Maxter Exam Non Powder XS box 58.300
283 JAYAMAS Maxter Exam Non Powder S box 58.300
284 JAYAMAS Maxter Exam Non Powder M box 58.300
285 JAYAMAS Maxter Exam Non Powder L box 58.300
ANSELL Micro-Touch Examination Powdered Latex Size
286 box 59.400
S
287 box 59.400
M
288 box 59.400
L
PETERS SURGICAL,FRANCE OPTIME R 2/0, 1/2 TC
289 piece 60.622
36mm, 90cm - 2PTR30ALE
PETERS SURGICAL,FRANCE OPTIME 4/0, 3/8 RC
290 piece 60.913
19mm, 75cm - 2PTRO15LE
291 STARDEC Nitrile examination gloves-S,M,L(Box/100) box 62.700
PETERS SURGICAL,FRANCE ADVANTIME 4/0, 1/2TP
292 Piece 64.420
26mm, 70cm - 2PTRS15CE
STERICLIN GMBH,GERMANY ADHESIVES TAPES
293 roll 64.648
(STEAM)
294 Piece 65.425
24mm, 75cm - 2PTRO20KE

1 2 3 4
JAYAMAS Onemed Sterile Pouch with Indicator 7 x 26
295 dus 66.468
cm
PETERS SURGICAL,FRANCE OPTIME 2/0, 1/2TP
296 Piece 66.553
297 Piece 66.929
18mm, 75cm - 2PTRO15EE
298 Piece 67.681
36mm, 75cm - 2PTRO30GE
PETERS SURGICAL,FRANCE OPTIME 0, 1/2TP 48mm,
299 Piece 67.681
90cm - 2PTRO35GE
300 Piece 68.433
26mm, 75cm - 2PTRO20FE
301 Piece 69.561
302 Piece 69.561
40mm, 90cm - 2PTRG30HE
303 Piece 69.937
75cm - 2PTRO35EE
304 STERIS 5085 Surgical Table-STERIS unit 70.400
PETERS SURGICAL,FRANCE OPTIME 1, 1/2 RC
305 Piece 71.065
40mm, 90cm - 2PTRO40LE
PETERS SURGICAL,FRANCE OPTIME R 4/0, 3/8 RC
306 Piece 71.441
16mm, 75cm - 2PTRR15EE
307 Piece 71.817
18mm, 75cm - 2PTRO10CE
308 Piece 72.569
40mm, 90cm - 2PTRO35PE
PETERS SURGICAL,FRANCE OPTIME 1, 1/2 TC
309 Piece 72.569
310 Piece 72.945
22mm, 75cm - 2PTRO15FE
311 Piece 73.321
22mm, 75cm - 2PTRO20EE
312 Piece 74.073
19mm, 75cm - 2PTRO20JE
313 Piece 74.073
75cm - 2PTRO40EE
PETERS SURGICAL,FRANCE CARDIOXYL 3/0, 1/2TP,
314 Piece 74.825
25mm, 90cm - 2PTRS20AE
WIPAK STERIKING Autoclave tape with indicator 19 mm
315 roll 74.880
x 50 m
316 piece 76.329
90cm - 2PTRO40FE
317 piece 76.705
30mm, 90cm - 2PTRR30DE
UNOLAB SUPERCARE Nitrile Powder-Free Exam Glove
318 box 77.493
L

1 2 3 4
319 box 77.493
M
320 box 77.493
S
UNOLAB SUPERCARE Nitrile Powder-Free Exam
321 box 77.493
GLove XS
PETERS SURGICAL,FRANCE COROLENE 2/0, 3/8 RC
322 piece 77.833
26mm, 75 cm single armed - 2PTRC30BE
PHARMAPLAST S.A.E,EGYPT PHARMAFIX, ( 15 CM X
323 box 78.155
500 CM )
PETERS SURGICAL,FRANCE ADVANTIME 1, 1/2 taper
324 piece 78.585
48m, 90cm - 2PTRA40EE
325 COSMOMED Syringe, 3 ml box 78.900
326 piece 78.961
90cm - 2PTRO40GE
327 BBRAUN VASCO EXAM POWDERED SIZE S box 80.000
328 BBRAUN VASCO EXAM POWDERED SIZE M box 80.000
329 BBRAUN VASCO EXAM POWDERED SIZE L box 80.000
330 Piece 80.465
24mm, 75cm - 2PTRO30JE
331 Piece 81.217
90cm - 2PTRO35FE
332 Piece 82.345
333 Piece 82.721
13mm, 75cm - 2PTRO10DE
334 Piece 83.473
16mm, 75cm single armed - 2PTRC10KE
335 Piece 83.473
19mm, 75cm single armed - 2PTRC15KE
336 STERIS 5085 SRT Surgical Table-STERIS unit 84.150
337 Piece 84.225
48mm, 90cm - 2PTRO40ME
338 JAYAMAS Onemed Steril Pouch with Indicator 9 x 26 cm dus 84.445

339 Piece 84.601
XC, 24mm, 70cm, Incolore/Undyed - 2PTRA20FE
340 Piece 84.601
24mm, 75cm - 2PTRR20BE
341 Piece 85.730
XC, 24mm, 45cm Incolore/Undyed - 2PTRA15NE
342 Piece 85.730
90cm - 2PTRO50CE

1 2 3 4

343 Piece 87.986
XC, 19mm, 70cm Incolore/Undyed - 2PTRA20EE
344 JAYAMAS Onemed Odex 500ml bottle 88.000
345 Piece 89.114
90cm - 2PTRO50DE
346 Piece 89.490
XC, 19mm, 70cm Incolore/Undyed - 2PTRA15HE
347 Piece 89.490
18mm, 70cm - 2PTRA15EE
348 Piece 89.490
18mm, 70cm - 2PTRA20KE
PETERS SURGICAL,FRANCE COROLENE 2/0, 1/2TP
349 Piece 90.242
26mm, 75cm single armed - 2PTRC30AE
350 MMPPOLYMEDPOLYVAC SET 10 FG Piece 90.695
355 Piece 90.994
13mm, 75cm single armed - 2PTRC10JE
LOWTEM Low Temperature Plasma Sterilizer - Crystal
356 Piece 92.463
50
357 Piece 92.874
48mm, 90cm - 2PTRO50GE
A CLASS NIERBAKEN / KIDNEY BOWL / DISH (DEEP
358 unit 94.600
204*130mm) - INSTRUMENT
359 Piece 95.130
19mm, 75cm single armed - 2PTRC20HE
360 Piece 97.010
13mm, 75cm single armed - 2PTRC15JE
ANSELL Micro-Touch Examination Nitrile Powder Free
361 box 99.000
Size S
362 box 99.000
Size M
363 box 99.000
Size L
A CLASS CANS STAINLESS STEEL (Φ100*100mm) -
364 unit 99.000
INSTRUMENT
LOWTEM Low Temperature Plasma Sterilizer - Crystal
365 unit 101.043
120M
366 piece 102.274
XC, 10mm, 45cm Incolore/Undyed - 2PTRA07CE
367 piece 102.274
18mm, 75cm double armed - 2PTRC15FE

1 2 3 4
A CLASS BOWL / WASKOM / BASIN SS (MEDICINE
368 unit 105.000
CHANGE BOWL)
369 piece 105.658
26mm, 75cm double armed - 2PTRC15HE
PETERS SURGICAL,FRANCE CARDIOXYL 2/0, 1/2
370 piece 106.410
TC, 25mm, 90cm - 2PTRS30TE
371 piece 106.410
26mm, 90cm double armed - 2PTRC20AE
372 piece 106.410
22mm, 75cm double armed - 2PTRC20CE
373 piece 107.162
18mm, 75cm double armed - 2PTRC20FE
374 piece 108.290
26mm, 75cm double armed - 2PTRC20EE
PHARMAPLAST S.A.E,EGYPT INCIFILM ( 28 CM X 45
375 piece 108.598
CM )
376 BBRAUN BBRAUN MELISEPTOL WIPES REFILL bottle 110.000
377 piece 110.170
XC, 13mm, 45cm Incolore/Undyed - 2PTRA10FE
378 piece 111.674
18mm, 75cm double armed - 2PTRC15IE
379 piece 112.050
13mm, 75cm double armed - 2PTRC10EE
380 piece 112.882
10mm, 60cm double armed - 2PTRS07BE
381 piece 112.882
10mm, 75 cm single armed - 2PTRS07EE
382 piece 112.882
18mm, 75cm double armed - 2PTRS10HE
ANSELL Micro-Touch DermaClean Examination Powder
383 box 118.800
Free Latex Size XS
384 box 118.800
Free Latex Size S
385 box 118.800
Free Latex Size M
386 box 118.800
Free Latex Size L
387 AXIMED WOUND DRAIN, 200ml, no. 10 piece 118.800
394 AXIMED WOUND DRAIN, 400ml, no.16 piece 132.000

1 2 3 4
ASAP (Gloves) Sarung Tangan Powder Free NITRILE
395 box 146.500
size S isi 300
396 box 146.500
size M isi 300
397 box 146.500
size L isi 300
398 Piece 147.566
QUICKY SUCTION BOTTLE 500CC FG10

399 Piece 147.566

400 Piece 147.566
CANON Mesin Sterilisasi Hydrogen Peroxide Gas
401 unit 150.500
Sterilizer-ES 700
402 Piece 151.155
10mm, 75cm double armed - 2PTRC05BE
403 Piece 153.411
13mm, 75cm double armed - 2PTRC07DE
404 ZULMAND ARI TIMER unit 154.661
405 Piece 155.392
REDON SUCTION 450CC FG12
406 Piece 155.392
407 Piece 155.392
408 JAYAMAS Onemed USG Gel 5L gl (Gallon) 156.640
409 BBRAUN BBRAUN MELISEPTOL FOAM bottle 158.500
410 Piece 163.563
18mm BLACK, 90cm double armed - 2PTRN10IE
411 Piece 165.819
8mm, 45cm - 2PTRC05ME
412 Piece 167.699
10mm, 75cm double armed - 2PTRC10ME
413 Piece 168.451
13mm BLACK, 75cm double armed - 2PTRN07DE
414 Piece 172.182
CM )
415 173.085
8mm, 60cm double armed - 2PTRS05GE
JAYAMAS Onemed Steril Pouch with Indicator (Roll)
416 dus 174.334
5cm x 200m

1 2 3 4
A CLASS NIERBAKEN / KIDNEY BOWL / DISH
417 unit 174.900
(SHALLOW 243*125mm) - INSTRUMENT
418 BBRAUN BBRAUN MELISEPTOL WIPES BOX bottle 175.500
419 A CLASS INSTRUMENT TRAY STAINLESS STEEL unit 178.200
420 MMP MPACK HEAT SEALING REELS FLAT 55 X 200 M roll 193.050
PETERS SURGICAL,FRANCE COROLENE 7/0, 3/8 TC
421 Piece 205.920
8mm, 60cm double armed - 2PTRS05FE
A CLASS CANS STAINLESS STEEL (Φ160*154mm) –
422 unit 214.500
INSTRUMENT
MAK SEAT MATTRESS FOR WAITING CHAIR / SEAT
423 unit 219.000
(OPT.B)
SMITHS MEDICAL SuctionPro 72, Single Lumen Closed
424 unit 233.631
Ventilation, for Endotracheal Tube 10F
PETERS SURGICAL,FRANCE COROLENE 8/0, 3/8TP,
425 piece 234.125
8mm, 60cm double armed - 2PTRS04DE
SMITHS MEDICAL SuctionPro 72, Dual Lumen Closed
426 unit 240.262
Ventilation, For Endotracheal Tube 12F
427 unit 240.262
Ventilation, For Endotracheal Tube 14F
428 unit 240.262
Ventilation, For Tracheostomy Tube 14F
MMP MPACK HEAT SEALING REELS GUSSETED
429 roll 246.400
(75+25) X 100 M
430 A CLASS INSTRUMENT - CUVETTE STAND SS unit 258.500
JAYAMAS Onemed Sterile Pouch with Indicator (Roll)
431 dus 259.327
7,5 cm x 200 m
432 MMP MPACK HEAT SEALING REELS FLAT 75 X 200 M roll 272.250
433 Piece 274.755
CM )
PETERS SURGICAL,FRANCE ACIER 5, 1/2 TC 48mm,
434 pack 288.773
45cm, isi 2 - 2PTR1502E
PETERS SURGICAL,FRANCE ACIER 6, 1/2 TC 48mm,
435 pack 298.142
45cm, isi 2 - 2PTR1763E
436 BLESSMED Stand Infus Kaki 5 - BP 044 PC unit 299.200
STERINTECH Flat Sterilization Packaging Reels, size
437 roll 308.000
50mm x 200m
438 roll 313.500
(100+50) X 100 M
439 ERSA FOOT STEP 50700 FS1 unit 327.789
JAYAMAS Onemed Sterile Pouch with Indicator (Roll) 10
440 dus 343.224
cm x 200 m
441 POLY Trolley Oksigen 1 m3 unit 345.000

1 2 3 4
MMP MPACK HEAT SEALING REELS FLAT 100 X 200
442 roll 347.875
M
443 INDAMED Trolley Oxygen 1 m3 S35 A unit 350.000
444 BBRAUN BBRAUN HEX-PLUS bottle 350.000
445 WIPAK STERIKING FLAT ROLL 5 CM/200M roll 360.000
446 BLESSMED Infusion Stand - BP 044 SS unit 360.800
MENTOR - INDONESIA Oxygen Trolley / Troli Oksigen
447 unit 362.750
1m3 Powder Coating TO-01
448 3D Semillas Bantal Latex Multipin (LM644213) buah 363.000
449 3D Semillas Bantal Latex Contour (LM640110) buah 363.000
450 3M 1860S N95 Medical Respirator box 390.000
451 Piece 396.687
10mm BLACK, 75cm double armed - 2PTRN05BE
452 MAK INFUSE STAND FOR BED (INF.B) unit 405.000
453 roll 418.000
75mm x 200m
454 POLY Tiang Infus Stainless Steel unit 430.000
455 roll 454.575
(150+50) X 100 M
456 NURITEK Mattress Baby Basket NT 107-A unit 474.375
457 A CLASS CLINIC / TRAY PAN SS - INSTRUMENT unit 484.000
458 roll 484.000
100mm x 200m
459 MAK MATTRESS FOAM BABY (MAT01) unit 486.702
460 dus 490.323
cm x 200 m
461 roll 494.450
M
462 GEA MOW Manual Resuscitator Adult set 500.000
463 GEA MOW Manual Resuscitator Child set 500.000
464 GEA MOW Manual Resuscitator Infant set 500.000
LID LAMPS / ACCESSORIES FOR HALOGEN EXAM
465 unit 509.200
LAMP / METAL BASE TUBE 016
466 WIPAK STERIKING FLAT ROLL 7,5CM/200M roll 510.000
467 BARTEC UTAMA MANDIRI Infuse Stand Standart unit 512.000
STERICLIN GMBH,GERMANY INDICATOR STRIPS
468 box 519.476
(STEAM)
469 SHIMA PRIMA UTAMA Foot Step EP unit 559.525
STERINTECH Gussette Sterilization Packaging Reels,
470 roll 565.600
size 75mm x 100m
471 ERSA FOOT STEP 50700 FS unit 567.600
472 WIPAK STERIKING GUSSET ROLL ( 7,5+ 2)CM/100M roll 574.800

1 2 3 4
PT. STERIN LABORATORIES E-CARE ANTISEPTIK
473 gl (Gallon) 580.000
HAND RUB 5 Lt (1650G)
474 DEXON OXYGEN TROLEY unit 595.650
475 roll 596.750
(200+55) X 100 M
476 POLY Tiang Infus K.5 P.C unit 604.000
PT. STERIN LABORATORIES E-CARE ANTISEPTIK
477 box 608.000
HAND RUB 10 BTL @ 500 ml (1650B)
478 ANIOS ANIOSYME DLT PLUS 5L can 615.000
479 NURITEK Foot Step NT 007-F4 unit 615.313
480 BBRAUN BBRAUN STABIMED 1000 ML bottle 620.000
481 roll 621.040
size 100mm x 100m
482 FRIMED INSTRUMENT TRAY 350 x 240 x 10mm piece 638.700
PT. STERIN LABORATORIES E-CARE ANTISEPTIC
483 gl (Gallon) 640.800
SURGICAL HAND SCRUB 5 Lt (1750G)
484 roll 643.500
M
MENTOR - INDONESIA Pijakan Kaki / Foot Step FS-01
485 unit 645.000
Powder Coating 200234
486 WIPAK STERIKING FLAT ROLL 10CM/200M roll 648.000
487 SHIMA PRIMA UTAMA Economy Single Bowl Stand PC unit 653.254
488 dus 653.770
cm x 200 m
489 ZULMAND Foot Step, S 613 ZD unit 675.559
490 TESENA Tesena Foot Step TSN 005 SBD unit 678.000
491 POLY Accessories: Foot Step Powder Coating unit 683.953
492 MEDIGLOBE Standard Infuse unit 685.000
STERICLIN GMBH,GERMANYSTERICLIN FLAT
493 roll 705.000
7.5CM/200M
494 WIPAK STERIKING GUSSET ROLL (10+ 5)CM/100M roll 714.360
495 roll 726.000
(250+60) X 100 M
MENTOR - INDONESIA Infusion Stand / Standard
496 unit 726.000
Infuse Powder Coating 4 Hooks STD-01
MENTOR - INDONESIA Bowl Stand / Stand Waskom
497 unit 726.000
Single Mono Stainless Steel
MENTOR - INDONESIA Pijakan Kaki / Foot Step FS-01
498 unit 726.000
Stainless Steel 200235
499 roll 726.000
150mm x 200m
500 MAK MATTRESS LATEX BABY 36111 unit 730.053

1 2 3 4
501 SANI-INDONESIA Timbangan Dacin unit 739.800
PT. STERIN LABORATORIES E-CARE ANTISEPTIC
502 box 740.000
SURGICAL HAND SCRUB BTL 10 @500ML (1750B)
503 POLY Stand Waskom P.C. Single Ekonomi + Waskom unit 777.000
504 TESENA Tesena Hanging Baby Scale TSN 9806 HBS unit 790.000
505 roll 798.600
M
SARANDI KARYA NUGRAHA KARIXA Infusion Stand
506 unit 800.000
KA 03-01ASS
507 ALKAPHARM, FRANCE Alkazyme Sachet 25 MG pack 801.000
508 MAK FOOT STEP (34152) unit 803.000
509 DEXON STOOL CHAIR unit 812.250
510 dus 817.217
cm x 200 m
511 BARTEC UTAMA MANDIRI Foot Step MS unit 838.400
512 ERSA BED SCREEN 52200 BS1 unit 840.048
513 roll 842.520
size 150mm x 100m
514 unit 848.700
LAMP / CLAMP BLACK
515 WIPAK STERIKING GUSSET ROLL (15+ 5)CM/100M roll 858.600
516 POLY Side Rail (Pagar) Powder Coating pasang 860.000
517 TESENA Tesena Infusion Stand TSN 017 A1 unit 901.739
518 GRAHA TEKNO MEDIKA Gris Infusion stand (pole ss) unit 907.719
519 INDAMED Foot Step S05 SS unit 938.000
520 roll 948.750
M
521 ERSA FOOT STEP 50700 FSS unit 961.136
522 ERSA SINGLE BOWL STAND unit 961.136
523 unit 961.900
LAMP / WALL MOUNTING WHITE
524 roll 962.500
200mm x 200m
525 WIPAK STERIKING FLAT ROLL 15CM/200M roll 966.000
526 POLY Accessories: Foot Step Stainless Steel unit 977.075
527 dus 980.659
cm x 200 m
528 roll 982.520
size 200mm x 100m
529 ERSA OXYGEN TROLLEY 1000L unit 983.367

1 2 3 4
PETERS SURGICAL,FRANCE CARDIOXYL 2/0, 1/2 TC
530 pack 984.160
18mm, 90cm, PLEDGET 3X7 - 2PTRP30OE
531 GEA Bistos Medical Head Lamp unit 1.000.000
SARANDI KARYA NUGRAHA KARIXA Infusion Stand
532 unit 1.000.000
KA 03-01BSS
533 D & V Overbed Table - PLATINUM P-011 unit 1.016.324
534 INDOMED Meja Instrumen SS 2 Rak unit 1.018.800
535 SHIMA PRIMA UTAMA Deluxe Single Bowl Stand unit 1.028.341
536 TESENA Tesena Oxyhood / Headbox TSN 046 SOH unit 1.030.000
537 pack 1.033.642
18mm, 90cm, W/O PLEDGET - 2PTRP30AE
538 NURITEK Foot Step NT 007-F3 unit 1.041.563
539 WIPAK STERIKING GUSSET ROLL (20+ 5,5)CM/100M roll 1.048.080

540 unit 1.053.947
8mm BLACK, 60cm double armed - 2PTRN04DE
STERICLIN GMBH,GERMANYSTERICLIN GUSSETTE
541 roll 1.056.000
15X5.0CM
542 GRAHA TEKNO MEDIKA Matrass Biasa unit 1.056.528
543 TESENA Tesena Foot Step SS TSN 005 SBDSS unit 1.100.000
544 SARANDI KARYA NUGRAHA Matras DH unit 1.100.000
POLY Accessories: Matras Ranjang Anak Busa Super
545 unit 1.110.313
10 cm + Cover Vinyl (E2)
546 ERSA SINGLE BOWL RACK TYPE unit 1.116.280
547 POLY Stand Waskom P.C. Double Ekonomi + Waskom unit 1.122.000
548 roll 1.124.200
size 250mm x 100m
549 SHIMA PRIMA UTAMA Economy Double Bowl Stand unit 1.126.269
550 TESENA Tesena Oxygen Trolley TSN 019 S unit 1.130.000
551 roll 1.140.700
(400+75) X 100 M
JAYAMAS Onemed Strerile Pouch with Indicator (Roll)
552 dus 1.144.102
35 cm x 200 m
553 ZULMAND Foot Step, SS 612 ZD unit 1.145.860
554 MAK INFUSE STAND 36101 unit 1.168.000
JAYAMAS Onemed Wrapping Paper 60gsm, 120x120,
555 pack 1.179.751
125pcs
556 WIPAK STERIKING TYVEK ROLL 7,5CM/100M roll 1.182.000
GRAHA TEKNO MEDIKA Gris Infusion stand Stainless
557 unit 1.185.218
Steel

1 2 3 4
558 roll 1.185.800
250mm x 200m
559 BIPMED INFUSION STAND BIS-101-5W unit 1.199.000
560 INDOMED Matrass Ranjang Anak unit 1.200.000
561 BARTEC UTAMA MANDIRI Foot Step SS unit 1.200.000
562 AGS Mattress Bed (ANA0701) unit 1.200.597
563 MAK INFUSE STAND 4 HOOKS 36103 unit 1.241.000
564 NURITEK Mattress Children Bed NT 108-A unit 1.247.813
565 WIPAK STERIKING FLAT ROLL 20CM/200M roll 1.248.000
566 roll 1.254.000
M
567 roll 1.266.000
15CM/200M
568 roll 1.271.000
20X5 CM
MENTOR - INDONESIA Oxygen Trolley / Troli Oksigen
569 unit 1.290.000
6m3 Powder Coating TO-02
MENTOR - INDONESIA Infusion Stand / Standard
570 unit 1.291.000
Infuse Stainless Steel 4 Hooks STD-01
571 POLY Instrument Trolley Kaca PC unit 1.295.000
572 WIPAK STERIKING GUSSET ROLL (25+ 6,5)CM/100M unit 1.297.800
573 POLY Side Rail (Pagar) Stainless Steel pasang 1.300.000
574 POLY Matrass Busa Super 10cm + Cover Vinyl pasang 1.300.000
575 dus 1.307.547
cm x 200 m
576 roll 1.309.840
size 300mm x 100m
577 GRAHA TEKNO MEDIKA Gris Bed Screen 1 Screen unit 1.318.186
578 INDOMED Bed Side Cabinet ABS unit 1.325.000
GRAHA TEKNO MEDIKA Gris Bed Screen Stainless
579 unit 1.349.228
Steel 1 Screen
580 NURITEK Mattress Hospital Bed NT 106 unit 1.353.688
581 ERSA SINGLE BOWL STAND 51700 SBSS unit 1.354.672
FRIMED INSTRUMENT BOX withLID with knob 200 x
582 piece 1.360.400
100 x 35 mm
583 GRAHA TEKNO MEDIKA Gris Single bowl rack type unit 1.362.574
584 ROBUST Infusion Stand unit 1.388.000
585 pack 1.395.737
18mm, 90cm, PLEDGET 3X5 - 2PTRP30QE
586 ERSA DOUBLE BOWL RACK TYPE unit 1.398.566
587 ERSA DOUBLE BOWL STAND TYPE 51700 DBS unit
588 D & V Overbed Table - Platinum - P - 021 unit 1.409.739

1 2 3 4
589 unit 1.414.550
LAMP / MAGNETIC BASE BLACK
590 MAK MATTRESS FOAM ADULT (MAT02) unit 1.419.548
591 MAK MATTRESS FOAM CHILDREN (MAT03) unit
592 TESENA Tesena Wash Basin Stand Double TSN 016 D unit 1.428.000
593 A CLASS FOOT STEP / STEP TOOL SS+ABS unit 1.430.000
594 BARTEC UTAMA MANDIRI Overbed Table Standart unit 1.440.000
595 SHIMA PRIMA UTAMA Overbed Table SM - 9031 unit 1.443.000
596 D & V Cherry Blossom Mattress unit 1.450.000
597 AGS Infuse Stand 5 Legs (ANE0101) unit 1.462.000
598 POLY Viewer X-Ray Film (30 Watt) unit 1.465.613
599 POLY Kursi Stool unit 1.468.000
600 WIPAK STERIKING TYVEK ROLL 10CM/100M roll 1.473.000
601 roll 1.475.000
300mm x 200m
602 TESENA Tesena Bed Screen (2 Screen) TSN 025 B unit 1.479.000
603 ERSA BED SCREEN 52200 BSS1 unit 1.487.112
604 WIPAK STERIKING GUSSET ROLL (30+ 8)CM/100M roll 1.488.000
605 ZULMAND Mattress 857 A ZD unit 1.494.600
606 SHIMA PRIMA UTAMA Screen Two Panel unit 1.497.310
607 MAK MATTRESS FOAM CHILDREN (MAT03) unit 1.419.548
608 A CLASS FOOT STEP / STEP TOOL SS+ABS unit 1.430.000
609 BARTEC UTAMA MANDIRI Overbed Table Standart unit 1.440.000
610 SHIMA PRIMA UTAMA Overbed Table SM - 9031 unit 1.443.000
611 D & V Cherry Blossom Mattress unit 1.450.000
612 AGS Infuse Stand 5 Legs (ANE0101) unit 1.462.000
614 POLY Kursi Stool unit 1.468.000
615 WIPAK STERIKING TYVEK ROLL 10CM/100M roll 1.473.000
616 roll 1.475.000
300mm x 200m
ALLIED HEALTHCARE TIMETER Oxygen Flowmeter 15
618 set 1.487.661
LPM Brass Set-Disposable
619 WIPAK STERIKING GUSSET ROLL (30+ 8)CM/100M roll 1.488.000

1 2 3 4
620 ZULMAND Mattress 857 A ZD unit 1.494.600
621 SHIMA PRIMA UTAMA Screen Two Panel unit 1.497.310
622 BARTEC UTAMA MANDIRI Room Divider 2 Leaf MS unit 1.497.600
623 SHIMA PRIMA UTAMA Deluxe Double Bowl Stand unit 1.499.869
624 WIPAK STERIKING FLAT ROLL 25CM/200M roll 1.506.000
PETERS SURGICAL,FRANCE CARDIOXYL 2/0, 1/2
625 pack 1.506.283
TC, 25mm, 90cm, W/O PLEDGET - 2PTRP30EE
626 ERSA BED SCREEN 52200 BS 2 unit 1.508.302
627 INDAMED Bowl Stand Single S07 A unit 1.521.000
628 GRAHA TEKNO MEDIKA Matrass Waffle unit 1.531.200
629 roll 1.538.000
20CM/200M
LOGTAG Temperature Recorder / Pemantau Suhu -
630 unit 1.538.700
TREX-8
LOGTAG Temperature Recorder / Pemantau Suhu -
631 unit 1.538.700
TREL-8
632 roll 1.542.000
25X6.5 CM
633 SHIMA PRIMA UTAMA Wheelchair unit 1.544.097
634 POLY Tiang Infus K.5 S/S unit 1.554.000
635 POLY Stand Waskom S/S Single K.5 + Waskom unit 1.554.000
636 GRAHA TEKNO MEDIKA Gris Overbed Table unit 1.558.580
637 SECA STADIOMETER – SECA 213 unit 1.564.826
638 BARTEC UTAMA MANDIRI Bowl Stand Single unit 1.568.000
639 pack 1.573.000
250pcs
640 ERSA BOWL STAND 51701 SBRS unit 1.580.000
641 ERSA INSTRUMENT TROLLEY 51600 IT unit 1.580.000
642 pack 1.573.000
250pcs
643 ERSA BOWL STAND 51701 SBRS unit 1.580.000
644 ERSA INSTRUMENT TROLLEY 51600 IT unit 1.580.000
645 GRAHA TEKNO MEDIKA Gris Double bowl rack type unit 1.585.748
646 SERENITY Folding Stretcher with Wheels SR-F2 unit 1.603.000
647 unit 1.604.120
size 350mm x 100m
MENTOR - INDONESIA Bowl Stand / Stand Waskom
648 unit 1.613.500
Double Stainless Steel FT-01
MENTOR - INDONESIA Overbed Table / MejaMAKan
649 unit 1.613.500
Pasien Powder Coating OT-01
MENTOR - INDONESIA Rana / Room Divider 1 Fold
650 unit 1.613.500

1 2 3 4
MENTOR - INDONESIA Troli Meja Instrumen /
651 Instrument Table Trolley 2 Racks IT-01 Stainless Steel unit 1.613.500
200236
652 DEXON BOWL STAND DOUBLE unit 1.624.000
653 DEXON OVER BED TABLE unit
654 A CLASS OVERBED TABLE STAINLESS STEEL unit 1.650.000
655 PARAMOUNT BED TV Arm Holder for L'Za unit 1.655.280
656 unit 1.667.600
size 400mm x 100m
657 MPM ERKA Stethoscope Finesse Duo Child & Infant unit 1.700.000
658 POLY Trolley Oksigen 6 m3 unit 1.727.000
SARANDI KARYA NUGRAHA Double Bowl Stand Type
659 unit 1.775.000
KA 17-12BSS
660 D & V Mango Mattress unit 1.780.000
661 ZULMAND Bowl Stand Single, S 628 ZD unit 1.793.520
662 TESENA Tesena Infusion Stand SS TSN 017 ASS unit 1.803.479
A CLASS STAND WASKOM (BASIN) / DOUBLE BOWL
663 unit 1.804.000
SS
664 SANI-INDONESIA Alat Ukur Panjang Bayi Type Caliper unit 1.826.600
665 ERSA OXYGEN TROLLEY OT6 unit 1.835.618
667 BARTEC UTAMA MANDIRI Mattress For Children unit 1.848.000
668 SECA FLAT SCALE MECHANIC – SECA 762 unit 1.851.316
669 WIPAK STERIKING FLAT ROLL 30CM/200M unit 1.857.000
3D Semillas Latex Matras Anak 170X70X10CM
670 unit 1.870.000
(LM717010)
671 INDAMED Trolley Oxygen 6 m3 S35 B unit 1.886.000
672 TESENA Tesena Baby Bassinette TSN 007 EK unit 1.890.000
673 FYROM INTERNATIONAL Foot Step 2 unit 1.890.000
674 WIPAK STERIKING TYVEK ROLL 15CM/100M unit 1.893.000
675 DEXON BEDSIDE CABINET unit 1.895.250
676 roll 1.897.000
350mm x 200m
677 POLY Viewer Double 800 x 450 x 80 mm unit 1.899.000
SARANDI KARYA NUGRAHA Overbed Table KA 05-
678 unit 1.900.000
00ASS
679 BIPMED EXAMINE TABLE BET-101 unit 1.900.800
680 AGS Over Bed Table (ANE0801) unit 1.909.316
681 SHIMA PRIMA UTAMA Screen Three Panel unit 1.919.294

1 2 3 4
SARANDI KARYA NUGRAHA Bedside Cabinet eco 04-
682 unit 1.925.000
02AP
683 ERSA DOUBLE BOWL STAND TYPE 51700 DBSS unit 1.944.976
684 ERSA INSTRUMENT TROLLEY 51600 IT1 unit 1.953.000
POLY Accessories: Matras Busa Super 10 cm Lipat +
685 unit 1.954.150
Cover Vinyl (E1)
686 GEA Young Won Anti Decubistus Mattress System unit 1.960.000
687 MAK BOWL STAND - SINGLE (36301) unit 1.971.100
688 ERSA OVERBED TABLE 50500 OB unit 1.976.000
689 unit 1.980.350
LAMP / HEAVY BASE WHITE / GREY
690 FYROM INTERNATIONAL Urinal Adult unit 2.008.618
691 ERSA EXAMINATION/DOCTOR STOOL unit 2.013.088
692 roll 2.032.240
400mm x 200m
TESENA Tesena Wash Basin Stand Double TSN 016
693 unit 2.052.000
DSS
694 POLY Instrument Trolley Kaca SS unit 2.072.000
695 POLY Lampu Tindakan Halogen unit 2.072.000
696 POLY Stand Waskom S/S Double K.5 + Waskom unit 2.072.000
697 NURITEK Double Bowl Stand NT 017-2A unit 2.076.855
698 POLY Side Rail Deluxe Alumunium pasang 2.080.000
BARTEC UTAMA MANDIRI Overbed Table Low Stand
699 unit 2.080.000
SS
700 3D Semillas Latex Matras Anak 170x80x10 (LM817010) unit 2.090.000
701 ERSA DOUBLE BOWL RACK TYPE 51701 DBRS unit 2.097.850
SARANDI KARYA NUGRAHA Double Bowl Rack Type
702 unit 2.100.000
KA 17-02BSS
703 ERSA BED SCREEN 3 52200 BS3 unit 2.160.664
704 DEXON INSTRUMENT TROLEY unit 2.166.000
705 DEXON MAYO TABLE unit 2.166.000
706 DEXON BED SCREEN unit 2.166.000
707 DEXON KURSI TUNGGU PASIEN unit 2.166.000
STERICLIN GMBH,GERMANY BOWIE & DICK
708 unit 2.197.961
INDICATORTEST SHEET
709 SHIMA PRIMA UTAMA Examination Bed PC unit 2.226.070
710 BARTEC UTAMA MANDIRI Bowl Stand Double unit 2.240.000
711 ZULMAND Developing Tank 726 ZD unit 2.241.900
712 POLY Bed Screen Double P.C unit 2.245.000
BARTEC UTAMA MANDIRI Mattress Standart Super
713 unit 2.251.200
Foam
714 MUKA Mattrass MA 202 unit 2.260.000
715 unit 2.263.250
LAMP / NON - CONTACT SWITCH

1 2 3 4
716 ERSA MAYO TABLE FROM SS unit 2.270.400
717 ZULMAND Examination Stool, SS 757 ZD unit 2.284.745
718 INDOMED Meja Mayo SS unit 2.285.000
719 INDOMED Trolly Pasien Monitor unit 2.290.000
720 INDAMED Bed Screen Double S09 PC unit 2.296.000
721 INDAMED Over Bed Table S02 unit 2.310.000
722 ERSA BABY BASKET 51300 BB unit 2.315.808
GRAHA TEKNO MEDIKA Gris Bed Screen Stainless
723 unit 2.325.925
Steel 2 Screen
724 ERSA INSTRUMENT TROLLEY 51600 ITS unit 2.326.000
725 SHIMA PRIMA UTAMA Bedside Cabinet SM-9036 C unit 2.334.000
726 MAK EXAMINATION STOOL 31310 unit 2.336.100
727 MAK BEDSIDE CABINET 33031 unit 2.336.170
728 INDOMED Meja Periksa PC unit 2.346.840
729 SANI-INDONESIA Infusion Stand, Stainlees Steel unit 2.354.495
730 SHIMA PRIMA UTAMA Double Bowl Trolley SS unit 2.373.608
SHIMA PRIMA UTAMA Bedside Cabinet TableTOP ABS
731 unit 2.374.000
SM - 9036 B
732 NURITEK Bedside Cabinet NT 004-1B unit 2.391.428
733 NURITEK Examination Stool NT 029-A unit 2.397.313
734 TESENA Tesena Needle Destroyer TSN 2410 ND unit 2.400.000
735 SARANDI KARYA NUGRAHA Bed Screen KA 22-02BSS unit 2.400.000
736 ZULMAND Bowl Stand Single, SS 627 ZD unit 2.408.299
737 ZULMAND Bowl Stand Double, S 630 ZD unit 2.408.299
738 POLY Medical Oxygen Theraphy Complete Set ( 1m3 ) unit 2.417.000
739 POLY Over Bed Table unit 2.417.000
740 POLY Stand Waskom S/S Single K.4 + Waskom unit 2.417.000
741 POLY Matrass Anti Decubitus unit 2.420.000
MENTOR - INDONESIA Halogen Examination
742 unit 2.420.000
Lamp/Light MEL-01
MENTOR - INDONESIA Baby Basket Acrylic / Infant Bed
743 unit 2.420.000
Powder Coating HBI-01
744 D & V Overbed Table - Platinum NG P - 405 OT unit 2.430.792
745 ZULMAND Mattress 857 ZD unit 2.434.600
SHIMA PRIMA UTAMA Baby Cot With Trolley SS SM-
746 unit 2.440.000
9018
747 INDAMED Bowl Stand Double S07 B unit 2.449.000
748 MAK BOWL STAND - DOUBLE (36302) unit
749 unit 2.489.600
LAMP / CLAMP FOR MEDICAL RAIL
750 ZULMAND Halogen Examination Lamp 740 ZD unit 2.491.000

1 2 3 4
751 D & V Bedside Cabinet - Platinum Inspiration PI-1800 BC unit 2.500.000

752 TESENA TESENA BED SCREEN TSN 025 BSS unit 2.500.000
753 ERSA BEDSIDE CABINET 50400 BC 1 unit 2.504.000
754 3D SEMILLAS Latex Matras 200 x 90 x 7.5 cm unit 2.530.000
755 3D Semillas Latex Matras Anak 177x90x10 (LM917710) unit 2.530.000
756 A CLASS BEDSIDE CABINET (ABS) unit 2.530.000
TESENA TesenaGENERAL Examination Lamp TSN 015
757 unit 2.561.000
A
BARTEC UTAMA MANDIRI Instrument Trolley Material
758 unit 2.576.000
MS
759 SAGA Overbed Table SG 05-00BSS OTB unit 2.576.000
760 unit 2.602.750
LAMP / UNIVERSAL CLAMP
761 ERSA BED SCREEN 52200 BSS 2 unit 2.622.312
762 ERSA OVERBED TABLE 70502 OT unit 2.633.000
SARANDI KARYA NUGRAHA Overbed Table SKN 05-
764 unit 2.660.000
02ABS
ALKAPHARM,FRANCE ALKACIDE 1L High Level
765 unit 2.702.700
Disinfectant
766 SERENITY Scoop Stretcher SR-C2 unit 2.703.000
767 WIPAK STERIKING FLAT ROLL 40CM/200M unit 2.730.000
768 GRAHA TEKNO MEDIKA Gris Instrument Table 2 Rak unit 2.733.427
769 PARAMOUNT BED Sheet Set For L'za unit 2.758.800
770 POLY Ranjang Sederhana unit 2.763.000
771 MAK MATTRESS LATEX CHILDREN 36112B (3603B) unit 2.774.201
772 GRAHA TEKNO MEDIKA Gris Mayo Table St. Steel unit 2.789.563
773 TESENA Tesena Overbed Table TSN 002 B2 unit 2.793.000
775 NURITEK Bed Screen NT 022-2A unit 2.797.328
776 NURITEK Instrument Trolley NT 016-B unit 2.809.469
777 NURITEK Instrument Trolley NT 016-J unit 2.809.469
MENTOR - INDONESIA Examination Table / Meja
778 unit 2.823.000
Eksaminasi Powder Coating MEX-01
MENTOR - INDONESIA Meja Mayo / Mayo Stand
779 unit 2.823.500
Stainless Steel OT-2
780 unit 2.823.500
781 INDAMED Instrument Trolley S11 B unit 2.837.000
782 ZULMAND Bowl Stand Double, SS 629 ZD unit 2.838.744

1 2 3 4
783 MEDIGLOBE Examination Bed SS KM-016 unit 2.843.750
785 POLY Incubator Standar unit 2.849.000
786 POLY Instrument Trolley S/S Tanpa laci unit 2.849.000
787 POLY Instrument TrolleyS/S Tanpa Laci unit 2.849.000
788 POLY Bed Screen Triple P.C unit 2.849.000
789 POLY Mayo Stand P.C unit 2.849.000
790 POLY Stand Waskom S/S Double K.4 + Waskom unit 2.849.000
791 PARAMOUNT BED I.V Pole Holder For L'za unit 2.850.760
792 SHIMA PRIMA UTAMA Laundry Cart unit 2.859.748
793 SHIMA PRIMA UTAMA Laundry Trolley unit 2.860.010
794 MEDIGLOBE Meja Resusitasi Bayi MLB-01 unit 2.880.000
795 ERSA BED SCREEN 52200 BS4 unit 2.887.192
796 INDOMED Matrass ICU unit 2.900.000
797 BARTEC UTAMA MANDIRI Locker 1 Door unit 2.912.000
799 FYROM INTERNATIONAL Foot Step 3 unit 2.921.625
801 ERSA BEDSIDE CABINET 50400 BC2 unit 2.956.000
802 NURITEK Bedside Cabinet NT 004-2A unit 2.959.688
FRIMED WIRE BASKET STANDAR 540 x 255 x 70 mm
803 unit 2.980.300
of wire mesh for, Container 60,0 cm long
804 ZULMAND Filing cabinet 707 ZD unit 2.989.200
805 ZULMAND Mayo Table, SS 892 ZD unit 2.989.200
SARANDI KARYA NUGRAHA Overbed Table KA 05-
806 unit 2.990.000
00BSS
808 INDAMED Bed Screen Triple S10 PC unit 2.998.000
809 ERSA OVER BED 50500 OBS unit 3.015.848
810 ERSA MAYO TABLE FULL SS unit 3.019.632
811 POLY Box Bayi P.C. unit 3.022.000
812 POLY Box Bayi Deluxe P.C. unit 3.022.000
813 POLY Stand Holder unit 3.022.000
814 POLY Laundry Trolley Bulat S/S + Linen unit 3.022.000
815 POLY Over Bed Table Deluxe unit 3.022.000
816 POLY Bed Side Cabinet PC unit 3.022.000
817 SARANDI KARYA NUGRAHA Matras KK unit 3.025.000
818 ERSA INSTRUMENT TROLLEY 51600 ITS 1 unit 3.028.000
820 PARAMOUNT BED Caster for L'za unit 3.034.680
821 TESENA Tesena Baby Bassinette TSN 007 EKSS unit 3.040.000
822 SANI-INDONESIA Double Bowl Stand Stainlees Steel unit 3.049.200
SARANDI KARYA NUGRAHA Instrument Trolley KA 16-
823 unit 3.050.000
01BSS

1 2 3 4
SARANDI KARYA NUGRAHA Mayo Table (Full SS) KA
824 unit 3.050.000
06-00BSS
825 SHIMA PRIMA UTAMA Instrument Trolley 2 Shelves unit 3.063.172
BARTEC UTAMA MANDIRI Medicine Cabinet Single
826 unit 3.072.000
Door
827 3D SEMILLAS Latex Matras 200 x 90 x 10 cm unit 3.080.000
828 A CLASS BEDSIDE CABINET (ALUMINIUM) unit 3.080.000
BARTEC UTAMA MANDIRI Instrument Cabinet Single
829 unit 3.080.000
Door
830 INDAMED Bed Screen Double S09 SS unit 3.100.000
831 ERSA DRESSING TROLLEY 51800 DT unit 3.102.880
832 POLY Mayo Stand S/S unit 3.108.000
834 A CLASS MAYO TROLLEY / TABLE STAINLESS STEEL unit 3.135.000
835 TESENA Tesena Instrument Table SS TSN 009 ASS unit 3.156.000
836 ERSA LAUNDRY TROLLY unit 3.178.560
837 TESENA Tesena Examination Table TSN 005 B unit 3.192.000
838 POLY Bed Screen Double S/S unit 3.194.000
840 ZULMAND Overbed Table 891 ZD unit 3.200.437
841 INDAMED Instrument Trolley + Tray S11 A unit 3.203.000
842 MAK ROOM DEVIDER 2 FOLDS 36102/36202* unit 3.212.200
844 MAK OVERBED TABLE (73012*) / 73031K unit 3.212.233
845 MAK MATTRESS LATEX ADULT 36113 (31813*) unit 3.212.233
846 NURITEK Overbed Table NT 005-B unit 3.216.758
847 SAGA Bedside Cabinet SG 04-00BSS BC unit 3.220.000
848 AGS Bed side Cabinet (ANC0501) unit 3.235.273
849 NURITEK Mayo Table NT 006-B unit 3.269.063
850 INDAMED Over Bed Table Deluxe S01 unit 3.276.000
851 ERSA FOOD TROLLEY TYPE 52100 FT unit 3.280.728
852 POLY Instrument Trolley S/S + Laci unit 3.281.000
853 POLY Bed Side Cabinet PC ,TOP Table ABS unit 3.281.000
854 NURITEK Laundry Trolley NT 030-A unit 3.282.125
855 MAK OVERBED TABLE 73033 unit 3.285.239
857 LAMP / TELESCOPIC TROLLEY BASIS + PLASTIC unit 3.338.350
BASE
858 ZULMAND Mayo Table, SS 896 ZD unit 3.348.900
859 TESENA Tesena Mayo Table SS TSN 008 ASS unit 3.361.750
860 NURITEK Examination Lamp NT 023-00BSS unit 3.402.795

1 2 3 4
861 AGS Examination Table (ANB0802) unit 3.410.991
862 SAGA Bedside Cabinet SG 04-03ABS BC unit 3.450.000
863 POLY Bed Side Cabinet Deluxe ABS unit 3.453.000
864 unit 3.469.000
865 AGS Instrument Trolley 2 Racks (ANT0401) unit 3.498.522
POLY Hospital Furniture Kursi Tunggu 3 Seat [Waiting
866 unit 3.517.470
Chair]
867 BLESSMED Examine Table unit 3.520.000
868 A CLASS OXYGEN TROLLEY SS unit 3.520.000
869 SHIMA PRIMA UTAMA Declined Commode Wheelchair unit 3.550.930

870 unit 3.564.650
LAMP / WALL MOUNTING WHITE (2 X 400 mm)
871 CHANG GUNG Bedside Cabinet Wooden unit 3.573.000
SARANDI KARYA NUGRAHA KArixa Examination Table
872 unit 3.600.000
KA 07-01A
873 A CLASS LAUNDRY / LINEN TROLLEY SS (105) unit 3.613.500
874 POLY Bed Screen Triple S/S unit 3.626.000
875 POLY Laundry Trolley Kotak P.C unit 3.626.000
876 POLY Brancar Sederhana P.C unit 3.626.000
POLY Bed Side Cabinet PC+ LaciMAKan ,TOP Table
877 unit 3.626.000
ABS
878 ZULMAND Bedside Cabinet With Hanging Towel 701 ZD unit 3.656.788
880 ERSA BEDSIDE CABINET 50400 BCS unit 3.670.480
881 PARAMOUNT BED Accesories for L'za unit 3.678.400
882 BARTEC UTAMA MANDIRI Room Divider 3 Leaf MS unit 3.693.600
883 SANI-INDONESIA Foldway Strechtcher, 4 Fold unit 3.696.000
884 TESENA TESENA BED SIDE CABINET TSN 002 AQ unit 3.697.000
SARANDI KARYA NUGRAHA Bedside Cabinet KA 04-
885 unit 3.700.000
00BSS
886 INDAMED Bed Side Cabinet + Drawer S04 A unit 3.700.000
887 GRAHA TEKNO MEDIKA Gris Bedside cabinet unit 3.729.964
888 SHIMA PRIMA UTAMA Transfer Trolley unit 3.751.400
889 NURITEK Examination Table NT 007-00B unit 3.781.635
890 TESENA Tesena Wheel Chair TSN 021 C unit 3.787.000
891 DEXON LOCKER unit 3.790.500
892 MAK WAITING CHAIR 3 SEATS (99104 S3) unit 3.796.000
893 MAK WAITING CHAIR 2 SEATS 1 TABLE (99104 T3) unit 3.796.000

1 2 3 4
894 MAK WAITING CHAIR 3 SEATS (99103 S3 / 31322*) unit 3.796.000

MAK WAITING CHAIR 2 SEATS 1 TABLE (99103 T3 /
895 unit 3.796.000
31323*)
896 POLYDENTAL Chair PC unit 3.798.000
897 POLY Meja Periksa (Dengan Foot Step) unit 3.810.593
898 SHIMA PRIMA UTAMA Gynaecology Bed PC unit 3.828.417
899 3D SEMILLAS Latex Matras 200 x 90 x 12 cm unit 3.850.000
900 AGS Baby Basket (ANB0701) unit 3.896.498
901 BARTEC UTAMA MANDIRI Baby Basket unit 3.897.600
902 TESENA Tesena Laundry Cart TSN 026 A unit 3.915.473
A CLASS BED SCREEN / ROOM DEVIDER
903 unit 3.927.000
STAINLESS STEEL
SARANDI KARYA NUGRAHA Bedside Cabinet SKN 04-
904 unit 3.950.000
03ABS
905 ERSA BEDSIDE CABINET 70403 BCA unit 3.951.000
906 3D SEMILLAS Latex Matras 200 x 90 x 12.5 cm unit 3.960.000
907 LAMP / TELESCOPIC TROLLEY BASIS 90 - 130cm unit 3.960.750
WHITE
908 POLY Lemari Instrumen 1 Pintu P.C unit 3.985.000
909 TESENA Tesena Brancard / Stretcher TSN 006 A unit 3.990.000
910 SANI-INDONESIA Room Devider, Stainlees Steel unit 3.992.800
911 D & V Examination Table - Platinum NG P - 500 XT unit 3.993.444
912 ZULMAND Instrument Cabinet 705 ZD unit 3.993.571
BARTEC UTAMA MANDIRI Mattress Standart Semi
913 unit 4.000.000
Latex
BARTEC UTAMA MANDIRI Instrument Trolley Material
914 unit 4.000.000
SS
915 TESENA Tesena Baby Bassinette TSN 007 Z unit 4.030.951
BARTEC UTAMA MANDIRI Bedside CabinetTOP Table
916 unit 4.032.000
Plywood
917 INDAMED Bed Screen Triple S10 SS unit 4.036.000
918 SHIMA PRIMA UTAMA Instrument Trolley 3 Shelves unit 4.040.262
919 POLY Ranjang Tanpa Engkol unit 4.057.000
920 GRAHA TEKNO MEDIKA Gris Examination Table unit 4.075.917
921 POLY Over Bed Table Deluxe (GS) unit 4.085.950
922 MAK MEDICINE CABINET 32903 unit 4.088.200
923 FYROM INTERNATIONAL Trolley Waskom 2 Lubang unit 4.090.275
SARANDI KARYA NUGRAHA Instrument Cabinet KA 25-
924 unit 4.100.000
01A
ERSA CHILDREN BED+INFUSION STAND SMALL
925 unit 4.116.992
51400 CB

1 2 3 4
926 ERSA INSTRUMENT CABINET 52500 IC 1 unit 4.126.000
927 BLESSMED Examine Table Advance - BP 025 PC ADV unit 4.136.000
928 BARTEC UTAMA MANDIRI Waiting Chair 3 Seat AP unit 4.144.000
929 BARTEC UTAMA MANDIRI Bedside Cabinet Full ABS unit 4.160.000
930 ERSA MATRAS ME 10 unit 4.162.400
931 BIPMED EXAMINE TABLE BET-201 unit 4.199.800
932 POLY Brancar Standart PC unit 4.230.000
BARTEC UTAMA MANDIRI Bedside CabinetTOP Table
933 unit 4.240.000
ABS
934 SHIMA PRIMA UTAMA Examination Bed SS unit 4.256.154
935 JOHNSON & JOHNSON STERRAD NX Cassettes , ASP unit 4.323.324
936 DEXON MEDICINE CABINET unit 4.332.000
937 DEXON INSTRUMENT CABINET unit 4.332.000
938 GRAHA TEKNO MEDIKA Gris Laundry trolley unit 4.371.547
MENTOR - INDONESIA Meja Resusitasi Bayi Manual
939 unit 4.437.500
Powder Coating HBI-02
940 GRAHA TEKNO MEDIKA Gris Dressing Trolley unit 4.457.345
941 INDAMED Instrument Cabinet 1 Door S12 PC unit 4.460.000
942 ZULMAND Instrument Trolley, S 781 ZD unit 4.468.854
943 BARTEC UTAMA MANDIRI Bedside Cabinet Half ABS unit 4.480.000
944 BARTEC UTAMA MANDIRI Room Divider 3 Leaf SS unit 4.480.000

945 BARTEC UTAMA MANDIRI Utility Trolley unit 4.480.000
946 ERSA BABY BASKET ACRYLIC unit 4.502.960
947 SAGA Instrument Cabinet SG 25-01B IC unit 4.508.000
948 ZULMAND Laundry Kotak 639 ZD unit 4.509.706
949 MAK INSTRUMENT TROLLEY 35101 unit 4.526.300
950 MAK LAUNDRY TROLLEY 35301 unit 4.526.300
951 AGS Dressing Trolley (ANT0301) unit 4.541.816
952 ERSA DRESSING TROLLEY 51800 DTD unit 4.589.992
BARTEC UTAMA MANDIRI Instrument Cabinet Double
953 unit 4.592.000
Door (Top&Bottom)
POLY Hospital Furniture Kursi Tunggu 4 Seat [Waiting
954 unit 4.592.253
Chair]
955 BARTEC UTAMA MANDIRI Laundry Trolley Standart SS unit 4.640.000
TESENA Tesena Halogen Examination Lamp TSN 015
956 unit 4.651.200
FHC
957 ZULMAND Room Divider 3 Panel, SS 866 ZD unit 4.653.188
958 POLY Gynaecolog Examination Table P.C. unit 4.662.000
960 FYROM INTERNATIONAL Mayo Bedah unit 4.674.600

1 2 3 4
961 FYROM INTERNATIONAL Mayo Anestesi unit 4.674.600
962 BARTEC UTAMA MANDIRI Waiting Chair 4 Seat AP unit 4.704.000
963 A CLASS LAUNDRY / LINEN TROLLEY SS (040-1) unit 4.713.500
964 SHIMA PRIMA UTAMA New Laundry Cart with Cover unit 4.717.314
965 POLY Lemari Obat 1 Pintu P.C unit 4.767.000
966 INDAMED Medicine Cabinet 1 Door S14 PC unit 4.768.000
967 D & V Bedside Cabinet - Platinum NG P - 307S BC unit 4.774.770
TESENA Tesena Instrument / Medical Cabinet TSN 032
968 unit 4.788.000
B1
969 BARTEC UTAMA MANDIRI Mattress Standart Latex unit 4.800.000
970 SHIMA PRIMA UTAMA Cleaner Trolley SS unit 4.802.228
971 TESENA Tesena Baby Bassinette TSN 007 CJSS unit 4.802.500
972 MAK ROOM DEVIDER 3 FOLDS (36203) unit 4.818.000
973 MAK WAITING CHAIR 4 SEATS (99103 S4 / 31320*) unit 4.818.000
MAK WAITING CHAIR 3 SEATS 1 TABLE (99103 T4 /
974 unit 4.818.000
31321*)
LAERDAL Silicone Resuscitator (Preterm / Neonate)
975 unit 4.828.000
Complete, Carton Box
976 POLY Meja Periksa S/S + Foot Step P.C unit 4.834.000
MENTOR - INDONESIA Examination Table / Meja
977 unit 4.840.000
Eksaminasi Stainless Steel MEX-01
978 SANI-INDONESIA Mayo Table unit 4.846.500
GRAHA TEKNO MEDIKA Gris Dressing Trolley with 1
979 unit 4.854.437
drawer
980 BARTEC UTAMA MANDIRI Dressing Trolley unit 4.864.000
981 NURITEK Instrument Cabinet NT 025-1B unit 4.892.938
ERSA CHILDREN BED+CASTOR INFUSION STAND
983 unit 4.938.120
SMALL 51401 CB
984 MAK WAITING CHAIR 4 SEATS (99104 S4) unit 4.964.000
985 MAK WAITING CHAIR 3 SEATS 1 TABLE (99104 T4) unit 4.964.000
LAERDAL Silicone Resuscitator (Dewasa) Complete,
986 unit 4.964.900
Carton Box
987 ZULMAND Extrabed for Patient, SS 820 ZD unit 4.982.000
988 MEDIGLOBE Instument Kabinet ML-40 unit 4.987.500
SARANDI KARYA NUGRAHA KArixa Instrument
989 unit 5.000.000
Cabinet KA 25-01B
JOHNSON & JOHNSON STERRAD Cylesure Biological
990 unit 5.005.356
Indicator, ASP

1 2 3 4
991 POLY Incubator Thermostat unit 5.007.000
POLY Gynaecolog Examination Table P.C. + Foot Step
992 unit 5.007.000
PC
993 NURITEK Stretcher NT 015-00B unit 5.009.483
994 AGS Status Table (ANC0801) unit 5.021.365
995 ERSA CHILDREN BED+INFUSION STAND 51400 CBL unit 5.069.803
997 A CLASS INSTRUMENT TROLLEY unit 5.098.500
SARANDI KARYA NUGRAHA KARIXA Stretcher KA 15-
998 unit 5.100.000
00BSS
999 BLESSMED Emergency Trolley with Infusion Stand unit 5.104.000
1000 BARTEC UTAMA MANDIRI Bedside Cabinet Luxurious unit 5.116.160
TESENA Tesena Medical Weighing Scale Height
1001 unit 5.149.760
Measuring TSN 9806 WHS
1002 ZULMAND Instrument Cabinet 706 ZD unit 5.164.341
1003 ZULMAND Medicine Cabinet 710 ZD unit 5.164.341
1004 INDAMED Instrument Cabinet 2 Door S13 PC unit 5.177.000
1005 POLYDENTAL Chair SS unit 5.180.000
1006 MAK INSTRUMENT CABINET 32901 unit 5.183.300
1007 MAK MEDICINE CABINET 32902 unit 5.183.300
GRAHA TEKNO MEDIKA Smar Examination Table with
1008 unit 5.192.191
Back Raise
1009 POLY Lemari Instrumen 2 Pintu P.C unit 5.200.000
BARTEC UTAMA MANDIRI Medicine Cabinet Double
1010 unit 5.264.000
Door (Top & Bottom)
1011 unit 5.266.800
A1
1012 SHIMA PRIMA UTAMA Transfer Trolley with Side Guard unit 5.299.960
SARANDI KARYA NUGRAHA KARIXA Examination
1013 unit 5.300.000
Table KA 07-01BSS
1014 TESENA Tesena Baby Bassinette TSN 007 CSS unit 5.312.500
1015 BIPMED BRANCART PATIENT BBP-201 unit 5.335.000
JOHNSON & JOHNSON STERRAD Tyvek Roll With CI
1016 unit 5.359.924
100MM x 70M, ASP
1017 ZULMAND Urinal & Badpan, S 668 ZD unit 5.382.553
BIPMED RESUSSITASI TABLE (BABY TAFEL) BTA-
1018 unit 5.399.900
201-L
1019 MAK URINAL BEDPAN CARRIAGE (36303/36501*) unit 5.402.300
1020 ZULMAND Instrument Trolley, SS 782 ZD unit 5.408.854
1021 ROBUST Instrument Troley unit 5.415.000
1022 DEXON Examination Table unit 5.415.000

1 2 3 4
1023 ERSA DRESSING TROLLEY 51800 DTS unit 5.419.445
1024 TESENA Tesena Linen Hamper Carriage TSN 026 C unit 5.433.999
JOHNSON & JOHNSON STERRAD Tyvek Roll with CI
1025 unit 5.444.767
150MM x 70M, ASP
1026 POLY Lemari Obat 2 Pintu P.C unit 5.525.000
LAERDAL Silicone Resuscitator (Pediatric) Complete,
1027 unit 5.547.000
Carton Box
1028 MAK SOFA BED 99002 unit 5.548.000
1029 MAK EXAMINATION TABLE 34101 unit 5.548.400
1030 MAK EXAMINATION TABLE 34105 unit 5.548.400
1031 unit 5.575.000
02A
1032 ZULMAND Examination Table 607 ZD unit 5.579.840
1033 ZULMAND Examination Table 608 ZD unit 5.579.840
1034 NURITEK Examination Table NT 007-00DSS unit 5.591.273
JOHNSON & JOHNSON STERRAD 100 S Cassette,
1035 unit 5.592.022
ASP
MENTOR - INDONESIA Emergency Wheeled Stretcher /
1036 unit 5.647.000
Brancard Powder Coating BRA-01
MENTOR - INDONESIA Peralatan Instrument Troli /
1037 unit
Dressing Trolley Stainless Steel DT-01
1038 GEA Young Won Anti Decubistus Mattress System unit 5.650.000
SARANDI KARYA NUGRAHA KARIXA Emergency
1039 unit 5.650.000
Stretcher KA 15-11A
1040 POLY Box Bayi Deluxe (Tanpa Frame) unit 5.667.035
TESENA Tesena Instument / Medical Cabinet TSN 032
1041 unit 5.667.316
A2 (90L)
WIPAK STERIKING Creppe Paper 75CM X 75 CM (250
1042 unit 5.669.040
Sheets/Box)
1043 INDAMED Medicine Cabinet 2 Door S15 PC unit 5.690.000
1044 MAK LINEN HAMPER CARRIAGE 35302A unit 5.694.400
1045 POLY Linen Trolley P.C unit 5.698.000
1046 FYROM INTERNATIONAL O2 Portable unit 5.738.906
ELITECH - INDONESIA ELITECH UV WATER
1047 STERILIZER/MEDICAL ULTRAVIOLET WATER unit 5.742.000
PURIFIER UV-40W
1048 unit 5.744.000
B2
1049 GEA GEA Bistos Cart For Phototherapy BT 400 unit 5.750.000
1050 ZULMAND Waiting Chair 605 ZD unit 5.759.192
ERSA CHILDREN BED+CASTOR AND INFUSION
1051 unit 5.769.086
STAND BACK RAISE S 51401 CB 1
1052 ERSA CHILDREN BED 51401 CBL unit 5.792.000
1053 MEDIGLOBE ABS Treatment Trolley B-84 unit 5.829.120

1 2 3 4
1054 TESENA Tesena Examination Table TSN 005 BSS unit 5.861.309
1055 GRAHA TEKNO MEDIKA Gris Strecher with Back Rise unit 5.869.451
1056 A CLASS INSTRUMENT TROLLEY WITH DRAWER unit 5.885.000
1058 SHIMA PRIMA UTAMA Instrument Cabinet unit 5.932.762
1059 GRAHA TEKNO MEDIKA Gris Emergency trolley 2 Laci unit 5.941.547
1060 POLY Ranjang 1 Engkol unit 5.957.000
1061 ERSA LINEN HAMPER CARRIEGE 52600 LH unit 5.959.800
1062 ERSA PSYCHIATRY BED 50100 PB unit 5.984.000
1063 TESENA Tesena Children / Pediatric Bed TSN 007 PMS unit 5.985.000
1064 SHIMA PRIMA UTAMA Emergency Trolley unit 6.007.094
GRAHA TEKNO MEDIKA Gris Instrument cabinet 1
1065 unit 6.028.328
Pintu Full Kaca
1066 POLY Meja Resusitasy P.C. unit 6.043.000
1067 POLY Medical Oxygen Theraphy Complete Set ( 6 m3 ) unit 6.043.000
1068 POLY Dressing Trolley S/S unit 6.043.000
SARANDI KARYA NUGRAHA Food Trolley KA 21-
1069 unit 6.055.000
00BSS
1070 POLY Box Bayi Deluxe (Dengan Frame) unit 6.057.865
1071 BIPMED BED PASIEN BHB-101-RHB unit 6.105.000
1072 SERENITY Stretcher Trolley SR-E2 unit 6.129.000
1073 GRAHA TEKNO MEDIKA Gris Emergency trolley 3 Laci unit 6.134.936
GRAHA TEKNO MEDIKA Smar Examination Table
1075 unit 6.147.237
Stainless Steel
1076 SHIMA PRIMA UTAMA Medicine Cabinet unit 6.151.278
1077 INDOMED Ranjang Anak unit 6.156.000
SANI-INDONESIA Medicine Cabinet Steel Sheet Epoxy
1078 unit 6.158.825
Powder Coating
LID LAMPS ACCESSORIES FOR HALOGEN EXAM
1079 LAMP /LID LAMPS / HALOGEN EXAMINATION LAMP - unit 6.185.850
TINA650
1081 SANI-INDONESIA Mobile Wastafel unit 6.210.400
1082 POLY Viewer X-Ray Film (Slim 20 Watt) unit 6.217.750
SHIMA PRIMA UTAMA Moderate Hospital Bed with
1083 unit 6.263.861
Manual Back Raise
1084 SHIMA PRIMA UTAMA Delivery Bed PC unit 6.272.677
1085 ZULMAND Instrument Trolley 2 Shelves, S 778 ZD unit 6.277.320

1 2 3 4
1086 TESENA Tesena Baby Examination Table TSN 005 D unit 6.282.839
GRAHA TEKNO MEDIKA Gris Emergency Strecher with
1087 unit 6.286.463
Back Rise
1088 GRAHA TEKNO MEDIKA Gris Linen hamper carriage unit 6.286.972
1089 BLESSMEDBLESSMED Transfer Trolley unit 6.292.000
LAERDAL Silicone Resuscitator (Pediatric) Complete,
1090 unit 6.334.600
Display Case
LAERDAL Silicone Resuscitator (Preterm / Neonate)
1091 unit 6.334.600
Complete, Display Case
1092 MAK LOCKER 4 CUPBOARD 32503 unit 6.351.400
1093 ZULMAND Mobile Stretcher, S 602 ZD unit 6.352.050
1094 AGS Food Trolley Open Frame (ANT0901) unit 6.365.270
1095 unit 6.383.608
STAND BACK RAISE L
BARTEC UTAMA MANDIRI Instrument Cabinet Double
1096 unit 6.384.000
Door Swing
1097 POLY Food Trolley 3 Rak S/S ( 60 x 93 x 80 ) unit 6.388.000
BARTEC UTAMA MANDIRI Medicine Cabinet Double
1098 unit 6.392.000
Door Swing
1099 MAK ROOM DEVIDER 4 FOLDS (36107) unit 6.424.000
1100 SARANDI KARYA NUGRAHA Locker KA 68-08P unit 6.435.000
LAERDAL Silicone Resuscitator (Dewasa) Complete,
1101 unit 6.454.500
Display Case
1102 SHIMA PRIMA UTAMA Gynaecology Bed SS unit 6.480.191
1103 ERSA MEDICATION CART 53100 MC unit 6.512.264
1104 SAGA Medicine Trolley SG 38-00A MT unit 6.532.000
GRAHA TEKNO MEDIKA Gris Dressing Trolley with 2
1105 unit 6.571.855
drawers
1106 SANI-INDONESIA Loundry Trolley unit 6.580.000
SHIMA PRIMA UTAMA Children Hospital Bed with
1107 unit 6.613.007
Manual Back Raise PC
1108 NURITEK Instrument Cabinet NT 025-2B unit 6.627.500
1109 AGS Emergency Trolley (ANT0101) unit 6.642.193
1110 POLY Lemari Obat 2 Pintu (Lemari Narkotika Kecil) unit 6.661.875
1111 ERSA FOOD TROLLEY 52100 FTS unit 6.670.000
1112 MAK TV/REFFRIGERATOR SHELVES 31823 unit 6.716.400
BARTEC UTAMA MANDIRI Waiting Chair 3 seat MS +
1113 unit 6.720.000
Matras
1114 GRAHA TEKNO MEDIKA Gris Donor table unit 6.746.113
1115 ERSA URINAL+BEDPAN CARRIAGE unit 6.754.440
1116 GRAHA TEKNO MEDIKA Gris Instrument cabinet 1 Pintu unit 6.771.968
1117 INDAMED Food Trolley 3 Shelf S20 unit 6.772.000

1 2 3 4
1118 unit 6.779.960
A2 (120L)
1119 unit 6.780.835
350MM x 70M, ASP
1120 ROBUST Examination Table unit 6.783.000
1121 BIPMED BRANCART HIGH LOW BBP-104-HL unit 6.800.200
1122 SHIMA PRIMA UTAMA Dressing Trolley SS unit 6.850.581
1123 SANI-INDONESIA Dressing Trolley unit 6.880.000
1124 SANI-INDONESIA Food Trolley unit 6.897.080
1125 SAGA Dressing Trolley SG 18-02BSS DT unit 6.900.000
1126 POLY TV Shelves unit 6.906.000
1127 POLY Urinal Carriage SS unit 6.906.000
1128 POLY Ranjang 2 Engkol ( Back Raise & Knee Raise ) unit 6.906.000
BARTEC UTAMA MANDIRI Mayo Stand All Stainless
1129 unit 6.944.000
Steel
1130 NURITEK Resusitasi Table NT 007-EB unit 6.978.098
1131 ZULMAND Urinal & Badpan, SS 667 ZD unit 6.982.771
1132 AGS Emergency Mobile Stretcher (ANS0101) unit 6.984.425
1133 ZULMAND Mobile Stretcher, S 601 ZD unit 6.984.764
1134 ZULMAND Mobile Stretcher, SS 649 ZD unit 6.984.764
1135 BIPMED BRANCART COMPLETE BBP-203-C unit 6.985.000
1136 PARAMOUNT BED Examination Table Flat Type unit 7.000.000
1137 MAK FOLDING STRETCHER 31201 unit 7.008.500
1138 MAK EMERGENCY TROLLEY 36603 unit 7.008.500
1139 MAK MEDICAL REPORT TROLLEY 36605 unit 7.008.500
1141 AGS Medicine Cabinet Two Doors (ANC0101) unit 7.028.505
A CLASS LOCKER / CABINET (4 LOCK) / WARDROBE
1142 unit 7.067.500
4 PERSON
1143 A CLASS INSTRUMENT / MEDICINE CABINET unit 7.067.500
1144 PARAMOUNT BED Foot Control for L'za unit 7.080.920
SHIMA PRIMA UTAMA Advance Hospital Bed With
1145 unit 7.100.000
Fowler Type SM-9014C
1146 NURITEK Stretcher NT 015-00BSS unit 7.101.875
1147 ERSA CHILDREN BED+INFUSION STAND SMALL unit 7.102.568
POLY Radiology Room Instalation [Pemasangan Timbal
1148 unit 7.132.648
: Harga Per-Meter2]
GRAHA TEKNO MEDIKA Gris Strecher Stainless Steel
1149 unit 7.235.785
with Back Rise
1150 ZULMAND Instrument Trolley 2 Shelves, SS 777 ZD unit 7.273.720
ZULMAND Instrument Trolley 2 Shelves with Drawer, SS
1151 unit 7.273.720
779 ZD
BARTEC UTAMA MANDIRI Waiting Chair 4 seat MS +
1152 unit 7.280.000
matras
1153 ERSA MEDICINE TROLLEY 53800 MdT unit 7.299.336

1 2 3 4
1154 MAK DRESSING TROLLEY 35102 unit 7.300.500
1155 MAK TROLLEY CLEANER 35310 unit 7.300.500
1156 unit 7.315.847
Back Raise
1157 POLY Brancar Komplit Set Sederhana unit 7.328.063
1158 ZULMAND Food Trolley 3 Tray, SS 766 ZD unit 7.332.000
GRAHA TEKNO MEDIKA Gris Examination Table
1160 unit 7.386.629
Stainless Steel with Back Raise
1161 POLY Ranjang Anak Sederhana (Tanpa Engkol) unit 7.425.770
1162 MAK BLOOD DONOR CHAIR (31306) unit 7.446.000
1163 MAK EXAMINATION TABLE 34104M unit 7.446.500
1164 A CLASS LOCKER / CABINET (6 LOCK) unit 7.452.500
1165 ZULMAND Examination Table, SS 609 ZD unit 7.459.840
1166 SARANDI KARYA NUGRAHA Locker KA 68-12P unit 7.495.000
1167 unit 7.500.000
02B
1168 SANI-INDONESIA Instrument Trolley Stainless unit 7.523.300
1169 SANI-INDONESIA Bedside Cabinet unit 7.526.805
1170 FYROM INTERNATIONAL Trolley Linen Bersih unit 7.531.300
1171 unit 7.550.000
Trolley KA 19-01ASS
1172 BLESSMED UV Sterilizer - BP 047 unit 7.568.000
1174 SHIMA PRIMA UTAMA Gynaecology & Examination Bed unit 7.671.643
1175 TESENA Tesena Dressing Trolley TSN 011 ADSS unit 7.674.480
1176 BARTEC UTAMA MANDIRI Food Trolley 7 Tray SS unit 7.680.000
1177 unit 7.686.801
Fowler Type
A CLASS KURSI TUNGGU / WAITING CHAIR 3
1178 unit 7.700.000
SEATER
1179 SERENITY Basket Stretcher SR-B2 unit 7.700.000
1180 unit 7.738.280
STAND SMALL
TINA1000
1182 ERSA TROLLEY CLEANER 53400 TCS unit 7.779.904
1183 BIPMED UV MOBILE ROOM STERILIZER BUV-201-5L unit 7.799.000

1 2 3 4
1184 MAK FOOD TROLLEY 35201 unit 7.811.500
1185 A CLASS LOCKER / CABINET (18 LOCK) unit 7.848.500
1186 ERSA DRESSING TROLLEY 51800 DTDS unit 7.866.936
1187 GRAHA TEKNO MEDIKA Gris Food trolley unit 7.904.748
SARANDI KARYA NUGRAHA Dressing Trolley With
1188 unit 7.950.000
Drawer KA 18-02BSS
BIPMED CHILDREN HOSPITAL BED (PEDIATRIC
1189 unit 7.999.200
BED) BHC-201-1C
1190 JAYAMAS Onemed Surgical Suction Mobile HIVO unit 8.000.000
WOOD
1192 ERSA CHILDREN BED+INFUSION STAND LARGE unit 8.041.757
1193 POLY Ranjang 2 Engkol ( Back Raise & Hi - Lo ) unit 8.115.000
GRAHA TEKNO MEDIKA Gris Instrument cabinet 2
1194 unit 8.160.218
Pintu Full Kaca
1195 INDAMED Emergency Trolley S24 PC unit 8.162.000
1196 unit 8.171.009
250MM x 70M, ASP
1197 unit 8.191.653
5000MM x 70M, ASP
1198 unit 8.200.000
Stretcher KA 15-10BSS
1199 BIPMED HOSPITAL BED 2 CRANK ABS BHB-104-2ABS unit 8.200.500
1200 POLY Emergency Trolley P.C unit 8.201.000
GRAHA TEKNO MEDIKA Gris Emergency Strecher
1201 unit 8.203.997
Stainless Steel with Back Rise
A CLASS INSTRUMENT / MEDICINE CABINET (WITH
1202 unit 8.206.000
DRAWER)
1203 POLY Verlos / Delivery Bed unit 8.207.430
1204 BLESSMED Photo Theraphy - BP 0384 unit 8.228.000
1205 POLY Trolley Obat 24 Laci PC unit 8.234.000
1206 unit 8.300.000
1207 POLY Lemari Obat 2 Pintu (Lemari Narkotika Besar) unit 8.305.138
SHIMA PRIMA UTAMA New Advance Hospital Bed With
1208 unit 8.310.000
Back Raise SM - 9014 BN
GRAHA TEKNO MEDIKA Gris Donor table stainless
1209 unit 8.368.690
Steel
1210 POLY Gynaecolog Examination Table S/S unit 8.374.000
1211 NURITEK Dressing Trolley NT 018-02ASS unit 8.381.835
1212 TESENA Tesena Infant Incubator TSN UI-2 unit 8.395.000

1 2 3 4
1213 unit 8.397.845
Manual Back Raise SS
1214 POLY Ranjang Anak 1 Engkol unit 8.402.845
1215 ZULMAND PSYCHIATRIC BED 840 ZD unit 8.469.400
GRAHA TEKNO MEDIKA Gris Donor table stainless
1216 unit 8.368.690
Steel
1217 POLY Gynaecolog Examination Table S/S unit 8.374.000
1218 NURITEK Dressing Trolley NT 018-02ASS unit 8.381.835
1219 TESENA Tesena Infant Incubator TSN UI-2 unit 8.395.000
1220 unit 8.397.845
Manual Back Raise SS
1221 POLY Ranjang Anak 1 Engkol unit 8.402.845
1222 ZULMAND PSYCHIATRIC BED 840 ZD unit 8.469.400
1223 POLY Verlos / Delivery Bed (Dengan Foot Step) unit 8.500.553
1224 ZULMAND Linen Hamper Carage 633 ZD unit 8.510.252
1225 AGS Bed Patient 1 Crank Manual (ANB0301) unit 8.522.927
1226 MEDIGLOBE Stainless Steel Stretcher Trolley B-7 unit 8.531.160
1227 MAK LINEN HAMPER CARRIAGE 35302B unit 8.541.600
1228 unit 8.566.219
STAND BACK RAISE S
POLY Ranjang 1 Engkol (ABS Head & Foot Panel) +
1229 unit 8.580.000
Side Rail
1230 ERSA FOOD TROLLEY 52101 FT unit 8.601.000
1231 BLESSMED Photo Theraphy - BP 0385 unit 8.602.000
1233 POLY Viewer X-Ray Film (Slim 40 Watt) unit 8.616.025
BARTEC UTAMA MANDIRI Emergency Trolley Standart
1235 unit 8.624.000
MS
1236 POLY Brancar Hi - Low unit 8.633.000
1237 POLY Lemari Instrumen 1 Pintu S/S unit 8.668.000
1238 PARAMOUNT BED Examination Table Back Raise Type unit 8.707.594
1239 BLESSMED UV Sterilizer - BP 047 with remote control unit 8.712.000

SHIMA PRIMA UTAMA New Advance Hospital Bed with
1240 unit 8.766.479
Fowler Type
BIPMED AMBULANCE STRETCHER STANDARD BAS-
1241 unit 8.800.000
301-S
POLY Gynaecolog Examination Table S/S + Foot Step
1242 unit 8.806.000
SS
MENTOR - INDONESIA Emergency Wheeled Stretcher /
1243 unit 8.874.500
Brancard Stainless Steel BRA-01
MENTOR - INDONESIA TroliMAKanan / Food Trolley 16
1244 unit 8.874.500
Trays Powder Coating FT-01
1245 POLY Brancar Standard (Sederhana) unit 8.891.383

1 2 3 4
SHIMA PRIMA UTAMA Children Hospital Bed with Back
1246 unit 8.909.511
Raise PC
1247 SHIMA PRIMA UTAMA Dressing Trolley SS + Tromol SS unit 8.958.748
1248 ZULMAND Children Bed unit 8.967.600
1249 POLY Mortuary Table unit 8.978.000
1250 AGS Gynaecology Examination Verlos (ANG0101) unit 8.987.526
1251 INDAMED Instrument Cabinet 1 Door S12 SS unit 8.996.000
D & V Manual Adjustable Hospital Bed - 1 Cranck PI-
1252 unit 9.000.000
108MS
1253 ZULMAND Dressing Trolley, SS 785 ZD unit 9.024.000
1254 A CLASS LAUNDRY / LINEN TROLLEY SS (027) unit 9.025.500
1255 GRAHA TEKNO MEDIKA Gris Instrument cabinet 2 Pintu unit 9.028.935
1256 POLY Locker 6 Pintu 80x40x180cm unit 9.065.000
1257 unit 9.090.682
STAND LARGE
SARANDI KARYA NUGRAHA KArixa Hospital Bed
1258 unit 9.100.000
Manual KA 01-12A
1259 BARTEC UTAMA MANDIRI Linen Hamper Carriage SS unit 9.116.800
1260 BARTEC UTAMA MANDIRI Medicine Trolley 25 unit 9.120.000
1261 NURITEK Emergency Stretcher NT 015-01BSS unit 9.139.515
1262 FOKUS FOKUS MANUAL BED 1 CRANK SK-B1 unit 9.201.000
1263 FOKUS FOKUS CHILDREN HOSPITAL BED SK-CB unit 9.201.000
SARANDI KARYA NUGRAHA SKN Hospital Bed Manual
1264 unit 9.300.000
SKN 01-12C
1265 ERSA FOOD TROLLEY 52101 FTA unit 9.303.000
1266 FYROM INTERNATIONAL Lemari Instrumen unit 9.349.200
1267 FYROM INTERNATIONAL Lemari Cath Lab unit 9.349.200
1268 POLY Lemari Obat 1 Pintu S/S unit 9.361.000
1269 TESENA Tesena Emergency Trolley TSN 012 B unit 9.390.978
1270 POLY Ranjang Anak Tanpa Engkol Full S/S unit 9.496.000
1271 POLY Verlos / Delivery Bed S/S unit 9.496.000
1272 POLY Linen Trolley S/S unit 9.496.000
1273 POLY Brancar Komplit S/S unit 9.496.000
1274 POLY Ranjang 3 Engkol unit 9.496.000
1275 POLY Lemari Instrumen 2 Pintu S/S unit 9.534.000
1276 FYROM INTERNATIONAL Trolley Kecil Kaki 2 unit 9.546.200
SANI-INDONESIA Examination Table With Accessories,
1277 unit 9.602.450
Steel Painted
MENTOR - INDONESIA Laundry Trolley / Linen Troli
1278 unit 9.681.000
Stainless Steel LT-02

1 2 3 4
D & V Manual Adjustable Hospital Bed - 2 Crank PI-
1279 unit 9.700.000
208MS
DIANA650
1281 FOKUS FOKUS MANUAL BED 2 CRANK unit 9.826.000
1282 ERSA CHILDREN BED 51401 CBLS 1 unit 9.830.000
GRAHA TEKNO MEDIKA Gris Instrument cabinet
1283 unit 9.887.563
Stainless Steel 1 Pintu Full Kaca
1284 POLY Verlos / Delivery Bed S/S + Foot Step SS unit 9.928.000
GRAHA TEKNO MEDIKA Gris Emergency trolley
1285 unit 9.947.127
Stainless Steel 2 Laci
1286 ZULMAND Work Table for Laboratorium 670 ZD unit 9.964.000
1287 ZULMAND Work Table for Medicine 881 ZD unit 9.964.000
1288 ZULMAND Work Table forDENTAL 673 ZD unit 9.964.000
1289 ROBUST Mobile Stretcher - 4302 unit 10.010.000
MENTOR - INDONESIA Laundry Trolley / Linen Troli
1290 unit 10.084.500
Stainless Steel LT-01
1291 FYROM INTERNATIONAL Trolley Linen Kotor unit 10.128.300
DIANA650DUAL
A CLASS INSTRUMENT / DRESSING TROLLEY WITH
1293 unit 10.202.500
DRAWER
1295 SERENITY Ambulance Stretcher SR-A3 unit 10.214.000
1296 SHIMA PRIMA UTAMA Medicine Trolley with 30 Drawers unit 10.234.472
TESENA Tesena Hospital Bed Manual 1 Crank TSN 001
1297 unit 10.260.000
A Lux
SANI-INDONESIA Instrument Cabinet, Steel Sheet
1298 unit 10.305.275
Epoxy Powder Coating
1299 ZULMAND Medicine Trolley 877 ZD unit 10.328.682
1300 POLY Blue Light / Photo Therapy unit 10.360.000
1301 POLY Meja Resusitasy S/S unit 10.360.000
1302 POLY Ranjang Anak 1 Engkol Full S/S unit 10.360.000
1303 POLY Lemari Obat 2 Pintu S/S (Stainless Steel) unit 10.360.000
GRAHA TEKNO MEDIKA Gris Emergency trolley
1304 unit 10.364.073
Stainless Steel 3 Laci
1306 MAK MEDICINE TROLLEY 25 DRAWERS (36601) unit 10.366.700
POLY Ranjang 2 Engkol (ABS Head&Foot Panel) + Side
1307 unit 10.400.000
Rail
POLY Ranjang 2 Engkol (B/R & Hi-Lo) ABS H&F Panel
1308 unit 10.400.000
Side Rail
1309 INDAMED Medicine Trolley 24 Drawer S27 unit 10.473.000

1 2 3 4
TESENA Tesena Pediatric Bed 1 Crank Stainless Steel
1310 unit 10.500.000
(Back Rest) TSN 007 PMASS
1311 INDAMED Instrument Cabinet 2 Door S13 SS unit 10.546.000
1313 SHIMA PRIMA UTAMA Food Trolley PC unit 10.729.630
1315 MAK EMERGENCY MOBILE STRETCHER 31208 unit 10.804.700
1316 SAGA Medication Cart SG 31-00BSS MC unit 10.856.000
1317 INDAMED Medicine Cabinet 1 Door S14 SS unit 10.890.000
TESENA Tesena Mortuary Bath Table Stainless Steel
1318 unit 10.905.840
TSN 029 BTSS
1320 SANI-INDONESIA Gynecology Examination Table unit 11.030.305
1321 POLY Kursi Gyn (Standard BKKBN) unit 11.040.948
SHIMA PRIMA UTAMA Children Hospital Bed with Back
1322 unit 11.161.108
Raise SS
1323 BARTEC UTAMA MANDIRI Mobile Stretcher unit 11.200.000
1324 LAMP /LID LAMPS / HALOGEN EXAMINATION LSMP - unit 11.203.300
DIANA1000
1325 SANI-INDONESIA Baby Basket Stainlees Steel unit 11.219.780
1326 POLY Murtuary Carriage unit 11.223.000
1327 ERSA MORTUARY CARRIEGE 53500 MC unit 11.275.942
1328 GRAHA TEKNO MEDIKA Gris UV Room Sterilizer unit 11.278.375
1329 TESENA Tesena Baby Examination Table TSN 005 E unit 11.360.969
TESENA Tesena Pediatric Bed 1 Crank (Back Rest)
1330 unit 11.409.829
TSN 007 PLASS
1331 SHIMA PRIMA UTAMA Delivery Bed SS unit 11.421.774
1333 SANI-INDONESIA Vacuum Extractor Manual unit 11.471.250
1334 BARTEC UTAMA MANDIRI Meja Merapikan Bayi MS unit 11.520.000
SANI-INDONESIA Halogen Examination Light / OLH61-
1335 unit 11.532.200
002
SHIMA PRIMA UTAMA HI-LO Hospital Bed With Fowler
1336 unit 11.695.000
Type ABS SM - 9012 D
DIANA1000DUAL
1338 SANI-INDONESIA Dry Heat Sterilizer unit 11.851.613
TESENA Tesena Folded / Hi-Lo Stretcher TSN 006
1339 unit 11.901.600
CHLSS
1340 POLY Locker 12 Pintu 120x40x180cm unit 11.913.000

1 2 3 4
1341 SIMEX Suction Pump Portable S-20 unit 11.989.000
1342 D & V Pediatric Bed - Platinum Inspiration - PI-800PB unit 12.000.000
1343 FOKUS FOKUS MANUAL BED 3 CRANK SK-CD1 unit 12.047.000
1344 INDAMED Medicine Cabinet 2 Door S15 SS unit 12.082.000
1345 POLY Medicine Trolley 26 Laci S/S (Stainless Steel) unit 12.086.000
1346 ERSA MEDICATION CART 53100 MCS unit 12.150.424
1347 unit 12.180.763
Stainless Steel 1 Pintu
SARANDI KARYA NUGRAHA Medication Cart KA 31-
1348 unit 12.300.000
00BSS
1350 MEDELA Bird Vacuum Extractor unit 12.500.000
PARAMOUNT BED Examination Table Back Raise and
1351 unit 12.650.748
Hi-Lo Type
1352 GEA GEA Strecher for Ambulance YDC-3D unit 12.700.000
1354 POLY Brancar Ambulance S/S unit 12.949.000
1355 TESENA Tesena Medication Cart TSN 045 B unit 12.994.000
1356 MAK MEDICINE TROLLEY 50 DRAWERS (36602) unit 12.994.900
POLY Ranjang 3 Engkol (ABS Head & Foot Panel) +
1357 unit 13.000.000
Side Rail
1358 POLY Trolley Obat 26 Laci S/S unit 13.000.000
1359 POLY Food Trolley S/S 14 Baki ( 2 Pintu ) + tray plastik unit 13.122.000
1360 MAK GYNAECOLOG EXAMINATION TABLE 34103 unit 13.286.900
1361 BARTEC UTAMA MANDIRI Medicine Trolley 50 unit 13.440.000
1362 BARTEC UTAMA MANDIRI Food Carriage Standart unit 13.520.000
1363 DEXON Brancart HI-Lo unit 13.537.500
1364 MAK GYNAECOLOG EXAMINATION TABLE 34102 unit 13.578.900
1365 ERSA LINEN HAMPER CARRIEGE 52600 LHS unit 13.636.022
1366 SHIMA PRIMA UTAMA Transfer Strecher HI-LO unit 13.651.025
1367 ERSA UV ROOM STERILIZER 53600 UV unit 13.691.000
1368 SARANDI KARYA NUGRAHA Medicine Trolley unit 13.700.000
1369 ZULMAND Ambulance Stretcher 647 ZD unit 13.750.320
1370 MAK TRANSPORTING PATIENT 31207 unit 13.798.000
SARANDI KARYA NUGRAHA Linen Hamper Carriage
1371 unit 13.800.000
KA 26-00BSS
SARANDI KARYA NUGRAHA UV Room Sterilizer KA 36-
1372 unit 13.800.000
00BSS
1373 UZUMCU Examination Lamp / Uzumcu ML- 40L unit 13.800.000
1374 POLY X - Ray Barrier / Tabir unit 13.813.000
1375 POLY Emergency Trolley S/S unit 13.813.000
TESENA Tesena Hospital Bed Manual 2 Crank TSN 001
1376 unit 13.832.000
C Lux
1377 SAGA Food Trolley SG 21-01BSS FT unit 13.938.000

1 2 3 4
1378 INDAMED Medicine Trolley 26 Drawer S26 unit 13.940.000
1379 unit 14.200.000
Trolley KA 19-01BSS
ELITECH - INDONESIA ELITECH STERILISATOR
1380 unit 14.850.000
KERING/DRY-HEAT STERILIZER GET-80C
1381 ERSA MEDICINE TROLLEY 53800 MdTS unit 14.859.768
1382 INDAMED Emergency Trolley S24 SS unit 14.891.000
1383 ELEKTROMAG HOT AIR STERILIZER type M 3025 P unit 14.905.000
1384 ZULMAND Food Trolley 20 Tray unit 14.946.000
1385 ZULMAND UV. Sterilizer, SS 818 ZD unit
1386 SANI-INDONESIA Transfusion Chair unit 15.000.000
1387 MAK EMERGENCY STRETCHER 31204/34130* unit 15.112.000
1388 unit 15.149.018
1389 POLY ICU Bed + Side Rail Manual unit 15.194.000
1391 NURITEK Emergency Trolley NT 019-01BSS unit 15.523.750
1392 POLY U.V. Mobile Sterilizator stainless steel unit 15.539.000
1393 SANI-INDONESIA Transfusion Chair unit 15.000.000
1394 MAK EMERGENCY STRETCHER 31204/34130* unit 15.112.000
1395 unit 15.149.018
1396 POLY ICU Bed + Side Rail Manual unit 15.194.000
1398 NURITEK Emergency Trolley NT 019-01BSS unit 15.523.750
1399 POLY U.V. Mobile Sterilizator stainless steel unit 15.539.000
1400 POLY Meja Rontgent unit 15.539.000
1401 POLY Food Trolley S/S 20 Baki ( 2 Pintu ) + tray plastik unit 15.539.000
1402 ERSA FOOD TROLLEY CABINET TYPE 8 TRAY unit 15.733.872
1403 SERENITY Ambulance Stretcher SR-A6 unit 15.871.000
1404 MAK EXAMINATION TABLE 34104E unit 15.915.100
SARANDI KARYA NUGRAHA Food Trolley Cabinet
1406 unit 15.950.000
Type 8 Tray KA 21-01BSS
1407 MENTOR - INDONESIA UV Room Sterilizer MUV-01 unit 16.135.000
1408 NURITEK UV. Room Sterilizer NT 101-00A unit 16.259.375
1409 SIMEX Suction Pump Portable M-20 unit 16.349.000
1410 PARAMOUNT BED Manual Delivery Bed unit 16.595.137
1411 INDAMED Food Trolley Cabinet 20 Tray S19 unit 16.793.000
1412 POLY Film Dryer S/S unit 16.834.000

1 2 3 4
POLY Food Trolley S/S 14 Baki ( 2 Pintu ) + Tray Plastik
1413 unit 16.834.000
+ Heater
1414 SHIMA PRIMA UTAMASHIMA ICU Hospital Bed unit 16.839.480
JULIA1000
1416 MAK TRANSFERRING PATIENT 31209 unit 16.937.200
1417 ENA Tesena Hospital Bed 3 Crank TSN 001 KCHL unit 16.970.800
1418 MAK MORTUARY CARRIAGE (31210) unit 17.229.000
1419 POLY U.V. Mobile Sterilizator with remote control unit 17.266.000
1420 SANI-INDONESIA Medicine Trolley unit 17.424.000
D & V Manual Adjustable Hospital Bed - 3 Crank PI-
1421 unit 17.500.000
508MX
1422 TESENA Tesena Infant Incubator TSN 5 unit 17.500.000
1423 FYROM INTERNATIONAL Brankar unit 17.529.750
1424 SHIMA PRIMA UTAMA Medicine Trolley with 66 Drawers unit 17.686.620
1425 MPM BARKEY Infusion and Blood Warmer S-LINE unit 18.000.000
1426 SANI-INDONESIA Low Temperatur Multi 12L unit 18.265.600
1427 SHIMA PRIMA UTAMA Electric Haemodialys Chair unit 18.272.766
1428 SHIMA PRIMA UTAMA Optima Motorized Hospital Bed unit 18.312.751
1429 unit 18.375.382
Stainless Steel 2 Pintu
SANI-INDONESIA Emergency Operating Lamps Mobile
1430 unit 18.404.100
Stand Type OLH61-004
1431 SANI-INDONESIA ABS Hospital Bed 1 Crank unit 18.815.225
MATACHANA Linier Meters of Wall Working Table with
1432 unit 19.000.000
Anti Splas Frame
1433 BARTEC UTAMA MANDIRI Mortuary Carriage unit 19.040.000
MENTOR - INDONESIA Kereta Jenazah / Mayat
1434 unit 19.362.500
Stainless Steel MKJ-01
1435 D & V Vaculine Mini Aspirator unit 19.500.000
TESENA Tesena Mortuary Carriage Stainless Steel TSN
1436 unit 19.774.000
029 MCSS
FYROM INTERNATIONAL Modullar Pump System
1437 unit 19.867.050
(Tiang (standar) Infuse Pump/Syringe Pump)
TESENA Tesena Mortuary Work Table Stainless Steel
1438 unit 20.115.216
029 MWTSS
1439 MAK MULTI FUNCTIONAL CHAIR (31309) unit 20.149.000

1 2 3 4
BARTEC UTAMA MANDIRI Emergency Trolley
1440 unit 20.160.000
Luxurious Complete SS
1441 MAK TRANSFERRING PATIENT 31209T unit 20.295.400
1442 3A HEALTH CARE3A Suction Unit Maxiaspeed 9 unit 20.500.000
FYROM INTERNATIONAL Easymove (Pemindah
1443 unit 20.581.225
Pasien)
1444 NURITEK Medication Cart / Trolley NT 031-A unit 20.618.125
1445 TESENA Tesena UV Room Sterilizer TSN 88 UV unit 20.660.000
1446 ACEM Examination Lamp -ACEM 1 F EVO unit 20.700.000
TESENA Tesena Running Water Sterilizer Single User
1447 unit 21.000.000
TSN 9301 SU
BARTEC UTAMA MANDIRI Transfer Stretcher Hi - Low
1449 unit 21.650.000
Eco
1450 FLUKE BIOMEDICAL (USA) ECG Simulator PS410 unit 21.741.000
1451 MAK TRANSFERRING PATIENT 31209TH unit 21.828.500
1452 BARTEC UTAMA MANDIRI Stretcher Hi-Low & TR unit 22.176.000
1453 POLY Incubator Ekonomis unit 22.400.000
1454 POLY Stand Holder + Grid unit 22.446.000
POLY Food Trolley S/S 20 Baki ( 2 Pintu ) + tray plastik
1455 unit 22.446.000
+ heater
D & V Multifunction Emergency Stretcher - Platinum
1456 unit 22.700.000
Inspiration PI-1000MS
1457 SIMEX Suction Pump Portable M-30 unit 22.719.000
TAICANG KANGHUI TECHNOLOGY DEVELOPMENT
1458 unit 23.000.000
CO.,LTD Manual Blood Donation Chair DH-XS104
FYROM INTERNATIONAL Hydraulic Lift Instrument
1459 unit 23.373.000
Stand
1460 FYROM INTERNATIONAL Pharmacy Trolley unit 23.373.000
FLUKE BIOMEDICAL (USA) Electrical Safety Analyzer
1461 unit 23.423.000
ESA609
1462 INDOMED Emergency Trolly 911 unit 23.500.000
1463 BARTEC UTAMA MANDIRI Folding Stretcher unit 23.520.000
1464 AGS Electric Bed 3 Axis (ANB0401) unit 23.883.996
SHIMA PRIMA UTAMA Elegance Motorized HI-LO
1466 unit 24.281.604
Hospital Bed
1467 UZUMCU Mayo Table / Uzumcu - Type 40400 unit 24.500.000
FOKUS FOKUS GYNECOLOGICAL OPERATING BED
1468 unit 24.655.000
SKF C
D & V Infinity Suction Pump Vaculine Maxi Aspirator AC,
1469 unit 25.000.000
2 x 5 Liter
SARANDI KARYA NUGRAHA KARIXA Electric
1470 unit 25.000.000
Examination Table KA 07-02E

1 2 3 4
1471 ERSA MORTUARY CARRIEGE 53500 MCA unit 25.305.311
TESENA Tesena Hospital Bed Electric Upgrade TSN
1472 unit 25.498.000
001 KCHLE
1473 BARTEC UTAMA MANDIRI Plastic Destroyer unit 25.600.000
1474 MEDIGLOBE Manual Emergency Stretcher B-4 unit 25.714.920
1475 POLY Incubator Digital Control Standard unit 25.900.000
1476 unit 26.000.000
SHIMA PRIMA UTAMA Supreme Motorized HI-LO
1477 unit 26.007.208
Hospital Bed
A CLASS BAK PENCUCI / WASHING SINK (3 HOLE
1478 unit 26.730.000
SINK)
1479 D & V Suction Pump Vaculine Thoracic Drainage unit 26.800.000
1480 GEA GEA Emergency Bed YQC-3M unit 26.800.000
FLUKE BIOMEDICAL (USA) Ansur Automation Software
1481 unit 26.961.000
ANSUR BP PUMP 2
1482 unit 26.961.000
ANSUR ESA612
1483 unit 26.961.000
ANSUR ESA615
1484 unit 26.961.000
ANSUR IMPULSE 7000
1485 unit 26.961.000
ANSUR INDEX 2
1486 unit 26.961.000
ANSUR PROSIM
1487 unit 26.961.000
ANSUR PROSIM
1488 unit 26.961.000
ANSUR VT
1489 MEDICAP Oxygen Concentrator PRECISE 6000 MS unit 27.258.000
1490 SHIMA PRIMA UTAMA ICU Electric Hospital Bed unit 27.346.525
GEMMY INDUSTRIAL Automatic Autoclave Sterilizer
1491 unit 27.498.000
SA-232
POLY Ranjang Electric Hi - Low Knee Raise & Back
1492 unit 28.489.000
Raise
1493 SANI-INDONESIA Infant Phototherapy Unit unit 28.624.000
1494 POLY Brancar Multi Purpose S/S unit 29.352.000
1495 SANI-INDONESIA Standard Operating Table unit 29.522.350
FYROM INTERNATIONAL Rak Instrument Steril
1496 unit 29.540.875
(beroda)
1497 PARAMOUNT BED Stretcher unit 29.914.588
1498 LAERDAL Suction Unit unit 30.102.600
1499 POLY ICU Bed Electric + Side Rail unit 30.215.000
1500 ZULMAND Multipurpose Stretcher, SS 648 ZD unit 30.265.650

1 2 3 4
1501 MAK MULTIPURPOSE STRETCHER 31206 unit 30.370.200
1502 BLESSMED Infant Incubator - BP 032 Digi unit 30.630.600
1503 POLY Brancar Deluxe unit 30.777.863
1504 POLY Operating Table (Hydraulic) unit 30.777.863
1505 AGS Gynecology Electric (ANG0105) unit 30.989.259
1506 STURDY AUTOCLAVE STERILIZER 16 liter unit 31.680.000
1507 SANI-INDONESIA Automatic Loading Stretcher unit 31.796.765
D & V AC Powered Adjustable Hospital Bed - 3 Motor PI-
1508 unit 31.800.000
608HG
1509 HEAL FORCE Infant Warmer unit 31.833.281
1510 AGS Electric ICU-ICCU Bed (ANB0501) unit 32.024.861
1511 TESENA Tesena Infant Warmer TSN 89 IW unit 32.060.000
1512 D & V Wheeled Stretcher - Platinum NG P - 2500 NG unit 32.434.297
1513 FOUNTAIN MEDICAL Sterilizer EZ 16-D unit 32.450.000
1514 EURONDA E5 Class N Autoclavable unit 32.500.000
TESENA Tesena Food Cart Stainless Steel With Heater
1515 unit 32.768.000
TSN 013 HSS
D & V Accessories - Linet - Weight Scale for Bed
1516 unit 33.170.000
Eleganza3XC
1517 ARDO ARDO Twincare Matress unit 33.250.000
D & V AC - Powered Adjustable Hospital Bed - Platinum
1518 unit 33.838.668
NG P - 1800 NG
1519 TESENA Tesena Infant Incubator TSN 876 MCD Cabinet unit 34.026.000
1520 POLY Ranjang Electric Super Deluxe unit 34.532.000
1521 GEA GEA Infant Incubator YP90A unit 34.700.000
CAPSA SOLUTION MEDICAL TROLLEY ISOLATION -
1522 unit 34.819.950
ART ISO
1523 BIPMED SCRUB STATION BSR-201-1P unit 35.090.000
1524 POLY ICU Bed Electric + Side Rail Super Deluxe unit 36.400.000
1525 SANI-INDONESIA Electric Suction Apparatus unit 36.571.150
1526 TESENA Tesena Infant Incubator TSN 87 unit 36.700.000
FLUKE BIOMEDICAL (USA) Vital Signs Simulator
1527 unit 36.936.000
ProSim2
D & V Multifunction Emergency Stretcher - Platinum
1528 unit 37.000.000
Inspiration PI-1200MS
1529 MATACHANA Hermetic Trolley For Sterile Material unit 37.000.000
1530 MATACHANA Wire High Shelf 4 Levels unit
TESENA Tesena Food Cart Stainless Steel With Heater
1531 unit 37.128.001
TSN 013 CHSS
1533 SANI-INDONESIA Syringe & Needle Destroyer unit 37.987.375
1534 D & V Pediatric Bed - Linet - Eleganza Smart Junior unit 38.000.000
1535 POLY Incubator Digital Control unit 38.000.000

1 2 3 4
ERSA GYNAECOLOGICAL CHAIR ELECTRIC 70803
1536 unit 38.142.720
GCE 3
1537 FOUNTAIN MEDICAL Sterilizer LS 16-D unit 38.390.000
1538 POLY Incubator Infant Warmer unit 38.900.000
1539 unit 39.600.000
KERING/OZONE STERILIZER ZTP300
1540 BARTEC UTAMA MANDIRI Glass Crusher unit 40.000.000
FLUKE BIOMEDICAL (USA) Phototherapy Radiometer
1541 unit 41.045.000
DALE40
1542 GEMMY INDUSTRIAL Hot Air Sterilizer Oven YCO-010 unit 41.641.000
POLY Needle Destroyer - Incinerator Accessories Alat
1543 unit 41.916.518
Penghancur Jarum Suntik
1544 POLY Incubator Transport Chart unit 42.300.000
SHIMA PRIMA UTAMA Electric HI-LO Gynaecology /
1545 unit 42.480.503
Examination Bed
1546 DACOR Blood Donor Chair unit 43.126.635
FLUKE BIOMEDICAL (USA) SpO2 Functional Tester
1547 unit 43.303.000
ProSim SPOTLight
1548 FLUKE BIOMEDICAL (USA) Pressure Meter DPM4-1H unit 43.392.000
1549 FLUKE BIOMEDICAL (USA) Pressure Meter DPM4-1G unit 43.392.000

GEMMY INDUSTRIAL Automatic Autoclave Sterilizer SA-
1551 unit 43.750.000
232X
SHIMA PRIMA UTAMA Electric Gynaecology /
1552 unit 45.802.051
Examination Bed
CAPSA SOLUTION EMERGENCY CART TROLLEY -
1553 unit 45.850.200
ART EM
1554 PARAMOUNT BED Transfer Stretcher Trolley unit 45.980.000
D & V AC - Powered Adjustable Hospital Bed - Platinum
1555 unit 46.143.638
NG P - 2800 NG
1556 TESENA Tesena Infant Incubator TSN 910 SC Cabinet unit 47.440.000
1557 SIBELMED Spirometry Easy T unit 48.293.000
1558 POLY Incubator Servo unit 48.400.000
1559 D & V Electric Hospital Bed - Linet - Eleganza 2 unit 49.000.000
FLUKE BIOMEDICAL (USA) Infusion Device Analyzer
1560 unit 49.530.000
IDA-1S
1561 PARAMOUNT BED Emergency Stretcher unit 49.603.409
1562 POLY Incubator Servo Deluxe unit 50.000.000
1564 TUTTNAUER TableTOP Autoclave (2540 MK) unit 52.000.000
SANI-INDONESIA Vertical Pressure Steam Sterilizer SN-
1565 unit 52.272.200
B50L

1 2 3 4
1566 FLUKE BIOMEDICAL (USA) Pressure Meter DPM4-2H unit 52.629.000
1567 FLUKE BIOMEDICAL (USA) Pressure Meter DPM4-2G unit 52.629.000
1568 D & V Wheeled Stretcher - Platinum NG P - 3000 NG unit 53.165.496

1569 ZULMAND Multipurpose Stretcher 814 ZD unit 53.357.220
1570 POLY Brancar Deluxe Electric unit 53.524.000
1571 BIPMED SCRUB STATION BSR-202-2P unit 53.900.000
D & V Double Bowl Scrub Station - Platinum Inspiration
1573 unit 55.000.000
PI-202 SS
TESENA Tesena Baby Transport / POD Device TSN
1574 unit 55.000.000
911 BT
1575 A CLASS PASS BOX / CLEAN ROOM unit 56.100.000
1576 CAPSA SOLUTION ANASTHESIA TROLLEY - ART AN unit 56.503.260
1577 POLY Verlos / Delivery Bed (Electric) unit 57.158.888
1579 unit 58.930.000
ESA612
1580 SANI-INDONESIA Electric ICU Bed Five Function unit 60.530.250
1581 SANI-INDONESIA Infant Transport Incubator. unit 60.766.400
1582 GEA GEA Infant Incubator YP910 unit 60.800.000
1583 D & V Scrub Station - Platinum Inspiration - PI-203SS unit 62.000.000
1584 FLUKE BIOMEDICAL (USA) Fetal Simulator PS320KIT unit 62.029.000

1585 unit 62.126.000
ProSim3
FLUKE BIOMEDICAL (USA) Ion Chamber Survey Meter
1586 unit 62.486.000
with Beta Slide 451B
FOKUS FOKUS PATIENT TRANSPORTATION
1587 unit 62.622.000
TROLLEY
1588 UZUMCU Scrub Sink / Uzumcu – TYPE 80700 unit 64.500.000
FLUKE BIOMEDICAL (USA) Pressurized Ur Ion
1589 unit 65.595.000
Chamber 451P
SIMEON Mobile Examination Light SIM LED 3500
1590 unit 65.731.500
Mobile
1591 PARAMOUNT BED L'Za Set unit 67.130.800
1592 POLY Electric Operating Table unit 67.337.000
BERCHTOLD Chromophare F300 Mobile, Examination
1593 unit 69.000.000
Light LED, Mobile 55.000 Lux
A CLASS SCRUB STATION / BAK PENCUCI (2
1594 unit 70.620.000
PERSON)

1 2 3 4
1595 D & V Electric Hospital Bed - Linet - Image 3 unit 71.200.000

1596 MEDELA THOPAZ Cardiothoracic Drainage unit 73.472.000
FLUKE BIOMEDICAL (USA) Defibrillator Analyzer
1597 unit 73.513.000
IMPULSE 6000D
1599 ZULMAND UV. Water Running Sterilizer, SS 813 ZD unit 74.730.000
1600 POLY Scrub Station 1 Person unit 75.970.000
D & V Hydraulic Delivery Bed - Platinum Inspiration - PI-
1601 unit 77.250.000
2000DB
1602 BLESSMED Scrub Station - BP 0722 unit 78.166.000
TESENA Tesena Running Water Sterilizer Scrub Station
1603 unit 79.100.000
TSN 9201
1604 unit 79.200.000
KERING/RADIATION STERILIZER GET-160
1605 MERIVAARA CORP Patient Trolley Emergo 6250 unit 79.762.415
A CLASS PENDANT (CEILING) SINGLE / DOUBLE
1606 unit 81.180.000
ARM
CAPSA SOLUTION MEDICATION CART TROLLEY -
1607 unit 81.975.300
MDS
1608 GEA GEA Infant Radiant Warmer HKN93A unit 82.100.000
FLUKE BIOMEDICAL (USA) Defibrillator Analyzer
1610 unit 83.855.000
SigmaPace 1000 External Pacemaker Analyzer
1612 unit 85.537.000
ProSim4
1613 ELITE FUJI High Pressure Sterilizer / EAC 2200 unit 85.748.600
1614 unit 87.471.000
ESA615
1615 ASETRONIC ASELIGHT 70 LED EXAMINATION LIGHT unit 88.730.900
1616 POLY Laundry Set Hospitals unit 88.825.000
1617 GEA GEA Infant Incubator YP 970 unit 89.800.000
1618 GETINGE Ultrasonic Washer 300 unit 95.400.000
FLUKE BIOMEDICAL (USA) Pulse Oximeter Simulator
1619 unit 96.078.000
Index2XLFE
FLUKE BIOMEDICAL (USA) Medical Scopemeter 190M-
1620 unit 96.696.000
2
1621 SANI-INDONESIA Refrigerator 65L unit 99.000.000
1622 NURITEK Automatic Scrub Station NT 111-B unit 101.394.219
SHIMA PRIMA UTAMA Electric Scrub Station with
1623 unit 108.120.824
Sensor 3 Person
1624 unit 109.789.000
4
1625 GEA GEA Infant Radiant Warmer HKN2001 unit 115.000.000

1 2 3 4
1626 ELITE FUJI High Pressure Sterilizer / EAC 2600P unit 123.000.000
FLUKE BIOMEDICAL (USA) One - Channel Infusion
1627 unit 123.766.000
Device Analyzer IDA-5/1
1629 FOKUS FOKUS OPERATING TABLE SKT-A unit 126.310.000
1630 GETINGE Flusher Disinfector (Bedpan Washer) FD1600 unit 127.850.000
TESENATESENA Running Water Sterilizer Scrub
1632 unit 128.690.000
Station TSN 9202
1633 NURITEK Automatic Scrub Station NT 111-C unit 128.963.313
1634 unit 129.177.000
ProSim8
1636 unit 123.766.000
1641 unit 128.690.000
Station TSN 9202
1643 unit 129.177.000
ProSim8
1644 TYLONG MEDICAL Single Arm ICU Pendant unit 130.000.000
D & V Electric Delivery Bed - Platinum Inspiration - PI-
1645 unit 132.000.000
4000DB
1646 TUTTNAUER Table Top Autoclave 3870 M unit 133.000.000
1647 POLY Kitchen Set Hospitals unit 133.237.500
1648 SHINVA Ultrasonic Washer 30 Liter unit 133.442.000
1649 D & V Acomed - Operating Lamp U6-2, 2 Ceiling unit 134.184.000
1650 BARTEC UTAMA MANDIRI Mortuary Freezer 2 Door unit 136.144.000
FLUKE BIOMEDICAL (USA) Electrosurgical Analyzer
1651 unit 136.859.000
QA-ES III
RIGEL MEDICAL Vital Sign Simulators Rigel Uni-Sim
1652 unit 138.500.000
Type 370A930
1653 FLUKE BIOMEDICAL (USA) Gas Flow Analyzer VT305 unit 145.128.000
1654 SANI-INDONESIA Scrub Station 2 Person unit 146.363.030
1655 POLY Murtuary Refrigant / Kulkas (2 Doors) unit 146.760.000
TYLONG MEDICAL Single Arm Motorized Anesthesia
1656 unit 148.000.000
Pendant

1 2 3 4
FLUKE BIOMEDICAL (USA) Non-Invasive Blood
1657 unit 148.955.000
Pressure Analyzer BP-Pump 2M
SAMSUNG MEDICAL ENG. Pendant SME AI14 - 1000
1658 unit 156.750.000
Type A
FLUKE BIOMEDICAL (USA) Two - Channel Infusion
1659 unit 157.784.000
1660 NURITEK Mortuary Cabinet NT 112-2J unit 163.075.000
FLUKE BIOMEDICAL (USA) Gas Flow Analyzer + Ansur
1661 unit 166.113.000
Software
1662 FLUKE BIOMEDICAL (USA) Incubator Analyzer INCU II unit 167.855.000
1663 POLY Scrub Station 3 Persons unit 175.873.500
TESENATESENA Water Running Sterilizer Scrub
1664 unit 176.000.000
Station 3 Person TSN 9203
1665 AFA Table Top Steam Sterilizer, 25 Liters unit 178.000.000
FLUKE BIOMEDICAL (USA) Gas Flow Analyzer VT
1667 unit 181.688.000
PLUS HF
1668 ELITE FUJI High Pressure Sterilizer / EAC 4000D unit 186.000.000
MATACHANA Table Top Steam Sterilizer 21ED - 22
1669 unit 187.000.000
Liter (Class B)
1670 A CLASS AIR SHOWER (PASS BOX) / CLEAN ROOM unit 194.700.000
1671 FYROM INTERNATIONAL Scrub Station 2 Person unit 194.775.000
1672 CRISTIE Cristie VeinViewer Vision2 unit 197.134.000
1673 unit 197.321.000
ProSim8 + SpO2 Test Module
1675 unit 199.086.000
ProSim8 + SpO2 Test Module + YSI400
1676 TESENATESENA Mortuary Refrigerator TSN 029 M1 unit 207.910.000
1677 AQUASTAR IRONING SYSTEM MA 2000-33 unit 214.988.000
1678 TYLONG MEDICAL Double Bridge ICU Pendant unit 226.000.000
1679 TESENATESENA Mortuary TSN 029 M, 2 Bodies unit 230.000.000
MATACHANA Wall Washing Table Surgical Instrument +
1680 unit 238.000.000
Cleaning Gun air & water
1682 AQUASTAR DRYING SYSTEM SR 25 unit 243.345.000
FLUKE BIOMEDICAL (USA) Four - Channel Infusion
1683 unit 244.583.000
1684 SAMSUNG MEDICAL ENG. PENDANT SME AJ 50 unit 247.500.000

1 2 3 4
1686 GETINGE Flusher Disinfector (Bedpan Washer) 607 unit 269.400.000

RIGEL MEDICAL Performance Analysers Rigel Multi-Flo
1687 unit 289.400.000
4CH Type 385A940
1688 AQUASTAR WASHER EXTRACTOR LA 18 MP unit 298.200.492
1689 GETINGE Drying Cabinet unit 298.640.000
SHINVA Steam / Autoclave Sterilizer (Pulse Vacuum
1690 unit 320.261.000
Sterilizer) 100 Liter
1691 MATACHANA Mortuary Freezing Unit 2 Corpses 1 Doors unit 338.748.000
1692 unit 346.949.000
1693 GETINGE Washer Disinfector Claro unit 368.500.000
D & V White Elephant HS150 STEAM STERILIZER, 150
1694 unit 375.900.000
Liter
MATACHANA Mortuary Refigeration Unit 3 Corpses 3
1695 unit 379.922.000
Doors
1696 CEABIS Cold Room For Body (Deep Freezer)/ CEACA13 unit 380.900.000
DRAEGERWERK AG & CO. KGAA Ceiling Pendant
1697 unit 385.000.000
Draeger Movita Surgery
1699 unit 389.650.000
1700 SANI-INDONESIA Shadowless Operating Lamp 700/700 unit 396.635.000
TESENATESENA Mortuary Refrigerator (4 Doors) TSN
1701 unit 399.880.800
029 M4
1702 unit 400.080.000
Draeger Movita Anesthesia
1706 STEELCO Washer Disinfector/ DS 500 CL unit 427.600.000
MPM AT-OS Instrument Washer Disinfector AWD 655-
1707 unit 441.500.000
10 Single Door / Double Door
D & V White Elephant HS240 Pulse Vacuum Steam
1708 unit 462.000.000
Sterilizer
1709 unit 480.391.000
D & V White Elephant PS60T Low Temperature Plasma
1710 unit 482.500.000
H2O2 Sterilizer
1711 unit 499.220.000
Doors (2+2)

1 2 3 4
MATACHANA Ultrasonic Cleaner Sonomic Compact
1713 unit 524.000.000
MC1001 - 42.5 Liter
1715 MPM NATUS Pasteurmatic PM3000 unit 553.700.000
KUGEL MEDICAL GMBH & CO. KG MEJA AUTOPSI
1716 unit 555.662.770
ST10/150
1717 unit 592.599.000
Doors (3+3)
1718 CEPHEID Genexpert DX System GX-II and Accessories unit 600.000.000
1719 TRILUX PENDANT IS 500 OP R SYSTEM 2.9x2.9 unit 604.000.000
1720 STEELCO Washer Disinfector/ DS 610/2 unit 680.100.000
1721 SHINVA Ethylene Oxide (EO/EtO) Sterilizer 240 Liter unit 709.218.000
1722 GEMMY INDUSTRIAL Steam Sterilizer SAP-500 unit 757.938.000
MPM HUMANMEDITEK Low Temperature Plasma
1723 unit 778.000.000
Sterilizer HMTS-SES/30E
1724 GANSHORN Body Plethysmography unit 818.843.000
1725 GETINGE Steam Sterilizer HS33 100 Liter unit 872.000.000
RENOSEM Low Temperature Plasma Gas Sterilizer/
1726 unit 930.800.000
RENO-S30
1727 GETINGE Washer Disinfector 46-4 unit 961.973.576
RENOSEM Low Temperatur Plasma Gas Sterilizer/
1729 unit 973.800.000
Reno-D50
1730 MATACHANA Steam Sterilizer S101 - 1 Door 108 Liter unit 1.046.000.000
1731 unit 1.067.536.000
1732 CISA WASHER DISINFECTOR M 104 unit 1.077.688.000
1733 TUTTNAUER Large Hospital Autoclave (5596), dua pintu unit 1.100.000.000
CEPHEID CEPHEID Genexpert DX System GX-IV and
1734 unit 1.100.000.000
Accessories
1735 GETINGE Washer Disinfector 46-5 unit 1.111.286.460
1736 SHINVA Automatic Washer Disinfector 320 Liter unit 1.120.913.000
TUTTNAUER PlazMax Line Low Temperature Sterilizer
1737 unit 1.199.000.000
(P 50)
1738 unit 1.259.693.000
1739 SHINVA Plasma Sterilizer (PS-100) 135 Liter unit 1.281.044.000
MATACHANA Autopsy Table with Lifting and Aspirarion
1740 unit 1.299.000.000
System MOD.015EA

1 2 3 4
1741 unit 1.300.000.000
Sterilizer HMTS-80
JOHNSON & JOHNSON STERRAD 100 S Sterilizer,
1742 unit 1.394.094.500
ASP
1743 GANSHORN Ergo Spirometry unit 1.415.956.000
1744 MATACHANA Washer Disinfector MAT LD 2314 - 210 L unit 1.428.000.000
CISA STEAM STERILIZER GLOBO 4270 and
1745 unit 1.488.422.000
ACCESSORIS
STERICOOL Hydrogen Peroxide Plasma Sterilizer
1746 unit 1.499.095.361
110AS
1747 MATACHANA Steam Sterilizer SC500 - 167 L unit 1.509.000.000
1748 STEELCO Steam Sterilizer/ VS 4/2 unit 1.640.700.000
1749 CISA STEAM STERILIZER GLOBO 4212 255Ltr unit 1.702.664.169
KUGEL MEDICAL GMBH & CO. KG KULKAS
1750 unit 1.702.827.210
JENAZAH/MORGUE REFRIGERATOR 40/0400
1751 unit 1.787.200.000
RENO-S130
1752 GETINGE Steam Sterilizer 533HC-E Single Door unit 1.788.673.401
MATACHANA Low Temperature Steam and
1754 unit 1.885.000.000
Formaldehyde Sterilizer 130 LF - 145 L
1755 MATACHANA Steam Sterilizer S1008 - 576 L unit 2.043.000.000
MATACHANA Washer Disinfector MAT LD 521 XLS -
1756 unit 2.183.000.000
335 L
1757 GETINGE Steam Sterilizer 533HC-E Double Door unit 2.318.939.409
1758 GETINGE Steam Sterilizer HS6610ER2 unit 2.388.744.765
1760 CISA PLASMA STERILIZER 4270 unit 2.938.360.000
MATACHANA Integral Solution for Infectious Waste
1761 unit 5.590.000.000
Integral System (IWIS)
SHIMA PRIMA UTAMA Electric Scrub Station with
1762 unit 108.120.824
Sensor 3 Person
1763 unit 109.789.000
4
1766 unit 123.766.000

1 2 3 4
1771 unit 128.690.000
Station TSN 9202
1773 unit 129.177.000
ProSim8
1775 unit 123.766.000
1780 unit 128.690.000
Station TSN 9202
1782 unit 129.177.000
ProSim8
1783 TYLONG MEDICAL Single Arm ICU Pendant unit 130.000.000
D & V Electric Delivery Bed - Platinum Inspiration - PI-
1784 unit 132.000.000
4000DB
1785 TUTTNAUER Table Top Autoclave 3870 M unit 133.000.000
1786 POLY Kitchen Set Hospitals unit 133.237.500
1787 SHINVA Ultrasonic Washer 30 Liter unit 133.442.000
1788 D & V Acomed - Operating Lamp U6-2, 2 Ceiling unit 134.184.000
1789 BARTEC UTAMA MANDIRI Mortuary Freezer 2 Door unit 136.144.000
FLUKE BIOMEDICAL (USA) Electrosurgical Analyzer
1790 unit 136.859.000
QA-ES III
RIGEL MEDICAL Vital Sign Simulators Rigel Uni-Sim
1791 unit 138.500.000
Type 370A930
1792 FLUKE BIOMEDICAL (USA) Gas Flow Analyzer VT305 unit 145.128.000
TYLONG MEDICAL Single Arm Motorized Anesthesia
1795 unit 148.000.000
Pendant
FLUKE BIOMEDICAL (USA) Non-Invasive Blood
1796 unit 148.955.000
Pressure Analyzer BP-Pump 2M
SAMSUNG MEDICAL ENG. Pendant SME AI14 - 1000
1797 unit 156.750.000
Type A
FLUKE BIOMEDICAL (USA) Two - Channel Infusion
1798 unit 157.784.000
1799 NURITEK Mortuary Cabinet NT 112-2J unit 163.075.000
FLUKE BIOMEDICAL (USA) Gas Flow Analyzer + Ansur
1800 unit 166.113.000
Software

1 2 3 4
1801 FLUKE BIOMEDICAL (USA) Incubator Analyzer INCU II unit 167.855.000

1802 POLY Scrub Station 3 Persons unit 175.873.500
TESENATESENA Water Running Sterilizer Scrub
1803 unit 176.000.000
Station 3 Person TSN 9203
1804 AFA Table Top Steam Sterilizer, 25 Liters unit 178.000.000
FLUKE BIOMEDICAL (USA) Gas Flow Analyzer VT
1806 unit 181.688.000
PLUS HF
1807 ELITE FUJI High Pressure Sterilizer / EAC 4000D unit 186.000.000
MATACHANA Table Top Steam Sterilizer 21ED - 22
1808 unit 187.000.000
Liter (Class B)
1809 A CLASS AIR SHOWER (PASS BOX) / CLEAN ROOM unit 194.700.000
1811 CRISTIE Cristie VeinViewer Vision2 unit 197.134.000
1812 unit 197.321.000
ProSim8 + SpO2 Test Module
1814 unit 199.086.000
ProSim8 + SpO2 Test Module + YSI400
1815 TESENATESENA Mortuary Refrigerator TSN 029 M1 unit 207.910.000
1816 AQUASTAR IRONING SYSTEM MA 2000-33 unit 214.988.000
1817 TYLONG MEDICAL Double Bridge ICU Pendant unit 226.000.000
1818 TESENATESENA Mortuary TSN 029 M, 2 Bodies unit 230.000.000
MATACHANA Wall Washing Table Surgical Instrument +
1819 unit 238.000.000
Cleaning Gun air & water
FLUKE BIOMEDICAL (USA) Four - Channel Infusion
1822 unit 244.583.000
1823 SAMSUNG MEDICAL ENG. PENDANT SME AJ 50 unit 247.500.000
1825 GETINGE Flusher Disinfector (Bedpan Washer) 607 unit 269.400.000
RIGEL MEDICAL Performance Analysers Rigel Multi-Flo
1826 unit 289.400.000
4CH Type 385A940
1828 GETINGE Drying Cabinet unit 298.640.000
1829 unit 320.261.000

1 2 3 4

1831 unit 346.949.000
1832 GETINGE Washer Disinfector Claro unit 368.500.000
D & V White Elephant HS150 STEAM STERILIZER, 150
1833 unit 375.900.000
Liter
1834 unit 379.922.000
Doors
1836 unit 385.000.000
Draeger Movita Surgery
1838 unit 389.650.000
1839 SANI-INDONESIA Shadowless Operating Lamp 700/700 unit 396.635.000
TESENATESENA Mortuary Refrigerator (4 Doors) TSN
1840 unit 399.880.800
029 M4
1841 unit 400.080.000
Draeger Movita Anesthesia
1845 STEELCO Washer Disinfector/ DS 500 CL unit 427.600.000
MPM AT-OS Instrument Washer Disinfector AWD 655-
1846 unit 441.500.000
10 Single Door / Double Door
D & V White Elephant HS240 Pulse Vacuum Steam
1847 unit 462.000.000
Sterilizer
1848 unit 480.391.000
D & V White Elephant PS60T Low Temperature Plasma
1849 unit 482.500.000
H2O2 Sterilizer
1850 unit 499.220.000
Doors (2+2)
MATACHANA Ultrasonic Cleaner Sonomic Compact
1852 unit 524.000.000
MC1001 - 42.5 Liter
1854 MPM NATUS Pasteurmatic PM3000 unit 553.700.000
KUGEL MEDICAL GMBH & CO. KG MEJA AUTOPSI
1855 unit 555.662.770
ST10/150

1 2 3 4
1856 unit 592.599.000
Doors (3+3)
1857 CEPHEID Genexpert DX System GX-II and Accessories unit 600.000.000
1858 TRILUX PENDANT IS 500 OP R SYSTEM 2.9x2.9 unit 604.000.000
1859 STEELCO Washer Disinfector/ DS 610/2 unit 680.100.000
1860 SHINVA Ethylene Oxide (EO/EtO) Sterilizer 240 Liter unit 709.218.000
1861 GEMMY INDUSTRIAL Steam Sterilizer SAP-500 unit 757.938.000
1862 unit 778.000.000
Sterilizer HMTS-SES/30E
1863 GANSHORN Body Plethysmography unit 818.843.000
1864 GETINGE Steam Sterilizer HS33 100 Liter unit 872.000.000
1865 unit 930.800.000
RENO-S30
1866 GETINGE Washer Disinfector 46-4 unit 961.973.576
RENOSEM Low Temperatur Plasma Gas Sterilizer/
1868 unit 973.800.000
Reno-D50
1869 MATACHANA Steam Sterilizer S101 - 1 Door 108 Liter unit 1.046.000.000
1870 unit 1.067.536.000
1871 CISA WASHER DISINFECTOR M 104 unit 1.077.688.000
1872 TUTTNAUER Large Hospital Autoclave (5596), dua pintu unit 1.100.000.000
CEPHEID CEPHEID Genexpert DX System GX-IV and
1873 unit 1.100.000.000
Accessories
1874 GETINGE Washer Disinfector 46-5 unit 1.111.286.460
1875 SHINVA Automatic Washer Disinfector 320 Liter unit 1.120.913.000
TUTTNAUER PlazMax Line Low Temperature Sterilizer
1876 unit 1.199.000.000
(P 50)
1877 unit 1.259.693.000
1878 SHINVA Plasma Sterilizer (PS-100) 135 Liter unit 1.281.044.000
MATACHANA Autopsy Table with Lifting and Aspirarion
1879 unit 1.299.000.000
System MOD.015EA
1880 unit 1.300.000.000
Sterilizer HMTS-80
JOHNSON & JOHNSON STERRAD 100 S Sterilizer,
1881 unit 1.394.094.500
ASP
1882 GANSHORN Ergo Spirometry unit 1.415.956.000
1883 MATACHANA Washer Disinfector MAT LD 2314 - 210 L unit 1.428.000.000
CISA STEAM STERILIZER GLOBO 4270 and
1884 unit 1.488.422.000
ACCESSORIS

1 2 3 4
STERICOOL Hydrogen Peroxide Plasma Sterilizer
1885 unit 1.499.095.361
110AS
1887 STEELCO Steam Sterilizer/ VS 4/2 unit 1.640.700.000
1888 CISA STEAM STERILIZER GLOBO 4212 255Ltr unit 1.702.664.169
KUGEL MEDICAL GMBH & CO. KG KULKAS
1889 unit 1.702.827.210
JENAZAH/MORGUE REFRIGERATOR 40/0400
1890 unit 1.787.200.000
RENO-S130
1891 GETINGE Steam Sterilizer 533HC-E Single Door unit 1.788.673.401
MATACHANA Low Temperature Steam and
1893 unit 1.885.000.000
Formaldehyde Sterilizer 130 LF - 145 L
1894 MATACHANA Steam Sterilizer S1008 - 576 L unit 2.043.000.000
MATACHANA Washer Disinfector MAT LD 521 XLS -
1895 unit O
335 L
1896 GETINGE Steam Sterilizer 533HC-E Double Door unit 2.318.939.409
1899 CISA PLASMA STERILIZER 4270 unit 2.938.360.000
MATACHANA Integral Solution for Infectious Waste
1900 unit 5.590.000.000
Integral System (IWIS)

C. KELOMPOK BARANG ALAT KESEHATAN E - CATALOG
1. Peralatan RSU & P Terapetik

1 2 3 4
1 SUREPLUS SurePlus Needle Hypodermic piece 330
2 TERUMO AGANI NEEDLE 18G X 38MM piece 330
11 CS BEYOND - RRC Infusion Pump - BYS 820 unit 561
12 JAYAMAS Onemed Kasa Pembalut Hydrophil 4m x 3cm roll 590
13 CS BEYOND - RRCSyringe Pump - BYZ 810 unit 612
14 TP Disposable Syringe 1 cc piece 647
15 JIANGSU KANGJIN WIN SYRINGE 1 Cc piece 649
16 JIANGSU KANGJIN WIN SYRINGE 2.5 Cc piece 649
18 JAYAMAS Stera Syringe 1cc piece 650
19 JAYAMAS Stera Syringe 2,5cc piece 650
21 TP Disposable Syringe 2,5 cc piece 653
22 KIMSMED Disposable Syringe 3 cc piece 670
23 KIMSMED Disposable Syringe 2.5 cc piece 670
MUZAMAL INDUSTRIES CIRINGE Syringe Without
25 piece 690
Needle 3 ml
MEDECO (ADMD & CO) Medeco Syringe 2/3ml -
26 Blister
Syringe with Needle - Single Use 697
27 ONIONEX DISPOSABLE SYRINGE 1 CC/ML 700
SHB KESEHATAN 208

1 2 3 4
JIANGXI HONGDA MEDICAL EQUIPMENT GROUP
28 piece 703
LTD. HD Syringe With Needle 1 cc/ml
30 piece 712
31 SUREPLUS SurePlus Scalp Vein Set 23G piece 737
34 ONIONEX DISPOSABLE SYRINGE 2.5 CC/ML piece 739
35 ONIONEX DISPOSABLE SYRINGE 3 CC/ML piece 739
MEDECO (ADMD & CO) Medeco Syringe 5ml - Syringe
36 Blister 741
with Needle - Single Use
38 JAYAMAS Onemed Kasa Pembalut Hydrophil 4m x 5cm piece
MITRA RAJAWALI BANJARAN RD Alat Suntik Sekali

39 piece 762
Pakai With Needle 1 ml
41 JAYAMAS JMI Syringe 3ml with Needle Buah 779
42 TOSAN - IRAN Phototherapy Stand - 023 unit 790
43 NIPRO Syringe 3cc Luer Lock With Needle 23GX1-1/4" piece 792
44 NIPRO Syringe 3cc Luer Lock With Needle 24GX1" piece 792
NIPRO Syringe 3cc Luer Lock With Needle 23GX1-1/4"
45 piece 792
Elektron Beam Sterilization
NIPRO Syringe 3cc Luer Lock With Needle 24GX1"
46 piece 792
47 REMEDI Disposible Syringe + Needle 3cc piece 800
48 piece 802
Pakai With Needle 2.5 ml
49 piece 802
MUZAMAL INDUSTRIES CIRINGE Syringe With
51 piece 807
Needle 3 ml
52 ONIONEX DISPOSABLE SYRINGE 5 CC/ML piece 816
TERUMOTERUMO T Syringe Disposable Syringe with
53 piece 818
Needle 3 cc
SHB KESEHATAN 209

1 2 3 4
54 piece 823
55 piece 825
Needle 5 ml
MUZAMAL INDUSTRIES CIRINGE Syringe with Needle
56 piece 850
1 ml
57 piece 903
59 ONIONEX SCALP VEIN SET 23G piece 925
TERUMOTERUMO T Syringe Disposable Syringe with
64 piece 950
Needle 5 cc
65 JAYAMAS JMI Syringe 5ml with Needle piece 968
66 NIPRO Syringe 5cc Luer Lock With Needle 22GX1-1/2" piece 979
NIPRO Syringe 5cc Luer Lock With Needle 22GX1-1/2"
67 piece 979
68 TERUMO Disp.Syringe without Needle 3 CC piece 985
69 NIPRO Syringe 1cc Tuberculin With Needle 26GX1/2" piece 985

NIPRO Syringe 1cc Tuberculin With Needle 26GX1/2" E
70 piece 990
Beam Sterilization
71 piece 995
Needle 5 ml
72 REMEDI Disposible Syringe + Needle 1cc TB piece 1.000
73 piece 1.017
74 JAYAMAS Onemed Syringe for pump 10ml Buah 1.021
75 REMEDI Disposible Syringe + Needle 5cc piece 1.050
JIANGSU KANGJIN WIN SYRINGE WITH NEEDLE 10
76 piece 1.067
Cc
77 piece 1.103
78 TERUMO Disp.Syringe with Needle 3 CC piece 1.138
79 KIMSMED Disposable Syringe 10 cc piece 1.155
MITRA RAJAWALI BANJARAN SKIFA Auto
80 piece 1.175
Disable/Destruct Syringe With Needle 0.5 ml
SHB KESEHATAN 210

1 2 3 4
81 JAYAMAS JMI Syringe 10ml with Needle Buah 1.200
82 piece 1.212
Disable/Destruct Syringe 3 ml With Needle
83 ONIONEX DISPOSABLE SYRINGE 10 CC/ML piece 1.230
ONEJECT Auto Disable Syringe / Alat Suntik Sekali
84 piece 1.240
Pakai Otomatis Rusak 0.5 ml
85 piece 1.240
Pakai Otomatis Rusak 0.5 ml (Oneject II)
86 UNION Auto Disable Syringe 0.5 ML piece 1.249
87 piece 1.265
Pakai Otomatis Rusak 3 ml
88 piece 1.265
89 NIPRO Syringe 10cc Luer Lock With Needle 21GX1-1/2" piece 1.298
NIPRO Syringe 10cc Luer Lock With Needle 21GX1-
90 piece 1.298
1/2" Elektron Beam Sterilization
91 TERUMO Disp.Syringe without Needle 5 CC piece 1.300
92 piece 1.320
Needle 10 ml
93 ARGUS INFUSION PUMP 707V unit 1.327
94 REMEDI Disposible Syringe + Needle 10cc piece 1.350

95 piece 1.354
Disable/Destruct Syringe With Needle 0.05 ml
96 UNION Auto Disable Syringe 0.05 ML piece 1.380
CHANG GUNG Manual Hospital Bed 3 Crank
97 unit 1.398
COLLAPSIBLE
98 JAYAMAS Onemed Wing Needle 19G piece 1.400
99 JAYAMAS Onemed Wing Needle 21G piece 1.400
100 JAYAMAS Onemed Wing Needle 23 G piece 1.400
WAYSON MEDICAL SEMILLAS Non-Woven I.V.
103 ea (Each) 1.400
Dressing
104 AITECS Syring Pump type 2016 unit 1.460
105 JAYAMAS Stera Syringe 20cc piece 1.500
JAYAMAS Onemed Kasa Pembalut Hydrophil 4m x
106 piece 1.500
10cm
MEDECO (ADMD & CO) Medeco Syringe 0,5ml ADS -
107 Blister 1.500
Auto Disable Syringe / Auto Destruct Syringe - Alat
108 TP Disposable Syringe 20 cc piece 1.503
SHB KESEHATAN 211

1 2 3 4
109 JIANGSU KANGJIN WIN SYRINGE 20 Cc piece 1.507
110 KIMSMED Disposable Syringe 20 cc piece 1.543
111 piece 1.583
Disable/Destruct Syringe With Needle 5 ml
112 JAYAMAS Onemed Syringe for pump 20ml Buah 1.584
114 JAYAMAS Onemed Kasa Kompres Steril 40 x 40 piece 1.600
115 TERUMO Disp.Syringe with Needle 1 CC Tuberculin piece 1.614

116 piece 1.619
117 CHANG GUNG Manual Bed 3 Crank TUCK-AWAY unit 1.622
118 JAYAMAS Onemed Dermafix T 5x7cm piece 1.629
119 piece 1.650
Pakai Otomatis Rusak 0.05 ml
120 piece 1.705
MEDECO (ADMD & CO) Medeco Syringe 0,05ml ADS -
121 Blister 1.900
Auto Disable Syringe / Auto Destruct Syringe - Alat
122 ARGUS SYRINGE PUMP 606S unit 1.912
WAYSON MEDICAL SEMILLAS Transparent I.V.
123 ea (Each) 1.925
Dressing 4.4x4.4
TERUMO NANOPASS Needle for pen - injectors 32.5G
124 unit 1.998
x 4 mm
125 unit 1.998
x 6 mm
126 unit 1.998
x 8 mm
128 JAYAMAS Onemed Dermafix S IV Blister 2.053

129 HOSPITECH HOSPITECH IN-STOPPER piece 2.090
CADD SMITHS MEDICAL Legacy PCA Ambulatory
130 unit 2.100
Infusion Pump
JAYAMAS Onemed Kasa Pembalut Hydrophil 4m x
131 roll 2.100
15cm
132 ea (Each) 2.118
Dressing (Common)
133 FESCO INFUSION SET ANAK piece 2.241
134 piece 2.300
Needle 20 ml
135 ea (Each) 2.310
Dressing (With Notch)
136 NIPRO Syringe 20ml Luer Slip Without Needle piece 2.541
SHB KESEHATAN 212

1 2 3 4
137 HOSPITECH HOSPITECH UMBILICAL CORD CLAMP piece 2.750
138 COSMOMED 3-Way Stopcock piece 2.900

SMITH AND NEPHEW MEDICAL LIMITED Melolin 5 x 5
139 piece 2.900
cm
140 ONIONEX INFUSION SET FOR ADULT piece 2.930
141 ONIONEX INFUSION SET FOR PEDIATRIC piece 3.023
143 TERUMO Disp.Syringe without Needle 20 CC Luer Lock piece 3.080
144 JAYAMAS Stera Infusion Set Dewasa piece 3.200

145 JIANGSU KANGJIN WIN I.V INFUSION SET piece 3.256
146 ea (Each) 3.273
Dressing (with Pad)
147 SUREPLUS SurePlus Infusion Set Adult piece 3.344
148 BBRAUN BBRAUN Transofix piece 3.400
149 JAYAMAS Stera Syringe 50cc piece 3.400
150 piece 3.458
LTD. HD Infusion Administration Set
151 JAYAMAS Stera Infusion Set Anak piece 3.500
152 piece 3.527
LTD. HD Vented Spike Infusion Administration Set
153 TP Disposable Syringe 50 cc piece 3.550
154 UTAMA Kapas Pembalut Absorben 50 gr Pack 3.575
155 SERENITY Infusion Set Dewasa piece 3.600
156 JAYAMAS Stera Blood Transfusion Set piece 3.600
157 REMEDI Infusion Set With Air Vent 1009 Soft Tubing piece 3.600
158 FESCO BLOOD TRANSFUSION SET piece 3.630
FESCO IV CANNULA WITHOUT INJECTION VALVE,
159 piece 3.662
WITHOUT WINGS 22G
160 piece 3.743
161 SERENITY Infusion Set Anak piece 3.800
162 JAYAMAS Steracath IV Catheter 18G x 1¼" piece 3.800
163 JAYAMAS Steracath IV Catheter 20G x 1¼" piece 3.800
164 JAYAMAS Steracath IV Catheter 22G x 1" piece 3.800
165 JAYAMAS Steracath IV Catheter 24G x ¾" piece 3.800
166 SUREPLUS SurePlus Infusion Set Pediatric piece 3.850
SHB KESEHATAN 213

1 2 3 4
WAYSON MEDICAL SEMILLAS Non-Woven Medical
167 ea (Each) 3.850
Tape 5 x 100cm
168 KIMSMED Disposable Syringe 50 cc 3.900
FESCO IV CANNULA WITHOUT INJECTION VALVE,
169 piece 3.923
WITHOUT WINGS 24G
170 SNA MEDIKA Hos-Pak Kapas Pembalut 25 gr roll 3.943
171 piece 3.949
LTD. HD Blood Transfusion Set
172 BBRAUN BBRAUN Combistopper Red piece 4.000
173 GENERAL CARE Infusion Set Adult Buah 4.000
174 COSMOMED Infusion Set (Dewasa) piece 4.100
175 JAYAMAS Steracath IV Catheter 26G x ¾" piece 4.100
176 REMEDI IV Catheter Flash Back model - 18 G piece 4.200
FESCOFESCOPORE SURGICAL TAPE 1.25CM X
181 roll 4.224
9.10M
182 JIANGSU KANGJIN WIN SYRINGE 50 Cc piece 4.389
183 COSMOMED Infusion Set (Anak) piece 4.400
184 3D Semillas Infusion Set - Eco piece 4.598
185 SERENITY IV. Catether Fr. 18 piece 4.600
189 COSMOMED IV Cannula with Safety Wings piece 4.700
190 COSMOMED IV Cannula PEN Type piece 4.700
191 EUROMED Euromed IV Catheter Port No. 18 piece 4.730
194 SUREPLUS SurePlus Transfusion Set piece 4.785
195 AXIMED INFUSET piece 4.800
196 REMEDI Blood Set piece 4.900
197 AXIMED Paper Tape/1.25 cm x 9.14 m roll 4.900
SHB KESEHATAN 214

1 2 3 4
198 NIPRO Infuse Set "Y" Type With Injection Port piece 4.975
199 3D Semillas Infusion Set piece 5.016
HANSAPLAST Plester Rol Kain 2.5 cm x 1 m (dengan
200 piece 5.017
snap ring)
201 ONIONEX IV CATHETER 18G piece 5.045
205 EUROMED Euromed 3 Way Stopcock piece 5.071
206 FESCOFESCO INFUSION SET DEWASA piece 5.094
207 AXIMED PEDIATRIC SET piece 5.100
208 CHANG GUNG ICU Electric Bed unit 5.217
210 TERUMO Disp.Syringe without Needle 30 CC Luer Lock piece 5.255

SMITH AND NEPHEW MEDICAL LIMITED Opsite lV
211 piece 5.280
3000 5x6cm
212 ABADINUSA ABADINUSA Infusion Set 20 drops piece 5.300
213 BBRAUN BBRAUN Ecoflac Mix piece 5.500
214 SERENITY Blood Transfusion Set piece 5.500
215 piece 5.500
Needle 50 ml
WELFORD MEDICAL WELCARE Innocath I.V catheter
216 piece 5.525
with wings and injection port 16 G
217 piece 5.525
WELFORD MEDICAL WELCARE Innocath I.V. catheter
218 piece 5.525
WELFORD MEDICAL WELCARE Innocath I.V. catheter
219 piece 5.525
220 piece 5.525
221 NIPRO Syringe 50ml Luer Slip Without Needle piece 5.621
222 JIANGSU KANGJIN WIN TRANSFUSION SET piece 5.632

223 TERUMO Surflo Winged Infusion Set - SV*19CLK piece 5.643
SHB KESEHATAN 215

1 2 3 4
HOSPITECH HOSPITECH INFUSION SET Y-
227 piece 5.709
CONNECTOR
SMITH AND NEPHEW MEDICAL LIMITED Opsite lV
228 piece 5.720
3000 7x9cm
229 HOSPITECH HOSPITECH 3-WAY STOPCOCK piece 5.720
HANSAPLAST Plester Rol Kain 1.25 cm x 4.5 m
230 piece 5.789
(Hospital)
TP Infusion Set Adult 20 Drops/Ml With Y Type, Airvent,
231 piece 5.800
Luer Lock
232 EUROMED Euromed IV Catheter 1 Way No. 18 piece 5.874
KIMSMED Infusion Set For Adult 20 Drops/Ml With Y
236 piece 5.950
Type, Airvent, Luer Lock
237 AXIMED IV-CATH NP, pen type, no. 18 piece 6.000
241 3D Semillas Infusion Set - Y piece 6.061
242 JAYAMAS Onemed Extension Tube pack 6.085
243 VASFLOW Vasflow IV Catheter No.18 G piece 6.100
TP Infusion Set Pediatric 60 Drops/Ml With Y Type,
247 piece 6.150
Airvent, Luer Lock
248 3D Semillas Infusion Set - YL piece 6.270
249 JAYAMAS Stera Infusion Set Y piece 6.287

KIMSMED Infusion Set Pediatric 60 Drops/Ml With Y
251 piece 6.400
Type, Airvent, Luer Lock
MMP POLYMED Polyfusion INFUSION SET 20
252 piece 6.435
Drops/ml
253 SERENITY IV. Catether With Injection Port Fr. 18 piece 6.550
SHB KESEHATAN 216

1 2 3 4
258 COSMOMED Blood Transfusion Set piece 6.700
259 FRESENIUS KABI Injectomat Line PVC 200cm piece 6.850
261 AXIMED IV-CATH WP, with wings & port, no. 18 piece 7.000
265 NIPRO IV Catheter 24G X 3/4" piece 7.018
266 NIPRO IV Catheter 24G X 1" piece 7.018
268 NIPRO IV Catheter 20G X 1-1/4" piece 7.018
272 NIPRONIPRO IV Catheter 16G X 2" piece 7.018
273 JAYAMAS Onemed Mucus Extractor Buah 7.040
TIANCHANG KANGHUI PROTECTIVE PRODUCTS
275 piece 7.109
INDUSTRY & TRADING PD UNDERPAD 80X180CM
ABADINUSA ABADINUSA IV CATHETER PEN TYPE
276 piece 7.300
size 18G
277 piece 7.300
size 20G
278 piece 7.300
size 22G
279 piece 7.300
size 24G
280 ea (Each) 7.315
Tape 10 x 100cm
TERUMO Terufusion Solution Administration Set -
281 piece 7.321
TI*U200L07
282 JMS Infusion Set Adult Type-200 piece 7.370
284 ONIONEX BLOOD TRANSFUSION SET piece 7.446
285 FESCOFESCOPORE SURGICAL TAPE 2.5CM X 9.10M roll 7.475
286 JAYAMAS Onemed Kasa Hydrophil Steril Uk. 18 x 22 Piece 7.500
SHB KESEHATAN 217

1 2 3 4
287 3D Semillas Infusion Set - SL Piece 7.524
288 AXIMED Infusiont Set Y-Type Piece 7.590
289 MF CATH PRO I.V Catheter 16G Piece 7.590
290 MEDICOR Infant Incubator Babylife BLF 2001 unit 7.695
292 MEDIFIRST MF Cath Pro IV Catheter 20G piece 7.700
296 JAYAMAS Onemed Kasa Pembalut 2m x 80cm roll 7.700
MMP MAS DISPOSABLE TRANSFUSION SET WITH Y-
297 piece 7.700
INJECTOR
298 JAYAMAS Onemed Mitella Kain Buah 7.920
299 JAYAMAS Alat Suntik 50 cc Catheter Tip piece 7.796
300 JAYAMAS Onemed Mitella Kain Buah 7.920
301 JAYAMAS Onemed Kasa Hydrophil Steril Uk. 16 x 16 box 8.000
TERUMO Disposable Syringe without Needle 50 CC
302 piece 8.045
Luer Lock
306 ESKAMED Infusion Set with Needle piece 8.200
307 COBAMS Neonatal Incubator Mod. Cristina Self Control unit 8.251

309 TERUMO SURFLO IV CATH SR+OX1451C3 piece 8.355
SMITH AND NEPHEW MEDICAL LIMITED Melolin
317 piece 8.360
10x1ocm
SHB KESEHATAN 218

1 2 3 4
318 MEDICOR Infant Warmer BLR 2100 piece 8.424
319 BBRAUN BBRAUN Omnifix 20 mL LL piece 8.500
320 BBRAUN BBRAUN Omnifix 20 mL LS piece 8.500
321 TERUMO SAFEED Extention Tube 75 cm (2.5 ml) piece 8.683
322 SMITHS MEDICAL JELCO 14G piece 8.700
325 SMITHS MEDICAL JELCO 20 piece 8.700
327 MITHS MEDICAL JELCO 24G piece 8.700
328 BBRAUN INTROCAN G16X2" 1,7 X 50 MM piece 8.750
329 BBRAUN INTROCAN G18X1.25" 1,3 X 32 MM piece 8.750
330 BBRAUN INTROCAN G18X1.75" 1,3 X 45 MM piece 8.750
331 BBRAUN INTROCAN G20X1.25" piece 8.750
332 BBRAUN INTROCAN G22X1" piece 8.750
333 BBRAUN INTROCAN G24 0,75" piece 8.750
334 BBRAUN VASOFIX IV G16 X 50 MM GREY piece 8.750
335 BBRAUN VASOFIX IV G18 X 33 MM GREEN piece 8.750
336 BBRAUN VASOFIX IV G18 X 45 MM GREEN piece 8.750
337 BBRAUN VASOFIX IV G20 X 33 MM PINK piece 8.750
338 BBRAUN VASOFIX IV G22 X 25 MM BLUE piece 8.750
339 BBRAUN VASOFIX IV G24 X 0,75" piece 8.750
AXION - RUSIA Infant Warmer with Phototherapy -
340 unit 8.804
UON-03F
341 ea (Each) 8.855
dressing 10x12
ABADINUSA ABADINUSA IV CATHETER WING size
342 piece 8.960
18G
343 piece 8.960
20G
344 piece 8.960
22G
345 piece 8.960
24G
SMITH AND NEPHEW MEDICAL LIMITED Opsite Post
347 piece 9.020
Op 6,5x5cm
SHB KESEHATAN 219

1 2 3 4
IDEALCARE Intravenous Admin Set with Airvent & Y
349 piece 9.070
Connection with Protective Shield, sterile 21GX3.75 mm
350 WELFORD MEDICAL WELCARE Blood Transfusion Set piece 9.155
351 ESKAMED Micro Drip Infusion Set piece 9.200
352 BBRAUN BBRAUN Perfusor Syringe 20 ml With Needle piece 9.500
353 AXIMED 3-WAY piece 9.680

354 JMS Infusion Set Pediatric Type-200 piece 9.900
355 TOSAN - IRAN Infant Incubator - 111 unit 9.923
ESKAMED IV Cannula without Injection Port & Wings
356 piece 10.000
(18)
357 piece 10.000
(20)
358 piece 10.000
(22)
359 piece 10.000
(24)
360 ABADINUSA ABADINUSA Blood Transfusion Set piece 10.000
FRESENIUS KABI 3-Way Stopcock +10cm extension
361 unit 10.100
(Blue)
362 MEDIPREMA Infant Warmer unit 10.210
363 MMP CATHY IV. CANNULA 18G piece 10.395

TERUMO PEDIATRIC SOLUTION ADMINISTRATION
367 piece 10.406
SET - TK*A200LK
IDEALCARE Blood Administration Set with Airvent /
368 piece 10.430
Blood Giving Set, sterile 18GX3.75 mm
369 AXIMED 3-WAY WITH EXTENTION piece 10.450
370 MMP POLYWIN IV. CANNULA16G piece 10.494
371 MMP POLYWIN IV. CANNULA 18G piece 10.494
375 BBRAUN BBRAUN Askina Soft Clear IV piece 10.500
376 NIPRO Wing Catheter With Injection Port 18G piece 11.000
SHB KESEHATAN 220

1 2 3 4
377 NIPRO Wing Catheter With Injection Port 20 G X 1-1/4” piece 11.000
378 NIPRO Wing Catheter With Injection Port 22 G X 1” piece 11.000

379 NIPRO Wing Catheter With Injection Port 24G piece 11.000
380 MPM Medikit IV Catheter Z-tuV G18 piece 11.000
384 piece 11.215
(26)
385 roll 11.334
(Hospital)
HANSAPLAST Plester Rol Kain 2.5 cm x 4.5 m (dengan
387 roll 11.964
snap ring)
388 NIPRO Syringe 50ml Catheter Tip roll 11.990
BSN MEDICAL LIMITADA, COLOMBIA Leukoplast 2.5
389 roll 12.076
cm x 4.5 m
ESKAMED IV Cannula with Injection Port, Snap Fit Cap
390 roll 12.078
& Suturable Wings (18)
391 piece 12.078
392 piece 12.078
393 piece 12.078
MMP POLYFLEX IV. CANNULA WITH INJECTION
394 piece 12.100
PORT 18G
395 piece 12.100
PORT 20G
396 piece 12.100
PORT 22G
397 piece 12.100
PORT 24G
398 UTAMA Kapas pembalut Absorben 250 gr Pack 12.250
399 JAYAMAS Onemed Enema Syringe Buah 12.320
400 TOSAN - IRAN Infant Warmer - 083 unit 12.342
401 BBRAUN BBRAUN Mini Spike Plus piece 12.500
402 ESKAMED Extension Line with 3 Way Stop Cock piece 12.500
403 JAYAMAS Onemed Kapas Pembalut 250g roll 12.500
404 EUROMED Euromed Foley Catheter No. 12 piece 12.518
SHB KESEHATAN 221

1 2 3 4
411 SERENITY Alcohol Swab box 12.600
COBAMS Transport Incubator Mod. STM Baby Cristina-
412 unit 12.600
002
413 ESKAMED Blood Transfusion Set piece 13.000
415 SURYA HUSADA Kapas Pembalut Hydrofil 250 gr Pack 13.400
416 NIPRO Blood Transfusion Set piece 13.420
417 piece 13.458
HOSPITECH HOSPITECH 3-WAY STOPCOCK WITH
418 piece 13.640
EXTENSION TUBING, 10 CM
420 ESKAMED Three Way Stopcock piece 13.803
421 FESCOFESCOPORE SURGICAL TAPE 5CM X 9.10M roll 13.903
422 TERUMO TERUFUSION BLOOD ADM SET - TB*U800L piece 13.976
423 JMS Transfusion / Blood Set piece 14.190

MMP MAS DISPOSABLE BLOOD TRANFUSION SET
424 piece 14.300
WITH Y-INJECTOR 20 DROPS/ml
425 BBRAUN BBRAUN Intrafix Primeline I.S. TYP Basic piece 14.399
426 BBRAUN BBRAUN Mini Spike V Filter piece 14.500
TERUMO Surflo-W IV Catheter with Wings and Injection
429 piece 14.575
Port - SRDM 1832
430 piece 14.575
Port - SRDM 2032
431 piece 14.575
Port - SRDM 2225
432 MMP POLYWIN SAFETY Safety IV. CANNULA 18G piece 14.740
SHB KESEHATAN 222

1 2 3 4
437 MEDICOR Infant Incubator Advance Babylife BLF 2001 unit 14.960

439 BBRAUN BBRAUN Omnifix 50 mL LS piece 15.000
440 MPM Medikit Savety IV Catheter Supercath 5 G14 piece 15.000
446 piece 15.180
Port - SRDM 2419
447 TERUMO SAFEED Stomach Tube 12 fr (125 cm) piece 15.373

451 JAYAMAS Onemed Safety Box Dus 15.715
452 MMP POLYSAFETY safety IV. CANNULA 18G piece 15.785
WELFORD MEDICAL WELCARE Airguard Safety
456 piece 15.785
Infusion Set
457 JAYAMAS Stera Sharp Container 1L Buah 15.840
458 HOSPIRA, INC. USA Abbocath-T 14GA W/Iso Orange piece 16.000
459 HOSPIRA, INC. USA Abbocath-T 16GA W/Iso Grey piece 16.000
460 HOSPIRA, INC. USA Abbocath-T 16GA W/Iso Green piece 16.000
461 HOSPIRA, INC. USA Abbocath-T 20GA W/Iso Pink piece 16.000
462 HOSPIRA, INC. USA Abbocath-T 22GA W/Iso Blue piece 16.000
463 HOSPIRA, INC. USA Abbocath-T 24GA W/Iso Yellow piece 16.000
464 SMITHS MEDICAL JELCO 2 16G piece 16.100
SHB KESEHATAN 223

1 2 3 4
468 UTAMA Kapas Berlemak 500 gr Pack 16.200
PT. MEDIBEST INDONESIA Disposafe Safety Box 2,5
469 Box 16.268
Liter
470 piece 16.346
PORT 26G
471 JAYAMAS Onemed Kapas Berlemak 500gr roll 16.500
472 TERUMO SURHIELD SURFLO II - SR*SFA1832 Dus 16.843
476 ICUMED CLAVE Konektor Tunggal (C-1000) piece 17.050
477 MEDICOR Infant Warmer Advance BLR 2100 unit 17.083
478 TERUMO SAFEED Feeding Tube 3.5 (35 cm) piece 17.366
479 TERUMOTERUMO SAFEED Feeding Tube 5 fr (100cm piece 17.366
480 TERUMO SAFEED Feeding Tube 5 fr (40 cm) piece 17.366
KARL OTTO BRAUN KG, GERMANY Uniflex 7.5 CM x
483 roll 17.515
4.5 M / 120
484 TERUMO Surplug Needle Free Connector - SP*1S Dus 17.580
485 BBRAUN BBRAUN Intrafix Air FF 180 cm 60 Drp piece 17.670
MEDIPREMA Infant Incubator with Integrated Electronic
488 piece 19.146
weighing scale
489 BBRAUN BBRAUN Discofix 3 Way Stopcock piece 19.250
JAYAMAS Onemed Jarum 18G x 1 1/2 inch, box isi
490 box 19.360
100pcs
491 piece 19.470
Op 9,5x8,5cm
492 VYGON Bionector 2 unit 19.475
493 HOSPIRA, INC. USA Abbocath-T 26GA W/Iso White piece 19.500
494 BBRAUN BBRAUN Perfusor Syringe 50 ml White piece 20.000
495 BBRAUN Bbraun Sangofix piece 20.328
496 ICUMED CLAVE Konektor Vial (CS-50) piece 20.350
SHB KESEHATAN 224

1 2 3 4
497 piece 21.065
Port - SRDM 2619
498 BBRAUN BBRAUN Intrafix Safeset piece 21.175
KARL OTTO BRAUN KG, GERMANY Uniflex 10 CM x
499 roll 21.406
4.5 M / 96
500 ABADINUSA ABADINUSA Infusion Set Burette piece 21.500
501 SURYA HUSADA Kapas Berlemak 500 gr Pack 21.500
HOSPITECH HOSPITECH SURGICAL CONNECTING
502 piece 21.615
TUBE, 3M
503 roll 21.753
Tape 5 x 500cm
TERUMO Terufusion Solution Administration Set for
504 roll 21.780
Infusion Pump - TI*PU300L
506 BBRAUN VASOFIX Safety IV G16x50MM GREY piece 22.000
507 BBRAUN VASOFIX Safety IV G18x33MM GREEN piece 22.000
508 BBRAUN VASOFIX Safety IV G18x45MM GREEN piece 22.000
509 BBRAUN VASOFIX Safety IV G20x33MM PINK piece 22.000
510 BBRAUN VASOFIX Safety IV G22x25MM BLUE piece 22.000
511 BBRAUN VASOFIX Safety IV G24 x 0,75" piece 22.000
512 BBRAUN INTROCAN Safety G16X2" 1,7x50MM piece 22.000
513 BBRAUN INTROCAN Safety G18x1.25" 1,3x32MM piece 22.000
514 BBRAUN INTROCAN Safety G18X1.75" 1,3x45MM piece 22.000
515 BBRAUN INTROCAN Safety G20X1.25" piece 22.000
516 BBRAUN INTROCAN Safety G22X1" piece 22.000
517 BBRAUN INTROCAN Safety G24XO,75" piece 22.000
518 JAYAMAS Onemed Plesterin Non Woven Roll 5cm x 5m roll 23.760
519 AHMADARIS Kapas Pembalut Hidrofil DRC 250gr roll 24.000

PT. MEDIBEST INDONESIA Disposafe Safety Box 5
520 Box 24.122
Liter
521 piece 24.200
Op 15,5x8,5cm
522 HANSAPLAST Plester Rol Kain 5 cm x 4.5 m (Hospital) roll 25.404
HANSAPLAST Plester Rol Kain 5 cm x 4.5 m (dengan
523 roll 26.244
snap ring)
524 UTAMA Kapas Pembalut Absorben 500 gr pack 26.400
525 JAYAMAS Onemed kapas 500g roll 27.280
526 BBRAUN BBRAUN Chemo Mini Spike Micro tip piece 27.500
SHB KESEHATAN 225

1 2 3 4
527 BBRAUN BBRAUN Chemo Mini Spike V piece 27.500
SNA MEDIKA Policrepe Pembalut Elastis 7,5 cm x 4,55
528 roll 27.660
m
SN MEDIKA PRO CREPE PEMBALUT ELASTIS
529 roll 27.830
UKURAN 7,5 CM X 4,55 M (terentang)
531 PD CREPE Crepe/Bandage 7.5 CM x 4.5 M roll 28.800

532 piece 29.040
Op 20x10cm
KARL OTTO BRAUN KG, GERMANY Uniflex 15 CM x
533 roll 29.189
4.5 M / 60
534 JAYAMAS My Jelly 82 gram tube 29.550
535 COSMOMED Surgical Connection Tube with Yankauer piece 29.700

536 roll 30.030
Tape 10 x 500cm
537 JAYAMAS Onemed Plesterin Bulat Non Woven Box 30.800
538 roll 31.265
(Hospital)
539 BBRAUN Bbraun Discofix 3 Way + 10 Tubing piece 32.160
540 UTAMA Kapas Berlemak 1000 gr pack 32.400
HANSAPLAST Plester Rol Kain 7.5 cm x 4.5 m (dengan
541 roll 32.804
snap ring)
PT. MEDIBEST INDONESIA Disposafe Safety Box 12,5
542 Box 32.861
Liter
SNA MEDIKA Policrepe Pembalut Elastis 10 cm x 4,55
543 roll 32.892
m
544 roll 33.000
UKURAN 10 CM X 4,55 M (terentang)
545 VYGON PVC Umbilical Catheter 7 Fr unit 33.179
547 ICUMED CLAVE Konektor Ambil Darah (CLC-2000) piece 33.825
548 AHMADARIS Kapas Berlemak DRC 500gr roll 34.000
549 FRESENIUS KABI Applix Smart Pump set Varioline piece 34.200
551 VYGON PVC Umbilical Catheter 6.0 Fr unit 34.261
552 BBRAUN BBRAUN Perfusor Tubing, White, 150 cm piece 35.000
553 piece 35.200
Op 25x10cm
BSN MEDICAL LIMITADA, COLOMBIA Leukoplast 7.5
554 roll 35.532
cm x 4.5 m
SHB KESEHATAN 226

1 2 3 4
555 BBRAUN BBRAUN Perfusor Tubing, White, 200 cm piece 36.000
SNA MEDIKA FM Crepe Pembalut Elastis 7,5 cm x
556 roll 36.012
4,55 m
558 BEIERSDORF INDONESIA Fixomull Stretch 5 cm x 5 m roll 37.440

559 PD CREPE Crepe/Bandage 10 CM x 4.5 M roll 37.560
560 VYGON PVC Umbilical Catheter 3.5 Fr roll 39.670
561 MEDIGLOBE Premium Syringe with Needle 1ml Dus 40.000
565 MPM UWC Prefilled Humidifier Hydrox unit 40.000
566 roll 40.425
Tape 15 x 500cm
567 ICUMED CLAVE Konektor Tiga Cabang (C-4348) piece 40.700
JAYAMAS Onemed Plesterin Non Woven Roll 10cm x
568 roll 41.360
5m
SNA MEDIKA Policrepe Pembalut Elastis 15 cm x 4,55
569 roll 41.870
m
570 roll 41.910
UKURAN 15 CM X 4,55 M (terentang)
571 ICUMED CLAVE Konektor Bayi atau Anak (CT-3305) piece 42.350
572 ICUMED CLAVE Konektor Botol Infus (CS-10) piece 42.350
TERUMO TERUFUSION BLOOD SET FOR PUMP -
573 piece 42.702
TB*PU300L
TERUMO Surplug Needle Free Connector with
574 Dus 43.212
Extension Tube - Surplug 2B 20cm Lock
575 AXIMED Nonwoven Fixation/ 5 cm x 10 m roll 43.850
SNA MEDIKA FM Crepe Pembalut Elastis 10 cm x 4,55
576 roll 43.987
m
577 JAYAMAS Onemed My Jelly 5 gram steril box 44.010
578 VYGON Premicath Accesories Lectro Spiral unit 45.560
579 BBRAUN BBRAUN Perfusor Tubing PE Black piece 47.000
580 ICUMED CLAVE Konektor Dua Cabang (C-4203-1) piece 47.250
TERUMO Terufusion Solution Administration Set -
581 Dus 49.048
TS*M270LA
TERUMO Surplug Needle Free Connector with
582 Dus 50.842
Extension Tube - Surplug 3B 30cm Lock
584 PD CREPE Crepe/Bandage 15 CM x 4.5 M roll 52.800
SHB KESEHATAN 227

1 2 3 4
585 roll 53.900
Tape 20 x 500cm
SNA MEDIKA FM Crepe Pembalut Elastis 15 cm x 4,55
586 roll 54.139
m
587 JAYAMAS Onemed Kapas 1000g roll 54.560
589 BBRAUN BBRAUN Perfusor Syringe 50 mL Black piece 55.000
590 BBRAUN BBRAUN Cytoset Mix piece 56.500
591 ICUMED CLAVE Konektor Blood Set (C-6042) piece 59.750
592 CADD SMITHS MEDICAL Extension Set 60 Inch/1.7 ml unit 62.700
593 3M 2762 Soft ClothOnLiner 5CM X 10M Box 63.964
594 JAYAMAS Onemed Umbilical Cord Klem Steril Nylon Box 65.000
595 JAYAMAS Onemed Umbilical Cord Klem Steril Nylon Box 65.000
597 roll 69.520
5m
598 ICUMED CLAVE Konektor Flow Controller (C-9804) piece 70.900
BEIERSDORF INDONESIA Fixomull Stretch 10 cm x 5
599 roll 70.903
m
600 COSMOMED Syringe, 1 ml Box 76.200
601 roll 79.200
5m
602 AXIMED Syringe 3 cc Dus 82.500
WAYSON MEDICAL SEMILLAS WATERPROOF &
605 roll 84.700
TRANSPARENT MEDICAL TAPE 5 X 500
606 MEDIGLOBE Infuset Pediatrik & Adult piece 86.000
607 BBRAUN BBRAUN Intrapur Inline piece 90.000
JIANHUA JINGDI MEDICAL SUPPLIES CO., LTD. E-
608 Dus 92.000
CARE SURGICAL TAPE 2" (18352)
610 FRESENIUS KABI Applix Smart Pump Set Bag piece 95.000
BECTON DICKINSON (BD) Syringe 3ml ll 23g 1-1/4in
611 Box 96.800
tw id
613 VYGON Double Lumen Octopus 10 cm unit 97.043
614 JAYAMAS Onemed Three Way Stop Cock Box 97.500
SHB KESEHATAN 228

1 2 3 4
616 Dus 98.000
CARE SURGICAL TAPE 1" (18351)
617 JAYAMAS Onemed Kasa Hydrophil 40 x 80 cm roll 105.000
619 BBRAUN BBRAUN Cytoset Infusion 3 Safeset piece 110.000
620 SEROSEP Histopot Neutral Formalin 10% - 2500 ml piece 111.618
BEIERSDORF INDONESIA Fixomull Stretch 15 cm x 5
621 roll 112.087
m
622 VYGON Centracath 19 G, 30 cm unit 112.159
623 JAYAMAS Onemed Injection Plug, Box/100 Box 113.256
626 3M 2764 SOFT CLOTH ON 10CM X 10M Box 115.932
627 Dus 117.000
CARE SURGICAL TAPE 0.5" (18350)
BECTON DICKINSON (BD) Needle cnv 22X1.5 mltsmp
629 Box 122.760
ce
BECTON DICKINSON (BD) Needle cnv 21X1.5 mltsmp
630 Box 122.760
ce
BSN MEDICAL GMBH, GERMANY Leukomed IV Film 6
631 Box 123.056
cm x 8 cm (sterile)
634 3M 3522A SC I.V. 6X8CM 50PC/BXDRESSING W/PAD Box 124.500

637 GEA GEA Infusion Set Adult / Dewasa (50 Pcs/Box) Box 130.000
638 AXIMED Syringe 10 cc Box 130.200
639 Box 131.000
tw id
640 GEA GEA Infusion Set Child / Anak (50 Pcs/Box) Box 135.000
641 VYGON Intravascular Triple Lumen Octopus 3 unit 135.900
642 roll 144.375
643 3M 2766 SOFT CLOTH 15CM X 10M Box 155.197
644 BBRAUN BBRAUN MELISEPTOL RAPID bottle 159.000
SHB KESEHATAN 229

1 2 3 4
645 VYGON Polyurethane Umbilical Catheter 4Fr - 40 cm unit 160.485
646 VYGON Polyurtehane Umbilical Catheter 5Fr - 40 cm unit 160.485
647 VYGON Polyurtehane Umbilical Catheter 8Fr - 40 cm unit 160.485

3M 3344 CAVILON NO STING BARRIER FILM 1ML
648 box 160.500
WIPE 25EA/BX 4BX/CS
649 JAYAMAS Onemed Thre Way Stop Cock with Tube box 162.500
650 SEROSEP Histopot Neutral Formalin 10% - 5000 ml piece 164.313
651 GEA GEA IV Catheter Size 14G (50 Pcs/Box) box 165.000
BECTON DICKINSON (BD) Syringe Soloshot Mini
657 Box 165.550
0.05ml 27Gx3/8 in
BECTON DICKINSON (BD) Syringe Soloshot Mini 0.5ml
658 Box 165.550
23gx1in
659 Box 167.000
tw id
660 BECTON DICKINSON (BD) Syringe 1ml ls 27g 1/2in id Box 169.400
661 roll 180.950
662 GEA GEA Urine Bag T-Type (50 Pcs/Bag) bag 185.000
BECTON DICKINSON (BD) Fine Pen Needle 31 X 5
663 box 191.345
Asia
664 CADD SMITHS MEDICAL cassette 50 ml unit 196.424
665 CADD SMITHS MEDICAL Reservoir Cassette 100 ml unit 196.424
666 3M 1535-2 MICROPORE 2 INCH ( 6/BX ) Box 197.606

667 NOVO NORDISK NovoTwist 32G x 5mm box 208.300
668 3M 1535-1 MICROPORE 1 INCH ( 12/BX ) box 217.028
YAFHO BIO-TECHNOLOGY CO., LTD. E-CARE FILM
669 Dus 220.000
IV DRESSING 6 x 7 P (ID67P)
670 Dus 220.000
IV DRESSING 6 X 7 S (ID67S)
671 VYGON Leader-Cath Arterial 3 Fr, 8cm unit 231.892
LOHMANN & RAUSCHER INT. GMBH & CO.KG
672 box 232.416
CURAFIX IV Cannula Retension Dressing
SHB KESEHATAN 230

1 2 3 4
673 VYGON Infusion Line with Lipid Filter unit 233.334
674 STARDEC Infusion set luer slip new(Box/50) box 234.300
675 STARDEC Infusion set new(Box/50) Box 234.300
676 roll 250.250
677 3M 1535-0 MICROPORE 1/2 INCH ( 24/BX ) box 262.874
678 VYGON Polyurethane Umbilical Catheter 3.5Fr - 40 cm unit 268.677
679 VYGON Polyurethane Umbilical Catheter 2.5Fr - 30 cm unit 274.808

SMITH AND NEPHEW MEDICAL LIMITED Opsite
680 piece 296.000
Flexifix 5 x 10 cm
681 Dus 300.000
IV DRESSING 7 x 8 P(ID78P)
682 VYGON Double Lumen Umbilical Catheter 4 Fr - 40 cm unit 359.590
683 VYGON Double Lumen Umbilical Catheter 5 Fr - 40 cm unit 373.600

GEA GEA Nasal Oxygen Cannula Adult / Dewasa (100
684 box 400.000
Pcs/Box)
GEA GEA Nasal Oxygen Cannula Child / Anak (100
685 box 400.000
Pcs/Box)
GEA GEA Nasal Oxygen Cannula Infant / Bayi (100
686 box 400.000
Pcs/Box)
687 VYGON Leader Flex 2 Fr, 8 cm - 22G unit 421.949
688 STARDEC Transfusion Set box 432.300
689 INDOMED Stand IV / Tiang infus unit 435.600
3M 3345 CAVILON NO STING BARRIER FILM 3ML
690 box 450.214
WAND 25EA/BX 4BX/CS
691 GEA GEA Air Compressing Nebulizer unit 490.000
TELEFLEX Arrow CVC SET: 3-LUMEN 7FR x 20CM
693 unit 514.800
AGB
SMITH AND NEPHEW MEDICAL LIMITED Opsite
694 piece 554.000
Flexifix 10 x 10 cm
TELEFLEX Arrow CVC SET: 2-LUMEN 7FR x 20CM
696 unit 571.265
AGB
697 SMITHS MEDICAL LOGICATH CVC 2L 7F 16 CM piece 593.700
698 SMITHS MEDICAL LOGICATH 2L 7F 20 CM piece 593.700
699 GEA GEA Oxygen Mask Adult / Dewasa (100 Pcs/Box) box 600.000
700 GEA GEA Oxygen Mask Child / Anak (100 Pcs/Box) box 600.000
SHB KESEHATAN 231

1 2 3 4
703 BBRAUN CERTOFIX TRIO V720 piece 650.000
704 BECTON DICKINSON (BD) Insyte bl 22ga X 1.0in box 660.000
705 BECTON DICKINSON (BD) Insyte gn 18ga X 1.16in box 660.000
706 BECTON DICKINSON (BD) Insyte pnk 20ga X 1.16in box 660.000
707 BECTON DICKINSON (BD) Insyte pnk 20ga X 1.16in box 660.000
WELFORD MEDICAL Welcare I.V. Solution
709 box 723.636
Administration set (macro)
710 GEA GEA Ultrasonic Nebulizer unit 740.000
TELEFLEX Arrow Triple Lumen Central Venous
712 unit 796.095
Catheter set with Blue Flex tip ARRCWg+ard Blue
713 NAKAMURA N-IDEAL Infant Warmer NIW-2000 unit 819.101
BECTON DICKINSON (BD) BD Venflon Pro IV canula
714 box 860.915
18 ga 0.9mmx25mm
BECTON DICKINSON (BD) BD Venflon pro IV canula
715 box 860.915
20 ga 1.1mmx32mm
BECTON DICKINSON (BD) BD Venflon pro IV canula
716 box 860.915
22 ga 0.9mmx25mm
TELEFLEX Arrow Central Venous Catheter Sets,
717 unit 868.515
Double Lumen tipe CS-14402 (CVC set : 2-lumen 4 FR
TELEFLEX Arrow central Venous Catheter Sets, Double
718 unit 868.515
Lumen Tipe CS-14502
GEA GEA Nebulizer with Mask Adult / Dewasa (100
719 box 920.000
Pcs/Box)
GEA GEA Nebulizer with Mask Child / Anak (100
720 box 920.000
Pcs/Box)
721 PARAMOUNT BED I. V Hanger Rod unit 941.282
VYGON Premicath 1 Fr, 20 cm with Stylet and
722 unit 958.222
Microflash
VYGON Premicath 1 Fr, 20 cm with Stylet and Splitting
723 unit 1.004.744
Needle
724 MPM ERKA Pressure Infusion Cuff 500ml unit 1.100.000
BECTON DICKINSON (BD) Insyte Autoguard yel 24ga
725 box 1.155.000
X .75in
BECTON DICKINSON (BD) Insyte autoguard bl 22ga X
726 box 1.155.000
1.0in
BECTON DICKINSON (BD) Insyte autoguard pnk 20ga
727 box 1.155.000
X 1.16in
BECTON DICKINSON (BD) Insyte autoguard gn 18ga X
728 box 1.155.000
1.16in
SHB KESEHATAN 232

1 2 3 4
BECTON DICKINSON (BD) BD Venflon pro safety 18
729 box 1.155.000
ga 1.3mmx32mm
BECTON DICKINSON (BD) BD Venflon pro Ssafety 20
730 box 1.155.000
ga 1.1mmx25mm
BECTON DICKINSON (BD) BD Venflon pro safety 22
731 box 1.155.000
ga 0.9mmx25mm
732 NURITEK Infusion Stand NT 003-00BSS unit 1.189.375
733 MPM ERKA Pressure Infusion Cuff 1000ml unit 1.200.000
734 INDOMED Matrass Bed Pasien 1/2/3 Crank piece 1.229.400
BBRAUN Surecan WInged Needle for Implantable
735 Dus 1.278.000
Accessories Ports 22G x 20 MM
BBRAUN Surecan Winged Needle for Implantable
736 Dus 1.278.000
Accessories Ports 20G x 20MM
TELEFLEX Arrow Large Bore Multi Lumen Central
737 unit 1.355.746
Venous Catheterization Set tipe CS-12123-F (CVC Set :
738 MEDIGLOBE Bedside Cabinet C-88 unit 1,396,560.00
739 MPM MPM ICARE Super Mesh Nebulizer 1.400.000
MPM MPM ICARE Super Mesh NebulizerMEDIGLOBE
740 unit 1.457.280
Bedside Cabinet C-87
741 MEDIGLOBE Bedside Cabinet C-92 unit 1.487.640
SEROSEP Histopot Neutral Formalin 10% - 180 ml (70
742 box 1.519.350
Pcs)
PARAMOUNT BED Urethane Foam Mattress Width
743 unit 1.563.320
910mm
744 NAKAMURA N-IDEAL Infant Incubator H-2000 PS unit JPY1,565,928.72
746 box 1.678.158
Pcs)
747 NAKAMURA N-IDEAL Infant Incubator H-2000 LCS-ICU unit JPY1,698,430.38

749 box 1.704.780
Pcs)
750 MEDIGLOBE Overbed Table unit 1.700.160
751 box 1.851.048
Pcs)
752 box 1.868.400
Pcs)
754 PARAMOUNT BED I.V. Stand unit 2.000.000
755 BLESSMED Examine Table - BP 025 PC unit 2.112.000
756 TERUMO MEDIQUICK PLUS unit 2.198.949
SHB KESEHATAN 233

1 2 3 4
757 MED Economy Hospital Bed - BP 004 PC unit 2.288.000
758 MEDIGLOBE Bed Screen ML-36 Dus 2.362.500
759 BIPMED BABY COT BBC-101 unit 2.365.000
760 PARAMOUNT BED Collapsible Bedside Raills unit 2.501.989
761 PARAMOUNT BED Overbed Table unit 2.513.461
762 MEDIGLOBE Plastic Sprayed Treatment Trolley B-50 unit 2.519.880
763 NURITEK Examination Lamp NT 023-00B unit 2.556.125
JIANGSU SAIKANG MEDICAL EQUIPMENT LTD ABS
764 unit 2.612.500
Bedside Cabinete SK 001
765 unit 2.612.500
Bedside Cabinet SK 002
766 unit 2.612.500
767 unit 2.612.500
Bedside Cabinete SK 004
768 unit 2.612.500
SUZRIC Anti Decubitus Alternating Air Pressure
769 unit 2.695.000
Mattress Comfort 2014
770 NURITEK Baby Basket NT 013-00A unit 2.764.094
771 MAK BABY BASKET 33608 unit 2.847.207
BLESSMED Baby Coat Standard/Baby Box Standard -
772 unit 2.895.200
BP 006 PC
SUZRIC Anti Decubitus Alternating Air Pressure
773 unit 2.948.000
Mattress Comfort 2006
774 MEDIGLOBE Stainless Steel Treatment Trolley B-38 unit 3.036.000

BLESSMED Baby Coat with Certain Hanger - BP 006
777 unit 3.256.000
PC ADV
778 ZULMAND Bed Standard 840 ZD unit 3.487.400
779 BIPMED HOSPITAL BED ECONOMI BHB-101-EC unit 3.500.200
780 box 3.503.751
Pcs)
782 MEDIGLOBE Kursi Tunggu 3 seat unit 3.612.840

783 BLESSMED Infant Incubator - BP 030 STD unit 3.784.000
784 BLESSMED Standard No Crank Hospital Bed - BP 000 unit 3.828.000
SHB KESEHATAN 234

1 2 3 4
785 BLESSMED Infant Incubator - BP 030 ADV unit 3.872.000
786 MEDIGLOBE Kursi Tunggu 4 seat unit 3.886.080
787 PARAMOUNT BED Bedside Cabinet unit 3.900.000
788 GRAHA TEKNO MEDIKA Gris Baby Box unit 3.921.273
789 MEDIGLOBE Overbed Table unit 3.946.800
790 BARTECUTAMA MANDIRI Examination Table unit 4.000.000
791 INDOMED Meja Periksa SS unit 4.134.600
792 MAK MANUAL ECONOMIC BED 33001 unit 4.161.300
793 MEDIGLOBE Hospital Bed 1 Crank unit 4.220.040
794 BLESSMED Infant Incubator - BP 031 unit 4.224.000
795 BLESSMED Economy Hospital Bed - BP 004 SS unit 4.224.000
796 BLESSMED Medical Rehabilitation Bed - BP 058 PC unit 4.224.000
797 BIPMED CHILDREN HOSPITAL BED BHC-101 unit 4.301.000

798 MEDIGLOBE Kursi Tunggu 3 Seat unit 4.371.840
799 MEDIGLOBE Stainless Steel Morning Care Trolley B-44 unit 4.462.920
800 INDOMED Bed Pasien 1 Crank Ekonomi unit 4.581.900

803 BLESSMED Standard Baby Cot - BP 006 SS unit 4.664.000
804 NURITEK Baby Basket NT 013-00BSS unit 4.796.385
805 INDOMED Bed Pasien 1 Crank unit 4.827.600
PARAMOUNT BED Reversible Pressure Reduction
807 unit 5.130.470
Mattress
JIANGSU SAIKANG MEDICAL EQUIPMENT LTD
808 unit 5.200.000
Overbed Table SKH 042 - 1
809 unit 5.200.000
Overbed Table SKH 042
810 unit 5.200.000
Overbed Table SKH 046 - 2
811 unit 5.200.000
Overbed Table SKH 046
SHB KESEHATAN 235

1 2 3 4
815 MEDIGLOBE ABS Treatment Trolley B-83 unit 5.586.240
SARANDI KARYA NUGRAHA KARIXA Hospital Bed
816 unit 5.600.000
Psikiatry KA 01-00PS
817 PARAMOUNT BED Bassinet Cart unit 5.747.491
BLESSMED Advance 2 Crank Hospital Bed - BP 002
818 unit 5.808.000
ADV
819 PARAMOUNT BED Sofa Bed unit 5.900.000
820 BIPMED BED PASIEN BHB-101-RHB unit 6.105.000
825 TESENA Tesena Phototherapy Unit TLC 2 HP unit 6.500.000
826 MEDIGLOBE Pediatric / Children Bed unit 6.500.900
827 PARAMOUNT BED Flat Bed unit 6.585.321
828 BLESSMED Medical Rehabilitation Bed - BP 058 SS unit 6.776.000
SARANDI KARYA NUGRAHA ECOMED Manual
829 unit 6.800.000
Hospital Bed ECO 01-12CP
830 GEA Bistos LED Phototherapy unit 6.821.000
831 NURITEK Children Bed NT 014-02CC unit 6.912.813
ELITECH - INDONESIA ELITECH MEDICAL
832 unit 6.930.000
DESTROYER/NEEDLE DESTROYER END-1 SATU
BIPMED HOSPITAL BED 1 CRANK ABS BHB-103-
834 unit 7.000.400
1ABS
BLESSMED Hi-Lo 2 Crank Hospital Bed - BP 002 Hi-Lo
835 unit 7.172.000
PC
836 GRAHA TEKNO MEDIKA Gris Children Bed unit 7.289.978
837 MAK MOBILE STRETCHER 31203 unit 7.373.500
838 ANDINI HOSPITAL BED MANUAL 01 CRANK unit 7.400.000
BLESSMED 2 Crank Hi-Lo Hospital Bed - BP 002 Hi-Lo
839 unit 7.460.640
ADV
840 ANDINI HOSPITAL BED MANUAL 2 CRANK unit 7.470.000
841 MAK MANUAL CLASSIC BED 33104 unit 7.592.551
842 PARAMOUNT BED 1 Crank bed unit 7.700.000
843 MAK MANUAL COMFORT BED 31801S unit 7.811.500
844 TESENA Tesena Phototherapy Unit TLC 1 H (4 lamp) unit 7.890.000
SHB KESEHATAN 236

1 2 3 4
845 ZULMAND INFANT INCUBATOR PORTABLE 802 ZD unit 7.971.200
846 BLESSMED Children Hospital Bed - BP 0051 SS unit 8.008.000

847 DEXON Bed 1 Crank unit 8.122.500
849 unit 8.200.500
2ABS
850 BARTEC UTAMA MANDIRI Simple Bed All Steel mm (Milimeter) 8.400.000
851 MAK CHILDREN BED 33605C unit 8.468.600
HILL-ROM Bedside Cabinet - BC251 (With 1 door 1
852 unit 8.499.708
drawer)
855 BIPMED HOSPITAL BED 2 CRANK BHB-104-2C unit 8.800.000

857 unit 8.910.000
DESTROYER/NEEDLE DESTROYER END-1 DUA
858 ZULMAND Children Bed unit 8.967.600
859 MAK MANUAL SUPRAMAK BED 73007 unit 8.979.652
860 NURITEK Hospital Bed NT 001-B Prima Manual 1 Plus unit 9.000.000
861 PARAMOUNT BED 2 Crank Gatch Bed unit 9.000.000

863 GRAHA TEKNO MEDIKA Gris Phototheraphy unit 9.063.600
SARANDI KARYA NUGRAHA SKN Medical Hospital
865 unit 9.150.000
Bed SKN 01-11C
866 unit 9.200.000
Manual KA 01-12BSS
BARTECUTAMA MANDIRI 1 Crank Manual Hospital
870 unit 9.600.000
Bed
871 TESENA Tesena Phototherapy Unit TLC 2 H (4 lamp) unit 9.650.000
872 JAYAMAS Onemed Syringe Pump unit 9.680.000

SARANDI KARYA NUGRAHA KARIXA Children Bed KA
873 unit 9.700.000
14-22BSS
SHB KESEHATAN 237

1 2 3 4
874 DEXON Bed Standard 2 Crank ABS unit 9.747.500
875 NURITEK Hospital Bed NT 001-C Prima Manual 1 Plus unit 9.750.000
876 PARAMOUNT BED Psychiactric Bed unit 9.839.720

877 MAK MANUAL COMFORT BED 31801C unit 9.855.700
878 MAK MANUAL CLASSIC BED 33106 / 33801* unit 9.855.716
879 ZULMAND Children Bed, SS 861 ZD unit 9.907.600
880 ZULMAND Children Bed 1 Crank, SS 860 ZD unit 9.964.000
882 MAK CHILDREN BED 33606C unit 10.074.700
883 SANI-INDONESIA Children Bed unit 10.118.275
SARANDI KARYA NUGRAHA KARIXA Phototheraphy
884 unit 10.200.000
KA 32-00A
885 FYROM INTERNATIONAL Syringe Pump unit 10.368.000
886 unit 10.395.000
DESTROYER/NEEDLE DESTROYER END-1 TIGA
888 GEA GEA Oxygen Concentrator unit 10.500.000
891 ZULMAND Children Bed 1 Crank 862 ZD unit 10.847.600
892 MINDRAY SK Medical Syringe Pump SK-500II unit 11.026.635
893 FYROM INTERNATIONAL Infuse Pump unit 11.037.250
894 ZULMAND Bed 1 Crank 843 ZD unit 11.060.040
895 MAK MANUAL COMFORT BED 31801CM unit 11.096.800
896 unit 11.099.000
3ABS
GRAHA TEKNO MEDIKA Smar Hospital Bed 1 crank
901 unit 11.332.298
ABS, kaki H, railling guard
902 ERSA PHOTOTHERAPY UNIT 53200 BL unit 11.366.000
903 DEXON Bed Manual 3 Crank ABS unit 11.371.500
904 BARTECUTAMA MANDIRI Blue Light Photo Therapy unit 11.520.000
SHB KESEHATAN 238

1 2 3 4
906 MAK MOBILE STRETCHER 31202 unit 11.753.800
909 ZULMAND Manual ICU Bed 835 ZD unit 11.807.340
910 ZULMAND Manual ICU Bed 836 ZD unit 11.807.340
GRAHA TEKNO MEDIKA APF Hospital Bed 1 Crank,
914 unit 11.828.523
Kaki H
915 MINDRAY SK Medical Infusion Pump SK-600II unit 11.852.864
916 MEDIGLOBE ABS Medicine Delivery Trolly B-71 unit 11.870.760
917 MAK MANUAL CLASSIC BED 33107/33802* unit 12.045.800
918 unit 12.200.000
Manual KA 01-13BSS
919 FRESENIUS KABI Applix Smart Feeding Pump unit 12.200.000
920 TESENA Tesena Phototherapy Unit TLC 2 HT unit 12.450.000
921 unit 12.480.000
Bed
922 MEDIGLOBE Baby Incubator ea (Each) 12.500.000
925 FRESENIUS KABI Injectomat Agilia Syringe Pump unit 12.694.275
926 unit 12.707.750
ABS, kaki H, railling guard
GRAHA TEKNO MEDIKA APF Hospital Bed 2 Crank,
928 unit 13.266.160
Kaki H
929 NURITEK Phototherapy / Blue Light NT 032-00A unit 13.483.938
930 NURITEK Hospital Bed NT 001-C Deluxe Manual 1 Plus unit 13.530.000
931 KASTRON 2 Crank Manual Hospital Bed tipe K-1200S unit 13.729.000
SARANDI KARYA NUGRAHA SKN Hospital Bed SKN
932 unit 13.750.000
01-13C
MINDRAY SK Medical BeneFusion SP5 EX Syringe
933 unit 13.800.000
Pump
934 HAWKMED INFUSION PUMP /HK-100 II unit 14.000.000
SHB KESEHATAN 239

1 2 3 4
935 MAK MANUAL ICU-ICCU BED (31810/31820) unit 14.236.000
936 ANDINI HOSPITAL BED ELECTRIC 3 FUNCTION unit 14.400.000
937 BIPMED ICU BED BIB-101 unit 14.400.100
938 SMITHS MEDICAL Graseby unit 14.645.400
939 PARAMOUNT BED Pediactric Bed unit 14.713.600
940 NURITEK Hospital Bed NT 001-D Prima Manual 1 Plus unit 14.883.000
941 BLESSMED Standard 3 Crank Hospital Bed - BP 003 SS unit 14.960.000
942 FYROM INTERNATIONAL Infant Warmer Infinity Basic unit 14.997.675
943 FRESENIUS KABI Injectomat Agilia TIVA Syringe Pump unit 15.000.000
MINDRAY SK Medical BeneFusion VP5 EX Infusion
944 unit 15.180.000
Pump
945 unit 15.200.000
Manual Bed Double Crank SK 014
BIPMED INCUBATOR DIGITAL CONTROL BICB-101-
946 unit 15.299.900
DC
947 unit 15.636.544
Bed
948 MEDIGLOBE ABS Anesthesia Trolley B-72 unit 15.847.920
949 BBRAUN Perfusor Compact S/Syringe Pump Bbraun unit 15.882.750
IANGSU SAIKANG MEDICAL EQUIPMENT LTD
951 unit 16.000.000
Emergency Trolley SKR 054 - ET
952 DAIKEN SYIRINGE PUMP / CSP-100CO unit 16.000.000
953 MAK PREMIUM COUCH CHANGING TABLE (34118) unit 16.061.000
954 BIPMED HOSPITAL BED ELECTRIC BHB-108-E unit 16.200.800

955 PARAMOUNT BED New 3 Crank Gatch Bed unit 16.552.800
956 TERUMO Terufusion Syringe Pump TE-SS700N03 unit 17.019.200
957 unit 17.428.332
ABS, railling guard
958 MAK MANUAL SOTAMAK BED 77001 unit 18.105.314
MAK MANUAL-HYDRAULIC ICU-ICCU SUPRAMAK
959 unit 18.251.000
BED 73003MH
960 GRAHA TEKNO MEDIKA APF Hospital Bed 3 Crank unit 18.305.713
961 KASTRON 3 Crank Manual Hospital Bed tipe K-1600A unit 18.449.000
962 TOP CORPORATION Infusion Pump unit 18.500.000

963 TOP CORPORATION Syringe Pump unit 18.500.000
SHB KESEHATAN 240

1 2 3 4
964 TERUMO Terufusion Infusion Pump - TE*LF600 unit 18.948.000
965 FANEM Babypuff Neonatal Resuscitation Device unit 19.000.000
FYROM INTERNATIONAL Phototherapy Unit Infinity
966 unit 19.087.950
Basic
967 FYROM INTERNATIONAL Infant Incubator Infinity Basic unit 19.477.500
968 BIPMED INFANT WARMER BIW-301 unit 19.500.800

ELITECH - INDONESIA ELITECH INFANT/NEONATAL
969 unit 19.800.000
PHOTOTHERAPY/PHOTO-THERAPY UNIT BL-50
970 MINDRAY SK Syringe Pump SK-500III unit 19.848.495
971 BBRAUN Infusomat P/ Infusion Pump Bbraun unit 21.175.000
972 TERUMO INFUSION PUMP - TE-135NW3 unit 21.223.400
975 AITECS Syringe Pump Type SEP-10S Plus unit 22.161.000
976 PARAMOUNT BED Medical Cart unit 22.208.340
977 FRESENIUS KABI Optima PT Infusion Pump unit 22.437.000
978 unit 24.000.000
Manual Bed Double Crank SK 029 - 2
979 KASTRON Electric Hospital Bed tipe K-1800E unit 24.634.000
980 TERUMO INFUSION PUMP - TE-172CW3 unit 24.909.060

SARANDI KARYA NUGRAHA SKNMEDICAL Medical
981 unit 25.200.000
Hospital Bed SKN 01-13CE
982 MAK ELECTRIC SUPRAMAK BED 73001 unit 25.332.839
983 NURITEK Hospital Bed NT 001-DEL Prima B1 Plus unit 25.812.703
984 INDOMED ICU Bed Elektrik unit 26.820.000
985 MAK ELECTRIC SUPRAMAK BED 73002 unit 27.888.025
987 PARAMOUNT BED 3 Motor Bed unit 28.991.367
988 KASTRON Full Electric Hospital Bed tipe K-2100NN unit 29.062.000
989 MAK HOMECARE BED 81001 unit 29.640.000
990 MEDELA Phototherapy Bilibed unit 31.500.000
991 PARAMOUNT BED 3 Motor Electric Bed unit 32.186.000
992 PARAMOUNT BED New 3 Motor Electric Bed unit 32.186.000
993 ZULMAND Electric Bed (3 Function) 824 ZD unit 32.186.000
994 ZULMAND Electric Bed 827 ZD unit 32.482.640
SHB KESEHATAN 241

1 2 3 4
996 ZULMAND Electric Bed 2 Crank 821 ZD unit 32.482.640
BIPMED INCUBATOR SERVO SKIN CONTROL BICB-
997 unit 32.899.900
102-SSC
998 HANLIM Emergency Cart HL - EC0411-2 unit 33.000.000
999 MAK ELECTRIC SOTAMAK BED 77021 unit 33.071.401
1000 ZULMAND Electric ICU Bed 830 ZD unit 33.239.904
1001 ZULMAND Electric ICU Bed 834 ZD unit 33.239.904
1002 DIXION Syringe Pump Instilar 1418 unit 33.800.000
1003 NURITEK Hospital Bed NT 001-DEL Grand A1 Plus unit 33.953.535
BBRAUN Perfusor Space / Advance Syringe Pump
1004 unit 34.000.000
Bbraun
BBRAUN Infusomat Space P / Advance Infusion Pump
1005 unit 34.000.000
Bbraun
BBRAUN Infusomat Space / Advance Infusion Pump
1006 unit 34.000.000
Bbraun
GRAHA TEKNO MEDIKA Rining Hospital Bed Electric 3
1007 unit 34.003.125
Axis
1008 MAK ELECTRIC ICU-ICCU SUPRAMAK BED 73003 unit 34.458.502
1010 NURITEK ICU Bed NT 001-TRL Special Edition unit 34.882.031
MAK ELECTRIC ICU-ICCU BED SUPRAMAK BED
1013 unit 36.429.645
73003CPR
1014 ZULMAND INFANT INCUBATOR CABINET 800B ZD unit 37.000.000

1016 MAK ELECTRIC ICU-ICCU SOTAMAK BED 77031 unit 39.714.883
PARAMOUNT BED Qualitas Alpha Plus 3 Motor Electric
1019 unit 42.594.200
Bed
1020 MAK ELECTRIC SUPRAMAK BED 73002W unit 43.073.127
1021 KANMED Baby Warmer BW3 unit 43.500.000
1022 COBAMS Phototherapy Apparatus unit 43.710.226
BARTECUTAMA MANDIRI 3 Crank Electric Hospital
1023 unit 44.430.000
Bed
SHB KESEHATAN 242

1 2 3 4
FANEM Phototherapy Bilitron 3006 BTB (use with infant
1025 unit 47.000.000
warmer)
FANEM Phototherapy Bilitron 3006 BTI (use with infant
1026 unit 47.000.000
incubator)
DRAEGERWERK AG & CO. KGAA Phototherapy PT
1028 unit 48.000.000
4000
1029 ZULMAND INFANT INCUBATOR CABINET 800A ZD unit 48.300.000
1031 FYROM INTERNATIONAL Infant Incubator Infinity G-1 unit 49.343.000
1032 BLESSMED Infant Radiant Warmer - BP 033 unit 49.368.000
1033 MAK ELECTRIC ICU-ICCU SUPRAMAK BED 73003W unit 49.716.609
1034 PARAMOUNT BED Qualitas 4 Motor Electric Bed unit 49.951.000

MAK ELECTRIC ICU-ICCU BED SUPRAMAK
1036 unit 51.468.737
73003WCPR
1037 SMITHS MEDICAL MEDFUSION unit 52.072.600
ELITECH - INDONESIA ELITECH INFANT/NEONATAL
1038 unit 52.470.000
PHOTOTHERAPY/PHOTO-THERAPY UNIT BL-50B
SHVABE Neonatal Phototherapy Irradiator/ SHVABE
1039 unit 52.500.000
OFN - 02 UOMZ Without Pole
1040 BARTECUTAMA MANDIRI ICU / ICCU Bed unit 54.447.000
1043 FANEM Phototherapy Bilitron 3006 BTP (with Trolley) unit 55.000.000
1044 GE Lullaby Warmer Prime unit 55.329.000

1045 MEDIGLOBE Six Function Electric Bed unit 55.498.080
1046 HANLIM ICU Cart HL - ICU0908-1 unit 55.860.000
1048 HILL-ROM Centuris Bed - P750 unit 57.648.494
1049 BARTECUTAMA MANDIRI Incubator Digital Control unit 58.020.000
1050 MAK ELECTRIC OPERATING TABLE (52501E/525A*) unit 58.769.200
1051 TESENA Tesena Infant Incubator TSN 910 SC-C unit 60.588.000
FYROM INTERNATIONAL Infant Radiant Warmer
1052 unit 60.730.845
Infinity G-1
1053 TESENA Tesena Transport Infant Incubator TSN 89 TR unit 60.790.000
SHB KESEHATAN 243

1 2 3 4
1054 SHVABE Neonatal Warmer/ SHVABE ODN - 01 UOMZ unit 61.200.000
1056 ZULMAND TRANSPORT INFANT INCUBATOR 801 ZD unit 61.600.000

ZULMAND INFANT INCUBATOR SERVO CONTROL
1057 unit 61.600.000
800 ZD
1058 MAK ELECRTIC ICU-ICCU SOTAMAK BED 77034 unit 62.930.569
1059 PARAMOUNT BED Gamma 4 Motor Bed unit 63.976.877
TENDE MEDICAL / LED Phototherapy / TENDE Infant
1060 unit 64.000.000
Care System - LED Phototherapy CB
1061 SANI-INDONESIA Infant Radiant Warmer unit 66.858.700
SHVABE Neonatal Phototherapy Irradiator/ SHVABE
1062 unit 66.900.000
OFN - 02 UOMZ With Pole
1063 OLIDEF- BRAZIL Baby Incubator - SCTI line 4 V1 unit 67.339.734
1064 ZULMAND Infant Incubator with Blue Light 800C ZD unit 68.800.000
FYROM INTERNATIONAL Phototherapy Unit LED
1066 unit 70.443.625
Infinity G-1
1067 ERTUNC OZCAN LED Phototherapy unit 71.968.032
1069 SANI-INDONESIA Infant Incubator SN 100A unit 75.217.475
1070 OLIDEF- BRAZIL Infant radiant warmer - Matrix sc unit 78.001.966
WEYER GERMANY Bili-Compact Neonatal
1071 unit 82.500.000
Phototheraphy Device
FANEM Babypuff Neonatal Resuscitation Device with
1072 unit 83.500.000
Trolley
1073 NOVOS Phototherapy System BILICOT unit 84.915.700
TENDE MEDICAL / LED PHOTOTHERAPY / TENDE
1074 unit 87.500.000
Infant Care System - LED Infant Phototherapy Foldable
FYROM INTERNATIONAL Incubator Transport Infinity
1075 unit 88.492.775
G-1
1076 JW MEDICAL Infant Warmer CBW 1100 unit 89.000.000
1077 TSE SPOL LED Phototherapy Lamp unit 89.118.165
1078 TESENA Tesena Infant Warmer TSN 807 IWSC unit 96.350.000
1079 TESENA Tesena Infant Incubator TSN 910 SC-EHL unit 96.900.000
1080 GINEVRI NAOS PHOTOTHERAPY LAMP unit 97.169.900
1081 ZULMAND INFANT WARMER 807 ZD unit 97.600.000
1082 GRAHA TEKNO MEDIKA Gris Infant Warmer unit 102.375.000
SHB KESEHATAN 244

1 2 3 4
1083 JW MEDICAL Infant Incubator CHS i1000 unit 104.000.000
1084 COBAMS Neonatal Incubator Mod. Cristina Manual unit 107.179.357
PARAMOUNT BED Gamma Bed Digital Scale & X-Ray
1085 unit 107.869.080
Cassette
1086 ATOM Infant Warmer Sunflower unit 114.345.420
1087 GE Lullaby warmer unit 120.238.000
TESENA Tesena Transport Infant Incubator TSN 705
1088 unit 120.300.000
TRSC.
1089 COBAMS Infant Warmer Mod. LR 90 unit 121.547.586
DRAEGERWERK AG & CO. KGAA Neonatal Incubator
1090 unit 125.000.000
Isolette C2000
1091 FANEM Ampla Neonatal Total Care without Scale unit 125.500.000
GINEVRI ELIOS PHOTOTHERAPY AND HEATING
1092 unit 128.050.300
LAMP
1093 GRAHA TEKNO MEDIKA APF Infant Warmer unit 128.700.000
SHVABE Neonatal Table with Automatic Heating
1094 unit 132.000.000
Temperature Control/ SHVABE SNO UOMZ
1095 FANEM Infant Incubator unit 137.500.000
1096 PARAMOUNT BED Electric Delivery Bed unit 137.940.000
FISHER & PAYKEL HEALTHCARE - NEW ZEALAND
1097 unit 138.000.000
Baby Control CosyCot Infant Warmer Basic
ELITECH - INDONESIA ELITECH INFANT
1098 unit 150.975.000
WARMER/INFANT RADIANT WARMER BN-100
1099 FANEM Ampla Neonatal Total Care with Scale unit 155.000.000
1100 unit 164.500.000
Baby Control CosyCot Infant Warmer with Resuscitator
1101 GIGANTE Neonatal Incubator Type Millenium unit 164.782.000
1102 NOVOS Phototherapy Unit BILISPHERE 360 unit 168.031.300
BBRAUN Paket 4 Pump Integrated Basic Station /
1103 unit 168.520.000
Advance pump
1104 COBAMS Infant Warmer Mod. LERI C88 unit 168.734.966
1105 JW MEDICAL Infant Incubator JW-i3000 unit 170.180.450
ELITECH - INDONESIA ELITECH INFANT
1106 unit 170.527.500
INCUBATOR/INKUBATOR BAYI BB-200
SHVABE lntensive Care Infant Incubator/ SHVABE IDN -
1107 unit 177.900.000
02 UOMZ
DRAEGERWERK AG & CO. KGAA Neonatal
1108 unit 183.400.000
Resuscitator Resuscitaire (Standard)
1109 MEDIGLOBE Electric Delivery Bed unit 193.211.040
1110 unit 197.000.000
Isolette 8000
SHB KESEHATAN 245

1 2 3 4
1111 unit 207.000.000
Baby Control CosyCot Infant Warmer for NICU
1112 COBAMS Neonatal Incubator Mod. Cristina 003A SCH unit 207.476.957
DRAEGERWERK AG & CO. KGAA Transport Incubator
1113 unit 208.000.000
TI 500
1114 GE Giraffe Incubator unit 214.676.803
1115 unit 227.000.000
Caleo
1116 GIGANTE Neonatal Infant Warmer Type Neosolution unit 232.378.901
BBRAUN Paket Space Glucose Control Management
1117 unit 239.520.000
Pump
1118 GIGANTE Transport Incubator Type Evolution unit 242.166.000
1119 GINEVRI POLYTREND NEONATAL INCUBATOR unit 264.500.000
1120 ERTUNC OZCAN Infant Incubator Hi-Low Servo Control unit 278.321.600
TSE SPOL TSE Baby Concept Intermediate Care
1121 unit 287.069.000
Incubator Type SI-600
WEYER GERMANY Variotherm REA-KCE Infant
1122 unit 291.500.000
Radiant Warmer (Alternatif)
1123 GINEVRI ALHENA INFANT WARMER unit 291.754.500
SHVABE lntensive Care Infant Incubator/ SHVABE IDN -
1124 unit 315.800.000
03 UOMZ
1125 GE Giraffe Incubator Standard unit 337.468.000
1126 FANEM Infant Incubator unit 345.000.000
TENDE MEDICAL / INFANT INCUBATOR / TENDE
1127 unit 353.400.000
Infant Care System
1128 FANEM Ampla Neonatal Total Care Monochrome unit 364.800.000
1129 GE Giraffe Warmer unit 376.053.000
WEYER GERMANY Variotherm REA-KCE Infant
1130 unit 396.000.000
Radiant Warmer
WEYER GERMANY Thermocare Vita Neonatal
1131 unit 451.000.000
Incubator (Alternatif)
1132 FANEM Advance Infant Incubator Vision 2286 unit 460.000.000
1133 BBRAUN Paket 4 Pump Integrated for MRI ( 3x1 ) unit 461.000.000
WEYER GERMANY Thermocare Vita Neonatal
1134 unit 643.500.000
Incubator
1135 GE Giraffe Omnibed unit 737.383.000
SHB KESEHATAN 246

F. KELOMPOK BARANG DAFTAR HARGA BARANG MEDIS HABIS PAKAI
1 2 3 4
1 DI ANSWER - HIV 1/2 Antibody Device 40 Tests/Box Box 40 Test 861.000
2 DI Blood Pressure Monitor Unit Unit 1.642.050
3 DI Dengue (IgG-IgM) Device Box 10 Test Box 10 Test 807.188
4 DI HBsAB (Antibody) Device Box 40 Test Box 40 Test 861.000
5 DI Infrared Thermometer Non Contact Unit Unit 985.230
6 DI Malaria PF/PAN Device Box 25 Test Box 25 Test 925.575
7 DI Multi Drug 3 Panel (AMP/MOP/THC) Box 25 Test Box 25 Test 1.237.688
8 DI Multi Drug 5 Panel (AMP/MET/MOP/THC/BZO) Box 25 Test Box 25 Test 1.937.250
9 DI Multi Drug 6 Panel (AMP/MET/MOP/THC/BZO/COC) Box 25 Test Box 25 Test 2.206.313
10 DI Q Access- Dengue (igG-IGM) Device 10 Tests/Box Box 10 Test 774.900
11 DI Smart Diagnostic One Step Malaria Pf/Pv Cassette Kotak 25 Set Kotak 25 Set 1.291.500
12 SMART DIAGNOSTIC Dengue IgG/IgM Test Cassette Dus, Isi 25 Cassette Dus, Isi 25 Cassette 1.291.500
13 SMART DIAGNOSTIC Dengue NS1 Test Cassette Dus, Isi 25 Cassette Dus, Isi 25 Cassette 1.937.250
14 SMART DIAGNOSTIC Malaria Pf/Pv Test Cassette Dus, isi 25 cassette Dus, Isi 25 Cassette 1.119.300
15 Smart Diagnostic One Step Amphetamine Cassette Dus, isi 25 @ 1 CassetteDus, Isi 25 @ 1 Cassette 443.415
16 Smart Diagnostic One Step ASO Strip Dus, Isi 25 Tes @ 1 Strip Dus, Isi 25 @ 1 Strip 645.750
17 Smart Diagnostic One Step Benzodiazephine Cassette Dus, Isi 25 @ 1 Cassette

Dus, Isi 25 @ 1 Cassette 443.415
18 Smart Diagnostic One Step Cardiac Troponin I Cassette Dus, Isi 25 @ 1 Cassette
Dus, Isi 25 @ 1 Cassette 1.506.750
19 Smart Diagnostic One Step Cocaine Cassette Dus, Isi 25 @ 1 Cassette Dus, Isi 25 @ 1 Cassette 443.415
20 Smart Diagnostic One Step CRP Strip Dus, Isi 25 @ 1 Strip Dus, Isi 25 @ 1 Strip 645.750
21 Smart Diagnostic One Step DOA 5 Parameter Dus, Isi 15 @ 1 Cassette Dus, Isi 15 @ 1 Cassette 2.463.075
22 Smart Diagnostic One Step FOB Cassette Dus, Isi 20 @ 1 Cassette Dus, Isi 20 @ 1 Cassette 861.000
23 Smart Diagnostic One Step HBsAg Cassette Dus, Isi 25 @ 1 Cassette Dus, Isi 25 @ 1 Cassette 516.600
24 Smart Diagnostic One Step HbsAg Strip Dus, Isi 25 @ 1 Strip Dus, Isi 25 @ 1 Strip 365.925
25 Smart Diagnostic One Step HCG Cassette Dus, Isi 25 @ 1 Cassette Dus, Isi 25 @ 1 Cassette 301.350
26 Smart Diagnostic One Step HCG Strip Dus, Isi 25 @ 1 Strip Dus, Isi 25 @ 1 Strip 150.675
27 Smart Diagnostic One Step HCV Cassette Dus, Isi 25 @ 1 Cassette Dus, Isi 25 @ 1 Cassette 645.750
28 Smart Diagnostic One Step HCV Strip Dus, Isi 25 @ 1 Strip Dus, Isi 25 @ 1 Strip 452.025
29 Smart Diagnostic One Step Malaria pf/pv cassette Dus, isi 25 @ 1 Cassette Dus, Isi 25 @ 1 Cassette 1.119.300
30 Smart Diagnostic One Step Metamphetamine Cassette Dus, Isi 25 @ 1 Cassette

Dus, Isi 25 @ 1 Cassette 443.415
SHB KESEHATAN 245

1 2 3 4
31 Smart Diagnostic One Step Morphine Cassette Dus, Isi 25 @ 1 Cassette Dus, Isi 25 @ 1 Cassette 443.415
32 Smart Diagnostic One Step RF Strip Dus, Isi 25 @ 1 Strip Dus, Isi 25 @ 1 Strip 688.800
33 Smart Diagnostic One Step THC Cassette Dus, Isi 25 @ 1 Cassette Dus, Isi 25 @ 1 Cassette 443.415
34 Smart Diagnostic One Step Treponema pallidum(TP) Cassette Dus, Isi 25 @Dus,
1 Cassette
Isi 25 @ 1 Cassette 774.900
35 Smart Diagnostic One Step Tuberculosis (TB) Cassette Dus, Isi 25 @ 1 Cassette
Dus, Isi 25 @ 1 Cassette 1.033.200
36 Micro Drip Elasty Ball (Otsuka,OI-34) - Pcs - OI Pcs 27.060
37 OI-242 (Otsuka,-) - Pcs - OI Pcs 16.605
38 Otsu Y-Set Adaptor (Otsuka, -) - Pcs - OI Pcs 27.060
39 Otsu Y-Set (Otsuka,-) - Pcs - OI Pcs 27.060
40 OtsuCath 16G x 2" (Otsuka,-) - Pcs - OI Pcs 30.750
41 Otsu - Set (Otsuka,-) - Set - Pcs - OI Pcs 27.060
42 OtsuCath 18G x 1 1/4" (Otsuka,-) - Pcs - OI Pcs 30.750
43 OtsuCath 20G x 1 1/4" (Otsuka,-) - Pcs - OI Pcs 30.750
44 OtsuCath 22G x 1" (Otsuka,-) - Pcs - OI Pcs 30.750
45 OtsuCath 24G x 3/4" (Otsuka,-) - Pcs - OI Pcs 30.750
46 PKD-1 (Otsuka, -) - Pcs - OI Pcs 14.145
47 PKD-2 (Otsuka, -) - Pcs - OI Pcs 14.145
48 Blood Tranfusion Set (Otsuka, OB-1) - Pcs - OI Pcs 39.360
49 Blood Tranfusion Set (Otsuka, OB-2) - Pcs - OI Pcs 30.750
50 DB-Double Bag Blood Tranfusion Set (Otsuka,-) - Pcs - OI Pcs 40.590
51 Infusion Set (Otsuka,OI-24) - Pcs - OI Pcs 16.605
52 Infusion Set (Otsuka,OI-44) - Pcs - OI Pcs 27.060
53 Infusion Set (Otsuka,OI-64C) - Pcs - OI Pcs 27.060
54 Infusion Set (Otsuka,OI-30D) - Pcs - OI Pcs 27.060
55 KAPAS PEMBALUT 250 gram (Kasa Husada, -) - 1 Roll / Pack - KHW 1 Roll / Pack 4.305
58 KAPAS PEMBALUT 25 gram (Kasa Husada, -) - 1 roll/pak - KHW 1 Roll / Pack 39.299
59 KASA PEMBALUT HIDROFIL 4 yd x 5 cm (Kasa Husada, -) - 5 Roll/Pak - KHW

5 Roll/Pak 15.990

5 Roll/Pak 22.448

5 Roll/Pak 3.383

5 Roll/Pak 47.970
SHB KESEHATAN 246

1 2 3 4
63 KASA PEMBALUT HIDROFIL 40 yd x 80 cm (Kasa Husada, -) - 1 roll/pack - 1KHW

Roll / Pack 244.770
64 KASA HIDROFIL STERIL 16/16 (Kasa Husada, -) - 16 lbr/pak - KHW 16 lbr/Pak 13.284
65 KASA HIDROFIL STERIL 16/16 PREMIUM (Kasa Husada, -) - 12 lbr/pak - KHW

12 lbr/pak 14.514
67 KAPAS PEMBALUT 1.000 gram (Kasa Husada, -) - 1 Roll / Pack - KHW 1 Roll / Pack 150.060

5 Roll/Pak 12.915

5 Roll/Pak 19.250

5 Roll/Pak 25.830
71 KASA PEMBALUT HIDROFIL 2 yd x 80 cm (Kasa Husada, -) - 1 Roll/pak - KHW

1 Roll / Pack 24.539
72 PEMBALUT CEPAT STERIL No. 1 uk. 30 cm x 25 cm (Kasa Husada, -) - 1 Biji/Pak

1 biji/pak- KHW 10.455

1 biji/pak
- KHW 16.175

1 biji/pak
- KHW 20.787

1 biji/pak
- KHW 24.231
76 KASA KOMPRES STERIL 10 x 10 cm (Kasa 40 cm x 40 cm) (Kasa Husada, 10

-) -lembar/pak
10 lembar/pak - KHW 34.625
77 SIKU KAIN PEMBALUT (Kasa Husada, -) - 1 Biji/Pak - KHW 1 biji/pak 12.731
78 MASKER Kain Kasa (Kasa Husada, -) - 50 lembar/pak - KHW 50 lembar/pak 91.389
79 Masker Non Woven Ear Loop (Kasa Husada, -) - 50 lembar/pak - KHW 50 lembar/pak 85.608
80 Masker Non Woven Tie On (Kasa Husada, -) - 50 lembar/pak - KHW 50 lembar/pak 85.608
81 Underpads-Non Steril (LEMEX,N/A,60X90 CM ) - 10 LEMBAR/ PAK - KHW 10 lembar/pak 87.638
82 Underpads Steril (LEMEX,N/A,N/A) - 10 LEMBAR/ PAK - KHW 10 lembar/pak 112.668
83 KAPAS BERLEMAK 1.000 gram (Kasa Husada, -) - 1 Roll / Pack - KHW 1 Roll / Pack 49.692
84 KAPAS BERLEMAK 500 gram (Kasa Husada, -) - 1 Roll / Pack - KHW 1 Roll / Pack 96.555
85 KAPAS BOLA 100 biji (Kasa Husada, -) - 100 biji/pak - KHW 100 biji/pak 12.485
86 Disposable Syringe W/ Needle 50ml (KIMS-MED,50 ML,21Gx1 1/2") - Pcs - TPM

Pcs 5.926
87 Disposable Syringe 30ml W/ Needle Luer slip (KIMS-MED,30 ML,N/A) - Pcs -Pcs
TPM 3.466
88 Disposable Syringe W/ Needle Luer slip (KIMS-MED,1 ML,N/A) - Pcs - TPM Pcs 1.454
91 1000139 - ALERE INRATIO PT/INR Test /48EA BOX/48 1.599.000
92 100071 - ALERE INRATIO PT/INR Test /12EA BOX/12 430.500
93 1116043 - AFINION ACR(Box/15Test) BOX/15 2.261.970
94 1116046 - AFINION ACR Control (Box/2vL) BOX/2 615.000
SHB KESEHATAN 247

1 2 3 4
95 1116049 - AFINION AS100 Analyzer UNT/1 75.645.000
96 1116057 - AFINION CRP Control (Box/4vL) BOX/4 1.156.200
97 1116058 - AFINION CRP(Box/15Test) BOX/15 1.353.000
98 1116062 - AFINION HbA1c(Box/15Test) BOX/15 1.499.063
99 1116067 - AFINION HBA1C Control (Box/2vL) BOX/2 615.000
100 1116069 - AFINION LIPID PANEL(Box/15Test) BOX/15 6.457.500
101 1116072 - AFINION LIPID PANEL Control (Box/2vL) BOX/2 4.751.490
102 200431 - ALERE INRATIO 2 PT/INR Pro. Testing Kit BOX/1 6.150.000
103 200433 - ALERE INRATIO 2 PT/INR Home Monitoring Kit BOX/1 6.150.000
104 55071 - ALERE TRIAGE Meter Pro/Unit UNT/1 48.708.000
105 88733 - ALERE TRIAGE TOTAL 3 CONTROL 1 (5 Tube) BOX/5 892.980
106 88734 - ALERE TRIAGE TOTAL 3 Control 2 (5 Tube) BOX/5 892.980
109 97300EU - ALERE TRIAGE PROFILE SOB PANEL Test /25EA BOX/25 13.022.625
110 97400EU - ALERE TRIAGE CARDIO 3 PANEL Test /25EA BOX/25 7.170.900
112 98000XR - ALERE TRIAGE BNP Test /25EA BOX/25 4.464.900
113 98013XR - ALERE TRIAGE BNP CONTROL 1 (5 Tube) BOX/5 892.980
115 98100 - ALERE TRIAGE D-DIMER Test /25EA BOX/25 3.162.638
116 98413EU - ALERE TRIAGE CARDIO RENAL CONTROL 1 (5 Tube) BOX/5 811.800
118 98430EU - ALERE NGAL Test /25EA BOX/25 8.456.250
119 98600EU - ALERE TROPONIN 1 Test /25EA BOX/25 2.706.000
120 98700EU - ALERE NT PRO BNP Test /25EA BOX/25 5.359.725
121 01FK10 - SD Bioline HBsAg(Box/30 Test) BOX/30 974.160
122 01FK10W - SD Bioline HBsAG (Box/30Test) BOX/1 974.160
123 01FK11 - SD Bioline HBsAg(Box/100 Test) BOX/100 2.300.100
124 01FK11W - SD Bioline HBsAG (Box/100Test) BOX/1 2.300.100
125 01FK12 - SD Bioline HBsAg Fast(Box/100 Test) BOX/100 1.826.550
126 01FK20 - SD Bioline Anti HBs(Box/30 Test) BOX/30 1.136.520
SHB KESEHATAN 248

1 2 3 4
128 01FK30 - SD Bioline HBeAg Strip(Box/30Test) BOX/30 1.826.550
129 02FK10 - SD Bioline HCV(Box/30 Test) BOX/30 1.420.650
131 03FK10 - SD Bioline HIV 1/2 3.0(Box/30 Test) BOX/30 1.785.960
133 04FK10 - SD Bioline H.Pylori(Box/30 Test) BOX/30 1.988.910
135 04FK20 - SD Bioline H.Pylori Ag(Box/20Test) BOX/20 2.624.820
136 05FK30 - SD Bioline Malaria Ab P.f/p.v(Box/30 Test) BOX/30 2.394.810
137 05FK60 - SD Bioline Malaria Ag P.f/Pan(Box/25 Test) BOX/25 1.995.675
138 05FK80 - SD Bioline Malaria Ag(Box/25 Test) BOX/25 1.995.675
139 06FK10 - SD Bioline Syphilis 3.0(Box/30 Test) BOX/30 1.136.520
141 06FK11 - SD Syphilis(Box/100 Test) BOX/1 2.952.000
142 07FK20 - SD Bioline Rubella IgG/IgM(Box/25 Test) BOX/25 2.306.250
143 08FK50 - SD Bioline TB Ag MPT64(Box/25Test) BOX/25 2.198.625
144 09FK10 - SD Bioline Chamydia(Box/25Test) BOX/25 1.691.250
145 11FK10 - SD Bioline Dengue IgG/IgM(Box/25 Test) BOX/25 2.198.625
146 11FK20 - SD Bioline Dengue IgG/IgM W/B(Box/25Test) BOX/25 2.198.625
147 11FK45 - SD Bioline Dengue Duo(NS1 Ag+Ab Combo Box/10 Test) BOX/10 1.826.550
148 11FK46 - SD Bioline Dengue Duo(NS1 Ag+Ab Combo Box/25test) BOX/25 3.889.875
149 11FK50 - SD Bioline Dengue NS1(Box/25 Test) BOX/25 3.213.375
150 13FK10 - SD Bioline HAV IgG/IgM(Box/25 Test) BOX/25 3.044.250
151 14FK10 - SD Bioline Rotavirus(Box/20 Test) BOX/20 2.435.400
152 15FK12 - SD Bioline Salmonella typhi IgG/IgM(Box/25 Test) BOX/25 1.961.850
153 16FK40 - SD Bioline Leptospira IgG/IgM(Box/30 Test) BOX/30 2.638.350
154 17FK10 - SD Bioline Hantaan Virus(Box/30Test) BOX/30 2.583.000
155 19FK12 - SD Bioline Influenza Ag(Box/25Test) BOX/25 3.889.875
156 20FK10 - SD Bioline AFP(Box/30 Test) BOX/30 1.291.500
157 21FK10 - SD Bioline CEA(Box/30 Test) BOX/30 1.291.500
158 22FK10 - SD Bioline PSA(Box/30 Test) BOX/30 1.291.500
SHB KESEHATAN 249

1 2 3 4
159 25FK12 - SD Bioline FOB(Box/50 Test) BOX/50 2.367.750
160 30FK10 - SD Bioline hCG(Box/25Test) BOX/25 456.638
161 30FK12 - SD Bioline hCG Fast(Box/100 Test) BOX/100 1.109.460
162 31FK10 - SD Bioline LH(Box/25 Test) BOX/25 777.975
163 45FK12 - SD Bioline Step A(Box/25Test) BOX/25 1.522.125
164 46FK10 - SD Bioline Chikungunya IgM(Box/25 Test) BOX/25 3.382.500
165 50FK10 - SD Bioline MOP (Box/25 Test) BOX/25 676.500
166 50FK130 - SD Bioline DOA Multi-6 (Box/10Test) BOX/10 1.555.950
168 50FK20 - SD Bioline MET(Box/25 Test) BOX/25 676.500
169 50FK30 - SD Bioline AMP(Box/25 Test) BOX/25 676.500
170 50FK40 - SD Bioline COC(Box/25 Test) BOX/25 676.500
171 50FK50 - SD Bioline THC(Box/25Test) BOX/25 676.500
172 90FK10 - SD Bioline Troponin I(Box/25Test) BOX/25 1.353.000
173 505798J - ALERE TEST PACK+PLUS hCG with OBC (Box/20) BOX/20 901.590
174 505805J - ALERE TEST PACK+PLUS hCG COMBO with OBC(URINE+SERUM) (Box/20)
BOX/20 901.590
175 10UK01G - SD UroColor 1G(Btl/100 Test) BTL/100 123.000
176 10UK03 - SD UroColor 3(Btl/100 Test) BTL/100 202.950
178 UM0120 - SD Urometer 120 UNT/1 20.295.000
179 UM0720 - SD UroMeter 720 UNT/1 40.590.000
180 GLUCOCARD SIGMA Control H BTL/1 184.500
181 GLUCOCARD SIGMA Control L BTL/1 184.500
182 GLUCOCARD SIGMA Control N BTL/1 184.500
183 GLUCOCARD SIGMA Meter Kit UNT/1 676.500
184 GLUCOCARD SIGMA Test Strip(Btl/50strip) BTL/50 313.035
185 341130 - CD2/CD7/CD3 Ea/1 5.739.180
186 555029 - GOLGIPLUG SOLN 1.0ML Ea/1 2.083.620
187 558258 - MS IFN-GMA OPTEIA KIT II 2PLT Ea/1 7.769.910
188 05-10296-01 - FAN TBALX1 115 VAC 102CFM 120x38mm BOX/1 451.410
189 05-10364-00 - FAN AXIAL BOX/1 1.075.020
190 334224 - FACS SHUTDOWN Solution 5L Ea/1 1.168.500
SHB KESEHATAN 250

1 2 3 4
191 651000 - BD FACSPRESTO BOX/1 301.700.102
192 655495 - BD FACSPRESTO Catridge Kit BOX/1 16.605.000
193 340581 - CD7 (M-T701) PE Ea/1 7.477.859
194 347204 - ANTI-CYTOKERATIN PE Ea/1 5.694.359
195 550302 - RAT CD54 IHC PURE MAB 1.0ML 1A29 Ea/1 2.143.054
196 550953 - CYTOKERATIN 14,15,16,19 PE SET 100TST Ea/1 17.178.672
197 554529 - HU CD123 PE MAB 0.2MG 7G3 Ea/1 2.150.188
198 555749 - MS IGG1 KPA ITCL PE MAB 100TST MOPC-21 Ea/1 2.448.389
199 556570 - ANXN V FITC APOPTOSIS DTEC KIT II 100TST Ea/1 6.043.925
200 559165 - RAT CD106 PURE MAB 0.5MG MR106 Ea/1 4.361.728
201 559425 - MS IGG1 KPA ITCL NHP PERCP 50TST MOPC-21 Ea/1 3.264.518
202 610173 - TYK2 MAB 50UG 51 Ea/1 3.825.251
203 610296 - ENOS/NOS TYPE III MAB 50UG 3 Ea/1 4.403.105
204 610308 - NNOS/NOS TYPE I MAB 50UG 16 Ea/1 4.403.105
205 611194 - ALDH MAB 50UG 44 Ea/1 4.230.462
206 335775 - BD FACS 7-COLOR SETUP BEADS Ea/1 9.823.518
207 337166 - BD MULTITEST 6-COLOR TBNK KIT Ea/1 6.905.712
208 340363 - CD56 (NCAM16.2) PE Ea/1 4.177.670
209 340441 - CD34 (8G12) APC Ea/1 6.818.677
210 340443 - CD4 APC Ea/1 8.034.311
211 340542 - CD3 FITC (250 T) (IVD) Ea/1 13.466.138
212 340579 - CD79A PE Ea/1 4.814.023
213 340580 - ANTI-MPO FITC Ea/1 4.404.532
214 340583 - CD5 APC Ea/1 8.034.311
215 340655 - ANTI-MPO FITC (ASR) Ea/1 3.702.546
216 340737 - CD7 (M-T701) FITC Ea/1 4.608.564
217 340912 - BD MULTI CHECK CONTROL 2 X 2.5 ML IVD Ea/1 2.766.565
218 340921 - CD10 (HI10a) PE Ea/1 4.814.023
219 340941 - CD20 APC Ea/1 8.034.311
220 340945 - CD103 FITC Ea/1 6.247.957
221 340946 - GLYCOPHORIN A PE (ASR) Ea/1 4.177.670
222 340951 - CD19 (SJ25C1) PERCP-CY5.5 Ea/1 4.881.083
SHB KESEHATAN 251

1 2 3 4
223 340973 - PERMEABILIZING SOLUTION 2 (10X-500 TEST) Ea/1 6.343.553
224 340991 - BD STEM CELL CONTROL KIT IVD Ea/1 5.735.736
225 341007 - CD23 PE (RUO) Ea/1 4.177.670
226 341071 - CD45 FITC/CD34 PE (RUO) Ea/1 8.059.993
227 341642 - MPO PE Ea/1 5.838.466
228 341643 - CD79A PERCP-CY5.5 Ea/1 4.881.083
229 346595 - CD20 PE Ea/1 5.223.515
230 346600 - ANTI-LAMBDA FITC (RUO) Ea/1 8.747.711
231 346601 - ANTI-KAPPA PE (RUO) Ea/1 8.747.711
232 347194 - ANTI-TDT FITC (RUO) Ea/1 4.404.532
233 347240 - 2.49um RED NILE REFERENCE BEADS Ea/1 6.566.134
234 347241 - 6.0 BLUE REFERENCE BEADS Ea/1 7.681.891
235 347303 - CD5 FITC Ea/1 5.735.736
236 347347 - CD3 PE Ea/1 5.531.704
237 347367 - ANTI-HLA-DR PE Ea/1 6.534.744
238 347463 - CD45 FITC Ea/1 9.628.046
239 347543 - CD19 (4G7) FITC Ea/1 6.534.744
240 347557 - CD11B PE Ea/1 10.017.563
241 347573 - CD22 FITC Ea/1 5.531.704
242 347673 - CD20 FITC Ea/1 6.534.744
243 347688 - BREDELFIN A SOLUTION Ea/1 5.069.420
244 347692 - PERMEABILIZING SOLUTION 2 10X 200 TEST Ea/1 3.686.851
245 348053 - CD34 (8G12) FITC Ea/1 6.043.925
246 349204 - RETIC-COUNT REAGENT (IVD) Ea/1 994.480
247 555016 - RAT CD86 PURE MAB 0.5MG 24F Ea/1 3.198.886
248 641319 - BD CST KIT (50 TESTS) Ea/1 1.530.956
249 554721 - MS IGG1 KPA ITCL NALE MAB 0.5MG 107.3 Ea/1 4.896.778
250 337184 - INFGamma/CD69/CD4/CD3 50test Ea/1 12.213.900
251 340345 - BD FACS CLEAN-5L Ea/1 1.112.904
252 340346 - BD FACS RINSE-5L Ea/1 1.228.475
253 340364 - CD19 (SJ25C1) PE Ea/1 5.531.704
254 340436 - CD14 APC Ea/1 8.034.311
SHB KESEHATAN 252

1 2 3 4
255 340438 - CD45RO APC Ea/1 9.334.126
256 340439 - CD38 APC Ea/1 8.399.572
257 340548 - CD69 PerCP L78 50test RUO/GM Ea/1 5.596.500
258 340914 - BD MULTI-CHECK CD4 Low Ctrl 1x2.5mL IVD Ea/1 3.136.500
259 340925 - CD10 (HI10A) FITC Ea/1 3.702.546
260 340965 - FASTIMMUNE IGG2AFITC/IGG1PE/CD4PERCPCY5.5 Ea/1 8.914.646
261 340971 - CD4 INTRACELULULAR IL-2 DETECTION KIT Ea/1 38.938.799
262 341087 - CD138 PERCP-CY5.5(RUO) Ea/1 2.982.012
263 341096 - CD117 APC (RUO) Ea/1 8.399.572
264 341134 - CD4 FITC/CD25PE/CD3PERCP-CY5.5 Ea/1 10.788.035
265 341140 - CD7 FITC/CD33 PE Ea/1 8.502.301
266 341652 - CD69 PE Ea/1 9.013.096
267 341654 - CD4 PERCP-CY5.5 (RUO) Ea/1 5.633.006
268 342065 - BD FACSLOADER FOR FACSCANTO II Ea/1 363.114.893
269 342512 - BD FACSCOUNT CD4/3 REAGENT KIT Ea/1 5.731.308
270 345249 - ACCUDROP BEADS Ea/1 7.094.050
271 347344 - CD3 perCP SK7 100 Test RUO/GMP Ea/1 4.526.400
272 550474 - ANNEXIN V RECOMBINANT APC 100TST Ea/1 3.505.500
273 550487 - MS IG ISOTYPING ELISA KIT 80TST Ea/1 17.893.499
274 550583 - LEUKO ACTVTN CKTL WITH GLGPLG 100UL X2 Ea/1 3.766.752
275 550994 - MS CD45 PERCP-CY5.5 MAB 0.1MG 30-F11 Ea/1 6.905.712
276 551436 - MS IGG1 KAPA ItCl PE MOPC-21 50Tests Ea/1 3.038.100
277 551539 - MS CD4 IMAG DM 10ML GK1.5 Ea/1 7.345.166
278 552844 - RAT IG Kappa Comp Bead SET Ea/1 3.997.500
279 553032 - CD8A PE MAB 0.1MG 53-6.7 Ea/1 1.759.244
280 553035 - MS CD8A APC MAB 0.1MG 53-6.7 Ea/1 7.250.998
281 553048 - MS CD4 PE MAB 0.1MG RM4-5 Ea/1 5.697.212
282 553061 - MS CD3E FITC MAB 0.1MG 145-2C11 Ea/1 4.921.033
283 553089 - CD45R-B220 PE MAB 0.1MG RA3-6B2 Ea/1 1.836.292
284 553127 - LY-6G LY-6C FITC MAB 0.5MG RB6-8C5 Ea/1 4.667.063
285 553151 - CD62L PE MAB 0.2MG MEL-14 Ea/1 5.126.492
286 553653 - MS CD4 PE MAB 0.2MG H129.19 Ea/1 2.678.104
SHB KESEHATAN 253

1 2 3 4
287 553729 - CD4 FITC MAB 0.5MG GK1.5 Ea/1 4.361.728
288 553866 - PE RAT ANTI-MOUSE CD25 Ea/1 5.126.492
289 554597 - MS ERYTHROPOIETIN RECOM 5UG Ea/1 6.503.354
290 554647 - MS IGG2A KPA ITCL FITC 0.1MG G155-178 Ea/1 3.995.040
291 554679 - MS IGG1 KPA ITCL FITC MAB 0.1MG MOPC-21 Ea/1 3.995.040
292 554837 - RAT CD4 FITC MAB 0.5MG OX-35 Ea/1 3.060.486
293 554857 - RAT CD8A PE MAB 0.2MG OX-8 Ea/1 3.979.345
294 554897 - RAT CD90 MOUSE CD90.1 FITC OX-7 0.5MG Ea/1 3.515.635
295 554967 - RAT CD54 PURE MAB 0.5MG 1A29 Ea/1 4.361.728
296 555138 - MS IFN-GMA OPTEIA SET 20TST Ea/1 8.722.028
297 555228 - MS IL-3 OPTEIA SET 20TST Ea/1 14.690.333
300 555278 - MS CD152 NALE MAB 0.5MG 9H10 Ea/1 3.335.858
301 556622 - HU CD28 NHP PE MAB 50TST CD28.2 Ea/1 3.923.700
302 557224 - MS IGG1 KAPA PE-Cy5 MOPC-21 50Tests Ea/1 3.038.100
303 558391 - MS T LYM SUBSET CKTL SET 100TST Ea/1 10.405.652
304 558431 - MS T LYM SUBSET CKTL2 SET 100TST Ea/1 13.006.709
305 559320 - MS IGG1 KPA ITCL PE MAB 100TST MOPC-21 Ea/1 4.404.532
306 559626 - MS IGG1 HRP MAB 1.0ML X56 Ea/1 10.712.414
307 560805 - CD197 (CCR7) V450 MAB 0.1MG 4B12 Ea/1 2.983.439
308 643436 - FACSTATION SOFTWARE V6.0.4 Bundle-Univrsl Ea/1 9.225.000
309 334199 - BD FACSCALIBUR HIGH THOUGHPUT SAMPLE Ea/1 742.168.568
310 337858 - BD FACSCOUNT SYSTEM Ea/1 887.540.940
311 338960 - BD FACSCANTO II FLOW CYTOMTR IVD 4/2 SYS Ea/1 3.443.046.750
312 338962 - FACSCANTO II FLOW CYTOMETR IVD 4/2/2 SYS Ea/1 4.208.168.250
313 340915 - BD MULTI CHECK CD4 LOW CTRL2X2.5ML IVD Ea/1 6.521.903
314 342973 - FACSCALIBUR 3 COLOR BASIC IVD Ea/1 1.989.315.900
315 342974 - FACSCALIBUR 3 COLOR SORT IVD Ea/1 2.387.179.080
316 342975 - FACSCALIBUR 4 COLOR BASIC IVD Ea/1 2.249.457.210
317 342976 - FACSCALIBUR 4 COLOR SORT IVD Ea/1 3.014.578.710
SHB KESEHATAN 254

1 2 3 4
319 641889 - FACSCANTO II 8-COLOR UPGRADE(4-2-2) Ea/1 739.005.353
320 648282-03 - ARIA III 6B/2R/2V BASIC Ea/1 6.886.555.783
321 651154 - BD FACSVERSE 21L 6c SYSTEM WITH ACC KIT Ea/1 2.672.767.368
322 03-20123-04 - PCB ASSY. BDPAC Ea/1 66.779.947
323 340040 - SIMULTEST LEUCOGATE CD45/CD14 (IVD) Ea/1 10.755.218
324 340041 - SIMULTEST IGG1/IGG2A ISOTYPE CONTROL IVD Ea/1 3.995.040
325 340042 - SIMULTEST CD3/CD16+CD56 (IVD) Ea/1 5.633.006
326 340043 - SIMULTEST CD3/CD4 (IVD) Ea/1 5.633.006
328 340166 - FACSCOUNT CONTROL KIT (25 T) (IVD) Ea/1 3.788.400
329 340167 - FACSCOUNT REAGENT KIT (IVD) Ea/1 9.321.284
330 340300 - TRITEST CD3/CD16+56/CD45 (IVD) Ea/1 6.657.449
331 340334 - TRUCOUNT ABSOLUTE COUNT KIT IVD Ea/1 6.657.449
332 340335 - TRUCOUNT CONTROL BEAD KIT (IVD) Ea/1 6.677.424
333 340344 - TRITEST CD3/CD8/CD45 (IVD) Ea/1 4.958.130
336 340401 - TRITEST CD4/CD8/CD3 W/TRUCOUNT (IVD) Ea/1 6.657.449
337 340402 - TRITEST CD3/CD4/CD45 W/TRUCOUNT Ea/1 7.091.073
338 340403 - TRITEST CD3/CD16+56/CD45 W/TRUCOUNT Ea/1 8.091.383
341 340486 - CALIBRITE 3 COLOR KIT (25 T) (IVD) Ea/1 6.043.925
342 340487 - CALIBRITE APC BEADS (25 T) (IVD) Ea/1 3.585.548
343 340504 - MULTITEST IMK KIT W/TRUCOUNT (IVD) Ea/1 10.712.414
344 340575 - ANTI-BCL-2 FITC Ea/1 4.591.442
345 340911 - BD MULTI-CHECK CONTROL 1 X 2.5 mL (IVD) Ea/1 1.482.445
346 344563 - STEM CELL ENUMERATION KIT 50TEST Ea/1 15.375.000
347 347363 - ANTI-HLA-DR FITC Ea/1 3.995.040
348 349202 - FACS LYSING SOLUTION (IVD/10X-500 tests) Ea/1 1.843.426
350 349502 - CALIBRITE BEADS (25 T) (IVD) Ea/1 4.229.035
SHB KESEHATAN 255

1 2 3 4
351 554739 - BACULOGOLD LINEARIZED BV DNA 2.5UG Ea/1 1.988.959
352 554766 - BD BACULOGOLD PLAQUE ASSAY AGAROSE 50G Ea/1 8.876.123
353 554770 - PACAB4 BACULOVIRUS TRANSFER VECTOR 5UG Ea/1 4.728.415
354 554778 - INSECT CELL LYSIS BUF 50ML Ea/1 1.988.959
355 554779 - PROTEASE INHIBITOR COCKTAIL Ea/1 1.606.577
356 554796 - PACHLT-A/B/C BV TRANSFER VECTOR SET Ea/1 8.569.361
357 560129 - BACULOGOLD TRANSFECTION KIT Ea/1 7.681.891
358 335775 - BD FACS 7-COLOR SETUP BEADS 25TEST Ea/1 9.823.518
359 338960 - BD FACSCANTO II FLOW CYTOMTR IVD 4/2 SYS Ea/1 3.443.046.750
360 339010 - FACSCOUNT CD4 REAGENT KIT 50TEST Ea/1 6.991.320
361 340166 - FACSCOUNT CONTROL KIT (25 T) (IVD) Ea/1 3.788.400
362 340300 - TRITEST CD3/CD16+56/CD45 (IVD) Ea/1 6.657.449
363 340334 - TRUCOUNT ABSOLUTE COUNT TUBES IVD Ea/1 6.657.449
365 340381 - TRITEST CD3 FITC/CD19 PE/CD45 PerCP IVD Ea/1 6.657.449
367 340402 - TRITEST CD3/CD4/CD45 W/TRUCOUNT IVD Ea/1 7.091.073
368 340486 - CALIBRITE 3 COLOR BEADS KIT 25TEST IVD Ea/1 6.043.925
369 340487 - CALIBRITE APC BEADS (25 T) (IVD) Ea/1 3.585.548
370 340491 - MULTITEST CD3/CD8/CD45CD4W/TRUCOUNT IVD Ea/1 9.249.600
371 342003 - BD FACSFLOW SHEATH FLUID-20L Ea/1 1.725.690
372 344563 - STEM CELL ENUMERATION KIT 50TEST Ea/1 15.375.000
373 349202 - FACS LYSING SOLUTION (IVD/10X-500 tests) Ea/1 1.843.426
374 651000 - FACSPRESTO INSTRUMENT Ea/1 301.700.102
375 655495 - FACSPRESTO Catridge Kit Ea/1 16.605.000
376 339010 - FACSCOUNT CD4 REAGENT KIT Ea/1 6.991.320
377 02-60791-01S - ASSEMBLY SHEALTH LEVEL Sensor&cap Ea/1 18.450.000
378 339066 - CABLE HeNe POWER SUPPLY Ea/1 18.450.000
379 34364507 - ASSEMBLY SALINE FILTER FACSCount sevice Ea/1 22.140.000
380 340133 - CD4 FITC (IVD) Ea/1 4.366.562
381 340182 - SIMULTEST IMK-LYMPHOCYTE KIT (IVD) Ea/1 8.021.630
382 340242 - CYCLETEST PLUS DNA REAGENT KIT Ea/1 4.366.562
SHB KESEHATAN 256

1 2 3 4
383 340365 - FASTIMMUNE CD4/CD69/CD3 Ea/1 7.717.512
384 340366 - FASTIMMUNE CD2/CD2R ACTIVATION CONTROL Ea/1 8.021.630
385 340396 - SIMULTEST CD5/CD19 Ea/1 5.991.822
386 340404 - TRITEST IGG1/IGG1/CD45 W/TRUCOUNT Ea/1 8.570.456
387 340409 - CD19 (SJ25C1) FITC Ea/1 3.670.628
388 340410 - CD56 (NCAM16.2) FITC Ea/1 4.570.250
389 340417 - FASTIMMUNE CD56/CD69/CD45 Ea/1 14.521.257
390 340430 - CD34 (8G12) PERCP Ea/1 8.021.630
391 340456 - FASTIMMUNE ANTI-IFN-GAMMA/ANTI-IL-4 Ea/1 8.021.630
392 340458 - FASTIMMUNE IGG2A/IGG1 ISOTYPE CONTROL Ea/1 5.382.173
393 340491 - MULTITEST CD3/CD8/CD45CD4W/TRUCOUNT IVD Ea/1 9.249.600
394 340529 - CD117 PE Ea/1 5.686.290
395 340546 - LINEAGE COCKTAIL 1(Lin 1) FITC 50TEST Ea/1 7.837.560
396 340585 - CD14 PERCP Ea/1 4.839.005
397 340953 - CD45 PerCP-Cy5.5 Ea/1 8.327.162
398 341051 - CD8 PerCP-Cy5.5 SKI 50Test RUO/GMP Ea/1 2.192.475
399 341138 - CD5 FITC/CD10 PE/CD19 PerCP-Cy5.5 Ea/1 6.600.057
400 341144 - ANTI-HLA-DR FITC/CD13 PE Ea/1 8.427.591
401 342003 - BD FACSFLOW SHEATH FLUID-20L Ea/1 1.725.690
402 346049 - FASTIMMUNE CD8 INTCELAR IFN-Gma DTEC KIT Ea/1 28.691.718
403 347198 - ANTI-EpCAMP PE EBA-1 50 TEST RUO/GMP Ea/1 3.831.450
404 347313 - CD8 (SK1) FITC Ea/1 6.478.410
405 347423 - CD15 FITC Ea/1 6.478.410
406 347430 - CD1A PURE Ea/1 12.591.879
407 347464 - CD45 PERCP Ea/1 5.991.822
408 347490 - CD14 PURE Ea/1 4.096.392
409 347493 - CD14 FITC Ea/1 12.591.879
410 347497 - CD14 PE Ea/1 7.419.053
411 347544 - CD19 (4G7) PERCP Ea/1 8.829.309
412 347590 - CD2 PURE Ea/1 4.096.392
413 347593 - CD2 FITC Ea/1 6.478.410
414 347597 - CD2 PE Ea/1 6.295.940
SHB KESEHATAN 257

1 2 3 4
415 347689 - FASTIMMUNE EDTA SOLUTION Ea/1 2.913.870
416 347690 - FASTIMMUNE COSTIM CD28/CD49d 0.3mL Ea/1 2.135.895
417 347787 - CD33 PE Ea/1 5.178.485
418 347837 - CD13 PE Ea/1 7.419.053
419 347953 - CD18 FITC Ea/1 6.478.410
420 348057 - CD34 (8G12) PE Ea/1 6.397.784
421 348093 - CD61 FITC Ea/1 4.745.648
422 349041 - MOUSE IGG1 FITC Ea/1 4.568.835
423 349043 - MOUSE IGG1 PE Ea/1 5.178.485
424 349053 - MOUSE IGG2A PE Ea/1 5.178.485
425 349201 - CD3 FITC (50 T) (IVD) Ea/1 4.568.835
426 349209 - CD19 (4G7) PE (IVD) Ea/1 4.247.744
427 349523 - DNA QC PARTICLES (25 TESTS) Ea/1 8.021.630
428 349526 - SIMULTEST IGG1/IGG1 ISOTYPE CONTROL Ea/1 8.021.630
429 349527 - SIMULTEST CD8/CD38 Ea/1 3.960.600
430 349528 - SIMULTEST CD8/ANTI-HLA-DR Ea/1 8.496.902
431 552843 - MS IGG1 KPA COMP BEAD SET 6ml Ea/1 2.662.950
432 554680 - MS IGG1 KPA ItCl PE MOPC-21 100ug Multitest Ea/1 2.330.850
433 559763 - ANNEXIN V PE APOP DTEC KIT100 TST Ea/1 3.681.390
434 612565 - P38 MAPK (pT180/pY182)PE 50TEST Ea/1 3.521.490
435 02-60575-04S - ASSY. FLUID COMPONENTS NEW Ea/1 39.723.404
436 02-60726-03S - TUBE SAMPLE Ea/1 6.150.000
437 02-60786-01 - ASSY PWR SPLY 5VDC 15VDC Ea/1 39.723.404
438 02-60790-01S - ASSY WASTE LEVEL SENSOR & CAP Ea/1 10.269.270
439 02-60795-02 - ASSY. PRESSURE TRANSDUCER Ea/1 9.931.205
440 02-60798-00 - ASSY. PUMP Ea/1 17.654.375
441 02-61437-00 - ASSY. FLOW RESISTOR Ea/1 2.206.620
442 02-61849-01S - FCB 2 BASIC FlowCell SERVICE Ea/1 98.400.000
443 02-61850-02S - FCB 2 SORT FLOWCELL SRVC Ea/1 188.269.950
444 02-61860-00 - CABLE ASSEMBLY With FLUDICS VALVE Ea/1 2.437.860
445 03-20085-03S - PCB ASSY. CCB SERVICE SPARE Ea/1 26.482.269
446 05-10758-02 - LASER GREEN HENE Ea/1 72.740.663
SHB KESEHATAN 258

1 2 3 4
447 05-10959-00 - SPECTRA PHYSICS PLASMA TUBE Ea/1 110.340.902
448 12-00341-00 - KIT. FIELD UPGRADE FACSCAN Ea/1 39.723.404
449 19-65764-00 - DEAERATOR JAR 125mL 4-oz With LID Ea/1 1.266.900
450 19-66199-01 - FILTER BLUE PASSING Ea/1 1.281.537
451 32-20037-01 - DIODE PIN-PHOT-DET 488nm-BLUE BNC-BASE Ea/1 3.546.152
452 336481 - MAIN AIR COMPRESOR Ea/1 17.441.400
453 336488 - MAIN AIR COMPRESOR Ea/1 14.477.100
454 33741907 - LASER HEAD ASSY SERVICE Ea/1 207.096.945
455 338979 - SENSOR 2-Level SW 120VAC 10.6in STEAM 6-PIN Ea/1 5.690.534
456 341009 - CD25 PE (RUO) Ea/1 4.141.656
457 342353 - HENE LASER UNIPHASE HEAD Ea/1 191.880.000
458 343181 - FL4 UPG FACSCALIBUR(E1016 AND ABOVE) Ea/1 390.979.116
459 343447 - ASSY WASTE TANK FACSCOUNT SERVICE Ea/1 9.931.205
460 343527 - COUPLING INSERT Hose Barb ID Blue Ea/1 199.260
461 343529 - COUPLING 1/8 ID Hose White Ea/1 153.750
462 343530 - COUPLING INSERT 1/8ID-HOSE-BARB SHUTOFF Ea/1 772.317
463 343531 - COUPLING INS 1/4 IN NPT Ea/1 772.317
464 343542 - SALINE FILTER CA 2503 Ea/1 13.241.135
465 343639 - PREVENTIVE MAINT KIT SCAN/SORT/CALIB Ea/1 68.969.790
466 343645 - ASSEMBLY SALIN FILTER FacsCount Services Ea/1 22.140.000
467 343665 - RESERVOIR SHEATH/WASTE Ea/1 1.929.378
468 343666 - TUBING SILICONE .030 IN ID X .082 IN Ea/1 661.986
469 343926 - FACSTATION OS X V5.2.1 S/W CD ASSY Ea/1 26.401.643
470 344025 - BARCODE READER for FacsCanto II Ea/1 37.955.340
471 344026 - BARCODE READER STAND for FacsCanto II Ea/1 9.328.320
472 344106 - POWER SUPPLY. SPECTRA MOD 263-AO302 Ea/1 88.273.287
473 59-10090-05 - COUPLING INSERT Hose Barb PP Orange Ea/1 202.950
474 59-10091-04 - CPLN BDY PNL MT 1/16 ID ORG Ea/1 661.986
475 59-10092-02 - COUPLING BODY Panel Mount 1/8 JD BLUE Ea/1 301.350
476 59-10092-04 - COUPLING PANEL Mount White Ea/1 246.000
477 59-10116-01 - CPLNG 1/16 WHT PMCD22-01-316 Ea/1 661.986
478 59-10116-05 - CPLNG BLU 1/16 PMCD22-01-316 Ea/1 661.986
SHB KESEHATAN 259

1 2 3 4
479 59-10181-05 - COUPLING BODY Panel Mount 1/8 Orange Ea/1 348.090
480 60-10031-00 - CLAMP Tubing 1/8x14 Ea/1 61.500
481 62-30014-00 - REGULATOR.AIR PRESSURE 0-10PSI Ea/1 8.827.895
482 640281 - G5/OS10.4 ACQUISITION COMPUTER ASSY Ea/1 273.069.225
483 640621 - PCB ASSY FLUIDICS/TUBE LIFTER Ea/1 7.977.780
484 641925 - PUMP PRIMING P2 MAIN SYSTEM Ea/1 5.535.000
485 643585 - KIT BD PAC EXPRESS Ea/1 29.751.179
486 649030 - FIBER 405-nm VIOLET LASER 50mW BOX/1 45.510.000
487 651157 - RUO FLOW SENSOR OPTION Ea/1 110.331.000
488 651161 - BD FACS VERSE UPGRADE KIT 2L6c TO 3L8C Ea/1 690.233.565
489 654476 - VALVE SAFETY 1/4 NPT 1.44in L 115 PSIG Ea/1 984.000
490 656419 - VALVE ASSY RELIEF 115 PSIG Ea/1 984.000
491 657144 - KIT CANTO WET CART FILTER AND BAL SEAL Ea/1 10.455.000
492 6596407 - CANTO UNIVERSAL PM KIT Ea/1 50.430.000
493 99-30095-01 - GEL OPTICAL Ea/1 3.046.833
494 02-60791-01S - ASSEMBLY SHEALTH LEVEL Sensor&cap Ea/1 18.450.000
495 02-60795-02 - ASSEMBLY PRESSURE TRANSDUCER Ea/1 10.455.000
496 33741907 - LASER HEAD ASSY BLUE/ARGON Ea/1 207.096.945
497 337521 - FACSCOUNT-PWR SUPPLY With DC OUTPUT CBL Ea/1 18.450.000
498 338978 - SENSOR 2-LEVEL SW 120VAC 10.6INC STEM 7-PIN Ea/1 24.600.000
499 34353107 - COUPLING INS 1/4 IN NPT Service Ea/1 861.000
500 343639 - PREVENTIVE MAINT KIT FASCALIBUR Ea/1 68.969.790
501 344106 - POWER SUPPLY. LASER UNIV-AC/70-120VDC Ea/1 88.273.287
502 347477 - PMT SOCKET ASSEMBLY Ea/1 10.455.000
503 64082107 - PCB ASSYEMBLY TUBE FILTER FACSCOUNT SVC Ea/1 24.600.000
504 644254 - MANIFOLD LL3Vm2 WETCART Ea/1 43.050.000
505 550534 - OPTEIA REAGENT SET B PH9.5 Ea/1 6.011.625
506 550536 - OPTEIA REAGENT SET A PH6.5 Ea/1 5.991.822
507 550825 - PI/RNASE STAINING BUF 100ML Ea/1 1.517.759
508 550880 - DAB SBSTR KIT Ea/1 985.907
509 551951 - AEC SUBSTRATE SET Ea/1 2.053.854
510 552362 - BUFFER 10X IMAG 100 ML Ea/1 1.820.462
SHB KESEHATAN 260

1 2 3 4
511 554655 - CYTOFIX BUF 100ML Ea/1 2.260.371
512 554656 - PHARMINGEN STAIN FBS BUF 500ML Ea/1 2.503.665
513 554714 - CYTOFIX/CYTOPERM BUF KIT Ea/1 2.944.989
514 554715 - CYTOFIX/CYTOPERM WITH GOLGISTOP KIT Ea/1 4.976.211
515 554722 - FIXATION AND PERMEABILIZATION SOLN 125ML Ea/1 3.080.781
516 554723 - PERM WASH BUF 100ML Ea/1 2.758.275
517 554806 - TRANSFECTION BUF A/BUF B SET Ea/1 5.005.916
518 555028 - CYTOFIX/CYTOPERM WITH GOLGIPLUG KIT Ea/1 4.772.523
519 555742 - MOUSE IGG2B KPA FITC MAB 100TST 27-35 Ea/1 2.851.632
520 555751 - MS IGG1 KPA ITCL APC MAB 100TST MOPC-21 Ea/1 5.082.299
521 555816 - VIA-PROBE CELL VIABILITY SOLN 100TST Ea/1 2.503.665
522 555899 - PHARM LYSE10X CONC 100 ML Ea/1 910.938
523 556652 - MS IGG2A ITCL NHP FITC 50TST G155-178 Ea/1 4.450.017
524 557630 - SAV HRP ELISPOT 1.0 ML Ea/1 2.567.318
525 559123 - RNBW CLBRTN PRTCLS 8 PEAK 3.0-3.4 UM 5ML Ea/1 8.021.630
526 559925 - 7-AAD SOLN 2.0ML Ea/1 1.725.690
527 211874 - BOTTLE HEMOGLOBIN SOL 2% 100ML 10 EA BOX/10 2.990.130
528 211875 - VIAL ISOVITALEX ENRICHMENT 2ML 5 EA BOX/5 2.054.100
529 211876 - VIAL ISOVITALEX ENRICHMENT 10ML 5 EA BOX/5 1.121.760
530 211897 - TUBE PENICILLINASE 1000000 U/ML 10 EA BOX/10 5.606.340
531 212228 - VIAL V-C-N INHIBITOR 10ML 10 EA BOX/10 1.869.600
532 264310 - BOTTLE TTC 25G Ea/1 4.111.890
533 260411 - LID GASPAK 100 COMPLETE Ea/1 2.728.140
534 260412 - CHAMBER CATALYST REACTION W/O CATALYST Ea/1 450.180
535 260463 - JAR GASPAK 100 POLYCARBONATE Ea/1 1.424.340
536 260467 - LID GASPAK 100 VENTED Ea/1 4.951.980
537 260607 - JAR GASPAK 150 LARGE ANAEROBIC Ea/1 2.548.560
538 260608 - JAR GASPAK 150 LARGE ANAEROBIC VENTED Ea/1 2.248.440
539 260609 - KIT GASPAK 150 VENT Ea/1 908.970
540 260614 - GASKET O RING FOR GASPAK 150 LIDS Ea/1 666.660
541 260618 - RACK GASPAK 150 Ea/1 2.182.020
542 260619 - RACK GASPAK 100 Ea/1 2.001.210
SHB KESEHATAN 261

1 2 3 4
543 260622 - JAR GASPAK 100 HOLDING Ea/1 3.637.110
544 260623 - LID FOR GASPAK 100 HOLDING JAR Ea/1 3.637.110
545 260627 - SYSTEM GASPAK 100 SYSTEM VENTED Ea/1 7.272.990
546 260628 - SYSTEM GASPAK 150 LARGE ANAEROBIC Ea/1 8.728.080
547 260629 - SYSTEM GASPAK 150 ANAEROBIC VENTED Ea/1 10.365.210
548 260630 - HOLDER GASPAK FOR TUBES Ea/1 782.280
549 260637 - LID FOR GASPAK 100 LID W/ O-RING Ea/1 1.453.860
550 260638 - LID FOR GASPAK 100 LID W/ O-RING VENTED Ea/1 2.728.140
551 260651 - POUCH GASPAK ANAEROBIC BOX/25 1.731.840
552 260652 - BARS GASPAK POUCH SEALING BARS BOX/10 495.690
553 260656 - POUCH GASPAK MICROAEROPHILIC CAMPY BOX/25 1.731.840
554 260662 - POUCH GASPAK CO2 BOX/50 3.463.680
555 260671 - GASPAK EZ STANDARD INCUBATION CONTAINER Ea/1 2.182.020
556 260673 - RACK GAZPAK EZ STD INCUBATION CONTAINER Ea/1 1.490.760
557 260678 - SACHET GASPAK EZ ANAEROBE CONTAINER BOX/20 1.091.010
558 260679 - SACHET GASPAK EZ CO2 CONTAINER BOX/20 1.001.220
559 260680 - SACHET GASPAK CAMPY CONTAINER BOX/20 1.035.660
560 260683 - POUCH GASPAK EZ ANAEROBE SYSTEM BOX/20 1.637.130
561 260684 - POUCH GASPAK EZ CO2 SYSTEM BOX/20 1.453.860
562 260685 - POUCH GASPAK EZ CAMPY SYSTEM BOX/20 1.453.860
563 261211 - BAG BIO-BAG TYPE CFJ 100 EA BOX/100 3.431.700
564 261212 - BAG BIO-BAG TYPE CFJ 25 EA BOX/25 944.640
565 261214 - BAG BIO-BAG TYPE A 100 EA BOX/100 6.910.140
566 261216 - BAG BIO-BAG TYPE A MULYI-PLATE 50 EA BOX/50 5.455.050
567 261510 - BAG BIO-BAG TYPE C 50 EA BOX/50 1.234.920
568 270124 - LID INNER FOR GASPAK 150 Ea/1 2.095.920
569 270303 - CATALYST REPLACEMENT CHARGES BOX/10 986.460
570 270304 - ENVELOPE GASPAK H2+ CO2 GENERATOR BOX/10 345.630
571 270308 - ENVELOPE GASPAK CO2 GENERATOR BOX/10 258.300
572 270504 - INDICATOR GASPAK DISPOSABLE ANAEROBIC BOX/100 1.731.840
573 271031 - LID OUTER FOR GASPAK 150 Ea/1 1.453.860
574 271034 - ENVELOPE MICROAEROPHILIC CAMPYPAK BOX/10 345.630
SHB KESEHATAN 262

1 2 3 4
575 271051 - INDICATOR STRIPS GASPAK DRY ANAEROBIC BOX/100 1.560.870
576 271055 - INDICATOR GASPAK CO2 BOX/100 2.398.500
577 442192 - BACTEC AEROBIC/F 50/PK F/G BOX/50 3.325.920
578 442193 - BACTEC PLUS ANAEROBIC/F 50/PK F/G BOX/50 3.325.920
579 442194 - BACTEC PEDS PLUS/F 50/PK F/G BOX/50 3.325.920
580 442288 - BACTEC MYCO F LYTIC 50 EA BOX/50 4.205.370
581 301-1002-08-ZAS CONVERTER 8 PORT USB TO SERIAL Ea/1 31.857.000
582 440105 - STARTER GROUP BACTEC 9050 Ea/1 11.379.960
583 440107 - STARTER GROUP BACTEC MGIT960 Ea/1 29.465.880
584 441370 - THERMOMETER DIGITAL BACTEC Ea/1 6.765.000
585 441736 - STARTER GROUP BACTEC TOUCH SYSTEM Ea/1 14.760.000
586 441737 - STARTER GROUP BACTEC TOUCH INSTUMENT Ea/1 24.969.000
587 445532 - INTERFACE UK & SINGAPORE Ea/1 7.503.000
588 420104 - BASE DYNAC III CENTRIFUGE 120V Ea/1 90.711.270
589 420106 - DYNAC II CENTRIFUGE 220V Ea/1 51.308.220
590 420109 - HORIZONTAL HEAD 8 15ML TUBES Ea/1 13.194.210
591 420110 - HORIZONTAL HEAD 4 100ML TUBES Ea/1 20.991.180
592 420112 - ANGLE HEAD 4 50ML TUBES Ea/1 4.974.120
593 420113 - ANGLE HEAD 15ML TUBES Ea/1 8.200.410
594 420227 - COMPACT II CENTRIFUGE 220V Ea/1 22.609.860
595 420251 - TUBE ADAPTER W/CUSHION 100X13 SP 100 BOX/4 592.860
596 420902 - CENTRIFUGE SHIELD SHORT Ea/1 1.018.440
597 420908 - SHIELD 100ML 2/PK BOX/2 4.047.930
598 421106 - NUTATOR MIXER 220V Ea/1 14.001.090
599 421132 - MOTOR BRUSHES JONES INST R/P Ea/1 991.380
600 421194 - TIMER W/KNOB DYNAC R/P Ea/1 1.164.810
601 421199 - SPEED CONTROLLER DYNAC R/P Ea/1 2.696.160
602 421207 - SPEED CONTROL 220V DYNAC R/P Ea/1 2.870.820
603 421215 - BRAKE SWITCH READER R/P Ea/1 277.980
604 421216 - COVER ASSEMBLY DYNAC II R/P Ea/1 1.365.300
605 421217 - LATCH ASSEMBLY READER R/P Ea/1 4.017.180
606 421221 - SOLENOID ASSEMBLY DYNAC II R/P Ea/1 2.608.830
SHB KESEHATAN 263

1 2 3 4
607 421222 - SAFETY SWITCH DYNAC II R/P Ea/1 1.217.700
608 421250 - MAIN PC BOARD DYNAC III R/P Ea/1 7.131.540
609 421814 - TEMP TRIM SWITCH R/P Ea/1 608.850
610 422953 - HINGE SERO R/P Ea/1 5.392.320
611 240840 - KIT PNEUMOSLIDE KIT 50 TESTS Ea/1 5.793.300
612 256010 - KIT DIRECTIGEN INFLUENZA A+B 20 TEST Ea/1 5.442.750
613 256020 - KIT DIRECTIGEN FLU A TEST Ea/1 6.350.490
614 274449 - KIT RPR CARD TEST NO 104 300 TESTS Ea/1 2.539.950
615 275005 - KIT RPR CARD TEST NO 110 500 TESTS Ea/1 1.270.590
616 220214 - LOOPS INOCULATING 10/TUBE 1 MICROLITER BOX/250 936.030
617 220215 - LOOPS INOCULATING 50/TUBE 1 MICROLITER BOX/1000 1.963.080
618 220216 - LOOPS INOCULATING 10/TUBE 10 MICROLITER BOX/250 892.980
619 220217 - LOOPS INOCULATING 50/TUBE 10 MICROLITER BOX/1000 1.963.080
620 245000 - KIT CRYSTAL ENTERIC/NONFERMENTER ID BOX/20 3.890.490
621 245010 - KIT CRYSTAL ANAEROBE ID BOX/20 4.552.230
622 245029 - TUBE CRYSTAL E/ ID INOCULUM FLUID BOX/10 340.710
623 245038 - TUBE CRYSTAL INOCULUM BROTH BOX/10 340.710
624 245130 - KIT STERILE CRYSTAL NH ID BOX/20 4.741.650
625 245140 - KIT CRYSTAL GP ID BOX/20 4.741.650
626 245240 - KIT CRYSTAL GRAM-POSITIVE ID BOX/20 4.741.650
627 245250 - KIT CRYSTAL RAPID GRAM-POSITIVE ID BOX/20 4.741.650
628 245302 - REFERENCE PANEL AUTORDR Ea/1 4.741.650
629 441010 - SOFTWARE CRYSTAL MIND Ea/1 6.828.960
630 210912 - BOTTLE AK AGAR 2 SPORULATING AG 500G Ea/1 4.672.770
631 210920 - BOTTLE ACTINOMYCES BROTH 500G Ea/1 10.279.110
632 210950 - BOTTLE SABOURAUD DEXTROSE AGAR 500G Ea/1 1.121.760
633 210986 - BOTTLE SABOURAUD LIQUID BROTH MOD 500G Ea/1 7.473.480
634 211027 - BOTTLE BIGGY AGAR BBL 500G Ea/1 2.616.210
635 211037 - BOTTLE BLOOD AGAR BASE 500G Ea/1 1.869.600
636 211043 - BOTTLE TRYPTICASE SOY AGAR 500G Ea/1 1.402.200
637 211065 - BOTTLE BRAIN HEART INFUSION AG BBL 500G Ea/1 2.430.480
638 211088 - BOTTLE BRUCELLA BROTH BBL 500G Ea/1 2.430.480
SHB KESEHATAN 264

1 2 3 4
639 211094 - BOTTLE CTA AGAR 500G Ea/1 7.100.790
640 211096 - BOTTLE CTA MEDIUM 500G Ea/1 3.177.090
641 211102 - BOTTLE CARY BLAIR TRANSPORT MED BBL 500G Ea/1 3.737.970
642 211106 - BOTTLE CASMAN AGAR BASE 500G Ea/1 2.991.360
643 211124 - BOTTLE COLUMBIA AGAR BASE 500G Ea/1 1.869.600
644 211179 - BOTTLE DNASE TEST AGAR BBL 500G Ea/1 4.485.810
645 211199 - BOTTLE ENDO AGAR BBL 500G Ea/1 2.616.210
646 211248 - BOTTLE FTA HEMAGGLUTINATION BUFFER 500G Ea/1 936.030
647 211260 - BOTTLE FLUID THIOGLYCOLLATE MED BBL 500G Ea/1 1.682.640
648 211338 - BOTTLE LAURYL SULFATE BROTH 500G Ea/1 2.055.330
649 211343 - BOTTLE LITMUS MILK BBL 500G Ea/1 2.991.360
650 211363 - BOTTLE LYSINE IRON AGAR BBL 500G Ea/1 2.243.520
651 211387 - BOTTLE MACCONKEY AGAR BBL 500G Ea/1 1.682.640
652 211407 - BOTTLE MANNITOL SALT AGAR BBL 500G Ea/1 747.840
653 211436 - BOTTLE MOTILITY TEST MEDIUM BBL 500G Ea/1 2.430.480
654 211438 - BOTTLE MUELLER HINTON II AGAR 500G Ea/1 1.682.640
655 211443 - BOTTLE MUELLER HINTON BROTH BBL 500G Ea/1 2.243.520
656 211450 - BOTTLE MYCOPHIL AGAR WITH LOW PH 500G Ea/1 2.055.330
657 211486 - BOTTLE ORANGE SERUM AGAR BBL 500G Ea/1 4.672.770
658 211502 - BOTTLE PHENOL RED AGAR BASE BBL 500G Ea/1 7.035.600
659 211506 - BOTTLE PHENOL RED BROTH BASE BBL 500G Ea/1 2.055.330
660 211514 - BOTTLE PHENOL RED DEXTROSE BR BBL 500G Ea/1 2.430.480
661 211519 - BOTTLE PHENOL RED LACTOSE BR BBL 500G Ea/1 2.430.480
662 211527 - BOTTLE PHENOL RED MANNITOL BR BBL 500G Ea/1 6.542.370
663 211533 - BOTTLE PHENOL RED SUCROSE BROTH 500G Ea/1 6.542.370
664 211537 - BOTTLE PHENYLALANINE AGAR BBL 500G Ea/1 4.672.770
665 211539 - BOTTLE PHENYLETHYL ALCOHOL AGAR 500G Ea/1 2.430.480
666 211544 - BOTTLE PHOSPHATE BUFFER PH 7.2 500G Ea/1 1.682.640
667 211578 - BOTTLE SIM MEDIUM BBL 500G Ea/1 3.177.090
668 211584 - BOTTLE SABOURAUD DEXTROSE AGAR BBL 500G Ea/1 1.121.760
669 211597 - BOTTLE SALMONELLA SHIGELLA AGAR 500G Ea/1 2.055.330
670 211638 - BOTTLE STANDARD METHODS AGAR 500G Ea/1 1.682.640
SHB KESEHATAN 265

1 2 3 4
671 211716 - BOTTLE THIOGLYCOLLATE MEDIUM BREWER 500G Ea/1 2.991.360
672 211747 - BOTTLE TRICHOSEL BROTH MODIFIED 500G Ea/1 4.672.770
673 211760 - BOTTLE TRYPTICASE GLUCOSE EXT AG 500G Ea/1 1.953.240
674 211764 - BOTTLE TRYPTICASE SOY AG L&P80 500G Ea/1 2.243.520
675 211768 - BOTTLE TRYPTICASE SOY BROTH USP/EP 500G Ea/1 1.402.200
676 211795 - BOTTLE UREA AGAR BASE BBL 500G Ea/1 2.430.480
677 211825 - BOTTLE BACTO TSB CASEIN MED USP 500G Ea/1 1.402.200
678 211835 - BOTTLE LACTOSE BROTH 500G Ea/1 1.682.640
679 211836 - BOTTLE XL AGAR BASE BBL 500G Ea/1 2.243.520
680 211870 - BOTTLE GELYSATE PEPTONE 454G Ea/1 865.920
681 211925 - BOTTLE POLYSORBATE 80 100ML 1 EA Ea/1 560.880
682 212000 - BOTTLE NUTRIENT AGAR 100G Ea/1 747.840
683 212081 - BOTTLE SODIUM THIOGLYCOLLATE 100G Ea/1 2.804.400
684 212123 - BOTTLE MACCONKEY AGAR 500G Ea/1 1.870.830
685 212205 - BOTTLE ENTEROCOCCOSEL AGAR 500G Ea/1 2.616.210
686 212207 - BOTTLE ENTEROCOCCOSEL BROTH 500G Ea/1 4.485.810
687 212306 - BOTTLE MACCONKEY II AGAR 500G Ea/1 1.870.830
688 212327 - BOTTLE BCYE AGAR BASE 500G Ea/1 4.485.810
689 212330 - BOTTLE DERMATOPHYTE TEST MED BASE 500G Ea/1 10.279.110
690 212346 - BOTTLE MYCOPLASMA BROTH BASE FREY 500G Ea/1 4.485.810
691 212357 - BOTTLE EGG YOLK TELLURITE ENRICHMENT BOX/6 2.055.330
692 212392 - BOTTLE HEMOGLOBIN FREEZE-DRIED 500G Ea/1 1.681.410
693 212961 - BOTTLE CHROMAGAR CANDIDA 500 GM Ea/1 4.485.810
694 212962 - BOTTLE CHROMAGAR ORIENTATION 500 G Ea/1 5.232.420
695 213400 - BOTTLE POTATO DEXTROSE AGAR 500G Ea/1 1.121.760
696 214880 - BOTTLE MODIFIED MTEC AGAR 500 GM Ea/1 18.686.160
697 214892 - BOTTLE CAMPYLOBACTER AGAR BASE 500G Ea/1 5.606.340
698 215530 - BOTTLE DEXTROSE 500G Ea/1 559.650
699 215810 - BOTTLE ESCULIN 10G Ea/1 1.142.670
700 215910 - BOTTLE L-ARABINOSE 25G Ea/1 1.402.200
701 217020 - BOTTLE D-MANNITOL 500G Ea/1 1.120.530
702 217510 - BOTTLE RHAMNOSE 25 G Ea/1 1.681.410
SHB KESEHATAN 266

1 2 3 4
703 217820 - BOTTLE SOLUBLE STARCH 500G Ea/1 1.120.530
704 218010 - BOTTLE TREHALOSE 10G Ea/1 559.650
705 218081 - BOTTLE REINFORCED CLOSTRIDIAL 500G Ea/1 2.431.710
706 218581 - BOTTLE RAPPAPORT VASSILIDAS R10 BR 500G Ea/1 1.682.640
707 220110 - BOTTLE BROM CRESOL PURPLE 5G Ea/1 741.690
708 222200 - BOTTLE EC MEDIUM WITH MUG 500G Ea/1 2.803.170
709 224820 - BOTTLE SODIUM DESOXYCHOLATE 100G Ea/1 1.869.600
710 225250 - BOTTLE MUELLER HINTON AGAR 500G Ea/1 1.869.600
711 225650 - BOTTLE FLUID THIOGLYCOLLATE MED 500G Ea/1 1.869.600
712 225710 - BOTTLE NIH THIOGLYCOLLATE BROTH 500G Ea/1 2.804.400
713 226540 - BOTTLE TRIPLE SUGAR IRON AGAR 500G Ea/1 2.430.480
714 227310 - BOTTLE DESOXYCHOLATE AGAR 500G Ea/1 2.243.520
715 228530 - BOTTLE BRILLIANT GREEN AGAR 500G Ea/1 1.682.640
716 228950 - BOTTLE GC MEDIUM BASE 500G Ea/1 1.869.600
717 231430 - BOTTLE EC MEDIUM 500G Ea/1 1.869.600
718 232100 - BOTTLE SKIM MILK 500G Ea/1 747.840
719 232210 - BOTTLE NIACIN ASSAY MEDIUM 100G Ea/1 936.030
720 234000 - BOTTLE NUTRIENT BROTH 500G Ea/1 2.991.360
721 236950 - BOTTLE TRYPTIC SOY AGAR 500G Ea/1 1.870.830
722 237500 - BOTTLE BRAIN HEART INFUSION 500G Ea/1 2.804.400
723 239110 - BOTTLE YEAST CARBON BASE 100G Ea/1 936.030
724 239210 - BOTTLE YEAST NITROGEN BASE 100G Ea/1 655.590
725 239520 - BOTTLE MALONATE BROTH 500G Ea/1 3.737.970
726 241210 - BOTTLE PPLO AGAR 500G Ea/1 2.616.210
727 244400 - BOTTLE HEART INFUSION AGAR 500G Ea/1 2.991.360
728 244420 - BOTTLE LOWENSTEIN MEDIUM BASE 500G Ea/1 1.121.760
729 244520 - BOTTLE LB AGAR MILLER 500G Ea/1 1.870.830
730 245123 - KIT BACTEC MGIT 960 SIRE Ea/1 3.157.410
731 247940 - BOTTLE PLATE COUNT AGAR 500G Ea/1 1.869.600
732 248200 - BOTTLE BORDET GENGOU AGAR BASE 500G Ea/1 3.177.090
733 254100 - BOTTLE STOCK CULTURE AGAR 500G Ea/1 9.344.310
734 264300 - BOTTLE TRYPTOSE AGAR 500G Ea/1 3.177.090
SHB KESEHATAN 267

1 2 3 4
735 265020 - BOTTLE TCBS AGAR 500G Ea/1 1.869.600
736 268620 - BOTTLE D/E NEUTRALIZING AGAR 500G Ea/1 4.485.810
737 268740 - BOTTLE SELENITE CYSTINE BROTH 500G Ea/1 3.177.090
738 268820 - BOTTLE OF BASAL MEDIUM 500G Ea/1 2.430.480
739 270100 - BOTTLE LOEFFLER BLOOD SERUM 500G Ea/1 6.542.370
740 271120 - BOTTLE YEAST MOLD BROTH 500G Ea/1 1.402.200
741 271210 - BOTTLE YEAST MOLD AGAR 500G Ea/1 2.243.520
742 273300 - BOTTLE BISMUTH SULFITE AGAR 500G Ea/1 2.804.400
743 273520 - BOTTLE MIO MEDIUM 500G Ea/1 3.177.090
744 274000 - BOTTLE BRILLIANT GREEN BILE 2% 500G Ea/1 2.991.360
745 274500 - BOTTLE SS AGAR 500G Ea/1 2.430.480
746 274520 - BOTTLE PHENYLALANINE AGAR 500G Ea/1 3.737.970
747 274930 - BOTTLE M ENDO BROTH MF 500G Ea/1 2.804.400
748 277210 - BOTTLE ISP MEDIUM 4 500G Ea/1 4.485.810
749 278850 - BOTTLE XLD AGAR 500G Ea/1 1.870.830
750 279410 - BOTTLE LEPTOSPIRA MED BASE EMJH 500G Ea/1 1.402.200
751 281810 - BOTTLE MACCONKEY AGAR BASE 500G Ea/1 2.991.360
752 281910 - BOTTLE D/E NEUTRALIZING BROTH 500G Ea/1 2.616.210
753 283510 - BOTTLE CANDIDA BCG AGAR BASE 500G Ea/1 4.485.810
754 283810 - BOTTLE MYCOBACTERIA 7H11 AGAR 500G Ea/1 2.651.880
755 285340 - BOTTLE HEKTOEN ENTERIC AGAR 500G Ea/1 2.991.360
756 286220 - BOTTLE TRYPTIC SOY BROTH W/O DEXT 500G Ea/1 1.870.830
757 289020 - BOTTLE MOELLER DECARBOX BASE 500G Ea/1 4.485.810
758 292710 - BOTTLE PSEUDOMONAS ISOLATION AG 500G Ea/1 2.243.520
759 292846 - BOTTLE INHIBITORY MOLD AGAR Ea/1 2.804.400
760 294110 - BOTTLE MCCLUNG TOABE AGAR BASE 500G Ea/1 4.485.810
761 298123 - BOTTLE REGAN-LOWE CHARCOAL AGAR 500G Ea/1 3.737.970
762 298153 - BOTTLE M-PA-C AGAR 500G Ea/1 2.616.210
763 298710 - BOTTLE FLETCHER MEDIUM BASE 500G Ea/1 10.279.110
764 299068 - BOTTLE BILE ESCULIN AGAR BBL 500G Ea/1 4.672.770
765 299070 - BOTTLE BRAIN HEART INFUSION BR MOD 500G Ea/1 4.672.770
766 299769 - BOTTLE MACCONKEY II AGAR SORBITOL 500G Ea/1 1.682.640
SHB KESEHATAN 268

1 2 3 4
767 445405 - DISKETTES FORMATED 3.5IN 10 PK Ea/1 359.160
768 440887 - SOFTWARE EPICENTER PLUS Ea/1 2.216.460
769 441002-ZDL - EPICENTER WORKSTATION WITH MONITOR Ea/1 141.723.060
770 441007 - SOFTWARE EPICENTER SINGLE USER Ea/1 2.412.030
771 441009 - STARTER GROUP EPICENTER Ea/1 30.965.250
772 441041 - KIT CONNECTION EPICENTER/9000 Ea/1 20.780.850
773 441116 - KEY SECURITY USB EPICENTER Ea/1 1.694.940
774 441366 - SCANNER BARCODE PROBETEC SERVICE SPARE Ea/1 13.458.660
775 DW T3500-ZDL - EPICENTER WORKSTATION WITH MONITOR Ea/1 96.063.000
776 440910 - INSTRUMENT PHOENIXSPEC Ea/1 54.368.460
777 441743 - BACTEC MGIT 320 INSTRUMENT Ea/1 676.500.000
778 442296 - INSTRUMENT BACTEC FX40 Packaged Ea/1 405.900.000
779 442299 - INSTALL KIT Bactec FX40 Instrument Ea/1 78.228.000
780 445570 - BD BACTEC 9120 BLOOD CULTURE SYSTEM Ea/1 992.856.000
781 445800 - INSTRUMENT BACTEC 9050 Ea/1 424.596.000
782 445870 - BACTEC MGIT 960 INSTRUMENT Ea/1 1.228.179.600
783 445923 - MICRO MGIT INSTRUMENT Ea/1 30.736.470
784 448100 - PHOENIX INSTRUMENT Ea/1 1.694.940.000
785 212526 - BOTTLE GRAM CRYSTAL VIOLET 3.8L Ea/1 1.451.400
786 212531 - BOTTLE GRAM SAFRANIN 250ML BOX/4 1.060.260
787 212539 - KIT GRAM STAIN STABILIZED Ea/1 1.227.540
788 214890 - VIAL CAMPY ANTIMICRO SUPP BLASER 6 X 5ML BOX/6 5.393.550
789 221591 - VIAL E COLI H ANTISERUM H7 3ML Ea/1 2.046.720
790 221618 - TUBE SODIUM HIPPURATE BROTH 10 EA BOX/10 393.600
791 222571 - VIAL SAL O ANTIS FACTOR 10 GRP E1 3ML Ea/1 2.790.870
792 222591 - VIAL SAL O ANTIS FACTOR 19 GRP E4 3ML Ea/1 2.790.870
793 222641 - VIAL SAL O ANTIS POLY GRP A-I & VI LYO Ea/1 817.950
794 223143 - VIAL FA BUFFER DRIED 6X10G BOX/6 1.116.840
795 224061 - VIAL SAL H ANTIS POLY 3ML Ea/1 2.790.870
796 224301 - VIAL VIBRIO CHOLERAE ANTIS INABA 3ML Ea/1 3.077.460
797 224311 - VIAL VIBRIO CHOLERAE ANTIS OGAWA 3ML Ea/1 2.723.220
798 224321 - VIAL VIBRIO CHOLERAE ANTIS POLY 3ML Ea/1 2.723.220
SHB KESEHATAN 269

1 2 3 4
799 225341 - VIAL SAL O ANTISERUM POLY A LYOPHILIZED Ea/1 817.950
800 225351 - VIAL SAL O ANTISERUM POLY B LYOPHILIZED Ea/1 817.950
801 225391 - VIAL SAL H ANTISERUM POLY A 3ML Ea/1 2.790.870
802 225401 - VIAL SAL H ANTISERUM POLY B 3ML Ea/1 2.790.870
803 225411 - VIAL SAL H ANTISERUM POLY C 3ML Ea/1 2.790.870
804 225421 - VIAL SAL H ANTISERUM POLY D 3ML Ea/1 2.790.870
805 226591 - VIAL SAL O ANTISERUM FACTOR 4 GRP B 3ML Ea/1 2.790.870
806 228141 - VIAL SAL O ANTISERUM FACTOR 2 GROUP A Ea/1 2.046.720
807 228161 - VIAL SAL O ANTISERUM FACTOR 7 GRP C1 Ea/1 931.110
808 228171 - VIAL SAL O ANTISERUM FACTOR 8 GRP C2&C3 Ea/1 931.110
809 228181 - VIAL SAL O ANTISERUM FACTOR 9 GROUP D Ea/1 3.720.750
810 228201 - VIAL SAL H ANTISERUM A 3ML Ea/1 2.790.870
811 228211 - VIAL SAL H ANTISERUM B 3ML Ea/1 2.790.870
812 228221 - VIAL SAL H ANTISERUM C 3ML Ea/1 2.790.870
813 228231 - VIAL SAL H ANTISERUM D 3ML Ea/1 2.790.870
814 228271 - VIAL SAL VI ANTISERUM LYOPHILIZED Ea/1 931.110
815 228341 - VIAL SHIGELLA ANTIS POLY A LYOPHILIZED Ea/1 2.094.690
816 228351 - VIAL SHIGELLA ANTIS POLY B LYOPHILIZED Ea/1 2.094.690
817 228361 - VIAL SHIGELLA ANTIS POLY C LYOPHILIZED Ea/1 2.046.720
818 228371 - VIAL SHIGELLA ANTIS POLY D LYOPHILIZE Ea/1 2.046.720
819 229701 - VIAL E COLI O ANTISERUM O157 SEROL TEST Ea/1 3.720.750
820 230910 - VIAL DUBOS MEDIUM ALBUMIN 12X20ML BOX/12 3.720.750
821 236210 - BOTTLE NEUTRALIZING BUFFER 100G Ea/1 653.130
822 240658 - VIAL COAGULASE PLASMA RABBIT 10X3ML Ea/1 1.303.800
823 240986 - VIAL SAL O ANTISERUM GP C2 3ML Ea/1 3.720.750
824 245111 - TUBE MGIT 25 EA BOX/25 901.590
825 245119 - KIT STERILE MGIT AST SIRE Ea/1 6.504.240
826 261181 - DROPPER OXIDASE BOX/50 1.024.590
827 261185 - DROPPER INDOLE BOX/50 1.024.590
828 261187 - DROPPER DMACA INDOLE BOX/50 1.024.590
829 261190 - DROPPER FERRIC CHLORIDE BOX/50 1.024.590
830 261192 - DROPPER VOGES-PROSKAUER A BOX/50 1.024.590
SHB KESEHATAN 270

1 2 3 4
831 261193 - DROPPER VOGES-PROSKAUER B BOX/50 1.024.590
832 261194 - DROPPER INDIA INK BOX/50 1.024.590
833 261196 - DROPPER PYR REAGENT BOX/50 1.024.590
834 261197 - DROPPER NITRATE A BOX/50 1.024.590
835 261198 - DROPPER NITRATE B BOX/50 1.024.590
836 261201 - DROPPER NINHYDRIN BOX/50 1.024.590
837 261206 - DROPPER FLAGELLA STAIN BOX/50 1.675.260
838 440945 - BOARD PC VISIBLE SOURCE DRIVE 16x SPARE Ea/1 22.120.645
839 212520 - KIT TB STAIN KIT ZN Ea/1 1.122.990
840 212539 - KIT GRAM STAIN STABILIZED Ea/1 1.227.540
841 246001 - TUBE PHOENIX ID BROTH SP100 BOX/100 2.638.350
842 246003 - TUBE PHOENIX AST BROTH SP100 BOX/100 3.004.890
843 246004 - PHOENIX AST INDICATOR BOX/10 2.297.640
844 246007 - TUBE PHOENIX AST-S BROTH 100 EA BOX/100 3.020.880
845 246009 - PHOENIX AST-S INDICATOR BOX/1 2.286.570
846 440911 - KIT PHOENIXSPEC CALIBRATOR Ea/1 11.473.440
847 447157 - PHOENIX NORMALIZER PANEL Ea/1 4.221.360
848 448007 - PANEL PHOENIX NID BOX/25 3.516.570
849 448008 - PANEL PHOENIX PID BOX/25 3.516.570
850 448040 - KIT PHOENIX ST Ea/1 60.352.410
851 448600 - PANEL PHOENIX PMIC/ID 100 BOX/1 4.148.790
852 448609 - PANEL PHOENIX PMIC/ID 109 Box/25 BOX/25 4.397.250
853 448701 - PANEL PHOENIX NMIC/ID 101 BOX/25 4.419.390
854 448721 - PANEL PHOENIX NMIC/ID 121 Box/25 BOX/25 4.312.380
855 448802 - PANEL PHOENIX SMIC/ID 101 Box/25 BOX/25 4.516.560
856 448851 - PANEL PHOENIX SMIC/ID 2 Ea/1 4.573.140
857 448949 - PANEL PHOENIX UNMIC/ID 61 Ea/1 4.397.250
858 221806 - PLATE MTM II JEMBEC 10 EA BOX/10 865.920
859 220116 - CULTURE SWAB PLUS AMIES W/O CHARC SINGLE BOX/50 1.161.120
860 220221 - KIT UNIVERSAL VIRAL TRANSPORT STD SWAB BOX/50 3.047.940
861 220239 - SWAB UVT STERILE STD POLY PLASTIC SHAFT BOX/100 627.300
862 237001 - SWAB BACTEROIDES FRAGILIS 25285 Ea/1 474.780
SHB KESEHATAN 271

1 2 3 4
863 237011 - SWAB ENTEROBACTER AEROGENES 13048 Ea/1 474.780
864 237012 - SWAB ENTEROBACTER CLOACAE 13047 Ea/1 474.780
865 237013 - SWAB ENTEROCOCCUS FAECALIS 29212 Ea/1 474.780
866 237015 - SWAB ESCHERICHIA COLI 25922 Ea/1 474.780
867 237018 - SWAB STREPTOCOCCUS SP GROUP C 12388 Ea/1 474.780
868 237022 - SWAB HAEMOPHILUS INFLUENZAE 9006 Ea/1 474.780
870 237026 - SWAB MORAXELLA CATARRHALIS 25238 Ea/1 474.780
871 237033 - SWAB NEISSERIA MENINGITIDIS GRP B 13090 Ea/1 474.780
872 237042 - SWAB PROTEUS VULGARIS 13315 Ea/1 474.780
873 237044 - SWAB PSEUDOMONAS AERUGINOSA 27853 Ea/1 474.780
874 237046 - SWAB SALMONELLA TYPHIMURIUM 14028 Ea/1 474.780
875 237048 - SWAB SHIGELLA FLEXNERI 12022 Ea/1 474.780
876 237053 - SWAB STAPHYLOCOCCUS AUREUS 29213 Ea/1 474.780
877 237057 - SWAB STREPTOCOCCUS PNEUMONIAE 6305 Ea/1 474.780
879 237059 - SWAB STREPTOCOCCUS PYOGENES 19615 Ea/1 474.780
880 237067 - SWAB TRICHOPHYTON MENTAGROPHYTES 9533 Ea/1 474.780
881 237069 - SWAB YERSINIA ENTEROCOLITICA 9610 Ea/1 474.780
883 237071 - SWAB ESCHERICHIA COLI 35218 Ea/1 474.780
884 237072 - SWAB NEISSERIA GONORRHOEAE 31426 Ea/1 474.780
885 237090 - SWAB BORDETELLA BRONCHISEPTICA 10580 Ea/1 474.780
886 237097 - SWAB CANDIDA TROPICALIS 66029 Ea/1 474.780
887 237105 - SWAB CRYPTOCOCCUS NEOFORMANS 66031 Ea/1 474.780
888 237116 - SWAB ENTEROCOCCUS DURANS 6056 Ea/1 474.780
890 237129 - SWAB HAEMOPHILUS PARAINFLUENZAE 7901 Ea/1 474.780
891 237134 - SWAB MICROCOCCUS LUTEUS 49732 Ea/1 474.780
893 237165 - SWAB NEISSERIA GONORRHOEAE 49226 Ea/1 474.780
894 231039 - DISC BLANK 1/4IN DIA S&S-470 BOX/6 853.620
SHB KESEHATAN 272

1 2 3 4
895 231248 - DISC TAXO ONPG 1 EA Ea/1 321.030
896 231264 - DISC AMPICILLIN AM-10 10 EA BOX/10 861.000
897 231271 - DISC CEPHALOTHIN CF-30 10 EA BOX/10 861.000
898 231274 - DISC CHLORAMPHENICOL C-30 10 EA BOX/10 861.000
899 231275 - DISC CLINDAMYCIN CC-2 10 EA BOX/10 861.000
900 231276 - DISC CLOXACILLIN CX-1 10 EA BOX/10 861.000
901 231278 - DISC COLISTIN CL-10 10 EA BOX/10 861.000
902 231286 - DISC DOXYCYCLINE D-30 10 EA BOX/10 861.000
903 231290 - DISC ERYTHROMYCIN E-15 10 EA BOX/10 861.000
904 231293 - DISC NITROFURANTOIN F/M-300 10 EA BOX/10 861.000
905 231299 - DISC GENTAMICIN GM-10 10 EA BOX/10 861.000
906 231301 - DISC KANAMYCIN K-30 10 EA BOX/10 861.000
907 231311 - DISC NALIDIXIC ACID NA-30 10 EA BOX/10 861.000
908 231313 - DISC NEOMYCIN N-30 10 EA BOX/10 861.000
909 231315 - DISC NOVOBIOCIN NB-30 10 EA BOX/10 861.000
910 231319 - DISC OXACILLIN OX-1 10 EA BOX/10 861.000
911 231321 - DISC PENICILLIN P-10 10 EA BOX/10 861.000
912 231324 - DISC POLYMYXIN B PB-300 10 EA BOX/10 861.000
913 231328 - DISC STREPTOMYCIN S-10 10 EA BOX/10 861.000
914 231344 - DISC TETRACYCLINE TE-30 10 EA BOX/10 861.000
915 231353 - DISC VANCOMYCIN VA-30 10 EA BOX/10 861.000
916 231539 - DISC SULFAMETHOXAZOLE W/TRIM SXT 10EA BOX/10 861.000
917 231552 - DISC BACITRACIN TAXO A 10 CART BOX/10 861.000
918 231554 - DISC ETHYL HYDROCUPREINE TAXO P 10 CART BOX/10 861.000
919 231555 - DISC CARBENICILLIN CB-100 10 EA BOX/10 977.850
920 231569 - DISC TOBRAMYCIN NN-10 10 EA BOX/10 861.000
921 231593 - DISC CEFAZOLIN CZ-30 10 EA BOX/10 861.000
922 231597 - DISC AMIKACIN AN-30 10 EA BOX/10 861.000
923 231601 - DISC TRIMETHOPRIM TMP-5 10 EA BOX/10 861.000
924 231603 - DISC NETILMICIN NET-30 10 EA BOX/10 861.000
925 231607 - DISC CEFOTAXIME CTX-30 10 EA BOX/10 861.000
926 231609 - DISC PIPERACILLIN PIP-100 10 EA BOX/10 861.000
SHB KESEHATAN 273

1 2 3 4
927 231613 - DISC CEFOPERAZONE CFP-75 10 EA BOX/10 861.000
928 231619 - DISC TICARCILLIN TIC-75 10 EA BOX/10 861.000
929 231621 - DISC CEFUROXIME CXM-30 10 EA BOX/10 861.000
930 231623 - DISC CEFTIZOXIME ZOX-30 10 EA BOX/10 861.000
931 231629 - DISC AMOXICILLIN/CLAVULANIC AMC-30 10 EA BOX/10 861.000
932 231633 - DISC CEFTAZIDIME CAZ-30 10 EA BOX/10 861.000
933 231635 - DISC CEFTRIAXONE CRO-30 10 EA BOX/10 861.000
934 231641 - DISC AZTREONAM ATM-30 10 EA BOX/10 861.000
935 231645 - DISC IMIPENEM IPM-10 10 EA BOX/10 861.000
936 231647 - DISC NORFLOXACIN NOR-10 10 EA BOX/10 861.000
937 231658 - DISC CIPROFLOXACIN CIP-5 10 EA BOX/10 861.000
938 231660 - DISC AMPICILLIN/SULBACTAM SAM-20 10 EA BOX/10 861.000
939 231666 - DISC CEFMETAZOLE CMZ-30 10 EA BOX/10 861.000
940 231672 - DISC OFLOXACIN OFX-5 10 EA BOX/10 861.000
941 231682 - DISC AZITHROMYCIN AZM-15 10 EA BOX/10 861.000
942 231684 - DISC CEFPROZIL CPR-30 10 EA BOX/10 938.490
943 231692 - DISC PIPERACILLIN/TAZOBACTAM TZP100 10EA BOX/10 861.000
944 231696 - DISC CEFEPIME FEP-30 10 EA BOX/10 861.000
945 231704 - DISC MEROPENEM MEM-10 10 EA BOX/10 861.000
946 231706 - DISC LEVOFLOXACIN LVX-5 10 EA BOX/10 861.000
947 231735 - DISC TAXO TB NIACIN TEST CONTROL Ea/1 293.970
948 231742 - STRIP TAXO NITRATE TEST 1 VIAL Ea/1 533.820
949 231755 - DISC FOSFOMYCIN FOS-200 10EA BOX/10 861.000
950 231760 - DISC GATIFLOXACIN GAT-5 10EA BOX/10 861.000
951 231762 - DISC LINEZOLID 30 MCG TEN CART BOX/10 861.000
952 232043 - DISC CEFPIROME CPO-30 10 EA BOX/10 1.270.590
953 254741 - SD AMOXICILLIN AMX-25 BOX/10 1.075.020
954 260459 - DISPENSER SENSI-DISC SINGLE 6 EA BOX/6 6.838.800
955 260640 - DISPENSER SENSI-DISC DESIGNER SYSTEM Ea/1 15.629.610
956 260660 - DISPENSER SENSI-DISC SELF TAMPING 8PLACE Ea/1 15.629.610
957 260661 - DISPENSER SENSI-DISC SELF TAMPING 6PLACE Ea/1 15.629.610
958 291319 - DISC CEFOPERAZONE/SULBACTAM 75/30 10 EA BOX/10 861.000
SHB KESEHATAN 274

1 2 3 4
959 295308 - DISC CEPHALEXIN CN-30 INTERNATIONAL BOX/10 861.000
960 100-4111-01 - EXCITATION FILTER Ea/1 2.878.200
961 30-905-A572 - POWER SUPPLY TRIPLE OUTPUT Ea/1 3.362.728
962 30-905-B408 - POWER SUPPLY 15VDC Ea/1 2.390.771
963 30-905-B413 - POWER SUPPLY 5VDC 16A Ea/1 5.923.680
964 440034 - DRIVE BELT 9050 SPARE Ea/1 939.167
965 440038 - MEMBRANE SWITCH 9050 SPARE Ea/1 1.373.815
966 440039 - POWER SUPPLY SINGLE OUTPUT 9050 SPARE Ea/1 2.740.133
967 440040 - POWER SUPPLY TRIPEL OUTPUT 9050 SPARE Ea/1 2.977.953
968 440049 - CABLE DETECTOR BOARD MGIT SPARE Ea/1 2.651.880
969 440050 - DUAL CHAIN MGIT SPARE Ea/1 2.941.299
970 440053 - PCB ASSY MOTOR HEATER MGIT 960 Spares Ea/1 7.334.859
971 440054 - SET OF SLIDES DRAWER Ea/1 6.072.510
972 440056 - DRIVE RING ASSEMBLY PHOENIX SPARE Ea/1 71.164.110
973 440064 - POWER SUPPLY 5 VDC 16A PHOENIX SPARE Ea/1 4.993.800
974 440067 - BATT PAK LITHIUM 3.6V 1900mAh SPARE Ea/1 2.164.800
975 440081 - SET OF 8 FILTER EXCITATION PHX SPARE Ea/1 23.025.600
976 4405805 - MOTOR DRIVE ASSEMBLY 9050 Ea/1 18.671.400
977 4405817 - SOURCE DETECTOR MODULE Ea/1 18.671.400
978 4405827 - MODULE AMP GENERATOR 9050 F/G Ea/1 17.313.480
979 440757- DOOR ASEMBLY PHOENIX Ea/1 9.225.000
980 440764 - PCB 9050 USER INTERFACE SPARE Ea/1 4.898.967
981 440765 - PCB 9050 POWER CONTROL& DIST TESTED Ea/1 8.567.442
982 440771 - PCB 9000 STITCH MICRO/OCTART TESTED Ea/1 16.605.000
983 440773 - SENSOR THERM/RTD 960 TESTED Ea/1 6.116.790
984 440774 - PCB 960 DETECTION BOARD TESTED Ea/1 43.721.580
985 440775 - PCB 960 DRAWER INTERFACE TESTED Ea/1 33.645.420
986 440776 - PCB 960 TEMP SENSOR TESTED Ea/1 6.296.370
987 440777 - PCB 960 AC POWER & DIST TESTED Ea/1 19.141.260
988 440779 - PCB 960 DC DISTRIBUTION TESTED Ea/1 11.982.906
989 440877 - CONTROL PANEL ASSEMBLY 9050 TESTED Ea/1 29.687.280
990 441054 - DRIVE MODUL ASSY PHOENIX Ea/1 26.076.000
SHB KESEHATAN 275

1 2 3 4
991 441195 - KIT PREVENTIVE MAINT INSPECTION PHOENIX Ea/1 6.765.000
992 441363 - SCANNER BARCODE 9050 SERVICE SPARE Ea/1 8.701.512
993 441364 - SCAN BARCODE 960 ASSY SERVICE SPARES Ea/1 20.919.348
994 441636 - MANUAL USER BACTEC TOUCH PACKAGED Ea/1 4.797.000
995 441653 - CONVERTER USB TO SERIAL SPARE Ea/1 18.450.000
996 441954 - CONTROL ELECTRONICS MODULE MGIT 960 Spares Ea/1 93.978.519
997 442391 - USER SOFWARE ON USB. Users manual on CD Ea/1 2.607.600
998 443371 - POWER SUPPLY TRIPLE BACTEC 9050 SPARE Ea/1 7.072.500
999 443373 - BACTEC 9050 RETROFIT KIT POWER SUPPLY Ea/1 11.377.500
1000 445502 - DISK 9000 SYSTEM Ea/1 3.597.750
1001 445529 - LABEL BARCODE SPARE Ea/1 1.424.340
1002 445652 - CALIBRATION VERIF KIT 9000 Ea/1 5.036.850
1003 445666 - LINE CONDITIONER EUROPEAN Ea/1 40.482.990
1004 445677 - KIT SCANNER/HOLDER BACTEC 9000 Ea/1 12.593.970
1005 445809 - RTD/WIRING ASSEMBLY Ea/1 3.597.750
1006 445818 - PARTS 9000 IO MODULE 9050 Ea/1 53.977.320
1007 445844 - THERMOMETER TEMPERATURE QC Ea/1 2.463.690
1008 445872 - TEMP QC Device MGIT Instrument Ea/1 2.607.600
1009 445895 - SAMPLE MEASUREMENT MODULE MGIT Ea/1 261.867.000
1010 447101 - FILTER AIR LIGHT BAY Ea/1 1.318.560
1011 447103 - FILTER ELET BAY PHOENIX Ea/1 1.349.310
1012 447109 - PHOENIX CAROUSEL BEARING Ea/1 7.813.575
1013 447110 - PHOENIX CAROUSEL BEARING Ea/1 11.735.430
1014 447114 - PHOENIX CCD PC Board Ea/1 30.119.256
1015 447126 - PHOENIX STEPPER BRD/DC Dist Ea/1 11.498.532
1016 447132 - PHOENIX 24 VDC POWER S ASEMBLY Ea/1 15.295.911
1017 447143 - PHOENIX POWER SUPPLY +/- 15V Ea/1 2.990.561
1018 64003107 - ASSEMBLY FLOWCELL FacsCanto II Ea/1 141.853.440
1019 905-2149-01 - DRIVE BELT BACTEC 9050 Ea/1 467.400
1020 905-3101-01 - MEMBRANE SWITCH Ea/1 1.349.310
1021 905-5002-01 - USER INTERFACE PCB ASSY LED Ea/1 5.036.850
1022 212315 - KIT TB QUICK STAIN Ea/1 1.528.890
SHB KESEHATAN 276

1 2 3 4
1023 212519 - KIT TB FLUORESCENT STAIN KIT M Ea/1 1.217.700
1024 212520 - KIT TB STAIN KIT ZN Ea/1 1.122.990
1025 220909 - TUBE LOWENSTEIN-JENSEN MED SL A 100 EA BOX/100 2.676.480
1026 221388 - TUBE LOWENSTEIN JENSEN MED C 100 EA BOX/100 3.924.930
1027 231741 - STRIP TAXO TB NIACIN TEST 1 EA Ea/1 516.600
1028 240862 - KIT MYCOPREP 75ML Ea/1 1.558.410
1029 245114 - VIAL MGIT PANTA ANTIBIOTIC MIXTURE BOX/6 1.124.220
1030 245115 - BD BACTEC MGIT 960 PZA MEDIUM BOX/25 977.850
1031 245116 - VIAL MGIT OADC ENRICHMENT BOX/6 1.183.260
1032 245122 - TUBE BACTEC MGIT 7ML BOX/100 3.718.290
1033 245124 - KIT BACTEC MGIT 960 SUPPLEMENT 100 TEST Ea/1 1.773.660
1034 245128 - BD BACTEC MGIT 960 PZA DRUG KIT Ea/1 1.918.800
1035 245159 - BD MGIT TBC IDENTIFICATION TEST/25EA BOX/25 3.782.250
1036 440571 - LAMP UV TB HOOD Ea/1 3.152.490
1037 441049 - TUBE CALIBRATOR MICRO MGIT Ea/1 2.380.050
1038 445871 - CALIBRATOR KIT MGIT 960 Ea/1 3.705.990
1039 445941 - STARTER GROUP AST Ea/1 13.689.900
1040 445943 - SET AST CARRIER 5 TUBE Ea/1 1.784.730
1041 445993 - SET AST CARRIER 8 TUBE Ea/1 1.784.730
1042 445999 - KIT CALIBRATOR MGIT960 51 PK Ea/1 14.341.800
1043 447119 - LAMP UV PHOENIX Ea/1 4.122.960
1044 245159 - BD MGIT TBC IDENTIFICATION TEST/25EA BOX/25 4.009.800
1045 220221 - KIT UNIVERSAL VIRAL TRANSPORT STD SWAB BOX/50 3.047.940
1046 220239 - SWAB UVT STERILE STD POLY PLASTIC SHAFT BOX/100 627.300
1047 BDI INFUSION THERAPY SYSTEM BOX/50 1.273.050
1048 BDI INFUSION THERAPY SYSTEM BOX/50 583.481
SHB KESEHATAN 277

1 2 3 4
1055 BDI DIABETIC CARE BOX/100 52.576
1057 BDI REGIONAL ANESTHESIA BOX/10 650.670
1058 BDI REGIONAL ANESTHESIA BOX/25 1.166.963
1071 BDI DIABETIC CARE Ea/1 3.991
1072 BDI DIABETIC CARE Ea/1 3.991
SHB KESEHATAN 278

1 2 3 4
1098 BDI INJECTION SYSTEM BOX/100 147.600
SHB KESEHATAN 279

1 2 3 4
1125 BDI INJECTION SYSTEM Ea/1 84.132
1134 BDI REGIONAL ANESTHESIA Ea/1 12.300.000
1140 BDI INJECTION SYSTEM BOX/40 1.574.400
SHB KESEHATAN 280

1 2 3 4
1153 364314 - SYR ABG PRESET 3(1.6) LL 22X1 CE Ea/1 24.354
1154 364376 - SYR ABG ALINE 3(1) S/T CE Ea/1 16.605
1155 364413 - SYR ABG PRESET 1(.6) S/T 23X1 CE Ea/1 24.354
1156 364314 - SYR ABG PRESET 3(1.6) LL 22X1 CE BOX/100 2.435.400
1157 364376 - SYR ABG ALINE 3(1) S/T CE BOX/100 1.660.500
1158 364413 - SYR ABG PRESET 1(.6) S/T 23X1 CE BOX/100 2.435.400
1159 363080 - TUBE CIT PLH 13X75 1.8 PLBL CE L/BL .109 BOX/100 309.960
1160 369714 - TUBE CIT GH 13X75 4.5 PLBL L/BL BOX/100 348.090
1161 367841 - TUBE EDTA PLH 13X75 2.0 PLBL LAV BOX/100 300.120
1162 367856 - TUBE EDTA PLH 13X75 3.0 PLBL LAV BOX/100 308.730
1163 368857 - TUBE EDTA PLH 13X75 3.0 BLBLCE LAV BOX/100 300.120
1164 367921 - TUBE GLU PLH 13X75 2.0 PLBL GR BOX/100 359.160
1165 364879 - HOLDER STANDARD YELLOW BULK CE Ea/1 1.415
1166 368872 - HOLDER PRONTO QUICK RELEASE 20PAC X 5 CE Ea/1 46.125
1167 366592 - LANCET CONT-ACT PURPLE 30GX1.5MM BOX/200 1.244.760
1168 366593 - LANCET CONT-ACT PINK 21G X 1.8MM BOX/200 1.281.660
1169 366594 - LANCET CONT-ACT BLUE 1.5MM x 2.0MM BOX/200 1.234.920
1170 368100 - LANCET QUICKHEEL LAV 0.55MMx1.75MM BOX/50 758.910
1171 368101 - QUICKHEEL LANCET 50Ea BOX/50 758.910
1172 369523 - SENTRY 23Gx1.5MM SAFETY LANCET GREEN CE BOX/200 631.176
1173 369528 - SENTRY 28Gx1.5MM SAFETY LANCET ORANGE CE BOX/200 594.048
1174 366593 - LANCET CONT-ACT PINK 21Gx1.8MM BOX/200 1.281.660
1175 366594 - LANCET CONT-ACT BLUE 1.5MM x 2.0MM BOX/200 1.234.920
1176 368101 - LANCET QUICKHEEL TEAL 1.00MMx2.5MM 50Ea BOX/50 758.910
1177 301746 - NEEDLE FLASHBACK 21X1 BOX/50 148.830
1178 301747 - NEEDLE FLASHBACK 22X1 BOX/50 148.830
1179 360211 - NEEDLE CNV 22X1.5 MLTSMP CE BOX/100 221.400
1180 360213 - NEEDLE CNV 21X1.5 MLTSMP CE BOX/100 221.400
1181 367287 - WINGSET SLBCS 21X.75LUER BOX/50 728.160
1182 367292 - WINGSET SLBCS 23X.75 7LUER BOX/50 645.750
SHB KESEHATAN 281

1 2 3 4
1183 367294 - WINGSET SLBCS 25X.75 7LUER BOX/50 645.750
1184 367203 - TOURNIQUET STRETCH LATEX FREE BOX/25 159.900
1185 367812 - TUBE PLN PLH 13X75 4.0 PLBL RD BOX/100 282.900
1186 367815 - TUBE PLN PLH 13X100 6.0 PLBL RD BOX/100 305.040
1187 367820 - TUBE PLN PLC 16X100 10.0 PLBL RD BOX/100 321.030
1188 367953 - TUBE SST II PLH 16X100 8.5 PLBL CE GLD BOX/100 576.870
1191 363083 - TUBE CIT PLH 13x75 2.7 PLBL CE L/BL.109 BOX/100 309.960
1192 365963 - TUBE MICRO W/MICROGARD PLN RD BOX/50 303.810
1193 365965 - TUBE MIKRO W/MICROGARD LIHEP GN BOX/50 320.465
1194 365974 - TUBE MICRO W/MICROGARD EDTA LAV BOX/50 319.800
1195 365985 - TUBE MICRO W/MICROGARD PST MTGN BOX/50 335.790
1196 367290 - LUER ADAPTER MULTI SAMPLE BOX/100 284.130
1197 367884 - TUBE LIHEP PLH 13X75 4.0 PLBL GN BOX/100 318.570
1198 367962 - TUBE PST PLH 13X100 4.5 PLBL L/GN BOX/100 418.200
1199 368380 - VACUTAINER TUBE TRACE ELEMENT SERUM 100Ea BOX/100 670.350
1200 365963 - TUBE MICRO W/MICROGARD PLN RD BOX/50 303.810
1201 365974 - TUBE MICRO W/MICROGARD EDTA LAV BOX/50 319.800
1202 150462 - PREMIUM SKIN STAPLE REMOVER Ea/1 307.500
1203 172015 - SURGINEEDLE 120MM INSTRUMENT Ea/1 492.000
1204 172016 - SURGINEEDLE 150MM LONG INSTR. Ea/1 430.500
1205 173022 - AUTO SUTURE ENDO CLOSE Ea/1 1.476.000
1206 173030 - ENDO GRASP 5MM INSTRUMENT Ea/1 1.968.000
1207 173049 - ENDO CATCH II SPECIMEN RETRIEVA POUCH 15MM Ea/1 3.690.000
1208 173050G - ENDO CATCH GOLD 10MM SPECIMEN Ea/1 2.460.000
1209 174006 - PROTACK 5MM INSTRUMENT Ea/1 4.059.000
1210 174213 - ROTIC ENDO DISSECT 5MM INSTRUMENT Ea/1 5.904.000
1211 174233 - ROTIC ENDO GRASP 5MM SPIN LOCK Ea/1 5.904.000
1212 174309 - ROTIC ENDO MINI-SHEARS 5MM INST Ea/1 6.150.000
1213 174317 - ENDO CLINCH II 5MM INSTR. Ea/1 2.214.000
1214 176615 - ENDO CLIP APPLIER M/L CLIPS Ea/1 3.567.000
SHB KESEHATAN 282

1 2 3 4
1215 176620 - ENDO CLIP 5MM APPLIER Ea/1 7.995.000
1216 176625 - ENDO CLIP APPLIER LARG CLIPS Ea/1 3.567.000
1217 176630 - ENDO CLIP III 5MM APPLIER Ea/1 6.396.000
1218 176643 - ENDO SHEARS 5MM INSTRUMENT Ea/1 1.968.000
1219 176645 - ENDO DISSECT 5MM INSTRUMENT Ea/1 1.968.000
1220 176657 - ENDO CLIP II MED/LRG APPLIER Ea/1 3.567.000
1221 179093F - VERSAPORT V2 5MM SHORT W/ FIX Ea/1 1.722.000
1222 179094 - VERSAPORT V2 TROCAR 5MM Ea/1 1.722.000
1223 179094F - VERSAPORT V2 5MM W/ FIXATION Ea/1 1.722.000
1224 179095P - VERSAPORT V2 5?11MM TROCAR Ea/1 1.722.000
1225 179095PF - VERSAPORT PLUS V2 11MM W/ FIX Ea/1 1.722.000
1226 179096P - VERSAPORT AUTO SUTURE V2 BLADED TROCAR Ea/1 1.722.000
1227 179096PF - VERSAPORT PLUS V2 12MM W/ FIX Ea/1 1.722.000
1228 179097PF - VERSAPORT PLUS V2 12MM LONG W/ FIX Ea/1 1.845.000
1229 21-345 - CLEARIFY VISUALIZATION SYSTEM Ea/1 1.599.000
1230 8886803712 - APPOSE 35W SKIN STAPLER Ea/1 307.500
1231 ABSTACK20S - SHT SGL USE ABS 5MM 20 TACKS Ea/1 4.920.000
1232 ABSTACK30 - ABS FIXATION DEVICE 30 TACKS Ea/1 4.920.000
1233 EEA21 - EEA SINGLE - USE STAPLER 21MM Ea/1 8.610.000
1238 EGIA30AMT - EGIA 30 MED THICK SULU Ea/1 3.382.500
1239 EGIA30AVM - EGIA 30 VASCULAR MED SULU Ea/1 3.382.500
1240 EGIA45AMT - EGIA 45 MED THICK SULU Ea/1 3.382.500
1242 EGIA45AXT - EGIA 45 EXTRA THICK SULU Ea/1 3.382.500
1243 EGIA60AMT - EGIA 60 MEDIUM THICK SULU Ea/1 3.382.500
1245 EGIA60AXT - EGIA 60 EXTRA THICK SULU Ea/1 3.382.500
1246 EGIA60CTAMT - EGIA 60 CURVED MED THICK SULU Ea/1 3.382.500
SHB KESEHATAN 283

1 2 3 4
1247 EGIA60CTAVM - EGIA 60 CURVED VAS MED SULU Ea/1 3.382.500
1248 EGIARADMT - ENDO GIA RADIAL RELOAD PURPLE Ea/1 6.494.400
1249 EGIAUSTND - EGIA 4 HANDLE STANDARD Ea/1 5.535.000
1250 EGIAUXL - EGIA 4 HANDLE XL Ea/1 7.380.000
1251 GIA10038L - GIA SINGLE USE LOADING 100-3.8 Ea/1 1.107.000
1252 GIA10038S - GIA SINGLE USE RELOADABLE STAPLER 100-3.8 Ea/1 7.380.000
1263 GIA80RS - RELIAMAX LOADING UNIT 8038 Ea/1 1.107.000
1264 GIA80RS - RELIAMAX LOADING UNIT 8048 Ea/1 1.168.500
1265 GIA80RS - RELIAMAX REUSABLE STAPLER 80 Ea/1 55.350.000
1266 HEM3335 - HEMORRHOID 33MM STAPLER 3.5MM Ea/1 8.241.000
1267 HEM3348 - HEMORRHOID 33MM STAPLER 4.8MM Ea/1 8.241.000
1268 NB11STF - BLADELESS VP 11MM ST FIXATION Ea/1 2.091.000
1269 NB12LGF - BLADELESS VP 12MM LG FIXATION Ea/1 2.091.000
1272 NB5LGF - VP BLADELESS 5MM LG W FIXATION Ea/1 1.968.000
1273 NB5SHF - BLADELESS VP 5MM SH W FIXATION Ea/1 1.722.000
1274 NB5STF - BLADELESS VP 5MM ST W FIXATION Ea/1 1.722.000
1275 ONB12LGF - VERSAPORT V2 OPT 12MM LONG TROCAR Ea/1 2.706.000
1276 ONB12STF - VERSAPORT V2 OPT 12MM STD TROCAR Ea/1 1.968.000
1277 ONB5LGF - VERSAPORT V2 OPT 5MM LNG TROC Ea/1 1.968.000
1278 ONB5SHF - VERSAPORT V2 OPT 5MM SHT TROCAR Ea/1 1.722.000
SHB KESEHATAN 284

1 2 3 4
1279 ONB5STF - VERSAPORT V2 OPT 5MM STD TROCAR Ea/1 1.722.000
1280 ONB5STF2C - VERSAPORT V2 OPT 5MM STD DUAL Ea/1 2.214.000
1281 ONBFCA12LG - VERSAPORT V2 OPT 12MM LONG CANNULA Ea/1 1.599.000
1282 ONBFCA12ST - VERSAPORT V2 OPT 12MM STD CANNULA Ea/1 1.353.000
1283 ONBFCA5LG - VERSAPORT V2 OPT 5MM LNG CANN Ea/1 738.000
1284 ONBFCA5SH - VERSAPORT V2 OPT 5MM SHT Ea/1 861.000
1285 ONBFCA5ST - VERSAPORT V2 OPT 5MM STD CANNULA Ea/1 861.000
1286 PP1208DL - PARIETENE PROGRIP LT PPL/PLA Ea/1 2.484.600
1287 PP1208DR - PARIETENE PROGRIP RT PPL/PLA Ea/1 2.484.600
1288 PP1509G - PARIETENE PROGRIP PPL/PLA Ea/1 2.706.000
1289 PPL0611X3 - PARIETENE LIGHT PP 6X11CM X3 Ea/1 3.690.000
1290 PPL0611X3 - PARIETENE LIGHT PP 6X11CMX3 BOX/3 3.690.000
1291 PPL3030 - PARIETENE LIGHT PP 30X30CM X1 Ea/1 3.567.000
1292 SGL1 - CHROMIC SURGITIE 0 53CM Ea/1 861.000
1293 SGL3 - CHROMIC SURGITIE 0 45CM Ea/1 676.500
1294 SILSPT12TA - SILS FLEXIBLE PORT 12MM TROCAR Ea/1 11.193.000
1295 SILSPT5TA - SILSPORT W 5MM OBTURATOR Ea/1 8.241.000
1296 TA4535L - TA SULU BLUE 45-3.5 Ea/1 664.200
1297 TA4535S - TA SU RELOAD STAPLER 45-3.5 Ea/1 5.535.000
1298 TA4548L - TA SULU GREEN 45-4.8 Ea/1 664.200
1308 TCM1106 - PARIETEX MONO POLY MESH 11X6CM Ea/1 861.000
1309 TCM1106X3 - PARIETEX MONO POLY MESH 11X6CM Ea/1 2.460.000
1310 TCM1106X3 - PARIETEX MONO POLY MESH 11X6CM(3) BOX/3 2.460.000
SHB KESEHATAN 285

1 2 3 4
1311 TCM1510X3 - PARIETEX MONO POLY MESH 15X10CM(3) BOX/3 2.706.000
1312 TCM1510X3 - PARIETEX MONO POLYMESH 15X10CM Ea/1 2.706.000
1313 TCM3030 - PARIETEX MONO POLYMESH 30X30CM Ea/1 1.722.000
1314 TECT1510ADP2L - PARIETEX ANAT LT FOLD PY 15X10 Ea/1 3.075.000
1315 TECT1510ADP2R - PARIETEX ANAT LT FOLD PY 15X10 Ea/1 3.075.000
1316 TECT1510AL - PARIETEX ANAT LT STD PY 15X10 Ea/1 1.845.000
1317 TECT1510AR - PARIETEX ANAT RT STD PY 15X10 Ea/1 1.845.000
1318 TEM1208GL - PARIETEX PROGRIP Ea/1 1.722.000
1319 TEM1208GR - PARIETEX PROGRIP Ea/1 1.722.000
1320 TEM1509G - PARIETEX PROGRIP Ea/1 1.722.000
1321 WPLG914 - WOUND PROTECTOR LARGE INCISION SIZE 9 - 14 CM Ea/1 1.230.000
1322 WPMD509 - WOUND PROTECTOR MEDIUM INCISION SIZE 5 - 9 CM Ea/1 984.000
1323 WPSM256 - WOUND PROTECTOR SMALL INCISION SIZE 2.5 - 6 CM Ea/1 861.000
1324 WPXSM24 - SURGISLEEVE WOUND PROTECTOR Ea/1 1.230.000
1325 001156-74 UNIPLEX NanoLine UP3/50 22G(0.70)x50mm PCS 184.500
1326 001156-77 UNIPLEX NanoLine UP3/100 21G(0.80)x100mm PCS 202.950
1327 0331152-51 EPILONG KIT Touhy Needle18Gx90MM PCS 455.100
1328 111151-27A PAJUNK SPROTTE Cannula 27Gx35MM PCS 116.850
1329 1151-94-32 NERVESTIMULATOR MULTISTIM SENSOR PCS 25.830.000
1330 1185-3E080 SONOTAP Cannula 22Gx 80mm PCS 258.300
1331 1185-71 SONOPLEX STIM CANNULA 22G X 80 MM PCS 258.300
1334 121151-27A STANDARD SPROTTE 27Gx31/2 (90MM) PCS 104.550
1335 151151-27A PAJUNK SPROTTE Cannula 27Gx120MM PCS 135.300
1336 21151-30CS INTRALONG SET PCS 645.750
1337 21351-18 EPISPIN LOCK 25G PCS 608.850
1338 21351-30 EPISPIN LOCK 27G PCS 615.000
1339 304B000001 - PAJUNK DELTACUT BIOPSY SYSTEM PCS 36.900.000
1340 315S120200 - PAJUNK DELTACUT BIOPSY NEEDLE 18Gx200mm PCS 430.500
1341 331151-31B STANDARD SPROTTE Needle 20Gx3 1/2 (90MM) PCS 159.900
SHB KESEHATAN 286

1 2 3 4
1344 521156-31A PLEXOLONG Nanoline 19Gx100mm PCS 799.500
1345 531156-31A PLEXOLONG Nanoline 19Gx50mm PCS 799.500
1346 ROSSMAX ADULT PROBE PA100 PCS/1 953.250
1347 ROSSMAX CHILD PROBE PC100 PCS/1 1.014.750
1348 ROSSMAX DISPOSABLE PRODE PD100(Box/1PC) BOX/1 270.600
1349 ROSSMAX PULSE OXIMETER FINGERTIP SB100 BOX/1 1.845.000
1350 ROSSMAX PULSE OXIMETER FINGERTIP SB220 BOX/1 2.460.000
1351 ROSSMAX PULSE OXIMETER PALPUS HANDHELD SA310 ADULT PCS/1 10.455.000
1352 ROSSMAX PULSE OXIMETER SA210 ADULT PALPUS HANDHELD BOX/1 9.840.000
1353 ROSSMAX PULSE OXIMETER SA210 CHILD PALPUS HANDHELD BOX/1 9.840.000
1354 ROSSMAX PULSE OXIMETER SA310 CHILD PALPUS HANDHELD BOX/1 10.455.000
1355 ROSSMAX PULSE OXIMETER SB-200 BOX/1 2.460.000
1356 01GC10 - SD Check Gold Meter UNT/1 369.000
1357 01GM11 - SD Codefree BGMS UNT/1 492.000
1358 01GS10 - SD Check Gold Test Strip(Box/50Test) BOX/50 215.724
1359 01GS11 - SD Codefree Strip(Box/50Test) BOX/50 307.500
1360 1000139 - ALERE INRATIO PT/INR Test /48EA BOX/48 1.599.000
1361 100071 - ALERE INRATIO PT/INR Test /12EA BOX/12 430.500
1362 1116043 - AFINION ACR(Box/15Test) BOX/15 2.261.970
1363 1116046 - AFINION ACR Control (Box/2vL) BOX/2 615.000
1364 1116049 - AFINION AS100 Analyzer UNT/1 75.645.000
1365 1116057 - AFINION CRP Control (Box/4vL) BOX/4 1.156.200
1366 1116058 - AFINION CRP(Box/15Test) BOX/15 1.353.000
1367 1116062 - AFINION HbA1c(Box/15Test) BOX/15 1.499.063
1368 1116067 - AFINION HBA1C Control (Box/2vL) BOX/2 615.000
1369 1116069 - AFINION LIPID PANEL(Box/15Test) BOX/15 6.457.500
1370 1116072 - AFINION LIPID PANEL Control (Box/2vL) BOX/2 4.751.490
1371 200431 - ALERE INRATIO 2 PT/INR Pro. Testing Kit BOX/1 6.150.000
1372 200433 - ALERE INRATIO 2 PT/INR Home Monitoring Kit BOX/1 6.150.000
1373 55071 - ALERE TRIAGE Meter Pro/Unit UNT/1 48.708.000
SHB KESEHATAN 287

1 2 3 4
1375 88734 - ALERE TRIAGE TOTAL 3 Control 2 (5 Tube) BOX/5 892.980
1378 97300EU - ALERE TRIAGE PROFILE SOB PANEL Test /25EA BOX/25 13.022.625
1381 98000XR - ALERE TRIAGE BNP Test /25EA BOX/25 4.464.900
1384 98100 - ALERE TRIAGE D-DIMER Test /25EA BOX/25 3.162.638
1387 98430EU - ALERE NGAL Test /25EA BOX/25 8.456.250
1388 98600EU - ALERE TROPONIN 1 Test /25EA BOX/25 2.706.000
1389 98700EU - ALERE NT PRO BNP Test /25EA BOX/25 5.359.725
1390 01FK10 - SD Bioline HBsAg(Box/30 Test) BOX/30 974.160
1391 01FK10W - SD Bioline HBsAG (Box/30Test) BOX/1 974.160
1392 01FK11 - SD Bioline HBsAg(Box/100 Test) BOX/100 2.300.100
1393 01FK11W - SD Bioline HBsAG (Box/100Test) BOX/1 2.300.100
1394 01FK12 - SD Bioline HBsAg Fast(Box/100 Test) BOX/100 1.826.550
1397 01FK30 - SD Bioline HBeAg Strip(Box/30Test) BOX/30 1.826.550
1404 04FK20 - SD Bioline H.Pylori Ag(Box/20Test) BOX/20 2.624.820
1405 05FK30 - SD Bioline Malaria Ab P.f/p.v(Box/30 Test) BOX/30 2.394.810
1406 05FK60 - SD Bioline Malaria Ag P.f/Pan(Box/25 Test) BOX/25 1.995.675
SHB KESEHATAN 288

1 2 3 4
1407 05FK80 - SD Bioline Malaria Ag(Box/25 Test) BOX/25 1.995.675
1410 06FK11 - SD Syphilis(Box/100 Test) BOX/1 2.952.000
1411 07FK20 - SD Bioline Rubella IgG/IgM(Box/25 Test) BOX/25 2.306.250
1412 08FK50 - SD Bioline TB Ag MPT64(Box/25Test) BOX/25 2.198.625
1413 09FK10 - SD Bioline Chamydia(Box/25Test) BOX/25 1.691.250
1414 11FK10 - SD Bioline Dengue IgG/IgM(Box/25 Test) BOX/25 2.198.625
1415 11FK20 - SD Bioline Dengue IgG/IgM W/B(Box/25Test) BOX/25 2.198.625
1416 11FK45 - SD Bioline Dengue Duo(NS1 Ag+Ab Combo Box/10 Test) BOX/10 1.826.550
1417 11FK46 - SD Bioline Dengue Duo(NS1 Ag+Ab Combo Box/25test) BOX/25 3.889.875
1418 11FK50 - SD Bioline Dengue NS1(Box/25 Test) BOX/25 3.213.375
1419 13FK10 - SD Bioline HAV IgG/IgM(Box/25 Test) BOX/25 3.044.250
1420 14FK10 - SD Bioline Rotavirus(Box/20 Test) BOX/20 2.435.400
1421 15FK12 - SD Bioline Salmonella typhi IgG/IgM(Box/25 Test) BOX/25 1.961.850
1422 16FK40 - SD Bioline Leptospira IgG/IgM(Box/30 Test) BOX/30 2.638.350
1423 17FK10 - SD Bioline Hantaan Virus(Box/30Test) BOX/30 2.583.000
1424 19FK12 - SD Bioline Influenza Ag(Box/25Test) BOX/25 3.889.875
1425 20FK10 - SD Bioline AFP(Box/30 Test) BOX/30 1.291.500
1426 21FK10 - SD Bioline CEA(Box/30 Test) BOX/30 1.291.500
1427 22FK10 - SD Bioline PSA(Box/30 Test) BOX/30 1.291.500
1428 25FK12 - SD Bioline FOB(Box/50 Test) BOX/50 2.367.750
1429 30FK10 - SD Bioline hCG(Box/25Test) BOX/25 456.638
1430 30FK12 - SD Bioline hCG Fast(Box/100 Test) BOX/100 1.109.460
1431 31FK10 - SD Bioline LH(Box/25 Test) BOX/25 777.975
1432 45FK12 - SD Bioline Step A(Box/25Test) BOX/25 1.522.125
1433 46FK10 - SD Bioline Chikungunya IgM(Box/25 Test) BOX/25 3.382.500
1434 50FK10 - SD Bioline MOP (Box/25 Test) BOX/25 676.500
1437 50FK20 - SD Bioline MET(Box/25 Test) BOX/25 676.500
1438 50FK30 - SD Bioline AMP(Box/25 Test) BOX/25 676.500
SHB KESEHATAN 289

1 2 3 4
1439 50FK40 - SD Bioline COC(Box/25 Test) BOX/25 676.500
1440 50FK50 - SD Bioline THC(Box/25Test) BOX/25 676.500
1441 90FK10 - SD Bioline Troponin I(Box/25Test) BOX/25 1.353.000
1442 505798J - ALERE TEST PACK+PLUS hCG with OBC (Box/20) BOX/20 901.590
1443 505805J - ALERE TEST PACK+PLUS hCG COMBO with OBC(URINE+SERUM) (Box/20)
BOX/20 901.590
1444 10UK01G - SD UroColor 1G(Btl/100 Test) BTL/100 123.000
1447 UM0120 - SD Urometer 120 UNT/1 20.295.000
1448 UM0720 - SD UroMeter 720 UNT/1 40.590.000
1449 SKYLA BASIC BIOCHEMISTRY Panel (ALB. ALT. BUN. CREA. GLU. TP. UA) PCS 338.250
1450 SKYLA CLINICAL Chemistry Analyzer PCS 178.350.000
1451 SKYLA GENERAL Biochemistry Panel (ALB. ALP.ALT.AST.BUN. CREA. GGT.GLU.TBIL.

PCSTC.TP.UA) 553.500
1452 SKYLA LIPID Panel (GLU. HDL. TC.TG.LDL.VLDL) PCS 399.750
1453 SKYLA LIVER Panel (ALB.ALP.ALT.AST.DBIL.GGT.GLU.TP.IBIL) PCS 461.250
1454 SKYLA METABOLIC Panel (ALB. ALT.AST.BUN. Ca.Cl. CREA.GLU.K. Na.PHOS.TP.UA)

PCS 584.250
1455 SKYLA RENAL Panel (ALB. BUN. CA. CPK. CREA. GLU. K. Na. PHOS) PCS 461.250
1456 STARDEC 3 PLY SMALL PACK/5PSC SURGICAL MASK EARLOOP PAK/1 7.934
1457 STARDEC 3 PLY SURGICAL MASK EARLOOP BOX/50 49.200
1458 STARDEC 3 PLY SURGICAL MASK TIE ON BOX/50 49.200
1459 STARDEC BLUE TIP (500/Pack) PAK/500 107.625
1460 STARDEC CONICAL TUBE-15ml(BAG/50) BAG/50 196.800
1461 STARDEC CONICAL TUBE-50ml(BAG/50) BAG/50 258.300
1462 STARDEC CONNECTION TUBE Size 1/4, Length 180cm PCS/1 43.050
1463 STARDEC DIGITAL THERMOMETER MT 201/Pcs PCS/1 43.050
1464 STARDEC DIGITAL THERMOMETER MT 301/Pcs PCS/1 73.800
1465 STARDEC ENDOTRACHEAL TUBE CUFFED-Size 6.5 PCS/1 61.500
1469 STARDEC ENDOTRACHEAL TUBE UNCUFFED-Size 2.0 PCS/1 49.200
1470 STARDEC ENDOTRACHEAL TUBE UNCUFFED-Size 3.0 PCS/1 49.200
SHB KESEHATAN 290

1 2 3 4
1471 STARDEC FEEDING TUBE FR10 3.33MM 52CM PCS/1 9.533
1481 STARDEC INFUSION SET LUER SLIP NEW(Box/50) BOX/50 436.650
1482 STARDEC INFUSION SET NEW(Box/50) BOX/50 436.650
1483 STARDEC INFUSION SET With Y Connector(Luer Lock) BOX/50 553.500
1484 STARDEC INFUSION SET With Y Connector(Luer Slip) BOX/50 553.500
1485 STARDEC LATEX EXAM POWDERED GLOVES-L(Box/100's) BOX/100 88.560
1486 STARDEC LATEX EXAM POWDERED GLOVES-M(Box/100's) BOX/100 88.560
1487 STARDEC LATEX EXAM POWDERED GLOVES-S(Box/100's) BOX/100 88.560
1488 STARDEC LATEX EXAM POWDERED GLOVES-XL(Box/90's) BOX/90 88.560
1489 STARDEC LATEX EXAM POWDERED GLOVES-XS(Box/100's) BOX/100 88.560
1490 STARDEC MASKER HIJAB Dispo. SURGICAL MASK(Box/50) BOX/50 49.200
1491 STARDEC NASAL OXYGEN Canula-Adult Straight PCS/1 18.450
1492 STARDEC NASAL OXYGEN Canula-Child Straight PCS/1 18.450
1493 STARDEC NEBULIZER With MASK-6ml Adult Standard PCS/1 61.500
1494 STARDEC NEBULIZER With MASK-6ml Pediatric Standard PCS/1 61.500
1495 STARDEC NITRILE EXAMINATION GLOVES-L(Box/100) BOX/100 116.850
1496 STARDEC NITRILE EXAMINATION GLOVES-M(Box/100) BOX/100 116.850
1497 STARDEC NITRILE EXAMINATION GLOVES-S(Box/100) BOX/100 116.850
1498 STARDEC NITRILE EXAMINATION GLOVES-XL(Box/100) BOX/100 116.850
1499 STARDEC NITRILE EXAMINATION GLOVES-XS(Box/100) BOX/100 116.850
1500 STARDEC OXYGEN MASK-Adult Standard with 2.1m Tubing PCS/1 36.900
1501 STARDEC OXYGEN MASK-Pediatric Standard with 2.1m Tubing PCS/1 36.900
1502 STARDEC PETRI DISH-150x15mm(BAG/10) BAG/10 123.000
SHB KESEHATAN 291

1 2 3 4
1503 STARDEC PETRI DISH-90x15mm 3VentS(BAG/10) BAG/10 43.050
1504 STARDEC PLASTIC PIPETTE 3ml(BAG/100) BAG/100 246.000
1505 STARDEC SAMPLE CONTAINER 60ml(Bag/10) BAG/10 43.050
1506 STARDEC SAMPLE CUP 1.5ml(1000/Pack) PAK/1000 252.150
1507 STARDEC SAMPLE CUP 2ml/(Bag/250Ea) BAG/250 153.750
1508 STARDEC SILICON STOMACH TUBE FR10(Levin)3.33MM 120CM PCS/1 79.950
1517 STARDEC SPUTUM CONTAINER-40ml(BAG/5) BAG/5 22.140
1518 STARDEC STOOL CONTAINER-60ml RED CAP(PAK/10) BAG/10 43.050
1519 STARDEC SUCTION CATHETER Size 10 (Cap-Cone) PCS/1 7.380
1525 STARDEC SURGICAL POWDER FREE GLOVE 6 PSG/2 18.450
1526 STARDEC SURGICAL POWDER FREE GLOVE 6.5 PSG/2 18.450
1531 STARDEC SURGICAL POWDERED GLOVES-6(1Psg) PSG/1 11.070
1532 STARDEC SURGICAL POWDERED GLOVES-6.5(1Psg) PSG/1 11.070
SHB KESEHATAN 292

1 2 3 4
1537 STARDEC TEST TUBE-12x75mm 5mL(BAG/100) BAG/100 123.000
1538 STARDEC TRANFUSION SET NEW(Box/50) BOX/50 805.650
1539 STARDEC TRANSFER PIPETTE 3ml(BAG/250) BAG/250 135.300
1540 STARDEC URINE BAG PCS/1 7.995
1541 STARDEC URINE BAG (T) PCS/1 9.225
1542 STARDEC YELLOW TIP (1000/Pack) PAK/1000 142.065
SHB KESEHATAN 293

E. KELOMPOK BARANG OBAT - OBATAN (NON E-CATALOG)
1 2 3 4
* Amitriptyline 25 mg Tab Sal Sel Kotak 100 ( 10 Strip @
1 Ktk 100 19.145
10 Tablet )
* Haloperidol 0,5 mg Tab Kotak 100 ( 10 Blister @ 10
2 Ktk 100 10.363
Tablet )
* Haloperidol 1,5 mg Tab Kotak 100 ( 10 Blister @ 10
3 Ktk 100 11.530
Tablet )
4 * Haloperidol 5 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Ktk 100 15.027
5 * Tramadol 50 mg Kaps Kotak 50 ( 5 Strip @ 10 Kapsul ) Ktk 50 18.432

* Trihexyphenidyl 2 mg Tab Kotak 100 ( 10 Blister @ 10
6 Ktk 100 12.915
Tablet )
7 ** OBH INDO Plus Sirop Botol 100 ml (single box) Btl 100 ml 10.553
8 *** Diazepam 2 mg Tab Botol 100 Btl 100 12.472
9 *** Diazepam 5 mg/ml Injeksi Kotak 30 ampul @ 2 ml Ktk 30 amp @ 2 ml 154.242
Acetylcystein Kapsul 200 mg Kotak 60 (6 Strip @ 10
10 Ktk 60 73.800
Kapsul)
11 Acyclovir 200 mg Tab - Kotak 100 ( 10 Blister @ 10 Tablet ) Ktk 100 43.362
12 Acyclovir 400 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Ktk 100 63.821
13 Acyclovir 5% Krim - Ktk 25 Tube @ 5 gr (Multi Box) Ktk 25 @ tube 5 gr 71.480

Allopurinol 100 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet
14 Ktk 100 22.302
)
15 Ambroxol 15 mg/5 ml Syrup Botol 60 ml (Multi Box) Btl 60 ml 4.055
Ambroxol 30 mg Tablet Kotak 100 ( 10 Blister @ 10 Tablet
16 Ktk 100 15.992
)
17 Amlodipine 10 mg Tablet Kotak 30 ( 3 Blister @ 10 Tablet ) Ktk 30 blister 55.517
18 Amlodipine 5 mg Tablet Kotak 30 ( 3 Blister @ 10 Tablet ) Ktk 30 blister 32.172
19 Amoxicillin 125 mg/5 ml Sir Ker Botol 60 ml (multi box) Btl 60 ml 4.133
20 Amoxicillin 500 mg Kapl Kotak 100 ( 10 Strip @ 10 Kaplet ) Ktk 100 41.332
21 Antalgin 500 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Ktk 100 26.064
Asam Mefenamat 500 mg Tab Sal Sel Kotak 100 ( 10
22 Ktk 100 28.339
Blister @ 10 Tablet )
23 Bioprost Kaps Lunak Kotak 30 ( 3 Blister @ 10 Kapsul ) Ktk 30 98.093
24 Bioralit 200 ml Serbuk Kotak 25 sachet Ktk 25 sach 24.354
25 Biovision Gold Kotak 30 Ktk 30 119.497
SHB KESEHATAN 294

1 2 3 4
26 Biovision Kaps Kotak 100 ( 10 Blister @ 10 Kapsul ) Ktk 100 224.436
27 Biovision Kaps Kotak 30 ( 3 Blister @ 10 Kapsul ) Ktk 30 68.245
28 Captopril 12,5 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Ktk 100 12.165
29 Captopril 25 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Ktk 100 15.387
30 Captopril 50 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Ktk 100 25.065

Carbamazepine 200 mg Tab Kotak 100 ( 10 Strip @ 10
31 Ktk 100 35.789
Tablet )
Cefadroxil 125 mg / 5 mg Syrup Kering Botol 60 ml (Multi
32 Btl 60 ml 9.160
Box)
33 Cefadroxil 500 mg Kaps Kotak 50 ( 5 Strip @ 10 Kapsul ) Ktk 50 56.334
34 Cefixcim 100 mg kaps - Ktk 30 Ktk 30 80.248
35 Cefixime 100 mg / 5 ml Sirup Kering Btl 30 ml Btl 30 ml 33.792
36 Cefotaxime 1,0 g Injeksi Kering Kotak 2 Vial @ 10 ml Ktk 2 vial 10 ml 24.785
37 Ceftriaxone 1,0 g Injeksi Kering Kotak 2 Vial @ 10 ml Ktk 2 vial 10 ml 25.953
38 Cephalexin 500 mg Kaps Kotak 50 ( 5 Strip @ 10 Kapsul ) Ktk 50 67.024
39 Cetirizine 10 mg Kaps Kotak 50 ( 5 Strip @ 10 Kapsul ) Ktk 50 17.510

40 Cetirizine 5 mg/5 ml Sirop Botol 60 ml Btl 60 ml 11.674
41 Cetirizine Drops Botol 12 ml Btl 12 ml 30.750
Chloramphenicol 250 mg Kaps Kotak 120 ( 10 Blister @
42 Ktk 120 67.398
12 Kapsul )
43 Ciprofloxacin 500 mg Tab Kotak 100 Ktk 100 31.724
44 Ciprofloxacin Infus 2 mg/ml Vial 100 ml Vial 100 ml 63.672
Citicoline 500 mg Tablet Salut Selaput - Kotak 30 ( 3 Strip Kotak 30 (3 Strip @
45 221.400
@ 10 Tablet ) 10 Tablet)
Clindamycin 150 mg Kaps Kotak 50 ( 5 Blister @ 10
46 Ktk 50 39.262
Kapsul )
Clindamycin 300 mg Kaps Kotak 50 ( 5 Blister @ 10
47 Ktk 50 72.509
Kapsul )
48 Clonidine 0,15 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Ktk 100 22.777
49 Clopidogrel Tablet 75 Mg - Kotak 3 Strip @ 10 Ktk 3 Strip @ 10 258.300
Co Amoxiclav 625 mg Tab Sal Sel Kotak 30 ( 5 Strip @ 6
50 Ktk 30 194.837
Tablet )
51 Cotrimoxazole 480 mg Tab Botol 100 Btl 100 6.082
Cotrimoxazole 480 mg Tab Kotak 100 ( 10 Blister @ 10
52 Ktk 100 29.889
Tablet )
Cyanocobalamine 500 mcg/ml Injeksi Kotak 100 ampul @ Ktk 100 amp @ 1
53 208.634
1 ml ml
Dexamethasone 0,5 mg Tab Kotak 100 ( 10 Blister @ 10
54 Ktk 100 9.718
Tablet )
SHB KESEHATAN 295

1 2 3 4
Ktk 100 amp @ 1
55 Dexamethasone 5 mg/ml Injeksi Kotak 100 ampul @ 1 ml 223.636
ml
56 Digoxin 0,25 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Ktk 100 20.766
57 Diltiazem 30 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Ktk 100 20.327
58 Domperidon Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Ktk 100 45.087

Doxycycline 100 mg Kaps Kotak 100 ( 10 Strip @ 10
59 Ktk 100 32.502
Kapsul )
60 Erythromycin 200 mg/5 ml Sir Ker Botol 60 ml (multi box) Btl 60 ml 10.981
Erythromycin 250 mg Kaps Kotak 120 ( 10 Blister @ 12
61 Ktk 120 67.270
Kapsul )
62 Erythromycin 500 mg Tab Sal Sel Kotak 100 ( 10 Blister @ 10
KtkTablet
100 ) 103.912
Ethambutol 500 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10
63 Ktk 100 83.297
Tablet )
Famotidine 20 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10
64 Ktk 50 9.077
Tablet )
Famotidine 40 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10
65 Ktk 50 12.358
Tablet )
66 Furosemide 10 mg/ml Injeksi Kotak 25 ampul @ 2 ml Ktk 25 amp @ 2 ml 57.531
67 Furosemide 40 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Ktk 100 20.321

Gemfibrozil 300 mg Kaps Kotak 120 ( 10 Blister @ 12
68 Ktk 120 49.317
Kapsul )
Gemfibrozil 600 mg Tab Kotak 100 ( 10 Blister @ 10
69 Ktk 100 53.188
Tablet )
Gentamicin 0,1 % Salep Kulit Kotak 25 tube @ 5 g (Multi
70 Ktk 25 tube @ 5 g 51.301
Box)
71 Gentamicin 0.3% OTM - Kotak 10 Btl @ 5 ml Ktk 10 btl @ 5 ml 46.580
72 Gentamicin 40 mg/ml Injeksi Kotak 5 ampul @ 2 ml Ktk 5 amp @ 2 ml 20.643
Glibenclamide 5 mg Tab Kotak 100 ( 10 Blister @ 10
73 Ktk 100 10.332
Tablet )
Kotak 5 Strip @ 10
74 Glimepiride 2 mg Tablet Kotak, 5 Strip @ 10 Tablet 88.058
Tablet
Kotak 5 Strip @ 10
75 Glimepiride 4 mg Tablet Kotak, 5 Strip @ 10 Tablet 163.797
Tablet
Glucosamin 500mg Chondroitin 400mg Vitamin C 50mg
76 Btl 30 tab 97.416
Btl 30 Tab
Griseofulvin 125 mg Tab Kotak 100 ( 10 Blister @ 10
77 Ktk 100 36.863
Tablet )
78 Hydrochlorthiazide (HCT) 25 mg Botol 1000 Btl 1000 40.537
Hydrocortisone 2,5 % Krim Kotak 24 tube @ 5 gr (multi
79 Ktk 24 tube @ 5 g 131.787
box)
80 Ibuprofen 200 mg Tab Sal Sel Botol 100 Btl 100 23.247
SHB KESEHATAN 296

1 2 3 4
Ibuprofen 400 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10
81 Ktk 100 39.276
Tablet )
82 Ibuprofen Suspensi 100 mg / 5 ml Botol 60 ml Btl 60 ml 4.691
83 Ibuprofen Suspensi 200 mg / 5 ml Botol 60 ml Btl 60 ml 5.027
84 Indoralyte Kotak 25 sachet Ktk 25 sach 32.841
Irbesartan 150 mg Kaptab Kotak 50 ( 5 Blister @ 10
85 Ktk 50 109.778
Kaptab )
86 Irbesartan 300 mg Kaptab Box 5 Strip @ 10 Kaptab Box 5 212.483
87 Isoniazide 300 mg Tab Botol 1000 Btl 1000 108.356
Isosorbide Dinitrate 5 mg Tab Sublingual Kotak 100 ( 10
88 Ktk 100 13.756
Strip @ 10 Tablet )
89 Jamsi Botol 100 ml Btl 100 ml 88.560
90 Ketorolac Injeksi 10 mg/ml ---- Kotak 5 ampul @ 1 ml Ktk 5 Ampul 41.890
91 Ketorolac Injeksi 30 mg/ml ---- Kotak 6 ampul @ 1 ml Ktk 6 amp 89.667
92 Lactodia Polybag @ 10 Sachet Polybag @ 10 Sachet 43.788
93 Lansoprazole 30 mg Kaps Kotak 20 ( 2 Strip @ 10 Kapsul ) Ktk 20 30.190
Levofloxacin 500 mg Tab Sal Sel Ktk 30 ( 3 Strip @ 10
94 Ktk 30 37.087
Tablet)
95 Levofloxacin Infus 5 mg/ml Vial 100 ml Vial 100 ml 98.400
Lincomycin 500 mg Kaps Kotak 60 ( 5 Blister @ 12 Kapsul
96 Ktk 60 68.111
)
97 Loratadine 10 mg Tab Kotak 50 ( 5 Strip @ 10 Tablet ) Ktk 50 18.604
98 Madeca Botol 30 Kapsul Btl 30 kapsul 88.560
99 Madedem Botol 30 Kapsul Btl 30 kapsul 88.560
100 Meloxicam 15 mg tab - Ktk 50 Ktk 50 66.969
101 Meloxicam 7.5 mg tab - Ktk 50 Ktk 50 38.644
102 Metformin 500 mg Tablet Salut Selaput Kotak 100 Ktk 100 20.295
Methylprednisolone 16 mg Tab Kotak 30 ( 3 Blister @ 10
103 Ktk 30 39.209
Tablet )
Metronidazol 500 mg Tab Kotak 100 ( 10 Blister @ 10
104 Ktk 100 31.088
Tablet )
105 Na Diklofenak 50 mg Tab Sal Enterik Kotak 50 ( 5 Blister @ 10
KtkTablet
50 ) 16.413
106 New Pro Uric Kapsul Botol 60 Btl 60 52.496
107 New Pro Uric Kapsul Kotak 60 Ktk 60 52.496
108 NI CDF B5 Hydrating Essence Botol 15 ml Btl 15 ml 185.976
109 NI CDF C-Scape Serum Botol 30 ml Btl 30 ml 116.235
110 NI CDF Neutral Cleansing Bar Box 85 g Box 85 g 39.520
111 NI CDF Sunblock Tinted AK Botol 15 ml Btl 15 ml 133.670
Ofloxacin 200 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10
112 Ktk 50 32.958
Tablet )
Ofloxacin 400 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10
113 Ktk 50 48.760
Tablet )
114 Omeprazole 20 mg Kaps Kotak 30 ( 3 Strip @ 10 Kapsul ) Ktk 30 13.685
SHB KESEHATAN 297

1 2 3 4
115 Ondansetron 4 mg tab - Ktk 12 ( 2 Strip @ 6 Tablet ) Ktk 12 20.664
116 Ondansetron 4 mg/2 ml Inj - Ktk 5 Ampul @ 2 ml Ktk 5 33.825
Ondansetron 8 mg Tab Sal Sel - Ktk 12 ( 2 Strip @ 6
117 Ktk 12 33.825
Tablet )
118 Ondansetron 8 mg/4 ml Injeksi Kotak 5 ampul @ 4 ml Ktk 5 49.200
119 Oralit 200 ml Serbuk Kotak 25 sachet Ktk 25 sach 14.576
120 Osbontis Kapsul Botol 30 Btl 30 151.616
Oxytetracycline 3 % Salep Kulit Kotak 25 tube @ 5 g (multi
121 Ktk 25 tube @ 5 g 46.107
box)
122 Paracetamol 120 mg/5 ml Sirop Botol 60 ml (multi box) Btl 60 ml 3.533
Paracetamol 500 mg Tab Kotak 100 ( 10 Blister @ 10
123 Ktk 100 20.590
Tablet )
124 Paracetamol Drops Btl 15 ml Btl 15 ml 7.668
125 Phenobarbital 30 mg Tab Botol 100 Btl 100 7.250
Piracetam 1200 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10
126 Ktk 50 72.251
Tablet )
127 Piracetam 3 g/15 ml Injeksi Kotak 4 ampul @ 15 ml Ktk 4 76.430
Piroxicam 10 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul
128 Ktk 120 26.451
)
Piroxicam 20 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul
129 Ktk 120 28.708
)
130 Pro uric Kaps Botol 60 Btl 60 33.902
131 Pro uric Kaps Kotak 60 ( 6 Blister @ 10 Kapsul ) Ktk 60 33.902
132 Prolipid Kaps Botol 60 Btl 60 50.738
133 Prolipid Kaps Kotak 60 ( 6 Blister @ 10 Kapsul ) Ktk 60 50.738
134 Propylthiouracyl 100 mg Tab Botol 100 Btl 100 39.237
135 Prorhoid Kaps Kotak 30 ( 3 Blister @ 10 Kapsul ) Ktk 30 26.476
Pyrazinamide 500 mg Tab Kotak 100 ( 10 Blister @ 10
136 Ktk 100 26.139
Tablet )
Ranitidine 150 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10
137 Ktk 100 28.262
Tablet )
138 Ranitidine 25 mg/ml Injeksi Kotak 25 ampul @ 2 ml Ktk 25 amp @ 2 ml 71.772
Rifampicin 300 mg Kaps Kotak 100 ( 10 Strip @ 10 Kapsul
139 Ktk 100 98.892
)
Rifampicin 450 mg Kaps Kotak 100 ( 10 Strip @ 10 Kapsul
140 Ktk 100 128.166
)
Rifampicin 600 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10
141 Ktk 100 178.473
Tablet )
142 Salbutamol 2 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Ktk 100 11.733
143 Salbutamol 2 mg/5 ml Sirop Botol 100 ml Btl 100 ml 6.150
144 Spiramycin 500 mg Tab Kotak 50 ( 5 Strip @ 10 Tablet ) Ktk 50 86.070
Sulfadoxine Pyrimethamine 525 mg Tab Kotak 100 ( 10
145 Ktk 100 Tab 82.368
Blister @ 10 Tablet )
SHB KESEHATAN 298

1 2 3 4
Thiamphenicol 500 mg Kaps Kotak 100 ( 10 Strip @ 10
146 Ktk 100 110.097
Kapsul )
Tramadol 50 mg/ml Injeksi Kotak 5 Ampul @ 2 ml Kotak 5
147 Ktk 5 amp @ 2 ml 35.757
Ampul @ 2 ml
148 Urispas 200 mg Tab Sal Sel - Kotak 30 Ktk 30 187.575
149 Zinc 20 mg Tab Box 100 (10 Strip @ 10 Tablet ) Ktk 100 Tab 53.061
150 Zinkid 10mg/5 ml Syrup Btl @ 100ml Btl 100 ml 30.104
151 Serum ABU ll (Anti Bisa Ular) - Vial 50 ml - BIO Vial 5O ml 70.491.300
152 Serum Bio ADS (ADS 20000) - 1 Vial @ 10 ml - BIO Vial 10 ml 1.174.515
153 Serum Bio SAT -1.5 (ATS 1500) - 1 Ampul @ 1 ml - BIO 1 Ampul @ 1 ml 184.500
154 Serum Bio SAVE (ABU) - 1 Vial @ 5 ml - BIO Vial 5 ml 716.229
155 Serum PPD RT23 2 UT - 1 Vial @ 1, 5 ml - BIO Vial @ 1, 5 ml 863.768
156 Vaksin BCG - Ampul @ 20 Dosis - BIO Ampul @ 20 Dosis 169.125
157 Vaksin Bio - TD - Ampul 0.5 ml (1 Dosis) - BIO Ampul 0.5 ml (1 Dosis) 44.649
158 Vaksin Bio - TT - Ampul 0.5 ml (1 Dosis) - BIO Ampul 0.5 ml (1 Dosis) 23.001
159 Vaksin Campak - Vial 10 Dosis - BIO Vial 10 Dosis 117.711
Vaksin Jerap Difteri Tetanus (DT) - Vial 5 ml (10 Dosis) -
160 Vial 5 ml 87.207
BIO
Vaksin Jerap Difteri Tetanus Pertusis (DTP) - Vial 5 ml (10
161 Vial 5 ml 108.671
Dosis) - BIO
162 Vaksin Jerap Td - Vial 5 ml (10 Dosis) - BIO Vial 5 ml 91.266
163 Vaksin Jerap Tetanus (TT) - Vial 5 ml (10 Dosis) - BIO Vial 5 ml 87.133
164 Vaksin Polio - Vial 1 ml (10 Dosis) - BIO Vial 1 ml (10 Dosis) 58.179
165 Vaksin Flubio 0.5 ml - Vial 0.5 ml (1 Dosis) - BIO Vial 0.5 ml (1 Dosis) 122.754
166 Vaksin HBV 1.0 ml - Pouch 1 ml ( 1 dosis ) - BIO Pouch 1 ml ( 1 dosis ) 97.416
167 Vaksin Hepatitis B 0.5 ml - Pouch 0,5 ml (1 Dosis) - BIO Pouch 0,5 ml (1 Dosis) 71.709
168 Vaksin Pentabio - Vial 0.5 ml (1 Dosis) - BIO Vial 0.5 ml (1 Dosis) 169.371
169 Aminovel 600 Softbag (AMINS) - Bag 500 ml - OI Bag 500 ml 104.550
170 Aminoleban Inj. 500ml Softbag (AMILS) - Bag 500 ml - OI Bag 500 ml 230.010
171 Aminofluid-L 500ml (AMNF5) - Bag 500 ml - OI Bag 500 ml 184.500
172 Aminoleban Oral (O-ALB) - Sachet - OI Sachet 65.190
173 Aminofluid-L 1000ml (AMNF1) - Bag 1000 ml - OI Bag 1000 ml 276.750
174 Aminoleban Oral rasa Netral (S-AMN) - Sachet - OI Sachet 65.190
175 Amiparen Inj. 500ml Softbag (AMIPS) - Bag 500 ml - OI Bag 500 ml 148.830
176 Asering - Btl 500 cc - OI Btl 500 cc 26.445
177 Asering-5 - Btl 500 cc - OI Btl 500 cc 27.060
178 Asering Softbag 500ml (ASERS) - Bag 500 ml - OI Bag 500 ml 26.445
179 KA-EN MG 3 Sol - Btl 500 cc - OI Btl 500 cc 27.060
180 KA-EN 1B Sol - Btl 500 cc - OI Btl 500 cc 24.600
181 KA-EN 3A - Btl 500 cc - OI Btl 500 cc 24.600
182 KA-EN 3B / KK - Btl 500 cc - OI Btl 500 cc 24.600
SHB KESEHATAN 299

1 2 3 4
183 KA-EN 4A - Btl 500 cc - OI Btl 500 cc 24.600
184 KA-EN 4B - Btl 500 cc - OI Btl 500 cc 24.600
185 KA-EN 1B Softbag 500ml (KN1BS) - Bag - OI Bag 24.600
186 KA-EN 3A Softbag 500ml (KN3AS) - Bag - OI Bag 24.600
187 KA-EN 3B Softbag 500ml (KN3BS) - Bag - OI Bag 24.600
188 Kidmin 200ml Softbag (KIDMS) - Bag 200 ml - OI Bag 200 ml 116.850
189 Martos 10 (MRT10) - Btl 500 ml - OI Btl 500 ml 103.320
190 Meylon 8,4 % (AMELA) - Ampul 25 ml - OI Ampul 25 ml 14.760
191 Neo - Mune 48 gr (NEO-M) - Box 8 - OI Box 8 246.000
192 Otsu - Salin 3 (OTNS3) - Botol 500 ml - OI Btl 500 ml 27.060
193 Otsu - RD5/Rubb. (OT-RD) - Botol 500 ml - OI Btl 500 ml 18.819
194 Otsu - RL D5 (OTRLD) - Botol 500 ml - OI Btl 500 ml 18.819
195 Otsu - RL / Rubb. (KO-RL) - Botol 500 ml - OI Btl 500 ml 16.236
196 Otsu - NS / Rubb. (KO-NS) - Botol 500 ml - OI Btl 500 ml 16.236
197 Otsu - D5 / Rubb. (KO-D5) - Botol 500 ml - OI Btl 500 ml 16.236
198 Otsu - D5, NS (OTDN1) - Botol 500 ml - OI Btl 500 ml 18.819
199 Otsu - D2.5, 1/2 NS Rubb. (KD2N1) - Botol 500 ml - OI Btl 500 ml 18.819
200 Otsu - D5, 1/2 NS Rubb. (KD5N3) - Botol 500 ml - OI Btl 500 ml 18.819
201 Otsu - D5, 1/4 NS Rubb. (KD5N4) - Botol 500 ml - OI Btl 500 ml 18.819
202 Otsu - D10 (KOD10) - Botol 500 ml - OI Btl 500 ml 18.819
203 Otsu - D10, 1/5 NS (OTDN5) - Botol 500 ml - OI Btl 500 ml 18.819
204 Otsu - RS (OT-RS) - Botol 500 ml - OI Btl 500 ml 18.819
205 Otsu - D40 (OTD40) - Ampul 25 ml - OI Ampul 25 ml 9.717
206 Otsu KCL 7,46 (KCLPB) - Ampul 25 ml - OI Ampul 25 ml 9.717
207 Otsu - MgSO4 20 (MG-20) - Ampul 25 ml - OI Ampul 25 ml 9.717
208 Otsu - MgSO4 40 (MG-40) - Ampul 25 ml - OI Ampul 25 ml 9.717
209 Otsu - NS 25ml (OTSN1) - Ampul 25 ml - OI Ampul 25 ml 6.150
210 Otsu Water for Injection 25 cc (OTSWI) - Ampul 25 ml - OI Ampul 25 ml 6.150
211 Otsu NS 1 L / Rubb (KONS1) - Botol 1000 ml - OI Btl 1000 ml 26.568
212 Otsu D5, Piggyback (OTD5P) - Botol 100 ml - OI Btl 100 ml 14.760
213 Otsu NS, Piggyback (OTNSP) - Botol 100 ml - OI Btl 100 ml 14.760
214 Otsu Manitol 20 (Reguler) - Btl 500 ml - OI Btl 500 ml 103.320
215 Otsu Manitol 20 ml (Reguler) - Btl 250 ml - OI Btl 250 ml 64.575
216 OTR70-Otsutrans-70? /Rubb - Btl 500 ml - OI Btl 500 ml 104.612
217 TSLME-Otsu Tran 40 - Btl 500 ml - OI Btl 500 ml 114.944
218 Otsu D-5 (Askes) - Btl 500 ml - OI Btl 500 ml 7.716
219 Otsu NS (Askes) - Btl 500 ml - OI Btl 500 ml 7.167
220 Otsu RL (Askes) - Btl 500 ml - OI Btl 500 ml 7.995
221 Otsu D-40 (ASKES) - Btl 25 ml - OI Btl 25 ml 3.578
222 Pan-Amin G Softbag (PANMS) - Bag 500 ml - OI Bag 500 ml 86.100
223 Otsu Manitol 20 (Askes) - Btl 500 ml - OI Btl 500 ml 44.168
224 Pan Enteral (10 x 40gr /Box) (PANEB) - Box - OI Box 174.660
225 Otsu D-10 (ASKES) - Botol 500 ml - OI Btl 500 ml 8.386
226 Potacol (RL-MS) - Btl 500 ml - OI Btl 500 ml 103.320
227 Proten Rasa Coklat (PRTEN) - Sachet - OI Sachet 8.364
SHB KESEHATAN 300

1 2 3 4
228 Proten Rasa Vanila (PRT-V) - Sachet - OI Sachet 8.364
229 K-SW1-Sterile Water 1000cc/ Rubb - Btl 1000 ml - OI Btl 1000 ml 26.568
230 Natrium Klorida 0.9% - Btl 1000 ml - WI Btl 1000 ml 18.002
231 Wida NS - Btl 500 ml - WI Btl 500 ml 14.874
232 Wida RL - Btl 500 ml - Wl Btl 500 ml 16.338
233 Wida D5 - Btl 500 ml - WI Btl 500 ml 14.874
234 Wida D10 - Btl 500 ml - WI Btl 500 ml 17.815
235 Widahes ( Reguler ) - Btl 500 ml - WI Btl 500 ml 192.495
236 Wida WI Unicap - Btl 1000 ml - WI Btl 1000 ml 17.938
237 Wida WI Twist Off - Btl 1000 ml - WI Btl 1000 ml 16.571
238 Wida RL - Btl 1000 ml - WI Btl 1000 ml 18.259
239 WIDA RS - Btl 500 ml - WI Btl 500 ml 16.835
240 WIDA D5 - NS - Btl 500 ml - WI Btl 500 ml 16.088
241 WIDA D5 - 1/2 NS - Btl 500 ml - WI Btl 500 ml 17.360
242 WIDA D5 - 1/4 NS - Btl 500 ml - WI Btl 500 ml 17.360
243 WIDA RD - Btl 500 ml - WI Btl 500 ml 16.991
244 Wida NSI ( Tutup : Twist off ) - Btl 1000 ml - WI Btl 1000 ml 21.737
245 Widahes 130 - Botol 500 ml - WI Btl 500 ml 193.725
246 Wida HSD - Btl 500 ml - WI Btl 500 ml 21.006
247 Wida 2 A - Botol 500 ml - WI Btl 500 ml 15.430
Botol 500 ml,
248 Widahes - Botol 500 ml, Unicap - WI 70.110
Unicap
Botol 500 ml,
249 Widahes 130 - Botol 500 ml, Unicap - WI 70.858
Unicap
250 Wida KN - 1 - Botol Plastik LDPE @ 500 ml - WI Btl 500 ml 17.589
251 Wida KN - 2 - Botol Plastik LDPE @ 500 ml - WI Btl 500 ml 17.589
252 Wida KDN - 2 - Botol Plastik (LDPE) @ 500 ml - WI Btl 500 ml 18.266
253 Wida KDN - 1 - Botol Plastik (LDPE) @ 500 ml - WI Btl 500 ml 18.266
254 Glukosa 5% (OGB) - Btl 500 ml - WI Btl 500 ml 7.716
255 Glukosa 10% (OGB) - Btl 500 ml - WI Btl 500 ml 8.386
256 Natrium Chlorida (OGB) - Btl 500 ml - WI Btl 500 ml 7.167
257 Ringer Laktat (OGB) - Btl 500 ml - WI Btl 500 ml 7.995
258 CEPEZET 100 100/box 55.350
259 CEPEZET INJ 10/box 79.950
260 CLORILEX 100 50/box 848.700
261 CLORILEX 25 50/box 246.000
262 HEXYMER 2 100/box 43.050
263 LODOMER 2 100/box 121.770
264 LODOMER 5 100/box 209.715
265 LODOMER DROPS box 36.900
266 LODOMER INJ 12/box 168.043
267 PERSIDAL 1 20/box 95.940
268 PERSIDAL 2 20/box 159.900
269 PERSIDAL 3 20/box 246.000
270 SIKZONOATE INJ 5/box 405.900
271 STELOSI 5 100/box 61.500
272 CALPOROSIS D 500 30/box Blister 30.750
273 CALPOROSIS D 800 30/btl 55.350
SHB KESEHATAN 301

1 2 3 4
274 MERSIBION 30/box 25.830
275 MERSIDRYL SYRUP btl 10.947
276 MERTISAL 100/box 102.090
277 NUTRASENDI 15/box 120.540
278 VITOMIL AF 30/box 22.140
279 BAMGETOL 200 100/box 221.400
280 CEFMER 1 INJ vial 246.000
281 CEFSIX 1 INJ vial 172.200
282 DOLGESIK 50 50/box 123.000
283 DOLGESIK INJ 5/box 71.340
284 INHA 400 100/box 73.800
285 KUTOIN 100 100/btl 141.450
286 KUTOIN INJ 10/box 919.425
287 MAXIMER 1 INJ box 282.900
288 MERFLAM 50 50/box 103.320
289 MERIMAC 450 100/box 387.450
290 MERIMAC 600 50/box 270.600
291 MEROXI vial 405.900
292 MERRON 25 50/box 73.800
293 MERSIBION 5000 50/box 101.475
294 MERSIBION INJ 5000 10/box 54.120
295 MERSITROPIL 1200 30/box 119.556
298 MERSITROPIL INFUS btl 162.360
299 MERSITROPIL INJ 3 GR 4/box 154.980
300 MERSITROPIL SYRUP btl 52.890
301 PIRACETAM 1200 100/box 108.240
302 PIRACETAM 800 100/box 86.100
303 SIBITAL 50 100/box 175.890
304 SIBITAL INJ 10/box 110.700
305 SICLAXIM INJ box 118.080
306 SIMUCIL 200 100/box 196.800
307 SIPENTIN 300 50/box 343.170
308 SIRAMID 500 100/box 141.450
309 TIBITOL 250 100/box 66.420
310 TIBITOL 500 100/box 118.080
311 ALDOMER 5 30/box 682.650
312 LEVOBEN 30/box 166.050
313 MINIASPI 80 100/box 47.970
314 NEUROAID 36/box 774.900
315 PROLEPSI 300 50/box 399.750
316 PROLEPSI 600 50/box 768.750
317 RIKLONA 2 100/box 819.180
318 SILUM 10 100/box 514.140
319 SILUM 5 100/box 344.400
320 TAKELIN 1000 INJ 5/box 461.250
321 TAKELIN 1000 ORAL 30/box 561.495
322 TAKELIN 250 INJ 5/box 140.220
SHB KESEHATAN 302

1 2 3 4
323 TAKELIN 500 INJ 5/box 239.850
324 TAKELIN 500 ORAL 30/box 319.800
325 VERSILON 6 100/box 191.880
326 ATARAX 0.5 100/box 159.900
327 CLOFRITIS 10 100/box 174.660
328 ELIZAC 20 30/box 166.050
329 FRIDEP 50 30/box 344.400
330 FRIMANIA 200 100/box 246.000
331 FRIMANIA 400 100/box 431.730
332 LEXZEPAM 3 50/box 221.400
333 MERLOPAM 0.5 100/box 116.850
334 MERLOPAM 2 100/box 369.000
335 PROHIPER 10 30/box 184.500
336 SANDEPRIL 50 50/box 492.000
337 VALDIMEX 5 100/box 135.300
338 VALDIMEX INJ 5/box 67.650
339 CLOZAPINE 100 OGB 50/box 581.175
340 CLOZAPINE 25 OGB 50/box 178.350
341 RISPERIDONE 2 OGB/20 20/box 59.483
342 RISPERIDONE 2 OGB/50 50/box 143.407
343 AMOXICILLIN DRY SYRUP box 3.112
344 CLINDAMYSIN 300 50/box 45.452
345 PARASETAMOL 500 100/box 12.680
346 PARASETAMOL SYRUP box 2.777
347 SIMVASTATIN 10 30/box 18.585
348 PHENYTOIN INJ 10/box 344.400
349 CITICOLINE 1000 INJ 5/box 246.000
352 ALPRAZOLAM 0,5 100/box 64.268
353 ALPRAZOLAM 1 100/box 108.688
354 DIAZEPAM 100/box 29.225
355 ALPENTIN 100MG(Box/50) BOX/50 209.100
356 ALPENTIN 300MG(Box/50's) BOX/50 387.450
357 APOLAR CREAM 10GR TUB/1 38.745
358 APOLAR-N CREAM 10GR TUB/1 43.911
359 CHLORAMEX CAP 500MG(Box/100) BOX/100 159.900
360 CHLORAMEX INJ 1G @10 BOX/10 135.300
361 CHLORAMEX SYRUP/60 ML BTL/1 17.220
362 COLISTINE TAB 0.25 UG /100's BTL/100 141.450
363 COLISTINE TAB 1.5 UG /50's BTL/50 344.400
364 DANOCLAV 500MG (Box/30's) BOX/30 295.200
365 DECUBAL CREAM 20G TUB/1 26.789
366 DECUBAL CREAM 40G TUB/1 49.114
367 DEFLAMAT 100MG CR @20 BOX/20 153.750
368 DEFLAMAT 75MG CR @20 BOX/20 129.150
369 DEFLAMAT Tablet 100MG CR(Box/20)New BOX/20 153.750
370 DEFLAMAT Tablet 75MG CR(Box/20)New BOX/20 129.150
371 DOPAMET TAB /100 BOX/100 230.010
SHB KESEHATAN 303

1 2 3 4
372 DUMIN RECTAL TUBE 125MG/2.5ML BOX/5 78.880
373 DUMIN RECTAL TUBE 250MG(Box/5) BOX/5 110.134
374 DUMIN RT 250MG BOX/1 83.640
375 DUMOCALCIN PLUS CHOCOLATE 30's FLS/30 44.649
376 DUMOCALCIN PLUS PEPPERMINT 30's FLS/30 44.649
377 DUMOLID TABS 5 MG/100 BOX/100 738.000
378 FORMELL 500MG @30 BOX/30 41.328
379 FREEGAS (Box/30) BOX/30 73.800
380 IMPUGAN INJ 2 ML/5 AMP BOX/5 45.510
381 LAROTA CAPLET (Box/30) BOX/30 202.950
382 LONGATIN CAP 50MG/100's BOX/100 461.373
383 LONGATIN CAPS 25MG(Box/100's) BOX/100 246.000
384 LONGATIN Capsul 25MG(Box/4@25Amvlop) BOX/100 297.660
385 LORINID MITE TABS /50 BOX/50 98.400
386 RHEMACOX 15MG(Box/20's) BOX/20 86.100
387 ROLAC 3% INJ 30MG/ML(Box/5Amp) BOX/5 159.900
388 STESOLID INJ 2 ML/5 AMP BOX/5 70.356
389 STESOLID RECTAL 10MG TUBE ( Box/5 ) BOX/5 199.260
390 STESOLID RECTAL 5MG TUBE ( Box/5 ) BOX/5 132.840
391 STESOLID RT 10MG TUBE(Box/5)New BOX/5 219.186
392 STESOLID RT 5MG TUBE(Box/5)New BOX/5 146.124
393 STESOLID SYRUP 60 ML BTL/1 46.137
394 STESOLID TABS 2 MG/100 BOX/100 119.064
395 STESOLID TABS 5 MG/100'S BOX/100 208.362
396 TEVOX INFUS 500MG(Btl/100ML) BTL/1 196.800
397 TEVOX TABLET 500MG(Box/10) BOX/10 98.400
398 BINOTAL 1000 TAB (Box/50) BOX/50 327.857
399 BINOTAL 500 TAB (Box/50) BOX/50 194.807
400 INCIDAL-OD CAP(Box/50) BOX/50 152.397
401 INCIDAL-OD SYRUP 60ML(Box/50) BTL/1 39.575
402 PROVIRON TAB(Box/20) BOX/20 202.335
403 RESOCHIN (Box/200) BOX/200 93.593
404 VENTAVIS (Box/30Amp) BOX/30 10.063.636
405 ANDROCUR (Box/20) BOX/20 513.574
406 BETAFERON (Box/1vL) BOX/1 12.791.999
407 BONEFOS 60MG/ML INF JKN(Box/5Amp) BOX/5 551.963
408 BONEFOS 60Mg/ML Infus(Box/5Amp) BOX/5 1.292.177
409 BONEFOS CAP 400MG(Box/30) BOX/30 845.625
410 BONEFOS TAB 800MG(Box/30) BOX/30 1.488.300
411 ANGELIQ 1x28(Box/28) BOX/28 483.386
412 CYCLO PROGYNOVA 1x21(Box/21) BOX/21 157.692
413 DIANE 35 1x21(Box/21) BOX/21 114.722
414 MIRENA (Box/1 IUS) BOX/1 2.841.300
415 PROGYNOVA 2MG(Box/28) BOX/28 208.118
416 QLAIRA FTB (Wallet@1blister/28Tab) STR/28 277.734
417 YASMIN 1x21SCT (Box/21) BOX/21 210.166
418 YAZ 1x28SCT (Box/28) BOX/28 249.260
419 CHAMPS EMULSION NEW (BTL/200ML) BTL/1 43.050
420 CHAMPS EMULSION NEW (BTL/350ML) BTL/1 59.040
SHB KESEHATAN 304

1 2 3 4
421 CHAMPS MULTIVITAMIN WITH TAURINE(Btl/30) BTL/30 44.280
422 MAXITON SOFT CAP NEW(BTL/30's) BTL/30 100.860
423 NATURALLE BETA CAROTENE NEW(Btl/30's) BTL/30 70.725
424 NATURALLE E 250IU NEW(Btl/30's) BTL/30 93.928
425 NATURALLE EPO Plus Fish OIL NEW(Btl/30's) BTL/30 128.590
426 NATURALLE FISH OILNEW(Btl/60's) BTL/60 211.560
427 NATURALLE GARLIC OIL NEW(Btl/100's) BTL/1 109.303
428 HERBA VOMITZ TAB (Strip/4Tab) STR/4 5.535
429 HERBAKOF Syrup 100ml BTL/1 21.279
430 HERBAKOF Syrup 60ml BTL/1 13.530
431 LYTACUR SYRUP 60 ML BTL/1 12.300
432 STIMUNO CAPSUL Forte (Btl/30) BTL/30 61.500
433 STIMUNO FORTE CAP OTC (Box/10CAP) BOX/10 26.322
434 STIMUNO SYRUP 100ML(OTC) BTL/1 35.178
435 STIMUNO SYRUP 60ML(OTC) BTL/1 23.124
436 STIMUNO SYRUP GRAPE 100ML BTL/1 35.178
437 STIMUNO SYRUP GRAPE 60ML BTL/1 23.124
438 TOXILITE (Box/12Cap) BOX/12 30.504
439 VITAFEM (STR/4KAP) STR/4 4.305
440 VITAFEM FREE ME (Cath Cover/4Cap) STR/4 5.904
441 VITAFEM FREE ME(Box/20Cap) BOX/20 39.360
442 VITAFEM MULTIVITAMIN(Box/30Cap) BOX/30 26.906
443 VITAFEM MULTIVITAMIN(Cath Cover/6Cap) STR/6 5.381
444 VOLTADEX GEL 1% x 20G (OTC DXM) TUB/1 23.985
445 ACARBOSE TAB 100MG(Box/100) BOX/100 235.151
446 ACARBOSE TAB 50MG(Box/100) BOX/100 145.853
447 ACPULSIF 5MG @50 BOX/50 196.800
448 ACYCLOVIR 200MG @50 BOX/50 32.810
449 ACYCLOVIR 400MG @50 BOX/50 38.776
450 ALBAPURE 20% 100ml(Box/1vL) BOX/1 1.722.000
451 ALBAPURE 20% 50ml(Box/1vL) BOX/1 891.750
452 ALBUMINAR 25% 100mL(Box/1vL) BOX/1 2.275.500
453 ALDOVAS Caps(Box/30's) BOX/30 118.080
454 ALLOPURINOL 100MG@100TAB BOX/100 20.353
455 ALPRAZOLAM 0.25MG@100 TAB BOX/100 65.350
456 ALPRAZOLAM 0.5MG@100TAB BOX/100 82.533
457 ALPRAZOLAM 1MG@100TAB BOX/100 127.182
458 ALVEOFACT (Box/1vL) BOX/1 4.305.000
459 AMIKACIN 250MG/12.5% 2ML(Box/1vL) BOX/1 107.158
460 AMIKACIN 500MG/25% 2ML(Box/1vL) BOX/1 178.596
461 AMINEFRON TAB(Box/100) BOX/100 799.500
462 AMIOSIN INJ 500MG(Box/5vL) BOX/5 971.700
463 AMLODIPINE TABLET 10MG(Box/50) BOX/50 103.999
464 AMLODIPINE TABLET 5MG(Box/50) BOX/50 59.040
465 AMOXYCILLIN 500 @100 (DX) BOX/100 45.510
466 ANTASIDA DOEN SYRUP 60ML (DX) BTL/1 4.736
467 ANTIPLAT-50MG (Box/30) BOX/30 232.470
468 ANVOMER B6 @60 BOX/60 177.120
469 ANXIBLOC TAB (Box/100) BOX/100 196.800
SHB KESEHATAN 305

1 2 3 4
470 APAZOL-0.5 Tablet (Box/100) BOX/100 175.275
471 APAZOL-1 Tablet (Box/100) BOX/100 276.750
472 ASAM MEFENAMAT TABLET 500MG Blister(Box/100) BOX/100 26.789
473 ASAM VALPROAT 250MG/5ML(Box/1fls) BOX/1 56.826
474 ASCAVIN TAB 4MG(Box/12s) BOX/12 81.180
475 ASMADEX TAB @100 BOX/100 20.910
476 AZITHROMYCIN DRY SYRUP 200MG/5ML @15ML BTL/1 60.885
477 AZOMAX DRY SYRUP BTL/1 109.470
478 AZOMAX Kaplet(Box/10) BOX/10 369.000
479 BERIPLAST P COMBISET 1 ML BOX/1 3.259.500
480 BETAHISTINE 6MG TAB(Box/100) BOX/100 113.539
481 BISCOR-5 Tablet FC (Box/30's) BOX/30 70.664
482 BISOPROLOL 5MG BOX/30 85.670
483 BRAINOLIN 250MG/2ML (Box/5Amp) BOX/5 202.950
484 BRAINOLIN 500MG KAPLET (Box/30) BOX/30 369.000
485 BUPIVACAINE SPINAL HEAVY INJ OGBdexa(Box/5amp) BOX/5 162.360
486 CAMELOC Suppositoria (Box/10's) BOX/10 123.000
487 CAMELOC-15 (Box/50's) BOX/50 91.943
488 CAMELOC-7.5 (Box/50's) BOX/50 58.118
489 CANDERIN 16MG(Box/30's) BOX/30 313.650
490 CANDERIN 8MG(Box/30's) BOX/30 221.400
491 CANDESARTAN 16MG(Box/30's) BOX/30 263.835
492 CANDESARTAN 8MG(Box/30's) BOX/30 182.655
493 CAPTOPRIL 12.5MG @100 BOX/100 11.070
494 CAPTOPRIL 25MG @100 BOX/100 16.943
495 CAPTOPRIL 50MG @100 BOX/100 27.599
496 CEFADROXILE STR 500MG @ 100 BOX/100 103.320
497 CEFAZOLIN INJ 1G @2 BOX/2 50.798
498 CEFEPIME 1GR OGBDexa (Box/2vL) BOX/2 357.192
499 CEFIXIME 100MG KAP(Box/50) BOX/50 147.268
500 CEFIXIME 200MG KAP(Box100) BOX/100 496.145
501 CEFIXIME DRY SYR 600MG/30ML BTL/1 37.208
502 CEFOPERAZONE Sulbactam 1g OGBdexa(Box/1vL) BOX/1 135.300
503 CEFOTAXIME INJ 1G (Box/10vL) BOX/10 85.239
504 CEFPIROME INJ 1G (Box/2vL) BOX/2 342.309
505 CEFRATAM 1g (Box/1vL) BOX/1 215.250
506 CEFRIN INJ 1gr @1 VIAL BOX/1 313.650
507 CEFTAZIDIME 1g/2Vial BOX/2 83.291
508 CEFTRIAXONE INJ 1G (Box/10vL) BOX/10 105.706
509 CELOCID INJ 750MG(Box/1vL)DXM BOX/1 79.950
510 CELOCID TAB 500MG (Box/10) BOX/10 233.700
511 CETIRIZINE 10MG FC TAB(Box/60) BOX/60 22.309
512 CHOLESTOR FC TAB 10MG (Box/30) BOX/30 110.700
513 CHOLESTOR FC TAB 20MG (Box/30) BOX/30 162.360
514 CIPROFLOXACINE 500MG @100 BOX/100 65.621
515 CIPROFLOXACINE INFUS IV BTL/1 70.110
516 CISAPRIDE 5MG TAB(Box/100) BOX/100 92.958
SHB KESEHATAN 306

1 2 3 4
517 CITICOLINE Inj 125Mg/mL (Box/10 AMP) BOX/10 202.950
518 CITICOLINE KAPLET 500MG(Box/30) BOX/30 243.540
519 CLACEF INJ 1G (Box/1) BOX/1 153.750
520 CLINDAMYCINE 150MG @100 (DX) BOX/100 86.321
521 CLINDAMYCINE 300MG @100 (DX) BOX/100 159.519
522 CLOBAZAM 10MG @100 BOX/100 131.456
523 CLOPIDOGREL TAB 75MG(Box/30) BOX/30 365.310
524 CLOZER TABLET 100Mg(Box/30) BOX/30 430.500
525 CLOZER TABLET 25Mg(Box/30) BOX/30 147.600
526 COLERGIS SYR 60ML BTL/1 46.740
527 COLERGIS TABLET @100 BOX/100 270.600
528 CORDILA SR 180Mg(Box/30) BOX/30 228.780
529 CORDILA SR 90Mg(Box/30) BOX/30 184.500
530 DECAIN 4ML(Box/5 AMP) BOX/5 381.300
531 DECULIN TAB 15MG(Box/30) BOX/30 239.850
532 DECULIN TAB 30MG(Box/30) BOX/30 350.550
533 DESOXIMETASONE 0.25 CREAM 15G TUB/1 16.371
534 DEXA M TAB 0.75MG @150 BOX/150 26.445
535 DEXA M TAB 0.75MG @500 BOX/500 76.875
536 DEXACAP PLUS TAB 50/25MG (Box/100) BOX/100 123.000
537 DEXACAP TAB 12.5MG @60 BOX/60 16.974
538 DEXACAP TAB 25MG @60 BOX/60 26.568
539 DEXACAP TAB 50MG @60 BOX/60 45.387
540 DEXADROX TAB 500MG(Box/100) BOX/100 123.000
541 DEXAFLOX 400MG @30 BOX/30 922.500
542 DEXANORM TAB 1MG (Box/50's) BOX/50 116.850
543 DEXANTA SUSPENSION 100 ML PLASTIC BOTTLE BTL/1 13.868
544 DEXANTA TAB Blister(Box/100) BOX/100 22.755
545 DEXANTA TAB[1 LAYER]( Box/100) BOX/100 22.755
546 DEXAZOL-200 Tablet (Box/50's) BOX/50 54.305
547 DEXIPENEM INJ 0.5g(Box/1vL) BOX/1 215.250
548 DEXIPENEM INJ 1g(Box/1vL) BOX/1 258.300
549 DEXOLUT TAB 8MG @100 BOX/100 13.530
550 DEXPIRA 1200MG CAPSUL(Box/100) BOX/100 442.800
551 DEXPIRA 20% 15ML INJ(Box/4Amp) BOX/4 186.960
552 DEXPIRA 20% INFUS 60ML BTL/1 184.500
553 DEXPIRA 800MG CAPSUL(Box/100) BOX/100 307.500
554 DEXYCLAV 500MG @30 BOX/30 398.520
555 DEXYCLAV DS (BARU) BTL/1 62.730
556 DEXYCLAV F.DS (BARU) BTL/1 94.095
557 DEXYCOL CAP 500MG @100 BOX/100 101.475
558 DEXYMOX CAP 500MG @100 BOX/100 92.250
559 DIABEMIN FC TABLET 500MG(Box/100) BOX/100 27.060
560 DIABEMIN XR Tablet 500MG(Box/28) BOX/28 49.200
561 DIAVERSA 1MG(Box/50) BOX/50 63.960
565 DIAVERSA TABLET 1MG STRIP(Box/50) BOX/50 63.960
SHB KESEHATAN 307

1 2 3 4
569 DILAVASK 5M(Box/50) BOX/50 65.498
570 DILAVASK Tablet 10M(Box/50) BOX/50 119.925
571 DILTIAZEM @100 (DX) BOX/100 18.650
572 DISMENO CAPS 100MG(Box/30) BOX/30 147.600
573 DISOLF EC 490MG(Box/30) BOX/30 239.850
574 DIVEN PLUS Kapsul (Box/60) BOX/60 243.540
575 DIVENS PLUS Syrup @100ML BTL/1 40.590
576 DOBUJECT 250MG/5ML @5 BOX/5 830.250
577 DOBUTAMINE 50MG OGBDexa(Box/5Amp) BOX/5 351.611
578 DOFEN 400MG @100 BOX/100 45.510
579 DOMPERIDONE TAB 10MG(Box/100) BOX/100 49.645
580 DORIPENEM Inj 500Mg INFUSION POWDER(Box/1vL) BOX/1 416.724
581 DOXYCYLINE CAP @100 BOX/100 53.822
582 DRM INFUSION 500ML(Box/1vL) BOX/1 541.200
583 DYNACEF 1G BOX/1 98.400
584 ECLID TABLET 100 MG BOX/50 147.600
585 ECLID TABLET 50 MG BOX/50 92.250
586 ESVAT 10MG @30(DX) BOX/30 29.151
587 ESVAT 20MG @30(DX) BOX/30 53.321
588 FERITRIN FC @30TAB BOX/30 75.645
589 FIBRION-1.500.000IU BOX/1 4.674.000
590 FLADEX 500MG @100 BOX/100 35.855
591 FLADEX INFUS 5% BTL/1 89.175
592 FLADEX SUPPOSITORIA 0.5 g BOX/10 135.300
593 FLADEX SUPPOSITORIA 1 g BOX/10 246.000
594 FLADYSTIN OVULA /10 BOX/10 159.900
595 FLAMICORT Tablet 4MG(Box/50) BOX/50 189.420
596 FLAMICORT-10MG/ML IAD (Box/1vL) BOX/1 123.000
597 FLAMICORT-40MG/ML IM (Box/1vL) BOX/1 116.850
598 FLEXOR CAPLET @30 BTL/30 121.770
599 FLEXOR-DS KAPLET(Box/60) BOX/60 405.900
600 FLUDEXIN SYR 60ML (NEW) BTL/1 30.750
601 FLUDEXIN TAB ETC NEW @150 BOX/150 123.000
602 FOLAMIL CAP @ 100 BOX/100 129.150
603 FOLAMIL GENIO Soft Cap(Btl/30's) BTL/30 129.150
604 FOLAMIL GOLD Soft Cap(Btl/30's) BTL/30 147.600
605 FOLILAC SOFT CAPSUL (Btl/30) BOX/30 147.600
606 FOSMIDEX 1G(Box/10vL) BOX/10 1.094.700
607 FOSMIDEX 2G(Box/10vL) BOX/10 2.152.500
608 FUROSEMIDE INJ 10MG(Box/25Amp) BOX/25 108.855
609 GABAPENTIN KAP 300MG(Box/30) BOX/30 202.950
610 GAPENAL TAB 300MG(Box/30) BOX/30 263.835
611 GASTROFER INJ 40MG BOX/1 141.450
612 GELAFUSAL INFUSION 500ML PCS/1 202.950
613 GLIMEPIRIDE TAB 1MG(Box/100) BOX/100 93.490
SHB KESEHATAN 308

1 2 3 4
621 GLIQUIDONE 30MG TAB BOX/100 128.823
622 GLUCODEX TAB BLISTER(Box/100's) BOX/100 53.505
623 GLUTIVEN INFUS BTL/1 596.550
624 GLUVAS 1MG @50 TAB BOX/50 135.300
625 GLUVAS 2MG @50 TAB BOX/50 246.000
626 GLUVAS 3MG @50 TAB BOX/50 325.950
627 GLUVAS 4MG @50 TAB BOX/50 375.150
628 GLUVAS TAB 1MG STRIP (Box/50) BOX/50 135.300
632 GRANON 1MG (Box/5 AMP) BOX/5 319.800
633 GRANON 3MG (Box/5 AMP) BOX/5 676.500
634 GRATIGO 5MG TAB (Box/50) BOX/50 246.000
635 GUARDIX (Box/1vL) BOX/1 1.045.500
636 HALOTHANE BOX/1 1.445.250
637 HEMOLOK FERACRYLUM 1% 100ML BTL/1 92.250
638 HEMOLOK Gel 15g/TUBE TUB/1 67.650
639 HEPATITIS B IMMUNOGLOBULIN BEHRING 1ML(Box/1PS)BOX/1 2.460.000
640 HUMAN ALB BEHRING 20% x 100ML BOX/1 1.722.000
641 HUMAN ALB BEHRING 20% x 50ML BOX/1 891.750
642 HYSTOLAN TAB STR 20MG @50 BOX/50 276.750
643 HYTROZ 1MG Tablet(Box/100) BOX/100 575.640
644 HYTROZ 2MG Tablet(Box/100) BOX/100 1.029.510
645 INBUMIN FC TABLET 250MG (Box/30) BOX/30 166.050
646 INLACIN KAPSUL 100MG(Box/30) BOX/30 184.500
647 INLACIN KAPSUL 50MG(Box/30) BOX/30 147.600
648 INODEX INJECTION 5% 5ML(Box/5Amp) BOX/5 565.800
649 INOXIN 400MG @150 BOX/150 49.200
650 IRGAPAN-100MG FC @100TAB BOX/100 35.990
651 IRGAPAN-200MG FC @100TAB BOX/100 59.655
652 ISOFLURAN 250ML BTL/1 1.998.750
653 IZTRON SYRUP 200MG/5ML BTL/1 76.260
654 KALIUM DIKLOFENAK 25MG @50(DX) BOX/50 24.037
655 KALIUM DIKLOFENAK 50MG @50 (DX) BOX/50 43.543
656 KETOKONAZOL CREAM 2% (Box/12Tb) BOX/12 103.320
657 KETOKONAZOL TAB 200MG @50 BOX/50 25.215
658 KETOPROFEN TAB @100 BOX/100 166.050
659 KETOROLAK-1% Injeksi (Box/10Amp) BOX/10 92.250
660 KETOROLAK-3% Injeksi (Box/10Amp) BOX/10 164.390
661 KYBERNIN 50IU/ML x 10ML BOX/1 4.674.000
662 L-ORNITHIN-L-ASPARTATE 500MG(Box/5Amp) BOX/5 405.900
663 LACIDOFIL CAP (Box/Btl @60) BOX/60 284.130
SHB KESEHATAN 309

1 2 3 4
664 LACIDOFIL sachet (Box/30sac) BOX/30 202.950
665 LAKTAFIT TAB @60 BOX/60 199.260
666 LATROL 3% 30MG(Box/5)AMP BOX/5 143.910
667 LAZ 30MG @20 BOX/20 309.960
668 LECUR @60 BOX/60 132.840
669 LEPARSON TABLET /100 BOX/100 466.785
670 LEPSIO Syrup 100mL BTL/1 92.250
671 LEPTICA TABLET 150MG(Box/30) BOX/30 405.900
672 LEPTICA TABLET 75MG(Box/30) BOX/30 276.750
673 LEVOFLOXACIN FC 250MG(Box/20) BOX/20 24.124
674 LEVOFLOXACIN FC 500MG(Box/20) BOX/20 28.381
675 LEVOFLOXACIN INFUS BTL/1 108.240
676 LEVOFLOXACIN INFUS 750mg/150mL BTL/1 202.950
677 LISINOPRIL Tablet 10MG(Box/100) BOX/100 83.640
678 LISINOPRIL Tablet 5MG(Box/100) BOX/100 54.120
679 LODEM-30 Tablet (Box/100) BOX/100 210.330
680 LOLINDEX 10mL(Box/5Amp) BOX/5 492.000
681 LORIC TAB 100MG(Box/100) BOX/100 24.600
682 LYCOXY BOX/30 184.500
683 MELOXICAM 15 MG BOX/50 73.739
684 MELOXICAM 7.5 MG BOX/50 42.552
685 MELOXICAM SUPPOSITORIA 15MG(Box/10) BOX/10 81.180
686 MEROPENEM INJ 0.5GR(Box/1vL) BOX/1 162.360
687 MEROPENEM INJ 1GR(Box/1vL) BOX/1 270.600
688 MERTIGO SR Tablet(Box/100) BOX/100 567.645
689 MERTIGO TAB 6MG @100 BOX/100 362.850
690 METFORMIN 500 MG BOX/100 22.325
691 METFORMIN 850 MG BOX/100 52.767
692 METHYLPREDNISOLONE 16MG BOX/100 127.305
695 METHYLPREDNISOLONE INJ 125MG(Box/1vl) BOX/1 43.634
696 METRISON-16 TAB (Box/30) BOX/30 208.485
697 METRISON-4 TAB Box/10 Blister@10 BOX/100 264.758
698 METRISON-8 TAB (Box/100) BOX/100 397.136
699 METRONIDAZOLE INFUS 500MG/100ML BTL/1 36.285
700 MOBAFER KAPSUL 500MCG (Box/100) BOX/100 172.200
701 MONARIN FC TABLET 10MG(Box/30) BOX/1 258.300
702 MOPRIN TAB 500MG(Box/10) BOX/10 86.100
703 MOXIFLOXACIN INFUS 400mg/250mL BTL/1 304.425
704 NETRACHOL 10MG @30 BOX/30 27.675
705 NEURODEX FILM COAT @200 TAB BOX/200 135.300
706 NEVODIO Tablet 5MG (Box/30) BOX/30 166.050
707 NICARDEX 10mL(Box/5Amp) BOX/5 1.045.500
708 NICARDIPINE HCl 10MG(Box/5Amp) BOX/5 879.450
709 NIFEDIPIN 10MG @100 (DX) BOX/100 15.867
710 NIRCEF KAPSUL 100MG(Box/10) BOX/10 159.900
711 NOPERTEN 10MG @30 BOX/30 46.556
712 NOPERTEN 5MG @30 BOX/30 20.295
SHB KESEHATAN 310

1 2 3 4
713 NOPRES 20MG @ 30 BOX/30 27.491
714 NORELUT 5MG @50 BOX/50 246.000
715 OFLOXACIN TAB 200MG @50 BOX/50 51.888
716 OFLOXACIN TAB 400MG @50 BOX/50 74.063
717 OFLOXACINE INFUS 100ML OGBDexa BTL/1 74.415
718 OMEPRAZOLE 20MG(Box/20) BOX/20 13.045
719 OMEPRAZOLE INJECTION 40MG(Box/10vL) BOX/10 920.040
720 OMEPRAZOLE INJECTION 40MG(Box/1vL) BOX/1 92.004
721 ONDANSETRON IV/IM 4MG OGBdexa(Box/5Amp) BOX/5 33.825
722 ONDANSETRON IV/IM 8MG OGBdexa(Box/5Amp) BOX/5 54.120
723 OSSORAL 200 @60 BOX/60 84.870
724 OSSORAL 800 @60 BOX/60 287.820
725 PANTOPRAZOLE E.C TABLET 20MG(Box/30) BOX/30 263.835
726 PANTOPRAZOLE E.C TABLET 40MG(Box/30) BOX/30 324.720
727 PERILAX TAB 50MG(Box/50) BOX/50 196.800
728 PIRACETAM 60ML INF(200MG/ML) BTL/1 94.710
729 PIRACETAM 1200MG KAP BOX/100 159.113
730 PIRACETAM 400MG KAPSUL BOX/100 55.473
731 PIRACETAM 800MG KAP BOX/100 98.769
732 PIRACETAM INJ 1g/5ML 10AMP BOX/10 67.650
733 PIRACETAM INJ 3g/15ML 4AMP BOX/4 84.157
734 PIROCAM 20MG @50 BOX/50 14.268
735 PONDEX FORTE BLSITER @100 BOX/100 68.880
736 PONDEX SUSP 50MG/5ML x 60ML BTL/1 12.608
737 PREGABALIN Kapsul 150MG(Box/30) BOX/30 365.310
738 PREGABALIN Kapsul 75MG(Box/30) BOX/30 263.835
739 PREGNOLIN 5MG @50 BOX/50 221.400
740 PRIMADEX FORTE CAP @100 BOX/100 61.500
741 PRIMADEX SUSPENSI 50ml BTL/1 6.273
742 PRIMADEX TAB @100 BOX/100 38.130
743 PROBENID TAB 500MG(Box/100) BOX/100 265.680
744 PROCIFER Syrup 250MG/5ML @100mL BTL/1 61.500
745 PRONALGES CR 200 MG @60 BOX/60 590.400
746 PRONALGES INJ 50MG @10 BOX/10 332.100
747 PRONALGES SUPPO 100MG @10 BOX/10 146.370
748 PRONALGES TAB 100MG @50 BOX/50 276.750
749 PRONALGES TAB 50MG @50 BOX/50 153.750
750 PROPRANOLOL 10MG @100(DX) BOX/100 9.471
751 PROPRANOLOL 40MG @100(DX) BOX/100 14.883
752 PROPYLTHIOURACIL 100 @100 (DX) BOX/100 53.092
753 PROVULA 50MG @30 BOX/30 479.700
754 PSIDII CAPSULE 500 MG @50 BOX/50 243.540
755 PSIDII SYRUP 60ML BTL/1 40.590
756 PYRAZINAMIDE 500 @100 (DX) BOX/100 34.502
757 RADIN INJ 50MG/2ML @5 BOX/5 123.000
758 RADIN TAB 150MG @30 BOX/30 64.575
759 RAIVAS INJ 4ML(Box/5) AMP BOX/5 553.500
760 RAMIPRIL TAB 2.5MG(Box/100) BOX/100 39.360
761 RAMIPRIL TAB 5MG(Box/100) BOX/100 83.891
SHB KESEHATAN 311

1 2 3 4
762 RANITIDIN INJ 50MG/2ML(Box/25Amp) BOX/25 79.028
763 RANITIDINE TAB 150MG @100 BOX/100 27.060
764 RECOFOL 10MG/ML x 20ML @5 BOX/5 497.904
765 RECOFOL N (Box/5Amp) BOX/5 553.500
766 REDACID KAPLET(Box/30) BOX/30 332.100
767 REMOPAIN 1% INJ /5 BOX/5 166.050
768 REMOPAIN 3% INJ /5 BOX/5 246.000
769 REMOPAIN PREFILLED Syringe(Box/5) BOX/5 246.000
770 RHINOFED SUSP 60ML BTL/1 26.445
771 RHINOFED TABLET(Box/50) BOX/50 94.710
772 RHINOS JUNIOR SYRUP 60mL BTL/1 36.900
773 RHINOS NEO DROP 10mL BTL/1 47.970
774 RHINOS SR @50 BOX/50 276.750
775 RIBOQUIN 250MG @200 BOX/200 86.100
776 RISPERIDONE 1MG(Box/50)TAB BOX/50 115.546
779 RITEZ DROP 10ML(Box/1Btl) BTL/1 64.575
780 RITEZ FC TABLET 10MG(Box/30) BOX/30 119.925
781 RITEZ FT TABLET 10MG(Box/30) BOX/30 147.600
782 RITEZ SYRUP 60ML BTL/1 61.500
783 ROCUM INJ 1% 5ML (Box/10Amp) BOX/10 1.230.000
784 SEDACUM INJ 15MG/3ML(Box/5Amp) BOX/5 295.200
785 SEDACUM INJ 5MG/5ML(Box/10Amp) BOX/10 270.600
786 SEVODEX 250ML BTL/1 3.198.000
787 SIMVASTATIN 10MG @30 (DX) BOX/30 18.930
788 SIMVASTATIN 10MG BLISTER(Box/50) BOX/50 31.550
789 SINOVIAL Prefilled Syringe BOX/1 584.250
790 SINOVIAL PREFILLED SYRINGE with NEEDLE BOX/1 584.250
791 SIRAN EFFERVESCENT 600MG (Tube/10) TUB/10 109.470
792 SISTENOL CAPLET @60 BOX/60 110.700
793 SOMATOSTATIN EUMEDICA DX 250Mcg(Box/1vL) BOX/1 344.400
794 SOMATOSTATIN EUMEDICA DX 3MG(Box/1vL) BOX/1 1.519.050
795 SPASMOMEN FC TAB@30 BOX/30 228.780
796 SPIRAMYCIN 500MG @50 BOX/50 139.359
797 SPIRONOLACTONE TAB 100MG(Box/100) BOX/100 129.760
798 SPIRONOLACTONE TAB 25MG(Box/100) BOX/100 45.510
799 SPORAX CAP (Box/30Cap) BOX/30 442.800
800 STARCEF 200MG(Box/10's) BOX/10 338.250
801 STARCEF CAP 100MG @30 BOX/30 645.750
802 STARCEF DS 100MG/5ML x 30ML BTL/1 92.250
803 STARFOLAT Tablet(Box/100) BOX/100 24.600
804 STARQUIN Infus (Btl/100mL) BTL/1 123.000
805 STARQUIN-500 Tablet FC(Box/100) BOX/100 88.560
806 STATOR 10MG TAB(Box/30) BOX/30 553.500
807 STATOR 20MG TAB(Box/30) BOX/30 590.400
808 STREPTASE-1.500.000IU BOX/1 4.674.000
809 STRONGER NEO MINOPHAGEN C/AMP (DX) AMP/1 116.850
810 SUPRASMA HFA Inhaler(Box/1Canister) BOX/1 86.100
SHB KESEHATAN 312

1 2 3 4
811 SUPRASMA TAB 4MG @150 BOX/150 36.900
812 TENAPRIL 10MG(Box/30) BOX/30 184.500
813 TENAPRIL 2.5MG(Box/30) BOX/30 129.150
814 TENAPRIL 5MG(Box/30) BOX/30 184.500
815 TENSIVASK 10 MG TABLET 5 X 10 BOX/50 584.250
816 TENSIVASK 5MG @50 BOX/50 319.800
817 TEOSAL SYR 100ML BTL/1 11.316
818 TEOSAL TAB @100 BOX/100 23.370
819 TERAZOSIN 1MG Tab(Box/100) BOX/100 402.948
820 TERAZOSIN 2MG Tab(Box/100) BOX/100 720.657
821 TETAGAM P 250IU x 1ML @1AMP BOX/1 221.400
822 TETAGAM P. Prefilled Syringe 1mL BOX/1 231.240
823 TILFLAM 20MG @30 BOX/30 332.100
824 TIZOS 1g INJ(Box/1vL) BOX/1 247.230
825 TRAMUS 1% 2.5ML(Box/5Amp) BOX/5 295.200
826 TRAMUS 1% 5ML(Box/5Amp) BOX/5 461.250
827 TRANEXAMIC ACID INJEKSI 10% 500MG/5ML(Box/10amp)BOX/1 71.033
828 TRANEXAMIC ACID INJEKSI 5% 250MG/5ML(Box/10amp) BOX/1 54.120
829 TRANEXID 10% INJ /10 BOX/10 172.200
830 TRANEXID 5% INJ /10 BOX/10 135.300
831 TRIAMCINOLONE 4MG TAB(Box100) BOX/100 98.025
832 TRICEFIN 1G/10ML BOX/1 221.400
833 TRIPENEM INJ 0.5g(Box/1 VL) BOX/1 258.300
834 TRIPENEM INJ 1g (Box/1 VL) BOX/1 541.200
835 TROLIP 100MG @30 BOX/30 147.600
836 TROLIP 300MG @30 BOX/30 324.720
837 TRUNAL CAP 50MG@30 BOX/30 57.195
838 TRUNAL DX INJ 100MG(Box/5s) BOX/5 49.200
839 ULSIDEX 500MG @100 BOX/100 138.006
840 URDEX CAP 250MG(Box/30) BOX/30 258.300
841 URSODEOXYCHOLIC ACID CAP 250MG(Box/30) BOX/30 227.304
842 VACLO Tablet (Box/30's) BOX/30 461.250
843 VALDIX TABLET 160MG (Box/30) BOX/30 295.200
844 VALDIX TABLET 80MG (Box/30) BOX/30 202.950
845 VALSARTAN TABLET 160MG(Box/30) BOX/30 239.850
846 VALSARTAN TABLET 80MG(Box/30) BOX/30 147.600
847 VANCODEX INJEKSI 500ML(Box/1vL) BOX/1 209.100
848 VASTIGO Tablet (Box/100's) BOX/100 110.700
849 VECTRINE 300 MG BOX/20 98.400
850 VECTRINE DRY SYRUP BTL/1 44.280
851 VOLEQUIN 500MG @10 BOX/10 369.000
852 VOLEQUIN INFUS 750mg/150mL BTL/1 338.250
853 VOLEQUIN IV BTL/1 319.800
854 VOLTADEX TAB 25MG @ 50 BOX/50 16.913
855 VOLTADEX TAB 50MG @50 BOX/50 27.675
856 VOMETA 10MG TAB(Box/50) BOX/50 190.650
857 VOMETA DROPS 5MG/ML x 10ML BTL/1 48.585
858 VOMETA FLASH TAB@50 BOX/50 221.400
859 VOMETA SYR 1MG/ML x 60ML BTL/1 48.585
SHB KESEHATAN 313

1 2 3 4
860 VOMETA TAB 10MG @100 BOX/100 368.385
861 VOMETRAZ 4MG(Box/2Amp) BOX/2 59.532
862 VOMETRAZ 8MG(Box/2Amp) BOX/2 108.240
863 VOMETRAZ TABLET 4MG(Box/10) BOX/10 12.300
864 VOMETRAZ TABLET 8MG(Box/10) BOX/10 23.616
865 VOMETRON 4MG(Box/2Amp) BOX/2 36.900
866 VOMETRON 8MG(Box/2Amp) BOX/2 61.500
867 VOMIZOLE DRY INJECTION 40MG(Box/1vL) BOX/1 156.825
868 VOMIZOLE TABLET 20MG(Box/10) BOX/10 141.450
869 VOMIZOLE TABLET 40MG(Box/10) BOX/10 184.500
870 ZITADIM-1G Injeksi (Box/1vL) BOX/1 227.550
871 ZOPHRENA 2MG (Box/20) BOX/20 56.580
872 ZOREL TAB 200MG @30 BOX/30 54.120
873 ZOREL TAB 400MG @50 BOX/50 110.700
874 ACANTHE Flat Tummy SAC/1 276.750
875 AFUCID 5gr KRIM 2%(Box/1Tube) TUB/1 47.970
876 AGGRAVAN BOX/30 243.540
877 ALEGYSAL @5ML BOX/1 104.550
878 ALEXAN-100MG/5ML (Box/1vl) BOX/1 82.410
879 ALEXAN-500MG/10ML (Box/1vl) BOX/1 335.175
880 ANEROCID 300 @ 30 BOX/30 232.470
881 B-BETA TABLET(Box/30) BOX/30 218.940
882 BICASTRA TAB (Box/30) BOX/30 1.687.560
883 BIOBRAN TAB(Box/30's) BOX/30 387.450
884 BRACER TAB (Box/30) BOX/30 1.537.500
885 BRIVITA CAPSUL Soft Gel (Box/30) BOX/30 147.600
886 CEFRADOL 1G INJEK@1VIAL BOX/1 115.620
887 CEFTUM 0.5G BOX/1 104.550
888 CEFTUM 1G BOX/1 233.700
889 CINOGENTA 10 GR TUB/1 47.355
890 CLOTIX TAB 75mg (Box/30) BOX/30 446.490
891 CRAVIT 5ML BTL/1 135.300
892 CROME 10MG TAB(Box/100) BOX/100 246.000
893 CROME INJEKSI 50mg(Box/10Amp) BOX/10 246.000
894 CYTOGEM 1000MG @1 VIAL BOX/1 3.536.250
895 CYTOGEM 200MG @1 VIAL BOX/1 725.700
896 DEGRADE TAB(Box/30) BOX/30 239.850
897 DEGRIUM 5 MG @ 50 BOX/50 324.720
898 DERMOVEL 10GR TUB/1 73.800
899 DERMOVEL 5GR CREAM TUB/1 45.510
900 DEXACEF D S. 125MG/5ML x 60ML (FPP) BTL/1 43.050
901 DEXACEF FORTE CAP 500MG @60 (FPP) BOX/60 580.560
902 DOCETAXEL EBEWE 20MG(Box/1vL) BOX/1 1.722.000
903 DOCETAXEL EBEWE 80MG(Box/1vL) BOX/1 5.289.000
904 DOCETERE 20MG (Box/1vL+Pelarut) BOX/1 1.722.000
905 DOCETERE 80MG (Box/1vL+Pelarut) BOX/1 5.289.000
906 DORBAZ 500MG POWD. INF (Box/1vL) BOX/1 541.200
907 EBETAXEL 100MG (Box/1vL) BOX/1 3.198.000
908 EBETAXEL 30MG (Box/1vL) BOX/1 1.116.225
SHB KESEHATAN 314

1 2 3 4
909 EDOTIN CAP (Box/20) BOX/20 92.250
910 EDOTIN DS 175MG/5ML 60ML BTL/1 40.590
911 ESOFERR Injeksi 40MG(Box/1vL) BOX/1 166.050
912 EVALEN CREAM 10GR TUB/1 55.350
913 EVALEN GEL 10GR TUB/1 49.200
914 EXEPIME INJEKSI(Box/1vl) BOX/1 308.730
915 FEPIRAM 1200MG KAP BOX/30 162.360
916 FEPIRAM INJ 12 Gr (Infus) BOX/1 202.950
917 FEPIRAM INJEK 3GR (200mg/ml) BOX/4 231.240
918 FEPRAX 0.5MG @ 30 BOX/30 63.960
919 FEPRAX 1MG @ 30 BOX/30 97.170
920 FLUMETHOLON BOX/1 103.320
921 FONKOGEM 1000MG LYO POWD. INJ (Box/1vL) BOX/1 2.552.250
922 FONKOGEM 200MG LYO POWD. INJ (Box/1vL) BOX/1 725.700
923 FONKOMUSTIN 100MG LYO POWD. INJ (Box/1vL) BOX/1 3.198.000
924 FONKOMUSTIN 25MG LYO POWD. INJ (Box/1vL) BOX/1 1.045.500
925 FONKOPAC 6MG/ML 16.7ML SOL INJ (Box/1vL) BOX/1 3.198.000
926 FONKOPAC 6MG/ML 50ML SOL. INJ (Box/1vL) BOX/1 8.302.500
927 FONKOPAC 6MG/ML 5ML SOL INJ (Box/1vL) BOX/1 1.116.225
928 FONKOZOMIB 3.5 MG INJEKSI (Box/1vL) BOX/1 5.535.000
929 FORDERM 10 GR TUB/1 45.510
930 FRAZON 8 MG BOX/10 202.950
931 FRAZON INJ 4 MG BOX/2 63.960
932 FRAZON INJ 8MG BOX/2 123.000
933 FUNGATIN SUSPENSI@12ML BTL/1 43.665
934 GANIN 300MG(Box/30) BOX/30 303.410
935 GEMCITABINE EBEWE 1000MG (Box/1vL) BOX/1 2.552.250
936 GEMCITABINE EBEWE 200MG (Box/1vL) BOX/1 725.700
937 GLUBOSE 100MG TAB(Box/50) BOX/50 133.455
938 GLUBOSE 50MG TAB(Box/50) BOX/50 86.100
939 GLUMIN TAB 500 MG ( FPP ) BOX/50 62.730
940 GLUMIN-XR 500MG(Box/100) BOX/100 209.715
943 GRAVOMIT INJ 1MG(Box/5Amp) BOX/5 233.700
944 GRAVOMIT INJ 3MG(Box/5Amp) BOX/5 550.425
945 HIALID 5ML/Btl BTL/1 89.175
946 HISTRIN DROP (Box/1) BTL/1 89.175
947 HISTRINE FT 10Mg TAB(Box/30) BOX/30 210.330
948 HISTRINE FT 5Mg TAB(Box/30) BOX/30 147.600
949 HISTRINE SYRUP 60ML BTL/1 52.890
950 HISTRINE TABLET (Box/30) BOX/30 156.210
951 HYPERIL TAB 10mg(Box/30) BOX/30 461.250
952 HYPERIL TAB 2.5mg BOX/60 350.550
953 HYPERIL TAB 5mg BOX/60 553.500
954 KARY UNI 0.05MG/ML x 5ML BTL/1 44.280
955 KETESSE INJ 50MG(Box/5Amp) BOX/5 289.050
956 KETESSE-25 STRIP(Box/50) BOX/50 492.000
957 KETRICIN ORABASE 0.1% @5gr TUB/1 49.200
SHB KESEHATAN 315

1 2 3 4
958 KETRICIN TAB (Box/100) BOX/100 369.000
959 LEBREST TAB 2.5MG (Box/30) BOX/30 701.100
960 LEKUICIN INFUS (Box/1Btl @100ml) BOX/1 228.780
961 LEKUICIN-500 Tablet FC (Box/10's) BOX/10 304.425
962 LOLANIN INF 10ML(Box/5Amp) BOX/5 461.250
963 MAGALAT SUSP 100ML (FPP) BTL/1 30.750
964 MAGALAT TAB @60 (FPP) BOX/60 55.350
965 MECOX TAB 15MG BOX/20 209.100
966 MECOX TAB 7.5MG BOX/20 128.535
967 MEDIXON 8MG @100TAB BOX/100 455.100
968 MEDIXON INJ 125MG (FPP) BOX/1 92.250
969 MEDIXON INJ 500MG (FPP) BOX/1 196.800
970 MEDIXON TAB 16MG @30 (FPP) BOX/30 209.100
971 MEDIXON TAB 4MG @100 (FPP) BOX/100 282.900
972 METHOTREXTAT 2.5MG @50 BOX/50 129.150
973 MOLCIN INFUS 400Mg/250mL BTL/1 369.000
974 MORCEF 1GR INJ(Box/1vL) BOX/1 276.750
975 NERFECO CAP 500MG(Box/100) BOX/100 268.140
976 NERFECO INJEKSI (Box/10Amp) BOX/10 238.620
977 NEULIN 250MG Injeksi (Box/5AMP) BOX/5 233.700
978 NEULIN INJ 12.5% 1000Mg/8ML(Box/5AMP) BOX/5 553.500
979 NEULIN INJ 500MG/4ML (Box/5AMP) BOX/5 375.150
980 NEULIN PS (Box/30) BOX/30 405.900
981 NICAFER INJ 10MG(Box/5Amp) BOX/5 984.000
982 NTG Injeksi 10MG (Box/10Amp) BOX/10 707.250
983 OMZ 20MG CAP(Box/30) BOX/30 430.500
984 OMZ INJEKSI 10ML (FPP) BOX/1 146.370
985 OPTIMAX (Box/30) BOX/30 216.480
986 OPTIMAX For G(Box/30) BOX/30 287.820
987 OPTIMAX SYRUP 100ML BTL/1 78.720
988 OXYPEN FC KAP(Box/30) BOX/30 147.600
989 OXYVIT CAP 25 @100 (FPP) BOX/100 252.150
990 PERMYO BOX/50 233.700
991 PGB Tablet 150 MG (Box/30) BOX/30 405.900
992 PGB Tablet 75MG (Box/30) BOX/30 276.750
993 PHALECARPS TAB (Box/30) BOX/30 307.500
994 QUIDEX 0.2% INFUS BTL/1 227.550
995 QUIDEX 500MG @ 30 BOX/30 387.450
996 ROSUFER Tablet 10MG(Box/30) BOX/30 361.620
997 ROSUFER Tablet 20MG(Box/30) BOX/30 405.900
998 SELOXY AA (Box/30Kaplet) BOX/30 233.700
999 SELOXY CAP(Box/30) BOX/30 174.660
1000 SPORACID 100MG (Box/10) BOX/10 242.310
1001 TAFLOTAN 2.5ML BTL/1 356.700
1002 TAMOXIFEN TAB 20 MG BOX/30 144.525
1003 TARIVID OPTH. SOLUTION BTL/1 68.265
1004 TERMISIL CREAM 10GR BOX/1 59.409
1005 TRAMIX 10%(Box/10Amp) BOX/10 126.690
1006 TRIXIM CAP 100Mg(Box/30) BOX/30 602.700
SHB KESEHATAN 316

1 2 3 4
1007 TRIXIM CAP 200Mg(Box/10) BOX/10 258.300
1008 TRIXIM DS 100Mg/5mLx30ML BTL/1 87.330
1009 VIDON 10MG TABLET(Box/50) BOX/50 184.500
1010 VIDON DROP 10ML BTL/1 43.050
1011 VIDON SUSPENSI 60ML BTL/1 43.050
1012 VINORELBINE 10MG/ML SOL. INJ (Box/1vL) BOX/1 1.168.500
1013 ZELFACE KRIM 10MG TUB/1 47.970
1014 SAFE CARE AROMATHERAPY MINYAK ANGIN 10ML banded
BTL/1
5mL 15.208
1015 LENAL - ACE (Box/100) BOX/100 148.830
1016 AZOL 200MG CAPSULE (Box/30) BOX/30 430.500
1017 CAVIT D3 TAB (Box/100) BOX/100 181.573
1018 CETROTIDE VIAL 250MCG (7) - INT BOX/1 4.441.530
1019 CRINONE APPLICATOR 8% (15) - IDN BOX/1 1.259.520
1020 GONAL-F 1050 IU (77 MCG) (1) - IDN BOX/1 8.394.750
1021 GONAL-F 75IU (5.5MCG) (1) - IDN BOX/1 610.695
1022 GONAL-F NG PEN 300IU (1)-IDN (pen+5 needles) BOX/1 2.440.935
1023 GONAL-F NG PEN 300IU (pen+ 8 needles) BOX/1 2.440.935
1024 GONAL-F NG PEN 900IU(1)-IDN Pen+14Needles BOX/1 7.241.625
1025 GONAL-F NG PEN 900IU(NEW) Pen+ 20 Needle BOX/1 7.241.625
1026 HEMOBION CAPSULES(Box/100) BOX/100 178.418
1027 LUTENYL TABLET(Box/30) BOX/30 361.251
1028 LUVERIS VIAL NF 75IU (1) - IDN BOX/1 1.084.860
1029 OVIDREL SYRINGE 250MCG (1) - IDN BOX/1 712.170
1030 PERGOVERIS (Box/1vL) VL/1 1.343.529
1031 REBIF SYR 44 NF (12) - IDN BOX/1 20.664.000
1032 REBIF SYR 22 NF (3) - IDN BOX/1 4.059.000
1033 SAIZEN 8MG CLICK.EASY II (1) - IDN BOX/1 3.130.910
1034 SAIZEN LIQUID 6ml (Box/1vL) BOX/1 2.348.182
1035 SAIZEN VIAL 3.33 MG (1) - IDN BOX/1 1.291.500
1036 AMCOR 10MG(Box/50) BOX/50 147.600
1037 AMCOR TABLET (Box/30) BOX/30 61.992
1038 CONCOR 1.25MG(Box/50) BOX/50 191.880
1039 CONCOR 2.5MG ASKES(Box/100) BOX/100 212.454
1040 CONCOR 2.5MG JKN(Box/100) BOX/100 72.682
1041 CONCOR 2.5MG(Box/100) BOX/100 664.323
1042 CONCOR 5MG ASKES(Box/100) BOX/100 212.454
1043 CONCOR 5MG HS(Box/100) BOX/100 961.983
1044 CONCOR 5MG SP(Box/100) BOX/100 173.430
1045 CONCOR TABLET 10MG(Box/30) BOX/1 413.216
1046 ENCEPHABOL CT(Box/100) BOX/100 344.400
1047 ENCEPHABOL FORTE CT(Box/100) BOX/100 498.888
1048 ENCEPHABOL LIQUID 100ML BTL/1 62.730
1049 KSR 600MG JKN(Box/100) BOX/100 190.090
1050 KSR STRIP(Box/100) BOX/100 333.773
1051 LODOZ 2.5MG CT(Box/30) BOX/30 227.550
1052 LODOZ 5MG CT (Box/30) BOX/30 325.950
1053 BIOCREAM 20G Tube/1 TUB/1 27.060
1054 DECODERM CREAM 10G Tube/1 TUB/1 35.313
1055 GENTACORTIN CREAM 10G Tube/1 TUB/1 40.996
SHB KESEHATAN 317

1 2 3 4
1056 PRAXILENE 200 CT BLISTER(Box/100) BOX/100 707.619
1057 STILAMIN AMP 3MG(Box/1Amp) BOX/1 1.501.830
1058 EUTHYROX 100(Box/100) BOX/100 222.947
1059 EUTHYROX 100Mcg JKN(Box/100) BOX/100 105.556
1060 EUTHYROX 50(Box/100) BOX/100 125.487
1061 EUTHYROX 50Mcg JKN(Box/100) BOX/100 80.398
1062 GLUCOPHAGE 500MG CT(Box/100) BOX/100 176.381
1063 GLUCOPHAGE 850MG CT BLISTER(Box/120) BOX/120 254.044
1064 GLUCOPHAGE XR 1000MG TABLET(Box/120) BOX/120 425.088
1065 GLUCOPHAGE XR 500MG(Box/120) BOX/120 298.983
1066 GLUCOPHAGE XR 750MG TABLET(Box/120) BOX/120 298.987
1067 GLUCOVANCE 250/1.25MG(Box/100) BOX/100 258.679
1068 GLUCOVANCE 500/2.5MG(Box/100) BOX/100 414.981
1069 GLUCOVANCE 500/5MG(Box/100) BOX/100 503.898
1070 THYROZOL 10MG JKN(Box/100) BOX/100 133.622
1071 THYROZOL 10MG(Box/100) BOX/100 199.432
1072 THYROZOL 5MG JKN(Box/100) BOX/100 62.954
1073 THYROZOL 5MG(Box/100) BOX/100 128.400
1074 ERBITUX 5MG/20ML ASKES(Box/1vL) BOX/1 2.533.800
1075 ERBITUX 5MG/20ML JKN Free Vial(Box/1vL) BOX/1 2.533.800
1076 ERBITUX 5MG/20ML JKN(Box/1vL) BOX/1 4.081.364
1077 ERBITUX 5MG/20ML REGULER ASKES(Box/1vL) BOX/1 4.305.000
1078 ERBITUX 5MG/ML 20ML PAP(Box/1vL) BOX/1 2.533.800
1079 ERBITUX 5MG/ML 20ML(Box/1vL) BOX/1 4.305.000
1080 HERBAMON Tablet(Box/50strip@4) BOX/200 206.025
1081 PILKITA Kaplet 700MG(Box/50strip@2) BOX/100 70.725
1082 PILKITA TAB 700MG(Box/50strip@2) BOX/100 70.725
1083 PILKITA TAB 700MG/Strip@4(Box/50strip@4) BOX/200 141.450
1084 PILKITA TENAGA X GINSENG (Box/50strip@2) BOX/100 103.013
1085 AFINITOR TAB 10MG (Box/30) BOX/30 35.661.568
1086 AFINITOR TAB 5MG (Box/30) BOX/30 26.746.194
1087 DESFERAL LYVI 500MG ID (Box/10vL) BOX/10 1.313.864
1088 EXJADE PAP BUNDLING 250MG(Box/28) BOX/28 5.259.926
1089 EXJADE TAB 125MG(Box/28) BOX/28 2.460.000
1090 EXJADE TAB 250MG JKN(Box/28) BOX/28 2.379.490
1093 FEMARA FCT 2.5MG (Box/30) BOX/30 1.408.910
1094 FEMARA FCT 2.5MG JKN(Box/30) BOX/30 301.910
1095 GLIVEC FCT 100MG TAB (Box/60) BOX/60 14.852.250
1096 GLIVEC FCT 100MG TAB JKN(Box/60) BOX/60 2.359.364
1097 GLIVEC FCT 100MG TAB(Box/60) BOX/60 14.156.182
1098 SANDOSTATIN LAR MPVI 10MG/1ML(Box/1AMP) BOX/1 3.326.590
1099 SANDOSTATIN LAR MPVI 20MG/1ML(Box/1AMP) BOX/1 7.315.425
1100 SANDOSTATIN LIAM 0.1MG/1ML(Box/5AMP) BOX/5 461.250
1101 TASIGNA HGC 150MG DUP CAPS(Box/28) BOX/28 1.101.037
1102 TASIGNA HGC 200MG CAPS JKN(Box/28) BOX/28 2.981.213
1103 ZOMETA Infus 4MG/100mL(Box/1) BOX/1 1.677.272
1104 ACTRAPID HM 100IU/ML x 10ML BOX/1 392.370
SHB KESEHATAN 318

1 2 3 4
1105 ACTRAPID HM 40IU/ML x 10ML BOX/1 156.210
1106 ACTRAPID HM PENFILL 100IU/ML x 3ML @5 BOX/5 737.385
1107 ACTRAPID NOVOLET 5x3ML BOX/5 852.390
1108 INSULATARD HM 100IU/ML x 10ML BOX/1 392.370
1109 INSULATARD HM 40U/ML x 10ML BOX/1 156.210
1110 INSULATARD HM PENFILL 100IU/MLx3ML@5 BOX/5 737.385
1111 INSULATARD NOVOLET 5x3ML BOX/5 852.390
1112 LEVEMIR FlexPen JKN(Box/5) BOX/5 475.228
1113 LEVEMIR FlexPen(Box/5) BOX/5 1.057.219
1114 MIXTARD 30 NOVOLET 5x3ML BOX/5 852.390
1115 MIXTARD HM 100IU/ML x 10ML BOX/1 392.370
1116 MIXTARD HM PENFILL 100IU/ML x 3ML @5 BOX/5 737.385
1117 MONOTARD HM 100IU/ML x 10ML BOX/1 356.700
1118 NEEDLE NOVOFINE BOX/100 222.938
1119 NORDITROPIN NORDIFLEX 5MG/1.5ML(Box/1) BOX/1 2.795.454
1120 NOVO TWIST 32G TIPx5mm(Box/100) BOX/100 258.300
1121 NOVOFINE NEEDLE 32G TIP ETW BOX/100 246.000
1122 NOVOMIX-30 FlexPen(Box/5) BOX/5 939.761
1123 NOVONORM 0.5MG@90 BOX/90 287.820
1124 NOVONORM 1MG@90 BOX/90 354.240
1125 NOVONORM 2MG@90 BOX/90 509.220
1126 NOVOPEN-3 BOX/1 492.000
1127 NOVOPEN-4 SILVER (Box/1pc) BOX/1 492.000
1128 NOVORAPID 10mL(Box/1vL) BOX/1 392.370
1129 NOVORAPID FlexPen JKN(Box/5) BOX/5 486.410
1130 NOVORAPID FlexPen(Box/5) BOX/5 939.761
1131 NOVOSEVEN 1MG(Box/1vL) BOX/1 14.145.000
1132 NOVOSEVEN RT Infusion KIT SET/1 3.482
1133 VICTOZA FlexPen 3Ml(Box/2) BOX/2 2.063.940
1134 CADUET 10/10mg FCT(Box/30) BOX/30 388.813
1138 CARDURA 1MG(Box/50's) BOX/50 486.625
1139 CARDURA 2MG @50 BOX/50 832.847
1140 CEFOBID IM/IV 1g+WFI (Box/1vL) VL/1 379.860
1141 CELEBREX 100MG @30 BOX/30 341.200
1142 CELEBREX 200MG @30 BOX/30 479.845
1143 CHAMPIX MAINTENANCE PACK 1MG(Box/28) BOX/28 362.126
1144 CHAMPIX STARTER PACK (0.5Mg/11 dan 1Mg/14) BOX/25 362.126
1145 DALACIN C CAP 150MG(Box/30Cap) BOX/30 298.386
1146 DALACIN C CAP 300MG(Box/30Cap) BOX/30 552.423
1147 DEPO MEDROL 40MG(Box/1vL) BOX/1 132.200
1148 DETRUSITOL 2MG FCT 2x14's BOX/28 378.341
1149 DIFLUCAN CAP 150MG @5 BOX/5 632.967
1150 DIFLUCAN CAP 50MG @10 BOX/10 422.001
1151 DIFLUCAN IV 2MG/ML x 100ML VL/1 503.120
1152 DILANTIN INJ 100MG 2ML AMP/1 153.766
1153 DILANTIN INJ 250MG/5ML /1AMP AMP/1 474.950
SHB KESEHATAN 319

1 2 3 4
1154 DILANTIN KAPSUL(Btl/100) BTL/100 554.180
1155 DYNASTAT INJ 40 MG BOX/1 127.582
1156 EFEXOR XR 75MG(Box/28's) BOX/28 585.218
1157 ELIQUIS 2.5MG TABLET SELAPUT(Box/20) BOX/20 528.144
1158 ELIQUIS 5MG TABLET SELAPUT(Box/20) BOX/20 528.144
1159 FELDENE FLASH 20MG @30 (PFZ) BOX/30 571.972
1160 FELDENE GEL 0.5% x 15G (PFZ) TUB/1 83.869
1161 FELDENE GEL 0.5% x 25G (PFZ) TUB/1 150.013
1162 GENOTROPIN GO QUICK BOX/1 2.264.632
1163 GLUCOTROL XL TAB 10MG(Box/30) BOX/30 182.086
1164 GLUCOTROL XL TAB 5MG(Box/30) BOX/30 182.086
1165 KETALAR Inj. 100Mg/10ML VL/1 428.274
1166 LINCOCIN 500MG CAP 3x10's BOX/30 348.025
1167 LIPITOR 10 MG BOX/30 629.765
1168 LIPITOR 10MG TABLET SP (Box/90) BOX/90 1.889.294
1169 LIPITOR 20 MG BOX/30 642.113
1170 LIPITOR 20MG IHT (Box/30) BOX/30 599.433
1172 LIPITOR 40 MG BOX/30 660.635
1173 LIPITOR 40MG IHT (Box/30) BOX/30 599.433
1175 LOPID 900MG CAP(Box/30's) BOX/30 748.706
1176 LYRICA 150MG Capsul(Box/14's) BOX/14 324.678
1179 MEDROL 16MG(Box/30Tab) BOX/30 391.729
1180 MEDROL 4MG(Box/100Tab) BOX/100 441.860
1181 NEURONTIN 300 MG BOX/100 1.616.167
1182 NORMETEC 10MG/40MG FCT(Box/30) BOX/30 352.728
1183 NORMETEC 20/5MG FCT(Box/28) BOX/28 316.917
1188 NORVASK 10MG @30 BOX/30 473.846
1189 NORVASK 5MG @30 (REGULER) BOX/30 264.404
1190 NORVASK 5MG Tablet-SP(Box/100) BOX/100 881.349
1191 OLMETEC PLUS 20MG TAB(Box/30) BOX/30 477.390
1192 OLMETEC PLUS 40MG TAB(Box/30) BOX/30 584.203
1193 OLMETEC TAB 20MG(Box/30) BOX/30 477.390
1194 OLMETEC TAB 40MG(Box/30) BOX/30 584.203
1195 PONSTAN FCT 500 BOX/100 273.014
1196 PROVERA 100MG TAB(Box/100's) BOX/100 1.855.139
1197 PROVERA 10MG TAB(Box/30's) BOX/30 367.870
1198 PROVERA 5MG TAB(Box/30's) BOX/30 214.913
1199 SOLU MEDROL 125MG(Box/1vl) BOX/1 121.046
1200 SOLU MEDROL 500MG(Box/1vl) BOX/1 328.577
1201 SUTENT 12.5mg (Btl/30) BOX/30 14.561.888
1202 TERRA CORTRIL OPH OINT 3.5Gx25 @1 TUB/1 21.643
SHB KESEHATAN 320

1 2 3 4
1203 TERRA CORTRIL TOP OINT 5G @1 TUB/1 21.958
1204 TERRAMYCIN IM SOL 50MGx10ML @1 VL/1 13.422
1205 TERRAMYCIN OPH OINT 1% x 3.5Gx25 @1 TUB/1 13.444
1206 TOVIAZ 4MG (Box/28) BOX/28 500.289
1207 TOVIAZ 8MG (Box/28) BOX/28 500.289
1208 TROSYD 1% CREAM 10GR TUB/1 72.694
1209 TROSYD 1% CREAM 20GR TUB/1 123.169
1210 UNASYN INJ 1.5G/1vL VL/1 191.383
1211 UNASYN TAB 375MG FCT(Box/20) BOX/20 348.095
1212 VIAGRA TAB 100MG @4 BOX/4 671.162
1213 VIAGRA TAB 50MG @4 BOX/4 517.190
1214 ZOLOFT 50MG @30 BOX/30 681.517
1215 CAPUNG HERBAL PASTILES(Box/12Pc) BOX/12 161.017
1216 MEDIVEN KAPSUL 5STR@6(Box/30) BOX/30 78.271
1217 MERIT PIL 21(Box/(Box/10sac@21) BOX/210 100.639
1218 MERIT PLUS (Btl/30Cap) BOX/30 22.364
1219 MINOL 15ML/BTL BTL/1 8.946
1220 MINOL 30ML/BTL BTL/1 15.654
1221 MINOL 5ML(Box/6Btl) BOX/6 23.483
1222 SYRUP BATUK CAP CAPUNG BTL/1 10.064
1223 ADONA (AC-17) ( Box/100 ) BOX/100 247.968
1224 ADONA (AC-17) BLISTER TABLET(Box/100) BOX/100 247.968
1225 ADONA (AC-17) INJEKSI 10ML ( Box/10 ) BOX/10 255.840
1228 ADONA FORTE ( Box/100 ) BOX/100 362.727
1229 ADONA FORTE Blister(Box/100) BOX/100 362.727
1230 ASPAR ( Box/100 ) BOX/100 167.034
1231 ASPAR-K ( Box/100 ) BOX/100 251.363
1232 ASPAR-K ASKES Tab( Box/100 ) BOX/100 119.086
1233 ASVEX ( Box/100 ) BOX/100 96.063
1234 BESTOCOL ( Box/120 ) BOX/120 81.549
1235 BESTOCOL ( Box/200 ) BOX/200 123.000
1236 CHLORPHEMIN 100ML ( Btl/1 ) BTL/1 24.797
1237 HERBESSER ( Box/100 ) BOX/100 323.510
1238 HERBESSER 180 SR ( Box/30 ) BOX/30 452.837
1239 HERBESSER 60 ( Box/100 ) BOX/100 506.435
1240 HERBESSER 90 SR ( Box/100 ) BOX/100 758.949
1241 HERBESSER CD 100 ( Box/30 ) BOX/30 274.536
1242 HERBESSER CD 100 ASKES( Box/100 ) BOX/100 447.272
1244 HERBESSER CD 100 JKN (Box/100) BOX/100 479.700
1245 HERBESSER CD 200 ( Box/30 ) BOX/30 417.339
1248 HERBESSER CD 200 JKN (Box/100) BOX/100 519.954
1249 HERBESSER POWDER INJ 50MG ASKES(Box/10vL) BOX/10 1.615.772
1250 HERBESSER POWDER INJ 50MG(Box/10vL) BOX/10 3.321.000
1251 INOLIN ( Box/120 ) BOX/120 166.788
SHB KESEHATAN 321

1 2 3 4
1252 INOLIN (Box/100) BOX/100 152.766
1253 INOLIN INJEKSI ( Box/10 ) BOX/10 94.095
1254 INOLIN PEDIATRIK DROP 30ML ( Btl/1 ) BTL/1 43.911
1255 LIVALO TABLET 4mg(Box/30s) BOX/30 461.250
1256 LIVALO TABLET(Box/30's) BOX/30 276.750
1257 MAINTATE ( Box/30 ) BOX/30 248.854
1258 MAINTATE 2.5 (Box/30) New BOX/30 171.733
1259 MAINTATE 2.5MG ASKES(Box/100) BOX/100 212.454
1260 MAINTATE 5MG ASKES(Box/100) BOX/100 212.454
1261 MAINTATE ASKES ( Box/30 ) BOX/30 70.110
1262 NEO NOVAPON PLUS ( Box/100 ) BOX/100 121.955
1263 NEO NOVAPON SYRUP ( Btl/1 ) BTL/1 20.480
1264 NEURO BESTON ( Box/100 ) BOX/100 142.311
1265 PYRONAL ( Box/100 ) BOX/100 97.293
1266 REMICADE INJEKSI(Box/1vL) BOX/1 6.709.090
1267 SESDEN ( Box/100 ) BOX/100 226.197
1268 SESDEN ASKES ( Box/100 ) BOX/100 132.840
1269 SESDEN INJEKSI ( Box/10 ) BOX/10 148.953
1270 SIMPONI BOX/1 13.418.182
1271 SIMPONI PREFILLED SYRINGE BOX/1 13.418.182
1272 TALION 10MG TAB(Box/30) BOX/30 88.745
1273 TANAPRESS 10 ( Box/30 ) BOX/30 468.077
1274 TANAPRESS 10 ASKES( Box/100 ) BOX/100 476.904
1276 TANAPRESS 10 JKN (Box/100) BOX/100 509.220
1277 TANAPRESS 5 ( Box/30 ) BOX/30 345.458
1280 TANAPRESS 5 JKN (Box/100) BOX/100 273.060
1281 BIO CALCI-72 (Btl/30) BTL/30 60.270
1282 HOLISTICARE ESTER-C HANGER (5Strip/20Tab) PAK/20 24.600
1283 HOLISTICARE SUPER ESTER-C TUB/30 41.820
1284 HOLISTICARE SUPER ESTER-C KIDS TUB/30 34.440
1285 HOLISTICARE SUPER ESTER-C STRIP/4 TAB STR/4 5.633
1286 HOLISTICARE SUPER ESTER-C FAMILY SIZE BTL/90 110.700
HOLISTICARE SUPREME EFFERVESCENT
1287 TUB/10 36.900
BLACKCURRANT
1288 HOLISTICARE SUPREME EFFERVESCENT ORANGE TUB/10 36.900
HOLISTICARE SUPREME ESTER-C EFFERVESCENT
1289 TUB/10 36.900
MANGO Flavor(Tube/10)
1290 Abilify 10 mg Box 548.209
1293 Abilify Discmelt 10 mg Box 548.203
1294 Abilify Dismelt 15 mg Box 634.328
1295 Amaryl 1 mg Tab Box 194.795
SHB KESEHATAN 322

1 2 3 4
1299 Amaryl M 1 mg/250 mg Box 116.810
1300 Amaryl M 2 mg/500 mg Box 207.017
1301 Anerocid Cap Box 243.540
1302 Anfix Dry Syr 30 ml Botol 90.651
1303 Anfix Kapsul Box 629.145
1304 Astaderm Cream 15 G Tube 216.480
1305 Asthin Force 4 mg Kap Box 174.537
1306 Asthin Force 6 Mg Cap. Box 213.774
1307 Asthin Force Cream Tube 148.830
1308 Asthin Force Gel 30 Gr Tube 94.710
1309 Avil Tablet 10X10' Box 200.529
1310 Azomax Dry Syr Botol 120.417
1311 Biolastin Cream 30 Gr Tube 121.770
1312 Biolastin Lab 10 Gr Tube 44.649
1313 Biomoist 30 Gr Tube 90.651
1314 Clopin 100 mg (INH) Box 382.530
1315 Clopin 25 mg Tab (INH) Box 86.100
1316 Clopine 100 mg ( BPJS) Box 430.500
1317 Clopine 25 (BPJS ) Box 178.350
1318 Colergis Sy Botol 51.414
1319 Colergis tab Box 297.660
1320 Curcuma FCT Box 117.305
1321 Curcuma Z Box 236.775
1322 Curvit CL Emulsion 175 ml Botol 60.885
1323 Curvit Syr 120 ml Botol 43.025
1324 Curvit Syr 60 ml Botol 29.766
1325 Cystone @ 100 Box 326.750
1326 Cystone @ 25 Box 108.917
1327 Dermatix Ultra 15 G Tube 288.251
1328 Dermatix Ultra 7 G Tube 172.950
1329 Dismeno Box 162.360
1330 Diven Plus Cap Box 267.894
1331 Edemin Inj 2 ml Box 37.208
1332 Edemin Inj Askes Box 14.760
1333 Edotin Cap Box 101.475
1334 Esperson 0.25% 1X15G Tube 153.568
1335 Esperson 0.25% 1X5G Tube 62.059
1336 Euthyrox 100 mcg Box 245.242
1337 Euthyrox 50 mcg Box 117.278
1338 Fitbon Kap Box 108.240
1339 Fitbon Plus 30 kap Box 121.770
1340 Flagyl Suppository 0.5 Gr Box 126.864
1341 Flagyl Suppository 1 Gr Box 254.915
1342 Flagyl Forte Tablets 500 Mg Box 772.577
1343 Flagyl Oral Suspension 60 Ml Botol 63.369
1344 Flagystatin Ovules Box 206.373
1345 Fluimucil Ampul 3 mg Box 291.572
1346 Fluimucil Capsule 200 Mg Box 395.753
SHB KESEHATAN 323

1 2 3 4
1347 Fluimucil Dry Syrup 150 Ml Box 81.180
1348 Fluimucil Dry Syrup 75 Ml Botol 64.268
1349 Fluimucil Eff Tab 600 Mg Box 152.213
1350 Fluimucil Granule 200 Mg Box 197.538
1351 Folamil Genio Soft Cap Box 148.830
1352 Fortibi Box 121.770
1353 Glucophage 500 mg Box 194.019
1354 Glucophage XR 1000 mg Box -
1355 Glucophage XR 500 mg Box 361.771
1356 Glucophage XR 750 mg Box 361.775
1357 Glucovance 250/1,25 mg Box 301.619
1358 Glucovance 500/2,50 mg Box 483.868
1359 Glucovance 500/5 mg Box 587.544
1360 Glumin-XR 750 Box 182.655
1361 Glyderm Cream 125 ml Box 147.600
1362 Hexbio Box 148.830
1363 Histrin Syr 60 ml Box 58.179
1364 Histrine Tab Box 171.831
1365 Ikaderm Cream 10 Gr Box 35.855
1366 Ikaderm Ointment 10 Mg Box 35.855
1367 Ikadril Dmp Syr 100 Ml Botol 23.678
1368 Ikadril Syrup 100 Ml Rasa Apel Botol 21.919
1369 Ikadril Syrup 60Ml Rasa Apel Botol 15.830
1370 Ikalep 250 mg Tab Box 175.044
1371 Ikalep Syrup 120 ml Botol 77.121
1372 Ikalep tab (BPJS) Box 91.328
1373 Ikalep Tab (INH) Box 91.328
1374 Ikamicetin Salep Klt Tube 7.442
1375 Ikamicetin Syrup Botol 10.824
1376 Ikaneuron 5000 Injeksi Box 133.947
1377 Ikaneuron 5000 Tablet Box 276.824
1378 Ikaneuron Plus Tablet Box 135.300
1379 Ikaneuron Tablet Box 108.240
1380 Imboost Force 30 Kaplet Box 230.010
1381 Imboost Force Syr 60 ml Botol 74.415
1382 Imforce Plus Tab Box 253.688
1383 Imforce Syrup 60 ml Botol 64.944
1384 Irtan 150 mg (A/B) Box 73.800
1385 Irtan 300 mg Askes Box 129.150
1386 Irtan Plus 300 Box 365.310
1387 Irtan Tab 150mg Box 243.540
1388 Irtan Tab 300 mg Box 365.310
1389 Ketese Tab Box 541.200
1390 Lacons Syr Botol 54.120
1391 Lactulax 60 Ml Botol 59.532
1392 Lasix Ampoule 5X2 Ml (Imported Fg) Box 93.162
1393 Lasix Tablet 10X10 Tab Box 602.247
1394 Laz 30 mg Box 340.956
1395 Meptin 0,025 Tab Box 300.772
SHB KESEHATAN 324

1 2 3 4
1396 Meptin 0,05 Tab Box 512.381
1397 Meptin Inhalation Sol 0,3 ml Box 9.106
1398 Meptin Inhalation Sol 0,5 ml Box 9.106
1399 Meptin Swinghaler Box 183.686
1400 Meptin Syr 60 ml Botol 63.997
1401 Mertigo Tab 6MG Box 399.135
1402 Metifer Injeksi 2 ml Box 237.452
1403 Monuril Granule 3 Gr Box 198.891
1404 Nasacort Aq Can 272.133
1405 Natrium Klorida 0,9 % (MJB), Botol 7.884
1406 Noroid Cream 80 ml Box 142.065
1407 Noroid Lotion 200 ml Box 169.125
1408 Novalgin 5X2 Ml Box 70.735
1409 Novalgin Drops 1X10 Ml Box 54.419
1410 Novalgin Oblong 500 Mg 10X10' (Una Form) Box 162.470
1411 Novalgin Oblong 500 Mg 50X10' (Una Form) Box 497.241
1412 Novalgin Syrup 1X60 Ml Botol 55.298
1413 OBH 100 Ml TDR Botol 5.953
1414 OMZ 20 mg Cap Box 473.550
1415 Ossoral 800 Box 316.602
1416 Otozambon Ear Drops 8 Ml Box 60.885
1417 OTSU Water for injection 25 ml Ampul 6.224
1418 Oxopect Syr Botol 38.561
1419 Patral Tab Box 92.004
1420 Pepzol 20 mg Tab Box 156.948
1421 Pepzol 40 mg Injeksi Box 175.890
1422 Pepzol 40 mg Tab Box 211.068
1423 Phenitoin Injeksi ( A/B ) Box 29.520
1424 Phentioin Cap ( INH) Botol 35.055
1425 Phenytoin Cap (A/B) Botol 25.830
1426 Phenytoin Capsul 100 Botol 74.415
1427 Phenytoin iInjeksi (INH) Box 25.288
1428 Pinetarsol Gel Tube 148.830
1429 Pinetarsol Sol 100 ml Tube 101.475
1430 Plavix Tablet 75 mg Box 892.167
1431 Posafit Box 182.655
1432 Prenatin DF Box 223.245
1433 Probio - C Box 74.415
1434 Probio Spray Box 70.356
1435 Rhinathiol Child 100 ml Syr Botol 46.881
1436 Rhinathiol Adult 100 ml Syr Botol 52.767
1437 Rhinathiol Caplet 375 mg Box 298.337
1438 Rhinathiol Romethazine Syr Botol 48.302
1439 Rhinofed Susp 60 ml Botol 29.090
1440 Rhinofed Tab Box 104.181
1441 Rhinos Junior Syr 60 ml Botol 40.590
1442 Rhinos Neo Drop Flas 52.767
1443 Rhinos SR @50 Box 304.425
1444 Riitez FC Tab Box 162.360
SHB KESEHATAN 325

1 2 3 4
1445 Ringer Laktat (MJB) Botol 12.300
1446 Ritez Syr 60 ml Botol 81.299
1447 Rosufer 20 Tab Box 446.490
1448 Safe Care Minyak Angin 5 ml Flas 16.728
1449 Salicyl talk 50 Box 1.260
1450 Seloxy AA Cap Box 257.070
1451 Seloxy Cap Box 182.655
1452 Sistenol Cap Box 121.770
1453 Sofradex Eye&Ear Drops 1X8 Ml (Imported F) Box 78.508
1454 Sofratulle 10X10 Cm 1 X 10(Imported Fg) Box 277.098
1455 Sohobion Tab Box 135.300
1456 Spedifen 400 Mg Box 217.359
1457 Starcef 200 mg Kap Box 372.075
1458 Starcef 100 mg Kap Box 710.325
1459 Starcef Dry Syr Botol 101.475
1460 Telfast Hd 180Mg 1X10' _ Aventis Box 104.200
1461 Telfast Od 120 Mg 10X10' Box 1.017.368
1462 Telfast Plus 10 X 10 Box 636.145
1463 Telfast Tab. 30 Mg Box 201.378
1464 Thrombogel Gel.. Tube 42.620
1465 Thrombophob Gel Tube 63.929
1466 Thrombophob Ointment Tube 49.723
1467 Thyrozol 10 mg Box 219.375
1468 Thyrozol 5 mg Box 141.240
1469 Tiger Balm Red Flas 22.595
1470 Tiger Balm White Flas 22.595
1471 Toplexil Syrup 120 Ml Botol 86.903
1472 Toplexil Syrup 60 Ml Botol 49.248
1473 Transamin Capsul 250 Mg Box 186.714
1474 Transamin Tablet 500 Mg Box 324.720
1475 Triatec 10 Mg Tablet 3X10' Box 609.885
1476 Triatec 2.5 Mg Tablet 6X10' (New) Box 556.216
1477 Triatec 5 Mg Tablet 6X10' (New) Box 878.235
1478 Ulsicral Suspensi 100 Ml Botol 58.044
1479 Ulsicral Suspensi 100 ML (INH) Botol 28.290
1480 Ulsicral Suspensi 100 ml ( A/B ) Botol 30.135
1481 Ulsicral Tablet Box 105.669
1482 Vectrin Dry Syr Botol 48.708
1483 Vectrine 300 mg Box 108.240
1484 Ventolin Inhaler CFC Free Box 127.688
1485 Ventolin Nebul Box 243.215
1486 Vometa Drops 10 Ml Botol 53.444
1487 Vometa Flas Tab Box 243.540
1488 Vometa SYR 60 ml Botol 53.444
1489 Vometron Syr 50 ml Botol 108.240
1490 Xanvit 50 Kap Box 45.326
1491 Xanvit Plus Emulsion Botol 17.589
1492 Xanvit Syr 60 ml Botol 11.501
1493 Xilon 4 mg Box 162.360
SHB KESEHATAN 326

1 2 3 4
1494 Zenalb 50ml Askes Botol 509.220
1495 Zoloral Cream 10 Grm Tube 21.648
1496 Zoloral Cream 10 Grm (bpjs ) Tube 3.813
1497 Tentex Royal @ 10 Box 172.710
1498 AMARYL 2 MG Box / 50 TABLET 345.629
1499 AMARYL 3 MG / 50 TABLET Box / 50 TABLET 437.807
1502 TOPLEXIL SYR 60 ML btl 56.880
1503 ESPERSON CREAM 0,25% 5 GR Tube 62.059
1505 FLAGYL SYRUP 60 ML btl 65.271
1506 FLAGYL FORTE TABLET/100 Box / 100 TABLET 818.930
1507 LASIX /100 TABLET Box / 100 TABLET 602.247

1508 NOVALGIN OBLONG /500 TABLET Btl / 500 TABLET 773.633
1509 TELFAST OD 120 MG /10 TABLET Box / 10 TABLET 101.736
1510 TELFAST HD 180 MG /10 TABLET Box / 10 TABLET 104.200
1511 TOPLEXIL SYRUP 120 ML btl 91.248
1512 TRIATEC 5.0 MG / 60 TABLET Box / 60 TABLET 966.058
1513 TRENTAL 400 MG /100 TABLET Box / 100 TABLET 1.289.845
1514 OTRIVIN NASAL DROPS 0,1% 10 ML btl 58.720
1515 OTRIVIN NASAL DROPS 0,05% 10 ML (ANAK) btl 58.720
1516 TRIAMINIC EKSPEKTORAN & PILEK 60 ML btl 59.911
1517 TRIAMINIC PILEK 60 ML btl 59.911
1518 TRIAMINIC BATUK & PILEK 60 ML btl 59.911
1519 VOLTAREN EMULGEL 10 GR Tube 48.444
1520 VOLTAREN EMULGEL 5 GR Tube 29.123
1521 VOLTAREN EMULGEL NEW 1% 20 GR Tube 80.836
1522 VOLTAREN EMULGEL NEW 1% 50GR Tube 182.129
1523 A-B VASK 5 MG / 3X10 TABLET Box / 30 TABLET 213.098
1524 A-B VASK 10 MG / 3 X 10 TABLET Box / 30 TABLET 373.428
1525 ALEGI /100 TABLET Box / 100 TABLET 162.360
1526 ACLAM 500 MG / 15 KPLT Box / 15 KAPLET 243.540
1527 ACLAM DS 125 MG 60 ML Btl 70.356
1528 APIALYS DROPS 10 ML (TL) btl 44.649
1529 APIALYS SYRUP 100 ML (TL) btl 37.208
1530 AMADIAB 1 MG Box /50 KPLT 152.213
1531 AMADIAB 2 MG /50 KPLT Box /50 KPLT 270.600
1534 ANALTRAM / 3X10 KPLT Box /30 KPLT 304.425
1535 AVOGIN 530 MG / 5 X 6 KPLT Box /30 KPLT 121.770
1536 BIOSTRUM SYRUP 100 ML btl 56.826
1537 CAL-95 1100 MG /5 X 6 KPLT Box /30 KPLT 178.596
1538 CEBACTAM INJ vial 230.010
SHB KESEHATAN 327

1 2 3 4
1539 CEFILA 100 MG Box / 30 KPSL 710.325
1540 CEFILA 50 MG / 30 KPSL Box / 30 KPSL 365.310
1541 CEPRAZ INJEKSI 1 GRAM vial 189.420
1542 CEFILA - 200 MG/10 KPSL Box / 10 KPSL 372.075
1543 CEFILA SIRUP KERING 30 ML btl 105.534
1544 CIFLON KPLT ( 5 STRIP @ 6 KPLT) Box /30 KPLT 284.130
1545 CLINMAS 150 MG /30 KPSL Box / 30 KPSL 152.213
1546 CLINMAS 300 MG /30 KPSL Box / 30 KPSL 263.835
1547 CRAVOX 500 MG /10 TABLET Box / 10 TABLET 432.960
1548 CRAVOX INFUS 500 MG/100 ML btl 297.660
1549 CEFXON INJEKSI 1 GR vial 257.070
1550 D O M SUSPENSI 60 ML btl 50.738
1551 D O M KPLT / 3 X 10 KPLT Box /30 KPLT 133.947
1552 FASTOR 10 mg / 3x10 KAPLET Box /30 KPLT 405.900
1553 FASTOR 20 mg / 3x10 KAPLET Box /30 KPLT 446.490
1554 GENOCLOM /2 x 10 TABLET Box /20 KPLT 324.720
1555 HEPATIN 750 MG /30 KPLT Box /30 KPLT 182.655
1556 IMUNOS /5 x 4 KPLT Box /20 KPLT 175.890
1557 IMUNOS PLUS / 5 X 4 KPLT Box /20 KPLT 224.598
1558 IMUNOS SYRUP 60 ML btl 77.798
1559 IMUNOS PLUS SYRUP 60 ML btl 108.240
1560 ITZOL 100 MG /3 x 4 KPSL Box / 12 KPLT 300.366
1561 LACTRIN 300 / 2 X 10 KAPS Box / 20 KPSL 108.240
1562 LAPIBAL 500 INJEKSI / 5 AMPUL box / 5 ampul 148.830
Box / 2 BTL @ 15
1563 L-BIO 243.540
KAPSUL
1564 L - BIO SACHET Box/ 30 SACHET @ 1GR 243.540
1565 LAPIBAL 250 MG /100 KPSL Box / 100 KPSL 162.360
1566 LAPIBAL 500 MG /100 KPSL Box / 100 KPSL 250.305
1567 LAPIBION /100 TABLET (B) Box / 100 TABLET 175.890
1568 LACOLDIN SYRUP 60 ML (B) btl 23.001
1569 LACOLDIN /100 TABLET (B) Box / 100 TABLET 175.890
1570 LAPICEF 500 MG /100 KPSL Box / 100 KPSL 1.285.350
1571 LAPICEF DRY SYRUP 125 MG 60 ML btl 56.826
1572 LAPICEF DRY SYRUP 250 MG 60 ML btl 92.004
1573 L-CORE SACHET Box / 5 SACHET @ 8 G 125.153
1574 L-CISIN / 3X10 TABLET Box / 30 TABLET 146.124
1575 LAPIFED SYRUP 60 ML (B) btl 27.060
1576 LAPIFED - DM SYRUP 100 ML (B) btl 33.825
1577 LAPIFED EXP SYRUP 60 ML btl 29.090
1578 LAPIFED /100 TABLET Box / 100 TABLET 284.130
1579 LAPIFLOX 500 MG /5 x 6 KPLT Box /30 KPLT 487.080
1580 LASGAN 30 MG /20 KPSL Box / 20 KPSL 324.720
1581 LAGESIL /100 TABLET (H) Box / 100 TABLET 121.770
1582 LASMALIN SYRUP 1.5 MG 100 ML btl 37.208
1583 LAMESON 125 INJEKSI vial 117.711
1584 LAMESON 4 MG /100 TABLET Box / 100 TABLET 412.665
SHB KESEHATAN 328

1 2 3 4
1585 LAMESON 8 MG /100 TABLET Box / 100 TABLET 662.970
1586 LAMESON 16 MG /100 TABLET Box / 100 TABLET 1.014.750

1587 LAPIMOX 500 MG /100 KPLT Box / 100 KPLT 324.720
1588 LAPIMOX DRY SYRUP 125 MG 60 ML btl 270.600
1589 LAPROSIN SIRUP 60 ML btl 94.710
1590 LAPROSIN / 2 X 4 TABLET Box / 8 TABLET 97.416
1591 LAPISTAN 500 MG /100 KPLT Box / 100 KPLT 162.360
1592 LAPIXIME INJEKSI 1 GR vial 189.420
1593 LASAL 2 MG /100 KPSL Box / 100 KPSL 142.065
1594 LASAL 4 MG /100 KPSL Box / 100 KPSL 189.420
1595 LASAL SYRUP 2 MG 100 ML btl 31.119
1596 LASAL EKSPECTORANT SYRUP 100 ML btl 46.679
1597 LESIPAR 300 MG /100 SOFTKPSL (TL) Box / 100 KPSL 446.490
1598 LAPISIV SYRUP 100 ML (B) btl 23.678
1599 LATROPIL 400 MG /100 KPSL Box / 100 KPSL 270.600
1600 LATROPIL SYRUP 500 MG 100 ML btl 56.826
1601 L-ZINC SIRUP 100 ML btl 40.590
1602 MECOLA KPLT / 5 X 6'S Box / 30 KAPLET 152.213
1603 MEGAZING /50 KPLT (B) Box / 50 KAPLET 155.595
1604 MYONEP /100 TABLET Box / 50 KAPLET 541.200
1605 MOVIX 7,5 MG / 20 TABLET Box / 20 KAPLET 135.300
1606 MOVIX 15 MG / 20 TABLET Box / 20 KAPLET 221.892
1607 NATTO 10/5X6 KAPLET Box / 30 KAPLET 324.720
1608 NEUCITI 500 MG TABLET / 30 Box / 30 KAPLET 345.015
1609 NONEMI /100 TABLET (H) Box / 100 TABLET 175.890
1610 NYSTIN DROPS 12 ML btl 47.355
1611 ODR SIRUP 60 ML btl 119.064
1612 OSKOM SALUT SELAPUT / 5 STRIP x 6 KAPLET Box / 30 KAPLET 243.540
1613 OPTALVIT PLUS TABLET/ 3X10 TABLET Box / 30 KAPLET 223.245
1614 OPTALVIT SIRUP btl 81.180
1615 PIDOVIX /30 TABLET Box / 30 TABLET 527.670
1616 PROMAVIT KPSL LUNAK (STRIP) / 6 X 10'S Box / 60 KPSL 202.950
1617 REBAMID SALUT SELAPUT / 3 x 10 TAB Box / 30 TABLET 129.888
1618 RHELAFEN SUSPENSI 100 MG 60 ML (B) btl 22.325
1619 RHELAFEN FORTE SUSPENSI 60 ML (B) btl 27.060
1620 TOFEDEX TSS / 3 X 10 TAB Box / 30 TABLET 223.245
1621 TINEURON 3 X 10 KPSL Box / 30 TABLET 365.310
1622 TOPAZOL INJ vial 186.714
1623 TIRIZ 10 MG /30 KPLT Box / 30 KAPLET 146.124
1624 TIRIZ ORAL DROPS 10 MG btl 81.180
1625 UTROGESTAN 200 MG Box / 15 KPSL 345.015
1626 UTROGESTAN 100 MG / 2 X 15 KAPS Box / 30 KPSL 365.310
1627 VITACUR SYRUP 100 ML btl 44.649
1628 BIOPLACENTON JELLY 15 GR tube 18.266
SHB KESEHATAN 329

1 2 3 4
1629 KALMETHASONE 0,5 MG /200 TABLET Box / 200 TABLET 27.060

1630 NEURALGIN CREAM tube 33.825
1631 NEURALGIN RX /100 KPLT Box / 100 KPLT 81.180
1632 PRONICY SC 4 MG /100 KPLT Box / 100 KPLT 29.766
1633 VITAZYM Box /100 DRGE 104.181
1634 KALCINOL N CREAM 5 GR tube 12.177
1635 KALCINOL N CREAM 10 GR tube 16.236
1636 PLANTACID SUSPENSI 100 ML (H) btl 12.177
1637 KALMICETINE DERMATOLOG 20 MG tube 13.530
1638 MYCORAL 200MG /50 TABLET Box / 50 TABLET 234.069
1639 MYCORAL CREAM 5 GR tube 13.530
1640 NEO ENTROSTOP / 12 x 12 TABLET Box / 24 TABLET 75.497
1641 FATIGON Box / 15X4 TABLET 52.686
1642 KALPANAX CREAM 5 GR btl 8.456
1643 KALPANAX CAIR 10 ML btl 3.383
Box / 12 x 12
1644 PROMAG 78.355
TABLET
1645 WOODS COUGH SYRUP ATT 60 ML (M) btl 17.048
1646 WOODS COUGH SYRUP ATT 100 ML (M) btl 27.737
1647 WOODS COUGH SYRUP EXP 60 ML (B) btl 17.048
1648 WOODS COUGH SYRUP EXP 100 ML (B) btl 27.737
Box/ 5's x 10
1649 NEUROBION CT / 5's x 10 KAPSUL 89.406
KAPSUL
Box/ 5's x 10
1650 NEUROBION FORTE / 5's x 10 KAPSUL 164.579
KAPSUL
Box/ 25's x 10
1651 NEUROBION FORTE / 25's x 10 KAPSUL 822.895
KAPSUL
Box/ 25's x 10
1652 NEUROBION CT / 25's x 10 KAPSUL 447.031
KAPSUL
Box/ 10's x 4
1653 SANGOBION 53.579
KAPSUL
Box/ 25's x 10
1654 SANGOBION 318.849
KAPSUL
1655 ATOFAR 10 MG / 30 TAB Box / 30 TABLET 405.900
1658 CORSEL TABLET Box / 30 TABLET 202.950
1659 PLADOGREL Box / 30 TAB 487.080
1660 FARMADOL TABLET 500 MG Box /100 TAB 37.884
1661 FARMASAL TABLET 100 MG Box /100 TAB 87.945
1662 FARTOLIN EXP SYRUP 100 ML btl 47.355
1663 GASTRUL Box / 30 TABLET 405.900
1664 INPEPSA SUSPENSI 500 MG 200 ML btl 101.475
1665 INPEPSA SUSPENSI 500 MG 100 ML btl 64.944
1666 LACTAFAR KAPS Box / 30 KAPSUL 154.242
1667 LUPRED Box / 30 TAB 81.180
1668 MONECTO 20 MG Box / 30 TABLET 105.534
SHB KESEHATAN 330

1 2 3 4
1669 PRAZOTEC KPSL Box /20 KAPSUL 317.955
1670 RECOLFAR Box /30 TABLET 174.537
1671 RENASISTIN DRY SYRUP 250 MG 60 ML btl 87.945
1672 RENASISTIN DROP 15 ML btl 67.650
1673 SYSMUCO Box / 30 TAB 142.065
1674 TRAMSET / Box / 30 KAPLET 263.835
1675 CALLUSOL - 10 ML btl 33.825
1676 ACTIFED PLUS COUGH SUPPRESSANT 60 ML(M) btl 49.796
1677 ACTIFED PLUS COUGH SUPPRESSANT 120 ML(M) btl 67.676
1678 ACTIFED 60 ML ( KUNING ) btl 49.796
1679 ACTIFED 120 ML (KUNING) btl 67.676
1680 ACTIFED PLUS EXPECTORANT 60 ML(HIJAU) btl 49.796
1681 ACTIFED PLUS EXPECTORANT 120 ML(HIJAU) btl 67.676
1682 PANADOL SYRUP 30 ML btl 23.581
1683 PANADOL KPLT 100'S ( BIRU ) box 86.392
1684 PANADOL COLD & FLU 100'S ( HIJAU ) box 111.662
1685 PANADOL DROPS 15 ML btl 49.440
1686 PANADOL EXTRA 100'S ( MERAH ) box 95.294
1687 PANADOL FLU & BATUK btl 111.662
1688 PANADOL SYRUP 60 ML btl 43.189
1689 PANADOL 6+ SYRUP 60 ML btl 43.189
1690 PANADOL CHEWABLE 100'S (P) box 125.017
1693 FLAGYL SYRUP 60 ML Btl 65.271
1694 FLAGYL FORTE TABLET Box /100 818.930
1695 LASIX Box /100 602.247
1696 NOVALGIN OBLONG Botol /500 TABLET 773.633
1697 TELFAST OD 120 MG Box /10 TABLET 101.736
1698 TELFAST HD 180 MG Box /10 TABLET 104.200
1699 TOPLEXIL SYRUP 120 ML btl 91.248
1700 TRIATEC 5.0 MG Box / 60 TABLET 966.058
1701 TRENTAL 400 MG Box/100 TABLET 1.289.845
1702 Dexamethason (micronized) 0,5 mg, CTM 2 mg Dos 30x10's 598.530
1703 Dexamethason (micronized) 0,5 mg, CTM 2 mg Dos 10x10's 202.950
1704 Dexamethason (micronized) 0,5 mg, CTM 2 mg Btl 60 ml 33.773
1705 Lidocain 20 mg,Epinephrine (Adrenalin) 0,0125 mg Dos 20 Ampul 69.619
1706 ATP 20 mg,B1 100 mg,B6 20 mg,B12 200 mg,Vit E 30 mg Dos 10x10's 263.441
1707 Dextromethorphan Hbr, 7,5 mg, CTM 1 mg, Phenylephrine HCL
Btl 605 mg
ml 8.997
1708 Fluocinolone Acetonide 0,25 mg, Neomicyne Sulfat 5 mg Tube 5 mg 21.071
1709 Griseofulvin (micronized) 500 mg Dos 10x10's 565.500
Bromhexin HCL 8 mg, Dipenhydramine HCL 25 mg
1710 Dos 30x10's 104.722
,Paracetamol 400 mg
1711 Bromhexin HCL 8 mg Dos 30x10's 61.500
1712 Bromhexin HCL 4 mg Btl 60 ml 8.997
1713 Kalium Diclofenac 25 mg Dos 5x10's 63.633
1714 Kalium Diclofenac 50 mg Dos 5x10's 115.194
1715 Neomicyne Sulphate 5 mg, Zinc Bacitracin 500 IU Tube 5 mg 19.238
SHB KESEHATAN 331

1 2 3 4
1716 Lutein 30 mg,Extract Billberry 80 mg Btl 60 ml 158.601
1717 AMAROPO PLUS 10X10'S Ds. 10 x 10's 255.717
1718 BIORON INJ 5ML Ds. 5 amp 24.273
1719 CARDISMO 10X10'S Ds. 10 x 10's 303.410
1720 CERCUL INJ Ds.5 amp 2 ml 92.250
1721 GERIAVITA 30'S Btl. 30's 72.935
1722 HEPAGARD Ds. 3 x 10's 93.763
1723 HYPOBHAC 100 MG INJ Ds. 1 amp 161.251
1726 KALOBA TAB Ds 21's 159.285
1727 KALOBA SYR 1 Btl 123.000
1728 KOLKATRIOL 30'S Btl. 30's 220.739
1729 KOLKATRIOL FORTE 30'S Btl. 30's 369.000
1730 MEROPROS Ds.1 Vial 455.100
1731 METANEURON 30X10'S Ds. 30 x 10's 383.088
1732 MICTONORM 15 MG TAB 4X7'S Ds.28's 333.379
1733 OSTEOTIN 10X6'S Ds 6 x 10 220.293
1734 PROINFARK INJ 10 ML 5 AMP Ds.5 amp 2 ml 73.800
1735 RISTONAT Ds.1 X 4 tab 356.700
1736 TEBOKAN FORTE Ds. 3 x 10's 574.410
1737 TEBOKAN SPESIAL 3X10'S Ds. 3 x 10's 392.370
1738 TEBOKAN TABLET 10X10'S Ds. 10 x 10's 653.130
1739 TENSIGARD Ds. 3 x 10's 71.340
1740 TRAMPARA Ds. 3 x 10's 178.350
1741 DIOS Ds. 3 x 10's 141.450
1742 PEHADOXIN FORTE Ds. 10 x 10's 73.800
1 blister @ 28
1743 PRO TB 4 169.904
tablet salut selaput
Dos 5 ampul @ 4
1744 SPICA 319.800
ml
1745 Pro TB 3 Kid tab/1 bls x28's Ds.1x28 Tab 146.370
1746 Pro TB 3 Kid tab/1 bls x28's Ds.1x28 Tab 146.370
1747 Pro TB 2 Ds.1x28 Tab 226.874
1748 Altera 55.350
1749 E-Some Inj ( E-Catalogue ) 1 Vial 53.549
1750 Spica ( E-Catalogue ) 1 Ampul 17.257
1751 Grant 1 mg/ml inj/5 ampx 1 ml 5 Amp 246.000
1752 Phalsy 5 mg 86.100
1753 Skincol 153.750
1754 RHEUMASON SPECIAL CREAM MERAH 18 GR POT 7.688
1755 RHEUMASON CLASSIC BALM 15 GR POT 7.820
1756 RHEUMASON INHALER INHALER 9.533
1757 RHEUMASON MINYAK GOSOK SUSPENSI 60 ML BOTOL 10.159
1758 RHEUMASON WHITE CREAM 18 GR BOTOL 7.688
1759 RHEUMASON GREEN BALM 15 GR BOX POT 8.303
1760 RHEUMASON MINYAK GOSOK SUSPENSI 30 ML BOTOL 6.098
1761 RHE MINYAK AROMATHERAPI BOTOL 11.368
SHB KESEHATAN 332

1 2 3 4
1762 RHEUMASON BALSEM SEREH KRIM 15 GR POT 6.509
1763 RHEUMASON WHITE CREAM 18 GR BOTOL 6.745
1764 RHEUMASON MINYAK ANGIN PUTIH ROLL ON 10 ML BOTOL 11.368
1765 SALFAPLAS 8 STRIP TABLET STRIP 5.355
1766 SALFAPLAS 4 STRIP TABLET STRIP 3.485
1767 SALFAPLAS XP 4 STRIP KAPLET STRIP 3.260
1768 NELLCO SPECIAL OBH RASA MENTHOL SIROP 100 ML BOTOL 32.830
1769 NELLCO SPESIAL OBH SYRUP 55 ML BOTOL 23.666
1770 NELLCO SPECIAL OBH ANAK RASA COKLAT SIROP 55 ML
BOTOL 16.892
1771 NELLCO SPECIAL OBH RASA MENTHOL SACHET SIROPBOTOL
7,5 ML 1.402
1772 NELLCO SPECIAL OBH ANAK RASA COKLAT SIROP 30 ML
BOTOL 10.178
1773 OBH NELLCO BATUK BERDAHAK SIROP 55 ML BOTOL 10.465
1774 OBH NELLCO BATUK BERDAHAK SIROP 100 ML BOTOL 14.237
1775 OBH NELLCO PLUS SYRUP 100 ML BOTOL 19.628
1776 NELLCO SPECIAL OBH ANAK 100 ML BOTOL 20.459
1777 OBH NELLCO PLUS SYRUP 55 ML BOTOL 14.063
1778 NELLCO SPECIAL OBH RASA JAHE SIROP 100 ML BOTOL 25.953
1779 NELLCO SPECIAL OBH RASA MADU SIROP 100 ML BOTOL 25.953
1780 NELLCO SPECIAL OBH RASA JAHE SIROP 55 ML BOTOL 18.696
1781 NELLCO SPECIAL OBH RASA MADU SIROP 55 ML BOTOL 18.696
1782 RODECA SERBUK 60 GR BOTOL 9.050
1783 RODECA LOTION 100 ML BOTOL 17.508
1784 RODECA LOTION 60 ML BOTOL 11.306
1785 RODECA POWDER NATURAL 60 GR BOTOL 7.473
1786 RODECA POWDER BEDAK 100 GR BOTOL 11.900
1787 RODECA NATURAL BEDAK 100 GR BOTOL 9.769
1788 RODECA LOSION BOTOL 100 ML BOTOL 17.508
1789 MINYAK KAYU PUTIH NELLCO 30 ML BOTOL 10.824
1790 MINYAK KAYU PUTIH 60 ML BOTOL 19.181
1791 MINYAK TELON NELLCO 30 M BOTOL 10.045
1792 MINYAK TELON NELLCO 60 M BOTOL 18.050
1793 KALK TABLET 100 500 MG BOTOL 26.722
1794 KALK TABLET 30 500 MG BOTOL 12.187
1795 FLUKOL X-TTABLET STRIP 1.507
1796 LAURAMOX FORTE KAPLET 500 MG STRIP 12.300
1797 DEXANEL TABLET 0,5 mg POT 6.150
1798 SALISYL NELLCO NON MENTOL 60 GR BOTOL 5.822
1799 NELLCO BEDAK SALICYL BOTOL 60 GR BOTOL 5.289
1800 NELLCO BEDAK SALICYL NON MENTHOL 100 GR BOTOL 4.766
1801 SALISYL GENESIS MENTOL BEDAK 60 GR BOTOL 5.053
1802 SALICYLCOOL&FRESH BEDAK 60 GRAM BOTOL 5.054
1803 NELLCO BEDAK SALICYL NON MENTHOL 90 GR BOTOL 5.822
1804 DERMOL SALEP 8 GR POT 3.894
SHB KESEHATAN 333

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KEPUTUSAN

NOMOR : 028 / 994 / 2017

PENETAPAN STANDAR HARGA BARANG/JASA

BADAN PENGELOLAAN KEUANGAN ACEH

I. BIDANG PERINDUSTRIAN DAN PERDAGANGAN

A. KELOMPOK BARANG ALAT TULIS KANTOR...............................1 - 9

II. BIDANG PERTANIAN, PERKEBUNAN, KEHUTANAN,

A. KELOMPOK BARANG PERTANIAN.........................................73– 77

III. BIDANG OBAT OBATAN, BAHAN MEDIS HABIS PAKAI, ALAT

A. KELOMPOK BARANG OBAT- OBATAN..............................115-140

NOMOR : 028 / 994 / 2017

A. KELOMPOK BARANG ALAT TULIS KANTOR

NO. JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

B. ALAT-ALAT KEBUTUHAN LAINNYA

NOMOR : 028 / 994 / 2017

s/d 1000 1001 lbr s/d 1000 1001 lbr

½ Folio 608 462 912 729

6 Bahan NCR 3 ply ( Top + 1 ¼ Folio 547 316 2.796 1.580

Middle +1 Bottom ) ½ Folio 729 669 2.796 1.580

7 Bahan NCR 4 ply ( Top + 2 ¼ Folio 760 760 2.371 2.067

Middle + 1 Bottom ) ½ Folio 760 760 851 851

s/d 1000 1001 lbr s/d 1000 1001 lbr

1 Bahan Karton Manila atau ¼ Folio 1.216 1.216 2.188 2.188

C. CETAK KOP SURAT/AMPLOP

1 Bahan HVS 60 gram Berwarna Folio 1.216 973 1.824 1.580

s/d 1000 1001 lbr s/d 1000 1001 lbr

1 Undangan Resmi biasa Folio 9.118 8.510 4.012 3.404

1 Kertas Linen 26 x 36 cm 6.079 4.863 2.188 2.310

2 Kertas Linen berlatar belakang semu 26 x 36 cm 6.079 4.863 3.647 4.012

3 Kertas Linen cetak Timbul 26 x 36 cm 6.079 4.863 3.769 5.471

s/d 1000 1001 lbr s/d 1000 1001 lbr

G. CETAK COVER/KULIT BUKU

1 Bahan Karton Manila Folio 3.647 3.404 16.412 17.628

H. CETAK BLANKO KHUSUS

s/d 1000 1001 lbr s/d 1000 1001 lbr

Daftar Pengeluaran yang tidak HVS 60, Ukr. ½ Folio 100

Daftar Pengeluaran yang tidak

38 Cover States Asahi D/F 8.510 8.510 15.804 15.804

s/d 1000 1001 lbr s/d 1000 1001 lbr

Blanko Tanda Pembayaran Lab.Isi 100

NOMOR : 028 / 994 / 2017

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

SHB ALAT KANTOR & RT 16

SHB ALAT KANTOR & RT 17

SHB ALAT KANTOR & RT 18

SHB ALAT KANTOR & RT 19

SHB ALAT KANTOR & RT 20

H LAIN-LAIN KEBUTUHAN KANTOR/RUMAH TANGGA

SHB ALAT KANTOR & RT 21

SHB ALAT KANTOR & RT 22

SHB ALAT KANTOR & RT 23

SHB ALAT KANTOR & RT 24

SHB ALAT KANTOR & RT 25

SHB ALAT KANTOR & RT 26

SHB ALAT KANTOR & RT 27

NOMOR : 028 / 994 / 2017

NOMOR : 028 / 994 / 2017

NOMOR : 028 / 994 / 2017

NOMOR : 028 / 994 / 2017

NO JENIS BARANG MERK/MODEL/UKURAN SATUAN HARGA

~ Bahan Varena Drill Warna hijau muda + Badge Stel 435.400

~ Bahan Japan Drill Warna hijau muda + Badge Stel 559.800

~ Bahan Vitana Drill Warna hijau muda + Badge Stel 435.400