DAFTAR SURAT PESANAN OBAT DAN BMHP

per tanggal 30 Mei 2022

NO NAMA BARANG VOLUME SATUAN HARGA SATUAN
1 Asam traneksamat 100 box PT.PPG
2 Ketorolac 100 box PT.PPG
3 Ceptrioxone 500 box PT.PPG
4 Pemeriksaan Hemtologi
5 cell pack 4 Box PT.MANDIKA ATUS GRATIA
6 stromotolyster (sysmex) 4 Box PT.MANDIKA ATUS GRATIA
7 hema control 1 Box PT.MANDIKA ATUS GRATIA
8 pemeriksaan kimia darah PT.MANDIKA ATUS GRATIA
9 tg (bialabo) 2 Box PT.MANDIKA ATUS GRATIA
10 pemeriksaan PT.MANDIKA ATUS GRATIA
11 tip bin 2 Box PT.MANDIKA ATUS GRATIA
12 lanset(micro tawer rd 2 Box PT.MANDIKA ATUS GRATIA
13 kertas print 10 Box PT.MANDIKA ATUS GRATIA
14 vaseline 2 Dus PT.MANDIKA ATUS GRATIA
15 catton roll 10 Kotak PT.MANDIKA ATUS GRATIA
16 ampul citojek 2 Kotak PT.MANDIKA ATUS GRATIA
17 needie cirosek panjang 2 Kotak PT.MANDIKA ATUS GRATIA
18 needie objek pendek 2 Kotak PT.MANDIKA ATUS GRATIA

20 safety Box 50 Box PT.PRA

21 film konica Dry Pro Model 873 uk14x17B 10 box PT.PRA
22 Film konica Dry Pro Model 873 uk10x12B 10 Box PT.PRA

1 cebex 50 box PT.MBS

2 opilax syrup 100 botol PT.MBS
3 esomax inj 300 vial PT.MBS
4 ottogenta inj 10 box PT.MBS
5 ottopan syrup 100 botol PT.MBS
6 mucera drop 100 botol PT.MBS
7 cefigi syrup 50 botol PT.MBS
8 rofiden inj 30 botol PT.MBS

1 R/L 1000 FLS PT.PRA

2 NaCL 500 fls PT.PRA
3 Gelafusal 100 fls PT.PRA
4 Api 960 Fls PT.PRA

1 Kantong Plastik Kuning 90x120 1 Ton PT.PRA

2 Kantong Plastik Hitam 60x100 1 Ton PT.PRA
3 Kantong Plastik Kuning 60x100 1 Ton PT.PRA

1 Ett 3,5 50 pcs PT.PRA

2 Elektroda Kendal 100 pcs PT.PRA
3 kertas EKG 80x20 20 pcs PT.PRA
4 Nebu Dewasa 100 pcs PT.PRA
5 plester infus 100 box PT.PRA
6 underpad 50 pack PT.PRA
7 alkohol swab 200 box PT.PRA
8 spuit 50 lubang tengah 250 pcs PT.PRA
9 elastis perban no.4 10 pcs PT.PRA
10 elastis perban no.6 10 pcs PT.PRA
11 Handscoon Non steril M 120 Box PT.PRA
12 Handscoon Non steril L 50 box PT.PRA
13 Handscoon Non steril s 20 Box PT.PRA
14 Handscoon Non steril SS 10 Box PT.PRA
15 Selang O2 Bayi 50 pcs PT.PRA
16 selang o2 dewasa 100 pcs PT.PRA
17 Elektroda Kendal 100 pcs PT.PRA
18 hypafix 10x5 200 pcs PT.PRA
19 plester coklat 200 pcs PT.PRA
20 kasa gulung besar 25 gulung PT.PRA
21 spuit 3 Ml 2000 pcs PT.PRA
22 spuit 5 Ml 1500 pcs PT.PRA
23 spuit 10 ml 1000 pcs PT.PRA
24 kassa gulung 25 gulung PT.PRA
25 Albocet no 20 200 pcs PT.PRA
26 albocet no 18 200 pcs PT.PRA
27 albocet no.24 200 pcs PT.PRA
28 albocet no.22 1000 pcs PT.PRA

1 handsanitizer 5 Liter 5 box PT.TSJ

1 Ctm 20 Box PT.KF

2 Spirinolaction 25 mg 50 box PT.KF
3 Chana 100 Box PT.KF
4 Ibuprofen 200mg 10 pot PT.KF
5 Ranitidin tab 10 box PT.KF
6 molagit tab 10 box PT.KF
7 ISDN 5 mg 20 box PT.KF
8 ketokonazole tab 30 box PT.KF
9 salbutamol 4mg 50 box PT.KF
10 salbutamol 2mg 50 box PT.KF
11 chloramfenicol salep mata 50 tube PT.KF
12 protopan syrup 10 box PT.KF
13 betadine kumur 10 botol PT.KF
14 natrium diclofenac gel 20 pcs PT.KF

obat dan bmhp yang sudah dipesan belum berkontrak

PT.PRA 99,750,000 no kontrak
PT.MANDIKA ATUS GRATIA 271,278,309
PT.PPG 26,111,870
PT.MBS 70,000,000

PT.PRA 137,198,551 445/1262.1/RSUD.T/VI/2022

PT.PRA 14,430,000
PT.PRA 115,117,126
PT.PRA 134,296,436
PT.KF 22,000,000
Total 890,182,292

Mengetahui
Plt.Direktur Rsud Tais

dr.Raden sanata Jaya

NIP.197809282008031001
 JUMLAH

Rp.26.111.870

Rp.

Rp.90.040.063

Rp.99.750.000

Rp.70.000.000

Rp.23.000.000

Rp.30.000.000
 Rp.15.695.000

Hibah

Rp.22.000.000,-

sudah dibayar
397,140,179

401,042,113
 397,140,179

ngetahui
ktur Rsud Tais

n sanata Jaya
9282008031001
 PEMERINTAH KABUPATEN SELUMA
RUMAH SAKIT UMUM DAERAH TAIS
Jl. Raya Bengkulu-Manna Km.64, Desa. Selebar, Kecamatan Seluma Timur,
Kabupaten Seluma, Kode Pos. 38885

Rekapitulasi Daftar Belanja Obat dan BMHP 1 januari s/d 13 Juni2022

1 . Belanja Obat Dan BMHP yang sudah Dibayar Rp. 409,672,325

2 . Belanja Obat Dan BMHP yang belum Dibayar
pesanan dari 1 Januari 2022 s/d 25 Mei 2022 Rp. 215,319,483

3 . Belanja obat dan Bmhp yang sudah dipesan Rp. 376,596,933

dari 25 mei 2022 s/d 13 Juni 2022

Rp. 1,001,588,741

Keterangan Tais 13 Juni 2022

- Bukti Belanja dan pesanan terlampir Plt Direktur RSUD Tais

dr.Raden sanata Jaya

NIP.197809282008031001
 DAFTAR SURAT PESANAN OBAT DAN BMHP
per tanggal 30 Mei 2022
NO NAMA BARANG VOLUME SATUAN HARGA SATUAN JUMLAH
445/ 1099-1/SP /RSUD.T/V/2022 26,116,870
1 KETOROLAC 30 MG/ML INJEKSI BRN 100 BOX 145,800
2 CEFTRIAXONE 1 G INJ SRBK 5 BOX 3,500,000
3 TRANEXAMIC ACID 500MG/ML INJ 56 BOX 100,000
4 TRANEXAMIC ACID 500MG/ML INJ 44 BOX 100,000

MANDIKA ATUS 271,278,309

4 Pemeriksaan Hemtologi
5 cell pack 4 Box PT.MANDIKA ATUS GRATIA
6 stromotolyster (sysmex) 4 Box PT.MANDIKA ATUS GRATIA
7 hema control 1 Box PT.MANDIKA ATUS GRATIA
8 pemeriksaan kimia darah PT.MANDIKA ATUS GRATIA
9 tg (bialabo) 2 Box PT.MANDIKA ATUS GRATIA
10 pemeriksaan PT.MANDIKA ATUS GRATIA
11 tip bin 2 Box PT.MANDIKA ATUS GRATIA
12 lanset(micro tawer rd 2 Box PT.MANDIKA ATUS GRATIA
13 kertas print 10 Box PT.MANDIKA ATUS GRATIA
14 vaseline 2 Dus PT.MANDIKA ATUS GRATIA
15 catton roll 10 Kotak PT.MANDIKA ATUS GRATIA
16 ampul citojek 2 Kotak PT.MANDIKA ATUS GRATIA
17 needie cirosek panjang 2 Kotak PT.MANDIKA ATUS GRATIA
18 needie objek pendek 2 Kotak PT.MANDIKA ATUS GRATIA

445/1212-1/SPK/RSUD.T/VI/2022 68,793,369
1 ESSOMAX SERBUK INJEKSI STERIL 40 MG 300 BOX 165,000
2 CEBEX CAPL 100 E/20.00 50 BOX 180,000
3 OTTOGENTA INJ 80MG 5 AMP E/20.00 20 BOX 60,000
4 OPILAX SYRUP 60ML E/20.00 24 BTL 55,000
5 CETIRIGI SYRUP 5 MG/5ML 50 BOTL 43,000
6 OPILAX SYRUP 60ML E/20.00 100 BOTL 55,000
7 OTTOPAN SYRUP 60 ML E/20.00 100 BOTL 22,000
8 MUCERA DROPS E/20.00 100 BOTL 39,000
9 ROFIDEN SUPOSI TORIA E/20.00 20 BOX/10 135,000

445/1405-1/RSUD.T/VII/2022 14,430,000
1 R/L 1000 BTL 9,000
2 NaCL 100 BTL 8,000

445/1409-1/RSUD.T/VII/2022 134,296,436
1 Kantong Plastik Hitam 60x100 500 KG 77,700
2 Kantong Plastik Kuning 60x100 500 KG 82,138
3 Kantong Plastik Kuning 90x120 500 KG 82,138

445/1262-1/RSUD.T/VI/2022 137,198,551
1 SELANG 02 BAYI 25 PCS 16,216
2 SELANG 02 DEWASA 50 PCS 18,018
3 ELECTRODA KENDAL 50X50 CM 100 PCS 5,946
4 ETT KINGKING 3,5 25 PCS 153,154
5 HYPAFIX 10 CM X5 M 107 ROLL 288,288
6 PLESTER 7,5X5 M 100 ROLL 108,104
7 KASSA GULUNG BESAR 80CM X40 12 ROLL 198,198
8 SPUIT 3 ML 1000 PCS 2,702
9 SPUIT 5 ML 800 PCS 2,702
10 SPUIT 10 ML 500 PCS 3,964
11 ABBOCATH NO.20 100 PCS 9,910
12 ABBOCATH NO.18 100 PCS 9,910
13 ABBOCATH NO.24 100 PCS 9,910
14 ABBOCATH NO.22 500 PCS 9,910
15 KERTAS EKG 80X20 10 ROLL 144,144
16 SELANG NEBULIZER DEWASA 50 PCS 63,064
17 PLESTER INFUS 6X7 CM 50 BOX 288,288
18 UNDERPAD 25 PACK 86,486
19 ALKOHOL SWAB 107 BOX 27,028
20 SPUIT 50 ML LUBANG TENGAH 210 PCS 18,018
21 ELASTIS PERBAN NO.4 10 PCS 36,036
22 ELASTIS PERBAN NO.6 5 PCS 45,046
23 HANDSCOON NON STERIL M 120 BOX 153,154
24 HANDSCOON NON STERIL L 50 BOX 153,154
25 HANDSCOON NON STERIL S 30 BOX 153,154
137,198,551

445/1415-1/RSUD.T/VII/2022 115,117,126
1 SELANG 02 BAYI 25 PCS 18,000
2 SELANG 02 DEWASA 50 PCS 20,000
3 ETT KINGKING 3,5 25 PCS 170,001
4 ULTRAFIX 10CM X5 M 93 ROLL 320,000
5 PLESTER 7,5X5 M 100 ROLL 120,000
6 KASSA GULUNG BESAR 80C X40Y 13 ROLL 220,000
7 SPUIT 3 ML 1000 PCS 2,999
8 SPUIT 5 ML 700 PCS 2,999
9 SPUIT 10 ML 500 PCS 4,400
10 ABBOCATH NO.20 100 PCS 24,000
11 ABBOCATH NO.18 100 PCS 24,000
12 ABBOCATH NO.24 100 PCS 24,000
13 ABBOCATH NO.22 500 PCS 24,000
14 KERTAS EKG 80X20 10 ROLL 160,000
15 SELANG NEBULIZER DEWASA 50 PCS 70,001
16 PLESTER INFUS 6X7 CM 50 BOX 320,000
17 UNDERPAD 25 PACK 95,999
18 ALKOHOL SWAB 93 BOX 30,001
19 SPUIT 50 ML LT 30 PCS 20,000

1 handsanitizer 5 Liter 5 box PT.TSJ Hibah

1 Ctm 20 Box PT.KF

2 Spirinolaction 25 mg 50 box PT.KF
3 Chana 100 Box PT.KF
4 Ibuprofen 200mg 10 pot PT.KF
5 Ranitidin tab 10 box PT.KF
6 molagit tab 10 box PT.KF
7 ISDN 5 mg 20 box PT.KF Rp.22.000.000,-
8 ketokonazole tab 30 box PT.KF
9 salbutamol 4mg 50 box PT.KF
10 salbutamol 2mg 50 box PT.KF
11 chloramfenicol salep mata 50 tube PT.KF
12 protopan syrup 10 box PT.KF
13 betadine kumur 10 botol PT.KF
14 natrium diclofenac gel 20 pcs PT.KF

445/943-1/SPK/RSUD.T/IV/2022 124,782,981
1 2ptrcs20a cor0lene.3/0-sg-20s20a-90-Tp 36 pcs 145,521
2 HB-VIT 96 BOX 103,230
3 PROLIVER 25 box 174,825
4 L-Bio sachet 50 BOX 258,075
5 nucral suspensi 100Ml 200 BOTOL 59,440
6 Imunos syrup 60 Ml 100 fls 72,150
7 Anadium Caplets SS 30 box 279,720
8 Norestil Tab 10 Box 133,200
9 Meprovent Cairan Inhalasi 30 Box 88,800
10 Spasmolit Tablet 23 Box 249,750
11 nucral suspensi 100Ml 300 btl 59,440
12 Proster Tablet 10 box 366,300
13 Hustadin Syrup 50 botol 22,755
14 Simtram 50 Box 283,050
15 Lapifed Syrup 45 Fls 28,860
16 Lapifed Tablet 100 box 305,250

PT.MANDIKA
 892,013,642

obat dan bmhp yang sudah dipesan dan berkontrak

PT.MANDIKA ATUS GRATIA 271,278,309 271,278,309

PT.PPG 26,111,870 445/ 1099-1/SP /RSUD.T/V/2022
PT.MBS 68,793,369 445/1212-1/SPK/RSUD.T/VI/2022
PT.MPI 124,782,981 445/943-1/SPK/RSUD.T/IV/2022

PT.PRA 8,072,100
PT.PRA 137,198,551 445/1262.1/RSUD.T/VI/2022
PT.PRA 14,430,000 445/1403-1/RSUD.T/VII/2022 409,114,213
PT.PRA 115,117,126 445/1415-1/RSUD.T/VII/2022
PT.PRA 134,296,436 445/1409-1/RSUD.T/VII/2022
PT.KF 27,993,064 445/ 558-1/SPK/RSUD.T/II/2022
Total 680,392,522

Mengetahui
Plt.Direktur Rsud Tais
928,073,806

dr.Raden sanata Jaya

NIP.197809282008031001
PT.MANDIKA ATUS GRATIA 271,278,309
PT.PPG 26,111,870 445/ 1099-1/SP /RSUD.T/V/2022
PT.MBS 68,793,369 445/1212-1/SPK/RSUD.T/VI/2022
PT.MPI 124,782,981 445/943-1/SPK/RSUD.T/IV/2022

PT.PRA 8,072,100
PT.PRA 137,198,551 445/1262.1/RSUD.T/VI/2022
PT.PRA 14,430,000 445/1403-1/RSUD.T/VII/2022
PT.PRA 115,117,126 445/1415-1/RSUD.T/VII/2022
PT.PRA 134,296,436 445/1409-1/RSUD.T/VII/2022
PT.KF 27,993,064 445/ 558-1/SPK/RSUD.T/II/2022
PT.PPG 160,000,000
PPI 25,000,000
PT.PPG
PRA 40,000,000
IGM 4,000,000
ENDO 13,000,000
MBS 90,000,000
FERO
AAM 40,000,000
MANDIKA 50,000,000
MBS 40,000,000
LAPI Rp 10,000,000
KFTD Rp 10,000,000
IGM Rp 25,000,000
AAM Rp 40,000,000
KFTD Rp 15,000,000
PPG Rp 50,000,000

1,540,073,806