RINCIAN ANGGARAN BELANJA KEGIATAN PENDUKUNG PERCEPATAN PENANGANAN

PASIEN COVID-19 PADA RSUD dr. HUSNI THAMRIN NATAL

Kode Rincian Perhitungan

Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
BELANJA 2,686,802,651
BELANJA LANGSUNG 2,686,802,651
Bahan Bakar Minyak (BBM Genset) 14,990,000
- BBM genset/ Solar 1000 Ltr 7,850 7,850,000
- BBM Ambulance 1000 Ltr 7,140 7,140,000

Belanja Alat Kebersihan/bahan Pembersih 13,313,730

- Brus lantai Kamar Mandi 8 Pcs 33,600 268,800
- Detergen serbuk 40 Bks 24,000 960,000
- Isi Ulang Air Mineral Gallon 240 Gln 15,000 3,600,000
- Kain Pel 8 Bh 47,250 378,000
- Kemoceng 8 Bh 36,750 294,000
- Keranjang sampah biasa 10 Bks 14,700 147,000
- Soklin lantai 40 Bh 15,000 600,000
- Bayclean kemasan 1000 ml 20 Btl 16,000 320,000
- Pengharum ruangan 10 Bks 14,333 143,330
- Sabun Colek 40 Bks 6,500 260,000
- Sapu 8 Bh 59,850 478,800
- Tong sampah out door 120 ltr 4 bh 680,000 2,720,000
- Tong sampah out door 60 ltr 4 bh 545,000 2,180,000
- Ember 8 bh 100,000 800,000

- Serokan sampah plastik 4 Bh 40,950 163,800

Belanja Alat Tulis dan Perlengkapan Kantor 45,934,704

- Ballpoint faster 2 Ktk 39,900 79,800
- Ballpoint Balliner 6 Ktk 333,465 2,000,790
- Hecter No.10 6 Bh 18,900 113,400
- Isi Hecter No.10 15 Ktk 2,541 38,115
- Kertas HVS F4 40 Rim 49,620 1,984,800
- Kertas Photo 50 Pak 44,461 2,223,050
- Map Biasa 40 Bh 1,500 60,000
- Map Gungyu Uk Besar 30 Bh 36,750 1,102,500
- Pelubang Kertas Besar 4 Bh 70,000 280,000
- Spidol White Board 12 Bh 12,703 152,436
- Tinta Stempel 3 Btl 13,896 41,688
- Binder Klips uk.sedang 12 Ktk 15,750 189,000
- Buku agenda surat masuk/keluar isi 300 lembar 4 Bh 157,500 630,000
- Kertas HVS Warna Folio 70 gram 12 Rim 63,000 756,000
- Amplop Dinas uk Kecil Cetakan 1 Ktk 76,125 76,125
- Amplop Putih 2 Ktk 31,000 62,000
- Photocopy 10100 Lbr 300 3,030,000
- Materai @10000 150 Lbr 10,000 1,500,000
- Catridge printer komputer warna 7 Bh 336,000 2,352,000
Kode Rincian Perhitungan
Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
- Flasdisk 8 GB 4 Bh 120,750 483,000
- Tinta Printer Epson 6 Set 630,000 3,780,000
- Cetak Medical Record pasien 1,000 set 25,000 25,000,000
Belanja Obat-obatan 1,652,328,077
Azitromycin 500mg 700 Tablet 1,300 910,000
Favipiravir 1,500 Tablet 16,500 24,750,000
Becom Zet 1,400 Tablet 2,301 3,221,400
Remdesivir 200mg inj 500 Vial 510,000 255,000,000
Vit C 1000mg inj 1,400 Ampul 12,000 16,800,000
Vit D 5000IU 1,400 Tablet 2,000 2,800,000
Zinc 1,400 Tablet 902 1,262,800
Levofloxacin 750mg inf 700 Fls 8,713 6,099,100
Levofloxacin 500mg 1,400 Tablet 1,000 1,400,000
Methylprednisolon 4 mg 2700 Tablet 150 405,000
Dexametason inj 500 Ampul 2,000 1,000,000
N-acetilcyctein 4,200 Tablet 700 2,940,000
Curcuma 1,400 Tablet 880 1,232,000
Retaphyl 1,400 Tablet 1,170 1,638,000
Norages inj 400 Ampul 7,000 2,800,000
Valamin inf / B-Fluid inf 2,000 Fls 48,450 96,900,000
NACL Infus 2,500 btl 9,500 23,750,000
RL Infus 2,000 btl 9,500
Stimuno 1,400 Tablet 3,000 4,200,000
Rapid Antigent Test Covid-19 4680 test 55,000 257,400,000
VTM + Flocked Swab 100 pcs 75,000 7,500,000
Spuit 3 cc 75 box 100,000 7,500,000
Spuit 10 cc 25 box 110,000 2,750,000
Blood Cooler 25 box 110,000 2,750,000
Tabung EDTA 4 pack 126,500 506,000
Tabung Oksigen 143 cm 7 tbg 2,000,000 14,000,000
Tabung Oksigen 64 cm 3 tbg 1,100,000 3,300,000
Selang Oksigen dewasa 900 Buah 10,000 9,000,000
Selang Oksigen anak 100 Buah 10,000 1,000,000
Alkohol Swab 50 BOX 138,000 6,900,000
Plester Bulat 30 BOX 42,000 1,260,000
Plester Hypafix 20 BOX 75,000 1,500,000
Kasa Steril 500 ktk 5,500 2,750,000
Baju Gown 1200 pcs 200,000 240,000,000
Cover shoe sekali pakai 100 BOX 100,000 10,000,000
Penutup kepala sekali pakai 100 BOX 100,000 10,000,000
Safety boots 100 psg 110,000 11,000,000
Face Shield 100 pcs 200,000 20,000,000
Sarung Tangan Steril Panjang (obgyn) 1200 pasang 38,500 46,200,000
Sarung Tangan Nitrile 1200 box 7,000 8,400,000
Sarung Tangan Non Steril 200 BOX 110,000 22,000,000
Masker bedah 200 BOX 150,000 30,000,000
Masker N95 150 PCS 99,000 14,850,000
Stetoscope 3 unit 1,075,000 3,225,000
 Kode Rincian Perhitungan
Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
Tensimeter vario stand/berdiri 4 unit 5,500,000 22,000,000
Sabun Cuci Tangan (Hand Wash) 50 btl 100,000 5,000,000
Peti Jenazah 4 bh 1,750,000 7,000,000
Film rontgen DI-HL20x25 150S 2 BOX 2,700,000 5,400,000
Film rontgen DI-HL26x36 150S 2 BOX 4,600,000 9,200,000
Film rontgen DI-HL35x43 100S 2 BOX 4,800,000 9,600,000
Suction Pump Anak 1 Unit 51,365,440 51,365,440
Suction Pump Dewasa 2 Unit 55,000,000 110,000,000
Ventilator Transport 1 Unit 32,845,819 32,845,819
Syringe pump 2 Unit 51,365,440 102,730,880
Infusion Pump 2 Unit 33,045,819 66,091,638
Hand Sanitizer 500 ml 100 botol 100,000 10,000,000
Hand Sanitizer isi ulang 5 liter 50 botol 640,000 32,000,000
Thermo gun (pengukur suhu tubuh) 5 pcs 1,500,000 7,500,000
- Alat Semprot / Spray Disinfectant 16 ltr 1 bh 695,000 695,000
1.1.7.01Lampu Listrik 1,428,000
1.1.7.01 - bola Lampu hannock 45 watt 20 Bh 71,400 1,428,000

1.3.2.05Alat rumah tangga Lainnya 22,458,140

1.3.2.05- Sarung bantal 22 hl 126,000 2,772,000
1.3.2.05- Bantal 11 bh 40,000 440,000
- Selimut 22 bh 210,000 4,620,000
- Speray 22 bh 236,250 5,197,500
- dispenser 9 bh 391,650 3,524,850
- Kipas Angin 10 bh 315,000 3,150,000
- Kabel Listrik 2 glg 246,720 493,440
- Stop Kontak 9 set 26,000 234,000
- Gelas Cup 1,350 pcs 1,501 2,026,350

Belanja Makanan dan Minuman Pasien 179,850,000

- Snack 11 ktk x 2 kl x 150 hr 3300 OH 17,000 56,100,000
- Makan 11 ktk X 3 kl x 180 hr 4950 OH 25,000 123,750,000

Belanja Jasa Pegawai 756,500,000

Honorarium Bagi Pelaksana Kegiatan
Struktural 34,000,000
- Honorarium Ketua 1 Org x 5 bln 5 OB 6,800,000 34,000,000
Non struktural 135,000,000
- Petugas Administrasi 1 org x 5 bln 5 OB 3,000,000 15,000,000
- Petugas Keamanan 3 org x 5 bln 15 OB 3,000,000 45,000,000
- Petugas Kebersihan 3 org x 5 bln 15 OB 3,000,000 45,000,000
- Supir Ambulance 2 org x 5 bln 10 OB 3,000,000 30,000,000

Honorarium Bagi Tenaga Kesehatan 587,500,000

- Dokter Spesialis 2 org x 5 bln 10 OB 6,000,000 60,000,000
- Dokter Umum 5 org x 5 bln 25 OB 6,000,000 150,000,000
- Perawat 9 org x 5 bln 45 OB 4,500,000 202,500,000
- Bidan 4 org x 5 bln 20 OB 4,500,000 90,000,000
Kode Rincian Perhitungan
Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
- Analis 1 org x 5 bln 5 OB 4,500,000 22,500,000
- Radiografer 1 org x 5 bln 5 OB 4,500,000 22,500,000
- Nutrisionis 1 org x 5 bln 5 OB 4,500,000 22,500,000
- Asisten Apoteker 1 Org x 5 bln 5 OB 3,500,000 17,500,000
Jumlah 2,686,802,651

DIREKTUR RSUD dr. HUSNI THAMRIN NATAL,

dr. H. MHD FAISAL SITUMORANG

PEMBINA
NIP. 19800221 200904 1 001
 RINCIAN ANGGARAN BELANJA KEGIATAN PENDUKUNG PERCEPATAN PENANGANAN
PASIEN COVID-19 PADA RSUD dr. HUSNI THAMRIN NATAL

Kode Rincian Perhitungan

Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
BELANJA 2,686,802,651
BELANJA LANGSUNG 2,686,802,651
Bahan Bakar Minyak (BBM Genset) 14,990,000
- BBM genset/ Solar 1000 Ltr 7,850 7,850,000
- BBM Ambulance 1000 Ltr 7,140 7,140,000

Belanja Alat Kebersihan/bahan Pembersih 17,759,035

- Brus lantai Kamar Mandi 8 Pcs 33,600 268,800
- Detergen serbuk 40 Bks 24,000 960,000
- Isi Ulang Air Mineral Gallon 240 Gln 15,000 3,600,000
- Kain Pel 8 Bh 47,255 378,040
- Kemoceng 8 Bh 36,750 294,000
- Keranjang sampah biasa 10 Bks 14,750 147,500
- Soklin lantai 40 Bh 15,000 600,000
- Bayclean kemasan 1000 ml 20 Btl 16,000 320,000
- Pengharum ruangan 10 Bks 18,597 185,970
- Sabun Colek 40 Bks 6,500 260,000
- Sapu 8 Bh 59,850 478,800
- Tong sampah out door 120 ltr 4 bh 680,000 2,720,000
- Tong sampah out door 60 ltr 4 bh 545,000 2,180,000
- Ember 8 bh 100,000 800,000
Kantong plastik 50 bh 31395 1,569,750
Kantong sampah limbah medis 25 bh 113295 2,832,375
- Serokan sampah plastik 4 Bh 40,950 163,800

Belanja Alat Tulis dan Perlengkapan Kantor 45,934,704

- Ballpoint faster 2 Ktk 39,900 79,800
- Ballpoint Balliner 6 Ktk 333,465 2,000,790
- Hecter No.10 6 Bh 18,900 113,400
- Isi Hecter No.10 15 Ktk 2,541 38,115
- Kertas HVS F4 40 Rim 49,620 1,984,800
- Kertas Photo 50 Pak 44,461 2,223,050
- Map Biasa 40 Bh 1,500 60,000
- Map Gungyu Uk Besar 30 Bh 36,750 1,102,500
- Pelubang Kertas Besar 4 Bh 70,000 280,000
- Spidol White Board 12 Bh 12,703 152,436
- Tinta Stempel 3 Btl 13,896 41,688
- Binder Klips uk.sedang 12 Ktk 15,750 189,000
- Buku agenda surat masuk/keluar isi 300 lembar 4 Bh 157,500 630,000
- Kertas HVS Warna Folio 70 gram 12 Rim 63,000 756,000
- Amplop Dinas uk Kecil Cetakan 1 Ktk 76,125 76,125
- Amplop Putih 2 Ktk 31,000 62,000
- Photocopy 10100 Lbr 300 3,030,000
- Materai @10000 150 Lbr 10,000 1,500,000
Kode Rincian Perhitungan
Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
- Catridge printer komputer warna 7 Bh 336,000 2,352,000
- Flasdisk 8 GB 4 Bh 120,750 483,000
- Tinta Printer Epson 6 Set 630,000 3,780,000
- Cetak Medical Record pasien 1,000 set 25,000 25,000,000
Belanja Obat-obatan 1,640,982,772
Valamin inf / B-Fluid infus 2,000 Fls 48,450 96,900,000
NACL Infus 2,500 btl 9,500 23,750,000
RL Infus 2,000 btl 9,500 19,000,000
Levofloxacin 750mg infus 700 Fls 8,713 6,099,100
Remdesivir 200mg inj 200 Vial 510,000 102,000,000
Dexametason inj 500 Ampul 2,000 1,000,000
Ondansetron Inj 100 Ampul 1,153 115,300
Norages inj 200 Ampul 7,000 1,400,000
Ranitidine Inj 400 Ampul 1,400 560,000
Vit C Inj 1,200 Ampul 15,000 18,000,000
Levofloxacin 500mg 1,200 Tablet 1,000 1,200,000
Azitromycin 500mg 500 Tablet 1,300 650,000
Favipiravir 200 mg 1,580 Tablet 22,500 35,550,000
Methylprednisolon 4 mg 2700 Tablet 150 405,000
N-acetilcyctein 4,200 Tablet 700 2,940,000
Omeprazole capsule 100 box 15,000 1,500,000
Ondansetron Tablet 2,000 Tablet 385 770,000
Retaphyl 1,400 Tablet 1,170 1,638,000
Curcuma 1,400 Tablet 880 1,232,000
Stimuno 1,400 Tablet 3,000 4,200,000
Becom Zet 1,400 Tablet 3,000 4,200,000
Vit D Tab 1,200 Tablet 3,000 3,600,000
Sukralfat 300 botol 8,037 2,411,100
Rapid Antigent Test Covid-19 3000 test 75,000 225,000,000
VTM + Flocked Swab 100 pcs 75,000 7,500,000
Spuit 3 cc 75 box 100,000 7,500,000
Spuit 10 cc 25 box 110,000 2,750,000
IV catheter 600 pcs 6,270 3,762,000
Infusion Set Dewasa 500 Pcs 3200 1,600,000
Infusion Set Anak 100 Pcs 3500 350,000
Blood Cooler 25 box 110,000 2,750,000
Tabung EDTA 4 pack 126,500 506,000
Tabung Oksigen 143 cm 15 tbg 2,000,000 30,000,000
Tabung Oksigen 64 cm 7 tbg 1,100,000 7,700,000
Selang Oksigen dewasa 900 Buah 10,000 9,000,000
Selang Oksigen anak 100 Buah 10,000 1,000,000
Alkohol Swab 50 BOX 13,750 687,500
kasa steril 600 kotak 4,935 2,961,000
Plester Bulat 30 BOX 42,000 1,260,000
Plester Hypafix 20 BOX 75,000 1,500,000
Kasa Steril 500 ktk 5,500 2,750,000
Baju Hazmat Level III SNI 500 pcs 198000 99,000,000
Baju Jubah Petugas 500 pcs 350,000 175,000,000
 Kode Rincian Perhitungan
Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
Cover shoe sekali pakai 100 BOX 100,000 10,000,000
Penutup kepala sekali pakai 100 BOX 100,000 10,000,000
Safety boots 100 psg 110,000 11,000,000
Face Shield 100 pcs 200,000 20,000,000
Sarung Tangan Steril Panjang (obgyn) 1000 pasang 38,500 38,500,000
Handschoon Non Steril 200 BOX 120,000 24,000,000
Masker bedah 250 BOX 100,000 25,000,000
Masker N95 500 PCS 70,000 35,000,000
Masker KN95 500 PCS 30,000 15,000,000
Stetoscope 10 unit 1,075,000 10,750,000
Tensimeter vario stand/berdiri 10 unit 5,500,000 55,000,000
Sabun Cuci Tangan (Hand Wash) 50 btl 100,000 5,000,000
Peti Jenazah 4 bh 1,750,000 7,000,000
Film rontgen DI-HL20x25 150S 2 BOX 2,700,000 5,400,000
Film rontgen DI-HL26x36 150S 2 BOX 4,600,000 9,200,000
Film rontgen DI-HL35x43 100S 2 BOX 4,800,000 9,600,000
Suction Pump Anak 1 Unit 51,365,440 51,365,440
Suction Pump Dewasa 2 Unit 55,000,000 110,000,000
Ventilator Transport 1 Unit 32,845,819 32,845,819
Syringe pump 2 Unit 51,365,440 102,730,880
Infusion Pump 2 Unit 33,045,819 66,091,638
Hand Sanitizer 500 ml 50 botol 110,000 5,500,000
Hand Sanitizer isi ulang 5 liter 50 botol 640,000 32,000,000
Striptes Gula Darah Sewaktu 30 box 420000 12,600,000
Striptes Kolesterol Total 30 box 541900 16,257,000
Thermo gun (pengukur suhu tubuh) 5 pcs 1,500,000 7,500,000
Pulse Oximeter 5 bh 250,000 1,250,000
Alat Semprot / Spray Disinfectant 16 ltr 1 bh 694,995 694,995
1.1.7.01Lampu Listrik 1,428,000
1.1.7.01 - bola Lampu hannock 45 watt 20 Bh 71,400 1,428,000

1.3.2.05Alat rumah tangga Lainnya 29,358,140

1.3.2.05- Sarung bantal 22 hl 126,000 2,772,000
1.3.2.05- Bantal 11 bh 40,000 440,000
- Selimut 22 bh 210,000 4,620,000
- Speray 22 bh 236,250 5,197,500
- dispenser 9 bh 391,650 3,524,850
- Kipas Angin 10 bh 315,000 3,150,000
- Jemuran 11 bh 300,000 3,300,000
Tempat Cuci Tangan/Covid 19 3 set 1,200,000 3,600,000
- Kabel Listrik 2 glg 246,720 493,440
- Stop Kontak 9 set 26,000 234,000
- Gelas Cup 1,350 pcs 1,501 2,026,350

Belanja Makanan dan Minuman Pasien 179,850,000

- Snack pasien 11 ktk x 2 kl x 150 hr 3300 OH 17,000 56,100,000
- Makan pasien 11 ktk X 3 kl x 180 hr 4950 OH 25,000 123,750,000
Kode Rincian Perhitungan
Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
Belanja Jasa Pegawai 756,500,000
Honorarium Bagi Pelaksana Kegiatan
Struktural 34,000,000
- Honorarium Ketua 1 Org x 5 bln 5 OB 6,800,000 34,000,000
Non struktural 135,000,000
- Petugas Administrasi 1 org x 5 bln 5 OB 3,000,000 15,000,000
- Petugas Keamanan 3 org x 5 bln 15 OB 3,000,000 45,000,000
- Petugas Kebersihan 3 org x 5 bln 15 OB 3,000,000 45,000,000
- Supir Ambulance 2 org x 5 bln 10 OB 3,000,000 30,000,000

Honorarium Bagi Tenaga Kesehatan 587,500,000

- Dokter Spesialis 2 org x 5 bln 10 OB 6,000,000 60,000,000
- Dokter Umum 5 org x 5 bln 25 OB 6,000,000 150,000,000
- Perawat 9 org x 5 bln 45 OB 4,500,000 202,500,000
- Bidan 4 org x 5 bln 20 OB 4,500,000 90,000,000
- Analis 1 org x 5 bln 5 OB 4,500,000 22,500,000
- Radiografer 1 org x 5 bln 5 OB 4,500,000 22,500,000
- Nutrisionis 1 org x 5 bln 5 OB 4,500,000 22,500,000
- Asisten Apoteker 1 Org x 5 bln 5 OB 3,500,000 17,500,000
Jumlah 2,686,802,651

DIREKTUR RSUD dr. HUSNI THAMRIN NATAL,

dr. H. MHD FAISAL SITUMORANG

PEMBINA
NIP. 19800221 200904 1 001
 RINCIAN ANGGARAN BELANJA KEGIATAN PENDUKUNG PERCEPATAN PENANGANAN
PASIEN COVID-19 PADA RSUD dr. HUSNI THAMRIN NATAL

Kode Rincian Perhitungan

Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
BELANJA 2,686,802,651
BELANJA LANGSUNG 2,686,802,651
Bahan Bakar Minyak (BBM Genset) 14,990,000
- BBM genset/ Solar 1,000 Ltr 7,850 7,850,000
- BBM Ambulance 1,000 Ltr 7,140 7,140,000

Belanja Alat Kebersihan/bahan Pembersih 22,014,895

- Brus lantai Kamar Mandi 10 Pcs 33,600 336,000
- Detergen serbuk 40 Bks 24,000 960,000
- Isi Ulang Air Mineral Gallon 240 Gln 15,000 3,600,000
- Kain Pel 10 Bh 47,255 472,550
- Kemoceng 10 Bh 36,750 367,500
- Keranjang sampah biasa 10 Bks 14,750 147,500
- Soklin lantai 40 Bh 15,000 600,000
- Bayclean kemasan 1000 ml 20 Btl 16,000 320,000
- Pengharum ruangan 10 Bks 18,597 185,970
- Sabun Colek 20 Bks 12,250 245,000
- Sapu 10 Bh 59,850 598,500
- Tong sampah out door 120 ltr 7 bh 680,000 4,760,000
- Tong sampah out door 60 ltr 7 bh 545,000 3,815,000
- Ember 10 bh 100,000 1,000,000
Kantong plastik 50 bh 31,395 1,569,750
Kantong sampah limbah medis 25 bh 113,295 2,832,375
- Serokan sampah plastik 5 Bh 40,950 204,750

Belanja Alat Tulis dan Perlengkapan Kantor 46,529,754

- Ballpoint faster 6 Ktk 39,900 239,400
- Ballpoint Balliner 6 Ktk 333,465 2,000,790
- Hecter No.10 6 Bh 18,900 113,400
- Isi Hecter No.10 15 Ktk 2,541 38,115
- Kertas HVS F4 50 Rim 49,620 2,481,000
- Kertas Photo 50 Pak 44,461 2,223,050
- Map Biasa 50 Bh 1,500 75,000
- Map Gungyu Uk Besar 30 Bh 36,750 1,102,500
- Pelubang Kertas Besar 4 Bh 70,000 280,000
- Spidol White Board 12 Bh 12,703 152,436
- Tinta Stempel 3 Btl 13,896 41,688
- Binder Klips uk.sedang 12 Ktk 15,750 189,000
- Buku agenda surat masuk/keluar isi 300 lembar 4 Bh 157,500 630,000
- Kertas HVS Warna Folio 70 gram 12 Rim 63,000 756,000
- Amplop Dinas uk Kecil Cetakan 5 Ktk 76,125 380,625
- Amplop Putih 5 Ktk 31,000 155,000
- Photocopy 7,000 Lbr 300 2,100,000
- Materai @10000 150 Lbr 10,000 1,500,000
Kode Rincian Perhitungan
Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
- Catridge printer komputer warna 8 Bh 336,000 2,688,000
- Flasdisk 8 GB 5 Bh 120,750 603,750
- Tinta Printer Epson 6 Set 630,000 3,780,000
- Cetak Medical Record pasien 1,000 set 25,000 25,000,000
Belanja Obat-obatan 1,621,876,953
Valamin inf / B-Fluid infus 2,000 Fls 48,450 96,900,000
NACL Infus 2,500 btl 9,500 23,750,000
RL Infus 2,000 btl 9,500 19,000,000
Levofloxacin 750mg infus 700 Fls 8,713 6,099,100
Remdesivir 200mg inj 200 Vial 510,000 102,000,000
Dexametason inj 500 Ampul 2,000 1,000,000
Ondansetron Inj 100 Ampul 1,153 115,300
Norages inj 200 Ampul 7,000 1,400,000
Ranitidine Inj 400 Ampul 1,400 560,000
Vit C Inj 1,200 Ampul 15,000 18,000,000
Levofloxacin 500mg 1,200 Tablet 1,000 1,200,000
Azitromycin 500mg 500 Tablet 1,700 850,000
Favipiravir 200 mg 1,600 Tablet 22,500 36,000,000
Methylprednisolon 4 mg 2,700 Tablet 150 405,000
N-acetilcyctein 4,200 Tablet 700 2,940,000
Omeprazole capsule 100 box 15,000 1,500,000
Ondansetron Tablet 2,000 Tablet 385 770,000
Retaphyl 1,400 Tablet 1,170 1,638,000
Curcuma 1,400 Tablet 880 1,232,000
Stimuno 1,200 Tablet 3,000 3,600,000
Becom Zet 1,200 Tablet 3,000 3,600,000
Vit D Tab 1,200 Tablet 3,000 3,600,000
Sukralfat 300 botol 8,037 2,411,100
Rapid Antigent Test Covid-19 3,000 test 75,000 225,000,000
VTM + Flocked Swab 100 pcs 75,000 7,500,000
Spuit 3 cc 75 box 100,000 7,500,000
Spuit 10 cc 25 box 110,000 2,750,000
IV catheter 600 pcs 6,270 3,762,000
Infusion Set Dewasa 700 Pcs 3,200 2,240,000
Infusion Set Anak 200 Pcs 3,500 700,000
Blood Cooler 25 box 110,000 2,750,000
Tabung EDTA 4 pack 126,500 506,000
Tabung Oksigen 143 cm 15 tbg 2,000,000 30,000,000
Tabung Oksigen 64 cm 10 tbg 1,100,000 11,000,000
Selang Oksigen dewasa 900 Buah 10,000 9,000,000
Selang Oksigen anak 100 Buah 10,000 1,000,000
Alkohol Swab 50 BOX 13,750 687,500
kasa steril 600 kotak 4,935 2,961,000
Plester Bulat 30 BOX 42,000 1,260,000
Plester Hypafix 20 BOX 75,000 1,500,000
Kasa Steril 500 ktk 5,500 2,750,000
Baju Hazmat Level III SNI 500 pcs 198,000 99,000,000
Baju Jubah Petugas 500 pcs 350,000 175,000,000
 Kode Rincian Perhitungan
Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
Cover shoe sekali pakai 100 BOX 100,000 10,000,000
Penutup kepala sekali pakai 100 BOX 100,000 10,000,000
Safety boots 100 psg 110,000 11,000,000
Face Shield 100 pcs 200,000 20,000,000
Sarung Tangan Steril Panjang (obgyn) 1,000 pasang 38,500 38,500,000
Handschoon Non Steril 200 BOX 120,000 24,000,000
Masker bedah 300 BOX 100,000 30,000,000
Masker N95 500 PCS 70,000 35,000,000
Masker KN95 500 PCS 30,000 15,000,000
Stetoscope 10 unit 1,075,000 10,750,000
Tensimeter vario stand/berdiri 10 unit 5,500,000 55,000,000
Sabun Cuci Tangan (Hand Wash) 50 btl 100,000 5,000,000
Peti Jenazah 4 bh 1,750,000 7,000,000
Film rontgen DI-HL20x25 150S 2 BOX 2,700,000 5,400,000
Film rontgen DI-HL26x36 150S 2 BOX 4,600,000 9,200,000
Film rontgen DI-HL35x43 100S 2 BOX 4,800,000 9,600,000
Suction Pump Anak 1 Unit 51,365,440 51,365,440
Suction Pump Dewasa 2 Unit 55,000,000 110,000,000
Syringe pump 2 Unit 51,365,440 102,730,880
Infusion Pump 2 Unit 33,045,819 66,091,638
Hand Sanitizer 500 ml 50 botol 110,000 5,500,000
Hand Sanitizer isi ulang 5 liter 50 botol 640,000 32,000,000
Striptes Gula Darah Sewaktu 30 box 420,000 12,600,000
Striptes Kolesterol Total 30 box 541,900 16,257,000
Thermo gun (pengukur suhu tubuh) 5 pcs 1,500,000 7,500,000
Pulse Oximeter 5 bh 250,000 1,250,000
Kursi Roda 2 unit 2,500,000 5,000,000
Alat Semprot / Spray Disinfectant 16 ltr 1 bh 694,995 694,995
1.1.7.01Lampu Listrik 1,428,000
1.1.7.01 - bola Lampu hannock 45 watt 20 Bh 71,400 1,428,000

1.3.2.05Alat rumah tangga Lainnya 31,713,049

1.3.2.05- Sarung bantal 22 hl 126,000 2,772,000
1.3.2.05- Bantal 11 bh 80,000 880,000
- Selimut 22 bh 210,000 4,620,000
- Speray 22 bh 236,250 5,197,500
- dispenser 9 bh 391,650 3,524,850
- Kipas Angin 10 bh 315,000 3,150,000
- Jemuran 11 bh 300,000 3,300,000
Tempat Cuci Tangan/Covid 19 3 set 1,200,000 3,600,000
- Kabel Listrik 2 glg 246,720 493,440
- Stop Kontak 9 set 26,000 234,000
- Tangki Air 1 bh 1,914,909 1,914,909
- Gelas Cup 1,350 pcs 1,501 2,026,350

Belanja Makanan dan Minuman Pasien 173,250,000

- Snack pasien 11 ktk x 2 kl x 150 hr 3,300 OH 15,000 49,500,000
- Makan pasien 11 ktk X 3 kl x 180 hr 4,950 OH 25,000 123,750,000
Kode Rincian Perhitungan
Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)

Belanja Jasa Pegawai 775,000,000

Honorarium Bagi Pelaksana Kegiatan
Non struktural 150,000,000
- Petugas Administrasi 2 org x 5 bln 10 OB 3,000,000 30,000,000
- Petugas Keamanan 3 org x 5 bln 15 OB 3,000,000 45,000,000
- Petugas Kebersihan 3 org x 5 bln 15 OB 3,000,000 45,000,000
- Supir Ambulance 2 org x 5 bln 10 OB 3,000,000 30,000,000

Honorarium Bagi Tenaga Kesehatan 625,000,000

- Dokter Spesialis 2 org x 5 bln 10 OB 6,000,000 60,000,000
- Dokter Umum 5 org x 5 bln 25 OB 6,000,000 150,000,000
- Perawat 10 org x 5 bln 50 OB 4,500,000 225,000,000
- Bidan 5 org x 5 bln 25 OB 4,500,000 112,500,000
- Analis 1 org x 5 bln 5 OB 4,000,000 20,000,000
- Radiografer 1 org x 5 bln 5 OB 4,000,000 20,000,000
- Nutrisionis 1 org x 5 bln 5 OB 4,000,000 20,000,000
- Asisten Apoteker 1 Org x 5 bln 5 OB 3,500,000 17,500,000
Jumlah 2,686,802,651

DIREKTUR RSUD dr. HUSNI THAMRIN NATAL,

dr. H. MHD FAISAL SITUMORANG

PEMBINA
NIP. 19800221 200904 1 001
 LAMPIRAN RASIONALISASI USULAN RENCANA ANGGARAN BIAYA (RAB) KEGIATAN PENDUKUNG PE
PADA RSUD dr. HUSNI THAMRIN NATAL

Anggaran Awal Rencana Ra

Kode
Uraian Rincian Perhitungan Rincian Perhitungan
Rek. Jumlah (Rp)
Volume Satuan Tarif (Rp) Volume Satuan
1 2 3 4 5 6=(3x5) 7 8
BELANJA 2,686,861,751
BELANJA LANGSUNG 2,686,861,751
Bahan Bakar Minyak (BBM Genset) 14,990,000
BBM genset/ Solar 1,000 Ltr 7,850 7,850,000 - Ltr
BBM Ambulance 1,000 Ltr 7,140 7,140,000 - Ltr

Belanja Alat Kebersihan/bahan Pembersih 22,262,995

Brus lantai Kamar Mandi 10 Pcs 33,600 336,000 10 Pcs
Detergen serbuk 41 Bks 24,000 984,000 41 Bks
Isi Ulang Air Mineral Gallon 241 Gln 15,000 3,615,000 241 Gln
Kain Pel 10 Bh 47,255 472,550 10 Bh
Kemoceng 10 Bh 36,750 367,500 10 Bh
Keranjang sampah biasa 10 Bks 14,750 147,500 10 Bks
Soklin lantai 50 Bh 15,000 750,000 50 Bh
Bayclean kemasan 1000 ml 20 Btl 16,000 320,000 20 Btl
Pengharum ruangan 10 Bks 18,597 185,970 10 Bks
Sabun Colek 20 Bks 12,250 245,000 20 Bks
Sapu 10 Bh 59,850 598,500 10 Bh
Tong sampah out door 120 ltr 7 bh 680,000 4,760,000 7 bh
Tong sampah out door 60 ltr 7 bh 545,000 3,815,000 7 bh
Ember 10 bh 100,000 1,000,000 10 bh
Kantong plastik 50 bh 31,395 1,569,750 50 bh
Kantong sampah limbah medis 25 bh 113,295 2,832,375 25 bh
Serokan sampah plastik 6 Bh 43,975 263,850 6 Bh

Belanja Alat Tulis dan Perlengkapan Kantor 48,290,754

Ballpoint faster 6 Ktk 39,900 239,400 3 Ktk
Ballpoint Balliner 6 Ktk 333,465 2,000,790 3 Ktk
Hecter No.10 6 Bh 18,900 113,400 3 Bh
Isi Hecter No.10 15 Ktk 2,541 38,115 7 Ktk
Kertas HVS F4 50 Rim 49,620 2,481,000 25 Rim
Kertas Photo 50 Pak 44,461 2,223,050 25 Pak
Map Biasa 50 Bh 1,500 75,000 25 Bh
Map Gungyu Uk Besar 30 Bh 36,750 1,102,500 15 Bh
Pelubang Kertas Besar 4 Bh 70,000 280,000 2 Bh
Spidol White Board 12 Bh 12,703 152,436 10 Bh
Tinta Stempel 3 Btl 13,896 41,688 2 Btl
Binder Klips uk.sedang 12 Ktk 15,750 189,000 5 Ktk
Buku agenda surat masuk/keluar isi 300 lembar 4 Bh 157,500 630,000 2 Bh
Kertas HVS Warna Folio 70 gram 15 Rim 63,000 945,000 7 Rim
Amplop Dinas uk Kecil Cetakan 5 Ktk 76,125 380,625 1 Ktk
Amplop Putih 5 Ktk 31,000 155,000 2 Ktk
Photocopy 10,000 Lbr 300 3,000,000 5,500 Lbr
Materai @10000 150 Lbr 10,000 1,500,000 75 Lbr
Catridge printer komputer warna 10 Bh 336,000 3,360,000 5 Bh
Flasdisk 8 GB 5 Bh 120,750 603,750 2 Bh
Tinta Printer Epson 6 Set 630,000 3,780,000 3 Set
Cetak Medical Record pasien 1,000 set 25,000 25,000,000 500 set
Belanja Obat-obatan 1,633,876,953
Valamin inf / B-Fluid infus 1,000 Fls 96,900 96,900,000 1,000 Fls
 Anggaran Awal Rencana Ra
Kode
Uraian Rincian Perhitungan Rincian Perhitungan
Rek. Jumlah (Rp)
Volume Satuan Tarif (Rp) Volume Satuan
1 2 3 4 5 6=(3x5) 7 8
NACL Infus 2,500 btl 9,500 23,750,000 2,500 btl
RL Infus 2,000 btl 9,500 19,000,000 2,000 btl
Levofloxacin 500mg infus 760 btl 41,500 31,540,000 760 btl
Remdesivir 200mg inj 150 Vial 510,000 76,500,000 150 Vial
Dexametason inj 500 Ampul 2,000 1,000,000 500 Ampul
Ondansetron Inj 100 Ampul 1,153 115,300 - Ampul
Norages inj 200 Ampul 7,000 1,400,000 200 Ampul
Ranitidine Inj 400 Ampul 1,400 560,000 400 Ampul
Vit C Inj 1,200 Ampul 15,000 18,000,000 1,200 Ampul
Levofloxacin 500mg 1,200 Tablet 1,000 1,200,000 - Tablet
Azitromycin 500mg 500 Tablet 1,700 850,000 500 Tablet
Favipiravir 200 mg 1,600 Tablet 22,500 36,000,000 1,600 Tablet
VTM 8 box 1,500,000 12,000,000 8 box
Methylprednisolon 4 mg 2,700 Tablet 150 405,000 2,700 Tablet
N-acetilcyctein 4,200 Tablet 700 2,940,000 4,200 Tablet
Omeprazole capsule 100 box 15,000 1,500,000 100 box
Ondansetron Tablet 2,000 Tablet 385 770,000 - Tablet
Retaphyl 1,400 Tablet 1,170 1,638,000 1,400 Tablet
Curcuma 1,400 Tablet 880 1,232,000 1,400 Tablet
Stimuno 1,200 Tablet 3,000 3,600,000 1,200 Tablet
Becom Zet 1,200 Tablet 3,000 3,600,000 1,200 Tablet
Vit D Tab 1,200 Tablet 3,000 3,600,000 1,200 Tablet
Sukralfat 300 botol 8,037 2,411,100 300 botol
Rapid Antigent Test Covid-19 3,000 test 75,000 225,000,000 3,000 test
VTM + Flocked Swab 100 pcs 75,000 7,500,000 100 pcs
Spuit 3 cc 75 box 100,000 7,500,000 75 box
Spuit 10 cc 25 box 110,000 2,750,000 25 box
IV catheter 600 pcs 6,270 3,762,000 600 pcs
Infusion Set Dewasa 700 Pcs 3,200 2,240,000 700 Pcs
Infusion Set Anak 200 Pcs 3,500 700,000 200 Pcs
Blood Cooler 25 box 110,000 2,750,000 25 box
Tabung EDTA 4 pack 126,500 506,000 - pack
Tabung Oksigen 143 cm 15 tbg 2,000,000 30,000,000 15 tbg
Tabung Oksigen 64 cm 10 tbg 1,100,000 11,000,000 10 tbg
Selang Oksigen dewasa 900 Buah 10,000 9,000,000 900 Buah
Selang Oksigen anak 100 Buah 10,000 1,000,000 100 Buah
Alkohol Swab 50 BOX 13,750 687,500 - BOX
kasa steril 600 kotak 4,935 2,961,000 - kotak
Plester Bulat 30 BOX 42,000 1,260,000 30 BOX
Plester Hypafix 20 BOX 75,000 1,500,000 20 BOX
Kasa Steril 500 ktk 5,500 2,750,000 - ktk
Baju Hazmat Level III SNI 500 pcs 198,000 99,000,000 500 pcs
Baju Jubah Petugas 500 pcs 350,000 175,000,000 500 pcs
Cover shoe sekali pakai 100 BOX 100,000 10,000,000 100 BOX
Penutup kepala sekali pakai 100 BOX 100,000 10,000,000 100 BOX
Safety boots 100 psg 110,000 11,000,000 100 psg
Face Shield 100 pcs 200,000 20,000,000 100 pcs
Sarung Tangan Steril Panjang (obgyn) 1,000 pasang 38,500 38,500,000 - pasang
Handschoon Non Steril 200 BOX 120,000 24,000,000 200 BOX
Masker bedah 300 BOX 100,000 30,000,000 300 BOX
Masker N95 500 PCS 70,000 35,000,000 500 PCS
Masker KN95 500 PCS 30,000 15,000,000 - PCS
Stetoscope 10 unit 1,075,000 10,750,000 10 unit
Tensimeter vario stand/berdiri 10 unit 5,500,000 55,000,000 10 unit
 Anggaran Awal Rencana Ra
Kode
Uraian Rincian Perhitungan Rincian Perhitungan
Rek. Jumlah (Rp)
Volume Satuan Tarif (Rp) Volume Satuan
1 2 3 4 5 6=(3x5) 7 8
Sabun Cuci Tangan (Hand Wash) 50 btl 100,000 5,000,000 50 btl
Peti Jenazah 4 bh 1,750,000 7,000,000 4 bh
Film rontgen DI-HL20x25 150S 2 BOX 2,700,000 5,400,000 2 BOX
Film rontgen DI-HL26x36 150S 2 BOX 4,600,000 9,200,000 2 BOX
Film rontgen DI-HL35x43 100S 2 BOX 4,800,000 9,600,000 2 BOX
Suction Pump Anak 1 Unit 51,365,440 51,365,440 1 Unit
Suction Pump Dewasa 2 Unit 55,000,000 110,000,000 2 Unit
Syringe pump 2 Unit 51,365,440 102,730,880 2 Unit
Infusion Pump 2 Unit 33,045,819 66,091,638 2 Unit
Hand Sanitizer 500 ml 50 botol 110,000 5,500,000 50 botol
Hand Sanitizer isi ulang 5 liter 50 botol 640,000 32,000,000 50 botol
Striptes Gula Darah Sewaktu 30 box 420,000 12,600,000 30 box
Striptes Kolesterol Total 30 box 541,900 16,257,000 30 box
Thermo gun (pengukur suhu tubuh) 5 pcs 1,500,000 7,500,000 5 pcs
Pulse Oximeter 5 bh 250,000 1,250,000 5 bh
Kursi Roda 2 unit 2,500,000 5,000,000 2 unit
Alat Semprot / Spray Disinfectant 16 ltr 1 bh 754,095 754,095 1 bh
1.1.7.01 Lampu Listrik 1,428,000
1.1.7.01 bola Lampu hannock 45 watt 20 Bh 71,400 1,428,000 - Bh

1.3.2.05 Alat rumah tangga Lainnya 31,713,049

1.3.2.05 Sarung bantal 22 hl 126,000 2,772,000 22 hl
1.3.2.05 Bantal 11 bh 80,000 880,000 11 bh
Selimut 22 bh 210,000 4,620,000 22 bh
Speray 22 bh 236,250 5,197,500 22 bh
dispenser 9 bh 391,650 3,524,850 9 bh
Kipas Angin 10 bh 315,000 3,150,000 10 bh
Jemuran 11 bh 300,000 3,300,000 11 bh
Tempat Cuci Tangan/Covid 19 3 set 1,200,000 3,600,000 3 set
Kabel Listrik 2 glg 246,720 493,440 2 glg
Stop Kontak 9 set 26,000 234,000 9 set
Tangki Air 1 bh 1,914,909 1,914,909 1 bh
Gelas Cup 1,350 pcs 1,501 2,026,350 1,350 pcs

Belanja Makanan dan Minuman Pasien 151,800,000

Snack pasien 11 ktk x 1 kl x 150 hr 1,650 OH 17,000 28,050,000 825 OH
Makan pasien 11 ktk X 3 kl x 150 hr 4,950 OH 25,000 123,750,000 2,475 OH
UNG PERCEPATAN PENANGANAN PASIEN COVID-19

ncana Rasionalisasi
Bertambah/
hitungan Keterangan
Jumlah (Rp) (Berkurang)
Tarif (Rp)
9 10=(7x9) 11=(10-6) 11
1,725,349,474 (961,512,277) -
1,725,349,474 (961,512,277)
- (14,990,000)
7,850 - (7,850,000)
7,140 - (7,140,000)

20,834,995 22,203,895 (59,100)

33,600 336,000 -
24,000 984,000 -
15,000 3,615,000 -
47,255 472,550 -
36,750 367,500 -
14,750 147,500 -
15,000 750,000 -
16,000 320,000 -
18,597 185,970 -
12,250 245,000 -
59,850 598,500 -
680,000 4,760,000 -
545,000 3,815,000 -
100,000 1,000,000 -
31,395 1,569,750 -
113,295 2,832,375 -
34,125 204,750 (59,100)

24,145,377 (24,145,377)
39,900 119,700 (119,700)
333,465 1,000,395 (1,000,395)
18,900 56,700 (56,700)
2,541 17,787 (20,328)
49,620 1,240,500 (1,240,500)
44,461 1,111,525 (1,111,525)
1,500 37,500 (37,500)
36,750 551,250 (551,250)
70,000 140,000 (140,000)
15,785 157,850 5,414
13,896 27,792 (13,896)
15,750 78,750 (110,250)
157,500 315,000 (315,000)
63,000 441,000 (504,000)
76,128 76,128 (304,497)
31,000 62,000 (93,000)
300 1,650,000 (1,350,000)
10,000 750,000 (750,000)
336,000 1,680,000 (1,680,000)
120,750 241,500 (362,250)
630,000 1,890,000 (1,890,000)
25,000 12,500,000 (12,500,000)
1,571,387,153 (62,489,800)
96,900 96,900,000 -
ncana Rasionalisasi
Bertambah/
hitungan Keterangan
Jumlah (Rp) (Berkurang)
Tarif (Rp)
9 10=(7x9) 11=(10-6) 11
9,500 23,750,000 -
9,500 19,000,000 -
41,500 31,540,000 -
510,000 76,500,000 -
2,000 1,000,000 -
1,153 - (115,300)
7,000 1,400,000 -
1,400 560,000 -
15,000 18,000,000 -
1,000 - (1,200,000)
1,700 850,000 -
22,500 36,000,000 -
1,500,000 12,000,000 -
150 405,000 -
700 2,940,000 -
15,000 1,500,000 -
385 - (770,000)
1,170 1,638,000 -
880 1,232,000 -
3,000 3,600,000 -
3,000 3,600,000 -
3,000 3,600,000 -
8,037 2,411,100 -
75,000 225,000,000 -
75,000 7,500,000 -
100,000 7,500,000 -
110,000 2,750,000 -
6,270 3,762,000 -
3,200 2,240,000 -
3,500 700,000 -
110,000 2,750,000 -
126,500 - (506,000)
2,000,000 30,000,000 -
1,100,000 11,000,000 -
10,000 9,000,000 -
10,000 1,000,000 -
13,750 - (687,500)
4,935 - (2,961,000)
42,000 1,260,000 -
75,000 1,500,000 -
5,500 - (2,750,000)
198,000 99,000,000 -
350,000 175,000,000 -
100,000 10,000,000 -
100,000 10,000,000 -
110,000 11,000,000 -
200,000 20,000,000 -
38,500 - (38,500,000)
120,000 24,000,000 -
100,000 30,000,000 -
70,000 35,000,000 -
30,000 - (15,000,000)
1,075,000 10,750,000 -
5,500,000 55,000,000 -
ncana Rasionalisasi
Bertambah/
hitungan Keterangan
Jumlah (Rp) (Berkurang)
Tarif (Rp)
9 10=(7x9) 11=(10-6) 11
100,000 5,000,000 -
1,750,000 7,000,000 -
2,700,000 5,400,000 -
4,600,000 9,200,000 -
4,800,000 9,600,000 -
51,365,440 51,365,440 -
55,000,000 110,000,000 -
51,365,440 102,730,880 -
33,045,819 66,091,638 -
110,000 5,500,000 -
640,000 32,000,000 -
420,000 12,600,000 -
541,900 16,257,000 -
1,500,000 7,500,000 -
250,000 1,250,000 -
2,500,000 5,000,000 -
754,095 754,095 -
- (1,428,000)
71,400 - (1,428,000)

31,713,049 -
126,000 2,772,000 -
80,000 880,000 -
210,000 4,620,000 -
236,250 5,197,500 -
391,650 3,524,850 -
315,000 3,150,000 -
300,000 3,300,000 -
1,200,000 3,600,000 -
246,720 493,440 -
26,000 234,000 -
1,914,909 1,914,909 -
1,501 2,026,350 -

75,900,000 (75,900,000)
17,000 14,025,000 (14,025,000)
25,000 61,875,000 (61,875,000)

-
DIREKTUR RSUD dr. HUSNI THAMRIN NATAL,

dr. H. MHD FAISAL SITUMORANG

PEMBINA
NIP. 19800221 200904 1 001
 LAMPIRAN RASIONALISASI USULAN RENCANA ANGGARAN BIAYA (RAB) KEGIATAN PENDUKUNG PE
PADA RSUD dr. HUSNI THAMRIN NATAL

Anggaran Awal Rencana Ra

Kode
Uraian Rincian Perhitungan Rincian Perhitungan
Rek. Jumlah (Rp)
Volume Satuan Tarif (Rp) Volume Satuan
1 2 3 4 5 6=(3x5) 7 8
BELANJA 2,686,802,651
BELANJA LANGSUNG 2,686,802,651
Bahan Bakar Minyak (BBM Genset) 14,990,000
BBM genset/ Solar 1,000 Ltr 7,850 7,850,000 1,000 Ltr
BBM Ambulance 1,000 Ltr 7,140 7,140,000 1,000 Ltr

Belanja Alat Kebersihan/bahan Pembersih 22,262,995

Brus lantai Kamar Mandi 10 Pcs 33,600 336,000 10 Pcs
Detergen serbuk 41 Bks 24,000 984,000 41 Bks
Isi Ulang Air Mineral Gallon 241 Gln 15,000 3,615,000 241 Gln
Kain Pel 10 Bh 47,255 472,550 10 Bh
Kemoceng 10 Bh 36,750 367,500 10 Bh
Keranjang sampah biasa 10 Bks 14,750 147,500 10 Bks
Soklin lantai 50 Bh 15,000 750,000 50 Bh
Bayclean kemasan 1000 ml 20 Btl 16,000 320,000 20 Btl
Pengharum ruangan 10 Bks 18,597 185,970 10 Bks
Sabun Colek 20 Bks 12,250 245,000 20 Bks
Sapu 10 Bh 59,850 598,500 10 Bh
Tong sampah out door 120 ltr 7 bh 680,000 4,760,000 7 bh
Tong sampah out door 60 ltr 7 bh 545,000 3,815,000 7 bh
Ember 10 bh 100,000 1,000,000 10 bh
Kantong plastik 50 bh 31,395 1,569,750 50 bh
Kantong sampah limbah medis 25 bh 113,295 2,832,375 25 bh
Serokan sampah plastik 6 Bh 43,975 263,850 6 Bh

Belanja Alat Tulis dan Perlengkapan Kantor 48,290,754

Ballpoint faster 6 Ktk 39,900 239,400 6 Ktk
Ballpoint Balliner 6 Ktk 333,465 2,000,790 6 Ktk
Hecter No.10 6 Bh 18,900 113,400 6 Bh
Isi Hecter No.10 15 Ktk 2,541 38,115 15 Ktk
Kertas HVS F4 50 Rim 49,620 2,481,000 50 Rim
Kertas Photo 50 Pak 44,461 2,223,050 50 Pak
Map Biasa 50 Bh 1,500 75,000 50 Bh
Map Gungyu Uk Besar 30 Bh 36,750 1,102,500 30 Bh
Pelubang Kertas Besar 4 Bh 70,000 280,000 4 Bh
Spidol White Board 12 Bh 12,703 152,436 12 Bh
Tinta Stempel 3 Btl 13,896 41,688 3 Btl
Binder Klips uk.sedang 12 Ktk 15,750 189,000 12 Ktk
Buku agenda surat masuk/keluar isi 300 lembar 4 Bh 157,500 630,000 4 Bh
Kertas HVS Warna Folio 70 gram 15 Rim 63,000 945,000 15 Rim
Amplop Dinas uk Kecil Cetakan 5 Ktk 76,125 380,625 5 Ktk
Amplop Putih 5 Ktk 31,000 155,000 5 Ktk
Photocopy 10,000 Lbr 300 3,000,000 10,000 Lbr
Materai @10000 150 Lbr 10,000 1,500,000 150 Lbr
Catridge printer komputer warna 10 Bh 336,000 3,360,000 10 Bh
Flasdisk 8 GB 5 Bh 120,750 603,750 5 Bh
Tinta Printer Epson 6 Set 630,000 3,780,000 6 Set
Cetak Medical Record pasien 1,000 set 25,000 25,000,000 1,000 set
Belanja Obat-obatan 1,633,817,853
Valamin inf / B-Fluid infus 1,000 Fls 96,900 96,900,000 1,000 Fls
 Anggaran Awal Rencana Ra
Kode
Uraian Rincian Perhitungan Rincian Perhitungan
Rek. Jumlah (Rp)
Volume Satuan Tarif (Rp) Volume Satuan
1 2 3 4 5 6=(3x5) 7 8
NACL Infus 2,500 btl 9,500 23,750,000 2,500 btl
RL Infus 2,000 btl 9,500 19,000,000 2,000 btl
Levofloxacin 500mg infus 760 btl 41,500 31,540,000 760 btl
Remdesivir 200mg inj 150 Vial 510,000 76,500,000 150 Vial
Dexametason inj 500 Ampul 2,000 1,000,000 500 Ampul
Ondansetron Inj 100 Ampul 1,153 115,300 100 Ampul
Norages inj 200 Ampul 7,000 1,400,000 200 Ampul
Ranitidine Inj 400 Ampul 1,400 560,000 400 Ampul
Vit C Inj 1,200 Ampul 15,000 18,000,000 1,200 Ampul
Levofloxacin 500mg 1,200 Tablet 1,000 1,200,000 1,200 Tablet
Azitromycin 500mg 500 Tablet 1,700 850,000 500 Tablet
Favipiravir 200 mg 1,600 Tablet 22,500 36,000,000 1,600 Tablet
VTM 8 box 1,500,000 12,000,000 8 box
Methylprednisolon 4 mg 2,700 Tablet 150 405,000 2,700 Tablet
N-acetilcyctein 4,200 Tablet 700 2,940,000 4,200 Tablet
Omeprazole capsule 100 box 15,000 1,500,000 100 box
Ondansetron Tablet 2,000 Tablet 385 770,000 2,000 Tablet
Retaphyl 1,400 Tablet 1,170 1,638,000 1,400 Tablet
Curcuma 1,400 Tablet 880 1,232,000 1,400 Tablet
Stimuno 1,200 Tablet 3,000 3,600,000 1,200 Tablet
Becom Zet 1,200 Tablet 3,000 3,600,000 1,200 Tablet
Vit D Tab 1,200 Tablet 3,000 3,600,000 1,200 Tablet
Sukralfat 300 botol 8,037 2,411,100 300 botol
Rapid Antigent Test Covid-19 3,000 test 75,000 225,000,000 3,000 test
VTM + Flocked Swab 100 pcs 75,000 7,500,000 100 pcs
Spuit 3 cc 75 box 100,000 7,500,000 75 box
Spuit 10 cc 25 box 110,000 2,750,000 25 box
IV catheter 600 pcs 6,270 3,762,000 600 pcs
Infusion Set Dewasa 700 Pcs 3,200 2,240,000 700 Pcs
Infusion Set Anak 200 Pcs 3,500 700,000 200 Pcs
Blood Cooler 25 box 110,000 2,750,000 25 box
Tabung EDTA 4 pack 126,500 506,000 4 pack
Tabung Oksigen 143 cm 15 tbg 2,000,000 30,000,000 15 tbg
Tabung Oksigen 64 cm 10 tbg 1,100,000 11,000,000 10 tbg
Selang Oksigen dewasa 900 Buah 10,000 9,000,000 900 Buah
Selang Oksigen anak 100 Buah 10,000 1,000,000 100 Buah
Alkohol Swab 50 BOX 13,750 687,500 50 BOX
kasa steril 600 kotak 4,935 2,961,000 600 kotak
Plester Bulat 30 BOX 42,000 1,260,000 30 BOX
Plester Hypafix 20 BOX 75,000 1,500,000 20 BOX
Kasa Steril 500 ktk 5,500 2,750,000 500 ktk
Baju Hazmat Level III SNI 500 pcs 198,000 99,000,000 500 pcs
Baju Jubah Petugas 500 pcs 350,000 175,000,000 500 pcs
Cover shoe sekali pakai 100 BOX 100,000 10,000,000 100 BOX
Penutup kepala sekali pakai 100 BOX 100,000 10,000,000 100 BOX
Safety boots 100 psg 110,000 11,000,000 100 psg
Face Shield 100 pcs 200,000 20,000,000 100 pcs
Sarung Tangan Steril Panjang (obgyn) 1,000 pasang 38,500 38,500,000 1,000 pasang
Handschoon Non Steril 200 BOX 120,000 24,000,000 200 BOX
Masker bedah 300 BOX 100,000 30,000,000 300 BOX
Masker N95 500 PCS 70,000 35,000,000 500 PCS
Masker KN95 500 PCS 30,000 15,000,000 500 PCS
Stetoscope 10 unit 1,075,000 10,750,000 10 unit
Tensimeter vario stand/berdiri 10 unit 5,500,000 55,000,000 10 unit
 Anggaran Awal Rencana Ra
Kode
Uraian Rincian Perhitungan Rincian Perhitungan
Rek. Jumlah (Rp)
Volume Satuan Tarif (Rp) Volume Satuan
1 2 3 4 5 6=(3x5) 7 8
Sabun Cuci Tangan (Hand Wash) 50 btl 100,000 5,000,000 50 btl
Peti Jenazah 4 bh 1,750,000 7,000,000 4 bh
Film rontgen DI-HL20x25 150S 2 BOX 2,700,000 5,400,000 2 BOX
Film rontgen DI-HL26x36 150S 2 BOX 4,600,000 9,200,000 2 BOX
Film rontgen DI-HL35x43 100S 2 BOX 4,800,000 9,600,000 2 BOX
Suction Pump Anak 1 Unit 51,365,440 51,365,440 1 Unit
Suction Pump Dewasa 2 Unit 55,000,000 110,000,000 2 Unit
Syringe pump 2 Unit 51,365,440 102,730,880 2 Unit
Infusion Pump 2 Unit 33,045,819 66,091,638 2 Unit
Hand Sanitizer 500 ml 50 botol 110,000 5,500,000 50 botol
Hand Sanitizer isi ulang 5 liter 50 botol 640,000 32,000,000 50 botol
Striptes Gula Darah Sewaktu 30 box 420,000 12,600,000 30 box
Striptes Kolesterol Total 30 box 541,900 16,257,000 30 box
Thermo gun (pengukur suhu tubuh) 5 pcs 1,500,000 7,500,000 5 pcs
Pulse Oximeter 5 bh 250,000 1,250,000 5 bh
Kursi Roda 2 unit 2,500,000 5,000,000 2 unit
Alat Semprot / Spray Disinfectant 16 ltr 1 bh 694,995 694,995 1 bh
1.1.7.01 Lampu Listrik 1,428,000
1.1.7.01 bola Lampu hannock 45 watt 20 Bh 71,400 1,428,000 20 Bh

1.3.2.05 Alat rumah tangga Lainnya 31,713,049

1.3.2.05 Sarung bantal 22 hl 126,000 2,772,000 22 hl
1.3.2.05 Bantal 11 bh 80,000 880,000 11 bh
Selimut 22 bh 210,000 4,620,000 22 bh
Speray 22 bh 236,250 5,197,500 22 bh
dispenser 9 bh 391,650 3,524,850 9 bh
Kipas Angin 10 bh 315,000 3,150,000 10 bh
Jemuran 11 bh 300,000 3,300,000 11 bh
Tempat Cuci Tangan/Covid 19 3 set 1,200,000 3,600,000 3 set
Kabel Listrik 2 glg 246,720 493,440 2 glg
Stop Kontak 9 set 26,000 234,000 9 set
Tangki Air 1 bh 1,914,909 1,914,909 1 bh
Gelas Cup 1,350 pcs 1,501 2,026,350 1,350 pcs

Belanja Makanan dan Minuman Pasien 151,800,000

Snack pasien 11 ktk x 1 kl x 150 hr 1,650 OH 17,000 28,050,000 1,650 OH
Makan pasien 11 ktk X 3 kl x 150 hr 4,950 OH 25,000 123,750,000 4,950 OH
UNG PERCEPATAN PENANGANAN PASIEN COVID-19

ncana Rasionalisasi
Bertambah/
hitungan Keterangan
Jumlah (Rp) (Berkurang)
Tarif (Rp)
9 10=(7x9) 11=(10-6) 11
1,904,302,651 (782,500,000)
1,904,302,651 (782,500,000)
14,990,000 -
7,850 7,850,000 -
7,140 7,140,000 -

22,262,995 -
33,600 336,000 -
24,000 984,000 -
15,000 3,615,000 -
47,255 472,550 -
36,750 367,500 -
14,750 147,500 -
15,000 750,000 -
16,000 320,000 -
18,597 185,970 -
12,250 245,000 -
59,850 598,500 -
680,000 4,760,000 -
545,000 3,815,000 -
100,000 1,000,000 -
31,395 1,569,750 -
113,295 2,832,375 -
43,975 263,850 -

48,290,754 -
39,900 239,400 -
333,465 2,000,790 -
18,900 113,400 -
2,541 38,115 -
49,620 2,481,000 -
44,461 2,223,050 -
1,500 75,000 -
36,750 1,102,500 -
70,000 280,000 -
12,703 152,436 -
13,896 41,688 -
15,750 189,000 -
157,500 630,000 -
63,000 945,000 -
76,125 380,625 -
31,000 155,000 -
300 3,000,000 -
10,000 1,500,000 -
336,000 3,360,000 -
120,750 603,750 -
630,000 3,780,000 -
25,000 25,000,000 -
1,633,817,853 -
96,900 96,900,000 -
ncana Rasionalisasi
Bertambah/
hitungan Keterangan
Jumlah (Rp) (Berkurang)
Tarif (Rp)
9 10=(7x9) 11=(10-6) 11
9,500 23,750,000 -
9,500 19,000,000 -
41,500 31,540,000 -
510,000 76,500,000 -
2,000 1,000,000 -
1,153 115,300 -
7,000 1,400,000 -
1,400 560,000 -
15,000 18,000,000 -
1,000 1,200,000 -
1,700 850,000 -
22,500 36,000,000 -
1,500,000 12,000,000 -
150 405,000 -
700 2,940,000 -
15,000 1,500,000 -
385 770,000 -
1,170 1,638,000 -
880 1,232,000 -
3,000 3,600,000 -
3,000 3,600,000 -
3,000 3,600,000 -
8,037 2,411,100 -
75,000 225,000,000 -
75,000 7,500,000 -
100,000 7,500,000 -
110,000 2,750,000 -
6,270 3,762,000 -
3,200 2,240,000 -
3,500 700,000 -
110,000 2,750,000 -
126,500 506,000 -
2,000,000 30,000,000 -
1,100,000 11,000,000 -
10,000 9,000,000 -
10,000 1,000,000 -
13,750 687,500 -
4,935 2,961,000 -
42,000 1,260,000 -
75,000 1,500,000 -
5,500 2,750,000 -
198,000 99,000,000 -
350,000 175,000,000 -
100,000 10,000,000 -
100,000 10,000,000 -
110,000 11,000,000 -
200,000 20,000,000 -
38,500 38,500,000 -
120,000 24,000,000 -
100,000 30,000,000 -
70,000 35,000,000 -
30,000 15,000,000 -
1,075,000 10,750,000 -
5,500,000 55,000,000 -
ncana Rasionalisasi
Bertambah/
hitungan Keterangan
Jumlah (Rp) (Berkurang)
Tarif (Rp)
9 10=(7x9) 11=(10-6) 11
100,000 5,000,000 -
1,750,000 7,000,000 -
2,700,000 5,400,000 -
4,600,000 9,200,000 -
4,800,000 9,600,000 -
51,365,440 51,365,440 -
55,000,000 110,000,000 -
51,365,440 102,730,880 -
33,045,819 66,091,638 -
110,000 5,500,000 -
640,000 32,000,000 -
420,000 12,600,000 -
541,900 16,257,000 -
1,500,000 7,500,000 -
250,000 1,250,000 -
2,500,000 5,000,000 -
694,995 694,995 -
1,428,000 -
71,400 1,428,000 -

31,713,049 -
126,000 2,772,000 -
80,000 880,000 -
210,000 4,620,000 -
236,250 5,197,500 -
391,650 3,524,850 -
315,000 3,150,000 -
300,000 3,300,000 -
1,200,000 3,600,000 -
246,720 493,440 -
26,000 234,000 -
1,914,909 1,914,909 -
1,501 2,026,350 -

151,800,000 -
17,000 28,050,000 -
25,000 123,750,000 -

DIREKTUR RSUD dr. HUSNI THAMRIN NATAL,

dr. H. MHD FAISAL SITUMORANG

PEMBINA
NIP. 19800221 200904 1 001
 RINCIAN ANGGARAN BELANJA KEGIATAN PENDUKUNG PERCEPATAN PENANGANAN
PASIEN COVID-19 PADA RSUD dr. HUSNI THAMRIN NATAL

Kode Rincian Perhitungan

Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
BELANJA 2,686,802,651
BELANJA LANGSUNG 2,686,802,651
Bahan Bakar Minyak (BBM Genset) 14,990,000
BBM genset/ Solar 1,000 Ltr 7,850 7,850,000
BBM Ambulance 1,000 Ltr 7,140 7,140,000

Belanja Alat Kebersihan/bahan Pembersih 22,262,995

Brus lantai Kamar Mandi 10 Pcs 33,600 336,000
Detergen serbuk 41 Bks 24,000 984,000
Isi Ulang Air Mineral Gallon 241 Gln 15,000 3,615,000
Kain Pel 10 Bh 47,255 472,550
Kemoceng 10 Bh 36,750 367,500
Keranjang sampah biasa 10 Bks 14,750 147,500
Soklin lantai 50 Bh 15,000 750,000
Bayclean kemasan 1000 ml 20 Btl 16,000 320,000
Pengharum ruangan 10 Bks 18,597 185,970
Sabun Colek 20 Bks 12,250 245,000
Sapu 10 Bh 59,850 598,500
Tong sampah out door 120 ltr 7 bh 680,000 4,760,000
Tong sampah out door 60 ltr 7 bh 545,000 3,815,000
Ember 10 bh 100,000 1,000,000
Kantong plastik 50 bh 31,395 1,569,750
Kantong sampah limbah medis 25 bh 113,295 2,832,375
Serokan sampah plastik 6 Bh 43,975 263,850

Belanja Alat Tulis dan Perlengkapan Kantor 48,290,754

Ballpoint faster 6 Ktk 39,900 239,400
Ballpoint Balliner 6 Ktk 333,465 2,000,790
Hecter No.10 6 Bh 18,900 113,400
Isi Hecter No.10 15 Ktk 2,541 38,115
Kertas HVS F4 50 Rim 49,620 2,481,000
Kertas Photo 50 Pak 44,461 2,223,050
Map Biasa 50 Bh 1,500 75,000
Map Gungyu Uk Besar 30 Bh 36,750 1,102,500
Pelubang Kertas Besar 4 Bh 70,000 280,000
Spidol White Board 12 Bh 12,703 152,436
Tinta Stempel 3 Btl 13,896 41,688
Binder Klips uk.sedang 12 Ktk 15,750 189,000
Buku agenda surat masuk/keluar isi 300 lembar 4 Bh 157,500 630,000
Kertas HVS Warna Folio 70 gram 15 Rim 63,000 945,000
Amplop Dinas uk Kecil Cetakan 5 Ktk 76,125 380,625
Amplop Putih 5 Ktk 31,000 155,000
Photocopy 10,000 Lbr 300 3,000,000
Materai @10000 150 Lbr 10,000 1,500,000
Kode Rincian Perhitungan
Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
Catridge printer komputer warna 10 Bh 336,000 3,360,000
Flasdisk 8 GB 5 Bh 120,750 603,750
Tinta Printer Epson 6 Set 630,000 3,780,000
Cetak Medical Record pasien 1,000 set 25,000 25,000,000
Belanja Obat-obatan 1,633,817,853
Valamin inf / B-Fluid infus 1,000 Fls 96,900 96,900,000
NACL Infus 2,500 btl 9,500 23,750,000
RL Infus 2,000 btl 9,500 19,000,000
Levofloxacin 500mg infus 760 btl 41,500 31,540,000
Remdesivir 200mg inj 150 Vial 510,000 76,500,000
Dexametason inj 500 Ampul 2,000 1,000,000
Ondansetron Inj 100 Ampul 1,153 115,300
Norages inj 200 Ampul 7,000 1,400,000
Ranitidine Inj 400 Ampul 1,400 560,000
Vit C Inj 1,200 Ampul 15,000 18,000,000
Levofloxacin 500mg 1,200 Tablet 1,000 1,200,000
Azitromycin 500mg 500 Tablet 1,700 850,000
Favipiravir 200 mg 1,600 Tablet 22,500 36,000,000
VTM 8 box 1,500,000 12,000,000
Methylprednisolon 4 mg 2,700 Tablet 150 405,000
N-acetilcyctein 4,200 Tablet 700 2,940,000
Omeprazole capsule 100 box 15,000 1,500,000
Ondansetron Tablet 2,000 Tablet 385 770,000
Retaphyl 1,400 Tablet 1,170 1,638,000
Curcuma 1,400 Tablet 880 1,232,000
Stimuno 1,200 Tablet 3,000 3,600,000
Becom Zet 1,200 Tablet 3,000 3,600,000
Vit D Tab 1,200 Tablet 3,000 3,600,000
Sukralfat 300 botol 8,037 2,411,100
Rapid Antigent Test Covid-19 3,000 test 75,000 225,000,000
VTM + Flocked Swab 100 pcs 75,000 7,500,000
Spuit 3 cc 75 box 100,000 7,500,000
Spuit 10 cc 25 box 110,000 2,750,000
IV catheter 600 pcs 6,270 3,762,000
Infusion Set Dewasa 700 Pcs 3,200 2,240,000
Infusion Set Anak 200 Pcs 3,500 700,000
Blood Cooler 25 box 110,000 2,750,000
Tabung EDTA 4 pack 126,500 506,000
Tabung Oksigen 143 cm 15 tbg 2,000,000 30,000,000
Tabung Oksigen 64 cm 10 tbg 1,100,000 11,000,000
Selang Oksigen dewasa 900 Buah 10,000 9,000,000
Selang Oksigen anak 100 Buah 10,000 1,000,000
Alkohol Swab 50 BOX 13,750 687,500
kasa steril 600 kotak 4,935 2,961,000
Plester Bulat 30 BOX 42,000 1,260,000
Plester Hypafix 20 BOX 75,000 1,500,000
Kasa Steril 500 ktk 5,500 2,750,000
Baju Hazmat Level III SNI 500 pcs 198,000 99,000,000
 Kode Rincian Perhitungan
Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
Baju Jubah Petugas 500 pcs 350,000 175,000,000
Cover shoe sekali pakai 100 BOX 100,000 10,000,000
Penutup kepala sekali pakai 100 BOX 100,000 10,000,000
Safety boots 100 psg 110,000 11,000,000
Face Shield 100 pcs 200,000 20,000,000
Sarung Tangan Steril Panjang (obgyn) 1,000 pasang 38,500 38,500,000
Handschoon Non Steril 200 BOX 120,000 24,000,000
Masker bedah 300 BOX 100,000 30,000,000
Masker N95 500 PCS 70,000 35,000,000
Masker KN95 500 PCS 30,000 15,000,000
Stetoscope 10 unit 1,075,000 10,750,000
Tensimeter vario stand/berdiri 10 unit 5,500,000 55,000,000
Sabun Cuci Tangan (Hand Wash) 50 btl 100,000 5,000,000
Peti Jenazah 4 bh 1,750,000 7,000,000
Film rontgen DI-HL20x25 150S 2 BOX 2,700,000 5,400,000
Film rontgen DI-HL26x36 150S 2 BOX 4,600,000 9,200,000
Film rontgen DI-HL35x43 100S 2 BOX 4,800,000 9,600,000
Suction Pump Anak 1 Unit 51,365,440 51,365,440
Suction Pump Dewasa 2 Unit 55,000,000 110,000,000
Syringe pump 2 Unit 51,365,440 102,730,880
Infusion Pump 2 Unit 33,045,819 66,091,638
Hand Sanitizer 500 ml 50 botol 110,000 5,500,000
Hand Sanitizer isi ulang 5 liter 50 botol 640,000 32,000,000
Striptes Gula Darah Sewaktu 30 box 420,000 12,600,000
Striptes Kolesterol Total 30 box 541,900 16,257,000
Thermo gun (pengukur suhu tubuh) 5 pcs 1,500,000 7,500,000
Pulse Oximeter 5 bh 250,000 1,250,000
Kursi Roda 2 unit 2,500,000 5,000,000
Alat Semprot / Spray Disinfectant 16 ltr 1 bh 694,995 694,995
1.1.7.01Lampu Listrik 1,428,000
1.1.7.01bola Lampu hannock 45 watt 20 Bh 71,400 1,428,000

1.3.2.05Alat rumah tangga Lainnya 31,713,049

1.3.2.05Sarung bantal 22 hl 126,000 2,772,000
1.3.2.05Bantal 11 bh 80,000 880,000
Selimut 22 bh 210,000 4,620,000
Speray 22 bh 236,250 5,197,500
dispenser 9 bh 391,650 3,524,850
Kipas Angin 10 bh 315,000 3,150,000
Jemuran 11 bh 300,000 3,300,000
Tempat Cuci Tangan/Covid 19 3 set 1,200,000 3,600,000
Kabel Listrik 2 glg 246,720 493,440
Stop Kontak 9 set 26,000 234,000
Tangki Air 1 bh 1,914,909 1,914,909
Gelas Cup 1,350 pcs 1,501 2,026,350

Belanja Makanan dan Minuman Pasien 151,800,000

Snack pasien 11 ktk x 1 kl x 150 hr 1,650 OH 17,000 28,050,000
Kode Rincian Perhitungan
Uraian Jumlah (Rp)
Rek.
Volume Satuan Tarif (Rp)
1 2 3 4 5 6=(3x5)
Makan pasien 11 ktk X 3 kl x 150 hr 4,950 OH 25,000 123,750,000

Belanja Jasa Pegawai 782,500,000

Honorarium Bagi Pelaksana Kegiatan
Struktural 45,000,000
- Honorarium Ketua 1 Org x 5 bln 5 OB 6,000,000 30,000,000
- Honorarium Bendahara 1 Org x 5 bln 5 OB 3,000,000 15,000,000
Non struktural 165,000,000
Petugas Administrasi 1 org x 5 bln 5 OB 3,000,000 15,000,000
Petugas Keamanan 3 org x 5 bln 15 OB 3,000,000 45,000,000
Petugas Kebersihan 5 org x 5 bln 25 OB 3,000,000 75,000,000
Supir Ambulance 2 org x 5 bln 10 OB 3,000,000 30,000,000

Honorarium Bagi Tenaga Kesehatan 572,500,000

Dokter Umum 4 org x 5 bln 20 OB 6,000,000 120,000,000
Perawat 10 org x 5 bln 50 OB 4,500,000 225,000,000
Petugas Jenazah 2 org x 5 bln 10 OB 3,000,000 30,000,000
Bidan 5 org x 5 bln 25 OB 4,500,000 112,500,000
Analis 1 org x 5 bln 5 OB 4,500,000 22,500,000
Radiografer 1 org x 5 bln 5 OB 4,500,000 22,500,000
Nutrisionis 1 org x 5 bln 5 OB 4,500,000 22,500,000
Asisten Apoteker 1 Org x 5 bln 5 OB 3,500,000 17,500,000
Jumlah 2,686,802,651

DIREKTUR RSUD dr. HUSNI THAMRIN NATAL,

dr. H. MHD FAISAL SITUMORANG

PEMBINA
NIP. 19800221 200904 1 001