Anda di halaman 1dari 2

RENCANA ANGGARAN BIAYA (RAB)

KEGIATAN PENGADAAN SARANA, PRASARANA, ALAT KESEHATAN MELALUI DANA ALOKASI KHUSUS (DAK)
TAHUN ANGGARAN 2020

Kementerian Negara/ Lembaga : Kementerian Kesehatan Republik Indonesia


Unit Esselon II/ Satker : Direktorat Jenderal Pelayanan Kesehatan/ RS H.L. Manambai Abdulkadir
Kegiatan : Pengadaan, Peningkatan Sarana Prasarana dan Alat Kesehatan RS
Sasaran Kegiatan : RSU Yang Memenuhi Standar Sarana Prasarana Dan Alat Kesehatan
Indikator Kinerja Kegiatan : Rumah Sakit Yang Memenuhi Standar
Keluaran (Output) Kegiatan : Peningkatan Sarana Prasarana Dan Alat Kesehatan Di Rumah Sakit
Indikator Keluaran (Output) Kegiatan : Pengadaan Sarana Prasarana Dan Alat Kesehatan Sesuai Standar Di Rumah Sakit
Volume : 316
Satuan Ukur : Unit
Alokasi Dana : 33,700,577,557

Rincian Perhitungan
Referensi
No Uraian Kegiatan/Rincian Harga Satuan Ongkir Satuan+Ongkir Total Lokasi
Harga
Satuan Jumlah

1 2 3 4 5 6 7 8 9

I ALAT KESEHATAN
RS H.L.
1 NICU 1,193,420,340 e-Catalog Manambai
Abdulkadir
- Bubble CPAP unit 5 7,920,000 498,960 8,418,960 42,094,800
- Continuous Positif Airway unit
4 76,540,000 4,822,020 81,362,020 325,448,080
Pressure (CPAP)
- Incubator transport unit 2 402,657,130 10,281,600 412,938,730 825,877,460
RS H.L.
2 ICU - 351,748,470 e-Catalog Manambai
Abdulkadir
- Infusion Pump unit 5 23,661,330 1,100,000 24,761,330 123,806,650
- Suction Pump unit 5 21,137,064 592,000 21,729,064 108,645,320
- Srying Pump unit 6 15,882,750 4,000,000 19,882,750 119,296,500
- -
RS H.L.
3 Instalasi Bedah Central/R. Operasi 14,620,496,142 e-Catalog Manambai
Abdulkadir
- Bronchoscope and accessories unit 1 2,246,313,487 29,187,000 2,275,500,487 2,275,500,487
- Emergency Trolley unit 2 28,312,000 2,548,080 30,860,080 61,720,160
- Endoscope Whaser unit 1 208,260,903 8,568,000 216,828,903 216,828,903
- Endoskopik unit 1 3,175,879,108 30,033,000 3,205,912,108 3,205,912,108
- Operating Lamp Mobile unit 1 87,929,871 16,706,700 104,636,571 104,636,571
- Arthroscope unit 1 88,039,417 6,602,956 94,642,373 94,642,373
- Autorefraktometer unit 1 180,400,000 3,728,313 184,128,313 184,128,313
- Captriton Ultra Sonic Aspiration unit
1 1,555,887,000 16,000,000 1,571,887,000 1,571,887,000
(CUSA)
- Chart Projector unit 1 12,500,000 301,800 12,801,800 12,801,800
- Embriotomi Set unit 1 59,444,000 3,903,000 63,347,000 63,347,000
- Fakoemulsifikasi Set unit 1 88,203,136 1,515,508 89,718,644 89,718,644
- Glaukoma Set unit 1 113,182,944 992,958 114,175,902 114,175,902
- unit
Laser Fotocoagulasi Glaukoma Set 1 319,000,000 12,500,000 331,500,000 331,500,000

- Lensmeter/Lensometer unit 1 29,286,989 1,094,500 30,381,489 30,381,489


- Major surgery Instrumen Set unit 1 99,071,000 8,647,000 107,718,000 107,718,000
- Mastektomi Set unit 2 90,691,000 530,000 91,221,000 182,442,000
- Operating Headlamp unit 6 1,978,834 1,978,834 11,873,004
- Opthalmic Refractometer unit 1 24,500,000 8,593,229 33,093,229 33,093,229
- Opthalmoscope Indirek unit 1 71,500,000 890,700 72,390,700 72,390,700
- Video laringoscope unit 4 225,000,000 15,000,000 240,000,000 960,000,000
- Vitrectomy Unit unit 1 96,457,760 1,536,145 97,993,905 97,993,905
- YAG Laser Set unit 1 551,583,360 15,000,000 566,583,360 566,583,360
- Blanket Warmer unit 4 83,623,200 1,548,023 85,171,223 340,684,892
- Magill Forcep unit 1 1,334,664 1,334,664 1,334,664
- Mesin Phaco unit 1 1,848,841,500 12,980,000 1,861,821,500 1,861,821,500
- Aesculap Basic Set unit 1 285,908,000 7,796,000 293,704,000 293,704,000
- Blanket Warmer unit 0 100,100,000 100,100,000 -
- Catarak Set unit 2 74,900,000 393,000 75,293,000 150,586,000
- Emergency Set unit 2 61,724,992 1,636,813 63,361,805 126,723,610
- Hordeolum Set unit 3 5,577,000 440,000 6,017,000 18,051,000
- Laringoscope unit 3 11,045,814 4,041,062 15,086,876 45,260,628
- Sterilisator kering unit 1 79,200,000 19,856,800 99,056,800 99,056,800
- Section Tube unit 6 461,500 143,000 604,500 3,627,000
- Craniotomi Set unit 2 132,297,000 7,201,000 139,498,000 278,996,000
- Dermatom dan Mesher unit 1 77,500,000 6,461,500 83,961,500 83,961,500
- Thoractomy Set unit 2 314,733,000 7,911,000 322,644,000 645,288,000
- Thyroidectomy Set unit 2 99,612,000 8,400,000 108,012,000 216,024,000
- Tonsilektomi unit 1 58,150,000 7,951,600 66,101,600 66,101,600
- Tromol unit 0 1,784,240 1,784,240 -
RS H.L.
4 Instalasi Gawat Darurat (IGD) - 5,108,854,766 e-Catalog Manambai
Abdulkadir
- Emergency Trolley unit 5 28,312,000 2,548,080 30,860,080 154,300,400
- Termometer Digital unit 10 360,000 50,000 410,000 4,100,000
- Aspirator/Vacuum/suction Pum unit
2 19,135,288 19,135,288 38,270,576
portable
- Defibrilator unit 2 700,927,000 1,452,000 702,379,000 1,404,758,000
- Timbangan bayi unit 3 2,871,000 1,535,484 4,406,484 13,219,452
- Automated External Defibrilator (AED) unit 4 118,165,300 1,518,000 119,683,300 478,733,200
- Bed patient Electric + matrass unit 10 48,500,000 4,365,000 52,865,000 528,650,000
- Pendant unit 8 141,462,264 15,000,000 156,462,264 1,251,698,112
- Vein Viwer unit 6 203,247,941 2,606,230 205,854,171 1,235,125,026
- Ventilator unit 0 368,725,108 368,725,108 -
RS H.L.
5 Instalasi HCU - 545,839,154 e-Catalog Manambai
Abdulkadir
- Central monitor unit 1 183,613,329 13,999,995 197,613,324 197,613,324
- ECG/EKG unit 3 32,554,800 1,500,000 34,054,800 102,164,400
- Infusion Warmer unit 10 22,000,000 2,606,143 24,606,143 246,061,430
RS H.L.
6 Instalasi Laboratorium - 4,834,388,163 e-Catalog Manambai
Abdulkadir
- Hematology Analizer unit 1 3,125,517,457 55,001,000 3,180,518,457 3,180,518,457
- Automatic tissue Processing unit 1 1,131,416,000 1,131,416,000 1,131,416,000
- Embedding center unit 1 177,740,200 177,740,200 177,740,200
- Manual Microtome unit 1 224,738,800 224,738,800 224,738,800
- Shaking Waterbhath unit 1 19,929,800 19,929,800 19,929,800
- Autoclave unit 1 100,044,906 100,044,906 100,044,906
Rincian Perhitungan
Referensi
No Uraian Kegiatan/Rincian Harga Satuan Ongkir Satuan+Ongkir Total Lokasi
Harga
Satuan Jumlah

1 2 3 4 5 6 7 8 9

RS H.L.
7 Instalasi radiodiagnostik - 359,204,000 e-Catalog Manambai
Abdulkadir
- Pesawat sinar-X Dental Panoramic unit 1 185,666,000 21,000,000 206,666,000 206,666,000
- MRI 3 Tesla unit 0 32,500,000,000 32,500,000,000 -
- Picture Archiving Communication
unit 1 152,538,000 152,538,000 152,538,000
System (PACS)

RS H.L.
8 Instalasi Rawat Inap - 3,104,983,475 e-Catalog Manambai
Abdulkadir
- Emergency Trolley unit 3 28,312,000 2,548,080 30,860,080 92,580,240
- Oxygen Concentrator unit 1 30,000,000 4,878,816 34,878,816 34,878,816
- Termometer digital unit 12 360,000 50,000 410,000 4,920,000
- Baby Suction Pump unit 5 21,137,064 592,000 21,729,064 108,645,320
- Patien Monitor unit 5 81,563,438 14,326,253 95,889,691 479,448,455
- Intubation Set unit 4 5,049,000 1,335,000 6,384,000 25,536,000
- Phototherapy Unit unit 3 230,000,000 11,500,000 241,500,000 724,500,000
- Compressor, Pressure Pump unit 15 41,750,000 15,167,000 56,917,000 853,755,000
- Easy move unit 8 20,581,225 522,500 21,103,725 168,829,800
- ECG unit 4 32,554,800 1,292,655 33,847,455 135,389,820
- Instrumen Cabinet unit 15 25,997,512 2,659,140 28,656,652 429,849,780
- Nebulizer Ultrasound unit 4 10,482,900 1,179,661 11,662,561 46,650,244
- -
RS H.L.
9 Instalasi Rawat Jalan/Poliklinik - 1,914,411,121 e-Catalog Manambai
Abdulkadir
- -
- Tensimeter Digital unit 20 2,575,000 739,989 3,314,989 66,299,780
- Termometer Digital unit 13 360,000 50,000 410,000 5,330,000
- Audio Meter unit 1 238,000,000 1,125,000 239,125,000 239,125,000 p.Mata
- Cirumsisi Set unit 3 34,481,000 5,509,000 39,990,000 119,970,000
- EEG Mobile with Video unit 1 828,591,000 20,000,000 848,591,000 848,591,000
- Low Level Laser Therapy (LLLT) unit 1 94,000,000 6,600,000 100,600,000 100,600,000
- Trial Lens Set unit 2 19,282,000 304,300 19,586,300 39,172,600
- Examination Lihgt unit 1 86,500,000 5,362,750 91,862,750 91,862,750
- Laser Theraphy unit 1 230,000,000 6,600,000 236,600,000 236,600,000
- Ultrasound Theraphy unit 1 37,384,000 455,000 37,839,000 37,839,000
- MWD unit 1 123,021,000 5,999,991 129,020,991 129,020,991
RS H.L.
Ruang Kebidananan dan Penyakit
11 - 1,667,231,926 e-Catalog Manambai
Kandungan
Abdulkadir
- Incubator Infant Transport unit 3 208,000,000 19,089,280 227,089,280 681,267,840
- Tempat Tidur Bayi unit 10 9,000,000 810,001 9,810,001 98,100,010
- Antidecubitus Matras unit 6 2,747,961 71,494 2,819,455 16,916,730
- Cardiotocograph/CTG unit 4 172,260,000 21,273,654 193,533,654 774,134,616
- Fetal Dopler unit 6 14,842,800 1,292,655 16,135,455 96,812,730
- USG 4D unit 0 1,468,606,078 1,468,606,078 -
TOTAL BIAYA unit 316 33,700,577,557

Sumbawa Besar, 5 November 2019

Direktur RS H.L. Manambai Abdulkadir

dr. Arindra Kurniawan


NIP. 19780330 201001 1 009